CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON (EIN 34-0714357)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-11
IRS object ID: 202143159349305559
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-11T13:09:13-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	100 NORTH TRYON STREET SUITE 3800	AddressLine1Txt
City	CHARLOTTE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	282024027	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	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 Akron	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% ALICIA LAMANCUSA INTERIM CF	InCareOfNm
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	ALICIA LAMANCUSA	PersonNm
Person Title	INTERIM CFO	PersonTitleTxt
Phone	3305431000	PhoneNum
Signature	2021-11-11	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	ALICIA	PersonFirstNm
Person Last	LAMANCUSA	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SCOTT TIDWELL	PreparerPersonNm
PTIN	P01729213	PTIN
Phone	7043726300	PhoneNum
Preparation	2021-11-10	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	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	$1,646,994,481	GrossReceiptsAmt
Group Return For Affiliates	false	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	34	VotingMembersGoverningBodyCnt
Voting Members Independent	27	VotingMembersIndependentCnt
Total Employee	7325	TotalEmployeeCnt
Total Volunteers	1085	TotalVolunteersCnt
Total Gross UBI	$452,210	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$12,301,704	PYContributionsGrantsAmt
CY Contributions Grants	$11,408,657	CYContributionsGrantsAmt
PY Program Service Revenue	$976,820,760	PYProgramServiceRevenueAmt
CY Program Service Revenue	$954,919,273	CYProgramServiceRevenueAmt
PY Investment Income	$17,450,126	PYInvestmentIncomeAmt
CY Investment Income	$23,075,485	CYInvestmentIncomeAmt
PY Other Revenue	$7,944,908	PYOtherRevenueAmt
CY Other Revenue	$5,448,773	CYOtherRevenueAmt
PY Total Revenue	$1,014,517,498	PYTotalRevenueAmt
CY Total Revenue	$994,852,188	CYTotalRevenueAmt
PY Grants And Similar Paid	$852,512	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$579,246	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$581,802,270	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$600,089,599	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$324,821,772	PYOtherExpensesAmt
CY Other Expenses	$324,947,708	CYOtherExpensesAmt
PY Total Expenses	$907,476,554	PYTotalExpensesAmt
CY Total Expenses	$925,616,553	CYTotalExpensesAmt
PY Revenues Less Expenses	$107,040,944	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$69,235,635	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,672,516,693	TotalAssetsBOYAmt
Total Assets EOY	$1,822,056,911	TotalAssetsEOYAmt
Total Liabilities BOY	$608,769,184	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$576,895,825	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,063,747,509	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,245,161,086	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. 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	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$762,721,720	ExpenseAmt
Revenue	$954,919,273	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 50 PRIMARY & SPECIALTY LOCATIONS. DURING 2020, CHMCA SERVED OVER 1,000,000 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, THE COVID-19 PANDEMIC HAD A PROFOUND EFFECT ON OUR PATIENTS, EMPLOYEES AND COMMUNITY, AND IMPACTED EVERY AREA OF OPERATIONS. CHMCA IMMEDIATELY REFOCUSED OUR EFFORTS ON SAFELY SUPPORTING OUR PATIENTS, FAMILIES AND STAFF THROUGH UNCERTAIN TIMES. SOME OF THE CHANGES IMPLEMENTED INCLUDED EXPANDING MYCHART TELEHEALTH AND QUICK CARE ONLINE SERVICES. WE HAD AN 88% INCREASE IN ONLINE APPOINTMENTS BETWEEN MARCH AND APRIL 2020. DURING 2020 WE COMPLETED 55,000 TELEHEALTH VISITS COMPARED TO 275 VISITS IN 2019.	Desc
Total Program Service Expenses	$762,721,720	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	Yes (true)	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	437	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7325	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	IS	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	34	GoverningBodyVotingMembersCnt
Independent Voting Member	27	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ALICIA LAMANCUSA INTERIM CF	PersonNm
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 (46 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
PRESIDENT & CEO	49.0	4.0	Yes (X)	Yes (X)	$1,320,413	$0	$495,565
JOHN CROW MD
CHAIRMAN PEDIATRIC SURGERY	45.0	2.0	Yes (X)		$1,052,839	$0	$29,636
ANTON MILO MD
DIVISION OF ENT DIRECTOR	40.0	0.0			$1,025,456	$0	$45,475	Yes (X)
JODI REGAN MD
PERINATOLOGIST	40.0	0.0			$998,598	$0	$18,528	Yes (X)
ROBERT STEWART MD
CHIEF CARDIOTHORACIC SURGERY	40.0	0.0			$963,018	$0	$38,342	Yes (X)
TSULEE CHEN MD
PEDIATRIC NEUROSURGEON DIR	41.0	0.0			$956,515	$0	$27,203	Yes (X)
LISA AURILIO
CHIEF OPERATING OFFICER	40.0	13.0			$689,005	$0	$257,698		Yes (X)
TODD RITZMAN MD
CHAIRMAN, DEPT OF ORTHO	40.0	0.0			$887,335	$0	$26,845	Yes (X)
SHAWN LYDEN
CHIEF STRATEGY OFFICER	41.0	2.0			$763,391	$0	$138,584		Yes (X)
WILLIAM CONSIDINE
CEO EMERITUS (TERM 12/31/20)	40.0	0.0			$801,943	$0	$85,416			Yes (X)
ROBERT MCGREGOR MD
CHIEF MEDICAL OFFICER	51.0	1.0	Yes (X)		$678,984	$0	$114,339
NORMAN CHRISTOPHER MD
CHAIRMAN DEPT OF PEDS	43.0	0.0	Yes (X)		$486,432	$0	$234,462
SPENCER KOWAL
CFO/TREASURER	43.0	4.0	Yes (X)	Yes (X)	$543,271	$0	$113,365
MICHAEL BIGHAM MD
CHIEF QUALITY OFFICER	43.0	0.0			$482,530	$0	$97,026		Yes (X)
MICHAEL FORBES MD
PRESIDENT, MEDICAL STAFF	46.0	0.0	Yes (X)		$394,227	$0	$161,411
ANTHEA DANIELS
CHIEF LEGAL OFFICER	43.0	2.0			$475,013	$0	$80,383		Yes (X)
HARUN RASHID
CHIEF INFORMATION OFFICER	40.0	0.0			$439,984	$0	$94,722		Yes (X)
RHONDA LARIMORE
CHIEF OF HUMAN RESOURCES	40.0	0.0			$404,207	$0	$74,534		Yes (X)
VIRGINIA ADDICOTT
DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
JOANNE FELDEN
DIRECTOR	14.0	0.0	Yes (X)		$0	$0	$0
ROBERT BERK
DIRECTOR	7.0	2.0	Yes (X)		$0	$0	$0
TIMOTHY BURKE
DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
PAUL CATANIA
DIRECTOR	4.0	0.0	Yes (X)		$0	$0	$0
PATRICK COVEY
DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
VIRGINIA DROSOS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
PAUL DUTTON
DIRECTOR	3.0	1.0	Yes (X)		$0	$0	$0
TAMMY GERSMAN
DIRECTOR	17.0	1.0	Yes (X)		$0	$0	$0
WILLIAM HOPKINS
DIRECTOR	8.0	0.0	Yes (X)		$0	$0	$0
DUANE ISHAM
DIRECTOR	4.0	0.0	Yes (X)		$0	$0	$0
WILLIAM KELLEHER
DIRECTOR	4.0	0.0	Yes (X)		$0	$0	$0
SUZANNE LOCKE
SECRETARY	14.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DALE KOBLENZER
DIRECTOR	4.0	0.0	Yes (X)		$0	$0	$0
KARA LEWIS
DIRECTOR	5.0	0.0	Yes (X)		$0	$0	$0
PHILIP MAYNARD
DIRECTOR	2.0	1.0	Yes (X)		$0	$0	$0
GREG MCDERMOTT
DIRECTOR	9.0	1.0	Yes (X)		$0	$0	$0
STEPHEN MYERS
VICE CHAIRMAN FOR FINANCE	8.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN ORR
CHAIRMAN	21.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
ELAINE RUSSELL REOLFI
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
RICHARD ROGERS
DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
SARAH ROSSI
DIRECTOR	14.0	0.0	Yes (X)		$0	$0	$0
MARGARET STALTER
DIRECTOR	14.0	0.0	Yes (X)		$0	$0	$0
GLEN STEPHENS
DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
ELINORE MARSH STORMER
DIRECTOR	4.0	1.0	Yes (X)		$0	$0	$0
ROBERT WELLS
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
WILLIAM WOOLDREDGE
DIRECTOR	7.0	0.0	Yes (X)		$0	$0	$0
BRIAN WAGNER
DIRECTOR	3.0	12.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$13,363,161	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,133,534	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	928	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	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	$6,389,494
PEDIATRIC ADOLESCENT UROLOGY
215 W BOWERY STREET SUITE 3500	AKRON	OH	44308	PHYSICIAN SERVICES	$3,570,558
QUALIVIS LLC
2000 Center Point Rd Suite 2360	COLUMBIA	SC	29210	Clinical Temp Svcs	$1,959,548
MED-TRANS CORPORATION
PO BOX 708	WEST PLAINS	MO	65775	AIR TRANS-FLIGHT HRS	$1,760,711
WADSWORTH PEDIATRICS INC
1225 HIGH STREET	WADSWORTH	OH	44281	PHY FEES/SERVICES	$1,436,000

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	71	CntrctRcvdGreaterThan100KCnt
Fundraising	$156,600	FundraisingAmt
Related Organizations	$7,703,521	RelatedOrganizationsAmt
Government Grants	$2,735,957	GovernmentGrantsAmt
All Other Contributions	$812,579	AllOtherContributionsAmt
Total Contributions	$11,408,657	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$853,395,278	$853,395,278
OTHER PROGRAM SERVICE REVENUE	621110	$101,523,995	$101,523,995

Field	Value	IRS element (for citing)
Total Program Service Revenue	$954,919,273	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,752,518	TotalRevenueColumnAmt
Exclusion	$11,752,518	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$663,392,214	SecuritiesAmt
Other	$9,409	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$652,069,604	SecuritiesAmt
Other	$9,052	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$11,322,610	SecuritiesAmt
Other	$357	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,322,967	TotalRevenueColumnAmt
Exclusion	$11,322,967	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$20,347	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$156,600	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$63,637	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$43,290	TotalRevenueColumnAmt
Exclusion	-$43,290	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	722514	$2,839,740	$2,839,740
PARKING DECK	812930	$1,252,339	$1,252,339
OUTPATIENT PHARMACY	446110	$246,985		$246,985

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,152,999	TotalRevenueColumnAmt
Unrelated Business Revenue	$205,225	UnrelatedBusinessRevenueAmt
Exclusion	$947,774	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,492,063	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$994,852,188	TotalRevenueColumnAmt
Related Or Exempt Func Income	$954,919,273	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$452,210	UnrelatedBusinessRevenueAmt
Exclusion	$28,072,048	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$579,246	TotalAmt
Program Services	$579,246	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,622,023	TotalAmt
Program Services	$2,359,007	ProgramServicesAmt
Management And General	$7,263,016	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$167,927	TotalAmt
Management And General	$167,927	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$466,813,768	TotalAmt
Program Services	$399,356,430	ProgramServicesAmt
Management And General	$67,457,338	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$22,937,183	TotalAmt
Program Services	$20,438,142	ProgramServicesAmt
Management And General	$2,499,041	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$70,448,239	TotalAmt
Program Services	$59,691,093	ProgramServicesAmt
Management And General	$10,757,146	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$30,100,459	TotalAmt
Program Services	$25,289,687	ProgramServicesAmt
Management And General	$4,810,772	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$979,072	TotalAmt
Management And General	$979,072	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$469,103	TotalAmt
Program Services	$20,375	ProgramServicesAmt
Management And General	$448,728	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$55,075	TotalAmt
Management And General	$55,075	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,192,881	TotalAmt
Management And General	$1,192,881	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$56,943,492	TotalAmt
Program Services	$48,438,784	ProgramServicesAmt
Management And General	$8,504,708	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$9,447,819	TotalAmt
Program Services	$156,113	ProgramServicesAmt
Management And General	$9,291,706	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,385,810	TotalAmt
Program Services	$7,676,662	ProgramServicesAmt
Management And General	$1,709,148	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,313,890	TotalAmt
Management And General	$7,313,890	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,131,605	TotalAmt
Program Services	$6,916,983	ProgramServicesAmt
Management And General	$1,214,622	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,713,422	TotalAmt
Program Services	$1,460,518	ProgramServicesAmt
Management And General	$252,904	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,642,272	TotalAmt
Program Services	$10,554,312	ProgramServicesAmt
Management And General	$87,960	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$65,534,115	TotalAmt
Program Services	$41,524,450	ProgramServicesAmt
Management And General	$24,009,665	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,133,974	TotalAmt
Program Services	$4,430,092	ProgramServicesAmt
Management And General	$3,703,882	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL/SURGICAL SUPPLIES	$87,673,668	$85,389,716	$2,283,952
EQUIPMENT RENTAL/MAINTENANCE	$24,585,669	$22,203,923	$2,381,746
PROVISION FOR FRANCHISE FEE	$19,099,978	$19,099,978
PROVISION FOR HCAP	$3,188,561	$3,188,561

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,457,302	TotalAmt
Program Services	$3,947,648	ProgramServicesAmt
Management And General	$6,509,654	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$925,616,553	TotalAmt
Program Services	$762,721,720	ProgramServicesAmt
Management And General	$162,894,833	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$38,528	BOYAmt
EOY	$19,410	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$52,330,192	BOYAmt
EOY	$145,837,834	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$145,743,713	BOYAmt
EOY	$125,237,014	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$6,920,351	BOYAmt
EOY	$9,276,724	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,444,654	BOYAmt
EOY	$13,567,008	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,142,597	BOYAmt
EOY	$10,416,726	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,304,431,269	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$694,159,036	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$586,196,743	BOYAmt
EOY	$610,272,233	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$654,963,862	BOYAmt
EOY	$668,296,873	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,621,452	BOYAmt
EOY	$3,676,616	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$205,114,601	BOYAmt
EOY	$235,456,473	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,672,516,693	BOYAmt
EOY	$1,822,056,911	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$130,356,984	BOYAmt
EOY	$141,426,370	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$197,237,688	BOYAmt
EOY	$191,982,733	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$72,703,988	BOYAmt
EOY	$99,642,537	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$208,470,524	BOYAmt
EOY	$143,844,185	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$608,769,184	BOYAmt
EOY	$576,895,825	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	$967,982,846	BOYAmt
EOY	$1,132,733,778	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$95,764,663	BOYAmt
EOY	$112,427,308	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,063,747,509	BOYAmt
EOY	$1,245,161,086	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,672,516,693	BOYAmt
EOY	$1,822,056,911	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$69,235,635	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$29,076,609	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$83,101,333	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$141,123	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$55,075	OtherActivitiesAmt
Total Lobbying Expenditures	$196,198	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	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 $722,631 TO OTHER ORGANIZATIONS THAT HAVE LOBBYING ACTIVITIES. OF THAT AMOUNT, $526,433 PERTAINED TO DUES, $141,123 RELATED TO VARIOUS LOBBYING EXPENSES AND $55,075 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 DISCUSS ISSUES RELATED TO COVID-19 * COMMUNICATED WITH MEMBERS REQUESTING SUPPORT FOR CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION (CHGME) * PARTICIPATED IN CONGRESSIONAL MEETINGS RELATED TO THE CHILDREN'S HOSPITAL ASSOCIATION FAMILY ADVOCACY DAY THE FOLLOWING ARE 2020 LOBBYING EXPENSES: $ 77,258 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS 11,282 AMERICAN HOSPITAL ASSOCIATION 44,797 OHIO CHILDREN'S HOSPITAL ASSOCIATION 7,786 OHIO HOSPITAL ASSOCIATION $ 141.123 SUBTOTAL 55,075 LOBBYIST - CAPITAL CONSULTING GROUP $ 196,198 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

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$91,362,717	BeginningYearBalanceAmt
Contributions	$13,437,572	ContributionsAmt
Investment Earnings Or Losses	$9,818,085	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,036,493	OtherExpendituresAmt
End Year Balance	$108,581,881	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$75,792,308	BeginningYearBalanceAmt
Contributions	$9,438,289	ContributionsAmt
Investment Earnings Or Losses	$9,811,347	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,679,227	OtherExpendituresAmt
End Year Balance	$91,362,717	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$75,724,721	BeginningYearBalanceAmt
Contributions	$12,403,356	ContributionsAmt
Investment Earnings Or Losses	-$6,526,046	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,809,723	OtherExpendituresAmt
End Year Balance	$75,792,308	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$70,020,604	BeginningYearBalanceAmt
Contributions	$7,952,552	ContributionsAmt
Investment Earnings Or Losses	$4,840,850	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,089,285	OtherExpendituresAmt
End Year Balance	$75,724,721	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$69,532,079	BeginningYearBalanceAmt
Contributions	$6,320,223	ContributionsAmt
Investment Earnings Or Losses	$1,475,972	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,307,670	OtherExpendituresAmt
End Year Balance	$70,020,604	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.04210	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.21600	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.74190	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	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	$802,669,707	OtherCostOrOtherBasisAmt
Depreciation	$350,638,195	DepreciationAmt
Book Value	$452,031,512	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,105,852	OtherCostOrOtherBasisAmt
Depreciation	$14,604,467	DepreciationAmt
Book Value	$34,501,385	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$422,020,278	OtherCostOrOtherBasisAmt
Depreciation	$324,749,662	DepreciationAmt
Book Value	$97,270,616	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,578,941	OtherCostOrOtherBasisAmt
Depreciation	$4,166,712	DepreciationAmt
Book Value	$9,412,229	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$610,272,233	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
BENEFICIAL INT IN FOUNDATION	$194,610,744
UNAMORT HEALTHCARE SERVICE	$39,839,877
OTHER ASSETS	$1,005,852

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$235,456,473	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DEFERRED BENEFIT PENSION LIAB	$48,308,314
POST RETIREMENT PLANS	$33,576,492
PROFESSIONAL LIABILITY RESERVE	$2,387,000
OTHER LIABILITIES	$59,572,379

Field	Value	IRS element (for citing)
Total Liability	$143,844,185	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4 - Intended Use of Endowment Funds

Temporarily restricted funds are subject to restrictions imposed by the donor or by time. These funds are held until the specific purpose or time element is met and they are released from restrictions. Permanently restricted funds are funds that are invested in perpetuity and are not available to fund any current operations. The earnings from the endowment funds can be used for the specific purpose imposed by the donor. The Board Designated funds include funds from unrestricted sources that have been internally designated by the Board of Directors to function as endowments. These funds are to be used for their designated purpose. CHMCA does have a policy in place to monitor all unrestricted, temporarily and permanently restricted funds.

Part X, Line 2 - FIN 48 (ASC 740)

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 F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Middle East and North Africa	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$200,000	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$200,000	SubtotalSpentAmt
Total Spent	$200,000	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	OH GOLF CHARITY	Event1Nm
Gross Receipts Event1	$100,000	GrossReceiptsEvent1Amt
Charitable Contri Event1	$100,000	CharitableContriEvent1Amt
Other Direct Expenses Event1	$0	OtherDirectExpensesEvent1Amt
Event2	HOLIDAY TREE	Event2Nm
Gross Receipts Event2	$50,947	GrossReceiptsEvent2Amt
Charitable Contri Event2	$38,210	CharitableContriEvent2Amt
Gross Revenue Event2	$12,737	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$14,395	RentFacilityCostsEvent2Amt
Entertainment Event2	$1,800	EntertainmentEvent2Amt
Other Direct Expenses Event2	$10,483	OtherDirectExpensesEvent2Amt
Other Events Total	4	OtherEventsTotalCnt
Gross Receipts Other Events	$26,000	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$18,390	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$7,610	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$20,653	RentFcltyCostsOtherEventsAmt
Entertainment Other Events	$13,295	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$3,011	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$176,947	GrossReceiptsTotalAmt
Charitable Contributions Tot	$156,600	CharitableContributionsTotAmt
Gross Revenue Total Events	$20,347	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$35,048	RentFcltyCostsTotalEventsAmt
Entertainment Total Events	$15,095	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$13,494	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$63,637	DirectExpenseSummaryEventsAmt
Net Income Summary	-$43,290	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,894,077	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,894,077	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$472,427,365	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$316,697,461	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$155,729,904	NetCommunityBenefitExpnsAmt
Total Expense	0.17160	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$814,203	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$814,203	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$478,135,645	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$317,511,664	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$160,623,981	NetCommunityBenefitExpnsAmt
Total Expense	0.17700	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,195,649	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,550	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,188,099	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,632,514	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,216,956	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,415,558	NetCommunityBenefitExpnsAmt
Total Expense	0.01150	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,147,451	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,147,451	NetCommunityBenefitExpnsAmt
Total Expense	0.02770	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,158,753	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,473	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,148,280	NetCommunityBenefitExpnsAmt
Total Expense	0.00790	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$231,007	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$231,007	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,365,374	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,234,979	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,130,395	NetCommunityBenefitExpnsAmt
Total Expense	0.04980	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$537,501,019	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$331,746,643	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$205,754,376	NetCommunityBenefitExpnsAmt
Total Expense	0.22680	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$901	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$901	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$277,265	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$277,265	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,535	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,535	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,909	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,909	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$291,511	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$291,511	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,200	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$60,200	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$651,321	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$651,321	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$12,907,372	BadDebtExpenseAmt
Reimbursed By Medicare	$4,904,245	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$7,192,137	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,287,892	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	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	Facility Reporting GroupFacilityReportingGroupCd
Children's Hospital Med Ctr of Akron
1	One Perkins Square	Akron	OH	44308	www.akronchildrens.org	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
Children's - Beeghly Campus
2	6505 Market Street	Youngstown	OH	44512	www.akronchildrens.org	Yes (X)	Yes (X)	Yes (X)	Yes (X)	B

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	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	false	false	Yes (true)	Yes (X)	see Part V Section C for URL	Yes (X)	Yes (true)	20	Yes (true)	See Part V Section C for URL	false	Yes (true)	Yes (X)	200.	300.	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	Part V, Sect C for full URL	Yes (X)	Part V, Sect C for full URL	Yes (X)	Part V, Sect C for URL	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Facility Group B - Mahoning Valley
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	false	false	Yes (true)	Yes (X)	see Part V, Section C for Full URL	Yes (X)	Yes (true)	20	Yes (true)	see Part V, Section C for full URL	false	Yes (true)	Yes (X)	200.	300.	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	see Part V Section C for full URL	Yes (X)	see Part V Sect C for full URL	Yes (X)	see Part V Sect C for URL	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Section B Group A

Part V, Section B. Facility Policies and Practices, Community Health Needs Assessments (CHNA) CHMCA (#1). Line 1 & 2: No Ohio License # Line 3e: The significant health needs of the community identified in the CHNA are prioritized within the CHNA 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 - 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 Board Richland: 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 Line 6b: No Line 7(a) and 10 - Yes: https://www.akronchildrens.org/pages/Community Health Needs Assessment.html 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 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 NICUs 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, not surprisingly, 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 O

Part V. Section B Group B

FACILITY POLICIES AND PRACTICES, COMMUNITY HEALTH NEEDS ASSESSMENTS CHMCA - BEEGHLY CAMPUS (#2). LINE 3(E) - THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION 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. LINE 6(B): No LINE 7(A) AND 10 - YES: HTTPS://WWW.AKRONCHILDRENS.ORG/PAGES/COMMUNITY Health Needs Assessment.HTML 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 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, NOT SURPRISINGLY, 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. 13 (H) - 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. LINE 15E - FINANCIAL COUNSELORS ARE EMPLOYED AT THE HOSPITAL TO DISCUSS THE AVAILABILITY AND APPLICATION FOR FINANCIAL ASSISTANCE FOR ALL PATIENTS. LINE 16A, 16B & 16C. - YES HTTPS://WWW.AKRONCHILDRENS.ORG/PAGES/FINANCIAL-Assistance.HTML LINE 20(E)- YES - THIRD-PARTY COLLECTION AGENCIES WILL EXPLAIN THE AVAILABILITY FOR FREE CARE AND CHARITY CARE AND THE FINANCIAL ASSISTANCE APPLICATION. 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

Field	Value	IRS element (for citing)
Facility	58	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (58 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CHMCA at St Elizabeth - #2
8401 Market Street	Boardman	OH	445126725	NICU Nursery
CHMCA at Summa - #3
525 E Market St	Akron	OH	443041619	NICU Nursery
Aultman Hospital - #1
2600 6th St SW	Canton	OH	447101702	NICU and Pediatric Unit
Warren Health Center - #5
5000 E Market St	Warren	OH	444842259	Pediatric Outpatient Services
CHMCA at CCAG - #7
1 Akron General Ave	Akron	OH	443072432	NICU Nursery
North Canton Health Center I - #4
6076 WHIPPLE AVE	NORTH CANTON	OH	44720	Pediatric Outpatient Services
Medina Health Center - #9
3443 Medina Rd	Medina	OH	442565965	Pediatric Outpaitent Services
Green Health Center - #10
1622 East Turkeyfoot Lake Rd Suit	Akron	OH	443125277	Pediatric Outpatient Services
Mansfield Health Center - #6
1029 South Trimble Road	Mansfield	OH	44906	Pediatric Outpatient Services
Fairlawn Health Center - #11
701 White Pond Dr Suite 100	Akron	OH	443201193	Pediatric Outpatient Services
CHMCA at St Joseph's - #13
667 Eastland Ave SE	Warren	OH	444844503	Pediatric Inpatient Services
New Philadelphia Health Center - #12
1045 W High Ave	New Philadelphia	OH	446632071	Pediatric Outpatient Services
Hudson Health Center - #17
1365 Corporate Dr Suite A	Hudson	OH	442364432	Pediatric Outpatient Services
Hudson Urgent Care & Specialty - #45
5655 Hudson Drive	Hudson	OH	442364451	Urgent Care & Pediatric OP
Alliance Health Center - #15
1826 S Arch Ave	Alliance	OH	446014332	Pediatric Outpatient Services
Perry Health Center - #19
125 Whipple Ave SW	Canton	OH	447101374	Pediatric Outpatient Services
Wooster Health Center - #16
128 East Milltown Rd 209	Wooster	OH	446911276	Pediatric Outpatient Services
Twinsburg Health Center - #27
8054 Darrow Rd Suite 3	Twinsburg	OH	440872387	Pediatric Outpatient Services
CHMCA at Wooster Hospital - #18
1761 Beall Ave	Wooster	OH	446912342	NICU Nursery
Wadsworth Health Center - #22
323 High St Suite A	Wadsworth	OH	442811869	Pediatric Outpatient Services
Akron East Health Center - #21
891 E Exchange St	Akron	OH	443061127	Pediatric Outpatient Services
Ashland Health Center - #23
1120 George Rd	Ashland	OH	448058597	Pediatric Outpatient Services
Barberton Health Center - #20
566 Robinson Avenue	Barberton	OH	442039002	Pediatric Outpatient Services
Ellet Health Center - #25
1463 Canton Rd Suite A	Akron	OH	443124022	Pediatric Outpatient Services
North Canton Specialty - #41
6100 Whipple Ave NW	North Canton	OH	447207618	Pediatric Outpatient Services
Boston Heights Health Center - #8
328 EAST HINES HILL ROAD	HUDSON	OH	442361118	Pediatric Outpatient Services
Kent Health Center - #38
1951 State Route 59	Kent	OH	442408128	Pediatric Outpatient Services
Massillon Health Center - #14
1149 Lincoln Way E	Massillon	OH	446466950	Pediatric Outpatient Services
Wadsworth PSA - #28
1225 High St	Wadsworth	OH	44281	Pediatric Outpatient Services
Tallmadge Health Center - #29
143 Northwest Ave	Tallmadge	OH	442781806	Pediatric Outpatient Services
Montrose Urgent Care - #34
4125 Medina Rd	Akron	OH	443332483	Urgent Care
Austintown Health Center - #26
5480 Norquest Blvd	Austintown	OH	445151820	Pediatric Outpatient Services
Lisbon Health Center - #30
400 N Market St	Lisbon	OH	444321146	Pediatric Outpatient Services
Ravenna Health Center - #44
6847 N Chestnut Street Suite 200	Ravenna	OH	442663929	Pediatric Outpatient Services
Brecksville Health Center - #32
7001 S Edgerton Rd Suite 500	Brecksville	OH	441414206	Pediatric Outpatient Services
Warren Downtown Health Center - #36
661 Mahoning Ave NW	Warren	OH	444834607	Pediatric Outpatient Services
Streetsboro Health Center - #35
9150 Market Square Suite 203	Streetsboro	OH	442415224	Pediatric Outpatient Services
Life Center Plus - #55
5133 Darrow Rd	Hudson	OH	442364003	Pediatric Outpatient Services
Wooster Specialty Care - #37
546 Winter St Suite 110	Wooster	OH	446912339	Pediatric Outpatient Services
Liberty Health Center - #33
4308 Belmont Ave	Youngstown	OH	44505	Pediatric Outpatient Services
Mercy Medical Center - #47
1330 Mercy Dr NW Suite 506	Canton	OH	447082625	Pediatric Outpatient Services
Beachwood Heart Center - #39
23250 Chagrin Blvd Suite325	Beachwood	OH	441225417	Pediatric Outpatient Services
Fisher Titus Medical Center - #42
272 Benedict Ave	Norwalk	OH	448572374	Pediatric Outpatient Services
Norwalk Medical Park II - #48
282 Benedict Ave	Norwalk	OH	448572712	Pediatric Outpatient Services
TriPoint Medical Center - #46
759 Auburn Rd Suite 214	Painesville	OH	440779176	Pediatric Outpatient Services
UH Portage Medical Center - #56
6693 N Chestnut St	Ravenna	OH	44266	Pediatric Outpatient Services
Child Advocacy Center - #43
213 Market Ave N Suite 200	Canton	OH	447021440	Pediatric Outpatient Services
St Elizabeth Youngstown Hospital - #57
1044 Belmont Ave	Youngstown	OH	44501	NICU Nursery
Hattie Larlham Foundation - #50
9772 Diagonal Rd	Mantua	OH	442559128	Pediatric Outpatient Services
Marietta Memorial Health Center - #49
401 Matthew Street	Marietta	OH	45750	Pediatric Outpatient Services
Sharon Heart Center - #52
740 E State St	Sharon	PA	16146	Pediatric Outpatient Services
Millersburg Hemophilia Clinic - #54
1261 Wooster Rd Suite 220	Millersburg	OH	446541570	Pediatric Outpatient Services
Portage Health Center - #24
2497 State Route 59	Ravenna	OH	442661641	Pediatric Outpatient Services
Cuyahoga Falls - PSA - #31
1100 Portage Trail	Cuyahoga Falls	OH	442232102	Pediatric Outpatient Services
East Liverpool Health Center - #40
15655 State Route 170	East Liverpool	OH	43920	Pediatric Outpatient Services
Mercy Lorain Hospital - #51
3600 Kolbe Ave	Lorain	OH	44053	Pediatric Outpatient Services
Amherst Health Center - #53
5490 Oak Point Rd	Amherst	OH	44053	Pediatric Outpatient Services
Genetics at Ravenna - #58
2500 Brady Lake Rd	Ravenna	OH	44266	Pediatric Outpatient Services

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7 (a) Charity Care @ Cost	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 (55.7%) as reported on our internal payor mix report.
Part I, Line 7g Subsidized Health Services	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. Hospitals faced many challenges in 2020 due to the Covid-19 pandemic and Akron Children's was no exception. Volumes, revenues, and reimbursements all declined sharply. While expense control helped mitigate some of these declines, the decision not to layoff or furlough any employees increased the ratio of costs to reimbursement. This increased the number of essential children's services provided, that were reimbursed at less than cost, as compared to a non-pandemic year. Calculated subsidized health services due to the pandemic were done using our Medicare Cost Report ratio of costs to charges applied to or commercial population to avoid double counting previous calculation 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 7f - Health Professions Education:	The total costs of health professions education is reported as a total community benefit expense and direct offsetting revenues including Medicare and estimated Medicaid revenues related to health professional education.
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; General community support, under which we provide financial and staff support for various community based initiatives targeting infant mortality, mental health and others generally related to the healthy development of young people and their families in the service area; Community health improvement advocacy, under which we support multi-agency and governmental initiatives to improve health and quality of life; Workforce development 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 & 4 - Bad Debt Expense Explanation	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 - Medicare Explanation	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 (55.7%) as reported on our internal payor mix report. In regards 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 $935,599, unreimbursed outpatient costs incurred in treating patients qualifying for Medicare End Stage Renal disease(ESRD), composite reimbursement was $(40,190), unreimbursed costs of providing care to Medicare Advantage Plan enrollees was $1,343,120. 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 - Collection Practices Explanation	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 - Needs Assessment - Group A & B	LINE 2 - NEEDS ASSESSMENT - Describe how CHMCA assesses the health care needs of the communities it serves. 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 now a world-class pediatric health care institution serving a region of more than 25 counties spread across northeast and north-central Ohio, in addition to two counties on the border of western Pennsylvania. The percentage of patients we treat that are on Medicaid is 55.7%. 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. Ashland County There are approximately 53,484 people living in Ashland County, which is a 0.6% increase since the last previous 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). 3.3% of the population is non-White, compared to 18.3% in the state. Educational attainment is lower than the State of Ohio, with 88.6% having a high school diploma (compared to 90.1%) and 21.1% having a bachelor's degree or higher (compared to 27.8%). Annual per capita income is lower than the state average by about $2,000 per year, and the percentage of Ashland County residents living in poverty is 3.5% lower than that of the State. Medina County There are approximately 179,746 people living in Medina County, which is an increase of 4.3% since the last previous 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. 4.4% of the population is non-White, compared to 18.3% in the state. Educational attainment is higher than the State of Ohio, with 94.9% having a high school diploma or higher and 33.3% 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 162,466 people living in Portage County. This number has increased by 0.6% since the last previous 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, 9.2% of the population is non-White, compared to 18.3% in the State. Educational attainment is slightly higher in Portage County than Ohio, with 92.1% having a high school diploma or higher and 28.7% having a bachelor's degree or higher. Annual per capita income in Portage County is slightly higher, and the percentage of residents living in poverty is 2.6% lower than that of the State. East Kent City has a MUP (low income) designation. Richland County There are approximately 121,154 people living in Richland County, which is a 2.7% decrease from the last previous 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 smaller proportion of children and a larger proportion of older adults. In Richland County, 13% of the population is non-White, compared to 18.3% 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 0.5% higher than Ohio. The City of Mansfield has a MUP (low income) designation. Stark County There are approximately 370,606 people living in Stark County, which is a 1.3% decrease from the last previous 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 children and older adults In Stark County, 12% of the population is non-White, compared to 18.3% 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 0.5% 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 541,013 people living in Summit County. Since the last previous census, the population has decreased slightly, by less than a percent. 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, 21.8 % percent of the population is non-White, compared to 18.3% in the State. Educational attainment is slightly higher in Summit County than in the State of Ohio, with 91.6% having a high school diploma or higher and 32.1% 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 1.9% 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 115,710 people living in Wayne County, which is an increase of 1.0% since the last previous 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, 4.8% of the population is non-White, compared to 18.3% in the State. Educational attainment is lower in Wayne County compared to the State of Ohio, with 86.0% having a high school diploma or higher and 21.9% having a bachelor's degree or higher. The annual per capita income in Wayne County is lower than the State of Ohio, as is the percentage of Wayne County residents living in poverty. There are no federally designated MUA/Ps present in this community, although a large number of Amish residing in Wayne County are considered uninsured because they do not participate in traditional health insurance programs.
Part VI, Line 5 - 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. The COVID-19 pandemic had a significant impact on CHMCA operations in 2020, which in turn impacted the resources dedicated to various community benefit purposes. Patient volumes sharply declined in March, when the state government enacted a stay-at-home order. Our executives, providers and non-clinical staff mobilized quickly, assuming the Hospital Incident Command Structure and developing protocols to manage everything from personal protective equipment deployment and proper utilization, to screening staff and visitors, to testing, treatment, and eventually the vaccine rollout. Nearly 250 of our providers became credentialed to treat patients up to age 35 to prepare for surge capacity. Additionally, numerous medical staff members provided clinical expertise via coordinated response efforts with regional partners, and through broader dissemination of public health information to families through social media and news media. Annually, the Akron campus saw the following patient encounters in 2020: 7,114 inpatient admissions (which includes other sites except Beeghly), 13,672 surgeries, 44,593 emergency room visits, and 233,904 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. With families sheltering in place at the height of the pandemic, CHMCA's telehealth infrastructure expanded and increased virtual visits to over 55,000 in 2020. 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 2020 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. Further, in 2020, CHMCA was engaged in the Zero Suicide Initiative, a public-private partnership among Ohio Mental Health & Addiction Services, the Ohio Children's Hospital Association, Cardinal Health Foundation, and the Zero Suicide Institute. The purpose is to build a coordinated framework among primary care providers, behavioral health organizations, schools, parents/caregivers and other community partners with the goal of increasing the awareness of effective suicide prevention strategies and interventions. CHMCA'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 850 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. CHMCA's E
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.
Part VI, Line 4 - 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. Trumbull County There are approximately 201,977 people living in Trumbull County, which is a decrease of 4% since the last previous 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, 8.6% of the population is Black or African-American and 1.9%is Hispanic or Latino, compared to 13.1% and 4.0%, 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 18.7% 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 228,614 people living in Mahoning County, which is a decrease of 4.3% since the last previous 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 16.1% of the population in Mahoning County is Black or African-American and 6.5% is Hispanic or Latino, compared to 13.1% and 4.0%, 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 percapita 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 101,877 people living in Columbiana County, which is a decrease of 5.5% since the last previous 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 2.5% percent of the population in Columbiana County is Black or African-American and 1.9% is Hispanic or Latino, compared to 13.1% and 4.0%, 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 (14.9% versus 28.8%). 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.
Part VI, Line 5, 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 spaces for group and family therapy. The Center provides a range of mental and behavioral health services previously unavailable in this community, including a partial hospitalization program that offers two weeks of intensive individual and group therapy but does not require inpatient admission. In addition, some outpatient behavioral health services can be accessed through CHMCA's primary care offices throughout the Mahoning Valley. The COVID-19 pandemic had a significant impact on CHMCA operations in 2020, which in turn impacted the resources dedicated to various community benefit purposes. Patient volumes sharply declined in March, when the state government enacted a stay-at-home order. Our executives, providers and non-clinical staff mobilized quickly, assuming the Hospital Incident Command Structure and developing protocols to manage everything from personal protective equipment deployment and proper utilization, to screening staff and visitors, to testing, treatment, and eventually the vaccine rollout. Additionally, numerous medical staff members provided clinical expertise via coordinated response efforts with regional partners, and through broader dissemination of public health information to families through social media and news media. Annually, the Beeghly campus saw the following patient encounters in 2020: 933 inpatient admissions, 1,672 surgeries, 25,041 emergency room visits, and 34,979 specialist visits. 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. In 2020, through a partnership with Produce Perks Midwest, we distributed Fresh Fruit & Vegetable Program coupon books to income eligible families via outreach events. The coupons were redeemable for $40 worth of fresh produce at participating grocery stores and farmers' markets. 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 reg

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AKRON CHILDREN'S HOSPITAL FOUNDATION
ONE PERKINS SQUARE	AKRON	OH	44308	237114013	501(c)(3)	$546,746	GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
PO BOX 15120	CHICAGO	IL	60693	314409976	501(C)(3)	$17,500	GENERAL SUPPORT
AKRON AREA YMCA
50 S MAIN ST STE LL100	AKRON	OH	44308	340714727	501(C)(3)	$15,000	SUPPORT YMCA SAFETY WATER PROGRAM FOR KIDS

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

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 (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 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
PRESIDENT & CEO	$936,929	$0	$360,000	$0	$23,484	$0	$485,576	$0	$9,989	$0	$1,815,978	$0	$0	$0
JOHN CROW MD
CHAIRMAN PEDIATRIC SURGERY	$1,014,139	$0	$33,000	$0	$5,700	$0	$19,950	$0	$9,686	$0	$1,082,475	$0	$0	$0
WILLIAM CONSIDINE
CEO EMERITUS (TERM 12/31/20)	$307,323	$0	$0	$0	$494,620	$0	$68,395	$0	$17,021	$0	$887,359	$0	$0	$0
ROBERT MCGREGOR MD
CHIEF MEDICAL OFFICER	$526,958	$0	$145,000	$0	$7,026	$0	$96,453	$0	$17,886	$0	$793,323	$0	$0	$0
SPENCER KOWAL
CFO/TREASURER	$474,854	$0	$65,000	$0	$3,417	$0	$87,514	$0	$25,851	$0	$656,636	$0	$0	$0
NORMAN CHRISTOPHER MD
CHAIRMAN DEPT OF PEDS	$476,708	$0	$0	$0	$9,724	$0	$208,551	$0	$25,911	$0	$720,894	$0	$0	$0
MICHAEL FORBES MD
PRESIDENT, MEDICAL STAFF	$295,182	$0	$93,646	$0	$5,399	$0	$137,244	$0	$24,167	$0	$555,638	$0	$0	$0
ANTON MILO MD
DIVISION OF ENT DIRECTOR	$1,017,818	$0	$0	$0	$7,638	$0	$19,950	$0	$25,525	$0	$1,070,931	$0	$0	$0
JODI REGAN MD
PERINATOLOGIST	$866,454	$0	$130,000	$0	$2,144	$0	$11,400	$0	$7,128	$0	$1,017,126	$0	$0	$0
ROBERT STEWART MD
CHIEF CARDIOTHORACIC SURGERY	$761,068	$0	$200,000	$0	$1,950	$0	$17,100	$0	$21,242	$0	$1,001,360	$0	$0	$0
TSULEE CHEN MD
PEDIATRIC NEUROSURGEON DIR	$820,586	$0	$134,933	$0	$996	$0	$17,100	$0	$10,103	$0	$983,718	$0	$0	$0
TODD RITZMAN MD
CHAIRMAN, DEPT OF ORTHO	$496,266	$0	$390,119	$0	$950	$0	$11,400	$0	$15,445	$0	$914,180	$0	$0	$0
SHAWN LYDEN
CHIEF STRATEGY OFFICER	$667,023	$0	$90,000	$0	$6,368	$0	$115,666	$0	$22,918	$0	$901,975	$0	$0	$0
LISA AURILIO
CHIEF OPERATING OFFICER	$541,678	$0	$145,000	$0	$2,327	$0	$247,592	$0	$10,106	$0	$946,703	$0	$0	$0
MICHAEL BIGHAM MD
CHIEF QUALITY OFFICER	$365,716	$0	$115,000	$0	$1,814	$0	$72,561	$0	$24,465	$0	$579,556	$0	$0	$0
ANTHEA DANIELS
CHIEF LEGAL OFFICER	$398,182	$0	$75,123	$0	$1,708	$0	$78,601	$0	$1,782	$0	$555,396	$0	$0	$0
HARUN RASHID
CHIEF INFORMATION OFFICER	$337,111	$0	$100,000	$0	$2,873	$0	$70,185	$0	$24,537	$0	$534,706	$0	$0	$0
RHONDA LARIMORE
CHIEF OF HUMAN RESOURCES	$302,769	$0	$100,000	$0	$1,438	$0	$59,647	$0	$14,887	$0	$478,741	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a - Fringe or Expense Explanation	The following individuals had a 2020 country club membership that was used by them for business purposes: Lisa Aurilio Shawn Lyden Robert McGregor M.D. Grace Wakulchik
Part I, Line 4 - Severance, Nonqualified, and Equity Based Payments	William Considine is a participant in a supplemental executive retirement plan as of January 1, 2010. The plan is a nonqualified deferred compensation plan. It is an unfunded plan maintained primarily for the purpose of providing deferred compensation benefits. The participant receives credits in the plan for each full calendar year of service and he is 100% vested. William Considine received a distribution of $490,487 in 2020. 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. No distributions were made in 2020. Lisa Aurilio Rhonda Larimore Robert McGregor M.D. Grace Wakulchik Shawn Lyden Harun Rashid Michael Bigham M.D. Spencer Kowal Anthea Daniels
Part I, Line 7 - Non Fixed Payments Provided	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.

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	false	false	false
AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT
B	341448680	009730NB4	2013-05-05	$101,377,818	Construction of Critical Care Towe	false	false	false
AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT
C	341448680	000000000	2013-11-14	$27,405,000	Refund Prior Issue	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

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

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	false	false	false	0	false
0
C	false	false	false	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

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 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 (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CATHRYN O'MALLEY
FAMILY MEMBER OF WILLIAM CONSIDINE, CHIEF EXECUTIVE OFFICER EMERITUS	$120,488	COMPENSATION	false
LAURIE SCHUELER
FAMILY MEMBER OF DUANE ISHAM, BOARD OF DIRECTOR	$47,439	COMPENSATION	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6 - Classes of Members or Stockholders	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, Line 7a - Election of Members and Their Rights	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. The remaining members of the Board of Directors 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 three year terms. Upon unanimous resolution of the members, a person who has rendered long and outstanding service 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-wide quality 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, Line 7b - Decisions Subject to Approval of Members	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, Line 11b - Organization's Process to Review Form 990	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, Line 12c - Enforcement of Conflicts Policy	It is CHMCA's policy that all employees disclose real and apparent conflicts of interest as a condition of employment with CHMCA. CHMCA also requires that each employee disclose in writing, annually, a list of all businesses or other organizations in 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 responsibility of the individual directly involved and responsibility of other personnel, to the extent that they become aware of a duality of interest, to make immediate and complete disclosure to the appropriate Vice President. He/she will review the situation with the Human Resources Chief Officer who will present it to the President or his designee. It is the responsibility of the President or her 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 responsibility or other disciplinary action up to and including discharge.
Form 990, Part VI, Line 15a-Compensation Process for Top Official	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.
Form 990, Part VI, Line 15b - Compensation Process for Officers	An independent salary survey was completed in 2020 and recommendations were provided and presented by the independent consultant to the Committee for approval.
Form 990, Part VI, Line 19 - Governing Documents Disclosure Explanation	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 - Reconciliation of other changes in net assets	$ 32,382,663 Investment in Foundation (4,788,719) Change is postretirement obligations 30,640,539 Change in pension plan obligations 411,325 Other changes in net assets (2,411,745) Equity transfer to Children's Home Care Group (1,130,977) Transfer from Akron Children's Hospital Foundation 28,000,000 CDIC Dividend (1,753) Partnership Income $ 83,101,333 Total
Form 990, Part VI, Line 4 - Changes in Governing Documents	The following are changes made to the Code of Regulations during 2020: 1. The Chair of the Akron Children's Hospital Foundation (ACHF) was added as an ex-officio voting member of the Children's Hospital Medical Center of Akron (CHMCA). 2. Board members can serve up to 3 - 3 year terms. There were no term limits prior to this change.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 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)	7	CHMCA	Yes (true)
CHILDREN'S HOME CARE GROUP
ONE PERKINS SQUARE	AKRON	OH	44308	341575266	HOME CARE	OH	501(c)(3)	12a	CHMCA	Yes (true)
CHILD DIMENSIONS INSURANCE COMPANY
ONE PERKINS SQUARE	AKRON	OH	44308	030317160	INSURANCE	VT	501(c)(3)	12a	CHMCA	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHILDREN'S HOME CARE GROUP
O	$4,677,594	ACTUAL PER GL
CHILDREN'S HOME CARE GROUP
Q	$3,992,487	ACTUAL PER GL
AKRON CHILDREN'S HOSPITAL FOUNDATION
Q	$1,214,758	ACTUAL PER GL
AKRON CHILDREN'S HOSPITAL FOUNDATION
C	$7,703,521	ACTUAL PER GL
AKRON CHILDREN'S HOSPITAL FOUNDATION
O	$3,369,132	ACTUAL PER GL
AKRON CHILDREN'S HOSPITAL FOUNDATION
B	$546,748	ACTUAL PER GL
CHILD DIMENSIONS INSURANCE COMPANY
Q	$1,668,110	ACTUAL PER GL
CHILD DIMENSIONS INSURANCE COMPANY
S	$28,000,000	ACTUAL PER GL
CHILDREN'S HOME CARE GROUP
R	$2,411,745	ACTUAL PER GL