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DAYTON CHILDRENS HOSPITAL FOUNDATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
DAYTON CHILDRENS HOSPITAL FOUNDATION (EIN 31-1045247)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-15
IRS object ID
202041979349305364
Schema version
2018v3.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-15T14:03:35-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16 S PATTERSON BLVDAddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311045247EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAYTON CHILDREN'S HOSPITAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDAYTBusinessNameControlTxt
Phone9376413000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE CHILDRENS PLAZAAddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP454041873ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRIS BERGMANPersonNm
Person TitleVP FINANCE AND CFOPersonTitleTxt
Phone9376413000PhoneNum
Signature2020-07-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKAREN O CRIMPreparerPersonNm
PTINP00368385PTIN
Phone9372980201PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.98.98.6IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-14IPDt
IP Tm16:43:26IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id5256FFE2CDA25E72B608732C2DA7BAD0EAEDF1D7AtSubmissionCreationDeviceId
At Submission Filing Device Id562A18F8DC23C297E42EF16009230818801A988BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDEBORAH FELDMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE CHILDRENS PLAZAAddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP454041873ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$18,393,868GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHILDRENSDAYTON.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionDAYTON CHILDREN'S HOSPITAL FOUNDATION (THE FOUNDATION) EXISTS SOLELY TO BENEFIT DAYTON CHILDREN'S HOSPITAL (DCH), AND TO ASSIST DCH IN PERFORMING ITS CHARITABLE MISSION.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers550TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,320,488PYContributionsGrantsAmt
CY Contributions Grants$4,272,137CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$5,823,138PYInvestmentIncomeAmt
CY Investment Income$3,509,874CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$17,100CYOtherRevenueAmt
PY Total Revenue$12,143,626PYTotalRevenueAmt
CY Total Revenue$7,799,111CYTotalRevenueAmt
PY Grants And Similar Paid$5,833,843PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,953,107CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$260,812PYOtherExpensesAmt
CY Other Expenses$166,413CYOtherExpensesAmt
PY Total Expenses$6,094,655PYTotalExpensesAmt
CY Total Expenses$6,119,520CYTotalExpensesAmt
PY Revenues Less Expenses$6,048,971PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,679,591CYRevenuesLessExpensesAmt
Total Assets BOY$120,885,783TotalAssetsBOYAmt
Total Assets EOY$125,101,663TotalAssetsEOYAmt
Total Liabilities BOY$718,265TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$120,167,518NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$125,101,663NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionDAYTON CHILDREN'S HOSPITAL FOUNDATION (THE FOUNDATION) EXISTS SOLELY TO BENEFIT DAYTON CHILDREN'S HOSPITAL, DAYTON, OHIO (DCH), AND TO ASSIST DCH IN PERFORMING ITS CHARITABLE MISSIONMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,119,520ExpenseAmt
Grant$5,953,107GrantAmt
DescDAYTON CHILDREN'S HOSPITAL FOUNDATION (THE FOUNDATION) EXISTS SOLELY TO BENEFIT DAYTON CHILDREN'S HOSPITAL (DCH) AND SUBSIDIARIES, AND TO ASSIST DCH IN PERFORMING ITS CHARITABLE MISSION. THE FOUNDATION IS FUNDED FROM CONTRIBUTIONS, BEQUESTS AND DEFERRED AND PLANNED GIFTS FROM OUTSIDE DONORS. THE FOUNDATION ASSISTS DCH IN FULFILLING ITS CHARITABLE PURPOSE IN THE FOLLOWING FOUR WAYS: 1. THE FOUNDATION ACCUMULATES THE PROCEEDS OF BEQUESTS AND DEFERRED AND PLANNED GIFTS AS AN ENDOWMENT FOR DCH'S FUTURE CAPITAL NEEDS. THE INCOME FROM THIS ENDOWMENT WILL BE USED TO SUPPORT DCH'S YEAR TO YEAR CAPITAL EQUIPMENT NEEDS IN THE FUTURE. IN ADDITION, INCOME FROM THE FOUNDATION MAY BE USED TO FUND ALL OR A PORTION OF EXTRAORDINARY CAPITAL PROJECTS SUCH AS ADDITIONS OR RENOVATIONS TO DCH'S BUILDINGS AND GROUNDS. IN THE YEAR ENDED JUNE 30, 2019 THE FOUNDATION EXPENDED $5,235,571 FOR CAPITAL PROJECTS. 2. THE FOUNDATION MAKES CERTAIN OTHER PERIODIC GRANTS FOR CHILD ADVOCACY EFFORTS WHICH ARE RELATED TO DCH'S MISSION. IN THE YEAR ENDED JUNE 30, 2019 THE FOUNDATION EXPENDED $97,412 FOR ADVOCACY PROGRAMS. AN ENDOWMENT HAS BEEN ESTABLISHED TO PROVIDE ANNUAL SUPPORT OF DCH'S CHILD LIFE PROGRAM. THE FOUNDATION EXPENDED $29,358 FOR THE CHILD LIFE PROGRAM IN THE YEAR ENDED JUNE 30, 2019. 3. THE FOUNDATION HAS ESTABLISHED ENDOWMENTS, THE INCOME FROM WHICH WILL BE USED EACH YEAR TO ASSIST DCH RECRUIT AND RETAIN THE TOP PEDIATRIC MEDICAL PROFESSIONALS. CURRENT ENDOWED CHAIRS ARE AS FOLLOWS: CHILD ABUSE, CRITICAL CARE, NEUROSURGERY, PULMONARY, DEVELOPMENTAL PEDIATRICS, PEDIATRIC NEUROLOGY, GENERAL PEDIATRIC SURGERY, PEDIATRIC CANCER AND BLOOD DISORDERS, ANESTHESIA, INFECTIOUS DISEASES, AND RECRUITMENT OF SUBSPECIALTY PHYSICIANS WHO WOULD OTHERWISE NOT BE AVAILABLE IN THE COMMUNITY. EXPENDITURES FOR THE ENDOWED MEDICINE CHAIRS IN THE YEAR ENDED JUNE 30, 2019 TOTALED $1,436,178. GRANTS ARE MADE TO DCH AS A WHOLE RATHER THAN TO SPECIFIC PHYSICIANS OR INDIVIDUALS. MAJORITY APPROVAL BY THE BOARD OF TRUSTEES DETERMINES WHETHER THE GRANT IS FUNDED BY THE FOUNDATION. THE FOUNDATION'S TREASURER'S APPROVAL IS REQUIRED PRIOR TO ALL DISBURSEMENTS OF FUNDS.Desc
Total Program Service Expenses$6,119,520TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRIS BERGMANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9376415819PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE CHILDRENS PLAZAAddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45404ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANTHONY KENNEY
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
NICK COSTIDES
VICE-CHAIR1.000.00Yes (X)Yes (X)$0$0$0
SANDRA PIERCE
TREASURER1.000.00Yes (X)Yes (X)$0$0$0
DARRICK WEEKS
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
SUSAN BAKER
TRUSTEE1.000.00Yes (X)$0$0$0
JANEL BARNETT
TRUSTEE1.000.00Yes (X)$0$0$0
CHRIS BERGMAN
TRUSTEE1.0039.00Yes (X)$0$476,691$24,226
THE HONORABLE WILLIAM BEAGLE
TRUSTEE (BEG 10/2018)1.000.00Yes (X)$0$0$0
MIKE BEVIS
TRUSTEE1.000.00Yes (X)$0$0$0
PETER DUFFEY
TRUSTEE (BEG 10/2018)1.000.00Yes (X)$0$0$0
GREG EBERHART
TRUSTEE (BEG 10/2018)1.000.00Yes (X)$0$0$0
DEBORAH FELDMAN
TRUSTEE1.0039.00Yes (X)$0$812,913$713,717
CHRISTIAN HAHN
TRUSTEE (END 2018)1.000.00Yes (X)$0$0$0
TOBY HENDERSON
TRUSTEE1.000.00Yes (X)$0$0$0
HEIDI HENNESSY
TRUSTEE1.000.00Yes (X)$0$0$0
HELEN JONES-KELLEY
TRUSTEE1.000.00Yes (X)$0$0$0
KEVIN MCDONALD
TRUSTEE1.000.00Yes (X)$0$0$0
CAMERON MCGREGOR
TRUSTEE1.000.00Yes (X)$0$0$0
JENA PADO
TRUSTEE & FOUNDATION DIRECTOR40.000.00Yes (X)$0$199,388$32,841
SHARMILA RAO
TRUSTEE (BEG 10/2018)1.000.00Yes (X)$0$0$0
PATTI SCHEAR
TRUSTEE (END 2018)1.000.00Yes (X)$0$0$0
ED WADE
TRUSTEE1.000.00Yes (X)$0$0$0
SARAH WORLEY
TRUSTEE (BEG 10/2018)1.000.00Yes (X)$0$0$0
DAVID MILLER
FORMER CEO (END 1/16)0.000.00$0$294,997$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,783,989TotReportableCompRltdOrgAmt
Total Other Compensation$770,784TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HIRTLE CALLAGHANBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 BARR HARBOR DRIVE SUITE 500AddressLine1Txt
CityWEST CONSHOHOCKENCityNm
State AbbreviationPAStateAbbreviationCd
ZIP19428ZIPCd
FieldValueIRS element (for citing)
ServicesINVESTMENT SERVICESServicesDesc
Compensation$125,057CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Fundraising$1,450,189FundraisingAmt
All Other Contributions$2,821,948AllOtherContributionsAmt
Noncash Contributions$290,085NoncashContributionsAmt
Total Contributions$4,272,137TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,917,117TotalRevenueColumnAmt
Exclusion$1,917,117ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,990,200SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$10,397,443SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,592,757SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,592,757TotalRevenueColumnAmt
Exclusion$1,592,757ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$214,414FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$1,450,189ContriRptFundraisingEventAmt
Fundraising Direct Expenses$197,314FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,100TotalRevenueColumnAmt
Exclusion$17,100ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,799,111TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,526,974ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,754,771TotalAmt
Program Services$5,754,771ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$198,336TotalAmt
Program Services$198,336ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$166,413TotalAmt
Program Services$166,413ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,119,520TotalAmt
Program Services$6,119,520ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,942,659BOYAmt
EOY$2,469,162EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,105,610BOYAmt
EOY$3,509,450EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$102,495,064BOYAmt
EOY$107,922,825EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,342,450BOYAmt
EOY$11,200,226EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$120,885,783BOYAmt
EOY$125,101,663EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$718,265BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$718,265BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$118,566,124BOYAmt
EOY$123,581,029EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,601,394BOYAmt
EOY$1,520,634EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$120,167,518BOYAmt
EOY$125,101,663EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$120,885,783BOYAmt
EOY$125,101,663EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,679,591ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,907,715NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,346,839OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1DAYTON CHILDREN'S HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN300672132EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$5,666,229SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$5,666,229SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing Doc0ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgYes (1)OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, SECTION B, LINE 1FormAndLineReferenceDesc
ExplanationALL OF THE POWER TO SUPPORT/REMOVE THE DIRECTORS IS HELD BY DAYTON CHILDREN'S HOSPITAL (DCH).ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,601,394BeginningYearBalanceAmt
Investment Earnings Or Losses$1,601,394InvestmentEarningsOrLossesAmt
Grants Or Scholarships$161,520GrantsOrScholarshipsAmt
End Year Balance$3,041,268EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$183,912,987BeginningYearBalanceAmt
Contributions$760,296ContributionsAmt
Investment Earnings Or Losses$640,717InvestmentEarningsOrLossesAmt
Grants Or Scholarships$3,340,064GrantsOrScholarshipsAmt
Other Expenditures$180,372,542OtherExpendituresAmt
End Year Balance$1,601,394EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$167,616,099BeginningYearBalanceAmt
Contributions$106,014ContributionsAmt
Investment Earnings Or Losses$22,473,043InvestmentEarningsOrLossesAmt
Grants Or Scholarships$6,271,797GrantsOrScholarshipsAmt
Other Expenditures$10,372OtherExpendituresAmt
End Year Balance$183,912,987EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$168,335,550BeginningYearBalanceAmt
Contributions$9,088,944ContributionsAmt
Investment Earnings Or Losses-$3,634,804InvestmentEarningsOrLossesAmt
Grants Or Scholarships$6,153,591GrantsOrScholarshipsAmt
Other Expenditures$20,000OtherExpendituresAmt
End Year Balance$167,616,099EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$172,836,657BeginningYearBalanceAmt
Contributions$3,053,446ContributionsAmt
Investment Earnings Or Losses-$1,954,780InvestmentEarningsOrLossesAmt
Grants Or Scholarships$5,599,773GrantsOrScholarshipsAmt
End Year Balance$168,335,550EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLE$1,857,776
ACCRUED INCOME$9,342,450
FieldValueIRS element (for citing)
Total Book Value Other Assets$11,200,226TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:1. MEDICAL RESEARCH 2. CHILD CARE AND COMFORT - CHCOD 3. CHILD LIFE PROGRAM - DCH 4. CHILD ADVOCACY CENTERS 5. ENDOWED MEDICAL CHAIRS 6. CHILD CANCER AND BLOOD DISORDERS PROGRAM 7. PATIENT/FAMILY RESOURCE CENTER 8. NEEDY PATIENT FUND
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 2019 OR 2018. THE PROVISION FOR INCOME TAXES FOR THE JOINT VENTURE ENTITIES IS NOT SIGNIFICANT TO THE HOSPITAL. THE HOSPITAL COMPLETED AN ANALYSIS OF ITS 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, 2019 OR 2018.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN00INVESTMENTS$25,409,531
EAST ASIA AND THE PACIFIC00INVESTMENTS$16,118
EUROPE (INCLUDING ICELAND & GREENLAND)00INVESTMENTS$529,565
NORTH AMERICA00INVESTMENTS$355,259
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$26,310,473SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$26,310,473TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1CHA-CHAEvent1Nm
Gross Receipts Event1$927,714GrossReceiptsEvent1Amt
Charitable Contri Event1$864,097CharitableContriEvent1Amt
Gross Revenue Event1$63,617GrossRevenueEvent1Amt
Rent Facility Costs Event1$10,000RentFacilityCostsEvent1Amt
Food And Beverage Event1$24,120FoodAndBeverageEvent1Amt
Entertainment Event1$19,775EntertainmentEvent1Amt
Other Direct Expenses Event1$9,722OtherDirectExpensesEvent1Amt
Event2K99.1FM RADIOTHONEvent2Nm
Gross Receipts Event2$307,361GrossReceiptsEvent2Amt
Charitable Contri Event2$307,361CharitableContriEvent2Amt
Rent Facility Costs Event2$304RentFacilityCostsEvent2Amt
Other Events Total4OtherEventsTotalCnt
Gross Receipts Other Events$429,528GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$278,731CharitableContriOtherEventsAmt
Gross Revenue Other Events$150,797GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$12,103NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$26,185RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$52,383FoodAndBeverageOtherEventsAmt
Entertainment Other Events$9,288EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$33,434OthDirectExpnssOtherEventsAmt
Gross Receipts Total$1,664,603GrossReceiptsTotalAmt
Charitable Contributions Tot$1,450,189CharitableContributionsTotAmt
Gross Revenue Total Events$214,414GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$12,103NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$36,489RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$76,503FoodAndBeverageTotalEventsAmt
Entertainment Total Events$29,063EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$43,156OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$197,314DirectExpenseSummaryEventsAmt
Net Income Summary$17,100NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
DAYTON CHILDREN'S HOSPITAL
ONE CHILDRENS PLAZADAYTONOH45404310672132501(C)(3)$5,666,229SUPPORT
THE GALA OF HOPE FOUNDATION
3500 PENTAGON BLVDBEAVERCREEKOH45431464277044501(C)(3)$50,000SUPPORT

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (6 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
PHARMACY518$48,856
MEALS/FOOD961$24,990
TRANSPORTATION1883$36,795
RENT/UTILITIES80$34,832
SPECIAL EQUIPMENT9$12,078
OTHER38$40,785

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationAS THE FOUNDATION'S PURPOSE IS "SOLELY TO BENEFIT DAYTON CHILDREN'S HOSPITAL (DCH)," THE RELATIONSHIP BETWEEN THE 2 ENTITIES IS EXTREMELY CLOSE WITH THE EXCEPTION OF RESEARCH GRANTS AND SPECIAL ADVOCACY GRANTS, THE FUNDS PROVIDED TO DCH COVER JUST A FRACTION OF THE COST OF THE PROGRAMS FOR WHICH THEY ARE GIVEN AS SUCH, FUNDS ARE TRANSFERRED TO DCH BUT SPECIFIC EXPENDITURES ARE NOT TRACKED. RESEARCH - EACH RESEARCH GRANT PROPOSAL FUNDED IS APPROVED BY BOTH THE FOUNDATION'S BOARD AND DCH'S INSTITUTIONAL REVIEW BOARD. RESEARCH PROJECTS ARE TRACKED INDIVIDUALLY AT DCH AND MONTHLY REPORTING IS GIVEN TO THE PROJECT DIRECTOR AND IS AVAILABLE TO THE FOUNDATION. IF THE PROJECT IS COMPLETED WITH UNSPENT FUNDS REMAINING, THEY ARE RETURNED TO THE FOUNDATION. SPECIAL GRANTS - ADDITIONAL GRANTS MAY BE ESTABLISHED FOR A SPECIFIC USE OR TO FULLY FUND A SPECIFIC CHILD ADVOCACY ONE-TIME COST OR PROGRAM. THESE FUNDS ARE TRANSFERRED TO DCH AND PLACED IN SPECIFIC ACCOUNT FOR TRACKING PURPOSES. DETAILED ACTIVITY REPORTS ARE AVAILABLE TO THE FOUNDATION. UNSPENT FUNDS ARE RETURNED TO THE FOUNDATION. CHCOD ENDOWMENT - AN ENDOWMENT WAS ESTABLISHED FOR THE CHILDREN'S HOME CARE OF DAYTON (A SUPPORTED ORGANIZATION) FOR THEIR CARE AND COMFORT PROGRAM. THIS SUPPORT DOES NOT FULLY FUND THE PROGRAM AND IS TRANSFERRED ANNUALLY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRIS BERGMAN
TRUSTEE$0$468,627$0$0$0$8,064$0$10,091$0$14,135$0$500,917$0$0
DEBORAH FELDMAN
TRUSTEE$0$774,467$0$0$0$38,446$0$713,717$0$0$0$1,526,630$0$21,382
JENA PADO
TRUSTEE & FOUNDATION DIRECTOR$0$179,824$0$18,653$0$911$0$32,609$0$232$0$232,229$0$0
DAVID MILLER
FORMER CEO (END 1/16)$0$0$0$0$0$294,997$0$0$0$0$0$294,997$0$294,997

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationPARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND THE INCREASE IN ACTUARIAL VALUE: DEBORAH FELDMAN - $702,986 RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: DAVID MILLER - $294,997ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution6ContributionCnt
Noncash Contributions Rpt F990$290,085NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6DAYTON CHILDREN'S HOSPITAL (DCH) IS THE SOLE MEMBER OF DAYTON CHILDREN'S HOSPITAL FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7ADCH IS THE SOLE MEMBER OF THE FOUNDATION. THE BOARD OF DCH APPOINTS THE FOUNDATION BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11BTHE CFO REVIEWS KEY DISCLOSURES WITH APPOPRIATE COMMITTEES OF THE BOARD OF TRUSTEES. THEN PRIOR TO FILING, THE FORM 990 IS ELECTRONICALLY LOADED TO A SECURE HOSPITAL 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 12CAT 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) EXCUSE THEMSELVES AND DO NOT PARTICIPATE IN THE DISCUSSION AND DO NO 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.
FORM 990, PART VI, SECTION C, LINE 19THE 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:TRANSFER FROM DAYTON CHILDREN'S HOSPITAL 85,839. CONTRIBUTIONS AND INVESTMENT INCOME 1,261,000. RESTRICTED NET ASSETS USED FOR PURCHASING OF PP&E 5,235,000. TEMPORARILY RESTRICTED NET ASSETS -5,235,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
DAYTON CHILDREN'S HOSPITAL
ONE CHILDRENS PLAZADAYTONOH45404310672132HEALTH CAREOH501(C)(3)LINE 30
CHILDREN'S HOME CARE
ONE CHILDRENS PLAZADAYTONOH45404311356037HOME HEALTH CAREOH501(C)(3)LINE 9Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationInd
DAYTON CHILDREN'S SPECIALTY PEDIATRICS
ONE CHILDRENS PLAZADAYTONOH45404311411364SPEC PHYS GROUPOHDCHC$29,661,926Yes (1)
PEDIATRIC ASSURANCE COMPANY LTD
ONE CHILDRENS PLAZADAYTONOH45404980478183SELF-INSURANCEOHDCH$18,465,352Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
DAYTON CHILDREN'S HOSPITAL
O$151,641CASH
DAYTON CHILDREN'S HOSPITAL
R$2,377,460CASH
CHILDREN'S HOME CARE OF DAYTON
D$3,920,000CASH