2018-11-09T16:41:45-06:00 2017-12-31 ERNST & YOUNG US LLP 950 MAIN AVENUE SUITE 1800 CLEVELAND OH 44113 990 2017-01-01 340714357 Children's Hospital Medical Center of Akron % ALICIA LAMANCUSA VP FINANCE CHIL 3305438171 ONE PERKINS SQUARE AKRON OH 44308 MICHAEL P TRAINER Chief Finan Officer 3305431000 2018-11-09 true Terence M Kennedy P00089502 2168615000 2018-11-09 209.57.32.30 34237420183135000000 2018-11-09 P EAF3BB2D1ACA2603874155ADEEE4C570DB35B561 D0F3919FE28AE692664C3BDEFCB3C8FE36384FC3 2017 2019-02-21 02:37:17Z WILLIAM CONSIDINE ONE PERKINS SQUARE AKRON OH 44308 1393140728 false X AKRONCHILDRENS.ORG X 1897 OH CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") IS DEDICATED TO IMPROVING THE HEALTH OF CHILDREN THROUGH QUALITY PATIENT CARE, RESEARCH & EDUCATION, COMMUNITY SERVICE. 34 28 6855 1608 801720 -443407 15216359 12319440 781106957 838464229 11290021 15691094 7051828 7007403 814665165 873482166 4749832 761755 0 0 476825173 518966915 0 0 0 269046791 281616330 750621796 801345000 64043369 72137166 1240979434 1364560247 527283997 543276398 713695437 821283849 X THE MISSION OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") IS TO PROVIDE QUALITY MEDICAL AND SURGICAL CARE FOR INFANTS, CHILDREN, ADOLESCENTS, AND BURN VICTIMS OF ALL AGES, REGARDLESS OF ANY REASON. CHMCA IS AN INDISPENSABLE, INTEGRATED PEDIATRIC HEALTHCARE DELIVERY SYSTEM SERVING INFANTS, CHILDREN AND ADOLESCENTS, AS WELL AS ADULTS IN THE REGIONAL BURN CENTER IN AKRON AND NORTHEAST OHIO. ESTABLISHED IN 1890 BY A GROUP OF WOMEN AFFILIATED WITH A LOCAL CHURCH, CHMCA HAS GROWN FROM A TWO-ROOM DAY NURSERY TO A MODERN 443-BED, FULL-SERVICE CHILDREN'S HOSPITAL. IN ITS 127 YEAR HISTORY, CHMCA HAS RECEIVED UNFAILING COMMUNITY SUPPORT ALONG WITH OUTSTANDING LEADERSHIP WHICH HAS RESULTED IN CONTINUED IMPROVEMENT IN PATIENT CARE AND THE EXPANSION OF MEDICAL SERVICES IN THE SERVICE AREA. CHMCA IS A NOT-FOR-PROFIT FACILITY WHICH OPERATES TWENTY-FOUR(24) HOURS A DAY, SEVEN(7) DAYS A WEEK. CHMCA ACCEPTS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. DURING THE YEAR ENDED DECEMBER 31, 20 false false 224288275 189728794 Program Achievement #1 - Subspecialty Physicians In keeping with Chmca's Mission to provide quality medical and surgical care for babies, children, adolescents, and burn victims of all ages, CHMCA offers unique services in a broad range of pediatric subspecialties as described herein. Some of CHMCA's Subspecialty areas include: Ambulatory services, Heart Center, Neurosurgery, Sedation Service, Maternal Fetal Medicine, Care Center, Gastroenterology, Urology, Sports Medicine, Neurology, Nephrology, Endocrinology, Adolescent Medicine, Infectious Diseases, Hematology Services, Pulmonary Medicine, Palliative Care Program, locust Pediatrics, Rheumatology, Clinical Pharmacology and Toxicology, Psychiatric Services, Genetics, Dentistry, Orthopedics and Skeletal Dysplasia. The Showers Family Center for Childhood Cancer and Blood Disorders provides comprehensive care to children, teens and young adults with all types of childhood cancer, sickle cell disease, hemoglobinopathies and bleeding/clotting disorders, as well as those who require stem cell/bone marrow transplants. The team includes board-certified pediatric hematologists-oncologists, advance practice nurses, physician assistants, certified pediatric oncology nurses, pharmacists, social workers, clinical research associates, child life specialists, counselors and educators. As a major teaching institution, CHMCA offers fellowship training in pediatric hematology-oncology and is a major pediatric teaching hospital affiliated with Northeast Ohio Medical University. The division of hematology-oncology also actively participates in national clinical trials for childhood cancer and blood disorders, and continues to explore the causes and treatments of these diseases through our basic science research program. As a member of the Children's Oncology Group (COG), we participate in the development of National Cancer Institute-approved treatment protocols and offer the most up-to-date cancer therapies. CHMCA's Center for Diabetes and Endocrinology consists of a team of board-certified pediatric endocrinologists, certified nurse practitioners and pediatric nurses who diagnose and treat infants, children and teens. Recognized by the American Diabetes Association for Quality Self-Management Education, our center is backed by a full-service lab, registered dietitians, social worker, child psychologist and others. The most common endocrine disorders we treat are diabetes, short stature, thyroid disease, metabolism disorders and pubertal disorders. In addition, we offer specialized care in bone health, endocrine disorders in cancer survivors and cystic fibrosis patients. CHMCA's NeuroDevelopmental Science Center (NDC) brings together 5 pediatric specialties - developmental-behavioral pediatrics, neurology, neurosurgery, physiatry, and behavioral neuropsychology, under one roof to deliver the best outcomes and quality of life for patients. CHMCA's NDC is dedicated to easing the circumstances each step of the way, from referral to diagnosis to treatment. Our goal is provide care that enriches the quality of life for children and families affected by neurological and developmental disorders. CHMCA's Division of Orthopedics specializes in the diagnosis and surgical and/or non-surgical treatment of all types of bone, joint, muscle and spine disorders and injuries in children, teens and young adults. Our experienced pediatric orthopedic surgeons offer complete care for conditions affecting the musculoskeletal system, with the support of pediatric nurse practitioners, nurses and orthopedic technicians. This includes: pediatric spine trauma and deformity, sports injury reconstruction, musculoskeletal neurology, congenital hand and musculoskeletal deformity, hip reconstruction, chest reconstruction, fragile bone evaluation and treatment, skeletal dysplasia, and brachial plexus treatment. CHMCA's Robert T. Stone Respiratory Center provides services for patients with all types of respiratory illnesses, including allergies, cystic fibrosis, bronchopulmonary dysplasia, and chronic respiratory failure. The Center has a team of doctors, nurse practitioners, nurse clinicians, pulmonary function technicians, dieticians, physical therapists and a social worker. We provide direct and consultative diagnosis and treatment, education, case management, and research. Our Center includes: cystic fibrosis center, which treats patients from birth through adulthood, asthma education program, pulmonary medicine, pulmonary function testing lab, sleep center, and cardiopulmonary exercise testing. CHMCA's Pediatric Urology department diagnoses and treats children and teens with problems related to the genito-urinary systems. Services include laser, laparoscopy, lithotripsy and other minimally invasive techniques to treat diseases. Our staff also uses urodynamic tests to show how well the bladder and sphincter muscles work and to help explain various urinary diseases. CHMCA operates 4 pediatric urgent care centers to treat children for minor illnesses and injuries. Total urgent care visits were 29,846 and 24,304 in 2017 and 2016, respectively. 164025576 282346408 Program Achievement #2 - Inpatient Services Total Inpatient Days 77,747 (2017) 74,555 (2016) CHMCA's philosophy of care is centered around the families we serve. This means we respect each child and family's individual needs and strive to make the hospital experience as pleasant as possible. The routine care units, which consist of private rooms and accommodations for overnight stay by parents, are based upon the concept of family-centered care. The primary focus of the facility is to provide an environment conducive to pediatric patients, aiding their recovery in a modern hospital setting. Inpatient services include Routine Care, Neonatal Intensive Care Unit, Pediatric Intensive Care Unit, Psychiatric Care, Regional Burn Center, and Trauma Services. The 100 bed neonatal intensive care unit located in the new Key Jewelers Pavilion opened in 2015. Our neonatologists provide the highest level of intensive care for our youngest patients. Our neonatal expertise expands beyond our NICU in the Kay Jewelers Pavilion on our hospital campus in Akron. We also operate the NICU's at Cleveland Clinic Akron General, Summa Akron City Hospital and St. Elizabeth Boardman Hospital, as well as special care nurseries at our Beeghly campus location, St. Joseph Warren Hospital, and Wooster Community Hospital. CHMCA's neonatology division is ranked among the best in the nation, according to the U.S. News and World Report. A transport team from the NICU is also available at all times for transfer of patients by ambulance or helicopter from any one of the thirty-five (35) network hospitals in the area. Total NICU patient days: 2017 2016 Neonatal at Akron 22,554 19,067 Neonatal at CCAG 3,263 3,919 Neonatal at St. E's 5,583 5,894 Neonatal at Summa 5,235 5,686 Neonatal at Beeghly 2,517 2,783 Neonatal at Wooster 424 446 Neonatal at St. Joseph 733 483 The Division of Pediatric Critical Care is responsible for overseeing and delivering care in the Pediatric Intensive Care Unit (PICU). Each year, the PICU cares for about 1,500 children and teens in Northeast Ohio with life-threatening medical and surgical problems. The 25,200 square foot pediatric intensive care unit includes 23 private rooms with pull-out sofas to encourage parents to stay overnight. Total patient days were 21,328 and 20,106 in 2017 and 2016, respectively. Since 1978, the Regional Burn Center has provided specialized care for burn victims of all ages throughout Northeastern Ohio. The Burn Center is verified by the American Burn Association and The Committee on Trauma of the American College of Surgeons, which recognizes individual and institutional commitment to total burn care and a formal system for quality burn care delivery. Each year, more than 250 burn victims are admitted to the Burn Center, which features 12 private patient rooms with bathrooms and accommodations for one parent or family member. The Burn Center also has a treatment room, physical therapy room, operating room and tub room. The Burn Center comprehensively treats seriously burned victims by combining the skills of physicians, nurses, occupational therapists, physical therapists, dieticians, social workers, respiratory therapists, psychologists and psychiatrists. Besides providing expert treatment, the center's staff is actively involved in burn research and burn care training for professional and community groups. Total patient days for the burn center were 2,091 and 2,379 for 2017 and 2016, respectively. The Division of Emergency/Trauma Services supplies the emergency care needs of children from birth to twenty-one (21) years of age. As the sole pediatric institution in the area, the Division of Emergency/Trauma Services is the designated treatment center for all emergent pediatric problems. Children from Akron and the surrounding counties in Northeast Ohio accounted for the majority of the 1,005,137 visits during 2017. A full-time attending pediatric emergency medicine specialist is on duty twenty-four (24) hours a day involved in the direct care of patients and teaching fellows, residents, and medical students. Rounding out the specialized medical care in the Emergency Department are child life specialists who are accustomed to explaining procedures to children and comforting parents; social workers trained to identify needs of families and point them to helpful services; and chaplains and bereavement staff who are always on call. CHMCA is verified as a pediatric trauma center by the American College of Surgeons. The pediatric trauma verification is based on its ability to provide quality trauma care to trauma patients and their families from the time of injury, through the acute care phase, into the rehabilitation phase. 114831725 249276083 Program Achievement #4 - Ancillary Some of the key departments of Ancillary include: Centralized Core Lab, Microbiology/Virology labs, Cytogenetics, Radiology Diagnostic Imaging, Radiology MRI, Radiology CT, Radiology Ultrasound, Radiology Nuclear Medicine, Physical Therapy, Speech Pathology, Audiology, Occupational Therapy. The Centralized Core Lab (CCL) includes the Chemistry, Hematology, Coagulation, Urinalysis, Special Chemistry and Blood Bank laboratories. The chemistry analyzers tests for more than 60 different substances found in blood, urine and cerebrospinal fluid specimens. In addition to routine chemistries, testing is performed for therapeutic and immunosuppressive drug monitoring. Instruments are selected to use the smallest amounts of blood for testing in order to minimize blood loss for our pediatric patients. In addition to the CCL, laboratory services are provided by the Infectious Disease Laboratories (Microbiology, Virology, Immunology, and Molecular Diagnostics). The Radiology Division at CHMCA performs a full spectrum of diagnostic imaging procedures inclusive of Diagnostic/Fluoroscopic xrays, CT, Nuclear Medicine, Ultrasound, and MRI. The Radiology division is staffed with licensed Diagnostic Imaging Technologists and all our Pediatric imaging procedures are read by qualified Pediatric Radiologists with Board Certification and Certificate of Added Qualification (CAQ) credentials inclusive of expertise in specific radiology subspecialty areas of imaging. CHMCA's physical and occupational therapists are devoted to providing quality care in the hospital and to outpatients, schools and community programs. Our staff of pediatric therapists can provide specialized treatment from birth to age 21. We are affiliated with universities for teaching of students. Incorporating the support of families and skills of various medical professionals, the Occupational Therapy, Physical Therapy, Speech, Audiology, and Social Services staff strive to provide patients with the skills needed to overcome a variety of developmental, physical, and emotional disabilities. The Family Child Learning Center (FCLC), a cooperative effort of CHMCA and Kent State University, offers a host of therapy and educational services to handicapped infants, preschoolers and their families. Therapists and educators work together to significantly enhance the development of these children at an early age. FCLC provides an educational training ground for graduate students in education, speech pathology, motor learning and physical and occupational therapy. 125937809 761755 117112944 Other Revenue 125937809 761755 117112944 629083385 true true false true false false false false false true true false false true true false false true false false true false false false true false true true true false true true false true false false false false false false true false false false false false false true true true false false true 342 0 true 6855 true true true true IS false false false true true false false false false X 34 28 false false false false true true true true true true true true false true true true true true true true false OH X ALICIA LAMANCUSA VP FINANCE 3305438171 ONE PERKINS SQUARE AKRON OH 44308 X WILLIAM CONSIDINE CHIEF EXECUTIVE OFFICER 48.0 10.0 X X 2374317 0 82734 JOHN CROW MD CHAIRMAN,PEDIATRIC SURGERY 46.0 0.0 X 1120957 0 37704 NORMAN CHRISTOPHER MD CHAIRMAN, DEPT OF PEDS 48.0 0.0 X 564823 0 167570 ROBERT MCGREGOR MD CHIEF MEDICAL OFFICER 51.0 1.0 X 628605 0 37399 ROBERT STONE MD DIRECTOR 1.0 0.0 X 0 0 0 PAUL DUTTON DIRECTOR 1.0 2.0 X 0 0 0 ROBERT TRABUCCO DIRECTOR 11.0 0.0 X 0 0 0 STEPHEN MYERS DIRECTOR/CHAIR OF FINANCE 8.0 0.0 X X 0 0 0 SUSAN KIRKSEY DIRECTOR 14.0 0.0 X 0 0 0 ELINORE MARSH STORMER DIRECTOR 5.0 0.0 X 0 0 0 VIRGINIA ADDICOTT DIRECTOR 2.0 0.0 X 0 0 0 ROBERT BERK DIRECTOR 5.0 2.0 X 0 0 0 LAURA ENGLES DIRECTOR/SECRETARY 15.0 0.0 X X 0 0 0 JOHN P DELANEY DIRECTOR 2.0 0.0 X 0 0 0 KATHLEEN LANE DIRECTOR 18.0 1.0 X 0 0 0 WILLIAM HOPKINS DIRECTOR 8.0 0.0 X 0 0 0 WILLIAM KELLEHER DIRECTOR 3.0 0.0 X 0 0 0 DUANE ISHAM DIRECTOR 9.0 0.0 X 0 0 0 DALE KOBLENZER DIRECTOR 5.0 0.0 X 0 0 0 SCOTT LEVIN DIRECTOR 3.0 0.0 X 0 0 0 KARA LEWIS DIRECTOR 3.0 0.0 X 0 0 0 PHILIP MAYNARD DIRECTOR 8.0 1.0 X 0 0 0 GREGORY MCDERMOTT DIRECTOR 10.0 12.0 X 0 0 0 LAURA POLLAUF MD PRESIDENT, MEDICAL STAFF 46.0 0.0 X 360679 0 141939 RICHARD ROGERS DIRECTOR 4.0 0.0 X 0 0 0 DONALD SCHNEIDER DIRECTOR 7.0 0.0 X 0 0 0 DAVID SHOWERS DIRECTOR 4.0 0.0 X 0 0 0 JOHN C ORR CHAIRMAN 22.0 1.0 X X 0 0 0 WILLIAM WOOLDREDGE DIRECTOR 9.0 0.0 X 0 0 0 LAURA THOMPSON DIRECTOR 1.0 0.0 X 0 0 0 GLEN STEPHENS DIRECTOR 2.0 0.0 X 0 0 0 ROBERT WELLS DIRECTOR 4.0 0.0 X 0 0 0 BARBARA VARLEY DIRECTOR 13.0 0.0 X 0 0 0 TAMMY GERSMAN DIRECTOR 2.0 0.0 X 0 0 0 SHAWN LYDEN EXECUTIVE VP 42.0 3.0 X 752136 0 44255 MICHAEL TRAINER CHIEF FINAN OFFICER/TREASURER 42.0 10.0 X 607740 0 28778 GRACE WAKULCHIK PRESIDENT 40.0 2.0 X 745394 0 173999 LISA AURILIO CHIEF OPERATING OFFICER 42.0 4.0 X 481431 0 105722 ANTHEA DANIELS VP - GENERAL COUNSEL 40.0 2.0 X 123339 0 98 LINDA GENTILE VP, SUPPORT SERVICES 40.0 0.0 X 313117 0 160501 WALTER SCHWOEBLE TERM 82017 VP, HUMAN RESOURCES 40.0 0.0 X 465072 0 25800 CYNTHIA DORMO VP, DEPT OF PEDS 40.0 0.0 X 325782 0 211609 SHARON HRINA VP, MAHONING VALLEY ENTERPRISE 42.0 0.0 X 330145 0 86320 CRAIG MCGHEE VP, SURGICAL SUBSPECIALTY 40.0 0.0 X 276795 0 33876 LINDA HETSON VP PROFESSIONAL SERVICES 40.0 0.0 X 262794 0 316038 BERNETT WILLIAMS DIRECTOR 40.0 0.0 X 290874 0 32719 Harun Rashid Chief Information Officer 40.0 0.0 X 343426 0 32714 Christine Young Chief Nursing Officer 40.0 0.0 X 196920 0 26941 OLIVER SOLDES MD PEDIATRIC GENERAL SURGEON 40.0 0.0 X 768431 0 44455 ANTON MILO MD DIRECTOR OF ENT 40.0 0.0 X 1348541 0 49868 TSULEE CHEN MD DIRECTOR, NEUROSURGERY 40.0 0.0 X 887989 0 23634 SCOTT BOULANGER MD PEDIATRIC GENERAL SURGEON 40.0 0.0 X 789682 0 27639 ROBERT PARRY MD DIRECTOR, GENERAL SURGERY 40.0 0.0 X 911414 0 48389 15270403 0 1940701 814 false true false MARCUS THOMAS LLC 4781 RICHMOND ROAD CLEVELAND OH 44128 BROADCAST MEDIA 6076240 WELTY BUILDING COMPANY 3421 RIDGEWOOD ROAD FAIRLAWN OH 44333 BUILDING RENOVATIONS 3082542 PEDIATRIC ADOLESCENT UROLOGY 215 W BOWERY STREET SUITE 3500 AKRON OH 44308 PHYSICIAN SERVICES 2574173 WADSWORTH PEDIATRICS 1225 HIGH STREET WADSWORTH OH 44281 PHYSICIAN SERVICES 1540248 SHIFTWISE PO BOX 70870 ST PAUL MN 55170 Workforce scheduling 1473443 5 X 415432 7957892 3106134 839982 12319440 SUBSPECIALTY PHYSICIANS 900099 189728794 189728794 INPATIENT SERVICES 900099 282346408 282346408 ANCILLARY 621500 249276083 249276083 OTHER NET PATIENT SERVICES 900099 97771808 97771808 OTHER DEPARTMENT REVENUE 900099 19341136 19341136 838464229 9212930 9212930 0 0 0 0 0 525793690 90723 519229355 176894 6564335 -86171 6478164 6478164 301066 415432 252313 48753 48753 0 0 0 0 0 0 CAFETERIA 722514 3185072 3185072 PARKING DECK 812930 1626419 1626419 OUTPATIENT PHARMACY 446110 482296 482296 1664863 319424 1345439 6958650 873482166 838464229 801720 21896777 761755 761755 0 0 0 11711062 2393672 9317390 152086 152086 391188469 338352436 52836033 28526599 25048011 3478588 62000220 47978191 14022029 25388479 21515472 3873007 0 565318 10287 555031 391742 391742 60150 60150 0 637418 637418 44573853 28066142 16507711 9050289 114440 8935849 11512104 8947725 2564379 8185665 8185665 0 11814527 10223080 1591447 6550130 4062142 2487988 0 0 7861364 7861364 0 49522807 25755749 23767058 9290872 9290872 MEDICAL/SURGICAL SUPPLIES 75070128 74856426 213702 EQUIPMENT RENTAL/MAINTENANCE 21190677 7842293 13348384 PROVISION FOR FRANCHISE FEE 12980504 12980504 PROVISION FOR HCAP 3663908 3663908 8694874 7160130 1534744 801345000 629083385 172261615 0 X 37125 37275 55006197 49085992 0 0 96180601 124692742 0 0 0 0 39238460 5092893 7153570 7485531 8624887 11003929 978371808 534090023 414303572 444281785 498078658 584611735 0 0 3229574 3038140 0 0 119126790 135230225 1240979434 1364560247 111306946 121275632 0 0 0 0 213214590 207308621 0 0 0 0 0 0 0 0 202762461 214692145 527283997 543276398 X 641646025 741544152 57474140 64393559 14575272 15346138 713695437 821283849 1240979434 1364560247 X 72137166 20250713 15200533 X false true X true true true X false false false false false true 103157 false false true 60150 163307 false Part II-B, Line 1 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") PAID A TOTAL OF $619,705 TO OTHER ORGANIZATIONS THAT HAVE LOBBYING ACTIVITIES. OF THAT AMOUNT, $456,398 PERTAINED TO DUES, $103,157 RELATED TO VARIOUS LOBBYING EXPENSES AND $60,150 WAS PAID FOR LOBBYING EFFORTS AND VARIOUS COMMUNICATIONS ON BEHALF OF CHMCA WITH GOVERNMENTAL AUTHORITIES. THOSE COMMUNICATIONS AND LOBBYING EFFORTS INVOLVE THE FOLLOWING: *MONTHLY LEGISLATIVE CONFERENCE CALLS WITH CHMCA STAFF *PARTICIPATED IN AN INTERESTED PARTIES MEETING ON PALLIATIVE CARE LEGISLATION AND PROVIDED FEEDBACK TO THE BILL SPONSOR *PARTICIPATED IN MEETINGS WITH LEGISLATORS REGARDING HB 49 (OPERATING BUDGET) *PARTICIPATED IN THE ANNUAL OHIO CHILDREN'S HOSPITAL ASSOCIATION GOVERNMENT RELATIONS RETREAT MEETING *PROVIDED ANALYSIS OF HB 416 (PRICE TRANSPARENCY LEGISLATION) *PARTICIPATED IN THE ANNUAL OHIO CHILDREN'S HOSPITAL ASSOCIATION ADVOCACY DAY *ORGANIZED GRASSROOTS LETTER WRITING CAMPAIGN IDENTIFYING CONCERNS THAT LEGISLATION WOULD NEGATIVELY IMPACT KIDS WITH MEDICAID COVERAGE *COMMUNICATED SUPPORT FOR THE REAUTHORIZATION OF THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) TO MEMBERS OF CONGRESS THE FOLLOWING ARE 2017 LOBBYING EXPENSES: $ 233 ASSOCIATION OF AMERICAN MEDICAL COLLEGES 48,180 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS 10,426 AMERICAN HOSPITAL ASSOCIATION 38,747 OHIO CHILDREN'S HOSPITAL ASSOCIATION 5,571 OHIO HOSPITAL ASSOCIATION $ 103,157 SUBTOTAL 60,150 LOBBYIST - CAPITAL CONSULTING GROUP $ 163,307 TOTAL ASSOCIATION OF AMERICAN MEDICAL COLLEGES, NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND AMERICAN HOSPITAL ASSOCIATION ARE NATIONAL ORGANIZATIONS THAT CHMCA HOLDS MEMBERSHIPS. ALONG WITH OTHER HOSPITALS AS MEMBERS, THESE NATIONAL ORGANIZATIONS EXPRESS CONCERNS OF HEALTHCARE PROVIDERS IN ADVOCACY AND REPRESENTATION TO NATIONAL AND/OR STATE LEGISLATURES ON HEALTHCARE ISSUES THAT AFFECT CHMCA. AS AN EXAMPLE, THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND AMERICAN HOSPITAL ASSOCIATION HAVE BEEN A CONSTANT AND PERSUASIVE VOICE IN CHAMPIONING THE NEEDS OF CHILDREN AND THE HOSPITALS THAT CARE FOR THEM. OHIO CHILDREN'S HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION ARE STATE OF OHIO ORGANIZATIONS THAT EXPRESS THE VIEWS OF OHIO CHILDREN'S HOSPITALS FOR MEDICAID AND CHILD HEALTHCARE ISSUES. LOCAL AGENCIES IN SUMMIT COUNTY, OHIO PROVIDE SERVICES TO RESIDENTS. THE IMPACT OF HEALTHCARE LEGISLATION HAS IMPLICATIONS ON OUR BUSINESS AND SERVICES WE PROVIDE. 70020604 7952552 4840850 7089285 75724721 69532079 6320223 1475972 7307670 70020604 84300290 8366805 -2702700 20432316 69532079 71912635 16013945 215179 3841469 84300290 55185519 12047723 8291351 3611958 71912635 0.04140 0.20270 0.75590 false true true 14442604 14442604 559381721 272002251 287379470 16688245 7297791 9390454 332420563 251450174 80970389 55428642 3329774 52098868 444281785 BENEFICIAL INT IN FOUNDATION 131889867 UNAMORT HEALTHCARE SERVICE 2330690 OTHER ASSETS 1009668 135230225 0 DEFERRED BENEFIT PENSION LIABI 145705681 POST RETIREMENT PLANS 27663041 PROFESSIONAL LIABILITY RESERVE 2282000 OTHER LIABILITIES 39041423 214692145 Part V, Line 4 - Intended Use of Endowment Funds Temporarily restricted funds are subject to restrictions imposed by the donor or by time. These funds are held until the specific purpose or time element is met and they are released from restrictions. Permanently restricted funds are funds that are invested in perpetuity and are not available to fund any current operations. The earnings from the endowment funds can be used for the specific purpose imposed by the donor. The Board Designated funds 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 their sole purpose. CHMCA does have a policy in place to monitor all unrestricted, temporarily and permanently restricted funds. Part X, LINE 2 - FIN 48(ASC 740) CHMCA prepares consolidated financial statements including their affiliated subsidiaries. CHMCA adopted Accounting Standards Codification 740 (ASC 740) in 2007 which requires businesses to analyze and disclose income task risks. No disclosures were required under GAAP as CHMCA does not have any material tax contingencies that are required disclosures in the footnotes. 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X X X X true true X X X X true X Part V, Sect C for full URL X Part V, Sect C for full URL X Part V, Sect C for full U X X X X true X false X X X X true X false false Facility Group B - Mahoning Valley 2 false false true X X X X X X X X X 16 true false true true X see Part V, Section C for Full URL X true 16 true see Part V, Section C for full URL false true X 200. 300. X X X X true true X X X X true X see Part V Section C for full URL X see Part V Sect C for full URL X see Pt V Sect C for full URL X X X X true X false X X X X true X false false Part V, Section B Group A Part V, Section B. Facility Policies and Practices, Community Health Needs Assessments (CHNA) CHMCA (#1). Line 3e: The significant health needs of the community identified in the CHNA are presented as a prioritized description. Line 5: Yes - In addition to examining county-level epidemiologic data, interviews were conducted with community leaders in a six-county area from March - June 2016 to gain insight on what they thought were significant health needs of children and adults in their communities, the factors that affect those health needs, other existing community health needs assessments, possible collaboration opportunities, and to get suggestions on what the hospitals can do to address the significant health needs identified in the CHNA. These community leaders represent the broad interest of the communities served by the hospital facilities including the medically underserved, low-income persons, those with chronic disease needs, and leaders from local public health agencies and departments who have special knowledge and expertise in Public Health and Children's Health. CHMCA did solicit feedback from community partners on the 2013 CHNA during a community event held in September 2015 where community partners from 9 counties were present to hear a state of the hospital address as it relates to the CHNA. CHMCA did not receive any feedback that would necessitate an adjustment to the CHNA. Community Resident Focus Groups: In addition to input from community leaders, focus groups were conducted with 178 community residents in the same six-county area from April - June 2016. In addition, a questionnaire was distributed to the focus group participants to gather demographic information and basic perceptions of community health. Due to the observed information gap in the epidemiologic data on the health of children, child substance abuse issues, and child mental health issues, several questions were asked to probe more deeply on these issues. The discussion guide, questionnaire, and protocol were reviewed and approved by the Kent State University Institutional Review Board. Leaders from the following community organizations were interviewed: Stark County Department of Job and Family Services Director and Deputy Director Stark County Health Commissioner Akron Public Schools County of Summit Alcohol Drug Addiction & Mental Health Services Board Director ADM Board Akron Metropolitan Housing Authority Akron-Summit County Community Action Agency Kent City School District Medina County Health Department Commissioner Mental Health and Recovery Board of Wayne-Holmes County Director Open M Ministries Ohio State Representative John Boccieri Ohio State Representative Christina Hagan Akron-Summit County Library Aurora City School District Brunswick City School District Canal Fulton Chamber of Commerce, Director Children's Hospital Community Benefit/Community Health Needs Assessment Steering Committee City of Akron, Assistant to the Mayor for Education, Health and Families City of Hudson Mayor City of Kent Health Department Commissioner City of Massillon Mayor City of Medina Mayor City of New Franklin Mayor City of Orrville Mayor City of Rittman Mayor City of Stow Mayor Cloverleaf Local Schools Crestwood Local School District Faithful Servants Greater Akron Area Chamber of Commerce Executive Director Hudson School District International Institute of Akron Director of Refugee Resettlement Kent Chamber of Commerce, Executive Director Ohio State Representative Sarah LaTourette Oriana House, Inc. Portage County Combined General Health District Commissioner Portage County Mental Health and Recover Board, Director and Executive Director Rootstown Local Schools Summit County Children Services Summit County Executive Summit County Public Health Commissioner Tuslaw Local School District United Way of Stark County, Health Impact Counsel Director United Way of Summit County US Senator Sherrod Brown Legislative Aide US Senator Rob Portman Legislative Aide Wadsworth Chamber of Commerce Director Wadsworth City School District Wayne County Health Department Health Co-Commissioner Windham Village Mayor Focus Groups: Community residents were recruited in the focus groups during scheduled community meetings and events, such as advisory groups, and health and wellness center meetings. Sites were selected based upon proximity to population areas, ease of access (including free parking and bus lines), and the recommendations from local community leaders. 30% of participants were from Summit County, 6.2% from Wayne County, 12.4% from Medina County, 21.9% from Stark County and 13.5% from Portage County, and 15.7% from Richland County. The average number of years the participants lived in their home county was 31.7 years. Line 6a: Yes Cleveland Clinic-Akron General 1 Akron General Avenue Akron, Ohio 44307 Summa Health System 525 East Market Street Akron, Ohio 44304 Line 6b: Yes Kent State University of Public Health 800 East Summit Street Kent, Ohio 44240 Line 7(a)& Line 10 -Yes - Posted on our external website to https://www.akronchildrens.org/pages/Community_Health_Needs_Assessment.htm l Line 11 - Yes - The measured indicators in the 2016 CHNA have been addressed for many years through CHMCA's clinical and programmatic efforts. Our highly-qualified medical staff and professionals provide world-class patient centered care to address each of these indicators through our Center for Orthopedics and Sports Medicine, Center for Diabetes and Endocrinology, Robert T. Stone MD Respiratory Center, Heart Center, Division of Pediatric Psychiatry and Psychology, and the Showers Family Center for Childhood Cancer and Blood Disorders. The 2016 CHNA identified and prioritized several community health needs. We drafted, and our Board of Directors approved comprehensive implementation strategies that focused on addressing conditions related to diabetes, asthma, behavioral and mental health, and infant mortality. The remaining identified needs from the CHNA, including conditions related to child lifestyle factors, crime and violence, access to health care and environmental factors were not formally addressed through implementation strategies. Reasons for this vary, from other community agencies being better positioned to address these conditions to a lack of funding and staff, and a lower priority for certain conditions because of our focus on pediatric conditions. We will continue to look to CHNA data, as well as other data sources for these conditions to guide our efforts and advance our mission of improving the health of the communities we serve. Specific Needs Not Addressed - Although all of the community health needs identified by the CHNA are important, hospital teams deliberated and prioritized five high-priority areas based on the hospital's current activities, the potential for community impact, and available resources. Consequently, several areas will not be addressed through formal implementation strategies. These include health areas that ranked lower during the prioritization process. Additionally, certain health areas were beyond the scope of the hospital, with some health areas that require more resources than what are available: Access to Health Care - Health Insurance Coverage - Access to Dental Care - Mental Health Insurance Coverage - Dental Insurance Coverage - Vision Insurance Coverage Child Lifestyle Factors - Food Insecurity - Obesity Environmental Factors - Elevated blood lead levels Crime And Violence - Child Trafficking While dental care was not selected to be addressed as part of the CHNA, the data showing high incidents of extraction in CHMCA's emergency department prompted the opening of the Celeste Myers Dental Clinic in 2016 to increase access to preventative pediatric oral health care services. Additionally, CHMCA's clinicians do not provide care services for pregnant women, other than those whose babies have been diagnosed before birth or prenatally with a condition or disease that must be monitored by our Maternal Fetal Medicine (MFM) Center or Genetics Center. Therefore, we will not be able to impact the service area's rate of infants born at low birth weights or very low birth weights (other than caring for them after birth), the rate of preterm births (other than those mothers and babies being followed by our MFM Center), or the rate of pregnant women receiving prenatal care (other than those seen by MFM Center) or the rate of births to women who smoke. We do care for babies born at low and very low birth weights and preterm infants requiring hospitalization in the Neonatal Intensive Care Unit (NICU) on the Akron campus or NICUs that we operate at Cleveland Clinic Akron General, Summa Health System, St. Elizabeth Hospital in Youngstown, and the special care nursery at our Mahoning Valley Campus in Boardman. Data Limitations and Gaps - Due to limited resources and time constraints, data was not available for every vulnerable population, such as the Part V. Section B Group B Part V, Section B. Facility Policies and Practices, Community Health needs Assessments CHMCA - Beeghly Campus (#2). Line 3(e) - The significant health needs of the community identified in the CHNA sre presented as a prioritized description. Line 5 - Yes - In addition to examining county-level epidemiologic data, interviews were conducted with community leaders representing the broad interest of a three-county area from March - June 2016 to gain their insight on what they thought were the significant health needs of children and adults in their communities, the factors that affect those health needs, other existing community health needs assessments, possible collaboration opportunities, and to get suggestions on what the hospitals can do to address the significant health needs identified in the CHNA. CHMCA did solicit feedback from community partners on the 2013 CHNA during a community event held in September 2015 where community partners from 9 counties were present to hear a state of the hospital address as it relates to the CHNA. CHMCA did not receive any feedback that would necessitate an adjustment to the CHNA. These community leaders represent the broad interests of the communities served by the hospital facility including the medically underserved, low-income persons, minority groups, those with chronic disease needs, and leaders from local public health agencies and departments who have special knowledge and expertise in public health and children's health issues. Leaders Interviewed: Youngstown City Health District, Health Commissioner Youngstown/Warren Regional Chamber, Executive Director Executive Director Mahoning County Children's Services Mahoning County Health Commissioner Board Director Trumbull County Mental Health and Recovery Executive Director Trumbull County Children's Services President St. Joseph Health Center Director Columbiana County Department of Job and Family Services Commissioner Columbiana County Health Department Alta Care Group CEO Children's Rehabilitation Center Interim Director Coleman Behavioral Health Supervisor Columbiana County Family and Children First Council Director Columbiana Columbiana County Mental Health and Recovery Service Board, Executive Director Columbiana County WIC Program Supervisor Community Foundation of the Mahoning Valley President Compass Family and Community Service Executive Director Coordinated Action for School Health (CASH) Coalition Coordinator East Liverpool City Hospital CNO Health And Nutrition, Alta Head Start Manager Mahoning County Board of Developmental Disabilities Superintendent Mahoning County Educational Service Center Superintendent Mahoning County Juvenile Court Judge Mahoning Family and Children First Council Coordinator Mercy Medical Center Manager of Community Health Information Mercy Medical Center WIC Program Manager Neighborhood Ministries Executive Director Ohio Organizing Collaborative Director of Operations Ohio Senator Capri Cafaro Ohio State Representative John Boccieri Ohio State Representative Timothy E Ginter Organizacion Civica y Cultural Hispana Americana, Inc. Executive Director and Program Manager Potential Development Director Counseling Center Director of Youth & Community Support The Counseling Center DNP Trumbull County Health Department Commissioner Trumbull Family and Children First Council Director United Way of Northern Columbiana County Executive Director United Way of Trumbull County President United Way of Youngstown President U.S. Senator Rob Portman Legislative Aide U.S. Senator Sherrod Brown Legislative Aide Youngstown Better Business Bureau President Youngstown City Schools Acting Superintendent Youngstown Neighborhood Development Center Manager Youngstown Office of Minority Health Director In addition to the input from community leaders, focus groups were conducted with 90 community residents in the same three-county area from April - June 2016 to get their input on what they thought were the significant health needs of children and adults in their communities, the factors that affect those needs, the solutions they thought would solve those needs, and what the hospitals and other community groups could do to address those needs. In addition, a questionnaire was distributed to the focus group participants to gather demographic information and basic perceptions of community health. Due to the observed information gap in the epidemiologic data on the health of children, child substance abuse issues, and child mental health issues, several questions were asked to probe more deeply on these issues. The discussion guide, questionnaire, and protocol were reviewed and approved by the Kent State University Institutional Review Board. Community residents were recruited to participate in the focus groups in several ways. We conducted focus groups during scheduled community meetings and events, such as advisory groups, and wealth and wellness center meetings. Sites were selected based on proximity to population areas, ease of access (including free parking and bus lines), and the recommendations from community leaders. 16.9% of participants were from Trumbull County, 61.8% from Mahoning County, and 21.3% were from Columbiana County. The average number of years that participants lived in their home county was 25.5 years. Line 6(b) Kent State University of Public Health 800 East Summit Street Kent, Ohio 44240 Line 7(a)& Line 10 - Yes - https://www.akronchildrens.org/pages/Community_Health_Needs_Assessment.htm l Line 11: The measured indicators in the 2016 CHNA have been addressed for many years through CHMCA's clinical and programmatic efforts. Our highly-qualified medical staff and professionals provide world-class patient centered care to address each of these indicators through our Center for Orthopedics and Sports Medicine, Center for Diabetes and Endocrinology, Robert T. Stone MD Respiratory Center, Heart Center, Division of Pediatric Psychiatry and Psychology, and the Showers Family Center for Childhood Cancer and Blood Disorders. The 2016 CHNA identified and prioritized several community health needs. We drafted, and our Board of Trustees approved, implementation strategies that focused on addressing conditions related to diabetes, asthma, behavioral and mental health, and infant mortality. The remaining identified needs from the CHNA, including conditions related to child lifestyle factors, crime and violence, access to health care, and environmental factors, were not formally addressed through implementation strategies. Reasons for this vary, from other community agencies being better positioned to address these conditions to lack of funding and staff and a lower priority for certain conditions because of our focus on pediatric conditions. We will continue to look at CHNA data, as well as other data sources, on these conditions to guide our efforts and advance our mission of improving the health of the communities we serve. Specific Needs Not Addressed - Although all of the community health needs identified by the CHNA and deliberated by our hospital teams are important, five emerged as high-priority areas based on the hospital's current activities, the potential for community impact, and available resources. Consequently, several areas will not be addressed in this Implementation Strategy. These include health areas that ranked lower during the prioritization process, health areas that were beyond the scope of the hospital, and health areas that require more resources than what are available: Access to Health Care - Health Insurance Coverage - Access to Dental Care - Mental Health Insurance Coverage - Dental Insurance Coverage - Vision Insurance Coverage Child Lifestyle Factors - Overweight & Obesity - Food Insecurity Environmental Factors - Elevated Blood Lead Levels Crime And Violence - Child Trafficking Additionally, CHMCA's clinicians do not provide care services for pregnant women, other than those whose babies have been diagnosed before birth or prenatally with a condition or disease that must be monitored by our Maternal Fetal Medicine (MFM) Center or Genetics Center, or the rate of women who smoke. Therefore, we will not be able to impact the service area's rate of infants born at low birth weights or very low birth weights(other than caring for them after birth), the rate of preterm births(other than those mothers and babies being followed by our MFM Center), or the rate of pregnant women receiving prenatal care(other than those seen by MFM Center). We do care for babies born at low and very low birth weights and preterm infants requiring hospitalization in the NICU on the Akron campus or NICUs that we operate at Cleveland Clinic-Akron General, Summa Health System and St. Elizabeth Hospital in Youngstown, and the special care nursery at our Mahoning Valley Campus in Boardman. Data Limitations and Gaps - Due to limited resources and time constraints, complete data was not available for every vulnerable populatio 59 CHMCA Partial Hospitalization Prog #14 388 South Main Street Suite 205 2 Akron OH 44311 Behavioral Health Day Programs CHMCA Montrose Urgent Care #42 4125 Medina Road Akron OH 44333 Urgent Care ACHP - New Philadelphia #15 1045 W High Avenue New Philadelphia OH 44663 General Outpatient Services ACHP - Green #10 1600 E Turkeyfoot Lake Road Suite 1 Akron OH 44312 General Outpatient Services ACHP - Fairlawn #13 701 White Pond Drive Suite 100 Akron OH 44320 General Outpatient Services ACHP - Hudson #16 1365 Corporate Drive Suite A Hudson OH 44236 General Outpatient Services CHMCA Hudson Specialties #8 5655 Hudson Drive Hudson OH 44236 Special Outpatient Services ACHP - Warren #19 5000 E Market st Suite 30 Warren OH 44484 General Outpatient Services ACHP - East Akron #29 891 East Exchange Street Akron OH 44306 General Outpatient Services ACHP - Wooster #24 128 E Milltown Road Suite 209 Wooster OH 44691 General Outpatient Services ACHP - Medina #26 3443 Medina Road Suite 115 Medina OH 44256 General Outpatient Services ACHP - Boardman #22 6505 Market Street Bldg A First Flo Boardman OH 44512 General Outpatient Services ACHP - Barberton #36 566 Robinson Avenue Barberton OH 44203 General Outpatient Services ACHP - Ellet #32 1463 Canton Road Suite A Akron OH 44312 General Outpatient Services ACHP - Twinsburg #21 8054 Darrow Road Suite 3 Twinsburg OH 44087 General Outpatient Services ACHP - Kent #35 1951 State Rt 59 Kent OH 44240 General Outpatient Services ACHP - Ashland #34 2212 Mifflin Avenue Suite 235 Ashland OH 44805 General Outpatient Services ACHP - Wadsworth #31 323 High Street Suite A Wadsworth OH 44281 General Outpatient Services ACHP - North Canton #12 6046 Whipple Ave NW Bldg B North Canton OH 44720 General Outpatient Services ACHP - Tallmadge #37 143 Northeast Ave Bldg D 102 Tallmadge OH 44278 General Outpatient Services ACHP - Streetsboro #43 9318 State Rt 14 Streetsboro OH 44241 General Outpatient Services CHMCA Millersburg Hemophilia Clinic #4 1261 Wooster Road Suite 220 Millersburg OH 44654 Single Specialty Outpatient ACHP - Ravenna #39 6847 N Chestnut Street Suite 200 Ravenna OH 44266 General Outpatient Services CHMCA Care Center Stark County #17 213 Market Avenue N Suite 200 Canton OH 44702 Single Specialty Outpatient ACHP - Brecksville #41 7001 s Edgerton Road Suite 500 Brecksville OH 44141 General Outpatient Services ACHP - Alliance #23 1826 S Arch Avenue Alliance OH 44601 General Outpatient Services CHMCA North Canton Rehab Services #49 5156 Whipple Ave NW Canton OH 44718 General Outpatient Services CHMCA Beachwood Specialties #30 23250 Chagrin Blvd Building 5 Suit Beachwood OH 44122 Specialty Outpatient Services CHMCA Boardman Medical Pavilion #5 8423 Market Street Bldg C Suite 30 Boardman OH 44512 General Outpatient Services ACHP - Perry #33 125 Whipple Ave S W Canton OH 44710 General Outpatient Services CHMCA Orthopedic Specialty Canton #7 4455 Dressler Rd Canton OH 44718 Single Specialty Outpatient CHMCA Medina Specialties #28 3443 Medina Rd Suite 108 Door 1 Medina OH 44256 Specialty Outpatient Services CHMCA - AGMC Wellness - Rehab #53 4125 Medina Road Akron OH 44333 Physical Rehab Services CHMCA Ctr for Allergy & Immunology #18 130 West Exchange Street Akron OH 44308 Single Specialty Group CHMCA Medina Subspecialties #52 3443 Medina Rd Suite 108 Door 2 Medina OH 44256 Specialty Outpatient Services CHMCA MFM Wooster Community #53 546 Winter St Suite 10 Wooster OH 44691 Single Specialty Outpatient CHMCA Warren Subspecialties #11 5000 E Market St Unit 29 Warren OH 44484 Specialty Outpatient Services CHMCA Norwalk Subspecialties #54 282 Benedict Avenue Norwalk OH 44857 Specialty Outpatient Services CHMCA Life Center Plus #55 5133 Darrow Rd Hudson OH 44236 Single Specialty Outpatient ACHP - Ontario #38 2003 W 4th Street Ontario OH 44906 General Outpatient Services CHMCA Mansfield Subspecialties #25 371 Cline Avenue Mansfield OH 44907 Specialty Outpatient Services ACHP - Warren Downtown #44 661 Mahoning Avenue NW Warren OH 44483 General Outpatient Services CHMCA MFM Mercy Health #56 1330 Mercy Drive NW Suite 506 Canton OH 447082685 Single Specialty Outpatient ACHP Mansfield #27 770 Balgreen Dr Suite 101 Mansfield Ohio OH 44906 General Outpatient Services CHMCA Medina Rehab #57 3443 Medina Rd Suite 110 Door 2 Medina OH 44256 Single Specialty Outpatient ACHP Lisbon #45 400 N Market St Lisbon OH 44432 General Outpatient Services ACHP Austintown #40 5480 Norquest Blvd Austintown OH 44515 General Outpatient Services CHMCA North Canton Specialty Care #58 6200 Whipple Avenue SW Canton OH 44720 General Outpatient Services CHMCA MFM Medina #59 3985 Medina Rd Suite 200 Medina OH 44256 Single Specialty Outpatient Family Child Learning Center #50 143 Northwest Ave Bldg A Tallmadge OH 44278 General Outpatient Services CHMCA At St Elizabeth's #1 8401 Market St Boardman OH 44512 NICU Nursery CHMCA SCN Summa Akron City #2 525 E Market St Akron OH 44304 NICU Nursery CHMCA SCN CCAG #3 1 Akron General Avenue Akron OH 44307 NICU Nursery CHMCA Aultman #9 2600 6th Street SW Canton OH 44710 Pediatric Unit CHMCA Mercy Health St Joseph Hosp #6 667 Eastland Avenue SE Warren OH 44484 Pediatric Unit NICU Nursery CHMCA Wooster Community Hospital #20 1761 Beall Avenue Wooster OH 44691 NICU Nursery CHMCA Warren Urgent Care #46 5000 E Market St Wooster OH 44691 General Outpatient Services CHMCA Hudson Urgent Care #47 5655 Hudson Avenue Hudson OH 44236 General Outpatient Services CHMCA Mansfield Urgent Care #48 371 Cline Avenue Mnasfield OH 44907 General Outpatient Services Part I, Line 7 (a) Charity Care @ Cost We believe that applying a cost-to-charge ratio developed for the hospital facility from the Ohio Medicaid cost report to hospital charity charges, as reported in detail schedules used in the preparation of the Audited Consolidated Financial Statements and other information is the most accurate costing methodology to calculate gross charity care at cost for the period. Total hospital costs from the Ohio Medicaid cost report used in this calculation include only allowable and reimbursable costs. The Hospital Care Assurance Program (HCAP) is Ohio's methodology to provide additional payments to hospitals that provide a disproportionate share of uncompensated care to the indigent and uninsured. The estimated HCAP amount applicable to charity care is reported as direct offsetting revenue to charity care expense. Part I, Line 7 (b) Unreimbursed Medicaid & 7 (c) Other Means Tested We believe that reporting program charges, costs and payments directly from CHMCA's Ohio Medicaid cost report along with similar calculations for services rendered by hospital employed physicians and other professional providers and services rendered to out-of-state Medicaid enrollees is the most accurate methodology to calculate unreimbursed Medicaid and other means-tested government program costs. Medicaid costs reported as Total Community Benefit Expense have been reduced by estimated health professional costs included in the Ohio Medicaid cost report and Medicaid revenues reported as direct offsetting revenue has been reduced by estimated Medicaid revenues related to health professional education. To avoid double counting of costs reported elsewhere in this schedule, gross costs for other reportable items have been reduced by the total government payor mix percentage of (55.80%) as reported on our internal payor mix report. Part 1, Line 7g Subsidized Health Services Our expressive therapy center was built to enable children facing illness and their families to experience what it means to be human through whatever creative art inspires them. The children utilizing these services do not need to be a hospital patient. This service is not reimbursed by insurance and is a Non-Reimbursable Cost Center for Medicare. We recognize this as a Subsidized Health Service. Part I, Line 7f - Health Professions Education: The total costs of health professions education is reported as a total community benefit expense and direct offsetting revenues including Medicare and estimated Medicaid revenues related to health professional education. Part II - Community Building Activities Staying true to our mission, everything done by CHMCA is intended to benefit the communities we serve. Our primary benefit to each community is providing access to world-class health care to the children in the regions we serve. Our efforts include: A. Leadership development, under which we support various community-based programs that specifically develop community leaders, including such programs as Leadership Akron (for community leadership) and the Child & Family Leadership Exchange (for clinical and social service leadership). We support and are actively involved in initiatives such as Torchbearers, which is focused on developing and retaining strong community leadership. B. Coalitions and partnerships, in which CHMCA is strongly represented in committees and task forces are assigned to address specific health indicators and conditions. As a teaching hospital, we partner with dozens of higher education institutions in providing training and hands-on instruction and shadowing opportunities for students who embark on health care careers. C. General community support, under which we provide financial and staff support for various community based initiatives, generally related to the healthy development of young people and their families in the service area. D. Community health improvement, under which we support a number of multi-agency and governmental initiatives to encourage fitness activities, health screenings, and related activities. E. Workforce development through initiatives such as Akron Healthcare in Progress (HIP), a collaborative effort of primary, secondary, and higher education, and Akron area hospitals, aimed at exposing and preparing a diverse group of students, representative of the community, for careers in the full range of health care, from skilled trades to medicine and nursing, demonstrate our effort and commitment in developing and retaining continuing leadership. Part III, Line 2 & 4 - Bad Debt Expense Explanation We believe that applying a cost-to-charge ratio developed for the hospital facility from the Ohio Medicaid cost report to CHMCA's provision for bad debts is the most accurate costing methodology to calculate bad debt at cost for the period. Total hospital costs from the Ohio Medicaid cost report used in this calculation include only allowable and reimbursable costs. Therefore, the Cost To Charge Ratio multiplied by the Bad Debt Expense results in the cost of Bad Debt. The Hospital Care Assurance Program (HCAP) is Ohio's methodology to provide additional payments to hospitals that provide a disproportionate share of uncompensated care to the indigent and uninsured. Gross bad debt expense has been reduced by the estimated HCAP amount applicable to bad debt expense. The estimated amount of bad debt at cost attributable to patients eligible under the organization's charity policy is $-0-. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE AS DESCRIBED IN PART VI, ITEM 3 - PATIENT EDUCATION FOR ASSISTANCE IS PROVIDED. See Pages 12 & 13 to the footnotes to CHMCA's Audited Financial Statements that describe Charity Care and Bad Debt. CHMCA respectively submits that since we accept all patients, regardless of their ability to pay, that bad debts at cost, as reported herein, represent an unreimbursed cost of providing care to the patients we serve. Part III, Line 8 - Medicare Explanation We believe that reporting program charges, costs, and payments directly from CHMCA's Medicare cost report along with similar calculations for services rendered to patients enrolled in Medicare Advantage Plans and patients enrolled in TRICARE is the most accurate methodology to calculate unreimbursed Medicare and other means-tested government program costs. To avoid double counting of costs reported elsewhere in the Schedule, gross costs for other reportable items have been reduced by the total government payor mix percentage (55.80%) as reported on our internal payor mix report. CHMCA respectfully submits that its unreimbursed inpatient costs incurred in excess of the 1982 Tax Equity and Fiscal Responsibility Act(TEFRA) per discharge limit was $2,248,555, unreimbursed outpatient costs incurred in treating patients qualifying for Medicare End Stage Renal disease(ESRD), composite reimbursement was $143,335, unreimbursed costs of providing care to Medicare Advantage Plan enrollees was $89,684 and unreimbursed costs for Tricare patients was $102,794, for a total of $2,378,780. The unreimbursed inpatient costs are costs incurred primarily in the treatment of burn victims who are Medicare enrollees. The unreimbursed ESRD costs are costs incurred in excess of the composite rate reimbursement applicable to patients who receive outpatient maintenance dialysis. Part III, Line 9b - Collection Practices Explanation CHMCA's policy applies to all patients - insured, underinsured and uninsured. The policy outlines the statement cycle, once a self-pay balance is reached, a Patient's eligibility for Financial Assistance may be identified any time during the revenue cycle. If a Patient has been determined to meet Financial Assistance Guidelines, free or discounted care, the account will not be transferred to a collection agency. Part VI, Line 2 - Needs Assessment - Group A & B LINE 2 - NEEDS ASSESSMENT - Describe how CHMCA assesses the health care needs of the communities it serves. Akron (#1); Beeghly (#2). In addition to our community health needs assessment conducted in 2016, CHMCA conducted a community health needs assessment in 2013 to assess the primary service areas surrounding our Akron hospital campus in collaboration with Cleveland Clinic - Akron General and Summa Health System, The CHNA process concluded in 2013 with the report being made available to the community through our organizations websites. Along with the CHNAs, the hospital performs strategic planning as an ongoing process with annual updates. As part of the annual update, we review population and demographic changes in our larger service area, focusing particularly on children and families. We give attention to the provision of health care services throughout our region, looking at our own and those provided by other health care organizations, using statewide data including all pediatric hospital discharges by zip code of patient residence. We also carefully track the demand for and supply of physicians, nurses and allied health providers. We evaluated the need for primary, secondary and tertiary services throughout our service area. In addition, we engage in multiple efforts to gauge the needs of our community through periodic surveys of the population, focusing on parental awareness and preference of pediatric health care services, and again estimating actual use of services from all providers. We are actively represented in dozens of community groups, and gather input from these groups both by active participation and by collecting and reviewing comprehensive data sets and studies produced by such groups, including school districts, health and human service agencies, and charitable and advocacy groups. We make an effort to listen to our staff, seeking and receiving feedback from our approximately 7450 staff and thousands of volunteers, who collectively provide a rich source of information regarding community needs and opportunities. Finally, we actively solicit input from our patients and their parents from our Parent Advisory Committee and gathering feedback through patient survey results and via multiple written and electronic (web-based) tools. Part VI, Line 3-Patient Education of Eligibility for Assistance - A & B CHMCA provides education to patients to inform them that they may qualify for care at no charge or at a reduced charge in a variety of ways: - CHMCA has signage at its registration sites to inform patients that they may qualify for free hospital care. Applications for free care are available at registration sites and throughout the hospital (Required by the Ohio Medicaid Hospital Care Assurance (HCAP) rules). - CHMCA has information regarding eligibility for free care on billing statements mailed to patients and their guarantors. - CHMCA employs financial counselors to explain the hospital's free care, charity care, and the various public assistance programs to uninsured and underinsured patients. - CHMCA's website provides patients with information relating to the hospital's free care, charity care and various public assistance programs available. - CHMCA contracts with an independent vendor to screen patients for public assistance eligibility and completion as well as submission of public assistance applications. Part VI, Line 4 - Community Information - Group A Note: The most recent demographic information was taken during 2017. Medina County - There are approximately 178,371 people living in Medina County, which is an increase of 1.1% since our last CHNA in 2016. There are 3 cities, 6 villages, and 17 townships in Medina County, with the largest being Brunswick and the county seat being the City Of Medina. Compared to the State of Ohio, Medina County has a slightly larger proportion of children (under 18 years old) and older adults (65 years and older). In Medina county, 4.2% of the population is non-White, compared to 17.8% in the state. Educational attainment is higher than the State of Ohio, with 93.6% having a high school diploma or higher and 31.5% having a bachelor's degree or higher. Similarly, annual per capita income in Medina county is higher than the State of Ohio, and the percentage of Medina County residents living in poverty is less than half of that of the State. Portage County - There are approximately 162,277 people living in Portage County. This number is unchanged from 2016. There are 29 cities, villages, and townships in Portage County wirh the largest being the city of Kent and the county seat being Ravenna. Compared to the State of Ohio, Portage County has a smaller proportion of children(under 18 years old)and older adults (65 years or older). In Portage County, 8.7% of the population is non-White, compared to 17.8% in the State. Educational attainment is slightly higher in Portage County than in the State of Ohio, with 91% having a high school diploma or higher and 25.5% having a bachelor's degree or higher. Annual per capita income in Portage County is slightly higher than in the State of Ohio, but the percentage of Portage County residents living in poverty is only 1.6% lower than that of the State. Richland County - There are approximately 120,589 people living in Richland County, which is a 0.9% decrease from 2016. There are 29 cities, villages, and townships in Richland County, with the largest being the city of Mansfield. Compared to the State of Ohio, Richland County has a smaller proportion of children (under 18 years old) and older adults (65 years and older). In Richland County, 12.7% of the population is non-White, compared to 17.8% in the State. The percentage of residents with a high school diploma or higher is lower in Richland County than in the State overall, as is the percentage of residents with a bachelor's degree or higher. Annual per capita income is lower and the percentage of residents living in poverty in Richland County is higher than the State. Stark County - There are approximately 372,542 people living in Stark County, which is a 0.7% decrease from 2016. There are 36 cities, villages, and townships in Stark County, with the largest being the City of Canton. Compared to the State of Ohio, Stark County has a smaller proportion of children (under 18 years old) and a larger portion of older adults(65 years and older). In Stark County, 11.8% of the population is non-White, compared to 17.8% in the State. The percentage of residents with a high school diploma or higher is slightly higher in Stark County compared to the State but the percentage of residents with a bachelor's degree or higher is lower than the state. Annual per capita income and percentage of residents living in poverty in Stark County are lower than the state. Summit County - There are approximately 541,228 people living in Summit County, which is a 0.1% decrease from 2016. There are 31 cities, villages, and townships in Summit County, with the largest being the City of Akron. Compared to the State of Ohio, Summit County has a slightly smaller proportion of children (under 18 years old) and a slightly larger proportion of older adults (65 years and older). In Summit County, 21.3% of the population is non-White, compared to 17.8% in the state. Educational attainment is slightly higher in Summit County than in the state of Ohio, with 91% having a high school diploma or higher and 30.7% having a bachelor's degree or higher. Similarly, annual per capita income in Summit County is slightly higher than the State of Ohio, but the percentage of Summit County residents living in poverty is 0.3% lower than that of the State. Wayne County - There are approximately 116,038 people living in Wayne County, which is a decrease of .02% since 2016. There are 35 cities, villages, townships and unincorporated communities in Wayne County, with the largest being the City of Wooster. Compared to the State of Ohio, Wayne County has a higher proportion of children(under 18 years old) and older adults(65 years or older). In Wayne County, 4.6% of the population is non-White, compared to 17.8% in the State. Educational attainment is lower in Wayne County compared to the State of Ohio, with 85.4% having a high school diploma or higher and 21.5% having a bachelor's degree or higher. The annual per capita income in Wayne County is a bit higher than the State of Ohio, and the percentage of Wayne County residents living in poverty is lower than the State. Part VI, Line 5 - Promotion of Community Health - Groups A & B CHMCA intends that all of its activities either directly provide health care to all children who request our services or promote the health of the community, both by direct investments in the delivery of pediatric healthcare services and in providing specialized inpatient and outpatient care for patients of all ages throughout northeast Ohio. CHMCA was founded on the principle of serving the needs of the community. Within our doors, this means treating all children as if they were our own, turning no child or family away based upon their ability to pay. CHMCA's governing Board of Directors is comprised of members of the community that makes up the hospital's primary service area. These community board members are neither employees nor independent contractors of the organization, nor family members thereof. CHMCA extends medical staff privileges to all qualified physicians in the communities we serve. CHMCA's excellent reputation is the result of the skills and experience of our medical staff and the health professionals with whom we collaborate; We value our partnership with primary care physicians and referring providers and work together to coordinate the care of the children. Our efforts include: 1. CHMCA's Paul and Carol David Foundation Burn Institute provides specialized inpatient and outpatient care for burn victims of all ages throughout northeast Ohio. CHMCA is one of only two pediatric hospitals in the country that treats adult burn patients. 2. The Rebecca D. Considine Research Institute is the hub for research and innovation activity. The institute facilitates sponsored clinical studies as well as internal investigator-initiated research programs across a spectrum of research subjects. The institute also offers research-oriented educational opportunities for fellows, students and faculty from around the globe. 3. Adult Congenital Heart Service provides ongoing monitoring and specialized care for adults with congenital heart disease(CHD). As children with CHD become adults, they can access lifetime care through our center. 4. The Cystic Fibrosis (CF) Center provides diagnosis and treatment to children and adults with CF, including respiratory therapy, physical therapy, genetic counseling and nutrition counseling. The center also actively participates in clinical trials to research new drug therapies to manage Cystic Fibrosis. 5. The Genetic Center offers diagnostic evaluation and medical management of genetic conditions, birth defects and developmental delays, as well as genetic testing and genetic counseling for pediatric and adult patients. 6. Our Maternal Fetal Treatment Center provides Genetic Counseling and Obstetric/delivery services to high risk pregnant women in the region. 7. We also make major investments of our funds and other resources in the provision of education for lay and professional persons, and in research that will improve health care for all children. We take an active role in advocating for improved health and improved access to health care for all. Services and activities provided by CHMCA benefit and/or promote health to the residents in the communities we serve. The primary benefit to our communities is providing health care for more than 1,000,000 children visits annually. In addition, we also provide community building activities as depicted in Part II of this schedule. 8. CHMCA's Neonatology department offers intensive care to sick and premature newborns. On any given day, there are 45 to 60 babies receiving care in CHMCA's neonatal intensive care unit (NICU). About 1/4 of these infants have been in utero for fewer than 32 weeks, 5 weeks less than what is considered necessary for full gestation. Some of them are as young as 24 weeks and weigh in at less than a kilogram. CHMCA's neonatal team is committed to providing the most effective and efficient care for our tiniest patients, as well as providing parents with the emotional and practical support they need. To this end, CHMCA is part of the Vermont Oxford Network, a collaboration of health professionals from 850 NICUs around the world who focus on research, education and projects that improve the quality and safety of medical care for newborns and their families. CHMCA's neonatal expertise expands beyond the Level III NICU at our Akron campus. We also own and operate newborn special care nurseries at Cleveland Clinic Akron General Medical Center and Summa's Akron City Hospital in Akron; CHMCA's Beeghly campus in Youngstown; Wooster Community Hospital, St. Elizabeth Hospital and Warren Hospital. 9. A specially equipped ambulance and pediatric transport team handles the transfer of the newborns requiring the Level III neonatal intensive care provided at CHMCA in downtown Akron. 10. CHMCA is a level II pediatric trauma center, and participates in several research and quality performance efforts to better understand and address the needs of critically ill or injured patients. The Pediatric Intensive Care Unit (PICU) is an alpha site for the Virtual PICU Performance System, or VPS, a clinical quality collaborative aimed at standardizing data sharing for improved patient care among critical care units. 11. CHMCA's School Health Services supports the academic success of children through health promotion, education and child advocacy. School Health serves as a liaison among school staff, family, community and healthcare providers. CHMCA's pediatric registered nurses work closely with school staffs to ensure a comprehensive school health program is in place. With immediate access to pediatric healthcare professionals at CHMCA, schools are assured their program will effectively address the needs of their staff and students. Our School Health Services allows schools to focus on educating students, while we manage their district's medical needs. CHMCA employees have received through screening and background checks, reducing districts' liability. 12. CHMCA's Beeghly Campus, opened in December 2008 is the Mahoning Valley area's only Pediatric Hospital. This 43 bed pediatric hospital offers a full range of pediatric services to the children of the Mahoning Valley and surrounding areas. The hospital provides access to a 24/7 Emergency Department, Laboratory, Radiology, Outpatient Surgical Center, Endocrinology, Rehabilitation and EEG/Echo/EKG services, as well as a Hematology/Oncology Clinic, Infusion Center and Child Advocacy Center. Annually, the Beeghly campus sees the following patient encounters: 1,266 inpatient admissions, 37,774 emergency room visits, and 37,030 specialty visits. 13. Additionally, CHMCA brings pediatric primary care for babies, children and teens to many Northeast Ohio neighborhoods through our 27 Pediatrician Offices. Each office is staffed with experienced, Board Certified Pediatricians and experienced staff. 14. Also located in Mahoning Valley is the Community Outreach, Education & Support Center, which provides education and support for children and their families. These programs meet specified criteria of Nationally Accredited Disease Management Programs, as well as CHMCA's criteria and monitoring requirements. Our Community Health Outreach includes asthma and diabetes education and support, school programs, disease specific camps and support groups, fitness programs and education programs that touch more than 45,000 individuals annually.Parents and members of CHMCA's Family-Centered Care committee established The Parent Advisory Council (PAC) in 1995, as it still thrives today. It provides a way for parents and guardians to offer input on issues that impact the care of children. The council includes parents whose children have received care at CHMCA. Advisors will work with hospital liaisons to represent the voice of families as we work together to enhance the delivery of family-centered care. We also make major investments of our funds and other resources in the provision of education for lay and professional persons, and in research that will improve health care for all children. We take an active role in advocating for improved health and improved access to health care for all. Services and activities provided by CHMCA's benefit and/or promote health to the residents in the communities we serve. The primary benefit to our communities is providing over 1,000,000 health care visits. In addition, we also provide community building activities as depicted in Part II of this schedule. Part VI, Line 6 - Affiliated Health Care System - Groups A & B N/A Part VI, Line 7 - State Filing of community benefit report - Groups A & B Ohio Part VI Additional Information In addition to the locations listed in Part V, Section A and C, CHMCA has physicians providing a variety of subspecialty services at many other locations throughout Northeast Ohio and Western Pennsylvania. Note: Census and other data reported in Section Part VI is the most recent information available. Part VI, Line 4 - Community Information - Group B CHMCA in the Mahoning Valley has and continues to serve patients and families from many communities across the region. Most people who receive services from the hospital are residents of Mahoning, Trumbull or Columbiana Counties. Prior to the opening of this facility, the Appalachian Regional Development Act of 2008 (S. 496) was signed into law. One of the components of this legislation was addition of Mahoning and Trumbull Counties to the Appalachian Region. Mahoning, Trumbull and Columbiana Counties represent most of the primary service area of the Beeghly Campus, and now, with this act becoming law, all three counties that make up the primary service area of this facility are located within the Appalachian Region. Trumbull, Mahoning, and Columbiana Counties are classified by the Appalachian Regional Commission as being transitional - they have worse economic rates than the national average for one or more of three economic indicators (three-year average unemployment, per capita market income, and poverty) However, they don't rate low enough to be classified as distressed. The most recent demographic information was taken during 2017. Trumbull County - There are approximately 200,380 people living in Trumbull County, which is a decrease of 1.7 % since our last CHNA in 2016. There are 7 cities and 5 villages in Trumbull County, with the county seat being Warren. Compared to the State of Ohio, Trumbull County has a slightly smaller proportion of children(under 18 years old) and a larger proportion of older adults(65 years and older). In Trumbull County, 9.4% of the population is Black or African-American and 1.9% is Hispanic or Latino, compared to 12.9% and 3.8%, respectively, in the State of Ohio. Educational attainment in Trumbull County is lower than the State of Ohio, with 88.9% having a high school diploma or higher and 18% having a bachelor's degree or higher. Similarly, annual per capita income in Trumbull County is lower than the State of Ohio and the percentage of Trumbull County residents living in poverty is higher than that of the State. Mahoning County - There are approximately 229,796 people living in Mahoning County, which is a decrease of 0.9% since 2016. There are 7 cities and 7 villages in Mahoning County, with the largest being Youngstown. Compared to the state of Ohio, Mahoning county has a smaller proportion of children(under 18 years old) and a larger proportion of adults(65 years and older). 16% of the population is Black or African-American and 5.9% is hispanic or Latino, compared to 12.9% and 3.8% respectively, in the State of Ohio. The percentage of Mahoning County residents with a high school diploma or higher is a bit higher than the State of Ohio, but the percentage with a bachelor's degree or higher is lower than the State. The annual per capita income in Mahoning County is lower than the state of Ohio and the percentage of Mahoning County residents living in poverty is higher than the State average. Columbiana County - There are approximately 103,077 people living in Columbiana County, which is a decrease of 1.7% since 2016. There are 3 cities, 11 villages and 18 townships in Columbiana County, with the largest being Salem. Compared to the State of Ohio, Columbiana county has a smaller proportion of children(under 18 years old) and a larger proportion of older adults(65 years and older), Approximately 2.4% of the population in Columbiana County is Black or African-American and is 1.7% is Hispanic or Latino, compared to 12.9% and 3.8%, respectively, in the State of Ohio. The percentage of Columbiana County residents with a high school diploma or higher is lower than the State of Ohio and the percentage with a bachelor's degree or higher is nearly half the State average(13.9% versus 26.7%). The annual per capita income in Columbiana County is much lower than the State of Ohio and the percentage of Columbiana County residents living in poverty is higher than the State average. true AKRON CHILDREN'S HOSPITAL FOUNDATION ONE PERKINS SQUARE AKRON OH 44308 237114013 501(c)(3) 621795 GENL SUPPORT DEVELOPMENT FUND OF THE WESTERN RESERVE 47 N MAIN ST SUITE 407 AKRON OH 44308 452495397 501(c)(3) 100000 AKRON COMM REVITALIZATION FUND AMERICAN HEART ASSOCIATION 5455 NORTH HIGH STREET COLUMBUS OH 43214 135613797 501(c)(3) 25000 RESEARCH, EDUCATION AND COMMUNITY PROGRAMS TO FURTHER THE ONGOING FIGHT TO BUILD HEALTHIER LIVES, FREE FROM CARDIOVASCULAR DISEASES AND STROKE. FLASHES OF HOPE 36 SOUTH FRANKLIN STREET CHAGRIN FALLS OH 44022 043648694 501(c)(3) 9160 CANCER RESEARCH UNIVERSITY OF AKRON FOUNDATION DEPARTMENT OF DEVELOPMENT PO BOX 2203 AKRON OH 44325 346575496 501(c)(3) 5800 NURSING EDUCATION 5 PART I, LINE 2 CHMCA DONATES MONEY OCCASIONALLY TO PROGRAMS THROUGHOUT SUMMIT COUNTY THAT ARE ALSO 501(C)(3) ORGANIZATIONS. THE AMOUNTS DONATED TO THESE ORGANIZATIONS ARE MOSTLY IN SUPPORT OF MEDICAL AND NURSING EXCELLENCE IN THE COMMUNITY, ALONG WITH MEDICAL RESEARCH. X X true true X X X X X true true false false false false false true false WILLIAM CONSIDINE CHIEF EXECUTIVE OFFICER 1413827 0 450100 0 510390 0 61022 0 21712 0 2457051 0 0 0 SHAWN LYDEN EXECUTIVE VP 613254 0 135100 0 3782 0 18900 0 25355 0 796391 0 0 0 MICHAEL TRAINER CHIEF FINAN OFFICER/TREASURER 486453 0 115100 0 6187 0 18900 0 9878 0 636518 0 0 0 GRACE WAKULCHIK PRESIDENT 585750 0 150100 0 9544 0 158838 0 15161 0 919393 0 0 0 JOHN CROW MD CHAIRMAN,PEDIATRIC SURGERY 1117345 0 0 0 3612 0 18900 0 18804 0 1158661 0 0 0 NORMAN CHRISTOPHER MD CHAIRMAN, DEPT OF PEDS 492777 0 66153 0 5893 0 134250 0 33320 0 732393 0 0 0 ROBERT MCGREGOR MD CHIEF MEDICAL OFFICER 505374 0 120000 0 3231 0 18900 0 18499 0 666004 0 0 0 ANTHEA DANIELS VP - GENERAL COUNSEL 98138 0 25000 0 201 0 0 0 98 0 123437 0 0 0 LAURA POLLAUF MD PRESIDENT, MEDICAL STAFF 349873 0 10000 0 806 0 112155 0 29784 0 502618 0 0 0 LISA AURILIO CHIEF OPERATING OFFICER 380713 0 100000 0 718 0 95020 0 10702 0 587153 0 0 0 LINDA GENTILE VP, SUPPORT SERVICES 258721 0 51318 0 3078 0 139924 0 20577 0 473618 0 0 0 WALTER SCHWOEBLE TERM 82017 VP, HUMAN RESOURCES 245019 0 108500 0 111553 0 5365 0 20435 0 490872 0 0 0 CYNTHIA DORMO VP, DEPT OF PEDS 270036 0 54019 0 1727 0 201102 0 10507 0 537391 0 0 0 SHARON HRINA VP, MAHONING VALLEY ENTERPRISE 274835 0 52003 0 3307 0 75678 0 10642 0 416465 0 0 0 CRAIG MCGHEE VP, SURGICAL SUBSPECIALTY 230756 0 44502 0 1537 0 15702 0 18174 0 310671 0 0 0 OLIVER SOLDES MD PEDIATRIC GENERAL SURGEON 706986 0 58127 0 3318 0 16200 0 28255 0 812886 0 0 0 ANTON MILO MD DIRECTOR OF ENT 1341059 0 0 0 7482 0 18900 0 30968 0 1398409 0 0 0 TSULEE CHEN MD DIRECTOR, NEUROSURGERY 747285 0 140001 0 703 0 13500 0 10134 0 911623 0 0 0 SCOTT BOULANGER MD PEDIATRIC GENERAL SURGEON 754345 0 33750 0 1587 0 16200 0 11439 0 817321 0 0 0 ROBERT PARRY MD DIRECTOR, GENERAL SURGERY 828931 0 75001 0 7482 0 18900 0 29489 0 959803 0 0 0 LINDA HETSON VP PROFESSIONAL SERVICES 220419 0 39397 0 2978 0 305619 0 10419 0 578832 0 0 0 BERNETT WILLIAMS DIRECTOR 245283 0 45135 0 456 0 15977 0 16742 0 323593 0 0 0 Harun Rashid Chief Information Officer 325777 0 15000 0 2649 0 14211 0 18503 0 376140 0 0 0 Christine Young Chief Nursing Officer 196247 0 0 673 0 8137 0 18804 0 223861 0 0 0 Part I, Line 1a - Fringe or Expense Explanation William Considine, CEO and Shawn Lyden, Executive VP, had a 2017 country club membership that was used by them for business purposes. William Considine also received grossed up payments for his automobile, life and other insurance payments made by CHMCA. Part I, Line 4 - Severance, Nonqualified, and Equity Based Payments William Considine is a participant in the Supplemental Executive Retirement Plan as of January 1, 2010. The Plan is a nonqualified deferred compensation plan. It is an unfunded plan maintained primarily for the purpose of providing deferred compensation benefits. The participant receives credits in the plan for each full calendar year of service and he is 100% vested. The non-qualified deferred payment to William Considine in 2017 was $364,000. Walter Schwoeble, former key employee, received a severance payment of $108,154 during 2017. Part I, Line 7 - Non Fixed Payments Provided CHMCA does have contracts with certain physicians that earn bonuses based on Work Relative Value Units (WRVU's). Physicians work RVU: the relative level of time, skill, training and intensity to provide a given service. Each Current Procedural Terminology (CPT) code is targeted for review at least every five years to determine the work RVU for a particular service. A code with a higher RVU work takes more time, more intensity or some combination of the two. A AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT 341448680 009730MY5 2012-05-15 102559004 Refund prior issue to construct ne false false false B AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT 341448680 009730NB4 2013-05-05 101377818 Construction of Critical Care Towe false false false C AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT 341448680 000000000 2013-11-14 27405000 Refund Prior Issue false false false A 80432291 0 102559004 0 1010250 0 1116463 0 0 20000000 80432291 0 2013 true false true true B 0 0 101377818 0 10229217 0 1148601 0 0 90000000 0 0 2015 false false true true C 0 0 27405000 0 280035 0 0 0 0 0 27124965 0 2013 true false true true A false false true true false 0 false false false true B false false true true false 0 false false false true C false false true true false 0 false false false true A false false false true false false 0 false 0 false true B false false false true false false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true PART 1(f)A FROM THE $102,559,004 PROCEEDS, $80,432,921 WAS USED TO REFUND THE SERIES 2001 BONDS AND $20,000,000 WAS USED FOR CONSTRUCTION OF A NEW PARKING GARAGE ON THE AKRON CAMPUS CONTAINING APPROXIMATELY 1200 SPACES AND CONNECTED TO THE NEW CRITICAL CARE TOWER. THE DATE THE REBATE COMPUTATION WAS PERFORMED WAS 02/13/2017 PART 1(f)B $101,377,818 WAS USED TO CONSTRUCT AN APPROXIMATELY 366,000 SQUARE FOOT CRITICAL CARE TOWER ON THE AKRON CAMPUS. THE DATE THE REBATE COMPUTATION WAS PERFORMED WAS 03/13/2017 PART 1(f)C $27,405,000 OF BOND PROCEEDS REFUNDED THE SERIES 2003 BONDS AND IS HELD BY KEY GOVERNMENT FINANCE, INC. CATHRYN O'MALLEY FAMILY MEMBER OF WILLIAM CONSIDINE, CHIEF EXECUTIVE OFFICER 109219 COMPENSATION false LAURIE SCHUELER FAMILY MEMBER OF DUANE ISHAM, BOARD DIRECTOR 42867 COMPENSATION false SCHEDULE L, PART IV Form 990, Part III, Line 4d - All Other Accomplishments Children's Hospital Medical Center of Akron ("CHMCA") operates one of the largest pediatric primary care networks in nine different counties including Summit, Columbiana, Cuyahoga, Mahoning, Medina, Stark, Wayne, Tuscawaras and Portage. The pediatricians and staff at Akron Children's Hospital Pediatrics ("ACHP") maintain cooperative relationships with many area health providers, including several hospitals. Patient care is available 24 hours a day through the physician office; Children's After Hours, a 24-hour nurse triage phone line; and CHMCA. By sharing information between our offices and with area health care providers, we ensure that all children receive the finest care - from preventative checkups to treatment for chronic health problems. ACHP visits were 450,633 and 430,539 for 2017 and 2016 respectively. The Surgical Services Department at CHMCA performs general and specialized surgical procedures each year, ranging from uncomplicated tonsillectomies to neurosurgery, open heart, orthopedic, and plastic and reconstructive surgery to children in the serving areas. Total surgical cases for 2017 and 2016 were 17,068 and 16,897, respectively. The entire staff at CHMCA, from pediatric surgeons to pediatric anesthesiologists and nurses are carefully trained in meeting the unique surgical needs and concerns of children and their families. The pediatric anesthesiologists are experienced at helping a child go to sleep with as little anesthesia as possible. They understand the medical differences between children and adults. Special equipment and techniques suited to the size of the patient, from infants to young adults, help assure successful outcomes to the surgery and anesthesia. Form 990, Part VI, Line 6 - Classes of Members or Stockholders The duly elected, qualified and acting Directors and the active members of the Women's Board of Akron Children's Hospital are members of the Corporation. Form 990, Part VI, Line 7a - Election of Members and Their Rights The number of the Directors of CHMCA shall be set by the members. Five of the members shall consist of the Women's Board of CHMCA. The President of the Medical Staff shall be a member of the Board of Directors. The remaining members of the Board of Directors shall be elected by the members of CHMCA. A director shall be elected for a three-year term, but a person may be nominated for and elected to a shorter term so that the terms of approximately one-third of the directors shall expire each year. Each director shall serve until his successor is elected and qualified. Upon unanimous resolution of the members, a person who has rendered long and outstanding service to the Hospital may be elected to a life term as a director. The director's responsibilities include: (1) to ensure the Hospital is meeting the community's health needs and is informed about the availability of the Hospital's services; (2) believe strongly in the Hospital's mission and serve as active public advocates for the Hospital; (3) establish goals and policies for the Hospital; (4) work with the Hospital President to develop and update long-range plans and provide for financial stability; (5) identify, recruit and select new Directors; (6) periodically evaluate the performance of Director Committees, individual Directors and Board of Directors performance as a whole; (7) select and evaluate the President and Chief Executive Officer; (8) approve Medical Staff appointments and privileges; (9) maintain authority for the overall functioning and support of a Hospital-wide quality assurance program; and (10) participate in and provide leadership for Hospital fund-raising programs. The Corporate powers, property, and affairs of CHMCA shall be exercised, conducted, and controlled by the Directors. The Directors shall elect the members of the Executive Committee of the Board. Form 990, Part VI, Line 7b - Decisions Subject to Approval of Members Subject to the direction and control of the Directors, or the Executive Committee of the Board, the management of the Hospital shall be vested in the President and Chief Executive Officer. The Chief Executive Officer shall, in all matters pertaining to Hospital administration, directly represent the Executive Committee of the Board of Directors and shall be responsible to them respectively for the proper performance of her duties. It shall be the duty of the Chief Executive Officer to make known and enforce all rules and regulations which shall be made by and under the authority of the Directors or the Executive Committee of the Board. In all cases of disputed authority, or uncertainty as to the meaning of these regulations, the decision of the Chief Executive Officer is absolute until a ruling is rendered by the Executive Committee of the Board of Directors. Form 990, Part VI, Line 11b - Organization's Process to Review Form 990 The Form 990 is provided to the Audit Committee and Chairman of the Board of Directors 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, Line 12c - Enforcement of Conflicts Policy It is CHMCA's policy that all employees disclose real and apparent conflicts of interest as a condition of employment with CHMCA. CHMCA also requires that each employee disclose in writing, annually, to the President a list of all businesses or other organizations in which he/she 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, or a question of duality of interest, and, as such, potential for a conflict of interest, it is the primary responsibility of the individual directly involved and responsibility of other personnel, to the extent that they become aware of a duality of interest, to make immediate and complete disclosure to the appropriate Vice President. He/she will review the situation with the Vice President of Corporate Services who will present it to the President or his designee. It is the responsibility of the President or his designee to evaluate any circumstances in which a duality of interest exists, (if known, when disclosed or undisclosed), to determine whether such conflict is so substantial that it is deemed to be detrimental to CHMCA. Any employee who is directly or indirectly involved in a situation which represents a duality of interest, and as such, a potential conflict of interest, will abide by the following policies: (1) Individual will not be permitted access to any information which may provide an unfair advantage to that individual or the firm he/she represents. (2) Individual will be required to withdraw from any meeting in which the matter is discussed. (3) Individual will not be permitted to participate in deliberation or vote on the matter and will be required to leave the room during voting. (4) Any employee is expressly prohibited from releasing any "sensitive information" regarding a decision made or being considered to any person who may have a duality of interest, and as such, a potential conflict of interest. (5) Any attempt on the part of an employee to unfairly influence or impact the decision making process in favor of personal interest may be considered breach of trust and may be cause for removal from his/her position of responsibility or other disciplinary action up to and including discharge. Form 990, Part VI, Line 15a-Compensation Process for Top Official CHMCA's executive total compensation program is governed by the Compensation Committee (Committee) of the Board of Directors. Key Committee responsibilities include: (a) ensure executive total compensation is appropriate in light of CHMCA's mission and values, and (b) approve an executive compensation philosophy, the associated programs, and all compensation actions for individual executives. The Committee is comprised of independent members of CHMCA's Board who have no personal interest in any executive compensation transaction. Should a potential conflict of interest be identified, the Committee determines the extent of the conflict and the means to address it. In certain cases, a Committee member may be asked not to participate in discussions of, or vote on, a particular compensation transaction. The Committee follows all steps required by the Internal Revenue Service to qualify for the safe harbor under the Intermediate Sanctions regulations. The Committee reviews market compensation data for comparable positions at similar organizations which are compiled by an independent consultant. The Committee uses the data to make executive decisions and documents its compensation deliberations and decisions in a timely manner. Form 990, Part VI, Line 15b - Compensation Process for Officers An independent salary survey was completed in 2017 and recommendations were provided and presented by the independent consultant to the Committee for approval. Form 990, Part VI, Line 9 - Governing Documents Disclosure Explanation Children's Hospital Medical Center of Akron Board of Director, Robert T. Stone. M.D. deceased on 5/7/18. Form 990, Part VI, Line 19 - Governing Documents Disclosure Explanation CHMCA MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE 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. Form 990, Part XI, Line 9 - Reconciliation of other changes in net assets $17,421,642 Investment in Foundation -2,843,252 Adjustment - ASC - OPEB 25,141 Adjustment - ASC - Pension 2,450,856 Hemophilia Treatment Center Net Income -1,852,583 Equity Transfer to Children's Home Care -1,271 Partnership Income $15,200,533 Total AKRON CHILDREN'S HOSPITAL FOUNDATION ONE PERKINS SQUARE AKRON OH 44308 237114013 FOUNDATION OH 501(c)(3) 7 CHMCA true CHILDREN'S HOME CARE GROUP ONE PERKINS SQUARE AKRON OH 44308 341575266 HOME CARE OH 501(c)(3) 12a CHMCA true CHILD DIMENSIONS INSURANCE COMPANY ONE PERKINS SQUARE AKRON OH 44308 030317160 INSURANCE OH 501(c)(3) 12a CHMCA true false true true false false false false false false false false false true true true true false false CHILDREN'S HOME CARE GROUP O 7943122 ACTUAL PER GL CHILDREN'S HOME CARE GROUP Q 7943122 ACTUAL PER GL AKRON CHILDREN'S HOSPITAL FOUNDATION P 11928374 ACTUAL PER GL AKRON CHILDREN'S HOSPITAL FOUNDATION C 4804887 ACTUAL PER GL AKRON CHILDREN'S HOSPITAL FOUNDATION C 3153005 ACTUAL PER GL AKRON CHILDREN'S HOSPITAL FOUNDATION O 4400844 ACTUAL PER GL AKRON CHILDREN'S HOSPITAL FOUNDATION B 621795 ACTUAL PER GL CHILDREN'S HOME CARE GROUP N 608132 ACTUAL PER GL