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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTEERS INCLUDE A NUMBER OF CLINICAL EXPERTS WHO WORK IN PARTNER HOSPITALS WORKING ON A VARIETY OF TASKS UNDER THE NETWORK'S SCOPE. VOLUNTEER GROUPS INCLUDE: THE CLINICAL OPERATIONS CORE GROUP, CLINICAL LEADERSHIP GROUP, THE LEARNING COMMITTEE, AND THE HOSPITAL ACQUIRED CONDITION SUBJECT MATTER EXPERTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>SOLUTIONS FOR PATIENT SAFETY (SPS) IS A UNIQUE LEARNING NETWORK CONSISTING OF 150+ CHILDREN'S HOSPITALS ACROSS NORTH AMERICA WORKING TOGETHER TO HELP EACH INDIVIDUAL HOSPITAL MAKE PROGRESS ON A JOURNEY TO ZERO HARM IN PARTICIPATING INSTITUTIONS. EMPLOYING HIGH-RELIABILITY CONCEPTS AND QUALITY IMPROVEMENT SCIENCE METHODS, THE NETWORK IS FOCUSED ON REDUCING HARM BY PREVENTING SERIOUS SAFETY EVENTS, READMISSIONS (WITHIN 7 DAYS FROM DISCHARGE), AND 15 HOSPITAL ACQUIRED CONDITIONS (HACS): AMBULATORY SAFETY, ADVERSE DRUG EVENTS, CATHETER-ASSOCIATED URINARY TRACT INFECTIONS, CENTRAL LINE-ASSOCIATED BLOOD STREAM INFECTIONS, EMPLOYEE AND STAFF SAFETY, CULTURE OF SAFETY, HOSPITAL ACQUIRED DELIRIUM, INJURIES FROM FALLS, NEPHROTOXIC ACUTE KIDNEY INJURY, PRESSURE INJURIES,PERIPHERAL INTRAVENOUS INFILTRATES/EXTRAVASATIONS,SAFETY DISPARITIES, SURGICAL SITE INFECTIONS, UNPLANNED EXTUBATIONS, AND VENOUS THROMBOEMBOLISM. IN 2025, SPS STRENGTHEND THEIR FOUNDATIONS IN MODERN SAFETY CULTURE AND INTRODUCED THE SPS SAFETY PERFORMANCE PLAN AND ITS ASSOCIATED SAFETY CRITICAL TASKS. SPS ADVANCED STRATEGIC PLANNING AND SET ONE YEAR IMPROVEMENT TARGETS FOR THE HIGHEST OCCURRING PATENT AND EMPLOYEE HARMS, WHICH INCLUDE CENTRAL LINE-ASSOCIATED BLOOD STREAM INFECTIONS (CLABSI), UNPLANNED EXTUBATIONS (UE)-ICU, OVEREXERTION (OE), AND PATIENT BEHAVIORIAL EVENTS (PBE). IN RESPONSE TO THE INFORMATION OBTAINED FROM THE CLABSI DATA, 26 HOSPITALS PARTICIPATED IN A SIX-PART WEBINAR SERIES RELATED TO PROACTIVE SAFETY TOOLS RELATED TO EFFECTIVE LINE MAINTENANCE. QUALITY/SAFETY AND OCCUPATIONAL HEALTH/SAFETY PARTNERS FROM 19 HOSPITALS PARTICIPATED IN THE OE CHANGE PACKAGE IMPLEMENTATION WORKGROUP. SPS PUBLISHED TWO NEW PUBLICATIONS RELATED TO REDUCING UNPLANNED EXTUBATION AND THE IMPACT OF SAFETY FOCUSED SITE VISITS BETWEEN CHILDREN'S HOSPITALS. THROUGH IMPLEMENTATION OF THE NETWORK'S BEST PRACTICES, CHILDREN ARE BEING PROTECTED FROM HARM AND COSTS ARE BEING REMOVED FROM THE HEALTH CARE SYSTEM. SINCE 2012, THIS NATIONAL EFFORT HAS LED TO AN ESTIMATED SAVINGS OF MORE THAN 805 MILLION AND SAVED 34,000 CHILDREN FROM SERIOUS HARM, WITH A CONSISTENT UPWARD TREND IN HARM PREVENTED EVERY MONTH. IN 2025, SPS HOSTED A SPRING IN-PERSON LEARNING EVENT AND A WINTER VIRTUAL LEARNING EVENT ENGAGING OVER 1700 PARTICIPANTS. ADDITIONALLY, SPS HELD AN IN-PERSON SESSION AND A WEBINAR FOR 120+ CEOS AND TOP PEDIATRIC LEADERS TO UTILIZE PEER TO PEER AND INDUSTRY LEARNINGS TO IDENTIFY BEST PRACTICES FOR ELIMINATING HARM, AS WELL AS DISCOVER TRENDING TOPICS FOR THE NETWORK. SPS HOSTED THREE VIRTUAL QUALITY AND SAFETY LEADER CONVENINGS BRINGING TOGETHER 127 HOSPITAL SAFELY LEADERS TO DISCUSS THE SHIFT TOWARD MODERN SAFETY CULTURE AND LEADERSHIP BEHAVIORS TO INFLUENCE CULTURE AND DRIVE MEANINGFUL IMPROVEMENT. TWO BOARD TRAININGS WERE HELD THAT FEATURED NETWORKING, SCENARIO-BASED LEARNING, AND BREAKOUTS FOCUSED ON BREAKTHROUGH HARMS AND THE IMPLEMENTATION OF MODERN SAFETY PRINCIPLES THAT HOSTED 98 VIRTUAL ATTENDEES AND 46 IN-PERSON ATTENDEES. THIRTEEN REGIONAL MEETINGS WERE HELD TO APPLY A PROACTIVE SAFETY TOOL TO A BREAKTHROUGH HOSPITAL ACQUIRED CONDITION TO LEARN ABOUT IMPROVEMENT OPPORTUNITIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>SECTION B, ITEM 12C: STEVE DAVIS, MD, CHAIRMAN OF THE BOARD OF OCHSPS, IS ALSO CEO OF CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER (CINCINNATI CHILDREN'S). OCHSPS HAS A CONSULTING AGREEMENT WITH CINCINNATI CHILDREN'S TO PROVIDE SERVICES TO OCHSPS. THE CINCINNATI CHILDREN'S CONTRACT IS APPROVED BY THE BOARD OF DIRECTORS. STEVE DAVIS RECUSES HIMSELF FROM ANY DISCUSSION OR VOTE RELATED TO THE CINCINNATI CHILDREN'S CONSULTING AGREEMENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE SCHEDULE R AND FORM 990, PAGE 7 FOR INFORMATION ABOUT REIMBURSEMENT TO RELATED 501(C)(6) ORGANIZATION FOR MANAGEMENT SERVICES OF ITS PRESIDENT AND THE OFFICE MANAGER. ALSO SEE FORM 990, PAGE 8, SECTION B FOR A CONTRACTOR SERVING AS THE PRESIDENT AND MANAGMENT CONSULTANT.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>OCHSPS IS COMPOSED OF 7 MEMBERS WITH EQUAL RIGHTS TO ELECT DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 7 MEMBERS OF OCHSPS HAVE THE SOLE RIGHT TO ELECT DIRECTORS OF THE CORPORATION AND FILL ANY VACANCIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ARTICLES OF INCORPORATION AND THE CODE OF REGULATIONS CAN BE AMENDED BY A VOTE OF THE MEMBERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER HAVING BEEN REVIEWED BY STAFF MEMBERS, THE BOARD APPROVES A DRAFT OF THE FORM 990 PREPARED BY THE CPA FIRM PRIOR TO IT BEING FILED WITH THE IRS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD APPROVED AND SIGNED A CONFLICT OF INTEREST POLICY IN JUNE, 2016, WHICH REQUIRES ANNUAL COMPLETION OF A CONFLICT OF INTEREST FORM BY ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES THAT COULD POTENTIALLY RESULT IN A CONFLICT OF INTEREST UNDER THE WRITTEN POLICY. ONCE QUESTIONNAIRES ARE COMPLETED, THEY ARE REVIEWED BY MANAGEMENT AND IF A RELATIONSHIP EXISTS THAT MAY PRESENT A CONFLICT OF INTEREST, OCHSPS FOLLOWS THE PROVISIONS SET FORTH IN ITS CONFLICT OF INTEREST POLICY TO DISCLOSE AND MANAGE THE CONFLICT AND DETERMINES THE APPROPRIATE REPORTING TO BOARD COMMITTEES AND, IF REQUIRED, DISCLOSURE ON THE FORM 990.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO AN EMPLOYEE LEASE AGREEMENT APPROVED BY BOARD. ALL SIGNIFICANT VENDOR CONTRACTS ARE PRESENTED TO AND DELIBERATED AT THE BOARD LEVEL.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS AVAILABLE TO THE PUBLIC EXCEPT AS REQUIRED BY LAW.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CLINICAL STEERING TEAM FEES 902,728 0 0 CLINICAL PROJECT CONTRACTOR 3,807,298 0 0 COMMUNICATION CONSULTANT 84,000 0 0 STRATEGIC PLANNING CONSULTANT 83,333 166,667 0 EVENTS MANAGER 33,498 33,498 0 TOTAL 4,910,857 200,165 0</ExplanationTxt>
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      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>OHIO CHILDREN'S HOSPITAL ASSN</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>349523</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TIMESHEETS OF STAFF</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENTITIES ARE BROTHER-SISTER RELATED PARTIES DUE TO 6 HOSPITALS, WHICH ARE THE ENTIRE MEMBERSHIP OF THE OHIO CHILDREN'S HOSPITAL ASSOCIATION (OCHA), ARE ALSO 75% OF THE MEMBERSHIP OF OHIO CHILDREN'S HOSPITAL SOLUTIONS FOR PATIENT SAFETY (OCHSPS). HOWEVER, OCHA ITSELF DOES NOT HAVE THE POWER TO APPOINT ANY MEMBERS OF OCHSPS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>