2025-05-15T16:32:15-05:00 2024-06-30 420714325 RSM US LLP 6 S PATTERSON BLVD DAYTON OH 45402 990 2023-07-01 310672132 DAYTON CHILDREN'S HOSPITAL DAYT 9376413000 ONE CHILDRENS PLAZA DAYTON OH 454041815 CHRIS BERGMAN VP FINANCE AND CFO 9376413000 2025-05-13 1 1 KAREN O CRIM P00368385 9372980201 2025-05-13 2023 2025-03-06 01:10:19Z DEBORAH FELDMAN ONE CHILDRENS PLAZA DAYTON OH 454041815 836579633 0 X WWW.CHILDRENSDAYTON.ORG X 1967 OH THE RELENTLESS PURSUIT OF OPTIMAL HEALTH FOR EVERY CHILD WITHIN OUR REACH. 22 17 4505 611 14920 5869 15161768 13105234 572271047 644014574 15889093 34471819 48001716 49743489 651323624 741335116 232250 353685 0 0 299793391 316882515 0 0 5131814 255176055 301729834 555201696 618966034 96121928 122369082 1565773605 1751404115 409957169 426818166 1155816436 1324585949 X THE RELENTLESS PURSUIT OF OPTIMAL HEALTH FOR EVERY CHILD WITHIN OUR REACH. 0 0 500854566 353685 689781521 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, 2024, THE HOSPITAL'S MIX OF PATIENTS WAS 52.6 PERCENT MEDICAID, 36.6 PERCENT COMMERCIAL, 3.7 PERCENT OTHER GOVERNMENT PROGRAMS AND 7 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, 2024 ARE AS FOLLOWS: # OF BEDS 182, INPATIENT DAYS 36,999, ADMISSIONS 7,783. AVERAGE LENGTH OF STAY 4.75 DAYS. AVERAGE DAILY CENSUS 119.7, OCCUPANCY RATE 66 PERCENT, SURGERIES PERFORMED 13,732, X-RAY STUDIES 52,284, LAB TEST 643,794, RESPIRATORY THERAPY PROCEDURES 83,867, PHARMACY DOSES DISPENSED 865,796 CARDIOLOGY PROCEDURES 20,909, NEUROLOGY PROCEDURES 4,885, URGENT CARE VISITS 50,248, EMERGENCY DEPARTMENT VISITS 98,221, OUTPATIENT CLINIC VISITS 258,187. 500854566 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 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 1 258 0 1 4505 1 1 1 1 BD 0 0 0 0 0 0 0 0 1 0 X 22 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OH X CHRIS BERGMAN 9376415819 ONE CHILDRENS PLAZA DAYTON OH 454041815 DEBORAH FELDMAN CEO 40.00 1.00 X X 6632612 0 512743 ADAM MEZOFF MD CMO 40.00 0.00 X 771121 0 334225 VIPUL PATEL MD TRUSTEE 1.00 0.00 X 0 443707 163991 GOGI KUMAR TRUSTEE 1.00 0.00 X 0 536042 47560 MERRILEE COX TRUSTEE 1.00 0.00 X 0 277215 17323 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 LINDA BLACK-KUREK TRUSTEE (UNTIL 11/2023) 1.00 0.00 X 0 0 0 MARK CHILSON TRUSTEE 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 JOHN DUBY MD TRUSTEE 1.00 0.00 X 0 0 0 JACQUELINE GAMBLIN TRUSTEE (UNTIL 11/2023) 1.00 0.00 X 0 0 0 ANTHONY R KENNEY TRUSTEE 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 DAVID TAYLOR TRUSTEE 1.00 0.00 X 0 0 0 GREGORY TOUSSAINT MD TRUSTEE (UNTIL 11/2023) 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 644024 0 320768 CHARLES KIDWELL CHIEF LEGAL OFFICER 40.00 0.00 X 506114 0 54459 CINDY BURGER VP & CHIEF EXPERIENCE OFFICER 40.00 0.00 X 438328 0 117260 BENJAMIN GOODSTEIN VP & CHIEF AMBULATORY OFFICER 39.00 1.00 X 463208 0 49990 KELLY KAVANAUGH VP & CHIEF STRATEGY OFFICER 40.00 0.00 X 385429 0 103855 JAYNE GMEINER VP & CHIEF NURSING OFFICER 39.00 1.00 X 379379 0 73433 10220215 1256964 1795607 302 0 1 0 CLINICAL INTELLIGENCE LLC 29 FLAGSHIP LANE HILTON HEAD SC 29926 PROFESSIONAL CONSULTING SERVICES 1505636 HAYES LOCUMS LLC 5900 N ANDREWS AVE SUITE 900 FORT LAUDERDALE FL 33309 PHYSICIAN STAFFING SERVICES 1070343 CHANGE HEALTHCARE TECHNOLOGIES LLC PO BOX 98347 CHICAGO IL 60693 CLAIMS CLEARINGHOUSE SERVICES 803217 WRIGHT STATE PHYSICIANS 725 UNIVERSITY BLVD FAIRBORN OH 45324 PHYSICIAN SERVICES 766615 ENCORE TECHNOLOGIES 4620 WESLEY AVE CINCINNATI OH 45212 IT SOLUTIONS 581735 26 9305713 3799521 13105234 PATIENT SERVICE REVENUE 624100 405638053 405638053 MEDICARE/MEDICAID 624100 238231873 238231873 RELATED ORG RENT 532000 144648 144648 644014574 16914922 14920 16900002 1536036 726355 809681 809681 809681 111490585 76390 93945822 64256 17544763 12134 17556897 17556897 584349 508084 76265 76265 CONTRACT SPECIALTY PHARMACY 900099 15670449 15670449 PARTNERS FOR KIDS 900099 7675183 7675183 CAFETERIA 900099 3090596 3090596 22421315 22421315 48857543 741335116 689781521 14920 38433441 353685 353685 9215493 9215493 234797037 206698304 25694116 2404617 16478738 13958821 2357528 162389 38611301 32706888 5523919 380494 17779946 15061049 2543685 175212 638441 638441 500163 500163 132903 132903 1316325 1316325 32443328 19811152 11779214 852962 1570961 1570961 30401948 22755792 7005794 640362 19057127 13640016 5199010 218101 9194412 5150223 4019616 24573 1607952 1011786 504483 91683 9083247 9083247 41852155 38381478 3331866 138811 1464269 1464269 MEDICAL SUPPLIES AND DR 100443493 97946004 2457441 40048 BAD DEBT EXPENSE 31802455 31802455 STATE HOSPITAL ASSESSME 18586409 18586409 REPAIRS AND MAINTENANCE 1634246 1444010 187674 2562 618966034 500854566 112979654 5131814 30895340 53766806 222792 309842 406386736 490139298 9350288 8691527 15405126 18557205 849170831 347281880 471469496 501888951 398617001 418268728 188672144 215093373 13920405 14182793 30834277 30505592 1565773605 1751404115 34779169 46227597 730489 2823724 271985978 270870580 30130000 35802381 72331533 71093884 409957169 426818166 X 1155816436 1324585949 1155816436 1324585949 1565773605 1751404115 X 122369082 42440342 3960089 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 102903 1 35338 0 1 30000 168241 0 PART II-B, LINE 1: LINE 1F: OHIO HOSPITAL ASSOCIATION $7,175 OHIO CHILDREN'S HOSPITAL ASSOCIATION $50,856 CHILDREN'S HOSPITAL ASSOCIATION $42,265 DAYTON DEVELOPMENT COALITION $2,250 DAYTON AREA CHAMBER OF COMMERCE $357 TOTAL $102,903 LINE 1G: MANAGEMENT TIME $35,338 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 1I: CONSULTING EXPENSE FOR GOVERNMENT ADVOCACY TO STATE AND FEDERAL AGENCIES TO BENEFIT CHILDREN'S HOSPITALS: $30,000 TOTAL LINE 1J : $168,241 1238566 15482 1223084 1303754 65188 1238566 1372372 68618 1303754 1444603 72231 1372372 1520634 76031 1444603 0.00000 0.00000 0.00000 0 1 1 27597137 27597137 174717540 76906359 97811181 532880991 228874924 304006067 113975163 41500597 72474566 501888951 HEDGE FUNDS 5045803 F LIMITED PARTNERSHIPS 129612195 F PRIVATE EQUITY 80435375 F 215093373 DEFERRED COMP PAYABLE 24012945 PENSION LIABILITIES 10545774 OTHER LIABILITIES 2814699 CAPITAL LEASE PAYABLE 7668864 OPERATING LEASE LIABILITY 26051602 71093884 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 DAYTON CHILDREN'S SPECIALTY PHYSICIANS, AND SELECTED JOINT VENTURE ENTITIES, ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE WHOLLY OWNED FOR-PROFIT SUBSIDIARIES DAYTON CHILDREN'S SPECIALTY PEDIATRICS 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. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 105355476 CENTRAL AMERICA AND THE CARIBBEAN 1 2 PROGRAM SERVICE SELF INSURANCE 3593511 EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS 574996 NORTH AMERICA 0 0 INVESTMENTS 1363400 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENTS 1429594 1 2 0 0 1 2 112316977 0 112316977 1 0 1 1 0 0 1 1 X 1 X 1 X 1 1 1 0 1 1 2957723 2957723 0.00500 288214407 238883237 49331170 0.08400 291172130 238883237 52288893 0.08910 11771707 8605395 3166312 0.00540 3844076 1555380 2288696 0.00390 30730741 10303609 20427132 0.03480 481793 379843 101950 0.00020 378685 378685 0.00060 47207002 20844227 26362775 0.04490 338379132 259727464 78651668 0.13400 31 157316 157316 0.00030 16 26811 26811 0.00000 8 37373 37373 0.00010 55 221500 221500 0.00040 0 6713367 406005 406005 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-RESILINECY 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 FAMILIESIN THE FIRST YEAR OF THE 2023-2026 COMMUNITY HEALTH IMPROVEMENT STRATEGY PLAN, AN EVALUATION OF IMPACT WAS CONDUCTED. HERE ARE THE OUTCOMES REALIZED DURING THE INITIAL YEAR OF THIS NEW THREE-YEAR CYCLE.TO WORK TOWARD IMPROVING MENTAL HEALTH AND ADDICTION OUTCOMES:1. CONTINUE TO SPREAD THE ON OUR SLEEVES MOVEMENT THROUGHOUT THE REGIONDAYTON CHILDREN'S ADVANCED ITS MISSION OF MENTAL HEALTH OUTREACH WITH THE ON OUR SLEEVES (OOS) CAMPAIGN. EFFORTS EXPANDED TO RAISE AWARENESS THROUGH INITIATIVES LIKE DISTRIBUTING OOS CALENDARS AND CLASSROOM KITS, PRESENTING AT EVENTS SUCH AS THE UNIVERSITY OF DAYTON "SHINE A LIGHT ON MENTAL HEALTH, AND COLLABORATING WITH EDUCATORS. THERE WAS A SUBSTANTIAL INCREASE IN SIGN-UPS FOR ON OUR SLEEVES WITH OVER 4,000 COMMUNITY MEMBERS AS OF MARCH. IN THE SAME TIMEFRAME 290 TEACHERS SIGNED UP AS CLASSROOM CHAMPIONS, RECEIVING CLASSROOM KITS. THE INCREASED ENGAGEMENT UNDERSCORES THE HEIGHTENED AWARENESS FOR MENTAL HEALTH ADVOCACY WITHIN THE COMMUNITY.2. INTEGRATE BEHAVIORAL HEALTH THROUGHOUT PRIMARY CAREDAYTON CHILDREN'S PEDIATRICS (DCP) ENHANCED BEHAVIORAL HEALTH SERVICES BY APPOINTING A CARE COORDINATION SUPERVISOR AND RECRUITING ADDITIONAL THERAPISTS AND PSYCHOLOGISTS. THIS EXPANSION FACILITATED IMPROVED CARE, RESULTING IN INCREASED SCREENING AND SERVICES FOR FAMILIES. 3. DEVELOP A COMPREHENSIVE SCHOOL-BASED PROGRAMDAYTON CHILDREN'S HOSPITAL (DCH) HAS CONTINUED ITS EFFORTS TO SUPPORT STUDENT WELL-BEING WITHIN DAYTON PUBLIC SCHOOLS (DPS). STRATEGIES INCLUDED STAFFING STUDENT RESILIENCY COORDINATORS (SRCS) IN 59 SCHOOLS AND THERAPISTS ACROSS MULTIPLE SCHOOLS, FOCUSING ON TRAUMA SCREENING, SOCIAL DETERMINANTS OF HEALTH, AND THE ASK SUICIDE-SCREENING QUESTIONS (ASQ) SCREENING UNDER THE ZERO SUICIDE INITIATIVE. ENHANCEMENTS IN ENGAGEMENT BETWEEN SCHOOL STAFF, DCH MANAGERS, AND SRCS HAVE BEEN PRIORITIZED, ALONGSIDE CRISIS DEBRIEFING SERVICES PROVIDED IN RESPONSE TO FACULTY AND STUDENT DEATHS. NOTABLY, THE ESTABLISHMENT OF THE CENTER FOR EMOTIONAL WELLBEING AND POSITIVE FEEDBACK ON SERVICES PROVIDED REFLECT THE ONGOING COMMITMENT TO FOSTERING A SUPPORTIVE ENVIRONMENT FOR STUDENTS AND FAMILIES. 4. ADOPT AND EMBED A COMPREHENSIVE APPROACH TO SUICIDE CARE (ZERO SUICIDE)DAYTON CHILDREN'S HAS MADE SIGNIFICANT STRIDES IN ADVANCING ITS SUICIDE PREVENTION FRAMEWORK BY EXPANDING SCREENING AND BRIEF ASSESSMENTS ACROSS VARIOUS CLINICS. THE FOCUS THROUGHOUT THE YEAR WAS ON IMPLEMENTING THESE PROTOCOLS IN KEY AREAS, BEGINNING WITH THE CHILD ADVOCACY CLINICS, FOLLOWED BY THE NEUROLOGY CLINICS. DESPITE SOME INITIAL DELAYS, THE IMPLEMENTATION PROCESS WAS SUCCESSFUL, WITH ONGOING QUALITY IMPROVEMENT CYCLES ENSURING THE EFFECTIVENESS OF THE PROGRAM. THE INITIATIVE'S PROGRESS IS REFLECTED IN THE INCREASED NUMBER OF SCREENINGS AND A RISE IN COMPLIANCE RATES, WHICH MOVED FROM 86 PERCENT TO 100 PERCENT FOR THE BRIEF SCREENING ASSESSMENT ACROSS CLINICS. TO WORK TOWARD IMPROVING CHRONIC DISEASE OUTCOMES, THESE WERE THE RECOMMENDED STRATEGIES AND OUTCOMES: 1. IMPLEMENT HEALTHY FOOD INITIATIVESDAYTON CHILDREN'S COMMUNITY TEACHING KITCHEN CONSISTENTLY PROVIDED NUTRITION EDUCATION, WITH 1,775 ATTENDEES OVER THE YEAR. A NEW SERIES CALLED HEALTHY WAY WAS LAUNCHED, FOCUSING ON FOOD GROUPS, PORTION SIZES, AND FOOD SAFETY FOR ENROLLED FAMILIES. THE KITCHEN ALSO EXPANDED TO INCLUDE COOKING CLASSES TAILORED TO SPECIFIC PEDIATRIC HEALTH CONDITIONS, INCREASING FROM ONE CLASS TO THREE.2. IMPROVE HEALTH DISPARITIES FOR CHILDREN WITH ASTHMATHE DAYTON HOME REPAIR NETWORK, IN COLLABORATION WITH THE DAYTON ASTHMA ALLIANCE, PURSUED BUT DID NOT SECURE EPA FUNDING FOR ASTHMA EDUCATION. DESPITE THIS, THE COMMUNITY HEALTH WORKER (CHW) PROGRAM SAW INCREASED ENROLLMENT IN ASTHMA TRIGGER ASSESSMENTS, RISING FROM 3 TO 19 WITH A NEW DATA DASHBOARD. CHW TRAINING AND DISCUSSIONS ON RISK MITIGATION STRATEGIES WERE EMPHASIZED, LEADING TO A CONSISTENT 15.5 PERCENT IMPROVEMENT IN ACT SCORES FOR PATIENTS, INDICATING PROGRESS IN ASTHMA MANAGEMENT. 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 EARLY CHILDHOOD SAFETY PROGRAM, FUNDED BY THE OHIO CHILDREN'S TRUST FUND, MADE SIGNIFICANT PROGRESS IN PROMOTING SAFE SLEEP PRACTICES WITHIN THE COMMUNITY. OVER THE YEAR, EDUCATION FOR 25 FAMILIES AND DISTRIBUTION OF SAFE SLEEP EQUIPMENT TO 92 FAMILIES REACHED 1,352 PEOPLE THROUGH 25 COMMUNITY EVENTS. IN TOTAL, 86 SAFE SLEEP AMBASSADORS WERE TRAINED, AND 386 DAYTON CHILDREN'S HOSPITAL CORE CLINIC STAFF WERE TRAINED. ALL THESE EFFORTS ENSURE WIDESPREAD DISSEMINATION OF SAFE SLEEP EDUCATION AND PRACTICE. 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://WWW.CHILDRENSDAYTON.ORG/PATIENTS-VISITORS/AFTER-YOUR-VISIT/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 SUPPORTDAYTON CHILDREN'S ENHANCED ITS LACTATION SERVICES THROUGH LACTATION CLINIC AND DAYTON CHILDREN'S PEDIATRICS (DCP), WITH CLINIC VISITS INCREASING FROM 64 TO 76 PER MONTH, WHILE DCP VISITS SLIGHTLY DECLINED FROM 95 TO 85. DESPITE TEMPORARY CLOSURES IN SEPTEMBER DUE TO STAFFING ISSUES, COLLABORATION WITH VARIOUS ORGANIZATIONS SECURED GRANT FUNDING AND ESTABLISHED A SMART AIM AND QUALITY IMPROVEMENT PROJECT THAT INCREASED CONNECTIONS TO LACTATION SERVICES FROM 8 PERCENT TO 20 PERCENT. CONSISTENT INPATIENT LACTATION SERVICES WERE MAINTAINED, WITH 98 PERCENT OF ELIGIBLE NON-NICU INPATIENTS RECEIVING LACTATION SUPPORT, REFLECTING ONGOING IMPROVEMENTS AND STEADY PERFORMANCE IN LACTATION SERVICES. 3. IMPLEMENT THE OHIO BETTER BIRTH OUTCOMES PROJECT DAYTON CHILDREN'S HAS BEEN ACTIVELY ENGAGED IN THE OHIO BETTER BIRTH OUTCOMES PROJECT, FOCUSING ON ADDRESSING RACISM IN MATERNAL AND INFANT CARE AND IMPROVING ACCESS TO EARLY PRENATAL CARE FOR TEEN MOTHERS. INITIATIVES INCLUDE DEVELOPING EDUCATIONAL VIDEOS FOR STAKEHOLDERS AND EXPLORING THE USE OF THE EMERGENCY DEPARTMENT FOR QUALITY IMPROVEMENT TO ENSURE TIMELY ACCESS TO PRENATAL CARE. COLLABORATIONS WITH THE GREATER DAYTON AREA HOSPITAL ASSOCIATION AND INTERNAL DISCUSSIONS HAVE FACILITATED PROGRESS, WITH ONGOING MEETINGS TO STRATEGIZE PROJECT EXECUTION AND REVIEW CURRENT PROTOCOLS. PROGRESS IS ONGOING, WITH PLANS EVOLVING TO ENHANCE MATERNAL HEALTH OUTCOMES. 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 HAS STRENGTHENED PARTNERSHIPS WITH PROGRAMS LIKE WOMEN, INFANTS, AND CHILDREN (WIC), MEDICAL LEGAL PARTNERSHIP (MLP), SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP), AND THE VOLUNTEER INCOME TAX ASSISTANCE (VITA) PROGRAM TO SUPPORT FAMILIES IN NEED. THESE COLLABORATIONS RESULTED IN DIRECT REFERRALS AND IMPROVED ACCESS TO SERVICES, CONNECTING 10 FAMILIES TO SNAP, 72 FAMILIES TO MLP, 172 WOMEN TO WIC, AND SERVING 135 FAMILIES THROUGH VITA. EFFORTS WERE FURTHER SUPPORTED BY INITIATIVES LIKE SETTING UP INFORMATIONAL TABLES AND ENHANCING REFERRAL PROCESSES, ENSURING CONTINUED ASSISTANCE FOR FAMILIES IN MANAGING FINANCIAL AND NUTRITIONAL CHALLENGES. 2. LAUNCH COLLECTIVE IMPACT INITIATIVE TO ADDRESS HEALTH AND EDUCATIONAL NEEDS OF CHILDREN BIRTH TO FIVEDAYTON CHILDREN'S HAS MADE SIGNIFICANT STRIDES IN PROMOTING EARLY CHILDHOOD LITERACY THROUGH INITIATIVES LIKE THE IMAGINATION LIBRARY PROGRAM. PARTNERSHIPS WITH ORGANIZATIONS LIKE GEM CITY MARKET AND WRIGHT-PATTERSON AIR FORCE BASE HAVE EXPANDED THE REACH OF THE PROGRAM, AIMING TO PROVIDE FREE BOOKS TO MILITARY-CONNECTED FAMILIES AND SERVE AS A MODEL FOR OTHER BASES NATIONWIDE. EFFORTS HAVE ALSO BEEN CONCENTRATED ON ENHANCING KINDERGARTEN READINESS THROUGH BIRTH TO FIVE INITIATIVE PARTNERSHIPS, FOCUSING ON STRATEGIES SUCH AS PROMOTING WELL-CHILD VISITS, ENGAGING IN HOME VISITING PROGRAMS, AND INCREASING PRESCHOOL PARTICIPATION. THE IMAGINATION LIBRARY PROGRAM HAS SEEN CONTINUOUS GROWTH, WITH AN INCREASE IN BOTH THE PERCENTAGE OF CHILDREN ENROLLED (65 PERCENT IN HIGH-RISK ZIP CODES) AND THE NUMBER OF NEWBORNS ENROLLED (1,275), WHILE ONGOING COLLABORATION WITHIN THE 0-5 PARTNERSHIP AIMS TO STREAMLINE COMMUNICATION FOR IMPROVED EFFECTIVENESS.CONTINUE DEVELOPMENT AND EXECUTION OF PROGRAMS TO ADDRESS FOOD INSECURITYDAYTON CHILDREN'S HAS PRIORITIZED COMBATING FOOD INSECURITY THROUGH INITIATIVES SUCH AS THE FOOD PHARM AND FOOD PANTRY PROGRAMS, WHICH HAVE EXPERIENCED STEADY EXPANSION. THE FOOD PHARM SERVED 500 FAMILIES, WHILE THE FOOD PANTRY SUPPORTED OVER 1,700 FAMILIES, REACHING A MILESTONE OF DISTRIBUTING OVER 100,000 POUNDS OF FOOD. MOREOVER, THE PRODUCE PRESCRIPTION PROGRAM CONTINUED TO AID FAMILIES, ENROLLING 44 IN A 6-MONTH PRODUCE DELIVERY PROGRAM. THESE EFFORTS HIGHLIGHT THE HOSPITAL'S DEDICATION TO PROVIDING CRUCIAL RESOURCES AND ASSISTANCE TO FAMILIES FACING FOOD INSECURITY IN THE COMMUNITY.TO WORK TOWARD ACCESS TO CARE, THESE WERE THE RECOMMENDED STRATEGIES AND OUTCOMES:1. PROMOTE CONNECTIONS TO PRIMARY/ PREVENTIVE CAREDAYTON CHILDREN'S HAS FOCUSED ON ENHANCING PREVENTATIVE CARE INITIATIVES THROUGH COLLABORATIVE EFFORTS. KEY ACTIONS INCLUDED ESTABLISHING REGULAR MEETINGS FOR THE PREVENTATIVE CARE WORKGROUP AND REVISING THE "HEALTHY CHILDREN" KEY DRIVER DIAGRAM TO INCORPORATE REGION-SPECIFIC INTERVENTIONS. ADDITIONALLY, THERE HAS BEEN PROGRESS IN PRIORITIZING INTERVENTIONS AND ACTIVELY ENGAGING IN QUALITY IMPROVEMENT INITIATIVES IN 8 COMMUNITY PRACTICES FOR PREVENTATIVE CARE INCLUDING DAYTON CHILDREN'S PEDIATRICS. THESE EFFORTS SIGNIFY A CONCERTED COMMITMENT TO IMPROVING PREVENTIVE CARE PRACTICES AND OUTCOMES WITHIN THE COMMUNITY. 2. FURTHER INTEGRATE COMMUNITY HEALTH WORKERS INTO CLINICAL SERVICESDAYTON CHILDREN'S HAS RETAINED 9 COMMUNITY HEALTH WORKERS (CHWS). THERE HAS BEEN A STRONG FOCUS ON THE WORK OF EITHER ASTHMA MANAGEMENT OR WELL-CHECK ADHERENCE. THESE EFFORTS HAVE SEEN CONSISTENT ENGAGEMENT, WITH CHWS SERVING NUMEROUS PATIENTS AND FAMILIES ACROSS DIFFERENT PROGRAMS. EARLY DATA FROM THE ASTHMA PROGRAM SUGGESTS POSITIVE OUTCOMES, WITH A SIGNIFICANT REDUCTION IN EMERGENCY DEPARTMENT ENCOUNTERS POST-CHW INVOLVEMENT. DESPITE FLUCTUATIONS IN PATIENT NUMBERS, THE CHW TEAM HAS REMAINED CONSISTENT. PLACE BASED STRATEGIESGEOGRAPHIC PRIORITY AREA: NORTHWEST AND WEST DAYTON1. INTEGRATE HOPE CENTER PRIMARY CARE PRACTICE/DAYTON CHILDREN'S PEDIATRICS NORTHWEST INTO PROMISE ZONE INITIATIVE.DAYTON CHILDREN'S IS FULLY INTEGRATED INTO THE HEALTH AND WELLNESS WORKGROUP WITH THE NORTHWEST DAYTON PARTNERSHIP AND CONTINUES TO INFLUENCE GOALS OF THE GROUP FOCUSED ON ACCESS TO CARE, COMMUNITY WELLNESS, AND MATERNAL/INFANT HEALTH. THIS IS AN ONGOING, FIVE-YEAR EFFORT. SCALING ADHERENCE TO PREVENTIVE VISITS TO DAYTON CHILDREN'S PEDIATRICS NORTHWEST IS A MULTIFACETED PROJECT THAT IS CURRENTLY UNDERWAY. ACTIONS HAVE INCLUDED RE-PRIORITIZED PATIENT ACCESS AND RESTRICTED NEW PATIENT APPOINTMENTS TO THOSE IN THE 45405 AND 45406 ZIP CODES. THIS REDUCED THE TIME FOR A NEW PATIENT APPOINTMENT FROM 30+ DAYS TO 10-15 DAYS. DAYTON CHILDREN'S PEDIATRICS NORTHWEST ALSO PARTNERED WITH CLINICAL NUTRITION AND LACTATION TO LOOK AT PROVIDING ADDITIONAL LACTATION/CHANGING TABLES FOR CLIENTS AT THE HOPE CENTER. DAYTON CHILDREN'S PEDIATRICS NORTHWEST IS ALSO WORKING WITH OMEGA COMMUNITY DEVELOPMENT CORPORATION TO CREATE SOME CO-BRANDED MATERIALS FOR PATIENTS TO GET THEM CONNECTED WITH COMMUNITY RESOURCES.GEOGRAPHIC PRIORITY AREA: WEST DAYTON2. DEFINE AND IMPLEMENT TARGETED INTERVENTIONS IN 45417 TO REDUCE HEALTH DISPARITIES AND IMPROVE ACCESS TO PEDIATRIC PRIMARY CARE.THE HOSPITAL PLANNING TEAM CONTINUED TO WORK ON THE OPPORTUNITY ASSESSMENT AND PROFORMA FOR THIS PROJECT. A FORMAL REQUEST FOR FUNDING WAS SUBMITTED AND THE PROJECT OVERVIEW WAS SHARED WITH THE MEDIA. A LOCATION OWNED BY THE CITY OF DAYTON WAS IDENTIFIED FOR THIS PROJECT AND WORK BEGAN TO PURCHASE THE PROPERTY FOR THE PROJECT. WITH THE NEW SITE AVAILABLE, BUILDING ARCHITECTS WERE RE-ENGAGED TO START WORKING ON THE NEW SITE DESIGN. DAYTON CHILDREN'S IS PLANNING TO HAVE AN URGENT CENTER AT THIS SITE TO OFFER ACUTE CARE VISITS TO FAMILIES IN THE NEIGHBORHOOD. ENHANCED SERVICES SUCH AS DENTAL AND BEHAVIORAL HEALTH ARE BEING EXPLORED TO MEET THE NEEDS IDENTIFIED BY THE COMMUNITY. THE GOAL IS GROUNDBREAKING BY THE END OF CALENDAR YEAR 2024. GEOGRAPHIC PRIORITY AREA: WEST DAYTON3. IMPROVE ACCESS TO BUILT-ENVIRONMENT AMENITIES FOR CHILDREN.DAYTON CHILDREN'S HAS ACTIVELY SUPPORTED COMMUNITY INITIATIVES, SUCH AS THE ADOPTION OF THE ACTIVE TRANSPORTATION PLAN BY THE CITY OF DAYTON IN PARTNERSHIP WITH SAFE ROUTES TO SCHOOL FUNDING PURSUITS. COLLABORATIONS WITH THE UNIVERSITY OF DAYTON RIVER STEWARDS LED TO THE DEVELOPMENT OF A STORY BOOK TRAIL IN WEST DAYTON. THE HOSPITAL CONTINUED ITS ENGAGEMENT BY PROVIDING PROGRAM PLANNING SUPPORT FOR INFRASTRUCTURE PROJECTS AND PROMOTING SAFETY GEAR FOR MOUNTAIN BIKING PROGRAM GRADUATES. EFFORTS INCLUDED LAUNCHING THE "THIS IS HOW WE ROLL" CAMPAIGN AND IDENTIFYING PARTNERS FOR BUILT ENVIRONMENT PROJECTS IN WEST DAYTON, RESULTING IN INCREASED ENGAGEMENT OVER TIME. GEOGRAPHIC PRIORITY AREA: OLD NORTH DAYTON 1. IMPLEMENT KINSHIP HOUSING PROJECT IN GREATER OLD NORTH DAYTONPARTNERING WITH ORGANIZATIONS LIKE CITYWIDE DEVELOPMENT, MODEL GROUP, AND ATA BEILHARZ ARCHITECTS, THE INITIATIVE SEEKS TO BUILD 13 STRUCTURES ACCOMMODATING TWO FAMILIES EACH, FEATURING THREE BEDROOMS, ADA COMPLIANCE, AND SHARED GREENSPACE FOR RESIDENTS. BY PROVIDING ACCESSIBLE, AFFORDABLE, AND FAMILY-FRIENDLY HOUSING OPTIONS, THE KINSHIP PROJECT STRIVES TO EMPOWER CAREGIVERS AND ENHANCE THE OVERALL WELL-BEING OF KINSHIP FAMILIES IN THE DAYTON REGION, ADDRESSING A PRESSING NEED FOR SECURE AND SUPPORTIVE LIVING ENVIRONMENTS. APPLICATION FOR OHIO HOUSING FUNDING AGENCY (OHFA) FUNDING HAS BEEN SUBMITTED, THE MODEL GROUP, THE DEVELOPER FOR THE PROJECT, CONTINUES TO WORK WITH OHFA ON THE FINAL PIECES OF FUNDING. INTERVIEWS WITH PROPERTY MANAGERS WERE CONDUCTED AND ZONING FOR THE NEW PROJECT WAS APPROVED BY THE CITY OF DAYTON. THERE WERE ALSO SEVERAL MEETINGS WITH COMMUNITY MEMBERS/RESIDENTS TO GIVE INPUT ON THE PROJECT DESIGN AT THIS STAGE. THE GOAL IS GROUNDBREAKING BY FALL 2024. 2. BUILD COMMUNITY NETWORK TO SUPPORT FAMILIES IN OLD NORTH DAYTON.DAYTON CHILDREN'S HAS BEEN ENGAGED IN COMMUNITY INITIATIVES, INCLUDING SUPPORTING A COMMUNITY BLOCK GRANT APPLICATION AND ADDRESSING ISSUES RELATED TO SUPERFUND SITES THROUGH PARTNERSHIPS WITH NEIGHBORHOOD ASSOCIATIONS. THE HOSPITAL ACTIVELY PARTICIPATED IN EVENTS LIKE THE VAPOR INTRUSION OPEN HOUSE, COLLABORATING WITH VARIOUS PARTNERS TO INFORM FAMILIES ABOUT FREE MITIGATION RESOURCES AND ENGAGING WITH LOCAL CONTRACTORS FOR HOME MITIGATION. THESE EFFORTS DEMONSTRATE THE HOSPITAL'S COMMITMENT TO COMMUNITY INVOLVEMENT AND ADVOCACY FOR PUBLIC HEALTH ISSUES.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. PROGRESS WAS MADE IN DATA COLLECTION FOR THE COMMUNITY HEALTH ASSESSMENT AND ASSET MAP, CULMINATING IN THE SUBMISSION OF THE YEAR 1 PROJECT IMPACT REPORT TO THE OHIO DEPARTMENT OF HEALTH. FOLLOWING ASSESSMENT FINDINGS, THE COMMUNITY ACTION TEAM PRIORITIZED YOUTH MENTAL HEALTH AND WELLNESS INITIATIVES, COLLABORATING WITH VARIOUS ORGANIZATIONS. MOVING FORWARD, KEY MILESTONES INCLUDE FINALIZING ASSESSMENT DATA ANALYSIS, SUBMITTING THE YEAR 1 IMPACT REPORT TO THE OHIO DEPARTMENT OF HEALTH, AND IMPLEMENTING PRIORITIZED HEALTH CONCERN ACTIVITIES BASED ON ASSESSMENT RESULTS.3. IMPROVE ACCESS TO BUILT-ENVIRONMENT AMENITIES FOR CHILDREN AND FAMILIES.DAYTON CHILDREN'S SUPPORTED THE ADOPTION OF THE ACTIVE TRANSPORTATION PLAN BY THE CITY OF DAYTON, WHILE ALSO ORGANIZING EDUCATIONAL INITIATIVES LIKE THE "LEARN TO BIKE" PROGRAM AND PROVIDING PEDESTRIAN SAFETY EDUCATION. DEVELOPMENT OF A NEW ACTIVE TRANSPORTATION SAFETY CAMPAIGN, "THIS IS HOW WE ROLL," WITH EXTENSIVE PARTNER ENGAGEMENT WAS IMPLEMENTED. KEY ACHIEVEMENTS INCLUDED IDENTIFYING BUILT ENVIRONMENT PROJECTS IN EAST DAYTON AND FOSTERING STRONGER PARTNERSHIPS, LEADING TO INCREASED ENGAGEMENT WITH PARTNERS THROUGHOUT THE YEAR. 18 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 - CHILD HEALTH PAVILION 1010 VALLEY STREET DAYTON OH 45404 PEDIATRIC CARE CLINICS AND COMMUNITY CONNECTIONS 3 - HUBER HEIGHTS OUTPATIENT TESTING CENTER 8501 OLD TROY PIKE HUBER HEIGHTS OH 45424 OUTPATIENT DIAGNOSTIC CENTER, BEHAVIORAL HEALTH CENTER 4 - BEAVERCREEK OUTPATIENT CARE CENTER 1425 NORTH FAIRFIELD ROAD BEAVERCREEK OH 45432 OUTPATIENT DIAGNOSTIC CENTER 5 - BEHAVIORAL HEALTH CENTER DAYTON 700 E 1ST STREET DAYTON OH 45402 BEHAVIORAL HEALTH CARE 6 - SPRINGFIELD SPECIALTY CARE CENTER 1644 NORTH LIMESTONE STREET SPRINGFIELD OH 45503 OUTPATIENT DIAGNOSTIC CENTER 7 - TROY OUTPATIENT TESTING CENTER 865 W MARKET STREET TROY OH 45373 OUTPATIENT DIAGNOSTIC CENTER 8 - BEHAVIORAL HEALTH CENTER SOUTH 76 REMICK BOULEVARD SPRINGBORO OH 45066 BEHAVIORAL HEALTH CARE 9 - MICHAELS HOUSE 1016 RAINBOW COURT FAIRBORN OH 45324 CHILD ADVOCACY CENTER 10 - HOPE CENTER 1816 HARVARD BOULEVARD DAYTON OH 45406 PEDIATRIC CARE CLINIC 11 - KIDS EXPRESS WEST CHESTER 7787 COX LANE WEST CHESTER OH 45069 EXPRESS CARE 12 - KETTERING OUTPATIENT TESTING CENTER 4475 FAR HILLS AVENUE KETTERING OH 45429 OUTPATIENT DIAGNOSTIC CENTER 13 - KIDS EXPRESS CENTERVILLE 6044 WILMINGTON PIKE CENTERVILLE OH 45459 EXPRESS CARE 14 - LIMA CLINIC 967 BELLEFONTAINE LIMA OH 45801 OUTPATIENT DIAGNOSTIC CENTER 15 - KIDS EXPRESS MASON 8809 WILKENS BOULEVARD MASON OH 45040 EXPRESS CARE 16 - KIDS EXPRESS SPRINGBORO 662 N MAIN STREET SPRINGBORO OH 45066 EXPRESS CARE 17 - KIDS EXPRESS BEAVERCREEK 3301 DAYTON-XENIA ROAD SUITE 200 BEAVERCREEK OH 45432 EXPRESS CARE 18 - COVID TESTING LAB - SOUTH CAMPUS 3300 WEST TECH MIAMISBURG OH 45432 OUTPATIENT DIAGNOSTIC CENTER 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 $12,304,870 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 REFLECT 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 THE OLD NORTH DAYTON AND MCCOOK FIELD AREAS AND THE SURROUNDING BUSINESS COMMUNITY, INCLUDING DAYTON CHILDREN'S.LED BY DAYTON CHILDREN'S, THE PROJECT IS SUPPORTED BY KEY 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. TOGETHER, THEY ARE WORKING TO DEMOLISH NUISANCE PROPERTIES, REALIGN STREETS, CREATE RECREATIONAL SPACES, UPGRADE BUS STOPS, IMPROVE WAYFINDING, AND BEAUTIFY THE AREA, MAKING IT MORE ATTRACTIVE TO BOTH FAMILIES AND BUSINESSES. CURRENTLY THE DAVINCI PROJECT IS FOCUSING ON THE CREATION OF A NEW PARK, ENGAGING A DEVELOPER TO BRING MORE MARKET RATE HOUSING IN THE NEIGHBORHOOD AND BUILDING A KINSHIP FAMILY HOUSING PROJECT TO SUPPORT GRANDPARENTS RAISING THEIR GRANDCHILDREN. THIS INITIATIVE HOLDS SPECIAL SIGNIFICANCE FOR DAYTON CHILDREN'S, AS WE STRIVE TO BE AN ENGAGED COMMUNITY MEMBER. WE WANT OUR PATIENTS, STAFF, VOLUNTEERS, AND VISITORS TO FEEL WELCOMED AND EMBRACED WHEN THEY ENTER OLD NORTH DAYTON - A NEIGHBORHOOD WE ARE PROUD TO CALL HOME.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, DECA, 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 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 ASSISTANCE COUNSELORS WILL ASSIST FAMILIES IN APPLYING FOR FINANCIAL ASSISTANCE PROGRAMS IF DESIRED. 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 EQUITYIN THE FALL OF 2021, AMID THE CHALLENGES OF THE COVID-19 PANDEMIC AND SOCIAL UNREST, THE NEED FOR A STRONGER FOCUS ON HEALTH EQUITY BECAME CLEAR TO ENSURE ALL CHILDREN CAN ACHIEVE OPTIMAL HEALTH. WHILE DAYTON CHILDREN'S HAS LONG BEEN INVOLVED IN ADDRESSING COMMUNITY CONDITIONS THAT IMPACT HEALTH THROUGH HOSPITAL-BASED PROGRAMS AND PARTNERSHIPS, THE DECISION WAS MADE TO ELEVATE THESE EFFORTS WITH THE CREATION OF THE CENTER FOR HEALTH EQUITY.THE COMPLEXITY OF HEALTH DISPARITIES REQUIRES MULTIFACETED SOLUTIONS, AND NO SINGLE ORGANIZATION CAN TACKLE THE ISSUE ALONE. HOWEVER, AS ONE OF THE LARGEST EMPLOYERS IN THE CITY AND THE REGION'S ONLY INSTITUTION SOLELY DEDICATED TO PEDIATRIC HEALTHCARE, DAYTON CHILDREN'S RECOGNIZES ITS UNIQUE RESPONSIBILITY TO LEAD. WITH SIGNIFICANT INVESTMENT FROM THE HOSPITAL, THE CENTER IS FULLY STAFFED AND COMMITTED TO ADVANCING HEALTH EQUITY INITIATIVES SO THAT ALL CHILDREN IN OUR REGION CAN THRIVE.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 ALLIANCETHE DAYTON ASTHMA ALLIANCE IS DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF CHILDREN WITH ASTHMA IN THE DAYTON AREA, WITH A PARTICULAR FOCUS ON AT-RISK POPULATIONS. UTILIZING THE COLLECTIVE IMPACT FRAMEWORK, THE ALLIANCE COLLABORATES WITH LOCAL PARTNER ORGANIZATIONS TO IMPLEMENT A RANGE OF STRATEGIC ACTIONS AIMED AT ENHANCING OUTCOMES FOR CHILDREN WITH ASTHMA. TO MAXIMIZE ITS IMPACT AND ENSURE THAT ALL CHILDREN WITH ASTHMA ACHIEVE OPTIMAL HEALTH, THE ALLIANCE HAS IDENTIFIED THREE KEY AREAS OF FOCUS: 1) CREATING ASTHMA-FRIENDLY ENVIRONMENTS; 2) IMPROVING ACCESS TO HIGH-QUALITY HEALTHCARE AND SUPPORTIVE SOCIAL SERVICES THROUGH CLINICAL-COMMUNITY LINKAGES; AND 3) EDUCATING AND EMPOWERING CHILDREN, FAMILIES, AND THE COMMUNITY FOR ASTHMA WELLNESS. DAYTON CHILDREN'S PLAYS A CENTRAL ROLE IN THESE EFFORTS, ACTING AS THE BACKBONE ORGANIZATION THAT BRINGS TOGETHER A DEDICATED GROUP OF STAKEHOLDERS AND PROVIDES THE NECESSARY STAFF AND RESOURCES. THE ALLIANCE IS GOVERNED BY ENTITIES WITH A SHARED GOAL OF IMPROVING HEALTH OUTCOMES FOR CHILDREN WITH ASTHMA IN THE DAYTON REGION. IT ALSO CONSULTS WITH ADDITIONAL ORGANIZATIONS TO GATHER DATA, RESEARCH BEST PRACTICES, AND IDENTIFY COMMUNITY RESOURCES TO INFORM ITS STRATEGIC FOCUS AREAS.THIS WORK IS MADE POSSIBLE THROUGH COLLABORATION WITH A VARIETY OF COMMUNITY STAKEHOLDERS. IN ADDITION TO STAFF FROM DAYTON CHILDREN'S CENTER FOR HEALTH EQUITY AND THE PULMONARY CLINIC, PARTNERS IN THE DAYTON ASTHMA ALLIANCE INCLUDE COMMUNITY PRIMARY CARE PHYSICIANS, ALLERGISTS, CARESOURCE, COMMUNITY HEALTH CENTERS OF GREATER DAYTON, DAYTON PUBLIC SCHOOLS, LEGAL AID OF WESTERN OHIO (MEDICAL-LEGAL PARTNERSHIP), PUBLIC HEALTH DAYTON AND MONTGOMERY COUNTY, AND THE MIAMI VALLEY CHILD DEVELOPMENT CENTERS. ADDITIONAL PARTNERS AND COLLABORATORS ARE REGULARLY INVITED TO JOIN THE ALLIANCE AS NEEDS AND INTERESTS EVOLVE. VOLUNTEER INCOME TAX ASSISTANCE PROGRAM THE EARNED INCOME TAX CREDIT ASSISTANCE (EITC) RUN THROUGH THE VOLUNTEER INCOME TAX ASSISTANCE (VITA) GRANT, IS AN IRS INITIATIVE DESIGNED TO SUPPORT FREE TAX PREPARATION SERVICE FOR THE UNDERSERVED THROUGH VARIOUS PARTNER ORGANIZATIONS. BY ASSISTING LOW- TO MODERATE-INCOME INDIVIDUALS, PERSONS WITH DISABILITIES, THE ELDERLY, AND LIMITED ENGLISH SPEAKERS IN FILING THEIR TAXES EACH YEAR, DAYTON CHILDREN'S IS WORKING TO COMBAT POVERTY IN OUR COMMUNITY.STATISTIC: IN SPRING 2024, DAYTON CHILDREN'S IRS TRAINED STAFF AND VOLUNTEERS PREPARED 135 TAX RETURNS RESULTING IN OVER $135,000 IN EARNED INCOME TAX CREDIT (EITC) BEING CAPTURED AND ESTIMATED SAVINGS OF $27,000 IN TAX FILING FEES. KISER NEIGHBORHOOD SCHOOLS CENTERDAYTON CHILDREN'S IS THE NONPROFIT COMMUNITY PARTNER TO THE KISER NEIGHBORHOOD SCHOOLS CENTER, AS PART OF THE DAYTON PUBLIC SCHOOL'S NEIGHBORHOOD SCHOOL CENTER PROGRAM. NEIGHBORHOOD SCHOOL CENTERS ARE DAYTON PUBLIC SCHOOLS THAT ARE CENTERED ON THEIR NEIGHBORHOODS, SERVING AS HEALTHY PLACES OF LEARNING FOR CHILDREN AND FAMILIES. THEY SEEK TO IMPROVE STUDENT PERFORMANCE, REALIGN COMMUNITY RESOURCES TO SUPPORT YOUTH ACHIEVEMENT AND IMPROVE QUALITY OF LIFE IN THE NEIGHBORHOOD. FOCUSED ON COMMUNITY LEADERSHIP, NEIGHBORHOOD SCHOOL CENTERS BRING TOGETHER PARTNERS TO OFFER A RANGE OF OPPORTUNITIES TO CHILDREN, FAMILIES, AND COMMUNITIES. TO AID IN THIS PARTNERSHIP, TWO GRANT-FUNDED DAYTON CHILDREN'S STAFF MEMBERS SERVE AT THE SCHOOL. WE HAVE A FAMILY RESOURCE COORDINATOR (FRC) WHO FACILITATES STUDENT CLUBS, FAMILY ENGAGEMENT EVENTS, PROVIDES SUPPLIES TO MEET THE BASIC NEEDS OF FAMILIES AND REFERRALS TO COMMUNITY RESOURCES FOR LONG-TERM NEEDS. IN FY 24, THE FRC COLLABORATED WITH INTERNAL AND EXTERNAL SCHOOL PARTNERS TO PROVIDE 98 HOURS OF UNIQUE PROGRAMMING SUPPORTED BY 155 VOLUNTEERS, SERVING A TOTAL OF 619 STUDENTS AND 598 FAMILIES. WE ALSO HAVE AN AFTERSCHOOL AND SUMMER PROGRAM MANAGER, WHO LEADS A TEAM OF TEACHERS AND ENRICHMENT SPECIALISTS TO PROVIDE DAILY ACADEMIC FOCUSED PROGRAMMING THAT IS INCENTIVIZED THROUGH FIELD TRIPS AND FAMILY EVENTS. FOR THE 2023-2024 SCHOOL YEAR, 50 STUDENTS WERE SERVED IN THIS PROGRAM. THE AVERAGE DAILY ATTENDANCE WAS 70.66 PERCENT (35 STUDENTS). IN THE SUMMER WE SERVED 32 STUDENTS WITH AN AVERAGE DAILY ATTENDANCE OF 76 PERCENT (24 STUDENTS). IN ADDITION TO MANAGING THE DUTIES OF THE FAMILY RESOURCE COORDINATOR AND PROGRAM MANAGER, DAYTON CHILDREN'S OFFERS VARIOUS SERVICES AND RESOURCES TO CHILDREN AT KISER INCLUDING TUTORS. THIS IS A KEY PARTNERSHIP AS KISER NEIGHBORHOOD SCHOOLS CENTER IS IN OUR BACKYARD, GREATER OLD NORTH DAYTON.MONTGOMERY COUNTY IMAGINATION LIBRARY DAYTON CHILDREN'S HAS MADE SIGNIFICANT STRIDES IN PROMOTING EARLY CHILDHOOD LITERACY THROUGH INITIATIVES LIKE THE IMAGINATION LIBRARY PROGRAM. PARTNERSHIPS WITH ORGANIZATIONS LIKE GEM CITY MARKET AND WRIGHT-PATTERSON AIR FORCE BASE HAVE EXPANDED THE REACH OF THE PROGRAM, AIMING TO PROVIDE FREE BOOKS TO MILITARY-CONNECTED FAMILIES AND SERVE AS A MODEL FOR OTHER BASES NATIONWIDE. EFFORTS HAVE ALSO BEEN CONCENTRATED ON ENHANCING KINDERGARTEN READINESS THROUGH BIRTH TO FIVE INITIATIVE PARTNERSHIPS, FOCUSING ON STRATEGIES SUCH AS PROMOTING WELL-CHILD VISITS, ENGAGING IN HOME VISITING PROGRAMS, AND INCREASING PRESCHOOL PARTICIPATION. THE IMAGINATION LIBRARY PROGRAM HAS SEEN CONTINUOUS GROWTH, WITH AN INCREASE IN BOTH THE PERCENTAGE OF CHILDREN ENROLLED (65 PERCENT IN HIGH-RISK ZIP CODES) AND THE NUMBER OF NEWBORNS ENROLLED (1,275), WHILE ONGOING COLLABORATION WITHIN THE 0-5 PARTNERSHIP AIMS TO STREAMLINE COMMUNICATION FOR IMPROVED EFFECTIVENESS.CONTINUED AT END. 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 52 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: INJURY PREVENTIONDAYTON CHILDREN'S CONTINUES TO ENHANCE ITS INJURY PREVENTION PROGRAM BY USING DATA FROM THE LEVEL ONE TRAUMA CENTER TO CREATE TARGETED SAFETY INTERVENTIONS. IN RESPONSE TO A NEARLY 100 PERCENT INCREASE IN WHEELED VEHICLE INJURIES, INCLUDING THOSE FROM SCOOTERS, SKATEBOARDS, HOVERBOARDS, AND ATVS, THE INJURY PREVENTION TEAM HAS EXPANDED EFFORTS TO ADDRESS THESE TRENDS. EACH TYPE OF VEHICLE HAS SPECIFIC SAFETY GUIDELINES, AND THE HOSPITAL REMAINS COMMITTED TO ENSURING CHILDREN AND ADULTS STAY SAFE WHILE ENGAGING IN THESE ACTIVITIES. THE "THIS IS HOW WE ROLL" CAMPAIGN WAS LAUNCHED TO PROVIDE A COMPREHENSIVE ONLINE RESOURCE WITH SAFETY TIPS FOR VARIOUS WHEELED VEHICLES. ADDITIONALLY, DAYTON CHILDREN'S 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. THE HOSPITAL ALSO RUNS AN EARLY CHILDHOOD SAFETY PROGRAM, FUNDED BY THE OHIO CHILDREN'S TRUST FUND, WHICH EDUCATES PARENTS AND CAREGIVERS ON PREVENTING COMMON CHILDHOOD INJURIES SUCH AS CHOKING, FALLS, UNINTENTIONAL POISONING, AND UNSAFE SLEEP PRACTICES. THIS PROGRAM PROVIDES FAMILIES WITH SAFETY EQUIPMENT SUCH AS HOME CHILDPROOFING KITS, CRIBS, HIGHCHAIRS, SAFETY GATES, SLEEP SACKS, AND STROLLERS. 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. IN FISCAL YEAR 2024, DAYTON CHILDREN'S HAS PROVIDED 1,120 BIKE HELMETS TO COMMUNITY AGENCIES AND PATIENTS, SUPPLIED 101 FAMILIES WITH ESSENTIAL SAFETY RESOURCES, DISTRIBUTED 684 EARLY CHILDHOOD SAFETY ITEMS, DELIVERED 406 CAR SEATS TO THE COMMUNITY, AND OPERATES 27 CAR SEAT FITTING STATIONS ACROSS THE REGION. PART VI, LINE 7, REPORTS FILED WITH STATES OH PART VI, LINE 2 CONTINUED: 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 AND 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 FY24: CROSS OVER COMMUNITY DEVELOPMENT, OLD NORTH DAYTON NEIGHBORHOOD ASSOCIATION, EL PUENTE EDUCATIONAL CENTER, EBENEZER HEALTHCARE ACCESS, OMEGA COMMUNITY DEVELOPMENT CORPORATION, DAYTON DREAM CENTER, FAIRVIEW CHURCH FOOD PANTRY, THE NATIONAL CONFERENCE FOR COMMUNITY AND JUSTICE OF GREATER DAYTON, AND GIRLS ON THE RUN OF DAYTON, INC. PROGRAMS FUNDED ALIGN WITH GOALS IDENTIFIED IN THE HOSPITAL'S OF THE 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. 1 A SPECIAL WISH FOUNDATION - DAYTON CHAPTER 741 VALLEY STREET DAYTON OH 45404 311234314 501(C)(3) 23185 0 PROGRAM DONATION ADVOCATES FOR BASIC LEGAL EQUALITY INC 525 JEFFERSON AVE SUITE 300 TOLEDO OH 43604 237376131 501(C)(3) 10000 0 PROGRAM DONATION AMERICAN HEART ASSOCIATION PO BOX 5028 BOONE IA 50950 135613797 501(C)(3) 20000 0 PROGRAM DONATION CITY OF SPRINGBORO 320 W CENTRAL AVE SPRINGBORO OH 45066 316001086 115 50000 0 PROGRAM DONATION CROSS OVER COMMUNITY DEVELOPMENT 326 GUNCKEL AVE DAYTON OH 45410 814988844 501(C)(3) 12500 0 PROGRAM DONATION DAYTON DREAM CENTER 2720 E 3RD ST DAYTON OH 45403 872420605 501(C)(3) 10000 0 PROGRAM DONATION DAYTON FOUNDATION 1041 S MAIN STREET SUITE 100 DAYTON OH 45409 316027287 501(C)(3) 30000 0 PROGRAM DONATION DAYTON SPORTS COMPLEX 4801 SALEM AVE DAYTON OH 45416 270263240 15000 0 PROGRAM DONATION EBENEZER HEALTHCARE ACCESS 196 HAWTHORN ST DAYTON OH 45402 842514751 501(C)(3) 10000 0 PROGRAM DONATION EL PUENTE EDUCATIONAL CENTER 22 NOTRE DAME AVENUE DAYTON OH 45404 611700800 501(C)(3) 12500 0 PROGRAM DONATION FAIRVIEW UNITED METHODIST CHURCH 828 W FAIRVIEW AVE DAYTON OH 45406 310559891 501(C)(3) 12500 0 PROGRAM DONATION FIVE RIVERS METROPARKS 409 E MONUMENT AVE THIRD FLOOR DAYTON OH 45402 310937070 115 6000 0 PROGRAM DONATION FLYGHT ACADEMY LLC 4533 COVENANT HOUSE DR TROTWOOD OH 45426 475041801 22000 0 PROGRAM DONATION GIRLS ON THE RUN OF DAYTON PO BOX 752105 DAYTON OH 45475 272528377 501(C)(3) 22500 0 PROGRAM DONATION LEUKEMIA & LYMPHOMA SOCIETY INC 4370 GLENDALE MILFORD RD CINCINNATI OH 45242 135644916 501(C)(3) 25000 0 PROGRAM DONATION NCCJ OF GREATER DAYTON 118 WEST FIRST ST SUITE 630 DAYTON OH 45402 342056247 501(C)(3) 15000 0 PROGRAM DONATION OLD NORTH DAYTON NEIGHBORHOOD ASSOCIATION INC PO BOX 64 DAYTON OH 45404 311281468 501(C)(3) 7500 0 PROGRAM DONATION OMEGA COMMUNITY DEVELOPMENT CORPORATION PO BOX 61368 DAYTON OH 45406 311561713 501(C)(3) 10000 0 PROGRAM DONATION PRESCHOOL PROMISE INC 2251 TIMBER LN DAYTON OH 45414 814799474 501(C)(3) 10000 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 18 2 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 1142157 0 0 0 5490455 0 502406 0 10337 0 7145355 0 5466437 0 ADAM MEZOFF MD CMO 733186 0 0 0 37935 0 313405 0 20820 0 1105346 0 0 0 CHRIS BERGMAN CFO 614424 0 0 0 29600 0 288659 0 32109 0 964792 0 0 0 VIPUL PATEL MD TRUSTEE 0 416877 0 19241 0 7589 0 142871 0 21120 0 607698 0 0 GOGI KUMAR TRUSTEE 0 391066 0 143347 0 1629 0 47560 0 0 0 583602 0 0 CHARLES KIDWELL CHIEF LEGAL OFFICER 491096 0 0 0 15018 0 19300 0 35159 0 560573 0 0 0 CINDY BURGER VP & CHIEF EXPERIENCE OFFICER 362289 0 0 0 76039 0 93398 0 23862 0 555588 0 0 0 BENJAMIN GOODSTEIN VP & CHIEF AMBULATORY OFFICER 459112 0 0 0 4096 0 17881 0 32109 0 513198 0 0 0 KELLY KAVANAUGH VP & CHIEF STRATEGY OFFICER 375532 0 0 0 9897 0 71998 0 31857 0 489284 0 0 0 JAYNE GMEINER VP & CHIEF NURSING OFFICER 371315 0 0 0 8064 0 57585 0 15848 0 452812 0 0 0 MERRILEE COX TRUSTEE 0 265718 0 10365 0 1132 0 17323 0 0 0 294538 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 - $483,231 CINDY BURGER - $41,336 KELLY KAVANAUGH - $5,720 ADAM MEZOFF - $294,105 CHRIS BERGMAN - $269,230 JAYNE GMEINER - $37,991 THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: DEBORAH FELDMAN - $5,466,437 CHRIS BERGMAN - $14,582 CINDY BURGER - $61,021 KELLY KAVANAUGH - $1,846 BENJAMIN GOODSTEIN - $1,846 ADAM MEZOFF - $22,916 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 768883 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 -686,523. PEDIATRIC ASSURANCE COMPANY LTD ACTIVITY 2,732,407. CONTRIBUTIONS RELEASED FROM RESTRICTIONS 1,914,205. CENTER FOR COMMUNITY HEALTH AND ADVOCACY ONE CHILDRENS PLAZA DAYTON OH 45404 824391789 NEW MARKETS TAX CREDIT OH 105091 9541887 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 4493684 18878067 1.00000 1 DAYTON CHILDREN'S SPECIALTY PHYSICIANS ONE CHILDRENS PLAZA DAYTON OH 45404 311411364 SPECIALTY PHYSICIANS GROUP OH DAYTON CHILDREN'S HOSPITAL C 41516427 37773675 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 63323 CASH CHILDREN'S HOME CARE OF DAYTON P 12481783 CASH CHILDREN'S HOME CARE OF DAYTON S 14410516 CASH DAYTON CHILDREN'S HOSPITAL FOUNDATION O 176008 CASH DAYTON CHILDREN'S HOSPITAL FOUNDATION C 9305713 CASH DAYTON CHILDREN'S HOSPITAL FOUNDATION R 13408716 CASH DAYTON CHILDREN'S SPECIALTY PHYSICIANS O 1661610 CASH DAYTON CHILDREN'S SPECIALTY PHYSICIANS R 59005000 CASH DAYTON CHILDREN'S SPECIALTY PHYSICIANS P 25319665 CASH