Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
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. | ||||||
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. | ||||||
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.) | ||||||
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.).. | ||||||
| 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 | ||||
| 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....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, PROGRAM SERVICE ACCOMPLISHMENTS | COMMUNITY SERVICES IN ADDITION TO PROVIDING MEDICAL CARE FOR THE UNINSURED, LIVES OF COMMUNITY MEMBERS WERE TOUCHED THOUSANDS OF TIMES THROUGH COMMUNITY HEALTH PROGRAMS AND SCREENINGS. THROUGHOUT 2015, AKRON GENERAL CONTINUED TO WORK WITH THE OTHER AKRON HOSPITAL SYSTEMS TO DEVELOP A COLLABORATIVE COMMUNITY DIABETES INITIATIVE. THIS WORK IS BASED ON THE NEEDS IDENTIFIED IN THE COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH WAS RELEASED AT THE END OF 2013, AS REQUIRED BY THE IRS TO BE REPORTED BY EACH HOSPITAL FACILITY. THE CHNA REPORT, ALONG WITH THE IMPLEMENTATION STRATEGIES TO ADDRESS THOSE NEEDS, ARE EASILY ACCESSIBLE TO THE COMMUNITY ON THE HOSPITALS' WEBSITES. KENT STATE UNIVERSITY'S COLLEGE OF PUBLIC HEALTH, WHICH CONDUCTED THE ASSESSMENT, CONTINUES TO WORK WITH HOSPITAL REPRESENTATIVES ON THIS PROJECT. A REPRESENTATIVE LIST OF IMPORTANT PROGRAMS SUPPORTED BY AKRON GENERAL IN 2015 INCLUDES THE FOLLOWING: * AKRON GENERAL PARTNERS WITH THE UNIVERSITY OF AKRON'S NURSING CENTER FOR COMMUNITY HEALTH TO IMPROVE ACCESS TO HEALTH CARE SERVICES. THE MAIN CLINIC, LOCATED ON THE UNIVERSITY OF AKRON CAMPUS, IS STAFFED BY AKRON GENERAL FAMILY MEDICINE PHYSICIANS WHO PROVIDE FREE PRIMARY MEDICAL CARE FOR PEOPLE WHO CANNOT AFFORD IT AND DO NOT QUALIFY FOR FEDERAL PROGRAMS. * AKRON GENERAL ALSO SERVES THE PRIMARY MEDICAL CARE NEEDS OF WOMEN AND CHILDREN AT ACCESS INC., A HOMELESS WOMEN'S SHELTER IN AKRON AND A SATELLITE OF THE UNIVERSITY OF AKRON NURSING CLINIC. THOUSANDS OF PATIENTS ARE SEEN EACH YEAR AT THE UA-BASED LOCATION IN MARY GLADWIN HALL AND THE ACCESS FACILITY. * IN 2015, AKRON GENERAL CONTINUED TO PROVIDE WOMEN'S HEALTH SERVICES TO HOMELESS WOMEN AT HARVEST HOME OF HAVEN OF REST. PAP AND PELVIC EXAMS, STD SCREENINGS AND COUNSELING SERVICES ARE PROVIDED BI-MONTHLY BY OUR OB/GYN PHYSICIANS AND WOMEN'S CLINIC STAFF. * AKRON GENERAL'S AWARD WINNING MUFFINS FOR MAMMOGRAMS PROGRAM PROVIDES FREE MAMMOGRAMS AND OTHER RELATED SERVICES FOR UNINSURED WOMEN IN OUR COMMUNITY. OVER THE PAST 23 YEARS, THE PROGRAM HAS PAID FOR MAMMOGRAMS, BIOPSIES, LUMPECTOMIES AND MASTECTOMIES FOR NEARLY 10,000 WOMEN WHO HAD NO INSURANCE AND OTHERWISE COULD NOT AFFORD TO PAY FOR SUCH CARE AND TREATMENT. IN 2015 THROUGH MUFFINS, AKRON GENERAL SERVED 199 AREA WOMEN. * AKRON GENERAL RAISED $89,775 DURING 2015 TO SUPPORT AKRON GENERAL'S MUFFINS FOR MAMMOGRAMS PROGRAM WHICH PROVIDES FREE SCREENING MAMMOGRAMS FOR 183 UNINSURED WOMEN IN OUR COMMUNITY WHO OTHERWISE COULD NOT AFFORD THEM. PARTNERING WITH MAIN STREET GOURMET, AKRON GENERAL SOLD MUFFINS AND DISTRIBUTED LIFE-SAVING BREAST HEALTH INFORMATION. IN ADDITION, THE AKRON RACERS PROFESSIONAL SOFTBALL TEAM RAISED MONEY FOR THE PROGRAM THROUGH GAME TICKET SALES. WQMX RADIO ALSO SUPPORTED THE MUFFINS PROGRAM BY HOLDING ITS ANNUAL BOSOM BUDDIES BENEFIT CONCERT. * THE PINK RIBBON PROJECT PROVIDES FREE BREAST AND CERVICAL CANCER SCREENINGS FOR WOMEN WHO OTHERWISE COULD NOT AFFORD THEM. MAMMOGRAMS AND PAP SMEARS ARE PROVIDED AT AKRON GENERAL'S WOMEN'S HEALTH CLINIC TO QUALIFYING WOMEN. IN 2015, 122 SERVICES WERE PROVIDED TO WOMEN IN NEED. * THROUGH SAVE A LIFE SUPER SATURDAY - A COLLABORATIVE PROGRAM WITH THE AMERICAN RED CROSS -AKRON GENERAL PROVIDED FREE HANDS-ONLY CPR AND AED TRAINING TO COMMUNITY MEMBERS AGAIN IN 2015. FOUR FREE ONE-HOUR SESSIONS WERE HELD ON SATURDAY, OCTOBER 17TH AT THE HEALTH & WELLNESS CENTERS IN MONTROSE AND GREEN. AS A RESULT, 52 INDIVIDUALS ARE TRAINED AND READY TO RESPOND TO AN EMERGENCY AND PERHAPS SAVE THE LIFE OF A LOVED ONE. * THE 15TH HEART AND VASCULAR SCREENING WAS CONDUCTED TO DETECT STROKE RISK, ATRIAL FIBRILLATION AND PERIPHERAL VASCULAR DISEASE AMONG COMMUNITY RESIDENTS. AKRON GENERAL'S HEART AND VASCULAR CENTER STAFF PROVIDED FREE SCREENINGS TO 48 INDIVIDUALS - MANY WHO WERE UNINSURED AND HIGH-RISK. PARTICIPANTS RECEIVED APPROPRIATE FOLLOW UP AS NEEDED. * SEVERAL FREE CANCER SCREENINGS WERE CONDUCTED FOR THE UNINSURED AND UNDERSERVED TO HELP DETECT CANCER AND OTHER DISEASES AND CONDITIONS IN THEIR EARLIEST STAGES. THESE ARE OFFERED THROUGHOUT THE YEAR WITH THE HELP AND SUPPORT OF OUR MEDICAL STAFF, RESIDENTS AND STAFF. SCREENINGS FOR BREAST, LUNG AND SKIN CANCERS WERE AMONG THOSE OFFERED IN 2015. MORE THAN 448 INDIVIDUALS PARTICIPATED. * FOR THE 7TH CONSECUTIVE YEAR, AKRON GENERAL PARTNERED WITH THE ARTHRITIS FOUNDATION FOR THE SUMMIT COUNTY ARTHRITIS EXPO, BRINGING NEARLY 43 PEOPLE TO THE HEALTH & WELLNESS CENTER GREEN FOR TALKS BY MEDICAL PROFESSIONALS AND INFORMATION ON AREA RESOURCES THAT SUPPORT INDIVIDUALS LIVING WITH THIS CHRONIC DISEASE. * CELEBRATING THE GREAT AMERICAN SMOKE OUT ON NOV. 19 AKRON GENERAL SET UP DISPLAYS IN THE HOSPITAL'S MAIN LOBBY AND RAN RADIO SPOTS ON 1590 WAKR AND 97.5WONE RADIO. THE RADIO SPOTS PROVIDED HEALTH TIPS ABOUT QUITTING A TOBACCO HABIT FOR GOOD WHILE THE LOBBY EXHIBIT OFFERED INFORMATION PACKETS INCLUDING HOW TO SIGN UP FOR SMOKING CESSATION CLASSES. AKRON GENERAL CONTINUES TO OFFER COMMUNITY MEMBERS A SIX-WEEK FREE SMOKING CESSATION PROGRAM SEVERAL TIMES A YEAR. THE PROGRAM IS LED BY A RESPIRATORY THERAPIST WHO IS ALSO A TRAINED TOBACCO TREATMENT SPECIALIST. * AKRON GENERAL IS A PROVIDER OF MEDICAL SERVICES FOR ACCESS TO CARE, A PROGRAM OPERATED BY SUMMIT COUNTY PUBLIC HEALTH. THE PROGRAM LINKS UNINSURED SUMMIT COUNTY RESIDENTS WITH A VOLUNTEER PRIMARY CARE PHYSICIAN, HOSPITAL AND SPECIALTY CARE SERVICES AT NO CHARGE. SINCE ITS INCEPTION IN 2005, MORE THAN 5,400 INDIVIDUALS HAVE BEEN SERVED BY ATC AND AKRON GENERAL HAS PROVIDED THOUSANDS OF DOLLARS WORTH OF FREE SERVICES. * THROUGH COLLABORATION WITH SUMMIT COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES, A CASE WORKER WHO IS BASED AT AKRON GENERAL'S WOMEN'S HEALTH CLINIC CONNECTS UNINSURED AND UNDERINSURED PREGNANT WOMEN WITH SOCIAL SERVICES. A SIMILAR PROGRAM IS ALSO BASED ON THE MAIN HOSPITAL CAMPUS. * AKRON GENERAL CONTINUES TO BE A LEADER IN SUPPORTING THE PLACEMENT OF LIFESAVING AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS) IN PUBLIC PLACES. FOLLOWING COMPLETION OF THE OHIO SCHOOL AED PROGRAM ADMINISTERED BY AKRON GENERAL IN WHICH MORE THAN 4,500 DEFIBRILLATORS WERE PLACED IN SCHOOLS ACROSS THE STATE, WE CONTINUE TO PROVIDE ADVICE AND INFORMATION ABOUT AEDS. AT LEAST 15 KNOWN SAVES HAVE BEEN REPORTED BY SCHOOLS WHERE DEFIBRILLATORS WERE PLACED THROUGH THE OHIO SCHOOL AED PROGRAM. IN 2015 AKRON GENERAL COVERED THE COST OF PLACING AEDS AT SIX COMMUNITY LOCATIONS INCLUDING THE SUMMIT COUNTY FAIRGROUND, ACCESS INC., HOMELESS SHELTER FOR WOMEN & CHILDREN AND THE AKRON CIVIC THEATRE. * AKRON GENERAL'S FREE SPEAKER'S BUREAU RESPONDS TO THE NEEDS OF COMMUNITY CLUBS AND ORGANIZATIONS FOR TRUSTED HEALTH INFORMATION. IN 2015, AKRON GENERAL HEALTH PROFESSIONALS REACHED MORE THAN 2,000 PEOPLE WITH HEALTH PRESENTATIONS IN THE COMMUNITY ON A VARIETY OF TOPICS RANGING FROM STRESS MANAGEMENT AND NUTRITION TO STROKE AWARENESS AND INJURY PREVENTION. |
| FORM 990, PART VI, SECTION A, LINE 6 | AKRON GENERAL MEDICAL CENTER HAS ONE MEMBER, AKRON GENERAL HEALTH SYSTEM. AKRON GENERAL HEALTH SYSTEM IS ORGANIZED IN OHIO AS A NON-PROFIT CORPORATION AND IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC 501(C)(3). AKRON GENERAL HEALTH SYSTEM IS NOT A PRIVATE FOUNDATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | AKRON GENERAL HEALTH SYSTEM HAS THE POWER TO APPOINT THE MEMBERS OF AKRON GENERAL MEDICAL CENTER'S GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | AKRON GENERAL HEALTH SYSTEM (AGHS) IS THE SOLE MEMBER OF AKRON GENERAL MEDICAL CENTER (AGMC). IT RESERVES THE FOLLOWING POWERS WITH RESPECT TO AGMC: ELECT AND REMOVE MEMBERS OF THE BOARD OF DIRECTORS, APPOINT CHAIR AND VICE CHAIR OF THE BOARD AND APPOINT AND CONFIRM THE PRESIDENT OF AGMC SUBJECT TO CONFIRMATION BY AGMC'S BOARD. APPROVAL OF ALL VICE PRESIDENTS OF AGMC. AMEND AGMC'S CODE OF REGULATIONS. APPROVE EACH ANNUAL OPERATING AND CAPITAL BUDGET AND STRATEGIC PLAN OF AGMC. APPROVAL OF THE FOLLOWING WHERE THE VALUE EXCEEDS AN AMOUNT PREDETERMINED FOR EACH BY AGHS - CONTRACTS, INVESTMENTS, DONATIONS OF CORPORATE ASSETS AND DEBT OBLIGATIONS. APPROVE INDEPENDENT AND INTERNAL AUDITORS, AND ALL ACCOUNTING POLICIES. APPROVE ALL PLANS OF MERGER, CONSOLIDATION OR VOLUNTARY DISSOLUTION OF THE CORPORATION. TO APPROVE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF MORE THAN 10% IN VALUE OF GROSS PROPERTY AND ASSETS OF THE CORPORATION IN ANY ONE FISCAL YEAR. TO APPROVE THE CREATION OF CONTROLLED OR OWNED SUBSIDIARIES OR AFFILIATES BY THE CORPORATION. TO APPROVE EXECUTIVE COMPENSATION AND BENEFITS. APPROVAL OF ALL NEW WRITTEN POLICIES OF AGMC. |
| FORM 990, PART VI, SECTION B, LINE 11 | LINE 11B - THE FORM 990 IS REVIEWED BY EXPERIENCED AND QUALIFIED MEMBERS OF THE FINANCE DIVISION TAX DEPARTMENT. PRIOR TO FILING, KEY SECTIONS OF THE FORM ARE REVIEWED WITH EXPERIENCED AND QUALIFIED MEMBERS OF THE LAW DEPARTMENT. THE ENTIRE RETURN IS ALSO REVIEWED WITH THE CFO, THE AUDIT COMMITTEE CHAIRPERSON AND THE AUDIT COMMITTEE VICE CHAIRPERSON. THE PAID PREPARER (A BIG 4 PUBLIC ACCOUNTING FIRM) CONDUCTS AN IN DEPTH REVIEW OF THE FORM. UPON CONFIRMATION OF SUCCESSFUL E-FILING FROM THE IRS, A COPY OF THE FINAL E-FILED RETURN WILL BE MADE AVAILABLE TO APPROPRIATE MEMBERS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 12C | AKRON GENERAL MEDICAL CENTER IS AN AFFILIATE OF THE CLEVELAND CLINIC FOUNDATION ("CCF"). IT IS SUBJECT TO THAT ORGANIZATION'S CONFLICT OF INTEREST ("COI") POLICY. CCF HAS ADOPTED A COI POLICY CONSISTENT WITH THE MODEL IRS COI POLICY. IT APPLIES TO DIRECTORS, OFFICERS AND TRUSTEES OF CCF AND ALL ITS AFFILIATES, BOTH EXEMPT AND TAXABLE. UNDER THE BOARD OF DIRECTORS POLICIES AND PROCEDURES FOR DEALING WITH CONFLICT OF INTEREST ISSUES (THE POLICY), A DIRECTOR, OFFICER OR TRUSTEE WHO HAS A CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT MUST REFRAIN FROM VOTING ON ANY MATTER RELATING TO THE CONTRACT, TRANSACTION, OR ARRANGEMENT. IN ADDITION, THE DIRECTORS, OFFICERS AND TRUSTEES MUST ANNUALLY DISCLOSE ANY INTERESTS AS DEFINED IN THE POLICY THAT MAY BE CONSIDERED A POTENTIAL CONFLICT OF INTEREST. FAILURE TO TIMELY REPLY IS TO BE ADDRESSED BY THE COMMITTEE UNDER THE POLICY. THE DIRECTORS, OFFICERS AND TRUSTEES HAVE A CONTINUING OBLIGATION TO NOTIFY THE CHIEF GOVERNANCE OFFICER AT ANY TIME DURING THE YEAR IF ANY OF THEIR DISCLOSURES CHANGE OR IF A NEW DISCLOSURE IS REQUIRED UNDER THE POLICY. THE BOARD OF CONFLICT OF INTEREST COMMITTEE (THE COMMITTEE) MEETS AT LEAST FOUR TIMES A YEAR AND REVIEWS THE DISCLOSURES, ANY PROPOSED ARRANGEMENTS THAT MAY INVOLVE A POTENTIAL CONFLICT OF INTEREST, AND DOCUMENTS ITS CONCLUSIONS. UNDER THE POLICY, THE INTERESTED PERSONS MAY ATTEND A MEETING AT THE DISCRETION OF THE BOARD OF DIRECTORS, OR THE COMMITTEE, TO PROVIDE INFORMATION OR ANSWER QUESTIONS, BUT SUCH PERSONS MAY NOT BE PRESENT DURING FINAL CONSIDERATION OR VOTING ON THE CONTRACT, TRANSACTION OR ARRANGEMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE REPORTING ORGANIZATION ITSELF DOES NOT DETERMINE THE COMPENSATION OF ITS TOP MANAGEMENT OFFICIAL OR ITS KEY EMPLOYEES. THE COMPENSATION OF SUCH PERSONS IS DETERMINED BY ITS PARENT ORGANIZATION, AKRON GENERAL HEALTH SYSTEM (AGHS), AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). IN ACCORDANCE WITH AGHS'S EXECUTIVE COMPENSATION POLICY, THE PROCESS FOR DETERMINING THE COMPENSATION OF THE REPORTING ORGANIZATION'S TOP MANAGEMENT PERSONNEL IS MODELED AFTER THE REQUIREMENTS FOUND IN INTERNAL REVENUE CODE SECTION 4958 FOR ESTABLISHING THE PRESUMPTION OF REASONABLE COMPENSATION. THE PROCESS CALLS FOR RECOMMENDATIONS - DEVELOPED BY AN INDEPENDENT COMPENSATION CONSULTANT, BASED ON COMPARABLE MARKET DATA FROM PUBLISHED SURVEYS AND THE FORMS 990 OF COMPARABLE ORGANIZATIONS - THAT ARE WITHIN THE RANGE OF THE TOTAL COMPENSATION AND BENEFITS OF SIMILARLY SITUATED PERSONS AT SIMILARLY SITUATED ORGANIZATIONS. THESE RECOMMENDATIONS ARE REVIEWED BY THE COMPENSATION COMMITTEE OF AGHS'S BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT PERSONS AND THE DELIBERATIONS ARE DOCUMENTED, CONTEMPORANEOUSLY, IN THE COMMITTEE'S MINUTES. WITH THE EXCEPTION OF AGHS'S CEO, THE COMPENSATION FOR THE REPORTING ORGANIZATION'S TOP MANAGEMENT - AS WELL AS ALL PERSONS LISTED IN PART VII AND SCHEDULE J WHO WERE COMPENSATED BY RELATED ORGANIZATIONS - WAS REVIEWED FOR REASONABLENESS USING THIS PROCESS IN 2014. THE COMPENSATION COMMITTEE AND BOARD LEADERSHIP, REQUESTED THAT EXECUTIVE COMPENSATION REVIEW BE DEFERRED UNTIL 2016, AND THEREFORE, NO ADJUSTMENTS TO COMPENSATION WERE MADE IN 2015. DURING 2014, AGHS'S CEO'S CONTRACT WAS PREPARED FOR RENEWAL USING THE PROCESS DESCRIBED ABOVE. IN JANUARY 2015, THE BOARD APPROVED THE RECOMMENDATION OF THE COMPENSATION COMMITTEE AND EXECUTED A NEW THREE-YEAR AGREEMENT WITH THE CEO. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE REPORTING ORGANIZATION IS A MEMBER OF THE CLEVELAND CLINIC (CCF). CCF MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT CLEVELAND CLINIC" SECTION. IN THIS SECTION, THE FINANCIAL STATEMENTS, ANNUAL REPORT, COMMUNITY BENEFIT REPORT, CCF'S CONFLICT OF INTEREST POLICY, AND CORPORATE COMPLIANCE POLICIES ARE AVAILABLE. |
| FORM 990, PART IX, LINE 11G | AMBULANCE: PROGRAM SERVICE EXPENSES 531,676. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 531,676. LAB: PROGRAM SERVICE EXPENSES 2,332,994. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,332,994. RADIOLOGY: PROGRAM SERVICE EXPENSES 465,946. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 465,946. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 155,643. MANAGEMENT AND GENERAL EXPENSES 198,935. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 354,578. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 620,174. MANAGEMENT AND GENERAL EXPENSES 174,346. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 794,520. CONSULTING: PROGRAM SERVICE EXPENSES 9,824. MANAGEMENT AND GENERAL EXPENSES 368,609. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 378,433. BILLING SERVICES: PROGRAM SERVICE EXPENSES 235,284. MANAGEMENT AND GENERAL EXPENSES 9,371. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 244,655. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 864,512. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 864,512. DIETARY: PROGRAM SERVICE EXPENSES 1,362,331. MANAGEMENT AND GENERAL EXPENSES 1,234,301. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,596,632. COURIER SERVICES: PROGRAM SERVICE EXPENSES 374,763. MANAGEMENT AND GENERAL EXPENSES 991. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 375,754. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 1,563,688. MANAGEMENT AND GENERAL EXPENSES 8,554. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,572,242. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 54,670. MANAGEMENT AND GENERAL EXPENSES 346,191. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 400,861. RECRUITING: PROGRAM SERVICE EXPENSES 323,490. MANAGEMENT AND GENERAL EXPENSES 577,219. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 900,709. PROFESSIONAL FEES TO PHYSICIANS: PROGRAM SERVICE EXPENSES 21,755,900. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,755,900. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 11,563,939. MANAGEMENT AND GENERAL EXPENSES 9,681,006. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,244,945. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FOUNDATION NET ASSETS -76,199. TRANSFERS FROM/(TO) OTHER AFFILIATED ORGANIZATIONS -55,482,077. PENSION LIABILITY 172,753. NET CHANGE IN RESTRICTED FUNDS -86,400. CHANGE IN VALUE OF CASH FLOW HEDGE 22,978. GRANT FUNDING FOR CAPITAL 10,884. REVENUE NOT ON BOOKS -374,387. |
| FORM 990, PART XII, LINE 2C: | AKRON GENERAL MEDICAL CENTER IS A SUBSIDIARY OF AKRON GENERAL HEALTH SYSTEM. ON NOVEMBER 1, 2015, THE CLEVELAND CLINIC FOUNDATION BECAME THE SOLE MEMBER OF AKRON GENERAL HEALTH SYSTEM. AKRON GENERAL HEALTH SYSTEM, AND ITS SUBSIDIARIES, WERE INCLUDED IN THE CLEVELAND CLINIC FOUNDATION'S AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31ST, 2015. CONSEQUENTLY, THE OVERSIGHT PROCESS FOR THE AUDITED FINANCIAL STATEMENTS WAS CONDUCTED BY THE CLEVELAND CLINIC FOUNDATION. |
| FORM 990, PART VIII, LINE 1D, CONTRIBUTUIONS FROM RELATED ORGANIZATIONS | CONTRIBUTIONS FROM THE AKRON GENERAL FOUNDATION (A RELATED ORGANIZATION) ARE NETTED AGAINST EXPENSES FOR BOOK PURPOSES. THEREFORE, THESE ARE NOT REFLECTED ON PART VIII, LINE 1D. |
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