CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON: Form 990, tax year 2011

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Organization: CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON (EIN 34-0714357)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-12
IRS object ID: 201243179349302709
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-12T15:52:49-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL MEDICAL CTR OF AKRON	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE PERKINS SQ	AddressLine1
City	AKRON	City
State	OH	State
ZIP Code	44308	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	340714357	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL MEDICAL CENTER	BusinessNameLine1
Business Name Line2	OF AKRON	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	CHIL	NameControl
Phone	3305438171	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE PERKINS SQUARE	AddressLine1
City	AKRON	City
State	OH	State
ZIP Code	443081062	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHAEL P TRAINER	Name
Title	CHIEF FINANCIAL OFFICER	Title
Phone	3305438171	Phone
Date Signed	2012-11-12	DateSigned
Authorize Third Party	false	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Date Prepared	2012-11-12	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	WILLIAM CONSIDINE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	ONE PERKINS SQUARE	AddressLine1
City	AKRON	City
State	OH	State
ZIP Code	44308	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	658118682	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	AKRONCHILDRENS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1897	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	PART 1, LINE 1 AND PART III, LINE 1 THE MISSION OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON IS TO PROVIDE QUALITY MEDICAL AND SURGICAL CARE FOR BABIES, CHILDREN, ADOLESCENTS, AND BURN VICTIMS OF ALL AGES, REGARDLESS OF ABILITY TO PAY; MULTI-LEVEL PROFESSIONAL EDUCATION FOR STUDENTS OF MEDICINE, NURSING AND VARIOUS ALLIED HEALTH PROFESSIONALS; BASIC AND CLINICAL RESEARCH INTO THE CAUSES, TREATMENT AND CURE OF CHILDHOOD ILLNESS, INJURY AND BURN INJURY; COMMUNITY SERVICE INTENDED TO IMPROVE HEALTH STATUS THROUGH LAY EDUCATION; CHILD AND FAMILY ADVOCACY EFFORTS TO IMPROVE THE STATUS OF CHILDREN AND ADOLESCENTS IN OUR REGION OF SERVICE. CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON (CHILDREN'S) IS AN INDISPENSABLE, INTEGRATED PEDIATRIC HEALTHCARE DELIVERY SYSTEM SERVING INFANTS, CHILDREN, ADOLESCENTS, AND ADULTS IN AKRON AND NORTHEAST OHIO. ESTABLISHED IN 1890 BY THE "KINGS DAUGHTERS," A GROUP OF WOMEN AFFILIATED WITH A LOCAL CHURCH, CHILDREN'S HAS GROWN FROM A TWO-ROOM DAY NURSERY TO A MO	ActivityOrMissionDescription
Nbr Voting Members Governing Body	30	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	22	NbrIndependentVotingMembers
Total Nbr Employees	4606	TotalNbrEmployees
Total Nbr Volunteers	1578	TotalNbrVolunteers
Total Gross UBI	787471	TotalGrossUBI
Net Unrelated Business Txbl Income	37435	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	12936654	ContributionsGrantsPriorYear
Contributions Grants Current Year	11987714	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	452699780	ProgramServiceRevenuePriorYear
Program Service Revenue CY	499132527	ProgramServiceRevenueCY
Investment Income Prior Year	6318805	InvestmentIncomePriorYear
Investment Income Current Year	8304843	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4923759	OtherRevenuePriorYear
Other Revenue Current Year	4949800	OtherRevenueCurrentYear
Total Revenue Prior Year	476878998	TotalRevenuePriorYear
Total Revenue Current Year	524374884	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	716380	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	929976	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	267481506	SalariesEtcPriorYear
Salaries Etc Current Year	301345837	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	173388415	OtherExpensePriorYear
Other Expenses Current Year	179468507	OtherExpensesCurrentYear
Total Expenses Prior Year	441586301	TotalExpensesPriorYear
Total Expenses Current Year	481744320	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	35292697	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	42630564	RevenuesLessExpensesCY
Total Assets BOY	622241602	TotalAssetsBOY
Total Assets EOY	670261351	TotalAssetsEOY
Total Liabilities BOY	270588305	TotalLiabilitiesBOY
Total Liabilities EOY	341111375	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	351653297	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	329149976	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	PART 1, LINE 1 AND PART III, LINE 1 THE MISSION OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON IS TO PROVIDE QUALITY MEDICAL AND SURGICAL CARE FOR BABIES, CHILDREN, ADOLESCENTS, AND BURN VICTIMS OF ALL AGES, REGARDLESS OF ABILITY TO PAY; MULTI-LEVEL PROFESSIONAL EDUCATION FOR STUDENTS OF MEDICINE, NURSING AND VARIOUS ALLIED HEALTH PROFESSIONALS; BASIC AND CLINICAL RESEARCH INTO THE CAUSES, TREATMENT AND CURE OF CHILDHOOD ILLNESS, INJURY AND BURN INJURY; COMMUNITY SERVICE INTENDED TO IMPROVE HEALTH STATUS THROUGH LAY EDUCATION; CHILD AND FAMILY ADVOCACY EFFORTS TO IMPROVE THE STATUS OF CHILDREN AND ADOLESCENTS IN OUR REGION OF SERVICE. CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON (CHILDREN'S) IS AN INDISPENSABLE, INTEGRATED PEDIATRIC HEALTHCARE DELIVERY SYSTEM SERVING INFANTS, CHILDREN, ADOLESCENTS, AND ADULTS IN AKRON AND NORTHEAST OHIO. ESTABLISHED IN 1890 BY THE "KINGS DAUGHTERS," A GROUP OF WOMEN AFFILIATED WITH A LOCAL CHURCH, CHILDREN'S HAS GROWN FROM A TWO-ROOM DAY NURSERY TO A MO	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	114352252	Expense
Revenue	90638650	Revenue
Description	PROGRAM ACHIEVEMENT 1 - SUBSPECIALTY PHYSICIANS: IN KEEPING WITH CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON'S MISSION TO PROVIDE QUALITY MEDICAL AND SURGICAL CARE FOR BABIES, CHILDREN, ADOLESCENTS, AND BURN VICTIMS OF ALL AGES, REGARDLESS OF THE ABILITY TO PAY, CHILDREN'S OFFERS UNIQUE SERVICES IN A BROAD RANGE OF PEDIATRIC SUBSPECIALTIES AS DESCRIBED HEREIN. SOME OF CHILDREN'S SUBSPECIALTY AREAS INCLUDE: AMBULATORY SERVICES, HEART CENTER, NEUROSURGERY, SEDATION SERVICE, ENT, MATERNAL FETAL MEDICINE, CARE CENTER, GASTROENTEROLOGY, SPORTS MEDICINE, NEUROLOGY, NDC BEHAVIORAL, NEPHROLOGY, ENDOCRINOLOGY, ADOLESCENT (CONTINUED ON SCHEDULE O) CONTINUED FROM PART III, LINE 4A) MEDICINE, INFECTIOUS DISEASES, HEMATOLOGY SERVICES, PULMONARY MEDICINE, DEVELOPMENTAL PEDIATRICS, PALLIATIVE CARE PROGRAM, OAK ADOPTIVE HEALTH CENTER, LOCUST PEDIATRICS, DIAGNOSTIC REFERRAL GROUP, RHEUMATOLOGY, CLINICAL PHARMACOLOGY AND TOXICOLOGY, PSYCHIATRIC SERVICES, GENETICS, DEPARTMENT OF PEDIATRICS, CAST ROOM, ORTHOPEDICS, AND SKELETAL DYSPLASIS CENTER. ONE OF THE SUBSPECIALTY DEPARTMENTS, THE HEART CENTER, WHICH WAS ESTABLISHED IN MAY 2001, HAS SEEN NUMEROUS CONTRIBUTIONS AND ACCOMPLISHMENTS SINCE ITS INCEPTION. OF GREATEST IMPORTANCE IS THE ESTABLISHMENT AND MATURATION OF AN INTEGRATED, SERVICE-LINE ORGANIZATIONAL STRUCTURE. THIS HAS INFLUENCED ALL OTHER HEART CENTER INITIATIVES AND ACCOMPLISHMENTS OVER THE LAST TEN YEARS INCLUDING THE ESTABLISHMENT OF THE FOLLOWING SERVICES: -- CARDIAC SURGICAL SERVICES -- INTERVENTIONAL CARDIOLOGY -- MATERNAL FETAL CARDIOLOGY -- ADULT CONGENITAL CARDIOLOGY -- ELECTROPHYSIOLOGY CARDIOLOGY -- ADVANCED CARDIOLOGY IMAGERY -- OUTREACH CARDIOLOGY SERVICES -- CLINICAL CARDIOLOGY SERVICES (ECHO, EKG,STRESS TESTING) -- PREVENTIVE CARDIOLOGY OTHER MAJOR 2011 ACCOMPLISHMENTS OF THE HEART CENTER ARE: -- ADDED PEDIATRIC CARDIAC CLINICS, CARDIAC SURGERY AND FETAL ECHO CLINIC AT METROHEALTH HOSPITAL -- 2% GROWTH IN MAHONING VALLEY AT HEART CENTER BOARDMAN -- 6% OVERALL GROWTH IN HEART CENTER CLINIC VISITS THE HEART CENTER HAS ICAEL ACCREDITATION IN THE FOLLOWING: -- PEDIATRIC ECHOCARDIOGRAPHY -- PEDIATRIC TRANSTHORACIC ECHOCARDIOGRAPHY -- PEDIATRIC TRANESOPHAGEAL ECHOCARDIOGRAPHY -- FETAL ECHOCARDIOGRAPHY STATISTICS FOR THE HEART CENTER ARE AS FOLLOWS: 2011 2010 ------ ------ OUTPATIENT VISITS 13,935 10,732 CARDIAC PROCEDURES: CATH 263 271 SURGERY 120 150 ANOTHER SUBSPECIALTY IS THE PEDIATRIC DIALYSIS RENAL CARE CENTER, WHICH OPENED IN 1985. THIS IS THE ONLY FACILITY IN THE CHILDREN'S SERVICE AREA EQUIPPED TO TREAT BABIES, CHILDREN AND ADOLESCENTS SUFFERING FROM CHRONIC OR ACUTE KIDNEY FAILURE. STATE-OF-THE-ART KIDNEY DIALYSIS IS PERFORMED AT CHILDREN'S. DIALYSIS IS ALSO AVAILABLE TO TREAT PATIENTS WHO NEED RENAL SUPPORT WHILE THEY RECOVER FROM BURNS, POISONINGS OR OTHER SERIOUS ILLNESS OR INJURY. COMPREHENSIVE CARE FOR KIDNEY PATIENTS IS ASSURED BY THE USE OF A TEAM APPROACH UTILIZING THE SKILLS OF PHYSICIANS, NURSES, DIETICIANS, AND SOCIAL WORKERS. IN 1987, CHILDREN'S ESTABLISHED THE CHILDREN AT RISK EVALUATION (C.A.R.E) CENTER TO BETTER EVALUATE AND INITIATE TREATMENT FOR CHILDREN OF SUSPECTED PHYSICAL OR SEXUAL ABUSE AND NEGLECT. AT THE CENTER, A TEAM OF PHYSICIANS, NURSES, AND SOCIAL WORKERS SEE SCHEDULED PATIENTS REFERRED BY PRIVATE PHYSICIANS (LOCAL AND REGIONAL), POLICE DEPARTMENTS, JUVENILE DETECTIVES, THE CHILDREN'S SERVICES BOARD (SUMMIT AND OTHER COUNTIES) AND OTHER COMMUNITY AGENCIES. LOCATED NEAR EMERGENCY SERVICES, THE CENTER ACCOMODATES THESE CHILDREN BY PROVIDING A QUIET STRUCTURE AND UNHURRIED ATMOSPHERE FOR EXAMINATION AND INTERVIEW. IN ADDITION TO PROVIDING FORENSIC INTERVIEWS AND EXAMINATIONS TO BE USED PRIOR TO AND DURING COURT PROCEEDINGS, THE CENTER CAN VIDEOTAPE A CHILD'S TESTIMONY TO AVOID REPEATED AND OFTEN PAINFUL INTERVIEWS. THE C.A.R.E. TEAM ALSO PROVIDES CONSULTATION WHEN ABUSE IS SUSPECTED FOR A CHILD ON AN INPATIENT UNIT. IN 2007, CHILDREN'S EXPANDED SERVICES FOR ABUSED CHILDREN AND TEENS IN THE MAHONING VALLEY BY PURCHASING THE TRI-COUNTY CHILD ADVOCACY CENTER. THE CENTER NOT ONLY PROVIDES MEDICAL AND FORENSIC EVALUATIONS FOR CHILDREN SUSPECTED OF BEING PHYSICALLY OR SEXUALLY ABUSED, BUT IT ALSO PROVIDES MEDICAL EVALUATIONS FOR KIDS IN FOSTER CARE. IN OCTOBER, 2009, CHILDREN'S RECEIVED FEDERAL AMERICAN RECOVERY AND REINVESTMENT ACT (AARA) GRANT FUNDING OF 882,550 FOR THE EXPANSION OF THE C.A.R.E. CENTER SERVICES TO INCLUDE TRAUMA INTERVENTION SERVICES ("TIS") FOR CHILD CARE VICTIMS. THE PROJECT EXPANDED THE INFRASTRUCTURE OF C.A.R.E. TO INCLUDE TIS, THROUGH THE HIRING AND TRAINING OF ADDITIONAL STAFF AND THE DEVELOPMENT OF PSYCHOLOGICAL EDUCATIONAL MATERIALS FOR CHILDREN WHO HAVE BEEN VICTIMS OF CRIME AND THEIR FAMILIES. IT ALSO INCREASED THE PARTICIPATION OF VICTIMS IN THE CRIMINAL JUSTICE SYSTEM, AND CONSEQUENTLY, THE PROSECUTION OF CHILD PHYSICAL AND SEXUAL ABUSE. CHILDREN WHO ARE VICTIMS OF PHYSICAL OR SEXUAL ABUSE ARE IDENTIFIED BY REFERRAL FROM OUTSIDE AGENCIES, INCLUDING LAW ENFORCEMENT AGENCIES, CHILD PROTECTIVE SERVICES, PRIVATE PHYSICIANS, AND CHILDREN'S HOSPITAL EMERGENCY DEPARTMENT PERSONNEL AT ANY OF THE FOUR CHILDREN'S HOSPITAL MEDICAL CENTER EMERGENCY DEPARTMENT LOCATIONS. SERVICES PROVIDED INCLUDE IMMEDIATE TRAUMA-INFORMED, HOME-BASED CRISIS INTERVENTION MANAGEMENT, ADVOCACY THROUGHOUT THE CRIMINAL JUSTICE SYSTEM, AND PSYCHOSOCIAL EDUCATIONS FOR FAMILIES REGARDING TRAUMA SYMPTOMS AND TREATMENT. THIS PROJECT WAS AN EXPANSION OF A CURRENT SUCCESSFUL EVIDENCE-BASED PROGRAM MODEL, CHILDREN WHO WITNESS VIOLENCE, WHICH HAS SERVED OVER 2,200 CHILDREN WHO HAVE WITNESSED VIOLENCE AND THEIR FAMILIES WITH HOME-BASED TRAUMA INTERVENTION SERVICES. OHIO'S RATE OF CHILD ABUSE AND NEGLECT IS RANKED ELEVENTH IN THE NATION. RESEARCH HAS SHOWN THAT EXPOSURE TO TRAUMA MAY NEGATIVELY IMPACT THE PHYSICAL, MENTAL, AND EMOTIONAL DEVELOPMENT OF CHILDREN. CHILDREN'S HAS HAD SUCCESSFUL AND EXTENSIVE EXPERIENCE IN THE IMPLEMENTATION OF SERVICES TO PROVIDE TRAUMA FOR CHILDREN EXPOSED TO VIOLENCE; THE EXPANSION OF THE C.A.R.E. CENTER WILL BUILD UPON THIS MODEL. A COMPONENT OF THE DIVISION OF HEMATOLOGY/ONCOLOGY, THE OHIO REGIONAL VI COORDINATED SICKLE CELL PROGRAM AT CHILDREN'S SERVES ADULTS AND CHILDREN IN SEVERAL NORTHEAST OHIO COUNTIES. THE GRANT FUNDED PROGRAM PLAYS AN IMPORTANT ROLE IN IMPROVING THE TREATMENT AND EDUCATION OF PERSONS WITH THE SICKLE CELL TRAIT IN THE REGION. IN ADDITION TO MEDICAL CARE, SUPPORT SERVICES INCLUDE DISEASE EDUCATION, PERSONAL AND CAREER COUNSELING AND FINANCIAL COUNSELING ARE OFFERED. ALSO INCORPORATED IN THE SICKLE CELL CLINIC ARE GENETIC AND PSYCHOSOCIAL COUNSELING SERVICES. THE PROGRAM COORDINATES ACTIVITIES OF SICKLE CELL SERVICE AGENCIES THROUGHOUT REGION VI AND PROVIDES EDUCATION PROGRAMS FOR THE GENERAL PUBLIC, AT-RISK GROUPS AND HEALTH CARE PROVIDERS. CHILDREN'S HEMOSTASIS AND THROMBOSIS CENTER PROVIDES DIAGNOSTIC AND TREATMENT SERVICES TO CHILDREN AND ADULTS WITH INHERITED BLEEDING AND CLOTTING DISORDERS. THE CENTER IS RECOGNIZED BY THE FEDERAL DEPARTMENT OF MATERNAL AND CHILD HEALTH AS A REGIONAL COMPREHENSIVE CENTER. THE CENTER IS STAFFED BY BOARD-CERTIFIED HEMOTOLOGISTS, NURSE CLINICIANS, NURSE EDUCATOR, SOCIAL SERVICE STAFF, AN ORTHOPEDIST AND A PHYSICAL THERAPIST. IN ADDITION TO PROVIDING MEDICAL ASSESSMENT/TREATMENT THROUGH THE CANCER AND BLOOD DISORDERS CLINIC, THE STAFF PROVIDES COUNSELING AND TEACHING SERVICES. THE HOSPITAL ALSO OPERATES A CLINIC IN MILLERSBURG, OHIO, TO SERVE THE AMISH/MENNONITE COMMUNITY. CLINICAL TRIALS ARE AVAILABLE TO INDIVIDUALS WITH HEREDITARY COAGULATION DISORDERS ENROLLED IN THE CENTER, IN CONJUNCTION WITH PHARMACEUTICAL COMPANIES, THE CDC, THE NATIONAL HEMOPHILIA FOUNDATION, AND OTHER RESEARCH AGENCIES. CHILDREN'S OFFERS A COMPREHENSIVE CLINICAL TREATMENT CENTER FOR CHILDREN WITH ALL TYPES OF CANCER AND BLOOD DISORDERS. HIGHLY SPECIALIZED TEAMS CARE FOR CHILDREN AND TEENS WITH ALL TYPES OF CHILDHOOD CANCERS, SICKLE CELL DISEASE, HEMOGLOBINOPATHIES, AND BLEEDING/CLOTTING DISORDERS, AS WELL AS THOSE WHO REQUIRE STEM CELL/BONE MARROW TRANSPLANTATION. CHILDREN'S INPATIENT CANCER AND BLOOD DISORDERS UNIT HAS 20 PRIVATE ROOMS WITH SOOTHING NATURAL LIGHT AND BRIGHT COLORS. THERE ARE ROOMING-IN ACCOMODATIONS SO ONE PARENT MAY STAY WITH A CHILD AT ALL TIMES. CHILDREN'S OUTPATIENT CANCER AND BLOOD DISORDERS CLINIC HAS 12 TREATMENT AND EXAM ROOMS, INCLUDING THOSE OUTFITTED FOR CHILDREN WHO REQUIRE SPECIAL ISOLATION. CHILDREN'S CARES FOR MORE PATIENTS WITH HEMOPHILIA B (FACTOR IX DEFICIENCY) THAN ANY OTHER HOSPITAL IN THE COUNTRY. CHILDREN'S CANCER PROGRAM HAS BEEN RECOGNIZED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER AS A "PEDIATRIC TEACHING HOSPITAL CANCER PROGRAM." THE DIVISION OF DEVELOPMENTAL PEDIATRICS PROVIDES DIAGNOSTIC EVALUATIONS AND TREATMENT FOR CHILDREN WITH DEVELOPMENTAL DISORDERS, E.G. SPINA BIFIDA, CEREBRAL PALSY, MENTAL RETARDATION AND AUTISM. THE STAFF WORKS WITH TEAMS OF ALLIED PROFESSIONALS BOTH IN THE HOSPITAL AN	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	88978400	Expense
Revenue	140896319	Revenue
Description	PROGRAM ACHIEVEMENT 2 - INPATIENT SERVICES: 2011 2010 ---- ---- TOTAL INPATIENT DAYS 69,991 60,450 AKRON CHILDREN'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 ACCOMODATIONS FOR OVERNIGHT STAY BY PARENTS, ARE BASED UPON THE CONCEPT OF FAMILY-CENTERED (CONTINUED ON SCHEDULE O) CONTINUED FROM PART III, LINE 4B) 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 SOME OF THE FOLLOWING DIVISIONS: NEONATAL INTENSIVE CARE UNIT, PEDIATRIC INTENSIVE CARE UNIT, PSYCHIATRIC CARE, REGIONAL BURN CENTER, TRAUMA SERVICES. A 59-BED REGIONAL NEONATAL INTENSIVE CARE UNIT (NICU) WAS OPENED IN 1993. THE NICU IS DESIGNATED THE LEVEL III TERTIARY NEONATAL UNIT IN OHIO'S PERINATAL REGION VI. A FULL STAFF OF MEDICAL, NURSING, AND OTHER HEALTH CARE PROFESSIONALS CARE FOR HIGH-RISK INFANTS IN ONE OF THE MOST ADVANCED FACILITIES IN THE NATION. A NEONATOLOGIST IS PRESENT IN-HOUSE AND AROUND THE CLOCK, SEVEN (7)DAYS A WEEK FOR REFERRAL AND CONSULTATION. A TRANSPORT TEAM FROM THE NICU IS ALSO AVAILABLE AT ALL TIMES FOR TRANSFER OF PATIENTS BY AMBULANCE OR HELICOPTER FROM ANY ONE OF THE THIRTY-FIVE(35) NETWORK HOSPITALS IN THE AREA. THE LEVEL III UNIT IS DIVIDED INTO TWO SECTIONS: (1) INTENSIVE CARE AND (2) SUB-INTENSIVE CARE. SUB-INTENSIVE CARE INCLUDES CONVALESCENT CARE FOR BABIES READY TO GO HOME, AS WELL AS TRANSITIONAL LEVEL CARE FOR BABIES WHO HAVE BEEN HERE FOR AN EXTENDED PERIOD OF TIME. IN SEPTEMBER 2002, CHILDREN'S ENTERED INTO A LEASE AGREEMENT WITH AKRON GENERAL MEDICAL CENTER FOR THE OPERATIONS OF A 17 BED, LEVEL II SPECIAL CARE NURSERY. ALTHOUGH LOCATED AT AKRON GENERAL MEDICAL CENTER, THOSE PATIENTS TREATED ARE PATIENTS OF CHILDREN'S. CHILDREN'S IS RESPONSIBLE FOR THE MEDICAL AND TREATMENT CARES RENDERED TO THESE PATIENTS USING THE HEALTHCARE KNOWLEDGE AND TECHNIQUES DEVELOPED AND UTILIZED AT CHILDREN'S MAIN CAMPUS. DURING 2007, CHILDREN'S AND ST. ELIZABETH'S HOSPITAL, YOUNGSTOWN, OHIO ("HMHP")PURCHASED FROM FORUM HEALTH SYSTEM CERTAIN INPATIENT AND OUTPATIENT FACILITIES AND RESIDENTIAL REALTY LOCATED IN BOARDMAN, OHIO ("BEEGHLY CAMPUS"). CHILDREN'S AND HMHP ENTERED INTO AN AGREEMENT TO PROVIDE PEDIATRIC SERVICES ON THE ST. ELIZABETH CAMPUS IN YOUNGSTOWN, OHIO UNTIL THE BEEGHLY CAMPUS WAS CONVERTED INTO FACILTIES APPROPRIATE FOR PEDIATRIC INPATIENT, OUTPATIENT AND EMERGENCY SERVICES. IN DECEMBER 2009, THE BOARD OF DIRECTORS AND HMHP AGREED TO HAVE ONLY CHILDREN'S OWN AND OPERATE THE BEEGHLY CAMPUS. PATIENT CARE SERVICES AT THE BEEGHLY CAMPUS COMMENCED IN DECEMBER 2008, AND IS NOW KNOWN AS AKRON CHILDREN'S HOSPITAL MAHONING VALLEY. TOTAL NICU PATIENT DAYS WERE AS FOLLOWS: 2011 2010 ----- ------ NEONATAL AT AKRON 19,078 16,011 NEONATAL AT AGMC 3,822 3,814 NEONATAL AT ST. E'S 6,016 5,478 NEONATAL AT BEEGHLY 3,898 2,905 THE DIVISION OF PEDIATRIC CRITICAL CARE IS RESPONSIBLE FOR OVERSEEING AND DELIVERING CARE IN THE PEDIATRIC INTENSIVE CARE UNIT (PICU). EACH YEAR, THE PICU CARES FOR ABOUT 1,300 CHILDREN AND TEENS IN NORTHEAST OHIO WITH LIFE-THREATENING MEDICAL AND SURGICAL PROBLEMS. THE 25,200 SQUARE-FOOT PEDIATRIC INTENSIVE CARE UNIT INCLUDES 23 PRIVATE ROOMS WITH COMFORTABLE PULL-OUT SOFAS TO ENCOURAGE PARENTS TO STAY OVERNIGHT. TOTAL PATIENT DAYS WERE 18,512 AND 17,896 IN 2011 AND 2010, RESPECTIVELY. SINCE 1978, THE BURN INSTITUTE HAS PROVIDED SPECIALIZED CARE FOR BURN VICTIMS OF ALL AGES THROUGHOUT NORTHEASTERN OHIO. AKRON CHILDREN'S IS ONE OF ONLY TWO PEDIATRIC HOSPITALS IN THE COUNTRY THAT TREAT ADULT BURN PATIENTS. THE BURN INSTITUTE 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.EACH YEAR, MORE THAN 250 BURN VICTIMS ARE ADMITTED TO AKRON CHILDREN'S BURN CENTER, WHICH FEATURES 12 PRIVATE PATIENT ROOMS WITH BATHROOMS AND ROOMING-IN ACCOMODATIONS FOR ONE PARENT OR FAMILY MEMBER. EACH ROOM IS DIVIDED INTO ZONES DESIGNED TO MEET THE NEEDS OF THE PATIENT, FAMILY AND BURN CARE TEAM. THE UNIT ALSO HAS A TREATMENT ROOM, PHYSICAL THERAPY ROOM, OPERATING ROOM AND TUB ROOM. THE BURN CENTER COMPREHENSIVELY TREATS SERIOUSLY BURN VICTIMS BY COMBINING THE SKILLS OF PHYSICIANS, NURSES, OCCUPATIONAL THERAPISTS, PHYSICAL THERAPISTS, DIETICIANS, SOCIAL WORKERS, RESPIRATORY THERAPISTS, PSYCHOLOGISTS AND PSYCHIATRISTS. 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 2,578 AND 2,247 FOR 2011 AND 2010, RESPECTIVELY. THE DIVISION OF EMERGENCY/TRAUMA SERVICES AT CHILDREN'S 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 99,232 VISITS DURING 2011. A FULL-TIME ATTENDING PEDIATRIC EMERGENCY MEDICINE SPECIALIST IS ON DUTY TWENTY-FOUR(24) HOURS A DAY INVOLVED IN THE DIRECT CARE OF PATIENTS AND TEACHING FELLOWS, RESIDENTS, AND MEDICAL STUDENTS. THE DIVISION OF EMERGENCY/TRAUMA BOASTS ONE OF THE NATION'S FIRST AND MOST SUCCESSFUL SUTURE PROGRAMS USING SPECIALLY TRAINED TECHNICIANS AND NURSES TO DO MOST OF THE SUTURING OF LACERATIONS IN THE EMERGENCY SETTING. THEY SEE BETWEEN 400 AND 750 PATIENTS PER MONTH WHO NEED STITCHES. ROUNDING OUT THE SPECIALIZED MEDICAL CARE IN THE ED ARE CHILD LIFE SPECIALISTS WHO ARE ACCUSTOMED TO EXPLAINING PROCEDURES TO CHILDREN AND COMFORTING PARENTS; SOCIAL WORKERS TRAINED TO IDENTIFY NEEDS OF FAMILIES AND POINT THEM TO HELPFUL SERVICES; AND CHAPLAINS AND BEREAVEMENT STAFF WHO ARE ALWAYS ON CALL. AKRON CHILDREN'S HOSPITAL IS VERIFIED AS A 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.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	62899500	Expense
Revenue	133924322	Revenue
Description	PROGRAM ACHIEVEMENT 3 - ANCILLARY: SOME OF THE KEY DEPARTMENTS OF ANCILLARY INCLUDE: CENTRALIZED CORE LAB, MICROBIOLOGY/VIROLOGY LABS,CYTOGENETICS, RADIOLOGY DIAGNOSTIC IMAGING, RADIOLOGY MRI,RADIOLOGY CT, RADIOLOGY ULTRASOUND, RADIOLOGY NUCLEAR MEDICINE, PHYSICAL THERAPY, SPEECH PATHOLOGY, AUDIOLOGY, OCCUPATIONAL THERAPY. THE CENTRALIZED CORE LAB INCLUDES THE CHEMISTRY, HEMATOLOGY, COAGULATION, URINALYSIS, SPECIAL CHEMISTRY AND BLOOD BANK LABORATORIES. THE CHEMISTRY ANALYZERS TEST FOR MORE THAN 60 DIFFERENT SUBSTANCES FOUND IN BLOOD, URINE (CONTINUED ON SCHEDULE O) CONTINUED FROM PART III, LINE 4C) AND CEROBROSPINAL FLUID SPECIMENS. IN ADDITION TO ROUTINE CHEMISTRIES, TESTING IS PERFORMED FOR THERAPEUTIC AND IMMUNOSUPPRESIVE DRUG MONITORING. SWEAT CHLORIDE ANALYSIS IS PERFORMED TO SCREEN FOR CYSTIC FIBROSIS. THE HEMATOLOGY SECTION RUNS ANALYSIS ON THE CELLULAR COMPONENTS OF THE BLOOD. CELL COUNTS ARE PERFORMED USING AUTOMATED INSTRUMENTS WHILE CELL MORPHOLOGY IS CONFIRMED BY DOING MANUAL EXAMINATIONS OF STAINED BLOOD SMEARS. SPECIAL HEMATOLGY EXAMS, AS WELL AS ROUTINE AND SPECIAL COAGULATION TESTING IS ALSO PERFORMED IN THE HEMATOLOGY LABORATORY. INSTRUMENTS ARE SELECTED TO USE THE SMALLEST AMOUNTS OF BLOOD FOR TESTING IN ORDER TO MINIMIZE BLOOD LOSS FROM OUR PEDIATRIC PATIENTS. SPECIALIZED ASSAYS ARE PERFORMED TO AID IN THE DIAGNOSIS OF HEMATOLOGICAL AND COAGULATION DISORDERS. LEAD TESTING IS PERFORMED IN THE SPECIAL CHEMISTRY LABORATORY. OTHER TESTS PERFORMED IN SPECIAL CHEMISTRY INCLUDE PRENATAL TESTING FOR DOWN'S SYNDROME AND NEURAL TUBE DEFECTS AS WELL AS THYROID AND OTHER HORMONES. IN ADDITION TO THE CCL, LABORATORY SERVICES ARE PROVIDED BY THE INFECTIOUS DISEASE LABORATORIES (MICROBIOLOGY, VIROLOGY, IMMUNOLOGY, AND MOLECULAR DIAGNOSTICS). THESE SERVICES INCLUDE THE IDENTIFICATION OF BACTERIA AND VIRUSES BY CONVENTIONAL CULTURE TECHNIQUES, RAPID SHELL VIAL AND DIRECT IMMUNOFLOURESCENCE STAINS, AND AMPLIFIED NUCLEIC ACID PROBE ASSAYS. THE MOLECULAR DIAGNOSTIC LABORATORY ALSO PERFORMS GENETIC ASSAYS FOR CYSTIC FIBROSIS MUTATIONS AND FOR THE MUTATIONS THAT CAUSE HYPERCOAGULABILITY. THE CYTOGENETIC LABORATORY PERFORMS KARYOTYPES AND FISH (IN-SITU HYBRIDIZATION) TO DETECT CHROMOSOME ABNORMALITIES. ANATOMIC PATHOLOGY SERVICES INCLUDE SURGICAL PATHOLOGY, RENAL, NERVE, AND MUSCLE, PLACENTAL PATHOLOGY AND AUTOPSY SERVICES. THE ANATOMIC PATHOLOGY LABORATORY HAS A STATE OF THE ART JEOL SCANNING ELECTRON MISCROSCOPE TO AID IN THE DIAGNOSIS AT THE SMALLEST CELLULAR LEVEL. THE RADIOLOGY DIVISION AT AKRON CHILDREN'S HOSPITAL PERFORMS A FULL SPECTRUM OF DIAGNOSTIC IMAGING PROCEDURES INCLUSIVE OF DIAGNOSTIC/FLUOROSCOPIC XRAYS, CT, NUCLEAR MEDICINE, ULTRASOUND, AND MRI. THE RADIOLOGY DIVISION IS STAFFED WITH LICENSED DIAGNOSTIC IMAGING TECHNOLOGISTS AND ALL OUR PEDIATRIC IMAGING PROCEDURES ARE READ BY QUALIFIED PEDIATRIC RADIOLOGISTS WITH BOARD CERTIFICATION AND CAQ CREDENTIALS INCLUSIVE OF EXPERTISE IN SPECIFIC RADIOLOGY SUBSPECIALTY AREAS OF IMAGING. IN DECEMBER 2008, AKRON CHILDREN'S OPENED OUR 32-BED ACUTE CARE AKRON CHILDREN'S HOSPITAL IN MAHONING VALLEY, SERVING THE NEEDS OF PEDIATRIC PATIENTS IN THE YOUNGSTOWN AND SURROUNDING AREAS. WE OPENED A FULLY-EQUIPPED RADIOLOGY DEPARTMENT WHICH INCLUDES ALL DIAGNOSTIC IMAGING SERVICES THAT ARE OFFERED ON OUR MAIN AKRON CAMPUS. CHILDREN'S HOSPITAL MEDICAL CENTER'S PHYSICAL AND OCCUPATIONAL THERAPISTS ARE DEVOTED TO PROVIDING QUALITY CARE IN THE HOSPITAL AND TO OUTPATIENTS, SCHOOLS AND COMMUNITY PROGRAMS. OUR STAFF OF PEDIATRIC THERAPISTS CAN PROVIDE SPECIALIZED TREATMENT FROM BIRTH TO AGE 21. WE ARE AFFILIATED WITH NINE UNIVERSITIES FOR TEACHING OF STUDENTS. INCORPORATING THE SUPPORT OF FAMILIES AND SKILLS OF VARIOUS MEDICAL PROFESSIONALS AT CHILDREN'S, THE OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEECH, AUDIOLOGY, AND SOCIAL SERVICES STAFFS STRIVE TO PROVIDE PATIENTS WITH THE SKILLS NEEDED TO OVERCOME A VARIETY OF DEVELOPMENTAL, PHYSICAL, AND EMOTIONAL DISABILITIES. THE FAMILY CHILD LEARNING CENTER(FCLC), A COOPERATIVE EFFORT OF CHILDREN'S AND KENT STATE UNIVERSITY, OFFERS A HOST OF THERAPY AND EDUCATIONAL SERVICES TO HANDICAPPED INFANTS, PRESCHOOLERS AND THEIR FAMILIES. THERAPISTS AND EDUCATORS WORK TOGETHER TO SIGNIFICANTLY ENHANCE THE DEVELOPMENT OF THESE CHILDREN AT AN EARLY AGE. FCLC PROVIDES AN EDUCATIONAL TRAINING GROUND FOR GRADUATE STUDENTS IN EDUCATION, SPEECH PATHOLOGY, MOTOR LEARNING AND PHYSICAL AND OCCUPATIONAL THERAPY.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	114364538	Expense
Grants	929976	Grants
Revenue	133673236	Revenue
Description	CHILDREN'S OPERATES ONE OF THE LARGEST PEDIATRIC PRIMARY CARE NETWORKS WITH 17 OFFICES IN SEVEN COUNTIES INCLUDING CUYAHOGA, MEDINA, WAYNE, TUSCAWARAS AND PORTAGE. THE PEDIATRICIANS AND STAFF AT AKRON CHILDREN'S HOSPITAL PEDIATRICS MAINTAIN COOPERATIVE RELATIONSHIPS WITH MANY AREA HEALTH PROVIDERS, INCLUDING SEVERAL HOSPITALS. PATIENT CARE IS AVAILABLE 24 HOURS A DAY THROUGH THE PHYSICIAN OFFICE; CHILDREN'S AFTER HOURS, A 24-HOUR NURSE TRIAGE PHONE LINE; AND AKRON CHILDREN'S HOSPITAL. BY SHARING INFORMATION BETWEEN OUR OFFICES AND WITH AREA HEALTH CARE PROVIDERS, WE ENSURE THAT ALL CHILDREN RECEIVE THE FINEST CARE -- FROM PREVENTIVE CHECKUPS TO TREATMENT FOR CHRONIC HEALTH PROBLEMS. AKRON CHILDREN'S HOSPITAL PEDIATRICS VISITS WERE 269,761 AND 243,488 FOR 2011 AND 2010 RESPECTIVELY. THE SURGICAL SERVICES DEPARTMENT AT CHILDREN'S MEDICAL HOSPITAL OF AKRON PERFORMS MORE THAN 14,000 GENERAL AND SPECIALIZED SURGICAL PROCEDURES EACH YEAR--RANGING FROM UNCOMPLICATED TONSILLECTOMIES TO NEUROSURGERY, OPEN HEART, ORTHOPEDIC, AND PLASTIC AND RECONSTRUCTIVE SURGERY. CHILDREN'S PERFORMS MORE PEDIATRIC SURGERIES THAN ANY OTHER HOSPITAL IN NORTHEASTERN OHIO. THE ENTIRE STAFF AT CHILDREN'S, FROM PEDIATRIC SURGEONS TO PEDIATRIC ANESTHESIOLOGISTS AND NURSES ARE CAREFULLY TRAINED IN MEETING THE UNIQUE SURGICAL NEEDS AND CONCERNS OF CHILDREN AND THEIR FAMILIES. THE PEDIATRIC ANESTHESIOLOGISTS ARE EXPERIENCED AT HELPING A CHILD GO TO SLEEP WITH AS LITTLE ANESTHESIA AS POSSIBLE. THEY UNDERSTAND THE MEDICAL DIFFERENCES BETWEEN CHILDREN AND ADULTS. SPECIAL EQUIPMENT AND TECHNIQUES SUITED TO THE SIZE OF THE PATIENT, FROM INFANTS TO YOUNG ADULTS, HELP ASSURE SUCCESSFUL OUTCOMES TO THE SURGERY AND ANESTHESIA. IN ADDITION, CHILD LIFE SPECIALISTS GIVE PRE-SURGERY TOURS ONCE A WEEK TO PREPARE CHILDREN (AND PARENTS) FOR WHAT THEY EXPECT TO SEE, HEAR, FEEL, TASTE OR SMELL. CHILDREN'S HAS NINE STATE-OF-THE-ART OPERATING ROOMS. TWO ARE DEDICATED TO MINIMALLY INVASIVE SURGERY WITH A VOICE ACTIVATED SYSTEM TO CONTROL THE OR'S. THERE ARE ALSO OPERATING SUITES DEDICATED TO NEUROSURGERY AND HEART SURGERY. BETWEEN 75-80% OF SURGERIES ARE DONE ON AN OUTPATIENT BASIS, WHICH HAS PROVEN TO BE NOT ONLY MEDICALLY SAFE BUT PSYCHOLOGICALLY BENEFICIAL FOR CHILDREN. 2011 2010 ----- ------ SURGICAL PATIENTS - INPATIENT 3,098 2,541 SURGICAL PATIENTS - OUTPATIENT 10,916 11,536	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	114364538	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	929976	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	133673236	TotalOfOtherProgramServiceRev
Total Program Service Expense	380594690	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	true	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	259	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	4606	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	30	NbrVotingGoverningBodyMembers
Number Independent Voting Members	22	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	ALICIA LAMANCUSA VP FINANCE	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3305438171	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	ONE PERKINS SQUARE	AddressLine1
City	AKRON	City
State	OH	State
ZIP Code	44308	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (46 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
WILLIAM CONSIDINE
DIRECTOR/PRE	40.00	X	X	1541294	0	232620
NORMAN CHRISTOPHER MD
CHAIRMAN, DE	40.00	X		401302	0	114879
SARAH FRIEBERT MD
DIRECTOR, PA	40.00	X		271377	0	70019
JEFFREY HORD
DIRECTOR, HE	40.00	X		257875	0	87569
ROBERT STONE MD
ASST CHAIR,	40.00	X		117700	0	23036
VIRGINIA ALBANESE
DIRECTOR	3.00	X		0	0	0
ROBERT BERK
DIRECTOR	4.00	X		0	0	0
SUSAN BERK
DIRECTOR	14.00	X		0	0	0
PATRICIA GRANT
DIRECTOR	1.00	X		0	0	0
RICHARD GRIGG
DIRECTOR/CHA	21.00	X	X	0	0	0
KATHY LANE
DIRECTOR	14.00	X		0	0	0
WILLIAM HOPKINS
DIRECTOR	5.00	X		0	0	0
OTIS HOWER
DIRECTOR	4.00	X		0	0	0
DUANE ISHAM
DIRECTOR	13.00	X		0	0	0
ESTELLE KAUFMAN
DIRECTOR	8.00	X		0	0	0
DALE KOBLENZER
DIRECTOR	7.00	X		0	0	0
SUSAN KOROLY
DIRECTOR/SEC	14.00	X	X	0	0	0
SCOTT LEVIN
DIRECTOR	4.00	X		0	0	0
PAULA MALONE
DIRECTOR	16.00	X		0	0	0
PHILIP MAYNARD
DIRECTOR	16.00	X		0	0	0
GREG MCDERMOTT
DIRECTOR	10.00	X		0	0	0
STEPHEN MYERS
DIRECTOR/VIC	8.00	X	X	0	0	0
RICHARD ROGERS
DIRECTOR	3.00	X		0	0	0
DONALD SCHNEIDER
DIRECTOR	3.00	X		0	0	0
DAVID SHOWERS
DIRECTOR	3.00	X		0	0	0
ROBERT TRABUCCO
DIRECTOR	2.00	X		0	0	0
HONORABLE JUDGE JAMES WILLIAMS
DIRECTOR	4.00	X		0	0	0
WILLIAM WOOLDREDGE
DIRECTOR	10.00	X		0	0	0
DARREN WELLS
DIRECTOR	3.00	X		0	0	0
VIVIAN CELESTE NEAL
DIRECTOR	1.00	X		0	0	0
MARK WATSON
REG NETWORK	40.00		X	697079	0	128335
SHAWN LYDEN
EXEC VP/GEN	40.00		X	484345	0	31401
GRACE WAKULCHIK
COO	40.00		X	368005	0	142783
MICHAEL TRAINER
CFO	40.00		X	356031	0	33802
THOMAS OGG
CIO	40.00			272373	0	18410	X
WALTER SCHWOEBLE
VP, HR	40.00			233662	0	25785	X
LISA AURILIO
VP, PATIENT	40.00			208876	0	42287	X
SHARON HRINA
VP, MAHONING	40.00			193012	0	65787	X
LINDA GENTILE
VP, PROF/SUP	40.00			192372	0	97607	X
MEREDITH SLOSBERG
VP SURG SUBS	40.00			191682	0	69836	X
CYNTHIA DORMO
VP, DEPT OF	40.00			189774	0	142244	X
ROGER HUDGINS
DIRECTOR, NE	40.00			1670332	0	14905		X
ANTON MILO MD
DIRECTOR, EN	40.00			1346996	0	18069		X
PHILIP SMITH MD
DIRECTOR, HE	40.00			1060823	0	93317		X
ROBERT PARRY
SURGEON	40.00			732861	0	16500		X
DENNIS WEINER MD
ORTHOPEDIC P	40.00			726459	0	87418		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	11514230	TotalReportableCompFromOrg
Total Other Compensation	1556609	TotalOtherCompensation
Number Individuals GT100 K	349	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ANESTHESIA FOR CHILDREN
2725 PADDOCK DRIVE	AKRON	OH	44333	PHYS. SERVICES	1342650
AKRON PEDIATRIC SURGICAL ASSOCIATION
300 LOCUST ST	AKRON	OH	44302	PHYS. SERVICES	1209960
DEARBORN ADVISORS
PO BOX 66391	CHICAGO	IL	606660391	CONSULTING	872818
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	753972633	PHYS. SERVICES	866728
MEDQUIST
P O BOX 10832	NEWARK	NJ	071930832	WORD PROCESSING	673146

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	28	NumberOfContractorsGT100K
Fundraising Events	523626	FundraisingEvents
Related Organizations	7994191	RelatedOrganizations
Government Grants	2654882	GovernmentGrants
All Other Contributions	815015	AllOtherContributions
Total Contributions	11987714	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INPATIENT SERVICES	900099	140896319	140896319
ANCILLARY	621500	133924322	133924322
OTHER NET PATIENT SVCS	900099	121747888	121747888
SUBSPECIALTY PHYSICIANS	900099	90638650	90638650
MISC DEPARTMENT INCOME	900099	11925348	11925348

Field	Value	IRS element (for citing)
Total Program Service Revenue	499132527	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3922517	TotalRevenueColumn
Exclusion	$3,922,517	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	137183243	Securities
Other	35469	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	132445033	Securities
Other	391353	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	4738210	Securities
Other	-355884	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	4382326	TotalRevenueColumn
Exclusion	$4,382,326	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	955719	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	523626	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	907412	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	48307	TotalRevenueColumn
Exclusion	$48,307	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA	722210	3087537	$3,087,537
PARKING DECK	812930	1026485	$1,026,485
PHARMACY	446110	604530		604530

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	182941	TotalRevenueColumn
Unrelated Business Revenue	182941	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	4901493	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	524374884	TotalRevenueColumn
Related Or Exempt Function Income	499132527	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	787471	UnrelatedBusinessRevenue
Exclusion	$12,467,172	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	929976	Total
Program Services	929976	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	7303163	Total
Program Services	2478435	ProgramServices
Management And General	4824728	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	78801	Total
Management And General	78801	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	231123340	Total
Program Services	205720908	ProgramServices
Management And General	25402432	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	15571310	Total
Program Services	13884741	ProgramServices
Management And General	1686569	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	31839543	Total
Program Services	25666389	ProgramServices
Management And General	6173154	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	15429680	Total
Program Services	13330950	ProgramServices
Management And General	2098730	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1037153	Total
Program Services	81290	ProgramServices
Management And General	955863	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	322279	Total
Management And General	322279	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	113000	Total
Management And General	113000	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	413418	Total
Management And General	413418	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	30955111	Total
Program Services	24549225	ProgramServices
Management And General	6405886	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	5700541	Total
Program Services	196238	ProgramServices
Management And General	5504303	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	12053271	Total
Program Services	10024915	ProgramServices
Management And General	2028356	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	5513579	Total
Management And General	5513579	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	9574710	Total
Program Services	4584429	ProgramServices
Management And General	4990281	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	4188749	Total
Program Services	2284945	ProgramServices
Management And General	1903804	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5251673	Total
Management And General	5251673	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	31477931	Total
Program Services	13498828	ProgramServices
Management And General	17979103	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	9819287	Total
Program Services	9819287	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL/SURGICAL SUPPLIES	40797109	40676491	120618
EQUIP RENTAL/MAINTENANCE	12745829	4462146	8283683
PROV FOR FRANCHISE FEE	5996855	5996855
PROVISION FOR HCAP-ANCILL	726755	726755

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2781257	Total
Program Services	1681887	ProgramServices
Management And General	1099370	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	481744320	Total
Program Services	380594690	ProgramServices
Management And General	101149630	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	26780	BOY
EOY	21523	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	9954545	BOY
EOY	21420755	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	53708369	BOY
EOY	69192322	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	16257295	BOY
EOY	9017033	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4449131	BOY
EOY	4837285	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5629504	BOY
EOY	6063519	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	536325055	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	320830240	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	210033512	BOY
EOY	215494815	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	223106583	BOY
EOY	239620420	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	5431588	BOY
EOY	7727125	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	93644295	BOY
EOY	96866554	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	622241602	BOY
EOY	670261351	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	60357892	BOY
EOY	68637587	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	113756581	BOY
EOY	110664934	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	96473832	BOY
EOY	161808854	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	270588305	BOY
EOY	341111375	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	313230050	BOY
EOY	284572794	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	29184058	BOY
EOY	34384801	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9239189	BOY
EOY	10192381	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	351653297	BOY
EOY	329149976	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	622241602	BOY
EOY	670261351	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	42630564	ReconcilationRevenueExpenses
Reconcilation Other Changes	-65133885	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Form1120 Pol Filed	false	Form1120PolFiled
Form4720 Filed	false	Form4720Filed
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$77,302	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$113,000	OtherActivitiesAmount
Total Lobbying Expenditures IIB	190302	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax
Substantially All Dues Nondeduct	false	SubstantiallyAllDuesNondeduct
Only In House Lobbying	false	OnlyInHouseLobbying
Agree To Carryover Prior Year	false	AgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Return Reference	SCHEDULE C, PART II-B, LINE 1	ReturnReference
Explanation	CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON PAID A TOTAL OF 469,173 TO OTHER ORGANIZATIONS. OF THAT AMOUNT, 278,871 PERTAINED TO DUES, 77,302 RELATED TO VARIOUS LOBBYING EXPENSES AND 113,000 WAS PAID TO TWO CONSULTING FIRMS FOR LOBBYING EFFORTS AND VARIOUS COMMUNICATIONS THEY HAD ON BEHALF OF CHILDREN'S WITH LEGISLATURES. THOSE COMMUNICATIONS AND LOBBYING EFFORTS INVOLVE THE FOLLOWING: ALONG WITH THE MANAGEMENT OF CHILDREN'S, THE LOBBYIST CONDUCTED NUMEROUS MEETINGS WITH STATE LEGISLATORS IN SUPPORT OF CHILDREN'S BUDGET REQUESTS. POSITIVE STATE BUDGET RESULTS ON KEY ISSUES WERE ACHIEVED, SUCH AS, MEDICAID MANAGED CARE NON-CONTRACTING, OUTLIER PAYMENT REFORMS AND MEDICAID QUALITY IMPROVEMENT FOR CHILDREN. PARTICIPATED IN INTERESTED PARTY MEETINGS AND ATTENDED SUBCOMMITTEE HEARINGS REGARDING HB 143, YOUTH CONCUSSION LEGISLATION. A LETTER OF SUPPORT FOR HB 143 WAS COORDINATED AND SIGNED BY A BROAD COALITION OF SUPPORTING HOSPITALS AND ASSOCIATIONS. PROVIDED CHILDREN'S WITH UPDATES ON THE CHANGES TO THE PROPOSED REGULATION OF THE OHIO AUTOMATED RX REPORTING SYSTEM (OARRS). REINITIATED DIALOGUE WITH HOUSE AND SENATE MEMBERS AND STAFF ON THE MEDICARE TEFRA PROBLEM. PROVIDED AGENCY OFFICIALS WITH BACKGROUD DOCUMENTS AND SUMMARY OF THE UNIQUE ISSUE. SECURED CONGRESSIONAL SIGNATURES FOR A LETTER SUPPORTING CHGME FUNDING IN FY 2012. THE FOLLOWING ARE 2011 LOBBYING EXPENSES: ASSOCIATION OF AMERICAN MEDICAL COLLEGES 1,105 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS 10,592 AMERICAN HOSPITAL ASSOCIATION 9,984 OHIO CHILDREN'S HOSPITAL ASSOCIATION 45,929 OHIO HOSPITAL ASSOCIATION 4,692 CITIZEN'S FOR AKRON COMMITTEE 5,000 ------- TOTAL 77,302 LOBBYIST - ROETZEL & ANDRESS 73,000 LOBBYIST - CAPITAL CONSULTING GROUP 40,000 ------- 190,302 ASSOCIATION OF AMERICAN MEDICAL COLLEGES, NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND AMERICAN HOSPITAL ASSOCIATION ARE NATIONAL ORGANIZATIONS THAT CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON HAS MEMBERSHIP. 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 US. AS AN EXAMPLE, THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES HAS BEEN SUCCESSFUL IN MINIMIZING GRADUATE MEDICAL EDUCATION SPENDING CUTS IN THE FEDERAL BUDGET LEGISLATION. THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND AMERICAN HOSPITAL ASSOCIATION HAVE BEEN A CONSTANT AND PERSUASIVE VOICE IN CHAMPIONING THE NEEDS OF CHILDREN AND THE HOSPITALS THAT CARES FOR THEM. OHIO CHILDREN'S HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION ARE STATE OF OHIO ORGANIZATIONS THAT EXPRESS THE VIEWS OF OHIO'S CHILDREN'S HOSPITALS FOR MEDICAID AND CHILD HEALTHCARE ISSUES. LOCAL AGENCIES IN SUMMIT COUNTY, OHIO PROVIDE SERVICES TO RESIDENTS. AS A CORPORATE CITIZEN, THE EFFECT OF THE SUCCESS OR FAILURE OF THESE ISSUES HAS IMPLICATIONS ON OUR BUSINESS AND SERVICES WE PROVIDE.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	42191502	BeginningOfYearBalance
Contributions	11512095	Contributions
Investment Earnings Or Losses	-1529858	InvestmentEarningsOrLosses
Other Expenditures	-3880981	OtherExpenditures
End Of Year Balance	48292758	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	37902948	BeginningOfYearBalance
Contributions	4684218	Contributions
Investment Earnings Or Losses	3511833	InvestmentEarningsOrLosses
Other Expenditures	-3907497	OtherExpenditures
End Of Year Balance	42191502	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	30651078	BeginningOfYearBalance
Contributions	3667095	Contributions
Investment Earnings Or Losses	7080419	InvestmentEarningsOrLosses
Other Expenditures	-3495644	OtherExpenditures
End Of Year Balance	37902948	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	34179353	BeginningOfYearBalance
Contributions	5744957	Contributions
Investment Earnings Or Losses	-4770848	InvestmentEarningsOrLosses
Other Expenditures	-4502384	OtherExpenditures
End Of Year Balance	30651078	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.07690	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.21100	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.71210	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8854267	OtherCostOrOtherBasis
Book Value	8854267	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	305452138	OtherCostOrOtherBasis
Depreciation	183210280	Depreciation
Book Value	122241858	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7347677	OtherCostOrOtherBasis
Depreciation	4523699	Depreciation
Book Value	2823978	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	194927582	OtherCostOrOtherBasis
Depreciation	133096261	Depreciation
Book Value	61831321	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	19743391	OtherCostOrOtherBasis
Book Value	19743391	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	215494815	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
BENEFICIAL INTEREST IN FOUNDATION	85804405
INVESTMENT OF AKRON NICU BUSINESS	6992069
DEFERRED FINANCING COSTS	2569282
OTHER ASSETS	1500798

Field	Value	IRS element (for citing)
Total Book Value Other Assets	96866554	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
PENSION	$98,767,290
POSTRETIREMENT PLANS	$37,850,985
OTHER LIABILITIES	$23,240,579
RESERVE FOR PROFESSIONAL LIABILITY	$1,950,000

Field	Value	IRS element (for citing)
Total Of Amounts	161808854	TotalOfAmounts
Total Revenue	524374884	TotalRevenue
Total Expenses	481744320	TotalExpenses
Excess Or Deficit For Year	42630564	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-10551312	NetUnrealizedGLOnInvestments
Other	-$1,761,408	OtherAmount
Total Adjustments	-12312720	TotalAdjustments
Excess Or Deficit Per FS	30317844	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	512728265	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-10551312	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	-10551312	RevenueNotRptdF990
Revenue Subtotal	523279577	RevenueSubtotal
Other Revenues Not Included	1095307	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	1095307	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	524374884	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	482410421	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	-241311	OtherExpensesIncluded
Expenses Not Rptd F990	-241311	ExpensesNotRptdF990
Expenses Subtotal	482651732	ExpensesSubtotal
Other Expenses Not Included	-907412	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	-907412	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	481744320	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
INTENDED USES FOR ENDOWMENT FUNDS	SCHEDULE D, PAGE 2, PART V, LINE 4	TEMPORARILY RESTRICTED FUNDS ARE SUBJECT TO PURPOSE RESTRICTIONS IMPOSED BY THE DONOR. THESE 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 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 TO FUNCTION AS ENDOWMENTS. THESE FUNDS ARE TO BE USED FOR THE SOLE PURPOSE AS THEY WERE DESIGNED FOR. CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON DOES HAVE A POLICY IN PLACE TO MONITOR ALL UNRESTRICTED, TEMPORARILY AND PERMANENTLY RESTRICTED FUNDS.
RECONCILIATION OF CHANGES - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 8	CONTRIBUTED CAPITAL AKRON CHILDREN'S HOSPITAL FOUNDATION -1,533,476 CONTRIBUTED CAPITAL OF GOVERNMENT FUNDING -273,064 PARTNERSHIP INCOME 1,749 RECLASS EXPENSES NETTED AGAINST REVENUE -228,607 RECLASS EXPENSE TO REVENUE 907,412 PARTNERSHIP INCOME 30,679 IN-KIND COMMUNITY SUPPORT 241,311 RECLASS EXPENSE TO REVENUE -907,412
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	CONTRIBUTED CAPITAL AKRON CHILDREN'S HOSPITAL FOUNDATION 1,533,476 CONTRIBUTED CAPITAL OF GOVERNMENT FUNDING 273,064 PARTNERSHIP INCOME -1,749 RECLASS EXPENSES NETTED AGAINST REVENUE 228,607 RECLASS EXPENSE TO REVENUE -907,412 PARTNERSHIP INCOME -30,679
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 2D	IN-KIND COMMUNITY SUPPORT -241,311
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 4B	RECLASS EXPENSE TO REVENUE -907,412
SUPPLEMENTAL FINANCIAL INFORMATION	SCHEDULE D, PAGE 4, PART XIV	PART X, LINE 2: LIABILITY UNDER FIN 48 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON PREPARES CONSOLIDATED FINANCIAL STATEMENTS WITH THEIR AFFILIATED SUBSIDIARIES. CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ADOPTED FIN 48 IN 2007. NO DISCLOSURES WERE REQUIRED UNDER GAAP AS CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON DOES NOT HAVE ANY MATERIAL TAX CONTINGENCIES THAT REQUIRED DISCLOSURES IN THE FOOTNOTES.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS
MIDDLE EAST AND NORTH AFRICA	INVESTMENTS

Field	Value	IRS element (for citing)
Subtotal Amount Spent	8575940	SubtotalAmountSpent
Total Amount Spent	8575940	TotalAmountSpent

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Explanation	CENTRAL AMERICA AND THE CARIBBEAN 0 8,375,940 MIDDLE EAST AND NORTH AFRICA 0 200,000	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GIFT SHOP	NameOfEvent1
Gross Receipts Event1	843643	GrossReceiptsEvent1
Gross Revenue Event1	843643	GrossRevenueEvent1
Other Direct Expenses Event1	648002	OtherDirectExpensesEvent1
Name Of Event2	OTHER FUNDRAISI	NameOfEvent2
Gross Receipts Event2	272118	GrossReceiptsEvent2
Charitable Contributions Event2	204089	CharitableContributionsEvent2
Gross Revenue Event2	68029	GrossRevenueEvent2
Other Direct Expenses Event2	179060	OtherDirectExpensesEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	363584	GrossReceiptsOtherEvents
Charitable Contrib Other Events	319537	CharitableContribOtherEvents
Gross Revenue Other Events	44047	GrossRevenueOtherEvents
Other Direct Expenses Other Events	80350	OtherDirectExpensesOtherEvents
Gross Receipts Total	1479345	GrossReceiptsTotal
Charitable Contributions Total	523626	CharitableContributionsTotal
Gross Revenue Total Events	955719	GrossRevenueTotalEvents
Other Direct Expenses Total Events	907412	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	907412	DirectExpenseSummaryEvents
Net Income Summary	48307	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4737971	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1120764	DirectOffsettingRevenue
Net Community Benefit Expense	3617207	NetCommunityBenefitExpense
Percent Of Total Expense	0.00750	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	218717398	TotalCommunityBenefitExpense
Direct Offsetting Revenue	153903997	DirectOffsettingRevenue
Net Community Benefit Expense	64813401	NetCommunityBenefitExpense
Percent Of Total Expense	0.13450	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1118749	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1118749	DirectOffsettingRevenue

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	224574118	TotalCommunityBenefitExpense
Direct Offsetting Revenue	156143510	DirectOffsettingRevenue
Net Community Benefit Expense	68430608	NetCommunityBenefitExpense
Percent Of Total Expense	0.14200	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5249630	TotalCommunityBenefitExpense
Direct Offsetting Revenue	39875	DirectOffsettingRevenue
Net Community Benefit Expense	5209755	NetCommunityBenefitExpense
Percent Of Total Expense	0.01080	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16391824	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12536672	DirectOffsettingRevenue
Net Community Benefit Expense	3855152	NetCommunityBenefitExpense
Percent Of Total Expense	0.00800	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	588558	TotalCommunityBenefitExpense
Net Community Benefit Expense	588558	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	482583	TotalCommunityBenefitExpense
Net Community Benefit Expense	482583	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	22712595	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12576547	DirectOffsettingRevenue
Net Community Benefit Expense	10136048	NetCommunityBenefitExpense
Percent Of Total Expense	0.02100	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	247286713	TotalCommunityBenefitExpense
Direct Offsetting Revenue	168720057	DirectOffsettingRevenue
Net Community Benefit Expense	78566656	NetCommunityBenefitExpense
Percent Of Total Expense	0.16310	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	15595	TotalCommunityBuildingExpense
Net Community Building Expense	15595	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	452903	TotalCommunityBuildingExpense
Direct Offsetting Revenue	1000	DirectOffsettingRevenue
Net Community Building Expense	451903	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	26033	TotalCommunityBuildingExpense
Direct Offsetting Revenue	2400	DirectOffsettingRevenue
Net Community Building Expense	23633	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	67207	TotalCommunityBuildingExpense
Net Community Building Expense	67207	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	81895	TotalCommunityBuildingExpense
Net Community Building Expense	81895	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	40589	TotalCommunityBuildingExpense
Net Community Building Expense	40589	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	684222	TotalCommunityBuildingExpense
Direct Offsetting Revenue	3400	DirectOffsettingRevenue
Net Community Building Expense	680822	NetCommunityBuildingExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$4,216,150	BadDebtExpenseAmount
Amount Reimbursed By Medicare	7508265	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	8984339	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1476074	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	5	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours	Business Name Line2Name/BusinessNameLine2	OtherOther
CHILDRENS HOSPITAL MED CTR OF AKRON
1	ONE PERKINS SQUARE	AKRON	OH	44308	X	X	X	X
CHILDRENS HOSPITAL MED CTR OF AKRON
2	6505 MARKET STREET	YOUNGSTOWN	OH	44512	X	X	X	X	MAHONING VALLEY AT BEEGHLY
CHILDREN'S AT ST ELIZABETH
3	1044 BELMONT	YOUNGSTOWN	OH	44504	X	X				NICU NURSERY
CHILDREN'S SPECIALTY CARE NURSERY
4	400 WABASH AVENUE	AKRON	OH	44307	X	X			AT AKRON GENERAL MEDICAL CENTER	NICU NURSERY
CHILDREN'S SPECIALTY CARE NURSERY
5	525 E MARKET STREET	AKRON	OH	44304	X	X			AT SUMMA AKRON CITY HOPITAL	NICU NURSERY

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (5 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	State RegulationStateRegulation	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
CHILDRENS HOSPITAL MED CTR OF AKRON
1	true	true	200.0	true	300.0	true	X	X	X	X	X	true	true	X	X	X	X	X	X	true	false	true	X	false	false
CHILDRENS HOSPITAL MED CTR OF AKRON
2	true	true	200.0	true	300.0	true	X	X	X	X	X	true	true	X	X	X	X	X	X	true	false	true	X	false	false
CHILDREN'S AT ST ELIZABETH
3	true	true	200.0	true	300.0	true	X	X	X	X	X	true	true	X	X	X	X	X	X	true	false	true	X	false	false
CHILDREN'S SPECIALTY CARE NURSERY
4	true	true	200.0	true	300.0	true	X	X	X	X	X	true	true	X	X	X	X	X	X	true	false	true	X	false	false
CHILDREN'S SPECIALTY CARE NURSERY
5	true	true	200.0	true	300.0	true	X	X	X	X	X	true	true	X	X	X	X	X	X	true	false	true	X	false	false

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	34	NumberOfOtherFacilities

Other Facilities OtherFacilities (34 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
AKRON CHILDREN'S HOSPITAL HUDSON
5655 HUDSON DRIVE	HUDSON	OH	44236	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL NEW PHILA
1045 W HIGH STREET	NEW PHILADELPHIA	OH	44663	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL GREEN
1600 E TURKEYFOOT LAKE ROAD	AKRON	OH	44312	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL FAIRLAWN
701 WHITE POND DRIVE SUITE 100	AKRON	OH	44320	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL BROADWAY
676 SOUTH BROADWAY SUITE 103	AKRON	OH	44308	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL HUDSON
1365 CORP DRIVE SUITE A	HUDSON	OH	44236	GENERAL OUTPATIENT SERVICES
PARTIAL HOSPITALIZATION PROGRAM
388 SOUTH MAIN STREET	AKRON	OH	44311	BEHAVIORAL HEALTH (DAY PROGRAMS)
AKRON CHILDREN'S HOSP MONTROSE ED
4125 MEDINA ROAD	AKRON	OH	44333	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL WOOSTER
128 E MILTOWN ROAD 209	WOOSTER	OH	44691	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL BARBERTON
62 CONSERVATORY DR BLDG D SUITE A	BARBERTON	OH	44203	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL MEDINA
3443 MEDINA ROAD	MEDINA	OH	44256	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL KENT
1951 STATE RT 59	KENT	OH	44240	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL TWINSBURG
8054 DARROW ROAD SUITE 3	TWINSBURG	OH	44087	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL TALLMADGE
143 NORTHEAST AVE BLDG D 102	TALLMADGE	OH	44278	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL WADSWORTH
165 SMOKERISE DRIVE	WADSWORTH	OH	44281	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL ELLET
3043 SANITARIUM ROAD SUITE 3	AKRON	OH	44312	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL ASHLAND
2212 MIFFLIN AVENUE SUITE 235	ASHLAND	OH	44805	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL BOARDMAN
6505 MARKET STREET BLDG C SUITE 212	BOARDMAN	OH	44512	GENERAL OUTPATIENT SERVICES
MILLERSBURG HEMOPHILIA CLINIC
1261 WOOSTER ROAD	MILLERSBURG	OH	44654	GENERAL OUTPATIENT SERVICES
BEACHWOOD SPECIALTIES
23250 CHAGRIN BLVD BUILDING 5	BEACHWOOD	OH	44122	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL SOLON
34125 SOLON ROAD	SOLON	OH	44139	GENERAL OUTPATIENT SERVICES
CARE CENTER - STARK COUNTY
213 MARKET AVENUE N SUITE 200	CANTON	OH	44702	GENERAL OUTPATIENT SERVICES
CHILDREN'S AT ROBINSON
6847 CHESTNUT STREET	RAVENNA	OH	44266	INPATIENT/OUTPATIENT SERVICES
AKRON CHILDREN'S HOSP BRECKSVILLE
7001 S EDGERTON ROAD SUITE 500	BRECKSVILLE	OH	44141	GENERAL OUTPATIENT SERVICES
BOARDMAN MEDICAL PAVILION
5423 MARKET STREET BLDG C SUITE 30	BOARDMAN	OH	44512	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S NORTH CANTON
6046 WHIPPLE AVENUE NW	NORTH CANTON	OH	44720	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S ORTHOPEDIC
4455 DRESSLER ROAD	CANTON	OH	44718	GENERAL OUTPATIENT SERVICES
AULTMAN HOSPITAL SPECIALTIES
2600 6TH STREET SW	CANTON	OH	44710	GENERAL OUTPATIENT SERVICES
LAKEHEALTH TRIPOINT MED CTR
7590 AUBURN ROAD SUITE 214	PAINESVILLE	OH	44077	SINGLE SPECIALTY GROUP (OUTPATIENT)
MEDINA SPECIALTIES
3591 RESERVE COMMONS DRIVE	MEDINA	OH	44256	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL REHAB
4125 MEDINA ROAD	AKRON	OH	44333	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL WARREN
8720 E MARKET STREET SUITE 1C	WARREN	OH	44484	GENERAL OUTPATIENT SERVICES
AKRON CHILDREN'S HOSPITAL ALLERGY
6722 WALES AVENUE NW SUITE A	MASSILLON	OH	44646	SINGLE SPECIALTY GROUP
AKRON CHILDREN'S HOSPITAL WOOSTER
3727 FRIENDSVILLE ROAD SUITE 1	WOOSTER	OH	44691	SINGLE SPECIALTY GROUP

Form990 Schedule H Part VI Form990ScheduleHPartVI (24 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
RELATED ORGANIZATION INFORMATION	PART I LINE 6A	FOR THE PAST SEVERAL YEARS THE HOSPITAL HAS PREPARED AND FILED A COMMUNITY BENEFIT REPORT WITH THE OHIO HOSPITAL ASSOCIATION FOR THE HOSPITAL AND ITS AFFILIATES THE COMMUNITY BENEFIT REPORT FOR CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON AND CHILDRENS SPECIALTY CARE NURSERY WAS POSTED TO THE CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON WEBSITE MAKING IT AVAILABLE TO THE PUBLIC THE COMMUNITY BENEFIT REPORT FOR THE CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON MAHONING VALLEY AT BEEGHLY AND CHILDRENS AT ST ELIZABETH WAS THE RESULT OF A COMMUNITY COLLABORATIVE AND THE FINAL REPORT IS POSTED TO THE WEBSITE OF THE MAHONING COUNTY DISTRICT BOARD OF HEALTH WWWMAHONINGHEALTHORG
SUBSIDIZED HEALTH SERVICES EXPLANATION	PART I LINE 7G	CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON IS A FREESTANDING CHILDRENS HOSPITAL AND AN OHIO MEDICAID DISPROPORTIONATE SHARE HOSPITAL THAT PROVIDES SPECIALTY CARE TO PEDIATRIC PATIENTS IN OUR SERVICE AREA IN ADDITION TO PROVIDING THIS CARE TO PEDIATRIC PATIENTS THE HOSPITAL PROVIDES CARE TO BOTH ADULT AND PEDIATRIC PATIENTS IN OUR REGIONAL BURN CENTER AS A RESULT THE UNREIMBURSED COSTS OF PROVIDING SUBSIDIZED SERVICES TO MEDICAID ENROLLEES IN OUR NEONATAL INTENSIVE CARE PEDIATRIC INTENSIVE CARE DISTINCT PART PSYCHIATRIC CARE BURN INTENSIVE CARE OUTPATIENT END STAGE RENAL DISEASE PROGRAM AS WELL AS OUR EMERGENCY AND TRAUMA SERVICES ARE REPORTED AS UNREIMBURSED MEDICAID COSTS THE UNREIMBURSED COSTS OF TREATING MEDICARE AND MEDICARE ADVANTAGE PLAN ENROLLEES IN OUR REGIONAL BURN CENTER AND END STAGE RENAL DISEASE PROGRAMS ARE REPORTED IN PART III SECTION B MEDICARE
COSTING METHODOLOGY EXPLANATION	PART I LINE 7	7ACHARITY CARE AT COST WE BELIEVE THAT APPLYING A COSTTOCHARGE 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 OHIO HOSPITAL CARE ASSURANCE PROGRAM HCAP IS A MECHANISM 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 7B UNREIMBURSED MEDICAID AND 7C UNREIMBURSED COSTS OTHER MEANS TESTED WE BELIEVE THAT REPORTING PROGRAM CHARGES COSTS AND PAYMENTS DIRECTLY FROM THE HOSPITALS OHIO MEDICAID COST REPORT ALONG WITH SIMILAR CALCULATIONS FOR SERVICES RENDERED BY HOSPITAL EMPLOYED PHYSICIANS AND OTHER PROFESSIONAL PROVIDERS AND SERVICES RENDERED TO OUTOFSTATE MEDICAID ENROLLEES IS THE MOST ACCURATE METHODOLOGY TO CALCULATE UNREIMBURSED MEDICAID AND OTHER MEANSTESTED GOVERNMENT PROGRAM COSTS MEDICAID COSTS REPORTED AS TOTAL COMMUNITY BENEFIT EXPENSE HAVE BEEN REDUCED BY ESTIMATED HEALTH PROFESSIONS 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 PROFESSIONS 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 519 AS REPORTED ON OUR INTERNAL PAYOR MIX REPORT 7F HEALTH PROFESSIONS EDUCATION THE TOTAL COSTS OF HEALTH PROFESSIONS EDUCATION IS REPORTED AS A TOTAL COMMUNITY BENEFIT EXPENSE AND DIRECT OFFSETTING REVENUES INCLUDE MEDICARE AND ESTIMATED MEDICAID REVENUES RELATED TO HEALTH PROFESSIONS EDUCATION
COMMUNITY BUILDING ACTIVITIES	PART II	EVERYTHING DONE BY CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON PROVIDES A BENEFIT TO THE COMMUNITIES WE SERVE OUR PRIMARY BENEFIT TO EACH COMMUNITY WE SERVE IS PROVIDING HEALTH CARE TO THE CHILDREN IN THE REGION WE SERVE IN ADDITION WE ALSO PROVIDE COMMUNITY BUILDING ACTIVITIES AS DEPICTED IN PART II OF THIS SCHEDULE OUR EFFORTS ARE DIRECTED SPECIFICALLY AT MULTIPLE LEVELS INCLUDING LEADERSHIP DEVELOPMENT UNDER WHICH WE SUPPORT VARIOUS COMMUNITYBASED PROGRAMS THAT SPECIFICALLY DEVELOP YOUNG LEADERS INCLUDING SUCH PROGRAMS AS LEADERSHIP AKRON FOR COMMUNITY LEADERSHIP AND THE CHILD FAMILY LEADERSHIP EXCHANGE FOR CLINICAL AND SOCIAL SERVICE LEADERSHIP GENERAL COMMUNITY SUPPORT UNDER WHICH WE PROVIDE FINANCIAL AND STAFF SUPPORT FOR VARIOUS COMMUNITY BASED INITIATIVES GENERALLY RELATED TO THE HEALTHY DEVELOPMENT OF YOUNG PEOPLE AND THEIR FAMILIES IN THE SERVICE AREA COMMUNITY HEALTH IMPROVEMENT UNDER WHICH WE SUPPORT A NUMBER OF MULTIAGENCY AND GOVERNMENTAL INITIATIVES TO ENCOURAGE FITNESS ACTIVITIES HEALTH SCREENINGS AND RELATED ACTIVITIES WORKFORCE DEVELOPMENT UNDER WHICH WE ASSIST IN PUBLICPRIVATE PARTNERSHIPS THAT EDUCATE CHILDREN ABOUT CAREERS IN THE FULL RANGE OF HEALTH CARE FROM SKILLED TRADES TO MEDICINE AND NURSING
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	WE BELIEVE THAT APPLYING A COSTTOCHARGE RATIO DEVELOPED FOR THE HOSPITAL FACILITY FROM THE HOSPITALS OHIO MEDICAID COST REPORT TO THE HOSPITALS PROVISION FOR BAD DEBTS IS THE MOST ACCURATE COSTING METHODOLOGY TO CALCULATE BAD DEBT EXPENSE 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 OHIO HOSPITAL CARE ASSURANCE PROGRAM HCAP IS A MECHANISM 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 ORGANIZATIONS CHARITY POLICY IS 0 THE ORGANIZATIONS CHARITY CARE POLICY REQUIRES THAT PATIENTS APPLY FOR CHARITY CARE THE HOSPITAL ENCOURAGES PATIENTS TO APPLY FOR FINANCIAL ASSISTANCE AND PROVIDES PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE AS DESCRIBED IN PART VI ITEM 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE HOSPITALS FINANCIAL STATEMENTS THAT DESCRIBES CHARITY CARE AND BAD DEBTS CHARITY CARE CHILDRENS HAS CALCULATED CHARITY CARE AT COST BY UTILIZING A RATIO OF COST TO GROSS CHARGES APPLIED TO GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS CHARITY CARE AT COST WAS APPROXIMATELY 4953 MILLION AND 3967 MILLION FOR 2011 AND 2010 RESPECTIVELY CHILDRENS PARTICIPATES IN THE HOSPITAL CARE ASSURANCE PROGRAM HCAP OHIO CREATED HCAP TO FINANCIALLY SUPPORT THOSE HOSPITALS THAT SERVICE A DISPROPORTIONATE SHARE OF LOWINCOME PATIENTS UNABLE TO PAY FOR CARE HCAP FUNDS BASIC MEDICALLY NECESSARY HOSPITAL SERVICES FOR PATIENTS WHOSE FAMILY INCOME IS AT OR BELOW THE FEDERAL POVERTY LEVEL WHICH INCLUDES MEDICAID PATIENTS AND PATIENDS WITHOUT HEALTH INSURANCE CHILDRENS RECEIVED GROSS AMOUNTS UNDER HCAP OF 11641 MILLION AND 9799 MILLION IN 2011 AND 2010 RESPECTIVELY HOWEVER AS SHOWN IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS CHILDRENS REPORTED HCAP ASSESSMENT EXPENSE OF 2506 MILLION AND 2481 MILLION IN 2011 AND 2010 RESPECTIVELY THE HCAP ASSESSMENT GOES INTO A POOL WITH ASSESSMENTS FROM OTHER HOSPITALS WHICH ARE THEN DISBURSED BASED ON FACTORS OUTSIDE OF CHILDRENS CONTROL ANY SUBSEQUENT REIMBURSEMENTS ARE RECOGNIZED AS REVENUE ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS WHEN CHILDRENS IS ENTITLED TO THEM AND PAYMENT IS PROBABLE POLICY FOR ASSESSING TIMING AND AMOUNTS OF UNCOLLECTIBLE ACCOUNTS CHILDRENS ESTIMATION OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED PRIMARILY UPON THE TYPE AND AGE OF THE PATIENT ACCOUNTS RECEIVABLE AND THE EFFECTIVENESS OF CHILDRENS COLLECTION EFFORTS CHILDRENS POLICY IS TO RESERVE A PORTION OF ALL SELFPAY RECEIVABLES INCLUDING AMOUNTS DUE FROM THE UNINSURED AND AMOUNTS RELATED TO COPAYMENTS AND DEDUCTIBLES AS THESE CHARGES ARE RECORDED ON A PERIODIC BASIS CHILDRENS REVIEWS ITS ACCOUNTS RECEIVABLE BALANCES THE EFFECTIVENESS OF CHILDRENS RESERVE POLICIES AND VARIOUS ANALYTICS TO SUPPORT THE BASIS FOR ITS ESTIMATES THESE EFFORTS PRIMARILY CONSIST OF REVIEWING THE FOLLOWING HISTORICAL WRITEOFF AND COLLECTION EXPERIENCE USING A HINDSIGHT OR LOOKBACK APPROACH REVENUE AND VOLUME TRENDS BY PAYOR PARTICULARLY THE SELFPAY COMPONENTS CHANGES IN THE AGING AND PAYOR MIX OF ACCOUNTS RECEIVABLE INCLUDING INCREASED FOCUS ON ACCOUNTS DUE FROM THE UNINSURED AND ACCOUNTS THAT REPRESENT COPAYMENTS AND DEDUCTIBLES DUE FROM PATIENTS TRENDING OF DAYS REVENUE IN ACCOUNTS RECEIVABLE VARIOUS ALLOWANCE COVERAGE STATISTICS CHILDRENS REGULARY PERFORMS HINDSIGHT PROCEDURES TO EVALUATE HISTORICAL WRITEOFF AND COLLECTION EXPERIENCE THROUGHOUT THE YEAR TO ASSIST IN DETERMINING THE REASONABLENESS OF ITS PROCESS FOR ESTIMATING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS CHANGES WITHIN THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS CHILDRENS ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR INSURED AND UNINSURED SELFPAY ACCOUNTS DECREASED TO 82 OF SELFPAY ACCOUNTS RECEIVABLE AT DECEMBER 31 2011 AND WAS 86 OF SELFPAY ACCOUNTS RECEIVABLE AT DECEMBER 31 2010 IN ADDITION CHILDRENS SELFPAY WRITEOFFS INCREASED TO 8181 MILLION FOR FISCAL YEAR 2011 FROM 7067 MILLION FOR FISCAL YEAR 2010 WHILE THERE WERE INCREASES IN OVERALL ACCOUNTS RECEIVABLE DUE TO VOLUME INSURED AND UNINSURED SELFPAY PATIENTS DECREASED AS A PERCENTAGE OF TOTAL ACCOUNTS RECEIVABLE CHILDRENS HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2011 OR 2010 THE HOSPITAL 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
MEDICARE EXPLANATION	PART III LINE 8	WE BELIEVE THAT REPORTING PROGRAM CHARGES COSTS AND PAYMENTS DIRECTLY FROM THE HOSPITALS 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 MEANSTESTED 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 519 AS REPORTED ON OUR INTERNAL PAYOR MIX REPORT THE HOSPITAL RESPECTFULLY SUBMITS THAT ITS UNREIMBURSED INPATIENT COSTS INCURRED IN EXCESS OF THE 1982 TEFRA PER DISCHARGE LIMIT 325343 UNREIMBURSED OUTPATIENT COSTS INCURRED IN TREATING PATIENTS QUALIFYING FOR MEDICARE END STAGE RENAL DISEASE ESRD COMPOSITE REIMBURSEMENT 540125 AND UNREIMBURSED COSTS OF PROVIDING CARE TO MEDICARE ADVANTAGE PLAN ENROLLEES 130177 SHOULD BE TREATED AS A COMMUNITY BENEFIT 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
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	THE HOSPITALS COLLECTION POLICY DESCRIBES THE EVENTS AND THE TIMING OF THE EVENTS THAT LEAD TO SELFPAY ACCOUNTS OR SELFPAY BALANCES AFTER INSURANCE PAYMENTS BEING TURNED OVER TO COLLECTION
NEEDS ASSESSMENT	PART VI	PART VI LINE 2 NEEDS ASSESSMENT IN 2010 CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON CHMCA CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENTS CHNA IN OUR PRIMARY SERVICE AREAS SURROUNDING OUR AKRON HOSPITAL CAMPUS IN COLLABORATION WITH AKRON GENERAL MEDICAL CENTER AND SUMMA HEALTH SYSTEM THE CHNA PROCESS CONCLUDED IN 2011 DURING THE SAME TIME PERIOD CHMCA ALSO CONDUCTED A CHNA IN OUR PRIMARY SERVICE AREAS SURROUNDING OUR MAHONING VALLEY CAMPUS IN COLLABORATION WITH SEVERAL STAKE HOLDERS AND THE MAHONING COUNTY HEALTH DISTRICT IN ADDITION TO THE CHNA THE HOSPITAL PERFORMS 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 WE EVALUATED 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 AGAIN 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 4000 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 PARENT ADVISORY GROUPS AS WELL AS GATHERING FEEDBACK THROUGH PATIENT SURVEY RESULTS AND VIA MULTIPLE WRITTEN AND ELECTRONIC WEBBASED TOOLS
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	PART VI LINE 3 THE HOSPITAL 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 THE HOSPITAL HAS SIGNAGE AT ALL OF ITS REGISTRATION SITES TO INFORM PATIENTS THAT THEY MAY QUALIFY FOR FREE HOSPITAL CARE APPLICATIONS FOR FREE CARE ARE AVAILABLE AT ALL REGISTRATION SITES AND THROUGHOUT THE HOSPITAL REQUIRED BY THE OHIO MEDICAID HOSPITAL CARE ASSURANCE HCAP RULES THE HOSPITAL HAS INFORMATION REGARDING ELIGIBILITY FOR FREE CARE ON ALL BILLING STATEMENTS MAILED TO PATIENTS AND THEIR GUARANTORS THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS TO EXPLAIN THE HOSPITALS FREE CARE CHARITY CARE AND THE VARIOUS PUBLIC ASSISTANCE PROGRAMS TO UNINSURED OR UNDERINSURED PATIENTS THE HOSPITALS WEBSITE PROVIDES PATIENTS WITH INFORMATION RELATING TO THE HOSPITALS FREE CARE CHARITY CARE AND VARIOUS PUBLIC ASSISTANCE PROGRAMS AVAILABLE THE HOSPITAL CONTRACTS WITH AN INDEPENDENT FIRM TO SCREEN PATIENTS FOR PUBLIC ASSISTANCE ELIGIBILITY AND COMPLETION AS WELL AS SUBMISSION OF PUBLIC ASSISTANCE APPLICATIONS THIS SAME FIRM CONTACTS PATIENTS WHOSE BALANCES HAVE BEEN TURNED OVER TO COLLECTION TO SCREEN THOSE PATIENTS FOR FREE CARE OR CHARITY CARE ELIGIBILITY AND ASSIST THESE GUARANTORS WITH THE APPLICATION PROCESS
COMMUNITY INFORMATION	PART VI	PART VI LINE 4 CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON CHMCA SERVES AN AREA COMPRISING MUCH OF THE NORTHEASTERN QUADRANT OF THE STATE OF OHIO TO INCLUDE TWENTYFIVE COUNTIES AND TWO COUNTIES IN PENNSYLVANIA RESULTING IN A TOTAL SERVICE AREA OF TWENTYSEVEN 27COUNTIES IN OHIO SUMMIT MEDINA PORTAGE STARK WAYNE TUSCARAWAS HOLMES TRUMBULL MAHONING COLUMBIANA JEFFERSON CARROLL HARRISON GUERNSEY COSHOCTON KNOX ASHLAND RICHLAND CRAWFORD HURON LORAIN CUYAHOGA GEAUGA LAKE AND ASHTABULA ARE SERVED BY AKRON CHILDRENS IN PENNSYLVANIA LAWRENCE AND MERCER COUNTIES ARE SERVED BY CHMCA WE ARE PARTICULARLY INTERESTED AND FOCUSED ON THE PEDIATRIC POPULATION WITHIN OUR SERVICE AREA COMPRISED OF APPROXIMATELY 1099012 CHILDREN WE ALSO FOCUS ON THOSE CHILDREN WITH THE HIGHLEST LEVEL OF HEALTH AND DEVELOPMENTAL NEEDS WHICH TOTAL ABOUT 5 OF THE OVERALL CHILD POPULATION SPECIFICALLY CHMCAS MAIN CAMPUS IS LOCATED IN AKRON OHIO WHICH HAS A POPULATION OF APPROXIMATELY 198000 PEOPLE OF THIS POPULATION 225 ARE PERSONS LIVING BELOW THE POVERTY LEVEL IN 2011 AKRONS AVERAGE UNEMPLOYMENT RATE WAS 96 AKRON IS LOCATED IN SUMMIT COUNTY WITH A POPULATION OF APPROXIMATELY 543000 PEOPLE OF THIS POPULATION 261 ARE PERSONS RANGING IN AGE FROM 0 TO 19 YEARS OLD IN 2011 SUMMIT COUNTY HAD AN AVERAGE UNEMPLOYMENT RATE OF 85 IN DECEMBER OF 2008 CHILDRENS OPENED AKRON CHILDRENS HOSPITAL MAHONING VALLEY BEEGHLY CAMPUS LOCATED IN BOARDMAN OHIO A SUBURB OF YOUNGSTOWN OHIO IN MAHONING COUNTY YOUNGSTOWN IS THE COUNTY SEAT OF MAHONING COUNTY AND HAS A POPULATION OF APPROXIMATELY 65000 PEOPLE OF THAT POPULATION 335 ARE PERSONS LIVING BELOW THE POVERTY LEVEL WHICH IS THE HIGHEST POVERTY RATE OF OHIOS TEN LARGEST CITIES IN 2011 YOUNGSTOWN HAD AN AVERAGE UNEMPLOYMENT RATE OF 12 THE PRIMARY SERVICE AREA FOR THE BEEGHLY CAMPUS INCLUDES COUNTIES FROM TWO STATES OHIO IN WHICH MAHONING TRUMBULL AND COLUMBIANA COUNTIES ARE SERVED AND PENNSYLVANIA IN WHICH LAWRENCE AND MERCER COUNTIES ARE SERVED THIS CAMPUSS PRIMARY SERVICE AREA HAS A PEDIATRIC POPULATION COMPRISED OF APPROXIMATELY 157566 CHILDREN 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 THE ADDITION OF ASHTABULA MAHONING AND TRUMBULL COUNTIES TO THE APPALACHIAN REGION ALL FIVE COUNTIES THAT MAKE UP BEEGHLYS PRIMARY SERVICE AREA ARE LOCATED WITHIN THE APPALACHIAN REGION MAHONING TRUMBULL AND COLUMBIANA COUNTIES IN OHIO AND LAWRENCE AND MERCER COUNTIES IN PENNSYLVANIA ARE CLASSIFIED BY THE APPALACHIAN REGIONAL COMMISSION AS BEING TRANSITIONALTHEY HAVE WORSE ECONOMIC RATES THAN THE NATIONAL AVERAGE FOR ONE OR MORE OF THREE ECONOMIC INDICATORS THREEYEAR AVERAGE UNEMPLOYMENT PER CAPITA MARKET INCOME AND POVERTY BUT DONT RATE LOW ENOUGH TO BE CLASSIFIED AS DISTRESSED TRUMBULL COUNTY HAS A POVERTY RATE OF 146 AND COLUMBIANA COUNTY HAS A POVERTY RATE OF 151 IN 2010 LAWRENCE COUNTY HAD A POVERTY RATE OF 162 AND MERCER COUNTY HAD A POVERTY RATE OF 166 CHMCA IS INVOLVED IN SPECIFIC INITIATIVES IN THE CITY OF YOUNGSTOWN OHIO AS WELL WE ARE PART OF A COLLABORATIVE VENTURE WITH HUMILITY OF MARY HEALTH PARTNERS IN STAFFING THE NEONATAL SPECIAL CARE NURSERY A 33BED UNIT CARING FOR NEWBORNS WITH DEVELOPMENTAL PROBLEMS SUCH AS IMMATURE LUNGS CENTRAL NERVOUS SYSTEM DISORDERS LOW BIRTH WEIGHT AND BIRTH DEFECTS WHICH IS LOCATED AT ST ELIZABETH HEALTH CENTER IN YOUNGSTOWN THE NEONATAL SPECIAL CARE NURSERY IS STAFFED BY CHMCA NEONATOLOGISTS AND NURSES THE CHILD ADVOCACY CENTER ALSO PART OF AKRON CHILDRENS HOSPITAL MAHONING VALLEY PROVIDES MEDICAL AND FORENSIC EVALUATIONS FOR CHILDREN AND TEENS WHO MAY HAVE BEEN NEGLECTED OR PHYSICALLY OR SEXUALLY ABUSED THE CENTER ALSO PERFORMS MEDICAL EVALUATIONS FOR KIDS ENTERING FOSTER CARE AS WELL AS COMMUNITY OUTREACH INITIATIVES INCLUDING A CAMPAIGN TO PROMOTE GREATER AWARENESS OF SHAKEN BABY SYNDROME THE CHILD ADVOCACY CENTER WORKS CLOSELY WITH CHILDRENS SERVICES AGENCY IN MAHONING TRUMBULL COLUMBIANA AND ASHTABULA COUNTIES AS WELL AS MERCER COUNTY PA
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	PART VI LINE 5 CHMCA INTENDS THAT ALL OF ITS ACTIVITIES EITHER DIRECTLY PROVIDE HEALTH CARE TO ALL CHILDREN WHO REQUEST OUR SERVICES OR PROMOTE THE HEALTH OF THE COMMUNITY BOTH BY DIRECT INVESTMENTS IN THE DELIVERY OF PEDIATRIC HEALTHCARE SERVICES AND IN PROVIDING SPECIALIZED INPATIENT AND OUTPATIENT CARE FOR BURN VICTIMS OF ALL AGES THROUGHOUT NORTHEAST OHIO CHMCA IS ONE OF ONLY TWO PEDIATRIC HOSPITALS IN THE COUNTRY THAT TREATS ADULT BURN PATIENTS ADDITIONALLY CHMCA PROVIDES SPECIFIC SERVICES FOR ADULTS WITH CONGENITAL HEALTH CONDITIONS INCLUDING THE FOLLOWING 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 CHMCAS CYSTIC FIBROSIS CENTER PROVIDES DIAGNOSIS AND TREATMENT TO CHILDREN AND ADULTS WITH 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 CYSTIC FIBROSIS CHMCAS GENETIC CENTER OFFERS DIAGNOSTIC EVALUATION AND MEDICAL MANAGEMENT OF GENETIC CONDITIONS BIRTH DEFECTS AND DEVELOPMENTAL DELAYS AS WELL AS GENETIC TESTING AND COUNSELING FOR PEDIATRIC AND ADULT PATIENTS CHMCAS CHILD ADVOCACY CENTER IN MAHONING VALLEY PROVIDES MEDICAL AND FORENSIC EVALUATIONS FOR CHILDREN AND TEENS WHO MAY HAVE BEEN NEGLECTED OR PHYSICALLY OR SEXUALLY ABUSED THE CENTER ALSO PERFORMS MEDICAL EVALUATIONS FOR CHILDREN ENTERING FOSTER CARE AS WELL AS COMMUNITY OUTREACH INITIATIVES INCLUDING A CAMPAIGN TO PROMOTE GREATER AWARENESS OF SHAKEN BABY SYNDROME THE CHILD ADVOCACY CENTER WORKS CLOSELY WITH CHILDRENS SERVICES AGENCIES IN MAHONING TRUMBULL COLUMBIANA AND ASHTABULA COUNTIES AS WELL AS MERCER COUNTY PA 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 ANDOR PROMOTE HEALTH TO THE RESIDENTS IN THE COMMUNITIES WE SERVE THE PRIMARY BENEFIT TO OUR COMMUNTIES IS PROVIDING HEALTH CARE FOR MORE THAN 600000 CHILDREN ANNUALLY IN ADDITION WE ALSO PROVIDE COMMUNITY BUILDING ACTIVITIES AS DEPICTED IN PART II OF THIS SCHEDULE OUR EFFORTS ARE DIRECTED SPECIFICALLY AT MULTIPLE LEVELS INCLUDING LEADERSHIP DEVELOPMENT UNDER WHICH WE SUPPORT VARIOUS COMMUNITYBASED PROGRAMS THAT SPECIFICALLY DEVELOP YOUNG LEADERS INCLUDING SUCH PROGRAMS AS LEADERSHIP AKRON AND LEADERSHIP MAHONING VALLEY FOR COMMUNITY LEADERSHIP AND THE CHILD FAMILY LEADERSHIP EXCHANGE FOR CLINICAL AND SOCIAL SERVICE LEADERSHIP GENERAL COMMUNITY SUPPORT UNDER WHICH WE PROVIDE FINANCIAL AND STAFF SUPPORT FOR VARIOUS COMMUNITY BASED INITIATIVES GENERALLY RELATED TO THE HEALTHY DEVELOPMENT OF YOUNG PEOPLE AND THEIR FAMILIES IN THE SERVICE AREA COMMUNITY HEALTH IMPROVEMENT UNDER WHICH WE SUPPORT A NUMBER OF MULTIAGENCY AND GOVERNMENTAL INITIATIVES TO ENCOURAGE FITNESS ACTIVITIES HEALTH SCREENINGS AND RELATED ACTIVITIES WORKFORCE DEVELOPMENT UNDER WHICH WE ASSIST IN PUBLICPRIVATE PARTNERSHIPS THAT EDUCATE CHILDREN ABOUT CAREERS IN THE FULL RANGE OF HEALTH CARE FROM SKILLED TRADES TO MEDICINE AND NURSING ADDITIONALLY AKRON CHILDRENS HOSPITAL MAHONING VALLEY OVERSEES THE COMMUNITY OUTREACH EDUCATION AND SUPPORT CENTER COESC LOCATED JUST SOUTH OF OUR BEEGHLY CAMPUS THE MISSION OF THE COESC IS TO PROMOTE HEALTHY LIFESTYLES FOR COMMUNITY CHILDREN AND IMPROVE THE QUALITY OF LIFE FOR CHILDREN AND THEIR CAREGIVERS LIVING WITH CHRONIC ILLNESSES SPECIFICALLY THE COESC PROVIDES INDIVIDUALIZED ASSESSMENTS EDUCATION AND SUPPORT TO CHILDREN WHO ARE CHRONICALLY ILL AND ATRISK OF DISEASE COMPLICATIONS COMPROMISED LIFESTYLES DISABILITY ANDOR DEATH PROVIDES EDUCATION SUPPORT AND NETWORKING TO ALL CAREGIVERS TO PROMOTE UNDERSTANDING COMPLIANCE HOLISTIC AND CONSISTENT APPROACH TO CARE INCLUDING SIBLING INTERVENTION SERVES AS CHILDFAMILY ADVOCATE DESIGNS EACH PROGRAM TO MEET THE MULTICULTURAL DEVELOPMENTAL EDUCATIONAL EMOTIONAL AND PSYCHOSOCIAL NEEDS OF THE CHILD ADOLESCENT AND FAMILY IDENTIFIES ASSESSES AND REASSESSES THE NEEDS OF OUR PATIENTS DURING VARIOUS DEVELOPMENTAL STAGES IMPROVES COPING SKILLS COMPLIANCE LIFESTYLE ADJUSTMENTS FACILITATES NORMALCY AND IMPROVES GENERAL QUALITY OF LIFE SPECIALIZES IN HIGHRISK FAMILIES WITH A VARIETY OF MEDICAL LEARNING AND PSYCHOSOCIAL ISSUES PROVIDES A MULTIDISCIPLINARY TEAM OF PROFESSIONALS TO MEET VARIOUS NEEDS IMPLEMENTS POSITIVE REINFOREMENT AND SUPPORT NETWORK INCLUDING SCHOOLSCOMMUNITY AGENCIESRESOURCES TO MEET CLINICAL AND BEHAVIORAL GOALS PROVIDES MULTIPLE SITES FOR INTERVENTION TO INCREASE ACCESS FOR CARE ENSURES THAT ALL PROGRAMS MEET SPECIFIED CRITERIA OF NATIONALLY ACCREDITED DISEASE MANAGEMENT PROGRAMS MONITORS PROGRESS AND PROVIDES ONGOING OUTCOMEMEASUREMENT DATABASE TO ENABLE THE EVALUATION OF PROGRAM EFFICIENCY BY TRACKING THE FOLLOWING HEALTH INDICATORS RELATED TO DISEASEILLNESS SCHOOL DAYS MISSED PARENT WORK DAYS MISSED VISITS TO HOSPITALS VISITS TO EMERGENCY DEPARTMENTS ANDOR URGENT CARE CENTERS RACIALETHNICSOCIOECONOMIC TENDENCIES AND BARRIES TO CARE
AFFILIATED HEALTH CARE INFORMATION	PART VI	NA
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED	PART VI	OHIO
ADDITIONAL INFORMATION	PART VI	IN ADDITION TO THE LOCATIONS LISTED IN PART V SECTION A AND C AKRON CHILDRENS HOSPITAL 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 PART VI IS THE MOST RECENT INFORMATION AVAILABLE
CHILDRENS HOSPITAL MED CTR OF AKRON LINE NUMBER 1 PART V LINE 11H	PART V LINE 11H	IN CIRCUMSTANCES WHERE A FAMILY MAY NOT BE ELIGIBLE FOR CHARITY CARE BASED SOLELY ON INCOME OR RESIDENCE BUT WHERE THE PURSUIT OF PAYMENT WOULD ADVERSELY AFFECT THE WELL BEING OF THE PATIENT OR HIS OR HER FAMILY OR CAUSE UNDUE HARDSHIP FOR THE PATIENT AND ORFAMILY HOSPITAL MANAGEMENT MAY APPROVE CHARITY CARE BASED ON DOCUMENTED EXTENUATING CIRCUMSTANCES
CHILDRENS HOSPITAL MED CTR OF AKRON LINE NUMBER 1 PART V LINE 19D	PART V LINE 19D	ALL PATIENTS INCLUDING SELF PAY PATIENTS ARE INITIALLY BILLED AT GROSS CHARGE AMOUNTS THOSE PATIENTS WHO QUALIFY FOR HOSPITAL CARE ASSURANCE PROGRAM FREE CARE OR WHO QUALIFY FOR A 100 DISCOUNT UNDER THE HOSPITALS CHARITY CARE POLICY HAVE 100 OF THEIR CHARGES FORGIVEN THOSE PATIENTS WHO QUALIFY FOR DISCOUNTED CARE UNDER THE HOSPITALS CHARITY CARE POLICY FIRST HAVE THEIR HOSPITAL AND PROFESSIONAL CHARGES REDUCED PRIOR TO APPLYING THE CHARITY DISCOUNT PERCENTAGE TO DETERMINE THE DISCOUNTED GUARANTOR RESPONSIBILITY FOR HOSPITAL CHARGES THE CHARGE REDUCTION PERCENTAGE IS THE AVERAGE OF THE THREE LOWEST NEGOTIATED COMMERCIAL RATES AND FOR THE HOSPITAL BASED PROFESSIONAL COMPONENT CHARGE CHARGES ARE REDUCED TO THE BLENDED COLLECTION RATE FOR ALL PROFESSIONAL COMPONENT CHARGES
CHILDRENS HOSPITAL MED CTR OF AKRON LINE NUMBER 2 PART V LINE 11H	PART V LINE 11H	IN CIRCUMSTANCES WHERE A FAMILY MAY NOT BE ELIGIBLE FOR CHARITY CARE BASED SOLELY ON INCOME OR RESIDENCE BUT WHERE THE PURSUIT OF PAYMENT WOULD ADVERSELY AFFECT THE WELL BEING OF THE PATIENT OR HIS OR HER FAMILY OR CAUSE UNDUE HARDSHIP FOR THE PATIENT ANDOR FAMILY HOSPITAL MANAGEMENT MAY APPROVE CHARITY CARE BASED ON DOCUMENTED EXTENUATING CIRCUMSTANCES
CHILDRENS HOSPITAL MED CTR OF AKRON LINE NUMBER 2 PART V LINE 19D	PART V LINE 19D	ALL PATIENTS INCLUDING SELF PAY PATIENTS ARE INITIALLY BILLED AT GROSS CHARGE AMOUNTS THOSE PATIENTS WHO QUALIFY FOR HOSPITAL CARE ASSURANCE PROGRAM FREE CARE OR WHO QUALIFY FOR A 100 DISCOUNT UNDER THE HOSPITALS CHARITY CARE POLICY HAVE 100 OF THEIR CHARGES FORGIVEN THOSE PATIENTS WHO QUALIFY FOR DISCOUNTED CARE UNDER THE HOSPITALS CHARITY CARE POLICY FIRST HAVE THEIR HOSPITAL AND PROFESSIONAL CHARGES REDUCED PRIOR TO APPLYING THE CHARITY DISCOUNT PERCENTAGE TO DETERMINE THE DISCOUNTED GUARANTOR RESPONSIBILITY FOR HOSPITAL CHARGES THE CHARGE REDUCTION PERCENTAGE IS THE AVERAGE OF THE THREE LOWEST NEGOTIATED COMMERCIAL RATES AND FOR THE HOSPITAL BASED PROFESSIONAL COMPONENT CHARGE CHARGES ARE REDUCED TO THE BLENDED COLLECTION RATE FOR ALL PROFESSIONAL COMPONENT CHARGES
CHILDRENS AT ST ELIZABETH LINE NUMBER 3 PART V LINE 11H	PART V LINE 11H	IN CIRCUMSTANCES WHERE A FAMILY MAY NOT BE ELIGIBLE FOR CHARITY CARE BASED SOLELY ON INCOME OR RESIDENCE BUT WHERE THE PURSUIT OF PAYMENT WOULD ADVERSELY AFFECT THE WELL BEING OF THE PATIENT OR HIS OR HER FAMILY OR CAUSE UNDUE HARDSHIP FOR THE PATIENT ANDOR FAMILY HOSPITAL MANAGEMENT MAY APPROVE CHARITY CARE BASED ON DOCUMENTED EXTENUATING CIRCUMSTANCES
CHILDRENS AT ST ELIZABETH LINE NUMBER 3 PART V LINE 19D	PART V LINE 19D	ALL PATIENTS INCLUDING SELF PAY PATIENTS ARE INITIALLY BILLED AT GROSS CHARGE AMOUNTS THOSE PATIENTS WHO QUALIFY FOR HOSPITAL CARE ASSURANCE PROGRAM FREE CARE OR WHO QUALIFY FOR A 100 DISCOUNT UNDER THE HOSPITALS CHARITY CARE POLICY HAVE 100 OF THEIR CHARGES FORGIVEN THOSE PATIENTS WHO QUALIFY FOR DISCOUNTED CARE UNDER THE HOSPITALS CHARITY CARE POLICY FIRST HAVE THEIR HOSPITAL AND PROFESSIONAL CHARGES REDUCED PRIOR TO APPLYING THE CHARITY DISCOUNT PERCENTAGE TO DETERMINE THE DISCOUNTED GUARANTOR RESPONSIBILITY FOR HOSPITAL CHARGES THE CHARGE REDUCTION PERCENTAGE IS THE AVERAGE OF THE THREE LOWEST NEGOTIATED COMMERCIAL RATES AND FOR THE HOSPITAL BASED PROFESSIONAL COMPONENT CHARGE CHARGES ARE REDUCED TO THE BLENDED COLLECTION RATE FOR ALL PROFESSIONAL COMPONENT CHARGES
CHILDRENS SPECIALTY CARE NURSERY LINE NUMBER 4 PART V LINE 11H	PART V LINE 11H	IN CIRCUMSTANCES WHERE A FAMILY MAY NOT BE ELIGIBLE FOR CHARITY CARE BASED SOLEY ON INCOME OR RESIDENCE BUT WHERE THE PURSUIT OF PAYMENT WOULD ADVERSELY AFFECT THE WELL BEING OF THE PATIENT OR HIS OR HER FAMILY OR CAUSE UNDUE HARDSHIP FOR THE PATIENT ANDOR FAMILY HOSPITAL MANAGEMENT MAY APPROVE CHARITY CARE BASED ON DOCUMENTED EXTENUATING CIRCUMSTANCES
CHILDRENS SPECIALTY CARE NURSERY LINE NUMBER 4 PART V LINE 19D	PART V LINE 19D	ALL PATIENTS INCLUDING SELF PAY PATIENTS ARE INITIALLY BILLED AT GROSS CHARGE AMOUNTS THOSE PATIENTS WHO QUALIFY FOR HOSPITAL CARE ASSURANCE PROGRAM FREE CARE OR WHO QUALIFY FOR A 100 DISCOUNT UNDER THE HOSPITALS CHARITY CARE POLICY HAVE 100 OF THEIR CHARGES FORGIVEN THOSE PATIENTS WHO QUALIFY FOR DISCOUNTED CARE UNDER THE HOSPITALS CHARITY CARE POLICY FIRST HAVE THEIR HOSPITAL AND PROFESSIONAL CHARGES REDUCED PRIOR TO APPLYING THE CHARITY DISCOUNT PERCENTAGE TO DETERMINE THE DISCOUNTED GUARANTOR RESPONSIBILITY FOR HOSPITAL CHARGES THE CHARGE REDUCTION PERCENTAGE IS THE AVERAGE OF THE THREE LOWEST NEGOTIATED COMMERCIAL RATES AND FOR THE HOSPITAL BASED PROFESSIONAL COMPONENT CHARGE CHARGES ARE REDUCED TO THE BLENDED COLLECTION RATE FOR ALL PROFESSIONAL COMPONENT CHARGES
CHILDRENS SPECIALTY CARE NURSERY LINE NUMBER 5 PART V LINE 11H	PART V LINE 11H	IN CIRCUMSTANCES WHERE A FAMILY MAY NOT BE ELIGIBLE FOR CHARITY CARE BASED SOLELY ON INCOME OR RESIDENCE BUT WHERE THE PURSUIT OF PAYMENT WOULD ADVERSELY AFFECT THE WELL BEING OF THE PATIENT OR HIS OR HER FAMILY OR CAUSE UNDUE HARDSHIP FOR THE PATIENT ANDOR FAMILY HOSPITAL MANAGEMENT MAY APPROVE CHARITY CARE BASED ON DOCUMENTED EXTENUATING CIRCUMSTANCES
CHILDRENS SPECIALTY CARE NURSERY LINE NUMBER 5 PART V LINE 19D	PART V LINE 19D	ALL PATIENTS INCLUDING SELF PAY PATIENTS ARE INITIALLY BILLED AT GROSS CHARGE AMOUNTS THOSE PATIENTS WHO QUALIFY FOR HOSPITAL CARE ASSURANCE PROGRAM FREE CARE OR WHO QUALIFY FOR A 100 DISCOUNT UNDER THE HOSPITALS CHARITY CARE POLICY HAVE 100 OF THEIR CHARGES FORGIVEN THOSE PATIENTS WHO QUALIFY FOR DISCOUNTED CARE UNDER THE HOSPITALS CHARITY CARE POLICY FIRST HAVE THEIR HOSPITAL AND PROFESSIONAL CHARGES REDUCED PRIOR TO APPLYING THE CHARITY DISCOUNT PERCENTAGE TO DETERMINE THE DISCOUNTED GUARANTOR RESPONSIBILITY FOR HOSPITAL CHARGES THE CHARGE REDUCTION PERCENTAGE IS THE AVERAGE OF THE THREE LOWEST NEGOTIATED COMMERCIAL RATES AND FOR HOSPITAL BASED PROFESSIONAL COMPONENT CHARGE CHARGES ARE REDUCED TO THE BLENDED COLLECTION RATE FOR ALL PROFESSIONAL COMPONENT CHARGES

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
UNIVERSITY OF AKRON FOUNDATION
47 NORTH MAIN STREET	AKRON	OH	44308	346575496	3	470843	DONATION TO ABIA
AKRON CHILDRENS HOSPITAL FOUNDATION
ONE PERKINS SQUARE	AKRON	OH	44308	237114013	3	394853	DONATIONS TO FUNDS
AKRON ROTARY CAMP
4460 REX LAKE DRIVE	AKRON	OH	44319	346557819	3	12500	DONATION
STARK STATE COLLEGE FOUNDATION
6200 FRANK AVE NW	NORTH CANTON	OH	44720	341577595	3	10000	DONATION
SISTERS OF THE HUMILITY OF MARY
288 VILLA DRIVE	VILLA MARIA	PA	16143	250989253	3	10000	DONATION
GREEN VETERANS MEMORIAL PARK FUND
PO BOX 278	GREEN	OH	44232	272131908	3	7500	DONATION

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	6	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES	Identifier
Return Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	ReturnReference
Explanation	AKRON CHILDREN'S HOSPITAL DONATES MONEY OCCASSIONALLY TO PROGRAMS THROUGHOUT THE COMMUNITY 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	false	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
WILLIAM CONSIDINE
1052641	197000	291653	220092	12528	1773914
NORMAN CHRISTOPHER MD
354047	44316	2939	98250	16629	516181
SARAH FRIEBERT MD
271107		270	64185	5834	341396
JEFFREY HORD
248809	7554	1512	71322	16247	345444
MARK WATSON
342624	350000	4455	121761	6574	825414
SHAWN LYDEN
476519		7826	14700	16701	515746
GRACE WAKULCHIK
362639		5366	132920	9863	510788
MICHAEL TRAINER
353766		2265	17150	16652	389833
THOMAS OGG
241890	30000	483	2115	16295	290783
WALTER SCHWOEBLE
231650		2012	14176	11609	259447
LISA AURILIO
208242		634	36449	5838	251163
SHARON HRINA
190636		2376	60031	5756	258799
LINDA GENTILE
189822		2550	81439	16168	289979
MEREDITH SLOSBERG
188018		3664	64032	5804	261518
CYNTHIA DORMO
189129		645	136286	5958	332018
ROGER HUDGINS
1446978	220000	3354	4900	10005	1685237
ANTON MILO MD
1345286		1710	1700	16369	1365065
PHILIP SMITH MD
1028891	30000	1932	76110	17207	1154140
ROBERT PARRY
668644		64217		16500	749361
DENNIS WEINER MD
716447		10012	75530	11888	813877

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FRINGE OR EXPENSE EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 1A	WILLIAM CONSIDINE, CEO AND SHAWN LYDEN, EXECUTIVE VP, HAD A 2011 COUNTRY CLUB MEMBERSHIP THAT WAS USED BY CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON FOR BUSINESS MEETINGS. WILLIAM CONSIDINE ALSO RECEIVED GROSS-UP PAYMENTS FOR HIS AUTOMOBILE AND LIFE INSURANCE PAYMENTS MADE BY CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON.
WRITTEN REIMBURSEMENT POLICY EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 1B	THE EXECUTIVE REIMBURSEMENTS TO WILLIAM CONSIDINE AND SHAWN LYDEN, WHICH INCLUDE THE GROSS-UP OF THE SAME BENEFITS EACH YEAR, HAVE BEEN APPROVED BY THE BOARD OF DIRECTORS.
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS	SCHEDULE J, PAGE 1, PART I, LINE 4	WILLIAM CONSIDINE 0 220,000 0
NON-FIXED PAYMENTS PROVIDED	SCHEDULE J, PAGE 1, PART I, LINE 7	CHILDREN'S DOES HAVE CONTRACTS WITH CERTAIN PHYSICIANS THAT EARN BONUSES BASED ON WORK RELATIVE VALUE UNITS (WRVU'S). PHYSICIAN WORK RVU: THE RELATIVE LEVEL OF TIME, SKILL, TRAINING AND INTENSITY TO PROVIDE A GIVEN SERVICE. EACH 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.
OTHER ADDITIONAL INFORMATION	SCHEDULE J, PART III	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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	AKRON BATH AND COPLEY JOINT TWSP	BusinessNameLine1
Business Name Line2	HOSPITAL IMPR & REFUNDING REV BONDS	BusinessNameLine2

Field	Value	IRS element (for citing)
Issuer EIN	341448680	IssuerEIN
CUSIP Number	009730LE0	CUSIPNumber
Date Issued	2003-12-09	DateIssued
Issue Price	48176171	IssuePrice
Description Of Purpose	REFUND PRIOR ISSUE.	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	16290000	AmountRetired
Total Proceeds	48176171	TotalProceeds
Issuance Costs From Proceeds	555263	IssuanceCostsFromProceeds
Credit Enhancement	964058	CreditEnhancement
Capital Expenditures	6940486	CapitalExpenditures
Year Of Subst Completion	2004	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	true	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	true	EngageBondCounselContracts
Any Research Agreements	false	AnyResearchAgreements
Engage Bond Counsel Research	true	EngageBondCounselResearch
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	false	ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	PURPOSE OF ISSUE DESCRIPTION	Identifier
Return Reference	SCHEDULE K	ReturnReference
Explanation	AKRON BATH AND COPLEY JOINT TWSP 36013924 OF BOND PROCEEDS REFUNDED SERIES 1993 BONDS WITH A SMALL PORTION OF MONIES TO COMPLETE THE 2001 PROJECT	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (10 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
FIRST MERIT
VP-FIRST MERIT	348641	FEES TO FIRST MERIT	false
(no name)
AND CURRENT DIR			false
FIRST ENERGY SOLUTIONS
FIRSTENERGY OFF	2384563	ELECTRIC BILLS ARE	false
(no name)
AND CURRENT DIR		PAID TO FIRST ENERGY	false
CATHRYN O'MALLEY
FAMILY MEMBER	51238	COMPENSATION	false
(no name)
OF CURR DIR/OFF			false
LAURIE SCHEULER
FAMILY MEMBER	27563	COMPENSATION	false
(no name)
OF CURRENT DIR			false
AMY COOK
FAMILY MEMBER	218560	PHYS. RECRUITMENT	false
(no name)
OF CURR OFFICER		FEES PAID	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	ADDITIONAL INFORMATION	Identifier
Return Reference	SCHEDULE L PART V	ReturnReference
Explanation	GREG MCDERMOTT DIRECTOR IS A VICEPRESIDENT WITHIN FIRST MERIT BANK OF WHICH CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON CONDUCTS THEIR CHECKING AND INVESTMENTS BANKING DONALD SCHNEIDER BOARD MEMBER IS A FIRST ENERGY OFFICER CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON PURCHASES THEIR ELECTRIC POWER THROUGH OHIO EDISON A COMPANY OF FIRST ENERGY CATHRYN OMALLEY IS THE DAUGHTER OF WILLIAM CONSIDINE PRESIDENT AND CEO LAURIE SCHUELER IS THE DAUGHTER OF DUANE ISHAM BOARD MEMBER CHILDRENS HAS UTILIZED THE PHYSICIAN RECRUITMENT SERVICES OF NORTHEASTERN OHIO PHYSICIANS RECRUITERS TO OBTAIN PEDIATRIC SPECIALTY PHYSICIANS IN DIFFICULT TO RECRUIT DISCIPLINES THESE SERVICES WERE PROVIDED AT MARKET COMPETITIVE RATES AND PRODUCED VERY SUCCESSFUL OUTCOMES FOR CHILDRENS SUBSEQUENT TO UTILIZING NORTHEASTERN OHIO PHYSICIAN RECRUITERS SERVICES CHILDRENS EMPLOYED SHAWN LYDEN AS EXECUTIVE VICE PRESIDENT AND GENERAL COUNSEL WHOSE WIFE AMY COOK IS THE OWNER OF NORTHEASTERN OHIO PHYSICIAN RECRUITERS SERVICES WITH NORTHEASTERN OHIO PHYSICIANS RECRUITERS CEASED IN 2011	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (17 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	FORM 990 - ORGANIZATION'S MISSION	PART 1, LINE 1 AND PART III, LINE 1 THE MISSION OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON IS TO PROVIDE QUALITY MEDICAL AND SURGICAL CARE FOR BABIES, CHILDREN, ADOLESCENTS, AND BURN VICTIMS OF ALL AGES, REGARDLESS OF ABILITY TO PAY; MULTI-LEVEL PROFESSIONAL EDUCATION FOR STUDENTS OF MEDICINE, NURSING AND VARIOUS ALLIED HEALTH PROFESSIONALS; BASIC AND CLINICAL RESEARCH INTO THE CAUSES, TREATMENT AND CURE OF CHILDHOOD ILLNESS, INJURY AND BURN INJURY; COMMUNITY SERVICE INTENDED TO IMPROVE HEALTH STATUS THROUGH LAY EDUCATION; CHILD AND FAMILY ADVOCACY EFFORTS TO IMPROVE THE STATUS OF CHILDREN AND ADOLESCENTS IN OUR REGION OF SERVICE. CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON (CHILDREN'S) IS AN INDISPENSABLE, INTEGRATED PEDIATRIC HEALTHCARE DELIVERY SYSTEM SERVING INFANTS, CHILDREN, ADOLESCENTS, AND ADULTS IN AKRON AND NORTHEAST OHIO. ESTABLISHED IN 1890 BY THE "KINGS DAUGHTERS," A GROUP OF WOMEN AFFILIATED WITH A LOCAL CHURCH, CHILDREN'S HAS GROWN FROM A TWO-ROOM DAY NURSERY TO A MODERN 253-BED, FULL SERVICE HOSPITAL. IN ITS 121 YEAR HISTORY, CHILDREN'S HAS RECEIVED UNFAILING COMMUNITY SUPPORT AND OUTSTANDING LEADERSHIP WHICH HAS RESULTED IN CONTINUED IMPROVEMENT IN PATIENT CARE AND THE EXPANSION OF MEDICAL SERVICES. CHILDREN'S IS THE LARGEST PEDIATRIC HEALTH CARE SYSTEM IN NORTHEAST OHIO, OPERATING TWO FREESTANDING PEDIATRIC HOSPITALS, FOUR EMERGENCY DEPARTMENT LOCATIONS, 30 PEDIATRIC SPECIALTY CLINICS, AND OFFERING SERVICES AT ABOUT 70 LOCATIONS ACROSS THE REGION. IN 2011, CHILDREN'S SERVED OVER 600,000 PATIENTS THROUGH ALL OF ITS PROGRAMS. CHILDREN'S ALSO OPERATES A PEDIATRIC PRIMARY CARE NETWORK WITH 15 OFFICES IN SEVEN COUNTIES. CHILDREN'S IS DESIGNATED AS A MAGNET HOSPITAL BY THE AMERICAN NURSES CREDENTIALING CENTER. MAGNET DESIGNATION REPRESENTS EXCELLENCE IN NURSING CARE AND A SUPPORTIVE WORK ENVIRONMENT LEADING TO QUALITY PATIENT OUTCOMES AND DEMONSTRATES TO OUR PATIENTS AND FAMILIES AND THE COMMUNITIES WE SERVE THAT THE NURSING CARE AT CHILDREN'S IS OF THE HIGHEST CALIBER NATIONWIDE. CHILDREN'S REGIONAL BURN CENTER WAS VERIFIED BY THE AMERICAN BURN ASSOCIATION AND AMERICAN COLLEGE OF SURGEONS. LAST VERIFICATION WAS DATED NOVEMBER 2011. IT IS REQUIRED EVERY 3 YEARS, THEREFORE REVERIFICATION WILL OCCUR AGAIN IN 2014. CHILDREN'S IS A LEVEL II TRAUMA CENTER DESIGNATION. CHILDREN'S ALSO HAS A PEDIATRIC TEACHING CENTER DESIGNATION (1 OF 14 IN THE UNITED STATES). CHILDREN'S LABORATORY HAS FULL ACCREDITATION BY THE COLLEGE OF AMERICAN PATHOLOGISTS (CAP). THE CHILDREN'S PALLIATIVE CARE LEADERSHIP CENTER IS ONE OF TWO PEDIATRIC CENTERS IN THE UNITED STATES. WE PROVIDE MORE THAN 100 ADVOCACY, EDUCATION, OUTREACH AND RESEARCH PROGRAMS TO CHILDREN AND THEIR FAMILIES THROUGHOUT THE REGION. THE THREE LARGEST PROGRAM SERVICES ARE DESCRIBED IN DETAIL IN PART III OF THE CORE FORM 990, BUT CHILDREN'S HOSPITAL MEDICAL CENTER'S ACCOMPLISHMENTS INCLUDE OTHER ACHIEVEMENTS AS DESCRIBED BELOW: IN 2008, CHILDREN'S PARTNERED WITH AKRON GENERAL HEALTH SYSTEM, SUMMA HEALTH SYSTEM, THE UNIVERSITY OF AKRON AND NORTHEASTERN OHIO UNIVERSITIES COLLEGES OF MEDICINE AND PHARMACY AND BECAME ONE OF THE FOUNDING MEMBERS OF THE BIOINNOVATION INSTITUTE IN AKRON, A UNIQUE COLLABORATION OF RESEARCH, EDUCATION AND HEALTH INSTITUTIONS DESIGNED TO PIONEER THE NEXT GENERATION OF LIFE-ENHANCING AND LIFE-SAVING INNOVATIONS. CHILDREN'S COMMITTED TO SUPPORTING THE INSTITUTE BY CONTRIBUTING 4,000,000 OVER 5 YEARS BEGINNING IN 2008. IN FEBRUARY 2008, CHILDREN'S OPENED THE 6,000 SQUARE FOOT REINBERGER FAMILY CENTER TO GIVE FAMILIES A MUCH-NEEDED BREAK FROM THE STRESS OF HOSPITALIZATION. THE CENTER ALSO FEATURES THE STERLING JEWELERS FAMILY AREA FOR FAMILY MEMBERS WHO NEED A PLACE TO STAY OVERNIGHT. THE CENTER IS OPEN TWENTY-FOUR(24) HOURS, SEVEN DAYS A WEEK. CHILDREN'S LAUNCHED OHIO'S FIRST AND ONLY MEDICAL TRANSPORT HELICOPTER DEDICATED TO PEDIATRICS IN OCTOBER 2008. APTLY DUBBED AIR BEAR, THE HELICOPTER IS EASY TO SPOT IN THE SKY ABOVE NORTHEAST OHIO WITH ITS COLORFUL PAINT DESIGN. CHILDREN'S MEDICAL CENTER OF AKRON OPENED ITS BEEGHLY CAMPUS IN BOARDMAN, OHIO IN DECEMBER 2008. THE 32-BED FACILITY INCLUDES A PEDIATRIC EMERGENCY DEPARTMENT, AN OUTPATIENT HEMATOLOGY/ONCOLOGY CLINIC AND INFUSION CENTER, INPATIENT AND OUTPATIENT REHABILITATION SERVICES, INPATIENT PHARMACY SERVICES, RADIOLOGY, A FULL-SERVICE LABORATORY AND TRANSPORT SERVICES. THE ROUTINE CARE UNITS, WHICH CONSIST OF PRIVATE ROOMS AND ACCOMODATIONS 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 CARE AND RECOVERY IN A MODERN HOSPITAL SETTING. CHILDREN'S IS A NOT-FOR-PROFIT FACILITY WHICH OPERATES TWENTY-FOUR(24) HOURS A DAY, SEVEN(7) DAYS A WEEK. CHILDREN'S ACCEPTS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. DURING THE YEAR ENDED DECEMBER 31, 2011, TOTAL UNCOMPENSATED CARE (INCLUDING CHARITY CARE, ALLOWANCES AND CONTRACT ADJUSTMENTS) WAS 395,455,514. CHILDREN'S QUALIFIES AS A DISPROPORTIONATE SHARE HOSPITAL PER ODJFS OHIO DEPARTMENT OF JOBS AND FAMILY SERVICES. CHILDREN'S PROVIDES PEDIATRIC SERVICES AT AKRON GENERAL MEDICAL CENTER, MEDCENTRAL HEALTH SYSTEM IN MANSFIELD, AULTMAN HOSPITAL IN CANTON, FISHER-TITUS CENTER IN NORWALK AND ROBINSON MEMORIAL HOSPITAL IN RAVENNA, AS WELL AS OFFICES IN BEACHWOOD AND HUDSON. CHILDREN'S ALSO OPERATES ONE OF THE LARGEST PEDIATRIC PRIMARY CARE NETWORKS WITH 18 OFFICES IN SEVEN COUNTIES INCLUDING CUYAHOGA, MEDINA, WAYNE, TUSCAWARAS AND PORTAGE.
FIRST ACCOMPLISHMENT DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4A	CONTINUED FROM PART III, LINE 4A) MEDICINE, INFECTIOUS DISEASES, HEMATOLOGY SERVICES, PULMONARY MEDICINE, DEVELOPMENTAL PEDIATRICS, PALLIATIVE CARE PROGRAM, OAK ADOPTIVE HEALTH CENTER, LOCUST PEDIATRICS, DIAGNOSTIC REFERRAL GROUP, RHEUMATOLOGY, CLINICAL PHARMACOLOGY AND TOXICOLOGY, PSYCHIATRIC SERVICES, GENETICS, DEPARTMENT OF PEDIATRICS, CAST ROOM, ORTHOPEDICS, AND SKELETAL DYSPLASIS CENTER. ONE OF THE SUBSPECIALTY DEPARTMENTS, THE HEART CENTER, WHICH WAS ESTABLISHED IN MAY 2001, HAS SEEN NUMEROUS CONTRIBUTIONS AND ACCOMPLISHMENTS SINCE ITS INCEPTION. OF GREATEST IMPORTANCE IS THE ESTABLISHMENT AND MATURATION OF AN INTEGRATED, SERVICE-LINE ORGANIZATIONAL STRUCTURE. THIS HAS INFLUENCED ALL OTHER HEART CENTER INITIATIVES AND ACCOMPLISHMENTS OVER THE LAST TEN YEARS INCLUDING THE ESTABLISHMENT OF THE FOLLOWING SERVICES: -- CARDIAC SURGICAL SERVICES -- INTERVENTIONAL CARDIOLOGY -- MATERNAL FETAL CARDIOLOGY -- ADULT CONGENITAL CARDIOLOGY -- ELECTROPHYSIOLOGY CARDIOLOGY -- ADVANCED CARDIOLOGY IMAGERY -- OUTREACH CARDIOLOGY SERVICES -- CLINICAL CARDIOLOGY SERVICES (ECHO, EKG,STRESS TESTING) -- PREVENTIVE CARDIOLOGY OTHER MAJOR 2011 ACCOMPLISHMENTS OF THE HEART CENTER ARE: -- ADDED PEDIATRIC CARDIAC CLINICS, CARDIAC SURGERY AND FETAL ECHO CLINIC AT METROHEALTH HOSPITAL -- 2% GROWTH IN MAHONING VALLEY AT HEART CENTER BOARDMAN -- 6% OVERALL GROWTH IN HEART CENTER CLINIC VISITS THE HEART CENTER HAS ICAEL ACCREDITATION IN THE FOLLOWING: -- PEDIATRIC ECHOCARDIOGRAPHY -- PEDIATRIC TRANSTHORACIC ECHOCARDIOGRAPHY -- PEDIATRIC TRANESOPHAGEAL ECHOCARDIOGRAPHY -- FETAL ECHOCARDIOGRAPHY STATISTICS FOR THE HEART CENTER ARE AS FOLLOWS: 2011 2010 ------ ------ OUTPATIENT VISITS 13,935 10,732 CARDIAC PROCEDURES: CATH 263 271 SURGERY 120 150 ANOTHER SUBSPECIALTY IS THE PEDIATRIC DIALYSIS RENAL CARE CENTER, WHICH OPENED IN 1985. THIS IS THE ONLY FACILITY IN THE CHILDREN'S SERVICE AREA EQUIPPED TO TREAT BABIES, CHILDREN AND ADOLESCENTS SUFFERING FROM CHRONIC OR ACUTE KIDNEY FAILURE. STATE-OF-THE-ART KIDNEY DIALYSIS IS PERFORMED AT CHILDREN'S. DIALYSIS IS ALSO AVAILABLE TO TREAT PATIENTS WHO NEED RENAL SUPPORT WHILE THEY RECOVER FROM BURNS, POISONINGS OR OTHER SERIOUS ILLNESS OR INJURY. COMPREHENSIVE CARE FOR KIDNEY PATIENTS IS ASSURED BY THE USE OF A TEAM APPROACH UTILIZING THE SKILLS OF PHYSICIANS, NURSES, DIETICIANS, AND SOCIAL WORKERS. IN 1987, CHILDREN'S ESTABLISHED THE CHILDREN AT RISK EVALUATION (C.A.R.E) CENTER TO BETTER EVALUATE AND INITIATE TREATMENT FOR CHILDREN OF SUSPECTED PHYSICAL OR SEXUAL ABUSE AND NEGLECT. AT THE CENTER, A TEAM OF PHYSICIANS, NURSES, AND SOCIAL WORKERS SEE SCHEDULED PATIENTS REFERRED BY PRIVATE PHYSICIANS (LOCAL AND REGIONAL), POLICE DEPARTMENTS, JUVENILE DETECTIVES, THE CHILDREN'S SERVICES BOARD (SUMMIT AND OTHER COUNTIES) AND OTHER COMMUNITY AGENCIES. LOCATED NEAR EMERGENCY SERVICES, THE CENTER ACCOMODATES THESE CHILDREN BY PROVIDING A QUIET STRUCTURE AND UNHURRIED ATMOSPHERE FOR EXAMINATION AND INTERVIEW. IN ADDITION TO PROVIDING FORENSIC INTERVIEWS AND EXAMINATIONS TO BE USED PRIOR TO AND DURING COURT PROCEEDINGS, THE CENTER CAN VIDEOTAPE A CHILD'S TESTIMONY TO AVOID REPEATED AND OFTEN PAINFUL INTERVIEWS. THE C.A.R.E. TEAM ALSO PROVIDES CONSULTATION WHEN ABUSE IS SUSPECTED FOR A CHILD ON AN INPATIENT UNIT. IN 2007, CHILDREN'S EXPANDED SERVICES FOR ABUSED CHILDREN AND TEENS IN THE MAHONING VALLEY BY PURCHASING THE TRI-COUNTY CHILD ADVOCACY CENTER. THE CENTER NOT ONLY PROVIDES MEDICAL AND FORENSIC EVALUATIONS FOR CHILDREN SUSPECTED OF BEING PHYSICALLY OR SEXUALLY ABUSED, BUT IT ALSO PROVIDES MEDICAL EVALUATIONS FOR KIDS IN FOSTER CARE. IN OCTOBER, 2009, CHILDREN'S RECEIVED FEDERAL AMERICAN RECOVERY AND REINVESTMENT ACT (AARA) GRANT FUNDING OF 882,550 FOR THE EXPANSION OF THE C.A.R.E. CENTER SERVICES TO INCLUDE TRAUMA INTERVENTION SERVICES ("TIS") FOR CHILD CARE VICTIMS. THE PROJECT EXPANDED THE INFRASTRUCTURE OF C.A.R.E. TO INCLUDE TIS, THROUGH THE HIRING AND TRAINING OF ADDITIONAL STAFF AND THE DEVELOPMENT OF PSYCHOLOGICAL EDUCATIONAL MATERIALS FOR CHILDREN WHO HAVE BEEN VICTIMS OF CRIME AND THEIR FAMILIES. IT ALSO INCREASED THE PARTICIPATION OF VICTIMS IN THE CRIMINAL JUSTICE SYSTEM, AND CONSEQUENTLY, THE PROSECUTION OF CHILD PHYSICAL AND SEXUAL ABUSE. CHILDREN WHO ARE VICTIMS OF PHYSICAL OR SEXUAL ABUSE ARE IDENTIFIED BY REFERRAL FROM OUTSIDE AGENCIES, INCLUDING LAW ENFORCEMENT AGENCIES, CHILD PROTECTIVE SERVICES, PRIVATE PHYSICIANS, AND CHILDREN'S HOSPITAL EMERGENCY DEPARTMENT PERSONNEL AT ANY OF THE FOUR CHILDREN'S HOSPITAL MEDICAL CENTER EMERGENCY DEPARTMENT LOCATIONS. SERVICES PROVIDED INCLUDE IMMEDIATE TRAUMA-INFORMED, HOME-BASED CRISIS INTERVENTION MANAGEMENT, ADVOCACY THROUGHOUT THE CRIMINAL JUSTICE SYSTEM, AND PSYCHOSOCIAL EDUCATIONS FOR FAMILIES REGARDING TRAUMA SYMPTOMS AND TREATMENT. THIS PROJECT WAS AN EXPANSION OF A CURRENT SUCCESSFUL EVIDENCE-BASED PROGRAM MODEL, CHILDREN WHO WITNESS VIOLENCE, WHICH HAS SERVED OVER 2,200 CHILDREN WHO HAVE WITNESSED VIOLENCE AND THEIR FAMILIES WITH HOME-BASED TRAUMA INTERVENTION SERVICES. OHIO'S RATE OF CHILD ABUSE AND NEGLECT IS RANKED ELEVENTH IN THE NATION. RESEARCH HAS SHOWN THAT EXPOSURE TO TRAUMA MAY NEGATIVELY IMPACT THE PHYSICAL, MENTAL, AND EMOTIONAL DEVELOPMENT OF CHILDREN. CHILDREN'S HAS HAD SUCCESSFUL AND EXTENSIVE EXPERIENCE IN THE IMPLEMENTATION OF SERVICES TO PROVIDE TRAUMA FOR CHILDREN EXPOSED TO VIOLENCE; THE EXPANSION OF THE C.A.R.E. CENTER WILL BUILD UPON THIS MODEL. A COMPONENT OF THE DIVISION OF HEMATOLOGY/ONCOLOGY, THE OHIO REGIONAL VI COORDINATED SICKLE CELL PROGRAM AT CHILDREN'S SERVES ADULTS AND CHILDREN IN SEVERAL NORTHEAST OHIO COUNTIES. THE GRANT FUNDED PROGRAM PLAYS AN IMPORTANT ROLE IN IMPROVING THE TREATMENT AND EDUCATION OF PERSONS WITH THE SICKLE CELL TRAIT IN THE REGION. IN ADDITION TO MEDICAL CARE, SUPPORT SERVICES INCLUDE DISEASE EDUCATION, PERSONAL AND CAREER COUNSELING AND FINANCIAL COUNSELING ARE OFFERED. ALSO INCORPORATED IN THE SICKLE CELL CLINIC ARE GENETIC AND PSYCHOSOCIAL COUNSELING SERVICES. THE PROGRAM COORDINATES ACTIVITIES OF SICKLE CELL SERVICE AGENCIES THROUGHOUT REGION VI AND PROVIDES EDUCATION PROGRAMS FOR THE GENERAL PUBLIC, AT-RISK GROUPS AND HEALTH CARE PROVIDERS. CHILDREN'S HEMOSTASIS AND THROMBOSIS CENTER PROVIDES DIAGNOSTIC AND TREATMENT SERVICES TO CHILDREN AND ADULTS WITH INHERITED BLEEDING AND CLOTTING DISORDERS. THE CENTER IS RECOGNIZED BY THE FEDERAL DEPARTMENT OF MATERNAL AND CHILD HEALTH AS A REGIONAL COMPREHENSIVE CENTER. THE CENTER IS STAFFED BY BOARD-CERTIFIED HEMOTOLOGISTS, NURSE CLINICIANS, NURSE EDUCATOR, SOCIAL SERVICE STAFF, AN ORTHOPEDIST AND A PHYSICAL THERAPIST. IN ADDITION TO PROVIDING MEDICAL ASSESSMENT/TREATMENT THROUGH THE CANCER AND BLOOD DISORDERS CLINIC, THE STAFF PROVIDES COUNSELING AND TEACHING SERVICES. THE HOSPITAL ALSO OPERATES A CLINIC IN MILLERSBURG, OHIO, TO SERVE THE AMISH/MENNONITE COMMUNITY. CLINICAL TRIALS ARE AVAILABLE TO INDIVIDUALS WITH HEREDITARY COAGULATION DISORDERS ENROLLED IN THE CENTER, IN CONJUNCTION WITH PHARMACEUTICAL COMPANIES, THE CDC, THE NATIONAL HEMOPHILIA FOUNDATION, AND OTHER RESEARCH AGENCIES. CHILDREN'S OFFERS A COMPREHENSIVE CLINICAL TREATMENT CENTER FOR CHILDREN WITH ALL TYPES OF CANCER AND BLOOD DISORDERS. HIGHLY SPECIALIZED TEAMS CARE FOR CHILDREN AND TEENS WITH ALL TYPES OF CHILDHOOD CANCERS, SICKLE CELL DISEASE, HEMOGLOBINOPATHIES, AND BLEEDING/CLOTTING DISORDERS, AS WELL AS THOSE WHO REQUIRE STEM CELL/BONE MARROW TRANSPLANTATION. CHILDREN'S INPATIENT CANCER AND BLOOD DISORDERS UNIT HAS 20 PRIVATE ROOMS WITH SOOTHING NATURAL LIGHT AND BRIGHT COLORS. THERE ARE ROOMING-IN ACCOMODATIONS SO ONE PARENT MAY STAY WITH A CHILD AT ALL TIMES. CHILDREN'S OUTPATIENT CANCER AND BLOOD DISORDERS CLINIC HAS 12 TREATMENT AND EXAM ROOMS, INCLUDING THOSE OUTFITTED FOR CHILDREN WHO REQUIRE SPECIAL ISOLATION. CHILDREN'S CARES FOR MORE PATIENTS WITH HEMOPHILIA B (FACTOR IX DEFICIENCY) THAN ANY OTHER HOSPITAL IN THE COUNTRY. CHILDREN'S CANCER PROGRAM HAS BEEN RECOGNIZED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER AS A "PEDIATRIC TEACHING HOSPITAL CANCER PROGRAM." THE DIVISION OF DEVELOPMENTAL PEDIATRICS PROVIDES DIAGNOSTIC EVALUATIONS AND TREATMENT FOR CHILDREN WITH DEVELOPMENTAL DISORDERS, E.G. SPINA BIFIDA, CEREBRAL PALSY, MENTAL RETARDATION AND AUTISM. THE STAFF WORKS WITH TEAMS OF ALLIED PROFESSIONALS BOTH IN THE HOSPITAL AND IN THE COMMUNITY TO ENHANCE CREATIVE SERVICES FOR CHILDREN WITH SPECIAL NEEDS. THE DEPARTMENT IS ACTIVE IN ADVOCATING FOR FAMILIES WITH A VARIETY OF SPECIAL NEEDS AND TEACHING PRE-SERVICE HEALTH AND EDUCATION PROVIDERS FROM A NUMBER OF DISCIPLINES. THE DIVISION OF MATERNAL FETAL MEDICINE AT CHILDREN'S IS STAFFED BY BOARD-CERTIFIED MATERNAL-FETAL MEDICINE SPECIALISTS WHO HAVE ADVANCED TRAINING AND CLINICAL EXPERIENCE IN HIGH-RISK OBSTETRIC PROBLEMS. THE DIVISION PROVIDES BASIC AND SPECIALTY MATERNAL CARE WITH ADVANCED PRENATAL DIAGNOSIS SUCH AS TARGETED ULTRASONOGRAPHY, FETAL ECHOCARDIOLOGY AND FETAL MRI, GENETIC DISEASE SCREENING AND GE
SECOND ACCOMPLISHMENT DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4B	CONTINUED FROM PART III, LINE 4B) 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 SOME OF THE FOLLOWING DIVISIONS: NEONATAL INTENSIVE CARE UNIT, PEDIATRIC INTENSIVE CARE UNIT, PSYCHIATRIC CARE, REGIONAL BURN CENTER, TRAUMA SERVICES. A 59-BED REGIONAL NEONATAL INTENSIVE CARE UNIT (NICU) WAS OPENED IN 1993. THE NICU IS DESIGNATED THE LEVEL III TERTIARY NEONATAL UNIT IN OHIO'S PERINATAL REGION VI. A FULL STAFF OF MEDICAL, NURSING, AND OTHER HEALTH CARE PROFESSIONALS CARE FOR HIGH-RISK INFANTS IN ONE OF THE MOST ADVANCED FACILITIES IN THE NATION. A NEONATOLOGIST IS PRESENT IN-HOUSE AND AROUND THE CLOCK, SEVEN (7)DAYS A WEEK FOR REFERRAL AND CONSULTATION. A TRANSPORT TEAM FROM THE NICU IS ALSO AVAILABLE AT ALL TIMES FOR TRANSFER OF PATIENTS BY AMBULANCE OR HELICOPTER FROM ANY ONE OF THE THIRTY-FIVE(35) NETWORK HOSPITALS IN THE AREA. THE LEVEL III UNIT IS DIVIDED INTO TWO SECTIONS: (1) INTENSIVE CARE AND (2) SUB-INTENSIVE CARE. SUB-INTENSIVE CARE INCLUDES CONVALESCENT CARE FOR BABIES READY TO GO HOME, AS WELL AS TRANSITIONAL LEVEL CARE FOR BABIES WHO HAVE BEEN HERE FOR AN EXTENDED PERIOD OF TIME. IN SEPTEMBER 2002, CHILDREN'S ENTERED INTO A LEASE AGREEMENT WITH AKRON GENERAL MEDICAL CENTER FOR THE OPERATIONS OF A 17 BED, LEVEL II SPECIAL CARE NURSERY. ALTHOUGH LOCATED AT AKRON GENERAL MEDICAL CENTER, THOSE PATIENTS TREATED ARE PATIENTS OF CHILDREN'S. CHILDREN'S IS RESPONSIBLE FOR THE MEDICAL AND TREATMENT CARES RENDERED TO THESE PATIENTS USING THE HEALTHCARE KNOWLEDGE AND TECHNIQUES DEVELOPED AND UTILIZED AT CHILDREN'S MAIN CAMPUS. DURING 2007, CHILDREN'S AND ST. ELIZABETH'S HOSPITAL, YOUNGSTOWN, OHIO ("HMHP")PURCHASED FROM FORUM HEALTH SYSTEM CERTAIN INPATIENT AND OUTPATIENT FACILITIES AND RESIDENTIAL REALTY LOCATED IN BOARDMAN, OHIO ("BEEGHLY CAMPUS"). CHILDREN'S AND HMHP ENTERED INTO AN AGREEMENT TO PROVIDE PEDIATRIC SERVICES ON THE ST. ELIZABETH CAMPUS IN YOUNGSTOWN, OHIO UNTIL THE BEEGHLY CAMPUS WAS CONVERTED INTO FACILTIES APPROPRIATE FOR PEDIATRIC INPATIENT, OUTPATIENT AND EMERGENCY SERVICES. IN DECEMBER 2009, THE BOARD OF DIRECTORS AND HMHP AGREED TO HAVE ONLY CHILDREN'S OWN AND OPERATE THE BEEGHLY CAMPUS. PATIENT CARE SERVICES AT THE BEEGHLY CAMPUS COMMENCED IN DECEMBER 2008, AND IS NOW KNOWN AS AKRON CHILDREN'S HOSPITAL MAHONING VALLEY. TOTAL NICU PATIENT DAYS WERE AS FOLLOWS: 2011 2010 ----- ------ NEONATAL AT AKRON 19,078 16,011 NEONATAL AT AGMC 3,822 3,814 NEONATAL AT ST. E'S 6,016 5,478 NEONATAL AT BEEGHLY 3,898 2,905 THE DIVISION OF PEDIATRIC CRITICAL CARE IS RESPONSIBLE FOR OVERSEEING AND DELIVERING CARE IN THE PEDIATRIC INTENSIVE CARE UNIT (PICU). EACH YEAR, THE PICU CARES FOR ABOUT 1,300 CHILDREN AND TEENS IN NORTHEAST OHIO WITH LIFE-THREATENING MEDICAL AND SURGICAL PROBLEMS. THE 25,200 SQUARE-FOOT PEDIATRIC INTENSIVE CARE UNIT INCLUDES 23 PRIVATE ROOMS WITH COMFORTABLE PULL-OUT SOFAS TO ENCOURAGE PARENTS TO STAY OVERNIGHT. TOTAL PATIENT DAYS WERE 18,512 AND 17,896 IN 2011 AND 2010, RESPECTIVELY. SINCE 1978, THE BURN INSTITUTE HAS PROVIDED SPECIALIZED CARE FOR BURN VICTIMS OF ALL AGES THROUGHOUT NORTHEASTERN OHIO. AKRON CHILDREN'S IS ONE OF ONLY TWO PEDIATRIC HOSPITALS IN THE COUNTRY THAT TREAT ADULT BURN PATIENTS. THE BURN INSTITUTE 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.EACH YEAR, MORE THAN 250 BURN VICTIMS ARE ADMITTED TO AKRON CHILDREN'S BURN CENTER, WHICH FEATURES 12 PRIVATE PATIENT ROOMS WITH BATHROOMS AND ROOMING-IN ACCOMODATIONS FOR ONE PARENT OR FAMILY MEMBER. EACH ROOM IS DIVIDED INTO ZONES DESIGNED TO MEET THE NEEDS OF THE PATIENT, FAMILY AND BURN CARE TEAM. THE UNIT ALSO HAS A TREATMENT ROOM, PHYSICAL THERAPY ROOM, OPERATING ROOM AND TUB ROOM. THE BURN CENTER COMPREHENSIVELY TREATS SERIOUSLY BURN VICTIMS BY COMBINING THE SKILLS OF PHYSICIANS, NURSES, OCCUPATIONAL THERAPISTS, PHYSICAL THERAPISTS, DIETICIANS, SOCIAL WORKERS, RESPIRATORY THERAPISTS, PSYCHOLOGISTS AND PSYCHIATRISTS. 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 2,578 AND 2,247 FOR 2011 AND 2010, RESPECTIVELY. THE DIVISION OF EMERGENCY/TRAUMA SERVICES AT CHILDREN'S 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 99,232 VISITS DURING 2011. A FULL-TIME ATTENDING PEDIATRIC EMERGENCY MEDICINE SPECIALIST IS ON DUTY TWENTY-FOUR(24) HOURS A DAY INVOLVED IN THE DIRECT CARE OF PATIENTS AND TEACHING FELLOWS, RESIDENTS, AND MEDICAL STUDENTS. THE DIVISION OF EMERGENCY/TRAUMA BOASTS ONE OF THE NATION'S FIRST AND MOST SUCCESSFUL SUTURE PROGRAMS USING SPECIALLY TRAINED TECHNICIANS AND NURSES TO DO MOST OF THE SUTURING OF LACERATIONS IN THE EMERGENCY SETTING. THEY SEE BETWEEN 400 AND 750 PATIENTS PER MONTH WHO NEED STITCHES. ROUNDING OUT THE SPECIALIZED MEDICAL CARE IN THE ED ARE CHILD LIFE SPECIALISTS WHO ARE ACCUSTOMED TO EXPLAINING PROCEDURES TO CHILDREN AND COMFORTING PARENTS; SOCIAL WORKERS TRAINED TO IDENTIFY NEEDS OF FAMILIES AND POINT THEM TO HELPFUL SERVICES; AND CHAPLAINS AND BEREAVEMENT STAFF WHO ARE ALWAYS ON CALL. AKRON CHILDREN'S HOSPITAL IS VERIFIED AS A 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.
THIRD ACCOMPLISHMENT DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4C	CONTINUED FROM PART III, LINE 4C) AND CEROBROSPINAL FLUID SPECIMENS. IN ADDITION TO ROUTINE CHEMISTRIES, TESTING IS PERFORMED FOR THERAPEUTIC AND IMMUNOSUPPRESIVE DRUG MONITORING. SWEAT CHLORIDE ANALYSIS IS PERFORMED TO SCREEN FOR CYSTIC FIBROSIS. THE HEMATOLOGY SECTION RUNS ANALYSIS ON THE CELLULAR COMPONENTS OF THE BLOOD. CELL COUNTS ARE PERFORMED USING AUTOMATED INSTRUMENTS WHILE CELL MORPHOLOGY IS CONFIRMED BY DOING MANUAL EXAMINATIONS OF STAINED BLOOD SMEARS. SPECIAL HEMATOLGY EXAMS, AS WELL AS ROUTINE AND SPECIAL COAGULATION TESTING IS ALSO PERFORMED IN THE HEMATOLOGY LABORATORY. INSTRUMENTS ARE SELECTED TO USE THE SMALLEST AMOUNTS OF BLOOD FOR TESTING IN ORDER TO MINIMIZE BLOOD LOSS FROM OUR PEDIATRIC PATIENTS. SPECIALIZED ASSAYS ARE PERFORMED TO AID IN THE DIAGNOSIS OF HEMATOLOGICAL AND COAGULATION DISORDERS. LEAD TESTING IS PERFORMED IN THE SPECIAL CHEMISTRY LABORATORY. OTHER TESTS PERFORMED IN SPECIAL CHEMISTRY INCLUDE PRENATAL TESTING FOR DOWN'S SYNDROME AND NEURAL TUBE DEFECTS AS WELL AS THYROID AND OTHER HORMONES. IN ADDITION TO THE CCL, LABORATORY SERVICES ARE PROVIDED BY THE INFECTIOUS DISEASE LABORATORIES (MICROBIOLOGY, VIROLOGY, IMMUNOLOGY, AND MOLECULAR DIAGNOSTICS). THESE SERVICES INCLUDE THE IDENTIFICATION OF BACTERIA AND VIRUSES BY CONVENTIONAL CULTURE TECHNIQUES, RAPID SHELL VIAL AND DIRECT IMMUNOFLOURESCENCE STAINS, AND AMPLIFIED NUCLEIC ACID PROBE ASSAYS. THE MOLECULAR DIAGNOSTIC LABORATORY ALSO PERFORMS GENETIC ASSAYS FOR CYSTIC FIBROSIS MUTATIONS AND FOR THE MUTATIONS THAT CAUSE HYPERCOAGULABILITY. THE CYTOGENETIC LABORATORY PERFORMS KARYOTYPES AND FISH (IN-SITU HYBRIDIZATION) TO DETECT CHROMOSOME ABNORMALITIES. ANATOMIC PATHOLOGY SERVICES INCLUDE SURGICAL PATHOLOGY, RENAL, NERVE, AND MUSCLE, PLACENTAL PATHOLOGY AND AUTOPSY SERVICES. THE ANATOMIC PATHOLOGY LABORATORY HAS A STATE OF THE ART JEOL SCANNING ELECTRON MISCROSCOPE TO AID IN THE DIAGNOSIS AT THE SMALLEST CELLULAR LEVEL. THE RADIOLOGY DIVISION AT AKRON CHILDREN'S HOSPITAL PERFORMS A FULL SPECTRUM OF DIAGNOSTIC IMAGING PROCEDURES INCLUSIVE OF DIAGNOSTIC/FLUOROSCOPIC XRAYS, CT, NUCLEAR MEDICINE, ULTRASOUND, AND MRI. THE RADIOLOGY DIVISION IS STAFFED WITH LICENSED DIAGNOSTIC IMAGING TECHNOLOGISTS AND ALL OUR PEDIATRIC IMAGING PROCEDURES ARE READ BY QUALIFIED PEDIATRIC RADIOLOGISTS WITH BOARD CERTIFICATION AND CAQ CREDENTIALS INCLUSIVE OF EXPERTISE IN SPECIFIC RADIOLOGY SUBSPECIALTY AREAS OF IMAGING. IN DECEMBER 2008, AKRON CHILDREN'S OPENED OUR 32-BED ACUTE CARE AKRON CHILDREN'S HOSPITAL IN MAHONING VALLEY, SERVING THE NEEDS OF PEDIATRIC PATIENTS IN THE YOUNGSTOWN AND SURROUNDING AREAS. WE OPENED A FULLY-EQUIPPED RADIOLOGY DEPARTMENT WHICH INCLUDES ALL DIAGNOSTIC IMAGING SERVICES THAT ARE OFFERED ON OUR MAIN AKRON CAMPUS. CHILDREN'S HOSPITAL MEDICAL CENTER'S PHYSICAL AND OCCUPATIONAL THERAPISTS ARE DEVOTED TO PROVIDING QUALITY CARE IN THE HOSPITAL AND TO OUTPATIENTS, SCHOOLS AND COMMUNITY PROGRAMS. OUR STAFF OF PEDIATRIC THERAPISTS CAN PROVIDE SPECIALIZED TREATMENT FROM BIRTH TO AGE 21. WE ARE AFFILIATED WITH NINE UNIVERSITIES FOR TEACHING OF STUDENTS. INCORPORATING THE SUPPORT OF FAMILIES AND SKILLS OF VARIOUS MEDICAL PROFESSIONALS AT CHILDREN'S, THE OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEECH, AUDIOLOGY, AND SOCIAL SERVICES STAFFS STRIVE TO PROVIDE PATIENTS WITH THE SKILLS NEEDED TO OVERCOME A VARIETY OF DEVELOPMENTAL, PHYSICAL, AND EMOTIONAL DISABILITIES. THE FAMILY CHILD LEARNING CENTER(FCLC), A COOPERATIVE EFFORT OF CHILDREN'S AND KENT STATE UNIVERSITY, OFFERS A HOST OF THERAPY AND EDUCATIONAL SERVICES TO HANDICAPPED INFANTS, PRESCHOOLERS AND THEIR FAMILIES. THERAPISTS AND EDUCATORS WORK TOGETHER TO SIGNIFICANTLY ENHANCE THE DEVELOPMENT OF THESE CHILDREN AT AN EARLY AGE. FCLC PROVIDES AN EDUCATIONAL TRAINING GROUND FOR GRADUATE STUDENTS IN EDUCATION, SPEECH PATHOLOGY, MOTOR LEARNING AND PHYSICAL AND OCCUPATIONAL THERAPY.
ALL OTHER ACCOMPLISHMENT DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4D	CHILDREN'S OPERATES ONE OF THE LARGEST PEDIATRIC PRIMARY CARE NETWORKS WITH 17 OFFICES IN SEVEN COUNTIES INCLUDING CUYAHOGA, MEDINA, WAYNE, TUSCAWARAS AND PORTAGE. THE PEDIATRICIANS AND STAFF AT AKRON CHILDREN'S HOSPITAL PEDIATRICS MAINTAIN COOPERATIVE RELATIONSHIPS WITH MANY AREA HEALTH PROVIDERS, INCLUDING SEVERAL HOSPITALS. PATIENT CARE IS AVAILABLE 24 HOURS A DAY THROUGH THE PHYSICIAN OFFICE; CHILDREN'S AFTER HOURS, A 24-HOUR NURSE TRIAGE PHONE LINE; AND AKRON CHILDREN'S HOSPITAL. BY SHARING INFORMATION BETWEEN OUR OFFICES AND WITH AREA HEALTH CARE PROVIDERS, WE ENSURE THAT ALL CHILDREN RECEIVE THE FINEST CARE -- FROM PREVENTIVE CHECKUPS TO TREATMENT FOR CHRONIC HEALTH PROBLEMS. AKRON CHILDREN'S HOSPITAL PEDIATRICS VISITS WERE 269,761 AND 243,488 FOR 2011 AND 2010 RESPECTIVELY. THE SURGICAL SERVICES DEPARTMENT AT CHILDREN'S MEDICAL HOSPITAL OF AKRON PERFORMS MORE THAN 14,000 GENERAL AND SPECIALIZED SURGICAL PROCEDURES EACH YEAR--RANGING FROM UNCOMPLICATED TONSILLECTOMIES TO NEUROSURGERY, OPEN HEART, ORTHOPEDIC, AND PLASTIC AND RECONSTRUCTIVE SURGERY. CHILDREN'S PERFORMS MORE PEDIATRIC SURGERIES THAN ANY OTHER HOSPITAL IN NORTHEASTERN OHIO. THE ENTIRE STAFF AT CHILDREN'S, FROM PEDIATRIC SURGEONS TO PEDIATRIC ANESTHESIOLOGISTS AND NURSES ARE CAREFULLY TRAINED IN MEETING THE UNIQUE SURGICAL NEEDS AND CONCERNS OF CHILDREN AND THEIR FAMILIES. THE PEDIATRIC ANESTHESIOLOGISTS ARE EXPERIENCED AT HELPING A CHILD GO TO SLEEP WITH AS LITTLE ANESTHESIA AS POSSIBLE. THEY UNDERSTAND THE MEDICAL DIFFERENCES BETWEEN CHILDREN AND ADULTS. SPECIAL EQUIPMENT AND TECHNIQUES SUITED TO THE SIZE OF THE PATIENT, FROM INFANTS TO YOUNG ADULTS, HELP ASSURE SUCCESSFUL OUTCOMES TO THE SURGERY AND ANESTHESIA. IN ADDITION, CHILD LIFE SPECIALISTS GIVE PRE-SURGERY TOURS ONCE A WEEK TO PREPARE CHILDREN (AND PARENTS) FOR WHAT THEY EXPECT TO SEE, HEAR, FEEL, TASTE OR SMELL. CHILDREN'S HAS NINE STATE-OF-THE-ART OPERATING ROOMS. TWO ARE DEDICATED TO MINIMALLY INVASIVE SURGERY WITH A VOICE ACTIVATED SYSTEM TO CONTROL THE OR'S. THERE ARE ALSO OPERATING SUITES DEDICATED TO NEUROSURGERY AND HEART SURGERY. BETWEEN 75-80% OF SURGERIES ARE DONE ON AN OUTPATIENT BASIS, WHICH HAS PROVEN TO BE NOT ONLY MEDICALLY SAFE BUT PSYCHOLOGICALLY BENEFICIAL FOR CHILDREN. 2011 2010 ----- ------ SURGICAL PATIENTS - INPATIENT 3,098 2,541 SURGICAL PATIENTS - OUTPATIENT 10,916 11,536
FINANCIAL ACCOUNTS IN FOREIGN COUNTRIES	FORM 990, PART V, LINE 4B	CAYMAN ISLANDS
RELATED PARTY INFORMATION AMONG OFFICERS	FORM 990, PAGE 6, PART VI, LINE 2	ROBERT BERK DIRECTOR FAMILY RELATIONSHIP SUSAN BERK DIRECTOR FAMILY RELATIONSHIP
CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PAGE 6, PART VI, LINE 6	THE DULY ELECTED, QUALIFIED AND ACTING DIRECTORS AND THE ACTIVE MEMBERS OF THE WOMEN'S BOARD OF CHILDREN'S HOSPITAL ARE MEMBERS OF THE CORPORATION.
ELECTION OF MEMBERS AND THEIR RIGHTS	FORM 990, PAGE 6, PART VI, LINE 7A	THE NUMBER OF THE DIRECTORS OF THIS CORPORATION SHALL BE SET BY THE MEMBERS. FIVE OF THE MEMBERS SHALL CONSIST OF THE WOMEN'S BOARD OF CHILDREN'S HOSPITAL. THE PRESIDENT AND THE PRESIDENT OF THE MEDICAL STAFF SHALL EACH BE A MEMBER OF THE BOARD OF DIRECTORS. THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS SHALL BE ELECTED BY THE MEMBERS OF THE CORPORATION. A DIRECTOR SHALL BE ELECTED FOR A THREE-YEAR TERM, BUT A PERSON MAY BE NOMINATED FOR AND ELECTED TO A SHORTER TERM IN ORDER THAT THE TERMS OF APPROXIMATELY ONE-THIRD OF THE DIRECTORS SHALL EXPIRE EACH YEAR. EACH DIRECTOR SHALL SERVE UNTIL HIS SUCCESSOR BE 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 DIRECTORS RESPONSIBILITES INCLUDE: (1) TO ENSURE THAT THE HOSPITAL IS MEETING THE COMMUNITY'S HEALTH NEEDS AND IS INFORMED ABOUT THE AVAILABILITY OF THE HOSPITAL'S SERVICES; (2) BELIEVE STRONGLY 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 AS CHIEF EXECUTIVE OFFICER; (8) APPROVE MEDICAL STAFF APPOINTMENTS AND PRIVILEGES; (9) MAINTAIN AUTHORITY FOR THE OVERALL FUNCTIONING AND SUPPORT OF A HOSPITAL-WIDE QUALITY ASSURANCE PROGRAM; AND (10)PARTICIPATE IN AND PROVIDE LEADERSHIP FOR HOSPITAL FUND-RAISING PROGRAMS. THE CORPORATE POWERS, PROPERTY, AND AFFAIRS OF THE CORPORATION SHALL BE EXERCISED, CONDUCTED, AND CONTROLLED BY THE DIRECTORS. THE DIRECTORS SHALL ELECT THE MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	FORM 990, PAGE 6, PART VI, LINE 7B	THE CORPORATE POWERS, PROPERTY, AND AFFAIRS OF THE CORPORATION, SHALL BE EXERCISED, CONDUCTED, AND CONTROLLED BY THE DIRECTORS. THE DIRECTORS SHALL ELECT THE MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD. SUBJECT TO THE DIRECTION AND CONTROL OF THE DIRECTORS, OR THE EXECUTIVE COMMITTEE OF THE BOARD, THE MANAGEMENT OF THE HOSPITAL SHALL BE VESTED IN THE PRESIDENT AS CHIEF EXECUTIVE OFFICER. THE PRESIDENT 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 PERFOMANCE OF HIS DUTIES. IT SHALL BE THE DUTY OF THE PRESIDENT 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 PRESIDENT SHALL BE ABSOLUTE UNTIL A RULING SHALL HAVE BEEN RENDERED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.
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	IT IS CHILDREN'S POLICY THAT ALL EMPLOYEES DISCLOSE REAL OR APPARENT CONFLICTS OF INTEREST AS A CONDITION OF EMPLOYMENT WITH CHILDREN'S. 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. 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 2011 AND RECOMMENDATIONS WERE PROVIDED AND PRESENTED BY THE INDEPENDENT CONSULTANT TO THE COMMITTEE FOR APPROVAL.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	AN INDEPENDENT SALARY SURVEY WAS COMPLETED IN 2011 AND RECOMMENDATIONS WERE PROVIDED AND PRESENTED BY THE INDEPENDENT CONSULTANT TO THE COMMITTEE FOR APPROVAL.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON 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.
RELATED ORGANIZATIONS	FORM 990, PAGE 7, PART VII	THE FOLLOWING AVERAGE OF HOURS PER WEEK WERE WORKED BY THE INDIVIDUALS LISTED IN PART VII, SECTION A FOR THE RELATED ORGANIZATION, AKRON CHILDREN'S HOSPITAL FOUNDATION: WILLIAM CONSIDINE - 8 HOURS PER WEEK NORMAN CHRISTOPHER - 1 HOUR PER WEEK SARAH FRIEBERT - 1 HOUR PER WEEK ROBERT STONE - 1 HOUR PER WEEK SUSAN BERK - 1 HOUR PER WEEK DUANE ISHAM - 2 HOURS PER WEEK PAULA MALONE - 1 HOUR PER WEEK PHILIP MAYNARD - 16 HOURS PER WEEK GREG MCDERMOTT - 1 HOUR PER WEEK WILLIAM WOOLDREDGE - 2 HOURS PER WEEK MICHAEL TRAINER - 8 HOURS PER WEEK RICHARD GRIGG - 1 HOUR PER WEEK THE FOLLOWING AVERAGE OF HOURS PER WEEK WERE WORKED BY THE INDIVIDUALS LISTED IN PART VII, SECTION A FOR THE RELATED ORGANIZATION, CHILD DIMENSION INSURANCE GROUP: WILLIAM CONSIDINE - 2 HOURS PER WEEK SHAWN LYDEN - 2 HOURS PER WEEK MICHAEL TRAINER - 2 HOURS PER WEEK GRACE WAKULCHIK - 2 HOURS PER WEEK THE FOLLOWING AVERAGE OF HOURS PER WEEK WERE WORKED BY THE INDIVIDUALS LISTED IN PART VII, SECTION A FOR THE RELATED ORGANIZATION, CHILDREN'S HOME CARE GROUP: WILLIAM CONSIDINE - 2 HOURS PER WEEK MICHAEL TRAINER - 2 HOURS PER WEEK GRACE WAKULCHIK - 2 HOURS PER WEEK
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	UNREALIZED INVESTMENT LOSS (10,551,312) ACCRUED COMMUNITY SUPPORT 241,311 PARTNERSHIP LOSS 1,749 PARTNERSHIP LOSS 30,679 ADJUSTMENT ASC 715 (58,993,643) CHANGES TO HOSPITAL INTEREST IN FND 4,365,938 INTRAFUND TRANSFERS (228,607) ------------- (65,133,885)

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CHILDREN'S REV LLC
ONE PERKINS SQUARE	AKRON	OH	443081062	200498689	HOLDING CO	OH	151666	244152	NA
AKRON CHILDREN'S RESEARCH CENTER
ONE PERKINS SQUARE	AKRON	OH	443081062	341934412	CLIN TRIAL	OH			NA

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
AKRON CHILDRENS HOSPITAL FOUNDATION
ONE PERKINS SQUARE	AKRON	OH	443081062	237114013	FOUNDATION	OH	501C3	7	CHMCA	true
CHILDREN'S HOME CARE GROUP
ONE PERKINS SQUARE	AKRON	OH	443081062	341575266	HOME CARE	OH	501C3	11A	CHMCA	true
CHILD DIMENSIONS INSURANCE COMPANY
ONE PERKINS SQUARE	AKRON	OH	443081062	030317160	INSURANCE	OH	501C3	11A	CHMCA	true

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	true	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (18 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CHILDREN'S HOME CARE GROUP
O	9838592	ACTUAL PER GENERAL LEDGER
CHILDREN'S HOME CARE GROUP
G	41653	ACTUAL PER GENERAL LEDGER
CHILDREN'S HOME CARE GROUP
P	11146645	ACTUAL PER GENERAL LEDGER
CHILD DIMENSIONS INSURANCE COMPANY
P	46157	ACTUAL PER GENERAL LEDGER
AKRON CHILDRENS HOSPITAL FOUNDATION
P	11520257	ACTUAL PER GENERAL LEDGER
AKRON CHILDRENS HOSPITAL FOUNDATION
C	6460715	ACTUAL PER GENERAL LEDGER
AKRON CHILDRENS HOSPITAL FOUNDATION
G	1533476	ACTUAL PER GENERAL LEDGER
AKRON CHILDRENS HOSPITAL FOUNDATION
O	2937939	ACTUAL PER GENERAL LEDGER
AKRON CHILDRENS HOSPITAL FOUNDATION
B	394853	ACTUAL PER GENERAL LEDGER
CHILDREN'S HOME CARE GROUP
O	9838592	ACTUAL PER GENERAL LEDGER
CHILDREN'S HOME CARE GROUP
G	41653	ACTUAL PER GENERAL LEDGER
CHILDREN'S HOME CARE GROUP
P	11146645	ACTUAL PER GENERAL LEDGER
CHILD DIMENSIONS INSURANCE COMPANY
P	46157	ACTUAL PER GENERAL LEDGER
AKRON CHILDRENS HOSPITAL FOUNDATION
P	11520257	ACTUAL PER GENERAL LEDGER
AKRON CHILDRENS HOSPITAL FOUNDATION
C	6460715	ACTUAL PER GENERAL LEDGER
AKRON CHILDRENS HOSPITAL FOUNDATION
G	1533476	ACTUAL PER GENERAL LEDGER
AKRON CHILDRENS HOSPITAL FOUNDATION
O	2937939	ACTUAL PER GENERAL LEDGER
AKRON CHILDRENS HOSPITAL FOUNDATION
B	394853	ACTUAL PER GENERAL LEDGER