DAYTON CHILDRENS HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- DAYTON CHILDRENS HOSPITAL (EIN 31-0672132)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-13
- IRS object ID
- 201431339349302873
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-13T11:59:49-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 4000 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310672132 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dayton Children's Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % DAVID T MILLER | InCareOfName |
| Name Control | DAYT | NameControl |
| Phone | 9376413338 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Childrens Plaza | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Dayton | City |
| State | OH | State |
| ZIP Code | 454041815 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | David T Miller | Name |
| Title | VP Finance & CFO | Title |
| Date Signed | 2014-05-12 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3176817000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DEBORAH FELDMAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE CHILDRENS PLAZA | AddressLine1 |
| City | DAYTON | City |
| State | OH | State |
| ZIP Code | 454041815 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 343242166 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.childrensdayton.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1967 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | TO IMPROVE THE HEALTH STATUS OF ALL CHILDREN THROUGH SERVICE, EDUCATION, RESEARCH AND ADVOCACY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1941 | TotalNbrEmployees |
| Total Nbr Volunteers | 957 | TotalNbrVolunteers |
| Total Gross UBI | 8440 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 1833 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 13792546 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 12375609 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 202208573 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 215465646 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 11154342 | InvestmentIncomePriorYear |
| Investment Income Current Year | 15316964 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5350065 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4346049 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 232505526 | TotalRevenuePriorYear |
| Total Revenue Current Year | 247504268 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 216288 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 214264 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 104630679 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 109882994 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 923098 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 80844055 | OtherExpensePriorYear |
| Other Expenses Current Year | 88650772 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 185691022 | TotalExpensesPriorYear |
| Total Expenses Current Year | 198748030 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 46814504 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 48756238 | RevenuesLessExpensesCY |
| Total Assets BOY | 428519704 | TotalAssetsBOY |
| Total Assets EOY | 486852251 | TotalAssetsEOY |
| Total Liabilities BOY | 45942566 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 45343582 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 382577138 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 441508669 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO IMPROVE THE HEALTH STATUS OF ALL CHILDREN THROUGH SERVICE, EDUCATION, RESEARCH AND ADVOCACY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 186105459 | Expense |
| Grants | 214264 | Grants |
| Revenue | 219719915 | Revenue |
| Description | SEE SCHEDULE O. | Description |
| Total Program Service Expense | 186105459 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 100 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 2 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1941 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | BD | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DAVID T MILLER | NamePerson |
| Telephone Number | 9376413338 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE CHILDRENS PLAZA | AddressLine1 |
| City | DAYTON | City |
| State | OH | State |
| ZIP Code | 454041815 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (33 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Reportable Comp From OrganizationReportableCompFromOrganization | OfficerOfficer | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|---|
| EMILY CHAMBERS | ||||||||
| TRUSTEE | 1.0 | 0.0 | X | |||||
| LESLIE BARNES CARSON | ||||||||
| TRUSTEE | 1.0 | 0.0 | X | |||||
| JEFFREY CHRISTIAN MD | ||||||||
| TRUSTEE | 1.0 | 0.0 | X | 540585 | 59770 | |||
| GREGORY EBERHART MD | ||||||||
| TRUSTEE | 1.0 | 0.0 | X | |||||
| ELIZABETH EY MD | ||||||||
| TRUSTEE | 1.0 | 0.0 | X | 151994 | ||||
| ROSIE GOFORTH | ||||||||
| TRUSTEE | 1.0 | 0.0 | X | |||||
| JEAN IRELAND | ||||||||
| TRUSTEE | 1.0 | 0.0 | X | |||||
| SCOTT KELLY | ||||||||
| TRUSTEE | 1.0 | 0.0 | X | |||||
| THERESE MCNEA-WILEY | ||||||||
| TRUSTEE | 1.0 | 0.0 | X | |||||
| ROBERT P MYERS DO | ||||||||
| TRUSTEE | 1.0 | 0.0 | X | |||||
| TIMOTHY PEPPER | ||||||||
| TRUSTEE | 1.0 | 0.0 | X | |||||
| ARTHUR PICKOFF MD | ||||||||
| TRUSTEE | 1.0 | 0.0 | X | 108599 | ||||
| GREGORY SAMPLE | ||||||||
| TRUSTEE | 1.0 | 0.0 | X | |||||
| MICHAEL SHANE | ||||||||
| TRUSTEE | 1.0 | 0.0 | X | |||||
| BEVERLY SHILLITO | ||||||||
| TRUSTEE | 1.0 | 0.0 | X | |||||
| MARLA VICHICH | ||||||||
| TRUSTEE | 1.0 | 0.0 | X | |||||
| JERAD BARNETT | ||||||||
| 1ST VICE CHAIRMAN | 1.0 | 0.0 | X | X | ||||
| LAURENCE KLABEN | ||||||||
| SECRETARY/TREASURER | 1.0 | 0.0 | X | X | ||||
| COLLEEN RYAN | ||||||||
| ASST. SECRETARY/TREASURER | 1.0 | 0.0 | X | X | ||||
| VISHAL SOIN | ||||||||
| CHAIRMAN | 1.0 | 0.0 | X | X | ||||
| DAVID KINSAUL | ||||||||
| PRESIDENT AND CEO | 40.0 | 0.0 | X | 31089 | 2079326 | X | ||
| DEBORAH FELDMAN | ||||||||
| PRESIDENT AND CEO | 40.0 | 0.0 | X | 5615 | 172721 | X | ||
| THOMAS MURPHY MD | ||||||||
| VP MEDICAL AFFAIRS AND CMO | 40.0 | 0.0 | X | 197665 | 344870 | X | ||
| DAVID T MILLER | ||||||||
| VP FINANCE AND CFO | 40.0 | 0.0 | 108097 | 312999 | X | |||
| MATTHEW GRAYBILL | ||||||||
| VP AND CHIEF OPERATING OFFICER | 40.0 | 0.0 | 113062 | 270519 | X | |||
| LISA COFFEY | ||||||||
| VP CORPORATE SUPPORT SERVICES | 40.0 | 0.0 | 43311 | 191273 | X | |||
| RENAE PHILLIPS | ||||||||
| VP PATIENT CARE AND CNO | 40.0 | 0.0 | 108638 | 245050 | X | |||
| GREGORY RAMEY | ||||||||
| VP OUTPATIENT SERVICES | 40.0 | 0.0 | 116161 | 237943 | X | |||
| VICKI GIAMBRONE | ||||||||
| VP MKTG/EXTERNAL RELATIONS | 40.0 | 0.0 | 41017 | 245698 | X | |||
| MARGARET HEMMEN | ||||||||
| CR NURSE ANESTHETIST | 40.0 | 0.0 | 17354 | 189656 | X | |||
| GREGORY HUFF | ||||||||
| DIRECTOR PHARMACY | 40.0 | 0.0 | 38417 | 166737 | X | |||
| ELIZABETH FREDETTE | ||||||||
| DIRECTOR INFO SERVICES AND CIO | 40.0 | 0.0 | 36040 | 151200 | X | |||
| BONNIE GORDON | ||||||||
| CR NURSE ANESTHETIST | 32.0 | 0.0 | 11989 | 145450 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5014035 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 540585 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 928225 | TotalOtherCompensation |
| Number Individuals GT100 K | 15 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CHILDREN'S CARE GROUP | |||||
| 1 CHILDRENS PLAZA | DAYTON | OH | 45404 | PHYSICIAN SERVICES | 11419992 |
| WRIGHT STATE PHYSICIANS | |||||
| PO BOX 1144 | DAYTON | OH | 45401 | PHYSICIAN SERVICES | 1813488 |
| DAYTON CHILDREN'S CARDIOLOGY | |||||
| 1 CHILDRENS PLAZA | DAYTON | OH | 45404 | PHYSICIAN SERVICES | 1716612 |
| WRIGHT STATE UNIVERSITY | |||||
| PO BOX 927 | DAYTON | OH | 45401 | PHYSICIAN SERVICES | 1302399 |
| ORTHOPAEDIC CENTER FOR SPINAL PED | |||||
| 1 CHILDRENS PLAZA | DAYTON | OH | 45404 | PHYSICIAN SERVICES | 409178 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Federated Campaigns | 44402 | FederatedCampaigns |
| Fundraising Events | 60720 | FundraisingEvents |
| Government Grants | 685798 | GovernmentGrants |
| All Other Contributions | 11584689 | AllOtherContributions |
| Noncash Contributions | 60907 | NoncashContributions |
| Total Contributions | 12375609 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 624100 | 132506182 | 132506182 | |
| MEDICARE/MEDICAID | 624100 | 82951024 | 82951024 | |
| SURGERY CENTER | 621400 | 8440 | 8440 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 215465646 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12779616 | TotalRevenueColumn |
| Exclusion | $12,779,616 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 299662 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 874190 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -574528 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -574528 | TotalRevenueColumn |
| Exclusion | -$574,528 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 96698641 | Securities |
| Other | 95500 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 94249808 | Securities |
| Other | 6985 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2448833 | Securities |
| Other | 88515 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2537348 | TotalRevenueColumn |
| Exclusion | $2,537,348 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 855956 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 60720 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 189648 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 666308 | TotalRevenueColumn |
| Exclusion | $666,308 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 611177 | GrossSalesOfInventory |
| Cost Of Goods Sold | 417267 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 193910 | TotalRevenueColumn |
| Related Or Exempt Function Income | 193910 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| HITECH MEDICAL RECORDS | 900099 | 1642009 | 1642009 |
| CAFETERIA/KIDS CARE | 900099 | 1465522 | 1465522 |
| DAY CARE CENTER | 812930 | 673545 | 673545 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 279283 | TotalRevenueColumn |
| Related Or Exempt Function Income | 279283 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4060359 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 247504268 | TotalRevenueColumn |
| Related Or Exempt Function Income | 219711475 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 8440 | UnrelatedBusinessRevenue |
| Exclusion | $15,408,744 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58500 | Total |
| Program Services | 58500 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 155764 | Total |
| Program Services | 155764 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2719660 | Total |
| Management And General | 2719660 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81974888 | Total |
| Program Services | 77852705 | ProgramServices |
| Management And General | 3628611 | ManagementAndGeneral |
| Fundraising | 493572 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7106965 | Total |
| Program Services | 6749585 | ProgramServices |
| Management And General | 314589 | ManagementAndGeneral |
| Fundraising | 42791 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12138684 | Total |
| Program Services | 11630141 | ProgramServices |
| Management And General | 434811 | ManagementAndGeneral |
| Fundraising | 73732 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5942797 | Total |
| Program Services | 5643958 | ProgramServices |
| Management And General | 263058 | ManagementAndGeneral |
| Fundraising | 35781 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 281244 | Total |
| Management And General | 281244 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 248122 | Total |
| Management And General | 248122 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 226464 | Total |
| Program Services | 226464 | ProgramServices |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16833731 | Total |
| Program Services | 16623220 | ProgramServices |
| Management And General | 210511 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 883344 | Total |
| Program Services | 883344 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11666381 | Total |
| Program Services | 10557442 | ProgramServices |
| Management And General | 933327 | ManagementAndGeneral |
| Fundraising | 175612 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4323042 | Total |
| Program Services | 4323042 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2298736 | Total |
| Program Services | 2189371 | ProgramServices |
| Management And General | 100898 | ManagementAndGeneral |
| Fundraising | 8467 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 768385 | Total |
| Program Services | 423281 | ProgramServices |
| Management And General | 319897 | ManagementAndGeneral |
| Fundraising | 25207 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73954 | Total |
| Program Services | 73954 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14777628 | Total |
| Program Services | 14288286 | ProgramServices |
| Management And General | 444045 | ManagementAndGeneral |
| Fundraising | 45297 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 761955 | Total |
| Program Services | 761955 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 23993764 | 23993764 | ||
| PURCHASED SERVICES | 7470580 | 5622837 | 1825104 | 22639 |
| STATE HOSPITAL ASSESSMENT | 4091364 | 4091364 | ||
| MISCELLANEOUS | -47922 | -43518 | -4404 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 198748030 | Total |
| Program Services | 186105459 | ProgramServices |
| Management And General | 11719473 | ManagementAndGeneral |
| Fundraising | 923098 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15010 | BOY |
| EOY | 15010 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44977390 | BOY |
| EOY | 64551117 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1581244 | BOY |
| EOY | 782280 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27615433 | BOY |
| EOY | 31715810 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39836 | BOY |
| EOY | 26904 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1755147 | BOY |
| EOY | 1660452 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 565886 | BOY |
| EOY | 366730 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 190219399 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 92044259 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99905344 | BOY |
| EOY | 98175140 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 221218098 | BOY |
| EOY | 237371641 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24091921 | BOY |
| EOY | 35322456 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2223611 | BOY |
| EOY | 2223611 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4530784 | BOY |
| EOY | 14641100 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 428519704 | BOY |
| EOY | 486852251 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30218758 | BOY |
| EOY | 31099908 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1415 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15722393 | BOY |
| EOY | 14243674 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45942566 | BOY |
| EOY | 45343582 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 380726993 | BOY |
| EOY | 438462873 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1850145 | BOY |
| EOY | 3045796 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 382577138 | BOY |
| EOY | 441508669 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 428519704 | BOY |
| EOY | 486852251 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 48756238 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 8736602 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 1438691 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $168,088 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $13,179 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | true | RalliesDemonstrations |
| Rallies Demonstrations | $53,785 | RalliesDemonstrationsAmount |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 235052 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE C SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | SCHEDULE C, PART II-B | ReturnReference |
| Explanation | LINE 1F: OHIO HOSPITAL ASSOCIATION $2,793 OHIO CHILDREN'S HOSPITAL ASSOCIATION $143,933 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS $21,362 TOTAL: $168,088 LINE 1G: MANAGEMENT TIME $8,688 NACH 2013 FAMILY ADVOCACY DAYS $4,491 TOTAL: $13,179 LINE 1H: CONSULTING EXPENSE $53,760 PRINTING AND SUPPLIES $25 TOTAL: $53,785 TOTAL LINE 1J: $235,052 | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 127667969 | BeginningOfYearBalance |
| Contributions | 7549823 | Contributions |
| Investment Earnings Or Losses | 14908772 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 4542192 | GrantsOrScholarships |
| Other Expenditures | 33551 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 145550821 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 123741717 | BeginningOfYearBalance |
| Contributions | 7937991 | Contributions |
| Investment Earnings Or Losses | 434441 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 4446180 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 127667969 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 97132791 | BeginningOfYearBalance |
| Contributions | 7689808 | Contributions |
| Investment Earnings Or Losses | 22325672 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 3402441 | GrantsOrScholarships |
| Other Expenditures | 4113 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 123741717 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 71668979 | BeginningOfYearBalance |
| Contributions | 19617386 | Contributions |
| Investment Earnings Or Losses | 8980654 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 2900616 | GrantsOrScholarships |
| Other Expenditures | 233612 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 97132791 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 87947632 | BeginningOfYearBalance |
| Contributions | 1194204 | Contributions |
| Investment Earnings Or Losses | -14186547 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 3254832 | GrantsOrScholarships |
| Other Expenditures | 31478 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 71668979 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.00000 | BoardDesignatedEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4122328 | OtherCostOrOtherBasis |
| Book Value | 4122328 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 48992501 | OtherCostOrOtherBasis |
| Depreciation | 22042215 | Depreciation |
| Book Value | 26950286 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 131891230 | OtherCostOrOtherBasis |
| Depreciation | 68363941 | Depreciation |
| Book Value | 63527289 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5213340 | OtherCostOrOtherBasis |
| Depreciation | 1638103 | Depreciation |
| Book Value | 3575237 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 98175140 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| HIRTLE CALLAGHAN - OFFSHORE | 20261298 | F |
| HIRTLE CALLAGHAN - COMMODITIES | 15061158 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 35322456 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| RESERVE FOR PROFESSIONAL LIABILITY | $6,225,792 |
| ESTIMATED REIMB/MEDICAID PROGRAMS | $549,766 |
| DEFERRED COMPENSATION PAYABLE | $1,812,040 |
| SERP PENSION ACCRUAL | $2,967,547 |
| REINSURANCE | $2,688,529 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 14243674 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL INFORMATION | SCHEDULE D, PART V, LINE 4 | THE ENDOWMENTS ARE HELD BY DAYTON CHILDREN'S HOSPITAL FOUNDATION, A SUBSIDIARY OF DAYTON CHILDREN'S HOSPITAL. THE FUNDS ARE USED EXCLUSIVELY TO SUPPORT DAYTON CHILDREN'S HOSPITAL AND ITS SUBSIDIARIES. THE INTENDED USE OF THE FUNDS IS TO SUPPORT MEDICAL RESEARCH, THE CHILD LIFE PROGRAM AND THE MEDICAL CHAIRS OF SPECIFIC HOSPITAL DEPARTMENTS. |
| FIN 48 (ASC 740) FOOTNOTE | SCHEDULE D, PART X, LINE 2 | ALL SUBSIDIARIES OF THE HOSPITAL EXCEPT CHILDREN'S CARE GROUP (CCG), CHILDREN'S ANESTHESIA GROUP (CAG), AND SELECTED JOINT VENTURE ENTITIES ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE WHOLLY OWNED FOR-PROFIT SUBSIDIARIES CCG AND CAG HAD NO TAXABLE INCOME IN 2013 OR 2012. 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, 2013 OR 2012. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | Region |
| Number Of Offices | 1 | NumberOfOffices |
| Number Of Employees | 2 | NumberOfEmployees |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConducted |
| Total Expenditures | 69032736 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 1 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 2 | SubtotalNumberOfEmployees |
| Total Number Of Offices | 1 | TotalNumberOfOffices |
| Total Number Of Employees | 2 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 69032736 | SubtotalAmountSpent |
| Total Amount Spent | 69032736 | TotalAmountSpent |
| Transfer To Foreign Corp | true | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | true | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | false | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | DINNER/DANCE | NameOfEvent1 |
| Gross Receipts Event1 | 520580 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 41600 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 478980 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 0 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 0 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 13452 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 37167 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 1800 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 35013 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF OUTING | NameOfEvent2 |
| Gross Receipts Event2 | 165979 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 9500 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 156479 | GrossRevenueEvent2 |
| Cash Prizes Event2 | 0 | CashPrizesEvent2 |
| Non Cash Prizes Event2 | 0 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 24085 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 15605 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 0 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 4293 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 3 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 230117 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 9620 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 220497 | GrossRevenueOtherEvents |
| Cash Prizes Other Events | 1933 | CashPrizesOtherEvents |
| Non Cash Prizes Other Events | 917 | NonCashPrizesOtherEvents |
| Rent Facility Costs Other Events | 11114 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 27109 | FoodAndBeverageOtherEvents |
| Entertainment Other Events | 750 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 16410 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 916676 | GrossReceiptsTotal |
| Charitable Contributions Total | 60720 | CharitableContributionsTotal |
| Gross Revenue Total Events | 855956 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 1933 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 917 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 48651 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 79881 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 2550 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 55716 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 189648 | DirectExpenseSummaryEvents |
| Net Income Summary | 666308 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 150. | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 302939 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 302939 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 102533192 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 82594018 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19939174 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10030 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 102836131 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 82594018 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 20242113 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10180 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 447365 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 447365 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4116073 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3086474 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1029599 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00520 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14734526 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5992088 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8742438 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04400 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 158467 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 158467 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19456431 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9078562 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10377869 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05230 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 122292562 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 91672580 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 30619982 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.15410 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 550 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 550 | NetCommunityBuildingExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 6996 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 6996 | NetCommunityBuildingExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3377 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3377 | NetCommunityBuildingExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 20157 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 20157 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 25772 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 25772 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 56852 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 56852 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $3,382,061 | BadDebtExpenseAmount |
| Amount Attributable To | 764976 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 386669 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 386669 | CostOfCareReimbursedByMedicare |
| Costing Methodology Used | CostingMethodologyUsed | |
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAYTON CHILDREN'S HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE CHILDRENS PLAZA | AddressLine1 |
| City | DAYTON | City |
| State | OH | State |
| ZIP Code | 454041815 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP://WWW.CHILDRENSDAYTON.ORG/ | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Childrens Hospital | X | ChildrensHospital |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAYTON CHILDREN'S HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Consulting Process | X | ConsultingProcess |
| Other | X | Other |
| Needs Assessment Conducted | 11 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | false | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| Other Needs Addressed | X | OtherNeedsAddressed |
| All Needs Addressed | true | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 100 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 150. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 9 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (9 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| WARREN COUNTY SPECIALTY CARE CENTER | ||||
| 100 CAMPUS LOOP ROAD SUITE A | FRANKLIN | OH | 45005 | OUTPATIENT CARE CENTER AND OUTPATIENT DIAGNOSTIC CENTER |
| SPRINGBORO URGENT CARE & OP CARE CENTER | ||||
| 3333 WEST TECH ROAD | MIAMISBURG | OH | 45342 | URGENT CARE CENTER AND OUTPATIENT DIAGNOSTIC CENTER |
| DAYTON ORTHOPAEDICS - SOUTH | ||||
| 2350 MIAMI VALLEY DRIVE | DAYTON | OH | 45459 | OUTPATIENT CARE CENTER |
| VANDALIA OUTPATIENT TESTING CENTER | ||||
| 810 FALLS CREEK DRIVE SUITE A | VANDALIA | OH | 45377 | OUTPATIENT DIAGNOSTIC CENTER |
| BEAVERCREEK OUTPATIENT TESTING CENTER | ||||
| 3224 DAYTON-XENIA ROAD | BEAVERCREEK | OH | 45431 | OUTPATIENT DIAGNOSTIC CENTER |
| SUGARCREEK OUTPATIENT TESTING CENTER | ||||
| 6116 WILMINGTON PIKE | CENTERVILLE | OH | 45459 | OUTPATIENT DIAGNOSTIC CENTER |
| KETTERING OUTPATIENT TESTING CENTER | ||||
| 4475 FAR HILLS AVENUE | KETTERING | OH | 45429 | OUTPATIENT DIAGNOSTIC CENTER |
| SPRINGFIELD SPECIALTY CARE CENTER | ||||
| 30 W MCCREIGHT AVENUE | SPRINGFIELD | OH | 45504 | OUTPATIENT CARE CENTER |
| DAYTON ORTHOPAEDICS - TROY | ||||
| 31 STANFIELD ROAD | TROY | OH | 45473 | OUTPATIENT CARE CENTER |
Form990 Schedule H Part VI Form990ScheduleHPartVI (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE H PART VI | PART I, LINE 7G | DAYTON CHILDREN'S INCLUDED $14,734,526 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 ATIRIBUTABLE 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 ATIRIBUTABLE 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 REPORTD 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 IS 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 V: SECTION B, LINE 20D ALL PATIENTS ARE CHARGED THE SAME FOR SERVICES RECEIVED. HOWEVER, CHARGES BILLED TO ALL FAP ELIGIBLE PATIENTS ARE DISCOUNTED BASED ON THE HOSPITAL'S SLIDING FEE SCALE FOR DISCOUNTED CARE. THIS IS BASED ON CURRENT FEDERAL POVERTY LEVELS. PART V: DAYTON CHILDREN'S HAS 9 HEALTH CARE FACILITIES OTHER THAN THOSE REQUIRED TO BE LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED AS A HEALTH CARE FACILITY UNDER STATE LAW. WE HAVE 5 TESTING CENTERS, 4 OFFSITE CLINICS, AND 1 URGENT CARE CENTER (50% OWNED). #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 DAYTON CHILDREN'S HOSPITAL'S MISSION. TO HELP DEVELOP MEANINGFUL STRATEGIES IN THIS AREA, DAYTON CHILDREN'S EVALUATES THE STATUS OF OUR REGION'S PEDIATRIC HEALTH THROUGH A REGIONAL PEDIATRIC HEALTH ASSESSMENT CONDUCTED EVERY THREE YEARS. THE FIRST ASSESSMENT WAS CONDUCTED IN 2002, THE SECOND IN 2005, THIRD IN 2008. OUR FOURTH AND CURRENT ASSESSMENT WAS COMPLETED IN MARCH 2011. WE WORKED WITH SCHWARTZ CONSULTING PARTNERS AND COMMUNITY HEALTH ADVOCATES, SUCH AS THE WRIGHT STATE BOONSHOFT SCHOOL OF MEDICINE, CARESOURCE, READYSETSOAR AND PUBLIC HEALTH DAYTON & MONTGOMERY COUNTY TO DEVELOP THE QUESTIONNAIRE. THE SURVEY WAS ADMINISTERED ONLINE AND VIA TELEPHONE TO 600 PARENTS WITH CHILDREN UNDER 14 YEARS OF AGE IN OUR SERVICE AREA TO REPRESENT THE COMMUNITY SERVED BY THE HOSPITAL. NOTE: PREVIOUS WAVES OF THE ASSESSMENT HAVE BEEN CONDUCTED EXCLUSIVELY USING RANDOM TELEPHONE INTERVIEWING. HOWEVER IN RECENT YEARS THE PROPORTION OF FAMILIES WHO RELY EXCLUSIVELY ON MOBILE PHONES HAS INCREASED DRAMATICALLY, LEADING TO DECLINES IN TELEPHONE SURVEY RESPONSES, ESPECIALLY AMONG PARENTS OF YOUNG CHILDREN. THIS HAS LED HEALTH AND EPIDEMIOLOGICAL ORGANIZATIONS SUCH AS THE NATIONAL CENTER FOR HEALTH STATISTICS TO RECOMMEND MIXED ONLINE AND TELEPHONE SAMPLING METHODS. THE COMBINATION OF ONLINE AND TELEPHONE SAMPLING METHODS COUPLED WITH DEMOGRAPHIC WEIGHTING ALLOWED THIS STUDY TO COME WITHIN ONE OR TWO PERCENTAGE POINTS OF THE MOST RECENT CENSUS FIGURES FOR KEY DEMOGRAPHIC STATISTICS FOR THE MIAMI VALLEY AREA (BASED ON 2009 U.S. CENSUS RESULTS FOR 13 COUNTIES SERVED BY DAYTON CHILDREN'S ). THE HOSPITAL USES THE INSIGHT FROM THE ASSESSMENT TO LEARN MORE ABOUT THE HEALTH STATUS OF THE REGION'S CHILDREN, TO DETERMINE A COURSE OF ACTION TO MEET THEIR NEEDS AND IMPROVE CHILDREN'S QUALITY OF LIFE AND GIVE CHILDREN AND THEIR FAMILIES A VOICE REGARDING THEIR HEALTH AND SAFETY. OUR 2011 STUDY REVEALS THREE AREAS REQUIRING GREATER ATTENTION: 1. MANAGING COLDS AND FLU 2. DEALING WITH DIET AND NUTRITION/CHILDHOOD OBESITY, AND 3. PREVENTING INJURIES AND IMPROVING SAFETY. THESE AREAS SUGGEST A FOCUS FOR THE REGION'S PEDIATRIC HEALTH AGENDA FOR THE COMING YEARS, PARTICULARLY IN AREAS WHERE WE ARE ABLE TO PREVENT THE PREVENTABLE. THESE FINDINGS ARE USED TO PLAN MUCH OF OUR COMMUNITY HEALTH AND OUTREACH PROGRAMMING. IN ADDITION, AFTER COMBINING THIS STUDY WITH INPUT FROM COMMUNITY PRACTITIONERS, WE INDENTIFIED THE NEED FOR GREATER MENTAL HEALTH SERVICES. DURING THE FISCAL YEAR, DAYTON CHILDREN'S STARTED MENTAL HEALTH RESOURCE CONNECTIONS TO HELP COMMUNITY PHYSICIANS CONNECT PATIENTS TO MUCH-NEEDED MENTAL HEALTH RESOURCES. WHEN THIS STUDY WAS FIRST PUBLISHED IN 2011, WE HELD A PRESS CONFERENCE TO DISSEMINATE THE INFORMATION. IN ADDITION, WE CREATED A SUMMARY REPORT AND WHITE PAPERS OUTLINING THE NEXT STEPS FOR THE KEY ISSUES. FINALLY, OUR HEALTH ASSESSMENT WAS PUBLISHED ON OUR HOSPITAL WEBSITE AND AVAILABLE UPON REQUEST FOR ANY INVESTED PARTY. DAYTON CHILDREN'S ALSO WORKS WITH PARTNERS SUCH AS LOCAL HEALTH DEPARTMENTS AND CHILD-SERVING ORGANIZATIONS TO GAIN ADDITIONAL INFORMATION REGARDING THESE NEEDS IN ORDER TO CREATE COMPREHENSIVE ACTION PLANS. USING DATA FROM THE REGIONAL PEDIATRIC HEALTH ASSESSMENT, OUR INJURY DATABASE, INPUT FROM OUR PEDIATRIC EXPERTS, OTHER LOCAL AND NATIONAL STUDIES, DAYTON CHILDREN'S SETS A ROBUST AGENDA OF INJURY PREVENTION, HEALTH PROMOTION AND ADVOCACY TO ADDRESS THE HEALTH CARE NEEDS FACING OUR REGION'S CHILDREN. THIS SURVEY IS VERY ROBUST AND ONE OF THE FEW ASSESSMENTS THAT DIRECTLY ADDRESSES CHILDREN'S HEALTH NEEDS AND PARENT PERCEPTIONS IN OUR COMMUNITY. DAYTON CHILDREN'S SHARES THE DATA WITH COMMUNITY LEADERS AND POTENTIAL PARTNERS SO THAT ADDITIONAL PROGRAMING CAN BE DEVELOPED THROUGHOUT OUR REGION. THE ASSESSMENT IS INTENDED TO PROVIDE COMMUNITY HEALTH ADVOCATES WITH A GUIDE TO THE HEALTH ISSUES IMPACTING THE REGION'S CHILDREN AND TO SUGGEST SOME AREAS OF FOCUS FOR FUTURE PROGRAMMING AND EDUCATION BEYOND THE WALLS OF DAYTON CHILDREN'S. DAYTON CHILDREN'S IS CURRENTLY IN THE PLANNING STAGES OF OUR 2014 COMMUNITY HEALTH NEEDS ASSESSMENT. #3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE HOSPITAL'S POLICIES ON BILING 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 FINA |
| SCOLIOSIS SCREENINGS | AS AN ADVOCATE FOR THE COMMUNITY, DAYTON CHILDREN'S RECOGNIZES THE NEED FOR SCOLIOSIS SCREENING IN AREA SCHOOLS. DUE TO BUDGET CUTS IN MANY OF OUR LOCAL SCHOOLS, THE NURSES MUST FOREGO SCOLIOSIS SCREENING TO FOCUS ON IMMEDIATE MEDICAL NEEDS OF THE STUDENTS. REALIZING THE IMPORTANCE OF SCOLIOSIS SCREENING, DAYTON CHILDREN'S HAS PARTNERED WITH THE SCHOOLS IN THE COUNTIES WE SERVE TO PROVIDE THIS VITAL SERVICE. IN THE THREE YEARS SINCE THE PROGRAM HAS BEGUN WE HAVE SCREENED 29,786 CHILDREN, 1,270 SCREENED POSITIVE, AND SEVEN OF THESE CHILDREN REQUIRED SURGERY DUE TO SEVERE SCOLIOSIS. OUR OUTREACH NURSE WORKS CLOSELY WITH THE STAFF TO PROVIDE THE SCREENING IN A WAY THAT THE CHILD MISSES AS LITTLE VALUABLE CLASS TIME AS POSSIBLE. THE SCHOOL NURSES ARE SO THANKFUL FOR THE ASSISTANCE THAT DAYTON CHILDREN'S HAS PROVIDED. CARE HOUSE TOGETHER WITH OUR PARTNERS AT THE MONTGOMERY COUNTY PROSECUTOR'S OFFICE, SHERIFF'S DEPARTMENT, CHILDREN SERVICES, THE DAYTON POLICE DEPARTMENT, AND HUNDREDS OF GENEROUS SUPPORTERS, WE BROKE GROUND ON THE NEW CARE HOUSE FACILITY, WHICH WILL STRENGTHEN OUR COMMUNITY'S RESPONSE TO CHILD ABUSE VICTIMS. CARE HOUSE, MONTGOMERY COUNTY'S CHILD ADVOCACY CENTER, PROVIDES A TEAM RESPONSE TO CHILD ABUSE THROUGH PREVENTION, INTERVENTION AND ADVOCACY. THIS NEW BUILDING AND INVESTMENT WILL HELP MEMBERS OF THE CARE HOUSE TEAM BETTER RESPOND TO THE NEEDS OF CHILDREN AFFECTED BY ABUSE AND NEGLECT. #7: STATE FILING OF COMMUNITY BENEFIT REPORT. OHIO. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | false | RecordsMaintained |
Recipient Table RecipientTable (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| CITYWIDE DEVELOPMENT CORP | |||||||
| 8 N MAIN ST | DAYTON | OH | 45402 | 310821189 | 501(C)(4) | 6000 | DAVINCI PREDEVELOPMENT |
| CURESEARCH WALK FOR CC | |||||||
| 8630 FENTON ST | SILVER SPRING | MD | 20910 | 954132414 | 501(c)(3) | 10000 | WALK-CHILDRENS CANCER |
| DAYTON DEVELOPMENT COAL | |||||||
| 900 KETTERING TOWER | DAYTON | OH | 45423 | 311423890 | 501(C)(6) | 10000 | CORP. SPONSORSHIP |
| RONALD MCDONALD HOUSE | |||||||
| 555 VALLEY ST | DAYTON | OH | 45404 | 310964793 | 501(C)(3) | 7500 | RADIOTHON DONATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 2 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (6 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| PHARMACY | 290 | 43261 |
| MEALS/FOOD | 1065 | 33644 |
| TRANSPORTATION | 1530 | 42284 |
| RENT/UTILITIES | 53 | 28232 |
| SPECIAL EQUIPMENT | 19 | 2968 |
| OTHER | 10 | 5375 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | SCHEDULE I, PART I, LINE 2 | ReturnReference |
| Explanation | THE FINANCE COMMITTEE AND COMMUNITY RELATIONS MANAGER APPROVE ALL GRANTS AND CHARITABLE DONATIONS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)
| TitleTitle | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY CHRISTIAN MD | ||||||||||||||
| TRUSTEE | 515749 | 300 | 24536 | 0 | 37223 | 0 | 22547 | 0 | 600355 | 0 | 0 | |||
| ELIZABETH EY MD | ||||||||||||||
| TRUSTEE | 0 | 0 | 0 | 0 | 151994 | 0 | 0 | 0 | 151994 | |||||
| DAVID KINSAUL | ||||||||||||||
| PRESIDENT AND CEO | 9897 | 0 | 21192 | 0 | 2110415 | 0 | 1522009 | 0 | 183277 | 66000 | 1830049 | |||
| DEBORAH FELDMAN | ||||||||||||||
| PRESIDENT AND CEO | 5615 | 0 | 0 | 0 | 178336 | 0 | 0 | 0 | 159583 | 13138 | ||||
| THOMAS MURPHY MD | ||||||||||||||
| VP MEDICAL AFFAIRS AND CMO | 181255 | 0 | 16410 | 0 | 542535 | 0 | 0 | 0 | 236505 | 53723 | 54642 | |||
| DAVID T MILLER | ||||||||||||||
| VP FINANCE AND CFO | 86720 | 0 | 21377 | 0 | 421096 | 0 | 0 | 0 | 210879 | 50389 | 51731 | |||
| MATTHEW GRAYBILL | ||||||||||||||
| VP AND CHIEF OPERATING OFFICER | 89822 | 0 | 23240 | 0 | 383581 | 0 | 0 | 0 | 203747 | 43736 | 23036 | |||
| LISA COFFEY | ||||||||||||||
| VP CORPORATE SUPPORT SERVICES | 22508 | 0 | 20803 | 0 | 234584 | 0 | 0 | 0 | 146589 | 31993 | 12691 | |||
| RENAE PHILLIPS | ||||||||||||||
| VP PATIENT CARE AND CNO | 90289 | 0 | 18349 | 0 | 353688 | 0 | 0 | 0 | 184581 | 39875 | 20594 | |||
| GREGORY RAMEY | ||||||||||||||
| VP OUTPATIENT SERVICES | 92863 | 0 | 23298 | 0 | 354104 | 0 | 0 | 0 | 161458 | 44996 | 31489 | |||
| VICKI GIAMBRONE | ||||||||||||||
| VP MKTG/EXTERNAL RELATIONS | 31014 | 0 | 10003 | 0 | 286715 | 0 | 0 | 0 | 166951 | 39760 | 38987 | |||
| MARGARET HEMMEN | ||||||||||||||
| CR NURSE ANESTHETIST | 16625 | 0 | 729 | 0 | 207010 | 0 | 0 | 0 | 178680 | 300 | 10676 | |||
| GREGORY HUFF | ||||||||||||||
| DIRECTOR PHARMACY | 14907 | 0 | 23510 | 0 | 205154 | 0 | 0 | 0 | 139406 | 8289 | 19042 | |||
| ELIZABETH FREDETTE | ||||||||||||||
| DIRECTOR INFO SERVICES AND CIO | 13781 | 0 | 22259 | 0 | 187240 | 0 | 0 | 0 | 127717 | 8056 | 15427 | |||
| BONNIE GORDON | ||||||||||||||
| CR NURSE ANESTHETIST | 11277 | 0 | 712 | 0 | 157439 | 0 | 0 | 0 | 139425 | 200 | 5825 | |||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | SCHEDULE J, PART I, LINE 4A | ReturnReference |
| Explanation | DAVID KINSAUL - 191,539 SCHEDULE J, PART I, LINE 4B A) PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND THE INCREASE IN ACTUARIAL VALUE: DEBORAH FELDMAN - 0 DAVID T. MILLER - 76,720 THOMAS MURPHY - 171,255 GREGORY RAMEY - 85,253 VICKI GIAMBRONE - 23,868 MATTHEW GRAYBILL - 80,946 RENAE PHILLIPS - 82,150 LISA COFFEY - 16,263 B) RECEIVED PAYMENT FROM A NONQUALIFIED RETIREMENT PLAN: DAVID KINSAUL - 1,522,009 | Explanation |
Schedule L IRS990ScheduleL
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 0 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CARRELL PICKOFF | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SPOUSE OF TRUSTEE | Relationship |
| Amount Of Transaction | 16997 | AmountOfTransaction |
| Description Of Transaction | EMPLOYMENT | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArt | |
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest | |
| Books And Publications | BooksAndPublications | |
| Clothing And Household Goods | ClothingAndHouseholdGoods | |
| Cars And Other Vehicles | CarsAndOtherVehicles | |
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty |
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 60907 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | SELLING PRICE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory | |
| Drugs And Medical Supplies | DrugsAndMedicalSupplies | |
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | true | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Explanation | ALL STOCK DONATIONS ARE TRANSFERRED TO EITHER MORGAN STANLEY/SMITH BARNEY OR DAYTON CHILDREN'S HOSPITAL KEY BANK TRUST ACCOUNT TO SELL STOCK. MORGAN STANLEY/SMITH BARNEY SENDS CHECK FOR CASH RECEIVED TO CHILDREN'S. KEY BANK DIRECTLY DEPOSITS PROCEEDS INTO CHILDREN'S CHECKING ACCOUNT. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL INFORMATION | FORM 990, PART III, LINE 4A | DAYTON CHILDREN'S HOSPITAL IS A PEDIATRIC HOSPITAL LOCATED IN DOWNTOWN DAYTON, OHIO. THE HOSPITAL AND ITS STAFF ARE COMMITTED TO SERVING AS AN ADVOCATE FOR THE CHILDREN AND THEIR FAMILIES IN THE MIAMI VALLEY THROUGH A VARIETY OF DIFFERENT PROGRAMS. IT OFFERS INPATIENT, OUTPATIENT AND ANCILLARY SERVICES TO THE CHILDREN IN THE SURROUNDING 20 COUNTIES. SERVICES ARE PROVIDED TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. FOR THE FISCAL YEAR ENDING JUNE 30, 2013, THE HOSPITAL'S MIX OF PATIENTS WAS 53.4% MEDICAID, 39.3% COMMERCIAL, 6.2% 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, ENDOCRINOLOGY, GENETICS, CARDIOLOGY, 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, 2013 ARE AS FOLLOWS: # OF BEDS: 155, INPATIENT DAYS: 29,193, ADMISSIONS: 7,300 AVERAGE LENGTH OF STAY: 4.12 DAYS. AVERAGE DAILY CENSUS: 80, OCCUPANCY RATE: 52%, SURGERIES PERFORMED: 10,642, X-RAY STUDIES: 65,661, LAB TEST: 862,735, RESPIRATORY THERAPY PROCEDURES: 94,512, PHARMACY DOSES DISPENSED: 3,234,153, CARDIOLOGY PROCEDURES: 36,725, NEUROLOGY PROCEDURES: 4,420, URGENT CARE VISITS: 14,762, EMERGENCY DEPARTMENT VISITS: 73,681, OUTPATIENT CLINICS: 60,996. 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 05/15/14. FORM 990, PART VI, LINE 12C - MONITORING CONFLICT OF INTEREST AT THE BEGINNING OF EACH MEETING, THE CHAIRMAN OF THE BOARD ASKS EACH MEMBER TO IDENTIFY AND DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST BASED ON THE AGENDA OR ANY CHANGES IN THEIR BUSINESS PRACTICE THAT MIGHT BE RELEVANT. IF THERE ARE ANY CONFLICTS, THE MEMBER(S) RECUSE THEMSELVES AND DO NOT PARTICIPATE IN THE DISCUSSION AND DO NOT VOTE ON THE ITEM. THIS THEN IS NOTED IN THE MINUTES OF THAT MEETING. BOARD MEMBERS ANNUALLY AGREE TO ABIDE BY WRITTEN CONFLICT OF INTEREST AND CONFIDENTIALITY POLICIES. BOARD MEMBERS ALSO WORK TO REPRESENT AND BALANCE THE INTERESTS OF DAYTON CHILDREN'S HOSPITAL'S MANY CONSTITUENTS. THE BOARD ANNUALLY EVALUATES ITS OWN PERFORMANCE. |
| FORM 990, PART VI, LINES 15A & 15B | COMPENSATION FOR THE HOSPITAL'S CHIEF EXECUTIVE OFFICER (CEO) IS SET BY AN EXECUTIVE COMPENSATION COMMITTEE (THE COMMITTEE) MADE UP OF THREE INDEPENDENT TRUSTEES WHO ARE ALSO OFFICERS OF THE BOARD. THIS COMMITTEE ALSO APPROVES COMPENSATION LEVELS, INCENTIVE PLAN PAYOUTS AND EXECUTIVE BENEFITS FOR EACH EXECUTIVE EMPLOYED BY THE HOSPITAL. THE COMMITTEE OPERATES UNDER A FORMAL CHARTER AND KEEPS CONTEMPORANEOUS MINUTES OF ITS PROCEEDINGS. THE COMMITTEE USES A TOTAL COMPENSATION PHILOSOPHY TO GUIDE ALL DECISIONS RELATED TO EXECUTIVE COMPENSATION AT DAYTON CHILDREN'S HOSPITAL (DCH), AND AS SUCH DETERMINES AND APPROVES ALL ASPECTS OF THE CEO'S TOTAL COMPENSATION PACKAGE, INCLUDING BENEFITS AND EXPENSE ALLOWANCES. THESE ARE DETAILED IN A WRITTEN EMPLOYMENT AGREEMENT FOR THE CEO. THE COMMITTEE USES AN OUTSIDE CONSULTANT TO CONDUCT PERIODIC REVIEWS OF THE EXECUTIVE COMPENSATION LEVELS OF THE ORGANIZATION VERSUS THOSE OF SIMILARLY SIZED AND SITUATED ORGANIZATIONS USING PUBLISHED SURVEYS. THESE SURVEY RESULTS ARE USED BY THE COMMITTEE IN SETTING EXECUTIVE LEVELS AND THE CEO'S COMPENSATION IN PARTICULAR. THE COMMITTEE FOLLOWS A FORMAL CALENDAR OF MEETINGS AND THE CHAIRMAN OF THE COMMITTEE REPORTS TO THE BOARD OF TRUSTEES AT LEAST ANNUALLY ON THE COMMITTEE'S ACTIVITIES AND ON DETAILS OF THE CEO'S COMPENSATION AND BENEFITS PACKAGE. THE COMMITTEE ALSO REVIEWS AND APPROVES DISCLOSURES RELATED TO EXECUTIVE COMPENSATION MADE AS PART OF IRS FORM 990. 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 XI | TRANSFER TO DAYTON CHILDREN'S HOSPITAL FOUNDATION (7,347,331) RESTRICTED NET ASSETS USED FOR PURCHASE OF PP&E 183,572 TEMPORARILY RESTRICTED NET ASSETS (2,171,516) CHANGE IN PENSION BENEFIT OBLIGATION AND PLAN ASSETS 10,773,966 TOTAL ADJUSTMENT 1,438,691 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HOME CARE OF DAYTON | ||||||||||
| ONE CHILDRENS PLAZA | DAYTON | OH | 45404 | 311356037 | HOME CARE | OH | 501(C)(3) | 9 | DCH | true |
| DAYTON CHILDREN'S HOSPITAL FOUNDATION | ||||||||||
| ONE CHILDRENS PLAZA | DAYTON | OH | 45404 | 311045247 | SUPPORT | OH | 501(C)(3) | 11a | DCH | true |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDDLETOWN SURGERY CENTER LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5950 INNOVATION DRIVE | AddressLine1 |
| City | MIDDLETOWN | City |
| State | OH | State |
| ZIP Code | 45005 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205160579 | EIN |
| Primary Activity | SURGERY CTR | PrimaryActivity |
| Legal Domicile State | OH | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 8440 | ShareOfTotalIncome |
| Share Of EOY Assets | 0 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| Code V | $0 | CodeVAmount |
| General Or Managing Partner | false | GeneralOrManagingPartner |
| Percentage Ownership | 0.10000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S CARE GROUP | ||||||||||||||||||
| ONE CHILDRENS PLAZA | DAYTON | OH | 45404 | 311411364 | SPEC PHYS GROUP | OH | DCH | C-CORP | 14876418 | 8065022 | 1.00000 | true | ||||||
| CHILDREN'S ANESTHESIA GROUP | ||||||||||||||||||
| ONE CHILDRENS PLAZA | DAYTON | OH | 45404 | 260887231 | ANESTHESIA SVCS | OH | DCH | C-CORP | 3897787 | 2171743 | 1.00000 | true | ||||||
| PEDIATRIC ASSURANCE COMPANY LTD | ||||||||||||||||||
| 980478183 | SELF-INSURANCE | DCH | N/A | 2040465 | 43627029 | 1.00000 | true | BUTTERFIELD BANK BLDG 6TH FLOOR | HAMILTON | BERMUDA | BD | HM12 | BD | |||||
| DAYTON CHILDREN'S ORTHOPAEDIC | ||||||||||||||||||
| ONE CHILDRENS PLAZA | DAYTON | OH | 45404 | 453934418 | ORTHO SERVICES | OH | DCH | C-CORP | 5821180 | 287229 | 1.00000 | true | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| DAYTON CHILDREN'S HOSPITAL FOUNDATION | ||
| B | 7347381 | FMV |
| DAYTON CHILDREN'S HOSPITAL FOUNDATION | ||
| C | 4581743 | CASH |
| DAYTON ORTHOPAEDICS | ||
| J | 139841 | CASH |
| CHILDREN'S HOME CARE OF DAYTON | ||
| M | 420829 | CASH |
| DAYTON CHILDREN'S HOSPITAL FOUNDATION | ||
| M | 73700 | CASH |
| CHILDREN'S CARE GROUP | ||
| M | 11735478 | CASH |
| CHILDREN'S ANESTHESIA GROUP | ||
| M | 3894777 | CASH |
| CHILDREN'S CARE GROUP | ||
| O | 176120 | FMV |
| CHILDREN'S ANESTHESIA GROUP | ||
| O | 642547 | FMV |
| CHILDREN'S HOME CARE OF DAYTON | ||
| Q | 10173208 | CASH |
| CHILDREN'S CARE GROUP | ||
| Q | 2323880 | CASH |
| DAYTON ORTHOPAEDICS | ||
| Q | 730000 | CASH |
| CHILDREN'S ANESTHESIA GROUP | ||
| R | 150000 | FMV |
| CHILDREN'S HOME CARE OF DAYTON | ||
| R | 116854 | FMV |
| DAYTON ORTHOPAEDICS | ||
| R | 445150 | FMV |
| CHILDREN'S HOME CARE OF DAYTON | ||
| S | 1500000 | CASH |