2021-05-17T17:26:24-05:00 2020-06-30 420714325 RSM US LLP 6 S PATTERSON BLVD DAYTON OH 45402 990 2019-07-01 310672132 DAYTON CHILDREN'S HOSPITAL DAYT 9376413000 ONE CHILDRENS PLAZA DAYTON OH 454041815 CHRIS BERGMAN VP FINANCE AND CFO 9376413000 2021-05-17 1 KAREN O CRIM P00368385 9372980201 2021-05-17 2019 2022-09-23 18:48:47Z DEBORAH FELDMAN ONE CHILDRENS PLAZA DAYTON OH 454041815 596384339 0 X WWW.CHILDRENSDAYTON.ORG X 1967 OH THE RELENTLESS PURSUIT OF OPTIMAL HEALTH FOR EVERY CHILD WITHIN OUR REACH. 20 18 3870 772 0 0 5993620 43747837 336893920 423789951 21831466 24647231 11491744 16929537 376210750 509114556 96500 189032 0 0 230299515 234788535 0 0 3242266 168001006 183925916 398397021 418903483 -22186271 90211073 921744349 1013973850 230554948 255194190 691189401 758779660 X TO IMPROVE THE HEALTH STATUS OF ALL CHILDREN THROUGH SERVICE, EDUCATION, RESEARCH AND ADVOCACY. 0 0 343082269 189032 437524294 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, 2020, THE HOSPITAL'S MIX OF PATIENTS WAS 52.9% MEDICAID, 39.3% COMMERCIAL, 4.4% OTHER GOVERNMENT PROGRAMS AND 3.4% 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, 2020 ARE AS FOLLOWS # OF BEDS 181, INPATIENT DAYS 33,205, ADMISSIONS 7,287. AVERAGE LENGTH OF STAY 4.6 DAYS. AVERAGE DAILY CENSUS 108.8, OCCUPANCY RATE 60%, SURGERIES PERFORMED 11,304, X-RAY STUDIES 43,134, LAB TEST 557,734, RESPIRATORY THERAPY PROCEDURES 87,530, PHARMACY DOSES DISPENSED 746,377, CARDIOLOGY PROCEDURES 19,430, NEUROLOGY PROCEDURES 4,383, URGENT CARE VISITS 27,541, EMERGENCY DEPARTMENT VISITS 86,342, OUTPATIENT CLINICS 184,841. 343082269 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 420 0 1 3870 1 0 1 BD 0 0 0 0 0 0 0 0 1 0 X 20 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OH X CHRIS BERGMAN 9376415819 ONE CHILDRENS PLAZA DAYTON OH 45404 DEBORAH FELDMAN CEO 40.00 1.00 X X 944207 0 923991 MATTHEW GRAYBILL FORMER VP HR AND CHIEF ADMIN. 0.00 0.00 X 1596455 0 82892 ADAM MEZOFF MD CMO 40.00 0.00 X 637543 0 437760 KELLY KAVANAUGH VP AND CHIEF STRATEGY OFFICER 40.00 0.00 X 301299 0 248501 LISA COFFEY EXECUTIVE DIRECTOR (UNTIL 8/23/19) 40.00 0.00 X 513836 0 25879 CHRIS BERGMAN CFO 40.00 2.00 X 493842 0 39653 CHARLES KIDWELL CHIEF LEGAL OFFICER 40.00 0.00 X 420690 0 37109 JAYNE GMEINER VP AND CHIEF NURSING OFFICER 40.00 0.00 X 324437 0 27724 BENJAMIN GOODSTEIN VP AND CHIEF AMBULATORY OFFICER 40.00 0.00 X 305901 0 42073 LAURENCE KLABEN IMMEDIATE PAST CHAIR 1.00 0.00 X X 0 0 0 VIPUL PATEL MD PRO STAFF CHAIR 1.00 0.00 X X 0 0 0 MATTHEW HARDWICK MD PAST PRO STAFF CHAIR 1.00 0.00 X X 0 0 0 LINDA BLACK-KUREK CHAIR 1.00 0.00 X X 0 0 0 JAMES WHALEN VICE CHAIR 1.00 0.00 X X 0 0 0 MICHAEL MCQUISTON SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 MAMLE ANIM MD TRUSTEE 1.00 0.00 X 0 0 0 CLINTON BROWN TRUSTEE 1.00 0.00 X 0 0 0 MARK CHILSON ASST. SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 JOHN DUBY MD TRUSTEE 1.00 0.00 X 0 0 0 JACQUELINE GAMBLIN TRUSTEE 1.00 0.00 X 0 0 0 TIFFANY KELLNER TRUSTEE 1.00 0.00 X 0 0 0 THOMAS KRZMARZICK MD TRUSTEE 1.00 0.00 X 0 0 0 JAMIE MCGREGOR TRUSTEE 1.00 0.00 X 0 0 0 TODD PLEIMAN TRUSTEE 1.00 0.00 X 0 0 0 CHRISTINE SOWARD TRUSTEE 1.00 0.00 X 0 0 0 ANTHONY R KENNEY TRUSTEE 1.00 0.00 X 0 0 0 DAVID C MELIN TRUSTEE 1.00 0.00 X 0 0 0 5538210 0 1865582 199 1 1 0 RSM US LLP 331 W THIRD STREET SUITE 200 DAVENPORT IA 52801 CONSULTING AND TAX SERVICES 1367811 CHILDREN'S EMERGENCY SERV 1 CHILDRENS PLAZA DAYTON OH 45404 PHYSICIAN SERVICES 1309018 BIOFIRE DIAGNOSTICS LLC 515 COLOROW WAY SALT LAKE CITY UT 84108 MEDICAL SUPPLIES 1196087 AMERISOURCEBERGEN DRUG CORP 27550 NETWORK PLACE CHICAGO IL 60673 MEDICAL SUPPLIES/DRUGS 744257 WRIGHT STATE PHYSICIANS 725 UNIVERSITY BOULEVARD FAIRBORN OH 45324 PHYSICIAN SERVICES 632120 47 8317292 35430545 43747837 PATIENT SERVICE REVENUE 624100 247776840 247776840 MEDICARE/MEDICAID 624100 175973463 175973463 REALTED ORG RENT 532000 39648 39648 423789951 7827283 7827283 701116 406918 294198 294198 294198 103160364 86338983 1433 16821381 -1433 16819948 16819948 467793 522449 -54656 -54656 CONTRACT SPECIALTY PHARMACY 900099 7843694 7843694 CAFETERIA 900099 2205607 2205607 CHILD CARE CENTER 812930 750045 750045 5890649 5890649 16689995 509114556 437524294 0 27842425 189032 189032 3476996 3476996 173802977 149508716 22776587 1517674 20189110 17026446 2989827 172837 21693311 18295011 3212586 185714 15626141 13178275 2314092 133774 801903 801903 487250 487250 137318 137318 694025 694025 16579237 11425520 4665773 487944 939582 939582 13660288 7685467 5729025 245796 12026242 8682182 3117224 226836 6507434 3343992 3145552 17890 1044055 556904 445202 41949 2845366 2845366 39045644 38469737 376188 199719 2332958 2332958 MEDICAL SUPPLIES AND DR 53105541 50715541 2380873 9127 BAD DEBT EXPENSE 22521487 22521487 STATE HOSPITAL ASSESSME 9734543 9734543 REPAIRS AND MAINTENANCE 1463043 1346641 113396 3006 418903483 343082269 72578948 3242266 16156504 35571650 298581 249241 298888 389889 75129446 134568186 6185058 7373985 4203711 4738367 605139297 199692084 405330677 405447213 263704040 269679069 124864759 128199882 23948088 22682065 1624597 5074303 921744349 1013973850 16056262 23711420 151937717 151957454 10415000 10415000 52145969 69110316 230554948 255194190 X 689981054 758779660 1208347 0 691189401 758779660 921744349 1013973850 X 90211073 -14521302 -8099512 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 107317 1 35462 0 1 30000 172779 0 PART II-B, LINE 1: LINE 1F: OHIO HOSPITAL ASSOCIATION $5,272 OHIO CHILDREN'S HOSPITAL ASSOCIATION $45,775 CHILDREN'S HOSPITAL ASSOCIATION $43,633 DAYTON DEV COALITION $12,300 DAYTON AREA CHAMBER OF COMMERCE $337 TOTAL $107,317 LINE 1G: MANAGEMENT TIME $35,462 DAYTON CHILDREN'S SPENDS TIME TRACKING SPECIFIC LEGISLATION THAT IS OF INTEREST TO PEDIATRIC HEALTH ISSUES. THEY PROVIDE SUGGESTIONS AND FEEDBACK TO LOCAL, STATE AND FEDERAL LEGISLATURES. THEIR 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 : $172,779 1520634 76031 1444603 1601373 21 80760 1520634 183912987 760296 640717 3340064 180372563 1601373 167616099 106014 22473043 6271797 10372 183912987 168335550 9088944 -3634804 6153591 20000 167616099 1.00000 0 1 1 25268958 25268958 170297139 47875193 122421946 360560929 126440522 234120407 49012271 25376369 23635902 405447213 HEDGE FUNDS 45249071 F LIMITED PARTNERSHIP 56429160 F PRIVATE EQUITY 26521651 F 128199882 DEFERRED COMP PAYABLE 16717670 PENSION LIABILITIES 49432117 OTHER LIABILITIES 1581974 CAPITAL LEASE PAYABLE 1378555 69110316 X PART V, LINE 4: THE ENDOWMENTS ARE HELD BY DAYTON CHILDREN'S HOSPITAL FOUNDATION, A SUBSIDIARY 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 & COMFORT PROGRAM. PART X, LINE 2: ALL SUBSIDIARIES OF THE HOSPITAL, EXCEPT DAYTON CHILDREN'S SPECIALTY PEDIATRICS, 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 2020 OR 2019. 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, 2020 OR 2019. THE TAX CUTS AND JOBS ACT (THE ACT) WAS ENACTED ON DECEMBER 22, 2017. THE PRIMARY IMPACT IN 2019 ON THE HOSPITAL WAS THE ACT REDUCED THE U.S. FEDERAL CORPORATE TAX RATE FROM 35% TO 21% WHICH REQUIRED A REMEASUREMENT OF THE HOSPITAL'S DEFERRED TAXES. FOR TAX-EXEMPT ENTITIES, EFFECTIVE BEGINNING IN THE 2019 TAX YEAR, THE ACT ALSO REQUIRES ORGANIZATIONS TO CATEGORIZE CERTAIN FRINGE BENEFIT EXPENSES AS A SOURCE OF UNRELATED BUSINESS INCOME, PAY AN EXCISE TAX ON REMUNERATION ABOVE CERTAIN THRESHOLDS THAT IS PAID TO EXECUTIVES BY THE ORGANIZATION, AND REPORT INCOME OR LOSS FROM UNRELATED BUSINESS ACTIVITIES ON AN ACTIVITY-BY-ACTIVITY BASIS, AMONG OTHER PROVISIONS. AT JUNE 30, 2019, THE HOSPITAL HAS MADE A REASONABLE ESTIMATE OF THE TAX EFFECTS OF THE ENACTMENT OF THE ACT AND REMEASURED ITS DEFERRED TAX BALANCES, WHICH DID NOT HAVE A MATERIAL IMPACT ON THE HOSPITAL AS ALL DEFERRED TAX BALANCES ARE OFFSET BY A FULL VALUATION ALLOWANCE. THE HOSPITAL DID NOT RECORD ANY MATERIAL CHANGES TO ITS JUNE 30, 2019, ESTIMATES IN 2020. ADDITIONALLY, THE HOSPITAL DID NOT RECORD ANY MATERIAL AMOUNTS DURING THE YEAR ENDED JUNE 30, 2020, RELATED TO THE NEW REQUIREMENTS UNDER THE ACT. CENTRAL AMERICA/CARIBBEAN 1 2 INVESTMENTS.LIST 59 _ 3E059932 - 03/24/19 13:26 PM WORKSHEET SCHEDULE F - STATEMENT OF ACTIVITIES OU 83421576 CENTRAL AMERICA/CARIBBEAN 1 2 PROGRAM SERVICE SELF INSURANCE 2287781 EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS 442694 NORTH AMERICA 0 0 INVESTMENTS 756243 SOUTH AMERICA 0 0 INVESTMENTS 5013 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENTS 1465984 MIDDLE EAST AND NORTH AFRICA 0 0 INVESTMENTS 72446 2 4 0 0 2 4 88451737 0 88451737 1 0 1 1 1 0 PART III ACCOUNTING METHOD: 1 1 X 1 X 1 X 1 1 1 0 1 1 1292357 1292357 0.00330 179977295 152200638 27776657 0.07010 181269652 152200638 29069014 0.07340 1997002 1997002 0.00500 2898369 3005201 0 0.00000 43537267 13341329 30195938 0.07620 534050 534050 0.00130 48966688 16346530 32726990 0.08250 230236340 168547168 61796004 0.15590 307889 307889 0.00080 6195 6195 0.00000 5000 5000 0.00000 3773 3773 0.00000 38946 38946 0.00010 361803 361803 0.00090 0 17273332 432389 432389 X 1 1 1 1 DAYTON CHILDREN'S HOSPITAL 1 CHILDRENS PLAZA DAYTON OH 454041815 WWW.CHILDRENSDAYTON.ORG 020035650 X X X X X DAYTON CHILDREN'S HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X SEE PART V, SECTION C X HTTP://WWW.HCNO.ORG/COMMUNITY-SERVICES/COMMUNITY-HEALTH-ASSESSMENTS/ X 1 19 1 SEE PART V, SECTION C 0 1 X 100.000000000000 400.000000000000 X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 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). 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 FOCUSED 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 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.THE HOSPITAL FACILITY ALSO CONSULTED WITH THE FOLLOWING COMMUNITY PARTNERS: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: 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. THE FOLLOWING PRIORITIES AND PRIORITY FACTORS WERE SELECTED: MENTAL HEALTH AND ADDICTION, CHRONIC DISEASE, MATERNAL AND INFANT HEALTH, COMMUNITY CONDITIONS, AND ACCESS TO CARE. FIGURE 1.1. (BELOW) OUTLINES THE PRIORITIES AND OUTCOMES THAT WILL BE DISCUSSED LATER IN THIS PLAN.AMID THE PLANNING PROCESS AND AFTER INITIAL 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. AS THE STATE OF OHIO WORKS TO MITIGATE THE IMPACT OF COVID-19, THERE IS UNCERTAINTY AROUND FUNDING FOR MEDICAID AND EDUCATION, BOTH CRITICAL TO CHILDREN'S HEALTH. 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.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 PROFESSIONALS 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/ADVOCACY-AND-OUTREACH/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/ADVOCACY-AND-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 12 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 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 $35,057,940 OF PHYSICIAN CLINIC COSTS IN THE SUBSIDIZED HEALTH SERVICES CATEGORY. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 22,521,487. 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.SENSORY PROGRAMSDAYTON CHILDREN'S PARTNERED WITH THE DAYTON BALLET AND THE VICTORIA THEATRE ASSOCIATION TO PROVIDE THE SUPPORTS NEEDED TO BRING SENSORY FRIENDLY PROGRAMMING TO LIFE. THESE ORGANIZATIONS PROVIDE SENSORY FRIENDLY OPPORTUNITIES TO FAMILIES. SENSORY-FRIENDLY DAYS PROVIDE A REDUCTION OF LOUD OR JARRING SOUNDS, THE ABSENCE OF FLASHING OR STROBE LIGHTING OR LOUD EQUIPMENT, AND JUDGMENT-FREE ENVIRONMENT WHERE ALL PATRONS ARE FREE TO VOCALIZE OR MOVE AROUND. ON THESE DAYS NO ONE WILL BE ASKED TO LEAVE DUE TO SOUND, MOVEMENT OR BEHAVIORS RELATED TO COGNITIVE/DEVELOPMENTAL ABILITIES. BOTH THE DAYTON BALLET AND THE VICTORIA THEATRE ASSOCIATION OFFERED SENSORY FRIENDLY PERFORMANCES OF THE NUTCRACKER AND JOHNNY PEERS AND THE MUTTVILLE COMIX. 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, DAYTON DEVELOPMENT COALITION, AND THE HOPE CENTER. THROUGH THESE ACTIVITIES, DAYTON CHILDREN'S STRIVES TO CREATE A COMMUNITY THAT IS A PLACE WHERE ALL CHILDREN AND FAMILIES GROW AND THRIVE. IN ADDITION, TO ADDRESS EFFORTS OF HEALTH EQUITY, DIVERSITY AND INCLUSION DAYTON CHILDREN'S SUPPORTS ORGANZATIONS INCLUDING THE NAACP AND THE NATIONAL CONFERENCE FOR COMMUNITY AND JUSTICE.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 COMMUNITY HEALTH AND ADVOCACYIN FALL 2017, DAYTON CHILDREN'S CREATED THE CENTER FOR COMMUNITY HEALTH AND ADVOCACY TO REALIGN AND ELEVATE CLINICAL PROGRAMS PROVIDING A GREATER FOCUS ON PRIMARY AND PREVENTATIVE CARE AND COMMUNITY ENGAGEMENT PROGRAMS AIMED AT IMPROVING THE HEALTH OF CHILDREN BEYOND THE WALLS OF THE HOSPITAL. THE CENTER FOR COMMUNITY HEALTH AND ADVOCACY INTEGRATED OUR PRIMARY CARE CLINIC, DAYTON CHILDREN'S PEDIATRICS, FOSTER/KINSHIP CARE PROGRAMS, COMPLEX CARE CLINIC AND HEALTHY ME CLINIC WITH PROGRAMS ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH INCLUDING THE FAMILY RESOURCE CONNECTION, THE DAYTON ASTHMA ALLIANCE, INJURY PREVENTION PROGRAMS AND OTHER COMMUNITY BASED PROGRAMS TO ENSURE CHILDREN HAVE HEALTHY AND SAFE PLACES FOR ALL CHILDREN TO LIVE, LEARN AND PLAY. THE WORK OF THE CENTER IS DIRECTLY TIED TO THE NEEDS IDENTIFIED THROUGH OUR COMMUNITY HEALTH NEEDS ASSESSMENT. IN SPRING 2019, THE CENTER FOR COMMUNITY HEALTH AND ADVOCACY FOUND A NEW HOME IN THE NEWLY BUILT CHILD HEALTH PAVILION. TO ENSURE THE CENTER FOR COMMUNITY HEALTH AND ADVOCACY CONTINUOUSLY OBTAINS FEEDBACK FROM THE COMMUNITY, A COMMUNITY ADVISORY BOARD OF COMMUNITY LEADERS REPRESENTING KEY CHILD SERVING AGENCIES WAS ASSEMBLED IN SPRING 2019 AND A PATIENT FAMILY ADVISORY BOARD BEGAN IN FALL 2019. 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 FY 2019-2020, THE FAMILY RESOURCE CONNECTION HAS PROVEN OUTCOMES IN CONNECTING PATIENT FAMILIES TO RESOURCES. IN THE PAST YEAR, 2,150 FAMILIES ENGAGED IN THE PROGRAM AND OVER 1,013 RESOURCE CONNECTIONS WERE MADE. 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, 27 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 EARNED INCOME TAX ASSISTANCE (EITC) PROGRAM TO HELP PATIENT FAMILIES AND STAFF PREPARE AND FILE THEIR 2019 TAXES. THIS PROGRAM, RUN THROUGH THE VOLUNTEER INCOME TAX ASSISTANCE (VITA) GRANT, IS AN IRS INITIATIVE DESIGNED TO SUPPORT FREE TAX PREPARATION SERVICES TO THE UNDERSERVED. THE FAMILY RESOURCE CONNECTION STAFF AND STUDENTS WERE IRS TRAINED AND PREPARED 223 TAX RETURNS WITH 58 OF THEM RECEIVING THE EARNED INCOME TAX CREDIT.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, A GRANT-FUNDED DAYTON CHILDREN'S STAFF MEMBER SERVES AS A FAMILY RESOURCE COORDINATOR IN THE SCHOOL. IN ADDITION TO MANAGING THE DUTIES OF THE FAMILY RESOURCE COORDINATOR, 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. 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: IN AN EFFORT TO BETTER ALIGN AND FOCUS ON OUR COMMUNITY ENGAGEMENT AND COMMUNITY HEALTH EFFORTS, IN FALL 2017, DAYTON CHILDREN'S FORMALLY ESTABLISHED THE CENTER FOR COMMUNITY HEALTH AND ADVOCACY. THE CENTER FOR COMMUNITY HEALTH AND ADVOCACY REALIGNS AND ELEVATES CLINICAL PROGRAMS PROVIDING A GREATER FOCUS ON PRIMARY AND PREVENTATIVE CARE AND COMMUNITY ENGAGEMENT PROGRAMS AIMED AT IMPROVING THE HEALTH OF CHILDREN BEYOND THE WALLS OF THE HOSPITAL. THE CENTER FOR COMMUNITY HEALTH AND ADVOCACY PUTS OUR CHILDREN'S HEALTH AGENDA IN FOCUS EMPHASIZING OUR COMMITMENT TO IMPROVING THE HEALTH STATUS OF ALL CHILDREN AND UNDERSCORING OUR COMMITMENT TO MOST VULNERABLE POPULATIONS AND HEALTH DISPARITIES.HAVE YOU HEARD THE PHRASE "A PERSON'S HEALTH IS DETERMINED MORE BY ZIP CODE THAN GENETIC CODE?" THAT PHRASE HAS BECOME POPULAR BECAUSE WE NOW KNOW THAT AT THE MAJORITY OF WHAT CONTRIBUTES TO A CHILD'S WELLNESS IS RELATED TO THE FAMILY WITH WHOM THEY LIVE AND THE ENVIRONMENT IN WHICH THEY ARE RAISED. CONSIDER A CHILD WITH ASTHMA WHO MAY RECEIVE MEDICATION AND EDUCATION FROM A PEDIATRICIAN HOWEVER LIVES IN A HOME WITH MOLD, PESTS AND SECONDHAND SMOKE WHICH CAUSE HIS OR HER ASTHMA TO BE UNCONTROLLED. THERE EXIST SOCIAL DETERMINANTS OF HEALTH SUCH AS POVERTY, LACK OF QUALITY AFFORDABLE HOUSING, EXPOSURE TO VIOLENCE AND NEGLECT, AND FOOD INSECURITY THAT ARE CRITICAL TO DETRACTING FROM A CHILD'S HEALTH AND WELLBEING. WE KNOW CHILDREN LIVE IN THE CONTEXT OF THEIR FAMILY AND COMMUNITY AND CLINICAL-COMMUNITY LINKAGES ARE ESSENTIAL TO IMPROVE CHILDREN'S HEALTH.AT DAYTON CHILDREN'S WE ARE PART OF THE TRANSFORMATION OF HEALTH CARE. JUST AS WE HAVE STATE-OF-THE-ART SERVICES FOR CHILDREN WHO ARE UNWELL DUE TO MEDICAL ISSUES, SO TOO DO WE NEED A STATE-OF-THE-ART RESPONSE FOR CHILDREN THAT ARE UNWELL BECAUSE OF THE ENVIRONMENT IN WHICH THEY ARE RAISED AND THE SOCIAL DETERMINANTS OF HEALTH WHICH THEY EXPERIENCE. DAYTON CHILDREN'S CENTER FOR COMMUNITY HEALTH AND ADVOCACY IS THE FIRST STEP IN THAT RESPONSE AND WILL WORK TO INTEGRATE CLINICAL SERVICES AND COMMUNITY-BASED PROGRAMS TO SUPPORT CHILDREN AND THEIR FAMILIES. THE CENTER FOR COMMUNITY HEALTH AND ADVOCACY IS RESPONSIBLE FOR THE PLANNING AND EXECUTION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ALONG WITH MANY OTHER COMMUNITY BENEFIT PROGRAMS. PROGRAMS AND SERVICES ALIGNED UNDER THE CENTER FOR COMMUNITY HEALTH AND ADVOCACY-DAYTON CHILDREN'S PEDIATRICS IS A PRIMARY CARE PATIENT-CENTERED MEDICAL HOME PROVIDING COMPREHENSIVE WELL-CHILD SERVICES, TREATMENT FOR ILLNESSES AND MEDICAL CONDITIONS, AND REFERRALS FOR SPECIALTY CARE. DAYTON CHILDREN'S PEDIATRICS IS ALSO THE HOME OF PRIMARY CARE TRAINING FOR MANY OF THE PEDIATRIC MEDICINE RESIDENTS AT THE WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE.-A SPECIALTY MEDICAL HOME TO SUPPORT CHILDREN WITH DISPARATE MEDICAL AND BEHAVIORAL HEALTH CARE NEEDS, INCLUDING CHILDREN IN FOSTER/KINSHIP CARE AND CHILDREN WITH MEDICAL COMPLEXITIES. PATIENTS IN THESE PROGRAMS BENEFIT FROM DEDICATED CARE COORDINATION, SOCIAL WORK, AND COMMUNITY HEALTH WORKER SUPPORT.-THE DIVISION OF CHILD ADVOCACY INCLUDING THREE CHILD ADVOCACY CENTERS: CARE HOUSE, MICHAEL'S HOUSE, AND THE WARREN COUNTY CHILD ADVOCACY CENTER. THE DIVISION PROVIDES COMPREHENSIVE ASSESSMENTS FOR CHILDREN WHO ARE SUSPECTED VICTIMS OF ALL FORMS OF CHILD MALTREATMENT, INCLUDING PHYSICAL AND SEXUAL ABUSE. -A CONSULTATIVE SERVICE TO SUPPORT CHILDREN DEALING WITH ISSUES RELATED TO WEIGHT MANAGEMENT AND HEALTHY LIFESTYLES. THIS PROGRAM PROVIDES MULTIDISCIPLINARY SUPPORT INCLUDING RECOMMENDATIONS ON HEALTHY EATING, EXERCISE, AND DIAGNOSIS AND MANAGEMENT OF COMPLICATIONS RELATED TO OBESITY. -A COMMUNITY HEALTH WORKER PROGRAM WHEREBY NAVIGATORS INTEGRATE INTO CLINICS WHILE PROVIDING COMMUNITY SUPPORTS FOR CHILDREN AND FAMILIES.-COMMUNITY ENGAGEMENT PROGRAMS OUTLINED WITHIN THE CHNA IMPLEMENTATION PLAN INCLUDING THE FAMILY RESOURCE CONNECTION, THE DAYTON ASTHMA ALLIANCE, WHICH AIMS TO POSITIVELY IMPACT THE HEALTH AND WELLNESS OF CHILDREN WITH ASTHMA IN THE DAYTON AREA, THE SAFE KIDS GREATER DAYTON COALITION AND OTHER INJURY PREVENTION PROGRAMMING. WHILE THE CENTER EXTENDS WELL BEYOND THE WALLS OF THE HOSPITAL AND OUR CAMPUS ON VALLEY STREET, THE NEW HOME OF THE CENTER'S ADMINISTRATION WILL BE AT OUR NEW CHILD HEALTH PAVILION ON THE CORNER OF VALLEY AND STANLEY STREETS. CONSTRUCTION FOR THE CHILD HEALTH PAVILION BEGAN IN FY 2017-2018 WITH A TENTATIVE OPENING IN SPRING 2019. 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. IN OCTOBER 2019, SAFE KIDS GREATER DAYTON HOSTED INTERNATIONAL WALK TO SCHOOL DAY AT WESTWOOD NEIGHBORHOOD SCHOOLS CENTER TO TEACH CHILDREN ABOUT WALKING TO SCHOOL SAFELY. WESTWOOD ELEMENTARY SCHOOL WAS PROVIDED COPIES OF CLIFFORD TAKES A WALK TO READ WITH THEIR STUDENTS TO LEARN PEDESTRIAN SAFETY HABITS. LATER IN OCTOBER, SAFE KIDS WORKED TO PROMOTE "BE SAFE, BE SEEN ON HALLOWEEN" AT SCHOOLS THROUGHOUT THE DAYTON REGION. DAYTON CHILDREN'S RECEIVED FUNDING FROM THE OHIO DEPARTMENT OF TRANSPORTATION TO IMPLEMENT SAFE ROUTES TO SCHOOLS PROGRAMING FOR THE DAYTON PUBLIC SCHOOLS IN OCTOBER 2019. SUCCESSES INCLUDED CREATING BLOGS, SOCIAL MEDIA POSTS AND VIDEOS TO TEACH BIKE AND PEDESTRIAN SAFETY TO STUDENTS IN THE DISTRICT, GROWING THE SAFE ROUTES TO SCHOOLS COMMITTEE AND PARTNERING WITH THE DAYTON POLICE TO DELIVER HELMETS AND SAFETY EDUCATION TO CHILDREN THROUGHOUT THE COMMUNITY.BEYOND SAFE KIDS GREATER DAYTON AND SAFE ROUTES TO SCHOOL DAYTON CHILDREN'S HOSPITAL HAS OTHER OUTREACH PROGRAMS TO PREVENT INJURY BY EDUCATING 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 39 FIRE DEPARTMENTS ON 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 IN MONTGOMERY AND CLARK COUNTIES. COMMUNITY AND SCHOOL NURSES RECEIVED TRAINING ON SEIZURES, SCHOOL AVOIDANCE, USE OF NARCAN, AND OTHER PERTINENT TOPICS. NURSE LIAISONS ALSO PROVIDED SUPPORT TO TWO LOCAL SUMMER CAMP PROGRAMS AT THE KROC CENTER AND BOONSHOFT MUSEUM OF DISCOVERY TO ENSURE THOSE SUMMER CAMPS WERE ABLE TO INCLUDE CHILDREN WHO NEEDED ACCESS TO MEDICAL CARE DURING CAMP HOURS. DISASTER RELIEFON MEMORIAL DAY 2019, DAYTON AND SURROUNDING COMMUNITIES WERE HIT WITH DEVASTATING TORNADOES. THE GREATER OLD NORTH DAYTON NEIGHBORHOOD WAS HIT BADLY BY THE TORNADO REQUIRING AN IMMEDIATE RESPONSE FROM THE HOSPITAL. THE HOSPITAL THANKFULLY WAS SPARED. IN THE INITIAL DAYS AFTER THE STORM, AS AN EMERGENCY RESPONSE, THE HOSPITAL UNDERTOOK SEVERAL INITIATIVES TO HELP OUR NEIGHBORS. COMMUNITY HEALTH STAFF PARTNERED WITH SEVERAL ORGANIZATIONS INCLUDING SHOES FOR THE SHOELESS, KISER NEIGHBORHOOD SCHOOL, THE OLD NORTH DAYTON AND MCCOOK FIELD NEIGHBORHOOD ASSOCIATIONS, THE FOOD BANK, THE KROC CENTER AND OTHERS TO PROVIDE MUCH NEEDED RESOURCES AND COORDINATE MANPOWER TO FAMILIES IMPACTED BY THE STORM AT NEIGHBORHOOD COOLING STATIONS AND SHELTERS. STAFF DELIVERED OVER 200 FOOD BOXES PROVIDED BY THE FOOD BANK AND OVER 200 PERSONAL CARE PACKS TO RESIDENTS. OVER 50 FAMILIES CAME TO THE CHILD HEALTH PAVILION OR WERE SERVED DIRECTLY BY OUR STAFF AT THEIR HOMES. COMMUNITY HEALTH STAFF HELPED NEIGHBORHOOD LEADERS FIELD CALLS FROM GROUPS WISHING TO VOLUNTEER AND ASSIGNED THEM TO DISTRIBUTION SITES/COOLING STATIONS AND OTHER TASKS IN THE NEIGHBORHOOD. RESOURCES IN THE FAMILY RESOURCE CONNECTION WERE MADE AVAILABLE TO FAMILIES IMPACTED BY THE STORMS. PART VI, LINE 7, REPORTS FILED WITH STATES OH PART VI, LINE 2 CONTINUED: HEALTH PROFESSIONALS AFFINITY COMMUNITY (HPAC)THE HEALTH PROFESSIONALS AFFINITY COMMUNITY (HPAC) IS A PROGRAM DAYTON CHILDREN'S SUPPORTS IN PARTNERSHIP WITH THE BOONSHOFT SCHOOL OF MEDICINE AND JOHN CARROLL UNIVERSITY. THROUGH THIS PROGRAM, HIGH SCHOOL AND COLLEGE STUDENT LOOK AT HEALTH DISPARITIES WITHIN THEIR COMMUNITY AND DESIGN GRASSROOTS PROJECTS CENTERED ON IMPACTING THOSE ISSUES. STUDENT GROUPS PARTICIPATING IN THIS PROGRAM HAVE COMPLETED PROJECTS ADDRESSING KEY ISSUES INCLUDING TEEN HOMELESSNESS, MENTAL HEALTH, DIABETES, NUTRITION, IMMIGRANT INCLUSION AND MORE. THE GOAL OF HPAC IS NOT ONLY TO GIVE THESE STUDENTS AN OPPORTUNITY TO MAKE A POSITIVE CHANGE IN THEIR COMMUNITY, BUT TO ENCOURAGE THEM TO THINK ABOUT CHOOSING A CAREER IN HEALTH CARE, WHICH IN TURN CREATES A MORE DIVERSE WORKFORCE. 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.CENTRAL STATE SERVICE WORKS SCHOLARS PROGRAMDAYTON CHILDREN'S PARTNERED WITH CENTRAL STATE UNIVERSITY THROUGH THE CENTRAL STATES SERVICE WORKS SCHOLAR PROGRAM, WHICH PROVIDES STUDENTS FROM THIS HISTORICALLY BLACK UNIVERSITY A PAID INTERNSHIP IN THEIR AREA OF STUDY. INTERNS RECEIVE RELEVANT WORK EXPERIENCE, NETWORKING OPPORTUNITIES, AND POTENTIAL EMPLOYMENT AFTER GRADUATION WHILE REDUCING PERSONAL DEBT. THIS ALIGNS WITH DAYTON CHILDREN'S MISSION TO PROMOTE OUR DIVERSITY AND INCLUSION INITIATIVES. IN THE 2019-2020 THREE (3) STUDENTS SPENT 15 HOURS EACH WEEK IN THIS PAID INTERNSHIP.IN 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 FY20: BIG BROTHERS AND BIG SISTERS, BOYS AND GIRLS CLUB OF DAYTON, CHILD CARE CHOICES, CITYWIDE, DAYTON CONTEMPORARY DANCE COMPANY, FIVE RIVERS HEALTH CENTER, GEM CITY MARKET, GIRLS ON THE RUN, GOODWILL EASTER SEALS, HOMEFULL, AND THE YWCA OF DAYTON.IN ADDITION, THE HOSPITAL FINANCIALLY SUPPORTED VARIOUS COMMUNITY AGENCIES INCLUDING CULTUREWORKS, JUVENILE DIABETES RESEARCH FOUNDATION, MARCH OF DIMES, UNITED REHABILITATION SERVICES, THE UNITED WAY 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 FY20. 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 FY20, THE HOSPITAL INCIDENT COMMAND SYSTEM (HICS) WAS ENGAGED AND OUR STAFF WORKED WITH PROFESSIONALS FROM ACROSS THE COMMUNITY TO ADDRESS NEEDS AROUND PERSONAL PROTECTION EQUIPMENT (PPE), SUPPORTING FAMILIES WITH INJURY PREVENTION, MENTAL HEALTH AND PUBLIC HEALTH INFORMATION, PROVIDING A NURSE HOTLINE TO ANSWER QUESTIONS FROM THE PUBLIC, PROVIDING PPE FOR AREA FIRST RESPONDERS, AND PROVIDING CLINICAL EXPERTISE TO SUPPORT AREA MEDICAL PROFESSIONALS. 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. PART VI, LINE 5 CONTINUED: THESE ITEMS INCLUDED DIAPERS, BLANKETS, INFANT/TODDLER CLOTHING AND PERSONAL CARE PRODUCTS. ONCE FEMA DECLARED THE COMMUNITY AN OFFICIAL SITE TO RECEIVE AID, THE CHILD HEALTH PAVILION BECAME AN OFFICIAL DISASTER RECOVERY CENTER HOUSING FEMA AND THE SMALL BUSINESS ADMINISTRATION UNTIL SEPTEMBER 2019. 1 CHILDREN'S HOME CARE OF DAYTON 18 CHILDRENS PLAZA DAYTON OH 45404 311356037 501 (C) (3) 76032 PROGRAM DONATION UNITED WAY OF THE GREATER DAYTON AREA 33 W FIRST STREET STE 500 DAYTON OH 45402 310536658 501 (C) (3) 50000 CORPORATE PLEDGE CULTURE WORKS 110 N MAIN STREET STE 165 DAYTON OH 45402 237412338 501 (C) (3) 13000 PROGRAM DONATION JDRF 8050 HOSBROOK ROAD SUITE 314 CINCINNATI OH 45236 231907729 501 (C) (3) 7500 PROGRAM DONATION SPEEDWAYLLCCHILDREN'S MIRACLE NETWORK HOSPITALS 500 SPEEDWAY DRIVE ENON OH 45323 311551430 7000 PROGRAM DONATION MARCH OF DIMES 3131 S DIXIE DRIVE STE 416 DAYTON OH 45439 131846366 501 (C) (3) 5500 PROGRAM DONATION 5 1 PART I, LINE 2: THE FINANCE COMMITTEE AND COMMUNITY RELATIONS MANAGER APPROVE ALL GRANTS AND CHARITABLE DONATIONS. GRANTS MADE TO SPEEDWAY LLC WERE MADE FOR THE SPEEDWAY GOLF OUTING THAT WAS HELD TO SUPPORT THE CHARITABLE PROGRAMS OF MEMBER CHILDREN'S HOSPITALS. 1 X X X X 1 1 0 0 0 0 0 1 0 DEBORAH FELDMAN CEO 921953 0 0 0 22254 0 923991 0 0 0 1868198 0 5190 0 MATTHEW GRAYBILL FORMER VP HR AND CHIEF ADMIN. 12368 0 0 0 1584087 0 82468 0 424 0 1679347 0 890298 0 ADAM MEZOFF MD CMO 626304 0 0 0 11239 0 416700 0 21060 0 1075303 0 3754 0 KELLY KAVANAUGH VP AND CHIEF STRATEGY OFFICER 294612 0 0 0 6687 0 221703 0 26798 0 549800 0 1756 0 LISA COFFEY EXECUTIVE DIRECTOR (UNTIL 8/23/19) 145762 0 13768 0 354306 0 6178 0 19701 0 539715 0 351018 0 CHRIS BERGMAN CFO 485778 0 0 0 8064 0 15808 0 23845 0 533495 0 0 0 CHARLES KIDWELL CHIEF LEGAL OFFICER 414764 0 0 0 5926 0 8114 0 28995 0 457799 0 0 0 JAYNE GMEINER VP AND CHIEF NURSING OFFICER 316706 0 0 0 7731 0 14831 0 12893 0 352161 0 0 0 BENJAMIN GOODSTEIN VP AND CHIEF AMBULATORY OFFICER 302074 0 0 0 3827 0 16602 0 25471 0 347974 0 1755 0 PART I, LINES 4A-B 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 - $910,091 MATTHEW GRAYBILL - $81,956 KELLY KAVANAUGH - $210,503 ADAM MEZOFF - $400,000 THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: DEBORAH FELDMAN - $5,190 LISA COFFEY - $351,018 MATTHEW GRAYBILL - $890,298 KELLY KAVANAUGH - $1,756 BENJAMIN GOODSTEIN - $1,755 ADAM MEZOFF - $3,754 DURING 2019, MATTHEW GRAYBILL RECEIVED SEVERANCE COMPENSATION OF $693,500 WHICH WAS REPORTED ON PART II, COLUMN (B)(III). PART I, LINE 7 BONUSES ARE DISCRETIONARY AND ARE BASED ON AN INCENTIVE PROGRAM APPROVED BY SENIOR MANAGEMENT. A COUNTY OF MONTGOMERY 316000172 000000000 2016-10-13 30000000 HOSPITAL RENOVATION 0 0 0 B COUNTY OF MONTGOMERY 316000172 000000000 2015-11-20 12675000 HOSPITAL RENOVATION 0 0 0 C COUNTY OF MONTGOMERY 316000172 000000000 2014-08-19 117055000 HOSPITAL RENOVATION 0 0 0 A 30000000 30000000 2017 0 0 0 1 B 12675000 40000 12635000 2017 0 0 0 1 C 117055000 400070 116654930 2017 0 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 A 0 1 0 0 1 0 0 0 0 B 0 1 0 0 1 0 0 0 0 C 0 0 0 1 1 0 0 0 0 A 0 B 0 C 0 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 -8,099,512. CENTER FOR COMMUNITY HEALTH AND ADVOCACY ONE CHILDRENS PLAZA DAYTON OH 45404 824391789 NEW MARKETS TAX CREDIT OH -167258 9718196 DAYTON CHILDREN'S HOSPITAL CHILDREN'S HOME CARE OF DAYTON ONE CHILDRENS PLAZA DAYTON OH 45404 311356037 HOME CARE OH 501(C)(3) LINE 10 DAYTON CHILDREN'S HOSPITAL 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 1 PEDIATRIC ASSURANCE COMPANY LTD BUTTERFIELD BANK BLDG 6TH FLOOR HAMILTON BERMUDA HM BERMUDA BD 980478183 SELF-INSURANCE BD DAYTON CHILDREN'S HOSPITAL 2274305 16431752 1.00000 1 DAYTON CHILDREN'S SPECIALTY PEDIATRICS ONE CHILDRENS PLAZA DAYTON OH 45404 311411364 SPEC PHYS GRO OH DAYTON CHILDREN'S HOSPITAL C 19212580 23170467 1.00000 1 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 DAYTON CHILDREN'S SPECIALTY PEDIATRICS O 679895 CASH DAYTON CHILDREN'S SPECIALTY PEDIATRICS R 62856386 CASH DAYTON CHILDREN'S SPECIALTY PEDIATRICS Q 37969910 CASH CHILDREN'S HOME CARE OF DAYTON B 76032 CASH CHILDREN'S HOME CARE OF DAYTON O 81436 CASH CHILDREN'S HOME CARE OF DAYTON P 7294237 CASH DAYTON CHILDREN'S HOSPITAL FOUNDATION O 152814 CASH DAYTON CHILDREN'S HOSPITAL FOUNDATION R 2393303 CASH PEDIATRIC ASSURANCE COMPANY S 2207917 CASH PEDIATRIC ASSURANCE COMPANY Q 327122 CASH