2023-11-15T19:14:39+00:00 2022-12-31 346565596 ERNST & YOUNG US LLP 221 EAST 4TH STREET CINCINNATI OH 45202 990 2022-01-01 010782751 Nationwide Childrens Hospital Group Return NATI 6147225958 700 CHILDRENS DRIVE COLUMBUS OH 43205 TIMOTHY C ROBINSON DIRECTOR / CEO - NCH 6147222000 2023-11-16 true Nelson Weichold 999009999 Julie Sparks P01268401 5136121400 2022 2023-04-26 12:10:37Z TIMOTHY C ROBINSON 700 CHILDRENS DRIVE COLUMBUS OH 43205 3907135566 true true 4235 X WWW.NATIONWIDECHILDRENS.ORG X OH NATIONWIDE CHILDREN'S HOSPITAL'S MISSION IS BASED ON THE PREMISE THAT NO CHILD SHOULD BE REFUSED NECESSARY CARE FOR LACK OF ABILITY TO PAY. 109 67 19807 351 8873563 1405575 249739682 415773680 1983932139 3262123128 219069890 162505905 93475775 59250233 2546217486 3899652946 107514753 194095418 0 1120279614 1287884570 0 5087181 924916957 1978280215 2152711324 3460260203 393506162 439392743 6860555674 7445590269 1348095149 1848720058 5512460525 5596870211 X NATIONWIDE CHILDREN'S HOSPITAL (NCH) BELIEVES THAT NO CHILD SHOULD BE REFUSED NECESSARY CARE AND ATTENTION FOR LACK OF ABILITY TO PAY. UPON THIS FUNDAMENTAL BELIEF, NCH IS COMMITTED TO PROVIDING THE HIGHEST QUALITY PATIENT CARE, ADVOCACY FOR CHILDREN AND FAMILIES, PEDIATRIC RESEARCH, EDUCATION OF PATIENTS, FAMILIES AND FUTURE PROVIDERS, AND OUTSTANDING SERVICE TO ACCOMMODATE THE NEEDS OF PATIENTS AND FAMILIES. false false 2560423449 87074905 3267152985 PATIENT CARE (SEE SCHEDULE O) 289903815 92068165 RESEARCH (SEE SCHEDULE O) 56662405 11373975 1713792 EDUCATION (SEE SCHEDULE O) 7110180 3578373 7110180 3578373 2914099849 true true false true false false false false true true false false false true true false true false true true false false false true true true true true true true true false false false false false true false true true false true false false false true true true true false false true X 824 0 true 19807 true true true true CJ false false false true true false false false false true false X 109 67 true false false false true true true true true false true true false true true true true true true true true true CA CO FL GA HI IL KS KY MD MA MI MN MS NH NJ NM NY NC ND OH OK OR PA RI SC TN UT AR WV WI X CHRISTINA SHAVER 6143553119 700 CHILDRENS DRIVE COLUMBUS OH 43205 Nancy Cunningham Interim President - CCFA (AS OF 11/2022) 50.0 0 X X 245466 0 35279 Sarah Rosenthal PRES / DIRECTOR - CCFA (To 11/2022) 50.0 0 X X 401205 0 47110 Timothy C Robinson DIRECTOR / CEO - NCH 63.0 4.0 X X 1666720 0 64421 Abigail S Wexner DIRECTOR - NCH/CCFA 6.0 3.0 X 0 0 0 Achea Redd DIRECTOR - CCFA (AS OF 3/2022) 3.0 0 X 0 0 0 Adebomi Omikunle MD DIRECTOR -PFK 3.0 0 X 0 0 0 Aimee White DIRECTOR -PFK 3.0 0 X 0 0 0 Albert Covelli DIRECTOR - NCH FOUNDATION 3.0 0 X 0 0 0 Alex Fischer DIRECTOR - NCH 3.0 3.0 X 0 0 0 Alex Kemper MD DIRECTOR -PFK 3.0 0 X 0 0 0 ANDREW GROSSMAN DIRECTOR - CCFA 3.0 0 X 0 0 0 Ann DiMarco DIRECTOR - NCH FOUNDATION 3.0 0 X 0 0 0 Ann I Wolfe DIRECTOR - NCH 3.0 3.0 X 0 0 0 Audrey G Tuckerman DIRECTOR - CCFA 3.0 0 X 0 0 0 Billy Vickers DIRECTOR - NCH FOUNDATION 3.0 0 X 0 0 0 Bishop Callon Holloway DIRECTOR - CCFA 3.0 0 X 0 0 0 Brenda Frecka DIRECTOR - NCH FOUNDATION 3.0 0 X 0 0 0 Brent Crawford DIRECTOR - NCH FOUNDATION 3.0 0 X 0 0 0 Brett Meyer DIRECTOR - CCFA 3.0 0 X 0 0 0 Bruce Soll DIRECTOR - NCH 3.0 3.0 X 0 0 0 Bruce Thorn DIRECTOR - NCH 3.0 3.0 X 0 0 0 Bryan Stewart DIRECTOR - NCH FOUNDATION 3.0 0 X 0 0 0 C Robert Kidder DIRECTOR - NCH 3.0 3.0 X 0 0 0 Carol Bradford MD DIRECTOR - NCH 3.0 3.0 X 0 0 0 Carrie Birch DIRECTOR - CCFA 3.0 0 X 0 0 0 Catherine Krawczeski MD Director - PFK (AS OF 4/2022) 50.0 0 X 367285 0 27142 Cecily Alexander DIRECTOR - NCH FOUNDATION 3.0 0 X 0 0 0 Chad A Jester DIRECTOR - NCH FOUNDATION/CCFA 6.0 0 X 0 0 0 Chris Bergman DIRECTOR -PFK 3.0 0 X 0 0 0 Cindy Monroe DIRECTOR - NCH FOUNDATION 3.0 0 X 0 0 0 Corrine Burger DIRECTOR - NCH (AS OF 8/2022) 3.0 3.0 X 0 0 0 Dallas Baldwin DIRECTOR - CCFA 3.0 0 X 0 0 0 Dan Sullivan DIRECTOR - NCH 3.0 3.0 X 0 0 0 Danielle Skestos DIRECTOR - NCH FOUNDATION 3.0 0 X 0 0 0 David Axelson MD DIRECTOR - PFK 3.0 0 X 428296 0 64730 Deborah Feldman DIRECTOR -PFK 3.0 0 X 0 0 0 Dwight Smith DIRECTOR - NCH 6.0 3.0 X 0 0 0 Edward Shepherd MD DIRECTOR - NCH FOUNDATION 3.0 0 X 0 0 0 Eleanor Bradford DIRECTOR - NCH FOUNDATION 3.0 0 X 0 0 0 Garey Noritz MD DIRECTOR -PFK 3.0 0 X 0 0 0 George Barrett DIRECTOR - NCH/RINCH 6.0 3.0 X 0 0 0 Greg D Pearson MD DIRECTOR - NCH (AS OF 1/2022) 47.0 3.0 X 539204 0 70771 H Scott Tyson MD DIRECTOR -PFK 3.0 0 X 0 0 0 Hannah Wexner DIRECTOR - NCH FOUNDATION (AS OF 4/2022) 3.0 0 X 0 0 0 Holly May DIRECTOR - NCH FOUNDATION (To 5/2022) 3.0 0 X 0 0 0 Honorable Algenon Marbley DIRECTOR - NCH 3.0 3.0 X 0 0 0 Jamie Reed DIRECTOR - NCH FOUNDATION 3.0 0 X 0 0 0 John Havens DIRECTOR - NCH FOUNDATION 3.0 0 X 0 0 0 Jonathan Ramsden DIRECTOR - NCH FOUNDATION 3.0 0 X 0 0 0 Jordan Miller Jr DIRECTOR - NCH 3.0 3.0 X 0 0 0 Joseph A Chlapaty DIRECTOR - NCH 3.0 3.0 X 0 0 0 Joseph Tobias MD DIRECTOR - CAA 50.0 0 X 747566 0 70290 Judge Dana Preisse DIRECTOR - CCFA 3.0 0 X 0 0 0 Katherine Wolfe Lloyd DIRECTOR - CCFA 3.0 0 X 0 0 0 Kaydian Comer DIRECTOR - CCFA 3.0 0 X 0 0 0 Kent Johnson PHD DIRECTOR - RINCH 3.0 0 X 0 0 0 Kirt Walker CHAIR/DIRECTOR - NCH 3.0 3.0 X 0 0 0 Lee Ann Wallace SR VP & CHIEF NURSING OFFICER - NCH 50.0 3.0 X 685198 0 89726 Libby Germain DIRECTOR - NCH/Foundation 6.0 3.0 X 0 0 0 Lindsay Schottenstein DIRECTOR - NCH FOUNDATION (AS OF 4/2022) 3.0 0 X 0 0 0 Lou Von Thaer DIRECTOR - NCH (To 3/2022) 6.0 3.0 X 0 0 0 Matt Vaugh Director - RINCH (AS OF 9/2022) 3.0 0 X 0 0 0 Michael Fitzpatrick DIRECTOR - NCH FOUNDATION 3.0 0 X 0 0 0 Michele Holcomb DIRECTOR - RINCH (AS OF 8/2022) 3.0 0 X 0 0 0 Olivia Thomas MD DIRECTOR - CCFA/PFK 6.0 0 X 0 0 0 Oluyinka Olutoye MD DIRECTOR - CSA/PFK 50.0 0 X 1148118 0 139771 Pamela Farber DIRECTOR - NCH FOUNDATION 3.0 0 X 0 0 0 Peter Mohler PHD DIRECTOR - RINCH 3.0 0 X 0 0 0 Prashant Malhotra MD DIRECTOR -PFK 3.0 0 X 447926 0 74655 Ralph Andretta DIRECTOR - NCH 3.0 3.0 X 0 0 0 Rob Snyder MD DIRECTOR - NCH 23.0 3.0 X 143528 0 18319 SHAMLAL MANGRAY MD DIRECTOR - PPAC 50.0 0 X 506501 0 72882 Stanley Partlow DIRECTOR - CCFA 3.0 0 X 0 0 0 Sue Zazon DIRECTOR - CCFA 3.0 0 X 0 0 0 Thomas Walker DIRECTOR - RINCH 3.0 0 X 0 0 0 Timothy Johnson DIRECTOR - NCH FOUNDATION 3.0 0 X 0 0 0 Vinay Prasad MD DIRECTOR -PFK 3.0 0 X 382302 0 73098 William Long MD DIRECTOR - NCH/PFK 23.0 3.0 X 103326 0 1288 Andrew Lenobel ASST SECRETARY - CAA/CRI/CSA 52.0 0 X 216656 0 51931 Dennis Durbin MD PRESIDENT - RINCH (AS OF 3/2022) 50.0 0 X 730352 0 45096 John A Barnard MD PRESIDENT - RINCH (To 03/2022) 30.0 0 X 488490 0 27280 Kristen Maiorino ASST SECRETARY - PPAC 50.0 0 X 161557 0 10220 Luke Brown TREASURER / SR VP / CFO - NCH 63.0 4.0 X 777348 0 64955 Mary DiOrio MD MEDICAL DIRECTOR - PFK 50.0 0 X 308080 0 24676 Rhonda Comer SECRETARY / SR VP / LEGAL SRVCS - NCH 63.0 4.0 X 1352948 0 179864 Richard Miller COO - NCH 54.0 1.0 X 1736724 0 70905 Sara Evans ASST SECRETARY - FOUNDATION/PFK 50.0 0 X 377975 0 56960 Sean Gleeson MD PRESIDENT - PFK 50.0 0 X 409212 0 58850 Shilpi Banerjee ASST SECRETARY - RINCH 50.0 0 X 349628 0 35991 Stephen Testa PRES - NCH FOUNDATION 50.0 0 X 730283 0 122390 Amy Roscoe VICE PRESIDENT - RINCH 50.0 0 X 346703 0 29221 Denise Zabawski VP / CIO - NCH 50.0 0 X 588050 0 49786 Dennis Minzler VP - NCH 50.0 0 X 384584 0 46497 Lorina Wise VP / HR - NCH 50.0 0 X 707992 0 78513 Marissa Larouere VP CLINICAL SERVICES - NCH 50.0 0 X 287239 0 56456 Pamela Edson VICE PRESIDENT - PFK 50.0 0 X 302969 0 50907 Patricia McClimon SR VP / PLAN & DEV'T - NCH 50.0 0 X 1255977 0 156655 Rustin Morse MD CHIEF MEDICAL OFFICER - NCH 54.0 0 X 916013 0 51277 Charles Elmaraghy MD ENT surgeon - CSA 50.0 0 X 1252662 0 70540 Kevin Klingele MD ORTHOPEDIC SURGEON - CSA 50.0 0 X 1243901 0 70290 Mark Galantowicz MD CHIEF OF CT SURGERY - CSA 50.0 0 X 1903089 0 69249 Matthew Beran MD ORTHOPEDIC SURGEON - CSA 50.0 0 X 1136365 0 70290 Richard Kirschner MD PLASTIC SURGEON - CSA 50.0 0 X 1224031 0 70290 Meredith Merz Lind MD FORMER DIRECTOR - NCH 50.0 0 X 635041 0 68127 Richard Brilli MD FORMER DIRECTOR - PPAC/CSA 50.0 0 X 265288 0 1808 27901800 0 2538509 1963 true true false PEDIATRIC ACADEMIC ASSOCIATION 555 SOUTH 18TH STREET COLUMBUS OH 43205 MEDICAL SERVICES 84993118 THE OHIO STATE UNIVERSITY 410 WEST 10TH AVENUE COLUMBUS OH 43210 MEDICAL SERVICES 44041606 BON SECOURS MERCY HEALTH PO BOX 370 MT PLEASANT SC 29465 MEDICAL SERVICES 34323158 OHIOHEALTH 3430 OHIOHEALTH PARKWAY COLUMBUS OH 43202 MEDICAL SERVICES 30071132 VAYA WORKFORCE SOLUTIONS DEPT CH 18001 PALATINE IL 60558 CONTRACT LABOR 21577353 272 39650 8450 2622737 160152047 127476177 125474619 2782976 415773680 NET PATIENT SERVICES REVENUE 900099 1690364952 1690364952 CAPITATION PREMIUMS 900099 1544062378 1544062378 PHYSICIAN SERVICES REVENUE 900099 21092668 21092668 REFERENCE LAB 541380 4145368 4145368 RETAIL PHARMACY 446110 1202919 1202919 1254843 1254843 0 0 3262123128 131198963 196418 131002545 1215 1215 34996423 34996423 4982055 3547607 1434448 0 1434448 2130046 -695598 34102903 343591 3479711 -338943 30623192 682534 31305727 31305727 387021 2622737 783978 -396957 -396957 81818 10267 71551 71551 CAFETERIA 722210 7314799 2372 7312427 BILLING SERVICES TO AFFILIATES 541200 3199905 3199905 CHILD CARE CENTER 624410 4336209 4336209 8293855 3776439 1196440 3320976 23144768 3899652946 3263751185 8873563 211254518 192935839 192935839 1159579 1159579 22918064 7769954 14721773 426337 173319 173319 1016245082 779686368 234690180 1868534 42228227 30212929 12015298 139669182 107805739 31343882 519561 66650696 47088830 19561866 9118211 9118211 614400 614400 871674 871674 300852634 218011841 82818650 22143 3991881 158335 1749779 2083767 53565323 33434246 20120964 10113 24136449 8052389 16084060 17022539 17022539 97196156 77140884 20055272 5660252 4441081 1172781 46390 2285981 1528480 747588 9913 26398973 26398973 111535595 77690148 33845447 9872071 6706132 3165939 DRUGS 191650293 191296642 353651 MEDICAL SUPPLIES 114782896 114782896 HOSPITAL FRANCHISE FEES 57414714 57414714 CLAIMS EXPENSE 917539631 917539631 33770542 22220653 11449466 100423 3460260203 2914099849 541073173 5087181 128082937 665150743 1883360 52616536 42989282 60194211 398111898 407944057 2538206 4148451 0 0 6265021 18035716 18048754 30483673 22999969 2643617034 931847869 1548627912 1711769165 4570644994 4346472730 0 0 23246613 38019501 95911083 111961131 6860555674 7445590269 246408095 396580510 0 0 8834502 11724201 643770000 630575000 0 0 0 0 0 0 0 0 449082552 809840347 1348095149 1848720058 X 5102345368 5173664593 410115157 423205618 5512460525 5596870211 6860555674 7445590269 X 439392743 -699386408 145071 344258280 X false true X true true true X Schedule A, Part I, Line 3 REASON FOR PUBLIC CHARITY STATUS FOR GROUP RETURN SUBORDINATES NATIONWIDE CHILDREN'S HOSPITAL (NCH) EIN 31-4379441 PUBLIC CHARITY STATUS: 509(A)(1) & 170(B)(1)(A)(III) CHILDREN'S RADIOLOGICAL INSTITUTE (CRI) EIN 31-1439570 PUBLIC CHARITY STATUS: 509(A)(2) 2022 PUBLIC SUPPORT PERCENTAGE: 99.28% 2021 PUBLIC SUPPORT PERCENTAGE: 99.32% 2022 INVESTMENT INCOME PERCENTAGE: 0.72% 2021 INVESTMENT INCOME PERCENTAGE: 0.68% PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS (PPAC) EIN 31-1595013 PUBLIC CHARITY STATUS: 509(A)(2) 2022 PUBLIC SUPPORT PERCENTAGE: 99.61% 2021 PUBLIC SUPPORT PERCENTAGE: 99.57% 2022 INVESTMENT INCOME PERCENTAGE: 0.39% 2021 INVESTMENT INCOME PERCENTAGE: 0.43% CHILDREN'S SURGICAL ASSOCIATES (CSA) EIN 31-1654000 PUBLIC CHARITY STATUS: 509(A)(2) 2022 PUBLIC SUPPORT PERCENTAGE: 100.00% 2021 PUBLIC SUPPORT PERCENTAGE: 100.00% 2022 INVESTMENT INCOME PERCENTAGE: 0.00% 2021 INVESTMENT INCOME PERCENTAGE: 0.00% CHILDREN'S ANESTHESIA ASSOCIATES (CAA) EIN 31-0650338 PUBLIC CHARITY STATUS: 509(A)(2) 2022 PUBLIC SUPPORT PERCENTAGE: 100.00% 2021 PUBLIC SUPPORT PERCENTAGE: 100.00% 2022 INVESTMENT INCOME PERCENTAGE: 0.00% 2021 INVESTMENT INCOME PERCENTAGE: 0.00% NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION (NCHF) EIN 31-1036370 PUBLIC CHARITY STATUS: 509(A)(1) & 170(B)(1)(A)(VI) 2022 PUBLIC SUPPORT PERCENTAGE: 60.10% 2021 PUBLIC SUPPORT PERCENTAGE: 61.60% RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL (RINCH) EIN 31-6056230 PUBLIC CHARITY STATUS: 509(A)(1) & 170(B)(1)(A)(VI) 2022 PUBLIC SUPPORT PERCENTAGE: 63.20% 2021 PUBLIC SUPPORT PERCENTAGE: 65.00% CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSP (CCFA) EIN 02-0627166 PUBLIC CHARITY STATUS: 509(A)(1) & 170(B)(1)(A)(VI) 2022 PUBLIC SUPPORT PERCENTAGE: 83.30% 2021 PUBLIC SUPPORT PERCENTAGE: 85.70% CHILDREN'S HOSPITAL AND PHYSICIAN'S HEALTHCARE NETWORK EIN: 31-1429047 PUBLIC CHARITY STATUS: 509(A)(3) TYPE I RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false true 5676 false true 154964 true 711034 false false 871674 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Nationwide Children's Hospital (NCH) is a section 501(c)(3) organization with a mission based on the belief that no child should be refused necessary care and attention for lack of ability to pay. Nationwide Children's is committed to providing the highest quality patient care, advocacy for children and families, pediatric research, education of patients, families and future providers, and outstanding service to accommodate the needs of patients and families. In fulfillment of this mission, NCH advocates at the local, state and federal levels on behalf of children and the providers who care for them. Professional staff in the Government Relations Department direct and perform these activities and coordinate the work of other Hospital staff that support advocacy efforts on an intermittent basis. In addition, the hospital has sent correspondence to and met directly with local, state, and federal officials. Further, NCH pays membership dues to professional organizations which, among their many responsibilities, perform certain lobbying activities on behalf of their member organizations. Based on information supplied by these professional associations, NCH has determined the total of NCH's dues applicable to their lobbying activities is $154,964. During 2022, two hospital staff members were registered as lobbyists at the federal level and two were registered at the state level. These staff members met with elected and appointed officials regarding child health, reimbursement, and grants/funding. NCH also utilized the services of one outside consultant at the local/state level in 2022. This consultant prepared written materials and met with elected and appointed officials. Overall, NCH's total direct and indirect lobbying expenditures based on resources or time were minimal and not substantial based on revenues. 269598015 6358820 -32497923 6759924 236698988 239090684 11461796 27225909 8180374 269598015 207575104 17303071 20840075 6627566 239090684 179315772 7297567 25929041 4967276 207575104 180559816 11551122 -7597607 5197559 179315772 0.218 0.782 0.0 false false 60413686 60413686 1765776768 604213890 1161562878 26411050 12264843 14146207 491657681 315369136 176288545 299357849 299357849 1711769165 MARKET VALUE OF INTEREST RATE SWAP -3819266 ACCRUED RETIREMENT BENEFITS 10566082 OTHER DONOR RELATED LIABILITIES 2082350 ACCRUED PROFESSIONAL LIABILITY 16469326 BOND ISSUANCE COSTS 20151202 PAYABLE TO THIRD PARTY PAYORS 2069709 HCAP ACCRUAL 57394005 LEASE LIABILITY 76153560 DUE TO AFFILIATE 7924303 DEFERRED COMPENSATION 540105 TAXABLE BOND LIABILITY 541075000 OTHER LIABILITIES 636608 CLAIMS PAYABLE 78597363 809840347 X Schedule D, Part V, Line 4 Intended uses of endowment funds AVAILABLE ENDOWMENT FUNDS ARE USED TO SUPPORT THE NCH MISSION OF PROVIDING THE HIGHEST QUALITY PATIENT CARE, ADVOCACY FOR CHILDREN AND FAMILIES, PEDIATRIC RESEARCH, AND EDUCATION OF PATIENTS, FAMILIES AND FUTURE HEALTHCARE PROVIDERS. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote NATIONWIDE CHILDREN'S RECORDS ACCRUALS FOR UNCERTAIN TAX POSITIONS UNDER ASC 740, INCOME TAXES. NATIONWIDE CHILDREN'S HAD NO SIGNIFICANT UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2022 AND 2021. Central America and the Caribbean 0 0 Program Services Self Insurance 1412194 East Asia and the Pacific 0 0 Program Services Research Collaboration 32720 South Asia 0 0 Program Services Research Collaboration 141916 Europe (Including Iceland and Greenland) 0 0 Program Services Healthcare Services 149274 Europe (Including Iceland and Greenland) 0 0 Program Services Research Collaboration 173893 Middle East and North Africa 0 0 Program Services Healthcare Services 63154 Sub-Saharan Africa 0 0 Program Services Research Collaboration 25989 Sub-Saharan Africa 0 0 Program Services Healthcare Services 44631 North America (Canada & Mexico only) 0 1 Program Services Healthcare Services 60079 North America (Canada & Mexico only) 0 0 Program Services Salary 9034 North America (Canada & Mexico only) 0 0 Program Services Research Collaboration 191995 Central America and the Caribbean 0 0 Investments Self-Insurance 130000 0 1 0 0 0 1 2434879 0 2434879 true false true false true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Cash; EUROPE (INCLUDING ICELAND AND GREENLAND)-Cash; MIDDLE EAST AND NORTH AFRICA-Cash; NORTH AMERICA (CANADA & MEXICO ONLY)-Cash; SOUTH ASIA-Cash; SUB-SAHARAN AFRICA-Cash LEGENDS LUNCH 1156785 1099570 57215 0 0 6900 49085 15199 33115 MARATHON 854750 854750 0 0 0 0 10226 4073 248942 5 998223 668417 329806 0 1810 82420 162659 53623 115926 3009758 2622737 387021 0 1810 89320 221970 72895 397983 783978 -396957 81818 9813 454 0 0 true 1.0 81818 9813 454 0 0 10267 71551 OH true false true false 0.0 1.0 Kevin Welch 700 Childrens Drive Columbus OH 43205 false false 0 true true X true X true X 450 true true false false 24170685 4580057 19590628 0.0057 928753428 778446538 150306890 0.0434 3418911 3418911 0 0.0 0 0 956343024 786445506 169897518 0.0491 22951246 14630415 8320831 0.0024 45647998 3636453 42011545 0.0121 70028525 64158874 5869651 0.0017 66963302 66963302 0.0193 26904268 26904268 0.0078 0 0 232495339 82425742 150069597 0.0434 0 0 1188838363 868871248 319967115 0.0925 2505249 1478302 1026947 0.0003 0 0.0 1362052 183384 1178668 0.0003 431362 431362 0.0001 0 0.0 0 0.0 1321367 726061 595306 0.0002 44024 44024 0.0000 5500 5500 0.0000 0 0 5669554 2387747 3281807 0.0009 true 49065410 0 4972104 7725383 -2753279 X true true 2 1 NATIONWIDE CHILDREN'S HOSPITAL (MAIN CAMPUS) 700 CHILDRENS DRIVE COLUMBUS OH 43205 WWW.NATIONWIDECHILDRENS.ORG X X X X X X NEONATAL INTENSIVE CARE UNIT A 2 NATIONWIDE CHILDREN'S HOSPITAL TOLEDO 2213 Cherry Street TOLEDO OH 43608 https://www.nationwidechildrens.org/locations/toledo X X X NEONATAL B A 1 false false true X X X X X X X X X 22 true true true true X https://www.nationwidechildrens.org/about-us/advocacy-and-government-relations/community-relations/c X true 22 true https://www.nationwidechildrens.org/about-us/advocacy-and-government-relations/community-relations/c false true X 200.0 450.0 X X X X true true X X X true X HTTPS://WWW.NATIONWIDECHILDRENS.ORG/YOUR-VISIT/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X HTTPS://WWW.NATIONWIDECHILDRENS.ORG/YOUR-VISIT/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X HTTPS://WWW.NATIONWIDECHILDRENS.ORG/YOUR-VISIT/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X X X X X X true X false X X X X true X false false B 2 true true true X X X X X X X X X 22 true true true true X https://www.nationwidechildrens.org/locations/toledo/faqs/community-health-needs-assessment X true 22 true https://www.nationwidechildrens.org/locations/toledo/faqs/community-health-needs-assessment false true X 200.0 450.0 X X X X true true X X X true X https://www.nationwidechildrens.org/locations/toledo/patient-resources/financial-assistance X https://www.nationwidechildrens.org/locations/toledo/patient-resources/financial-assistance X https://www.nationwidechildrens.org/locations/toledo/patient-resources/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - NATIONWIDE CHILDREN'S HOSPITAL. COMMUNITY INPUT FOR THIS REPORT WAS PROVIDED THROUGH A SERIES OF FACILITATED SESSIONS THAT TOOK PLACE THROUGHOUT 2020 AND 2021 TO IDENTIFY AND PRIORITIZE THE HEALTH NEEDS FOR FRANKLIN COUNTY. THESE MEETINGS WERE HELD WITH COMMUNITY REPRESENTATIVES ON THE FRANKLIN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE, LED BY THE CENTRAL OHIO HOSPITAL COUNCIL. CONSISTENT WITH FEDERAL REQUIREMENTS FOR CONDUCTING HEALTH NEEDS ASSESSMENTS, ENTITIES WHICH REPRESENT SPECIFIC POPULATIONS WITHIN THE COMMUNITY WERE INCLUDED AS MEMBERS OF THE STEERING COMMITTEE. AMONG THOSE WHO PARTICIPATED AS MEMBERS OF THE STEERING COMMITTEE WERE: - JONATHAN THOMAS - ADAMH BOARD (MENTAL HEALTH REPRESENTATIVE) - CORA HARRISON - B.R.E.A.D. ORGANIZATION (REPRESENTING THE SENIOR COMMUNITY) - LYNN DOBB - CENTRAL OHIO AREA AGENCY ON AGING (REPRESENTING THE SENIOR COMMUNITY) - JEFF KLINGLER - CENTRAL OHIO HOSPITAL COUNCIL (HOPSITAL/MEDICAL REPRESENTATIVE) - SHERRI KOVACH - CENTRAL OHIO TRAUMA SYSTEM (HOPSITAL/MEDICAL REPRESENTATIVE) - ANDY WAPNER - CENTER FOR PUBLIC HEALTH PRACTICE AT THE OHIO STATE UNIVERSITY (UNIVERSITY SYSTEM REPRESENTATIVE) - KATHY COWEN & JENNIFER MOREL - COLUMBUS PUBLIC HEALTH (SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH) - DAN GOOD - EDUCATIONAL SERVICE CENTER (EDUCATION REPRESENTATIVE) - DE' JUAN L. STEVENS - EQUITAS HEALTH (LGBTQ+ REPRESENTATIVE) - SELESHI AYALEW ASFAW - ETHIOPIAN TEWAHEDO SOCIAL SERVICES (SOCIAL SERVICES; NEW AMERICAN POPULATIONS REPRESENTATIVE) - ROBIN HARRIS - FRANKLIN COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES (FINANCIAL AND SOCIAL SERVICES REPRESENTATIVE) - ORVELL JOHNS - FRANKLIN COUNTY OFFICE ON AGING (REPRESENTING THE SENIOR COMMUNITY) - THERESA SEAGRAVES - FRANKLIN COUNTY PUBLIC HEALTH (SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH) - MICHAEL COREY - HUMAN SERVICES CHAMBER (SOCIAL SERVICES REPRESENTATIVE) - AMY HEADINGS - MID-OHIO FOOD COLLECTIVE (FOOD INSECURE POPULATIONS) - STEPHEN PACHAN - MID-OHIO REGIONAL PLANNING COMMISSION (TRANSPORTATION, DATA REPRESENTATIVE) - CANDICE COLEMAN - MOUNT CARMEL HEALTH SYTEM (HOSPITAL/MEDICAL REPRESENTATIVE) - CARLA FOUNTAINE, LIBBEY HOANG & ELVIA SULI - NATIONWIDE CHILDREN'S HOSPITAL (HOSPITAL/MEDICAL REPRESENTATIVE) - CORA MUNOZ - OHIO ASIAN AMERICAN HEALTH COALITION (MINORITY POPULATIONS) - DAVID ELLSWORTH - OHIO DEPARTMENT OF HEALTH, DISABILITY AND HEALTH PROGRAM (REPRESENTING THE DISABLED COMMUNITY) - AUTUMN GLOVER & MARY ANN G. ABIADO - OHIOHEALTH (HOSPITAL/MEDICAL REPRESENTATIVE) - LILLEAN CAVANAUGH - OHIO LATINO AFFAIRS COMMISSION (MINORITY POPULATIONS) - WANDA DILLARD,BILL HAYES & ANNIE MARSICO - THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER (HOSPITAL/MEDICAL REPRESENTATIVE) - LISA COURTICE - UNITED WAY OF CENTRAL OHIO (REPRESENTING LOW-INCOME, MEDICALLY UNDERSERVED, AND HOMELESS POPULATIONS) - ROBERT BRAMLISH - VETERAN'S SERVICE COMMISSION (VETERANS) - STEPHANIE ROBINSON - WORKFORCE DEVELOPMENT BOARD (WORKFORCE DEVELOPMENT REPRESENTATIVE) FURTHER, NATIONWIDE CHILDREN'S HOSPITAL POSTED ITS NEEDS ASSESSMENT TO ITS WEBSITE AND ALLOWED FOR COMMUNITY MEMBERS TO PROVIDE FEEDBACK ON THE DOCUMENT. NO COMMENTS HAVE BEEN RECEIVED TO DATE. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - NATIONWIDE CHILDREN'S HOSPITAL. THE CHNA WAS CONDUCTED AS A COLLABORATION LED BY THE CENTRAL OHIO HOSPITAL COUNCIL, INCLUDING NATIONWIDE CHILDREN'S HOSPITAL, OHIOHEALTH, MOUNT CARMEL HEALTH SYSTEM, AND THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER. Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - NATIONWIDE CHILDREN'S HOSPITAL. THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH ADAMH BOARD, B.R.E.A.D. ORGANIZATION, CENTRAL OHIO AREA AGENCY ON AGING, CENTRAL OHIO HOSPITAL COUNCIL, CENTRAL OHIO TRAUMA SYSTEM, CENTER FOR PUBLIC HEALTH PRACTICE, COLUMBUS PUBLIC HEALTH, EDUCATIONAL SERVICE CENTER, EQUITAS HEALTH, ETHIOPIAN TEWAHEDO SOCIAL SERVICES, FRANKLIN COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES, FRANKLIN COUNTY OFFICE ON AGING, FRANKLIN COUNTY PUBLIC HEALTH, HUMAN SERVICES CHAMBER, MID-OHIO FOOD COLLECTIVE, MID-OHIO REGIONAL PLANNING COMMISSION, OHIO ASIAN AMERICAN HEALTH COALITION, OHIO DEPARTMENT OF HEALTH DISABILITY AND HEALTH PROGRAM, OHIO LATINO AFFAIRS COMMISSION, UNITED WAY OF CENTRAL OHIO, VETERAN'S SERVICE COMMISION, AND WORKFORCE DEVELOPMENT BOARD. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - NATIONWIDE CHILDREN'S HOSPITAL. PRIMARY TARGETS FOR NATIONWIDE CHILDREN'S EFFORTS FALL INTO THE CATEGORIES IDENTIFIED BY THE FRANKLIN COUNTY HEALTHMAP 2022. ALL SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA ARE BEING ADDRESSED. GENERAL STRATEGIES FOR ADDRESSING THESE NEEDS ARE AS FOLLOWS: BASIC NEEDS: To help improve residents' access to basic needs including housing, income, neighborhood safety, food security and access to nutritious foods, Nationwide Children's and Healthy Neighborhoods Healthy Families will: - Add 25 rental units to the South Side. - Complete 40 home repairs on the South Side. - Complete 200 home repairs in South and North Linden. - Add 80 scattered-site rental units to South and North Linden. - Add 60 homeownership units to South and North Linden through the Central Ohio Community Land Trust. - Continue tenant success meetings to educate renters on best practices for safe and healthy homes as well as information on other HNHF services. - Continue financial stability initiatives including My Bridge 2 Success and expand Volunteer Income Tax Assistance Program. - Increase filings for the Earned Income Tax Credit, especially for Black, female-led households. - Increase feelings of neighborhood safety through PlayStreets events. - Expand Linden Fresh Market reach between 44,000 and 46,000 annual visits by 2024. - Serve more than 13,100 unduplicated families at the South Side Fresh Market by 2024. RACIAL EQUITY: Nationwide Children's will work to help improve racial disparities in economic and housing stability, in quality health care, mental health and safety, and in maternal and infant health outcomes, by doing the following: - Create or preserve 1,000 units total (from when work began in 2008) of affordable housing on the South Side. - Create goals in collaboration with stakeholders for developing affordable housing in Linden by 2025 and by improving 100 to 150 homes and developing 20 to 30 homes and 50 rental units by 2025. - Increase the number of underrepresented minority (URM) community members who participate in workforce development programs and obtain a living wage career pathway as a result. - Increase the number of jobs and businesses created within the community. - Increase the URM youth employment rate in the community. - Increase the percentage of Nationwide Children's purchases from local underrepresented minority businesses. - Increase the percentage of Nationwide Children's patients receiving a social determinants of health screen. - Reduce visits of children with incarcerated parents, ages 2 to 18, seen at Nationwide Children's for a well-child check with behavioral health concern from 50% to 25% by 2023. - Create a coordinated health care response for detained youth as measured by a 50% increase in the number of youths, and youths of color, who receive provider recommended health care during detention and at three months after release by the end of 2022 and sustain for one year. - Improve pediatric health outcomes in URM children by increasing prevention measures including well child visits, immunizations, students exposed to evidence-based health education and teen pregnancy prevention. - Evaluate behavioral health access including depression screening and links to behavioral health care services. - Increase the percentage of Nationwide Children's patients receiving a social determinants of health screen. - Implement one intervention aimed specifically at reducing racial disparity in each pediatric vital sign measure. BEHAVIORAL HEALTH: Big Lots Behavioral Health Services at Nationwide Children's is dedicated to the care of children and adolescents suffering from problems of emotion, behavior, development, thought and adaptation-to-life challenges, including those associated with physical illness and trauma. The hospital and its partners are continuing to expand and improve treatment options, including inpatient and outpatient services and outreach and community programs, to serve children in Franklin County and in southeast Ohio. In 2020, Nationwide Children's opened the Big Lots Behavioral Health Pavilion, America's largest center dedicated exclusively to child and adolescent behavioral and mental health on a pediatric medical campus. Maternal and Infant Health: Nationwide Children's aims to decrease infant mortality and preterm births and improve prenatal care in Franklin County through several programs and services such as: Birth Control for Teens, Teen and Pregnant Program, Ohio Better Birth Outcomes; and by offering home visiting, adolescent well-care and safe sleep education. DISEASE MANAGEMENT: Nationwide Children's has multiple programs in place to address asthma, diabetes and obesity, many of which are designed to empower patients and their families to manage their conditions. For children with asthma and diabetes, this has led to fewer emergency department visits and inpatient hospital treatment. PREVENTIVE CARE: In response to the need for more appropriate, accessible care, Nationwide Children's has committed to providing additional primary and subspecialty health care to Franklin County residents and assisting with coordinating care for vulnerable patients through efforts that will increase access to well child visits and immunization through Nationwide Children's Primary Care Centers and through providing additional dental care access. For additional details and more programmatic specific actions established by Nationwide Children's to address these needs, please see the implementation strategy posted on this website: https://www.nationwidechildrens.org/about-us/advocacy-and-government-relations/community-relations/community-health-needs-assessment. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - NATIONWIDE CHILDREN'S HOSPITAL. OHIO RESIDENTS WITH FAMILY INCOME GREATER THAN 200% OF THE FPL BUT LESS THAN 450% OF THE FPL WHOSE BILLS FROM NATIONWIDE CHILDREN'S EXCEEDS 20% OF THE FAMILY YEARLY HOUSEHOLD INCOME WILL BE CONSIDERED MEDICALLY INDIGENT FOR PURPOSES OF THIS POLICY. MEDICALLY INDIGENT FAMILIES WILL BE ELIGIBLE FOR A HIGHER DISCOUNT IN THE PATIENT RESPONSIBILITY IN AN AMOUNT SUCH THAT THE FAMILY'S PATIENT RESPONSIBILITY FOR ALL NATIONWIDE CHILDREN'S BILLS EQUALS A PERCENTAGE (%) OF THE FAMILY'S YEARLY HOUSEHOLD INCOME AS STATED BELOW: - INCOME AT 200% OR LESS OF THE FEDERAL POVERTY LEVEL (FPL) WILL BE WRITTEN OFF AT 100% OF THE PATIENT RESPONSIBILITY. - INCOME BETWEEN 201% AND 250% OF THE FPL WILL BE WRITTEN OFF TO A BALANCE EQUAL TO 5% OF THE FAMILY'S YEARLY HOUSEHOLD INCOME. - INCOME BETWEEN 251% AND 300% OF THE FPL WILL BE WRITTEN OFF TO A BALANCE EQUAL TO 7% OF THE FAMILY'S YEARLY HOUSEHOLD INCOME. - INCOME BETWEEN 301% AND 450% OF THE FPL WILL BE WRITTEN OFF TO A BALANCE EQUAL TO 10% OF THE FAMILY'S YEARLY HOUSEHOLD INCOME. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - NATIONWIDE CHILDREN'S HOSPITAL. IN ADDITION TO USING THE FPG IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, NATIONWIDE CHILDREN'S HOSPITAL (NCH) USES THE FOLLOWING GUIDELINES WITHOUT REQUIRING AN APPLICATION FOR FINANCIAL ASSISTANCE: - MEDICAID RECIPIENTS WHO RECEIVE MEDICALLY NECESSARY CARE NOT COVERED BY MEDICAID WILL HAVE 100% OF THE PATIENT'S RESPONSIBILITY FOR SUCH MEDICALLY NECESSARY CARE AUTOMATICALLY WRITTEN OFF. - FAMILIES WHO PROVIDE TO NATIONWIDE CHILDREN'S PATIENT ACCOUNTS DEPARTMENT A COMPLETED IRS FORM 4029 OR OTHER DOCUMENTATION SATISFACTORY TO NATIONWIDE CHILDREN'S THAT CONFIRMS THAT THE FAMILY HAS WAIVED ITS RIGHT TO GOVERNMENT BENEFITS BECAUSE OF THE FAMILY'S RELIGIOUS AFFILIATION WILL BE ELIGIBLE FOR A DISCOUNT OF THE PATIENT RESPONSIBILITY EQUAL TO THAT PROVIDED UNDER THE FAP TO THOSE WITH INCOME BETWEEN 301% AND 400% OF THE FPL. - FAMILIES WITH THE ADDRESS OF A "HOMELESS SHELTER" WILL BE ELIGIBLE FOR A 100% DISCOUNT OF THE PATIENT'S RESPONSIBILITY. Schedule H, Part V, Section B, Line 2 Nationwide Children's Hospital - Toledo acquired Mercy Health Children's Hospital on March 1, 2022. This gives children in the Toledo area broader local access to procedures and therapies, reducing the need to travel for treatment. Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION. Schedule H, Part V, Section B, Line 5 Facility B, 1 Facility B, 1 - Nationwide Children's Hospital - Toledo. Nationwide Children's - Toledo was among several community partners involved with Healthy Lucas County. The mission of Healthy Lucas County is to improve the health and quality of life for Lucas County residents through data collection and planning that mobilizes collaborative partnerships that develop and implement strategic action in Lucas County to create health equity. The 2019/2020 Healthy Lucas County Executive Committee includes: - Adelante - Advocates for Basic Legal Equality - Area Office on Aging of Northwestern Ohio - Board of Lucas County Commissioners - City of Toledo - CWA Local 4319 - Connecting Kids to Meals - Health Partners of Western Ohio - Hospital Council of Northwest Ohio - LISC Toledo - Live Well Greater Toledo - Lucas County Department of Job & Family Services - Lucas Metropolitan Housing Authority - McLaren St. Luke's - Mental Health & Recovery Services Board of Lucas County - Mercy Health - NAACP 3204 - Neighborhood Health Association - ProMedica - Toledo Fire & Rescue - Toledo/Lucas County CareNet - Toledo-Lucas County Health Department - Toledo Lucas County Homelessness Board - Toledo Public Schools - United Way of Greater Toledo - University of Toledo Medical Center - YMCA of Greater Toledo - YWCA of Northwest Ohio These local agencies worked collaboratively to help hospitals and other organizations better understand the health needs and priorities of its residents. Self-administered surveys were distributed county-wide to adults (19 years and older), youth (ages 12-18) and the parents of children (ages 0-11) from November 2019 through March 2020 before the COVID-19 pandemic. The Hospital Council of Northwest Ohio collected the data and integrated the sources into the final assessment, and the data analysis was conducted by health education researchers at the University of Toledo. Overall, the community health needs assessment captured vital data on health care access, health behaviors, chronic disease, social conditions and racial disparities in the community that Nationwide Children's - Toledo used to develop its Implementation Strategy. Community input for this report was obtained by the members of the Cherry Legacy Group, who are Lucas County residents. They reviewed the assessment and provided feedback on priorities as well as potential partnerships to address these community needs. A representative from Toledo-Lucas County Health Department also reviewed the community needs and provided feedback to ensure alignment with Lucas County community concerns. Because this is the first Community Health Needs Assessment that Nationwide Children's - Toledo has conducted, there are no written comments from previous Community Health Needs Assessments or Implementation Strategies to report. Schedule H, Part V, Section B, Line 6a Facility B, 1 Facility B, 1 - Nationwide Children's Hospital - Toledo. THE CHNA WAS CONDUCTED WITH THESE OTHER HOSPITAL FACILITIIES: McLaren St. Luke's, Mercy Health and ProMedica. Schedule H, Part V, Section B, Line 6b Facility B, 1 Facility B, 1 - Nationwide Children's Hospital - Toledo. THE CHNA WAS CONDUCTED WITH THESE OTHER NON-HOSPITAL FACILITIIES: - Adelante - Advocates for Basic Legal Equality - Area Office on Aging of Northwestern Ohio - Board of Lucas County Commissioners - City of Toledo - CWA Local 4319 - Connecting Kids to Meals - Health Partners of Western Ohio - Hospital Council of Northwest Ohio - LISC Toledo - Live Well Greater Toledo - Lucas County Department of Job & Family Services - Lucas Metropolitan Housing Authority - Mental Health & Recovery Services Board of Lucas County - NAACP 3204 - Neighborhood Health Association - Toledo Fire & Rescue - Toledo/Lucas County CareNet - Toledo-Lucas County Health Department - Toledo Lucas County Homelessness Board - Toledo Public Schools - United Way of Greater Toledo - University of Toledo Medical Center - YMCA of Greater Toledo - YWCA of Northwest Ohio Schedule H, Part V, Section B, Line 11 Facility B, 1 Facility B, 1 - Nationwide Children's Hospital - Toledo. The 2021-2024 Lucas County Community Health Improvement Plan (herein referenced as 2021-2024 Lucas County CHIP) identifies four health priorities, and Nationwide Children's - Toledo has adopted one additional priority based on pediatric needs in the area. The following discusses how Nationwide Children's - Toledo is addressing the priorities identified in Mercy Health's Community Health Needs Assessment. All significant needs identified in the CHNA are being addressed. Community Conditions: To lessen the impact of adverse community conditions and improve quality of life for children in Lucas County, over the next three years Nationwide Children's - Toledo will: - Identify current prevention services and community partnerships. - Examine existing programs and identify local partners to support future housing initiatives and opportunities to reduce adverse childhood experiences. - Increase the percentage of patients under the age of 2 who have received their annual lead screening by 50% by 2024. - Create and distribute educational collateral/brochures on signs and symptoms related to lead exposure. - Identify community partners working to improve kindergarten readiness and support local efforts to build early language and literacy skills, increase high quality childhood education and improve children's well-being before age 5. Mental Health: To improve access to mental health care resources and screening for mental health care issues, over the next three years Nationwide Children's - Toledo will: - Grow the psychology team in Toledo and Lucas County. - Develop a three-year strategy to enhance autism services in Toledo and Lucas County. - Develop a three-year strategy to enhance behavioral health services in Toledo and Lucas County. - Increase depression screenings in Toledo and Lucas County. - Grow Extension for Community Healthcare Outcomes (ECHO) and Behavioral Health Treatment Insights and Provider Support in northwest Ohio to increase access to care and treatment. - Identify community partnerships including Avenues for Autism and Center for Child Development in Wood County. Childhood Conditions and Chronic Disease: To improve the quality of life for patients with chronic pediatric diabetes, allowing children to live as normal a life as possible, over the next three years Nationwide Children's - Toledo will: - Increase access to pediatric patients with diabetes by hiring a second provider. - Open additional outreach clinics in Lucas County to provide care closer to home and improve compliance. - Analyze opportunities to implement diabetes education in the community and identify community partnerships. - Establish Center for Healthy Weight and Nutrition via Project ECHO Collaborative. Injury Prevention: To help reduce or prevent injuries due to motor vehicle accidents and gun violence, over the next three years Nationwide Children's - Toledo will: - Support Mercy Health as they take the lead as a level 2 trauma center and be a supportive partner by completing a feasibility study to review car seat programming for the hospital. - Understand and support community priorities around gun violence prevention. - Participate in at least one program preventing gun violence with community partners. - Identify community partnerships. Maternal and Infant Health: To help improve health outcomes for infants, over the next three years Nationwide Children's - Toledo will: - Support local efforts to ensure success of home visiting programs and the Pathways HUB to connect pregnant women to needed supports related to health care and social determinants of health. - Provide standard safe sleep education in after-visit summary at Nationwide Children's - Toledo NICU discharge. - Establish a crib distribution program. - Establish social determinants of health screening within the Nationwide Children's - Toledo NICU to connect families to support services. - Explore increased breastfeeding education and support within the Nationwide Children's - Toledo NICU. - Partner with local organizations to explore other opportunities to reduce infant mortality. - Identify community partnerships. For additional details and more programmatic specific actions established by Nationwide Children's - Toledo to address these needs, please see the implementation strategy posted on this website: https://www.nationwidechildrens.org/locations/toledo/faqs/community-health-needs-assessment. Schedule H, Part V, Section B, Line 13 Facility B, 1 Facility B, 1 - Nationwide Children's Hospital - Toledo. Ohio of Michigan residents with family income greater than 200% of the FPL but less than 450% of the FPL whose bills from NCH Toledo exceeds 20% of the family yearly household income will be considered medically indigent for purposes of this policy. Medically indigent families will be eligible for a higher discount in the Patient Responsibility in an amount such that the family's Patient Responsibility for all Nationwide Children's bills equals a percentage (%) of the family's yearly household income as stated below: - Income at 200% or less of the Federal Poverty Level (FPL) will be written off at 100% of the Patient Responsibility. - Income between 201% and 300% of the FPL will be written off to a balance equal to 5% of the family's yearly household income. - Income between 301% and 450% of the FPL will be written off to a balance equal to 10% of the family's yearly household income. Schedule H, Part V, Section B, Line 13 Facility B, 1 Facility B, 1 - Nationwide Children's Hospital - Toledo. IN ADDITION TO USING THE FPG IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, NATIONWIDE CHILDREN'S HOSPITAL - TOLEDO USES THE FOLLOWING GUIDELINES WITHOUT REQUIRING AN APPLICATION FOR FINANCIAL ASSISTANCE: - MEDICAID RECIPIENTS WHO RECEIVE MEDICALLY NECESSARY CARE NOT COVERED BY MEDICAID WILL HAVE 100% OF THE PATIENT'S RESPONSIBILITY FOR SUCH MEDICALLY NECESSARY CARE AUTOMATICALLY WRITTEN OFF. - FAMILIES WHO PROVIDE TO NCH TOLEDO'S PUBLIC BENEFITS DEPARTMENT A COMPLETED IRS FORM 4029 OR OTHER DOCUMENTATION SATISFACTORY TO NCH TOLEDO THAT CONFIRMS THAT THE FAMILY HAS WAIVED ITS RIGHT TO GOVERNMENT BENEFITS BECAUSE OF THE FAMILY'S RELIGIOUS AFFILIATION WILL BE ELIGIBLE FOR A DISCOUNT OF THE PATIENT RESPONSIBILITY EQUAL TO THAT PROVIDED UNDER THE FAP TO THOSE WITH INCOME BETWEEN 301% AND 400% OF THE FPL. - FAMILIES WITH THE ADDRESS OF A "HOMELESS SHELTER" WILL BE ELIGIBLE FOR A 100% DISCOUNT OF THE PATIENT'S RESPONSIBILITY. 60 NORTHWEST PEDIATRIC SPECIALISTS LLC 2213 CHERRY STREET TOLEDO OH 43608 Physician Practice HOMECARE AND HOSPICE 255 EAST MAIN STREET COLUMBUS OH 43215 HOMECARE HILLTOP EARLY LEARNING CENTER 45 CLARENDON AVENUE COLUMBUS OH 43223 SCHOOL-BASED PRIMARY CARE NORTHWEST CHILDREN'S COMMUNITY PRACTICES II LLC DBA PEDIATRICARE ASSOCIATES 7629 KINGS POINTE ROAD TOLEDO OH 43617 Physician Practice ONTARIO CLOSE TO HOME 2003 W 4TH STREET ONTARIO OH 44906 CLINICAL THERAPIES NORTHWEST PEDIATRIC SPECIALISTS LLC DBA NATIONWIDE CHILDREN'S HOSPITAL SYLV ANIA PRIMARY CARE CENTER 4126 HOLLAND-SYLVANIA SUITE 220 TOLEDO OH 43623 PHYSICIAN PRACTICE CHILDREN'S COMMUNITY PRACTICES LLC DBA BLANCHARD VALLEY PEDIATRICS 1818 CHAPEL DRIVE SUITE D FINDLAY OH 45840 Physician Practice CHILDREN'S COMMUNITY PRACTICES LLC DBA HAND IN HAND PEDIATRICS 6045 MEMORIAL DRIVE DUBLIN OH 43017 PHYSICIAN PRACTICE NORTHWEST PEDIATRIC SPECIALISTS LLC DBA NATIONWIDE CHILDREN'S HOSPITAL TIFF IN PRIMARY CARE CENTER 500 W MARKET ST TIFFIN OH 44883 PHYSICIAN PRACTICE NATIONWIDE CHILDREN'S HOSPITAL TOLEDO LLC 7223 MAUMEE WESTERN ROAD MAUMEE OH 43537 DIAGNOSTIC SERVICES CHILDREN'S COMMUNITY PRACTICES LLC DBA HELPING HANDS PEDIATRICS 5030 WALNUT STREET S SOUTH BLOOMFIELD OH 43103 PHYSICIAN PRACTICE NORTHWEST PEDIATRIC SPECIALISTS LLC DBA NATIONWIDE CHILDREN'S HOSPITAL VILL AGE SQUARE PRIMARY CARE CENTER 1103 VILLAGE SQUARE SUITE 202 PERRYSBURG OH 43551 PHYSICIAN PRACTICE NORTHWEST PEDIATRIC SPECIALISTS LLC DBA NATIONWIDE CHILDREN'S HOSPITAL DEFI ANCE PRIMARY CARE CENTER 1400 E SECOND STREET SUITE 100 DEFIANCE OH 43512 PHYSICIAN PRACTICE CHILDREN'S COMMUNITY PRACTICES LLC DBA CHILLICOTHE PEDIATRICS 1264 HOSPITAL ROAD CHILLICOTHE OH 45601 Physician Practice CHILDREN'S COMMUNITY PRACTICES LLC DBA RICHLAND PEDIATRICS 540 S TRIMBLE ROAD MANSFIELD OH 44906 Physician Practice CHILDREN'S COMMUNITY PRACTICES LLC DBA RICHLAND PEDIATRICS 110 West Smiley Avenue Shelby OH 44875 Physician Practice NORTHWEST PEDIATRIC SPECIALISTS LLC DBA NATIONWIDE CHILDREN'S HOSPITAL SPRI NG VALLEY PRIMARY CARE CENTER 6855 SPRING VALLEY DRIVE SUITE 125 HOLLAND OH 43528 PHYSICIAN PRACTICE SPRINGFIELD LABORATORY SERVICE CENTER 1644 NORTH LIMESTONE STREET SPRINGFIELD OH 45503 LAB NORTHWEST PEDIATRIC SPECIALISTS LLC 605 3RD AVENUE SUITE B FREMONT OH 43420 SPECIALTY CLINICS NEWARK CLOSE TO HOME CENTER 75 SOUTH TERRACE AVENUE NEWARK OH 43055 MEDICAL OFFICES, LAB MANSFIELD CARDIOLOGY SERVICES 355 GLESSNER AVENUE MANSFIELD OH 44903 CARDIOLOGY CLINIC CHILDREN'S COMMUNITY PRACTICES LLC DBA UPPER ARLINGTON PEDIATRICS 4919 DIERKER ROAD UPPER ARLINGTON OH 43220 PHYSICIAN PRACTICE CHILLICOTHE CLOSE TO HOME CENTER 4439 STATE ROUTE 159 CHILLICOTHE OH 45601 CARDIOLOGY CLINIC & HEM/ONC CLINIC CHILDREN'S COMMUNITY PRACTICES LLC DBA MOUNT VERNON PEDIATRICS 10 Woodlake Trail MOUNT VERNON OH 43050 Physician Practice CHILDREN'S COMMUNITY PRACTICES LLC DBA MOUNT VERNON PEDIATRICS 29 N Clayton CENTERBURG OH 43011 Physician Practice PHILIP HEIT CENTER FOR HEALTHY NEW ALBANY 150 W MAIN STREET NEW ALBANY OH 43054 CLINICAL THERAPIES, RADIOLOGY NORTHWEST PEDIATRIC SPECIALISTS LLC DBA NATIONWIDE CHILDREN'S HOSPITAL NAVA RRE PRIMARY CARE CENTER 2702 NAVARRE AVENUE SUITE 315 OREGON OH 43616 PHYSICIAN PRACTICE MARIETTA OUTPATIENT CARDIOLOGY SERVICES 416 FRONT STREET MARIETTA OH 45750 CARDIOLOGY CLINIC NELSONVILLE OUTPATIENT CARDIOLOGY SERVICES 11 JOHN LLOYD EVANS MEMORIAL DRIVE NELSONVILLE OH 45764 CARDIOLOGY CLINIC REYNOLDSBURG - LIVINGSTON CAMPUS 6699 E LIVINGSTON AVENUE REYNOLDSBURG OH 43068 SCHOOL-BASED PRIMARY CARE COLUMBUS SOUTH HIGH SCHOOL 1160 ANN STREET COLUMBUS OH 43206 SCHOOL-BASED PRIMARY CARE MARION CLOSE TO HOME CENTER 1069 DELAWARE AVENUE MARION OH 43302 LAB & CARDIOLOGY COLUMBUS WEST HIGH SCHOOL 179 S POWELL AVENUE COLUMBUS OH 43204 SCHOOL-BASED PRIMARY CARE NORTHWEST PEDIATRIC SPECIALISTS LLC DBA NATIONWIDE CHILDREN'S HOSPITAL OREG ON CITY SCHOOLS 5665 SEAMAN ROAD OREGON OH 43616 PHYSICIAN PRACTICE COLUMBUS EAST HIGH SCHOOL 1500 E BROAD STREET COLUMBUS OH 43205 SCHOOL-BASED PRIMARY CARE COLUMBUS MARION FRANKLIN HIGH SCHOOL 1265 KOEBEL ROAD COLUMBUS OH 43207 SCHOOL-BASED PRIMARY CARE FINDLAY OUTPATIENT CARDIOLOGY SERVICES & NEUROLOGY CLINIC 3949 NORTH MAIN STREET FINDLAY OH 45840 NEUROLOGY CLINIC COLUMBUS NORTHLAND HIGH SCHOOL 1919 NORTHCLIFF DRIVE COLUMBUS OH 43229 SCHOOL-BASED PRIMARY CARE KIPP SCHOOL 2900 INSPIRE DRIVE COLUMBUS OH 43224 SCHOOL-BASED PRIMARY CARE CHILDREN'S COMMUNITY PRACTICES LLC DBA GAHANNA PEDIATRICS 740 SILVER LANE B GAHANNA OH 43230 PHYSICIAN PRACTICE ZANESVILLE CARDIOLOGY SERVICES 955 BETHESDA DRIVE ZANESVILLE OH 43701 CARDIOLOGY CLINIC COLUMBUS BUCKEYE MIDDLE SCHOOL 2950 S PARSONS AVENUE COLUMBUS OH 43207 SCHOOL-BASED PRIMARY CARE PORTSMOUTH CARDIOLOGY SERVICES 1711 27th Street Braulin Bldg Sui Portsmouth OH 45662 CARDIOLOGY CLINIC COLUMBUS LINDEN MCKINLEY STEM ELEMENTARY SCHOOL 1320 DUXBERRY AVENUE COLUMBUS OH 43211 SCHOOL-BASED PRIMARY CARE COLUMBUS GIRLS PREP MIDDLE SCHOOL 1390 BRYDERN ROAD COLUMBUS OH 43205 SCHOOL-BASED PRIMARY CARE ZANESVILLE CARDIOLOGY SERVICES 301 DR MIKE CLOSURE DRIVE SOMERSET OH 43783 HEART CENTER COLUMBUS LIVINGSTON ELEMENTARY SCHOOL 825 E LIVINGSTON STREET COLUMBUS OH 43205 SCHOOL-BASED PRIMARY CARE DAYTON OUTPATIENT CARDIOLOGY SERVICES 1 CHILDRENS PLAZA DAYTON OH 45404 CARDIOLOGY CLINIC COLUMBUS MOLER ELEMENTARY SCHOOL 1201 MOLER ROAD COLUMBUS OH 43207 SCHOOL-BASED PRIMARY CARE MANSFIELD CLOSE TO HOME CENTER 536 S TRIMBLE ROAD MANSFIELD OH 44906 MEDICAL OFFICES, LAB, CARDIOLOGY PORTSMOUTH OUTPATIENT SPECIALTY CLINICS 8930 OHIO RIVER ROAD WHEELERSBURGH OH 45694 HEM/ONC, UROLOGY ZANESVILLE LABORATORY SERVICE CENTER 1166 MILITARY ROAD SUITE 2B ZANESVILLE OH 43701 LAB LIMA LABORATORY SERVICE CENTER 830 WEST HIGH STREET SUITE 375 LIMA OH 45801 LAB CHILDREN'S COMMUNITY PRACTICES LLC DBA PEDIATRICS OF GROVE CITY 4079 GANTZ ROAD GROVE CITY OH 43123 PHYSICIAN PRACTICE NORTHWEST PEDIATRIC SPECIALISTS LLC 730 WEST MARKET STREET 7TH FLOOR LIMA OH 45801 SPECIALTY CLINICS ZANESVILLE OUTPATIENT SPECIALTY CLINICS 716 ADAIR AVENUE ZANESVILLE OH 43701 Specialty Clinics DEVELOPMENTAL BEHAVIORAL PEDIATRICS AT LICKING MEMORIAL PEDIATRICS 399 EAST MAIN STREET NEWARK OH 43055 DEVELOPMENTAL BEHAVIORAL HEALTH NORTHWEST PEDIATRIC SPECIALISTS LLC 13415 Eckel JUNCTION RD PERRYSBURG OH 43551 CLINICAL THERAPIES NORTHWEST PEDIATRIC SPECIALISTS LLC 7435 BERRIDGE RD WHITEHOUSE OH 43571 CLINICAL THERAPIES NORTHWEST PEDIATRIC SPECIALISTS LLC 44 SAMARIA ROAD TEMPERANCE MI 48182 CLINICAL THERAPIES Schedule H, Part I, Line 3c CRITERIA USED FOR DETERMINING ELIGIBILITY IN ADDITION TO USING THE FEDERAL POVERTY LEVEL (FPL) IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, NATIONWIDE CHILDREN'S HOSPITAL (NCH) USES THE FOLLOWING GUIDELINES WITHOUT REQUIRING AN APPLICATION FOR FINANCIAL ASSISTANCE: * MEDICAID RECIPIENTS WHO RECEIVE MEDICALLY NECESSARY CARE NOT COVERED BY MEDICAID WILL HAVE 100% OF THE PATIENT'S RESPONSIBILITY FOR SUCH MEDICALLY NECESSARY CARE AUTOMATICALLY WRITTEN OFF. * FAMILIES WHO PROVIDE A COMPLETED IRS FORM 4029 TO NCH'S PATIENT ACCOUNTS DEPARTMENT WILL BE ELIGIBLE FOR THE DISCOUNT OFFERED AT THE 301%-400% FPL. * FAMILIES WITH THE ADDRESS OF A "HOMELESS SHELTER" WILL BE ELIGIBLE FOR A 100% DISCOUNT OF THE PATIENT'S RESPONSIBILITY. Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT WHILE NATIONWIDE CHILDREN'S HOSPITAL (NCH) DOES NOT PREPARE A COMMUNITY BENEFIT REPORT, INFORMATION ON NCH'S COMMUNITY INVOLVEMENT CAN BE FOUND ON ITS WEBSITE AT: https://www.nationwidechildrens.org/about-us/advocacy-and-government-relations/community-relations. Schedule H, Part I, Line 7g Subsidized Health Services NATIONWIDE CHILDREN'S HOSPITAL HAS NOT INCLUDED ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST TO CHARGE RATIO USED IN LINE 7 WAS DERIVED FROM WORKSHEET 2. Schedule H, Part II Community Building Activities NATIONWIDE CHILDREN'S HOSPITAL (NCH) IMPACTS THE COMMUNITY IN MANY WAYS. IN 2008, THE CITY OF COLUMBUS, NATIONWIDE CHILDREN'S HOSPITAL, COMMUNITY DEVELOPMENT FOR ALL PEOPLE, COLUMBUS PUBLIC HEALTH, COLUMBUS CITY SCHOOLS AND A NUMBER OF OTHER LOCAL PARTNERS CAME TOGETHER TO FORM HEALTHY NEIGHBORHOODS, HEALTHY FAMILIES (HNHF) AIMING TO DEVELOP REVITALIZATION PROGRAMS THAT WERE RESPONSIVE TO THE NEEDS AND DESIRES OF THE COMMUNITY. THE GOAL OF HNHF IS TO CREATE THRIVING SUSTAINABLE NEIGHBORHOODS THAT NURTURE CHILDREN AND FAMILIES IN THE SOUTHSIDE OF COLUMBUS SURROUNDING NCH. PROGRAMS OFFERED INCLUDE AFFORDABLE HOUSING, HEALTH AND WELLNESS, EDUCATION, WORKFORCE AND ECONOMIC DEVELOPMENT, AND SAFE AND ACCESSIBLE NEIGHBORHOODS. TO ADDRESS THE AFFORDABLE HOUSING COMPONENT, NCH PARTNERED WITH COMMUNITY DEVELOPMENT FOR ALL PEOPLE AND INVESTED SEVERAL MILLION DOLLARS IN SEED MONEY TO ALLOW THE PURCHASE OF DILAPIDATED HOUSING STOCK FOR RENOVATION AND SALE, AS WELL PROVIDING GRANTS TO EXISTING HOMEOWNERS FOR REPAIR. SINCE 2008, MORE THAN 730 HOMES HAVE BEEN IMPACTED THROUGH REHABILITATIONS, HOME IMPROVEMENT GRANTS AND NEW BUILDS. THE HOSPITAL'S CONTINUED FINANCIAL COMMITMENT TO HNHF HAS HELPED TO SUPPORT THE CONSTRUCTION OF SAFE, DECENT, AND AFFORDABLE HOUSING. ALONG WITH ITS TRANSFORMATIONAL EFFORTS IN THE COMMUNITIES SURROUNDING THE HOSPITAL, NCH'S HNHF INITIATIVES HAVE EXPANDED TO ANOTHER TRADITIONALLY AT-RISK COLUMBUS NEIGHBORHOOD, LINDEN. THE HNHF EXPANSION WILL LEVERAGE LESSONS LEARNED ON THE SOUTH SIDE OF COLUMBUS TO EXPAND HOUSING OPTIONS, DEVELOP BUSINESS AND IMPROVE HEALTH IN THE LINDEN COMMUNITY. A NEIGHBORHOOD ADVISORY COUNCIL WAS FORMED TO GIVE INPUT, AND PROGRAMS IN THE NEIGHBORHOOD INCLUDING HOME REPAIRS AND RENTAL, FREE TAX CLINICS, COMMUNITY ENGAGEMENT PROGRAMS FOR CHILDREN AND KINDERGARTEN READINESS. IN ADDITION, TO ADDRESS THE FOOD DESERT IN THE NEIGHBORHOOD, NATIONWIDE CHILDREN'S AND COMMUNITY PARTNERS OPENED THE LINDEN FRESH MARKET THAT PROVIDES FREE FRUITS AND VEGETABLES. NCH ALSO IMPACTS THE COMMUNITY WITH THE FOLLOWING PROGRAMS: - PROGRAM PROJECT MENTOR, IN WHICH MEMBERS OF NCH FACULTY AND STAFF ATTEND WEEKLY MENTORING SESSIONS WITH STUDENTS IN VARIOUS COLUMBUS CITY SCHOOLS TO ASSIST THE STUDENTS WITH STUDYING WITH THE GOAL OF THE PROGRAM BEING TO INCREASE GRADUATION RATES. - REACH OUT AND READ PROGRAM, A PEDIATRIC PROGRAM DEDICATED TO INCREASING FAMILY LITERACY ACTIVITIES IN THE HOME PRIOR TO A CHILD'S ENTRANCE INTO THE SCHOOL SYSTEM. SPECIAL FOCUS IS GIVEN TO CHILDREN GROWING UP IN POVERTY. - LIVINGSTON PARK MAINTENANCE, A CITY OWNED PARK THAT NCH ASSISTS IN MAINTAINING. THE NCH ENGINEERING DEPARTMENT PROVIDES SNOW/ICE REMOVAL, LAWN CARE AND WASTE REMOVAL SERVICES FOR THE UPKEEP OF THE PARK. - NUTRITION SERVICES INITIATIVE - AN INTERNAL PROGRAM TO REPLACE OUR FOOD PACKAGING MATERIALS WITH THOSE THAT ARE MORE ENVIRONMENTALLY FRIENDLY. ALSO INSTALLED RECYCLING CONTAINERS THROUGHOUT THE CAMPUS TO ENCOURAGE RECYCLING. - VARIOUS WORKFORCE DEVELOPMENT PROGRAMS: 1) SEARCH PROGRAM - RECRUITS MINORITY STUDENTS TO INTERN IN THE AREAS OF CARDIOLOGY, AMBULATORY, AND RESEARCH FOR A SIX WEEK PROGRAM.; AND 2) MECHANISMS OF HUMAN HEALTH AND DISEASE - AN IN-DEPTH PROGRAM DESIGNED TO CHALLENGE THE SERIOUS SCIENCE STUDENT. STUDENTS INVESTIGATE CANCER AND OTHER DISEASE TOPICS WITH LECTURES FROM RESEARCH PROFESSIONALS. THE PROGRAM ALSO PROVIDES OPPORTUNITIES FOR SHADOWING AND CAREER EXPLORATION. - VARIOUS EDUCATIONAL DEVELOPMENT PROGRAMS: 1) TRAUMA-INFORMED GROUP THERAPY THROUGH COMIC BOOKS AND STORYTELLING. PARTNER WITH BARACK RECREATION CENTER WITH 20 STUDENTS PER COHORT; 2) COVID RELIEF FOR THOSE FAMILIES REQUIRING AT HOME LEARNING KITS; 3) LEARNING EXTENTION CENTER SUPPORT THAT INCLUDED HOMEWORK HELP, PHYSICAL ACTIVITY AND MENTORING PROGRAMMING; 4) IT PROGRAMMING FOR MIDDLE SCHOOL AGED STUDENTS IN PARTNERSHIP WITH DOUGLAS RECREATION CENTER; 4) EDUCATION STIPENDS FOR COMMUNITY MEMBER PARTICIPANTS TO TAKE PART IN A PATIENT ACCESS REPRESENTATIVE TRAINING PILOT THAT LED TO EMPLOYMENT OPPORTUNITY AT NCH; AND 5) LIVINGSTON AVENUE COLLECTIVE IMPACT SUPPORT FOR SCHOOL PARTNERS WITH EQUITY-CENTERED SOCIAL EMOTIONAL LEARNING FOCUS. - SPARK PROGRAM, AN EVIDENCE BASED PROGRAM PREPARING CHILDREN FOR KINDERGARTEN BY HAVING A SPARK PARENT PROGRAM PARTNER COME IN YOUR HOME ONCE A MONTH AND WORK WITH PARENT AND CHILD TO DEVELOP SKILLS THAT WILL ENHANCE PREPAREDNESS FOR KINDERGARTEN. THIS NCH PROGRAM TAKES PLACE IN THE FOLLOWING ZIP CODES: 43205, 43206 AND 43207. - COMMUNITY DEVELOPMENT FOR ALL PEOPLE HEALTHY EATING AND LIVING INITIATIVE, A CONTRIBUTION TO COMMUNITY DEVELOPMENT FOR ALL PEOPLE TO SET UP PROGRAMS TO POSITIVELY IMPACT INFANT MORTALITY AND KINDERGARTEN READINESS FOR CHILDREN AND EMPLOYMENT FOR ADULTS RESIDING IN ZIP CODES: 43205, 43206 AND 43207. PROGRAMS WERE ESTABLISHED TO MEET THE FOLLOWING GOALS: RECRUIT AND ASSIST THE ENROLLMENT OF CHILDREN INTO NCH'S SPARK LITERACY PROGRAM; PROVIDE VARIOUS HEALTH EDUCATION CLASSES AND MATERIALS, INCLUDING COOKING CLASSES WITH A COORDINATION OF VARIOUS HEALTHY LIVING EXERCISE AND MOVEMENT GROUPS; RECRUIT UNEMPLOYED AND UNDER-EMPLOYED ADULTS FOR EMPLOYMENT TRAINING INTERVENTIONS; AND RECRUIT AND ASSIST WITH THE DEVELOPMENT OF A NEIGHBORHOOD LEADERSHIP ACADEMY FOR RESIDENTS OF THE TARGET ZIP CODES. - PARSONS AVENUE REDEVELOPMENT PROGRAM, A CONTRIBUTION TO THE PARSONS AVENUE REDEVELOPMENT CORPORATION TO SUPPORT THE REDEVELOPMENT OF PARSONS AVENUE BY FACILITATING A SUSTAINABLE CENTER OF COMMERCIAL ACTIVITY THAT CREATES A SENSE OF PLACE SERVING ALL SOUTH SIDE NEIGHBORHOODS. - MEDICAL LEGAL PARTNERSHIP (MLP), IS AN INITIATIVE TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH BY PARTNERING THE HEALTHCARE PROVIDERS WITH LAWYERS TO HELP ACHIEVE BETTER HEALTH OUTCOMES FOR THE CHILDREN NCH SERVES. TO ACCOMPLISH THIS, NCH HAS ENTERED INTO A CONTRACT WITH THE LEGAL AID SOCIETY OF COLUMBUS TO PROVIDE FREE AND CONFIDENTIAL LEGAL SERVICES TO ELIGIBLE LOW-INCOME PATIENTS TO IMPROVE THEIR HEALTH AND WELL-BEING. - CITY YEAR OF COLUMBUS, A CONTRIBUTION TO SUPPORT ACADEMIC, ATTENDANCE, AND BEHAVIOR INTERVENTION PROGRAMMING AT LIVINGSTON AVENUE ELEMENTARY SCHOOL. - THINK MAKE LIVE, A CONTRIBUTION TO SUPPORT GRASSROOTS, NOT-PROFIT EFFORT TO ADDRESS RACE EQUITY ISSUES IN COLUMBUS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount IN 2011, NATIONWIDE CHILDREN'S HOSPITAL BEGAN REPORTING BAD DEBT EXPENSE IN TOTAL. PRIOR TO 2011, BAD DEBT EXPENSE WAS REPORTED AT COST. Schedule H, Part III, Line 3 Bad Debt Expense Methodology FOR SELF-PAY PATIENTS, NATIONWIDE CHILDREN'S HOSPITAL MAKES ALL REASONABLE EFFORTS TO QUALIFY FINANCIAL ASSISTANCE ELIGIBLE PATIENTS FOR CHARITY. PRIOR TO AN ACCOUNT BEING WRITTEN OFF TO BAD DEBT, ACCOUNT REVIEWS TAKE PLACE TO ENSURE THE PATIENT DID NOT QUALIFY FOR FINANCIAL ASSISTANCE. THUS WE FEEL THAT NCH'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS LIKELY $0. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 22 OF THE AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs IT IS OUR POSITION THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE THESE ARE COSTS THE HOSPITAL IS INCURRING TO TREAT THESE PATIENTS, AND THE REIMBURSEMENT IS NOT FULLY COVERING THESE COSTS. IN ADDITION, AS OUR MISSION IS TO CARE FOR EVERY CHILD FOR EVERY REASON REGARDLESS OF ABILITY TO PAY, MANY HEALTHCARE PROVIDERS WOULD CHOOSE NOT TO ACCEPT MEDICARE PATIENTS BECAUSE OF THIS UNREIMBURSED COST. BECAUSE NATIONWIDE CHILDREN'S DOES, WE ARE TRULY PROVIDING A BENEFIT TO THE COMMUNITY. THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance NATIONWIDE CHILDREN'S HOSPITAL'S COLLECTION POLICY DOES CONTAIN PROVISIONS FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. THERE ARE NUMEROUS WAYS FOR PATIENTS AND FAMILIES TO GET INFORMATION ON AVAILABLE ASSISTANCE, BOTH CHARITY, AND OTHER GOVERNMENTAL POLICIES. (SEE DESCRIPTION PART VI, LINE 3.) NCH THEN PROVIDES A GRACE PERIOD, TO ALLOW FOR TIME FOR ASSISTANCE NEEDS TO BE IDENTIFIED, BEFORE FINALIZING THE BILL. IN ADDITION, SELF-PAY STATEMENTS ALSO INCLUDE INFORMATION TO HELP THE PATIENT/FAMILY UNDERSTAND FINANCIAL ASSISTANCE THAT IS AVAILABLE. Schedule H, Part V, Section B, Line 16a FAP website A - NATIONWIDE CHILDREN'S HOSPITAL (MAIN CAMPUS): Line 16a URL: HTTPS://WWW.NATIONWIDECHILDRENS.ORG/YOUR-VISIT/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE; B - NATIONWIDE CHILDREN'S HOSPITAL TOLEDO: Line 16a URL: https://www.nationwidechildrens.org/locations/toledo/patient-resources/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website A - NATIONWIDE CHILDREN'S HOSPITAL (MAIN CAMPUS): Line 16b URL: HTTPS://WWW.NATIONWIDECHILDRENS.ORG/YOUR-VISIT/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE; B - NATIONWIDE CHILDREN'S HOSPITAL TOLEDO: Line 16b URL: https://www.nationwidechildrens.org/locations/toledo/patient-resources/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - NATIONWIDE CHILDREN'S HOSPITAL (MAIN CAMPUS): Line 16c URL: HTTPS://WWW.NATIONWIDECHILDRENS.ORG/YOUR-VISIT/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE; B - NATIONWIDE CHILDREN'S HOSPITAL TOLEDO: Line 16c URL: https://www.nationwidechildrens.org/locations/toledo/patient-resources/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment NATIONWIDE CHILDREN'S HOSPITAL (NCH), ALONG WITH OTHER CENTRAL OHIO HOSPITALS AND COMMUNITY PARTNERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, PARTICIPATED IN THE FRANKLIN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE, WHICH WAS A COLLABORATIVE EFFORT COORDINATED BY CENTRAL OHIO HOSPITAL COUNCIL TO IDENTIFY THE COMMUNITY HEALTH NEEDS AND PRIORITIES OF FRANKLIN COUNTY. THE STEERING COMMITTEE PUBLISHED THE FRANKLIN COUNTY HEALTHMAP 2022, WHICH RECOGNIZED SIX AREAS AS BEING A LOCAL, PRIORITY HEALTH NEED FOR THE COMMUNITY. NCH ADOPTED THE FRANKLIN COUNTY HEALTHMAP 2022 AS ITS COMMUNITY HEALTH NEEDS ASSESSMENT. THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH INCLUDES THE 2022 FRANKLIN COUNTY HEALTHMAP REPORT, CAN BE FOUND ON THE HOSPITAL'S WEBSITE: HTTPS://WWW.NATIONWIDECHILDRENS.ORG/ABOUT-US/ADVOCACY-AND-GOVERNMENT-RELATIONS/COMMUNITY-RELATIONS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. The process for Franklin County HealthMap2022 reflected an adapted version of Robert Wood Johnson Foundation's County Health Rankings and Roadmaps: Assess Needs and Resources process. This process is designed to help stakeholders "understand current community strengths, resources, needs, and gaps," so they can better focus their efforts and collaboration. The primary phases of the Assess Needs and Resources process, as adapted for use in Franklin County HealthMap2022, included the following steps: 1) PREPARE TO ASSESS 2) COLLECT AND ANALYZE SECONDARY DATA 3) COLLECT AND ANALYZE PRIMARY DATA 4) IDENTIFY PRIORITY HEALTH NEEDS 5) IDENTIFY COMMUNITY ASSETS AND RESOURCES 6) SHARE RESULTS WITH THE COMMUNITY FROM THESE EXERCISES, THE STEERING COMMITTEE WAS ABLE TO COMPLETE ITS CHARGE TO IDENTIFY AND PRIORITIZE THE SIGNIFICANT HEALTH NEEDS OF FRANKLIN COUNTY. NCH'S SIX PRIORITIZED HEALTH NEEDS OF FRANKLIN COUNTY AS IDENTIFIED BY NCH'S COLLABORATIVE EFFORT AS A MEMBER OF THE FRANKLIN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE INCLUDE: 1) BASIC NEEDS, 2) RACIAL EQUITY, 3) BEHAVIORAL HEALTH, 4) MATERNAL AND INFANT HEALTH, 5) DISEASE MANAGEMENT AND 6) PREVENTIVE CARE. Nationwide Children's Hospital - Toledo acquired Mercy Health Children's Hospital on March 1, 2022. This gives children in the Toledo area broader local access to procedures and therapies, reducing the need to travel for treatment. Nationwide Children's - Toledo continues the legacy and vision developed by Mercy Health Children's Hospital to provide high-quality, compassionate care, while enhancing clinical care to children in the Toledo area. Nationwide Children's - Toledo was among several community partners involved with Healthy Lucas County. The mission of Healthy Lucas County is to improve the health and quality of life for Lucas County residents through data collection and planning that mobilizes collaborative partnerships that develop and implement strategic action in Lucas County to create health equity. Self-administered surveys were distributed county-wide to adults (19 years and older), youth (ages 12-18) and the parents of children (ages 0-11) from November 2019 through March 2020 before the COVID-19 pandemic. The Hospital Council of Northwest Ohio collected the data and integrated the sources into the final assessment, and the data analysis was conducted by health education researchers at the University of Toledo. Overall, the community health needs assessment captured vital data on health care access, health behaviors, chronic disease, social conditions and racial disparities in the community that Nationwide Children's - Toledo will use to develop its Implementation Strategy. Community input for this report was obtained by the members of the Cherry Legacy Group, who are Lucas County residents. They reviewed the assessment and provided feedback on priorities as well as potential partnerships to address these community needs. A representative from Toledo-Lucas County Health Department also reviewed the community needs and provided feedback to ensure alignment with Lucas County community concerns. From this process, the 2021-2024 Lucas County Community Health Improvement Plan (herein referenced as 2021-2024 Lucas County CHIP) identifies four health priorities, and Nationwide Children's - Toledo has adopted one additional priority based on pediatric needs in the area. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance NATIONWIDE CHILDREN'S HOSPITAL INFORMS AND EDUCATES PATIENTS, AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE, ABOUT THEIR ELIGIBILITY FOR ASSISTANCE IN A VARIETY OF WAYS. SIGNAGE REGARDING SUCH ELIGIBILITY IS VISIBLY LOCATED THROUGHOUT THE HOSPITAL, INCLUDING MAJOR POINTS OF PATIENT ENTRY SUCH AS ADMISSIONS AREAS, CLINIC REGISTRATION DESKS, THE EMERGENCY DEPARTMENT AND URGENT CARE. ADDITIONALLY, FINANCIAL COUNSELORS VISIT PATIENTS WITHOUT INSURANCE DURING THEIR STAY. LETTERS AND FINANCIAL ASSISTANCE APPLICATIONS ARE MAILED TO PATIENTS. BILLING STATEMENTS CONTAIN PRINTED INFORMATION REGARDING VARIOUS TYPES OF ASSISTANCE THAT IS AVAILABLE, AUTOMATED TELEPHONE CALLS OFFERING FINANCIAL ASSISTANCE ARE ALSO MADE, AND THE APPLICATION IS MADE AVAILABLE ON OUR WEBSITE FOR NATIONWIDE CHILDREN'S HOSPITAL AT: https://www.nationwidechildrens.org/your-visit/billing-and-insurance/financial-assistance; AND NATIONWIDE CHILDREN'S HOSPTIAL TOLEDO AT: HTTPS://WWW.NATIONWIDECHILDRENS.ORG/LOCATIONS/TOLEDO/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE. Schedule H, Part VI, Line 4 Community information NATIONWIDE CHILDREN'S HOSPITAL IS LOCATED IN COLUMBUS, OHIO, WHICH IS GEOGRAPHICALLY CENTRAL IN THE STATE OF OHIO. NATIONWIDE CHILDREN'S HOSPITAL - TOLEDO IS LOCATED IN TOLEDO, OHIO, WHICH IS GEORGRAPHICALLY NORTHWEST IN THE STATE OF OHIO. WHILE THE MAJORITY OF PATIENTS SERVED RESIDE IN FRANKLIN AND LUCAS COUNTIES, NCH PROVIDES CARE TO PATIENTS REPRESENTING EACH OF OHIO'S 88 COUNTIES, IN ADDITION TO 50 STATES AND 45 FOREIGN COUNTRIES. THE MEDIAN HOUSEHOLD INCOME IN FRANKLIN COUNTY IS $65,999 AND 14.3% OF FAMILIES ARE BELOW THE POVERTY LEVEL. THE MEDIAN HOUSEHOLD INCOME IN LUCAS COUNTY IS $53,176 AND 17.4% OF FAMILIES ARE BELOW THE POVERTY LEVEL. APPROXIMATELY 6.5% OF THE POPULATION OF OHIO IS UNINSURED. Schedule H, Part VI, Line 5 Promotion of community health BEYOND THE COMMUNITY HEALTH NEEDS ASSESSMENT AND RELATED IMPLEMENTATION STRATEGY, NATIONWIDE CHILDREN'S HOSPITAL PROMOTES COMMUNITY HEALTH IN MANY WAYS. THE MAJORITY OF THE BOARDS OF NATIONWIDE CHILDREN'S HOSPITAL, THE RESEARCH INSTITUTE, NCH FOUNDATION AND THE CENTER FOR FAMILY SAFETY AND HEALING ARE COMPRISED OF INDEPENDENT COMMUNITY LEADERS, MOST OF WHICH RESIDE IN OUR CENTRAL OHIO SERVICE AREA. NATIONWIDE CHILDREN'S ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. THE EDUCATION INSTITUTE DEPARTMENT OF NCH PROVIDES A WIDE ARRAY OF COMMUNITY EDUCATION CLASSES SUCH AS: BABYSITTING, CPR, PARENTING, CONFERENCES FOR FAMILIES CARING FOR A PATIENT WITH A SPECIFIC DISEASE OR DISORDER, AUTISM AND BEHAVIOR MANAGEMENT AND MORE. THESE CLASSES ARE GEARED TOWARD LAY-PUBLIC AND INCLUDE LECTURES, PRESENTATIONS, AND OTHER GROUP PROGRAMS AND ACTIVITIES APART FROM CLINICAL OR DIAGNOSTIC SERVICES. THIS SAME DEPARTMENT MAINTAINS THE 'FAMILY HEALTH INFORMATION CENTER', A CONSUMER LIBRARY WHICH CAN BE USED BY PATIENT FAMILIES TO EXPLORE NEWLY DIAGNOSED MEDICAL ISSUES. 'CHILDCARE HEALTH CONSULTANTS' IS A PROGRAM THAT OFFERS TRAINING AND PROFESSIONAL DEVELOPMENT TO EARLY CHILDHOOD PROFESSIONALS VIA ON-SITE CONSULTING, LIVE EDUCATIONAL CLASSES, AND EDUCATIONAL TOOLS. NCH HAS MULTIPLE PROGRAMS SURROUNDING THE TOPIC OF NUTRITION AND CHILDHOOD OBESITY. ONE DEPARTMENT, 'THE CENTER FOR HEALTHY WEIGHT AND NUTRITION' OFFERS A COMPREHENSIVE APPROACH TO WEIGHT MANAGEMENT. ITS OBESITY PREVENTION PROGRAM PROVIDES SIMPLE TOOLS TO EDUCATE PARENTS ABOUT GOOD NUTRITION AND PHYSICAL ACTIVITY FOR THEIR CHILDREN. 'COMMUNITY HEALTH' IS AN ARM OF THE HEALTHY NEIGHBORHOODS, HEALTHY FAMILIES PROGRAM WHICH AIMS TO IMPROVE OUR COMMUNITY RESIDENTS' ACCESS TO HEALTH CARE COVERAGE, PRIMARY CARE, AND FRUITS AND VEGETABLES. NATIONWIDE CHILDREN'S ALSO SPONSORS AND HOSPITAL STAFF VOLUNTEER, AT NUMEROUS FESTIVALS AND HEALTH FAIRS TO PROVIDE HEALTH SCREENINGS AND HAND OUT LITERATURE AND PROMOTIONAL GIVEAWAYS TO EDUCATE AND DISCUSS MANY OF THE SERVICES WE PROVIDE. NATIONWIDE CHILDREN'S APPLIES SURPLUS FUNDS TO FURTHER ITS EXEMPT PURPOSE IN PROMOTING THE HEALTH OF THE COMMUNITY BY REINVESTING IN THE FACILITIES AND OPERATIONS OF PATIENT CARE, MEDICAL EDUCATION AND PEDIATRIC RESEARCH. TO HELP COMBAT THE COVID-19 PUBLIC HEALTH CRISIS, NATIONWIDE CHILDREN'S STARTED A COVID-19 VACCINATION PROGRAM AND OFFERED VACCINATION FOR PATIENTS, FAMILIES AND THE GENERAL PUBLIC. IN ADDITION, NATIONWIDE CHILDREN'S ESTABLISHED A CALL CENTER WHICH TOOK CALLS FROM THE COMMUNITY TO HELP ANSWER QUESTIONS REGARDING COVID. NURSES ANSWERING THE CALLS TRIAGED PATIENTS BASED ON THEIR SYMPTOMS AND COORDINATED COVID TESTING, IF NEEDED. THE CALL CENTER ALSO PROVIDED SUPPORT TO PEDIATRICIANS IN THE COMMUNITY. Schedule H, Part VI, Line 6 Affiliated health care system NATIONWIDE CHILDREN'S HOSPITAL, INC. EXCLUSIVELY CONTROLS THE ACTIVITIES OF ITS SUBSIDIARIES IN OHIO INCLUDING: 1) NATIONWIDE CHILDREN'S HOSPITAL (NCH) IS A 627 INPATIENT BED NOT-FOR-PROFIT TERTIARY CARE HOSPITAL PROVIDING, INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. IN ADDITION, THE HOSPITAL LEASES 145 NEONATAL INTENSIVE AND SPECIAL CARE NURSERY BEDS LOCATED WITHIN SIX OTHER AREA HOST HOSPITALS. SUBSIDIARIES OF THE HOSPITAL INCLUDE THE FOLLOWING ENTITIES: A) CHILDREN'S RADIOLOGICAL INSTITUTE (CRI) IS A NOT-FOR-PROFIT PROFESSIONAL PRACTICE PLAN OWNED BY THE HOSPITAL, WHICH PROVIDES RADIOLOGICAL SERVICES AT THE HOSPITAL. B) NCH HOMECARE (HOMECARE SERVICES) IS A NOT-FOR-PROFIT HOME HEALTH COMPANY OWNED BY THE HOSPITAL AND PROVIDES INTERMITTENT AND PRIVATE-DUTY NURSING, SKILLED THERAPY, INFUSION THERAPY, DURABLE MEDICAL EQUIPMENT, HOSPICE, AND PALLIATIVE CARE SERVICES. C) PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS (PPAC) IS A NOT-FOR-PROFIT PROFESSIONAL PRACTICE PLAN OWNED BY THE HOSPITAL, WHICH PROVIDES PATHOLOGICAL SERVICES AT THE HOSPITAL. D) CHILDREN'S SURGICAL ASSOCIATES (CSA) IS A NOT-FOR-PROFIT PROFESSIONAL PRACTICE PLAN OWNED BY THE HOSPITAL, WHICH PROVIDES SURGICAL SERVICES AT THE HOSPITAL. E) PEDIATRIC ACADEMIC ASSOCIATES (PAA), A FACULTY PRACTICE PLAN OF THE OHIO STATE UNIVERSITY, IS A NOT-FOR-PROFIT PRACTICE OF WHICH THE HOSPITAL HOLDS 51% OF THE BENEFICIAL INTEREST OF THE PAA SHARE THAT IS HELD IN TRUST. THE PAA IS A GROUP OF APPROXIMATELY 500 MEDICAL, PEDIATRIC SUB-SPECIALISTS, WHICH PROVIDES SUCH SERVICES AT THE HOSPITAL. F) CHILDREN'S ANESTHESIA ASSOCIATES, INC. (CAA) IS A NOT-FOR-PROFIT PROFESSIONAL PRACTICE PLAN IN WHICH THE HOSPITAL OWN 100% OF EFFECTIVE AS OF AUGUST 1, 2004. CAA PROVIDES ANESTHESIOLOGY SERVICES AT THE HOSPITAL. 2) NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION (FOUNDATION) IS A NOT-FOR-PROFIT CHARITABLE FOUNDATION. 3) THE RESEARCH INSTITUTE AT NCH (RESEARCH INSTITUTE) IS A NOT-FOR-PROFIT PEDIATRIC MEDICAL RESEARCH INSTITUTE. 4) THE CENTER FOR CHILD AND FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL (CCFA) IS A NOT-FOR-PROFIT ORGANIZATION WHICH PROVIDES ADVOCACY, EDUCATION, COUNSELING AND OTHER PROGRAMMATIC SERVICES TO CHILDREN AND FAMILIES SUFFERING FROM CHILD ABUSE AND NEGLECT. 5) PARTNERS FOR KIDS (PFK) IS A JOINT VENTURE BETWEEN THE HOSPITAL AND COMMUNITY PHYSICIANS. PFK IS A NOT-FOR-PROFIT FORMED TO CONTRACT WITH INSURERS OFFERING MEDICAID OR COMMERICAL MANAGED CARE PRODUCTS FOR PROVISION OF MEDICAL SERVICES. true RESEARCH INSTITUTE AT NCH 700 CHILDRENS DRIVE COLUMBUS OH 43205 316056230 501(c)(3) 66963302 RESEARCH INITIATIVES RESEARCH INSTITUTE AT NCH 700 CHILDRENS DRIVE COLUMBUS OH 43205 316056230 501(c)(3) 25102813 RESEARCH INITIATIVES RESEARCH INSTITUTE AT NCH 700 CHILDRENS DRIVE COLUMBUS OH 43205 316056230 501(c)(3) 322652 RESEARCH START-UP GRANTS NATIONWIDE CHILDREN'S HOSPITAL 700 CHILDRENS DRIVE COLUMBUS OH 43205 314379441 501(c)(3) 62140473 TO AID IN PROVIDING INDIGENT CARE, TO SUPPORT & IMPROVE PATIENT CARE THROUGH PROGRAMS SUCH AS VOLUNTEER SERVICES, HEMATOLOGY / ONCOLOGY, OBESITY PREVENTION, & COMMUNITY EDUCATION. NCH HOMECARE 700 CHILDRENS DRIVE COLUMBUS OH 43205 311296332 501(c)(3) 275000 HOSPICE AND PALLIATIVE CARE CCFA AT NCH 700 CHILDRENS DRIVE COLUMBUS OH 43205 020627166 501(c)(3) 2655539 CHILD ADVOCACY PROGRAMS CHILDREN'S SURGICAL ASSOCIATES 700 CHILDRENS DRIVE COLUMBUS OH 43205 311654000 501(c)(3) 495145 SURGICAL RESEARCH CHILDREN'S RADIOLOGICAL INSTITUTE INC 700 CHILDRENS DRIVE COLUMBUS OH 43205 311439570 501(c)(3) 173838 RADIOLOGY RESEARCH PPAC 700 CHILDRENS DRIVE COLUMBUS OH 43205 311595013 501(c)(3) 13088 PATHOLOGY RESEARCH NCH CHILD ASSESSMENT CENTER 700 CHILDRENS DRIVE COLUMBUS OH 43205 314379441 501(c)(3) 1082723 CHILD ASSESSMENT PROGRAMS CCFA AT NCH 700 CHILDRENS DRIVE COLUMBUS OH 43205 020627166 501(c)(3) 922836 ADMIN OVERSIGHT CCFA NATIONWIDE CHILDREN'S HOSPITAL INC 700 CHILDRENS DRIVE COLUMBUS OH 43205 311036372 501(c)(3) 25000 TO SUPPORT VARIOUS COMMUNITY BENEFIT PROGRAMS PEDIATRIC ACADEMIC ASSOCIATION 555 SOUTH 18TH STREET COLUMBUS OH 43205 311024403 501(c)(3) 738649 TO PROVIDE FUNDING FOR ENDOWED CHAIRS PEDIATRIC ACADEMIC ASSOCIATION 555 SOUTH 18TH STREET COLUMBUS OH 43205 311024403 501(c)(3) 25629855 TO SUPPORT PAA OPERATIONS CENTRAL OHIO CHAPTER OF NHF 4400 N HIGH ST STE 216 COLUMBUS OH 43214 135641857 501(c)(3) 10000 SUPPORT EDUCATION AND OUTREACH PROGRAMS AMERICAN HEART ASSOCIATION PO BOX 4002907 DES MOINES IA 50340 135613797 501(c)(3) 15000 TO SUPPORT HEART GALA & WALK HNHF REALTY COLLABORATION 575 CHARRING CROSS DR STE 200 WESTERVILLE OH 43081 384016483 501(c)(3) 1482253 SUPPORT HNHF OPERATIONS COMMUNITY DEVELOPMENT FOR ALL PEOPLE PO BOX 06063 964 PARSONS AVENUE COLUMBUS OH 43206 510476886 501(c)(3) 479581 NEIGHBORHOOD PARTNERSHIP & LINDEN MARKET SUPPORT MARCH OF DIMES 975 EASTWIND DR STE 150 WESTERVILLE OH 43081 131846366 501(c)(3) 12500 TO SUPPORT PROGRAMS HEROES IN ACTION CITY YEAR COLUMBUS 35 NORTH FOURTH STREET LL COLUMBUS OH 43215 222882549 501(c)(3) 30000 WHOLE SCHOOL WHOLE CHILD GRANT UNITED WAY OF CENTRAL OHIO 360 S 3RD STREET COLUMBUS OH 43215 314393712 501(c)(3) 105000 COMMUNITY RESPONSE FUND PARSONS AVENUE REDEVELOPMENT CORPORATION PO BOX 06063 964 PARSONS AVENUE COLUMBUS OH 43206 463644554 501(c)(3) 26500 Support the redevelopment of Parsons Avenue PELOTONIA 315 W NATIONWIDE BLVD COLUMBUS OH 43215 311145986 501(c)(3) 15019 CONTRIBUTION PLEDGED TO RIDERS TO END CANCER RONALD MCDONALD HOUSE 711 EAST LIVINGSTON AVE COLUMBUS OH 43205 310890152 501(c)(3) 6800 SPECIAL EVENTS SPONSORSHIPS CENTRAL OHIO HOSPITAL COUNCIL 155 E BROAD STREET FLOOR 23 COLUMBUS OH 43215 262795133 501(c)(3) 130000 OHIO BETTER BIRTH OUTCOMES SUPPORT NEW ALBANY COMMUNITY FOUNDATION 220 MARKET STREET SUITE 205 NEW ALBANY OH 43054 311409264 501(c)(3) 10000 LECTURE SERIES SPONSOR FACES OF RESILIENCE PO BOX 183112 660 ACKERMAN ROAD COLUMBUS OH 43218 311145986 501(c)(3) 10000 MENTAL HEALTH & ADDICTION SUPPORT MIRACLE LEAGUE NETWORK OF NEW ALBANY 7860 BEVELHYMER ROAD NEW ALBANY OH 43054 822294172 501(c)(3) 40000 PROGRAM SUPPORT COLUMBUS METROPOLITAN CLUB 1041 DUBLIN ROAD 103 COLUMBUS OH 43215 310889324 501(c)(3) 15000 OPTIMAL HEALTH SERIES SUPPORT THE CATHOLIC FOUNDATION 257 E BROAD STREET COLUMBUS OH 43205 311116640 501(c)(3) 1700000 St. Mary's donation - School health services CHILDREN'S PRACTICING PEDIATRICS 700 CHILDRENS DRIVE COLUMBUS OH 43205 311161012 501(c)(3) 31000 OPERATION SUPPORT OPPORTUNITY CITY PAC 545 E TOWN STREET COLUMBUS OH 43215 813756682 501(c)(4) 25000 BOND PACKAGE CAMPAIGN NEIGHBORHOOD DESIGN CENTER 1445 SUMMIT STREET SUITE 300 COLUMBUS OH 43201 341049478 501(c)(3) 5913 CAROLS ON CLEVELAND BIG BROTHERS BIG SISTERS 1855 E DUBLIN GRANVILLE ROAD COLUMBUS OH 43229 314379429 501(c)(3) 39821 PROGRAM SUPPORT COLUMBUS URBAN LEAGUE 788 MOUNT VERNON AVENUE COLUMBUS OH 43212 314379453 501(c)(3) 18500 PROJECT SURVIVAL & EMPOWERMENT DAY WE ARE LINDEN 1415 E 18TH AVENUE COLUMBUS OH 43211 311336180 501(c)(3) 12600 LINDEN PROGRAM & ADMIN SUPPORT EDUCATION SERVICE CENTER OF CENTRAL OHIO 2080 CITYGATE DRIVE COLUMBUS OH 43219 310914093 501(c)(3) 30000 YOUTH SERVICE EQUITY COLUMBUS BLUE JACKETS 200 WEST NATIONWIDE BLVD COLUMBUS OH 43215 311688700 20000 GOLF CLASSIC & CANNONBALL SPONSORSHIP FINAL THIRD FOUNDATION 2404 E MAIN STREET COLUMBUS OH 43209 208467212 501(c)(3) 13850 2 AFTER SCHOOL PROGRAMS PROGENY 6471 LITHOPOLIS-WINCHESTER ROAD CANAL WINCHESTER OH 43110 311417786 501(c)(3) 23412 LEGAL WORK SUPPORT HOSPITAL COUNCIL OF NORTHWEST OHIO 3231 CENTRAL PARK WEST DRIVE SUITE TOLEDO OH 43617 341116795 501(c)(3) 10000 CHNA DONATION COMMUNITY OF CARING 2956 CLEVELAND AVENUE COLUMBUS OH 43224 830996863 501(c)(3) 67877 HEALTH AND HOPE INITIATIVE AND LINDEN SUPPORT REEB AVENUE CENTER 280 REEB AVENUE COLUMBUS OH 43207 463956659 501(c)(3) 30000 REEB GRANT COLUMBUS LOCAL ORGANIZING COMMITTEE 2470 EAST MAIN STREET COLUMBUS OH 43209 472869058 501(c)(3) 50000 United States Conference of Mayors & PCMA Convening Leaders Conferences LEADERSHIP COLUMBUS 37 W BROAD STREET SUITE 980 COLUMBUS OH 43205 310855540 501(c)(3) 6725 HUMANITARIANS OF THE YEAR SUPPORT Greater Columbus Sports Foundation Dept L-4243 COLUMBUS OH 43260 314153118 501(c)(3) 6000 Community Youth Camp Sponsor FRANKLIN PARK CONSERVATORY 1777 E BROAD STREET COLUMBUS OH 43203 311191469 501(c)(3) 20000 HAT DAY SPONSOR THE OHIO STATE UNIVERSITY 1670 Upham Drive Ste 120 COLUMBUS OH 43210 316025986 501(c)(3) 10000 SUICIDE PREVENTION OHIO CHAMBER OF COMMERCE 34 S Third St Ste 100 COLUMBUS OH 43215 314357206 501(c)(3) 6500 Women in Business & Healthcare Summit SproutFive 966 SOUTH HIGH STREET 3RD FLOOR COLUMBUS OH 43206 314379811 501(c)(3) 15000 Centennial Celebration Sponsorship Southside Thrive 700 CHILDRENS DRIVE COLUMBUS OH 43205 874079411 501(c)(3) 134650 OPERATION SUPPORT Anne Grady Foundation PO Box 1297 HOLLAND OH 43528 311212795 501(c)(3) 10000 Enchanted Evening Sponsorship Compassionate Assistance Irrevocable Trust 4250 Rowanne Road COLUMBUS OH 43214 886634111 35000 Compassionate Assistance Irrevocable Trust HEALTHY LINDEN HOMES 255 EAST MAIN STREET COLUMBUS OH 43215 853421316 501(c)(3) 592000 OPERATION SUPPORT LEGACY YOUTH ACADEMY 1027 HURLEY COURT COLUMBUS OH 43230 844663068 501(c)(3) 36000 Young Legends Program THE COLUMBUS FOUNDATION 1234 EAST BROAD STREET COLUMBUS OH 43205 316044264 501(c)(3) 50000 COLUMBUS PROMISE FUND FAMOHIO INC 2425 ROSCOE CT DUBLIN OH 43016 311353807 501(c)(3) 7500 BLEEDING DISORDER EDUCATION MEDWISH INTERNATIONAL INC 1625 E 31ST STREET CLEVELAND OH 44114 341903712 501(c)(3) 0 149349 FMV SUPPLIES TO PROVIDE SUPPLIES BROOK OF HOPE INC 8478 RIDGE ROAD NORTH ROYALTON OH 44133 818017718 501(c)(3) 0 843890 FMV SUPPLIES TO PROVIDE SUPPLIES 52 2 Assistance to Patient Families (Paid by NCH) 78287 1159579 Schedule I, Part III ASSISTANCE TO PATIENT FAMILIES NCH'S SOCIAL WORK DEPARTMENT HAS A 'COMPASSION FUND'. THIS IS HELP THE HOSPITAL PROVIDES TO FAMILIES WHO HAVE A CHILD IN THE HOSPITAL, AND ARE UNDERGOING A STRONG NEED FOR MEALS, GAS MONEY, BUS FARE, SPECIAL FORMULA, AND SIMILAR HARDSHIPS. THIS ALSO INCLUDES OCCASIONAL SUPPORT FOR FAMILIES WITH MORE EXTRAORDINARY NEEDS, SUCH AS UTILITY BILL ASSISTANCE, OR ASSISTANCE WITH TEMPORARY HOUSING WHERE A PATIENT WILL BE DISCHARGED TO, OR TO PROVIDE COSTLY MEDICATION. IN ADDITION, THE CENTER FOR CHILD & FAMILY ADVOCACY AT NCH PROVIDES RELIEF THROUGH THE DIRECT ASSISTANCE FUND WHICH RESPONDS TO THE INCREASED NEEDS OF CLIENTS AND PATIENTS DUE TO THE COVID-19 PANDEMIC. THE DIRECT ASSISTANCE FUND HELPS ADDRESS FOOD INSECURITY, EMERGENCY HOUSING, UTILITIES AND IMMEDIATE SAFETY NEEDS. LASTLY, THE EMPLOYEE CATASTROPHIC RELIEF FUND HAS BEEN ESTABLISHED BY MEMBERS OF THE NATIONWIDE CHILDREN'S HOSPITAL FAMILY TO PROVIDE FINANCIAL SUPPORT TO FELLOW COLLEAGUES WHO ARE FACING SERIOUS FINANCIAL PERIL DUE TO A CATASTROPHIC SITUATION. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. FOR THE MAJORITY OF GRANTS ISSUED, DOCUMENTATION OF THE SPECIFIC EXPENSES THAT THESE FUNDS WOULD BE COVERING IS SUBMITTED TO THE NCH ENTITY PROVIDING THE FUNDS. A SIGNIFICANT PORTION OF THE GRANT PROVIDED ARE USED TO SUPPORT PROGRAM SERVICES AND RESEARCH, CONDUCTED WITHIN THE NCH, INC. AFFILIATED GROUP. X true true X X X X false true false false false true false false false John A Barnard MD PRESIDENT - RINCH (To 03/2022) 121181 0 367309 0 0 0 5200 0 22080 0 515769 0 0 0 Luke Brown TREASURER / SR VP / CFO - NCH 541111 0 236237 0 0 0 40665 0 24290 0 842303 0 0 0 Nancy Cunningham Interim President - CCFA (AS OF 11/2022) 196925 0 48541 0 0 0 11901 0 23378 0 280746 0 0 0 Richard Miller COO - NCH 1146490 0 569734 0 20500 0 40665 0 30240 0 1807629 0 0 0 Timothy C Robinson DIRECTOR / CEO - NCH 1380626 0 265594 0 20500 0 40665 0 23756 0 1731141 0 0 0 Sarah Rosenthal PRES / DIRECTOR - CCFA (To 11/2022) 280966 0 116248 0 3991 0 38573 0 8537 0 448315 0 0 0 Rustin Morse MD CHIEF MEDICAL OFFICER - NCH 604116 0 291397 0 20500 0 21887 0 29390 0 967290 0 0 0 Lee Ann Wallace SR VP & CHIEF NURSING OFFICER - NCH 470203 0 214995 0 0 0 65665 0 24061 0 774924 0 0 0 David Axelson MD DIRECTOR - PFK 328296 0 100000 0 0 0 40665 0 24065 0 493027 0 0 0 Catherine Krawczeski MD Director - PFK (AS OF 4/2022) 292285 0 75000 0 0 0 6762 0 20380 0 394428 0 0 0 Prashant Malhotra MD DIRECTOR -PFK 388218 0 59708 0 0 0 40665 0 33990 0 522581 0 0 0 SHAMLAL MANGRAY MD DIRECTOR - PPAC 388876 0 112425 0 5200 0 40407 0 32475 0 579384 0 0 0 Oluyinka Olutoye MD DIRECTOR - CSA/PFK 801381 0 346737 0 0 0 115407 0 24364 0 1287889 0 0 0 Greg D Pearson MD DIRECTOR - NCH (AS OF 1/2022) 447926 0 91278 0 0 0 40665 0 30106 0 609976 0 0 0 Vinay Prasad MD DIRECTOR -PFK 312942 0 48860 0 20500 0 40665 0 32433 0 455400 0 0 0 Rob Snyder MD DIRECTOR - NCH 118047 0 25481 0 0 0 0 0 18319 0 161847 0 0 0 Joseph Tobias MD DIRECTOR - CAA 562066 0 165000 0 20500 0 40665 0 29625 0 817857 0 0 0 Shilpi Banerjee ASST SECRETARY - RINCH 322837 0 26791 0 0 0 23095 0 12896 0 385620 0 0 0 Rhonda Comer SECRETARY / SR VP / LEGAL SRVCS - NCH 623443 0 378741 0 350764 0 153165 0 26699 0 1532812 0 250000 0 Mary DiOrio MD MEDICAL DIRECTOR - PFK 303471 0 0 0 4609 0 23095 0 1581 0 332756 0 0 0 Dennis Durbin MD PRESIDENT - RINCH (AS OF 3/2022) 459861 0 249991 0 20500 0 23095 0 22001 0 775448 0 0 0 Sara Evans ASST SECRETARY - FOUNDATION/PFK 311123 0 66852 0 0 0 27725 0 29235 0 434934 0 0 0 Sean Gleeson MD PRESIDENT - PFK 291072 0 97640 0 20500 0 27725 0 31125 0 468062 0 0 0 Andrew Lenobel ASST SECRETARY - CAA/CRI/CSA 185398 0 31258 0 0 0 19215 0 32716 0 268587 0 0 0 Kristen Maiorino ASST SECRETARY - PPAC 146928 0 14629 0 0 0 9445 0 775 0 171778 0 0 0 Stephen Testa PRES - NCH FOUNDATION 489062 0 241221 0 0 0 90665 0 31725 0 852673 0 0 0 Pamela Edson VICE PRESIDENT - PFK 244611 0 58358 0 0 0 27725 0 23182 0 353876 0 0 0 Marissa Larouere VP CLINICAL SERVICES - NCH 240039 0 47200 0 0 0 27052 0 29403 0 343695 0 0 0 Patricia McClimon SR VP / PLAN & DEV'T - NCH 595727 0 245385 0 414865 0 128165 0 28490 0 1412632 0 293750 0 Dennis Minzler VP - NCH 324269 0 60315 0 0 0 27725 0 18772 0 431081 0 0 0 Amy Roscoe VICE PRESIDENT - RINCH 290798 0 55905 0 0 0 27725 0 1496 0 375923 0 0 0 Lorina Wise VP / HR - NCH 466874 0 220618 0 20500 0 65665 0 12848 0 786505 0 0 0 Denise Zabawski VP / CIO - NCH 495572 0 92478 0 0 0 27725 0 22061 0 637836 0 0 0 Matthew Beran MD ORTHOPEDIC SURGEON - CSA 496080 0 640285 0 0 0 40665 0 29625 0 1206655 0 0 0 Charles Elmaraghy MD ENT surgeon - CSA 985025 0 247137 0 20500 0 40665 0 29875 0 1323202 0 0 0 Mark Galantowicz MD CHIEF OF CT SURGERY - CSA 1294229 0 588360 0 20500 0 40665 0 28584 0 1972338 0 0 0 Richard Kirschner MD PLASTIC SURGEON - CSA 813122 0 390409 0 20500 0 40665 0 29625 0 1294321 0 0 0 Kevin Klingele MD ORTHOPEDIC SURGEON - CSA 801476 0 415000 0 27425 0 40665 0 29625 0 1314191 0 0 0 Richard Brilli MD FORMER DIRECTOR - PPAC/CSA 93417 0 0 0 171871 0 0 0 1808 0 267095 0 75000 0 Meredith Merz Lind MD FORMER DIRECTOR - NCH 560393 0 74648 0 0 0 40665 0 27462 0 703168 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees Nationwide Children's Hospital provided health or social club dues for Patricia McClimon, Rustin Morse, M.D., and Dennis Durbin, M.D. These were treated as taxable compensation to the employee. Nationwide Children's Hospital also provided health or social club dues for Timothy C. Robinson and Stephen Testa. These were determined to be business expenses and were not treated as compensation to the employee. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: TIMOTHY C. ROBINSON, RICHARD MILLER, RHONDA COMER, STEPHEN TESTA, LORINA WISE, PATRICIA MCCLIMON, OLUTOYE OLUYINKA, M.D., LEE ANN WALLACE, AND RICHARD BRILLI, M.D. PAYOUT OF SRP AMOUNTS THAT HAD BEEN PREVIOUSLY FUNDED, OCCURRED FOR THE FOLLOWING EMPLOYEES: RHONDA COMER IN THE AMOUNT OF $350,764 ($250,000 PREVIOUSLY REPORTED ON A 990) PATRICIA MCCLIMON $394,365 ($293,750 PREVIOUSLY REPORTED ON A 990) RICHARD BRILLI, M.D. $171,871 ($75,000 PREVIOUSLY REPORTED ON A 990) CONTRIBUTIONS WERE MADE ON BEHALF OF THE FOLLOWING EMPLOYEESS: RHONDA COMER $112,500 STEPHEN TESTA $50,000 LORINA WISE $25,000 PATRICIA MCCLIMON $87,500 OLUTOYE OLUYINKA, M.D. $75,000 LEE ANN WALLACE $25,000 EFFECTIVE FOR PLAN YEAR 2010, NATIONWIDE CHILDREN'S HOSPITAL CHOSE TO ELIMINATE FUTURE CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. CURRENT BALANCES OF THIS PLAN ARE MAINTAINED IN THE ACCOUNTS. FOR CHILDREN'S RADIOLOGICAL INSTITUTE, INC., CONTRIBUTIONS ARE STILL BEING MAINTAINED, BUT THERE WAS A PLAN DESIGN CHANGE ALLOWING ANNUAL CONTRIBUTIONS TO BE VESTED AFTER 5 YEARS. Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization A PORTION OF NATIONWIDE CHILDREN'S HOSPITAL'S MANAGEMENT'S COMPENSATION CONTAINS A VARIABLE PIECE THAT IS BASED ON THE HOSPITAL'S INCENTIVE PROGRAM. THIS VARIABLE COMPENSATION IS BASED IN PART ON THE FINANCIAL PERFORMANCE OF THE ORGANIZATION, RELATIVE TO BUDGETED FINANCIAL PERFORMANCE. THE INCENTIVE PROGRAM ALSO INCLUDES PERFORMANCE MEASURES RELATED TO QUALITY OF CARE AND PATIENT SATISFACTION. A COUNTY OF FRANKLIN OHIO 316400067 353187ED5 2017-11-16 147565600 2017 A&B BONDS (SCHED K, PART VI) false false false B COUNTY OF FRANKLIN OHIO 316400067 353187DN4 2016-11-15 143485390 2016C BONDS (SCHED K, PART VI) false false false C COUNTY OF FRANKLIN OHIO 316400067 353187BT3 2015-05-19 97434250 2015A&B BONDS (SEE SCHEDULE K, PART V) false false false D COUNTY OF FRANKLIN OHIO 316400067 000000000 2014-06-04 17225000 2014A BONDS (SEE SCHEDULE K, PART V) false false false A 1465000 147898824 1350446 100380929 46167448 2018 true false false true B 8715000 143737373 31902 1430009 142275462 2016 false true true true C 0 101702675 1299700 95902975 4500000 0 2019 false false true true D 11700000 17225000 50001 17174999 2015 false true true true A false false false false 0.0 false false true B false false false false 0.0 false false true C false false false false 0.0 0.0 0.0 false false true D false false true true true true 0.011 0.0 0.011 false false true A false false true false true true (SEE STATEMENT) false false false false true B false false true false false false false false true C false false true false true false false false true D false false true false true true (SEE STATEMENT) false false false false true A true B true C true D true Schedule K, Part I COLUMN [F] - DESCRIPTION OF PURPOSE OF BONDS PART I, LINE A REPORT THE 2022 SERIES B&C BONDS. THESE BONDS WERE ISSUED FOR THE PURPOSE OF REFUNDING PORTIONS OF THE 2012A AND 2016A BONDS. THE 2022C BONDS WERE ISSUED FOR THE PURPOSE OF REFUNDING PORTIONS OF THE 2014B AND 2016B BONDS. PART I , LINE B REPORT THE 2019 SERIES A HOSPITAL IMPROVEMENT REVENUE BONDS. THESE BONDS WERE ISSUED FOR THE PURPOSE OF FINANCING A PORTION OF THE COST OF ACQUIRING, CONSTRUCTING, EQUIPPING, INSTALLING AND IMPROVING CERTAIN HOSPITAL FACILITIES. PART I , LINE C REPORT THE 2017 SERIES A&B HOSPITAL REVENUE REFUNDING AND IMPROVEMENT BONDS. THESE BONDS WERE ISSUED FOR THE PURPOSE OF FINANCING A PORTION OF THE COST OF ACQUIRING, CONSTRUCTING, EQUIPPING, INSTALLING AND IMPROVING CERTAIN HOSPITAL FACILITIES, AND FOR THE CURRENT REFUNDING OF A PORTION OF THE 2008D BONDS. PART I , LINE D REPORT THE 2016 SERIES C HOSPITAL REVENUE REFUNDING BONDS. THESE BONDS WERE ISSUED FOR THE PURPOSE OF ADVANCE REFUDING THE 2008A AND 2009 BONDS. PART I, LINE A (2) REPORTS THE 2015 SERIES A&B HOSPITAL IMPROVEMENT REVENUE BONDS. THE PURPOSE OF THESE BONDS IS TO FINANCE A PORTION OF THE COST OF ACQUIRING, CONSTRUCTING, EQUIPPING, INSTALLING AND IMPROVING CERTAIN HOSPITAL FACILITIES. PART I, LINE B (2) REPORTS THE 2014 SERIES A BONDS. THE 2014A BONDS WERE HOSPITAL REVENUE REFUNDING BONDS OF THE 2005C SERIAL BONDS. PART I, LINE C (2) REPORTS THE 2013 BONDS, SERIES A & B. THE 2013A BONDS WERE ISSUED FOR THE PURPOSE OF CURRENT REFUNDING OF THE REMAINING PRINCIPAL AMOUNT OF THE 2008E BONDS. THE 2013B BONDS WERE ISSUED FOR THE PURPOSE OF CURRENT REFUNDING OF THE REMAINING PRINCIPAL AMOUNT OF THE 2008G BONDS. PART I, LINE D (2) REPORTS THE 2008 BONDS, SERIES B, C, D & E. THE PURPOSE OF THE 2008B VARIABLE RATE DEMAND HOSPITAL IMPROVEMENT REVENUE BONDS IS TO FINANCE A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, AND EQUIPMENT THE NEW PATIENT TOWER AND POWER PLANT. THE PURPOSE OF THE 2008C VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS IS THE CURRENT REFUNDING OF ALL OF THE ISSUER'S OUTSTANDING VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS, SERIES 2002. THE PURPOSE OF THE 2008D VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS IS THE CURRENT REFUNDING OF ALL OF THE ISSUER'S OUTSTANDING VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS, SERIES 2003. THE PURPOSE OF THE 2008E VARIABLE RATE DEMAND HOSPITAL REVENUE REFUNDING BONDS IS THE CURRENT REFUNDING OF ALL OF THE ISSUER'S OUTSTANDING HOSPITAL REFUNDING & IMPROVEMENT REVENUE BONDS, SERIES 2006. Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE ANY DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED ON PART I, COLUMN (E) AND THE TOTAL PROCEEDS OF THE BOND ISSUE REPORTED ON PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. Schedule K, Part II, Line 5 COLUMN D - CAPITALIZED INTEREST FROM PROCEEDS THE COLUMN D AMOUNT REPRESENTS BOND PROCEEDS IN THE AMOUNT OF $31,902 THAT WERE USED TO PAY INTEREST ON THE BOND. Schedule K, Part II, Line 11 COLUMNS A(2) - OTHER SPENT PROCEEDS THIS AMOUNT REPRESENTS AN INTEREST RATE HEDGE TERMINATION PAYMENT OF $4,500,000 (COLUMN A2). Schedule K, Part II, Line 11 OTHER SPENT PROCEEDS THE AMOUNT REPORTED REPRESENTS REFUNDINGS OF THE FOLLOWING OUTSTANDING REVENUE BONDS: 2002, 2003, 2005C, 2006, 2008A, 2008D, 2008G, 2009, 2012A, 2014B, 2016A AND 2016B BONDS. Schedule K, Part IV, Line 4b COLUMNS A, C, B(2), C(2), & D(2) - HEDGE THE PROVIDERS AND TERMS OF INTEREST RATE HEDGES ARE AS FOLLOWS: COLUMN A: 2022B BONDS - PROVIDER IS JP MORGAN CHASE AND TERMINATION DATE IS NOVEMBER 1, 2042. 2022B BONDS - PROVIDER IS BANK OF AMERICA AND TERMINATION DATE IS NOVEMBER 1, 2025. 2022C BONDS - PROVIDER IS JP MORGAN CHASE AND TERMINATION DATE IS MAY 1, 2031. 2022C BONDS - PROVIDER IS DEUTSCHE BANK AG, NEW YORK BRANCH AND TERMINATION DATE IS MAY 1, 2035. COLUMN C: 2017 BONDS - PROVIDER IS JP MORGAN CHASE AND TERMINATION DATE IS NOVEMBER 1, 2033. COLUMN B(2): 2014 BONDS - PROVIDER IS PNC BANK AND TERMINATION DATE IS MAY 1, 2025. COLUMN C(2): 2013A BONDS - PROVIDER IS GOLDMAN SACHS GROUP, INC. AND TERMINATION DATE IS NOVEMBER 1, 2025. 2013B BONDS - PROVIDER IS BANK OF AMERICA AND TERMINATION DATE IS MAY 1, 2029. COLUMN D(2): 2008B BONDS - PROVIDER IS MORGAN STANLEY AND TERMINATION DATE IS NOVEMBER 1, 2040. Schedule K, Part IV, Line 6 TEMPORARY AVAILABLE PERIOD SPEND DOWN REQUIREMENTS HAVE BEEN MET WHERE APPLICABLE ON ALL OUTSTANDING BONDS. A COUNTY OF FRANKLIN OHIO 316400067 000000000 2013-06-04 66985000 2013A&B BONDS (SEE SCHEDULE K, PART V) false false false B COUNTY OF FRANKLIN OHIO 316400067 3531865S4 2008-05-07 176675000 2008B-E BONDS (SCHED K, PART VI) false false false C COUNTY OF FRANKLIN OHIO 316400067 353187EW3 2022-05-12 134880000 2022 B& C BONDS (SEE SCHEDULE K, PART V) false false false D COUNTY OF FRANKLIN OHIO 316400067 353187EL7 2019-10-30 75326125 2019A BONDS (SEE SCHEDULE K, PART V) false false false A 26490000 66985000 66985000 2013 true false true true B 134375000 195350778 865761 84500 63456878 130943639 2012 true false true true C 3025000 134880000 110426 134769574 2022 true false true true D 0 75326606 324063 75002544 2019 false false true true A false false false false 0.0 0.0 0.0 false false true B false false false false 0.0 false false true C false false true true true true 0.011 0.0 0.011 false false true D false false false false 0.0 false false true A false false true false true true (SEE STATEMENT) false false false false true B false false true false true true (SEE STATEMENT) false false false false true C false true false false true true (SEE STATEMENT) false false false false true D false true false false false false false false true A true B true C true D true Timothy C Robinson Director/CEO - NCH Fund Life Insurance X 3500000 3583928 false true true Oluyinka Olutoye MD Director - CSA Fund Life Insurance X 126923 128711 false true true Luke Brown Treasurer/SR VP/CFO - NCH Fund Life Insurance X 130000 132120 false true true Dennis Durbin MD President - RINCH Fund Life Insurance X 112500 114268 false true true Sean Gleeson MD President - PFK Fund Life Insurance X 186538 189424 false true true 4148451 Angela Marbley Family Member of Honorable Algenon Marbley (Director - NCH) 84185 Wages (Project Coordinator, NCH - IS Dept) false Jung Sun Miller Family Member of Richard Miller (COO - NCH) 76955 Project Manager, NCH - IS Dept) false X 14 2782976 Other - Cost/Selling Price false false false Schedule M, Part I, Line 31 Gift Acceptance Policy WHILE NATIONWIDE CHILDREN'S HOSPITAL (NCH) AND NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION (NCHF) DO NOT HAVE A WRITTEN POLICY, ALL NON-STANDARD CONTRIBUTIONS ARE REVIEWED AND DISCUSSED WITH NCHF LEADERSHIP AND NCH ADMINISTRATION. Schedule M, Part I Explanations of reporting method for number of contributions Securities - Publicly traded - Number of contributions Form 990, Part I, Line 6 TOTAL NUMBER OF VOLUNTEERS: 351 VOLUNTEERS PLAY A MAJOR ROLE IN CARRYING OUT OUR MISSION. THE NUMBER REPORTED ON LINE 6 RELATES TO [A] VOLUNTEERS WITH SERVICE HOURS AT OUR MAIN CAMPUS, WHICH IS SPECIFICALLY TRACKED, PLUS [B] VOLUNTEERS AT OUR FACILITIES LOCATED THROUGHOUT THE COMMUNITY, THESE ARE ESTIMATED BASED ON KNOWN # OF HOURS AT ALL LOCATIONS. OUR VOLUNTEERS ARE PRIMARILY PART TIME SUPPORT. IN 2022, NATIONWIDE CHILDREN'S HOSPITAL RECEIVED 10,051 HOURS OF VOLUNTEER TIME. THIS CONSISTED OF AN ARRAY OF SERVICES INCLUDING HELP IN MANY PATIENT CARE AREAS, FAMILY SUPPORT AREAS, AND WITHIN MULTIPLE HOSPITAL DEPARTMENTS. NOT INCLUDED IN THIS NUMBER ARE MANY VOLUNTEERS IN THE COMMUNITY WHO IN 2022 SPENT A TOTAL OF 2,398 HOURS CREATING ITEMS (SUCH AS BLANKETS, TOYS AND ACTIVITY BAGS) FOR OUR PATIENTS. Form 990, Part III, Line 4a PROGRAM SERVICE ACTIVITY #1 PATIENT CARE - NATIONWIDE CHILDREN'S HOSPITAL IS ONE OF THE COUNTRY'S LARGEST FREESTANDING PEDIATRIC HEALTH CARE SYSTEMS, PROVIDING WELLNESS, PREVENTIVE, DIAGNOSTIC, TREATMENT AND REHABILITATIVE CARE FOR INFANTS, CHILDREN, ADOLESCENTS AND ADULT PATIENTS WITH CONGENITAL DISEASE. NATIONWIDE CHILDREN'S MAIN CAMPUS IS LOCATED NEAR DOWNTOWN COLUMBUS, OHIO, AND HOUSES A 627-BED INPATIENT FACILITY, EMERGENCY DEPARTMENT AND OUTPATIENT CLINICS. PATIENT CARE SERVICES ARE ALSO AVAILABLE IN VARIOUS LOCATIONS THROUGHOUT CENTRAL OHIO VIA URGENT CARE LOCATIONS, OUTPATIENT CLINICS, PRIMARY CARE CENTERS AND MOBILE CLINICS. NATIONWIDE CHILDREN'S ALSO BRINGS EXPERTISE TO OTHER CENTRAL OHIO HOSPITALS BY LEASING AND OPERATING ANOTHER 145 NEONATAL INTENSIVE AND SPECIAL CARE NURSERY BEDS. IN 2022, NATIONWIDE CHILDREN'S HAD MORE THAN 1.7 MILLION VISITS FROM ALL 50 STATES AND 45 COUNTRIES. NATIONWIDE CHILDREN'S DISCHARGED APPROXIMATELY 19,126 PATIENTS FROM ITS COLUMBUS CAMPUS DURING 2022 FOR A TOTAL OF 164,669 INPATIENT DAYS. PATIENT CARE WAS PROVIDED BY 1,617 MEDICAL STAFF, AND THE TOTAL HOSPITAL STAFF GREW TO 14,568 EMPLOYEES. NATIONIDE CHILDREN'S IS NATIONALLY RANKED IN ALL 10 SPECIALTIES BY U.S. NEWS AND WORLD REPORT AND IS ON THE HONOR ROLL LIST OF "AMERICA'S BEST CHILDREN'S HOSPITALS." SPECIALIZED SERVICES THAT DRAW PATIENTS NATIONALLY AND INTERNATIONALLY INCLUDE: CARDIOLOGY AND CARDIOTHORACIC SURGERY (THE HEART CENTER); HEMATOLOGY, ONCOLOGY & BLOOD AND MARROW TRANSPLANT; GASTROENTEROLOGY, HEPATOLOGY, AND NUTRITION; NEONATAL MEDICINE; PEDIATRIC INTENSIVE CARE; BURN/TRAUMA; INFECTIOUS DISEASES; NEUROSCIENCES; CENTER FOR COLORECTAL AND PELVIC RECONSTRUCTION; AND PEDIATRIC REHABILITATION. OTHER SERVICES INCLUDE INPATIENT AND OUTPATIENT SURGICAL SERVICES INCLUDING UROLOGY, NEUROSURGERY, PLASTIC SURGERY, ORTHOPEDICS, OTOLARYNGOLOGY, DENTISTRY; PULMONARY MEDICINE; NEPHROLOGY AND ENDOCRINOLOGY; AS WELL AS GENERAL MEDICINE. IN 2022, NATIONWIDE CHILDREN'S RECRUITED MUHAMMAD KHAN, M.D., AS THE NEW DIRECTOR OF INTERVENTIONAL AND DIAGNOSTIC ENDOSCOPY. SPECIALLY TRAINED PEDIATRIC ENDOSCOPISTS CAN PERFORM A RANGE OF DIAGNOSTIC INTERVENTIONAL AND THERAPEUTIC PROCEDURES FOR CHILDREN, ALLOWING THEM TO AVOID REFERRAL TO ADULT ENDOSCOPISTS OR EVEN OPEN SURGERY. OUR PROGRAM IS ONE OF THE FEW IN THE NATION TO OFFER ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP), ENDOSCOPIC ULTRASOUND, AND PERORAL ENDOSCOPIC MYOTOMY (POEM) FROM A PEDIATRIC EXPERT. AT THE CORNERSTONE OF NATIONWIDE CHILDREN'S MISSION IS THE COMMITMENT TO PROVIDE HIGH-QUALITY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN FACT, NATIONWIDE CHILDREN'S PROVIDES APPROXIMATELY $320 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT SERVICES ANNUALLY. IN 2022, NATIONWIDE CHILDREN'S ACCOMPLISHED THIS BY PROVIDING MORE THAN $19.5 MILLION IN CHARITY CARE ASSISTANCE AND MORE THAN $150 MILLION OF UNREIMBURSED MEDICAID FOR A TOTAL OF OVER $169.8 MILLION IN UNCOMPENSATED CARE. APPROXIMATELY 54% OF NATIONWIDE CHILDREN'S PATIENT POPULATION IS COVERED BY MEDICAID. ADDITIONALLY, NATIONWIDE CHILDREN'S SUBSIDIZED LOSSES ON ITS BEHAVIORAL HEALTH AND HOMECARE PROGRAMS IN 2022. OUTPATIENT BEHAVIORAL HEALTH SERVICES ARE PROVIDED IN CLOSE-TO-HOME CENTERS AND AS COMMUNITY-BASED MENTAL HEALTH SERVICES PROVIDED IN SCHOOLS, CHILD WELFARE, JUVENILE COURT, COMMUNITY CENTERS AND PATIENT HOMES. NATIONWIDE CHILDREN'S PROVIDES BEHAVIORAL HEALTH SERVICES AMONG THE 10-BED EXTENDED OBSERVATION SUITE IN AN ATTEMPT TO AVOID INPATIENT ADMISSION. THE BIG LOTS BEHAVIORAL HEALTH PAVILION, DEDICATED EXCLUSIVELY TO CHILD AND ADOLESCENT MENTAL HEALTH, OPENED MARCH 10, 2020. IT FEATURES INPATIENT SERVICES, INTENSIVE OUTPATIENT SERVICES AND RESEARCH ALL UNDER ONE ROOF. THE PAVILION IS CURRENTLY STAFFING 33 INPATIENT PSYCHIATRIC BEDS ACROSS THREE SPECIALLY DESIGNED UNITS, INCLUDING ONE UNIT FOR CHILDREN WITH NEUROBEHAVIORAL DISORDERS. THE PAVILION ALSO HAS A 16-BED YOUTH CRISIS STABILIZATION UNIT, A PSYCHIATRIC CRISIS DEPARTMENT WITH A 10-BED EXTENDED OBSERVATION SUITE, TEACHING AND CONFERENCE SPACE. NATIONWIDE CHILDREN'S HOSPITAL HOMECARE IS THE ONLY PEDIATRIC HOSPITAL-BASED HOME HEALTH AGENCY IN CENTRAL OHIO PROVIDING HOME HEALTH CARE TO PATIENTS, BIRTH THROUGH AGE 21. CONTRACTED WITH ALL MAJOR PAYORS, INCLUDING MEDICAID MANAGED CARE PLANS, THE HOMECARE TEAM PROVIDES PEDIATRIC PATIENTS WITH SKILLED PEDIATRIC NURSING SUPPORT AT HOME, AS WELL AS ANSWERING MANY OTHER CLINICAL NEEDS SUCH AS OCCUPATIONAL THERAPY, PHYSICAL THERAPY AND SPEECH THERAPY. HOMECARE HAS AN ONSITE PHARMACY FOR COMPOUNDED STERILE AND SPECIALTY MEDICATIONS, HOME MEDICAL EQUIPMENT AND SUPPLIES. SOCIAL WORKERS AND A CHAPLAIN ROUND OUT THE SUPPORT AVAILABLE FOR PATIENTS. THERE WERE MORE THAN 8,200 NURSING HOME VISITS IN 2022. THE DEPTH AND BREADTH OF SERVICES OFFERED AT NATIONWIDE CHILDREN'S SPANS THE DEPTH AND BREADTH OF CHILD HEALTH. FROM LOOKING FOR EVIDENCE-BASED WAYS TO EFFECTIVELY ADDRESS SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY TO PROVIDING DAILY CARE FOR PATIENTS WITH CHRONIC OR LIFE-THREATENING CONDITIONS, THE EXPERTS AND SPECIALISTS AT NATIONWIDE CHILDREN'S ARE SUPPORTED BY A PROGRAMMATIC INFRASTRUCTURE THAT ENABLES THEM TO MEET THE NEEDS OF VARIOUS PATIENT POPULATIONS. TWO PROGRAMS OF NOTE INCLUDE THE OHIO BETTER BIRTH OUTCOMES (OBBO) COLLABORATIVE AND THE CENTRAL OHIO POISON CONTROL CENTER. NATIONWIDE CHILDREN'S IS A LEAD PARTNER IN THE OBBO COLLABORATIVE, WHICH IS A PARTNERSHIP OF FOUR HOSPITAL HEALTH SYSTEMS IN FRANKLIN COUNTY, OHIO, AS WELL AS THE COLUMBUS PUBLIC HEALTH DEPARTMENT, HEART OF OHIO FAMILY HEALTH, LOWER LIGHTS CHRISTIAN HEALTH CENTER AND PRIMARYONE HEALTH. THROUGH THE PARTNERSHIP, OBBO IS DEVOTED TO USING EVIDENCE-BASED INTERVENTIONS TO REDUCE INFANT MORTALITY RATES. THE GROUP'S KEY INITIATIVES INCLUDE IMPROVING REPRODUCTIVE HEALTH, EXPANDING ACCESS TO PRENATAL CARE, ADDRESSING RACIAL HEALTH INEQUITIES AND ENHANCING CLINICAL QUALITY INITIATIVES TO REDUCE PREMATURITY. THE CENTRAL OHIO POISON CENTER AT NATIONWIDE CHILDREN'S PROVIDES OHIO RESIDENTS WITH STATE-OF-THE-ART POISON PREVENTION, ASSESSMENT AND TREATMENT. SERVICES ARE AVAILABLE TO THE PUBLIC, MEDICAL PROFESSIONALS, INDUSTRY AND HUMAN SERVICES AGENCIES. THE POISON CENTER HANDLED 37,753 POISON EXPOSURE CALLS IN 2022. EXPERTS IN THE CENTER PROVIDE CONFIDENTIAL, FREE EMERGENCY POISONING TREATMENT ADVICE 24/7. PATIENT SAFETY IS AN ORGANIZATIONAL PRIORITY AND CORNERSTONE OF NATIONWIDE CHILDREN'S HOSPITAL'S COMMITMENT TO CHILDREN. OUR QUALITY AND SAFETY EFFORTS ARE ORGANIZED INTO THE NATIONALLY RECOGNIZED ZERO HERO PROGRAM. CURRENT INITIATIVES INCLUDE: 1. LEADING NATIONAL PEDIATRIC QUALITY AND SAFETY EFFORTS BY TRAINING THE NEXT GENERATION OF QI LEADERS THROUGH OUR QI FELLOWSHIP AND DISSEMINATING QI KNOWLEDGE AND SCIENCE THROUGH THE PEDIATRIC QUALITY AND SAFETY JOURNAL, ESTABLISHED AT NATIONWIDE CHILDREN'S HOSPITAL. 2. EXPANDING A FOCUS ON COMMUNICATION IN INTERDISCIPLINARY HEALTH TEAMS. 3. ESTABLISHING THE FIRST HEALTH CARE FOCUSED "SAFETY II" PROGRAM EMPHASIZING WHAT GOES RIGHT AND HOW TO REPLICATE IT THROUGHOUT THE INSTITUTION. 4. DEVELOPING A DIAGNOSTIC ERROR PROGRAM TO REDUCE MISSED OR UNIDENTIFIED HEALTH ISSUES. 5. FOCUSING OUR QUALITY, SAFETY AND SERVICE STRATEGIC PLAN ON SIMULATION, COMMUNICATION, BIG DATA ANALYTICS, ANTIBIOTIC STEWARDSHIP AND CLINICAL PATHWAYS. ANOTHER WAY PATIENT CARE IS IMPACTED IS THROUGH PARTNERS FOR KIDS (PFK), THE OLDEST AND LARGEST PEDIATRIC ACCOUNTABLE CARE ORGANIZATION IN THE UNITED STATES. PFK WAS CREATED IN 1994 BY NATIONWIDE CHILDREN'S HOSPITAL TO SERVE CHILDREN IN SOUTH CENTRAL AND SOUTH EASTERN OHIO, AND EXPANDED TO HELP CHILDREN IN THE WEST CENTRAL PART OF THE STATE. PFK IS A CRUCIAL LINK BETWEEN FAMILIES, HEALTH CARE PROVIDERS AND OHIO'S MANAGED MEDICAID SYSTEM, ALLOWING CHILDREN TO GET THE HIGH-QUALITY CARE THEY NEED, WHEN THEY NEED IT AND WHERE THEY NEED IT. PFK HAS FULL-RISK CAPITATION AGREEMENTS WITH THE 4 MEDICAID MANAGED CARE PLANS AND IS FINANCIALLY RESPONSIBLE FOR THE MEDICAL, DENTAL, VISION AND PHARMACY CLAIMS EXPENSES FOR APPROXIMATELY 477,000 CHILDREN ACROSS 47 COUNTIES. PFK WORKS CLOSELY WITH HOSPITALS, PHYSICIAN PRACTICES AND MEDICAID MANAGED CARE PLANS TO ENSURE COMPREHENSIVE AND QUALITY MEDICAL CARE IS AVAILABLE TO THE MEDICAID POPULATION WITHIN ITS SERVICE AREA. BECAUSE OF THE SIZE AND SCOPE OF PFK, IT HAS THE RARE ABILITY TO ADDRESS EACH PART OF THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S TRIPLE AIM: - IT IMPROVES THE PATIENT'S EXPERIENCE OF CARE BY OFFERING QUALITY IMPROVEMENT RESOURCES TO PROVIDERS AND WORKING WITH INDIVIDUAL FAMILIES TO COORDINATE SERVICES; - IT IMPROVES THE HEALTH OF POPULATIONS WITH EFFORTS TO ENSURE ALL 400,000+ CHILDREN IN ITS REGIONS HAVE ACCESS TO THE CARE THEY NEED WHEN THEY NEED IT - EVEN WHEN THEY ARE NOT SICK; - IT REDUCES THE PER CAPITA COST OF HEALTH CARE BY KEEPING CHILDREN AS HEALTHY AS POSSIBLE, AND BY PROVIDING THE HIGHEST QUALITY CARE WHEN CHILDREN HAVE HEALTH CHALLENGES. Form 990, Part III, Line 4d OTHER PROGRAM SERVICE ACTIVITIES CHILD ADVOCACY - NATIONWIDE CHILDREN'S HOSPITAL IS COMMITTED TO SERVING OUR COMMUNITY. THROUGH ADVOCACY AND VOLUNTEERING EFFORTS ACROSS THE ORGANIZATION, EMPLOYEES WORK IN THE COMMUNITY TO IMPROVE HEALTH OUTCOMES FOR ALL CHILDREN, NOT JUST THOSE WHO ARE PATIENTS HERE. BECAUSE OF OUR COMMITMENT TO HEALTH EQUITY AND BEST OUTCOMES FOR EVERY CHILD, WE ARE NATURALLY INCLINED TO ADVOCATE IN DIVERSE WAYS IN SUPPORT OF CHILDREN EVERYWHERE. ADVOCACY EFFORTS TO ACHIEVE THIS GOAL ARE MULTIFACETED. FROM WORKING WITH LEGISLATORS TO ENSURE HEALTH CARE COVERAGE FOR CHILDREN TO WORKING WITH COMMUNITY PARTNERS TO ADVANCE COMMUNITY WELLNESS, EFFORTS INCLUDE BUT ARE NOT LIMITED TO: PEDIATRIC HEALTH CARE LEGISLATION AND POLICIES: NATIONWIDE CHILDREN'S ACTIVELY PROMOTES LEGISLATION AND POLICIES THAT SUPPORT PEDIATRIC HEALTH CARE LOCALLY AND NATIONALLY. IN 2022, NATIONWIDE CHILDREN'S HOSTED THE U.S. SURGEON GENERAL FOR A VISIT AND CONVERSATION ABOUT CHILD MENTAL HEALTH. NATIONWIDE CHILDREN'S, IN CONJUNCTION WITH THE CHILDREN'S HOSPITAL ASSOCIATION, ADVOCATES FOR PROTECTING ACCESS TO HEALTH CARE FOR CHILDREN THROUGH MEDICAID AND THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP). ADDITIONALLY, THROUGH THE CHILD HEALTH PATIENT SAFETY ORGANIZATION, NATIONWIDE CHILDREN'S IS WORKING TO IMPROVE HOSPITAL AND NATIONAL PATIENT, FAMILY AND EMPLOYEE SAFETY EFFORTS. NATIONWIDE CHILDREN'S ALSO TRAINS THE NEXT GENERATION OF CHILD HEALTH ADVOCATES BY OFFERING AN ADVOCACY ROTATION TO THE HOSPITAL'S RESIDENTS. EDUCATIONAL SESSIONS AND EVENTS, INCLUDING THE ANNUAL RESIDENT ADVOCACY DAY AT THE OHIO STATEHOUSE, INTRODUCE FUTURE PEDIATRICIANS TO POLICY ISSUES SURROUNDING CHILD HEALTH. IN 2022, NATIONWIDE CHILDREN'S MADE SPECIAL EFFORTS TO URGE FOR INCREASED FEDERAL FUNDING FOR THE CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION PROGRAM, SUPPORTING THE TRAINING OF RESIDENTS AND FELLOWS. AT THE STATE LEVEL NATIONWIDE CHILDREN'S HOSPITAL ADVOCATED ON A VARIETY OF ISSUES RELATED TO MEDICAID, PEDIATRIC MENTAL HEALTH, AND PEDIATRIC PHYSICAL HEALTH. AS CHILDREN AND FAMILIES ACROSS CENTRAL OHIO HAVE CONTINUED TO BE IMPACTED BY A HOUSING AFFORDABILITY CRISIS, NATIONWIDE CHILDREN'S HAS CONTINUED TO DEVELOP SINGLE-FAMILY AFFORDABLE HOUSING UNITS IN COLUMBUS' LINDEN NEIGHBORHOOD THROUGH ITS PROVEN HEALTHY NEIGHBORHOODS, HEALTHY FAMILIES COMMUNITY HEALTH AND ECONOMIC IMPROVEMENT INITIATIVE, WITH SUPPORT FROM THE NATIONWIDE FOUNDATION AND IN PARTNERSHIP WITH THE OHIO CAPITAL FINANCE CORPORATION, CITY OF COLUMBUS AND OTHERS. THE PROGRAM EXPANDED TO LINDEN IN 2020 IN ALIGNMENT WITH THE ONE LINDEN PLAN, A VISION DEVELOPED BY LINDEN NEIGHBORHOOD COMMUNITY LEADERS AND THE CITY OF COLUMBUS. CHILD SAFETY: THE WORK OF THE CENTER FOR FAMILY SAFETY AND HEALING (TCFSH) IS DEDICATED TO REDUCING THE OCCURRENCE OF CHILD ABUSE AND ALL ASPECTS OF FAMILY VIOLENCE, INCLUDING CHILD ABUSE AND NEGLECT, TEEN DATING ABUSE, DOMESTIC VIOLENCE AND ELDER ABUSE. THE CENTER HAS A ONE-STOP, COORDINATED RESPONSE TO FAMILY VIOLENCE FOR INDIVIDUALS AND FAMILIES THROUGH ITS COLLABORATION WITH KEY COMMUNITY AGENCIES. TCFSH OFFERS A CONTINUUM OF RESEARCH-BASED PREVENTION, ASSESSMENT, INTERVENTION AND TREATMENT PROGRAMS FOR INDIVIDUALS WHO HAVE EXPERIENCED FAMILY VIOLENCE. IN 2022, TCFSH HAD 1,086 VISITS TO THE CHILD ASSESSMENT CENTER AND 815 NATIONWIDE CHILDREN'S INPATIENT CONSULTS. THE CENTER'S TRAINING AND ADVOCACY DEPARTMENT (TAD) PROVIDES EDUCATIONAL AND TRAINING OPPORTUNITIES REGARDING FAMILY VIOLENCE TO INDIVIDUALS AND ORGANIZATIONS IN THE COMMUNITY. THE GOAL IS TO HELP COMMUNITY MEMBERS RECOGNIZE THE WARNING SIGNS OF FAMILY VIOLENCE, RESPOND APPROPRIATELY TO SOMEONE WHO MAY BE EXPERIENCING FAMILY VIOLENCE, AND MAKE A REFERRAL TO PROVIDE SUPPORT. IN 2022, TAD SERVED 67 ORGANIZATIONS THROUGHOUT THE COMMUNITY AND CONDUCTED 199 TRAININGS. NATIONWIDE CHILDREN'S ALSO WORKED WITH THE CITY OF COLUMBUS TO PROVIDE SAFETY CITY, AN INJURY-PREVENTION CURRICULUM THAT WAS LAST SEEN INSIDE THE CITY LIMITS IN THE 1980S. THE PROGRAM IS DESIGNED FOR CHILDREN WHO ARE APPROXIMATELY 5 TO 7 YEARS OLD, AND FOCUSES ON PREVENTING SOME OF THE MOST COMMON CAUSES OF INJURY. THE CURRICULUM CAN CHANGE DEPENDING ON THE AGES AND NEIGHBORHOODS, THOUGH IT USUALLY FOCUSES ON AREAS INCLUDING BIKE SAFETY, DROWNING PREVENTION AND WATER SAFETY, FIREARM SAFETY, HOUSEHOLD CHEMICAL SAFETY AND SAFELY APPROACHING ANIMALS AND PETS. NATIONWIDE CHILDREN'S USED GEOGRAPHIC MORTALITY DATA, ALONG WITH ITS EXPERIENCE IN ADDRESSING INFANT MORTALITY THROUGH OHIO BETTER BIRTH OUTCOMES, TO DETERMINE PILOT PROJECT SITES. CREATING A MOVEMENT FOR CHILDREN'S MENTAL HEALTH: IN 2018, NATIONWIDE CHILDREN'S HOSPITAL CREATED THE ON OUR SLEEVES MOVEMENT FOR CHILDREN'S MENTAL HEALTH. SINCE THAT TIME, IT HAS GROWN TO A NATIONAL PLATFORM WITH A MISSION TO GIVE FREE, EXPERT-CREATED RESOURCES TO ALL U.S. COMMUNITIES SO EVERYONE CAN UNDERSTAND AND PROMOTE MENTAL HEALTH FOR CHILDREN. CONTENT IS DESIGNED TO BREAK STIGMAS, INCREASE LITERACY AND BUILD SKILLS. PART OF THOSE RESOURCES INCLUDE CURRICULA FOR EDUCATORS, AN EMPLOYEE WELLNESS PROGRAM, GUIDES AND TOOLS FOR PARENTS AND COACHES AND RESOURCES FOR PRIMARY CARE PROVIDERS. IN 2022 ALONE, ON OUR SLEEVES CONTENT WAS ACCESSED BY MORE THAN 6 MILLION PEOPLE. ECHO AND BH TIPS: PRIMARY CARE IS A FRONT DOOR TO THE MENTAL HEALTH SYSTEM. IT'S THE FIRST PLACE MOST PARENTS GO WHEN THEY HAVE A CONCERN ABOUT THEIR CHILD'S BEHAVIOR AND DEVELOPMENT. THAT'S WHY NATIONWIDE CHILDREN'S BEHAVIORAL HEALTH AND PRIMARY CARE EXPERTS HAVE BEEN WORKING TOGETHER IN INTEGRATED PRACTICES. BEHAVIORAL HEALTH TREATMENT INSIGHTS AND PROVIDER SUPPORT (BH-TIPS) IS A VIRTUAL BEHAVIORAL HEALTH CONSULTATION SERVICE FOR COMMUNITY-BASED PROVIDERS. PROVIDERS SCHEDULE 15-MINUTE APPOINTMENTS WITH NATIONWIDE CHILDREN'S PSYCHIATRISTS FOR SUPPORT AND INSIGHT. SINCE LAUNCHING IN 2021, BH-TIPS HAS COMPLETED 258 CONSULTATIONS WITH 122 PRIMARY CARE PROVIDERS IN 22 OHIO COUNTIES. PROJECT ECHO (EXTENSION FOR COMMUNITY HEALTHCARE OUTCOMES) IS A COLLABORATIVE MEDICAL EDUCATION AND CARE MANAGEMENT MODEL THAT EMPOWERS CLINICIANS TO PROVIDE BETTER CARE TO MORE PEOPLE. PROJECT ECHO PROFESSIONAL SERIES AT NATIONWIDE CHILDREN'S HOSPITAL FOCUSES ON DIAGNOSTIC AND MEDICAL CARE FOR CHILDREN AND YOUTH. WE WELCOME PHYSICIANS, NURSES, PSYCHOLOGISTS, COUNSELORS, SOCIAL WORKERS, HEALTHCARE ADMINISTRATORS, COMMUNITY HEALTH WORKERS, PHARMACISTS, AND PUBLIC HEALTH PRACTITIONERS TO PARTICIPATE. ECHO CREATES ONGOING LEARNING COMMUNITIES WHERE COMMUNITY-BASED PROVIDERS RECEIVE SUPPORT AND DEVELOP THE SKILLS THEY NEED TO DIAGNOSE AND TREAT PEDIATRIC PATIENTS. AS A RESULT, THEY CAN PROVIDE COMPREHENSIVE, BEST-PRACTICE CARE TO PATIENTS WITH COMPLEX HEALTH CONDITIONS, IN THEIR OWN COMMUNITIES. ECHO DATA - PROFESSIONAL SERIES 2022 ECHO SERIES: 13 ECHO SESSIONS: 157 INDIVIDUAL ATTENDEES: 471 TOTAL ATTENDANCES: 2497 NATIONWIDE CHILDREN'S ALSO UTILIZES PROJECT ECHO TO SUPPORT FAMILIES THROUGH THE ECHO FAMILY SERIES. FAMILY ECHO: AUTISM IS A VIRTUAL LEARNING PROGRAM FOR FAMILIES AND CAREGIVERS RAISING CHILDREN WITH AUTISM. AS A COLLABORATIVE ENVIRONMENT, FAMILY ECHO: AUTISM, CONNECTS FAMILIES WITH AN INTERDISCIPLINARY PANEL OF EXPERTS. THE SERIES IS DESIGNED TO INCREASE AUTISM KNOWLEDGE, BUILD LEADERSHIP SKILLS FOR MANAGING INTERDISCIPLINARY CARE TEAMS AND PROVIDE STRATEGIES THAT CAN BE APPLIED FOR FAMILIES AND THEIR TEAMS. ECHO DATA - FAMILY SERIES 2022 ECHO SERIES: 2 ECHO SESSIONS: 12 INDIVIDUAL ATTENDEES: 1740 TOTAL ATTENDANCES: 2582 CUMULATIVE PROJECT ECHO DATA 2022 (PROFESSIONAL SERIES + FAMILY SERIES) ECHO SERIES: 15 ECHO SESSIONS: 169 INDIVIDUAL ATTENDEES: 2211 TOTAL ATTENDANCES: 5079 LANGUAGE SERVICES: NATIONWIDE CHILDREN'S AIMS TO COMMUNICATE EFFECTIVELY WITH ITS DIVERSE PATIENT POPULATION. LANGUAGE SERVICES ARE PROVIDED AT NO ADDITIONAL COST. FOUR LANGUAGES (SPANISH, SOMALI, NEPALI AND ARABIC) ARE SERVICED BY 26 CERTIFIED STAFF INTERPRETERS WHO HAVE A HIGH LEVEL OF PROFICIENCY IN AT LEAST TWO LANGUAGES. AN ADDITIONAL 96 LANGUAGES INCLUDING AMERICAN SIGN LANGUAGE ARE SERVICED THROUGH CONTRACTORS. WITH 5,600 CLINICAL IN-PERSON INTERPRETING SESSIONS, 9,800 VIDEO INTERPRETING AND 13,000 PHONE INTERPRETING CALLS OCCURRING MONTHLY, PATIENTS AND THEIR FAMILIES WITH LIMITED ENGLISH PROFICIENCY OR WHO ARE DEAF OR HARD OF HEARING RECEIVE ACCESSIBLE CARE. NEIGHBORHOOD REVITALIZATION: EMPLOYEES, FACULTY AND STAFF AT NATIONWIDE CHILDREN'S ARE ALL INVESTED IN THE COMMUNITY SURROUNDING THE HOSPITAL'S MAIN CAMPUS. FROM VOLUNTEERING AT NEIGHBORHOOD EVENTS TO SPENDING TIME AT THE AREA'S FOOD BANK OR FREE STORE, EMPLOYEES ARE MOST ENGAGED IN THE COMMUNITY THROUGH THE HEALTHY NEIGHBORHOODS HEALTHY FAMILIES (HNHF) INITIATIVE. HNHF AT NATIONWIDE CHILDREN'S COLLABORATES WITH COMMUNITY PARTNERS TO FOCUS ON FIVE KEY AREAS: EDUCATION, AFFORDABLE HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY ENRICHMENT, AND HEALTH AND WELLNESS. Form 990, Part III, Line 4b PROGRAM SERVICE ACTIVITY #2 RESEARCH - THE ABIGAIL WEXNER RESEARCH INSTITUTE (AWRI) AT NATIONWIDE CHILDREN'S HOSPITAL IS ONE OF THE LARGEST FREESTANDING PEDIATRIC RESEARCH FACILITIES IN THE UNITED STATES. RANKED IN THE TOP 10 IN THE NATION FOR NATIONAL INSTITUTES OF HEALTH (NIH) FUNDING, AWRI OCCUPIES MORE THAN 785,000 SQUARE FEET OF DEDICATED RESEARCH SPACE ACROSS FOUR BUILDINGS ON THE HOSPITAL'S MAIN CAMPUS. RESEARCH BUILDING IV, WHICH BEGAN CONSTRUCTION IN 2020 AND OPENED IN MAY 2023, AND RESEARCH BUILDING III ARE CONNECTED THROUGH A COMMON ENTRY ATRIUM AND ON EVERY FLOOR, ENABLING THEM TO FUNCTION AS ONE COMPLEX. HERE, WORLD-CLASS CLINICAL CARE AND CHILD HEALTH RESEARCH OPERATIONS ARE SEAMLESSLY INTEGRATED. IN 2022, AWRI TEAM INCLUDED MORE THAN 1,613 RESEARCH INSTITUTE EMPLOYEES, 78 RESEARCH FELLOWS, 61 GRADUATE STUDENTS AND 249 PRINCIPAL INVESTIGATORS (WHO HAVE $50,000 OR MORE IN RESEARCH FUNDING SUPPORT). NATIONWIDE CHILDREN'S IS ALSO HOME TO WORLD-CLASS GENE AND CELL THERAPY RESEARCH. AS LEADERS IN THE FIELD WITH NUMEROUS GENE AND CELL THERAPY CANDIDATES IN PRECLINICAL STUDIES AND CLINICAL PROTOCOLS, AS WELL AS THE FIRST FDA-APPROVED GENE THERAPY FOR SYSTEMIC ADMINISTRATION, OUR TEAM IS GIVING HOPE FOR FAMILIES FACING CONDITIONS RANGING FROM CANCER TO NEUROMUSCULAR AND NEUROLOGIC DISEASES AND BEYOND. IN 2022, OUR SCIENTISTS PUBLISHED THE FIRST PROOF-OF-CONCEPT STUDY SHOWING AN EFFECTIVE GENE THERAPY APPROACH TO CANCER. THEY ALSO INITIATED A FIRST-IN-CHILDREN TRIAL OF NATURAL KILLER (NK) CELLS FOR ACUTE MYLEOID LEUKEMIA. OUR CELL AND GENE THERAPY CLINICAL RESEARCH PROGRAMS CONTINUE TO GROW, WITH TEN CELL THERAPY AND NINE GENE THERAPY TRIALS UNDERWAY IN 2022. OUR RESEARCHERS ARE COMMITTED TO EXPANDING THE PROMISE OF GENOMICS TO THE CLINIC. 2022 WAS A BREAKOUT YEAR IN THE VOLUME AND DEPTH OF GENOMIC STUDIES AT THE STEVE AND CINDY RASMUSSEN INSTITUTE FOR GENOMIC MEDICINE (IGM) AT NATIONWIDE CHILDREN'S. IN 2022, 630 PATIENTS RECEIVED COMPREHENSIVE GENOME/EXOME TESTING ANALYSIS. TRANSLATIONAL PROTOCOLS HAVE BEEN EXPANDED TO STUDY GENOMES OF PATIENTS WITH AUTISM, BIPOLAR AND OTHER BEHAVIORAL AND MENTAL HEALTH CONDITIONS. IN ADDITION, THE TUMOR/NORMAL EXOME TEST AND THE CNS METHYLATION CLASSIFIER TEST HAVE TRANSITIONED FROM OUR CANCER TRANSLATIONAL PROTOCOL TO CLINICAL TESTING, OFFERING PATIENTS ADVANCED CLINICAL TESTING FOR THEIR TUMORS. THROUGH THE EPILEPSY TRANSLATIONAL PROTOCOL, THE TEAM HAS DEMONSTRATED THEIR ABILITY TO DETECT MOSAIC VARIATIONS ASSOCIATED WITH DIAGNOSIS, PROVIDING UNDERLYING ALTERATIONS THAT EXPLAIN SEIZURES. IMPORTANTLY, THESE RESULTS HAVE TWO BENEFITS, THEY EDUCATE PARENTS AND PATIENTS ABOUT THE ROOT CAUSE OF EPILEPSY AND THEY FUEL ADDITIONAL RESEARCH INTO HOW THESE GENES CAUSE EPILEPSY. IN 2022, NATIONWIDE CHILDREN'S PARTNERED WITH THE NATIONAL CANCER INSTITUTE (NCI) AND CHILDREN'S ONCOLOGY GROUP (COG) IN THE MOLECULAR CHARACTERIZATION INITIATIVE. NATIONWIDE CHILDREN'S BIOPATHOLOGY CENTER AND IGM ARE PROVIDING TWO CRITICAL ASPECTS OF THIS INITIATIVE. THE BIOPATHOLOGY CENTER OVERSEES THE COG BIOBANK AND WILL PROCESS ALL SAMPLES. THE IGM WILL PERFORM THE CLINICAL MOLECULAR CHARACTERIZATION ASSAYS. THE NATIONAL HEART LUNG AND BLOOD INSTITUTE (NHLBI) OF THE NATIONAL INSTITUTES OF HEALTH (NIH) ANNOUNCED IN 2022 THAT NATIONWIDE CHILDREN'S HAS BEEN SELECTED FOR FUNDING AS THE CLINICAL COORDINATING CENTER FOR THE MULTICENTER RANDOMIZED TRIAL: "PERCUTANEOUS INTERVENTION VERSUS OBSERVATIONAL TRIAL OF ARTERIAL DUCTUS IN LOWER GESTATIONAL AGE INFANTS (PIVOTAL)". NATIONWIDE CHIDLREN'S RESEARCHERS' PRIOR RESEARCH IN THIS AREA HELPED TO SHOW THE NEED FOR THIS TRIAL. THE TRIAL WILL COMPARE PDA CLOSURE VIA A MINIMALLY INVASIVE HEART CATHETER CLOSURE-DEVICE, IN VENTILATED PRETERM INFANTS WITH PDAS THAT ARE AFFECTING THEIR HEMODYNAMICS, TO SUPPORTIVE CARE WITHOUT CLOSURE. THE STUDY WILL ALSO EVALUATE SAFETY AND IMPROVEMENT IN NEURODEVELOPMENTAL OUTCOMES. NATIONWIDE CHILDREN'S HAS ALSO DOUBLED DOWN ON ITS COMMITMENTS TO HEALTH EQUITY RESEARCH AND TO ADDRESSING SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITY. IN 2022, THE FACULTY IN THE CENTER FOR CHILD HEALTH EQUITY AND OUTCOMES RESEARCH AUTHORED MORE THAN 100 PEER-REVIEWED PUBLICATIONS. THEY ALSO EARNED NATIONAL INSTITUTES OF HEALTH (NIH)-R01 GRANTS IN SUPPORT OF THEIR RESEARCH IN THE FOLLOWING: * THE IMPACT OF STRUCTURAL RACISM ON MATERNAL AND CHILD HEALTH IN THE LINDEN COMMUNITY * CLINICAL TRIAL OF FAMILY NURSE PARTNERSHIPS FOR WOMEN WITH PREVIOUS LIVE BIRTHS * RACIAL/ETHNIC AND GEOGRAPHIC DIFFERENCES IN PEDIATRIC TONSILLECTOMY USE * PRIMARY CARE ALGORITHM DEVELOPMENT FOR EARLY IDENTIFICATION OF YOUNG WOMEN WITH BLEEDING DISORDERS * IMPACT OF COVID-19 ON PANDEMIC SAFETY NET PERFORMANCE, DISPARITIES AND VULNERABLE CHILDREN IN 2022, THE CENTER FOR SUICIDE PREVENTION AND RESEARCH RECEIVED A P50 CENTER GRANT FROM THE NATIONAL INSTITUTE OF MENTAL HEALTH TO SUPPORT A NEW CENTER FOCUSED ON SUICIDE PREVENTION. THE GRANT FUNDS THE CENTER FOR ACCELERATING SUICIDE PREVENTION IN REAL-WORLD SETTINGS (ASPIRES). THIS CENTER WILL ACCELERATE THE DEVELOPMENT AND USE OF EFFECTIVE INTERVENTIONS TO REDUCE SUICIDE IN CHILDREN AND ADOLESCENTS. THE CENTER FOR INJURY RESEARCH AND POLICY (CIRP) IS ONE OF ONLY NINE CENTERS IN THE UNITED STATES CURRENTLY DESIGNATED AS AN INJURY CONTROL RESEARCH CENTER (ICRC) BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND THE ONLY ICRC FOCUSING ON CHILDREN AND ADOLESCENTS. CIRP CONDUCTS INNOVATIVE RESEARCH ON A VARIETY OF TOPICS TO IMPROVE UNDERSTANDING OF THE EPIDEMIOLOGY, BIOMECHANICS, PREVENTION, ACUTE TREATMENT, AND REHABILITATION OF PEDIATRIC INJURIES AND REDUCE INJURY-RELATED DEATH AND DISABILITIES. IN 2022, PRINCIPAL INVESTIGATORS CONTINUED THEIR RESEARCH IN FIREARM SAFETY AND USING FENTANYL TEST STRIPS TO REDUCE OVERDOSE DEATHS, AMONG OTHER TOPICS. IN 2022, A COLLABORATIVE STUDY FROM SAFE KIDS WORLDWIDE AND NATIONWIDE CHILDREN'S SHOWED THAT PEDIATRIC BATTERY-RELATED EMERGENCY DEPARTMENT VISITS HAD MORE THAN DOUBLED IN THE RECENT DECADE. THIS STUDY AND OTHERS BEFORE IT BY RESEARCHERS AT NATIONWIDE CHILDREN'S HELPED LAY THE GROUNDWORK FOR REESE'S LAW, SIGNED IN AUG 2022. REESE'S LAW, SIGNED WITH BIPARTISAN SUPPORT, REQUIRES THE CONSUMER PRODUCT SAFETY COMISSION (CPSC) TO DEVELOP CHILD-RESISTANT TESTING STANDARDS FOR BATTERY COMPARTMENTS OF BUTTON BATTERY-POWERED DEVICES. IT ALSO REQUIRES CLEAR LABELING ABOUT THE RISK OF INGESTION AMONG YOUNG CHILDREN. NATIONWIDE CHILDREN'S HAS EARNED THE NATIONAL PANCREAS FOUNDATION'S (NPF) RECOGNITION AS AN ACADEMIC CENTER OF EXCELLENCE. THIS IS IN ADDITION TO THE CLINICAL CENTER OF EXCELLENCE DESIGNATION THAT NATIONWIDE CHILDREN'S RECEIVED IN 2020, WHICH HAS NOW BEEN RENEWED. THE ACADEMIC NPF DESIGNATION ACKNOWLEDGES THE IMPORTANCE OF NATIONWIDE CHILDREN'S COMPREHENSIVE CONTRIBUTIONS TO THE ADVANCEMENT OF BOTH CLINICAL CARE AND RESEARCH SCIENCE IN PEDIATRIC PANCREATIC DISEASES. NPF CENTER DESIGNATIONS ARE AWARDED AFTER A RIGOROUS AUDIT TO DETERMINE THAT AN INSTITUTION'S FOCUS IS ON MULTIDISCIPLINARY TREATMENT OF PANCREATITIS, TOGETHER WITH A DEDICATION TO CONDUCTING CLINICAL RESEARCH. OVERALL, MORE THAN 1,700 PAPERS WERE PUBLISHED IN 2022 BY NATIONWIDE CHILDREN'S SCIENTISTS IN PEER-REVIEWED MEDICAL AND SCIENTIFIC JOURNALS, AND AT THE END OF 2022, THERE WERE 2,074 INSTITUTIONAL REVIEW BOARD (IRB) APPROVED STUDIES IN PROGRESS. Form 990, Part III, Line 4c PROGRAM SERVICE ACTIVITY #3 EDUCATION - AS AN ACADEMIC MEDICAL CENTER, THE HOSPITAL'S MISSION INCLUDES PREPARING THE NEXT GENERATION OF PEDIATRIC HEALTHCARE PROVIDERS. IN 2022, 600 OHIO STATE UNIVERSITY ("OSU") FACULTY MEMBERS TRAINED 375 MEDICAL STUDENTS, 152 DENTAL STUDENTS, 310 HOSPITAL-SPONSORED MEDICAL, SURGICAL AND DENTAL RESIDENTS, AND OVER 600 PHYSICIAN AND DENTAL TRAINEES FROM OTHER INSTITUTIONS. THE HOSPITAL HAS BEEN THE PRIMARY PEDIATRIC TEACHING SITE OF THE OSU COLLEGE OF MEDICINE FOR MORE THAN 50 YEARS. IN 2022, THE HOSPITAL SPONSORED 37 ACCREDITED MEDICAL/DENTAL RESIDENCY AND FELLOWSHIP PROGRAMS, 32 ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION; 5 ACCREDITED BY OTHER ORGANIZATIONS. THE HOSPITAL HAS 38 ADDITIONAL FELLOWSHIPS FOR WHICH NO NATIONAL ACCREDITATION CURRENTLY EXISTS. THESE PROGRAMS TRAIN PEDIATRIC SPECIALISTS TO MEET 21ST CENTURY HEALTHCARE NEEDS IN SUCH DIVERSE PEDIATRIC PROGRAMS AS NEUROMUSCULAR GENETICS, EPILEPSY SURGERY, BONE MARROW TRANSPLANT, COLORECTAL SURGERY, ADVANCED HEART FAILURE AND CARDIAC TRANSPLANT, AND QUALITY AND SAFETY LEADERSHIP. GIVEN THE ACCELERATING NATIONAL SHORTAGE OF PEDIATRIC SUBSPECIALISTS, RECRUITMENT IS AN IMPORTANT OUTCOME FOR THE HOSPITAL'S EDUCATION INVESTMENT. IN 2022, 13 PHYSICIAN SPECIALTIES RECRUITED 15 FELLOWS TO OPEN JUNIOR FACULTY POSITIONS. 100% OF GRADUATING RESIDENTS SEEKING PEDIATRIC FELLOWSHIPS SUCCESSFULLY SECURED POSITIONS TO CONTINUE THEIR ACADEMIC CAREER. EDUCATION ALSO HELPS FILL NATIONAL GAPS IN MIDLEVEL PROVIDERS WHO ARE ESSENTIAL TO SAFE, HIGH QUALITY, 24/7 TEAM-BASED CARE. FOR OVER 30 YEARS, THE HOSPITAL HAS EDUCATED NEONATAL NURSE PRACTITIONERS AND ADVANCED PRACTICE NURSES. INCREASED DEMAND HAS RESULTED IN ACUTE NATIONAL SHORTAGES AND, IN 2018, LED THE HOSPITAL TO START TWO NEW PROGRAMS: (1) A NEONATAL PHYSICIAN ASSISTANT PROGRAM; AND (2) A PEDIATRIC CHILD PSYCHIATRY NURSE RESIDENCY, THE FIRST SUCH PROGRAM IN THE COUNTRY. THE CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION PAYMENT PROGRAM ("CHGME") IS A FEDERAL PROGRAM THAT UNDERWRITES SOME OF THE EXPENSES FREESTANDING CHILDREN'S HOSPITALS INCUR TO TRAIN PHYSICIAN AND DENTAL RESIDENTS IN ACCREDITED PROGRAMS. THE HOSPITAL RECEIVED APPROXIMATELY $8.9 MILLION IN 2022, FOR A TOTAL OF OVER $25 MILLION IN EXPENSES UNDERWRITTEN OVER THE PAST THREE YEARS, FROM CHGME. IN 2022, APPROXIMATELY 1,800 NURSING STUDENTS, 184 PARAMEDIC STUDENTS, AND OVER 700 OTHER STUDENTS FROM ALLIED HEALTH DISCIPLINES SUCH AS PHARMACY, SPEECH AND LANGUAGE PATHOLOGY, OCCUPATIONAL THERAPY, PSYCHOLOGY, CHILD LIFE, AND SOCIAL WORK RECEIVED THEIR PEDIATRIC EDUCATION AT THE HOSPITAL. IN ADDITION TO OSU, THE HOSPITAL HAS AFFILIATIONS WITH OVER 400 OTHER UNIVERSITIES, HOSPITALS, AND INSTITUTIONS. THE HOSPITAL ALSO OFFERS MENTORING, SHADOWING, YOUNG SCIENTIST, STEMM (SCIENCE, TECHNOLOGY, ENGINEERING, MATHEMATICS AND MEDICINE), AND/OR MINORITY RECRUITMENT PROGRAMS WITHIN 151 SCHOOL DISTRICTS. THE HOSPITAL OFFERS PROFESSIONAL EDUCATION PROGRAMS TO IMPROVE AND SUSTAIN DELIVERY OF HIGH-QUALITY PEDIATRIC CARE TO ALL CHILDREN. IN 2022, IT AWARDED OVER 152,000 CONTINUING MEDICAL EDUCATION CREDITS TO APPROXIMATELY 34,000 PHYSICIANS AND 45,000 ALLIED HEALTH PROFESSIONALS, INCLUDING DENTISTS/DENTAL ASSISTANTS, NURSES, PHARMACISTS/PHARMACY TECHNICIANS, PHYSICIAN ASSISTANTS, PSYCHOLOGISTS, AND SOCIAL WORKERS; AND ORGANIZED 28 LOCAL, REGIONAL, NATIONAL, AND INTERNATIONAL CONFERENCES. IN 2022, THE HOSPITAL TAUGHT 8300 INTERDISCIPLINARY PARTICIPANTS IN OVER 1200 SIMULATION SESSIONS. THE HOSPITAL WORKS CLOSELY WITH LOCAL HEALTHCARE PROVIDERS, INCLUDING 21 AFFILIATE HOSPITALS, TO STANDARDIZE PEDIATRIC CARE THROUGHOUT OHIO. IN 2022, THE HOSPITAL PROVIDED 30 OUTREACH EDUCATION SESSIONS FOR 762 PARTICIPANTS. AN ADDITIONAL 1408 HEALTH CARE PROVIDERS RECEIVED PEDIATRIC ADVANCED LIFE SUPPORT TRAINING AND 66 PROVIDERS RECEIVED PEDIATRIC EMERGENCY ASSESSMENT AND RECOGNITION TRAINING FROM THE HOSPITAL. IN ADDITION, 391 HEALTH CARE PROVIDERS RECEIVED ADVANCED CARDIAC LIFE SUPPORT. IN ADDITION, WE HELD 842 SIMULATION SESSIONS AND TRAINED OVER 6900 LEARNERS IN 2022. SINCE 2012, THE HOSPITAL'S PREP (PERSONAL RESPONSIBILITY EDUCATION PROGRAM) HAS TRAINED STAFF IN OVER 50 AGENCIES TO EDUCATE VERY HIGH-RISK ADOLESCENTS IN JUVENILE JUSTICE AND FOSTER CARE. PATIENT, FAMILY, AND COMMUNITY EDUCATION ARE VERY IMPORTANT TO HEALTH AND WELLBEING. IN 2022, APPROXIMATELY 50,000 CHILDREN AND ADULTS PARTICIPATED IN HOSPITAL-SPONSORED EDUCATION, SPECIALTY CAMPS, HEALTH FAIRS, AND OTHER EDUCATION EVENTS. THE HOSPITAL DISTRIBUTED OVER 3.2 MILLION PATIENT EDUCATION TEACHING TOOLS FOR CHILDREN AND FAMILIES. THE FAMILY HEALTH INFORMATION CENTER PROVIDED MULTIMEDIA HEALTH EDUCATION MATERIALS TO MORE THAN 1,200 FAMILIES. THE HOSPITAL IS WORKING TO IMPROVE POPULATION HEALTH. ONE INITIATIVE, CALLED "SPARK," IS AN EVIDENCE-BASED, NO-COST KINDERGARTEN READINESS PROGRAM FOR FAMILIES LIVING NEAR THE HOSPITAL. ON A MONTHLY BASIS, CHILDREN RECEIVE A NEW BOOK, LESSON ACTIVITIES CUSTOMIZED TO THEIR NEEDS, AND EDUCATIONAL SUPPLIES, ALONG WITH HOME OR GROUP-BASED LEARNING. IN 2022, BY THE END OF THE PROGRAM, 98% OF THE CHIDREN WERE KINDERGARTEN READY AS EVIDENCED BY THEIR TEST SCORES. THE HOSPITAL CONTINUES TO EDUCATE EVERY HOSPITAL AND MEDICAL STAFF MEMBER ON QUALITY IMPROVEMENT. THE HOSPITAL'S QUALITY LEADERSHIP ACADEMY IS NATIONALLY RECOGNIZED FOR TRAINING THE NEXT GENERATION OF QUALITY IMPROVEMENT ("QI") LEADERS. SINCE 2010, THE HOSPITAL HAS TRAINED OVER 500 HEALTHCARE PROFESSIONALS FROM THE HOSPITAL AS WELL AS CHILDREN'S NATIONAL MEDICAL CENTER (WASHINGTON DC), CHILDREN'S HOSPITAL KING'S DAUGHTER'S (NORFOLK), CHILDREN'S HEALTHCARE OF ATLANTA, UNIVERSITY HOSPITALS RAINBOW BABIES & CHILDREN'S HOSPITAL (CLEVELAND) AND OSCHNER MEDICAL CENTER (NEW ORLEANS), AND DRISCOLL CHILDREN'S HOSPITAL (CORPUS CHRISTI). THE HOSPITAL WAS THE FIRST CHILDREN'S HOSPITAL DESIGNATED BY THE AMERICAN BOARD OF MEDICAL SPECIALTIES AS A PORTFOLIO PROGRAM SPONSOR. SINCE 2012, NEARLY 1,000 PHYSICIANS (AND HUNDREDS OF OTHER TEAM MEMBERS) HAVE ENGAGED IN 280 DIFFERENT QI PROJECTS FOR MOC PART IV CREDIT AT NO CHARGE TO PHYSICIANS. Form 990, Part III, Line 4d OTHER PROGRAM SERVICE ACTIVITIES (CONTINUED) EDUCATION - ONE OF THE NEIGHBORHOOD CHALLENGES UNCOVERED BY THE HEALTH CARE NEEDS ASSESSMENT, PERFORMED IN COLLABORATION WITH FRANKLIN COUNTY, WAS ACCESS TO PRESCHOOL EDUCATION FOR KINDERGARTEN READINESS. THE HNHF INITIATIVE AT NATIONWIDE CHILDREN'S OFFERS A KINDERGARTEN READINESS PROGRAM, CALLED SPARK, WHERE STAFF WORKED WITH CAREGIVERS AND CHILDREN TO LEARN APPROPRIATE TOOLS FOR WORKING TOWARD KINDERGARTEN READINESS TOGETHER. IN 2022, 97% OF CHILDREN WERE KINDERGARTEN-READY BASED ON PRE-AND POST-TEST SCORES. KINDERGARTEN LITERACY SCREENS ARE NOW BEING DONE IN SELECT PRIMARY CARE CENTERS. NATIONWIDE CHILDREN'S EDUCATIONAL FOCUS LED TO MORE THAN 85 EMPLOYEES FROM ACROSS THE HOSPITAL, INCLUDING RESEARCH, CLINICAL AND HOSPITAL EMPLOYEES, PARTICIPATING AS MENTORS THROUGH NEIGHBORHOOD SCHOOLS AND ORGANIZATIONS IN 2022. MENTORS SPEND ONE HOUR WEEKLY WITH THEIR MENTEE IN DELIBERATE ACTIVITIES AND DISCUSSION. IN ADDITION, NEARLY 30 LOCAL HIGH SCHOOL STUDENTS PARTICIPATED IN THE UPWARD BOUND MATH AND SCIENCE PROGRAM IN 2022. NINETY PERCENT OF PARTICIPANTS GRADUATED FROM HIGH SCHOOL AND 100% OF THOSE STUDENTS RECEIVED ACCEPTANCE INTO A HIGHER EDUCATION PROGRAM. SOME WERE THE FIRST IN THEIR FAMILY'S HISTORY TO HAVE EDUCATION PAST HIGH SCHOOL. HOUSING PROJECTS - HOUSING IS A VITAL PART OF A HEALTHY COMMUNITY. THE VACANCY RATE EXPERIENCED BY THE NEIGHBORHOOD SURROUNDING THE HOSPITAL WAS A CONCERN FOR MANY RESIDENTS. HNHF, WORKING IN TANDEM WITH COMMUNITY PARTNERS, HAS MADE AN IMPACT IN THIS AREA. IN 2022, 32 UNITS WERE CREATED FOR RENTAL OCCUPANCY, 5 HOMES WERE BUILT FOR HOME OWNERSHIP AND 63 HOMEOWNERS WERE PROVIDED WITH GRANTS FOR EXTERIOR IMPROVEMENTS. SINCE 2008, MORE THAN 730 HOMES HAVE BEEN IMPACTED THROUGH REHABILITATIONS, HOME IMPROVEMENT GRANTS AND NEW BUILDS. THE HOSPITAL'S CONTINUED FINANCIAL COMMITMENT TO HNHF HAS HELPED TO SUPPORT THE CONSTRUCTION OF SAFE, DECENT AND AFFORDABLE HOUSING. ECONOMIC DEVELOPMENT - MORE THAN 1,200 RESIDENTS OF THE ZIP CODES SURROUNDING THE HOSPITAL IN THE SOUTH SIDE AND LINDEN NEIGHBORHOODS WERE EMPLOYED BY NATIONWIDE CHILDREN'S HOSPITAL IN 2022 AS A RESULT OF WORKFORCE DEVELOPMENT AND STRATEGIC RECRUITMENT EFFORTS BY THE HOSPITAL. MORE THAN 1,000 NATIONWIDE CHILDREN'S HOSPITAL RESIDENTS RETAIN EMPLOYMENT FROM THE HNHF ZIP CODES. NATIONWIDE CHILDREN'S HOSTS YOUTH AND YOUNG ADULTS (AGES 16 TO 24) FOR PAID SUMMER WORK LEARNING EXPERIENCES WHERE STUDENTS BUILD THEIR SKILLS AND GAIN VALUABLE WORK EXPERIENCE WITHIN A HEALTH CARE SETTING. NEARLY 80 STUDENTS PARTICIPATED in 2022. THE HIGH SCHOOL CAREER ACADEMY INTRODUCES STUDENTS WHO HAVE AN INTEREST IN THE HEALTH CARE PROFESSION BUT ARE NOT ENROLLED IN HEALTH CARE TECHNICAL EDUCATION PROGRAM TO VARIOUS HEALTH CARE PROFESSIONAL TRACKS. TWENTY-SIX STUDENTS WERE ON-SITE FOR SIX MONTHS FOR ABOUT 40 HOURS, EARNING $12 PER HOUR. THEY MET WITH CLINICAL STAFF FROM VARIOUS IN-DEMAND DEPARTMENTS, GAINED HANDS-ON EXPERIENCE IN AN ENVIRONMENT THAT DEVELOPS LEADERSHIP AND CONFIDENCE TOWARD NAVIGATING A SUCCESSFUL HEALTH CARE CAREER. NATIONWIDE CHILDREN'S ALSO STARTED FREE IRS/VITA TAX CLINICS FOR RESIDENTS MAKING UNDER A $65,000 TO HELP THEM ACCESS TAX CREDITS AND REFUNDS. THESE EFFORTS LED TO 521 FREE FEDERAL TAX FILINGS, RESULTING IN MORE THAN $1.4 MILLION IN FEDERAL AND STATE REFUNDS FOR CLIENTS. A NEW PROGRAM, MY BRIDGE 2 SUCCESS, WAS STARTED TO HELP ADULTS WITH ECONOMIC STABILITY. A COACH WORKS WITH THE PARTICIPANT TO SET GOALS AND HELP IN ACHIEVING THOSE GOALS. SAMPLE GOALS COULD INCLUDE EARNING A DEGREE, CHANGING JOBS OR SUSTAINING SAVINGS. COMMUNITY ENRICHMENT - IN 2022, NATIONWIDE CHILDREN'S HOSTED 10 PLAYSTREETS EVENTS, WHICH ALLOW KIDS IN THE NEIGHBORHOODS A SAFE PLAY TO PLAY. MORE THAN 1,660 CHILDREN AND ADULTS ATTENDED 10 EVENTS IN 2022. IN ADDITION, SOUTH SIDE THRIVE COLLABORATIVE CONVENED OVER 150 STAKEHOLDERS FROM 83 NON-PROFITS, BUSINESSES, AND NEIGHBORHOOD ORGANIZATIONS. SSTC PARTNERS AIM TO IMPROVE ECONOMIC MOBILITY, HOUSING STABILITY AND HEALTH FOR ALL. HEALTH AND WELLNESS - SCHOOL-BASED NATIONWIDE CHILDREN'S HEALTH CLINICS AND THE MOBILE CARE CENTERS HAD MORE THAN 7,250 PATIENTS IN 2022. SCHOOL-BASED BEHAVIORAL HEALTH HAD MORE THAN 7,500 VISITS DURING 2022. SCHOOL-BASED HEALTH HAS NOW EXPANDED INTO OFFERING DENTAL AND DIABETES PROGRAMS. IN ADDITION, APPROXIMATELY 79 CAREGIVERS (TEEN AND ADULTS) ATTENDED POSITIVE PARENTING PROGRAM (TRIPLE P) WORKSHOPS FROM THE SOUTH SIDE AND LINDEN NEIGHBORHOODS. HNHF LINDEN EXPANSION - ALONG WITH ITS TRANSFORMATIONAL EFFORTS IN THE COMMUNITIES SURROUNDING THE HOSPITAL, NATIONWIDE CHILDREN'S HNHF INITIATIVES HAVE EXPANDED TO ANOTHER TRADITIONALLY AT-RISK COLUMBUS NEIGHBORHOOD, LINDEN. THE HNHF EXPANSION WILL LEVERAGE LESSONS LEARNED ON THE SOUTH SIDE OF COLUMBUS TO EXPAND HOUSING OPTIONS, DEVELOP BUSINESS AND IMPROVE HEALTH IN THE LINDEN COMMUNITY. A NEIGHBORHOOD ADVISORY COUNCIL WAS FORMED TO GIVE INPUT, AND PROGRAMS IN THE NEIGHBORHOOD INCLUDE HOME REPAIRS AND RENTAL, FREE TAX CLINICS, COMMUNITY ENGAGEMENT PROGRAMS FOR CHILDREN AND KINDERGARTEN READINESS. IN ADDITION, TO ADDRESS THE FOOD DESERT IN THE NEIGHBORHOOD, NATIONWIDE CHILDREN'S AND COMMUNITY PARTNERS OPENED THE LINDEN FRESH MARKET THAT PROVIDES FREE FRUITS AND VEGETABLES. Form 990, Part III, Line 4d Description of other program services (Expenses $ 7,110,180 including grants of $ 3,578,373) Form 990, Part VI, Line 2 Family/business relationships amongst interested persons JOSEPH A. CHLAPATY AND ALEX FISCHER - Business relationship, ALEX FISCHER, C. ROBERT KIDDER, AND TIMOTHY C. ROBINSON - Business relationship, MICHELE HOLCOMB, THOMAS WALKER AND TIMOTHY C. ROBINSON - Business relationship, TIMOTHY C. ROBINSON, RHONDA COMER, LUKE BROWN, AND STEPHEN TESTA - Business relationship, SUE ZAZON AND TIMOTHY C. ROBINSON - Business relationship, WILLIAM LONG, M.D. AND H. SCOTT TYSON, M.D. - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders NATIONWIDE CHILDREN'S HOSPITAL, INC. (THE PARENT ORGANIZATION OF THE GROUP) IS THE SOLE MEMBER OF THE MAJORITY OF THE SUBORDINATE ORGANIZATIONS IN THE GROUP EXEMPTION. SOME OF THE SUBORDINATE ORGANIZATIONS ARE NON-PROFIT SUBSIDIARIES OF THE LARGEST SUBORDINATE ORGANIZATION, NATIONWIDE CHILDREN'S HOSPITAL. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body NATIONWIDE CHILDREN'S HOSPITAL, INC. IS THE PARENT CORPORATION WITH VOTING CONTROL OVER THE SUBORDINATE ORGANIZATIONS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders NATIONWIDE CHILDREN'S HOSPITAL, INC. (NCH Inc.) WILL OVERSEE THE OPERATIONS OF AND WILL PERFORM CERTAIN SERVICES FOR ITS SUBORDINATE ORGANIZATIONS. NCH INC. WILL COORDINATE EXPANSION OF THE GROUP PROGRAMS AND ASSETS AND WILL DETERMINE IF ADDITIONAL ENTITIES WILL BE NEEDED WITHIN THE GROUP. Form 990, Part VI, Line 11b Review of form 990 by governing body THIS FORM 990 WAS REVIEWED PRIOR TO FILING BY NATIONWIDE CHILDREN'S HOSPITAL CHIEF EXECUTIVE OFFICER/BOARD DIRECTOR; CHIEF FINANCIAL OFFICER; VP OF FINANCE/BOARD TREASURER; SENIOR VICE PRESIDENT OF LEGAL SERVICES / BOARD SECRETARY; AND THE FINANCE COMMITTEE CHAIR. THE RETURN WAS ALSO MADE AVAILABLE UPON REQUEST TO THE FINANCE COMMITTEE OF THE BOARD AND TO THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy NCH POLICY REQUIRES THAT STAFF MEMBERS, MANAGEMENT AND BOARD MEMBERS REPORT CONFLICTS OF INTEREST OR COMMITMENT AT THE TIME THE CONFLICT ARISES. MANAGEMENT AND BOARD MEMBERS ARE ALSO REQUIRED TO COMPLETE DISCLOSURE FORMS ANNUALLY, REGARDLESS OF THE EXISTENCE OF CONFLICT. ALL DISCLOSURES ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER OR THE BOARD SECRETARY. IF A CONFLICT EXISTS, A CONFLICT MANAGEMENT PLAN MAY BE PUT IN PLACE TO MITIGATE THE CONFLICT. STAFF, MANAGEMENT AND BOARD MEMBERS ARE PROHIBITED FROM VOTING ON ANY MATTERS WITH RESPECT TO WHICH THE INDIVIDUAL HAS DISCLOSED A POTENTIAL CONFLICT OF INTEREST. Form 990, Part VI, Line 15a Process to establish compensation of top management official IN THE FIRST QUARTER OF 2022, NCH HELD ITS ANNUAL MEETING FOR THE PURPOSE OF COMPENSATION REVIEW. FOR THE CEO, THERE IS A MEETING OF THE MANAGEMENT DEVELOPMENT/COMPENSATION COMMITTEE WHERE THE MEMBERS REVIEW MARKET DATA PROVIDED BY OUTSIDE CONSULTANTS AND DECIDE ON A RECOMMENDED SALARY ADJUSTMENT THAT INCLUDES CONSIDERATION OF THE CEO'S PERFORMANCE. THEN, THIS RECOMMENDATION IS BROUGHT TO THE FULL BOARD AND THE BOARD TAKES INTO ACCOUNT THIS RECOMMENDATION, THE CEO'S PERFORMANCE, AND APPROVALS ARE MADE. CONTEMPORANEOUS MINUTES ARE KEPT AT ALL BOARD MEETINGS AND COMMITTEE MEETING ACTIVITIES AND DECISIONS ARE ALSO DOCUMENTED. Form 990, Part VI, Line 15b Process to establish compensation of other employees IN THE FIRST QUARTER OF 2022, NCH HELD ITS ANNUAL MEETING FOR THE PURPOSE OF COMPENSATION REVIEW. FOR OFFICERS AND KEY EMPLOYEES OTHER THAN THE CEO, THERE IS A MEETING OF THE MANAGEMENT DEVELOPMENT/COMPENSATION COMMITTEE OF THE BOARD. AT THAT TIME, MARKET SURVEY DATA PROVIDED BY OUTSIDE CONSULTANTS AND/OR OUTSIDE SOURCES IS REVIEWED TO DETERMINE COMPENSATION OR COMPENSATION ADJUSTMENTS FOR THESE POSITIONS, THE CEO'S INPUT IS CONSIDERED AS IT RELATES TO INDIVIDUAL PERFORMANCE FOR THESE INDIVIDUALS, AND INCREMENTAL ADJUSTMENTS ARE RECOMMENDED, THE GROUP DELIBERATES, AND THE APPROVALS ARE MADE. CONTEMPORANEOUS MINUTES ARE KEPT AT ALL BOARD MEETINGS AND COMMITTEE MEETING ACTIVITIES AND DECISIONS ARE ALSO DOCUMENTED. Form 990, Part VI, Line 19 Required documents available to the public NATIONWIDE CHILDREN'S HOSPITAL'S (NCH) FINANCIAL STATEMENTS ARE DISCLOSED ON THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBPAGE AND THE ARTICLES OF INCORPORATION ARE ON THE OHIO SECRETARY OF STATE'S WEBPAGE. CURRENTLY, NCH DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. Form 990, Part VII, Section A, Line 1a, Column (B) AVERAGE HOURS PER WEEK FOR NATIONWIDE CHILDREN'S HOSPITAL EMPLOYEES THAT ARE MEMBERS OF VARIOUS BOARDS AND HOLD SEVERAL POSITIONS WITHIN THE ORGANIZATION, THE HOURS LISTED REPRESENT THE NUMBER OF HOURS THAT INDIVIDUAL DEVOTES TO ALL THE ENTITIES INCLUDED WITHIN THE NATIONWIDE CHILDREN'S HOSPITAL GROUP RETURN. THE GOVERNING BOARD OF NATIONWIDE CHILDREN'S HOSPITAL, INC. AND NATIONWIDE CHILDREN'S HOSPITAL IS A JOINT BOARD AND MEMBERS SERVE ON THESE BOARDS CONCURRENTLY. Form 990, Part VII, Section A Barnard, M.D., John A. ADDITIONAL POSITIONS HELD Organization Name: Research Institute at Nationwide Children's Hospital, Title: PRESIDENT - RINCH (To 03/2022), AverageHours: 27.000; Officer Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK (To 4/2022), AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Barrett, George ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: Research Institute at Nationwide Children's Hospital, Title: DIRECTOR - RINCH, AverageHours: 3.000; IndividualTrusteeOrDirectorOfficer Form 990, Part VII, Section A Brown, Luke ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: TREASURER / SR VP / CFO - NCH, AverageHours: 47.000; Officer Organization Name: Research Institute at Nationwide Children's Hospital, Title: TREASURER - RINCH, AverageHours: 3.000; Officer Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: TREASURER - FOUNDATION, AverageHours: 3.000; Officer Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: TREASURER - CCFA, AverageHours: 3.000; Officer Organization Name: CHILDREN'S ANESTHESIA ASSOCIATES, Title: TREASURER / DIRECTOR - CAA, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: CHILDREN'S RADIOLOGICAL INSTITUTE, Title: TREASURER/DIRECTOR - CRI, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS, Title: TREASURER/DIRECTOR - PPAC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: TREASURER / DIRECTOR - PFK, AverageHours: 3.000; IndividualTrusteeOrDirectorOfficer Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: TREASURER/DIRECTOR - CSA, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Form 990, Part VII, Section A Cunningham, Nancy ADDITIONAL POSITIONS HELD Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: Interim President - CCFA (AS OF 11/2022), AverageHours: 50.000; IndividualTrusteeOrDirectorOfficer Form 990, Part VII, Section A Germain, Libby ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: CHAIR / DIRECTOR - NCH FOUNDATION , AverageHours: 3.000; IndividualTrusteeOrDirectorOfficer Form 990, Part VII, Section A Long, M.D., William ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 20.000; IndividualTrusteeOrDirector Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR / CHAIRMAN - PFK, AverageHours: 3.000; IndividualTrusteeOrDirectorOfficer Form 990, Part VII, Section A Miller, Richard ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: COO - NCH, AverageHours: 47.000; Officer Organization Name: CHILDREN'S ANESTHESIA ASSOCIATES, Title: PRESIDENT/DIRECTOR - CAA, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: CHILDREN'S RADIOLOGICAL INSTITUTE, Title: PRESIDENT/DIRECTOR - CRI, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: PRESIDENT/DIRECTOR - CSA, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS, Title: PRESIDENT/DIRECTOR - PPAC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Robinson, Timothy C. ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR / CEO - NCH, AverageHours: 47.000; IndividualTrusteeOrDirectorOfficer Organization Name: Research Institute at Nationwide Children's Hospital, Title: DIRECTOR - RINCH, AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: CHILDREN'S ANESTHESIA ASSOCIATES, Title: DIRECTOR - CAA, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CHILDREN'S RADIOLOGICAL INSTITUTE, Title: DIRECTOR - CRI, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: DIRECTOR - CSA, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS, Title: DIRECTOR - PPAC, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Rosenthal, Sarah ADDITIONAL POSITIONS HELD Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: PRES / DIRECTOR - CCFA (To 11/2022), AverageHours: 50.000; IndividualTrusteeOrDirectorOfficer Form 990, Part VII, Section A Thaer, Lou Von ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH (To 3/2022), AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: Research Institute at Nationwide Children's Hospital, Title: CHAIR / DIRECTOR - RINCH (To 3/2022), AverageHours: 3.000; IndividualTrusteeOrDirectorOfficer Form 990, Part VII, Section A Walker, Kirt ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: CHAIR/DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirectorOfficer Form 990, Part VII, Section A Wexner, Abigail S. ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: CHAIR / DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirectorOfficer Form 990, Part VII, Section A Morse, M.D., Rustin ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: CHIEF MEDICAL OFFICER - NCH, AverageHours: 47.000; KeyEmployee Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: CHILDREN'S ANESTHESIA ASSOCIATES, Title: DIRECTOR - CAA, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CHILDREN'S RADIOLOGICAL INSTITUTE, Title: DIRECTOR - CRI, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: DIRECTOR - CSA, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS, Title: DIRECTOR - PPAC, AverageHours: 1.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Wallace, Lee Ann ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: SR VP & CHIEF NURSING OFFICER - NCH, AverageHours: 47.000; KeyEmployee Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Alexander, Cecily ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Andretta, Ralph ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Axelson, M.D., David ADDITIONAL POSITIONS HELD Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Baldwin, Dallas ADDITIONAL POSITIONS HELD Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Bergman, Chris ADDITIONAL POSITIONS HELD Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Birch, Carrie ADDITIONAL POSITIONS HELD Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Bradford, Eleanor ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION , AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Bradford, M.D., Carol ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH , AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Burger, Corrine ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH (AS OF 8/2022), AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Chlapaty, Joseph A. ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Comer, Kaydian ADDITIONAL POSITIONS HELD Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Covelli, Albert ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Crawford, Brent ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION , AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A DiMarco, Ann ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION , AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Farber, Pamela ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Feldman, Deborah ADDITIONAL POSITIONS HELD Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Fischer, Alex ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Fitzpatrick, Michael ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Frecka, Brenda ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION , AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A GROSSMAN, ANDREW ADDITIONAL POSITIONS HELD Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Havens, John ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION , AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Holcomb, Michele ADDITIONAL POSITIONS HELD Organization Name: Research Institute at Nationwide Children's Hospital, Title: DIRECTOR - RINCH (AS OF 8/2022), AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Holloway, Bishop Callon ADDITIONAL POSITIONS HELD Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Jester, Chad A. ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Johnson, Timothy ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Johnson, PH.D, Kent ADDITIONAL POSITIONS HELD Organization Name: Research Institute at Nationwide Children's Hospital, Title: DIRECTOR - RINCH, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Kemper, M.D., Alex ADDITIONAL POSITIONS HELD Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Kidder, C. Robert ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Krawczeski, M.D., Catherine ADDITIONAL POSITIONS HELD Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: Director - PFK (AS OF 4/2022), AverageHours: 50.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Lloyd, Katherine Wolfe ADDITIONAL POSITIONS HELD Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Malhotra, M.D., Prashant ADDITIONAL POSITIONS HELD Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A MANGRAY, M.D., SHAMLAL ADDITIONAL POSITIONS HELD Organization Name: PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS, Title: DIRECTOR - PPAC, AverageHours: 50.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Marbley, Honorable Algenon ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A May, Holly ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION (To 5/2022), AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Meyer, Brett ADDITIONAL POSITIONS HELD Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Miller Jr., Jordan ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Mohler, PH.D., Peter ADDITIONAL POSITIONS HELD Organization Name: Research Institute at Nationwide Children's Hospital, Title: DIRECTOR - RINCH, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Monroe, Cindy ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION , AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Noritz, M.D., Garey ADDITIONAL POSITIONS HELD Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Olutoye, M.D., Oluyinka ADDITIONAL POSITIONS HELD Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: DIRECTOR - CSA, AverageHours: 47.000; IndividualTrusteeOrDirector Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Omikunle, M.D., Adebomi ADDITIONAL POSITIONS HELD Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Partlow, Stanley ADDITIONAL POSITIONS HELD Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Pearson, M.D., Greg D. ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH (AS OF 1/2022), AverageHours: 47.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Prasad, M.D., Vinay ADDITIONAL POSITIONS HELD Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Preisse, Judge Dana ADDITIONAL POSITIONS HELD Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Ramsden, Jonathan ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Redd, Achea ADDITIONAL POSITIONS HELD Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA (AS OF 3/2022), AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Reed, Jamie ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Schottenstein, Lindsay ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION (AS OF 4/2022), AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Shepherd, M.D., Edward ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Skestos, Danielle ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Smith, Dwight ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: Research Institute at Nationwide Children's Hospital, Title: DIRECTOR - RINCH (To 12/2022), AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Snyder, M.D., Rob ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 20.000; IndividualTrusteeOrDirector Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -EX-OFFICIO - PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Soll, Bruce ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Stewart, Bryan ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Sullivan, Dan ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Thomas, M.D., Olivia ADDITIONAL POSITIONS HELD Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Thorn, Bruce ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Tobias, M.D., Joseph ADDITIONAL POSITIONS HELD Organization Name: CHILDREN'S ANESTHESIA ASSOCIATES, Title: DIRECTOR - CAA, AverageHours: 50.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Tuckerman, Audrey G. ADDITIONAL POSITIONS HELD Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Tyson, M.D., H. Scott ADDITIONAL POSITIONS HELD Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Vaugh, Matt ADDITIONAL POSITIONS HELD Organization Name: Research Institute at Nationwide Children's Hospital, Title: Director - RINCH (AS OF 9/2022), AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Vickers, Billy ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION , AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Walker, Thomas ADDITIONAL POSITIONS HELD Organization Name: Research Institute at Nationwide Children's Hospital, Title: DIRECTOR - RINCH, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Wexner, Hannah ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION (AS OF 4/2022), AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A White, Aimee ADDITIONAL POSITIONS HELD Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Wolfe, Ann I. ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Zazon, Sue ADDITIONAL POSITIONS HELD Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Banerjee, Shilpi ADDITIONAL POSITIONS HELD Organization Name: Research Institute at Nationwide Children's Hospital, Title: ASST SECRETARY - RINCH , AverageHours: 50.000; Officer Form 990, Part VII, Section A Comer, Rhonda ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: SECRETARY / SR VP / LEGAL SRVCS - NCH, AverageHours: 47.000; Officer Organization Name: Research Institute at Nationwide Children's Hospital, Title: SECRETARY - RINCH, AverageHours: 3.000; Officer Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: SECRETARY - NCH FOUNDATION, AverageHours: 3.000; Officer Organization Name: CENTER FOR CHILD & FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: SECRETARY - CCFA, AverageHours: 3.000; Officer Organization Name: CHILDREN'S ANESTHESIA ASSOCIATES, Title: SECRETARY - CAA, AverageHours: 1.000; Officer Organization Name: CHILDREN'S RADIOLOGICAL INSTITUTE, Title: SECRETARY - CRI, AverageHours: 1.000; Officer Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: SECRETARY - CSA, AverageHours: 1.000; Officer Organization Name: PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS, Title: SECRETARY - PPAC, AverageHours: 1.000; Officer Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: SECRETARY - PFK, AverageHours: 3.000; Officer Form 990, Part VII, Section A DiOrio, M.D., Mary ADDITIONAL POSITIONS HELD Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: MEDICAL DIRECTOR - PFK, AverageHours: 50.000; Officer Form 990, Part VII, Section A Durbin, M.D., Dennis ADDITIONAL POSITIONS HELD Organization Name: Research Institute at Nationwide Children's Hospital, Title: PRESIDENT - RINCH (AS OF 3/2022), AverageHours: 50.000; Officer Form 990, Part VII, Section A Evans, Sara ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: ASST SECRETARY - FOUNDATION, AverageHours: 47.000; Officer Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: ASSISTANT SECRETARY - PFK, AverageHours: 3.000; Officer Form 990, Part VII, Section A Gleeson, M.D., Sean ADDITIONAL POSITIONS HELD Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: PRESIDENT - PFK, AverageHours: 50.000; Officer Form 990, Part VII, Section A Lenobel, Andrew ADDITIONAL POSITIONS HELD Organization Name: CHILDREN'S ANESTHESIA ASSOCIATES, Title: ASST SECRETARY - CAA, AverageHours: 50.000; Officer Organization Name: CHILDREN'S RADIOLOGICAL INSTITUTE, Title: ASST SECRETARY - CRI, AverageHours: 1.000; Officer Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: ASST SECRETARY - CSA, AverageHours: 1.000; Officer Form 990, Part VII, Section A Maiorino, Kristen ADDITIONAL POSITIONS HELD Organization Name: PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS, Title: ASST SECRETARY - PPAC, AverageHours: 50.000; Officer Form 990, Part VII, Section A Testa, Stephen ADDITIONAL POSITIONS HELD Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: PRES - NCH FOUNDATION, AverageHours: 50.000; Officer Form 990, Part VII, Section A Edson, Pamela ADDITIONAL POSITIONS HELD Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: VICE PRESIDENT - PFK, AverageHours: 50.000; KeyEmployee Form 990, Part VII, Section A Larouere, Marissa ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: VP CLINICAL SERVICES - NCH, AverageHours: 50.000; KeyEmployee Form 990, Part VII, Section A McClimon, Patricia ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: SR VP / PLAN & DEV'T - NCH, AverageHours: 50.000; KeyEmployee Form 990, Part VII, Section A Minzler, Dennis ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: VP - NCH, AverageHours: 50.000; KeyEmployee Form 990, Part VII, Section A Roscoe, Amy ADDITIONAL POSITIONS HELD Organization Name: Research Institute at Nationwide Children's Hospital, Title: VICE PRESIDENT - RINCH, AverageHours: 50.000; KeyEmployee Form 990, Part VII, Section A Wise, Lorina ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: VP / HR - NCH, AverageHours: 50.000; KeyEmployee Form 990, Part VII, Section A Zabawski, Denise ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441), Title: VP / CIO - NCH, AverageHours: 50.000; KeyEmployee Form 990, Part VII, Section A Beran, M.D., Matthew ADDITIONAL POSITIONS HELD Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: ORTHOPEDIC SURGEON - CSA, AverageHours: 50.000; HighestCompensatedEmployee Form 990, Part VII, Section A Elmaraghy, M.D., Charles ADDITIONAL POSITIONS HELD Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: ENT surgeon - CSA, AverageHours: 50.000; HighestCompensatedEmployee Form 990, Part VII, Section A Galantowicz, M.D., Mark ADDITIONAL POSITIONS HELD Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: CHIEF OF CT SURGERY - CSA, AverageHours: 50.000; HighestCompensatedEmployee Form 990, Part VII, Section A Kirschner, M.D., Richard ADDITIONAL POSITIONS HELD Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: PLASTIC SURGEON - CSA, AverageHours: 50.000; HighestCompensatedEmployee Form 990, Part VII, Section A Klingele, M.D., Kevin ADDITIONAL POSITIONS HELD Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: ORTHOPEDIC SURGEON - CSA, AverageHours: 50.000; HighestCompensatedEmployee Form 990, Part VII, Section A Brilli, M.D., Richard ADDITIONAL POSITIONS HELD Organization Name: CHILDREN'S SURGICAL ASSOCIATES(Former), Title: FORMER DIRECTOR - CSA, AverageHours: 50.000; IndividualTrusteeOrDirector Organization Name: PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS(Former), Title: FORMER DIRECTOR - PPAC, AverageHours: 50.000; IndividualTrusteeOrDirector Form 990, Part VII, Section A Merz Lind, M.D., Meredith ADDITIONAL POSITIONS HELD Organization Name: Nationwide Children's Hospital (31-4379441)(Former), Title: FORMER DIRECTOR - NCH (TO 12/2021), AverageHours: 50.000; IndividualTrusteeOrDirector Form 990, Part VIII, Line 2f Other Program Service Revenue POISON CENTER - Total Revenue: 855026, Related or Exempt Function Revenue: 855026, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; DUES INCOME - Total Revenue: 387622, Related or Exempt Function Revenue: 387622, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; OTHER - Total Revenue: 12195, Related or Exempt Function Revenue: 12195, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Gift Shop - Total Revenue: 2029076, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 2029076; Parking - Total Revenue: 1291900, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1291900; Other - Total Revenue: 3832308, Related or Exempt Function Revenue: 3776439, Unrelated Business Revenue: 55869, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; OTHER RESEARCH REVENUE - Total Revenue: 1140571, Related or Exempt Function Revenue: , Unrelated Business Revenue: 1140571, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances NET ASSETS - INCLUSION OF CHILDREN'S HOSPITAL AND PHYSICIAN'S HEALTHCARE NETWORK - XXX-XX-XXXX; NET CHANGE IN INTEREST RATE SWAP AGREEMENTS - 36542474; TRANSFERS - 16035616; OTHER - 271150; EFFECT OF ADOPTION OF SFAS NO. 158 - -1334943; Form 990, Part III, Line 4a PROGRAM SERVICE ACTIVITY #1 (CONTINUED) PARTNERS FOR KIDS' EFFORTS TO IMPROVE INDIVIDUAL AND POPULATION HEALTH FOCUS ON AREAS, WHICH OFTEN OVERLAP AND INTERSECT WITH EACH OTHER: 1) QUALITY IMPROVEMENT COACHING - PARTNERS FOR KIDS QUALITY IMPROVEMENT COACHING PROGRAM CONCENTRATES ON KEY ISSUES AFFECTING CHILDREN'S HEALTH, AND IS TAILORED TO PARTICIPATING COMMUNITY PRIMARY CARE AND BEHAVIORAL HEALTH PROVIDERS IN A 47-COUNTY REGION. PRACTICES ARE SUPPORTED ON-SITE BY A PFK QUALITY STRATEGIST OR QUALITY CONSULTANT WHO COACHES PRACTICE TEAMS THROUGH PROJECTS, SHARES IDEAS FOR CHANGE AND TESTS CHANGES. THE IMPROVEMENT PROCESS AT THE COMMUNITY PRIMARY CARE PRACTICE OR BEHAVIORAL HEALTH ORGANIZATION IS THEN SUPPORTED BY PARTICIPATION IN A DIVERSE NETWORK WHERE BEST PRACTICES AND CHALLENGES ARE SHARED. IMPROVEMENT IS MEASURED USING OBJECTIVE DEFINITIONS, OFTEN BASED ON HEDIS MEASURES PRIORITIZED BY THE OHIO DEPARTMENT OF MEDICAID, AND STATISTICAL TOOLS TO SUPPORT DECISION MAKING. IN 2022, THE PARTNERS FOR KIDS QUALITY IMPROVEMENT COACHING PROGRAM: A. ENGAGED 37 COMMUNITY PRACTICES WITH AT LEAST ONE ACTIVE QI PROJECT DURING THE YEAR, WITH 120,843 PARTNERS FOR KIDS PATIENTS RECEIVING CARE AT THOSE SITES. B. ENGAGED SIX COMMUNITY BEHAVIORAL HEALTH ORGANIZATIONS WITH AT LEAST ONE ACTIVE QI PROJECT DURING THE YEAR. C. FACILITATED 73 ACTIVE QI PROJECTS WITH COMMUNITY PROVIDERS, INCLUDING: - ASTHMA PROJECTS - DEPRESSION PROJECTS - EMERGENCY DEPARTMENT REDUCTION PROJECTS - FLUORIDE VARNISH PROJECTS - IMMUNIZATION PROJECTS - REPRODUCTIVE HEALTH PROJECTS - WELL VISIT PROJECTS - PATIENT ENGAGEMENTS PROJECTS - FOLLOW UP AFTER HOSPITAL DISCHARGE FOR BEHAVIORAL HEALTH CONDITION PROJECTS - ANTIPSYCHOTIC PRESCRIBING PROJECT D. SHOWED IMPROVEMENT IN NEARLY HALF OF ACTIVE QI PROJECTS IN PRIMARY CARE PRACTICES AND BEHAVIORAL HEALTH ORGANIZATIONS. E. THE PFK QI COACHING TEAM ALSO SUPPORTED THE DEVELOPMENT OF A SISTER QUALITY IMPROVEMENT COACHING PROGRAM IN THE WEST CENTRAL REGION OF PFK, WHICH ENCOMPASSES 10 ADDITIONAL COUNTIES, THROUGH PROJECT PORTFOLIO DEVELOPMENT, DATA ANALYSIS AND QUALITY IMPROVEMENT TRAINING. 2) CARE NAVIGATION - PARTNERS FOR KIDS CARE NAVIGATION PROVIDES BOTH EPISODIC AND COMPLEX CASE MANAGEMENT BASED ON PATIENT NEEDS, INTENSITY OF SERVICE REQUIRED, AND LEVEL OF CARE. THE GOALS OF CARE NAVIGATION PROGRAM ARE: A. ASSIST PATIENTS IN ACHIEVING OPTIMUM HEALTH OUTCOMES, FUNCTIONAL CAPABILITY, AND QUALITY OF LIFE THROUGH IMPROVED MANAGEMENT OF THEIR DISEASE OR CONDITION. B. IDENTIFYING, ACCESSING AND MAXIMIZING AVAILABLE BENEFITS AND RESOURCES. C. ASSIST PATIENTS IN ACHIEVING GOALS BY IMPROVING THEIR ABILITY TO SELF-MANAGE THEIR DISEASE OR CONDITION. D. COORDINATING SERVICES AMONG PROVIDERS INVOLVED BY CREATING COLLABORATION BETWEEN PATIENTS, FAMILY, PROVIDERS, AND COMMUNITY ORGANIZATIONS TO DEVELOP GOALS. E. FACILITATING TIMELY RECEIPT OF APPROPRIATE SERVICES IN THE MOST APPROPRIATE SETTING. PARTNERS FOR KIDS' CARE NAVIGATION CONDUCTS SEMI-ANNUAL PROGRAM EVALUATIONS WHICH MEASURE: A. REDUCTION IN UTILIZATION - TESTING OF SELECT PATIENTS DEMONSTRATES A SIGNIFICANT REDUCTION IN INPATIENT ADMISSIONS, BED DAYS, AND ED VISITS. B. OUTREACH ENGAGEMENT RATES BY POPULATION TYPE - 2022 PATIENT OUTREACH RESULTED IN 50.6% ENROLLMENT. C. SATISFACTION SURVEY RESULTS - COMPOSITE SCORE MEAN ON PATIENT SURVEY REGARDING INTEGRATED CARE IS 64.7 FOR 2022. 3) SCHOOL-BASED HEALTH CENTERS AND MOBILE UNITS - THE SCHOOL-BASED HEALTH PROGRAM IS A PARTNERSHIP WITH CENTRAL OHIO SCHOOLS THAT IS DESIGNED TO REACH PATIENTS WITH THE GREATEST NEED. THE PROGRAM IS CO-FUNDED BY NATIONWIDE CHILDREN'S HOSPITAL AND PARTNERS FOR KIDS AND MANAGED BY NATIONWIDE CHILDREN'S HOSPITAL. THE 14 SCHOOL-BASED HEALTH CENTERS (SBHC) AND 2 MOBILE UNITS PROVIDE UNIQUE ACCESS TO PRIMARY CARE FOR THOSE NOT OTHERWISE ACCESSING CARE. PROVIDERS IN THESE CLINICS AND MOBILE UNITS INTEGRATE CARE WITH SERVICES PROVIDED IN SCHOOLS, COMMUNITY SITES AND ALSO RECONNECT PATIENTS TO A MEDICAL HOME. A PRIMARY GOAL OF THE SCHOOL-BASED HEALTH CENTERS AND MOBILE UNITS IS TO REDUCE HEALTH INEQUITIES FOR AN AT-RISK POPULATION OF STUDENTS. SECONDARILY, THE AIMS INCLUDE: REDUCING PREVENTABLE SCHOOL ABSENCES, INCREASING THE NUMBER OF CHILDREN RECEIVING PREVENTATIVE CARE, IMPROVING OUTCOMES FOR STUDENTS WITH CHRONIC MEDICAL CONDITIONS AND REDUCING PHYSIOLOGICAL AND ENVIRONMENTAL FACTORS THAT IMPEDE ACADEMIC ATTAINMENT. IMPORTANT MEASURES OF THIS PROGRAM INCLUDE: A. THE SCHOOL HEALTH TEAM PLAYED A VITAL ROLE IN VACCINE DISTRIBUTION TO CHILDREN, PROVIDING 8,407 VACCINES (966 COVID VACCINES AND 7,441 ROUTINE VACCINES), REACHING CHILDREN WITH BARRIERS TO ACCESS TO THE VACCINE. B. THE SBHC STAFF COMPLETED 7,767 PATIENT VISITS AND THE MOBILE TEAM COMPLETED 2,020 VISITS. 3,523 OF THESE TOTAL VISITS WERE WELL CHECKS. C. THE CLINIC STAFF SUBMITTED 1,708 REFERRALS, WITH THE MOST COMMON BEING BEHAVIORAL HEALTH AND OPHTHALMOLOGY, AND DENTAL CLINIC REFERRALS. D. IN 2022, THE MOBILE UNITS SERVED 52 UNIQUE SITES. THESE SITES WERE A COMBINATION OF SCHOOLS, EARLY CHILDHOOD CENTERS AND COMMUNITY LOCATIONS. SCHOOL-BASED ASTHMA THERAPY (SBAT) PROGRAM -THE SCHOOL-BASED ASTHMA THERAPY (SBAT) PROGRAM WORKS AS A LIAISON BETWEEN THE SCHOOL AND THE ASTHMA CARE PROVIDER TO DESIGN A PLAN FOR STUDENTS WITH HIGH-RISK ASTHMA TO RECEIVE HIS/HER ASTHMA PREVENTION MEDICATION RIGHT AT SCHOOL. ONE OF THE PRIMARY GOALS OF THE PROGRAM IS TO MAINTAIN THE STUDENT'S ASTHMA CARE WITH THEIR ASTHMA CARE PROVIDER, WHILE HELPING IMPROVE COMPLIANCE OF THE STUDENT'S ASTHMA CARE WITH THEIR CONTROLLER MEDICATIONS. WORKING WITH COMMUNITY PARTNERS, SUCH AS THE SCHOOL NURSE TO HELP CHILDREN GET THEIR MEDICINE MAKES THIS POSSIBLE. THE PROGRAM IS CO-FUNDED BY NATIONWIDE CHILDREN'S HOSPITAL AND PARTNERS FOR KIDS. A. THERE WERE 751 UNIQUE STUDENTS ENROLLED IN SBAT BY THE END OF THE 2022-23 SCHOOL YEAR FROM 284 PARTICIPATING SCHOOLS. B. WHEN COMPARING PATIENT OUTCOMES 1 YEAR PRE- AND 1 YEAR POST-SBAT ENROLLMENT, THE FOLLOWING RESULTS WERE ACHIEVED: - A 52% REDUCTION IN ED RATES - A 73% REDUCTION IN IP RATES - A 78% REDUCTION IN PICU RATES DIABETES AND SCHOOL HEALTH (DASH) PROGRAM - THE DIABETES AND SCHOOL HEALTH (DASH) PROGRAM IS AN INNOVATIVE, SCHOOL-BASED INITIATIVE DEVELOPED IN LATE 2021 WHICH AIMS TO OPTIMIZE T1D CARE IN SCHOOLS AND REDUCE HEALTHCARE DISPARITIES. THE PROGRAM AIMS TO ENHANCE CARE COORDINATION AMONG SCHOOL STAFF, T1D TEAM AND FAMILIES, IMPROVE SELF-EFFICACY WITH DIABETES CARE FOR STUDENTS, AND PROVIDE TARGETED EDUCATION TO SCHOOLS. INTERNAL PHARMACY ENGAGEMENT PROVIDES REGULAR MEDICATION AND SUPPLY DELIVERY TO HOME/ SCHOOL FOR ENROLLED STUDENTS. THE DASH PROGRAM ENROLLED SCHOOL AGED CHILDREN WITH T1D IDENTIFIED AS MOST VULNERABLE TO SUBOPTIMAL T1D OUTCOMES. THE ENROLLED STUDENTS ENGAGE IN REGULAR "IN SCHOOL" DIABETES CARE APPOINTMENTS WITH THE DASH TEAM (PEDIATRIC DIABETES NURSE PRACTITIONER AND DIABETES NURSE EDUCATOR). EDUCATION AND ACUTE CARE ARE ADDRESSED WITH THE SCHOOL STAFF AND MEDICAL TEAM. ONGOING PROGRAM RESULTS SHOW IMPROVEMENT IN DIABETES OUTCOMES, INCREASED DIABETES TECHNOLOGY UTILIZATION AND MEDICATION DELIVERY, AND EFFICIENT COMMUNICATION BETWEEN SCHOOL STAFF AND THE MEDICAL TEAM. IMPORTANT MEASURES OF THE PROGRAM INCLUDE: A. THE DASH TEAM COMPLETED 507 VISITS WITH 74 UNIQUE STUDENTS BY THE END OF THE 2022-23 SCHOOL YEAR. B. THERE WERE 63 STUDENTS WHO HAD USAGE WITH A CGM, A SIGNIFICANT INCREASE FROM THE BEGINNING OF THE PROGRAM. 4) RESEARCH - PARTNERS FOR KIDS' DATA IS USED TO SUPPORT RESEARCH. WE BELIEVE THAT RESEARCH ENABLES PFK TO: A. UPHOLD OUR RESPONSIBILITY TO IMPROVE THE QUALITY AND EFFICIENCY OF CARE FOR CHILDREN; B. SUPPORT MEASURES POPULATION HEALTH; C. ENABLE CLINICIANS TO DEVELOP, EVALUATE AND LEAD IMPROVEMENT INTERVENTIONS. RESEARCH PRODUCTIVITY IS MEASURED BY THE USE OF PFK IN ARTICLES PUBLISHED IN PEER-REVIEWED JOURNALS AND USED IN SCHOLARLY POSTER PRESENTATIONS. IN 2022, PFK PARTICIPATED IN SIX PEER-REVIEWED PUBLICATIONS AND 1 ORAL PRESENTATION AT A REGIONAL CONFERENCE. 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