2011-05-04T08:53:02-04:00 2010-06-30 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2009-07-01 310672132 Children's Medical Center CHIL 9376413338 One Childrens Plaza Dayton OH 454041815 David T Miller 2011-05-03 3176817000 2009 2016-02-24 21:20:13Z DAVID KINSAUL ONE CHILDRENS PLAZA DAYTON OH 454041815 468555966 false X www.childrensdayton.org X 1967 OH TO IMPROVE THE HEALTH STATUS OF ALL CHILDREN THROUGH SERVICE, EDUCATION, RESEARCH AND ADVOCACY. 19 12 1975 1047 91371 0 8916670 19295153 175711348 181426163 -253779 -5572645 3117228 2443284 187491467 197591955 74903 102429 0 0 99972731 96856215 0 0 1000861 74135973 75063253 174183607 172021897 13307860 25570058 318433896 340268641 41561040 49322357 276872856 290946284 TO IMPROVE THE HEALTH STATUS OF ALL CHILDREN THROUGH SERVICE, EDUCATION, RESEARCH AND ADVOCACY. false false 160620518 102429 181426163 The 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 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, 2010, the hospital's mix of patients was 48.3% Medicaid, 44.3% Commercial, 6.1% 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 specialties 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, 2010 are as follows: #of beds: 155, Inpatient days: 29041, Admissions: 6646, Average length of stay: 4.37 days, Average daily census: 80.0, Occupancy rate: 51%, Surgeries performed: 11968, X-Ray studies: 68234, Lab tests: 770850, Respiratory therapy procedures: 177029, Pharmacy doses dispensed: 2700816, Cardiology procedures: 35278, Neurology procedures: 3499, Urgent Care visits: 18821, Emergency department visits: 63734, Outpatient clinics: 72354 160620518 true true false true false false false false true true false true false true true false false false true false true false true true false false false false false true true false true false false false false true true true false true 92 0 true 1975 true true true true BD false false false true true true 1 false false 19 12 false false false false false false false true true false false true true true true true true true true true true OH X DAVID T MILLER 9376413338 ONE CHILDRENS PLAZA DAYTON OH 45404 JEFFERY S ADAM MD 1.0 X 20000 0 0 JEFFREY S CHRISTIAN MD 1.0 X 0 415940 47496 JEAN IRELAND 1.0 X 0 0 0 ROBERT E JOHNSON 1.0 X 0 0 0 ROBERT P MYERS DO 1.0 X 20000 0 0 TIMOTHY G PEPPERS 1.0 X 0 0 0 ARTHUR PICKOFF MD 1.0 X 107276 0 0 COLLEEN RYAN 1.0 X 0 0 0 GREGORY SAMPLE 1.0 X 0 0 0 BEVERLY SHILLITO 1.0 X 0 0 0 MADONNA ALLREAD 1.0 X X 0 0 0 CHARLES FOLEY 1.0 X X 0 0 0 NEIL MCLACHLAN 1.0 X X 0 0 0 VISHAL SOIN 1.0 X X 0 0 0 LAURENCE KLABEN 1.0 X X 0 0 0 DEBBIE WATTS ROBINSON 1.0 X X 0 0 0 MARLA VICHICH 1.0 X X 0 0 0 DAVID KINSAUL 40.0 X X 481139 0 299386 THOMAS MURPHY 40.0 X X 285982 0 219551 DAVID T MILLER 40.0 X 267732 0 48399 RENAE PHILLIPS 40.0 X 201108 0 39478 GREGORY RAMEY 40.0 X 195757 0 103741 VICKI GIAMBRONE 40.0 X 198690 0 37656 LISA COFFEY 40.0 X 154174 0 30008 MATTHEW GRAYBILL 40.0 X 194696 0 41700 MARGARET HEMMEN 40.0 X 176196 0 12447 GREGORY HUFF 40.0 X 152959 0 34706 DUKE HADDAD JR 40.0 X 165940 0 29456 PEGGY BLANKENHORN 40.0 X 154466 0 17083 2776115 415940 961107 42 false true false CHILDREN'S CARE GROUP 1 CHILDRENS PLAZA DAYTON OH 45404 PHYSICIAN SERVICES 8757152 DAYTON CHILDREN'S CARDIOLOGY 1 CHILDRENS PLAZA DAYTON OH 45404 PHYSICIAN SERVICES 1721861 WRIGHT STATE PHYSICIANS PO BOX 1144 DAYTON OH 45401 PHYSICIAN SERVICES 1709724 CHILDREN'S EMERGENCY SERVICES 1 CHILDRENS PLAZA DAYTON OH 45404 PHYSICIAN SERVICES 1243903 WRIGHT STATE UNIVERSITY PO BOX 927 DAYTON OH 45401 PHYSICIAN SERVICES 960079 26 25522 0 19857 0 1639083 17610691 627304 19295153 PATIENT SERVICE REVENUE 900099 122038315 122038315 MEDICARE/MEDICAID 900099 59296477 59296477 URGENT CARE CENTER 621400 174900 174900 SURGERY CENTER 621400 -83529 -83529 181426163 4936135 4936135 0 0 356287 678204 -321917 -321917 -321917 259249644 8055 269764773 1706 -10515129 6349 -10508780 -10508780 254059 19857 73187 180872 180872 0 625907 446141 179766 179766 CAFETERIA 722210 1331958 1331958 CCC 624410 776571 776571 PARKING LOT 812930 296034 296034 2404563 197591955 183919121 91371 -5713690 0 102429 102429 0 0 2568558 2568558 0 73552763 69683347 3317979 551437 3935699 3728652 177540 29507 11730096 11222389 418898 88809 5069099 4802427 228668 38004 0 245871 245871 229216 229216 161395 161395 0 0 13920613 13776471 144142 635050 635050 30325170 29308412 826009 190749 3196960 3196960 0 2577161 2471209 96895 9057 506546 357254 131491 17801 0 127825 127825 0 0 14275391 13768708 455168 51515 277676 277676 PURCHASED SERVICES 6425366 4841301 1560083 23982 STATE HOSPITAL ASSESSMENT 2159013 2159013 172021897 160620518 10400518 1000861 14750 14610 3010035 12773925 6778241 2165460 25603833 21512557 142465 177608 1321966 1294743 186817 606832 183388305 78128601 104965698 105259704 171959891 189896424 2092677 2078733 2357523 4488045 318433896 340268641 25148492 26376084 85988 1415 16326560 22944858 41561040 49322357 X 269552371 290084813 7320485 861471 276872856 290946284 318433896 340268641 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 125964 false true 47599 false 173563 false false SCHEDULE C SUPPLEMENTAL INFORMATION SCHEDULE C, PART II-B OHA - Ohio Hospital Association Dues: 47,993 % Alloc. To Lobbying: 4.00% Lobbying Expense: 1,920 OCHA - Ohio Children's Hospital Association Dues: 140,125 % Alloc. To Lobbying: 85.00% Lobbying Expense: 119,106 NACH Dues: 21,847 % Alloc. To Lobbying: 11.32% Lobbying Expense: 2,473 NACHRI - National Association of Children's Hospitals and Related Organizations Dues: 44,355 % Alloc. To Lobbying: 0.00% Lobbying Expense: 0 National Association of Children's Hospitals Dues: 21,772 % ALLOC TO LOBBYING: 11.32% LOBBYING EXPENSE: 2,465 Consulting Expenses Lobbying Expense: 32,009 Travel Expense Lobbying Expense: 3,422 Membership Dues Lobbying Expense: 0 Printing & Supplies Lobbying Expense: 0 Management time Lobbying Expense: 12,168 Total Line 1J: 179,651 71668979 19617386 8980654 2900616 233612 0 97132791 87947632 1194204 -14186547 3254832 31478 0 71668979 1.00000 0.00000 0.00000 false true true 3489979 3489979 49502148 18185131 31317017 126406795 58703545 67703250 3989383 1239925 2749458 105259704 0 RESERVE FOR PROFESSIONAL LIABILITY 4418313 PENSION PAYABLE 14823330 DEFERRED COMPENSATION PAYABLE 1358886 SERP PENSION ACCURAL 2344329 22944858 SUPPLEMENTAL INFORMATION Part V, Line 4 The 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. PART X, FIN 48 FOOTNOTE The Medical Center follows the provisions of FASB interpretation No. 48, Accounting for Uncertainty in Income Taxes - an Interpretation of FASB Statement No. 109 (FIN No. 48). The Medical Center completed an analysis of its tax positions for all open years and determined that no material amounts were required to be recognized under FIN No. 48 in the consolidated financial statements at June 30, 2009 or 2008. All subsidiaries of the Medical Center except Children's Care Group (CCG) and Children's Anesthesia Group (CAG) and selected joint venture entities are exempt from federal income taxes under Section 501(c)(3) of the Internal Service Revenue. The wholly owned for-profit subsidiaries CCG and CAG had no taxable income in 2009. The provision for income taxes for the joint venture entities is not significant to the Children's Medical Center. false Central America and the Caribbean 1 2 Program Services SELF-INSURANCE 536486 1 2 536486 SCHEDULE F SUPPLEMENTAL INFORMATION THE TOTAL EXPENDITURES WERE DETERMINED BASED ON THE ACCRUAL ACCOUNTING METHODOLOGY. GOLF OUTING 115801 7000 108801 7986 16662 FESTIVAL 130974 10365 120609 5000 18310 1000 15255 3 27141 2492 24649 7236 1738 273916 19857 254059 5000 33532 1000 33655 73187 180872 true true X true X true X true true true false true true 727416 154543 572873 0.00330 79050649 66613449 12437200 0.07200 79778065 66767992 13010073 0.07530 369367 0 369367 0.00210 3470318 3065342 404976 0.00240 14256620 5333148 8923472 0.05200 99692 99692 0.00060 18195997 8398490 9797507 0.05710 97974062 75166482 22807580 0.13240 4680 4680 7410 7410 16283 16283 0.00010 11450 11450 0.00010 22626 22626 0.00010 5986 5986 68435 68435 0.00030 4457709 1133972 279011 279011 true true CHILDRENS MEDICAL CENTER

ONE CHILDRENS PLAZA DAYTON OH 454041815

X X X X X SPRINGBORO URGENT CARE CENTER

3333 WEST TECH ROAD MIAMISBURG OH 45342

URGENT CARE CENTER SPRINGBORO OUTPATIENT CARE CENTER

3333 WEST TECH ROAD MIAMISBURG OH 45342

OUTPATIENT CARE CENTER DIAGNOSTIC CENTER BEAVERCREEK OUTPATIENT TESTING CENTER

3224 DAYTON-XENIA ROAD BEAVERCREEK OH 45431

OUTPATIENT CARE CENTER DIAGNOSTIC CENTER KETTERING OUTPATIENT TESTING CENTER

4475 FAR HILLS AVENUE KETTERING OH 45429

OUTPATIENT CARE CENTER DIAGNOSTIC CENTER VANDALIA OUTPATIENT TESTING CENTER

810 FALLS CREEK DRIVE SUITE A VANDALIA OH 45377

OUTPATIENT CARE CENTER DIAGNOSTIC CENTER WARREN COUNTY SPECIALTY CARE CENTER

100 CAMPUS LOOP ROAD SUITE A FRANKLIN OH 45005

OUTPATIENT CARE CENTER 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 derived from worksheet 2, Ratio of Patient Cost-to-Charges. - Unreimbursed Medicaid was calculated using the cost to charge ratio derived from worksheet 2, Ratio of Patient Cost-to-Charges. - 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 cost were determined using the facility's internal cost accounting system. The cost these services includes direct costs attributable to health services operations, together with an allocation of facility direct and indirect overhead using a cost finding methodology patterned after the Medicare cost report. - Cash and in kind contributions were valued at the actual cash costs, including directly assignable payroll costs, related to these activities. No overhead allocation was charged to any amount included in this computation. Dayton Children's did include $14,256,620 of physician clinic costs in the subsidized health services category. The costing methodology used in preparation of bad debt attributable to patient accounts is the cost to charge ratio derived from worksheet 2, 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 reported period. Likewise, an allowance for bad debt is shown on the balance sheet under the same principle affecting the reported amounts of assets and liabilities during reporting period. The costs reported for services provided to Medicare patients come from Schedule E of the facility's cost report as filed. Since Dayton Children's is reimbursed for Medicare services under a TEFRA methodology, there is normally no shortfall, as allowed costs and payments due are equal. The hospital's policies on billing and collections are posted on our website under the "Financial Matters" tab. It is the Hospitals' 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, brochures provided in the registration areas, and the website. 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. Dayton Children's has 7 health care facilities other than those required to be licensed, registered, or similarly recognized as a health care facility under state law. We have 4 testing centers, 2 offsite clinics and 1 urgent care center. 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. Currently we are planning our fourth assessment to be completed in March 2011. Using an outside research firm, the assessment randomly surveys parents of children younger than 15 years old within Dayton Children's service area including the primary (Clark, Greene, Miami and Montgomery counties), the northern (Allen, Auglaize and Shelby counties), and the southern (parts of Butler and Warren counties) service areas. The accuracy of the research is within +/- 3.7% at the 95% level of confidence. The assessment gains the opinions of parents on various aspects of their children's health and safety including daily life, general and mental health status, special health needs, injury, violence, environmental health, injury prevention, nutrition and weight, physical activity, medical care and health care access and health care information sources. The hospital uses the insight from the assessment to develop initiatives aimed at improving the health and safety of our region's children. Our 2008 study revealed community needs around childhood obesity, asthma and special needs programming. These findings were to plan much of our community health and outreach programming. Because the 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 suggest some areas of focus for future programming and education beyond the walls of Dayton Children's. Dayton Children's also works with partners such as local health departments and child-serving organizations to gain additional information regarding these needs 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. The hospital's policies on billing and collections are posted on our website under the "Financial Matters" tab. It is the Hospitals' 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, brochures provided in the registration areas, and the website. Each of these avenues of communication includes detailed instructions on how patients and families may apply for 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 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. The Children's Medical Center of Dayton (Dayton Children's) is located in Old North Dayton, northeast of downtown Dayton and the urban core, in Montgomery County in southwestern Ohio. The hospital's roots can be traced back to 1919, when philanthropist and activist Anna Barney Gorman planned a North Dayton community center to offer health services, education and recreation. The Barney Community Center later developed into the Barney Convalescent Hospital, which cared for polio victims. In 1967 a full-service children's hospital, The Barney Children's Medical Center, opened, and in 1970 the name was changed to The Children's Medical Center of Dayton. Dayton Children's now serves 20 Ohio counties, including the primary (Clark, Greene, Miami and Montgomery counties), the northern (Allen, Auglaize and Shelby counties), and the southern (parts of Butler and Warren counties) service areas and our secondary service area including Preble, Darke, Mercer, Van Wert, Clinton, Madison, Hancock, Hardin, Logan, Fayette, Champaign and Wayne County, Indiana. Our service area spans 9,000 square miles with a 2.1 million population that includes poor urban and rural areas. We are the only pediatric health care provider and the largest provider of medical care to low-income children in the region. Currently, we serve a disproportionate share of children from low-income families. Currently 48.4% of the patients at Dayton Children's are covered by Medicaid. In addition, Dayton Children's serves as the pediatric resource for military families stationed at nearby Wright-Patterson Air Force Base. Dayton Children's has always believed that infants, children and teens need to be cared for by pediatric specialists in a pediatric facility. This year Dayton Children's delivered pediatric care to more than 275,000 children in our 20-county region. Our outpatient and alternative services, including pediatric laboratory and imaging, complement our inpatient services. Many programs have received certifications and accreditations from organizations setting the standards of quality care; our scores from the Joint Commission on Accreditation of Healthcare Organizations are consistently among the nation's highest. Through a variety of community- building activities, Dayton Children's staff and senior leadership are working beyond the walls of our hospital to create a healthy community for all children and families in our region. At Dayton Children's we know that partnerships are a driving force for change in our community. We partner with other local organizations that complement or enhance our mission: to improve the health status of all children. We believe that far more can be accomplished by working together and that the health of children and families is linked to the health and strength of the community. As the only children's hospital in the region, we take our pediatric expertise into the community to solve problems and create a healthy community for our children. Our community relationships demonstrate our commitment to the Dayton and surrounding community - a community we have called home for over 40 years. Dayton Children's is committed to working with our many valued partners to help ensure Dayton remains a great city to live, work and play. Dayton Children's works to educate the community about the uniqueness of pediatric health care. Our staff serves on professional organizations and healthcare advisory boards to make sure children's health issues are not forgotten and to educate future clinicians about pediatric issues. Professional organizations and advisory boards include Sinclair Community College Business Information Systems Advisory Board, Sinclair Community College Health Information Technology Program Advisory Committee, South Central Association for Clinical Microbiology, Dayton Organization of Nursing Executives, Ohio Nursing Association and the Ohio Organizations of Nursing Executives. As it is nationally, obesity continues to be a major pediatric health concern for our region. According to our 2008 Regional Pediatric Health Assessment, one in four children between the ages of 2 and 14 are overweight. In addition, nearly one-fourth of parents identified obesity, nutrition or exercise as the number-one community health issue facing children younger than age 15. Through community building activities with organizations such as Get Up Montgomery County, Wellness Matters, YMCA and Ohio Action for Healthy Kids, we have worked with partners to address this community issue. Dayton Children's provides unique pediatric expertise relating to childhood obesity and its comorbidities in order to give parents and children in our community actionable tips and tools to reduce childhood obesity in our region. Another finding of our regional pediatric health assessment was that allergies or asthma continue to affect almost 1 in 5 area children and over 1 in 10 children have been diagnosed with developmental delays/learning disabilities. In addition to providing community health improvement services that address these issues, Dayton Children's works with a variety of community partners such as the ASK Coalition, Goodwill/Easter Seals, Dayton Public Schools Head Start Health Services Advisory Committee, Epilepsy Foundation of Western Ohio, Juvenile Diabetes Research Foundation, March of Dimes, Prevent Blindness Ohio and Special Wish Foundation to give parents and children in our service area greater resources to address special needs issues. Unintentional injury is a leading cause of death and disability for children across the country and the statistics are very similar for our services area as well. We work with partners such as SAFE Communities, United Against Violence Greater Dayton Leadership Council and the Montgomery County Child Fatality Review Board to address some of the key unintentional injuries to children in our community such as motor vehicle accidents, pedestrian accidents and unsafe sleep practices. Beyond participation in organizations that directly impact children and children's health, Dayton Children's staff and leadership serve on various coalitions to improve the economic and social health of our community including the Dayton Development Coalition Board, Chamber of Commerce Board, American Heart Association, American Red Cross, Clothes that Work, Community Blood Center/Community Tissue Services Board, Culture Works, Dayton Foundation, Dayton Public Radio Board, Kinship Caregivers Coalition, , Miami Valley Literacy Council , Montgomery County Family and Children's First, Oakwood Board of Health, Ohio Society of Directors of Volunteer Services , Project READ, Ronald McDonald House, United Way and the Greater Dayton Hospital Association. Through these activities, Dayton Children's strives to create a community that is a place where all children and families grow and thrive. Dayton Children's is an indispensible resource to our community because we: - Serve as the community's safety net hospital by caring for all children regardless of their ability to pay, while providing and subsidizing hospital and community-based services that are either limited or unavailable elsewhere in our community. - Serve as a voice for children through public policy advocacy to change laws, policies or systems leading to the improvement of health and safety for children and families. - Join with community partners and lend support throughout our region to improve the lives of children and their families. - Train future doctors and health care providers to become the next generation of high quality, professional pediatric experts, often at a financial loss to the hospital. At Dayton Children's we are committed to living our mission to improve the health status of all children. Our community benefit activities demonstrate this commitment to our community's children. We live our mission to serve all children, regardless of their ability to pay. As a not-for-profit hospital, we know that status comes with a price; the price is that we must always do what is in the best interest of the patients and the community. At Dayton Children's, we serve a disproportionate share of children from low-income families. Currently 48.4% of the patients at Dayton Children's are covered by Medicaid. Dayton Children's is a leader in improving access to health insurance for children and families through its advocacy efforts. We have worked to expand children's coverage statewide and nationally. The hospital has provided critical resources and support to efforts to ensure that these gains are translated into actual coverage by enrolling uninsured children on-site. Dayton Children's Health Clinic is a primary care provider for many of the region's infants, children and teens. Not only is Children's Health Clinic a "safety net" for many families with over 16,000 visits each year, it is also a rich training setting for future pediatricians. As a teaching hospital, Dayton Children's is dedicated to training the next generation of pediatricians and pediatric specialists. Each year, Dayton Children's hosts 60 medical residents from the Wright State University Boonshoft School of Medicine. In addition, Dayton Children's houses this country's only civilian/military integrated pediatric residency program with Wright Patterson Air Force Base. Physicians trained at Dayton Children's are saving lives throughout the world. Training resident physicians involves significant costs far beyond those usually associated with patient care - however we know that training the next generation of health care workers is essential to the overall health of our community. At Dayton Children's, 100 percent of our active staff physicians are board certified or board eligible in at least one key pediatric specialty area. These pediatric specialists are the core of our Centers of Excellence available right here in Dayton. - There are 11 accredited pediatric cancer care programs in the nation housed in free-standing children's hospital - Dayton Children's Comprehensive Care Center of Cancer and Blood Disorders is one of them. This means we share the latest protocols, research and clinical trials so a child with cancer in Dayton gets the same care as they would at any other top center in the country. - Our designated Level III NICU provides a state-of-the-art, developmentally-centered unit offers a full range of newborn care including emergency and continuing care for premature and critically ill newborns. - Dayton Children's houses the Regional Centers for Cystic Fibrosis, Hemophilia and Sickle Cell - The Soin Pediatric Trauma and Emergency Center is the region's only Level II pediatric trauma center - Dayton Children's performs the majority of spinal surgeries in our region. We do everything we can to create a high-quality, safe environment for our young patients. In addition to providing child-life specialists, trained in distraction techniques, we "kid-size" our care. Our medical imaging department has state-of-the-art equipment designed to perform diagnostic examinations with a minimum of radiation exposure to patients, reducing long-term effects later in life. Our Soin Pediatric Trauma and Emergency Center (PTEC) is the region's only pediatric trauma center and an accredited Level II Pediatric Trauma Center; the closest pediatric trauma center is 53 miles south. Children come to PTEC to receive treatment for common, everyday emergencies - breathing difficulties and asthma, seizures and dehydration - as well as trauma conditions resulting from motor vehicle crashes, burns, near drownings, playground- and sports-related accidents, fractures and child abuse. These children need care from staff trained to use child-sized medical equipment, pediatric protocols that limit radiation exposure and weight-based medication dosages. Emergency rooms at adult hospitals are not well equipped or staffed to care for seriously ill children. These facilities may provide initial, stabilizing treatment, but often the next step is contacting Dayton Children's to provide a higher level of care. PTEC's services can make the difference between life and death since studies show that children have a higher survival rate at pediatric trauma centers than at adult trauma centers. Hospital wide, 48.4 percent of patients are on Medicaid. But at PTEC, the majority of patients - 60 percent - rely on Medicaid, which is reimbursed at just half the amount of commercial insurance; an additional 4 percent of PTEC patients have no insurance at all. Nevertheless, Dayton Children's is committed to treating all children, regardless of ability to pay, and subsidizes the care of uninsured or underinsured children. That's why we are known throughout the region as a safety net for low-income and unemployed families. To provide the best care for children, Dayton Children's offers many clinical programs despite financial loss because they meet an identified community health need. These specialty programs include pediatric pulmonary, endocrinology, hematology/oncology, gastroenterology, psychiatry, nephrology, urology, surgery, child abuse, neurology, developmental pediatrics, our specialty clinic and our Children's Health Clinic. Dayton Children's also leads the way in patient safety initiatives. Dayton Children's has worked with our pediatric partners across the country on a variety of patient safety and quality initiatives. Our work has resulted in a nationally recognized program in our Pediatric Intensive Care Unit and Neonatal Intensive Care Unit that has reduced the incidence of ventilator-associated pneumonia. In addition, the estimated added cost of ventilator associated pneumonia ranges from $5,000 to $40,000 for each occurrence. Our work has helped to lower the cost of health care and improve the quality of life for our patients. Our lab and emergency departments have also implemented innovative changes to reduce blood culture contamination. Our lower contamination rate translates into 133 children each year that have been spared repeat visits, hospital admission, prolonged stay, extra health care costs and potential for another infection. Dayton Children's joins with other children's hospitals across the country to address issues unique to the population that we serve. We work with the Child Health Care Corporation of America, the Ohio Children's Hospital Association (OCHA), Ohio Hospital Association (OHA), and the National Association of Children's Hospitals and Related Institutions (NACHRI) to make sure that children have a voice in policy matters. In the health care reform conversation we make sure that children's issues such as access to appropriate care are not forgotten. In 2009-2010, Dayton Children's joined with fellow health care providers, Ohio's business leaders, children's advocates and other stakeholders to create the Healthy Choices for Healthy Children coalition. Our coalition's first priority was supporting the passage of the Healthy Choices for Healthy Children legislation - Senate Bill 210 and House Bill 373 - because it is a critical first step in addressing the epidemic of childhood obesity in Ohio. The bill passed by the Ohio Assembly will improve the nutritional value of foods offered during the regular and extended school day, raise the bar for physical education, provide for Body Mass Index (BMI) screenings upon school entry and in the 3rd, 5th and 9th grades and offer a pilot program for daily physical activity during the school day. We believe these are first steps to addressing one of our greatest community needs - childhood obesity. Dayton Children's commitment to caring for children beyond our walls and in the community is a key part of our mission. Our community health improvement services allow us to prevent injuries, improve health literacy and engage the community on important hea false TRANSPORTATION 489 16217 MEALS/FOOD 142 6464 RENT/UTILITIES 52 16439 PHARMACY 287 55825 SPECIAL EQUIPMENT 4 3468 OTHER 50 4016 X true true X X X X X true true false false false false false false false JEFFREY S CHRISTIAN MD 0 393023 0 0 0 22917 0 25767 0 21729 0 463436 0 0 DAVID KINSAUL 378045 0 50000 0 53094 0 281478 0 17908 0 780525 0 0 0 DAVID T MILLER 194337 0 21000 0 52395 0 27647 0 20752 0 316131 0 0 0 THOMAS MURPHY 216540 0 20000 0 49442 0 202045 0 17506 0 505533 0 0 0 RENAE PHILLIPS 180253 0 16000 0 4855 0 21025 0 18453 0 240586 0 0 0 GREGORY RAMEY 144444 0 19077 0 32236 0 80611 0 23130 0 299498 0 0 0 VICKI GIAMBRONE 141174 0 15600 0 41916 0 23931 0 13725 0 236346 0 0 0 LISA COFFEY 131752 0 12500 0 9922 0 10539 0 19469 0 184182 0 0 0 MATTHEW GRAYBILL 165326 0 15600 0 13770 0 19020 0 22680 0 236396 0 0 0 MARGARET HEMMEN 174762 0 0 0 1434 0 11850 0 597 0 188643 0 0 0 GREGORY HUFF 131322 0 0 0 21637 0 10813 0 23893 187665 0 0 0 DUKE HADDAD JR 138701 0 12500 0 14739 0 11594 0 17862 0 195396 0 0 0 PEGGY BLANKENHORN 56332 0 0 0 98134 0 10297 0 6786 0 171549 0 0 0 PART I, QUESTION 4A PEGGY BLANKENHORN RECEIVED A SEVERANCE PAYMENT OF $34,240. PART I, QUESTION 4B PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND THE INCREASE IN ACTUARIAL VALUE: DAVID KINSAUL 243,693 DAVID MILLER 7,678 THOMAS MURPHY 147,929 GREGORY RAMEY 14,177 VICKI GIAMBRONE 6,241 MATTHEW GRAYBILL 3,476 RENAE PHILLIPS 1,284 CARRELL PICKOFF SPOUSE OF TRUSTEE 20722 EMPLOYMENT false NORTHWEST OHIO ENT SPECIALISTS BUSINESS OF TRUSTEE 125000 RECRUITMENT LOAN false NORTHWEST OHIO ENT SPECIALISTS BUSINESS OF TRUSTEE 118759 PHYSICIAN SERVICES false X 4 497304 SELLING PRICE X 1 130000 SELLING PRICE 1 false true true SUPPLEMENTAL INFORMATION Part I, Line 32b ALL 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 CHILDRENS. KEY BANK DIRECTLY DEPOSITS PROCEEDS INTO CHILDRENS CHECKING ACCOUNT. SUPPLEMENTAL INFORMATION 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 05/15/11. 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 Children's Medical Center's many constituents. The board annually evaluates its own performance. Form 990, Part VI, line 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 statements, 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 - Jeffery Adam MD is compensated by Children's Medical Center to perform the services of Medical Director for our Ears, Nose and Throat Clinic. - Jeffrey Christian MD works 40 hours per week for the subsidiary, Children's Care Group. - 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. Schedule R, Part II, Column B Children's Homecare of Dayton - to provide pediatric healthcare in the home. Children's Medical Center Foundation - to accumulate funds to benefit for and to assist in its charitable missions. 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