CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON (EIN 34-0714357)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-15
IRS object ID: 202243199349310984
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-15T11:50:49-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2601 CAMBRIDGE CT STE 300	AddressLine1Txt
City	AUBURN HILLS	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48326	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	340714357	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL MEDICAL CENTER OF	BusinessNameLine1Txt
Business Name Line2	AKRON	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	CHIL	BusinessNameControlTxt
Phone	3305438171	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE PERKINS SQUARE	AddressLine1Txt
City	AKRON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44308	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	GORDON EDWARDS	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	3305438171	PhoneNum
Signature	2022-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	GORDON	PersonFirstNm
Person Last	EDWARDS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY CIMINELLO	PreparerPersonNm
PTIN	P00796388	PTIN
Phone	2483757100	PhoneNum
Preparation	2022-11-14	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	0	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ALICIA LAMANCUSA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE PERKINS SQUARE	AddressLine1Txt
City	AKRON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44308	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,698,334,832	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	AKRONCHILDRENS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1897	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") IS DEDICATED TO IMPROVING THE HEALTH OF CHILDREN THROUGH QUALITY PATIENT CARE, RESEARCH & EDUCATION, COMMUNITY SERVICE.	ActivityOrMissionDesc
Voting Members Governing Body	33	VotingMembersGoverningBodyCnt
Voting Members Independent	27	VotingMembersIndependentCnt
Total Employee	7201	TotalEmployeeCnt
Total Volunteers	808	TotalVolunteersCnt
Total Gross UBI	$356,297	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,408,657	PYContributionsGrantsAmt
CY Contributions Grants	$16,021,034	CYContributionsGrantsAmt
PY Program Service Revenue	$954,919,273	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,123,755,021	CYProgramServiceRevenueAmt
PY Investment Income	$23,075,485	PYInvestmentIncomeAmt
CY Investment Income	$39,875,247	CYInvestmentIncomeAmt
PY Other Revenue	$5,448,773	PYOtherRevenueAmt
CY Other Revenue	$6,715,151	CYOtherRevenueAmt
PY Total Revenue	$994,852,188	PYTotalRevenueAmt
CY Total Revenue	$1,186,366,453	CYTotalRevenueAmt
PY Grants And Similar Paid	$579,246	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,064,040	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$600,089,599	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$642,828,864	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$324,947,708	PYOtherExpensesAmt
CY Other Expenses	$376,634,243	CYOtherExpensesAmt
PY Total Expenses	$925,616,553	PYTotalExpensesAmt
CY Total Expenses	$1,022,527,147	CYTotalExpensesAmt
PY Revenues Less Expenses	$69,235,635	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$163,839,306	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,822,056,911	TotalAssetsBOYAmt
Total Assets EOY	$2,008,652,850	TotalAssetsEOYAmt
Total Liabilities BOY	$576,895,825	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$564,707,101	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,245,161,086	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,443,945,749	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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 A MODERN 462-BED, FULL-SERVICE CHILDREN'S HOSPITAL. CH MCA 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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$820,555,461	ExpenseAmt
Grant	$3,064,040	GrantAmt
Revenue	$1,123,755,021	RevenueAmt
Desc	CHMCA IS THE LARGEST PEDIATRIC HEALTHCARE SYSTEM IN NORTHEAST OHIO, OPERATING 2 CHILDREN'S HOSPITALS 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 2021, CHMCA SERVED OVER 1,268,000 PATIENTS 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 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 SERVICES.	Desc
Total Program Service Expenses	$820,555,461	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	Yes (1)	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	484	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	7201	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	33	GoverningBodyVotingMembersCnt
Independent Voting Member	27	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALICIA LAMANCUSA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3305438171	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE PERKINS SQUARE	AddressLine1Txt
City	AKRON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44308	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (48 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GRACE WAKULCHIK
BOD/OFFICER - PRESIDENT & CEO	46.00	4.00	Yes (X)	Yes (X)	$1,439,903	$0	$277,587
JOHN CROW MD
ASST. CHIEF MEDICAL OFFICER	48.00	2.00			$1,095,934	$0	$29,334	Yes (X)
ABDELAZIZ SALEH MD
PERINATOLOGIST	50.00	1.00			$1,067,170	$0	$45,704	Yes (X)
TSULEE CHEN MD
DIRECTOR OF PEDIATRIC NEUROSURGERY	49.00	1.00			$1,046,233	$0	$26,899	Yes (X)
MARK WULKAN MD
DEPARTMENT CHAIR - SURGERY	50.00	0.00			$1,038,618	$0	$31,432	Yes (X)
JODI REGAN MD
PERINATOLOGIST	50.00	0.00			$1,033,972	$0	$27,048	Yes (X)
SHAWN LYDEN
CHIEF STRATEGY OFFICER	47.00	3.00			$849,992	$0	$134,164		Yes (X)
ROBERT MCGREGOR MD
CHIEF MEDICAL OFFICER	49.00	1.00	Yes (X)		$744,105	$0	$120,456
MICHAEL BIGHAM MD
CHIEF QUALITY OFFICER	49.00	1.00			$729,742	$0	$116,752		Yes (X)
SPENCER KOWAL
CFO/TREASURER - PART YEAR	46.00	4.00		Yes (X)	$810,763	$0	$28,224
LISA AURILIO
CHIEF OPERATING OFFICER	37.00	13.00			$733,114	$0	$98,925		Yes (X)
RHONDA LARIMORE
CHIEF OF HUMAN RESOURCES	50.00	0.00			$628,041	$0	$98,171		Yes (X)
HARUN RASHID
CHIEF INFORMATION OFFICER	50.00	0.00			$528,015	$0	$112,814		Yes (X)
ANTHEA DANIELS
CHIEF LEGAL OFFICER/ ASST. SECRETARY	46.00	4.00			$543,823	$0	$89,034		Yes (X)
CRAIG MCGHEE
CHIEF NON HOSP SRVCS OFFICER	49.00	1.00			$522,578	$0	$81,050		Yes (X)
CHRISTINE YOUNG
CHIEF NURSING OFFICER	49.00	1.00			$453,730	$0	$95,105		Yes (X)
MICHAEL FORBES MD
INTERIM CHAIR DEPT. OF PEDS	50.00	0.00	Yes (X)		$494,946	$0	$30,831
ALICIA LAMANCUSA
INTERIM CHIEF FINANCIAL OFFICER	43.00	7.00	Yes (X)	Yes (X)	$427,371	$0	$15,935
SHEFALI MAHESH MD
DIRECTOR - DEPARTMENT CHAIR - NEPHROLOGY AND DIALY	47.00	3.00	Yes (X)		$363,722	$0	$31,762
CHRISTOPHER GESSNER
PRESIDENT - CEO	45.00	5.00	Yes (X)	Yes (X)	$207,270	$0	$48,032
WILLIAM CONSIDINE
FORMER CEO EMERITUS	48.00	2.00			$269,595	$0	$877			Yes (X)
JOHN ORR
CHAIRMAN	20.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
SUZANNE LOCKE
SECRETARY	14.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
VIRGINIA ADDICOTT
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
ROBERT BERK
DIRECTOR/ CHAIR AUDIT COMMITTEE	8.00	2.00	Yes (X)		$0	$0	$0
TIMOTHY BURKE
DIRECTOR/ VICE CHAIR FINANCE COMMITTEE	2.00	0.00	Yes (X)		$0	$0	$0
PAUL CATANIA
DIRECTOR	4.00	0.00	Yes (X)		$0	$0	$0
PATRICK COVEY
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
VIRGINIA DROSOS
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
PAUL DUTTON
DIRECTOR	3.00	2.00	Yes (X)		$0	$0	$0
JOANNE FELDEN
DIRECTOR	14.00	0.00	Yes (X)		$0	$0	$0
TAMMY GERSMAN
DIRECTOR	14.00	0.00	Yes (X)		$0	$0	$0
WILLIAM HOPKINS
DIRECTOR	9.00	0.00	Yes (X)		$0	$0	$0
MONTRELLA JACKSON
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
WILLIAM KELLEHER
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
KARA LEWIS
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
MICHELLE LUECKE
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
JOHN MAYER
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
GREG MCDERMOTT
DIRECTOR - PART YEAR	6.00	1.00	Yes (X)		$0	$0	$0
RICHARD ROGERS
DIRECTOR	4.00	0.00	Yes (X)		$0	$0	$0
PEG STALTER
DIRECTOR	17.00	1.00	Yes (X)		$0	$0	$0
GLEN STEPHENS
DIRECTOR	3.00	0.00	Yes (X)		$0	$0	$0
SHELLEY TAYLOR
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
BARBARA VARLEY
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
DARREN WELLS
DIRECTOR	4.00	0.00	Yes (X)		$0	$0	$0
ROBERT WELLS
DIRECTOR	4.00	0.00	Yes (X)		$0	$0	$0
SARAH ROSSI
DIRECTOR	12.00	0.00	Yes (X)		$0	$0	$0
STEPHEN MYERS
VICE CHAIRMAN FOR FINANCE	8.00	0.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$15,028,637	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,540,136	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1008	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MARCUS THOMAS LLC
4781 RICHMOND ROAD	CLEVELAND	OH	44128	BROADCAST MEDIA	$6,856,335
PEDIATRIC & ADOLESCENT UROLOGY
215 W BOWERY ST	AKRON	OH	44308	PHYSICIAN SERVICES	$3,414,149
QUALIVIS LLC
2000 CENTER POINT DR SUITE 2360	COLUMBIA	SC	29210	CLINICAL TEMP SVCS	$2,241,050
PEDIATRICS OF AKRON INC
215 W BOWERY ST	AKRON	OH	44308	MEDICAL SERVICES	$1,791,732
COMPHEALTH
SOUTH BINGHAM JUNCTION BLVD	MIDVALE	UT	84047	MEDICAL SERVICES	$1,691,636

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	67	CntrctRcvdGreaterThan100KCnt
Fundraising	$461,311	FundraisingAmt
Related Organizations	$11,428,520	RelatedOrganizationsAmt
Government Grants	$2,773,577	GovernmentGrantsAmt
All Other Contributions	$1,357,626	AllOtherContributionsAmt
Total Contributions	$16,021,034	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$1,016,705,984	$1,016,705,984
OTHER PROGRAM SERVICE REVENUE	621110	$107,049,037	$107,049,037

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,123,755,021	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,016,088	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,730	UnrelatedBusinessRevenueAmt
Exclusion	$18,014,358	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$533,338,679	SecuritiesAmt
Other	$164,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$511,605,620	SecuritiesAmt
Other	$37,900	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$21,733,059	SecuritiesAmt
Other	$126,100	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,859,159	TotalRevenueColumnAmt
Exclusion	$21,859,159	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$125,417	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$461,311	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$324,859	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$199,442	TotalRevenueColumnAmt
Exclusion	-$199,442	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	722514	$4,466,910	$4,466,910
PARKING DECK	812930	$1,165,548	$1,165,548
GIFT SHOP	621400	$927,568	$927,568

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$354,567	TotalRevenueColumnAmt
Unrelated Business Revenue	$354,567	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,914,593	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,186,366,453	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,123,755,021	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$356,297	UnrelatedBusinessRevenueAmt
Exclusion	$46,234,101	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,696,120	TotalAmt
Program Services	$2,696,120	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$367,920	TotalAmt
Program Services	$367,920	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,155,515	TotalAmt
Management And General	$5,155,515	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$504,145,573	TotalAmt
Program Services	$429,600,581	ProgramServicesAmt
Management And General	$74,544,992	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$22,679,340	TotalAmt
Program Services	$19,495,825	ProgramServicesAmt
Management And General	$3,183,515	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$79,348,855	TotalAmt
Program Services	$66,672,573	ProgramServicesAmt
Management And General	$12,676,282	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$31,499,581	TotalAmt
Program Services	$26,225,044	ProgramServicesAmt
Management And General	$5,274,537	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$575,454	TotalAmt
Management And General	$575,454	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$487,911	TotalAmt
Program Services	$30,881	ProgramServicesAmt
Management And General	$457,030	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$212,646	TotalAmt
Management And General	$212,646	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$855,652	TotalAmt
Management And General	$855,652	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$62,642,017	TotalAmt
Program Services	$42,773,796	ProgramServicesAmt
Management And General	$19,868,221	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$9,745,209	TotalAmt
Program Services	$116,402	ProgramServicesAmt
Management And General	$9,628,807	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,814,600	TotalAmt
Program Services	$8,086,708	ProgramServicesAmt
Management And General	$1,727,892	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,859,191	TotalAmt
Management And General	$6,859,191	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,090,793	TotalAmt
Program Services	$8,502,388	ProgramServicesAmt
Management And General	-$411,595	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,815,469	TotalAmt
Program Services	$1,377,149	ProgramServicesAmt
Management And General	$438,320	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,913,749	TotalAmt
Program Services	$2,726,215	ProgramServicesAmt
Management And General	$8,187,534	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$68,673,706	TotalAmt
Program Services	$35,605,753	ProgramServicesAmt
Management And General	$33,067,953	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,666,636	TotalAmt
Program Services	$5,147,366	ProgramServicesAmt
Management And General	$2,519,270	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL/SURGICAL SUPPLI	$99,576,587	$98,790,352	$786,235
PROVISION FOR FRANCHISE	$29,742,196	$29,742,196
EQUIPMENT RENTAL/MAINTE	$24,444,254	$16,663,670	$7,780,584
PROVISION FOR BAD DEBT	$17,214,790	$17,214,790

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,303,383	TotalAmt
Program Services	$8,719,732	ProgramServicesAmt
Management And General	$8,583,651	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,022,527,147	TotalAmt
Program Services	$820,555,461	ProgramServicesAmt
Management And General	$201,971,686	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$19,410	BOYAmt
EOY	$17,632	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$145,837,834	BOYAmt
EOY	$167,338,564	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$125,237,014	BOYAmt
EOY	$164,695,454	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$9,276,724	BOYAmt
EOY	$32,031,800	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$13,567,008	BOYAmt
EOY	$13,042,057	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,416,726	BOYAmt
EOY	$10,147,610	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,381,998,820	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$762,757,769	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$610,272,233	BOYAmt
EOY	$619,241,051	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$668,296,873	BOYAmt
EOY	$709,042,037	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,676,616	BOYAmt
EOY	$21,719,788	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$235,456,473	BOYAmt
EOY	$271,376,857	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,822,056,911	BOYAmt
EOY	$2,008,652,850	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$141,426,370	BOYAmt
EOY	$146,980,967	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$191,982,733	BOYAmt
EOY	$188,447,856	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$99,642,537	BOYAmt
EOY	$80,963,920	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$143,844,185	BOYAmt
EOY	$148,314,358	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$576,895,825	BOYAmt
EOY	$564,707,101	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,132,733,778	BOYAmt
EOY	$1,320,265,716	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$112,427,308	BOYAmt
EOY	$123,680,033	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,245,161,086	BOYAmt
EOY	$1,443,945,749	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,822,056,911	BOYAmt
EOY	$2,008,652,850	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$163,839,306	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$8,423,874	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$43,369,231	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$109,913	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$102,733	OtherActivitiesAmt
Total Lobbying Expenditures	$212,646	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") PAID A TOTAL OF $109,913 RELATED TO VARIOUS LOBBYING EXPENSES AND $102,733 WAS PAID 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 2021 LOBBYING EXPENSES: $30,286 NATIONAL ASSOCIATION OF CHILDREN' S HOSPITALS $12,549 AMERICAN HOSPITAL ASSOCIATION $59,467 OHIO CHILDREN'S HOSPITAL ASSOCIATION $7,611 OHIO HOSPITAL ASSOCIATION $50,000 LOBBYIST CAPITAL CONSULTING GROUP $52,733 INTERNAL COSTS $212,646 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

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,888,825	BeginningYearBalanceAmt
Contributions	$851,929	ContributionsAmt
Investment Earnings Or Losses	$3,133,097	InvestmentEarningsOrLossesAmt
Other Expenditures	$291,024	OtherExpendituresAmt
Administrative Expenses	-$808,577	AdministrativeExpensesAmt
End Year Balance	$24,391,404	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,908,929	BeginningYearBalanceAmt
Contributions	$1,312,133	ContributionsAmt
Investment Earnings Or Losses	-$2,263,920	InvestmentEarningsOrLossesAmt
Other Expenditures	$557,496	OtherExpendituresAmt
Administrative Expenses	-$489,179	AdministrativeExpensesAmt
End Year Balance	$19,888,825	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,743,581	BeginningYearBalanceAmt
Contributions	$560,495	ContributionsAmt
Investment Earnings Or Losses	$853,513	InvestmentEarningsOrLossesAmt
Other Expenditures	$459,309	OtherExpendituresAmt
Administrative Expenses	-$210,649	AdministrativeExpensesAmt
End Year Balance	$20,908,929	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.03226	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.16601	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.80173	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,056,491	OtherCostOrOtherBasisAmt
Book Value	$17,056,491	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$838,492,603	OtherCostOrOtherBasisAmt
Depreciation	$383,082,443	DepreciationAmt
Book Value	$455,410,160	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$56,009,985	OtherCostOrOtherBasisAmt
Depreciation	$17,908,364	DepreciationAmt
Book Value	$38,101,621	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$443,954,264	OtherCostOrOtherBasisAmt
Depreciation	$357,226,660	DepreciationAmt
Book Value	$86,727,604	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,485,477	OtherCostOrOtherBasisAmt
Depreciation	$4,540,302	DepreciationAmt
Book Value	$21,945,175	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$619,241,051	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
BENEFICIAL INT IN FOUNDATION	$223,069,139
UNAMORT HEALTHCARE SERVICE	$38,397,047
HTC TRANASFER FROM UNRESTRICTED	$8,640,248
OTHER ASSETS	$1,270,423

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$271,376,857	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
OTHER LONG TERM LIABILITIES	$59,994,685
ACCRUED POST EMPLOYMENT BENEFITS	$33,298,842
OPERATING LEASE LIABILITIES	$28,261,176
ACCRUED PENSION	$24,185,655
RESERVE FOR LIABILITIES	$2,574,000

Field	Value	IRS element (for citing)
Total Liability	$148,314,358	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 FROM UNRESTRICTED SOURCES 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 ALL UNRESTRICTED, TEMPORARILY AND PERMANENTLY RESTRICTED 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

Field	Value	IRS element (for citing)
Event1	HOLIDAY TREE FESTIVAL	Event1Nm
Gross Receipts Event1	$285,992	GrossReceiptsEvent1Amt
Charitable Contri Event1	$214,494	CharitableContriEvent1Amt
Gross Revenue Event1	$71,498	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$264,885	OtherDirectExpensesEvent1Amt
Event2	CHARITY BALL	Event2Nm
Gross Receipts Event2	$112,175	GrossReceiptsEvent2Amt
Charitable Contri Event2	$84,131	CharitableContriEvent2Amt
Gross Revenue Event2	$28,044	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$6,789	OtherDirectExpensesEvent2Amt
Other Events Total	5	OtherEventsTotalCnt
Gross Receipts Other Events	$188,561	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$162,686	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$25,875	GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events	$53,185	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$586,728	GrossReceiptsTotalAmt
Charitable Contributions Tot	$461,311	CharitableContributionsTotAmt
Gross Revenue Total Events	$125,417	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$324,859	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$324,859	DirectExpenseSummaryEventsAmt
Net Income Summary	-$199,442	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,532,270	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,532,270	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$552,491,012	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$408,156,073	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$144,334,939	NetCommunityBenefitExpnsAmt
Total Expense	0.14360	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$978,714	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$978,714	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$558,001,996	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$409,134,787	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$148,867,209	NetCommunityBenefitExpnsAmt
Total Expense	0.14810	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,230,787	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,230,777	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,330,681	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,265,209	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,065,472	NetCommunityBenefitExpnsAmt
Total Expense	0.01000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$112,571,369	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,672,685	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$57,898,684	NetCommunityBenefitExpnsAmt
Total Expense	0.05760	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,045,588	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$106,433	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,939,155	NetCommunityBenefitExpnsAmt
Total Expense	0.00890	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$199,778	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$199,778	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$153,378,203	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,044,337	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$83,333,866	NetCommunityBenefitExpnsAmt
Total Expense	0.08290	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$711,380,199	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$479,179,124	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$232,201,075	NetCommunityBenefitExpnsAmt
Total Expense	0.23100	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,503	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,503	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$718	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$718	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$396,274	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$396,274	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,067	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$41,067	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$463,562	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$463,562	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$6,936,715	BadDebtExpenseAmt
Reimbursed By Medicare	$11,730,221	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$14,326,161	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,595,940	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd
CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON
1	ONE PERKINS SQUARE	AKRON	OH	44308	WWW.AKRONCHILDRENS.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)
CHILDREN'S - BEEGHLY CAMPUS
2	6505 MARKET STREET	YOUNGSTOWN	OH	44512	WWW.AKRONCHILDRENS.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Residency CriteriaResidencyCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Other MethodOtherMethodInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Other Actions TakenOtherActionsTakenInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
FACILITY GROUP A - AKRON
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	0	0	Yes (1)	Yes (X)	HTTPS://TINYURL.COM/Y6EHZS8C	Yes (X)	Yes (1)	20	Yes (1)	HTTPS://TINYURL.COM/Y6EHZS8C	0	Yes (1)	Yes (X)	200.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://TINYURL.COM/2S4FT6X5	Yes (X)	HTTPS://TINYURL.COM/2S4FT6X5	Yes (X)	HTTPS://TINYURL.COM/2S4FT6X5	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
FACILITY GROUP B - MAHONING VALLEY
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	0	0	Yes (1)	Yes (X)	HTTPS://TINYURL.COM/Y6EHZS8C	Yes (X)	Yes (1)	20	Yes (1)	HTTPS://TINYURL.COM/Y6EHZS8C	0	Yes (1)	Yes (X)	200.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://TINYURL.COM/2S4FT6X5	Yes (X)	HTTPS://TINYURL.COM/2S4FT6X5	Yes (X)	HTTPS://TINYURL.COM/2S4FT6X5	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY GROUP A - AKRON	PART V, SECTION B, LINE 5: IN ADDITION TO EXAMINING COUNTY-LEVEL EPIDEMIOLOGIC DATA, INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS REPRESENTING THE BROAD INTERESTS OF A SEVEN-COUNTY AREA FROM MARCH 2019 - MAY 2019 TO GAIN INSIGHT ON WHAT THEY THOUGHT WERE SIGNIFICANT HEALTH NEEDS OF CHILDREN IN THEIR COMMUNITIES, THE FACTORS THAT IMPACT THOSE HEALTH NEEDS, OTHER EXISTING COMMUNITY HEALTH NEEDS ASSESSMENTS, POSSIBLE COLLABORATION OPPORTUNITIES, AND TO GET SUGGESTIONS ON WHAT THE HOSPITALS CAN DO TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (HEREAFTER CHNA). LEADERS FROM THE FOLLOWING COMMUNITY ORGANIZATIONS WERE INTERVIEWED: THESE COMMUNITY LEADERS REPRESENT THE BROAD INTEREST OF THE COMMUNITIES SERVED BY THE HOSPITAL FACILITIES INCLUDING THE MEDICALLY UNDERSERVED, LOW-INCOME PERSONS, THOSE WITH CHRONIC DISEASE NEEDS AND LEADERS FROM LOCAL PUBLIC HEALTH AGENCIES AND DEPARTMENTS WHO HAVE SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH AND CHILDREN'S HEALTH. THEY ARE ORGANIZED BY COUNTY. ASHLAND: ASHLAND COUNTY JOB AND FAMILY SERVICES ASHLAND PARENTING PLUS MENTAL HEALTH AND RECOVERY BOARD OF ASHLAND COUNTY MEDINA: ALTERNATIVE PATHS BOARD OF DEVELOPMENT DISABILITIES MEDINA COUNTY ALCOHOL AND DRUG ADDICTION AND MENTAL HEALTH (ADAMH) BOARD MEDINA COUNTY CHILDREN SERVICES MEDINA COUNTY HEALTH DISTRICT MEDINA COUNTY JUVENILE COURT UNITED WAY OF MEDINA COUNTY PORTAGE: KENT STATE UNIVERSITY LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUEER AND QUESTIONING PLUS (LGBTQ+) CENTER PORTAGE COUNTY HEALTH DEPARTMENT PORTAGE COUNTY MENTAL HEALTH AND RECOVERY BOARDRICHLAND: RICHLAND COUNTY CHILDREN SERVICES RICHLAND COUNTY HEALTH DEPARTMENT RICHLAND COUNTY MENTAL HEALTH AND RECOVERY SERVICES STARK: CANTON CITY HEALTH DEPARTMENT MASSILLON HEALTH DEPARTMENT STARK COUNTY HEALTH DEPARTMENT STARK COUNTY JOB AND FAMILY SERVICES STARK MENTAL HEALTH & ADDICTION RECOVERY (STARKMHAR) SUMMIT: AKRON CHAPTER, NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE (NAACP) AKRON FIRE DEPARTMENT, PUBLIC EDUCATION AKRON METROPOLITAN HOUSING AUTHORITY AKRON YMCA AXESSPOINTE FEDERALLY QUALIFIED HEALTH CENTER CITY OF AKRON/FULL TERM FIRST BIRTHDAY GREATER AKRON INITIATIVE COMMUNITY LEGAL AID SERVICES - AKRON GAR FOUNDATION INTERNATIONAL INSTITUTE OF AKRON OHIO HOUSE OF REPRESENTATIVES - STATE REP. TAVIA GALONSKI SUMMA HEALTH SYSTEM SUMMIT COUNTY EXECUTIVE SUMMIT COUNTY ALCOHOL, DRUG AND MENTAL HEALTH (ADM) BOARD SUMMIT COUNTY CHILDREN SERVICES SUMMIT COUNTY COURT OF COMMON PLEAS SUMMIT COUNTY PUBLIC HEALTH SUMMIT EDUCATION INITIATIVE WAYNE: UNITED WAY OF WAYNE COUNTY WAYNE COUNTY COMBINED GENERAL HEALTH DISTRICT WAYNE COUNTY FAMILY AND CHILDREN FIRST COUNCIL COMMUNITY RESIDENT FOCUS GROUPS: IN ADDITION TO INPUT FROM COMMUNITY LEADERS, FOCUS GROUPS WERE CONDUCTED WITH 118 COMMUNITY RESIDENTS IN THE SAME SEVEN-COUNTY AREA FROM FEBRUARY - APRIL 2019. A QUESTIONNAIRE WAS DISTRIBUTED TO THE FOCUS GROUP PARTICIPANTS TO GATHER DEMOGRAPHIC INFORMATION AND BASIC PERCEPTIONS OF COMMUNITY HEALTH. DUE TO THE OBSERVED INFORMATION GAP IN THE EPIDEMIOLOGIC DATA ON CHILD AND YOUTH MENTAL HEALTH ISSUES, HEALTH BEHAVIORS, AS WELL AS FAMILY DYNAMICS, SOCIAL DETERMINANTS OF HEALTH AND TRAUMA, QUESTIONS WERE ASKED TO PROBE MORE DEEPLY ON THESE ISSUES. THE FACILITATION GUIDE AND QUESTIONNAIRE WERE DEVELOPED IN PARTNERSHIP WITH THE CENTER FOR COMMUNITY SOLUTIONS, WHO CONDUCTED CHNA RESEARCH AND ANALYSES. COMMUNITY RESIDENTS WERE RECRUITED TO PARTICIPATE IN THE FOCUS GROUPS THROUGH RELATIONSHIPS WITH COMMUNITY AGENCIES AND INDIVIDUALS REPRESENTING THOSE AGENCIES. WE CONDUCTED FOCUS GROUPS IN SITES WITH COMMUNITY RECOGNITION/FAMILIARITY AND EASE OF ACCESS, INCLUDING A LOCAL PARISH, PUBLIC LIBRARY, COMMUNITY ACTION AGENCY, HOMELESS SHELTER, UNITED WAY OFFICE, NEIGHBORHOOD DEVELOPMENT CORPORATION, TWO FAMILY RESOURCE CENTERS (INCLUDING ONE FOR FOSTER FAMILIES), COMMUNITY LEARNING CENTER AND CHMCA HEALTH CENTER. 57.6% OF PARTICIPANTS WERE FROM SUMMIT COUNTY, AS SESSIONS WERE PLANNED WITH NON-ENGLISH SPEAKING (NEPALI AND KAREN) IMMIGRANTS AS WELL AS HOUSING INSECURE POPULATIONS IN THIS COMMUNITY. THE ADDITIONAL COUNTY BREAKDOWN WAS AS FOLLOWS: 10.2% FROM ASHLAND COUNTY, 8.5% FROM RICHLAND COUNTY, 8.5% FROM STARK COUNTY, 5.9% FROM MEDINA COUNTY, 5% FROM WAYNE COUNTY AND 4.2% FROM PORTAGE COUNTY.
FACILITY GROUP B - MAHONING VALLEY	PART V, SECTION B, LINE 5: - IN ADDITION TO EXAMINING COUNTY-LEVEL EPIDEMIOLOGIC DATA INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS REPRESENTING THE BROAD INTEREST OF A THREE-COUNTY AREA FROM MARCH - MAY 2019 TO GAIN INSIGHT ON WHAT THEY THOUGHT WERE SIGNIFICANT HEALTH NEEDS OF CHILDREN AND FAMILIES IN THEIR COMMUNITIES, THE FACTORS THAT AFFECT THOSE HEALTH NEEDS, OTHER EXISTING COMMUNITY HEALTH NEEDS ASSESSMENTS, POSSIBLE COLLABORATION OPPORTUNITIES, AND TO GET SUGGESTIONS ON WHAT CHMCA CAN DO TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (HEREAFTER CHNA). LEADERS FROM THE FOLLOWING COMMUNITY ORGANIZATIONS WERE INTERVIEWED AND ARE ORGANIZED BY THOSE SERVING THE TRI-COUNTY REGION AND INDIVIDUAL COUNTIES WITHIN. MAHONING VALLEY (TRI-COUNTY REGION) COMMUNITY FOUNDATION OF THE MAHONING VALLEY UNITED WAY OF YOUNGSTOWN AND THE MAHONING VALLEY COLUMBIANA COLUMBIANA COUNTY EDUCATIONAL SERVICE CENTER COLUMBIANA COUNTY HEALTH DEPARTMENT COLUMBIANA COUNTY FAMILY AND CHILDREN FIRST COUNCIL SALEM REGIONAL MEDICAL CENTER MAHONING CITY OF YOUNGSTOWN MAHONING COUNTY CHILDREN SERVICES MAHONING COUNTY JUVENILE COURT DIVISION MAHONING COUNTY MENTAL HEALTH & RECOVERY BOARD MERCY HEALTH - YOUNGSTOWN REGION YOUNGSTOWN CITY HEALTH DISTRICT YOUNGSTOWN NEIGHBORHOOD DEVELOPMENT CORPORATION TRUMBULL CITY OF WARREN TRUMBULL COUNTY BOARD OF DEVELOPMENTAL DISABILITIES (FAIRHAVEN) TRUMBULL COUNTY CHILDREN SERVICES TRUMBULL COUNTY HEALTH DEPARTMENT TRUMBULL COUNTY MENTAL HEALTH & RECOVERY BOARD COMMUNITY RESIDENT FOCUS GROUPS IN ADDITION TO INPUT FROM COMMUNITY LEADERS, FOCUS GROUPS WERE CONDUCTED WITH 23 COMMUNITY RESIDENTS IN THE SAME THREE-COUNTY AREA FROM MARCH - APRIL 2019. IN ADDITION, A QUESTIONNAIRE WAS DISTRIBUTED TO THE FOCUS GROUP PARTICIPANTS TO GATHER DEMOGRAPHIC INFORMATION AND BASIC PERCEPTIONS OF COMMUNITY HEALTH. DUE TO THE OBSERVED INFORMATION GAP IN THE EPIDEMIOLOGIC DATA ON CHILD AND YOUTH MENTAL HEALTH ISSUES, HEALTH BEHAVIORS, AS WELL AS FAMILY DYNAMICS, SOCIAL DETERMINANTS OF HEALTH AND TRAUMA, QUESTIONS WERE ASKED TO PROBE MORE DEEPLY ON THESE ISSUES. THE FACILITATION GUIDE AND QUESTIONNAIRE WERE DEVELOPED IN PARTNERSHIP WITH THE CENTER FOR COMMUNITY SOLUTIONS, WHO CONDUCTED CHNA RESEARCH AND ANALYSES. COMMUNITY RESIDENTS WERE RECRUITED TO PARTICIPATE IN THE FOCUS GROUPS THROUGH RELATIONSHIPS WITH COMMUNITY AGENCIES AND INDIVIDUALS REPRESENTING THOSE AGENCIES. WE CONDUCTED FOCUS GROUPS IN SITES WITH COMMUNITY RECOGNITION AND EASE OF ACCESS, INCLUDING A WIC OFFICE, PUBLIC LIBRARY AND JOB & FAMILY SERVICES COMMUNITY ROOM. 52.2% OF PARTICIPANTS WERE FROM MAHONING COUNTY, 26.1% FROM COLUMBIANA COUNTY, AND 21.7% FROM TRUMBULL COUNTY.
FACILITY GROUP A - AKRON	PART V, SECTION B, LINE 11: THE MEASURED INDICATORS IN THE 2019 CHNA HAVE BEEN ADDRESSED FOR MANY YEARS THROUGH CHMCA'S CLINICAL AND PROGRAMMATIC EFFORTS. OUR HIGHLY QUALIFIED MEDICAL STAFF AND PROFESSIONALS PROVIDE WORLD-CLASS PATIENT CENTERED CARE TO ADDRESS EACH OF THESE INDICATORS THROUGH OUR LOIS AND JOHN ORR FAMILY BEHAVIORAL HEALTH CENTER, CENTER FOR ORTHOPEDICS AND SPORTS MEDICINE, CENTER FOR DIABETES AND ENDOCRINOLOGY, ROBERT T. STONE, MD, RESPIRATORY CENTER, HEART CENTER, DIVISION OF PEDIATRIC PSYCHIATRY AND PSYCHOLOGY, AND THE SHOWERS FAMILY CENTER FOR CHILDHOOD CANCER AND BLOOD DISORDERS. THE 2019 CHNA IDENTIFIED AND PRIORITIZED SEVERAL COMMUNITY HEALTH NEEDS. OUR BOARD OF DIRECTORS APPROVED COMPREHENSIVE IMPLEMENTATION STRATEGIES THAT FOCUSED ON ADDRESSING CONDITIONS RELATED TO BEHAVIORAL HEALTH WITH A FOCUS ON ADVERSE CHILDHOOD EXPERIENCES, ASTHMA, AND INFANT MORTALITY. THE REMAINING IDENTIFIED NEEDS FROM THE CHNA, INCLUDING CONDITIONS RELATED TO CHILD LIFESTYLE FACTORS, 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 OF THE COMMUNITY HEALTH NEEDS IDENTIFIED BY THE CHNA ARE IMPORTANT, HOSPITAL TEAMS DELIBERATED AND PRIORITIZED THREE HIGH-PRIORITY 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 HEALTH AREAS WERE BEYOND THE SCOPE OF THE HOSPITAL, WITH SOME HEALTH AREAS REQUIRING MORE RESOURCES THAN WHAT WAS AVAILABLE: - ACCESS TO HEALTH CARE - ORAL HEALTH - CHILD WELL BEING AND BEHAVIOR - FOOD ACCESS & NUTRITION - OBESITY & SCREEN TIME - UNINTENTIONAL INJURIES - OTHER SOCIAL AND ENVIRONMENTAL FACTORS - AFFORDABLE HOUSING & EVICTION - TRANSPORTATION 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 BEING CARRIED OUT IN RELATION TO COALITION WORK WITH COMMUNITY AGENCIES AND LOCAL BIRTHING HOSPITALS. THESE INCLUDE ACTIVITIES SUCH AS EDUCATION AND MARKETING OF APPROPRIATE BIRTH SPACING AND LONG-ACTING REVERSIBLE CONTRACEPTION (LARC) PROMOTION. WE DO CARE FOR BABIES BORN AT LOW AND VERY LOW BIRTH WEIGHTS AND PRETERM INFANTS REQUIRING HOSPITALIZATION IN THE NICU ON THE AKRON CAMPUS OR OTHER NICU LOCATIONS THAT WE OPERATE AT CLEVELAND CLINIC - AKRON GENERAL, SUMMA HEALTH SYSTEM, ST. ELIZABETH HOSPITAL IN YOUNGSTOWN AND AULTMAN HOSPITAL IN CANTON, AND THE SPECIAL CARE NURSERY AT OUR MAHONING VALLEY CAMPUS IN BOARDMAN AND WOOSTER. DATA LIMITATIONS AND GAPS DUE TO LIMITED RESOURCES AND TIME CONSTRAINTS, COMPLETE DATA WERE NOT AVAILABLE FOR EVERY VULNERABLE POPULATION, SUCH AS THE HOMELESS OR REFUGEE POPULATIONS. WHERE AVAILABLE, THE MOST CURRENT DATA WERE USED TO DETERMINE THE HEALTH NEEDS OF THE COMMUNITY. ALTHOUGH THE DATA AVAILABLE ARE RICH WITH INFORMATION, DATA GAPS AND LIMITATIONS EXISTED THAT IMPACTED THE ABILITY TO CONDUCT A MORE THOROUGH AND RIGOROUS ASSESSMENT. THESE INCLUDE: 1. LAG TIME FOR DATA TO BE REPORTED BY THE STATE AND SOME LOCAL SOURCES. 2. PEDIATRIC DATA RELATED TO SUBSTANCE ABUSE, SEXUAL BEHAVIORS, AND OTHER LIFESTYLE FACTORS SUCH AS DIET AND EXERCISE, WERE NOT CONSISTENT ACROSS COUNTIES IN OUR PRIMARY SERVICE AREA. IN ADDITION, THESE DATA ARE LIMITED AND UNDER SAMPLED, NOT ADEQUATELY REPRESENTING THE COMMUNITIES OR SPECIFIC POPULATIONS. 3. ONLY TWO COMPLETE YEARS OF HOSPITAL ENCOUNTER DATA WERE AVAILABLE DUE TO A TRANSITION IN Q4 OF 2015 FROM ICD-9 TO ICD-10 DIAGNOSIS CODES.4. COUNTY AND STATEWIDE CHRONIC DISEASE DATA ARE NOT AVAILABLE FOR CHILDREN. ASTHMA, DIABETES AND OTHER CHRONIC DISEASE DATA REPORTED IN THE CHNA WERE GLEANED FROM OHIO HOSPITAL ASSOCIATION (OHA) HOSPITAL ENCOUNTER DATA. THESE DATA ARE REPORTED BY THE PRIMARY DIAGNOSIS CODE FOR THE ENCOUNTER AND BY PRODUCT GROUP (AN ITEM THAT IS TIED TO BILLING). BECAUSE DIAGNOSIS CODES DO NOT ALWAYS REFLECT UNDERLYING CONDITIONS, THESE DATA ALMOST CERTAINLY UNDERREPRESENT THE TRUE BURDEN OF CHRONIC DISEASE IN THE PEDIATRIC POPULATION.
FACILITY GROUP B - MAHONING VALLEY	PART V, SECTION B, LINE 11: THE MEASURED INDICATORS IN THE 2019 CHNA HAVE BEEN ADDRESSED FOR MANY YEARS THROUGH CHMCA'S CLINICAL AND PROGRAMMATIC EFFORTS. OUR HIGHLY QUALIFIED MEDICAL STAFF AND PROFESSIONALS PROVIDE WORLD-CLASS PATIENT CENTERED CARE TO ADDRESS EACH OF THESE INDICATORS THROUGH OUR LOIS AND JOHN ORR FAMILY BEHAVIORAL HEALTH CENTER, CENTER FOR ORTHOPEDICS AND SPORTS MEDICINE, CENTER FOR DIABETES AND ENDOCRINOLOGY, ROBERT T. STONE, MD RESPIRATORY CENTER, HEART CENTER, DIVISION OF PEDIATRIC PSYCHIATRY AND PSYCHOLOGY, AND THE SHOWERS FAMILY CENTER FOR CHILDHOOD CANCER AND BLOOD DISORDERS. THE 2019 CHNA IDENTIFIED AND PRIORITIZED SEVERAL COMMUNITY HEALTH NEEDS. OUR BOARD OF DIRECTORS APPROVED COMPREHENSIVE IMPLEMENTATION STRATEGIES THAT FOCUSED ON ADDRESSING THE CONDITIONS OF ASTHMA, BEHAVIORAL HEALTH AND ADVERSE CHILDHOOD EXPERIENCES (ACES), AND INFANT MORTALITY. THE REMAINING IDENTIFIED NEEDS FROM THE CHNA, INCLUDING CONDITIONS RELATED TO CHILD LIFESTYLE FACTORS, HEALTH ACCESS, AND ENVIRONMENTAL FACTORS, WERE NOT FORMALLY ADDRESSED THROUGH IMPLEMENTATION STRATEGIES. REASONS FOR THIS VARY. IN SOME CASES, OTHER COMMUNITY AGENCIES WERE DETERMINED TO BE BETTER POSITIONED TO ADDRESS THESE CONDITIONS; OR THERE WERE INSUFFICIENT HOSPITAL RESOURCES (INCLUDING BUDGET, STAFF AND/OR PARTNERSHIPS) IN PLACE. OVERALL, ALIGNMENT WITH HOSPITAL STRATEGIC PRIORITIES AND INVOLVEMENT WITH EXISTING COMMUNITY INITIATIVES PLACED SOME ISSUES ABOVE OTHERS IN TERMS OF FEASIBILITY TO MAKE A MEASURABLE IMPACT. WE WILL CONTINUE TO LOOK TO CHNA AND OTHER DATA ON HEALTH CONDITIONS AND SOCIAL DETERMINANTS OF HEALTH TO GUIDE OUR EFFORTS AND ADVANCE OUR MISSION OF IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE.SPECIFIC NEEDS NOT ADDRESSED:ALTHOUGH ALL OF THE COMMUNITY HEALTH NEEDS IDENTIFIED BY THE CHNA ARE IMPORTANT, AN AD HOC COMMITTEE OF HOSPITAL STAFF DELIBERATED AND PRIORITIZED THREE HIGH-PRIORITY AREAS BASED ON THE HOSPITAL'S CURRENT ACTIVITIES, AVAILABLE RESOURCES AND POTENTIAL FOR COMMUNITY IMPACT. CONSEQUENTLY, SEVERAL AREAS WILL NOT BE ADDRESSED THROUGH FORMAL IMPLEMENTATION STRATEGIES. THESE INCLUDE HEALTH AREAS THAT RANKED LOWER DURING THE PRIORITIZATION PROCESS. ADDITIONALLY, CERTAIN HEALTH AREAS WERE BEYOND THE SCOPE OF THE HOSPITAL, WITH SOME HEALTH AREAS REQUIRING MORE RESOURCES THAN WHAT WAS AVAILABLE. THESE INCLUDED:- ACCESS TO HEALTH CARE - ORAL HEALTH - CHILD WELL BEING AND BEHAVIOR - FOOD ACCESS & NUTRITION - OBESITY & SCREEN TIME - UNINTENTIONAL INJURIES - OTHER SOCIAL AND ENVIRONMENTAL FACTORS - AFFORDABLE HOUSING & EVICTION - TRANSPORTATION ADDITIONALLY, CHMCA'S CLINICIANS DO NOT PROVIDE CARE SERVICES FOR PREGNANT WOMEN, OTHER THAN THOSE WHOSE BABIES HAVE BEEN DIAGNOSED BEFORE BIRTH OR PRENATALLY WITH A CONDITION OR DISEASE THAT MUST BE MONITORED BY OUR MATERNAL FETAL MEDICINE (MFM) CENTER OR GENETICS CENTER. THEREFORE, OUR EFFORTS TO IMPACT BIRTH OUTCOMES SUCH AS PREMATURITY AND LOW BIRTH WEIGHT WILL BE CARRIED OUT IN RELATION TO COLLABORATIONS WITH COMMUNITY AGENCIES AND BIRTHING HOSPITALS. THESE INCLUDE ACTIVITIES SUCH AS EDUCATION AND MARKETING OF APPROPRIATE BIRTH SPACING AND LONG-ACTING REVERSIBLE CONTRACEPTION (LARC) PROMOTION, AND SMOKING CESSATION SUPPORT. WE DO CARE FOR BABIES BORN AT LOW AND VERY LOW BIRTH WEIGHTS AND PRETERM INFANTS REQUIRING HOSPITALIZATION IN THE NICU ON THE AKRON CAMPUS OR NICUS THAT WE OPERATE AT CLEVELAND CLINIC - AKRON GENERAL, SUMMA HEALTH SYSTEM AND ST. ELIZABETH HOSPITAL IN YOUNGSTOWN, AND THE SPECIAL CARE NURSERY AT OUR MAHONING VALLEY CAMPUS IN BOARDMAN. DATA LIMITATIONS AND GAPS:DUE TO LIMITED RESOURCES AND TIME CONSTRAINTS, COMPLETE DATA WERE NOT AVAILABLE FOR EVERY VULNERABLE POPULATION, SUCH AS THE HOMELESS OR REFUGEE POPULATIONS. WHERE AVAILABLE, THE MOST CURRENT DATA WERE USED TO DETERMINE THE HEALTH NEEDS OF THE COMMUNITY. ALTHOUGH THE DATA AVAILABLE ARE RICH WITH INFORMATION, DATA GAPS AND LIMITATIONS EXISTED THAT IMPACTED THE ABILITY TO CONDUCT A MORE THOROUGH AND RIGOROUS ASSESSMENT. THESE INCLUDE: 1. LAG TIME FOR DATA TO BE REPORTED BY THE STATE AND SOME LOCAL SOURCES.2. PEDIATRIC DATA RELATED TO SUBSTANCE ABUSE, SEXUAL BEHAVIORS, AND OTHER LIFESTYLE FACTORS SUCH AS DIET AND EXERCISE, WERE NOT CONSISTENT ACROSS COUNTIES IN OUR PRIMARY SERVICE AREA. IN ADDITION, THESE DATA ARE LIMITED AND UNDER SAMPLED, NOT ADEQUATELY REPRESENTING THE COMMUNITIES OR SPECIFIC POPULATIONS. 3. ONLY TWO COMPLETE YEARS OF HOSPITAL ENCOUNTER DATA WERE AVAILABLE DUE TO A TRANSITION IN Q4 OF 2015 FROM ICD-9 TO ICD-10 DIAGNOSIS CODES. 4. COUNTY AND STATEWIDE CHRONIC DISEASE DATA ARE NOT AVAILABLE FOR CHILDREN. ASTHMA, DIABETES AND OTHER CHRONIC DISEASE DATA REPORTED IN THE CHNA WERE GLEANED FROM OHIO HOSPITAL ASSOCIATION (OHA) HOSPITAL ENCOUNTER DATA. THESE DATA ARE REPORTED BY THE PRIMARY DIAGNOSIS CODE FOR THE ENCOUNTER AND BY PRODUCT GROUP (AN ITEM THAT IS TIED TO BILLING). BECAUSE DIAGNOSIS CODES DO NOT ALWAYS REFLECT UNDERLYING CONDITIONS, THESE DATA ALMOST CERTAINLY UNDERREPRESENT THE TRUE BURDEN OF CHRONIC DISEASE IN THE PEDIATRIC POPULATION.
FACILITY GROUP A - AKRON	PART 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.
FACILITY GROUP B - MAHONING VALLEY	PART 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 DIRECTOR, REVENUE CYCLE, AND REVIEWED BY THE FINANCIAL ASSISTANCE COMMITTEE, CHAIRED BY THE CHIEF FINANCIAL OFFICER AND CHIEF MEDICAL OFFICER.
FACILITY GROUP A - AKRON	PART 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.
FACILITY GROUP B - MAHONING VALLEY	PART V, SECTION B, LINE 15E: FINANCIAL COUNSELORS ARE EMPLOYED AT THE HOSPITAL TO DISCUSS THE AVAILABILITY AND APPLICATION FOR FINANCIAL ASSISTANCE FOR ALL PATIENTS.
FACILITY GROUP A - AKRON	PART V, SECTION B, LINE 20E: YES - THIRD PARTY COLLECTION AGENCIES WILL EXPLAIN THE AVAILABILITY OF FREE CARE AND CHARITY CARE AND THE FINANCIAL ASSISTANCE APPLICATION.
FACILITY GROUP B - MAHONING VALLEY	PART V, SECTION B, LINE 20E: YES - THIRD-PARTY COLLECTION AGENCIES WILL EXPLAIN THE AVAILABILITY FOR FREE CARE AND CHARITY CARE AND THE FINANCIAL ASSISTANCE APPLICATION.

Field	Value	IRS element (for citing)
Facility	59	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (59 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - AULTMAN HOSPITAL
2600 6TH ST SW	CANTON	OH	447101702	NICU AND PEDIATRIC UNIT
2 - ST ELIZABETH'S BOARDMAN HEALTH CENTER NIC
8401 MARKET ST	BOARDMAN	OH	445126725	NICU NURSERY
3 - SUMMA AKRON CITY HOSPITAL
525 E MARKET ST	AKRON	OH	443041619	NICU NURSERY
4 - NORTH CANTON 6076 WHIPPLE
6076 WHIPPLE AVE	NORTH CANTON	OH	44720	PEDIATRIC OUTPATIENT SERVICES
5 - WARREN URGENT CARE
5000 E MARKET ST	WARREN	OH	444842259	PEDIATRIC OUTPATIENT SERVICES
6 - MANSFIELD HEALTH CENTER
1029 SOUTH TRIMBLE ROAD	MANSFIELD	OH	44906	PEDIATRIC OUTPATIENT SERVICES
7 - BOSTON HEIGHTS
328 EAST HINES HILL ROAD	HUDSON	OH	44236	PEDIATRIC OUTPATIENT SERVICES
8 - CLEVELAND CLINIC AKRON GENERAL MEDICAL CEN
1 AKRON GENERAL AVE	AKRON	OH	443072432	NICU NURSERY
9 - MEDINA REHAB AND SPECIALTY SERVICES
3443 MEDINA RD	MEDINA	OH	442565965	PEDIATRIC OUTPATIENT SERVICES
10 - GREEN
1622 EAST TURKEYFOOT LAKE RD SUITE	AKRON	OH	443125277	PEDIATRIC OUTPATIENT SERVICES	100
11 - NEW PHILADELPHIA
1045 W HIGH AVE	NEW PHILADELPHIA	OH	446632071	PEDIATRIC OUTPATIENT SERVICES
12 - MASSILLON
1149 LINCOLN WAY E	MASSILLON	OH	44646	PEDIATRIC OUTPATIENT SERVICES
13 - FAIRLAWN
701 WHITE POND DR SUITE 100	AKRON	OH	443201193	PEDIATRIC OUTPATIENT SERVICES
14 - ST JOSEPH'S HOSPITAL MERCY HEALTH
667 EASTLAND AVE SE	WARREN	OH	444844503	PEDIATRIC OUTPATIENT SERVICES
15 - HEALTH CENTER - PORTAGE
2497 STATE ROUTE 59	RAVENNA	OH	44266	PEDIATRIC OUTPATIENT SERVICES
16 - WOOSTER COMMUNITY HOSPITAL
1761 BEALL AVE	WOOSTER	OH	446912342	NICU NURSERY
17 - ALLIANCE
1826 S ARCH AVE	ALLIANCE	OH	446014332	PEDIATRIC OUTPATIENT SERVICES
18 - WOOSTER
128 EAST MILLTOWN RD 209	WOOSTER	OH	446911276	PEDIATRIC OUTPATIENT SERVICES
19 - BARBERTON
566 ROBINSON AVENUE	BARBERTON	OH	442039002	PEDIATRIC OUTPATIENT SERVICES
20 - HUDSON
1365 CORPORATE DR SUITE A	HUDSON	OH	442364432	PEDIATRIC OUTPATIENT SERVICES
21 - WADSWORTH
323 HIGH ST SUITE A	WADSWORTH	OH	442811869	PEDIATRIC OUTPATIENT SERVICES
22 - AKRON EAST
891 E EXCHANGE ST	AKRON	OH	443061127	PEDIATRIC OUTPATIENT SERVICES
23 - PERRY TOWNSHIP
125 WHIPPLE AVE SW	CANTON	OH	447101374	PEDIATRIC OUTPATIENT SERVICES
24 - AUSTINTOWN
5480 NORQUEST BLVD	AUSTINTOWN	OH	445151820	PEDIATRIC OUTPATIENT SERVICES
25 - ASHLAND
2212 MIFFLIN AVE SUITE 235	ASHLAND	OH	448058847	PEDIATRIC OUTPATIENT SERVICES
26 - ELLET
1463 CANTON RD SUITE A	AKRON	OH	443124022	PEDIATRIC OUTPATIENT SERVICES
27 - CUYAHOGA FALLS-PSA
1100 PORTAGE TRAILS	CUYAHOGA FALLS	OH	44223	PEDIATRIC OUTPATIENT SERVICES
28 - FAMILY CHILD LEARNING CENTER (FCLC)
143 NORTHWEST AVE	TALLMADGE	OH	442781806	PEDIATRIC OUTPATIENT SERVICES
29 - MONTROSE URGENT CARE
4125 MEDINA RD	AKRON	OH	443332483	URGENT CARE
30 - LISBON
400 N MARKET ST	LISBON	OH	444321146	PEDIATRIC OUTPATIENT SERVICES
31 - TWINSBURG SPECIALTY CARE
8054 DARROW RD SUITE 3	TWINSBURG	OH	440872387	PEDIATRIC OUTPATIENT SERVICES
32 - WADSWORTH PSA
1225 HIGH ST	WADSWORTH	OH	44281	PEDIATRIC OUTPATIENT SERVICES
33 - LIBERTY
3530 BELMONT AVE	YOUNGSTOWN	OH	44505	PEDIATRIC OUTPATIENT SERVICES
34 - WOOSTER SPECIALTY CARE
546 WINTER ST SUITE 110	WOOSTER	OH	446912339	PEDIATRIC OUTPATIENT SERVICES
35 - MERCY LORAIN HOSPITAL
3700 KOLBE RD	LORAIN	OH	44053	NICU NURSERY & PEDIATRIC OUTPATIENT
36 - BRECKSVILLE
7001 S EDGERTON RD SUITE 500	BRECKSVILLE	OH	441414206	PEDIATRIC OUTPATIENT SERVICES
37 - WARREN DOWNTOWN
661 MAHONING AVE NW	WARREN	OH	444834607	PEDIATRIC OUTPATIENT SERVICES
38 - STREETSBORO
9150 MARKET SQUARE SUITE 203	STREETSBORO	OH	442415224	PEDIATRIC OUTPATIENT SERVICES
39 - BEACHWOOD HEART CENTER CLEVELAND
23250 CHAGRIN BLVD SUITE325	BEACHWOOD	OH	441225417	PEDIATRIC OUTPATIENT SERVICES
40 - EAST LIVERPOOL ACHP
15655 STATE ROUTE 170	EAST LIVERPOOL	OH	43920	PEDIATRIC OUTPATIENT SERVICES
41 - STOW GRAHAM RD
3019 GRAHAM ROAD	STOW	OH	44224	PEDIATRIC OUTPATIENT SERVICES
42 - NORTH CANTON SPECIALTY CARE
6100 WHIPPLE AVE NW	NORTH CANTON	OH	447207618	PEDIATRIC OUTPATIENT SERVICES
43 - AMHERST ACHP
47185 COOPER FOSTER PARK RD	AMHERST	OH	44053	PEDIATRIC OUTPATIENT SERVICES
44 - FISHER TITUS MEDICAL CENTER
272 BENEDICT AVE	NORWALK	OH	448572374	PEDIATRIC OUTPATIENT SERVICES
45 - OBERLIN ACHP
224 W LORAIN ST	OBERLIN	OH	44704	PEDIATRIC OUTPATIENT SERVICES
46 - HUDSON URGENT CARE & SPECIALTY OFFICE
5655 HUDSON DRIVE	HUDSON	OH	442364451	URGENT CARE & PEDIATRIC OUTPATIENT SERVICES
47 - CHILD ADVOCACY CENTER
213 MARKET AVE N SUITE 200	CANTON	OH	447021440	PEDIATRIC OUTPATIENT SERVICES
48 - TRIPOINT MEDICAL CENTER - THE PHYSICIAN PA
7580 AUBURN RD SUITE 214	PAINESVILLE	OH	440779176	PEDIATRIC OUTPATIENT SERVICES
49 - MERCY MEDICAL CENTER MATERNAL FETAL MEDIC
1330 MERCY DR NW SUITE 506	CANTON	OH	447082625	PEDIATRIC OUTPATIENT SERVICES
50 - WOOSTER HEALTH CENTER
3807 FRIENDSVILLE ROAD	WOOSTER	OH	44691	PEDIATRIC OUTPATIENT SERVICES
51 - MARIETTA MEMORIAL
401 MATTHEW STREET	MARIETTA	OH	45750	PEDIATRIC OUTPATIENT SERVICES
52 - NORWALK MEDICAL PARK II
282 BENEDICT AVE	NORWALK	OH	448572712	PEDIATRIC OUTPATIENT SERVICES
53 - BEACHWOOD ACHP
3733 PARK EAST DR STE 102	BEACHWOOD	OH	44122	PEDIATRIC OUTPATIENT SERVICES
54 - MILLERSBURG HEMOPHILIA CLINIC MULTI-SPECI
1261 WOOSTER RD SUITE 220	MILLERSBURG	OH	446541570	PEDIATRIC OUTPATIENT SERVICES
55 - HATTIE LARLHAM FOUNDATION
9772 DIAGONAL RD	MANTUA	OH	442559128	PEDIATRIC OUTPATIENT SERVICES
56 - SHARON HEART CENTER
740 E STATE ST	SHARON	PA	16146	PEDIATRIC OUTPATIENT SERVICES
57 - SANDUSKY
2800 HAYES AVENUE	SANDUSKY	OH	44870	PEDIATRIC OUTPATIENT SERVICES
58 - LIFE CENTER PLUS
5133 DARROW RD	HUDSON	OH	442364003	PEDIATRIC OUTPATIENT SERVICES
59 - WAYNE COUNTY CHILDREN'S ADVOCACY CENTER
1734 GASCHE STREET	WOOSTER	OH	44691	PEDIATRIC OUTPATIENT SERVICES

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 SCHEDULES USED IN THE PREPARATION OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND OTHER INFORMATION IS THE MOST ACCURATE COSTING METHODOLOGY TO CALCULATE GROSS CHARITY CARE AT COST FOR THE PERIOD. TOTAL HOSPITAL COSTS FROM THE OHIO MEDICAID COST REPORT USED IN THIS CALCULATION INCLUDE ONLY ALLOWABLE AND REIMBURSABLE COSTS. THE 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 & 7 (C) OTHER MEANS TESTED WE 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 MEDICAID 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 EXPRESSIVE THERAPY CENTER WAS BUILT TO ENABLE CHILDREN FACING ILLNESS AND THEIR FAMILIES TO EXPERIENCE WHAT IT MEANS TO BE HUMAN THROUGH WHATEVER CREATIVE ART INSPIRES THEM. THE CHILDREN UTILIZING THESE SERVICES DO NOT NEED TO BE A HOSPITAL PATIENT. THIS SERVICE IS NOT REIMBURSED BY INSURANCE AND IS A NON-REIMBURSABLE COST CENTER FOR MEDICARE. WE RECOGNIZE THIS AS A SUBSIDIZED HEALTH SERVICE. ATHLETIC TRAINERS HELP CHILDREN DEAL WITH SPORTS RELATED INJURIES AND ARE AVAILABLE FOR HIGH SCHOOL SPORTING EVENTS IN CASE OF A SPORTS RELATED INJURY. THE CHILDREN UTILIZING THESE SERVICES DO NOT NEED TO BE A HOSPITAL PATIENT. THIS SERVICE IS NOT REIMBURSED BY INSURANCE AND IS A NON-REIMBURSABLE COST CENTER FOR MEDICARE. WE RECOGNIZE THIS AS A SUBSIDIZED HEALTH SERVICE. THE CHALLENGES THAT ALL HOSPITALS FACED IN 2020 DUE TO THE COVID-19 PANDEMIC CARRIED OVER INTO 2021. VOLUMES, REVENUES, AND REIMBURSEMENTS WERE STILL BELOW PRE-PANDEMIC LEVELS. MANY OF THE ESSENTIAL CHILDREN'S SERVICES PROVIDED WERE STILL REIMBURSED AT LESS THAN COST. CALCULATED SUBSIDIZED HEALTH SERVICES WERE CALCULATED USING OUR MEDICARE COST REPORT RATIO OF COSTS TO CHARGES APPLIED TO OR COMMERCIAL POPULATION TO AVOID DOUBLE COUNTING FOR MEDICAID AND OTHER GOVERNMENT PAYERS. THIS CALCULATED COST WAS THEN REDUCED BY THE AMOUNT AKRON CHILDREN'S RECEIVED FOR PROVIDER RELIEF FUNDING.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 17,214,790.
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. OUR EFFORTS INCLUDE: LEADERSHIP DEVELOPMENT, UNDER WHICH WE SUPPORT VARIOUS COMMUNITY-BASED PROGRAMS THAT SPECIFICALLY DEVELOP COMMUNITY LEADERS, INCLUDING SUCH PROGRAMS AS LEADERSHIP AKRON (FOR COMMUNITY LEADERSHIP) AND THE CHILD & FAMILY LEADERSHIP EXCHANGE (FOR CLINICAL AND SOCIAL SERVICE LEADERSHIP). WE SUPPORT AND ARE ACTIVELY INVOLVED IN INITIATIVES SUCH AS TORCHBEARERS, WHICH IS FOCUSED ON DEVELOPING AND RETAINING STRONG COMMUNITY LEADERSHIP; COALITIONS AND PARTNERSHIPS, IN WHICH CHMCA IS STRONGLY REPRESENTED IN COMMITTEES AND TASK FORCES ASSIGNED TO ADDRESS SPECIFIC HEALTH INDICATORS AND CONDITIONS, IN ADDITION TO CERTAIN DIVERGENT POPULATIONS LOCATED THROUGHOUT OUR REGION, STATE, AS WELL AS NATIONALLY AND INTERNATIONALLY.AS A TEACHING HOSPITAL, WE PARTNER WITH DOZENS OF HIGHER EDUCATION INSTITUTIONS IN PROVIDING TRAINING AND HANDS-ON INSTRUCTION AND SHADOWING OPPORTUNITIES FOR STUDENTS WHO EMBARK ON HEALTH CARE CAREER TRAJECTORIES. 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. 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 HEALTHCARE 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 UNINSURED. GROSS BAD DEBT EXPENSE HAS BEEN REDUCED BY THE ESTIMATED HCAP AMOUNT APPLICABLE TO BAD DEBT EXPENSE. THE ESTIMATED AMOUNT OF BAD DEBT AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY POLICY IS $-0-. 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 (54.8%) AS REPORTED ON OUR INTERNAL PAYOR MIX REPORT.IN REGARD TO MEDICARE, CHMCA RESPECTFULLY SUBMITS THAT INCLUDED IS ITS UNREIMBURSED INPATIENT COSTS INCURRED IN EXCESS OF THE 1982 TAX EQUITY AND FISCAL RESPONSIBILITY ACT (TEFRA) PER DISCHARGE LIMIT WAS $656,046, UNREIMBURSED OUTPATIENT COSTS INCURRED IN TREATING PATIENTS QUALIFYING FOR MEDICARE END STAGE RENAL DISEASE (ESRD), COMPOSITE REIMBURSEMENT WAS $566,528, UNREIMBURSED COSTS OF PROVIDING CARE TO MEDICARE ADVANTAGE PLAN ENROLLEES WAS $223,167. 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 MEAN TESTED PROGRAMS THAT TYPICALLY REIMBURSE CHMCA LESS THEN 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:	AKRON (#1); BEEGHLY (#2). CHMCA CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019 TO ASSESS THE PRIMARY SERVICE AREAS SURROUNDING OUR AKRON HOSPITAL CAMPUS IN COLLABORATION WITH CLEVELAND CLINIC - AKRON GENERAL AND SUMMA HEALTH SYSTEM.ALONG WITH CHNAS, 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 - A & B: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:	COMMUNITY INFORMATION - GROUP A:CHMCA IS 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. THE PERCENTAGE OF PATIENTS WE TREAT THAT ARE ON MEDICAID IS 54.8%. 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. FOR THE PURPOSES OF THE 2019 CHNA, WE FOCUSED ON A 10-COUNTY REGION REPRESENTATIVE OF WHERE THE MAJORITY OF PATIENTS RESIDE. SEVEN OF THE 10 COUNTIES COMPRISE THE REGION THAT IS SERVED BY OUR AKRON HOSPITAL FACILITY. DEMOGRAPHIC INFORMATION ON THESE COUNTIES IS DETAILED BELOW.HTTPS://WWW.CENSUS.GOV/QUICKFACTS/FACT/TABLE/OH/PST045221ASHLAND COUNTY THERE ARE APPROXIMATELY 52,316 PEOPLE LIVING IN ASHLAND COUNTY, WHICH IS A 0.2% DECREASE SINCE THE 2020 CENSUS. 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 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 BY ABOUT $5,000 PER YEAR, AND THE PERCENTAGE OF ASHLAND COUNTY RESIDENTS LIVING IN POVERTY IS 1.2% LOWER THAN THAT OF THE STATE. MEDINA COUNTY THERE ARE APPROXIMATELY 183,092 PEOPLE LIVING IN MEDINA COUNTY, WHICH IS AN INCREASE OF 0.3% SINCE THE 2020 CENSUS. 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 CHILDREN AND 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 94.7% HAVING A HIGH SCHOOL DIPLOMA OR HIGHER AND 33.9% 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 162,382 PEOPLE LIVING IN PORTAGE COUNTY. THIS NUMBER HAS INCREASED BY 0.4% SINCE THE 2020 CENSUS. 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 29.9% HAVING A BACHELOR'S DEGREE OR HIGHER. ANNUAL PER CAPITA INCOME IN PORTAGE COUNTY IS SLIGHTLY LOWER THAN THE STATE, AND THE PERCENTAGE OF RESIDENTS LIVING IN POVERTY IS 2.7% LOWER THAN THAT OF THE STATE. EAST KENT CITY HAS A MUP (LOW INCOME) DESIGNATION.RICHLAND COUNTY THERE ARE APPROXIMATELY 125,195 PEOPLE LIVING IN RICHLAND COUNTY, WHICH IS A 0.2% INCREASE FROM THE 2020 CENSUS. 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 CHILDREN AND 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 0.1% HIGHER THAN OHIO. THE CITY OF MANSFIELD HAS A MUP (LOW INCOME) DESIGNATION. STARK COUNTY THERE ARE APPROXIMATELY 373,834 PEOPLE LIVING IN STARK COUNTY, WHICH IS A 0.3% DECREASE FROM THE 2020 CENSUS. 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 COMPARED TO THE STATE IS NEARLY EQUAL. 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 LOWER THAN THE STATE. ANNUAL PER CAPITA INCOME IS LOWER AND PERCENTAGE OF RESIDENTS LIVING IN POVERTY IN STARK COUNTY IS 0.6% HIGHER THAN THE STATE. 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 537,633 PEOPLE LIVING IN SUMMIT COUNTY. SINCE THE 2020 CENSUS, THE POPULATION HAS DECREASED SLIGHTLY, BY 0.5%. 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 92.1% HAVING A HIGH SCHOOL DIPLOMA OR HIGHER AND 32.8% 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 0.5% LOWER THAN THAT OF THE STATE. TWO FEDERALLY DESIGNATED MUAS ARE PRESENT IN SUMMIT COUNTY: THE SOUTHEAST AKRON AND SUMMIT SERVICE AREAS.WAYNE COUNTY THERE ARE APPROXIMATELY 116,710 PEOPLE LIVING IN WAYNE COUNTY, WHICH IS AN DECREASE OF 0.2% SINCE THE 2020 CENSUS. 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.COMMUNITY INFORMATION - GROUP B:CHMCA IN THE MAHONING VALLEY HAS AND CONTINUES TO SERVE PATIENTS AND FAMILIES FROM MANY COMMUNITIES ACROSS THE REGION. MOST PEOPLE WHO RECEIVE SERVICES FROM THE HOSPITAL ARE RESIDENTS OF MAHONING, TRUMBULL, OR COLUMBIANA COUNTIES. PRIOR TO THE OPENING OF THIS FACILITY, THE APPALACHIAN REGIONAL DEVELOPMENT ACT OF 2008 (S. 496) WAS SIGNED INTO LAW. ONE OF THE COMPONENTS OF THIS LEGISLATION WAS ADDITION OF MAHONING AND TRUMBULL COUNTIES TO THE APPALACHIAN REGION. MAHONING, TRUMBULL, AND COLUMBIANA COUNTIES REPRESENT MOST OF THE PRIMARY SERVICE AREA OF THE BEEGHLY CAMPUS, AND NOW, WITH THIS ACT BECOMING LAW, ALL THREE COUNTIES THAT MAKE UP THE PRIMARY SERVICE AREA OF THIS FACILITY ARE LOCATED WITHIN THE APPALACHIAN REGION. TRUMBULL, MAHONING, AND COLUMBIANA COUNTIES ARE CLASSIFIED BY THE APPALACHIAN REGIONAL COMMISSION AS BEING TRANSITIONAL - THEY HAVE WORSE ECONOMIC RATES THAN THE NATIONAL AVERAGE FOR ONE OR MORE OF THREE ECONOMIC INDICATORS (THREE-YEAR AVERAGE UNEMPLOYMENT, PER CAPITA MARKET INCOME, AND POVERTY), BUT DON'T RATE LOW ENOUGH TO BE CLASSIFIED AS DISTRESSED. IN ADDITION, THESE COUNTIES HAVE SHORTAGES OF PRIMARY CARE HEALTH SERVICES BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AND THEIR SPECIFIC DESIGNATIONS ARE INDICATED WITHIN THE DESCRIPTIONS BELOW.
HTTPS://WWW.CENSUS.GOV/QUICKFACTS/FACT/TABLE/OH/PST045221	TRUMBULL COUNTY THERE ARE APPROXIMATELY 201,335 PEOPLE LIVING IN TRUMBULL COUNTY, WHICH IS A DECREASE OF 0.2% SINCE THE 2020 CENSUS. 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 OF OHIO, 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 THAN THAT OF THE STATE. IN ADDITION, TRUMBULL COUNTY IS FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA (MUA). MAHONING COUNTY THERE ARE APPROXIMATELY 228,762 PEOPLE LIVING IN MAHONING COUNTY, WHICH IS A DECREASE OF 0.8% SINCE THE 2020 CENSUS. 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 OR LATINO, COMPARED TO 13.2% AND 4.3%, RESPECTIVELY, IN THE STATE OF OHIO. THE PERCENTAGE OF MAHONING COUNTY RESIDENTS WITH A HIGH SCHOOL DIPLOMA OR HIGHER IS A BIT HIGHER THAN THE STATE OF OHIO, BUT THE PERCENTAGE WITH A BACHELOR'S DEGREE OR HIGHER IS LOWER THAN THE STATE. THE ANNUAL PER CAPITA INCOME IN MAHONING COUNTY IS LOWER THAN THE STATE OF OHIO AND THE PERCENTAGE OF RESIDENTS LIVING IN POVERTY IS HIGHER THAN THE STATE AVERAGE. THERE ARE THREE FEDERALLY DESIGNATED MUAS WITHIN MAHONING COUNTY, BOTH RURAL AND NON-RURAL. COLUMBIANA COUNTY THERE ARE APPROXIMATELY 101,310 PEOPLE LIVING IN COLUMBIANA COUNTY, WHICH IS A DECREASE OF 0.6% SINCE THE 2020 CENSUS. 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 LATINO, 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. ELIGIBLE POPULATION) THROUGH A GOVERNOR'S EXCEPTION. THROUGH A GOVERNOR'S EXCEPTION.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH - GROUPS A & B: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.WE ALSO MAKE MAJOR INVESTMENTS OF OUR FUNDS AND OTHER RESOURCES IN THE PROVISION OF EDUCATION FOR LAY AND PROFESSIONAL PERSONS, AND IN RESEARCH THAT WILL IMPROVE HEALTH CARE FOR ALL CHILDREN. WE TAKE AN ACTIVE ROLE IN ADVOCATING FOR IMPROVED HEALTH AND IMPROVED ACCESS TO HEALTH CARE FOR ALL. SERVICES AND ACTIVITIES PROVIDED BY CHMCA BENEFIT AND/OR PROMOTE HEALTH TO THE RESIDENTS IN THE COMMUNITIES WE SERVE. THE PRIMARY BENEFIT TO OUR COMMUNITIES IS PROVIDING HEALTH CARE FOR MORE THAN 1,000,000 CHILDREN ANNUALLY. IN ADDITION, WE ENGAGE IN COMMUNITY BUILDING ACTIVITIES, AS DEPICTED IN PART II OF THIS SCHEDULE. 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. ANNUALLY, THE AKRON CAMPUS SAW THE FOLLOWING PATIENT ENCOUNTERS IN 2021: 8,309 INPATIENT ADMISSIONS (WHICH INCLUDES OTHER SITES EXCEPT BEEGHLY), 14,933 SURGERIES, 55,340 EMERGENCY ROOM VISITS, AND 238,618 SPECIALIST VISITS.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. THE INSTITUTE FACILITATES SPONSORED CLINICAL STUDIES AS WELL AS INTERNAL INVESTIGATOR-INITIATED RESEARCH PROGRAMS ACROSS A SPECTRUM OF RESEARCH SUBJECTS. THE INSTITUTE ALSO OFFERS RESEARCH-ORIENTED EDUCATIONAL OPPORTUNITIES FOR FELLOWS, STUDENTS AND FACULTY FROM AROUND THE GLOBE. ADULT CONGENITAL HEART SERVICE PROVIDES ONGOING MONITORING AND SPECIALIZED CARE FOR ADULTS WITH CONGENITAL HEART DISEASE. AS CHILDREN WITH CONGENITAL HEART DISEASE (CHD) BECOME ADULTS, THEY CAN ACCESS LIFETIME CARE THROUGH OUR CENTER.THE CYSTIC FIBROSIS CENTER PROVIDES DIAGNOSIS AND TREATMENT TO CHILDREN AND ADULTS WITH 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. TELEHEALTH, WAS A PARTICULARLY GOOD FIT FOR BEHAVIORAL HEALTH SERVICES; IN FACT, THE LOIS AND JOHN ORR FAMILY BEHAVIORAL HEALTH CENTER WAS ONE OF JUST A FEW AREAS THAT PROVIDED MORE UNITS OF SERVICE IN 2021 THAN THE PREVIOUS YEAR. DATA INDICATES THAT CHILDREN STRUGGLED WITH WORSENING MENTAL HEALTH AS A RESULT OF THE PANDEMIC, DUE NOT ONLY TO FEAR AND ANXIETY AROUND THE VIRUS ITSELF, BUT ALSO ITS IMPACT ON SOCIAL CONNECTIVITY AND HOUSEHOLD DYNAMICS. TELEHEALTH BECAME A PIVOTAL PIECE OF FACILITATING ACCESS FOR THOSE SEEKING CARE.THE BEHAVIORAL HEALTH CENTER ALSO 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.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 DEPARTMENT AT OUR AKRON CAMPUS. 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. 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 CENTER FOR GENDER AFFIRMING MEDICINE, OPENED IN 2019, PROVIDES SERVICES TO CHILDREN AND ADOLESCENTS WHO IDENTIFY AS TRANSGENDER. THIS VULNERABLE POPULATION IS AT GREATER RISK FOR SUICIDE AND HOMELESSNESS. OUR CLINICIANS IN THE CENTER PROVIDE COMPASSIONATE, COORDINATED CARE THAT INCLUDES PUBERTAL SUPPRESSION, GENDER AFFIRMING HORMONES, MENTAL HEALTH TREATMENT, WELL CHECKS, EDUCATION, AND SUPPORTIVE SERVICES FOR LGBTQ+ YOUTH AND THEIR FAMILIES.CHMCA'S NEONATOLOGY DEPARTMENT OFFERS INTENSIVE CARE TO SICK AND PREMATURE NEWBORNS. ON ANY GIVEN DAY, THERE ARE 45 TO 60 BABIES RECEIVING CARE IN OUR NEONATAL INTENSIVE CARE UNIT (NICU). ABOUT 1/4 OF THESE INFANTS HAVE BEEN IN UTERO FOR FEWER THAN 32 WEEKS, 5 WEEKS LESS THAN WHAT IS CONSIDERED NECESSARY FOR FULL GESTATION. SOME OF THEM ARE AS YOUNG AS 24 WEEKS AND WEIGH IN AT LESS THAN A KILOGRAM. CHMCA'S NEONATAL TEAM IS COMMITTED TO PROVIDING THE MOST EFFECTIVE AND EFFICIENT CARE FOR OUR 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 1,200 NICUS AROUND THE WORLD WHO FOCUS ON RESEARCH, EDUCATION AND PROJECTS THAT IMPROVE THE QUALITY AND SAFETY OF MEDICAL CARE FOR NEWBORNS AND THEIR FAMILIES. CHMCA'S NEONATAL EXPERTISE EXPANDS BEYOND THE LEVEL III NICU AT OUR AKRON CAMPUS. WE ALSO OWN AND OPERATE NEWBORN SPECIAL CARE NURSERIES AT AKRON GENERAL MEDICAL CENTER AND SUMMA HEALTH'S AKRON CITY HOSPITAL IN AKRON; CHMCA'S BEEGHLY CAMPUS IN BOARDMAN; AND ST. ELIZABETH BOARDMAN HEALTH CENTER. A SPECIALLY EQUIPPED AMBULANCE AND PEDIATRIC TRANSPORT TEAM HANDLES THE TRANSFER OF THE NEWBORNS REQUIRING THE LEVEL III NEONATAL INTENSIVE CARE PROVIDED AT CHMCA IN DOWNTOWN AKRON.CHMCA IS A CONTRACTED CARE COORDINATION AGENCY OF THE SUMMIT COUNTY PATHWAYS COMMUNITY HUB. THROUGH THIS RELATIONSHIP, CHMCA AND THE HUB 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 HELP TO NAVIGATE THESE WOMEN THROUGH THE SYSTEM, ENSURING THEY RECEIVE THE RESOURCES NEEDED TO PROVIDE A HEALTHY ENVIRONMENT FOR THEMSELVES AND THEIR CHILDREN.
CHMCA IS A LEVEL II PEDIATRIC TRAUMA CENTER AND 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.WHILE THE PANDEMIC CONTINUED TO DRAMATICALLY IMPACT CHMCA OPERATIONS IN 2021, WE DEDICATED SIGNIFICANT RESOURCES TO MOBILIZING FOR AND EXECUTING COMMUNITY-BASED COVID-19 VACCINE DELIVERY ONCE IT BECAME AVAILABLE. WITH THE SUPPORT OF THE STATE OF OHIO AND LOCAL HEALTH DEPARTMENTS, OUR TEAMS WORKED WITH LOCAL BUSINESSES, CHURCHES, SOCIAL SERVICE AGENCIES AND SCHOOL DISTRICTS TO CARRY OUT COMMUNITY AND SCHOOL-BASED VACCINE CLINICS FOR ADULTS AND PEDIATRIC PATIENTS ELIGIBLE TO RECEIVE THE VACCINE, SUCH AS THOSE WITH MEDICAL COMPLEXITY. THROUGH THESE CLINICS, WE ADMINISTERED NEARLY 40,000 DOSES OF THE COVID-19 VACCINE. TO SUPPORT THE SAFE REOPENING OF SCHOOLS, WE VACCINATED AKRON-AREA SCHOOL PERSONNEL AND MOVED QUICKLY TO SET UP DRIVE-THRU COVID-19 TESTING AT OUR SITES FOR OUR PATIENTS AS WELL AS OTHER CHILDREN AND YOUTH IN THE COMMUNITY. 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, 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 2021, WE CONTINUED TO SERVE FAMILIES IN-PLACE AND IN CURBSIDE AND OUTDOOR FORMATS TO REDUCE EXPOSURE TO COVID-19. ADDITIONALLY, OUR EDUCATORS DELIVERED THE 7-WEEK, FAMILY-CENTERED AND TRAUMA INFORMED NURTURING FAMILIES PROGRAM CURRICULUM VIRTUALLY, SERVING 105 CLIENTS. OUR POPULATION HEALTH INITIATIVES 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. CHMCA'S SCHOOL HEALTH SERVICES SUPPORTS THE ACADEMIC SUCCESS OF CHILDREN THROUGH HEALTH PROMOTION, EDUCATION AND CHILD ADVOCACY. SCHOOL HEALTH SERVES AS A LIAISON AMONG SCHOOL STAFF, FAMILY, COMMUNITY AND HEALTHCARE PROVIDERS. CHMCA'S PEDIATRIC REGISTERED NURSES WORK CLOSELY WITH SCHOOL STAFF TO ENSURE A COMPREHENSIVE SCHOOL HEALTH PROGRAM IS IN PLACE. WITH IMMEDIATE ACCESS TO PEDIATRIC HEALTHCARE PROFESSIONALS AT CHMCA, SCHOOLS ARE ASSURED THEIR PROGRAM WILL EFFECTIVELY ADDRESS THE NEEDS OF THEIR STAFF AND STUDENTS. OUR SCHOOL HEALTH SERVICES LETS SCHOOLS FOCUS ON EDUCATING STUDENTS, WHILE WE MANAGE THEIR DISTRICT'S MEDICAL NEEDS.IN ADDITION, AS PART OF A PILOT PROGRAM IN 2019, CHMCA IMPLEMENTED A SCHOOL-BASED HEALTH CENTER MODEL IN THE KENMORE-GARFIELD CLUSTER OF AKRON PUBLIC 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.
PROMOTION OF COMMUNITY HEALTH - GROUP B:	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 TRUSTEES 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 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. CURRENTLY, OUR HEALTH CENTER SERVING THE MAHONING VALLEY IS LOCATED IN THE CITY OF WARREN. WE ALSO MAKE MAJOR INVESTMENTS OF OUR FUNDS AND OTHER RESOURCES IN THE PROVISION OF EDUCATION FOR LAY AND PROFESSIONAL PERSONS, AND IN RESEARCH THAT WILL IMPROVE HEALTH CARE FOR ALL CHILDREN. WE TAKE AN ACTIVE ROLE IN ADVOCATING FOR IMPROVED HEALTH AND IMPROVED ACCESS TO HEALTH CARE FOR ALL. SERVICES AND ACTIVITIES PROVIDED BY CHMCA BENEFIT AND/OR PROMOTE HEALTH TO THE RESIDENTS IN THE COMMUNITIES WE SERVE. THE PRIMARY BENEFIT TO OUR COMMUNITIES IS PROVIDING HEALTH CARE FOR MORE THAN 1,000,000 CHILDREN ANNUALLY. IN ADDITION, WE ENGAGE IN COMMUNITY BUILDING ACTIVITIES, AS DEPICTED IN PART II OF THIS SCHEDULE. THE AREA'S ONLY PEDIATRIC HOSPITAL, CHMCA'S BEEGHLY CAMPUS OPENED IN DECEMBER 2008. THIS 43-BED PEDIATRIC HOSPITAL OFFERS A FULL RANGE OF PEDIATRIC SERVICES TO THE CHILDREN OF THE MAHONING VALLEY AND SURROUNDING AREAS. THE HOSPITAL PROVIDES ACCESS TO A 24/7 EMERGENCY DEPARTMENT, LABORATORY, RADIOLOGY, OUTPATIENT SURGICAL CENTER, ENDOCRINOLOGY, REHABILITATION AND EEG/ECHO/EKG SERVICES, AS WELL AS A BEHAVIORAL HEALTH CENTER, HEMATOLOGY/ONCOLOGY CLINIC AND INFUSION CENTER AND CHILD ADVOCACY CENTER. CHMCA OPENED A BEHAVIORAL HEALTH CENTER AT BEEGHLY CAMPUS IN 2019 TO BETTER SERVE A GROWING NEED FOR MENTAL AND BEHAVIORAL HEALTH SERVICES FOR YOUTH IN THE MAHONING VALLEY. THE NEW 9,000 SQUARE FOOT BUILDING HAS NINE INDIVIDUAL THERAPY ROOMS AND OPEN 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, SOME OUTPATIENT BEHAVIORAL HEALTH SERVICES CAN BE ACCESSED THROUGH CHMCA'S PRIMARY CARE OFFICES THROUGHOUT THE MAHONING VALLEY. ANNUALLY, THE BEEGHLY CAMPUS SAW THE FOLLOWING PATIENT ENCOUNTERS IN 2021: 1,054 INPATIENT ADMISSIONS, 2,012 SURGERIES, 33,271 EMERGENCY ROOM VISITS, AND 42,221 SPECIALIST VISITS. WHILE THE PANDEMIC CONTINUED TO IMPACT CHMCA OPERATIONS IN 2021, WE DEDICATED SIGNIFICANT RESOURCES TO MOBILIZING FOR AND EXECUTING COMMUNITY-BASED COVID-19 VACCINE DELIVERY ONCE IT BECAME AVAILABLE. TO SUPPORT THE SAFE REOPENING OF SCHOOLS, WE MOVED QUICKLY TO SET UP DRIVE-THRU COVID-19 TESTING AT OUR SITES FOR ANY CHILDREN 18 AND UNDER WHETHER OR NOT THEY WERE OUR PATIENTS. CHMCA OWNS AND OPERATES A 19-BED LEVEL II SPECIAL CARE NURSERY AT THE HOSPITAL'S BEEGHLY CAMPUS AND A 25-BED LEVEL IIIB NEONATAL INTENSIVE CARE UNIT AT ST. ELIZABETH HEALTH CENTER. CHMCA'S NEONATAL TEAM IS COMMITTED TO PROVIDING THE MOST EFFECTIVE AND EFFICIENT CARE FOR OUR TINIEST PATIENTS, AS WELL AS PROVIDING PARENTS WITH THE EMOTIONAL AND EDUCATIONAL SUPPORT THEY NEED. CHMCA'S NEONATOLOGY DEPARTMENT OFFERS 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. TO THIS END, CHMCA IS PART OF THE VERMONT OXFORD NETWORK, A COLLABORATION OF HEALTH PROFESSIONALS FROM MORE THAN 1,200 NICUS AROUND THE WORLD WHO FOCUS ON RESEARCH, EDUCATION AND PROJECTS THAT IMPROVE THE QUALITY AND SAFETY OF MEDICAL CARE FOR NEWBORNS AND THEIR FAMILIES. CHMCA'S NEONATAL EXPERTISE EXPANDS BEYOND THE LEVEL III NICU AT OUR AKRON CAMPUS. WE ALSO OWN AND OPERATE NEWBORN SPECIAL CARE NURSERIES AT AKRON GENERAL MEDICAL CENTER AND SUMMA HEALTH'S AKRON CITY HOSPITAL IN AKRON; CHMCA'S BEEGHLY CAMPUS IN BOARDMAN; ST. ELIZABETH BOARDMAN HOSPITAL AND ST. JOSEPH WARREN HOSPITAL. A SPECIALLY EQUIPPED AMBULANCE AND PEDIATRIC TRANSPORT TEAM HANDLES THE TRANSFER OF THE NEWBORNS REQUIRING THE LEVEL III NEONATAL INTENSIVE CARE PROVIDED AT CHMCA IN DOWNTOWN AKRON. CHMCA HAS PRIORITIZED INFANT MORTALITY REDUCTION AS A SIGNIFICANT HEALTH ISSUE IN THE COMMUNITY. WE ARE A CONTRACTED CARE COORDINATION AGENCY OF THE MAHONING VALLEY PATHWAYS COMMUNITY HUB. THROUGH THIS RELATIONSHIP, CHMCA AND THE HUB 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 HELP TO NAVIGATE THESE WOMEN THROUGH THE SYSTEM, ENSURING THEY RECEIVE THE RESOURCES NEEDED TO PROVIDE A HEALTHY ENVIRONMENT FOR THEMSELVES AND THEIR CHILDREN. CHMCA IS ALSO A NURSE-FAMILY PARTNERSHIP SERVICE PROVIDER, WITH CHILDREN'S HOME CARE GROUP NURSES PROVIDING HOME VISITS TO PREGNANT WOMEN AND THEIR BABIES UP TO TWO YEARS POSTPARTUM. CHMCA BRINGS PEDIATRIC PRIMARY CARE FOR BABIES, CHILDREN AND TEENS TO MANY NORTHEAST OHIO NEIGHBORHOODS THROUGH OUR NETWORK OF PEDIATRICIAN OFFICES, WHICH INCLUDES OFFICES IN AUSTINTOWN, BOARDMAN, EAST LIVERPOOL, LIBERTY TOWNSHIP, LISBON, AND DOWNTOWN WARREN. EACH OFFICE IS STAFFED WITH BOARD-CERTIFIED PEDIATRICIANS AND EXPERIENCED STAFF. REGIONAL HEALTH CENTERS IN WARREN AND NEW PHILADELPHIA OFFER BOTH PRIMARY AND NUMEROUS SPECIALTY CARE SERVICES; AND URGENT CARE IN WARREN.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, 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. OUR POPULATION HEALTH INITIATIVES 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.ALSO LOCATED IN THE MAHONING VALLEY IS THE DEPARTMENT OF CHRONIC CARE EDUCATION AND SUPPORT, WHICH DELIVERS CHRONIC DISEASE PREVENTION AND SELF-MANAGEMENT PROGRAMMING TO CHILDREN AND THEIR FAMILIES, AS WELL AS DISEASE-SPECIFIC CAMPS AND SUPPORT GROUPS. 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. CHMCA'S SCHOOL HEALTH SERVICES SUPPORTS THE ACADEMIC SUCCESS OF CHILDREN THROUGH HEALTH PROMOTION, EDUCATION AND CHILD ADVOCACY. SCHOOL HEALTH SERVES AS A LIAISON AMONG SCHOOL STAFF, FAMILY, COMMUNITY AND HEALTHCARE PROVIDERS. CHMCA'S PEDIATRIC REGISTERED NURSES WORK CLOSELY WITH SCHOOL STAFFS TO ENSURE A COMPREHENSIVE SCHOOL HEALTH PROGRAM IS IN PLACE. WITH IMMEDIATE ACCESS TO PEDIATRIC HEALTHCARE PROFESSIONALS AT CHMCA, SCHOOLS ARE ASSURED THEIR PROGRAM WILL EFFECTIVELY ADDRESS THE NEEDS OF THEIR STAFF AND STUDENTS. OUR SCHOOL HEALTH SERVICES LETS SCHOOLS FOCUS ON EDUCATING STUDENTS, WHILE WE MANAGE THEIR DISTRICT'S MEDICAL NEEDS.IN ADDITION, CHMCA IMPLEMENTED A SCHOOL-BASED HEALTH CENTER MODEL WITH WARREN CITY SCHOOLS AS PART OF A PILOT PROGRAM IN 2019. 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 (PAC) 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 WILL WORK WITH HOSPITAL LIAISONS TO REPRESENT THE VOICE OF FAMILIES AS WE WORK TOGETHER TO ENHANCE THE DELIVERY OF FAMILY-CENTERED CARE.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEM - GROUPS A & B:N/A
PART VI, LINE 7:	STATE FILING OF COMMUNITY BENEFIT REPORT - GROUPS A & B:OHIO
PART VI ADDITIONAL INFORMATION:	IN ADDITION TO THE LOCATIONS LISTED IN PART V, SECTION A AND C, CHMCA HAS PHYSICIANS PROVIDING A VARIETY OF SUBSPECIALTY SERVICES AT MANY OTHER LOCATIONS THROUGHOUT NORTHEAST OHIO AND WESTERN PENNSYLVANIA. NOTE: CENSUS AND OTHER DATA REPORTED IN SECTION PART VI IS THE MOST RECENT INFORMATION AVAILABLE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
NPH USA
134 N LASALLE SUITE 500	CHICAGO	IL	60602	651229309	501(C)(3)	$50,000	$0	TO PROVIDE SUPPORT SERVICES FOR CHILDREN IN HAITI
OHIO & ERIE CANALWAY COALITION
47 W EXCHANGE ST	AKRON	OH	44308	341636766	501(C)(3)	$2,500,000	$0	PLAYGROUND AS PART OF CITY OF AKRON REVITALIZATION

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SPONSORSHIPS	GrantTypeTxt
Recipient	33	RecipientCnt
Cash Grant	$367,920	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2	FormAndLineReferenceDesc
Explanation	CHMCA DONATES MONEY OCCASIONALLY TO PROGRAMS THROUGHOUT SUMMIT COUNTY THAT ARE ALSO 501(C)(3) ORGANIZATIONS. THE AMOUNTS DONATED TO THESE ORGANIZATIONS ARE MOSTLY IN SUPPORT OF MEDICAL AND NURSING EXCELLENCE IN THE COMMUNITY, ALONG WITH MEDICAL RESEARCH.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GRACE WAKULCHIK
BOD/OFFICER - PRESIDENT & CEO	$994,234	$0	$360,000	$0	$85,669	$0	$268,072	$0	$9,515	$0	$1,717,490	$0	$0	$0
JOHN CROW MD
ASST. CHIEF MEDICAL OFFICER	$1,090,390	$0	$0	$0	$5,544	$0	$20,300	$0	$9,034	$0	$1,125,268	$0	$0	$0
ABDELAZIZ SALEH MD
PERINATOLOGIST	$771,076	$0	$289,998	$0	$6,096	$0	$19,549	$0	$26,155	$0	$1,112,874	$0	$0	$0
TSULEE CHEN MD
DIRECTOR OF PEDIATRIC NEUROSURGERY	$849,015	$0	$196,378	$0	$840	$0	$17,400	$0	$9,499	$0	$1,073,132	$0	$0	$0
MARK WULKAN MD
DEPARTMENT CHAIR - SURGERY	$802,006	$0	$233,000	$0	$3,612	$0	$16,460	$0	$14,972	$0	$1,070,050	$0	$0	$0
JODI REGAN MD
PERINATOLOGIST	$742,486	$0	$289,998	$0	$1,488	$0	$17,400	$0	$9,648	$0	$1,061,020	$0	$0	$0
SHAWN LYDEN
CHIEF STRATEGY OFFICER	$682,279	$0	$135,667	$0	$32,046	$0	$116,015	$0	$18,149	$0	$984,156	$0	$0	$0
ROBERT MCGREGOR MD
CHIEF MEDICAL OFFICER	$564,438	$0	$153,005	$0	$26,662	$0	$102,307	$0	$18,149	$0	$864,561	$0	$0	$0
MICHAEL BIGHAM MD
CHIEF QUALITY OFFICER	$416,425	$0	$120,724	$0	$192,593	$0	$91,894	$0	$24,858	$0	$846,494	$0	$190,656	$0
SPENCER KOWAL
CFO/TREASURER - PART YEAR	$555,242	$0	$147,002	$0	$108,519	$0	$15,803	$0	$12,421	$0	$838,987	$0	$107,233	$0
LISA AURILIO
CHIEF OPERATING OFFICER	$560,396	$0	$150,003	$0	$22,715	$0	$89,036	$0	$9,889	$0	$832,039	$0	$0	$0
RHONDA LARIMORE
CHIEF OF HUMAN RESOURCES	$358,656	$0	$96,002	$0	$173,383	$0	$78,037	$0	$20,134	$0	$726,212	$0	$171,945	$0
HARUN RASHID
CHIEF INFORMATION OFFICER	$423,082	$0	$102,005	$0	$2,928	$0	$88,190	$0	$24,624	$0	$640,829	$0	$0	$0
ANTHEA DANIELS
CHIEF LEGAL OFFICER/ ASST. SECRETARY	$418,860	$0	$123,100	$0	$1,863	$0	$87,537	$0	$1,497	$0	$632,857	$0	$0	$0
CRAIG MCGHEE
CHIEF NON HOSP SRVCS OFFICER	$315,343	$0	$85,800	$0	$121,435	$0	$65,822	$0	$15,228	$0	$603,628	$0	$110,002	$0
CHRISTINE YOUNG
CHIEF NURSING OFFICER	$362,305	$0	$90,006	$0	$1,419	$0	$77,715	$0	$17,390	$0	$548,835	$0	$0	$0
MICHAEL FORBES MD
INTERIM CHAIR DEPT. OF PEDS	$320,656	$0	$169,047	$0	$5,243	$0	$10,995	$0	$19,836	$0	$525,777	$0	$0	$0
ALICIA LAMANCUSA
INTERIM CHIEF FINANCIAL OFFICER	$371,808	$0	$50,927	$0	$4,636	$0	-$1,743	$0	$17,678	$0	$443,306	$0	$0	$0
SHEFALI MAHESH MD
DIRECTOR - DEPARTMENT CHAIR - NEPHRO	$287,518	$0	$75,776	$0	$428	$0	$17,400	$0	$14,362	$0	$395,484	$0	$0	$0
CHRISTOPHER GESSNER
PRESIDENT - CEO	$173,077	$0	$0	$0	$34,193	$0	$44,384	$0	$3,648	$0	$255,302	$0	$0	$0
WILLIAM CONSIDINE
FORMER CEO EMERITUS	$179,070	$0	$90,386	$0	$139	$0	$231	$0	$646	$0	$270,472	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE FOLLOWING INDIVIDUALS HAD A 2021 COUNTRY CLUB MEMBERSHIP THAT WAS USED BY THEM FOR BUSINESS PURPOSES: CHRISTOPHER GESSNER ROBERT MCGREGOR M.D. GRACE WAKULCHIK LISA AURILIO SHAWN LYDEN
PART I, LINE 4B	THE 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 2021 IN THE FOLLOWING AMOUNTS: LISA AURILIO - $0 RHONDA LARIMORE - $171,945 ROBERT MCGREGOR M.D. - $0 GRACE WAKULCHIK - $0 SHAWN LYDEN - $0 HARUN RASHID - $0 MICHAEL BIGHAM M.D. - $190,656 SPENCER KOWAL - $107,233 ANTHEA DANIELS - $0 CRAIG MCGEE - $110,002
PART I, LINE 7	CHMCA 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. STAFF BONUSES ARE APPROVED BY THE CEO.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT
A	341448680	009730MY5	2012-05-15	$102,559,004	REFUND PRIOR ISSUE TO CONSTRUCT NE	0	0	0
AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT
B	341448680	009730NB4	2013-05-05	$101,377,818	CONSTRUCTION OF CRITICAL CARE TOWE	0	0	0
AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT
C	341448680	000000000	2013-11-14	$27,405,000	REFUND PRIOR ISSUE	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$80,432,921	$102,559,004	$1,010,250	$1,116,463	$20,000,000	$80,432,291	2013	Yes (1)	Yes (1)	Yes (1)
B		$101,377,818	$10,229,217	$1,148,601	$90,000,000		2015	0	Yes (1)	Yes (1)
C		$27,405,000	$280,035			$27,124,965	2013	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART 1(F)A	FROM THE $102,559,004 PROCEEDS, $80,432,921 WAS USED TO REFUND THE SERIES 2001 BONDS IN 2020 AND $20,000,000 WAS USED FOR CONSTRUCTION OF A NEW PARKING DECK ON THE AKRON CAMPUS CONTAINING APPROXIMATELY 1200 SPACES AND CONNECTED TO THE KAY JEWELERS PAVILION. THE DATE THE REBATE COMPUTATION WAS PERFORMED WAS 02/13/2017
PART 1(F)B	$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 03/13/2017
PART 1(F)C	$27,405,000 OF BOND PROCEEDS REFUNDED THE SERIES 2003 BONDS AND IS HELD BY KEY GOVERNMENT FINANCE, INC.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CATHRYN O'MALLEY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF WILLIAM CONSIDINE, CHIEF EXECUTIVE OFFICER EMERITUS	RelationshipDescriptionTxt
Transaction	$60,499	TransactionAmt
Transaction	COMPENSATION	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE 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 7A	ACCORDING 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, BUT A PERSON MAY BE NOMINATED FOR AND ELECTED TO A SHORTER TERM SO THAT THE TERMS OF APPROXIMATELY ONE-THIRD OF THE DIRECTORS SHALL EXPIRE EACH YEAR. EACH DIRECTOR SHALL SERVE UNTIL HIS SUCCESSOR IS ELECTED AND QUALIFIED. A DIRECTOR MAY RENEW UP TO THREE (3) THREE YEAR TERMS. UPON UNANIMOUS RESOLUTION OF THE MEMBERS, A PERSON WHO HAS RENDERED LONG AND OUTSTANDINGSERVICE TO THE HOSPITAL MAY BE ELECTED TO AN EMERITUS STATUS. THE DIRECTOR'S RESPONSIBILITIES INCLUDE: (1) ENSURE HOSPITAL IS MEETING THE COMMUNITY'S HEALTH NEEDS AND IS INFORMED ABOUT THE HOSPITAL'S SERVICES; (2) STRONGLY BELIEVES IN THE HOSPITAL'S MISSION AND SERVE AS ACTIVE PUBLIC ADVOCATES FOR THE HOSPITAL; (3) ESTABLISH GOALS AND POLICIES FOR THE HOSPITAL; (4) WORK WITH THE HOSPITAL PRESIDENT TO DEVELOP AND UPDATE LONG-RANGE PLANS AND PROVIDE FOR FINANCIAL STABILITY; (5) IDENTIFY, RECRUIT AND SELECT NEW DIRECTORS; (6) PERIODICALLY EVALUATE THE PERFORMANCE OF DIRECTOR COMMITTEES, INDIVIDUAL DIRECTORS AND BOARD OF DIRECTORS PERFORMANCE AS A WHOLE; (7) SELECT AND EVALUATE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER; (8) APPROVE MEDICAL STAFF APPOINTMENTS AND PRIVILEGES: (9) MAINTAIN AUTHORITY FOR THE OVERALL FUNCTIONING AND SUPPORT OF A HOSPITAL-WIDEQUALITY ASSURANCE PROGRAM; AND (10) PARTICIPATE IN AND PROVIDE LEADERSHIP FOR HOSPITAL FUND-RAISING PROGRAMS. 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 7B	SUBJECT TO THE DIRECTION AND CONTROL OF THE DIRECTORS, OR THE EXECUTIVE COMMITTEE OF THE BOARD, THE MANAGEMENT OF THE HOSPITAL SHALL BE VESTED IN THE PRESIDENT 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 CHIEF EXECUTIVE OFFICER TO MAKE KNOWN AND ENFORCE ALL RULES AND REGULATIONS WHICH SHALL BE MADE BY AND UNDER THE AUTHORITY OF THE DIRECTORS OR THE EXECUTIVE COMMITTEE OF THE BOARD. IN ALL CASES OF DISPUTED AUTHORITY OR UNCERTAINTY AS TO THE MEANING OF THE REGULATIONS, THE DECISION OF THE CHIEF EXECUTIVE OFFICER IS ABSOLUTE UNTIL A RULING IS RENDERED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	THE 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 12C	IT 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 & CEO OR THEIR DESIGNEE. IT IS THE RESPONSIBILITYOF THE PRESIDENT & 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 15	CHMCA'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 2021 AND RECOMMENDATIONS WERE PROVIDED AND PRESENTED BY THE INDEPENDENT CONSULTANT TO THE COMMITTEE FOR APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19	CHMCA 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 XI, LINE 9:	INVESTMENT IN FOUNDATION 28,458,395. OTHER CHANGES IN NET ASSETS 101,130. CHANGE IN PENSION PLAN REQUIREMENTS 15,348,122. CHANGE IN POSTRETIEMENT REQUIREMENTS -538,416.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
AKRON CHILDREN'S HOSPITAL FOUNDATION
ONE PERKINS SQUARE	AKRON	OH	44308	237114013	FOUNDATION	OH	501(C)(3)	LINE 7	CHMCA	Yes (1)
CHILDREN'S HOME CARE GROUP
ONE PERKINS SQUARE	AKRON	OH	44308	341575266	HOME CARE	OH	501(C)(3)	LINE 12A, I	CHMCA	Yes (1)
CHILD DIMENSIONS INSURANCE COMPANY
ONE PERKINS SQUARE	AKRON	OH	44308	030317160	INSURANCE	VT	501(C)(3)	LINE 12A, I	CHMCA	Yes (1)
AKRON CHILDREN'S HEALTH COLLABORATIVE
ONE PERKINS SQUARE	AKRON	OH	44308	870853487	ACCOUNTABLE CARE ORGANIZATION	OH	501(C)(4)	LINE 12A, I	CHMCA	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHILDRENS HOME CARE GROUP
O	$4,948,706	ACTUAL PER GL
CHILDRENS HOME CARE GROUP
Q	$4,215,058	ACTUAL PER GL
AKRONS CHILDRENS HOSPITAL FOUNDATION
Q	$1,332,917	ACTUAL PER GL
AKRONS CHILDRENS HOSPITAL FOUNDATION
C	$11,172,177	ACTUAL PER GL
AKRONS CHILDRENS HOSPITAL FOUNDATION
O	$3,552,365	ACTUAL PER GL
AKRONS CHILDRENS HOSPITAL FOUNDATION
B	$241,450	ACTUAL PER GL