2013-11-09T09:26:46-06:00 2012-12-31 CHILDREN'S HOSPITAL MEDICAL CTR OF AKRON ONE PERKINS SQ AKRON OH 44308 990 2012-01-01 340714357 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON CHIL 3305438171 ONE PERKINS SQUARE AKRON OH 443081062 MICHAEL P TRAINER 3305438171 2013-11-09 false 2013-11-09 2012 2016-02-24 21:20:13Z WILLIAM CONSIDINE ONE PERKINS SQUARE AKRON OH 44308 671643208 false X AKRONCHILDRENS.ORG X 1897 OH PART 1, LINE 1 AND PART III, LINE 1 THE MISSION OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON 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. CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON (CHILDREN'S) IS AN INDISPENSABLE, INTEGRATED PEDIATRIC HEALTHCARE DELIVERY SYSTEM SERVING INFANTS, CHILDREN, ADOLESCENTS, AND ADULTS IN AKRON AND NORTHEAST OHIO. ESTABLISHED IN 1890 BY THE "KINGS DAUGHTERS," A GROUP OF WOMEN AFFILIATED WITH A LOCAL CHURCH, CHILDREN'S HAS GROWN FROM A TWO-ROOM DAY NURSERY TO A MO 29 21 4833 1438 1009427 302493 11987714 10220171 499132527 553627294 8304843 8513950 4949800 5102036 524374884 577463451 929976 3054261 0 301345837 345699871 0 0 179468507 196448680 481744320 545202812 42630564 32260639 670261351 790401684 341111375 395714258 329149976 394687426 X PART 1, LINE 1 AND PART III, LINE 1 THE MISSION OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON 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. CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON (CHILDREN'S) IS AN INDISPENSABLE, INTEGRATED PEDIATRIC HEALTHCARE DELIVERY SYSTEM SERVING INFANTS, CHILDREN, ADOLESCENTS, AND ADULTS IN AKRON AND NORTHEAST OHIO. ESTABLISHED IN 1890 BY THE "KINGS DAUGHTERS," A GROUP OF WOMEN AFFILIATED WITH A LOCAL CHURCH, CHILDREN'S HAS GROWN FROM A TWO-ROOM DAY NURSERY TO A MO false false 141706911 99442261 PROGRAM ACHIEVEMENT 1 - SUBSPECIALTY PHYSICIANS: IN KEEPING WITH CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON'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, CHILDREN'S OFFERS UNIQUE SERVICES IN A BROAD RANGE OF PEDIATRIC SUBSPECIALTIES AS DESCRIBED HEREIN. SOME OF CHILDREN'S SUBSPECIALTY AREAS INCLUDE: AMBULATORY SERVICES, HEART CENTER, NEUROSURGERY, SEDATION SERVICE, ENT, MATERNAL FETAL MEDICINE, CARE CENTER, GASTROENTEROLOGY, SPORTS MEDICINE, NEUROLOGY, NDC BEHAVIORAL, NEPHROLOGY, ENDOCRINOLOGY, ADOLESCENT (CONTINUED ON SCHEDULE O) (CONTINUED FROM PART III, LINE 4A) MEDICINE, INFECTIOUS DISEASES, HEMATOLOGY SERVICES, PULMONARY MEDICINE, DEVELOPMENTAL PEDIATRICS, PALLIATIVE CARE PROGRAM, OAK ADOPTIVE HEALTH CENTER, LOCUST PEDIATRICS, DIAGNOSTIC REFERRAL GROUP, RHEUMATOLOGY, CLINICAL PHARMACOLOGY AND TOXICOLOGY, PSYCHIATRIC SERVICES, GENETICS, DEPARTMENT OF PEDIATRICS, CAST ROOM, ORTHOPEDICS, AND SKELETAL DYSPLASIS CENTER. ONE OF THE SUBSPECIALTY DEPARTMENTS, THE HEART CENTER, WHICH WAS ESTABLISHED IN MAY 2001, HAS SEEN NUMEROUS CONTRIBUTIONS AND ACCOMPLISHMENTS SINCE ITS INCEPTION. OF GREATEST IMPORTANCE IS THE ESTABLISHMENT AND MATURATION OF AN INTEGRATED, SERVICE-LINE ORGANIZATIONAL STRUCTURE. THIS HAS INFLUENCED ALL OTHER HEART CENTER INITIATIVES AND ACCOMPLISHMENTS OVER THE LAST TEN YEARS INCLUDING THE ESTABLISHMENT OF THE FOLLOWING SERVICES: -- CARDIAC SURGICAL SERVICES -- INTERVENTIONAL CARDIOLOGY -- MATERNAL FETAL CARDIOLOGY -- ADULT CONGENITAL CARDIOLOGY -- ELECTROPHYSIOLOGY CARDIOLOGY -- ADVANCED CARDIOLOGY IMAGERY -- OUTREACH CARDIOLOGY SERVICES -- CLINICAL CARDIOLOGY SERVICES (ECHO, EKG,STRESS TESTING) -- PREVENTIVE CARDIOLOGY THE HEART CENTER HAS ICAEL ACCREDITATION IN THE FOLLOWING: -- PEDIATRIC ECHOCARDIOGRAPHY -- PEDIATRIC TRANSTHORACIC ECHOCARDIOGRAPHY -- PEDIATRIC TRANESOPHAGEAL ECHOCARDIOGRAPHY -- FETAL ECHOCARDIOGRAPHY STATISTICS FOR THE HEART CENTER ARE AS FOLLOWS: 2012 2011 ------ ------ OUTPATIENT VISITS 22,236 13,935 CARDIAC PROCEDURES: CATH 305 263 SURGERY 159 120 ANOTHER SUBSPECIALTY IS THE DEPARTMENT OF NEPHROLOGY WHICH PROVIDES COMPLETE DIAGNOSTIC AND THERAPEUTIC SERVICES FOR INFANTS, CHILDREN AND TEENS WITH KIDNEY AND KIDNEY-RELATED DISEASES. FOR INFANTS, CHILDREN AND TEENS SUFFERING FROM RENAL FAILURE, WE OFFER A DIALYIS AND RENAL CARE CENTER. DIALYSIS IS ALSO AVAILABLE TO TREAT PATIENTS WHO NEED RENAL SUPPORT WHILE THEY RECOVER FROM BURNS, POISONINGS OR OTHER SERIOUS ILLNESS OR INJURY. COMPREHENSIVE CARE FOR KIDNEY PATIENTS IS ASSURED BY THE USE OF A TEAM APPROACH UTILIZING THE SKILLS OF PHYSICIANS, NURSES, DIETICIANS, AND SOCIAL WORKERS. OUR PEDIATRIC NEPHROLOGY SERVICES ARE RANKED AMONG THE BEST BY U.S. NEWS AND WORLD REPORT. CARE IS PROVIDED AT OUR AKRON CAMPUS, AS WELL AS OUTPATIENT CLINICS IN BOARDMAN AND MEDINA. IN 1987, CHILDREN'S ESTABLISHED THE CHILDREN AT RISK EVALUATION (C.A.R.E) CENTER TO BETTER EVALUATE AND INITIATE TREATMENT FOR CHILDREN OF SUSPECTED PHYSICAL OR SEXUAL ABUSE AND NEGLECT. AT THE CENTER, A TEAM OF PHYSICIANS, NURSES, AND SOCIAL WORKERS SEE SCHEDULED PATIENTS REFERRED BY PRIVATE PHYSICIANS (LOCAL AND REGIONAL), POLICE DEPARTMENTS, JUVENILE DETECTIVES, THE CHILDREN'S SERVICES BOARD (SUMMIT AND OTHER COUNTIES) AND OTHER COMMUNITY AGENCIES. LOCATED NEAR EMERGENCY SERVICES, THE CENTER ACCOMODATES THESE CHILDREN BY PROVIDING A QUIET STRUCTURE AND UNHURRIED ATMOSPHERE FOR EXAMINATION AND INTERVIEW. IN ADDITION TO PROVIDING FORENSIC INTERVIEWS AND EXAMINATIONS TO BE USED PRIOR TO AND DURING COURT PROCEEDINGS, THE CENTER CAN VIDEOTAPE A CHILD'S TESTIMONY TO AVOID REPEATED AND OFTEN PAINFUL INTERVIEWS. THE C.A.R.E. TEAM ALSO PROVIDES CONSULTATION WHEN ABUSE IS SUSPECTED FOR A CHILD ON AN INPATIENT UNIT. IN 2007, CHILDREN'S EXPANDED SERVICES FOR ABUSED CHILDREN AND TEENS IN THE MAHONING VALLEY BY PURCHASING THE TRI-COUNTY CHILD ADVOCACY CENTER. THE CENTER NOT ONLY PROVIDES MEDICAL AND FORENSIC EVALUATIONS FOR CHILDREN SUSPECTED OF BEING PHYSICALLY OR SEXUALLY ABUSED, BUT IT ALSO PROVIDES MEDICAL EVALUATIONS FOR KIDS IN FOSTER CARE. IN OCTOBER, 2009, CHILDREN'S RECEIVED FEDERAL AMERICAN RECOVERY AND REINVESTMENT ACT (AARA) GRANT FUNDING OF 882,550 FOR THE EXPANSION OF THE C.A.R.E. CENTER SERVICES TO INCLUDE TRAUMA INTERVENTION SERVICES ("TIS") FOR CHILD CARE VICTIMS. THE PROJECT EXPANDED THE INFRASTRUCTURE OF C.A.R.E. TO INCLUDE TIS, THROUGH THE HIRING AND TRAINING OF ADDITIONAL STAFF AND THE DEVELOPMENT OF PSYCHOLOGICAL EDUCATIONAL MATERIALS FOR CHILDREN WHO HAVE BEEN VICTIMS OF CRIME AND THEIR FAMILIES. IT ALSO INCREASED THE PARTICIPATION OF VICTIMS IN THE CRIMINAL JUSTICE SYSTEM, AND CONSEQUENTLY, THE PROSECUTION OF CHILD PHYSICAL AND SEXUAL ABUSE. CHILDREN WHO ARE VICTIMS OF PHYSICAL OR SEXUAL ABUSE ARE IDENTIFIED BY REFERRAL FROM OUTSIDE AGENCIES, INCLUDING LAW ENFORCEMENT AGENCIES, CHILD PROTECTIVE SERVICES, PRIVATE PHYSICIANS, AND CHILDREN'S HOSPITAL EMERGENCY DEPARTMENT PERSONNEL AT ANY OF THE FOUR CHILDREN'S HOSPITAL MEDICAL CENTER EMERGENCY DEPARTMENT LOCATIONS. SERVICES PROVIDED INCLUDE IMMEDIATE TRAUMA-INFORMED, HOME-BASED CRISIS INTERVENTION MANAGEMENT, ADVOCACY THROUGHOUT THE CRIMINAL JUSTICE SYSTEM, AND PSYCHOSOCIAL EDUCATIONS FOR FAMILIES REGARDING TRAUMA SYMPTOMS AND TREATMENT. THIS PROJECT WAS AN EXPANSION OF A CURRENT SUCCESSFUL EVIDENCE-BASED PROGRAM MODEL, CHILDREN WHO WITNESS VIOLENCE, WHICH HAS SERVED OVER 2,500 CHILDREN WHO HAVE WITNESSED VIOLENCE AND THEIR FAMILIES WITH HOME-BASED TRAUMA INTERVENTION SERVICES. OHIO'S RATE OF CHILD ABUSE AND NEGLECT IS RANKED ELEVENTH IN THE NATION. RESEARCH HAS SHOWN THAT EXPOSURE TO TRAUMA MAY NEGATIVELY IMPACT THE PHYSICAL, MENTAL, AND EMOTIONAL DEVELOPMENT OF CHILDREN. CHILDREN'S HAS HAD SUCCESSFUL AND EXTENSIVE EXPERIENCE IN THE IMPLEMENTATION OF SERVICES TO PROVIDE TRAUMA FOR CHILDREN EXPOSED TO VIOLENCE; THE EXPANSION OF THE C.A.R.E. CENTER WILL BUILD UPON THIS MODEL. IN LATE 2012, CHILDREN'S RECEIVED A 1.6M GRANT TO PROVIDE SERVICES AND SUPPORT FOR CHILDREN WHO HAVE EXPERIENCED PSYCHOLOGICAL TRAUMA IN NORTHEAST OHIO. WITH THIS NEW FUNDING, CHILDREN'S WILL DEVELOP THE CENTER FOR THE TREATMENT AND STUDY OF ADVERSE CHILDHOOD EVENTS, WITH THE GOAL OF PROVIDING LEADERSHIP, TRAINING AND CONSULTATION SERVICES IN THE AREA OF CHILDHOOD TRAUMATIC STRESS. ANOTHER GOAL OF THE GRANT IS TO BETTER IDENTIFY CHILDREN WHO NEED THESE SERVICES BY SCREENING THEM DURING PRIMARY CARE, PSYCHIATRIC AND EMERGENCY ROOM VISITS. THE CENTER WILL WORK CLOSELY WITH SCHOOLS TO HELP TEACHERS IDENTIFY AND BE SENSITIVE TO CHILDREN WHO MAY BE TRAUMATIZED. WITH THE GRANT, CHILDREN'S BECOMES A MEMBER OF THE NATIONAL CHILD TRAUMATIC STRESS NETWORK (NCTSN), WHOSE MISSION IS TO IMPROVE THE QUALITY, EFFECTIVENESS AND AVAILABILITY OF SERVICES FOR CHILDREN AND FAMILIES WHO EXPERIENCE TRAUMATIC EVENTS. A COMPONENT OF THE DIVISION OF HEMATOLOGY/ONCOLOGY, THE OHIO REGIONAL VI COORDINATED SICKLE CELL PROGRAM AT CHILDREN'S SERVES ADULTS AND CHILDREN IN SEVERAL NORTHEAST OHIO COUNTIES. THE GRANT FUNDED PROGRAM PLAYS AN IMPORTANT ROLE IN IMPROVING THE TREATMENT AND EDUCATION OF PERSONS WITH THE SICKLE CELL TRAIT IN THE REGION. IN ADDITION TO MEDICAL CARE, SUPPORT SERVICES INCLUDE DISEASE EDUCATION, PERSONAL AND CAREER COUNSELING AND FINANCIAL COUNSELING ARE OFFERED. ALSO INCORPORATED IN THE SICKLE CELL CLINIC ARE GENETIC AND PSYCHOSOCIAL COUNSELING SERVICES. THE PROGRAM COORDINATES ACTIVITIES OF SICKLE CELL SERVICE AGENCIES THROUGHOUT REGION VI AND PROVIDES EDUCATION PROGRAMS FOR THE GENERAL PUBLIC, AT-RISK GROUPS AND HEALTH CARE PROVIDERS. CHILDREN'S HEMOSTASIS AND THROMBOSIS CENTER PROVIDES DIAGNOSTIC AND TREATMENT SERVICES TO CHILDREN AND ADULTS WITH INHERITED BLEEDING AND CLOTTING DISORDERS. THE CENTER IS RECOGNIZED BY THE FEDERAL DEPARTMENT OF MATERNAL AND CHILD HEALTH AS A REGIONAL COMPREHENSIVE CENTER. THE CENTER IS STAFFED BY BOARD-CERTIFIED HEMOTOLOGISTS, NURSE CLINICIANS, NURSE EDUCATOR, SOCIAL SERVICE STAFF, AN ORTHOPEDIST AND A PHYSICAL THERAPIST. IN ADDITION TO PROVIDING MEDICAL ASSESSMENT/TREATMENT THROUGH THE CANCER AND BLOOD DISORDERS CLINIC, THE STAFF PROVIDES COUNSELING AND TEACHING SERVICES. THE HOSPITAL ALSO OPERATES A CLINIC IN MILLERSBURG, OHIO, TO SERVE THE AMISH/MENNONITE COMMUNITY. CLINICAL TRIALS ARE AVAILABLE TO INDIVIDUALS WITH HEREDITARY COAGULATION DISORDERS ENROLLED IN THE CENTER, IN CONJUNCTION WITH PHARMACEUTICAL COMPANIES, THE CDC, THE NATIONAL HEMOPHILIA FOUNDATION, AND OTHER RESEARCH AGENCIES. CHILDREN'S OFFERS A COMPREHENSIVE CLINICAL TREATMENT CENTER FOR CHILDREN WITH ALL TYPES OF CANCER AND BLOOD DISORDERS. HIGHLY SPECIALIZED TEAMS CARE FOR CHILDREN AND TEENS WITH ALL TYPES OF CHILDHOOD CANCERS, SICKLE CELL DISEASE, HEMOGLOBINOPATHIES, AND BLEEDING/CLOTTING DISORDERS, AS WELL AS THOSE WHO REQUIRE STEM CELL/BONE MARROW TRANSPLANTATION. CHILDREN'S INPATIENT CANCER AND BLOOD DISORDERS UNIT HAS 20 PRIVATE ROOMS WITH SOOTHING NATU 95374424 144696475 PROGRAM ACHIEVEMENT 2 - INPATIENT SERVICES: 2012 2011 ---- ---- TOTAL INPATIENT DAYS 71,099 69,991 AKRON CHILDREN'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 (CONTINUED ON SCHEDULE O) (CONTINUED FROM PART III, LINE 4B) 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, TRAUMA SERVICES. A 59-BED REGIONAL NEONATAL INTENSIVE CARE UNIT (NICU) WAS OPENED IN 1993. THE NICU IS DESIGNATED THE LEVEL III TERTIARY NEONATAL UNIT IN OHIO'S PERINATAL REGION VI. A FULL STAFF OF MEDICAL, NURSING, AND OTHER HEALTH CARE PROFESSIONALS CARE FOR HIGH-RISK INFANTS IN ONE OF THE MOST ADVANCED FACILITIES IN THE NATION. 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 FOR BABIES WHO HAVE BEEN HERE FOR AN EXTENDED PERIOD OF TIME. DURING 2012, CHILDREN'S RENEWED THEIR LEASE AGREEMENT WITH AKRON GENERAL MEDICAL CENTER FOR THE OPERATIONS OF A 17 BED, LEVEL II SPECIAL CARE NURSERY. ALTHOUGH LOCATED AT AKRON GENERAL MEDICAL CENTER, THOSE PATIENTS TREATED ARE PATIENTS OF CHILDREN'S. CHILDREN'S IS RESPONSIBLE FOR THE MEDICAL AND TREATMENT CARES RENDERED TO THESE PATIENTS USING THE HEALTHCARE KNOWLEDGE AND TECHNIQUES DEVELOPED AND UTILIZED AT CHILDREN'S MAIN CAMPUS. DURING 2007, CHILDREN'S AND ST. ELIZABETH'S HOSPITAL, YOUNGSTOWN, OHIO ("HMHP")PURCHASED FROM FORUM HEALTH SYSTEM CERTAIN INPATIENT AND OUTPATIENT FACILITIES AND RESIDENTIAL REALTY LOCATED IN BOARDMAN, OHIO ("BEEGHLY CAMPUS"). CHILDREN'S AND HMHP ENTERED INTO AN AGREEMENT TO PROVIDE PEDIATRIC SERVICES ON THE ST. ELIZABETH CAMPUS IN YOUNGSTOWN, OHIO UNTIL THE BEEGHLY CAMPUS WAS CONVERTED INTO FACILTIES APPROPRIATE FOR PEDIATRIC INPATIENT, OUTPATIENT AND EMERGENCY SERVICES. IN DECEMBER 2009, THE BOARD OF DIRECTORS AND HMHP AGREED TO HAVE ONLY CHILDREN'S OWN AND OPERATE THE BEEGHLY CAMPUS. PATIENT CARE SERVICES AT THE BEEGHLY CAMPUS COMMENCED IN DECEMBER 2008, AND IS NOW KNOWN AS AKRON CHILDREN'S HOSPITAL MAHONING VALLEY. TOTAL NICU PATIENT DAYS WERE AS FOLLOWS: 2012 2011 ----- ------ NEONATAL AT AKRON 18,295 19,078 NEONATAL AT AGMC 3,893 3,822 NEONATAL AT ST. E'S 5,440 6,016 NEONATAL AT BEEGHLY 3,563 3,898 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 1,300 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 COMFORTABLE PULL-OUT SOFAS TO ENCOURAGE PARENTS TO STAY OVERNIGHT. TOTAL PATIENT DAYS WERE 19,435 AND 18,512 IN 2012 AND 2011, RESPECTIVELY. SINCE 1978, THE BURN INSTITUTE HAS PROVIDED SPECIALIZED CARE FOR BURN VICTIMS OF ALL AGES THROUGHOUT NORTHEASTERN OHIO. AKRON CHILDREN'S 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 AKRON CHILDREN'S BURN CENTER, WHICH FEATURES 12 PRIVATE PATIENT ROOMS WITH BATHROOMS AND ROOMING-IN 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 BURN 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 2,723 AND 2,578 FOR 2012 AND 2011, RESPECTIVELY. THE DIVISION OF EMERGENCY/TRAUMA SERVICES AT CHILDREN'S 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 101,626 VISITS DURING 2012. 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 AND 750 PATIENTS PER MONTH WHO NEED STITCHES. ROUNDING OUT THE SPECIALIZED MEDICAL CARE IN THE ED 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. AKRON CHILDREN'S HOSPITAL 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. 66846359 145150744 PROGRAM ACHIEVEMENT 3 - 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 TEST FOR MORE THAN 60 DIFFERENT SUBSTANCES FOUND IN BLOOD, URINE (CONTINUED ON SCHEDULE O) (CONTINUED FROM PART III, LINE 4C) AND CEROBROSPINAL FLUID SPECIMENS. IN ADDITION TO ROUTINE CHEMISTRIES, TESTING IS PERFORMED FOR THERAPEUTIC AND IMMUNOSUPPRESIVE DRUG MONITORING. SWEAT CHLORIDE ANALYSIS IS PERFORMED TO SCREEN FOR CYSTIC FIBROSIS. THE HEMATOLOGY SECTION RUNS ANALYSIS ON THE CELLULAR COMPONENTS OF THE BLOOD. CELL COUNTS ARE PERFORMED USING AUTOMATED INSTRUMENTS WHILE CELL MORPHOLOGY IS CONFIRMED BY DOING MANUAL EXAMINATIONS OF STAINED BLOOD SMEARS. SPECIAL HEMATOLGY EXAMS, AS WELL AS ROUTINE AND SPECIAL COAGULATION TESTING IS ALSO PERFORMED IN THE HEMATOLOGY LABORATORY. INSTRUMENTS ARE SELECTED TO USE THE SMALLEST AMOUNTS OF BLOOD FOR TESTING IN ORDER TO MINIMIZE BLOOD LOSS FROM OUR PEDIATRIC PATIENTS. SPECIALIZED ASSAYS ARE PERFORMED TO AID IN THE DIAGNOSIS OF HEMATOLOGICAL AND COAGULATION DISORDERS. LEAD TESTING IS PERFORMED IN THE SPECIAL CHEMISTRY LABORATORY. OTHER TESTS PERFORMED IN SPECIAL CHEMISTRY INCLUDE PRENATAL TESTING FOR DOWN'S SYNDROME AND NEURAL TUBE DEFECTS AS WELL AS THYROID AND OTHER HORMONES. IN ADDITION TO THE CCL, LABORATORY SERVICES ARE PROVIDED BY THE INFECTIOUS DISEASE LABORATORIES (MICROBIOLOGY, VIROLOGY, IMMUNOLOGY, AND MOLECULAR DIAGNOSTICS). THESE SERVICES INCLUDE THE IDENTIFICATION OF BACTERIA AND VIRUSES BY CONVENTIONAL CULTURE TECHNIQUES, RAPID SHELL VIAL AND DIRECT IMMUNOFLOURESCENCE STAINS, AND AMPLIFIED NUCLEIC ACID PROBE ASSAYS. THE MOLECULAR DIAGNOSTIC LABORATORY ALSO PERFORMS GENETIC ASSAYS FOR CYSTIC FIBROSIS MUTATIONS AND FOR THE MUTATIONS THAT CAUSE HYPERCOAGULABILITY. THE CYTOGENETIC LABORATORY PERFORMS KARYOTYPES AND FISH (IN-SITU HYBRIDIZATION) TO DETECT CHROMOSOME ABNORMALITIES. ANATOMIC PATHOLOGY SERVICES INCLUDE SURGICAL PATHOLOGY, RENAL, NERVE, AND MUSCLE, PLACENTAL PATHOLOGY AND AUTOPSY SERVICES. THE ANATOMIC PATHOLOGY LABORATORY HAS A STATE OF THE ART JEOL SCANNING ELECTRON MISCROSCOPE TO AID IN THE DIAGNOSIS AT THE SMALLEST CELLULAR LEVEL. THE RADIOLOGY DIVISION AT AKRON CHILDREN'S HOSPITAL 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 DECEMBER 2008, AKRON CHILDREN'S OPENED OUR 32-BED ACUTE CARE AKRON CHILDREN'S HOSPITAL IN 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. CHILDREN'S HOSPITAL MEDICAL CENTER'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 AT CHILDREN'S, 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 CHILDREN'S 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. 138634744 3054261 164337814 CHILDREN'S OPERATES ONE OF THE LARGEST PEDIATRIC PRIMARY CARE NETWORKS WITH 20 OFFICES IN NINE COUNTIES INCLUDING CUYAHOGA, MEDINA, WAYNE, TUSCAWARAS AND PORTAGE. THE PEDIATRICIANS AND STAFF AT AKRON CHILDREN'S HOSPITAL PEDIATRICS 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 AKRON CHILDREN'S HOSPITAL. BY SHARING INFORMATION BETWEEN OUR OFFICES AND WITH AREA HEALTH CARE PROVIDERS, WE ENSURE THAT ALL CHILDREN RECEIVE THE FINEST CARE -- FROM PREVENTIVE CHECKUPS TO TREATMENT FOR CHRONIC HEALTH PROBLEMS. AKRON CHILDREN'S HOSPITAL PEDIATRICS VISITS WERE 301,645 AND 269,761 FOR 2012 AND 2011 RESPECTIVELY. THE SURGICAL SERVICES DEPARTMENT AT CHILDREN'S MEDICAL HOSPITAL OF AKRON PERFORMS MORE THAN 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 CHILDREN'S, FROM PEDIATRIC SURGEONS TO PEDIATRIC ANESTHESIOLOGISTS AND NURSES ARE CAREFULLY TRAINED IN MEETING THE UNIQUE SURGICAL NEEDS AND CONCERNS OF CHILDREN AND THEIR FAMILIES. THE PEDIATRIC ANESTHESIOLOGISTS ARE EXPERIENCED AT HELPING A CHILD GO TO SLEEP WITH AS LITTLE ANESTHESIA AS POSSIBLE. THEY UNDERSTAND THE MEDICAL DIFFERENCES BETWEEN CHILDREN AND ADULTS. SPECIAL EQUIPMENT AND TECHNIQUES SUITED TO THE SIZE OF THE PATIENT, FROM INFANTS TO YOUNG ADULTS, HELP ASSURE SUCCESSFUL OUTCOMES TO THE SURGERY AND ANESTHESIA. 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. CHILDREN'S 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. 2012 2011 ----- ------ SURGICAL PATIENTS - INPATIENT 3,316 3,098 SURGICAL PATIENTS - OUTPATIENT 12,025 10,916 138634744 3054261 164337814 442562438 true true false true false false false false false true true false false true true false false true false false true false false false true false true true true false true true false true false false false false false false true true false false false false true true true true false false true X 262 0 true 4833 true false true CJ false false false true true false false false false X 29 21 true false false false true true true true true false true true false true true true true false true true false OH X ALICIA LAMANCUSA VP FINANCE 3305438171 ONE PERKINS SQUARE AKRON OH 44308 WILLIAM CONSIDINE 40.00 10.00 X X 1573778 0 257016 NORMAN CHRISTOPHER MD 40.00 1.00 X 410120 0 113540 JEFFREY HORD 40.00 1.00 X 330976 0 92873 MARY LINK 40.00 X X 262490 0 12265 ROBERT STONE MD 40.00 1.00 X 122828 0 2786 VIRGINIA ALBANESE 2.00 X 0 0 0 ROBERT BERK 5.00 X 0 0 0 SUSAN BERK 15.00 1.00 X 0 0 0 ELINORE MARSH STORMER 3.00 X 0 0 0 RICHARD GRIGG 22.00 1.00 X X 0 0 0 KATHY LANE 14.00 1.00 X 0 0 0 WILLIAM HOPKINS 6.00 X 0 0 0 STEPHEN MYERS 8.00 X X 0 0 0 DUANE ISHAM 14.00 2.00 X 0 0 0 ESTELLE KAUFMAN 7.00 X 0 0 0 DALE KOBLENZER 7.00 X 0 0 0 LAURA SHEEKS 2.00 X X 0 0 0 SCOTT LEVIN 4.00 X 0 0 0 PAULA MALONE 16.00 1.00 X 0 0 0 PHILIP MAYNARD 11.00 16.00 X 0 0 0 GREG MCDERMOTT 9.00 1.00 X X 0 0 0 RICHARD ROGERS 3.00 X 0 0 0 DONALD SCHNEIDER 3.00 X 0 0 0 DAVID SHOWERS 3.00 X 0 0 0 ELLEN VOLLMAN 1.00 X 0 0 0 ROBERT TRABUCCO 3.00 X 0 0 0 WILLIAM WOOLDREDGE 10.00 2.00 X 0 0 0 DARREN WELLS 3.00 X 0 0 0 VIVIAN CELESTE NEAL 3.00 X 0 0 0 SHAWN LYDEN 40.00 2.00 X 596186 0 32851 GRACE WAKULCHIK 40.00 4.00 X 455775 0 129026 MICHAEL TRAINER 40.00 12.00 X 370859 0 35368 THOMAS OGG 40.00 X 327005 0 22464 AMY MANEKER 40.00 X 303226 0 1516 WALTER SCHWOEBLE 40.00 X 302112 0 27118 LISA AURILIO 40.00 X 274848 0 59491 LINDA GENTILE 40.00 X 235195 0 106436 ROGER HUDGINS 40.00 X 1684101 0 16024 ANTON MILO MD 40.00 X 1348146 0 23061 MARK MCCOLLUM MD 40.00 X 1143767 0 18108 PHILIP SMITH MD 40.00 X 1067222 0 95718 ROBERT PARRY 40.00 X 1019851 0 23338 11828485 1068999 422 false true false MARCUS THOMAS LLC 4781 RICHMOND ROAD CLEVELAND OH 44128 BROADCAST MEDIA 3199348 WELTY BUILDING COMPANY 3421 RIDGEWOOD ROAD FAIRLAWN OH 44333 CONSTRUCTION CO 1781933 WADSWORTH PEDIATRICS 1225 HIGH STREET WADSWORTH OH 44281 PHYSICIAN FEES 1568788 DEARBORN ADVISORS PO BOX 66391 CHICAGO IL 606660391 CONSULTING 1276499 AKRON PEDIATRIC SURGICAL ASSOCIATION 300 LOCUST ST AKRON OH 44302 PHYS. SERVICES 1099276 27 343820 6804010 2353707 718634 10220171 OTHER NET PATIENT SVCS 900099 149247724 149247724 ANCILLARY 621500 145150744 145150744 INPATIENT SERVICES 900099 144696475 144696475 SUBSPECIALTY PHYSICIANS 900099 99442261 99442261 MISC DEPARTMENT INCOME 900099 15090090 15090090 553627294 4327353 4327353 95512121 1649014 92151326 823212 3360795 825802 4186597 357954 3828643 1331033 343820 1205219 125814 125814 CAFETERIA 722210 3288861 3288861 PARKING DECK 812930 1035888 1035888 PHARMACY 446110 535043 535043 116430 116430 4976222 577463451 553627294 1009427 12606559 3054261 3054261 6458150 1749094 4709056 93564 93564 266001296 234951727 31049569 22389726 19790644 2599082 33725266 27185963 6539303 17031869 14777825 2254044 548768 45415 503353 295128 295128 133000 133000 407247 407247 34479916 26548688 7931228 5838793 186502 5652291 11378603 8978713 2399890 6200237 6200237 9113340 7883537 1229803 4536954 2643016 1893938 4705917 4705917 35782032 20229162 15552870 10772952 10772952 MEDICAL/SURGICAL SUPPLIES 45949085 45800880 148205 EQUIP RENTAL/MAINTENANCE 14136590 6453364 7683226 PROV FOR FRANCHISE FEE 8466396 8466396 RECRUITMENT 760527 187730 572797 2943195 2856569 86626 545202812 442562438 102640374 0 21523 26980 21420755 25455360 69192322 78064934 9017033 16962056 4837285 5588486 6063519 5214851 596718749 354702765 215494815 242015984 239620420 303012990 7727125 9093470 96866554 104966573 670261351 790401684 68637587 88390684 110664934 130829069 161808854 176494505 341111375 395714258 X 284572794 344595513 34384801 39184648 10192381 10907265 329149976 394687426 670261351 790401684 X 32260639 8139040 25137771 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 130964 false false true 133000 263964 false SCHEDULE C, PART II-B, LINE 1 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON PAID A TOTAL OF 570,814 TO OTHER ORGANIZATIONS. OF THAT AMOUNT, 306,850 PERTAINED TO DUES, 130,964 RELATED TO VARIOUS LOBBYING EXPENSES AND 133,000 WAS PAID TO THREE CONSULTING FIRMS FOR LOBBYING EFFORTS AND VARIOUS COMMUNICATIONS THEY HAD ON BEHALF OF CHILDREN'S WITH LEGISLATURES. THOSE COMMUNICATIONS AND LOBBYING EFFORTS INVOLVE THE FOLLOWING: ALONG WITH THE MANAGEMENT OF CHILDREN'S, THE LOBBYIST CONDUCTED NUMEROUS MEETINGS WITH STATE LEGISLATORS IN SUPPORT OF CHILDREN'S BUDGET REQUESTS. THEY ALSO MET WITH MEMBERS OF THE OHIO HOUSE OF REPRESENTATIVES AND OHIO SENATE REGARDING LEGISLATIVE PRIORITIES FOR THE GOVERNOR'S MID-BIENNIUM BUDGET REVIEW BILL. PARTICIPATED IN ADVOCACY PLANNING MEETINGS AT CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ON HB 417, HB143. LOBBYIST WORKED WITH CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON TO GET HB143 PASSED OUT OF THE OHIO SENATE AND SIGNED BY THE GOVERNOR. ARRANGED AND ATTENDED MEETINGS WITH OHIO CONGRESSIONAL DELEGATION ON 340(B) FUNDING, CHGME AND BEGAN DISCUSSIONS ON PROPOSED BUDGET CUTS TO OTHER HEALTH RELATED PROGRAMS INCLUDING MEDICAID. UPDATED HOUSE AND SENATE MEMBERS AND HELD CONGRESSIONAL MEETINGS PROVIDING A TEFRA ISSUE UPDATE. MONITORED LEGISLATION BENEFITING CHILDREN'S HOSPITAL MEDICAL CENTER ON MEDICAID, 340(B), CHGME, HRSA, GRANT FUNDING AND OTHER RELATED BILLS IMPACTING PEDIATRIC HEALTH CARE. CONTINUED WEEKLY FOLLOW UP WITH CMS ON TEFRA ISSUE. PARTICIPATED IN A MEETING WITH THE OFFICE OF MEDICAL ASSISTANCE, THE OHIO CHILDREN'S HOSPITAL ASSOCIATION, AND THE OHIO CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS TO DISCUSS IMPLEMENTATION OF THE AFFORDABLE CARE ACT PRIMARY CARE RATE INCREASE. THE FOLLOWING ARE 2012 LOBBYING EXPENSES: ASSOCIATION OF AMERICAN MEDICAL COLLEGES 210 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS 32,356 AMERICAN HOSPITAL ASSOCIATION 9,927 OHIO CHILDREN'S HOSPITAL ASSOCIATION 75,854 OHIO HOSPITAL ASSOCIATION 5,117 CITIZEN'S FOR AKRON COMMITTEE 2,500 PARTNERS ADVANCING AKRON'S FUTURE 5,000 ------- TOTAL 130,964 LOBBYIST - ROETZEL & ANDRESS 61,000 LOBBYIST - CAPITAL CONSULTING GROUP 60,000 LOBBYIST - WALSH CAPITOL CONSULTING 12,000 ------- 263,964 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 CARES FOR THEM. OHIO CHILDREN'S HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION ARE STATE OF OHIO ORGANIZATIONS THAT EXPRESS THE VIEWS OF OHIO'S 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. 48292758 7590996 3474164 -4172399 55185519 42191502 11512095 -1529858 -3880981 48292758 37902948 4684218 3511833 -3907497 42191502 30651078 3667095 7080419 -3495644 37902948 34179353 5744957 -4770848 -4502384 30651078 0.09230 0.19760 0.71010 false true true 10734332 10734332 309231718 196008197 113223521 7999790 4964315 3035475 246652896 153730253 92922643 22100013 22100013 242015984 BENEFICIAL INTEREST IN FOUNDATION 96272162 INVESTMENT OF AKRON NICU BUSINESS 6215172 DEFERRED FINANCING COSTS 1608579 OTHER ASSETS 870660 104966573 PENSION 125877359 OTHER LIABILITIES 25181103 POSTRETIREMENT PLANS 23154043 RESERVE FOR PROFESSIONAL LIABILITY 2282000 176494505 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 TEMPORARILY RESTRICTED FUNDS ARE SUBJECT TO PURPOSE RESTRICTIONS IMPOSED BY THE DONOR. THESE FUNDS ARE HELD UNTIL THE SPECIFIC PURPOSE IS MET AND THEN 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. CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON DOES HAVE A POLICY IN PLACE TO MONITOR ALL UNRESTRICTED, TEMPORARILY AND PERMANENTLY RESTRICTED FUNDS. SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIII CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON PREPARES CONSOLIDATED FINANCIAL STATEMENTS WITH THEIR AFFILIATED SUBSIDIARIES. CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ADOPTED FIN 48 IN 2007. NO DISCLOSURES WERE REQUIRED UNDER GAAP AS CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON DOES NOT HAVE ANY MATERIAL TAX CONTINGENCIES THAT REQUIRED DISCLOSURES IN THE FOOTNOTES. false CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS MIDDLE EAST AND NORTH AFRICA INVESTMENTS 8880810 8880810 false false true false false false ACTIVITIES PER REGION SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 0 8,680,810 MIDDLE EAST AND NORTH AFRICA 0 200,000 GIFT SHOP 1053398 1053398 897541 CHARITY BALL 288073 216055 72018 149937 2 333382 127765 205617 157741 1674853 343820 1331033 1205219 1205219 125814 true true X true X true X true true false true true 4828315 1048377 3779938 0.00690 248488831 166810645 81678186 0.14980 799055 799055 254116201 168658077 85458124 0.15670 5368332 24044 5344288 0.00980 18539749 12532737 6007012 0.01100 683345 683345 0.00130 2334728 2334728 0.00430 26926154 12556781 14369373 0.02640 281042355 181214858 99827497 0.18310 210 210 8256 8256 311141 1850 309291 0.00060 63055 12000 51055 0.00010 60128 27 60101 0.00010 63551 1772 61779 0.00010 32224 1 32223 0.00010 538565 15650 522915 0.00100 false 4607512 7394661 9009269 -1614608 X true true 5 1 CHILDRENS HOSPITAL MED CTR OF AKRON

ONE PERKINS SQUARE AKRON OH 44308

WWWAKRONCHILDRENSORG X X X X 2 CHILDRENS HOSPITAL MED CTR OF AKRON MAHONING VALLEY AT BEEGHLY

6505 MARKET STREET YOUNGSTOWN OH 44512

WWWAKRONCHILDRENSORG X X X X 3 CHILDREN'S AT ST ELIZABETH

1044 BELMONT YOUNGSTOWN OH 44504

WWWAKRONCHILDRENSORG X X NICU NURSERY 4 CHILDREN'S SPECIALTY CARE NURSERY AT AKRON GENERAL MEDICAL CENTER

400 WABASH AVENUE AKRON OH 44307

WWWAKRONCHILDRENSORG X X NICU NURSERY 5 CHILDREN'S SPECIALTY CARE NURSERY AT SUMMA AKRON CITY HOPITAL

525 E MARKET STREET AKRON OH 44304

WWWAKRONCHILDRENSORG X X NICU NURSERY CHILDRENS HOSPITAL MED CTR OF AKRON 1 true true 200.0 true 300.0 true X X X X X true true X X X X X X X true false X X X true X false false CHILDRENS HOSPITAL MED CTR OF AKRON 2 true true 200.0 true 300.0 true X X X X X true true X X X X X X X true false X X X true X false false CHILDREN'S AT ST ELIZABETH 3 true true 200.0 true 300.0 true X X X X X true true X X X X X X X true false X X X true X false false CHILDREN'S SPECIALTY CARE NURSERY 4 true true 200.0 true 300.0 true X X X X X true true X X X X X X X true false X X X true X false false CHILDREN'S SPECIALTY CARE NURSERY 5 true true 200.0 true 300.0 true X X X X X true true X X X X X X X true false X X X true X false false 34 AKRON CHILDREN'S HOSPITAL HUDSON ED

5655 HUDSON DRIVE HUDSON OH 44236

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL

NEW PHILADELPHIA 1045 W HIGH STREET NEW PHILADELPHIA OH 44663

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSP MONTROSE ED

4125 MEDINA ROAD AKRON OH 44333

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL GREEN

1600 E TURKEYFOOT LAKE ROAD AKRON OH 44312

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL FAIRLAWN

701 WHITE POND DRIVE SUITE 100 AKRON OH 44320

GENERAL OUTPATIENT SERVICES PARTIAL HOSPITALIZATION PROGRAM

388 SOUTH MAIN STREET AKRON OH 44311

BEHAVIORAL HEALTH (DAY PROGRAMS) AKRON CHILDREN'S HOSPITAL HUDSON

1365 CORP DRIVE SUITE A HUDSON OH 44236

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL BROADWAY

676 SOUTH BROADWAY SUITE 103 AKRON OH 44308

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL WARREN

8720 E MARKET STREET SUITE 1C WARREN OH 44484

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL WOOSTER

128 E MILTOWN ROAD 209 WOOSTER OH 44691

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL BARBERTON

62 CONSERVATORY DR BLDG D SUITE A BARBERTON OH 44203

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL MEDINA

3443 MEDINA ROAD MEDINA OH 44256

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL BOARDMAN

6505 MARKET STREET BLDG C SUITE 212 BOARDMAN OH 44512

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL KENT

1951 STATE RT 59 KENT OH 44240

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL ELLET

3043 SANITARIUM ROAD SUITE 3 AKRON OH 44312

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL TWINSBURG

8054 DARROW ROAD SUITE 3 TWINSBURG OH 44087

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL WADSWORTH

165 SMOKERISE DRIVE WADSWORTH OH 44281

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL TALLMADGE

143 NORTHEAST AVE BLDG D 102 TALLMADGE OH 44278

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL ASHLAND

2212 MIFFLIN AVENUE SUITE 235 ASHLAND OH 44805

GENERAL OUTPATIENT SERVICES MILLERSBURG HEMOPHILIA CLINIC

1261 WOOSTER ROAD MILLERSBURG OH 44654

GENERAL OUTPATIENT SERVICES BEACHWOOD SPECIALTIES

23250 CHAGRIN BLVD BUILDING 5 BEACHWOOD OH 44122

GENERAL OUTPATIENT SERVICES CARE CENTER - STARK COUNTY

213 MARKET AVENUE N SUITE 200 CANTON OH 44702

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL SOLON

34125 SOLON ROAD SOLON OH 44139

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSP BRECKSVILLE

7001 S EDGERTON ROAD SUITE 500 BRECKSVILLE OH 44141

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSP STREETSBORO

9318 STATE RD 14 STREETSBORO OH 44241

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSP RAVENNA

6847 CHESTNUT STREET SUITE 200 RAVENNA OH 44266

INPATIENT/OUTPATIENT SERVICES BOARDMAN MEDICAL PAVILION

5423 MARKET STREET BLDG C SUITE 30 BOARDMAN OH 44512

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL

ORTHOPEDIC SPECIALTY - CANTON 4455 DRESSLER ROAD CANTON OH 44718

GENERAL OUTPATIENT SERVICES AULTMAN HOSPITAL SPECIALTIES

2600 6TH STREET SW CANTON OH 44710

GENERAL OUTPATIENT SERVICES LAKEHEALTH TRIPOINT MED CTR

7590 AUBURN ROAD SUITE 214 PAINESVILLE OH 44077

SINGLE SPECIALTY GROUP (OUTPATIENT) MEDINA SPECIALTIES

3591 RESERVE COMMONS DRIVE MEDINA OH 44256

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL REHAB

4125 MEDINA ROAD AKRON OH 44333

GENERAL OUTPATIENT SERVICES AKRON CHILDREN'S HOSPITAL ALLERGY

6722 WALES AVENUE NW SUITE A MASSILLON OH 44646

SINGLE SPECIALTY GROUP CHILDREN'S AT ROBINSON

6847 CHESTNUT STREET RAVENNA OH 44266

INPATIENT/OUTPATIENT SERVICES RELATED ORGANIZATION INFORMATION PART I LINE 6A FOR 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 CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON AND CHILDRENS SPECIALTY CARE NURSERY WAS POSTED TO THE CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON WEBSITE MAKING IT AVAILABLE TO THE PUBLIC THE COMMUNITY BENEFIT REPORT FOR THE CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON MAHONING VALLEY AT BEEGHLY AND CHILDRENS AT ST ELIZABETH WAS THE RESULT OF A COMMUNITY COLLABORATIVE AND THE FINAL REPORT IS POSTED TO THE WEBSITE OF THE MAHONING COUNTY DISTRICT BOARD OF HEALTH WWWMAHONINGHEALTHORG SUBSIDIZED HEALTH SERVICES EXPLANATION PART I LINE 7G CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON IS A FREESTANDING CHILDRENS 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 COSTING METHODOLOGY EXPLANATION PART I LINE 7 7ACHARITY CARE AT COST WE BELIEVE THAT APPLYING A COSTTOCHARGE 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 7B UNREIMBURSED MEDICAID AND 7C UNREIMBURSED COSTS OTHER MEANS TESTED WE BELIEVE THAT REPORTING PROGRAM CHARGES COSTS AND PAYMENTS DIRECTLY FROM THE HOSPITALS OHIO MEDICAID COST REPORT ALONG WITH SIMILAR CALCULATIONS FOR SERVICES RENDERED BY HOSPITAL EMPLOYED PHYSICIANS AND OTHER PROFESSIONAL PROVIDERS AND SERVICES RENDERED TO OUTOFSTATE MEDICAID ENROLLEES IS THE MOST ACCURATE METHODOLOGY TO CALCULATE UNREIMBURSED MEDICAID AND OTHER MEANSTESTED 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 528 AS REPORTED ON OUR INTERNAL PAYOR MIX REPORT 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 COMMUNITY BUILDING ACTIVITIES PART II EVERYTHING DONE BY CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON PROVIDES A BENEFIT TO THE COMMUNITIES WE SERVE OUR PRIMARY BENEFIT TO EACH COMMUNITY WE SERVE 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 COMMUNITYBASED 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 MULTIAGENCY AND GOVERNMENTAL INITIATIVES TO ENCOURAGE FITNESS ACTIVITIES HEALTH SCREENINGS AND RELATED ACTIVITIES WORKFORCE DEVELOPMENT UNDER WHICH WE ASSIST IN PUBLICPRIVATE PARTNERSHIPS THAT EDUCATE CHILDREN ABOUT CAREERS IN THE FULL RANGE OF HEALTH CARE FROM SKILLED TRADES TO MEDICINE AND NURSING BAD DEBT EXPENSE EXPLANATION PART III LINE 4 WE BELIEVE THAT APPLYING A COSTTOCHARGE RATIO DEVELOPED FOR THE HOSPITAL FACILITY FROM THE HOSPITALS OHIO MEDICAID COST REPORT TO THE HOSPITALS PROVISION FOR BAD DEBTS IS THE MOST ACCURATE COSTING METHODOLOGY TO CALCULATE BAD DEBT EXPENSE 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 ORGANIZATIONS CHARITY POLICY IS 0 THE ORGANIZATIONS CHARITY CARE POLICY REQUIRES THAT PATIENTS APPLY FOR CHARITY CARE THE HOSPITAL 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 SEE PAGES 1012 OF THE CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON AUDITED FINANCIAL STATEMENTS FOR THE BAD DEBT FOOTNOTE DISCLOSURE THE HOSPITAL 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 MEDICARE EXPLANATION PART III LINE 8 WE BELIEVE THAT REPORTING PROGRAM CHARGES COSTS AND PAYMENTS DIRECTLY FROM THE HOSPITALS MEDICARE COST REPORT ALONG WITH SIMILAR CALCULATIONS FOR SERVICES RENDERED TO PATIENTS ENROLLED IN MEDICARE ADVANTAGE PLANS AND PATIENTS ENROLLED IN TRICARE IS THE MOST ACCURATE METHODOLOGY TO CALCULATE UNREIMBURSED MEDICARE AND OTHER MEANSTESTED 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 528 AS REPORTED ON OUR INTERNAL PAYOR MIX REPORT THE HOSPITAL RESPECTFULLY SUBMITS THAT ITS UNREIMBURSED INPATIENT COSTS INCURRED IN EXCESS OF THE 1982 TEFRA PER DISCHARGE LIMIT 838827 UNREIMBURSED OUTPATIENT COSTS INCURRED IN TREATING PATIENTS QUALIFYING FOR MEDICARE END STAGE RENAL DISEASE ESRD COMPOSITE REIMBURSEMENT 190723 AND UNREIMBURSED COSTS OF PROVIDING CARE TO MEDICARE ADVANTAGE PLAN ENROLLEES 122499 SHOULD BE TREATED AS A 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 COLLECTION PRACTICES EXPLANATION PART III LINE 9B THE HOSPITALS COLLECTION POLICY DESCRIBES THE EVENTS AND THE TIMING OF THE EVENTS THAT LEAD TO SELFPAY ACCOUNTS OR SELFPAY 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 CARECHARITY POLICIES ARE APPLIED NEEDS ASSESSMENT PART VI PART VI LINE 2 IN 2010 CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON CHMCA CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENTS CHNA IN OUR PRIMARY SERVICE AREAS SURROUNDING OUR AKRON HOSPITAL CAMPUS IN COLLABORATION WITH AKRON GENERAL MEDICAL CENTER AND SUMMA HEALTH SYSTEM THE CHNA PROCESS CONCLUDED IN 2011 DURING THE SAME TIME PERIOD CHMCA ALSO CONDUCTED A CHNA IN OUR PRIMARY SERVICE AREAS SURROUNDING OUR MAHONING VALLEY CAMPUS IN COLLABORATION WITH SEVERAL STAKE HOLDERS AND THE MAHONING COUNTY HEALTH DISTRICT IN ADDITION TO THE CHNAS THE HOSPITAL PERFORMS STRATEGIC PLANNING AS AN ONGOING PROCESS WITH ANNUAL UPDATES AS PART OF THE ANNUAL UPDATE WE REVIEW POPULATION AND DEMOGRAPHIC CHANGES IN OUR LARGER SERVICE AREA FOCUSING PARTICULARLY ON CHILDREN AND FAMILIES WE GIVE ATTENTION TO THE PROVISION OF HEALTH CARE SERVICES THROUGHOUT OUR REGION LOOKING AT OUR OWN AND THOSE PROVIDED BY OTHER HEALTH CARE ORGANIZATIONS USING STATEWIDE DATA INCLUDING ALL PEDIATRIC HOSPITAL DISCHARGES BY ZIP CODE OF PATIENT RESIDENCE WE ALSO CAREFULLY TRACK THE DEMAND FOR AND SUPPLY OF PHYSICIANS NURSES AND ALLIED HEALTH PROVIDERS WE EVALUATED THE NEED FOR PRIMARY SECONDARY AND TERTIARY SERVICES THROUGHOUT OUR SERVICE AREA IN ADDITION WE ENGAGE IN MULTIPLE EFFORTS TO GAUGE THE NEEDS OF OUR COMMUNITY THROUGH PERIODIC SURVEYS OF THE POPULATION FOCUSING ON PARENTAL AWARENESS AND PREFERENCE OF PEDIATRIC HEALTH CARE SERVICES AND AGAIN ESTIMATING ACTUAL USE OF SERVICES FROM ALL PROVIDERS WE ARE ACTIVELY REPRESENTED IN DOZENS OF COMMUNITY GROUPS AND GATHER INPUT FROM THESE GROUPS BOTH BY ACTIVE PARTICIPATION AND BY COLLECTING AND REVIEWING COMPREHENSIVE DATA SETS AND STUDIES PRODUCED BY SUCH GROUPS INCLUDING SCHOOL DISTRICTS HEALTH AND HUMAN SERVICE AGENCIES AND CHARITABLE AND ADVOCACY GROUPS WE MAKE AN EFFORT TO LISTEN TO OUR STAFF SEEKING AND RECEIVING FEEDBACK FROM OUR 4800 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 WEBBASED TOOLS PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI PART VI LINE 3 THE HOSPITAL 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 THE HOSPITAL 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 THE HOSPITAL HAS INFORMATION REGARDING ELIGIBILITY FOR FREE CARE ON ALL BILLING STATEMENTS MAILED TO PATIENTS AND THEIR GUARANTORS THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS TO EXPLAIN THE HOSPITALS FREE CARE CHARITY CARE AND THE VARIOUS PUBLIC ASSISTANCE PROGRAMS TO UNINSURED OR UNDERINSURED PATIENTS THE HOSPITALS WEBSITE PROVIDES PATIENTS WITH INFORMATION RELATING TO THE HOSPITALS FREE CARE CHARITY CARE AND VARIOUS PUBLIC ASSISTANCE PROGRAMS AVAILABLE THE HOSPITAL CONTRACTS WITH AN INDEPENDENT FIRM 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 OR CHARITY CARE ELIGIBILITY AND ASSIST THESE GUARANTORS WITH THE APPLICATION PROCESS COMMUNITY INFORMATION PART VI PART VI LINE 4 CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON CHMCA SERVES AN AREA COMPRISING MUCH OF THE NORTHEASTERN QUADRANT OF THE STATE OF OHIO TO INCLUDE TWENTYFIVE COUNTIES AND TWO COUNTIES IN PENNSYLVANIA RESULTING IN A TOTAL SERVICE AREA OF TWENTYSEVEN 27COUNTIES 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 CHILDRENS IN PENNSYLVANIA LAWRENCE AND MERCER COUNTIES ARE SERVED BY CHMCA WE ARE PARTICULARLY INTERESTED AND FOCUSED ON THE PEDIATRIC POPULATION WITHIN OUR SERVICE AREA COMPRISED OF APPROXIMATELY 1099012 CHILDREN WE ALSO FOCUS ON THOSE CHILDREN WITH THE HIGHLEST LEVEL OF HEALTH AND DEVELOPMENTAL NEEDS WHICH TOTAL ABOUT 5 OF THE OVERALL CHILD POPULATION SPECIFICALLY CHMCAS MAIN CAMPUS IS LOCATED IN AKRON OHIO WHICH HAS A POPULATION OF APPROXIMATELY 198000 PEOPLE OF THIS POPULATION 225 ARE PERSONS LIVING BELOW THE POVERTY LEVEL IN 2011 AKRONS AVERAGE UNEMPLOYMENT RATE WAS 96 AKRON IS LOCATED IN SUMMIT COUNTY WITH A POPULATION OF APPROXIMATELY 543000 PEOPLE OF THIS POPULATION 261 ARE PERSONS RANGING IN AGE FROM 0 TO 19 YEARS OLD IN 2011 SUMMIT COUNTY HAD AN AVERAGE UNEMPLOYMENT RATE OF 85 IN DECEMBER OF 2008 CHILDRENS OPENED AKRON CHILDRENS HOSPITAL MAHONING VALLEY BEEGHLY CAMPUS LOCATED IN BOARDMAN OHIO A SUBURB OF YOUNGSTOWN OHIO IN MAHONING COUNTY YOUNGSTOWN IS THE COUNTY SEAT OF MAHONING COUNTY AND HAS A POPULATION OF APPROXIMATELY 65000 PEOPLE OF THAT POPULATION 335 ARE PERSONS LIVING BELOW THE POVERTY LEVEL WHICH IS THE HIGHEST POVERTY RATE OF OHIOS TEN LARGEST CITIES IN 2011 YOUNGSTOWN HAD AN AVERAGE UNEMPLOYMENT RATE OF 12 THE PRIMARY SERVICE AREA FOR THE BEEGHLY CAMPUS INCLUDES COUNTIES FROM TWO STATES OHIO IN WHICH MAHONING TRUMBULL AND COLUMBIANA COUNTIES ARE SERVED AND PENNSYLVANIA IN WHICH LAWRENCE AND MERCER COUNTIES ARE SERVED THIS CAMPUSS PRIMARY SERVICE AREA HAS A PEDIATRIC POPULATION COMPRISED OF APPROXIMATELY 157566 CHILDREN 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 THE ADDITION OF ASHTABULA MAHONING AND TRUMBULL COUNTIES TO THE APPALACHIAN REGION ALL FIVE COUNTIES THAT MAKE UP BEEGHLYS PRIMARY SERVICE AREA ARE LOCATED WITHIN THE APPALACHIAN REGION MAHONING TRUMBULL AND COLUMBIANA COUNTIES IN OHIO AND LAWRENCE AND MERCER COUNTIES IN PENNSYLVANIA ARE CLASSIFIED BY THE APPALACHIAN REGIONAL COMMISSION AS BEING TRANSITIONALTHEY HAVE WORSE ECONOMIC RATES THAN THE NATIONAL AVERAGE FOR ONE OR MORE OF THREE ECONOMIC INDICATORS THREEYEAR AVERAGE UNEMPLOYMENT PER CAPITA MARKET INCOME AND POVERTY BUT DONT RATE LOW ENOUGH TO BE CLASSIFIED AS DISTRESSED TRUMBULL COUNTY HAS A POVERTY RATE OF 146 AND COLUMBIANA COUNTY HAS A POVERTY RATE OF 151 IN 2010 LAWRENCE COUNTY HAD A POVERTY RATE OF 162 AND MERCER COUNTY HAD A POVERTY RATE OF 166 THE BEEGHLY CAMPUS IS A 50BED INPATIENT FACILITY WITH AN EMERGENCY DEPARTMENT STAFFED 24 HOURS A DAY 7 DAYS A WEEK IT RESIDES IN MAHONING COUNTY OHIO WHICH HAS A POPULATION OF APPROXIMATELY 238000 OF THIS POPULATION 243 ARE PERSONS RANGING IN AGE FROM 1 TO 19 166 OF ALL PERSONS LIVE BELOW THE POVERTY LEVEL IN 2011 MAHONING COUNTY HAD AN AVERAGE UNEMPLOYMENT RATE OF 96 CHMCA IS INVOLVED IN SPECIFIC INITIATIVES IN THE CITY OF YOUNGSTOWN OHIO AS WELL WE ARE PART OF A COLLABORATIVE VENTURE WITH HUMILITY OF MARY HEALTH PARTNERS IN STAFFING THE NEONATAL SPECIAL CARE NURSERY A 33BED UNIT CARING FOR NEWBORNS WITH DEVELOPMENTAL PROBLEMS SUCH AS IMMATURE LUNGS CENTRAL NERVOUS SYSTEM DISORDERS LOW BIRTH WEIGHT AND BIRTH DEFECTS WHICH IS LOCATED AT ST ELIZABETH HEALTH CENTER IN YOUNGSTOWN THE NEONATAL SPECIAL CARE NURSERY IS STAFFED BY CHMCA NEONATOLOGISTS AND NURSES THE CHILD ADVOCACY CENTER ALSO PART OF AKRON CHILDRENS HOSPITAL MAHONING VALLEY PROVIDES MEDICAL AND FORENSIC EVALUATIONS FOR CHILDREN AND TEENS WHO MAY HAVE BEEN NEGLECTED OR PHYSICALLY OR SEXUALLY ABUSED THE CENTER ALSO PERFORMS MEDICAL EVALUATIONS FOR KIDS ENTERING FOSTER CARE AS WELL AS COMMUNITY OUTREACH INITIATIVES INCLUDING A CAMPAIGN TO PROMOTE GREATER AWARENESS OF SHAKEN BABY SYNDROME THE CHILD ADVOCACY CENTER WORKS CLOSELY WITH CHILDRENS SERVICES AGENCY IN MAHONING TRUMBULL COLUMBIANA AND ASHTABULA COUNTIES AS WELL AS MERCER COUNTY PA HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI PART VI LINE 5 CHMCA INTENDS THAT ALL OF ITS ACTIVITIES EITHER DIRECTLY PROVIDE HEALTH CARE TO ALL CHILDREN WHO REQUEST OUR SERVICES OR PROMOTE THE HEALTH OF THE COMMUNITY BOTH BY DIRECT INVESTMENTS IN THE DELIVERY OF PEDIATRIC HEALTHCARE SERVICES AND IN PROVIDING SPECIALIZED INPATIENT AND OUTPATIENT CARE FOR BURN VICTIMS OF ALL AGES THROUGHOUT NORTHEAST OHIO CHMCA IS ONE OF ONLY TWO PEDIATRIC HOSPITALS IN THE COUNTRY THAT TREATS ADULT BURN PATIENTS ADDITIONALLY CHMCA PROVIDES SPECIFIC SERVICES FOR ADULTS WITH CONGENITAL HEALTH CONDITIONS INCLUDING THE FOLLOWING 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 CHMCAS 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 CHMCAS GENETIC CENTER OFFERS DIAGNOSTIC EVALUATION AND MEDICAL MANAGEMENT OF GENETIC CONDITIONS BIRTH DEFECTS AND DEVELOPMENTAL DELAYS AS WELL AS GENETIC TESTING AND COUNSELING FOR PEDIATRIC AND ADULT PATIENTS OUR MATERNAL FETAL TREATMENT CENTER PROVIDES GENETIC COUNSELING AND OBSTETRICDELIVERY SERVICES TO HIGH RISK PREGNANT WOMEN OF THE GEOGRAPHIC REGION CHMCAS CHILD ADVOCACY CENTER IN MAHONING VALLEY PROVIDES MEDICAL AND FORENSIC EVALUATIONS FOR CHILDREN AND TEENS WHO MAY HAVE BEEN NEGLECTED OR PHYSICALLY OR SEXUALLY ABUSED THE CENTER ALSO PERFORMS MEDICAL EVALUATIONS FOR CHILDREN ENTERING FOSTER CARE AS WELL AS COMMUNITY OUTREACH INITIATIVES INCLUDING A CAMPAIGN TO PROMOTE GREATER AWARENESS OF SHAKEN BABY SYNDROME THE CHILD ADVOCACY CENTER WORKS CLOSELY WITH CHILDRENS SERVICES AGENCIES IN MAHONING TRUMBULL COLUMBIANA AND ASHTABULA COUNTIES AS WELL AS MERCER COUNTY PA 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 ANDOR PROMOTE HEALTH TO THE RESIDENTS IN THE COMMUNITIES WE SERVE THE PRIMARY BENEFIT TO OUR COMMUNTIES IS PROVIDING HEALTH CARE FOR MORE THAN 600000 CHILDREN ANNUALLY 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 COMMUNITYBASED PROGRAMS THAT SPECIFICALLY DEVELOP YOUNG LEADERS INCLUDING SUCH PROGRAMS AS LEADERSHIP AKRON AND LEADERSHIP MAHONING VALLEY 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 MULTIAGENCY AND GOVERNMENTAL INITIATIVES TO ENCOURAGE FITNESS ACTIVITIES HEALTH SCREENINGS AND RELATED ACTIVITIES WORKFORCE DEVELOPMENT UNDER WHICH WE ASSIST IN PUBLICPRIVATE PARTNERSHIPS THAT EDUCATE CHILDREN ABOUT CAREERS IN THE FULL RANGE OF HEALTH CARE FROM SKILLED TRADES TO MEDICINE AND NURSING ADDITIONALLY AKRON CHILDRENS HOSPITAL MAHONING VALLEY OVERSEES THE COMMUNITY OUTREACH EDUCATION AND SUPPORT CENTER COESC LOCATED JUST SOUTH OF OUR BEEGHLY CAMPUS THE MISSION OF THE COESC IS TO PROMOTE HEALTHY LIFESTYLES FOR COMMUNITY CHILDREN AND IMPROVE THE QUALITY OF LIFE FOR CHILDREN AND THEIR CAREGIVERS LIVING WITH CHRONIC ILLNESSES SPECIFICALLY THE COESC PROVIDES INDIVIDUALIZED ASSESSMENTS EDUCATION AND SUPPORT TO CHILDREN WHO ARE CHRONICALLY ILL AND ATRISK OF DISEASE COMPLICATIONS COMPROMISED LIFESTYLES DISABILITY ANDOR DEATH PROVIDES EDUCATION SUPPORT AND NETWORKING TO ALL CAREGIVERS TO PROMOTE UNDERSTANDING COMPLIANCE HOLISTIC AND CONSISTENT APPROACH TO CARE INCLUDING SIBLING INTERVENTION SERVES AS CHILDFAMILY ADVOCATE DESIGNS EACH PROGRAM TO MEET THE MULTICULTURAL DEVELOPMENTAL EDUCATIONAL EMOTIONAL AND PSYCHOSOCIAL NEEDS OF THE CHILD ADOLESCENT AND FAMILY IDENTIFIES ASSESSES AND REASSESSES THE NEEDS OF OUR PATIENTS DURING VARIOUS DEVELOPMENTAL STAGES IMPROVES COPING SKILLS COMPLIANCE LIFESTYLE ADJUSTMENTS FACILITATES NORMALCY AND IMPROVES GENERAL QUALITY OF LIFE SPECIALIZES IN HIGHRISK FAMILIES WITH A VARIETY OF MEDICAL LEARNING AND PSYCHOSOCIAL ISSUES PROVIDES A MULTIDISCIPLINARY TEAM OF PROFESSIONALS TO MEET VARIOUS NEEDS IMPLEMENTS POSITIVE REINFOREMENT AND SUPPORT NETWORK INCLUDING SCHOOLSCOMMUNITY AGENCIESRESOURCES TO MEET CLINICAL AND BEHAVIORAL GOALS PROVIDES MULTIPLE SITES FOR INTERVENTION TO INCREASE ACCESS FOR CARE ENSURES THAT ALL PROGRAMS MEET SPECIFIED CRITERIA OF NATIONALLY ACCREDITED DISEASE MANAGEMENT PROGRAMS MONITORS PROGRESS AND PROVIDES ONGOING OUTCOMEMEASUREMENT DATABASE TO ENABLE THE EVALUATION OF PROGRAM EFFICIENCY BY TRACKING THE FOLLOWING HEALTH INDICATORS RELATED TO DISEASEILLNESS SCHOOL DAYS MISSED PARENT WORK DAYS MISSED VISITS TO HOSPITALS VISITS TO EMERGENCY DEPARTMENTS ANDOR URGENT CARE CENTERS RACIALETHNICSOCIOECONOMIC TENDENCIES AND BARRIES TO CARE AFFILIATED HEALTH CARE INFORMATION PART VI NA LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI OHIO ADDITIONAL INFORMATION PART VI IN ADDITION TO THE LOCATIONS LISTED IN PART V SECTION A AND C AKRON CHILDRENS 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 PART VI IS THE MOST RECENT INFORMATION AVAILABLE CHILDRENS HOSPITAL MED CTR OF AKRON LINE NUMBER 1 PART V LINE 12H PART V LINE 12H 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 ORFAMILY HOSPITAL MANAGEMENT MAY APPROVE CHARITY CARE BASED ON DOCUMENTED EXTENUATING CIRCUMSTANCES CHILDRENS HOSPITAL MED CTR OF AKRON LINE NUMBER 1 PART V LINE 14G PART V LINE 14G THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS TO EXPLAIN THE HOSPITALS FREE CARE CHARITY CARE AND THE VARIOUS PUBLIC ASSISTANCE PROGRAMS TO UNINSURED AND UNDERINSURED PATIENTS CHILDRENS HOSPITAL MED CTR OF AKRON LINE NUMBER 1 PART V LINE 20D PART V LINE 20D 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 THE HOSPITALS CHARITY CARE POLICY HAVE 100 OF THEIR CHARGES FORGIVEN THOSE PATIENTS WHO QUALIFY FOR DISCOUNTED CARE UNDER THE HOSPITALS 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 CHILDRENS HOSPITAL MED CTR OF AKRON LINE NUMBER 2 PART V LINE 12H PART V LINE 12H 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 ANDOR FAMILY HOSPITAL MANAGEMENT MAY APPROVE CHARITY CARE BASED ON DOCUMENTED EXTENUATING CIRCUMSTANCES CHILDRENS HOSPITAL MED CTR OF AKRON LINE NUMBER 2 PART V LINE 14G PART V LINE 14G THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS TO EXPLAIN THE HOSPITALS FREE CARE CHARITY CARE AND THE VARIOUS PUBLIC ASSISTANCE PROGRAMS TO UNINSURED AND UNDERINSURED PATIENTS CHILDRENS HOSPITAL MED CTR OF AKRON LINE NUMBER 2 PART V LINE 20D PART V LINE 20D 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 THE HOSPITALS CHARITY CARE POLICY HAVE 100 OF THEIR CHARGES FORGIVEN THOSE PATIENTS WHO QUALIFY FOR DISCOUNTED CARE UNDER THE HOSPITALS 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 CHILDRENS AT ST ELIZABETH LINE NUMBER 3 PART V LINE 12H PART V LINE 12H 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 ANDOR FAMILY HOSPITAL MANAGEMENT MAY APPROVE CHARITY CARE BASED ON DOCUMENTED EXTENUATING CIRCUMSTANCES CHILDRENS AT ST ELIZABETH LINE NUMBER 3 PART V LINE 14G PART V LINE 14G THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS TO EXPLAIN THE HOSPITALS FREE CARE CHARITY CARE AND THE VARIOUS PUBLIC ASSISTANCE PROGRAMS TO UNINSURED AND UNDERINSURED PATIENTS CHILDRENS AT ST ELIZABETH LINE NUMBER 3 PART V LINE 20D PART V LINE 20D 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 THE HOSPITALS CHARITY CARE POLICY HAVE 100 OF THEIR CHARGES FORGIVEN THOSE PATIENTS WHO QUALIFY FOR DISCOUNTED CARE UNDER THE HOSPITALS 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 CHILDRENS SPECIALTY CARE NURSERY LINE NUMBER 4 PART V LINE 12H PART V LINE 12H IN CIRCUMSTANCES WHERE A FAMILY MAY NOT BE ELIGIBLE FOR CHARITY CARE BASED SOLEY 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 ANDOR FAMILY HOSPITAL MANAGEMENT MAY APPROVE CHARITY CARE BASED ON DOCUMENTED EXTENUATING CIRCUMSTANCES CHILDRENS SPECIALTY CARE NURSERY LINE NUMBER 4 PART V LINE 14G PART V LINE 14G THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS TO EXPLAIN THE HOSPITALS FREE CARE CHARITY CARE AND THE VARIOUS PUBLIC ASSISTANCE PROGRAMS TO UNINSURED AND UNDERINSURED PATIENTS CHILDRENS SPECIALTY CARE NURSERY LINE NUMBER 4 PART V LINE 20D PART V LINE 20D 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 THE HOSPITALS CHARITY CARE POLICY HAVE 100 OF THEIR CHARGES FORGIVEN THOSE PATIENTS WHO QUALIFY FOR DISCOUNTED CARE UNDER THE HOSPITALS 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 CHILDRENS SPECIALTY CARE NURSERY LINE NUMBER 5 PART V LINE 12H PART V LINE 12H 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 ANDOR FAMILY HOSPITAL MANAGEMENT MAY APPROVE CHARITY CARE BASED ON DOCUMENTED EXTENUATING CIRCUMSTANCES CHILDRENS SPECIALTY CARE NURSERY LINE NUMBER 5 PART V LINE 14G PART V LINE 14G THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS TO EXPLAIN THE HOSPITALS FREE CARE CHARITY CARE AND THE VARIOUS PUBLIC ASSISTANCE PROGRAMS TO UNINSURED AND UNDERINSURED PATIENTS CHILDRENS SPECIALTY CARE NURSERY LINE NUMBER 5 PART V LINE 20D PART V LINE 20D 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 THE HOSPITALS CHARITY CARE POLICY HAVE 100 OF THEIR CHARGES FORGIVEN THOSE PATIENTS WHO QUALIFY FOR DISCOUNTED CARE UNDER THE HOSPITALS 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 HOSPITAL BASED PROFESSIONAL COMPONENT CHARGE CHARGES ARE REDUCED TO THE BLENDED COLLECTION RATE FOR ALL PROFESSIONAL COMPONENT CHARGES true CHILD GUIDANCE AND FAMILY SOLUTIONS 312 LOCUST STREET AKRON OH 44308 340726083 3 1880000 GENERAL SUPPORT UNIVERSITY OF AKRON FOUNDATION 47 NORTH MAIN STREET AKRON OH 44308 346575496 3 558689 GEN'L SUPP TO ABIA AKRON CHILDRENS HOSPITAL FOUNDATION ONE PERKINS SQUARE AKRON OH 44308 237114013 3 533097 GEN'L SUPP TO FUNDS AKRON COMMUNITY FOUNDATION 49 EAST MAIN STREET HUDSON OH 44236 341935499 3 40000 GENERAL SUPPORT BOYS AND GIRLS CLUBS 889 JONATHAN AVENUE AKRON OH 44306 341351557 3 12500 GENERAL SUPPORT BE THE MATCH FOUNDATION 3001 BROADWAY STREET NE SUITE 601 MINNEAPOLIS MN 55413 411704734 3 6675 GENERAL SUPPORT THE UNIVERSITY OF AKRON 209 CARROLL STREET AKRON OH 44325 346575496 3 5800 GENERAL SUPPORT 7 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON DONATES MONEY OCCASSIONALLY TO PROGRAMS THROUGHOUT THE COMMUNITY THAT ARE ALSO 501(C)(3) ORGANIZATIONS. THE AMOUNTS DONATED TO THESE ORGANIZATIONS ARE MOSTLY IN SUPPORT OF MEDICAL AND NURSING EXCELLENCE IN THE COMMUNITY, ALONG WITH MEDICAL RESEARCH. X X false true X X X X false true false false false false false true false WILLIAM CONSIDINE 1044145 200000 329633 243435 13581 1830794 NORMAN CHRISTOPHER MD 360681 46500 2939 95754 17786 523660 JEFFREY HORD 312097 17367 1512 75081 17792 423849 MARY LINK 251963 10000 527 2003 10262 274755 SHAWN LYDEN 506182 84600 5404 14700 18151 629037 GRACE WAKULCHIK 389054 61200 5521 118476 10550 584801 MICHAEL TRAINER 368404 2455 17150 18218 406227 THOMAS OGG 285884 40500 621 4850 17614 349469 AMY MANEKER 301888 1338 1516 304742 WALTER SCHWOEBLE 260164 39600 2348 14351 12767 329230 LISA AURILIO 237528 36600 720 53078 6413 334339 LINDA GENTILE 200677 33370 1148 94115 12321 341631 ROGER HUDGINS 1433407 243212 7482 4900 11124 1700125 ANTON MILO MD 1344144 4002 4900 18161 1371207 MARK MCCOLLUM MD 1082942 60825 18108 1161875 PHILIP SMITH MD 1028610 35000 3612 77024 18694 1162940 ROBERT PARRY 883574 70000 66277 4900 18438 1043189 FRINGE OR EXPENSE EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1A WILLIAM CONSIDINE, CEO AND SHAWN LYDEN, EXECUTIVE VP, HAD A 2012 COUNTRY CLUB MEMBERSHIP THAT WAS USED BY CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON FOR BUSINESS MEETINGS. WILLIAM CONSIDINE ALSO RECEIVED GROSS-UP PAYMENTS FOR HIS AUTOMOBILE AND LIFE INSURANCE PAYMENTS MADE BY CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON. WRITTEN REIMBURSEMENT POLICY EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1B THE 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. SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 WILLIAM CONSIDINE 0 226,600 0 NON-FIXED PAYMENTS PROVIDED SCHEDULE J, PAGE 1, PART I, LINE 7 CHILDREN'S DOES HAVE CONTRACTS WITH CERTAIN PHYSICIANS THAT EARN BONUSES BASED ON WORK RELATIVE VALUE UNITS (WRVU'S). PHYSICIAN 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. OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III PART I, LINE 4B - WILLIAM CONSIDINE IS A PARTICIPANT IN A 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. A AKRON BATH AND COPLEY JOINT TWSP HOSPITAL IMPR & REFUNDING REV BONDS 341448680 009730LE0 2003-12-09 48176171 REFUND PRIOR ISSUE. false false false B AKRON BATH AND COPLEY JOINT TOWNS 341448680 009730MY5 2012-05-15 102559004 REFUND PRIOR ISSUE/CONTRACT PARK DECK false false false A 16290000 48176171 555263 964058 6940486 2004 true false true true B 102559004 1010250 1116463 4964159 15035847 2013 true false false true A false false true true false false false false true B false false false false false false false true A true false false false false true B false true false false false false false false true A false PURPOSE OF ISSUE DESCRIPTION SCHEDULE K AKRON BATH AND COPLEY JOINT TWSP 36013924 OF BOND PROCEEDS REFUNDED SERIES 1993 BONDS WITH 6940486 FOR COMPLETION OF THE 2001 PROJECT AKRON BATH AND COPLEY JOINT TOWNS 80432291 OF BOND PROCEEDS REFUNDED SERIES 2002 BONDS WITH 20000000 FOR CONSTRUCTION OF A PARKING GARAGE FIRST MERIT VP-FIRST MERIT 209208 FEES TO FIRST MERIT false AND CURRENT DIR false FIRST ENERGY SOLUTIONS FIRSTENERGY OFF 2429650 ELECTRIC BILLS ARE false AND CURRENT DIR PAID TO FIRST ENERGY false CATHRYN O'MALLEY FAMILY MEMBER 67865 COMPENSATION false OF CURR DIR/OFF false LAURIE SCHUELER FAMILY MEMBER 25698 COMPENSATION false OF CURR OFFICER false ADDITIONAL INFORMATION SCHEDULE L PART V GREG MCDERMOTT DIRECTOR IS A VICEPRESIDENT WITHIN FIRST MERIT BANK OF WHICH CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON CONDUCTS THEIR CHECKING AND INVESTMENTS BANKING DONALD SCHNEIDER BOARD MEMBER IS A FIRST ENERGY OFFICER CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON PURCHASES THEIR ELECTRIC POWER THROUGH OHIO EDISON A COMPANY OF FIRST ENERGY CATHRYN OMALLEY IS THE DAUGHTER OF WILLIAM CONSIDINE PRESIDENT AND CEO LAURIE SCHUELER IS THE DAUGHTER OF DUANE ISHAM BOARD MEMBER ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION PART 1, LINE 1 AND PART III, LINE 1 THE MISSION OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON 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. CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON (CHILDREN'S) IS AN INDISPENSABLE, INTEGRATED PEDIATRIC HEALTHCARE DELIVERY SYSTEM SERVING INFANTS, CHILDREN, ADOLESCENTS, AND ADULTS IN AKRON AND NORTHEAST OHIO. ESTABLISHED IN 1890 BY THE "KINGS DAUGHTERS," A GROUP OF WOMEN AFFILIATED WITH A LOCAL CHURCH, CHILDREN'S HAS GROWN FROM A TWO-ROOM DAY NURSERY TO A MODERN 253-BED, FULL SERVICE HOSPITAL. IN ITS 122 YEAR HISTORY, CHILDREN'S HAS RECEIVED UNFAILING COMMUNITY SUPPORT AND OUTSTANDING LEADERSHIP WHICH HAS RESULTED IN CONTINUED IMPROVEMENT IN PATIENT CARE AND THE EXPANSION OF MEDICAL SERVICES. CHILDREN'S IS THE LARGEST PEDIATRIC HEALTH CARE SYSTEM IN NORTHEAST OHIO, OPERATING TWO FREESTANDING PEDIATRIC HOSPITALS, FOUR EMERGENCY DEPARTMENT LOCATIONS, 30 PEDIATRIC SPECIALTY CLINICS, AND OFFERING SERVICES AT ABOUT 80 LOCATIONS ACROSS THE REGION. IN 2012, CHILDREN'S SERVED OVER 650,000 PATIENTS THROUGH ALL OF ITS PROGRAMS. CHILDREN'S ALSO OPERATES A PEDIATRIC PRIMARY CARE NETWORK WITH 20 OFFICES IN NINE COUNTIES. CHILDREN'S IS DESIGNATED AS A MAGNET HOSPITAL BY THE AMERICAN NURSES CREDENTIALING CENTER. MAGNET DESIGNATION REPRESENTS EXCELLENCE IN NURSING CARE AND A SUPPORTIVE WORK ENVIRONMENT LEADING TO QUALITY PATIENT OUTCOMES AND DEMONSTRATES TO OUR PATIENTS AND FAMILIES AND THE COMMUNITIES WE SERVE THAT THE NURSING CARE AT CHILDREN'S IS OF THE HIGHEST CALIBER NATIONWIDE. CHILDREN'S REGIONAL BURN CENTER WAS VERIFIED BY THE AMERICAN BURN ASSOCIATION AND AMERICAN COLLEGE OF SURGEONS. LAST VERIFICATION WAS DATED NOVEMBER 2011. IT IS REQUIRED EVERY 3 YEARS, THEREFORE REVERIFICATION WILL OCCUR AGAIN IN 2014. CHILDREN'S IS A LEVEL II TRAUMA CENTER DESIGNATION. CHILDREN'S ALSO HAS A PEDIATRIC TEACHING CENTER DESIGNATION (1 OF 14 IN THE UNITED STATES). CHILDREN'S LABORATORY HAS FULL ACCREDITATION BY THE COLLEGE OF AMERICAN PATHOLOGISTS (CAP). THE CHILDREN'S PALLIATIVE CARE LEADERSHIP CENTER IS ONE OF TWO PEDIATRIC CENTERS IN THE UNITED STATES. THE HASLINGER FAMILY PEDIATRIC PALLIATIVE CARE CENTER CELEBRATED ITS 10TH ANNIVERSARY IN 2012 AND RECEIVED THE CIRCLE OF LIFE AWARD FROM THE AMERICAN HOSPITAL ASSOCIATION. CHILDREN'S IS A NOT-FOR-PROFIT FACILITY WHICH OPERATES TWENTY-FOUR(24) HOURS A DAY, SEVEN(7) DAYS A WEEK. CHILDREN'S ACCEPTS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. DURING THE YEAR ENDED DECEMBER 31, 2012, TOTAL UNCOMPENSATED CARE (INCLUDING CHARITY CARE, ALLOWANCES AND CONTRACT ADJUSTMENTS) WAS 470,856,565. CHILDREN'S QUALIFIES AS A DISPROPORTIONATE SHARE HOSPITAL PER ODJFS OHIO DEPARTMENT OF JOBS AND FAMILY SERVICES. DURING 2012, PARTNERS FOR KIDS (PFK), NATIONWIDE CHILDREN'S HOSPITAL AND AKRON CHILDREN'S HOSPITAL WERE AWARDED A 13M HEALTH CARE INNOVATION GRANT FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). WITH THE SUPPORT FROM THE STATE OF OHIO, THESE PARTNERS WILL EXPAND THE PFK MODEL TO COVER A TOTAL OF 517,0000 MEDICAID ENROLLED CHILDREN IN 46 OF OHIO'S 88 COUNTIES. THE EXPANSION OF THE PFK MODEL OF HEALTH CARE DELIVERY REPRESENTS A NEW NATIONAL INNOVATION, A MODEL NOT BEING TESTED ANYWHERE ELSE BY THE CMS. PFK IS THE LARGEST AND OLDEST ACCOUNTABLE CARE ORGANIZATION FOCUSED SOLELY ON MEDICAID-ENROLLED CHILDREN IN THE NATION. PFK CONTRACTS WITH AREA MEDICAID MANAGED CARE PLANS, WHICH RECEIVE A SET AMOUNT OF MONEY EACH MONTH FROM THE STATE OF OHIO FOR THE HEALTH CARE NEEDS OF EACH CHILD COVERED. PFK BECOMES RESPONSIBLE FOR COVERING ALL THE HEALTH CARE NEEDS OF EACH CHILD, REGARDLESS OF WHERE THEY RECEIVE CARE. BY RECEIVING A SET AMOUNT OF FUNDS FOR ALL THE HEALTH CARE NEEDS OF A CHILD, THE PFK PROGRAM INCENTIVIZED QUALITY OUTCOMES AND PREVENTION. TO DATE, PFK HAS REDUCED NEONATAL INTENSIVE CARE UNIT LENGTH OF STAY, REDUCED THE PREMATURE BIRTH RATE, DECREASED EMERGENCY ROOM VISITS AND INCREASED IMMUNIZATIONS FOR HIGH RISK CHILDREN. THE HEALTH CARE INNOVATION AWARD HAS 3 GOALS: 1. LOWER THE COST OF PROVIDING CARE 2. IMPROVE CARE OUTCOMES 3. BETTER THE POPULATION HEALTH FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A (CONTINUED FROM PART III, LINE 4A) MEDICINE, INFECTIOUS DISEASES, HEMATOLOGY SERVICES, PULMONARY MEDICINE, DEVELOPMENTAL PEDIATRICS, PALLIATIVE CARE PROGRAM, OAK ADOPTIVE HEALTH CENTER, LOCUST PEDIATRICS, DIAGNOSTIC REFERRAL GROUP, RHEUMATOLOGY, CLINICAL PHARMACOLOGY AND TOXICOLOGY, PSYCHIATRIC SERVICES, GENETICS, DEPARTMENT OF PEDIATRICS, CAST ROOM, ORTHOPEDICS, AND SKELETAL DYSPLASIS CENTER. ONE OF THE SUBSPECIALTY DEPARTMENTS, THE HEART CENTER, WHICH WAS ESTABLISHED IN MAY 2001, HAS SEEN NUMEROUS CONTRIBUTIONS AND ACCOMPLISHMENTS SINCE ITS INCEPTION. OF GREATEST IMPORTANCE IS THE ESTABLISHMENT AND MATURATION OF AN INTEGRATED, SERVICE-LINE ORGANIZATIONAL STRUCTURE. THIS HAS INFLUENCED ALL OTHER HEART CENTER INITIATIVES AND ACCOMPLISHMENTS OVER THE LAST TEN YEARS INCLUDING THE ESTABLISHMENT OF THE FOLLOWING SERVICES: -- CARDIAC SURGICAL SERVICES -- INTERVENTIONAL CARDIOLOGY -- MATERNAL FETAL CARDIOLOGY -- ADULT CONGENITAL CARDIOLOGY -- ELECTROPHYSIOLOGY CARDIOLOGY -- ADVANCED CARDIOLOGY IMAGERY -- OUTREACH CARDIOLOGY SERVICES -- CLINICAL CARDIOLOGY SERVICES (ECHO, EKG,STRESS TESTING) -- PREVENTIVE CARDIOLOGY THE HEART CENTER HAS ICAEL ACCREDITATION IN THE FOLLOWING: -- PEDIATRIC ECHOCARDIOGRAPHY -- PEDIATRIC TRANSTHORACIC ECHOCARDIOGRAPHY -- PEDIATRIC TRANESOPHAGEAL ECHOCARDIOGRAPHY -- FETAL ECHOCARDIOGRAPHY STATISTICS FOR THE HEART CENTER ARE AS FOLLOWS: 2012 2011 ------ ------ OUTPATIENT VISITS 22,236 13,935 CARDIAC PROCEDURES: CATH 305 263 SURGERY 159 120 ANOTHER SUBSPECIALTY IS THE DEPARTMENT OF NEPHROLOGY WHICH PROVIDES COMPLETE DIAGNOSTIC AND THERAPEUTIC SERVICES FOR INFANTS, CHILDREN AND TEENS WITH KIDNEY AND KIDNEY-RELATED DISEASES. FOR INFANTS, CHILDREN AND TEENS SUFFERING FROM RENAL FAILURE, WE OFFER A DIALYIS AND RENAL CARE CENTER. DIALYSIS IS ALSO AVAILABLE TO TREAT PATIENTS WHO NEED RENAL SUPPORT WHILE THEY RECOVER FROM BURNS, POISONINGS OR OTHER SERIOUS ILLNESS OR INJURY. COMPREHENSIVE CARE FOR KIDNEY PATIENTS IS ASSURED BY THE USE OF A TEAM APPROACH UTILIZING THE SKILLS OF PHYSICIANS, NURSES, DIETICIANS, AND SOCIAL WORKERS. OUR PEDIATRIC NEPHROLOGY SERVICES ARE RANKED AMONG THE BEST BY U.S. NEWS AND WORLD REPORT. CARE IS PROVIDED AT OUR AKRON CAMPUS, AS WELL AS OUTPATIENT CLINICS IN BOARDMAN AND MEDINA. IN 1987, CHILDREN'S ESTABLISHED THE CHILDREN AT RISK EVALUATION (C.A.R.E) CENTER TO BETTER EVALUATE AND INITIATE TREATMENT FOR CHILDREN OF SUSPECTED PHYSICAL OR SEXUAL ABUSE AND NEGLECT. AT THE CENTER, A TEAM OF PHYSICIANS, NURSES, AND SOCIAL WORKERS SEE SCHEDULED PATIENTS REFERRED BY PRIVATE PHYSICIANS (LOCAL AND REGIONAL), POLICE DEPARTMENTS, JUVENILE DETECTIVES, THE CHILDREN'S SERVICES BOARD (SUMMIT AND OTHER COUNTIES) AND OTHER COMMUNITY AGENCIES. LOCATED NEAR EMERGENCY SERVICES, THE CENTER ACCOMODATES THESE CHILDREN BY PROVIDING A QUIET STRUCTURE AND UNHURRIED ATMOSPHERE FOR EXAMINATION AND INTERVIEW. IN ADDITION TO PROVIDING FORENSIC INTERVIEWS AND EXAMINATIONS TO BE USED PRIOR TO AND DURING COURT PROCEEDINGS, THE CENTER CAN VIDEOTAPE A CHILD'S TESTIMONY TO AVOID REPEATED AND OFTEN PAINFUL INTERVIEWS. THE C.A.R.E. TEAM ALSO PROVIDES CONSULTATION WHEN ABUSE IS SUSPECTED FOR A CHILD ON AN INPATIENT UNIT. IN 2007, CHILDREN'S EXPANDED SERVICES FOR ABUSED CHILDREN AND TEENS IN THE MAHONING VALLEY BY PURCHASING THE TRI-COUNTY CHILD ADVOCACY CENTER. THE CENTER NOT ONLY PROVIDES MEDICAL AND FORENSIC EVALUATIONS FOR CHILDREN SUSPECTED OF BEING PHYSICALLY OR SEXUALLY ABUSED, BUT IT ALSO PROVIDES MEDICAL EVALUATIONS FOR KIDS IN FOSTER CARE. IN OCTOBER, 2009, CHILDREN'S RECEIVED FEDERAL AMERICAN RECOVERY AND REINVESTMENT ACT (AARA) GRANT FUNDING OF 882,550 FOR THE EXPANSION OF THE C.A.R.E. CENTER SERVICES TO INCLUDE TRAUMA INTERVENTION SERVICES ("TIS") FOR CHILD CARE VICTIMS. THE PROJECT EXPANDED THE INFRASTRUCTURE OF C.A.R.E. TO INCLUDE TIS, THROUGH THE HIRING AND TRAINING OF ADDITIONAL STAFF AND THE DEVELOPMENT OF PSYCHOLOGICAL EDUCATIONAL MATERIALS FOR CHILDREN WHO HAVE BEEN VICTIMS OF CRIME AND THEIR FAMILIES. IT ALSO INCREASED THE PARTICIPATION OF VICTIMS IN THE CRIMINAL JUSTICE SYSTEM, AND CONSEQUENTLY, THE PROSECUTION OF CHILD PHYSICAL AND SEXUAL ABUSE. CHILDREN WHO ARE VICTIMS OF PHYSICAL OR SEXUAL ABUSE ARE IDENTIFIED BY REFERRAL FROM OUTSIDE AGENCIES, INCLUDING LAW ENFORCEMENT AGENCIES, CHILD PROTECTIVE SERVICES, PRIVATE PHYSICIANS, AND CHILDREN'S HOSPITAL EMERGENCY DEPARTMENT PERSONNEL AT ANY OF THE FOUR CHILDREN'S HOSPITAL MEDICAL CENTER EMERGENCY DEPARTMENT LOCATIONS. SERVICES PROVIDED INCLUDE IMMEDIATE TRAUMA-INFORMED, HOME-BASED CRISIS INTERVENTION MANAGEMENT, ADVOCACY THROUGHOUT THE CRIMINAL JUSTICE SYSTEM, AND PSYCHOSOCIAL EDUCATIONS FOR FAMILIES REGARDING TRAUMA SYMPTOMS AND TREATMENT. THIS PROJECT WAS AN EXPANSION OF A CURRENT SUCCESSFUL EVIDENCE-BASED PROGRAM MODEL, CHILDREN WHO WITNESS VIOLENCE, WHICH HAS SERVED OVER 2,500 CHILDREN WHO HAVE WITNESSED VIOLENCE AND THEIR FAMILIES WITH HOME-BASED TRAUMA INTERVENTION SERVICES. OHIO'S RATE OF CHILD ABUSE AND NEGLECT IS RANKED ELEVENTH IN THE NATION. RESEARCH HAS SHOWN THAT EXPOSURE TO TRAUMA MAY NEGATIVELY IMPACT THE PHYSICAL, MENTAL, AND EMOTIONAL DEVELOPMENT OF CHILDREN. CHILDREN'S HAS HAD SUCCESSFUL AND EXTENSIVE EXPERIENCE IN THE IMPLEMENTATION OF SERVICES TO PROVIDE TRAUMA FOR CHILDREN EXPOSED TO VIOLENCE; THE EXPANSION OF THE C.A.R.E. CENTER WILL BUILD UPON THIS MODEL. IN LATE 2012, CHILDREN'S RECEIVED A 1.6M GRANT TO PROVIDE SERVICES AND SUPPORT FOR CHILDREN WHO HAVE EXPERIENCED PSYCHOLOGICAL TRAUMA IN NORTHEAST OHIO. WITH THIS NEW FUNDING, CHILDREN'S WILL DEVELOP THE CENTER FOR THE TREATMENT AND STUDY OF ADVERSE CHILDHOOD EVENTS, WITH THE GOAL OF PROVIDING LEADERSHIP, TRAINING AND CONSULTATION SERVICES IN THE AREA OF CHILDHOOD TRAUMATIC STRESS. ANOTHER GOAL OF THE GRANT IS TO BETTER IDENTIFY CHILDREN WHO NEED THESE SERVICES BY SCREENING THEM DURING PRIMARY CARE, PSYCHIATRIC AND EMERGENCY ROOM VISITS. THE CENTER WILL WORK CLOSELY WITH SCHOOLS TO HELP TEACHERS IDENTIFY AND BE SENSITIVE TO CHILDREN WHO MAY BE TRAUMATIZED. WITH THE GRANT, CHILDREN'S BECOMES A MEMBER OF THE NATIONAL CHILD TRAUMATIC STRESS NETWORK (NCTSN), WHOSE MISSION IS TO IMPROVE THE QUALITY, EFFECTIVENESS AND AVAILABILITY OF SERVICES FOR CHILDREN AND FAMILIES WHO EXPERIENCE TRAUMATIC EVENTS. A COMPONENT OF THE DIVISION OF HEMATOLOGY/ONCOLOGY, THE OHIO REGIONAL VI COORDINATED SICKLE CELL PROGRAM AT CHILDREN'S SERVES ADULTS AND CHILDREN IN SEVERAL NORTHEAST OHIO COUNTIES. THE GRANT FUNDED PROGRAM PLAYS AN IMPORTANT ROLE IN IMPROVING THE TREATMENT AND EDUCATION OF PERSONS WITH THE SICKLE CELL TRAIT IN THE REGION. IN ADDITION TO MEDICAL CARE, SUPPORT SERVICES INCLUDE DISEASE EDUCATION, PERSONAL AND CAREER COUNSELING AND FINANCIAL COUNSELING ARE OFFERED. ALSO INCORPORATED IN THE SICKLE CELL CLINIC ARE GENETIC AND PSYCHOSOCIAL COUNSELING SERVICES. THE PROGRAM COORDINATES ACTIVITIES OF SICKLE CELL SERVICE AGENCIES THROUGHOUT REGION VI AND PROVIDES EDUCATION PROGRAMS FOR THE GENERAL PUBLIC, AT-RISK GROUPS AND HEALTH CARE PROVIDERS. CHILDREN'S HEMOSTASIS AND THROMBOSIS CENTER PROVIDES DIAGNOSTIC AND TREATMENT SERVICES TO CHILDREN AND ADULTS WITH INHERITED BLEEDING AND CLOTTING DISORDERS. THE CENTER IS RECOGNIZED BY THE FEDERAL DEPARTMENT OF MATERNAL AND CHILD HEALTH AS A REGIONAL COMPREHENSIVE CENTER. THE CENTER IS STAFFED BY BOARD-CERTIFIED HEMOTOLOGISTS, NURSE CLINICIANS, NURSE EDUCATOR, SOCIAL SERVICE STAFF, AN ORTHOPEDIST AND A PHYSICAL THERAPIST. IN ADDITION TO PROVIDING MEDICAL ASSESSMENT/TREATMENT THROUGH THE CANCER AND BLOOD DISORDERS CLINIC, THE STAFF PROVIDES COUNSELING AND TEACHING SERVICES. THE HOSPITAL ALSO OPERATES A CLINIC IN MILLERSBURG, OHIO, TO SERVE THE AMISH/MENNONITE COMMUNITY. CLINICAL TRIALS ARE AVAILABLE TO INDIVIDUALS WITH HEREDITARY COAGULATION DISORDERS ENROLLED IN THE CENTER, IN CONJUNCTION WITH PHARMACEUTICAL COMPANIES, THE CDC, THE NATIONAL HEMOPHILIA FOUNDATION, AND OTHER RESEARCH AGENCIES. CHILDREN'S OFFERS A COMPREHENSIVE CLINICAL TREATMENT CENTER FOR CHILDREN WITH ALL TYPES OF CANCER AND BLOOD DISORDERS. HIGHLY SPECIALIZED TEAMS CARE FOR CHILDREN AND TEENS WITH ALL TYPES OF CHILDHOOD CANCERS, SICKLE CELL DISEASE, HEMOGLOBINOPATHIES, AND BLEEDING/CLOTTING DISORDERS, AS WELL AS THOSE WHO REQUIRE STEM CELL/BONE MARROW TRANSPLANTATION. CHILDREN'S INPATIENT CANCER AND BLOOD DISORDERS UNIT HAS 20 PRIVATE ROOMS WITH SOOTHING NATURAL LIGHT AND BRIGHT COLORS. THERE ARE ROOMING-IN ACCOMODATIONS SO ONE PARENT MAY STAY WITH A CHILD AT ALL TIMES. CHILDREN'S OUTPATIENT CANCER AND BLOOD DISORDERS CLINIC HAS 12 TREATMENT AND EXAM ROOMS, INCLUDING THOSE OUTFITTED FOR CHILDREN WHO REQUIRE SPECIAL ISOLATION. CHILDREN'S CARES FOR MORE PATIENTS WITH HEMOPHILIA B (FACTOR IX DEFICIENCY) THAN ANY OTHER HOSPITAL IN THE COUNTRY. CHILDREN'S CANCER PROGRAM HAS BEEN RECOGNIZED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER AS A "PEDIATRIC TEACHING HOSPITAL CANCER PROGRAM." THE DIVISION OF DEVELOPMENTAL PEDIATRICS PROVIDES DIAGNOSTIC EVALUATIONS AND TREATMENT FOR CHILDREN WIT SECOND ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4B (CONTINUED FROM PART III, LINE 4B) 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, TRAUMA SERVICES. A 59-BED REGIONAL NEONATAL INTENSIVE CARE UNIT (NICU) WAS OPENED IN 1993. THE NICU IS DESIGNATED THE LEVEL III TERTIARY NEONATAL UNIT IN OHIO'S PERINATAL REGION VI. A FULL STAFF OF MEDICAL, NURSING, AND OTHER HEALTH CARE PROFESSIONALS CARE FOR HIGH-RISK INFANTS IN ONE OF THE MOST ADVANCED FACILITIES IN THE NATION. 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 FOR BABIES WHO HAVE BEEN HERE FOR AN EXTENDED PERIOD OF TIME. DURING 2012, CHILDREN'S RENEWED THEIR LEASE AGREEMENT WITH AKRON GENERAL MEDICAL CENTER FOR THE OPERATIONS OF A 17 BED, LEVEL II SPECIAL CARE NURSERY. ALTHOUGH LOCATED AT AKRON GENERAL MEDICAL CENTER, THOSE PATIENTS TREATED ARE PATIENTS OF CHILDREN'S. CHILDREN'S IS RESPONSIBLE FOR THE MEDICAL AND TREATMENT CARES RENDERED TO THESE PATIENTS USING THE HEALTHCARE KNOWLEDGE AND TECHNIQUES DEVELOPED AND UTILIZED AT CHILDREN'S MAIN CAMPUS. DURING 2007, CHILDREN'S AND ST. ELIZABETH'S HOSPITAL, YOUNGSTOWN, OHIO ("HMHP")PURCHASED FROM FORUM HEALTH SYSTEM CERTAIN INPATIENT AND OUTPATIENT FACILITIES AND RESIDENTIAL REALTY LOCATED IN BOARDMAN, OHIO ("BEEGHLY CAMPUS"). CHILDREN'S AND HMHP ENTERED INTO AN AGREEMENT TO PROVIDE PEDIATRIC SERVICES ON THE ST. ELIZABETH CAMPUS IN YOUNGSTOWN, OHIO UNTIL THE BEEGHLY CAMPUS WAS CONVERTED INTO FACILTIES APPROPRIATE FOR PEDIATRIC INPATIENT, OUTPATIENT AND EMERGENCY SERVICES. IN DECEMBER 2009, THE BOARD OF DIRECTORS AND HMHP AGREED TO HAVE ONLY CHILDREN'S OWN AND OPERATE THE BEEGHLY CAMPUS. PATIENT CARE SERVICES AT THE BEEGHLY CAMPUS COMMENCED IN DECEMBER 2008, AND IS NOW KNOWN AS AKRON CHILDREN'S HOSPITAL MAHONING VALLEY. TOTAL NICU PATIENT DAYS WERE AS FOLLOWS: 2012 2011 ----- ------ NEONATAL AT AKRON 18,295 19,078 NEONATAL AT AGMC 3,893 3,822 NEONATAL AT ST. E'S 5,440 6,016 NEONATAL AT BEEGHLY 3,563 3,898 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 1,300 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 COMFORTABLE PULL-OUT SOFAS TO ENCOURAGE PARENTS TO STAY OVERNIGHT. TOTAL PATIENT DAYS WERE 19,435 AND 18,512 IN 2012 AND 2011, RESPECTIVELY. SINCE 1978, THE BURN INSTITUTE HAS PROVIDED SPECIALIZED CARE FOR BURN VICTIMS OF ALL AGES THROUGHOUT NORTHEASTERN OHIO. AKRON CHILDREN'S 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 AKRON CHILDREN'S BURN CENTER, WHICH FEATURES 12 PRIVATE PATIENT ROOMS WITH BATHROOMS AND ROOMING-IN 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 BURN 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 2,723 AND 2,578 FOR 2012 AND 2011, RESPECTIVELY. THE DIVISION OF EMERGENCY/TRAUMA SERVICES AT CHILDREN'S 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 101,626 VISITS DURING 2012. 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 AND 750 PATIENTS PER MONTH WHO NEED STITCHES. ROUNDING OUT THE SPECIALIZED MEDICAL CARE IN THE ED 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. AKRON CHILDREN'S HOSPITAL 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. THIRD ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4C (CONTINUED FROM PART III, LINE 4C) AND CEROBROSPINAL FLUID SPECIMENS. IN ADDITION TO ROUTINE CHEMISTRIES, TESTING IS PERFORMED FOR THERAPEUTIC AND IMMUNOSUPPRESIVE DRUG MONITORING. SWEAT CHLORIDE ANALYSIS IS PERFORMED TO SCREEN FOR CYSTIC FIBROSIS. THE HEMATOLOGY SECTION RUNS ANALYSIS ON THE CELLULAR COMPONENTS OF THE BLOOD. CELL COUNTS ARE PERFORMED USING AUTOMATED INSTRUMENTS WHILE CELL MORPHOLOGY IS CONFIRMED BY DOING MANUAL EXAMINATIONS OF STAINED BLOOD SMEARS. SPECIAL HEMATOLGY EXAMS, AS WELL AS ROUTINE AND SPECIAL COAGULATION TESTING IS ALSO PERFORMED IN THE HEMATOLOGY LABORATORY. INSTRUMENTS ARE SELECTED TO USE THE SMALLEST AMOUNTS OF BLOOD FOR TESTING IN ORDER TO MINIMIZE BLOOD LOSS FROM OUR PEDIATRIC PATIENTS. SPECIALIZED ASSAYS ARE PERFORMED TO AID IN THE DIAGNOSIS OF HEMATOLOGICAL AND COAGULATION DISORDERS. LEAD TESTING IS PERFORMED IN THE SPECIAL CHEMISTRY LABORATORY. OTHER TESTS PERFORMED IN SPECIAL CHEMISTRY INCLUDE PRENATAL TESTING FOR DOWN'S SYNDROME AND NEURAL TUBE DEFECTS AS WELL AS THYROID AND OTHER HORMONES. IN ADDITION TO THE CCL, LABORATORY SERVICES ARE PROVIDED BY THE INFECTIOUS DISEASE LABORATORIES (MICROBIOLOGY, VIROLOGY, IMMUNOLOGY, AND MOLECULAR DIAGNOSTICS). THESE SERVICES INCLUDE THE IDENTIFICATION OF BACTERIA AND VIRUSES BY CONVENTIONAL CULTURE TECHNIQUES, RAPID SHELL VIAL AND DIRECT IMMUNOFLOURESCENCE STAINS, AND AMPLIFIED NUCLEIC ACID PROBE ASSAYS. THE MOLECULAR DIAGNOSTIC LABORATORY ALSO PERFORMS GENETIC ASSAYS FOR CYSTIC FIBROSIS MUTATIONS AND FOR THE MUTATIONS THAT CAUSE HYPERCOAGULABILITY. THE CYTOGENETIC LABORATORY PERFORMS KARYOTYPES AND FISH (IN-SITU HYBRIDIZATION) TO DETECT CHROMOSOME ABNORMALITIES. ANATOMIC PATHOLOGY SERVICES INCLUDE SURGICAL PATHOLOGY, RENAL, NERVE, AND MUSCLE, PLACENTAL PATHOLOGY AND AUTOPSY SERVICES. THE ANATOMIC PATHOLOGY LABORATORY HAS A STATE OF THE ART JEOL SCANNING ELECTRON MISCROSCOPE TO AID IN THE DIAGNOSIS AT THE SMALLEST CELLULAR LEVEL. THE RADIOLOGY DIVISION AT AKRON CHILDREN'S HOSPITAL 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 DECEMBER 2008, AKRON CHILDREN'S OPENED OUR 32-BED ACUTE CARE AKRON CHILDREN'S HOSPITAL IN 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. CHILDREN'S HOSPITAL MEDICAL CENTER'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 AT CHILDREN'S, 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 CHILDREN'S 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. ALL OTHER ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4D CHILDREN'S OPERATES ONE OF THE LARGEST PEDIATRIC PRIMARY CARE NETWORKS WITH 20 OFFICES IN NINE COUNTIES INCLUDING CUYAHOGA, MEDINA, WAYNE, TUSCAWARAS AND PORTAGE. THE PEDIATRICIANS AND STAFF AT AKRON CHILDREN'S HOSPITAL PEDIATRICS 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 AKRON CHILDREN'S HOSPITAL. BY SHARING INFORMATION BETWEEN OUR OFFICES AND WITH AREA HEALTH CARE PROVIDERS, WE ENSURE THAT ALL CHILDREN RECEIVE THE FINEST CARE -- FROM PREVENTIVE CHECKUPS TO TREATMENT FOR CHRONIC HEALTH PROBLEMS. AKRON CHILDREN'S HOSPITAL PEDIATRICS VISITS WERE 301,645 AND 269,761 FOR 2012 AND 2011 RESPECTIVELY. THE SURGICAL SERVICES DEPARTMENT AT CHILDREN'S MEDICAL HOSPITAL OF AKRON PERFORMS MORE THAN 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 CHILDREN'S, FROM PEDIATRIC SURGEONS TO PEDIATRIC ANESTHESIOLOGISTS AND NURSES ARE CAREFULLY TRAINED IN MEETING THE UNIQUE SURGICAL NEEDS AND CONCERNS OF CHILDREN AND THEIR FAMILIES. THE PEDIATRIC ANESTHESIOLOGISTS ARE EXPERIENCED AT HELPING A CHILD GO TO SLEEP WITH AS LITTLE ANESTHESIA AS POSSIBLE. THEY UNDERSTAND THE MEDICAL DIFFERENCES BETWEEN CHILDREN AND ADULTS. SPECIAL EQUIPMENT AND TECHNIQUES SUITED TO THE SIZE OF THE PATIENT, FROM INFANTS TO YOUNG ADULTS, HELP ASSURE SUCCESSFUL OUTCOMES TO THE SURGERY AND ANESTHESIA. 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. CHILDREN'S 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. 2012 2011 ----- ------ SURGICAL PATIENTS - INPATIENT 3,316 3,098 SURGICAL PATIENTS - OUTPATIENT 12,025 10,916 FINANCIAL ACCOUNTS IN FOREIGN COUNTRIES FORM 990, PART V, LINE 4B CAYMAN ISLANDS RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 ROBERT BERK DIRECTOR FAMILY RELATIONSHIP SUSAN BERK DIRECTOR FAMILY RELATIONSHIP CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 THE DULY ELECTED, QUALIFIED AND ACTING DIRECTORS AND THE ACTIVE MEMBERS OF THE WOMEN'S BOARD OF CHILDREN'S HOSPITAL ARE MEMBERS OF THE CORPORATION. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A THE 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 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 BE 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 THAT 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. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B 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. SUBJECT TO THE DIRECTION AND CONTROL OF THE DIRECTORS, OR THE EXECUTIVE COMMITTEE OF THE BOARD, THE MANAGEMENT OF THE HOSPITAL SHALL BE VESTED IN THE PRESIDENT 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 PERFOMANCE 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. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE AND CHAIRMAN OF THE BOARD OF DIRECTORS OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON 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. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C IT IS CHILDREN'S POLICY THAT ALL EMPLOYEES DISCLOSE REAL OR APPARENT CONFLICTS OF INTEREST AS A CONDITION OF EMPLOYMENT WITH CHILDREN'S. CHILDREN'S ALSO REQUIRES THAT EACH EMPLOYEE DISCLOSE IN WRITING, ANNUALLY, TO THE PRESIDENT A LIST OF ALL BUSINESSES OR OTHER ORGANIZATIONS IN WHICH HE/SHE IS AN OFFICER, MEMBER, OWNER, SHAREHOLDER, TRUSTEE OR EMPLOYEE FOR WHICH HE/SHE ACTS AS AN AGENT OR MIGHT REASONABLY IN THE FUTURE ENTER INTO A RELATIONSHIP OR TRANSACTION IN WHICH THE EMPLOYEE COULD HAVE A DUALITY OF INTEREST. IF A SITUATION ARISES IN WHICH THERE IS A DUALITY OF INTEREST, OR A QUESTION OF DUALITY OF INTEREST, AND, AS SUCH, POTENTIAL FOR A CONFLICT OF INTEREST, IT IS THE PRIMARY RESPONSIBILITY OF THE INDIVIDUAL DIRECTLY INVOLVED AND RESPONSIBILITY OF OTHER PERSONNEL, TO THE EXTENT THAT THEY BECOME AWARE OF A DUALITY OF INTEREST, TO MAKE IMMEDIATE AND COMPLETE WRITTEN 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 THE DUALITY REPRESENTS THE POTENTIAL FOR A CONFLICT OF INTEREST, AND WHETHER SUCH CONFLICT IS SO SUBSTANTIAL THAT IT IS DEEMED TO BE DETRIMENTAL TO CHILDREN'S. 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. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON'S EXECUTIVE TOTAL COMPENSATION PROGRAM IS GOVERNED BY THE COMPENSATION COMMITTEE (COMMITTEE) OF THE BOARD OF DIRECTORS. KEY COMMITTEE RESPONSIBILITIES INCLUDE: - ENSURE EXECUTIVE TOTAL COMPENSATION IS APPROPRIATE IN LIGHT OF THE HOSPITAL'S MISSION AND VALUES, AND - 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. IT: - REVIEWS MARKET COMPENSATION DATA FOR COMPARABLE POSITIONS AT SIMILAR ORGANIZATIONS WHICH ARE COMPILED BY AN INDEPENDENT CONSULTANT IT ENGAGES, - USES THIS DATA TO MAKE EXECUTIVE DECISIONS, AND - DOCUMENTS ITS COMPENSATION DELIBERATIONS AND DECISIONS IN A TIMELY MANNER. THE COMMITTEE REVIEWS APPROPRIATE SECTIONS OF THE HOSPITAL IRS FORM 990 BEFORE IT IS FILED TO ENSURE ACCURACY AND COMPLETENESS. AN INDEPENDENT SALARY SURVEY WAS COMPLETED IN 2012 AND RECOMMENDATIONS WERE PROVIDED AND PRESENTED BY THE INDEPENDENT CONSULTANT TO THE COMMITTEE FOR APPROVAL. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B AN INDEPENDENT SALARY SURVEY WAS COMPLETED IN 2012 AND RECOMMENDATIONS WERE PROVIDED AND PRESENTED BY THE INDEPENDENT CONSULTANT TO THE COMMITTEE FOR APPROVAL. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON 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. RECONCILIATION OF CHANGES - OTHER FORM 990, PART XI, LINE 9 CONTRIBUTED CAPITAL AKRON CHILDREN'S HOSPITAL FOUNDATION -1,265,228 CONTRIBUTED CAPITAL OF GOVERNMENT FUNDING -20,277 PARTNERSHIP LOSS 18,855 PARTNERSHIP LOSS 67,727 RECLASS EXPENSE TO REVENUE 1,205,219 RECLASS EXPENSES NETTED AGAINST REVENUE -157,744 IN-KIND COMMUNITY SUPPORT 400,000 RECLASS EXPENSE TO REVENUE -1,205,219 OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 9 HOSPITAL'S INVESTMENT IN FOUNDATION 10,467,757 CONTRIBUTED CAPITAL 1,285,505 TRANSFER FROM RELATED EXEMPT ORGANIZATION 20,000,000 WRITEOFF OF INVESTMENT IN CHILDREN'S REV 120,000 ADJUSTMENT - ASC - OPEB 15,879,649 ADJUSTMENT - ASC - PENSION -17,693,991 LOSS ON EXTINGUISHMENT OF DEBT -3,964,482 CHILDREN'S REV LLC ONE PERKINS SQUARE AKRON OH 443081062 200498689 HOLDING CO OH 1029047 NA AKRON CHILDREN'S RESEARCH CENTER ONE PERKINS SQUARE AKRON OH 443081062 341934412 CLIN TRIAL OH NA AKRON CHILDRENS HOSPITAL FOUNDATION ONE PERKINS SQUARE AKRON OH 443081062 237114013 FOUNDATION OH 501C3 7 CHMCA true CHILDREN'S HOME CARE GROUP ONE PERKINS SQUARE AKRON OH 443081062 341575266 HOME CARE OH 501C3 11A CHMCA true CHILD DIMENSIONS INSURANCE COMPANY ONE PERKINS SQUARE AKRON OH 443081062 030317160 INSURANCE OH 501C3 11A CHMCA true false true true false false true true true false true true false false true true true true false false CHILDREN'S HOME CARE GROUP O 10400536 ACTUAL PER GENERAL LEDGER CHILDREN'S HOME CARE GROUP G 25004 ACTUAL PER GENERAL LEDGER CHILDREN'S HOME CARE GROUP P 11896181 ACTUAL PER GENERAL LEDGER CHILD DIMENSIONS INSURANCE COMPANY P 48158 ACTUAL PER GENERAL LEDGER CHILD DIMENSIONS INSURANCE COMPANY F 20000000 ACTUAL PER GENERAL LEDGER AKRON CHILDRENS HOSPITAL FOUNDATION P 9767418 ACTUAL PER GENERAL LEDGER AKRON CHILDRENS HOSPITAL FOUNDATION C 5418782 ACTUAL PER GENERAL LEDGER AKRON CHILDRENS HOSPITAL FOUNDATION C 1385228 ACTUAL PER GENERAL LEDGER AKRON CHILDRENS HOSPITAL FOUNDATION O 3430643 ACTUAL PER GENERAL LEDGER AKRON CHILDRENS HOSPITAL FOUNDATION B 533097 ACTUAL PER GENERAL LEDGER CHILDREN'S HOME CARE GROUP O 10400536 ACTUAL PER GENERAL LEDGER CHILDREN'S HOME CARE GROUP G 25004 ACTUAL PER GENERAL LEDGER CHILDREN'S HOME CARE GROUP P 11896181 ACTUAL PER GENERAL LEDGER CHILD DIMENSIONS INSURANCE COMPANY P 48158 ACTUAL PER GENERAL LEDGER CHILD DIMENSIONS INSURANCE COMPANY F 20000000 ACTUAL PER GENERAL LEDGER AKRON CHILDRENS HOSPITAL FOUNDATION P 9767418 ACTUAL PER GENERAL LEDGER AKRON CHILDRENS HOSPITAL FOUNDATION C 5418782 ACTUAL PER GENERAL LEDGER AKRON CHILDRENS HOSPITAL FOUNDATION C 1385228 ACTUAL PER GENERAL LEDGER AKRON CHILDRENS HOSPITAL FOUNDATION O 3430643 ACTUAL PER GENERAL LEDGER AKRON CHILDRENS HOSPITAL FOUNDATION B 533097 ACTUAL PER GENERAL LEDGER