2017-05-15T15:41:53-05:00 2016-06-30 ERNST & YOUNG US LLP 800 YARD STREET SUITE 200 GRANDVIEW HEIGHTS OH 43212 990 2015-07-01 310672132 Dayton Children's Hospital % CHRIS BERGMAN DAYT 9376415819 One Childrens Plaza Dayton OH 454041815 CHRIS BERGMAN VP FINANCE AND CFO 9376415819 2017-05-12 DIANE L BEAN P00104972 6142245678 2015 2021-01-29 14:40:06Z DEBORAH FELDMAN ONE CHILDRENS PLAZA DAYTON OH 454041815 327585723 false X www.childrensdayton.org X 1967 OH TO IMPROVE THE HEALTH STATUS OF ALL CHILDREN THROUGH SERVICE, EDUCATION, RESEARCH AND ADVOCACY. 16 11 2225 993 55759 54759 27104214 25788633 234171510 255318286 21194516 16699522 2404437 2241227 284874677 300047668 226113 274901 0 0 119672065 126544320 0 0 1780101 109276324 115525589 229174502 242344810 55700175 57702858 595726324 668978426 80468052 145564664 515258272 523413762 X TO IMPROVE THE HEALTH STATUS OF ALL CHILDREN THROUGH SERVICE, EDUCATION, RESEARCH AND ADVOCACY. false false 224741171 274901 255759033 SEE SCHEDULE O. 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CHAIRMAN 1.0 0.0 X 1063 0 0 DEBORAH FELDMAN PRESIDENT AND CEO 40.0 0.0 X X 658256 0 417090 Linda Black-Kurek Trustee 1.0 0.0 X 0 0 0 James Whalen Trustee 1.0 0.0 X 0 0 0 Adam Mezoff VP Medical Affairs CMO 40.0 0.0 X 490329 0 38905 MARK CHILSON TRUSTEE 1.0 0.0 X 0 0 0 THOMAS KRZMARZICK TRUSTEE 1.0 0.0 X 0 0 0 JOHN DUBY MD BEG 0115 TRUSTEE 1.0 0.0 X 102773 0 0 TIMOTHY PEPPER BEG 1115 TRUSTEE 1.0 0.0 X 0 0 0 ARTHUR PICKOFF END 1015 TRUSTEE 1.0 0.0 X 0 0 0 DAVID T MILLER END 1215 VP FINANCE AND CFO 40.0 0.0 X 403368 0 96056 CHRIS BERGMAN BEG 0116 VP FINANCE & CFO 40.0 0.0 X 0 0 0 MATTHEW GRAYBILL VP AND CHIEF OPERATING OFFICER 40.0 0.0 X 332697 0 240521 Renae Phillips VP Patient Care CNO 40.0 0.0 X 730049 0 32702 Gregory Ramey EXEC DIRECTOR PED MENTAL HEALT 40.0 0.0 X 233375 0 35096 Vicki Giambrone VP Maktng External Relations 40.0 0.0 X 699108 0 5769 Lisa Coffey VP Physician Services 40.0 0.0 X 216266 0 57971 3887914 0 924110 102 false true false CHILDREN'S CARE GROUP 1 CHILDRENS PLAZA DAYTON OH 45404 PHYSICIAN SERVICES 18610775 WRIGHT STATE PHYSICIANS PO BOX 1144 DAYTON OH 45401 PHYSICIAN SERVICES 2212006 WRIGHT STATE UNIVERSITY PO BOX 927 DAYTON OH 45401 PHYSICIAN SERVICES 1443765 ORTHOPAEDIC CENTER FOR SPINAL PED 1 CHILDRENS PLAZA DAYTON OH 45404 PHYSICIAN SERVICES 866216 BRICKLER ECKLER 100 SOUTH THIRD STREET COLUMBUS OH 43215 LEGAL SERVICE 589562 16 32136 178880 5960440 967886 18649291 1357760 25788633 PATIENT SERVICE REVENUE 624100 157496979 157496979 MEDICARE/MEDICAID 624100 97765548 97765548 SURGERY CENTER 621400 55759 55759 255318286 4625990 4625990 0 0 309980 850756 -540776 0 -540776 -540776 38244808 10245 26127149 54372 12117659 -44127 12073532 12073532 214386 178880 124761 89625 89625 0 584293 381017 203276 203276 HITECH MEDICAL RECORDS 900099 306384 306384 CAFETERIA/KIDS CARE 900099 1251708 1251708 DAY CARE CENTER 812930 693539 693539 237471 237471 2489102 300047668 255703274 55759 18500002 124166 124166 150735 150735 0 0 2062407 2062407 21646 21646 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false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 64681 true 12681 true 96000 false 173362 false false SCHEDULE C SUPPLEMENTAL INFORMATION 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 166743504 9088944 -3600121 6073989 20000 166138338 171140209 3053446 -1935200 5514951 166743504 145550821 7058671 23383702 4815615 37370 0 171140209 127667969 7549823 14908772 4542192 33551 0 145550821 123741717 7937991 434441 4446180 0 0 127667969 1.00000 false true true 5710037 5710037 50881723 24763130 26118593 147249692 68057283 79192409 84097122 2147172 81949950 192970989 HIRTLE CALLAGHAN - OFFSHORE 56035991 F HIRTLE CALLAGHAN - COMMODITIES 15986198 F HIRTLE CALLAGHAN - REAL ESTATE 4365754 F 76387943 0 RESERVE FOR PROFESSIONAL LIA 5839625 EST REIMB/MEDICAID PROGRAM 367988 DEFERRED COMPENSATION PAYABLE 1651162 SERP PENSION ACCRUAL 3131179 REINSURANCE 2523370 PENSION LIABILITY 18074158 31587482 X 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. Central America and the Caribbean 1 2 Investments 107977703 Central America and the Caribbean 1 2 Program Services self insurance 1837896 2 4 2 4 109815599 109815599 true false true false false false GOLF OUTING 177507 138100 39407 28504 16832 300 8397 SFOT 122711 40780 81931 6000 22575 14291 2 93048 93048 612 7250 16646 550 2804 393266 178880 214386 612 41754 56053 850 25492 124761 89625 true true X true X true X true true true false true true 817352 817352 0.00340 123249429 97443272 25806158 0.10590 124066781 97443272 26623510 0.10930 447816 447816 0.00180 4134508 1531551 2602957 0.01070 18044195 6758039 11286156 0.04630 214618 214618 0.00090 22841137 8289590 14551547 0.05970 146907918 105732862 41175057 0.16900 805446 805446 0.00330 97948 97948 0.00040 10801 10801 0.00010 9838 9838 0.00010 5200 5200 0.00010 8560 8560 0.00010 10219 10219 0.00010 948012 948012 0.00420 false 3865282 474322 233345 233345 X true true 1 1 DAYTON CHILDREN'S HOSPITAL ONE CHILDRENS PLAZA DAYTON OH 454041815 www.childrensdayton.org X X X X X DAYTON CHILDREN'S HOSPITAL 1 false false true X X X X X X X X X X 13 true false true true X WWW.CHILDRENSDAYTON.ORG X X true 13 true WWW.CHILDRENSDAYTON.ORG false true X 100 400. X X X true true X X true X WWW.CHILDRENSDAYTON.ORG X WWW.CHILDRENSDAYTON.ORG X WWW.CHILDRENSDAYTON.ORG X X X X X true X false X X X true false false 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). 10 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 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 false RONALD MCDONALD HOUSE 555 VALLEY ST DAYTON OH 45404 310964793 501(C)(3) 12500 CORPORATE DONATION CULTURE WORKS 110 N MAIN STREET SUITE 165 DAYTON OH 45402 237412338 501(C)(3) 6500 PROGRAM DONATION THE LEUKEMIA & LYMPHOMA SOCIETY 1311 MAMARONECK AVE WHITE PLAINS NY 106055221 135644916 501(C)(3) 8500 CORPORATE SPONSORSHIP UNITED WAY OF GREATER DAYTON 184 SALEM AVENUE FOUNDATION BUILDING 375 DAYTON OH 45406 310536658 501(C)(3) 22500 CORPORATE PLEDGE GOODWILL EASTER SEALS 1511 KUNTZ ROAD DAYTON OH 45404 370537112 501(C)(3) 10000 CORPORATE DONATION DAYTON SOCIETY OF NATURAL HISTORY 2600 DEWEESE PARKWAY DAYTON OH 45414 310585917 501(C)(3) 7500 CORPORATE DONATION GALA OF HOPE FOUNDATION 3500 PENTAGON BOULEVARD SUITE 500 DAYTON OH 45431 464277044 501(C)(3) 50000 CORPORATE SPONSOR DAYTON METRO LIBRARY 215 EAST THIRD STREET DAYTON OH 45402 316000100 6666 CORPORATE SPONSORSHIP 7 1 PHARMACY 251 63264 MEALS/FOOD 762 25324 TRANSPORTATION 1048 30657 RENT/UTILITIES 48 15560 SPECIAL EQUIPMENT 18 9706 OTHER 14 6224 SUPPLEMENTAL INFORMATION SCHEDULE 1, PART 1, LINE 2 THE FINANCE COMMITTEE AND COMMUNITY RELATIONS MANAGER APPROVE ALL GRANTS AND CHARITABLE DONATIONS. X true true X X X X true true false false false false false false false DEBORAH FELDMAN PRESIDENT AND CEO 606582 0 0 0 51674 0 416560 0 530 0 1075346 0 0 0 DAVID T MILLER END 1215 VP FINANCE AND CFO 340746 0 0 0 62622 0 73696 0 22360 0 499424 0 0 0 MATTHEW GRAYBILL VP AND CHIEF OPERATING OFFICER 302616 0 0 0 30081 0 213395 0 27126 0 573218 0 0 0 Adam Mezoff VP Medical Affairs CMO 465714 0 0 0 24615 0 15900 0 23005 0 529234 0 0 0 Renae Phillips VP Patient Care CNO 90278 0 0 0 639771 0 9517 0 23185 0 762751 0 415041 0 Gregory Ramey EXEC DIRECTOR PED MENTAL HEALT 181296 0 15946 0 36133 0 8347 0 26749 0 268471 0 0 0 Vicki Giambrone VP Maktng External Relations 106057 0 0 0 593051 0 5769 0 0 0 704877 0 593051 0 Lisa Coffey VP Physician Services 194200 0 0 0 22066 0 27610 0 30361 0 274237 0 0 0 SUPPLEMENTAL INFORMATION 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 A COUNTY OF MONTGOMERY 316000172 000000000 2015-11-20 12675000 HOSPITAL RENOVATION false false false B COUNTY OF MONTGOMERY 316000172 000000000 2014-08-19 117055000 HOSPITAL RENOVATION false false false A 0 0 12675000 0 0 0 40000 0 0 0 0 12635000 false false false true B 0 0 117055000 0 0 0 400070 0 0 0 65758000 50896930 2017 false false false true A false false false false 0 false false false false B false false false false 0 false false false false A false true false false true false 0 false false false 0 false false B false true false false true false 0 false false false 0 false false A false B false ELIZABETH EY TRUSTEE 173982 MEDICAL SERVICES false JULIE CHRISTIAN SPOUSE OF FORMER TRUSTEE 21646 EMPLOYMENT false X 8 1357760 SELLING PRICE false true true SUPPLEMENTAL INFORMATION 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. 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 CHILDREN'S HOME CARE OF DAYTON ONE CHILDRENS PLAZA DAYTON OH 45404 311356037 HOME CARE OH 501(C)(3) 9 DCH true DAYTON CHILDREN'S HOSPITAL FOUNDATION ONE CHILDRENS PLAZA DAYTON OH 45404 311045247 SUPPORT OH 501(C)(3) 11a DCH true CHILDREN'S CARE GROUP ONE CHILDRENS PLAZA DAYTON OH 45404 311411364 SPEC PHYS GRO OH DCH C-CORP 20337707 12238545 1.00000 true CHILDREN'S ANESTHESIA GROUP ONE CHILDRENS PLAZA DAYTON OH 45404 260887231 ANESTHESIA SV OH DCH C-CORP 8090887 2016259 1.00000 true PEDIATRIC ASSURANCE COMPANY LTD BUTTERFIELD BANK BLDG 6TH FLOOR HAMILTON BERMUDA BD HM12 980478183 SELF-INSURANC BD DCH N/A 1399925 47952720 1.00000 true DAYTON CHILDREN'S ORTHOPAEDIC ONE CHILDRENS PLAZA DAYTON OH 45404 453934418 ORTHO SERVICE OH DCH C-CORP 6267713 656010 1.00000 true false true true false true false false false false true true true true false true false true true false DAYTON CHILDREN'S HOSPITAL FOUNDATION B 9563757 FMV DAYTON CHILDREN'S HOSPITAL FOUNDATION C 8173164 CASH DAYTON ORTHOPAEDICS J 143579 CASH CHILDREN'S HOME CARE OF DAYTON M 369312 CASH DAYTON CHILDREN'S HOSPITAL FOUNDATION L 75080 FMV CHILDREN'S CARE GROUP M 17701220 CASH CHILDREN'S ANESTHESIA GROUP M 8090887 CASH CHILDREN'S CARE GROUP O 211803 FMV CHILDREN'S ANESTHESIA GROUP O 1372086 FMV CHILDREN'S HOME CARE OF DAYTON Q 7283929 CASH CHILDREN'S CARE GROUP Q 2000306 CASH DAYTON ORTHOPAEDICS Q 710000 CASH CHILDREN'S ANESTHESIA GROUP R 985000 FMV CHILDREN'S HOME CARE OF DAYTON R 109000 FMV DAYTON ORTHOPAEDICS R 747180 FMV DAYTON CHILDREN'S HOSPITAL FOUNDATION E 65757804 FMV DAYTON ORTHOPAEDICS K 109428 FMV