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CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON (EIN 34-0714357)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-14
IRS object ID
202403199349306435
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-14T11:07:49-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12601 CAMBRIDGE CT STE 300AddressLine1Txt
CityAUBURN HILLSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48326ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN340714357EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL MEDICAL CENTER OFBusinessNameLine1Txt
Business Name Line2AKRONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCHILBusinessNameControlTxt
Phone3305438171PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE PERKINS SQUAREAddressLine1Txt
CityAKRONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44308ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGORDON T EDWARDSPersonNm
Person TitleCHIEF FINANCIAL OFFICER & TREASURERPersonTitleTxt
Phone3305438171PhoneNum
Signature2024-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY CIMINELLOPreparerPersonNm
PTINP00796388PTIN
Phone2483757100PhoneNum
Preparation2024-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1AKRON CHILDREN'SBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerGORDON T EDWARDSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE PERKINS SQUAREAddressLine1Txt
CityAKRONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44308ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,938,334,339GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressAKRONCHILDRENS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1897FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionCHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") IS DEDICATED TO IMPROVING THE HEALTH OF CHILDREN THROUGH QUALITY PATIENT CARE, RESEARCH & EDUCATION, COMMUNITY SERVICE, AND CHILD ADVOCACY.ActivityOrMissionDesc
Voting Members Governing Body25VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee8203TotalEmployeeCnt
Total Volunteers945TotalVolunteersCnt
Total Gross UBI$135,302TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$20,114,563PYContributionsGrantsAmt
CY Contributions Grants$19,879,467CYContributionsGrantsAmt
PY Program Service Revenue$1,176,233,927PYProgramServiceRevenueAmt
CY Program Service Revenue$1,300,095,952CYProgramServiceRevenueAmt
PY Investment Income$5,361,953PYInvestmentIncomeAmt
CY Investment Income$58,479,320CYInvestmentIncomeAmt
PY Other Revenue$6,361,331PYOtherRevenueAmt
CY Other Revenue$4,735,935CYOtherRevenueAmt
PY Total Revenue$1,208,071,774PYTotalRevenueAmt
CY Total Revenue$1,383,190,674CYTotalRevenueAmt
PY Grants And Similar Paid$1,166,285PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$758,555CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$703,156,319PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$757,528,153CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$421,608,258PYOtherExpensesAmt
CY Other Expenses$493,002,013CYOtherExpensesAmt
PY Total Expenses$1,125,930,862PYTotalExpensesAmt
CY Total Expenses$1,251,288,721CYTotalExpensesAmt
PY Revenues Less Expenses$82,140,912PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$131,901,953CYRevenuesLessExpensesAmt
Total Assets BOY$1,981,794,990TotalAssetsBOYAmt
Total Assets EOY$2,212,338,485TotalAssetsEOYAmt
Total Liabilities BOY$565,331,293TotalLiabilitiesBOYAmt
Total Liabilities EOY$593,050,223TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,416,463,697NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,619,288,262NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") IS DEDICATED TO IMPROVING THE HEALTH OF CHILDREN THROUGH QUALITY PATIENT CARE, RESEARCH & EDUCATION, COMMUNITY SERVICE, AND CHILD ADVOCACY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$940,451,019ExpenseAmt
Grant$758,555GrantAmt
Revenue$1,300,095,952RevenueAmt
DescCHMCA IS THE LARGEST PEDIATRIC HEALTHCARE SYSTEM IN NORTHEAST OHIO. IN 2023, CHMCA OPERATED TWO HOSPITAL CAMPUSES IN NORTHEAST OHIO PROVIDING INPATIENT AND OUTPATIENT SERVICES,EMERGENCY, URGENT CARE, AND PRIMARY AND SPECIALTY CARE OFFICES THROUGHOUT OHIO. DURING 2023 CHMCA DELIVERED OVER 1,270,000 PATIENT VISITS THROUGH ALL OF ITS PROGRAMS.INPATIENT SERVICES INCLUDE AREAS OF ROUTINE CARE, NEONATAL INTENSIVE CARE, PEDIATRIC INTENSIVE CARE, BEHAVIORAL HEALTH, REGIONAL BURN CENTER, HEMATOLOGY/ONCOLOGY, AND EMERGENCY/TRAUMA SERVICES. OUTPATIENT SERVICES OFFERS UNIQUE SERVICES IN A BROAD RANGE OF PEDIATRIC SUBSPECIALTIES SUCH AS NEONATOLOGY, BEHAVIORAL HEALTH,REHABILITATION SERVICES, CARDIOLOGY, PLASTIC SURGERY, GENETICS, MATERNAL FETAL MEDICINE, URGENT AND QUICK CARE, ADOLESCENT MEDICINE, PALLIATIVE CARE, PULMONARY MEDICINE, UROLOGY, OPHTHALMOLOGY, ORTHOPEDICS, NEUROLOGY, ALLERGY, DENTAL, ADDICTION SERVICES, PHYSICAL AND OCCUPATIONAL THERAPY, AND INFECTIOUS DISEASE SERVICES.Desc
Total Program Service Expenses$940,451,019TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document481IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee8203EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members25GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALICIA LAMANCUSABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3305438171PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE PERKINS SQUAREAddressLine1Txt
CityAKRONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44308ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARK WULKAN MD
DEPARTMENT CHAIR SURGERY50.000.00Yes (X)$1,031,053$0$54,856
SHEFALI MAHESH MD
PRESIDENT OF MEDICAL STAFF/CHAIR PEDIATRICS47.003.00Yes (X)$670,697$0$51,741
ROBERT MCGREGOR MD
CHIEF MEDICAL OFFICER48.002.00Yes (X)$1,119,476$0$85,679Yes (X)
CHRISTOPHER A GESSNER
BOD/OFFICER-PRESIDENT AND CEO47.003.00Yes (X)$1,409,649$0$321,825Yes (X)
VIRGINIA ADDICOTT
CHAIR OF BOARD OF DIRECTORS18.001.00Yes (X)$0$0$0Yes (X)
SUZANNE LOCKE
SECRETARY13.000.00Yes (X)$0$0$0Yes (X)
LISA BANDWEN
DIRECTOR1.000.00Yes (X)$0$0$0
TIMOTHY BURKE
DIRECTOR/CHAIR FINANCE COMMITTEE5.000.00Yes (X)$0$0$0
PAUL CATANIA
DIRECTOR4.000.00Yes (X)$0$0$0
PATRICK COVEY
DIRECTOR3.000.00Yes (X)$0$0$0
VIRGINIA DROSOS
DIRECTOR1.000.00Yes (X)$0$0$0
TAMMY GERSMAN
DIRECTOR14.000.00Yes (X)$0$0$0
MONTRELLA JACKSON
DIRECTOR2.000.00Yes (X)$0$0$0
LISA JEFFRIES
DIRECTOR13.000.00Yes (X)$0$0$0
WILLIAM KELLEHER
DIRECTOR5.000.00Yes (X)$0$0$0
JOAN LAUCK
DIRECTOR13.000.00Yes (X)$0$0$0
KARA LEWIS
DIRECTOR6.000.00Yes (X)$0$0$0
REV LEWIS MACKLIN
DIRECTOR1.000.00Yes (X)$0$0$0
JOHN MAYER
DIRECTOR3.000.00Yes (X)$0$0$0
RICHARD ROGERS
DIRECTOR2.000.00Yes (X)$0$0$0
DENISE SCHAFFNER
DIRECTOR1.000.00Yes (X)$0$0$0
GLEN STEPHENS
DIRECTOR3.000.00Yes (X)$0$0$0
BARBARA VARLEY
DIRECTOR16.000.00Yes (X)$0$0$0
DARREN WELLS
DIRECTOR2.000.00Yes (X)$0$0$0
ROBERT WELLS
DIRECTOR2.000.00Yes (X)$0$0$0
ROBERT BERK
DIRECTOR - PART YEAR1.000.00Yes (X)$0$0$0
PAUL DUTTON
DIRECTOR - PART YEAR1.000.00Yes (X)$0$0$0
WILLIAM HOPKINS
DIRECTOR - PART YEAR1.000.00Yes (X)$0$0$0
MICHELLE LUECKE
DIRECTOR - PART YEAR1.000.00Yes (X)$0$0$0
STEPHEN E MYERS
DIRECTOR - PART YEAR1.000.00Yes (X)$0$0$0
JOHN C ORR
DIRECTOR - PART YEAR1.000.00Yes (X)$0$0$0
MARGARET L STALTER
DIRECTOR - PART YEAR1.000.00Yes (X)$0$0$0
SHELLEY TAYLOR
DIRECTOR - PART YEAR1.000.00Yes (X)$0$0$0
GORDON EDWARDS
BOD/OFFICER-CHIEF FINANCIAL OFFICER AND TREASURER45.005.00$789,672$0$85,889Yes (X)
KIMBERLY MOSES
CHIEF LEGAL OFFICER50.000.00$86,559$0$4,246Yes (X)
ANTHEA DANIELS
BOD/OFFICER ASST SECRETARYAND CHIEF LEGAL OFFICER44.006.00$556,297$0$8,738Yes (X)
MICHAEL BIGHAM MD
CHIEF QUALITY OFFICER48.002.00$594,622$0$142,179Yes (X)
RHONDA LARIMORE
CHIEF HUMAN RESOURCES OFFICER50.000.00$472,325$0$126,716Yes (X)
SHAWN LYDEN
CHIEF STRATEGY OFFICER48.002.00$828,662$0$167,523Yes (X)
LISA AURILIO
CHIEF OPERATING OFFICER49.001.00$788,243$0$154,582Yes (X)
KERWYN JONES MD
PEDIATRIC ORTHOPEDIC SURGEON50.000.00$635,869$0$60,851Yes (X)
KATHERINE WOLFE MD
CHIEF MATERIAL FETAIL MED SVS50.000.00$1,004,880$0$52,019Yes (X)
ROBERT STEWART MD
DIRECTOR CARDIOTHORACIC SURGERY50.000.00$1,014,080$0$55,429Yes (X)
ABDELAZIZ SALEH MD
PERINATOLOGIST50.000.00$979,056$0$52,957Yes (X)
TSULEE CHEN MD
DIRECTOR NEUROSURGERY49.001.00$976,894$0$56,494Yes (X)
ANJAY KHANDELWAL MD
DIR BURN SURGERY50.000.00$1,051,847$0$23,597Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$14,009,881TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,505,321TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1278IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
QUALIVIS LLC
100 CENTER POINT RDCOLUMBIASC29210NURSE SCHEDULING SVCS$17,097,248
SUMMIT CONSTRUCTION CO LLC
1095 HOME AVENUEAKRONOH44310CONSTRUCTION SVCS$5,625,996
PEDIATRIC & ADOLESCENT UROLOGY
215 W BOWERY STREET SUITE 3500AKRONOH44308MEDICAL SERVICES$3,940,964
A ALTMAN COMPANY LLC
2555 34TH ST NECANTONOH44705CONSTRUCTION SVCS$3,131,715
PEDIATRICS OF AKRON INC
215 W BOWERY STREET SUITE 3500AKRONOH44308MEDICAL SERVICES$2,017,534
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K72CntrctRcvdGreaterThan100KCnt
Fundraising$706,785FundraisingAmt
Related Organizations$12,729,806RelatedOrganizationsAmt
Government Grants$5,007,534GovernmentGrantsAmt
All Other Contributions$1,435,342AllOtherContributionsAmt
Total Contributions$19,879,467TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621110$1,151,861,464$1,151,861,464
OTHER PROGRAM SERVICE REVENUE621110$148,234,488$148,234,488
FieldValueIRS element (for citing)
Total Program Service Revenue$1,300,095,952TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,391,329TotalRevenueColumnAmt
Unrelated Business Revenue$6,791UnrelatedBusinessRevenueAmt
Exclusion$26,384,538ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$586,034,132SecuritiesAmt
Other$219,107OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$554,165,248SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$31,868,884SecuritiesAmt
Other$219,107OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,087,991TotalRevenueColumnAmt
Exclusion$32,087,991ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$235,596FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$706,785ContriRptFundraisingEventAmt
Fundraising Direct Expenses$978,417FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$742,821TotalRevenueColumnAmt
Exclusion-$742,821ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA722514$3,352,917$3,352,917
PARKING REVENUE812930$717,598$717,598
OUTSIDE LAB SERVICES621500$128,511$128,511

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,279,730TotalRevenueColumnAmt
Exclusion$1,279,730ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,478,756OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,383,190,674TotalRevenueColumnAmt
Related Or Exempt Func Income$1,300,095,952RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$135,302UnrelatedBusinessRevenueAmt
Exclusion$63,079,953ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$758,555TotalAmt
Program Services$758,555ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$16,497,230TotalAmt
Management And General$16,497,230ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$590,585,609TotalAmt
Program Services$500,026,556ProgramServicesAmt
Management And General$90,559,053ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$29,233,339TotalAmt
Program Services$24,078,234ProgramServicesAmt
Management And General$5,155,105ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$82,127,407TotalAmt
Program Services$65,910,880ProgramServicesAmt
Management And General$16,216,527ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$39,084,568TotalAmt
Program Services$32,004,513ProgramServicesAmt
Management And General$7,080,055ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$962,093TotalAmt
Management And General$962,093ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$642,090TotalAmt
Program Services$2,500ProgramServicesAmt
Management And General$639,590ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$170,414TotalAmt
Management And General$170,414ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,155,237TotalAmt
Management And General$1,155,237ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$81,045,644TotalAmt
Program Services$36,001,968ProgramServicesAmt
Management And General$45,043,676ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,533,032TotalAmt
Program Services$203,592ProgramServicesAmt
Management And General$10,329,440ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,199,015TotalAmt
Program Services$11,606,519ProgramServicesAmt
Management And General$1,592,496ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,644,508TotalAmt
Management And General$1,644,508ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,054,286TotalAmt
Program Services$789,051ProgramServicesAmt
Management And General$7,265,235ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,841,782TotalAmt
Program Services$3,059,164ProgramServicesAmt
Management And General$782,618ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,467,272TotalAmt
Program Services$2,860,354ProgramServicesAmt
Management And General$5,606,918ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$64,955,808TotalAmt
Program Services$21,813,880ProgramServicesAmt
Management And General$43,141,928ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,591,900TotalAmt
Program Services$58,324ProgramServicesAmt
Management And General$6,533,576ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL/SURGICAL SUPPLI$180,185,447$180,185,447$0
PROVISION FOR BAD DEBT$38,234,710$38,234,710
PROVISION FOR FRANCHISE$32,636,759$32,636,759
EQUIPMENT RENTAL/MAINTE$25,496,809$18,405,627$7,091,182

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$15,185,207TotalAmt
Program Services$4,451,145ProgramServicesAmt
Management And General$10,734,062ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,251,288,721TotalAmt
Program Services$940,451,019ProgramServicesAmt
Management And General$310,837,702ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,632BOYAmt
EOY$17,332EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$218,750,878BOYAmt
EOY$201,230,752EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$169,576,332BOYAmt
EOY$165,319,569EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$45,521,438BOYAmt
EOY$37,079,432EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,993,922BOYAmt
EOY$13,076,659EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,969,696BOYAmt
EOY$19,247,109EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,422,328,923LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$885,775,005LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$511,450,439BOYAmt
EOY$536,553,918EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$641,163,622BOYAmt
EOY$895,279,375EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$30,561,299BOYAmt
EOY$56,325,030EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$339,789,732BOYAmt
EOY$288,209,309EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,981,794,990BOYAmt
EOY$2,212,338,485EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$186,021,060BOYAmt
EOY$198,742,700EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$83,892,426BOYAmt
EOY$167,567,426EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$81,216,504BOYAmt
EOY$32,045,251EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$79,522,641BOYAmt
EOY$62,379,610EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$134,678,662BOYAmt
EOY$132,315,236EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$565,331,293BOYAmt
EOY$593,050,223EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,307,787,533BOYAmt
EOY$1,474,884,314EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$108,676,164BOYAmt
EOY$144,403,948EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,416,463,697BOYAmt
EOY$1,619,288,262EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,981,794,990BOYAmt
EOY$2,212,338,485EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$131,901,953ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$10,426,945NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$60,495,667OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$170,414OtherActivitiesAmt
Total Lobbying Expenditures$170,414TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationCHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") PAID A TOTAL OF $170,414 FOR LOBBYING EFFORTS AND VARIOUS COMMUNICATIONS ON BEHALF OF CHMCA WITH GOVERNMENTAL AUTHORITIES. THOSE COMMUNICATIONS AND LOBBYING EFFORTS INVOLVE THE FOLLOWING: * MONTHLY LEGISLATIVE CONFERENCE CALLS WITH CHMCA STAFF * PARTICIPATED IN MEETINGS WITH LEGISLATORS AND CONGRESSIONAL STAFF TO PROVIDE ORGANIZATIONAL UPDATES AND DISCUSS LEGISLATIVE INITIATIVES * COMMUNICATED WITH MEMBERS REQUESTING SUPPORT FOR CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION (CHGME) THE FOLLOWING ARE 2023 LOBBYING EXPENSES: $31,958 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS $70,706 OHIO CHILDREN'S HOSPITAL ASSOCIATION $7,750 OHIO HOSPITAL ASSOCIATION $60,000 LOBBYIST CAPITAL CONSULTING GROUP $170,414 TOTAL CHILDREN'S HOSPITALS ASSOCIATION (CHA) IS A NATIONAL ORGANIZATION TO WHICH CHMCA IS A MEMBER ALONG WITH OTHER HOSPITALS. AS A MEMBER, THIS NATIONAL ORGANIZATION EXPRESSES CONCERNS OF HEALTHCARE PROVIDERS IN ADVOCACY AND REPRESENTATION TO NATIONAL AND/OR STATE LEGISLATURES ON HEALTHCARE ISSUES THAT AFFECT CHMCA AND THE DELIVERY OF HEALTH CARE TO CHILDREN AND OTHER PATIENTS. AS AN EXAMPLE, CHA HAS BEEN A CONSTANT AND PERSUASIVE VOICE IN CHAMPIONING THE NEEDS OF CHILDREN AND THE HOSPITALS THAT CARE FOR THEM. THE OHIO CHILDREN'S HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCIATION ARE STATE OF OHIO ORGANIZATIONS THAT PROMOTE THE VIEWS OF OHIO CHILDREN'S HOSPITALS FOR MEDICAID AND CHILD HEALTHCARE ISSUES. LOCAL AGENCIES IN SUMMIT COUNTY, OHIO, ALSO PROVIDE SERVICES TO RESIDENTS. THE IMPACT OF HEALTHCARE LEGISLATION HAS IMPLICATIONS ON OUR BUSINESS, OUR PATIENTS AND FAMILIES, AND THE SERVICES THAT WE PROVIDE.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$52,344,369BeginningYearBalanceAmt
Contributions$11,352,789ContributionsAmt
Investment Earnings Or Losses-$3,155,463InvestmentEarningsOrLossesAmt
Administrative Expenses$466,764AdministrativeExpensesAmt
End Year Balance$60,074,931EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$38,005,847BeginningYearBalanceAmt
Contributions$19,682,558ContributionsAmt
Investment Earnings Or Losses-$4,520,397InvestmentEarningsOrLossesAmt
Administrative Expenses$823,639AdministrativeExpensesAmt
End Year Balance$52,344,369EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$30,205,732BeginningYearBalanceAmt
Contributions$4,390,474ContributionsAmt
Investment Earnings Or Losses$1,918,829InvestmentEarningsOrLossesAmt
Administrative Expenses-$1,490,812AdministrativeExpensesAmt
End Year Balance$38,005,847EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,391,406BeginningYearBalanceAmt
Contributions$1,246,737ContributionsAmt
Investment Earnings Or Losses$3,213,212InvestmentEarningsOrLossesAmt
Administrative Expenses-$1,354,377AdministrativeExpensesAmt
End Year Balance$30,205,732EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$19,888,825BeginningYearBalanceAmt
Contributions$851,929ContributionsAmt
Investment Earnings Or Losses$3,133,097InvestmentEarningsOrLossesAmt
Other Expenditures$291,024OtherExpendituresAmt
Administrative Expenses-$808,577AdministrativeExpensesAmt
End Year Balance$24,391,404EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.16800BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.72900PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.10300TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,442,170OtherCostOrOtherBasisAmt
Book Value$22,442,170BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$831,555,479OtherCostOrOtherBasisAmt
Depreciation$451,279,681DepreciationAmt
Book Value$380,275,798BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$59,241,479OtherCostOrOtherBasisAmt
Depreciation$25,166,033DepreciationAmt
Book Value$34,075,446BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$488,017,718OtherCostOrOtherBasisAmt
Depreciation$404,246,486DepreciationAmt
Book Value$83,771,232BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,072,077OtherCostOrOtherBasisAmt
Depreciation$5,082,805DepreciationAmt
Book Value$15,989,272BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$536,553,918TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
BENEFICIAL INT IN FOUNDATION$147,856,759
GOODWILL AND PRACTICE RIGHTS$37,552,392
HTC TRANASFER FROM UNRESTRICTED$8,548,430
OTHER ASSETS$1,951,062
RIGHT OF USE ASSET$92,300,666
FieldValueIRS element (for citing)
Total Book Value Other Assets$288,209,309TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
OTHER LONG TERM LIABILITIES$74,363,242
ACCRUED POST EMPLOYMENT BENEFITS$25,758,032
OPERATING LEASE LIABILITIES$29,288,646
ACCRUED PENSION$331,316
RESERVE FOR LIABILITIES$2,574,000
FieldValueIRS element (for citing)
Total Liability$132,315,236TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationENDOWMENT FUNDS OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ARE COMPOSED OF CUMULATIVE DONOR GIFTS WITH AND WITHOUT DONOR RESTRICTIONS. ENDOWMENT FUNDS WITHOUT DONOR RESTRICTION ARE AMOUNTS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. AKRON CHILDREN'S HOSPITAL FOUNDATION HAS A POLICY FOR INVESTING AND SPENDING DONOR FUNDS IN ACCORDANCE WITH DONOR INTENT THAT MEETS THE UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS GUIDELINES.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HOLIDAY TREE FESTIVALEvent1Nm
Gross Receipts Event1$544,044GrossReceiptsEvent1Amt
Charitable Contri Event1$408,033CharitableContriEvent1Amt
Gross Revenue Event1$136,011GrossRevenueEvent1Amt
Other Direct Expenses Event1$540,040OtherDirectExpensesEvent1Amt
Event2CHARITY BALLEvent2Nm
Gross Receipts Event2$169,145GrossReceiptsEvent2Amt
Charitable Contri Event2$126,859CharitableContriEvent2Amt
Gross Revenue Event2$42,286GrossRevenueEvent2Amt
Other Direct Expenses Event2$310,431OtherDirectExpensesEvent2Amt
Other Events Total7OtherEventsTotalCnt
Gross Receipts Other Events$229,192GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$171,893CharitableContriOtherEventsAmt
Gross Revenue Other Events$57,299GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$127,946OthDirectExpnssOtherEventsAmt
Gross Receipts Total$942,381GrossReceiptsTotalAmt
Charitable Contributions Tot$706,785CharitableContributionsTotAmt
Gross Revenue Total Events$235,596GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$978,417OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$978,417DirectExpenseSummaryEventsAmt
Net Income Summary-$742,821NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,347,440TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,347,440NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$577,261,610TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$422,123,800DirectOffsettingRevenueAmt
Net Community Benefit Expns$155,137,810NetCommunityBenefitExpnsAmt
Total Expense0.12790TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,979,884TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,208,092DirectOffsettingRevenueAmt
Net Community Benefit Expns$771,792NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$584,588,934TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$424,331,892DirectOffsettingRevenueAmt
Net Community Benefit Expns$160,257,042NetCommunityBenefitExpnsAmt
Total Expense0.13210TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,996,540TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,338,297DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,658,243NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,859,413TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,177,307DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,682,106NetCommunityBenefitExpnsAmt
Total Expense0.01290TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,037,304TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,504,676DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,532,628NetCommunityBenefitExpnsAmt
Total Expense0.00950TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,035,045TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,728,584DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,306,461NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$84,348TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$84,348NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$84,012,650TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,748,864DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,263,786NetCommunityBenefitExpnsAmt
Total Expense0.03240TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$668,601,584TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$469,080,756DirectOffsettingRevenueAmt
Net Community Benefit Expns$199,520,828NetCommunityBenefitExpnsAmt
Total Expense0.16450TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$489TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$489NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,085TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,085NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,214TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$63,214NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$573TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$573NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,513TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$14,513NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$55,219TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$55,219NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,672TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,672NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$139,765TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$139,765NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$38,234,710BadDebtExpenseAmt
Reimbursed By Medicare$13,109,131ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$20,432,542CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$7,323,411MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE PERKINS SQUAREAddressLine1Txt
CityAKRONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44308ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.AKRONCHILDRENS.ORGWebsiteAddressTxt
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL MEDICAL CENTER OF AKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://TINYURL.COM/BPXZBUM3OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://TINYURL.COM/52K7EPNWStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://TINYURL.COM/3H4VDXEPFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://TINYURL.COM/3H4VDXEPFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://TINYURL.COM/3H4VDXEPFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRONPART V, SECTION B, LINE 5: IN ADDITION TO EXAMINING COUNTY-LEVEL EPIDEMIOLOGIC DATA, SEVERAL METHODS WERE USED TO GATHER DATA FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF A TWELVE-COUNTY AREA. DUE TO THE COVID-19 PANDEMIC, CHNA METHODOLOGY PLACED AN EMPHASIS ON THE USE OF TECHNOLOGY TO ENGAGE COMMUNITY MEMBERS. AFTER COLLECTING THE FIRST ROUND OF PARENT AND CAREGIVER SURVEY RESPONSES IN DECEMBER 2021 DURING SCHOOL-BASED VACCINE CLINICS, CHMCA TOOK THE SURVEY ONLINE, LEVERAGING DIRECT EMAIL COMMUNICATIONS TO PATIENT FAMILIES AND COMMUNITY PARTNERS TO SHARE THE LINK WITH THEIR CLIENTS. THE 810 RESPONDENTS FROM THE REGION WERE MOSTLY WOMEN, WITH ALMOST THREE-QUARTERS BETWEEN THE AGES OF 24 AND 44. OVER 11 PERCENT WERE BLACK, WHICH IS A LARGER SHARE THAN THE POPULATION OF THE REGION. ABOUT 2.5 PERCENT WERE HISPANIC OR LATINX. THE MAJORITY OF SURVEY RESPONSES WERE FROM TWO-PARENT HOUSEHOLDS WITH INCOMES GREATER THAN $55,000 PER YEAR. TO GATHER INPUT FROM FAMILIES WHO ARE CONSIDERED VULNERABLE, THE CHNA TEAM LEVERAGED A PARTNERSHIP WITH THE AKRON CANTON REGIONAL FOODBANK TO ATTEND TWO POP-UP FOOD DISTRIBUTION EVENTS, SURVEYING ATTENDEES IN LINE FOR THEIR FOOD. ALTHOUGH RESPONSES WERE COLLECTED ON PAPER, THIS FORMAT GAVE THE CHNA TEAM AN OPPORTUNITY TO HEAR FROM COMMUNITY MEMBERS DIRECTLY. THOSE WHO PARTICIPATED RECEIVED A SMALL CASH INCENTIVE. IN ADDITION, CHNA TEAM MEMBERS SPENT TIME IN TWO MAHONING COUNTY WIC OFFICES AND OFFERED CLIENTS A SMALL INCENTIVE FOR PARTICIPATING IN A BRIEF INTERVIEW. DURING THE ASSESSMENT PERIOD, MOST AGENCIES INCLUDING CHMCA CONTINUED TO FOLLOW COVID-19 PROTOCOLS AND WERE CONSERVATIVE IN PERMITTING IN-PERSON GATHERINGS. CONDUCTING VIRTUAL ROUNDTABLE DISCUSSIONS WITH STAKEHOLDERS ENABLED US TO GATHER INPUT FROM A WIDE RANGE OF INDIVIDUALS WHO REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS AND THE BROAD INTERESTS OF CHILDREN IN THE REGION. PARTICIPANTS FROM ANY OF THE COUNTIES REPRESENTED IN OUR CHNA FOOTPRINT COULD LOG ONTO ONE OF THE FIVE SESSIONS OFFERED. DISCUSSIONS WERE CENTERED AROUND THE SIGNIFICANT HEALTH, SOCIAL AND ENVIRONMENTAL FACTORS AFFECTING CHILDREN IN THEIR COMMUNITIES, PARTICULARLY AS THEY NAVIGATED PANDEMIC LIFE AND ITS AFTERMATH. ONE VIRTUAL ROUNDTABLE WAS RESERVED FOR PUBLIC HEALTH COMMISSIONERS AND/OR THEIR DESIGNEES. PARTICIPATING HEALTH DISTRICTS FROM THE REGION INCLUDED SUMMIT, ASHLAND, RICHLAND, WAYNE, MAHONING, AND TRUMBULL COUNTIES, AS WELL AS THE CITY OF YOUNGSTOWN. A FULL LISTING OF PARTICIPATING AGENCIES THAT SERVE THE REGION IS BELOW: AETNA AKRON COMMUNITY FOUNDATION AKRON PUBLIC SCHOOLS AKRON-SUMMIT COUNTY PUBLIC LIBRARY ALTA CARE GROUP, INC.AMERIHEALTH CARITASASHLAND COUNTY HEALTH DEPARTMENT BELMONT PINES HOSPITALBRIGHT BEGINNINGS CHILD GUIDANCE AND FAMILY SOLUTIONS CITY OF AKRON COLEMAN HEALTH SERVICES COMMUNITY ACTION WAYNE/MEDINA COMMUNITY FOUNDATION OF LORAIN COUNTY COMMUNITY LEGAL AID DALTON LOCAL SCHOOL DISTRICT EARLY CHILDHOOD RESOURCE CENTER FATHERS AND SONS OF NORTHEAST OHIO, INC. FEEDING MEDINA COUNTY GREENLEAF FAMILY CENTER HOPE AND HEALING BATTERED WOMEN'S SHELTER KIDSPEAK, LLCMAHONING COUNTY BOARD OF DEVELOPMENTAL DISABILITIESMAHONING COUNTY JUVENILE COURTMAHONING COUNTY MENTAL HEALTH AND RECOVERY BOARDMAHONING COUNTY PUBLIC HEALTHMAHONING COUNTY WOMEN, INFANTS AND CHILDREN (WIC) MAHONING YOUNGSTOWN COMMUNITY ACTION PROGRAM (MYCAP)MENTAL HEALTH & RECOVERY BOARD OF ASHLAND COUNTY MENTAL HEALTH AND RECOVERY BOARD OF WAYNE AND HOLMES COUNTIES MERCY HEALTH NEIL KENNEDY RECOVERY CENTER OBERLINKIDS COMMUNITY COLLABORATIVE OHIOGUIDESTONE OHUDDLE PORTAGE COUNTY JOB AND FAMILY SERVICES RICHLAND COUNTY MENTAL HEALTH AND RECOVERY SERVICES BOARD RICHLAND PUBLIC HEALTH SAFE LANDING YOUTH SHELTER SUMMIT COALITION FOR COMMUNITY HEALTH IMPROVEMENT SUMMIT COUNTY ADM BOARD SUMMIT COUNTY CHILDREN SERVICES SUMMIT COUNTY CONTINUUM OF CARE SUMMIT COUNTY PUBLIC HEALTH THE CHILDREN'S CENTER OF MEDINA COUNTY THE COUNSELING CENTER OF COLUMBIANA COUNTYTRUMBULL COUNTY HEALTH DEPARTMENT TRUMBULL NEIGHBORHOOD PARTNERSHIP TRUMBULL COUNTY EDUCATIONAL SERVICE CENTER TRUMBULL COUNTY HEALTH DEPARTMENT UNITED WAY OF GREATER STARK COUNTY UNITED WAY OF SUMMIT & MEDINA UNITED HEALTHCARE WARREN CITY SCHOOLSWAYNE COUNTY HEALTH DEPARTMENT YOUNGSTOWN AREA PFLAG (PARENTS, FAMILIES AND FRIENDS OF LESBIANS AND GAYS)YOUNGSTOWN CITY HEALTH DISTRICT YOUNGSTOWN NEIGHBORHOOD DEVELOPMENT CORPORATION FINALLY, THE CHNA TEAM MADE OTHER EFFORTS TO CONNECT WITH PARENTS AND PROFESSIONALS WHO WORK ON BEHALF OF CHILDREN AND FAMILIES. WE PARTNERED WITH AKRON METROPOLITAN HOUSING AUTHORITY AND RICHLAND PUBLIC HEALTH TO IDENTIFY CLIENTS WILLING TO PROVIDE INPUT. ADDITIONALLY, WE HELD A VIRTUAL CONVERSATION WITH FAMILY SUPPORT SPECIALISTS WORKING IN STARK COUNTY SCHOOLS, AND WERE FORTUNATE BE PART OF A VIRTUAL CONVERSATION WITH COMMUNITY HEALTH WORKERS FROM THE SUMMIT COUNTY PATHWAYS COMMUNITY HUB, HOSTED BY SUMMIT COUNTY PUBLIC HEALTH.
CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRONPART V, SECTION B, LINE 6B: THE CENTER FOR COMMUNITY SOLUTIONS: 1501 EUCLID AVE #310, CLEVELAND, OH 44115
CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRONPART V, SECTION B, LINE 11: THE MEASURED INDICATORS IN THE 2022 CHNA HAVE BEEN ADDRESSED FOR MANY YEARS THROUGH CHMCA'S CLINICAL AND PROGRAMMATIC EFFORTS. THE 2022 CHNA IDENTIFIED AND PRIORITIZED SEVERAL COMMUNITY HEALTH NEEDS. OUR BOARD OF DIRECTORS APPROVED COMPREHENSIVE IMPLEMENTATION STRATEGIES AROUND MENTAL AND BEHAVIORAL HEALTH, AS WELL AS COMMUNITY-BASED HEALTH AND WELLNESS WITH A FOCUS ON FOOD SECURITY, DISPARITIES IN PREVENTIVE CARE, AND SCHOOL-BASED HEALTH. UNDERPINNING THESE BROAD PRIORITY AREAS ARE CROSS-CUTTING COMMITMENTS TO ADVANCING HEALTH EQUITY, IMPROVING HEALTH ACCESS, AND FOSTERING RESILIENCY. THE REMAINING IDENTIFIED NEEDS FROM THE CHNA, INCLUDING CONDITIONS RELATED TO CHILD LIFESTYLE FACTORS, ASTHMA, MATERNAL AND INFANT HEALTH, CRIME AND VIOLENCE, ACCESS TO HEALTH CARE AND ENVIRONMENTAL FACTORS, WERE NOT FORMALLY SELECTED AS PRIORITIES, BUT WILL BE ADDRESSED AS RELEVANT THROUGH STRATEGIES ASSOCIATED WITH THE THREE PRIORITIES NAMED ABOVE. WE WILL CONTINUE TO LOOK TO CHNA DATA, AS WELL AS OTHER DATA SOURCES, ON THESE CONDITIONS TO GUIDE OUR EFFORTS AND ADVANCE OUR MISSION OF IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. SPECIFIC NEEDS NOT ADDRESSED: ALTHOUGH ALL COMMUNITY HEALTH NEEDS IDENTIFIED BY THE CHNA ARE IMPORTANT, HOSPITAL TEAMS DELIBERATED AND PRIORITIZED AREAS BASED ON THE HOSPITAL'S CURRENT ACTIVITIES, THE POTENTIAL FOR COMMUNITY IMPACT, AND AVAILABLE RESOURCES. CONSEQUENTLY, SEVERAL AREAS WILL NOT BE ADDRESSED THROUGH FORMAL IMPLEMENTATION STRATEGIES. THESE INCLUDE HEALTH AREAS THAT RANKED LOWER DURING THE PRIORITIZATION PROCESS. ADDITIONALLY, CERTAIN ISSUES WERE BEYOND THE SCOPE OF THE HOSPITAL, WITH SOME REQUIRING MORE RESOURCES THAN WHAT CHMCA COULD REALISTICALLY DEVOTE TO THEM. ASTHMA WAS NOT SELECTED IN THE PRIORITIZATION PROCESS. STAFF WORKING ON THIS PRIORITY OVER THE LAST DECADE HAVE BEEN EXTREMELY SUCCESSFUL AT IDENTIFYING HIGH RISK ASTHMA PATIENTS AND PROVIDING THEM WITH EDUCATION AND SUPPORTS TO REDUCE THEIR RISK OF EXACERBATIONS LEADING TO EMERGENCY DEPARTMENT VISITS AND HOSPITALIZATIONS. WHILE ASTHMA CONTINUES TO BE A NEED IN OUR COMMUNITY, LEADERS WHO AIDED IN CHNA PRIORITIZATION DETERMINED RESOURCES SHOULD BE SHIFTED TO MAKE IMPROVEMENTS IN OTHER AREAS, AND ASTHMA SHOULD SERVE AS A MODEL FOR THOSE EFFORTS. INFANT MORTALITY ALSO CAME OFF THE LIST OF CHNA PRIORITIES. CHMCA CLINICIANS DO NOT PROVIDE CARE SERVICES FOR PREGNANT WOMEN, OTHER THAN THOSE WHOSE BABIES HAVE BEEN DIAGNOSED BEFORE BIRTH OR PRENATALLY WITH A CONDITION OR DISEASE THAT MUST BE MONITORED BY OUR MATERNAL FETAL MEDICINE (MFM) CENTER OR GENETICS CENTER. THEREFORE, OUR EFFORTS TO IMPACT BIRTH OUTCOMES SUCH AS PREMATURITY AND LOW BIRTH WEIGHT ARE, BY AND LARGE, CARRIED OUT IN RELATION TO COALITION WORK WITH COMMUNITY AGENCIES AND LOCAL BIRTHING HOSPITALS. WE WILL CONTINUE TO CARRY OUT EFFORTS TO PROMOTE SAFE SLEEP, WHICH HAS BEEN A LARGE FOCUS OF OUR INFANT MORTALITY PREVENTION STRATEGY. IN ADDITION, WE HOPE TO SEE OUR FOCUS ON HEALTH EQUITY LEAD TO BETTER LONG-TERM OUTCOMES FOR MOTHERS AND BABIES IN THE BLACK COMMUNITY. OTHER SIGNIFICANT HEALTH NEEDS NOT SPECIFICALLY SELECTED FOR IMPLEMENTATION INCLUDED:- ORAL HEALTH- PHYSICAL ACTIVITY- NUTRITION- SCREEN TIME- UNINTENTIONAL INJURY- COMMUNICABLE DISEASE INCLUDING COVID-19- REPRODUCTIVE AND SEXUAL HEALTH- SOCIAL DETERMINANTS OF HEALTH INCLUDING HOUSING, EDUCATION, AND TRANSPORTATION- CRIME AND VIOLENCE DATA LIMITATIONS AND GAPS: DUE TO LIMITED RESOURCES AND A GLOBAL PANDEMIC, COMPLETE AND TIMELY DATA WERE NOT AVAILABLE FOR EVERY POPULATION OF INTEREST IN THE REGION. WHERE AVAILABLE, THE MOST CURRENT DATA WERE USED TO DETERMINE THE HEALTH NEEDS OF THE COMMUNITY, PARTICULARLY THOSE WHO ARE VULNERABLE OR UNDERSERVED. ALTHOUGH DATA THAT WERE AVAILABLE ARE RICH WITH INFORMATION, NOT SURPRISINGLY, SOME DATA GAPS AND LIMITATIONS IMPACTED THE ABILITY TO CONDUCT A MORE THOROUGH AND RIGOROUS ASSESSMENT. FOR EXAMPLE:1. LAG TIME FOR DATA TO BE REPORTED BY THE STATE AND SOME LOCAL SOURCES OFTEN EXCEEDS A YEAR TO 18 MONTHS.2. COVID-19 DISRUPTED SURVEILLANCE ACTIVITIES WITHIN SCHOOLS, NOTABLY THE YOUTH RISK BEHAVIOR SURVEY (YRBS), WHICH TYPICALLY SERVES AS THE MOST RICH SOURCE OF LOCAL DATA ON BEHAVIORS IMPACTING PHYSICAL AND MENTAL HEALTH, AS WELL AS GENERAL MENTAL/BEHAVIORAL HEALTH STATUS. 3. WITH LIMITATIONS ON IN-PERSON GATHERINGS AND MANY FAMILIES STILL OPTING TO STAY HOME WHEN POSSIBLE, IN-PERSON FOCUS GROUPS/COMMUNITY CONVERSATIONS WERE AVOIDED. DESPITE ADVERTISING VIRTUAL CONVERSATIONS WITH INCENTIVES FOR PARTICIPATION, ATTENDANCE WAS VERY LOW. WE BELIEVE THIS CAN BE PARTIALLY ATTRIBUTED TO THE FATIGUE EXPERIENCED BY PARENTS AND CAREGIVERS COMING OUT OF THE PANDEMIC. IN ADDITION, OVER-STRETCHED PUBLIC HEALTH AND SOCIAL SERVICE AGENCIES WERE LESS AVAILABLE TO ASSIST IN COORDINATING THESE COMMUNITY ENGAGEMENT OPPORTUNITIES.
CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRONPART V, SECTION B, LINE 13H: PATIENTS OR FAMILIES WHO MAY NOT QUALIFY FOR FINANCIAL ASSISTANCE BASED ON RESIDENCE AND INCOME MAY STILL QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON DOCUMENTED EXTENUATING CIRCUMSTANCES WHERE PURSUIT OF PAYMENT WOULD CAUSE UNDUE HARDSHIP ON THE PATIENT/FAMILY. EXTENUATING CIRCUMSTANCES MAY BE BROUGHT TO THE ATTENTION OF THE DIRECTOR, REVENUE CYCLE, AND REVIEWED BY THE FINANCIAL ASSISTANCE COMMITTEE, CHAIRED BY THE CHIEF FINANCIAL OFFICER AND CHIEF MEDICAL OFFICER.
CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRONPART V, SECTION B, LINE 15E: FINANCIAL COUNSELORS ARE EMPLOYED AT THE HOSPITAL TO DISCUSS THE AVAILABILITY AND APPLICATION FOR ALL FINANCIAL ASSISTANCE FOR ALL PATIENTS.
PART V, SECTION B, LINE 20D:CHMCA EMPLOYS FINANCIAL COUNSELORS TO EXPLAIN THE HOSPITAL'S FREE CARE, CHARITY CARE, AND THE VARIOUS PUBLIC ASSISTANCE PROGRAMS TO UNINSURED AND UNDERINSURED PATIENTS. FOR MORE INFORMATION, PLEASE SEE THE SCHEDULE H, PART VI, LINE 3 NARRATIVE FOR MORE INFORMATION.PART V, SECTION B, LINE 20E:YES - THIRD PARTY COLLECTION AGENCIES WILL EXPLAIN THE AVAILABILITY OF FREE CARE AND CHARITY CARE AND THE FINANCIAL ASSISTANCE APPLICATION.
FieldValueIRS element (for citing)
Facility66FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (66 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
1 - MAHONING VALLEY CAMPUS
6505 MARKET STBOARDMANOH44512NICU, PEDIATRIC UNIT, EMERGENCY DEPARTMENT
2 - AULTMAN HOSPITAL -NICU NURSERY
2600 6TH ST SWCANTONOH447101702NICU AND PEDIATRIC UNIT
3 - SUMMA HOSPITAL
525 E MARKET STAKRONOH443041619NICU NURSERY
4 - ST ELIZABETH'S BOARDMAN HEALTH CENTER NIC
8401 MARKET STBOARDMANOH445126725NICU NURSERY
5 - NORTH CANTON 6076 WHIPPLE
6076 WHIPPLE AVENORTH CANTONOH44720PRIMARY CARE & SPECIALITY - ACP
6 - WARREN
5000 E MARKET STWARRENOH444842259PRIMARY CARE & SPECIALITY - ACP
7 - MANSFIELD HEALTH CENTER
1029 SOUTH TRIMBLE ROADMANSFIELDOH44906PRIMARY CARE & SPECIALITY - ACP
8 - BOSTON HEIGHTS
328 EAST HINES HILL ROADHUDSONOH44236PRIMARY CARE & SPECIALITY - ACP
9 - CLEVELAND CLINIC AKRON GENERAL MEDICAL CEN
1 AKRON GENERAL AVEAKRONOH443072432NICU NURSERY
10 - MEDINA
3443 MEDINA RDMEDINAOH442565965PRIMARY CARE & SPECIALITY - ACP
11 - FAIRLAWN
701 WHITE POND DR SUITE 100AKRONOH443201193PEDIARIC PRIMARY CARE - ACP
12 - PORTAGE HEALTH CENTER
2497 STATE ROUTE 59RAVENNAOH44266PRIMARY CARE & SPECIALITY - ACP
13 - MASSILLON
1149 LINCOLN WAY EMASSILLONOH44646PRIMARY CARE & SPECIALITY - ACP
14 - NEW PHILADELPHIA
1045 W HIGH AVENEW PHILADELPHIAOH446632071PRIMARY CARE & SPECIALITY - ACP
15 - ALLIANCE
1826 S ARCH AVEALLIANCEOH446014332PRIMARY CARE & SPECIALITY - ACP
16 - GREEN
1622 EAST TURKEYFOOT LAKE RD SUITEAKRONOH443125277PRIMARY CARE & SPECIALITY - ACP100
17 - WOOSTER NICU NURSERY
3807 FRIENDSVILLE ROADWOOSTEROH44691PRIMARY CARE & SPECIALITY - ACP
18 - ST JOSEPH'S HOSPITAL MERCY HEALTH
667 EASTLAND AVE SEWARRENOH444844503SPECIAL CARE NURSERY
19 - AUSTINTOWN
5480 NORQUEST BLVDAUSTINTOWNOH445151820PRIMARY CARE & SPECIALITY - ACP
20 - BARBERTON
566 ROBINSON AVENUEBARBERTONOH442039002PEDIARIC PRIMARY CARE - ACP
21 - AMHERST HEALTH CENTER
47185 COOPER FOSTER PARK RDAMHERSTOH44053PRIMARY CARE & SPECIALITY - ACP
23 - HUDSON
1365 CORPORATE DR SUITE AHUDSONOH442364432PEDIARIC PRIMARY CARE - ACP
24 - WADSWORTH
323 HIGH ST SUITE AWADSWORTHOH442811869PRIMARY CARE & SPECIALITY - ACP
25 - WOOSTER COMMUNITY HOSPITAL
1761 BEALL AVEWOOSTEROH446912342NICU NURSERY
26 - PERRY TOWNSHIP
125 WHIPPLE AVE SWCANTONOH447101374PEDIARIC PRIMARY CARE - ACP
27 - AKRON EAST
891 E EXCHANGE STAKRONOH443061127PEDIARIC PRIMARY CARE - ACP
28 - LISBON
400 N MARKET STLISBONOH444321146PRIMARY CARE & SPECIALITY - ACP
29 - ELLET
1463 CANTON RD SUITE AAKRONOH443124022PEDIARIC PRIMARY CARE - ACP
30 - MONTROSE URGENT CARE
4125 MEDINA RDAKRONOH443332483URGENT CARE
31 - WADSWORTH PSA
1225 HIGH STWADSWORTHOH44281PRIMARY CARE & SPECIALITY - ACP
32 - CUYAHOGA FALLS - PSA
1100 PORTAGE TRAILSCUYAHOGA FALLSOH44223PRIMARY CARE & SPECIALITY - ACP
33 - ASHLAND ACHP
2212 MIFFLIN AVE SUITE 235ASHLANDOH448058847PRIMARY CARE & SPECIALITY - ACP
34 - STOW GRAHAM RD
3019 GRAHAM ROADSTOWOH44224PRIMARY CARE & SPECIALITY - ACP
35 - TWINSBURG
8054 DARROW RD SUITE 3TWINSBURGOH440872387PEDIARIC PRIMARY CARE - ACP
36 - TALLMADGE
143 NORTHWEST AVETALLMADGEOH442781806PRIMARY CARE & SPECIALITY - ACP
37 - MARIETTA ACHP
310 E 8TH ST SUITE 130MARIETTAOH45750PRIMARY CARE & SPECIALITY - ACP
38 - WARREN DOWNTOWN
661 MAHONING AVE NWWARRENOH444834607PEDIARIC PRIMARY CARE - ACP
39 - LIBERTY
3530 BELMONT AVEYOUNGSTOWNOH44505PRIMARY CARE & SPECIALITY - ACP
40 - BRECKSVILLE
7001 S EDGERTON RD SUITE 500BRECKSVILLEOH441414206PRIMARY CARE & SPECIALITY - ACP
41 - MERCY LORAIN HOSPITAL
3700 KOLBE RDLORAINOH44053SCN & PRIMARY CARE & SPECIALITY
42 - BEACHWOOD ACHP
3733 PARK EAST DR STE 102BEACHWOODOH44122PEDIARIC PRIMARY CARE - ACP
43 - EAST LIVERPOOL - ACHP
15655 STATE ROUTE 170EAST LIVERPOOLOH43920PEDIARIC PRIMARY CARE - ACP
44 - BELPRE
807 FARSON ST SUITE 201CBELPREOH45714PEDIARIC PRIMARY CARE - ACP
45 - BEACHWOOD CENTER
23250 CHAGRIN BLVD SUITE325BEACHWOODOH441225417PRIMARY CARE & SPECIALITY - ACP
46 - STREETSBORO
9150 MARKET SQUARE SUITE 203STREETSBOROOH442415224PEDIARIC PRIMARY CARE - ACP
47 - WOOSTER SPECIALTY CARE
546 WINTER ST SUITE 110WOOSTEROH446912339MATERNAL FETAL MEDICINE
48 - PSYCH STARK
630 30TH STREET NWCANTONOH44709SPECIALITY CARE ACP
49 - NORWALK MEDICAL PARK II
282 BENEDICT AVENORWALKOH448572712PRIMARY CARE & SPECIALITY - ACP
50 - MILLERSBURG
1261 WOOSTER RD SUITE 220MILLERSBURGOH446541570PRIMARY CARE & SPECIALITY - ACP
51 - NORTH CANTON SPECIALTY CARE
6100 WHIPPLE AVE NWNORTH CANTONOH447207618PRIMARY CARE & SPECIALITY - ACP
52 - BELPRE REHABILITATION CENTER
1804 WASHINGTON BLVDBELPREOH45714SPECIALITY CARE ACP
53 - UNIVERSITY OF AKRON STILE ATHLETICS FIELD
289 SOUTH UNION STREETAKRONOH44325SPECIALITY CARE ACP
54 - MEDINA EAST
313 MEDINA ROADMEDINAOH44256SPECIALTY CARE - ACP
55 - CHILD ADVOCACY CENTER
213 MARKET AVE N SUITE 200CANTONOH447021440SPECIALTY CARE - ACP
56 - CAMPBELL
434 STRUTHERS-COITSVILLE RDLOWELLVILLEOH44436PEDIARIC PRIMARY CARE - ACP
57 - OBERLIN ACHP
224 W LORAIN STOBERLINOH44704PRIMARY CARE & SPECIALITY - ACP
58 - SANDUSKY
2800 HAYES AVENUESANDUSKYOH44870PRIMARY CARE & SPECIALITY - ACP
59 - PSYCH RICHLAND
1027 SOUTH TRIMBLE ROADMANSFIELDOH44906SPECIALITY CARE ACP
60 - TRIPOINT MEDICAL CENTER
7580 AUBURN RD SUITE 214PAINESVILLEOH440779176SPECIALTY CARE - ACP
61 - MARIETTA MEMORIAL
401 MATTHEW STREETMARIETTAOH45750PRIMARY CARE & SPECIALITY - ACP
62 - HATTIE LARLHAM FOUNDATION
9772 DIAGONAL RDMANTUAOH442559128PRIMARY CARE & SPECIALITY - ACP
63 - WAYNE COUNTY CHILDREN'S ADVOCACY CENTER
1734 GASCHE STREETWOOSTEROH44691SPECIALTY CARE - ACP
64 - LIFE CENTER PLUS
5133 DARROW RDHUDSONOH442364003SPECIALTY CARE - ACP
65 - MERCY MEDICAL CENTER
1330 MERCY DR NW SUITE 506CANTONOH447082625PRIMARY CARE & SPECIALITY - ACP
66 - SHARON HEART CENTER
740 E STATE STSHARONPA16146SPECIALTY CARE - ACP
67 - FISHER TITUS MEDICAL CENTER
272 BENEDICT AVENORWALKOH448572374PRIMARY CARE & SPECIALITY - ACP

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:WE BELIEVE THAT APPLYING OUR INTERNAL COST ACCOUNTING SYSTEM, WHICH INCORPORATES INFORMATION DIRECTLY EXTRACTED FROM OUR EPIC PATIENT ACCOUNTING SOFTWARE AND ALLOCATES OVERHEAD EXPENSES TO REVENUE PRODUCING DEPARTMENTS TO DEVELOP A COST-TO-CHARGE RATIO, THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND OTHER INFORMATION IS THE MOST ACCURATE COSTING METHODOLOGY TO CALCULATE GROSS CHARITY CARE AT COST FOR THE PERIOD. THE HOSPITAL CARE ASSURANCE PROGRAM (HCAP) IS OHIO'S METHODOLOGY TO PROVIDE ADDITIONAL PAYMENTS TO HOSPITALS THAT PROVIDE A DISPROPORTIONATE SHARE OF UNCOMPENSATED CARE TO THE INDIGENT AND UNINSURED. THE ESTIMATED HCAP AMOUNT APPLICABLE TO CHARITY CARE IS REPORTED AS DIRECT OFFSETTING REVENUE TO CHARITY CARE EXPENSE.PART I, LINE 7 (B) UNREIMBURSED MEDICAID AND 7 (C) OTHER MEANS TESTED PROGRAMS:WE BELIEVE THAT REPORTING PROGRAM CHARGES, COSTS AND PAYMENTS FROM OUR INTERNAL COST ACCOUNTING SYSTEM ALONG WITH SIMILAR CALCULATIONS FOR SERVICES RENDERED BY HOSPITAL EMPLOYED PHYSICIANS AND OTHER PROFESSIONAL PROVIDERS AND SERVICES RENDERED TO OUT-OF-STATE MEDICAID ENROLLEES IS THE MOST ACCURATE METHODOLOGY TO CALCULATE UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAM COSTS. MEDICAID COSTS REPORTED AS TOTAL COMMUNITY BENEFIT EXPENSE HAVE BEEN REDUCED BY ESTIMATED HEALTH PROFESSIONAL COSTS DERIVED FROM THE COST ACCOUNTING SYSTEM. MEDICAID REVENUES REPORTED AS DIRECT OFFSETTING REVENUE HAS BEEN REDUCED BY ESTIMATED REVENUES RELATED TO HEALTH PROFESSIONAL EDUCATION. TO AVOID DOUBLE-COUNTING OF COSTS REPORTED ELSEWHERE IN THIS SCHEDULE, GROSS COSTS FOR OTHER REPORTABLE ITEMS HAVE BEEN REDUCED BY THE TOTAL GOVERNMENT PAYOR MIX PERCENTAGE OF (55.2%) AS REPORTED ON OUR INTERNAL PAYOR MIX REPORT.
PART I, LINE 7G:CHMCA'S SUBSIDIZED HEALTH SERVICES FOR 2023 ARE SUMMARIZED BELOW. EACH WAS CONSIDERED DUE TO ITS FULFILLMENT OF AN IDENTIFIED COMMUNITY NEED, THE DEGREE OF SPECIALIZATION AND/OR LACK OF AVAILABILITY OF SIMILAR SERVICES WITHIN CLOSE PROXIMITY; AND INCURRING A NET FINANCIAL LOSS WHILE BEING REIMBURSED BELOW COST.GROUND AND AIR TRANSPORT SERVICES ARE HIGHLY SPECIALIZED FOR THE NEONATAL AND PEDIATRIC POPULATION AND ADDRESS NEEDS FOR TRAUMA/EMERGENCY MEDICAL RESPONSE THAT WOULD OTHERWISE BE LARGELY UNMET.OUR HOME CARE SERVICE LINE PLACES NURSES IN THE HOMES OF PATIENTS WHO ARE MEDICALLY FRAGILE OR COMPLEX AND SUPPORTS FAMILIES IN THEIR ONGOING CARE. WE PROVIDE PRIMARY AND SPECIALTY CARE SERVICES IN NUMEROUS COMMUNITIES THAT ARE CONSIDERED ECONOMICALLY DISADVANTAGED AND/OR MEDICALLY UNDERSERVED BASED ON THE U.S. CENSUS DATA AND HEALTH RESOURCES AND SERVICES (HRSA) DESIGNATIONS.THE CELESTE MYERS DENTAL CLINIC AT CHMCA WAS ESTABLISHED LARGELY IN RESPONSE TO HOSPITAL DATA INDICATING AN ALARMINGLY HIGH NUMBER OF FAMILIES SEEKING EMERGENCY MEDICAL CARE FOR THEIR CHILDREN DUE TO ACUTE DENTAL CONDITIONS. THEY CONTINUE TO BE A "DENTAL HOME" FOR THEIR PATIENTS, PROVIDING PREVENTATIVE SERVICES AND ORAL HEALTH EDUCATION. IN ITS SIXTH YEAR, THE CLINIC SERVES AS A SAFETY NET FOR DENTAL HEALTH CARE, WITH 86 PERCENT OF PATIENTS ON MEDICAID AND 30 PERCENT NON-ENGLISH SPEAKING. CHMCA'S LOCUST PEDIATRIC CARE GROUP PROVIDES PRIMARY CARE TO OVER 1,500 REFUGEE CHILDREN, AND OTHER LOW-INCOME FAMILIES IN OUR COMMUNITY. IT IS THE ONLY ONE OF ITS KIND IN OUR COMMUNITY AND IT ADDRESSES THE COMMUNICATION NEEDS OF PATIENTS/FAMILIES WHO HAVE LIMITED ENGLISH PROFICIENCY, AS WELL AS THOSE WHO ARE DEAF, HARD OF HEARING, BLIND OR HAVE VISUAL IMPAIRMENTS. CHMCA'S CHILDREN AT RISK EVALUATION (CARE) CENTER IN AKRON AND CHILDREN'S ADVOCACY CENTER IN MAHONING VALLEY EVALUATE AND INITIATE TREATMENT FOR CHILDREN SUSPECTED OF PHYSICAL OR SEXUAL ABUSE AND NEGLECT. THE CARE CENTER'S TEAM OF DOCTORS, NURSES, AND SOCIAL WORKERS TREAT CHILDREN AND TEENS REFERRED BY PRIVATE PHYSICIANS, LAW ENFORCEMENT, CHILD PROTECTION, AND OTHER COMMUNITY AGENCIES. DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS EVALUATES AND TREATS CHILDREN FOR DEVELOPMENTAL AND/OR LEARNING DISABILITIES ASSOCIATED WITH DIAGNOSES LIKE AUTISM, ATTENTION DEFICIT AND HYPERACTIVITY DISORDER (ADHD), DOWN SYNDROME, AND MORE. OUR HEALTHY WEIGHT CLINIC SERVES PATIENTS WHO ARE DIABETIC OR PRE-DIABETIC AND/OR HAVE OTHER WEIGHT-RELATED COMORBIDITIES. PATIENTS STRUGGLING WITH THEIR WEIGHT AND ITS COMPLICATIONS HAVE FEW OTHER OPTIONS IN THE REGION. CHMCA'S OUTPATIENT PALLIATIVE CARE WAS SUBSIDIZED IN 2023. THIS SERVICE IS IN PLACE FOR PAIN AND SYMPTOM RELIEF AND FAMILY SUPPORT AROUND PATIENT CARE. ITS UNIQUE APPROACH INCLUDES NARRATIVE MEDICINE AND OTHER EVIDENCE-BASED APPROACHES TO TERMINAL, COMPLEX OR HARD-TO-MANAGE ILLNESSES.
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 (A), BUT SUBTRACTED FOR THE PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN TOTALS $38,234,710.
PART II, COMMUNITY BUILDING ACTIVITIES:STAYING TRUE TO OUR MISSION, EVERYTHING DONE BY CHMCA IS INTENDED TO BENEFIT THE COMMUNITIES WE SERVE. OUR PRIMARY BENEFIT TO EACH COMMUNITY IS PROVIDING ACCESS TO WORLD-CLASS HEALTH CARE TO THE CHILDREN IN THE REGIONS WE SERVE. ALSO, WE PARTICIPATE IN VARIOUS INTERNAL AND COMMUNITY-BASED EFFORTS TO IMPROVE THE SOCIAL AND ENVIRONMENTAL CONDITIONS SURROUNDING HEALTH. WE PARTICIPATE IN VARIOUS COMMUNITY-BASED PROGRAMS THAT SPECIFICALLY DEVELOP COMMUNITY LEADERS, INCLUDING LEADERSHIP AKRON (FOR COMMUNITY LEADERSHIP) AND THE CHILD & FAMILY LEADERSHIP EXCHANGE (FOR CLINICAL AND SOCIAL SERVICE LEADERSHIP). CHMCA IS STRONGLY REPRESENTED IN COMMITTEES AND TASK FORCES ASSIGNED TO ADDRESS SPECIFIC HEALTH INDICATORS AND CONDITIONS, IN ADDITION TO CERTAIN DIVERGENT POPULATIONS LOCATED THROUGHOUT OUR REGION, STATE, AND BEYOND. CHMCA PROVIDES FINANCIAL AND IN-KIND STAFF SUPPORT FOR VARIOUS COMMUNITY-BASED ORGANIZATIONS AND INITIATIVES WHOSE MISSIONS ARE AIMED AT IMPROVING CONDITIONS SURROUNDING HEALTH AND WELLBEING FOR CHILDREN AND THEIR FAMILIES WITHIN OUR SERVICE AREA. WE EVALUATE SPONSORSHIP REQUESTS AND DESIGNATE A PORTION OF FUNDS TO ORGANIZATIONS THAT ARE WORKING TO ENHANCE DIVERSITY, EQUITY AND INCLUSION, PROMOTE YOUTH ENGAGEMENT IN HEALTHY ACTIVITIES, AND OFFER SERVICES THAT HELP TO CLOSE GAPS IN ACCESS. CHMCA ALSO WORKS CLOSELY WITH STATE AND NATIONAL ADVOCACY ORGANIZATIONS SUCH AS OHIO CHILDREN'S HOSPITAL ASSOCIATION TO KEEP CHILDREN'S HEALTH AT THE FOREFRONT OF POLICY CONVERSATIONS. WE ENGAGE IN WORKFORCE DEVELOPMENT EFFORTS THROUGH INITIATIVES SUCH AS THE COLLEGE AND CAREER ACADEMY OF HEALTH AND HUMAN SERVICES AT NORTH HIGH SCHOOL, ESTABLISHED THROUGH A PARTNERSHIP WITH AKRON PUBLIC SCHOOLS. THIS PROGRAM OFFERS HIGH-SCHOOLERS CAREER-FOCUSED PATHWAYS IN HEALTH CARE OPERATIONS, EARLY CHILDHOOD EDUCATION, BIOMEDICAL SCIENCE AND ALLIED HEALTH. THROUGH THE ACADEMY, WE ALSO ASSIST TEACHERS IN TAILORING THEIR CURRICULA TO HEALTH CARE APPLICATIONS. WE ALSO WORK TO IMPROVE THE ENVIRONMENT THROUGH EFFORTS LIKE OUR GREENHOUSE GAS EMISSIONS REDUCTION INITIATIVE, WHICH HAS FOCUSED ON REDUCING OUR USE OF NITROUS OXIDE IN PAIN MANAGEMENT WITH NO NEGATIVE IMPACT ON PATIENT CARE. THIS WORK HELPS TO PROTECT THE OZONE LAYER FROM HARMFUL EMISSIONS, WHICH REMAIN IN THE ATMOSPHERE FOR MORE THAN 100 YEARS.
PART III, LINE 2:WE BELIEVE THAT APPLYING A COST-TO-CHARGE RATIO DEVELOPED FROM OUR INTERNAL COST ACCOUNTING SYSTEM TO CHMCA'S PROVISION FOR BAD DEBTS IS THE MOST ACCURATE COSTING METHODOLOGY TO CALCULATE BAD DEBT AT COST FOR THE PERIOD. THEREFORE, THE COST TO CHARGE RATIO MULTIPLIED BY THE BAD DEBT EXPENSE RESULTS IN THE COST OF BAD DEBT.THE HOSPITAL CARE ASSURANCE PROGRAM (HCAP) IS OHIO'S METHODOLOGY TO PROVIDE ADDITIONAL PAYMENTS TO HOSPITALS THAT PROVIDE A DISPROPORTIONATE SHARE OF UNCOMPENSATED CARE TO THE INDIGENT AND UNDERSERVED. GROSS BAD DEBT EXPENSE HAS BEEN REDUCED BY THE ESTIMATED HCAP AMOUNT APPLICABLE TO BAD DEBT EXPENSE. THE ESTIMATED AMOUNT OF BAD DEBT AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY POLICY IS $-0-. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE AS DESCRIBED IN PART VI, ITEM 3 PATIENT EDUCATION FOR ASSISTANCE IS PROVIDED. SEE PAGE 11 TO THE FOOTNOTES TO CHMCA'S AUDITED FINANCIAL STATEMENTS THAT DESCRIBE CHARITY CARE AND IMPLICIT PRICE CONCESSIONS (BAD DEBT).CHMCA RESPECTIVELY SUBMITS THAT SINCE WE ACCEPT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, THAT BAD DEBTS AT COST, AS REPORTED HEREIN, REPRESENT AN UNREIMBURSED COST OF PROVIDING CARE TO THE PATIENTS WE SERVE.
PART III, LINE 8:CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON UTILIZES AN INTERNAL COST ACCOUNTING SYSTEM THAT INCORPORATES INFORMATION DIRECTLY EXTRACTED FROM OUR EPIC PATIENT ACCOUNTING SOFTWARE AND ALLOCATES OVERHEAD EXPENSES TO REVENUE PRODUCING DEPARTMENTS TO DEVELOP COSTS. WE BELIEVE THAT REPORTING PROGRAM CHARGES, COSTS, AND PAYMENTS DIRECTLY FROM INTERNAL COST ACCOUNTING SYSTEM ALONG WITH SIMILAR CALCULATIONS FOR SERVICES RENDERED TO PATIENTS ENROLLED IN MEDICARE ADVANTAGE PLANS AND PATIENTS ENROLLED IN TRICARE IS THE MOST ACCURATE METHODOLOGY TO CALCULATE UNREIMBURSED MEDICARE AND OTHER MEANS-TESTED GOVERNMENT PROGRAM COSTS. TO AVOID DOUBLE-COUNTING OF COSTS REPORTED ELSEWHERE IN THE SCHEDULE, GROSS COSTS FOR OTHER REPORTABLE ITEMS HAVE BEEN REDUCED BY THE TOTAL GOVERNMENT PAYOR MIX PERCENTAGE (55.2%) AS REPORTED ON OUR INTERNAL PAYOR MIX REPORT.
PART III, LINE 9B:CHMCA'S POLICY APPLIES TO ALL PATIENTS - INSURED, UNDERINSURED, AND UNINSURED. THE POLICY OUTLINES THE STATEMENT CYCLE, ONCE A SELF-PAY BALANCE IS REACHED, A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE MAY BE IDENTIFIED ANY TIME DURING THE REVENUE CYCLE. IF A PATIENT HAS BEEN DETERMINED TO MEET FINANCIAL ASSISTANCE GUIDELINES, FREE OR DISCOUNTED CARE, THE ACCOUNT WILL NOT BE TRANSFERRED TO A COLLECTION AGENCY.
PART VI, LINE 2:IN ADDITION TO OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN 2022, CHMCA CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019 TO ASSESS THE PRIMARY SERVICE AREAS SURROUNDING OUR AKRON AND MAHONING VALLEY CAMPUSES. ALONG WITH THE CHNA, WE REGULARLY 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, AND EVALUATE THE NEED FOR PRIMARY, SECONDARY AND TERTIARY SERVICES THROUGHOUT OUR SERVICE AREA. IN ADDITION, WE ENGAGE IN MULTIPLE EFFORTS TO GAUGE THE NEEDS OF OUR COMMUNITY THROUGH PERIODIC SURVEYS OF THE POPULATION, FOCUSING ON PARENTAL AWARENESS AND PREFERENCE OF PEDIATRIC HEALTH CARE SERVICES, AND ESTIMATING ACTUAL USE OF SERVICES FROM ALL PROVIDERS. WE ARE ACTIVELY REPRESENTED IN DOZENS OF COMMUNITY GROUPS, AND GATHER INPUT FROM THESE GROUPS BOTH BY ACTIVE PARTICIPATION AND BY COLLECTING AND REVIEWING COMPREHENSIVE DATA SETS AND STUDIES PRODUCED BY SUCH GROUPS, INCLUDING SCHOOL DISTRICTS, HEALTH AND HUMAN SERVICE AGENCIES, AND CHARITABLE AND ADVOCACY GROUPS. WE MAKE AN EFFORT TO LISTEN TO OUR STAFF, SEEKING AND RECEIVING FEEDBACK FROM OUR 6,600+ STAFF AND THOUSANDS OF VOLUNTEERS AND PHYSICIANS, WHO COLLECTIVELY PROVIDE A RICH SOURCE OF INFORMATION REGARDING COMMUNITY NEEDS AND OPPORTUNITIES. FINALLY, WE ACTIVELY SOLICIT INPUT FROM OUR PATIENTS AND THEIR PARENTS FROM OUR PARENT ADVISORY COMMITTEE, AND GATHER FEEDBACK THROUGH PATIENT SURVEY RESULTS AND VIA MULTIPLE WRITTEN AND ELECTRONIC (WEB-BASED) TOOLS.
PART VI, LINE 3:-CHMCA PROVIDES EDUCATION TO PATIENTS TO INFORM THEM THAT THEY MAY QUALIFY FOR CARE AT NO CHARGE OR AT A REDUCED CHARGE IN A VARIETY OF WAYS:- CHMCA HAS SIGNAGE AT ITS REGISTRATION SITES TO INFORM PATIENTS THAT THEY MAY QUALIFY FOR FREE HOSPITAL CARE. APPLICATIONS FOR FREE CARE ARE AVAILABLE AT REGISTRATION SITES AND THROUGHOUT THE HOSPITAL (REQUIRED BY THE OHIO MEDICAID HOSPITAL CARE ASSURANCE PROGRAM (HCAP) RULES). - CHMCA HAS INFORMATION REGARDING ELIGIBILITY FOR FREE CARE ON BILLING STATEMENTS MAILED TO PATIENTS AND THEIR GUARANTORS. - CHMCA EMPLOYS FINANCIAL COUNSELORS TO EXPLAIN THE HOSPITAL'S FREE CARE, CHARITY CARE, AND THE VARIOUS PUBLIC ASSISTANCE PROGRAMS TO UNINSURED AND UNDERINSURED PATIENTS. - CHMCA'S WEBSITE PROVIDES PATIENTS WITH INFORMATION RELATING TO THE HOSPITAL'S FREE CARE, CHARITY CARE AND VARIOUS PUBLIC ASSISTANCE PROGRAMS AVAILABLE.- CHMCA CONTRACTS WITH AN INDEPENDENT VENDOR TO SCREEN PATIENTS FOR PUBLIC ASSISTANCE ELIGIBILITY AND COMPLETION AND SUBMISSION OF PUBLIC ASSISTANCE APPLICATIONS.
PART VI, LINE 4:FOUNDED IN 1890, CHMCA BEGAN AS A DAY NURSERY AND IS NOW A WORLD-CLASS PEDIATRIC HEALTH CARE INSTITUTION SERVING A REGION OF MORE THAN 25 COUNTIES SPREAD ACROSS NORTHEAST AND NORTH-CENTRAL OHIO, IN ADDITION TO TWO COUNTIES ON THE BORDER OF WESTERN PENNSYLVANIA. APPROXIMATELY 54.3% OF THE PATIENTS WE TREAT ARE COVERED BY MEDICAID. ALSO, WE SERVE AS THE MEDICAL HOME FOR CHILDREN WHO ARE PART OF PRIORITY POPULATIONS OR VULNERABLE COMMUNITIES. THESE INCLUDE FAMILIES LIVING IN POVERTY, BOTH WITHIN THE URBAN CORE AND THE RURAL FRINGE; CHILDREN WHO ARE PART OF THE CHILD WELFARE AND JUVENILE JUSTICE SYSTEMS; CHILDREN FROM NON-ENGLISH SPEAKING FAMILIES (SUCH AS RECENT IMMIGRANTS AND REFUGEES FROM SOUTHEAST ASIA, THE MIDDLE EAST, AND PARTS OF AFRICA); AND THE AMISH. WE HAVE DEDICATED PROVIDERS FROM THE AMISH COMMUNITY AT THE NEW LEAF CENTER IN WAYNE COUNTY, WHERE WE SPECIALIZE IN TREATING CHILDREN WITH SPECIAL NEEDS DUE TO INHERITED DISORDERS. AN EXPANDING FOOTPRINT MEANS WE CAN NOW SAY WE SERVE CHILDREN AND FAMILIES THROUGHOUT EASTERN OHIO. A PARTNERSHIP WITH MARIETTA MEMORIAL HOSPITAL IN THE SOUTHEASTERN REGION OF THE STATE BORDERING WEST VIRGINIA LAID GROUNDWORK FOR OPENING OFFICES IN MARIETTA AND BELPRE, OHIO IN 2023. THESE COMMUNITIES LACKED ACCESS TO PEDIATRIC SUBSPECIALTY CARE, WITH FAMILIES OFTEN TRAVELING LONG DISTANCES TO AKRON OR COLUMBUS. THE PRIMARY COUNTIES IN THE SERVICE AREA THAT WERE ASSESSED AS A PART OF THE CHNA IN 2022 WERE ASHLAND, COLUMBIANA, LORAIN, MAHONING, MEDINA, PORTAGE, RICHLAND, STARK, SUMMIT, TRUMBULL, TUSCARAWAS AND WAYNE. WITHIN THESE COUNTIES IS A DIVERSE AND VARIED POPULATION OF APPROXIMATELY 1.8 MILLION. MAJOR CITIES IN THE REGION ARE AKRON (SUMMIT COUNTY), YOUNGSTOWN (MAHONING COUNTY), AND CANTON (STARK COUNTY). POPULATION TRENDS SHOW MOST COUNTIES IN THE REGION HAVE EXPERIENCED SLIGHT DECLINES OR STABILITY SINCE THE 2020 CENSUS.THE RACIAL AND ETHNIC COMPOSITION VARIES SIGNIFICANTLY ACROSS THE REGION. COMPARED TO THE STATE AVERAGE, THE REGION HAS A HIGHER PROPORTION OF RESIDENTS WHO ARE WHITE. SUMMIT COUNTY AND LORAIN COUNTY HAVE SIGNIFICANT HISPANIC/LATINX POPULATIONS AND A HIGHER PERCENTAGE OF NON-WHITE RESIDENTS OVERALL. NOTABLY, SUMMIT COUNTY HAS A HIGHER PERCENTAGE OF ASIAN AND FOREIGN-BORN RESIDENTS, LIKELY DUE TO ITS STATUS AS A RESETTLEMENT HUB FOR REFUGEE AND IMMIGRANT FAMILIES FROM NATIONS IN SOUTH ASIA, THE MIDDLE EAST, AND AFRICA. MAHONING COUNTY AND SUMMIT COUNTY HAVE HIGHER BLACK OR AFRICAN-AMERICAN POPULATIONS THAN THE STATE AVERAGE, EACH MAKING UP MORE THAN 15% OF THE TOTAL POPULATION.EDUCATIONAL ATTAINMENT LEVELS SHOW VARIABILITY ACROSS THE COUNTIES, BUT GENERALLY, THE REGION'S EDUCATIONAL ATTAINMENT IS SLIGHTLY LOWER THAN THE STATE AVERAGE. MEDINA COUNTY IS AN EXCEPTION, CORRELATING WITH A HIGHER PER CAPITA INCOME AND THE LOWEST POVERTY RATE IN THE REGION. THE OVERALL ECONOMIC WELL-BEING OF RESIDENTS IN THE REGION TENDS TO BE BELOW THE STATE AVERAGE, WITH SEVERAL COUNTIES DESIGNATED AS MEDICALLY UNDERSERVED AREAS (MUAS) OR MEDICALLY UNDERSERVED POPULATIONS (MUPS) DUE TO ECONOMIC CHALLENGES AND RURAL CONDITIONS WHERE HEALTH CARE SERVICES ARE NOT EASY TO ACCESS CLOSE TO HOME. IN PARTICULAR, THE MAHONING VALLEY (COMPRISED OF MAHONING, TRUMBULL, AND COLUMBIANA COUNTIES) IS CONSIDERED PART OF APPALACHIA AND HAS EXPERIENCED A MORE SIGNIFICANT ECONOMIC DEPRESSION COMPARED TO OTHER PARTS OF THE REGION. RICHLAND COUNTY ALSO HAS A LOWER CAPITA INCOME AND HIGHER POVERTY RATE COMPARED TO THE STATE.ACROSS THE REGION, THERE IS A NOTICEABLE TREND OF A HIGHER PROPORTION OF OLDER ADULTS (65 AND OLDER) COMPARED TO THE STATE OF OHIO, HOWEVER, WAYNE COUNTY HAS A GROWING PROPORTION OF BOTH CHILDREN (0-18 YEARS OLD) AND OLDER ADULTS.
LINE 5, PROMOTION OF COMMUNITY HEALTH:CHMCA INTENDS THAT ALL OF ITS ACTIVITIES EITHER DIRECTLY PROVIDE HEALTH CARE TO ALL CHILDREN WHO REQUEST OUR SERVICES OR PROMOTE THE HEALTH OF THE COMMUNITY, BOTH BY DIRECT INVESTMENTS IN THE DELIVERY OF PEDIATRIC HEALTHCARE SERVICES AND IN PROVIDING SPECIALIZED INPATIENT AND OUTPATIENT CARE FOR PATIENTS OF ALL AGES THROUGHOUT NORTHEAST OHIO. CHMCA WAS FOUNDED ON THE PRINCIPLE OF SERVING THE NEEDS OF OUR COMMUNITY. WITHIN OUR DOORS, THIS MEANS TREATING ALL CHILDREN AS IF THEY WERE OUR OWN, TURNING NO CHILD OR FAMILY AWAY BASED ON THEIR ABILITY TO PAY. CHMCA'S GOVERNING BOARD OF DIRECTORS IS COMPRISED OF MEMBERS OF THE COMMUNITY THAT MAKES UP THE HOSPITAL'S PRIMARY SERVICE AREA. CHMCA EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITIES WE SERVE. CHMCA'S EXCELLENT REPUTATION IS THE RESULT OF THE SKILLS AND EXPERIENCE OF OUR MEDICAL STAFF AND THE HEALTH PROFESSIONALS WITH WHOM WE COLLABORATE. WE VALUE OUR PARTNERSHIP WITH PRIMARY CARE PHYSICIANS AND REFERRING PROVIDERS AND WORK TOGETHER TO COORDINATE THE CARE OF CHILDREN. CHMCA BRINGS PEDIATRIC PRIMARY CARE FOR BABIES, CHILDREN AND TEENS TO AN EXPANDING LIST OF EASTERN OHIO NEIGHBORHOODS THROUGH OUR NETWORK OF PEDIATRICIAN OFFICES. EACH OFFICE IS STAFFED WITH BOARD-CERTIFIED PEDIATRICIANS AND EXPERIENCED STAFF. CHMCA ALSO OPERATES REGIONAL HEALTH CENTERS THAT BRING PRIMARY CARE, A RANGE OF SPECIALTY CARE SERVICES, AND AT SOME LOCATIONS, URGENT CARE, UNDER THE SAME ROOF. WE MAKE MAJOR INVESTMENTS OF OUR FUNDS AND OTHER RESOURCES IN EDUCATION FOR LAY AND PROFESSIONAL PERSONS AND IN RESEARCH THAT WILL IMPROVE HEALTH CARE FOR ALL CHILDREN. WE TAKE AN ACTIVE ROLE IN ADVOCATING FOR IMPROVED HEALTH AND IMPROVED ACCESS TO HEALTH CARE FOR ALL. SERVICES AND ACTIVITIES PROVIDED BY CHMCA BENEFIT AND/OR PROMOTE HEALTH TO THE RESIDENTS IN THE COMMUNITIES WE SERVE. THE PRIMARY BENEFIT TO OUR COMMUNITIES IS PROVIDING HEALTH CARE FOR MORE THAN 1,000,000 CHILDREN ANNUALLY. IN ADDITION, WE ENGAGE IN COMMUNITY BUILDING ACTIVITIES, AS DEPICTED IN PART II OF THIS SCHEDULE. IN 2023, CHMCA OPERATED TWO HOSPITAL CAMPUSES IN NORTHEAST OHIO PROVIDING INPATIENT AND OUTPATIENT SERVICES, SIX REGIONAL HEALTH CENTERS AND MORE THAN 56 PRIMARY AND SPECIALTY CARE OFFICES THROUGHOUT OHIO. THERE WERE 99,046 EMERGENCY DEPARTMENT VISITS, 10,591 INPATIENT ADMISSIONS, 20,399 SURGERIES, AND MORE THAN 1.27 MILLION TOTAL OUTPATIENT VISITS.PARENTS AND MEMBERS OF CHMCA'S FAMILY-CENTERED CARE COMMITTEE ESTABLISHED THE PARENT ADVISORY COUNCIL IN 1995. IT PROVIDES A WAY FOR PARENTS AND GUARDIANS TO OFFER INPUT ON ISSUES THAT IMPACT THE CARE OF CHILDREN. THE COUNCIL INCLUDES PARENTS WHOSE CHILDREN HAVE RECEIVED CARE AT CHMCA. ADVISORS WORK WITH HOSPITAL LIAISONS TO REPRESENT THE VOICE OF FAMILIES AS WE WORK TOGETHER TO ENHANCE THE DELIVERY OF FAMILY-CENTERED CARE. CHMCA'S PAUL AND CAROL DAVID FOUNDATION BURN INSTITUTE PROVIDES SPECIALIZED INPATIENT AND OUTPATIENT CARE FOR BURN VICTIMS OF ALL AGES THROUGHOUT NORTHEAST OHIO. CHMCA IS ONE OF ONLY TWO PEDIATRIC HOSPITALS IN THE COUNTRY THAT TREATS ADULT BURN PATIENTS. EACH YEAR THE BURN INSTITUTE LEADS DOZENS OF OUTREACH AND EDUCATION ACTIVITIES ON FIRE SAFETY, IN ADDITION TO BURN SURVIVORSHIP SUPPORT GROUPS AND CAMPS. THE REBECCA D. CONSIDINE RESEARCH INSTITUTE (RI) IS THE HUB FOR RESEARCH ACTIVITY. THE RI FACILITATES SPONSORED CLINICAL STUDIES AND INTERNAL INVESTIGATOR-INITIATED RESEARCH PROGRAMS ACROSS A SPECTRUM OF RESEARCH SUBJECTS. IT ALSO OFFERS RESEARCH-ORIENTED EDUCATIONAL OPPORTUNITIES FOR FELLOWS, STUDENTS AND FACULTY FROM AROUND THE GLOBE. IN 2023, THE RI RECEIVED A NATIONAL INSTITUTE OF HEALTH GRANT FOR AUTISM RESEARCH THAT IS THE FIRST OF ITS KIND. OUR ADULT CONGENITAL HEART SERVICE PROVIDES ONGOING MONITORING AND SPECIALIZED CARE FOR ADULTS WITH CONGENITAL HEART DISEASE. AS CHILDREN WITH CONGENITAL HEART DISEASE (CHD) BECOME ADULTS, THEY CAN ACCESS LIFETIME CARE THROUGH OUR CENTER. THE CYSTIC FIBROSIS CENTER PROVIDES DIAGNOSIS AND TREATMENT TO CHILDREN AND ADULTS WITH CYSTIC FIBROSIS (CF), INCLUDING RESPIRATORY THERAPY, PHYSICAL THERAPY, GENETIC COUNSELING AND NUTRITION COUNSELING. THE CENTER ALSO ACTIVELY PARTICIPATES IN CLINICAL TRIALS TO RESEARCH NEW DRUG THERAPIES TO MANAGE CF. THE GENETIC CENTER OFFERS DIAGNOSTIC EVALUATION AND MEDICAL MANAGEMENT OF GENETIC CONDITIONS, BIRTH DEFECTS AND DEVELOPMENTAL DELAYS, AS WELL AS GENETIC TESTING AND GENETIC COUNSELING FOR PEDIATRIC AND ADULT PATIENTS. OUR MATERNAL FETAL TREATMENT CENTER PROVIDES GENETIC COUNSELING AND OBSTETRIC/DELIVERY SERVICES TO HIGH-RISK PREGNANT WOMEN IN THE REGION. CHMCA IS A LEVEL I PEDIATRIC TRAUMA CENTER. OUR TRAUMA SERVICES DEPARTMENT PARTICIPATES IN SEVERAL RESEARCH AND QUALITY/PERFORMANCE IMPROVEMENT EFFORTS TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF CRITICALLY ILL OR INJURED PATIENTS. IN 2023, OUR DIVERSITY, EQUITY AND INCLUSION DEPARTMENT CONTINUED TO FOCUS AND ALIGN ITS EFFORTS AROUND STAFF EDUCATION AND ENGAGEMENT, PATIENT SATISFACTION, AND HEALTH DISPARITIES. WE HIRED TWO NEW POSITIONS TO MANAGE THE DEPARTMENT AND TRAIN STAFF IN DEI TOPICS. UNDER THE DEI UMBRELLA, THE HEALTH EQUITY STEERING COMMITTEE (HESC) AIMS TO ENSURE THAT ALL OF OUR PATIENTS AND FAMILIES RECEIVE HIGH QUALITY, EVIDENCE-BASED AND EQUITABLE CARE. THE HESC MAKES RECOMMENDATIONS TO THE DEI STEERING COMMITTEE AND IMPLEMENTS INITIATIVES TO SUPPORT KEY EQUITABLE OUTCOMES. IN 2023 THIS TEAM CONTINUED TO REFINE AND TRACK DISPARITY DATA ON PATIENT OUTCOMES THROUGH A HEALTH EQUITY SCORECARD, WHICH REPRESENTS ONE OF OUR CHNA FOCUS AREAS. CHMCA HAS WORKED OVER THE YEARS TO EMBED BEHAVIORAL HEALTH SERVICES WITHIN OUR NETWORK OF PRIMARY CARE OFFICES, THROUGH INTERNAL STAFFING AND FORMAL RELATIONSHIPS WITH COMMUNITY AGENCIES PROVIDING THEM. THIS MODEL HAS ALLOWED FOR PRIMARY CARE PROVIDERS TO BETTER MANAGE PATIENTS WITH MILD TO MODERATE BEHAVIORAL HEALTH NEEDS AND COORDINATE THEIR CARE CLOSE TO HOME, WHICH RESERVES THE TIME AND EXPERTISE OF SPECIALISTS SUCH AS PSYCHOLOGISTS AND PSYCHIATRISTS FOR THE HIGHEST ACUITY PATIENTS. IN 2023, WE OPENED TWO NEW REGIONAL BEHAVIORAL HEALTH CENTERS (RBHCS) - IN MANSFIELD AND CANTON, OHIO. OUR FIRST RBHC WAS OPENED IN 2019 AT OUR MAHONING VALLEY CAMPUS. THE NEWEST LOCATIONS WERE CAREFULLY SELECTED BASED ON PATIENT ACCESS AND MEDICAID CLAIMS DATA. OUR TEAM MAINTAINS STRONG RELATIONSHIPS WITH COMMUNITY BEHAVIORAL HEALTH AGENCIES THAT OPERATE NEAR EACH RBHC, WHICH INVOLVES MEETING QUARTERLY TO REVIEW AND DISCUSS REFERRALS TO STRENGTHEN THE CONTINUUM OF CARE. ADDITIONALLY, BEHAVIORAL HEALTH TEAM MEMBERS HAVE WORKED CLOSELY WITH LOCAL COLLEGES AND UNIVERSITIES AND ITS INTERNAL CAREER LAUNCH PROGRAM TO CREATE INTERNSHIPS AND BUILD INTERNAL CAREER PATHWAYS, SO THAT QUALIFIED PROFESSIONALS ARE NOT BEING RECRUITED AWAY FROM THE SMALLER BEHAVIORAL HEALTH AGENCIES WHO BADLY NEED THEM. THESE EFFORTS WERE PART OF OUR CHNA IMPLEMENTATION STRATEGY UNDER MENTAL AND BEHAVIORAL HEALTH FOR 2023-2025, AND THE STRATEGIES FOCUS CHIEFLY ON OUR COMMITMENT TO ACCESS. OUR CRISIS CARE SERVICE LINE, PSYCHIATRIC INTAKE RESPONSE CENTER (PIRC) OPERATES A 24/7 TELEPHONE TRIAGE SERVICE FOR HIGH-ACUITY BEHAVIORAL HEALTH CONCERNS, AND IS HOUSED IN THE EMERGENCY DEPARTMENTS AT OUR AKRON AND BOARDMAN CAMPUSES. PIRC IS STAFFED BY MASTER'S LEVEL MENTAL HEALTH THERAPISTS WHO PERFORM RISK ASSESSMENTS USING EVIDENCED BASED SCREENING AND ASSESSMENT TOOLS TO DETERMINE PATIENTS' OVERALL LEVEL OF RISK OF HARM TO SELF OR OTHERS ALONG WITH THE APPROPRIATE TREATMENT DISPOSITION. THESE RECOMMENDATIONS ARE THEN SHARED WITH THE ATTENDING PHYSICIAN AND THE PSYCHIATRIST ON CALL IF AN INPATIENT ADMISSION IS INDICATED. SAFETY PLANNING IS FACILITATED WITH THE PATIENT AND PARENT OR LEGAL GUARDIAN, AND REFERRALS MAY BE MADE TO AKRON CHILDREN'S SERVICES OR THOSE AVAILABLE IN THE COMMUNITY AS APPROPRIATE. IN 2023, PIRC STAFF COLLABORATED WITH THE SUMMIT COUNTY JUVENILE COURT TO DEVELOP DECISION-MAKING AIDS AND WORKFLOWS FOR WHEN TO HOSPITALIZE A JUVENILE VERSUS BRING THEM INTO LEGAL CUSTODY. THIS REPRESENTED A COLLABORATION THAT DIRECTLY IMPACTS A POPULATION OF HIGHLY VULNERABLE YOUTH. CHMCA'S PUBLIC SAFETY DEPARTMENT SUPPORTS OUR FOCUS ON MENTAL HEALTH BY PROMOTING CRISIS INTERVENTION TRAINING (CIT) FOR ITS OFFICERS AND OTHER LOCAL LAW ENFORCEMENT. WE ESTABLISHED A SPECIALIZED UNIT CALLED BEHAVIORAL RESPONSE AGAINST VIOLENCE ESCALATION (B.R.A.V.E.) WHICH INCORPORATES CIT CORE PRINCIPLES AND UTILIZES COLLABORATION, DE-ESCALATION, EDUCATION, AND UNDERSTANDING, WHILE TAKING A TRAUMA INFORMED APPROACH. AS A RESULT OF THIS PROGRAM, THE COMMUNITY IN WHICH THESE OFFICERS SERVE HAS SEEN A REDUCTION OF VIOLENT BEHAVIOR IN THE MENTALLY ILL POPULATION, SPECIFICALLY JUVENILES, AND REDUCTION IN USE OF FORCE ENCOUNTERS ACROSS ALL DEMOGRAPHICS.
LINE 5, PROMOTION OF COMMUNITY HEALTH CONTINUED:CHMCA'S NEONATOLOGY DEPARTMENTS IN AKRON AND BOARDMAN OFFER INTENSIVE CARE TO SICK AND PREMATURE NEWBORNS. ABOUT 1/4 OF THESE INFANTS HAVE BEEN IN UTERO FOR FEWER THAN 32 WEEKS, 5 WEEKS LESS THAN WHAT IS CONSIDERED NECESSARY FOR FULL GESTATION. SOME OF THEM ARE AS YOUNG AS 24 WEEKS AND WEIGH IN AT LESS THAN A KILOGRAM. CHMCA'S NEONATAL TEAM IS COMMITTED TO PROVIDING THE MOST EFFECTIVE AND EFFICIENT CARE FOR OUR TINIEST PATIENTS AND GIVING PARENTS THE EMOTIONAL AND PRACTICAL SUPPORT THEY NEED. FURTHERMORE, CHMCA IS PART OF THE VERMONT OXFORD NETWORK, A COLLABORATION OF HEALTH PROFESSIONALS FROM MORE THAN 1200 NICUS AROUND THE WORLD WHO FOCUS ON RESEARCH, EDUCATION AND PROJECTS THAT IMPROVE THE QUALITY AND SAFETY OF MEDICAL CARE FOR NEWBORNS AND THEIR FAMILIES. CHMCA'S NEONATAL EXPERTISE EXPANDS BEYOND THE LEVEL III NICU AT OUR AKRON CAMPUS. WE ALSO OWN AND OPERATE NEWBORN SPECIAL CARE NURSERIES AT CLEVELAND CLINIC AKRON GENERAL MEDICAL CENTER AND SUMMA HEALTH'S AKRON CITY HOSPITAL IN AKRON; AULTMAN HOSPITAL IN CANTON; MERCY HEALTH LORAIN; WOOSTER COMMUNITY HOSPITAL; CHMCA'S BEEGHLY CAMPUS IN BOARDMAN; ST. ELIZABETH BOARDMAN HOSPITAL, AND ST. JOSEPH WARREN HOSPITAL. A SPECIALLY EQUIPPED AMBULANCE AND PEDIATRIC TRANSPORT TEAM HANDLES THE TRANSFER OF THE NEWBORNS REQUIRING THE LEVEL III NEONATAL INTENSIVE CARE PROVIDED AT CHMCA IN DOWNTOWN AKRON. CHMCA'S POPULATION HEALTH DEPARTMENT PROVIDES CASE MANAGEMENT AND CARE COORDINATION SERVICES THROUGHOUT THE HOSPITAL'S SERVICE AREA, WORKING WITH PATIENTS ON A "HIGH RISK" REGISTRY TO IMPROVE HEALTH OUTCOMES AND ENHANCE QUALITY OF LIFE. THESE PATIENTS ARE GENERALLY INCOME LIMITED AND MEDICALLY COMPLEX, AND OFTEN HAVE A HIGH NO-SHOW RATE TO THEIR SCHEDULED APPOINTMENTS AND/OR NUMEROUS HOSPITALIZATIONS AND EMERGENCY DEPARTMENT VISITS IN A 12-MONTH PERIOD. LOCATED AT CHMCA'S MAHONING VALLEY CAMPUS IS THE CHRONIC CARE EDUCATION AND SUPPORT CENTER (CCESC), WHICH DELIVERS CHRONIC DISEASE PREVENTION AND SELF-MANAGEMENT PROGRAMMING TO CHILDREN AND THEIR FAMILIES. THE DEPARTMENT DOES NOT GENERATE REVENUE FOR THESE SERVICES, AND PROGRAMS MEET SPECIFIED CRITERIA OF NATIONALLY ACCREDITED DISEASE MANAGEMENT PROGRAMS AND CHMCA CRITERIA AND MONITORING REQUIREMENTS. THROUGH POPULATION HEALTH, CHMCA SERVES AS A CONTRACTED COORDINATING AGENCY COLLABORATING WITH LOCAL PATHWAYS COMMUNITY HUBS. FOR OUR AKRON FACILITY, THIS INCLUDES AKRON-SUMMIT COMMUNITY ACTION, STARK COMMUNITY ACTION COALITION, AND COMMUNITY HEALTH ACTION PROJECT. THESE HUBS SERVE SUMMIT, STARK, PORTAGE, MEDINA, WAYNE, RICHLAND, ASHLAND, KNOX, HURON, CRAWFORD, AND MORROW COUNTIES. WE ALSO WORK WITH MAHONING VALLEY HUB, WHICH SERVES MAHONING AND TRUMBULL COUNTIES. CHMCA AND THE HUBS PROVIDE BIDIRECTIONAL REFERRALS OF WOMEN WHO ARE PREGNANT AND UP TO ONE YEAR POSTPARTUM, INCREASING THEIR ACCESS TO RESOURCES SUCH AS PRENATAL CARE, FOOD AND HOUSING ASSISTANCE, ADULT EDUCATION, TOBACCO CESSATION SERVICES, AND OTHERS. COMMUNITY HEALTH WORKERS (CHWS), INCLUDING THOSE EMPLOYED BY CHMCA, HELP TO NAVIGATE THESE WOMEN THROUGH SYSTEMS, ENSURING THEY RECEIVE THE RESOURCES NEEDED TO PROVIDE A HEALTHY ENVIRONMENT FOR THEMSELVES AND THEIR CHILDREN. CHMCA ALSO EMPLOYES CHWS WHO WORK WITH PATIENT FAMILIES OUTSIDE OF THE HUBS. IN ADDITION, CHMCA IS A NURSE-FAMILY PARTNERSHIP SERVICE PROVIDER, WITH CHILDREN'S HOME CARE GROUP NURSES PROVIDING HOME VISITS TO PREGNANT WOMEN AND THEIR BABIES UP TO TWO YEARS POSTPARTUM. CHMCA'S POPULATION HEALTH DEPARTMENT HAS WORKED TO IMPLEMENT UNIVERSAL SOCIAL DETERMINANTS OF HEALTH SCREENING FOR AMBULATORY SERVICE LINES. WE UTILIZE THE FINDHELP PLATFORM TO MAKE REFERRALS TO COMMUNITY AGENCIES WHO SUPPORT FAMILIES' SOCIAL NEEDS AND TRACK FOLLOW-THROUGH TO OPTIMIZE THE OUTCOME FOR EACH REFERRAL. WE HAVE MANY ADDITIONAL VALUE-ADDED SUPPORTS IN PLACE FOR FAMILIES, INCLUDING TRANSPORTATION ASSISTANCE THROUGH THE ROUNDTRIP APP. STAFF FROM MULTIPLE DISCIPLINES INCLUDING SOCIAL WORK AND INFORMATION SERVICES COLLABORATED ON ROUNDTRIP'S IMPLEMENTATION. AS A SYSTEM, WE BOOKED MORE THAN 7,500 RIDES IN ROUNDTRIP IN 2023, AND OUR IS TEAM WORKED TO INTEGRATE ROUNDTRIP INTO OUR ELECTRONIC MEDICAL RECORD, CREATING EFFICIENCIES IN UTILIZATION AND TRACKING. CHMCA PARTNERS WITH THE LOCAL NONPROFIT, COMMUNITY LEGAL AID SERVICES, ON THE HEALTH, EDUCATION, ADVOCACY AND LAW (HEAL) PROJECT, A MEDICAL-LEGAL PARTNERSHIP THAT PROVIDES PRIORITY LEGAL ASSISTANCE TO FAMILIES MEETING ELIGIBILITY REQUIREMENTS. FAMILIES ARE ASSISTED WITH LANDLORD/TENANT RELATIONS, STUDENT INDIVIDUALIZED EDUCATION PROGRAM (IEP) SUPPORT, PUBLIC BENEFITS NAVIGATION, DOMESTIC VIOLENCE SITUATIONS, AND OTHER LEGAL MATTERS. CHMCA'S EXTERNAL AFFAIRS DEPARTMENT OFFERS A VARIETY OF COMMUNITY HEALTH EDUCATION AND OUTREACH PROGRAMS TO CHILDREN AND FAMILIES THROUGHOUT THE SERVICE AREA. THESE INCLUDE INJURY PREVENTION PROGRAMS ON CHILD PASSENGER SAFETY, PEDESTRIAN SAFETY, TEEN SAFE DRIVING AND SAFE SLEEP, AND REACH OUT AND READ, A PROGRAM THAT PROMOTES EARLY CHILDHOOD LITERACY BY DISTRIBUTING BOOKS TO CHMCA PRIMARY CARE OFFICES TO PROVIDE CHILDREN DURING WELL VISITS. WE ALSO COORDINATE STAFFING AND RESOURCES FOR OUTREACH EVENTS IN OUR COMMUNITIES, BASED ON IDENTIFIED NEEDS AND ALIGNMENT WITH STRATEGIC PRIORITIES. IN 2023, WE COORDINATED MORE THAN 120 EVENTS IN 13 COUNTIES, REACHING AN ESTIMATED 85,000-PLUS COMMUNITY MEMBERS. OUR STAFF'S STRONG COMMUNITY PRESENCE AND RELATIONSHIPS WITH TRUSTED AGENCIES MAKE US WELL POSITIONED TO RESPOND TO COMMUNITY NEEDS IN EFFICIENT AND EFFECTIVE WAYS. IN 2023, CHMCA'S EXTERNAL AFFAIRS DEPARTMENT PARTNERED WITH THE AKRON CANTON REGIONAL FOODBANK IN OPENING AN ONSITE FOOD PANTRY TO SERVE PATIENT FAMILIES EXPERIENCING FOOD INSECURITY. WHILE OUR 'FOOD FARMACY' IS SUPPORTED PRIMARILY BY OHIO DEPARTMENT OF MEDICAID FUNDING, WE HAVE INVESTED IN INFRASTRUCTURE TO SUPPORT ITS OPERATIONS. THE FOOD FARMACY SERVES INCOME ELIGIBLE FAMILIES WITH EMERGENT FOOD NEEDS. HOSPITAL DEPARTMENTS MAY REFER PATIENT FAMILIES DURING APPOINTMENTS AND NAVIGATE THEM TO THE FOOD FARMACY TO SELECT THE ITEMS OF THEIR CHOICE. THE PROGRAM PROVIDES CULTURALLY APPROPRIATE FOODS THROUGH A PARTNERSHIP WITH A SMALL LOCAL BUSINESS IN THE NORTH HILL COMMUNITY, AND DURING SUMMER MONTHS, DISTRIBUTES PRODUCE HARVESTED FROM THE HOSPITAL'S ONSITE EDUCATION AND WELLNESS GARDEN. THESE EFFORTS ARE ALIGNED WITH OUR CHNA'S PRIORITY OF COMMUNITY BASED HEALTH AND WELLNESS AND COMMITMENT TO ACCESS. EXTERNAL AFFAIRS CONTINUED YOUTH SUICIDE PREVENTION INITIATIVES IN 2023, COORDINATING AND CO-CHAIRING THE SUMMIT COUNTY YOUTH SUICIDE PREVENTION SUBCOMMITTEE AND PARTICIPATING ALONGSIDE OUR BEHAVIORAL HEALTH DIVISION ON THE ZERO SUICIDE PEDIATRIC INITIATIVE. THROUGH THIS COLLABORATION, WE DISTRIBUTED GUN CABLE LOCKS AND LOCKBOXES TO FAMILIES AS A STRATEGY TO LIMIT CHILDREN'S ACCESS TO LETHAL MEANS. WE CONTINUED TO PARTNER WITH COMMUNITY AGENCIES TO EXPAND ACCESS TO EDUCATION AND TRAINING OPTIONS SUCH AS THE QUESTION, PERSUADE, REFER GATEKEEPER COURSE. YOUTH SUICIDE PREVENTION REPRESENTS ANOTHER STRATEGY AREA UNDER OUR MENTAL AND BEHAVIORAL HEALTH CHNA PRIORITY. CHMCA'S SCHOOL HEALTH SERVICES SUPPORTS THE ACADEMIC SUCCESS OF CHILDREN THROUGH HEALTH PROMOTION, EDUCATION AND CHILD ADVOCACY. WHILE WE HAVE NURSING STAFF IN OVER 40 DISTRICTS THROUGHOUT THE SERVICE AREA, RECENT EFFORTS HAVE FOCUSED ON EXPANSION OF OUR SCHOOL BASED HEALTH CENTER (SBHC) MODEL. SBHCS CREATE AN ACCESSIBLE, CONNECTED COMMUNITY OF CARING ADULTS AROUND EACH STUDENT TO KEEP THEM IN CLASS AND LEARNING. THIS HAS BEEN A FOCUS OF OUR CHNA IMPLEMENTATION STRATEGY FOR COMMUNITY BASED HEALTH AND WELLNESS. IN THE 2022-2023 SCHOOL YEAR, THERE WERE 5,774 TOTAL VISITS AT OUR SBHCS, 17% OF WHICH WERE COMPREHENSIVE WELL CHILD VISITS; WE ARE ON TRACK TO DOUBLE THIS PERCENTAGE IN THE 2023-2024 ACADEMIC YEAR. IN 2023, THE SCHOOL HEALTH TEAM COORDINATED AND EXECUTED A SERIES OF SUMMER WELLNESS EVENTS AT LOCAL SCHOOLS AND TWO COMMUNITY SITES INCLUDING HOPE AND HEALING SURVIVOR RESOURCE CENTER AND SAFE LANDING YOUTH SHELTER, TO REACH FAMILIES AND CHILDREN EXPERIENCING BARRIERS TO ACCESSING CARE. OUR FOCUS ON TRAUMA INFORMED SCHOOLS ALSO EXPANDED IN 2023, AS WE WORKED WITH FUNDERS TO BUILD OUR CAPACITY TO OFFER TRAUMA INFORMED CARE EDUCATION AND SUPPORT TO SCHOOL PERSONNEL IN THE MAHONING VALLEY.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (31 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
AKRON AREA YMCA
50 S MAIN ST STE LL100AKRONOH44308340714727501(C)(3)$7,500$0GENERAL SUPPORT
AKRON BASEBALL LLC
300 SOUTH MAIN STAKRONOH44308990379765501(C)(3)$50,000$0GENERAL SUPPORT
AKRON COMMUNITY FOUNDATION
345 WEST CEDAR STAKRONOH44307341087615501(C)(3)$7,500$0GENERAL SUPPORT
AKRON COMMUNITY SERVICE CENTER & URBAN LEAGUE
440 VERNON ODOM BLVDAKRONOH44307340714520501(C)(3)$13,500$0GENERAL SUPPORT
AKRON MARATHON CHARITABLE CORP
155 E VORIS STREETAKRONOH443111513421531773501(C)(3)$10,000$0GENERAL SUPPORT
AKRON ZOOLOGICAL PARK
500 EDGEWOOD AVENUEAKRONOH44307346003866501(C)(3)$19,200$0GENERAL SUPPORT
ANGEL AUCTION
2600 6TH ST SWCANTONOH44710208090459501(C)(3)$6,200$0GENERAL SUPPORT
AUTISM SOCIETY GREATER AKRON
703 S MAIN STAKRONOH44311471129984501(C)(3)$10,000$0GENERAL SUPPORT
BOUNCE INNOVATION HUB
526 S MAIN ST STE 609EAKRONOH44331823351373501(C)(3)$100,000$0GENERAL SUPPORT
CANTON REGIONAL CHAMBER OF COMMERCE
222 MARKET AVENUE NCANTONOH44702340129930501(C)(3)$6,500$0GENERAL SUPPORT
CEREBRAL PALSY RESEARCH NETWORK
PO BOX 8347GREENVILLESC29604474901704501(C)(3)$15,000$0GENERAL SUPPORT
CITY OF NORTH CANTON
145 N MAIN STNORTH CANTONOH44720346002037501(C)(3)$15,469$0GENERAL SUPPORT
COLUMBIANA CO EDUC SERVICE CTR
38720 SALTWELL ROADLISBONOH44432341566369501(C)(3)$7,000$0GENERAL SUPPORT
CONSERVANCY FOR CUYAHOGA
1403 WEST HINES HILL ROADPENINSULAOH44264341917257501(C)(3)$5,500$0GENERAL SUPPORT
FEARLESS FIGHTERS FOUNDATION INC
3900 DARROW RD UNIT 1686STOWOH44224872850975501(C)(3)$7,500$0GENERAL SUPPORT
GREAT LAKES THEATER FESTIVAL INC
1501 EUCLID AVENUE SUITE 300CLEVELANDOH44115340901212501(C)(3)$10,000$0GENERAL SUPPORT
GREATER AKRON AMENITIES
77 E MILL STAKRONOH44308010675880501(C)(3)$25,000$0GENERAL SUPPORT
GREATER AKRON CHAMBER OF COMMERCE
388 S MAIN ST STE 205AKRONOH44311341156576501(C)(3)$16,750$0GENERAL SUPPORT
HWS BASEBALL VI LLC
111 EASTWOOD MALL BLVDNILESOH44446261918633501(C)(3)$38,000$0GENERAL SUPPORT
KEEP AKRON BEAUTIFUL
850 E MARKET STAKRONOH44305341341298501(C)(3)$9,000$0GENERAL SUPPORT
MAHONING COUNTY AGRICULTURAL SOCIETY
7265 COLUMBIANA CANFIELD ROADCANFIELDOH44406340764399501(C)(3)$15,000$0GENERAL SUPPORT
NATIONAL KIDNEY FOUNDATION
PO BOX 40544BAY VILLAGEOH44140131673104501(C)(3)$6,000$0GENERAL SUPPORT
NORTHERN OHIO GOLF CHARITIES FOUNDATION INC
440 EAST WARNER ROADAKRONOH44319341712857501(C)(3)$14,000$0GENERAL SUPPORT
RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST OHIO INC
10415 EUCLID AVENUECLEVELANDOH44106341269123501(C)(3)$7,500$0GENERAL SUPPORT
THE CHILDREN'S HEART FOUNDATION
5 REVERE DRNORTHBROOKIL60062364077528501(C)(3)$7,500$0GENERAL SUPPORT
THE WELL COMMUNITY DEVELOPMENT CORPORATION
647 E MARKET STAKRONOH44304812680851501(C)(3)$10,000$0GENERAL SUPPORT
THE YOUNGSTOWN BUSINESS INCUBATOR
241 W FEDERAL STREETYOUNGSTOWNOH44503341751707501(C)(3)$10,800$0GENERAL SUPPORT
WALSH JESUIT HIGH SCHOOL
4550 WYOGA LAKE RDCUYAHOGA FALLSOH44224340947373501(C)(3)$15,000$0GENERAL SUPPORT
YOUNGSTOWN PHANTOMS
229 E FRONT STREETYOUNGSTOWNOH44503542117655$12,480$0SPONSORSHIPS
YOUNGSTOWN STATE UNIVERSITY
2029 BURNING TREE LNYOUNGSTOWNOH44555943305461501(C)(3)$6,500$0GENERAL SUPPORT
YOUNGSTOWNWARREN REG CHAMBER
100 E FEDERAL STREETYOUNGSTOWNOH44503341731411501(C)(3)$23,120$0GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org30Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTOPHER A GESSNER
BOD/OFFICER-PRESIDENT AND CEO$985,843$0$405,000$0$18,806$0$274,116$0$47,709$0$1,731,474$0$0$0
ROBERT MCGREGOR MD
CHIEF MEDICAL OFFICER$547,080$0$152,625$0$419,771$0$62,339$0$23,340$0$1,205,155$0$389,396$0
MARK WULKAN MD
DEPARTMENT CHAIR SURGERY$1,025,383$0$0$0$5,670$0$23,100$0$31,756$0$1,085,909$0$0$0
ANJAY KHANDELWAL MD
DIR BURN SURGERY$611,027$0$437,435$0$3,385$0$19,551$0$4,046$0$1,075,444$0$0$0
ROBERT STEWART MD
DIRECTOR CARDIOTHORACIC SURGERY$1,010,491$0$0$0$3,589$0$23,100$0$32,329$0$1,069,509$0$0$0
KATHERINE WOLFE MD
CHIEF MATERIAL FETAIL MED SVS$750,799$0$131,345$0$122,736$0$19,800$0$32,219$0$1,056,899$0$0$0
TSULEE CHEN MD
DIRECTOR NEUROSURGERY$975,450$0$0$0$1,444$0$19,800$0$36,694$0$1,033,388$0$0$0
ABDELAZIZ SALEH MD
PERINATOLOGIST$672,080$0$142,564$0$164,412$0$21,424$0$31,533$0$1,032,013$0$0$0
SHAWN LYDEN
CHIEF STRATEGY OFFICER$662,040$0$134,772$0$31,850$0$143,975$0$23,548$0$996,185$0$0$0
LISA AURILIO
CHIEF OPERATING OFFICER$583,477$0$163,059$0$41,707$0$140,820$0$13,762$0$942,825$0$0$0
GORDON EDWARDS
BOD/OFFICER-CHIEF FINANCIAL OFFICER$672,833$0$115,000$0$1,839$0$39,783$0$46,106$0$875,561$0$0$0
MICHAEL BIGHAM MD
CHIEF QUALITY OFFICER$408,398$0$127,554$0$58,670$0$97,634$0$44,545$0$736,801$0$0$0
SHEFALI MAHESH MD
PRESIDENT OF MEDICAL STAFF/CHAIR PED$605,101$0$64,988$0$608$0$23,100$0$28,641$0$722,438$0$0$0
KERWYN JONES MD
PEDIATRIC ORTHOPEDIC SURGEON$565,119$0$60,404$0$10,346$0$29,700$0$31,151$0$696,720$0$0$0
RHONDA LARIMORE
CHIEF HUMAN RESOURCES OFFICER$369,560$0$101,010$0$1,755$0$82,085$0$44,631$0$599,041$0$0$0
ANTHEA DANIELS
BOD/OFFICER ASST SECRETARYAND CHIEF$384,924$0$122,822$0$48,551$0$6,091$0$2,647$0$565,035$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE FOLLOWING INDIVIDUALS OF THE CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON HAVE COUNTRY CLUB MEMBERSHIPS THAT ARE USED FOR BUSINESS PURPOSES WITH CURRENT AND PROSPECTIVE DONORS: CHRISTOPHER A. GESSNER - BOD/OFFICER - PRESIDENT AND CEO LISA AURILIO - CHIEF OPERATING OFFICER ROBERT MCGREGOR M.D. - CHIEF MEDICAL OFFICER SHAWN LYDEN - CHIEF STRATEGY OFFICER AN UPGRADE TO THE NEXT AVAILABLE CLASS, E.G., BUSINESS CLASS, MAY BE PERMITTED WHEN THE FLIGHT IS OUTSIDE THE CONTINENTAL UNITED STATES OR THE FLIGHT DURATION IS IN EXCESS OF FIVE HOURS; OR AN UPGRADE TO THE NEXT AVAILABLE CLASS MAY BE PERMITTED WHEN AN OVERNIGHT ACCOMMODATION CAN BE AVOIDED. AS PART OF THE RECRUITMENT PACKAGE FOR AN EXECUTIVE, HOTEL AND MOVING REIMBURSEMENT IS MADE AVAILABLE AND TAXED ACCORDINGLY.
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS BECAME PARTICIPANTS IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS DURING 2018, WHEREBY THEY BECOME VESTED PER THE TERMS OF THEIR EMPLOYMENT AGREEMENT. CHMCA IS ACCRUING FOR THE BENEFIT THAT WILL OCCUR, THEREFORE THESE AMOUNTS ARE INCLUDED IN THEIR DEFERRED COMPENSATION. DISTRIBUTIONS WERE MADE IN 2023 IN THE FOLLOWING AMOUNTS: ROBERT MCGREGOR M.D. - $389,396 SHAWN LYDEN - $0 ANTHEA DANIELS - $0 CHRISTOPHER GESSNER - $0 MICHAEL BIGHAM - $0 LISA AURILIO - $0 CHMCA HAS A SUPPLEMENTAL NONQUALIFIED PLAN OPEN TO SELECTED EMPLOYEES WHEN WAGES EXCEED THE MAXIMUM THRESHOLD FOR THE QUALIFIED RETIREMENT PLANS. THE AMOUNTS ARE CALCULATED IN THE FOLLOWING YEAR OF EARNINGS AND EITHER PAID TO THE EMPLOYEE IF THEY ARE VESTED AS TAXABLE INCOME OR PUT INTO THE PLAN UNTIL VESTED AND THEN PAID.
PART I, LINE 7CHMCA DOES HAVE CONTRACTS WITH CERTAIN PHYSICIANS THAT EARN BONUSES BASED ON WORK RELATIVE VALUE UNITS (WRVU'S). PHYSICIANS WORK RVU: THE RELATIVE LEVEL OF TIME, SKILL, TRAINING, AND INTENSITY TO PROVIDE A GIVEN SERVICE. EACH CURRENT PROCEDURAL TERMINOLOGY (CPT) CODE IS TARGETED FOR REVIEW AT LEAST EVERY FIVE YEARS TO DETERMINE THE WORK RVU FOR A PARTICULAR SERVICE. A CODE WITH A HIGHER RVU WORK TAKES MORE TIME, MORE INTENSITY OR SOME COMBINATION OF THE TWO. BONUSES ARE BASED ON PERFORMANCE AND OTHER METRICS BUT FINAL DECISIONS ARE DISCRETIONARY BY THE BOARD. THE CEO'S BONUS IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD. CEO RECOMMENDS FOR APPROVAL THE EXECUTIVES BONUSES TO THE BOARD AND THEY APPROVE THEM. THE CEO APPROVES THE VICE PRESIDENTS BONUSES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT
A341448680009730QS42022-05-12$83,892,4262022A - REFUND PRIOR ISSUE000
AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT
B341448680009730NB42023-05-15$90,905,0002023 - REFUND PRIOR ISSUEYes (1)00

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$7,230,000$83,892,426$196,856$932,000$82,763,5702013Yes (1)0Yes (1)Yes (1)
B$90,905,000$90,905,00020150Yes (1)Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)
B00Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)0Yes (1)000Yes (1)
B000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
B0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART I, BOND ISSUE:FormAndLineReferenceDesc
Explanation(A) ISSUER NAME: AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT (A)(F) DESCRIPTION OF PURPOSE WAS TO REFUND A SERIES 2012 AND SERIES 2013B BOND ISSUES FOR CAPITAL IMPROVEMENTS TO THE AKRON CAMPUS. (B) ISSUER NAME: AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT (B)(F) DESCRIPTION OF PURPOSE: TO REFUND BONDS USED TO REFINANCE THE CONSTRUCTION OF AN APPROXIMATELY 366,000 SQUARE FOOT KAY JEWELERS PAVILION ON THE AKRON CAMPUS.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
BWK ENGINEERING
FAMILY OF BOARD MEMBER, LISA BANDWEN OWNS MORE THAN 35% OF BWK ENGINEERING$182,281ENGINEERING DESIGN SERVICES0
BETSY BRYSON
FAMILY MEMBER OF KEY EMPLOYEE, SHAWN LYDEN$139,174EMPLOYEE0
SUSAN BLAKEMORE
FAMILY MEMBER OF KEY EMPLOYEE, SHAWN LYDEN$103,349EMPLOYEE0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE DULY ELECTED, QUALIFIED AND ACTING DIRECTORS AND THE ACTIVE MEMBERS OF THE WOMEN'S BOARD OF AKRON CHILDREN'S HOSPITAL ARE MEMBERS OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7AACCORDING TO THE CODE OF REGULATIONS OF CHMCA, FIVE OF THE MEMBERS SHALL CONSIST OF THE WOMEN'S BOARD OF CHMCA AND SHALL HOLD SUCH POSITION FOR A PERIOD OF TWO YEARS OR UNTIL THEIR SUCCESSORS ARE ELECTED AND QUALIFIED. THE HOSPITAL'S CHIEF EXECUTIVE OFFICER AND PRESIDENT, CHIEF MEDICAL OFFICER, CHAIRMAN OF THE DEPARTMENT OF SURGERY, AND THE CURRENTLY SERVING NOAH MILLER CHAIR FOR PEDIATRICS SHALL EACH BE A MEMBER OF THE BOARD OF DIRECTORS. IN ADDITION, THE ELECTED PRESIDENT OF THE MEDICAL STAFF WILL BE A MEMBER OF THE BOARD OF DIRECTORS AND CHAIR OF THE FOUNDATION BOARD. THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS AND CHAIR OF THE FOUNDATION BOARD SHALL BE ELECTED BY THE MEMBERS OF CHMCA. A DIRECTOR SHALL BE ELECTED FOR A THREE-YEAR TERM. EACH DIRECTOR SHALL SERVE UNTIL THEIR SUCCESSOR IS ELECTED AND QUALIFIED. A DIRECTOR MAY RENEW UP TO THREE (3) THREE YEAR TERMS. UPON UNANIMOUS RESOLUTION OF THE MEMBERS, A FORMER CHAIR WHO AFTER SUCH TERM EXPIRES, SHALL BECOME A DIRECTOR EMERITUS. THE DIRECTOR'S RESPONSIBILITIES INCLUDE: ENSURING THAT CHMCA FULFILLS ITS DUTY TO SERVE THE COMMUNITY BENEFIT PURPOSE, INCLUDING THE HOSPITAL'S MISSION OF IMPROVING THE HEALTH OF CHILDREN THROUGH OUTSTANDING QUALITY PATIENT CARE, EDUCATION, ADVOCACY, COMMUNITY SERVICE, AND RESEARCH BY CONTINUING TO SATISFY THE FEDERAL TAX LAWS AROUND MAINTAINING CHARITABLE AND PUBLIC BENEFIT STATUS WHILE NOT ENGAGING IN PRIVATE INUREMENTS. THE BOARD SHALL GOVERN THE AFFAIRS OF CHMCA AND ITS PROPERTY. THE CORPORATE POWERS, PROPERTY, AND AFFAIRS OF CHMCA SHALL BE EXERCISED, CONDUCTED, AND CONTROLLED BY THE DIRECTORS. THE EXECUTIVE COMMITTEE MEMBERSHIP IS DELINEATED IN THE CODE OF REGULATIONS.
FORM 990, PART VI, SECTION A, LINE 7BSUBJECT TO THE DIRECTION AND CONTROL OF THE DIRECTORS, OR THE EXECUTIVE COMMITTEE OF THE BOARD, THE MANAGEMENT OF THE HOSPITAL SHALL BE VESTED IN THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE CHIEF EXECUTIVE OFFICER SHALL, IN ALL MATTERS PERTAINING TO HOSPITAL ADMINISTRATION, REPRESENT THE BOARD OF DIRECTORS AND SHALL BE RESPONSIBLE TO THEM RESPECTIVELY FOR THE PROPER PERFORMANCE OF DUTIES. IT SHALL BE THE DUTY OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER TO MAKE KNOWN AND ENFORCE ALL RULES AND REGULATIONS WHICH SHALL BE MADE BY AND UNDER THE AUTHORITY OF THE BOARD OF DIRECTORS OR THE EXECUTIVE COMMITTEE OF THE BOARD. IN ALL CASES OF DISPUTED AUTHORITY OR UNCERTAINTY AS TO THE MEANING OF THE REGULATIONS, THE DECISION OF THE CHIEF EXECUTIVE OFFICER IS ABSOLUTE UNTIL A RULING IS RENDERED BY THE BOARD OF DIRECTORS, PRESIDENT, AND THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE AND CHAIRMAN OF THE BOARD OF DIRECTORS OF CHMCA FOR REVIEW AND DISCUSSION PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE. THE AUDIT COMMITTEE IS A COMMITTEE OF THE BOARD OF DIRECTORS AND EMPOWERED TO COMPLETE THE REVIEW ON BEHALF OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CIT IS CHMCA'S POLICY THAT ALL EMPLOYEES, BOARD MEMBERS, AND OFFICERS DISCLOSE REAL AND APPARENT CONFLICTS OF INTEREST AS A CONDITION OF EMPLOYMENT WITH CHMCA. CHMCA ALSO REQUIRES THAT EACH EMPLOYEE, BOARD MEMBER, AND OFFICER DISCLOSE IN WRITING, ANNUALLY, A LIST OF ALL BUSINESSES OR OTHER ORGANIZATIONSIN WHICH HE/SHE (OR AN IMMEDIATE FAMILY MEMBER) IS AN OFFICER, MEMBER, OWNER, SHAREHOLDER, TRUSTEE OR EMPLOYEE FOR WHICH HE/SHE ACTS AS AN AGENT OR MIGHT REASONABLY IN THE FUTURE ENTER INTO A RELATIONSHIP OR TRANSACTION IN WHICH THE EMPLOYEE COULD HAVE A DUALITY OF INTEREST. IF A SITUATION ARISES IN WHICH THERE IS A DUALITY OF INTEREST, OR A QUESTION OF DUALITY OF INTEREST, AND, AS SUCH, POTENTIAL FOR A CONFLICT OF INTEREST, IT IS THE PRIMARY RESPONSIBILITYOF THE INDIVIDUAL DIRECTLY INVOLVED AND RESPONSIBILITY OF OTHER PERSONNEL, TO THE EXTENT THAT THEY BECOME AWARE OF A DUALITY OF INTEREST, TO MAKE IMMEDIATE AND COMPLETE DISCLOSURE TO THE APPROPRIATE VICE PRESIDENT. HE/SHE WILL REVIEW THE SITUATION WITH THE CHIEF HUMAN RESOURCES OFFICER WHO WILL PRESENT IT TO THE PRESIDENT AND CEO OR THEIR DESIGNEE. IT IS THE RESPONSIBILITY OF THE PRESIDENT AND CEO OR THE DESIGNEE TO EVALUATE ANY CIRCUMSTANCES IN WHICH A DUALITY OF INTEREST EXISTS, (IF KNOWN, WHEN DISCLOSED OR UNDISCLOSED), TO DETERMINE WHETHER SUCH CONFLICT IS SO SUBSTANTIAL THAT IT IS DEEMED TO BE DETRIMENTAL TO CHMCA. ANY EMPLOYEE WHO IS DIRECTLY OR INDIRECTLY INVOLVED IN A SITUATION WHICH REPRESENTS A DUALITY OF INTEREST, AND AS SUCH, A POTENTIAL CONFLICT OF INTEREST, WILL ABIDE BY THE FOLLOWING POLICIES: (1) INDIVIDUAL WILL NOT BE PERMITTED ACCESS TO ANY INFORMATION WHICH MAY PROVIDE AN UNFAIR ADVANTAGE TO THAT INDIVIDUAL OR THE FIRM HE/SHE REPRESENTS. (2) INDIVIDUAL WILL BE REQUIRED TO WITHDRAW FROM ANY MEETING IN WHICH THE MATTER IS DISCUSSED. (3) INDIVIDUAL WILL NOT BE PERMITTED TO PARTICIPATE IN DELIBERATION OR VOTE ON THE MATTER AND WILL BE REQUIRED TO LEAVE THE ROOM DURING VOTING. (4) ANY EMPLOYEE IS EXPRESSLY PROHIBITED FROM RELEASING ANY "SENSITIVE INFORMATION"REGARDING A DECISION MADE OR BEING CONSIDERED TO ANY PERSON WHO MAY HAVE A DUALITY OF INTEREST, AND AS SUCH, A POTENTIAL CONFLICT OF INTEREST. (5) ANY ATTEMPT ON THE PART OF AN EMPLOYEE TO UNFAIRLY INFLUENCE OR IMPACT THE DECISION-MAKING PROCESS IN FAVOR OF PERSONAL INTEREST MAY BE CONSIDERED BREACH OF TRUST AND MAY BE CAUSE FOR REMOVAL FROM HIS/HER POSITION OF RESPONSIBILITYOR OTHER DISCIPLINARY ACTION UP TO AND INCLUDING DISCHARGE.
FORM 990, PART VI, SECTION B, LINE 15CHMCA'S EXECUTIVE TOTAL COMPENSATION PROGRAM IS GOVERNED BY THE COMPENSATION COMMITTEE (COMMITTEE) OF THE BOARD OF DIRECTORS. KEY COMMITTEE RESPONSIBILITIES INCLUDE: (A) ENSURE EXECUTIVE TOTAL COMPENSATION IS APPROPRIATE IN LIGHT OF CHMCA'S MISSION AND VALUES, AND (B) APPROVE AN EXECUTIVE COMPENSATION PHILOSOPHY, THE ASSOCIATED PROGRAMS, AND ALL COMPENSATION ACTIONS FOR INDIVIDUAL EXECUTIVES. THE COMMITTEE IS COMPRISED OF INDEPENDENT MEMBERS OF CHMCA'S BOARD WHO HAVE NO PERSONAL INTEREST IN ANY EXECUTIVE COMPENSATION TRANSACTION. SHOULD A POTENTIAL CONFLICT OF INTEREST BE IDENTIFIED, THE COMMITTEE DETERMINES THE EXTENT OF THE CONFLICT AND THE MEANS TO ADDRESS IT. IN CERTAIN CASES, A COMMITTEE MEMBER MAY BE ASKED NOT TO PARTICIPATE IN DISCUSSIONS OF, OR VOTE ON, A PARTICULAR COMPENSATION TRANSACTION. THE COMMITTEE FOLLOWS ALL STEPS REQUIRED BY THE INTERNAL REVENUE SERVICE TO QUALIFY FOR THE SAFE HARBOR UNDER THE INTERMEDIATE SANCTIONS REGULATIONS. THE COMMITTEE REVIEWS MARKET COMPENSATION DATA FOR COMPARABLE POSITIONS AT SIMILAR ORGANIZATIONS WHICH ARE COMPILED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE USES THE DATA TO MAKE EXECUTIVE DECISIONS AND DOCUMENTS ITS COMPENSATION DELIBERATIONS AND DECISIONS IN A TIMELY MANNER. AN INDEPENDENT SALARY SURVEY WAS COMPLETED IN 2023 AND RECOMMENDATIONS WERE PROVIDED AND PRESENTED BY THE INDEPENDENT CONSULTANT TO THE COMMITTEE FOR APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19CHMCA MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, CERTAIN GOVERNING DOCUMENTS ARE LOCATED ON THE OHIO SECRETARY OF STATE'S WEBSITE. THE FINANCIAL STATEMENTS ARE ALSO DISCLOSED ON THE EMMA (ELECTRONIC MUNICIPAL MARKET ACCESS) WEBSITE.
FORM 990, PART VI, LINE 16B:CHMCA HAS MADE INVESTMENTS IN LIMITED LIABILITY OR LIMITED PARTNER ORGANIZATIONS ON A LIMITED BASIS TO SUPPORT THE DOWNTOWN AKRON AS WELL AS YOUNGSTOWN COMMUNITIES WITH THE GOAL OF ATTRACTING NEW BUSINESS TO THOSE AREAS. FURTHER, CHMCA HAS INVESTED IN A LIMITED BASIS ON INNOVATIVE IDEAS TO IMPROVE HEALTHCARE. ALL JOINT VENTURES ARE REVIEWED TO ENSURE EXEMPTION IS NOT AT RISK.
FORM 990, PART XI, LINE 9:INVESTMENT IN FOUNDATION -41,346,464. OTHER CHANGES IN NET ASSETS -246,762. CHANGE IN PENSION PLAN REQUIREMENTS -6,208,806. CHANGE IN POST RETIREMENT REQUIREMENTS -1,546,722. LOSS ON EXTINGUISHMENT OF DEBT 445,042. TRANSFERS FROM FOUNDATION 74,399,379. DIVIDEND FROM CDIC 35,000,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
AKRON CHILDREN'S HOSPITAL FOUNDATION
ONE PERKINS SQUAREAKRONOH44308237114013FOUNDATIONOH501(C)(3)LINE 7CHMCAYes (1)
CHILD DIMENSIONS INSURANCE COMPANY
ONE PERKINS SQUAREAKRONOH44308030317160INSURANCEVT501(C)(3)LINE 12A, ICHMCAYes (1)
AKRON CHILDREN'S HEALTH COLLABORATIVE
ONE PERKINS SQUAREAKRONOH44308870853487ACCOUNTABLE CARE ORGANIZATIONOH501(C)(4)LINE 12A, ICHMCAYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1GAMUT QUALITY IMPROVEMENT COLLABORATIVE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line168 RAVENNA STREET 463AddressLine1Txt
CityHUDSONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44236ZIPCd
FieldValueIRS element (for citing)
EIN871832345EIN
Primary ActivitiesCONTRACT MANAGEMENTPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL MED CENTER OF AKRONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$67,861ShareOfTotalIncomeAmt
Share Of EOY Assets$245,829ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.60000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (1)DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
AKRON CHILDRENS HEALTH COLLABORATIVE
Q$5,865,650ACTUAL PER GL
AKRON CHILDRENS HEALTH COLLABORATIVE
L$112,237,396ACTUAL PER GL
CHILD DIMENSIONS INSURANCE COMPANY
Q$3,738,772ACTUAL PER GL
AKRON CHILDRENS HOSPITAL FOUNDATION
Q$1,586,810ACTUAL PER GL
AKRON CHILDRENS HOSPITAL FOUNDATION
C$12,729,806ACTUAL PER GL
AKRON CHILDRENS HOSPITAL FOUNDATION
O$4,246,376ACTUAL PER GL
AKRON CHILDRENS HOSPITAL FOUNDATION
S$74,399,379ACTUAL PER GL
CHILD DIMENSIONS INSURANCE COMPANY
F$35,000,000ACTUAL PER GL