2014-11-11T08:55:19-06:00 2013-12-31 351178661 BLUE & CO LLC 8800 LYRA DRIVE STE 450 COLUMBUS OH 43240 990 2013-01-01 340714478 AKRON GENERAL MEDICAL CENTER AKRO 3303446603 1 AKRON GENERAL AVENUE AKRON OH 44307 SUE J MCCARTHY TREASURER 3303446000 2014-11-11 0 STEPHEN A SHERIDAN P00028551 6148852583 2013 2015-11-30 17:44:51Z ALAN J PAPA 1 AKRON GENERAL AVENUE AKRON OH 44307 554278585 0 X WWW.AKRONGENERAL.ORG X 1928 OH TO IMPROVE THE HEALTH AND LIVES OF THE PEOPLE AND COMMUNITIES WE SERVE. 13 9 3736 440 265206 0 286061 261987 510452250 491777686 2661493 3290525 7053189 12014000 520452993 507344198 95290 143701 0 0 251333405 240723331 0 0 0 264337893 244194579 515766588 485061611 4686405 22282587 442440577 430243230 365076221 319606192 77364356 110637038 AKRON GENERAL MEDICAL CENTER'S MISSION IS TO IMPROVE THE HEALTH AND LIVES OF THE PEOPLE AND COMMUNITIES WE SERVE. 0 0 197587713 227789441 INPATIENT SERVICESAKRON GENERAL MEDICAL CENTER IS A HOSPITAL ORGANIZATION WHICH OPERATES TWO HOSPITAL FACILITIES - AKRON GENERAL MEDICAL CENTER AND THE EDWIN SHAW REHABILITATION INSTITUTE - AS WELL AS 3 REMOTE HEALH AND WELLNESS CENTERS WITH 24 HOUR EMERGENCY ROOMS. AKRON GENERAL MEDICAL CENTER (AKRON GENERAL) IS A 537-BED TEACHING AND RESEARCH MEDICAL CENTER. OFFERING INPATIENT SERVICES FOR BOTH MEDICAL AND SURGICAL PATIENTS, AKRON GENERAL'S KEY CLINICAL AREAS OF FOCUS ARE HEART, VASCULAR, ONCOLOGY, NEUROSCIENCES, UROLOGY, ORTHOPAEDIC, WOMEN'S SERVICES AND TREATMENT FOR BOTH GENERAL AND TRAUMA RELATED EMERGENCIES. 228903664 143701 263890247 OUTPATIENT SERVICESAKRON GENERAL OFFERS A VARIETY OF OUTPATIENT SERVICES ON ITS MAIN CAMPUS AND THROUGHOUT ITS NETWORK OF SATELLITE FACILITIES. OUTPATIENT SERVICES OFFERED TO PATIENTS INCLUDE RADIOLOGY, PHYSICAL THERAPY, CARDIAC, SURGERY, MAMMOGRAPHY, SLEEP CENTERS, LAB SERVICES AND EMERGENCY SERVICES.SEE SCHEDULE O PROGRAM SERVICE ACCOMPLISHMENTS FOR ADDITIONAL DETAIL. 426491377 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 199 0 1 3736 1 1 1 0 0 0 0 1 1 0 0 0 0 X 13 9 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 OH X DEBORAH GORBACH 3303446603 1 AKRON GENERAL AVENUE AKRON OH 44307 ALAN PAPA PRESIDENT, COO, DIRECTOR 7.00 61.00 X X 0 409022 129578 THOMAS STOVER MD DIRECTOR 0.40 69.60 X 0 720420 79350 ROBERT KAMIENSKI MD DIRECTOR 0.20 40.00 X 0 401301 50026 TODD BREAUX MD DIRECTOR 1.50 X 0 0 0 WILLIAM FRANTZ DIRECTOR 0.20 0.20 X 0 0 0 MARY BETH C CARROLL DIRECTOR 1.10 X 0 0 0 SONIA ALEMAGNO DIRECTOR 1.10 X 0 0 0 THERESA CARTER DIRECTOR 0.20 X 0 0 0 BRET TREIER DIRECTOR 0.20 0.20 X 0 0 0 JOHN BAKER DIRECTOR 0.20 X 0 0 0 MARLENE BARKHEIMER DIRECTOR 0.20 X 0 0 0 JAMES RICE DIRECTOR 0.20 X 0 0 0 HAROLD YOUNG DIRECTOR 0.80 X 0 0 0 CRAIG M BABBITT SECRETARY 1.10 68.00 X 0 344971 109819 DEBORAH L GORBACH ASST TREASURER 0.60 59.40 X 0 197355 114975 SUE MCCARTHY TREASURER 1.10 56.20 X 0 422670 20101 BEVERLY A BOKOVITZ SR VP NURSING OFFICER 40.00 0.20 X 322900 0 31605 DAVID PETER MD SR VP MEDICAL OFFICER 55.00 2.00 X 377464 0 59315 LARRY EMMELHAINZ SENIOR VP AND CHIEF QUALITY OFFICER 51.00 X 252098 0 35757 DANIEL P GUYTON MD CHAIRMAN, SURGERY 45.00 X 261998 0 122932 FARID MUAKKASSA MD DIRECTOR SIU, TRAUMA 20.00 X 308912 0 131827 JUSTIN LAVIN MD CHAIRMAN, OB/GYN 49.50 X 478416 0 24134 ROBERT A MARLEY MD DIRECTOR GENERAL SURGERY 40.00 X 417481 0 53718 SANJIV TEWARI MD CHAIRMAN, INTERNAL MEDICINE 40.00 X 252185 0 1505 2671454 2495739 964642 89 0 1 0 KRUMROY-COZAD CONSTRUCTION CO 376 W EXCHANGE STREET AKRON OH 44307 CONSTRUCTION 5020167 SODEXHO MARRIOTT SERVICES INC P O BOX 70060 CHICAGO IL 60073 SERVICE MANAGMENT 4528427 ANESTHESIOLOGY ASSOCIATES OF AKRON 224 WEST EXCHANGE STREET AKRON OH 44307 ANESTHESIOLOGISTS 3617121 CNS CENTER FOR NEURO & SPINE 762 CLEVELAND-MASSILLON RD FAIRLAWN OH 44333 CONTRACT SERVICES & TRAUMA CALL COVERAGE 3298482 GENERAL EMERGENCY MEDICAL SPECIALISTS 1 AKRON GENERAL AVENUE AKRON OH 44307 EMERGENCY DEPT SERVICES 2972046 60 120554 104910 36523 261987 NET PATIENT REVENUE 900099 359609839 359609839 MEDICARE/MEDICAID PAYM 900099 123382857 123382857 LIFESTYLES 624100 8760335 8686992 73343 LTAC REVENUE 900099 19366 19366 ADVERTISING REVENUE 900099 5289 5289 491777686 1920468 1920468 14892 14892 3318539 2838432 480107 480107 47702 432405 45396375 9695 44029588 6425 1366787 3270 1370057 1370057 76147 120554 59942 16205 16205 ALL OTHER REVENUE 900099 10531259 119506 10411753 PARKING 900099 971537 971537 11502796 507344198 491679688 265206 15137317 143701 143701 1079138 1079138 193179425 166162521 27016904 8410827 7240311 1170516 25237987 21708043 3529944 12815954 11032386 1783568 3274833 3274833 137795 137795 342960 342960 149295 149295 47646042 37125120 10520922 671661 578187 93474 6999089 3102055 3897034 4040029 3803551 236478 28311750 24581403 3730347 839834 713278 126556 4353399 3986562 366837 27099509 23328130 3771379 3628027 3123123 504904 MEDICAL SUPPLIES 77651902 77651902 BAD DEBT 33847581 33847581 OHIO FRANCHISE FEE 6885087 6885087 INTEREST RATE SWAP LOSS -3823217 -3823217 2139003 399298 1739705 485061611 426491377 58570234 0 3089704 6246097 2089508 2508767 59664377 45407971 6947198 7238514 7281798 7378624 572820553 373039100 190834822 199781453 126047113 107701194 2148158 763723 33502881 33199612 10835018 20017275 442440577 430243230 82228759 41677360 36879 167343031 162290560 30066558 35566030 85437873 80035363 365076221 319606192 X 64263947 98120927 10094066 9435292 3006343 3080819 77364356 110637038 442440577 430243230 X 22282587 6999272 3990823 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13100409 1196447 1214715 2995460 12516111 11392945 1779423 995951 1067910 13100409 11769950 1249605 -174947 1451663 11392945 11485709 1734542 1115316 2565617 11769950 11805808 1772146 1536563 3628808 11485709 0.24610 0.75390 0 1 1 10812305 10812305 319293699 196650910 122642789 2031499 705280 1326219 236370524 175682910 60687614 4312526 4312526 199781453 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 3653677 POST RETIREMENT HEALTH LIABILITY 5116893 ASSET RETIREMENT OBLIGATION 3443551 ACCRUED PENSION LIABILITY 36275889 LONG TERM HEDGE 4743805 OTHER 34436 AP TO AFFILIATES 26767112 80035363 488787013 6999271 50939 7050210 481736803 25607395 25607395 507344198 461180786 2082 2082 461178704 23882907 23882907 485061611 PART V, LINE 4: AKRON GENERAL MEDICAL CENTER'S ENDOWMENT FUND IS AKRON GENERAL MEDICAL CENTER'S INTEREST IN THE AKRON GENERAL FOUNDATION. THE AKRON GENERAL FOUNDATION PROVIDES FUNDING FOR CLINICAL AND OTHER PROGRAMS, FACILITY IMPROVEMENT AND RESEARCH. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENT INCLUDED IN EXPENSES -60,636. WOMEN'S BOARD & SERVICE LEAGUE EXPENSES 62,718. TRANSFER FROM AFFILIATE 48,857. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROFESSIONAL LIABILITY INSURANCE -1,056,796. EXPENSES RECORDED IN REVENUE -4,220,918. RENTAL EXPENSE RECLASS -2,838,432. RENTAL INCOME RECLASS -124,040. BAD DEBT 33,847,581. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENT INCLUDED IN EXPENSES -60,636. WOMEN'S BOARD & SERVICE LEAGUE EXPENSES 62,718. PART XII, LINE 4B - OTHER ADJUSTMENTS: SELF INSURANCE CLAIMS -2,781,285. EXPENSES RECORDED IN REVENUE -4,220,918. RENTAL EXPENSE RECLASS -2,838,432. BAD DEBT 33,847,582. RENTAL INCOME RECLASS -124,040. GALA 156929 120554 36375 22904 500 17838 JEWELRY SALE 7268 7268 5 32504 32504 18700 196701 120554 76147 22904 500 36538 59942 16205 1 1 X 1 X 1 X 1 1 1 0 0 11047180 11047180 0.02450 64683832 59687954 4995878 0.01110 75731012 59687954 16043058 0.03560 4091098 4091098 0.00910 22521891 3475156 19046735 0.04220 9602639 3641413 5961226 0.01320 1808344 215215 1593129 0.00350 445634 445634 0.00100 38469606 7331784 31137822 0.06900 114200618 67019738 47180880 0.10460 95641 68277 27364 0.00010 15743 11338 4405 0.00000 111384 79615 31769 0.00010 1 8725348 92714557 95914275 -3199718 X 1 1 2 1 AKRON GENERAL MEDICAL CENTER 1 AKRON GENERAL AVENUE AKRON OH 44307 X X X X X 2 EDWIN SHAW REHAB LLC 33O BROADWAY STREET EAST CUYAHOGA FALLS OH 44221 X INPATIENT REHABILITATION AKRON GENERAL MEDICAL CENTER 1 1 X X X X X X X X X 13 1 1 1 X WWW.AKRONGENERAL.ORG X X X X X X X X X X 0 0 1 1 200.000000000000 1 400.000000000000 1 X X 1 1 X X X X X X X 1 0 X X X X 1 X 0 0 EDWIN SHAW REHAB LLC 2 1 X X X X X X X X X X 13 1 1 1 X WWW.AKRONGENERAL.ORG X X X X X X X X X 1 0 1 1 200.000000000000 1 400.000000000000 1 X X 1 1 X X X X X X X 1 0 X X X X 1 X 0 0 EDWIN SHAW REHAB, LLC PART V, SECTION B, LINE 1J: IN ADDITION TO THE ITEMS INDICATED FOR LINE 6, THE EDWIN SHAW REHABILITATION INSTITUTE ALSO PREPARED AN IMPLEMENTATION STRATEGY WHICH OUTLINES FURTHER STEPS IT IS TAKING TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IT SERVES. THAT DOCUMENT MAY BE FOUND AT WWW.AKRONGENERAL.ORG AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 3: IN CONDUCTING ITS 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY INTERVIEWING COMMUNITY LEADERS, INCLUDING THOSE WITH SPECIALIZED KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, AND BY CONDUCTING FOCUS GROUPS WITH RESIDENTS IN THE COMMUNITY TO SOLICIT THEIR VIEWS OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. A LIST OF THE COMMUNITY LEADERS INTERVIEWED - IDENTIFIED BY ORGANIZATION AND TITLE - CAN BE FOUND ON PAGE 12 OF THE CHNA REPORT, AVAILABLE ON OUR WEBSITE, WWW.AKRONGENERAL.ORG. (FULL URL - HTTP://WWW.AKRONGENERAL.ORG/PORTAL/PAGE/PORTAL/AGMC_PAGEGROUP/OUR_HEALTH_SYSTEM/COMMUNITY_HEALTH_NEEDS_ASSESSMENTS) AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 4: AKRON GENERAL MEDICAL CENTER'S CHNA WAS CONDUCTED WITH THE FOLLOWING RELATED HOSPITAL FACILITIES:EDWIN SHAW REHAB, LLC LODI COMMUNITY HOSPITAL AKRON GENERAL MEDICAL CENTER'S CHNA WAS CONDUCTED WITH THE FOLLOWING UNRELATED HOSPITAL FACILITIES:AKRON CHILDREN'S HOSPITALSUMMA HEALTH SYSTEM EDWIN SHAW REHAB, LLC PART V, SECTION B, LINE 4: EDWIN SHAW REHAB'S CHNA WAS CONDUCTED WITH THE FOLLOWING RELATED HOSPITAL FACILITIES:AKRON GENERAL MEDICAL CENTER LODI COMMUNITY HOSPITAL EDWIN SHAW REHAB'S CHNA WAS CONDUCTED WITH THE FOLLOWING UNRELATED HOSPITAL FACILITIES:AKRON CHILDREN'S HOSPITALSUMMA HEALTH SYSTEM AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 6I: IN ADDITION TO THE ITEMS INDICATED FOR LINE 6, AKRON GENERAL MEDICAL CENTER ALSO PREPARED AN IMPLEMENTATION STRATEGY WHICH OUTLINES FURTHER STEPS IT IS TAKING TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IT SERVES. THAT DOCUMENT MAY BE FOUND AT WWW.AKRONGENERAL.ORG AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 7: MOST OF THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ARE ADDRESSED IN THE IMPLEMENTATION STRATEGY. NEEDS IDENTIFIED IN THE CHNA BUT NOT ADDRESSED BY THE FACILITY INCLUDE:DENTAL CARE - A NEED THAT THE FACILITY IS NOT PREPARED TO ADDRESS DIRECTLY AT THIS TIME. THERE ARE A NUMBER OF UNRELATED DENTAL CLINICS IN THE COMMMNITY WHICH PROVIDE FREE AND REDUCED COST DENTAL SERVICES. THESE INCLUDE ACCESSPOINTE, THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER, DENTAL OPTIONS AND SUMMA'S CENTER FOR DENTAL HEALTH.OBTAINING HEALTHY FOOD - NOT ADDRESSED BY HOSPITAL FACILITY AS THERE ARE OTHER COMMUNITY RESOURCES INCLUDING THE AKRON CANTON REGIONAL FOOD BANK BETTER SUITED TO THE PURPOSE.CHILDHOOD CHRONIC DISEASE, CHILD DEVELOPMENT, CHILD LIFESTYLE RISK FACTORS, AND CHILD ENVIRONMENTAL RISK FACTORS - NOT ADDRESSED BY THE FACILITY AS THERE ARE OTHER RESOURCES IN THE COMMUNITY OFFERING SERVICES DESIGNED SPECIFICALLY FOR CHILDREN INCLUDING AKRON CHILDREN'S HOSPITAL WHICH OFFERS HIGHLY SPECIALIZED SERVICES FOR CHILDREN. EDWIN SHAW REHAB, LLC PART V, SECTION B, LINE 7: THE EDWIN SHAW REHABILITATION INSTITUTE IS A REHABILITATION HOSPITAL FACILITY THAT ALSO SPECIALIZES IN SUBSTANCE ABUSE. REHABILITATION IS A CRITICAL PART OF THE RECOVERY FROM, OR THE ADJUSTMENT TO, MANY OF THE HEALTH NEEDS IDENTIFIED IN THIS CHNA AND THE EDWIN SHAW REHABILITATION INSTITUTE ADDRESSES THE REHABILITATIVE ASPECT OF EACH. HOWEVER, THE EDWIN SHAW REHABILITATION INSTITUTE DOES NOT ADDRESS EVERY NEED IDENTIFIED IN ITS CHNA. NEEDS IDENTIFIED IN THE CHNA BUT NOT ADDRESSED BY THE FACILITY INCLUDE:OBTAINING HEALTHY FOOD - NOT ADDRESSED BY THE HOSPITAL FACILITY AS THERE ARE OTHER COMMUNITY RESOURCES INCLUDING THE AKRON CANTON REGIONAL FOOD BANK BETTER SUITED TO THE PURPOSE.DENTAL CARE - A NEED THAT THE FACILITY IS NOT PREPARED TO ADDRESS DIRECTLY AT THIS TIME. THERE ARE A NUMBER OF UNRELATED DENTAL CLINICS IN THE COMMMNITY WHICH PROVIDE FREE AND REDUCED COST DENTAL SERVICES. THESE INCLUDE ACCESSPOINTE, THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER, DENTAL OPTIONS AND SUMMA'S CENTER FOR DENTAL HEALTH. WHILE IT RECOGNIZES CHILDREN AS PART OF THE COMMUNITY IT SERVES, DUE TO THE FOCUSED NATURE OF ITS SERVICES AND THE SPECIAL NEEDS OF THE CHILD PATIENT, THE EDWIN SHAW REHABILITATION INSTITUTE DOES NOT DIRECTLY ADDRESS THE CHRONIC DISEASES, MENTAL HEALTH, SUBSTANCE ABUSE AND ENVIRONMENTAL FACTORS CATEGORIES FOR CHILDREN IDENTIFIED IN THE CHNA. THE COMMUNITY SERVED BY THE EDWIN SHAW REHABILITATION INSTITUTE IS ALSO THE COMMUNITY SERVED BY AKRON CHILDREN'S HOSPITAL WHOSE RESOURCES ARE FOCUSED ON THE CHILD PATIENT.` AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 12I: FEES FOR PATIENTS ELIGIBLE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY (FAP) BEGIN WITH THE AMOUNT GENERALLY BILLED (AGB) WHICH IS DETERMINED USING THE MEDICARE LOOK BACK METHOD DESCRIBED IN THE PROPOSED TREASURY REGULATIONS UNDER SECTION 1.501(R)-5(B)(1). FEES FOR FAP INDIVIDUALS ARE DETERMINED USING A SLIDING SCALE DISCOUNT BASED ON THE FPG AND APPLIED TO THE AGB. EDWIN SHAW REHAB, LLC PART V, SECTION B, LINE 12I: FEES FOR PATIENTS ELIGIBLE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY (FAP) BEGIN WITH THE AMOUNT GENERALLY BILLED (AGB) WHICH IS DETERMINED USING THE MEDICARE LOOK BACK METHOD DESCRIBED IN THE PROPOSED TREASURY REGULATIONS UNDER SECTION 1.501(R)-5(B)(1). FEES FOR FAP INDIVIDUALS ARE DETERMINED USING A SLIDING SCALE DISCOUNT BASED ON THE FPG AND APPLIED TO THE AGB. AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 14G: FOR UNINSURED AND UNDERINSURED PATIENTS, OUR FINANCIAL COUNSELORS OR ON-SITE ELIGIBILITY VENDOR STAFF REACH OUT UPON ADMISSION OR PRIOR TO DISCHARGE TO EXPLAIN THE PROGRAMS FOR FREE OR DISCOUNTED CARE AND TO ASSESS ELIGIBILITY FOR MEDICAID AND OTHER VARIOUS PROGRAMS (VETERAN'S ADMINISTRATION, COBRA, OTHER LOCAL PROGRAMS, ETC.).FOR SCHEDULED OUTPATIENT SERVICES, FINANCIAL COUNSELORS ATTEMPT TO CONTACT THE PATIENT PRIOR TO SERVICE TO SCREEN UNINSURED PATIENTS FOR POSSIBLE ASSISTANCE/PAYMENT SOLUTIONS. IF UNABLE TO CONTACT PATIENT PRIOR TO THE SERVICE, WE ATTEMPT TO SCREEN ON THE DAY OF SERVICE OR AS SOON THEREAFTER AS POSSIBLE.FOR UNSCHEDULED EMERGENCY SERVICES, SCREENING MAY BE COMPLETED DURING THE VISIT WHEN PATIENT IS ABLE. OTHERWISE, ATTEMPTS TO CONTACT THE PATIENT ARE MADE BY THE FINANCIAL COUNSELING STAFF.IN EITHER CASE, IF WE ARE UNABLE TO CONTACT THE PATIENT, THE FINANCIAL ASSISTANCE INFORMATION IS ON EACH BILLING STATEMENT SENT TO THE PATIENT.IF THE PATIENT IS DETERMINED TO BE LIKELY ELIGIBLE FOR MEDICAID, THE ELIGIBILITY VENDOR STAFF ASSIST AND REPRESENT THE PATIENT THROUGHOUT THE APPLICATION PROCESS (UPON APPROVAL FROM THE PATIENT). IN ADDITION TO SIGNAGE, BROCHURES EXPLAINING OUR PROGRAMS ARE IN ALL OF OUR REGISTRATION AREAS. OUR WELCOME PACKETS ALSO INCLUDE INFORMATION AS DOES OUR WEBSITE. ALL STATEMENTS MAILED TO PATIENTS INCLUDE A NOTICE THAT OUR FINANCIAL ASSISTANCE APPLICATIONS ARE ON THE BACK OF THE STATEMENT. PHONE NUMBERS ARE PROVIDED FOR ASSISTANCE. EDWIN SHAW REHAB, LLC PART V, SECTION B, LINE 14G: FOR UNINSURED AND UNDERINSURED PATIENTS, OUR FINANCIAL COUNSELORS OR ELIGIBILITY VENDOR STAFF REACH OUT UPON ADMISSION OR PRIOR TO DISCHARGE TO EXPLAIN THE PROGRAMS FOR FREE OR DISCOUNTED CARE AND TO ASSESS ELIGIBILITY FOR MEDICAID AND OTHER VARIOUS PROGRAMS (VETERAN'S ADMINISTRATION, COBRA, OTHER LOCAL PROGRAMS, ETC.). THIS IS DONE BY PHONE AND MAY BE POST DISCHARGE.UNINSURED PATIENTS ARE SCREENED FOR FINANCIAL ASSISTANCE PROGRAMS AT THE TIME OF SERVICE AND ARE REFERRED TO FINANCIAL COUNSELORS OR THE MEDICAID ELIGIBILITY VENDORS FOR FURTHER ASSISTANCE. THE FINANCIAL ASSISTANCE INFORMATION IS ALSO ON EACH BILLING STATEMENT SENT TO THE PATIENT.IF THE PATIENT IS DETERMINED TO BE LIKELY ELIGIBLE FOR MEDICAID, THE ELIGIBILITY VENDOR STAFF ASSIST AND REPRESENT THE PATIENT THROUGHOUT THE APPLICATION PROCESS (UPON APPROVAL FROM THE PATIENT). IN ADDITION TO SIGNAGE, BROCHURES EXPLAINING OUR PROGRAMS ARE IN ALL OF OUR REGISTRATION AREAS. OUR WELCOME PACKETS ALSO INCLUDE INFORMATION AS DOES OUR WEBSITE. ALL STATEMENTS MAILED TO PATIENTS INCLUDE A NOTICE THAT OUR FINANCIAL ASSISTANCE APPLICATIONS ARE ON THE BACK OF THE STATEMENT. PHONE NUMBERS ARE PROVIDED FOR ASSISTANCE. 22 AKRON GENERAL HEALTH & WELLNESS-WEST 4125 MEDINA ROAD AKRON OH 44333 ER, DIAGNOSITCS, LAB, CARDIO PULMONARY, PT AKRON GENERAL HEALTH & WELLNESS-NORTH 4300 ALLEN ROAD STOW OH 44224 ER, DIAGNOSITCS, LAB, CARDIO PULMONARY, PT AKRON GENERAL HEALTH & WELLNESS-GREEN 1940 TOWN PARK BLVD UNIONTOWN OH 44685 ER, DIAGNOSITCS, LAB, CARDIO PULMONARY, PT AKRON GENERAL GREEN HEALTH CENTER 1587 BOETTLER RD UNIONTOWN OH 44311 DIAGNOSTIC SERVICES, LAB, PT AKRON GENERAL TALLMADGE HEALTH CENTER 33 NORTH AVENUE TALLMADGE OH 44278 DIAGNOSTIC SERVICES, PT FAIRLAWN REFLECTIONS 2603 WEST MARKET ST AKRON OH 44312 DIAGNOSTIC SERVICES AKRON GENERAL HEALTH CENTER 676 S BROADWAY ST AKRON OH 44311 NUTRITION, WOMEN'S HEALTH CLINIC, LAB SERVICES EDWIN SHAW REHAB 405 TALLMADGE RD CUYAHOGA FALLS OH 44221 OUTPATIENT REHABILITATION CENTER FOR UROLOGIC HEALTH 95 ARCH STREET AKRON OH 44304 UROLOGICAL SERVICES AKRON GENERAL MOGADORE HEALTH CENTER 754 S CLEVELAND AVE MOGADORE OH 44260 DIANGOSTIC SERVICES, LAB, PT CENTER FOR UROLOGIC HEALTH 3961 LOOMIS PARKWAY RAVENNA OH 44266 UROLOGICAL SERVICES CENTER FOR UROLOGIC HEALTH 2651 W MARKET STREET FAIRLAWN OH 44333 UROLOGICAL SERVICES CENTER FOR UROLOGIC HEALTH 120 W EXCHANGE STREET AKRON OH 44302 UROLOGICAL SERVICES EDWIN SHAW REHAB 585 WHITE POND DRIVE AKRON OH 44320 OUTPATIENT REHABILITATION EDWIN SHAW REHAB 1500 CANTON RD AKRON OH 44312 OUTPATIENT REHABILITATION EDWIN SHAW REHAB 577 GRANT ST AKRON OH 44311 OUTPATIENT REHABILITATION EDWIN SHAW REHAB 1345 CORPORATE DR HUDSON OH 44236 OUTPATIENT REHABILITATION CENTER FOR UROLOGIC HEALTH 3569 DARROW ROAD STOW OH 44224 UROLOGICAL SERVICES CENTER FOR UROLOGIC HEALTH 550 E ROBINSON AVENUE BARBERTON OH 44203 UROLOGICAL SERVICES SELECT SPECIALTY HOSPITAL 525 EAST MARKET ST AKRON OH 44304 LONG TERM ACUTE CARE CENTER FOR NEURO & SPINE 762 S CLEVELAND-MASSILLON RD AKRON OH 44333 NEURO & SPINE SERVICES CENTER FOR NEURO & SPINE 3562 RIDGE PARK DR FAIRLAWN OH 44333 NEORO & SPINE SERVICES PART I, LINE 7: COSTING METHODOLOGY. THE ORGANIZATION USED A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO USED WAS DERIVED USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. PART I, LINE 7G: THE ORGANIZATION INCLUDES IN LINE 7G COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS. THE TOTAL OF SUCH (NET) COSTS IS $5,509,590. PART I, LN 7 COL(F): IN CALCULATING THE PERCENTAGE OF TOTAL EXPENSE REPORTED IN COLUMN (F), TOTAL EXPENSES AS REPORTED ON FORM 990, PART IX, LINE 25, COLUMN (A) WERE REDUCED BY $33,847,581 - THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON THAT LINE. PART II, COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES INCLUDE MASS CASUALTY PLANNING, INCLUDING ACQUISITON OF DECONTAMINATION TENTS AND COMMUNICATION EQUIPMENT.PART III, SECTION A, LINES 2 AND 3: COSTING METHODOLOGY. BAD DEBTS AS REPORTED ON LINE 2 ARE DERIVED FROM THE GROSS CHARGES WRITTEN OFF AS UNCOLLECTIBLE FOR FINANCIAL REPORTING PURPOSES. THE COST-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2 - RATIO OF PATIENT CARE COST TO CHARGES, WAS APPLIED IN CALCULATING LINE 2. PART III, LINE 4: IN ACCORDANCE WITH GAAP, THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, MAJOR PAYOR SOURCES, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, AGMC FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO VARIOUS RESTRICTIONS INCLUDING A PROHIBITION AGAINST ENGAGING IN EXTRAORDINARY COLLECTION PROCEDURES AGAINST AN INDIVIDUAL WITHOUT HAVING FIRST MADE REASONABLE EFFORTS TO DETERMINE THAT INDIVIDUALS ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY. PART III, LINE 8: AKRON GENERAL MEDICAL CENTER PROVIDES AN IMPORTANT COMMUNITY BENEFIT THROUGH ITS PARTICIPATION IN THE MEDICARE PROGRAM. BY ABSORBING THIS SHORTFALL, AKRON GENERAL MEDICAL CENTER PROMOTES THE HEALTH OF THOSE MEMBERS OF THE COMMUNITY RELYING ON MEDICARE AND LESSENS THE BURDEN OF GOVERNMENT BY DOING SO.THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS IS THE COST TO CHARGE RATIO DEVELOPED IN ACCORDANCE WITH THE MEDICARE COST REPORT INSTRUCTIONS. PART III, LINE 9B: AKRON GENERAL MEDICAL CENTER'S BAD DEBT COLLECTION POLICY ADDRESSES HOW TO IDENTIFY AND PROCESS PATIENTS' ACCOUNTS FOR QUALIFICATION AS CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. AT REGISTRATION/ADMISSION A SCREENING PROCESS IDENTIFIES THOSE PATIENTS WITHOUT INSURANCE. THOSE PATIENT ACCOUNTS ARE AUTOMATICALLY CHECKED FOR POSSIBLE MEDICAID OR OTHER FINANCIAL ASSISTANCE ELIGIBILITY. WHERE ELIGIBILITY IS ESTABLISHED, THE PATIENT RECEIVES ASSISTANCE COMPLETING ANY REQUIRED APPLICATIONS. PATIENTS WHO QUALIFY FOR 100% CHARITY CARE WILL HAVE THEIR CHARGES WRITTEN OFF AS SUCH AND NO COLLECTION EFFORTS WILL FOLLOW. PATIENTS THAT QUALIFY FOR A SLIDING SCALE DISCOUNT THROUGH CHARITY CARE WILL HAVE THEIR STATEMENTS ADJUSTED ACCORDINGLY. IF THE ADJUSTED BALANCE IS UNPAID, THE ADJUSTED BALANCE GOES TO COLLECTIONS IN ACCORDANCE WITH POLICY FOR ALL BAD DEBT ACCOUNTS. PART VI, LINE 2: IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR EACH OF ITS HOSPITAL FACILITIES DESCRIBED IN PART V, SECTION B OF THIS SCHEDULE, THERE ARE A VARIETY OF NEEDS ASSESSMENT METHODS EMPLOYED BY THE HOSPITAL ORGANIZATION IN DETERMINING THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. FOR MEDICAL STAFFING AND SERVICES, A COMBINATION OF FACTORS INCLUDING THE COMMUNITY'S DEMOGRAPHICS AND HEALTH NEEDS, THE DEMOGRAPHICS OF MEDICAL STAFF (PHYSICIAN AGE, SPECIALTY, ETC...) ARE WEIGHED TO DETERMINE WHERE RESOURCES SHOULD BE CONCENTRATED IN ORDER TO MEET CURRENT AND FUTURE HEALTHCARE NEEDS OF THE COMMUNITY. THE HOSPTIAL ORGANIZATION PARTICIPATES IN HEALTHCARE INITIATIVES OF STATE AND LOCAL HEALTH DEPARTMENTS, EITHER SOLELY OR IN CONCERT WITH OTHER HEALTHCARE PROVIDERS, DEPENDING ON THE INITIATIVE. THE HOSPITAL ORGANIZATION WORKED WITH LOCAL CHURCHES AND SOCIAL WELFARE ORGANIZATIONS TO IDENTIFY AND SERVICE HEALTHCARE NEEDS OF PERSONS WHO ARE UNDERSERVED BY GOVERNMENT OR WHO HAVE FALLEN COMPLETELY THROUGH GOVERNMENT SAFETY NETS. PART VI, LINE 3: FOR UNINSURED AND UNDERINSURED PATIENTS, OUR FINANCIAL COUNSELORS OR ON-SITE ELIGIBILITY VENDOR STAFF REACH OUT UPON ADMISSION OR PRIOR TO DISCHARGE TO EXPLAIN THE PROGRAMS FOR FREE OR DISCOUNTED CARE AND TO ASSESS ELIGIBILITY FOR MEDICAID AND OTHER VARIOUS PROGRAMS (VETERAN'S ADMINISTRATION, COBRA, OTHER LOCAL PROGRAMS, ETC.).IF THE PATIENT IS DETERMINED TO BE LIKELY ELIGIBLE FOR MEDICAID, THE ELIGIBILITY VENDOR STAFF ASSIST AND REPRESENT THE PATIENT THROUGHOUT THE APPLICATION PROCESS (UPON APPROVAL FROM THE PATIENT). IN ADDITION TO SIGNAGE, BROCHURES EXPLAINING OUR PROGRAMS ARE IN ALL OF OUR REGISTRATION AREAS. OUR WELCOME PACKETS ALSO INCLUDE INFORMATION AS DOES OUR WEBSITE. ALL STATEMENTS MAILED TO PATIENTS INCLUDE A NOTICE THAT OUR FINANCIAL ASSISTANCE APPLICATIONS ARE ON THE BACK OF THE STATEMENT. PHONE NUMBERS ARE PROVIDED FOR ASSISTANCE. FINANCIAL ASSISTANCE APPLICATIONS ARE ON THE BACK OF EVERY PATIENT STATEMENT AS WELL AS MESSAGES INFORMING PATIENTS THAT ASSISTANCE IS AVAILABLE - VIA WEBSITE, AUTOMATED ATTENDANT OR CUSTOMER SERVICE LINE. SUCH MESSAGES ALSO ARE CONSPICUOUSLY POSTED IN PATIENT AREAS AND THROUGHOUT OUR FACILITIES. WE ALSO HAVE FINANCIAL ASSISTANCE INFORMATION SUCH AS CUSTOMER SERVICE PHONE NUMBERS POSTED THROUGHOUT OUR FACILITIES AT PATIENT INTAKE AREAS. IN ADDITION, FINANCIAL COUNSELORS ARE AVAILABLE AT OUR MAIN CAMPUS TO DISCUSS PAYMENT OPTIONS AND FINANCIAL ASSISTANCE WITH PATIENTS AS THEY DISCHARGE. PART VI, LINE 4: AKRON GENERAL MEDICAL CENTERTHE FACILITY IS LOCATED AT 1 AKRON GENERAL AVENUE IN AKRON, OHIO, WHICH IS LOCATED IN CENTRAL SUMMIT COUNTY. WHILE AKRON GENERAL MEDICAL CENTER WELCOMES PATIENTS FROM COMMUNITIES THROUGHOUT NORTHEAST OHIO AND BEYOND, PATIENT DISCHARGE AND ENCOUNTER DATA SHOW THAT THE VAST MAJORITY OF ITS PATIENTS RESIDE WITHIN SUMMIT COUNTY. EDWIN SHAW REHABILITATION INSTITUTETHE FACILITY IS LOCATED AT 330 BROADWAY STREET EAST IN CUYAHOGA FALLS, OHIO, WHICH IS LOCATED IN CENTRAL SUMMIT COUNTY. THE EDWIN SHAW REHABILITATION INSTITUTE DEFINES ITS COMMUNITY GEOGRAPHICALLY BY PATIENT DISCHARGE DATA, AS WELL AS DEMOGRAPHICALLY BY PATIENT TYPE. ACCORDING TO PATIENT DISCHARGE DATA, THE MAJORITY OF ITS PATIENTS RESIDE WITHIN SUMMIT COUNTY. IN ADDITION, THE EDWIN SHAW REHABILITATION INSTITUTE'S COMMUNITY IS FURTHER DEFINED BY ITS SPECIALIZATION IN ASSISTING PERSONS RECOVERING FROM AND ADAPTING TO PHYSICAL CHALLENGES RESULTING FROM INJURY OR DISEASE. IN ADDITION, IT ALSO SPECIALIZES IN TREATING PERSONS WITH SUBSTANCE ABUSE ISSUES. PART VI, LINE 5: IN ORDER TO INSURE THE FURTHERANCE OF AKRON GENERAL'S EXEMPT PURPOSE, ITS BOARD OF DIRECTORS CONSISTS OF COMMUNITY MEMBERS - THE MAJORITY OF WHOM ARE INDEPENDENT. THE SIZE OF THE BOARD - 13 MEMBERS IN 2013 - IS DESIGNED TO BE LARGE ENOUGH TO PROVIDE SUFFICIENT EXPERTISE AND DIVERSITY FOR AN ORGANIZATION OF THIS SIZE WITHOUT BEING TOO LARGE TO MANAGE ITSELF. THE BOARD, AS WELL AS SENIOR MANAGEMENT AND MEDICAL STAFF LEADERS, ARE CHARGED BY POLICY WITH THE EXPECTATION THAT PERSONS IN SUCH POSITIONS WILL ADVOCATE STRONG TIES BETWEEN THE ORGANIZATION AND THE COMMUNITY IT SERVES. AMONG OTHER THINGS, THE POLICY CITES THE ASSUMPTION OF BOARD POSITIONS WITH SERVICE ORGANIZATION AND COMMUNITY AGENCIES AS WAYS TO PROMOTE SUCH TIES. IN 2013 SUCH PERSONS SERVED ON THE BOARDS OF MORE THAN 40 ORGANIZATIONS IN THE GREATER AKRON COMMUNITY.AS A MEMBER OF AKRON GENERAL HEALTH SYSTEM, AKRON GENERAL RECEIVES CONSIDERABLE SUPPORT IN MAINTAINING CONTACTS WITH A DIVERSE CROSS SECTION OF ITS COMMUNITY, THROUGH THE HEALTH SYSTEM'S COMMUNITY HEALTH COMMITTEE. THE COMMUNITY HEALTH COMMITTEE SUPPORTS INITIATIVES DESIGNED TO MEET THE NEEDS OF VULNERABLE, DISADVANTAGED POPULATIONS AND THOSE WHO LACK ACCESS TO QUALITY HEALTH CARE. THE MAJORITY OF THE COMMUNITY HEALTH COMMITTEE MEMBERS ARE INDEPENDENT COMMUNITY MEMBERS WHOSE FOCUSED MISSION PROVIDES AN IMPORTANT ACCESS POINT FOR GROUPS WITHIN THE COMMUNITY.AKRON GENERAL ALSO MAINTAINS AN OPEN MEDICAL STAFF. AKRON GENERAL IS BOUND BY LAW TO REINVEST ANY SURPLUS FROM OPERATIONS INTO ITS FACILITIES AND PROGRAMS IN FURTHERANCE OF ITS EXEMPT PURPOSE, PROMOTING THE HEALTH OF THE PEOPLE AND COMMUNITIES IT SERVES. PART VI, LINE 6: AKRON GENERAL HEALTH SYSTEM IS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION WITH THE MISSION OF IMPROVING THE HEALTH AND LIVES OF PEOPLE AND THE COMMUNITIES IT SERVES. AKRON GENERAL HEALTH SYSTEM INCLUDES: AKRON GENERAL MEDICAL CENTER, A 537-BED TEACHING AND RESEARCH MEDICAL CENTER, AND THE EDWIN SHAW REHABILITATION INSTITUTE, WHICH INCLUDES A 38 BED INPATIENT REHABILITATION FACILITY; AKRON GENERAL PARTNERS, WHICH INCLUDES PARTNERS PHYSICIAN GROUP, THE OPERATIONS OF THE AKRON GENERAL HEALTH & WELLNESS CENTERS, THE OPERATIONS OF THE COMMUNITY HEALTH CENTERS AND OTHER COMPANIES; AKRON GENERAL COMMUNITY HEALTH VENTURES, WHICH INCLUDES VISITING NURSE SERVICE AND AFFILIATES, THE LARGEST AND MOST COMPREHENSIVE PROVIDER OF HOME HEALTHCARE SERVICES IN OHIO; AND AKRON GENERAL FOUNDATION.AKRON GENERAL HEALTH SYSTEM BRINGS TOGETHER A NETWORK OF HEALTH CARE FACILITIES AND STAFF WITH A RICH HERITAGE OF EXCEPTIONAL CARE. IT IS AN INTEGRATED HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY HEALTHCARE FOR PATIENTS AND COMMUNITY THROUGHOUT THEIR ENTIRE LIFE - BIRTHS, INPATIENT AND OUTPATIENT SERVICES FOR ADULTS, EMERGENCY CARE, HOME CARE, WELLNESS, DURABLE MEDICAL EQUIPMENT AND HOSPICE SERVICES.AKRON GENERAL HEALTH SYSTEM SERVES ITS COMMUNITIES THROUGH ITS COMMITMENT TO THE HEALTH AND WELLNESS OF THE PEOPLE OF NORTHEAST OHIO. THROUGH THE EFFORTS OF 4,716 EMPLOYEES, MEDICAL PROFESSIONALS AND VOLUNTEERS, IT SERVES THE HEALTHCARE NEEDS OF MORE THAN 1.3 MILLION PEOPLE THROUGHOUT SUMMIT, MEDINA, PORTAGE, STARK AND WAYNE COUNTIES. 1 AMERICAN HEART ASSOCIATION 5455 NORTH HIGH STREET COLUMBUS OH 43214 135613797 501 (C) (3) 15565 SUPPORT HEART DISEASE RESEARCH AND EDUCATION OHIO & ERIE CANALWAY COALITION 47 W EXCHANGE STREET AKRON OH 44308 341636766 501 (C) (3) 5000 PROMOTE HEALTHIER LIFESTYLES & REGULAR EXERCISE THROUGH IMPROVED SERVICES. AKRON URBAN LEAGUE 440 VERNON OBOM ST AKRON OH 44307 340714520 501 (C) (3) 6700 AN ORGANIZATION THAT SEEKS TO IMPROVE THE ECONOMIC, CULTURAL, SOCIAL, EDUCATIONAL AND RECREATIONAL CONDITIONS AFFECTING ALL CITIZENS OF SUMMIT COUNTY ELVES & MORE OF NORTHEAST OHIO P O BOX 95 CUYAHOGA FALLS OH 44222 208645169 501 (C) (3) 5000 PROVIDE GIFTS TO CHILDREN DURING THE HOLIDAY SEASON ACCESS INC 230 WEST MARKET STREET AKRON OH 44303 341395246 501 (C) (3) 5000 PROVIDE SUPPORT FOR EMERGENCY & TRANSITIONAL SHELTER PROGRAMS FOR HOMELESS WOMEN AND THEIR CHILDREN AMERICAN RED CROSS 501 W MARKET ST AKRON OH 44303 340714526 501 (C) (3) 10000 PROVIDE SUPPORT FOR NATIONAL DISASTERS AND MILITARY FAMILIES, LARGEST SUPPLIER OF BLOOD IN THE UNITED STATES AND PROVIDES HEALTH & SAFETY COURSES UNIVERSITY OF AKRON FOUNDATION 209 CARROLL ST AKRON OH 44325 346575496 501 (C) (3) 15000 CAMEO OF CARING AWARD CEREMONY SPONSORSHIP 7 0 NEEDS BASED FINANCIAL ASSISTANCE FOR BREAST CANCER PATIENTS. 13 4475 PART I, LINE 2: AKRON GENERAL MEDICAL CENTER IS FREQUENTLY ASKED TO CONTRIBUTE TO A VARIETY OF ORGANIZATIONS AND FUND RAISING PROJECTS. IT IS THE INTENT OF AKRON GENERAL MEDICAL CENTER TO BE A SUPPORTIVE CITIZEN AND WHEN PRACTICAL TO MAKE REASONABLE CONTRIBUTIONS TO ORGANIZATIONS AND PROJECTS WHICH ARE BENEFICIAL TO THE COMMUNITY AND PARALLEL TO OUR EXEMPT PURPOSES. IN ORDER THAT THE CONTRIBUTIONS OF AKRON GENERAL MEDICAL CENTER ARE ADMINISTERED ON A REASONABLE, EQUITABLE AND CONSISTENT BASIS, ALL REQUESTS FOR CONTRIBUTIONS ARE SUBMITTED FOR CONSIDERATION TO A CONTRIBUTIONS COMMITTEE. THE GUIDELINES FOCUS MAINLY ON: 1. REQUESTS THAT PROMOTE THE HEALTH AND SAFETY OF OUR COMMUNITY. 2. THOSE THAT PROMOTE ECONOMIC DEVELOPMENT AND QUALITY OF LIFE. AKRON GENERAL MEDICAL CENTER MONITORS CONTRIBUTIONS AND PROSPECTIVE CONTRIBUTIONS THROUGH AGENCY VISITS, ATTENDANCE AT EVENTS AND MONITORING PROJECT PROGRESS AND COMPLETION. X X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 ALAN PAPA PRESIDENT, COO, DIRECTOR 0 369686 0 0 0 39336 0 103343 0 26235 0 538600 0 0 THOMAS STOVER MD DIRECTOR 0 675545 0 0 0 44875 0 58291 0 21059 0 799770 0 0 ROBERT KAMIENSKI MD DIRECTOR 0 359452 0 27024 0 14825 0 35030 0 14996 0 451327 0 0 CRAIG M BABBITT SECRETARY 0 312405 0 0 0 32566 0 86957 0 22862 0 454790 0 0 DEBORAH L GORBACH ASST TREASURER 0 184653 0 0 0 12702 0 99052 0 15923 0 312330 0 0 SUE MCCARTHY TREASURER 0 395144 0 0 0 27526 0 5105 0 14996 0 442771 0 0 BEVERLY A BOKOVITZ SR VP NURSING OFFICER 265300 0 10000 0 47600 0 22233 0 9372 0 354505 0 0 0 DAVID PETER MD SR VP MEDICAL OFFICER 303897 0 34611 0 38956 0 43120 0 16195 0 436779 0 0 0 LARRY EMMELHAINZ SENIOR VP AND CHIEF QUALITY OFFICER 214826 0 0 0 37272 0 28439 0 7318 0 287855 0 0 0 DANIEL P GUYTON MD CHAIRMAN, SURGERY 253076 0 0 0 8922 0 100407 0 22525 0 384930 0 0 0 FARID MUAKKASSA MD DIRECTOR SIU, TRAUMA 304002 0 0 0 4910 0 104978 0 26849 0 440739 0 0 0 JUSTIN LAVIN MD CHAIRMAN, OB/GYN 467748 0 0 0 10668 0 765 0 23369 0 502550 0 0 0 ROBERT A MARLEY MD DIRECTOR GENERAL SURGERY 413719 0 0 0 3762 0 32659 0 21059 0 471199 0 0 0 SANJIV TEWARI MD CHAIRMAN, INTERNAL MEDICINE 251008 0 0 0 1177 0 0 0 1505 0 253690 0 0 0 PART I, LINE 1A THE EXPENSES INDICATED IN PART I, LINE 1 ARE TAXABLE BENEFITS. AS SUCH THEY ARE PART OF TOTAL COMPENSATION. TOTAL COMPENSATION IS TESTED FOR REASONABLENESS AS DESCRIBED IN SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINES 15A AND B. DISCRETIONARY SPENDING ACCOUNT A PORTION OF THE EMPLOYEES' TAXABLE INCOME IS DESIGNATED AS A DISCRETIONARY SPENDING ACCOUNT BENEFIT. THE RECIPIENTS ARE TAXED ON THE ENTIRE VALUE OF THE BENEFIT. THE NET AMOUNT MAY THEN BE APPLIED TO ONE OR MORE OF A LIMITED NUMBER OF CHOICES AVAILABLE UNDER THIS BENEFIT. IF ANY OF THE NET AMOUNT REMAINS AFTER CHOOSING FROM SUCH OPTIONS, IT IS APPLIED TOWARD THE RECIPIENT'S NON-QUALIFIED RETIREMENT BENEFIT. THIS BENEFIT WAS OFFERED TO EMPLOYEES AT THE VICE PRESIDENT LEVEL AND ABOVE. IN 2013, 8 EMPLOYEES CHOSE THIS BENEFIT. PART I, LINE 4B LINE 4B: THE FOLLOWING EMPLOYEES PARTICIPATED IN A NONQUALIFIED TAXABLE PLAN. BEGINNING AFTER DECEMBER 31, 2012, THE PLAN IS NO LONGER FUNDED WITH EMPLOYER CONTRIBUTIONS. CRAIG BABBITT DEBBIE GORBACH SUE J. MCCARTHY TIM STOVER, M.D. ALAN PAPA BEVERLY BOKOVITZ DAVID PETER, M.D. LARRY EMMELHAINZ RELATED ORGANIZATION COMPENSATION AKRON GENERAL HEALTH SYSTEM (FEIN 34-1546466) IS THE SOLE MEMBER OF AKRON GENERAL MEDICAL CENTER. THE INDIVIDUALS LISTED BELOW ARE (OR WERE) FULL TIME PAID EMPLOYEES OF AKRON GENERAL HEALTH SYSTEM. THE AMOUNTS SHOWN IN SCHEDULE J PART II REFLECT COMPENSATION FOR SERVICES TO THAT ORGANIZATION. TIM STOVER, M.D. SUE J. MCCARTHY CRAIG M. BABBITT DEBBIE L. GORBACH ALAN PAPA A AKRON BATH & COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT 341448680 009730LV2 2006-11-16 117665156 SEE SCHEDULE K, PART VI 0 0 0 B AKRON BATH & COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT 341448680 009730ME9 2008-05-15 90625000 SEE SCHEDULE K, PART VI 0 0 0 C AKRON BATH & COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT 341448680 009730NA6 2012-05-23 40050000 SEE SCHEDULE K, PART VI 0 0 0 A 79575000 118451520 1545530 3334294 38390692 75181004 2007 1 0 1 1 B 90630619 803209 130384 6126025 83571000 2008 1 0 1 1 C 40800387 4005000 776023 36041750 2012 0 0 0 1 A 0 1 1 1 1 1 0.01320 0.00130 0.01450 0 0 1 B 0 1 1 1 1 1 0.00970 0.00130 0.01100 0 0 1 C 0 1 1 1 1 1 0.02140 0.02140 0 0 1 A 0 0 1 1 1 1 MORGAN STANLEY 289.000000000000 1 1 0 0 1 B 0 0 1 1 1 1 MORGAN STANLEY 272.000000000000 1 0 0 0 1 C 0 0 1 1 1 0 0 0 1 A 1 B 1 C 1 SCHEDULE K SUPPLENTAL INFORMATION PART I, COLUMN (E), ROW A: THE AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT, OHIO VARIABLE RATE HOSPITAL FACILITIES REVENUE BONDS, SERIES 2006A AND SERIES 2006B (AKRON GENERAL HEALTH SYSTEM) WERE SOLD WITHIN 15 DAYS OF EACH OTHER AND PAYABLE WITH THE SAME SOURCE OF FUNDS, AND WERE THUS TREATED AS A SINGLE ISSUE FOR TAX PURPOSES. THE SERIES 2006B BONDS WERE PAID OFF WITH PROCEEDS OF THE SERIES 2008 BONDS. PART II, COLUMN (A), ROW 1: RETIREMENT OF DEBT WAS FINANCED WITH THE SERIES 2008 BONDS IN 2008. PART II, COLUMN (A) AND (B), ROW 3: THIS LINE INCLUDES INVESTMENT PROCEEDS DURING CONSTRUCTION PERIOD. PART II, COLUMN (A), ROW 6: WHILE THERE ARE NO PROCEEDS INCLUDED IN A REFUNDING OR DEFEASANCE ESCROW, $75,181,004 OF PROCEEDS OF THE SERIES 2006 BONDS WERE USED TO REFUND PRIOR ISSUES (SERIES 1993 AND SERIES 1997). PART II, COLUMN (B), ROW 6: WHILE THERE ARE NO PROCEEDS INCLUDED IN A REFUNDING OR DEFEASANCE ESCROW, $83,571,000 OF PROCEEDS OF THE SERIES 2008 BONDS WERE USED TO REFUND THE SERIES 2006B BONDS, AS DESCRIBED ABOVE. PART III QUESTION 2 - ARE THERE LEASE ARRANGEMENTS WITH RESPECT TO FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE USE? YES, THESE LEASES CONSIST OF MINOR LEASING OF SPACE TO PHYSICIANS AND SERVICE PROVIDERS (E.G. AFFILIATED EQUIPMENT COMPANY). THESE LEASES, COMBINED WITH OTHER PRIVATE USE, ARE SIGNIFICANTLY LESS THAN THE MAXIMUM OF 5% OF BOND PROCEEDS. PART III QUESTION 3A - ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE USE? YES, THERE ARE SEVERAL MANAGEMENT AND SERVICE CONTRACTS THOUGH TO THE BEST OF OUR KNOWLEDGE ALL ARE COMPLIANT WITH THE MANAGEMENT AND SERVICES AGREEMENT SAFE HARBORS. PART III QUESTIONS 3B - ARE THERE ANY RESEARCH AGREEMENTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE USE? YES, UPON REVIEW OF THE RESEARCH AGREEMENTS, ONLY A SMALL PERCENTAGE RELATED TO BOND FINANCED PROPERTY, AND THE OVERALL PRIVATE USE, INCLUDING RESEARCH CONTRACTS, IS WELL BELOW THE MAXIMUM OF 5% OF BOND PROCEEDS. PART IV, COLUMN (A), ROW 3(A): AKRON GENERAL MEDICAL CENTER'S OBLIGATED GROUP HAD ENTERED INTO A HEDGE AGREEMENT THAT COVERED A PORTION OF THE SERIES 2006B BONDS WHICH IS INTEGRATED FOR TAX PURPOSES. HOWEVER, IN CONNECTION WITH THE REFUNDING, THAT HEDGE WAS TERMINATED. PART IV, QUESTION 2: SERIES 2006 BONDS CONSIST OF TWO SERIES, (A) SERIES A - $36,660,000 (PRINCIPAL AMOUNT) FIXED RATE BONDS AND (B) SERIES B - $79,575,000 (PRINCIPAL AMOUNTS) VARIABLE RATE BONDS. PART IV, QUESTION 2(C): NOTE FOR SERIES 2006 AND 2008, EVEN THOUGH THE REBATE EXCEPTION WAS MET, A REBATE CALCULATION WAS DONE FOR BOTH ISSUES. REBATE DATES: A-SERIES 2006: JANUARY 26, 2012 B-SERIES 2008: JULY 12, 2013 C-SERIES 2012: IS NOT APPLICABLE UNTIL 2017 PART I, COLUMN (F), ROW A FINANCED CAPITAL EXPENDITURES RELATED TO CONSTRUCTING AND EQUIPPING OF A HEALTH AND WELLNESS CENTER AND HEART AND VASCULAR CENTER AS WELL AS ROUTINE CAPITAL EQUIPMENT, AND THE CURRENT REFUNDING OF TWO PRIOR ISSUES OF OBLIGATIONS ISSUED ON JUNE 8, 1993 AND JUNE 1, 1997. PART I, COLUMN (F), ROW B FINANCED CAPITAL EXPENDITURES RELATING TO HOSPITAL RENOVATIONS (INCLUDING ENGINEERING AND RESPIRATORY) AND EQUIPMENT. IN ADDITION, THE SERIES 2008 BONDS REFUNDED CERTAIN INDEBTEDNESS, THE PROCEEDS OF WHICH WERE USED TO REFUND THE SERIES 2006B BONDS (ISSUED ON NOVEMBER 16, 2006) IN THEIR ENTIRETY ON APRIL 10, 2008. PART I, COLUMN (F), ROW C FINANCED CAPITAL EXPENDITURES RELATED TO ACQUIRING, CONSTRUCTING, RENOVATING, REMODELING AND EQUIPPING CERTAIN HEALTH FACILITIES OF AGMC AND LODI (THE "2012 PROJECT"), FUND A 2012 DEBT SERVICE RESERVE FUND AND PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2012 BONDS. DENA HUNT SEE PART V 57408 SEE PART V 0 SCHEDULE L, PART IV, B DAUGHTER OF ROBERT KAMIENSKI, MD - BOARD MEMBER ON AKRON GENERAL MEDICAL CENTER SCHEDULE L, PART IV, D EMPLOYEE COMPENSATION FORM 990, PART III, PROGRAM SERVICE ACCOMPLISHMENTS EMERGENCY ROOMS ARE OPEN TO ALL, REGARDLESS OF ABILITY TO PAY. THE FINANCIAL ASSISTANCE POLICY (SEE SCHEDULE H FOR MORE DETAILS) IS APPLICABLE NOT ONLY TO MEDICALLY NECESSARY AND EMERGENCY SERVICES AT THE TWO HOSPITAL FACILITIES BUT TO THOSE SERVICES AT ALL AKRON GENERAL MEDICAL CENTER LOCATIONS. IN 2013, FINANCIAL ASSISTANCE EXCEEDED $16 MILLION DOLLARS (PLEASE SEE SCHEDULE H). AT THE END OF 2013 AKRON GENERAL, IN PARTNERSHIP WITH THE OTHER AKRON HOSPITAL SYSTEMS, RELEASED A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS REQUIRED BY THE IRS TO BE REPORTED BY EACH HOSPITAL FACILITY. THE CHNA REPORT IS EASILY ACCESSIBLE TO THE COMMUNITY ON THE HOSPITAL'S WEBSITE. PROGRESS IS NOW BEING MADE TO ADDRESS THE IDENTIFIED NEEDS VIA IMPLEMENTATION STRATEGIES, ALSO DEVELOPED DURING THE PROCESS. KENT STATE UNIVERSITY'S COLLEGE OF PUBLIC HEALTH, WHICH CONDUCTED THE ASSESSMENT, CONTINUES TO WORK WITH THE HOSPITALS TO DEVELOP A COLLABORATIVE COMMUNITY DIABETES INITIATIVE, FOCUSING ON PREVENTION. A REPRESENTATIVE LIST OF IMPORTANT PROGRAMS SUPPORTED BY AKRON GENERAL IN 2013 INCLUDES THE FOLLOWING: * AKRON GENERAL PARTNERS WITH THE UNIVERSITY OF AKRON'S NURSING CENTER FOR COMMUNITY HEALTH TO IMPROVE ACCESS TO HEALTH CARE SERVICES. THE MAIN CLINIC, LOCATED ON THE UNIVERSITY OF AKRON CAMPUS, IS STAFFED BY AKRON GENERAL FAMILY MEDICINE PHYSICIANS WHO PROVIDE FREE PRIMARY MEDICAL CARE FOR PEOPLE WHO CANNOT AFFORD IT AND DO NOT QUALIFY FOR FEDERAL PROGRAMS. * AKRON GENERAL ALSO SERVES THE PRIMARY MEDICAL CARE NEEDS OF WOMEN AND CHILDREN AT ACCESS INC., A HOMELESS WOMEN'S SHELTER IN AKRON AND A SATELLITE OF THE UNIVERSITY OF AKRON NURSING CLINIC. THOUSANDS OF PATIENTS ARE SEEN EACH YEAR AT THE UA-BASED LOCATION IN MARY GLADWIN HALL AND THE ACCESS FACILITY. * DURING NATIONAL BREAST CANCER AWARENESS MONTH IN OCTOBER, MORE THAN $77,000 WAS RAISED TO SUPPORT AKRON GENERAL'S AWARD WINNING MUFFINS FOR MAMMOGRAMS PROGRAM WHICH PROVIDES FREE MAMMOGRAMS AND OTHER RELATED SERVICES FOR UNINSURED WOMEN IN OUR COMMUNITY WHO OTHERWISE COULD NOT AFFORD THEM. IN 2013, AKRON GENERAL PROVIDED 856 SERVICES TO AREA WOMEN. * THE PINK RIBBON PROJECT PROVIDES FREE BREAST AND CERVICAL CANCER SCREENINGS FOR WOMEN WHO OTHERWISE COULD NOT AFFORD THEM. MAMMOGRAMS AND PAP SMEARS ARE PROVIDED AT AKRON GENERAL'S WOMEN'S HEALTH CLINIC TO QUALIFYING WOMEN. IN 2013, 549 SERVICES WERE PROVIDED TO 296 WOMEN IN NEED. * THE 13TH ANNUAL HEART AND VASCULAR SCREENING WAS CONDUCTED TO DETECT STROKE RISK, ATRIAL FIBRILLATION AND PERIPHERAL VASCULAR DISEASE AMONG COMMUNITY RESIDENTS. AKRON GENERAL'S HEART AND VASCULAR CENTER STAFF PROVIDED FREE SCREENINGS TO 366 INDIVIDUALS - MANY WHO WERE UNINSURED AND HIGH-RISK. PARTICIPANTS WERE REFERRED FOR APPROPRIATE FOLLOW UP AS NEEDED. * SEVERAL FREE CANCER SCREENINGS WERE CONDUCTED FOR THE UNINSURED AND UNDERSERVED TO HELP DETECT CANCER AND OTHER DISEASES AND CONDITIONS IN THEIR EARLIEST STAGES. THESE ARE OFFERED FREE THROUGHOUT THE YEAR WITH THE HELP AND SUPPORT OF OUR MEDICAL STAFF, RESIDENTS AND STAFF. SCREENINGS FOR CERVICAL, BREAST, SKIN AND LUNG CANCERS WERE AMONG THOSE OFFERED IN 2013. MORE THAN 366 INDIVIDUALS PARTICIPATED. AKRON GENERAL ALSO PROVIDED 239 SKIN CANCER SCREENINGS DURING MAY WHICH IS SKIN CANCER AWARENESS MONTH. * FOR THE 6TH CONSECUTIVE YEAR, AKRON GENERAL PARTNERED WITH THE ARTHRITIS FOUNDATION FOR THE SUMMIT COUNTY ARTHRITIS EXPO, BRINGING 115 PEOPLE TO THE HEALTH & WELLNESS CENTER WEST FOR TALKS BY MEDICAL PROFESSIONALS AND INFORMATION ON AREA RESOURCES THAT SUPPORT INDIVIDUALS LIVING WITH THIS CHRONIC DISEASE. * CELEBRATING THE GREAT AMERICAN SMOKE OUT ON NOVEMBER 21ST, AKRON GENERAL OFFERED FREE SCREENINGS, INFORMATION AND SUPPORT FOR THOSE INTERESTED IN QUITTING SMOKING AND TOBACCO USE. AKRON GENERAL CONTINUES TO OFFER COMMUNITY MEMBERS A SIX WEEK FREE SMOKING CESSATION PROGRAM SEVERAL TIMES A YEAR. THE PROGRAM IS LED BY ONE OF OUR RESPIRATORY THERAPISTS WHO IS ALSO A TOBACCO TREATMENT SPECIALIST. * AKRON GENERAL IS A PROVIDER OF MEDICAL SERVICES FOR ACCESS TO CARE, A PROGRAM OPERATED BY SUMMIT COUNTY PUBLIC HEALTH. THE PROGRAM LINKS UNINSURED SUMMIT COUNTY RESIDENTS WITH A VOLUNTEER PRIMARY CARE PHYSICIAN, HOSPITAL AND SPECIALTY CARE SERVICES AT NO CHARGE. * THROUGH COLLABORATION WITH SUMMIT COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES, A CASE WORKER WHO IS BASED AT AKRON GENERAL'S WOMEN'S HEALTH CLINIC CONNECTS UNINSURED AND UNDERINSURED PREGNANT WOMEN WITH SOCIAL SERVICES. A SIMILAR PROGRAM IS ALSO BASED ON THE MAIN HOSPITAL CAMPUS. * AKRON GENERAL PRESENTED DISPATCH HEALTH! A FREE HEALTH SCREENING FOR EMS PROVIDERS SERVING GREATER SUMMIT COUNTY AT OUR HEALTH & WELLNESS CENTER IN MONTROSE. THE PURPOSE OF THE TWO-DAY EVENT WAS TO SERVE THE HEALTH NEEDS OF THE MEDIC COMMUNITY, IDENTIFY POTENTIAL HEALTH RISKS AMONG THESE FIRST RESPONDERS AND MEET THEIR NEED FOR ANNUAL PHYSICAL EXAMS AT A TIME WHEN COMMUNITY BUDGETS ARE ESPECIALLY TIGHT. * AKRON GENERAL'S FREE SPEAKER'S BUREAU RESPONDS TO THE NEEDS OF COMMUNITY CLUBS AND ORGANIZATIONS FOR TRUSTED HEALTH INFORMATION. IN 2013, AKRON GENERAL HEALTH PROFESSIONALS REACHED MORE THAN 1,300 PEOPLE WITH HEALTH PRESENTATIONS IN THE COMMUNITY ON A VARIETY OF TOPICS RANGING FROM ADVANCE DIRECTIVES AND LIVING WILLS TO NUTRITION, CANCER CONCERNS AND SLEEP DISORDERS. * THROUGH SAVE A LIFE SUPER SATURDAY - A COLLABORATIVE PROGRAM WITH THE AMERICAN RED CROSS AKRON GENERAL PROVIDED FREE HANDS-ON CPR AND AED TRAINING TO COMMUNITY MEMBERS AGAIN IN 2013. FOUR FREE 45-MINUTE SESSIONS WERE HELD ON SATURDAY, NOVEMBER 16 AT THE HEALTH & WELLNESS CENTERS IN MONTROSE AND STOW. NOW 71 MORE INDIVIDUALS ARE TRAINED AND READY TO RESPOND AND PERHAPS SAVE THE LIFE OF A LOVED ONE. * AKRON GENERAL CONTINUES TO BE A LEADER IN SUPPORTING THE PLACEMENT OF LIFESAVING AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS) IN PUBLIC PLACES. FOLLOWING COMPLETION OF THE OHIO SCHOOL AED PROGRAM ADMINISTERED BY AKRON GENERAL IN WHICH MORE THAN 4,500 DEFIBRILLATORS WERE PLACED IN SCHOOLS ACROSS THE STATE, WE CONTINUE TO PROVIDE ADVICE AND INFORMATION ABOUT AEDS. AT LEAST 15 KNOWN SAVES HAVE BEEN REPORTED BY SCHOOLS WHERE DEFIBRILLATORS WERE PLACED THROUGH THE OHIO AED PROGRAM. IN 2013 AKRON GENERAL WAS ALSO ABLE TO PROVIDE AEDS TO SUCH NONPROFITS AS PORTAGE PATH BEHAVIORAL HEALTH AND SALVATION ARMY LOCATIONS TO KEEP THEIR CLIENTS AND STAFF SAFE. FORM 990, PART VI, SECTION A, LINE 6 AKRON GENERAL MEDICAL CENTER HAS ONE MEMBER, AKRON GENERAL HEALTH SYSTEM. AKRON GENERAL HEALTH SYSTEM IS ORGANIZED IN OHIO AS A NON-PROFIT CORPORATION AND IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC 501(C)(3). AKRON GENERAL HEALTH SYSTEM IS NOT A PRIVATE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A AKRON GENERAL HEALTH SYSTEM HAS THE POWER TO APPOINT THE MEMBERS OF AKRON GENERAL MEDICAL CENTER'S GOVERNING BODY. THE ORGANIZATION FOLLOWS THE PRACTICE UNDER WHICH AKRON GENERAL MEDICAL CENTER'S CURRENT BOARD SUGGESTS CANDIDATES FOR OPENINGS ON ITS BOARD, THAT ARE THEN REVIEWED FOR APPROVAL BY AKRON GENERAL HEALTH SYSTEM'S BOARD. FORM 990, PART VI, SECTION A, LINE 7B AKRON GENERAL HEALTH SYSTEM IS THE SOLE MEMBER OF AKRON GENERAL MEDICAL CENTER. AKRON GENERAL HEALTH SYSTEM'S RESPONSIBILITIES INCLUDE PROVIDING LONG TERM PLANNING, ESTABLISHING SYSTEM POLICIES AND PROCEDURES, FINANCIAL MANAGEMENT, AND ASSISTING ORGANIZATIONS WITHIN THE SYSTEM IN CARRYING OUT THEIR EXEMPT PURPOSES. GENERALY, AKRON GENERAL HEALTH SYSTEM LIMITS ITS POWER OF APPROVAL OVER DECISIONS MADE BY THE BOARD OF AKRON GENERAL MEDICAL CENTER TO THOSE CONCERNING MEMBERSHIP OF THAT ORGANIZATON'S BOARD AND THAT ORGANIZATION'S ANNUAL BUDGET. FORM 990, PART VI, SECTION B, LINE 11 LINE 11B - AKRON GENERAL MEDICAL CENTER PREPARES ITS FORM 990 INTERNALLY. AKRON GENERAL MEDICAL CENTER IS A MEMBER OF THE AKRON GENERAL HEALTH SYSTEM. THE RETURN IS SUBJECT TO FINANCIAL REVIEW BY THE VICE PRESIDENT OF ACCOUNTING AND FINANCE OF AKRON GENERAL HEALTH SYSTEM AND REVIEW FOR COMPLIANCE WITH THE REPORTING REQUIREMENTS OF FORM 990 BY THE DIRECTOR OF CORPORATE TAX OF AKRON GENERAL HEALTH SYSTEM. AN OVERALL REVIEW IS PERFORMED BY THE CHIEF FINANCIAL OFFICER AND THE GOVERNANCE COMMITTEE OF THE AKRON GENERAL HEALTH SYSTEM BOARD. THE FORM 990 IS THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM, WHICH SIGNS AS PREPARER. FORM 990, PART VI, SECTION B, LINE 12C AKRON GENERAL MEDICAL CENTER IS A MEMBER OF THE AKRON GENERAL HEALTH SYSTEM (SYSTEM). AKRON GENERAL HEALTH SYSTEM IS THE PARENT ORGANIZATION OF THE SYSTEM AND AS SUCH IT DETERMINES CERTAIN POLICIES AND PROCEDURES APPLICABLE TO ALL MEMBER ORGANIZATIONS. IN THE CASE OF CONFLICT OF INTEREST REPORTING, AKRON GENERAL HEALTH SYSTEM NOT ONLY DETERMINES THE POLICY AND THE PROCEDURE, IT CARRIES OUT THE PROCEDURE FOR ALL SYSTEM ORGANIZATIONS ITSELF. A CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO ALL BOARD MEMBERS, MANAGEMENT PERSONNEL, EMPLOYED PHYSICIANS AND ANY OTHER PERSONNEL THAT HAVE BEEN DESIGNATED BY MANAGEMENT. THE DISTRIBUTION COVERS ALL SYSTEM ORGANIZATIONS. ALL RESPONSES THAT INDICATE A PERCEIVED CONFLICT OF INTEREST ARE TURNED OVER TO THE GOVERNANCE COMMITTEE (THE COMMITTEE) OF AKRON GENERAL HEALTH SYSTEM FOR REVIEW. THE COMMITTEE MAKES A DETERMINATION AS TO WHETHER THE PERCEIVED CONFLICT IS LIKELY TO BE AN ACTUAL CONFLICT, THE MATERIALITY OF ANY ACTUAL CONFLICTS AND THE EXTENT OF SAFEGUARDS REQUIRED FOR ANY ACTUAL CONFLICTS. SAFEGUARDS INCLUDE, BUT ARE NOT LIMITED TO, REQUIRING, IN THE CASE OF A BOARD MEMBER, THAT THE PERSON RECUSE HIMSELF OR HERSELF FROM ANY DISCUSSIONS OR VOTING THAT MAY BE AFFECTED BY THE CONFLICT, REQUIRING THE PERSON TO DISENGAGE FROM THE CONDUCT CREATING THE CONFLICT OR REQUIRING THE PERSON TO RESIGN FROM THE POSITION AFFECTED BY THE CONFLICT. THIS PROCESS IS CONDUCTED BY AKRON GENERAL HEALTH SYSTEM'S LEGAL SERVICES DEPARTMENT ANNUALLY. THE CONFLICT OF INTEREST LETTER PUTS THE RECIPIENT ON NOTICE THAT HE OR SHE IS UNDER AN ONGOING DUTY TO REPORT ANY POTENTIAL CONFLICTS THAT MAY ARISE SUBSEQUENT TO THIS FORMAL PROCESS. SUBSEQUENT EVENT REPORTING IS MONITORED BY AKRON GENERAL HEALTH SYSTEM'S LEGAL SERVICES DEPARTMENT. ANY SUBSEQUENT REPORTED ITEMS ARE SUBJECT TO THE AFOREMENTIONED REVIEW PROCESS BY AKRON GENERAL HEALTH SYSTEM'S GOVERNANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE REPORTING ORGANIZATION IS A MEMBER OF THE AKRON GENERAL HEALTH SYSTEM. THE EXEMPT PURPOSE OF THE SYSTEM PARENT, AKRON GENERAL HEALTH SYSTEM (AGHS), IS TO SUPPORT THE MEMBERS OF THAT SYSTEM. ONE OF THE SUPPORT SERVICES THAT AGHS PROVIDES IS DETERMINING THE COMPENSATION OF THE TOP MANAGEMENT PERSONNEL OF THE REPORTING ORGANIZATION. AGHS FOLLOWS A PROCESS FOR DETERMINING THE COMPENSATION OF THE REPORTING ORGANIZATION'S TOP MANAGEMENT PERSONNEL THAT IS MODELED AFTER THE REQUIREMENTS FOUND IN INTERNAL REVENUE CODE SECTION 4958 FOR ESTABLISHING THE PRESUMPTION OF REASONABLE COMPENSATION. THEREFORE, THE PROCESS CALLS FOR RECOMMENDATIONS - DEVELOPED BY AN INDEPENDENT COMPENSATION CONSULTANT, BASED ON COMPARABLE MARKET DATA FROM PUBLISHED SURVEYS AND THE FORMS 990 OF COMPARABLE ORGANIZATIONS - THAT ARE WITHIN THE RANGE OF THE COMPENSATION OF SIMILARLY SITUATED PERSONS AT SIMILARLY SITUATED ORGANIZATIONS. THESE RECOMMENDATIONS ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE REPORTING ORGANIZATION'S BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT PERSONS AND THE DELIBERATIONS ARE DOCUMENTED, CONTEMPORANEOUSLY, IN THE COMMITTEE'S MINUTES. THE COMPENSATION FOR ALL TOP MANAGEMENT WAS REVIEWED FOR REASONABLENESS USING THIS PROCESS IN 2012. FORM 990, PART VI, SECTION C, LINE 19 CURRENTLY, AKRON GENERAL MEDICAL CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR ITS FINANCIAL STATEMENTS GENERALLY AVAILABLE TO THE PUBLIC. AKRON GENERAL MEDICAL CENTER DOES MAKE THESE DOCUMENTS AVAILABLE ON A CASE BY CASE BASIS. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN FOUNDATION NET ASSETS 625,847. TRANSFERS FROM/(TO) OTHER AFFILIATED ORGANIZATIONS -25,010,683. PENSION LIABILITY 29,097,035. NET CHANGE IN RESTRICTED FUNDS -768,280. CHANGE IN VALUE OF CASH FLOW HEDGE 22,978. GRANT FUNDING FOR CAPITAL 23,926. 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