SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
Dayton Children's Hospital
 
Employer identification number

31-0672132
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
    302,939   302,939 0.150 %
b Medicaid (from Worksheet 3,
column a) ....
    102,533,192 82,594,018 19,939,174 10.030 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    102,836,131 82,594,018 20,242,113 10.180 %
Other Benefits
    447,365   447,365 0.230 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    4,116,073 3,086,474 1,029,599 0.520 %
g Subsidized health services
(from Worksheet 6) ..
    14,734,526 5,992,088 8,742,438 4.400 %
h Research (from Worksheet 7)            
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    158,467   158,467 0.080 %
j Total. Other Benefits ..     19,456,431 9,078,562 10,377,869 5.230 %
k Total. Add lines 7d and 7j .     122,292,562 91,672,580 30,619,982 15.410 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development     550   550  
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members     6,996   6,996  
6 Coalition building     3,377   3,377  
7 Community health improvement advocacy     20,157   20,157 0.010 %
8 Workforce development     25,772   25,772 0.010 %
9 Other            
10 Total     56,852   56,852 0.020 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
3,382,061
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
764,976
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
386,669
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
386,669
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
 
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, and primary website address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 DAYTON CHILDREN'S HOSPITAL
ONE CHILDRENS PLAZA
DAYTON,OH454041815
HTTP://WWW.CHILDRENSDAYTON.ORG/
X X X X     X      
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
DAYTON CHILDREN'S HOSPITAL
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 11
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 100%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 150.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?9
Name and address Type of Facility (describe)
1 WARREN COUNTY SPECIALTY CARE CENTER
100 CAMPUS LOOP ROAD SUITE A
FRANKLIN,OH45005
OUTPATIENT CARE CENTER AND OUTPATIENT DIAGNOSTIC CENTER
2 SPRINGBORO URGENT CARE & OP CARE CENTER
3333 WEST TECH ROAD
MIAMISBURG,OH45342
URGENT CARE CENTER AND OUTPATIENT DIAGNOSTIC CENTER
3 DAYTON ORTHOPAEDICS - SOUTH
2350 MIAMI VALLEY DRIVE
DAYTON,OH45459
OUTPATIENT CARE CENTER
4 VANDALIA OUTPATIENT TESTING CENTER
810 FALLS CREEK DRIVE SUITE A
VANDALIA,OH45377
OUTPATIENT DIAGNOSTIC CENTER
5 BEAVERCREEK OUTPATIENT TESTING CENTER
3224 DAYTON-XENIA ROAD
BEAVERCREEK,OH45431
OUTPATIENT DIAGNOSTIC CENTER
6 SUGARCREEK OUTPATIENT TESTING CENTER
6116 WILMINGTON PIKE
CENTERVILLE,OH45459
OUTPATIENT DIAGNOSTIC CENTER
7 KETTERING OUTPATIENT TESTING CENTER
4475 FAR HILLS AVENUE
KETTERING,OH45429
OUTPATIENT DIAGNOSTIC CENTER
8 SPRINGFIELD SPECIALTY CARE CENTER
30 W MCCREIGHT AVENUE
SPRINGFIELD,OH45504
OUTPATIENT CARE CENTER
9 DAYTON ORTHOPAEDICS - TROY
31 STANFIELD ROAD
TROY,OH45473
OUTPATIENT CARE CENTER
10
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
SCHEDULE H PART VI PART I, LINE 7G DAYTON CHILDREN'S INCLUDED $14,734,526 OF PHYSICIAN CLINIC COSTS IN THE SUBSIDIZED HEALTH SERVICES CATEGORY. PART I. LINE 7 THE FOLLOWING COSTING METHODOLOGIES WERE USED IN PREPARATION OF SCHEDULE H PART I, LINE 7: -CHARITY CARE AT COST WAS CALCULATED USING THE COST TO CHARGE RATIO. -UNREIMBURSED MEDICAID WAS CALCULATED USING THE COST TO CHARGE RATIO. -COMMUNITY HEALTH IMPROVEMENT SERVICES WERE VALUED AT THE ACTUAL CASH COSTS, INCLUDING DIRECTLY ASSIGNABLE PAYROLL COSTS, RELATED TO THESE ACTIVITIES. NO OVERHEAD ALLOCATION WAS CHARGED TO ANY AMOUNT INCLUDED IN THIS COMPUTATION. -HEALTH PROFESSIONS EDUCATION COSTS WERE DETERMINED USING THE FACILITY'S MEDICARE COST REPORTED, SUPPLEMENTED BY THE ACTUAL CASH COSTS, INCLUDING DIRECTLY ASSIGNABLE PAYROLL COSTS, RELATED TO THESE ACTIVITIES. -SUBSIDIZED HEALTH SERVICES COSTS WERE DETERMINED USING THE FACILITY'S INTERNAL COST ACCOUNTING SYSTEM. THE COST OF THESE SERVICES INCLUDES DIRECT COSTS ATIRIBUTABLE TO HEALTH SERVICES OPERATIONS, TOGETHER WITH AN ALLOCATION OF FACILITY DIRECT AND INDIRECT OVERHEAD USING A COST FINDING METHODOLOGY PATTERNED AFTER THE MEDICARE COST REPORT. -CASH AND IN KIND CONTRIBUTIONS WERE VALUED AT THE ACTUAL CASH COSTS, INCLUDING DIRECTLY ASSIGNABLE PAYROLL COSTS, RELATED TO THESE ACTIVITIES. NO OVERHEAD ALLOCATION WAS CHARGED TO ANY AMOUNT INCLUDED IN THIS COMPUTATION. PART III, LINE 4: THE COSTING METHODOLOGY USED IN PREPARATION OF BAD DEBT ATIRIBUTABLE TO PATIENT ACCOUNTS IS THE COST TO CHARGE RATIO, RATIO OF PATIENT COST-TO-CHARGE. THE DAYTON CHILDREN'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DISCUSSING BAD DEBT EXPENSE. A PROVISION FOR BAD DEBT EXPENSE IS SHOWN ON THE PROFIT AND LOSS STATEMENT. THE CALCULATION OF BAD DEBT EXPENSE IS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES REQUIRING MANAGEMENT TO MAKE ESTIMATES AND ASSUMPTIONS BASED ON HISTORICAL DATA THAT AFFECT THE REPORTED AMOUNTS OF REVENUE AND EXPENSES DURING THE REPORTD PERIOD. LIKEWISE, AN ALLOWANCE FOR BAD DEBT IS SHOWN ON THE BALANCE SHEET UNDER THE SAME PRINCIPLE AFFECTING THE REPORTED AMOUNTS OF ASSETS AND LIABILITIES DURING THE REPORTED PERIOD. PART III, LINE 8: THE COSTS REPORTED FOR SERVICES PROVIDED TO MEDICARE PATIENTS COME FROM SCHEDULE E OF THE FACILITY'S COST REPORT AS FILED. SINCE DAYTON CHILDREN'S IS REIMBURSED FOR MEDICARE SERVICES UNDER A TEFRA METHODOLOGY, THERE IS NORMALLY NO SHORTFALL, AS ALLOWED COSTS AND PAYMENTS DUE IS EQUAL. PART III, LINE 9B: THE HOSPITAL'S POLICIES ON BILLING AND COLLECTIONS ARE POSTED ON OUR WEBSITE UNDER THE "FINANCIAL MATTERS" TAB. IT IS THE HOSPITAL'S POLICY TO PUBLICIZE THE AVAILABILITY OF FREE CARE, GOVERNMENT AND OTHER FINANCIAL ASSISTANCE PROGRAMS UP FRONT BEFORE SERVICES ARE PROVIDED THROUGH MEANS SUCH AS ONSITE FINANCIAL COUNSELORS AND BROCHURES PROVIDED IN THE REGISTRATION AREAS. EACH OF THESE AVENUES OF COMMUNICATION INCLUDES DETAILED INSTRUCTIONS ON HOW PATIENTS AND FAMILIES MAY APPLY FOR ASSISTANCE. THE HOSPITAL'S POLICIES ON BILLING AND COLLECTIONS SPECIFY WHEN COLLECTION ACTION MAY BE TAKEN AND MAKES IT CLEAR THAT THESE MEASURES WILL ONLY OCCUR AFTER DAYTON CHILDREN'S HAS MADE REASONABLE EFFORTS TO CONTACT A FAMILY ABOUT ITS BILL AND THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS. THESE PRACTICES APPLY TO ALL PATIENTS IN GENERAL, NOT ONLY PATIENTS WHO MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. IN ADDITION, PATIENTS ARE INFORMED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS THROUGH SIGNS DISPLAYED IN REGISTRATION AREAS AND THROUGH MESSAGES APPEARING ON BILLING STATEMENTS MAILED BY THE HOSPITAL. FINALLY, THE HOSPITAL EMPLOYS ON-SITE FINANCIAL COUNSELORS WHO CONTACT PATIENTS WITHOUT COVERAGE IN ORDER TO DISCUSS THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS VIA PHONE OR THROUGH FACE-TO-FACE INTERVIEWS. THESE FINANCIAL COUNSELORS WILL ASSIST FAMILIES IN APPLYING FOR FINANCIAL ASSISTANCE PROGRAMS IF DESIRED. PART V: SECTION B, LINE 20D ALL PATIENTS ARE CHARGED THE SAME FOR SERVICES RECEIVED. HOWEVER, CHARGES BILLED TO ALL FAP ELIGIBLE PATIENTS ARE DISCOUNTED BASED ON THE HOSPITAL'S SLIDING FEE SCALE FOR DISCOUNTED CARE. THIS IS BASED ON CURRENT FEDERAL POVERTY LEVELS. PART V: DAYTON CHILDREN'S HAS 9 HEALTH CARE FACILITIES OTHER THAN THOSE REQUIRED TO BE LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED AS A HEALTH CARE FACILITY UNDER STATE LAW. WE HAVE 5 TESTING CENTERS, 4 OFFSITE CLINICS, AND 1 URGENT CARE CENTER (50% OWNED). #2: NEEDS ASSESSMENT. DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. IMPROVING THE HEALTH STATUS OF CHILDREN IS A KEY COMPONENT OF DAYTON CHILDREN'S HOSPITAL'S MISSION. TO HELP DEVELOP MEANINGFUL STRATEGIES IN THIS AREA, DAYTON CHILDREN'S EVALUATES THE STATUS OF OUR REGION'S PEDIATRIC HEALTH THROUGH A REGIONAL PEDIATRIC HEALTH ASSESSMENT CONDUCTED EVERY THREE YEARS. THE FIRST ASSESSMENT WAS CONDUCTED IN 2002, THE SECOND IN 2005, THIRD IN 2008. OUR FOURTH AND CURRENT ASSESSMENT WAS COMPLETED IN MARCH 2011. WE WORKED WITH SCHWARTZ CONSULTING PARTNERS AND COMMUNITY HEALTH ADVOCATES, SUCH AS THE WRIGHT STATE BOONSHOFT SCHOOL OF MEDICINE, CARESOURCE, READYSETSOAR AND PUBLIC HEALTH DAYTON & MONTGOMERY COUNTY TO DEVELOP THE QUESTIONNAIRE. THE SURVEY WAS ADMINISTERED ONLINE AND VIA TELEPHONE TO 600 PARENTS WITH CHILDREN UNDER 14 YEARS OF AGE IN OUR SERVICE AREA TO REPRESENT THE COMMUNITY SERVED BY THE HOSPITAL. NOTE: PREVIOUS WAVES OF THE ASSESSMENT HAVE BEEN CONDUCTED EXCLUSIVELY USING RANDOM TELEPHONE INTERVIEWING. HOWEVER IN RECENT YEARS THE PROPORTION OF FAMILIES WHO RELY EXCLUSIVELY ON MOBILE PHONES HAS INCREASED DRAMATICALLY, LEADING TO DECLINES IN TELEPHONE SURVEY RESPONSES, ESPECIALLY AMONG PARENTS OF YOUNG CHILDREN. THIS HAS LED HEALTH AND EPIDEMIOLOGICAL ORGANIZATIONS SUCH AS THE NATIONAL CENTER FOR HEALTH STATISTICS TO RECOMMEND MIXED ONLINE AND TELEPHONE SAMPLING METHODS. THE COMBINATION OF ONLINE AND TELEPHONE SAMPLING METHODS COUPLED WITH DEMOGRAPHIC WEIGHTING ALLOWED THIS STUDY TO COME WITHIN ONE OR TWO PERCENTAGE POINTS OF THE MOST RECENT CENSUS FIGURES FOR KEY DEMOGRAPHIC STATISTICS FOR THE MIAMI VALLEY AREA (BASED ON 2009 U.S. CENSUS RESULTS FOR 13 COUNTIES SERVED BY DAYTON CHILDREN'S ). THE HOSPITAL USES THE INSIGHT FROM THE ASSESSMENT TO LEARN MORE ABOUT THE HEALTH STATUS OF THE REGION'S CHILDREN, TO DETERMINE A COURSE OF ACTION TO MEET THEIR NEEDS AND IMPROVE CHILDREN'S QUALITY OF LIFE AND GIVE CHILDREN AND THEIR FAMILIES A VOICE REGARDING THEIR HEALTH AND SAFETY. OUR 2011 STUDY REVEALS THREE AREAS REQUIRING GREATER ATTENTION: 1. MANAGING COLDS AND FLU 2. DEALING WITH DIET AND NUTRITION/CHILDHOOD OBESITY, AND 3. PREVENTING INJURIES AND IMPROVING SAFETY. THESE AREAS SUGGEST A FOCUS FOR THE REGION'S PEDIATRIC HEALTH AGENDA FOR THE COMING YEARS, PARTICULARLY IN AREAS WHERE WE ARE ABLE TO PREVENT THE PREVENTABLE. THESE FINDINGS ARE USED TO PLAN MUCH OF OUR COMMUNITY HEALTH AND OUTREACH PROGRAMMING. IN ADDITION, AFTER COMBINING THIS STUDY WITH INPUT FROM COMMUNITY PRACTITIONERS, WE INDENTIFIED THE NEED FOR GREATER MENTAL HEALTH SERVICES. DURING THE FISCAL YEAR, DAYTON CHILDREN'S STARTED MENTAL HEALTH RESOURCE CONNECTIONS TO HELP COMMUNITY PHYSICIANS CONNECT PATIENTS TO MUCH-NEEDED MENTAL HEALTH RESOURCES. WHEN THIS STUDY WAS FIRST PUBLISHED IN 2011, WE HELD A PRESS CONFERENCE TO DISSEMINATE THE INFORMATION. IN ADDITION, WE CREATED A SUMMARY REPORT AND WHITE PAPERS OUTLINING THE NEXT STEPS FOR THE KEY ISSUES. FINALLY, OUR HEALTH ASSESSMENT WAS PUBLISHED ON OUR HOSPITAL WEBSITE AND AVAILABLE UPON REQUEST FOR ANY INVESTED PARTY. DAYTON CHILDREN'S ALSO WORKS WITH PARTNERS SUCH AS LOCAL HEALTH DEPARTMENTS AND CHILD-SERVING ORGANIZATIONS TO GAIN ADDITIONAL INFORMATION REGARDING THESE NEEDS IN ORDER TO CREATE COMPREHENSIVE ACTION PLANS. USING DATA FROM THE REGIONAL PEDIATRIC HEALTH ASSESSMENT, OUR INJURY DATABASE, INPUT FROM OUR PEDIATRIC EXPERTS, OTHER LOCAL AND NATIONAL STUDIES, DAYTON CHILDREN'S SETS A ROBUST AGENDA OF INJURY PREVENTION, HEALTH PROMOTION AND ADVOCACY TO ADDRESS THE HEALTH CARE NEEDS FACING OUR REGION'S CHILDREN. THIS SURVEY IS VERY ROBUST AND ONE OF THE FEW ASSESSMENTS THAT DIRECTLY ADDRESSES CHILDREN'S HEALTH NEEDS AND PARENT PERCEPTIONS IN OUR COMMUNITY. DAYTON CHILDREN'S SHARES THE DATA WITH COMMUNITY LEADERS AND POTENTIAL PARTNERS SO THAT ADDITIONAL PROGRAMING CAN BE DEVELOPED THROUGHOUT OUR REGION. THE ASSESSMENT IS INTENDED TO PROVIDE COMMUNITY HEALTH ADVOCATES WITH A GUIDE TO THE HEALTH ISSUES IMPACTING THE REGION'S CHILDREN AND TO SUGGEST SOME AREAS OF FOCUS FOR FUTURE PROGRAMMING AND EDUCATION BEYOND THE WALLS OF DAYTON CHILDREN'S. DAYTON CHILDREN'S IS CURRENTLY IN THE PLANNING STAGES OF OUR 2014 COMMUNITY HEALTH NEEDS ASSESSMENT. #3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE HOSPITAL'S POLICIES ON BILING AND COLLECTIONS ARE POSTED ON OUR WEBSITE UNDER THE "FINANCIAL MATTERS" TAB. IT IS THE HOSPITAL'S POLICY TO PUBLICIZE THE AVAILABILITY OF FREE CARE, GOVERNMENT, AND OTHER FINA
SCOLIOSIS SCREENINGS   AS AN ADVOCATE FOR THE COMMUNITY, DAYTON CHILDREN'S RECOGNIZES THE NEED FOR SCOLIOSIS SCREENING IN AREA SCHOOLS. DUE TO BUDGET CUTS IN MANY OF OUR LOCAL SCHOOLS, THE NURSES MUST FOREGO SCOLIOSIS SCREENING TO FOCUS ON IMMEDIATE MEDICAL NEEDS OF THE STUDENTS. REALIZING THE IMPORTANCE OF SCOLIOSIS SCREENING, DAYTON CHILDREN'S HAS PARTNERED WITH THE SCHOOLS IN THE COUNTIES WE SERVE TO PROVIDE THIS VITAL SERVICE. IN THE THREE YEARS SINCE THE PROGRAM HAS BEGUN WE HAVE SCREENED 29,786 CHILDREN, 1,270 SCREENED POSITIVE, AND SEVEN OF THESE CHILDREN REQUIRED SURGERY DUE TO SEVERE SCOLIOSIS. OUR OUTREACH NURSE WORKS CLOSELY WITH THE STAFF TO PROVIDE THE SCREENING IN A WAY THAT THE CHILD MISSES AS LITTLE VALUABLE CLASS TIME AS POSSIBLE. THE SCHOOL NURSES ARE SO THANKFUL FOR THE ASSISTANCE THAT DAYTON CHILDREN'S HAS PROVIDED. CARE HOUSE TOGETHER WITH OUR PARTNERS AT THE MONTGOMERY COUNTY PROSECUTOR'S OFFICE, SHERIFF'S DEPARTMENT, CHILDREN SERVICES, THE DAYTON POLICE DEPARTMENT, AND HUNDREDS OF GENEROUS SUPPORTERS, WE BROKE GROUND ON THE NEW CARE HOUSE FACILITY, WHICH WILL STRENGTHEN OUR COMMUNITY'S RESPONSE TO CHILD ABUSE VICTIMS. CARE HOUSE, MONTGOMERY COUNTY'S CHILD ADVOCACY CENTER, PROVIDES A TEAM RESPONSE TO CHILD ABUSE THROUGH PREVENTION, INTERVENTION AND ADVOCACY. THIS NEW BUILDING AND INVESTMENT WILL HELP MEMBERS OF THE CARE HOUSE TEAM BETTER RESPOND TO THE NEEDS OF CHILDREN AFFECTED BY ABUSE AND NEGLECT. #7: STATE FILING OF COMMUNITY BENEFIT REPORT. OHIO.
Schedule H (Form 990) 2012
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