2013-11-09T06:51:39-06:00 2012-12-31 CHILDREN'S HOSPITAL MEDICAL CTR OF AKRON ONE PERKINS SQ AKRON OH 44308 990 2012-01-01 237114013 AKRON CHILDRENS HOSPITAL FOUNDATION AKRO 3305438171 ONE PERKINS SQUARE AKRON OH 44308 MICHAEL P TRAINER 3305438171 2013-11-09 false 2013-11-09 2012 2016-02-24 21:20:13Z JOHN ZOILO ONE PERKINS SQUARE AKRON OH 44308 33117154 false X AKRONCHILDRENS.ORG X 1971 OH AKRON CHILDREN'S HOSPITAL FOUNDATION IS ORGANIZED EXCLUSIVELY FOR THE BENEFIT OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON. ITS PURPOSE IS TO SOLICIT FUNDS FROM DONORS. 34 27 20 0 17293548 10764433 0 4091943 3997714 -211278 -349152 21174213 14412995 7999598 6804010 0 1555508 1780859 0 2561322 1016907 1018322 10572013 9603191 10602200 4809804 87731506 98569484 1927101 2297322 85804405 96272162 X AKRON CHILDREN'S HOSPITAL FOUNDATION IS ORGANIZED EXCLUSIVELY FOR THE BENEFIT OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON. ITS PURPOSE IS TO SOLICIT FUNDS FROM DONORS. false false 6804010 6804010 SPURRED BY THEIR COMMON CONCERN FOR THE FUTURE OF CHILD HEALTH CARE IN THE COMMUNITY, A SMALL GROUP OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON (THE HOSPITAL) TRUSTEES MET EARLY IN 1971 TO ASSESS THE LONG-TERM NEEDS OF THE INSTITUTION AND THOSE IT SERVED. THEY FORESAW AN UNPRECEDENTED PERIOD OF CHANGE AND GROWTH AHEAD, CAUSED BY THE BURGEONING ADVANCES IN MEDICAL SCIENCE AS WELL AS THE EXPANDING MULTI-COUNTY AREA SERVED BY THE HOSPITAL. THEY PREDICTED THAT, TO FULFILL THE HEALTH NEEDS OF THE COMING GENERATION, THE HOSPITAL WOULD HAVE TO UNDERGO A DRASTIC CHANGE - MOVING FROM PRIMARILY A COMMUNITY FACILITY TO A MAJOR REGIONAL MEDICAL CENTER. (CONTINUED ON SCHEDULE O) (CONTINUED FROM FORM 990, PART III, LINE 4A) AT THE SAME TIME, THEY REALIZED THAT THIS GROWTH COULD NOT BE FINANCED FROM PATIENT FEES ALONE. ON JUNE 3, 1971, THEY FORMALLY ESTABLISHED THE AKRON CHILDREN'S HOSPITAL FOUNDATION, A SEPARATE, NOT-FOR-PROFIT CORPORATION, TO SECURE FUNDS WHICH WOULD "ADD BREADTH AND DEPTH TO THE HOSPITAL'S CAPABILITIES IN HEALTH CARE, MEDICAL RESEARCH AND EDUCATION." ONE OF THE FIRST INITIATIVES OF THE BOARD OF THE NEWLY-FORMED FOUNDATION WAS TO CONDUCT A FUND RAISING APPEAL TO THE COMMUNITY, ON AN ANNUAL BASIS, USING VOLUNTEER SOLICITORS. IN ADDITION, THE FOUNDATION ESTABLISHED VARIOUS PROCEDURES FOR MANAGING AND INVESTING FUNDS THEY HOPED AND EXPECTED TO RAISE. THE FOUNDATION ALSO COMMITTED SUPPORTING EFFORTS TO EXPAND PUBLIC AWARENESS OF THE HOSPITAL AND ITS ROLES AS A REGIONAL MEDICAL CENTER FOR CHILDREN, AS WELL AS BURN VICTIMS OF ALL AGES. IN 2012, 6,804,010 FOUNDATION FUNDS WERE USED BY THE HOSPITAL TO SUPPORT ITS MISSION. OF THAT AMOUNT, 1,021,615 WAS USED FOR CAPITAL PURCHASES SUCH AS 210,000 FOR THE RENOVATION OF THE REINBERGER CENTER, 104,926 FOR THE CONSTRUCTION OF ALEX'S PLAYGROUND AT THE MAHONING VALLEY BEEGHLY CAMPUS, 127,548 FOR THE PURCHASE OF (7) NEW OMNIBEDS, 96,750 FOR OPHTHALMOLOGY EQUIPMENT AND 66,032 FOR (2) VENTILATORS. 2,068,000 WAS ALSO PROVIDED BY THE FOUNDATION FOR HOSPITAL PROGRAM OPERATING EXPENSES AT THE AKRON AND MAHONING VALLEY LOCATIONS THAT WOULD NOT HAVE OTHERWISE BEEN AVAILABLE THROUGH THE ANNUAL BUDGET. ADDITIONAL SUPPORT ALSO WENT FOR THE FOLLOWING PROGRAMS: 289,000 PALLIATIVE CARE, 563,000 HEMATOLOGY/ONCOLOGY, 228,000 ADOPTION CENTER, 298,000 COMMUNITY YOUTH FITNESS, 157,000 REGIONAL BURN CENTER, 204,000 GLOBAL HEALTH FUND, 165,000 PSYCHIATRY INTAKE PROGRAM, 130,000 REACH OUT AND READ PROGRAM, AND 59,000 AUTISM FAMILY CHILD LEARNING CENTER. THE REMAINING AMOUNT WAS USED FOR RESEARCH, TRAINING, EDUCATION AND SUPPORT PROGRAMS INCLUDING NEONATAL, PEDIATRICS, CHILD ADVOCACY, AND OTHER PROGRAMS. SINCE THE FOUNDATION'S CREATION, THE VISION OF ITS FOUNDERS HAS BEEN JUSTIFIED. ALLOCATIONS FROM THE FOUNDATION HAVE PROVIDED A WIDE RANGE OF SPECIALIZED LIFESAVING MEDICAL EQUIPMENT WHICH MIGHT NOT HAVE OTHERWISE BEEN POSSIBLE WITHIN THE HOSPITAL'S BUDGET LIMITATIONS. THE FOUNDATION HAS FINANCED MEDICAL RESEARCH INTO CAUSE, PREVENTION AND TREATMENT OF COMPLEX CHILDHOOD DISEASES AND PROBLEMS, AND HAS PROVIDED COMMUNITY SAFETY PROGRAMS IN PROFESSIONAL EDUCATION, PATIENT INFORMATION AND YOUTH DEVELOPMENT. THE NET EFFECT OF THESE EFFORTS HAS BEEN TO KEEP CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON AT THE FOREFRONT OF HEALTHCARE, WHILE MINIMIZING THE COST OF SUCH CARE TO PATIENTS AND THEIR FAMILIES. 6804010 true true false false false false false false false true true false false true true false false true false false true false false false true false false true false true false false false false false false true true false false false false false true true false false false true X 0 0 20 false false true CJ false false false true true false false false false X 34 27 false false false false true true false true true false false false true true true true false true true false OH X ALICIA LAMANCUSA VP FINANCE CHILDREN'S HOSPITAL MEDICAL CENTER 3305438171 ONE PERKINS SQUARE AKRON OH 44308 WILLIAM H CONSIDINE 8.00 44.00 X X 0 1573778 257016 MICHAEL TRAINER 8.00 44.00 X X 0 370859 35368 DR RAJEEV KISHORE 1.00 40.00 X 0 302028 11463 JOHN ZOILO 40.00 X X 254871 0 68045 DR JOHN MCBRIDE 1.00 20.00 X 0 144374 58666 PHILIP H MAYNARD 16.00 11.00 X X 0 0 0 JOHN R ADAMS 1.00 X 0 0 0 JAMES P BERRY 1.00 X 0 0 0 ADAM BRIGGS 1.00 X 0 0 0 DAVID BOUFFARD 2.00 X 0 0 0 DR JOHN CROW 1.00 X 0 0 0 MICHAEL GEORGE 2.00 X X 0 0 0 VALERIE GEIGER 1.00 X 0 0 0 WILLARD HOLLAND 1.00 X 0 0 0 DIANA MCCOOL 1.00 X 0 0 0 THOMAS R CROWLEY 2.00 X 0 0 0 KARA HANNUM LEWIS 1.00 X 0 0 0 PATRICIA B ZIEGLER 1.00 X 0 0 0 WILLIAM CUSHWA JR 1.00 X 0 0 0 RICHARD GRIGG 1.00 X 0 0 0 GREGORY J MICHALEC 1.00 X 0 0 0 PATRICK JAMES 1.00 X 0 0 0 ROBERT COOPER 1.00 X 0 0 0 JOHN DELANEY 1.00 X 0 0 0 PAUL DUTTON 1.00 X 0 0 0 ROBERT LITTMAN 1.00 X 0 0 0 PAULA MALONE 1.00 16.00 X 0 0 0 MARK OELSCHLAGER 1.00 X 0 0 0 ALLEN RYAN JR 1.00 X 0 0 0 FRANK BEVILACQUA 1.00 X 0 0 0 RAYMOND HEXAMER 1.00 X 0 0 0 GREGORY MCDERMOTT 1.00 X 0 0 0 JAMES SISEK ESQ 1.00 X 0 0 0 ERNEST POUTTU 1.00 X 0 0 0 254871 2391039 430558 1 false true false FIRST MERIT BANK 295 FIRSTMERIT CIRCLE AKRON OH 443072359 BANKING - FEES 108998 1 636075 533097 9595261 10764433 1676457 1676457 20676264 18355007 2321257 2321257 2321257 636075 349152 -349152 -349152 14412995 3648562 6804010 6804010 322916 322916 1175536 1175536 48541 48541 160448 160448 73418 73418 237859 237859 6281 6281 51764 51764 283646 283646 156174 156174 56737 56737 51906 51906 DONOR CULTIVATION 165424 165424 EQUIPMENT MAINT & REPAIRS 8531 8531 9603191 6804010 237859 2561322 1698011 1967042 117779 124368 588352 352893 262690 235459 77513934 87789199 8139092 8453416 87731506 98569484 464613 770972 1462488 1526350 1927101 2297322 X 41227223 46180249 34384801 39184648 10192381 10907265 85804405 96272162 87731506 98569484 X 4809804 5446789 211164 X false true X true false X 9104405 7597644 9369450 17293548 10764433 54129480 9104405 7597644 9369450 17293548 10764433 54129480 9306951 44822529 2726606 994545 1206906 1528542 1676457 8133056 62262536 0.71990 0.72220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 48292758 7590996 3474164 -4172399 55185519 42191502 11512095 -1529858 -3880981 48292758 37902948 4684218 3511833 -3907497 42191502 30651078 3667095 7080419 -3495644 37902948 34179353 5744957 -4770848 -4502384 30651078 0.09230 0.19760 0.71010 true false 65297 18387 46910 523055 334506 188549 235459 TRUSTS RECEIVABLE 8453416 8453416 INTRAFUND PAYABLE 1526350 1526350 SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIII PART V, LINE 4 - INTENDED USE FOR ENDOWMENT FUNDS TEMPORARILY RESTRICTED FUNDS ARE SUBJECT TO PURPOSE RESTRICTIONS IMPOSED BY THE DONOR. THOSE FUNDS ARE HELD UNTIL THE SPECIFIC PURPOSE IS MET AND THEN 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 FUND CAN BE USED FOR THE SPECIFIC PURPOSE IMPOSED BY THE DONOR. BOARD DESIGNATED FUNDS INCLUDE FUNDS FROM UNRESTRICTED SOURCES THAT HAVE BEEN INTERNALLY DESIGNED TO FUNCTION AS ENDOWMENTS. THESE FUNDS ARE TO BE USED FOR THE SOLE PURPOSE AS THEY WERE DESIGNED FOR. AKRON CHILDREN'S HOSPITAL FOUNDATION DOES HAVE A POLICY IN PLACE TO MONITOR ALL UNRESTRICTED, TEMPORARILY AND PERMANENTLY RESTRICTED FUNDS. SCHEDULE D, PART X, LINE 2: AKRON CHILDREN'S HOSPITAL FOUNDATION IS A SUBSIDIARY IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON. CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ADOPTED FIN 48 (ASC 740) IN 2007. NO DISCLOSURES WERE REQUIRED UNDER GAAP AS CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON DOES NOT HAVE ANY MATERIAL TAX CONSEQUENCES THAT REQUIRED A LIABILITY TO BE DISCLOSED IN THE FINANCIAL STATEMENTS. false CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 5627645 5627645 false false true false false false ACTIVITIES PER REGION SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 0 5,627,645 RADIOTHON 636075 636075 349152 636075 636075 349152 349152 -349152 false CHILDREN'S HOSPITAL MEDICAL CENTER ONE PERKINS SQUARE AKRON OH 44308 340714357 3 6804010 PATIENT CARE NEEDS 1 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 AKRON CHILDREN'S HOSPITAL FOUNDATION PROVIDES SUPPORT FOR THE NEEDS OF THE CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON (THE HOSPITAL). ALL DONATIONS RECEIVED BY THE FOUNDATION ARE RECORDED APPROPRIATELY TO THE FUND OF THE DONOR'S INTENT; UNRESTRICTED, TEMPORARILY RESTRICTED, OR PERMANENTLY RESTRICTED. THOSE FUNDS ARE USED APPROPRIATELY, PER THE DONOR'S INTENT, BY THE HOSPITAL TO FURTHER THE MISSION OF THE HOSPITAL. PROCESSES, SUCH AS PROPER EXPENSE AND CAPITAL APPROVAL ARE IN PLACE TO MONITOR THE PROPER USE OF THOSE FUNDS. THE FUND BALANCES ARE REVIEWED MONTHLY TO ENSURE THE FUNDS ARE BEING USED AS THE DONOR WISHES. X X false true false true false false false false false false false WILLIAM H CONSIDINE 1044145 200000 329633 243435 13581 1830794 MICHAEL TRAINER 368404 2455 17150 18218 406227 DR RAJEEV KISHORE 260095 40341 1592 4900 6563 313491 JOHN ZOILO 217497 32000 5374 61783 6262 322916 DR JOHN MCBRIDE 128495 14645 1234 53314 5352 203040 FRINGE OR EXPENSE EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1A JOHN ZOILO, VICE PRESIDENT OF THE AKRON CHILDREN'S HOSPITAL FOUNDATION, HAS A COUNTRY CLUB MEMBERSHIP THAT IS USED FOR BUSINESS MEETINGS WITH CURRENT AND PROSPECTIVE DONORS. WRITTEN REIMBURSEMENT POLICY EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1B THE EXECUTIVE REIMBURSEMENT TO JOHN ZOILO, WHICH INCLUDES THE GROSS-UP OF THE PERSONAL USE OF THE COUNTRY CLUB DUES, HAS BEEN APPROVED BY THE BOARD OF DIRECTORS. SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 WILLIAM H CONSIDINE 0 226,600 0 OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III AKRON CHILDREN'S HOSPITAL FOUNDATION RELIED ON THE RELATED ORGANIZATION, CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON, TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. JOHN ZOILO'S COMPENSATION WAS PAID THROUGH A COMMON PAYMASTER OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON. PART I, LINE 4B - WILLIAM CONSIDINE IS A PARTICIPANT IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AS OF JANUARY 1, 2010. THE PLAN IS A NONQUALIFIED DEFERRED COMPENSATION PLAN. IT IS AN UNFUNDED PLAN MAINTAINED PRIMARILY FOR THE PURPOSE OF PROVIDING DEFERRED COMPENSATION BENEFITS. THE PARTICIPANT RECEIVES CREDITS IN THE PLAN FOR EACH FULL CALENDAR YEAR OF SERVICE AND HE IS 100% VESTED. FIRST MERIT VP-FIRST MERIT 108998 FEES TO FIRST MERIT false AND CURRENT DIR false FARMERS TRUST BANK FARMERSPRES/CEO 7093456 FARMER'S TRUST false AND CURRENT DIR HOLDS BENIFICIAL false INTEREST IN TRUST false ADDITIONAL INFORMATION SCHEDULE L PART V GREG MCDERMOTT DIRECTOR IS A VICEPRESIDENT WITHIN FIRST MERIT BANK OF WHICH AKRON CHILDRENS HOSPITAL FOUNDATION CONDUCTS THEIR OPERATING AND INVESTMENTS BANKING JAMES SISEK ESQ DIRECTOR IS THE PRESIDENT AND CEO OF FARMERS TRUST BANK WHICH IS THE TRUSTEE FOR THE BENEFICIAL INTEREST IN THE KIKEL TRUST BELONGING TO THE AKRON CHILDRENS HOSPITAL FOUNDATION FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A (CONTINUED FROM FORM 990, PART III, LINE 4A) AT THE SAME TIME, THEY REALIZED THAT THIS GROWTH COULD NOT BE FINANCED FROM PATIENT FEES ALONE. ON JUNE 3, 1971, THEY FORMALLY ESTABLISHED THE AKRON CHILDREN'S HOSPITAL FOUNDATION, A SEPARATE, NOT-FOR-PROFIT CORPORATION, TO SECURE FUNDS WHICH WOULD "ADD BREADTH AND DEPTH TO THE HOSPITAL'S CAPABILITIES IN HEALTH CARE, MEDICAL RESEARCH AND EDUCATION." ONE OF THE FIRST INITIATIVES OF THE BOARD OF THE NEWLY-FORMED FOUNDATION WAS TO CONDUCT A FUND RAISING APPEAL TO THE COMMUNITY, ON AN ANNUAL BASIS, USING VOLUNTEER SOLICITORS. IN ADDITION, THE FOUNDATION ESTABLISHED VARIOUS PROCEDURES FOR MANAGING AND INVESTING FUNDS THEY HOPED AND EXPECTED TO RAISE. THE FOUNDATION ALSO COMMITTED SUPPORTING EFFORTS TO EXPAND PUBLIC AWARENESS OF THE HOSPITAL AND ITS ROLES AS A REGIONAL MEDICAL CENTER FOR CHILDREN, AS WELL AS BURN VICTIMS OF ALL AGES. IN 2012, 6,804,010 FOUNDATION FUNDS WERE USED BY THE HOSPITAL TO SUPPORT ITS MISSION. OF THAT AMOUNT, 1,021,615 WAS USED FOR CAPITAL PURCHASES SUCH AS 210,000 FOR THE RENOVATION OF THE REINBERGER CENTER, 104,926 FOR THE CONSTRUCTION OF ALEX'S PLAYGROUND AT THE MAHONING VALLEY BEEGHLY CAMPUS, 127,548 FOR THE PURCHASE OF (7) NEW OMNIBEDS, 96,750 FOR OPHTHALMOLOGY EQUIPMENT AND 66,032 FOR (2) VENTILATORS. 2,068,000 WAS ALSO PROVIDED BY THE FOUNDATION FOR HOSPITAL PROGRAM OPERATING EXPENSES AT THE AKRON AND MAHONING VALLEY LOCATIONS THAT WOULD NOT HAVE OTHERWISE BEEN AVAILABLE THROUGH THE ANNUAL BUDGET. ADDITIONAL SUPPORT ALSO WENT FOR THE FOLLOWING PROGRAMS: 289,000 PALLIATIVE CARE, 563,000 HEMATOLOGY/ONCOLOGY, 228,000 ADOPTION CENTER, 298,000 COMMUNITY YOUTH FITNESS, 157,000 REGIONAL BURN CENTER, 204,000 GLOBAL HEALTH FUND, 165,000 PSYCHIATRY INTAKE PROGRAM, 130,000 REACH OUT AND READ PROGRAM, AND 59,000 AUTISM FAMILY CHILD LEARNING CENTER. THE REMAINING AMOUNT WAS USED FOR RESEARCH, TRAINING, EDUCATION AND SUPPORT PROGRAMS INCLUDING NEONATAL, PEDIATRICS, CHILD ADVOCACY, AND OTHER PROGRAMS. SINCE THE FOUNDATION'S CREATION, THE VISION OF ITS FOUNDERS HAS BEEN JUSTIFIED. ALLOCATIONS FROM THE FOUNDATION HAVE PROVIDED A WIDE RANGE OF SPECIALIZED LIFESAVING MEDICAL EQUIPMENT WHICH MIGHT NOT HAVE OTHERWISE BEEN POSSIBLE WITHIN THE HOSPITAL'S BUDGET LIMITATIONS. THE FOUNDATION HAS FINANCED MEDICAL RESEARCH INTO CAUSE, PREVENTION AND TREATMENT OF COMPLEX CHILDHOOD DISEASES AND PROBLEMS, AND HAS PROVIDED COMMUNITY SAFETY PROGRAMS IN PROFESSIONAL EDUCATION, PATIENT INFORMATION AND YOUTH DEVELOPMENT. THE NET EFFECT OF THESE EFFORTS HAS BEEN TO KEEP CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON AT THE FOREFRONT OF HEALTHCARE, WHILE MINIMIZING THE COST OF SUCH CARE TO PATIENTS AND THEIR FAMILIES. ADDITIONAL INFORMATION FORM 990, PART V LINE 2 (A) AKRON CHILDREN'S HOSPITAL FOUNDATION DOES HAVE ITS OWN EMPLOYEES BUT USES A COMMON PAYMASTER WITH ITS RELATED ORGANIZATION, CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON. CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON PREPARES AND ISSUES ALL W-2'S TO THE EMPLOYEES OF AKRON CHILDREN'S HOSPITAL FOUNDATION. FINANCIAL ACCOUNTS IN FOREIGN COUNTRIES FORM 990, PART V, LINE 4B CAYMAN ISLANDS CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON IS THE SOLE MEMBER OF AKRON CHILDREN'S HOSPITAL FOUNDATION. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON IS THE PARENT COMPANY OF AKRON CHILDREN'S HOSPITAL FOUNDATION AND ITS GOVERNING BODY HAS THE RIGHT TO ELECT OR APPOINT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE AND CHAIRMAN OF THE BOARD OF DIRECTORS OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON 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. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE POLICIES AND PROCEDURES OF AKRON CHILDREN'S HOSPITAL FOUNDATION ARE ADMINISTERED BY CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHILDREN'S"). IT IS CHILDREN'S POLICY THAT ALL EMPLOYEES DISCLOSE REAL OR APPARENT CONFLICTS OF INTEREST AS A CONDITION OF EMPLOYMENT CHILDREN'S 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 WRITTEN DISCLOSURE TO THE APPROPRIATE VICE PRESIDENT. HE/SHE WILL REVIEW THE SITUATION WITH THE VICE PRESIDENT OF CORPORATE SERVICES WHO WILL PRESENT IT TO THE PRESIDENT OR HIS DESIGNEE. IT IS THE RESPONSIBILITY OF THE PRESIDENT OR HIS DESIGNEE TO EVALUATE ANY CIRCUMSTANCES IN WHICH A DUALITY OF INTEREST EXISTS, (IF KNOWN, WHEN DISCLOSED OR UNDISCLOSED), TO DETERMINE WHETHER THE DUALITY REPRESENTS THE POTENTIAL FOR A CONFLICT OF INTEREST, AND WHETHER SUCH CONFLICT IS SO SUBSTANTIAL THAT IT IS DEEMED TO BE DETRIMENTAL TO CHILDREN'S. 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. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON'S EXECUTIVE TOTAL COMPENSATION PROGRAM IS GOVERNED BY THE COMPENSATION COMMITTEE (COMMITTEE) OF THE BOARD OF DIRECTORS, WHO ALSO DETERMINES THE COMPENSATION OF THE AKRON CHILDREN'S HOSPITAL FOUNDATION OFFICERS, DIRECTORS AND KEY EMPLOYEES. KEY COMMITTEE RESPONSIBILITIES INCLUDE: - ENSURE EXECUTIVE TOTAL COMPENSATION IS APPROPRIATE IN LIGHT OF THE HOSPITAL'S MISSION AND VALUES, AND - APPROVE AN EXECUTIVE COMPENSATION PHILOSOPHY, THE ASSOCIATED PROGRAMS, AND ALL COMPENSATION ACTIONS FOR INDIVIDUAL EXECUTIVES. THE COMMITTEE IS COMPRISED OF INDEPENDENT MEMBERS OF THE HOSPITAL 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 GOVERNS THE HOSPITAL'S EXECUTIVE TOTAL COMPENSATION FOR ALL SENIOR EXECUTIVES WHO ARE DEEMED TO BE DISQUALIFIED PERSONS. THE COMMITTEE ALSO GOVERNS THE TOTAL COMPENSATION OF OTHER DISQUALIFIED PERSONS, E.G., FAMILY MEMBERS OF BOARD MEMBERS OR EXECUTIVES WHO ARE EMPLOYED BY THE HOSPITAL. THE COMMITTEE FOLLOWS ALL STEPS REQUIRED BY THE INTERNAL REVENUE SERVICE TO QUALIFY FOR THE SAFE HARBOR UNDER THE INTERMEDIATE SANCTIONS REGULATIONS. IT: - REVIEWS MARKET COMPENSATION DATA FOR COMPARABLE POSITIONS AT SIMILAR ORGANIZATIONS WHICH ARE COMPILED BY AN INDEPENDENT CONSULTANT IT ENGAGES, - USES THIS DATA TO MAKE EXECUTIVE DECISIONS, AND - DOCUMENTS ITS COMPENSATION DELIBERATIONS AND DECISIONS IN A TIMELY MANNER. THE COMMITTEE REVIEWS APPROPRIATE SECTIONS OF THE HOSPITAL IRS FORM 990 BEFORE IT IS FILED TO ENSURE ACCURACY AND COMPLETENESS. AN INDEPENDENT SALARY SURVEY WAS COMPLETED IN 2012 AND RECOMMENDATIONS WERE PROVIDED AND PRESENTED BY THE INDEPENDENT CONSULTANT TO THE COMPENSATION COMMITTEE FOR APPROVAL. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B AN INDEPENDENT SALARY SURVEY WAS COMPLETED IN 2012 AND WAS PROVIDED AND PRESENTED BY THE INDEPENDENT CONSULTANT TO THE COMMITTEE FOR APPROVAL. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 AKRON CHILDREN'S HOSPITAL FOUNDATION 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. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 9 INCREASED VALUE IN BENEFICIAL INTEREST IN TRUSTS 211,164 CHILDRENS HOSPITAL MED CTR OF AKRON ONE PERKINS SQUARE AKRON OH 44308 340714357 HOSPITAL OH 501C3 3 NA false CHILDRENS HOME CARE GROUP ONE PERKINS SQUARE AKRON OH 44308 341575266 HOME CARE OH 501C3 11A CHMCA CHILDREN'S HOSP MED CTR OF AKRON true CHILD DIMENSIONS INSURANCE COMPANY ONE PERKINS SQUARE AKRON OH 44308 030317160 INSURANCE OH 501C3 11A CHMCA CHILDREN'S HOSP MED CTR OF AKRON true false true true false false false false false false false false false false false false true true false false