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DAYTON CHILDRENS HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
DAYTON CHILDRENS HOSPITAL (EIN 31-0672132)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-15
IRS object ID
201531359349304058
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-15T10:59:19-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 4000AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN310672132EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Dayton Children's HospitalBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% DAVID T MILLERInCareOfNm
Business Name ControlDAYTBusinessNameControlTxt
Phone9376413338PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Childrens PlazaAddressLine1
Address Line2SuiteAddressLine2
CityDaytonCity
StateOHState
ZIP Code454041815ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID T MILLERPersonNm
Person TitleVP Finance and CFOPersonTitleTxt
Signature2015-05-15SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonChristopher B BoggsPreparerPersonNm
PTINP00032493PTIN
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDEBORAH FELDMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE CHILDRENS PLAZAAddressLine1
CityDAYTONCity
StateOHState
ZIP Code454041815ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$314,793,019GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.childrensdayton.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1967FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH STATUS OF ALL CHILDREN THROUGH SERVICE, EDUCATION, RESEARCH AND ADVOCACY.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee2039TotalEmployeeCnt
Total Volunteers940TotalVolunteersCnt
Total Gross UBI$26,914TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$25,914NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$12,375,609PYContributionsGrantsAmt
CY Contributions Grants$13,842,373CYContributionsGrantsAmt
PY Program Service Revenue$215,465,646PYProgramServiceRevenueAmt
CY Program Service Revenue$222,448,755CYProgramServiceRevenueAmt
PY Investment Income$15,316,964PYInvestmentIncomeAmt
CY Investment Income$16,779,095CYInvestmentIncomeAmt
PY Other Revenue$4,346,049PYOtherRevenueAmt
CY Other Revenue$3,476,755CYOtherRevenueAmt
PY Total Revenue$247,504,268PYTotalRevenueAmt
CY Total Revenue$256,546,978CYTotalRevenueAmt
PY Grants And Similar Paid$214,264PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$286,187CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$109,882,994PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$112,612,147CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,315,240CYTotalFundraisingExpenseAmt
PY Other Expenses$88,650,772PYOtherExpensesAmt
CY Other Expenses$95,941,116CYOtherExpensesAmt
PY Total Expenses$198,748,030PYTotalExpensesAmt
CY Total Expenses$208,839,450CYTotalExpensesAmt
PY Revenues Less Expenses$48,756,238PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$47,707,528CYRevenuesLessExpensesAmt
Total Assets BOY$486,852,251TotalAssetsBOYAmt
Total Assets EOY$541,648,879TotalAssetsEOYAmt
Total Liabilities BOY$45,343,582TotalLiabilitiesBOYAmt
Total Liabilities EOY$46,321,598TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$441,508,669NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$495,327,281NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE THE HEALTH STATUS OF ALL CHILDREN THROUGH SERVICE, EDUCATION, RESEARCH AND ADVOCACY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$195,150,337ExpenseAmt
Grant$286,187GrantAmt
Revenue$226,231,443RevenueAmt
DescSEE SCHEDULE O.Desc
Total Program Service Expenses$195,150,337TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document79IRPDocumentCnt
IRP Document W2 G1IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2039EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryBDForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAVID T MILLERPersonNm
Phone9376413338PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE CHILDRENS PLAZAAddressLine1
CityDAYTONCity
StateOHState
ZIP Code454041815ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
EMILY CHAMBERS
TRUSTEE1.00.0Yes (X)$0$0$0
LESLIE BARNES CARSON
TRUSTEE1.00.0Yes (X)$0$0$0
JEFFREY CHRISTIAN MD
TRUSTEE1.00.0Yes (X)$0$520,819$62,410
GREGORY EBERHART MD
TRUSTEE1.00.0Yes (X)$0$0$0
ELIZABETH EY MD
TRUSTEE1.00.0Yes (X)$158,188$0$0
SCOTT KELLY
TRUSTEE1.00.0Yes (X)$0$0$0
THERESE MCNEA-WILEY
TRUSTEE1.00.0Yes (X)$0$0$0
TIMOTHY PEPPER Ended 1031
TRUSTEE1.00.0Yes (X)$0$0$0
ARTHUR PICKOFF MD
TRUSTEE1.00.0Yes (X)$112,496$0$0
GREGORY SAMPLE
TRUSTEE1.00.0Yes (X)$0$0$0
MICHAEL SHANE
Secretary/Treasurer1.00.0Yes (X)$0$0$0Yes (X)
BEVERLY SHILLITO
TRUSTEE1.00.0Yes (X)$0$0$0
JERAD BARNETT
1ST VICE CHAIRMAN1.00.0Yes (X)$0$0$0Yes (X)
LAURENCE KLABEN
Sec/Treas 1st Vice Chair1.00.0Yes (X)$0$0$0Yes (X)
COLLEEN RYAN
ASST. SECRETARY/TREASURER1.00.0Yes (X)$0$0$0Yes (X)
VISHAL SOIN
CHAIRMAN1.00.0Yes (X)$0$0$0Yes (X)
DEBORAH FELDMAN
PRESIDENT AND CEO40.00.0Yes (X)$540,712$0$15,300Yes (X)
THOMAS MURPHY MDEnd 1031
VP MEDICAL AFFAIRS AND CMO40.00.0Yes (X)$1,694,767$0$16,713Yes (X)
Linda Black-Kurek Beg 1101
Trustee1.00.0Yes (X)$0$0$0
James Whalen
Trustee1.00.0Yes (X)$0$0$0
Marla Vichich End 1013
Trustee1.00.0Yes (X)$0$0$0
DAVID T MILLER
VP FINANCE AND CFO1.00.0$321,474$0$141,787Yes (X)
MATTHEW GRAYBILL
VP AND CHIEF OPERATING OFFICER40.00.0$312,494$0$161,637Yes (X)
Adam Mezoff Beg 1101
VP Medical Affairs CMO1.00.0$246,882$0$16,931Yes (X)
Lisa Coffey
VP Corporate Support Services40.00.0$193,931$0$48,540Yes (X)
Renae Phillips
VP Patient Care CNO40.00.0$253,611$0$160,186Yes (X)
Gregory Ramey
VP Outpatient Services40.00.0$241,472$0$111,037Yes (X)
Vicki Giambrone
VP Maktng External Relations40.00.0$251,609$0$44,629Yes (X)
Maragret Hemmen
CR Nurse Anesthetist40.00.0$195,976$0$17,526Yes (X)
Gregory Huff
Director Pharmacy40.00.0$169,524$0$34,845Yes (X)
Erika Green
CR Nurse Anesthetist40.00.0$164,629$0$16,283Yes (X)
Elizabeth Fredette
Director Info Services CIO40.00.0$162,966$0$42,930Yes (X)
DAVID KINSAUL
FORMER PRESIDENT AND CEO0.00.0$307,652$0$9,138Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,328,383TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$520,819TotReportableCompRltdOrgAmt
Total Other Compensation$899,892TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
CHILDREN'S CARE GROUP
1 CHILDRENS PLAZADAYTONOH45404PHYSICIAN SERVICES$11,890,406
WRIGHT STATE PHYSICIANS
PO BOX 1144DAYTONOH45401PHYSICIAN SERVICES$2,038,415
WRIGHT STATE UNIVERSITY
PO BOX 927DAYTONOH45401PHYSICIAN SERVICES$1,324,829
ORTHOPAEDIC CENTER FOR SPINAL PED
1 CHILDRENS PLAZADAYTONOH45404PHYSICIAN SERVICES$485,858
MIDWEST LAUNDRY INC
PO BOX 932696CLEVELANDOH44193LAUNDRY SERVICE$517,478
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Federated Campaigns$29,040FederatedCampaignsAmt
Fundraising$17,320FundraisingAmt
Government Grants$573,606GovernmentGrantsAmt
All Other Contributions$13,222,407AllOtherContributionsAmt
Noncash Contributions$94,759NoncashContributionsAmt
Total Contributions$13,842,373TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE624100$142,127,556$142,127,556
MEDICARE/MEDICAID624100$80,294,285$80,294,285
SURGERY CENTER621400$26,914$26,914
FieldValueIRS element (for citing)
Total Program Service Revenue$222,448,755TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,810,260TotalRevenueColumnAmt
Exclusion$5,810,260ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$298,039RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$852,897RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$554,858RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$554,858TotalRevenueColumnAmt
Exclusion-$554,858ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$67,865,741SecuritiesAmt
Other$11,798OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$55,300,540SecuritiesAmt
Other$1,608,164OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$12,565,201SecuritiesAmt
Other-$1,596,366OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,968,835TotalRevenueColumnAmt
Exclusion$10,968,835ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$365,795FundraisingGrossIncomeAmt
Fundraising Direct Expenses$116,870FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$248,925TotalRevenueColumnAmt
Exclusion$248,925ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$570,624GrossSalesOfInventoryAmt
Cost Of Goods Sold$367,570CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$203,054TotalRevenueColumnAmt
Related Or Exempt Func Income$203,054RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HITECH MEDICAL RECORDS900099$1,328,423$1,328,423
CAFETERIA/KIDS CARE900099$1,340,980$1,340,980
DAY CARE CENTER812930$642,433$642,433

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$267,798TotalRevenueColumnAmt
Related Or Exempt Func Income$267,798RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,579,634OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$256,546,978TotalRevenueColumnAmt
Related Or Exempt Func Income$226,204,529RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$26,914UnrelatedBusinessRevenueAmt
Exclusion$16,473,162ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$75,000TotalAmt
Program Services$75,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$211,187TotalAmt
Program Services$211,187ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,948,942TotalAmt
Management And General$2,948,942ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$85,740,375TotalAmt
Program Services$81,180,754ProgramServicesAmt
Management And General$3,939,849ManagementAndGeneralAmt
Fundraising$619,772FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,521,267TotalAmt
Program Services$5,227,650ProgramServicesAmt
Management And General$253,707ManagementAndGeneralAmt
Fundraising$39,910FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,172,291TotalAmt
Program Services$11,622,517ProgramServicesAmt
Management And General$461,043ManagementAndGeneralAmt
Fundraising$88,731FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,229,272TotalAmt
Program Services$5,898,004ProgramServicesAmt
Management And General$286,240ManagementAndGeneralAmt
Fundraising$45,028FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$355,645TotalAmt
Management And General$355,645ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$252,780TotalAmt
Management And General$252,780ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$246,300TotalAmt
Program Services$246,300ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$19,699,209TotalAmt
Program Services$19,509,336ProgramServicesAmt
Management And General$189,873ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,027,439TotalAmt
Program Services$1,027,439ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,869,990TotalAmt
Program Services$11,611,252ProgramServicesAmt
Management And General$1,039,496ManagementAndGeneralAmt
Fundraising$219,242FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,123,834TotalAmt
Program Services$5,123,834ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,586,530TotalAmt
Program Services$2,452,523ProgramServicesAmt
Management And General$125,633ManagementAndGeneralAmt
Fundraising$8,374FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$834,700TotalAmt
Program Services$625,388ProgramServicesAmt
Management And General$166,480ManagementAndGeneralAmt
Fundraising$42,832FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$107,545TotalAmt
Program Services$107,545ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,543,516TotalAmt
Program Services$14,072,211ProgramServicesAmt
Management And General$430,464ManagementAndGeneralAmt
Fundraising$40,841FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$172,085TotalAmt
Program Services$172,085ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$25,243,208$25,332,026-$88,981$163
PURCHASED SERVICES$8,496,089$6,273,048$2,012,694$210,347
STATE HOSPITAL ASSESSMENT$4,381,662$4,381,662
MISCELLANEOUS$584$576$8

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$208,839,450TotalAmt
Program Services$195,150,337ProgramServicesAmt
Management And General$12,373,873ManagementAndGeneralAmt
Fundraising$1,315,240FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$15,010BOYAmt
EOY$14,647EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$64,551,117BOYAmt
EOY$69,523,361EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$782,280BOYAmt
EOY$862,058EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$31,715,810BOYAmt
EOY$39,566,580EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$26,904BOYAmt
EOY$14,794EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,660,452BOYAmt
EOY$1,695,087EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$366,730BOYAmt
EOY$444,404EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$194,794,035LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$90,713,284LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$98,175,140BOYAmt
EOY$104,080,751EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$237,371,641BOYAmt
EOY$264,538,849EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$35,322,456BOYAmt
EOY$47,882,926EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,223,611BOYAmt
EOY$3,238,611EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,641,100BOYAmt
EOY$9,786,811EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$486,852,251BOYAmt
EOY$541,648,879EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$31,099,908BOYAmt
EOY$33,004,777EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,243,674BOYAmt
EOY$13,316,821EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,343,582BOYAmt
EOY$46,321,598EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$438,462,873BOYAmt
EOY$493,785,276EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,045,796BOYAmt
EOY$1,542,005EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$441,508,669BOYAmt
EOY$495,327,281EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$486,852,251BOYAmt
EOY$541,648,879EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$47,707,528ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$20,028,168NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$13,917,084OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$156,028GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$14,858DirectContactLegislatorsAmt
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$85,796RalliesDemonstrationsAmt
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$256,682TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-BFormAndLineReferenceDesc
ExplanationLINE 1F: OHIO HOSPITAL ASSOCIATION $1,906 OHIO CHILDREN'S HOSPITAL ASSOCIATION $131,696 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS $22,426 TOTAL: $156,028 LINE 1G: MANAGEMENT TIME $10,382 NACH 2014 FAMILY ADVOCACY DAYS $4,476 TOTAL: $14,858 LINE 1H: CONSULTING EXPENSE $85,646 PRINTING AND SUPPLIES $150 TOTAL: $85,796 TOTAL LINE 1J: $256,682ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$71,668,979BeginningYearBalanceAmt
Contributions$19,617,386ContributionsAmt
Investment Earnings Or Losses$8,980,654InvestmentEarningsOrLossesAmt
Grants Or Scholarships$2,900,616GrantsOrScholarshipsAmt
Other Expenditures$233,612OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$97,132,791EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,627,126OtherCostOrOtherBasisAmt
Book Value$5,627,126BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,357,579OtherCostOrOtherBasisAmt
Depreciation$22,960,289DepreciationAmt
Book Value$25,397,290BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$127,486,839OtherCostOrOtherBasisAmt
Depreciation$65,982,696DepreciationAmt
Book Value$61,504,143BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,322,491OtherCostOrOtherBasisAmt
Depreciation$1,770,299DepreciationAmt
Book Value$11,552,192BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$104,080,751TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
HIRTLE CALLAGHAN - OFFSHORE$26,159,303F
HIRTLE CALLAGHAN - COMMODITIES$21,135,113F
HIRTLE CALLAGHAN - REAL ESTATE$588,510F
FieldValueIRS element (for citing)
Total Book Value Securities$47,882,926TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
RESERVE FOR PROFESSIONAL LIA$6,035,434
EST REIMB/MEDICAID PROGRAM$282,960
DEFERRED COMPENSATION PAYABLE$1,696,668
SERP PENSION ACCRUAL$2,453,478
REINSURANCE$2,848,281
FieldValueIRS element (for citing)
Total Liability$13,316,821TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4The 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.
SCHEDULE D, PART X, LINE 2ALL 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 2014 OR 2013. 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, 2014 OR 2013.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Offices1OfficesCnt
Employee2EmployeeCnt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
Region Total Expenditures$86,266,352RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees2SubtotalEmployeesCnt
Total Office1TotalOfficeCnt
Total Employee2TotalEmployeeCnt
Subtotal Spent$86,266,352SubtotalSpentAmt
Total Spent$86,266,352TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1Amt
Gross Receipts Event1$144,695GrossReceiptsEvent1Amt
Charitable Contri Event1$9,550CharitableContriEvent1Amt
Gross Revenue Event1$135,145GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,920NonCashPrizesEvent1Amt
Rent Facility Costs Event1$25,212RentFacilityCostsEvent1Amt
Food And Beverage Event1$15,313FoodAndBeverageEvent1Amt
Entertainment Event1$200EntertainmentEvent1Amt
Other Direct Expenses Event1$2,471OtherDirectExpensesEvent1Amt
Name Of Event2SFOTNameOfEvent2Amt
Gross Receipts Event2$139,346GrossReceiptsEvent2Amt
Charitable Contri Event2$7,770CharitableContriEvent2Amt
Gross Revenue Event2$131,576GrossRevenueEvent2Amt
Cash Prizes Event2$1,073CashPrizesEvent2Amt
Rent Facility Costs Event2$6,000RentFacilityCostsEvent2Amt
Food And Beverage Event2$24,245FoodAndBeverageEvent2Amt
Entertainment Event2$480EntertainmentEvent2Amt
Other Direct Expenses Event2$13,071OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$99,074GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$99,074GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$6,500RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$15,335FoodAndBeverageOtherEventsAmt
Entertainment Other Events$724EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$4,326OthDirectExpnssOtherEventsAmt
Gross Receipts Total$383,115GrossReceiptsTotalAmt
Charitable Contributions Tot$17,320CharitableContributionsTotAmt
Gross Revenue Total Events$365,795GrossRevenueTotalEventsAmt
Cash Prizes Total Events$1,073CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$1,920NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$37,712RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$54,893FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,404EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$19,868OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$116,870DirectExpenseSummaryEventsAmt
Net Income Summary$248,925NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other150.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$802,770TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$802,770NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$105,171,986TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$80,196,130DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,975,856NetCommunityBenefitExpnsAmt
Total Expense0.11890TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$105,974,756TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$80,196,130DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,778,626NetCommunityBenefitExpnsAmt
Total Expense0.12270TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$564,913TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$564,913NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,908,997TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,381,123DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,527,874NetCommunityBenefitExpnsAmt
Total Expense0.01200TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,272,819TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,927,487DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,345,332NetCommunityBenefitExpnsAmt
Total Expense0.04450TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$209,366TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$209,366NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,956,095TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,308,610DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,647,485NetCommunityBenefitExpnsAmt
Total Expense0.06020TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$125,930,851TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$87,504,740DirectOffsettingRevenueAmt
Net Community Benefit Expns$38,426,111NetCommunityBenefitExpnsAmt
Total Expense0.18290TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$108,619TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$108,619NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,411TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,411NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,531TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,531NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,550TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,550NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,770TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,770NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,395TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,395NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$153,276TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$153,276NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$3,750,725BadDebtExpenseAmt
Bad Debt Expense Attributable$994,720BadDebtExpenseAttributableAmt
Reimbursed By Medicare$316,208ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$316,208CostOfCareReimbursedByMedcrAmt
Costing Methodology UsedCostingMethodologyUsedGrp
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAYTON CHILDREN'S HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE CHILDRENS PLAZAAddressLine1
CityDAYTONCity
StateOHState
ZIP Code454041815ZIPCode
FieldValueIRS element (for citing)
Website Addresswww.childrensdayton.orgWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1DAYTON CHILDREN'S HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
OtherYes (X)OtherInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.CHILDRENSDAYTON.ORGOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
Other Needs AddressedYes (X)OtherNeedsAddressedInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
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FPG Family Incm Lmt Dscnt Care150.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
State RegulationYes (X)StateRegulationInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V - 1JTHE 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 - 3IN 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 - 5DDAYTON 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 - 6IINPUT AND APPROVAL WAS GIVEN BY THE BOARD OF TRUSTEES ADVOCACY COMMITTEE AND WAS APPROVED BY THE BOARD OF TRUSTEES IN JUNE, 2014. IMPLEMENTATION WILL BEGIN IN FISCAL YEAR JULY, 2015.
PART V - 7THE 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.
PART V - 20DALL 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 VDAYTON 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).
FieldValueIRS element (for citing)
Facility9FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
WARREN COUNTY SPECIALTY CARE CENTER
100 CAMPUS LOOP ROAD SUITE AFRANKLINOH45005OUTPATIENT CARE CENTER AND OUTPATIENT DIAGNOSTIC CENTER
SPRINGBORO URGENT CARE & OP CARE CENTER
3333 WEST TECH ROADMIAMISBURGOH45342URGENT CARE CENTER AND OUTPATIENT DIAGNOSTIC CENTER
DAYTON ORTHOPAEDICS - SOUTH
2350 MIAMI VALLEY DRIVEDAYTONOH45459OUTPATIENT CARE CENTER
VANDALIA OUTPATIENT TESTING CENTER
810 FALLS CREEK DRIVE SUITE AVANDALIAOH45377OUTPATIENT DIAGNOSTIC CENTER
BEAVERCREEK OUTPATIENT TESTING CENTER
3224 DAYTON-XENIA ROADBEAVERCREEKOH45431OUTPATIENT DIAGNOSTIC CENTER
SUGARCREEK OUTPATIENT TESTING CENTER
6116 WILMINGTON PIKECENTERVILLEOH45459OUTPATIENT DIAGNOSTIC CENTER
KETTERING OUTPATIENT TESTING CENTER
4475 FAR HILLS AVENUEKETTERINGOH45429OUTPATIENT DIAGNOSTIC CENTER
SPRINGFIELD SPECIALTY CARE CENTER
30 W MCCREIGHT AVENUESPRINGFIELDOH45504OUTPATIENT CARE CENTER
DAYTON ORTHOPAEDICS - TROY
31 STANFIELD ROADTROYOH45473OUTPATIENT CARE CENTER

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part VI #1DAYTON CHILDREN'S INCLUDED $15,272,819 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.
Part VI #2#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, including minorities, those with chronic illnesses, lowincome populations 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.
Part VI #3#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.
Part VI #4#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 288,000 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).
Part VI #5#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. Dayton Children's works to educate the community about the uniqueness of pediatric health care. Our staff serves on professional organizations and health advisory boards to make sure children's health issues are not forgotten and to educate future clinicians about pediatric issues. Professional organizations and advisory boards include American Organization of Nurse Executives, Oakwood Board of Health, Ohio Nutrition Council, Leukemia and Lymphoma Society, Ohio Organization of Nursing Executives, Ohio Adolescent Health Partnership, Epilepsy Foundation of Western Ohio and the Southwest Ohio Hemophilia Foundation. 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. As it is nationally, obesity continues to be a major pediatric health concern for our region. According to our 2014 CHNA, childhood obesity and poor nutrition continue to be a significant issue in our community. Through community-building activities with organizations such as Get Up Montgomery County, YMCA Healthy Kids Days, Boonshoft Museum of Discovery Exhibits to Go and Girls on the Run, we have worked with partners to address this community issue. Dayton Children's provides unique pediatric expertise relating to childhood obesity and its comorbidities in order to give parents and children in our community actionable tips and tools to reduce childhood obesity in our region. Many of our experts give presentations throughout the community to give parents, caregivers and children more tools to make healthy lifestyle choices. This year Dayton Children's also began efforts to curb Ohio's high infant mortality rate through our Infant Mortality Awareness and Prevention Committee. In the community, Dayton Children's focused on education around the ABCs of safe sleep by providing caregivers and physicians information and resources about the importance of safe sleep. Dayton Children's staff also attended community events targeting new parents to teach them about safe sleep practices. Another finding of our CHNA was that 17 percent of parents were concerned about asthma, 15 percent were concerned about food or airborne allergies, and 17 percent of parents were concerned about developmental delays/learning disabilities. In addition to providing community health improvement services to address these issues, Dayton Children's works with a variety of community partners and programs such as the Goodwill Easter Seals and the Asthma Coach Program Training to give parents and children in our service area greater resources to address special needs issues. Our experts frequently give educational presentations to parents and community groups to help them care for children with special needs. Dayton Children's also receives a Kohl's Cares grant from Kohl's Department Stores that we use to provide public education on key health and safety topics. This year our focus was "Green Cleaning" and "Handwashing." Both of these topics were chosen to address childhood illnesses including asthma and flu. 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. 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. 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 County Corp, Beavercreek Chamber of Commerce, Homeless Solutions Policy Board, United Way, the National Conference for Community and Justice, University of Dayton Center for Catholic Education, Urban Child Development Center Board and the Greater Dayton Hospital Association. Through these activities, Dayton Children's strives to create a community that is a place where all children and families grow and thrive. A significant community building project during fiscal year 2013-2014 was Dayton Children's participation in the Da Vinci Neighborhood Revitalization Project. Started in 2007 and re-energized in 2013, the Da Vinci project is a comprehensive strategy for neighborhood revitalization supported in the Old North Dayton and McCook Field neighborhoods and the business community around it. Dayton Children's leads this effort and is joined by partners including the City of Dayton, Greater Old North Dayton Business Association, The Salvation Army KROC Center, the University of Dayton Fitz Center of Leadership in Community, St. Mary's Community Development Corp. and CityWide Development. The Da Vinci 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. Dayton Children's is an indispensible 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 Children's, we serve a disproportionate share of children from low-income families. In fact, over 53 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 18,000 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 50 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 Wrig

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Recipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line1USAddress/AddressLine1Address Line2USAddress/AddressLine2CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCode
DAYTON DEVELOPMENT COAL
311423890501(C)(6)$10,000CORP. SPONSORSHIP FOR FAMILIES FROM WPAFB AND SPRINGFIELD AIR NATIONAL GUARD
RONALD MCDONALD HOUSE
310964793501(C)(3)$10,000CORPORATE DONATION
CULTURE WORKS
237412338501(C)(3)$6,500CORPORATE PLEDGE110 N MAIN STREETSUITE 165DAYTONOH45402
THE LEUKEMIA & LYMPHOMA SOCIETY
135644916501(C)(3)$7,500LLS MAN & WOMAN OF THE YEAR1311 MAMARONECK AVENUEWHITE PLAINSNY106055221
UNITED WAY OF GREATER DAYTON
310536658501(C)(3)$21,000CORPORATE PLEDGE184 SALEM AVENUEFOUNDATION BUILDING 375DAYTONOH45406
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Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (6 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
PHARMACY317$81,652
MEALS/FOOD806$35,385
TRANSPORTATION1103$41,399
RENT/UTILITIES87$43,619
SPECIAL EQUIPMENT2$4,308
OTHER6$4,824

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationSCHEDULE 1, PART 1, LINE 2 THE FINANCE COMMITTEE AND COMMUNITY RELATIONS MANAGER APPROVE ALL GRANTS AND CHARITABLE DONATIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFFREY CHRISTIAN MD
TRUSTEE$0$484,840$0$0$0$35,979$0$36,351$0$26,059$0$583,229$0$0
ELIZABETH EY MD
TRUSTEE$158,188$0$0$0$0$0$0$0$0$0$158,188$0$0$0
DAVID KINSAUL
FORMER PRESIDENT AND CEO$0$0$0$0$307,652$0$0$0$9,138$0$316,790$0$88,125$0
DEBORAH FELDMAN
PRESIDENT AND CEO$364,633$0$150,000$0$26,079$0$15,300$0$0$0$556,012$0$0$0
THOMAS MURPHY MDEnd 1031
VP MEDICAL AFFAIRS AND CMO$169,042$0$52,191$0$1,473,534$0$7,875$0$8,838$0$1,711,480$0$1,468,372$0
DAVID T MILLER
VP FINANCE AND CFO$213,748$0$49,877$0$57,849$0$120,573$0$21,214$0$463,261$0$0$0
MATTHEW GRAYBILL
VP AND CHIEF OPERATING OFFICER$209,332$0$80,015$0$23,147$0$135,125$0$26,512$0$474,131$0$0$0
Adam Mezoff Beg 1101
VP Medical Affairs CMO$245,721$0$0$0$1,161$0$4,844$0$12,087$0$263,813$0$0$0
Lisa Coffey
VP Corporate Support Services$148,489$0$30,167$0$15,275$0$24,557$0$23,983$0$242,471$0$0$0
Renae Phillips
VP Patient Care CNO$189,610$0$39,560$0$24,441$0$140,341$0$19,845$0$413,797$0$0$0
Gregory Ramey
VP Outpatient Services$165,474$0$43,401$0$32,597$0$86,336$0$24,701$0$352,509$0$0$0
Vicki Giambrone
VP Maktng External Relations$165,417$0$39,023$0$47,169$0$34,438$0$10,191$0$296,238$0$0$0
Maragret Hemmen
CR Nurse Anesthetist$183,687$0$0$0$12,289$0$17,402$0$124$0$213,502$0$0$0
Gregory Huff
Director Pharmacy$141,429$0$7,526$0$20,569$0$15,254$0$19,591$0$204,369$0$0$0
Erika Green
CR Nurse Anesthetist$146,038$0$0$0$18,591$0$9,575$0$6,708$0$180,912$0$0$0
Elizabeth Fredette
Director Info Services CIO$137,144$0$8,792$0$17,030$0$15,247$0$27,683$0$205,896$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 4AFormAndLineReferenceDesc
ExplanationDAVID KINSAUL - 223,462 SCHEDULE J, PART I, LINE 4B A) PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND THE INCREASE IN ACTUARIAL VALUE: DEBORAH FELDMAN - 0 ADAM MEZOFF - 0 DAVID T. MILLER - 110,373 GREGORY RAMEY - 78,520 VICKI GIAMBRONE - 26,104 MATTHEW GRAYBILL - 125,957 RENAE PHILLIPS - 131,934 LISA COFFEY - 17,860 B) RECEIVED PAYMENT FROM A NONQUALIFIED RETIREMENT PLAN: THOMAS MURPHY - 1,234,671ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
CARRELL PICKOFF
SPOUSE OF TRUSTEE$14,173EMPLOYMENTfalse
JARED BARNETT
TRUSTEE & OFFICER$261,695BUILDING CONSTRUCTIONfalse
JARED BARNETT
TRUSTEE & OFFICER$86,623LEASING PROPERTYfalse

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$94,759NoncashContributionsRptF990Amt
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (true)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationALL 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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4ADayton 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, 2014, the hospital's mix of patients was 50.4% Medicaid, 39.8% Commercial, 8.7% Other Government Programs and 1.1% 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, 2014 are as follows: # of beds: 155, Inpatient days: 26,891, Admissions: 6,466 Average length of stay: 4.24 days. Average daily census: 74, Occupancy rate: 47.8%, Surgeries performed: 10,393, X-Ray studies: 63,076, Lab Test: 798,035, Respiratory therapy procedures: 86,251, Pharmacy doses dispensed: 3,300,465, cardiology procedures: 35,882, Neurology procedures: 3,998, Urgent care visits: 13,097, Emergency department visits: 71,362, Outpatient clinics: 68,098. 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 05/15/15. 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 & 15bCompensation 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. Availability of Financial statements, conflict of interest, organizing documents Form 990, Part VI, Line 19 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 XITransfer to Dayton Children's Hospital Foundation (7,318,732) Restricted net assets used for purchase of pp&e 3,407,541 Temporarily restricted net assets (5,243,811) Change in pension benefit obligation and plan assets (4,762,111) Other 29 Total adjustment (13,917,113)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
CHILDREN'S HOME CARE OF DAYTON
ONE CHILDRENS PLAZADAYTONOH45404311356037HOME CAREOH501(C)(3)9DCHYes (true)
DAYTON CHILDREN'S HOSPITAL FOUNDATION
ONE CHILDRENS PLAZADAYTONOH45404311045247SUPPORTOH501(C)(3)11aDCHYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MIDDLETOWN SURGERY CENTER LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line15950 INNOVATION DRIVEAddressLine1
CityMIDDLETOWNCity
StateOHState
ZIP Code45005ZIPCode
FieldValueIRS element (for citing)
EIN205160579EIN
Primary ActivitiesSURGERY CTRPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
Ownership0.10000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1CityForeignAddress/CityProvince Or StateForeignAddress/ProvinceOrStateCountryForeignAddress/CountryPostal CodeForeignAddress/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHILDREN'S CARE GROUP
ONE CHILDRENS PLAZADAYTONOH45404311411364SPEC PHYS GROOHDCHC-CORP$15,454,159$9,099,5961.00000Yes (true)
CHILDREN'S ANESTHESIA GROUP
ONE CHILDRENS PLAZADAYTONOH45404260887231ANESTHESIA SVOHDCHC-CORP$6,282,003$2,237,6531.00000Yes (true)
PEDIATRIC ASSURANCE COMPANY LTD
980478183SELF-INSURANCDCHN/A$1,317,957$50,888,7731.00000Yes (true)BUTTERFIELD BANK BLDG 6TH FLOORHAMILTONBERMUDABDHM12BD
DAYTON CHILDREN'S ORTHOPAEDIC
ONE CHILDRENS PLAZADAYTONOH45404453934418ORTHO SERVICEOHDCHC-CORP$6,727,447$320,5991.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
DAYTON CHILDREN'S HOSPITAL FOUNDATION
B$7,318,732FMV
DAYTON CHILDREN'S HOSPITAL FOUNDATION
C$6,015,972CASH
DAYTON ORTHOPAEDICS
J$143,579CASH
CHILDREN'S HOME CARE OF DAYTON
M$404,291CASH
DAYTON CHILDREN'S HOSPITAL FOUNDATION
L$75,550FMV
CHILDREN'S CARE GROUP
M$11,932,554CASH
CHILDREN'S ANESTHESIA GROUP
M$6,279,002CASH
CHILDREN'S CARE GROUP
O$151,736FMV
CHILDREN'S ANESTHESIA GROUP
O$913,704FMV
CHILDREN'S HOME CARE OF DAYTON
Q$11,274,942CASH
CHILDREN'S CARE GROUP
Q$2,247,345CASH
DAYTON ORTHOPAEDICS
Q$580,000CASH
CHILDREN'S ANESTHESIA GROUP
R$295,000FMV
CHILDREN'S HOME CARE OF DAYTON
R$162,493FMV
DAYTON ORTHOPAEDICS
R$499,249FMV
DAYTON CHILDREN'S HOSPITAL FOUNDATION
D$2,232,000FMV
CHILDREN'S HOME CARE OF DAYTON
R$2,714,889FMV
DAYTON ORTHOPAEDICS
K$109,428CASH