2012-11-12T15:52:49-06:00 2011-12-31 CHILDREN'S HOSPITAL MEDICAL CTR OF AKRON ONE PERKINS SQ AKRON OH 44308 990 2011-01-01 340714357 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON CHIL 3305438171 ONE PERKINS SQUARE AKRON OH 443081062 MICHAEL P TRAINER 3305438171 2012-11-12 false 2012-11-12 2011 2016-02-24 21:20:13Z WILLIAM CONSIDINE ONE PERKINS SQUARE AKRON OH 44308 658118682 false X AKRONCHILDRENS.ORG X 1897 OH 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 30 22 4606 1578 787471 37435 12936654 11987714 452699780 499132527 6318805 8304843 4923759 4949800 476878998 524374884 716380 929976 0 267481506 301345837 0 0 173388415 179468507 441586301 481744320 35292697 42630564 622241602 670261351 270588305 341111375 351653297 329149976 X 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 false false 114352252 90638650 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 88978400 140896319 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. 62899500 133924322 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. 114364538 929976 133673236 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 114364538 929976 133673236 380594690 true true false true false false false false false true true false false true true false false true false false true false false false true false true true true false true true false true false false false false false false true true false false false false true true true true false false true X 259 0 true 4606 true true true true CJ false false false true true false false false false X 30 22 true false false false true true true true true false true true false true true true true false true true false OH X ALICIA LAMANCUSA VP FINANCE 3305438171 ONE PERKINS SQUARE AKRON OH 44308 X WILLIAM CONSIDINE 40.00 X X 1541294 0 232620 NORMAN CHRISTOPHER MD 40.00 X 401302 0 114879 SARAH FRIEBERT MD 40.00 X 271377 0 70019 JEFFREY HORD 40.00 X 257875 0 87569 ROBERT STONE MD 40.00 X 117700 0 23036 VIRGINIA ALBANESE 3.00 X 0 0 0 ROBERT BERK 4.00 X 0 0 0 SUSAN BERK 14.00 X 0 0 0 PATRICIA GRANT 1.00 X 0 0 0 RICHARD GRIGG 21.00 X X 0 0 0 KATHY LANE 14.00 X 0 0 0 WILLIAM HOPKINS 5.00 X 0 0 0 OTIS HOWER 4.00 X 0 0 0 DUANE ISHAM 13.00 X 0 0 0 ESTELLE KAUFMAN 8.00 X 0 0 0 DALE KOBLENZER 7.00 X 0 0 0 SUSAN KOROLY 14.00 X X 0 0 0 SCOTT LEVIN 4.00 X 0 0 0 PAULA MALONE 16.00 X 0 0 0 PHILIP MAYNARD 16.00 X 0 0 0 GREG MCDERMOTT 10.00 X 0 0 0 STEPHEN MYERS 8.00 X X 0 0 0 RICHARD ROGERS 3.00 X 0 0 0 DONALD SCHNEIDER 3.00 X 0 0 0 DAVID SHOWERS 3.00 X 0 0 0 ROBERT TRABUCCO 2.00 X 0 0 0 HONORABLE JUDGE JAMES WILLIAMS 4.00 X 0 0 0 WILLIAM WOOLDREDGE 10.00 X 0 0 0 DARREN WELLS 3.00 X 0 0 0 VIVIAN CELESTE NEAL 1.00 X 0 0 0 MARK WATSON 40.00 X 697079 0 128335 SHAWN LYDEN 40.00 X 484345 0 31401 GRACE WAKULCHIK 40.00 X 368005 0 142783 MICHAEL TRAINER 40.00 X 356031 0 33802 THOMAS OGG 40.00 X 272373 0 18410 WALTER SCHWOEBLE 40.00 X 233662 0 25785 LISA AURILIO 40.00 X 208876 0 42287 SHARON HRINA 40.00 X 193012 0 65787 LINDA GENTILE 40.00 X 192372 0 97607 MEREDITH SLOSBERG 40.00 X 191682 0 69836 CYNTHIA DORMO 40.00 X 189774 0 142244 ROGER HUDGINS 40.00 X 1670332 0 14905 ANTON MILO MD 40.00 X 1346996 0 18069 PHILIP SMITH MD 40.00 X 1060823 0 93317 ROBERT PARRY 40.00 X 732861 0 16500 DENNIS WEINER MD 40.00 X 726459 0 87418 11514230 1556609 349 false true false 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 28 523626 7994191 2654882 815015 11987714 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 499132527 3922517 3922517 137183243 35469 132445033 391353 4738210 -355884 4382326 4382326 955719 523626 907412 48307 48307 CAFETERIA 722210 3087537 3087537 PARKING DECK 812930 1026485 1026485 PHARMACY 446110 604530 604530 182941 182941 4901493 524374884 499132527 787471 12467172 929976 929976 7303163 2478435 4824728 78801 78801 231123340 205720908 25402432 15571310 13884741 1686569 31839543 25666389 6173154 15429680 13330950 2098730 1037153 81290 955863 322279 322279 113000 113000 413418 413418 30955111 24549225 6405886 5700541 196238 5504303 12053271 10024915 2028356 5513579 5513579 9574710 4584429 4990281 4188749 2284945 1903804 5251673 5251673 31477931 13498828 17979103 9819287 9819287 MEDICAL/SURGICAL SUPPLIES 40797109 40676491 120618 EQUIP RENTAL/MAINTENANCE 12745829 4462146 8283683 PROV FOR FRANCHISE FEE 5996855 5996855 PROVISION FOR HCAP-ANCILL 726755 726755 2781257 1681887 1099370 481744320 380594690 101149630 0 26780 21523 9954545 21420755 53708369 69192322 16257295 9017033 4449131 4837285 5629504 6063519 536325055 320830240 210033512 215494815 223106583 239620420 5431588 7727125 93644295 96866554 622241602 670261351 60357892 68637587 113756581 110664934 96473832 161808854 270588305 341111375 X 313230050 284572794 29184058 34384801 9239189 10192381 351653297 329149976 622241602 670261351 X 42630564 -65133885 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false true 77302 false false true 113000 190302 false false false false false SCHEDULE C, PART II-B, LINE 1 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. false false false false false false false 42191502 11512095 -1529858 -3880981 48292758 37902948 4684218 3511833 -3907497 42191502 30651078 3667095 7080419 -3495644 37902948 34179353 5744957 -4770848 -4502384 30651078 0.07690 0.21100 0.71210 false true true 8854267 8854267 305452138 183210280 122241858 7347677 4523699 2823978 194927582 133096261 61831321 19743391 19743391 215494815 BENEFICIAL INTEREST IN FOUNDATION 85804405 INVESTMENT OF AKRON NICU BUSINESS 6992069 DEFERRED FINANCING COSTS 2569282 OTHER ASSETS 1500798 96866554 PENSION 98767290 POSTRETIREMENT PLANS 37850985 OTHER LIABILITIES 23240579 RESERVE FOR PROFESSIONAL LIABILITY 1950000 161808854 524374884 481744320 42630564 -10551312 -1761408 -12312720 30317844 512728265 -10551312 -10551312 523279577 1095307 1095307 524374884 482410421 -241311 -241311 482651732 -907412 -907412 481744320 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. CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS MIDDLE EAST AND NORTH AFRICA INVESTMENTS 8575940 8575940 CENTRAL AMERICA AND THE CARIBBEAN 0 8,375,940 MIDDLE EAST AND NORTH AFRICA 0 200,000 GIFT SHOP 843643 843643 648002 OTHER FUNDRAISI 272118 204089 68029 179060 2 363584 319537 44047 80350 1479345 523626 955719 907412 907412 48307 true true X true X true X true true false true true 4737971 1120764 3617207 0.00750 218717398 153903997 64813401 0.13450 1118749 1118749 224574118 156143510 68430608 0.14200 5249630 39875 5209755 0.01080 16391824 12536672 3855152 0.00800 588558 588558 0.00120 482583 482583 0.00100 22712595 12576547 10136048 0.02100 247286713 168720057 78566656 0.16310 15595 15595 452903 1000 451903 0.00090 26033 2400 23633 67207 67207 0.00010 81895 81895 0.00020 40589 40589 0.00010 684222 3400 680822 0.00140 false 4216150 7508265 8984339 -1476074 X true true 5 1 CHILDRENS HOSPITAL MED CTR OF AKRON

ONE PERKINS SQUARE AKRON OH 44308

X X X X 2 CHILDRENS HOSPITAL MED CTR OF AKRON MAHONING VALLEY AT BEEGHLY

6505 MARKET STREET YOUNGSTOWN OH 44512

X X X X 3 CHILDREN'S AT ST ELIZABETH

1044 BELMONT YOUNGSTOWN OH 44504

X X NICU NURSERY 4 CHILDREN'S SPECIALTY CARE NURSERY AT AKRON GENERAL MEDICAL CENTER

400 WABASH AVENUE AKRON OH 44307

X X NICU NURSERY 5 CHILDREN'S SPECIALTY CARE NURSERY AT SUMMA AKRON CITY HOPITAL

525 E MARKET STREET AKRON OH 44304

X X NICU NURSERY 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 34 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 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 true 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 6 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 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. X X false true X X X X false true false false false false false true false 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 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. AKRON BATH AND COPLEY JOINT TWSP HOSPITAL IMPR & REFUNDING REV BONDS 341448680 009730LE0 2003-12-09 48176171 REFUND PRIOR ISSUE. false false false 16290000 48176171 555263 964058 6940486 2004 true false true true false false true true false true true false false false false false false PURPOSE OF ISSUE DESCRIPTION SCHEDULE K 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 FIRST MERIT VP-FIRST MERIT 348641 FEES TO FIRST MERIT false AND CURRENT DIR false FIRST ENERGY SOLUTIONS FIRSTENERGY OFF 2384563 ELECTRIC BILLS ARE false AND CURRENT DIR PAID TO FIRST ENERGY false CATHRYN O'MALLEY FAMILY MEMBER 51238 COMPENSATION false OF CURR DIR/OFF false LAURIE SCHEULER FAMILY MEMBER 27563 COMPENSATION false OF CURRENT DIR false AMY COOK FAMILY MEMBER 218560 PHYS. RECRUITMENT false OF CURR OFFICER FEES PAID false ADDITIONAL INFORMATION SCHEDULE L PART V 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 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) 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 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 false true true false false false true false true true false false true true true true false false 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