TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) WILLIAM CONSIDINE........................................................................ PRESIDENT & CEO	40.0 .......................10.0	X	X	1,785,893	-2,761
(2) JOHN CROW MD........................................................................ CHAIRMAN,PEDIATRIC SURGERY	40.0 .......................1.0	X		810,788	14,887
(3) NORMAN CHRISTOPHER MD........................................................................ CHAIRMAN, DEPT OF PEDS	40.0 .......................0.0	X		435,698	-1,634
(4) ROBERT MCGREGOR MD........................................................................ CHIEF MEDICAL OFFICER	40.0 .......................0.0	X		367,689	20,038
(5) JEFFREY HORD MD........................................................................ DIRECTOR, HEMATOLOGY	40.0 .......................0.0	X		333,271	6,497
(6) MARY LINK........................................................................ DIRECTOR, GENERAL COUNSEL	40.0 .......................2.0	X	X	322,822	16,682
(7) MARY TOTH MD........................................................................ DIRECTOR, RHEUMATOLOGY	40.0 .......................0.0	X		295,090	25,962
(8) ROBERT STONE MD........................................................................ ASST CHAIR, COMM AFFAIRS	40.0 .......................1.0	X		117,828	-5,701
(9) RICHARD GRIGG........................................................................ DIRECTOR/CHAIRMAN	25.0 .......................1.0	X	X	0	0
(10) ROBERT TRABUCCO........................................................................ DIRECTOR/VICE CHAIRMAN	10.0 .......................0.0	X	X	0	0
(11) STEPHEN MYERS........................................................................ DIRECTOR/VICE CHAIR OF FINANCE	8.0 .......................0.0	X	X	0	0
(12) LAURA SHEEKS........................................................................ DIRECTOR/SECRETARY	2.0 .......................0.0	X	X	0	0
(13) ELINORE MARSH STORMER........................................................................ DIRECTOR	3.0 .......................0.0	X		0	0
(14) VIRGINIA ALBANESE........................................................................ DIRECTOR	6.0 .......................0.0	X		0	0
(15) ROBERT BERK........................................................................ DIRECTOR	5.0 .......................0.0	X		0	0
(16) SUSAN BERK........................................................................ DIRECTOR	17.0 .......................1.0	X		0	0
(17) JOHN P DELANEY........................................................................ DIRECTOR	1.0 .......................1.0	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) PATRICIA GRANT........................................................................ DIRECTOR	2.0 .......................0.0	X				0	0
(19) WILLIAM HOPKINS........................................................................ DIRECTOR	6.0 .......................0.0	X				0	0
(20) ELLEN VOLLMAN........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0
(21) DUANE ISHAM........................................................................ DIRECTOR	12.0 .......................2.0	X				0	0
(22) DALE KOBLENZER........................................................................ DIRECTOR	7.0 .......................0.0	X				0	0
(23) SCOTT LEVIN........................................................................ DIRECTOR	4.0 .......................0.0	X				0	0
(24) MELISSA MCGINNES........................................................................ DIRECTOR	13.0 .......................1.0	X				0	0
(25) PHILIP MAYNARD........................................................................ DIRECTOR	14.0 .......................16.0	X				0	0
(26) GREGORY MCDERMOTT........................................................................ DIRECTOR	13.0 .......................1.0	X				0	0
(27) VIVIAN CELESTE NEAL........................................................................ DIRECTOR	3.0 .......................0.0	X				0	0
(28) RICHARD ROGERS........................................................................ DIRECTOR	3.0 .......................0.0	X				0	0
(29) DONALD SCHNEIDER........................................................................ DIRECTOR	2.0 .......................0.0	X				0	0
(30) DAVID SHOWERS........................................................................ DIRECTOR	3.0 .......................0.0	X				0	0
(31) DARREN WELLS........................................................................ DIRECTOR	3.0 .......................0.0	X				0	0
(32) WILLIAM WOOLDREDGE........................................................................ DIRECTOR	10.0 .......................2.0	X				0	0
(33) JOHN ORR........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0
(34) SHAWN LYDEN........................................................................ EXECUTIVE VP	40.0 .......................2.0		X			626,975	35,308
(35) MICHAEL TRAINER........................................................................ CHIEF FINANCIAL OFFICER	40.0 .......................12.0		X			537,477	32,991
(36) GRACE WAKULCHIK........................................................................ CHIEF OPERATING OFFICER	40.0 .......................4.0		X			511,204	-11,228
(37) THOMAS OGG........................................................................ CHIEF INFORMATION OFFICER	40.0 .......................0.0			X		354,414	19,228
(38) AMY MANEKER........................................................................ CHIEF MEDICAL INFOR OFFICER	40.0 .......................0.0			X		329,673	6,969
(39) LISA AURILIO........................................................................ VP, PATIENT SERVICES	40.0 .......................4.0			X		306,517	25,083
(40) LINDA GENTILE........................................................................ VP, SUPPORT SERVICES	40.0 .......................0.0			X		261,869	51,240
(41) WALTER SCHWOEBLE........................................................................ VP, HUMAN RESOURCES	40.0 .......................0.0			X		340,475	31,774
(42) CYNTHIA DORMO........................................................................ VP, DEPT OF PEDS	40.0 .......................0.0			X		276,803	66,410
(43) SHARON HRINA........................................................................ VP, MAHONING VALLEY ENTERPRISE	40.0 .......................0.0			X		268,965	67,945
(44) CRAIG MCGHEE........................................................................ VP, SURGICAL SUBSPECIALTY	40.0 .......................0.0			X		179,878	14,803
(45) ROGER HUDGINS MD........................................................................ DIRECTOR OF NEUROSURGERY	40.0 .......................0.0				X	1,469,430	17,550
(46) ANTON MILO MD........................................................................ DIRECTOR OF ENT	40.0 .......................0.0				X	1,346,971	24,460
(47) MARK MCCOLLUM MD........................................................................ GENERAL PEDIATRIC SURGEON	40.0 .......................0.0				X	1,114,061	25,246
(48) PHILIP SMITH MD........................................................................ DIRECTOR OF HEART CENTER	40.0 .......................0.0				X	1,062,358	18,459
(49) ROBERT PARRY MD........................................................................ GENERAL PEDIATRIC SURGEON	40.0 .......................0.0				X	888,772	25,470

(A) Name and business address	(B) Description of services	(C) Compensation
WELTYBOLDT LLC, 3421 RIDGEWOOD RD SUITE 200FAIRLAWNOH44333	CONSTRUCTION CO	25,422,925
MARCUS THOMAS LLC, 4781 RICHMOND ROADCLEVELANDOH44128	BROADCAST MEDIA	4,531,096
WADSWORTH PEDIATRICS, 1225 HIGH STREETWADSWORTHOH44281	PHYSICIAN FEES	1,586,847
WELTY BUILDING COMPANY, 3421 RIDGEWOOD ROADFAIRLAWNOH44333	CONSTRUCTION CO	1,039,696
PEDIATRIX MEDICAL GROUP, PO BOX 281034ATLANTAGA303841034	PHYSICIAN FEES	691,500
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 25

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	1,393,760	1,393,760
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	8,877,821	2,677,395	6,200,426
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	100,380		100,380
7	Other salaries and wages	281,174,051	249,721,104	31,452,947
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	25,947,447	22,626,177	3,321,270
9	Other employee benefits .......	37,438,993	29,414,219	8,024,774
10	Payroll taxes ...........	18,003,475	15,594,901	2,408,574
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	684,182	61,609	622,573
c	Accounting ...........	380,970		380,970
d	Lobbying ...........	132,000		132,000
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	458,150		458,150
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	30,466,206	22,231,033	8,235,173
12	Advertising and promotion ....	6,754,600	140,043	6,614,557
13	Office expenses .......	9,546,853	7,397,658	2,149,195
14	Information technology ......	6,330,907		6,330,907
15	Royalties ..	0
16	Occupancy ...........	9,546,139	8,156,400	1,389,739
17	Travel ............	4,981,170	2,843,840	2,137,330
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	4,578,559		4,578,559
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	37,112,098	19,525,435	17,586,663
23	Insurance ..............	11,186,429	11,186,429
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL/SURGICAL SUPPLIES	49,691,283	49,559,829	131,454
b	EQUIPMENT RENTAL/MAINTENANCE	15,279,302	7,183,537	8,095,765
c	PROVISION FOR FRANCHISE FEE	9,036,494	9,036,494
d	PROVISION FOR HCAP	2,812,546	2,812,546
e	All other expenses	6,140,888	4,779,266	1,361,622
25	Total functional expenses. Add lines 1 through 24e	578,054,703	466,341,675	111,713,028	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	26,980	1	27,930
2	Savings and temporary cash investments .........	25,455,360	2	37,863,073
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	78,064,934	4	79,248,264
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	16,962,056	7	20,164,181
8	Inventories for sale or use ..............	5,588,486	8	6,348,662
9	Prepaid expenses and deferred charges ..........	5,214,851	9	5,335,245
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	663,753,984
b	Less: accumulated depreciation .....	10b	382,384,716	242,015,984	10c	281,369,268
11	Investments—publicly traded securities ..........	303,012,990	11	420,887,003
12	Investments—other securities. See Part IV, line 11 .....	0	12	0
13	Investments—program-related. See Part IV, line 11 .....	9,093,470	13	9,596,080
14	Intangible assets ...............	0	14	0
15	Other assets. See Part IV, line 11 ...........	104,966,573	15	130,460,091
16	Total assets. Add lines 1 through 15 (must equal line 34)......	790,401,684	16	991,299,797
	17	Accounts payable and accrued expenses .........	88,390,684	17	92,549,950
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	130,829,069	20	228,251,043
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	176,494,505	25	127,919,843
26	Total liabilities. Add lines 17 through 25.........	395,714,258	26	448,720,836
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	344,595,513	27	476,691,196
28	Temporarily restricted net assets ...........	39,184,648	28	54,150,020
29	Permanently restricted net assets ...........	10,907,265	29	11,737,745
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	394,687,426	33	542,578,961
34	Total liabilities and net assets/fund balances ........	790,401,684	34	991,299,797

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization Children's Hospital Medical Center of Akron

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization Children's Hospital Medical Center of Akron

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2013

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Yes

124,889

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

132,000

Total. Add lines 1c through 1i ...............................

256,889

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Part II-B, Line 1	CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") PAID A TOTAL OF $587,214 TO OTHER ORGANIZATIONS. OF THAT AMOUNT, $330,425 PERTAINED TO DUES, $124,889 RELATED TO VARIOUS LOBBYING EXPENSES AND $132,000 WAS PAID OUT FOR LOBBYING EFFORTS AND VARIOUS COMMUNICATIONS THEY HAD ON BEHALF OF CHMCA WITH LEGISLATURES. THOSE COMMUNICATIONS AND LOBBYING EFFORTS INVOLVE THE FOLLOWING: * THE LOBBYIST CONDUCTED WEEKLY CALLS TO THE CENTER FOR MEDICARE AND MEDICAID SERVICES ("CMS") FOR UPDATES ON THE TAX EQUITY AND FISCAL RESPONSIBILITY ACT ("TEFRA") REBASING REVIEW. * BEGAN DISCUSSIONS WITH CONGRESSMAN TIM RYAN TO EXPLORE OPTIONS FOR CONGRESSIONAL INTERVENTION WITH CMS ON THE TEFRA ISSUE. * WORKED WITH THE OHIO CHILDREN'S HOSPITAL ASSOCIATION ON 340(B) ISSUE AND ENGAGED IN OUTREACH TO MEMBERS AND STAFF (IN OHIO AND ACROSS THE COUNTRY) TO BRING AWARENESS TO THE HEALTH RESOURCES AND SERVICES ADMINISTRATION AGENCY POLICY NOTICE THAT THREATENED 340(B) ELIGIBILITY FOR CHMCA AND MANY OTHER HOSPITALS ACROSS THE COUNTRY. * CMS NOTIFIED CONGRESSMAN RYAN THAT A FINAL DECISION HAD BEEN REACHED REGARDING AKRON CHILDREN'S HOSPITAL TEFRA REBASING REQUEST AND THE FINDINGS WERE FAVORABLE. THIS WAS AN UNPRECEDENTED DECISION AND TO IMPLEMENT THE CHANGES WOULD TAKE SEVERAL WEEKS. * PARTICIPATED IN ADVOCACY PLANNING MEETINGS * MET WITH CONGRESSIONAL OFFICES TO PROTECT THE CURRENT CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION PROGRAM ("CHGME") FUNDING LEVELS IN A PROPOSED OMNIBUS FY 13 LEGISLATION OR A CONTINUING RESOLUTION AND TO PROMOTE FLAT OR INCREASED FUNDING FOR CHGME IN 2014 APPROPRIATIONS LEGISLATION AS WELL AS MAINTAINING FULL MEDICAID FUNDING SUPPORT THREATENED BY SEQUESTRATION. * MET WITH CONGRESSIONAL OFFICES IN CHMCA'S REGION TO SHARE INFORMATION ON THE NATIONAL DATABASE OF NURSING QUALITY INDICATORS AWARD (NDNQI) CHMCA, BOARDMAN--RESULTING IN CONGRESSIONAL RECORD RECOGNITION OF THE NATIONAL NURSING AWARD. THE FOLLOWING ARE 2013 LOBBYING EXPENSES: ASSOCIATION OF AMERICAN MEDICAL COLLEGES $ 213 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS 20,528 AMERICAN HOSPITAL ASSOCIATION 10,186 OHIO CHILDREN'S HOSPITAL ASSOCIATION 83,200 OHIO HOSPITAL ASSOCIATION 3,762 CITIZEN'S FOR AKRON COMMITTEE 2,000 PARTNERS ADVANCING AKRON'S FUTURE 5,000 -------- TOTAL 124,889 LOBBYIST - CAPITAL CONSULTING GROUP 60,000 LOBBYIST - WALSH CAPITOL CONSULTING 72,000 -------- 256,889 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 CARE FOR THEM. OHIO CHILDREN'S HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION ARE STATE OF OHIO ORGANIZATIONS THAT EXPRESS THE VIEWS OF OHIO CHILDREN'S HOSPITALS FOR MEDICAID AND CHILD HEALTHCARE ISSUES. LOCAL AGENCIES IN SUMMIT COUNTY, OHIO PROVIDE SERVICES TO RESIDENTS. AS A CORPORATE CITIZEN, THE EFFECT OF THE SUCCESS OR FAILURE OF THESE ISSUES HAS IMPLICATIONS ON OUR BUSINESS AND SERVICES WE PROVIDE.

Return Reference

Explanation

Part II-B, Line 1

CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") PAID A TOTAL OF $587,214 TO OTHER ORGANIZATIONS. OF THAT AMOUNT, $330,425 PERTAINED TO DUES, $124,889 RELATED TO VARIOUS LOBBYING EXPENSES AND $132,000 WAS PAID OUT FOR LOBBYING EFFORTS AND VARIOUS COMMUNICATIONS THEY HAD ON BEHALF OF CHMCA WITH LEGISLATURES. THOSE COMMUNICATIONS AND LOBBYING EFFORTS INVOLVE THE FOLLOWING: * THE LOBBYIST CONDUCTED WEEKLY CALLS TO THE CENTER FOR MEDICARE AND MEDICAID SERVICES ("CMS") FOR UPDATES ON THE TAX EQUITY AND FISCAL RESPONSIBILITY ACT ("TEFRA") REBASING REVIEW. * BEGAN DISCUSSIONS WITH CONGRESSMAN TIM RYAN TO EXPLORE OPTIONS FOR CONGRESSIONAL INTERVENTION WITH CMS ON THE TEFRA ISSUE. * WORKED WITH THE OHIO CHILDREN'S HOSPITAL ASSOCIATION ON 340(B) ISSUE AND ENGAGED IN OUTREACH TO MEMBERS AND STAFF (IN OHIO AND ACROSS THE COUNTRY) TO BRING AWARENESS TO THE HEALTH RESOURCES AND SERVICES ADMINISTRATION AGENCY POLICY NOTICE THAT THREATENED 340(B) ELIGIBILITY FOR CHMCA AND MANY OTHER HOSPITALS ACROSS THE COUNTRY. * CMS NOTIFIED CONGRESSMAN RYAN THAT A FINAL DECISION HAD BEEN REACHED REGARDING AKRON CHILDREN'S HOSPITAL TEFRA REBASING REQUEST AND THE FINDINGS WERE FAVORABLE. THIS WAS AN UNPRECEDENTED DECISION AND TO IMPLEMENT THE CHANGES WOULD TAKE SEVERAL WEEKS. * PARTICIPATED IN ADVOCACY PLANNING MEETINGS * MET WITH CONGRESSIONAL OFFICES TO PROTECT THE CURRENT CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION PROGRAM ("CHGME") FUNDING LEVELS IN A PROPOSED OMNIBUS FY 13 LEGISLATION OR A CONTINUING RESOLUTION AND TO PROMOTE FLAT OR INCREASED FUNDING FOR CHGME IN 2014 APPROPRIATIONS LEGISLATION AS WELL AS MAINTAINING FULL MEDICAID FUNDING SUPPORT THREATENED BY SEQUESTRATION. * MET WITH CONGRESSIONAL OFFICES IN CHMCA'S REGION TO SHARE INFORMATION ON THE NATIONAL DATABASE OF NURSING QUALITY INDICATORS AWARD (NDNQI) CHMCA, BOARDMAN--RESULTING IN CONGRESSIONAL RECORD RECOGNITION OF THE NATIONAL NURSING AWARD. THE FOLLOWING ARE 2013 LOBBYING EXPENSES: ASSOCIATION OF AMERICAN MEDICAL COLLEGES $ 213 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS 20,528 AMERICAN HOSPITAL ASSOCIATION 10,186 OHIO CHILDREN'S HOSPITAL ASSOCIATION 83,200 OHIO HOSPITAL ASSOCIATION 3,762 CITIZEN'S FOR AKRON COMMITTEE 2,000 PARTNERS ADVANCING AKRON'S FUTURE 5,000 -------- TOTAL 124,889 LOBBYIST - CAPITAL CONSULTING GROUP 60,000 LOBBYIST - WALSH CAPITOL CONSULTING 72,000 -------- 256,889 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 CARE FOR THEM. OHIO CHILDREN'S HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION ARE STATE OF OHIO ORGANIZATIONS THAT EXPRESS THE VIEWS OF OHIO CHILDREN'S HOSPITALS FOR MEDICAID AND CHILD HEALTHCARE ISSUES. LOCAL AGENCIES IN SUMMIT COUNTY, OHIO PROVIDE SERVICES TO RESIDENTS. AS A CORPORATE CITIZEN, THE EFFECT OF THE SUCCESS OR FAILURE OF THESE ISSUES HAS IMPLICATIONS ON OUR BUSINESS AND SERVICES WE PROVIDE.

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	55,185,519	48,292,758	42,191,502	37,902,948	30,651,078
b	Contributions ........	12,047,723	7,590,996	11,512,095	4,684,218	3,667,095
c	Net investment earnings, gains, and losses	8,291,351	3,474,164	-1,529,858	3,511,833	7,080,419
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	3,611,958	4,172,399	3,880,981	3,907,497	3,495,644
f	Administrative expenses ....
g	End of year balance ......	71,912,635	55,185,519	48,292,758	42,191,502	37,902,948

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

9.690 %

Permanent endowment SchDMd Bullet

16.320 %

Temporarily restricted endowment SchDMd Bullet

73.990 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	11,639,887		11,639,887
b	Buildings ................	330,235,282	204,109,023	126,126,259
c	Leasehold improvements ............	5,498,589	3,085,961	2,412,628
d	Equipment ................	257,202,593	172,774,360	84,428,233
e	Other .................	59,177,633	2,415,372	56,762,261
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				281,369,268

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) BENEFICIAL INT IN FOUNDATION				121,401,063
(2) INVESTMENT OF AKRON NICU				5,438,276
(3) DEFERRED FINANCING COSTS				2,414,208
(4) OTHER ASSETS				1,206,544





Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				130,460,091

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
PENSION		74,178,114
POST RETIREMENT PLANS		20,583,033
RESERVE FOR PROFESSIONAL LIABILITY		2,282,000
OTHER LIABILITIES		30,876,696





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		127,919,843
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Part V, Line 4 - Intended Use of Endowment Funds	Temporarily restricted funds are subject to purpose restrictions imposed by the donor. These funds are held until the specific purpose is met and they are released from restrictions. Permanently restricted funds are funds that are invested in perpetuity and are not available to fund any current operations. The earnings from the endowment funds can be used for the specific purpose imposed by the donor. The Board Designated funds include funds from unrestricted sources that have been internally designated to function as endowments. These funds are to be used for the sole purpose as they are designed for. CHMCA does have a policy in place to monitor all unrestricted, temporarily and permanently restricted funds.
Part XIII - Supplemental Financial Information	CHMCA prepares consolidated financial statements with their affiliated subsidiaries. CHMCA adopted FIN 48 in 2007 and no disclosures were required under GAAP as CHMCA does not have any material tax contingencies that required disclosures in the footnotes.

Return Reference

Explanation

Part V, Line 4 - Intended Use of Endowment Funds

Temporarily restricted funds are subject to purpose restrictions imposed by the donor. These funds are held until the specific purpose is met and they are released from restrictions. Permanently restricted funds are funds that are invested in perpetuity and are not available to fund any current operations. The earnings from the endowment funds can be used for the specific purpose imposed by the donor. The Board Designated funds include funds from unrestricted sources that have been internally designated to function as endowments. These funds are to be used for the sole purpose as they are designed for. CHMCA does have a policy in place to monitor all unrestricted, temporarily and permanently restricted funds.

Part XIII - Supplemental Financial Information

CHMCA prepares consolidated financial statements with their affiliated subsidiaries. CHMCA adopted FIN 48 in 2007 and no disclosures were required under GAAP as CHMCA does not have any material tax contingencies that required disclosures in the footnotes.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization
Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? ...............................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	Central America and the Caribbean	Investments	9,537,535
	Middle East and North Africa	Investments	200,000















3a	Sub-total .....		9,737,535
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)		9,737,535

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013

Schedule F (Form 990) 2013

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2013

Schedule F (Form 990) 2013Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2013

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2013

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization
Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total .................

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2013

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 GIFT SHOP (event type)	(b) Event #2 CHARITY BALL (event type)	(c) Other events 2 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	1,072,951	186,930	345,610	1,605,491
2	Less: Contributions . .		140,198	120,079	260,277
3	Gross income (line 1 minus line 2) . . .	1,072,951	46,732	225,531	1,345,214
4	Cash prizes . . .
5	Noncash prizes . .
6	Rent/facility costs . .
7	Food and beverages .
8	Entertainment . . .
9	Other direct expenses .	840,956	100,224	384,525	1,325,705
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				1,325,705
11	Net income summary. Subtract line 10 from line 3, column (d)...........				19,509

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2013

Page 3

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ..........................

YesNo

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	4,610,443	693,031	3,917,412	0.680 %
b	Medicaid (from Worksheet 3, column a) ....	262,745,331	191,945,495	70,799,836	12.250 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	1,465,613	1,465,613
d	Total Financial Assistance and Means-Tested Government Programs .	268,821,387	194,104,139	74,717,248	12.930 %
Other Benefits		6,838,390	22,898	6,815,492	1.180 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	6,838,390	22,898	6,815,492	1.180 %
f	Health professions education (from Worksheet 5) ..	19,949,286	12,466,046	7,483,240	1.300 %
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)	484,754	421,101	63,653	0.080 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	465,683		465,683	0.080 %
j	Total. Other Benefits ..	27,738,113	12,910,045	14,828,068	2.640 %
k	Total. Add lines 7d and 7j .	296,559,500	207,014,184	89,545,316	15.570 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	21,877		21,877
3	Community support	171,760	15,510	156,250	0.030 %
4	Environmental improvements	619		619
5	Leadership development and training for community members	76,393	19,202	57,191
6	Coalition building	44,787	1,068	43,719
7	Community health improvement advocacy	143,455	157	143,298	0.020 %
8	Workforce development	14,400		14,400
9	Other
10	Total	473,291	35,937	437,354	0.050 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

8,161,850

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

7,624,300

Enter Medicare allowable costs of care relating to payments on line 5.....

8,573,105

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-948,805

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?7 Name, address, primary website address, and state license number						Other (Describe)	Facility reporting group
1	Childrens Hospital Med Ctr of Akron One Perkins Square Akron,OH44308 www.akronchildrens.org No Ohio Lic # used	X	X	X	X		A
2	CHMCA Mahoning Valley at Beeghly 6505 Market Street Youngstown,OH44512 www.akronchildrens.org No Ohio Lic # used	X	X	X	X		B
3	Children's SCN Summa Akron City 525 E Market Street Akron,OH44304 www.akronchildrens.org No Ohio Lic # used	X	X			NICU Nursery	A
4	Children's at St Elizabeth 1044 Belmont Youngstown,OH44504 www.akronchildrens.org No Ohio Lic # used	X	X			NICU Nursery	B
5	Children's SCN AGMC 400 Wabash Avenue Akron,OH44307 www.akronchildrens.org No Ohio Lic # used	X	X			NICU Nursery	A
6	Akron Children's East Liverpool 425 West 5th Street East Liverpool,OH43920 www.akronchildrens.org No Ohio Lic # used	X	X			Pediatric Unit	A
7	Akron Children's Aultman 2600 6th Street SW Canton,OH44710 www.akronchildrens.org No Ohio Lic # used	X	X			Pediatric Unit	A

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Facility Group A - CHMCA
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See part V, Section C for full URL

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 300.% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Facility Group B - Mahoning Valley
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Part V, Section C for full URL

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 300.% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
Group A - CHMCA Part V Section B Line 3	Line 3: Yes - Interviews were conducted with community leaders in a five-county area from March - April 2013 to gain insight on what they thought were significant health needs of children and adults in their communities, the factors that affect those health needs, other existing community health needs assessments, possible collaboration opportunities, and to get suggestions on what the hospitals can do to address the significant health needs identified in the CHNA. Focus Groups were conducted with 107 community residents in the same five-county area from April - May 2013. In addition, a questionnaire was distributed to the focus group participants to gather demographic information and basic perceptions of community health. The discussion guide, questionnaire, and protocol were reviewed and approved by the Kent State University Institutional Review Board. Leaders Interviewed: Executive Director, Mental Health and Recovery Services Board of Stark County School Nurse and Coordinator of Health Services, Canton City Schools Director, Summit County Job and Family Services Executive Director for Business Affairs, Akron Public Schools Administrator, Portage County Job and Family Services Nursing Director for the Medina County Educational Services Center, Medina City School District Medicaid Eligibility Services Administrator, Medina County Job and Family Services Executive Director, Portage County Mental Health and Recovery Board School Nurse, Canton City School Vice President for Business Development, Robinson Memorial Hospital Deputy Health Commissioner for Planning, Summit County Public Health Director of Business Services, Kent City School District Health Commissioner, Medina County Health Department Executive Director, County of Summit Alcohol, Drug Addiction & Mental Health Services Board Health Commissioner, Stark County Health Department Superintendent, Wooster City School District Director, Wayne County Family and Children First Council Community Resident Focus Groups: Community residents were recruited by posting and distributing flyers in the community. 35% of participants were from Summit County, 16% from Wayne County, 11% from Medina County, 28% from Stark County and 10% from Portage County. The average number of years the participants lived in their home county was 25 years. 22% of participants were African-American, 66% were Caucasian, and 7% were Hispanic. 17% lived by themselves, 23% lived with one other person, 28% lived with 2 or more people, and 15% lived with four or more people. 50% had no children in the home, 13% had one child, 22% had two children, and 8% had 3 or more children. 19% of participants reported monthly household income between $0-999, 16% between $1000 - $1999, 19% between $2000 - $2999, 9% between $3000 - $3999, 2% between $4000 - $4999, and 12% reported monthly household income exceeding $5000 per month. In addition, 18% reported they had no health insurance, 40% had private health insurance, 3% had health insurance as a veteran or member of the military, 15% had Medicare, and 21% had Medicaid. 40% stated that someone in their home did not receive health care due to the cost and that 43% of them had someone in their home with a chronic disease or condition. 85 participants reported that they usually don't go to a doctor during the year, 12% go once per year, 19% go twice per year, 12% go three times per year, 9% go four times per year, 15% go five to nine times per year, and 9% go 10 or more times per year. Finally, participants reported diverse views of the health of adults and children in their home county. One percent of participants described the current health status of adults in their county as "excellent," 3% described it as "very good," 45% described it as "good," 39% described it as "fair," and 10% described the current health status of adults in their county as "poor." Participants rated the current health status of children in their county slightly higher. One percent described it as "excellent," 19% described it as "very good," 49% described it as "good," 23% described it as "fair," and 8% described the current health status of children in their county as "poor."
Group A - CHMCA Part V Section B Line 4	Line 4: Yes Akron General Health System 400 Wabash Avenue Akron, Ohio 44307 Summa Health System 525 East Market Street Akron, Ohio 44304
Group A - CHMCA Part V Section B Line 5 (a)	Line 5 (a) -Yes - Posted on our external website to https://www.akronchildrens.org/cms/community-needs-assessment/index.html
Group A - CHMCA Part V Section B Line 6 (i)	Line 6(i) - Yes - The measured indicators in the 2013 CHNA have been addressed through CHMCA's clinical and programmatic efforts for many years. Our highly-qualified medical staff and professionals provide world-class patient centered care to address each of these indicators through our Center for Orthopedics and Sports Medicine, Center for Diabetes and Endocrinology, Robert T. Stone, MD, Respiratory Center, Heart Center, Division of Pediatric Psychiatry and Psychology, and the Showers Family Center for Childhood Cancer and Blood Disorders.
Group A - CHMCA Part V Section B Line 7	Line 7 - No Our 2013 CHNA identified and prioritized several community health needs. We drafted, and our Board of Trustees approved, implementation strategies that focused on addressing conditions related to diabetes, asthma, behavioral and mental health, and infant mortality. The remaining identified needs from that CHNA, include conditions related to birth risk factors, child development, child lifestyle factors, substance abuse, abuse and neglect, access to health care, and environmental factors, were not formally addressed through implementation strategies. Although the reasons for this are varied to include a lack of funding and staff, and a lower priority for certain conditions because of our focus on pediatric conditions as a children's hospital, we will continue to look to CHNA data, as well as other data sources, on these conditions to guide our efforts and advance our mission of improving the health of the communities we serve. Specific Needs Not Addressed Although all of the community health needs identified by the CHNA and deliberated by our hospital teams are important, three emerged as high-priority areas based on the CHMCA's current activities, the potential for community impact, and available resources. Consequently, several areas will not be addressed in this Implementation Strategy. These include health areas that ranked lower during the prioritization process, health areas that were beyond the scope of the hospital, and health areas that require more resources than what are available: - Abuse & Neglect - Access to Health Care - Health Insurance Coverage - Access to Dental Care - Mental Health Insurance Coverage - Birth Risk Factors - Maternal Tobacco Smoking - First Trimester Prenatal Care - Child Development - Underweight - Child Lifestyle Factors - Overweight & Obesity - Exercise - Nutrition - Environmental Factors - Access to Healthy Foods - Substance Abuse - Alcohol Abuse & Excessive Drinking - Prescription Drug Abuse - Opioid Drug Abuse Additionally, CHMCA's clinicians do not provide care services for pregnant women, other than those whose babies have been diagnosed before birth or prenatally with a condition or disease that must be monitored by our Maternal Fetal Medicine (MFM) Center or Genetics Center. Therefore, we will not be able to impact the service area's rate of infants born at low birth weights or very low birth weights (other than caring for them after birth), the rate of preterm births (other than those mothers and babies being followed by our MFM Center), or the rate of pregnant women receiving prenatal care (other than those seen by MFM Center) or the rate of births to women who smoke. We do care for babies born at low and very low birth weights and preterm infants requiring hospitalization in the NICU on the Akron campus or NICUs that we operate at Akron General Health System, Summa Health System and St. Elizabeth Hospital in Youngstown, and the special care nursery at our Mahoning Valley Campus in Boardman. Data Limitations and Gaps Due to limited resources and time constraints, data was not available for every vulnerable population, such as the homeless or refugee populations. Where available, the most current data was used to determine the health needs of the community. Although the data available is rich with information, not surprisingly, data gaps and limitations existed that impacted the ability to conduct a more thorough and rigorous assessment. These include: 1. Pediatric data related to substance abuse (alcohol abuse and excessive drinking, prescription drug abuse and opioid drug abuse) are not readily available. Some data are available through the Ohio Department of Health Youth Risk Surveillance Survey. However, this data is limited and under sampled, not adequately representing the communities or specific populations. 2. County-wide data that characterize health risk and lifestyle behaviors like nutrition, exercise, and sedentary behaviors are not available for children. 3. Behavioral Health data was provided through the Ohio Hospital Association (OHA). The limitation of this data is that it is only data from reporting OHA hospitals. Therefore, Belmont Pines Hospital, one of the largest behavioral health agencies in the state, does not report data to OHA. Therefore, Belmont Pines' data are not included and the mental health data are skewed especially for Columbiana, Mahoning and Trumbull counties since the Belmont Pines Hospital is located in Youngstown and many local children are referred there. 4. Due to time constraints and limited resources, we were unable to access pediatric Medicaid data that would have allowed us to more specifically target this vulnerable population. 5. County and State-wide chronic disease data are not available for children. 6. Injury data was fragmented and not readily available.
Group A - CHMCA Part V Section B Line 12 (i)	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 or/family, hospital management may approve charity care based on documented extenuating circumstances.
Group A - CHMCA Part V Section B Line 14g	Line 14g CHMCA employs financial counselors to explain CHMCA's free care, charity care, and the various public assistance programs to uninsured and underinsured patients.
Group A - CHMCA Part V Section B Line 20 (d)	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 CHMCA's Charity Care Policy have 100% of their charges forgiven. Those patients who qualify for discounted care under CHMCA's 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.
Group B - MV Part V Section B Line 3	Line 3: In addition to examining county-level epidemiologic data, interviews were conducted with community leaders in July - August 2013 to gain their insight on what they thought were the significant health needs of children and adults in their communities, the factors that affect those health needs, other existing community health needs assessments, possible collaboration opportunities, and to get suggestions on what the hospitals can do to address the significant health needs identified in the CHNA. These community leaders represent the broad interests of the communities served by the hospital facility including the medically underserved, low-income persons, minority groups, those with chronic disease needs, and leaders from local public health agencies and departments who have special knowledge and expertise in public health and children's health issues. Leaders Interviewed: Youngstown City Health District, Acting Health Commissioner Youngstown/Warren Regional Chamber, President & Chief Executive Officer Pediatric Associates of Youngstown, Physician Mahoning County Children's Services, Quality Improvement Supervisor Help Hotline Crisis Center, Chief Executive Officer Mahoning County District Board of Health, Health Commissioner Trumbull County Women, Infants, and Children (WIC) Program, Director Trumbull County Mental Health and Recovery Board, Director of Evaluation & Quality Improvement Trumbull County Children's Services, Executive Director St. Joseph Health Center, Chair of Pediatrics Columbiana County Mental Health and Recovery Services Board, Executive Director Portage/Columbiana Counties Women, Infants, and Children (WIC) Program, Director The Morning Journal, Editor Salem Community Hospital, Vice President for Medical Affairs Columbiana County Educational Service Center, Superintendent Columbiana County Department of Job and Family Services, Children's Services Administrator Coordinated Action for School Health (CASH) Coalition, Coordinator Columbiana County Health Department, Health Commissioner Community Resident Focus Groups In addition to the input from community leaders, focus groups were conducted with community residents in August - September 2013 to get their input on what they thought were the significant health needs of children and adults in their communities, the factors that affect those needs, the solutions they thought would solve those needs, and what the hospitals and other community groups could do to address those needs. Due to the observed information gap in the epidemiologic data on the health of children, adult and child substance abuse issues, and adult and child mental health issues, several questions were asked to probe more deeply on these issues. In addition, a questionnaire was distributed to focus group participants to gather demographic information and basic perceptions of community health. The discussion guide, questionnaire, and protocol were reviewed and approved by the Kent State University Institutional Review Board. A total of 82 people participated in the Community Resident Focus Groups.
Group B - MV Part V Section B Line 5	Line 5 (a) -Yes - Posted on our external website to https://www.akronchildrens.org/cms/community-needs-assessment/index.html
Group B - MV Part V Section B Line 6(i)	Line 6(i) - Yes - The measured indicators in the 2013 CHNA have been addressed through CHMCA's clinical and programmatic efforts for many years. Our highly-qualified medical staff and professionals provide world-class patient centered care to address each of these indicators through our Center for Orthopedics and Sports Medicine, Center for Diabetes and Endocrinology, Robert T. Stone, MD, Respiratory Center, Heart Center, Division of Pediatric Psychiatry and Psychology, and the Showers Family Center for Childhood Cancer and Blood Disorders.
Group B - MV Part V Section B Line 7	Line 7: Our 2013 CHNA identified and prioritized several community health needs. We drafted, and our Board of Trustees approved, implementation strategies that focused on addressing conditions related to diabetes, asthma, behavioral and mental health, and infant mortality. The remaining identified needs from that CHNA, include conditions related to child lifestyle factors, substance abuse, sexually transmitted diseases, access to health care, and environmental factors, were not formally addressed through implementation strategies. Although the reasons for this are varied to include a lack of funding and staff, and decisions based on conditions of priority, we will continue to look to CHNA data, as well as other data sources, on these indicators to guide our efforts and advance our mission of improving the health of the communities we serve. Specific Needs Not Addressed Although all of the community health needs identified by the CHNA and deliberated by our hospital teams are important, three emerged as high-priority areas based on the CHMCA's current activities, the potential for community impact, and available resources. Consequently, several areas will not be addressed in this Implementation Strategy. These include health areas that ranked lower during the prioritization process, health areas that were beyond the scope of the hospital, and health areas that require more resources than what are available: - Access to Health Care - Health Insurance Coverage - Access to Dental Care - Mental Health Insurance Coverage - Number of Pediatric Specialists - Child Lifestyle Factors - Overweight & Obesity - Exercise - Nutrition - Substance Abuse - Opioid Drug Abuse - Sexually Transmitted Diseases - Adolescent Gonorrhea - Environmental Factors - Access to Healthy Foods Additionally, CHMCA's clinicians do not provide care services for pregnant women, other than those whose babies have been diagnosed before birth or prenatally with a condition or disease that must be monitored by our Maternal Fetal Medicine (MFM) Center or Genetics Center. We do care for babies born at low and very low birth weights and preterm infants requiring hospitalization in the NICU on the Akron campus or NICUs that we operate at Akron General Health System, Summa Health System and St. Elizabeth Hospital in Youngstown, and the special care nursery at our Mahoning Valley Campus in Boardman. Data Limitations and Gaps Due to limited resources and time constraints, data was not available for every vulnerable population, such as the homeless or refugee populations. Where available, the most current data was used to determine the health needs of the community. Although the data available is rich with information, not surprisingly, data gaps and limitations existed that impacted the ability to conduct a more thorough and rigorous assessment. These include: 1. Pediatric data related to substance abuse (alcohol abuse and excessive drinking, prescription drug abuse and opioid drug abuse) are not readily available. Some data are available through the Ohio Department of Health Youth Risk Surveillance Survey. However, this data is limited and under sampled, not adequately representing the communities or specific populations. 2. County-wide data that characterize health risk and lifestyle behaviors like nutrition, exercise, and sedentary behaviors are not available for children. 3. Behavioral Health data was provided through the Ohio Hospital Association (OHA). The limitation of this data is that it is only data from reporting OHA hospitals. Therefore, Belmont Pines Hospital, one of the largest behavioral health agencies in the state, does not report data to OHA. Therefore, Belmont Pines' data are not included and the mental health data are skewed especially for Columbiana, Mahoning and Trumbull counties since the Belmont Pines Hospital is located in Youngstown and many local children are referred there. 4. Due to time constraints and limited resources, we were unable to access pediatric Medicaid data that would have allowed us to more specifically target this vulnerable population. 5. County and State-wide chronic disease data are not available for children. 6. Injury data was fragmented and not readily available.
Group B - MV Part V Section B Line 12(i)	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 or/family, hospital management may approve charity care based on documented extenuating circumstances.
Group B - MV Part V Section B Line 14g	Line 14g CHMCA employs financial counselors to explain CHMCA's free care, charity care, and the various public assistance programs to uninsured and underinsured patients.
Group B - MV Part V Section B Line 20(d)	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 CHMCA's Charity Care Policy have 100% of their charges forgiven. Those patients who qualify for discounted care under the CHMCA's 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.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?37
Name and address		Type of Facility (describe)
1	CHMCA Partial Hospitalization Program 388 South Main Street Akron,OH44311	Behavorial Health Day Programs
2	CHMCA Montrose ED 4125 Medina Road Akron,OH44333	General Outpatient Services
3	CHMCA ACHP - New Philadelphia 1045 W High Street New Philadelphia,OH44312	General Outpatient Services
4	CHMCA ACHP - Green 1600 E Turkeyfoot Lake Road Akron,OH44312	General Outpatient Services
5	CHMCA ACHP - Fairlawn 701 White Pond Drive Suite 100 Akron,OH44320	General Outpatient Services
6	CHMCA ACHP - Hudson 1365 Corp Drive Suite A Hudson,OH44236	General Outpatient Services
7	CHMCA Hudson ED 5655 Hudson Drive Hudson,OH44236	General Outpatient Services
8	CHMCA ACHP - Warren 8720 E Market Street Suite 1C Warren,OH44484	General Outpatient Services
9	CHMCA ACHP - East Akron 891 East Exchange Street Akron,OH44311	General Outpatient Services
10	CHMCA ACHP - Wooster 128 E Miltown Road 209 Wooster,OH44691	General Outpatient Services
11	CHMCA ACHP - Medina 3443 Medina Road Suite 115 Medina,OH44256	General Outpatient Services
12	CHMCA ACHP - Boardman 6505 Market Street Bldg C Suite 212 Boardman,OH44512	General Outpatient Services
13	CHMCA ACHP - Barberton 62 Conservatory Dr Bldg D Suite A Barberton,OH44203	General Outpatient Services
14	CHMCA ACHP - Ellet 1463 Canton road Suite A Akron,OH44312	General Outpatient Services
15	CHMCA ACHP - Twinsburg 8054 Darrow Road Suite 3 Twinsburg,OH44087	General Outpatient Services
16	CHMCA ACHP - Kent 1951 State Rt 59 Kent,OH44240	General Outpatient Services
17	CHMCA ACHP - Ashland 2212 Mifflin Avenue Suite 235 Ashland,OH44805	General Outpatient Services
18	CHMCA ACHP - Wadsworth 323 High Street Suite A Wadsworth,OH44281	General Outpatient Services
19	CHMCA ACHP - North Canton 6046 Whipple Ave NW Bldg B North Canton,OH44720	General Outpatient Services
20	CHMCA ACHP - Tallmadge 143 Northeast Ave Bldg D 102 Tallmadge,OH44278	General Outpatient Services
21	CHMCA ACHP - Streetsboro 9318 State Rd 14 Streetsboro,OH44241	General Outpatient Services
22	CHMCA Millersburg Hemophilia Clinic 1261 Wooster Road Millersburg,OH44654	General Outpatient Services
23	CHMCA ACHP - Ravenna 6847 Chestnut Street Suite 200 Ravenna,OH44266	Inpatient/Outpatient Services
24	CHMCA Care Center Stark County 213 Market Avenue N Suite 200 Canton,OH44702	General Outpatient Services
25	CHMCA ACHP - Brecksville 7001 s Edgerton Road Suite 500 Brecksville,OH44141	General Outpatient Services
26	CHMCA ACHP - Alliance 1826 Sout Arch Avenue Alliance,OH44601	General Outpatient Services
27	CHMCA ACHP - Solon 34125 Solon Road Solon,OH44139	General Outpatient Services
28	CHMCA Beachwood Specialties 23250 Chagrin Blvd Building 5 Beachwood,OH44122	General Outpatient Services
29	CHMCA Boardman Medical Pavilion 8423 Market Street Bldg C Suite 30 Boardman,OH44512	General Outpatient Services
30	CHMCA ACHP - Perry 125 Whipple Ave S W Canton,OH44708	General Outpatient Services
31	CHMCA Orthopedic Specialty Canton 4455 Dressler Road Canton,OH44718	General Outpatient Services
32	CHMCA Aultman Hospital Specialties 2600 6th Street SW Canton,OH44710	General Outpatient Services
33	CHMCA Lake Health TriPoint Med Ctr 7590 Auburn Road Suite 214 Painesville,OH44077	Single Specialty Group O/P
34	CHMCA Medina Specialties 3591 Reserve Commons Drive Medina,OH44256	General Outpatient Services
35	CHMCA - AGMC Wellness - Rehab 4125 Medina Road Akron,OH44333	General Outpatient Services
36	CHMCA Center for Allergy & Immunology 130 West Exchange Street Akron,OH44308	Single Specialty Group
37	CHMCA Medina Subspecialties 3780 Medina Road Suite 240 Medina,OH44256	General Outpatient Services

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Group A - CHMCA Part V Section B Line 3	Line 3: Yes - Interviews were conducted with community leaders in a five-county area from March - April 2013 to gain insight on what they thought were significant health needs of children and adults in their communities, the factors that affect those health needs, other existing community health needs assessments, possible collaboration opportunities, and to get suggestions on what the hospitals can do to address the significant health needs identified in the CHNA. Focus Groups were conducted with 107 community residents in the same five-county area from April - May 2013. In addition, a questionnaire was distributed to the focus group participants to gather demographic information and basic perceptions of community health. The discussion guide, questionnaire, and protocol were reviewed and approved by the Kent State University Institutional Review Board. Leaders Interviewed: Executive Director, Mental Health and Recovery Services Board of Stark County School Nurse and Coordinator of Health Services, Canton City Schools Director, Summit County Job and Family Services Executive Director for Business Affairs, Akron Public Schools Administrator, Portage County Job and Family Services Nursing Director for the Medina County Educational Services Center, Medina City School District Medicaid Eligibility Services Administrator, Medina County Job and Family Services Executive Director, Portage County Mental Health and Recovery Board School Nurse, Canton City School Vice President for Business Development, Robinson Memorial Hospital Deputy Health Commissioner for Planning, Summit County Public Health Director of Business Services, Kent City School District Health Commissioner, Medina County Health Department Executive Director, County of Summit Alcohol, Drug Addiction & Mental Health Services Board Health Commissioner, Stark County Health Department Superintendent, Wooster City School District Director, Wayne County Family and Children First Council Community Resident Focus Groups: Community residents were recruited by posting and distributing flyers in the community. 35% of participants were from Summit County, 16% from Wayne County, 11% from Medina County, 28% from Stark County and 10% from Portage County. The average number of years the participants lived in their home county was 25 years. 22% of participants were African-American, 66% were Caucasian, and 7% were Hispanic. 17% lived by themselves, 23% lived with one other person, 28% lived with 2 or more people, and 15% lived with four or more people. 50% had no children in the home, 13% had one child, 22% had two children, and 8% had 3 or more children. 19% of participants reported monthly household income between $0-999, 16% between $1000 - $1999, 19% between $2000 - $2999, 9% between $3000 - $3999, 2% between $4000 - $4999, and 12% reported monthly household income exceeding $5000 per month. In addition, 18% reported they had no health insurance, 40% had private health insurance, 3% had health insurance as a veteran or member of the military, 15% had Medicare, and 21% had Medicaid. 40% stated that someone in their home did not receive health care due to the cost and that 43% of them had someone in their home with a chronic disease or condition. 85 participants reported that they usually don't go to a doctor during the year, 12% go once per year, 19% go twice per year, 12% go three times per year, 9% go four times per year, 15% go five to nine times per year, and 9% go 10 or more times per year. Finally, participants reported diverse views of the health of adults and children in their home county. One percent of participants described the current health status of adults in their county as "excellent," 3% described it as "very good," 45% described it as "good," 39% described it as "fair," and 10% described the current health status of adults in their county as "poor." Participants rated the current health status of children in their county slightly higher. One percent described it as "excellent," 19% described it as "very good," 49% described it as "good," 23% described it as "fair," and 8% described the current health status of children in their county as "poor."
Group A - CHMCA Part V Section B Line 4	Line 4: Yes Akron General Health System 400 Wabash Avenue Akron, Ohio 44307 Summa Health System 525 East Market Street Akron, Ohio 44304
Group A - CHMCA Part V Section B Line 5 (a)	Line 5 (a) -Yes - Posted on our external website to https://www.akronchildrens.org/cms/community-needs-assessment/index.html
Group A - CHMCA Part V Section B Line 6 (i)	Line 6(i) - Yes - The measured indicators in the 2013 CHNA have been addressed through CHMCA's clinical and programmatic efforts for many years. Our highly-qualified medical staff and professionals provide world-class patient centered care to address each of these indicators through our Center for Orthopedics and Sports Medicine, Center for Diabetes and Endocrinology, Robert T. Stone, MD, Respiratory Center, Heart Center, Division of Pediatric Psychiatry and Psychology, and the Showers Family Center for Childhood Cancer and Blood Disorders.
Group A - CHMCA Part V Section B Line 7	Line 7 - No Our 2013 CHNA identified and prioritized several community health needs. We drafted, and our Board of Trustees approved, implementation strategies that focused on addressing conditions related to diabetes, asthma, behavioral and mental health, and infant mortality. The remaining identified needs from that CHNA, include conditions related to birth risk factors, child development, child lifestyle factors, substance abuse, abuse and neglect, access to health care, and environmental factors, were not formally addressed through implementation strategies. Although the reasons for this are varied to include a lack of funding and staff, and a lower priority for certain conditions because of our focus on pediatric conditions as a children's hospital, we will continue to look to CHNA data, as well as other data sources, on these conditions to guide our efforts and advance our mission of improving the health of the communities we serve. Specific Needs Not Addressed Although all of the community health needs identified by the CHNA and deliberated by our hospital teams are important, three emerged as high-priority areas based on the CHMCA's current activities, the potential for community impact, and available resources. Consequently, several areas will not be addressed in this Implementation Strategy. These include health areas that ranked lower during the prioritization process, health areas that were beyond the scope of the hospital, and health areas that require more resources than what are available: - Abuse & Neglect - Access to Health Care - Health Insurance Coverage - Access to Dental Care - Mental Health Insurance Coverage - Birth Risk Factors - Maternal Tobacco Smoking - First Trimester Prenatal Care - Child Development - Underweight - Child Lifestyle Factors - Overweight & Obesity - Exercise - Nutrition - Environmental Factors - Access to Healthy Foods - Substance Abuse - Alcohol Abuse & Excessive Drinking - Prescription Drug Abuse - Opioid Drug Abuse Additionally, CHMCA's clinicians do not provide care services for pregnant women, other than those whose babies have been diagnosed before birth or prenatally with a condition or disease that must be monitored by our Maternal Fetal Medicine (MFM) Center or Genetics Center. Therefore, we will not be able to impact the service area's rate of infants born at low birth weights or very low birth weights (other than caring for them after birth), the rate of preterm births (other than those mothers and babies being followed by our MFM Center), or the rate of pregnant women receiving prenatal care (other than those seen by MFM Center) or the rate of births to women who smoke. We do care for babies born at low and very low birth weights and preterm infants requiring hospitalization in the NICU on the Akron campus or NICUs that we operate at Akron General Health System, Summa Health System and St. Elizabeth Hospital in Youngstown, and the special care nursery at our Mahoning Valley Campus in Boardman. Data Limitations and Gaps Due to limited resources and time constraints, data was not available for every vulnerable population, such as the homeless or refugee populations. Where available, the most current data was used to determine the health needs of the community. Although the data available is rich with information, not surprisingly, data gaps and limitations existed that impacted the ability to conduct a more thorough and rigorous assessment. These include: 1. Pediatric data related to substance abuse (alcohol abuse and excessive drinking, prescription drug abuse and opioid drug abuse) are not readily available. Some data are available through the Ohio Department of Health Youth Risk Surveillance Survey. However, this data is limited and under sampled, not adequately representing the communities or specific populations. 2. County-wide data that characterize health risk and lifestyle behaviors like nutrition, exercise, and sedentary behaviors are not available for children. 3. Behavioral Health data was provided through the Ohio Hospital Association (OHA). The limitation of this data is that it is only data from reporting OHA hospitals. Therefore, Belmont Pines Hospital, one of the largest behavioral health agencies in the state, does not report data to OHA. Therefore, Belmont Pines' data are not included and the mental health data are skewed especially for Columbiana, Mahoning and Trumbull counties since the Belmont Pines Hospital is located in Youngstown and many local children are referred there. 4. Due to time constraints and limited resources, we were unable to access pediatric Medicaid data that would have allowed us to more specifically target this vulnerable population. 5. County and State-wide chronic disease data are not available for children. 6. Injury data was fragmented and not readily available.
Group A - CHMCA Part V Section B Line 12 (i)	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 or/family, hospital management may approve charity care based on documented extenuating circumstances.
Group A - CHMCA Part V Section B Line 14g	Line 14g CHMCA employs financial counselors to explain CHMCA's free care, charity care, and the various public assistance programs to uninsured and underinsured patients.
Group A - CHMCA Part V Section B Line 20 (d)	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 CHMCA's Charity Care Policy have 100% of their charges forgiven. Those patients who qualify for discounted care under CHMCA's 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.
Group B - MV Part V Section B Line 3	Line 3: In addition to examining county-level epidemiologic data, interviews were conducted with community leaders in July - August 2013 to gain their insight on what they thought were the significant health needs of children and adults in their communities, the factors that affect those health needs, other existing community health needs assessments, possible collaboration opportunities, and to get suggestions on what the hospitals can do to address the significant health needs identified in the CHNA. These community leaders represent the broad interests of the communities served by the hospital facility including the medically underserved, low-income persons, minority groups, those with chronic disease needs, and leaders from local public health agencies and departments who have special knowledge and expertise in public health and children's health issues. Leaders Interviewed: Youngstown City Health District, Acting Health Commissioner Youngstown/Warren Regional Chamber, President & Chief Executive Officer Pediatric Associates of Youngstown, Physician Mahoning County Children's Services, Quality Improvement Supervisor Help Hotline Crisis Center, Chief Executive Officer Mahoning County District Board of Health, Health Commissioner Trumbull County Women, Infants, and Children (WIC) Program, Director Trumbull County Mental Health and Recovery Board, Director of Evaluation & Quality Improvement Trumbull County Children's Services, Executive Director St. Joseph Health Center, Chair of Pediatrics Columbiana County Mental Health and Recovery Services Board, Executive Director Portage/Columbiana Counties Women, Infants, and Children (WIC) Program, Director The Morning Journal, Editor Salem Community Hospital, Vice President for Medical Affairs Columbiana County Educational Service Center, Superintendent Columbiana County Department of Job and Family Services, Children's Services Administrator Coordinated Action for School Health (CASH) Coalition, Coordinator Columbiana County Health Department, Health Commissioner Community Resident Focus Groups In addition to the input from community leaders, focus groups were conducted with community residents in August - September 2013 to get their input on what they thought were the significant health needs of children and adults in their communities, the factors that affect those needs, the solutions they thought would solve those needs, and what the hospitals and other community groups could do to address those needs. Due to the observed information gap in the epidemiologic data on the health of children, adult and child substance abuse issues, and adult and child mental health issues, several questions were asked to probe more deeply on these issues. In addition, a questionnaire was distributed to focus group participants to gather demographic information and basic perceptions of community health. The discussion guide, questionnaire, and protocol were reviewed and approved by the Kent State University Institutional Review Board. A total of 82 people participated in the Community Resident Focus Groups.
Group B - MV Part V Section B Line 5	Line 5 (a) -Yes - Posted on our external website to https://www.akronchildrens.org/cms/community-needs-assessment/index.html
Group B - MV Part V Section B Line 6(i)	Line 6(i) - Yes - The measured indicators in the 2013 CHNA have been addressed through CHMCA's clinical and programmatic efforts for many years. Our highly-qualified medical staff and professionals provide world-class patient centered care to address each of these indicators through our Center for Orthopedics and Sports Medicine, Center for Diabetes and Endocrinology, Robert T. Stone, MD, Respiratory Center, Heart Center, Division of Pediatric Psychiatry and Psychology, and the Showers Family Center for Childhood Cancer and Blood Disorders.
Group B - MV Part V Section B Line 7	Line 7: Our 2013 CHNA identified and prioritized several community health needs. We drafted, and our Board of Trustees approved, implementation strategies that focused on addressing conditions related to diabetes, asthma, behavioral and mental health, and infant mortality. The remaining identified needs from that CHNA, include conditions related to child lifestyle factors, substance abuse, sexually transmitted diseases, access to health care, and environmental factors, were not formally addressed through implementation strategies. Although the reasons for this are varied to include a lack of funding and staff, and decisions based on conditions of priority, we will continue to look to CHNA data, as well as other data sources, on these indicators to guide our efforts and advance our mission of improving the health of the communities we serve. Specific Needs Not Addressed Although all of the community health needs identified by the CHNA and deliberated by our hospital teams are important, three emerged as high-priority areas based on the CHMCA's current activities, the potential for community impact, and available resources. Consequently, several areas will not be addressed in this Implementation Strategy. These include health areas that ranked lower during the prioritization process, health areas that were beyond the scope of the hospital, and health areas that require more resources than what are available: - Access to Health Care - Health Insurance Coverage - Access to Dental Care - Mental Health Insurance Coverage - Number of Pediatric Specialists - Child Lifestyle Factors - Overweight & Obesity - Exercise - Nutrition - Substance Abuse - Opioid Drug Abuse - Sexually Transmitted Diseases - Adolescent Gonorrhea - Environmental Factors - Access to Healthy Foods Additionally, CHMCA's clinicians do not provide care services for pregnant women, other than those whose babies have been diagnosed before birth or prenatally with a condition or disease that must be monitored by our Maternal Fetal Medicine (MFM) Center or Genetics Center. We do care for babies born at low and very low birth weights and preterm infants requiring hospitalization in the NICU on the Akron campus or NICUs that we operate at Akron General Health System, Summa Health System and St. Elizabeth Hospital in Youngstown, and the special care nursery at our Mahoning Valley Campus in Boardman. Data Limitations and Gaps Due to limited resources and time constraints, data was not available for every vulnerable population, such as the homeless or refugee populations. Where available, the most current data was used to determine the health needs of the community. Although the data available is rich with information, not surprisingly, data gaps and limitations existed that impacted the ability to conduct a more thorough and rigorous assessment. These include: 1. Pediatric data related to substance abuse (alcohol abuse and excessive drinking, prescription drug abuse and opioid drug abuse) are not readily available. Some data are available through the Ohio Department of Health Youth Risk Surveillance Survey. However, this data is limited and under sampled, not adequately representing the communities or specific populations. 2. County-wide data that characterize health risk and lifestyle behaviors like nutrition, exercise, and sedentary behaviors are not available for children. 3. Behavioral Health data was provided through the Ohio Hospital Association (OHA). The limitation of this data is that it is only data from reporting OHA hospitals. Therefore, Belmont Pines Hospital, one of the largest behavioral health agencies in the state, does not report data to OHA. Therefore, Belmont Pines' data are not included and the mental health data are skewed especially for Columbiana, Mahoning and Trumbull counties since the Belmont Pines Hospital is located in Youngstown and many local children are referred there. 4. Due to time constraints and limited resources, we were unable to access pediatric Medicaid data that would have allowed us to more specifically target this vulnerable population. 5. County and State-wide chronic disease data are not available for children. 6. Injury data was fragmented and not readily available.
Group B - MV Part V Section B Line 12(i)	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 or/family, hospital management may approve charity care based on documented extenuating circumstances.
Group B - MV Part V Section B Line 14g	Line 14g CHMCA employs financial counselors to explain CHMCA's free care, charity care, and the various public assistance programs to uninsured and underinsured patients.
Group B - MV Part V Section B Line 20(d)	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 CHMCA's Charity Care Policy have 100% of their charges forgiven. Those patients who qualify for discounted care under the CHMCA's 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.

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
Children's Hospital Medical Center of Akron

Employer identification number
34-0714357

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) UNIVERSITY OF AKRON FOUNDATION 47 NORTH MAIN STREET AKRON,OH44308	34-6575496	3	400,000	GENL SUPPORT
(2) AKRON CHILDREN'S HOSPITAL FOUNDATION ONE PERKINS SQUARE AKRON,OH44308	23-7114013	3	681,260	GENL SUPPORT
(3) AKRON URBAN LEAGUE 250 EAST MARKET STREET AKRON,OH44308	34-0714520	3	25,000	GENL SUPPORT
(4) AKRON PUBLIC SCHOOLS 70 N BROADWAY AKRON,OH44308	34-6000083	GOVT ORG	20,000	GENL SUPPORT
(5) LIFEBANC 1909 EAST 101ST STREET SUITE 12 CLEVELAND,OH44106	34-1525159	3	7,500	GENL SUPPORT
(6) RONALD MCDONALD HOUSE 245 LOCUST STREET AKRON,OH44308	34-1860682	3	250,000	BUILDING CAMPAIGN

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
Part I, Line 2	CHMCA DONATES MONEY OCCASIONALLY TO PROGRAMS THROUGHOUT SUMMIT COUNTY THAT ARE ALSO 501(C)(3) ORGANIZATIONS. THE AMOUNTS DONATED TO THESE ORGANIZATIONS ARE MOSTLY IN SUPPORT OF MEDICAL AND NURSING EXCELLENCE IN THE COMMUNITY, ALONG WITH MEDICAL RESEARCH.

Schedule I (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)WILLIAM CONSIDINEPRESIDENT & CEO	(i) (ii)	1,246,412 0	203,050 0	336,431 0	-17,658 0	14,897 0	1,783,132 0	0 0
(2)SHAWN LYDENEXECUTIVE VP	(i) (ii)	536,320 0	83,997 0	6,658 0	15,100 0	20,208 0	662,283 0	0 0
(3)MICHAEL TRAINERCHIEF FINANCIAL OFFICER	(i) (ii)	413,286 0	121,498 0	2,693 0	17,400 0	15,591 0	570,468 0	0 0
(4)GRACE WAKULCHIKCHIEF OPERATING OFFICER	(i) (ii)	438,796 0	66,598 0	5,810 0	-23,058 0	11,830 0	499,976 0	0 0
(5)JOHN CROW MDCHAIRMAN,PEDIATRIC SURGERY	(i) (ii)	750,448 0	0 0	60,340 0	0 0	14,887 0	825,675 0	0 0
(6)NORMAN CHRISTOPHER MDCHAIRMAN, DEPT OF PEDS	(i) (ii)	377,234 0	55,480 0	2,984 0	-21,951 0	20,317 0	434,064 0	0 0
(7)ROBERT MCGREGOR MDCHIEF MEDICAL OFFICER	(i) (ii)	350,239 0	0 0	17,450 0	0 0	20,038 0	387,727 0	0 0
(8)JEFFREY HORD MDDIRECTOR, HEMATOLOGY	(i) (ii)	319,605 0	10,975 0	2,691 0	-13,269 0	19,786 0	339,788 0	0 0
(9)MARY LINKDIRECTOR, GENERAL COUNSEL	(i) (ii)	281,583 0	39,842 0	1,397 0	5,100 0	11,582 0	339,504 0	0 0
(10)MARY TOTH MDDIRECTOR, RHEUMATOLOGY	(i) (ii)	269,359 0	25,000 0	731 0	6,370 0	19,592 0	321,052 0	0 0
(11)THOMAS OGGCHIEF INFORMATION OFFICER	(i) (ii)	304,222 0	49,499 0	693 0	5,100 0	14,128 0	373,642 0	0 0
(12)AMY MANEKERCHIEF MEDICAL INFOR OFFICER	(i) (ii)	328,224 0	0	1,449 0	5,100 0	1,869 0	336,642 0	0 0
(13)LISA AURILIOVP, PATIENT SERVICES	(i) (ii)	268,322 0	37,349 0	846 0	17,792 0	7,291 0	331,600 0	0 0
(14)LINDA GENTILEVP, SUPPORT SERVICES	(i) (ii)	225,415 0	35,100 0	1,354 0	37,457 0	13,783 0	313,109 0	0 0
(15)WALTER SCHWOEBLEVP, HUMAN RESOURCES	(i) (ii)	291,961 0	45,898 0	2,616 0	17,600 0	14,174 0	372,249 0	0 0
(16)CYNTHIA DORMOVP, DEPT OF PEDS	(i) (ii)	240,144 0	35,699 0	960 0	59,040 0	7,370 0	343,213 0	0 0
(17)SHARON HRINAVP, MAHONING VALLEY ENTERPRISE	(i) (ii)	233,782 0	31,999 0	3,184 0	60,804 0	7,141 0	336,910 0	0 0
(18)CRAIG MCGHEEVP, SURGICAL SUBSPECIALTY	(i) (ii)	179,218 0	0	660 0	3,639 0	11,164 0	194,681 0	0 0
(19)ROGER HUDGINS MDDIRECTOR OF NEUROSURGERY	(i) (ii)	1,287,000 0	170,946 0	11,484 0	5,100 0	12,450 0	1,486,980 0	0 0
(20)ANTON MILO MDDIRECTOR OF ENT	(i) (ii)	1,342,969 0	0	4,002 0	5,100 0	19,360 0	1,371,431 0	0 0
(21)MARK MCCOLLUM MDGENERAL PEDIATRIC SURGEON	(i) (ii)	1,071,016 0	41,875 0	1,170 0	5,100 0	20,146 0	1,139,307 0	0 0
(22)PHILIP SMITH MDDIRECTOR OF HEART CENTER	(i) (ii)	1,028,746 0	30,000 0	3,612 0	-2,142 0	20,601 0	1,080,817 0	0 0
(23)ROBERT PARRY MDGENERAL PEDIATRIC SURGEON	(i) (ii)	829,418 0	56,000 0	3,354 0	5,100 0	20,370 0	914,242 0	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
Part I, Line 1a - Fringe or Expense Explanation	William Considine, CEO and Shawn Lyden, Executive VP, had a 2013 country club membership that was used by CHMCA for business meetings. William Considine also received gross-up payments for his automobile and life insurance payments made by CHMCA.
Part 1, line 1b - Written Reimbursement Policy Explanation	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.
Part 1, Line 4 - Severance, Nonqualified, and Equity Based Payments	William Considine is a participant in the 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. The non-qualified deferred payment to William Considine in 2013 was $233,398.
Part 1, Line 7 - Non Fixed Payments Provided	CHMCA does have contracts with certain physicians that earn bonuses based on Work Relative Value Units (WRVU's). Physicians work RVU: the relative level of time, skill, training and intensity to provide a given service. Each 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.
Part II, Line 1(c)	During 2013, the significant increase in the pension plan's discount rate resulted in a decrease in the present value of the participant's deferred benefits.

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
Children's Hospital Medical Center of Akron

Employer identification number
34-0714357

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT	34-1448680	009730MY5	05-15-2012	102,559,004	REFUND PRIOR ISSUE TO CONSTRUCT PA		X		X		X
B	AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT	34-1448680	009730NB4	05-15-2013	101,377,818	CONSTRUCTION OF CRITICAL CARE TOWE		X		X		X
C	AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT	34-1448680		11-14-2013	27,405,000	REFUND PRIOR ISSUE		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	0		0		0
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	102,559,004		101,377,818		27,405,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	1,010,250		10,229,217		280,035
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	1,116,463		1,148,601		0
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	18,379,884		25,465,483		0
11 Other spent proceeds . . . . . . . . . . . . . .	80,432,291		0		27,124,965
12 Other unspent proceeds . . . . . . . . . . . . . .	1,620,116		64,534,517		0
13 Year of substantial completion . . . . . . . . . . . .	2013		2015		2013
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X			X	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X			X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X			X	X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X				X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X		X		X
b Exception to rebate? . . . . . . . .		X		X		X
c No rebate due? . . . . . . . .		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X
b Name of provider . . . . . . . . .	0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
PART 1(f)A	OF THE $102,559,004 BOND PROCEEDS, $80,432,921 WAS USED TO REFUND THE SERIES 2001 BONDS AND $21,000,000 WAS USED FOR CONSTRUCTION OF A NEW APPROXIMATELY 1200 SPACE PARKING GARAGE.
PART 1(f)B	$101,377,818 OF BOND PROCEEDS ARE BEING USED TO CONSTRUCT AN APPROXIMATELY 360,000 SQUARE FOOT CRITICAL CARE TOWER ON THE AKRON CAMPUS.
PART 1(f)C	$27,405,000 OF BOND PROCEEDS REFUNDED THE SERIES 2003 BONDS. THE BONDS WERE SOLD IN A PRIVATE OFFERING TO KEY GOVERNMENT FINANCE, INC.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2013

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) FIRST ENERGY SOLUTIONS	FE OFFICER AND CURR DIREC	2,382,062	ELECTRIC BILLS PD TO FIRSTENER		No
(2) FIRST MERIT	VP-FM AND CURR DIRECTOR	131,380	FEES PAID TO FIRST MERIT		No
(3) CATHRYN O'MALLEY	FAMILY MEMBER OF CURR DIR	73,301	COMPENSATION		No
(4) LAURIE SCHUELER	FAMILY MEMBER OF CURR DIR	27,079	COMPENSATION		No
(5) INTERACTIVE MEDIA GROUP	FAMILY MEMBER OF CURR DIR	212,518	COMPUTER PROGRAMMING FEES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

SCHEDULE L, PART V

GREG MCDERMOTT, BOARD MEMBER, IS A VICE-PRESIDENT WITHIN FIRST MERIT BANK, OF WHICH CHMCA CONDUCTS THEIR CHECKING AND INVESTMENTS BANKING. DONALD SCHNEIDER, BOARD MEMBER, IS A FIRST ENERGY OFFICER. CHMCA PURCHASES THEIR ELECTRIC POWER THROUGH OHIO EDISON, A COMPANY OF FIRST ENERGY. CATHRYN O'MALLEY IS THE DAUGHTER OF WILLIAM CONSIDINE, PRESIDENT AND CEO. LAURIE SCHUELER IS THE DAUGHTER OF DUANE ISHAM, BOARD MEMBER. ANDREW HOPKINS, SON OF BOARD MEMBER WILLIAM HOPKINS, IS A PARTNER OF INTERACTIVE MEDIA GROUP THAT CONTRACTS WITH CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON IN DOING VARIOUS COMPUTER PROGRAMMING.

Schedule L (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Return Reference	Explanation
Form 990, Part III, Line 4d - All Other Accomplishments	Children's Hospital Medical Center of Akron ("CHMCA") operates one of the largest pediatric primary care networks in nine different counties including Cuyahoga, Medina, Wayne, Tuscawaras and Portage. The pediatricians and staff at Akron Children's Hospital Pediatrics ("ACHP") 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 CHMCA. By sharing information between our offices and with area health care providers, we ensure that all children receive the finest care - from preventative checkups to treatment for chronic health problems. ACHP visits were 318,753 and 301,645 for 2013 and 2012 respectively. The Surgical Services Department at CHMCA performs approximetely 15,000 general and specialized surgical procedures each year--ranging from uncomplicated tonsillectomies to neurosurgery, open heart, orthopedic, and plastic and reconstructive surgery. The entire staff at CHMCA, 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 pedatric 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. CHMCA 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. 2013 2012 Surgical patients - inpatient 3,393 3,316 Surgical patients - outpatient 10,148 12,025
Form 990, Part VI, Line 2 - Related Party Information Among Officers	Robert Berk Director Family Relationship Susan Berk Director Family Relationship
Form 990, Part VI, Line 6 - Classes of Members or Stockholders	The duly elected, qualified and acting Directors and the active members of the Women's Board of Akron Children's Hospital are members of the Corporation.
Form 990, Part VI, Line 7a - Election of Members and Their Rights	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 Akron 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 is elected and qualified. Upon unanimous resolution of the members, a person who has rendered long and outstanding service to the Hospital may be elected to a life term as a director. The directors responsibilites include: (1) to ensure 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.
Form 990, Part VI, Line 7b - Decisions Subject to Approval of Members	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 performance 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.
Form 990, Part VI, Line 11b - Organization's Process to Review Form 990	The Form 990 is provided to the Audit Committee and Chairman of the Board of Directors of CHMCA for review and discussion prior to filing the return with the Internal Revenue Service. The Audit Committee is a Committee of the Board of Directors and empowered to complete the review on behalf of the Board of Directors.
Form 990, Part VI, Line 12c - Enforcement of Conflicts Policy	It is CHMCA's policy that all employees disclose real and apparent conflicts of interest as a condition of employment with CHMCA. CHMCA also requires that each employee disclose in writing, annually, to the President a list of all businesses or other organizations in which he/she is an officer, member, owner, shareholder, trustee or employee for which he/she acts as an agent or might reasonably in the future enter into a relationship or transaction in which the employee could have a duality of interest. If a situation arises in which there is a duality of interest, or a question of duality of interest, and, as such, potential for a conflict of interest, it is the primary responsibility of the individual directly involved and responsibility of other personnel, to the extent that they become aware of a duality of interest, to made immediate and complete 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 such conflict is so substantial that it is deemed to be detrimental to CHMCA. Any employee who is directly or indirectly involved in a situation which represents a duality of interest, and as such, a potential conflict of interest, will abide by the following policies: (1) Individual will not be permitted access to any information which may provide an unfair advantage to that individual or the firm he/she represents. (2) Individual will be required to withdraw from any meeting in which the matter is discussed. (3) Individual will not be permitted to participate in deliberation or vote on the matter and will be required to leave the room during voting. (4) Any employee is expressly prohibited from releasing any "sensitive information" regarding a decision made or being considered to any person who may have a duality of interest, and as such, a potential conflict of interest. (5) Any attempt on the part of an employee to unfairly influence or impact the decision making process in favor of personal interest may be considered breach of trust and may be cause for removal from his/her position of responsibility or other disciplinary action up to and including discharge.
Form 990, Part VI, Line 15a - Compensation Process for Top Offical	CHMCA's executive total compensation program is governed by the Compensation Committee (Committee) of the Board of Directors. Key Committee responsibilities include: (a) ensure executive total compensation is appropriate in light of the Hospital's mission and values, and (b) approve an executive compensation philosophy, the associated programs, and all compensation actions for individual executives. The Committee is comprised of independent members of 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. The Committee reviews market compensation data for comparable positions at similar organizations which are compiled by an independent consultant. The Committee uses the date to make executive decisions and documents its compensation deliberations and decisions in a timely manner. An independent salary survey was completed in 2013 and recommendations were provided and presented by the independent consultant to the Committee for approval.
Form 990, Part VI, Line 15b - Compensation Process for Officers	An independent salary survey was completed in 2013 and recommendations were provided and presented by the independent consultant to the Committee for approval.
Form 990, Part VI, Line 19 - Governing Documents Disclosure Explanation	CHMCA makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. In addition, the governing documents are located on the Ohio Secretary of State's website. The financial statements are also disclosed on the EMMA (Electronic Municipal Market Access) website.
Form 990, Part XI, Line 9 - Reconciliation of Other Changes in Net Assets	Contributed Capital Akron Children's Hospital Foundation $ -355,144 Contributed Capital of Government Funding -91,965 Partnership Loss 72,900 Reclass expenses netted against revenue -156,349 In-Kind Community Support 400,000 Hospital's Investment in Foundation 25,128,901 Contributed Capital 447,109 Adjustment - ASC - OPEB 1,592,663 Adjustment - ASC - Pension 66,374,788 Loss on Extinguishment of Debt -505,997 Hemophilia Treatment Center Deposit 945,412 __________ Total $93,852,318

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) AKRON CHILDREN'S RESEARCH CENTER ONE PERKINS SQUARE AKRON,OH44308 34-1934412	CLIN TRIALS	OH	0	0	na

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) AKRON CHILDREN'S HOSPITAL FOUNDATION ONE PERKINS SQUARE AKRON,OH44308 23-7114013	FOUNDATION	OH	501(c)(3)	7	CHMCA	Yes
(2) CHILDREN'S HOME CARE GROUP ONE PERKINS SQUARE AKRON,OH44308 34-1575266	HOME CARE	OH	501(c)(3)	11a	CHMCA	Yes
(3) CHILD DIMENSIONS INSURANCE COMPANY ONE PERKINS SQUARE AKRON,OH44308 03-0317160	INSURANCE	OH	501(c)(3)	11a	CHMCA	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CHILDREN'S HOME CARE GROUP	O	10,780,279	ACTUAL PER GL
(2) CHILDREN'S HOME CARE GROUP	P	9,442,972	ACTUAL PER GL
(3) CHILD DIMENSIONS INSURANCE GROUP	P	23,284	ACTUAL PER GL
(4) AKRON CHILDREN'S HOSPITAL FOUNDATION	P	10,066,005	ACTUAL PER GL
(5) AKRON CHILDREN'S HOSPITAL FOUNDATION	C	5,695,927	ACTUAL PER GL
(6) AKRON CHILDREN'S HOSPITAL FOUNDATION	C	355,144	ACTUAL PER GL
(7) AKRON CHILDREN'S HOSPITAL FOUNDATION	O	3,838,212	ACTUAL PER GL
(8) AKRON CHILDREN'S HOSPITAL FOUNDATION	B	681,260	ACTUAL PER GL

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O, ATTACHMENT 1
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	33
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	22
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	5,046
6	Total number of volunteers (estimate if necessary) .............	6	1,360
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	575,673
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-25,919

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	10,220,171	10,773,862
9	Program service revenue (Part VIII, line 2g) .........	553,627,294	594,700,801
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	8,513,950	9,825,023
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	5,102,036	4,932,711
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	577,463,451	620,232,397
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,054,261	1,393,760
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	345,699,871	371,542,167
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	196,448,680	205,118,776
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	545,202,812	578,054,703
19	Revenue less expenses. Subtract line 18 from line 12.......	32,260,639	42,177,694
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	790,401,684	991,299,797
21	Total liabilities (Part X, line 26).............	395,714,258	448,720,836
22	Net assets or fund balances. Subtract line 21 from line 20.....	394,687,426	542,578,961

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 155,682,129 including grants of $ ) (Revenue $ 114,073,646 )
	Program Achievement #1 - Subspecialty Physicians In keeping with Chmca'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, CHMCA offers unique services in a broad range of pediatric subspecialties as described herein. Some of CHMCA's Subspecialty areas include: Ambulatory services, Heart Center, Neurosurgery, Sedation Service, ENT, Maternal Fetal Medicine, Care Center, Gastroenterology, Urology, Sports Medicine, Neurology, Nephrology, Endocrinology, Adolescent Medicine, Infectious Diseases, Hematology Services, Pulmonary Medicine, Palliative Care Program, Oak Adoptive Health Center, Locust Pediatrics, Rheumatology, Clinical Pharmacology and Toxicology, Psychiatric Services, Genetics, Orthopedics and Skeletal Dysplasis. CHMCA has earned Best Children's Hospital rankings by US News & World Report in 7 of the 10 specialties. These include cancer, diabetes and endocrinology, neonatology, neurology and neurosurgery, orthopedics, pulmonary and urology. The Showers Family Center for Childhood Cancer and Blood Disorders provides comprehensive care to children, teens and young adults with all types of childhood cancer, sickle cell disease, hemogloginopathies and bleeding/clotting disorders, as well as those who require stem cell/bone marrow transplants. The team includes board-certified pediatric hematologists-oncologists, advance practice nurses, physician assistants, certified pediatric oncology nurses, pharmacists, social workers, clinical research associates, child life specialists, counselors and educators. As a major teaching institution, CHMCA offers fellowship training in pediatric hematology-oncology and is a major pediatric teaching hospital affiliated with Northeast Ohio Medical University. The division of hematology-oncology also actively participates in national clinical trials for childhood cancer and blood disorders, and continues to explore the causes and treatments of these diseases through our basic science research program. As a member of the Children's Oncology Group (COG), we participate in the development of National Cancer Institute-approved treatment protocols and offer the most up-to-date cancer therapies. Our cancer program in one of only 12 Pediatric Cancer Programs in the country as verified by the American College of Surgeons Commission on Cancer. CHMCA's Center for Diabetes and Endocrinology consists of a team of board-certified pediatric endocrinologists, certified nurse practitioners and pediatric nurses who diagnose and treat infants, children and teens. Recognized by the American Diabetes Association for Quality Self-Management Education, our center is backed by a full-service lab, registered dietitians, social worker, child psychologist and others. The most common endocrine disorders we treat are diabetes, short stature, thyroid disease, metabolism disorders and pubertal disorders. In addition, we offer specialized care in bone health, endocrine disorders in cancer survivors and cystic fibrosis patients. CHMCA's Neonatology department offers intensive care to sick and premature newborns. On any given day, there are 45 to 50 babies receiving care in the 59-bed neonatal intensive care unit (NICU). CHCMA's NICU team is committed to providing the most effective and efficient care for our tiny patients, as well as providing parents with the emotional and practical support they need. CHMCA is part of the Vermont Oxford Network, a data-sharing collaboration of health professionals from 850 NICU's around the world who focus on research, education and projects that improve the quality and safety of medical care for newborns and their families. CHMCA's neonatal expertise expands beyond the Level III NICU at our Akron Campus. We also own and operate newborn special care nurseries at Akron General Medical Center and Summa's Akron City Hospital in Akron; Akron Children's Beeghly Campus in Boardman; and St. Elizabeth Boardman Health Center. A specially equipped ambulance and pediatric transport team handles the transfer of the newborns requiring Level III neonatal intensive care provided at CHMCA's in downtown Akron. Research, education and quality improvement projects are integral to the department of Neonatology. CHMCA's NeuroDevelopmental Science Center (NDC) brings together 5 pediatric specialties - developmental-behavioral pediatrics, neurology, neurosurgery, physiatry, and behavioral neuropsychology, under one roof to deliver the best outcomes and quality of life for patients. CHMCA's NDC is dedicated to easing the circumstances each step of the way, from referral to diagnosis to treatment. Our goal is provide care that enriches the quality of life for children and families affected by neurological and developmental disorders. CHCMA's Division of Orthopedics specializes in the diagnosis and surgical and/or non-surgical treatment of all types of bone, joint, muscle and spine disorders and injuries in children, teens and young adults. Our experienced pediatric orthopedic surgeons offer complete care for conditions affecting the musculskeletal system, with the support of pediatric nurse practitioners, nurses and orthopedic technicians. This includes: pediatric spine trauma and deformity, sports injury reconstruction, musculoskeletal neurology, congenital hand and musculoskeletal deformity, hip reconstruction, chest reconstruction, fragile bone evaluation and treatment, skeletal dysplasia, and brachial plexus treatment. CHCMA's Robert T. Stone Respiratory Center provides services for patients with all types of respiratory illnesses, including allergies, cystic fibrosis, bronchopulmonary dysplasia, and chronic respiratory failure. The Center has a team of doctors, nurse practitioners, nurse clinicians, pulmonary function technicians, dieticians, physical therapists and a social worker. We provide direct and consultative diagnosis and treatment, education, case management, and research. Our Center includes: cystic fibrosis center, which treats patients from birth through adulthood, asthma education program, pulmonary medicine, pulmonary function testing lab, sleep center, and cardiopulmonary exercise testing. CHMCA's Pediatric Urology department diagnoses and treats children and teens with problems related to the genito-urinary systems. Services include laser, laparoscopy, lithotripsy and other minimally invasive techniques to treat diseases. Our staff also uses urodynamic tests to show how well the bladder and sphincter muscles work and to help explain various urinary diseases.

4b	(Code: ) (Expenses $ 97,954,730 including grants of $ ) (Revenue $ 156,107,090 )
	Program Achievement #2 - Inpatient Services 2013 2012 Total Inpatient Days 70,418 71,099 CHMCA's philosophy of care is centered around the families we serve. This means we respect each child and family's individual needs and strive to make the hospital experience as pleasant as possible. The routine care units, which consist of private rooms and 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 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, and Trauma Services. A 59-bed Regional Neonatal Intensive Care Unit (NICU) was opened in 1993. The NICU is designated as a Level III tertiary neonatal unit in Ohio's Perinatal Region VI. 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 babies who have been here for an extended period of time. 2013 2012 Total NICU patient days: Neonatal at Akron 17,904 18,295 Neonatal at AGMC 3,477 3,893 Neonatal at St. E's 6,323 5,440 Neonatal at Beeghly 3,870 3,563 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 1,500 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 pull-out sofas to encourage parents to stay overnight. Total patient days were 20,045 and 19,435 in 2013 and 2012, respectively. Since 1978, the Burn Institute has provided specialized care for burn victims of all ages throughout Northeastern Ohio. CHMCA 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 the Burn Center, which features 12 private patient rooms with bathrooms and 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 burned 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 2,493 and 2,723 for 2013 and 2012, respectively. The Division of Emergency/Trauma Services supplies the emergency care needs of children from birth to twenty-one (21) years of age. As the sole pediatric institution in the area, the Division of Emergency/Trauma Services is the designated treatment center for all emergent pediatric problems. Children from Akron and the surrounding counties in Northeast Ohio accounted for the majority of the 95,676 visits during 2013. 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 400-750 patients per month who need stitches. Rounding out the specialized medical care in the Emergency Department 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. CHMCA 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.

4c	(Code: ) (Expenses $ 66,498,268 including grants of $ ) (Revenue $ 151,855,081 )
	Program Achievement #4 - 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 tests for more than 60 different substances found in blood, urine and cerobrospinal fluid specimens. In addition to routine chemistries, testing is performed for therapeutic and immunosuppresive drug monitoring. Instruments are selected to use the smallest amounts of blood for testing in order to minimize blood loss for our pediatric patients. In addition to the CCL, laboratory services are provided by the Infectious Disease Laboratories (Microbiology, Virology, Immunology, and Molecular Diagnostics). The Radiology Division at CHMCA performs a full spectrum of diagnostic imaging procedures inclusive of Diagnostic/Fluoroscopic xrays, CT, Nuclear Medicine, Ultrasound, and MRI. 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 2008, CHMCA opened our 32-bed acute care Akron Children's Hospital of 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. CHMCA'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, 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 CHMCA 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.

	(Code: ) (Expenses $ 146,206,548 including grants of $ 1,393,760 ) (Revenue $ 158,669,343 )
	Other Net Patient Services

	(Code: ) (Expenses $ including grants of $ ) (Revenue $ 13,995,641 )
	Miscellaneous Department

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 146,206,548 including grants of $ 1,393,760 ) (Revenue $ 172,664,984 )
4e	Total program service expenses466,341,675

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	14,344,921	0	525,678

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		260,277
d	Related organizations...1d		6,051,071
e	Government grants (contributions)1e		3,717,819

f	All other contributions, gifts, grants, and similar amounts not included above1f		744,695

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			10,773,862
			Business Code
2a	SUBSPECIALTY PHYSICIANS		900099	114,073,646	114,073,646
b	INPATIENT SERVICES		900099	156,107,090	156,107,090
c	ANCILLARY		621500	151,855,081	151,855,081
d	OTHER NET PATIENT SERVICES		900099	158,669,343	158,669,343
e	MISCELLANEOUS DEPARTMENT REVENUE		900099	13,995,641	13,995,641
f	All other program service revenue .
g	Total. Add lines 2a–2f........			594,700,801
3	Investment income (including dividends, interest, and other similar amounts).......			3,705,940			3,705,940
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss).......			0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	140,385,927	13,400
b	Less: cost or other basis and sales expenses	134,263,390	16,854
c	Gain or (loss)	6,122,537	-3,454
d	Net gain or (loss)..........			6,119,083			6,119,083
8a	Gross income from fundraising events (not including $ 260,277 of contributions reported on line 1c). See Part IV, line 18 ..
	a		1,345,214
b	Less: direct expenses ...b		1,325,705
c	Net income or (loss) from fundraising events..			19,509			19,509
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	CAFETERIA		722210	3,237,450			3,237,450
b	PARKING DECK		812930	1,100,079			1,100,079
c	PHARMACY		446110	575,673		575,673
d	All other revenue ....
e	Total. Add lines 11a–11d ......			4,913,202
12	Total revenue. See Instructions......			620,232,397	594,700,801	575,673	14,182,061


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			26,980	1	27,930
2	Savings and temporary cash investments .........			25,455,360	2	37,863,073
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			78,064,934	4	79,248,264
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			16,962,056	7	20,164,181
8	Inventories for sale or use ..............			5,588,486	8	6,348,662
9	Prepaid expenses and deferred charges ..........			5,214,851	9	5,335,245
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	663,753,984
b	Less: accumulated depreciation .....	10b	382,384,716	242,015,984	10c	281,369,268
11	Investments—publicly traded securities ..........			303,012,990	11	420,887,003
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 .....			9,093,470	13	9,596,080
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			104,966,573	15	130,460,091
16	Total assets. Add lines 1 through 15 (must equal line 34)......			790,401,684	16	991,299,797
17	Accounts payable and accrued expenses .........			88,390,684	17	92,549,950
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			130,829,069	20	228,251,043
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			176,494,505	25	127,919,843
26	Total liabilities. Add lines 17 through 25.........			395,714,258	26	448,720,836
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			344,595,513	27	476,691,196
28	Temporarily restricted net assets ...........			39,184,648	28	54,150,020
29	Permanently restricted net assets ...........			10,907,265	29	11,737,745
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			394,687,426	33	542,578,961
34	Total liabilities and net assets/fund balances ........			790,401,684	34	991,299,797

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................	Yes	No