Community Benefit Insight - Tax-exempt hospital

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Children's Hospital Medical Center

3333 Burnet Avenue

Cincinnati, OH 45229

EIN: 310833936

The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more

Individual Facility Details: Childrens Hospital Medical Center

3333 Burnet Avenue Mlc 4900
Cincinnati, OH 45229

1 hospital in organization:
(click a facility name to update Individual Facility Details panel)

Childrens Hospital Medical Center

Bed count	523	Medicare provider number	363300	Member of the Council of Teaching Hospitals	YES	Children's hospital	YES

Children's Hospital Medical CenterDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

16.51%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 5,519,997 0.20 %
Medicaid as % of operating expenses	$ 252,592,783 9.04 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 77,716,567 2.78 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 110,816,209 3.96 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 10,551,124 0.38 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 4,213,559 0.15 %
Community building* as % of operating expenses	$ 16,326 0.00 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 16,326 0.00 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 0 0 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 15,000 91.88 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 1,326 8.12 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 8,956,209 0.32 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 2,874,943 32.10 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 2199365483 including grants of $ 6199940) (Revenue $ 2407266793)
"CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER (""CINCINNATI CHILDREN'S""), LOCATED IN CINCINNATI, OHIO, IS A PRIVATE, NOT-FOR-PROFIT IRC SEC. 501(C)(3) CORPORATION THAT OWNS AND OPERATES A COMPREHENSIVE, ACADEMIC MEDICAL CENTER THAT INCLUDES ONE OF THE NATION'S LARGEST PEDIATRIC TERTIARY CARE FACILITIES WITH RESEARCH OPERATIONS AND EXTENSIVE PEDIATRIC TEACHING PROGRAMS. SEE SCHEDULE O FOR A COMPLETE OVERVIEW OF CINCINNATI CHILDREN'S COMMUNITY BENEFITS AND PROGRAM SERVICE ACCOMPLISHMENTS."

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: CCHMC - MAIN CAMPUS, - FACILITY 2: CCHMC - LIBERTY CAMPUS, - FACILITY 3: CCHMC - COLLEGE HILL CAMPUS, - FACILITY 4: CCHMC - LINDNER CENTER OF HOPE CAMPUS

PART V, SECTION B, LINE 5:
CINCINNATI CHILDREN'S RECEIVED INPUT FROM A BROAD RANGE OF INDIVIDUALS THAT ARE REPRESENTATIVE OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS WHEN COMPLETING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. CINCINNATI CHILDREN'S UTILIZED FOUR PRIMARY DATA COLLECTION METHODS: AN ONLINE 2021 CHILD HEALTH SURVEY, A PHONE-BASED 2021 CHILD HEALTH SURVEY, KEY INFORMANT SURVEYS, AND PARENT DISCUSSION GROUPS. IN ORDER TO UNDERSTAND THE CHILD HEALTH NEEDS OF CINCINNATI CHILDREN'S COMMUNITY, CINCINNATI CHILDREN'S PATIENTS AND FAMILIES, COMMUNITY MEMBERS, AND KEY CHILD HEALTH ORGANIZATIONS, INCLUDING ORGANIZATIONS SERVING VULNERABLE POPULATIONS, WERE ASKED TO PARTICIPATE IN THE PRIMARY DATA COLLECTION. ADDITIONALLY, CINCINNATI CHILDREN'S COLLECTED SECONDARY DATA FROM LOCAL, STATE, AND NATIONAL SOURCES. THROUGH EACH DATA COLLECTION METHOD, COMMUNITY INPUT WAS SOLICITED THROUGH COMMUNITY MEMBERS OR REPRESENTATIVES OF ORGANIZATIONS, INCLUDING ORGANIZATIONS SERVING VULNERABLE POPULATIONS.

PART V, SECTION B, LINE 6A:
FACILITY REPORTING GROUP ACCHMC - MAIN CAMPUSCCHMC - LIBERTY CAMPUSCCHMC - COLLEGE HILL CAMPUSCCHMC - LINDNER CENTER OF HOPE CAMPUSFACILITY REPORTING GROUP APART V, SECTION B, LINE 7A, HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/

PART V, SECTION B, LINE 7D:
ADDITIONALLY, THE REPORT AND FINDINGS WERE PRESENTED AT COMMUNITY MEETINGS, COMMUNICATED IN A PRESS RELEASE, SHARED WITH ORGANIZATIONS THAT HELPED US DISTRIBUTE OUR COMMUNITY SURVEY, AND PASSED ON TO ANY PRIMARY DATA COLLECTION PARTICIPANTS THAT SHARED THEIR EMAIL ADDRESS WITH CINCINNATI CHILDREN'S. A SUMMARY DOCUMENT WAS ALSO CREATED FOR THE REPORT THAT WAS TRANSLATED INTO SPANISH TO SHARE WITH OUR SPANISH SPEAKING PARTNERS THAT SUPPORTED DATA COLLECTION FOR THE REPORT.

PART V, SECTION B, LINE 11:
CINCINNATI CHILDREN'S WORKED BOTH INTERNALLY AND WITH EXTERNAL COMMUNITY PARTNERS IN ESTABLISHING PLANS TO ADDRESS THE PEDIATRIC COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA. THE IMPLEMENTATION STRATEGY HAS BEEN APPROVED BY CINCINNATI CHILDREN'S BOARD OF TRUSTEES AND MAY BE VIEWED BY NAVIGATING TO THE FOLLOWING WEB ADDRESS: (HTTP://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT). THE FOUR PRIORITIES ADDRESSED IN THE 2022 IMPLEMENTATION STRATEGIES ARE LISTED BELOW. CINCINNATI CHILDREN'S DID NOT IDENTIFY ANY SIGNIFICANT/PRIORITIZED NEEDS THAT ARE NOT BEING ADDRESSED.PRIORITY 1: CHILD AND YOUTH MENTAL HEALTH-EXPAND INTEGRATED BEHAVIORAL MEDICINE AND CLINICAL PSYCHOLOGY- CLINICAL PSYCHOLOGISTS TO ADDRESS BOTH BEHAVIORAL HEALTH PROMOTION AND TREATMENT, CO-LOCATING THEM IN CINCINNATI CHILDREN'S PRIMARY CARE AND COMMUNITY HEALTH SERVICES NETWORK-EXPANSION OF INTEGRATED BEHAVIORAL MEDICINE AND CLINICAL PSYCHOLOGY INTERVENTION SERVICES INTO COMMUNITY PRACTICES-IMPLEMENT HIGH-INTENSITY OUTPATIENT INTERVENTION TO MANAGE BEHAVIORAL AND MENTAL HEALTH CRISIS -EXPAND PROJECT ECHO PROGRAM OFFERINGS AND AUDIENCE TO INCREASE EDUCATIONAL OPPORTUNITIES AND REACH OF PROGRAM, INCLUDING THE IMPLEMENTATION OF ECHO SCREENING (DIVISION OF BEHAVIORAL MEDICINE AND CLINICAL PSYCHOLOGY)-IMPLEMENT ZERO SUICIDE PROGRAM AT CINCINNATI CHILDREN'S TO IMPROVE DETECTION OF SUICIDE RISK AMONG PATIENTS-DECREASE THE NUMBER OF ADOLESCENT MEDICINE PRIMARY CARE PATIENTS SEEN IN URGENT CARE AND IN THE EMERGENCY DEPARTMENT (ED) FOR BEHAVIORAL HEALTH CONCERNS-OPTIMIZE PSYCHIATRY SERVICE LINES TO CONNECT PATIENTS WITH THE APPROPRIATE LEVEL OF MENTAL HEALTH CARE-ENHANCE CRISIS SERVICES TO IMPROVE ACCESS FOR PATIENTS AND THE COMMUNITYPRIORITY 2: COVID-19 PANDEMIC HEALTH IMPACTS ON CHILDREN AND YOUTH-PROVIDE CHILD HEALTH RESOURCES, WEEKLY COMMUNICATIONS, AND EDUCATION TO COMMUNITY PROVIDERS-INCREASE THE PERCENT OF PRIMARY CARE PATIENTS THAT ARE VACCINATED AGAINST COVID-19-RECOVERY OF ROUTINE CHILDHOOD VACCINE RATES TO PRE-COVID LEVELS-RECOVERY OF ROUTINE WELL CHILD CARE VISITS TO PRE-COVID LEVELS TO ENSURE CLOSURE OF CARE GAPS-ADDRESS AND MITIGATE SOCIAL DETERMINANTS OF HEALTH IDENTIFIED IN PRIMARY CARE-INCREASE THE PERCENTAGE OF ADOLESCENT MEDICINE PRIMARY CARE PATIENTS THAT HAVE RECEIVED THE COVID-19 VACCINE, WHILE MEETING THEIR UNIQUE ADOLESCENT HEALTH NEEDS-INCREASE THE NUMBER OF ADOLESCENT PRIMARY CARE PATIENTS WHO RECEIVE ANNUAL PHYSICAL EXAM WITHIN 40 DAYS OF ANNUAL DUE DATE TO OPTIMIZE ADOLESCENT HEALTH POST-COVID PANDEMIC-SUPPORT RETURN TO HEALTHY COMMUNITIES POST-COVID-19-SUPPORT A HEALTHY RETURN TO LEARNING POST-COVID-19PRIORITY 3: CHILDREN AND YOUTH CHRONIC DISEASEASTHMA:-OPTIMIZE CARE MANAGEMENT WITHIN HEALTHVINE, INCLUDING ESTABLISHMENT OF CONNECTIONS WITH OUTSIDE GENERAL PEDIATRIC PROVIDERS, SUBSPECIALTY PROVIDERS, AND SCHOOL NURSES-IDENTIFY THE SOCIAL AND MEDICAL NEEDS OF PATIENTS USING A SOCIAL SCREENING TOOL AND LINK THEM TO EFFECTIVE INTERVENTIONS-COMPLETE DESIGN SESSION(S) WITH STAKEHOLDERS INSIDE AND OUTSIDE CINCINNATI CHILDREN'S IN SUPPORT OF POPULATION HEALTH QUALITY IMPROVEMENT (QI)DIABETES:-ENHANCE SCHOOL NURSE DIABETES EDUCATION PROGRAM-EXPANSION OF BEHAVIORAL AND PSYCHOSOCIAL SCREENING ASSESSMENT AND INTERVENTION INTO ADDITIONAL DIABETES CLINICS-SYSTEMATICALLY ADDRESS BARRIERS TO DIABETES EDUCATION AND CAREEPILEPSY:-WORK WITH A MULTIDISCIPLINARY TEAM TO ENCOURAGE EPILEPSY MEDICATION ADHERENCE AMONG PATIENTS-OPTIMIZE EPILEPSY MANAGEMENT FOR PATIENTS THROUGH CONSISTENT DOCUMENTATION OF SEIZURE TYPE AND FREQUENCYINFLAMMATORY BOWEL DISEASE:-OPTIMIZE TREATMENT THROUGH PROACTIVE THERAPEUTIC DRUG MONITORING FOR BIOLOGIC MEDICATIONS-ENGAGE PATIENTS IN REGULARLY SCHEDULED HEALTH MAINTENANCE VISITS TO IMPROVE DISEASE MANAGEMENT-CO-HOST ANNUAL INFLAMMATORY BOWEL DISEASE EDUCATION DAYSICKLE CELL:-INCREASE AWARENESS OF SICKLE CELL THROUGH COMMUNITY EDUCATION-INCREASE AWARENESS OF SICKLE CELL THROUGH PROVIDER EDUCATION-DEVELOP AND PILOT A SICKLE CELL DISEASE CO-MANAGEMENT STRATEGY BETWEEN HEMATOLOGY AND PRIMARY CAREPRIORITY 4: INFANT MORTALITY-SUPPORT FAMILIES THROUGH DIRECT SERVICE VIA COMMUNITY HEALTH WORKERS-AMPLIFY COMMUNITY VOICE INCLUDING ADDRESSING RACIAL INEQUITIES BY EMPOWERING BLACK WOMEN TO LEAD-TRANSFORM SYSTEMS INCLUDING MANAGING A PRENATAL CARE LEARNING COLLABORATIVE-LEAD A COLLECTIVE IMPACT COLLABORATIVE THAT ALIGNS THE HAMILTON COUNTY MATERNAL AND INFANT HEALTH COMMUNITYPLEASE REFER TO THE IMPLEMENTATION STRATEGY FOR MORE DETAILS REGARDING THE STRATEGIES BEING TAKEN TO ADDRESS THE PRIORITIZED NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.

PART V, SECTION B, LINE 16J:
IN ADDITION TO CINCINNATI CHILDREN'S FINANCIAL ASSISTANCE POLICY BEING AVAILABLE ON ITS WEBSITE, AVAILABLE UPON REQUEST, INCLUDED WITH BILLING STATEMENTS, AND PROMINENTLY DISPLAYED IN EMERGENCY ROOMS AND ADMISSIONS OFFICES, A PLAIN LANGUAGE SUMMARY OF CINCINNATI CHILDREN'S FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON ITS WEBSITE, HTTP://WWW.CINCINNATICHILDRENS.ORG/PATIENTS/RESOURCES/FINANCIAL-ASSISTANCE/

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 6A:
CINCINNATI CHILDREN'S PREPARED A COMMUNITY BENEFIT REPORT THAT CAN BE FOUND ON OUR WEBSITE AT THE FOLLOWING LINK: HTTPS://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/COMMUNITY-BENEFIT

PART I, LINE 7:
CINCINNATI CHILDREN'S UTILIZES THE COST TO CHARGE RATIOS FROM THE MOST RECENTLY FILED COST REPORTS TO CALCULATE THE AMOUNTS REPORTED ON SCHEDULE H, PART I, LINE 7.

PART II, COMMUNITY BUILDING ACTIVITIES:
CINCINNATI CHILDREN'S VISION IS TO BE THE LEADER IN IMPROVING CHILD HEALTH AND INCLUDES SUPPORTING A VARIETY OF COMMUNITY ACTIVITIES THAT BENEFIT CHILDREN'S PHYSICAL, EMOTIONAL, AND SOCIAL HEALTH. TO SUPPORT CHILDREN'S HEALTH AND THE SOCIAL HEALTH ISSUES CHILDREN ARE FACING, CINCINNATI CHILDREN'S INVESTS IN COMMUNITY PROGRAMS THAT BENEFIT ECONOMIC DEVELOPMENT AND PHYSICAL IMPROVEMENTS WITHIN ITS PRIMARY SERVICE AREA. AS ONE OF THE LARGEST EMPLOYERS IN THE REGION, CINCINNATI CHILDREN'S SUPPORTS EFFORTS TO PROMOTE A COMPETENT HEALTHCARE WORKFORCE AND INITIATIVES THAT DRIVE INNOVATION AND SUSTAINABILITY OF THE NEIGHBORHOODS IT SERVES. THESE INITIATIVES AND EFFORTS ARE FOCUSED ON IMPROVING CHILD HEALTH AND OUR GOAL OF CHANGING THE OUTCOME TOGETHER WITH PATIENTS, FAMILIES AND COMMUNITIES. MORE INFORMATION ABOUT CINCINNATI CHILDREN'S MISSION, VISION AND VALUES CAN BE FOUND AT:HTTPS://WWW.CINCINNATICHILDRENS.ORG/ABOUT

PART III, LINE 2:
THE BAD DEBT REPORTED ON LINE 2 IS AT COST, AS CALCULATED FROM THE COST ACCOUNTING SYSTEM. IT REPRESENTS AMOUNTS CHARGED TO BAD DEBT AT COST RELATED TO AMOUNTS UNCOLLECTIBLE FROM PATIENTS AND FAMILIES.

PART III, LINE 3:
CINCINNATI CHILDREN'S UTILIZES ECONOMISTS FROM THE UNIVERSITY OF CINCINNATI TO DETERMINE THE ESTIMATED PERCENTAGE OF THE BAD DEBT EXPENSE REPORTED ON LINE 2 ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. THIS AMOUNT IS NOT INCLUDED IN OUR COMMUNITY BENEFIT CALCULATION.

PART III, LINE 4:
THE COST OF BAD DEBT IS CALCULATED USING COST TO CHARGE RATIOS CALCULATED FROM THE MOST RECENTLY FILED COST REPORT.

PART III, LINE 8:
CINCINNATI CHILDREN'S UTILIZES ITS COST ACCOUNTING SYSTEM TO CALCULATE THE COST OF PROVIDING CARE TO MEDICARE PATIENTS. CINCINNATI CHILDREN'S FOLLOWS THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT; THEREFORE, CINCINNATI CHILDREN'S DOES NOT REPORT MEDICARE SHORTFALL AS COMMUNITY BENEFIT.

PART III, LINE 9B:
CINCINNATI CHILDREN'S HAS A POLICY THAT ONCE IT HAS BEEN DETERMINED THAT A FAMILY QUALIFIES FOR 100% ASSISTANCE, ALL COLLECTIONS ACTIVITIES ON THAT PATIENT CEASE. CINCINNATI CHILDREN'S STAFF WORK WITH THE FAMILY ON OBTAINING FINANCIAL ASSISTANCE.

PART VI, LINE 2:
"IN ORDER TO UNDERSTAND THE CHILD HEALTH NEEDS OF THE CINCINNATI CHILDREN'S COMMUNITY, COMMUNITY MEMBERS AND KEY CHILD HEALTH ORGANIZATIONS WERE ASKED TO PARTICIPATE IN OUR COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS AND COMMUNITY FOCUS GROUPS. THROUGH EACH DATA COLLECTION METHOD, COMMUNITY INPUT WAS SOLICITED THROUGH COMMUNITY MEMBERS OR REPRESENTATIVES OF ORGANIZATIONS, INCLUDING ORGANIZATIONS SERVING VULNERABLE POPULATIONS. CHILD HEALTH PRIORITIES INCLUDED CHILD AND YOUTH MENTAL HEALTH, COVID-19 PANDEMIC HEALTH IMPACTS ON CHILDREN AND YOUTH, CHILD AND YOUTH CHRONIC DISEASE, AND INFANT MORTALITY.IN FISCAL YEAR 2021, CINCINNATI CHILDREN'S LAUNCHED IT'S NEW STRATEGIC PLAN ENTITLED ""PURSUING OUR POTENTIAL TOGETHER"" (""POPT""). THIS PLAN IS FOCUSED ON FOUR PILLARS, ONE OF WHICH IS COMMUNITY. WITH AN ASPIRATION OF 2033, THE CHILDREN IN CINCINNATI CHILDREN'S COMMUNITY WILL BE THE HEALTHIEST KIDS IN THE NATION. CINCINNATI CHILDREN'S LONG-TERM PLAN CONTAINS ANNUAL PRIORITIES FOR EACH OF THE IDENTIFIED PILLARS. WHILE THE STRATEGIC PLAN PROVIDES A FRAMEWORK FOR CINCINNATI CHILDREN'S ONGOING STRATEGIC EMPHASIS, IT DOES NOT DEFINE THE TOTALITY OF OUR EFFORTS. CINCINNATI CHILDREN'S STRIVES TO DELIVER DEMONSTRABLY SUPERIOR OUTCOMES AND EXPERIENCE AT THE LOWEST POSSIBLE COST, AND TO DISCOVER AND APPLY BETTER WAYS TO IMPROVE THE HEALTH OF MORE CHILDREN IN THE COMMUNITY AND AROUND THE WORLD. RECOGNIZING THAT WE ARE STRONGER WORKING TOGETHER AND COORDINATING EFFORTS TO ADDRESS SYSTEMIC COMMUNITY HEALTH NEEDS, CINCINNATI CHILDREN'S PARTNERS WITH MANY ORGANIZATIONS INCLUDING FEDERALLY QUALIFIED HEALTH CLINICS, SCHOOL BASED HEALTH CLINICS, COUNTY AND CITY PROGRAMS, OFFICES AND DEPARTMENTS, THE HEALTH FOUNDATION OF GREATER CINCINNATI, THE GREATER CINCINNATI UNITED WAY, EVERY CHILD SUCCEEDS, AND WITH THE POLICE, PROSECUTORS AND COUNTY CASE WORKERS CO. LOCATED IN CINCINNATI CHILDREN'S MAYERSON CENTER FOR SAFE AND HEALTHY CHILDREN."

PART VI, LINE 3:
CINCINNATI CHILDREN'S PATIENT BILLING STATEMENTS, WEBSITE, AND FINANCIAL BROCHURES CONTAIN INFORMATION ABOUT ITS CHARITY AND FINANCIAL ASSISTANCE PROGRAMS WITH DIRECTIONS ON HOW TO CONTACT CINCINNATI CHILDREN'S TO INITIATE AN APPLICATION OR ASK QUESTIONS ABOUT THE PROCESS. IN ADDITION, CINCINNATI CHILDREN'S BROCHURES ARE AVAILABLE AT EACH REGISTRATION SITE. CINCINNATI CHILDREN'S CUSTOMER SERVICE REPRESENTATIVES ARE TRAINED TO WORK WITH THE FAMILIES ON ANSWERING ASSISTANCE RELATED QUESTIONS AS WELL. CINCINNATI CHILDREN'S ALSO HAS A FINANCIAL COUNSELING DEPARTMENT AND A FINANCIAL ADVOCATE PROGRAM THAT REACH OUT TO UNDERSERVED FAMILIES AND TRY TO HELP WITH THEIR SPECIFIC NEEDS. CINCINNATI CHILDREN'S GOAL IS TO PROVIDE FINANCIAL ASSISTANCE AS EFFICIENTLY AND AS COMPLIANT AS POSSIBLE WHILE STILL KEEPING CUSTOMER SERVICE AS OUR NUMBER ONE PRIORITY.

COMMUNITY BENEFIT REPORT:
IN ORDER TO UNDERSTAND THE CHILD HEALTH NEEDS OF CINCINNATI CHILDREN'S COMMUNITY, COMMUNITY MEMBERS AND KEY CHILD HEALTH ORGANIZATIONS WERE ASKED TO PARTICIPATE IN OUR COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS AND COMMUNITY FOCUS GROUPS. THROUGH EACH DATA COLLECTION METHOD, COMMUNITY INPUT WAS SOLICITED THROUGH COMMUNITY MEMBERS OR REPRESENTATIVES OF ORGANIZATIONS, INCLUDING ORGANIZATIONS SERVING VULNERABLE POPULATIONS. PLEASE REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MORE DETAILED DISCUSSION ON THE QUESTIONS AND PEOPLE/ORGANIZATIONS INVOLVED.

PART VI, LINE 4:
"CINCINNATI CHILDREN'S SERVES PATIENTS FROM ALL 50 STATES AND OVER 100 COUNTRIES BUT ITS PRIMARY SERVICE AREA IS AN EIGHT COUNTY REGION ACROSS THE GREATER CINCINNATI GEOGRAPHIC AREA. THE EIGHT COUNTIES INCLUDE BUTLER, CLERMONT, HAMILTON, AND WARREN COUNTIES IN OHIO; BOONE, CAMPBELL, AND KENTON COUNTIES IN KENTUCKY; AND DEARBORN COUNTY IN INDIANA. CINCINNATI CHILDREN'S OPERATES 14 HEALTHCARE FACILITIES WITHIN THE PRIMARY SERVICE AREA. FOR A FULL DESCRIPTION OF THE DEMOGRAPHICS OF THE CINCINNATI CHILDREN'S COMMUNITY, PLEASE REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT FOUND BY NAVIGATING TO THE FOLLOWING WEB ADDRESS: HTTP://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT PART VI, LINE 5 - AN IMPORTANT PILLAR OF OUR STRATEGIC PLAN 2020 RELATES TO COMMUNITY HEALTH. CINCINNATI CHILDREN'S GOAL IS TO MAKE THE CHILDREN OF GREATER CINCINNATI THE HEALTHIEST CHILDREN IN THE NATION. THE COMMUNITY HEALTH PILLAR ALSO ALIGNS TO OUR CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT. PLEASE REFER TO THAT DOCUMENT ON CINCINNATI CHILDREN'S WEB SITE FOR FURTHER INFORMATION. HTTP://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT IN FISCAL YEAR 2021, CINCINNATI CHILDREN'S LAUNCHED IT'S NEW STRATEGIC PLAN ENTITLED ""PURSUING OUR POTENTIAL TOGETHER"" (""POPT""). THIS PLAN IS FOCUSED ON FOUR PILLARS, ONE OF WHICH IS COMMUNITY. WITH AN ASPIRATION OF 2033, THE CHILDREN IN CINCINNATI CHILDREN'S COMMUNITY WILL BE THE HEALTHIEST KIDS IN THE NATION. CINCINNATI CHILDREN'S LONG-TERM PLAN CONTAINS ANNUAL PRIORITIES FOR EACH OF THE IDENTIFIED PILLARS. PART VI, LINE 6 - CINCINNATI CHILDREN'S IS NOT PART OF AN AFFILIATED HEALTH SYSTEM. PART VI, LINE 7 - CINCINNATI CHILDREN'S IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT IN ANY STATE. HOWEVER, CINCINNATI CHILDREN'S PREPARES A COMMUNITY BENEFIT REPORT THAT CAN BE FOUND ON OUR WEBSITE AT THE FOLLOWING LINK: HTTPS://WWW.CINCINNATICHILDRENS.ORG/ABOUT/COMMUNITY/COMMUNITY-BENEFIT"