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          <BusinessNameLine1Txt>Jonathan Ramsden</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Nelson Weichold</BusinessNameLine1Txt>
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        <BusinessName>
          <BusinessNameLine1Txt>Rhonda Comer</BusinessNameLine1Txt>
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        <BusinessName>
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        <BusinessName>
          <BusinessNameLine1Txt>Sara Evans</BusinessNameLine1Txt>
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        <BusinessName>
          <BusinessNameLine1Txt>Sean Gleeson MD</BusinessNameLine1Txt>
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        <BusinessName>
          <BusinessNameLine1Txt>Stephen Testa</BusinessNameLine1Txt>
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        <BusinessName>
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        <BusinessName>
          <BusinessNameLine1Txt>Denise Zabawski</BusinessNameLine1Txt>
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        <BusinessName>
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        <BusinessName>
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        <BusinessName>
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        <BusinessName>
          <BusinessNameLine1Txt>Pamela Edson</BusinessNameLine1Txt>
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        <BusinessName>
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        <BusinessName>
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        <ExplanationTxt>NATIONWIDE CHILDREN'S HOSPITAL (NCH) EIN 31-4379441 PUBLIC CHARITY STATUS: 509(A)(1) &amp; 170(B)(1)(A)(III) CHILDREN'S RADIOLOGICAL INSTITUTE (CRI) EIN 31-1439570 PUBLIC CHARITY STATUS: 509(A)(2) 2023 PUBLIC SUPPORT PERCENTAGE: 99.26% 2022 PUBLIC SUPPORT PERCENTAGE: 99.28% 2021 INVESTMENT INCOME PERCENTAGE: 0.74% 2022 INVESTMENT INCOME PERCENTAGE: 0.72% PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS (PPAC) EIN 31-1595013 PUBLIC CHARITY STATUS: 509(A)(2) 2023 PUBLIC SUPPORT PERCENTAGE: 99.63% 2022 PUBLIC SUPPORT PERCENTAGE: 99.61% 2023 INVESTMENT INCOME PERCENTAGE: 0.37% 2022 INVESTMENT INCOME PERCENTAGE: 0.39% CHILDREN'S SURGICAL ASSOCIATES (CSA) EIN 31-1654000 PUBLIC CHARITY STATUS: 509(A)(2) 2023 PUBLIC SUPPORT PERCENTAGE: 100.00% 2022 PUBLIC SUPPORT PERCENTAGE: 100.00% 2023 INVESTMENT INCOME PERCENTAGE: 0.00% 2022 INVESTMENT INCOME PERCENTAGE: 0.00% CHILDREN'S ANESTHESIA ASSOCIATES (CAA) EIN 31-0650338 PUBLIC CHARITY STATUS: 509(A)(2) 2023 PUBLIC SUPPORT PERCENTAGE: 100.00% 2022 PUBLIC SUPPORT PERCENTAGE: 100.00% 2023 INVESTMENT INCOME PERCENTAGE: 0.00% 2022 INVESTMENT INCOME PERCENTAGE: 0.00% NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION (NCHF) EIN 31-1036370 PUBLIC CHARITY STATUS: 509(A)(1) &amp; 170(B)(1)(A)(VI) 2023 PUBLIC SUPPORT PERCENTAGE: 56.80% 2022 PUBLIC SUPPORT PERCENTAGE: 60.10% RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL (RINCH) EIN 31-6056230 PUBLIC CHARITY STATUS: 509(A)(1) &amp; 170(B)(1)(A)(VI) 2023 PUBLIC SUPPORT PERCENTAGE: 60.80% 2022 PUBLIC SUPPORT PERCENTAGE: 63.20% CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSP (CCFA) EIN 02-0627166 PUBLIC CHARITY STATUS: 509(A)(1) &amp; 170(B)(1)(A)(VI) 2023 PUBLIC SUPPORT PERCENTAGE: 80.10% 2022 PUBLIC SUPPORT PERCENTAGE: 83.30% CHILDREN'S HOSPITAL AND PHYSICIAN'S HEALTHCARE NETWORK EIN: 31-1429047 PUBLIC CHARITY STATUS: 509(A)(3) TYPE I</ExplanationTxt>
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        <ExplanationTxt>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 $148,664. During 2023, 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 2023. 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.</ExplanationTxt>
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        <Desc>OTHER LIABILITIES</Desc>
        <Amt>4899741</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CLAIMS PAYABLE</Desc>
        <Amt>68431242</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>740951931</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4 Intended uses of endowment funds</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
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      <ForeignCorpOwnershipInd>true</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
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      <SupplementalInformationDetail>
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        <Event2Nm>MARATHON</Event2Nm>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; 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 &amp; 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 &amp; MARY ANN G. ABIADO - OHIOHEALTH (HOSPITAL/MEDICAL REPRESENTATIVE) - LILLEAN CAVANAUGH - OHIO LATINO AFFAIRS COMMISSION (MINORITY POPULATIONS) - WANDA DILLARD,BILL HAYES &amp; 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility B, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; Family Services - Lucas Metropolitan Housing Authority - McLaren St. Luke's - Mental Health &amp; Recovery Services Board of Lucas County - Mercy Health - NAACP 3204 - Neighborhood Health Association - ProMedica - Toledo Fire &amp; 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility B, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility B, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; Family Services - Lucas Metropolitan Housing Authority - Mental Health &amp; Recovery Services Board of Lucas County - NAACP 3204 - Neighborhood Health Association - Toledo Fire &amp; 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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility B, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility B, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility B, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>62</FacilityNum>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHWEST PEDIATRIC SPECIALISTS LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>730 WEST MARKET STREET 7TH FLOOR</AddressLine1Txt>
            <CityNm>LIMA</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45801</ZIPCd>
          </USAddress>
          <FacilityTxt>SPECIALTY CLINICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ONTARIO CLOSE TO HOME</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2003 W 4TH STREET</AddressLine1Txt>
            <CityNm>ONTARIO</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44906</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINICAL THERAPIES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHWEST CHILDREN'S COMMUNITY PRACTICES II LLC DBA PEDIATRICARE ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7629 KINGS POINTE ROAD</AddressLine1Txt>
            <CityNm>TOLEDO</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43617</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILDREN'S COMMUNITY PRACTICES LLC DBA HAND IN HAND PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6045 MEMORIAL DRIVE</AddressLine1Txt>
            <CityNm>DUBLIN</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43017</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILDREN'S COMMUNITY PRACTICES LLC DBA BLANCHARD VALLEY PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1818 CHAPEL DRIVE SUITE D</AddressLine1Txt>
            <CityNm>FINDLAY</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45840</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHWEST PEDIATRIC SPECIALISTS LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>13415 ECKLEY JUNCTION RD</AddressLine1Txt>
            <CityNm>PERRYSBURG</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43551</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINICAL THERAPIES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHWEST PEDIATRIC SPECIALISTS LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7435 BERRIDGE RD</AddressLine1Txt>
            <CityNm>WHITEHOUSE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43571</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINICAL THERAPIES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHWEST PEDIATRIC SPECIALISTS LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>44 SAMARIA ROAD</AddressLine1Txt>
            <CityNm>TEMPERANCE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48182</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINICAL THERAPIES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILDREN'S COMMUNITY PRACTICES LLC DBA HELPING HANDS PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5030 WALNUT STREET S</AddressLine1Txt>
            <CityNm>SOUTH BLOOMFIELD</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43103</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHWEST PEDIATRIC SPECIALISTS LLC DBA NATIONWIDE CHILDREN'S HOSPITAL TIFF</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>IN PRIMARY CARE CENTER</BusinessNameLine2Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>500 W MARKET ST</AddressLine1Txt>
            <CityNm>TIFFIN</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44883</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHWEST PEDIATRIC SPECIALISTS LLC DBA NATIONWIDE CHILDREN'S HOSPITAL SYLV</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>ANIA PRIMARY CARE CENTER</BusinessNameLine2Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4126 HOLLAND-SYLVANIA SUITE 220</AddressLine1Txt>
            <CityNm>TOLEDO</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43623</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILDREN'S COMMUNITY PRACTICES LLC DBA GAHANNA PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>470 SILVER LANE B</AddressLine1Txt>
            <CityNm>GAHANNA</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43230</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILDREN'S COMMUNITY PRACTICES LLC DBA CHILLICOTHE PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1264 Hospital Road</AddressLine1Txt>
            <CityNm>Chillicothe</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45610</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILDREN'S COMMUNITY PRACTICES LLC DBA CHILLICOTHE PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1264 HOSPITAL ROAD</AddressLine1Txt>
            <CityNm>CHILLICOTHE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45601</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILDREN'S COMMUNITY PRACTICES LLC DBA MOUNT VERNON PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10 Woodlake Trail</AddressLine1Txt>
            <CityNm>MOUNT VERNON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43050</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILDREN'S COMMUNITY PRACTICES LLC DBA MOUNT VERNON PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>26 N Clayton</AddressLine1Txt>
            <CityNm>CENTERBURG</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43011</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILDREN'S COMMUNITY PRACTICES LLC DBA PEDIATRICS OF GROVE CITY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4079 GANTZ ROAD</AddressLine1Txt>
            <CityNm>GROVE CITY</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43123</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILDREN'S COMMUNITY PRACTICES LLC DBA RICHLAND PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>540 S TRIMBLE ROAD</AddressLine1Txt>
            <CityNm>MANSFIELD</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44906</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILDREN'S COMMUNITY PRACTICES LLC DBA RICHLAND PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>110 West Smiley Avenue</AddressLine1Txt>
            <CityNm>SHELBY</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44875</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SPRINGFIELD LABORATORY SERVICE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1644 NORTH LIMESTONE STREET</AddressLine1Txt>
            <CityNm>SPRINGFIELD</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45503</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHWEST PEDIATRIC SPECIALISTS LLC DBA NATIONWIDE CHILDREN'S HOSPITAL VILL</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>AGE SQUARE PRIMARY CARE CENTER</BusinessNameLine2Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1103 VILLAGE SQUARE SUITE 202</AddressLine1Txt>
            <CityNm>PERRYSBURG</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43551</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILDREN'S COMMUNITY PRACTICES LLC DBA UPPER ARLINGTON PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4919 DIERKER ROAD</AddressLine1Txt>
            <CityNm>UPPER ARLINGTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43220</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NEWARK CLOSE TO HOME CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>75 SOUTH TERRACE AVENUE</AddressLine1Txt>
            <CityNm>NEWARK</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43055</ZIPCd>
          </USAddress>
          <FacilityTxt>MEDICAL OFFICES, LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MANSFIELD CLOSE TO HOME CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>536 S TRIMBLE ROAD</AddressLine1Txt>
            <CityNm>MANSFIELD</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44906</ZIPCd>
          </USAddress>
          <FacilityTxt>MEDICAL OFFICES, LAB, CARDIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHWEST PEDIATRIC SPECIALISTS LLC DBA NATIONWIDE CHILDREN'S HOSPITAL DEFI</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>ANCE PRIMARY CARE CENTER</BusinessNameLine2Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1400 E SECOND STREET SUITE 100</AddressLine1Txt>
            <CityNm>DEFIANCE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43512</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHILIP HEIT CENTER FOR HEALTHY NEW ALBANY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>150 W MAIN STREET</AddressLine1Txt>
            <CityNm>NEW ALBANY</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43054</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINICAL THERAPIES, RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILLICOTHE CLOSE TO HOME CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4439 STATE ROUTE 159</AddressLine1Txt>
            <CityNm>CHILLICOTHE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45601</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY CLINIC &amp; HEM/ONC CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>REYNOLDSBURG - LIVINGSTON CAMPUS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6699 E LIVINGSTON AVENUE</AddressLine1Txt>
            <CityNm>REYNOLDSBURG</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43068</ZIPCd>
          </USAddress>
          <FacilityTxt>SCHOOL-BASED PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MANSFIELD CARDIOLOGY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>355 GLESSNER AVENUE</AddressLine1Txt>
            <CityNm>MANSFIELD</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44903</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NATIONWIDE CHILDREN'S HOSPITAL TOLEDO LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7223 MAUMEE WESTERN ROAD</AddressLine1Txt>
            <CityNm>MAUMEE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43537</ZIPCd>
          </USAddress>
          <FacilityTxt>DIAGNOSTIC SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COLUMBUS WEST HIGH SCHOOL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>179 S POWELL AVENUE</AddressLine1Txt>
            <CityNm>COLUMBUS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43204</ZIPCd>
          </USAddress>
          <FacilityTxt>SCHOOL-BASED PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COLUMBUS SOUTH HIGH SCHOOL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1160 ANN STREET</AddressLine1Txt>
            <CityNm>COLUMBUS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43206</ZIPCd>
          </USAddress>
          <FacilityTxt>SCHOOL-BASED PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHWEST PEDIATRIC SPECIALISTS LLC DBA NATIONWIDE CHILDREN'S HOSPITAL SPRI</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>NG VALLEY PRIMARY CARE CENTER</BusinessNameLine2Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6855 SPRING VALLEY DRIVE SUITE 125</AddressLine1Txt>
            <CityNm>HOLLAND</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43528</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARIETTA OUTPATIENT CARDIOLOGY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>416 FRONT STREET</AddressLine1Txt>
            <CityNm>MARIETTA</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45750</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NELSONVILLE OUTPATIENT CARDIOLOGY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>11 JOHN LLOYD EVANS MEMORIAL DRIVE</AddressLine1Txt>
            <CityNm>NELSONVILLE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45764</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FORT HAYES METROPOLITAN EDUCATION CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>468 CLEVELAND AVENUE</AddressLine1Txt>
            <CityNm>COLUMBUS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43215</ZIPCd>
          </USAddress>
          <FacilityTxt>SCHOOL-BASED PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COLUMBUS MARION FRANKLIN HIGH SCHOOL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1265 KOEBEL ROAD</AddressLine1Txt>
            <CityNm>COLUMBUS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43207</ZIPCd>
          </USAddress>
          <FacilityTxt>SCHOOL-BASED PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ST MARY GERMAN VILLAGE SCHOOL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>672 SOUTH 3RD STREET</AddressLine1Txt>
            <CityNm>COLUMBUS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43206</ZIPCd>
          </USAddress>
          <FacilityTxt>SCHOOL-BASED PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COLUMBUS NORTHLAND HIGH SCHOOL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1919 NORTHCLIFF DRIVE</AddressLine1Txt>
            <CityNm>COLUMBUS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43229</ZIPCd>
          </USAddress>
          <FacilityTxt>SCHOOL-BASED PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARION CLOSE TO HOME CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1069 DELAWARE AVENUE</AddressLine1Txt>
            <CityNm>MARION</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43302</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB &amp; CARDIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>KIPP SCHOOL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2900 INSPIRE DRIVE</AddressLine1Txt>
            <CityNm>COLUMBUS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43224</ZIPCd>
          </USAddress>
          <FacilityTxt>SCHOOL-BASED PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COLUMBUS BUCKEYE MIDDLE SCHOOL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2950 S PARSONS AVENUE</AddressLine1Txt>
            <CityNm>COLUMBUS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43207</ZIPCd>
          </USAddress>
          <FacilityTxt>SCHOOL-BASED PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COLUMBUS EAST HIGH SCHOOL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1500 E BROAD STREET</AddressLine1Txt>
            <CityNm>COLUMBUS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43205</ZIPCd>
          </USAddress>
          <FacilityTxt>SCHOOL-BASED PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FINDLAY OUTPATIENT CARDIOLOGY SERVICES &amp; NEUROLOGY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3949 NORTH MAIN STREET</AddressLine1Txt>
            <CityNm>FINDLAY</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45840</ZIPCd>
          </USAddress>
          <FacilityTxt>NEUROLOGY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MOUNT VERNON HIGH SCHOOL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>300 YELLOW JACKET DRIVE</AddressLine1Txt>
            <CityNm>MOUNT VERNON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43050</ZIPCd>
          </USAddress>
          <FacilityTxt>SCHOOL-BASED PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHWEST PEDIATRIC SPECIALISTS LLC DBA NATIONWIDE CHILDREN'S HOSPITAL NAVA</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>RRE PRIMARY CARE CENTER</BusinessNameLine2Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2702 NAVARRE AVENUE SUITE 315</AddressLine1Txt>
            <CityNm>OREGON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43616</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHWEST PEDIATRIC SPECIALISTS LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>605 3RD AVENUE SUITE B</AddressLine1Txt>
            <CityNm>FREMONT</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43420</ZIPCd>
          </USAddress>
          <FacilityTxt>SPECIALTY CLINICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SHELBY CITY SCHOOLS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>109 WEST SMILEY AVENUE</AddressLine1Txt>
            <CityNm>SHELBY</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44875</ZIPCd>
          </USAddress>
          <FacilityTxt>SCHOOL-BASED PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COLUMBUS GIRLS PREP MIDDLE SCHOOL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1390 BRYDERN ROAD</AddressLine1Txt>
            <CityNm>COLUMBUS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43205</ZIPCd>
          </USAddress>
          <FacilityTxt>SCHOOL-BASED PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COLUMBUS MOLER ELEMENTARY SCHOOL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1201 MOLER ROAD</AddressLine1Txt>
            <CityNm>COLUMBUS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43207</ZIPCd>
          </USAddress>
          <FacilityTxt>SCHOOL-BASED PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ZANESVILLE CARDIOLOGY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>955 BETHESDA DRIVE</AddressLine1Txt>
            <CityNm>ZANESVILLE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43701</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHWEST PEDIATRIC SPECIALISTS LLC DBA NATIONWIDE CHILDREN'S HOSPITAL OREG</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>ON CITY SCHOOLS</BusinessNameLine2Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5665 SEAMAN ROAD</AddressLine1Txt>
            <CityNm>OREGON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43616</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>DAYTON OUTPATIENT CARDIOLOGY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1 CHILDRENS PLAZA</AddressLine1Txt>
            <CityNm>DAYTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45404</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COLUMBUS LIVINGSTON ELEMENTARY SCHOOL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>825 E LIVINGSTON STREET</AddressLine1Txt>
            <CityNm>COLUMBUS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43205</ZIPCd>
          </USAddress>
          <FacilityTxt>SCHOOL-BASED PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PORTSMOUTH CARDIOLOGY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1711 27th Street Braulin Bldg Sui</AddressLine1Txt>
            <CityNm>Portsmouth</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45662</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COLUMBUS LINDEN MCKINLEY STEM ELEMENTARY SCHOOL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1320 DUXBERRY AVENUE</AddressLine1Txt>
            <CityNm>COLUMBUS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43211</ZIPCd>
          </USAddress>
          <FacilityTxt>SCHOOL-BASED PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PORTSMOUTH OUTPATIENT SPECIALTY CLINICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8930 OHIO RIVER ROAD</AddressLine1Txt>
            <CityNm>WHEELERSBURGH</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45694</ZIPCd>
          </USAddress>
          <FacilityTxt>HEM/ONC, UROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ZANESVILLE OUTPATIENT SPECIALTY CLINICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>716 ADAIR AVENUE</AddressLine1Txt>
            <CityNm>ZANESVILLE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43701</ZIPCd>
          </USAddress>
          <FacilityTxt>Specialty Clinics</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ZANESVILLE LABORATORY SERVICE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1166 MILITARY ROAD SUITE 2B</AddressLine1Txt>
            <CityNm>ZANESVILLE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43701</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HILLTOP EARLY LEARNING CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>45 CLARENDON AVENUE</AddressLine1Txt>
            <CityNm>COLUMBUS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43223</ZIPCd>
          </USAddress>
          <FacilityTxt>SCHOOL-BASED PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>LIMA LABORATORY SERVICE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>830 WEST HIGH STREET SUITE 375</AddressLine1Txt>
            <CityNm>LIMA</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45801</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OHIO AVENUE ELEMENTARY SCHOOL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>505 S OHIO AVENUE</AddressLine1Txt>
            <CityNm>COLUMBUS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43205</ZIPCd>
          </USAddress>
          <FacilityTxt>SCHOOL-BASED PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ZANESVILLE CARDIOLOGY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>301 DR MIKE CLOSURE DRIVE</AddressLine1Txt>
            <CityNm>SOMERSET</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43783</ZIPCd>
          </USAddress>
          <FacilityTxt>HEART CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>DEVELOPMENTAL BEHAVIORAL PEDIATRICS AT LICKING MEMORIAL PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>399 EAST MAIN STREET</AddressLine1Txt>
            <CityNm>NEWARK</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43055</ZIPCd>
          </USAddress>
          <FacilityTxt>DEVELOPMENTAL BEHAVIORAL HEALTH</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c CRITERIA USED FOR DETERMINING ELIGIBILITY</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g Subsidized Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>NATIONWIDE CHILDREN'S HOSPITAL HAS NOT INCLUDED ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST TO CHARGE RATIO USED IN LINE 7 WAS DERIVED FROM WORKSHEET 2</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>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 ON THE SOUTHSIDE OF COLUMBUS SURROUNDING NCH. PROGRAMS OFFERED INCLUDE AFFORDABLE HOUSING, HEALTH AND WELLNESS, EDUCATION, WORKFORE 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 AS PROVIDING GRANTS TO EXISTING HOMEOWNERS FOR REPAIR. SINCE 2008, MORE THAN 800 HOMES HAVE BEEN IMPACTED THROUGH REHABILIATATIONS, 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 HOSUING. ALONG WITH ITS TRANSFORMATIONAL EFFORTS IN THE COMMUNITIES SURROUNDING THE HOSPITAL, NCH'S HNHF INITIATIVES HAVE EXPANDED TO INCLUDE 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 THE NEIGHBORHOOD INCLUDING HOME REPAIRS AND RENTAL, FREE TAX CLINICS, COMMUNITY ENGAGEMENT PROGRAMS FOR CHILDREN AND KINDERGARTEN READINESS. IN ADDITION, TO ADDRESS THE FOOD INSECURITY 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 IN STUDYING WITH THE GOAL OF INCREASING 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-DEPTCH 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) LEARNING EXTENTION CENTER SUPPORT THAT INCLUDED HOMEWORK HELP, PHYSICAL ACTIVITY AND MENTORING PROGRAMMING; 3) 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 THE 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 FOLLOING ZIP CODES: 43205, 43206, 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, 43026 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 HELATH 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 AVENE 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 SERVICE 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 SUPORT GRASSROOTS, NOT-PROFIT EFFORT TO ADDRESS RACE EQUITY ISSUES IN COLUMBUS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2011, NATIONWIDE CHILDREN'S HOSPITAL BEGAN REPORTING BAD DEBT EXPENSE IN TOTAL. PRIOR TO 2011, BAD DEBT EXPENSE WAS REPORTED AT COST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 21 OF THE AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>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;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>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;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>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;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>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 $71,070 AND 15.1% OF FAMILIES ARE BELOW THE POVERTY LEVEL. THE MEDIAN HOUSEHOLD INCOME IN LUCAS COUNTY IS $57,265 AND 17.9% OF FAMILIES ARE BELOW THE POVERTY LEVEL. APPROXIMATELY 5.9% OF THE POPULATION OF OHIO IS UNINSURED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>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. THE KIDS MENTAL HEALTH FOUNDATION (KMHF) BEGAN OPERATIONS IN 2023 TO CREATE A WORLD WHERE MENTAL HEALTH IS A VITAL PART OF EVERY CHILD'S UPBRINGING-WHERE CHILDREN'S MENTAL HEALTH IS AS IMPORTANT AS THEIR PHYSICAL HEALTH, AND WHERE GROWN-UPS HAVE THE SKILLS TO HELP KIDS FACE AND MANAGE LIFE'S CHALLENGES. KMHF PARTNERS WITH LEADING CHILDREN'S HOSPITALS AND BEHAVIORAL HEALTH PROVIDERS TO HELP BREAK STIGMAS SURROUNDING KIDS' MENTAL HEALTH. KMHF PROVIDING FREE LOCALIZED RESOURCES TO FAMILIES, CAREGIVERS, EDUCATORS AND COACHES IN COMMUNITIES ACROSS THE U.S.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>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. 6) KIDS MENTAL HEALTH FOUNDATION (KMHF) IS A NOT-FOR-PROFIT CORPORATION CREATED TO BREAK THE STIGMA SURROUNDING CHILDREN'S MENTAL HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <CashGrantAmt>409720</CashGrantAmt>
        <PurposeOfGrantTxt>RESEARCH START-UP GRANTS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RESEARCH INSTITUTE AT NCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>316056230</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>139099</CashGrantAmt>
        <PurposeOfGrantTxt>RESEARCH START-UP GRANTS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONWIDE CHILDREN'S HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>314379441</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>41363913</CashGrantAmt>
        <PurposeOfGrantTxt>TO AID IN PROVIDING INDIGENT CARE, TO SUPPORT &amp; IMPROVE PATIENT CARE THROUGH PROGRAMS SUCH AS VOLUNTEER SERVICES, HEMATOLOGY / ONCOLOGY, OBESITY PREVENTION, &amp; COMMUNITY EDUCATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NCH HOMECARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>311296332</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>232500</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPICE AND PALLIATIVE CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDREN'S ANESTHESIA ASSOCIATES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>310650338</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>105804</CashGrantAmt>
        <PurposeOfGrantTxt>ANESTHESIA PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CCFA AT NCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>020627166</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>3414032</CashGrantAmt>
        <PurposeOfGrantTxt>CHILD ADVOCACY PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDREN'S SURGICAL ASSOCIATES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>311654000</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>1157867</CashGrantAmt>
        <PurposeOfGrantTxt>SURGICAL RESEARCH INITIATIVES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDREN'S RADIOLOGICAL INSTITUTE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>311439570</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>1050344</CashGrantAmt>
        <PurposeOfGrantTxt>RADIOLOGY RESEARCH INITIATIVES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PPAC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>311595013</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>5360</CashGrantAmt>
        <PurposeOfGrantTxt>PATHOLOGY RESEARCH INITIATIVES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NCH CHILD ASSESSMENT CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>314379441</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>893842</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT CHILD ASSESSMENT PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>020627166</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>1285235</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT ADMINISTRATIVE OVERSIGHT OF THE CENTER FOR CHILD &amp; FAMILY ADVOCACY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONWIDE CHILDREN'S HOSPITAL INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>311036372</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT VARIOUS COMMUNITY BENEFIT PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE KIDS MENTAL HEALTH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>884419089</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>1881509</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT MENTAL HEALTH PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PEDIATRIC ACADEMIC ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>311024403</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>1083647</CashGrantAmt>
        <PurposeOfGrantTxt>TO PROVIDE FUNDING FOR ENDOWED CHAIRS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PEDIATRIC ACADEMIC ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>311024403</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>29356551</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT PAA OPERATIONS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDREN'S EDUCATIONAL INSTITUTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>314379441</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>TO PROVIDE SUPPORT FOR GLOBAL SYMPOSIUM OF RESEARCH METHODOLOGY INNOVATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CENTRAL OHIO CHAPTER OF NHF</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>135641857</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>9000</CashGrantAmt>
        <PurposeOfGrantTxt>BLEEDING DISORDER EDUCATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN HEART ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>135613797</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>17500</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT HEART GALA, WALK &amp; STEM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HNHF REALTY COLLABORATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>384016483</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>4910350</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT HNHF OPERATIONS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY DEVELOPMENT FOR ALL PEOPLE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>510476886</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>425290</CashGrantAmt>
        <PurposeOfGrantTxt>NEIGHBORHOOD PARTNERSHIP &amp; LINDEN MARKET SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CITY YEAR COLUMBUS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>222882549</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>35000</CashGrantAmt>
        <PurposeOfGrantTxt>WHOLE SCHOOL WHOLE CHILD GRANT &amp; RED JACKET BASH SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED WAY OF CENTRAL OHIO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>314393712</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>105000</CashGrantAmt>
        <PurposeOfGrantTxt>CHAMPION OF CHILDREN</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PARSONS AVENUE REDEVELOPMENT CORPORATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>463644554</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>27500</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT THE REDEVELOPMENT OF PARSONS AVENUE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PELOTONIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>311145986</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20436</CashGrantAmt>
        <PurposeOfGrantTxt>CONTRIBUTION PLEDGED TO RIDERS TO END CANCER</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RONALD MCDONALD HOUSE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>310890152</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>47300</CashGrantAmt>
        <PurposeOfGrantTxt>SPECIAL EVENTS SPONSORSHIPS &amp; UTILITY FUNDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CENTRAL OHIO HOSPITAL COUNCIL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>262795133</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>270000</CashGrantAmt>
        <PurposeOfGrantTxt>OHIO BETTER BIRTH OUTCOMES SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COLUMBUS METROPOLITAN CLUB</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>310889324</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>OPTIMAL HEALTH SERIES SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDREN'S PRACTICING PEDIATRICS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>311161012</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>35000</CashGrantAmt>
        <PurposeOfGrantTxt>RESIDENT GRANT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEIGHBORHOOD DESIGN CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>341049478</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>13000</CashGrantAmt>
        <PurposeOfGrantTxt>CAROLS ON CLEVELAND &amp; SUPPORT OF YOUTH COLAB PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COLUMBUS URBAN LEAGUE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>314379453</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>9500</CashGrantAmt>
        <PurposeOfGrantTxt>PROJECT SURVIVAL &amp; EMPOWERMENT DAY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WE ARE LINDEN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>311336180</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>LINDEN PROGRAM &amp; ADMIN SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COLUMBUS BLUE JACKETS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>311688700</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>GOLF CLASSIC &amp; CANNONBALL SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FINAL THIRD FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>208467212</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>77225</CashGrantAmt>
        <PurposeOfGrantTxt>2 AFTER SCHOOL PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY OF CARING</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>830996863</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>175000</CashGrantAmt>
        <PurposeOfGrantTxt>HEALTH AND HOPE INITIATIVE AND LINDEN SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REEB AVENUE CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>463956659</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>55000</CashGrantAmt>
        <PurposeOfGrantTxt>REEB GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LEADERSHIP COLUMBUS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>310855540</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6725</CashGrantAmt>
        <PurposeOfGrantTxt>TUITION FOR LEADERSHIP &amp; BEST PART EVER SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GREATER COLUMBUS SPORTS FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>314153118</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>3926</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Athletic trainer services &amp; rewards for campers</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>SPONSORSHIP OF COMMUNITY YOUTH CAMPS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OHIO CHAMBER OF COMMERCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>314357206</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>9800</CashGrantAmt>
        <PurposeOfGrantTxt>WOMEN IN BUSINESS &amp; HEALTHCARE TRANSFORMATION SUMMIT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTHSIDE THRIVE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>874079411</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>140000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATION SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ANNE GRADY FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>311212795</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Enchanted Evening Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMPASSIONATE ASSISTANCE IRREVOCABLE TRUST</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>886634111</RecipientEIN>
        <CashGrantAmt>6250</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT FOR FAMILIES WITH COMPLEX NEEDS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTHY LINDEN HOMES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>853421316</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>1500000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATION SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LEGACY YOUTH ACADEMY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>844663068</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>44000</CashGrantAmt>
        <PurposeOfGrantTxt>YOUNG LEGENDS PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BUILDING OUR CHILDREN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>932202766</RecipientEIN>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>COLUMBUS PUBLIC SCHOOLS LEVY CAMPAIGN</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CENTRAL OHIO PRIMARY CARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>311398575</RecipientEIN>
        <CashGrantAmt>47500</CashGrantAmt>
        <PurposeOfGrantTxt>ELECTRONIC HEALTH RECORD DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHABAD COLUMBUS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>311427001</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP OF LIFETOWN COLUMBUS BENEFIT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CLASSIC FOR COLUMBUS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>851751658</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORHIP COLLEGE BASKETBALL ALL-STAR GAME &amp; CELEBRITY EXTRAVAGANZA</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CLEVELAND MAIDAN ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>471532449</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAL AID &amp; SUPPLIES TO UKRAINE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COLUMBUS CITY SCHOOLS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>316400416</RecipientEIN>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT FOR THE DRILL TEAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COLUMBUS FUTSAL FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>841916577</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP TO AMPLIFY FUTSAL &amp; STREET SOCCER ACCESS IN OHIO</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COLUMBUS ROTARY CLUB</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>316034288</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>5250</CashGrantAmt>
        <PurposeOfGrantTxt>CAREER PATHWAYS PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CONNECTING KIDS TO MEALS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>341969461</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION FOR VAN PURCHASE TO DELIVER MEALS IN LUCAS COUNTY &amp; NW OHIO</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FEED THE KIDS COLUMBUS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>853702423</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>SCHOOL SPONSORSHIP FOR FOOD INSECURITY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GERTRUDE WOOD COMMUNITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>432099497</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>5500</CashGrantAmt>
        <PurposeOfGrantTxt>COMMUNITY HEALTH &amp; WELLNESS SPONSORSHIP</PurposeOfGrantTxt>
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      <RecipientTable>
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        <RecipientEIN>202773085</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>16392</CashGrantAmt>
        <PurposeOfGrantTxt>SSRF RENTAL OPERATIONS SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LMSA STEM ACADEMY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>316400416</RecipientEIN>
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        <PurposeOfGrantTxt>CHEERLEADING UNIFORMS</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MAKE-A-WISH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>341471131</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7000</CashGrantAmt>
        <PurposeOfGrantTxt>GALA EVENT &amp; WALK SPONSOR</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MAUMEE VALLEY HABITAT FOR HUMANITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>341584728</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>500000</CashGrantAmt>
        <PurposeOfGrantTxt>HOME PRESERVATION</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MY BROTHERS KEEPER</BusinessNameLine1Txt>
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        <RecipientEIN>311478436</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>30490</CashGrantAmt>
        <PurposeOfGrantTxt>VIOLENCE &amp; PREVENTION PROGRAMMING &amp; NORTH EAST REUNION PROJECT</PurposeOfGrantTxt>
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        <RecipientEIN>311038309</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>14000</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSOR VALENTINE PARTY &amp; AUCTION &amp; CORPORATE TABLE</PurposeOfGrantTxt>
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      <RecipientTable>
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        <RecipientEIN>314379616</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP OF BOOK FESTIVAL &amp; BOOK AWARDS</PurposeOfGrantTxt>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>SPONSORSHIP OF SUMMER TOUR OF HISTORIC HOMES &amp; EGG HUNT</PurposeOfGrantTxt>
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        <PurposeOfGrantTxt>SPONSORSHIP OF ADULTS INTRESTED IN IT CAREER</PurposeOfGrantTxt>
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        <PurposeOfGrantTxt>AFTER SCHOOL PROGRAM FOR LINDEN MCKINLEY STUDENTS &amp; YOUTH</PurposeOfGrantTxt>
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        <RecipientEIN>314379568</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSOR OF BRAVO &amp; JAZZ IN THE PARK EVENTS, HNHF HEALTHY HOMES SPACE USAGE</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>TOLEDO MUSEUM OF ART</BusinessNameLine1Txt>
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        <RecipientEIN>344434678</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>TMA OUTREACH EFFORT TO ENGAGE UNDER SERVED POPULATIONS</PurposeOfGrantTxt>
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        <RecipientEIN>131760110</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>HUMANITARIAN AID FOR CHILDREN IN CRISIS</PurposeOfGrantTxt>
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        <RecipientEIN>131624241</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6500</CashGrantAmt>
        <PurposeOfGrantTxt>COLUMBUS WALK FOR EDUCATION &amp; BOOKS FOR MAYOR'S LUNCHEON</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>WORKFORCE DEVELOPMENT BOARD OF COLUMBUS</BusinessNameLine1Txt>
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        <PurposeOfGrantTxt>CENTRAL OHIO HEALTHCARE SECTOR PARTNERSHIP</PurposeOfGrantTxt>
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        <PurposeOfGrantTxt>COLUMBUS PROMISE FUND, OHIO OPIOID EDUCATION, SUPPORT THE BAND</PurposeOfGrantTxt>
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        <ExplanationTxt>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.</ExplanationTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>27165</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24060</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>351922</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Marissa Larouere</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>VP CLINICAL SERVICES - NCH</TitleTxt>
        <BaseCompensationFilingOrgAmt>261571</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>46520</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>28497</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26717</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>363305</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Patricia McClimon</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>SR VP / PLAN &amp; DEV'T - NCH</TitleTxt>
        <BaseCompensationFilingOrgAmt>635809</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>260821</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>22500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>199640</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29729</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1148499</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Dennis Minzler</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>VP - NCH</TitleTxt>
        <BaseCompensationFilingOrgAmt>336657</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>58501</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>29940</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20910</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>446008</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Rustin Morse MD</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>CHIEF MEDICAL OFFICER - NCH</TitleTxt>
        <BaseCompensationFilingOrgAmt>632726</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>258305</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>22500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>105522</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30179</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1049232</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Amy Roscoe</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>VICE PRESIDENT - RINCH</TitleTxt>
        <BaseCompensationFilingOrgAmt>309219</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>52200</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>29940</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>1463</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>392822</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Lorina Wise</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>VP / HR - NCH</TitleTxt>
        <BaseCompensationFilingOrgAmt>509718</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>237687</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>22500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>105890</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13153</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>888948</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Denise Zabawski</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>VP / CIO - NCH</TitleTxt>
        <BaseCompensationFilingOrgAmt>517307</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>189253</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>67440</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22712</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>796712</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Charles Elmaraghy MD</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>ENT surgeon - CSA</TitleTxt>
        <BaseCompensationFilingOrgAmt>969454</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>176153</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>22500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>43390</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31770</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1243267</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Mark Galantowicz MD</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>CHIEF OF CT SURGERY - CSA</TitleTxt>
        <BaseCompensationFilingOrgAmt>1305107</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>737301</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>22500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>43390</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24435</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Richard Kirschner MD</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>PLASTIC SURGEON - CSA</TitleTxt>
        <BaseCompensationFilingOrgAmt>839798</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>43390</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>30740</NontaxableBenefitsFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Kevin Klingele MD</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>ORTHOPEDIC SURGEON - CSA</TitleTxt>
        <BaseCompensationFilingOrgAmt>821579</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>415000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompensationFlngOrgAmt>43390</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>30740</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Jeffrey Leonard MD</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>NEUROSURGEON - CSA</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>898240</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>22500</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>43390</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>38490</NontaxableBenefitsFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Health or social club dues or initiation fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Nationwide Children's Hospital provided health or social club dues for Patricia McClimon, Rustin Morse, M.D., Catherine Krawczeski 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>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, RUSTIN MORSE, M.D., DENNIS DURBIN, M.D., CATHERINE KRAWCZESKI, M.D. AND DENISE ZABAWSKI. CONTRIBUTIONS WERE MADE ON BEHALF OF THE FOLLOWING EMPLOYEESS: RHONDA COMER $156,250 STEPHEN TESTA $62,500 LORINA WISE $62,500 PATRICIA MCCLIMON $156,250 OLUTOYE OLUYINKA, M.D. $187,500 LEE ANN WALLACE $62,500 RUSTIN MORSE, M.D. $62,500 DENNIS DURBIN, M.D. $62,500 CATHERINE KRAWCZESKI, M.D. $62,500 DENISE ZABAWSKI $37,500 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK1" softwareId="23017437" softwareVersionNum="2023v5.1">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF FRANKLIN OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400067</BondIssuerEIN>
        <CUSIPNum>353187ED5</CUSIPNum>
        <BondIssuedDt>2017-11-16</BondIssuedDt>
        <IssuePriceAmt>147565600</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF FRANKLIN OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400067</BondIssuerEIN>
        <CUSIPNum>353187DN4</CUSIPNum>
        <BondIssuedDt>2016-11-15</BondIssuedDt>
        <IssuePriceAmt>143485390</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF FRANKLIN OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400067</BondIssuerEIN>
        <CUSIPNum>353187BT3</CUSIPNum>
        <BondIssuedDt>2015-05-19</BondIssuedDt>
        <IssuePriceAmt>97434250</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF FRANKLIN OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400067</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2014-06-04</BondIssuedDt>
        <IssuePriceAmt>17225000</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1860000</RetiredAmt>
        <TotalProceedsAmt>147898824</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>1350446</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>100380929</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>46167448</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2018</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>11825000</RetiredAmt>
        <TotalProceedsAmt>143737373</TotalProceedsAmt>
        <CapitalizedInterestAmt>31902</CapitalizedInterestAmt>
        <IssuanceCostsFromProceedsAmt>1430009</IssuanceCostsFromProceedsAmt>
        <UnspentAmt>142275462</UnspentAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <TotalProceedsAmt>101702675</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>1299700</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>95902975</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>4500000</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2019</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <RetiredAmt>13505000</RetiredAmt>
        <TotalProceedsAmt>17225000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>50001</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>17174999</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.011</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.011</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>(SEE STATEMENT)</BusinessNameLine1Txt>
        </HedgeProviderName>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>(SEE STATEMENT)</BusinessNameLine1Txt>
        </HedgeProviderName>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I COLUMN [F] - DESCRIPTION OF PURPOSE OF BONDS</FormAndLineReferenceDesc>
        <ExplanationTxt>2017 A&amp;B BONDS - PART I, LINE A REPORT THE 2017 SERIES A&amp;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. 2016C BONDS - PART I, LINE B REPORT THE 2016 SERIES C HOSPITAL REVENUE REFUNDING BONDS. THESE BONDS WERE ISSUED FOR THE PURPOSE OF ADVANCE REFUDING THE 2008A AND 2009 BONDS. 2015A&amp;B BONDS - PART I, LINE C REPORTS THE 2015 SERIES A&amp;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. 2014A BONDS - PART I, LINE D REPORTS THE 2014 SERIES A BONDS. THE 2014A BONDS WERE HOSPITAL REVENUE REFUNDING BONDS OF THE 2005C SERIAL BONDS. 2013 A&amp;B BONDS - PART I, LINE A (2) REPORTS THE 2013 BONDS, SERIES A &amp; 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. 2008B-E BONDS - PART I, LINE B (2) REPORTS THE 2008 BONDS, SERIES B, C, D &amp; 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 &amp; IMPROVEMENT REVENUE BONDS, SERIES 2006. 2022 B&amp;C BONDS - PART I, LINE C(2) REPORT THE 2022 SERIES B&amp;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. 2019A BONDS - PART I, LINE D(2) 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 5 COLUMN B- CAPITALIZED INTEREST FROM PROCEEDS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COLUMN B AMOUNT REPRESENTS BOND PROCEEDS IN THE AMOUNT OF $31,902 THAT WERE USED TO PAY INTEREST ON THE BOND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 11 COLUMN C - OTHER SPENT PROCEEDS</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS AMOUNT REPRESENTS AN INTEREST RATE HEDGE TERMINATION PAYMENT OF $4,500,000 (COLUMN C).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 11 OTHER SPENT PROCEEDS</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 4b COLUMNS A, D, A(2), B(2) &amp; C(2), - HEDGE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROVIDERS AND TERMS OF INTEREST RATE HEDGES ARE AS FOLLOWS: COLUMN A: 2017 BONDS - PROVIDER IS JP MORGAN CHASE AND TERMINATION DATE IS NOVEMBER 1, 2033. COLUMN D: 2014 BONDS - PROVIDER IS PNC BANK AND TERMINATION DATE IS MAY 1, 2025. COLUMN A(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 B(2): 2008B BONDS - PROVIDER IS MORGAN STANLEY AND TERMINATION DATE IS NOVEMBER 1, 2040. COLUMN C(2): 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 6 TEMPORARY AVAILABLE PERIOD</FormAndLineReferenceDesc>
        <ExplanationTxt>SPEND DOWN REQUIREMENTS HAVE BEEN MET WHERE APPLICABLE ON ALL OUTSTANDING BONDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleK2" softwareId="23017437" softwareVersionNum="2023v5.1">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF FRANKLIN OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400067</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2013-06-04</BondIssuedDt>
        <IssuePriceAmt>66985000</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF FRANKLIN OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400067</BondIssuerEIN>
        <CUSIPNum>3531865S4</CUSIPNum>
        <BondIssuedDt>2008-05-07</BondIssuedDt>
        <IssuePriceAmt>176675000</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF FRANKLIN OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400067</BondIssuerEIN>
        <CUSIPNum>353187EW3</CUSIPNum>
        <BondIssuedDt>2022-05-12</BondIssuedDt>
        <IssuePriceAmt>134880000</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF FRANKLIN OHIO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>316400067</BondIssuerEIN>
        <CUSIPNum>353187EL7</CUSIPNum>
        <BondIssuedDt>2019-10-30</BondIssuedDt>
        <IssuePriceAmt>75326125</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>29890000</RetiredAmt>
        <TotalProceedsAmt>66985000</TotalProceedsAmt>
        <OtherSpentProceedsAmt>66985000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2013</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>134745000</RetiredAmt>
        <TotalProceedsAmt>195350778</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>865761</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>84500</CreditEnhancementAmt>
        <CapitalExpendituresAmt>63456878</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>130943639</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2012</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>8470000</RetiredAmt>
        <TotalProceedsAmt>134880000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>110426</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>134769574</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2022</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <TotalProceedsAmt>75326606</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>324063</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>75002544</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2019</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
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        <ExplanationTxt>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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule M, Part I Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Form 990, Part I, Line 6 TOTAL NUMBER OF VOLUNTEERS: 485</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2023, Nationwide Children's Hospital received 17,860 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a PROGRAM SERVICE ACTIVITY #1</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2023, Nationwide Children's had more than 1.8 million visits from all 50 states and 45 countries. Nationwide Children's discharged approximately 18,838 patients from its Columbus campus during 2023 for a total of 167,386 inpatient days. Patient care was provided by 1,640 medical staff, and the total hospital staff grew to 15,868 employees. Nationwide 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 &amp; 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 2023, Nationwide Children's researchers saw their second FDA-approved gene therapy. The therapy for Duchenne muscular dystrophy was approved under Accelerated Approval, with full approval that followed in 2024. The therapy came from the lab of Jerry Mendell, MD, who retired from Nationwide Children's in October 2023. To further advance our ability to bring advanced care to patients, and as leaders in gene therapy, Nationwide Children's has established the Gene Therapy Center of Excellence, which is dedicated to improving gene therapy access to patients. Whether by increasing efficiency for clinical trials or bringing FDA-approved therapies into our clinics, the Gene Therapy Center of Excellence operates for the benefit of patients and their families. At the cornerstone of Nationwide Children's mission is the commitment to provide high-quality services to patients regardless of their ability to pay. Nationwide Children's provides approximately $320 million in charity care and community benefit services annually. In 2023, Nationwide Children's accomplished this by providing more than $23 million in charity care assistance and more than $176 million of unreimbursed Medicaid for a total of over $199 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 2023. 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 in 2020. It features inpatient services, intensive outpatient services and research all under one roof. The pavilion is currently staffing 38 inpatient psychiatric beds across three specially designed units, including one unit for children with neurobehavioral disorders. An additional 26 beds on the youth crisis stabilization unit and extended observation unit bring total beds to 64 in the behavioral health pavilion. 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 7,272 nursing home visits in 2023, in addition to more than 53,000 hours of private duty nursing care. 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 Control 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 51,503 poison exposure calls in 2023. 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 470,000 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;</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d OTHER PROGRAM SERVICE ACTIVITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>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 AND SOLUTIONS FOR PATIENT SAFETY, 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 RESIDENT ADVOCACY DAYS AT THE OHIO STATEHOUSE, INTRODUCING FUTURE PEDIATRICIANS TO POLICY ISSUES SURROUNDING CHILD HEALTH. IN 2023, NATIONWIDE CHILDREN'S 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 AND SOUTH SIDE NEIGHBORHOODS 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 2023, THE CHILD ASSESSMENT CENTER SERVED 899 PATIENTS WITH 928 VISITS. THE CHILD ASSESSMENT TEAM PROVIDED 815 INPATIENT CONSULTS TO NATIONWIDE CHILDREN'S. THE FOSTERING CONNECTIONS PROGRAM, A SPECIALTY CLINIC THAT PROVIDES HEALTH CARE SERVICES TO CHILDREN AND TEENS RESIDING IN OUT-OF-HOME ENVIRONMENTS, HAD 1,878 VISITS, SERVING 775 PATIENTS. 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 2023, TAD TRAINED 5,110 ADULTS AND 1,844 YOUTH. 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. NOW CALLED THE KIDS MENTAL HEALTH FOUNDATION, CONTENT IS DESIGNED TO EMPOWER ADULTS WITH THE CONFIDENCE TO UNDERSTAND, ADDRESS AND PROMOTE THE MENTAL HEALTH OF KIDS. 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 2023 ALONE, 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 712 CONSULTATIONS WITH 249 PRIMARY CARE PROVIDERS IN 37 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 2023 ECHO SERIES: 11 ECHO SESSIONS: 143 INDIVIDUAL ATTENDEES: 447 TOTAL ATTENDANCES: 2194 ECHO DATA - FAMILY SERIES 2023 ECHO SERIES: 2 ECHO SESSIONS: 9 INDIVIDUAL ATTENDEES: 844 TOTAL ATTENDANCES: 1253 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. CUMULATIVE PROJECT ECHO DATA 2023 (PROFESSIONAL SERIES + FAMILY SERIES) ECHO SERIES: 13 ECHO SESSIONS: 152 INDIVIDUAL ATTENDEES: 1281 TOTAL ATTENDANCES: 3447 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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4b PROGRAM SERVICE ACTIVITY #2</FormAndLineReferenceDesc>
        <ExplanationTxt>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 NATION'S TOP 10 FOR NATIONAL INSTITUTES OF HEALTH (NIH) FUNDING, AWRI OCCUPIES 800,000 SQUARE FEET OF DEDICATED RESEARCH SPACE ACROSS FOUR BUILDINGS ON THE HOSPITAL'S MAIN CAMPUS. RESEARCH BUILDING IV 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 2023, THE AWRI TEAM INCLUDED MORE THAN 1,815 RESEARCH INSTITUTE EMPLOYEES, 93 RESEARCH FELLOWS, 68 GRADUATE STUDENTS AND 264 PRINCIPAL INVESTIGATORS (WHO HAVE $50,000 OR MORE IN RESEARCH FUNDING SUPPORT). NATIONWIDE CHILDREN'S IS 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 TWO OF THE FIRST EIGHT FDA-APPROVED GENE THERAPIES FOR SYSTEMIC ADMINISTRATION, OUR TEAM IS GIVING HOPE FOR FAMILIES FACING CONDITIONS RANGING FROM CANCER TO NEUROMUSCULAR AND NEUROLOGIC DISEASES AND BEYOND. OUR RESEARCHERS ARE COMMITTED TO EXPANDING THE PROMISE OF GENOMICS TO THE CLINIC. THE CENTER FOR CHILDHOOD CANCER RESEARCH CONTINUES TO HAVE EXCEPTIONAL GROWTH AND SUCCESS IN ITS RESEARCH PROGRAMS THROUGH STRONG INTEGRATION AND COLLABORATION AMONG LABORATORIES IN THE CENTER AND CLINICAL DIVISIONS. INVESTIGATORS IN THE CENTER HAVE BEEN AWARDED TWO U54 (MOONSHOT) GRANT AWARDS IN ADDITION TO A T32 TRAINING GRANT IN PEDIATRIC CANCER. ADDITIONALLY, THEY HAVE MOVED NATURAL KILLER (NK) CELL THERAPY INTO MULTIPLE FIRST-IN-HUMAN CLINICAL TRIALS. 2023 WAS A BREAKOUT YEAR IN THE VOLUME AND DEPTH OF STUDIES AT THE STEVE AND CINDY RASMUSSEN INSTITUTE FOR GENOMIC MEDICINE (IGM) AT NATIONWIDE CHILDREN'S. IN 2023, OVER 19,000 CLINICAL ASSAYS WERE PERFORMED AND OVER 190 INDIVIDUALS WITH DIAGNOSES OF AUTISM, BIPOLAR DISORDER AND SUICIDALITY/DEPRESSION WERE ENROLLED IN A STUDY TO UNDERSTAND THE UNDERLYING CAUSES AND BIOLOGICAL PROCESSES OF BEHAVIORAL HEALTH CONDITIONS. ADDITIONALLY, OVER 2,500 PATIENTS WITH CANCER HAVE BEEN STUDIED SINCE 2018, WITH AT LEAST ONE MEDICALLY MEANINGFUL RESULT FOR MORE THAN 95%. THE INSTITUTE'S PROCESS TRANSFORMS PATIENT CARE AND MAKES GENOMIC TESTING RESULTS ACCESSIBLE AND MEANINGFUL FOR PROVIDERS AND THE PATIENTS AND FAMILIES THEY SERVE. IN 2023, NATIONWIDE CHILDREN'S ESTABLISHED THE INSTITUTE FOR MENTAL AND BEHAVIORAL HEALTH RESEARCH. THIS INSITITUE CONDUCTS INNOVATIVE TRANSLATIONAL, CLINICAL AND EPIDEMIOLOGICAL RESEARCH FOCUSED ON THE ETIOLOGY, PREVENTION AND TREATMENT OF MENTAL, EMOTIONAL AND BEHAVIORAL DISORDERS. IN ADDITION TO COLLABORATIVE EFFORTS ACROSS THE NATIONWIDE CHILDREN'S HOSPITAL CAMPUS, INSITITUE MEMBERS WORK IN COLLABORATION WITH THE OHIO STATE UNIVERSITY DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL HEALTH AND THE OSU INSTITUTE FOR BEHAVIORAL MEDICINE RESEARCH. IN 2023, THE BIG LOTS BEHAVIORAL HEALTH SERVICE LINE HAD 274,695 TOTAL OUTPATIENT BEHAVIORAL HEALTH VISITS, PROVIDING CARE FOR 41,642 UNIQUE PATIENTS. INITIAL RESEARCH FOCUSES FOR THE CENTER INCLUDE SUICIDE PREVENTION AND RESEARCH AS WELL AS DEVELOPING BETTER ASSESSMENTS FOR THE DIAGNOSIS AND MANAGEMENT OF BEHAVIORAL AND MENTAL HEALTH CONDITIONS. IN 2023, THE CENTER FOR SUICIDE PREVENTION AND RESEARCH, WHICH IS NOW PART OF THE INSTITUTE FOR MENTAL AND BEHAVIORAL HEALTH RESEARCH, CONTINUED EFFORTS TO ACCELERATE THE DEVELOPMENT AND IMPLEMENTATION OF EFFECTIVE INTERVENTIONS TO REDUCE SUICIDE IN CHILDREN AND ADOLESCENTS, SUPPORTED BY A P50 CENTER GRANT FROM THE NATIONAL INSTITUTE OF MENTAL HEALTH. THE GRANT FUNDS THE CENTER FOR ACCELERATING SUICIDE PREVENTION IN REAL-WORLD SETTINGS (ASPIRES). THE GOAL OF THE ASPIRES PILOT PROGRAM, PRACTICE-BASED RESEARCH ON YOUTH SUICIDE PREVENTION, IS TO FUND SMALL-SCALE, INNOVATIVE OR EXPLORATORY RESEARCH FOCUSED ON YOUTH SUICIDE PREVENTION. THREE RESEARCH PROGRAMS FROM 2023 ARE ONGOING, FOCUSING ON CRISIS RESPONSE PLANNING, EMOTION REGULATION FOR YOUTH AT CLINICAL HIGH RISK FOR PSYCHOSIS AND PREDICTING MENTAL HEALTH SEQUELAE FOLLOWING MILD TRAUMATIC BRAIN INJURY IN YOUTH. 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 2023, PRINCIPAL INVESTIGATORS CONTINUED THEIR RESEARCH IN FIREARM SAFETY AND USING FENTANYL TEST STRIPS TO REDUCE OVERDOSE DEATHS, AMONG OTHER TOPICS. THE CENTER FOR CHILD HEALTH EQUITY AND OUTCOMES RESEARCH ADVANCES CHILD HEALTH AND WELL-BEING THROUGH RESEARCH IN AND ACROSS CLINICAL CARE, HEALTH SERVICES, HEALTH POLICY AND COMMUNITY INITIATIVES. IN 2023, THE CENTER HAD 41 ACTIVE EXTERNALLY FUNDED GRANTS, 245 PUBLICATIONS AND WAS AWARDED $18.3 MILLION IN EXTERNAL FUNDING. INVESTIGATORS' RESEARCH SPANS SEVERAL AREAS, INCLUDING SOCIAL DRIVERS OF HEALTH, COMMUNITY DEVELOPMENT INTERVENTIONS, CLINICAL PROCESSES AND OUTCOMES, RACE, RACISIM AND HEALTH AND STATE AND FEDERAL HEALTH POLICY. THE MIDWEST PEDIATRIC DEVICE CONSORTIUM, AN $6.95 MILLION GRANT INITIATIVE FROM THE FOOD AND DRUG ADMINISTRATION, IS A NEW CONSORTIUM LED BY NATIONWIDE CHILDREN'S HOSPITAL AND THE OHIO STATE UNIVERSITY TO DEVELOP, PRODUCE AND COMMERCIALIZE PEDIATRIC MEDICAL DEVICES. THE GRANT WAS AWARDED TO CO-PRINCIPAL INVESTIGATORS CORY CRISS, MD, CHIEF OPERATING OFFICER OF THE CONSORTIUM AND PEDIATRIC SURGEON AT NATIONWIDE CHILDREN'S AND DAVID ECKMANN, PHD, MD, CHIEF EXECUTIVE OFFICER OF THE CONSORTIUM AND FOUNDING DIRECTOR OF THE CENTER FOR MEDICAL AND ENGINEERING INNOVATION AT THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE. IN 2023, A RESEARCH TEAM AT NATIONWIDE CHILDREN'S HOSPITAL AND THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER WAS AWARDED $17.7 MILLION FROM THE NATIONAL INSTITUTES OF HEALTH TO JOIN A NATIONAL CONSORTIUM TO STUDY HOW CHILDHOOD ENVIRONMENTS AND EXPERIENCES INFLUENCE THE HEALTH OF CHILDREN AS THEY GROW AND DEVELOP. THE OVERARCHING GOAL OF THE ENVIRONMENTAL INFLUENCES ON CHILD HEALTH OUTCOMES (ECHO) PROGRAM IS TO IDENTIFY FACTORS THAT INFLUENCE CHILDREN'S HEALTH FROM BIRTH THROUGH ADULTHOOD. IN LATE 2023, THE FDA AWARDED BREAKTHROUGH STATUS TO CHRISTOPHER BREUER, MD, AND HIS TEAM FOR THEIR TISSUE ENGINEERED VASCULAR GRAFT (TEVG). THE TEVG WAS DEVELOPED BY DR. BREUER AND HIS COLLABORATOR TOSHIHARU SHINOKA, MD, PHD. IT IS CURRENTLY IN CLINICAL TRIALS, BEING USED AS THE CONDUIT/GRAFT IN FONTAN SURGERIES FOR CHILDREN WITH SINGLE VENTRICAL CONGENITAL HEART DISEASE. THE TEVG USES A BIODEGRADABLE GRAFT SEEDED WITH THE PATIENT'S OWN CELLS TO DRIVE THE DEVELOPMENT OF A NEOVESSEL. RESEARCH TO DATE HAS SHOWN THAT THE NEOVESSEL OFFERS BETTER PERFORMANCE THAN THE GRAFTS CURRENTLY IN USE TODAY AND HAS AN EXCELLENT SAFETY PROFILE. THE ONGOING CLINICAL TRIAL WILL FULLY EVALUATE SAFETY AND EFFICACY. MORE THAN 3,000 CLINICAL RESEARCH PROJECTS ARE UNDERWAY AT NATIONWIDE CHILDREN'S. THESE PROJECTS INCLUDE SINGLE- AND MULTI-SITE INVESTIGATOR-INITIATED TRIALS AND NATIONAL AND INTERNATIONAL CLINICAL STUDIES. WE ARE PROUD TO BE PART OF MANY CONSORTIA AND COLLABORATIONS DESIGNED TO MAXIMIZE INCREASED RESEARCH PARTICIPATION, ESPECIALLY FOR RARE DISEASES, WHERE THE PATIENT POPULATIONS ARE SMALL. MORE THAN 1,820 PAPERS WERE PUBLISHED IN 2023 BY NATIONWIDE CHILDREN'S CLINICIANS AND SCIENTISTS IN PEER-REVIEWED MEDICAL AND SCIENTIFIC JOURNALS, AND AT THE END OF 2023, THERE WERE NEARLY 3,000 INSTITUTIONAL REVIEW BOARD (IRB)-APPROVED STUDIES IN PROGRESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4c PROGRAM SERVICE ACTIVITY #3</FormAndLineReferenceDesc>
        <ExplanationTxt>EDUCATION - AS AN ACADEMIC MEDICAL CENTER, THE HOSPITAL'S MISSION INCLUDES PREPARING THE NEXT GENERATION OF PEDIATRIC HEALTHCARE PROVIDERS. IN 2023, 600 OHIO STATE UNIVERSITY ("OSU") FACULTY MEMBERS TRAINED 375 MEDICAL STUDENTS, 112 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 2023, THE HOSPITAL SPONSORED 39 ACCREDITED MEDICAL/DENTAL RESIDENCY AND FELLOWSHIP PROGRAMS, 35 ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION; 4 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 2023, 10 PHYSICIAN SPECIALTIES RECRUITED 13 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 $9.7 MILLION IN 2023, FOR A TOTAL OF OVER $25 MILLION IN EXPENSES UNDERWRITTEN OVER THE PAST THREE YEARS, FROM CHGME. IN 2023, APPROXIMATELY 1,800 NURSING STUDENTS, 169 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 425 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 163 SCHOOL DISTRICTS. THE HOSPITAL OFFERS PROFESSIONAL EDUCATION PROGRAMS TO IMPROVE AND SUSTAIN DELIVERY OF HIGH-QUALITY PEDIATRIC CARE TO ALL CHILDREN. IN 2023, IT AWARDED OVER 151,000 CONTINUING MEDICAL EDUCATION CREDITS TO APPROXIMATELY 32,500 PHYSICIANS AND 47,000 ALLIED HEALTH PROFESSIONALS, INCLUDING DENTISTS/DENTAL ASSISTANTS, NURSES, PHARMACISTS/PHARMACY TECHNICIANS, PHYSICIAN ASSISTANTS, PSYCHOLOGISTS, AND SOCIAL WORKERS; AND ORGANIZED 20 LOCAL, REGIONAL, NATIONAL, AND INTERNATIONAL CONFERENCES AND 156 REGULARLY SCHEDULED SERIES. PROJECT ECHO (EXTENSION FOR COMMUNITY HEALTHCARE OUTCOMES) IS AN INNOVATIVE TELE-MENTORING PROGRAM THAT BRINGS TOGETHER COMMUNITY PROVIDERS AND SPECIALIST TEAMS TO FORM VIRTUAL COMMUNITIES OF PRACTICE. IN 2023, 11 PROFESSIONAL SERIES WERE OFFERED, TRAINING 447 COMMUNITY PROVIDERS. 37 scholars representing 13 specialties and 14 counites spent time at Nationwide Children's through our International Scholars program. THE HOSPITAL WORKS CLOSELY WITH LOCAL HEALTHCARE PROVIDERS, INCLUDING 21 AFFILIATE HOSPITALS, TO STANDARDIZE PEDIATRIC CARE THROUGHOUT OHIO. IN 2023, THE HOSPITAL PROVIDED 28 OUTREACH EDUCATION SESSIONS FOR 805 PARTICIPANTS. AN ADDITIONAL 1,514 HEALTH CARE PROVIDERS RECEIVED PEDIATRIC ADVANCED LIFE SUPPORT TRAINING, AND 66 RECEIVED PEDIATRIC EMERGENCY ASSESSMENT AND RECOGNITION TRAINING FROM THE HOSPITAL. IN ADDITION, 405 HEALTH CARE PROVIDERS RECEIVED ADVANCED CARDIAC LIFE SUPPORT. IN ADDITION, WE HELD 2,217 SIMULATION SESSIONS AND TRAINED OVER 16,709 LEARNERS IN 2023. 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 2023, 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. OUR PATIENT EDUCATION MATERIALS HAD OVER 3 MILLION WEB VIEWS. 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 2023, 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 NEARLY 600 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 &amp; 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 MAINTENANCE OF CERTIFICATION (MOC) PART IV PORTFOLIO PROGRAM SPONSOR. SINCE 2012, OVER 1,000 PHYSICIANS (AND HUNDREDS OF OTHER TEAM MEMBERS) HAVE ENGAGED IN OVER 300 DIFFERENT QI PROJECTS FOR MOC PART IV CREDIT AT NO CHARGE TO PHYSICIANS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d OTHER PROGRAM SERVICE ACTIVITIES (CONTINUED)</FormAndLineReferenceDesc>
        <ExplanationTxt>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. 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 2023, 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 2023. MENTORS SPEND ONE HOUR WEEKLY WITH THEIR MENTEE IN DELIBERATE ACTIVITIES AND DISCUSSION. IN ADDITION, NEARLY 40 LOCAL HIGH SCHOOL STUDENTS PARTICIPATED IN THE UPWARD BOUND MATH AND SCIENCE PROGRAM IN 2023. 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 2023, 80 HOME REPAIR GRANTS WERE PROVIDED TO HOMEOWNERS, 67 NEW UNITS OF AFFORADABLE HOUSING WERE DEVELOPED,AND 56 NEW FAMILIES SIGNED LEASES WITH HEALTHY HOMES. SINCE 2008, MORE THAN 800 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 2023 AS A RESULT OF WORKFORCE DEVELOPMENT AND STRATEGIC RECRUITMENT EFFORTS BY THE HOSPITAL, MORE THAN 300 NATIONWIDE CHILDREN'S HOSPITAL RESIDENTS WERE HIRED. 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 90 STUDENTS PARTICIPATED in 2023. 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-EIGHT 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 $70,000 TO HELP THEM ACCESS TAX CREDITS AND REFUNDS. SINCE INCEPTION IN 2020, 1,661 TOTAL RETURNS HAVE BEEN FILED, RESULTING IN $4 MILLION IN TOTAL REFUNDS AND $1.4 MILLION IN CHILD TAX CREDITS. 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 2023, NATIONWIDE CHILDREN'S HOSTED 10 PLAYSTREETS EVENTS, WHICH ALLOW KIDS IN THE NEIGHBORHOODS A SAFE PLACE TO PLAY. MORE THAN 2,300 CHILDREN AND ADULTS ATTENDED 11 EVENTS IN 2023. IN ADDITION, SOUTH SIDE THRIVE COLLABORATIVE(SSTC) CONVENED NEARLY 300 STAKEHOLDERS FROM 93 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 5,550 VISITS IN 2023. SCHOOL-BASED BEHAVIORAL HEALTH HAD MORE THAN 8,400 VISITS DURING 2022. SCHOOL-BASED HEALTH HAS NOW EXPANDED INTO OFFERING DENTAL AND DIABETES PROGRAMS.IN ADDITION, APPROXIMATELY 41 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 9,497,356 including grants of $ 4,699,267)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>JOSEPH A. CHLAPATY AND ALEX FISCHER - Business relationship, ALEX FISCHER, C. ROBERT KIDDER, AND TIMOTHY C. ROBINSON - Business relationship, PETER MOHLER, PH.D., 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, TIMOTHY C. ROBINSON, ALEX FISCHER, DENNIS DURBIN, M.D. - Business relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>NATIONWIDE CHILDREN'S HOSPITAL, INC. IS THE PARENT CORPORATION WITH VOTING CONTROL OVER THE SUBORDINATE ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>IN THE FIRST QUARTER OF 2023, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>IN THE FIRST QUARTER OF 2023, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1a, Column (B) AVERAGE HOURS PER WEEK</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Robinson, Timothy C. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>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: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR - PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: CHILDREN'S RADIOLOGICAL INSTITUTE, Title: DIRECTOR - CRI, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS, Title: DIRECTOR - PPAC, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: DIRECTOR - CSA, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CHILDREN'S ANESTHESIA ASSOCIATES, Title: DIRECTOR - CAA, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Alexander, Cecily ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Andretta, Ralph ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Axelson, M.D., David ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Baldwin, Dallas ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Barrett, George ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>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: CHAIR/ DIRECTOR - RINCH, AverageHours: 3.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Bergman, Chris ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Bignall, M.D., Ray ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR - PFK (AS OF 9/2023), AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - PFK (AS OF 4/2023), AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Birch, Carrie ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Bradford, Eleanor ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION , AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Bradford, M.D., Carol ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH , AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Burger, Corrine ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH , AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Chlapaty, Joseph A. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Chung, M.D., Ellen ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CHILDREN'S RADIOLOGICAL INSTITUTE, Title: DIRECTOR - CRI (AS OF 3/2023), AverageHours: 50.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Comer, Kaydian ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Covelli, Albert ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Crawford, Brent ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION , AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Delatore, Miranda ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION (AS OF 1/2023), AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A DiMarco, Ann ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION , AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Farber, Pamela ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION (TO 12/2023), AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Feldman, Deborah ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Fischer, Alex ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>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 (AS OF 1/2023), AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Fitzpatrick, Michael ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Frecka, Brenda ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION , AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Germain, Libby ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A GROSSMAN, ANDREW ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA (TO 12/2023), AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Havens, John ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION , AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Healy, Brian ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - PFK (AS OF 4/2023), AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Holcomb, Michele ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Research Institute at Nationwide Children's Hospital, Title: DIRECTOR - RINCH , AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Holloway, Bishop Callon ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Jester, Chad A. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Johnson, Timothy ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Johnson, PH.D, Kent ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Research Institute at Nationwide Children's Hospital, Title: DIRECTOR - RINCH (TO 11/2023), AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Kemper, M.D., Alex ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK (TO 6/2023), AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Kidder, C. Robert ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Krawczeski, M.D., Catherine ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: Director - PFK, AverageHours: 50.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Lloyd, Katherine Wolfe ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Long, M.D., William ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Malhotra, M.D., Prashant ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Marbley, Honorable Algenon ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Miller Jr., Jordan ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Mohler, PH.D., Peter ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Research Institute at Nationwide Children's Hospital, Title: DIRECTOR - RINCH, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Monroe, Cindy ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION (TO 12/2023), AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Noritz, M.D., Garey ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK (TO 6/2023), AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Olutoye, M.D., Oluyinka ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: DIRECTOR - CSA, AverageHours: 47.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Partlow, Stanley ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA (TO 12/2023), AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Pearson, M.D., Greg D. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH , AverageHours: 47.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Prasad, M.D., Vinay ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Ramsden, Jonathan ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Redd, Achea ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Reed, Jamie ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Schottenstein, Lindsay ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION , AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Shepherd, M.D., Edward ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION (TO 12/2023), AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Skestos, Danielle ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Smith, Dwight ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>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; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Snyder, M.D., Rob ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>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 - PFK (AS OF 4/2023), AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Soll, Bruce ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Stewart, Bryan ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Sullivan, Dan ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Thomas, M.D., Olivia ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK (TO 6/2023), AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA (TO 3/2023), AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Thorn, Bruce ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Tobias, M.D., Joseph ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CHILDREN'S ANESTHESIA ASSOCIATES, Title: DIRECTOR - CAA, AverageHours: 50.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Tuckerman, Audrey G. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Tyson, M.D., H. Scott ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK (TO 6/2023), AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Vaughan, Matt ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Research Institute at Nationwide Children's Hospital, Title: Director - RINCH , AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Vickers, Billy ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION , AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Walker, Kirt ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: CHAIR/DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Walker, Thomas ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Research Institute at Nationwide Children's Hospital, Title: DIRECTOR - RINCH, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Wallace, Lee Ann ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: SR VP &amp; 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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Wexner, Abigail S. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: CHAIR / DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Wexner, Hannah ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: DIRECTOR - NCH FOUNDATION , AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A White, Aimee ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Wolfe, Ann I. ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: DIRECTOR - NCH, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Zazon, Sue ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: DIRECTOR - CCFA, AverageHours: 3.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Banerjee, Shilpi ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Research Institute at Nationwide Children's Hospital, Title: ASST SECRETARY - RINCH , AverageHours: 50.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Brown, Luke ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: TREASURER / SR VP / CFO - NCH (TO 6/2023), AverageHours: 47.000; Officer Organization Name: Research Institute at Nationwide Children's Hospital, Title: TREASURER - RINCH (TO 6/2023), AverageHours: 3.000; Officer Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: TREASURER / DIRECTOR - PFK (TO 6/2023), AverageHours: 3.000; IndividualTrusteeOrDirectorOfficer Organization Name: CHILDREN'S RADIOLOGICAL INSTITUTE, Title: TREASURER/DIRECTOR - CRI (TO 6/2023), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS, Title: TREASURER/DIRECTOR - PPAC (TO 6/2023), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: TREASURER/DIRECTOR - CSA (TO 6/2023), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: CHILDREN'S ANESTHESIA ASSOCIATES, Title: TREASURER / DIRECTOR - CAA (TO 6/2023), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: TREASURER - FOUNDATION (TO 6/2023), AverageHours: 3.000; Officer Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: TREASURER - CCFA (TO 6/2023), AverageHours: 3.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Comer, Rhonda ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>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: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: SECRETARY - PFK, AverageHours: 3.000; Officer Organization Name: CHILDREN'S RADIOLOGICAL INSTITUTE, Title: SECRETARY - CRI, AverageHours: 1.000; Officer Organization Name: PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS, Title: SECRETARY - PPAC, AverageHours: 1.000; Officer Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: SECRETARY - CSA, AverageHours: 1.000; Officer Organization Name: CHILDREN'S ANESTHESIA ASSOCIATES, Title: SECRETARY - CAA, AverageHours: 1.000; Officer Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: SECRETARY - NCH FOUNDATION, AverageHours: 3.000; Officer Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: SECRETARY - CCFA, AverageHours: 3.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Cunningham, Nancy ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: Interim President - CCFA , AverageHours: 50.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A DiOrio, M.D., Mary ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: MEDICAL DIRECTOR - PFK (TO 11/2023), AverageHours: 50.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Durbin, M.D., Dennis ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Research Institute at Nationwide Children's Hospital, Title: PRESIDENT - RINCH, AverageHours: 50.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Evans, Sara ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: ASSISTANT SECRETARY - PFK, AverageHours: 3.000; Officer Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: ASST SECRETARY - FOUNDATION, AverageHours: 47.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Gleeson, M.D., Sean ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: PRESIDENT - PFK, AverageHours: 50.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Lenobel, Andrew ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Maiorino, Kristen ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS, Title: ASST SECRETARY - PPAC, AverageHours: 50.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Miller, Richard ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: PRESIDENT/COO - NCH, AverageHours: 47.000; Officer Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: DIRECTOR -PFK, AverageHours: 3.000; IndividualTrusteeOrDirector Organization Name: CHILDREN'S RADIOLOGICAL INSTITUTE, Title: PRESIDENT/DIRECTOR - CRI, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS, Title: PRESIDENT/DIRECTOR - PPAC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: PRESIDENT/DIRECTOR - CSA, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: CHILDREN'S ANESTHESIA ASSOCIATES, Title: PRESIDENT/DIRECTOR - CAA, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Testa, Stephen ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: PRES - NCH FOUNDATION, AverageHours: 50.000; Officer</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Weichold, Nelson ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: TREASURER / SR VP / CFO - NCH (AS OF 6/2023), AverageHours: 47.000; Officer Organization Name: Research Institute at Nationwide Children's Hospital, Title: TREASURER - RINCH (AS OF 6/2023), AverageHours: 3.000; Officer Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: TREASURER / DIRECTOR - PFK (AS OF 9/2023), AverageHours: 3.000; IndividualTrusteeOrDirectorOfficer Organization Name: CHILDREN'S RADIOLOGICAL INSTITUTE, Title: TREASURER/DIRECTOR - CRI (AS OF 6/2023), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS, Title: TREASURER/DIRECTOR - PPAC (AS OF 6/2023), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: TREASURER/DIRECTOR - CSA (AS OF 6/2023), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: CHILDREN'S ANESTHESIA ASSOCIATES, Title: TREASURER / DIRECTOR - CAA (AS OF 6/2023), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION, Title: TREASURER - FOUNDATION (AS OF 6/2023), AverageHours: 3.000; Officer Organization Name: CENTER FOR CHILD &amp; FAMILY ADVOCACY AT NATIONWIDE CHILDREN'S HOSPITAL, Title: TREASURER - CCFA (AS OF 6/2023), AverageHours: 3.000; Officer</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Edson, Pamela ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Children's Hospital and Physician's Healthcare Network (Partners for Kids), Title: VICE PRESIDENT - PFK, AverageHours: 50.000; KeyEmployee</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Larouere, Marissa ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: VP CLINICAL SERVICES - NCH, AverageHours: 50.000; KeyEmployee</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A McClimon, Patricia ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: SR VP / PLAN &amp; DEV'T - NCH, AverageHours: 50.000; KeyEmployee</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Minzler, Dennis ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: VP - NCH, AverageHours: 50.000; KeyEmployee</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Morse, M.D., Rustin ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>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 RADIOLOGICAL INSTITUTE, Title: DIRECTOR - CRI, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS, Title: DIRECTOR - PPAC, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: DIRECTOR - CSA, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CHILDREN'S ANESTHESIA ASSOCIATES, Title: DIRECTOR - CAA, AverageHours: 1.000; IndividualTrusteeOrDirector</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Roscoe, Amy ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Research Institute at Nationwide Children's Hospital, Title: VICE PRESIDENT - RINCH, AverageHours: 50.000; KeyEmployee</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Wise, Lorina ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: VP / HR - NCH, AverageHours: 50.000; KeyEmployee</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Zabawski, Denise ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: Nationwide Children's Hospital (31-4379441), Title: VP / CIO - NCH, AverageHours: 50.000; KeyEmployee</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Elmaraghy, M.D., Charles ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: ENT surgeon - CSA, AverageHours: 50.000; HighestCompensatedEmployee</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Galantowicz, M.D., Mark ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: CHIEF OF CT SURGERY - CSA, AverageHours: 50.000; HighestCompensatedEmployee</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Kirschner, M.D., Richard ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: PLASTIC SURGEON - CSA, AverageHours: 50.000; HighestCompensatedEmployee</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Klingele, M.D., Kevin ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: ORTHOPEDIC SURGEON - CSA, AverageHours: 50.000; HighestCompensatedEmployee</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Leonard, M.D., Jeffrey ADDITIONAL POSITIONS HELD</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization Name: CHILDREN'S SURGICAL ASSOCIATES, Title: NEUROSURGEON - CSA, AverageHours: 50.000; HighestCompensatedEmployee</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Other - Total Revenue: 1026908, Related or Exempt Function Revenue: 1026908, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER - Total Revenue: 9909034, Related or Exempt Function Revenue: 6239281, Unrelated Business Revenue: 1192906, Revenue Excluded from Tax Under Sections 512, 513, or 514: 2476847;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>NET CHANGE IN INTEREST RATE SWAP AGREEMENTS - -2735033; TRANSFERS - 41096281; OTHER - 21233166; EFFECT OF ADOPTION OF SFAS NO. 158 - 4405761;</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a PROGRAM SERVICE ACTIVITY #1 (CONTINUED)</FormAndLineReferenceDesc>
        <ExplanationTxt>- IT IMPROVES THE HEALTH OF POPULATIONS WITH EFFORTS TO ENSURE ALL 470,000+ 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. 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 IMPROVEMENT ADVISOR 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 2023, THE PARTNERS FOR KIDS QUALITY IMPROVEMENT COACHING PROGRAM: a. ENGAGED 32 COMMUNITY PRACTICES WITH AT LEAST ONE ACTIVE QI PROJECT DURING THE YEAR, WITH 67,574 PARTNERS FOR KIDS PATIENTS RECEIVING CARE AT THOSE SITES * OF THESE ENGAGED PRACTICES, 9 PARTICIPATED IN MORE THAN ONE ACTIVE PROJECT IN 2023 * FIVE OF THESE PRACTICES PARTICIPATED IN THREE OR MORE DIFFERENT PROJECTS b. ENGAGED EIGHT COMMUNITY BEHAVIORAL HEALTH ORGANIZATIONS WITH AT LEAST ONE ACTIVE QI PROJECT DURING THE YEAR * TWO OF THESE ENGAGED BEHAVIORAL HEALTH ORGANIZATIONS PARTICIPATED IN MORE THAN ONE ACTIVE PROJECT IN 2023 c. FACILITATED 62 ACTIVE QI PROJECTS WITH COMMUNITY PROVIDERS, INCLUDING: * ASTHMA * DEPRESSION SCREENING AND MANAGEMENT * MENTAL HEALTH SCREENING (PSC-17) * SUICIDE * FLUORIDE VARNISH * IMMUNIZATIONS (CHILDHOOD AND ADOLESCENT) * REPRODUCTIVE HEALTH (REPRODUCTIVE HEALTH ASSESSMENTS, CONTRACEPTIVE ACCESS AND STI &amp; HIV SCREENING) * WELL VISITS * BODY MASS INDEX * LEAD SCREENING * PATIENT ENGAGEMENTS IN PSYCHOSOCIAL SERVICES * FOLLOW UP AFTER HOSPITAL DISCHARGE FOR BEHAVIORAL HEALTH CONCERNS * ANTIPSYCHOTIC PRESCRIBING AND LAB MONITORING 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 CONTINUED IN 2023 TO WORK WITH OUR WEST REGION TEAM AT PARTNERS FOR KIDS, WHICH ENCOMPASSES 10 ADDITIONAL COUNTIES, TO SUPPORT THEM THROUGH PROJECT PORTFOLIO DEVELOPMENT, DATA ANALYSIS AND QUALITY IMPROVEMENT TRAINING * TWO COMMUNITY PRIMARY CARE PRACTICES IN THIS REGION WERE INCLUDED IN THE QI ACTIVITIES FOR PFK OVERALL IN 2023 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 * 2023 PATIENT OUTREACH RESULTED IN 45.1% ENROLLMENT. c. SATISFACTION SURVEY RESULTS * COMPOSITE SCORE MEAN ON PATIENT SURVEY REGARDING INTEGRATED CARE IS 64.4 FOR 2023. 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 17 school-based health centers (SBHC) and two 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 (SBHCS and Mobiles) played a vital role in vaccine distribution to children, providing 14,071 vaccines (573 COVID vaccines and 13,498 routine vaccines), reaching children with barriers to access vaccines. b. The SBHC staff completed 11,742 patient visits and the mobile team completed 2,423 visits (14,165 total visits). 4,127 of these total visits were well checks. c. The clinic staff submitted 2,347 referrals, with the most common being Social Work, Behavioral Health, and Ophthalmology referrals. d. In 2023, the Mobile Units served 73 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. a. There were 845 unique students enrolled in SBAT by the end of the 2023-24 school year from 304 participating schools. b. When comparing patient outcomes 1 year pre- and 1 year post-SBAT enrollment, the following results were achieved: a. A 52% reduction in ED rates b. A 73% reduction in IP rates c. 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 enrolled 101 unique students by the end of the 2023-24 school year. b. There were 75 students who had usage with a CGM, a significant increase from the beginning of the program.</ExplanationTxt>
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