2025-05-15T16:28:51-05:00 2024-06-30 420714325 RSM US LLP 6 S PATTERSON BLVD DAYTON OH 45402 990 2023-07-01 311356037 CHILDREN'S HOME CARE OF DAYTON CHIL 9376413000 18 CHILDRENS PLAZA DAYTON OH 45404 CHRIS BERGMAN TREASURER 9376413000 2025-05-13 1 1 KAREN O CRIM P00368385 9372980201 2025-05-13 2023 2025-03-06 01:10:19Z KATHLEEN KRUMM ONE CHILDRENS PLAZA DAYTON OH 45404 23446737 0 X WWW.CHILDRENSDAYTON.ORG X 1992 OH TO PROVIDE QUALITY HOME HEALTH SERVICES TO INFANTS, CHILDREN AND YOUNG ADULTS. THE CARE PROVIDED WILL MEET THE PHYSICAL, EMOTIONAL AND SPIRTUAL NEEDS OF CHILDREN AND THEIR FAMILIES. 8 0 37 0 0 0 65188 295 21492595 23445988 0 0 0 454 21557783 23446737 0 0 0 0 1901114 1984850 0 0 0 16978235 17829033 18879349 19813883 2678434 3632854 30318004 33990410 132314 171866 30185690 33818544 TO PROVIDE QUALITY HOME HEALTH SERVICES TO INFANTS, CHILDREN, AND YOUNG ADULTS. THE CARE PROVIDED WILL BE COORDINATED, COMPREHENSIVE, AND FAMILY CENTERED TO MEET THE PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS OF THE CHILDREN AND THEIR FAMILIES. 0 0 18615516 0 23445988 CHILDREN'S HOME CARE OF DAYTON ("CHCOD") IS A WHOLLY OWNED SUBSIDIARY OF DAYTON CHILDREN'S HOSPITAL. IT OFFERS NURSING CARE, DURABLE MEDICAL EQUIPMENT, HOME INFUSION THERAPY, REHAB, AND BEREAVEMENT SERVICES TO CHILDREN WITHOUT REGARD TO THEIR ABILITY TO PAY. IN FY ENDING 06/30/24, CHCOD HAD 5,510 VISITS. OF THESE VISITS, 70% WERE MEDICAID AND 2% WERE SELF-PAY. CHCOD IS COMMITTED TO SERVING AS AN ADVOCATE FOR CHILDREN AND THEIR FAMILIES. THE HOMECARE PROCESS ALLOWS MANY CHILDREN TO BE DISCHARGED FROM THE HOSPITAL AND RETURN HOME TO A MORE "HOMEY" ENVIRONMENT WHICH PROMOTES THE HEALING PROCESS. FACTOR UNITS DISPENSED, 969,594; PRIVATE DUTY NURSING HOURS, 2,910; HOME INFUSION THERAPIES, 7,163. 18615516 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 37 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 0 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 OH X CHRIS BERGMAN 9376413000 18 CHILDRENS PLAZA DAYTON OH 45404 CHRIS BERGMAN TREASURER 1.00 41.00 X X 0 644024 320768 JAYNE GMEINER PRESIDENT 1.00 39.00 X X 0 379379 73433 BEN GOODSTEIN SECRETARY 1.00 39.00 X X 0 463208 49990 JONATHAN THACKERAY TRUSTEE 1.00 39.00 X 0 395291 54575 KELLY SANDBERG TRUSTEE 1.00 39.00 X 0 340737 51293 DR SHERMAN ALTER TRUSTEE 1.00 39.00 X 0 46573 1863 KATHY ZEGARSKI TRUSTEE 1.00 39.00 X 0 135384 19306 DR DANIEL EVANS TRUSTEE 1.00 39.00 X 0 571043 51916 KATHLEEN KRUMM HOME CARE DIRECTOR 40.00 0.00 X 143765 0 46481 PAULETTE KOLAKOWSKI HOME CARE LIAISON 40.00 0.00 X 107364 0 25577 251129 2975639 695202 2 0 1 0 0 295 295 PATIENT REVENUE 624100 23273605 23273605 RELATED ORG RENT 532000 172383 172383 23445988 454 454 454 23446737 23445988 0 454 190245 190245 1372864 621700 751164 68241 35447 32794 234559 121840 112719 118941 61783 57158 577 577 24414 24414 23473 18245 5228 126593 122988 3605 13240 13240 40098 40098 4910 3607 1303 140606 133576 7030 153431 153431 MEDICAL SUPPLIES 16517546 16508700 8846 BAD DEBT EXPENSE 778453 778453 REPAIRS AND MAINTENANCE 5692 5692 19813883 18615516 1198367 0 12272190 14225011 3017268 3405747 561420 168740 4680030 2573152 2247484 2106878 297773 297773 11921869 13786261 30318004 33990410 132314 171866 132314 171866 X 30185690 33818544 30185690 33818544 30318004 33990410 3632854 0 X 0 1 X 1 0 X 76032 72230 68948 65188 295 282693 16288244 20625437 18886879 21322760 23273605 100396925 16364276 20697667 18955827 21387948 23273900 100679618 0 0 0 100679618 105045 137694 167325 169835 172383 752282 105045 137694 167325 169835 172383 752282 25971 454 26425 16469321 20861332 19123152 21557783 23446737 101458325 0.99230 0.99350 0.00740 0.00620 X 1238566 15482 1223084 1303754 65188 1238566 1372372 68618 1303754 1444603 72231 1372372 1520634 76031 1444603 0.00000 0.00000 0.00000 0 1 1 696345 696345 1852102 791843 1060259 2131583 1781309 350274 2106878 DUE FROM RELATED PARTIES 13786261 13786261 X PART V, LINE 4: THE ENDOWMENTS ARE HELD BY DAYTON CHILDREN'S HOSPITAL FOUNDATION, A SUPPORTING ORGANIZATION OF DAYTON CHILDREN'S HOSPITAL. ALL FUNDS ARE BOARD DESIGNATED AND NO LONGER CHARACTERIZED AS PERMANENT OR TEMPORARILY RESTRICTED ENDOWMENT FUNDS FOR SCHEDULE D, PART V REPORTING. 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 2024 OR 2023. 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, 2024 OR 2023. 0 1 0 0 0 0 0 1 0 CHRIS BERGMAN TREASURER 0 614424 0 0 0 29600 0 288659 0 32109 0 964792 0 0 DR DANIEL EVANS TRUSTEE 0 321563 0 246850 0 2630 0 19807 0 32109 0 622959 0 0 BEN GOODSTEIN SECRETARY 0 459112 0 0 0 4096 0 17881 0 32109 0 513198 0 0 JAYNE GMEINER PRESIDENT 0 371315 0 0 0 8064 0 57585 0 15848 0 452812 0 0 JONATHAN THACKERAY TRUSTEE 0 394273 0 0 0 1018 0 19416 0 35159 0 449866 0 0 KELLY SANDBERG TRUSTEE 0 296294 0 43575 0 868 0 19300 0 31993 0 392030 0 0 KATHLEEN KRUMM HOME CARE DIRECTOR 141327 0 0 0 2438 0 32605 0 13876 0 190246 0 0 0 KATHY ZEGARSKI TRUSTEE 0 133710 0 0 0 1674 0 8078 0 11228 0 154690 0 0 PART I, LINE 3 THE COMPENSATION OF THE DIRECTOR OF CHILDREN'S HOME CARE OF DAYTON IS SET BY DAYTON CHILDREN'S HOSPITAL POLICIES. THESE POLICIES ARE IMPLEMENTED BY THE EMPLOYEE EXPERIENCE DEPARTMENT. THE EMPLOYEE EXPERIENCE DEPARTMENT USES VARIOUS COMPENSATION SURVEYS TO MONITOR THAT THE DIRECTOR'S COMPENSATION IS REASONABLE AND APPROPRIATE. OTHER THAN THE DIRECTOR, THERE ARE NO OFFICERS OR KEY EMPLOYEES THAT ARE PAID BY CHILDREN'S HOME CARE OF DAYTON. 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: CHRIS BERGMAN - $269,230 JAYNE GMEINER - $37,991 THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: CHRIS BERGMAN - $14,582 BEN GOODSTEIN - $1,846 PART I, LINE 7 BONUSES ARE DISCRETIONARY AND ARE BASED ON AN INCENTIVE PROGRAM APPROVED BY THE HOSPITAL'S SENIOR MANAGEMENT. FORM 990, PART VI, SECTION A, LINE 6 DAYTON CHILDREN'S HOSPITAL IS THE SOLE MEMBER OF CHILDREN'S HOME CARE OF DAYTON. FORM 990, PART VI, SECTION A, LINE 7A DAYTON CHILDREN'S HOSPITAL IS THE SOLE MEMBER OF CHILDREN'S HOME CARE OF DAYTON. THE BOARD OF DAYTON CHILDREN'S HOSPITAL APPOINTS BOARD MEMBERS FOR CHILDREN'S HOME CARE OF DAYTON. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED IN DETAIL WITH THE DIRECTOR OF HOME CARE. THEN PRIOR TO FILING, THE 990 IS ELECTRONICALLY SENT TO ALL OF THE BOARD MEMBERS. 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) EXCUSE THEMSELVES AND DO NOT PARTICIPATE IN THE DISCUSSION AND DO NOT VOTE ON THE ITEM. THIS THEN IS NOTED IN THE MINUTE OF THE MEETING. BOARD MEMBERS ANNUALLY AGREE TO ABIDE BY WRITTEN CONFLICT OF INTEREST AND CONFIDENTIALITY POLICIES. BOARD MEMBERS ALSO WORK TO REPRESENT AND BALANCE THE INTEREST OF DAYTON CHILDREN'S HOSPITAL'S MANY CONSTITUENTS. THE BOARD ANNUALLY EVALUATES ITS OWN PERFORMANCE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE DIRECTOR OF CHILDREN'S HOME CARE OF DAYTON IS SET BY DAYTON CHILDREN'S HOSPITAL POLICIES. THESE POLICIES ARE IMPLEMENTED BY THE EMPLOYEE EXPERIENCE DEPARTMENT. THE EMPLOYEE EXPERIENCE DEPARTMENT USES VARIOUS COMPENSATION SURVEYS TO MONITOR THAT THE DIRECTOR'S COMPENSATION IS REASONABLE AND APPROPRIATE. THERE ARE NO OFFICERS OR KEY EMPLOYEES THAT ARE PAID BY CHILDREN'S HOME CARE OF DAYTON. 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). CHILDREN'S CARE HOUSE LLC ONE CHILDRENS PLAZA DAYTON OH 45404 463722155 CHILD ADVOCACY OH 172383 2829489 CHCOD DAYTON CHILDREN'S HOSPITAL ONE CHILDRENS PLAZA DAYTON OH 45404 310672132 HEALTH CARE OH 501(C)(3) LINE 3 N/A 0 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 DAYTON CHILDREN'S SPECIALTY PHYSICIANS INC ONE CHILDRENS PLAZA DAYTON OH 45404 311411364 SPECIALTY PHYSICIANS GROUP OH N/A C 1 PEDIATRIC ASSURANCE COMPANY LTD BUTTERFIELD BANK BLDG 6TH FL 65 FRO BERMUDA BD 980478183 SELF-INSURANCE BD N/A C 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 DAYTON CHILDREN'S HOSPITAL O 63323 CASH DAYTON CHILDREN'S HOSPITAL Q 12481783 CASH DAYTON CHILDREN'S HOSPITAL R 14410516 CASH