DAYTON CHILDRENS HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: DAYTON CHILDRENS HOSPITAL (EIN 31-0672132)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-15
IRS object ID: 201701359349310525
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-15T15:41:53-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	800 YARD STREET SUITE 200	AddressLine1Txt
City	GRANDVIEW HEIGHTS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43212	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	310672132	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Dayton Children's Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% CHRIS BERGMAN	InCareOfNm
Business Name Control	DAYT	BusinessNameControlTxt
Phone	9376415819	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One Childrens Plaza	AddressLine1Txt
City	Dayton	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	454041815	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHRIS BERGMAN	PersonNm
Person Title	VP FINANCE AND CFO	PersonTitleTxt
Phone	9376415819	PhoneNum
Signature	2017-05-12	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DIANE L BEAN	PreparerPersonNm
PTIN	P00104972	PTIN
Phone	6142245678	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$327,585,723	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.childrensdayton.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1967	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH STATUS OF ALL CHILDREN THROUGH SERVICE, EDUCATION, RESEARCH AND ADVOCACY.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2225	TotalEmployeeCnt
Total Volunteers	993	TotalVolunteersCnt
Total Gross UBI	$55,759	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$54,759	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$27,104,214	PYContributionsGrantsAmt
CY Contributions Grants	$25,788,633	CYContributionsGrantsAmt
PY Program Service Revenue	$234,171,510	PYProgramServiceRevenueAmt
CY Program Service Revenue	$255,318,286	CYProgramServiceRevenueAmt
PY Investment Income	$21,194,516	PYInvestmentIncomeAmt
CY Investment Income	$16,699,522	CYInvestmentIncomeAmt
PY Other Revenue	$2,404,437	PYOtherRevenueAmt
CY Other Revenue	$2,241,227	CYOtherRevenueAmt
PY Total Revenue	$284,874,677	PYTotalRevenueAmt
CY Total Revenue	$300,047,668	CYTotalRevenueAmt
PY Grants And Similar Paid	$226,113	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$274,901	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$119,672,065	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$126,544,320	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,780,101	CYTotalFundraisingExpenseAmt
PY Other Expenses	$109,276,324	PYOtherExpensesAmt
CY Other Expenses	$115,525,589	CYOtherExpensesAmt
PY Total Expenses	$229,174,502	PYTotalExpensesAmt
CY Total Expenses	$242,344,810	CYTotalExpensesAmt
PY Revenues Less Expenses	$55,700,175	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$57,702,858	CYRevenuesLessExpensesAmt
Total Assets BOY	$595,726,324	TotalAssetsBOYAmt
Total Assets EOY	$668,978,426	TotalAssetsEOYAmt
Total Liabilities BOY	$80,468,052	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$145,564,664	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$515,258,272	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$523,413,762	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE THE HEALTH STATUS OF ALL CHILDREN THROUGH SERVICE, EDUCATION, RESEARCH AND ADVOCACY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$224,741,171	ExpenseAmt
Grant	$274,901	GrantAmt
Revenue	$255,759,033	RevenueAmt
Desc	SEE SCHEDULE O.	Desc
Total Program Service Expenses	$224,741,171	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	101	IRPDocumentCnt
IRP Document W2 G	1	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2225	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	BD	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CHRIS BERGMAN	PersonNm
Phone	9376415819	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
LESLIE BARNES CARSONEND1015
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
GREGORY EBERHART MD
TRUSTEE	1.0	0.0	Yes (X)	$20,000	$0	$0
ELIZABETH EY MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
SCOTT KELLY END 1015
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
THERESE MCNEA-WILEY
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
GREGORY SAMPLE
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
MICHAEL SHANE
Vice Chair	1.0	0.0	Yes (X)	$630	$0	$0
BEVERLY SHILLITO
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
LAURENCE KLABEN
Sec/Treas	1.0	0.0	Yes (X)	$0	$0	$0
VISHAL SOIN
CHAIRMAN	1.0	0.0	Yes (X)	$1,063	$0	$0
DEBORAH FELDMAN
PRESIDENT AND CEO	40.0	0.0	Yes (X)	$658,256	$0	$417,090	Yes (X)
Linda Black-Kurek
Trustee	1.0	0.0	Yes (X)	$0	$0	$0
James Whalen
Trustee	1.0	0.0	Yes (X)	$0	$0	$0
Adam Mezoff
VP Medical Affairs CMO	40.0	0.0	Yes (X)	$490,329	$0	$38,905
MARK CHILSON
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
THOMAS KRZMARZICK
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
JOHN DUBY MD BEG 0115
TRUSTEE	1.0	0.0	Yes (X)	$102,773	$0	$0
TIMOTHY PEPPER BEG 1115
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
ARTHUR PICKOFF END 1015
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
DAVID T MILLER END 1215
VP FINANCE AND CFO	40.0	0.0		$403,368	$0	$96,056	Yes (X)
CHRIS BERGMAN BEG 0116
VP FINANCE & CFO	40.0	0.0		$0	$0	$0	Yes (X)
MATTHEW GRAYBILL
VP AND CHIEF OPERATING OFFICER	40.0	0.0		$332,697	$0	$240,521		Yes (X)
Renae Phillips
VP Patient Care CNO	40.0	0.0		$730,049	$0	$32,702		Yes (X)
Gregory Ramey
EXEC DIRECTOR PED MENTAL HEALT	40.0	0.0		$233,375	$0	$35,096		Yes (X)
Vicki Giambrone
VP Maktng External Relations	40.0	0.0		$699,108	$0	$5,769		Yes (X)
Lisa Coffey
VP Physician Services	40.0	0.0		$216,266	$0	$57,971		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,887,914	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$924,110	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	102	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CHILDREN'S CARE GROUP
1 CHILDRENS PLAZA	DAYTON	OH	45404	PHYSICIAN SERVICES	$18,610,775
WRIGHT STATE PHYSICIANS
PO BOX 1144	DAYTON	OH	45401	PHYSICIAN SERVICES	$2,212,006
WRIGHT STATE UNIVERSITY
PO BOX 927	DAYTON	OH	45401	PHYSICIAN SERVICES	$1,443,765
ORTHOPAEDIC CENTER FOR SPINAL PED
1 CHILDRENS PLAZA	DAYTON	OH	45404	PHYSICIAN SERVICES	$866,216
BRICKLER ECKLER
100 SOUTH THIRD STREET	COLUMBUS	OH	43215	LEGAL SERVICE	$589,562

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	16	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$32,136	FederatedCampaignsAmt
Fundraising	$178,880	FundraisingAmt
Related Organizations	$5,960,440	RelatedOrganizationsAmt
Government Grants	$967,886	GovernmentGrantsAmt
All Other Contributions	$18,649,291	AllOtherContributionsAmt
Noncash Contributions	$1,357,760	NoncashContributionsAmt
Total Contributions	$25,788,633	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	624100	$157,496,979	$157,496,979
MEDICARE/MEDICAID	624100	$97,765,548	$97,765,548
SURGERY CENTER	621400	$55,759		$55,759

Field	Value	IRS element (for citing)
Total Program Service Revenue	$255,318,286	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,625,990	TotalRevenueColumnAmt
Exclusion	$4,625,990	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$309,980	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$850,756	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$540,776	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$540,776	TotalRevenueColumnAmt
Exclusion	-$540,776	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$38,244,808	SecuritiesAmt
Other	$10,245	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$26,127,149	SecuritiesAmt
Other	$54,372	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$12,117,659	SecuritiesAmt
Other	-$44,127	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,073,532	TotalRevenueColumnAmt
Exclusion	$12,073,532	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$214,386	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$178,880	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$124,761	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$89,625	TotalRevenueColumnAmt
Exclusion	$89,625	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$584,293	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$381,017	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$203,276	TotalRevenueColumnAmt
Related Or Exempt Func Income	$203,276	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
HITECH MEDICAL RECORDS	900099	$306,384	$306,384
CAFETERIA/KIDS CARE	900099	$1,251,708	$1,251,708
DAY CARE CENTER	812930	$693,539	$693,539

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$237,471	TotalRevenueColumnAmt
Related Or Exempt Func Income	$237,471	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,489,102	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$300,047,668	TotalRevenueColumnAmt
Related Or Exempt Func Income	$255,703,274	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$55,759	UnrelatedBusinessRevenueAmt
Exclusion	$18,500,002	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$124,166	TotalAmt
Program Services	$124,166	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$150,735	TotalAmt
Program Services	$150,735	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,062,407	TotalAmt
Management And General	$2,062,407	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$21,646	TotalAmt
Program Services	$21,646	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$100,429,723	TotalAmt
Program Services	$94,011,811	ProgramServicesAmt
Management And General	$5,498,459	ManagementAndGeneralAmt
Fundraising	$919,453	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,026,633	TotalAmt
Program Services	$5,737,263	ProgramServicesAmt
Management And General	$233,271	ManagementAndGeneralAmt
Fundraising	$56,099	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,826,193	TotalAmt
Program Services	$10,442,852	ProgramServicesAmt
Management And General	$281,232	ManagementAndGeneralAmt
Fundraising	$102,109	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,177,718	TotalAmt
Program Services	$6,833,079	ProgramServicesAmt
Management And General	$277,826	ManagementAndGeneralAmt
Fundraising	$66,813	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$575,027	TotalAmt
Management And General	$575,027	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$260,364	TotalAmt
Management And General	$260,364	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$164,562	TotalAmt
Program Services	$164,562	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$38,717,961	TotalAmt
Program Services	$34,100,691	ProgramServicesAmt
Management And General	$4,306,120	ManagementAndGeneralAmt
Fundraising	$311,150	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,207,652	TotalAmt
Program Services	$1,207,652	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,240,742	TotalAmt
Program Services	$13,796,190	ProgramServicesAmt
Management And General	$1,215,238	ManagementAndGeneralAmt
Fundraising	$229,314	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,167,114	TotalAmt
Program Services	$7,167,114	ProgramServicesAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,623,327	TotalAmt
Program Services	$3,420,871	ProgramServicesAmt
Management And General	$202,045	ManagementAndGeneralAmt
Fundraising	$411	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$968,674	TotalAmt
Program Services	$717,071	ProgramServicesAmt
Management And General	$192,396	ManagementAndGeneralAmt
Fundraising	$59,207	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$75,642	TotalAmt
Program Services	$75,642	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,078,213	TotalAmt
Program Services	$15,323,515	ProgramServicesAmt
Management And General	$719,153	ManagementAndGeneralAmt
Fundraising	$35,545	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$945,361	TotalAmt
Program Services	$945,361	ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
STATE HOSPITAL ASSESSMENT	$4,795,182	$4,795,182
MISCELLANEOUS	$24,644	$24,644
MEDICAL SUPPLIES	$25,681,124	$25,681,124

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$242,344,810	TotalAmt
Program Services	$224,741,171	ProgramServicesAmt
Management And General	$15,823,538	ManagementAndGeneralAmt
Fundraising	$1,780,101	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$14,522	BOYAmt
EOY	$15,047	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$74,834,812	BOYAmt
EOY	$43,401,742	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,071,553	BOYAmt
EOY	$12,686,320	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$50,960,480	BOYAmt
EOY	$55,637,213	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,178,872	BOYAmt
EOY	$2,755,392	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$741,143	BOYAmt
EOY	$614,926	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$287,938,574	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$94,967,585	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$124,243,661	BOYAmt
EOY	$192,970,989	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$251,484,299	BOYAmt
EOY	$276,629,671	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$73,688,396	BOYAmt
EOY	$76,387,943	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,621,333	BOYAmt
EOY	$3,691,172	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,887,253	BOYAmt
EOY	$4,188,011	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$595,726,324	BOYAmt
EOY	$668,978,426	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$39,137,759	BOYAmt
EOY	$48,219,378	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,907,804	BOYAmt
EOY	$65,757,804	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$13,422,489	BOYAmt
EOY	$31,587,482	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$80,468,052	BOYAmt
EOY	$145,564,664	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$505,388,759	BOYAmt
EOY	$508,210,423	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,869,513	BOYAmt
EOY	$15,203,339	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$515,258,272	BOYAmt
EOY	$523,413,762	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$595,726,324	BOYAmt
EOY	$668,978,426	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$57,702,858	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$20,086,312	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$29,461,056	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$64,681	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$12,681	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$96,000	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$173,362	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C SUPPLEMENTAL INFORMATION	FormAndLineReferenceDesc
Explanation	LINE 1F: OHIO HOSPITAL ASSOCIATION $2,261 OHIO CHILDREN'S HOSPITAL ASSOCIATION $41,777 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS $20,643 TOTAL: $64,681 LINE 1G: MANAGEMENT TIME $8,799 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. NACH 2014 FAMILY ADVOCACY DAYS $3,882 TOTAL: $12,681 LINE 1H: CONSULTING EXPENSE $96,000 TOTAL LINE 1J: $173,362	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$166,743,504	BeginningYearBalanceAmt
Contributions	$9,088,944	ContributionsAmt
Investment Earnings Or Losses	-$3,600,121	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$6,073,989	GrantsOrScholarshipsAmt
Other Expenditures	$20,000	OtherExpendituresAmt
End Year Balance	$166,138,338	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$171,140,209	BeginningYearBalanceAmt
Contributions	$3,053,446	ContributionsAmt
Investment Earnings Or Losses	-$1,935,200	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,514,951	GrantsOrScholarshipsAmt
End Year Balance	$166,743,504	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$145,550,821	BeginningYearBalanceAmt
Contributions	$7,058,671	ContributionsAmt
Investment Earnings Or Losses	$23,383,702	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$4,815,615	GrantsOrScholarshipsAmt
Other Expenditures	$37,370	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$171,140,209	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$127,667,969	BeginningYearBalanceAmt
Contributions	$7,549,823	ContributionsAmt
Investment Earnings Or Losses	$14,908,772	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$4,542,192	GrantsOrScholarshipsAmt
Other Expenditures	$33,551	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$145,550,821	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$123,741,717	BeginningYearBalanceAmt
Contributions	$7,937,991	ContributionsAmt
Investment Earnings Or Losses	$434,441	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$4,446,180	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$127,667,969	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.00000	BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,710,037	OtherCostOrOtherBasisAmt
Book Value	$5,710,037	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$50,881,723	OtherCostOrOtherBasisAmt
Depreciation	$24,763,130	DepreciationAmt
Book Value	$26,118,593	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$147,249,692	OtherCostOrOtherBasisAmt
Depreciation	$68,057,283	DepreciationAmt
Book Value	$79,192,409	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$84,097,122	OtherCostOrOtherBasisAmt
Depreciation	$2,147,172	DepreciationAmt
Book Value	$81,949,950	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$192,970,989	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
HIRTLE CALLAGHAN - OFFSHORE	$56,035,991	F
HIRTLE CALLAGHAN - COMMODITIES	$15,986,198	F
HIRTLE CALLAGHAN - REAL ESTATE	$4,365,754	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$76,387,943	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
RESERVE FOR PROFESSIONAL LIA	$5,839,625
EST REIMB/MEDICAID PROGRAM	$367,988
DEFERRED COMPENSATION PAYABLE	$1,651,162
SERP PENSION ACCRUAL	$3,131,179
REINSURANCE	$2,523,370
PENSION LIABILITY	$18,074,158

Field	Value	IRS element (for citing)
Total Liability	$31,587,482	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SUPPLEMENTAL INFORMATION

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 support medical research, the child life program and the medical chairs of specific hospital departments.

Fin 48 (ABC) 740) FOOTNOTE

ALL SUBSIDIARIES OF THE HOSPITAL EXCEPT CHILDREN'S CARE GROUP (CCG), CHILDREN'S ANESTHESIA GROUP (CAG), 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 CCG AND CAG HAD NO TAXABLE INCOME IN 2016 OR 2015. 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, 2016 OR 2015.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean	1	2	Investments	$107,977,703
Central America and the Caribbean	1	2	Program Services	$1,837,896	self insurance

Field	Value	IRS element (for citing)
Subtotal Offices	2	SubtotalOfficesCnt
Subtotal Employees	4	SubtotalEmployeesCnt
Total Office	2	TotalOfficeCnt
Total Employee	4	TotalEmployeeCnt
Subtotal Spent	$109,815,599	SubtotalSpentAmt
Total Spent	$109,815,599	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF OUTING	Event1Nm
Gross Receipts Event1	$177,507	GrossReceiptsEvent1Amt
Charitable Contri Event1	$138,100	CharitableContriEvent1Amt
Gross Revenue Event1	$39,407	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$28,504	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$16,832	FoodAndBeverageEvent1Amt
Entertainment Event1	$300	EntertainmentEvent1Amt
Other Direct Expenses Event1	$8,397	OtherDirectExpensesEvent1Amt
Event2	SFOT	Event2Nm
Gross Receipts Event2	$122,711	GrossReceiptsEvent2Amt
Charitable Contri Event2	$40,780	CharitableContriEvent2Amt
Gross Revenue Event2	$81,931	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$6,000	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$22,575	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$14,291	OtherDirectExpensesEvent2Amt
Other Events Total	2	OtherEventsTotalCnt
Gross Receipts Other Events	$93,048	GrossReceiptsOtherEventsAmt
Gross Revenue Other Events	$93,048	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$612	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$7,250	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$16,646	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$550	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$2,804	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$393,266	GrossReceiptsTotalAmt
Charitable Contributions Tot	$178,880	CharitableContributionsTotAmt
Gross Revenue Total Events	$214,386	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$612	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$41,754	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$56,053	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$850	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$25,492	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$124,761	DirectExpenseSummaryEventsAmt
Net Income Summary	$89,625	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$817,352	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$817,352	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$123,249,429	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$97,443,272	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,806,158	NetCommunityBenefitExpnsAmt
Total Expense	0.10590	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$124,066,781	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$97,443,272	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,623,510	NetCommunityBenefitExpnsAmt
Total Expense	0.10930	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$447,816	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$447,816	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,134,508	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,531,551	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,602,957	NetCommunityBenefitExpnsAmt
Total Expense	0.01070	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,044,195	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,758,039	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,286,156	NetCommunityBenefitExpnsAmt
Total Expense	0.04630	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$214,618	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$214,618	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,841,137	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,289,590	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,551,547	NetCommunityBenefitExpnsAmt
Total Expense	0.05970	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$146,907,918	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$105,732,862	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,175,057	NetCommunityBenefitExpnsAmt
Total Expense	0.16900	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$805,446	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$805,446	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$97,948	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$97,948	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,801	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,801	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,838	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,838	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,200	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,200	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,560	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,560	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,219	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,219	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$948,012	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$948,012	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$3,865,282	BadDebtExpenseAmt
Bad Debt Expense Attributable	$474,322	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$233,345	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$233,345	CostOfCareReimbursedByMedcrAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Website Address	www.childrensdayton.org	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.CHILDRENSDAYTON.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.CHILDRENSDAYTON.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.CHILDRENSDAYTON.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.CHILDRENSDAYTON.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.CHILDRENSDAYTON.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V - 1J	THE DAYTON CHILDREN'S COMMUNITY HEALTH NEEDS ASSESMENT ALSO INCLUDED A PARENT PERCEPTION SURVEY TO BETTER UNDERSTAND TOP PEDIATRIC HEALTH AND SAFETY NEEDS AND HOW PARENTS VIEW THOSE NEEDS IN ORDER TO FORM OUR IMPLEMENTATION STRATEGIES. SIX HUNDRED AND FORTY-TWO PARENTS OF CHILDREN LIVING IN THE DAYTON CHILDREN'S HOSPITAL GENERAL SERVICE AREA WERE SURVEYED EITHER ONLINE OR VIA TELEPHONE INTERVIEW BETWEEN JANUARY 27 AND FEBRUARY 25,2014. FOCUS GROUPS WERE CONDUCTED WITH PARENTS TO DIG DEEPER INTO SOME OF THE CHALLENGES AND BARRIERS ASSOCIATED WITH THEIR TOP HEALTH AND SAFETY CONCERNS.
PART V - 5 & 6B	IN ADDITION TO THE SECONDARY DATA SCAN, PARENT PERCEPTION SURVEY AND PARENT FOCUS GROUPS USED TO IDENTIFY HEALTH ISSUES AND PRIORITIES AS PART OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT, DAYTON CHILDREN'S HOSPITAL CONDUCTED IN-DEPTH INTERVIEWS WITH A REPRESENTATIVE GROUP OF PRACTICING PHYSICIANS WITHIN THE GREATER DAYTON COMMUNITY. PHYSICIANS SERVING A VARIETY OF DEMOGRAPHICS AND COUNTIES WITHIN THE REGION WERE REPRESENTED INCLUDING PUBLIC HEALTH CLINICS. THESE SURVEYS WERE USED TO IDENTIFY AND PRIORITIZE KEY PEDIATRIC HEALTH ISSUES, UNDERSTAND HOW CONSUMERS RECEIVE CARE FOR THESE ISSUES TODAY AND DETERMINE HOW HEALTH PROFESSIONALS BELIEVE DAYTON CHILDREN'S HOSPITAL CAN RESPOND TO PEDIATRIC HEALTH PRIORITIES. DAYTON CHILDREN'S ALSO ASSEMBLED A MULTIDISCIPLINARY TEAM TO HELP PRIORITIZE OUR FINDINGS. THIS TEAM INCLUDED THE FOLLOWING: COMMUNITY HEALTH NEEDS ASSESSMENT TEAM: BELINDA HUFFMAN, RCP, BS, CPFT, PULMONARY HEALTH AND HEALTH COORDINATOR DAVID MIRKIN, MD, MEDICAL DIRECTOR LABORATORY/PATHOLOGY JACK PASCOE, MD, PROFESSOR WRIGHT STATE UNIVERSITY PEDIATRICS DEPARTMENT LISA SCHWING, RN, TRAUMA PROGRAM MANAGER RACHEL RIDDIFORD, MS, RD, LD, ORGANIZATIONAL NUTRITION AND HEALTHY WAY OFFICER SARA PATON, EPIDEMIOLOGIST, PUBLIC HEALTH DAYTON & MONTGOMERY COUNTY SHERYL WYNN, GREEN COUNTY COMBINED HEALTH DISTRICT ADDITIONAL SUBJECT MATTER EXPERTS CONSULTED ANN MARIE SCHMERSAL, MS, RN, CPNP-AC, NURSE PRACTITIONER, GENERAL PEDIATRICS ELAINE MARKLAND, BSN, RN, CPEN, EMERGENCY DEPARTMENT GREG RAMEY, PhD, EXECUTIVE DIRECTOR, CENTER FOR PEDIATRIC MENTAL HEALTH RESOURCES JIM EBERT, MD, MPH, PEDIATRIC LIPID CLINIC PHYSICIAN
PART V - 7D	DAYTON CHILDREN'S ASSESSMENT AND IMPLEMENTATION PLAN WAS SHARED WITH THE PUBLIC AT A MEDIA CONFERENCE ON JUNE 20, 2014, TO DISSEMINATE THE INFORMATION. IN ADDITION, WE CREATED A SUMMARY REPORT AND OUTLINED THE NEXT STEPS FOR EACH OF THE KEY ISSUES WHICH WAS DISSEMINATED TO LEGISLATORS. WE ALSO WRITE A BLOG ARTICLE (FOR THE DAYTON CHILDREN'S BLOG) ABOUT THE HEALTH ASSESSMENT FINDINGS AND CONTINUE TO REFERENCE THE HEALTH ASSESSMENT VIA THAT ONLINE TOOL. WE ALSO CREATED AN INFOGRAPHIC IDENTIFYING OUR KEY PRIORITIES WHICH IS A VISUAL REPRESENTATION AS WE CONTINUE TO SHARE OUR FINDINGS. FINALLY, OUR HEALTH ASSESSMENT WAS PUBLISHED ON OUR HOSPITAL WEBSITE AND IS AVAILABLE UPON REQUEST FOR ANY INTERESTED PARTY AT WWW.CHILDRENSDAYTON.ORG.
PART V - 11	THE CHNA TEAM, WITH THE HELP OF ADDITIONAL SUBJECT MATTER EXPERTS AND PROJECT OWNERS, CREATED AN IMPLEMENTATION PLAN FOR EACH OF THE TOP THREE PRIORITY AREAS. EACH IMPLEMENTATION PLAN OUTLINES GOALS AND STRATEGIES FOR THE NEXT THREE YEARS. ADDITIONAL NEEDS, ALTHOUGH IDENTIFIED, WILL NOT BE THE TOP PRIORITIES GIVEN THE RESOURCES WE HAVE AVAILABLE. THE IMPLEMENTATION PLAN INCLUDES THE FOLLOWING STRATEGIES: 1. DAYTON CHILDREN'S WILL FOCUS ON DECREASING PEDIATRIC OBESITY BY WORKING WITH LOCAL PEDIATRICIANS AND HEALTH CARE PROVIDERS TO MAKE SURE THEY HAVE APPROPRIATE RESOURCES AVAILABLE TO HELP CHILDREN AND THEIR FAMILIES CHOOSE HEALTHIER LIFESTYLES. 2. DAYTON CHILDREN'S WILL CREATE A CENTER FOR PEDIATRIC MENTAL HEALTH TO INCREASE ACCESS AND COORDINATE RESOURCES FOR PEDIATRIC MENTAL HEALTH IN THE HOSPITAL'S PRIMARY SERVICE AREA. 3. DAYTON CHILDREN'S WILL INVEST IN EDUCATION FOR PARENTS ABOUT SAFE SLEEP PRACTICES FOR THEIR INFANTS. OUR ASSESSMENT AND IMPLEMENTATION PLAN WAS SHARED WITH THE PUBLIC AT A MEDIA CONFERENCE ON JUNE 20, 2014, TO DISSEMINATE THE INFORMATION. IN ADDITION, WE CREATED A SUMMARY REPORT AND OUTLINED THE NEXT STEPS FOR EACH OF THE KEY ISSUES. FINALLY, OUR HEALTH ASSESSMENT WAS PUBLISHED ON OUR HOSPITAL WEBSITE AND IS AVAILABLE UPON REQUEST FOR ANY INTERESTED PARTY.
PART V, LINE 22D	ALL PATIENTS ARE CHARGED THE SAME FOR SERVICES RECEIVED. HOWEVER, CHARGES BILLED TO ALL FAP ELIGIBLE PATIENTS ARE DISCOUNTED BASED ON THE HOSPITAL'S SLIDING FEE SCALE FOR DISCOUNTED CARE. THIS IS BASED ON CURRENT FEDERAL POVERTY LEVELS.
PART V	DAYTON CHILDREN'S HAS 10 HEALTH CARE FACILITIES OTHER THAN THOSE REQUIRED TO BE LICENSED, REGISTERED OR SIMILARLY RECOGNIZED AS A HEALTH CARE FACILITY UNDER STATE LAW. WE HAVE 6 TESTING CENTERS, 4 OFFSITE CLINICS, AND 1 URGENT CARE CENTER (50% OWNED).

Field	Value	IRS element (for citing)
Facility	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
WARREN COUNTY SPECIALTY CARE CENTER
100 CAMPUS LOOP ROAD SUITE A	FRANKLIN	OH	45005	OUTPATIENT CARE CENTER AND OUTPATIENT DIAGNOSTIC CENTER
SPRINGBORO URGENT CARE & OP CARE CENTER
3333 WEST TECH ROAD	MIAMISBURG	OH	45342	URGENT CARE CENTER AND OUTPATIENT DIAGNOSTIC CENTER
DAYTON ORTHOPAEDICS - SOUTH
2350 MIAMI VALLEY DRIVE	DAYTON	OH	45459	OUTPATIENT CARE CENTER
VANDALIA OUTPATIENT TESTING CENTER
810 FALLS CREEK DRIVE SUITE A	VANDALIA	OH	45377	OUTPATIENT DIAGNOSTIC CENTER
BEAVERCREEK OUTPATIENT TESTING CENTER
3224 DAYTON-XENIA ROAD	BEAVERCREEK	OH	45431	OUTPATIENT DIAGNOSTIC CENTER
SUGARCREEK OUTPATIENT TESTING CENTER
6116 WILMINGTON PIKE	CENTERVILLE	OH	45459	OUTPATIENT DIAGNOSTIC CENTER
KETTERING OUTPATIENT TESTING CENTER
4475 FAR HILLS AVENUE	KETTERING	OH	45429	OUTPATIENT DIAGNOSTIC CENTER
SPRINGFIELD SPECIALTY CARE CENTER
30 W MCCREIGHT AVENUE	SPRINGFIELD	OH	45504	OUTPATIENT CARE CENTER
DAYTON ORTHOPAEDICS - TROY
31 STANFIELD ROAD	TROY	OH	45473	OUTPATIENT CARE CENTER
HUBER HEIGHTS OUTPATIENT TESTING CENTER
8501 OLD TROY PIKE	HUBER HEIGHTS	OH	45424	OUTPATIENT DIAGNOSTIC CENTER

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H Part VI	DAYTON CHILDREN'S INCLUDED $18,044,195 OF PHYSICIAN CLINIC COSTS IN THE SUBSIDIZED HEALTH SERVICES CATEGORY. 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 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 OF 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 UNDER THE "FINANCIAL MATTERS" TAB. 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 COUNSELORS WILL ASSIST FAMILIES IN APPLYING FOR FINANCIAL ASSISTANCE PROGRAMS IF DESIRED.
Schedule H Part VI	#2: Needs Assessment: Describe how the organization assesses the health care needs of the communities it serves. Improving the health status of children is a key component of the Dayton Children's Hospital mission. 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 a Community Health Needs Assessment (CHNA). Dayton Children's CHNA includes feedback from the groups convened by the hospital including community members, experts in public health and clinical practitioners and includes data regarding the health needs of vulnerable pediatric populations, those with chronic illnesses, as well as health disparities among minorities, low income and medically-underserved populations. Our most current assessment was completed in June 2014. The next assessment will be completed in June 2017. Funded by the Dayton Children's Foundation Board, guided by the Dayton Children's Board of Trustees Advocacy Committee and adopted by the Dayton Children's Board of Trustees, the needs assessment uncovers the highest priority child health and safety issues. As the leaders in child health, Dayton Children's conducts the assessment to provide community health advocates insights into the health and well-being of our region's children. The assessment offers a path to work together to develop or refine programs to improve the health status of all children through community benefit investments. Dayton Children's approached our needs assessment through a four-part data collection process: 1. Secondary Data Scan: In partnership with the Greater Dayton Area Hospital Association and the Center for Urban and Public Affairs at Wright State University, a report was compiled to paint a detailed picture of the Dayton Children's Hospital primary service area. Aggregate hospital ICD9 emergency room and hospital inpatient discharge diagnoses data were obtained from the Ohio Hospital Association via the Greater Dayton Area Hospital Association. Cancer data and vital statistics were obtained from the Ohio Department of Health. 2. Parent Perception Survey: Dayton Children's used an independent research firm to conduct a parent perception survey to better understand top pediatric health and safety needs. Six hundred and forty-two parents of children living in the Dayton Children's Hospital general service area were surveyed either online or via telephone interview between January 27 and February 25, 2014. 3. Physician Conversations: An in-depth interview was done with a representative group of practicing physicians within the Greater Dayton community. Physicians serving a variety of demographics and counties within the region were represented including public health clinics. These surveys were used to identify and prioritize key pediatric health issues, understand how consumers receive care for these issues today and determine how health professionals believe Dayton Children's Hospital can respond to pediatric health priorities. 4. Parent Focus Groups: Focus groups were conducted with parents to dig deeper into some of the challenges and barriers associated with their top health and safety concerns. To choose priorities for action, the Dayton Children's CHNA multidisciplinary team reviewed the data from all four segments and then rated the needs against criteria including prevalence, seriousness (hospitalization and/or death), impact on other health issues, urgency, prevention, economics/feasibility, acceptability and resources. This multidisciplinary team included staff from Dayton Children's along with representatives from local health departments. While children are generally healthy, the study pointed to key areas where our community can work to improve the health of children in our community. 1. Childhood obesity remains at the forefront of child health issues. In the 2014 parent survey, 41 percent of children were identified as overweight or obese. The majority of parents of overweight and obese children do not perceive their children as having any weight problem. Ten percent of parents of obese children believe that their child is underweight and only 5 percent of those parents correctly identify their child as being "very overweight." 2. Mental disorders are the most common inpatient discharge diagnosis for youth ages 5-14. Fifteen percent of parents named chronic and congenital conditions that concern them. Of those 15 percent, 25 percent chose developmental or learning disabilities as a top concern and 24 percent chose autism as a top chronic or congenital concern. There is an inadequate number of resources for the number of pediatric patients needing mental health support. 3. The regional infant mortality rate was substantially lower than Ohio's rate over most of the study period then climbed up to the Ohio's rate in more recent years. Sleep-related deaths are a large contributor to infant mortality. According to the Ohio Child Fatality Review, 2007-2011, 41 percent of infant deaths from 1 month to 1 year are sleep related. In that same report, the 819 infant sleep-related deaths accounted for 15 percent of the 5,418 total reviews for infant deaths from 2007 to 2011, more than any single cause of death except prematurity. In Montgomery County alone, 16.7 percent of the infant deaths in 2012 were sleep-related incidents. Future investments are outlined in an implementation strategy adopted by the Dayton Children's Board of Trustees, per IRS requirements. The implementation plan includes the following strategies: 1. Dayton Children's will focus on decreasing pediatric obesity by working with local pediatricians and health care providers to make sure they have appropriate resources available to help children and their families choose healthier lifestyles. 2. Dayton Children's will create a Center for Pediatric Mental Health to increase access and coordinate resources for pediatric mental health in the hospital's primary service area. 3. Dayton Children's will invest in education for parents about safe sleep practices for their infants. Our assessment and implementation plan was shared with the public at a media conference on June 20, 2014, to disseminate the information. In addition, we created a summary report and outlined the next steps for each of the key issues. Finally, our health assessment was published on our hospital website and is available upon request for any interested party. Data is available to public health and other child-serving entities to assis in their individual needs assessment as well. We continuously work to align our implementation strategies with other local and state health departments and other health entities to ensure the greatest impact on health issues.
Schedule H Part VI	#3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE. DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. 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.
Schedule H Part VI	#4: Community information: Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. 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. Dayton Children's now serves 20 Ohio counties, with 75 percent of our patients coming from our Montgomery, Greene, Clark, Miami and Northern Warren Counties. Our service area spans 9,000 square miles with a 2.1 million pediatric population that includes poor urban and rural areas. We are the only pediatric health care provider and the largest provider of medical care to low-income children in the region. Currently, we serve a disproportionate share of children from low-income families. Currently over 50 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, we were able to provide expert care to nearly 300,000 children in our 20-county region. Our outpatient and alternative services including pediatric laboratory and imaging, complement our inpatient services. Many programs have received certifications and accreditations from organizations setting the standards of quality care; our scores from the Joint Commission on Accreditation of Healthcare Organizations are consistently among the highest in the nation. In Fall 2013, Dayton Children's Hospital received Magnet designation, meaning the hospital is recognized nationally as the gold standard in patient care and the professional practice of nursing by the American Nurses Credentialing Center (ANCC).
Schedule H Part VI	#5: Community Building Activities: Describe how the organization's community-building activities, as reported in Part II, promote the health of the communities the organization serves. As the only children's hospital in the region, we take our pediatric expertise into the community to solve probems 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 nearly 5o 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. Schedule H Part VI #6: PROMOTION OF COMMUNITY HEALTH. PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITALS FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY. THROUGH A VARIETY OF COMMUNITY-BUILDING ACTIVITIES, DAYTON CHILDREN'S STAFF AND SENIOR LEADERSHIP ARE WORKING BEYOND THE WALLS OF OUR HOSPITAL TO CREATE A HEALTHY COMMUNITY FOR ALL CHILDREN AND FAMILIES IN OUR REGION. 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 SURROUNDING COMMUNITY - A COMMUNITY WE HAVE CALLED HOME FOR NEARLY 50 YEARS. DAYTON CHILDREN'S IS COMMITTED TO WORKING WITH OUR MANY VALUED PARTNERS TO HELP ENSURE DAYTON REMAINS A GREAT CITY TO LIVE, WORK AND PLAY. TIED DIRECTLY TO THE COMMUNITY NEEDS IDENTIFIED THROUGH OUR ASSESSMENT, DAYTON CHILDREN'S PARTICIPATES IN A VARIETY OF COMMUNITY BUILDING AND COMMUNITY OUTREACH INITIATIVES TO ADDRESS THE LEADING HEALTH ISSUES AFFECTING CHILDREN IN OUR COMMUNITY. KEY INITIATIVES IN 2014-2015 COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN PRIORITY 1: NUTRITION EDUCATION/CHILDHOOD OBESITY IN THE 2014 PARENT SURVEY, 41 PERCENT OF CHILDREN WERE IDENTIFIED AS OVERWEIGHT OR OBESE. THE MAJORITY OF PARENTS OF OVERWEIGHT AND OBESE CHILDREN DO NOT PERCEIVE THEIR CHILDREN AS HAVING ANY WEIGHT PROBLEM. TEN PERCENT OF PARENTS OF OBESE CHILDREN BELIEVE THAT THEIR CHILD IS UNDERWEIGHT AND ONLY 5 PERCENT OF THOSE PARENTS CORRECTLY IDENTIFY THEIR CHILD AS BEING "VERY OVERWEIGHT." NEARLY ALL PHYSICIANS BELIEVE OBESITY IS A SIGNIFICANT MEDICAL ISSUE WITHIN DAYTON, AND PARTICULARLY WITHIN THE UNDERSERVED/MEDICAID POPULATION. IMPLEMENTATION PLAN UPDATE: DAYTON CHILDREN'S IS FOCUSING ON DECREASING THE LOCAL PEDIATRIC OBESITY RATE BY WORKING WITH LOCAL PEDIATRICIANS AND HEALTH CARE PROVIDERS to better identify and address obesity. DAYTON CHILDREN'S CREATED A DIETETIC LIAISON PROGRAM PLACING DIETICIANS IN COMMUNITY PHYSICIAN PRACTICES AND OFFERING EDUCATION TO BOTH FAMILIES AND PRACTITIONERS TO ADDRESS CHILDHOOD OBESITY AND NUTRITION. IN FY2015-2016, an average of 15 providers & office staff attended in-office CEUs and an average of 11 providers per month received additional nutritional guidance. The dietetic liaison program also piloted tele-heath of patient/family classes, improved centralized scheduling option, transitioning to centralized classes and expanding to accept referrals from all pediatric primary care providers. The program continues to provide a menu of continuing education sessions to provider office personnel on topics that address childhood overweight and obesity. TO COMPLEMENT THE ONE-ON-ONE EDUCATION AROUND OBESITY OFFERED TO PARENTS AND PROVIDERS, DAYTON CHILDREN'S KOHL'S A MINUTE FOR KIDS CAMPAIGN, OFFERED IN PARTNERSHIP WITH KOHL'S DEPARTMENT STORES, REACHED 9,321 kids and parents were reached through outreach events and 6,956,685 people were reached through focusing on obesity prevention. WITHIN THE HOSPITAL, DAYTON CHILDREN'S continues to provide healthy lifestyle and individualized growth information to each admitted patient. Additionally, the Children's Health Clinic continues to emphasize early identification and prevention/treatment in their patient care and through mentoring the care provided by the medical residents. A medical resident quality improvement project identified the need to further residents' preparation to address childhood overweight and obesity. Together, with information gathered during a collaborative symposium (with Wright State University and local pediatricians), hospital leadership is formulating a plan on current successes and opportunitties in addressing this public health and medical issue. Finally, Dayton Children's piloted and now implemented a collaborative healthy lifestyle program with community partners (The Ohio State Extension Service, Children's Hunger Alliance, the Salvation Army Kroc Center, Kiser Elementary, and neighborhood leaders) with measured outcomes for children and parents. The hospital initiated ongoing collaborative discussions with Greater Old North Dayton leaders, businesses, public services, and community activists on how to support each other's promotion of healthy lifestyles. PRIORITY 2: MENTAL HEALTH MENTAL DISORDERS ARE THE MOST COMMON INPATIENT DISCHARGE DIAGNOSIS FOR YOUTH AGES 5 TO 14. FIFTEEN PERCENT OF PARENTS NAMED CHRONIC AND CONGENITAL CONDITIONS THAT CONCERN THEM. OF THOSE FIFTEEN PERCENT, 25 PERCENT CHOSE DEVELOPMENTAL OR LEARNING DISABILITIES AS A TOP CONCERN AND 24 PERCENT CHOSE AUTISM AS A TOP CHRONIC OR CONGENITAL CONCERN. ALSO CITED WAS AN INADEQUATE NUMBER OF RESOURCES FOR THE NUMBER OF PEDIATRIC PATIENTS NEEDING MENTAL HEALTH SUPPORT. IMPLEMENTATION PLAN UPDATE: ON JANUARY 1, 2014, DAYTON CHILDREN'S OPENED THE CENTER FOR PEDIATRIC MENTAL HEALTH RESOURCES, INCREASING ACCESS TO THESE VITAL SERVICES. IN ORDER TO PROVIDE THESE SERVICES, DAYTON CHILDREN'S PARTNERED WITH ADAMHS BOARD OF MONTGOMERY COUNTY, MONTGOMERY COUNTY DEVELOPMENTAL DISABILITIES SERVICES AND THE PSYCHIATRY DIVISION OF WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE. IN FY 2015-2016, DAYTON CHILDREN'S SAW 2,495 patient visits, an increase from 1,953 the previous year. The hospital hired a Psychiatry Nurse Practitioner that will further expand access and is actively recruiting for additional specialists to meet the demand. THE CENTER FOR PEDIATRIC MENTAL HEALTH RESOURCES ALSO FINALIZED, APPROVED AND FUNDED A THREE-YEAR STRATEGIC PLAN TO IMPROVE MENTAL HEALTH RESOURCES IN OUR COMMUNITY. AS PART OF THE PLAN, THE CENTER ESTABLISHED A REGIONAL PEDIATRIC MENTAL HEALTH ADVISORY ALLIANCE TO IMPROVE COLLABORATION AMONG CARE PROVIDERS TO REDUCE GAPS IN SERVICE. THE ALLIANCE CURRENTLY CONSISTS OF 21 COMMUNITY AGENCIES AND continues to MEET throughout the past year, addressing a number of significant community pediatric health issues. IN APRIL 2015, DAYTON CHILDREN'S OPENED AN AUTISM DIAGNOSTIC AND RESOURCE CENTER. THIS CENTER PROVIDES SCREENING TESTS FOR CHILDREN YOUNGER THAN 5 YEARS TO DETERMINE WHETHER BEHAVIORS ARE CONSISTENT WITH AUTISM OR ANOTHER DEVELOPMENTAL OR LEARNING DISORDER. THE WAITing TIME FOR NEW EVALUATIONS HAS DECREASED FROM OVER 200 DAYS TO LESS THAN 30 DAYS. We will achieve our 10 day access within time for new evaluations decreasing from 101 days in FY 2015 to 6 days last fiscal year. Key members of our team make regular visits to pediatric prectices to educate them on the availability of our services. In FY 2015-2016, members of our team did 75 presentations/interviews on topics related to pediatric mental health. 3: INFANT MORTALITY/SAFE SLEEP PRACTICES Sleep-related deaths are a large contributor to infant mortality. According to THE OHIO CHILD FATALITY REVIEW, 2007-2011, 41 PERCENT OF INFANT DEATHS FROM 1 MONTH TO 1 YEAR ARE SLEEP RELATED. IN THAT SAME REPORT, THE 819 INFANT SLEEP-RELATED DEATHS ACCOUNTED FOR 15 PERCENT OF THE 5,418 TOTAL REVIEWS FOR INFANT DEATHS FROM 2007 TO 2011, MORE THAN ANY SINGLE CAUSE OF DEATH EXCEPT PREMATURITY. IN MONTGOMERY COUNTY ALONE, 16.67 PERCENT OF THE INFANT DEATHS IN 2012 WERE SLEEP-RELATED INCIDENTS. IMPLEMENTATION STRATEGY: DAYTON CHILDREN'S IS INVESTED IN EDUCATION FOR PARENTS ABOUT SAFE SLEEP PRACTICES FOR THE INFANTS THEY TREAT. DAYTON CHILDREN'S CONTINUES TO EDUCATE FAMILIES WITH CHILDREN YOUNGER THAN 12 MONTHS OLD BY MODELING SAFE SLEEP PRACTICES AND BY HAVING ONE-ON-ONE CONVERSATIONS ON SAFE SLEEP TO SCREEN FOR BABIES WHO MAY NOT BE SLEEPING IN A SAFE ENVIRONMENT. DAYTON CHILDREN'S ALSO SHARES SAFE SLEEP MESSAGES IN THE COMMUNITY AND ATTENDED MORE THAN 25 community events in FY 2015-2016. DAYTON CHILDREN'S ALSO PARTICIPATES ON A VARIETY OF COALITIONS AND COMMUNITY GROUPS TO ADDRESS INFANT MORTALITY IN OUR COMMUNITY INCLUDING THE OHIO INJURY PREVENTION PARTNERSHIP, OHIO COLLABORATIVE TO PREVENT INFANT MORTALITY, MONTGOMERY COUNTY INFANT MORTALITY COALITION AND THE OHIO AAP. DAYTON CHILDREN'S IS ALSO A DESIGNATED CRIBS FOR KIDS SITE. THROUGH THIS PROGRAM, PARENTS/CAREGIVERS NEEDING A SAFE PLACE FOR THEIR BABY TO SLEEP ATTEND A ONE HOUR SAFE-SLEEP CLASS GIVEN BY TRAINED STAFF. AT THE END OF TH
ADDITIONAL INITIATIVES	CENTER FOR CHILD HEALTH AND WELLNESS DAYTON CHILDREN'S MISSION IS TO IMPROVE THE HEALTH AND WELLBEING OF ALL CHILDREN, NOT JUST THOSE WHO COME TO THE ORGANIZATION FOR CARE. AS A RESULT, THE BOARD OF TRUSTEES APPROVED THE FORMATION OF THE CENTER FOR CHILD HEALTH AND WELLNESS IN FEBRUARY 2015 TO BETTER ADDRESS THE ISSUES IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT. THE CENTER ADDS MORE CAPACITY TO ADDRESS CHILD HEALTH AND SAFETY CONCERNS BEYOND THE WALLS OF THE HOSPITAL AND TO HELP PRIORITIZE THE HEALTH AND SAFETY NEEDS IN OUR COMMUNITY ENSURING ALL CHILDREN IN OUR REGION THRIVE. THE CENTER for Child Health and Wellness engages with a broad and diverse set of stackholders to influence and positively impact children's overall health in a measurable way in support of Dayton Children's mission. The Center is responsible for focusing the hospital's community engagement to have a true impact on children's health. This work is accomplished through resource connection and community collaboration and is based in data and research of the community's greatest pediatric health needs. The center aims to address the "upstream" social determinants of health most greatly affecting children in our region. Using the data and information obtained from our Community Health Needs Assessment, the Center plays a variety of roles to impact children's health in our community depending on the health issue, our expertise and partnership opportunities. Here are the various roles played by the Center: - Awareness builder: to enable understanding of the state of health of our region's children and what's required to improve their overall health. - Connector: to provide links between families or professionals and resources to help children reach their optimal ealth. - Educator: to identify and provide instruction about best practices and emerging trends influencing pediatric health and safety. - Advocate: to influence public opinion and policy furthering systems level change impacting pediatric health and safety. -Engaged participant: to leverage and support community health initiatives that address health disparities and improving population health. - Backbone: to produce a collective impact on significant health issues affecting the children of our region through the identification and stewardship of resources and increasing support for community health. Two key initiatives planned during FY 2015-2016 included the Dayton Asthma Aliiance and the Family Resource Connection. Dayton Asthma Alliance The Dayton Asthma Alliance aims to positively impact the health and wellness of children with asthmas 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. The Centers for Disease Control and Prevention (CDC) reports that asthma is the most common chronic condition affecting children younger than age 18 and that the number of persons with asthma increased 2.9% each year from 2001 to 2010. Children with asthma are often limited in their ability to live to their fullest potential, have increased absences from school, are more likely to be hospitalized or even die. Economically, CDC has also estimated that asthma costs the United States $56 billion each year. Historically, Ohio's asthma prevalence has exceeded national rates and recent data suggests that Dayton-area figures are even higher. In 2008 the Ohio Family Survey also reported disparties regarding asthma prevalence, significantly impacted by personal income and race. Additionally, during the FY 2014-2015, Dayton Children's Hospital admitted nearly 900 patients for asthma and provided emergency department services to over 14,000 children with asthma. To have the greatest impact and ensure all children with asthma have the opportunity of 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 suppor children with asthma and to inform the strategic focus areas. Ultimately, the Alliance aims to reduce hospital admission rates and emergency department visits triggered by uncontrolled asthma as reported by the Ohio Hospital Association and Dayton Children's. The Alliance also aims to reduce school abscences related to asthma. To meet these goals the Alliance is implementing multiple projects focusing on improved education of children and families around triggers and management, enhanced education of school personnel around asthma triggers and management, greater communit resources provided to children and families to help manage asthma, improving primary health care of children and decreased environmental triggers. 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, Think TV, Wright State University Center for Healthy Communities and School of Nursing. Additional partners and collaborators are continually invited to join the Alliance as the needs or interest arise. During FY 2015-2016, the Dayton Asthma Alliance focused energy around a pilot program with Dayton Public Schools. In this pilot program, children with asthma received the American Lung Association's Open Airways training in-school.Those children and their caregivers were then invited to come to a clinical education session at the school where they received education from the Dayton Children's asthma educator. Finally, the families were offered home visits by a community health worker, obtained through a MEDTAPP grant and Wright State University Center for Healthy Communities. The home visitor assessed homes and identified opportunities for remediation and assisted families with their social needs. This Program will be expanded to all 17 Dayton Public Schools in FY 2016-2017. Family Resource Connection The second significant initiative of the Center for Child Health and Wellness is the Family Resource Connection. In FY 2015-2016, Center staff worked alongside Health leads to plan and pilot pieces of this innovative program. When patients and their families seek medical care, they often are additionally facing 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 and then identified families 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. Health Leads (healthleadsusa.org) is a national movement that envisions a healthcare system that addresses all patients' basic resource needs as a standard part of quality care. Health Leads' mission is to catalyze this healthcare system by connecting patients with the basic resources they need to be healthy, and in doing so, build leaders with the conviction and ability to champion quality care for all patients. Health Leads has over 19 years experience building social needs programs in hospital and clinic settings. In FY 2015-2016, Dayton Children's laid the groundwork for this program by attending education and consultation sessions with Health Leads, building a staffing plan, researching community resources, testing and piloting the screening instrument within the Children's Health Clinic, hiring and training a program coordinator. INJURY PREVENTION UNINTENTIONAL INJURY IS A LEADING CAUSE OF DEATH AND DISABILITY FOR CHILDREN ACROSS THE COUNTRY AND THE STATISTICS ARE VERY SIMILAR FOR OUR

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
RONALD MCDONALD HOUSE
555 VALLEY ST	DAYTON	OH	45404	310964793	501(C)(3)	$12,500	CORPORATE DONATION
CULTURE WORKS
110 N MAIN STREET	DAYTON	OH	45402	237412338	501(C)(3)	$6,500	PROGRAM DONATION	SUITE 165
THE LEUKEMIA & LYMPHOMA SOCIETY
1311 MAMARONECK AVE	WHITE PLAINS	NY	106055221	135644916	501(C)(3)	$8,500	CORPORATE SPONSORSHIP
UNITED WAY OF GREATER DAYTON
184 SALEM AVENUE	DAYTON	OH	45406	310536658	501(C)(3)	$22,500	CORPORATE PLEDGE	FOUNDATION BUILDING 375
GOODWILL EASTER SEALS
1511 KUNTZ ROAD	DAYTON	OH	45404	370537112	501(C)(3)	$10,000	CORPORATE DONATION
DAYTON SOCIETY OF NATURAL HISTORY
2600 DEWEESE PARKWAY	DAYTON	OH	45414	310585917	501(C)(3)	$7,500	CORPORATE DONATION
GALA OF HOPE FOUNDATION
3500 PENTAGON BOULEVARD	DAYTON	OH	45431	464277044	501(C)(3)	$50,000	CORPORATE SPONSOR	SUITE 500
DAYTON METRO LIBRARY
215 EAST THIRD STREET	DAYTON	OH	45402	316000100		$6,666	CORPORATE SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
PHARMACY	251	$63,264
MEALS/FOOD	762	$25,324
TRANSPORTATION	1048	$30,657
RENT/UTILITIES	48	$15,560
SPECIAL EQUIPMENT	18	$9,706
OTHER	14	$6,224

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SUPPLEMENTAL INFORMATION	FormAndLineReferenceDesc
Explanation	SCHEDULE 1, PART 1, LINE 2 THE FINANCE COMMITTEE AND COMMUNITY RELATIONS MANAGER APPROVE ALL GRANTS AND CHARITABLE DONATIONS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DEBORAH FELDMAN
PRESIDENT AND CEO	$606,582	$0	$0	$0	$51,674	$0	$416,560	$0	$530	$0	$1,075,346	$0	$0	$0
DAVID T MILLER END 1215
VP FINANCE AND CFO	$340,746	$0	$0	$0	$62,622	$0	$73,696	$0	$22,360	$0	$499,424	$0	$0	$0
MATTHEW GRAYBILL
VP AND CHIEF OPERATING OFFICER	$302,616	$0	$0	$0	$30,081	$0	$213,395	$0	$27,126	$0	$573,218	$0	$0	$0
Adam Mezoff
VP Medical Affairs CMO	$465,714	$0	$0	$0	$24,615	$0	$15,900	$0	$23,005	$0	$529,234	$0	$0	$0
Renae Phillips
VP Patient Care CNO	$90,278	$0	$0	$0	$639,771	$0	$9,517	$0	$23,185	$0	$762,751	$0	$415,041	$0
Gregory Ramey
EXEC DIRECTOR PED MENTAL HEALT	$181,296	$0	$15,946	$0	$36,133	$0	$8,347	$0	$26,749	$0	$268,471	$0	$0	$0
Vicki Giambrone
VP Maktng External Relations	$106,057	$0	$0	$0	$593,051	$0	$5,769	$0	$0	$0	$704,877	$0	$593,051	$0
Lisa Coffey
VP Physician Services	$194,200	$0	$0	$0	$22,066	$0	$27,610	$0	$30,361	$0	$274,237	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SUPPLEMENTAL INFORMATION	FormAndLineReferenceDesc
Explanation	SCHEDULE J, PART I, LINE 4A KAREN BRAUN - 77,686 RENAE PHILLIPS - 217,935 SCHEDULE J, PART I, LINE 4B PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND THE INCREASE IN ACTUARIAL VALUE: DEBORAH FELDMAN - 401,660 ADAM MEZOFF - 0 DAVID T. MILLER - 63,166 GREGORY RAMEY - 0 VICKI GIAMBRONE - 5,366 MATTHEW GRAYBILL - 202,795 RENAE PHILLIPS - 5,287 RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: RENEA PHILLIPS - 415,041 VICKI GIAMBRONE - 417,846	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
COUNTY OF MONTGOMERY
A	316000172	000000000	2015-11-20	$12,675,000	HOSPITAL RENOVATION	false	false	false
COUNTY OF MONTGOMERY
B	316000172	000000000	2014-08-19	$117,055,000	HOSPITAL RENOVATION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$0	$0	$12,675,000	$0	$0	$0	$40,000	$0	$0	$0	$0	$12,635,000	false	false	false	Yes (true)
B	$0	$0	$117,055,000	$0	$0	$0	$400,070	$0	$0	$0	$65,758,000	$50,896,930	false	false	false	Yes (true)	2017

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0	false	false	false	false
B	false	false	false	false	0	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	Yes (true)	false	false	false	false	0	false	false
0
B	false	Yes (true)	false	false	Yes (true)	false	false	false	false	0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ELIZABETH EY
TRUSTEE	$173,982	MEDICAL SERVICES	false
JULIE CHRISTIAN
SPOUSE OF FORMER TRUSTEE	$21,646	EMPLOYMENT	false

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	8	ContributionCnt
Noncash Contributions Rpt F990	$1,357,760	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SELLING PRICE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SUPPLEMENTAL INFORMATION	FormAndLineReferenceDesc
Explanation	ALL STOCK DONATIONS ARE TRANSFERRED TO EITHER MORGAN STANLEY/SMITH BARNEY OR Dayton CHILDREN'S Hospital KEY BANK TRUST ACCOUNT TO SELL STOCK. MORGAN STANLEY/SMITH BARNEY SENDS CHECK FOR CASH RECEIVED TO CHILDREN'S. KEY BANK DIRECTLY DEPOSITS PROCEEDS INTO CHILDREN'S CHECKING ACCOUNT.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SUPPLEMENTAL INFORMATION	FORM 990, PART III, LINE 4A 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, 2016, the hospital's mix of patients was 57.5% Medicaid, 36.7% Commercial, 3.9% Other Government Programs and 1.9% 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, orthopaedics 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, 2016 are as follows: # of beds: 155, Inpatient days: 29,540, Admissions: 7,221 Average length of stay: 4.09 days. Average daily census: 81, Occupancy rate: 52.3%, Surgeries performed: 11,437, X-Ray studies: 50,837, Lab Test: 506,619, Respiratory therapy procedures: 88,009, Pharmacy doses dispensed: 3,542,530, cardiology procedures: 18,040, Neurology procedures: 3,464, Urgent care visits: 16,022, Emergency department visits: 78,578, Outpatient clinics: 103,294. Form 990, Part VI, 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 05/15/17. Form 990, Part VI, line 12C - Monitoring Conflict of Interest 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, lines 15a & 15b	Compensation for the hospital's Chief Executive Officer (CEO) is set by an Executive Compensation Committee (the Committee) made up of three independent trustees who are also officers of the Board. This Committee also approves compensation levels and executive benefits for each executive employed by the hospital. The Committee operates under a formal charter and keeps contemporaneous minutes of its proceedings. The Committee uses 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. Form 990, Part VI, Line 19 Availability of Financial statements, conflict of interest, organizing documents Dayton Children's Hospital's conflict of interest policy is made available on our website. The financial statements and the organizing documents are made available as required by the extent of the law. Form 990, Part VII -Elizabeth EY, MD is employed by Dayton Pediatric imaging. Dayton Children's Hospital contracts with Dayton Pediatric imaging for Dr. EY to provide services at Dayton Children's Hospital as the Medical Director of Radiology. Dr. Ey is also paid to be chairperson of our medical staff. -John Duby, MD is employed by Wright State University. Dayton Children's Hospital contracts with Wright State University for Dr. Duby to provide services at Dayton Children's Hospital as the chairman of the department of pediatrics. -Thomas Krzmarzick, MD is employed by Children's Emergency Services. Dayton Children's Hospital Contracts with Children's Emergency Services for Dr. Krzmarzick to provide services at Dayton Children's Emergency Department.
Form 990, Part XI	Transfer to Dayton Children's Hospital Foundation (9,563,757) Restricted net assets used for purchase of pp&e 5,603,325 Temporarily restricted net assets (7,689,717) Change in pension benefit obligation and plan assets (17,810,907) TOTAL ADJUSTMENT (29,461,056)
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:26986799
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:11284324
FORM 990 PART IX LINE 11G	DESCRIPTION:JOINT VENTURE - MVH TOTAL FEES:445758
FORM 990 PART IX LINE 11G	DESCRIPTION:JOINT VENTURE - PREMIER TOTAL FEES:1080

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHILDREN'S HOME CARE OF DAYTON
ONE CHILDRENS PLAZA	DAYTON	OH	45404	311356037	HOME CARE	OH	501(C)(3)	9	DCH	Yes (true)
DAYTON CHILDREN'S HOSPITAL FOUNDATION
ONE CHILDRENS PLAZA	DAYTON	OH	45404	311045247	SUPPORT	OH	501(C)(3)	11a	DCH	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHILDREN'S CARE GROUP
ONE CHILDRENS PLAZA	DAYTON	OH	45404	311411364	SPEC PHYS GRO	OH	DCH	C-CORP	$20,337,707	$12,238,545	1.00000	Yes (true)
CHILDREN'S ANESTHESIA GROUP
ONE CHILDRENS PLAZA	DAYTON	OH	45404	260887231	ANESTHESIA SV	OH	DCH	C-CORP	$8,090,887	$2,016,259	1.00000	Yes (true)
PEDIATRIC ASSURANCE COMPANY LTD
				980478183	SELF-INSURANC		DCH	N/A	$1,399,925	$47,952,720	1.00000	Yes (true)	BUTTERFIELD BANK BLDG 6TH FLOOR	HAMILTON	BERMUDA	BD	HM12	BD
DAYTON CHILDREN'S ORTHOPAEDIC
ONE CHILDRENS PLAZA	DAYTON	OH	45404	453934418	ORTHO SERVICE	OH	DCH	C-CORP	$6,267,713	$656,010	1.00000	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (17 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
DAYTON CHILDREN'S HOSPITAL FOUNDATION
B	$9,563,757	FMV
DAYTON CHILDREN'S HOSPITAL FOUNDATION
C	$8,173,164	CASH
DAYTON ORTHOPAEDICS
J	$143,579	CASH
CHILDREN'S HOME CARE OF DAYTON
M	$369,312	CASH
DAYTON CHILDREN'S HOSPITAL FOUNDATION
L	$75,080	FMV
CHILDREN'S CARE GROUP
M	$17,701,220	CASH
CHILDREN'S ANESTHESIA GROUP
M	$8,090,887	CASH
CHILDREN'S CARE GROUP
O	$211,803	FMV
CHILDREN'S ANESTHESIA GROUP
O	$1,372,086	FMV
CHILDREN'S HOME CARE OF DAYTON
Q	$7,283,929	CASH
CHILDREN'S CARE GROUP
Q	$2,000,306	CASH
DAYTON ORTHOPAEDICS
Q	$710,000	CASH
CHILDREN'S ANESTHESIA GROUP
R	$985,000	FMV
CHILDREN'S HOME CARE OF DAYTON
R	$109,000	FMV
DAYTON ORTHOPAEDICS
R	$747,180	FMV
DAYTON CHILDREN'S HOSPITAL FOUNDATION
E	$65,757,804	FMV
DAYTON ORTHOPAEDICS
K	$109,428	FMV