2022-11-15T11:50:49-06:00 2021-12-31 381357951 PLANTE & MORAN PLLC 2601 CAMBRIDGE CT STE 300 AUBURN HILLS MI 48326 990 2021-01-01 237114013 AKRON CHILDREN'S HOSPITAL FOUNDATION AKRO 3305438340 ONE PERKINS SQUARE AKRON OH 44308 GORDON EDWARDS TREASURER 3305438340 2022-11-14 1 GORDON EDWARDS 999009999 AMY CIMINELLO P00796388 2483757100 2022-11-14 0 AAL1 IAL1 2021 2022-09-23 18:48:47Z CHRISTOPHER GESSNER ONE PERKINS SQUARE AKRON OH 44308 59693307 0 X HTTPS:/WWW.AKRONCHILDRENS.ORG/GIVING X 1971 OH AKRON CHILDREN'S HOSPITAL FOUNDATION IS ORGANIZED EXCLUSIVELY FOR THE BENEFIT OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON. ITS PURPOSE IS TO SOLICIT GIFT FROM DONORS. 34 27 32 27 1057 51 21197321 21032204 0 0 4861081 11922407 -249456 -303206 25808946 32651405 7703521 11307050 0 0 3369131 3552365 0 0 4591924 1209351 1325510 12282003 16184925 13526943 16466480 197149117 226447307 2538373 3377968 194610744 223069339 AKRON CHILDREN'S HOSPITAL FOUNDATION IS ORGANIZED EXCLUSIVELY FOR THE BENEFIT OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA"). ITS PURPOSE IS TO SOLICIT GIFTS FROM DONORS TO FURTHER THE MISSION OF CHMCA. 0 0 11307050 11307050 THE AKRON CHILDREN'S HOSPITAL FOUNDATION WORKS TO ENSURE THAT THE HOSPITAL (CHMCA) CAN CONTINUE TO UPHOLD ITS THREE PROMISES: 1) TREAT EACH OTHER THE WAY WE WOULD WANT TO BE TREATED 2) TREAT EACH CHILD AS IF IT WERE OUR OWN 3) TURN NO CHILD AWAY FOR ANY REASON. DURING 2021, $11,307,050 FOUNDATION FUNDS WERE USED BY CHMCA TO SUPPORT ITS MISSION. THESE FOUNDATION FUNDS SUPPORTED NUMEROUS PROGRAMS WITHIN THE HOSPITAL SUCH AS HEMATOLOGY/ONCOLOGY, GLOBAL HEALTH, PALLIATIVE CARE, RESEARCH AND EDUCATION, THE REGIONAL BURN CENTER, SAFETY AND INJURY PREVENTION, CHILD ADVOCACY, NEONATAL, PEDIATRICS, TELE-HEALTH MENTAL, AND OTHER PROGRAMS. 11307050 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 32 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 34 27 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X ALICIA LAMANCUSA 3305438171 ONE PERKINS SQUARE AKRON OH 44308 GRACE WAKULCHIK BOD/OFFICER - PRESIDENT & CEO 2.00 48.00 X X 0 1439903 277587 SPENCER KOWAL BOD/OFFICER - CFO/TREASURER 2.00 48.00 X X 0 810763 28224 BRUCE COHEN NEURODEVELOPMENT SCIENCE CENTER DIRECTOR 1.00 49.00 X 0 644281 44768 ALICIA LAMANCUSA INTERIM CHIEF FINANCIAL OFFICER/TREASURER 2.00 48.00 X X 0 427371 15935 MICHELE BROWN EXEC DIRECTOR/VP DEVELOPMENT 50.00 0.00 X X 350250 0 36276 SHEFALI MAHESH DIRECTOR OF NEPHROLOGY & DIALYSIS 1.00 49.00 X 0 363722 31762 WILLIAM CONSIDINE FORMER DIRECTOR/OFFICER - CEO EMERIITUS 1.00 49.00 X 0 269595 877 TIMOTHY DUFORE SR. DIRECTOR OF FOUNDATION 50.00 0.00 X 232827 0 34086 CHRISTOPHER GESSNER PRESIDENT & CEO - PART YEAR 2.00 48.00 X X 0 207270 48032 MAUREEN KATANIK SR. DIRECTOR OF DEVELOPMENT PLANNED GIVING 50.00 0.00 X 150692 0 27468 MEGAN HOPPER SR. DIRECTOR OF PRINCIPAL GIVING 50.00 0.00 X 135053 0 21550 NICOLE MONTESANO DIRECTOR DEVELOPMENT 50.00 0.00 X 114432 0 20059 LUANN MAYNARD DIRECTOR DEVELOPMENT 50.00 0.00 X 115487 0 7971 BRIAN WAGNER CHAIRMAN 12.00 0.00 X X 0 0 0 MARK OELSCHLAGER VICE CHAIR & SECRETARY 2.00 0.00 X X 0 0 0 LOUIS ALTMAN DIRECTOR 1.00 0.00 X 0 0 0 HARRIET BERLOFF DIRECTOR 1.00 0.00 X 0 0 0 KYLE CHENEY DIRECTOR 1.00 0.00 X 0 0 0 TIMOTHY CLEPPER DIRECTOR 1.00 0.00 X 0 0 0 THOMAS CROWLEY DIRECTOR 1.00 0.00 X 0 0 0 ELISE CUDDY DIRECTOR 1.00 0.00 X 0 0 0 GARY DIDADO DIRECTOR 1.00 0.00 X 0 0 0 PAUL DUTTON PAST CHAIR 2.00 3.00 X 0 0 0 ARTHUR GONZALES DIRECTOR 1.00 0.00 X 0 0 0 KEVIN HELMICK DIRECTOR 1.00 0.00 X 0 0 0 KELLY JAROS DIRECTOR 1.00 0.00 X 0 0 0 CARTER LEWIS DIRECTOR 1.00 0.00 X 0 0 0 MARCI MATTHEWS DIRECTOR 1.00 0.00 X 0 0 0 DIANA MCCOOL DIRECTOR 1.00 0.00 X 0 0 0 GREGORY MCDERMOTT DIRECTOR 1.00 6.00 X 0 0 0 JOHN ORR DIRECTOR 1.00 20.00 X 0 0 0 IRENE PREZELJ DIRECTOR 1.00 0.00 X 0 0 0 WILLIAM SCALA DIRECTOR 1.00 0.00 X 0 0 0 JIM SCHMIDT DIRECTOR 1.00 0.00 X 0 0 0 CHARLES SCHMUTZ DIRECTOR 1.00 0.00 X 0 0 0 BETH SPAIN DIRECTOR 1.00 0.00 X 0 0 0 PEG STALTER DIRECTOR 1.00 17.00 X 0 0 0 PAUL THOMARIOS DIRECTOR 1.00 0.00 X 0 0 0 LINDA VENNER DIRECTOR 1.00 0.00 X 0 0 0 WILLIAM WALDMAN DIRECTOR 1.00 0.00 X 0 0 0 1098741 4162905 594595 6 1 1 0 0 445586 20586618 21032204 3920251 1057 3919194 34740662 26738506 8002156 8002156 8002156 0 445586 303396 -303396 -303396 CONTRACT AND RESEARCH REVENUE 900009 190 190 190 32651405 0 1057 11618144 11307050 11307050 404799 404799 2382229 2382229 149942 149942 429490 429490 185905 185905 14892 14892 285951 285951 155875 155875 27767 27767 207692 207692 103901 103901 65897 65897 42 42 9997 9997 DUES AND SUBSCRIPTIONS 383593 383593 69903 69903 16184925 11307050 285951 4591924 11710023 11066488 355088 149090 4006527 550173 3465974 3456354 172828977 202203979 8789055 9571396 197149117 226447307 1039205 401232 1499168 2976736 2538373 3377968 X 90600514 108029354 104010230 115039985 194610744 223069339 197149117 226447307 16466480 11992115 0 X X 0 1 X 1 0 X 13615950 17612692 18230004 21197321 21032204 91688171 13615950 17612692 18230004 21197321 21032204 91688171 1100043 90588128 2228021 2831818 3120919 2483765 3920251 14584774 190 190 106273135 0.85240 0.86760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30205732 4390474 1918829 -1490812 38005847 24391406 1246737 3213212 -1354377 30205732 19888825 851929 3133097 291024 -808577 24391404 20908929 1312133 -2263920 557496 -489179 19888825 19743581 560495 853513 459309 -210649 20908929 0.03226 0.16601 0.80173 0 0 3415000 3415000 591527 550173 41354 3456354 DUE TO AFFILIATES 2512573 OTHER LONG TERM LIABILITIES 464163 2976736 PART V, LINE 4: ENDOWMENT FUNDS RELATING TO AKRON CHILDREN'S HOSPITAL FOUNDATION AND CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ARE RELATED TO BOARD DESIGNATED FUNDS WHICH INCLUDE FUNDS FROM UNRESTRICTED SOURCES THAT HAVE BEEN INTERNALLY DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. THESE FUNDS ARE TO BE USED FOR THE SOLE PURPOSE FOR WHICH THEY WERE DESIGNED. AKRON CHILDREN'S HOSPITAL FOUNDATION DOES HAVE A POLICY IN PLACE TO MONITOR ALL UNRESTRICTED, TEMPORARILY AND PERMANENTLY RESTRICTED FUNDS. AKRON RADIOTHON 238767 238767 274858 MV RADIOTHON 206819 206819 28538 445586 445586 303396 303396 -303396 1 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ONE PERKINS SQUARE AKRON OH 44308 340714357 501(C)(3) 5065904 0 PATIENT CARE NEEDS CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ONE PERKINS SQUARE AKRON OH 44308 340714357 501(C)(3) 6241146 0 CAPITAL SUPPORT 1 0 PART I, LINE 2 AKRON CHILDREN'S HOSPITAL FOUNDATION ("ACHF") PROVIDES SUPPORT TO CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON. ALL DONATIONS RECEIVED BY THE FOUNDATION ARE RECORDED APPROPRIATELY TO THE FUND OF THE DONOR'S INTENT; UNRESTRICTED, TEMPORARILY RESTRICTED, OR PERMANENTLY RESTRICTED. THOSE FUNDS ARE USED APPROPRIATELY, PER THE DONOR'S INTENT, BY CHMCA TO FURTHER ITS MISSION. INTERNAL CONTROLS ARE IN PLACE TO MONITOR THE PROPER USE OF THOSE FUNDS. THE FUND BALANCES ARE REVIEWED MONTHLY TO ENSURE THE FUNDS ARE BEING USED AS INTENDED. X 1 1 0 1 0 0 0 0 0 1 0 GRACE WAKULCHIK BOD/OFFICER - PRESIDENT & CEO 0 994234 0 360000 0 85669 0 268072 0 9515 0 1717490 0 0 SPENCER KOWAL BOD/OFFICER - CFO/TREASURER 0 555242 0 147002 0 108519 0 15803 0 12421 0 838987 0 107233 BRUCE COHEN NEURODEVELOPMENT SCIENCE CENTER DIRE 0 515008 0 111458 0 17815 0 20300 0 24468 0 689049 0 0 ALICIA LAMANCUSA INTERIM CHIEF FINANCIAL OFFICER/TREA 0 371808 0 50927 0 4636 0 -1743 0 17678 0 443306 0 0 MICHELE BROWN EXEC DIRECTOR/VP DEVELOPMENT 296510 0 46800 0 6940 0 21527 0 14749 0 386526 0 0 0 SHEFALI MAHESH DIRECTOR OF NEPHROLOGY & DIALYSIS 0 287518 0 75776 0 428 0 17400 0 14362 0 395484 0 0 WILLIAM CONSIDINE FORMER DIRECTOR/OFFICER - CEO EMERII 0 179070 0 90386 0 139 0 231 0 646 0 270472 0 0 TIMOTHY DUFORE SR. DIRECTOR OF FOUNDATION 225611 0 4534 0 2682 0 16110 0 17976 0 266913 0 0 0 CHRISTOPHER GESSNER PRESIDENT & CEO - PART YEAR 0 173077 0 0 0 34193 0 44384 0 3648 0 255302 0 0 MAUREEN KATANIK SR. DIRECTOR OF DEVELOPMENT PLANNED 148744 0 0 0 1948 0 10412 0 17056 0 178160 0 0 0 MEGAN HOPPER SR. DIRECTOR OF PRINCIPAL GIVING 134837 0 0 0 216 0 6633 0 14917 0 156603 0 0 0 PART I, LINE 1A MICHELE BROWN, VICE PRESIDENT AND EXECUTIVE DIRECTOR AND LUANN MAYNARD OF THE AKRON CHILDREN'S HOSPITAL FOUNDATION BOTH HAVE COUNTRY CLUB MEMBERSHIPS THAT ARE USED FOR BUSINESS PURPOSES WITH CURRENT AND PROSPECTIVE DONORS. PART I, LINE 3 AKRON CHILDREN'S HOSPITAL FOUNDATION RELIED ON THE RELATED ORGANIZATION, CHMCA, TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON'S EXECUTIVE TOTAL COMPENSATION PROGRAM IS ULTIMATELY GOVERNED BY THE COMPENSATION COMMITTEE (COMMITTEE) OF THE BOARD OF DIRECTORS. AN INDEPENDENT SALARY SURVEY WAS LAST COMPLETED IN 2021 AND RECOMMENDATIONS WERE PROVIDED AND PRESENTED BY THE INDEPENDENT CONSULTANT TO THE COMMITTEE FOR APPROVAL. PART I, LINE 4B THE FOLLOWING INDIVIDUALS ARE PARTICIPANTS IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS DURING 2021, WHEREBY THEY BECOME VESTED PER THE TERMS OF THEIR EMPLOYMENT AGREEMENT. CHMCA IS ACCRUING FOR THE BENEFIT THAT WILL OCCUR, THEREFORE THESE AMOUNTS ARE INCLUDED IN THEIR DEFERRED COMPENSATION. DISTRIBUTIONS WERE MADE IN 2021 IN THE FOLLOWING AMOUNTS: SPENCER KOWAL - $107,233 GRACE WAKULCHIK - $0 CHRISTOPHER GESSNER - $0 MICHELE BROWN - $0 PART I, LINE 7 THE FOUNDATION RELIED ON THE RELATED ORGANIZATION, CHMCA, TO ESTABLISH THE BONUSES PAID TO EMPLOYEES. BONUSED ARE BASED ON PERFORMANCE AND OTHER METRICS BUT FINAL DECISIONS ARE DISCRETIONARY BY THE BOARD OF CHMCA. THE EXECUTIVE DIRECTOR'S BONUS IS APPROVED BY THE COMPENSATION COMMITTEE OF THE CHMCA BOARD. STAFF BONUSES DETERMINED BY THE EXECUTIVE DIRECTOR WITH CHMCA CEO APPROVAL. FORM 990, PART VI, SECTION A, LINE 6 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") IS THE SOLE MEMBER OF AKRON CHILDREN'S HOSPITAL FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A CHMCA IS THE PARENT COMPANY OF AKRON CHILDREN'S HOSPITAL FOUNDATION AND ITS GOVERNING BODY HAS THE RIGHT TO ELECT OR APPOINT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE OF CHMCA FOR REVIEW AND DISCUSSION PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE. THE AUDIT COMMITTEE IS A COMMITTEE OF THE BOARD OF DIRECTORS AND EMPOWERED TO COMPLETE THE REVIEW ON BEHALF OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE POLICIES AND PROCEDURES OF AKRON CHILDREN'S HOSPITAL FOUNDATION ARE ADMINISTERED BY CHMCA. IT IS CHMCA'S POLICY THAT ALL BOARD MEMBERS DISCLOSE REAL OR APPARENT CONFLICTS OF INTEREST AS A CONDITION OF EMPLOYMENT. CHMCA ALSO REQUIRES THAT EACH BOARD MEMBER DISCLOSE IN WRITING, ANNUALLY, A LIST OF ALL BUSINESSES OR OTHER ORGANIZATIONS IN WHICH HE/ SHE (OR AN IMMEDIATE FAMILY MEMBER) IS AN OFFICER, MEMBER, OWNER, SHAREHOLDER, TRUSTEE OR EMPLOYEE FOR WHICH HE/ SHE ACTS AS AN AGENT OR MIGHT REASONABLY IN THE FUTURE ENTER INTO A RELATIONSHIP OR TRANSACTION IN WHICH THE EMPLOYEE COULD HAVE A DUALITY OF INTEREST. IF A SITUATION ARISES IN WHICH THERE IS A DUALITY OF INTEREST, AND AS SUCH, POTENTIAL FOR A CONFLICT OF INTEREST, IT IS THE PRIMARY RESPONSIBILITY OF THE INDIVIDUAL DIRECTLY INVOLVED TO MAKE IMMEDIATE AND COMPLETE DISCLOSURE TO THE APPROPRIATE SUPERVISOR. THE CHIEF HUMAN RESOURCES OFFICER SHALL REVIEW ALL DISCLOSURE STATEMENTS AND FORWARD THOSE WITH RECOMMENDATIONS TO THE CHIEF LEGAL OFFICER. THE CHIEF LEGAL OFFICER REFERS SELECTED ISSUES OR MATTERS FOR CONSULTATION TO THE AUDIT COMMITTEE OF THE BOARD. ADDITIONALLY, ANNUALLY, ALL MEMBERS, DIRECTORS, OFFICERS, BOARD COMMITTEE MEMBERS AND KEY EMPLOYEES OF CHMCA AND THE FOUNDATION DIRECTORS AND OFFICERS MUST ANNUALLY DISCLOSE THEIR CONFLICTS ON THE CONFLICT OF INTEREST/ DUAL INTEREST DISCLOSURE STATEMENT IN ACCORDANCE WITH THE EMPLOYEE CONFLICT OF INTEREST POLICY WHICH APPLIES TO ALL EMPLOYEES OF CHMCA AND ITS SUBSIDIARIES, INCLUDING THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 15 CHMCA'S EXECUTIVE TOTAL COMPENSATION PROGRAM IS GOVERNED BY THE COMPENSATION COMMITTEE ("COMMITTEE") OF THE BOARD OF DIRECTORS, WHO ALSO DETERMINES THE COMPENSATION OF THE AKRON CHILDREN'S HOSPITAL FOUNDATION OFFICERS, DIRECTORS AND KEY EMPLOYEES. KEY COMMITTEE RESPONSIBILITIES INCLUDE: 1. ENSURE EXECUTIVE TOTAL COMPENSATION IS APPROPRIATE IN LIGHT OF CHMCA'S MISSION AND VALUES 2. APPROVE AN EXECUTIVE COMPENSATION PHILOSOPHY, THE ASSOCIATED PROGRAMS, AND ALL COMPENSATION ACTIONS FOR INDIVIDUAL EXECUTIVES THE COMMITTEE IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS WHO HAVE NO PERSONAL INTEREST IN ANY EXECUTIVE COMPENSATION TRANSACTION. THE COMMITTEE GOVERNS CHMCA'S EXECUTIVE TOTAL COMPENSATION FOR ALL SENIOR EXECUTIVES WHO ARE DEEMED TO BE DISQUALIFIED PERSONS, E.G., FAMILY MEMBERS OF BOARD MEMBERS OR EXECUTIVES WHO ARE EMPLOYED BY CHMCA. FORM 990, PART VI, SECTION C, LINE 19 AKRON CHILDREN'S HOSPITAL FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, CERTAIN GOVERNING DOCUMENTS ARE LOCATED ON THE OHIO SECRETARY OF STATE'S WEBSITE. THE FINANCIAL STATEMENTS ARE ALSO DISCLOSED ON THE EMMA (ELECTRONIC MUNICIPAL MARKET ACCESS) WEBSITE. PART XII, LINE 2C: ACHF THROUGH ITS PARENT COMPANY "CHILDREN'S HOSPITAL CENTER OF AKRON" HAS AN AUDIT COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW, OR COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. CHILDREN'S HOSPITAL MED CENTER OF AKRON ONE PERKINS SQUARE AKRON OH 44308 340714357 HOSPITAL OH 501(C)(3) LINE 3 N/A 0 CHILDREN'S HOME CARE GROUP ONE PERKINS SQUARE AKRON OH 44308 341575266 HOME CARE OH 501(C)(3) LINE 12A, I CHILDREN'S HOSPITAL MED CENTER OF AKRON 1 CHILD DIMENSIONS INSURANCE COMPANY ONE PERKINS SQUARE AKRON OH 44308 033017160 INSURANCE OH 501(C)(3) LINE 12A, I CHILDREN'S HOSPITAL MED CENTER OF AKRON 1 AKRON CHILDREN'S HEALTH COLLABORATIVE ONE PERKINS SQUARE AKRON OH 44308 870853487 ACCOUNTABLE CARE ORGANIZATION OH 501(C)(4) LINE 12A, I CHILDREN'S HOSPITAL MED CENTER OF AKRON 1 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0