CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON: Form 990, tax year 2010

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Organization: CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON (EIN 34-0714357)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-11
IRS object ID: 201143159349303819
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-11T15:22:22-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL MEDICAL CTR OF AKRON	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE PERKINS SQ	AddressLine1
City	AKRON	City
State	OH	State
ZIP Code	44308	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	340714357	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL MEDICAL CENTER	BusinessNameLine1
Business Name Line2	OF AKRON	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	CHIL	NameControl
Phone	3305438171	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE PERKINS SQUARE	AddressLine1
City	AKRON	City
State	OH	State
ZIP Code	443081062	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHAEL P TRAINER	Name
Title	CHIEF FINANCIAL OFFICER	Title
Phone	3305438171	Phone
Date Signed	2011-11-11	DateSigned
Authorize Third Party	false	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Date Prepared	2011-11-11	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	WILLIAM CONSIDINE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	ONE PERKINS SQUARE	AddressLine1
City	AKRON	City
State	OH	State
ZIP Code	44308	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	596151656	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	AKRONCHILDRENS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1897	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	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 MOD	ActivityOrMissionDescription
Nbr Voting Members Governing Body	28	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	21	NbrIndependentVotingMembers
Total Nbr Employees	4303	TotalNbrEmployees
Total Nbr Volunteers	1591	TotalNbrVolunteers
Total Gross UBI	1513234	TotalGrossUBI
Net Unrelated Business Txbl Income	-175566	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	12314180	ContributionsGrantsPriorYear
Contributions Grants Current Year	12936654	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	416237874	ProgramServiceRevenuePriorYear
Program Service Revenue CY	452699780	ProgramServiceRevenueCY
Investment Income Prior Year	1571600	InvestmentIncomePriorYear
Investment Income Current Year	6318805	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4770237	OtherRevenuePriorYear
Other Revenue Current Year	4923759	OtherRevenueCurrentYear
Total Revenue Prior Year	434893891	TotalRevenuePriorYear
Total Revenue Current Year	476878998	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	353391	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	716380	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	258950150	SalariesEtcPriorYear
Salaries Etc Current Year	267481506	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	163558335	OtherExpensePriorYear
Other Expenses Current Year	173388415	OtherExpensesCurrentYear
Total Expenses Prior Year	422861876	TotalExpensesPriorYear
Total Expenses Current Year	441586301	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	12032015	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	35292697	RevenuesLessExpensesCY
Total Assets BOY	566489396	TotalAssetsBOY
Total Assets EOY	622241602	TotalAssetsEOY
Total Liabilities BOY	251695872	TotalLiabilitiesBOY
Total Liabilities EOY	270588305	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	314793524	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	351653297	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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 MOD	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	90791099	Expense
Revenue	69606145	Revenue
Description	PROGRAM ACHIEVEMENT 1 - SUBSPECIALTY PHYSICIANS: IN KEEPING WITH CHILDREN'S 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 MEDICINE, (CONTINUED ON SCHEDULE O) CONTINUED FROM PART III, LINE 4A) 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. CHILDREN'S OPENED ITS BEEGHLY CAMPUS IN BOARDMAN, OHIO IN DECEMBER 2008. THE 32-BED FACILITY INCLUDES SUBSPECIALTIES SUCH AS NEONATOLOGISTS, HEMOTALOGY/ONCOLOGY CLINIC AND INFUSION CENTER, INPATIENT AND OUTPATIENT REHABILITATION SERVICES. 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 NINE 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 MAJOR ACCOMPLISHMENTS OF THE HEART CENTER INCLUDE: -- COORDINATION OF AN INTEGRATED CLINICAL TEAM AND OPERATIONAL INTERACTION WITH ANESTHESIA, NEONATOLOGY, CRITICAL CARE MEDICINE, AND PERINATOLOGY TO IMPROVE POINT OF CARE DELIVERY. -- DEVELOPMENT OF OUTPATIENT, NON-INVASIVE DIAGNOSTIC, AND ADMINISTRATIVE FACILITY ON THE AKRON CAMPUS. -- DEVELOPMENT OF OUTREACH FACILITIES AND REFERRAL NETWORKS FOR CARDIOVASCULAR SERVICES IN CLEVELAND, YOUNGSTOWN, STARK COUNTY AND LAKE COUNTY. -- IMPLEMENT PROTOCOL MODIFICATIONS TO IMPROVE ECHO SERVICES TO CHILDREN'S AND ACHIEVE ACCREDITATION BY ICAL. -- EXPAND REFERRAL NETWORKS AND CLINICAL CAPABILITY OF THE ELECTROPHYSIOLOGY (EP) SERVICE. -- IMPLEMENTATION OF A UNIFORM/CENTRALIZED MEDICAL RECORD LIBRARY. -- IMPLEMENTATION OF QUALITY ASSESSMENT/IMPROVEMENT PROTOCOLS AND ESTABLISHMENT OF OPERATIONAL PATTERNS OF PROSPECTIVE RISK MANAGEMENT. STATISTICS FOR THE HEART CENTER ARE AS FOLLOWS: 2010 2009 ------ ------ OUTPATIENT VISITS 10,732 9,849 INPATIENT VISITS 2,997 2,974 CARDIAC PROCEDURES: CATH 271 273 SURGERY 150 127 ANOTHER SUBSPECIALTY IS THE PEDIATRIC DIALYSIS RENAL CARE CENTER, WHICH OPENED IN 1985. THIS IS THE ONLY FACILITY IN THE CHILDREN'S SERVICE AREA EQUIPPED TO TREAT BABIES, CHILDREN AND ADOLESCENTS SUFFERING FROM CHRONIC OR ACUTE KIDNEY FAILURE. STATE-OF-THE-ART KIDNEY DIALYSIS IS PERFORMED AT CHILDREN'S. 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. 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 HAS THE FOLLOWING GOALS: -- EXPAND 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. -- INCREASE 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 WILL BE 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 TO BE 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 IS AN EXPANSION OF A CURRENT SUCCESSFUL EVIDENCE-BASED PROGRAM MODEL, CHILDREN WHO WITNESS VIOLENCE, WHICH HAS SERVED 2,143 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. 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.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	74496457	Expense
Revenue	124091109	Revenue
Description	PROGRAM ACHIEVEMENT 2 - INPATIENT SERVICES: 2010 2009 ---- ---- TOTAL INPATIENT DAYS 60,450 61,491 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. IN SEPTEMBER 2002, CHILDREN'S ENTERED INTO A LEASE AGREEMENT WITH AKRON GENERAL MEDICAL CENTER FOR THE OPERATIONS OF A 15 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. AKRON CHILDREN'S HOSPITAL IS ALSO ONE OF THREE HOSPITALS IN THE COUNTRY SELECTED BY THE MARCH OF DIMES FOR A PILOT PROJECT TO ASSIST FAMILIES IN COPING WITH THE BIRTH OF THEIR CHILD WHO NEEDS NEONATAL INTENSIVE CARE. AS PART OF THE PILOT PROJECT, CHILDREN'S HAS DEVELOPED EDUCATIONAL MATERIALS AND VIDEOS FOR PARENTS OF PREMATURE INFANTS TO EXPLAIN THE NICU EXPERIENCE. 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: 2010 2009 ----- ------ NEONATAL AT AKRON 16,011 15,095 NEONATAL AT AGMC 3,814 3,713 NEONATAL AT ST. E'S 5,478 7,520 NEONATAL AT BEEGHLY 2,905 657 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 17,896 AND 19,882 IN 2010 AND 2009, 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 2,247 AND 2,571 FOR 2010 AND 2009, 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 NEARLY 89,208 VISITS DURING 2010. 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.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	66179359	Expense
Revenue	132112676	Revenue
Description	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 TESTIG 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 2010, OVER 440,000 TESTS WERE PERFORMED IN THE CCL, 41% FROM INPATIENTS AND 59% FROM OUTPATIENTS. 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 STAFF 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 OUR OUR MAIN AKRON CAMPUS. IN 2008, THE RADIOLOGY DIVISION SUCESSFULLY COMPLETED THE JOINT COMMISSION SURVEY WITH NO AREAS OF RECOMMENDATION OR AREAS OF DEFICIENCY. ALSO DURING 2008, RADIOLOGY PARTICIPATED WITH NURSING TO IMPLEMENT A CENTRALIZED SEDATION SERVICES DEPARTMENT WHICH SERVES SEDATION NEEDS OF OUR MRI, CT, AND NUCLEAR MEDICINE PEDIATRIC PATIENTS. 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.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	119141299	Expense
Grants	716380	Grants
Revenue	126889850	Revenue
Description	CHILDREN'S OPERATES ONE OF THE LARGEST PEDIATRIC PRIMARY CARE NETWORKS WITH 15 OFFICES IN SEVEN 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 243,488 AND 239,087 FOR 2010 AND 2009 RESPECTIVELY. THE SURGICAL SERVICES DEPARTMENT AT CHILDREN'S MEDICAL HOSPITAL OF AKRON PERFORMS MORE THAN 10,000 GENERAL AND SPECIALIZED SURGICAL PROCEDURES EACH YEAR--RANGING FROM UNCOMPLICATED TONSILLECTOMIES TO NEUROSURGERY, OPEN HEART, ORTHOPEDIC, AND PLASTIC AND RECONSTRUCTIVE SURGERY. CHILDREN'S PERFORMS MORE PEDIATRIC SURGERIES THAN ANY OTHER HOSPITAL IN NORTHEASTERN OHIO. 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. ABOUT 80% OF SURGERIES ARE DONE ON AN OUTPATIENT BASIS, WHICH HAS PROVEN TO BE NOT ONLY MEDICALLY SAFE BUT PSYCHOLOGICALLY BENEFICIAL FOR CHILDREN. 2010 2009 ----- ------ SURGICAL PATIENTS - INPATIENT 2,541 2,348 SURGICAL PATIENTS - OUTPATIENT 11,536 10,405	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	119141299	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	716380	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	126889850	TotalOfOtherProgramServiceRev
Total Program Service Expense	350608214	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	false	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	true	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	259	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	4303	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	28	NbrVotingGoverningBodyMembers
Number Independent Voting Members	21	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	ALICIA LAMANCUSA	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3305438171	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	ONE PERKINS SQUARE	AddressLine1
City	AKRON	City
State	OH	State
ZIP Code	44308	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (43 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
WILLIAM CONSIDINE
DIRECTOR/PRE	40.00	X	X	1381602	0	179057
NORMAN CHRISTOPHER MD
CHAIRMAN, DE	40.00	X		340615	0	76442
SARAH FRIEBERT MD
DIRECTOR, PA	40.00	X		194549	0	39862
ROBERT STONE MD
ASST CHAIR,	40.00	X		115996	0	1411
VIRGINIA ALBANESE
DIRECTOR	1.00	X		0	0	0
PHILIP MAYNARD
DIRECTOR	12.00	X		0	0	0
ROBERT BERK
DIRECTOR	1.00	X		0	0	0
SUSAN BERK
DIRECTOR	12.00	X		0	0	0
PATRICIA GRANT
DIRECTOR	1.00	X		0	0	0
RICHARD GRIGG
DIRECTOR/VIC	1.00	X	X	0	0	0
JOYCE HAMAKER
DIRECTOR	12.00	X		0	0	0
WILLIAM HOPKINS
DIRECTOR	1.00	X		0	0	0
OTIS HOWER
DIRECTOR	1.00	X		0	0	0
DUANE ISHAM
DIRECTOR	12.00	X		0	0	0
RICHARD ROGERS
DIRECTOR	1.00	X		0	0	0
ESTELLE KAUFMAN
DIRECTOR	1.00	X		0	0	0
DALE KOBLENZER
DIRECTOR	1.00	X		0	0	0
SUSAN KOROLY
DIRECTOR/SEC	1.00	X	X	0	0	0
SCOTT LEVIN
DIRECTOR	1.00	X		0	0	0
PAULA MALONE
DIRECTOR	12.00	X		0	0	0
GREG MCDERMOTT
DIRECTOR/CHA	12.00	X	X	0	0	0
STEPHEN MYERS
DIRECTOR/VIC	4.00	X	X	0	0	0
DONALD SCHNEIDER
DIRECTOR	1.00	X		0	0	0
DAVID SHOWERS
DIRECTOR	1.00	X		0	0	0
ROBERT TRABUCCO
DIRECTOR	1.00	X		0	0	0
HONORABLE JUDGE JAMES WILLIAMS
DIRECTOR	1.00	X		0	0	0
WILLIAM WOOLDREDGE
DIRECTOR	12.00	X		0	0	0
DARREN WELLS
DIRECTOR	1.00	X		0	0	0
SHAWN LYDEN
EXECUTIVE VP	40.00		X	460756	0	29694
MARK WATSON
REG NETWORK	40.00		X	452042	0	151454
MICHAEL TRAINER
CFO	40.00		X	331589	0	32070
GRACE WAKULCHIK
COO	40.00		X	321770	0	98379
WALTER SCHWOEBLE
VP, HR	40.00			207870	0	23263	X
MEREDITH SLOSBERG
VP SURG SUBS	40.00			181120	0	44666	X
LINDA GENTILE
VP, PROF/SUP	40.00			177800	0	69989	X
SHARON HRINA
VP, MAHONING	40.00			171593	0	38604	X
CYNTHIA DORMO
VP, DEPT OF	40.00			169454	0	83378	X
LISA AURILIO
VP, PATIENT	40.00			154352	0	21070	X
JUSTIN LAVIN MD
PERINATOLOGI	40.00			1620190	0	74435		X
ANTON MILO MD
DIRECTOR, EN	40.00			1347311	0	14670		X
ROGER HUDGINS
DIRECTOR, NE	40.00			1206444	0	8129		X
PHILIP SMITH MD
DIRECTOR, HE	40.00			1032179	0	65014		X
DENNIS WEINER MD
ORTHOPEDIC P	40.00			749015	0	72777		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	10616247	TotalReportableCompFromOrg
Total Other Compensation	1124364	TotalOtherCompensation
Number Individuals GT100 K	300	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ANESTHESIA FOR CHILDREN
2725 PADDOCK DRIVE	AKRON	OH	44333	PHYS. SERVICES	1298880
BROUSE MCDOWELL CO LPA
PO BOX 75579	CLEVELAND	OH	441014755	LEGAL/CONSULTIN	893183
CHILDREN'S CARE CENTER
9345 RAVENNA ROAD UNIT D	TWINSBURG	OH	44087	PHYS. SERVICES	775000
AKRON PEDIATRIC SURGICAL ASSOCIATION
300 LOCUST ST	AKRON	OH	44302	PHYS. SERVICES	665000
MEDQUIST
P O BOX 10832	NEWARK	NJ	071930832	WORD PROCESSING	595459

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	20	NumberOfContractorsGT100K
Fundraising Events	734858	FundraisingEvents
Related Organizations	8883283	RelatedOrganizations
Government Grants	2443303	GovernmentGrants
All Other Contributions	875210	AllOtherContributions
Total Contributions	12936654	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ANCILLARY	621500	132112676	132112676
INPATIENT SERVICES	900099	124091109	124091109
OTHER NET PATIENT SVCS	900099	116700739	116700739
SUBSPECIALTY PHYSICIANS	900099	69606145	69606145
MISC DEPARTMENT INCOME	900099	10189111	10189111

Field	Value	IRS element (for citing)
Total Program Service Revenue	452699780	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3729858	TotalRevenueColumn
Exclusion	$3,729,858	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	120948965	Securities
Other	109151	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	118608186	Securities
Other	-139017	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2340779	Securities
Other	248168	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2588947	TotalRevenueColumn
Exclusion	$2,588,947	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	395693	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	734858	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	803489	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-407796	TotalRevenueColumn
Exclusion	-$407,796	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA	722210	2778822	$2,778,822
PHARMACY	446110	1205952		1205952
PARKING DECK	812930	1039499	$1,039,499

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	307282	TotalRevenueColumn
Unrelated Business Revenue	307282	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	5331555	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	476878998	TotalRevenueColumn
Related Or Exempt Function Income	452699780	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1513234	UnrelatedBusinessRevenue
Exclusion	$9,729,330	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	716380	Total
Program Services	716380	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5550447	Total
Program Services	1670704	ProgramServices
Management And General	3879743	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	209424490	Total
Program Services	185448799	ProgramServices
Management And General	23975691	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	13112438	Total
Program Services	11843434	ProgramServices
Management And General	1269004	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	26818954	Total
Program Services	21352336	ProgramServices
Management And General	5466618	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12575177	Total
Program Services	11972724	ProgramServices
Management And General	602453	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1292598	Total
Program Services	65237	ProgramServices
Management And General	1227361	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	332690	Total
Management And General	332690	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	132000	Total
Management And General	132000	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	366781	Total
Management And General	366781	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	28476881	Total
Program Services	22381925	ProgramServices
Management And General	6094956	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	4343071	Total
Program Services	218580	ProgramServices
Management And General	4124491	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	47475868	Total
Program Services	45568093	ProgramServices
Management And General	1907775	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4835181	Total
Management And General	4835181	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	8938935	Total
Program Services	6211722	ProgramServices
Management And General	2727213	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	3493073	Total
Program Services	1918845	ProgramServices
Management And General	1574228	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6078749	Total
Management And General	6078749	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	31052049	Total
Program Services	18587370	ProgramServices
Management And General	12464679	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	9027953	Total
Program Services	1036806	ProgramServices
Management And General	7991147	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
EQUIP RENTAL/MAINTENANCE	11704758	5873883	5830875
PROV FOR FRANCHISE FEE	3756861	3756861
BAD DEBTS-OTHER PROGRAMS	2443092	2443092
BAD DEBTS-ANCILLARY	1837276	1837276
BAD DEBTS-INPATIENT	1699672	1699672

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	6100927	Total
Program Services	6004475	ProgramServices
Management And General	96452	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	441586301	Total
Program Services	350608214	ProgramServices
Management And General	90978087	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	25530	BOY
EOY	26780	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	9187348	BOY
EOY	9954545	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	56124171	BOY
EOY	53708369	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2911780	BOY
EOY	16257295	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4227486	BOY
EOY	4449131	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7837280	BOY
EOY	5629504	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	501657198	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	291623686	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	207212300	BOY
EOY	210033512	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	194510231	BOY
EOY	223106583	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	4334202	BOY
EOY	5431588	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	80119068	BOY
EOY	93644295	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	566489396	BOY
EOY	622241602	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	55519241	BOY
EOY	60357892	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	116748151	BOY
EOY	113756581	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	79428480	BOY
EOY	96473832	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	251695872	BOY
EOY	270588305	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	279558630	BOY
EOY	313230050	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	26540886	BOY
EOY	29184058	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	8694008	BOY
EOY	9239189	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	314793524	BOY
EOY	351653297	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	566489396	BOY
EOY	622241602	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	35292697	ReconcilationRevenueExpenses
Reconcilation Other Changes	1567076	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Form1120 Pol Filed	false	Form1120PolFiled
Form4720 Filed	false	Form4720Filed
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$69,609	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$132,000	OtherActivitiesAmount
Total Lobbying Expenditures IIB	201609	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax
Substantially All Dues Nondeduct	false	SubstantiallyAllDuesNondeduct
Only In House Lobbying	false	OnlyInHouseLobbying
Agree To Carryover Prior Year	false	AgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Return Reference	SCHEDULE C, PART II-B, LINE 1I	ReturnReference
Explanation	CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON PAID A TOTAL OF 494,223 TO OTHER ORGANIZATIONS. OF THAT AMOUNT, 292,614 PERTAINED TO DUES, 69,609 RELATED TO VARIOUS LOBBYING EXPENSES AND 132,000 WAS PAID TO TWO CONSULTING FIRMS FOR LOBBYING EFFORTS AND VARIOUS COMMUNICATIONS THEY HAD ON BEHALF OF CHILDREN'S WITH LEGISLATURES. THOSE COMMUNICATIONS INVOLVE THE FOLLOWING: THE LOBBYIST, ALONG WITH THE MANAGEMENT OF CHILDREN'S, WORKED ON COMPLETING APPROPRIATION REQUESTS FOR 2011. MET WITH MEMBERS AND STAFF OF THE OHIO DELEGATION IN WASHINGTON TO DISCUSS AND REQUEST SUPPORT FOR APPROPRIATIONS. ADDITIONAL FOLLOW UP CALLS AND MEETINGS WITH CONGRESSIONAL STAFF TO FURTHER PROMOTE PROJECTS, JUSTIFY FUNDING REQUESTS AND EXPLAIN THE REGIONAL SCOPE OF THE HOSPITAL'S INITIATIVES. THE LOBBYIST ALSO RESEARCHED AND COMPILED INFORMATION ON THE PROPOSED RULE REGARDING ELECTRONIC HEALTH RECORDS AS IT PERTAINED TO THE RECOVERY ACT. ALSO MADE CALLS TO DISCUSS HEALTH INFORMATION TECHNOLOGY (HIT) EARMARKS AND FUNDING. IDENTIFIED, REVIEWED AND FORWARDED GRANT ANNOUNCEMENTS THAT PRESENTED POTENTIAL FUNDING OPPORTUNITIES FOR THE HOSPITAL. THE FOLLOWING ARE 2010 LOBBYING EXPENSES: ASSOCIATION OF AMERICAN MEDICAL COLLEGES 678 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS 6,523 AMERICAN HOSPITAL ASSOCIATION 9,813 OHIO CHILDREN'S HOSPITAL ASSOCIATION 33,630 OHIO HOSPITAL ASSOCIATION 3,965 UNITED FOR JOBS AND OHIO FUTURE 10,000 CITIZEN'S FOR AKRON COMMITTEE 5,000 ------- TOTAL 69,609 LOBBYIST - ROETZEL & ANDRESS 72,000 LOBBYIST - FOCUS ON POLICY, LLC 60,000 ------- 201,609 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.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	37902948	BeginningOfYearBalance
Contributions	4684218	Contributions
Investment Earnings Or Losses	3511833	InvestmentEarningsOrLosses
Other Expenditures	-3907497	OtherExpenditures
End Of Year Balance	42191502	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	30651078	BeginningOfYearBalance
Contributions	3667095	Contributions
Investment Earnings Or Losses	7080419	InvestmentEarningsOrLosses
Other Expenditures	-3495646	OtherExpenditures
End Of Year Balance	37902948	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	34179353	BeginningOfYearBalance
Contributions	5744957	Contributions
Investment Earnings Or Losses	-4770848	InvestmentEarningsOrLosses
Other Expenditures	-4502384	OtherExpenditures
End Of Year Balance	30651078	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.08930	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.21900	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.69170	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8139648	OtherCostOrOtherBasis
Book Value	8139648	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	301880011	OtherCostOrOtherBasis
Depreciation	170398956	Depreciation
Book Value	131481055	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7205321	OtherCostOrOtherBasis
Depreciation	4115820	Depreciation
Book Value	3089501	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	178449942	OtherCostOrOtherBasis
Depreciation	117108910	Depreciation
Book Value	61341032	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5982276	OtherCostOrOtherBasis
Book Value	5982276	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	210033512	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
BENEFICIAL INTEREST IN FOUNDATION	81438466
PURCHASE OF NICU BUSINESS	7768965
DEFERRED FINANCING COSTS	2805480
OTHER ASSETS	1631384

Field	Value	IRS element (for citing)
Total Book Value Other Assets	93644295	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
PENSION	$42,292,441
POSTRETIREMENT PLANS	$29,910,473
OTHER LIABILITIES	$22,320,918
RESERVE FOR PROFESSIONAL LIABILITY	$1,950,000

Field	Value	IRS element (for citing)
Total Of Amounts	96473832	TotalOfAmounts
Total Revenue	476878998	TotalRevenue
Total Expenses	441586301	TotalExpenses
Excess Or Deficit For Year	35292697	ExcessOrDeficitForYear
Net Unrealized GL On Investments	8809815	NetUnrealizedGLOnInvestments
Other	-$1,475,069	OtherAmount
Total Adjustments	7334746	TotalAdjustments
Excess Or Deficit Per FS	42627443	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	484617233	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	8809815	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	8809815	RevenueNotRptdF990
Revenue Subtotal	475807418	RevenueSubtotal
Other Revenues Not Included	1071580	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	1071580	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	476878998	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	441989790	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	-400000	OtherExpensesIncluded
Expenses Not Rptd F990	-400000	ExpensesNotRptdF990
Expenses Subtotal	442389790	ExpensesSubtotal
Other Expenses Not Included	-803489	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	-803489	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	441586301	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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 WERE DESIGNATED FOR. CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON DOES HAVE A POLICY IN PLACE TO MONITOR ALL UNRESTRICTED, TEMPORARILY AND PERMANENTLY RESTRICTED FUNDS.
RECONCILIATION OF CHANGES - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 8	CONTRIBUTED CAPITAL AKRON CHILDREN'S HOSPITAL FOUNDATION -1,667,590 CONTRIBUTED CAPITAL OF GOVERNMENT FUNDING -41,833 PARTNERSHIP INCOME -1,760 RECLASSD EXPENSES NETTED AGAINST REVENUE -163,886 RECLASS EXPENSE TO REVENUE 803,489 IN-KIND COMMUNITY SUPPORT 400,000 RECLASS EXPENSE TO REVENUE -803,489
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	CONTRIBUTED CAPITAL AKRON CHILDREN'S HOSPITAL FOUNDATION 1,667,590 CONTRIBUTED CAPITAL OF GOVERNMENT FUNDING 41,833 PARTNERSHIP INCOME 1,760 RECLASSD EXPENSES NETTED AGAINST REVENUE 163,886 RECLASS EXPENSE TO REVENUE -803,489
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 2D	IN-KIND COMMUNITY SUPPORT -400,000
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 4B	RECLASS EXPENSE TO REVENUE -803,489
SUPPLEMENTAL FINANCIAL INFORMATION	SCHEDULE D, PAGE 4, PART XIV	PART X, LINE 2: LIABILITY UNDER FIN 48 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.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	Region
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConducted
Total Expenditures	8589450	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Amount Spent	8589450	SubtotalAmountSpent
Total Amount Spent	8589450	TotalAmountSpent

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GIFT SHOP	NameOfEvent1
Gross Receipts Event1	698663	GrossReceiptsEvent1
Charitable Contributions Event1	454131	CharitableContributionsEvent1
Gross Revenue Event1	244532	GrossRevenueEvent1
Other Direct Expenses Event1	551354	OtherDirectExpensesEvent1
Name Of Event2	CHARITY BALL	NameOfEvent2
Gross Receipts Event2	195922	GrossReceiptsEvent2
Charitable Contributions Event2	127350	CharitableContributionsEvent2
Gross Revenue Event2	68572	GrossRevenueEvent2
Other Direct Expenses Event2	116803	OtherDirectExpensesEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	235966	GrossReceiptsOtherEvents
Charitable Contrib Other Events	153377	CharitableContribOtherEvents
Gross Revenue Other Events	82589	GrossRevenueOtherEvents
Other Direct Expenses Other Events	135332	OtherDirectExpensesOtherEvents
Gross Receipts Total	1130551	GrossReceiptsTotal
Charitable Contributions Total	734858	CharitableContributionsTotal
Gross Revenue Total Events	395693	GrossRevenueTotalEvents
Other Direct Expenses Total Events	803489	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	803489	DirectExpenseSummaryEvents
Net Income Summary	-407796	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3858358	TotalCommunityBenefitExpense
Direct Offsetting Revenue	988113	DirectOffsettingRevenue
Net Community Benefit Expense	2870245	NetCommunityBenefitExpense
Percent Of Total Expense	0.00660	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	191114500	TotalCommunityBenefitExpense
Direct Offsetting Revenue	137019750	DirectOffsettingRevenue
Net Community Benefit Expense	54094750	NetCommunityBenefitExpense
Percent Of Total Expense	0.12450	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	969291	TotalCommunityBenefitExpense
Direct Offsetting Revenue	969291	DirectOffsettingRevenue

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	195942149	TotalCommunityBenefitExpense
Direct Offsetting Revenue	138977154	DirectOffsettingRevenue
Net Community Benefit Expense	56964995	NetCommunityBenefitExpense
Percent Of Total Expense	0.13110	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4488414	TotalCommunityBenefitExpense
Direct Offsetting Revenue	33935	DirectOffsettingRevenue
Net Community Benefit Expense	4454479	NetCommunityBenefitExpense
Percent Of Total Expense	0.01020	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14925864	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11805597	DirectOffsettingRevenue
Net Community Benefit Expense	3120267	NetCommunityBenefitExpense
Percent Of Total Expense	0.00720	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	593924	TotalCommunityBenefitExpense
Net Community Benefit Expense	593924	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	208546	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2375	DirectOffsettingRevenue
Net Community Benefit Expense	206171	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20216748	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11841907	DirectOffsettingRevenue
Net Community Benefit Expense	8374841	NetCommunityBenefitExpense
Percent Of Total Expense	0.01930	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	216158897	TotalCommunityBenefitExpense
Direct Offsetting Revenue	150819061	DirectOffsettingRevenue
Net Community Benefit Expense	65339836	NetCommunityBenefitExpense
Percent Of Total Expense	0.15040	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	5454	TotalCommunityBuildingExpense
Net Community Building Expense	5454	NetCommunityBuildingExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	26191	TotalCommunityBuildingExpense
Net Community Building Expense	26191	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	437478	TotalCommunityBuildingExpense
Net Community Building Expense	437478	NetCommunityBuildingExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	14709	TotalCommunityBuildingExpense
Net Community Building Expense	14709	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	69470	TotalCommunityBuildingExpense
Direct Offsetting Revenue	250	DirectOffsettingRevenue
Net Community Building Expense	69220	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	116362	TotalCommunityBuildingExpense
Net Community Building Expense	116362	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	39145	TotalCommunityBuildingExpense
Direct Offsetting Revenue	84	DirectOffsettingRevenue
Net Community Building Expense	39061	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	708809	TotalCommunityBuildingExpense
Direct Offsetting Revenue	334	DirectOffsettingRevenue
Net Community Building Expense	708475	NetCommunityBuildingExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$3,434,439	BadDebtExpenseAmount
Amount Reimbursed By Medicare	7318602	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	9803189	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2484587	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	4	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours	Business Name Line2Name/BusinessNameLine2	OtherOther
CHILDRENS HOSPITAL MED CTR OF AKRON
1	1 PERKINS SQUARE	AKRON	OH	44308	X	X	X	X
CHILDRENS HOSPITAL MED CTR OF AKRON
2	6505 MARKET STREET	YOUNGSTOWN	OH	44512	X	X	X	X	MAHONING VALLEY AT BEEGHLY
CHILDREN'S AT ST ELIZABETH
3	1044 BELMONT	YOUNGSTOWN	OH	44504	X	X				NICU NURSERY
CHILDREN'S SPECIALTY CARE NURSERY
4	400 WABASH AVENUE	AKRON	OH	44307	X	X				NICU NURSERY

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (4 entries)

Hospital Facility NumberHospitalFacilityNumber
CHILDRENS HOSPITAL MED CTR OF AKRON
1
CHILDRENS HOSPITAL MED CTR OF AKRON
2
CHILDREN'S AT ST ELIZABETH
3
CHILDREN'S SPECIALTY CARE NURSERY
4

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	31	NumberOfOtherFacilities

Other Facilities OtherFacilities (31 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
ARKON CHILDREN'S HOSPITAL HUDSON
5655 HUDSON DRIVE	HUDSON	OH	44236	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL GREEN
1600 E TURKEYFOOT LAKE ROAD	AKRON	OH	44312	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL NEW PHILA
1045 W HIGH STREET	NEW PHILADELPHIA	OH	44663	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL FAIRLAWN
701 WHITE POND DRIVE STE 100	AKRON	OH	44320	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL BRAODWAY
676 SOUTH BROADWAY STE 103	AKRON	OH	44308	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL HUDSON
1365 CORP DRIVE SUITE A	HUDSON	OH	44236	GENERAL OUTPATIENT SERVICES
PARTIAL HOSPITALIZATION PROGRAM
388 SOUTH MAIN STREET	AKRON	OH	44311	BEHAVIORAL HEALTH (DAY PROGRAMS)
AKRON CHILDREN'S HOSPITAL MONTROSE
4125 MEDINA ROAD	AKRON	OH	44333	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL BARBERTON
62 CONSERVATORY DR BLDG D STE A	BARBERTON	OH	44203	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL WOOSTER
128 E MILTOWN ROAD 209	WOOSTER	OH	44691	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL MEDINA
3443 MEDINA ROAD	MEDINA	OH	44256	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL KENT
1951 STATE RT 59	KENT	OH	44240	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL TWINSBURG
8054 DARROW ROAD STE 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 ELLET
3043 SANITARIUM ROAD STE 3	AKRON	OH	44312	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL TALLMADGE
143 NORTHWEST AVE BLDG D 102	TALLMADGE	OH	44278	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL ASHLAND
2212 MIFFLIN AVE STE 235	ASHLAND	OH	44805	GENERAL OUTPATIENT SERVICES
MILLERSBURG HEMOPHILIA CLINIC
1261 WOOSTER ROAD	MILLERSBURG	OH	44654	GENERAL OUTPATIENT SERVICES
BEACHWOOD SPECIALTIES
23250 CHARGRIN BLVD BLDG 5	BEACHWOOD	OH	44122	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL SOLON
34125 SOLON ROAD	SOLON	OH	44139	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL BOARDMAN
6505 MARKET ST BLDG C STE 212	BOARDMAN	OH	44512	GENERAL OUTPATIENT SERVICES
CARE CENTER - STARK COUNTY
213 MARKET AVE N STE 200	CANTON	OH	44702	GENERAL OUTPATIENT SERVICES
CHILDREN'S AT ROBINSON
6847 CHESTNUT STREET	RAVENNA	OH	44266	INPATIENT/OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL BRECKSVIL
7001 S EDGERTON RD STE 500	BRECKSVILLE	OH	44141	GENERAL OUTPATIENT SERVICES
BOARDMAN MEDICAL PAVILION
5423 MARKET ST BLDG C STE 300	BOARDMAN	OH	44512	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S NORTH CANTON
6046 WHIPPLE AVE NW	NORTH CANTON	OH	44720	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S ORTHOPEDIC
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 STE 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

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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 HOSPITALS 2009 COMMUNITY BENEFIT REPORT WAS POSTED TO THE HOSPITALS WEBSITE IN 2011 MAKING IT AVAILABLE TO THE PUBLIC
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 AND EMERGENCY AND TRAUMA SERVICES ARE REPORTED AS UNREIMBURSED MEDICAID COSTS THE UNREIMBURSED COSTS OF TREATING MEDICARE ENROLLEES IN OUR REGIONAL BURN CENTER AND END STAGE RENAL DISEASE PROGRAMS ARE REPORTED IN PART III SECTION B MEDICARE
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	PART I LINE 7 COLUMN F	BAD DEBT EXPENSES OF 6987253 IS INCLUDED IN THE 990 PART IX LINE 25 BUT EXCLUDED FROM THE PERCENTAGE CALCULATION ON SCHEDULE H PART I LINE 7F AND PART II COLUMN F
COSTING METHODOLOGY EXPLANATION	PART I LINE 7	7ACHARITY CARE AT COST WE BELIEVE THAT UTILIZING A COSTTOCHARGE RATIO DEVELOPED FOR THE HOSPITAL FACILITY FROM THE HOSPITALS OHIO MEDICAID COST REPORT AND APPLYING THIS RATIO TO HOSPITAL CHARITY CHARGES AS REPORTED IN DETAIL SCHEDULES USED IN THE PREPARATION OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND OTHER INFORMATION FOR THE HOSPITAL ENTITY 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 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 494 AS REPORTED ON OUR INTERNAL PAYOR MIX REPORT 7H HEALTH PROFESSIONS EDUCATION THE TOTAL COSTS OF HEALTH PROFESSIONS EDUCATION IS REPORTED AS A TOTAL COMMUNITY BENEFIT EXPENSE AND DIRECT OFFSETTING REVENUES INCLUDE 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 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 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 UTILIZING A COSTTOCHARGE RATIO DEVELOPED FOR THE HOSPITAL FACILITY FROM THE HOSPITALS OHIO MEDICAID COST REPORT AND APPLYING THIS RATIO TO HOSPITALS PROVISION FOR BAD DEBTS FOR THE HOSPTIALS ENTITY 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 PATIENTS WHO DO NOT APPLY ARE PRESUMED TO BE INELIGIBLE THE FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE HOSPITALS FINANCIAL STATEMENTS THAT DESCRIBES CHARITY CARE AND BAD DEBTS CHILDRENS ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE BECAUSE CHILDRENS DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE THESE CHARGES ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUE MANAGEMENT ESTIMATES THAT CHARGES FOREGONE FOR CHARITY CARE BASED ON CHILDRENS ESTABLISHED RATES WERE APPROXIMATELY 7503M AND 6335M FOR 2010 AND 2009 RESPECTIVELY THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS PERIODICALLY THROUGHOUT THE YEAR MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITEOFF EXPERIENCE BY PAYOR AND AGING CATEGORY THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE CHILDRENS FOLLOWS ITS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PASTDUE PATIENT BALANCES WITH COLLECTION AGENCIES SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY CHILDRENS THE HOSPITAL RESPECTFULLY 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 TRICARE ENROLLEES 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 494 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 603948 AND UNREIMBURSED OUTPATIENT COSTS INCURRED IN TREATING PATIENTS QUALIFYING FOR MEDICARE END STAGE RENAL DISEASE ESRD COMPOSITE REIMBURSEMENT 770750SHOULD 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 COST INCURRED IN EXCESS OF THE COMPOSITE RATE REIMBURSEMENT APPLICABLE TO PATIENTS WHO RECEIVE OUTPATIENT MAINTENANCE DIALYSIS WHILE THE MEDICARE PROGRAM INCREASED OVER COMPOSITE REIMBURSEMENT RATE IN RECOGNITION THAT WE PROVIDE A LIFEMAINTAINING SERVICE TO AN ATYPICAL PATIENT POPULATION COSTS INCURRED CONTINUE TO EXCEED REIMBURSEMENT
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 PATIENTS ACCOUNTS THAT ARE KNOWN TO BE ELIGIBLE FOR CHARITY CARE OR PUBLIC ASSISTANCE ARE RECORDED IN SECTIONS OF THE HOSPITALS PATIENT ACCOUNTING SYSTEMS THAT PRECLUDE THESE ACCOUNTS FROM BEING SENT TO COLLECTION
NEEDS ASSESSMENT	PART VI	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN 2010 CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON USES A VARIETY OF METHODS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES WE PERFORM 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 EVALUATE THE NEED FOR PRIMARY SECONDARY AND TERTIARY SERVICES THROUGHOUT OUR SERVICE AREA IN ADDITION WE ENGAGE IN MULTIPLE EFFORTS TO GUAGE 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 REVIEWING DATA AND STUDIES PRODUCED BY SUCH GROUPS INCLUDING SCHOOL DISTRICTS HUMAN SERVICE AGENCIES AND CHARITABLE AND ADVOCACY GROUPS WE MAKE AN EFFORT TO LISTEN TO OUR OWN STAFF SEEKING AND GETTING FEEDBACK FROM OUR 4000 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 THE CHILDREN AND FAMILIES WHO USE OUR SERVICES THROUGH A PARENT ADVISORY GROUP AND VIA MULTIPLE WRITTEN AND ELECTRONIC WEBBASED TOOLS
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	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 AND 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	CHILDRENS SERVES AN AREA COMPRISING MUCH OF THE NORTHEASTERN QUADRANT OF THE STATE OF OHIO INCLUDING 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 IN PENNSYLVANIA LAWRENCE AND MERCER COUNTIES ARE SERVED BY AKRON CHILDRENS 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 CHILDRENS 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 2010 AKRONS AVERAGE UNEMPLOYMENT RATE WAS 106 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 2010 14 OF ALL RESIDENTS LIVED BELOW THE POVERTY LEVEL IN 2010 SUMMIT COUNTY HAD AN AVERAGE UNEMPLOYMENT RATE OF 99 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 2010 YOUNGSTOWN HAD AN AVERAGE UNEMPLOYMENT RATE OF 128 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 MAHONING TRUMBULL AND COLUMBIANA COUNTIES REPRESENT MOST OF THE PRIMARY SERVICE AREA OF THE BEEGHLY CAMPUS AND NOW WITH THIS ACT BECOMING LAW 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 135 AND MERCER COUNTY HAD A POVERTY RATE OF 138 AKRON CHILDRENS HOSPITAL MAHONING VALLEY HAS SPECIFIC INITIATIVES IN THE CITY OF YOUNGSTOWN OHIO AS WELL IN COLLABORATION WITH HUMILITY OF MARY HEALTH PARTNERS AKRON CHILDRENS HOSPITAL OPERATES A NEONATAL SPECIAL CARE NURSERY STAFFED WITH AKRON CHILDRENS HOSPITAL NURSING STAFF AND NEONATOLOGISTS ON THE CAMPUS OF ST ELIZABETH HEALTH CARE CENTER IN YOUNGSTOWN THE NEONATAL SPECIAL CARE NURSERY IS A 25BED UNIT CARING FOR NEWBORNS WITH DEVELOPMENTAL PROBLEMS SUCH AS IMMATURE LUNGS CENTRAL NERVOUS SYSTEM DISORDERS LOW BIRTH WEIGHT AND BIRTH DEFECTS THE CHILD ADVOCACY CENTER ALSO PART OF THE 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 AGENCIES IN MAHONING TRUMBULL COLUMBIANA AND ASHTABULA COUNTIES AS WELL AS IN MERCER COUNTY PA
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON 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 CARE SERVICES AND IN PROVIDING BURN CARE FOR PATIENTS OF ALL AGES 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 EVERTHING DONE BY CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON PROVIDES A BENEFIT ANDOR PROMOTES HEALTH TO THE COMMUNITIES WE SERVE OUR PRIMARY BENEFIT TO EACH COMMUNITY WE SERVE 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 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
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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Address Line2AddressUS/AddressLine2
UNIVERSITY OF AKRON FOUNDATION
302 BUCHTEL COMMON	AKRON	OH	443256220	346575496	3	400000	DONATION
AKRON CHILDRENS HOSPITAL FOUNDATION
ONE PERKINS SQUARE	AKRON	OH	44308	237114013	3	258885	DONATIONS TO FUNDS
STARK STATE COLLEGE FOUNDATION
6200 FRANK AVE NW	NORTH CANTON	OH	447207299	341577595	3	10000	DONATION
AUTISM FAMILY FOUNDATION
2504 BALMORAL DRIVE	AKRON	OH	44333	208286382	3	25000	DONATION
CYSTIC FIBROSIS FOUNDATION
4635 RICHMOND ROAD	CLEVELAND	OH	441285938	131930701	3	8000	DONATION	SUITE 103

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	5	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES	Identifier
Return Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	ReturnReference
Explanation	AKRON CHILDREN'S HOSPITAL 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	false	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg
WILLIAM CONSIDINE
1157023	224579	167923	11134	1560659
NORMAN CHRISTOPHER MD
337786	2829	61555	14887	417057
SARAH FRIEBERT MD
194286	263	34457	5405	234411
SHAWN LYDEN
458962	1794	14700	14994	490450
MARK WATSON
446403	5639	145788	5666	603496
MICHAEL TRAINER
327906	3683	17150	14920	363659
GRACE WAKULCHIK
319038	2732	89664	8715	420149
WALTER SCHWOEBLE
206904	966	12664	10599	231133
MEREDITH SLOSBERG
179265	1855	39347	5319	225786
LINDA GENTILE
176190	1610	55225	14764	247789
SHARON HRINA
169518	2075	33329	5275	210197
CYNTHIA DORMO
169134	320	77542	5836	252832
LISA AURILIO
154064	288	15960	5110	175422
JUSTIN LAVIN MD
1589074	5544	59043	15392	1694625	25572
ANTON MILO MD
1346051	1260		14670	1361981
ROGER HUDGINS
1203477	2967		8129	1214573
PHILIP SMITH MD
1030247	1932	49622	15392	1097193
DENNIS WEINER MD
738385	10630	62176	10601	821792

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FRINGE OR EXPENSE EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 1A	WILLIAM CONSIDINE, CEO AND SHAWN LYDEN, EXECUTIVE VP, HAD A 2010 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 0 213,400 0 JUSTIN LAVIN, MD 795,891 0 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 4A - DR. JUSTIN LAVIN, AS CHAIRMAN OF MATERNAL FETAL MEDICINE, WAS PROVIDED A SEPARATION AGREEMENT WHEN HE VOLUNTARILY RESIGNED OF ALL HIS DUTIES AND RESPONSIBILITIES AND TERMINATED HIS EMPLOYMENT WITH CHILDREN'S ON DECEMBER 31, 2010. 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	AKRON BATH AND COPLEY JOINT TWSP	BusinessNameLine1
Business Name Line2	HOSPITAL IMPR & REFUNDING REV BONDS	BusinessNameLine2

Field	Value	IRS element (for citing)
Issuer EIN	341448680	IssuerEIN
CUSIP Number	009730LE0	CUSIPNumber
Date Issued	2003-12-09	DateIssued
Issue Price	48176171	IssuePrice
Description Of Purpose	REFUND PRIOR ISSUE	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	49345000	AmountRetired
Total Proceeds	48176171	TotalProceeds
Issuance Costs From Proceeds	555263	IssuanceCostsFromProceeds
Credit Enhancement	964058	CreditEnhancement
Capital Expenditures	6940486	CapitalExpenditures
Year Of Subst Completion	2004	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	true	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Bond Counsel Routinely Engaged	true	BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	false	ExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PURPOSE OF ISSUE DESCRIPTION	SCHEDULE K	AKRON BATH AND COPLEY JOINT TWSP MAJORITY OF BOND PROCEEDS REFUNDED SERIES 1993 BONDS WITH SMALL PORTION OF MONIES TO COMPLETE THE 2001 PROJECT
ADDITIONAL INFORMATION	SCHEDULE K	AKRON BATH AND COPLEY JOINT TWSP MAJORITY OF BOND PROCEEDS REFUNDED SERIES 1993 BONDS WITH SMALL PORTION OF MONIES TO COMPLETE THE 2001 PROJECT REBATE CALCULATION WAS COMPLETED BUT THE 8038T WAS NOT FILED BECAUSE NO REBATE WAS DUE

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (10 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
FIRST MERIT
VP-FIRST MERIT	355258	FEES TO FIRST MERIT	false
(no name)
AND CURRENT DIR			false
OHIO EDISON
FIRSTENERGY OFF	2355107	ELECTRIC BILLS ARE	false
(no name)
AND CURRENT DIR		PAID TO OH EDISON	false
CATHRYN O'MALLEY
FAMILY MEMBER	15464	COMPENSATION	false
(no name)
OF CURR DIR/OFF			false
LAURIE SCHEULER
FAMILY MEMBER	21416	COMPENSATION	false
(no name)
OF CURRENT DIR			false
AMY COOK
FAMILY MEMBER	268000	PHYS. RECRUITMENT	false
(no name)
OF CURR OFFICER		FEES PAID	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	ADDITIONAL INFORMATION	Identifier
Return Reference	SCHEDULE L PART V	ReturnReference
Explanation	GREG MCDERMOTT CHAIRMAN OF THE BOARD IS A VICEPRESIDENT WITHIN FIRST MERIT BANK OF WHICH CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON CONDUCTS THEIR CHECKING AND INVESTMENTS BANKING RICHARD GRIGG 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 CHILDRENS HAS UTILIZED THE PHYSICIAN RECRUITMENT SERVICES OF NORTHEASTERN OHIO PHYSICIANS RECRUITERS TO OBTAIN PEDIATRIC SPECIALTY PHYSICIANS IN DIFFICULT TO RECRUIT DISCIPLINES THESE SERVICES WERE PROVIDED AT MARKET COMPETITIVE RATES AND PRODUCED VERY SUCCESSFUL OUTCOMES FOR CHILDRENS SUBSEQUENT TO UTILIZING NORTHEASTERN OHIO PHYSICIAN RECRUITERS SERVICES CHILDRENS EMPLOYED SHAWN LYDEN AS EXECUTIVE VICE PRESIDENT AND GENERAL COUNSEL WHOSE WIFE AMY COOK IS THE OWNER OF NORTHEASTERN OHIO PHYSICIAN RECRUITERS SERVICES WITH NORTHEASTERN OHIO PHYSICIANS RECRUITERS CEASED IN 2011	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (17 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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 120 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 70 LOCATIONS ACROSS THE REGION. IN 2010, CHILDREN'S SERVED OVER 600,000 PATIENTS THROUGH ALL OF ITS PROGRAMS. CHILDREN'S ALSO OPERATES A PEDIATRIC PRIMARY CARE NETWORK WITH 15 OFFICES IN SEVEN COUNTIES. CHILDREN'S IS DESIGNATED AS A MAGNET HOSPITAL BY THE AMERICAN NURSES CREDENTIALING CENTER EFFECTIVE MARCH 2007. CHILDREN'S NEONATAL AND PEDIATRIC TRANSPORT TEAM RECEIVED ACCREDITATION BY THE COMMISSION ON ACCREDITATION OF MEDICAL TRANSPORT SYSTEMS EFFECTIVE APRIL 1, 2007. CHILDREN'S REGIONAL BURN CENTER WAS VERIFIED BY THE AMERICAN BURN ASSOCIATION AND AMERICAN COLLEGE OF SURGEONS. LAST VERIFICATION WAS DATED NOVEMBER 6, 2008. IT IS REQUIRED EVERY 3 YEARS, THEREFORE REVERIFICATION WILL OCCUR AGAIN IN 2011. 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. WE PROVIDE MORE THAN 100 ADVOCACY, EDUCATION, OUTREACH AND RESEARCH PROGRAMS TO CHILDREN AND THEIR FAMILIES THROUGHOUT THE REGION. THE THREE LARGEST PROGRAM SERVICES ARE DESCRIBED IN DETAIL IN PART III OF THE CORE FORM 990, BUT CHILDREN'S HOSPITAL MEDICAL CENTER'S ACCOMPLISHMENTS INCLUDE OTHER ACHIEVEMENTS AS DESCRIBED BELOW: IN 2008, CHILDREN'S PARTNERED WITH AKRON GENERAL HEALTH SYSTEM, SUMMA HEALTH SYSTEM, THE UNIVERSITY OF AKRON AND NORTHEASTERN OHIO UNIVERSITIES COLLEGES OF MEDICINE AND PHARMACY AND BECAME ONE OF THE FOUNDING MEMBERS OF THE BIOINNOVATION INSTITUTE IN AKRON, A UNIQUE COLLABORATION OF RESEARCH, EDUCATION AND HEALTH INSTITUTIONS DESIGNED TO PIONEER THE NEXT GENERATION OF LIFE-ENHANCING AND LIFE-SAVING INNOVATIONS. CHILDREN'S COMMITTED TO SUPPORTING THE INSTITUTE BY CONTRIBUTING 4,000,000 OVER 5 YEARS BEGINNING IN 2008. IN FEBRUARY 2008, CHILDREN'S OPENED THE 6,000 SQUARE FOOT REINBERGER FAMILY CENTER TO GIVE FAMILIES A MUCH-NEEDED BREAK FROM THE STRESS OF HOSPITALIZATION. THE CENTER ALSO FEATURES THE STERLING JEWELERS FAMILY AREA FOR FAMILY MEMBERS WHO NEED A PLACE TO STAY OVERNIGHT. THE CENTER IS OPEN TWENTY-FOUR(24) HOURS, SEVEN DAYS A WEEK. CHILDREN'S LAUNCHED OHIO'S FIRST AND ONLY MEDICAL TRANSPORT HELICOPTER DEDICATED TO PEDIATRICS IN OCTOBER 2008. APTLY DUBBED AIR BEAR, THE HELICOPTER IS EASY TO SPOT IN THE SKY ABOVE NORTHEAST OHIO WITH ITS COLORFUL PAINT DESIGN. CHILDREN'S MEDICAL CENTER OF AKRON OPENED ITS BEEGHLY CAMPUS IN BOARDMAN, OHIO IN DECEMBER 2008. THE 32-BED FACILITY INCLUDES A PEDIATRIC EMERGENCY DEPARTMENT, AN OUTPATIENT HEMATOLOGY/ONCOLOGY CLINIC AND INFUSION CENTER, INPATIENT AND OUTPATIENT REHABILITATION SERVICES, INPATIENT PHARMACY SERVICES, RADIOLOGY, A FULL-SERVICE LABORATORY AND TRANSPORT SERVICES. THE ROUTINE CARE UNITS, WHICH CONSIST OF PRIVATE ROOMS AND ACCOMODATIONS FOR OVERNIGHT STAY BY PARENTS, ARE BASED UPON THE CONCEPT OF FAMILY-CENTERED CARE. THE PRIMARY FOCUS OF THE FACILITY IS TO PROVIDE AN ENVIRONMENT CONDUCIVE TO PEDIATRIC PATIENTS, AIDING THEIR CARE AND RECOVERY IN A MODERN HOSPITAL SETTING. 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, 2010, TOTAL UNCOMPENSATED CARE (INCLUDING CHARITY CARE, ALLOWANCES AND CONTRACT ADJUSTMENTS) WAS 346,933,613. CHILDREN'S QUALIFIES AS A DISPROPORTIONATE SHARE HOSPITAL PER ODJFS OHIO DEPARTMENT OF JOBS AND FAMILY SERVICES. CHILDREN'S PROVIDES PEDIATRIC SERVICES AT AKRON GENERAL MEDICAL CENTER, MEDCENTRAL HEALTH SYSTEM IN MANSFIELD, AULTMAN HOSPITAL IN CANTON, FISHER-TITUS CENTER IN NORWALK AND ROBINSON MEMORIAL HOSPITAL IN RAVENNA, AS WELL AS OFFICES IN BEACHWOOD AND HUDSON. CHILDREN'S ALSO OPERATES ONE OF THE LARGEST PEDIATRIC PRIMARY CARE NETWORKS WITH 15 OFFICES IN SEVEN COUNTIES INCLUDING CUYAHOGA, MEDINA, WAYNE, TUSCAWARAS AND PORTAGE.
FIRST ACHIEVEMENT DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4A	CONTINUED FROM PART III, LINE 4A) 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. CHILDREN'S OPENED ITS BEEGHLY CAMPUS IN BOARDMAN, OHIO IN DECEMBER 2008. THE 32-BED FACILITY INCLUDES SUBSPECIALTIES SUCH AS NEONATOLOGISTS, HEMOTALOGY/ONCOLOGY CLINIC AND INFUSION CENTER, INPATIENT AND OUTPATIENT REHABILITATION SERVICES. 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 NINE 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 MAJOR ACCOMPLISHMENTS OF THE HEART CENTER INCLUDE: -- COORDINATION OF AN INTEGRATED CLINICAL TEAM AND OPERATIONAL INTERACTION WITH ANESTHESIA, NEONATOLOGY, CRITICAL CARE MEDICINE, AND PERINATOLOGY TO IMPROVE POINT OF CARE DELIVERY. -- DEVELOPMENT OF OUTPATIENT, NON-INVASIVE DIAGNOSTIC, AND ADMINISTRATIVE FACILITY ON THE AKRON CAMPUS. -- DEVELOPMENT OF OUTREACH FACILITIES AND REFERRAL NETWORKS FOR CARDIOVASCULAR SERVICES IN CLEVELAND, YOUNGSTOWN, STARK COUNTY AND LAKE COUNTY. -- IMPLEMENT PROTOCOL MODIFICATIONS TO IMPROVE ECHO SERVICES TO CHILDREN'S AND ACHIEVE ACCREDITATION BY ICAL. -- EXPAND REFERRAL NETWORKS AND CLINICAL CAPABILITY OF THE ELECTROPHYSIOLOGY (EP) SERVICE. -- IMPLEMENTATION OF A UNIFORM/CENTRALIZED MEDICAL RECORD LIBRARY. -- IMPLEMENTATION OF QUALITY ASSESSMENT/IMPROVEMENT PROTOCOLS AND ESTABLISHMENT OF OPERATIONAL PATTERNS OF PROSPECTIVE RISK MANAGEMENT. STATISTICS FOR THE HEART CENTER ARE AS FOLLOWS: 2010 2009 ------ ------ OUTPATIENT VISITS 10,732 9,849 INPATIENT VISITS 2,997 2,974 CARDIAC PROCEDURES: CATH 271 273 SURGERY 150 127 ANOTHER SUBSPECIALTY IS THE PEDIATRIC DIALYSIS RENAL CARE CENTER, WHICH OPENED IN 1985. THIS IS THE ONLY FACILITY IN THE CHILDREN'S SERVICE AREA EQUIPPED TO TREAT BABIES, CHILDREN AND ADOLESCENTS SUFFERING FROM CHRONIC OR ACUTE KIDNEY FAILURE. STATE-OF-THE-ART KIDNEY DIALYSIS IS PERFORMED AT CHILDREN'S. 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. 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 HAS THE FOLLOWING GOALS: -- EXPAND 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. -- INCREASE 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 WILL BE 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 TO BE 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 IS AN EXPANSION OF A CURRENT SUCCESSFUL EVIDENCE-BASED PROGRAM MODEL, CHILDREN WHO WITNESS VIOLENCE, WHICH HAS SERVED 2,143 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. 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 WITH DEVELOPMENTAL DISORDERS, E.G. SPINA BIFIDA, CEREBRAL PALSY, MENTAL RETARDATION AND AUTISM. THE STAFF WORKS WITH T
SECOND ACHIEVEMENT 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. IN SEPTEMBER 2002, CHILDREN'S ENTERED INTO A LEASE AGREEMENT WITH AKRON GENERAL MEDICAL CENTER FOR THE OPERATIONS OF A 15 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. AKRON CHILDREN'S HOSPITAL IS ALSO ONE OF THREE HOSPITALS IN THE COUNTRY SELECTED BY THE MARCH OF DIMES FOR A PILOT PROJECT TO ASSIST FAMILIES IN COPING WITH THE BIRTH OF THEIR CHILD WHO NEEDS NEONATAL INTENSIVE CARE. AS PART OF THE PILOT PROJECT, CHILDREN'S HAS DEVELOPED EDUCATIONAL MATERIALS AND VIDEOS FOR PARENTS OF PREMATURE INFANTS TO EXPLAIN THE NICU EXPERIENCE. 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: 2010 2009 ----- ------ NEONATAL AT AKRON 16,011 15,095 NEONATAL AT AGMC 3,814 3,713 NEONATAL AT ST. E'S 5,478 7,520 NEONATAL AT BEEGHLY 2,905 657 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 17,896 AND 19,882 IN 2010 AND 2009, 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 2,247 AND 2,571 FOR 2010 AND 2009, 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 NEARLY 89,208 VISITS DURING 2010. 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 ACHIEVEMENT 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 TESTIG 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 2010, OVER 440,000 TESTS WERE PERFORMED IN THE CCL, 41% FROM INPATIENTS AND 59% FROM OUTPATIENTS. 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 STAFF 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 OUR OUR MAIN AKRON CAMPUS. IN 2008, THE RADIOLOGY DIVISION SUCESSFULLY COMPLETED THE JOINT COMMISSION SURVEY WITH NO AREAS OF RECOMMENDATION OR AREAS OF DEFICIENCY. ALSO DURING 2008, RADIOLOGY PARTICIPATED WITH NURSING TO IMPLEMENT A CENTRALIZED SEDATION SERVICES DEPARTMENT WHICH SERVES SEDATION NEEDS OF OUR MRI, CT, AND NUCLEAR MEDICINE PEDIATRIC PATIENTS. 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 ACHIEVEMENTS DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4D	CHILDREN'S OPERATES ONE OF THE LARGEST PEDIATRIC PRIMARY CARE NETWORKS WITH 15 OFFICES IN SEVEN 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 243,488 AND 239,087 FOR 2010 AND 2009 RESPECTIVELY. THE SURGICAL SERVICES DEPARTMENT AT CHILDREN'S MEDICAL HOSPITAL OF AKRON PERFORMS MORE THAN 10,000 GENERAL AND SPECIALIZED SURGICAL PROCEDURES EACH YEAR--RANGING FROM UNCOMPLICATED TONSILLECTOMIES TO NEUROSURGERY, OPEN HEART, ORTHOPEDIC, AND PLASTIC AND RECONSTRUCTIVE SURGERY. CHILDREN'S PERFORMS MORE PEDIATRIC SURGERIES THAN ANY OTHER HOSPITAL IN NORTHEASTERN OHIO. 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. ABOUT 80% OF SURGERIES ARE DONE ON AN OUTPATIENT BASIS, WHICH HAS PROVEN TO BE NOT ONLY MEDICALLY SAFE BUT PSYCHOLOGICALLY BENEFICIAL FOR CHILDREN. 2010 2009 ----- ------ SURGICAL PATIENTS - INPATIENT 2,541 2,348 SURGICAL PATIENTS - OUTPATIENT 11,536 10,405
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 C. BERK TRUSTEE SPOUSE OF TRUSTEE SUSAN BERK TRUSTEE SPOUSE OF TRUSTEE
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 INDEPENDANT SALARY SURVEY WAS COMPLETED IN 2010 AND RECOMMENDATIONS WERE PROVIDED AND PRESENTED BY THE INDEPENDANT 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 2010 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.
RELATED ORGANIZATIONS	FORM 990, PAGE 7, PART VII	THE FOLLOWING AVERAGE OF HOURS PER WEEK WERE WORKED BY THE INDIVIDUALS LISTED IN PART VII, SECTION A FOR THE RELATED ORGANIZATION, AKRON CHILDREN'S HOSPITAL FOUNDATION: WILLIAM CONSIDINE - 6 HOURS PER WEEK NORMAN CHRISTOPER - 1 HOUR PER WEEK SARAH FRIEBERT - 1 HOUR PER WEEK ROBERT STONE - 1 HOUR PER WEEK PHILIP MAYNARD - 10 HOURS PER WEEK SUSAN BERK - 1 HOUR PER WEEK JOYCE HAMAKER - 1 HOUR PER WEEK DUANE ISHAM - 4 HOUR PER WEEK PAULA MALONE - 1 HOUR PER WEEK GREG MCDERMOTT - 1 HOUR PER WEEK WILLIAM WOOLDREDGE - 4 HOURS PER WEEK MICHAEL TRAINER - 2 HOURS PER WEEK THE FOLLOWING AVERAGE OF HOURS PER WEEK WERE WORKED BY THE INDIVIDUALS LISTED IN PART VII, SECTION A FOR THE RELATED ORGANIZATION, CHILD DIMENSIONS INSURANCE GROUP: WILLIAM CONSIDINE - 2 HOURS PER WEEK SHAWN LYDEN - 2 HOURS PER WEEK MICHAEL TRAINER - 2 HOURS PER WEEK GRACE WAKULCHIK - 2 HOURS PER WEEK THE FOLLOWING AVERAGE OF HOURS PER WEEK WERE WORKED BY THE INDIVIDUALS LISTED IN PART VII, SECTION A FOR THE RELATED ORGANIZATION, CHILDREN'S HOME CARE GROUP: WILLIAM CONSIDINE - 2 HOURS PER WEEK MICHAEL TRAINER - 2 HOURS PER WEEK GRACE WAKULCHIK - 2 HOURS PER WEEK
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	UNREALIZED INVESTMENT GAIN 8,809,815 IN-KIND COMMUNITY SUPPORT 400,000 PARTNERSHIP INCOME (1,760) ADJUSTMENT ASC 715 (13,726,989) HOSPITAL INVESTMENT IN FND 6,369,897 ELIMINATION OF CHILDREN'S REV (120,000) INTRAFUND TRANSFER (163,887) ------------ 1,567,076

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CHILDREN'S REV LLC
ONE PERKINS SQUARE	AKRON	OH	443081062	200498689	HOLDING CO	OH	8881	92486	NA
AKRON CHILDREN'S RESEARCH CENTER
ONE PERKINS SQUARE	AKRON	OH	443081062	341934412	CLIN TRIAL	OH			NA

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
AKRON CHILDRENS HOSPITAL FOUNDATION
ONE PERKINS SQUARE	AKRON	OH	443081062	237114013	FOUNDATION	OH	501C3	7	NA	true
CHILDREN'S HOME CARE GROUP
ONE PERKINS SQUARE	AKRON	OH	443081062	341575266	HOME CARE	OH	501C3	11A	NA	true
CHILD DIMENSIONS INSURANCE COMPANY
ONE PERKINS SQUARE	AKRON	OH	443081062	030317160	INSURANCE	OH	501C3	11A	NA	true

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	true	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (22 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CHILDREN'S HOME CARE GROUP
O	9094410	ACTUAL PER GENERAL LEDGER
CHILDREN'S HOME CARE GROUP
G	24589	ACTUAL PER GENERAL LEDGER
CHILDREN'S HOME CARE GROUP
P	9118999	ACTUAL PER GENERAL LEDGER
CHILD DIMENSIONS INSURANCE COMPANY
O	140299	ACTUAL PER GENERAL LEDGER
CHILD DIMENSIONS INSURANCE COMPANY
P	157272	ACTUAL PER GENERAL LEDGER
AKRON CHILDRENS HOSPITAL FOUNDATION
P	10835075	ACTUAL PER GENERAL LEDGER
AKRON CHILDRENS HOSPITAL FOUNDATION
C	8883283	ACTUAL PER GENERAL LEDGER
AKRON CHILDRENS HOSPITAL FOUNDATION
G	1667590	ACTUAL PER GENERAL LEDGER
AKRON CHILDRENS HOSPITAL FOUNDATION
J	118231	ACTUAL PER GENERAL LEDGER
AKRON CHILDRENS HOSPITAL FOUNDATION
O	9548213	ACTUAL PER GENERAL LEDGER
AKRON CHILDRENS HOSPITAL FOUNDATION
B	258886	ACTUAL PER GENERAL LEDGER
CHILDREN'S HOME CARE GROUP
O	9094410	ACTUAL PER GENERAL LEDGER
CHILDREN'S HOME CARE GROUP
G	24589	ACTUAL PER GENERAL LEDGER
CHILDREN'S HOME CARE GROUP
P	9118999	ACTUAL PER GENERAL LEDGER
CHILD DIMENSIONS INSURANCE COMPANY
O	140299	ACTUAL PER GENERAL LEDGER
CHILD DIMENSIONS INSURANCE COMPANY
P	157272	ACTUAL PER GENERAL LEDGER
AKRON CHILDRENS HOSPITAL FOUNDATION
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AKRON CHILDRENS HOSPITAL FOUNDATION
C	8883283	ACTUAL PER GENERAL LEDGER
AKRON CHILDRENS HOSPITAL FOUNDATION
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AKRON CHILDRENS HOSPITAL FOUNDATION
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AKRON CHILDRENS HOSPITAL FOUNDATION
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AKRON CHILDRENS HOSPITAL FOUNDATION
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