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CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON (EIN 34-0714357)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202323189349315992
Schema version
2022v5.0
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)
Return2023-11-14T16:39:51-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

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 Begin2022-01-01TaxPeriodBeginDt

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
Signature2023-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGORDONPersonFirstNm
Person LastEDWARDSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY CIMINELLOPreparerPersonNm
PTINP00796388PTIN
Phone2483757100PhoneNum
Preparation2023-11-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

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$1,770,019,405GrossReceiptsAmt
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 Body30VotingMembersGoverningBodyCnt
Voting Members Independent25VotingMembersIndependentCnt
Total Employee8223TotalEmployeeCnt
Total Volunteers912TotalVolunteersCnt
Total Gross UBI$276,861TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$16,021,034PYContributionsGrantsAmt
CY Contributions Grants$20,114,563CYContributionsGrantsAmt
PY Program Service Revenue$1,123,755,021PYProgramServiceRevenueAmt
CY Program Service Revenue$1,176,233,927CYProgramServiceRevenueAmt
PY Investment Income$39,875,247PYInvestmentIncomeAmt
CY Investment Income$5,361,953CYInvestmentIncomeAmt
PY Other Revenue$6,715,151PYOtherRevenueAmt
CY Other Revenue$6,361,331CYOtherRevenueAmt
PY Total Revenue$1,186,366,453PYTotalRevenueAmt
CY Total Revenue$1,208,071,774CYTotalRevenueAmt
PY Grants And Similar Paid$3,064,040PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,166,285CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$642,828,864PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$703,156,319CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$376,634,243PYOtherExpensesAmt
CY Other Expenses$421,608,258CYOtherExpensesAmt
PY Total Expenses$1,022,527,147PYTotalExpensesAmt
CY Total Expenses$1,125,930,862CYTotalExpensesAmt
PY Revenues Less Expenses$163,839,306PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$82,140,912CYRevenuesLessExpensesAmt
Total Assets BOY$2,008,652,850TotalAssetsBOYAmt
Total Assets EOY$1,981,794,990TotalAssetsEOYAmt
Total Liabilities BOY$564,707,101TotalLiabilitiesBOYAmt
Total Liabilities EOY$565,331,293TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,443,945,749NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,416,463,697NetAssetsOrFundBalancesEOYAmt
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$897,661,689ExpenseAmt
Grant$1,166,285GrantAmt
Revenue$1,176,233,927RevenueAmt
DescCHMCA IS THE LARGEST PEDIATRIC HEALTHCARE SYSTEM IN NORTHEAST OHIO, OPERATING ONE HOSPITAL WITH TWO CAMPUSES IN NORTHEAST OHIO, INCLUDING INPATIENT AND OUTPATIENT SERVICES, 2 EMERGENCY DEPARTMENTS, 4 URGENT CARES, 35 PEDIATRICIAN OFFICES, AND MORE THAN 60 PRIMARY & SPECIALTY LOCATIONS. DURING 2022, CHMCA SERVED OVER 1,200,000 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$897,661,689TotalProgramServiceExpensesAmt
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 FootnoteYes (1)IncludeFIN48FootnoteInd
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 Document415IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee8223EmployeeCnt
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 Members30GoverningBodyVotingMembersCnt
Independent Voting Member25IndependentVotingMemberCnt
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 (50 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTOPHER GESSNER
PRESIDENT & CEO40.005.00Yes (X)Yes (X)$1,015,692$0$248,210
ROBERT MCGREGOR MD
DIRECTOR / CHIEF MEDICAL OFFICER46.002.00Yes (X)Yes (X)$763,436$0$127,907
SHEFALI MAHESH MD
DEPARTMENT CHAIR OF PEDIATRICS48.0013.00Yes (X)$458,259$0$40,210
VIRGINIA C ADDICOTT
CHAIR OF BOARD OF DIRECTORS19.001.00Yes (X)Yes (X)$0$0$0
LISA M BANDWEN
SECRETARY14.000.00Yes (X)Yes (X)$0$0$0
ROBERT C BERK
DIRECTOR7.000.00Yes (X)$0$0$0
TIMOTHY M BURKE
DIRECTOR/CHAIR FINANCE COMMITTEE4.000.00Yes (X)$0$0$0
PAUL N CATANIA
DIRECTOR1.000.00Yes (X)$0$0$0
PATRICK M COVEY
DIRECTOR1.000.00Yes (X)$0$0$0
VIRGINIA C DROSOS
DIRECTOR1.000.00Yes (X)$0$0$0
PAUL M DUTTON
DIRECTOR3.001.00Yes (X)$0$0$0
WILLIAM M HOPKINS
DIRECTOR1.000.00Yes (X)$0$0$0
MONTRELLA S JACKSON
DIRECTOR1.000.00Yes (X)$0$0$0
WILLIAM KELLEHER
DIRECTOR1.000.00Yes (X)$0$0$0
JOAN LAUCK
DIRECTOR1.000.00Yes (X)$0$0$0
KARA LEWIS
DIRECTOR1.000.00Yes (X)$0$0$0
MICHELLE M LUECKE
DIRECTOR1.000.00Yes (X)$0$0$0
REV LEWIS MACKLIN
DIRECTOR1.000.00Yes (X)$0$0$0
JOHN F MAYER
DIRECTOR1.000.00Yes (X)$0$0$0
STEPHEN E MYERS
DIRECTOR1.000.00Yes (X)$0$0$0
JOHN C ORR
DIRECTOR1.000.00Yes (X)$0$0$0
RICHARD S ROGERS
DIRECTOR1.000.00Yes (X)$0$0$0
MARGARET L STALTER
DIRECTOR1.000.00Yes (X)$0$0$0
GLEN L STEPHENS
DIRECTOR1.000.00Yes (X)$0$0$0
SHELLEY TAYLOR
DIRECTOR1.000.00Yes (X)$0$0$0
BARBARA J VARLEY
DIRECTOR1.000.00Yes (X)$0$0$0
ROBERT J WELLS
DIRECTOR1.000.00Yes (X)$0$0$0
DARREN R WELLS
DIRECTOR1.000.00Yes (X)$0$0$0
MICHAEL FORBES MD
INTERIM CHAIR OF PEDIATRICS40.000.00Yes (X)$453,289$0-$64,229
MARK WULKAN MD
CHAIR OF SURGERY40.000.00Yes (X)$1,038,618$0$43,357
ALICIA LAMANCUSA
TREASURER - PART YEAR40.005.00Yes (X)$615,367$0-$185,457
ANTHEA DANIELS
ASST SEC /CHIEF LEGAL OFFICER46.005.00Yes (X)$558,764$0$103,678
GORDON EDWARDS
CFO AND TREASURER - PART YEAR50.000.00Yes (X)$220,119$0$6,508
LISA AURILIO
CHIEF OPERATING OFFICER46.001.00$1,082,363$0-$51,106Yes (X)
CHRSTINE YOUNG
CHIEF NURSING OFFICER50.000.00$667,324$0$112,125Yes (X)
SHAWN LYDEN
CHIEF STRATEGY OFFICER48.003.00$849,365$0$141,590Yes (X)
HARUN RASHID
CHIEF INFORMATION OFFICER50.000.00$563,826$0$125,555Yes (X)
MICHAEL BIGHAM MD
CHIEF QUALITY OFFICER50.001.00$567,078$0$128,221Yes (X)
RHONDA LARIMORE
CHIEF HUMAN RESOURCES OFFICER50.000.00$478,159$0$120,039Yes (X)
MICHELE BROWN
CHIEF DEVELOPMENT OFFICER2.0050.00$0$418,106$74,419Yes (X)
CRAIG MCGHEE
CHIEF NON HOSPITAL SVS OFFICER50.000.00$381,991$0$18,693Yes (X)
KRISTENE GRAYEM
CHIEF POPULATION HEALTH OFFICER48.0020.00$384,136$0-$219,347Yes (X)
BERNETT WILLIAMS
CHIEF DIVERSITY, EQUITY, INCLUSION OFFICER50.000.00$345,886$0$82,795Yes (X)
KATHERINE WOLFE MD
CHIEF MATERIAL FETAL MED SVS50.000.00$1,054,012$0$50,417Yes (X)
ROBERT STEWART MD
DIRECTOR CARDIOTHORACIC SURGERY50.000.00$1,015,668$0$54,022Yes (X)
ABDELAZIZ SALEH MD
PERINATOLOGIST50.000.00$1,016,433$0$49,986Yes (X)
TSULEE CHEN MD
NEUROSURGEON48.001.00$979,453$0$38,870Yes (X)
JODI REGAN MD
PERINATOLOGIST50.000.00$971,088$0$0Yes (X)
GRACE WAKULCHIK
FORMER PRESIDENT48.002.00$1,883,276$0$0Yes (X)
WILLIAM CONSIDINE
CEO EMERITUS48.003.00$72,856$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$17,436,458TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$418,106TotReportableCompRltdOrgAmt
Total Other Compensation$1,046,463TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1179IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
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
5930 CORNERSTONE COURT WEST SUITESAN DIEGOCA92121CLINICAL TEMP SVCS$13,341,980
MCKESSON PLASMA & BIOLOGICSLLC
2615 MEDICAL CENTER PARKWAY SUITEMURFREESBOROTN37129MEDICAL SERVICES$12,447,800
MARCUS THOMAS LLC
4781 RICHMOND ROADCLEVELANDOH44128BROADCAST MEDIA$6,429,473
PEDIATRIC & ADOLESCENT UROLOGY
215 W BOWERY STREET SUITE 3500AKRONOH44308MEDICAL SERVICES$3,961,926
SUMMIT CONSTRUCTION CO LLC
1095 HOME AVENUEAKRONOH44310CONSTRUCTION SVCS$2,653,256
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K61CntrctRcvdGreaterThan100KCnt
Fundraising$677,963FundraisingAmt
Related Organizations$14,368,908RelatedOrganizationsAmt
Government Grants$4,188,992GovernmentGrantsAmt
All Other Contributions$878,700AllOtherContributionsAmt
Total Contributions$20,114,563TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621110$1,052,571,654$1,052,571,654
OTHER PROGRAM SERVICE REVENUE621110$123,662,273$123,662,273
FieldValueIRS element (for citing)
Total Program Service Revenue$1,176,233,927TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,530,547TotalRevenueColumnAmt
Unrelated Business Revenue-$14,093UnrelatedBusinessRevenueAmt
Exclusion$12,544,640ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$553,692,785SecuritiesAmt
Other$30,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$560,891,379SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$7,198,594SecuritiesAmt
Other$30,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$7,168,594TotalRevenueColumnAmt
Exclusion-$7,168,594ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$225,989FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$677,963ContriRptFundraisingEventAmt
Fundraising Direct Expenses$1,056,252FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$830,263TotalRevenueColumnAmt
Exclusion-$830,263ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA722514$3,185,098$3,185,098
OUTSIDE LAB SERVICES621500$206,398$206,398
RETAIL PHARMACY445100$84,556$84,556

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,715,542TotalRevenueColumnAmt
Exclusion$3,715,542ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,191,594OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,208,071,774TotalRevenueColumnAmt
Related Or Exempt Func Income$1,176,233,927RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$276,861UnrelatedBusinessRevenueAmt
Exclusion$11,446,423ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,166,285TotalAmt
Program Services$1,166,285ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$11,437,040TotalAmt
Management And General$11,437,040ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$541,501,225TotalAmt
Program Services$472,797,588ProgramServicesAmt
Management And General$68,703,637ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$32,026,053TotalAmt
Program Services$27,911,570ProgramServicesAmt
Management And General$4,114,483ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$83,292,300TotalAmt
Program Services$68,827,813ProgramServicesAmt
Management And General$14,464,487ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$34,899,701TotalAmt
Program Services$30,534,798ProgramServicesAmt
Management And General$4,364,903ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$987,237TotalAmt
Management And General$987,237ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$517,530TotalAmt
Management And General$517,530ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$196,713TotalAmt
Management And General$196,713ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,148,154TotalAmt
Management And General$1,148,154ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$86,366,585TotalAmt
Program Services$58,427,161ProgramServicesAmt
Management And General$27,939,424ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$11,832,033TotalAmt
Program Services$207,885ProgramServicesAmt
Management And General$11,624,148ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,776,272TotalAmt
Program Services$11,482,145ProgramServicesAmt
Management And General$2,294,127ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,936,671TotalAmt
Management And General$4,936,671ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,614,002TotalAmt
Program Services$7,163,663ProgramServicesAmt
Management And General$450,339ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,900,199TotalAmt
Program Services$2,370,894ProgramServicesAmt
Management And General$529,305ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$9,863,344TotalAmt
Program Services$3,019,642ProgramServicesAmt
Management And General$6,843,702ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$64,604,859TotalAmt
Program Services$36,968,422ProgramServicesAmt
Management And General$27,636,437ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,540,833TotalAmt
Program Services$58,665ProgramServicesAmt
Management And General$6,482,168ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL/SURGICAL SUPPLI$141,224,915$141,107,631$117,284
PROVISION FOR FRANCHISE$31,794,746$31,794,746
EQUIPMENT RENTAL/MAINTE$25,333,885$19,885,734$5,448,151
PROVISION FOR BAD DEBT$12,084,177$12,084,177

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$113,897TotalAmt
Program Services$3,647,616ProgramServicesAmt
Management And General-$3,761,513ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,125,930,862TotalAmt
Program Services$897,661,689ProgramServicesAmt
Management And General$228,269,173ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$167,338,564BOYAmt
EOY$218,750,878EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$164,695,454BOYAmt
EOY$169,576,332EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$32,031,800BOYAmt
EOY$45,521,438EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,042,057BOYAmt
EOY$10,993,922EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,147,610BOYAmt
EOY$13,969,696EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,440,698,440LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$826,352,140LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$619,241,051BOYAmt
EOY$614,346,300EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$709,042,037BOYAmt
EOY$641,163,622EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$21,719,788BOYAmt
EOY$30,561,299EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$271,376,857BOYAmt
EOY$236,893,871EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,008,652,850BOYAmt
EOY$1,981,794,990EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$146,980,967BOYAmt
EOY$186,021,060EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$188,447,856BOYAmt
EOY$83,892,426EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$81,216,504EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$80,963,920BOYAmt
EOY$79,522,641EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$148,314,358BOYAmt
EOY$134,678,662EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$564,707,101BOYAmt
EOY$565,331,293EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,320,265,716BOYAmt
EOY$1,307,787,533EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$123,680,033BOYAmt
EOY$108,676,164EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,443,945,749BOYAmt
EOY$1,416,463,697EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,008,652,850BOYAmt
EOY$1,981,794,990EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$82,140,912ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$62,453,140NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$47,169,824OtherChangesInNetAssetsAmt
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 Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$196,713OtherActivitiesAmt
Total Lobbying Expenditures$196,713TotalLobbyingExpendituresAmt
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 $196,713 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 2022 LOBBYING EXPENSES: $18,500 NATIONAL ASSOCIATION OF CHILDREN' S HOSPITALS $42,925 AMERICAN HOSPITAL ASSOCIATION $68,432 OHIO CHILDREN'S HOSPITAL ASSOCIATION $6,806 OHIO HOSPITAL ASSOCIATION $60,050 LOBBYIST CAPITAL CONSULTING GROUP $196,713 TOTAL CHILDREN'S HOSPITALS ASSOCIATION (CHA) AND AMERICAN HOSPITAL ASSOCIATION (AHA) ARE NATIONAL ORGANIZATIONS TO WHICH CHMCA IS A MEMBER ALONG WITH OTHER HOSPITALS. AS MEMBERS, THESE NATIONAL ORGANIZATIONS EXPRESS CONCERNS OF HEALTHCARE PROVIDERS IN ADVOCACY AND REPRESENTATION TO NATIONAL AND/OR STATE LEGISLATURES ON HEALTHCARE ISSUES THAT AFFECT CHMCA AND THE DELIVERY OF HEALTH CARE TO CHILDREN AND OTHER PATIENTS. AS AN EXAMPLE, CHA AND AHA HAVE 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$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,908,929BeginningYearBalanceAmt
Contributions$1,312,133ContributionsAmt
Investment Earnings Or Losses-$2,263,920InvestmentEarningsOrLossesAmt
Other Expenditures$557,496OtherExpendituresAmt
Administrative Expenses-$489,179AdministrativeExpensesAmt
End Year Balance$19,888,825EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.19166BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.10669PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.70165TermEndowmentBalanceEOYPct
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$18,006,491OtherCostOrOtherBasisAmt
Book Value$18,006,491BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$866,426,547OtherCostOrOtherBasisAmt
Depreciation$415,215,383DepreciationAmt
Book Value$451,211,164BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$57,353,788OtherCostOrOtherBasisAmt
Depreciation$21,572,461DepreciationAmt
Book Value$35,781,327BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$466,134,643OtherCostOrOtherBasisAmt
Depreciation$384,720,714DepreciationAmt
Book Value$81,413,929BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,776,971OtherCostOrOtherBasisAmt
Depreciation$4,843,582DepreciationAmt
Book Value$27,933,389BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$614,346,300TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
BENEFICIAL INT IN FOUNDATION$189,203,224
UNAMORT HEALTHCARE SERVICE$36,963,233
HTC TRANASFER FROM UNRESTRICTED$8,795,191
OTHER ASSETS$1,932,223
FieldValueIRS element (for citing)
Total Book Value Other Assets$236,893,871TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
OTHER LONG TERM LIABILITIES$57,266,508
ACCRUED POST EMPLOYMENT BENEFITS$24,667,958
OPERATING LEASE LIABILITIES$23,123,134
ACCRUED PENSION$27,047,062
RESERVE FOR LIABILITIES$2,574,000
FieldValueIRS element (for citing)
Total Liability$134,678,662TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:ENDOWMENT FUNDS RELATING TO AKRON CHILDREN'S HOSPITAL FOUNDATION AND CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ARE RELATED TO BOARD DESIGNATED FUNDS WHICH INCLUDE FUNDS WITHOUT DONOR RESTRICTION THAT HAVE BEEN INTERNALLY DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. THESE FUNDS ARE TO BE USED FOR THE SOLE PURPOSE FOR WHICH THEY WERE DESIGNED. CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON DOES HAVE A POLICY IN PLACE TO MONITOR WITHOUT DONOR RESTRICTION AND WITH DONOR RESTRICTION FUNDS.
PART X, LINE 2:CHMCA PREPARES CONSOLIDATED FINANCIAL STATEMENTS INCLUDING ITS AFFILIATED SUBSIDIARIES. CHMCA ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (ASC 740) IN 2007 WHICH REQUIRES BUSINESSES TO ANALYZE AND DISCLOSE INCOME TAX RISKS. NO DISCLOSURES WERE REQUIRED UNDER GAAP AS CHMCA DOES NOT HAVE ANY MATERIAL TAX CONTINGENCIES THAT ARE REQUIRED DISCLOSURES IN THE FOOTNOTES.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HOLIDAY TREE FESTIVALEvent1Nm
Gross Receipts Event1$480,895GrossReceiptsEvent1Amt
Charitable Contri Event1$360,671CharitableContriEvent1Amt
Gross Revenue Event1$120,224GrossRevenueEvent1Amt
Other Direct Expenses Event1$534,639OtherDirectExpensesEvent1Amt
Event2CHARITY BALLEvent2Nm
Gross Receipts Event2$128,775GrossReceiptsEvent2Amt
Charitable Contri Event2$96,581CharitableContriEvent2Amt
Gross Revenue Event2$32,194GrossRevenueEvent2Amt
Other Direct Expenses Event2$382,999OtherDirectExpensesEvent2Amt
Other Events Total7OtherEventsTotalCnt
Gross Receipts Other Events$294,282GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$220,711CharitableContriOtherEventsAmt
Gross Revenue Other Events$73,571GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$138,614OthDirectExpnssOtherEventsAmt
Gross Receipts Total$903,952GrossReceiptsTotalAmt
Charitable Contributions Tot$677,963CharitableContributionsTotAmt
Gross Revenue Total Events$225,989GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$1,056,252OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$1,056,252DirectExpenseSummaryEventsAmt
Net Income Summary-$830,263NetIncomeSummaryAmt

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$2,668,091TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,668,091NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$610,099,341TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$428,931,655DirectOffsettingRevenueAmt
Net Community Benefit Expns$181,167,686NetCommunityBenefitExpnsAmt
Total Expense0.16270TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,844,604TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,412,712DirectOffsettingRevenueAmt
Net Community Benefit Expns$431,892NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$614,612,036TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$430,344,367DirectOffsettingRevenueAmt
Net Community Benefit Expns$184,267,669NetCommunityBenefitExpnsAmt
Total Expense0.16550TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,219,276TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,342,263DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,877,013NetCommunityBenefitExpnsAmt
Total Expense0.00710TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,482,369TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,719,921DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,762,448NetCommunityBenefitExpnsAmt
Total Expense0.00790TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,467,646TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,746,365DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,721,281NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,752,197TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,562,744DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,189,453NetCommunityBenefitExpnsAmt
Total Expense0.00740TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$69,984TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$69,984NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$68,991,472TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,371,293DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,620,179NetCommunityBenefitExpnsAmt
Total Expense0.02580TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$683,603,508TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$470,715,660DirectOffsettingRevenueAmt
Net Community Benefit Expns$212,887,848NetCommunityBenefitExpnsAmt
Total Expense0.19130TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,152TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,152NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,637TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,637NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,709TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,709NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$506,509TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$506,509NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,446TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$53,446NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$577,453TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$577,453NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$12,084,177BadDebtExpenseAmt
Reimbursed By Medicare$9,610,830ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$13,323,345CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,712,515MedicareSurplusOrShortfallAmt

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 Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://TINYURL.COM/BPXZBUM3StrategyWebsiteURLTxt
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
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
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.
CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRONPART 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)
Facility61FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (61 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
1 - CHILDREN'S - BEEGHLY CAMPUS
6505 MARKET STREETYOUNGSTOWNOH44512NICU, PEDIATRIC UNIT, EMERGENCY DEPARTMENT
2 - AULTMAN HOSPITAL
2600 6TH ST SWCANTONOH447101702NICU AND PEDIATRIC UNIT
3 - ST ELIZABETH'S BOARDMAN HEALTH CENTER
8401 MARKET STBOARDMANOH445126725NICU NURSERY
4 - SUMMA HOSPITAL
525 E MARKET STAKRONOH443041619NICU NURSERY
5 - NORTH CANTON 6076 WHIPPLE
6076 WHIPPLE AVENORTH CANTONOH44720PRIMARY CARE & SPECIALTY - ACP
6 - WARREN
5000 E MARKET STWARRENOH444842259PRIMARY CARE & SPECIALTY - ACP
7 - MANSFIELD HEALTH CENTER
1029 SOUTH TRIMBLE ROADMANSFIELDOH44906PRIMARY CARE & SPECIALTY - ACP
8 - BOSTON HEIGHTS
328 EAST HINES HILL ROADHUDSONOH44236PRIMARY CARE & SPECIALTY - ACP
9 - CLEVELAND CLINIC AKRON GENERAL MEDICAL
1 AKRON GENERAL AVEAKRONOH443072432NICU NURSERY
10 - MEDINA
3443 MEDINA RDMEDINAOH442565965PRIMARY CARE & SPECIALTY - ACP
11 - GREEN
1622 EAST TURKEYFOOT LAKE RD SUITEAKRONOH443125277PRIMARY CARE & SPECIALTY - ACP100
12 - ST JOSEPH'S HOSPITAL MERCY HEALTH
667 EASTLAND AVE SEWARRENOH444844503SPECIAL CARE NURSERY
13 - NEW PHILADELPHIA
1045 W HIGH AVENEW PHILADELPHIAOH446632071PRIMARY CARE & SPECIALTY - ACP
14 - PORTAGE HEALTH CENTER
2497 STATE ROUTE 59RAVENNAOH44266PRIMARY CARE & SPECIALTY - ACP
15 - FAIRLAWN
701 WHITE POND DR SUITE 100AKRONOH443201193PEDIATRIC PRIMARY CARE - ACP
16 - MASSILLON
1149 LINCOLN WAY EMASSILLONOH44646PRIMARY CARE & SPECIALTY - ACP
17 - AMHERST HEALTH CENTER
47185 COOPER FOSTER PARK RDAMHERSTOH44053PRIMARY CARE & SPECIALTY - ACP
18 - WOOSTER COMMUNITY HOSPITAL
1761 BEALL AVEWOOSTEROH446912342NICU NURSERY
19 - PERRY TOWNSHIP
125 WHIPPLE AVE SWCANTONOH447101374PEDIATRIC PRIMARY CARE - ACP
20 - ALLIANCE
1826 S ARCH AVEALLIANCEOH446014332PRIMARY CARE & SPECIALTY - ACP
21 - WADSWORTH
323 HIGH ST SUITE AWADSWORTHOH442811869PRIMARY CARE & SPECIALTY - ACP
22 - WOOSTER
128 EAST MILLTOWN RD 209WOOSTEROH446911276NICU NURSERY
23 - BARBERTON
566 ROBINSON AVENUEBARBERTONOH442039002PEDIATRIC PRIMARY CARE - ACP
24 - HUDSON
1365 CORPORATE DR SUITE AHUDSONOH442364432PEDIATRIC PRIMARY CARE - ACP
25 - AKRON EAST
891 E EXCHANGE STAKRONOH443061127PEDIATRIC PRIMARY CARE - ACP
26 - ELLET
1463 CANTON RD SUITE AAKRONOH443124022PEDIATRIC PRIMARY CARE - ACP
27 - AUSTINTOWN
5480 NORQUEST BLVDAUSTINTOWNOH445151820PRIMARY CARE & SPECIALTY - ACP
28 - ASHLAND
2212 MIFFLIN AVE SUITE 235ASHLANDOH448058847PRIMARY CARE & SPECIALTY - ACP
29 - TWINSBURG
8054 DARROW RD SUITE 3TWINSBURGOH440872387PEDIATRIC PRIMARY CARE - ACP
30 - TALLMADGE
143 NORTHWEST AVETALLMADGEOH442781806PRIMARY CARE & SPECIALTY - ACP
31 - LISBON
400 N MARKET STLISBONOH444321146PRIMARY CARE & SPECIALTY - ACP
32 - MONTROSE URGENT CARE
4125 MEDINA RDAKRONOH443332483URGENT CARE
33 - WADSWORTH PSA
1225 HIGH STWADSWORTHOH44281PRIMARY CARE & SPECIALTY - ACP
34 - CUYAHOGA FALLS - PSA
1100 PORTAGE TRAILSCUYAHOGA FALLSOH44223PRIMARY CARE & SPECIALTY - ACP
35 - MERCY LORAIN HOSPITAL
3700 KOLBE RDLORAINOH44053SCN & PRIMARY CARE & SPECIALTY
36 - STOW GRAHAM RD
3019 GRAHAM ROADSTOWOH44224PRIMARY CARE & SPECIALTY - ACP
37 - BRECKSVILLE
7001 S EDGERTON RD SUITE 500BRECKSVILLEOH441414206PRIMARY CARE & SPECIALTY - ACP
38 - WARREN DOWNTOWN
661 MAHONING AVE NWWARRENOH444834607PEDIATRIC PRIMARY CARE - ACP
39 - LIBERTY
3530 BELMONT AVEYOUNGSTOWNOH44505PRIMARY CARE & SPECIALTY - ACP
40 - EAST LIVERPOOL - ACP
15655 STATE ROUTE 170EAST LIVERPOOLOH43920PEDIATRIC PRIMARY CARE - ACP
41 - STREETSBORO
9150 MARKET SQUARE SUITE 203STREETSBOROOH442415224PEDIATRIC PRIMARY CARE - ACP
42 - BEACHWOOD CENTER
23250 CHAGRIN BLVD SUITE325BEACHWOODOH441225417PRIMARY CARE & SPECIALTY - ACP
43 - BEACHWOOD ACHP
3733 PARK EAST DR STE 102BEACHWOODOH44122PEDIATRIC PRIMARY CARE - ACP
44 - MILLERSBURG
1261 WOOSTER RD SUITE 220MILLERSBURGOH446541570PRIMARY CARE & SPECIALTY - ACP
45 - NORWALK MEDICAL PARK II
282 BENEDICT AVENORWALKOH448572712PRIMARY CARE & SPECIALTY - ACP
46 - MEDINA EAST
313 MEDINA ROADMEDINAOH44256SPECIALTY CARE - ACP
47 - SANDUSKY
2800 HAYES AVENUESANDUSKYOH44870PRIMARY CARE & SPECIALTY - ACP
48 - OBERLIN ACP
224 W LORAIN STOBERLINOH44704PRIMARY CARE & SPECIALTY - ACP
49 - WOOSTER HEALTH CENTER
3807 FRIENDSVILLE ROADWOOSTEROH44691PRIMARY CARE & SPECIALTY - ACP
50 - MARIETTA MEMORIAL
401 MATTHEW STREETMARIETTAOH45750PRIMARY CARE & SPECIALTY - ACP
51 - CHILD ADVOCACY CENTER
213 MARKET AVE N SUITE 200CANTONOH447021440SPECIALTY CARE - ACP
52 - LIFE CENTER PLUS
5133 DARROW RDHUDSONOH442364003SPECIALTY CARE - ACP
53 - FISHER TITUS MEDICAL CENTER
272 BENEDICT AVENORWALKOH448572374PRIMARY CARE & SPECIALTY - ACP
54 - WOOSTER SPECIALTY CARE
546 WINTER ST SUITE 110WOOSTEROH446912339PRIMARY CARE & SPECIALTY - ACP
55 - HATTIE LARLHAM FOUNDATION
9772 DIAGONAL RDMANTUAOH442559128PRIMARY CARE & SPECIALTY - ACP
56 - HUDSON URGENT CARE & SPECIALTY OFFICE
5655 HUDSON DRIVEHUDSONOH442364451URGENT CARE
57 - MERCY MEDICAL CENTER
1330 MERCY DR NW SUITE 506CANTONOH447082625PRIMARY CARE & SPECIALTY - ACP
58 - NORTH CANTON SPECIALTY CARE
6100 WHIPPLE AVE NWNORTH CANTONOH447207618PRIMARY CARE & SPECIALTY - ACP
59 - SHARON HEART CENTER
740 E STATE STSHARONPA16146SPECIALTY CARE - ACP
60 - TRIPOINT MEDICAL CENTER
7580 AUBURN RD SUITE 214PAINESVILLEOH440779176SPECIALTY CARE - ACP
61 - WAYNE COUNTY CHILDREN'S ADVOCACY CENTER
1734 GASCHE STREETWOOSTEROH44691SPECIALTY CARE - ACP

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:WE BELIEVE THAT APPLYING A COST-TO-CHARGE RATIO DEVELOPED FOR THE HOSPITAL FACILITY FROM THE OHIO MEDICAID COST REPORT TO HOSPITAL CHARITY CHARGES, AS REPORTED IN DETAIL SCHEDULE USED IN THE PREPARATION OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND OTHER INFORMATION IS THE MOST ACCURATE COSTING METHODOLOGY TO CALCULATE GROSS CHARITY CARE AT COST FOR THE PERIOD. TOTAL HOSPITAL COSTS FROM THE OHIO MEDICAID COST REPORT USED IN THIS CALCULATION INCLUDE ONLY ALLOWABLE AND REIMBURSABLE COSTS. THE HOSPITAL CARE ASSURANCE PROGRAM (HCAP) IS OHIO'S METHODOLOGY TO PROVIDE ADDITIONAL PAYMENTS TO HOSPITALS THAT PROVIDE A DISPROPORTIONATE SHARE OF UNCOMPENSATED CARE TO THE INDIGENT AND UNINSURED. THE ESTIMATED HCAP AMOUNT APPLICABLE TO CHARITY CARE IS REPORTED AS DIRECT OFFSETTING REVENUE TO CHARITY CARE EXPENSE. PART I, LINE 7 (B) UNREIMBURSED MEDICAID AND 7 (C) OTHER MEANS TESTED PROGRAMSWE BELIEVE THAT REPORTING PROGRAM CHARGES, COSTS AND PAYMENTS DIRECTLY FROM CHMCA'S OHIO MEDICAID COST REPORT ALONG WITH SIMILAR CALCULATIONS FOR SERVICES RENDERED BY HOSPITAL EMPLOYED PHYSICIANS AND OTHER PROFESSIONAL PROVIDERS AND SERVICES RENDERED TO OUT-OF-STATE MEDICAID ENROLLEES IS THE MOST ACCURATE METHODOLOGY TO CALCULATE UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAM COSTS. MEDICAID COSTS REPORTED AS TOTAL COMMUNITY BENEFIT EXPENSE HAVE BEEN REDUCED BY ESTIMATED HEALTH PROFESSIONAL COSTS INCLUDED IN THE OHIO MEDICAID COST REPORT AND MEDICAID REVENUES REPORTED AS DIRECT OFFSETTING REVENUE HAS BEEN REDUCED BY ESTIMATED 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 (54.8%) AS REPORTED ON OUR INTERNAL PAYOR MIX REPORT.
PART I, LINE 7G:OUR GROUND AND AIR TRANSPORT SERVICES ARE HIGHLY SPECIALIZED FOR THE PEDIATRIC POPULATION AND ADDRESS NEEDS FOR TRAUMA/EMERGENCY MEDICAL RESPONSE THAT WOULD OTHERWISE BE UNMET OR NEARLY UNMET IN A LARGE PART OF OUR SERVICE AREA. WE RECOGNIZED THESE AS SUBSIDIZED HEALTH SERVICES IN 2022. IN 2022, CHILDREN'S HOME CARE GROUP TRANSITIONED UNDER THE CHMCA UMBRELLA. THIS SERVICE PLACES NURSES IN THE HOMES OF PATIENTS WHO ARE MEDICALLY FRAGILE OR COMPLEX AND SUPPORTS FAMILIES IN THEIR ONGOING CARE. THE UNIQUENESS OF THIS SERVICE LINE AND OVERALL FINANCIAL LOSS LED TO ITS RECOGNITION AS A SUBSIDIZED HEALTH SERVICE. 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 FIFTH YEAR AS OF 2022, THE CLINIC SERVES AS A SAFETY NET FOR DENTAL HEALTH CARE, WITH 86 PERCENT OF PATIENTS ON MEDICAID AND 30 PERCENT NON-ENGLISH SPEAKING. WE RECOGNIZED THIS AS A SUBSIDIZED HEALTH SERVICE IN 2022.CHMCA'S LOCUST PEDIATRIC CARE GROUP PROVIDES PRIMARY CARE TO OVER 1,500 REFUGEE CHILDREN, AND OTHER LOW-INCOME FAMILIES IN OUR COMMUNITY. THE HOSPITAL'S LANGUAGE ACCESS SERVICES PROGRAM CENTRALIZES AND COORDINATES LANGUAGE ACCESS INITIATIVES AND SERVICES. 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. WE RECOGNIZED THIS AS A SUBSIDIZED HEALTH SERVICE IN 2022. WE ALSO RECOGNIZED A SUBSET OF PRIMARY CARE OFFICES WITH NET FINANCIAL LOSSES THAT ARE LOCATED IN MEDICALLY UNDERSERVED COMMUNITIES (AS DESIGNATED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION) AND/OR WHERE A CONSIDERABLE PORTION OF THE POPULATION SERVED IS ECONOMICALLY DISADVANTAGED. DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS PROVIDES DIAGNOSTIC AND ONGOING SUPPORT FOR FAMILIES WITH CHILDREN WHO HAVE LEARNING, DEVELOPMENTAL, OR BEHAVIORAL PROBLEMS SUCH AS AUTISM, DOWN SYNDROME AND TICS/TOURETTE'S SYNDROME. DEMAND FOR THESE SERVICES IS HIGH, AND THE REGION OFFERS FEW OTHER SIMILAR OPTIONS. THIS WAS RECOGNIZED AS A SUBSIDIZED HEALTH SERVICE IN 2022. 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 USES AN ENHANCED SCREENING PROCESS FOR AT-RISK PATIENTS AGES 12 YEARS AND OLDER; ON AVERAGE, 80% TO 100% OF AT-RISK PATIENTS INVOLVED IN SUSPECTED CHILD ABUSE/NEGLECT INCIDENCES ARE NOW RECEIVING SCREENINGS FOR HUMAN TRAFFICKING. 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. THIS TEAM IS ABLE TO PROVIDE CONSULTATION WHEN ABUSE IS SUSPECTED OF A CHILD ON AN INPATIENT UNIT OR FROM OTHER REFERRAL SOURCES, SUCH AS OUTREACH PROGRAMMING.
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 IS $12,084,177.
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. ADDITIONALLY, WE PARTICIPATE IN A VARIETY OF OTHER 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.LOCAL EXAMPLES INCLUDE THE CITY OF AKRON'S FULL TERM FIRST BIRTHDAY INFANT VITALITY INITIATIVE AND MAHONING COUNTY'S STAND GROW THRIVE RESILIENCY MOVEMENT, AMONG OTHERS. AS A TEACHING HOSPITAL, WE PARTNER WITH DOZENS OF HIGHER EDUCATION INSTITUTIONS IN PROVIDING TRAINING AND HANDS-ON INSTRUCTION AND SHADOWING OPPORTUNITIES FOR STUDENTS WHO EMBARK ON HEALTH CARE CAREER TRAJECTORIES.FOR EXAMPLE, OUR LONGSTANDING ASSURING SUCCESS WITH A COMMITMENT TO ENHANCE NURSE DIVERSITY (ASCEND) PROGRAM PROVIDES A 10-WEEK, PAID, HANDS-ON EXPERIENCE FOR YOUNG NURSING STUDENTS WHO ARE UNDERREPRESENTED IN THE NURSING PROFESSION. 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.
PART III, LINE 2:WE BELIEVE THAT APPLYING A COST-TO-CHARGE RATIO DEVELOPED FOR THE HOSPITAL FACILITY FROM THE OHIO MEDICAID COST REPORT TO CHMCA'S PROVISION FOR BAD DEBTS IS THE MOST ACCURATE COSTING METHODOLOGY TO CALCULATE BAD DEBT AT COST FOR THE PERIOD. TOTAL HOSPITAL COSTS FROM THE OHIO MEDICAID COST REPORT USED IN THIS CALCULATION INCLUDE ONLY ALLOWABLE AND REIMBURSABLE COSTS. THEREFORE, THE COST TO CHARGE RATIO MULTIPLIED BY THE BAD DEBT EXPENSE RESULTS IN THE COST OF BAD DEBT.THE HOSPITAL CARE ASSURANCE PROGRAM (HCAP) IS OHIO'S METHODOLOGY TO PROVIDE ADDITIONAL PAYMENTS TO HOSPITALS THAT PROVIDE A DISPROPORTIONATE SHARE OF UNCOMPENSATED CARE TO THE INDIGENT AND 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 PAGES 12 & 13 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:WE BELIEVE THAT REPORTING PROGRAM CHARGES, COSTS, AND PAYMENTS DIRECTLY FROM CHMCA'S MEDICARE COST REPORT ALONG WITH SIMILAR CALCULATIONS FOR SERVICES RENDERED TO PATIENTS ENROLLED IN MEDICARE ADVANTAGE PLANS AND PATIENTS ENROLLED IN TRICARE IS THE MOST ACCURATE METHODOLOGY TO CALCULATE UNREIMBURSED MEDICARE AND OTHER MEANS-TESTED GOVERNMENT PROGRAM COSTS. TO AVOID DOUBLE-COUNTING OF COSTS REPORTED ELSEWHERE IN THE SCHEDULE, GROSS COSTS FOR OTHER REPORTABLE ITEMS HAVE BEEN REDUCED BY THE TOTAL GOVERNMENT PAYOR MIX PERCENTAGE (57.2%) AS REPORTED ON OUR INTERNAL PAYOR MIX REPORT. IN REGARD TO MEDICARE, CHMCA RESPECTIVELY SUBMITS THAT INCLUDED IN ITS UNREIMBURSED INPATIENT COSTS INCURRED IN EXCESS OF THE 1982 TAX EQUITY AND FISCAL RESPONSIBILITY (TEFRA) PER DISCHARGE LIMIT WAS $1,052,014, UNREIMBURSED OUTPATIENT COSTS INCURRED IN TREATING PATIENTS QUALIFYING FOR MEDICARE END STAGE RENAL DISEASE (ESRD), COMPOSITE REIMBURSEMENT WAS $773,608, UNREIMBURSED COSTS OF PROVIDING CARE TO MEDICARE ADVANTAGE PLAN ENROLLEES WAS $457,303. THE UNREIMBURSED INPATIENT COSTS ARE COSTS INCURRED PRIMARILY IN THE TREATMENT OF BURN VICTIMS WHO ARE MEDICARE ENROLLEES. THE UNREIMBURSED ESRD COSTS ARE COSTS INCURRED IN EXCESS OF THE COMPOSITE RATE REIMBURSEMENT APPLICABLE TO PATIENTS WHO RECEIVE OUTPATIENT MAINTENANCE DIALYSIS. SINCE THESE PROGRAMS ARE GOVERNMENT MEANS TESTED PROGRAMS THAT TYPICALLY REIMBURSE CHMCA LESS THAN IT COSTS TO PROVIDE THAT CARE, WE BELIEVE THAT IT QUALIFIES AS COMMUNITY BENEFIT IN THE SAME REGARD AS MEDICAID.
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 HOSPITAL CAMPUS. UPON REVIEWING PATIENT DENSITY DATA FROM 2021, WE ADDED TWO COUNTIES TO OUR 2022 CHNA FOOTPRINT, LORAIN AND TUSCARAWAS. 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:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE -CHMCA PROVIDES EDUCATION TO PATIENTS TO INFORM THEM THAT THEY MAY QUALIFY FOR CARE AT NO CHARGE OR AT A REDUCED CHARGE IN A VARIETY OF WAYS: - CHMCA HAS SIGNAGE AT ITS REGISTRATION SITES TO INFORM PATIENTS THAT THEY MAY QUALIFY FOR FREE HOSPITAL CARE. APPLICATIONS FOR FREE CARE ARE AVAILABLE AT REGISTRATION SITES AND THROUGHOUT THE HOSPITAL (REQUIRED BY THE OHIO MEDICAID HOSPITAL CARE ASSURANCE (HCAP) RULES).- CHMCA HAS INFORMATION REGARDING ELIGIBILITY FOR FREE CARE ON BILLING STATEMENTS MAILED TO PATIENTS AND THEIR GUARANTORS. - CHMCA EMPLOYS FINANCIAL COUNSELORS TO EXPLAIN THE HOSPITAL'S FREE CARE, CHARITY CARE, AND THE VARIOUS PUBLIC ASSISTANCE PROGRAMS TO UNINSURED AND UNDERINSURED PATIENTS. - CHMCA'S WEBSITE PROVIDES PATIENTS WITH INFORMATION RELATING TO THE HOSPITAL'S FREE CARE, CHARITY CARE AND VARIOUS PUBLIC ASSISTANCE PROGRAMS AVAILABLE. - CHMCA CONTRACTS WITH AN INDEPENDENT VENDOR TO SCREEN PATIENTS FOR PUBLIC ASSISTANCE ELIGIBILITY AND COMPLETION AS WELL AS SUBMISSION OF PUBLIC ASSISTANCE APPLICATIONS.
PART VI, LINE 4: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 55% OF THE PATIENTS WE TREAT ARE COVERED BY MEDICAID. ADDITIONALLY, WE SERVE AS THE MEDICAL HOME FOR CHILDREN WHO ARE PART OF PRIORITY POPULATIONS OR COMMUNITIES THAT ARE CONSIDERED VULNERABLE. 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. SUMMIT COUNTY IS A REFUGEE RESETTLEMENT COMMUNITY AND HAS SEEN A SIGNIFICANT INCREASE IN SECONDARY MIGRATION OF REFUGEES WHO INITIALLY SETTLE IN OTHER AREAS OF THE U.S. BUT RELOCATE HERE BECAUSE OF THE STRONG REFUGEE COMMUNITY. IN AKRON, THERE ARE REFUGEES FROM NUMEROUS COUNTRIES INCLUDING NEPAL, MYANMAR, SOMALIA, DEMOCRATIC REPUBLIC OF CONGO, SYRIA, AFGHANISTAN, AND OTHERS. MOST PEOPLE WHO RECEIVE SERVICES FROM OUR BOARDMAN CAMPUS ARE RESIDENTS OF MAHONING, TRUMBULL OR COLUMBIANA COUNTIES. PRIOR TO THE OPENING OF THIS CAMPUS, THE APPALACHIAN REGIONAL DEVELOPMENT ACT OF 2008 (S. 496) WAS SIGNED INTO LAW. ONE OF THE COMPONENTS OF THIS LEGISLATION WAS ADDITION OF MAHONING AND TRUMBULL COUNTIES TO THE APPALACHIAN REGION. MAHONING, TRUMBULL AND COLUMBIANA COUNTIES REPRESENT MOST OF THE PRIMARY SERVICE AREA. MAHONING AND COLUMBIANA COUNTIES ARE CLASSIFIED BY THE APPALACHIAN REGIONAL COMMISSION AS BEING TRANSITIONAL, AND TRUMBULL IS CLASSIFIED AS AT-RISK. THIS MEANS THE COUNTIES HAVE WORSE ECONOMIC RATES THAN THE NATIONAL AVERAGE FOR ONE OR MORE OF THREE ECONOMIC INDICATORS, BUT DON'T RATE LOW ENOUGH TO BE CLASSIFIED AS DISTRESSED. HOWEVER, IN 2022, MAHONING COUNTY CONTAINED 31 DISTRESSED CENSUS TRACTS, THE MOST OF ALL COUNTIES IN APPALACHIAN OHIO. IN ADDITION, THESE COUNTIES HAVE SHORTAGES OF PRIMARY CARE HEALTH SERVICES. FOR THE PURPOSES OF THE 2022 CHNA, WE FOCUSED ON A 12-COUNTY REGION REPRESENTATIVE OF WHERE THE MAJORITY OF PATIENTS RESIDE. DEMOGRAPHIC INFORMATION ON THESE COUNTIES IS DETAILED BELOW. ASHLAND COUNTY THERE ARE APPROXIMATELY 52,181 PEOPLE LIVING IN ASHLAND COUNTY, A SLIGHT DECLINE FROM THE 2020 CENSUS COUNT. IT HAS 1 CITY, 8 VILLAGES, AND 15 TOWNSHIPS, WITH THE LARGEST BEING THE CITY OF ASHLAND. COMPARED TO THE STATE OF OHIO, ASHLAND COUNTY HAS A SLIGHTLY LARGER PROPORTION OF CHILDREN (UNDER 18 YEARS OLD) AND A LARGER PROPORTION OF OLDER ADULTS (65 YEARS AND OLDER). 3.5% OF THE POPULATION IS NON-WHITE, COMPARED TO 18.8% IN THE STATE. EDUCATIONAL ATTAINMENT IS SLIGHTLY LOWER THAN THE STATE OF OHIO, WITH 90.1% HAVING A HIGH SCHOOL DIPLOMA (COMPARED TO 90.8%) AND 22% HAVING A BACHELOR'S DEGREE OR HIGHER (COMPARED TO 28.9%). ANNUAL PER CAPITA INCOME IS LOWER THAN THE STATE AVERAGE, AS IS THE PERCENTAGE OF ASHLAND COUNTY RESIDENTS LIVING IN POVERTY. COLUMBIANA COUNTY THERE ARE APPROXIMATELY 100,511 PEOPLE LIVING IN COLUMBIANA COUNTY, WHICH IS A DECREASE OF 1.3% SINCE 2020. THERE ARE 3 CITIES, 11 VILLAGES, AND 18 TOWNSHIPS IN COLUMBIANA COUNTY, WITH THE LARGEST BEING SALEM. COMPARED TO THE STATE OF OHIO, COLUMBIANA COUNTY HAS A SMALLER PROPORTION OF CHILDREN AND A LARGER PROPORTION OF OLDER ADULTS. APPROXIMATELY 2.6% PERCENT OF THE POPULATION IN COLUMBIANA COUNTY IS BLACK OR AFRICAN-AMERICAN AND 2.1% IS HISPANIC OR LATINX, COMPARED TO 13.2% AND 4.3%, RESPECTIVELY, IN THE STATE OF OHIO. THE PERCENTAGE OF COLUMBIANA COUNTY RESIDENTS WITH A HIGH SCHOOL DIPLOMA OR HIGHER IS LOWER THAN THE STATE OF OHIO AND THE PERCENTAGE WITH A BACHELOR'S DEGREE OR HIGHER IS NEARLY HALF THE STATE AVERAGE (14.5% VERSUS 28.9%). THE ANNUAL PER CAPITA INCOME IN COLUMBIANA COUNTY IS LOWER THAN THE STATE OF OHIO AND THE PERCENTAGE OF COLUMBIANA COUNTY RESIDENTS LIVING IN POVERTY IS HIGHER THAN THE STATE AVERAGE. COLUMBIANA IS DESIGNATED AS AN MUA (MEDICAID ELIGIBLE POPULATION) THROUGH A GOVERNOR'S EXCEPTION. LORAIN COUNTY THERE ARE APPROXIMATELY 316,268 PEOPLE LIVING IN LORAIN COUNTY, WHICH IS A 1% INCREASE FROM THE 2020 CENSUS. IT HAS 34 CITIES, VILLAGES AND TOWNSHIPS WITH THE LARGEST BEING THE CITY OF LORAIN AND THE COUNTY SEAT BEING ELYRIA. 10.8% OF THE POPULATION IS HISPANIC/LATINX, IN FACT IT RANKS NUMBER ONE IN THE STATE FOR HISPANIC/LATINX RESIDENTS. THERE IS A SLIGHTLY HIGHER PROPORTION OF OLDER ADULTS, AND A SLIGHTLY LOWER PROPORTION OF CHILDREN COMPARED WITH THE STATE. WHILE EDUCATIONAL ATTAINMENT AVERAGES SLIGHTLY LOWER THAN THE STATE, MEDIAN HOUSEHOLD INCOME IS JUST ABOVE IT, AND PERSONS LIVING IN POVERTY COMES IN BELOW. MAHONING COUNTY THERE ARE APPROXIMATELY 225,636 PEOPLE LIVING IN MAHONING COUNTY, WHICH IS A DECREASE OF 1.3% SINCE 2020. THERE ARE 7 CITIES AND 7 VILLAGES IN MAHONING COUNTY, WITH THE LARGEST BEING YOUNGSTOWN. COMPARED TO THE STATE OF OHIO, MAHONING COUNTY HAS A SMALLER PROPORTION OF CHILDREN AND A LARGER PROPORTION OF OLDER ADULTS. APPROXIMATELY 16 % OF THE POPULATION IN MAHONING COUNTY IS BLACK OR AFRICAN-AMERICAN AND 7% IS HISPANIC/LATINX, COMPARED TO 13.2% AND 4.3%, RESPECTIVELY, IN THE STATE OF OHIO. THE HISPANIC/LATINX COMMUNITY IN THE CITY OF CAMPBELL IS ONE OF THE FASTEST GROWING IN OHIO. THE PERCENTAGE OF MAHONING COUNTY RESIDENTS WITH AT LEAST A HIGH SCHOOL DIPLOMA, AND THE PERCENTAGE WITH AT LEAST A BACHELOR'S DEGREE, IS LOWER THAN THE STATE AVERAGE. THE ANNUAL PER CAPITA INCOME IN MAHONING COUNTY IS LOWER THAN THE STATE OF OHIO AND THE PERCENTAGE OF RESIDENTS LIVING IN POVERTY IS SIGNIFICANTLY HIGHER THAN THE STATE AVERAGE. THERE ARE THREE FEDERALLY DESIGNATED MUAS WITHIN MAHONING COUNTY, BOTH RURAL AND NON-RURAL. MEDINA COUNTY THERE ARE APPROXIMATELY 183,512 PEOPLE LIVING IN MEDINA COUNTY, WHICH IS AN INCREASE OF 0.6% SINCE 2020. IT HAS 3 CITIES, 6 VILLAGES, AND 17 TOWNSHIPS, WITH THE LARGEST BEING BRUNSWICK AND THE COUNTY SEAT BEING THE CITY OF MEDINA. COMPARED TO THE STATE OF OHIO, MEDINA COUNTY HAS A SLIGHTLY LARGER PROPORTION OF OLDER ADULTS. 4.8% OF THE POPULATION IS NON-WHITE, COMPARED TO 18.8% IN THE STATE. EDUCATIONAL ATTAINMENT IS HIGHER THAN THE STATE OF OHIO, WITH 95.1% HAVING A HIGH SCHOOL DIPLOMA OR HIGHER AND 35% HAVING A BACHELOR'S DEGREE OR HIGHER. SIMILARLY, ANNUAL PER CAPITA INCOME IN MEDINA COUNTY IS HIGHER THAN THE STATE AVERAGE, AND THE PERCENTAGE OF MEDINA COUNTY RESIDENTS LIVING IN POVERTY IS LESS THAN HALF OF THAT OF THE STATE, ALTHOUGH LODI MEETS MEDICALLY UNDERSERVED POPULATION (MUP) DESIGNATION CRITERIA FOR LOW INCOME RESIDENTS. PORTAGE COUNTY THERE ARE APPROXIMATELY 161,745 PEOPLE LIVING IN PORTAGE COUNTY, WITH THE POPULATION REMAINING RELATIVELY STABLE SINCE 2020. PORTAGE COUNTY IS COMPRISED OF 29 CITIES, VILLAGES, AND TOWNSHIPS, WITH THE LARGEST BEING THE CITY OF KENT AND THE COUNTY SEAT BEING RAVENNA. COMPARED TO THE STATE OF OHIO, PORTAGE COUNTY HAS A SMALLER PROPORTION OF CHILDREN AND OLDER ADULTS. IN PORTAGE COUNTY, 9.7% OF THE POPULATION IS NON-WHITE, COMPARED TO 18.8% IN THE STATE. EDUCATIONAL ATTAINMENT IS SLIGHTLY HIGHER IN PORTAGE COUNTY THAN OHIO, WITH 92.5% HAVING A HIGH SCHOOL DIPLOMA OR HIGHER AND 30.1% HAVING A BACHELOR'S DEGREE OR HIGHER. ANNUAL PER CAPITA INCOME IN PORTAGE COUNTY IS SLIGHTLY HIGHER THAN THAT OF THE STATE, AND THE PERCENTAGE OF PERSONS LIVING IN POVERTY IS LOWER. EAST KENT CITY HAS A MUP (LOW INCOME) DESIGNATION. RICHLAND COUNTY THERE ARE APPROXIMATELY 125,319 PEOPLE LIVING IN RICHLAND COUNTY, WITH THE POPULATION REMAINING RELATIVELY STABLE SINCE 2020. THERE ARE 29 CITIES, VILLAGES, AND TOWNSHIPS IN RICHLAND COUNTY, WITH THE LARGEST BEING MANSFIELD. COMPARED TO THE STATE OF OHIO, RICHLAND COUNTY HAS A SLIGHTLY LARGER PROPORTION OF OLDER ADULTS. IN RICHLAND COUNTY, 13.1% OF THE POPULATION IS NON-WHITE, COMPARED TO 18.8% IN THE STATE. THE PERCENTAGE OF RESIDENTS WITH A HIGH SCHOOL DIPLOMA OR HIGHER IS LOWER IN RICHLAND COUNTY THAN IN THE STATE OVERALL, AS IS THE PERCENTAGE OF RESIDENTS WITH A BACHELOR'S DEGREE OR HIGHER. ANNUAL PER CAPITA INCOME IS LOWER AND THE PERCENTAGE OF RESIDENTS LIVING IN POVERTY IN RICHLAND COUNTY IS ABOUT EQUAL WITH THE STATE OF OHIO. THE CITY OF MANSFIELD HAS A MUP (LOW INCOME) DESIGNATION.
LINE 4, COMMUNITY INFORMATION CONTINUED:STARK COUNTY THERE ARE APPROXIMATELY 372,657 PEOPLE LIVING IN STARK COUNTY, WHICH IS A SLIGHT DECREASE FROM 2020. THERE ARE 36 CITIES, VILLAGES, AND TOWNSHIPS IN STARK COUNTY, WITH THE LARGEST BEING THE CITY OF CANTON. COMPARED TO THE STATE OF OHIO, STARK COUNTY HAS A LARGER PROPORTION OF OLDER ADULTS, AND THE PROPORTION OF CHILDREN IS BARELY BELOW THE STATE'S. IN STARK COUNTY, 12.5% OF THE POPULATION IS NON-WHITE, COMPARED TO 18.8% IN THE STATE. THE PERCENTAGE OF RESIDENTS WITH A HIGH SCHOOL DIPLOMA OR HIGHER IS SLIGHTLY HIGHER IN STARK COUNTY COMPARED TO THE STATE, BUT THE PERCENTAGE OF RESIDENTS WITH A BACHELOR'S DEGREE OR HIGHER IS 6% LOWER THAN THE STATE. ANNUAL PER CAPITA INCOME IS LOWER AND THE PERCENTAGE OF RESIDENTS LIVING IN POVERTY IS SLIGHTLY LOWER. THERE ARE TWO FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS (MUAS) IN STARK COUNTY: MASSILLON AND EAST CANTON. IN ADDITION, NORTHEAST ALLIANCE WAS DESIGNATED IN 2016 AS A MUP, MEETING THE MEDICAID ELIGIBILITY CRITERION. SUMMIT COUNTY THERE ARE APPROXIMATELY 535,882 PEOPLE LIVING IN SUMMIT COUNTY. SINCE 2020, THE POPULATION HAS DECREASED SLIGHTLY, BY LESS THAN 1%. THERE ARE 31 CITIES, VILLAGES, AND TOWNSHIPS IN SUMMIT COUNTY, WITH THE LARGEST BEING THE CITY OF AKRON. COMPARED TO THE STATE OF OHIO, SUMMIT COUNTY HAS A SLIGHTLY SMALLER PROPORTION OF CHILDREN AND A SLIGHTLY LARGER PROPORTION OF OLDER ADULTS. IN SUMMIT COUNTY, 22.7 % PERCENT OF THE POPULATION IS NON-WHITE, COMPARED TO 18.8% IN THE STATE. EDUCATIONAL ATTAINMENT IS SLIGHTLY HIGHER IN SUMMIT COUNTY THAN IN THE STATE OF OHIO, WITH 92.6% HAVING A HIGH SCHOOL DIPLOMA OR HIGHER AND 33.9% HAVING A BACHELOR'S DEGREE OR HIGHER. SIMILARLY, ANNUAL PER CAPITA INCOME IN SUMMIT COUNTY IS SLIGHTLY HIGHER THAN THE STATE OF OHIO, AND THE PERCENTAGE OF SUMMIT COUNTY RESIDENTS LIVING IN POVERTY IS ALMOST 1% LOWER THAN THAT OF THE STATE. TWO FEDERALLY DESIGNATED MUAS ARE PRESENT IN SUMMIT COUNTY: THE SOUTHEAST AKRON AND SUMMIT SERVICE AREAS.TRUMBULL COUNTY THERE ARE APPROXIMATELY 200,643 PEOPLE LIVING IN TRUMBULL COUNTY, A SLIGHT DECLINE FROM 2020. THERE ARE 7 CITIES AND 5 VILLAGES IN TRUMBULL COUNTY, WITH THE COUNTY SEAT BEING WARREN. COMPARED TO THE STATE OF OHIO, TRUMBULL COUNTY HAS A SLIGHTLY SMALLER PROPORTION OF CHILDREN (UNDER 18 YEARS OLD) AND A LARGER PROPORTION OF OLDER ADULTS (65 YEARS AND OLDER). IN TRUMBULL COUNTY, 8.8% OF THE POPULATION IS BLACK OR AFRICAN-AMERICAN AND 2.1% IS HISPANIC OR LATINO, COMPARED TO 13.2% AND 4.3%, RESPECTIVELY, IN THE STATE OF OHIO. EDUCATIONAL ATTAINMENT IN TRUMBULL COUNTY IS LOWER THAN THE STATE AVERAGE, WITH 89.4% HAVING A HIGH SCHOOL DIPLOMA OR HIGHER AND 19.2% HAVING A BACHELOR'S DEGREE OR HIGHER. SIMILARLY, ANNUAL PER CAPITA INCOME IN TRUMBULL COUNTY IS LOWER THAN THE STATE OF OHIO AND THE PERCENTAGE OF RESIDENTS LIVING IN POVERTY IS HIGHER. IN ADDITION, TRUMBULL COUNTY IS FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA (MUA). TUSCARAWAS COUNTY THERE ARE APPROXIMATELY 91,937 PEOPLE LIVING IN TUSCARAWAS COUNTY, WITH THE POPULATION DECREASING BY ABOUT 1.4% SINCE 2020. THERE ARE ONLY 3 CITIES, THE COUNTY SEAT BEING NEW PHILADELPHIA, AND ALMOST 40 VILLAGES AND TOWNSHIPS IN THE COUNTY. THE PROPORTION OF CHILDREN AND OLDER ADULTS ARE BOTH HIGHER THAN THE STATE OF OHIO'S. IN TUSCARAWAS COUNTY, 3.8% OF THE POPULATION NON-WHITE. EDUCATIONAL ATTAINMENT IS LOWER THAN THE STATE, AS IS MEDIAN HOUSEHOLD INCOME. HOWEVER, THE PERCENT OF PERSONS LIVING IN POVERTY IS BELOW THE STATE AVERAGE. WAYNE COUNTY THERE ARE APPROXIMATELY 116,559 PEOPLE LIVING IN WAYNE COUNTY, WITH THE POPULATION DECREASING BY LESS THAN 0.5% SINCE 2020. THERE ARE 35 CITIES, VILLAGES, TOWNSHIPS, AND UNINCORPORATED COMMUNITIES IN WAYNE COUNTY, WITH THE LARGEST BEING THE CITY OF WOOSTER. COMPARED TO THE STATE OF OHIO, WAYNE COUNTY HAS A HIGHER PROPORTION OF CHILDREN AND OLDER ADULTS. IN WAYNE COUNTY, 4.7% OF THE POPULATION IS NON-WHITE, COMPARED TO 18.8% IN THE STATE. EDUCATIONAL ATTAINMENT IS LOWER IN WAYNE COUNTY COMPARED TO THE STATE OF OHIO, WITH 86.8% HAVING A HIGH SCHOOL DIPLOMA OR HIGHER AND 22.5% HAVING A BACHELOR'S DEGREE OR HIGHER. THE ANNUAL PER CAPITA INCOME IN WAYNE COUNTY IS LOWER THAN THE STATE OF OHIO, AS IS THE PERCENTAGE OF WAYNE COUNTY RESIDENTS LIVING IN POVERTY. THERE ARE NO FEDERALLY DESIGNATED MUA/PS PRESENT IN THIS COMMUNITY, ALTHOUGH A LARGE NUMBER OF AMISH RESIDING IN WAYNE COUNTY ARE CONSIDERED UNINSURED BECAUSE THEY DO NOT PARTICIPATE IN TRADITIONAL HEALTH INSURANCE PROGRAMS.
PART VI, LINE 5:CHMCA INTENDS THAT ALL OF ITS ACTIVITIES EITHER DIRECTLY PROVIDE HEALTH CARE TO ALL CHILDREN WHO REQUEST OUR SERVICES OR PROMOTE THE HEALTH OF THE COMMUNITY, BOTH BY DIRECT INVESTMENTS IN THE DELIVERY OF PEDIATRIC HEALTHCARE SERVICES AND IN PROVIDING SPECIALIZED INPATIENT AND OUTPATIENT CARE FOR 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. THEY ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. CHMCA EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITIES WE SERVE. CHMCA'S EXCELLENT REPUTATION IS THE RESULT OF THE SKILLS AND EXPERIENCE OF OUR MEDICAL STAFF AND THE HEALTH PROFESSIONALS WITH WHOM WE COLLABORATE. WE VALUE OUR PARTNERSHIP WITH PRIMARY CARE PHYSICIANS AND REFERRING PROVIDERS AND WORK TOGETHER TO COORDINATE THE CARE OF CHILDREN. CHMCA BRINGS PEDIATRIC PRIMARY CARE FOR BABIES, CHILDREN AND TEENS TO MANY NORTHEAST 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 THE PROVISION OF EDUCATION FOR LAY AND PROFESSIONAL PERSONS, AND IN RESEARCH THAT WILL IMPROVE HEALTH CARE FOR ALL CHILDREN. WE TAKE AN ACTIVE ROLE IN ADVOCATING FOR IMPROVED HEALTH AND IMPROVED ACCESS TO HEALTH CARE FOR ALL. SERVICES AND ACTIVITIES PROVIDED BY CHMCA BENEFIT AND/OR PROMOTE HEALTH TO THE RESIDENTS IN THE COMMUNITIES WE SERVE. THE PRIMARY BENEFIT TO OUR COMMUNITIES IS PROVIDING HEALTH CARE FOR MORE THAN 1,000,000 CHILDREN ANNUALLY. IN ADDITION, WE ENGAGE IN COMMUNITY BUILDING ACTIVITIES, AS DEPICTED IN PART II OF THIS SCHEDULE. IN 2022, CHMCA HAD ONE HOSPITAL WITH TWO CAMPUSES, 39 PEDIATRICIAN OFFICES, AND 4 URGENT CARES. THERE WERE 98,621 EMERGENCY DEPARTMENT VISITS, 10,946 INPATIENT ADMISSIONS, 17,898 SURGERIES, AND MORE THAN 1.3 MILLION TOTAL OUTPATIENT VISITS. WE SERVICED MORE THAN 280,000 INDIVIDUAL PATIENTS. 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 IS THE HUB FOR RESEARCH ACTIVITY. IN 2022, CHMCA NAMED A NEW CHIEF ACADEMIC OFFICER TO ELEVATE THE HOSPITAL'S ACADEMIC PROFILE. THE INSTITUTE FACILITATES SPONSORED CLINICAL STUDIES AS WELL AS 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. 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 BECAME A LEVEL I PEDIATRIC TRAUMA CENTER IN 2022. 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. THE PEDIATRIC INTENSIVE CARE UNIT (PICU) IS AN ALPHA SITE FOR THE VIRTUAL PICU PERFORMANCE SYSTEM, OR VPS, A CLINICAL QUALITY COLLABORATIVE AIMED AT STANDARDIZING DATA SHARING FOR IMPROVED PATIENT CARE AMONG CRITICAL CARE UNITS. IN JULY 2022, CHMCA APPOINTED ITS FIRST CHIEF DIVERSITY, EQUITY AND INCLUSION (DEI) OFFICER TO BUILD THE ORGANIZATION'S DEI CAPACITY. PRIMARY DELIVERABLES IN THE MONTHS FOLLOWING THIS APPOINTMENT INCLUDED: INVENTORYING INTERNAL COMMITTEES WITH A DEI PURPOSE OR COMPONENT TO REDUCE DUPLICATION AND PROMOTE ALIGNMENT OF EFFORTS; ESTABLISHING JOB DESCRIPTIONS AND BEGINNING THE HIRING PROCESS TO EXPAND THE DEI TEAM; AND DEVELOPING A DEI SCORECARD FOR MEASURING PROGRESS ON KEY METRICS RELATED TO CLINICAL OUTCOMES, PATIENT SATISFACTION, HUMAN RESOURCES, SUPPLY CHAIN AND OTHER DOMAINS. 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 WILL MAKE RECOMMENDATIONS TO THE DEI STEERING COMMITTEE AND IMPLEMENT INITIATIVES TO SUPPORT KEY EQUITABLE OUTCOMES. THE BEHAVIORAL HEALTH CENTER LEADS SEVERAL EFFORTS ALIGNED WITH THE CHNA IDENTIFIED NEED OF MENTAL/BEHAVIORAL HEALTH AND ADVERSE CHILDHOOD EXPERIENCES, OR ACES. CHMCA HAS EMBEDDED BEHAVIORAL HEALTH SERVICES WITHIN OUR NETWORK OF PRIMARY CARE OFFICES, THROUGH A COMBINATION OF INTERNAL STAFFING AND FORMAL RELATIONSHIPS WITH COMMUNITY AGENCIES PROVIDING BEHAVIORAL HEALTH SERVICES. FURTHER, IN 2022, CHMCA CONTINUED ITS ENGAGEMENT IN THE ZERO SUICIDE INITIATIVE, A PUBLIC-PRIVATE PARTNERSHIP AMONG OHIO MENTAL HEALTH & ADDICTION SERVICES, THE OHIO CHILDREN'S HOSPITAL ASSOCIATION, CARDINAL HEALTH FOUNDATION, AND THE ZERO SUICIDE INSTITUTE. THE PURPOSE IS TO BUILD A COORDINATED FRAMEWORK AMONG PRIMARY CARE PROVIDERS, BEHAVIORAL HEALTH ORGANIZATIONS, SCHOOLS, PARENTS/CAREGIVERS AND OTHER COMMUNITY PARTNERS WITH THE GOAL OF INCREASING THE AWARENESS OF EFFECTIVE SUICIDE PREVENTION STRATEGIES AND INTERVENTIONS. CHMCA OPENED A BEHAVIORAL HEALTH CENTER AT THE MAHONING VALLEY CAMPUS IN 2019 TO BETTER SERVE A GROWING NEED FOR PEDIATRIC MENTAL AND BEHAVIORAL HEALTH SERVICES IN THE AREA. THE 9,000 SQUARE FOOT BUILDING HAS NINE INDIVIDUAL THERAPY ROOMS AND OPEN SPACES FOR GROUP AND FAMILY THERAPY. THE CENTER PROVIDES A RANGE OF MENTAL AND BEHAVIORAL HEALTH SERVICES PREVIOUSLY UNAVAILABLE IN THIS COMMUNITY, INCLUDING A PARTIAL HOSPITALIZATION PROGRAM THAT OFFERS TWO WEEKS OF INTENSIVE INDIVIDUAL AND GROUP THERAPY BUT DOES NOT REQUIRE INPATIENT ADMISSION. IN ADDITION, OUTPATIENT BEHAVIORAL HEALTH SERVICES CAN BE ACCESSED THROUGH CHMCA'S PRIMARY CARE OFFICES THROUGHOUT THE MAHONING VALLEY. 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. AS PART OF THE 2020-2022 CHNA IMPLEMENTATION STRATEGY AROUND MENTAL HEALTH AND TRAUMA, CHMCA INCORPORATED ADVERSE CHILDHOOD EXPERIENCES (ACES) SCREENING INTO ALL MAHONING VALLEY BEHAVIORAL HEALTH SERVICE LINES. STAFF THROUGHOUT MAHONING VALLEY'S BEHAVIORAL HEALTH PRACTICES WERE TRAINED IN TRAUMA INFORMED CARE TO BE MORE RESPONSIVE TO PATIENTS AND FAMILIES WITH GREATER ACE EXPOSURE.
LINE 5, PROMOTION OF COMMUNITY HEALTH CONTINUED: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. 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'SNEONATAL TEAMIS COMMITTED TO PROVIDING THE MOST EFFECTIVE AND EFFICIENT CARE FOR OUR TINIEST PATIENTS, AS WELL AS PROVIDING PARENTS WITH THE EMOTIONAL AND PRACTICAL SUPPORT THEY NEED. TO THIS END, CHMCA IS PART OF THE VERMONT OXFORD NETWORK, A COLLABORATION OF HEALTH PROFESSIONALS FROM MORE THAN 1200 NICUS AROUND THE WORLD WHO FOCUS ON RESEARCH, EDUCATION ANDPROJECTS 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 CHMCAIN 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 ANY REVENUE FOR THESE SERVICES, AND PROGRAMS MEET SPECIFIED CRITERIA OF NATIONALLY ACCREDITED DISEASE MANAGEMENT PROGRAMS, AS WELL AS CHMCA CRITERIA AND MONITORING REQUIREMENTS. IN 2022, THE CCESC RECEIVED 1160 REFERRALS FOR ASTHMA AND/OR ANAPHYLAXIS EDUCATION. OF THOSE, 746 CHILDREN/FAMILIES WERE PROVIDED PERSONALIZED ASTHMA AND ANAPHYLAXIS EDUCATION BY CCESC CERTIFIED ASTHMA EDUCATORS. THE CHILD AND ADOLESCENT DIABETES PREVENTION PROGRAM RECEIVED 230 REFERRALS FROM VARIOUS PEDIATRIC PROVIDERS ACROSS THE MAHONING VALLEY AND COMPLETED 396 INITIAL AND FOLLOW-UP APPOINTMENTS. 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. IN ADDITION, 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. IN 2022, THE SOCIAL DETERMINANTS OF HEALTH (SDOH) COMMITTEE FORMED A WORKGROUP TO TACKLE TRANSPORTATION BARRIERS IN THE MAHONING VALLEY. IN REVIEWING DATA ON INCREASED NO-SHOWS TO APPOINTMENTS, STAFF DETERMINED LACK OF TRANSPORTATION TO BE A CONTRIBUTING FACTOR. CHMCA PARTNERED WITH THE THIRD-PARTY VENDOR ROUNDTRIP TO ADDRESS PATIENT FAMILIES' NON-URGENT TRANSPORTATION NEEDS. FROM JUNE 1, 2022 DEC. 31, 2022 ROUNDTRIP COMPLETED 1,390 RIDES FOR CHMCA FAMILIES, WITH 1,264 RIDES THROUGH RIDESHARE (UBER, LYFT) AND 126 RIDES THROUGH TAXICAB SERVICES. 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 OUTREACH EVENTS AND OUTREACH KIT DISTRIBUTIONS IN OUR COMMUNITIES BASED ON IDENTIFIED NEEDS AND ALIGNMENT WITH STRATEGIC PRIORITIES. IN 2022, EXTERNAL AFFAIRS ENGAGED HOSPITAL AND COMMUNITY PARTNERS IN TWO SUMMER HEALTH AND WELLNESS DAY EVENTS, REACHING OVER 300 CHILDREN. AT THIS EVENT, CLINICIANS PROVIDED WELL VISITS, IMMUNIZATIONS AND SPORTS PHYSICALS TO STUDENTS HAVING LITTLE OTHER OPPORTUNITY TO ACCESS THEM ELSEWHERE. IN ADDITION, WE PROVIDED EDUCATION ON A VARIETY OF TOPICS RELATING TO CHILD HEALTH AND WELLBEING, AS WELL AS SCHOOL SUPPLIES, GUN CABLE LOCKS AND LOCK BOXES, AND NUMEROUS PROMOTIONAL ITEMS. WE DISTRIBUTED HYGIENE KITS FILLED WITH PERSONAL CARE ITEMS TO EVERY CHILD IN ATTENDANCE. EXTERNAL AFFAIRS CONTINUED YOUTH SUICIDE PREVENTION INITIATIVES IN 2022, COORDINATING AND CO-CHAIRING THE SUMMIT COUNTY YOUTH SUICIDE PREVENTION SUBCOMMITTEE AND PARTICIPATING ALONGSIDE OUR BEHAVIORAL HEALTH DIVISION IN AKRON CHILDREN'S HOSPITAL'S ZERO SUICIDE PEDIATRIC INITIATIVE. WE WORKED WITH NATIONALLY KNOWN EDUCATION AND TRAINING PROGRAMS ON YOUTH SUICIDE PREVENTION AND SHARED THESE RESOURCES THROUGHOUT THE HOSPITAL AND WITH COMMUNITY AGENCIES SERVING YOUTH AND FAMILIES, PARTICULARLY THOSE AT INCREASED RISK.
LINE 5, PROMOTION OF COMMUNITY HEALTH CONTINUED:CHMCA'S SCHOOL HEALTH SERVICES SUPPORTSTHE ACADEMIC SUCCESS OF CHILDREN THROUGH HEALTH PROMOTION, EDUCATION AND CHILD ADVOCACY.SCHOOL HEALTHSERVES AS A LIAISON AMONG SCHOOL STAFF, FAMILY, AND PROVIDERS, WORKING CLOSELY WITH SCHOOL STAFF TO ENSURE A COMPREHENSIVE SCHOOL HEALTH PROGRAM IS IN PLACE. WITH IMMEDIATE ACCESS TOPEDIATRIC HEALTH CARE PROFESSIONALS AT CHMCA, SCHOOL HEALTH SERVICES LETS SCHOOLS FOCUS ON EDUCATING STUDENTS, WHILE WE MANAGE THEIR DISTRICT'S MEDICAL NEEDS. IN 2022, WE MANAGED CARE FOR 92,286 STUDENTS IN 205 BUILDINGS THROUGHOUT 43 DISTRICTS, AND WE PROVIDED 721,464 CLINIC VISITS. SCHOOL HEALTH SERVICES EXPANDED INTO FIVE NEW DISTRICTS IN 2022, AND BROUGHT SERVICES INTO TWO SHELTER SITES IN AKRON. STAFF COMPLETED 1,070 WELL CHILD VISITS AND 1,206 NURSE VISITS WHICH INCLUDED VACCINATIONS, BLOOD PRESSURE CHECKS, AND/OR HEARING/VISION CHECKS. IN ADDITION, THERE WERE MULTIPLE WELLNESS DAYS HELD AT SCHOOLS DURING THE SUMMER WHERE FAMILIES COULD TAKE THEIR CHILDREN FOR PREVENTIVE CARE SERVICES. CHMCA ALSO OPERATES A SCHOOL-BASED HEALTH CENTER WITHIN WARREN CITY SCHOOLS. SERVICES INCLUDE WELL-CHILD EXAMS (IN PERSON) AND EVALUATION FOR ILLNESS (BY TELEHEALTH TECHNOLOGY) WITH A NURSE PRACTITIONER; AS WELL AS VARIOUS SCREENINGS, WELLNESS ADVICE AND SPORTS PHYSICALS. 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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (30 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
AMERICAN RED CROSS
P O BOX 73013CHICAGOIL606737013530196605501(C)(3)$17,000$0GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
GREAT RIVERS AFFILIATECHICAGOIL60693314409976501(C)(3)$22,500$0GENERAL SUPPORT
AKRON COMMUNITY FOUNDATION
345 WEST CEDAR STAKRONOH44307341087615501(C)(3)$15,450$0GENERAL SUPPORT
RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST OHIO INC
10415 EUCLID AVENUECLEVELANDOH44106341269123501(C)(3)$7,800$0GENERAL SUPPORT
AKRON ZOOLOGICAL PARK
500 EDGEWOOD AVENUEAKRON OHIOAK44307346003866501(C)(3)$19,200$0GENERAL SUPPORT
MARCH OF DIMES
5425 WARNER RD STE 10CLEVELANDOH44125131846366$8,000$0GENERAL SUPPORT
CHILD NEUROLOGY SOCIETY
1000 W COUNTY RD E STE 290ST PAULMN55126237359775$10,000$0GENERAL SUPPORT
AKRON AREA YMCA
50 S MAIN ST STE LL100AKRONOH44308340714727$7,500$0GENERAL SUPPORT
CANTON REGIONAL CHAMBER OF COMMERCE
222 MARKET AVENUE NCANTONOH44702340129930501(C)(3)$8,000$0GENERAL SUPPORT
YOUNGSTOWNWARREN REG CHAMBER
100 E FEDERAL STREETYOUNGSTOWNOH44503341731411$19,675$0GENERAL SUPPORT
GREATER AKRON CHAMBER
OF COMMERCEAKRONOH44311341156576501(C)(3)$15,920$0GENERAL SUPPORT
YOUNGSTOWN STATE UNIVERSITY
OFFICE OF THE UNIV BURSARYOUNGSTOWNOH44555943305461501(C)(3)$27,400$0GENERAL SUPPORT
AKRON MARATHON CHARITABLE CORP
155 E VORIS STREETAKRONOH443111513431531773$12,500$0GENERAL SUPPORT
YOUNGSTOWN PHANTOMS
229 E FRONT STREETYOUNGSTOWNOH44503542117655$12,200$0GENERAL SUPPORT
COVELLI CENTRE
229 E FRONT STREETYOUNGSTOWNOH44503261299078$10,000$0GENERAL SUPPORT
HWS BASEBALL VI LLC
111 EASTWOOD MALL BLVDNILESOH44446261918633501(C)(3)$19,000$0GENERAL SUPPORT
MILL CREEK METROPARKS
ATTN LYNNYOUNGSTOWNOH44509346003205$5,060$0GENERAL SUPPORT
AKRON BASEBALL LLC
300 SOUTH MAIN STAKRONOH44308990379765501(C)(3)$50,500$0GENERAL SUPPORT
SIGHT FOR ALL UNITED INC
966 FIFTH STREETSTRUTHERSOH44471811468439501(C)(3)$15,800$0GENERAL SUPPORT
CITY OF NORTH CANTON
145 N MAIN STNORTH CANTONOH44720346002037501(C)(3)$56,719$0GENERAL SUPPORT
THE CHILDREN'S HEART FOUNDATION
5 REVERE DRNORTHBROOKIL60062364077528501(C)(3)$7,500$0GENERAL SUPPORT
CANAPI
759 W MARKET STAKRONOH44303311506671$5,360$0GENERAL SUPPORT
MAHONING COUNTY AGRICULTURAL SOCIETY
7265 COLUMBIANA CANFIELD ROADCANFIELDOH44406340764399501(C)(3)$15,000$0GENERAL SUPPORT
FELLOWSHIP OF CHRISTIAN ATHLETES
ATTN PAM MATEJKABEREAOH44017440610626501(C)(3)$10,500$0GENERAL SUPPORT
NORTHERN OHIO GOLF CHARITIES FOUNDATION INC
440 EAST WARNER ROADAKRONOH44319341712857501(C)(3)$15,000$0GENERAL SUPPORT
WENTZ FAMILY FOUNDATION
5790 HUDSON DRHUDSONOH44236461066495501(C)(3)$10,000$0GENERAL SUPPORT
INTERNATIONALS SOCCER CLUB LLC
313 MEDINA RDMEDINAOH44256453187875501(C)(3)$25,000$0GENERAL SUPPORT
TOPNOTCH EVENTS LLC
12410 LARCHMERE BLVDCLEVELANDOH44120863225566501(C)(3)$6,256$0GENERAL SUPPORT
33 FOREVER INC
ONE MARION AVEMANSFIELDOH44903833606336501(C)(3)$5,333$0GENERAL SUPPORT
BRIDGESTONE SENIOR PLAYERS CHAMPIONSHIP - FIRESTONE CC
452 E WARNER RDAKRONOH44319751744518501(C)(3)$21,289$0GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org21Total501c3OrgCnt
Total Other Org9TotalOtherOrgCnt

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 PaymentYes (1)SeverancePaymentInd
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 (25 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
GRACE WAKULCHIK
FORMER PRESIDENT$531,652$0$400,000$0$951,624$0$0$0$0$0$1,883,276$0$894,384$0
CHRISTOPHER GESSNER
PRESIDENT & CEO$1,000,002$0$0$0$15,690$0$214,796$0$33,414$0$1,263,902$0$0$0
KATHERINE WOLFE MD
CHIEF MATERIAL FETAL MED SVS$827,920$0$225,446$0$646$0$18,300$0$32,117$0$1,104,429$0$0$0
MARK WULKAN MD
CHAIR OF SURGERY$802,006$0$233,000$0$3,612$0$21,350$0$22,007$0$1,081,975$0$0$0
ROBERT STEWART MD
DIRECTOR CARDIOTHORACIC SURGERY$812,314$0$200,000$0$3,354$0$21,350$0$32,672$0$1,069,690$0$0$0
ABDELAZIZ SALEH MD
PERINATOLOGIST$857,007$0$153,330$0$6,096$0$20,105$0$29,881$0$1,066,419$0$0$0
LISA AURILIO
CHIEF OPERATING OFFICER$584,994$0$164,629$0$332,740$0-$64,180$0$13,074$0$1,031,257$0$308,045$0
TSULEE CHEN MD
NEUROSURGEON$868,613$0$110,000$0$840$0$18,300$0$20,570$0$1,018,323$0$0$0
SHAWN LYDEN
CHIEF STRATEGY OFFICER$671,235$0$145,699$0$32,431$0$117,065$0$24,525$0$990,955$0$0$0
JODI REGAN MD
PERINATOLOGIST$816,270$0$153,330$0$1,488$0$0$0$0$0$971,088$0$0$0
ROBERT MCGREGOR MD
DIRECTOR / CHIEF MEDICAL OFFICER$588,092$0$145,355$0$29,989$0$103,850$0$24,057$0$891,343$0$0$0
CHRSTINE YOUNG
CHIEF NURSING OFFICER$373,578$0$106,650$0$187,096$0$81,847$0$30,278$0$779,449$0$185,600$0
MICHAEL BIGHAM MD
CHIEF QUALITY OFFICER$448,240$0$116,876$0$1,962$0$103,894$0$24,327$0$695,299$0$0$0
HARUN RASHID
CHIEF INFORMATION OFFICER$410,622$0$107,602$0$45,602$0$94,761$0$30,794$0$689,381$0$0$0
ANTHEA DANIELS
ASST SEC /CHIEF LEGAL OFFICER$439,997$0$116,853$0$1,914$0$100,069$0$3,609$0$662,442$0$0$0
RHONDA LARIMORE
CHIEF HUMAN RESOURCES OFFICER$367,460$0$106,202$0$4,497$0$89,414$0$30,625$0$598,198$0$0$0
SHEFALI MAHESH MD
DEPARTMENT CHAIR OF PEDIATRICS$309,153$0$148,678$0$428$0$21,350$0$18,860$0$498,469$0$0$0
MICHELE BROWN
CHIEF DEVELOPMENT OFFICER$0$328,004$0$82,675$0$7,427$0$55,026$0$19,393$0$492,525$0$0
ALICIA LAMANCUSA
TREASURER - PART YEAR$375,003$0$231,875$0$8,489$0-$208,698$0$23,241$0$429,910$0$0$0
BERNETT WILLIAMS
CHIEF DIVERSITY, EQUITY, INCLUSION O$292,409$0$47,500$0$5,977$0$66,076$0$16,719$0$428,681$0$0$0
CRAIG MCGHEE
CHIEF NON HOSPITAL SVS OFFICER$287,083$0$81,510$0$13,398$0$4,846$0$13,847$0$400,684$0$0$0
MICHAEL FORBES MD
INTERIM CHAIR OF PEDIATRICS$391,892$0$56,154$0$5,243$0-$86,807$0$22,578$0$389,060$0$0$0
GORDON EDWARDS
CFO AND TREASURER - PART YEAR$156,433$0$20,000$0$43,686$0$0$0$6,508$0$226,627$0$0$0
KRISTENE GRAYEM
CHIEF POPULATION HEALTH OFFICER$341,062$0$41,825$0$1,249$0-$222,371$0$3,024$0$164,789$0$0$0
WILLIAM CONSIDINE
CEO EMERITUS$0$0$0$0$72,856$0$0$0$0$0$72,856$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE FOLLOWING INDIVIDUALS HAD A 2022 COUNTRY CLUB MEMBERSHIP THAT WAS USED BY THEM FOR BUSINESS PURPOSES: CHRISTOPHER GESSNER ROBERT MCGREGOR M.D. 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, LINES 4A-BTHE 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 2022 IN THE FOLLOWING AMOUNTS: GRACE WAKULCHIK - $894,384 CHRISTOPHER GESSNER - $0 MICHELE E. BROWN - $0 MICHAEL T. BIGHAM - $0 ANTHEA R. DANIELS - $0 HARUN A. RASHID - $0 CHRISTINE G. YOUNG - $185,000 RHONDA L. LARIMORE - $0 LISA AURILIO - $308,045 ROBERT MCGREGOR - $0 SHAWN LYDEN - $0 BERNETT WILLIAMS - $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. MS. GRACE WAKULCHIK RECEIVED $315,839 AS SEVERANCE IN THE FIRST PAY OF 2022 IN ACCORDANCE WITH THE AGREEMENT SIGNED APRIL 28, 2021.
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
B341448680009730NB42013-05-15$101,377,818CONSTRUCTION OF CRITICAL CARE TOWEYes (1)00

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtBond DefeasedBondDefeasedAmtCapitalized InterestCapitalizedInterestAmtCapital ExpendituresCapitalExpendituresAmt
A$83,892,426$196,856$932,000$82,763,5702013Yes (1)0Yes (1)Yes (1)
B$101,377,818$1,148,601201500Yes (1)Yes (1)$6,440,000$90,905,000$10,229,217$90,000,000

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)00.000000.000000.0000000Yes (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

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART 1(F)BFormAndLineReferenceDesc
Explanation$101,377,818 WAS USED TO CONSTRUCT AN APPROXIMATELY 366,000 SQUARE FOOT KAY JEWELERS PAVILION ON THE AKRON CAMPUS. THE DATE THE REBATE COMPUTATION WAS PERFORMED WAS 03/13/2017ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonBWK ENGINEERINGPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY OF BOARD MEMBER, LISA BANDWEN OWNS MORE THAN 35% OF BWK ENGINEERINGRelationshipDescriptionTxt
Transaction$138,406TransactionAmt
TransactionENGINEERING DESIGN SERVICESTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON (CHMCA) IS COMMITTED TO REMAINING AN INDEPENDENT, COMMUNITY GOVERNED, INTEGRATED PEDIATRIC HEALTH CARE SYSTEM. CHMCA IS DEDICATED TO IMPROVING THE HEALTH OF CHILDREN THROUGH OUTSTANDING QUALITY CARE, EDUCATION, ADVOCACY, COMMUNITY SERVICE AND RESEARCH. CHMCA IS AN INDISPENSABLE, INTEGRATED PEDIATRIC HEALTHCARE DELIVERY SYSTEM SERVING INFANTS, CHILDREN AND ADOLESCENTS, AS WELL AS ADULTS IN THE REGIONAL BURN CENTER IN AKRON AND NORTHEAST OHIO. ESTABLISHED IN 1890 BY A GROUP OF WOMEN AFFILIATED WITH A LOCAL CHURCH, CHMCA HAS GROWN FROM A TWO-ROOM DAY NURSERY TO INCLUDE TWO HOSPITAL CAMPUSES, SIX REGIONAL HEALTH CENTERS AND MORE THAN 50 PRIMARY AND SPECIALTY CARE LOCATIONS. CHMCA IS A NOT-FOR PROFIT FACILITY WHICH OPERATES TWENTY-FOUR (24) HOURS A DAY, SEVEN (7) DAYS A WEEK. CHMCA ACCEPTS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY WHILE ALSO PROMISING 1) TO TREAT EVERY CHILD AS WE WOULD OUR OWN; 2) TO TREAT OTHERS AS THEY WOULD LIKE TO BE TREATED; AND 3) TO TURN NO CHILD AWAY FOR ANY REASON.
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 RESPONSIBILITYOF 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 2022 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 -33,865,915. OTHER CHANGES IN NET ASSETS -1,802,796. CHANGE IN PENSION PLAN REQUIREMENTS -22,557,754. CHANGE IN POSTRETIEMENT REQUIREMENTS 7,780,183. LOSS ON EXTINGUISHMENT OF DEBT 3,276,458.

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$61,189ShareOfTotalIncomeAmt
Share Of EOY Assets$178,827ShareOfEOYAssetsAmt
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 OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
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 Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
AKRONS CHILDRENS HOSPITAL FOUNDATION
Q$1,241,440ACTUAL PER GL
AKRONS CHILDRENS HOSPITAL FOUNDATION
C$14,368,908ACTUAL PER GL
AKRONS CHILDRENS HOSPITAL FOUNDATION
O$3,788,579ACTUAL PER GL
AKRONS CHILDRENS HOSPITAL FOUNDATION
B$614,331ACTUAL PER GL
AKRON CHILDREN'S HEALTH COLLABORATIVE
Q$6,382,673ACTUAL PER GL
AKRON CHILDREN'S HEALTH COLLABORATIVE
L$113,232,195ACTUAL PER GL
CHILD DIMENSIONS INSURANCE COMPANY
Q$3,771,269ACTUAL PER GL