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DAYTON CHILDRENS HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
DAYTON CHILDRENS HOSPITAL (EIN 31-0672132)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201301349349301930
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-14T11:42:58-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310672132EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Children's Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DAVID T MILLERInCareOfName
Name ControlCHILNameControl
Phone9376413338Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameDAVID T MILLERName
TitleVP FINANCE & CFOTitle
Date Signed2013-05-06DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDEBORAH FELDMANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE CHILDRENS PLAZAAddressLine1
CityDAYTONCity
StateOHState
ZIP Code454041815ZIPCode
FieldValueIRS element (for citing)
Gross Receipts340251312GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.childrensdayton.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1967YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH STATUS OF ALL CHILDREN THROUGH SERVICE, EDUCATION, RESEARCH AND ADVOCACY.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees1940TotalNbrEmployees
Total Nbr Volunteers893TotalNbrVolunteers
Total Gross UBI-5607TotalGrossUBI
Net Unrelated Business Txbl Income-5607NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year10540270ContributionsGrantsPriorYear
Contributions Grants Current Year13792546ContributionsGrantsCurrentYear
Program Service Revenue Prior Year194695740ProgramServiceRevenuePriorYear
Program Service Revenue CY202208573ProgramServiceRevenueCY
Investment Income Prior Year8188402InvestmentIncomePriorYear
Investment Income Current Year11154342InvestmentIncomeCurrentYear
Other Revenue Prior Year2687349OtherRevenuePriorYear
Other Revenue Current Year5350065OtherRevenueCurrentYear
Total Revenue Prior Year216111761TotalRevenuePriorYear
Total Revenue Current Year232505526TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year100525GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY216288GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year101995746SalariesEtcPriorYear
Salaries Etc Current Year104630679SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1073749TotalFundrsngExpCurrentYear
Other Expense Prior Year74336688OtherExpensePriorYear
Other Expenses Current Year80844055OtherExpensesCurrentYear
Total Expenses Prior Year176432959TotalExpensesPriorYear
Total Expenses Current Year185691022TotalExpensesCurrentYear
Revenues Less Expenses Prior Year39678802RevenuesLessExpensesPriorYear
Revenues Less Expenses CY46814504RevenuesLessExpensesCY
Total Assets BOY410865595TotalAssetsBOY
Total Assets EOY428519704TotalAssetsEOY
Total Liabilities BOY38047015TotalLiabilitiesBOY
Total Liabilities EOY45942566TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY372818580NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY382577138NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE HEALTH STATUS OF ALL CHILDREN THROUGH SERVICE, EDUCATION, RESEARCH AND ADVOCACY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense207790860Expense
Grants216288Grants
Revenue202208573Revenue
DescriptionSEE SCHEDULE O.Description
Total Program Service Expense207790860TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096102NumberFormsTransmittedWith1096
Number W2 G Included1NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1940NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryBDNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDAVID T MILLERNamePerson
Telephone Number9376413338TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
EMILY CHAMBERS
TRUSTEE1.0X000
JEFFREY CHRISTIAN MD
TRUSTEE1.0X050229451900
ELIZABETH H EY MD
TRUSTEE1.0X13068200
JEAN IRELAND
TRUSTEE1.0X000
ROBERT P MYERS DO
TRUSTEE1.0X000
TIMOTHY G PEPPER
TRUSTEE1.0X000
ARTHUR PICKOFF
TRUSTEE1.0X10728000
COLLEEN RYAN
ASSISTANT SECRETARY TREASURER1.0X000
GREGORY SAMPLE
TRUSTEE1.0X000
BEVERLY SHILLITO
TRUSTEE1.0X000
ROSIE GOFORTH
TRUSTEE1.0X000
SCOTT KELLY
TRUSTEE1.0X000
THERESE MCNEA-WILEY
TRUSTEE1.0X000
MICHAEL SHANE
TRUSTEE1.0X000
JERAD M BARNETT
ASST. TREASURER/1ST VICE CHAIR1.0X000X
CHARLES M FOLEY
CHAIRMAN TERM ENDED 10/31/20111.0X000X
LAURENCE KLABEN
TREASURER/SECRETARY TREASURER1.0X000X
NEIL A MCLACHLAN
1ST VICE CHAIR UNTIL 10/31/111.0X000X
VISHAL SOIN
SECOND VICE CHAIR/CHAIRMAN1.0X000X
MARLA VICHICH
ASST SECY UNTIL 10/31/20111.0X000X
DEBBIE WATTS ROBINSON
SECRETARY UNTIL 10/31/20111.0X000X
DAVID KINSAUL
PRESIDENT AND CEO40.0X5862870363120X
THOMAS MURPHY MD
VP MEDICAL AFFAIRS & CMO40.0X3357040168281X
DAVID T MILLER
VP FINANCE & CFO40.0301050054631X
MATTHEW GRAYBILL
VP AND CHIEF OPERATING OFFICER40.02362280102363X
LISA COFFEY
VP CORPORATION SUPPORT SRVCS40.0183160038802X
RENAE PHILLIPS
VP PATIENT CARE & CNO40.0237478096504X
GREGORY RAMEY
VP OUTPATIENT SERVICES40.02308400105423X
VICKI GIAMBRONE
VP MARKETING/EXTERNAL RELATION40.0229806038367X
MARGARET HEMMEN
CRN ANESTHETIST40.0183468013030X
GREGORY HUFF
DIRECTOR PHARMACY40.0159085036161X
ELIZABETH FREDETTE
DIRECTOR INFO SVCS & CIO40.0145501032150X
CYNTHIA BURGER
DIRECTOR CRITICAL CARE40.0144382032348X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3210951TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs502294TotalReportableCompFrmRltdOrgs
Total Other Compensation1133080TotalOtherCompensation
Number Individuals GT100 K14NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CHILDREN'S CARE GROUP
1 CHILDRENS PLAZADAYTONOH45404PHYSICIAN SERVICES11419992
WRIGHT STATE PHYSICIANS
PO BOX 1144DAYTONOH45401PHYSICIAN SERVICES1813488
DAYTON CHILDREN'S CARDIOLOGY
1 CHILDRENS PLAZADAYTONOH45404PHYSICIAN SERVICES1716612
WRIGHT STATE UNIVERSITY
PO BOX 927DAYTONOH45401PHYSICIAN SERVICES1302399
ORTHOPAEDIC CENTER FOR SPINAL PED
1 CHILDRENS PLAZADAYTONOH45404PHYSICIAN SERVICES409178
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Federated Campaigns39817FederatedCampaigns
Fundraising Events19320FundraisingEvents
Government Grants822952GovernmentGrants
All Other Contributions12910457AllOtherContributions
Noncash Contributions65433NoncashContributions
Total Contributions13792546TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES REVENUE624100117284224117284224
MEDICARE/MEDICAID6241008492995684929956
SURGERY CENTER621400-5607-5607
FieldValueIRS element (for citing)
Total Program Service Revenue202208573TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8800547TotalRevenueColumn
Exclusion$8,800,547ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real351346Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real827450Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-476104Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-476104TotalRevenueColumn
Exclusion-$476,104ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities108753598Securities
Other23196Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities106402721Securities
Other20278Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2350877Securities
Other2918Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2353795TotalRevenueColumn
Exclusion$2,353,795ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events335692GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events19320CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses86203FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column249489TotalRevenueColumn
Exclusion$249,489ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory610174GrossSalesOfInventory
Cost Of Goods Sold409134CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column201040TotalRevenueColumn
Related Or Exempt Function Income201040RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HITECH MED RECORDS90009930605963060596
CAFETERIA/KIDS CARE72221013606971360697
DAY CARE CENTER812930692094692094

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column262253TotalRevenueColumn
Related Or Exempt Function Income262253RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue5375640TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column232505526TotalRevenueColumn
Related Or Exempt Function Income207790860RelatedOrExemptFunctionIncome
Unrelated Business Revenue-5607UnrelatedBusinessRevenue
Exclusion$10,927,727ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total20000Total
Program Services20000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total196288Total
Program Services196288ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3116386Total
Management And General3116386ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total79816942Total
Program Services75241695ProgramServices
Management And General3953364ManagementAndGeneral
Fundraising621883Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4465406Total
Program Services4209441ProgramServices
Management And General221173ManagementAndGeneral
Fundraising34792Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11596986Total
Program Services11042773ProgramServices
Management And General462942ManagementAndGeneral
Fundraising91271Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5634959Total
Program Services5311953ProgramServices
Management And General279102ManagementAndGeneral
Fundraising43904Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total258042Total
Management And General258042ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total240000Total
Management And General240000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total183016Total
Program Services183016ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total14910618Total
Program Services14626882ProgramServices
Management And General283736ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total738723Total
Program Services738723ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10972135Total
Program Services9913804ProgramServices
Management And General888991ManagementAndGeneral
Fundraising169340Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3958910Total
Program Services3958910ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2551772Total
Program Services2442562ProgramServices
Management And General99728ManagementAndGeneral
Fundraising9482Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total723225Total
Program Services343458ProgramServices
Management And General346471ManagementAndGeneral
Fundraising33296Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total150480Total
Program Services150480ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total14844856Total
Program Services14319692ProgramServices
Management And General472694ManagementAndGeneral
Fundraising52470Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1327803Total
Program Services1327803ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES2010802320108023
PURCHASED SERVICES62668464629307162022817311
STATE HOSPITAL ASSESSMENT36205143620514
MISCELLANEOUS-10908-10908

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total185691022Total
Program Services172385324ProgramServices
Management And General12231949ManagementAndGeneral
Fundraising1073749Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14910BOY
EOY15010EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY29801992BOY
EOY44977390EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1738641BOY
EOY1581244EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY22926911BOY
EOY27615433EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY98419BOY
EOY39836EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1474060BOY
EOY1755147EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY787044BOY
EOY565886EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis185414204LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec85508860LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY102432828BOY
EOY99905344EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY217666263BOY
EOY221218098EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY20694184BOY
EOY24091921EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2071712BOY
EOY2223611EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11158631BOY
EOY4530784EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY410865595BOY
EOY428519704EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY28833376BOY
EOY30218758EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1415BOY
EOY1415EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9212224BOY
EOY15722393EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY38047015BOY
EOY45942566EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY371563718BOY
EOY380726993EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1254862BOY
EOY1850145EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY372818580BOY
EOY382577138EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY410865595BOY
EOY428519704EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses46814504ReconcilationRevenueExpenses
Reconcilation Other Changes-37055946ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$162,728GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$16,286DirectContactLegislatorsAmount
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$18,534RalliesDemonstrationsAmount
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB197548TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE C SUPPLEMENTAL INFORMATIONIdentifier
Return ReferenceSCHEDULE C, PART II-BReturnReference
ExplanationLINE 1F: OHIO HOSPITAL ASSOCIATION $3,084 OHIO CHILDREN'S HOSPITAL ASSOCIATION $141,611 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS $18,033 TOTAL: $162,728 LINE 1G: MANAGEMENT TIME $13,513 NACH 2012 FAMILY ADVOCACY DAYS $2,773 TOTAL: $16,286 LINE 1H: MANAGEMENT TIME $1,019 CONSULTING EXPENSE $17,265 PRINTING AND SUPPLIES $250 TOTAL: $18,534 TOTAL LINE 1J: $197,548Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance123741717BeginningOfYearBalance
Contributions7937991Contributions
Investment Earnings Or Losses434441InvestmentEarningsOrLosses
Grants Or Scholarships4446180GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance127667969EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance97132791BeginningOfYearBalance
Contributions7689808Contributions
Investment Earnings Or Losses22325672InvestmentEarningsOrLosses
Grants Or Scholarships3402441GrantsOrScholarships
Other Expenditures4113OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance123741717EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance71668979BeginningOfYearBalance
Contributions19617386Contributions
Investment Earnings Or Losses8980654InvestmentEarningsOrLosses
Grants Or Scholarships2900616GrantsOrScholarships
Other Expenditures233612OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance97132791EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance87947632BeginningOfYearBalance
Contributions1194204Contributions
Investment Earnings Or Losses-14186547InvestmentEarningsOrLosses
Grants Or Scholarships3254832GrantsOrScholarships
Other Expenditures31478OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance71668979EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3965938OtherCostOrOtherBasis
Book Value3965938BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis49032544OtherCostOrOtherBasis
Depreciation20690265Depreciation
Book Value28342279BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis126751028OtherCostOrOtherBasis
Depreciation63322450Depreciation
Book Value63428578BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5664694OtherCostOrOtherBasis
Depreciation1496145Depreciation
Book Value4168549BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings99905344TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
HIRTLE CALLAGHAN-OFFSHORE11328041F
HIRTLE CALLAGHAN-COMMODITIES10501353F
HIRTLE CALLAGHAN-REAL ESTATE2262527F
FieldValueIRS element (for citing)
Total Of Book Value Securities24091921TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
RESERVE FOR PROFESSIONAL LIABILITY$5,658,596
ESTIMATED REIMB/MEDICAID PROGRAMS$251,075
PENSION LIABILITY$1,345,904
DEFERRED COMPENSATION PAYABLE$1,677,810
SERP PENSION ACCRUAL$3,947,547
REINSURANCE$2,841,461
FieldValueIRS element (for citing)
Total Of Amounts15722393TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePart V, Line 4ReturnReference
ExplanationThe endowments are held by the Children's Medical Center Foundation, a subsidiary of Children's Medical Center. The funds are used exclusively to support Children's Medical Center 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.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices1NumberOfOffices
Number Of Employees2NumberOfEmployees
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Total Expenditures54245472TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices1SubtotalNumberOfOffices
Subtotal Number Of Employees2SubtotalNumberOfEmployees
Total Number Of Offices1TotalNumberOfOffices
Total Number Of Employees2TotalNumberOfEmployees
Subtotal Amount Spent54245472SubtotalAmountSpent
Total Amount Spent54245472TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event1145981GrossReceiptsEvent1
Charitable Contributions Event19100CharitableContributionsEvent1
Gross Revenue Event1136881GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event122703RentFacilityCostsEvent1
Food And Beverage Event112037FoodAndBeverageEvent1
Entertainment Event10EntertainmentEvent1
Other Direct Expenses Event15792OtherDirectExpensesEvent1
Name Of Event2GALANameOfEvent2
Gross Receipts Event2125125GrossReceiptsEvent2
Charitable Contributions Event210220CharitableContributionsEvent2
Gross Revenue Event2114905GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event20NonCashPrizesEvent2
Rent Facility Costs Event20RentFacilityCostsEvent2
Food And Beverage Event219442FoodAndBeverageEvent2
Entertainment Event21000EntertainmentEvent2
Other Direct Expenses Event213442OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events83906GrossReceiptsOtherEvents
Charitable Contrib Other Events0CharitableContribOtherEvents
Gross Revenue Other Events83906GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events999NonCashPrizesOtherEvents
Rent Facility Costs Other Events5080RentFacilityCostsOtherEvents
Food And Beverage Other Events4148FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Other Direct Expenses Other Events1560OtherDirectExpensesOtherEvents
Gross Receipts Total355012GrossReceiptsTotal
Charitable Contributions Total19320CharitableContributionsTotal
Gross Revenue Total Events335692GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events999NonCashPrizesTotalEvents
Rent Facility Costs Total Events27783RentFacilityCostsTotalEvents
Food And Beverage Total Events35627FoodAndBeverageTotalEvents
Entertainment Total Events1000EntertainmentTotalEvents
Other Direct Expenses Total Events20794OtherDirectExpensesTotalEvents
Direct Expense Summary Events86203DirectExpenseSummaryEvents
Net Income Summary249489NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage150.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense651018TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense651018NetCommunityBenefitExpense
Percent Of Total Expense0.00350PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense93167651TotalCommunityBenefitExpense
Direct Offsetting Revenue82984886DirectOffsettingRevenue
Net Community Benefit Expense10182765NetCommunityBenefitExpense
Percent Of Total Expense0.05400PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense93818669TotalCommunityBenefitExpense
Direct Offsetting Revenue82984886DirectOffsettingRevenue
Net Community Benefit Expense10833783NetCommunityBenefitExpense
Percent Of Total Expense0.05750PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense375652TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense375652NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3675203TotalCommunityBenefitExpense
Direct Offsetting Revenue3067407DirectOffsettingRevenue
Net Community Benefit Expense607796NetCommunityBenefitExpense
Percent Of Total Expense0.00330PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense14409850TotalCommunityBenefitExpense
Direct Offsetting Revenue5985690DirectOffsettingRevenue
Net Community Benefit Expense8424160NetCommunityBenefitExpense
Percent Of Total Expense0.04540PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense174840TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense174840NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense18635545TotalCommunityBenefitExpense
Direct Offsetting Revenue9053097DirectOffsettingRevenue
Net Community Benefit Expense9582448NetCommunityBenefitExpense
Percent Of Total Expense0.05160PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense112454214TotalCommunityBenefitExpense
Direct Offsetting Revenue92037983DirectOffsettingRevenue
Net Community Benefit Expense20416231NetCommunityBenefitExpense
Percent Of Total Expense0.10910PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense777TotalCommunityBuildingExpense
Net Community Building Expense777NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense3927TotalCommunityBuildingExpense
Net Community Building Expense3927NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense1353TotalCommunityBuildingExpense
Net Community Building Expense1353NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense19193TotalCommunityBuildingExpense
Net Community Building Expense19193NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense18805TotalCommunityBuildingExpense
Net Community Building Expense18805NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense44055TotalCommunityBuildingExpense
Net Community Building Expense44055NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$3,571,965BadDebtExpenseAmount
Amount Attributable To1068248AmountAttributableTo
Amount Reimbursed By Medicare800805AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare800805CostOfCareReimbursedByMedicare

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDRENS MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1ONE CHILDRENS PLAZAAddressLine1
CityDAYTONCity
StateOHState
ZIP Code454041815ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Childrens HospitalXChildrensHospital
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CHILDRENS MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent100FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent150.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities10NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
WARREN COUNTY SPECIALTY CARE CENTER
100 CAMPUS LOOP ROAD SUITE AFRANKLINOH45005OUTPATIENT CARE CENTER
SPRINGBORO OUTPATIENT CARE CENTER
3333 WEST TECH ROADMIAMISBURGOH45342OUTPATIENT CARE CENTER DIAGNOSTIC CENTER
SPRINGBORO URGENT CARE CENTER
3333 WEST TECH ROADMIAMISBURGOH45342URGENT CARE CENTER
DAYTON ORTHOPAEDICS - SOUTH
2350 MIAMI VALLEY DRIVEDAYTONOH45459OUTPATIENT CARE CENTER
VANDALIA OUTPATIENT TESTING CENTER
810 FALLS CREEK DRIVE SUITE AVANDALIAOH45377OUTPATIENT CARE CENTER DIAGNOSTIC CENTER
BEAVERCREEK OUTPATIENT TESTING CENTER
3224 DAYTON XENIA ROADBEAVERCREEKOH45431OUTPATIENT CARE CENTER DIAGNOSTIC CENTER
SUGARCREEK OUTPATIENT TESTING CENTER
6116 WILMINGTON PIKECENTERVILLEOH45459OUTPATIENT CARE CENTER DIAGNOSTIC CENTER
KETTERING OUTPATIENT TESTING CENTER
4475 FAR HILLS AVENUEKETTERINGOH45429OUTPATIENT CARE CENTER DIAGNOSTIC CENTER
SPRINGFIELD SPECIALTY CARE CENTER
30 W MCCREIGHT AVENUESPRINGFIELDOH45504OUTPATIENT CARE CENTER
DAYTON ORTHOPAEDICS - TROY
31 STANFIELD ROADTROYOH45473OUTPATIENT CARE CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierSchedule H Part VIIdentifier
Return ReferencePART I, LINE 7GReturnReference
ExplanationDAYTON CHILDREN'S INCLUDED $14,409,850 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 ATTRIBUTABLE TO PATIENT ACCOUNTS IS THE COST TO CHARGE RATIO, RATIO OF PATIENT COST-TO-CHARGE. THE CHILDREN'S MEDICAL CENTER'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 CHILDREN'S MEDICAL CENTER IS REIMBURSED FOR MEDICARE SERVICES UNDER A TEFRA METHODOLOGY, THERE IS NORMALLY NO SHORTFALL, AS ALLOWED COSTS AND PAYMENTS DUE ARE EQUAL. PART III, LINE 9B: THE HOSPITAL'S POLICIES ON BILLING AND COLLECTIONS ARE POSTED ON OUR WEBSITE UNDER THE "FINANCIAL MATTERS" TAB. IT IS THE HOSPITAL'S POLICY TO PUBLICIZE THE AVAILABILITY OF FREE CARE, GOVERNMENT, AND OTHER FINANCIAL ASSISTANCE PROGRAMS 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 19D ALL PATIENTS ARE CHARGED THE SAME FOR SERVICES RECEIVED. HOWEVER, CHARGES BILLED TO ALL FAP ELIGIBLE PATIENTS ARE DISCOUNTED BASED ON THE HOSPITAL'S SLIDING FEE SCALE FOR DISCOUNTED CARE. THIS IS BASED ON CURRENT FEDERAL POVERTY LEVELS. PART V: DAYTON CHILDREN'S HAS 10 HEALTH CARE FACILITIES OTHER THAN THOSE REQUIRED TO BE LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED AS A HEALTH CARE FACILITY UNDER STATE LAW. WE HAVE 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 THE CHILDREN'S MEDICAL CENTER OF DAYTON'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 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 TO IMPROVE CHILDREN'S QUALITY OF LIFE AND GIVE CHILDREN 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. 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. BECAUSE THE 2011 REGIONAL PEDIATRIC HEALTH ASSESSMENT TAKES A LOOK AT A VARIETY OF ISSUES FACING THE STATUS OF CHILDREN'S HEALTH IN OUR COMMUNITY, THERE ARE MANY ISSUES WE ARE UNABLE TO ADDRESS FOR A VARIETY OF REASONS. FOR INSTANCE, WE KNOW MENTAL HEALTH ISSUES ARE A KEY CONCERN IN OUR COMMUNITY, BUT GIVEN OUR RESOURCE THIS AN ISSUE WE ARE CURRENTLY UNABLE TO ADDRESS. DENTAL HEALTH IS ALSO A CONCERN, BUT CURRENTLY THIS IS ANOTHER AREA WITH LIMITED RESOURCES. 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 PROGRAMMING 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. #3: 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 OTHEExplanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
GOODWILL EASTER SEALS
1511 KUNTZ RDDAYTONOH45404370537112501(C)(3)10000CAR SEAT PROGRAM
DAYTON SOCIETY OF NATURAL HISTORY
2600 DEWEESE PKWYDAYTONOH45414310585917501(C)(3)10000FOOD FITNESS & FUN
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (6 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
PHARMACY27359845
MEALS/FOOD45951010
TRANSPORTATION92942404
RENT/UTILITIES3424438
SPECIAL EQUIPMENT5915376
OTHER103214

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationTHE FINANCE COMMITTEE AND COMMUNITY RELATIONS MANAGER APPROVE ALL GRANTS AND CHARITABLE DONATIONS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JEFFREY CHRISTIAN MD
04269260300075068029873022027055419400
DAVID KINSAUL
366999015064506864303414960216240949407000
THOMAS MURPHY MD
22713605345605511201516310166500503985000
DAVID T MILLER
2020010497250493240324740221570355681000
LISA COFFEY
144089030256088150201430186590221962000
RENAE PHILLIPS
190421039564074930779460185580333982000
GREGORY RAMEY
1551630440840315930827230227000336263000
VICKI GIAMBRONE
154579037212038015028452099150268173000
MATTHEW GRAYBILL
1878930370600112750811140212490338591000
MARGARET HEMMEN
18158403000158401272603040196498000
GREGORY HUFF
134417071240175440112600249010195246000
ELIZABETH FREDETTE
128054061130113340104210217290177651000
CYNTHIA BURGER
13074506465071720102020221460176730000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferenceSCHEDULE J, PART I, QUESTION 4BReturnReference
ExplanationPARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND THE INCREASE IN ACTUARIAL VALUE: DAVID KINSAUL 336,738 DAVID MILLER 27,753 THOMAS MURPHY 146,783 GREGORY RAMEY 79,115 VICKI GIAMBRONE 24,687 MATTHEW GRAYBILL 77,241 RENAE PHILLIPS 74,087 LISA COFFEY 17,096Explanation

Schedule L IRS990ScheduleL

FieldValueIRS element (for citing)
Total Balance Due0TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonCARRELL PICKOFFNamePerson
FieldValueIRS element (for citing)
RelationshipSPOUSE OF TRUSTEERelationship
Amount Of Transaction16494AmountOfTransaction
Description Of TransactionEMPLOYMENTDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F99063521NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
ExplanationALL STOCK DONATIONS ARE TRANSFERRED TO EITHER MORGAN STANLEY/SMITH BARNEY OR CHILDREN'S MEDICAL CENTER 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

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferenceFORM 990, PART III, LINE 4AReturnReference
ExplanationThe Children's Medical Center is a pediatric hospital located in downtown Dayton, Ohio. The Medical Center 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 ancilliary 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, 2012, the hospital's mix of patients was 53.1% Medicaid, 39.0% Commercial, 6.7% Other Government Programs and 1.2% 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 specialities offered at the hospital are neurosurgery, hematology/oncology, pulmonary, gastroenterology, neurology, developmental disorders, psychology, endocrinology, genetics, cardiology, and general surgery. Without Children's Medical Center, many children in the area would have to travel a good distance to receive these services. The Medical Center also offers a Pediatric Residency Program that trains new pediatricians who will care for the next generation of children. Children's also sponsors many community events where children's health and safety are promoted. Some statistics for the fiscal year ending June 30, 2012 are as follows: # of beds: 155, Inpatient days: 28,868, Admissions: 6,952, Average length of stay: 4.26 days. Average daily census: 81 Occupancy rate: 52%, Surgeries performed: 11,488, X-Ray studies: 66,872, Lab Test: 865,750, Respiratory therapy procedures: 101,177, Pharmacy doses dispensed: 3,525,382 cardiology procedures: 37,471 Neurology procedures: 3,472, Urgent care visits: 14,630, Emergency department visits: 71,360, Outpatient clinics: 75,442. Form 990, Part VI, Lines 11a 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 05/15/13. 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 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 Children's Medical Center's many constituents. The board annually evaluates its own performance. Form 990, Part VI, line 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 Medical Center (DCMC), 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. Part VI, Line 19 Availability of Financial, Conflict of interest, organizing documents Children's Medical Center'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. Children's Medical Center contracts with dayton pediatric imaging for Dr. EY to provide services at Children's Medical Center as the medical director of radiology. - Arthur Pickoff MD is employed by Wright State University. Children's Medical Center contracts with Wright State University for Dr. Pickoff to provide services at Children's Medical Center as the Chairman of the Department of Pediatrics. Form 990 Part XI Total Adjustment Unrealized gain on investment (10,388,607) Transfer to Children's Medical Center Foundation (7,681,015) Net assets released from restrictions used for purchase of property & equipment 824,045 Net assets released from ristrictions -temporarily restricted net assets (2,892,891) Change in pension benefit obligation and plan assets (16,917,478) Total (37,055,946)Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CHILDREN'S HOME CARE OF DAYTON
ONE CHILDRENS PLAZADAYTONOH45404311356037HOME CAREOH501(c)(3)9CMCtrue
CHILDREN'S MEDICAL CENTER FOUNDATION
ONE CHILDRENS PLAZADAYTONOH45404311045247SUPPORTOH501(c)(3)11aCMCtrue

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15950 INNOVATION DRIVEAddressLine1
CityMIDDLETOWNCity
StateOHState
ZIP Code45005ZIPCode
FieldValueIRS element (for citing)
EIN205160579EIN
Primary ActivitySURGERY CENTERPrimaryActivity
Legal Domicile StateOHLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income-5607ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.10000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
CHILDREN'S CARE GROUP
ONE CHILDRENS PLAZADAYTONOH45404311411364SPEC PHYS GROUPOHCMCC-CORP1235359962021681.00000
CHILDREN'S ANESTHESIA GROUP
ONE CHILDRENS PLAZADAYTONOH45404260887231ANESTHESIA SVCSOHCMCC-CORP361004218195261.00000
PEDIATRIC ASSURANCE COMPANY LTD
980478183SELF-INSURANCECMCN/A1247779384159761.00000BUTTERFIELD BANK BLDG 6TH FLOORHAMILTONBERMUDABDHM12BD
DAYTON CHILDREN'S ORTHOPAEDIC CENTER
ONE CHILDRENS PLAZADAYTONOH45404453934418ORTHO SERVICESOHCMCC-CORP17531094303021.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CHILDRENS MEDICAL CENTER FOUNDATION
B7681016FMV
CHILDRENS MEDICAL CENTER FOUNDATION
C5423329CASH
CHILDRENS HOME CARE OF DAYTON
L424907CASH
CHILDRENS MEDICAL CENTER FOUNDATION
L71953CASH
CHILDRENS CARE GROUP
L9340553CASH
CHILDRENS ANESTHESIA GROUP
L3610042CASH
CHILDRENS CARE GROUP
N121476FMV
CHILDRENS ANESTHESIA GROUP
N536479FMV
CHILDRENS HOME CARE OF DAYTON
P9914196CASH
CHILDRENS CARE GROUP
P1889624CASH
DAYTON ORTHOPAEDICS
P212234CASH
CHILDRENS ANESTHESIA GROUP
Q165000FMV
CHILDRENS HOME CARE OF DAYTON
Q89059FMV
DAYTON ORTHOPAEDICS
Q1810000FMV
DAYTON ORTHOPAEDICS
I60839CASH