DAYTON CHILDRENS HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: DAYTON CHILDRENS HOSPITAL (EIN 31-0672132)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-12
IRS object ID: 202341329349303899
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-12T15:18:01-05:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	RSM US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	6 S PATTERSON BLVD	AddressLine1Txt
City	DAYTON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	310672132	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAYTON CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	DAYT	BusinessNameControlTxt
Phone	9376413000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE CHILDRENS PLAZA	AddressLine1Txt
City	DAYTON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	454041815	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHRIS BERGMAN	PersonNm
Person Title	VP FINANCE AND CFO	PersonTitleTxt
Phone	9376413000	PhoneNum
Signature	2023-05-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	CHRIS	PersonFirstNm
Person Last	BERGMAN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KAREN O CRIM	PreparerPersonNm
PTIN	P00368385	PTIN
Phone	9372980201	PhoneNum
Preparation	2023-05-12	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DEBORAH FELDMAN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE CHILDRENS PLAZA	AddressLine1Txt
City	DAYTON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	454041815	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$754,601,219	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHILDRENSDAYTON.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1967	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	THE RELENTLESS PURSUIT OF OPTIMAL HEALTH FOR EVERY CHILD WITHIN OUR REACH.	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	4190	TotalEmployeeCnt
Total Volunteers	567	TotalVolunteersCnt
Total Gross UBI	$28,235	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$11,649	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$25,686,379	PYContributionsGrantsAmt
CY Contributions Grants	$12,725,312	CYContributionsGrantsAmt
PY Program Service Revenue	$464,881,974	PYProgramServiceRevenueAmt
CY Program Service Revenue	$544,031,281	CYProgramServiceRevenueAmt
PY Investment Income	$26,827,227	PYInvestmentIncomeAmt
CY Investment Income	$52,501,212	CYInvestmentIncomeAmt
PY Other Revenue	$36,337,582	PYOtherRevenueAmt
CY Other Revenue	$29,989,917	CYOtherRevenueAmt
PY Total Revenue	$553,733,162	PYTotalRevenueAmt
CY Total Revenue	$639,247,722	CYTotalRevenueAmt
PY Grants And Similar Paid	$202,446	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,647,500	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$230,700,231	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$267,325,617	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$4,571,223	CYTotalFundraisingExpenseAmt
PY Other Expenses	$196,952,915	PYOtherExpensesAmt
CY Other Expenses	$224,008,459	CYOtherExpensesAmt
PY Total Expenses	$427,855,592	PYTotalExpensesAmt
CY Total Expenses	$493,981,576	CYTotalExpensesAmt
PY Revenues Less Expenses	$125,877,570	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$145,266,146	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,272,506,070	TotalAssetsBOYAmt
Total Assets EOY	$1,421,282,637	TotalAssetsEOYAmt
Total Liabilities BOY	$282,398,046	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$382,979,649	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$990,108,024	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,038,302,988	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE THE HEALTH STATUS OF ALL CHILDREN THROUGH SERVICE, EDUCATION, RESEARCH AND ADVOCACY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$394,889,056	ExpenseAmt
Grant	$2,647,500	GrantAmt
Revenue	$570,468,046	RevenueAmt
Desc	DAYTON CHILDREN'S HOSPITAL IS A PEDIATRIC HOSPITAL LOCATED IN DOWNTOWN DAYTON, OHIO. THE HOSPITAL AND ITS STAFF ARE COMMITTED TO SERVING AS AN ADVOCATE FOR THE CHILDREN AND THEIR FAMILIES IN THE MIAMI VALLEY THROUGH A VARIETY OF DIFFERENT PROGRAMS. IT OFFERS INPATIENT, OUTPATIENT AND ANCILLARY SERVICES TO THE CHILDREN IN THE SURROUNDING 20 COUNTIES. SERVICES ARE PROVIDED TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. FOR THE FISCAL YEAR ENDING JUNE 30, 2022, THE HOSPITAL'S MIX OF PATIENTS WAS 54.9% MEDICAID, 36.1% COMMERCIAL, 4.0% OTHER GOVERNMENT PROGRAMS AND 5.0% SELF PAY. THE HOSPITAL PROVIDES A LEVEL III NEONATAL NURSERY FOR PREMATURE NEWBORNS AS WELL AS CRITICAL CARE AND GENERAL PEDIATRIC INPATIENT BEDS. A 24 HOUR EMERGENCY DEPARTMENT IS AVAILABLE TO ALL CHILDREN IN THE AREA. SOME OF THE SPECIALTIES OFFERED AT THE HOSPITAL ARE NEUROSURGERY, HEMATOLOGY/ONCOLOGY, PULMONARY, GASTROENTEROLOGY,NEUROLOGY, UROLOGY, DEVELOPMENTAL DISORDERS, PSYCHOLOGY, PSYCHIATRY, ENDOCRINOLOGY, GENETICS, CARDIOLOGY, ORTHOPEDICS AND GENERAL SURGERY. WITHOUT DAYTON CHILDREN'S HOSPITAL, MANY CHILDREN IN THE AREA WOULD HAVE TO TRAVEL A GOOD DISTANCE TO RECEIVE THESE SERVICES. THE HOSPITAL ALSO OFFERS A PEDIATRIC RESIDENCY PROGRAM THAT TRAINS NEW PEDIATRICIANS WHO WILL CARE FOR THE NEXT GENERATION OF CHILDREN. DAYTON CHILDREN'S ALSO SPONSORS MANY COMMUNITY EVENTS WHERE CHILDREN'S HEALTH AND SAFETY ARE PROMOTED. SOME STATISTICS FOR THE FISCAL YEAR ENDING JUNE 30, 2022 ARE AS FOLLOWS # OF BEDS 181, INPATIENT DAYS 39,351, ADMISSIONS 8,422. AVERAGE LENGTH OF STAY 4.67 DAYS. AVERAGE DAILY CENSUS 123.3, OCCUPANCY RATE 68%, SURGERIES PERFORMED 11,518, X-RAY STUDIES 47,989, LAB TEST 573,079, RESPIRATORY THERAPY PROCEDURES 87,069, PHARMACY DOSES DISPENSED 802,666 CARDIOLOGY PROCEDURES 22,322, NEUROLOGY PROCEDURES 4,847, URGENT CARE VISITS 40,868, EMERGENCY DEPARTMENT VISITS 97,612, OUTPATIENT CLINICS 196,278.	Desc
Total Program Service Expenses	$394,889,056	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	298	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4190	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	BD	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHRIS BERGMAN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9376415819	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE CHILDRENS PLAZA	AddressLine1Txt
City	DAYTON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	454041815	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ADAM MEZOFF MD
CMO	40.00	0.00	Yes (X)	$828,060	$0	$285,386
DEBORAH FELDMAN
CEO	40.00	1.00	Yes (X)	$1,000,682	$0	$943,556	Yes (X)
JAMES WHALEN
CHAIR	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
MICHAEL MCQUISTON
VICE CHAIR	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
JACQUELINE GAMBLIN
SECRETARY/TREASURER	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
TODD PLEIMAN
ASSISTANT SECRETARY/TREASURER	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
VIPUL PATEL MD
PRO STAFF CHAIR	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
LINDA BLACK-KUREK
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
MARK CHILSON
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
MAMLE ANIM MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
CLINTON BROWN
TRUSTEE (UNTIL 11/01/2021)	1.00	0.00	Yes (X)	$0	$0	$0
ROB CONNELLY
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
JOHN DUBY MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
MATTHEW HARDWICK MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
HELEN JONES-KELLEY
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
TIFFANY KELLNER
TRUSTEE (UNTIL 11/01/2021)	1.00	0.00	Yes (X)	$0	$0	$0
ANTHONY R KENNEY
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
LAURENCE KLABEN
TRUSTEE (UNTIL 11/01/2021)	1.00	0.00	Yes (X)	$0	$0	$0
JAMIE MCGREGOR
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
DAVID C MELIN
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
LESLIE C MILLER
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
GREGORY TOUSSAINT MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
DAVID TAYLOR
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
MANOJ KUMAR
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
CHRIS BERGMAN
CFO	40.00	2.00		$1,024,966	$0	$1,056,268	Yes (X)
CINDY BURGER
VP & CHIEF EXPERIENCE OFFICER	40.00	0.00		$376,666	$0	$55,691		Yes (X)
CHARLES KIDWELL
CHIEF LEGAL OFFICER	40.00	0.00		$467,814	$0	$42,885		Yes (X)
BENJAMIN GOODSTEIN
VP & CHIEF AMBULATORY OFFICER	39.00	1.00		$415,859	$0	$39,604		Yes (X)
KELLY KAVANAUGH
VP & CHIEF STRATEGY OFFICE	40.00	0.00		$356,450	$0	$83,233		Yes (X)
JAYNE GMEINER
VP & CHIEF NURSING OFFICER	39.00	1.00		$372,998	$0	$25,225		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,843,495	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,531,848	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	218	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WRIGHT STATE PHYSICIANS
725 UNIVERSITY BLVD	FAIRBORN	OH	45324	PHYSICIAN SERVICES	$930,296
CHANGE HEALTHCARE TECHNOLOGIES LLC
PO BOX 98347	CHICAGO	IL	60693	CLAIMS CLEARINGHOUSE SERVICE	$601,659
OHLMANN GROUP INC
1605 NORTH MAIN STREET	DAYTON	OH	45405	ADVERTISING SERVICES	$549,900
COMPUNET CLINICAL LAB
2308 SANDRIDGE DRIVE	MORAINE	OH	45439	LABORATORY SERVICES	$532,393
MINT MEDICAL PHYSICIAN STAFFING
10777 WESTHEIMER ROAD SUITE 925	HOUSTON	TX	77042	PHYSICIAN SERVICES	$465,632

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	36	CntrctRcvdGreaterThan100KCnt
Related Organizations	$8,954,618	RelatedOrganizationsAmt
Government Grants	$3,770,694	GovernmentGrantsAmt
Total Contributions	$12,725,312	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	624100	$315,454,247	$315,454,247
MEDICARE/MEDICAID	624100	$228,432,386	$228,432,386
RELATED ORG RENT	532000	$144,648	$144,648

Field	Value	IRS element (for citing)
Total Program Service Revenue	$544,031,281	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,944,266	TotalRevenueColumnAmt
Unrelated Business Revenue	$28,235	UnrelatedBusinessRevenueAmt
Exclusion	$11,916,031	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,502,317	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$387,297	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,115,020	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,115,020	TotalRevenueColumnAmt
Exclusion	$1,115,020	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$154,962,684	SecuritiesAmt
Other	$77,877	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$114,422,748	SecuritiesAmt
Other	$60,867	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$40,539,936	SecuritiesAmt
Other	$17,010	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$40,556,946	TotalRevenueColumnAmt
Exclusion	$40,556,946	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$573,617	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$482,585	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$91,032	TotalRevenueColumnAmt
Exclusion	$91,032	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
CONTRACT SPECIALTY PHARMACY	900099	$10,246,651	$10,246,651
CAFETERIA	900099	$2,347,100		$2,347,100
PARTNERS FOR KIDS	900099	$747,231	$747,231

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,442,883	TotalRevenueColumnAmt
Related Or Exempt Func Income	$15,442,883	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$28,783,865	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$639,247,722	TotalRevenueColumnAmt
Related Or Exempt Func Income	$570,468,046	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$28,235	UnrelatedBusinessRevenueAmt
Exclusion	$56,026,129	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,647,500	TotalAmt
Program Services	$2,647,500	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,321,053	TotalAmt
Management And General	$6,321,053	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$200,530,743	TotalAmt
Program Services	$173,215,761	ProgramServicesAmt
Management And General	$25,239,628	ManagementAndGeneralAmt
Fundraising	$2,075,354	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$16,027,003	TotalAmt
Program Services	$13,420,862	ProgramServicesAmt
Management And General	$2,445,341	ManagementAndGeneralAmt
Fundraising	$160,800	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$31,243,832	TotalAmt
Program Services	$26,163,293	ProgramServicesAmt
Management And General	$4,767,068	ManagementAndGeneralAmt
Fundraising	$313,471	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,202,986	TotalAmt
Program Services	$11,056,057	ProgramServicesAmt
Management And General	$2,014,463	ManagementAndGeneralAmt
Fundraising	$132,466	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$643,083	TotalAmt
Management And General	$643,083	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$440,056	TotalAmt
Management And General	$440,056	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$113,543	TotalAmt
Program Services	$113,543	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,188,325	TotalAmt
Management And General	$1,188,325	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$17,420,798	TotalAmt
Program Services	$9,834,187	ProgramServicesAmt
Management And General	$6,682,094	ManagementAndGeneralAmt
Fundraising	$904,517	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,148,483	TotalAmt
Management And General	$1,148,483	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,216,181	TotalAmt
Program Services	$8,154,428	ProgramServicesAmt
Management And General	$5,605,566	ManagementAndGeneralAmt
Fundraising	$456,187	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$16,213,477	TotalAmt
Program Services	$10,810,998	ProgramServicesAmt
Management And General	$5,195,904	ManagementAndGeneralAmt
Fundraising	$206,575	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,756,946	TotalAmt
Program Services	$4,291,730	ProgramServicesAmt
Management And General	$4,442,662	ManagementAndGeneralAmt
Fundraising	$22,554	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,091,397	TotalAmt
Program Services	$579,785	ProgramServicesAmt
Management And General	$466,684	ManagementAndGeneralAmt
Fundraising	$44,928	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,738,911	TotalAmt
Management And General	$5,738,911	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$37,085,315	TotalAmt
Program Services	$33,715,045	ProgramServicesAmt
Management And General	$3,222,289	ManagementAndGeneralAmt
Fundraising	$147,981	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,216,056	TotalAmt
Management And General	$1,216,056	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES AND DR	$72,923,589	$70,415,936	$2,403,141	$104,512
BAD DEBT EXPENSE	$29,279,781	$29,279,781
STATE HOSPITAL ASSESSME	$15,176,425		$15,176,425
REPAIRS AND MAINTENANCE	$1,356,093	$1,190,150	$164,065	$1,878

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$493,981,576	TotalAmt
Program Services	$394,889,056	ProgramServicesAmt
Management And General	$94,521,297	ManagementAndGeneralAmt
Fundraising	$4,571,223	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$16,307,449	BOYAmt
EOY	$31,715,027	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$199,366	BOYAmt
EOY	$149,384	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$240,337	BOYAmt
EOY	$269,004	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$221,205,310	BOYAmt
EOY	$307,232,589	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,346,217	BOYAmt
EOY	$8,894,870	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$15,429,114	BOYAmt
EOY	$6,744,509	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$713,762,713	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$270,270,719	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$412,940,933	BOYAmt
EOY	$443,491,994	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$353,238,016	BOYAmt
EOY	$389,062,674	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$185,520,902	BOYAmt
EOY	$184,046,082	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$22,044,366	BOYAmt
EOY	$13,987,935	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$36,034,060	BOYAmt
EOY	$35,688,569	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,272,506,070	BOYAmt
EOY	$1,421,282,637	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$26,713,287	BOYAmt
EOY	$32,256,832	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,272,152	BOYAmt
EOY	$989,451	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$151,977,191	BOYAmt
EOY	$273,701,189	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,415,000	BOYAmt
EOY	$10,415,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$92,020,416	BOYAmt
EOY	$65,617,177	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$282,398,046	BOYAmt
EOY	$382,979,649	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$990,108,024	BOYAmt
EOY	$1,038,302,988	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$990,108,024	BOYAmt
EOY	$1,038,302,988	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,272,506,070	BOYAmt
EOY	$1,421,282,637	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$145,266,146	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$112,495,370	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$15,424,188	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$83,543	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$47,438	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$30,000	OtherActivitiesAmt
Total Lobbying Expenditures	$160,981	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	LINE 1F: OHIO HOSPITAL ASSOCIATION $6,025 OHIO CHILDREN'S HOSPITAL ASSOCIATION $48,305 CHILDREN'S HOSPITAL ASSOCIATION $26,629 DAYTON DEV COALITION $2,250 DAYTON AREA CHAMBER OF COMMERCE $334 TOTAL $83,543 LINE 1G: MANAGEMENT TIME $47,438 DAYTON CHILDREN'S HOSPITAL SPENDS TIME TRACKING SPECIFIC LEGISLATION THAT IS OF INTEREST TO PEDIATRIC HEALTH ISSUES. IT PROVIDES SUGGESTIONS AND FEEDBACK TO LOCAL, STATE AND FEDERAL LEGISLATURES. THE MAIN FOCUS CONCERNS MEDICAID, CHILDREN'S SPECIFIC HEALTH ISSUES AND MEDICAL EDUCATION FUNDING. LINE 1H: CONSULTING EXPENSE FOR GOVERNMENT ADVOCACY TO STATE AND FEDERAL AGENCIES TO BENEFIT CHILDREN'S HOSPITALS: $30,000 TOTAL LINE 1J : $160,981	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,372,372	BeginningYearBalanceAmt
Grants Or Scholarships	$68,618	GrantsOrScholarshipsAmt
End Year Balance	$1,303,754	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,444,603	BeginningYearBalanceAmt
Grants Or Scholarships	$72,231	GrantsOrScholarshipsAmt
End Year Balance	$1,372,372	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,520,634	BeginningYearBalanceAmt
Grants Or Scholarships	$76,031	GrantsOrScholarshipsAmt
End Year Balance	$1,444,603	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,601,373	BeginningYearBalanceAmt
Investment Earnings Or Losses	$21	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$80,760	GrantsOrScholarshipsAmt
End Year Balance	$1,520,634	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$183,912,987	BeginningYearBalanceAmt
Contributions	$760,296	ContributionsAmt
Investment Earnings Or Losses	$640,717	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,340,064	GrantsOrScholarshipsAmt
Other Expenditures	$180,372,563	OtherExpendituresAmt
End Year Balance	$1,601,373	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,426,814	OtherCostOrOtherBasisAmt
Book Value	$27,426,814	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$171,719,489	OtherCostOrOtherBasisAmt
Depreciation	$62,529,477	DepreciationAmt
Book Value	$109,190,012	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$404,850,502	OtherCostOrOtherBasisAmt
Depreciation	$173,886,778	DepreciationAmt
Book Value	$230,963,724	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$109,765,908	OtherCostOrOtherBasisAmt
Depreciation	$33,854,464	DepreciationAmt
Book Value	$75,911,444	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$443,491,994	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
HEDGE FUNDS	$21,178,155	F
LIMITED PARTNERSHIPS	$104,397,877	F
PRIVATE EQUITY	$58,470,050	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$184,046,082	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DEFERRED COMP PAYABLE	$23,059,392
PENSION LIABILITIES	$10,237,996
OTHER LIABILITIES	$1,487,744
CAPITAL LEASE PAYABLE	$1,083,438
OPERATING LEASE LIABILITY	$29,748,607

Field	Value	IRS element (for citing)
Total Liability	$65,617,177	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

THE ENDOWMENTS ARE HELD BY DAYTON CHILDREN'S HOSPITAL FOUNDATION, A SUPPORTING ORGANIZATION OF DAYTON CHILDREN'S HOSPITAL. THE FUNDS ARE USED EXCLUSIVELY TO SUPPORT DAYTON CHILDREN'S HOSPITAL AND ITS SUBSIDIARIES. THE INTENDED USE OF THE FUNDS IS TO COVER EXPENSES FOR THE CARE AND COMFORT PROGRAM.

PART X, LINE 2:

ALL SUBSIDIARIES OF THE HOSPITAL, EXCEPT DAYTON CHILDREN'S SPECIALTY PHYSICIANS, AND SELECTED JOINT VENTURE ENTITIES, ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE WHOLLY OWNED FOR-PROFIT SUBSIDIARIES DAYTON CHILDREN'S SPECIALTY PEDIATRICS HAD NO TAXABLE INCOME IN 2022 OR 2021. THE PROVISION FOR INCOME TAXES FOR THE JOINT VENTURE ENTITIES IS NOT SIGNIFICANT TO THE HOSPITAL. THE HOSPITAL COMPLETED AN ANALYSIS OF ITS UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2022 OR 2021.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (6 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS	$77,824,643
CENTRAL AMERICA AND THE CARIBBEAN	1	2	PROGRAM SERVICE	$3,149,366	SELF INSURANCE
EAST ASIA AND THE PACIFIC	0	0	INVESTMENTS	$450,484
NORTH AMERICA	0	0	INVESTMENTS	$3,397,827
SOUTH AMERICA	0	0	INVESTMENTS	$4,633
EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	INVESTMENTS	$3,943,275

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	2	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	1	TotalOfficeCnt
Total Employee	2	TotalEmployeeCnt
Subtotal Spent	$88,770,228	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$88,770,228	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART III ACCOUNTING METHOD:	FormAndLineReferenceDesc

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,307,567	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,307,567	NetCommunityBenefitExpnsAmt
Total Expense	0.00930	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$236,443,978	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$219,944,107	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,499,871	NetCommunityBenefitExpnsAmt
Total Expense	0.03550	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$240,751,545	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$219,944,107	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,807,438	NetCommunityBenefitExpnsAmt
Total Expense	0.04480	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,526,062	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,526,062	NetCommunityBenefitExpnsAmt
Total Expense	0.01190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,958,539	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,409,666	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,757,414	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,015,614	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,741,800	NetCommunityBenefitExpnsAmt
Total Expense	0.07910	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$183,737	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$183,737	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,425,752	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,425,280	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,451,599	NetCommunityBenefitExpnsAmt
Total Expense	0.09140	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$304,177,297	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$241,369,387	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$63,259,037	NetCommunityBenefitExpnsAmt
Total Expense	0.13620	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$115,282	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$115,282	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,582	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,582	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,066	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,066	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$133,930	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$133,930	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$10,193,437	BadDebtExpenseAmt
Reimbursed By Medicare	$446,695	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$446,695	CostOfCareReimbursedByMedcrAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAYTON CHILDREN'S HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 CHILDRENS PLAZA	AddressLine1Txt
City	DAYTON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	454041815	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.CHILDRENSDAYTON.ORG	WebsiteAddressTxt
State License	020035650	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	DAYTON CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	20	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTP://WWW.HCNO.ORG/COMMUNITY-SERVICES/COMMUNITY-HEALTH-ASSESSMENTS/	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	20	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DAYTON CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 5: PURSUING THE OPTIMAL HEALTH OF ALL CHILDREN IS THE MISSION OF DAYTON CHILDREN'S HOSPITAL. TO HELP DEVELOP MEANINGFUL AND IMPACTFUL COMMUNITY ENGAGEMENT AND CHILD HEALTH PROGRAMS, DAYTON CHILDREN'S EVALUATES THE STATUS OF OUR REGION'S PEDIATRIC HEALTH EVERY THREE YEARS THROUGH OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE MOST RECENT CHNA WAS COMPLETED IN JUNE 2020.DAYTON CHILDREN'S SERVES 20 OHIO COUNTIES AND EASTERN INDIANA, HOWEVER FOR THE PURPOSES OF DETERMINING THE COMMUNITY COVERED BY THIS COMMUNITY HEALTH NEEDS ASSESSMENT THE HOSPITAL CHOSE TO INCLUDE OUR PRIMARY SERVICE AREA WHERE 75 PERCENT OF OUR PATIENT POPULATION COMES FROM. THIS PRIMARY SERVICE AREA COVERS ZIP CODES IN MONTGOMERY, MIAMI, GREENE, CLARK AND WARREN COUNTIES. THESE COUNTIES REPRESENT URBAN, RURAL AND SUBURBAN COMMUNITIES. OUR HEALTH ASSESSMENT FOCUSES ON THE PEDIATRIC POPULATION LIVING IN THESE COUNTIES. SPECIAL ATTENTION HAS BEEN GIVEN TO THE CITY OF DAYTON IN MONTGOMERY COUNTY WHERE DAYTON CHILDREN'S PHYSICALLY IS LOCATED AND HEALTH DISPARITIES FOR CHILDREN ARE MOST CHALLENGING. APPROXIMATELY 29.4% OF DAYTON CITY RESIDENTS WERE BELOW THE POVERTY LINE, ACCORDING TO THE 2018 AMERICAN COMMUNITY SURVEY 1-YEAR ESTIMATES. FOR THIS REASON, DATA IS BROKEN DOWN BY INCOME (LESS THAN $25,000 AND GREATER THAN $25,000) THROUGHOUT THE REPORT TO SHOW DISPARITIES. WHERE POSSIBLE, DATA IS ALSO BROKEN DOWN BY RACE AND AGE TO BETTER UNDERSTAND WHERE HEALTH DISPARITIES EXIST. THIS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS COMMISSIONED BY DAYTON CHILDREN'S HOSPITAL. MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED TO PARTICIPATE IN THE VARIOUS PHASES OF THE PROJECT. OVER 25 COMMUNITY PARTNER AGENCIES INCLUDING HEALTH DEPARTMENTS PARTICIPATED IN CHOOSING QUESTIONS FOR THE SURVEY, REVIEWING INITIAL DATA, AND IDENTIFYING AND PRIORITIZING NEEDS. OVER 300 FAMILIES TOOK THE PARENT PERCEPTION SURVEY DURING JANUARY-MARCH 2020. THE FINDINGS ARE BASED ON SELF-ADMINISTERED SURVEYS USING A STRUCTURED QUESTIONNAIRE. THE QUESTIONS WERE MODELED AFTER THE SURVEY INSTRUMENTS USED BY THE NATIONAL SURVEY OF CHILDREN'S HEALTH (NSCH) DEVELOPED BY THE CHILD AND ADOLESCENT HEALTH MEASUREMENT INITIATIVE. DAYTON CHILDREN'S HOSPITAL AND COMMUNITY PARTNERS MET MULTIPLE TIMES TO COMPLETE THE 2020-2023 DAYTON CHILDREN'S IMPLEMENTATION PLAN (IP). DAYTON CHILDREN'S HOSPITAL USED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS, WHICH IS A COMMUNITY-DRIVEN STRATEGIC PLANNING PROCESS FOR IMPROVING COMMUNITY HEALTH. THIS FRAMEWORK HELPS COMMUNITIES APPLY STRATEGIC THINKING TO PRIORITIZE HEALTH ISSUES AND IDENTIFY RESOURCES TO ADDRESS THEM. DAYTON CHILDREN'S CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, A NEUTRAL NON-PROFIT REGIONAL HOSPITAL ASSOCIATION, TO FACILITATE THE PROCESS. DAYTON CHILDREN'S THEN INVITED KEY COMMUNITY LEADERS TO PARTICIPATE IN AN ORGANIZED PROCESS OF STRATEGIC PLANNING TO IMPROVE THE HEALTH OF CHILDREN OF THE GREATER DAYTON AREA. THEN AN INTERNAL TEAM OF DAYTON CHILDREN'S LEADERS REFINED THE PRIORITIES TO ENSURE ALIGNMENT WITH HOSPITAL STRATEGY AND INVESTMENT. DETAILS OF THIS PROCESS AND ITS RESULTS CAN BE FOUND ON THE DAYTON CHILDREN'S HOSPITAL WEBSITE. DAYTON CHILDREN'S HOSPITAL IS FOCUSED ON THE FOLLOWING PRIORITY HEALTH OUTCOMES: MENTAL HEALTH AND ADDICTION, CHRONIC DISEASE, AND MATERNAL AND INFANT HEALTH. DAYTON CHILDREN'S HOSPITAL WILL ALSO FOCUS ON THE FOLLOWING PRIORITY FACTORS TO ADDRESS MOST, IF NOT ALL, PRIORITY AREAS: COMMUNITY CONDITIONS, AND ACCESS TO CARE.AMID THE PLANNING PROCESS AND AFTER INITIAL CHNA DATA COLLECTION, THE GREATER DAYTON COMMUNITY WAS STRUCK BY COVID-19 ALONG WITH THE REST OF THE COUNTRY. IMMEDIATELY, ISSUES INCLUDING FOOD INSECURITY, UNSTABLE HOUSING, MENTAL HEALTH AND ACCESS TO CARE BECAME MORE PRONOUNCED. COMMUNITY LEADERS EXPRESSED GREAT CONCERN OVER THE IMPACT OF COVID-19 ON THE GREATER DAYTON COMMUNITY AND THEREFORE THIS IMPLEMENTATION PLAN CONSIDERS THE CHANGING AND UNKNOWN ENVIRONMENT BROUGHT ABOUT BY COVID-19.THE HOSPITAL FACILITY ALSO CONSULTED WITH THE FOLLOWING COMMUNITY PARTNERS DURING THE CHNA AND CHIP PLANNING PROCESSES:ADAMHS BOARD MONTGOMERY COUNTY COMMUNITY DEVELOPMENT, CITY OF DAYTON COMMUNITY HEALTH CENTERS OF GREATER DAYTON DAYTON FOOD BANK HEALTH SERVICES DAYTON PUBLIC SCHOOLS ECHO (EMPOWERING CHILDREN WITH HOPE AND OPPORTUNITY) FIVE RIVERS HEALTH CENTERS FIVE RIVERS METROPARKS GREATER DAYTON AREA HOSPITAL ASSOCIATION GREENE COUNTY PUBLIC HEALTH MIAMI COUNTY PUBLIC HEALTH MIAMI VALLEY CHILD DEVELOPMENT CENTERS MIAMI VALLEY REGIONAL PLANNING COMMISSION MONTGOMERY COUNTY HUMAN SERVICES PLANNING AND DEVELOPMENTMONTGOMERY COUNTY STRATEGIC INITIATIVESMONTGOMERY COUNTY JOB & FAMILY SERVICES/CHILDREN SERVICES MONTGOMERY COUNTY EDUCATIONAL SERVICES CENTER PRESCHOOL PROMISE PUBLIC HEALTH--DAYTON & MONTGOMERY COUNTY UNITED REHABILITATION SERVICES UNITED WAY OF GREATER DAYTON WARREN COUNTY HEALTH DISTRICT WRIGHT STATE UNIVERSITY DEPARTMENT OF PEDIATRICS STATE UNIVERSITY DEPARTMENT OF POPULATION AND PUBLIC HEALTH SCIENCES YMCA OF GREATER DAYTON
DAYTON CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 11: THE HOSPITAL'S 2020-2023 CHNA AND CORRESPONDING IMPLEMENTATION STRATEGY WAS ADOPTED BY DAYTON CHILDREN'S HOSPITAL BOARD OF TRUSTEES IN JUNE 2020. IN RESPONSE TO THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL'S IMPLEMENTATION STRATEGY PLAN OUTLINES HOW THE HOSPITAL WILL WORK TO ADDRESS THE PRIORITIES IDENTIFIED. THE STRATEGIES WERE CHOSEN BASED ON EVIDENCE-BASED GUIDELINES, THE ABILITY TO ADDRESS HEALTH DISPARITIES AND ALIGNMENT WITH REGIONAL AND STATEWIDE AREAS OF FOCUS. TO WORK TOWARD IMPROVING MENTAL HEALTH AND ADDICTION OUTCOMES, THE FOLLOWING STRATEGIES ARE BEING EMPLOYED.1. LAUNCH AND SPREAD THE ON OUR SLEEVE MOVEMENT THROUGHOUT THE DAYTON REGION 2. INTEGRATE BEHAVIORAL HEALTH THROUGHOUT PRIMARY CARE 3. DEVELOP A COMPREHENSIVE SCHOOL-BASED PROGRAM4. ADOPT AND EMBED A COMPREHENSIVE APPROACH TO SUICIDE CARE (ZERO-SUICIDE)5. DEVELOP AND LAUNCH PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT THERAPY SERVICES6. IMPLEMENT THE OAAP STORE IT SAFE PROGRAM7. IMPLEMENT THE ROADMAP PROJECTTO WORK TOWARD IMPROVING CHRONIC DISEASE OUTCOMES, THE FOLLOWING STRATEGIES ARE BEING EMPLOYED.1. IMPLEMENT HEALTHY FOOD INITIATIVES 2. IMPLEMENT SAFE ROUTES TO SCHOOL 3. ENHANCE THE DAYTON ASTHMA ALLIANCE 4. EXPAND THE FOOD INSECURITY AND REFERRAL PROGRAM5. CONTINUE TO ENHANCE THE "FOOD PHARM" PROGRAM 6. INCREASE PHYSICAL ACTIVITY OPPORTUNITIES AMONG FAMILIES 7. IMPLEMENT LEAD PREVENTION QUALITY IMPROVEMENT PROJECT TO WORK TOWARD IMPROVING MATERNAL AND INFANT HEALTH OUTCOMES, THE FOLLOWING STRATEGIES ARE BEING EMPLOYED.1. INCREASE THE USE OF SAFE SLEEP PRACTICES 2. INCREASE BREASTFEEDING AND PROVIDE BREASTFEEDING SUPPORT3. INCREASE PARENTING RESOURCES AND SUPPORTTO WORK TOWARD IMPROVING COMMUNITY CONDITIONS, THE FOLLOWING STRATEGIES ARE BEING EMPLOYED.1. EXPAND SCREENINGS TO ADDRESS SOCIAL NEEDS 2. SUPPORT AND EXPAND STRATEGIES TO IMPROVE KINDERGARTEN READINESS TO WORK TOWARD IMPROVING ACCESS TO CARE, THE FOLLOWING STRATEGIES ARE BEING EMPLOYED.1. PROMOTE PREVENTIVE HEALTH CARE2. FURTHER INTEGRATE COMMUNITY HEALTH WORKERS INTO CLINICAL SERVICES 3. PROVIDE CULTURAL COMPETENCY TRAINING FOR HEALTH CARE PROFESSIONALSTHE FOLLOWING OUTCOMES WERE REALIZED DURING THE SECOND YEAR OF THE PLAN. TO WORK TOWARD IMPROVING MENTAL HEALTH AND ADDICTION OUTCOMES:1. LAUNCH AND SPREAD THE ON OUR SLEEVES MOVEMENT THROUGHOUT THE DAYTON REGION-DAYTON CHILDREN'S ON OUR SLEEVES CAMPAIGN CONTINUED TO SERVE AS THE COMMUNIIES LEADING CHILDHOOD MENTAL HEALTH ADVOCATE. THIS YEAR THE CAMPAIGN CONCETRATED ITS EFFORTS TO EDUCATED ADULTS WHO WORK WITH CHILDREN LIKE TEACHERS, COACHES, GRANDPARENTS, AND COMMUNITY-BASED ORGANIZATIONS. THE GOAL WAS TO TRAIN INDIVIDUALS AND ORGANIZATIONS TO INCORPORATE ON OUR SLEEVES CONVERSATION STARTERS INTO THEIR DAILY INTERACTIONS WITH CHILDREN. CONVERSATION STARTERS HELP ADULTS ENCOURAGE DISCUSSIONS ABOUT THOUGHTS AND FEELINGS IN EVERYDAY LIFE.2. INTEGRATE BEHAVIORAL HEALTH THROUGHOUT PRIMARY CARE-AS PART OF DAYTON CHILDREN'S COMMITMENT TO INTEGRATING BEHAVIORAL HEALTH INTO PRIMARY CARE PRACTICES, THE HOSPITAL RECRUITED AND SECURED A LICENSED CLINICAL COUNSELOR WHO IS EMBEDDED IN DAYTON CHILDREN'S PEDIATRICS SATELITE OFFICE AT THE HOPE CENTER. THE HOPE CENTER, LOCATED IN NORTHWEST DAYTON, WAS FORMED BY THE OMEGA COMMUNITY DEVELOPMENT CORPORATION (CDC) TO EMPOWER LOW-INCOME INDIVIDUALS AND FAMILIES OF GREATER DAYTON TO ACHIEVE AND SUSTAIN SELF-SUFFICIENCY WITH THE LIFE SKILLS, WORK SKILLS, AND CHARACTER TO SUCCEED THROUGH A TWO GENERATIONAL POVERTY REDUCTION MODEL. 3. DEVELOP A COMPREHENSIVE SCHOOL-BASED PROGRAM-IN ADDITION, THE DAYTON PUBLIC SCHOOLS AND DISASTER RELIEF STUDENT RESILIENCY COORDINATOR PROGRAMS CONTINUED FOR THE 2021-2022 SCHOOL YEAR AND THEIR CASELOADS INCREASED FROM 15 TO 20-25 STUDENTS REACHING 10 SCHOOL DISTRICTS IN OUR SERVICE AREA. IN ADDITION, THE COMMUNITY BEHAVIORAL HEALTH SERVICES DEPARTMENT WAS AWARDED THE COGNITIVE BEHAVIORAL THERAPY (CBT) PROGRAM GRANT. THE AWARD ALLOWED THE HOSPITAL TO HIRE ONE THERAPIST FOR EVERY TWO SCHOOLS TO SERVE UP TO 40 STUDENTS AND THEIR FAMILIES IN IN TWENTY-THREE DAYTON PUBLIC SCHOOLS. THE COMMUNITY BEHAVIORAL HEALTH SERVICES HAD A TOTAL OF 27,440 ENCOUNTERS THIS YEAR. 4. ADOPT AND EMBED A COMPREHENSIVE APPROACH TO SUICIDE CARE (ZERO SUICIDE)-ZERO SUICIDE ELEMENTS WERE IMPLEMENTED IN THE OUTPATIENT PSYCHOLOGY AND SCALED INTO THE BEHAVIORAL HEALTH DIVISION OF THE HOSPITAL. TO PURSUE A REDUCTION IN SUICIDE AND IMPROVE CARE FOR THOSE WHO SEEK HELP, THE HOSPITAL SUCCESSFUL IN IMPLEMENTING THE SEVEN ELEMENTS (LEAD, TRAIN, IDENTIFY, ENGAGE, TREAT, TRANSITION, IMPROVE) OF SAFER SUICIDE CARE. THE BEHAVIORAL HEALTH DIVISION BEGAN TO UTILIZE SUICIDE RISK SCREENING TOOL ASK SUICIDE-SCREENING QUESTIONS SCREENING TOOL AND BRIEF SUICIDE SAFETY ASSESSMENT FOR EACH PATIENT THEN HOSPITAL ENGAGED; BOTH ARE NOW EMBEDDED IN THE ELECTRONIC MEDICAL RECORDS.5. DEVELOP AND LAUNCH PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT THERAPY SERVICES- THROUGHOUT YEAR 2, SERVICES FOR CHILDREN AT THE DAY TREATMENT PROGRAM SAW SIGNIFICANT INCREASES DUE TO THE CENTER REACHING FULL CAPACITY. PROCEDURES WERE IMPLEMENTED TO INCREASE ACCESS BY MAKING IMPROVEMENTS TO THE INTAKE PROCESS TO ALLOW FOR QUICKER ACCESS TO CARE FOR THOSE PATIENTS WHO WERE JUST DISCHARGED FROM OUR HIGHER-LEVEL ACUITY/INPATIENT UNIT. FOR THE YEAR, 447 PATIENTS WERE SERVED IN THE PARTIAL HOSPITALIZATION PROGRAM (PHP) AND 119 PATIENTS IN THE INPATIENT OUTPATIENT PROGRAM (IOP).6. IMPLEMENT THE OAAP STORE IT SAFE PROGRAM- THE STORE IT SAFE PROGRAM IN DAYTON CHILDREN'S PEDIATRICS CONTINUED IN FY22. THIS PROGRAM SCREENS FAMILIES TO DETERMINE IF THEY HAVE A FIREARM AND IF IT IS BEING STORED SAFELY. IF THE FAMILY NEEDS A SAFE STORAGE OPTION, A LOCKBOX IS PROVIDED. A TOTAL OF 52 LOCKBOXES WERE DISTRIBUTED TO FAMILIES THROUGHOUT THE YEAR.TO WORK TOWARD IMPROVING CHRONIC DISEASE OUTCOMES, THESE WERE THE RECOMMENDED STRATEGIES AND OUTCOMES: 1. IMPLEMENT HEALTHY FOOD INITIATIVES- DUE TO COVID-19, LIVE COOKING CLASSES IN THE FOOD DEMONSTRATION KITCHEN WERE SUSPENDED DURING QUARTER 3. AS AN ALTERNATIVE, VIRTUAL COOKING CLASSES WERE OFFERED. DURING QUARTER 4, HAVING SMALL IN-PERSON COOKING CLASSES WAS REEVALUATED.2. IMPLEMENT SAFE ROUTES TO SCHOOL- THE SAFE ROUTES TO SCHOOL (SRTS) PROGRAM PIVOTED PROGRAMMING WITH DAYTON PUBLIC SCHOOLS AS THE DISTRICT DID NOT MEET IN PERSON FOR THE FIRST HALF OF THE SCHOOL YEAR. THE SRTS PROGRAM HOSTED A VIRTUAL GIRLS IN GEAR PROGRAM FOR GIRLS IN GRADES 4-6 AT TWO ELEMENTARY SCHOOLS. SRTS LAUNCHED A MARKETING CAMPAIGN CALLED "HOW DID THE CHICKEN CROSS THE ROAD?..." THAT INCLUDED BILLBOARDS, FACEBOOK ADS, A BLOG, AND A PARENT NEWSLETTER THAT EDUCATED FAMILIES ON THE IMPORTANCE OF USING CROSSWALKS AND WALKING ACROSS THE STREET DISTRACTION-FREE. DURING THE YEAR, VIRTUAL GIRLS IN GEAR PROGRAMMING REACHED 11 GIRLS, AND THE PEDESTRIAN MEDIA CAMPAIGN MADE 111,369 IMPRESSIONS ON FACEBOOK AND 304,536 IMPRESSIONS ON BILLBOARDS. THE SRTS PROGRAM SECURED GRANT FUNDING FROM THE OHIO DEPARTMENT OF TRANSPORTATION FOR FY22.3. ENHANCE THE DAYTON ASTHMA ALLIANCE- DURING YEAR 1, THE DAYTON ASTHMA ALLIANCE CONTINUED TO WORK TO IMPROVE OUTCOMES FOR CHILDREN IN A VARIETY OF SETTINGS. THE ALLIANCE SUPPORTED THE CO-MANAGEMENT PROGRAM BY WORKING WITH THE CLINICALLY INTEGRATED NETWORK (CIN). THE ALLIANCE FOCUSED ON SEVERAL INITIATIVES TO IMPROVE ASTHMA IN THREE DAYTON-AREA ZIP CODES. SEVERAL INITIATIVES WERE IDENTIFIED THROUGH THE INSTITUTE FOR HEALTH IMPROVEMENT PROJECT AROUND HEALTH EQUITY. STANDARDIZATION OF THE "ASTHMA PATHWAY" FOR COMMUNITY HEALTH WORKERS CONTINUED, ALONG WITH THE ENGAGEMENT OF MULTIPLE FAMILIES THROUGH AN OHIO DEPARTMENT OF HEALTH GRANT.4. EXPAND THE FOOD INSECURITY SCREENING AND REFERRAL PROGRAM- AS PART OF AN INTERMEDIATE QUALITY IMPROVEMENT CLASS (IQIC) PROJECT, THE FOOD PHARM PILOTED THE EXPANSION OF FOOD INSECURITY SCREENING AND FOOD BOX OPTIONS AT THE TROY, SPRINGFIELD, AND SPRINGBORO LOCATIONS. AS A RESULT, THE PROGRAM HAS BEEN INTEGRATED INTO THE ORGANIZATION-WIDE SOCIAL NEEDS SCREENING INITIATIVE OUTLINED IN STRATEGY 1: COMMUNITY CONDITIONS AND THIS STRATEGY 4: CHRONIC DISEASE WILL SUNSET.5. CONTINUE TO ENHANCE THE "FOOD PHARM" PROGRAM-DAYTON CHILDREN'S PARTNERED WITH PREMIER PRODUCE ONE TO PROVIDE NUTRITIONAL FOOD RESOURCES DURING SUMMER 2020 IN AS A RESPONSE TO THE PANDEMIC. PARTNERS SERVED INCLUDED BOYS AND GIRLS CLUB, DESOTO BASS HOUSING DEVELOPMENT, YMCA, OMEGA CDC, MAD RIVER SCHOOLS, PROJECT HOPE FIRST CHRISTIAN CHURCH, AND THE UD ECHO PROGRAM. IN PARTNERSHIP WITH THE FOOD BANK, DAYTON CHILDREN'S DISTRIBUTED OVER 400 FOOD BOXES THROUGHOUT YEAR 1. ADDITIONALLY, 515 FAMILIES, 1466 INDIVIDUALS (INCLUDING 411 CHILDREN), WERE SERVED DURING DAYTON CHILDREN'S CO-SPONSORED MASS FOOD DISTRIBUTIONS WITH THE DAYTON FOODBANK.CONTINUED AT THE END.
PART V, SECTION B, LINE 7A:	THE CHNA REPORT IS MADE WIDELY AVAILABLE TO THE PUBLIC AT THE FOLLOWING URL: HTTPS://WWW.CHILDRENSDAYTON.ORG/COMMUNITY/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART V, SECTION B, LINES 16A-16C:	THE FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.CHILDRENSDAYTON.ORG/PATIENTS-VISITORS/AFTER-YOUR-VISIT/ BILLING/FINANCIAL-ASSISTANCE
PART V, SECTION B LINE 10A:	THE IMPLEMENTATION STRATEGY IS MADE WIDELY AVAILABLE TO THE PUBLIC AT THE FOLLOWING URL: HTTPS://WWW.CHILDRENSDAYTON.ORG/COMMUNITY/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART V, SECTION B, LINE 11 CONTINUED:	- IN JULY 2020, THE DAYTON CHILDREN'S HOSPITAL FOUNDATION INVESTED $50,000 TO RESPOND TO FOOD NEEDS OF FAMILIES IN THE DAYTON AREA. DURING THE COVID-19 PANDEMIC, REPORTING OF FOOD INSECURITY IN THE DAYTON AREA ROSE FROM ITS USUAL 17% TO 30% DUE TO THE PANDEMIC'S IMPACT ON THE ECONOMY. THE FUNDS GAVE THE HOSPITAL THE ABILITY TO RESPOND TO THE SEVERE FOOD INSECURITY SEEN IN THE COMMUNITY. FUNDS WERE SPENT ON SEVERAL PROGRAMS WHICH INCLUDED SCREENING AND FOOD BOX CONNECTION, ALTERNATIVE RESOURCES FOR FOOD, E-PANTRY, AND COMMUNITY FOOD DISTRIBUTION.6. INCREASE PHYSICAL ACTIVITY OPPORTUNITIES AMONG FAMILIES- THE HEALTHY ME PROGRAM HAS EXPANDED EXERCISE OPTIONS FOR PATIENTS IN THEIR PROGRAM OVER THE COURSE OF THE YEAR. EXERCISE GOALS ARE WRITTEN AS PART OF TREATMENT PLANS. FOR MONTGOMERY COUNTY RESIDENTS, THE HEALTHY ME PROGRAM HAS BEEN EXPLORING THE RX TO PARKS PROGRAM AND WILL BEGIN WRITING THESE PRESCRIPTIONS FY22. THE WALK WITH A DOC PROGRAM BEGAN REVISIONS IN THE THIRD QUARTER WITH A PLANNED LAUNCH IN FALL 2021. WWAD ENCOURAGES FAMILIES TO GET OUT AND WALK WITH THE OVERALL GOAL OF MAKING HEALTH ACCESSIBLE TO ALL AND AFFECT BEHAVIORAL CHANGES IN INDIVIDUALS. TO ASSESS ACTIVITY LEVELS IN OUR POPULATION, THE DEPARTMENT CONTINUES ITS WORK ON BUILDING A REPORT THAT WOULD CAPTURE BASELINE DATA FROM DAYTON CHILDREN'S PEDIATRICS CLINIC AND HEALTHY ME PROGRAM. MANY OF THE IN-PERSON PHYSICAL ACTIVITIES AND PROGRAMS WERE LIMITED DUE TO COVID-19 RESTRICTIONS.7. IMPLEMENT LEAD PREVENTION QUALITY IMPROVEMENT PROJECT- DAYTON CHILDREN'S PEDIATRICS COMPLETED A SIX-MONTH PILOT WITH OHIO AAP TO INCREASE LEAD SCREENING. AS A RESULT, THE SCREENING RATES INCREASED WHICH LED TO MORE LAB TESTS AND IN INCREASE IN ANTICIPATORY GUIDANCE. LEAD SCREENING WILL CONTINUE IN CLINICS AND WILL CONTINUE TO BE MONITORED.TO WORK TOWARD IMPROVING MATERNAL AND INFANT HEALTH, THESE WERE THE RECOMMENDED STRATEGIES AND OUTCOMES:1. INCREASE THE USE OF SAFE SLEEP PRACTICES-DAYTON CHILDREN'S WAS AWARDED A GRANT TO ENHANCE SAFE SLEEP EDUCATION FOR HOSPITAL STAFF FROM THE OHIO INJURY PREVENTION PARTNERSHIP, CHILD INJURY ACTION GROUP. THIS GRANT WILL BE USED TO DEVELOP VIDEO TRAINING AND NEW EDUCATIONAL MATERIALS TO BE USED AT THE HOSPITAL AS WELL AS SHARED WITH OTHER HEALTH PROFESSIONALS IN THE COMMUNITY. THE SAFE SLEEP AMBASSADOR PROGRAM, IN PARTNERSHIP WITH PUBLIC HEALTH DAYTON AND MONTGOMERY COUNTY, SERVED 15 FAMILIES IN Q3. DAYTON CHILDREN'S WAS AWARDED AN OHIO CHILDREN'S TRUST FUND GRANT FOR EARLY CHILDHOOD SAFETY. DAYTON CHILDREN'S IS ALSO WORKING WITH THE GDAHA PATHWAYS HUB TO INCORPORATE SAFE SLEEP PRACTICES IN THEIR CARE COORDINATION CHECKLIST FOR PARTICIPANTS. THIS WILL ENSURE ALL FAMILIES IN THE PROGRAM RECEIVE SAFE SLEEP EDUCATION OR A REFERRAL. COMMUNITY HEALTH WORKERS WILL CONTINUE TO COLLABORATE WITH THE GDAHA PATHWAYS HUB AND WILL INTEGRATE SAFE SLEEP OBSERVATIONS AND EDUCATION OPPORTUNITIES INTO THEIR HOME VISITS WITH PATIENTS.2. INCREASE HUMAN MILK FEEDING AND PROVIDE LACTATION SUPPORT- DAYTON CHILDRENS EXPANDED LACTATION SUPPORT FOR FAMILIES. RESOURCES WERE COMBINED TO FORM A CLINICAL NUTRITION & LACTATION DEPARTMENT WITH EXPANSION OF LACTATION SPECIALISTS FROM 2.6 TO 5.6 TO SERVE DAYTON CHILDRENS, INPATIENT AND SPECIALTY TEAM CLINICS, DAYTON CHILDREN'S PEDIATRICS AND DAYTON CHILDREN'S HOSPITAL LACTATION CLINIC AND EMPLOYEES TO EXPAND CLINICAL SERVICES TO TERM INFANTS AND CHILDREN, AND OUTPATIENTS. CONTINUED COLLABORATION AND COMPOUNDING OF RESOURCES WITH COMMUNITY HEALTH PARTNERS.3. INCREASE PARENTING RESOURCES AND SUPPORT- DURING YEAR 1, THE CONTRACT WITH UBICARE FOR MIMI WAS RENEWED AND INCLUDED AN ADDENDUM THAT ALLOWS US TO ACCESS THEIR MATERIALS TO USE ON DCH SOCIAL MEDIA. MIMI RESOURCES WERE CONTINUOUSLY SENT TO PATIENTS THROUGHOUT THE YEAR VIA EMAIL AND TEXT MESSAGE. ENGAGEMENT STATISTICS IN THIS PROGRAM HAVE BEEN STRONG. ADDITIONALLY, THREE TEAM MEMBERS WERE TRAINED IN PRIMARY CARE TRIPLE P AND ONE PSYCHOLOGIST IN STEPPING STONES GROUP TRIPLE P, WHICH IS SPECIFICALLY FOR CHILDREN WITH DEVELOPMENTAL DISABILITIES, INCLUDING AUTISM.TO WORK TOWARD COMMUNITY CONDITIONS, THESE WERE THE RECOMMENDED STRATEGIES AND OUTCOMES:1. EXPAND SCREENINGS TO ADDRESS SOCIAL NEEDS- THE SOCIAL NEEDS SCREENING STRATEGY TEAM FOCUSED ON SHARING SCREENING QUESTIONS AND TECHNOLOGY CONSIDERATIONS TO IDENTIFY THE BEST PRACTICES NEEDED WHEN A CLINIC WANTS TO CONDUCT SCREENINGS AND REFERRALS. DAYTON CHILDREN'S HOSPITAL DETERMINED THAT FIND HELP PLATFORM WOULD BE PURCHASED THEN UTILIZED TO INTEGRATE SOCIAL NEEDS SCREENING INTO EPIC AND USED TO REFER PATIENT FAMILIES TO COMMUNITY ORGANIZATIONS. ADDITIONAL WORK CONTINUED INTO THE FOURTH QUARTER TO ENSURE COLLABORATION WITH VARIOUS HOSPITAL INITIATIVES AND FINALIZING CONTRACTING DECISIONS WITH FIND HELP AND IT/EPIC INTEGRATION.2. SUPPORT AND EXPAND STRATEGIES TO IMPROVE KINDERGARTEN READINESS- THE MONTGOMERY COUNTY IMAGINATION LIBRARY CELEBRATED ITS 1-YEAR ANNIVERSARY IN DECEMBER 2020. THE SATURATION LEVEL IN MONTGOMERY COUNTY ALSO INCREASED IN THE TARGETED HIGH-NEED ZIP CODES FROM THE THIRD TO THE FOURTH QUARTER FOR AN OVERALL SATURATION RATE OF 41%.TO WORK TOWARD ACCESS TO CARE, THESE WERE THE RECOMMENDED STRATEGIES AND OUTCOMES:1. PROMOTE PREVENTIVE HEALTH CARE- DAYTON CHILDREN'S PEDIATRICS EXTENDED ITS HOURS, EXPANDED TELEHEALTH OPTIONS, AND UTILIZED PROACTIVE OUTREACH TO CLOSE WELL-CHILD AND IMMUNIZATION CARE GAPS. ADDITIONALLY, THE CLINIC IS CONTINUING TO COORDINATE MEASURES TO IMPROVE BREASTFEEDING RATES. TO CONTINUE TO PROMOTE PREVENTIVE HEALTHCARE, DAYTON CHILDREN'S WILL HAVE A PRESENCE IN A NEWLY CONSTRUCTED COMMUNITY CENTER, THE HOPE CENTER, LOCATED IN WEST DAYTON. THE HOPE CENTER IS SCHEDULED OPENED IN NOVEMBER 2021.2. FURTHER INTEGRATE COMMUNITY HEALTH WORKERS INTO CLINICAL SERVICES- THE COMMUNITY HEALTH WORKER PROGRAM CONTINUED TO EXPAND THROUGHOUT YEAR 1, HIRING A NEW ASTHMA WORKER FOR DCP AND FILLING THE PULMONARY ASTHMA POSITION AT THE HOSPITAL. WE ARE EXPLORING FUNDING FOR A SICKLE CELL CHW WITH OSCA. ALSO, WE WILL BE HIRING A CHW FUNDED BY PHILANTHROPY TO FOCUS ON NEWBORNS ATTENDING ALL 6 VISITS IN THE FIRST 18 MONTHS BY HELPING FAMILIES FEEL COMFORTABLE WITH AND NAVIGATE THE PROCESS.3. PROVIDE CULTURAL COMPETENCY TRAINING FOR HEALTH CARE PROFESSIONALS- THE HOSPITAL WORKED ON IMPLICIT BIAS AND CULTURAL COMPETENCY/HUMILITY TRAINING WITH THE ORGANIZATION'S SENIOR LEADERSHIP. A MODULE TO TRAIN DAYTON CHILDREN'S EMPLOYEES ON DIVERSITY AND INCLUSION WAS RELEASED AND MANDATED FOR ALL STAFF TO COMPLETE. EQUITY WAS ADDED TO THE HOSPITAL'S CORE VALUES. DAYTON CHILDREN'S FINALIZED A CONTRACT WITH POPE CONSULTING TO FURTHER EXAMINE AND DEVELOP THE HOSPITAL'S WORK IN DIVERSITY AND INCLUSION.

Field	Value	IRS element (for citing)
Facility	19	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - SPRINGBORO SOUTH URGENT CARE & OP CARE C
3333 WEST TECH ROAD	MIAMISBURG	OH	45342	URGENT CARE CENTER AND OUTPATIENT DIAGNOSTIC CENTER
2 - HUBER HEIGHTS OUTPATIENT TESTING CENTER
8501 OLD TROY PIKE	HUBER HEIGHTS	OH	45424	OUTPATIENT DIAGNOSTIC CENTER
3 - SPRINGFIELD SPECIALTY CARE CENTER
30 W MCCREIGHT AVENUE	SPRINGFIELD	OH	45504	OUTPATIENT DIAGNOSTIC CENTER
4 - BEAVERCREEK OUTPATIENT TESTING CENTER
1425 NORTH FAIRFIELD ROAD	BEAVERCREEK	OH	45432	OUTPATIENT DIAGNOSTIC CENTER
5 - VANDALIA OUTPATIENT TESTING CENTER
810 FALLS CREEK DRIVE SUITE A	VANDALIA	OH	45377	OUTPATIENT DIAGNOSTIC CENTER
6 - WARREN COUNTY SPECIALTY CARE CENTER
100 CAMPUS LOOP ROAD SUITE A	FRANKLIN	OH	45005	OUTPATIENT CARE CENTER AND OUTPATIENT DIAGNOSTIC CENTER
7 - KETTERING OUTPATIENT TESTING CENTER
4475 FAR HILLS AVENUE	KETTERING	OH	45429	OUTPATIENT DIAGNOSTIC CENTER
8 - KIDS EXPRESS SPRINGBORO
662 N MAIN STREET	SPRINGBORO	OH	45066	EXPRESS CARE
9 - TROY OUTPATIENT TESTING CENTER
865 W MARKET STREET	TROY	OH	45373	OUTPATIENT DIAGNOSTIC CENTER
10 - CHILD HEALTH PAVILION
1010 VALLEY STREET	DAYTON	OH	45404	PEDIATRIC CARE CLINICS AND COMMUNITY CONNECTIONS
11 - KIDS EXPRESS MASON
8809 WILKENS BOULEVARD	MASON	OH	45040	EXPRESS CARE
12 - KIDS EXPRESS WEST CHESTER
7787 COX LANE	WEST CHESTER	OH	45069	EXPRESS CARE
13 - COVID TETING LAB - SOUTH CAMPUS
3300 WEST TECH	MIAMISBURG	OH	45432	OUTPATIENT DIAGNOSTIC CENTER
14 - HOPE CENTER
212 CHESTNUT STREET	MARYSVILLE	OH	43040	OUTPATIENT DIAGNOSTIC CENTER
15 - KIDS EXPRESS BEAVERCREEK
3301 DAYTON-XENIA ROAD SUITE 200	BEAVERCREEK	OH	45432	EXPRESS CARE
16 - BEHAVIORAL HEALTH CENTER SOUTH
76 REMICK BOULEVARD	SPRINGBORO	OH	45066	BEHAVIORAL HEALTH CARE
17 - BEHAVIORAL HEALTH CENTER DAYTON
700 E 1ST STREET	DAYTON	OH	45402	BEHAVIORAL HEALTH CARE
18 - MICHAELS HOUSE
1016 RAINBOW COURT	FAIRBORN	OH	45324	CHILD ADVOCACY CENTER
19 - LIMA CLINIC
730 WEST HIGH STREET	LIMA	OH	45801	OUTPATIENT DIAGNOSTIC CENTER

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE HOSPITAL FACILITY USES INSURANCE STATUS AND RESIDENCY TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART I, LINE 7:	THE FOLLOWING COSTING METHODOLOGIES WERE USED IN PREPARATION OF SCHEDULE H, PART I, LINE 7:- CHARITY CARE AT COST WAS CALCULATED USING THE COST TO CHARGE RATIO. - UNREIMBURSED MEDICAID WAS CALCULATED USING THE COST TO CHARGE RATIO. - COMMUNITY HEALTH IMPROVEMENT SERVICES WERE VALUED AT THE ACTUAL CASH COSTS, INCLUDING DIRECTLY ASSIGNABLE PAYROLL COSTS, RELATED TO THESE ACTIVITIES. NO OVERHEAD ALLOCATION WAS CHARGED TO ANY AMOUNT INCLUDED IN THIS COMPUTATION. - HEALTH PROFESSIONS EDUCATION COSTS WERE DETERMINED USING THE FACILITY'S MEDICARE COST REPORTED, SUPPLEMENTED BY THE ACTUAL CASH COSTS, INCLUDING DIRECTLY ASSIGNABLE PAYROLL COSTS, RELATED TO THESE ACTIVITIES. - SUBSIDIZED HEALTH SERVICES COSTS WERE DETERMINED USING THE FACILITY'S INTERNAL COST ACCOUNTING SYSTEM. THE COST OF THESE SERVICES INCLUDES DIRECT COSTS ATTRIBUTABLE TO HEALTH SERVICES OPERATIONS, TOGETHER WITH AN ALLOCATION OF FACILITY DIRECT AND INDIRECT OVERHEAD USING A COST FINDING METHODOLOGY PATTERNED AFTER THE MEDICARE COST REPORT. - CASH AND IN KIND CONTRIBUTIONS WERE VALUED AT THE ACTUAL CASH COSTS, INCLUDING DIRECTLY ASSIGNABLE PAYROLL COSTS, RELATED TO THESE ACTIVITIES. NO OVERHEAD ALLOCATION WAS CHARGED TO ANY AMOUNT INCLUDED IN THIS COMPUTATION.
PART I, LINE 7G:	DAYTON CHILDREN'S INCLUDED $36,741,800 OF PHYSICIAN CLINIC COSTS IN THE SUBSIDIZED HEALTH SERVICES CATEGORY.
PART II, COMMUNITY BUILDING ACTIVITIES:	AS THE ONLY CHILDREN'S HOSPITAL IN THE REGION, WE TAKE OUR PEDIATRIC EXPERTISE INTO THE COMMUNITY TO SOLVE PROBLEMS AND CREATE A HEALTHY COMMUNITY FOR OUR CHILDREN. OUR COMMUNITY RELATIONSHIPS DEMONSTRATE OUR COMMITMENT TO DAYTON AND THE SURROUNDING COMMUNITY - A COMMUNITY WE HAVE CALLED HOME FOR OVER 50 YEARS. DAYTON CHILDREN'S IS COMMITTED TO WORKING WITH OUR MANY VALUED PARTNERS TO HELP ENSURE DAYTON REMAINS A GREAT CITY FOR CHILDREN TO LIVE, LEARN, GROW AND PLAY.THE DAVINCI PROJECTTHE DAVINCI PROJECT IS A COMPREHENSIVE STRATEGY FOR NEIGHBORHOOD REVITALIZATION SUPPORTED IN THE OLD NORTH DAYTON AND MCCOOK FIELD NEIGHBORHOODS AND THE BUSINESS COMMUNITY AROUND IT INCLUDING DAYTON CHILDREN'S. DAYTON CHILDREN'S LEADS THIS EFFORT AND IS JOINED BY PARTNERS INCLUDING THE CITY OF DAYTON, GREATER OLD NORTH DAYTON BUSINESS ASSOCIATION, THE SALVATION ARMY KROC CENTER, THE UNIVERSITY OF DAYTON FITZ CENTER OF LEADERSHIP IN COMMUNITY, ST. MARY'S COMMUNITY DEVELOPMENT CORP, AND CITYWIDE DEVELOPMENT. THE DAVINCI PROJECT IS WORKING ON EFFORTS TO DEMOLISH NUISANCE BUILDINGS, REALIGN STREETS, BUILD A CHILDREN'S GARDEN, REVITALIZE BUS STOPS, IMPROVE WAYFINDING, AND BEAUTIFY THE NEIGHBORHOOD SO IT CONTINUES TO BE ATTRACTIVE TO FAMILIES AND BUSINESSES. THIS PROJECT IS IMPORTANT TO DAYTON CHILDREN'S, NOT ONLY BECAUSE WE WANT TO BE AN ACTIVE PARTICIPANT IN OUR COMMUNITY, WE WANT PATIENTS, STAFF, VOLUNTEERS AND VISITORS TO FEEL WELCOME WHEN THEY ENTER THE OLD NORTH DAYTON A NEIGHBORHOOD THAT WE ARE PROUD TO CALL HOME.COMMUNITY LEADERSHIPBEYOND PARTICIPATION IN ORGANIZATIONS THAT DIRECTLY IMPACT CHILDREN AND CHILDREN'S HEALTH, DAYTON CHILDREN'S STAFF AND LEADERSHIP SERVE ON VARIOUS COALITIONS TO IMPROVE THE ECONOMIC AND SOCIAL HEALTH OF OUR COMMUNITY INCLUDING THE PRESCHOOL PROMISE, THE FAMILY AND CHILDREN FIRST COUNCIL, A SPECIAL WISH, DAYTON DEVELOPMENT CORPORATION, HOPE CENTER, AND CITYWIDE. THROUGH THESE ACTIVITIES, DAYTON CHILDREN'S STRIVES TO CREATE A COMMUNITY THAT IS A PLACE WHERE ALL CHILDREN AND FAMILIES GROW AND THRIVE. DAYTON CHILDREN'S IS AN INDISPENSABLE RESOURCE TO OUR COMMUNITY BECAUSE WE: -SERVE AS THE COMMUNITY'S SAFETY NET HOSPITAL BY CARING FOR ALL CHILDREN REGARDLESS OF THEIR ABILITY TO PAY, WHILE PROVIDING AND SUBSIDIZING HOSPITAL AND COMMUNITY-BASED SERVICES THAT ARE EITHER LIMITED OR UNAVAILABLE ELSEWHERE IN OUR COMMUNITY.-SERVE AS A VOICE FOR CHILDREN THROUGH PUBLIC POLICY ADVOCACY TO CHANGE LAWS, POLICIES, OR SYSTEMS LEADING TO THE IMPROVEMENT OF HEALTH AND SAFETY FOR CHILDREN AND FAMILIES.-JOIN WITH COMMUNITY PARTNERS AND LEND SUPPORT THROUGHOUT OUR REGION TO IMPROVE THE LIVES OF CHILDREN AND THEIR FAMILIES.-TRAIN FUTURE DOCTORS AND HEALTH CARE PROVIDERS TO BECOME THE NEXT GENERATION OF HIGH QUALITY, PROFESSIONAL PEDIATRIC EXPERTS, OFTEN AT A FINANCIAL LOSS TO THE HOSPITAL.AS A TEACHING HOSPITAL, DAYTON CHILDREN'S IS DEDICATED TO TRAINING THE NEXT GENERATION OF PEDIATRICIANS AND PEDIATRIC SPECIALISTS. EACH YEAR, DAYTON CHILDREN'S HOSTS MEDICAL RESIDENTS FROM THE WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE. IN ADDITION, DAYTON CHILDREN'S HOUSES THIS COUNTRY'S ONLY CIVILIAN/MILITARY INTEGRATED PEDIATRIC RESIDENCY PROGRAM WITH WRIGHT-PATTERSON AIR FORCE BASE. PHYSICIANS TRAINED AT DAYTON CHILDREN'S ARE CARING FOR CHILDREN IN OUR REGION AND THROUGHOUT THE WORLD. IN ADDITION, WE WORK WITH NUMEROUS COLLEGES AND UNIVERSITIES TO HELP TRAIN STUDENTS IN MULTIPLE DISCIPLINES INCLUDING NURSING, PUBLIC HEALTH, SOCIAL WORK, AND MANY MORE AREAS REQUIRED BY MODERN HEALTHCARE. TRAINING INVOLVES SIGNIFICANT COSTS FAR BEYOND THOSE USUALLY ASSOCIATED WITH PATIENT CARE. HOWEVER, WE RECOGNIZE TRAINING THE NEXT GENERATION OF HEALTH CARE WORKERS IS ESSENTIAL TO THE OVERALL HEALTH OF OUR COMMUNITY. DAYTON CHILDREN'S JOINS WITH OTHER CHILDREN'S HOSPITALS ACROSS THE COUNTRY TO ADDRESS ISSUES UNIQUE TO THE POPULATION WE SERVE. WE WORK WITH THE CHILDREN'S HOSPITAL ASSOCIATION, THE OHIO CHILDREN'S HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCIATION TO ENSURE CHILDREN HAVE A VOICE IN POLICY MATTERS. DAYTON CHILDREN'S FURTHER SUPPORTS COMMUNITY EFFORTS TO IMPROVE THE HEALTH AND SAFETY OF CHILDREN THROUGHOUT THE REGION THROUGH DONATIONS AND SPONSORSHIPS MADE TO PROGRAMS THAT SUPPORT, HELP AND IMPROVE THE HEALTH STATUS OF CHILDREN AND IMPROVE THE QUALITY OF LIFE FOR CHILDREN AND THEIR FAMILIES.
PART III, LINE 2:	THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR BAD DEBTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE OF SELF-PAY ACCOUNTS RECEIVABLE INCLUDING THOSE BALANCES AFTER INSURANCE PAYMENTS AND NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR BAD DEBTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENTS THEMSELVES HAVE BEEN EXHAUSTED, THE HOSPITAL MAY PLACE CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE HOSPITAL. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE HOSPITAL'S POLICIES.
PART III, LINE 4:	THE COSTING METHODOLOGY USED IN PREPARATION OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS IS THE COST TO CHARGE RATIO, RATIO OF PATIENT COST-TO-CHARGE. THE DAYTON CHILDREN'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DISCUSSING BAD DEBT EXPENSE. A PROVISION FOR BAD DEBT EXPENSE IS SHOWN ON THE PROFIT AND LOSS STATEMENT. THE CALCULATION FOR BAD DEBT EXPENSE IS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES REQUIRING MANAGEMENT TO MAKE ESTIMATES AND ASSUMPTIONS BASED ON HISTORICAL DATA THAT AFFECT THE REPORTED AMOUNTS OF REVENUE AND EXPENSES DURING THE REPORTED PERIOD. LIKEWISE, AN ALLOWANCE FOR BAD DEBT IS SHOWN ON THE BALANCE SHEET UNDER THE SAME PRINCIPLE AFFECTING THE REPORTED AMOUNTS OF ASSETS AND LIABILITIES DURING THE REPORTED PERIOD.
PART III, LINE 8:	THE COSTS REPORTED FOR SERVICES PROVIDED TO MEDICARE PATIENTS COME FROM SCHEDULE E OF THE FACILITY'S COST REPORT AS FILED. SINCE DAYTON CHILDREN'S IS REIMBURSED FOR MEDICARE SERVICES UNDER A TEFRA METHODOLOGY, THERE IS NORMALLY NO SHORTFALL, AS ALLOWED COSTS AND PAYMENTS DUE ARE EQUAL.
PART III, LINE 9B:	THE HOSPITAL'S POLICIES ON BILLING AND COLLECTIONS ARE POSTED ON OUR WEBSITE IN OUR FINANCIAL ASSISTANCE POLICY POSTED UNDER PATIENTS & VISITORS > AFTER YOU VISIT > BILLING > FINANCIAL ASSISTANCE. IT IS THE HOSPITAL'S POLICY TO PUBLICIZE THE AVAILABILITY OF FREE CARE, GOVERNMENT AND OTHER FINANCIAL ASSISTANCE PROGRAMS UP FRONT BEFORE SERVICES ARE PROVIDED THROUGH MEANS SUCH AS ONSITE FINANCIAL COUNSELORS AND BROCHURES PROVIDED IN THE REGISTRATION AREAS. EACH OF THESE AVENUES OF COMMUNICATION INCLUDES DETAILED INSTRUCTIONS ON HOW PATIENTS AND FAMILIES MAY APPLY FOR ASSISTANCE. THE HOSPITAL'S POLICIES ON BILLING AND COLLECTIONS SPECIFY WHEN COLLECTION ACTION MAY BE TAKEN AND MAKES IT CLEAR THAT THESE MEASURES WILL ONLY OCCUR AFTER DAYTON CHILDREN'S HAS MADE REASONABLE EFFORTS TO CONTACT A FAMILY ABOUT ITS BILL AND THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS. THESE PRACTICES APPLY TO ALL PATIENTS IN GENERAL, NOT ONLY PATIENTS WHO MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. IN ADDITION, PATIENTS ARE INFORMED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS THROUGH SIGNS DISPLAYED IN REGISTRATION AREAS AND THROUGH MESSAGES APPEARING ON BILLING STATEMENTS MAILED BY THE HOSPITAL. FINALLY, THE HOSPITAL EMPLOYS ON-SITE FINANCIAL COUNSELORS WHO CONTACT PATIENTS WITHOUT COVERAGE IN ORDER TO DISCUSS THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS VIA PHONE OR THROUGH FACE-TO-FACE INTERVIEWS. THESE FINANCIAL ASSISTANCE COUNSELORS WILL ASSIST FAMILIES IN APPLYING FOR FINANCIAL ASSISTANCE PROGRAMS IF DESIRED.
PART VI, LINE 2:	IN ADDITION TO OUR CHNA, DAYTON CHILDREN'S ASSESSES THE NEEDS OF OUR COMMUNITY IN A VARIETY OF WAYS. WE SERVE AS A KEY COMMUNITY PARTNER ON MANY LOCAL INITIATIVES WHICH ALLOWS US TO BETTER UNDERSTAND COMMUNITY NEEDS AND TRENDS. SPECIFICALLY, WE PARTNER WITH PUBLIC HEALTH DAYTON AND MONTGOMERY COUNTY ON THEIR COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN. KEY AREAS WE WORK ON TOGETHER INCLUDE HEALTHY LIFESTYLES AND INFANT MORTALITY. WE ALSO HAVE SEVERAL OTHER COMMUNITY BASED PROGRAMS WHICH ALLOW FOR FEEDBACK ABOUT THE COMMUNITY. CENTER FOR HEALTH EQUITYIN FALL 2021, AMID THE TURMOIL OF COVID-19 AND UNREST IN OUR COMMUNITY THERE WAS THE STRONG NEED TO FOCUS ON HEALTH EQUITY TO ENSURE ALL CHILDREN CAN OBTAIN OPTIMAL HEALTH. DAYTON CHILDREN'S HAS BEEN WORKING IN THE COMMUNITY FOR MANY YEARS THROUGH HOSPITAL-BASED PROGRAMS AND PARTNERSHIPS TO ADDRESS COMMUNITY CONDITIONS THAT IMPACT HEALTH. HOWEVER, THE HOSPITAL HAS DECIDED TO TAKE HEALTH EQUITY TO THE NEXT LEVEL THROUGH THE CREATION OF THE CENTER FOR HEALTH EQUITY. THE REASONS FOR THE PROBLEM ARE COMPLEX AND NO ONE ORGANIZATION CAN PROVIDE A SINGLE SOLUTION. BUT AS ONE OF THE CITY'S LARGEST EMPLOYERS AND THE ONLY INSTITUTION IN THE REGION ENTIRELY DEDICATED TO PEDIATRIC HEALTH CARE, DAYTON CHILDREN'S HAS A UNIQUE RESPONSIBILITY TO LEAD THE WAY. IN SUMMER 2020, HOSPITAL LEADERS ESTABLISHED THE CEO TASK FORCE ON RACISM AND PUBLICLY DECLARED RACISM A PUBLIC HEALTH ISSUE. THE GROUP MET AND MADE MANY RECOMMENDATIONS INCLUDING THE IMPORTANCE OF THE HOSPITAL INCREASING ITS EFFORTS TO PROMOTE HEALTH EQUITY LAYING THE GROUNDWORK FOR THE CENTER. NOW, THROUGH A SIGNIFICANT INVESTMENT FROM THE HOSPITAL, THE CENTER IS STAFFED AND WORKING TOWARD ITS MISSION OF ADVANCING HEALTH EQUITY SOLUTIONS IN OUR REGION SO THAT ALL CHILDREN CAN THRIVE. THE CENTER WILL USE MANY NEW, INNOVATIVE PROGRAMS, STRATEGIES, AND PARTNERSHIPS TO REDUCE HEALTH DISPARITIES AND IMPROVE COMMUNITY HEALTH. A SIGNIFICANT FOCUS WILL BE ON QUALITY IMPROVEMENT, ENGAGING WITH THE COMMUNITY AND HEALTH OUTCOMES RESEARCH TO IDENTIFY INNOVATIVE APPROACHES TO CLOSING THE GAP IN HEALTH DISPARITIES.DAYTON ASTHMA ALLIANCETHE DAYTON ASTHMA ALLIANCE AIMS TO POSITIVELY IMPACT THE HEALTH AND WELLNESS OF CHILDREN WITH ASTHMA IN THE DAYTON AREA, FOCUSING ON THE MOST AT-RISK POPULATIONS. USING THE COLLECTIVE IMPACT FRAMEWORK, THE ALLIANCE ENGAGES LOCAL PARTNER ORGANIZATIONS TO COLLABORATIVELY IMPLEMENT A VARIETY OF STRATEGIC ACTIONS TO IMPROVE OUTCOMES FOR CHILDREN WITH ASTHMA. TO HAVE THE GREATEST IMPACT AND TO ENSURE ALL CHILDREN WITH ASTHMA HAVE OPTIMAL HEALTH OUTCOMES, THE ALLIANCE IDENTIFIED THREE STRATEGIC FOCUS AREAS FOR THEIR WORK 1) ENSURE ASTHMA-FRIENDLY ENVIRONMENTS; 2) ENHANCE ACCESS TO HIGH QUALITY HEALTHCARE AND SUPPORTIVE SOCIAL SERVICES THROUGH CLINICAL-COMMUNITY LINKAGES; AND 3) EDUCATE AND EQUIP CHILDREN, FAMILIES AND THE COMMUNITY FOR ASTHMA WELLNESS. TO SUPPORT WORK IN THESE AREAS, DAYTON CHILDREN'S SERVES AS THE BACKBONE ORGANIZATION CONVENING THE GROUP OF COMMITTED STAKEHOLDERS AND SUPPORTING THE ALLIANCE WITH STAFF AND RESOURCES. THE ALLIANCE IS GOVERNED BY ENTITIES WITH A COMMON PURPOSE TO IMPROVE HEALTH OUTCOMES FOR CHILDREN WITH ASTHMA IN THE DAYTON REGION. THE ALLIANCE CONSULTS WITH ADDITIONAL ORGANIZATIONS TO GATHER DATA AND RESEARCH, ASCERTAIN BEST PRACTICES, AND TO IDENTIFY COMMUNITY RESOURCES TO SUPPORT CHILDREN WITH ASTHMA AND TO INFORM THE STRATEGIC FOCUS AREAS. THIS WORK COULD NOT BE DONE WITHOUT ALIGNMENT WITH A VARIETY OF COMMUNITY STAKEHOLDERS. IN ADDITION TO STAFF AND PERSONNEL FROM DAYTON CHILDREN'S CENTER FOR CHILD HEALTH AND WELLNESS AND DAYTON CHILDREN'S PULMONARY CLINIC, PARTNERS IN THE DAYTON ASTHMA ALLIANCE INCLUDE COMMUNITY PRIMARY CARE PHYSICIANS, COMMUNITY ALLERGISTS, CARESOURCE, COMMUNITY HEALTH CENTERS OF GREATER DAYTON, DAYTON PUBLIC SCHOOLS, GREATER DAYTON PREMIER MANAGEMENT, LEGAL AID OF WESTERN OHIO (MEDICAL-LEGAL PARTNERSHIP), PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY, MIAMI VALLEY CHILD DEVELOPMENT CENTERS, AND THINK TV. ADDITIONAL PARTNERS AND COLLABORATORS ARE CONTINUALLY INVITED TO JOIN THE ALLIANCE AS THE NEEDS OR INTEREST ARISE.FAMILY RESOURCE CONNECTIONWHEN PATIENTS AND THEIR FAMILIES SEEK MEDICAL CARE, THEY ARE OFTEN FACING ADDITIONAL CRITICAL CHALLENGES IN THEIR LIVES - THEY MAY HAVE LITTLE FOOD, THEY MAY NOT HAVE A JOB, OR THEY STRUGGLE TO KEEP UP WITH BILLS FOR UTILITIES. UNFORTUNATELY, THESE CHALLENGES OFTEN AFFECT THEIR HEALTH. THE FAMILY RESOURCE CONNECTION USES A PATIENT'S VISIT TO THE DOCTOR AS AN OPPORTUNITY TO ADDRESS THE NON-MEDICAL ISSUES THAT HAVE AN IMPACT ON HEALTH. THIS PROGRAM SCREENS PATIENT FAMILIES FOR SOCIAL NEEDS. IDENTIFIED FAMILIES THEN ARE REFERRED TO AN ADVOCATE WORKING IN THE DAYTON CHILDREN'S HOSPITAL FAMILY RESOURCE CONNECTION FOR RESOURCE CONNECTION AND FOLLOW-UP. THE FAMILY RESOURCE CONNECTION IS MODELED AFTER THE WELL-KNOWN AND RESPECTED HEALTH LEADS PROGRAM.IN FISCAL YEAR 2021-2022, THE FAMILY RESOURCE CONNECTION HAS WORKED WITH PATIENT FAMILIES TO CONNECT THEM TO COMMUNITY RESOURCES TO MEET NEEDS. IN THE PAST YEAR, 7,458 SOCIAL NEEDS SCREENS WERE ADMINISTERED WITH 2,031 INDICATING A NEED. THE GREATEST NEEDS IDENTIFIED IN THE FAMILY RESOURCE CONNECTION CONTINUE TO BE FOOD AND COMMODITIES INCLUDING DIAPERS, CRIBS AND BEDS, SCHOOL SUPPLIES AND CLOTHING.IN ADDITION TO PROVIDING POSITIVE OUTCOMES FOR FAMILIES, THE FAMILY RESOURCE CONNECTION HELPS TO TRAIN THE NEXT GENERATION OF THE HEALTHCARE WORKFORCE. OVER THE LAST YEAR, 30 STUDENT ADVOCATES FROM MULTIPLE COLLEGES AND UNIVERSITIES IN A VARIETY OF PROGRAMS AND MAJORS ENGAGED WITH THE PROGRAM. THE STUDENTS HAVE RANGED FROM CERTIFICATE PROGRAMS, ASSOCIATE, BACHELOR TO MASTER'S DEGREES WITH A VARIETY OF PROGRAMS AND MAJORS WHICH HAVE INCLUDED PRE-MEDICAL, SOCIAL WORK, HEALTH CARE ADMINISTRATION, PUBLIC HEALTH, SOCIAL SERVICES AND HEALTH CARE NAVIGATOR. IN THE SPRING OF 2020, DAYTON CHILDREN'S HOSPITAL PARTNERED WITH MONTGOMERY COUNTY TO PARTICIPATE IN THE VOLUNTEER INCOME TAX ASSISTANCE PROGRAM. (VITA) THIS IS AN IRS INITIATIVE DESIGNED TO SUPPORT FREE TAX PREPARATION SERVICES TO THE UNDERSERVED. FAMILY RESOURCES CONNECTION STAFF AND STUDENTS ARE IRS TRAINED TO PREPARE AND FILE TAX RETURNS. THE GOAL OF THIS PROGRAM IS TO PREPARE AND FILE TAXES AT NO COST AND ASSURE FAMILIES ARE COLLECTING ANY TAX CREDITS THEY ARE ELIGIBLE FOR PARTICULARLY THE EARNED INCOME TAX CREDIT (EITC). IN SPRING OF 2022, STAFF PREPARED 90 TAX RETURNS WITH FAMILIES RECEIVING OVER $40,000 IN EARNED INCOME TAX CREDIT (EITC). RONALD MCDONALD HOUSEAS MORE COMPLEX CARE MOVES TO AN OUTPATIENT SETTING, THE NEED FOR FAMILIES TO BE CLOSE TO THE HOSPITAL FOR TREATMENT CONTINUES TO GROW. THIS FISCAL YEAR, DAYTON CHILDRENS PROVIDED A SIGNIFICANT GIFT TO SUPPORT THE EXPANSION OF THE LOCAL RONALD MCDONALD HOUSE. THE EXPANDED RONALD MCDONALD HOUSE WILL PROVIDE LODGING FOR MORE PATIENTS AND THEIR FAMILIES DURING MULTI-DAY TREATMENTS IN THE OUTPATIENT CLINIC AS WELL AS MORE CASES REQUIRING INPATIENT STAYS WITH SPECIALISTS AT DAYTON CHILDREN'S. THE RONALD MCDONALD HOUSE ALSO SERVES PATIENT FAMILIES FROM ALL LOCAL HOSPITALS. KISER NEIGHBORHOOD SCHOOLS CENTERDAYTON CHILDREN'S IS THE NONPROFIT COMMUNITY PARTNER TO KISER NEIGHBORHOOD SCHOOLS CENTER, AS PART OF THE DAYTON PUBLIC SCHOOL'S NEIGHBORHOOD SCHOOL CENTER PROGRAM. NEIGHBORHOOD SCHOOL CENTERS ARE DAYTON PUBLIC SCHOOLS THAT ARE CENTERED ON THEIR NEIGHBORHOODS, SERVING AS HEALTHY PLACES OF LEARNING FOR CHILDREN AND FAMILIES. THEY SEEK TO IMPROVE STUDENT PERFORMANCE, REALIGN COMMUNITY RESOURCES TO SUPPORT YOUTH ACHIEVEMENT AND IMPROVE QUALITY OF LIFE IN THE NEIGHBORHOOD. FOCUSED ON COMMUNITY LEADERSHIP, NEIGHBORHOOD SCHOOL CENTERS BRING TOGETHER PARTNERS TO OFFER A RANGE OF OPPORTUNITIES TO CHILDREN, FAMILIES, AND COMMUNITIES. TO AID IN THIS PARTNERSHIP, TWO GRANT-FUNDED DAYTON CHILDREN'S STAFF MEMBER SERVE AT THE SCHOOL. WE HAVE A FAMILY RESOURCE COORDINATOR WHO FACILITATES STUDENT CLUBS, FAMILY ENGAGEMENT EVENTS, PROVIDES SUPPLIES TO MEET BASIC NEEDS OF FAMILY AND REFERRALS TO COMMUNITY RESOURCES FOR LONG TERM NEEDS. ALSO, WE HAVE AN AFTERSCHOOL AND SUMMER PROGRAM MANAGER, WHO LEADS A TEAM OF TEACHERS AND ENRICHMENT SPECIALISTS TO PROVIDE DAILY ACADEMIC FOCUSED PROGRAMMING THAT IS INCENTIVIZED THROUGH FIELD TRIPS AND FAMILY EVENTS. IN ADDITION TO MANAGING THE DUTIES OF THE FAMILY RESOURCE COORDINATOR AND PROGRAM MANAGER, DAYTON CHILDREN'S OFFERS VARIOUS SERVICES AND RESOURCES TO CHILDREN AT KISER INCLUDING TUTORS. THIS IS A KEY PARTNERSHIP AS KISER NEIGHBORHOOD SCHOOLS CENTER IS IN OUR BACKYARD, THE GREATER OLD NORTH DAYTON.CONTINUED AT THE END.
PART VI, LINE 3:	THE HOSPITAL'S POLICIES ON BILLING AND COLLECTIONS ARE POSTED ON OUR WEBSITE UNDER THE "FINANCIAL MATTERS" TAB. IT IS THE HOSPITAL'S POLICY TO PUBLICIZE THE AVAILABILITY OF FREE CARE, GOVERNMENT, AND OTHER FINANCIAL ASSISTANCE PROGRAMS BEFORE SERVICES ARE PROVIDED THROUGH MEANS SUCH AS ONSITE FINANCIAL COUNSELORS AND BROCHURES PROVIDED IN THE REGISTRATION AREAS. EACH OF THESE AVENUES OF COMMUNICATION INCLUDES DETAILED INSTRUCTIONS ON HOW PATIENTS AND FAMILIES MAY APPLY FOR ASSISTANCE. THE HOSPITAL'S POLICIES ON BILLING AND COLLECTIONS SPECIFY WHEN COLLECTION ACTION MAY BE TAKEN AND MAKES IT CLEAR THAT THESE MEASURES WILL ONLY OCCUR AFTER DAYTON CHILDREN'S HAS MADE REASONABLE EFFORTS TO CONTACT A FAMILY ABOUT ITS BILL AND THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS. THESE PRACTICES APPLY TO ALL PATIENTS IN GENERAL, NOT ONLY PATIENTS WHO MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. IN ADDITION, PATIENTS ARE INFORMED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS THROUGH SIGNS DISPLAYED IN REGISTRATION AREAS AND THROUGH MESSAGES APPEARING ON BILLING STATEMENTS MAILED BY THE HOSPITAL. FINALLY, THE HOSPITAL EMPLOYS ON-SITE FINANCIAL COUNSELORS WHO CONTACT PATIENTS WITHOUT COVERAGE IN ORDER TO DISCUSS THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS VIA PHONE OR THROUGH FACE-TO-FACE INTERVIEWS. THESE FINANCIAL COUNSELORS WILL ASSIST FAMILIES IN APPLYING FOR FINANCIAL ASSISTANCE.
PART VI, LINE 4:	DAYTON CHILDREN'S HOSPITAL IS LOCATED IN OLD NORTH DAYTON, NORTHEAST OF DOWNTOWN DAYTON AND THE URBAN CORE, IN MONTGOMERY COUNTY IN SOUTHWESTERN OHIO. THE HOSPITAL'S ROOTS CAN BE TRACED BACK TO 1919, WHEN PHILANTHROPIST AND ACTIVIST ANNA BARNEY GORMAN PLANNED A NORTH DAYTON COMMUNITY CENTER TO OFFER HEALTH SERVICES, EDUCATION AND RECREATION. THE BARNEY COMMUNITY CENTER LATER DEVELOPED INTO THE BARNEY CONVALESCENT HOSPITAL, WHICH CARED FOR POLIO VICTIMS. IN 1967 A FULL-SERVICE CHILDREN'S HOSPITAL, THE BARNEY CHILDREN'S MEDICAL CENTER, OPENED. THE NAME WAS CHANGED IN 1970 TO THE CHILDREN'S MEDICAL CENTER OF DAYTON. IN SPRING 2013, THE HOSPITAL CHANGED ITS NAME ONCE AGAIN TO DAYTON CHILDREN'S HOSPITAL. THE HOSPITAL CELEBRATED ITS 50-YEAR ANNIVERSARY IN 2017. DAYTON CHILDREN'S NOW SERVES INFANTS, CHILDREN AND TEENS FROM 20 OHIO COUNTIES, WITH 75 PERCENT OF PATIENTS COMING FROM MONTGOMERY, GREENE, CLARK, MIAMI AND NORTHERN WARREN COUNTIES. THE SERVICE AREA SPANS 9,000 SQUARE MILES WITH A 2.1 MILLION PEDIATRIC POPULATION THAT INCLUDES POOR URBAN AND RURAL AREAS. DAYTON CHILDREN'S IS THE ONLY PEDIATRIC HEALTH CARE PROVIDER AND THE LARGEST PROVIDER OF MEDICAL CARE TO LOW-INCOME CHILDREN IN THE REGION. CURRENTLY, THE HOSPITAL SERVES A DISPROPORTIONATE SHARE OF CHILDREN FROM LOW-INCOME FAMILIES. OVER 55 PERCENT OF THE PATIENTS AT DAYTON CHILDREN'S ARE COVERED BY MEDICAID. IN ADDITION, DAYTON CHILDREN'S SERVES AS THE PEDIATRIC RESOURCE FOR MILITARY FAMILIES STATIONED AT NEARBY WRIGHT-PATTERSON AIR FORCE BASE. DAYTON CHILDREN'S HAS ALWAYS BELIEVED THAT INFANTS, CHILDREN AND TEENS NEED TO BE CARED FOR BY PEDIATRIC SPECIALISTS. WITH IMPROVED ACCESS TO PEDIATRIC SPECIALTY SERVICES, THE HOSPITAL PROVIDES EXPERT CARE TO 382,391 CHILDREN IN ITS 20-COUNTY REGION. OUTPATIENT AND ALTERNATIVE SERVICES INCLUDE PEDIATRIC LABORATORY AND IMAGING WHICH COMPLEMENT THE HOSPITAL'S INPATIENT SERVICES. MANY PROGRAMS HAVE RECEIVED CERTIFICATIONS AND ACCREDITATIONS FROM ORGANIZATIONS SETTING THE STANDARDS OF QUALITY CARE; THE HOSPITAL'S SCORES FROM THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS ARE CONSISTENTLY AMONG THE HIGHEST IN THE NATION: IN NOVEMBER 2019 THE AMERICAN COLLEGE OF SURGEONS NAMED DAYTON CHILDREN'S AS A LEVEL 1 PEDIATRIC TRAUMA CENTER. THE TRAUMA DEPARTMENT SAW OVER 1,000 PATIENTS IN 2019/2020. IN JUNE 2019, DAYTON CHILDREN'S RANKED IN THE TOP 50 CHILDREN'S HOSPITALS IN THE COUNTRY FOR CARE IN PULMONOLOGY IN U.S. NEWS AND WORLD REPORT.
PART VI, LINE 5:	INJURY PREVENTIONDAYTON CHILDREN'S CONTINUES OUR WORK TO PREVENT CHILDHOOD INJURIES AS UNINTENTIONAL INJURY IS A LEADING CAUSE OF DEATH AND DISABILITY FOR CHILDREN ACROSS THE COUNTY AND REGIONALLY. DAYTON CHILDREN'S WORKS WITH PARTNERS SUCH AS THE OHIO INJURY PREVENTION PARTNERSHIP, OHIO OCCUPANT PROTECTION REGIONAL COORDINATOR PROGRAM, AND THE MONTGOMERY COUNTY CHILD FATALITY REVIEW BOARD TO ADDRESS SOME OF THE KEY UNINTENTIONAL INJURIES TO CHILDREN IN OUR COMMUNITY, SUCH AS MOTOR VEHICLE ACCIDENTS, PEDESTRIAN ACCIDENTS, AND UNSAFE SLEEP PRACTICES. DAYTON CHILDREN'S IS THE LEAD AGENCY OF SAFE KIDS GREATER DAYTON, WHICH IS OUR REGION'S LEADER IN CHILDHOOD INJURY PREVENTION PROGRAMMING. THE SAFE KIDS GREATER DAYTON COALITION ADDRESSES KEY PEDIATRIC SAFETY ISSUES WITH COMMUNITY PROGRAMMING INCLUDING CHILD PASSENGER SAFETY, PEDESTRIAN SAFETY, HOME/FIRE SAFETY, MEDICATION POISONING PREVENTION, WATER SAFETY AND BICYCLE HELMET EDUCATION. PROGRAMMING INCLUDED BIKE AND PEDESTRIAN SAFETY EDUCATION AND HOME SAFETY EDUCATION TO TWELVE AREA SCHOOLS. DAYTON CHILDREN'S RECEIVED FUNDING FROM THE OHIO DEPARTMENT OF TRANSPORTATION TO IMPLEMENT SAFE ROUTES TO SCHOOLS PROGRAMING FOR THE DAYTON PUBLIC SCHOOLS IN JULY 2021. SUCCESSES INCLUDED CREATING BLOGS, SOCIAL MEDIA POSTS AND BILLBOARDS TO PROMOTE A BIKE AND PEDESTRIAN SAFETY CAMPAIGN. ADDITIONALLY, THE SAFE ROUTES TO SCHOOL PROGRAM COMPLETED A PARENT SURVEY AND PROVIDED A BIKE SAFETY COURSE CALLED GIRLS IN GEAR WITH 30 GIRLS COMPLETING THE PROGRAM. THE SAFE ROUTES TO SCHOOL PROGRAM ALSO IMPLEMENTED A LEARN TO BIKE PROGRAM AT FAIRVIEW ELEMENTARY SCHOOL. FIFTEEN STUDENTS RECIEVED BIKE SAFETY EDUCATION, A BIKE AND SAFETY EQUIPMENT DURING THIS FOUR WEEK PROGRAM. DAYTON CHILDREN'S RECEIVED FUNDING FROM THE OHIO CHILDREN'S TRUST FUND TO IMPLEMENT AN EARLY CHILDHOOD SAFETY INIATIVE. THIS FUNDING ALLOWED DAYTON CHILDREN'S TO EDUCATE AND PROVIDE NEEDED SAFETY EQUIPMENT TO 118 ELIGIBLE FAMILIES. EDUCATION COVERED HOME SAFETY FOR CHILDREN AGES ZERO TO THREE AND EQUIPMENT RECEIVED BY FAMILIES INCLUDED CRIBS, TODDLER BEDS, STOLLERS, HIGHCHAIRS, SAFETY GATES AND CHILDPROOFING EQUIPMENT. DAYTON CHILDREN'S HOSPITAL HAS ADDITIONAL OUTREACH PROGRAMS TO PREVENT INJURY THAT EDUCATE PROFESSIONALS TO UNDERSTAND THE UNIQUE PHYSIOLOGY OF CHILDREN. THESE PROGRAMS INCLUDE EMS OUTREACH AND EDUCATION, THE NURSING LIAISON PROGRAM AND SPORTS MEDICINE. DAYTON CHILDREN'S EMS OUTREACH COORDINATORS TRAINED THE STAFF AT FIRE DEPARTMENTS THROUGOUT THE REGIONON SPECIFIC PEDIATRIC TRAUMA CASES AS WELL AS CHILDREN WITH SPECIFIC HEALTH CARE NEEDS. BY COVERING TOPICS RANGING FROM SEIZURES TO RESPIRATORY, TO HIDDEN HAZARDS (POISON), THE EMS OUTREACH COORDINATORS ENSURE EMTS ARE EDUCATED IN VARIOUS PEDIATRIC HEALTH ISSUES. THE EMS OUTREACH COORDINATORS ENSURE ALL FIRE DEPARTMENTS HAD ACCESS TO TRAINING AS NEEDED IN THE GREATER DAYTON AREA. DAYTON CHILDREN'S NURSE LIAISONS PROVIDE CONTINUING EDUCATION TO COMMUNITY AND SCHOOL NURSES. THIS YEAR THE NURSES CONDUCTED A NUMBER OF EDUCATIONAL EVENTS TO ALIGN WITH THE LAUNCH OF THE CENTER FOR FEMALE ALTHLETES. DAYTON CHILDREN'S SPORTS MEDICINE PROGRAM PROVIDED SERVICES AT SPORTING TOURNAMENTS AND PROVIDED FREE BASELINE CONCUSSION SCREENINGS TO CHILDREN AGES 12 AND OVER.
PART VI, LINE 7, REPORTS FILED WITH STATES	OH
PART VI, LINE 2 CONTINUED:	MONTGOMERY COUNTY IMAGINATION LIBRARY IN DECEMBER 2019, DAYTON CHILDREN'S HOSPITAL PARTNERED WITH MONTGOMERY COUNTY AND OTHER LOCAL ORGANIZATIONS TO LAUNCH THE OHIO GOVERNOR'S IMAGINATION LIBRARY INITIATIVE TO PROVIDE FREE BOOKS TO LOCAL CHILDREN FOUR YEARS OLD AND YOUNGER, THROUGH A PARTNERSHIP WITH DOLLY PARTON'S IMAGINATION LIBRARY. THE PROGRAM IS AIMED AT INCREASING LITERACY AND EARLY LEARNING OPPORTUNITIES FOR CHILDREN THROUGHOUT MONTGOMERY COUNTY, AND WILL BE PROVIDED FREE OF CHARGE TO LOCAL FAMILIES. THIS PROGRAM ADDRESSES A KEY NEED IN OUR COMMUNITY AROUND KINDERGARTEN READINESS A BUILDING BLOCK FOR A HEALTHY COMMUNITY AND STRONG WORKFORCE. CURRENTLY, 41% OF CHILDREN IN MONTGOMERY COUNTY AGES ZERO TO FIVE ARE ENROLLED IN THE PROGRAM AND RECEIVING BOOKS MONTHLY. COMMUNITY CONTRIBUTION PROGRAMIN FY20, DAYTON CHILDREN'S CREATED A COMMUNITY CONTRIBUTION PROGRAM TO PROVIDE SUPPORT COMMUNITY PROGRAMS THAT FOCUS ON IMPROVING HEALTH OUTCOME FOR CHILDREN. ORGANIZATIONS ARE ASKED TO SUBMIT AN APPLICATION TO ENSURE FUNDING ALIGNS WITH COMMUNITY BENEFIT REQUIREMENTS AND STRATEGIES. THE HOSPITAL LOOKS AT THE FOLLOWING ITEMS WHEN FUNDING PROPOSALS. SOCIAL CORRELATES OF HEALTH THROUGH UPSTREAM APPROACHES: WE KNOW A CHILD'S HEALTH IS GREATLY RELATED TO THE ENVIRONMENT IN WHICH HE OR SHE LIVES. THE SOCIAL CORRELATES OF HEALTH ARE ALL THE ENVIRONMENTAL FACTORS THAT INFLUENCE HEALTH, INCLUDING EARLY CHILDHOOD DEVELOPMENT, EMPLOYMENT OPPORTUNITIES, FOOD INSECURITY, AIR AND WATER QUALITY, TRANSPORTATION, EDUCATIONAL ATTAINMENT, PUBLIC SAFETY, AND HOUSING. HEALTH EQUITY & DISPARITIES: HEALTH DISPARITIES ARE THE DIFFERENCES IN HEALTH OUTCOMES BASED ON RACE, ETHNICITY, SEXUAL ORIENTATION, AND/OR SOCIO-ECONOMIC STATUS. HEALTH EQUITY IS ACHIEVED WHEN CHARACTERISTICS SUCH AS RACE, GENDER, SEXUAL IDENTITY, AND MORE ARE NOT CORRELATED TO HIGHER RATES OF ADVERSE HEALTH OUTCOMES. COLLABORATION AND PARTNERSHIP: PROGRAMS THAT VALUE PARTNERSHIPS AND ALIGN THE PRACTICES AND PERSPECTIVES OF COMMUNITIES, HEALTH SYSTEMS AND PUBLIC HEALTH UNDER A SHARED VISION HELP FACILITATE STRONG COLLABORATION AND PARTNERSHIPS. PROGRAMS THAT DRAW UPON THE STRENGTHS OF EACH PARTNER TO HAVE A GREATER COLLECTIVE IMPACT. COMMUNITY-INFORMED DECISION MAKING: PROGRAMS THAT ENGAGE NEIGHBORHOOD RESIDENTS AND COMMUNITY LEADERS AS KEY VOICES THROUGHOUT ALL STAGES OF PLANNING AND IMPLEMENTATION HONOR THE UNIQUE EXPERIENCE OF THOSE IMPACTED BY THE INTERVENTION. DATA-DRIVEN AND EVIDENCE-BASED INTERVENTIONS: PROGRAMS THAT USE DATA FROM BOTH CLINICAL AND COMMUNITY SOURCES AS A TOOL TO IDENTIFY KEY NEEDS, MEASURE MEANINGFUL CHANGE, AND CREATE TRANSPARENCY AMONGST STAKEHOLDERS. IDENTIFYING PROVEN STRATEGIES THAT HAVE TANGIBLE RESULTS. ALIGNED WITH REGIONAL, STATEWIDE AND NATIONAL STRATEGIES: PROGRAMS THAT ARE ALIGNED WITH THE AMERICAN ACADEMY OF PEDIATRICS, HEALTHY PEOPLE 2020, THE STATE HEALTH IMPROVEMENT PLAN AND OTHER REGIONAL HEALTH IMPROVEMENT PLANS TO CONTRIBUTE TO A GREATER IMPACT ON CHILDREN'S HEALTH.THE FOLLOWING ORGANIZATIONS RECEIVED FUNDING IN FY22: AMERICAN CANCER SOCIETY, BIG BROTHER BIG SISTERS MIAMI VALLEY, CHRIST CHILD SOCIETY OF DAYTON, DAYBREAK, LESSONS FROM THE GARDEN, SECOND HARVEST, BOYS AND GIRLS CLUB, CRAYONS TO CLASSROOMS, GOODWILL EASTER SEALS, ST. VINCENT DE PAUL, AND THE THERAPEUTIC RIDING INSTITUTE. IN ADDITION, THE HOSPITAL FINANCIALLY SUPPORTED VARIOUS COMMUNITY AGENCIES INCLUDING FIVE RIVERS METROPARKS, LIFE CONNECTION OF OHIO, JUVENILE DIABETES RESEARCH FOUNDATION, MARCH OF DIMES, CYSTIC FIBROSIS FOUNDATION, DIABETES DAYTON, CENTERVILLE-WASHINGTON PARK DISTRICT AND COMMUNITY YOUTH SPORTS TEAMS TO ENSURE LOCAL CHILDREN HAVE ACCESS TO HEALTHY ACTIVITIES. THE HOSPITAL'S RESPONSE TO THE NEEDS OF THE COMMUNITY RELATED TO THE COVID-19 PANDEMIC, ALLOWS ADDITIONAL CONSIDERATIONS FOR COMMUNITY BENEFIT REPORTING OF PROGRAMS AND ACTIVITIES FOR FY22. COMMUNITY BENEFIT ACTIVITIES OR PROGRAMS SEEK TO ACHIEVE A COMMUNITY BENEFIT OBJECTIVE INCLUDING IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, ADVANCING INCREASED GENERAL KNOWLEDGE, AND RELIEF OF A GOVERNMENT BURDEN TO IMPROVE HEALTH. MANY OF THESE PRINCIPLES ALIGN WITH REPORTING COVID-19 RELATED EXPENSES THAT WERE INCURRED IN OUR RESPONSE TO THE PANDEMIC. IN FALL FY22, WHEN COVID-19 VACCINES WERE APPROVED FOR CHILDREN 5-11 YEARS OLD, IT BECAME CLEAR THAT DAYTON CHILDREN'S HOSPITAL WOULD TAKE THE LEAD IN THE EFFORT TO ADMINISTER VACCINES. THIS POPULATION PROVIDED UNIQUE CHALLENGES, AND AS THE LOCAL PEDIATRIC EXPERT, DAYTON CHILDREN'S WAS UNIQUELY POSITIONED TO MEET THE NEED AND EXCEED THE EXPECTATIONS OF KIDS AND FAMILIES IN THE COMMUNITY. DAYTON CHILDREN'S HELD A LARGE COMMUNITY WIDE VACCINATION CLINIC AT THE UNIVERSITY OF DAYTON ARENA AND ULTIMATELY VACCINATED 1,500 CHILDREN AND ALSO GAVE 300 FLU SHOTS.AT DAYTON CHILDREN'S, WE BELIEVE THAT ALL CHILDREN IN OUR REGION DESERVE A GREAT CHILDREN'S HOSPITAL CLOSE TO HOME. WE ARE DEDICATED TO ADDRESSING THE HEALTH AND WELLNESS NEEDS OF CHILDREN BOTH THROUGH CLINICAL PRACTICE AS WELL AS OUR COMMUNITY BENEFIT ACTIVITIES.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
ADVOCATES FOR BASIC LEGAL EQUALITY INC
525 JEFFERSON AVE SUITE 300	TOLEDO	OH	43604	237376131	501 (C) (3)	$10,000	$0	PROGRAM DONATION
AMERICAN CANCER SOCIETY INC
4540 COOPER ROAD SUITE 1000	CINCINNATI	OH	45242	131788491	501 (C) (3)	$10,000	$0	PROGRAM DONATION
BIG BROTHERS BIG SISTERS MIAMI VALLEY
22 SOUTH JEFFERSON STREET	DAYTON	OH	45402	310641306	501 (C) (3)	$7,500	$0	PROGRAM DONATION
BOYS AND GIRLS CLUB OF DAYTON
1828 W STEWART STREET	DAYTON	OH	45417	310536657	501 (C) (3)	$15,000	$0	PROGRAM DONATION
DAYBREAK INC
605 S PATTERSON BOULEVARD	DAYTON	OH	45402	310864474	501 (C) (3)	$10,000	$0	PROGRAM DONATION
GOODWILL EASTER SEALS MIAMI VALLEY
660 SOUTH MAIN STREET	DAYTON	OH	45402	310537112	501 (C) (3)	$7,500	$0	PROGRAM DONATION
RONALD MCDONALD HOUSE CHARITIES OF THE MIAMI VALLEY REGION
555 VALLEY STREET	DAYTON	OH	45404	310964793	501 (C) (3)	$2,500,000	$0	PROGRAM DONATION
SECOND HARVEST FOOD BANK
20 N MURRAY STREET	SPRINGFIELD	OH	45503	832134113	501 (C) (3)	$10,000	$0	PROGRAM DONATION
ST VINCENT DE PAUL
124 W APPLIE STREET	DAYTON	OH	45402	311132259	501 (C) (3)	$15,000	$0	PROGRAM DONATION
SOUTHWESTERN OHIO COUNCIL FOR HIGHER EDUCATION
3155 RESEARCH BOULEVARD	DAYTON	OH	45420	237109141	501 (C) (3)	$7,500	$0	PROGRAM DONATION
THE DAYTON FOUNDATION
1401 S MAIN STREET SUITE 100	DAYTON	OH	45409	316027287	501 (C) (3)	$55,000	$0	PROGRAM DONATION

Field	Value	IRS element (for citing)
Total501c3 Org	11	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE FINANCE COMMITTEE AND COMMUNITY RELATIONS MANAGER APPROVE ALL GRANTS AND CHARITABLE DONATIONS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRIS BERGMAN
CFO	$527,362	$0	$25,000	$0	$472,604	$0	$1,033,210	$0	$23,058	$0	$2,081,234	$0	$0	$0
DEBORAH FELDMAN
CEO	$933,809	$0	$25,000	$0	$41,873	$0	$936,142	$0	$7,414	$0	$1,944,238	$0	$0	$0
ADAM MEZOFF MD
CMO	$672,239	$0	$25,000	$0	$130,821	$0	$268,910	$0	$16,476	$0	$1,113,446	$0	$0	$0
CHARLES KIDWELL
CHIEF LEGAL OFFICER	$434,750	$0	$25,000	$0	$8,064	$0	$16,977	$0	$25,908	$0	$510,699	$0	$0	$0
BENJAMIN GOODSTEIN
VP & CHIEF AMBULATORY OFFICER	$384,312	$0	$25,000	$0	$6,547	$0	$14,596	$0	$25,008	$0	$455,463	$0	$0	$0
KELLY KAVANAUGH
VP & CHIEF STRATEGY OFFICE	$322,198	$0	$25,000	$0	$9,252	$0	$59,412	$0	$23,821	$0	$439,683	$0	$0	$0
CINDY BURGER
VP & CHIEF EXPERIENCE OFFICER	$332,030	$0	$25,000	$0	$19,636	$0	$37,965	$0	$17,726	$0	$432,357	$0	$0	$0
JAYNE GMEINER
VP & CHIEF NURSING OFFICER	$338,856	$0	$25,000	$0	$9,142	$0	$15,324	$0	$9,901	$0	$398,223	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B

THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND THE FOLLOWING ARE THE INCREASES IN THE ACTUARIAL VALUE DURING THE YEAR: DEBORAH FELDMAN - $920,292 CINDY BURGER - $26,365 KELLY KAVANAUGH - $47,812 ADAM MEZOFF - $251,610 CHRIS BERGMAN - $1,016,995 THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: DEBORAH FELDMAN - $24,810 CHRIS BERGMAN - $464,540 CINDY BURGER - $6,097 KELLY KAVANAUGH - $1,758 BENJAMIN GOODSTEIN - $3,297 ADAM MEZOFF - $15,803

PART I, LINE 7

BONUSES ARE DISCRETIONARY AND ARE BASED ON AN INCENTIVE PROGRAM APPROVED BY SENIOR MANAGEMENT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	COUNTY OF MONTGOMERY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	316000172	BondIssuerEIN
CUSIP	613520PD1	CUSIPNum
Bond Issued	2021-11-01	BondIssuedDt
Issue Price	$278,059,458	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$278,059,458	TotalProceedsAmt
In Reserve Fund	$50,412,160	InReserveFundAmt
Issuance Costs From Proceeds	$3,237,775	IssuanceCostsFromProceedsAmt
Capital Expenditures	$71,926,719	CapitalExpendituresAmt
Other Spent Proceeds	$152,482,804	OtherSpentProceedsAmt
Substantial Completion	2023	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART I, BOND ISSUES:	FormAndLineReferenceDesc
Explanation	(F) DESCRIPTION OF PURPOSE: CONSTRUCT & EQUIP FACILITY; REFUND PRIOR BOND ISSUES: 10/13/16, 11/20/15, AND 8/19/14.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE CFO REVIEWS KEY DISCLOSURES WITH APPROPRIATE COMMITTEES OF THE BOARD OF TRUSTEES. THEN PRIOR TO FILING, THE FORM 990 IS ELECTRONICALLY LOADED TO A SECURE WEBSITE FOR THE ENTIRE BOARD OF TRUSTEES TO REVIEW. AN EMAIL IS SENT TO ALL MEMBERS NOTIFYING THEM THAT THE FORM IS AVAILABLE FOR THEIR REVIEW AND THAT IT WILL BE FILED ON OR BEFORE THE EXTENDED DUE DATE.
FORM 990, PART VI, SECTION B, LINE 12C	AT THE BEGINNING OF EACH MEETING, THE CHAIRMAN OF THE BOARD ASKS EACH MEMBER TO IDENTIFY AND DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST BASED ON THE AGENDA OR ANY CHANGES IN THEIR BUSINESS PRACTICE THAT MIGHT BE RELEVANT. IF THERE ARE ANY CONFLICTS, THE MEMBER(S) RECUSE THEMSELVES AND DO NOT PARTICIPATE IN THE DISCUSSION AND DO NOT VOTE ON THE ITEM. THIS THEN IS NOTED IN THE MINUTES OF THAT MEETING. BOARD MEMBERS ANNUALLY AGREE TO ABIDE BY WRITTEN CONFLICT OF INTEREST AND CONFIDENTIALITY POLICIES. BOARD MEMBERS ALSO WORK TO REPRESENT AND BALANCE THE INTERESTS OF DAYTON CHILDREN'S HOSPITAL'S MANY CONSTITUENTS. THE BOARD ANNUALLY EVALUATES ITS OWN PERFORMANCE.
FORM 990, PART VI, SECTION B, LINE 15	THE COMMITTEE USED A TOTAL COMPENSATION PHILOSOPHY TO GUIDE ALL DECISIONS RELATED TO EXECUTIVE COMPENSATION AT DAYTON CHILDREN'S HOSPITAL (DCH), AND AS SUCH DETERMINES AND APPROVES ALL ASPECTS OF THE CEO'S TOTAL COMPENSATION PACKAGE, INCLUDING BENEFITS AND EXPENSE ALLOWANCES. THESE ARE DETAILED IN A WRITTEN EMPLOYMENT AGREEMENT FOR THE CEO. THE COMMITTEE USES AN OUTSIDE CONSULTANT TO CONDUCT PERIODIC REVIEWS OF THE EXECUTIVE COMPENSATION LEVELS OF THE ORGANIZATION VERSUS THOSE OF SIMILARLY SIZED AND SITUATED ORGANIZATIONS USING PUBLISHED SURVEYS. THESE SURVEY RESULTS ARE USED BY THE COMMITTEE IN SETTING EXECUTIVE LEVELS AND THE CEO'S COMPENSATION IN PARTICULAR. THE COMMITTEE FOLLOWS A FORMAL CALENDAR OF MEETINGS AND THE CHAIRMAN OF THE COMMITTEE REPORTS TO THE BOARD OF TRUSTEES AT LEAST ANNUALLY ON THE COMMITTEE'S ACTIVITIES AND ON DETAILS OF THE CEO'S COMPENSATION AND BENEFITS PACKAGE. THE COMMITTEE ALSO REVIEWS AND APPROVES DISCLOSURES RELATED TO EXECUTIVE COMPENSATION MADE AS PART OF IRS FORM 990. CONTEMPORANEOUS MINUTES WERE KEPT OF THE COMMITTEE PROCEEDINGS.
FORM 990, PART VI, SECTION C, LINE 19	THE FINANCIAL STATEMENTS, ORGANIZING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE GENERAL PUBLIC UPON WRITTEN OR VERBAL REQUEST TO DAYTON CHILDREN'S HOSPITAL, FOR THE SAME PERIOD OF TIME AS SET FORTH IN THE INTERNAL REVENUE CODE SECTION 6104(D).
FORM 990, PART XI, LINE 9:	CHANGE IN PENSION BENEFIT OBLIGATION 16,407,313. NET ASSETS TRANSFER TO RELATED ORGANIZATION -983,125.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CENTER FOR COMMUNITY HEALTH AND ADVOCACY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE CHILDRENS PLAZA	AddressLine1Txt
City	DAYTON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45404	ZIPCd

Field	Value	IRS element (for citing)
EIN	824391789	EIN
Primary Activities	NEW MARKETS TAX CREDIT	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd
Total Income	$105,018	TotalIncomeAmt
End Of Year Assets	$9,639,969	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	DAYTON CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHILDREN'S HOME CARE OF DAYTON
18 CHILDRENS PLAZA	DAYTON	OH	45404	311356037	HOME CARE	OH	501(C)(3)	LINE 10	DAYTON CHILDREN'S HOSPITAL	Yes (1)
DAYTON CHILDREN'S HOSPITAL FOUNDATION
ONE CHILDRENS PLAZA	DAYTON	OH	45404	311045247	SUPPORT	OH	501(C)(3)	LINE 12A, I	DAYTON CHILDREN'S HOSPITAL	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CLARITAS HEALTHCARE FUND LP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1209 N ORANGE ST	AddressLine1Txt
City	WILMINGTON	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19801	ZIPCd

Field	Value	IRS element (for citing)
EIN	870925330	EIN
Primary Activities	INVESTMENT	PrimaryActivitiesTxt
Legal Domicile State	DE	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Predominant Income Type	INVESTMENT	PredominantIncomeTypeTxt
Share Of EOY Assets	$1,220,448	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.64280	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd	Entity TypeEntityTypeTxt
PEDIATRIC ASSURANCE COMPANY LTD
BUTTERFIELD BANK BLDG 6TH FL 65 FRO	HAMILTON HM	BD	980478183	SELF-INSURANCE	BD	DAYTON CHILDREN'S HOSPITAL	-$1,334,529	$9,605,623	1.00000	Yes (1)
DAYTON CHILDREN'S SPECIALTY PHYSICIANS
			311411364	SPECIALTY PHYSICIANS GROUP		DAYTON CHILDREN'S HOSPITAL	$25,103,207	$29,813,339	1.00000	Yes (1)	ONE CHILDRENS PLAZA	DAYTON	OH	45404	OH	C

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHILDREN'S HOME CARE OF DAYTON
O	$70,886	CASH
CHILDREN'S HOME CARE OF DAYTON
P	$4,666,051	CASH
CHILDREN'S HOME CARE OF DAYTON
S	$11,000,000	CASH
DAYTON CHILDREN'S HOSPITAL FOUNDATION
S	$2,389,288	CASH
DAYTON CHILDREN'S HOSPITAL FOUNDATION
O	$285,983	CASH
DAYTON CHILDREN'S HOSPITAL FOUNDATION
C	$8,954,618	CASH
DAYTON CHILDREN'S SPECIALTY PHYSICIANS
O	$1,253,763	CASH
DAYTON CHILDREN'S SPECIALTY PHYSICIANS
Q	$11,578,139	CASH
DAYTON CHILDREN'S SPECIALTY PHYSICIANS
R	$93,300,000	CASH
PEDIATRIC ASSURANCE COMPANY
S	$801,478	CASH
PEDIATRIC ASSURANCE COMPANY
P	$801,478	CASH