Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 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 | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 21,197,321 | 21,032,204 | 17,423,562 | 18,795,050 | 14,434,553 | 92,882,690 |
| 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 | 21,197,321 | 21,032,204 | 17,423,562 | 18,795,050 | 14,434,553 | 92,882,690 |
| 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) .. | 5,215,754 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 87,666,936 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 21,197,321 | 21,032,204 | 17,423,562 | 18,795,050 | 14,434,553 | 92,882,690 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 2,483,765 | 3,920,251 | 2,837,352 | 3,407,871 | 17,617,008 | 30,266,247 |
| 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.).. | 190 | 190 | ||||
| 11 | Total support. Add lines 7 through 10 | 123,149,127 | |||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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 on 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) |
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| 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) |
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| 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): |
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| 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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2025. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| FORM 990, PART VI, SECTION A, LINE 6 | THE BOARD OF DIRECTORS OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") IS THE SOLE MEMBER OF AKRON CHILDREN'S HOSPITAL FOUNDATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | CHMCA IS THE PARENT COMPANY OF AKRON CHILDREN'S HOSPITAL FOUNDATION AND CHMCA'S BOARD OF DIRECTORS HAS THE RIGHT TO ELECT OR APPOINT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | SUBJECT TO CONSULTATION WITH THE BOARD, THE MEMBER SHALL HAVE FINAL DECISION-MAKING AUTHORITY WITH RESPECT TO THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES: (A) TO APPROVE AMENDMENTS TO THE ARTICLES AND REGULATIONS; (B) TO APPROVE, APPOINT OR REMOVE A MEMBER OF THE BOARD WITH OR WITHOUT CAUSE IN ACCORDANCE WITH THE PROCEDURES SET FORTH HEREIN; (C) TO APPROVE THE MISSION AND PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ALL ORGANIZATIONS CONTROLLED BY THE CORPORATION SHALL OPERATE AND TO APPROVE ANY MAJOR FUNDRAISING INITIATIVES AND POLICIES AND CONFLICT OF INTEREST POLICIES TO BE ADOPTED BY THE CORPORATION; (D) TO APPROVE THE ANNUAL BUDGET AND ANY CONSOLIDATED OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND CHANGES IN THE BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; (E) TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; (F) TO APPROVE CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER OR WITH A TERM GREATER THAN ONE (1) YEAR, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS; TO APPROVE THE COMPLIANCE PLAN, COMPLIANCE POLICIES, AND ANY ACTIONS, CHANGES IN ACTIVITIES AND DECISIONS REGARDING COMPLIANCE ISSUES OF THE CORPORATION; TO APPROVE THE RISK MANAGEMENT AND INSURANCE PROGRAMS AND POLICIES OF CORPORATION; AND TO APPROVE CONTRACTS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER OR WITH A TERM GREATER THAN ONE (1) YEAR; (G) TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION; (H) TO APPROVE THE OVERALL STRATEGIC AND LONG RANGE GOALS AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; (I) TO APPOINT OR REMOVE THE CHAIR, VICE CHAIR, PRESIDENT, SECRETARY, ASSISTANT SECRETARY, TREASURER, ASSISTANT TREASURER OR EXECUTIVE DIRECTOR OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION, IN CONSULTATION WITH THE BOARD; (J) TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; (K) TO APPROVE THE LEASE OR SALE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER, AND TO APPROVE THE PURCHASE OR SALE OF ANY REAL ESTATE; (L) TO RECEIVE ANY FUNDING FROM AFFILIATED ENTITIES OR DISBURSEMENTS TO AFFILIATED OR OTHER THIRD PARTIES; AND (M) TO APPROVE THE ENTERING INTO, RENEWAL, DISPUTE RESOLUTION OR TERMINATION OF ANY AGREEMENTS BETWEEN THE CORPORATION AND ANY ENTITY WHICH IS AFFILIATED WITH THE CORPORATION, OR ANY ENTITY OWNED IN WHOLE OR IN PART BY ANY PHYSICIAN EMPLOYED BY THE CORPORATION, INCLUDING LEASES, MANAGEMENT SERVICES AND INDEPENDENT CONTRACTOR RELATIONSHIPS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PROVIDED TO THE ENTERPRISE RISK AND COMPLIANCE COMMITTEE OF CHMCA FOR REVIEW AND DISCUSSION PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE. THE ENTERPRISE RISK AND COMPLIANCE COMMITTEE IS A COMMITTEE OF THE BOARD OF DIRECTORS AND EMPOWERED TO COMPLETE THE REVIEW ON BEHALF OF THE BOARD OF DIRECTORS. A FULL COPY OF THE 990 IS PROVIDED TO ALL FOUNDATION BOARD MEMBERS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE POLICIES AND PROCEDURES OF AKRON CHILDREN'S HOSPITAL FOUNDATION ARE ADMINISTERED BY CHMCA. IT IS CHMCA'S POLICY THAT ALL BOARD MEMBERS DISCLOSE REAL OR APPARENT CONFLICTS OF INTEREST AS A CONDITION OF EMPLOYMENT. CHMCA ALSO REQUIRES THAT EACH BOARD MEMBER DISCLOSE IN WRITING, ANNUALLY, A LIST OF ALL BUSINESSES OR OTHER ORGANIZATIONS IN WHICH HE/SHE (OR AN IMMEDIATE FAMILY MEMBER) 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, AND AS SUCH, POTENTIAL FOR A CONFLICT OF INTEREST, IT IS THE PRIMARY RESPONSIBILITY OF THE INDIVIDUAL DIRECTLY INVOLVED TO MAKE IMMEDIATE AND COMPLETE DISCLOSURE TO THE APPROPRIATE SUPERVISOR. THE CHIEF HUMAN RESOURCES OFFICER SHALL REVIEW ALL DISCLOSURE STATEMENTS AND FORWARD THOSE WITH RECOMMENDATIONS TO THE CHIEF LEGAL OFFICER. THE CHIEF LEGAL OFFICER REFERS SELECTED ISSUES OR MATTERS FOR CONSULTATION TO THE ENTERPRISE RISK AND COMPLIANCE COMMITTEE OF THE BOARD. ADDITIONALLY, ANNUALLY, ALL MEMBERS, DIRECTORS, OFFICERS, BOARD COMMITTEE MEMBERS AND KEY EMPLOYEES OF CHMCA AND THE FOUNDATION DIRECTORS AND OFFICERS MUST ANNUALLY DISCLOSE THEIR CONFLICTS ON THE CONFLICT OF INTEREST/ DUAL INTEREST DISCLOSURE STATEMENT IN ACCORDANCE WITH THE EMPLOYEE CONFLICT OF INTEREST POLICY WHICH APPLIES TO ALL EMPLOYEES OF CHMCA AND ITS SUBSIDIARIES, INCLUDING THE FOUNDATION. |
| FORM 990, PART VI, SECTION B, LINE 15A | ACHF RELIES ON THE RELATED ORGANIZATION, CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON, TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND CONSOLIDATED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, LINE 16B: | ACHF HAS MADE INVESTMENTS IN LIMITED LIABILITY OR LIMITED PARTNER ORGANIZATIONS ON A LIMITED BASIS, ALL JOINT VENTURES ARE REVIEWED TO ENSURE EXEMPTION IS NOT AT RISK. |
| FORM 990, PART IX, LINE 25(D): | AKRON CHILDREN'S HOSPITAL PROCESSES ALL ACCOUNTS PAYABLE THROUGH ONE PAY COMPANY, THIS INCLUDES ALL FUNDRAISING EXPENSES PAID ON BEHALF OF THE FOUNDATION. |
| FORM 990, PART X, LINE 20: | AKRON CHILDREN'S HOSPITAL FOUNDATION IS PART OF THE OBLIGATED GROUP REGARDING THE OUTSTANDING BOND ISSUES OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON AND THEREFORE LIABLE FOR SERVICING THE DEBT AND OTHER OBLIGATIONS. |
| FORM 990, PART XI, LINE 9: | TRANSFERS TO HOSPITAL 934,865. |
| FORM 990, PART XII, LINE 2C: | ACHF THROUGH ITS PARENT COMPANY "CHMCA" HAS AN ENTERPRISE RISK AND COMPLIANCE COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW, OR COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |
| PART V, LINE 1A | AKRON CHILDREN'S HOSPITAL PROCESSES ALL ACCOUNTS PAYABLE THROUGH ONE PAY COMPANY. ALL 1099 FORMS FOR AKRON CHILDREN'S HOSPITAL FOUNDATION ARE FILED UNDER THE CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON (FEIN: 34-0714357). |
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