2014-05-13T11:59:49-05:00 2013-06-30 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2012-07-01 310672132 Dayton Children's Hospital % DAVID T MILLER DAYT 9376413338 One Childrens Plaza Suite Dayton OH 454041815 David T Miller 2014-05-12 3176817000 2012 2015-11-30 17:44:51Z DEBORAH FELDMAN ONE CHILDRENS PLAZA DAYTON OH 454041815 343242166 false X www.childrensdayton.org X 1967 OH TO IMPROVE THE HEALTH STATUS OF ALL CHILDREN THROUGH SERVICE, EDUCATION, RESEARCH AND ADVOCACY. 19 13 1941 957 8440 1833 13792546 12375609 202208573 215465646 11154342 15316964 5350065 4346049 232505526 247504268 216288 214264 0 0 104630679 109882994 0 0 923098 80844055 88650772 185691022 198748030 46814504 48756238 428519704 486852251 45942566 45343582 382577138 441508669 X TO IMPROVE THE HEALTH STATUS OF ALL CHILDREN THROUGH SERVICE, EDUCATION, RESEARCH AND ADVOCACY. false false 186105459 214264 219719915 SEE SCHEDULE O. 186105459 true true false true false false false false 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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 127667969 7549823 14908772 4542192 33551 0 145550821 123741717 7937991 434441 4446180 0 0 127667969 97132791 7689808 22325672 3402441 4113 0 123741717 71668979 19617386 8980654 2900616 233612 0 97132791 87947632 1194204 -14186547 3254832 31478 0 71668979 1.00000 false true true 4122328 4122328 48992501 22042215 26950286 0 0 0 131891230 68363941 63527289 5213340 1638103 3575237 98175140 HIRTLE CALLAGHAN - OFFSHORE 20261298 F HIRTLE CALLAGHAN - COMMODITIES 15061158 F 35322456 0 RESERVE FOR PROFESSIONAL LIABILITY 6225792 ESTIMATED REIMB/MEDICAID PROGRAMS 549766 DEFERRED COMPENSATION PAYABLE 1812040 SERP PENSION ACCRUAL 2967547 REINSURANCE 2688529 14243674 X 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. 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OUTPATIENT CARE CENTER 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. 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X true true X X X X X true true false false false false false false false JEFFREY CHRISTIAN MD 515749 300 24536 0 37223 0 22547 0 600355 0 0 ELIZABETH EY MD 151994 0 0 0 0 151994 0 0 0 DAVID KINSAUL 183277 66000 1830049 9897 0 21192 0 2110415 0 1522009 0 DEBORAH FELDMAN 159583 13138 5615 0 0 0 178336 0 0 0 THOMAS MURPHY MD 236505 53723 54642 181255 0 16410 0 542535 0 0 0 DAVID T MILLER 210879 50389 51731 86720 0 21377 0 421096 0 0 0 MATTHEW GRAYBILL 203747 43736 23036 89822 0 23240 0 383581 0 0 0 LISA COFFEY 146589 31993 12691 22508 0 20803 0 234584 0 0 0 RENAE PHILLIPS 184581 39875 20594 90289 0 18349 0 353688 0 0 0 GREGORY RAMEY 161458 44996 31489 92863 0 23298 0 354104 0 0 0 VICKI GIAMBRONE 166951 39760 38987 31014 0 10003 0 286715 0 0 0 MARGARET HEMMEN 178680 300 10676 16625 0 729 0 207010 0 0 0 GREGORY HUFF 139406 8289 19042 14907 0 23510 0 205154 0 0 0 ELIZABETH FREDETTE 127717 8056 15427 13781 0 22259 0 187240 0 0 0 BONNIE GORDON 139425 200 5825 11277 0 712 0 157439 0 0 0 SUPPLEMENTAL INFORMATION SCHEDULE J, PART I, LINE 4A 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 0 CARRELL PICKOFF SPOUSE OF TRUSTEE 16997 EMPLOYMENT false X 2 60907 SELLING PRICE false true true SUPPLEMENTAL INFORMATION ALL STOCK DONATIONS ARE TRANSFERRED TO EITHER MORGAN STANLEY/SMITH BARNEY OR DAYTON CHILDREN'S HOSPITAL KEY BANK TRUST ACCOUNT TO SELL STOCK. MORGAN STANLEY/SMITH BARNEY SENDS CHECK FOR CASH RECEIVED TO CHILDREN'S. KEY BANK DIRECTLY DEPOSITS PROCEEDS INTO CHILDREN'S CHECKING ACCOUNT. SUPPLEMENTAL INFORMATION FORM 990, PART III, LINE 4A DAYTON CHILDREN'S HOSPITAL IS A PEDIATRIC HOSPITAL LOCATED IN DOWNTOWN DAYTON, OHIO. THE HOSPITAL AND ITS STAFF ARE COMMITTED TO SERVING AS AN ADVOCATE FOR THE CHILDREN AND THEIR FAMILIES IN THE MIAMI VALLEY THROUGH A VARIETY OF DIFFERENT PROGRAMS. IT OFFERS INPATIENT, OUTPATIENT AND ANCILLARY SERVICES TO THE CHILDREN IN THE SURROUNDING 20 COUNTIES. SERVICES ARE PROVIDED TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. FOR THE FISCAL YEAR ENDING JUNE 30, 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 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 MIDDLETOWN SURGERY CENTER LLC 5950 INNOVATION DRIVE MIDDLETOWN OH 45005 205160579 SURGERY CTR OH NA RELATED 8440 0 false 0 false 0.10000 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 BUTTERFIELD BANK BLDG 6TH FLOOR HAMILTON BERMUDA BD HM12 980478183 SELF-INSURANCE BD DCH N/A 2040465 43627029 1.00000 true DAYTON CHILDREN'S ORTHOPAEDIC ONE CHILDRENS PLAZA DAYTON OH 45404 453934418 ORTHO SERVICES OH DCH C-CORP 5821180 287229 1.00000 true false true true false false false false false true false false true false true false true true true 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