CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON (EIN 34-0714357)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-13
IRS object ID
201433179349301148
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

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Return2014-11-13T11:16:03-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

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Address Line141 SOUTH HIGH STREET SUITE 1100AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
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Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

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EIN340714357EIN

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Business Name Line1Children's Hospital Medical Center of AkronBusinessNameLine1
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In Care Of% ALICIA LAMANCUSAInCareOfNm
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Phone3305438171PhoneNum

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CityAKRONCity
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ZIP Code443081062ZIPCode

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PersonMICHAEL P TRAINERPersonNm
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Phone3305434251PhoneNum
Signature2014-11-13SignatureDt
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Preparation2014-11-13PreparationDt
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Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

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Principal OfficerWILLIAM CONSIDINEPrincipalOfficerNm

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Address Line1ONE PERKINS SQUAREAddressLine1
CityAKRONCity
StateOHState
ZIP Code44203ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$755,838,346GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressAKRONCHILDRENS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1897FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE O, ATTACHMENT 1ActivityOrMissionDesc
Voting Members Governing Body33VotingMembersGoverningBodyCnt
Voting Members Independent22VotingMembersIndependentCnt
Total Employee5046TotalEmployeeCnt
Total Volunteers1360TotalVolunteersCnt
Total Gross UBI$575,673TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$25,919NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,220,171PYContributionsGrantsAmt
CY Contributions Grants$10,773,862CYContributionsGrantsAmt
PY Program Service Revenue$553,627,294PYProgramServiceRevenueAmt
CY Program Service Revenue$594,700,801CYProgramServiceRevenueAmt
PY Investment Income$8,513,950PYInvestmentIncomeAmt
CY Investment Income$9,825,023CYInvestmentIncomeAmt
PY Other Revenue$5,102,036PYOtherRevenueAmt
CY Other Revenue$4,932,711CYOtherRevenueAmt
PY Total Revenue$577,463,451PYTotalRevenueAmt
CY Total Revenue$620,232,397CYTotalRevenueAmt
PY Grants And Similar Paid$3,054,261PYGrantsAndSimilarPaidAmt
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PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
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PY Salaries Comp Emp Bnft Paid$345,699,871PYSalariesCompEmpBnftPaidAmt
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PY Other Expenses$196,448,680PYOtherExpensesAmt
CY Other Expenses$205,118,776CYOtherExpensesAmt
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CY Total Expenses$578,054,703CYTotalExpensesAmt
PY Revenues Less Expenses$32,260,639PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$42,177,694CYRevenuesLessExpensesAmt
Total Assets BOY$790,401,684TotalAssetsBOYAmt
Total Assets EOY$991,299,797TotalAssetsEOYAmt
Total Liabilities BOY$395,714,258TotalLiabilitiesBOYAmt
Total Liabilities EOY$448,720,836TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$394,687,426NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$542,578,961NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") IS TO PROVIDE QUALITY MEDICAL AND SURGICAL CARE FOR BABIES, CHILDREN, ADOLESCENTS, AND BURN VICTIMS OF ALL AGES, REGARDLESS OF ABILITY TO PAY; MULTI-LEVEL PROFESSIONAL EDUCATION FOR STUDENTS OF MEDICINE, NURSING AND VARIOUS ALLIED HEALTH PROFESSIONALS; BASIC AND CLINICAL RESEARCH INTO THE CAUSES, TREATMENT AND CURE OF CHILDHOOD ILLNESS, INJURY AND BURN INJURY; COMMUNITY SERVICE INTENDED TO IMPROVE HEALTH STATUS THROUGH LAY EDUCATION; CHILD AND FAMILY ADVOCACY EFFORTS TO IMPROVE THE STATUS OF CHILDREN AND ADOLESCENTS IN OUR REGION OF SERVICE. CHMCA PROVIDES QUALITY AND SAFETY FIRST. WE ENCOURAGE PARENTS AND CAREGIVERS TO PLAY AN ACTIVE ROLE WITH THE HEALTH TEAM TO MAKE SURE YOU ARE HEARD, THE CHILD WILL BE SAFE, AND YOUR CHILD IS IN EXPERT HANDS. WE MAKE EVERY EFFORT TO MAINTAIN AND IMPROVE THE QUALITY AND SAFETY OF THE CARE WE DELIVER. THIS EFFORT IS A KEY PART OF OUR WORK. WE, AT CHMCA; * ENCOURAGE AND EXPECT QUESTIOMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$155,682,129ExpenseAmt
Revenue$114,073,646RevenueAmt
DescProgram 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, regardless of the ability to pay, 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, ENT, Maternal Fetal Medicine, Care Center, Gastroenterology, Urology, Sports Medicine, Neurology, Nephrology, Endocrinology, Adolescent Medicine, Infectious Diseases, Hematology Services, Pulmonary Medicine, Palliative Care Program, Oak Adoptive Health Center, Locust Pediatrics, Rheumatology, Clinical Pharmacology and Toxicology, Psychiatric Services, Genetics, Orthopedics and Skeletal Dysplasis. CHMCA has earned Best Children's Hospital rankings by US News & World Report in 7 of the 10 specialties. These include cancer, diabetes and endocrinology, neonatology, neurology and neurosurgery, orthopedics, pulmonary and urology. 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, hemogloginopathies 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. Our cancer program in one of only 12 Pediatric Cancer Programs in the country as verified by the American College of Surgeons Commission on Cancer. 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 Neonatology department offers intensive care to sick and premature newborns. On any given day, there are 45 to 50 babies receiving care in the 59-bed neonatal intensive care unit (NICU). CHCMA's NICU team is committed to providing the most effective and efficient care for our tiny patients, as well as providing parents with the emotional and practical support they need. CHMCA is part of the Vermont Oxford Network, a data-sharing collaboration of health professionals from 850 NICU's 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 Akron General Medical Center and Summa's Akron City Hospital in Akron; Akron Children's Beeghly Campus in Boardman; and St. Elizabeth Boardman Health Center. A specially equipped ambulance and pediatric transport team handles the transfer of the newborns requiring Level III neonatal intensive care provided at CHMCA's in downtown Akron. Research, education and quality improvement projects are integral to the department of Neonatology. 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. CHCMA'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 musculskeletal 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. CHCMA'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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$97,954,730ExpenseAmt
Revenue$156,107,090RevenueAmt
DescProgram Achievement #2 - Inpatient Services 2013 2012 Total Inpatient Days 70,418 71,099 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 accomodations 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 some of the following divisions: Neonatal Intensive Care Unit, Pediatric Intensive Care Unit, Psychiatric Care, Regional Burn Center, and Trauma Services. A 59-bed Regional Neonatal Intensive Care Unit (NICU) was opened in 1993. The NICU is designated as a Level III tertiary neonatal unit in Ohio's Perinatal Region VI. A neonatologist is present in-house and around the clock, seven (7) days a week for referral and consultation. 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. The Level III unit is divided into two sections: (1) intensive care and (2) sub-intensive care. Sub-intensive care includes convalescent care for babies ready to go home, as well as transitional level care babies who have been here for an extended period of time. 2013 2012 Total NICU patient days: Neonatal at Akron 17,904 18,295 Neonatal at AGMC 3,477 3,893 Neonatal at St. E's 6,323 5,440 Neonatal at Beeghly 3,870 3,563 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 20,045 and 19,435 in 2013 and 2012, respectively. Since 1978, the Burn Institute has provided specialized care for burn victims of all ages throughout Northeastern Ohio. CHMCA is one of only two pediatric hospitals in the country that treat adult burn patients. The Burn Institute 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 accomodations for one parent or family member. Each room is divided into zones designed to meet the needs of the patient, family and burn care team. The unit 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 2,493 and 2,723 for 2013 and 2012, 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 95,676 visits during 2013. 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. The Division of Emergency/Trauma boasts one of the nation's first and most successful suture programs using specially trained technicians and nurses to do most of the suturing of lacerations in the emergency setting. They see between 400-750 patients per month who need stitches. 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$66,498,268ExpenseAmt
Revenue$151,855,081RevenueAmt
DescProgram 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 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 cerobrospinal fluid specimens. In addition to routine chemistries, testing is performed for therapeutic and immunosuppresive 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 CAQ credentials inclusive of expertise in specific radiology subspecialty areas of imaging. In 2008, CHMCA opened our 32-bed acute care Akron Children's Hospital of Mahoning Valley, serving the needs of pediatric patients in the Youngstown and surrounding areas. We opened a fully-equipped Radiology Department which includes all diagnostic imaging services that are offered on our main Akron campus. 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 nine 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 staffs 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.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$146,206,548$1,393,760$158,669,343Other Net Patient Services
$13,995,641Miscellaneous Department
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$146,206,548TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$1,393,760TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$172,664,984TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$466,341,675TotalProgramServiceExpensesAmt
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Books In Care Of Detail BooksInCareOfDetail

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Form990 Part VII Section A Form990PartVIISectionAGrp (49 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
WILLIAM CONSIDINE
PRESIDENT & CEO40.010.0Yes (X)Yes (X)$1,785,893$0-$2,761
JOHN CROW MD
CHAIRMAN,PEDIATRIC SURGERY40.01.0Yes (X)$810,788$0$14,887
NORMAN CHRISTOPHER MD
CHAIRMAN, DEPT OF PEDS40.00.0Yes (X)$435,698$0-$1,634
ROBERT MCGREGOR MD
CHIEF MEDICAL OFFICER40.00.0Yes (X)$367,689$0$20,038
JEFFREY HORD MD
DIRECTOR, HEMATOLOGY40.00.0Yes (X)$333,271$0$6,497
MARY LINK
DIRECTOR, GENERAL COUNSEL40.02.0Yes (X)Yes (X)$322,822$0$16,682
MARY TOTH MD
DIRECTOR, RHEUMATOLOGY40.00.0Yes (X)$295,090$0$25,962
ROBERT STONE MD
ASST CHAIR, COMM AFFAIRS40.01.0Yes (X)$117,828$0-$5,701
RICHARD GRIGG
DIRECTOR/CHAIRMAN25.01.0Yes (X)Yes (X)$0$0$0
ROBERT TRABUCCO
DIRECTOR/VICE CHAIRMAN10.00.0Yes (X)Yes (X)$0$0$0
STEPHEN MYERS
DIRECTOR/VICE CHAIR OF FINANCE8.00.0Yes (X)Yes (X)$0$0$0
LAURA SHEEKS
DIRECTOR/SECRETARY2.00.0Yes (X)Yes (X)$0$0$0
ELINORE MARSH STORMER
DIRECTOR3.00.0Yes (X)$0$0$0
VIRGINIA ALBANESE
DIRECTOR6.00.0Yes (X)$0$0$0
ROBERT BERK
DIRECTOR5.00.0Yes (X)$0$0$0
SUSAN BERK
DIRECTOR17.01.0Yes (X)$0$0$0
JOHN P DELANEY
DIRECTOR1.01.0Yes (X)$0$0$0
PATRICIA GRANT
DIRECTOR2.00.0Yes (X)$0$0$0
WILLIAM HOPKINS
DIRECTOR6.00.0Yes (X)$0$0$0
ELLEN VOLLMAN
DIRECTOR1.00.0Yes (X)$0$0$0
DUANE ISHAM
DIRECTOR12.02.0Yes (X)$0$0$0
DALE KOBLENZER
DIRECTOR7.00.0Yes (X)$0$0$0
SCOTT LEVIN
DIRECTOR4.00.0Yes (X)$0$0$0
MELISSA MCGINNES
DIRECTOR13.01.0Yes (X)$0$0$0
PHILIP MAYNARD
DIRECTOR14.016.0Yes (X)$0$0$0
GREGORY MCDERMOTT
DIRECTOR13.01.0Yes (X)$0$0$0
VIVIAN CELESTE NEAL
DIRECTOR3.00.0Yes (X)$0$0$0
RICHARD ROGERS
DIRECTOR3.00.0Yes (X)$0$0$0
DONALD SCHNEIDER
DIRECTOR2.00.0Yes (X)$0$0$0
DAVID SHOWERS
DIRECTOR3.00.0Yes (X)$0$0$0
DARREN WELLS
DIRECTOR3.00.0Yes (X)$0$0$0
WILLIAM WOOLDREDGE
DIRECTOR10.02.0Yes (X)$0$0$0
JOHN ORR
DIRECTOR1.00.0Yes (X)$0$0$0
SHAWN LYDEN
EXECUTIVE VP40.02.0Yes (X)$626,975$0$35,308
MICHAEL TRAINER
CHIEF FINANCIAL OFFICER40.012.0Yes (X)$537,477$0$32,991
GRACE WAKULCHIK
CHIEF OPERATING OFFICER40.04.0Yes (X)$511,204$0-$11,228
THOMAS OGG
CHIEF INFORMATION OFFICER40.00.0$354,414$0$19,228Yes (X)
AMY MANEKER
CHIEF MEDICAL INFOR OFFICER40.00.0$329,673$0$6,969Yes (X)
LISA AURILIO
VP, PATIENT SERVICES40.04.0$306,517$0$25,083Yes (X)
LINDA GENTILE
VP, SUPPORT SERVICES40.00.0$261,869$0$51,240Yes (X)
WALTER SCHWOEBLE
VP, HUMAN RESOURCES40.00.0$340,475$0$31,774Yes (X)
CYNTHIA DORMO
VP, DEPT OF PEDS40.00.0$276,803$0$66,410Yes (X)
SHARON HRINA
VP, MAHONING VALLEY ENTERPRISE40.00.0$268,965$0$67,945Yes (X)
CRAIG MCGHEE
VP, SURGICAL SUBSPECIALTY40.00.0$179,878$0$14,803Yes (X)
ROGER HUDGINS MD
DIRECTOR OF NEUROSURGERY40.00.0$1,469,430$0$17,550Yes (X)
ANTON MILO MD
DIRECTOR OF ENT40.00.0$1,346,971$0$24,460Yes (X)
MARK MCCOLLUM MD
GENERAL PEDIATRIC SURGEON40.00.0$1,114,061$0$25,246Yes (X)
PHILIP SMITH MD
DIRECTOR OF HEART CENTER40.00.0$1,062,358$0$18,459Yes (X)
ROBERT PARRY MD
GENERAL PEDIATRIC SURGEON40.00.0$888,772$0$25,470Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$14,344,921TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$525,678TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K484IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
WELTYBOLDT LLC
3421 RIDGEWOOD RD SUITE 200FAIRLAWNOH44333CONSTRUCTION CO$25,422,925
MARCUS THOMAS LLC
4781 RICHMOND ROADCLEVELANDOH44128BROADCAST MEDIA$4,531,096
WADSWORTH PEDIATRICS
1225 HIGH STREETWADSWORTHOH44281PHYSICIAN FEES$1,586,847
WELTY BUILDING COMPANY
3421 RIDGEWOOD ROADFAIRLAWNOH44333CONSTRUCTION CO$1,039,696
PEDIATRIX MEDICAL GROUP
PO BOX 281034ATLANTAGA303841034PHYSICIAN FEES$691,500
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K25CntrctRcvdGreaterThan100KCnt
Fundraising$260,277FundraisingAmt
Related Organizations$6,051,071RelatedOrganizationsAmt
Government Grants$3,717,819GovernmentGrantsAmt
All Other Contributions$744,695AllOtherContributionsAmt
Total Contributions$10,773,862TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SUBSPECIALTY PHYSICIANS900099$114,073,646$114,073,646
INPATIENT SERVICES900099$156,107,090$156,107,090
ANCILLARY621500$151,855,081$151,855,081
OTHER NET PATIENT SERVICES900099$158,669,343$158,669,343
MISCELLANEOUS DEPARTMENT REVENUE900099$13,995,641$13,995,641
FieldValueIRS element (for citing)
Total Program Service Revenue$594,700,801TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,705,940TotalRevenueColumnAmt
Exclusion$3,705,940ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$140,385,927SecuritiesAmt
Other$13,400OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$134,263,390SecuritiesAmt
Other$16,854OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$6,122,537SecuritiesAmt
Other-$3,454OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,119,083TotalRevenueColumnAmt
Exclusion$6,119,083ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$1,345,214FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$260,277ContriRptFundraisingEventAmt
Fundraising Direct Expenses$1,325,705FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,509TotalRevenueColumnAmt
Exclusion$19,509ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA722210$3,237,450$3,237,450
PARKING DECK812930$1,100,079$1,100,079
PHARMACY446110$575,673$575,673
FieldValueIRS element (for citing)
Other Revenue Total$4,913,202OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$620,232,397TotalRevenueColumnAmt
Related Or Exempt Func Income$594,700,801RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$575,673UnrelatedBusinessRevenueAmt
Exclusion$14,182,061ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,393,760TotalAmt
Program Services$1,393,760ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,877,821TotalAmt
Program Services$2,677,395ProgramServicesAmt
Management And General$6,200,426ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$100,380TotalAmt
Management And General$100,380ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$281,174,051TotalAmt
Program Services$249,721,104ProgramServicesAmt
Management And General$31,452,947ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$25,947,447TotalAmt
Program Services$22,626,177ProgramServicesAmt
Management And General$3,321,270ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$37,438,993TotalAmt
Program Services$29,414,219ProgramServicesAmt
Management And General$8,024,774ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$18,003,475TotalAmt
Program Services$15,594,901ProgramServicesAmt
Management And General$2,408,574ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$684,182TotalAmt
Program Services$61,609ProgramServicesAmt
Management And General$622,573ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$380,970TotalAmt
Management And General$380,970ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$132,000TotalAmt
Management And General$132,000ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$458,150TotalAmt
Management And General$458,150ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$30,466,206TotalAmt
Program Services$22,231,033ProgramServicesAmt
Management And General$8,235,173ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,754,600TotalAmt
Program Services$140,043ProgramServicesAmt
Management And General$6,614,557ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,546,853TotalAmt
Program Services$7,397,658ProgramServicesAmt
Management And General$2,149,195ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,330,907TotalAmt
Management And General$6,330,907ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,546,139TotalAmt
Program Services$8,156,400ProgramServicesAmt
Management And General$1,389,739ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,981,170TotalAmt
Program Services$2,843,840ProgramServicesAmt
Management And General$2,137,330ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,578,559TotalAmt
Management And General$4,578,559ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$37,112,098TotalAmt
Program Services$19,525,435ProgramServicesAmt
Management And General$17,586,663ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$11,186,429TotalAmt
Program Services$11,186,429ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL/SURGICAL SUPPLIES$49,691,283$49,559,829$131,454
EQUIPMENT RENTAL/MAINTENANCE$15,279,302$7,183,537$8,095,765
PROVISION FOR FRANCHISE FEE$9,036,494$9,036,494
PROVISION FOR HCAP$2,812,546$2,812,546

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,140,888TotalAmt
Program Services$4,779,266ProgramServicesAmt
Management And General$1,361,622ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$578,054,703TotalAmt
Program Services$466,341,675ProgramServicesAmt
Management And General$111,713,028ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$26,980BOYAmt
EOY$27,930EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$25,455,360BOYAmt
EOY$37,863,073EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$78,064,934BOYAmt
EOY$79,248,264EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$16,962,056BOYAmt
EOY$20,164,181EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,588,486BOYAmt
EOY$6,348,662EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,214,851BOYAmt
EOY$5,335,245EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$663,753,984LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$382,384,716LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$242,015,984BOYAmt
EOY$281,369,268EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$303,012,990BOYAmt
EOY$420,887,003EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$9,093,470BOYAmt
EOY$9,596,080EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$104,966,573BOYAmt
EOY$130,460,091EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$790,401,684BOYAmt
EOY$991,299,797EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$88,390,684BOYAmt
EOY$92,549,950EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$130,829,069BOYAmt
EOY$228,251,043EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$176,494,505BOYAmt
EOY$127,919,843EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$395,714,258BOYAmt
EOY$448,720,836EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$344,595,513BOYAmt
EOY$476,691,196EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$39,184,648BOYAmt
EOY$54,150,020EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,907,265BOYAmt
EOY$11,737,745EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$394,687,426BOYAmt
EOY$542,578,961EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$790,401,684BOYAmt
EOY$991,299,797EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$42,177,694ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$11,861,523NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$93,852,318OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$124,889GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$132,000OtherActivitiesAmt
Total Lobbying Expenditures$256,889TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1FormAndLineReferenceDesc
ExplanationCHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") PAID A TOTAL OF $587,214 TO OTHER ORGANIZATIONS. OF THAT AMOUNT, $330,425 PERTAINED TO DUES, $124,889 RELATED TO VARIOUS LOBBYING EXPENSES AND $132,000 WAS PAID OUT FOR LOBBYING EFFORTS AND VARIOUS COMMUNICATIONS THEY HAD ON BEHALF OF CHMCA WITH LEGISLATURES. THOSE COMMUNICATIONS AND LOBBYING EFFORTS INVOLVE THE FOLLOWING: * THE LOBBYIST CONDUCTED WEEKLY CALLS TO THE CENTER FOR MEDICARE AND MEDICAID SERVICES ("CMS") FOR UPDATES ON THE TAX EQUITY AND FISCAL RESPONSIBILITY ACT ("TEFRA") REBASING REVIEW. * BEGAN DISCUSSIONS WITH CONGRESSMAN TIM RYAN TO EXPLORE OPTIONS FOR CONGRESSIONAL INTERVENTION WITH CMS ON THE TEFRA ISSUE. * WORKED WITH THE OHIO CHILDREN'S HOSPITAL ASSOCIATION ON 340(B) ISSUE AND ENGAGED IN OUTREACH TO MEMBERS AND STAFF (IN OHIO AND ACROSS THE COUNTRY) TO BRING AWARENESS TO THE HEALTH RESOURCES AND SERVICES ADMINISTRATION AGENCY POLICY NOTICE THAT THREATENED 340(B) ELIGIBILITY FOR CHMCA AND MANY OTHER HOSPITALS ACROSS THE COUNTRY. * CMS NOTIFIED CONGRESSMAN RYAN THAT A FINAL DECISION HAD BEEN REACHED REGARDING AKRON CHILDREN'S HOSPITAL TEFRA REBASING REQUEST AND THE FINDINGS WERE FAVORABLE. THIS WAS AN UNPRECEDENTED DECISION AND TO IMPLEMENT THE CHANGES WOULD TAKE SEVERAL WEEKS. * PARTICIPATED IN ADVOCACY PLANNING MEETINGS * MET WITH CONGRESSIONAL OFFICES TO PROTECT THE CURRENT CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION PROGRAM ("CHGME") FUNDING LEVELS IN A PROPOSED OMNIBUS FY 13 LEGISLATION OR A CONTINUING RESOLUTION AND TO PROMOTE FLAT OR INCREASED FUNDING FOR CHGME IN 2014 APPROPRIATIONS LEGISLATION AS WELL AS MAINTAINING FULL MEDICAID FUNDING SUPPORT THREATENED BY SEQUESTRATION. * MET WITH CONGRESSIONAL OFFICES IN CHMCA'S REGION TO SHARE INFORMATION ON THE NATIONAL DATABASE OF NURSING QUALITY INDICATORS AWARD (NDNQI) CHMCA, BOARDMAN--RESULTING IN CONGRESSIONAL RECORD RECOGNITION OF THE NATIONAL NURSING AWARD. THE FOLLOWING ARE 2013 LOBBYING EXPENSES: ASSOCIATION OF AMERICAN MEDICAL COLLEGES $ 213 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS 20,528 AMERICAN HOSPITAL ASSOCIATION 10,186 OHIO CHILDREN'S HOSPITAL ASSOCIATION 83,200 OHIO HOSPITAL ASSOCIATION 3,762 CITIZEN'S FOR AKRON COMMITTEE 2,000 PARTNERS ADVANCING AKRON'S FUTURE 5,000 -------- TOTAL 124,889 LOBBYIST - CAPITAL CONSULTING GROUP 60,000 LOBBYIST - WALSH CAPITOL CONSULTING 72,000 -------- 256,889 ASSOCIATION OF AMERICAN MEDICAL COLLEGES, NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND AMERICAN HOSPITAL ASSOCIATION ARE NATIONAL ORGANIZATIONS THAT CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON HAS MEMBERSHIP. 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 US. AS AN EXAMPLE, THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES HAS BEEN SUCCESSFUL IN MINIMIZING GRADUATE MEDICAL EDUCATION SPENDING CUTS IN THE FEDERAL BUDGET LEGISLATION. 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. AS A CORPORATE CITIZEN, THE EFFECT OF THE SUCCESS OR FAILURE OF THESE ISSUES HAS IMPLICATIONS ON OUR BUSINESS AND SERVICES WE PROVIDE.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$55,185,519BeginningYearBalanceAmt
Contributions$12,047,723ContributionsAmt
Investment Earnings Or Losses$8,291,351InvestmentEarningsOrLossesAmt
Other Expenditures$3,611,958OtherExpendituresAmt
End Year Balance$71,912,635EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$48,292,758BeginningYearBalanceAmt
Contributions$7,590,996ContributionsAmt
Investment Earnings Or Losses$3,474,164InvestmentEarningsOrLossesAmt
Other Expenditures$4,172,399OtherExpendituresAmt
End Year Balance$55,185,519EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$42,191,502BeginningYearBalanceAmt
Contributions$11,512,095ContributionsAmt
Investment Earnings Or Losses-$1,529,858InvestmentEarningsOrLossesAmt
Other Expenditures$3,880,981OtherExpendituresAmt
End Year Balance$48,292,758EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$37,902,948BeginningYearBalanceAmt
Contributions$4,684,218ContributionsAmt
Investment Earnings Or Losses$3,511,833InvestmentEarningsOrLossesAmt
Other Expenditures$3,907,497OtherExpendituresAmt
End Year Balance$42,191,502EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$30,651,078BeginningYearBalanceAmt
Contributions$3,667,095ContributionsAmt
Investment Earnings Or Losses$7,080,419InvestmentEarningsOrLossesAmt
Other Expenditures$3,495,644OtherExpendituresAmt
End Year Balance$37,902,948EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.09690BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.16320PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.73990TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,639,887OtherCostOrOtherBasisAmt
Book Value$11,639,887BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$330,235,282OtherCostOrOtherBasisAmt
Depreciation$204,109,023DepreciationAmt
Book Value$126,126,259BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,498,589OtherCostOrOtherBasisAmt
Depreciation$3,085,961DepreciationAmt
Book Value$2,412,628BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$257,202,593OtherCostOrOtherBasisAmt
Depreciation$172,774,360DepreciationAmt
Book Value$84,428,233BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$59,177,633OtherCostOrOtherBasisAmt
Depreciation$2,415,372DepreciationAmt
Book Value$56,762,261BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$281,369,268TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
BENEFICIAL INT IN FOUNDATION$121,401,063
INVESTMENT OF AKRON NICU$5,438,276
DEFERRED FINANCING COSTS$2,414,208
OTHER ASSETS$1,206,544
FieldValueIRS element (for citing)
Total Book Value Other Assets$130,460,091TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
PENSION$74,178,114
POST RETIREMENT PLANS$20,583,033
RESERVE FOR PROFESSIONAL LIABILITY$2,282,000
OTHER LIABILITIES$30,876,696
FieldValueIRS element (for citing)
Total Liability$127,919,843TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4 - Intended Use of Endowment FundsTemporarily restricted funds are subject to purpose restrictions imposed by the donor. These funds are held until the specific purpose 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 to function as endowments. These funds are to be used for the sole purpose as they are designed for. CHMCA does have a policy in place to monitor all unrestricted, temporarily and permanently restricted funds.
Part XIII - Supplemental Financial InformationCHMCA prepares consolidated financial statements with their affiliated subsidiaries. CHMCA adopted FIN 48 in 2007 and no disclosures were required under GAAP as CHMCA does not have any material tax contingencies that required disclosures in the footnotes.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the CaribbeanInvestments$9,537,535
Middle East and North AfricaInvestments$200,000
FieldValueIRS element (for citing)
Subtotal Spent$9,737,535SubtotalSpentAmt
Total Spent$9,737,535TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1GIFT SHOPNameOfEvent1Amt
Gross Receipts Event1$1,072,951GrossReceiptsEvent1Amt
Gross Revenue Event1$1,072,951GrossRevenueEvent1Amt
Other Direct Expenses Event1$840,956OtherDirectExpensesEvent1Amt
Name Of Event2CHARITY BALLNameOfEvent2Amt
Gross Receipts Event2$186,930GrossReceiptsEvent2Amt
Charitable Contri Event2$140,198CharitableContriEvent2Amt
Gross Revenue Event2$46,732GrossRevenueEvent2Amt
Other Direct Expenses Event2$100,224OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$345,610GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$120,079CharitableContriOtherEventsAmt
Gross Revenue Other Events$225,531GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$384,525OthDirectExpnssOtherEventsAmt
Gross Receipts Total$1,605,491GrossReceiptsTotalAmt
Charitable Contributions Tot$260,277CharitableContributionsTotAmt
Gross Revenue Total Events$1,345,214GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$1,325,705OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$1,325,705DirectExpenseSummaryEventsAmt
Net Income Summary$19,509NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,610,443TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$693,031DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,917,412NetCommunityBenefitExpnsAmt
Total Expense0.00680TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$262,745,331TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$191,945,495DirectOffsettingRevenueAmt
Net Community Benefit Expns$70,799,836NetCommunityBenefitExpnsAmt
Total Expense0.12250TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,465,613TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,465,613DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$268,821,387TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$194,104,139DirectOffsettingRevenueAmt
Net Community Benefit Expns$74,717,248NetCommunityBenefitExpnsAmt
Total Expense0.12930TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,838,390TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,898DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,815,492NetCommunityBenefitExpnsAmt
Total Expense0.01180TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,949,286TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,466,046DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,483,240NetCommunityBenefitExpnsAmt
Total Expense0.01300TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$484,754TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$421,101DirectOffsettingRevenueAmt
Net Community Benefit Expns$63,653NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$465,683TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$465,683NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,738,113TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,910,045DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,828,068NetCommunityBenefitExpnsAmt
Total Expense0.02640TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$296,559,500TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$207,014,184DirectOffsettingRevenueAmt
Net Community Benefit Expns$89,545,316NetCommunityBenefitExpnsAmt
Total Expense0.15570TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,877TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,877NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$171,760TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,510DirectOffsettingRevenueAmt
Net Community Benefit Expns$156,250NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$619TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$619NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$76,393TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,202DirectOffsettingRevenueAmt
Net Community Benefit Expns$57,191NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$44,787TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,068DirectOffsettingRevenueAmt
Net Community Benefit Expns$43,719NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$143,455TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$157DirectOffsettingRevenueAmt
Net Community Benefit Expns$143,298NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,400TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$14,400NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$473,291TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,937DirectOffsettingRevenueAmt
Net Community Benefit Expns$437,354NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$8,161,850BadDebtExpenseAmt
Reimbursed By Medicare$7,624,300ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$8,573,105CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$948,805MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities7HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (7 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdOtherOtherDesc
Childrens Hospital Med Ctr of Akron
1One Perkins SquareAkronOH44308www.akronchildrens.orgNo Ohio Lic # usedYes (X)Yes (X)Yes (X)Yes (X)A
CHMCA Mahoning Valley at Beeghly
26505 Market StreetYoungstownOH44512www.akronchildrens.orgNo Ohio Lic # usedYes (X)Yes (X)Yes (X)Yes (X)B
Children's SCN Summa Akron City
3525 E Market StreetAkronOH44304www.akronchildrens.orgNo Ohio Lic # usedYes (X)Yes (X)ANICU Nursery
Children's at St Elizabeth
41044 BelmontYoungstownOH44504www.akronchildrens.orgNo Ohio Lic # usedYes (X)Yes (X)BNICU Nursery
Children's SCN AGMC
5400 Wabash AvenueAkronOH44307www.akronchildrens.orgNo Ohio Lic # usedYes (X)Yes (X)ANICU Nursery
Akron Children's East Liverpool
6425 West 5th StreetEast LiverpoolOH43920www.akronchildrens.orgNo Ohio Lic # usedYes (X)Yes (X)APediatric Unit
Akron Children's Aultman
72600 6th Street SWCantonOH44710www.akronchildrens.orgNo Ohio Lic # usedYes (X)Yes (X)APediatric Unit

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndInformation GapsInformationGapsIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtRpt Available Upon RequestRptAvailableUponRequestIndAdopt Implementation StrategyAdoptImplementationStrategyIndExec Implementation StrategyExecImplementationStrategyIndDevelop Community Wide PlanDevelopCommunityWidePlanIndInclude Operational PlanIncludeOperationalPlanIndPrioritize Health NeedsPrioritizeHealthNeedsIndPrioritize ServicesPrioritizeServicesIndOther Needs AddressedOtherNeedsAddressedIndAll Needs AddressedAllNeedsAddressedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareIndFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctExplained BasisExplainedBasisIndIncome LevelIncomeLevelIndAsset LevelAssetLevelIndMedical IndigencyMedicalIndigencyIndState RegulationStateRegulationIndOther FactorsOtherFactorsIndApp Financial Asst ExplnAppFinancialAsstExplnIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndPosted On WebsitePostedOnWebsiteIndAttached To InvoiceAttachedToInvoiceIndPosted In Emergency RoomPostedInEmergencyRoomIndPosted In Admission OfficePostedInAdmissionOfficeIndProvided On AdmissionProvidedOnAdmissionIndAvailable On RequestAvailableOnRequestIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndCollection ActivitiesCollectionActivitiesIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified Before DischargeFAPNotifiedBeforeDischargeIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndOther Method UsedOtherMethodUsedIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndExec Community Wide PlanExecCommunityWidePlanInd
Facility Group A - CHMCA
1Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)Yes (true)Yes (true)Yes (X)See part V, Section C for full URLYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)falsefalseYes (true)Yes (true)200.Yes (true)300.Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)falseYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
Facility Group B - Mahoning Valley
Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)falseYes (true)Yes (X)See Part V, Section C for full URLYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)falsefalseYes (true)Yes (true)200.Yes (true)300.Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)falseYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalseYes (X)

Supplemental Information SupplementalInformationGrp (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Group A - CHMCA Part V Section B Line 3Line 3: Yes - Interviews were conducted with community leaders in a five-county area from March - April 2013 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. Focus Groups were conducted with 107 community residents in the same five-county area from April - May 2013. In addition, a questionnaire was distributed to the focus group participants to gather demographic information and basic perceptions of community health. The discussion guide, questionnaire, and protocol were reviewed and approved by the Kent State University Institutional Review Board. Leaders Interviewed: Executive Director, Mental Health and Recovery Services Board of Stark County School Nurse and Coordinator of Health Services, Canton City Schools Director, Summit County Job and Family Services Executive Director for Business Affairs, Akron Public Schools Administrator, Portage County Job and Family Services Nursing Director for the Medina County Educational Services Center, Medina City School District Medicaid Eligibility Services Administrator, Medina County Job and Family Services Executive Director, Portage County Mental Health and Recovery Board School Nurse, Canton City School Vice President for Business Development, Robinson Memorial Hospital Deputy Health Commissioner for Planning, Summit County Public Health Director of Business Services, Kent City School District Health Commissioner, Medina County Health Department Executive Director, County of Summit Alcohol, Drug Addiction & Mental Health Services Board Health Commissioner, Stark County Health Department Superintendent, Wooster City School District Director, Wayne County Family and Children First Council Community Resident Focus Groups: Community residents were recruited by posting and distributing flyers in the community. 35% of participants were from Summit County, 16% from Wayne County, 11% from Medina County, 28% from Stark County and 10% from Portage County. The average number of years the participants lived in their home county was 25 years. 22% of participants were African-American, 66% were Caucasian, and 7% were Hispanic. 17% lived by themselves, 23% lived with one other person, 28% lived with 2 or more people, and 15% lived with four or more people. 50% had no children in the home, 13% had one child, 22% had two children, and 8% had 3 or more children. 19% of participants reported monthly household income between $0-999, 16% between $1000 - $1999, 19% between $2000 - $2999, 9% between $3000 - $3999, 2% between $4000 - $4999, and 12% reported monthly household income exceeding $5000 per month. In addition, 18% reported they had no health insurance, 40% had private health insurance, 3% had health insurance as a veteran or member of the military, 15% had Medicare, and 21% had Medicaid. 40% stated that someone in their home did not receive health care due to the cost and that 43% of them had someone in their home with a chronic disease or condition. 85 participants reported that they usually don't go to a doctor during the year, 12% go once per year, 19% go twice per year, 12% go three times per year, 9% go four times per year, 15% go five to nine times per year, and 9% go 10 or more times per year. Finally, participants reported diverse views of the health of adults and children in their home county. One percent of participants described the current health status of adults in their county as "excellent," 3% described it as "very good," 45% described it as "good," 39% described it as "fair," and 10% described the current health status of adults in their county as "poor." Participants rated the current health status of children in their county slightly higher. One percent described it as "excellent," 19% described it as "very good," 49% described it as "good," 23% described it as "fair," and 8% described the current health status of children in their county as "poor."
Group A - CHMCA Part V Section B Line 4Line 4: Yes Akron General Health System 400 Wabash Avenue Akron, Ohio 44307 Summa Health System 525 East Market Street Akron, Ohio 44304
Group A - CHMCA Part V Section B Line 5 (a)Line 5 (a) -Yes - Posted on our external website to https://www.akronchildrens.org/cms/community-needs-assessment/index.html
Group A - CHMCA Part V Section B Line 6 (i)Line 6(i) - Yes - The measured indicators in the 2013 CHNA have been addressed through CHMCA's clinical and programmatic efforts for many years. 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.
Group A - CHMCA Part V Section B Line 7Line 7 - No Our 2013 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 that CHNA, include conditions related to birth risk factors, child development, child lifestyle factors, substance abuse, abuse and neglect, access to health care, and environmental factors, were not formally addressed through implementation strategies. Although the reasons for this are varied to include a lack of funding and staff, and a lower priority for certain conditions because of our focus on pediatric conditions as a children's hospital, we will continue to look to 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, three emerged as high-priority areas based on the CHMCA'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: - Abuse & Neglect - Access to Health Care - Health Insurance Coverage - Access to Dental Care - Mental Health Insurance Coverage - Birth Risk Factors - Maternal Tobacco Smoking - First Trimester Prenatal Care - Child Development - Underweight - Child Lifestyle Factors - Overweight & Obesity - Exercise - Nutrition - Environmental Factors - Access to Healthy Foods - Substance Abuse - Alcohol Abuse & Excessive Drinking - Prescription Drug Abuse - Opioid Drug Abuse 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 NICU on the Akron campus or NICUs that we operate at Akron General Health System, 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, data was not available for every vulnerable population, such as the homeless or refugee populations. Where available, the most current data was used to determine the health needs of the community. Although the data available is rich with information, not surprisingly, data gaps and limitations existed that impacted the ability to conduct a more thorough and rigorous assessment. These include: 1. Pediatric data related to substance abuse (alcohol abuse and excessive drinking, prescription drug abuse and opioid drug abuse) are not readily available. Some data are available through the Ohio Department of Health Youth Risk Surveillance Survey. However, this data is limited and under sampled, not adequately representing the communities or specific populations. 2. County-wide data that characterize health risk and lifestyle behaviors like nutrition, exercise, and sedentary behaviors are not available for children. 3. Behavioral Health data was provided through the Ohio Hospital Association (OHA). The limitation of this data is that it is only data from reporting OHA hospitals. Therefore, Belmont Pines Hospital, one of the largest behavioral health agencies in the state, does not report data to OHA. Therefore, Belmont Pines' data are not included and the mental health data are skewed especially for Columbiana, Mahoning and Trumbull counties since the Belmont Pines Hospital is located in Youngstown and many local children are referred there. 4. Due to time constraints and limited resources, we were unable to access pediatric Medicaid data that would have allowed us to more specifically target this vulnerable population. 5. County and State-wide chronic disease data are not available for children. 6. Injury data was fragmented and not readily available.
Group A - CHMCA Part V Section B Line 12 (i)In circumstances where a family may not be eligible for charity care based solely on income or residence, but where the pursuit of payment would adversely affect the well being of the patient or his or her family, or cause undue hardship for the patient and or/family, hospital management may approve charity care based on documented extenuating circumstances.
Group A - CHMCA Part V Section B Line 14gLine 14g CHMCA employs financial counselors to explain CHMCA's free care, charity care, and the various public assistance programs to uninsured and underinsured patients.
Group A - CHMCA Part V Section B Line 20 (d)All patients, including self pay patients are initially billed at gross charge amounts. Those patients who qualify for Hospital Care Assurance Program Free Care or who qualify for a 100% discount under CHMCA's Charity Care Policy have 100% of their charges forgiven. Those patients who qualify for discounted care under CHMCA's Charity Care Policy first have their hospital and professional charges reduced prior to applying the charity discount percentage to determine the discounted guarantor responsibility. For hospital charges, the charge reduction percentage is the average of the three lowest negotiated commercial rates, and for the hospital based professional component charge,charges are reduced to the blended collection rate for all professional component charges.
Group B - MV Part V Section B Line 3Line 3: In addition to examining county-level epidemiologic data, interviews were conducted with community leaders in July - August 2013 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. 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, Acting Health Commissioner Youngstown/Warren Regional Chamber, President & Chief Executive Officer Pediatric Associates of Youngstown, Physician Mahoning County Children's Services, Quality Improvement Supervisor Help Hotline Crisis Center, Chief Executive Officer Mahoning County District Board of Health, Health Commissioner Trumbull County Women, Infants, and Children (WIC) Program, Director Trumbull County Mental Health and Recovery Board, Director of Evaluation & Quality Improvement Trumbull County Children's Services, Executive Director St. Joseph Health Center, Chair of Pediatrics Columbiana County Mental Health and Recovery Services Board, Executive Director Portage/Columbiana Counties Women, Infants, and Children (WIC) Program, Director The Morning Journal, Editor Salem Community Hospital, Vice President for Medical Affairs Columbiana County Educational Service Center, Superintendent Columbiana County Department of Job and Family Services, Children's Services Administrator Coordinated Action for School Health (CASH) Coalition, Coordinator Columbiana County Health Department, Health Commissioner Community Resident Focus Groups In addition to the input from community leaders, focus groups were conducted with community residents in August - September 2013 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. Due to the observed information gap in the epidemiologic data on the health of children, adult and child substance abuse issues, and adult and child mental health issues, several questions were asked to probe more deeply on these issues. In addition, a questionnaire was distributed to focus group participants to gather demographic information and basic perceptions of community health. The discussion guide, questionnaire, and protocol were reviewed and approved by the Kent State University Institutional Review Board. A total of 82 people participated in the Community Resident Focus Groups.
Group B - MV Part V Section B Line 5Line 5 (a) -Yes - Posted on our external website to https://www.akronchildrens.org/cms/community-needs-assessment/index.html
Group B - MV Part V Section B Line 6(i)Line 6(i) - Yes - The measured indicators in the 2013 CHNA have been addressed through CHMCA's clinical and programmatic efforts for many years. 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.
Group B - MV Part V Section B Line 7Line 7: Our 2013 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 that CHNA, include conditions related to child lifestyle factors, substance abuse, sexually transmitted diseases, access to health care, and environmental factors, were not formally addressed through implementation strategies. Although the reasons for this are varied to include a lack of funding and staff, and decisions based on conditions of priority, we will continue to look to CHNA data, as well as other data sources, on these indicators 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, three emerged as high-priority areas based on the CHMCA'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 - Number of Pediatric Specialists - Child Lifestyle Factors - Overweight & Obesity - Exercise - Nutrition - Substance Abuse - Opioid Drug Abuse - Sexually Transmitted Diseases - Adolescent Gonorrhea - Environmental Factors - Access to Healthy Foods 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. 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 Akron General Health System, 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, data was not available for every vulnerable population, such as the homeless or refugee populations. Where available, the most current data was used to determine the health needs of the community. Although the data available is rich with information, not surprisingly, data gaps and limitations existed that impacted the ability to conduct a more thorough and rigorous assessment. These include: 1. Pediatric data related to substance abuse (alcohol abuse and excessive drinking, prescription drug abuse and opioid drug abuse) are not readily available. Some data are available through the Ohio Department of Health Youth Risk Surveillance Survey. However, this data is limited and under sampled, not adequately representing the communities or specific populations. 2. County-wide data that characterize health risk and lifestyle behaviors like nutrition, exercise, and sedentary behaviors are not available for children. 3. Behavioral Health data was provided through the Ohio Hospital Association (OHA). The limitation of this data is that it is only data from reporting OHA hospitals. Therefore, Belmont Pines Hospital, one of the largest behavioral health agencies in the state, does not report data to OHA. Therefore, Belmont Pines' data are not included and the mental health data are skewed especially for Columbiana, Mahoning and Trumbull counties since the Belmont Pines Hospital is located in Youngstown and many local children are referred there. 4. Due to time constraints and limited resources, we were unable to access pediatric Medicaid data that would have allowed us to more specifically target this vulnerable population. 5. County and State-wide chronic disease data are not available for children. 6. Injury data was fragmented and not readily available.
Group B - MV Part V Section B Line 12(i)In circumstances where a family may not be eligible for charity care based solely on income or residence, but where the pursuit of payment would adversely affect the well being of the patient or his or her family, or cause undue hardship for the patient and or/family, hospital management may approve charity care based on documented extenuating circumstances.
Group B - MV Part V Section B Line 14gLine 14g CHMCA employs financial counselors to explain CHMCA's free care, charity care, and the various public assistance programs to uninsured and underinsured patients.
Group B - MV Part V Section B Line 20(d)All patients, including self pay patients are initially billed at gross charge amounts. Those patients who qualify for Hospital Care Assurance Program Free Care or who qualify for a 100% discount under CHMCA's Charity Care Policy have 100% of their charges forgiven. Those patients who qualify for discounted care under the CHMCA's Charity Care Policy first have their hospital and professional charges reduced prior to applying the charity discount percentage to determine the discounted guarantor responsibility. For hospital charges, the charge reduction percentage is the average of the three lowest negotiated commercial rates, and for the hospital based professional component charge,charges are reduced to the blended collection rate for all professional component charges.
FieldValueIRS element (for citing)
Facility37FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (37 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
CHMCA Partial Hospitalization Program
388 South Main StreetAkronOH44311Behavorial Health Day Programs
CHMCA Montrose ED
4125 Medina RoadAkronOH44333General Outpatient Services
CHMCA ACHP - New Philadelphia
1045 W High StreetNew PhiladelphiaOH44312General Outpatient Services
CHMCA ACHP - Green
1600 E Turkeyfoot Lake RoadAkronOH44312General Outpatient Services
CHMCA ACHP - Fairlawn
701 White Pond Drive Suite 100AkronOH44320General Outpatient Services
CHMCA ACHP - Hudson
1365 Corp Drive Suite AHudsonOH44236General Outpatient Services
CHMCA Hudson ED
5655 Hudson DriveHudsonOH44236General Outpatient Services
CHMCA ACHP - Warren
8720 E Market Street Suite 1CWarrenOH44484General Outpatient Services
CHMCA ACHP - East Akron
891 East Exchange StreetAkronOH44311General Outpatient Services
CHMCA ACHP - Wooster
128 E Miltown Road 209WoosterOH44691General Outpatient Services
CHMCA ACHP - Medina
3443 Medina Road Suite 115MedinaOH44256General Outpatient Services
CHMCA ACHP - Boardman
6505 Market Street Bldg C Suite 212BoardmanOH44512General Outpatient Services
CHMCA ACHP - Barberton
62 Conservatory Dr Bldg D Suite ABarbertonOH44203General Outpatient Services
CHMCA ACHP - Ellet
1463 Canton road Suite AAkronOH44312General Outpatient Services
CHMCA ACHP - Twinsburg
8054 Darrow Road Suite 3TwinsburgOH44087General Outpatient Services
CHMCA ACHP - Kent
1951 State Rt 59KentOH44240General Outpatient Services
CHMCA ACHP - Ashland
2212 Mifflin Avenue Suite 235AshlandOH44805General Outpatient Services
CHMCA ACHP - Wadsworth
323 High Street Suite AWadsworthOH44281General Outpatient Services
CHMCA ACHP - North Canton
6046 Whipple Ave NW Bldg BNorth CantonOH44720General Outpatient Services
CHMCA ACHP - Tallmadge
143 Northeast Ave Bldg D 102TallmadgeOH44278General Outpatient Services
CHMCA ACHP - Streetsboro
9318 State Rd 14StreetsboroOH44241General Outpatient Services
CHMCA Millersburg Hemophilia Clinic
1261 Wooster RoadMillersburgOH44654General Outpatient Services
CHMCA ACHP - Ravenna
6847 Chestnut Street Suite 200RavennaOH44266Inpatient/Outpatient Services
CHMCA Care Center Stark County
213 Market Avenue N Suite 200CantonOH44702General Outpatient Services
CHMCA ACHP - Brecksville
7001 s Edgerton Road Suite 500BrecksvilleOH44141General Outpatient Services
CHMCA ACHP - Alliance
1826 Sout Arch AvenueAllianceOH44601General Outpatient Services
CHMCA ACHP - Solon
34125 Solon RoadSolonOH44139General Outpatient Services
CHMCA Beachwood Specialties
23250 Chagrin Blvd Building 5BeachwoodOH44122General Outpatient Services
CHMCA Boardman Medical Pavilion
8423 Market Street Bldg C Suite 30BoardmanOH44512General Outpatient Services
CHMCA ACHP - Perry
125 Whipple Ave S WCantonOH44708General Outpatient Services
CHMCA Orthopedic Specialty Canton
4455 Dressler RoadCantonOH44718General Outpatient Services
CHMCA Aultman Hospital Specialties
2600 6th Street SWCantonOH44710General Outpatient Services
CHMCA Lake Health TriPoint Med Ctr
7590 Auburn Road Suite 214PainesvilleOH44077Single Specialty Group O/P
CHMCA Medina Specialties
3591 Reserve Commons DriveMedinaOH44256General Outpatient Services
CHMCA - AGMC Wellness - Rehab
4125 Medina RoadAkronOH44333General Outpatient Services
CHMCA Center for Allergy & Immunology
130 West Exchange StreetAkronOH44308Single Specialty Group
CHMCA Medina Subspecialties
3780 Medina Road Suite 240MedinaOH44256General Outpatient Services

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a - Related OrganizationFor the past several years, the hospital has prepared and filed a community benefit report with the Ohio Hospital Association for the hospital and its affiliates. The Community Benefit Report for Children's Hospital Medical Center of Akron (#1) & Children's Specialty Care Nursery (#3) as well as the Community Benefit Report for the Children's Hospital Medical Center of Akron - Mahoning Valley at Beeghly (#2) & Children's at St. Elizabeth (#4) was posted to the Children's Hospital Medical Center of Akron website, making it available to the public.
Part I, Line 7, column (e) - Exclusions from % of Total ExpensesBad Debt expenses of $15,861,744 is included in the 990, Part IX, Line 25, but excluded from the percentage calculation on Schedule H, Part I, Line 7 (f) and Part II, column (e).
Part I, Line 7 (a) Charity Care @ CostWe 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 Ohio Hospital Care Assurance Program (HCAP) is a mechanism 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 TestedWe 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 professions 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 professions 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 (51.8%) as reported on our internal payor mix report.
Part I, Line 7g - Subsidized Health ServicesChildren's Hospital Medical Center of Akron (CHMCA) is a free-standing children's hospital and an Ohio Medicaid disproportionate share hospital that provides specialty care to pediatric patients in our service area. In addition to providing this care to pediatric patients, the hospital provides care to both adult and pediatric patients in our Regional Burn Center. As a result, the unreimbursed costs of providing subsidized services to Medicaid enrollees in our neonatal intensive care, pediatric intensive care, distinct part psychiatric care, burn intensive care, outpatient End Stage Renal Disease program, as well as our emergency and trauma services are reported as unreimbursed Medicaid costs. The unreimbursed costs of treating Medicare and Medicare Advantage Plan enrollees in our Regional Burn Center and End Stage Renal Disease programs are reported in Part III, Section B. Medicare.
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 professions education.
Part II - Community Building ActivitiesEverything done by Children's Hospital Medical Center of Akron provides a benefit to the communities we serve. Our primary benefit to each community is providing health care to the children in the region we serve. In addition, we also provide community building activities as depicted in Part II of this schedule. Our efforts are directed specifically at multiple levels, including: Leadership development, under which we support various community-based programs that specifically develop young leaders, including such programs as Leadership Akron (for community leadership) and the Child & Family Leadership Exchange (for clinical and social service leadership); 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; Community health improvement, under which we support a number of multi-agency and governmental initiatives to encourage fitness activities, health screenings, and related activities; Workforce development, under which we assist in public-private partnerships that educate children about careers in the full range of health care, from skilled trades to medicine and nursing.
Part III, Line 2 & 4 - Bad Debt Expense ExplanationWe 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. The Ohio Hospital Care Assurance Program (HCAP) is a mechanism 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-. CHMCA's charity care policy requires that patients apply for charity care. CHMCA ENCOURAGES PATIENTS TO APPLY FOR FINANCIAL ASSISTANCE AND PROVIDES PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE AS DESCRIBED IN PART VI, ITEM 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE. The following is the text of the footnote to CHMCA's financial statements that describes charity care and bad debts: "CHARITY CARE - Children's has calculated charity care at cost by utilizing a ratio of cost to gross charges applied to gross uncompensated charges associated with providing care to charity patients. Charity care at cost was approximately $4.615 million and $5.153 million for 2013 and 2012, respectively. Children's participates in the Hospital Care Assurance Program (HCAP). Ohio created HCAP to financially support those Ohio hospitals that service a disproportionate share of low-income patients unable to pay for care. HCAP funds basic, medically necessary hospital services for patients whose family income is at or below the federal poverty level, which includes patients without health insurance. Children's received gross amounts under HCAP of $11.484 million and $10.482 million in 2013 and 2012 respectively. However, as shown in the consolidated statements of operations and changes in net assets, Children's recorded a HCAP assessment of $2.813 million and $2.512 million in 2013 and 2012 respectively. Total HCAP funds at the state level go into a state formula with with assessments from all participating hospitals which are then disbursed based on factors outside of Children's control. Any subsequent reimbursements are recognized as revenue on the consolidated statements of operations and changes in net assets when Children's is entitled to them and payment is probable." "Policy for Assessing Timing and Amounts of Uncollectible Accounts - Children's estimation of the allowance for uncollectible accounts is based primarily upon the type and age of the patient accounts receivable and the effectiveness of Children's collection efforts. Children's policy is to reserve a portion of all self-pay receivables, including amounts due from the uninsured and amounts related to co-payments and deductibles, as these charges are recorded. On a periodic basis, Children's reviews its accounts receivable balances, the effectiveness of Children's reserve policies and various analytics to support the basis for its estimates. These efforts primarily consist of reviewing the following: Historical write-off and collection experience using a hindsight or look-back approach - Revenue and volume trends by payor, particularly the self-pay components - Changes in the aging and payor mix of accounts receivable, including increased focus on accounts due from the uninsured and accounts that represent co-payments and deductibles due from patients - Trending of days revenue in accounts receivable - Various allowance coverage statistics" "Changes Within the Allowance for Uncollectible Accounts - Children's allowance for uncollectible accounts for insured and uninsured accounts receivable increased to 9% of accounts receivable at December 31, 2013, and was 7% of accounts receivable at December 31, 2012. In addition, Children's self-pay write-offs increased to $13.016 million for fiscal year 2013 from $9.287 million for fiscal year 2012. Overall net accounts receivable remained fairly consistent with the prior year. However, the self pay portion of insured and uninsured patients increased as a percentage of total accounts receivable, which increased the allowance for uncollectible accounts. Children's has not changed its charity care or uninsured discount policies during fiscal year 2013 or 2012." 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 ExplanationWe believe that reporting program charges, costs, and payments directly from CHMCA's Medicare cost report along with similar calculations for 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 (51.8%) as reported on our internal payor mix report. CHMCA respectfully submits that its unreimbursed inpatient costs incurred in excess of the 1982 TEFRA per discharge limit (-$72,866) , unreimbursed outpatient costs incurred in treating patients qualifying for Medicare End Stage Renal disease, (ESRD) composite reimbursement ($232,218), unreimbursed costs of providing care to Medicare Advantage Plan enrollees (-$199,843) and unreimbursed costs for Tri Care patients ($872,888) should be treated as community benefit with excess reimbursement treated as negative community benefit. 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 ExplanationCHMCA's collection policy describes the events and the timing of the events that lead to self-pay accounts or self-pay balances after insurance payments being turned over to collection. All patients are treated the same under our collection policy. A patient can be identified at any point in time during the revenue cycle process. Once a patient is identified as qualifying for financial assistance, normal collection policies cease and our free care/charity policies are applied.
Part VI, Line 1 - Required DescriptionsLINE 1 - REQUIRED DESCRIPTIONS - Describe how CHMCA's Community Building Activities promote the health of the community it serves. 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 community building efforts are directed specifically at multiple levels, including: 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. Coalitions and partnerships, in which CHMCA is strongly represented in committees and task forces assigned to address specific health indicators and conditions, as well as, certain divergent populations throughout our region, state, as well as, nationally and internationally. 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. 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. Community health improvement, under which we support a number of multi-agency and governmental initiatives to encourage fitness activities, health screenings, and related activities; 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 VI, Line 2 - Needs AssessmentIn addition to the CHNAs, CHMCA 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 over 5000 staff and thousands of volunteers and physicians, 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 Parent Advisory Groups as well as gathering feedback through patient survey results and via multiple written and electronic (web-based) tools.
Part VI, Line 3 - Patient Education of Eligibility for AssistanceCHMCA 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 all of its registration sites to inform patients that they may qualify for free hospital care. Applications for free care are available at all 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 all billing statements mailed to patients and their guarantors. - CHMCA employs financial counselors to explain CHMCA'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 CHMCA'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. This same firm contacts patients whose balances have been turned over to collection to screen those patients for free care and charity care eligibility and assist these guarantors with the application process.
Part VI, Line 4 - Community informationChildren's Hospital Medical Center of Akron (CHMCA) serves an area comprising much of the northeastern quadrant of the state of Ohio to include twenty-five counties, and two counties in Pennsylvania, resulting in a total service area of twenty-seven (27) counties. In Ohio, Summit, Medina, Portage, Stark, Wayne, Tuscarawas, Holmes, Trumbull, Mahoning, Columbiana, Jefferson, Carroll, Harrison, Guernsey, Coshocton, Knox, Ashland, Richland, Crawford, Huron, Lorain, Cuyahoga, Geauga, Lake, and Ashtabula are served by Akron Children's. In Pennsylvania, Lawrence and Mercer Counties are served by CHMCA. Medina County There are approximately 173,684 people living in Medina County, which is an increase of 0.8% increase since 2010. 24.7% of this population is under 18 years old. 3.7% of the population in Medina County is non-white with 1.7% classified as Hispanic or Latino. 93.1% of Medina County residents have a high school diploma or higher, and 30.1% have a bachelor's degree or higher. Annual per capita income in Medina County is $30,528, which is higher than the State of Ohio ($25,618), and the percent of Medina County residents living in poverty (7.2%) is lower than that of the State (14.8%). 22.8% of Medina County's child population is enrolled in Medicaid, which is lower than the Ohio rate of 44.6%. Portage County There are approximately 161,451 people living in Portage County and this number has remained unchanged since 2010. 20.2% of this population is under 18 years old. 7.7% of the population in Portage County is non-white with 1.4% classified as Hispanic or Latino. 90.4% of Portage County residents have a high school diploma or higher, and 24.5% have a bachelor's degree or higher. Annual per capita income in Portage County is $25,483, which is lower than the State of Ohio ($25,618), and the percent of Portage County residents living in poverty (14.3%) is lower than that of the State (14.8%). 36.2% of Portage County's child population is enrolled in Medicaid, which is lower than the Ohio rate of 44.6%. Stark County There are approximately 374,868 people living in Stark County, which is a 0.2% decrease from 2010. 22.5% of this population is under 18 years old. 10.9% of the population in Stark County is non-white with 1.7% classified as Hispanic or Latino. 88.5% of Stark County residents have a high school diploma or higher, and 20.7% have a bachelor's degree or higher. Annual per capita income in Stark County is $24,212, which is lower than the State of Ohio ($25,618), and the percent of Stark County residents living in poverty (13.6%) is lower than that of the State (14.8%). 43.7% of Stark County's child population is enrolled in Medicaid, which is lower than the Ohio rate of 44.6%. Summit County There are approximately 540,811 people living in Summit County, although since 2010, the population size has decreased by approximately 0.2%. 22.5% of this population is under 18 years old. 19.2% of the population in Summit County is non-white with 1.7% classified as Hispanic or Latino. 90% of Summit County residents have a high school diploma or higher, and 29.4% have a bachelor's degree or higher. Annual per capita income in Summit County is $27,220, which is higher than the State of Ohio ($25,618), and the percent of Summit County residents living in poverty (14.5%) is lower than that of the State (14.8%). 39.5% of Summit County's child population is enrolled in Medicaid, which is lower than the Ohio rate of 44.6%. Wayne County There are approximately 114,848 people living in Wayne County, which is an increase of 0.3% since 2010. 25.1% of this population is under 18 years old. 3.9% of the population in Wayne County is non-white with 1.6% classified as Hispanic or Latino. 84.8% of Wayne County residents have a high school diploma or higher, and 19.2% have a bachelor's degree or higher. Annual per capita income in Wayne County is $22,892, which is lower than the State of Ohio ($25,618), and the percent of Wayne County residents living in poverty (10.6%) is lower than that of the State (14.8%). 34% of Wayne County's child population is enrolled in Medicaid, which is lower than the Ohio rate of 44.6%. CHMCA 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) but don't rate low enough to be classified as distressed. Trumbull County There are approximately 207,406 people living in Trumbull County, which is a decrease of 1.4% since 2010. 21.5% of this population is under 18 years old. Nearly 8% of the population in Trumbull County is Black or African American and 1.5% is Hispanic or Latino. 87.1% of Trumbull County residents have a high school diploma or higher, and 16.6% have a bachelor's degree or higher. Annual per capita income in Trumbull County is $22,127, which is lower than the State of Ohio ($25,618), and the percent of Trumbull County residents living in poverty (16.4%) is higher than that of the State (14.8%). 39.3% of Trumbull County's child population is enrolled in Medicaid, which is lower than the Ohio rate of 44.6%. Mahoning County There are approximately 235,145 people living in Mahoning County, which is a decrease of 1.5% since 2010. 20.9% of this population is under 18 years old. 16% of the population in Mahoning County is Black or African American and 5% is Hispanic or Latino. 87.9% of Mahoning County residents have a high school diploma or higher, and 20.9% have a bachelor's degree or higher. Annual per capita income in Mahoning County is $23,261, which is lower than the State of Ohio ($25,618), and the percent of Mahoning County residents living in poverty (17.1%) is higher than that of the State (14.8%). 44.3% of Mahoning County's child population is enrolled in Medicaid, which is lower than the Ohio rate of 44.6%. Columbiana County There are approximately 106,507 people living in Columbiana County, which is a decrease of 1.2% since 2010. 21.2% of this population is under 18 years old. 2.4% of the population in Columbiana County is Black or African American and 1.4% is Hispanic or Latino. 85.7% of Columbiana County residents have a high school diploma or higher, and 13% have a bachelor's degree or higher. Annual per capita income in Columbiana County is $20,691, which is lower than the State of Ohio ($25,618), and the percent of Columbiana County residents living in poverty (15.9%) is higher than that of the State (14.8%). 42.5% of Columbiana County's child population is enrolled in Medicaid, which is lower than the Ohio rate of 44.6%.
Part VI, Line 5 - Promotion of Community HealthCHMCA 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. Our efforts include: Akron Children'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. The Rebecca D. Considine Research Institute is the hub for research and innovation activity at CHMCA. 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; Adult Congenital Heart Service provides ongoing monitoring and specialized care for adults with congenital heart disease. As children with congenital heart disease (CHD) become adults, they can access lifetime care through our center; The Cystic Fibrosis 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; 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. Our Maternal Fetal Treatment Center provides Genetic Counseling and Obstetric/delivery services to high risk pregnant women in the region; The area's only pediatric hospital, CHMCA Mahoning Valley opened in December 2008. This 32-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 and infusion center and child advocacy center. CHMCA also owns and operates a 19-bed Level II Special Care Nursery at CHMCA's Beeghly campus and a 25-bed Level IIIB Neonatal Intensive Care Unit at St. Elizabeth Health Center. 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 educational support they need. Additionally, CHMCA brings pediatric primary care for babies, children and teens to many northeast Ohio neighborhoods through our 23 pediatrician offices to include offices in Boardman and Warren. Each office is staffed with experienced, board-certified pediatricians and experienced staff. Also located in the 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, community events and educational programs that touched more than 45,000 individuals annually. 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 600,000 children annually. In addition, we also provide community building activities as depicted in Part II of this schedule. CHMCA's Neonatology department offers intensive care to sick and premature newborns. On any given day, there are 45 to 50 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 tiny patients, as well as providing parents with the emotional and practical support they need. To this end, Akron Children's 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 Akron General Medical Center and Summa's Akron City Hospital in Akron; CHMCA's Beeghly campus in Boardman; and St. Elizabeth Boardman Health Center. 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. 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 lets schools focus on educating students, while we manage their district's medical needs. CHMCA is fully insured and our employees have received thorough screening and background checks, reducing the district's liability.
Part VI, Line 6 - Affiliated Health Care SystemN/A
Part VI, Line 7 - State Filing of community benefit reportOhio
Part VI Additional InformationAdditional Information In addition to the locations listed in Part V, Section A and C, Akron Children's Hospital 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

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2
UNIVERSITY OF AKRON FOUNDATION
47 NORTH MAIN STREETAKRONOH443083465754963$400,000GENL SUPPORT
AKRON CHILDREN'S HOSPITAL FOUNDATION
ONE PERKINS SQUAREAKRONOH443082371140133$681,260GENL SUPPORT
AKRON URBAN LEAGUE
250 EAST MARKET STREETAKRONOH443083407145203$25,000GENL SUPPORT
AKRON PUBLIC SCHOOLS
70 N BROADWAYAKRONOH44308346000083GOVT ORG$20,000GENL SUPPORT
LIFEBANC
1909 EAST 101ST STREETCLEVELANDOH441063415251593$7,500GENL SUPPORTSUITE 12
RONALD MCDONALD HOUSE
245 LOCUST STREETAKRONOH443083418606823$250,000BUILDING CAMPAIGN
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2FormAndLineReferenceDesc
ExplanationCHMCA 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WILLIAM CONSIDINE
PRESIDENT & CEO$1,246,412$0$203,050$0$336,431$0-$17,658$0$14,897$0$1,783,132$0$0$0
SHAWN LYDEN
EXECUTIVE VP$536,320$0$83,997$0$6,658$0$15,100$0$20,208$0$662,283$0$0$0
MICHAEL TRAINER
CHIEF FINANCIAL OFFICER$413,286$0$121,498$0$2,693$0$17,400$0$15,591$0$570,468$0$0$0
GRACE WAKULCHIK
CHIEF OPERATING OFFICER$438,796$0$66,598$0$5,810$0-$23,058$0$11,830$0$499,976$0$0$0
JOHN CROW MD
CHAIRMAN,PEDIATRIC SURGERY$750,448$0$0$0$60,340$0$0$0$14,887$0$825,675$0$0$0
NORMAN CHRISTOPHER MD
CHAIRMAN, DEPT OF PEDS$377,234$0$55,480$0$2,984$0-$21,951$0$20,317$0$434,064$0$0$0
ROBERT MCGREGOR MD
CHIEF MEDICAL OFFICER$350,239$0$0$0$17,450$0$0$0$20,038$0$387,727$0$0$0
JEFFREY HORD MD
DIRECTOR, HEMATOLOGY$319,605$0$10,975$0$2,691$0-$13,269$0$19,786$0$339,788$0$0$0
MARY LINK
DIRECTOR, GENERAL COUNSEL$281,583$0$39,842$0$1,397$0$5,100$0$11,582$0$339,504$0$0$0
MARY TOTH MD
DIRECTOR, RHEUMATOLOGY$269,359$0$25,000$0$731$0$6,370$0$19,592$0$321,052$0$0$0
THOMAS OGG
CHIEF INFORMATION OFFICER$304,222$0$49,499$0$693$0$5,100$0$14,128$0$373,642$0$0$0
AMY MANEKER
CHIEF MEDICAL INFOR OFFICER$328,224$0$0$1,449$0$5,100$0$1,869$0$336,642$0$0$0
LISA AURILIO
VP, PATIENT SERVICES$268,322$0$37,349$0$846$0$17,792$0$7,291$0$331,600$0$0$0
LINDA GENTILE
VP, SUPPORT SERVICES$225,415$0$35,100$0$1,354$0$37,457$0$13,783$0$313,109$0$0$0
WALTER SCHWOEBLE
VP, HUMAN RESOURCES$291,961$0$45,898$0$2,616$0$17,600$0$14,174$0$372,249$0$0$0
CYNTHIA DORMO
VP, DEPT OF PEDS$240,144$0$35,699$0$960$0$59,040$0$7,370$0$343,213$0$0$0
SHARON HRINA
VP, MAHONING VALLEY ENTERPRISE$233,782$0$31,999$0$3,184$0$60,804$0$7,141$0$336,910$0$0$0
CRAIG MCGHEE
VP, SURGICAL SUBSPECIALTY$179,218$0$0$660$0$3,639$0$11,164$0$194,681$0$0$0
ROGER HUDGINS MD
DIRECTOR OF NEUROSURGERY$1,287,000$0$170,946$0$11,484$0$5,100$0$12,450$0$1,486,980$0$0$0
ANTON MILO MD
DIRECTOR OF ENT$1,342,969$0$0$4,002$0$5,100$0$19,360$0$1,371,431$0$0$0
MARK MCCOLLUM MD
GENERAL PEDIATRIC SURGEON$1,071,016$0$41,875$0$1,170$0$5,100$0$20,146$0$1,139,307$0$0$0
PHILIP SMITH MD
DIRECTOR OF HEART CENTER$1,028,746$0$30,000$0$3,612$0-$2,142$0$20,601$0$1,080,817$0$0$0
ROBERT PARRY MD
GENERAL PEDIATRIC SURGEON$829,418$0$56,000$0$3,354$0$5,100$0$20,370$0$914,242$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1a - Fringe or Expense ExplanationWilliam Considine, CEO and Shawn Lyden, Executive VP, had a 2013 country club membership that was used by CHMCA for business meetings. William Considine also received gross-up payments for his automobile and life insurance payments made by CHMCA.
Part 1, line 1b - Written Reimbursement Policy ExplanationThe executive reimbursements to William Considine and Shawn Lyden, which include the gross-up of the same benefits each year, have been approved by the board of directors.
Part 1, Line 4 - Severance, Nonqualified, and Equity Based PaymentsWilliam 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 2013 was $233,398.
Part 1, Line 7 - Non Fixed Payments ProvidedCHMCA 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 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.
Part II, Line 1(c)During 2013, the significant increase in the pension plan's discount rate resulted in a decrease in the present value of the participant's deferred benefits.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT
A341448680009730MY52012-05-15$102,559,004REFUND PRIOR ISSUE TO CONSTRUCT PAfalsefalsefalse
AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT
B341448680009730NB42013-05-15$101,377,818CONSTRUCTION OF CRITICAL CARE TOWEfalsefalsefalse
AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT
C3414486802013-11-14$27,405,000REFUND PRIOR ISSUEfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$102,559,004$0$1,010,250$0$1,116,463$0$0$18,379,884$80,432,291$1,620,1162013Yes (true)falseYes (true)Yes (true)
B$0$0$101,377,818$0$10,229,217$0$1,148,601$0$0$25,465,483$0$64,534,5172015falsefalsefalseYes (true)
C$0$0$27,405,000$0$280,035$0$0$0$0$0$27,124,965$02013Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)false0falsefalsefalseYes (true)
Bfalsefalsefalsefalse0falsefalsefalseYes (true)
CfalsefalseYes (true)Yes (true)false0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
CfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART 1(f)AOF THE $102,559,004 BOND PROCEEDS, $80,432,921 WAS USED TO REFUND THE SERIES 2001 BONDS AND $21,000,000 WAS USED FOR CONSTRUCTION OF A NEW APPROXIMATELY 1200 SPACE PARKING GARAGE.
PART 1(f)B$101,377,818 OF BOND PROCEEDS ARE BEING USED TO CONSTRUCT AN APPROXIMATELY 360,000 SQUARE FOOT CRITICAL CARE TOWER ON THE AKRON CAMPUS.
PART 1(f)C$27,405,000 OF BOND PROCEEDS REFUNDED THE SERIES 2003 BONDS. THE BONDS WERE SOLD IN A PRIVATE OFFERING TO KEY GOVERNMENT FINANCE, INC.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
FIRST ENERGY SOLUTIONS
FE OFFICER AND CURR DIREC$2,382,062ELECTRIC BILLS PD TO FIRSTENERfalse
FIRST MERIT
VP-FM AND CURR DIRECTOR$131,380FEES PAID TO FIRST MERITfalse
CATHRYN O'MALLEY
FAMILY MEMBER OF CURR DIR$73,301COMPENSATIONfalse
LAURIE SCHUELER
FAMILY MEMBER OF CURR DIR$27,079COMPENSATIONfalse
INTERACTIVE MEDIA GROUP
FAMILY MEMBER OF CURR DIR$212,518COMPUTER PROGRAMMING FEESfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationGREG MCDERMOTT, BOARD MEMBER, IS A VICE-PRESIDENT WITHIN FIRST MERIT BANK, OF WHICH CHMCA CONDUCTS THEIR CHECKING AND INVESTMENTS BANKING. DONALD SCHNEIDER, BOARD MEMBER, IS A FIRST ENERGY OFFICER. CHMCA PURCHASES THEIR ELECTRIC POWER THROUGH OHIO EDISON, A COMPANY OF FIRST ENERGY. CATHRYN O'MALLEY IS THE DAUGHTER OF WILLIAM CONSIDINE, PRESIDENT AND CEO. LAURIE SCHUELER IS THE DAUGHTER OF DUANE ISHAM, BOARD MEMBER. ANDREW HOPKINS, SON OF BOARD MEMBER WILLIAM HOPKINS, IS A PARTNER OF INTERACTIVE MEDIA GROUP THAT CONTRACTS WITH CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON IN DOING VARIOUS COMPUTER PROGRAMMING.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d - All Other AccomplishmentsChildren's Hospital Medical Center of Akron ("CHMCA") operates one of the largest pediatric primary care networks in nine different counties including Cuyahoga, Medina, 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 318,753 and 301,645 for 2013 and 2012 respectively. The Surgical Services Department at CHMCA performs approximetely 15,000 general and specialized surgical procedures each year--ranging from uncomplicated tonsillectomies to neurosurgery, open heart, orthopedic, and plastic and reconstructive surgery. 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 pedatric 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. In addition, child life specialists give pre-surgery tours once a week to prepare children (and parents) for what they expect to see, hear, feel, taste or smell. CHMCA has nine state-of-the-art operating rooms. Two are dedicated to minimally invasive surgery with a voice activated system to control the OR's. There are also operating suites dedicated to neurosurgery and heart surgery. Between 75-80% of surgeries are done on an outpatient basis, which has proven to be not only medically safe but psychologically beneficial for children. 2013 2012 Surgical patients - inpatient 3,393 3,316 Surgical patients - outpatient 10,148 12,025
Form 990, Part VI, Line 2 - Related Party Information Among OfficersRobert Berk Director Family Relationship Susan Berk Director Family Relationship
Form 990, Part VI, Line 6 - Classes of Members or StockholdersThe 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 RightsThe number of the Directors of this Corporation shall be set by the members. Five of the members shall consist of the Women's Board of Akron Children's Hospital. The President and the President of the Medical Staff shall each be a member of the Board of Directors. The remaining members of the Board of Directors shall be elected by the members of the Corporation. A director shall be elected for a three-year term, but a person may be nominated for and elected to a shorter term in order 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 directors responsibilites 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 as 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 the Corporation 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 MembersSubject 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 as Chief Executive Officer. The President 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 his duties. It shall be the duty of the President 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 President shall be absolute until a ruling shall have been rendered by the Executive Committee of the Board of Directors.
Form 990, Part VI, Line 11b - Organization's Process to Review Form 990The 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 PolicyIt 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 made 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 OfficalCHMCA'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 the Hospital'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 the Hospital 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 governs the Hospital's executive total compensation for all senior executives who are deemed to be disqualified persons. The Committee also governs the total compensation of other disqualified persons, e.g., family members of Board members or executives who are employed by the Hospital. 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 date to make executive decisions and documents its compensation deliberations and decisions in a timely manner. An independent salary survey was completed in 2013 and recommendations were provided and presented by the independent consultant to the Committee for approval.
Form 990, Part VI, Line 15b - Compensation Process for OfficersAn independent salary survey was completed in 2013 and recommendations were provided and presented by the independent consultant to the Committee for approval.
Form 990, Part VI, Line 19 - Governing Documents Disclosure ExplanationCHMCA 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 AssetsContributed Capital Akron Children's Hospital Foundation $ -355,144 Contributed Capital of Government Funding -91,965 Partnership Loss 72,900 Reclass expenses netted against revenue -156,349 In-Kind Community Support 400,000 Hospital's Investment in Foundation 25,128,901 Contributed Capital 447,109 Adjustment - ASC - OPEB 1,592,663 Adjustment - ASC - Pension 66,374,788 Loss on Extinguishment of Debt -505,997 Hemophilia Treatment Center Deposit 945,412 __________ Total $93,852,318

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1AKRON CHILDREN'S RESEARCH CENTERBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE PERKINS SQUAREAddressLine1
CityAKRONCity
StateOHState
ZIP Code44308ZIPCode
FieldValueIRS element (for citing)
EIN341934412EIN
Primary ActivitiesCLIN TRIALSPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1naBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
AKRON CHILDREN'S HOSPITAL FOUNDATION
ONE PERKINS SQUAREAKRONOH44308237114013FOUNDATIONOH501(c)(3)7CHMCAYes (true)
CHILDREN'S HOME CARE GROUP
ONE PERKINS SQUAREAKRONOH44308341575266HOME CAREOH501(c)(3)11aCHMCAYes (true)
CHILD DIMENSIONS INSURANCE COMPANY
ONE PERKINS SQUAREAKRONOH44308030317160INSURANCEOH501(c)(3)11aCHMCAYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHILDREN'S HOME CARE GROUP
O$10,780,279ACTUAL PER GL
CHILDREN'S HOME CARE GROUP
P$9,442,972ACTUAL PER GL
CHILD DIMENSIONS INSURANCE GROUP
P$23,284ACTUAL PER GL
AKRON CHILDREN'S HOSPITAL FOUNDATION
P$10,066,005ACTUAL PER GL
AKRON CHILDREN'S HOSPITAL FOUNDATION
C$5,695,927ACTUAL PER GL
AKRON CHILDREN'S HOSPITAL FOUNDATION
C$355,144ACTUAL PER GL
AKRON CHILDREN'S HOSPITAL FOUNDATION
O$3,838,212ACTUAL PER GL
AKRON CHILDREN'S HOSPITAL FOUNDATION
B$681,260ACTUAL PER GL

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