STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON (EIN 34-0714357)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-11
IRS object ID
202003169349305715
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-11T17:42:35-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1950 MAIN AVENUE SUITE 1800AddressLine1Txt
CityCLEVELANDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44113ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN340714357EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Children's Hospital Medical Center of AkronBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% ALICIA LAMANCUSA VP FINANCEInCareOfNm
Business Name ControlCHILBusinessNameControlTxt
Phone3305438171PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSPENCER A KOWALPersonNm
Person TitleCHIEF FINAN OFFICERPersonTitleTxt
Phone3305431000PhoneNum
Signature2020-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTerence M KennedyPreparerPersonNm
PTINP00089502PTIN
Phone2168615000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address65.25.82.113IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id34237420203165000000FederalOriginalSubmissionId
Federal Original Submission Id2020-11-11FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC0AE195DC5A82C94624B2172D86CF2E31BB54341AtSubmissionCreationDeviceId
At Submission Filing Device Id8926F5B1779455CD3DAE70861609C9F06FDBC616AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSPENCER A KOWALPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE PERKINS SQUAREAddressLine1Txt
CityAKRONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44308ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,891,152,194GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressAKRONCHILDRENS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1897FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionCHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") IS DEDICATED TO IMPROVING THE HEALTH OF CHILDREN THROUGH QUALITY PATIENT CARE, RESEARCH & EDUCATION, COMMUNITY SERVICE.ActivityOrMissionDesc
Voting Members Governing Body33VotingMembersGoverningBodyCnt
Voting Members Independent26VotingMembersIndependentCnt
Total Employee7453TotalEmployeeCnt
Total Volunteers1601TotalVolunteersCnt
Total Gross UBI$906,273TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,809,912PYContributionsGrantsAmt
CY Contributions Grants$12,301,704CYContributionsGrantsAmt
PY Program Service Revenue$874,069,009PYProgramServiceRevenueAmt
CY Program Service Revenue$976,820,760CYProgramServiceRevenueAmt
PY Investment Income$17,119,112PYInvestmentIncomeAmt
CY Investment Income$17,450,126CYInvestmentIncomeAmt
PY Other Revenue$7,277,609PYOtherRevenueAmt
CY Other Revenue$7,944,908CYOtherRevenueAmt
PY Total Revenue$909,275,642PYTotalRevenueAmt
CY Total Revenue$1,014,517,498CYTotalRevenueAmt
PY Grants And Similar Paid$1,035,252PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$852,512CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$546,169,078PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$581,802,270CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$294,014,910PYOtherExpensesAmt
CY Other Expenses$324,821,772CYOtherExpensesAmt
PY Total Expenses$841,219,240PYTotalExpensesAmt
CY Total Expenses$907,476,554CYTotalExpensesAmt
PY Revenues Less Expenses$68,056,402PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$107,040,944CYRevenuesLessExpensesAmt
Total Assets BOY$1,422,952,377TotalAssetsBOYAmt
Total Assets EOY$1,672,516,693TotalAssetsEOYAmt
Total Liabilities BOY$500,227,013TotalLiabilitiesBOYAmt
Total Liabilities EOY$608,769,184TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$922,725,364NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,063,747,509NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("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 IS A NOT-FOR-PROFIT FACILITY WHICH OPERATES TWENTY-FOUR(24) HOURS A DAY, SEVEN(7) DAYS A WEEK. CHMCA ACCEPTS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. DURING THE YEAR ENDED DECEMBER 31, 2019, TOTAL UNCOMPENSATED CARE (INCLUDING BAD DEBT, CHARITY CARE AND ALLOWANCES AND CONTRACT ADJUSTMENTS) WAS $1,082,251,613. CHMCA QUALIFIES AS A DISPROPORTIONATE SHARE HOSPITAL PER OHIO DEPARTMENT OF JOBS AND FAMILY SERVICES. CHMMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$307,190,644ExpenseAmt
Revenue$255,499,965RevenueAmt
DescProgram Achievement #1 - Medical and Surgical Subspecialty Services In keeping with CHMCA's Mission to provide quality medical and surgical care for infants, children, adolescents, and burn victims of all ages, CHMCA offers unique services in a broad range of pediatric subspecialties. Some of these areas include: Heart Center, Neurosurgery, Maternal Fetal Medicine, Ophthalmology, Care Center, Gastroenterology, Urology, General Surgery, Sports Medicine, Rehabilitation Services, ENT, Neurology, Nephrology, Endocrinology, Adolescent Medicine, Infectious Diseases, Pulmonary Medicine, Palliative Care Program, Rheumatology, Psychiatric Services, Allergy, Genetics, Dentistry, Orthopedics and Urgent Cares. 2019 Highlights from some of these areas include the following: CHMCA started offering cardiac care in 2019 to patients in Marietta on the Marietta Memorial Hospital campus, in addition to its pediatric and adult congenital cardiology services at 15 clinics throughout northern Ohio. As part of our commitment to offering the latest advances in pediatric and maternal care, CHMCA has expanded collaborations with hospitals in both Canton and Akron. CHMCA now operates a Maternal Fetal Medicine practice at Aultman Hospital and added Maternal Fetal Medicine services at Summa Health. CHMCA's Division of Orthopedics specializes in the diagnosis and surgical and/or non-surgical treatment of all types of bone, joint, muscle and spine disorders and injuries in children, teens and young adults. As the opioid crisis grew into a national epidemic, the nine pediatric orthopedic surgeons at CHMCA began analyzing their own pain medication prescribing practices in relation to that of their peers. This led to a standardized protocol that has significantly reduced the amount of prescribed narcotics following orthopedic surgery. Following the lead of the orthopedics team, other surgical teams also worked toward standardizing pain management for their patients as well. As part of CHMCA's regional initiative to bring services closer to where families live, we opened three health centers in Mansfield, North Canton and Boston Heights during 2019. Services at these health centers include Akron Children's Pediatrics, urgent care, pediatric specialty care, rehabilitation services, radiology and laboratory medicine.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$294,875,132ExpenseAmt
Revenue$487,616,135RevenueAmt
DescProgram Achievement #2 - Hospital Based Services CHMCA's philosophy of care is centered around the families we serve. This means we respect each child and family's individual needs and strive to make the hospital experience as pleasant as possible. The routine care units, which consist of private rooms and accommodations for overnight stay by parents, are based upon the concept of family-centered care. The primary focus of the facility is to provide an environment conducive to pediatric patients, aiding their recovery in a modern hospital setting. Inpatient services include Routine Care, Neonatal Intensive Care Unit, Pediatric Intensive Care Unit, Behavioral Health, Regional Burn Center, and Trauma Services. Our neonatologists provide the highest level of intensive care for our youngest patients. Our neonatal expertise expands beyond our NICU in the Kay Jewelers Pavilion. We also operate the NICU's at Cleveland Clinic Akron General, Summa Akron City Hospital, St. Elizabeth Boardman Hospital, as well as special care nurseries at our Beeghly campus location, St. Joseph Warren Hospital, Aultman Hospital and Wooster Community Hospital. Total NICU patient days were 81,404 and 78,510 for 2019 and 2018, respectively. The Division of Pediatric Critical Care is responsible for overseeing and delivering care in the Pediatric Intensive Care Unit (PICU). The PICU again received the Beacon Award for Excellence from the American Association of Critical-Care Nurses (AACN). In 2016, we were first-time recipients of this three-year award at the silver level. During 2019, our PICU achieved gold level status, the highest level of recognition. Only two PICU's in Ohio have received Beacon Awards, and CHMCA is the only unit in Ohio, and one of just 13 nationwide, with gold level status. Total patient days were 5,707 and 5,967 in 2019 and 2018, respectively. Since 1978, the Regional Burn Center has provided specialized care for burn victims of all ages throughout Northeastern Ohio. The Burn Center is verified by the American Burn Association and The Committee on Trauma of the American College of Surgeons, which recognizes individual and institutional commitment to total burn care and a formal system for quality burn care delivery. Besides providing expert treatment, the center's staff is actively involved in burn research and burn care training for professional and community groups. Total patient days for the burn center were 2,492 and 2,623 for 2019 and 2018, respectively. The Division of Emergency/Trauma Services supplies the emergency care needs of children from birth to twenty-one (21) years of age. As the sole pediatric institution in the area, the Division of Emergency/Trauma Services is the designated treatment center for all emergent pediatric problems. Children from Akron and the surrounding counties in Northeast Ohio accounted for the majority of the 1,212,882 visits during 2019. CHMCA is verified as a Level II pediatric trauma center by the American College of Surgeons. The pediatric trauma verification is based on its ability to provide quality trauma care to trauma patients and their families from the time of injury, through the acute care phase, into the rehabilitation phase. CHMCA's inpatient rehabilitation program has received three-year accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF). This is the highest level of accreditation that can be awarded to an organization by CARF and demonstrates CHMCA's conformance to CARF standards and successful completion of a rigorous peer-review process. CHMCA's inpatient rehabilitation program treats children, teens and young adults who have experienced traumatic and life-changing illness or injury. Thanks to the generosity of our donors, The Lois and John Orr Family Behavioral Health Center opened in October 2019 on the Akron campus. This new resource is making it easier for children, teens and their families to access mental health services. CHMCA also expanded behavioral health services in the Mahoning Valley on our Beeghly campus in Boardman in December 2019. This expansion allows us to double the number of patient visits in the Youngstown area within the first year. The building features nine individual therapy rooms, an assessment room and group therapy spaces. In addition to individual mental health therapy and psychiatry services, the new site will house a Partial Hospitalization Program for teens in need of more intense outpatient treatment. Another hospital based service is our Hematology and Oncology Center. CHMCA's cancer program has again received three-year accreditation with commendation from the Commission on Cancer, a quality program of the American College of Surgeons. As an accredited facility, the Showers Family Center maintains a cancer registry and contributes data to the National Cancer Database, a joint program of the Commission on Cancer and the American Cancer Society. This nationwide oncology outcomes database is the largest clinical disease registry in the world. Data on all types of cancer are tracked and analyzed to explore trends in cancer care.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$120,339,970ExpenseAmt
Revenue$223,904,116RevenueAmt
DescProgram Achievement #3 - Professional and Support Services Some of the key departments of these services include: Pharmacy, Centralized Core Lab, Microbiology/Virology labs, Cytogenetics, Radiology Diagnostic Imaging, Radiology MRI, Radiology CT, Radiology Ultrasound, and Radiology Nuclear Medicine. The Centralized Core Lab (CCL) includes the Chemistry, Hematology, Coagulation, Urinalysis, Special Chemistry and Blood Bank laboratories. In addition to routine chemistries, testing is performed for therapeutic and immunosuppressive drug monitoring. Instruments are selected to use the smallest amounts of blood for testing in order to minimize blood loss for our pediatric patients. In addition to the CCL, laboratory services are provided by the Infectious Disease Laboratories (Microbiology, Virology, Immunology, and Molecular Diagnostics). The Radiology Division at CHMCA performs a full spectrum of diagnostic imaging procedures inclusive of Diagnostic/Fluoroscopic xrays, CT, Nuclear Medicine, Ultrasound, and MRI.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$19,881,012TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$852,512TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$9,800,544TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$742,286,758TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountYes (true)EscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document394IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee7453EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryISForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members33GoverningBodyVotingMembersCnt
Independent Voting Member26IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonALICIA LAMANCUSA VP FINANCEPersonNm
Phone3305438171PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE PERKINS SQUAREAddressLine1Txt
CityAKRONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44308ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (49 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeInd
GRACE WAKULCHIK
PRESIDENT & CEO50.03.0Yes (X)Yes (X)$1,218,636$0$497,337
WILLIAM CONSIDINE
CEO EMERITUS40.00.0$1,589,082$0$114,906Yes (X)
ANTON MILO
DIVISION OF ENT DIRECTOR40.00.0$1,347,706$0$45,899Yes (X)
SHAWN LYDEN
CHIEF STRATEGY OFFICER41.02.0$963,927$0$140,788Yes (X)
JOHN CROW MD
CHAIRMAN, PEDIATRIC SURGERY48.02.0Yes (X)$1,071,008$0$30,422
ROBERT PARRY
PEDIATRIC GENL SURG, DIRECTOR40.00.0$980,099$0$45,561Yes (X)
ROBERT STEWART
CHIEF CARDIOTHORACIC SURGERY40.00.0$974,793$0$31,962Yes (X)
TSULEE CHEN
PEDIATRIC NEUROSURGEON, DIR41.00.0$887,357$0$25,227Yes (X)
LISA AURILIO
CHIEF OPERATING OFFICER40.03.0$678,185$0$225,345Yes (X)
ROBERT MCGREGOR MD
CHIEF MEDICAL OFFICER52.01.0Yes (X)$670,594$0$114,495
NORMAN CHRISTOPHER MD
CHAIRMAN, DEPT OF PEDS46.00.0Yes (X)$503,957$0$214,112
MICHAEL TRAINER
CFO/TREASURER (RET 7/26/2019)40.04.0Yes (X)Yes (X)$607,301$0$11,633
HARUN RASHID
CHIEF INFORMATION OFFICER40.00.0$452,594$0$92,599Yes (X)
MICHAEL FORBES MD
PRESIDENT, MEDICAL STAFF48.00.0Yes (X)$394,363$0$139,747
MICHAEL BIGHAM
CHIEF QUALITY OFFICER42.00.0$469,913$0$41,069Yes (X)
ANTHEA DANIELS
CHIEF LEGAL OFFICER44.02.0$457,290$0$19,505Yes (X)
RHONDA LARIMORE
CHIEF OF HUMAN RESOURCES40.00.0$381,784$0$82,504Yes (X)
CHRISTINE YOUNG
CHIEF OF HOSP BASED SVC/CNO41.00.0$381,801$0$72,599Yes (X)
SHARON HRINA
VP MAHONING VALLEY42.00.0$342,647$0$101,147Yes (X)
SPENCER KOWAL
CFO/TREAS (BEG 7/15/2019)42.04.0Yes (X)Yes (X)$400,335$0$10,371
CRAIG MCGHEE
CHIEF OF NON HOSP BASED SVCS40.02.0$332,497$0$72,245Yes (X)
SHANA EARLE
VP, PROF AND SUPPORT SERVICES40.00.0$169,786$0$35,097Yes (X)
JOHN ORR
CHAIRMAN22.01.0Yes (X)Yes (X)$0$0$0
STEPHEN MYERS
VICE CHAIRMAN FOR FINANCE8.00.0Yes (X)Yes (X)$0$0$0
KRISTEN KING
SECRETARY15.00.0Yes (X)Yes (X)$0$0$0
VIRGINIA ADDICOTT
DIRECTOR2.00.0Yes (X)$0$0$0
DONNA AXSON
DIRECTOR14.00.0Yes (X)$0$0$0
ROBERT BERK
DIRECTOR7.02.0Yes (X)$0$0$0
TIMOTHY BURKE
DIRECTOR1.00.0Yes (X)$0$0$0
PAUL CATANIA
DIRECTOR2.00.0Yes (X)$0$0$0
PATRICK COVEY
DIRECTOR1.00.0Yes (X)$0$0$0
VIRGINIA DROSOS
DIRECTOR1.00.0Yes (X)$0$0$0
PAUL DUTTON
DIRECTOR3.00.0Yes (X)$0$0$0
TAMMY GERSMAN
DIRECTOR18.01.0Yes (X)$0$0$0
WILLIAM HOPKINS
DIRECTOR9.00.0Yes (X)$0$0$0
DUANE ISHAM
DIRECTOR4.00.0Yes (X)$0$0$0
WILLIAM KELLEHER
DIRECTOR4.00.0Yes (X)$0$0$0
DALE KOBLENZER
DIRECTOR6.00.0Yes (X)$0$0$0
KARA LEWIS
DIRECTOR4.00.0Yes (X)$0$0$0
PHILIP MAYNARD
DIRECTOR4.01.0Yes (X)$0$0$0
GREG MCDERMOTT
DIRECTOR11.01.0Yes (X)$0$0$0
ELAINE RUSSELL REOLFI
DIRECTOR1.00.0Yes (X)$0$0$0
RICHARD ROGERS
DIRECTOR4.00.0Yes (X)$0$0$0
SARAH ROSSI
DIRECTOR14.00.0Yes (X)$0$0$0
MARGARET STALTER
DIRECTOR2.00.0Yes (X)$0$0$0
GLEN STEPHENS
DIRECTOR2.00.0Yes (X)$0$0$0
ELINORE MARSH STORMER
DIRECTOR5.01.0Yes (X)$0$0$0
ROBERT WELLS
DIRECTOR4.00.0Yes (X)$0$0$0
WILLIAM WOOLDREDGE
DIRECTOR8.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$15,275,655TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,164,570TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K861IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MARCUS THOMAS LLC
4781 RICHMOND ROADCLEVELANDOH44128BROADCAST MEDIA$7,308,718
SHIFTWISE
PO BOX 70870ST PAULMN551709705WORKFORCE SCHEDULING$3,067,819
ROI HEALTHCARE SOLUTIONS LLC
5555 GLENRIDGE CONNECTOR SUITE 200ATLANTAGA30342ERP CONSULTING SVCS$3,087,671
PEDIATRIC ADOLESCENT UROLOGY
215 W BOWERY STREET SUITE 3500AKRONOH44308PHYSICIAN SERVICES$3,766,294
NC-HUBMOB LLC
PO BOX 70870ST PAULMN55170BLDG CONSTRUCTION$3,422,824
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K57CntrctRcvdGreaterThan100KCnt
Fundraising$367,918FundraisingAmt
Related Organizations$8,178,271RelatedOrganizationsAmt
Government Grants$2,884,971GovernmentGrantsAmt
All Other Contributions$870,544AllOtherContributionsAmt
Total Contributions$12,301,704TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAL & SURGICAL SUBSPECIALTY900099$255,499,965$255,499,965
HOSPITAL BASED SERVICES900099$487,616,135$487,616,135
PROFESSIONAL & SUPPORT SERVICES621500$223,904,116$223,904,116
OTHER PROGRAM SERVICES900099$1,662,384$1,662,384
OTHER DEPARTMENT REVENUE900099$8,138,160$8,138,160
FieldValueIRS element (for citing)
Total Program Service Revenue$976,820,760TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,975,011TotalRevenueColumnAmt
Exclusion$15,975,011ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$877,625,809SecuritiesAmt
Other$42,326OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$876,065,944SecuritiesAmt
Other$127,077OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,559,865SecuritiesAmt
Other-$84,751OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,475,115TotalRevenueColumnAmt
Exclusion$1,475,115ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$601,745FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$367,918ContriRptFundraisingEventAmt
Fundraising Direct Expenses$441,675FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$160,070TotalRevenueColumnAmt
Exclusion$160,070ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA722514$4,622,266$4,622,266
PARKING DECK812930$758,113$758,113
OUTPATIENT PHARMACY446110$481,772$481,772

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,922,687TotalRevenueColumnAmt
Unrelated Business Revenue$424,501UnrelatedBusinessRevenueAmt
Exclusion$1,498,186ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,784,838OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,014,517,498TotalRevenueColumnAmt
Related Or Exempt Func Income$976,820,760RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$906,273UnrelatedBusinessRevenueAmt
Exclusion$24,488,761ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$852,512TotalAmt
Program Services$852,512ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$11,397,635TotalAmt
Program Services$2,353,610ProgramServicesAmt
Management And General$9,044,025ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$166,491TotalAmt
Management And General$166,491ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$447,123,980TotalAmt
Program Services$384,227,875ProgramServicesAmt
Management And General$62,896,105ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$26,544,313TotalAmt
Program Services$22,388,971ProgramServicesAmt
Management And General$4,155,342ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$67,774,626TotalAmt
Program Services$52,583,311ProgramServicesAmt
Management And General$15,191,315ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$28,795,225TotalAmt
Program Services$24,223,469ProgramServicesAmt
Management And General$4,571,756ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$719,859TotalAmt
Management And General$719,859ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$485,915TotalAmt
Management And General$485,915ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$60,150TotalAmt
Management And General$60,150ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$727,068TotalAmt
Management And General$727,068ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$53,572,353TotalAmt
Program Services$48,532,177ProgramServicesAmt
Management And General$5,040,176ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,515,952TotalAmt
Program Services$181,387ProgramServicesAmt
Management And General$10,334,565ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,470,625TotalAmt
Program Services$9,722,623ProgramServicesAmt
Management And General$2,748,002ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,633,323TotalAmt
Management And General$9,633,323ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,114,085TotalAmt
Program Services$6,410,794ProgramServicesAmt
Management And General$1,703,291ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,264,555TotalAmt
Program Services$3,323,885ProgramServicesAmt
Management And General$940,670ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,806,819TotalAmt
Program Services$8,806,819ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$61,287,228TotalAmt
Program Services$39,351,866ProgramServicesAmt
Management And General$21,935,362ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,221,115TotalAmt
Program Services$4,385,191ProgramServicesAmt
Management And General$3,835,924ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL/SURGICAL SUPPLIES$88,436,381$87,371,200$1,065,181
EQUIPMENT RENTAL/MAINTENANCE$25,860,777$23,217,436$2,643,341
PROVISION FOR FRANCHISE FEE$16,378,488$16,378,488
PROVISION FOR HCAP$4,025,751$4,025,751

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$11,241,328TotalAmt
Program Services$3,949,393ProgramServicesAmt
Management And General$7,291,935ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$907,476,554TotalAmt
Program Services$742,286,758ProgramServicesAmt
Management And General$165,189,796ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$37,875BOYAmt
EOY$38,528EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$53,625,419BOYAmt
EOY$52,330,192EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$116,934,233BOYAmt
EOY$145,743,713EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$9,330,230BOYAmt
EOY$6,920,351EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,739,550BOYAmt
EOY$9,444,654EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,269,132BOYAmt
EOY$9,142,597EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,215,366,662LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$629,169,919LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$493,281,530BOYAmt
EOY$586,196,743EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$593,251,516BOYAmt
EOY$654,963,862EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$4,911,891BOYAmt
EOY$2,621,452EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$133,571,001BOYAmt
EOY$205,114,601EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,422,952,377BOYAmt
EOY$1,672,516,693EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$113,005,202BOYAmt
EOY$130,356,984EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$202,337,504BOYAmt
EOY$197,237,688EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$72,703,988EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$184,884,307BOYAmt
EOY$208,470,524EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$500,227,013BOYAmt
EOY$608,769,184EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$842,128,087BOYAmt
EOY$967,982,846EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$80,597,277BOYAmt
EOY$95,764,663EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$922,725,364BOYAmt
EOY$1,063,747,509EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,422,952,377BOYAmt
EOY$1,672,516,693EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$107,040,944ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$38,002,223NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$4,021,022OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$96,194GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$60,150OtherActivitiesAmt
Total Lobbying Expenditures$156,344TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1FormAndLineReferenceDesc
ExplanationCHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") PAID A TOTAL OF $449,444 TO OTHER ORGANIZATIONS THAT HAVE LOBBYING ACTIVITIES. OF THAT AMOUNT, $293,100 PERTAINED TO DUES, $96,194 RELATED TO VARIOUS LOBBYING EXPENSES AND $60,150 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 TO DISCUSS STATE OPERATING BUDGET PRIORITIES AND CHMCA CAPITAL BUDGET REQUESTS * IDENTIFIED CONCERN AND SUPPORT REGARDING VARIOUS LEGISLATIVE AND PROGRAMMATIC INITIATIVES AND SHARED THOSE CONCERNS WITH CONGRESSIONAL DELEGATION * 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 2019 LOBBYING EXPENSES: $ 43,977 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS 10,954 AMERICAN HOSPITAL ASSOCIATION 40,485 OHIO CHILDREN'S HOSPITAL ASSOCIATION 778 OHIO HOSPITAL ASSOCIATION $ 96,194 SUBTOTAL 60,150 LOBBYIST - CAPITAL CONSULTING GROUP $ 156,344 TOTAL CHILDREN'S HOSPITALS ASSOCIATION (CHA) AND AMERICAN HOSPITAL ASSOCIATION ARE NATIONAL ORGANIZATIONS THAT CHMCA HOLDS MEMBERSHIPS 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. AS AN EXAMPLE, CHA AND AMERICAN HOSPITAL ASSOCIATION HAVE BEEN A CONSTANT AND PERSUASIVE VOICE IN CHAMPIONING THE NEEDS OF CHILDREN AND THE HOSPITALS THAT CARE FOR THEM. OHIO CHILDREN'S HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION ARE STATE OF OHIO ORGANIZATIONS THAT EXPRESS THE VIEWS OF OHIO CHILDREN'S HOSPITALS FOR MEDICAID AND CHILD HEALTHCARE ISSUES. LOCAL AGENCIES IN SUMMIT COUNTY, OHIO PROVIDE SERVICES TO RESIDENTS. THE IMPACT OF HEALTHCARE LEGISLATION HAS IMPLICATIONS ON OUR BUSINESS AND SERVICES WE PROVIDE.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$84,300,290BeginningYearBalanceAmt
Contributions$8,366,805ContributionsAmt
Investment Earnings Or Losses-$2,702,700InvestmentEarningsOrLossesAmt
Other Expenditures$20,432,316OtherExpendituresAmt
End Year Balance$69,532,079EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.03940BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.20310PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.75750TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$742,063,738OtherCostOrOtherBasisAmt
Depreciation$319,161,669DepreciationAmt
Book Value$422,902,069BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,801,579OtherCostOrOtherBasisAmt
Depreciation$11,229,956DepreciationAmt
Book Value$26,571,623BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$392,139,656OtherCostOrOtherBasisAmt
Depreciation$294,995,784DepreciationAmt
Book Value$97,143,872BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,305,198OtherCostOrOtherBasisAmt
Depreciation$3,782,510DepreciationAmt
Book Value$22,522,688BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$586,196,743TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
BENEFICIAL INT IN FOUNDATION$162,228,080
UNAMORT HEALTHCARE SERVICE$42,097,517
OTHER ASSETS$789,004
FieldValueIRS element (for citing)
Total Book Value Other Assets$205,114,601TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DEFERRED BENEFIT PENSION LIAB$132,323,901
POST RETIREMENT PLANS$28,843,734
PROFESSIONAL LIABILITY RESERVE$2,282,000
OTHER LIABILITIES$45,020,889
FieldValueIRS element (for citing)
Total Liability$208,470,524TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4 - Intended Use of Endowment FundsTemporarily 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 THEIR 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

FieldValueIRS element (for citing)
RegionMiddle East and North AfricaRegionTxt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
Region Total Expenditures$200,000RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Spent$200,000SubtotalSpentAmt
Total Spent$200,000TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1TREE FESTIVALEvent1Nm
Gross Receipts Event1$519,692GrossReceiptsEvent1Amt
Gross Revenue Event1$519,692GrossRevenueEvent1Amt
Other Direct Expenses Event1$202,560OtherDirectExpensesEvent1Amt
Event2CHARITY BALLEvent2Nm
Gross Receipts Event2$192,340GrossReceiptsEvent2Amt
Charitable Contri Event2$144,255CharitableContriEvent2Amt
Gross Revenue Event2$48,085GrossRevenueEvent2Amt
Other Direct Expenses Event2$172,151OtherDirectExpensesEvent2Amt
Other Events Total5OtherEventsTotalCnt
Gross Receipts Other Events$257,631GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$223,663CharitableContriOtherEventsAmt
Gross Revenue Other Events$33,968GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$66,964OthDirectExpnssOtherEventsAmt
Gross Receipts Total$969,663GrossReceiptsTotalAmt
Charitable Contributions Tot$367,918CharitableContributionsTotAmt
Gross Revenue Total Events$601,745GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$441,675OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$441,675DirectExpenseSummaryEventsAmt
Net Income Summary$160,070NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,006,186TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,006,186NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$453,101,601TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$368,024,132DirectOffsettingRevenueAmt
Net Community Benefit Expns$85,077,469NetCommunityBenefitExpnsAmt
Total Expense0.09380TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,354,625TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,354,625NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$458,462,412TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$368,024,132DirectOffsettingRevenueAmt
Net Community Benefit Expns$90,438,280NetCommunityBenefitExpnsAmt
Total Expense0.09970TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,698,097TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,550DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,690,547NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,739,008TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,751,103DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,987,905NetCommunityBenefitExpnsAmt
Total Expense0.00990TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,277,722TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,277,722NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,712,076TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$476,604DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,235,472NetCommunityBenefitExpnsAmt
Total Expense0.00800TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$366,840TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$366,840NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,793,743TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,235,257DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,558,486NetCommunityBenefitExpnsAmt
Total Expense0.02600TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$498,256,155TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$384,259,389DirectOffsettingRevenueAmt
Net Community Benefit Expns$113,996,766NetCommunityBenefitExpnsAmt
Total Expense0.12570TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,190TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,190NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$81,510TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$81,510NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,198TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,198NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$106,739TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$106,739NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$504,023TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$504,023NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$88,560TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$88,560NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$859,220TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$859,220NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$11,540,148BadDebtExpenseAmt
Reimbursed By Medicare$5,509,014ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$7,247,805CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,738,791MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
Children's Hospital Med Ctr of Akron
1One Perkins SquareAkronOH44308www.akronchildrens.orgNo Ohio License #Yes (X)Yes (X)Yes (X)Yes (X)A
Children's - Beeghly Campus
26505 Market StreetYoungstownOH44512www.akronchildrens.orgNo Ohio License #Yes (X)Yes (X)Yes (X)Yes (X)B

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctMedical Indigency CriteriaMedicalIndigencyCriteriaIndOther CriteriaOtherCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndOther MethodOtherMethodIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndFAP TranslatedFAPTranslatedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndOther Actions TakenOtherActionsTakenIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
Facility Group A - Akron
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (true)falseYes (true)Yes (true)Yes (X)see Part V Section C for URLYes (X)Yes (true)20Yes (true)See Part V Section C for URLfalseYes (true)Yes (X)200.300.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 URLYes (X)Part V, Sect C for full URLYes (X)Part V, Sect C for URLYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
Facility Group B - Mahoning Valley
2falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (true)falseYes (true)Yes (true)Yes (X)see Part V, Section C for Full URLYes (X)Yes (true)20Yes (true)see Part V, Section C for full URLfalseYes (true)Yes (X)200.300.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 URLYes (X)see Part V Sect C for full URLYes (X)see Part V Sect C for URLYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Section B Group APart 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: Yes The Center for Community Solutions 1501 Euclid Ave #310 Cleveland, OH 44115 Line 7(a) and 10 - Yes: https://www.akronchildrens.org/pages/Community-Mission.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 will be 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. 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 dise
Part V. Section B Group BPart V, Section 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) The Center for Community Solutions 1501 Euclid Ave #310 Cleveland, OH 44115 Line 7(a) and 10 - Yes: https://www.akronchildrens.org/pages/Community-Mission.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-Services.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 un
FieldValueIRS element (for citing)
Facility60FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (60 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CHMCA at St Elizabeth - #1
8401 Market StreetBoardmanOH445126725NICU Nursery
CHMCA at Summa - #2
525 E Market StAkronOH443041619NICU Nursery
Aultman Hospital - #3
2600 6th St SWCantonOH447101702NICU and Pediatric Unit
Warren Health Center - #4
5000 E Market StWarrenOH444842259Pediatric Outpatient Services
CHMCA at CCAG - #5
1 Akron General AveAkronOH443072432NICU Nursery
North Canton Health Center I - #6
6076 WHIPPLE AVENORTH CANTONOH44720Pediatric Outpatient Services
Medina Health Center - #7
3443 Medina RdMedinaOH442565965Pediatric Outpaitent Services
Green Health Center - #8
1622 East Turkeyfoot Lake Rd SuitAkronOH443125277Pediatric Outpatient Services
Mansfield Health Center - #9
1029 South Trimble RoadMansfieldOH44906Pediatric Outpatient Services
Fairlawn Health Center - #10
701 White Pond Dr Suite 100AkronOH443201193Pediatric Outpatient Services
CHMCA at St Joseph's - #11
667 Eastland Ave SEWarrenOH444844503Pediatric Inpatient Services
New Philadelphia Health Center - #12
1045 W High AveNew PhiladelphiaOH446632071Pediatric Outpatient Services
Mansfield Health Center - #13
770 Balgreen Dr Suite 101MansfieldOH449064106Pediatric Outpatient Services
Hudson Health Center - #14
1365 Corporate Dr Suite AHudsonOH442364432Pediatric Outpatient Services
Hudson Urgent Care & Specialty - #15
5655 Hudson DriveHudsonOH442364451Urgent Care & Pediatric OP
Alliance Health Center - #16
1826 S Arch AveAllianceOH446014332Pediatric Outpatient Services
Perry Health Center - #17
125 Whipple Ave SWCantonOH447101374Pediatric Outpatient Services
Wooster Health Center - #18
128 East Milltown Rd 209WoosterOH446911276Pediatric Outpatient Services
Twinsburg Health Center - #19
8054 Darrow Rd Suite 3TwinsburgOH440872387Pediatric Outpatient Services
CHMCA at Wooster Hospital - #20
1761 Beall AveWoosterOH446912342NICU Nursery
Wadsworth Health Center - #21
323 High St Suite AWadsworthOH442811869Pediatric Outpatient Services
Akron East Health Center - #22
891 E Exchange StAkronOH443061127Pediatric Outpatient Services
Ashland Health Center - #23
2212 Mifflin Ave Suite 235AshlandOH448058847Pediatric Outpatient Services
Barberton Health Center - #24
566 Robinson AvenueBarbertonOH442039002Pediatric Outpatient Services
Ellet Health Center - #25
1463 Canton Rd Suite AAkronOH443124022Pediatric Outpatient Services
North Canton Specialty - #26
6100 Whipple Ave NWNorth CantonOH447207618Pediatric Outpatient Services
North Canton Health Center II - 27
6046 Whipple Ave NW Bldg BNorth CantonOH447207616Outpatient Pediatric Services
Boston Heights Health Center - #28
328 EAST HINES HILL ROADHUDSONOH44236Pediatric Outpatient Services
Kent Health Center - #29
1951 State Route 59KentOH442408128Pediatric Outpatient Services
Massillon Health Center - #30
1149 Lincoln Way EMassillonOH44646Pediatric Outpatient Services
Wadsworth PSA - #31
1225 High StWadsworthOH44281Pediatric Outpatient Services
Tallmadge Health Center - #32
143 Northwest AveTallmadgeOH442781806Pediatric Outpatient Services
Montrose Urgent Care - #33
4125 Medina RdAkronOH443332483Urgent Care
North Canton Rehab - #34
4200 Munson St NW Suite CNorth CantonOH447182663Outpatient Physical Rehab
Austintown Health Center - #35
5480 Norquest BlvdAustintownOH445151820Pediatric Outpatient Services
Lisbon Health Center - #36
400 N Market StLisbonOH444321146Pediatric Outpatient Services
Ravenna Health Center - #37
6847 N Chestnut Street Suite 200RavennaOH442663929Pediatric Outpatient Services
Brecksville Health Center - #38
7001 S Edgerton Rd Suite 500BrecksvilleOH441414206Pediatric Outpatient Services
North Canton Rehab II - #39
6200 Whipple Ave NWNorth CantonOH447207618Pediatric Physical Rehab
Warren Downtown Health Center - #40
661 Mahoning Ave NWWarrenOH444834607Pediatric Outpatient Services
Streetsboro Health Center - #41
9150 Market Square Suite 203StreetsboroOH442415224Pediatric Outpatient Services
Life Center Plus - #42
5133 Darrow RdHudsonOH442364003Pediatric Outpatient Services
Wooster Specialty Care - #43
546 Winter St Suite 110WoosterOH446912339Pediatric Outpatient Services
Liberty Health Center - #44
4308 Belmont AveYoungstownOH44505Pediatric Outpatient Services
Mercy Medical Center - #45
1330 Mercy Dr NW Suite 506CantonOH447082625Pediatric Outpatient Services
Beachwood Heart Center - #46
23250 Chagrin Blvd Suite325BeachwoodOH441225417Pediatric Outpatient Services
Ontario Health Center - #47
2003 W 4th StOntarioOH449061787Pediatric Outpatient Services
Fisher Titus Medical Center - #48
272 Benedict AveNorwalkOH448572374Pediatric Outpatient Services
Norwalk Medical Park II - #49
282 Benedict AveNorwalkOH448572712Pediatric Outpatient Services
Medina-MFM - #50
3985 Medina Rd Suite 200MedinaOH442565354Maternal Fetal Medicine OP
TriPoint Medical Center - #51
7580 Auburn Rd Suite 214PainesvilleOH440779176Pediatric Outpatient Services
UH Portage Medical Center - #52
6693 N Chestnut StRavennaOH44266Pediatric Outpatient Services
Child Advocacy Center - #53
213 Market Ave N Suite 200CantonOH447021440Pediatric Outpatient Services
St Elizabeth Youngstown Hospital - #54
1044 Belmont AveYoungstownOH44501NICU Nursery
Hattie Larlham Foundation - #55
9772 Diagonal RdMantuaOH442559128Pediatric Outpatient Services
Marietta Memorial Health Center - #56
401 Matthew StreetMariettaOH45750Pediatric Outpatient Services
Wadsworth Deoras PSA - #57
180 High St Suite DWadsworthOH44281Pediatric Outpatient Services
Sharon Heart Center - #58
740 E State StSharonOH16146Pediatric Outpatient Services
Millersburg Hemophilia Clinic - #59
1261 Wooster Rd Suite 220MillersburgOH446541570Pediatric Outpatient Services
Boardman Medical Pavilion - #60
8423 Market St Bldg C Suite300BoardmanOH445126778Pediatric Outpatient Services

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7 (a) Charity Care @ CostWe 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 TestedWe believe that reporting program charges, costs and payments directly from CHMCA's Ohio Medicaid cost report along with similar calculations for services rendered by hospital employed physicians and other professional providers and services rendered to out-of-state Medicaid enrollees is the most accurate methodology to calculate unreimbursed Medicaid and other means-tested government program costs. Medicaid costs reported as Total Community Benefit Expense have been reduced by estimated health professional costs included in the Ohio Medicaid cost report and Medicaid revenues reported as direct offsetting revenue has been reduced by estimated Medicaid revenues related to health professional education. To avoid double counting of costs reported elsewhere in this schedule, gross costs for other reportable items have been reduced by the total government payor mix percentage of (54.5%) as reported on our internal payor mix report.
Part I, Line 7g Subsidized Health ServicesOur 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.
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 ActivitiesStaying 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 ExplanationWe 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 10 & 11 to the footnotes to CHMCA's Audited Financial Statements that describe Charity Care and Implicit Price Concessions (Bad Debt). CHMCA respectively submits that since we accept all patients, regardless of their ability to pay, that bad debts at cost, as reported herein, represent an unreimbursed cost of providing care to the patients we serve.
Part III, Line 8 - Medicare ExplanationWe believe that reporting program charges, costs, and payments directly from CHMCA's Medicare cost report along with similar calculations for services rendered to patients enrolled in Medicare Advantage Plans and patients enrolled in TRICARE is the most accurate methodology to calculate unreimbursed Medicare and other means-tested government program costs. To avoid double counting of costs reported elsewhere in the Schedule, gross costs for other reportable items have been reduced by the total government payor mix percentage (54.5%) 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 $317,035, unreimbursed outpatient costs incurred in treating patients qualifying for Medicare End Stage Renal disease(ESRD), composite reimbursement was $279,026, unreimbursed costs of providing care to Medicare Advantage Plan enrollees was $1,444,759. 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 ExplanationCHMCA'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 & BLINE 2 - NEEDS ASSESSMENT - Describe how CHMCA assesses the health care needs of the communities it serves. Akron (#1); Beeghly (#2). In addition to our most recent community health needs assessment conducted in 2019, CHMCA conducted a community health needs assessment in 2016 to assess the primary service areas surrounding our Akron hospital campus in collaboration with Cleveland Clinic - Akron General and Summa Health System. The CHNA process concluded in 2016 and the reports were made available to the community through our organization's website. 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 & BCHMCA 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 ANote: The most recent demographic information was taken during 2017. Ashland County There are approximately 53,484 people living in Ashland County, which is a 0.6% increase since 2010. 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 2010. 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 2010. 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 2010. 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 2010. 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 2010, 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 2010. 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 & BCHMCA 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. Annually, the Akron campus saw the following patient encounters in 2019: 9,543 inpatient admissions, 19,002 surgeries, 104,630 emergency room visits, and 345,461 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. CHMCA's Center for Gender Affirming Medicine, opened as of 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 External Affairs department offers a variety of community health education and outreach programs to children and families throughout the service area. These include injury prevention programs on child passenger safety, and Reach Out and Read, a program that promotes early childhood literacy by distributing books to CHMCA primary care offices to provide children during well visits. We also coordinate outreach events and outreach kit distributions in our communities based on identified needs and alignment with strategic priorities. Our Population Health Initiatives department provides case management and care coordination services throughout the hospital's service area, working with patients on a "high risk" registry to improve health outcomes and enhance quality of life. These patients are generally income limited and medically complex, and often have a high no-show rate to their scheduled appointments and/or numerous hospitalizations and emergency department visits in a 12 month period. CHMCA's School Health Services supports the academic success of children through health promotion, education and child advocacy. School Health serves as a liaison among school staff, family, community and healthcare providers. CHMCA's pediatric registered nurses work closely with school staff to ensure a comprehensive school health program is in place. With immediate access to pediatric healthcare professionals at CHMCA, schools are assured their program will effectively address the needs of their staff and students. Our School Health Services lets schools focus on educating students, while we manage their district's medical needs. In addition, as part of a pilot program in 2019, CHMCA implemented a school-based health center model in the Kenmore-Garfield Cluster of Akron Public Schools. Services include well-child exams (in person) and evaluation for illness (by telehealth technology) with a nurse practitioner; as well as various screenings, wellness advice and sports physicals. Parents and members of CHMCA's Family-Centered Care committee established the Parent Advisory Council in 1995. It provides a way for parents and guardians to offer input on issues that impact the care of children. The council includes parents whose children have received care at CHMCA. Advisors work with hospital liaisons to represent the voice of families as we work together to enhance the delivery of family-centered care.
Part VI, Line 6 - Affiliated Health Care System - Groups A & BN/A
Part VI, Line 7 - State Filing of community benefit report - Groups A & BOhio
Part VI Additional InformationIn 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 BCHMCA 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 197,974 people living in Trumbull County, which is a decrease of 5.9% since 2010. 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% having a high school diploma or higher and 18.5% 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 228,683 people living in Mahoning County, which is a decrease of 4.2% since 2010. 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 per capita income in Mahoning County is lower than the State of Ohio and the percentage of residents living in poverty is higher than the State average. There are three federally designated MUAs within Mahoning County, both rural and non-rural. Columbiana County There are approximately 101,883 people living in Columbiana County, which is a decrease of 5.5% since 2010. 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 (14.8% 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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AKRON CHILDREN'S HOSPITAL FOUNDATION
ONE PERKINS SQUAREAKRONOH44308237114013501(c)(3)$797,512GENERAL SUPPORT
ROTARY CAMP FOR CHILDREN WITH SPECIAL NEEDS INC
4460 REX LANE DRIVEAKRONOH44319346557819501(c)(3)$10,000SUPPORT KIDS CAMP WITH SPECIAL NEEDS
UNITED WAY
37 N HIGH STREETAKRONOH44308341169257501(C)(3)$25,000GENERAL SUPPORT
AKRON AREA YMCA
50 S MAIN ST STE LL100AKRONOH44308340714727501(C)(3)$15,000SUPPORT YMCA SAFETY WATER PROGRAM FOR KIDS
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2FormAndLineReferenceDesc
ExplanationCHMCA 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

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GRACE WAKULCHIK
PRESIDENT & CEO$888,585$0$264,167$0$65,884$0$488,068$0$9,269$0$1,715,973$0$0$0
WILLIAM CONSIDINE
CEO EMERITUS$759,989$0$630,000$0$199,093$0$96,448$0$18,458$0$1,703,988$0$0$0
MICHAEL TRAINER
CFO/TREASURER (RET 7/26/2019)$301,848$0$175,000$0$130,453$0$5,600$0$6,033$0$618,934$0$0$0
JOHN CROW MD
CHAIRMAN, PEDIATRIC SURGERY$1,067,396$0$0$0$3,612$0$21,042$0$9,380$0$1,101,430$0$0$0
NORMAN CHRISTOPHER MD
CHAIRMAN, DEPT OF PEDS$494,390$0$0$0$9,567$0$188,611$0$25,501$0$718,069$0$0$0
ROBERT MCGREGOR MD
CHIEF MEDICAL OFFICER$498,459$0$150,000$0$22,135$0$96,910$0$17,585$0$785,089$0$0$0
LISA AURILIO
CHIEF OPERATING OFFICER$494,271$0$140,000$0$43,914$0$215,492$0$9,853$0$903,530$0$0$0
HARUN RASHID
CHIEF INFORMATION OFFICER$329,851$0$108,100$0$14,643$0$68,791$0$23,808$0$545,193$0$0$0
RHONDA LARIMORE
CHIEF OF HUMAN RESOURCES$310,846$0$70,000$0$938$0$59,500$0$23,004$0$464,288$0$0$0
CHRISTINE YOUNG
CHIEF OF HOSP BASED SVC/CNO$291,172$0$90,000$0$629$0$58,716$0$13,883$0$454,400$0$0$0
SHARON HRINA
VP MAHONING VALLEY$278,704$0$54,867$0$9,076$0$92,000$0$9,147$0$443,794$0$0$0
CRAIG MCGHEE
CHIEF OF NON HOSP BASED SVCS$277,017$0$53,788$0$1,692$0$57,806$0$14,439$0$404,742$0$0$0
SHANA EARLE
VP, PROF AND SUPPORT SERVICES$169,463$0$0$0$323$0$10,711$0$24,386$0$204,883$0$0$0
ANTON MILO
DIVISION OF ENT DIRECTOR$1,340,224$0$0$0$7,482$0$21,042$0$24,857$0$1,393,605$0$0$0
ROBERT PARRY
PEDIATRIC GENL SURG, DIRECTOR$920,307$0$48,308$0$11,484$0$21,042$0$24,519$0$1,025,660$0$0$0
ROBERT STEWART
CHIEF CARDIOTHORACIC SURGERY$972,988$0$0$0$1,805$0$16,900$0$15,062$0$1,006,755$0$0$0
SHAWN LYDEN
CHIEF STRATEGY OFFICER$628,943$0$185,000$0$149,984$0$116,757$0$24,031$0$1,104,715$0$0$0
TSULEE CHEN
PEDIATRIC NEUROSURGEON, DIR$856,517$0$30,000$0$840$0$15,096$0$10,131$0$912,584$0$0$0
SPENCER KOWAL
CFO/TREAS (BEG 7/15/2019)$211,963$0$150,000$0$38,372$0$0$0$10,371$0$410,706$0$0$0
MICHAEL FORBES MD
PRESIDENT, MEDICAL STAFF$374,120$0$15,000$0$5,243$0$116,050$0$23,697$0$534,110$0$0$0
ANTHEA DANIELS
CHIEF LEGAL OFFICER$382,323$0$73,259$0$1,708$0$17,723$0$1,782$0$476,795$0$0$0
MICHAEL BIGHAM
CHIEF QUALITY OFFICER$368,703$0$100,000$0$1,210$0$17,613$0$23,456$0$510,982$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1a - Fringe or Expense ExplanationThe following individuals had a 2019 country club membership that was used by them for business purposes: Lisa Aurilio William Considine Shawn Lyden Robert McGregor M.D. Grace Wakulchik William Considine also received grossed up payments for his automobile, life and other insurance payments made by CHMCA.
Part I, Line 4 - Severance, Nonqualified, and Equity Based PaymentsWilliam 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. No distributions were made in 2019. 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 2019. Lisa Aurilio Rhonda Larimore Craig McGhee Robert McGregor M.D. Christine Young Grace Wakulchik Shawn Lyden Harun Rashid Michael Bigham M.D. Spencer Kowal
Part I, Line 7 - Non Fixed Payments ProvidedCHMCA 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT
A341448680009730MY52012-05-15$102,559,004Refund prior issue to construct nefalsefalsefalse
AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT
B341448680009730NB42013-05-05$101,377,818Construction of Critical Care Towefalsefalsefalse
AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT
C3414486800000000002013-11-14$27,405,000Refund Prior Issuefalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate 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$02013Yes (true)falseYes (true)Yes (true)
B$0$0$101,377,818$0$10,229,217$0$1,148,601$0$0$90,000,000$0$02015falsefalseYes (true)Yes (true)
C$0$0$27,405,000$0$280,035$0$0$0$0$0$27,124,965$02013Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)false0falsefalsefalseYes (true)
BfalsefalseYes (true)Yes (true)false0falsefalsefalseYes (true)
CfalsefalseYes (true)Yes (true)false0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
BfalsefalsefalseYes (true)falsefalsefalse0false
0
Cfalsefalsefalsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART 1(f)AFROM 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 DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
CATHRYN O'MALLEY
FAMILY MEMBER OF WILLIAM CONSIDINE, CHIEF EXECUTIVE OFFICER EMERITUS$118,573COMPENSATIONfalse
LAURIE SCHUELER
FAMILY MEMBER OF DUANE ISHAM, BOARD OF DIRECTOR$47,918COMPENSATIONfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d - All Other AccomplishmentsTHE REBECCA D. CONSIDINE RESEARCH INSTITUTE (RDCRI) WAS ESTABLISHED IN 2009 TO EMBODY THE SPIRIT OF DISCOVERY AND INNOVATION WITHIN CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON (CHMCA). THE MISSION OF THE RDCRI IS TO UNLOCK THE POWER OF RESEARCH TO ADVANCE KNOWLEDGE AND IMPROVE LIVES. THE VISION OF THE RDCRI IS TO DEVELOP AN OUTSTANDING RESEARCH INSTITUTE THAT TRANSFORMS PEDIATRIC CARE, IMPROVES HEALTH AND OUTCOMES, ADVANCES OUR EDUCATIONAL PROGRAMS, AND CULTIVATES AND ATTRACTS EMINENT RESEARCHERS. THE RDCRI FACILITATES INDUSTRY SPONSORED CLINICAL STUDIES AND SUPPORTS INVESTIGATORY INITIATED RESEARCH PROGRAMS ACROSS A BROAD SPECTRUM OF RESEARCH SUBJECTS AND MEDICAL DISCIPLINES. THE RDCRI ALSO OFFERS EDUCATIONAL OPPORTUNITIES FOR FACULTY, FELLOWS AND STUDENTS, AND IS WORKING TO ADVANCE COLLABORATIVE RESEARCH AND EDUCATIONAL PARTNERSHIPS THROUGHOUT THE REGION AND AROUND THE WORLD. AS A TEACHING HOSPITAL AFFILIATED WITH THE NORTHEAST OHIO MEDICAL UNIVERSITY (NEOMED), CHMCA OFFERS OUTSTANDING LEARNING AND RESEARCH OPPORTUNITIES FOR STUDENTS AND RESIDENTS. CHMCA OFFERS A SUMMER PEDIATRIC RESEARCH SCHOLARS PROGRAM FOR COLLEGE STUDENTS WHO SHOW AN INTEREST IN PURSUING HEALTHCARE CAREERS. POPULATION HEALTH IS A WAY TO DESCRIBE THE FOCUS ON DISEASE PREVENTION AND MANAGEMENT OF CHRONIC DISEASES TO PREVENT THE USE OF EMERGENCY OR INPATIENT CARE. IT FOCUSES ON THE PROMOTION OF HEALTHY HABITS, AND ON AN ENVIRONMENT THAT SUPPORTS THE HEALTH AND WELLBEING OF THE POPULATION AT LARGE. RECOGNIZING THAT INDIVIDUAL BEHAVIOR AND SOCIO-ECONOMICS HAVE THE BIGGEST IMPACT ON HEALTH, POPULATION HEALTH ZEROES IN ON THESE FACTORS AND WORKS TO CONNECT PROACTIVELY WITH COMMUNITIES--TO ENGAGE PATIENTS AND FAMILIES TO BECOME MORE ACTIVE PARTNERS IN THE PROMOTION OF THEIR OWN HEALTH. CHMCA'S POPULATION HEALTH DEPARTMENT IS GOAL-DRIVEN, EMPOWERING PATIENTS AND FAMILIES WITH THE TOOLS NEEDED TO IMPROVE THE QUALITY OF LIFE. WE STRIVE TO MEET THE NEEDS OF CHILDREN BY ENHANCING THE CARE-GIVING CAPABILITIES OF FAMILIES BY PROMOTING SELF-CARE SKILLS AND INDEPENDENCE. CHMCA'S GOAL IS TO MAINTAIN OR IMPROVE THE PHYSICAL AND PSYCHOSOCIAL WELL-BEING OF INDIVIDUALS THROUGH COST-EFFECTIVE AND TAILORED HEALTH SOLUTIONS.
Form 990, Part VI, Line 6 - Classes of Members or StockholdersThe 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 RightsAccording to the Bylaws of Children's Hospital Medical Center of Akron (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. Upon unanimous resolution of the members, a person who has rendered long and outstanding service to the Hospital may be elected to a life term as a director. The 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 (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 Directors shall elect the members of the Executive Committee of the Board.
Form 990, Part VI, Line 7b - Decisions Subject to Approval of MembersSubject 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, directly represent the Executive Committee of the Board of Directors and shall be responsible to them respectively for the proper performance of her 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 these 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 990The 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 PolicyIt 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, to the President a list of all businesses or other organizations in which he/she is an officer, member, owner, shareholder, trustee or employee for which he/she acts as an agent or might reasonably in the future enter into a relationship or transaction in which the employee could have a duality of interest. If a situation arises in which there is a duality of interest, or a question of duality of interest, and, as such, potential for a conflict of interest, it is the primary responsibility of the individual directly involved and responsibility of other personnel, to the extent that they become aware of a duality of interest, to make immediate and complete 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 OfficialCHMCA'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 OfficersAn independent salary survey was completed in 2019 and recommendations were provided and presented by the independent consultant to the Committee for approval.
Form 990, Part VI, Line 19 - Governing Documents Disclosure ExplanationCHMCA MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE GOVERNING DOCUMENTS ARE LOCATED ON THE OHIO SECRETARY OF STATE'S WEBSITE. THE FINANCIAL STATEMENTS ARE ALSO DISCLOSED ON THE EMMA (ELECTRONIC MUNICIPAL MARKET ACCESS) WEBSITE.
Form 990, Part XI, Line 9 - Reconciliation of other changes in net assets$ 31,074,909 Investment in Foundation (4,194,584) Change is postretirement obligations (25,325,903) Change in pension plan obligations 287,218 Other changes in net assets (2,092,609) Equity transfer to Children's Home Care Group (3,770,053) Transfer from Akron Children's Hospital Foundation $ (4,021,022) Total

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
AKRON CHILDREN'S HOSPITAL FOUNDATION
ONE PERKINS SQUAREAKRONOH44308237114013FOUNDATIONOH501(c)(3)7CHMCAYes (true)
CHILDREN'S HOME CARE GROUP
ONE PERKINS SQUAREAKRONOH44308341575266HOME CAREOH501(c)(3)12aCHMCAYes (true)
CHILD DIMENSIONS INSURANCE COMPANY
ONE PERKINS SQUAREAKRONOH44308030317160INSURANCEOH501(c)(3)12aCHMCAYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHILDREN'S HOME CARE GROUP
O$4,816,356ACTUAL PER GL
CHILDREN'S HOME CARE GROUP
Q$3,191,781ACTUAL PER GL
AKRON CHILDREN'S HOSPITAL FOUNDATION
Q$2,051,845ACTUAL PER GL
AKRON CHILDREN'S HOSPITAL FOUNDATION
C$8,178,271ACTUAL PER GL
AKRON CHILDREN'S HOSPITAL FOUNDATION
O$3,036,719ACTUAL PER GL
AKRON CHILDREN'S HOSPITAL FOUNDATION
B$797,512ACTUAL PER GL
CHILD DIMENSIONS INSURANCE COMPANY
Q$307,683ACTUAL PER GL