DAYTON CHILDRENS HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: DAYTON CHILDRENS HOSPITAL (EIN 31-0672132)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-13
IRS object ID: 201621349349303562
Schema version: 2014v6.0
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	2016-05-13T11:35:35-05:00	ReturnTs
Tax Period End	2015-06-30	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 YEARD 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	2014-07-01	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
Signature	2016-05-12	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	2014	TaxYr
Build TS	2016-12-15 16:53:06Z	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	$384,387,897	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	17	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2097	TotalEmployeeCnt
Total Volunteers	896	TotalVolunteersCnt
Total Gross UBI	$53,944	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$52,944	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$13,842,373	PYContributionsGrantsAmt
CY Contributions Grants	$27,104,214	CYContributionsGrantsAmt
PY Program Service Revenue	$222,448,755	PYProgramServiceRevenueAmt
CY Program Service Revenue	$234,171,510	CYProgramServiceRevenueAmt
PY Investment Income	$16,779,095	PYInvestmentIncomeAmt
CY Investment Income	$21,194,516	CYInvestmentIncomeAmt
PY Other Revenue	$3,476,755	PYOtherRevenueAmt
CY Other Revenue	$2,404,437	CYOtherRevenueAmt
PY Total Revenue	$256,546,978	PYTotalRevenueAmt
CY Total Revenue	$284,874,677	CYTotalRevenueAmt
PY Grants And Similar Paid	$286,187	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$226,113	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$112,612,147	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$119,672,065	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,466,445	CYTotalFundraisingExpenseAmt
PY Other Expenses	$95,941,116	PYOtherExpensesAmt
CY Other Expenses	$109,276,324	CYOtherExpensesAmt
PY Total Expenses	$208,839,450	PYTotalExpensesAmt
CY Total Expenses	$229,174,502	CYTotalExpensesAmt
PY Revenues Less Expenses	$47,707,528	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$55,700,175	CYRevenuesLessExpensesAmt
Total Assets BOY	$541,648,879	TotalAssetsBOYAmt
Total Assets EOY	$595,726,324	TotalAssetsEOYAmt
Total Liabilities BOY	$46,321,598	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$80,468,052	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$495,327,281	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$515,258,272	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	$213,313,008	ExpenseAmt
Grant	$226,113	GrantAmt
Revenue	$234,665,407	RevenueAmt
Desc	SEE SCHEDULE O.	Desc
Total Program Service Expenses	$213,313,008	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	89	IRPDocumentCnt
IRP Document W2 G	1	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2097	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	17	GoverningBodyVotingMembersCnt
Independent Voting Member	12	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 (32 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
EMILY CHAMBERS ENDED 1014
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
LESLIE BARNES CARSON
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
JEFFREY CHRISTIANMDENDED 1014
TRUSTEE	40.0	0.0	Yes (X)	$0	$515,994	$63,013
GREGORY EBERHART MD
TRUSTEE	1.0	0.0	Yes (X)	$5,000	$0	$0
ELIZABETH EY MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
SCOTT KELLY
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
THERESE MCNEA-WILEY
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
ARTHUR PICKOFF MD
TRUSTEE	1.0	0.0	Yes (X)	$116,225	$0	$0
GREGORY SAMPLE
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
MICHAEL SHANE
Vice Chair	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
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	Yes (X)
COLLEEN RYAN ENDED 1014
ASST. SECRETARY/TREASURER	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
VISHAL SOIN
CHAIRMAN	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
DEBORAH FELDMAN
PRESIDENT AND CEO	40.0	1.0	Yes (X)	$681,099	$0	$151,939	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)	$458,683	$0	$34,252	Yes (X)
MARK CHILSON BEG 1101
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
THOMAS KRZMARZICK BEG 1101
CHAIRMAN ELECT-PROF STAFF	1.0	0.0	Yes (X)	$201,529	$0	$0
DAVID T MILLER
VP FINANCE AND CFO	40.0	1.0		$392,160	$0	$173,718	Yes (X)
MATTHEW GRAYBILL
VP AND CHIEF OPERATING OFFICER	40.0	0.0		$327,774	$0	$100,660	Yes (X)
Lisa Coffey
VP Corporate Support Services	40.0	0.0		$212,827	$0	$50,014		Yes (X)
Renae Phillips
VP Patient Care CNO	40.0	0.0		$275,915	$0	$102,375		Yes (X)
BEN GOODSTEIN BEG 0114
VP & CHIEF AMBULATORY OFFICER	40.0	0.0		$193,862	$0	$38,412		Yes (X)
CINDY BURGER BEG 0114
VP FOR PATIENT EXPERIENCE	40.0	0.0		$184,869	$0	$43,678		Yes (X)
Gregory Ramey
VP Outpatient Services	40.0	0.0		$202,529	$0	$37,135			Yes (X)
Vicki Giambrone
VP Maktng External Relations	40.0	1.0		$275,581	$0	$31,149			Yes (X)
Maragret Hemmen
CR Nurse Anesthetist	40.0	0.0		$202,211	$0	$18,111			Yes (X)
Erika Green
CR Nurse Anesthetist	40.0	0.0		$179,686	$0	$16,937			Yes (X)
Elizabeth Fredette
Director Info Services CIO	40.0	0.0		$186,913	$0	$41,923			Yes (X)
DAVID KINSAUL
FORMER PRESIDENT AND CEO	0.0	0.0		$239,066	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,335,929	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$515,994	TotReportableCompRltdOrgAmt
Total Other Compensation	$903,316	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	16	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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	$12,781,593
WRIGHT STATE PHYSICIANS
PO BOX 1144	DAYTON	OH	45401	PHYSICIAN SERVICES	$2,125,167
WRIGHT STATE UNIVERSITY
PO BOX 927	DAYTON	OH	45401	PHYSICIAN SERVICES	$1,420,409
ORTHOPAEDIC CENTER FOR SPINAL PED
1 CHILDRENS PLAZA	DAYTON	OH	45404	PHYSICIAN SERVICES	$573,006
MIDWEST LAUNDRY INC
PO BOX 932696	CLEVELAND	OH	44193	LAUNDRY SERVICE	$465,397

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$28,369	FederatedCampaignsAmt
Fundraising	$534,105	FundraisingAmt
Related Organizations	$5,395,092	RelatedOrganizationsAmt
Government Grants	$744,629	GovernmentGrantsAmt
All Other Contributions	$20,402,019	AllOtherContributionsAmt
Noncash Contributions	$128,502	NoncashContributionsAmt
Total Contributions	$27,104,214	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	624100	$153,776,208	$153,776,208
MEDICARE/MEDICAID	624100	$80,996,628	$80,996,628
SURGERY CENTER	621400	$53,944		$53,944
LOSS FOR JOINT VENTURE	624100	-$655,270	-$655,270

Field	Value	IRS element (for citing)
Total Program Service Revenue	$234,171,510	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,908,874	TotalRevenueColumnAmt
Exclusion	$4,908,874	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	$289,313	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$882,082	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$592,769	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$592,769	TotalRevenueColumnAmt
Exclusion	-$592,769	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$114,314,250	SecuritiesAmt
Other	$1,850	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$97,997,947	SecuritiesAmt
Other	$32,511	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$16,316,303	SecuritiesAmt
Other	-$30,661	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,285,642	TotalRevenueColumnAmt
Exclusion	$16,940,912	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$493,464	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$534,105	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$233,982	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$259,482	TotalRevenueColumnAmt
Exclusion	$259,482	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	$556,951	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$366,698	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$190,253	TotalRevenueColumnAmt
Related Or Exempt Func Income	$190,253	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
HITECH MEDICAL RECORDS	900099	$292,507	$292,507
CAFETERIA/KIDS CARE	900099	$1,266,480	$1,266,480
DAY CARE CENTER	812930	$684,840	$684,840

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$303,644	TotalRevenueColumnAmt
Related Or Exempt Func Income	$303,644	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,547,471	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$284,874,677	TotalRevenueColumnAmt
Related Or Exempt Func Income	$234,611,463	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$53,944	UnrelatedBusinessRevenueAmt
Exclusion	$23,760,326	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$88,000	TotalAmt
Program Services	$88,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$138,113	TotalAmt
Program Services	$138,113	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	$3,482,183	TotalAmt
Management And General	$3,482,183	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$239,066	TotalAmt
Management And General	$239,066	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$89,667,483	TotalAmt
Program Services	$85,097,185	ProgramServicesAmt
Management And General	$3,808,884	ManagementAndGeneralAmt
Fundraising	$761,414	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,933,671	TotalAmt
Program Services	$6,581,206	ProgramServicesAmt
Management And General	$293,744	ManagementAndGeneralAmt
Fundraising	$58,721	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,800,049	TotalAmt
Program Services	$12,254,458	ProgramServicesAmt
Management And General	$436,250	ManagementAndGeneralAmt
Fundraising	$109,341	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,549,613	TotalAmt
Program Services	$6,216,670	ProgramServicesAmt
Management And General	$277,474	ManagementAndGeneralAmt
Fundraising	$55,469	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	$405,390	TotalAmt
Management And General	$405,390	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$252,780	TotalAmt
Management And General	$252,780	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$112,382	TotalAmt
Program Services	$112,382	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	$24,574,536	TotalAmt
Program Services	$24,232,467	ProgramServicesAmt
Management And General	$342,069	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,171,785	TotalAmt
Program Services	$1,171,785	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,453,269	TotalAmt
Program Services	$13,140,499	ProgramServicesAmt
Management And General	$1,117,531	ManagementAndGeneralAmt
Fundraising	$195,239	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,485,248	TotalAmt
Program Services	$6,485,248	ProgramServicesAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,296,042	TotalAmt
Program Services	$3,130,027	ProgramServicesAmt
Management And General	$165,730	ManagementAndGeneralAmt
Fundraising	$285	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$794,053	TotalAmt
Program Services	$564,218	ProgramServicesAmt
Management And General	$182,705	ManagementAndGeneralAmt
Fundraising	$47,130	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	$199,193	TotalAmt
Program Services	$199,193	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$747,653	TotalAmt
Program Services	$747,653	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,185,596	TotalAmt
Program Services	$14,706,738	ProgramServicesAmt
Management And General	$441,594	ManagementAndGeneralAmt
Fundraising	$37,264	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,453,696	TotalAmt
Program Services	$1,453,696	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PURCHASED SERVICES	$9,571,509	$6,420,278	$2,949,649	$201,582
STATE HOSPITAL ASSESSMENT	$4,637,097	$4,637,097
MISCELLANEOUS	$23,185	$23,185
MEDICAL SUPPLIES	$25,912,910	$25,912,910

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$229,174,502	TotalAmt
Program Services	$213,313,008	ProgramServicesAmt
Management And General	$14,395,049	ManagementAndGeneralAmt
Fundraising	$1,466,445	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$14,647	BOYAmt
EOY	$14,522	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$69,523,361	BOYAmt
EOY	$74,834,812	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$862,058	BOYAmt
EOY	$8,071,553	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$39,566,580	BOYAmt
EOY	$50,960,480	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	$14,794	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,695,087	BOYAmt
EOY	$2,178,872	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$444,404	BOYAmt
EOY	$741,143	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$219,726,260	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$95,482,599	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$104,080,751	BOYAmt
EOY	$124,243,661	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$264,538,849	BOYAmt
EOY	$251,484,299	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$47,882,926	BOYAmt
EOY	$73,688,396	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,238,611	BOYAmt
EOY	$2,621,333	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	$9,786,811	BOYAmt
EOY	$6,887,253	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$541,648,879	BOYAmt
EOY	$595,726,324	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$33,004,777	BOYAmt
EOY	$39,137,759	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	$0	BOYAmt
EOY	$27,907,804	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	$13,316,821	BOYAmt
EOY	$13,422,489	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$46,321,598	BOYAmt
EOY	$80,468,052	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$493,785,276	BOYAmt
EOY	$505,388,759	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,542,005	BOYAmt
EOY	$9,869,513	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	$495,327,281	BOYAmt
EOY	$515,258,272	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$541,648,879	BOYAmt
EOY	$595,726,324	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$55,700,175	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$24,989,388	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$10,779,796	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	Yes (true)	MailingsMembersInd
Mailings Members	$500	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$64,950	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$23,021	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$40,908	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$129,379	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 1D: MAILINGS $500 LINE 1F: OHIO HOSPITAL ASSOCIATION $2,121 OHIO CHILDREN'S HOSPITAL ASSOCIATION $42,047 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS $20,782 TOTAL: $64,950 LINE 1G: MANAGEMENT TIME $16,997 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 $6,024 TOTAL: $23,021 LINE 1H: CONSULTING EXPENSE $40,908 TOTAL LINE 1J: $129,379	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$97,132,791	BeginningYearBalanceAmt
Contributions	$7,689,808	ContributionsAmt
Investment Earnings Or Losses	$22,325,672	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,402,441	GrantsOrScholarshipsAmt
Other Expenditures	$4,113	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$123,741,717	EndYearBalanceAmt

Field	Value	IRS element (for citing)
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	$4,995,723	OtherCostOrOtherBasisAmt
Book Value	$4,995,723	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$51,343,355	OtherCostOrOtherBasisAmt
Depreciation	$24,421,091	DepreciationAmt
Book Value	$26,922,264	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$142,996,890	OtherCostOrOtherBasisAmt
Depreciation	$69,041,887	DepreciationAmt
Book Value	$73,955,003	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,390,292	OtherCostOrOtherBasisAmt
Depreciation	$2,019,621	DepreciationAmt
Book Value	$18,370,671	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$124,243,661	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
HIRTLE CALLAGHAN - OFFSHORE	$52,445,623	F
HIRTLE CALLAGHAN - COMMODITIES	$17,568,287	F
HIRTLE CALLAGHAN - REAL ESTATE	$3,674,486	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$73,688,396	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
RESERVE FOR PROFESSIONAL LIA	$5,403,783
EST REIMB/MEDICAID PROGRAM	$411,716
DEFERRED COMPENSATION PAYABLE	$1,644,624
SERP PENSION ACCRUAL	$2,663,437
REINSURANCE	$3,298,929

Field	Value	IRS element (for citing)
Total Liability	$13,422,489	TotalLiabilityAmt

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 2015 OR 2014. 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, 2015 OR 2014.

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	$106,311,583
Central America and the Caribbean	1	2	Program Services	$1,737,147	Captive 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	$108,048,730	SubtotalSpentAmt
Total Spent	$108,048,730	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	DINNER DANCE	Event1Nm
Gross Receipts Event1	$595,996	GrossReceiptsEvent1Amt
Charitable Contri Event1	$366,970	CharitableContriEvent1Amt
Gross Revenue Event1	$229,026	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$6,488	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$44,382	FoodAndBeverageEvent1Amt
Entertainment Event1	$1,500	EntertainmentEvent1Amt
Other Direct Expenses Event1	$31,910	OtherDirectExpensesEvent1Amt
Event2	GOLF OUTING	Event2Nm
Gross Receipts Event2	$188,976	GrossReceiptsEvent2Amt
Charitable Contri Event2	$127,115	CharitableContriEvent2Amt
Gross Revenue Event2	$61,861	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$22,875	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$18,667	FoodAndBeverageEvent2Amt
Entertainment Event2	$300	EntertainmentEvent2Amt
Other Direct Expenses Event2	$15,789	OtherDirectExpensesEvent2Amt
Other Events Total	3	OtherEventsTotalCnt
Gross Receipts Other Events	$242,597	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$40,020	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$202,577	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$931	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$13,250	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$40,203	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$1,340	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$36,347	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,027,569	GrossReceiptsTotalAmt
Charitable Contributions Tot	$534,105	CharitableContributionsTotAmt
Gross Revenue Total Events	$493,464	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$931	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$42,613	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$103,252	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$3,140	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$84,046	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$233,982	DirectExpenseSummaryEventsAmt
Net Income Summary	$259,482	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
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	$1,093,428	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,093,428	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$115,065,439	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,426,496	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,638,943	NetCommunityBenefitExpnsAmt
Total Expense	0.12430	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$116,158,867	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,426,496	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,732,371	NetCommunityBenefitExpnsAmt
Total Expense	0.12900	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$767,592	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$767,592	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,928,575	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,347,124	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,581,451	NetCommunityBenefitExpnsAmt
Total Expense	0.01120	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,822,293	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,206,620	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,615,673	NetCommunityBenefitExpnsAmt
Total Expense	0.03310	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$167,435	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$167,435	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,685,895	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,553,744	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,132,151	NetCommunityBenefitExpnsAmt
Total Expense	0.04830	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$133,844,762	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$92,980,240	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,864,522	NetCommunityBenefitExpnsAmt
Total Expense	0.17730	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$339,797	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$339,797	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,107	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,107	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,772	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$33,772	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,748	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,748	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,132	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,132	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,703	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$38,703	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$437,259	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$437,259	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$4,293,220	BadDebtExpenseAmt
Bad Debt Expense Attributable	$767,251	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$202,327	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$202,327	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
Strategy Attached	false	StrategyAttachedInd
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	150.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
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
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
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
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 9 HEALTH CARE FACILITIES OTHER THAN THOSE REQUIRED TO BE LICENSED, REGISTERED OR SIMILARLY RECOGNIZED AS A HEALTH CARE FACILITY UNDER STATE LAW. WE HAVE 5 TESTING CENTERS, 4 OFFSITE CLINICS, AND 1 URGENT CARE CENTER (50% OWNED).

Field	Value	IRS element (for citing)
Facility	9	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 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

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H Part VI	DAYTON CHILDREN'S INCLUDED $12,822,293 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. The first assessment was conducted in 2002 then in 2005, 2008, and 2011. Our fifth and most current assessment was completed in June 2014. 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 provides the assessment report to provide community health advocates insights into the health and well-being of our region's children and to provide 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.
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, including the primary (Montgomery, Greene, Clark and Miami Counties), the northern (Allen, Auglaize and Shelby counties), and the southern (parts of Butler and Warren counties) service areas and our secondary service area including Preble, Darke, Mercer, Van Wert, Clinton, Madison, Hancock, Hardin, Logan, Fayette, Champaign and Wayne County, Indiana. 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 over 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: 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 OVER THE NEXT THREE YEARS. 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, THIS PROGRAM GAVE EDUCATION TO ROUGHLY 40 PROVIDERS AND OFFICE STAFF PERSONNEL PER MONTH. IN ADDITION, 20 INDIVIDUALS (PARENTS AND CHILDREN) HAVE RECEIVED EDUCATION EACH MONTH. 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 9,106,000 PEOPLE THOUGH PAID MEDIA ADVERTISING AND 20,000 THROUGH OUTREACH EVENTS- BOTH FOCUSING ON THE IMPORTANCE OF TALKING WITH A PHYSICIAN ABOUT WEIGHT CONCERNS. WITHIN THE HOSPITAL, DAYTON CHILDREN'S PROVIDES INFORMATION TO PARENTS REGARDING THEIR CHILD'S BMI IN BOTH THE INPATIENT AND OUTPATIENT SETTINGS TO BEGIN A CONVERSATION ABOUT HEALTHY GROWTH. 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, DAYTON CHILDREN'S SAW APPROXIMATELY 2,000 PSYCHIATRY VISITS AND OFFERED PEDIATRIC PSYCHIATRY SERVICES NOT PREVIOUSLY AVAILABLE IN OUR REGION. 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 MEETS SIX TIMES PER YEAR. 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 WAIT TIME FOR NEW EVALUATIONS HAS DECREASED FROM OVER 200 DAYS TO LESS THAN 5 DAYS. THE INCREASED FOCUS ON MENTAL HEALTH HAS ALLOWED DAYTON CHILDREN'S TO IMPLEMENT SEVERAL SIGNIFICANT IMPROVEMENTS TO ADDRESS AN INCREASING NUMBER OF CHILDREN (APPROXIMATELY 600) COMING TO OUR EMERGENCY DEPARTMENT FOR MENTAL HEALTH EVALUATIONS. WE HAVE REVISED INTERNAL PROCESSES TO PROVIDE FOR GREATER SUPERVISION AND SAFETY FOR THESE CHILDREN, AS WELL AS DEVELOPED RELATIONSHIPS WITH PEDIATRIC PSYCHIATRIC INPATIENT UNITS TO EXPEDITE THE TRANSFER OF THESE PATIENTS. DAYTON CHILDREN'S ALSO SUCCESSFULLY RECRUITED A PEDIATRIC NEUROPSYCHOLOGIST, WHO WILL DEVELOP A PROGRAM TO EVALUATE CHILDREN NEEDING THESE SPECIALIZED ASSESSMENTS. AND THE HOSPITAL CONTINUES TO ENGAGE PEDIATRIC PRACTICES TO EDUCATE THEM ON THE AVAILABILITY OF OUR SERVICES. CENTER STAFF HAS ALSO MADE OVER 30 PRESENTATIONS TO VARIOUS COMMUNITY GROUPS THIS PAST YEAR. PRIORITY 3: INFANT MORTALITY/SAFE SLEEP PRACTICES THE REGIONAL INFANT MORTALITY RATE WAS SUBSTANTIALLY LOWER THAN THE STATE'S RATE OVER MOST OF THE STUDY PERIOD THEN CLIMBED UP TO THE STATE 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, 16.67 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 35 COMMUNITY EVENTS REACHING OVER 4,000 COMMUNITY MEMBERS WITH MESSAGING. 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 THE CLASS, PARENTS/CAREGIVERS ARE PROVIDED WITH A GRACO PACK 'N PLAY PORTABLE CRIB. WE ALSO OFFER A COMPLETE 'SAFE SLEEP SURVIVAL KIT: WHICH CONTAINS A HALO SLEEP SACK (WEARABLE BLANKET), A PACK N PLAY CRIB SHEET, AND A PACIFIER APPROVED BY THE AMERICAN ACADEMY OF PEDIATRICS. IN FY 2015, DAYTON CHILDREN'S DISTRIBUTED OVER 485 PACK N PLAYS THROUGH THIS PROGRAM. THIS YEAR, DAYTON CHILDREN'S ALSO RECEIVED A GRANT FROM THE OHIO INJURY PREVENTION PARTNERSHIP/OHIO DEPARTMENT OF HEALTH TO TRAIN HOME VISITORS EMPLOYED BY WIC AND HELP ME GROW, AS WELL AS EDUCATORS WHO TRAIN DAY CARE CENTER PROGRAM STAFF, ON THE SAFE SLEEP ENVIRONMENT. DURING THIS FISCAL YEAR FUNDING WAS SECURED AND INITIAL TRAININGS WERE HELD. DURING THIS FISCAL YEAR WE ALSO REALIGNED OUR INTERNAL INFANT MORTALITY AWARENESS AND PREVENTION COMMITTEE AREAS OF FOCUS WITH THE OHIO DEPARTMENT OF HEALTH OHIO INFANT MORTALITY REDUCTION WORK PLAN TO ENSURE OUR STRATEGIES ALIGNED WITH THE WORK BEING DONE AT THE STATE LEVEL. WHILE THERE IS A LOT OF WORK TO DO AROUND INFANT MORTALITY WITHIN OUR REGION AND ACROSS THE STATE OF OHIO, MONTGOMERY COUNTY SAW A DROP IN OUR INFANT MORTALITY RATE IN 2014 TO 6.1 COMPARED TO OUR 10-YEAR AVERAGE OF 7.7 DEATHS PER 1,000 (ODH IN THE 2014 OHIO INFANT MORTALITY DATA: GENERAL FINDINGS).
Schedule H Part VI	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 OPERATES IN FOUR AREAS OF CHILD HEALTH: EDUCATION AND OUTREACH, POLICY AND RESEARCH. BY COORDINATING INTERNAL, REGIONAL, STATE AND NATIONAL ORGANIZATIONS AND RESOURCES, THE CENTER AND ITS PARTNERS ARE ABLE TO PROVIDE SPECIFIC PROGRAMS DESIGNED TO PREVENT ILLNESS, INJURY AND OTHER HARM, AS WELL AS IMPROVE THE HEALTH OF CHILDREN. THE CENTER FOCUSES ON CROSS-SECTOR COLLABORATION TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH DISPARITY THAT LEAD TO ALIGNED PROGRAMS THAT WILL ALLOW US TO MAKE OUR REGION ONE OF THE HEALTHIEST PLACES TO GROW UP. THE CENTER WILL LEAD THE COMMUNITY HEALTH ASSESSMENT RESEARCH, PLANNING AND PRIORITY AREA PROGRAM IMPLEMENTATION, OUTREACH AND EDUCATION PROGRAMMING, AND CHILD HEALTH POLICY INITIATIVES TO MOVE CHILDREN'S HEALTH AND SAFETY ISSUES FORWARD. THROUGH THE CENTER FOR CHILD HEALTH AND WELL NESS, THE HOSPITAL WILL WORK WITH ORGANIZATIONS FOCUSED ON CHILD HEALTH AND SAFETY ISSUES TO ESTABLISH A COMMUNITYWIDE CHILD HEALTH AND WELLNESS PUBLIC POLICY AGENDA. THE INITIAL FOCUS ON THE CENTER FOR CHILD HEALTH AND WELL NESS WILL BE TO ADDRESS TWO ADDITIONAL NEEDS IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT, PEDIATRIC ASTHMA AND THE NEED FOR GREATER CONNECTIONS TO RESOURCES FOR PATIENT FAMILIES. 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 SERVICE AREAS AS WELL AS IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT. DAYTON CHILDREN'S CONTINUES OUR WORK TO PREVENT CHILDHOOD INJURIES. WE WORK WITH PARTNERS SUCH AS SAFE COMMUNITIES, OHIO INJURY PREVENTION PARTNERSHIP, OHIO OCCUPANT PROTECTION REGIONAL COORDINATOR PROGRAM AND THE MONTGOMERY COUNTY CHILD FATALITY REVIEW BOARD TO ADDRESS SOME OF THE KEY UNINTENTIONAL INJURIES TO CHILDREN IN OUR COMMUNITY, SUCH AS MOTOR VEHICLE ACCIDENTS, PEDESTRIAN ACCIDENTS AND UNSAFE SLEEP PRACTICES. WE ARE THE LEAD AGENCY OF SAFE KIDS GREATER DAYTON, WHICH IS OUR REGION'S LEADER IN CHILDHOOD INJURY PREVENTION PROGRAMMING. THE SAFE KIDS GREATER DAYTON COALITION ADDRESSES KEY PEDIATRIC SAFETY ISSUES WITH COMMUNITY PROGRAMMING INCLUDING CHILD PASSENGER SAFETY, PEDESTRIAN SAFETY, HOME/FIRE SAFETY, MEDICATION POISONING PREVENTION AND BICYCLE HELMET EDUCATION. DAYTON CHILDREN'S ALSO WORKS WITH SPORTS TEAMS AND COACHES TO PREVENT SPORTS INJURIES AND CONCUSSIONS. THE DAVINCI PROJECT THE DAVINCI PROJECT IS A COMPREHENSIVE STRATEGY FOR NEIGHBORHOOD REVITALIZATION SUPPORTED IN THE OLD NORTH DAYTON AND MCCOOK FIELD NEIGHBORHOODS AND THE BUSINESS COMMUNITY AROUND IT- INCLUDING DAYTON CHILDREN'S. DAYTON CHILDREN'S LEADS THIS EFFORT AND IS JOINED BY PARTNERS INCLUDING THE CITY OF DAYTON, GREATER OLD NORTH DAYTON BUSINESS ASSOCIATION, THE SALVATION ARMY KROC CENTER, THE UNIVERSITY OF DAYTON FITZ CENTER OF LEADERSHIP IN COMMUNITY, ST. MARY'S COMMUNITY DEVELOPMENT CORP. AND CITY WIDE DEVELOPMENT. THE DAVINCI PROJECT IS WORKING ON EFFORTS TO DEMOLISH NUISANCE BUILDINGS, REALIGN STREETS, BUILD A CHILDREN'S GARDEN, REVITALIZE BUS STOPS, IMPROVE WAYFINDING AND BEAUTIFY THE NEIGHBORHOOD SO IT CONTINUES TO BE ATTRACTIVE TO FAMILIES AND BUSINESSES. THIS PROJECT IS IMPORTANT TO DAYTON CHILDREN'S, NOT ONLY BECAUSE WE WANT TO BE AN ACTIVE PARTICIPANT IN OUR COMMUNITY, WE WANT PATIENTS, STAFF, VOLUNTEERS AND VISITORS TO FEEL WELCOME WHEN THEY ENTER THE OLD NORTH DAYTON- A NEIGHBORHOOD THAT WE ARE PROUD TO CALL HOME. THIS PAST FISCAL YEAR, THE DAVINCI PROJECT LED SOME SIGNIFICANT CHANGES. IN DECEMBER 2014, FIVE COMMERCIAL BUILDINGS, MANY IN SEVERE DISREPAIR, WERE DEMOLISHED TO ALLOW FOR A FUTURE ROAD THAT WILL BE CONSTRUCTED IN 2020. IN THEIR PLACE, SIZABLE NEW GREEN SPACE HAS BEEN REALIZED. IN MID-MAY 2015, CREWS LAID GRASS SEED, INSTALLED TREES AND BUSHES, AND MADE MULTIPLE OTHER LANDSCAPE ENHANCEMENTS CREATING A BEAUTIFUL GREEN GATEWAY INTO THE OLD NORTH DAYTON NEIGHBORHOOD AND DAYTON CHILDREN'S HOSPITAL CAMPUS. IN SPRING 2015, A NEW BUS STOP WAS INSTALLED IN FRONT OF DAYTON CHILDREN'S. THIS BUS STOP HAS A MUCH SAFER DESIGN FOR PATIENT FAMILIES AND NEIGHBORHOOD MEMBERS. ADDITIONAL COMMUNITY SUPPORT BEYOND PARTICIPATION IN ORGANIZATIONS THAT DIRECTLY IMPACT CHILDREN AND CHILDREN'S HEALTH, DAYTON CHILDREN'S STAFF AND LEADERSHIP SERVE ON VARIOUS COALITIONS TO IMPROVE THE ECONOMIC AND SOCIAL HEALTH OF OUR COMMUNITY INCLUDING THE ST. VINCENT DE PAUL, RONALD MCDONALD HOUSE BOARD OF TRUSTEES, THE FAMILY AND CHILDREN FIRST COUNCIL AND THE NATIONAL CONFERENCE FOR COMMUNITY AND JUSTICE. THROUGH THESE ACTIVITIES, DAYTON CHILDREN'S STRIVES TO CREATE A COMMUNITY THAT IS A PLACE WHERE ALL CHILDREN AND FAMILIES GROW AND THRIVE. PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITALS OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.). DAYTON CHILDREN'S IS AN INDISPENSABLE RESOURCE TO OUR COMMUNITY BECAUSE WE: - SERVE AS THE COMMUNITY'S SAFETY NET HOSPITAL BY CARING FOR ALL CHILDREN REGARDLESS OF THEIR ABILITY TO PAY, WHILE PROVIDING AND SUBSIDIZING HOSPITAL AND COMMUNITY-BASED SERVICES THAT ARE EITHER LIMITED OR UNAVAILABLE ELSEWHERE IN OUR COMMUNITY. - SERVE AS A VOICE FOR CHILDREN THROUGH PUBLIC POLICY ADVOCACY TO CHANGE LAWS, POLICIES OR SYSTEMS LEADING TO THE IMPROVEMENT OF HEALTH AND SAFETY FOR CHILDREN AND FAMILIES. - JOIN WITH COMMUNITY PARTNERS AND LEND SUPPORT THROUGHOUT OUR REGION TO IMPROVE THE LIVES OF CHILDREN AND THEIR FAMILIES. - TRAIN FUTURE DOCTORS AND HEALTH CARE PROVIDERS TO BECOME THE NEXT GENERATION OF HIGH QUALITY, PROFESSIONAL PEDIATRIC EXPERTS, OFTEN AT A FINANCIAL LOSS TO THE HOSPITAL. AT DAYTON CHILDREN'S, WE ARE COMMITTED TO LIVING OUR MISSION TO IMPROVE THE HEALTH STATUS OF ALL CHILDREN. OUR COMMUNITY BENEFIT ACTIVITIES DEMONSTRATE THIS COMMITMENT TO OUR COMMUNITY'S CHILDREN. AS A NOT-FOR-PROFIT HOSPITAL, WE RECOGNIZE THAT WE MUST ALWAYS DO WHAT IS IN THE BEST INTEREST OF THE PATIENTS AND THE COMMUNITY-THAT OUR MISSION TRUMPS PROFIT. AT DAYTON FHILDR1N'S, WE SERVE A DISPROPORTIONATE SHARE OF CHILDREN FROM LOW-INCOME FAMILIES. IN FACT, OVER 56 PERCENT OF THE PATIENTS AT DAYTON CHILDREN'S ARE COVERED BY MEDICAID. DAYTON CHILDREN'S IS A LEADER IN IMPROVING ACCESS TO HEALTH INSURANCE FOR CHILDREN AND FAMILIES THROUGH ITS ADVOCACY EFFORTS. WE HAVE WORKED TO EXPAND CHILDREN'S COVERAGE STATEWIDE AND NATIONALLY. THE HOSPITAL HAS PROVIDED CRITICAL RESOURCES AND SUPPORT TO EFFORTS TO ENSURE THAT THESE GAINS ARE TRANSLATED INTO ACTUAL COVERAGE BY ENROLLING UNINSURED CHILDREN ON-SITE. DAYTON CHILDREN'S HEALTH CLINIC IS A PRIMARY CARE PROVIDER FOR MANY OF THE REGION'S INFANTS, CHILDREN AND TEENS. NOT ONLY IS CHILDREN'S HEALTH CLINIC A "SAFETY NET" FOR MANY FAMILIES WITH MORE THAN 10,000 VISITS EACH YEAR, IT IS ALSO A RICH TRAINING SETTING FOR FUTURE PEDIATRICIANS. AS A TEACHING HOSPITAL, DAYTON CHILDREN'S IS DEDICATED TO TRAINING THE NEXT GENERATION OF PEDIATRICIANS AND PEDIATRIC SPECIALISTS. EACH YEAR, DAYTON CHILDREN'S HOSTS 49 MEDICAL RESIDENTS FROM THE WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE. IN ADDITION, DAYTON CHILDREN'S HOUSES THIS COUNTRY'S ONLY CIVILIAN/MILITARY INTEGRATED PEDIATRIC RESIDENCY PROGRAM WITH WRIGHT-PATTERSON AIR FORCE BASE. PHYSICIANS TRAINED AT DAYTON CHILDREN'S ARE CARING FOR CHILDREN IN OUR REGION AND THROUGHOUT THE WORLD. TRAINING RESIDENT PHYSICIANS INVOLVES SIGNIFICANT COSTS FAR BEYOND THOSE USUALLY ASSOCIATED WITH PATIENT CARE. HOWEVER, WE RECOGNIZE TRAINING THE NEXT GENERATION OF PEDIATRIC PROVIDERS IS ESSENTIAL TO THE OVERALL HEALTH OF OUR COMMUNITY.
schedule H Part VI	AT DAYTON CHILDREN'S, 100 PERCENT OF OUR ACTIVE STAFF PHYSICIANS ARE BOARD CERTIFIED OR BOARD ELIGIBLE IN AT LEAST ONE KEY PEDIATRIC SPECIALTY AREA. THESE PEDIATRIC SPECIALISTS ARE THE CORE OF OUR CENTERS OF EXCELLENCE AVAILABLE RIGHT HERE IN DAYTON: -THERE ARE 10 PEDIATRIC CANCER CARE PROGRAMS IN THE NATION ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER AND HOUSED IN FREESTANDING CHILDREN'S HOSPITAL. DAYTON CHILDREN'S COMPREHENSIVE CARE CENTER OF CANCER AND BLOOD DISORDERS IS ONE OF THEM. THIS MEANS WE SHARE THE LATEST PROTOCOLS, RESEARCH AND CLINICAL TRIALS SO A CHILD WITH CANCER IN DAYTON GETS THE SAME CARE AS THEY WOULD AT ANY OTHER TOP CENTER IN THE COUNTRY. IN JULY 2013, DAYTON CHILDREN'S HOSPITAL WAS AWARDED A THREE-YEAR NATIONAL RE-ACCREDITATION WITH COMMENDATION TO THE CANCER PROGRAM BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. -OUR DESIGNATED LEVEL III REGIONAL NICU PROVIDES A STATE-OF-THE-ART, DEVELOPMENTALLY-CENTERED UNIT THAT OFFERS A FULL RANGE OF NEWBORN CARE INCLUDING EMERGENCY AND CONTINUING CRITICAL CARE FOR PREMATURE AND CRITICALLY-ILL NEWBORNS. -DAYTON CHILDREN'S HOUSES THE REGIONAL CENTERS FOR CYSTIC FIBROSIS, HEMOPHILIA AND SICKLE CELL. -THE SOIN PEDIATRIC TRAUMA AND EMERGENCY CENTER IS THE REGION'S ONLY VERIFIED (LEVEL II) PEDIATRIC TRAUMA CENTER. -DAYTON CHILDREN'S PERFORMS THE MAJORITY OF SPINAL SURGERIES IN OUR REGION. WE DO EVERYTHING WE CAN TO CREATE A HIGH-QUALITY, SAFE ENVIRONMENT FOR OUR YOUNG PATIENTS. IN ADDITION TO PROVIDING CHILD LIFE SPECIALISTS, TRAINED IN DISTRACTION TECHNIQUES, WE "KID-SIZE" OUR CARE. OUR MEDICAL IMAGING DEPARTMENT HAS STATE-OF-THE-ART EQUIPMENT DESIGNED TO PERFORM DIAGNOSTIC EXAMINATIONS WITH A MINIMUM OF RADIATION EXPOSURE TO PATIENTS, REDUCING LONG-TERM EFFECTS LATER IN LIFE. CHILDREN COME TO OUR TRAUMA CENTER TO RECEIVE TREATMENT FOR COMMON EMERGENCIES - BREATHING DIFFICULTIES AND ASTHMA, SEIZURES AND DEHYDRATION - AS WELL AS TRAUMA CONDITIONS RESULTING FROM MOTOR VEHICLE CRASHES, BURNS, NEAR DROWNINGS, PLAYGROUND- AND SPORTS-RELATED ACCIDENTS, FRACTURES AND CHILD ABUSE. THESE CHILDREN NEED CARE FROM STAFF TRAINED TO USE CHILD-SIZED MEDICAL EQUIPMENT, PEDIATRIC PROTOCOLS THAT LIMIT RADIATION EXPOSURE AND WEIGHT-BASED MEDICATION DOSAGES. EMERGENCY ROOMS AT ADULT HOSPITALS ARE NOT WELL EQUIPPED OR STAFFED TO CARE FOR SERIOUSLY ILL CHILDREN. THESE FACILITIES MAY PROVIDE INITIAL, STABILIZING TREATMENT, BUT OFTEN THE NEXT STEP IS CONTACTING DAYTON CHILDREN'S TO PROVIDE A HIGHER LEVEL OF CARE. OUR EMERGENCY AND TRAUMA SERVICES CAN MAKE THE DIFFERENCE BETWEEN LIFE AND DEATH SINCE STUDIES SHOW CHILDREN HAVE A HIGHER SURVIVAL RATE AT PEDIATRIC TRAUMA CENTERS THAN AT ADULT TRAUMA CENTERS. WHILE HOSPITAL-WIDE, OVER 50 PERCENT OF PATIENTS ARE ON MEDICAID, MORE THAN 65 PERCENT OF OUR EMERGENCY AND TRAUMA PATIENTS RELY ON MEDICAID, WHICH IS REIMBURSED AT ROUGHLY 70 PERCENT THE COST OF CARE. AN ADDITIONAL FOUR PERCENT OF EMERGENCY PATIENTS HAVE NO INSURANCE AT ALL. NEVERTHELESS, DAYTON CHILDREN'S IS COMMITTED TO TREATING ALL CHILDREN AND SUBSIDIZES THE CARE OF UNINSURED OR UNDERINSURED CHILDREN. THAT'S WHY WE ARE KNOWN THROUGHOUT THE REGION AS A SAFETY NET FOR CHILDREN FROM LOW-INCOME AND UNEMPLOYED FAMILIES. TO PROVIDE THE BEST CARE FOR CHILDREN, DAYTON CHILDREN'S OFFERS MANY CLINICAL PROGRAMS DESPITE FINANCIAL LOSS BECAUSE THEY MEET AN IDENTIFIED COMMUNITY HEALTH NEED. THESE SPECIALTY PROGRAMS INCLUDE PEDIATRIC PULMONARY, ENDOCRINOLOGY, HEMATOLOGY/ONCOLOGY, GASTROENTEROLOGY, PSYCHIATRY, NEPHROLOGY, UROLOGY, SURGERY, CHILD ABUSE, NEUROLOGY, DEVELOPMENTAL PEDIATRICS, CARDIOLOGY, PLASTICS SURGERY, SPORTS MEDICINE, OUR SPECIALTY CLINICS AND GENERAL PEDIATRICS. DAYTON CHILDREN'S JOINS WITH OTHER CHILDREN'S HOSPITALS ACROSS THE COUNTRY TO ADDRESS ISSUES UNIQUE TO THE POPULATION WE SERVE. WE WORK WITH THE CHILDREN'S HOSPITAL ASSOCIATION, THE OHIO CHILDREN'S HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCIATION TO ENSURE CHILDREN HAVE A VOICE IN POLICY MATTERS. IN THE HEALTH CARE REFORM CONVERSATION WE MAKE SURE CHILDREN'S ISSUES, SUCH AS ACCESS TO APPROPRIATE CARE, ARE NOT FORGOTTEN. DAYTON CHILDREN'S FURTHER SUPPORTS COMMUNITY EFFORTS TO IMPROVE THE HEALTH AND SAFETY OF CHILDREN THROUGHOUT THE REGION THROUGH DONATIONS AND SPONSORSHIPS MADE TO PROGRAMS THAT SUPPORT, HELP AND IMPROVE THE HEALTH STATUS OF CHILDREN AND IMPROVE THE QUALITY OF LIFE FOR CHILDREN AND THEIR FAMILIES. DAYTON CHILDREN'S HAS ASSISTED MANY ORGANIZATIONS INCLUDING: A SPECIAL WISH, AMERICAN HEART ASSOCIATION, AMERICAN RED CROSS, CLOTHES THAT WORK, CRAYONS TO CLASSROOMS, CYSTIC FIBROSIS FOUNDATION, EPILEPSY FOUNDATION OF WESTERN OHIO, JUVENILE DIABETES RESEARCH FOUNDATION, MARCH OF DIMES, RONALD MCDONALD HOUSE CHARITIES, ST. VINCENT DE PAUL AND UNITED REHABILITATION SERVICES. IN ADDITION, WE HAVE SUPPORTED MANY COMMUNITY YOUTH SPORTS TEAMS. AT DAYTON CHILDREN'S, WE BELIEVE THAT ALL CHILDREN IN OUR REGION DESERVE A GREAT CHILDREN'S HOSPITAL CLOSE TO HOME. WE ARE DEDICATED TO ADDRESSING THE HEALTH AND WELLNESS NEEDS OF CHILDREN BOTH THROUGH CLINICAL PRACTICE AS WELL AS OUR COMMUNITY BENEFIT ACTIVITIES. STATE FILING OF COMMUNITY BENEFIT REPORT OH

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (8 entries)

Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd
DAYTON DEVELOPMENT COALITION
311423890	501(C)(6)	$10,000	CORPORATE SPONSOR
RONALD MCDONALD HOUSE
310964793	501(C)(3)	$12,500	CORPORATE DONATION
CULTURE WORKS
237412338	501(C)(3)	$6,500	CORPORATE PLEDGE	110 N MAIN STREET	SUITE 165	DAYTON	OH	45402
THE LEUKEMIA & LYMPHOMA SOCIETY
135644916	501(C)(3)	$7,500	MAN & WOMAN OF THE YEAR	1311 MAMARONECK AVE		WHITE PLAINS	NY	106055221
UNITED WAY OF GREATER DAYTON
310536658	501(C)(3)	$24,000	CORPORATE PLEDGE	184 SALEM AVENUE	FOUNDATION BUILDING 375	DAYTON	OH	45406
GOODWILL EASTER SEALS
370537112	501(C)(3)	$10,000	INJURY PREVENTION	1511 KUNTZ ROAD		DAYTON	OH	45404
DAYTON SOCIETY OF NATURAL HISTORY
310585917	501(C)(3)	$7,500	HEALTH AND FITNESS	2600 DEWEESE PARKWAY		DAYTON	OH	45414
GALA OF HOPE FOUNDATION
464277044	501(C)(3)	$10,000	CORPORATE SPONSOR	3500 PENTAGON BOULEVARD	SUITE 500	DAYTON	OH	45431

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	295	$39,583
MEALS/FOOD	1069	$32,308
TRANSPORTATION	1236	$30,792
RENT/UTILITIES	49	$24,055
SPECIAL EQUIPMENT	26	$7,200
OTHER	7	$4,175

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	false	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 (16 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
JEFFREY CHRISTIANMDENDED 101
TRUSTEE	$0	$489,382	$0	$0	$0	$26,612	$0	$36,271	$0	$26,742	$0	$579,007	$0	$0
DAVID KINSAUL
FORMER PRESIDENT AND CEO	$0	$0	$0	$0	$239,066	$0	$0	$0	$0	$0	$239,066	$0	$239,066	$0
DEBORAH FELDMAN
PRESIDENT AND CEO	$486,703	$0	$168,000	$0	$26,396	$0	$151,939	$0	$0	$0	$833,038	$0	$0	$0
DAVID T MILLER
VP FINANCE AND CFO	$272,746	$0	$60,170	$0	$59,244	$0	$152,307	$0	$21,411	$0	$565,878	$0	$0	$0
MATTHEW GRAYBILL
VP AND CHIEF OPERATING OFFICER	$236,318	$0	$66,306	$0	$25,150	$0	$73,775	$0	$26,885	$0	$428,434	$0	$0	$0
Adam Mezoff
VP Medical Affairs CMO	$352,473	$0	$70,210	$0	$36,000	$0	$15,600	$0	$18,652	$0	$492,935	$0	$0	$0
Lisa Coffey
VP Corporate Support Services	$161,122	$0	$34,109	$0	$17,596	$0	$25,296	$0	$24,718	$0	$262,841	$0	$0	$0
Renae Phillips
VP Patient Care CNO	$208,595	$0	$41,991	$0	$25,329	$0	$81,659	$0	$20,716	$0	$378,290	$0	$0	$0
Gregory Ramey
VP Outpatient Services	$169,470	$0	$0	$0	$33,059	$0	$13,759	$0	$23,376	$0	$239,664	$0	$0	$0
Vicki Giambrone
VP Maktng External Relations	$184,975	$0	$42,587	$0	$48,019	$0	$20,465	$0	$10,684	$0	$306,730	$0	$0	$0
Maragret Hemmen
CR Nurse Anesthetist	$189,836	$0	$0	$0	$12,375	$0	$17,984	$0	$127	$0	$220,322	$0	$0	$0
Erika Green
CR Nurse Anesthetist	$161,858	$0	$0	$0	$17,828	$0	$10,800	$0	$6,137	$0	$196,623	$0	$0	$0
Elizabeth Fredette
Director Info Services CIO	$158,548	$0	$10,288	$0	$18,077	$0	$16,610	$0	$25,313	$0	$228,836	$0	$0	$0
THOMAS KRZMARZICK BEG 1101
CHAIRMAN ELECT-PROF STAFF	$201,529	$0	$0	$0	$0	$0	$0	$0	$0	$0	$201,529	$0	$0	$0
BEN GOODSTEIN BEG 0114
VP & CHIEF AMBULATORY OFFICER	$156,712	$0	$24,502	$0	$12,648	$0	$8,236	$0	$30,176	$0	$232,274	$0	$0	$0
CINDY BURGER BEG 0114
VP FOR PATIENT EXPERIENCE	$155,858	$0	$11,753	$0	$17,258	$0	$16,740	$0	$26,938	$0	$228,547	$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 4B PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND THE INCREASE IN ACTUARIAL VALUE: DEBORAH FELDMAN - 136,339 ADAM MEZOFF - 0 DAVID T. MILLER - 141,910 GREGORY RAMEY - 5,833 VICKI GIAMBRONE - 13,052 MATTHEW GRAYBILL - 63,449 RENAE PHILLIPS - 72,446 LISA COFFEY - 17,961 CINDY BURGER - 9,561 BEN GOODSTEIN - 0	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

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

Field	Value	IRS element (for citing)
Bond Issuer EIN	316000172	BondIssuerEIN
Bond Issued	2014-08-19	BondIssuedDt
Issue Price	$117,055,000	IssuePriceAmt
Purpose	HOSPITAL RENOVATION	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$117,055,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$400,070	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2017	SubstantialCompletionYr
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0.00000	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	false	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	DAYTON PEDIATRIC IMAGING	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	TRUSTEE	RelationshipDescriptionTxt
Transaction	$158,492	TransactionAmt
Transaction	MEDICAL SERVICES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV LINE 1	FormAndLineReferenceDesc
Explanation	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 DAYTON CHILDREN'S MEDICAL STAFF.	ExplanationTxt

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	4	ContributionCnt
Noncash Contributions Rpt F990	$128,502	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 (6 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, 2015, the hospital's mix of patients was 55.9% Medicaid, 38.5% Commercial, 3.6% Other Government Programs and 2.1% 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, 2015 are as follows: # of beds: 155, Inpatient days: 28,517, Admissions: 6,321 Average length of stay: 4.52 days. Average daily census: 78, Occupancy rate: 50.3%, Surgeries performed: 11,121, X-Ray studies: 50,490, Lab Test: 500,408, Respiratory therapy procedures: 92,934, Pharmacy doses dispensed: 2,813,167, cardiology procedures: 21,568, Neurology procedures: 3,523, Urgent care visits: 14,576, Emergency department visits: 79,330, Outpatient clinics: 76,128. 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 05/15/16. 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, incentive plan payouts 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 -Jeffrey Christian, MD works 40 hours per week for the subsidiary, Children's Care Group. -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. -Arthur Pickoff, MD is employed by Wright State University. Dayton Children's Hospital contracts with Wright State University for Dr. Pickoff to provide services at Dayton Children's Hospital as the chairman of the department of pediatrics.
Form 990, Part XI	Transfer to Dayton Children's Hospital Foundation (3,334,932) Restricted net assets used for purchase of pp&e 2,989,906 Temporarily restricted net assets (5,288,785) Change in pension benefit obligation and plan assets (5,145,985) TOTAL ADJUSTMENT (10,779,796)
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:22863524
FORM 990 PART IX LINE 11G	DESCRIPTION:JOINT VENTURE - PREMIER TOTAL FEES:29743
FORM 990 PART IX LINE 11G	DESCRIPTION:JOINT VENTURE - MVH TOTAL FEES:1681269

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	$18,221,410	$11,621,431	1.00000	Yes (true)
CHILDREN'S ANESTHESIA GROUP
ONE CHILDRENS PLAZA	DAYTON	OH	45404	260887231	ANESTHESIA SV	OH	DCH	C-CORP	$6,311,672	$2,095,665	1.00000	Yes (true)
PEDIATRIC ASSURANCE COMPANY LTD
				980478183	SELF-INSURANC		DCH	N/A	$1,240,493	$49,661,483	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	$6,636,074	$275,357	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	$3,334,932	FMV
DAYTON CHILDREN'S HOSPITAL FOUNDATION
C	$7,411,822	CASH
DAYTON ORTHOPAEDICS
J	$143,579	CASH
CHILDREN'S HOME CARE OF DAYTON
M	$440,131	CASH
DAYTON CHILDREN'S HOSPITAL FOUNDATION
L	$77,425	FMV
CHILDREN'S CARE GROUP
M	$14,952,871	CASH
CHILDREN'S ANESTHESIA GROUP
M	$6,311,672	CASH
CHILDREN'S CARE GROUP
O	$181,800	FMV
CHILDREN'S ANESTHESIA GROUP
O	$971,464	FMV
CHILDREN'S HOME CARE OF DAYTON
Q	$10,720,503	CASH
CHILDREN'S CARE GROUP
Q	$1,965,000	CASH
DAYTON ORTHOPAEDICS
Q	$810,000	CASH
CHILDREN'S ANESTHESIA GROUP
R	$656,000	FMV
CHILDREN'S HOME CARE OF DAYTON
R	$161,677	FMV
DAYTON ORTHOPAEDICS
R	$498,161	FMV
DAYTON CHILDREN'S HOSPITAL FOUNDATION
E	$27,907,804	FMV
DAYTON ORTHOPAEDICS
K	$109,428	FMV