TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) WILLIAM CONSIDINE...................................................................... PRESIDENT & CEO	40.0 ................. 10.0	X	X	2,096,548	-46,171
(2) JOHN CROW MD...................................................................... CHAIRMAN,PEDIATRIC SURGERY	40.0 ................. 0.0	X		1,136,042	37,184
(3) NORMAN CHRISTOPHER MD...................................................................... CHAIRMAN, DEPT OF PEDS	40.0 ................. 0.0	X		491,906	38,117
(4) ROBERT MCGREGOR MD...................................................................... CHIEF MEDICAL OFFICER	40.0 ................. 0.0	X	X	538,525	32,676
(5) MARY LINK...................................................................... GENERAL COUNSEL/ASST SECRETARY	40.0 ................. 2.0	X	X	394,030	28,180
(6) ROBERT STONE MD...................................................................... ASST CHAIR, COMM AFFAIRS	20.0 ................. 1.0	X		116,113	5,233
(7) RICHARD GRIGG...................................................................... DIRECTOR	3.0 ................. 0.0	X		0	0
(8) ROBERT TRABUCCO...................................................................... DIRECTOR/CHAIRMAN	21.0 ................. 1.0	X	X	0	0
(9) STEPHEN MYERS...................................................................... DIRECTOR/CHAIR OF FINANCE	8.0 ................. 0.0	X	X	0	0
(10) JOAN LAUCK...................................................................... DIRECTOR/SECRETARY	2.0 ................. 0.0	X	X	0	0
(11) ELINORE MARSH STORMER...................................................................... DIRECTOR	5.0 ................. 0.0	X		0	0
(12) VIRGINIA ALBANESE...................................................................... DIRECTOR/VICE CHAIRMAN	6.0 ................. 0.0	X	X	0	0
(13) ROBERT BERK...................................................................... DIRECTOR	5.0 ................. 2.0	X		0	0
(14) KRISTINA BUEHRLE...................................................................... DIRECTOR	13.0 ................. 0.0	X		0	0
(15) JOHN P DELANEY...................................................................... DIRECTOR	3.0 ................. 0.0	X		0	0
(16) PATRICIA GRANT...................................................................... DIRECTOR	15.0 ................. 1.0	X		0	0
(17) WILLIAM HOPKINS...................................................................... DIRECTOR	7.0 ................. 0.0	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) WILLIAM KELLEHER........................................................................ DIRECTOR	3.0 .......................0.0	X				0	0
(19) DUANE ISHAM........................................................................ DIRECTOR	11.0 .......................0.0	X				0	0
(20) DALE KOBLENZER........................................................................ DIRECTOR	6.0 .......................0.0	X				0	0
(21) SCOTT LEVIN........................................................................ DIRECTOR	5.0 .......................0.0	X				0	0
(22) KATHLEEN LANE........................................................................ DIRECTOR	13.0 .......................0.0	X				0	0
(23) PHILIP MAYNARD........................................................................ DIRECTOR	8.0 .......................12.0	X				0	0
(24) GREGORY MCDERMOTT........................................................................ DIRECTOR	10.0 .......................1.0	X				0	0
(25) SUSAN K KOROLY........................................................................ DIRECTOR	13.0 .......................0.0	X				0	0
(26) RICHARD ROGERS........................................................................ DIRECTOR	5.0 .......................0.0	X				0	0
(27) DONALD SCHNEIDER........................................................................ DIRECTOR	4.0 .......................0.0	X				0	0
(28) DAVID SHOWERS........................................................................ DIRECTOR	4.0 .......................0.0	X				0	0
(29) JOHN C ORR........................................................................ DIRECTOR	3.0 .......................0.0	X				0	0
(30) WILLIAM WOOLDREDGE........................................................................ DIRECTOR	9.0 .......................0.0	X				0	0
(31) LAURA THOMPSON........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0
(32) PETER C WHITE........................................................................ PRESIDENT, MEDICAL STAFF	40.0 .......................0.0	X				312,850	59,853
(33) SHAWN LYDEN........................................................................ EXECUTIVE VP	40.0 .......................2.0		X			723,048	38,046
(34) MICHAEL TRAINER........................................................................ CHIEF FINANCIAL OFFICER	40.0 .......................10.0		X			566,014	28,956
(35) GRACE WAKULCHIK........................................................................ CHIEF OPERATING OFFICER	40.0 .......................3.0		X			594,231	33,452
(36) THOMAS OGG........................................................................ CHIEF INFORMATION OFFICER	40.0 .......................0.0		X			408,390	29,645
(37) AMY MANEKER........................................................................ CHIEF MEDICAL INFO OFFICER	40.0 .......................0.0			X		363,235	17,784
(38) LISA AURILIO........................................................................ VP, PATIENT SERVICES	40.0 .......................4.0			X		368,133	39,632
(39) LINDA GENTILE........................................................................ VP, SUPPORT SERVICES	40.0 .......................0.0			X		305,247	97,134
(40) WALTER SCHWOEBLE........................................................................ VP, HUMAN RESOURCES	40.0 .......................0.0			X		400,520	32,115
(41) CYNTHIA DORMO........................................................................ VP, DEPT OF PEDS	40.0 .......................0.0			X		320,502	93,875
(42) SHARON HRINA........................................................................ VP, MAHONING VALLEY ENTERPRISE	40.0 .......................0.0			X		312,935	92,402
(43) CRAIG MCGHEE........................................................................ VP, SURGICAL SUBSPECIALTY	40.0 .......................0.0			X		247,806	26,288
(44) LINDA HETSON........................................................................ VP PROFESSIONAL SERVICES	40.0 .......................0.0			X		228,710	138,305
(45) TSULEE CHEN MD........................................................................ DIRECTOR, NEUROSURGERY	40.0 .......................0.0				X	839,174	21,629
(46) ANTON MILO MD........................................................................ DIRECTOR OF ENT	40.0 .......................0.0				X	1,398,161	35,944
(47) MARK MCCOLLUM MD........................................................................ GENERAL PEDIATRIC SURGEON	40.0 .......................0.0				X	1,333,002	37,184
(48) PHILIP SMITH MD........................................................................ DIRECTOR OF HEART CENTER	40.0 .......................0.0				X	1,122,449	47,260
(49) ROBERT PARRY........................................................................ PEDIATRIC GENERAL SURGEON	40.0 .......................0.0				X	965,299	38,168

(A) Name and business address	(B) Description of services	(C) Compensation
MARCUS THOMAS LLC, 4781 RICHMOND ROAD CLEVELAND,OH44128	BROADCAST MEDIA	4,987,434
WELTYBOLDT LLC, 3421 RIDGEWOOD ROAD FAIRLAWN,OH44333	CONSTR OF NEW TOWER	3,993,759
WELTY BUILDING COMPANY LTD, 3421 RIDGEWOOD ROAD FAIRLAWN,OH44333	CONSTR OF NEW TOWER	3,211,988
WADSWORTH PEDIATRICS, 1225 HIGH STREET WADSWORTH,OH44281	PHYSICIAN FEES	1,549,000
SHIFTWISE, PO BOX 70870 ST PAUL,MN55170	WORKFORCE MGMT SERV	1,387,617
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 36

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Part I

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

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

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. 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—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI 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) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

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

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

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

2015

Name of the organization

Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization Children's Hospital Medical Center of Akron

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization Children's Hospital Medical Center of Akron		Employer identification number 34-0714357

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization Children's Hospital Medical Center of Akron			Employer identification number 34-0714357
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

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

Complete if the organization is described below. SchCMd Bullet

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

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

OMB No. 1545-0047

2015

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Part I-A

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

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

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

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

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

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

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

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

A Check SchCMd Bullet

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

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

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

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

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

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

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

(a)

Yes

(b)

Amount

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

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

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

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

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

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

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

Yes

93,273

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

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

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

Yes

132,150

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

225,423

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Return Reference	Explanation
Part II-B, Line 1	CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") PAID A TOTAL OF $674,512 TO OTHER ORGANIZATIONS THAT HAVE LOBBYING ACTIVITIES. OF THAT AMOUNT, $449,089 PERTAINED TO DUES, $93,273 RELATED TO VARIOUS LOBBYING EXPENSES AND $132,150 WAS PAID FOR LOBBYING EFFORTS AND VARIOUS COMMUNICATIONS ON BEHALF OF CHMCA WITH GOVERNMENTAL AUTHORITIES. THOSE COMMUNICATIONS AND LOBBYING EFFORTS INVOLVE THE FOLLOWING: PREPARED TESTIMONY FOR CHMCA TO TESTIFY BEFORE THE YOUTH SPORTS CONCUSSION AND HEAD INJURY RETURN TO PLAY GUIDELINES COMMITTEE CONGRESSIONAL MEETINGS WITH FOLLOW UP FOR CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION PROGRAM SUPPORT IN THE FY15 OMNIBUS BILL ATTENDED MEETINGS AND BRIEFINGS WITH THE HOUSE ENERGY & COMMERCE COMMITTEE ON KEY LEGISTLATION, INCLUDING THE COMPREHENSIVE HEALTH INNOVATION PROPOSAL MET WITH APPROPRIATION COMMITTEE MEMBERS AND STAFF TO ADVOCATE FULL FUNDING OF THE CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION PROGRAM MET WITH CONGRESSIONAL LEADERS AND THEIR STAFF TO ADVOCATE SPONSORSHIP OF ACE KIDS ACT ATTENDED HEARINGS AND BRIEFINGS ON THE BUDGET NEGOTIATIONS THAT WOULD IMPACT FUNDING LEVELS FOR FY16 AND FY17. THE FOLLOWING ARE 2015 LOBBYING EXPENSES: ASSOCIATION OF AMERICAN MEDICAL COLLEGES $ 224 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS 34,153 AMERICAN HOSPITAL ASSOCIATION 9,683 OHIO CHILDREN'S HOSPITAL ASSOCIATION 42,047 OHIO HOSPITAL ASSOCIATION 4,666 CITIZENS FOR METRO PARKS 2,500 SUBTOTAL $93,273 LOBBYIST - CAPITAL CONSULTING GROUP 60,150 LOBBYIST - WALSH CAPITOL CONSULTING 72,000 TOTAL $225,423 ASSOCIATION OF AMERICAN MEDICAL COLLEGES, NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND AMERICAN HOSPITAL ASSOCIATION ARE NATIONAL ORGANIZATIONS THAT CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON HAS MEMBERSHIP. ALONG WITH OTHER HOSPITALS AS MEMBERS, THESE NATIONAL ORGANIZATIONS EXPRESS CONCERNS OF HEALTHCARE PROVIDERS IN ADVOCACY AND REPRESENTATION TO NATIONAL AND/OR STATE LEGISLATURES ON HEALTHCARE ISSUES THAT AFFECT US. AS AN EXAMPLE, THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES HAS BEEN SUCCESSFUL IN MINIMIZING GRADUATE MEDICAL EDUCATION SPENDING CUTS IN THE FEDERAL BUDGET LEGISLATION. THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND AMERICAN HOSPITAL ASSOCIATION HAVE BEEN A CONSTANT AND PERSUASIVE VOICE IN CHAMPIONING THE NEEDS OF CHILDREN AND THE HOSPITALS THAT CARE FOR THEM. OHIO CHILDREN'S HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION ARE STATE OF OHIO ORGANIZATIONS THAT EXPRESS THE VIEWS OF OHIO CHILDREN'S HOSPITALS FOR MEDICAID AND CHILD HEALTHCARE ISSUES. LOCAL AGENCIES IN SUMMIT COUNTY, OHIO PROVIDE SERVICES TO RESIDENTS. AS A CORPORATE CITIZEN, THE EFFECT OF THE SUCCESS OR FAILURE OF THESE ISSUES HAS IMPLICATIONS ON OUR BUSINESS AND SERVICES WE PROVIDE.

Return Reference

Explanation

Part II-B, Line 1

CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") PAID A TOTAL OF $674,512 TO OTHER ORGANIZATIONS THAT HAVE LOBBYING ACTIVITIES. OF THAT AMOUNT, $449,089 PERTAINED TO DUES, $93,273 RELATED TO VARIOUS LOBBYING EXPENSES AND $132,150 WAS PAID FOR LOBBYING EFFORTS AND VARIOUS COMMUNICATIONS ON BEHALF OF CHMCA WITH GOVERNMENTAL AUTHORITIES. THOSE COMMUNICATIONS AND LOBBYING EFFORTS INVOLVE THE FOLLOWING: *PREPARED TESTIMONY FOR CHMCA TO TESTIFY BEFORE THE YOUTH SPORTS CONCUSSION AND HEAD INJURY RETURN TO PLAY GUIDELINES COMMITTEE *CONGRESSIONAL MEETINGS WITH FOLLOW UP FOR CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION PROGRAM SUPPORT IN THE FY15 OMNIBUS BILL *ATTENDED MEETINGS AND BRIEFINGS WITH THE HOUSE ENERGY & COMMERCE COMMITTEE ON KEY LEGISTLATION, INCLUDING THE COMPREHENSIVE HEALTH INNOVATION PROPOSAL *MET WITH APPROPRIATION COMMITTEE MEMBERS AND STAFF TO ADVOCATE FULL FUNDING OF THE CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION PROGRAM *MET WITH CONGRESSIONAL LEADERS AND THEIR STAFF TO ADVOCATE SPONSORSHIP OF ACE KIDS ACT *ATTENDED HEARINGS AND BRIEFINGS ON THE BUDGET NEGOTIATIONS THAT WOULD IMPACT FUNDING LEVELS FOR FY16 AND FY17. THE FOLLOWING ARE 2015 LOBBYING EXPENSES: ASSOCIATION OF AMERICAN MEDICAL COLLEGES $ 224 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS 34,153 AMERICAN HOSPITAL ASSOCIATION 9,683 OHIO CHILDREN'S HOSPITAL ASSOCIATION 42,047 OHIO HOSPITAL ASSOCIATION 4,666 CITIZENS FOR METRO PARKS 2,500 SUBTOTAL $93,273 LOBBYIST - CAPITAL CONSULTING GROUP 60,150 LOBBYIST - WALSH CAPITOL CONSULTING 72,000 TOTAL $225,423 ASSOCIATION OF AMERICAN MEDICAL COLLEGES, NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND AMERICAN HOSPITAL ASSOCIATION ARE NATIONAL ORGANIZATIONS THAT CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON HAS MEMBERSHIP. ALONG WITH OTHER HOSPITALS AS MEMBERS, THESE NATIONAL ORGANIZATIONS EXPRESS CONCERNS OF HEALTHCARE PROVIDERS IN ADVOCACY AND REPRESENTATION TO NATIONAL AND/OR STATE LEGISLATURES ON HEALTHCARE ISSUES THAT AFFECT US. AS AN EXAMPLE, THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES HAS BEEN SUCCESSFUL IN MINIMIZING GRADUATE MEDICAL EDUCATION SPENDING CUTS IN THE FEDERAL BUDGET LEGISLATION. THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND AMERICAN HOSPITAL ASSOCIATION HAVE BEEN A CONSTANT AND PERSUASIVE VOICE IN CHAMPIONING THE NEEDS OF CHILDREN AND THE HOSPITALS THAT CARE FOR THEM. OHIO CHILDREN'S HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION ARE STATE OF OHIO ORGANIZATIONS THAT EXPRESS THE VIEWS OF OHIO CHILDREN'S HOSPITALS FOR MEDICAID AND CHILD HEALTHCARE ISSUES. LOCAL AGENCIES IN SUMMIT COUNTY, OHIO PROVIDE SERVICES TO RESIDENTS. AS A CORPORATE CITIZEN, THE EFFECT OF THE SUCCESS OR FAILURE OF THESE ISSUES HAS IMPLICATIONS ON OUR BUSINESS AND SERVICES WE PROVIDE.

Schedule C (Form 990 or 990EZ) 2015

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Part I

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

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)

Revenue included on 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:

Revenue included on 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) 2015

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability?

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	84,300,290	71,912,635	55,185,519	48,292,758	42,191,502
b	Contributions ...	8,366,805	16,013,945	12,047,723	7,590,996	11,512,095
c	Net investment earnings, gains, and losses	-2,702,700	215,179	8,291,351	3,474,164	-1,529,858
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	20,432,316	3,841,469	3,611,958	4,172,399	3,880,981
f	Administrative expenses ....
g	End of year balance ......	69,532,079	84,300,290	71,912,635	55,185,519	48,292,758

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

Board designated or quasi-endowment SchDMd Bullet

4.980 %

Permanent endowment SchDMd Bullet

20.390 %

Temporarily restricted endowment SchDMd Bullet

74.630 %

The percentages on 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" on 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' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	12,674,684		12,674,684
b	Buildings	506,505,361	232,312,269	274,193,092
c	Leasehold improvements	13,338,268	4,163,947	9,174,321
d	Equipment ...	309,784,409	213,948,822	95,835,587
e	Other ...	14,815,328	2,719,075	12,096,253
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				403,973,937

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value
(1) BENEFICIAL INT IN FOUNDATION				109,515,113
(2) UNAMORT PRACTICE RIGHTS SUMMA				3,884,483
(3) DEFERRED FINANCING COSTS				2,098,558
(4) OTHER ASSETS				1,206,409
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				116,704,563

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
DEFERRED BENEFIT PENSION LIABI	124,689,354
POST RETIREMENT PLANS	23,495,001
PROFESSIONAL LIABILITY RESERVE	2,282,000
OTHER LIABILITIES	30,954,180
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	181,420,535
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) 2015

Page 4

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

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

Part XIII

Supplemental Information

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

Return Reference

Explanation

Part V, Line 4 - Intended Use of Endowment Funds

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

Part X, LINE 2 - FIN 48

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

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

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

OMB No. 1545-0047

2015

Open to Public Inspection

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

Employer identification number

34-0714357

Part I

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

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

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

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

Yes

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

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

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	Central America and the Caribbean	Investments	9,926,829
	Middle East and North Africa	Investments	200,000















3a	Sub-total .....		10,126,829
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)		10,126,829

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

Page 2

Part II

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

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

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

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 3

Part III

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

Part III can be duplicated if additional space is needed.

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

Schedule F (Form 990) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

Page 5

Part V

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

ReturnReference	Explanation

Schedule F (Form 990) 2015

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" on 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

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

OMB No. 1545-0047

2015

Open to Public Inspection

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

Employer identification number

34-0714357

Part I

Fundraising Activities. Complete if the organization answered "Yes" on 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?

YesNo

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 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on 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 CHARITY BALL (event type)	(b) Event #2 TREE FESTIVAL (event type)	(c) Other events 6 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	171,142	172,678	162,444	506,264
2	Less: Contributions . . . .	128,357		121,833	250,190
3	Gross income (line 1 minus line 2) . . . . . .	42,785	172,678	40,611	256,074

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .
8	Entertainment . . . .
9	Other direct expenses . . .	117,874	65,526	183,400
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .			183,400
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .			72,674

Part III

Gaming. Complete if the organization answered "Yes" on 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))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .	117,874	65,526	183,400

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 conducts gaming activities:

Is the organization licensed to conduct 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) 2015

Page 3

Does the organization conduct 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 conducted 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) 2015

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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? . . . . . . . . .

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	2,455,869	210,319	2,245,550	0.330 %
b	Medicaid (from Worksheet 3, column a) . . . . .	336,447,627	260,381,268	76,066,359	10.930 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	5,063,611	5,063,611
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	343,967,107	265,655,198	78,311,909	11.260 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	7,634,987	9,125	7,625,862	1.100 %
f	Health professions education (from Worksheet 5) . . .	23,993,862	12,637,372	11,356,489	1.630 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	1,397,886	864,710	533,176	0.080 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	409,353		409,353	0.060 %
j	Total. Other Benefits . .	33,436,088	13,511,207	19,924,880	2.870 %
k	Total. Add lines 7d and 7j .	377,403,195	279,166,405	98,236,789	14.130 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	5,015	5,015
3	Community support	276,492	276,492	0.040 %
4	Environmental improvements
5	Leadership development and training for community members	75,977	75,977	0.010 %
6	Coalition building	101,742	101,742	0.020 %
7	Community health improvement advocacy	55,593	55,593	0.010 %
8	Workforce development	14,401	14,401
9	Other
10	Total	529,220	529,220	0.080 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

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

8,116,689

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).....

8,662,715

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

8,586,874

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

75,841

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) 2015

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?8 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Other (Describe)	Facility reporting group
1	Children's Hospital Med Ctr of Akron One Perkins Square Akron,OH44308 www.akronchildrens.org No Ohio Lic # used	X	X	X	X		A
2	Children's - Beeghly Campus 6505 Market Street Youngstown,OH44512 www.akronchildrens.org No Ohio Lic # used	X	X	X	X		B
3	Children's at St Elizabeth 8401 Market St Boardman,OH445016725 www.akronchildrens.org No Ohio Lic # used	X				NICU Nursery	B
4	Children's SCN Summa Akron City 525 E Market Street Akron,OH44304 www.akronchildrens.org No Ohio Lic # used	X	X			NICU Nursery	A
5	Children's SCN AGMC 1 Akron General Avenue Akron,OH44307 www.akronchildrens.org No Ohio Lic # used	X	X			NICU Nursery	A
6	Akron Children's Aultman 2600 6th Street SW Canton,OH44710 www.akronchildrens.org No Ohio Lic # used	X				Pediatric Unit	A
7	CHMCA Mercy Health St Joseph's Hosp 667 Eastland Avenue SE Warren,OH444844503 www.akronchildrens.org No Ohio Lic # used	X				Pediatric Unit NICU Nursery	B
8	CHMCA Wooster Community Hospital 1761 Beall Avenue Wooster Ohio,OH446912342 www.akronchildrens.org No Ohio Lic # used	X				Pediatric Unit	A

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

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

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

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 significant 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 Section C)

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

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

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

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

Yes

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

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

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): see part V Section C for URL.

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 300.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

Part V, Section C for full URL

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

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

Yes

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

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 Section C)

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 Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

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

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

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 significant 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 Section C)

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

Yes

6 a

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

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

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

Yes

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

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

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): see Part V, Section C for full URL

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 300.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

see Part V Section C for full URL

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

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

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

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 Section C)

Other (describe in Section C)

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 Section C)

If "Yes," explain in Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Part V, Section B Group A	Part V, Section B. Facility Policies and Practices, Community Health Needs Assessments (CHNA) CHMCA (#1); Children's Specialty Care Nursery AGMC (#5); Akron Children's Specialty Care Nursery @ Summa Akron City Hospital (#4); Children's Pediatric Unit Aultman (#6);Children's @ Wooster Community Hospital(#8) Line 5: Yes - Interviews were conducted with community leaders in a five-county area from March - April 2013 to gain insight on what they thought were significant health needs of children and adults in their communities, the factors that affect those health needs, other existing community health needs assessments, possible collaboration opportunities, and to get suggestions on what the hospitals can do to address the significant health needs identified in the CHNA. Focus Groups were conducted with 107 community residents in the same five-county area from April - May 2013. In addition, a questionnaire was distributed to the focus group participants to gather demographic information and basic perceptions of community health. Due to the observed information gap in the epidemiologic data on the health of children, adult and child substance abuse issues, and child mental health issues, several questions were asked to probe more deeply on these issues. The discussion guide, questionnaire, and protocol were reviewed and approved by the Kent State University Institutional Review Board. Leaders Interviewed: Executive Director, Mental Health and Recovery Services Board of Stark County School Nurse and Coordinator of Health Services, Canton City Schools Director, Summit County Job and Family Services Executive Director for Business Affairs, Akron Public Schools Administrator, Portage County Job and Family Services Nursing Director for the Medina County Educational Services Center, Medina City School District Medicaid Eligibility Services Administrator, Medina County Job and Family Services Executive Director, Portage County Mental Health and Recovery Board School Nurse, Canton City School Vice President for Business Development, Robinson Memorial Hospital Deputy Health Commissioner for Planning, Summit County Public Health Director of Business Services, Kent City School District Health Commissioner, Medina County Health Department Executive Director, County of Summit Alcohol, Drug Addiction & Mental Health Services Board Health Commissioner, Stark County Health Department Superintendent, Wooster City School District Director, Wayne County Family and Children First Council Community Resident Focus Groups: Community residents were recruited by posting and distributing flyers in the community. 35% of participants were from Summit County, 16% from Wayne County, 11% from Medina County, 28% from Stark County and 10% from Portage County. The average number of years the participants lived in their home county was 25 years. Line 6a: Yes Akron General Health System 400 Wabash Avenue Akron, Ohio 44307 Summa Health System 525 East Market Street Akron, Ohio 44304 Line 6b: Yes Kent State University of Public Health 800 East Summit Street Akron, Ohio 44240 Line 7(a)& Line 10 -Yes - Posted on our external website to https://www.akronchildrens.org/cms/community-needs-assessment/index.html Line 11 - Yes - The measured indicators in the 2013 CHNA have been addressed through CHMCA's clinical and programmatic efforts for many years. Our highly-qualified medical staff and professionals provide world-class patient centered care to address each of these indicators through our Center for Orthopedics and Sports Medicine, Center for Diabetes and Endocrinology, Robert T. Stone MD Respiratory Center, Heart Center, Division of Pediatric Psychiatry and Psychology, and the Showers Family Center for Childhood Cancer and Blood Disorders. Our 2013 CHNA identified and prioritized several community health needs. We drafted, and our Board of Directors approved implementation strategies that focused on addressing conditions related to diabetes, asthma, behavioral and mental health, and infant mortality. The remaining identified needs from the 2013 CHNA include conditions related to birth risk factors, child development, child lifestyle factors, substance abuse, abuse and neglect, access to health care, and environmental factors, were not formally addressed through implementation strategies. Although the reasons for this are varied to include a lack of funding and staff, and a lower priority for certain conditions because of our focus on pediatric conditions as a children's hospital, we will continue to look to CHNA data, as well as other data sources, on these conditions to guide our efforts and advance our mission of improving the health of the communities we serve. Specific Needs Not Addressed Although all of the community health needs identified by the CHNA and deliberated by our hospital teams are important, three emerged as high-priority areas based on the hospital's current activities, the potential for community impact, and available resources. Consequently, several areas will not be addressed in this Implementation Strategy. These include health areas that ranked lower during the prioritization process, health areas that were beyond the scope of the hospital, and health areas that require more resources than what are available: - Abuse & Neglect - Access to Health Care o Health Insurance Coverage o Access to Dental Care o Mental Health Insurance Coverage - Birth Risk Factors o Maternal Tobacco Smoking o First Trimester Prenatal Care - Child Development o Underweight - Child Lifestyle Factors o Overweight & Obesity o Exercise o Nutrition - Environmental Factors o Access to Healthy Foods - Substance Abuse o Alcohol Abuse & Excessive Drinking o Prescription Drug Abuse o Opioid Drug Abuse Additionally, CHMCA's clinicians do not provide care services for pregnant women, other than those whose babies have been diagnosed before birth or prenatally with a condition or disease that must be monitored by our Maternal Fetal Medicine (MFM) Center or Genetics Center. Therefore, we will not be able to impact the service area's rate of infants born at low birth weights or very low birth weights (other than caring for them after birth), the rate of preterm births (other than those mothers and babies being followed by our MFM Center), or the rate of pregnant women receiving prenatal care (other than those seen by MFM Center) or the rate of births to women who smoke. We do care for babies born at low and very low birth weights and preterm infants requiring hospitalization in the Neonatal Intensive Care Unit (NICU) on the Akron campus or NICUs that we operate at Akron General Health System, Summa Health System, St. Elizabeth Hospital in Youngstown, and the special care nursery at our Mahoning Valley Campus in Boardman. Data Limitations and Gaps Due to limited resources and time constraints, data was not available for every vulnerable population, such as the homeless or refugee populations. Where available, the most current data was used to determine the health needs of the community. Although the data available is rich with information, not surprisingly, data gaps and limitations existed that impacted the ability to conduct a more thorough and rigorous assessment. These include: 1. Pediatric data related to substance abuse (alcohol abuse and excessive drinking, prescription drug abuse and opioid drug abuse) are not readily available. Some data are available through the Ohio Department of Health Youth Risk Surveillance Survey. However, this data is limited and under sampled, not adequately representing the communities or specific populations. 2. County-wide data that characterize health risk and lifestyle behaviors like nutrition, exercise, and sedentary behaviors are not available for children. 3. Behavioral Health data was provided through the Ohio Hospital Association (OHA). The limitation of this data is that it is only data from reporting OHA hospitals. Therefore, one of the largest behavioral health agencies in the state, does not report data to the OHA. Therefore, the mental health data is skewed especially for Columbiana, Mahoning and Trumbull counties since a facility is located in Youngstown and many local children are referred there. 4. Due to time constraints and limited resources, we were unable to access pediatric Medicaid data that would have allowed us to more specifically target this vulnerable population. 5. County and State-wide chronic disease data are not available for children. 6. Injury data was fragmented and not readily available. Line 13 (h) - In circumstances where a family may not be eligible for charity care based solely on income or residence, but where the pursuit of payment would adversely affect the well being of the patient or his or her family, or cause undue hardship for the patient and or/family, Hospital management may approve charity care based on documented extenuating circumstances. Line 16b - Yes https://www.akronchildrens.org/cms/content/financia
Part V. Section B Group B	Part V, Section B. Facility Policies and Practices, Community Health needs Assessments Children's - Beeghly Campus (#2) & Children's at St. Elizabeth (#3); Children's at Mercy Health's St Joseph Hospital (#7) Line 5 - Yes - In addition to examining county-level epidemiologic data, interviews were conducted with community leaders in July - August 2013 to gain their insight on what they thought were the significant health needs of children and adults in their communities, the factors that affect those health needs, other existing community health needs assessments, possible collaboration opportunities, and to get suggestions on what the hospitals can do to address the significant health needs identified in the CHNA. These community leaders represent the broad interests of the communities served by the hospital facility including the medically underserved, low-income persons, minority groups, those with chronic disease needs, and leaders from local public health agencies and departments who have special knowledge and expertise in public health and children's health issues. Leaders Interviewed: Youngstown City Health District, Acting Health Commissioner Youngstown/Warren Regional Chamber, President & Chief Executive Officer Pediatric Associates of Youngstown, Physician Mahoning County Children's Services, Quality Improvement Supervisor Help Hotline Crisis Center, Chief Executive Officer Mahoning County District Board of Health, Health Commissioner Trumbull County Women, Infants, and Children (WIC) Program, Director Trumbull County Mental Health and Recovery Board, Director of Evaluation & Quality Improvement Trumbull County Children's Services, Executive Director St. Joseph Health Center, Chair of Pediatrics Columbiana County Mental Health and Recovery Services Board, Executive Director Portage/Columbiana Counties Women, Infants, and Children (WIC) Program, Director The Morning Journal, Editor Salem Community Hospital, Vice President for Medical Affairs Columbiana County Educational Service Center, Superintendent Columbiana County Department of Job and Family Services, Children's Services Administrator Coordinated Action for School Health (CASH) Coalition, Coordinator Columbiana County Health Department, Health Commissioner Community Resident Focus Groups In addition to the input from community leaders, focus groups were conducted with community residents in August - September 2013 to get their input on what they thought were the significant health needs of children and adults in their communities, the factors that affect those needs, the solutions they thought would solve those needs, and what the hospitals and other community groups could do to address those needs. Due to the observed information gap in the epidemiologic data on the health of children, adult and child substance abuse issues, and adult and child mental health issues, several questions were asked to probe more deeply on these issues. In addition, a questionnaire was distributed to focus group participants to gather demographic information and basic perceptions of community health. The discussion guide, questionnaire, and protocol were reviewed and approved by the Kent State University Institutional Review Board. A total of 82 people participated in the Community Resident Focus Groups. Fifty percent of participants were from Trumbull County, 31.7% from Mahoning County, and 18.3% were from Columbiana County. The average number of years that participants lived in their home county was 36.6 years. Six percent of the participants were African American, 90.2% were Caucasian, and 2.4% were Hispanic. Line 6(b) Kent State University of Public Health 800 East Summit Street Kent, Ohio 44240 Line 7(a)& Line 10 - Yes - https://www.akronchildrens.org/cms/community-needs-assessment/index.html Line 11: The measured indicators in the 2013 CHNA have been addressed through CHMCA's clinical and programmatic efforts for many years. Our highly-qualified medical staff and professionals provide world-class patient centered care to address each of these indicators through our Center for Orthopedics and Sports Medicine, Center for Diabetes and Endocrinology, Robert T. Stone, MD Respiratory Center, Heart Center, Division of Pediatric Psychiatry and Psychology, and the Showers Family Center for Childhood Cancer and Blood Disorders. Our 2013 CHNA identified and prioritized several community health needs. We drafted, and our Board of Trustees approved, implementation strategies that focused on addressing conditions related to diabetes, asthma, behavioral and mental health, and infant mortality. The remaining identified needs from the 2013 CHNA, include conditions related to child lifestyle factors, substance abuse, sexually transmitted diseases, access to health care, and environmental factors, were not formally addressed through implementation strategies. Although the reasons for this are varied to include a lack of funding and staff, and decisions based on conditions of priority, we will continue to look to CHNA data, as well as other data sources, on these indicators to guide our efforts and advance our mission of improving the health of the communities we serve. Specific Needs Not Addressed Although all of the community health needs identified by the CHNA and deliberated by our hospital teams are important, three emerged as high-priority areas based on the hospital's current activities, the potential for community impact, and available resources. Consequently, several areas will not be addressed in this Implementation Strategy. These include health areas that ranked lower during the prioritization process, health areas that were beyond the scope of the hospital, and health areas that require more resources than what are available: - Access to Health Care o Health Insurance Coverage o Access to Dental Care o Mental Health Insurance Coverage o Number of Pediatric Specialists - Child Lifestyle Factors o Overweight & Obesity o Exercise o Nutrition - Substance Abuse o Opioid Drug Abuse - Sexually Transmitted Diseases o Adolescent Gonorrhea - Environmental Factors o Access to Healthy Foods Additionally, CHMCA's clinicians do not provide care services for pregnant women, other than those whose babies have been diagnosed before birth or prenatally with a condition or disease that must be monitored by our Maternal Fetal Medicine (MFM) Center or Genetics Center. We do care for babies born at low and very low birth weights and preterm infants requiring hospitalization in the NICU on the Akron campus or NICUs that we operate at Akron General Health System, Summa Health System and St. Elizabeth Hospital in Youngstown, and the special care nursery at our Mahoning Valley Campus in Boardman. Data Limitations and Gaps Due to limited resources and time constraints, data was not available for every vulnerable population, such as the homeless or refugee populations. Where available, the most current data was used to determine the health needs of the community. Although the data available is rich with information, not surprisingly, data gaps and limitations existed that impacted the ability to conduct a more thorough and rigorous assessment. These include: 1. Pediatric data related to substance abuse (alcohol abuse and excessive drinking, prescription drug abuse and opioid drug abuse) are not readily available. Some data is available through the Ohio Department of Health Youth Risk Surveillance Survey. However, this data is limited and under sampled, not adequately representing the communities or specific populations. 2. County-wide data that characterize health risk and lifestyle behaviors like nutrition, exercise, and sedentary behaviors are not available for children. 3. Behavioral Health data was provided through the Ohio Hospital Association (OHA). The limitation of this data is that it is only data from reporting OHA hospitals. Therefore, one of the largest behavioral health agencies in the state, does not report data to the OHA. Therefore, the mental health data is skewed especially for Columbiana, Mahoning and Trumbull counties since a facility is located in Youngstown and many local children are referred there. 4. Due to time constraints and limited resources, we were unable to access pediatric Medicaid data that would have allowed us to more specifically target this vulnerable population. 5. County and State-wide chronic disease data are not available for children. 6. Injury data was fragmented and not readily available. Line 13 (h) - In circumstances where a family may not be eligible for charity care based solely on income or residence, but where the pursuit of payment would adversely affect the well being of the patient or his or her family, or cause undue hardship for the patient and or/family, hospital management may approve charity care based on documented extenuating circumstances. Line 16b - Yes - https://www.akronchildrens.org/cms/content/financial-services/index.html Line 16 (i) - Yes - CHMCA

Schedule H (Form 990) 2015

Page 8

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?46
Name and address		Type of Facility (describe)
1	CHMCA Partial Hospitalization Program #7 388 South Main Street Suite 205 Akron,OH44311	Behavorial Health Day Programs
2	CHMCA Montrose Urgent Care #28 4125 Medina Road Akron,OH44333	Urgent Care
3	CHMCA ACHP - New Philadelphia #6 1045 W High Avenue New Philadelphia,OH44663	General Outpatient Services
4	CHMCA ACHP - Green #4 1600 E Turkeyfoot Lake Road Akron,OH44312	General Outpatient Services
5	CHMCA ACHP - Fairlawn #5 701 White Pond Drive Suite 100 Akron,OH44320	General Outpatient Services
6	CHMCA ACHP - Hudson #9 1365 Corporate Drive Suite A Hudson,OH44236	General Outpatient Services
7	CHMCA Hudson Specialties #2 5655 Hudson Drive Hudson,OH44236	Special Outpatient Services
8	CHMCA ACHP - Warren #10 5000 E Market st Suite 30 Warren,OH44484	General Outpatient Services
9	CHMCA ACHP - East Akron #13 891 East Exchange Street Akron,OH44311	General Outpatient Services
10	CHMCA ACHP - Wooster #18 128 E Milltown Road Suite 209 Wooster,OH44691	General Outpatient Services
11	CHMCA ACHP - Medina #16 3443 Medina Road Suite 115 Medina,OH44256	General Outpatient Services
12	CHMCA ACHP - Boardman #11 6505 Market Street Bldg C Suite 210 Boardman,OH44512	General Outpatient Services
13	CHMCA ACHP - Barberton #23 62 Conservatory Dr Bldg D Suite A Barberton,OH44203	General Outpatient Services
14	CHMCA ACHP - Ellet #22 1463 Canton Road Suite A Akron,OH44312	General Outpatient Services
15	CHMCA ACHP - Twinsburg #19 8054 Darrow Road Suite 3 Twinsburg,OH44087	General Outpatient Services
16	CHMCA ACHP - Kent #24 1951 State Rt 59 Kent,OH44240	General Outpatient Services
17	CHMCA ACHP - Ashland #26 2212 Mifflin Avenue Suite 235 Ashland,OH44805	General Outpatient Services
18	CHMCA ACHP - Wadsworth #21 323 High Street Suite A Wadsworth,OH44281	General Outpatient Services
19	CHMCA ACHP - North Canton #8 6046 Whipple Ave NW Bldg B North Canton,OH44720	General Outpatient Services
20	CHMCA ACHP - Tallmadge #30 143 Northeast Ave Bldg D 102 Tallmadge,OH44278	General Outpatient Services
21	CHMCA ACHP - Streetsboro #31 9318 State Rt 14 Streetsboro,OH44241	General Outpatient Services
22	CHMCA Millersburg Hemophilia Clinic #1 1261 Wooster Road Suite 220 Millersburg,OH44654	Single Specialty Outpatient
23	CHMCA ACHP - Ravenna #29 6847 N Chestnut Street Suite 200 Ravenna,OH44266	General Outpatient Services
24	CHMCA Care Center Stark County #15 213 Market Avenue N Suite 200 Canton,OH44702	Single Specialty Outpatient
25	CHMCA ACHP - Brecksville #32 7001 s Edgerton Road Suite 500 Brecksville,OH44141	General Outpatient Services
26	CHMCA ACHP - Alliance #12 1826 S Arch Avenue Alliance,OH44601	General Outpatient Services
27	CHMCA ACHP - Solon #36 34125 Solon Road Solon,OH44139	General Outpatient Services
28	CHMCA Beachwood Specialties #27 23250 Chagrin Blvd Building 5 Beachwood,OH44122	Specialty Outpatient Services
29	CHMCA Boardman Medical Pavilion #3 8423 Market Street Bldg C Suite 30 Boardman,OH44512	General Outpatient Services
30	CHMCA ACHP - Perry #17 125 Whipple Ave S W Canton,OH44708	General Outpatient Services
31	CHMCA Orthopedic Specialty Canton #25 4455 Dressler Road Canton,OH44718	Single Specialty Outpatient
32	CHMCA Aultman Hospital Specialties #37 2600 6th Street SW Canton,OH44710	Specialty Outpatient Services
33	CHMCA Lake Health TriPoint Med Ctr #38 7590 Auburn Road Suite 214 Painesville,OH44077	Single Specialty Group O/P
34	CHMCA Medina Specialties #39 3780 Medina Road Suite 105 Medina,OH44256	Specialty Outpatient Services
35	CHMCA - AGMC Wellness - Rehab #40 4125 Medina Road Akron,OH44333	Physical Rehab Services
36	CHMCA Ctr for Allergy & Immunology #14 130 West Exchange Street Akron,OH44308	Single Specialty Group
37	CHMCA Medina Subspecialties #41 3780 Medina Road Suite 240 Medina,OH44256	Specialty Outpatient Services
38	CHMCA MFM Wooster Community #42 546 Winter St Suite 10 Wooster,OH44691	Single Specialty Outpatient
39	CHMCA Warren Subspecialties #20 5000 E Market St Unit 30 Warren,OH44691	Specialty Outpatient Services
40	CHMCA Norwalk Subspecialties #43 282 Benedict Avenue Norwalk,OH44857	Specialty Outpatient Services
41	CHMCA Life Center Plus #44 5133 Darrow Rd Hudson,OH44236	Single Specialty Outpatient
42	CHMCA Sharon Regional Health Ctr #45 740 E State St Sharon,PA16146	Single Specialty Unit
43	CHMCA ACHP - Ontario #33 2003 W 4th Street Ontario,OH44906	General Outpatient Services
44	CHMCA Mansfield Subspecialties #34 371 Cline Avenue Mansfield,OH44907	Specialty Outpatient Services
45	CHMCA ACHP - Warren West #35 661 Mahoning Avenue NW Warren,OH44483	General Outpstient Services
46	CHMCA MFM Mercy Health #46 1330 Mercy Drive NW Suite 506 Canton,OH447082685	Single Specialty Outpatient

Schedule H (Form 990) 2015

Page 9

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
Part I, Line 6a - Related Organization	For the past several years, the hospital has prepared and filed a community benefit report with the Ohio Hospital Association for the hospital and its affiliates. The CHMCA published Community Benefit Report for Group A - Akron area and associated affiliates as well as for Group B - Mahoning Valley area and associated affiliates was posted to the CHMCA website, making it available to the public.
Part I, Line 7, column (f) - Exclusions from % of Total Expenses	Bad Debt expenses of $0 are included in the 990, Part IX, Line 25, and excluded from the percentage calculation on Schedule H, Part I, Line 7 (f) and Part II, column (e). Bad Debt expenses have been excluded from the calculations in the 990, Part IX, Line 25.
Part I, Line 7 (a) Charity Care @ Cost	We believe that applying a cost-to-charge ratio developed for the hospital facility from the Ohio Medicaid cost report to hospital charity charges, as reported in detail schedules used in the preparation of the Audited Consolidated Financial Statements and other information is the most accurate costing methodology to calculate gross charity care at cost for the period. Total hospital costs from the Ohio Medicaid cost report used in this calculation include only allowable and reimbursable costs. The Hospital Care Assurance Program (HCAP) is Ohio's methodology to provide additional payments to hospitals that provide a disproportionate share of uncompensated care to the indigent and uninsured. The estimated HCAP amount applicable to charity care is reported as direct offsetting revenue to charity care expense.
Part I, Line 7 (b) Unreimbursed Medicaid & 7 (c) Other Means Tested	We believe that reporting program charges, costs and payments directly from CHMCA's Ohio Medicaid cost report along with similar calculations for services rendered by hospital employed physicians and other professional providers and services rendered to out-of-state Medicaid enrollees is the most accurate methodology to calculate unreimbursed Medicaid and other means-tested government program costs. Medicaid costs reported as Total Community Benefit Expense have been reduced by estimated health professions costs included in the Ohio Medicaid cost report and Medicaid revenues reported as direct offsetting revenue has been reduced by estimated Medicaid revenues related to health professions education. To avoid double counting of costs reported elsewhere in this schedule, gross costs for other reportable items have been reduced by the total government payor mix percentage of (55.20%) as reported on our internal payor mix report.
Part I, Line 7g - Subsidized Health Services	CHMCA is a free-standing children's hospital and an Ohio Medicaid disproportionate share hospital that provides specialty care to pediatric patients in our service area. In addition to providing this care to pediatric patients, CHMCA provides care to both adult and pediatric patients in our Regional Burn Center. As a result, the unreimbursed costs of providing subsidized services to Medicaid enrollees in our neonatal intensive care unit, pediatric intensive care unit, distinct part psychiatric care unit, burn intensive care unit, outpatient End Stage Renal Disease program, as well as our emergency and trauma services are reported as unreimbursed Medicaid costs. The unreimbursed costs of treating Medicare and Medicare Advantage Plan enrollees in our Regional Burn Center and End Stage Renal Disease programs are reported in Part III, Section B, Medicare.
Part I, Line 7h - Health Professions Education:	The total costs of health professions education is reported as a total community benefit expense and direct offsetting revenues including Medicare and estimated Medicaid revenues related to health professions education.
Part II - Community Building Activities	Staying true to our mission, everything done by CHMCA is intended to benefit the communities we serve. Our primary benefit to each community is providing access to world-class health care to the children in the regions we serve. Our efforts include: A. Leadership development, under which we support various community-based programs that specifically develop community leaders, including such programs as Leadership Akron (for community leadership) and the Child & Family Leadership Exchange (for clinical and social service leadership). We support and are actively involved in initiatives such as Torchbearers, which is focused on developing and retaining strong community leadership. B. Coalitions and partnerships, in which CHMCA is strongly represented in committees and task forces assigned to address specific health indicators and conditions, as well as, certain divergent populations throughout our region, state, as well as, nationally and internationally. As a teaching hospital, we partner with dozens of higher education institutions in providing training and hands-on instruction and shadowing opportunities for students who embark on health care careers. C. General community support, under which we provide financial and staff support for various community based initiatives, generally related to the healthy development of young people and their families in the service area. D. Community health improvement, under which we support a number of multi-agency and governmental initiatives to encourage fitness activities, health screenings, and related activities. E. Workforce development through initiatives such as Akron Healthcare in Progress (HIP), a collaborative effort of primary, secondary, and higher education, and Akron area hospitals, aimed at exposing and preparing a diverse group of students, representative of the community, for careers in the full range of health care, from skilled trades to medicine and nursing, demonstrate our effort and commitment in developing and retaining continuing leadership.
Part III, Line 2 & 4 - Bad Debt Expense Explanation	We believe that applying a cost-to-charge ratio developed for the hospital facility from the Ohio Medicaid cost report to CHMCA's provision for bad debts is the most accurate costing methodology to calculate bad debt at cost for the period. Total hospital costs from the Ohio Medicaid cost report used in this calculation include only allowable and reimbursable costs. The Hospital Care Assurance Program (HCAP) is Ohio's methodology to provide additional payments to hospitals that provide a disproportionate share of uncompensated care to the indigent and uninsured. Gross bad debt expense has been reduced by the estimated HCAP amount applicable to bad debt expense. The estimated amount of bad debt at cost attributable to patients eligible under the organization's charity policy is $-0-. Parent/Guarantors that are uninsured and/or underinsured are encouraged to meet with a Financial Counselor. ASSISTANCE IS PROVIDED TO ASSIST WITH THE APPLICATION PROCESS TO OBTAIN MEDICAID OR HCAP. WHERE THE INDIVIDUAL IS OVER THE INCOME THRESHOLD FOR ONE OR BOTH OF THOSE PROGRAMS, THEY ARE SCREENED FOR FINAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE PROGRAM. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE AS DESCRIBED IN PART VI, ITEM 3 - PATIENT EDUCATION FOR ASSISTANCE IS PROVIDED. See Pages 12 & 13 to the footnotes to CHMCA's Financial Statements that describe Charity Care and Bad Debt. CHMCA respectively submits that since we accept all patients, regardless of their ability to pay, that bad debts at cost, as reported herein, represent an unreimbursed cost of providing care to the patients we serve.
Part III, Line 8 - Medicare Explanation	We believe that reporting program charges, costs, and payments directly from CHMCA's Medicare cost report along with similar calculations for services rendered to patients enrolled in Medicare Advantage Plans and patients enrolled in TRICARE is the most accurate methodology to calculate unreimbursed Medicare and other means-tested government program costs. To avoid double counting of costs reported elsewhere in the Schedule, gross costs for other reportable items have been reduced by the total government payor mix percentage (55.20%) as reported on our internal payor mix report. CHMCA respectfully submits that its unreimbursed inpatient costs incurred in excess of the 1982 The Tax Equity and Fiscal Responsibility Act(TEFRA) per discharge limit $600,855, unreimbursed outpatient costs incurred in treating patients qualifying for Medicare End Stage Renal disease(ESRD), composite reimbursement -$80,803, unreimbursed costs of providing care to Medicare Advantage Plan enrollees -$608,443 and unreimbursed costs for Tri Care patients -$48,283 should be treated as community benefit with excess reimbursement treated as negative community benefit. The unreimbursed inpatient costs are costs incurred primarily in the treatment of burn victims who are Medicare enrollees. The unreimbursed ESRD costs are costs incurred in excess of the composite rate reimbursement applicable to patients who receive outpatient maintenance dialysis.
Part III, Line 9b - Collection Practices Explanation	CHMCA's collection policy describes the events and the timing of the events that lead to self-pay accounts or self-pay balances after insurance payments being turned over to collection. All patients are treated the same under our collection policy. A patient can be identified at any point in time during the revenue cycle process. Once a patient is identified as qualifying for financial assistance, normal collection policies cease and our free care/charity policies are applied.
Part VI, Line 2 - Needs Assessment - Group A & B	LINE 2 - NEEDS ASSESSMENT - Describes how CHMCA assesses the health care needs of the communities it serves. CHMCA (#1); Children's - Beeghly Campus (#2); Children's @ St. Elizabeth's (#3); Children's SCN @ Summa Akron City (#4); Children's SCN @ AGMC (#5); Children's Pediatric Unit At Aultman(#6); Children's @ Mercy Health St. Joseph's Hospital(#7); Children's @ Wooster Community Hospital (#8). Along with the CHNAs, the hospital performs strategic planning as an ongoing process with annual updates. As part of the annual update, we review population and demographic changes in our larger service area, focusing particularly on children and families. We give attention to the provision of health care services throughout our region, looking at our own and those provided by other health care organizations, using statewide data including all pediatric hospital discharges by zip code of patient residence. We also carefully track the demand for and supply of physicians, nurses and allied health providers. We evaluated the need for primary, secondary and tertiary services throughout our service area. In addition, we engage in multiple efforts to gauge the needs of our community through periodic surveys of the population, focusing on parental awareness and preference of pediatric health care services, and again estimating actual use of services from all providers. We are actively represented in dozens of community groups, and gather input from these groups both by active participation and by collecting and reviewing comprehensive data sets and studies produced by such groups, including school districts, health and human service agencies, and charitable and advocacy groups. We listen to our staff, seeking and receiving feedback from our approximately 5800 staff and thousands of volunteers, who collectively provide a rich source of information regarding community needs and opportunities. Finally, we actively solicit input from our patients and their parents from Parent Advisory Groups as well as gathering feedback through patient survey results and via multiple written and electronic (web-based) tools.
Part VI, Line 3-Patient Education of Eligibility for Assistance - A & B	CHMCA provides education to patients to inform them that they may qualify for care at no charge or at a reduced charge in a variety of ways: - CHMCA has signage at its registration sites to inform patients that they may qualify for free hospital care. Applications for free care are available at registration sites and throughout the hospital (Required by the Ohio Medicaid Hospital Care Assurance (HCAP) rules). - CHMCA has information regarding eligibility for free care on billing statements mailed to patients and their guarantors. - CHMCA employs financial counselors to explain the hospital's free care, charity care, and the various public assistance programs to uninsured and underinsured patients. - CHMCA's website provides patients with information relating to the hospital's free care, charity care and various public assistance programs available. - CHMCA contracts with an independent vendor to screen patients for public assistance eligibility and completion as well as submission of public assistance applications.
Part VI, Line 4 - Community Information - Group A	Note: The most recent demographic information was taken during the 2013 CHNA. Medina County There are approximately 173,684 people living in Medina County, which is an increase of 0.8% increase since 2010. 24.7% of this population is under 18 years old. 3.7% of the population in Medina County is non-white with 1.7% classified as Hispanic or Latino. 93.1% of Medina County residents have a high school diploma or higher, and 30.1% have a bachelor's degree or higher. Annual per capita income in Medina County is $30,528, which is higher than the State of Ohio ($25,618), and the percent of Medina County residents living in poverty (7.2%) is lower than that of the State (14.8%). 22.8% of Medina County's child population is enrolled in Medicaid, which is lower than the Ohio rate of 44.6%. Portage County There are approximately 161,451 people living in Portage County and this number has remained unchanged since 2010. 20.2% of this population is under 18 years old. 7.7% of the population in Portage County is non-white with 1.4% classified as Hispanic or Latino. 90.4% of Portage County residents have a high school diploma or higher, and 24.5% have a bachelor's degree or higher. Annual per capita income in Portage County is $25,483, which is lower than the State of Ohio ($25,618), and the percent of Portage County residents living in poverty (14.3%) is lower than that of the State (14.8%). 36.2% of Portage County's child population is enrolled in Medicaid, which is lower than the Ohio rate of 44.6%. Stark County There are approximately 374,868 people living in Stark County, which is a 0.2% decrease from 2010. 22.5% of this population is under 18 years old. 10.9% of the population in Stark County is non-white with 1.7% classified as Hispanic or Latino. 88.5% of Stark County residents have a high school diploma or higher, and 20.7% have a bachelor's degree or higher. Annual per capita income in Stark County is $24,212, which is lower than the State of Ohio ($25,618), and the percent of Stark County residents living in poverty (13.6%) is lower than that of the State (14.8%). 43.7% of Stark County's child population is enrolled in Medicaid, which is lower than the Ohio rate of 44.6%. Summit County There are approximately 540,811 people living in Summit County, although since 2010, the population size has decreased by approximately 0.2%. 22.5% of this population is under 18 years old. 19.2% of the population in Summit County is non-white with 1.7% classified as Hispanic or Latino. 90% of Summit County residents have a high school diploma or higher, and 29.4% have a bachelor's degree or higher. Annual per capita income in Summit County is $27,220, which is higher than the State of Ohio ($25,618), and the percent of Summit County residents living in poverty (14.5%) is lower than that of the State (14.8%). 39.5% of Summit County's child population is enrolled in Medicaid, which is lower than the Ohio rate of 44.6%. Wayne County There are approximately 114,848 people living in Wayne County, which is an increase of 0.3% since 2010. 25.1% of this population is under 18 years old. 3.9% of the population in Wayne County is non-white with 1.6% classified as Hispanic or Latino. 84.8% of Wayne County residents have a high school diploma or higher, and 19.2% have a bachelor's degree or higher. Annual per capita income in Wayne County is $22,892, which is lower than the State of Ohio ($25,618), and the percent of Wayne County residents living in poverty (10.6%) is lower than that of the State (14.8%). 34% of Wayne County's child population is enrolled in Medicaid, which is lower than the Ohio rate of 44.6%.
Part VI, Line 5 - Promotion of Community Health - Groups A & B	CHMCA intends that all of its activities either directly provide health care to all children who request our services or promote the health of the community, both by direct investments in the delivery of pediatric healthcare services and in providing specialized inpatient and outpatient care for patients of all ages throughout northeast Ohio. CHMCA was founded on the principle of serving the needs of the community. Our founding promises: - To care for every child as we would our own; - To treat others as we would like to be treated; - To turn no child away for any reason. CHMCA's governing Board of Directors includes members of the community that makeup the hospital's primary service area. These community board members are neither employees nor independent contractors of the organization. CHMCA extends medical staff privileges to all qualified physicians in the communities we serve. CHMCA's excellent reputation is the result of the skills and experience of our medical staff and the health professionals with whom we collaborate; We value our partnership with primary care physicians and referring providers and work together to coordinate the care of the children. Our efforts include: 1. CHMCA's Paul and Carol David Foundation Burn Institute provides specialized inpatient and outpatient care for burn victims of all ages throughout northeast Ohio. Akron Children's is one of only two pediatric hospitals in the country that treats adult burn patients. 2. The Rebecca D. Considine Research Institute is the hub for research and innovation activity at CHMCA. The institute facilitates sponsored clinical studies as well as internal investigator-initiated research programs across a spectrum of research subjects. The institute also offers research-oriented educational opportunities for fellows, students and faculty from around the globe. 3. Adult Congenital Heart Service provides ongoing monitoring and specialized care for adults with congenital heart disease. As children with congenital heart disease (CHD) become adults, they can access lifetime care through our center. 4. The Cystic Fibrosis (CF) Center provides diagnosis and treatment to children and adults with CF, including respiratory therapy, physical therapy, genetic counseling and nutrition counseling. The center also actively participates in clinical trials to research new drug therapies to manage CF. 5. The Genetic Center offers diagnostic evaluation and medical management of genetic conditions, birth defects and developmental delays, as well as genetic testing and genetic counseling for pediatric and adult patients. Our Maternal Fetal Treatment Center provides Genetic Counseling and Obstetric/delivery services to high risk pregnant women in the region. 6. CHMCA's Neonatology department offers intensive care to sick and premature newborns. On any given day, there are 45 to 50 babies receiving care in Akron Children's Hospital's neonatal intensive care unit (NICU). About 1/4 of these infants have been in utero for fewer than 32 weeks, 5 weeks less than what is considered necessary for full gestation. Some of them are as young as 24 weeks and weigh in at less than a kilogram. CHMCA's neonatal team is committed to providing the most effective and efficient care for our tiny patients, as well as providing parents with the emotional and practical support they need. To this end, CHMCA is part of the Vermont Oxford Network, a collaboration of health professionals from 850 NICUs around the world who focus on research, education and projects that improve the quality and safety of medical care for newborns and their families. CHMCA's neonatal expertise expands beyond the Level III NICU at our Akron campus. We also own and operate newborn special care nurseries at Akron General Medical Center and Summa's Akron City Hospital in Akron; CHMCA's Beeghly campus in Youngstown; and St. Elizabeth Boardman Health Center. 7. A specially equipped ambulance and pediatric transport team handles the transfer of the newborns requiring the Level III neonatal intensive care provided at CHMCA in downtown Akron. 8. CHMCA's School Health Services supports the academic success of children through health promotion, education and child advocacy. School Health serves as a liaison among school staff, family, community and healthcare providers. CHMCA's pediatric registered nurses work closely with school staffs to ensure a comprehensive school health program is in place. With immediate access to pediatric healthcare professionals at CHMCA, schools are assured their program will effectively address the needs of their staff and students. Our School Health Services allows schools to focus on educating students, while we manage their district's medical needs. 9. CHMCA's Beeghly Campus, opened in December 2008is the Mahoning Valley area's only Pediatric Hospital. This 33 bed pediatric hospital offers a full range of pediatric services to the children of the Mahoning and surrounding areas. The hospital provides access to a 24/7 Emergency Department, Laboratory, Radiology, Outpatient Surgical Center, Endocrinology, Rehabilitation and EEG/Echo/EKG services, as well as a Hematology/Oncology Clinic, Infusion Center and Child Advocacy Center. 10. Additionally, CHMCA brings pediatric primary care for babies, chlldren and teens to many Northeast Ohio neighborhoods through our 25 Pediatrician Offices. Each office is staffed with experienced, Board Certified Pediatricians and experienced staff. 11. Also located in Mahoning Valley is the Community Outreach, Education & Support Center, which provides education and support for children and their families. These programs meet specified criteria of Nationally Accredited Disease Management Programs, as well as CHMCA's criteria and monitoring requirements. Our Community Health Outreach includes asthma and diabetes education and support, school programs, disease specific camps and support groups, fitness programs and education programs that touch more than 45,000 individuals annually. 12. Parents and members of CHMCA's Family-Centered Care committee established the Parent Advisory Council (PAC) in 1995. It provides a way for parents and guardians to offer input on issues that impact the care of children. The council includes parents whose children have received care at CHMCA. Advisors will work with hospital liaisons to represent the voice of families as we work together to enhance the delivery of family-centered care. We also make major investments of our funds and other resources in the provision of education for lay and professional persons, and in research that will improve health care for all children. We take an active role in advocating for improved health and improved access to health care for all. Services and activities provided by CHMCA's benefit and/or promote health to the residents in the communities we serve. The primary benefit to our communities is providing health care visits to approximately 895,000 children annually. In addition, we also provide community building activities as depicted in Part II of this schedule. the Parent Advisory Council (PAC) in 1995. It provides a way for parents and guardians to offer input on issues that impact the care of children. The council includes parents whose children have received care at CHMCA. Advisors will work with hospital liaisons to represent the voice of families as we work together to enhance the delivery of family-centered care. We also make major investments of our funds and other resources in the provision of education for lay and professional persons, and in research that will improve health care for all children. We take an active role in advocating for improved health and improved access to health care for all. Services and activities provided by CHMCA's benefit and/or promote health to the residents in the communities we serve. The primary benefit to our communities is providing health care visits for close to 895,000 children annually. In addition, we also provide community building activities as depicted in Part II of this schedule.
Part VI, Line 6 - Affiliated Health Care System - Groups A & B	N/A
Part VI, Line 7 - State Filing of community benefit report - Groups A & B	Ohio
Part VI Additional Information	In addition to the locations listed in Part V, Section A and C, CHMCA has physicians providing a variety of subspecialty services at many other locations throughout Northeast Ohio and Western Pennsylvania. Note: Census and other data reported in Section Part VI is the most recent information available.
Part VI, Line 4 - Community Information - Group B	CHMCA in the Mahoning Valley has and continues to serve patients and families from many communities across the region. Most people who receive services from the hospital are residents of Mahoning, Trumbull or Columbiana Counties. Prior to the opening of this facility, the Appalachian Regional Development Act of 2008 (S. 496) was signed into law. One of the components of this legislation was addition of Mahoning and Trumbull Counties to the Appalachian Region. Mahoning, Trumbull and Columbiana Counties represent most of the primary service area of the Beeghly Campus, and now, with this act becoming law, all three counties that make up the primary service area of this facility are located within the Appalachian Region. Trumbull, Mahoning, and Columbiana Counties are classified by the Appalachian Regional Commission as being transitional - they have worse economic rates than the national average for one or more of three economic indicators (three-year average unemployment, per capita market income, and poverty) but don't rate low enough to be classified as distressed. The Demographic information provided is from the 2013 CHNA. Trumbull County There are approximately 207,406 people living in Trumbull County, which is a decrease of 1.4% since 2010. 21.5% of this population is under 18 years old. Nearly 8% of the population in Trumbull County is African American and 1.5% is Hispanic or Latino. 87.1% of Trumbull County residents have a high school diploma or higher, and 16.6% have a bachelor's degree or higher. Annual per capita income in Trumbull County is $22,127, which is lower than the State of Ohio ($25,618), and the percent of Trumbull County residents living in poverty (16.4%) is higher than that of the State (14.8%). 39.3% of Trumbull County's child population is enrolled in Medicaid, which is lower than the Ohio rate of 44.6%. Mahoning County There are approximately 235,145 people living in Mahoning County, which is a decrease of 1.5% since 2010. 20.9% of this population is under 18 years old. 16% of the population in Mahoning County is African American and 5% is Hispanic or Latino. 87.9% of Mahoning County residents have a high school diploma or higher, and 20.9% have a bachelor's degree or higher. Annual per capita income in Mahoning County is $23,261, which is lower than the State of Ohio ($25,618), and the percent of Mahoning County residents living in poverty (17.1%) is higher than that of the State (14.8%). 44.3% of Mahoning County's child population is enrolled in Medicaid, which is lower than the Ohio rate of 44.6%. Columbiana County There are approximately 106,507 people living in Columbiana County, which is a decrease of 1.2% since 2010. 21.2% of this population is under 18 years old. 2.4% of the population in Columbiana County is African American and 1.4% is Hispanic or Latino. 85.7% of Columbiana County residents have a high school diploma or higher, and 13% have a bachelor's degree or higher. Annual per capita income in Columbiana County is $20,691, which is lower than the State of Ohio ($25,618), and the percent of Columbiana County residents living in poverty (15.9%) is higher than that of the State (14.8%). 42.5% of Columbiana County's child population is enrolled in Medicaid, which is lower than the Ohio rate of 44.6%.

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

Complete if the organization answered "Yes," on 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

2015

Open to Public
Inspection

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

Employer identification number
34-0714357

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) AKRON CHILDREN'S HOSPITAL FOUNDATION
ONE PERKINS SQUARE
AKRON,OH44308

23-7114013

501(c)(3)

794,047

GENL SUPPORT

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) 2015

Page 2

Part III

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

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)

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

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on 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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Yes

Were any amounts reported on 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" on 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) 2015

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 on 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 in column(B) reported as deferred on 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)
1WILLIAM CONSIDINEPRESIDENT & CEO	(i) (ii)	1,371,975 -------------	240,000 -------------	484,573 -------------	-61,700 -------------	15,529 -------------	2,050,377 -------------	0 -------------
2SHAWN LYDENEXECUTIVE VP	(i) (ii)	612,129 -------------	106,000 -------------	4,919 -------------	18,550 -------------	19,496 -------------	761,094 -------------	0 -------------
3MICHAEL TRAINERCHIEF FINANCIAL OFFICER	(i) (ii)	478,040 -------------	82,000 -------------	5,974 -------------	18,550 -------------	10,406 -------------	594,970 -------------	0 -------------
4GRACE WAKULCHIKCHIEF OPERATING OFFICER	(i) (ii)	501,137 -------------	87,000 -------------	6,094 -------------	22,704 -------------	10,748 -------------	627,683 -------------	0 -------------
5JOHN CROW MDCHAIRMAN,PEDIATRIC SURGERY	(i) (ii)	1,132,430 -------------	-------------	3,612 -------------	15,900 -------------	21,284 -------------	1,173,226 -------------	0 -------------
6NORMAN CHRISTOPHER MDCHAIRMAN, DEPT OF PEDS	(i) (ii)	416,168 -------------	70,000 -------------	5,738 -------------	17,092 -------------	21,025 -------------	530,023 -------------	0 -------------
7ROBERT MCGREGOR MDCHIEF MEDICAL OFFICER	(i) (ii)	455,936 -------------	76,000 -------------	6,589 -------------	18,550 -------------	14,126 -------------	571,201 -------------	0 -------------
8AMY MANEKERCHIEF MEDICAL INFO OFFICER	(i) (ii)	361,731 -------------	-------------	1,504 -------------	15,900 -------------	1,884 -------------	381,019 -------------	0 -------------
9MARY LINKGENERAL COUNSEL/ASST SECRETARY	(i) (ii)	332,975 -------------	58,000 -------------	3,055 -------------	15,900 -------------	12,280 -------------	422,210 -------------	0 -------------
10THOMAS OGGCHIEF INFORMATION OFFICER	(i) (ii)	345,601 -------------	62,000 -------------	789 -------------	15,900 -------------	13,745 -------------	438,035 -------------	0 -------------
11LISA AURILIOVP, PATIENT SERVICES	(i) (ii)	312,440 -------------	55,000 -------------	693 -------------	31,923 -------------	7,709 -------------	407,765 -------------	0 -------------
12LINDA GENTILEVP, SUPPORT SERVICES	(i) (ii)	258,203 -------------	45,500 -------------	1,544 -------------	82,615 -------------	14,519 -------------	402,381 -------------	0 -------------
13WALTER SCHWOEBLEVP, HUMAN RESOURCES	(i) (ii)	338,924 -------------	58,500 -------------	3,096 -------------	18,450 -------------	13,665 -------------	432,635 -------------	0 -------------
14CYNTHIA DORMOVP, DEPT OF PEDS	(i) (ii)	271,418 -------------	48,000 -------------	1,084 -------------	86,339 -------------	7,536 -------------	414,377 -------------	0 -------------
15SHARON HRINAVP, MAHONING VALLEY ENTERPRISE	(i) (ii)	262,872 -------------	47,000 -------------	3,063 -------------	84,908 -------------	7,494 -------------	405,337 -------------	0 -------------
16CRAIG MCGHEEVP, SURGICAL SUBSPECIALTY	(i) (ii)	209,389 -------------	37,500 -------------	917 -------------	14,512 -------------	11,776 -------------	274,094 -------------	0 -------------
17TSULEE CHEN MDDIRECTOR, NEUROSURGERY	(i) (ii)	708,836 -------------	129,721 -------------	617 -------------	13,250 -------------	8,379 -------------	860,803 -------------	0 -------------
18ANTON MILO MDDIRECTOR OF ENT	(i) (ii)	1,394,159 -------------	-------------	4,002 -------------	15,900 -------------	20,044 -------------	1,434,105 -------------	0 -------------
19MARK MCCOLLUM MDGENERAL PEDIATRIC SURGEON	(i) (ii)	1,239,242 -------------	92,500 -------------	1,260 -------------	15,900 -------------	21,284 -------------	1,370,186 -------------	0 -------------
20PHILIP SMITH MDDIRECTOR OF HEART CENTER	(i) (ii)	1,044,967 -------------	70,000 -------------	7,482 -------------	25,976 -------------	21,284 -------------	1,169,709 -------------	0 -------------
21ROBERT PARRYPEDIATRIC GENERAL SURGEON	(i) (ii)	885,816 -------------	72,001 -------------	7,482 -------------	18,550 -------------	19,618 -------------	1,003,467 -------------	0 -------------
22PETER C WHITEPRESIDENT, MEDICAL STAFF	(i) (ii)	284,682 -------------	25,000 -------------	3,168 -------------	46,627 -------------	13,226 -------------	372,703 -------------	0 -------------
23LINDA HETSONVP PROFESSIONAL SERVICES	(i) (ii)	194,713 -------------	32,000 -------------	1,997 -------------	130,765 -------------	7,540 -------------	367,015 -------------	0 -------------

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
Part I, Line 1a - Fringe or Expense Explanation	William Considine, CEO and Shawn Lyden, Executive VP, had a 2015 country club membership that was used by CHMCA for business purposes. William Considine also received grossed up payments for his automobile, life and other insurance payments made by CHMCA.
Part I, Line 4 - Severance, Nonqualified, and Equity Based Payments	William Considine is a participant in the Supplemental Executive Retirement Plan as of January 1, 2010. The Plan is a nonqualified deferred compensation plan. It is an unfunded plan maintained primarily for the purpose of providing deferred compensation benefits. The participant receives credits in the plan for each full calendar year of service and he is 100% vested. The non-qualified deferred payment to William Considine in 2015 was $312,000.
Part I, Line 7 - Non Fixed Payments Provided	CHMCA does have contracts with certain physicians that earn bonuses based on Work Relative Value Units (WRVU's). Physicians work RVU: the relative level of time, skill, training and intensity to provide a given service. Each Current Procedural Terminology (CPT) code is targeted for review at least every five years to determine the work RVU for a particular service. A code with a higher RVU work takes more time, more intensity or some combination of the two.
Part II, Column (C)	Included in retirement and deferred compensation is the change in the present value of the accrued benefits from the pension plan of Children's Hospital Medical Center of Akron. For William Considine, the present value as of December 31, 2015 was less than the present value as of December 31, 2014.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2015

Open to Public
Inspection

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

Employer identification number
34-0714357

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT	34-1448680	009730MY5	05-15-2012	102,559,004	REFUND PRIOR ISSUE TO CONSTRUCT NE		X		X		X
B	AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT	34-1448680	009730NB4	05-15-2013	101,377,818	CONSTRUCTION OF CRITICAL CARE TOWE		X		X		X
C	AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT	34-1448680	000000000	11-14-2013	27,405,000	REFUND PRIOR ISSUE		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	80,432,291		0		0
2 Amount of bonds legally defeased ..............	0		0		0
3 Total proceeds of issue ..................	102,539,004		101,377,818		0
4 Gross proceeds in reserve funds .............	0		0		27,405,000
5 Capitalized interest from proceeds .............	1,010,250		10,229,217		280,035
6 Proceeds in refunding escrows ...............	0		0		0
7 Issuance costs from proceeds ...............	1,116,463		1,148,601		0
8 Credit enhancement from proceeds .............	0		0		0
9 Working capital expenditures from proceeds .............	0		0		0
10 Capital expenditures from proceeds .............	20,000,000		90,000,000		0
11 Other spent proceeds .............	0		0		27,124,925
12 Other unspent proceeds .............	0		0		0
13 Year of substantial completion .............	2013		2015		2013
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X			X	X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X
16 Has the final allocation of proceeds been made? ..........	X			X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

Part III

Private Business Use

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

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

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

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

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		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 "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........	0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

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

Part V

Procedures To Undertake Corrective Action

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

Part VI

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

Return Reference	Explanation
PART 1(f)A	OF THE $102,559,004 BOND PROCEEDS, $80,432,921 WAS USED TO REFUND THE SERIES 2001 BONDS AND $21,000,000 WAS USED FOR CONSTRUCTION OF A NEW PARKING GARAGE ON THE AKRON CAMPUS CONTAINING APPROXIMATELY 1200 SPACES AND CONNECTED TO THE NEW CRITICAL CARE TOWER.
PART 1(f)B	$101,377,818 WAS USED TO CONSTRUCT AN APPROXIMATELY 366,000 SQUARE FOOT CRITICAL CARE TOWER ON THE AKRON CAMPUS.
PART 1(f)C	$27,405,000 OF BOND PROCEEDS REFUNDED THE SERIES 2003 BONDS. THE BONDS WERE SOLD IN A PRIVATE OFFERING TO KEY GOVERNMENT FINANCE, INC.

Schedule K (Form 990) 2015

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

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) 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 Benefiting 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) 2015

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) CATHRYN O'MALLEY	FAMILY MEMBER OF CURR DIR	95,526	COMPENSATION		No
(2) LAURIE SCHUELER	FAMILY MEMBER OF CURR DIR	39,333	COMPENSATION		No

Part V

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

Return Reference	Explanation
SCHEDULE L, PART IV	CATHRYN O'MALLEY IS THE DAUGHTER OF WILLIAM CONSIDINE, PRESIDENT AND CEO. LAURIE SCHUELER IS THE DAUGHTER OF DUANE ISHAM, BOARD MEMBER.

Schedule L (Form 990 or 990-EZ) 2015

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 990-EZ 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

2015

Open to Public
Inspection

Name of the organization

Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Return Reference	Explanation
Form 990, Part III, Line 4d - All Other Accomplishments	Children's Hospital Medical Center of Akron ("CHMCA") operates one of the largest pediatric primary care networks in nine different counties including Summit, Columbiana, Cuyahoga, Mahoning, Medina, Stark, Wayne, Tuscawaras and Portage. The pediatricians and staff at Akron Children's Hospital Pediatrics ("ACHP") maintain cooperative relationships with many area health providers, including several hospitals. Patient care is available 24 hours a day through the physician office; Children's After Hours, a 24-hour nurse triage phone line; and CHMCA. By sharing information between our offices and with area health care providers, we ensure that all children receive the finest care - from preventative checkups to treatment for chronic health problems. ACHP visits were 383,180 and 364,633 for 2015 and 2014 respectively. The Surgical Services Department at CHMCA performs approximately 15,000 general and specialized surgical procedures each year--ranging from uncomplicated tonsillectomies to neurosurgery, open heart, orthopedic, and plastic and reconstructive surgery. The entire staff at CHMCA, from pediatric surgeons to pediatric anesthesiologists and nurses are carefully trained in meeting the unique surgical needs and concerns of children and their families. The pediatric anesthesiologists are experienced at helping a child go to sleep with as little anesthesia as possible. They understand the medical differences between children and adults. Special equipment and techniques suited to the size of the patient, from infants to young adults, help assure successful outcomes to the surgery and anesthesia. In addition, child life specialists give pre-surgery tours once a week to prepare children (and parents) for what they expect to see, hear, feel, taste or smell. CHMCA has nine state-of-the-art operating rooms. Two are dedicated to minimally invasive surgery with a voice activated system to control the operating rooms. There are also operating suites dedicated to neurosurgery and heart surgery. Between 75-80% of surgeries are done on an outpatient basis, which has proven to be not only medically safe but psychologically beneficial for children.
Form 990, Part VI, Line 6 - Classes of Members or Stockholders	The duly elected, qualified and acting Directors and the active members of the Women's Board of Akron Children's Hospital are members of the Corporation.
Form 990, Part VI, Line 7a - Election of Members and Their Rights	The number of the Directors of CHMCA shall be set by the members. Five of the members shall consist of the Women's Board of CHMCA. The President of the Medical Staff shall be a member of the Board of Directors. The remaining members of the Board of Directors shall be elected by the members of CHMCA. A director shall be elected for a three-year term, but a person may be nominated for and elected to a shorter term so that the terms of approximately one-third of the directors shall expire each year. Each director shall serve until his successor is elected and qualified. Upon unanimous resolution of the members, a person who has rendered long and outstanding service to the Hospital may be elected to a life term as a director. The directors responsibilities include: (1) to ensure the Hospital is meeting the community's health needs and is informed about the availability of the Hospital's services; (2) believe strongly in the Hospital's mission and serve as active public advocates for the Hospital; (3) establish goals and policies for the Hospital; (4) work with the Hospital President to develop and update long-range plans and provide for financial stability; (5) identify, recruit and select new Directors; (6) periodically evaluate the performance of Director Committees, individual Directors and Board of Directors performance as a whole; (7) select and evaluate the President as Chief Executive Officer; (8) approve Medical Staff appointments and privileges; (9) maintain authority for the overall functioning and support of a Hospital-wide quality assurance program; and (10) participate in and provide leadership for Hospital fund-raising programs. The Corporate powers, property, and affairs of CHMCA shall be exercised, conducted, and controlled by the Directors. The Directors shall elect the members of the Executive Committee of the Board.
Form 990, Part VI, Line 7b - Decisions Subject to Approval of Members	Subject to the direction and control of the Directors, or the Executive Committee of the Board, the management of the Hospital shall be vested in the President as Chief Executive Officer. The President shall, in all matters pertaining to Hospital administration, directly represent the Executive Committee of the Board of Directors and shall be responsible to them respectively for the proper performance of his duties. It shall be the duty of the President to make known and enforce all rules and regulations which shall be made by and under the authority of the Directors or the Executive Committee of the Board. In all cases of disputed authority, or uncertainty as to the meaning of these regulations, the decision of the President is absolute until a ruling is rendered by the Executive Committee of the Board of Directors.
Form 990, Part VI, Line 11b - Organization's Process to Review Form 990	The Form 990 is provided to the Audit Committee and Chairman of the Board of Directors of CHMCA for review and discussion prior to filing the return with the Internal Revenue Service. The Audit Committee is a Committee of the Board of Directors and empowered to complete the review on behalf of the Board of Directors.
Form 990, Part VI, Line 12c - Enforcement of Conflicts Policy	It is CHMCA's policy that all employees disclose real and apparent conflicts of interest as a condition of employment with CHMCA. CHMCA also requires that each employee disclose in writing, annually, to the President a list of all businesses or other organizations in which he/she is an officer, member, owner, shareholder, trustee or employee for which he/she acts as an agent or might reasonably in the future enter into a relationship or transaction in which the employee could have a duality of interest. If a situation arises in which there is a duality of interest, or a question of duality of interest, and, as such, potential for a conflict of interest, it is the primary responsibility of the individual directly involved and responsibility of other personnel, to the extent that they become aware of a duality of interest, to make immediate and complete disclosure to the appropriate Vice President. He/she will review the situation with the Vice President of Corporate Services who will present it to the President or his designee. It is the responsibility of the President or his designee to evaluate any circumstances in which a duality of interest exists, (if known, when disclosed or undisclosed), to determine whether such conflict is so substantial that it is deemed to be detrimental to CHMCA. Any employee who is directly or indirectly involved in a situation which represents a duality of interest, and as such, a potential conflict of interest, will abide by the following policies: (1) Individual will not be permitted access to any information which may provide an unfair advantage to that individual or the firm he/she represents. (2) Individual will be required to withdraw from any meeting in which the matter is discussed. (3) Individual will not be permitted to participate in deliberation or vote on the matter and will be required to leave the room during voting. (4) Any employee is expressly prohibited from releasing any "sensitive information" regarding a decision made or being considered to any person who may have a duality of interest, and as such, a potential conflict of interest. (5) Any attempt on the part of an employee to unfairly influence or impact the decision making process in favor of personal interest may be considered breach of trust and may be cause for removal from his/her position of responsibility or other disciplinary action up to and including discharge.
Form 990, Part VI, Line 15a-Compensation Process for Top Official	CHMCA's executive total compensation program is governed by the Compensation Committee (Committee) of the Board of Directors. Key Committee responsibilities include: (a) ensure executive total compensation is appropriate in light of CHMCA's mission and values, and (b) approve an executive compensation philosophy, the associated programs, and all compensation actions for individual executives. The Committee is comprised of independent members of CHMCA's Board who have no personal interest in any executive compensation transaction. Should a potential conflict of interest be identified, the Committee determines the extent of the conflict and the means to address it. In certain cases, a Committee member may be asked not to participate in discussions of, or vote on, a particular compensation transaction. The Committee governs CHMCA's executive total compensation for all senior executives who are deemed to be disqualified persons. The Committee follows all steps required by the Internal Revenue Service to qualify for the safe harbor under the Intermediate Sanctions regulations. The Committee reviews market compensation data for comparable positions at similar organizations which are compiled by an independent consultant. The Committee uses the data to make executive decisions and documents its compensation deliberations and decisions in a timely manner. An independent salary survey was completed in 2015 and recommendations were provided and presented by the independent consultant to the Committee for approval.
Form 990, Part VI, Line 15b - Compensation Process for Officers	An independent salary survey was completed in 2015 and recommendations were provided and presented by the independent consultant to the Committee for approval.
Form 990, Part VI, Line 19 - Governing Documents Disclosure Explanation	CHMCA makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. In addition, the governing documents are located on the Ohio Secretary of State's website. The financial statements are also disclosed on the EMMA (Electronic Municipal Market Access) website.
Form 990, Part XI, Line 9 - Reconciliation of Other Changes in Net Assets	Hospital's Investment in Foundation -20,087,920 Adjustment - ASC - OPEB 2,185,269 Adjustment - ASC - Pension 19,911,275 Hemophilia Treatment Center Deposit 1,573,239 Equity transfer from Children's Home Care -1,666,893 Other 1,250 Partnership Loss 39,136 TOTAL $ 1,955,356

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

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

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Children's Hospital Medical Center of Akron

Employer identification number

34-0714357

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

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

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

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

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

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

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

Part IV

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

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

Schedule R (Form 990) 2015

Page 3

Part V

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

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

Yes

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

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

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

Yes

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

Yes

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

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

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

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

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

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

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

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

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

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

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

Yes

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

Yes

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

Yes

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

Yes

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

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CHILDREN'S HOME CARE GROUP	O	8,780,968	ACTUAL PER GL
(2) CHILDREN'S HOME CARE GROUP	Q	8,804,723	ACTUAL PER GL
(3) AKRON CHILDREN'S HOSPITAL FOUNDATION	P	33,056,739	ACTUAL PER GL
(4) AKRON CHILDREN'S HOSPITAL FOUNDATION	C	6,892,945	ACTUAL PER GL
(5) AKRON CHILDREN'S HOSPITAL FOUNDATION	C	22,688,388	ACTUAL PER GL
(6) AKRON CHILDREN'S HOSPITAL FOUNDATION	O	3,976,296	ACTUAL PER GL
(7) AKRON CHILDREN'S HOSPITAL FOUNDATION	B	794,047	ACTUAL PER GL
(8) CHILDREN'S HOME CARE GROUP	N	728,853	ACTUAL PER GL

Schedule R (Form 990) 2015

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) 2015

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) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") IS DEDICATED TO IMPROVING THE HEALTH OF CHILDREN THROUGH QUALITY PATIENT CARE, EDUCATION, ADVOCACY, COMMUNITY SERVICE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	32
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	24
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	5,890
6	Total number of volunteers (estimate if necessary) .............	6	1,483
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	883,628
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-206,694

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	17,901,150	34,249,957
9	Program service revenue (Part VIII, line 2g) .........	674,092,478	719,630,443
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	11,051,771	4,391,873
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	6,708,981	7,053,408
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	709,754,380	765,325,681
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,879,126	794,047
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)	397,045,824	440,751,068
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)....	219,000,234	252,042,443
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	617,925,184	693,587,558
19	Revenue less expenses. Subtract line 18 from line 12.......	91,829,196	71,738,123
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,116,607,624	1,153,122,950
21	Total liabilities (Part X, line 26).............	529,777,980	500,338,803
22	Net assets or fund balances. Subtract line 21 from line 20.....	586,829,644	652,784,147

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 186,975,762 including grants of $ ) (Revenue $ 113,272,251 )
	Program Achievement #1 - Subspecialty Physicians In keeping with Chmca's Mission to provide quality medical and surgical care for babies, children, adolescents, and burn victims of all ages, regardless of the ability to pay, CHMCA offers unique services in a broad range of pediatric subspecialties as described herein. Some of CHMCA's Subspecialty areas include: Ambulatory services, Heart Center, Neurosurgery, Sedation Service, Maternal Fetal Medicine, Care Center, Gastroenterology, Urology, Sports Medicine, Neurology, Nephrology, Endocrinology, Adolescent Medicine, Infectious Diseases, Hematology Services, Pulmonary Medicine, Palliative Care Program, locust Pediatrics, Rheumatology, Clinical Pharmacology and Toxicology, Psychiatric Services, Genetics, Orthopedics and Skeletal Dysplasis. The Showers Family Center for Childhood Cancer and Blood Disorders provides comprehensive care to children, teens and young adults with all types of childhood cancer, sickle cell disease, hemogloginopathies and bleeding/clotting disorders, as well as those who require stem cell/bone marrow transplants. The team includes board-certified pediatric hematologists-oncologists, advance practice nurses, physician assistants, certified pediatric oncology nurses, pharmacists, social workers, clinical research associates, child life specialists, counselors and educators. As a major teaching institution, CHMCA offers fellowship training in pediatric hematology-oncology and is a major pediatric teaching hospital affiliated with Northeast Ohio Medical University. The division of hematology-oncology also actively participates in national clinical trials for childhood cancer and blood disorders, and continues to explore the causes and treatments of these diseases through our basic science research program. As a member of the Children's Oncology Group (COG), we participate in the development of National Cancer Institute-approved treatment protocols and offer the most up-to-date cancer therapies. Our cancer program is one of only 12 Pediatric Cancer Programs in the country as verified by the American College of Surgeons Commission on Cancer. CHMCA's Center for Diabetes and Endocrinology consists of a team of board-certified pediatric endocrinologists, certified nurse practitioners and pediatric nurses who diagnose and treat infants, children and teens. Recognized by the American Diabetes Association for Quality Self-Management Education, our center is backed by a full-service lab, registered dietitians, social worker, child psychologist and others. The most common endocrine disorders we treat are diabetes, short stature, thyroid disease, metabolism disorders and pubertal disorders. In addition, we offer specialized care in bone health, endocrine disorders in cancer survivors and cystic fibrosis patients. CHMCA's NeuroDevelopmental Science Center (NDC) brings together 5 pediatric specialties - developmental-behavioral pediatrics, neurology, neurosurgery, physiatry, and behavioral neuropsychology, under one roof to deliver the best outcomes and quality of life for patients. CHMCA's NDC is dedicated to easing the circumstances each step of the way, from referral to diagnosis to treatment. Our goal is provide care that enriches the quality of life for children and families affected by neurological and developmental disorders. CHMCA's Division of Orthopedics specializes in the diagnosis and surgical and/or non-surgical treatment of all types of bone, joint, muscle and spine disorders and injuries in children, teens and young adults. Our experienced pediatric orthopedic surgeons offer complete care for conditions affecting the musculoskeletal system, with the support of pediatric nurse practitioners, nurses and orthopedic technicians. This includes: pediatric spine trauma and deformity, sports injury reconstruction, musculoskeletal neurology, congenital hand and musculoskeletal deformity, hip reconstruction, chest reconstruction, fragile bone evaluation and treatment, skeletal dysplasia, and brachial plexus treatment. CHMCA's Robert T. Stone Respiratory Center provides services for patients with all types of respiratory illnesses, including allergies, cystic fibrosis, bronchopulmonary dysplasia, and chronic respiratory failure. The Center has a team of doctors, nurse practitioners, nurse clinicians, pulmonary function technicians, dieticians, physical therapists and a social worker. We provide direct and consultative diagnosis and treatment, education, case management, and research. Our Center includes: cystic fibrosis center, which treats patients from birth through adulthood, asthma education program, pulmonary medicine, pulmonary function testing lab, sleep center, and cardiopulmonary exercise testing. CHMCA's Pediatric Urology department diagnoses and treats children and teens with problems related to the genito-urinary systems. Services include laser, laparoscopy, lithotripsy and other minimally invasive techniques to treat diseases. Our staff also uses urodynamic tests to show how well the bladder and sphincter muscles work and to help explain various urinary diseases. During 2015, CHMCA converted its emergency department in the Montrose area into its first pediatric urgent-care center to treat children for minor illnesses and injuries. Throughout the year, two other urgent care locations were opened in Mansfield and Warren. Total urgent care visits were 9,848 in 2015.

4b	(Code: ) (Expenses $ 110,813,298 including grants of $ ) (Revenue $ 207,662,709 )
	Program Achievement #2 - Inpatient Services Total Inpatient Days 73,548 (2015) 73,424 (2014) CHMCA's philosophy of care is centered around the families we serve. This means we respect each child and family's individual needs and strive to make the hospital experience as pleasant as possible. The routine care units, which consist of private rooms and accommodations for overnight stay by parents, are based upon the concept of family-centered care. The primary focus of the facility is to provide an environment conducive to pediatric patients, aiding their recovery in a modern hospital setting. Inpatient services include some of the following divisions: Neonatal Intensive Care Unit, Pediatric Intensive Care Unit, Psychiatric Care, Regional Burn Center, and Trauma Services. The 75 bed regional neonatal intensive care unit was built in the new Key Jewelers Pavilion and opened in 2015. Our neonatologists provide the highest level of intensive care for our youngest patients. Our neonatal expertise also expands beyond our NICU in the Kay Jewelers Pavilion on our hospital campus in Akron. We also operate NICU's at Akron General Medical Center, Summa Akron City Hospital and St. Elizabeth Boardman Hospital, as well as special care nurseries at our Beeghly campus hospital, St. Joseph Warren Hospital and Wooster Community Hospital. CHMCA's neonatology division is ranked among the best in the nation, according to the U.S. News and World Report. A transport team from the NICU is also available at all times for transfer of patients by ambulance or helicopter from any one of the thirty-five (35) network hospitals in the area. Total NICU patient days: 2015 2014 Neonatal at Akron 19,067 17,584 Neonatal at AGMC 3,919 4,205 Neonatal at St. E's 5,894 6,518 Neonatal at Summa 5,686 6,070 Neonatal at Beeghly 2,783 4,170 Neonatal at Wooster 446 0 Neonatal at St. Joseph 483 0 The Division of Pediatric Critical Care is responsible for overseeing and delivering care in the Pediatric Intensive Care Unit (PICU). Each year, the PICU cares for about 1,500 children and teens in Northeast Ohio with life-threatening medical and surgical problems. The 25,200 square foot pediatric intensive care unit includes 23 private rooms with pull-out sofas to encourage parents to stay overnight. Total patient days were 21,184 and 21,408 in 2015 and 2014, respectively. Since 1978, the Burn Institute has provided specialized care for burn victims of all ages throughout Northeastern Ohio. CHMCA is one of only two pediatric hospitals in the country that treat adult burn patients. The Burn Institute is verified by the American Burn Association and The Committee on Trauma of the American College of Surgeons, which recognizes individual and institutional commitment to total burn care and a formal system for quality burn care delivery. Each year, more than 250 burn victims are admitted to the Burn Center, which features 12 private patient rooms with bathrooms and accommodations for one parent or family member. The unit also has a treatment room, physical therapy room, operating room and tub room. The Burn Center comprehensively treats seriously burned victims by combining the skills of physicians, nurses, occupational therapists, physical therapists, dieticians, social workers, respiratory therapists, psychologists and psychiatrists. Besides providing expert treatment, the center's staff is actively involved in burn research and burn care training for professional and community groups. Total patient days for the burn center were 2,004 and 1,969 for 2015 and 2014, respectively. The Division of Emergency/Trauma Services supplies the emergency care needs of children from birth to twenty-one (21) years of age. As the sole pediatric institution in the area, the Division of Emergency/Trauma Services is the designated treatment center for all emergent pediatric problems. Children from Akron and the surrounding counties in Northeast Ohio accounted for the majority of the 99,031 visits during 2015. A full-time attending pediatric emergency medicine specialist is on duty twenty-four (24) hours a day involved in the direct care of patients and teaching fellows, residents, and medical students. The Division of Emergency/Trauma boasts one of the nation's first and most successful suture programs using specially trained technicians and nurses to do most of the suturing of lacerations in the emergency setting. They see between 400-750 patients per month who need stitches. Rounding out the specialized medical care in the Emergency Department are child life specialists who are accustomed to explaining procedures to children and comforting parents; social workers trained to identify needs of families and point them to helpful services; and chaplains and bereavement staff who are always on call. CHMCA is verified as a pediatric trauma center by the American College of Surgeons. The pediatric trauma verification is based on its ability to provide quality trauma care to trauma patients and their families from the time of injury, through the acute care phase, into the rehabilitation phase.

4c	(Code: ) (Expenses $ 83,370,089 including grants of $ ) (Revenue $ 184,632,798 )
	Program Achievement #4 - Ancillary Some of the key departments of Ancillary include: Centralized Core Lab, Microbiology/Virology labs, Cytogenetics, Radiology Diagnostic Imaging, Radiology MRI, Radiology CT, Radiology Ultrasound, Radiology Nuclear Medicine, Physical Therapy, Speech Pathology, Audiology, Occupational Therapy. The Centralized Core Lab (CCL) includes the Chemistry, Hematology, Coagulation, Urinalysis, Special Chemistry and Blood Bank laboratories. The chemistry analyzers tests for more than 60 different substances found in blood, urine and cerobrospinal fluid specimens. In addition to routine chemistries, testing is performed for therapeutic and immunosuppresive drug monitoring. Instruments are selected to use the smallest amounts of blood for testing in order to minimize blood loss for our pediatric patients. In addition to the CCL, laboratory services are provided by the Infectious Disease Laboratories (Microbiology, Virology, Immunology, and Molecular Diagnostics). The Radiology Division at CHMCA performs a full spectrum of diagnostic imaging procedures inclusive of Diagnostic/Fluoroscopic xrays, CT, Nuclear Medicine, Ultrasound, and MRI. The Radiology division is staffed with licensed Diagnostic Imaging Technologists and all our Pediatric imaging procedures are read by qualified Pediatric Radiologists with Board Certification and Certificae of Added Qualification (CAQ) credentials inclusive of expertise in specific radiology subspecialty areas of imaging. CHMCA's physical and occupational therapists are devoted to providing quality care in the hospital and to outpatients, schools and community programs. Our staff of pediatric therapists can provide specialized treatment from birth to age 21. We are affiliated with nine universities for teaching of students. Incorporating the support of families and skills of various medical professionals, the Occupational Therapy, Physical Therapy, Speech, Audiology, and Social Services staff strive to provide patients with the skills needed to overcome a variety of developmental, physical, and emotional disabilities. The Family Child Learning Center (FCLC), a cooperative effort of CHMCA and Kent State University, offers a host of therapy and educational services to handicapped infants, preschoolers and their families. Therapists and educators work together to significantly enhance the development of these children at an early age. FCLC provides an educational training ground for graduate students in education, speech pathology, motor learning and physical and occupational therapy.

	(Code: ) (Expenses $ 180,293,143 including grants of $ ) (Revenue $ 214,062,685 )
	Other Revenue

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 180,293,143 including grants of $ 794,047 ) (Revenue $ 214,062,685 )
4e	Total program service expenses561,452,292

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	15,582,870	0	1,002,891

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	250,190
d	Related organizations		1d	29,580,083
e	Government grants (contributions)		1e	3,786,058

f	All other contributions, gifts, grants, and similar amounts not included above		1f	633,626

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		34,249,957

		Business Code
2a	SUBSPECIALTY PHYSICIANS	900099	113,272,251	113,272,251
b	INPATIENT SERVICES	900099	207,662,709	207,662,709
c	ANCILLARY	621500	184,632,798	184,632,798
d	OTHER NET PATIENT SERVICES	900099	196,472,183	196,472,183
e	OTHER DEPARTMENT REVENUE	900099	17,590,502	17,590,502
f	All other program service revenue.
g Total.Add lines 2a–2f.....			719,630,443

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			5,338,654			5,338,654
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss)......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	141,189	139,782,044
b	Less: cost or other basis and sales expenses	247,786	140,622,228
c	Gain or (loss)	-106,597	-840,184
d	Net gain or (loss).....			-946,781			-946,781
8a	Gross income from fundraising events (not including $ 250,190of contributions reported on line 1c). See Part IV, line 18 ....
	a		256,074
b	Less: direct expenses ...b		183,400
c	Net income or (loss) from fundraising events..			72,674			72,674
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	CAFETERIA		722514	3,476,947			3,476,947
b	PARKING DECK		812930	1,471,586			1,471,586
c	PHARMACY		446110	552,320		552,320
d	All other revenue ....			1,479,881		331,308	1,148,573
e	Total. Add lines 11a–11d ......			6,980,734
12	Total revenue. See Instructions......			765,325,681	719,630,443	883,628	10,561,653

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	794,047	794,047
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	10,747,490	3,007,443	7,740,047
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	134,859		134,859
7	Other salaries and wages	329,811,546	293,220,494	36,591,052
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	28,733,895	25,300,704	3,433,191
9	Other employee benefits .......	50,495,647	40,166,543	10,329,104
10	Payroll taxes ...........	20,827,631	18,067,629	2,760,002
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	690,667	45,693	644,974
c	Accounting ...........	382,520		382,520
d	Lobbying ...........	132,150	132,150
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	584,399		584,399
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	40,399,461	28,790,382	11,609,079
12	Advertising and promotion ....	8,386,748	244,658	8,142,090
13	Office expenses .......	10,979,667	8,442,911	2,536,756
14	Information technology ......	7,233,070		7,233,070
15	Royalties ..	0
16	Occupancy ...........	19,980,194	13,485,157	6,495,037
17	Travel ............	5,600,454	3,419,860	2,180,594
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	6,764,254		6,764,254
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	44,033,073	25,043,745	18,989,328
23	Insurance ...	8,910,665	8,009,390	901,275
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL/SURGICAL SUPPLIES	64,315,048	64,099,507	215,541
b	EQUIPMENT RENTAL/MAINTENANCE	10,906,376	6,961,617	3,944,759
c	PROVISION FOR FRANCHISE FEE	11,950,034	11,950,034
d	PROVISION FOR HCAP	3,338,474	3,338,474
e	All other expenses	7,455,189	6,931,854	523,335
25	Total functional expenses. Add lines 1 through 24e	693,587,558	561,452,292	132,135,266	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).

1	Cash–non-interest-bearing ........			28,555	1	36,955
2	Savings and temporary cash investments .........			42,617,608	2	52,091,120
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			82,965,209	4	87,983,174
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net ....			30,110,432	7	28,096,147
8	Inventories for sale or use ........			6,187,748	8	6,761,663
9	Prepaid expenses and deferred charges ......			5,665,430	9	7,785,960
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	857,118,050
b	Less: accumulated depreciation	10b	453,144,113	381,446,789	10c	403,973,937
11	Investments—publicly traded securities .			426,645,677	11	446,685,537
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			3,343,701	13	3,003,894
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			137,596,475	15	116,704,563
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,116,607,624	16	1,153,122,950

17	Accounts payable and accrued expenses .....	111,214,719	17	100,086,106
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	223,593,506	20	218,832,162
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	194,969,755	25	181,420,535
26	Total liabilities. Add lines 17 through 25..	529,777,980	26	500,338,803

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	508,086,414	27	583,751,923
28	Temporarily restricted net assets ...........	66,791,222	28	54,853,411
29	Permanently restricted net assets	11,952,008	29	14,178,813
	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 ...........	586,829,644	33	652,784,147
34	Total liabilities and net assets/fund balances ........	1,116,607,624	34	1,153,122,950

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