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)	(F) Estimated amount of other compensation from the organization and related organizations
(1) ALAN PAPA........................................................................ PRESIDENT, COO, DIRECTOR	7.00 .......................61.00	X	X		0	409,022	129,578
(2) THOMAS STOVER MD........................................................................ DIRECTOR	.40 .......................69.60	X			0	720,420	79,350
(3) ROBERT KAMIENSKI MD........................................................................ DIRECTOR	.20 .......................40.00	X			0	401,301	50,026
(4) TODD BREAUX MD........................................................................ DIRECTOR	1.50 .......................	X			0	0	0
(5) WILLIAM FRANTZ........................................................................ DIRECTOR	.20 ........................20	X			0	0	0
(6) MARY BETH C CARROLL........................................................................ DIRECTOR	1.10 .......................	X			0	0	0
(7) SONIA ALEMAGNO........................................................................ DIRECTOR	1.10 .......................	X			0	0	0
(8) THERESA CARTER........................................................................ DIRECTOR	.20 .......................	X			0	0	0
(9) BRET TREIER........................................................................ DIRECTOR	.20 ........................20	X			0	0	0
(10) JOHN BAKER........................................................................ DIRECTOR	.20 .......................	X			0	0	0
(11) MARLENE BARKHEIMER........................................................................ DIRECTOR	.20 .......................	X			0	0	0
(12) JAMES RICE........................................................................ DIRECTOR	.20 .......................	X			0	0	0
(13) HAROLD YOUNG........................................................................ DIRECTOR	.80 .......................	X			0	0	0
(14) CRAIG M BABBITT........................................................................ SECRETARY	1.10 .......................68.00		X		0	344,971	109,819
(15) DEBORAH L GORBACH........................................................................ ASST TREASURER	.60 .......................59.40		X		0	197,355	114,975
(16) SUE MCCARTHY........................................................................ TREASURER	1.10 .......................56.20		X		0	422,670	20,101
(17) BEVERLY A BOKOVITZ........................................................................ SR VP NURSING OFFICER	40.00 ........................20			X	322,900	0	31,605

(A) Name and business address	(B) Description of services	(C) Compensation
KRUMROY-COZAD CONSTRUCTION CO376 W EXCHANGE STREETAKRONOH44307	CONSTRUCTION	5,020,167
SODEXHO MARRIOTT SERVICES INCP O BOX 70060CHICAGOIL60073	SERVICE MANAGMENT	4,528,427
ANESTHESIOLOGY ASSOCIATES OF AKRON224 WEST EXCHANGE STREETAKRONOH44307	ANESTHESIOLOGISTS	3,617,121
CNS CENTER FOR NEURO & SPINE762 CLEVELAND-MASSILLON RDFAIRLAWNOH44333	CONTRACT SERVICES & TRAUMA CALL COVERAGE	3,298,482
GENERAL EMERGENCY MEDICAL SPECIALISTS1 AKRON GENERAL AVENUEAKRONOH44307	EMERGENCY DEPT SERVICES	2,972,046
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 60

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	143,701	143,701
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	1,079,138	1,079,138
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	193,179,425	166,162,521	27,016,904
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	8,410,827	7,240,311	1,170,516
9	Other employee benefits .......	25,237,987	21,708,043	3,529,944
10	Payroll taxes ...........	12,815,954	11,032,386	1,783,568
11	Fees for services (non-employees):
a	Management ......	3,274,833		3,274,833
b	Legal .........	137,795		137,795
c	Accounting ...........	342,960		342,960
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	149,295		149,295
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	47,646,042	37,125,120	10,520,922
12	Advertising and promotion ....	671,661	578,187	93,474
13	Office expenses .......	6,999,089	3,102,055	3,897,034
14	Information technology ......	4,040,029	3,803,551	236,478
15	Royalties ..
16	Occupancy ...........	28,311,750	24,581,403	3,730,347
17	Travel ............	839,834	713,278	126,556
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....
20	Interest ...........	4,353,399	3,986,562	366,837
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	27,099,509	23,328,130	3,771,379
23	Insurance ..............	3,628,027	3,123,123	504,904
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 SUPPLIES	77,651,902	77,651,902
b	BAD DEBT	33,847,581	33,847,581
c	OHIO FRANCHISE FEE	6,885,087	6,885,087
d	INTEREST RATE SWAP LOSS	-3,823,217		-3,823,217
e	All other expenses	2,139,003	399,298	1,739,705
25	Total functional expenses. Add lines 1 through 24e	485,061,611	426,491,377	58,570,234	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 .............	3,089,704	1	6,246,097
2	Savings and temporary cash investments .........	2,089,508	2	2,508,767
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	59,664,377	4	45,407,971
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
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
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	6,947,198	8	7,238,514
9	Prepaid expenses and deferred charges ..........	7,281,798	9	7,378,624
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	572,820,553
b	Less: accumulated depreciation .....	10b	373,039,100	190,834,822	10c	199,781,453
11	Investments—publicly traded securities ..........	126,047,113	11	107,701,194
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....	2,148,158	13	763,723
14	Intangible assets ...............	33,502,881	14	33,199,612
15	Other assets. See Part IV, line 11 ...........	10,835,018	15	20,017,275
16	Total assets. Add lines 1 through 15 (must equal line 34)......	442,440,577	16	430,243,230
	17	Accounts payable and accrued expenses .........	82,228,759	17	41,677,360
18	Grants payable .................		18
19	Deferred revenue ................		19	36,879
20	Tax-exempt bond liabilities .............	167,343,031	20	162,290,560
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
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..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....	30,066,558	24	35,566,030
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....................	85,437,873	25	80,035,363
26	Total liabilities. Add lines 17 through 25.........	365,076,221	26	319,606,192
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	64,263,947	27	98,120,927
28	Temporarily restricted net assets ...........	10,094,066	28	9,435,292
29	Permanently restricted net assets ...........	3,006,343	29	3,080,819
	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 ...........	77,364,356	33	110,637,038
34	Total liabilities and net assets/fund balances ........	442,440,577	34	430,243,230

- 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

AKRON GENERAL MEDICAL CENTER

Employer identification number

34-0714478

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

AKRON GENERAL MEDICAL CENTER

Employer identification number

34-0714478

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 AKRON GENERAL MEDICAL CENTER

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 AKRON GENERAL MEDICAL CENTER

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
AKRON GENERAL MEDICAL CENTER

Employer identification number

34-0714478

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 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

AKRON GENERAL MEDICAL CENTER

Employer identification number

34-0714478

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 ....	13,100,409	11,392,945	11,769,950	11,485,709	11,805,808
b	Contributions ........	1,196,447	1,779,423	1,249,605	1,734,542	1,772,146
c	Net investment earnings, gains, and losses	1,214,715	995,951	-174,947	1,115,316	1,536,563
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	2,995,460	1,067,910	1,451,663	2,565,617	3,628,808
f	Administrative expenses ....
g	End of year balance ......	12,516,111	13,100,409	11,392,945	11,769,950	11,485,709

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

24.610 %

Temporarily restricted endowment SchDMd Bullet

75.390 %

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 .................	10,812,305		10,812,305
b	Buildings ................	319,293,699	196,650,910	122,642,789
c	Leasehold improvements ............	2,031,499	705,280	1,326,219
d	Equipment ................	236,370,524	175,682,910	60,687,614
e	Other .................	4,312,526		4,312,526
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				199,781,453

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









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

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
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS		3,653,677
POST RETIREMENT HEALTH LIABILITY		5,116,893
ASSET RETIREMENT OBLIGATION		3,443,551
ACCRUED PENSION LIABILITY		36,275,889
LONG TERM HEDGE		4,743,805
OTHER		34,436
AP TO AFFILIATES		26,767,112


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		80,035,363
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	488,787,013
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	6,999,271
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	50,939
e	Add lines 2a through 2d .....................			2e	7,050,210
3	Subtract line 2e from line 1.....................			3	481,736,803
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	25,607,395
c	Add lines 4a and 4b.......................			4c	25,607,395
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	507,344,198

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	461,180,786
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	2,082
e	Add lines 2a through 2d......................			2e	2,082
3	Subtract line 2e from line 1.....................			3	461,178,704
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	23,882,907
c	Add lines 4a and 4b.......................			4c	23,882,907
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	485,061,611

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:	AKRON GENERAL MEDICAL CENTER'S ENDOWMENT FUND IS AKRON GENERAL MEDICAL CENTER'S INTEREST IN THE AKRON GENERAL FOUNDATION. THE AKRON GENERAL FOUNDATION PROVIDES FUNDING FOR CLINICAL AND OTHER PROGRAMS, FACILITY IMPROVEMENT AND RESEARCH.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENT INCLUDED IN EXPENSES -60,636. WOMEN'S BOARD & SERVICE LEAGUE EXPENSES 62,718. TRANSFER FROM AFFILIATE 48,857.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	PROFESSIONAL LIABILITY INSURANCE -1,056,796. EXPENSES RECORDED IN REVENUE -4,220,918. RENTAL EXPENSE RECLASS -2,838,432. RENTAL INCOME RECLASS -124,040. BAD DEBT 33,847,581.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENT INCLUDED IN EXPENSES -60,636. WOMEN'S BOARD & SERVICE LEAGUE EXPENSES 62,718.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	SELF INSURANCE CLAIMS -2,781,285. EXPENSES RECORDED IN REVENUE -4,220,918. RENTAL EXPENSE RECLASS -2,838,432. BAD DEBT 33,847,582. RENTAL INCOME RECLASS -124,040.

Schedule D (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
AKRON GENERAL MEDICAL CENTER

Employer identification number

34-0714478

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 GALA (event type)	(b) Event #2 JEWELRY SALE (event type)	(c) Other events 5 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	156,929	7,268	32,504	196,701
2	Less: Contributions . .	120,554			120,554
3	Gross income (line 1 minus line 2) . . .	36,375	7,268	32,504	76,147
4	Cash prizes . . .
5	Noncash prizes . .
6	Rent/facility costs . .
7	Food and beverages .	22,904			22,904
8	Entertainment . . .	500			500
9	Other direct expenses .	17,838		18,700	36,538
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				59,942
11	Net income summary. Subtract line 10 from line 3, column (d)...........				16,205

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

AKRON GENERAL MEDICAL CENTER

Employer identification number

34-0714478

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? ......

Yes

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? ..........

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

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) ..	11,047,180		11,047,180	2.450 %
b	Medicaid (from Worksheet 3, column a) ....	64,683,832	59,687,954	4,995,878	1.110 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	75,731,012	59,687,954	16,043,058	3.560 %
Other Benefits		4,091,098		4,091,098	0.910 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	4,091,098		4,091,098	0.910 %
f	Health professions education (from Worksheet 5) ..	22,521,891	3,475,156	19,046,735	4.220 %
g	Subsidized health services (from Worksheet 6) ..	9,602,639	3,641,413	5,961,226	1.320 %
h	Research (from Worksheet 7)	1,808,344	215,215	1,593,129	0.350 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	445,634		445,634	0.100 %
j	Total. Other Benefits ..	38,469,606	7,331,784	31,137,822	6.900 %
k	Total. Add lines 7d and 7j .	114,200,618	67,019,738	47,180,880	10.460 %

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
3	Community support	95,641	68,277	27,364	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other	15,743	11,338	4,405	0 %
10	Total	111,384	79,615	31,769	0.010 %

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? ..........................

Yes

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

8,725,348

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).....

92,714,557

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

95,914,275

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

-3,199,718

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?2 Name, address, primary website address, and state license number							Other (Describe)
1	AKRON GENERAL MEDICAL CENTER 1 AKRON GENERAL AVENUE AKRON,OH44307	X	X	X	X	X
2	EDWIN SHAW REHAB LLC 33O BROADWAY STREET EAST CUYAHOGA FALLS,OH44221	X					INPATIENT REHABILITATION

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)

	AKRON GENERAL MEDICAL CENTER
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): WWW.AKRONGENERAL.ORG

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

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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: 200.000000000000% 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: 400.000000000000% 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)

	EDWIN SHAW REHAB LLC
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................................

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): WWW.AKRONGENERAL.ORG

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)

Yes

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: 200.000000000000% 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: 400.000000000000% 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
EDWIN SHAW REHAB, LLC	PART V, SECTION B, LINE 1J: IN ADDITION TO THE ITEMS INDICATED FOR LINE 6, THE EDWIN SHAW REHABILITATION INSTITUTE ALSO PREPARED AN IMPLEMENTATION STRATEGY WHICH OUTLINES FURTHER STEPS IT IS TAKING TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IT SERVES. THAT DOCUMENT MAY BE FOUND AT WWW.AKRONGENERAL.ORG
AKRON GENERAL MEDICAL CENTER	PART V, SECTION B, LINE 3: IN CONDUCTING ITS 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY INTERVIEWING COMMUNITY LEADERS, INCLUDING THOSE WITH SPECIALIZED KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, AND BY CONDUCTING FOCUS GROUPS WITH RESIDENTS IN THE COMMUNITY TO SOLICIT THEIR VIEWS OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. A LIST OF THE COMMUNITY LEADERS INTERVIEWED - IDENTIFIED BY ORGANIZATION AND TITLE - CAN BE FOUND ON PAGE 12 OF THE CHNA REPORT, AVAILABLE ON OUR WEBSITE, WWW.AKRONGENERAL.ORG. (FULL URL - HTTP://WWW.AKRONGENERAL.ORG/PORTAL/PAGE/PORTAL/AGMC_PAGEGROUP/OUR_HEALTH_SYSTEM/COMMUNITY_HEALTH_NEEDS_ASSESSMENTS)
AKRON GENERAL MEDICAL CENTER	PART V, SECTION B, LINE 4: AKRON GENERAL MEDICAL CENTER'S CHNA WAS CONDUCTED WITH THE FOLLOWING RELATED HOSPITAL FACILITIES:EDWIN SHAW REHAB, LLC LODI COMMUNITY HOSPITAL AKRON GENERAL MEDICAL CENTER'S CHNA WAS CONDUCTED WITH THE FOLLOWING UNRELATED HOSPITAL FACILITIES:AKRON CHILDREN'S HOSPITALSUMMA HEALTH SYSTEM
EDWIN SHAW REHAB, LLC	PART V, SECTION B, LINE 4: EDWIN SHAW REHAB'S CHNA WAS CONDUCTED WITH THE FOLLOWING RELATED HOSPITAL FACILITIES:AKRON GENERAL MEDICAL CENTER LODI COMMUNITY HOSPITAL EDWIN SHAW REHAB'S CHNA WAS CONDUCTED WITH THE FOLLOWING UNRELATED HOSPITAL FACILITIES:AKRON CHILDREN'S HOSPITALSUMMA HEALTH SYSTEM
AKRON GENERAL MEDICAL CENTER	PART V, SECTION B, LINE 6I: IN ADDITION TO THE ITEMS INDICATED FOR LINE 6, AKRON GENERAL MEDICAL CENTER ALSO PREPARED AN IMPLEMENTATION STRATEGY WHICH OUTLINES FURTHER STEPS IT IS TAKING TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IT SERVES. THAT DOCUMENT MAY BE FOUND AT WWW.AKRONGENERAL.ORG
AKRON GENERAL MEDICAL CENTER	PART V, SECTION B, LINE 7: MOST OF THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ARE ADDRESSED IN THE IMPLEMENTATION STRATEGY. NEEDS IDENTIFIED IN THE CHNA BUT NOT ADDRESSED BY THE FACILITY INCLUDE:DENTAL CARE - A NEED THAT THE FACILITY IS NOT PREPARED TO ADDRESS DIRECTLY AT THIS TIME. THERE ARE A NUMBER OF UNRELATED DENTAL CLINICS IN THE COMMMNITY WHICH PROVIDE FREE AND REDUCED COST DENTAL SERVICES. THESE INCLUDE ACCESSPOINTE, THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER, DENTAL OPTIONS AND SUMMA'S CENTER FOR DENTAL HEALTH.OBTAINING HEALTHY FOOD - NOT ADDRESSED BY HOSPITAL FACILITY AS THERE ARE OTHER COMMUNITY RESOURCES INCLUDING THE AKRON CANTON REGIONAL FOOD BANK BETTER SUITED TO THE PURPOSE.CHILDHOOD CHRONIC DISEASE, CHILD DEVELOPMENT, CHILD LIFESTYLE RISK FACTORS, AND CHILD ENVIRONMENTAL RISK FACTORS - NOT ADDRESSED BY THE FACILITY AS THERE ARE OTHER RESOURCES IN THE COMMUNITY OFFERING SERVICES DESIGNED SPECIFICALLY FOR CHILDREN INCLUDING AKRON CHILDREN'S HOSPITAL WHICH OFFERS HIGHLY SPECIALIZED SERVICES FOR CHILDREN.
EDWIN SHAW REHAB, LLC	PART V, SECTION B, LINE 7: THE EDWIN SHAW REHABILITATION INSTITUTE IS A REHABILITATION HOSPITAL FACILITY THAT ALSO SPECIALIZES IN SUBSTANCE ABUSE. REHABILITATION IS A CRITICAL PART OF THE RECOVERY FROM, OR THE ADJUSTMENT TO, MANY OF THE HEALTH NEEDS IDENTIFIED IN THIS CHNA AND THE EDWIN SHAW REHABILITATION INSTITUTE ADDRESSES THE REHABILITATIVE ASPECT OF EACH. HOWEVER, THE EDWIN SHAW REHABILITATION INSTITUTE DOES NOT ADDRESS EVERY NEED IDENTIFIED IN ITS CHNA. NEEDS IDENTIFIED IN THE CHNA BUT NOT ADDRESSED BY THE FACILITY INCLUDE:OBTAINING HEALTHY FOOD - NOT ADDRESSED BY THE HOSPITAL FACILITY AS THERE ARE OTHER COMMUNITY RESOURCES INCLUDING THE AKRON CANTON REGIONAL FOOD BANK BETTER SUITED TO THE PURPOSE.DENTAL CARE - A NEED THAT THE FACILITY IS NOT PREPARED TO ADDRESS DIRECTLY AT THIS TIME. THERE ARE A NUMBER OF UNRELATED DENTAL CLINICS IN THE COMMMNITY WHICH PROVIDE FREE AND REDUCED COST DENTAL SERVICES. THESE INCLUDE ACCESSPOINTE, THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER, DENTAL OPTIONS AND SUMMA'S CENTER FOR DENTAL HEALTH. WHILE IT RECOGNIZES CHILDREN AS PART OF THE COMMUNITY IT SERVES, DUE TO THE FOCUSED NATURE OF ITS SERVICES AND THE SPECIAL NEEDS OF THE CHILD PATIENT, THE EDWIN SHAW REHABILITATION INSTITUTE DOES NOT DIRECTLY ADDRESS THE CHRONIC DISEASES, MENTAL HEALTH, SUBSTANCE ABUSE AND ENVIRONMENTAL FACTORS CATEGORIES FOR CHILDREN IDENTIFIED IN THE CHNA. THE COMMUNITY SERVED BY THE EDWIN SHAW REHABILITATION INSTITUTE IS ALSO THE COMMUNITY SERVED BY AKRON CHILDREN'S HOSPITAL WHOSE RESOURCES ARE FOCUSED ON THE CHILD PATIENT.`
AKRON GENERAL MEDICAL CENTER	PART V, SECTION B, LINE 12I: FEES FOR PATIENTS ELIGIBLE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY (FAP) BEGIN WITH THE AMOUNT GENERALLY BILLED (AGB) WHICH IS DETERMINED USING THE MEDICARE LOOK BACK METHOD DESCRIBED IN THE PROPOSED TREASURY REGULATIONS UNDER SECTION 1.501(R)-5(B)(1). FEES FOR FAP INDIVIDUALS ARE DETERMINED USING A SLIDING SCALE DISCOUNT BASED ON THE FPG AND APPLIED TO THE AGB.
EDWIN SHAW REHAB, LLC	PART V, SECTION B, LINE 12I: FEES FOR PATIENTS ELIGIBLE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY (FAP) BEGIN WITH THE AMOUNT GENERALLY BILLED (AGB) WHICH IS DETERMINED USING THE MEDICARE LOOK BACK METHOD DESCRIBED IN THE PROPOSED TREASURY REGULATIONS UNDER SECTION 1.501(R)-5(B)(1). FEES FOR FAP INDIVIDUALS ARE DETERMINED USING A SLIDING SCALE DISCOUNT BASED ON THE FPG AND APPLIED TO THE AGB.
AKRON GENERAL MEDICAL CENTER	PART V, SECTION B, LINE 14G: FOR UNINSURED AND UNDERINSURED PATIENTS, OUR FINANCIAL COUNSELORS OR ON-SITE ELIGIBILITY VENDOR STAFF REACH OUT UPON ADMISSION OR PRIOR TO DISCHARGE TO EXPLAIN THE PROGRAMS FOR FREE OR DISCOUNTED CARE AND TO ASSESS ELIGIBILITY FOR MEDICAID AND OTHER VARIOUS PROGRAMS (VETERAN'S ADMINISTRATION, COBRA, OTHER LOCAL PROGRAMS, ETC.).FOR SCHEDULED OUTPATIENT SERVICES, FINANCIAL COUNSELORS ATTEMPT TO CONTACT THE PATIENT PRIOR TO SERVICE TO SCREEN UNINSURED PATIENTS FOR POSSIBLE ASSISTANCE/PAYMENT SOLUTIONS. IF UNABLE TO CONTACT PATIENT PRIOR TO THE SERVICE, WE ATTEMPT TO SCREEN ON THE DAY OF SERVICE OR AS SOON THEREAFTER AS POSSIBLE.FOR UNSCHEDULED EMERGENCY SERVICES, SCREENING MAY BE COMPLETED DURING THE VISIT WHEN PATIENT IS ABLE. OTHERWISE, ATTEMPTS TO CONTACT THE PATIENT ARE MADE BY THE FINANCIAL COUNSELING STAFF.IN EITHER CASE, IF WE ARE UNABLE TO CONTACT THE PATIENT, THE FINANCIAL ASSISTANCE INFORMATION IS ON EACH BILLING STATEMENT SENT TO THE PATIENT.IF THE PATIENT IS DETERMINED TO BE LIKELY ELIGIBLE FOR MEDICAID, THE ELIGIBILITY VENDOR STAFF ASSIST AND REPRESENT THE PATIENT THROUGHOUT THE APPLICATION PROCESS (UPON APPROVAL FROM THE PATIENT). IN ADDITION TO SIGNAGE, BROCHURES EXPLAINING OUR PROGRAMS ARE IN ALL OF OUR REGISTRATION AREAS. OUR WELCOME PACKETS ALSO INCLUDE INFORMATION AS DOES OUR WEBSITE. ALL STATEMENTS MAILED TO PATIENTS INCLUDE A NOTICE THAT OUR FINANCIAL ASSISTANCE APPLICATIONS ARE ON THE BACK OF THE STATEMENT. PHONE NUMBERS ARE PROVIDED FOR ASSISTANCE.
EDWIN SHAW REHAB, LLC	PART V, SECTION B, LINE 14G: FOR UNINSURED AND UNDERINSURED PATIENTS, OUR FINANCIAL COUNSELORS OR ELIGIBILITY VENDOR STAFF REACH OUT UPON ADMISSION OR PRIOR TO DISCHARGE TO EXPLAIN THE PROGRAMS FOR FREE OR DISCOUNTED CARE AND TO ASSESS ELIGIBILITY FOR MEDICAID AND OTHER VARIOUS PROGRAMS (VETERAN'S ADMINISTRATION, COBRA, OTHER LOCAL PROGRAMS, ETC.). THIS IS DONE BY PHONE AND MAY BE POST DISCHARGE.UNINSURED PATIENTS ARE SCREENED FOR FINANCIAL ASSISTANCE PROGRAMS AT THE TIME OF SERVICE AND ARE REFERRED TO FINANCIAL COUNSELORS OR THE MEDICAID ELIGIBILITY VENDORS FOR FURTHER ASSISTANCE. THE FINANCIAL ASSISTANCE INFORMATION IS ALSO ON EACH BILLING STATEMENT SENT TO THE PATIENT.IF THE PATIENT IS DETERMINED TO BE LIKELY ELIGIBLE FOR MEDICAID, THE ELIGIBILITY VENDOR STAFF ASSIST AND REPRESENT THE PATIENT THROUGHOUT THE APPLICATION PROCESS (UPON APPROVAL FROM THE PATIENT). IN ADDITION TO SIGNAGE, BROCHURES EXPLAINING OUR PROGRAMS ARE IN ALL OF OUR REGISTRATION AREAS. OUR WELCOME PACKETS ALSO INCLUDE INFORMATION AS DOES OUR WEBSITE. ALL STATEMENTS MAILED TO PATIENTS INCLUDE A NOTICE THAT OUR FINANCIAL ASSISTANCE APPLICATIONS ARE ON THE BACK OF THE STATEMENT. PHONE NUMBERS ARE PROVIDED FOR ASSISTANCE.

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?22
Name and address		Type of Facility (describe)
1	AKRON GENERAL HEALTH & WELLNESS-WEST 4125 MEDINA ROAD AKRON,OH44333	ER, DIAGNOSITCS, LAB, CARDIO PULMONARY, PT
2	AKRON GENERAL HEALTH & WELLNESS-NORTH 4300 ALLEN ROAD STOW,OH44224	ER, DIAGNOSITCS, LAB, CARDIO PULMONARY, PT
3	AKRON GENERAL HEALTH & WELLNESS-GREEN 1940 TOWN PARK BLVD UNIONTOWN,OH44685	ER, DIAGNOSITCS, LAB, CARDIO PULMONARY, PT
4	AKRON GENERAL GREEN HEALTH CENTER 1587 BOETTLER RD UNIONTOWN,OH44311	DIAGNOSTIC SERVICES, LAB, PT
5	AKRON GENERAL TALLMADGE HEALTH CENTER 33 NORTH AVENUE TALLMADGE,OH44278	DIAGNOSTIC SERVICES, PT
6	FAIRLAWN REFLECTIONS 2603 WEST MARKET ST AKRON,OH44312	DIAGNOSTIC SERVICES
7	AKRON GENERAL HEALTH CENTER 676 S BROADWAY ST AKRON,OH44311	NUTRITION, WOMEN'S HEALTH CLINIC, LAB SERVICES
8	EDWIN SHAW REHAB 405 TALLMADGE RD CUYAHOGA FALLS,OH44221	OUTPATIENT REHABILITATION
9	CENTER FOR UROLOGIC HEALTH 95 ARCH STREET AKRON,OH44304	UROLOGICAL SERVICES
10	AKRON GENERAL MOGADORE HEALTH CENTER 754 S CLEVELAND AVE MOGADORE,OH44260	DIANGOSTIC SERVICES, LAB, PT
11	CENTER FOR UROLOGIC HEALTH 3961 LOOMIS PARKWAY RAVENNA,OH44266	UROLOGICAL SERVICES
12	CENTER FOR UROLOGIC HEALTH 2651 W MARKET STREET FAIRLAWN,OH44333	UROLOGICAL SERVICES
13	CENTER FOR UROLOGIC HEALTH 120 W EXCHANGE STREET AKRON,OH44302	UROLOGICAL SERVICES
14	EDWIN SHAW REHAB 585 WHITE POND DRIVE AKRON,OH44320	OUTPATIENT REHABILITATION
15	EDWIN SHAW REHAB 1500 CANTON RD AKRON,OH44312	OUTPATIENT REHABILITATION
16	EDWIN SHAW REHAB 577 GRANT ST AKRON,OH44311	OUTPATIENT REHABILITATION
17	EDWIN SHAW REHAB 1345 CORPORATE DR HUDSON,OH44236	OUTPATIENT REHABILITATION
18	CENTER FOR UROLOGIC HEALTH 3569 DARROW ROAD STOW,OH44224	UROLOGICAL SERVICES
19	CENTER FOR UROLOGIC HEALTH 550 E ROBINSON AVENUE BARBERTON,OH44203	UROLOGICAL SERVICES
20	SELECT SPECIALTY HOSPITAL 525 EAST MARKET ST AKRON,OH44304	LONG TERM ACUTE CARE
21	CENTER FOR NEURO & SPINE 762 S CLEVELAND-MASSILLON RD AKRON,OH44333	NEURO & SPINE SERVICES
22	CENTER FOR NEURO & SPINE 3562 RIDGE PARK DR FAIRLAWN,OH44333	NEORO & SPINE 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
EDWIN SHAW REHAB, LLC	PART V, SECTION B, LINE 1J: IN ADDITION TO THE ITEMS INDICATED FOR LINE 6, THE EDWIN SHAW REHABILITATION INSTITUTE ALSO PREPARED AN IMPLEMENTATION STRATEGY WHICH OUTLINES FURTHER STEPS IT IS TAKING TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IT SERVES. THAT DOCUMENT MAY BE FOUND AT WWW.AKRONGENERAL.ORG
AKRON GENERAL MEDICAL CENTER	PART V, SECTION B, LINE 3: IN CONDUCTING ITS 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY INTERVIEWING COMMUNITY LEADERS, INCLUDING THOSE WITH SPECIALIZED KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, AND BY CONDUCTING FOCUS GROUPS WITH RESIDENTS IN THE COMMUNITY TO SOLICIT THEIR VIEWS OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. A LIST OF THE COMMUNITY LEADERS INTERVIEWED - IDENTIFIED BY ORGANIZATION AND TITLE - CAN BE FOUND ON PAGE 12 OF THE CHNA REPORT, AVAILABLE ON OUR WEBSITE, WWW.AKRONGENERAL.ORG. (FULL URL - HTTP://WWW.AKRONGENERAL.ORG/PORTAL/PAGE/PORTAL/AGMC_PAGEGROUP/OUR_HEALTH_SYSTEM/COMMUNITY_HEALTH_NEEDS_ASSESSMENTS)
AKRON GENERAL MEDICAL CENTER	PART V, SECTION B, LINE 4: AKRON GENERAL MEDICAL CENTER'S CHNA WAS CONDUCTED WITH THE FOLLOWING RELATED HOSPITAL FACILITIES:EDWIN SHAW REHAB, LLC LODI COMMUNITY HOSPITAL AKRON GENERAL MEDICAL CENTER'S CHNA WAS CONDUCTED WITH THE FOLLOWING UNRELATED HOSPITAL FACILITIES:AKRON CHILDREN'S HOSPITALSUMMA HEALTH SYSTEM
EDWIN SHAW REHAB, LLC	PART V, SECTION B, LINE 4: EDWIN SHAW REHAB'S CHNA WAS CONDUCTED WITH THE FOLLOWING RELATED HOSPITAL FACILITIES:AKRON GENERAL MEDICAL CENTER LODI COMMUNITY HOSPITAL EDWIN SHAW REHAB'S CHNA WAS CONDUCTED WITH THE FOLLOWING UNRELATED HOSPITAL FACILITIES:AKRON CHILDREN'S HOSPITALSUMMA HEALTH SYSTEM
AKRON GENERAL MEDICAL CENTER	PART V, SECTION B, LINE 6I: IN ADDITION TO THE ITEMS INDICATED FOR LINE 6, AKRON GENERAL MEDICAL CENTER ALSO PREPARED AN IMPLEMENTATION STRATEGY WHICH OUTLINES FURTHER STEPS IT IS TAKING TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IT SERVES. THAT DOCUMENT MAY BE FOUND AT WWW.AKRONGENERAL.ORG
AKRON GENERAL MEDICAL CENTER	PART V, SECTION B, LINE 7: MOST OF THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ARE ADDRESSED IN THE IMPLEMENTATION STRATEGY. NEEDS IDENTIFIED IN THE CHNA BUT NOT ADDRESSED BY THE FACILITY INCLUDE:DENTAL CARE - A NEED THAT THE FACILITY IS NOT PREPARED TO ADDRESS DIRECTLY AT THIS TIME. THERE ARE A NUMBER OF UNRELATED DENTAL CLINICS IN THE COMMMNITY WHICH PROVIDE FREE AND REDUCED COST DENTAL SERVICES. THESE INCLUDE ACCESSPOINTE, THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER, DENTAL OPTIONS AND SUMMA'S CENTER FOR DENTAL HEALTH.OBTAINING HEALTHY FOOD - NOT ADDRESSED BY HOSPITAL FACILITY AS THERE ARE OTHER COMMUNITY RESOURCES INCLUDING THE AKRON CANTON REGIONAL FOOD BANK BETTER SUITED TO THE PURPOSE.CHILDHOOD CHRONIC DISEASE, CHILD DEVELOPMENT, CHILD LIFESTYLE RISK FACTORS, AND CHILD ENVIRONMENTAL RISK FACTORS - NOT ADDRESSED BY THE FACILITY AS THERE ARE OTHER RESOURCES IN THE COMMUNITY OFFERING SERVICES DESIGNED SPECIFICALLY FOR CHILDREN INCLUDING AKRON CHILDREN'S HOSPITAL WHICH OFFERS HIGHLY SPECIALIZED SERVICES FOR CHILDREN.
EDWIN SHAW REHAB, LLC	PART V, SECTION B, LINE 7: THE EDWIN SHAW REHABILITATION INSTITUTE IS A REHABILITATION HOSPITAL FACILITY THAT ALSO SPECIALIZES IN SUBSTANCE ABUSE. REHABILITATION IS A CRITICAL PART OF THE RECOVERY FROM, OR THE ADJUSTMENT TO, MANY OF THE HEALTH NEEDS IDENTIFIED IN THIS CHNA AND THE EDWIN SHAW REHABILITATION INSTITUTE ADDRESSES THE REHABILITATIVE ASPECT OF EACH. HOWEVER, THE EDWIN SHAW REHABILITATION INSTITUTE DOES NOT ADDRESS EVERY NEED IDENTIFIED IN ITS CHNA. NEEDS IDENTIFIED IN THE CHNA BUT NOT ADDRESSED BY THE FACILITY INCLUDE:OBTAINING HEALTHY FOOD - NOT ADDRESSED BY THE HOSPITAL FACILITY AS THERE ARE OTHER COMMUNITY RESOURCES INCLUDING THE AKRON CANTON REGIONAL FOOD BANK BETTER SUITED TO THE PURPOSE.DENTAL CARE - A NEED THAT THE FACILITY IS NOT PREPARED TO ADDRESS DIRECTLY AT THIS TIME. THERE ARE A NUMBER OF UNRELATED DENTAL CLINICS IN THE COMMMNITY WHICH PROVIDE FREE AND REDUCED COST DENTAL SERVICES. THESE INCLUDE ACCESSPOINTE, THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER, DENTAL OPTIONS AND SUMMA'S CENTER FOR DENTAL HEALTH. WHILE IT RECOGNIZES CHILDREN AS PART OF THE COMMUNITY IT SERVES, DUE TO THE FOCUSED NATURE OF ITS SERVICES AND THE SPECIAL NEEDS OF THE CHILD PATIENT, THE EDWIN SHAW REHABILITATION INSTITUTE DOES NOT DIRECTLY ADDRESS THE CHRONIC DISEASES, MENTAL HEALTH, SUBSTANCE ABUSE AND ENVIRONMENTAL FACTORS CATEGORIES FOR CHILDREN IDENTIFIED IN THE CHNA. THE COMMUNITY SERVED BY THE EDWIN SHAW REHABILITATION INSTITUTE IS ALSO THE COMMUNITY SERVED BY AKRON CHILDREN'S HOSPITAL WHOSE RESOURCES ARE FOCUSED ON THE CHILD PATIENT.`
AKRON GENERAL MEDICAL CENTER	PART V, SECTION B, LINE 12I: FEES FOR PATIENTS ELIGIBLE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY (FAP) BEGIN WITH THE AMOUNT GENERALLY BILLED (AGB) WHICH IS DETERMINED USING THE MEDICARE LOOK BACK METHOD DESCRIBED IN THE PROPOSED TREASURY REGULATIONS UNDER SECTION 1.501(R)-5(B)(1). FEES FOR FAP INDIVIDUALS ARE DETERMINED USING A SLIDING SCALE DISCOUNT BASED ON THE FPG AND APPLIED TO THE AGB.
EDWIN SHAW REHAB, LLC	PART V, SECTION B, LINE 12I: FEES FOR PATIENTS ELIGIBLE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY (FAP) BEGIN WITH THE AMOUNT GENERALLY BILLED (AGB) WHICH IS DETERMINED USING THE MEDICARE LOOK BACK METHOD DESCRIBED IN THE PROPOSED TREASURY REGULATIONS UNDER SECTION 1.501(R)-5(B)(1). FEES FOR FAP INDIVIDUALS ARE DETERMINED USING A SLIDING SCALE DISCOUNT BASED ON THE FPG AND APPLIED TO THE AGB.
AKRON GENERAL MEDICAL CENTER	PART V, SECTION B, LINE 14G: FOR UNINSURED AND UNDERINSURED PATIENTS, OUR FINANCIAL COUNSELORS OR ON-SITE ELIGIBILITY VENDOR STAFF REACH OUT UPON ADMISSION OR PRIOR TO DISCHARGE TO EXPLAIN THE PROGRAMS FOR FREE OR DISCOUNTED CARE AND TO ASSESS ELIGIBILITY FOR MEDICAID AND OTHER VARIOUS PROGRAMS (VETERAN'S ADMINISTRATION, COBRA, OTHER LOCAL PROGRAMS, ETC.).FOR SCHEDULED OUTPATIENT SERVICES, FINANCIAL COUNSELORS ATTEMPT TO CONTACT THE PATIENT PRIOR TO SERVICE TO SCREEN UNINSURED PATIENTS FOR POSSIBLE ASSISTANCE/PAYMENT SOLUTIONS. IF UNABLE TO CONTACT PATIENT PRIOR TO THE SERVICE, WE ATTEMPT TO SCREEN ON THE DAY OF SERVICE OR AS SOON THEREAFTER AS POSSIBLE.FOR UNSCHEDULED EMERGENCY SERVICES, SCREENING MAY BE COMPLETED DURING THE VISIT WHEN PATIENT IS ABLE. OTHERWISE, ATTEMPTS TO CONTACT THE PATIENT ARE MADE BY THE FINANCIAL COUNSELING STAFF.IN EITHER CASE, IF WE ARE UNABLE TO CONTACT THE PATIENT, THE FINANCIAL ASSISTANCE INFORMATION IS ON EACH BILLING STATEMENT SENT TO THE PATIENT.IF THE PATIENT IS DETERMINED TO BE LIKELY ELIGIBLE FOR MEDICAID, THE ELIGIBILITY VENDOR STAFF ASSIST AND REPRESENT THE PATIENT THROUGHOUT THE APPLICATION PROCESS (UPON APPROVAL FROM THE PATIENT). IN ADDITION TO SIGNAGE, BROCHURES EXPLAINING OUR PROGRAMS ARE IN ALL OF OUR REGISTRATION AREAS. OUR WELCOME PACKETS ALSO INCLUDE INFORMATION AS DOES OUR WEBSITE. ALL STATEMENTS MAILED TO PATIENTS INCLUDE A NOTICE THAT OUR FINANCIAL ASSISTANCE APPLICATIONS ARE ON THE BACK OF THE STATEMENT. PHONE NUMBERS ARE PROVIDED FOR ASSISTANCE.
EDWIN SHAW REHAB, LLC	PART V, SECTION B, LINE 14G: FOR UNINSURED AND UNDERINSURED PATIENTS, OUR FINANCIAL COUNSELORS OR ELIGIBILITY VENDOR STAFF REACH OUT UPON ADMISSION OR PRIOR TO DISCHARGE TO EXPLAIN THE PROGRAMS FOR FREE OR DISCOUNTED CARE AND TO ASSESS ELIGIBILITY FOR MEDICAID AND OTHER VARIOUS PROGRAMS (VETERAN'S ADMINISTRATION, COBRA, OTHER LOCAL PROGRAMS, ETC.). THIS IS DONE BY PHONE AND MAY BE POST DISCHARGE.UNINSURED PATIENTS ARE SCREENED FOR FINANCIAL ASSISTANCE PROGRAMS AT THE TIME OF SERVICE AND ARE REFERRED TO FINANCIAL COUNSELORS OR THE MEDICAID ELIGIBILITY VENDORS FOR FURTHER ASSISTANCE. THE FINANCIAL ASSISTANCE INFORMATION IS ALSO ON EACH BILLING STATEMENT SENT TO THE PATIENT.IF THE PATIENT IS DETERMINED TO BE LIKELY ELIGIBLE FOR MEDICAID, THE ELIGIBILITY VENDOR STAFF ASSIST AND REPRESENT THE PATIENT THROUGHOUT THE APPLICATION PROCESS (UPON APPROVAL FROM THE PATIENT). IN ADDITION TO SIGNAGE, BROCHURES EXPLAINING OUR PROGRAMS ARE IN ALL OF OUR REGISTRATION AREAS. OUR WELCOME PACKETS ALSO INCLUDE INFORMATION AS DOES OUR WEBSITE. ALL STATEMENTS MAILED TO PATIENTS INCLUDE A NOTICE THAT OUR FINANCIAL ASSISTANCE APPLICATIONS ARE ON THE BACK OF THE STATEMENT. PHONE NUMBERS ARE PROVIDED FOR ASSISTANCE.

Schedule H (Form 990) 2013

Additional Data

Software ID:
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- 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
AKRON GENERAL MEDICAL CENTER

Employer identification number
34-0714478

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) AMERICAN HEART ASSOCIATION 5455 NORTH HIGH STREET COLUMBUS,OH43214	13-5613797	501 (C) (3)	15,565	SUPPORT HEART DISEASE RESEARCH AND EDUCATION
(2) OHIO & ERIE CANALWAY COALITION 47 W EXCHANGE STREET AKRON,OH44308	34-1636766	501 (C) (3)	5,000	PROMOTE HEALTHIER LIFESTYLES & REGULAR EXERCISE THROUGH IMPROVED SERVICES.
(3) AKRON URBAN LEAGUE 440 VERNON OBOM ST AKRON,OH44307	34-0714520	501 (C) (3)	6,700	AN ORGANIZATION THAT SEEKS TO IMPROVE THE ECONOMIC, CULTURAL, SOCIAL, EDUCATIONAL AND RECREATIONAL CONDITIONS AFFECTING ALL CITIZENS OF SUMMIT COUNTY
(4) ELVES & MORE OF NORTHEAST OHIO P O BOX 95 CUYAHOGA FALLS,OH44222	20-8645169	501 (C) (3)	5,000	PROVIDE GIFTS TO CHILDREN DURING THE HOLIDAY SEASON
(5) ACCESS INC 230 WEST MARKET STREET AKRON,OH44303	34-1395246	501 (C) (3)	5,000	PROVIDE SUPPORT FOR EMERGENCY & TRANSITIONAL SHELTER PROGRAMS FOR HOMELESS WOMEN AND THEIR CHILDREN
(6) AMERICAN RED CROSS 501 W MARKET ST AKRON,OH44303	34-0714526	501 (C) (3)	10,000	PROVIDE SUPPORT FOR NATIONAL DISASTERS AND MILITARY FAMILIES, LARGEST SUPPLIER OF BLOOD IN THE UNITED STATES AND PROVIDES HEALTH & SAFETY COURSES
(7) UNIVERSITY OF AKRON FOUNDATION 209 CARROLL ST AKRON,OH44325	34-6575496	501 (C) (3)	15,000	CAMEO OF CARING AWARD CEREMONY SPONSORSHIP

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
(1) NEEDS BASED FINANCIAL ASSISTANCE FOR BREAST CANCER PATIENTS.	13	4,475

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:

AKRON GENERAL MEDICAL CENTER IS FREQUENTLY ASKED TO CONTRIBUTE TO A VARIETY OF ORGANIZATIONS AND FUND RAISING PROJECTS. IT IS THE INTENT OF AKRON GENERAL MEDICAL CENTER TO BE A SUPPORTIVE CITIZEN AND WHEN PRACTICAL TO MAKE REASONABLE CONTRIBUTIONS TO ORGANIZATIONS AND PROJECTS WHICH ARE BENEFICIAL TO THE COMMUNITY AND PARALLEL TO OUR EXEMPT PURPOSES. IN ORDER THAT THE CONTRIBUTIONS OF AKRON GENERAL MEDICAL CENTER ARE ADMINISTERED ON A REASONABLE, EQUITABLE AND CONSISTENT BASIS, ALL REQUESTS FOR CONTRIBUTIONS ARE SUBMITTED FOR CONSIDERATION TO A CONTRIBUTIONS COMMITTEE. THE GUIDELINES FOCUS MAINLY ON: 1. REQUESTS THAT PROMOTE THE HEALTH AND SAFETY OF OUR COMMUNITY. 2. THOSE THAT PROMOTE ECONOMIC DEVELOPMENT AND QUALITY OF LIFE. AKRON GENERAL MEDICAL CENTER MONITORS CONTRIBUTIONS AND PROSPECTIVE CONTRIBUTIONS THROUGH AGENCY VISITS, ATTENDANCE AT EVENTS AND MONITORING PROJECT PROGRESS AND COMPLETION.

Schedule I (Form 990) 2013

Additional Data

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- 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

AKRON GENERAL MEDICAL CENTER

Employer identification number

34-0714478

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....

Yes

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 ............

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)ALAN PAPAPRESIDENT, COO, DIRECTOR	(i) (ii)	0 369,686	0 0	0 39,336	0 103,343	0 26,235	0 538,600	0 0
(2)THOMAS STOVER MDDIRECTOR	(i) (ii)	0 675,545	0 0	0 44,875	0 58,291	0 21,059	0 799,770	0 0
(3)ROBERT KAMIENSKI MDDIRECTOR	(i) (ii)	0 359,452	0 27,024	0 14,825	0 35,030	0 14,996	0 451,327	0 0
(4)CRAIG M BABBITTSECRETARY	(i) (ii)	0 312,405	0 0	0 32,566	0 86,957	0 22,862	0 454,790	0 0
(5)DEBORAH L GORBACHASST TREASURER	(i) (ii)	0 184,653	0 0	0 12,702	0 99,052	0 15,923	0 312,330	0 0
(6)SUE MCCARTHYTREASURER	(i) (ii)	0 395,144	0 0	0 27,526	0 5,105	0 14,996	0 442,771	0 0
(7)BEVERLY A BOKOVITZSR VP NURSING OFFICER	(i) (ii)	265,300 0	10,000 0	47,600 0	22,233 0	9,372 0	354,505 0	0 0
(8)DAVID PETER MDSR VP MEDICAL OFFICER	(i) (ii)	303,897 0	34,611 0	38,956 0	43,120 0	16,195 0	436,779 0	0 0
(9)LARRY EMMELHAINZSENIOR VP AND CHIEF QUALITY OFFICER	(i) (ii)	214,826 0	0 0	37,272 0	28,439 0	7,318 0	287,855 0	0 0
(10)DANIEL P GUYTON MDCHAIRMAN, SURGERY	(i) (ii)	253,076 0	0 0	8,922 0	100,407 0	22,525 0	384,930 0	0 0
(11)FARID MUAKKASSA MDDIRECTOR SIU, TRAUMA	(i) (ii)	304,002 0	0 0	4,910 0	104,978 0	26,849 0	440,739 0	0 0
(12)JUSTIN LAVIN MDCHAIRMAN, OB/GYN	(i) (ii)	467,748 0	0 0	10,668 0	765 0	23,369 0	502,550 0	0 0
(13)ROBERT A MARLEY MDDIRECTOR GENERAL SURGERY	(i) (ii)	413,719 0	0 0	3,762 0	32,659 0	21,059 0	471,199 0	0 0
(14)SANJIV TEWARI MDCHAIRMAN, INTERNAL MEDICINE	(i) (ii)	251,008 0	0 0	1,177 0	0 0	1,505 0	253,690 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

THE EXPENSES INDICATED IN PART I, LINE 1 ARE TAXABLE BENEFITS. AS SUCH THEY ARE PART OF TOTAL COMPENSATION. TOTAL COMPENSATION IS TESTED FOR REASONABLENESS AS DESCRIBED IN SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINES 15A AND B. DISCRETIONARY SPENDING ACCOUNT A PORTION OF THE EMPLOYEES' TAXABLE INCOME IS DESIGNATED AS A DISCRETIONARY SPENDING ACCOUNT BENEFIT. THE RECIPIENTS ARE TAXED ON THE ENTIRE VALUE OF THE BENEFIT. THE NET AMOUNT MAY THEN BE APPLIED TO ONE OR MORE OF A LIMITED NUMBER OF CHOICES AVAILABLE UNDER THIS BENEFIT. IF ANY OF THE NET AMOUNT REMAINS AFTER CHOOSING FROM SUCH OPTIONS, IT IS APPLIED TOWARD THE RECIPIENT'S NON-QUALIFIED RETIREMENT BENEFIT. THIS BENEFIT WAS OFFERED TO EMPLOYEES AT THE VICE PRESIDENT LEVEL AND ABOVE. IN 2013, 8 EMPLOYEES CHOSE THIS BENEFIT.

PART I, LINE 4B

LINE 4B: THE FOLLOWING EMPLOYEES PARTICIPATED IN A NONQUALIFIED TAXABLE PLAN. BEGINNING AFTER DECEMBER 31, 2012, THE PLAN IS NO LONGER FUNDED WITH EMPLOYER CONTRIBUTIONS. CRAIG BABBITT DEBBIE GORBACH SUE J. MCCARTHY TIM STOVER, M.D. ALAN PAPA BEVERLY BOKOVITZ DAVID PETER, M.D. LARRY EMMELHAINZ RELATED ORGANIZATION COMPENSATION AKRON GENERAL HEALTH SYSTEM (FEIN 34-1546466) IS THE SOLE MEMBER OF AKRON GENERAL MEDICAL CENTER. THE INDIVIDUALS LISTED BELOW ARE (OR WERE) FULL TIME PAID EMPLOYEES OF AKRON GENERAL HEALTH SYSTEM. THE AMOUNTS SHOWN IN SCHEDULE J PART II REFLECT COMPENSATION FOR SERVICES TO THAT ORGANIZATION. TIM STOVER, M.D. SUE J. MCCARTHY CRAIG M. BABBITT DEBBIE L. GORBACH ALAN PAPA

Schedule J (Form 990) 2013

Additional Data

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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
AKRON GENERAL MEDICAL CENTER

Employer identification number
34-0714478

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 & COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT	34-1448680	009730LV2	11-16-2006	117,665,156	SEE SCHEDULE K, PART VI		X		X		X
B	AKRON BATH & COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT	34-1448680	009730ME9	05-15-2008	90,625,000	SEE SCHEDULE K, PART VI		X		X		X
C	AKRON BATH & COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT	34-1448680	009730NA6	05-23-2012	40,050,000	SEE SCHEDULE K, PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	79,575,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	118,451,520		90,630,619		40,800,387
4 Gross proceeds in reserve funds . . . . . . . . . . . .	4,005,000				4,005,000
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	1,545,530		803,209		776,023
8 Credit enhancement from proceeds . . . . . . . . . . .	3,334,294		130,384
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	38,390,692		6,126,025		36,041,750
11 Other spent proceeds . . . . . . . . . . . . . .	75,181,004		83,571,000
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2007		2008		2012
	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		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?	X		X		X
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 . .	1.320 %		0.970 %		2.140 %
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 . . . . . . .	0.130 %		0.130 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	1.450 %		1.100 %		2.140 %
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? . . . . . . . . . . . . .
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 . . . . . . . . .	MORGAN STANLEY		MORGAN STANLEY
c Term of hedge . . . . . . . . . .	289.000000000000		272.000000000000
d Was the hedge superintegrated? . . . .	X		X
e Was the hedge terminated? . . . . . .	X			X

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 . . . . . . . . .
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
SCHEDULE K SUPPLENTAL INFORMATION	PART I, COLUMN (E), ROW A: THE AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT, OHIO VARIABLE RATE HOSPITAL FACILITIES REVENUE BONDS, SERIES 2006A AND SERIES 2006B (AKRON GENERAL HEALTH SYSTEM) WERE SOLD WITHIN 15 DAYS OF EACH OTHER AND PAYABLE WITH THE SAME SOURCE OF FUNDS, AND WERE THUS TREATED AS A SINGLE ISSUE FOR TAX PURPOSES. THE SERIES 2006B BONDS WERE PAID OFF WITH PROCEEDS OF THE SERIES 2008 BONDS. PART II, COLUMN (A), ROW 1: RETIREMENT OF DEBT WAS FINANCED WITH THE SERIES 2008 BONDS IN 2008. PART II, COLUMN (A) AND (B), ROW 3: THIS LINE INCLUDES INVESTMENT PROCEEDS DURING CONSTRUCTION PERIOD. PART II, COLUMN (A), ROW 6: WHILE THERE ARE NO PROCEEDS INCLUDED IN A REFUNDING OR DEFEASANCE ESCROW, $75,181,004 OF PROCEEDS OF THE SERIES 2006 BONDS WERE USED TO REFUND PRIOR ISSUES (SERIES 1993 AND SERIES 1997). PART II, COLUMN (B), ROW 6: WHILE THERE ARE NO PROCEEDS INCLUDED IN A REFUNDING OR DEFEASANCE ESCROW, $83,571,000 OF PROCEEDS OF THE SERIES 2008 BONDS WERE USED TO REFUND THE SERIES 2006B BONDS, AS DESCRIBED ABOVE. PART III QUESTION 2 - ARE THERE LEASE ARRANGEMENTS WITH RESPECT TO FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE USE? YES, THESE LEASES CONSIST OF MINOR LEASING OF SPACE TO PHYSICIANS AND SERVICE PROVIDERS (E.G. AFFILIATED EQUIPMENT COMPANY). THESE LEASES, COMBINED WITH OTHER PRIVATE USE, ARE SIGNIFICANTLY LESS THAN THE MAXIMUM OF 5% OF BOND PROCEEDS. PART III QUESTION 3A - ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE USE? YES, THERE ARE SEVERAL MANAGEMENT AND SERVICE CONTRACTS THOUGH TO THE BEST OF OUR KNOWLEDGE ALL ARE COMPLIANT WITH THE MANAGEMENT AND SERVICES AGREEMENT SAFE HARBORS. PART III QUESTIONS 3B - ARE THERE ANY RESEARCH AGREEMENTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE USE? YES, UPON REVIEW OF THE RESEARCH AGREEMENTS, ONLY A SMALL PERCENTAGE RELATED TO BOND FINANCED PROPERTY, AND THE OVERALL PRIVATE USE, INCLUDING RESEARCH CONTRACTS, IS WELL BELOW THE MAXIMUM OF 5% OF BOND PROCEEDS. PART IV, COLUMN (A), ROW 3(A): AKRON GENERAL MEDICAL CENTER'S OBLIGATED GROUP HAD ENTERED INTO A HEDGE AGREEMENT THAT COVERED A PORTION OF THE SERIES 2006B BONDS WHICH IS INTEGRATED FOR TAX PURPOSES. HOWEVER, IN CONNECTION WITH THE REFUNDING, THAT HEDGE WAS TERMINATED. PART IV, QUESTION 2: SERIES 2006 BONDS CONSIST OF TWO SERIES, (A) SERIES A - $36,660,000 (PRINCIPAL AMOUNT) FIXED RATE BONDS AND (B) SERIES B - $79,575,000 (PRINCIPAL AMOUNTS) VARIABLE RATE BONDS. PART IV, QUESTION 2(C): NOTE FOR SERIES 2006 AND 2008, EVEN THOUGH THE REBATE EXCEPTION WAS MET, A REBATE CALCULATION WAS DONE FOR BOTH ISSUES. REBATE DATES: A-SERIES 2006: JANUARY 26, 2012 B-SERIES 2008: JULY 12, 2013 C-SERIES 2012: IS NOT APPLICABLE UNTIL 2017
PART I, COLUMN (F), ROW A	FINANCED CAPITAL EXPENDITURES RELATED TO CONSTRUCTING AND EQUIPPING OF A HEALTH AND WELLNESS CENTER AND HEART AND VASCULAR CENTER AS WELL AS ROUTINE CAPITAL EQUIPMENT, AND THE CURRENT REFUNDING OF TWO PRIOR ISSUES OF OBLIGATIONS ISSUED ON JUNE 8, 1993 AND JUNE 1, 1997.
PART I, COLUMN (F), ROW B	FINANCED CAPITAL EXPENDITURES RELATING TO HOSPITAL RENOVATIONS (INCLUDING ENGINEERING AND RESPIRATORY) AND EQUIPMENT. IN ADDITION, THE SERIES 2008 BONDS REFUNDED CERTAIN INDEBTEDNESS, THE PROCEEDS OF WHICH WERE USED TO REFUND THE SERIES 2006B BONDS (ISSUED ON NOVEMBER 16, 2006) IN THEIR ENTIRETY ON APRIL 10, 2008.
PART I, COLUMN (F), ROW C	FINANCED CAPITAL EXPENDITURES RELATED TO ACQUIRING, CONSTRUCTING, RENOVATING, REMODELING AND EQUIPPING CERTAIN HEALTH FACILITIES OF AGMC AND LODI (THE "2012 PROJECT"), FUND A 2012 DEBT SERVICE RESERVE FUND AND PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2012 BONDS.

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

AKRON GENERAL MEDICAL CENTER

Employer identification number

34-0714478

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) DENA HUNT	SEE PART V	57,408	SEE PART V		No

Part V

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

Return Reference	Explanation
SCHEDULE L, PART IV, B	DAUGHTER OF ROBERT KAMIENSKI, MD - BOARD MEMBER ON AKRON GENERAL MEDICAL CENTER
SCHEDULE L, PART IV, D	EMPLOYEE COMPENSATION

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

AKRON GENERAL MEDICAL CENTER

Employer identification number

34-0714478

Return Reference	Explanation
FORM 990, PART III, PROGRAM SERVICE ACCOMPLISHMENTS	EMERGENCY ROOMS ARE OPEN TO ALL, REGARDLESS OF ABILITY TO PAY. THE FINANCIAL ASSISTANCE POLICY (SEE SCHEDULE H FOR MORE DETAILS) IS APPLICABLE NOT ONLY TO MEDICALLY NECESSARY AND EMERGENCY SERVICES AT THE TWO HOSPITAL FACILITIES BUT TO THOSE SERVICES AT ALL AKRON GENERAL MEDICAL CENTER LOCATIONS. IN 2013, FINANCIAL ASSISTANCE EXCEEDED $16 MILLION DOLLARS (PLEASE SEE SCHEDULE H). AT THE END OF 2013 AKRON GENERAL, IN PARTNERSHIP WITH THE OTHER AKRON HOSPITAL SYSTEMS, RELEASED A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS REQUIRED BY THE IRS TO BE REPORTED BY EACH HOSPITAL FACILITY. THE CHNA REPORT IS EASILY ACCESSIBLE TO THE COMMUNITY ON THE HOSPITAL'S WEBSITE. PROGRESS IS NOW BEING MADE TO ADDRESS THE IDENTIFIED NEEDS VIA IMPLEMENTATION STRATEGIES, ALSO DEVELOPED DURING THE PROCESS. KENT STATE UNIVERSITY'S COLLEGE OF PUBLIC HEALTH, WHICH CONDUCTED THE ASSESSMENT, CONTINUES TO WORK WITH THE HOSPITALS TO DEVELOP A COLLABORATIVE COMMUNITY DIABETES INITIATIVE, FOCUSING ON PREVENTION. A REPRESENTATIVE LIST OF IMPORTANT PROGRAMS SUPPORTED BY AKRON GENERAL IN 2013 INCLUDES THE FOLLOWING: * AKRON GENERAL PARTNERS WITH THE UNIVERSITY OF AKRON'S NURSING CENTER FOR COMMUNITY HEALTH TO IMPROVE ACCESS TO HEALTH CARE SERVICES. THE MAIN CLINIC, LOCATED ON THE UNIVERSITY OF AKRON CAMPUS, IS STAFFED BY AKRON GENERAL FAMILY MEDICINE PHYSICIANS WHO PROVIDE FREE PRIMARY MEDICAL CARE FOR PEOPLE WHO CANNOT AFFORD IT AND DO NOT QUALIFY FOR FEDERAL PROGRAMS. * AKRON GENERAL ALSO SERVES THE PRIMARY MEDICAL CARE NEEDS OF WOMEN AND CHILDREN AT ACCESS INC., A HOMELESS WOMEN'S SHELTER IN AKRON AND A SATELLITE OF THE UNIVERSITY OF AKRON NURSING CLINIC. THOUSANDS OF PATIENTS ARE SEEN EACH YEAR AT THE UA-BASED LOCATION IN MARY GLADWIN HALL AND THE ACCESS FACILITY. * DURING NATIONAL BREAST CANCER AWARENESS MONTH IN OCTOBER, MORE THAN $77,000 WAS RAISED TO SUPPORT AKRON GENERAL'S AWARD WINNING MUFFINS FOR MAMMOGRAMS PROGRAM WHICH PROVIDES FREE MAMMOGRAMS AND OTHER RELATED SERVICES FOR UNINSURED WOMEN IN OUR COMMUNITY WHO OTHERWISE COULD NOT AFFORD THEM. IN 2013, AKRON GENERAL PROVIDED 856 SERVICES TO AREA WOMEN. * THE PINK RIBBON PROJECT PROVIDES FREE BREAST AND CERVICAL CANCER SCREENINGS FOR WOMEN WHO OTHERWISE COULD NOT AFFORD THEM. MAMMOGRAMS AND PAP SMEARS ARE PROVIDED AT AKRON GENERAL'S WOMEN'S HEALTH CLINIC TO QUALIFYING WOMEN. IN 2013, 549 SERVICES WERE PROVIDED TO 296 WOMEN IN NEED. * THE 13TH ANNUAL HEART AND VASCULAR SCREENING WAS CONDUCTED TO DETECT STROKE RISK, ATRIAL FIBRILLATION AND PERIPHERAL VASCULAR DISEASE AMONG COMMUNITY RESIDENTS. AKRON GENERAL'S HEART AND VASCULAR CENTER STAFF PROVIDED FREE SCREENINGS TO 366 INDIVIDUALS - MANY WHO WERE UNINSURED AND HIGH-RISK. PARTICIPANTS WERE REFERRED FOR APPROPRIATE FOLLOW UP AS NEEDED. * SEVERAL FREE CANCER SCREENINGS WERE CONDUCTED FOR THE UNINSURED AND UNDERSERVED TO HELP DETECT CANCER AND OTHER DISEASES AND CONDITIONS IN THEIR EARLIEST STAGES. THESE ARE OFFERED FREE THROUGHOUT THE YEAR WITH THE HELP AND SUPPORT OF OUR MEDICAL STAFF, RESIDENTS AND STAFF. SCREENINGS FOR CERVICAL, BREAST, SKIN AND LUNG CANCERS WERE AMONG THOSE OFFERED IN 2013. MORE THAN 366 INDIVIDUALS PARTICIPATED. AKRON GENERAL ALSO PROVIDED 239 SKIN CANCER SCREENINGS DURING MAY WHICH IS SKIN CANCER AWARENESS MONTH. * FOR THE 6TH CONSECUTIVE YEAR, AKRON GENERAL PARTNERED WITH THE ARTHRITIS FOUNDATION FOR THE SUMMIT COUNTY ARTHRITIS EXPO, BRINGING 115 PEOPLE TO THE HEALTH & WELLNESS CENTER WEST FOR TALKS BY MEDICAL PROFESSIONALS AND INFORMATION ON AREA RESOURCES THAT SUPPORT INDIVIDUALS LIVING WITH THIS CHRONIC DISEASE. * CELEBRATING THE GREAT AMERICAN SMOKE OUT ON NOVEMBER 21ST, AKRON GENERAL OFFERED FREE SCREENINGS, INFORMATION AND SUPPORT FOR THOSE INTERESTED IN QUITTING SMOKING AND TOBACCO USE. AKRON GENERAL CONTINUES TO OFFER COMMUNITY MEMBERS A SIX WEEK FREE SMOKING CESSATION PROGRAM SEVERAL TIMES A YEAR. THE PROGRAM IS LED BY ONE OF OUR RESPIRATORY THERAPISTS WHO IS ALSO A TOBACCO TREATMENT SPECIALIST. * AKRON GENERAL IS A PROVIDER OF MEDICAL SERVICES FOR ACCESS TO CARE, A PROGRAM OPERATED BY SUMMIT COUNTY PUBLIC HEALTH. THE PROGRAM LINKS UNINSURED SUMMIT COUNTY RESIDENTS WITH A VOLUNTEER PRIMARY CARE PHYSICIAN, HOSPITAL AND SPECIALTY CARE SERVICES AT NO CHARGE. * THROUGH COLLABORATION WITH SUMMIT COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES, A CASE WORKER WHO IS BASED AT AKRON GENERAL'S WOMEN'S HEALTH CLINIC CONNECTS UNINSURED AND UNDERINSURED PREGNANT WOMEN WITH SOCIAL SERVICES. A SIMILAR PROGRAM IS ALSO BASED ON THE MAIN HOSPITAL CAMPUS. * AKRON GENERAL PRESENTED DISPATCH HEALTH! A FREE HEALTH SCREENING FOR EMS PROVIDERS SERVING GREATER SUMMIT COUNTY AT OUR HEALTH & WELLNESS CENTER IN MONTROSE. THE PURPOSE OF THE TWO-DAY EVENT WAS TO SERVE THE HEALTH NEEDS OF THE MEDIC COMMUNITY, IDENTIFY POTENTIAL HEALTH RISKS AMONG THESE FIRST RESPONDERS AND MEET THEIR NEED FOR ANNUAL PHYSICAL EXAMS AT A TIME WHEN COMMUNITY BUDGETS ARE ESPECIALLY TIGHT. * AKRON GENERAL'S FREE SPEAKER'S BUREAU RESPONDS TO THE NEEDS OF COMMUNITY CLUBS AND ORGANIZATIONS FOR TRUSTED HEALTH INFORMATION. IN 2013, AKRON GENERAL HEALTH PROFESSIONALS REACHED MORE THAN 1,300 PEOPLE WITH HEALTH PRESENTATIONS IN THE COMMUNITY ON A VARIETY OF TOPICS RANGING FROM ADVANCE DIRECTIVES AND LIVING WILLS TO NUTRITION, CANCER CONCERNS AND SLEEP DISORDERS. * THROUGH SAVE A LIFE SUPER SATURDAY - A COLLABORATIVE PROGRAM WITH THE AMERICAN RED CROSS AKRON GENERAL PROVIDED FREE HANDS-ON CPR AND AED TRAINING TO COMMUNITY MEMBERS AGAIN IN 2013. FOUR FREE 45-MINUTE SESSIONS WERE HELD ON SATURDAY, NOVEMBER 16 AT THE HEALTH & WELLNESS CENTERS IN MONTROSE AND STOW. NOW 71 MORE INDIVIDUALS ARE TRAINED AND READY TO RESPOND AND PERHAPS SAVE THE LIFE OF A LOVED ONE. * AKRON GENERAL CONTINUES TO BE A LEADER IN SUPPORTING THE PLACEMENT OF LIFESAVING AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS) IN PUBLIC PLACES. FOLLOWING COMPLETION OF THE OHIO SCHOOL AED PROGRAM ADMINISTERED BY AKRON GENERAL IN WHICH MORE THAN 4,500 DEFIBRILLATORS WERE PLACED IN SCHOOLS ACROSS THE STATE, WE CONTINUE TO PROVIDE ADVICE AND INFORMATION ABOUT AEDS. AT LEAST 15 KNOWN SAVES HAVE BEEN REPORTED BY SCHOOLS WHERE DEFIBRILLATORS WERE PLACED THROUGH THE OHIO AED PROGRAM. IN 2013 AKRON GENERAL WAS ALSO ABLE TO PROVIDE AEDS TO SUCH NONPROFITS AS PORTAGE PATH BEHAVIORAL HEALTH AND SALVATION ARMY LOCATIONS TO KEEP THEIR CLIENTS AND STAFF SAFE.
FORM 990, PART VI, SECTION A, LINE 6	AKRON GENERAL MEDICAL CENTER HAS ONE MEMBER, AKRON GENERAL HEALTH SYSTEM. AKRON GENERAL HEALTH SYSTEM IS ORGANIZED IN OHIO AS A NON-PROFIT CORPORATION AND IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC 501(C)(3). AKRON GENERAL HEALTH SYSTEM IS NOT A PRIVATE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7A	AKRON GENERAL HEALTH SYSTEM HAS THE POWER TO APPOINT THE MEMBERS OF AKRON GENERAL MEDICAL CENTER'S GOVERNING BODY. THE ORGANIZATION FOLLOWS THE PRACTICE UNDER WHICH AKRON GENERAL MEDICAL CENTER'S CURRENT BOARD SUGGESTS CANDIDATES FOR OPENINGS ON ITS BOARD, THAT ARE THEN REVIEWED FOR APPROVAL BY AKRON GENERAL HEALTH SYSTEM'S BOARD.
FORM 990, PART VI, SECTION A, LINE 7B	AKRON GENERAL HEALTH SYSTEM IS THE SOLE MEMBER OF AKRON GENERAL MEDICAL CENTER. AKRON GENERAL HEALTH SYSTEM'S RESPONSIBILITIES INCLUDE PROVIDING LONG TERM PLANNING, ESTABLISHING SYSTEM POLICIES AND PROCEDURES, FINANCIAL MANAGEMENT, AND ASSISTING ORGANIZATIONS WITHIN THE SYSTEM IN CARRYING OUT THEIR EXEMPT PURPOSES. GENERALY, AKRON GENERAL HEALTH SYSTEM LIMITS ITS POWER OF APPROVAL OVER DECISIONS MADE BY THE BOARD OF AKRON GENERAL MEDICAL CENTER TO THOSE CONCERNING MEMBERSHIP OF THAT ORGANIZATON'S BOARD AND THAT ORGANIZATION'S ANNUAL BUDGET.
FORM 990, PART VI, SECTION B, LINE 11	LINE 11B - AKRON GENERAL MEDICAL CENTER PREPARES ITS FORM 990 INTERNALLY. AKRON GENERAL MEDICAL CENTER IS A MEMBER OF THE AKRON GENERAL HEALTH SYSTEM. THE RETURN IS SUBJECT TO FINANCIAL REVIEW BY THE VICE PRESIDENT OF ACCOUNTING AND FINANCE OF AKRON GENERAL HEALTH SYSTEM AND REVIEW FOR COMPLIANCE WITH THE REPORTING REQUIREMENTS OF FORM 990 BY THE DIRECTOR OF CORPORATE TAX OF AKRON GENERAL HEALTH SYSTEM. AN OVERALL REVIEW IS PERFORMED BY THE CHIEF FINANCIAL OFFICER AND THE GOVERNANCE COMMITTEE OF THE AKRON GENERAL HEALTH SYSTEM BOARD. THE FORM 990 IS THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM, WHICH SIGNS AS PREPARER.
FORM 990, PART VI, SECTION B, LINE 12C	AKRON GENERAL MEDICAL CENTER IS A MEMBER OF THE AKRON GENERAL HEALTH SYSTEM (SYSTEM). AKRON GENERAL HEALTH SYSTEM IS THE PARENT ORGANIZATION OF THE SYSTEM AND AS SUCH IT DETERMINES CERTAIN POLICIES AND PROCEDURES APPLICABLE TO ALL MEMBER ORGANIZATIONS. IN THE CASE OF CONFLICT OF INTEREST REPORTING, AKRON GENERAL HEALTH SYSTEM NOT ONLY DETERMINES THE POLICY AND THE PROCEDURE, IT CARRIES OUT THE PROCEDURE FOR ALL SYSTEM ORGANIZATIONS ITSELF. A CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO ALL BOARD MEMBERS, MANAGEMENT PERSONNEL, EMPLOYED PHYSICIANS AND ANY OTHER PERSONNEL THAT HAVE BEEN DESIGNATED BY MANAGEMENT. THE DISTRIBUTION COVERS ALL SYSTEM ORGANIZATIONS. ALL RESPONSES THAT INDICATE A PERCEIVED CONFLICT OF INTEREST ARE TURNED OVER TO THE GOVERNANCE COMMITTEE (THE COMMITTEE) OF AKRON GENERAL HEALTH SYSTEM FOR REVIEW. THE COMMITTEE MAKES A DETERMINATION AS TO WHETHER THE PERCEIVED CONFLICT IS LIKELY TO BE AN ACTUAL CONFLICT, THE MATERIALITY OF ANY ACTUAL CONFLICTS AND THE EXTENT OF SAFEGUARDS REQUIRED FOR ANY ACTUAL CONFLICTS. SAFEGUARDS INCLUDE, BUT ARE NOT LIMITED TO, REQUIRING, IN THE CASE OF A BOARD MEMBER, THAT THE PERSON RECUSE HIMSELF OR HERSELF FROM ANY DISCUSSIONS OR VOTING THAT MAY BE AFFECTED BY THE CONFLICT, REQUIRING THE PERSON TO DISENGAGE FROM THE CONDUCT CREATING THE CONFLICT OR REQUIRING THE PERSON TO RESIGN FROM THE POSITION AFFECTED BY THE CONFLICT. THIS PROCESS IS CONDUCTED BY AKRON GENERAL HEALTH SYSTEM'S LEGAL SERVICES DEPARTMENT ANNUALLY. THE CONFLICT OF INTEREST LETTER PUTS THE RECIPIENT ON NOTICE THAT HE OR SHE IS UNDER AN ONGOING DUTY TO REPORT ANY POTENTIAL CONFLICTS THAT MAY ARISE SUBSEQUENT TO THIS FORMAL PROCESS. SUBSEQUENT EVENT REPORTING IS MONITORED BY AKRON GENERAL HEALTH SYSTEM'S LEGAL SERVICES DEPARTMENT. ANY SUBSEQUENT REPORTED ITEMS ARE SUBJECT TO THE AFOREMENTIONED REVIEW PROCESS BY AKRON GENERAL HEALTH SYSTEM'S GOVERNANCE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15	THE REPORTING ORGANIZATION IS A MEMBER OF THE AKRON GENERAL HEALTH SYSTEM. THE EXEMPT PURPOSE OF THE SYSTEM PARENT, AKRON GENERAL HEALTH SYSTEM (AGHS), IS TO SUPPORT THE MEMBERS OF THAT SYSTEM. ONE OF THE SUPPORT SERVICES THAT AGHS PROVIDES IS DETERMINING THE COMPENSATION OF THE TOP MANAGEMENT PERSONNEL OF THE REPORTING ORGANIZATION. AGHS FOLLOWS A PROCESS FOR DETERMINING THE COMPENSATION OF THE REPORTING ORGANIZATION'S TOP MANAGEMENT PERSONNEL THAT IS MODELED AFTER THE REQUIREMENTS FOUND IN INTERNAL REVENUE CODE SECTION 4958 FOR ESTABLISHING THE PRESUMPTION OF REASONABLE COMPENSATION. THEREFORE, THE PROCESS CALLS FOR RECOMMENDATIONS - DEVELOPED BY AN INDEPENDENT COMPENSATION CONSULTANT, BASED ON COMPARABLE MARKET DATA FROM PUBLISHED SURVEYS AND THE FORMS 990 OF COMPARABLE ORGANIZATIONS - THAT ARE WITHIN THE RANGE OF THE COMPENSATION OF SIMILARLY SITUATED PERSONS AT SIMILARLY SITUATED ORGANIZATIONS. THESE RECOMMENDATIONS ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE REPORTING ORGANIZATION'S BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT PERSONS AND THE DELIBERATIONS ARE DOCUMENTED, CONTEMPORANEOUSLY, IN THE COMMITTEE'S MINUTES. THE COMPENSATION FOR ALL TOP MANAGEMENT WAS REVIEWED FOR REASONABLENESS USING THIS PROCESS IN 2012.
FORM 990, PART VI, SECTION C, LINE 19	CURRENTLY, AKRON GENERAL MEDICAL CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR ITS FINANCIAL STATEMENTS GENERALLY AVAILABLE TO THE PUBLIC. AKRON GENERAL MEDICAL CENTER DOES MAKE THESE DOCUMENTS AVAILABLE ON A CASE BY CASE BASIS.
FORM 990, PART XI, LINE 9:	CHANGE IN VALUE OF BENEFICIAL INTEREST IN FOUNDATION NET ASSETS 625,847. TRANSFERS FROM/(TO) OTHER AFFILIATED ORGANIZATIONS -25,010,683. PENSION LIABILITY 29,097,035. NET CHANGE IN RESTRICTED FUNDS -768,280. CHANGE IN VALUE OF CASH FLOW HEDGE 22,978. GRANT FUNDING FOR CAPITAL 23,926.

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

AKRON GENERAL MEDICAL CENTER

Employer identification number

34-0714478

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) EDWIN SHAW REHAB LLC 33O BROADWAY STREET EAST CUYAHOGA FALLS,OH44221 27-0119182	REHABILITATION FACILITY	OH	16,455,312	4,743,205	AKRON GENERAL MEDICAL CENTER

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 GENERAL HEALTH SYSTEM 1 AKRON GENERAL AVENUE AKRON,OH44307 34-1546466	SUPPORTING ORGANIZATION	OH	IRC 501(C)(3)	11C, FI	NONE		No
(2) AKRON GENERAL PARTNERS INC 1 AKRON GENERAL AVENUE AKRON,OH44307 20-1801493	SUPPORTING ORGANIZATION	OH	IRC 501(C)(3)	11A	AKRON GENERAL HEALTH SYSTEM	Yes
(3) AKRON GENERAL FOUNDATION 1 AKRON GENERAL AVENUE AKRON,OH44307 34-1127047	FUNDRAISING	OH	IRC 501(C)(3)	7	AKRON GENERAL HEALTH SYSTEM	Yes
(4) COMMUNITY HEALTH VENTURES INC 1 HOME CARE PLACE AKRON,OH44320 34-1478435	SUPPORTING ORGANIZATION	OH	IRC 501(C)(3)	11C, FI	AKRON GENERAL HEALTH SYSTEM	Yes
(5) LODI COMMUNITY HOSPITAL 225 ELYRIA STREET LODI,OH44254 34-0718390	HOSPITAL	OH	IRC 501(C)(3)	3	AKRON GENERAL PARTNERS INC	Yes
(6) PARTNERS PHYSICIAN GROUP 1 AKRON GENERAL AVENUE AKRON,OH44307 34-1843403	COMMUNITY HEALTH SERVICES	OH	IRC 501(C)(3)	9	AKRON GENERAL PARTNERS INC	Yes
(7) NHV PHYSICIANS PROFESSIONAL CORPORATION 1 AKRON GENERAL AVENUE AKRON,OH44307 34-1818688	PRIMARY & SPECIALTY OUTPATIENT HEALTHCARE	OH	IRC 501(C)(3)	11A	PARTNERS PHYSICIAN GROUP	Yes
(8) AKRON GENERAL MEDICAL CENTER SELF INSURANCE TRUST FUND 1 AKRON GENERAL AVENUE AKRON,OH44307 34-1243687	SUPPORTING ORGANIZATION	OH	IRC 501(C)(3)	11A	AKRON GENERAL MEDICAL CENTER	Yes
(9) VISITING NURSE SERVICE INC 1 HOME CARE PLACE AKRON,OH44320 34-0714779	HOME HEALTH CARE	OH	IRC 501(C)(3)	9	COMMUNITY HEALTH VENTURES INC	Yes
(10) HOSPICE CARE OHIO INC 1 HOME CARE PLACE AKRON,OH44320 34-1771508	HOSPICE SERVICES	OH	IRC 501(C)(3)	9	COMMUNITY HEALTH VENTURES INC	Yes
(11) VISITING HOURS INC 1 HOME CARE PLACE AKRON,OH44320 34-1347010	HOME HEALTH CARE	OH	IRC 501(C)(3)	9	COMMUNITY HEALTH VENTURES INC	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
(1) MONTROSE SLEEP CENTER LLC 4125 MEDINA ROAD AKRON,OH44333 20-0494491	SLEEP LAB	OH	N/A
(2) CHV HOME MEDICAL EQUIPMENT COMPANY LLC 1 HOME CARE PLACE AKRON,OH44320 20-4760456	DURABLE MEDICAL EQUIPMENT	OH	N/A
(3) AKRON SURGICAL ASSOC LLC 4125 MEDINA ROAD AKRON,OH44333 01-0672877	AMBULATORY SURGERY CENTER	OH	N/A

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
(1) VISITING NURSE EQUIPMENT & SUPPLIES INC 1 HOME CARE PLACE AKRON,OH44320 34-1442841	DURABLE MEDICAL EQUIPMENT	OH	N/A	C				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 . . . . . . . . . . . . . . . . . . . . . . .

Yes

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) . . . . . . . . . . . . . . . . . . . . .

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

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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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

Yes

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) AKRON GENERAL FOUNDATION	B	260,322	COST
(2) AKRON GENERAL FOUNDATION	C	1,667,263	COST
(3) AKRON GENERAL FOUNDATION	R	1,454,878	COST
(4) AKRON GENERAL FOUNDATION	S	2,743,168	COST
(5) AKRON GENERAL FOUNDATION	Q	55,199	COST
(6) LODI COMMUNITY HOSPITAL	R	769,980	COST
(7) LODI COMMUNITY HOSPITAL	S	2,411,542	COST
(8) LODI COMMUNITY HOSPITAL	P	1,899,547	COST
(9) LODI COMMUNITY HOSPITAL	Q	384,629	COST
(10) PARTNERS PHYSICIAN GROUP	R	1,008,329	COST
(11) PARTNERS PHYSICIAN GROUP	S	8,477,829	COST
(12) PARTNERS PHYSICIAN GROUP	P	7,497,173	COST
(13) PARTNERS PHYSICIAN GROUP	Q	9,289,153	COST
(14) PARTNERS PHYSICIAN GROUP	A	1,352,867	COST
(15) NHV PHYSICIANS PROFESSIONAL CORPORATION	R	8,747,511	COST
(16) NHV PHYSICIANS PROFESSIONAL CORPORATION	S	6,058,112	COST
(17) NHV PHYSICIANS PROFESSIONAL CORPORATION	P	1,936,702	COST
(18) NHV PHYSICIANS PROFESSIONAL CORPORATION	Q	4,084,570	COST
(19) AKRON GENERAL PARTNERS	R	22,804,621	COST
(20) AKRON GENERAL PARTNERS	S	1,629,751	COST
(21) AKRON GENERAL PARTNERS	P	7,617,444	COST
(22) AKRON GENERAL PARTNERS	Q	29,080,525	COST
(23) AKRON GENERAL PARTNERS	K	60,636	COST
(24) VISITING NURSE SERVICE INC	S	1,840,910	COST
(25) VISITING NURSE SERVICE INC	P	2,462,047	COST
(26) VISITING NURSE SERVICE INC	Q	446,624	COST
(27) MONTROSE SLEEP CENTER LLC	S	195,081	COST
(28) MONTROSE SLEEP CENTER LLC	P	109,557	COST
(29) MONTROSE SLEEP CENTER LLC	K	73,200	COST
(30) AKRON SURGICAL ASSOCIATES LLC	S	1,309,187	COST
(31) AKRON SURGICAL ASSOCIATES LLC	P	729,689	COST
(32) AKRON SURGICAL ASSOCIATES LLC	K	596,232	COST

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: TO IMPROVE THE HEALTH AND LIVES OF THE PEOPLE AND COMMUNITIES WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	3,736
6	Total number of volunteers (estimate if necessary) .............	6	440
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	265,206
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	286,061	261,987
9	Program service revenue (Part VIII, line 2g) .........	510,452,250	491,777,686
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,661,493	3,290,525
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	7,053,189	12,014,000
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	520,452,993	507,344,198
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	95,290	143,701
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)	251,333,405	240,723,331
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)....	264,337,893	244,194,579
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	515,766,588	485,061,611
19	Revenue less expenses. Subtract line 18 from line 12.......	4,686,405	22,282,587
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	442,440,577	430,243,230
21	Total liabilities (Part X, line 26).............	365,076,221	319,606,192
22	Net assets or fund balances. Subtract line 21 from line 20.....	77,364,356	110,637,038

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 197,587,713 including grants of $ ) (Revenue $ 227,789,441 )
	INPATIENT SERVICESAKRON GENERAL MEDICAL CENTER IS A HOSPITAL ORGANIZATION WHICH OPERATES TWO HOSPITAL FACILITIES - AKRON GENERAL MEDICAL CENTER AND THE EDWIN SHAW REHABILITATION INSTITUTE - AS WELL AS 3 REMOTE HEALH AND WELLNESS CENTERS WITH 24 HOUR EMERGENCY ROOMS. AKRON GENERAL MEDICAL CENTER (AKRON GENERAL) IS A 537-BED TEACHING AND RESEARCH MEDICAL CENTER. OFFERING INPATIENT SERVICES FOR BOTH MEDICAL AND SURGICAL PATIENTS, AKRON GENERAL'S KEY CLINICAL AREAS OF FOCUS ARE HEART, VASCULAR, ONCOLOGY, NEUROSCIENCES, UROLOGY, ORTHOPAEDIC, WOMEN'S SERVICES AND TREATMENT FOR BOTH GENERAL AND TRAUMA RELATED EMERGENCIES.

4b	(Code: ) (Expenses $ 228,903,664 including grants of $ 143,701 ) (Revenue $ 263,890,247 )
	OUTPATIENT SERVICESAKRON GENERAL OFFERS A VARIETY OF OUTPATIENT SERVICES ON ITS MAIN CAMPUS AND THROUGHOUT ITS NETWORK OF SATELLITE FACILITIES. OUTPATIENT SERVICES OFFERED TO PATIENTS INCLUDE RADIOLOGY, PHYSICAL THERAPY, CARDIAC, SURGERY, MAMMOGRAPHY, SLEEP CENTERS, LAB SERVICES AND EMERGENCY SERVICES.SEE SCHEDULE O PROGRAM SERVICE ACCOMPLISHMENTS FOR ADDITIONAL DETAIL.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses426,491,377

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) DAVID PETER MD........................................................................ SR VP MEDICAL OFFICER	55.00 .......................2.00	X		377,464	0	59,315
(19) LARRY EMMELHAINZ........................................................................ SENIOR VP AND CHIEF QUALITY OFFICER	51.00 .......................	X		252,098	0	35,757
(20) DANIEL P GUYTON MD........................................................................ CHAIRMAN, SURGERY	45.00 .......................		X	261,998	0	122,932
(21) FARID MUAKKASSA MD........................................................................ DIRECTOR SIU, TRAUMA	20.00 .......................		X	308,912	0	131,827
(22) JUSTIN LAVIN MD........................................................................ CHAIRMAN, OB/GYN	49.50 .......................		X	478,416	0	24,134
(23) ROBERT A MARLEY MD........................................................................ DIRECTOR GENERAL SURGERY	40.00 .......................		X	417,481	0	53,718
(24) SANJIV TEWARI MD........................................................................ CHAIRMAN, INTERNAL MEDICINE	40.00 .......................		X	252,185	0	1,505

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,671,454	2,495,739	964,642

				(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		120,554
d	Related organizations...1d
e	Government grants (contributions)1e		104,910

f	All other contributions, gifts, grants, and similar amounts not included above1f		36,523

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			261,987
			Business Code
2a	NET PATIENT REVENUE		900099	359,609,839	359,609,839
b	MEDICARE/MEDICAID PAYM		900099	123,382,857	123,382,857
c	LIFESTYLES		624100	8,760,335	8,686,992	73,343
d	LTAC REVENUE		900099	19,366		19,366
e	ADVERTISING REVENUE		900099	5,289		5,289
f	All other program service revenue .
g	Total. Add lines 2a–2f........			491,777,686
3	Investment income (including dividends, interest, and other similar amounts).......			1,920,468			1,920,468
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........			14,892			14,892
		(i) Real	(ii) Personal
6a	Gross rents	3,318,539
b	Less: rental expenses	2,838,432
c	Rental income or (loss)	480,107
d	Net rental income or (loss).......			480,107		47,702	432,405
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	45,396,375	9,695
b	Less: cost or other basis and sales expenses	44,029,588	6,425
c	Gain or (loss)	1,366,787	3,270
d	Net gain or (loss)..........			1,370,057			1,370,057
8a	Gross income from fundraising events (not including $ 120,554 of contributions reported on line 1c). See Part IV, line 18 ..
	a		76,147
b	Less: direct expenses ...b		59,942
c	Net income or (loss) from fundraising events..			16,205			16,205
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...
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..
Miscellaneous Revenue			Business Code
11a	ALL OTHER REVENUE		900099	10,531,259		119,506	10,411,753
b	PARKING		900099	971,537			971,537
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			11,502,796
12	Total revenue. See Instructions......			507,344,198	491,679,688	265,206	15,137,317


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			3,089,704	1	6,246,097
2	Savings and temporary cash investments .........			2,089,508	2	2,508,767
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			59,664,377	4	45,407,971
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
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
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			6,947,198	8	7,238,514
9	Prepaid expenses and deferred charges ..........			7,281,798	9	7,378,624
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	572,820,553
b	Less: accumulated depreciation .....	10b	373,039,100	190,834,822	10c	199,781,453
11	Investments—publicly traded securities ..........			126,047,113	11	107,701,194
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....			2,148,158	13	763,723
14	Intangible assets ...............			33,502,881	14	33,199,612
15	Other assets. See Part IV, line 11 ...........			10,835,018	15	20,017,275
16	Total assets. Add lines 1 through 15 (must equal line 34)......			442,440,577	16	430,243,230
17	Accounts payable and accrued expenses .........			82,228,759	17	41,677,360
18	Grants payable .................				18
19	Deferred revenue ................				19	36,879
20	Tax-exempt bond liabilities .............			167,343,031	20	162,290,560
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
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..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....			30,066,558	24	35,566,030
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....................			85,437,873	25	80,035,363
26	Total liabilities. Add lines 17 through 25.........			365,076,221	26	319,606,192
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			64,263,947	27	98,120,927
28	Temporarily restricted net assets ...........			10,094,066	28	9,435,292
29	Permanently restricted net assets ...........			3,006,343	29	3,080,819
	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 ...........			77,364,356	33	110,637,038
34	Total liabilities and net assets/fund balances ........			442,440,577	34	430,243,230