2026-05-14T10:52:10-05:00 2025-06-30 420714325 RSM US LLP 6 S PATTERSON BLVD DAYTON OH 45402 990 2024-07-01 310672132 DAYTON CHILDREN'S HOSPITAL DAYT 9376413000 ONE CHILDRENS PLAZA DAYTON OH 454041815 GREG DILLARD VP FINANCE AND CFO 9376413000 2026-05-12 1 1 KAREN O CRIM P00368385 9372980201 2026-05-12 2024 2025-03-06 01:10:19Z DEBORAH FELDMAN ONE CHILDRENS PLAZA DAYTON OH 454041815 917687765 0 X WWW.CHILDRENSDAYTON.ORG X 1967 OH THE RELENTLESS PURSUIT OF OPTIMAL HEALTH FOR EVERY CHILD WITHIN OUR REACH. 19 16 4530 641 11253 1786 13105234 11100862 644014574 697917254 34471819 57436131 49743489 58683321 741335116 825137568 353685 186500 0 0 316882515 335047297 0 0 5420366 301729834 326247335 618966034 661481132 122369082 163656436 1751404115 1968222515 426818166 443572726 1324585949 1524649789 X THE RELENTLESS PURSUIT OF OPTIMAL HEALTH FOR EVERY CHILD WITHIN OUR REACH. 0 0 534237149 186500 752678756 DAYTON CHILDREN'S HOSPITAL IS A PEDIATRIC HOSPITAL LOCATED IN DOWNTOWN DAYTON, OHIO. THE HOSPITAL AND ITS STAFF ARE COMMITTED TO SERVING AS AN ADVOCATE FOR THE CHILDREN AND THEIR FAMILIES IN THE MIAMI VALLEY THROUGH A VARIETY OF DIFFERENT PROGRAMS. IT OFFERS INPATIENT, OUTPATIENT AND ANCILLARY SERVICES TO THE CHILDREN IN THE SURROUNDING 20 COUNTIES. SERVICES ARE PROVIDED TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. FOR THE FISCAL YEAR ENDING JUNE 30, 2025, THE HOSPITAL'S MIX OF PATIENTS WAS 50.1 PERCENT MEDICAID, 38.1 PERCENT COMMERCIAL, 3.8 PERCENT OTHER GOVERNMENT PROGRAMS AND 8 PERCENT SELF PAY. THE HOSPITAL PROVIDES A LEVEL III NEONATAL NURSERY FOR PREMATURE NEWBORNS AS WELL AS CRITICAL CARE AND GENERAL PEDIATRIC INPATIENT BEDS. A 24 HOUR EMERGENCY DEPARTMENT IS AVAILABLE TO ALL CHILDREN IN THE AREA. SOME OF THE SPECIALTIES OFFERED AT THE HOSPITAL ARE NEUROSURGERY, HEMATOLOGY/ONCOLOGY, PULMONARY, GASTROENTEROLOGY, NEUROLOGY, UROLOGY, DEVELOPMENTAL DISORDERS, PSYCHOLOGY, PSYCHIATRY, ENDOCRINOLOGY, GENETICS, CARDIOLOGY, ORTHOPEDICS AND GENERAL SURGERY. WITHOUT DAYTON CHILDREN'S HOSPITAL, MANY CHILDREN IN THE AREA WOULD HAVE TO TRAVEL A GOOD DISTANCE TO RECEIVE THESE SERVICES. THE HOSPITAL ALSO OFFERS A PEDIATRIC RESIDENCY PROGRAM THAT TRAINS NEW PEDIATRICIANS WHO WILL CARE FOR THE NEXT GENERATION OF CHILDREN. DAYTON CHILDREN'S ALSO SPONSORS MANY COMMUNITY EVENTS WHERE CHILDREN'S HEALTH AND SAFETY ARE PROMOTED. SOME STATISTICS FOR THE FISCAL YEAR ENDING JUNE 30, 2025 ARE AS FOLLOWS: # OF BEDS 206, INPATIENT DAYS 32,894, ADMISSIONS 6,809. AVERAGE LENGTH OF STAY 4.83 DAYS. AVERAGE DAILY CENSUS 109.6, OCCUPANCY RATE 60 PERCENT, SURGERIES PERFORMED 13,162, X-RAY STUDIES 50,955, LAB TESTS 642,041, RESPIRATORY THERAPY PROCEDURES 77,033, PHARMACY DOSES DISPENSED 793,560, CARDIOLOGY PROCEDURES 20,269, NEUROLOGY PROCEDURES 4,888, URGENT CARE VISITS 49,209, EMERGENCY DEPARTMENT VISITS 95,650, OUTPATIENT CLINIC VISITS 360,036. 534237149 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 1 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 294 0 1 4530 1 1 1 1 BD 0 0 0 0 0 0 0 0 1 0 X 19 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OH X GREG DILLARD 9376413000 ONE CHILDRENS PLAZA DAYTON OH 454041815 DEBORAH FELDMAN CEO 40.00 1.00 X X 1684727 0 407265 ADAM MEZOFF MD CMO 40.00 0.00 X 875879 0 427196 GOGI KUMAR TRUSTEE 1.00 0.00 X 0 573099 50166 VIPUL PATEL MD TRUSTEE (UNTIL 11/2024) 1.00 0.00 X 0 442724 97239 MERRILEE COX TRUSTEE (UNTIL 11/2024) 1.00 0.00 X 0 316667 16944 MICHAEL MCQUISTON CHAIR 1.00 0.00 X X 0 0 0 TODD PLEIMAN VICE CHAIR 1.00 0.00 X X 0 0 0 DAVID C MELIN SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 HELEN JONES-KELLEY ASSISTANT SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 MAMLE ANIM MD TRUSTEE 1.00 0.00 X 0 0 0 MARK CHILSON TRUSTEE (UNTIL 11/2024) 1.00 0.00 X 0 0 0 ROB CONNELLY TRUSTEE 1.00 0.00 X 0 0 0 CARLY COX TRUSTEE 1.00 0.00 X 0 0 0 NICK ENDSLEY TRUSTEE 1.00 0.00 X 0 0 0 ANTHONY R KENNEY TRUSTEE (UNTIL 05/2025) 1.00 0.00 X 0 0 0 MANOJ KUMAR TRUSTEE 1.00 0.00 X 0 0 0 JAMIE MCGREGOR TRUSTEE 1.00 0.00 X 0 0 0 LESLIE C MILLER TRUSTEE 1.00 0.00 X 0 0 0 PATRICK PRIKKEL TRUSTEE 1.00 0.00 X 0 0 0 CHARLYNDA SCALES TRUSTEE 1.00 0.00 X 0 0 0 MARK SHAKER TRUSTEE 1.00 0.00 X 0 0 0 DAVID TAYLOR TRUSTEE 1.00 0.00 X 0 0 0 JAMES WHALEN TRUSTEE 1.00 0.00 X 0 0 0 CHRIS BERGMAN CFO 40.00 2.00 X 737889 0 331133 CHARLES KIDWELL CHIEF LEGAL OFFICER 40.00 0.00 X 583585 0 57793 BENJAMIN GOODSTEIN VP & CHIEF AMBULATORY OFFICER 39.00 1.00 X 571845 0 58272 CINDY BURGER VP & CHIEF EXPERIENCE OFFICER 40.00 0.00 X 506743 0 108597 KELLY KAVANAUGH VP & CHIEF STRATEGY OFFICER 40.00 0.00 X 457503 0 113665 JAYNE GMEINER VP & CHIEF NURSING OFFICER 39.00 1.00 X 439317 0 42083 5857488 1332490 1710353 362 0 1 0 SJN DATA CENTER LLC 4620 WESLEY AVE CINCINNATI OH 45212 IT SOLUTIONS 3902230 CLOUDMED SOLUTIONS LLC PO BOX 669 OSTEEN FL 32764 REVENUE INTELLIGENCE SOLUTIONS 2240550 WRIGHT STATE PHYSICIANS 725 UNIVERSITY BLVD FAIRBORN OH 45324 PHYSICIAN SERVICES 1049810 STRYKER SALES LLC 21343 NETWORK PLACE CHICAGO IL 60673 MEDICAL TECHNOLOGY 640746 CLINICAL INTELLIGENCE LLC 29 FLAGSHIP LANE HILTON HEAD SC 29926 PROFESSIONAL CONSULTING 635190 30 6888258 4212604 11100862 PATIENT SERVICE REVENUE 624100 439528994 439528994 MEDICARE/MEDICAID 624100 258136076 258136076 RELATED ORG RENT 532000 252184 252184 697917254 17059875 11253 17048622 1572876 891986 680890 680890 680890 131352419 164655 90943286 197532 40409133 -32877 40376256 40376256 535923 517393 18530 18530 PARTNERS FOR KIDS 900099 15671269 15671269 CONTRACT SPECIALTY PHARMACY 900099 5143252 5143252 CAFETERIA 900099 3222399 3222399 33946981 33946981 57983901 825137568 752678756 11253 61346697 186500 186500 4464089 4464089 245848945 209272592 34126691 2449662 15493099 12952905 2388572 151622 51214768 42817775 7895785 501208 18026396 15070852 2779131 176413 748935 748935 535579 535579 213437 213437 1465495 1465495 28629160 19273140 8519601 836419 1697036 1697036 38530578 30837752 6932223 760603 20819580 15151038 5391412 277130 9917912 5379231 4517300 21381 1694506 1015494 583056 95956 9573521 9573521 40154138 36947695 3079416 127027 2795472 2795472 MEDICAL SUPPLIES AND DR 109791042 107147472 2624079 19491 BAD DEBT EXPENSE 36300016 36300016 STATE HOSPITAL ASSESSME 21399997 21399997 REPAIRS AND MAINTENANCE 1980931 1671250 306227 3454 661481132 534237149 121823617 5420366 53766806 49626505 309842 263746 490139298 570328749 8691527 9892404 18557205 13662121 935202651 387905135 501888951 547297516 418268728 481157198 215093373 239049238 14182793 13697705 30505592 43247333 1751404115 1968222515 46227597 43110441 2823724 1786189 270870580 270610047 35802381 44756842 71093884 83309207 426818166 443572726 X 1324585949 1524649789 1324585949 1524649789 1751404115 1968222515 X 163656436 22376882 14030522 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 181826 1 41025 1 1611 1 30000 254462 0 PART II-B, LINE 1: LINE 1F: OHIO HOSPITAL ASSOCIATION $4,749 OHIO CHILDREN'S HOSPITAL ASSOCIATION $52,584 CHILDREN'S HOSPITAL ASSOCIATION $118,613 DAYTON DEVELOPMENT COALITION $2,250 OHIO BUSINESS ROUNDTABLE $3,630 TOTAL $181,826 LINE 1G: MANAGEMENT TIME $41,025 DAYTON CHILDREN'S HOSPITAL SPENDS TIME TRACKING SPECIFIC LEGISLATION THAT IS OF INTEREST TO PEDIATRIC HEALTH ISSUES. IT PROVIDES SUGGESTIONS AND FEEDBACK TO LOCAL, STATE AND FEDERAL LEGISLATURES. THE MAIN FOCUS CONCERNS MEDICAID, CHILDREN'S SPECIFIC HEALTH ISSUES AND MEDICAL EDUCATION FUNDING. LINE 1H: TRAVEL EXPENSES FOR FAMILY ADVOCACY DAY $1,611 LINE 1I: CONSULTING EXPENSE FOR GOVERNMENT ADVOCACY TO STATE AND FEDERAL AGENCIES TO BENEFIT CHILDREN'S HOSPITALS: $30,000 TOTAL LINE 1J : $254,462 27597137 27597137 176657637 84084372 92573265 573543154 259699503 313843651 157404723 44121260 113283463 547297516 HEDGE FUNDS 2324260 F LIMITED PARTNERSHIPS 146949767 F PRIVATE EQUITY 89775211 F 239049238 DEFERRED COMP PAYABLE 25857783 PENSION LIABILITIES 10554124 OTHER LIABILITIES 1657954 CAPITAL LEASE PAYABLE 7690785 OPERATING LEASE LIABILITY 37548561 83309207 X PART X, LINE 2: ALL SUBSIDIARIES OF THE HOSPITAL, EXCEPT DCSP, ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE WHOLLY OWNED FOR-PROFIT SUBSIDIARY, DCSP, HAD NO TAXABLE INCOME IN 2025 OR 2024. THE PROVISION FOR INCOME TAXES FOR THE JOINT VENTURE ENTITIES IS NOT SIGNIFICANT TO THE HOSPITAL. THE HOSPITAL COMPLETED AN ANALYSIS OF ITS UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2025 OR 2024. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 119040782 CENTRAL AMERICA AND THE CARIBBEAN 1 2 PROGRAM SERVICE SELF INSURANCE 3742026 EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS 403710 NORTH AMERICA 0 0 INVESTMENTS 1073917 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENTS 1765121 1 2 0 0 1 2 126025556 0 126025556 1 0 1 1 0 0 1 1 X 1 X 1 X 1 1 1 0 1 1 3672452 3672452 0.00590 294534382 231983987 62550395 0.10010 298206834 231983987 66222847 0.10600 9687478 5187994 4499484 0.00720 1732853 1765173 0 0.00000 38085067 14109324 23975743 0.03840 292566 292566 0.00050 49797964 21062491 28767793 0.04610 348004798 253046478 94990640 0.15210 1 125000 125000 0.00020 30 92782 92782 0.00010 31 217782 217782 0.00030 0 8229039 241705 241705 X 1 1 1 1 DAYTON CHILDREN'S HOSPITAL 1 CHILDRENS PLAZA DAYTON OH 454041815 WWW.CHILDRENSDAYTON.ORG 020035650 X X X X X N/A DAYTON CHILDREN'S HOSPITAL 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X SEE PART V, SECTION C X 1 23 1 SEE PART V, SECTION C 0 1 X 100.000000000000 400.000000000000 X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 DAYTON CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5: DAYTON CHILDREN'S HOSPITAL IS COMMITTED TO PURSUING THE OPTIMAL HEALTH OF ALL CHILDREN. TO CREATE IMPACTFUL COMMUNITY ENGAGEMENT AND CHILD HEALTH PROGRAMS, DAYTON CHILDREN'S CONDUCTS A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS, EVALUATING THE PEDIATRIC HEALTH STATUS IN OUR REGION. THE MOST RECENT CHNA WAS COMPLETED AND APPROVED BY OUR BOARD IN JUNE 2023.WHILE DAYTON CHILDREN'S SERVES 20 OHIO COUNTIES AND EASTERN INDIANA, THE 2023 CHNA FOCUSED ON OUR PRIMARY SERVICE AREA, WHERE 75 PERCENT OF OUR PATIENTS RESIDE. THIS AREA INCLUDES KEY ZIP CODES WITHIN MONTGOMERY, MIAMI, GREENE, CLARK, AND WARREN COUNTIES, REPRESENTING A MIX OF URBAN, RURAL, AND SUBURBAN COMMUNITIES. OUR ASSESSMENT PLACES SPECIAL EMPHASIS ON THE PEDIATRIC POPULATION LIVING IN THESE COUNTIES, WITH A HEIGHTENED FOCUS ON THE CITY OF DAYTON IN MONTGOMERY COUNTY, WHERE OUR HOSPITAL IS LOCATED, AND WHERE HEALTH DISPARITIES AMONG CHILDREN ARE MOST PRONOUNCED.OUR APPROACH PRIORITIZES VULNERABLE POPULATIONS, RECOGNIZING THE SIGNIFICANT IMPACT OF SOCIOECONOMIC FACTORS ON HEALTH. ACCORDING TO THE 2021 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES, APPROXIMATELY 28.6 PERCENT OF DAYTON CITY RESIDENTS LIVE BELOW THE POVERTY LINE. IN RESPONSE, OUR DATA COLLECTION FOCUSED ON SPECIFIC ZIP CODES CHARACTERIZED BY HIGH POVERTY LEVELS, LIMITED ACCESS TO RESOURCES, AND POORER HEALTH OUTCOMES, INCLUDING 45403, 45404, 45405, 45406, 45410, AND 45417. WE ALSO MADE EFFORTS TO ENGAGE COMMUNITY MEMBERS WHOSE PRIMARY LANGUAGE IS NOT ENGLISH, REFLECTING THE GROWING DIVERSITY OF OUR POPULATION. TRANSLATION SERVICES AND MULTILINGUAL OPTIONS WERE PROVIDED WHEREVER POSSIBLE DURING DATA COLLECTION.COMMUNITY ENGAGEMENT PLAYED A CRUCIAL ROLE THROUGHOUT OUR ASSESSMENT PROCESS. WE INVITED INPUT FROM VARIOUS SECTORS, INCLUDING THE PUBLIC, TO ENSURE A COMPREHENSIVE UNDERSTANDING OF COMMUNITY HEALTH NEEDS. AT THE REGIONAL LEVEL, PUBLIC HEALTH PROFESSIONALS FROM MONTGOMERY, MIAMI, GREENE, CLARK, AND WARREN COUNTIES WERE INTERVIEWED. THESE DISCUSSIONS EXPLORED EACH HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENTS, WITH A PARTICULAR FOCUS ON PEDIATRIC HEALTH. FINDINGS WERE THEN COMPILED INTO DETAILED COUNTY PROFILES.TO CAPTURE INSIGHTS FROM CAREGIVERS AND COMMUNITY MEMBERS, WE DEVELOPED TWO TYPES OF ONLINE SURVEYS: A 10-QUESTION LONG FORM AVAILABLE TO ALL AND A 5-QUESTION SHORT FORM FOR USE AT HIGH-ATTENDANCE IN-PERSON EVENTS. THESE SURVEYS AIMED TO IDENTIFY HEALTH PRIORITIES, UNDERSTAND BARRIERS TO OPTIMAL HEALTH, AND HIGHLIGHT EXISTING COMMUNITY RESOURCES, WITH OVER 2,000 COMMUNITY MEMBERS PARTICIPATING. TO FURTHER ENGAGE RESIDENTS IN THE IDENTIFIED ZIP CODES, STAFF FROM DAYTON CHILDREN'S CENTER FOR HEALTH EQUITY PARTNERED WITH KEY COMMUNITY ORGANIZATIONS TO GATHER IN-PERSON FEEDBACK AT COMMUNITY FORUMS, FOOD DISTRIBUTION EVENTS, OPEN HOUSES, AND MORE. THE HOSPITAL'S 2023-2026 CHNA AND CORRESPONDING IMPLEMENTATION STRATEGY WAS ADOPTED BY DAYTON CHILDREN'S HOSPITAL BOARD OF TRUSTEES IN JUNE 2023. THE FINDINGS FROM THE CHNA AND THE RESULTING COMMUNITY HEALTH IMPLEMENTATION STRATEGY PLAN (CHIP) WERE BROADLY SHARED THROUGH THE HOSPITAL'S WEBSITE, KEY CONSTITUENT MEETINGS, AND A PUBLIC MEDIA LAUNCH.THE 2023 CHNA AND CHIP BUILT ON THE PRIORITIES IDENTIFIED IN PREVIOUS ASSESSMENTS WHILE ENGAGING THE COMMUNITY TO BETTER UNDERSTAND THE BARRIERS TO CHILDREN'S OPTIMAL HEALTH. THIS PROCESS RESULTED IN A COMPREHENSIVE INVENTORY OF EXISTING RESOURCES AND ALLOWED US TO DEVELOP PLACE-BASED STRATEGIES, TAILORED TO SPECIFIC ZIP CODES, FOR CONSIDERATION IN THE CHIP. AN INTERNAL TEAM OF DAYTON CHILDREN'S LEADERS FURTHER REFINED THESE PRIORITIES TO ALIGN WITH THE HOSPITAL'S STRATEGIC GOALS AND RESOURCE ALLOCATION. DAYTON CHILDREN'S IS DEDICATED TO ADDRESSING THE FOLLOWING KEY HEALTH OUTCOMES: MENTAL HEALTH AND ADDICTION, CHRONIC DISEASE, AND MATERNAL AND INFANT HEALTH. WE ALSO CONCENTRATE ON PRIORITY FACTORS THAT IMPACT ALL AREAS: COMMUNITY CONDITIONS AND ACCESS TO CARE.FOR MORE DETAILED INFORMATION ON OUR ASSESSMENT PROCESS AND FINDINGS, PLEASE VISIT THE DAYTON CHILDREN'S HOSPITAL WEBSITE: WWW.CHILDRENSDAYTON.ORG. DAYTON CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: THE HOSPITAL'S 2023-2026 CHNA AND CORRESPONDING IMPLEMENTATION STRATEGY WAS ADOPTED BY DAYTON CHILDREN'S HOSPITAL BOARD OF TRUSTEES IN JUNE 2023.IN RESPONSE TO THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL'S IMPLEMENTATION STRATEGY PLAN OUTLINES HOW THE HOSPITAL WILL WORK TO ADDRESS THE PRIORITIES IDENTIFIED. THE STRATEGIES WERE CHOSEN BASED ON EVIDENCE-BASED GUIDELINES, THE ABILITY TO ADDRESS HEALTH DISPARITIES AND ALIGNMENT WITH REGIONAL AND STATEWIDE AREAS OF FOCUS. TO WORK TOWARD IMPROVING MENTAL HEALTH AND ADDICTION OUTCOMES, THE FOLLOWING STRATEGIES ARE BEING EMPLOYED.1. CONTINUE TO SPREAD THE ON OUR SLEEVE MOVEMENT THROUGHOUT THE DAYTON REGION 2. INTEGRATE BEHAVIORAL HEALTH THROUGHOUT PRIMARY CARE 3. SPREAD A COMPREHENSIVE SCHOOL-BASED "STUDENT-RESILIENCY COORDINATOR" PROGRAM4. SPREAD A COMPREHENSIVE APPROACH TO SUICIDE CARE (ZERO-SUICIDE) TO WORK TOWARD IMPROVING CHRONIC DISEASE OUTCOMES, THE FOLLOWING STRATEGIES ARE BEING EMPLOYED.1. IMPLEMENT HEALTHY FOOD INITIATIVES TO REDUCE THE IMPACT OF CHRONIC DISEASE2. IMPROVE HEALTH DISPARITIES FOR CHILDREN WITH ASTHMA TO WORK TOWARD IMPROVING MATERNAL AND INFANT HEALTH OUTCOMES, THE FOLLOWING STRATEGIES ARE BEING EMPLOYED.1. INCREASE THE USE OF SAFE SLEEP PRACTICES 2. INCREASE HUMAN MILK FEEDING AND PROVIDE LACTATION SUPPORT3. IMPLEMENT THE OHIO BETTER BIRTH OUTCOMES PROJECTTO WORK TOWARD IMPROVING COMMUNITY CONDITIONS, THE FOLLOWING STRATEGIES ARE BEING EMPLOYED.1. OUTREACH AND ADVOCACY TO MAINTAIN OR INCREASE ENROLLMENT IN FEDERAL FOOD ASSISTANCE, HOUSING AND POVERTY REDUCTION PROGRAMS2. LAUNCH COLLECTIVE IMPACT INITIATIVE TO ADDRESS HEALTH AND EDUCATIONAL NEEDS OF CHILDREN BIRTH TO FIVE3. CONTINUE THE DEVELOPMENT AND EXECUTION OF PROGRAMS TO ADDRESS FOOD INSECURITY TO WORK TOWARD IMPROVING ACCESS TO CARE, THE FOLLOWING STRATEGIES ARE BEING EMPLOYED.1. PROMOTE CONNECTIONS TO PRIMARY/PREVENTIVE CARE2. FURTHER INTEGRATE COMMUNITY HEALTH WORKERS INTO CLINICAL SERVICES IN ADDITION TO THE STRATEGIES IDENTIFIED ABOVE THAT ADDRESS PRIORITY INDICATOR AND FACTORS, THE HOSPITAL IDENTIFIED SEVERAL PLACE-BASED STRATEGIES WITHIN SPECIFIC GEOGRAPHIC REGIONS WHERE HEALTH OUTCOMES ARE POORER COMPARED TO THE OVERALL REGION. THE PLAN INCLUDES SEVERAL STRATEGIES TO DIRECTLY ADDRESS IDENTIFIED POPULATIONS AT A DISPROPORTIONATE RISK FOR NEGATIVE IMPACTS TO THEIR HEALTH PARTICULARLY BASED ON RACE, ECONOMIC STATUS AND GEOGRAPHIC REGION. TO WORK TOWARD IMPROVING HEALTH OUTCOMES IN NORTHWEST AND WEST DAYTON, THE FOLLOWING STRATEGIES ARE BEING EMPLOYED:1. INTEGRATE HOPE CENTER PRIMARY CARE PRACTICE/DAYTON CHILDREN'S PEDIATRICS NORTHWEST INTO PROMISE ZONE INITIATIVE.2. DEFINE AND IMPLEMENT TARGETED INTERVENTIONS IN 45417 TO REDUCE HEALTH DISPARITIES AND IMPROVE ACCESS TO PEDIATRIC PRIMARY CARE3. IMPROVE ACCESS TO BUILT-ENVIRONMENT AMENITIES FOR CHILDREN.TO WORK TOWARDS IMPROVING HEALTH OUTCOMES IN OLD NORTH DAYTON, THE FOLLOWING STRATEGIES ARE BEING EMPLOYED:1. IMPLEMENT KINSHIP HOUSING PROJECT IN GREATER OLD NORTH DAYTON2. BUILD COMMUNITY NETWORK TO SUPPORT FAMILIES IN OLD NORTH DAYTONTO WORK TOWARDS IMPROVING HEALTH OUTCOMES IN EAST DAYTON, THE FOLLOWING STRATEGIES ARE BEING EMPLOYED:1. BUILD COMMUNITY NETWORK TO SUPPORT FAMILIES IN EAST DAYTON2. COMPLETE OHIO HEALTH IMPROVEMENT ZONE (OHIZ) COMMUNITY ASSESSMENT AND ASSET MAP TO IDENTIFY COMMUNITY-DRIVEN HEALTH IMPROVEMENT INITIATIVES. 3. IMPROVE ACCESS TO BUILT-ENVIRONMENT AMENITIES FOR CHILDREN AND FAMILIESAN EVALUATION OF IMPACT WAS CONDUCTED IN FY25 AS PART OF THE 2023-2026 COMMUNITY HEALTH IMPROVEMENT STRATEGY PLAN. THE OUTCOMES ARE SUMMARIZED BELOW.TO WORK TOWARD IMPROVING MENTAL HEALTH AND ADDICTION OUTCOMES:1. CONTINUE TO SPREAD THE ON OUR SLEEVES MOVEMENT THROUGHOUT THE REGIONTHE INITIATIVE CONTINUED TO EXPAND THROUGH DEEPER COMMUNITY ENGAGEMENT AND CREATIVE OUTREACH. A NEW COLLABORATION WITH THE DAYTON ART INSTITUTE INTRODUCED CONVERSATION STARTER MATERIALS FOR PERMANENT EXHIBITS, TAILORED FOR THREE AGE GROUPS. THE "LET'S TALK KINDERGARTEN" BOOKS GAINED TRACTION AND ARE NOW AVAILABLE AT MULTIPLE PEDIATRIC CLINICS, WITH A DISTRIBUTION PLAN IN PLACE FOR BROADER ACCESS. OUTREACH EFFORTS INCLUDED PRESENTATIONS TO CENTERVILLE ROTARY AND JOB AND FAMILY SERVICES, AND PRESENCE AT SEVERAL COMMUNITY EVENTS SUCH AS OAKVIEW ELEMENTARY FAMILY NIGHT, VALLEYVIEW EARLY LEARNERS FAIR, AND THE CULTIVATING RESILIENCY SUMMIT. AN INTERACTIVE TABLE WAS HOSTED FOR DAYTON CHILDREN'S STAFF AND FAMILIES DURING CHILDREN'S MENTAL HEALTH AWARENESS DAY, AND A MEDIA INTERVIEW ON WDTN ADDRESSED SUMMER SCREEN TIME AND MENTAL WELLNESS. THE MOVEMENT SAW STRONG ENGAGEMENT, WITH 1,863 NEW SIGNUPS FOR ON OUR SLEEVES AND 172 CLASSROOM KIT PROGRAM SIGNUPS.2. INTEGRATE BEHAVIORAL HEALTH THROUGHOUT PRIMARY CAREDAYTON CHILDREN'S ADVANCED BEHAVIORAL HEALTH INTEGRATION BY EMBEDDING TEAM MEMBERS DIRECTLY INTO PRIMARY CARE SETTINGS TO PROVIDE REAL-TIME SCREENINGS, CONSULTATIONS, AND SUPPORT FOR FAMILIES. IN FY25, INTEGRATION EXPANDED TO INCLUDE BOTH DAYTON CHILDREN'S PEDIATRICS AND COMMUNITY BEHAVIORAL HEALTH PRACTICES, ENSURING MORE CONSISTENT ACCESS TO CARE ACROSS SETTINGS. MORE THAN 2,500 FAMILIES WERE SCREENED AND SERVED THROUGH THESE EFFORTS, REFLECTING THE GROWING IMPACT OF INTEGRATED BEHAVIORAL HEALTH SERVICES ON IMPROVING ACCESS AND REDUCING BARRIERS TO CARE.3. DEVELOP A COMPREHENSIVE SCHOOL-BASED PROGRAMDAYTON CHILDREN'S SUPPORTED 18 STUDENT RESILIENCY COORDINATORS ACROSS 9 SCHOOL DISTRICTS, ALONG WITH 2 SCHOOL-BASED THERAPISTS IN DAYTON PUBLIC SCHOOLS THROUGH COMMUNITY PARTNERSHIPS. THE PROGRAM PROVIDED ONGOING SCREENINGS AND DIRECT SUPPORT TO STUDENTS, REACHING MORE THAN 800 STUDENTS EACH QUARTER. IN ADDITION, OUTREACH INCLUDED THE DEVELOPMENT OF NEW EDUCATIONAL MATERIALS AND PARTICIPATION IN THE RESILIENCY SUMMIT, HELPING RAISE AWARENESS OF MENTAL HEALTH SUPPORTS AVAILABLE IN SCHOOLS. 4. ADOPT AND EMBED A COMPREHENSIVE APPROACH TO SUICIDE CARE (ZERO SUICIDE)DURING FY25, THE ZERO SUICIDE INITIATIVE CONTINUED TO EXPAND ACROSS DAYTON CHILDREN'S OUTPATIENT AND SPECIALTY CLINICS. IMPLEMENTATION WAS COMPLETED IN RHEUMATOLOGY, AND PLANNING PROGRESSED IN ALLERGY AND OTHER SPECIALTY CLINICS TO INTEGRATE SUICIDE RISK SCREENING AND FOLLOW-UP INTERVENTIONS. EFFORTS CONTINUED TO ENHANCE DATA ANALYTICS AND DECISION SUPPORT FOR MONITORING REGIONAL SUICIDE OUTCOMES, INCLUDING ANALYSIS OF PATIENT ENCOUNTERS RELATIVE TO SUICIDE MORTALITY. LEADERSHIP TRANSITION FOR THE INITIATIVE WAS COMPLETED, ENSURING CONTINUITY AND OVERSIGHT. THESE ACTIVITIES COLLECTIVELY STRENGTHENED THE SYSTEMATIC APPROACH TO SUICIDE PREVENTION AND CARE ACROSS CLINICAL SETTINGS. TO WORK TOWARD IMPROVING CHRONIC DISEASE OUTCOMES, THESE WERE THE RECOMMENDED STRATEGIES AND OUTCOMES: 1. IMPLEMENT HEALTHY FOOD INITIATIVESCLASSES OFFERED IN THE COMMUNITY TEACHING KITCHEN IN FY25 EXPANDED FROM FREE HEALTHY COOKING CLASSES TO GROUP MEDICAL NUTRITION THERAPY CLASSES SPECIFICALLY DESIGNED FOR PICKY EATING, REDUCED FAT IN THE DIET, AND ADDED SUGAR. FY25 HAD 110 CLASSES PROVIDED TO 875 INDIVIDUALS, 580 OF WHICH WERE CHILDREN. CLASSES INVOLVED FAMILIES, SUMMER CAMPS, PRESCHOOLS, GIRL SCOUT TROOPS, AND COMMUNITY PARTNER AGENCIES, REFLECTING STRONG COMMUNITY INTEREST AND ENGAGEMENT IN HEALTHY EATING. 2. IMPROVE HEALTH DISPARITIES FOR CHILDREN WITH ASTHMAPROGRESS CONTINUED IN FY25 TOWARD REFRAMING THE DAYTON ASTHMA ALLIANCE THROUGH INTERVIEWS AND SURVEYS DESIGNED TO REFINE PARTNER GOALS AND COMMITMENTS. BY YEAR'S END, THE ALLIANCE HAD GROWN TO 16 ENGAGED MEMBERS, INCLUDING 12 FROM PARTNER ORGANIZATIONS. WORKGROUPS WERE ESTABLISHED TO FOCUS ON OUTREACH AND COMMUNICATIONS, FURTHER STRENGTHENING COLLABORATION AMONG THE ALLIANCE'S PARTNER ORGANIZATIONS. THESE EFFORTS ARE LAYING THE FOUNDATION FOR A NEW REGIONAL INITIATIVE AIMED AT REDUCING DISPARITIES IN ASTHMA CARE FOR CHILDREN. TO WORK TOWARD IMPROVING MATERNAL AND INFANT HEALTH, THESE WERE THE RECOMMENDED STRATEGIES AND OUTCOMES:1. INCREASE THE USE OF SAFE SLEEP PRACTICESDAYTON CHILDREN'S CONTINUED TO SUPPORT FAMILIES FACING EMERGENCY SAFE SLEEP NEEDS THROUGH EQUIPMENT DISTRIBUTION AND COMMUNITY EDUCATION. THROUGHOUT FY25, 47 SAFE SLEEP EQUIPMENT ITEMS WERE PROVIDED TO FAMILIES, ALONG WITH 12 SAFE SLEEP PRESENTATIONS DELIVERED TO COMMUNITY GROUPS. IN ADDITION, 350 CLINICAL STAFF WERE TRAINED IN SAFE SLEEP PRACTICES THROUGH CORE ORIENTATION. THE FAMILY RESOURCE CONNECTION, DAYTON CHILDREN'S PEDIATRICS, AND THE INTEGRATED CARE DEPARTMENT PARTNERED TO ENSURE ACCESS FOR FAMILIES WITH URGENT NEEDS, WHILE COLLABORATION WITH PUBLIC HEALTH DAYTON AND MONTGOMERY COUNTY ADVANCED PLANS TO RELAUNCH THE SAFE SLEEP AMBASSADOR PROGRAM IN EARLY 2026.CONTINUED AT THE END. PART V, SECTION B, LINE 7A: THE CHNA REPORT IS MADE WIDELY AVAILABLE TO THE PUBLIC AT THE FOLLOWING URL: HTTPS://WWW.CHILDRENSDAYTON.ORG/COMMUNITY/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, SECTION B, LINES 16A-16C: THE FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT THE FOLLOWING URL: HTTPS://CHILDRENSDAYTON.ORG/FOR-YOUR-VISIT/AFTER/BILLING/FINANCIAL-ASSISTANCE/ PART V, SECTION B LINE 10A: THE IMPLEMENTATION STRATEGY IS MADE WIDELY AVAILABLE TO THE PUBLIC AT THE FOLLOWING URL: HTTPS://WWW.CHILDRENSDAYTON.ORG/COMMUNITY/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, SECTION B, LINE 11 CONTINUED: 2. INCREASE HUMAN MILK FEEDING AND PROVIDE LACTATION SUPPORTLACTATION SERVICES REMAINED CONSISTENTLY STRONG ACROSS INPATIENT AND OUTPATIENT SETTINGS IN FY25, WITH STEADY TRENDS IN PROACTIVE INPATIENT SUPPORT, COMPLETED LACTATION VISITS, AND OUTPATIENT VISITS AT DAYTON CHILDREN'S PEDIATRICS. DAYTON CHILDREN'S WAS RECOGNIZED AS A LEADING HOSPITAL IN BREASTFEEDING SUPPORT, AND STAFF CONTRIBUTED TO STATEWIDE AND LOCAL EFFORTS, INCLUDING PARTICIPATION IN THE OHIO LACTATION CONSULTANT ASSOCIATION AND THE REGIONAL LACTATION COLLECTIVE. TEAM MEMBERS ALSO SUPPORTED PLANNING FOR BLACK BREASTFEEDING WEEK LUNCHEON, REFLECTING CONTINUED LEADERSHIP IN ADVANCING EQUITABLE LACTATION SUPPORT.3. IMPLEMENT THE OHIO BETTER BIRTH OUTCOMES PROJECT MOMENTUM CONTINUED IN FY25 AS DAYTON CHILDREN'S ADVANCED THE PARTNERING FOR CHANGE INITIATIVE, FOCUSED ON IMPROVING BIRTH OUTCOMES AND REDUCING INFANT MORTALITY ACROSS MONTGOMERY COUNTY. THE STATEWIDE EFFORT WAS OFFICIALLY LAUNCHED IN APRIL 2025, HIGHLIGHTING A SHARED COMMITMENT TO LOCALLY DRIVEN STRATEGIES AND STRENGTHENED SYSTEMS OF CARE FOR MOTHERS AND BABIES. IN PARTNERSHIP WITH THE MATERNAL AND INFANT HEALTH TASK FORCE, PROJECT LEADERS REFINED PRIORITIES, EMPHASIZED COMMUNITY ENGAGEMENT THROUGH PARTNERSHIPS SUCH AS QUEENS VILLAGE DAYTON, AND EXPANDED CONVERSATIONS AROUND FATHERHOOD AS PART OF FAMILY WELL-BEING. WORK ALSO PROGRESSED ON BRANDING, GUIDING PRINCIPLES, AND THE DEVELOPMENT OF A LEARNING COLLABORATIVE TO SUPPORT DATA-INFORMED ACTION AND COLLECTIVE IMPACT.TO WORK TOWARD COMMUNITY CONDITIONS, THESE WERE THE RECOMMENDED STRATEGIES AND OUTCOMES:1. OUTREACH AND ADVOCACY TO MAINTAIN OR INCREASE ENROLLMENT IN FEDERAL FOOD ASSISTANCE, HOUSING, AND POVERTY REDUCTION PROGRAMSDAYTON CHILDREN'S CONTINUED TO SUPPORT FAMILIES IN ACCESSING LONG-TERM POVERTY RELIEF PROGRAMS THROUGH OUTREACH BY FINANCIAL COUNSELORS. ENROLLMENT NUMBERS REMAINED CONSISTENT WITH EXPECTED TIMELINES FOR ABD/SSI APPLICATION PROCESSING, WITH 653 FAMILIES REFERRED OR SERVED ACROSS COLLABORATIVE PROGRAMS DURING FY25.2. LAUNCH COLLECTIVE IMPACT INITIATIVE TO ADDRESS HEALTH AND EDUCATIONAL NEEDS OF CHILDREN BIRTH TO FIVETHE BE READY BY 5 CAMPAIGN OFFICIALLY LAUNCHED IN MARCH 2025 IN COLLABORATION WITH PRESCHOOL PROMISE AND OTHER PARTNERS, SUPPORTING KINDERGARTEN READINESS ACROSS THE COMMUNITY. THE MONTGOMERY COUNTY IMAGINATION LIBRARY CONTINUED TO EXPAND, REACHING 20,332 ACTIVELY ENROLLED CHILDREN AND CELEBRATING 19,131 GRADUATES BY YEAR'S END. ENROLLMENT REMAINS STRONG, WITH MORE THAN 62 PERCENT OF CHILDREN IN TARGETED ZIP CODES PARTICIPATING. A NEW IMPACT STUDY CONDUCTED BY THE UNIVERSITY OF DAYTON'S BUSINESS RESEARCH GROUP FOUND THAT PROGRAM PARTICIPATION IS LINKED TO MORE FREQUENT READING AT HOME AND STRONGER KINDERGARTEN READINESS ASSESSMENT SCORES, PARTICULARLY IN LANGUAGE AND LITERACY. 3. CONTINUE DEVELOPMENT AND EXECUTION OF PROGRAMS TO ADDRESS FOOD INSECURITYDAYTON CHILDREN'S CONTINUED TO ADDRESS FOOD INSECURITY THROUGH MULTIPLE STRATEGIES, INCLUDING THE FOOD PANTRY, FOOD PHARM, AND PRODUCE PRESCRIPTION PROGRAM. IN FY25, THE FOOD PANTRY SERVED AN AVERAGE OF 80 FAMILIES EACH MONTH, WITH DEMAND PEAKING IN APRIL FOLLOWING FEDERAL BUDGET CUTS THAT IMPACTED FOOD SUPPLIES ACROSS THE REGION. THE FOOD PHARM SUPPORTED 255 FAMILIES AND WAS EXPANDED TO INCLUDE ELIGIBILITY FOR THE ENTIRE DAYTON COMMUNITY, MAKING THE PROGRAM MORE SUSTAINABLE LONG-TERM THROUGH PARTNERSHIP SUPPORT FROM THE FOODBANK. THE PRODUCE PRESCRIPTION PROGRAM RE-ENROLLED FAMILIES IN JUNE, ULTIMATELY SERVING 120 HOUSEHOLDS, AND TWO GRANTS TOTALING $29,750 PROVIDED PRODUCE DELIVERIES TWICE A MONTH FOR SIX MONTHS TO 54 DAYTON CHILDREN'S FAMILIES. WHILE PARTICIPATION FLUCTUATED DUE TO SEASONAL AND EXTERNAL FACTORS, EFFORTS REMAINED FOCUSED ON STRENGTHENING SUSTAINABILITY AND ENSURING CONSISTENT COMMUNITY ACCESS TO HEALTHY FOOD RESOURCES.TO WORK TOWARD ACCESS TO CARE, THESE WERE THE RECOMMENDED STRATEGIES AND OUTCOMES:1. PROMOTE CONNECTIONS TO PRIMARY/ PREVENTIVE CAREDAYTON CHILDREN'S EXPANDED ACCESS TO PEDIATRIC CARE IN FY25 BY ADDING NEW PROVIDERS AT DAYTON CHILDREN'S PEDIATRICS AND CONTINUING RECRUITMENT EFFORTS TO MEET COMMUNITY DEMAND. THESE STEPS, ALONG WITH OPERATIONAL IMPROVEMENTS, HELPED REDUCE AVERAGE WAIT TIMES FOR APPOINTMENTS FROM 42 DAYS EARLIER IN THE YEAR TO 27 DAYS BY YEAR'S END, ENSURING FAMILIES HAVE MORE TIMELY ACCESS TO COMMUNITY-BASED PRIMARY AND PREVENTIVE CARE. 2. FURTHER INTEGRATE COMMUNITY HEALTH WORKERS INTO CLINICAL SERVICESTHE COMMUNITY HEALTH WORKER (CHW) PROGRAM ADVANCED IN FY25 UNDER THE INTEGRATED CARE DEPARTMENT TO STRENGTHEN ALIGNMENT OF SERVICES AND EXPAND REACH. BY YEAR'S END, 7 CHWS WERE EMPLOYED AND CERTIFIED, SUPPORTING FAMILIES ACROSS A RANGE OF SETTINGS INCLUDING PRIMARY CARE, INPATIENT, NICU, EMERGENCY, AND LACTATION SERVICES, AS WELL AS THROUGH EXTERNAL REFERRAL PARTNERS. NEW INITIATIVES FOCUSED ON STANDARDIZING SERVICES, ENHANCING DOCUMENTATION IN EPIC, AND DEVELOPING SPECIALIZED PROGRAMMING FOR WOMEN, CHILDREN, AND OTHER KEY POPULATIONS. THESE EFFORTS ARE HELPING BROADEN CHW ENGAGEMENT ACROSS HOSPITAL INITIATIVES AND COMMUNITY COLLABORATIVES, ENSURING MORE FAMILIES RECEIVE COORDINATED SUPPORT.PLACE BASED STRATEGIESGEOGRAPHIC PRIORITY AREA: NORTHWEST AND WEST DAYTON1. INTEGRATE HOPE CENTER PRIMARY CARE PRACTICE/DAYTON CHILDREN'S PEDIATRICS NORTHWEST INTO PROMISE ZONE INITIATIVE.DESPITE STAFFING TRANSITIONS AT THE HOPE CENTER, DAYTON CHILDREN'S MAINTAINED TIMELY ACCESS TO CARE BY REALLOCATING PROVIDERS. CONTINUED ALIGNMENT WITH PROMISE ZONE PRIORITIES SUPPORTS IMPROVED OUTCOMES FOR CHILDREN IN THE REGION. WAIT TIMES FOR NEW PATIENT VISITS IMPROVED IN THE FIRST HALF OF THE YEAR, DECREASING FROM 29.05 TO 22.08 DAYS, BEFORE RISING SLIGHTLY IN SUBSEQUENT QUARTERS TO 24.28 AND 27.94 DAYS. RECRUITMENT EFFORTS REMAIN UNDERWAY TO SECURE A REPLACEMENT PHYSICIAN AT THE HOPE CENTER, WITH A TARGETED START DATE IN EARLY JANUARY 2026. INCREASED RESIDENT VOLUMES ARE HELPING TO SUPPORT BUSINESS CONTINUITY AND ENSURE ACCESS FOR PATIENTS.GEOGRAPHIC PRIORITY AREA: WEST DAYTON2. DEFINE AND IMPLEMENT TARGETED INTERVENTIONS IN 45417 TO REDUCE HEALTH DISPARITIES AND IMPROVE ACCESS TO PEDIATRIC PRIMARY CARE.DAYTON CHILDREN'S FINALIZED CONSTRUCTION PLANNING AND CONTRACTING FOR THE WEST DAYTON URGENT CARE. AN OFFICIAL GROUNDBREAKING WAS HELD ON MAY 2, 2025, MARKING THE START OF CONSTRUCTION ON THE FACILITY, WHICH WILL PROVIDE MUCH-NEEDED ON-DEMAND PEDIATRIC HEALTH SERVICES IN A NEIGHBORHOOD WITH HISTORIC DISINVESTMENT AND LIMITED HEALTH CARE OPTIONS. CONSTRUCTION IS EXPECTED TO TAKE ABOUT ONE YEAR, WITH A TENTATIVE OPENING IN JUNE 2026.GEOGRAPHIC PRIORITY AREA: WEST DAYTON3. IMPROVE ACCESS TO BUILT-ENVIRONMENT AMENITIES FOR CHILDREN.THE "THIS IS HOW WE ROLL" PROGRAM WHICH PROMOTES USE OF SAFETY EQUIPMENT SUCH AS HELMETS, CONTINUES TO SERVE FAMILIES IN WEST DAYTON, WITH DAYTON CHILDREN'S PARTNERING WITH THE SOUTHWEST OHIO URBAN LEAGUE, CITYWIDE, AND THE MIAMI VALLEY MOUNTAIN BIKING CLUB TO PROVIDE HELMETS FOR THE MOUNTAIN BIKING PROGRAM IN THE CARILLON NEIGHBORHOOD. DURING THE YEAR, 23 PARTNERS WERE ENGAGED IN THIS WORK. ADDITIONAL PROGRESS INCLUDES, NEW INFRASTRUCTURE FUNDING TO CONNECT COMMUNITY ASSETS NEAR LOUISE TROY SCHOOL, A BIKE FRIENDLY COMMUNITY DESIGNATION FOR DAYTON, CONTINUED ENGAGEMENT THROUGH EDUCATIONAL PROGRAMS. GEOGRAPHIC PRIORITY AREA: OLD NORTH DAYTON 1. IMPLEMENT KINSHIP HOUSING PROJECT IN GREATER OLD NORTH DAYTON.CONSTRUCTION OF THE KINSHIP HOUSING PROJECT BEGAN AFTER THE DECEMBER 2024 GROUNDBREAKING AND REMAINS ON SCHEDULE FOR AN OCTOBER 2025 OPENING. DAYTON CHILDREN'S IS COORDINATING WITH WALLICK COMMUNITIES ON LEASING AND OUTREACH. LEASING PAPERWORK WAS COMPLETED, AND MARKETING AND LEASE-UP ACTIVITIES ARE SET TO BEGIN IN JULY 2025.2. BUILD COMMUNITY NETWORK TO SUPPORT FAMILIES IN OLD NORTH DAYTON.PARTNERSHIPS WITH THE OLD NORTH DAYTON NEIGHBORHOOD ASSOCIATION AND GREATER OLD NORTH DAYTON CONTINUE TO GROW, WITH ONGOING EFFORTS TO IMPROVE THE PATRIOTS WAR MEMORIAL AND PREPARE A FINANCIAL LITERACY COURSE AT KISER ELEMENTARY SCHOOL. A SPRING PARTNER MEETING STRENGTHENED COLLABORATION AND SHARED COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS TO GUIDE FUTURE WORK. COLLABORATION EXPANDED THROUGH THE DEVELOPMENT OF THE HEALTHY WAY COLLABORATIVE, A GROUP TO ALIGN WITH SUPPORTING THE KINSHIP HOUSING PROJECT AND COMPLETED ASSET MAPPING OF NEIGHBORHOOD RESOURCES TO SUPPORT FAMILIES. THE NEIGHBORHOOD ASSOCIATION IS LEADING A WELCOMING INITIATIVE FOR KINSHIP FAMILIES, AND EFFORTS ALSO CONTINUE TO EXPAND ACCESS TO NUTRITIOUS FOOD.GEOGRAPHIC PRIORITY AREA: EAST DAYTON1. BUILD A COMMUNITY NETWORK TO SUPPORT FAMILIES IN EAST DAYTON.COLLABORATIVE EFFORTS FOCUSED ON ASSESSING THE RIGHT TIME TO ENGAGE PARTNERS, PARTICULARLY IN RELATION TO THE OHIO HEALTH IMPROVEMENT ZONE (OHIZ) COMMUNITY ACTION TEAM. ANTICIPATION GREW FOR NEW PARTNERS AND FUNDING OPPORTUNITIES THROUGH OHIO HEALTH IMPROVEMENT ZONES (OHIZ) PHASE II GRANTS, BUT CLARITY ON PROCEEDING WITH WORK AND PARTNERSHIPS REMAINED ELUSIVE. KEY MILESTONES INVOLVE IDENTIFYING A COMMUNITY GROUP, DEVELOPING A COLLABORATIVE WORK PLAN, AND IMPLEMENTING A COMMUNITY-BASED IDEA, WITH METRICS INDICATING INCREASING PARTNER ENGAGEMENT AND PROGRESS IN WORK PLAN ITEMS OVER TIME.2. COMPLETE OHIO HEALTH IMPROVEMENT ZONE (OHIZ) COMMUNITY ASSESSMENT AND ASSET MAP TO IDENTIFY COMMUNITY-DRIVEN HEALTH IMPROVEMENT INITIATIVES. THIS FISCAL YEAR, THE OHIO HEALTH IMPROVEMENT ZONE PROJECT CONCLUDED WITH COMPLETION OF ASSET MAPPING AND POST-SURVEY COLLECTION. PLANNING FOR THE COMMUNITY DEVELOPMENT BLOCK GRANT PROJECT IS UNDERWAY WITH PARTNER PROGRAMMING IN DEVELOPMENT AND VOLUNTEER RECRUITMENT IN PROGRESS. TOOL DEVELOPMENT IS ADVANCING WITH THREE COMMUNITY PARTNERS AND ALIGNS WITH THE YOUTH STRATEGIC PLAN AND DAYTON CHILDREN'S MENTAL HEALTH PRIORITIES. FIVE ONLINE SIGNUPS AND 2 IN-PERSON TRAININGS FOR THE ON OUR SLEEVES PROGRAM, AND 15 PARTNER INTERVIEWS HAVE BEEN COMPLETED. IN Q4, ASSET MAPPING AND POST-SURVEY COLLECTION WERE FINALIZED, PROJECTS WITH PARTNERS HAVE BEGUN, AND INITIAL CHNA COLLECTION IS UNDERWAY.3. IMPROVE ACCESS TO BUILT-ENVIRONMENT AMENITIES FOR CHILDREN AND FAMILIES.THE CITY OF DAYTON COMPLETED A CORRIDOR ASSESSMENT OF WAYNE AVENUE AND EARNED SILVER DESIGNATION AS A BIKE FRIENDLY COMMUNITY. DAYTON CHILDREN'S CONTINUES TO SUPPORT CITY EFFORTS BY PARTICIPATING ON COMMITTEES AND PROVIDING HEALTH EDUCATION IN EAST DAYTON. THE THIS IS HOW WE ROLL PROGRAM REMAINS ACTIVE AND CONTINUES TO SERVE FAMILIES IN THE AREA. THERE ARE 13 PARTNERS ENGAGED. IN Q4, THE THIS IS HOW WE ROLL PROGRAM CONTINUED ITS WORK SERVING FAMILIES IN EAST DAYTON. 20 1 - SPRINGBORO SOUTH URGENT CARE & OP CARE 3333 WEST TECH ROAD MIAMISBURG OH 45342 URGENT CARE CENTER, OUTPATIENT DIAGNOSTIC CENTER AND AMBULATORY SURGERY CENT 2 - OUTPATIENT MENTAL HEALTH CENTER 3300 WEST TECH MIAMISBURG OH 45432 MENTAL HEALTH SERVICES 3 - CHILD HEALTH PAVILION 1010 VALLEY STREET DAYTON OH 45404 PEDIATRIC CARE CLINICS AND COMMUNITY CONNECTIONS 4 - HUBER HEIGHTS OUTPATIENT TESTING CENTER 8501 OLD TROY PIKE HUBER HEIGHTS OH 45424 OUTPATIENT DIAGNOSTIC CENTER, BEHAVIORAL HEALTH CENTER 5 - BEAVERCREEK OUTPATIENT CARE CENTER 1425 NORTH FAIRFIELD ROAD BEAVERCREEK OH 45432 OUTPATIENT DIAGNOSTIC CENTER 6 - BEHAVIORAL HEALTH CENTER DAYTON 700 E 1ST STREET DAYTON OH 45402 BEHAVIORAL HEALTH CARE 7 - SPRINGFIELD SPECIALTY CARE CENTER 1644 NORTH LIMESTONE STREET SPRINGFIELD OH 45503 OUTPATIENT DIAGNOSTIC CENTER 8 - TROY OUTPATIENT TESTING CENTER 865 W MARKET STREET TROY OH 45373 OUTPATIENT DIAGNOSTIC CENTER 9 - MICHAELS HOUSE 1016 RAINBOW COURT FAIRBORN OH 45324 CHILD ADVOCACY CENTER 10 - WILSON PEDATRICS 915 W MICHIGAN AVENUE SUITE 200 SIDNEY OH 45365 PEDIATRIC CARE CLINIC 11 - CORNERSTONE PEDIATRICS 3300 WEST TECH MIAMISBURG OH 45432 PEDIATRIC CARE CLINIC 12 - PEDIATRIC ASSOCIATES OF SPRINGFIELD 1640 NORTH LIMESTONE STREET SPRINGFIELD OH 45503 PEDIATRIC CARE CLINIC 13 - HOPE CENTER 1816 HARVARD BOULEVARD DAYTON OH 45406 PEDIATRIC CARE CLINIC 14 - KIDS EXPRESS WEST CHESTER 7787 COX LANE WEST CHESTER OH 45069 EXPRESS CARE 15 - KETTERING OUTPATIENT TESTING CENTER 4475 FAR HILLS AVENUE KETTERING OH 45429 OUTPATIENT DIAGNOSTIC CENTER 16 - KIDS EXPRESS CENTERVILLE 6044 WILMINGTON PIKE CENTERVILLE OH 45459 EXPRESS CARE 17 - LIMA CLINIC 967 BELLEFONTAINE LIMA OH 45801 OUTPATIENT DIAGNOSTIC CENTER 18 - KIDS EXPRESS MASON 8809 WILKENS BOULEVARD MASON OH 45040 EXPRESS CARE 19 - KIDS EXPRESS SPRINGBORO 662 N MAIN STREET SPRINGBORO OH 45066 EXPRESS CARE 20 - KIDS EXPRESS BEAVERCREEK 3301 DAYTON-XENIA ROAD SUITE 200 BEAVERCREEK OH 45432 EXPRESS CARE PART I, LINE 3C: IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE HOSPITAL FACILITY USES INSURANCE STATUS AND RESIDENCY TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. PART I, LINE 7: THE FOLLOWING COSTING METHODOLOGIES WERE USED IN PREPARATION OF SCHEDULE H, PART I, LINE 7:- CHARITY CARE AT COST WAS CALCULATED USING THE COST TO CHARGE RATIO.- UNREIMBURSED MEDICAID WAS CALCULATED USING THE COST TO CHARGE RATIO.- COMMUNITY HEALTH IMPROVEMENT SERVICES WERE VALUED AT THE ACTUAL CASH COSTS, INCLUDING DIRECTLY ASSIGNABLE PAYROLL COSTS, RELATED TO THESE ACTIVITIES. NO OVERHEAD ALLOCATION WAS CHARGED TO ANY AMOUNT INCLUDED IN THIS COMPUTATION.- HEALTH PROFESSIONS EDUCATION COSTS WERE DETERMINED USING THE FACILITY'S MEDICARE COST REPORTED, SUPPLEMENTED BY THE ACTUAL CASH COSTS, INCLUDING DIRECTLY ASSIGNABLE PAYROLL COSTS, RELATED TO THESE ACTIVITIES.- SUBSIDIZED HEALTH SERVICES COSTS WERE DETERMINED USING THE FACILITY'S INTERNAL COST ACCOUNTING SYSTEM. THE COST OF THESE SERVICES INCLUDES DIRECT COSTS ATTRIBUTABLE TO HEALTH SERVICES OPERATIONS, TOGETHER WITH AN ALLOCATION OF FACILITY DIRECT AND INDIRECT OVERHEAD USING A COST FINDING METHODOLOGY PATTERNED AFTER THE MEDICARE COST REPORT.- RESEARCH COSTS 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.- 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 I, LINE 7G: DAYTON CHILDREN'S INCLUDED $12,785,932 OF PHYSICIAN CLINIC COSTS IN THE SUBSIDIZED HEALTH SERVICES CATEGORY. PART II, COMMUNITY BUILDING ACTIVITIES: AS THE REGION'S ONLY DEDICATED CHILDREN'S HOSPITAL, WE ACTIVELY BRING OUR PEDIATRIC EXPERTISE INTO THE COMMUNITY TO ADDRESS CHALLENGES AND FOSTER A HEALTHIER ENVIRONMENT FOR CHILDREN. OUR LONGSTANDING RELATIONSHIPS WITH COMMUNITY PARTNERS REFLECTS OUR DEEP COMMITMENT TO DAYTON AND ITS SURROUNDING AREAS - A PLACE PROUDLY SERVED FOR MORE THAN 50 YEARS. DAYTON CHILDREN'S IS DEDICATED TO COLLABORATING WITH THESE VALUED PARTNERS TO ENSURE THAT DAYTON CONTINUES TO BE A THRIVING CITY WHERE CHILDREN CAN LIVE, LEARN, GROW, AND PLAY.THE DAVINCI PROJECTTHE DAVINCI PROJECT IS A COMPREHENSIVE NEIGHBORHOOD REVITALIZATION INITIATIVE FOCUSED ON OLD NORTH DAYTON, MCCOOK FIELD, AND THE SURROUNDING BUSINESS COMMUNITY, INCLUDING DAYTON CHILDREN'S. LED BY DAYTON CHILDREN'S AND SUPPORTED BY PARTNERS SUCH AS THE CITY OF DAYTON, GREATER OLD NORTH DAYTON BUSINESS ASSOCIATION, THE SALVATION ARMY KROC CENTER, ST. MARY'S COMMUNITY DEVELOPMENT CORP., AND CITYWIDE DEVELOPMENT. THE PROJECT ADDRESSES BLIGHTED PROPERTIES, REALIGNS STREETS, CREATES RECREATIONAL SPACES, UPGRADES BUS STOPS, IMPROVES WAYFINDING, AND ENHANCES NEIGHBORHOOD AESTHETICS TO SUPPORT FAMILIES AND LOCAL BUSINESSES.RECENT EFFORTS INCLUDE DEVELOPMENT OF A NEW PARK, ENGAGEMENT WITH A DEVELOPER FOR ADDITIONAL MARKET-RATE HOUSING, AND THE KINSHIP HOUSING PROJECT - A FIRST-OF-ITS-KIND INITIATIVE FOR A CHILDREN'S HOSPITAL. THIS PROJECT WILL PROVIDE 26 HOUSING UNITS FOR GRANDPARENTS, AUNTS, UNCLES, AND OTHER CAREGIVERS, WITH SHARED COMMUNITY SPACES AND CONNECTIONS TO EDUCATION, FOOD, AND SOCIAL SERVICES TO SUPPORT KINSHIP FAMILIES AND REDUCE ISOLATION.THROUGH THE DAVINCI PROJECT, DAYTON CHILDREN'S DEMONSTRATES ITS COMMITMENT TO BEING AN ACTIVE, ENGAGED COMMUNITY MEMBER AND CREATING A WELCOMING ENVIRONMENT FOR PATIENTS, FAMILIES, STAFF, AND VISITORS IN OLD NORTH DAYTON.COMMUNITY LEADERSHIPDAYTON CHILDREN'S IS COMMITTED TO SUPPORTING NOT ONLY CHILDREN'S HEALTH BUT ALSO THE ECONOMIC AND SOCIAL WELL-BEING OF THE COMMUNITY. OUR STAFF AND LEADERSHIP ARE ACTIVELY INVOLVED IN SEVERAL COALITIONS AND INITIATIVES, SUCH AS PRESCHOOL PROMISE, THE FAMILY AND CHILDREN FIRST COUNCIL, DAYTON DEVELOPMENT COALITION, CITYWIDE DEVELOPMENT, THE DAYTON EARLY COLLEGE ACADEMY, AND THE DAYTON BUSINESS COMMITTEE. THESE EFFORTS AIM TO BUILD A THRIVING COMMUNITY FOR CHILDREN AND FAMILIES. IN ADDITION, OUR COMMUNITY-BUILDING ACTIVITIES PRIORITIZE WORKFORCE AND ECONOMIC DEVELOPMENT, STRENGTHENING THE FOUNDATION FOR LONG-TERM REGIONAL GROWTH.DAYTON CHILDREN'S SERVES AS A VITAL RESOURCE TO THE COMMUNITY BECAUSE WE:-ACT AS THE COMMUNITY'S SAFETY NET HOSPITAL, PROVIDING CARE TO ALL CHILDREN REGARDLESS OF THEIR ABILITY TO PAY, AND OFFERING HOSPITAL AND COMMUNITY-BASED SERVICES THAT ARE EITHER LIMITED OR UNAVAILABLE ELSEWHERE.-ADVOCATE FOR CHILDREN THROUGH PUBLIC POLICY EFFORTS, WORKING TO CHANGE LAWS, POLICIES, OR SYSTEMS THAT IMPROVE THE HEALTH AND SAFETY OF CHILDREN AND THEIR FAMILIES.-COLLABORATE WITH COMMUNITY PARTNERS TO SUPPORT INITIATIVES THAT ENHANCE THE WELL-BEING OF CHILDREN AND FAMILIES THROUGHOUT THE REGION.-TRAIN THE NEXT GENERATION OF PEDIATRIC EXPERTS, OFTEN AT A FINANCIAL LOSS TO THE HOSPITAL, ENSURING HIGH-QUALITY PEDIATRIC CARE FOR THE FUTURE.AS A TEACHING HOSPITAL, DAYTON CHILDREN'S IS COMMITTED TO TRAINING FUTURE PEDIATRICIANS AND SPECIALISTS. WE HOST MEDICAL RESIDENTS ANNUALLY FROM WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE AND ARE HOME TO THE NATION'S ONLY CIVILIAN-MILITARY INTEGRATED PEDIATRIC RESIDENCY PROGRAM IN PARTNERSHIP WITH WRIGHT-PATTERSON AIR FORCE BASE. PHYSICIANS TRAINED AT DAYTON CHILDREN'S GO ON TO CARE FOR CHILDREN IN OUR REGION AND ACROSS THE GLOBE. ADDITIONALLY, WE PARTNER WITH VARIOUS COLLEGES AND UNIVERSITIES TO TRAIN STUDENTS IN FIELDS LIKE NURSING, PUBLIC HEALTH, SOCIAL WORK, AND OTHER CRITICAL HEALTHCARE DISCIPLINES. THOUGH TRAINING INCURS COSTS BEYOND TYPICAL PATIENT CARE, WE RECOGNIZE IT IS ESSENTIAL TO THE LONG-TERM HEALTH OF OUR COMMUNITY.DAYTON CHILDREN'S ALSO COLLABORATES WITH CHILDREN'S HOSPITALS NATIONWIDE TO ADDRESS ISSUES UNIQUE TO PEDIATRIC CARE. WE WORK WITH THE CHILDREN'S HOSPITAL ASSOCIATION, THE OHIO CHILDREN'S HOSPITAL ASSOCIATION, AND THE OHIO HOSPITAL ASSOCIATION TO ENSURE CHILDREN'S NEEDS ARE PRIORITIZED IN POLICY DISCUSSIONS.MOREOVER, DAYTON CHILDREN'S SUPPORTS REGIONAL EFFORTS TO IMPROVE CHILDREN'S HEALTH AND SAFETY BY PROVIDING DONATIONS AND SPONSORSHIPS TO PROGRAMS THAT UPLIFT THE HEALTH AND QUALITY OF LIFE FOR CHILDREN AND THEIR FAMILIES. PART III, LINE 2: THE PROVISION FOR BAD DEBTS IS DETERMINED BY MANAGEMENT'S EVALUATION OF BOTH HISTORICAL AND PROJECTED NET COLLECTIONS, CONSIDERING PAST BUSINESS PERFORMANCE, ECONOMIC CONDITIONS, HEALTHCARE COVERAGE TRENDS, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT PERIODICALLY REVIEWS THE ADEQUACY OF THE ALLOWANCE FOR BAD DEBTS BY EXAMINING THE HISTORICAL WRITE-OFF RATES OF SELF-PAY ACCOUNTS RECEIVABLE, INCLUDING BALANCES REMAINING AFTER INSURANCE PAYMENTS. BASED ON THE RESULTS OF THESE REVIEWS, ADJUSTMENTS ARE MADE TO THE PROVISION FOR BAD DEBTS TO ENSURE THE ALLOWANCE IS APPROPRIATELY MAINTAINED.ONCE INSURANCE PAYMENTS ARE SATISFIED AND REASONABLE EFFORTS TO COLLECT FROM PATIENTS HAVE BEEN EXHAUSTED, THE HOSPITAL MAY ASSIGN CERTAIN OVERDUE PATIENT BALANCES TO COLLECTION AGENCIES, IN COMPLIANCE WITH SPECIFIC RESTRICTIONS SET BY THE HOSPITAL. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF ONCE ALL COLLECTION PROCEDURES HAVE BEEN COMPLETED, FOLLOWING THE HOSPITAL'S ESTABLISHED POLICIES. PART III, LINE 4: THE COSTING METHODOLOGY USED IN PREPARATION OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS IS THE COST TO CHARGE RATIO, RATIO OF PATIENT COST-TO-CHARGE. THE DAYTON CHILDREN'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DISCUSSING BAD DEBT EXPENSE. A PROVISION FOR BAD DEBT EXPENSE IS SHOWN ON THE PROFIT AND LOSS STATEMENT. THE CALCULATION FOR BAD DEBT EXPENSE IS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES REQUIRING MANAGEMENT TO MAKE ESTIMATES AND ASSUMPTIONS BASED ON HISTORICAL DATA THAT AFFECT THE REPORTED AMOUNTS OF REVENUE AND EXPENSES DURING THE REPORTED PERIOD. LIKEWISE, AN ALLOWANCE FOR BAD DEBT IS SHOWN ON THE BALANCE SHEET UNDER THE SAME PRINCIPLE AFFECTING THE REPORTED AMOUNTS OF ASSETS AND LIABILITIES DURING THE REPORTED PERIOD. PART III, LINE 8: THE COSTS REPORTED FOR SERVICES PROVIDED TO MEDICARE PATIENTS COME FROM SCHEDULE E OF THE FACILITY'S COST REPORT AS FILED. SINCE DAYTON CHILDREN'S IS REIMBURSED FOR MEDICARE SERVICES UNDER A TEFRA METHODOLOGY, THERE IS NORMALLY NO SHORTFALL, AS ALLOWED COSTS AND PAYMENTS DUE ARE EQUAL. PART III, LINE 9B: THE HOSPITAL'S BILLING AND COLLECTIONS POLICIES ARE AVAILABLE ON OUR WEBSITE UNDER THE "FINANCIAL MATTERS" TAB. IT IS OUR POLICY TO INFORM PATIENTS UPFRONT ABOUT THE AVAILABILITY OF FREE CARE, GOVERNMENT AID, AND OTHER FINANCIAL ASSISTANCE PROGRAMS BEFORE SERVICES ARE PROVIDED. THIS IS DONE THROUGH VARIOUS CHANNELS, INCLUDING ON-SITE FINANCIAL COUNSELORS AND BROCHURES DISTRIBUTED IN REGISTRATION AREAS. THESE RESOURCES PROVIDE CLEAR INSTRUCTIONS ON HOW PATIENTS AND FAMILIES CAN APPLY FOR ASSISTANCE.OUR BILLING AND COLLECTIONS POLICIES ALSO OUTLINE WHEN COLLECTION ACTIONS MAY BE TAKEN, ENSURING THAT SUCH MEASURES ARE ONLY INITIATED AFTER DAYTON CHILDREN'S HAS MADE REASONABLE EFFORTS TO CONTACT A FAMILY ABOUT THEIR BILL AND THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE TO THEM. THESE PRACTICES APPLY TO ALL PATIENTS, NOT JUST THOSE POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE.PATIENTS ARE FURTHER INFORMED ABOUT FINANCIAL AID PROGRAMS THROUGH SIGNS DISPLAYED IN REGISTRATION AREAS AND MESSAGES INCLUDED ON BILLING STATEMENTS. ADDITIONALLY, THE HOSPITAL EMPLOYS ON-SITE FINANCIAL COUNSELORS WHO REACH OUT TO PATIENTS WITHOUT COVERAGE TO DISCUSS THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS. THESE COUNSELORS ARE AVAILABLE TO ASSIST FAMILIES IN APPLYING FOR FINANCIAL AID, EITHER BY PHONE OR THROUGH IN-PERSON CONSULTATIONS. PART VI, LINE 2: IN ADDITION TO OUR CHNA, DAYTON CHILDREN'S EVALUATES OUR COMMUNITY'S NEEDS THROUGH OTHER METHODS. AS A KEY PARTNER IN MANY LOCAL INITIATIVES, WE GAIN VALUABLE INSIGHTS INTO COMMUNITY TRENDS AND CHALLENGES. SPECIFICALLY, WE COLLABORATE WITH PUBLIC HEALTH DAYTON AND MONTGOMERY COUNTY, AND THE GREATER DAYTON AREA HOSPITAL ASSOCIATION, ON THEIR COMMUNITY HEALTH NEEDS ASSESSMENTS AND COMMUNITY HEALTH IMPROVEMENT PLANS WHERE APPROPRIATE. TOGETHER, WE FOCUS ON KEY AREAS SUCH AS PROMOTING HEALTHY LIFESTYLES AND ADDRESSING INFANT MORTALITY. ADDITIONALLY, WE RUN SEVERAL COMMUNITY-BASED PROGRAMS THAT PROVIDE FURTHER FEEDBACK ON THE NEEDS OF THE COMMUNITY. CENTER FOR HEALTH EQUITYMUCH OF OUR COMMUNITY WORK INCLUDING OUR COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY ENGAGEMENT AND COMMUNITY-BASED PROGRAMMING IS LEAD OR INFORMED BY OUR CENTER FOR COMMUNITY HEALTH. THE CENTER EMPLOYS INNOVATIVE PROGRAMS, STRATEGIES, AND PARTNERSHIPS AIMED AT REDUCING HEALTH DISPARITIES AND IMPROVING OVERALL COMMUNITY HEALTH. A KEY FOCUS IS ON QUALITY IMPROVEMENT AND COLLABORATING WITH THE COMMUNITY TO DEVELOP CREATIVE SOLUTIONS FOR CLOSING HEALTH DISPARITY GAPS.DAYTON ASTHMA ALLIANCEPROGRESS CONTINUED IN FY25 TOWARD REFRAMING THE DAYTON ASTHMA ALLIANCE THROUGH INTERVIEWS AND SURVEYS DESIGNED TO REFINE PARTNER GOALS AND COMMITMENTS. BY YEAR'S END, THE ALLIANCE HAD GROWN TO 16 ENGAGED MEMBERS, INCLUDING 12 FROM PARTNER ORGANIZATIONS. WORKGROUPS WERE ESTABLISHED TO FOCUS ON OUTREACH AND COMMUNICATIONS, FURTHER STRENGTHENING COLLABORATION AMONG THE ALLIANCE'S PARTNER ORGANIZATIONS. THESE EFFORTS ARE LAYING THE FOUNDATION FOR A NEW REGIONAL INITIATIVE AIMED AT REDUCING DISPARITIES IN ASTHMA CARE FOR CHILDREN. VOLUNTEER INCOME TAX ASSISTANCE PROGRAM SINCE 2020, DAYTON CHILDREN'S HOSPITAL HAS PROVIDED FREE TAX FILING ASSISTANCE TO SUPPORT INDIVIDUALS AND FAMILIES IN SECURING EARNED INCOME TAX CREDITS. THROUGH THE VOLUNTEER INCOME TAX ASSISTANCE PROGRAM, AN INITIATIVE LED BY THE INTERNAL REVENUE SERVICE IN COLLABORATION WITH COMMUNITY ORGANIZATIONS, THE HOSPITAL HAS FACILITATED THE FILING OF OVER 300 TAX RETURNS, RESULTING IN MORE THAN $200,000 IN EARNED INCOME TAX CREDITS FOR ELIGIBLE TAXPAYERS. ON MARCH 22, THE HOSPITAL HOSTED A ONE-DAY TAX CLINIC FOR THE COMMUNITY, DURING WHICH 43 TAX RETURNS WERE COMPLETED, HELPING FAMILIES RECEIVE A TOTAL OF $39,889 IN FEDERAL EARNED INCOME TAX CREDITS. WITH THE SUPPORT OF 11 VOLUNTEERS, TAX DOCUMENTS WERE COLLECTED, PROCESSED, AND COMPLETED WITHIN A WEEK, ENSURING TIMELY RETURN PICKUP FOR ALL PARTICIPANTS. THIS PROGRAM IS OFFERED IN RESPONSE TO DATA DEMONSTRATING THE SIGNIFICANT POVERTY-REDUCTION IMPACT OF EARNED INCOME TAX CREDITS, PARTICULARLY FOR FAMILIES. ACCORDING TO THE INTERNAL REVENUE SERVICE, EARNED INCOME AND CHILD TAX CREDITS CAN SUBSTANTIALLY INCREASE FEDERAL TAX REFUNDS; HOWEVER, ONE IN FIVE ELIGIBLE INDIVIDUALS DOES NOT CLAIM THESE BENEFITS.KISER NEIGHBORHOOD SCHOOLS CENTERDAYTON CHILDREN'S IS THE NONPROFIT COMMUNITY PARTNER TO THE KISER NEIGHBORHOOD SCHOOLS CENTER, PART OF THE DAYTON PUBLIC SCHOOLS' NEIGHBORHOOD SCHOOL CENTER PROGRAM. THESE CENTERS SERVE AS HUBS FOR CHILDREN AND FAMILIES, IMPROVING STUDENT PERFORMANCE, ALIGNING COMMUNITY RESOURCES, AND ENHANCING NEIGHBORHOOD QUALITY OF LIFE.THROUGH THIS PARTNERSHIP, DAYTON CHILDREN'S PROVIDES A FAMILY RESOURCE COORDINATOR (FRC) TO SUPPORT STUDENT CLUBS, FAMILY ENGAGEMENT, AND CONNECTION TO ESSENTIAL RESOURCES. IN FY25, THE FRC COORDINATED A RANGE OF SUPPORTS: EACH WEEK 204 STUDENTS RECEIVED WEEKEND FOOD BAGS TO REDUCE HUNGER, AND 27 STUDENTS IN GRADES 16 PARTICIPATED IN MENTORING THROUGH A PARTNERSHIP WITH THE UNIVERSITY OF DAYTON'S COLLEGE MENTOR PROGRAM. PARTNERSHIPS WITH THE DAYTON OPTIMIST CLUB AND SHOES 4 THE SHOELESS PROVIDED SWEATSHIRTS FOR 80 KINDERGARTENERS AND 402 PAIRS OF SHOES FOR STUDENTS, RESPECTIVELY. A SMILE DENTAL VISIT WAS FACILITATED, DELIVERING VITAL CARE TO 47 CHILDREN.IN ADDITION, THE FRC MOBILIZED 6 PARTNER ORGANIZATIONS CONTRIBUTING MORE THAN 150 VOLUNTEER HOURS, AND COLLABORATED WITH DAYTON CHILDREN'S, KISER ALUMNI, BRUNNER LITERACY, GOODWILL EASTER SEALS, AND THE OLD NORTH DAYTON NEIGHBORHOOD ASSOCIATION TO DISTRIBUTE TESTING KITS WITH SUPPLIES, ENCOURAGEMENT, AND SNACKS TO 800 STUDENTS DURING STATE TESTING.MONTGOMERY COUNTY IMAGINATION LIBRARY SINCE LAUNCHING IN 2019, DAYTON CHILDREN'S HAS SERVED AS THE PROGRAM'S AFFILIATE, PARTNERING WITH COMMUNITY ORGANIZATIONS AND FAMILIES TO EXPAND ACCESS TO READING.THE PROGRAM HAS DEMONSTRATED MEASURABLE IMPACT: ENROLLMENT REACHED 20,332 CHILDREN, WITH 19,131 GRADUATES BY YEAR-END, AND PARTICIPATION IN TARGETED ZIP CODES REMAINS STRONG AT MORE THAN 62 PERCENT. A NEW EVALUATION BY THE UNIVERSITY OF DAYTON'S BUSINESS RESEARCH GROUP FOUND THAT CHILDREN ENROLLED IN THE PROGRAM ARE READ TO MORE FREQUENTLY AT HOME AND SHOW STRONGER RESULTS ON KINDERGARTEN READINESS ASSESSMENTS, PARTICULARLY IN LANGUAGE AND LITERACY SKILLS.DAYTON CHILDREN'S CONTINUES TO STRENGTHEN COMMUNITY PARTNERSHIPS TO EXPAND REACH, ENGAGE FAMILIES, AND INTEGRATE THE PROGRAM INTO BROADER EARLY CHILDHOOD DEVELOPMENT STRATEGIES.COMMUNITY CONTRIBUTION PROGRAMIN FY20, DAYTON CHILDREN'S CREATED A COMMUNITY CONTRIBUTION PROGRAM TO PROVIDE SUPPORT COMMUNITY PROGRAMS THAT FOCUS ON IMPROVING HEALTH OUTCOME FOR CHILDREN. ORGANIZATIONS ARE ASKED TO SUBMIT AN APPLICATION TO ENSURE FUNDING ALIGNS WITH COMMUNITY BENEFIT REQUIREMENTS AND STRATEGIES. THE HOSPITAL LOOKS AT THE FOLLOWING ITEMS WHEN FUNDING PROPOSALS. -SOCIAL CORRELATES OF HEALTH THROUGH UPSTREAM APPROACHES: WE KNOW A CHILD'S HEALTH IS GREATLY RELATED TO THE ENVIRONMENT IN WHICH HE OR SHE LIVES. THE SOCIAL CORRELATES OF HEALTH ARE ALL THE ENVIRONMENTAL FACTORS THAT INFLUENCE HEALTH, INCLUDING EARLY CHILDHOOD DEVELOPMENT, EMPLOYMENT OPPORTUNITIES, FOOD INSECURITY, AIR AND WATER QUALITY, TRANSPORTATION, EDUCATIONAL ATTAINMENT, PUBLIC SAFETY, AND HOUSING.-HEALTH EQUITY & DISPARITIES: HEALTH DISPARITIES ARE THE DIFFERENCES IN HEALTH OUTCOMES BASED ON RACE, ETHNICITY, SEXUAL ORIENTATION, AND/OR SOCIO-ECONOMIC STATUS. HEALTH EQUITY IS ACHIEVED WHEN CHARACTERISTICS SUCH AS RACE, GENDER, SEXUAL IDENTITY, AND MORE ARE NOT CORRELATED TO HIGHER RATES OF ADVERSE HEALTH OUTCOMES.-COLLABORATION AND PARTNERSHIP: PROGRAMS THAT VALUE PARTNERSHIPS AND ALIGN THE PRACTICES AND PERSPECTIVES OF COMMUNITIES, HEALTH SYSTEMS AND PUBLIC HEALTH UNDER A SHARED VISION HELP FACILITATE STRONG COLLABORATION AND PARTNERSHIPS. PROGRAMS THAT DRAW UPON THE STRENGTHS OF EACH PARTNER TO HAVE A GREATER COLLECTIVE IMPACT.-COMMUNITY-INFORMED DECISION MAKING: PROGRAMS THAT ENGAGE NEIGHBORHOOD RESIDENTS AND COMMUNITY LEADERS AS KEY VOICES THROUGHOUT ALL STAGES OF PLANNING AND IMPLEMENTATION HONOR THE UNIQUE EXPERIENCE OF THOSE IMPACTED BY THE INTERVENTION. -DATA-DRIVEN AND EVIDENCE-BASED INTERVENTIONS: PROGRAMS THAT USE DATA FROM BOTH CLINICAL AND COMMUNITY SOURCES AS A TOOL TO IDENTIFY KEY NEEDS, MEASURE MEANINGFUL CHANGE, AND CREATE TRANSPARENCY AMONGST STAKEHOLDERS. IDENTIFYING PROVEN STRATEGIES THAT HAVE TANGIBLE RESULTS. -ALIGNED WITH REGIONAL, STATEWIDE AND NATIONAL STRATEGIES: PROGRAMS THAT ARE ALIGNED WITH THE AMERICAN ACADEMY OF PEDIATRICS, HEALTHY PEOPLE 2020, THE STATE HEALTH IMPROVEMENT PLAN AND OTHER REGIONAL HEALTH IMPROVEMENT PLANS TO CONTRIBUTE TO A GREATER IMPACT ON CHILDREN'S HEALTH.THE FOLLOWING ORGANIZATIONS RECEIVED FUNDING IN FY25: STRATEGIC OHIO COUNCIL FOR HIGHER EDUCATION, VICTORY PROJECT, INC., AMERICAN RED CROSS OF MIAMI VALLEY OHIO CHAPTER, THE FOODBANK, INC., BOYS & GIRLS CLUB OF DAYTON, DAYBREAK, INC., BIG BROTHERS BIG SISTERS OF THE GREATER MIAMI VALLEY, OHIO TRI COUNTY FOOD ALLIANCE DBA SECOND HARVEST FOOD BANK CLARK, CHAMPAIGN, AND LOGAN COUNTIES, MIAMI VALLEY MEALS, GREATER EDGEMONT COMMUNITY COALITION AND SOLAR GARDEN, GOODWILL EASTERSEALS MIAMI VALLEY, ELIZABETH'S NEW LIFE CENTER, INC., EVERYBODY PLAYS OHIO, YOUTH HOUSE, INC., AND CRAYONS TO CLASSROOMS.PROGRAMS FUNDED ALIGN WITH GOALS IDENTIFIED IN THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT.AT DAYTON CHILDREN'S, WE BELIEVE THAT ALL CHILDREN IN OUR REGION DESERVE A GREAT CHILDREN'S HOSPITAL CLOSE TO HOME. WE ARE DEDICATED TO ADDRESSING THE HEALTH AND WELLNESS NEEDS OF CHILDREN BOTH THROUGH CLINICAL PRACTICE AS WELL AS OUR COMMUNITY BENEFIT ACTIVITIES. PART VI, LINE 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 OTHER FINANCIAL ASSISTANCE PROGRAMS BEFORE SERVICES ARE PROVIDED THROUGH MEANS SUCH AS ONSITE FINANCIAL COUNSELORS AND BROCHURES PROVIDED IN THE REGISTRATION AREAS EACH OF THESE AVENUES OF COMMUNICATION INCLUDES DETAILED INSTRUCTIONS ON HOW PATIENTS AND FAMILIES MAY APPLY FOR ASSISTANCE. THE HOSPITAL'S POLICIES ON BILLING AND COLLECTIONS SPECIFY WHEN COLLECTION ACTION MAY BE TAKEN AND MAKES IT CLEAR THAT THESE MEASURES WILL ONLY OCCUR AFTER DAYTON CHILDREN'S HAS MADE REASONABLE EFFORTS TO CONTACT A FAMILY ABOUT ITS BILL AND THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS. THESE PRACTICES APPLY TO ALL PATIENTS IN GENERAL, NOT ONLY PATIENTS WHO MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. IN ADDITION, PATIENTS ARE INFORMED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS THROUGH SIGNS DISPLAYED IN REGISTRATION AREAS AND THROUGH MESSAGES APPEARING ON BILLING STATEMENTS MAILED BY THE HOSPITAL. FINALLY, THE HOSPITAL EMPLOYS ON-SITE FINANCIAL COUNSELORS WHO CONTACT PATIENTS WITHOUT COVERAGE IN ORDER TO DISCUSS THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS VIA PHONE OR THROUGH FACE-TO-FACE INTERVIEWS. THESE FINANCIAL COUNSELORS WILL ASSIST FAMILIES IN APPLYING FOR FINANCIAL ASSISTANCE. PART VI, LINE 4: DAYTON CHILDREN'S HOSPITAL IS LOCATED IN OLD NORTH DAYTON, NORTHEAST OF DOWNTOWN DAYTON AND THE URBAN CORE, IN MONTGOMERY COUNTY IN SOUTHWESTERN OHIO. THE HOSPITAL'S ROOTS CAN BE TRACED BACK TO 1919, WHEN PHILANTHROPIST AND ACTIVIST ANNA BARNEY GORMAN PLANNED A NORTH DAYTON COMMUNITY CENTER TO OFFER HEALTH SERVICES, EDUCATION AND RECREATION. THE BARNEY COMMUNITY CENTER LATER DEVELOPED INTO THE BARNEY CONVALESCENT HOSPITAL, WHICH CARED FOR POLIO VICTIMS. IN 1967 A FULL-SERVICE CHILDREN'S HOSPITAL, THE BARNEY CHILDREN'S MEDICAL CENTER, OPENED. THE NAME WAS CHANGED IN 1970 TO THE CHILDREN'S MEDICAL CENTER OF DAYTON. IN SPRING 2013, THE HOSPITAL CHANGED ITS NAME ONCE AGAIN TO DAYTON CHILDREN'S HOSPITAL. THE HOSPITAL CELEBRATED ITS 50-YEAR ANNIVERSARY IN 2017. DAYTON CHILDREN'S NOW SERVES INFANTS, CHILDREN AND TEENS FROM 20 OHIO COUNTIES, WITH 75 PERCENT OF PATIENTS COMING FROM MONTGOMERY, GREENE, CLARK, MIAMI AND NORTHERN WARREN COUNTIES. THE SERVICE AREA SPANS 9,000 SQUARE MILES WITH A 2.1 MILLION PEDIATRIC POPULATION THAT INCLUDES POOR URBAN AND RURAL AREAS. DAYTON CHILDREN'S IS THE ONLY PEDIATRIC HEALTH CARE PROVIDER AND THE LARGEST PROVIDER OF MEDICAL CARE TO LOW-INCOME CHILDREN IN THE REGION. CURRENTLY, THE HOSPITAL SERVES A DISPROPORTIONATE SHARE OF CHILDREN FROM LOW-INCOME FAMILIES. OVER 50 PERCENT OF THE PATIENTS AT DAYTON CHILDREN'S ARE COVERED BY MEDICAID. ONE OF ONLY 31 INDEPENDENT FREESTANDING CHILDREN'S HOSPITALS IN THE COUNTRY, DAYTON CHILDREN'S IS THE REGION'S ONLY MEDICAL FACILITY DEDICATED TO CHILDREN. ACCREDITED BY THE JOINT COMMISSION, THE EXPERTS AT DAYTON CHILDREN'S CARE FOR MORE THAN 320,000 CHILDREN EACH YEAR. CONSISTENTLY RECOGNIZED AS ONE OF THE COUNTRY'S BEST AND MOST COST-EFFECTIVE PEDIATRIC HOSPITALS, DAYTON CHILDREN'S IS HOME TO THE WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE, DEPARTMENT OF PEDIATRICS AND TOGETHER WITH THE UNITED STATES AIR FORCE SHARES THE NATION'S ONLY CIVILIAN-MILITARY INTEGRATED PEDIATRIC TRAINING PROGRAM. PART VI, LINE 5: DAYTON CHILDREN'S INJURY PREVENTION TEAM CONTINUES TO DEVELOP AND UPDATE PROGRAMS BY USING DATA FROM THE LEVEL ONE TRAUMA CENTER TO CREATE TARGETED SAFETY INTERVENTIONS. IN RESPONSE TO A FORTY PERCENT INCREASE IN TEEN DRIVING RELATED MOTOR VEHICLE CRASH INJURIES, THE TEAM DEVELOPED A NEW PROGRAM TARGETED TOWARD TEENS AND THEIR PARENTS. THE "NAVIGATING TEEN DRIVING TOGETHER PROGRAM" IS AN E-MAIL AND EDUCATION CAMPAIGN THAT LAUNCHED IN MAY AND REACHED OVER 100 FAMILIES. IN ADDITION, DAYTON CHILDREN'S WORKS TO REDUCE MOTOR VEHICLE INJURIES, A LEADING CAUSE OF TRAUMA AMONG CHILDREN, BY OFFERING CAR SEAT EDUCATION AND DISTRIBUTING CHILD SAFETY SEATS THROUGHOUT THE COMMUNITY. DAYTON CHILDREN'S CONTINUES THEIR ACTIVE TRANSPORTATION SAFETY PROGRAM CALLED "THIS IS HOW WE ROLL" THAT ADDRESSES ALL WHEELED SPORTS INJURIES. THE CAMPAIGN INCLUDES THE HOSPITAL'S HELMET SAFETY PROGRAM WHICH PROVIDED A NEW HELMET TO ANY CHILD WHO WAS IN A CRASH SEEN IN THE HOSPITAL EMERGENCY DEPARTMENT. ADDITIONALLY, THE HELMET SAFETY PROGRAM COLLABORATES WITH COMMUNITY AGENCIES ACROSS THE HOSPITAL'S 20-COUNTY SERVICE AREA, DISTRIBUTING AND FITTING UP TO 25 FREE HELMETS PER AGENCY TO ENCOURAGE SAFE PRACTICES DURING BIKE AND WHEELED SPORTS EVENTS. IN FISCAL YEAR 2025, DAYTON CHILDREN'S HAS PROVIDED 866 BIKE HELMETS TO CHILDREN AND PATIENTS, PROVIDED AND INSTALLED 425 CAR SEATS TO THE COMMUNITY, AND CONTINUE TO OPERATE 23 CAR SEAT FITTING STATIONS ACROSS THE REGION. PART VI, LINE 7, REPORTS FILED WITH STATES OH 1 A SPECIAL WISH FOUNDATION - DAYTON CHAPTER 741 VALLEY STREET DAYTON OH 45404 311234314 501(C)(3) 10500 0 PROGRAM DONATION AMERICAN RED CROSS 370 W FIRST STREET DAYTON OH 45402 530196605 501(C)(3) 8500 0 PROGRAM DONATION BIG BROTHERS BIG SISTERS MIAMI VALLEY 22 S JEFFERSON STREET DAYTON OH 45402 310641306 501(C)(3) 7500 0 PROGRAM DONATION BOYS & GIRLS CLUB OF DAYTON INC 1828 W STEWART STREET DAYTON OH 45417 310536657 501(C)(3) 8500 0 PROGRAM DONATION DAYBREAK INC 605 PATTERSON BLVD DAYTON OH 45402 310864474 501(C)(3) 7500 0 PROGRAM DONATION FOODBANK INC 56 ARMOR PLACE DAYTON OH 45417 861082880 501(C)(3) 8500 0 PROGRAM DONATION GIRLS ON THE RUN OF DAYTON PO BOX 752105 DAYTON OH 45475 272528377 501(C)(3) 15000 0 PROGRAM DONATION GREATER EDGEMONT COMMUNITY COALITION 919 MIAMI CHAPEL ROAD DAYTON OH 45417 821929502 501(C)(3) 7500 0 PROGRAM DONATION MIAMI VALLEY MEALS INC 428 S EDWIN C MOSES BLVD DAYTON OH 45402 475233212 501(C)(3) 7500 0 PROGRAM DONATION PRESCHOOL PROMISE INC 2251 TIMBER LN DAYTON OH 45414 814799474 501(C)(3) 15000 0 PROGRAM DONATION SECOND HARVEST FOOD BANK CCL 20 N MURRAY STREET SPRINGFIELD OH 45503 832134113 501(C)(3) 7500 0 PROGRAM DONATION STRATEGIC OHIO COUNCIL FOR HIGHER EDUCATION 2750-B INDIAN RIPPLE RD STE 225 BEAVERCREEK OH 45440 237109141 501(C)(3) 11500 0 PROGRAM DONATION UNITED WAY OF THE GREATER DAYTON AREA 409 E MONUMENT AVE STE 405 DAYTON OH 45402 310536658 501(C)(3) 30000 0 PROGRAM DONATION VICTORY PROJECT INC 409 TROY STREET DAYTON OH 45404 262243366 501(C)(3) 11500 0 PROGRAM DONATION YMCA OF GREATER DAYTON 118 W FIRST STREET STE 300 DAYTON OH 45402 310537517 501(C)(3) 30000 0 PROGRAM DONATION 15 0 PART I, LINE 2: THE FINANCE COMMITTEE AND COMMUNITY RELATIONS MANAGER APPROVE ALL GRANTS AND CHARITABLE DONATIONS. X X X X 0 1 0 0 0 0 0 1 0 DEBORAH FELDMAN CEO 1325885 0 301204 0 57638 0 396246 0 11019 0 2091992 0 33620 0 ADAM MEZOFF MD CMO 750833 0 86117 0 38929 0 403092 0 24104 0 1303075 0 23911 0 CHRIS BERGMAN CFO 631667 0 72413 0 33809 0 296940 0 34193 0 1069022 0 18791 0 CHARLES KIDWELL CHIEF LEGAL OFFICER 510207 0 58360 0 15018 0 20400 0 37393 0 641378 0 0 0 BENJAMIN GOODSTEIN VP & CHIEF AMBULATORY OFFICER 511159 0 57524 0 3162 0 21029 0 37243 0 630117 0 0 0 GOGI KUMAR TRUSTEE 0 409749 0 163070 0 280 0 50166 0 0 0 623265 0 0 CINDY BURGER VP & CHIEF EXPERIENCE OFFICER 372334 0 43139 0 91270 0 84443 0 24154 0 615340 0 76252 0 KELLY KAVANAUGH VP & CHIEF STRATEGY OFFICER 404833 0 44606 0 8064 0 91261 0 22404 0 571168 0 0 0 VIPUL PATEL MD TRUSTEE (UNTIL 11/2024) 0 414884 0 21000 0 6840 0 75135 0 22104 0 539963 0 0 JAYNE GMEINER VP & CHIEF NURSING OFFICER 379510 0 43608 0 16199 0 20979 0 21104 0 481400 0 0 0 MERRILEE COX TRUSTEE (UNTIL 11/2024) 0 304220 0 12095 0 352 0 16944 0 0 0 333611 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND THE FOLLOWING ARE THE INCREASES IN THE ACTUARIAL VALUE DURING THE YEAR: DEBORAH FELDMAN - $375,921 CINDY BURGER - $22,743 KELLY KAVANAUGH - $5,891 ADAM MEZOFF - $382,692 CHRIS BERGMAN - $276,771 JAYNE GMEINER - $1,139 THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: DEBORAH FELDMAN - $33,620 CHRIS BERGMAN - $18,791 CINDY BURGER - $76,252 ADAM MEZOFF - $23,911 PART I, LINE 7 BONUSES ARE DISCRETIONARY AND ARE BASED ON AN INCENTIVE PROGRAM APPROVED BY SENIOR MANAGEMENT. PART II, COLUMN F: THE AMOUNT SHOWN IN COLUMN F WAS REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS BUT PAID OUT IN THE CURRENT YEAR. THE AMOUNT IS ALSO INCLUDED IN COLUMN (B) (III). A COUNTY OF MONTGOMERY 316000172 613520PD1 2021-11-01 278059458 SEE PART VI 0 0 0 A 278059458 3237775 122338879 152482804 2023 1 0 0 1 A 0 0 0 0 0 0 0 A 0 1 0 0 1 0 0 0 0 A 0 SCHEDULE K, PART I, BOND ISSUES: (F) DESCRIPTION OF PURPOSE: CONSTRUCT & EQUIP FACILITY; REFUND PRIOR BOND ISSUES: 10/13/16, 11/20/15, AND 8/19/14. SEE PART V SEE PART V 867975 SEE PART V 0 SCH L, PART IV, BUSINES TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF INTERESTED PERSON: ECONOMY LINEN & TOWEL SERVICE INC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION:GREATER THAN 35% CONTROLLED ENTITY BY FAMILY MEMBER OF DEBORAH FELDMAN, TRUSTEE AND OFFICER(D) DESCRIPTION OF TRANSACTION: LAUNDRY & LINEN SERVICES FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWS KEY DISCLOSURES WITH APPROPRIATE COMMITTEES OF THE BOARD OF TRUSTEES. THEN PRIOR TO FILING, THE FORM 990 IS ELECTRONICALLY LOADED TO A SECURE WEBSITE FOR THE ENTIRE BOARD OF TRUSTEES TO REVIEW. AN EMAIL IS SENT TO ALL MEMBERS NOTIFYING THEM THAT THE FORM IS AVAILABLE FOR THEIR REVIEW AND THAT IT WILL BE FILED ON OR BEFORE THE EXTENDED DUE DATE. FORM 990, PART VI, SECTION B, LINE 12C AT THE BEGINNING OF EACH MEETING, THE CHAIRMAN OF THE BOARD ASKS EACH MEMBER TO IDENTIFY AND DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST BASED ON THE AGENDA OR ANY CHANGES IN THEIR BUSINESS PRACTICE THAT MIGHT BE RELEVANT. IF THERE ARE ANY CONFLICTS, THE MEMBER(S) RECUSE THEMSELVES AND DO NOT PARTICIPATE IN THE DISCUSSION AND DO NOT VOTE ON THE ITEM. THIS THEN IS NOTED IN THE MINUTES OF THAT MEETING. BOARD MEMBERS ANNUALLY AGREE TO ABIDE BY WRITTEN CONFLICT OF INTEREST AND CONFIDENTIALITY POLICIES. BOARD MEMBERS ALSO WORK TO REPRESENT AND BALANCE THE INTERESTS OF DAYTON CHILDREN'S HOSPITAL'S MANY CONSTITUENTS. THE BOARD ANNUALLY EVALUATES ITS OWN PERFORMANCE. FORM 990, PART VI, SECTION B, LINE 15 THE COMMITTEE USED A TOTAL COMPENSATION PHILOSOPHY TO GUIDE ALL DECISIONS RELATED TO EXECUTIVE COMPENSATION AT DAYTON CHILDREN'S HOSPITAL (DCH), AND AS SUCH DETERMINES AND APPROVES ALL ASPECTS OF THE CEO'S TOTAL COMPENSATION PACKAGE, INCLUDING BENEFITS AND EXPENSE ALLOWANCES. THESE ARE DETAILED IN A WRITTEN EMPLOYMENT AGREEMENT FOR THE CEO. THE COMMITTEE USES AN OUTSIDE CONSULTANT TO CONDUCT PERIODIC REVIEWS OF THE EXECUTIVE COMPENSATION LEVELS OF THE ORGANIZATION VERSUS THOSE OF SIMILARLY SIZED AND SITUATED ORGANIZATIONS USING PUBLISHED SURVEYS. THESE SURVEY RESULTS ARE USED BY THE COMMITTEE IN SETTING EXECUTIVE LEVELS AND THE CEO'S COMPENSATION IN PARTICULAR. THE COMMITTEE FOLLOWS A FORMAL CALENDAR OF MEETINGS AND THE CHAIRMAN OF THE COMMITTEE REPORTS TO THE BOARD OF TRUSTEES AT LEAST ANNUALLY ON THE COMMITTEE'S ACTIVITIES AND ON DETAILS OF THE CEO'S COMPENSATION AND BENEFITS PACKAGE. THE COMMITTEE ALSO REVIEWS AND APPROVES DISCLOSURES RELATED TO EXECUTIVE COMPENSATION MADE AS PART OF IRS FORM 990. CONTEMPORANEOUS MINUTES WERE KEPT OF THE COMMITTEE PROCEEDINGS. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS, ORGANIZING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE GENERAL PUBLIC UPON WRITTEN OR VERBAL REQUEST TO DAYTON CHILDREN'S HOSPITAL, FOR THE SAME PERIOD OF TIME AS SET FORTH IN THE INTERNAL REVENUE CODE SECTION 6104(D). FORM 990, PART XI, LINE 9: CHANGE IN PENSION BENEFIT OBLIGATION -3,866,411. PEDIATRIC ASSURANCE COMPANY LTD ACTIVITY 2,000,000. CONTRIBUTIONS RELEASED FROM RESTRICTIONS 5,481,933. SETTLEMENT OF NEW MARKET TAX CREDIT 10,415,000. CENTER FOR COMMUNITY HEALTH AND ADVOCACY ONE CHILDRENS PLAZA DAYTON OH 45404 824391789 NEW MARKETS TAX CREDIT OH 212581 9623906 DAYTON CHILDREN'S HOSPITAL WESTSIDE PROPERTY PROJECT LLC ONE CHILDRENS PLAZA DAYTON OH 45404 331907329 NEW MARKET TAX CREDIT OH 0 7595054 DAYTON CHILDREN'S HOSPITAL CHILDREN'S HOME CARE OF DAYTON 18 CHILDRENS PLAZA DAYTON OH 45404 311356037 HOME CARE OH 501(C)(3) LINE 10 DAYTON CHILDREN'S HOSPITAL 1 DAYTON CHILDREN'S HOSPITAL FOUNDATION ONE CHILDRENS PLAZA DAYTON OH 45404 311045247 SUPPORT OH 501(C)(3) LINE 12A, I DAYTON CHILDREN'S HOSPITAL 1 PEDIATRIC ASSURANCE COMPANY LTD BUTTERFIELD BANK BLDG 6TH FL 65 FRO HAMILTON HM BD 45404 980478183 SELF-INSURANCE BD DAYTON CHILDREN'S HOSPITAL C 4466859 15897230 1.00000 1 DAYTON CHILDREN'S SPECIALTY PHYSICIANS ONE CHILDRENS PLAZA DAYTON OH 45404 311411364 SPECIALTY PHYSICIANS GROUP OH DAYTON CHILDREN'S HOSPITAL C 46160262 41896016 1.00000 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 CHILDREN'S HOME CARE OF DAYTON O 69645 CASH CHILDREN'S HOME CARE OF DAYTON P 11577526 CASH CHILDREN'S HOME CARE OF DAYTON S 19000000 CASH DAYTON CHILDREN'S HOSPITAL FOUNDATION O 177352 CASH DAYTON CHILDREN'S HOSPITAL FOUNDATION C 6888258 CASH DAYTON CHILDREN'S HOSPITAL FOUNDATION R 13654565 CASH DAYTON CHILDREN'S SPECIALTY PHYSICIANS O 1993920 CASH DAYTON CHILDREN'S SPECIALTY PHYSICIANS R 62487798 CASH DAYTON CHILDREN'S SPECIALTY PHYSICIANS P 35394443 CASH