Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1c · Fundraising events

  $1,942,739

• 1d · Related organizations

  $194,916,190

• 1e · Government grants (contributions)

  $251,986,951

• 1f · All other contributions, gifts and grants

  $31,411,761

• 1g · Noncash contributions included above

  $423,093

• 2a · Program service revenue: NET INPATIENT REVENUE

  total $1,336,811,219 · related or exempt $1,296,898,701 · unrelated business $39,912,518

• 2b · Program service revenue: NET OUTPATIENT REVENUE

  total $854,682,583 · related or exempt $854,682,583

• 2c · Program service revenue: PHYSICIAN SERVICES

  total $452,843,015 · related or exempt $452,843,015

• 2d · Program service revenue: CAPITATION REVENUE

  total $98,311,401 · related or exempt $98,311,401

• 3 · Investment income

  total $45,814,036 · unrelated business -$151,094 · excluded $45,965,130

• 5 · Royalties

  total $1,798,681 · excluded $1,798,681

• 6a · Gross rents

  real property $4,344,336

• 6b · Less rental expenses

  real property $7,892,091

• 6c · Rental income or loss

  real property -$3,547,755

• 6d · Net rental income or loss

  total -$3,547,755 · unrelated business $72,056 · excluded -$3,619,811

• 7a · Gross sales of assets other than inventory

  securities $1,126,586,000

• 7b · Less cost or other basis and sales expenses

  securities $1,151,949,923

• 7c · Gain or loss

  securities -$25,363,923

• 7d · Net gain or loss

  total -$25,363,923 · excluded -$25,363,923

• 8a · Fundraising events: gross income

  $316,818

• 8a · Fundraising events: contributions included on line 1c

  $1,942,739

• 8b · Fundraising events: direct expenses

  $687,645

• 8c · Net income from fundraising events

  total -$370,827 · excluded -$370,827

• 11a · Other revenue: INDUSTRY GRANTS

  total $29,561,662 · related or exempt $29,561,662

• 11b · Other revenue: GME FUNDING

  total $12,531,654 · related or exempt $12,531,654

• 11c · Other revenue: DPIC

  total $10,196,791 · related or exempt $10,196,791

• 11d · All other revenue

  total $133,016,945 · excluded $133,016,945

• 11e · Other revenue, total

  $185,307,052

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $2,526,523 · program services $2,526,523

• 2 · Grants to domestic individuals

  total $784,077 · program services $784,077

• 3 · Grants to foreign organizations and individuals

  total $4,002,212 · program services $4,002,212

• 5 · Compensation of officers, directors and key employees

  total $14,526,413 · program services $515,626 · management and general $14,010,787

• 6 · Compensation of disqualified persons

  total $4,068,590 · program services $937,951 · management and general $3,130,639

• 7 · Other salaries and wages

  total $1,633,306,742 · program services $1,362,363,040 · management and general $266,303,016 · fundraising $4,640,686

• 8 · Pension plan contributions

  total $86,524,462 · program services $64,286,514 · management and general $22,237,948

• 9 · Other employee benefits

  total $193,242,446 · program services $121,236,514 · management and general $71,021,418 · fundraising $984,514

• 10 · Payroll taxes

  total $108,678,902 · program services $90,854,002 · management and general $17,519,588 · fundraising $305,312

• 11b · Fees: legal

  total $7,270,614 · management and general $7,270,614

• 11c · Fees: accounting

  total $1,041,638 · management and general $1,041,638

• 11d · Fees: lobbying

  total $584,326 · program services $584,326

• 11e · Fees: professional fundraising services

  total $35,750 · fundraising $35,750

• 11f · Fees: investment management

  total $1,955,088 · management and general $1,955,088

• 12 · Advertising and promotion

  total $7,666,995 · program services $3,924,720 · management and general $3,650,456 · fundraising $91,819

• 13 · Office expenses

  total $63,528,408 · program services $53,469,757 · management and general $9,990,277 · fundraising $68,374

• 14 · Information technology

  total $45,792,968 · program services $23,944,949 · management and general $21,803,227 · fundraising $44,792

• 16 · Occupancy

  total $30,018,191 · program services $25,032,280 · management and general $4,931,798 · fundraising $54,113

• 17 · Travel

  total $14,819,957 · program services $12,437,915 · management and general $2,330,540 · fundraising $51,502

• 20 · Interest

  total $32,817,311 · management and general $32,817,311

• 22 · Depreciation, depletion and amortization

  total $151,431,719 · program services $116,854,470 · management and general $34,201,977 · fundraising $375,272

• 23 · Insurance

  total $16,024,393 · program services $13,504,447 · management and general $2,519,946

• 24a · Other expenses: PURCHASED SERVICES

  total $298,175,565 · program services $155,629,304 · management and general $141,969,169 · fundraising $577,092

• 24b · Other expenses: DRUGS

  total $193,079,334 · program services $193,079,334

• 24c · Other expenses: MEDICAL SUPPLIES

  total $182,196,487 · program services $182,196,487

• 24d · Other expenses: UBI TAXES PAID

  total $852,000 · program services $852,000

• 24e · All other expenses

  total $110,477,661 · program services $35,512,013 · management and general $74,529,172 · fundraising $436,476

Balance sheet

Part X, book values.

• 2 · Savings and temporary cash investments

  beginning of year $199,731,647 · end of year $181,618,848

• 4 · Accounts receivable

  beginning of year $751,737,992 · end of year $937,714,213

• 8 · Inventories for sale or use

  beginning of year $39,927,714 · end of year $42,328,282

• 9 · Prepaid expenses and deferred charges

  beginning of year $46,837,102 · end of year $50,988,709

• 10a · Land, buildings and equipment: cost or other basis

  $3,285,044,319

• 10b · Land, buildings and equipment: accumulated depreciation

  $1,639,307,944

• 10c · Land, buildings and equipment, net

  beginning of year $1,552,306,574 · end of year $1,645,736,375

• 11 · Investments: publicly traded securities

  beginning of year $1,128,980,926 · end of year $1,157,851,380

• 12 · Investments: other securities

  beginning of year $169,657,933 · end of year $177,675,044

• 15 · Other assets

  beginning of year $5,200,548,257 · end of year $5,847,862,677

• 17 · Accounts payable and accrued expenses

  beginning of year $502,025,947 · end of year $551,530,446

• 20 · Tax-exempt bond liabilities

  beginning of year $393,456,786 · end of year $371,059,473

• 23 · Secured mortgages and notes payable

  beginning of year $696,406,604 · end of year $696,699,353

• 25 · Other liabilities

  beginning of year $85,118,417 · end of year $63,795,036

• 27 · Net assets without donor restrictions

  beginning of year $2,320,747,084 · end of year $2,612,297,342

• 28 · Net assets with donor restrictions

  beginning of year $5,091,973,307 · end of year $5,746,393,878

The filer's explanations (Part III)

PART I, LINE 1A

CINCINNATI CHILDREN'S MAY OFFER A RELOCATION PACKAGE, WHICH INCLUDES TEMPORARY HOUSING, TO INDIVIDUALS WHO ARE REQUIRED TO RELOCATE. THE FOLLOWING OFFICERS RECEIVED A HOUSING ALLOWANCE AND RELOCATION BENEFITS DURING THE YEAR, WHICH WAS TREATED AS TAXABLE COMPENSATION TO EACH INDIVIDUAL: 1. ROSLAND MCLEOD - $9,010

PART I, LINE 4A AND LINE 4B:

UNDER A VOLUNTARY SEPARATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS ARE CONFIDENTIAL. NO PERSONS LISTED IN PART VII RECEIVED A SEVERANCE PAYMENT FROM CINCINNATI CHILDREN'S DURING THE YEAR. CERTAIN OFFICERS AND KEY EMPLOYEES HAVE ARRANGEMENTS WHICH PROVIDE FOR SUPPLEMENTAL RETIREMENT BENEFITS AS DESCRIBED IN IRC SEC. 457(F). DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THESE ARRANGEMENTS ARE NON-VESTED AND THERE IS NO GUARANTEE THAT THESE OFFICERS AND KEY EMPLOYEES WILL EVER RECEIVE THESE BENEFITS. NO OFFICERS OR KEY EMPLOYEES RECEIVED A PAYMENT UNDER CINCINNATI CHILDREN'S IRC SEC. 457(F) PLAN DURING THE YEAR.

FORM 990, PART VII, SECTION A, LINE 5 AND SCHEDULE J:

JOHN MCAULIFFE, M.D. RECEIVED $70,375 OF OTHER REPORTABLE COMPENSATION FROM THE UNIVERSITY OF CINCINNATI FOR SERVICES PROVIDED TO THE DEPARTMENT OF ANESTHESIA.

SCHEDULE J, EXPLANATION OF BENEFITS:

THE EMPLOYEE BENEFIT PLAN CONTRIBUTION AMOUNTS LISTED ON SCHEDULE J, PART II MAY INCLUDE ONE OR MORE OF THE FOLLOWING BENEFITS: 1. ELECTIVE EMPLOYEE DEFERRALS UNDER IRC SEC. 403(B) 2. DISCRETIONARY EMPLOYER CONTRIBUTIONS UNDER IRC SEC. 403(B) 3. ELECTIVE EMPLOYEE DEFERRALS UNDER IRC SEC. 457(B) 4. ELECTIVE EMPLOYEE DEFERRALS UNDER IRC SEC. 457(F) IN ADDITION TO THE RETIREMENT PLAN CONTRIBUTIONS DISCLOSED ON FORM 990, PART VII AND SCHEDULE J, PART II, THE FOLLOWING NON-TAXABLE EMPLOYEE WELFARE BENEFITS WERE MADE AVAILABLE TO THE EMPLOYED, COMPENSATED OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII AND SCHEDULE J, PART II: 1. HEALTH AND DENTAL INSURANCE BENEFITS 2. GROUP LIFE INSURANCE (PORTIONS OF WHICH ARE TAXED) 3. UNEMPLOYMENT BENEFITS 4. DISABILITY BENEFITS THE OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII AND SCHEDULE J, PART II ARE ALSO ELIGIBLE FOR ANY OTHER AVAILABLE EMPLOYEE BENEFITS. CINCINNATI CHILDREN'S OFFICERS, TRUSTEES, AND KEY EMPLOYEES LISTED ON FORM 990, PART VII AND SCHEDULE J MAY INCUR VARIOUS TRAVEL AND ENTERTAINMENT EXPENSES IN THE CONDUCT OF THEIR OFFICIAL DUTIES AS REPRESENTATIVES OF THE ORGANIZATION. CINCINNATI CHILDREN'S HAS A WRITTEN TRAVEL AND ENTERTAINMENT EXPENSE REIMBURSEMENT POLICY THAT COMPLIES WITH PUBLISHED IRS GUIDANCE. ALL OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO SUBSTANTIATE EACH TRAVEL AND ENTERTAINMENT EXPENSE TO THE EXTENT STATED IN THE TRAVEL AND ENTERTAINMENT EXPENSE REIMBURSEMENT POLICY. BEYOND THE OFFICERS AND KEY EMPLOYEES LISTED ON SCHEDULE J, PART II, CINCINNATI CHILDREN'S IS GOVERNED BY A BOARD OF TRUSTEES WHO ARE NEITHER COMPENSATED FOR THEIR SERVICES PROVIDED NOR DO THEY RECEIVE ANY FRINGE BENEFITS (OTHER THAN FREE PARKING) FROM CINCINNATI CHILDREN'S. PLEASE SEE FORM 990, PART VII FOR A LISTING OF THESE TRUSTEES.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• TSHCH LLC

  LAND HOLDING CO. · OH · income $0 · assets $8,633,913

  Directly controlled by CHILDREN'S HOSPITAL MEDICAL CENTER

• BACE PROPERTIES LLC

  LAND HOLDING CO. · OH · income $753,617 · assets $4,093,425

  Directly controlled by CHILDREN'S HOSPITAL MEDICAL CENTER

• AVONDALE RENTALS

  LAND HOLDING CO. · OH · income $60,401 · assets $328,080

  Directly controlled by CHILDREN'S HOSPITAL MEDICAL CENTER

• 2834 WINSLOW LLC

  LAND HOLDING CO. · OH · income $0 · assets $0

  Directly controlled by CHILDREN'S HOSPITAL MEDICAL CENTER

• DTPM2

  LAND HOLDING CO. · OH · income $0 · assets $0

  Directly controlled by CHILDREN'S HOSPITAL MEDICAL CENTER

• HEALTHVINE LLC

  SUPPORT CHMC · OH · income $0 · assets $0

  Directly controlled by CHILDREN'S HOSPITAL MEDICAL CENTER

• CINCINNATI CHILDREN'S GLOBAL LLC

  SUPPORT CHMC · DE · income $0 · assets $0

  Directly controlled by CHILDREN'S HOSPITAL MEDICAL CENTER

• BURNET AVE LLC

  LAND HOLDING CO. · OH · income $0 · assets $0

  Directly controlled by CHILDREN'S HOSPITAL MEDICAL CENTER

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• RIVER CITY INSURANCE LIMITED

  C · HEALTHCARE LIABILITY INSURANCE FOR CHMC · OH · 100% owned · share of income $2,788,871 · share of assets $1,226,832 · controlled entity

  Directly controlled by CHILDREN'S HOSPITAL MEDICAL CENTER

• PARK AND KEMPER HOLDINGS INC

  C · INVESTMENT HOLDING · OH · 100% owned · share of assets $451,500 · controlled entity

  Directly controlled by CHILDREN'S HOSPITAL MEDICAL CENTER