TY 2024 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/1099-NEC)
(1) CHRISTOPHER A GESSNER...................................................................... BOD/OFFICER-PRESIDENT AND CEO	47.80 ................. 2.20	X	X	1,475,726	315,582
(2) GORDON EDWARDS...................................................................... BOD/OFFICER-CHIEF FINANCIAL OFFICER AND TREASURER	45.00 ................. 5.00	X	X	884,190	79,021
(3) KIMBERLY MOSES...................................................................... CHIEF LEGAL OFFICER	50.00 ................. 0.00	X	X	449,541	47,285
(4) MARK WULKAN MD...................................................................... DEPARTMENT CHAIR SURGERY-PART YEAR	50.00 ................. 0.00	X		944,848	45,687
(5) ROBERT MCGREGOR MD...................................................................... CHIEF MEDICAL OFFICER - PART YEAR	48.00 ................. 2.00	X	X	767,148	31,726
(6) SHEFALI MAHESH MD...................................................................... PRESIDENT OF MEDICAL STAFF/CHAIR PEDIATRICS	47.00 ................. 3.00	X		367,852	43,974
(7) VIRGINIA ADDICOTT...................................................................... CHAIR OF BOARD OF DIRECTORS	14.00 ................. 1.00	X	X	0	0
(8) JODI VRABEC...................................................................... DIRECTOR	14.00 ................. 0.00	X		0	0
(9) TIMOTHY BURKE...................................................................... DIRECTOR/CHAIR FINANCE COMMITTEE	3.00 ................. 0.00	X		0	0
(10) PAUL CATANIA...................................................................... DIRECTOR	3.00 ................. 0.00	X		0	0
(11) PATRICK COVEY...................................................................... DIRECTOR	3.00 ................. 0.00	X		0	0
(12) JOSEPH GINGO...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0
(13) MARK OELSCHLAGER...................................................................... DIRECTOR	3.00 ................. 12.00	X		0	0
(14) MONTRELLA JACKSON...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0
(15) LISA JEFFRIES...................................................................... DIRECTOR	14.00 ................. 0.00	X		0	0
(16) WILLIAM KELLEHER...................................................................... DIRECTOR	3.00 ................. 0.00	X		0	0
(17) ROBERT DAVIS...................................................................... DIRECTOR	2.00 ................. 1.00	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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) KARA LEWIS........................................................................ DIRECTOR	3.00 .......................0.00	X				0	0
(19) REV LEWIS MACKLIN........................................................................ DIRECTOR	2.00 .......................0.00	X				0	0
(20) JOHN MAYER........................................................................ DIRECTOR	3.00 .......................0.00	X				0	0
(21) RICHARD ROGERS........................................................................ DIRECTOR	2.00 .......................0.00	X				0	0
(22) DENISE SCHAFFNER........................................................................ DIRECTOR	14.00 .......................0.00	X				0	0
(23) SUSAN MCMAINS........................................................................ DIRECTOR	14.00 .......................0.00	X				0	0
(24) BARBARA VARLEY........................................................................ DIRECTOR	15.00 .......................1.00	X				0	0
(25) TUCKER MARSHALL........................................................................ DIRECTOR	2.00 .......................0.00	X				0	0
(26) ROBERT WELLS........................................................................ DIRECTOR	2.00 .......................0.00	X				0	0
(27) SUZANNE LOCKE........................................................................ SECRETARY - PART YEAR	13.00 .......................0.00	X	X			0	0
(28) LISA BANDWEN........................................................................ DIRECTOR - PART YEAR	1.00 .......................0.00	X				0	0
(29) VIRGINIA DROSOS........................................................................ DIRECTOR - PART YEAR	1.00 .......................0.00	X				0	0
(30) JOAN LAUCK........................................................................ DIRECTOR - PART YEAR	13.00 .......................0.00	X				0	0
(31) GLEN STEPHENS........................................................................ DIRECTOR - PART YEAR	3.00 .......................0.00	X				0	0
(32) DARREN WELLS........................................................................ DIRECTOR - PART YEAR	2.00 .......................0.00	X				0	0
(33) KERWYN JONES........................................................................ PEDIATRIC ORTHOPEDIC SURGEON	50.00 .......................0.00	X				667,658	58,751
(34) LISA AURILIO........................................................................ CHIEF OPERATING OFFICER	49.00 .......................1.00			X		1,055,002	38,023
(35) MICHAEL BIGHAM MD........................................................................ CHIEF QUALITY OFFICER	48.00 .......................2.00			X		777,688	57,785
(36) RHONDA LARIMORE........................................................................ CHIEF HUMAN RESOURCES OFFICER	50.00 .......................0.00			X		682,935	57,871
(37) SHAWN LYDEN........................................................................ CHIEF STRATEGY OFFICER - PART YEAR	48.00 .......................2.00			X		1,571,036	122,165
(38) TODD RITZMAN MD........................................................................ SURGEON IN CHIEF	50.00 .......................0.00			X		1,121,356	44,098
(39) TARUN BHALLA MD........................................................................ CHIEF CLINICAL OFFICER	49.00 .......................1.00			X		792,001	55,811
(40) RICHARD LOU........................................................................ BURN SURGEON	50.00 .......................0.00				X	1,034,761	53,275
(41) ANJAY KHANDELWAL........................................................................ DIR BURN SURGERY	50.00 .......................0.00				X	1,169,159	24,977
(42) KATHERINE WOLFE MD........................................................................ CHIEF MATERIAL FETAIL MED SVS	50.00 .......................0.00				X	1,070,455	56,310
(43) ROBERT STEWART MD........................................................................ DIRECTOR CARDIOTHORACIC SURGERY	50.00 .......................0.00				X	1,026,220	59,270
(44) TSULEE CHEN MD........................................................................ DIRECTOR NEUROSURGERY	49.00 .......................1.00				X	1,076,947	47,840

(A) Name and business address	(B) Description of services	(C) Compensation
LOGICALIS INC 3333 RICHMOND ROAD SUITE 420 BEACHWOOD,OH44122	SOFTWARE MAINENANCE, HARDWARE, AND PROFE	10,711,542
ADENA CORPORATION 6816 LAUFFER ROAD COLUMBUS,OH43231	CONSTRUCTION SVCS	9,877,397
KRUMROY-COZAD CONSTRUCTION CORP 376 W EXCHANGE ST AKRON,OH44302	CONSTRUCTION SVCS	9,153,650
QUALVIS LLC 100 CENTER POINT RD COLUMBIA,SC29210	NURSE SCHEDULING SVCS	8,333,531
MARCUS THOMAS LLC PO BOX 74694 CLEVELAND,OH441940002	ADVERTISING AND MARKETING	7,635,312
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 61

- TIN:

SCHEDULE A
(Form 990)

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.
right arrow

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

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 12, 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).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% 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 33 1/3% 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 on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2024

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

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.") ..
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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 5 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 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. 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—2023. 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—2024. 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—2023. 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) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 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.)

Section B. Total Support

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.)..

First 5 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 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. 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—2023. 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) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2024

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2024

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 (explain in Part VI). 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 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

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) 2024

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	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.
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)
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.
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.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
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.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

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) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

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. Don't 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 ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) 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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

right arrow

Complete if the organization is described below. right arrow

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

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. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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.

Cat. No. 50084S

Schedule C (Form 990) 2024

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 right arrow

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 right arrow

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) 2021	(b) 2022	(c) 2023	(d) 2024	(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) 2024

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

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

Yes

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

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

Yes

249,531

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

249,531

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 $249,531 FOR LOBBYING EFFORTS AND VARIOUS COMMUNICATIONS ON BEHALF OF CHMCA WITH GOVERNMENTAL AUTHORITIES. THOSE COMMUNICATIONS AND LOBBYING EFFORTS INVOLVE THE FOLLOWING: * MONTHLY LEGISLATIVE CONFERENCE CALLS WITH CHMCA STAFF * PARTICIPATED IN MEETINGS WITH LEGISLATORS AND CONGRESSIONAL STAFF TO PROVIDE ORGANIZATIONAL UPDATES AND DISCUSS LEGISLATIVE INITIATIVES * COMMUNICATED WITH MEMBERS REQUESTING SUPPORT FOR CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION (CHGME) THE FOLLOWING ARE 2024 LOBBYING EXPENSES: $17,707 ASSOCIATION OF AMERICAN MEDICAL COLLEGES $70,112 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS $101,712 OHIO CHILDREN'S HOSPITAL ASSOCIATION $60,000 LOBBYIST CAPITAL CONSULTING GROUP $249,531 TOTAL CHILDREN'S HOSPITALS ASSOCIATION (CHA) IS A NATIONAL ORGANIZATION TO WHICH CHMCA IS A MEMBER ALONG WITH OTHER HOSPITALS. AS A MEMBER, THIS NATIONAL ORGANIZATION EXPRESSES CONCERNS OF HEALTHCARE PROVIDERS IN ADVOCACY AND REPRESENTATION TO NATIONAL AND/OR STATE LEGISLATURES ON HEALTHCARE ISSUES THAT AFFECT CHMCA AND THE DELIVERY OF HEALTH CARE TO CHILDREN AND OTHER PATIENTS. AS AN EXAMPLE, CHA HAS BEEN A CONSTANT AND PERSUASIVE VOICE IN CHAMPIONING THE NEEDS OF CHILDREN AND THE HOSPITALS THAT CARE FOR THEM. THE OHIO CHILDREN'S HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCIATION ARE STATE OF OHIO ORGANIZATIONS THAT PROMOTE THE VIEWS OF OHIO CHILDREN'S HOSPITALS FOR MEDICAID AND CHILD HEALTHCARE ISSUES. LOCAL AGENCIES IN SUMMIT COUNTY, OHIO, ALSO PROVIDE SERVICES TO RESIDENTS. THE IMPACT OF HEALTHCARE LEGISLATION HAS IMPLICATIONS ON OUR BUSINESS, OUR PATIENTS AND FAMILIES, AND THE SERVICES THAT WE PROVIDE.

Return Reference

Explanation

PART II-B, LINE 1:

CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") PAID A TOTAL OF $249,531 FOR LOBBYING EFFORTS AND VARIOUS COMMUNICATIONS ON BEHALF OF CHMCA WITH GOVERNMENTAL AUTHORITIES. THOSE COMMUNICATIONS AND LOBBYING EFFORTS INVOLVE THE FOLLOWING: * MONTHLY LEGISLATIVE CONFERENCE CALLS WITH CHMCA STAFF * PARTICIPATED IN MEETINGS WITH LEGISLATORS AND CONGRESSIONAL STAFF TO PROVIDE ORGANIZATIONAL UPDATES AND DISCUSS LEGISLATIVE INITIATIVES * COMMUNICATED WITH MEMBERS REQUESTING SUPPORT FOR CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION (CHGME) THE FOLLOWING ARE 2024 LOBBYING EXPENSES: $17,707 ASSOCIATION OF AMERICAN MEDICAL COLLEGES $70,112 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS $101,712 OHIO CHILDREN'S HOSPITAL ASSOCIATION $60,000 LOBBYIST CAPITAL CONSULTING GROUP $249,531 TOTAL CHILDREN'S HOSPITALS ASSOCIATION (CHA) IS A NATIONAL ORGANIZATION TO WHICH CHMCA IS A MEMBER ALONG WITH OTHER HOSPITALS. AS A MEMBER, THIS NATIONAL ORGANIZATION EXPRESSES CONCERNS OF HEALTHCARE PROVIDERS IN ADVOCACY AND REPRESENTATION TO NATIONAL AND/OR STATE LEGISLATURES ON HEALTHCARE ISSUES THAT AFFECT CHMCA AND THE DELIVERY OF HEALTH CARE TO CHILDREN AND OTHER PATIENTS. AS AN EXAMPLE, CHA HAS BEEN A CONSTANT AND PERSUASIVE VOICE IN CHAMPIONING THE NEEDS OF CHILDREN AND THE HOSPITALS THAT CARE FOR THEM. THE OHIO CHILDREN'S HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCIATION ARE STATE OF OHIO ORGANIZATIONS THAT PROMOTE THE VIEWS OF OHIO CHILDREN'S HOSPITALS FOR MEDICAID AND CHILD HEALTHCARE ISSUES. LOCAL AGENCIES IN SUMMIT COUNTY, OHIO, ALSO PROVIDE SERVICES TO RESIDENTS. THE IMPACT OF HEALTHCARE LEGISLATION HAS IMPLICATIONS ON OUR BUSINESS, OUR PATIENTS AND FAMILIES, AND THE SERVICES THAT WE PROVIDE.

Schedule C (Form 990) 2024

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.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

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 FASB 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 FASB 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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

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 ....	60,074,929	61,668,557	38,005,847	30,205,732	24,391,406
b	Contributions ...	6,031,263	2,028,601	29,006,746	4,390,474	1,246,737
c	Net investment earnings, gains, and losses	18,734,593	-3,155,463	-4,520,397	1,918,829	3,213,212
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....	1,537,830	466,766	823,639	-1,490,812	-1,354,377
g	End of year balance ......	83,302,955	60,074,929	61,668,557	38,005,847	30,205,732

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

Board designated or quasi-endowment right arrow

13.900 %

Permanent endowment right arrow

84.200 %

Term endowment right arrow

1.900 %

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 .....	22,940,903		22,940,903
b	Buildings ....	852,080,953	457,721,225	394,359,728
c	Leasehold improvements	60,311,321	27,219,094	33,092,227
d	Equipment ....	507,643,254	423,216,864	84,426,390
e	Other .....	24,340,432	5,321,011	19,019,421
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				553,838,669

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other 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

Investments - Program 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				162,625,481
(2)GOODWILL AND PRACTICE RIGHTS				36,460,664
(3)HTC TRANASFER FROM UNRESTRICTED				8,908,593
(4)OTHER ASSETS				81,472,928
(5)RIGHT OF USE ASSET				77,228,124
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				366,695,790

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
OTHER LONG TERM LIABILITIES	84,113,612
ACCRUED POST EMPLOYMENT BENEFITS	23,566,475
OPERATING LEASE LIABILITIES	29,637,350
RESERVE FOR LIABILITIES	3,074,000





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	140,391,437
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) (Rev. 1-2025)

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:

ENDOWMENT FUNDS OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ARE COMPOSED OF CUMULATIVE DONOR GIFTS WITH AND WITHOUT DONOR RESTRICTIONS. ENDOWMENT FUNDS WITHOUT DONOR RESTRICTION ARE AMOUNTS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. AKRON CHILDREN'S HOSPITAL FOUNDATION HAS A POLICY FOR INVESTING AND SPENDING DONOR FUNDS IN ACCORDANCE WITH DONOR INTENT THAT MEETS THE UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS GUIDELINES.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)
(Rev. January 2025)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 10 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) (Rev. 1-2025)

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 HOLIDAY TREE FESTIVAL (event type)	(b) Event #2 CHARITY BALL (event type)	(c) Other events 7 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	544,413	125,421	944,637	1,614,471
2	Less: Contributions . . . .	408,310	94,066	708,477	1,210,853
3	Gross income (line 1 minus line 2) . . . . . .	136,103	31,355	236,160	403,618

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .
8	Entertainment . . . .
9	Other direct expenses . . .	560,446	517,895	395,275	1,473,616
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				1,473,616
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-1,069,998

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 . . .

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) (Rev. 1-2025)

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 provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990) (Rev. 1-2025)

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 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

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? . . . . . .

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) . . .	6,483,948		6,483,948	0.500 %
b	Medicaid (from Worksheet 3, column a) . . . . .	606,322,795	459,511,337	146,811,458	11.210 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	3,357,011	1,625,860	1,731,151	0.130 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	616,163,754	461,137,197	155,026,557	11.840 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	12,346,247	3,219,448	9,126,799	0.700 %
f	Health professions education (from Worksheet 5) . . .	30,452,084	11,615,676	18,836,408	1.440 %
g	Subsidized health services (from Worksheet 6) . . . .	45,653,602	32,474,914	13,178,688	1.010 %
h	Research (from Worksheet 7) .	8,249,905	2,668,200	5,581,705	0.430 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	83,980		83,980	0.010 %
j	Total. Other Benefits . .	96,785,818	49,978,238	46,807,580	3.590 %
k	Total. Add lines 7d and 7j .	712,949,572	511,115,435	201,834,137	15.430 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

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.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing			1,191		1,191	0 %
2	Economic development			2,041		2,041	0 %
3	Community support			35,790		35,790	0 %
4	Environmental improvements
5	Leadership development and training for community members			5,439		5,439	0 %
6	Coalition building			7,703		7,703	0 %
7	Community health improvement advocacy			54,763		54,763	0 %
8	Workforce development			185		185	0 %
9	Other
10	Total			107,112		107,112	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

44,785,972

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).....

1,351,448

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

2,990,185

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

-1,638,737

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 %
11 GAMUT QUALITY IMPROVEMENT COLLABORATIVE LLC	TRANSPORT QUALITY COLLABORATIVE	60.000 %	20.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

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?1Name, 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)
1	CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON 1 PERKINS SQUARE AKRON,OH44308 WWW.AKRONCHILDRENS.ORG	X	X	X	X

Schedule H (Form 990) 2024

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)

	CHILDREN'S HOSPITAL MEDICAL CENTER OF AK
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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

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

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): HTTPS://TINYURL.COM/BPXZBUM3

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 23

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

Yes

If "Yes" (list url): HTTPS://TINYURL.COM/52K7EPNW

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

10b

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) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CHILDREN'S HOSPITAL MEDICAL CENTER OF AK
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 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

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)

Was widely publicized 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):

HTTPS://TINYURL.COM/3H4VDXEP

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

HTTPS://TINYURL.COM/3H4VDXEP

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://TINYURL.COM/3H4VDXEP

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	CHILDREN'S HOSPITAL MEDICAL CENTER OF AK
Name of hospital facility or letter of facility reporting group

Yes

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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

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

	CHILDREN'S HOSPITAL MEDICAL CENTER OF AK
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2024

Page 8

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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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
CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON	PART V, SECTION B, LINE 5: IN ADDITION TO EXAMINING COUNTY-LEVEL EPIDEMIOLOGIC DATA, SEVERAL METHODS WERE USED TO GATHER DATA FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF A TWELVE-COUNTY AREA. DUE TO THE COVID-19 PANDEMIC, CHNA METHODOLOGY PLACED AN EMPHASIS ON THE USE OF TECHNOLOGY TO ENGAGE COMMUNITY MEMBERS. AFTER COLLECTING THE FIRST ROUND OF PARENT AND CAREGIVER SURVEY RESPONSES IN DECEMBER 2021 DURING SCHOOL-BASED VACCINE CLINICS, CHMCA TOOK THE SURVEY ONLINE, LEVERAGING DIRECT EMAIL COMMUNICATIONS TO PATIENT FAMILIES AND COMMUNITY PARTNERS TO SHARE THE LINK WITH THEIR CLIENTS. THE 810 RESPONDENTS FROM THE REGION WERE MOSTLY WOMEN, WITH ALMOST THREE-QUARTERS BETWEEN THE AGES OF 24 AND 44. OVER 11 PERCENT WERE BLACK, WHICH IS A LARGER SHARE THAN THE POPULATION OF THE REGION. ABOUT 2.5 PERCENT WERE HISPANIC OR LATINX. THE MAJORITY OF SURVEY RESPONSES WERE FROM TWO-PARENT HOUSEHOLDS WITH INCOMES GREATER THAN $55,000 PER YEAR. TO GATHER INPUT FROM FAMILIES WHO ARE CONSIDERED VULNERABLE, THE CHNA TEAM LEVERAGED A PARTNERSHIP WITH THE AKRON CANTON REGIONAL FOODBANK TO ATTEND TWO POP-UP FOOD DISTRIBUTION EVENTS, SURVEYING ATTENDEES IN LINE FOR THEIR FOOD. ALTHOUGH RESPONSES WERE COLLECTED ON PAPER, THIS FORMAT GAVE THE CHNA TEAM AN OPPORTUNITY TO HEAR FROM COMMUNITY MEMBERS DIRECTLY. THOSE WHO PARTICIPATED RECEIVED A SMALL TOKEN OF APPRECIATION . IN ADDITION, CHNA TEAM MEMBERS SPENT TIME IN TWO MAHONING COUNTY WIC OFFICES AND OFFERED CLIENTS A SMALL TOKEN OF APPRECIATION FOR PARTICIPATING IN A BRIEF INTERVIEW. DURING THE ASSESSMENT PERIOD, MOST AGENCIES INCLUDING CHMCA CONTINUED TO FOLLOW COVID-19 PROTOCOLS AND WERE CONSERVATIVE IN PERMITTING IN-PERSON GATHERINGS. CONDUCTING VIRTUAL ROUNDTABLE DISCUSSIONS WITH STAKEHOLDERS ENABLED US TO GATHER INPUT FROM A WIDE RANGE OF INDIVIDUALS WHO REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS AND THE BROAD INTERESTS OF CHILDREN IN THE REGION. PARTICIPANTS FROM ANY OF THE COUNTIES REPRESENTED IN OUR CHNA FOOTPRINT COULD LOG ONTO ONE OF THE FIVE SESSIONS OFFERED. DISCUSSIONS WERE CENTERED AROUND THE SIGNIFICANT HEALTH, SOCIAL AND ENVIRONMENTAL FACTORS AFFECTING CHILDREN IN THEIR COMMUNITIES, PARTICULARLY AS THEY NAVIGATED PANDEMIC LIFE AND ITS AFTERMATH. ONE VIRTUAL ROUNDTABLE WAS RESERVED FOR PUBLIC HEALTH COMMISSIONERS AND/OR THEIR DESIGNEES. PARTICIPATING HEALTH DISTRICTS FROM THE REGION INCLUDED SUMMIT, ASHLAND, RICHLAND, WAYNE, MAHONING, AND TRUMBULL COUNTIES, AS WELL AS THE CITY OF YOUNGSTOWN. A FULL LISTING OF PARTICIPATING AGENCIES THAT SERVE THE REGION IS BELOW: AETNA AKRON COMMUNITY FOUNDATION AKRON PUBLIC SCHOOLS AKRON-SUMMIT COUNTY PUBLIC LIBRARY ALTA CARE GROUP, INC.AMERIHEALTH CARITASASHLAND COUNTY HEALTH DEPARTMENT BELMONT PINES HOSPITALBRIGHT BEGINNINGS CHILD GUIDANCE AND FAMILY SOLUTIONS CITY OF AKRON COLEMAN HEALTH SERVICES COMMUNITY ACTION WAYNE/MEDINA COMMUNITY FOUNDATION OF LORAIN COUNTY COMMUNITY LEGAL AID DALTON LOCAL SCHOOL DISTRICT EARLY CHILDHOOD RESOURCE CENTER FATHERS AND SONS OF NORTHEAST OHIO, INC. FEEDING MEDINA COUNTY GREENLEAF FAMILY CENTER HOPE AND HEALING BATTERED WOMEN'S SHELTER KIDSPEAK, LLCMAHONING COUNTY BOARD OF DEVELOPMENTAL DISABILITIESMAHONING COUNTY JUVENILE COURTMAHONING COUNTY MENTAL HEALTH AND RECOVERY BOARDMAHONING COUNTY PUBLIC HEALTHMAHONING COUNTY WOMEN, INFANTS AND CHILDREN (WIC) MAHONING YOUNGSTOWN COMMUNITY ACTION PROGRAM (MYCAP)MENTAL HEALTH & RECOVERY BOARD OF ASHLAND COUNTY MENTAL HEALTH AND RECOVERY BOARD OF WAYNE AND HOLMES COUNTIES MERCY HEALTH NEIL KENNEDY RECOVERY CENTER OBERLINKIDS COMMUNITY COLLABORATIVE OHIOGUIDESTONE OHUDDLE PORTAGE COUNTY JOB AND FAMILY SERVICES RICHLAND COUNTY MENTAL HEALTH AND RECOVERY SERVICES BOARD RICHLAND PUBLIC HEALTH SAFE LANDING YOUTH SHELTER SUMMIT COALITION FOR COMMUNITY HEALTH IMPROVEMENT SUMMIT COUNTY ADM BOARD SUMMIT COUNTY CHILDREN SERVICES SUMMIT COUNTY CONTINUUM OF CARE SUMMIT COUNTY PUBLIC HEALTH THE CHILDREN'S CENTER OF MEDINA COUNTY THE COUNSELING CENTER OF COLUMBIANA COUNTYTRUMBULL COUNTY HEALTH DEPARTMENT TRUMBULL NEIGHBORHOOD PARTNERSHIP TRUMBULL COUNTY EDUCATIONAL SERVICE CENTER TRUMBULL COUNTY HEALTH DEPARTMENT UNITED WAY OF GREATER STARK COUNTY UNITED WAY OF SUMMIT & MEDINA UNITED HEALTHCARE WARREN CITY SCHOOLSWAYNE COUNTY HEALTH DEPARTMENT YOUNGSTOWN AREA PFLAG (PARENTS, FAMILIES AND FRIENDS OF LESBIANS AND GAYS)YOUNGSTOWN CITY HEALTH DISTRICT YOUNGSTOWN NEIGHBORHOOD DEVELOPMENT CORPORATION FINALLY, THE CHNA TEAM MADE OTHER EFFORTS TO CONNECT WITH PARENTS AND PROFESSIONALS WHO WORK ON BEHALF OF CHILDREN AND FAMILIES. WE PARTNERED WITH AKRON METROPOLITAN HOUSING AUTHORITY AND RICHLAND PUBLIC HEALTH TO IDENTIFY CLIENTS WILLING TO PROVIDE INPUT. ADDITIONALLY, WE HELD A VIRTUAL CONVERSATION WITH FAMILY SUPPORT SPECIALISTS WORKING IN STARK COUNTY SCHOOLS, AND WERE FORTUNATE BE PART OF A VIRTUAL CONVERSATION WITH COMMUNITY HEALTH WORKERS FROM THE SUMMIT COUNTY PATHWAYS COMMUNITY HUB, HOSTED BY SUMMIT COUNTY PUBLIC HEALTH.
CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON	PART V, SECTION B, LINE 6B: THE CENTER FOR COMMUNITY SOLUTIONS: 1501 EUCLID AVE #310, CLEVELAND, OH 44115
CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON	PART V, SECTION B, LINE 11: THE MEASURED INDICATORS IN THE 2022 CHNA HAVE BEEN ADDRESSED FOR MANY YEARS THROUGH CHMCA'S CLINICAL AND PROGRAMMATIC EFFORTS. THE 2022 CHNA IDENTIFIED AND PRIORITIZED SEVERAL COMMUNITY HEALTH NEEDS. OUR BOARD OF DIRECTORS APPROVED COMPREHENSIVE IMPLEMENTATION STRATEGIES AROUND MENTAL AND BEHAVIORAL HEALTH, AS WELL AS COMMUNITY-BASED HEALTH AND WELLNESS WITH A FOCUS ON FOOD SECURITY, DISPARITIES IN PREVENTIVE CARE, AND SCHOOL-BASED HEALTH. UNDERPINNING THESE BROAD PRIORITY AREAS ARE CROSS-CUTTING COMMITMENTS TO ADVANCING HEALTH EQUITY, IMPROVING HEALTH ACCESS, AND FOSTERING RESILIENCY. THE REMAINING IDENTIFIED NEEDS FROM THE CHNA, INCLUDING CONDITIONS RELATED TO CHILD LIFESTYLE FACTORS, ASTHMA, MATERNAL AND INFANT HEALTH, CRIME AND VIOLENCE, ACCESS TO HEALTH CARE AND ENVIRONMENTAL FACTORS, WERE NOT FORMALLY SELECTED AS PRIORITIES, BUT WILL BE ADDRESSED AS RELEVANT THROUGH STRATEGIES ASSOCIATED WITH THE THREE PRIORITIES NAMED ABOVE. 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 COMMUNITY HEALTH NEEDS IDENTIFIED BY THE CHNA ARE IMPORTANT, HOSPITAL TEAMS DELIBERATED AND PRIORITIZED AREAS BASED ON THE HOSPITAL'S CURRENT ACTIVITIES, THE POTENTIAL FOR COMMUNITY IMPACT, AND AVAILABLE RESOURCES. CONSEQUENTLY, SEVERAL AREAS WILL NOT BE ADDRESSED THROUGH FORMAL IMPLEMENTATION STRATEGIES. THESE INCLUDE HEALTH AREAS THAT RANKED LOWER DURING THE PRIORITIZATION PROCESS. ADDITIONALLY, CERTAIN ISSUES WERE BEYOND THE SCOPE OF THE HOSPITAL, WITH SOME REQUIRING MORE RESOURCES THAN WHAT CHMCA COULD REALISTICALLY DEVOTE TO THEM. ASTHMA WAS NOT SELECTED IN THE PRIORITIZATION PROCESS. STAFF WORKING ON THIS PRIORITY OVER THE LAST DECADE HAVE BEEN EXTREMELY SUCCESSFUL AT IDENTIFYING HIGH RISK ASTHMA PATIENTS AND PROVIDING THEM WITH EDUCATION AND SUPPORTS TO REDUCE THEIR RISK OF EXACERBATIONS LEADING TO EMERGENCY DEPARTMENT VISITS AND HOSPITALIZATIONS. WHILE ASTHMA CONTINUES TO BE A NEED IN OUR COMMUNITY, LEADERS WHO AIDED IN CHNA PRIORITIZATION DETERMINED RESOURCES SHOULD BE SHIFTED TO MAKE IMPROVEMENTS IN OTHER AREAS, AND ASTHMA SHOULD SERVE AS A MODEL FOR THOSE EFFORTS. INFANT MORTALITY ALSO CAME OFF THE LIST OF CHNA PRIORITIES. CHMCA 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, OUR EFFORTS TO IMPACT BIRTH OUTCOMES SUCH AS PREMATURITY AND LOW BIRTH WEIGHT ARE, BY AND LARGE, CARRIED OUT IN RELATION TO COALITION WORK WITH COMMUNITY AGENCIES AND LOCAL BIRTHING HOSPITALS. WE WILL CONTINUE TO ADMINISTER OUR SAFE SLEEP PROGRAM AND RELATED COLLABORATIONS, WHICH HAS HISTORICALLY BEEN A LARGE FOCUS OF OUR INFANT MORTALITY PREVENTION STRATEGY. IN ADDITION, WE HOPE TO SEE OUR FOCUS ON HEALTH EQUITY LEAD TO BETTER LONG-TERM OUTCOMES FOR MOTHERS AND BABIES IN THE BLACK COMMUNITY. OTHER SIGNIFICANT HEALTH NEEDS NOT SPECIFICALLY SELECTED FOR IMPLEMENTATION INCLUDED:- ORAL HEALTH- PHYSICAL ACTIVITY- NUTRITION- SCREEN TIME- UNINTENTIONAL INJURY- COMMUNICABLE DISEASE INCLUDING COVID-19- REPRODUCTIVE AND SEXUAL HEALTH- SOCIAL DETERMINANTS OF HEALTH INCLUDING HOUSING, EDUCATION, AND TRANSPORTATION- CRIME AND VIOLENCE DATA LIMITATIONS AND GAPS: DUE TO LIMITED RESOURCES AND A GLOBAL PANDEMIC, COMPLETE AND TIMELY DATA WERE NOT AVAILABLE FOR EVERY POPULATION OF INTEREST IN THE REGION. WHERE AVAILABLE, THE MOST CURRENT DATA WERE USED TO DETERMINE THE HEALTH NEEDS OF THE COMMUNITY, PARTICULARLY THOSE WHO ARE VULNERABLE OR UNDERSERVED. ALTHOUGH DATA THAT WERE AVAILABLE ARE RICH WITH INFORMATION, NOT SURPRISINGLY, SOME DATA GAPS AND LIMITATIONS IMPACTED THE ABILITY TO CONDUCT A MORE THOROUGH AND RIGOROUS ASSESSMENT. FOR EXAMPLE:1. LAG TIME FOR DATA TO BE REPORTED BY THE STATE AND SOME LOCAL SOURCES OFTEN EXCEEDS A YEAR TO 18 MONTHS.2. COVID-19 DISRUPTED SURVEILLANCE ACTIVITIES WITHIN SCHOOLS, NOTABLY THE YOUTH RISK BEHAVIOR SURVEY (YRBS), WHICH TYPICALLY SERVES AS THE MOST RICH SOURCE OF LOCAL DATA ON BEHAVIORS IMPACTING PHYSICAL AND MENTAL HEALTH, AS WELL AS GENERAL MENTAL/BEHAVIORAL HEALTH STATUS. 3. WITH LIMITATIONS ON IN-PERSON GATHERINGS AND MANY FAMILIES STILL OPTING TO STAY HOME WHEN POSSIBLE, IN-PERSON FOCUS GROUPS/COMMUNITY CONVERSATIONS WERE AVOIDED. DESPITE ADVERTISING VIRTUAL CONVERSATIONS WITH INCENTIVES FOR PARTICIPATION, ATTENDANCE WAS VERY LOW. WE BELIEVE THIS CAN BE PARTIALLY ATTRIBUTED TO THE FATIGUE EXPERIENCED BY PARENTS AND CAREGIVERS COMING OUT OF THE PANDEMIC. IN ADDITION, OVER-STRETCHED PUBLIC HEALTH AND SOCIAL SERVICE AGENCIES WERE LESS AVAILABLE TO ASSIST IN COORDINATING THESE COMMUNITY ENGAGEMENT OPPORTUNITIES.
CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON	PART V, SECTION B, LINE 13H: PATIENTS OR FAMILIES WHO MAY NOT QUALIFY FOR FINANCIAL ASSISTANCE BASED ON RESIDENCE AND INCOME MAY STILL QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON DOCUMENTED EXTENUATING CIRCUMSTANCES WHERE PURSUIT OF PAYMENT WOULD CAUSE UNDUE HARDSHIP ON THE PATIENT/FAMILY. EXTENUATING CIRCUMSTANCES MAY BE BROUGHT TO THE ATTENTION OF THE DIRECTOR, REVENUE CYCLE, AND REVIEWED BY THE FINANCIAL ASSISTANCE COMMITTEE, CHAIRED BY THE CHIEF FINANCIAL OFFICER AND CHIEF MEDICAL OFFICER.
CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON	PART V, SECTION B, LINE 15E: FINANCIAL COUNSELORS ARE EMPLOYED AT THE HOSPITAL TO DISCUSS THE AVAILABILITY AND APPLICATION FOR ALL FINANCIAL ASSISTANCE FOR ALL PATIENTS.
PART V, SECTION B LINE 20D:	CHMCA EMPLOYS FINANCIAL COUNSELORS TO EXPLAIN THE HOSPITAL'S FREE CARE, CHARITY CARE, AND THE VARIOUS PUBLIC ASSISTANCE PROGRAMS TO UNINSURED AND UNDERINSURED PATIENTS. FOR MORE INFORMATION, PLEASE SEE THE SCHEDULE H, PART VI, LINE 3 NARRATIVE FOR MORE INFORMATION.PART V, SECTION B, LINE 20E:YES - THIRD PARTY COLLECTION AGENCIES WILL EXPLAIN THE AVAILABILITY OF FREE CARE AND CHARITY CARE AND THE FINANCIAL ASSISTANCE APPLICATION.

Schedule H (Form 990) 2024

Page 9

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?74
Name and address		Type of Facility (describe)
1	1 - CHILDREN'S - BEEGHLY CAMPUS 6505 MARKET STREET YOUNGSTOWN,OH44512	NICU, PEDIATRIC UNIT, EMERGENCY DEPARTMENT
2	2 - AULTMAN HOSPITAL 2600 6TH ST SW CANTON,OH447101702	NICU AND PEDIATRIC UNIT
3	3 - SUMMA HOSPITAL 141 N FORGE ST AKRON,OH443041407	NICU NURSERY
4	4 - ST ELIZABETH'S BOARDMAN HEALTH CENTER 8401 MARKET ST BOARDMAN,OH445126725	NICU NURSERY
5	5 - NORTH CANTON 6076 WHIPPLE 6076 WHIPPLE AVE NW NORTH CANTON,OH44720	PRIMARY CARE & SPECIALTY - ACP
6	6 - WARREN 5000 E MARKET ST STE 29 WARREN,OH444842259	PRIMARY CARE & SPECIALTY - ACP
7	7 - MANSFIELD HEALTH CENTER 1029 SOUTH TRIMBLE ROAD MANSFIELD,OH44906	PRIMARY CARE & SPECIALTY - ACP
8	8 - BOSTON HEIGHTS 328 EAST HINES HILL ROAD HUDSON,OH44236	PRIMARY CARE & SPECIALTY - ACP
9	9 - MEDINA 3443 MEDINA RD MEDINA,OH442565965	PRIMARY CARE & SPECIALTY - ACP
10	10 - PORTAGE HEALTH CENTER 2497 STATE ROUTE 59 RAVENNA,OH44266	PRIMARY CARE & SPECIALTY - ACP
11	11 - GREEN 1622 EAST TURKEYFOOT LAKE RD STE 100 AKRON,OH443125277	PRIMARY CARE & SPECIALTY - ACP
12	12 - CLEVELAND CLINIC AKRON GENERAL MEDICAL CEN 1 AKRON GENERAL AVE AKRON,OH443072432	NICU NURSERY
13	13 - FAIRLAWN 701 WHITE POND DR SUITE 100 AKRON,OH443201193	PEDIATRIC PRIMARY CARE - ACP
14	14 - NEW PHILADELPHIA 1045 W HIGH AVE NEW PHILADELPHIA,OH446632071	PRIMARY CARE & SPECIALTY - ACP
15	15 - MASSILLON 1149 LINCOLN WAY E MASSILLON,OH44646	PRIMARY CARE & SPECIALTY - ACP
16	16 - AUSTINTOWN 5480 NORQUEST BLVD AUSTINTOWN,OH445151820	PRIMARY CARE & SPECIALTY - ACP
17	17 - BEACHWOOD CENTER 3733 PARK EAST DR STE 230 BEACHWOOD,OH441224334	PRIMARY CARE & SPECIALTY - ACP
18	18 - BARBERTON 566 ROBINSON AVENUE BARBERTON,OH442033652	PEDIATRIC PRIMARY CARE - ACP
19	19 - WOOSTER HEALTH CENTER 3807 FRIENDSVILLE RD WOOSTER,OH44691	PRIMARY CARE & SPECIALTY - ACP
20	20 - ALLIANCE 1826 S ARCH AVE ALLIANCE,OH446014332	PRIMARY CARE & SPECIALTY - ACP
21	21 - HUDSON 1365 CORPORATE DR SUITE A HUDSON,OH442364432	PEDIATRIC PRIMARY CARE - ACP
22	22 - WOOSTER COMMUNITY HOSPITAL 1761 BEALL AVE WOOSTER,OH446912342	NICU NURSERY
23	23 - ST JOSEPH'S HOSPITAL MERCY HEALTH 667 EASTLAND AVE SE WARREN,OH444844503	SPECIAL CARE NURSERY
24	24 - WADSWORTH ACHP 323 HIGH ST SUITE A WADSWORTH,OH442811869	PRIMARY CARE & SPECIALTY - ACP
25	25 - PERRY TOWNSHIP 125 WHIPPLE AVE SW CANTON,OH447101374	PEDIATRIC PRIMARY CARE - ACP
26	26 - PSYCH STARK 626 30TH STREET NW CANTON,OH44709	SPECIALITY CARE ACP
27	27 - MARIETTA ACHP 310 E 8TH ST SUITE 130 MARIETTA,OH45750	PRIMARY CARE & SPECIALITY - ACP
28	28 - MONTROSE URGENT CARE 4118 MEDINA RD AKRON,OH443332452	URGENT CARE
29	29 - AMHERST HEALTH CENTER 47185 COOPER FOSTER PARK RD AMHERST,OH440013307	PRIMARY CARE & SPECIALTY - ACP
30	30 - AKRON EAST 891 E EXCHANGE ST AKRON,OH443061127	PEDIATRIC PRIMARY CARE - ACP
31	31 - ASHLAND 1120 GEORGE RD ASHLAND,OH448058857	PRIMARY CARE & SPECIALTY - ACP
32	32 - LISBON 400 N MARKET ST LISBON,OH444321014	PRIMARY CARE & SPECIALTY - ACP
33	33 - ELLET 1463 CANTON RD SUITE A AKRON,OH443124022	PEDIATRIC PRIMARY CARE - ACP
34	34 - WADSWORTH NORTH 1225 HIGH ST WADSWORTH,OH44281	PRIMARY CARE & SPECIALTY - ACP
35	35 - TALLMADGE 143 NORTHWEST AVE STE 102 TALLMADGE,OH442782381	PRIMARY CARE & SPECIALTY - ACP
36	36 - CUYAHOGA FALLS - POA 1100 PORTAGE TRAILS CUYAHOGA FALLS,OH44223	PRIMARY CARE & SPECIALTY - ACP
37	37 - STOW GRAHAM RD 3019 GRAHAM ROAD STOW,OH44224	PRIMARY CARE & SPECIALTY - ACP
38	38 - TWINSBURG 8054 DARROW RD STE 4 TWINSBURG,OH440872381	PEDIATRIC PRIMARY CARE - ACP
39	39 - BELPRE REHABILITATION CENTER 1804 WASHINGTON BLVD STE D BELPRE,OH45714	SPECIALITY CARE ACP
40	40 - BELPRE 807 FARSON ST SUITE 201C BELPRE,OH45714	PEDIARIC PRIMARY CARE - ACP
41	41 - PSYCH RICHLAND 1027 SOUTH TRIMBLE ROAD MANSFIELD,OH44906	SPECIALITY CARE ACP
42	42 - UNIVERSITY OF AKRON - SPORTS HEALTH 254 SPICER ST AKRON,OH44304	SPECIALITY CARE - REHAB
43	43 - ASHLAND WEST 1522 CLAREMONT AVE ASHLAND,OH44805	PRIMARY CARE
44	44 - ONTARIO ACHP 896 N LEXINGTON SPRINGMILL RD ONTARIO,OH44906	SPECIALITY CARE ACP
45	45 - LIBERTY 3530 BELMONT AVE STE 8 YOUNGSTOWN,OH44505	PRIMARY CARE & SPECIALTY - ACP
46	46 - WARREN DOWNTOWN 661 MAHONING AVE NW WARREN,OH444834607	PEDIATRIC PRIMARY CARE - ACP
47	47 - BEACHWOOD ACHP 3733 PARK EAST DR STE 102 BEACHWOOD,OH44122	PEDIATRIC PRIMARY CARE - ACP
48	48 - MAYFIELD HEIGHTS ACHP 5800 LANDERBROOK DR STE 250 MAYFIELD HTS,OH44124	SPECIALITY CARE ACP
49	49 - BRECKSVILLE 7001 S EDGERTON RD SUITE 500 BRECKSVILLE,OH441414206	PRIMARY CARE & SPECIALTY - ACP
50	50 - EAST LIVERPOOL - ACHP 15655 STATE ROUTE 170 EAST LIVERPOOL,OH43920	PEDIATRIC PRIMARY CARE - ACP
51	51 - STREETSBORO 9150 MARKET SQUARE SUITE 203 STREETSBORO,OH442414573	PEDIATRIC PRIMARY CARE - ACP
52	52 - WOOSTER SPECIALTY CARE MFM 546 WINTER ST SUITE 110 WOOSTER,OH446912339	PRIMARY CARE & SPECIALTY - ACP
53	53 - MERCY LORAIN HOSPITAL 3700 KOLBE RD LORAIN,OH44053	SCN & PRIMARY CARE & SPECIALTY
54	54 - CAMPBELL ACHP 434 STRUTHERS-COITSVILLE RD LOWELLVILLE,OH44436	PEDIARIC PRIMARY CARE - ACP
55	55 - SALEM ACHP 1076 E STATE ST SALEM,OH44460	SPECIALITY CARE ACP
56	56 - MEDINA EAST 313 MEDINA ROAD STE 101 MEDINA,OH44256	SPECIALTY CARE - ACP
57	57 - MILLERSBURG 1261 WOOSTER RD SUITE 220 MILLERSBURG,OH446541570	PRIMARY CARE & SPECIALTY - ACP
58	58 - NORWALK MEDICAL PARK II 282 BENEDICT AVE NORWALK,OH448572712	PRIMARY CARE & SPECIALTY - ACP
59	59 - COLUMBIANA ACHP 116 CARRIAGE DRIVE COLUMBINA,OH44408	SPECIALTY CARE - ACP
60	60 - MARIETTA MEMORIAL 320 E 8TH ST SUITE 140 MARIETTA,OH45750	PRIMARY CARE & SPECIALTY - ACP
61	61 - OBERLIN ACHP 224 W LORAIN ST STE 800 OBERLIN,OH44704	PRIMARY CARE & SPECIALTY - ACP
62	62 - CHILD ADVOCACY CENTER 213 MARKET AVE N SUITE 200 CANTON,OH447021440	SPECIALTY CARE - ACP
63	63 - HATTIE LARLHAM FOUNDATION 9772 DIAGONAL RD MANTUA,OH442559128	PRIMARY CARE & SPECIALTY - ACP
64	64 - WAYNE COUNTY CHILDREN'S ADVOCACY CENTER 1734 GASCHE STREET WOOSTER,OH44691	SPECIALTY CARE - ACP
65	65 - BEACHWOOD OSC 3755 ORANGE PL STE 102 BEACHWOOD,OH441224455	OUTPATIENT SURGERY CENTER
66	66 - SHARON HEART CENTER 740 E STATE ST SHARON,PA16146	SPECIALTY CARE - ACP
67	67 - AKRON CHILDREN'S MATERNAL FETAL MEDICINE 75 ARCH ST STE 102 AKRON,OH443041430	PEDIARIC PRIMARY CARE
68	68 - AKRON CHILDREN'S BEHAVIORAL HEALTH BOAR 6614 SOUTHERN BLVD BOARDMAN,OH445123455	SPECIALTY CARE
69	69 - AKRON CHILDREN'S MATERNAL FETAL MEDICINE 2600 TUSCARAWAS ST W STE 300 CANTON,OH447084694	PEDIARIC PRIMARY CARE
70	70 - AKRON CHILDREN'S PT AT NEW PHILADELPHIA 1039 W HIGH AVE NEW PHILADELPHIA,OH446632071	SPECIALTY CARE
71	71 - AKRON CHILDREN'S PT AT NORTH CANTON 6200 WHIPPLE AVE NW NEW PHILADELPHIA,OH447207624	SPECIALTY CARE
72	72 - AKRON CHILDREN'S REHABILITATIVE SERVICES 5000 E MARKET ST STE 28 WARREN,OH444842259	SPECIALTY CARE
73	73 - AKRON CHILDREN'S PEDIATRICS - WARREN 5000 E MARKET ST STE 30 WARREN,OH444842259	PEDIARIC PRIMARY CARE
74	74 - AKRON CHILDREN'S HOME CARE 185 W CEDAR ST AKRON,OH443072400	SPECIALTY CARE

Schedule H (Form 990) 2024

Page 10

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 7:	WE BELIEVE THAT APPLYING OUR INTERNAL COST ACCOUNTING SYSTEM, WHICH INCORPORATES INFORMATION DIRECTLY EXTRACTED FROM OUR EPIC PATIENT ACCOUNTING SOFTWARE AND ALLOCATES OVERHEAD EXPENSES TO REVENUE PRODUCING DEPARTMENTS TO DEVELOP A COST-TO-CHARGE RATIO, THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND OTHER INFORMATION IS THE MOST ACCURATE COSTING METHODOLOGY TO CALCULATE GROSS CHARITY CARE AT COST FOR THE PERIOD. 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 AND 7 (C) OTHER MEANS TESTED PROGRAMS:WE BELIEVE THAT REPORTING PROGRAM CHARGES, COSTS AND PAYMENTS FROM OUR INTERNAL COST ACCOUNTING SYSTEM 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 PROFESSIONAL COSTS DERIVED FROM THE COST ACCOUNTING SYSTEM. MEDICAID REVENUES REPORTED AS DIRECT OFFSETTING REVENUE HAS BEEN REDUCED BY ESTIMATED REVENUES RELATED TO HEALTH PROFESSIONAL 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 (55.2%) AS REPORTED ON OUR INTERNAL PAYOR MIX REPORT.
PART I, LINE 7G:	CHMCA'S SUBSIDIZED HEALTH SERVICES FOR 2024 ARE SUMMARIZED BELOW. EACH WAS CONSIDERED DUE TO ITS FULFILLMENT OF AN IDENTIFIED COMMUNITY NEED, THE DEGREE OF SPECIALIZATION AND/OR LACK OF AVAILABILITY OF SIMILAR SERVICES WITHIN CLOSE PROXIMITY; AND INCURRING A NET FINANCIAL LOSS. GROUND TRANSPORT SERVICES ARE HIGHLY SPECIALIZED FOR THE NEONATAL AND PEDIATRIC POPULATION AND ADDRESS NEEDS FOR TRAUMA/EMERGENCY MEDICAL RESPONSE THAT WOULD OTHERWISE BE LARGELY UNMET.OUR HOME CARE SERVICE LINE PLACES NURSES IN THE HOMES OF PATIENTS WHO ARE MEDICALLY FRAGILE OR COMPLEX AND SUPPORTS FAMILIES IN THEIR ONGOING CARE.WE PROVIDE PRIMARY AND SPECIALTY CARE SERVICES IN NUMEROUS COMMUNITIES THAT ARE CONSIDERED ECONOMICALLY DISADVANTAGED AND/OR MEDICALLY UNDERSERVED BASED ON THE U.S. CENSUS DATA AND HEALTH RESOURCES AND SERVICES (HRSA) DESIGNATIONS. CHMCA'S SCHOOL HEALTH SERVICES SUPPORTS THE ACADEMIC SUCCESS OF CHILDREN THROUGH HEALTH PROMOTION, EDUCATION AND CHILD ADVOCACY. WHILE WE HAVE NURSING STAFF IN OVER 40 DISTRICTS THROUGHOUT THE SERVICE AREA, RECENT EFFORTS HAVE FOCUSED ON EXPANSION OF OUR SCHOOL BASED HEALTH CENTER (SBHC) MODEL. SBHCS CREATE AN ACCESSIBLE, CONNECTED COMMUNITY OF CARING ADULTS AROUND EACH STUDENT TO KEEP THEM IN CLASS AND LEARNING. THIS HAS BEEN A FOCUS OF OUR CHNA IMPLEMENTATION STRATEGY FOR COMMUNITY BASED HEALTH AND WELLNESS. IN THE 2023-2024 SCHOOL YEAR, THERE WERE 6,157 TOTAL VISITS AT OUR SBHCS, 25 PERCENT OF WHICH WERE COMPREHENSIVE WELL CHILD VISITS. IN 2024, THE SCHOOL HEALTH TEAM COORDINATED AND EXECUTED A SERIES OF SUMMER WELLNESS EVENTS AT LOCAL SCHOOLS AND TWO COMMUNITY SITES INCLUDING HOPE AND HEALING SURVIVOR RESOURCE CENTER AND SAFE LANDING YOUTH SHELTER, TO REACH FAMILIES AND CHILDREN EXPERIENCING BARRIERS TO ACCESSING CARE. OUR FOCUS ON TRAUMA INFORMED SCHOOLS ALSO EXPANDED IN 2024 TO INCLUDE THE MAHONING VALLEY, AS WE PROVIDED TRAINING FOR OVER 7,000 SCHOOL STAFF MEMBERS DURING THE 2023-2024 SCHOOL YEAR.THE CELESTE MYERS DENTAL CLINIC AT CHMCA WAS ESTABLISHED LARGELY IN RESPONSE TO HOSPITAL DATA INDICATING AN ALARMINGLY HIGH NUMBER OF FAMILIES SEEKING EMERGENCY MEDICAL CARE FOR THEIR CHILDREN DUE TO ACUTE DENTAL CONDITIONS. THEY CONTINUE TO BE A "DENTAL HOME" FOR THEIR PATIENTS, PROVIDING PREVENTATIVE SERVICES AND ORAL HEALTH EDUCATION. IN ITS SIXTH YEAR, THE CLINIC SERVES AS A SAFETY NET FOR DENTAL HEALTH CARE, WITH 86 PERCENT OF PATIENTS ON MEDICAID AND 30 PERCENT NON-ENGLISH SPEAKING. CHMCA'S LOCUST PEDIATRIC CARE GROUP PROVIDES PRIMARY CARE TO OVER 1,500 REFUGEE CHILDREN, AND OTHER LOW-INCOME FAMILIES IN OUR COMMUNITY. IT IS THE ONLY ONE OF ITS KIND IN OUR COMMUNITY AND IT ADDRESSES THE COMMUNICATION NEEDS OF PATIENTS/FAMILIES WHO HAVE LIMITED ENGLISH PROFICIENCY, AS WELL AS THOSE WHO ARE DEAF, HARD OF HEARING, BLIND OR HAVE VISUAL IMPAIRMENTS. CHMCA'S CHILDREN AT RISK EVALUATION (CARE) CENTER IN AKRON AND CHILDREN'S ADVOCACY CENTER IN MAHONING VALLEY EVALUATE AND INITIATE TREATMENT FOR CHILDREN SUSPECTED OF PHYSICAL OR SEXUAL ABUSE AND NEGLECT. THE CARE CENTER'S TEAM OF DOCTORS, NURSES, AND SOCIAL WORKERS TREAT CHILDREN AND TEENS REFERRED BY PRIVATE PHYSICIANS, LAW ENFORCEMENT, CHILD PROTECTION, AND OTHER COMMUNITY AGENCIES. DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS EVALUATES AND TREATS CHILDREN FOR DEVELOPMENTAL AND/OR LEARNING DISABILITIES ASSOCIATED WITH DIAGNOSES LIKE AUTISM, ATTENTION DEFICIT AND HYPERACTIVITY DISORDER (ADHD), DOWN SYNDROME, AND MORE. OUR HEALTHY WEIGHT CLINIC SERVES PATIENTS WHO ARE DIABETIC OR PRE-DIABETIC AND/OR HAVE OTHER WEIGHT-RELATED COMORBIDITIES. PATIENTS STRUGGLING WITH THEIR WEIGHT AND ITS COMPLICATIONS HAVE FEW OTHER OPTIONS IN THE REGION. CHMCA'S OUTPATIENT PALLIATIVE CARE WAS SUBSIDIZED IN 2024. THIS SERVICE IS IN PLACE FOR PAIN AND SYMPTOM RELIEF AND FAMILY SUPPORT AROUND PATIENT CARE. ITS UNIQUE APPROACH INCLUDES NARRATIVE MEDICINE AND OTHER EVIDENCE-BASED APPROACHES TO TERMINAL, COMPLEX OR HARD-TO-MANAGE ILLNESSES.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 (A), BUT SUBTRACTED FOR THE PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN TOTALS $44,785,972.
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. ALSO, WE PARTICIPATE IN VARIOUS INTERNAL AND COMMUNITY-BASED EFFORTS TO IMPROVE THE SOCIAL AND ENVIRONMENTAL CONDITIONS SURROUNDING HEALTH. WE PARTICIPATE IN VARIOUS COMMUNITY-BASED PROGRAMS THAT SPECIFICALLY DEVELOP COMMUNITY LEADERS, INCLUDING LEADERSHIP AKRON (FOR COMMUNITY LEADERSHIP) AND THE CHILD & FAMILY LEADERSHIP EXCHANGE (FOR CLINICAL AND SOCIAL SERVICE LEADERSHIP). CHMCA IS STRONGLY REPRESENTED IN COMMITTEES AND TASK FORCES ASSIGNED TO ADDRESS SPECIFIC HEALTH INDICATORS AND CONDITIONS, IN ADDITION TO CERTAIN DIVERGENT POPULATIONS LOCATED THROUGHOUT OUR REGION, STATE, AND BEYOND. CHMCA PROVIDES FINANCIAL AND IN-KIND STAFF SUPPORT FOR VARIOUS COMMUNITY-BASED ORGANIZATIONS AND INITIATIVES WHOSE MISSIONS ARE AIMED AT IMPROVING CONDITIONS SURROUNDING HEALTH AND WELLBEING FOR CHILDREN AND THEIR FAMILIES WITHIN OUR SERVICE AREA. CHMCA ALSO WORKS CLOSELY WITH STATE AND NATIONAL ADVOCACY ORGANIZATIONS SUCH AS OHIO CHILDREN'S HOSPITAL ASSOCIATION TO KEEP CHILDREN'S HEALTH AT THE FOREFRONT OF POLICY CONVERSATIONS. WE ENGAGE IN WORKFORCE DEVELOPMENT EFFORTS THROUGH INITIATIVES SUCH AS THE COLLEGE AND CAREER ACADEMY OF HEALTH AND HUMAN SERVICES AT NORTH HIGH SCHOOL, ESTABLISHED THROUGH A PARTNERSHIP WITH AKRON PUBLIC SCHOOLS. THIS PROGRAM OFFERS HIGH-SCHOOLERS CAREER-FOCUSED PATHWAYS IN HEALTH CARE OPERATIONS, EARLY CHILDHOOD EDUCATION, BIOMEDICAL SCIENCE AND ALLIED HEALTH. THROUGH THE ACADEMY, WE ALSO ASSIST TEACHERS IN TAILORING THEIR CURRICULA TO HEALTH CARE APPLICATIONS. WE ALSO WORK TO IMPROVE THE ENVIRONMENT THROUGH EFFORTS LIKE OUR GREENHOUSE GAS EMISSIONS REDUCTION INITIATIVE, WHICH HAS FOCUSED ON REDUCING OUR USE OF NITROUS OXIDE IN PAIN MANAGEMENT WITH NO NEGATIVE IMPACT ON PATIENT CARE. THIS WORK HELPS TO PROTECT THE OZONE LAYER FROM HARMFUL EMISSIONS, WHICH REMAIN IN THE ATMOSPHERE FOR MORE THAN 100 YEARS.
PART III, LINE 2:	WE BELIEVE THAT APPLYING A COST-TO-CHARGE RATIO DEVELOPED FROM OUR INTERNAL COST ACCOUNTING SYSTEM TO CHMCA'S PROVISION FOR BAD DEBTS IS THE MOST ACCURATE COSTING METHODOLOGY TO CALCULATE BAD DEBT AT COST FOR THE PERIOD. THEREFORE, THE COST TO CHARGE RATIO MULTIPLIED BY THE BAD DEBT EXPENSE RESULTS IN THE COST OF BAD DEBT. 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 UNDERSERVED. 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-. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE AS DESCRIBED IN PART VI, ITEM 3 PATIENT EDUCATION FOR ASSISTANCE IS PROVIDED. SEE PAGES 11 & 12 TO THE FOOTNOTES TO CHMCA'S AUDITED FINANCIAL STATEMENTS THAT DESCRIBE CHARITY CARE AND IMPLICIT PRICE CONCESSIONS (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:	CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON UTILIZES AN INTERNAL COST ACCOUNTING SYSTEM THAT INCORPORATES INFORMATION DIRECTLY EXTRACTED FROM OUR EPIC PATIENT ACCOUNTING SOFTWARE AND ALLOCATES OVERHEAD EXPENSES TO REVENUE PRODUCING DEPARTMENTS TO DEVELOP COSTS. WE BELIEVE THAT REPORTING PROGRAM CHARGES, COSTS, AND PAYMENTS DIRECTLY FROM INTERNAL COST ACCOUNTING SYSTEM 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 (55.2%) AS REPORTED ON OUR INTERNAL PAYOR MIX REPORT.
PART III, LINE 9B:	CHMCA'S POLICY APPLIES TO ALL PATIENTS - INSURED, UNDERINSURED, AND UNINSURED. THE POLICY OUTLINES THE STATEMENT CYCLE, ONCE A SELF-PAY BALANCE IS REACHED, A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE MAY BE IDENTIFIED ANY TIME DURING THE REVENUE CYCLE. IF A PATIENT HAS BEEN DETERMINED TO MEET FINANCIAL ASSISTANCE GUIDELINES, FREE OR DISCOUNTED CARE, THE ACCOUNT WILL NOT BE TRANSFERRED TO A COLLECTION AGENCY.
PART VI, LINE 2:	STARTING IN SUMMER 2024, PLANNING EFFORTS FOR OUR 2025 CHNA BEGAN IN EARNEST. WE CARRIED OUT AN RFP PROCESS AND SELECTED THE CENTER FOR COMMUNITY SOLUTIONS AS OUR CONTRACTED RESEARCH AND FACILITATION PARTNER FOR THE THIRD CYCLE RUNNING. WE ALSO DEVELOPED A PROCESS THAT USED PATIENT DATA AND CHILD OPPORTUNITY INDEX OPPORTUNITY BRACKETS TO EMPIRICALLY DEFINE OUR 'COMMUNITY SERVED.UPON LAUNCHING THE CHNA PROCESS, WE BEGAN TO MEET ON A BIWEEKLY BASIS TO EXECUTE THE DATA COLLECTION AND ANALYSIS STRATEGY. WE IDENTIFIED A LIST OF HEALTH, SOCIOECONOMIC AND ENVIRONMENTAL INDICATORS WITH BEARING ON CHILD WELL-BEING AND DEVELOPED INSTRUMENTS FOR CONDUCTING A COMMUNITY SURVEY OF PARENTS AND CAREGIVERS IN THE REGION. THE CHNA WILL BE FINALIZED IN THE 2025 TAX YEAR. IN ADDITION TO OUR MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN 2022, CHMCA CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019 TO ASSESS THE PRIMARY SERVICE AREAS SURROUNDING OUR AKRON AND MAHONING VALLEY CAMPUSES. ALONG WITH THE CHNA, WE REGULARLY PERFORM 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, AND EVALUATE 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 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 MAKE AN EFFORT TO LISTEN TO OUR STAFF, SEEKING AND RECEIVING FEEDBACK FROM OUR 7,000+ STAFF AND THOUSANDS OF VOLUNTEERS AND PHYSICIANS, 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 OUR PARENT ADVISORY COMMITTEE AND GATHER FEEDBACK THROUGH PATIENT SURVEY RESULTS AND VIA MULTIPLE WRITTEN AND ELECTRONIC (WEB-BASED) TOOLS.
PART VI, LINE 3:	-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 PROGRAM (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 AND SUBMISSION OF PUBLIC ASSISTANCE APPLICATIONS.
PART VI, LINE 4:	FOUNDED IN 1890, CHMCA BEGAN AS A DAY NURSERY AND IS NOW A WORLD-CLASS PEDIATRIC HEALTH CARE INSTITUTION SERVING A REGION OF MORE THAN 25 COUNTIES SPREAD ACROSS NORTHEAST AND NORTH-CENTRAL OHIO, IN ADDITION TO TWO COUNTIES ON THE BORDER OF WESTERN PENNSYLVANIA. APPROXIMATELY 54.3% OF THE PATIENTS WE TREAT ARE COVERED BY MEDICAID. ALSO, WE SERVE AS THE MEDICAL HOME FOR CHILDREN WHO ARE PART OF PRIORITY POPULATIONS OR VULNERABLE COMMUNITIES. THESE INCLUDE FAMILIES LIVING IN POVERTY, BOTH WITHIN THE URBAN CORE AND THE RURAL FRINGE; CHILDREN WHO ARE PART OF THE CHILD WELFARE AND JUVENILE JUSTICE SYSTEMS; CHILDREN FROM NON-ENGLISH SPEAKING FAMILIES (SUCH AS RECENT IMMIGRANTS AND REFUGEES FROM SOUTHEAST ASIA, THE MIDDLE EAST, AND PARTS OF AFRICA); AND THE AMISH. WE HAVE DEDICATED PROVIDERS FROM THE AMISH COMMUNITY AT THE NEW LEAF CENTER IN WAYNE COUNTY, WHERE WE SPECIALIZE IN TREATING CHILDREN WITH SPECIAL NEEDS DUE TO INHERITED DISORDERS. AN EXPANDING FOOTPRINT MEANS WE CAN NOW SAY WE SERVE CHILDREN AND FAMILIES THROUGHOUT EASTERN OHIO. IN 2024 WE OPENED TWO NEW PRIMARY CARE OFFICES IN SALEM AND COLUMBIANA TO BRING CARE CLOSER TO WHERE FAMILIES ARE. THE ADDITION OF THESE NEW OFFICES ALLOWS US TO REACH FAMILIES IN 44 PRIMARY CARE LOCATIONS ACROSS OUR SERVICE REGION.THE PRIMARY COUNTIES IN THE SERVICE AREA THAT WERE ASSESSED AS A PART OF THE CHNA IN 2022 WERE ASHLAND, COLUMBIANA, LORAIN, MAHONING, MEDINA, PORTAGE, RICHLAND, STARK, SUMMIT, TRUMBULL, TUSCARAWAS AND WAYNE. WITHIN THESE COUNTIES IS A DIVERSE AND VARIED POPULATION OF APPROXIMATELY 1.8 MILLION. MAJOR CITIES IN THE REGION ARE AKRON (SUMMIT COUNTY), YOUNGSTOWN (MAHONING COUNTY), AND CANTON (STARK COUNTY). POPULATION TRENDS SHOW MOST COUNTIES IN THE REGION HAVE EXPERIENCED SLIGHT DECLINES OR STABILITY SINCE THE 2020 CENSUS.THE RACIAL AND ETHNIC COMPOSITION VARIES SIGNIFICANTLY ACROSS THE REGION. COMPARED TO THE STATE AVERAGE, THE REGION HAS A HIGHER PROPORTION OF RESIDENTS WHO ARE WHITE. SUMMIT COUNTY AND LORAIN COUNTY HAVE SIGNIFICANT HISPANIC/LATINX POPULATIONS AND A HIGHER PERCENTAGE OF NON-WHITE RESIDENTS OVERALL. NOTABLY, SUMMIT COUNTY HAS A HIGHER PERCENTAGE OF ASIAN AND FOREIGN-BORN RESIDENTS, LIKELY DUE TO ITS STATUS AS A RESETTLEMENT HUB FOR REFUGEE AND IMMIGRANT FAMILIES FROM NATIONS IN SOUTH ASIA, THE MIDDLE EAST, AND AFRICA. MAHONING COUNTY AND SUMMIT COUNTY HAVE HIGHER BLACK OR AFRICAN-AMERICAN POPULATIONS THAN THE STATE AVERAGE, EACH MAKING UP MORE THAN 15% OF THE TOTAL POPULATION.EDUCATIONAL ATTAINMENT LEVELS SHOW VARIABILITY ACROSS THE COUNTIES, BUT GENERALLY, THE REGION'S EDUCATIONAL ATTAINMENT IS SLIGHTLY LOWER THAN THE STATE AVERAGE. MEDINA COUNTY IS AN EXCEPTION, CORRELATING WITH A HIGHER PER CAPITA INCOME AND THE LOWEST POVERTY RATE IN THE REGION.THE OVERALL ECONOMIC WELL-BEING OF RESIDENTS IN THE REGION TENDS TO BE BELOW THE STATE AVERAGE, WITH SEVERAL COUNTIES DESIGNATED AS MEDICALLY UNDERSERVED AREAS (MUAS) OR MEDICALLY UNDERSERVED POPULATIONS (MUPS) DUE TO ECONOMIC CHALLENGES AND RURAL CONDITIONS WHERE HEALTH CARE SERVICES ARE NOT EASY TO ACCESS CLOSE TO HOME. IN PARTICULAR, THE MAHONING VALLEY (COMPRISED OF MAHONING, TRUMBULL, AND COLUMBIANA COUNTIES) IS CONSIDERED PART OF APPALACHIA AND HAS EXPERIENCED A MORE SIGNIFICANT ECONOMIC DEPRESSION COMPARED TO OTHER PARTS OF THE REGION. RICHLAND COUNTY ALSO HAS A LOWER CAPITA INCOME AND HIGHER POVERTY RATE COMPARED TO THE STATE.ACROSS THE REGION, THERE IS A NOTICEABLE TREND OF A HIGHER PROPORTION OF OLDER ADULTS (65 AND OLDER) COMPARED TO THE STATE OF OHIO, HOWEVER, WAYNE COUNTY HAS A GROWING PROPORTION OF BOTH CHILDREN (0-18 YEARS OLD) AND OLDER ADULTS.
LINE 5, PROMOTION OF COMMUNITY HEALTH	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 OUR COMMUNITY. WITHIN OUR DOORS, THIS MEANS TREATING ALL CHILDREN AS IF THEY WERE OUR OWN, TURNING NO CHILD OR FAMILY AWAY BASED ON THEIR ABILITY TO PAY. CHMCA'S GOVERNING BOARD OF DIRECTORS IS COMPRISED OF MEMBERS OF THE COMMUNITY THAT MAKES UP THE HOSPITAL'S PRIMARY SERVICE AREA. THEY ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. 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 CHILDREN. CHMCA BRINGS PEDIATRIC PRIMARY CARE FOR BABIES, CHILDREN AND TEENS TO AN EXPANDING LIST OF EASTERN OHIO NEIGHBORHOODS THROUGH OUR NETWORK OF PEDIATRICIAN OFFICES. EACH OFFICE IS STAFFED WITH BOARD-CERTIFIED PEDIATRICIANS AND EXPERIENCED STAFF. CHMCA ALSO OPERATES REGIONAL HEALTH CENTERS THAT BRING PRIMARY CARE, A RANGE OF SPECIALTY CARE SERVICES, AND AT SOME LOCATIONS, URGENT CARE, UNDER THE SAME ROOF. WE MAKE MAJOR INVESTMENTS OF OUR FUNDS AND OTHER RESOURCES IN 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 BENEFIT AND/OR PROMOTE HEALTH TO THE RESIDENTS IN THE COMMUNITIES WE SERVE. THE PRIMARY BENEFIT TO OUR COMMUNITIES IS PROVIDING HEALTH CARE FOR MORE THAN 1,000,000 CHILDREN ANNUALLY. IN ADDITION, WE ENGAGE IN COMMUNITY BUILDING ACTIVITIES, AS DEPICTED IN PART II OF THIS SCHEDULE. IN 2024, CHMCA HAD TWO HOSPITAL CAMPUSES, SIX REGIONAL HEALTH CENTERS AND MORE THAN 50 PRIMARY AND SPECIALTY CARE OFFICES THROUGHOUT OHIO. THERE WERE 100,116 EMERGENCY DEPARTMENT VISITS, 10,350 INPATIENT ADMISSIONS, 21,513 SURGERIES, AND MORE THAN 1.5 MILLION TOTAL OUTPATIENT VISITS. PARENTS AND MEMBERS OF CHMCA'S FAMILY-CENTERED CARE COMMITTEE ESTABLISHED THE PARENT ADVISORY COUNCIL 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 WORK WITH HOSPITAL LIAISONS TO REPRESENT THE VOICE OF FAMILIES AS WE WORK TOGETHER TO ENHANCE THE DELIVERY OF FAMILY-CENTERED CARE. CHMCA'S PAUL AND CAROL DAVID FOUNDATION BURN INSTITUTE PROVIDES SPECIALIZED INPATIENT AND OUTPATIENT CARE FOR BURN VICTIMS OF ALL AGES THROUGHOUT NORTHEAST OHIO. CHMCA IS ONE OF ONLY TWO PEDIATRIC HOSPITALS IN THE COUNTRY THAT TREATS ADULT BURN PATIENTS. EACH YEAR THE BURN INSTITUTE LEADS DOZENS OF OUTREACH AND EDUCATION ACTIVITIES ON FIRE SAFETY, IN ADDITION TO BURN SURVIVORSHIP SUPPORT GROUPS AND CAMPS. THE REBECCA D. CONSIDINE RESEARCH INSTITUTE (RI) IS THE HUB FOR RESEARCH ACTIVITY. THE RI FACILITATES SPONSORED CLINICAL STUDIES AND INTERNAL INVESTIGATOR-INITIATED RESEARCH PROGRAMS ACROSS A SPECTRUM OF RESEARCH SUBJECTS. IT ALSO OFFERS RESEARCH-ORIENTED EDUCATIONAL OPPORTUNITIES FOR FELLOWS, STUDENTS AND FACULTY FROM AROUND THE GLOBE. IN 2024, THE RI RECEIVED A NATIONAL INSTITUTE OF HEALTH GRANT TO EXPLORE HOW MULTI-DISCIPLINARY TEAMS CAN REDUCE CARDIAC ARRESTS IN THE PEDIATRIC INTENSIVE CARE UNIT (PICU). THE RI ALSO RECEIVED A GRANT FROM THE CYSTIC FIBROSIS FOUNDATION AS PART OF THE CYSTIC FIBROSIS THERAPEUTICS DEVELOPMENT NETWORK (TDN), THE LARGEST CYSTIC FIBROSIS CLINICAL TRIALS NETWORK GLOBALLY. RESEARCH FOR THIS GRANT FOCUSES ON EVALUATING THE SAFETY AND EFFICACY OF NEW CYSTIC FIBROSIS THERAPIES. OUR 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. THE CYSTIC FIBROSIS CENTER PROVIDES DIAGNOSIS AND TREATMENT TO CHILDREN AND ADULTS WITH CYSTIC FIBROSIS (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. 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. CHMCA IS A LEVEL I PEDIATRIC TRAUMA CENTER. OUR TRAUMA SERVICES DEPARTMENT PARTICIPATES IN SEVERAL RESEARCH AND QUALITY/PERFORMANCE IMPROVEMENT EFFORTS TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF CRITICALLY ILL OR INJURED PATIENTS AND COLLABORATES CLOSELY WITH OUR INJURY PREVENTION TEAM PROVIDING DATA THAT AIDS IN DELIVERING COMMUNITY -BASED EFFORTS TO PREVENT TRAUMATIC INJURIES FROM OCCURRING IN PEDIATRIC POPULATIONS CHMCA HAS WORKED OVER THE YEARS TO EMBED BEHAVIORAL HEALTH SERVICES WITHIN OUR NETWORK OF PRIMARY CARE OFFICES, THROUGH INTERNAL STAFFING AND FORMAL RELATIONSHIPS WITH COMMUNITY AGENCIES PROVIDING THEM. THIS MODEL HAS ALLOWED FOR PRIMARY CARE PROVIDERS TO BETTER MANAGE PATIENTS WITH MILD TO MODERATE BEHAVIORAL HEALTH NEEDS AND COORDINATE THEIR CARE CLOSE TO HOME, WHICH RESERVES THE TIME AND EXPERTISE OF SPECIALISTS SUCH AS PSYCHOLOGISTS AND PSYCHIATRISTS FOR THE HIGHEST ACUITY PATIENTS. WE OPERATE 4 REGIONAL BEHAVIORAL HEALTH CENTERS (RBHCS) - IN AKRON, BOARDMAN, MANSFIELD AND CANTON, OHIO. OUR FIRST RBHC WAS OPENED IN 2019 AT OUR MAHONING VALLEY CAMPUS. OUR TEAM MAINTAINS STRONG RELATIONSHIPS WITH COMMUNITY BEHAVIORAL HEALTH AGENCIES THAT OPERATE NEAR EACH RBHC, WHICH INVOLVES MEETING QUARTERLY TO REVIEW AND DISCUSS REFERRALS TO STRENGTHEN THE CONTINUUM OF CARE. ADDITIONALLY, BEHAVIORAL HEALTH TEAM MEMBERS HAVE WORKED CLOSELY WITH LOCAL COLLEGES AND UNIVERSITIES AND ITS INTERNAL CAREER LAUNCH PROGRAM TO CREATE INTERNSHIPS AND BUILD INTERNAL CAREER PATHWAYS, SO THAT QUALIFIED PROFESSIONALS ARE NOT BEING RECRUITED AWAY FROM THE SMALLER BEHAVIORAL HEALTH AGENCIES WHO BADLY NEED THEM. THESE EFFORTS WERE PART OF OUR CHNA IMPLEMENTATION STRATEGY UNDER MENTAL AND BEHAVIORAL HEALTH FOR 2023-2025, AND THE STRATEGIES FOCUS CHIEFLY ON OUR COMMITMENT TO ACCESS. OUR CRISIS CARE SERVICE LINE, PSYCHIATRIC INTAKE RESPONSE CENTER (PIRC) OPERATES A 24/7 TELEPHONE TRIAGE SERVICE FOR HIGH-ACUITY BEHAVIORAL HEALTH CONCERNS AND IS HOUSED IN THE EMERGENCY DEPARTMENTS AT OUR AKRON AND BOARDMAN CAMPUSES. PIRC IS STAFFED BY MASTER'S LEVEL MENTAL HEALTH THERAPISTS WHO PERFORM RISK ASSESSMENTS USING EVIDENCED BASED SCREENING AND ASSESSMENT TOOLS TO DETERMINE PATIENTS' OVERALL LEVEL OF RISK OF HARM TO SELF OR OTHERS ALONG WITH THE APPROPRIATE TREATMENT DISPOSITION. THESE RECOMMENDATIONS ARE THEN SHARED WITH THE ATTENDING PHYSICIAN AND THE PSYCHIATRIST ON CALL IF AN INPATIENT ADMISSION IS INDICATED. SAFETY PLANNING IS FACILITATED WITH THE PATIENT AND PARENT OR LEGAL GUARDIAN, AND REFERRALS MAY BE MADE TO AKRON CHILDREN'S SERVICES OR THOSE AVAILABLE IN THE COMMUNITY AS APPROPRIATE. CHMCA'S PUBLIC SAFETY DEPARTMENT SUPPORTS OUR FOCUS ON MENTAL HEALTH BY PROMOTING CRISIS INTERVENTION TRAINING (CIT) FOR ITS OFFICERS AND OTHER LOCAL LAW ENFORCEMENT. WE ESTABLISHED A SPECIALIZED UNIT CALLED BEHAVIORAL RESPONSE AGAINST VIOLENCE ESCALATION (B.R.A.V.E.) WHICH INCORPORATES CIT CORE PRINCIPLES AND USES COLLABORATION, DE-ESCALATION, EDUCATION, AND UNDERSTANDING, WHILE TAKING A TRAUMA INFORMED APPROACH. AS A RESULT OF THIS PROGRAM, THE COMMUNITY IN WHICH THESE OFFICERS SERVE HAS SEEN A REDUCTION OF VIOLENT BEHAVIOR IN THE MENTALLY ILL POPULATION, SPECIFICALLY JUVENILES, AND REDUCTION IN USE OF FORCE ENCOUNTERS ACROSS ALL DEMOGRAPHICS.
LINE 5, PROMOTION OF COMMUNITY HEALTH CONTINUED:	CHMCA'S NEONATOLOGY DEPARTMENTS IN AKRON AND BOARDMAN OFFER INTENSIVE CARE TO SICK AND PREMATURE NEWBORNS. 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 TINIEST PATIENTS AND GIVING PARENTS THE EMOTIONAL AND PRACTICAL SUPPORT THEY NEED. FURTHERMORE, CHMCA IS PART OF THE VERMONT OXFORD NETWORK, A COLLABORATION OF HEALTH PROFESSIONALS FROM MORE THAN 1200 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 CLEVELAND CLINIC AKRON GENERAL MEDICAL CENTER AND SUMMA HEALTH'S AKRON CITY HOSPITAL IN AKRON; AULTMAN HOSPITAL IN CANTON; MERCY HEALTH LORAIN; WOOSTER COMMUNITY HOSPITAL; CHMCA'S BEEGHLY CAMPUS IN BOARDMAN; ST. ELIZABETH BOARDMAN HOSPITAL, AND ST. JOSEPH WARREN HOSPITAL. 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. CHMCA'S POPULATION HEALTH DEPARTMENT PROVIDES CASE MANAGEMENT AND CARE COORDINATION SERVICES THROUGHOUT THE HOSPITAL'S SERVICE AREA, WORKING WITH PATIENTS ON A "HIGH RISK" REGISTRY TO IMPROVE HEALTH OUTCOMES AND ENHANCE QUALITY OF LIFE. THESE PATIENTS ARE GENERALLY INCOME LIMITED AND MEDICALLY COMPLEX AND OFTEN HAVE A HIGH NO-SHOW RATE TO THEIR SCHEDULED APPOINTMENTS AND/OR NUMEROUS HOSPITALIZATIONS AND EMERGENCY DEPARTMENT VISITS IN A 12-MONTH PERIOD. IN 2024, CHMCA FOUNDED THE DIABETES COMMUNITY EDUCATION (DCE) TEAM TO PROVIDE DIABETES EDUCATION TO SCHOOLS, CHILDCARE CENTERS, AND COMMUNITY CENTERS. DURING THIS INAUGURAL YEAR, DCE PROVIDED 43 TRAININGS ACROSS 14 COUNTIES THAT EDUCATED OVER 300 INDIVIDUALS. DCE IS PREPARED TO CONTINUE PROVIDING CORE DIABETES EDUCATION PROGRAMS WITHIN OUR COMMUNITIES.LOCATED AT CHMCA'S MAHONING VALLEY CAMPUS IS THE CHRONIC CARE EDUCATION AND SUPPORT CENTER (CCESC), WHICH DELIVERS CHRONIC DISEASE PREVENTION AND SELF-MANAGEMENT PROGRAMMING TO CHILDREN AND THEIR FAMILIES. THE DEPARTMENT DOES NOT GENERATE REVENUE FOR THESE SERVICES, AND PROGRAMS MEET SPECIFIED CRITERIA OF NATIONALLY ACCREDITED DISEASE MANAGEMENT PROGRAMS AND CHMCA CRITERIA AND MONITORING REQUIREMENTS. THROUGH POPULATION HEALTH, CHMCA SERVES AS A CONTRACTED COORDINATING AGENCY COLLABORATING WITH LOCAL PATHWAYS COMMUNITY HUBS. FOR OUR AKRON FACILITY, THIS INCLUDES AKRON-SUMMIT COMMUNITY ACTION, STARK COMMUNITY ACTION COALITION, AND COMMUNITY HEALTH ACTION PROJECT. THESE HUBS SERVE SUMMIT, STARK, PORTAGE, MEDINA, WAYNE, RICHLAND, ASHLAND, KNOX, HURON, CRAWFORD, AND MORROW COUNTIES. WE ALSO WORK WITH MAHONING VALLEY HUB, WHICH SERVES MAHONING AND TRUMBULL COUNTIES. CHMCA AND THE HUBS PROVIDE BIDIRECTIONAL REFERRALS OF WOMEN WHO ARE PREGNANT AND UP TO ONE YEAR POSTPARTUM, INCREASING THEIR ACCESS TO RESOURCES SUCH AS PRENATAL CARE, FOOD AND HOUSING ASSISTANCE, ADULT EDUCATION, TOBACCO CESSATION SERVICES, AND OTHERS. COMMUNITY HEALTH WORKERS (CHWS), INCLUDING THOSE EMPLOYED BY CHMCA, HELP TO NAVIGATE THESE WOMEN THROUGH SYSTEMS, ENSURING THEY RECEIVE THE RESOURCES NEEDED TO PROVIDE A HEALTHY ENVIRONMENT FOR THEMSELVES AND THEIR CHILDREN. CHMCA ALSO EMPLOYES CHWS WHO WORK WITH PATIENT FAMILIES OUTSIDE OF THE HUBS. IN ADDITION, CHMCA IS A NURSE-FAMILY PARTNERSHIP SERVICE PROVIDER, WITH CHILDREN'S HOME CARE GROUP NURSES PROVIDING HOME VISITS TO PREGNANT WOMEN AND THEIR BABIES UP TO TWO YEARS POSTPARTUM. CHMCA'S POPULATION HEALTH DEPARTMENT HAS WORKED TO IMPLEMENT UNIVERSAL SOCIAL DETERMINANTS OF HEALTH SCREENING ACROSS MULTIPLE SERVICES. WE USE THE FINDHELP PLATFORM TO MAKE REFERRALS TO COMMUNITY AGENCIES WHO SUPPORT FAMILIES' SOCIAL NEEDS AND TRACK FOLLOW-THROUGH TO OPTIMIZE THE OUTCOME FOR EACH REFERRAL. WE HAVE MANY ADDITIONAL VALUE-ADDED SUPPORTS IN PLACE FOR FAMILIES, INCLUDING TRANSPORTATION ASSISTANCE THROUGH THE ROUNDTRIP APP, WHICH IS INTEGRATED IN THE ELECTRONIC MEDICAL RECORD. AS A SYSTEM, WE BOOKED MORE THAN 5,200 RIDES IN ROUNDTRIP IN 2024. CHMCA OPERATES A FAMILY RESOURCE CENTER (FRC) THAT CONNECTS FAMILIES, STAFF AND COMMUNITY MEMBERS TO RESOURCES IN A CENTRAL LOCATION. IN ADDITION TO OFFERING HOSPITAL SERVICES SUCH AS CARE COORDINATION AND TRANSLATION AND LANGUAGE ACCESS SERVICES, THE FRC HAS A SAFETY CENTER WHERE ELIGIBLE FAMILIES RECEIVE EDUCATION AND SAFETY EQUIPMENT SUCH AS CAR SEATS, PORTABLE CRIBS, MEDICATION LOCKBOXES AND GUN LOCKS. THE FRC PARTNERED WITH LOCAL AGENCIES TO OFFER AN ONSITE WIC CLINIC, UNITED WAY OFFERS FREE FINANCIAL COUNSELING AND TAX PREPARATION FOR ELIGIBLE FAMILIES AND STAFF, COMMUNITY LEGAL AID ASSISTS FAMILIES WITH LEGAL ISSUES AND DEPARTMENT OF JOB AND FAMILY SERVICES ASSISTS FAMILIES WITH CHILDCARE ASSISTANCE, SNAP AND TANF BENEFITS AND MORE. CHMCA'S EXTERNAL AFFAIRS DEPARTMENT OFFERS A VARIETY OF COMMUNITY HEALTH EDUCATION AND OUTREACH PROGRAMS TO CHILDREN AND FAMILIES THROUGHOUT THE SERVICE AREA. THESE INCLUDE INJURY PREVENTION PROGRAMS ON CHILD PASSENGER SAFETY, PEDESTRIAN SAFETY, TEEN SAFE DRIVING AND SAFE SLEEP, AND REACH OUT AND READ, A PROGRAM THAT PROMOTES EARLY CHILDHOOD LITERACY BY DISTRIBUTING BOOKS TO CHMCA PRIMARY CARE OFFICES TO PROVIDE CHILDREN DURING WELL VISITS. WE ALSO COORDINATE STAFFING AND RESOURCES FOR OUTREACH EVENTS IN OUR COMMUNITIES, BASED ON IDENTIFIED NEEDS AND ALIGNMENT WITH STRATEGIC PRIORITIES. IN 2024, WE COORDINATED 180 EVENTS IN 15 COUNTIES, REACHING AN ESTIMATED 110,000-PLUS COMMUNITY MEMBERS. OUR STAFF'S STRONG COMMUNITY PRESENCE AND RELATIONSHIPS WITH TRUSTED AGENCIES MAKE US WELL POSITIONED TO RESPOND TO COMMUNITY NEEDS IN EFFICIENT AND EFFECTIVE WAYS. IN 2024, CHMCA'S EXTERNAL AFFAIRS DEPARTMENT CONTINUED ITS PARTNERSHIP WITH THE AKRON CANTON REGIONAL FOODBANK ON OUR ONSITE FOOD PANTRY OR FOOD FARMACY. THE FOOD FARMACY SERVES INCOME ELIGIBLE FAMILIES WITH EMERGENT FOOD NEEDS. HOSPITAL DEPARTMENTS MAY REFER PATIENT FAMILIES DURING APPOINTMENTS AND NAVIGATE THEM TO THE FOOD FARMACY TO SELECT THE ITEMS OF THEIR CHOICE. THE PROGRAM PROVIDES CULTURALLY APPROPRIATE FOODS THROUGH A PARTNERSHIP WITH A LOCAL GROCER IN THE NORTH HILL COMMUNITY, AND DURING SUMMER MONTHS, DISTRIBUTES PRODUCE HARVESTED FROM THE HOSPITAL'S ONSITE EDUCATION AND WELLNESS GARDEN. IN 2024, THE FOOD FARMACY PROVIDED 156,234 POUNDS OF FOOD AND RECEIVED OVER 300 POUNDS OF FOOD FROM THE EDUCATION AND WELLNESS GARDEN. THESE EFFORTS ARE ALIGNED WITH OUR CHNA'S PRIORITY OF COMMUNITY BASED HEALTH AND WELLNESS AND COMMITMENT TO ACCESS. EXTERNAL AFFAIRS CONTINUED YOUTH SUICIDE PREVENTION INITIATIVES IN 2024, COORDINATING AND CO-CHAIRING THE SUMMIT COUNTY YOUTH SUICIDE PREVENTION SUBCOMMITTEE AND PARTICIPATING ALONGSIDE OUR BEHAVIORAL HEALTH DIVISION ON THE ZERO SUICIDE PEDIATRIC INITIATIVE. THROUGH THIS COLLABORATION, WE DISTRIBUTED GUN CABLE LOCKS AND LOCKBOXES TO FAMILIES AS A STRATEGY TO LIMIT CHILDREN'S ACCESS TO LETHAL MEANS. WE CONTINUED TO PARTNER WITH COMMUNITY AGENCIES TO EXPAND ACCESS TO EDUCATION AND TRAINING OPTIONS SUCH AS THE QUESTION, PERSUADE, REFER GATEKEEPER COURSE. YOUTH SUICIDE PREVENTION REPRESENTS ANOTHER STRATEGY AREA UNDER OUR MENTAL AND BEHAVIORAL HEALTH CHNA PRIORITY. AS PREVIOUSLY MENTIONED UNDER SUBSIDIZED HEALTH PROGRAMS, OUR SBHC MODEL SERVES STUDENTS IN OVER 40 SCHOOL DISTRICTS ACROSS NORTHEASTERN OHIO. THIS PROGRAM EXPANDS HEALTH CARE ACCESS FOR STUDENTS ACROSS THE REGION AND PROMOTES HEALTHY LEARNING AND LIVING. IN 2024, OUR SBHC RECORDED OVER 6,000 TOTAL VISITS.

Schedule H (Form 990) 2024

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Schedule I
(Form 990)
(Rev. January 2025)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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	(h) Purpose of grant or assistance
(1) AKRON AREA YMCA 50 S MAIN ST STE LL100 AKRON,OH44308	34-0714727	501(C)(3)	15,000	GENERAL SUPPORT
(2) AKRON BASEBALL LLC 300 SOUTH MAIN ST AKRON,OH44308	99-0379765	501(C)(3)	351,000	GENERAL SUPPORT
(3) AKRON COMMUNITY FOUNDATION 345 WEST CEDAR ST AKRON,OH44307	34-1087615	501(C)(3)	10,000	GENERAL SUPPORT
(4) AKRON MARATHON CHARITABLE CORP 155 E VORIS STREET AKRON,OH443111513	42-1531773	501(C)(3)	10,000	GENERAL SUPPORT
(5) AKRON ZOOLOGICAL PARK 500 EDGEWOOD AVENUE AKRON,OH44307	34-6003866	501(C)(3)	19,200	GENERAL SUPPORT
(6) AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS,TX75231	13-5613797	501(C)(3)	10,000	GENERAL SUPPORT
(7) ASSOCIATION OF FUNDRAISING PROFESSIONALS NORTHEAST OHIO CHAPTER 4200 WILSON BLVD STE 300 ARLINGTON,VA22203	34-1623032	501(C)(6)	5,480	GENERAL SUPPORT
(8) AUTISM SOCIETY GREATER AKRON 703 S MAIN ST AKRON,OH44311	47-1129984	501(C)(3)	6,300	GENERAL SUPPORT
(9) CANTON REGIONAL CHAMBER OF COMMERCE 222 MARKET AVENUE N CANTON,OH44702	34-0129930	501(C)(3)	7,000	GENERAL SUPPORT
(10) CITIZENS COMMITTEE FOR CHILDREN SERVICES PO BOX 7273 AKRON,OH44306	34-1882537		10,600	GENERAL SUPPORT
(11) COLUMBIANA CO EDUC SERVICE CTR 38720 SALTWELL ROAD LISBON,OH44432	34-1566369		6,000	GENERAL SUPPORT
(12) CONSERVANCY FOR CUYAHOGA VALLEY NATIONAL PARK 1403 WEST HINES HILL ROAD PENINSULA,OH44264	34-1917257	501(C)(3)	6,000	GENERAL SUPPORT
(13) COVELLI CENTRE 229 E FRONT STREET YOUNGSTOWN,OH44503	26-1299078		30,000	GENERAL SUPPORT
(14) EASTWOOD MALL PO BOX 7535 CAROL STREAM,IL601977535	34-6510608		10,500	GENERAL SUPPORT
(15) FEARLESS FIGHTERS FOUNDATION INC 3900 DARROW RD UNIT 1686 STOW,OH44224	87-2850975	501(C)(3)	8,500	GENERAL SUPPORT
(16) GREATER AKRON AMENITIES 77 E MILL ST AKRON,OH44308	01-0675880	501(C)(3)	10,000	GENERAL SUPPORT
(17) GREATER AKRON CHAMBER OF COMMERCE 388 S MAIN ST STE 205 AKRON,OH44311	34-1156575		11,750	GENERAL SUPPORT
(18) HOPE MEADOWS FOUNDATION 4820 RIDGE RD WADSWORTH,OH44281	35-2327253	501(C)(3)	5,088	GENERAL SUPPORT
(19) KAULIG COMPANIES CHAMPIONSHIP 1 PGA TOUR BLVD PONTE VEDRA BEACH,FL32082	52-0999206	501(C)(6)	21,000	GENERAL SUPPORT
(20) MAHONING COUNTY AGRICULTURAL SOCIETY 7265 COLUMBIANA CANFIELD ROAD CANFIELD,OH44406	34-0764399	501(C)(3)	15,000	GENERAL SUPPORT
(21) MERCY HEALTH FOUNDATION MAHONING VALLEY 4600 MCAULEY PL STE 100 BLUE ASH,OH45242	20-1072726	501(C)(3)	8,000	GENERAL SUPPORT
(22) NORTHERN OHIO GOLF CHARITIES FOUNDATION INC 440 EAST WARNER ROAD AKRON,OH44319	34-1712857	501(C)(3)	10,000	GENERAL SUPPORT
(23) STAN HYWET HALL & GARDENS 714 NORTH PORTAGE PATH AKRON,OH443031399	34-0819149	501(C)(3)	5,600	GENERAL SUPPORT
(24) THE YOUNGSTOWN BUSINESS INCUBATOR 241 W FEDERAL STREET YOUNGSTOWN,OH44503	34-1751707	501(C)(3)	5,800	GENERAL SUPPORT
(25) YOUNGSTOWN PHANTOMS 229 E FRONT STREET YOUNGSTOWN,OH44503	54-2117655		12,400	SPONSORSHIPS
(26) YOUNGSTOWN STATE UNIVERSITY 2029 BURNING TREE LN YOUNGSTOWN,OH44555	34-1011998	501(C)(3)	7,850	GENERAL SUPPORT
(27) YOUNGSTOWN WARREN REGIONAL CHAMBER 100 E FEDERAL STREET YOUNGSTOWN,OH44503	34-1731411	501(C)(6)	34,430	GENERAL 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) Rev. 1-2025

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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash 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) Rev. 1-2025

Additional Data

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 on 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 on 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? .............

Yes

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

Yes

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

Yes

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 nonfixed
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) (Rev. 1-2025)

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1CHRISTOPHER A GESSNER BOD/OFFICER-PRESIDENT AND CEO	(i) (ii)	1,000,002 ------------- 0	472,501 ------------- 0	3,223 ------------- 0	279,014 ------------- 0	36,568 ------------- 0	1,791,308 ------------- 0	0 ------------- 0
2SHAWN LYDEN CHIEF STRATEGY OFFICER - PART YEAR	(i) (ii)	454,034 ------------- 0	144,491 ------------- 0	972,511 ------------- 0	102,877 ------------- 0	19,288 ------------- 0	1,693,201 ------------- 0	670,742 ------------- 0
3ANJAY KHANDELWAL DIR BURN SURGERY	(i) (ii)	507,207 ------------- 0	558,966 ------------- 0	102,986 ------------- 0	20,700 ------------- 0	4,277 ------------- 0	1,194,136 ------------- 0	0 ------------- 0
4TODD RITZMAN MD SURGEON IN CHIEF	(i) (ii)	682,109 ------------- 0	294,926 ------------- 0	144,321 ------------- 0	24,150 ------------- 0	19,948 ------------- 0	1,165,454 ------------- 0	0 ------------- 0
5KATHERINE WOLFE MD CHIEF MATERIAL FETAIL MED SVS	(i) (ii)	797,740 ------------- 0	180,000 ------------- 0	92,715 ------------- 0	20,700 ------------- 0	35,610 ------------- 0	1,126,765 ------------- 0	0 ------------- 0
6TSULEE CHEN MD DIRECTOR NEUROSURGERY	(i) (ii)	859,832 ------------- 0	30,000 ------------- 0	187,115 ------------- 0	20,700 ------------- 0	27,140 ------------- 0	1,124,787 ------------- 0	0 ------------- 0
7LISA AURILIO CHIEF OPERATING OFFICER	(i) (ii)	672,358 ------------- 0	185,094 ------------- 0	197,550 ------------- 0	24,150 ------------- 0	13,873 ------------- 0	1,093,025 ------------- 0	175,998 ------------- 0
8RICHARD LOU BURN SURGEON	(i) (ii)	523,547 ------------- 0	443,497 ------------- 0	67,717 ------------- 0	20,700 ------------- 0	32,575 ------------- 0	1,088,036 ------------- 0	0 ------------- 0
9ROBERT STEWART MD DIRECTOR CARDIOTHORACIC SURGERY	(i) (ii)	827,937 ------------- 0	0 ------------- 0	198,283 ------------- 0	24,150 ------------- 0	35,120 ------------- 0	1,085,490 ------------- 0	0 ------------- 0
10MARK WULKAN MD DEPARTMENT CHAIR SURGERY-PART YEAR	(i) (ii)	697,348 ------------- 0	0 ------------- 0	247,500 ------------- 0	24,150 ------------- 0	21,537 ------------- 0	990,535 ------------- 0	0 ------------- 0
11GORDON EDWARDS BOD/OFFICER-CHIEF FINANCIAL OFFICER	(i) (ii)	656,011 ------------- 0	206,644 ------------- 0	21,535 ------------- 0	43,825 ------------- 0	35,196 ------------- 0	963,211 ------------- 0	0 ------------- 0
12TARUN BHALLA MD CHIEF CLINICAL OFFICER	(i) (ii)	700,016 ------------- 0	0 ------------- 0	91,985 ------------- 0	20,700 ------------- 0	35,111 ------------- 0	847,812 ------------- 0	0 ------------- 0
13MICHAEL BIGHAM MD CHIEF QUALITY OFFICER	(i) (ii)	464,100 ------------- 0	127,764 ------------- 0	185,824 ------------- 0	24,150 ------------- 0	33,635 ------------- 0	835,473 ------------- 0	150,735 ------------- 0
14ROBERT MCGREGOR MD CHIEF MEDICAL OFFICER - PART YEAR	(i) (ii)	550,014 ------------- 0	173,255 ------------- 0	43,879 ------------- 0	6,900 ------------- 0	24,826 ------------- 0	798,874 ------------- 0	0 ------------- 0
15RHONDA LARIMORE CHIEF HUMAN RESOURCES OFFICER	(i) (ii)	417,305 ------------- 0	114,660 ------------- 0	150,970 ------------- 0	24,150 ------------- 0	33,721 ------------- 0	740,806 ------------- 0	152,512 ------------- 0
16KERWYN JONES PEDIATRIC ORTHOPEDIC SURGEON	(i) (ii)	528,891 ------------- 0	42,458 ------------- 0	96,309 ------------- 0	24,150 ------------- 0	34,601 ------------- 0	726,409 ------------- 0	0 ------------- 0
17KIMBERLY MOSES CHIEF LEGAL OFFICER	(i) (ii)	445,016 ------------- 0	0 ------------- 0	4,525 ------------- 0	13,800 ------------- 0	33,485 ------------- 0	496,826 ------------- 0	0 ------------- 0
18SHEFALI MAHESH MD PRESIDENT OF MEDICAL STAFF/CHAIR PED	(i) (ii)	383,959 ------------- 0	0 ------------- 0	-16,107 ------------- 0	23,816 ------------- 0	20,158 ------------- 0	411,826 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

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	CHRISTOPHER GESSNER, PRESIDENT AND CEO OF THE CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON, HAS COUNTRY CLUB MEMBERSHIPS THAT ARE USED FOR BUSINESS PURPOSES WITH CURRENT AND PROSPECTIVE DONORS. AN UPGRADE TO THE NEXT AVAILABLE CLASS, E.G., BUSINESS CLASS, MAY BE PERMITTED WHEN THE FLIGHT IS OUTSIDE THE CONTINENTAL UNITED STATES OR THE FLIGHT DURATION IS IN EXCESS OF FIVE HOURS; OR AN UPGRADE TO THE NEXT AVAILABLE CLASS MAY BE PERMITTED WHEN AN OVERNIGHT ACCOMMODATION CAN BE AVOIDED. AS PART OF THE RECRUITMENT PACKAGE FOR AN EXECUTIVE, HOTEL AND MOVING REIMBURSEMENT IS MADE AVAILABLE AND TAXED ACCORDINGLY.
PART I, LINES 4A-B	SHAWN LYDEN RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $207,414 THE FOLLOWING INDIVIDUALS BECAME PARTICIPANTS IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS DURING 2018, WHEREBY THEY BECOME VESTED PER THE TERMS OF THEIR EMPLOYMENT AGREEMENT. CHMCA IS ACCRUING FOR THE BENEFIT THAT WILL OCCUR, THEREFORE THESE AMOUNTS ARE INCLUDED IN THEIR DEFERRED COMPENSATION. DISTRIBUTIONS WERE MADE IN 2024 IN THE FOLLOWING AMOUNTS: ROBERT MCGREGOR M.D. - $0 SHAWN LYDEN - $670,742 CHRISTOPHER GESSNER - $0 MICHAEL BIGHAM - $150,735 LISA AURILIO - $175,998 RHONDA LARIMORE - $113,400 MICHELE BROWN - $130,487 CHMCA HAS A SUPPLEMENTAL NONQUALIFIED PLAN OPEN TO SELECTED EMPLOYEES WHEN WAGES EXCEED THE MAXIMUM THRESHOLD FOR THE QUALIFIED RETIREMENT PLANS. THE AMOUNTS ARE CALCULATED IN THE FOLLOWING YEAR OF EARNINGS AND EITHER PAID TO THE EMPLOYEE IF THEY ARE VESTED AS TAXABLE INCOME OR PUT INTO THE PLAN UNTIL VESTED AND THEN PAID. THE FOLLOWING EMPLOYEES BECAME FULLY VESTED IN 2024, THEREFORE THESE AMOUNTS ARE INCLUDED IN THEIR REPORTABLE COMPENSATION: RHONDA LARIMORE - $39,112
PART I, LINE 5	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 I, LINE 6	CHMCA BASES A PORTION OF BONUSES ON THE NET EARNINGS OF CHMCA.
PART I, LINE 7	CHMCA BASES A PORTION OF BONUSES ON PERFORMANCE, GROWTH, QUALITY AND OTHER METRICS BUT FINAL DECISIONS ARE DISCRETIONARY BY THE BOARD. THE CEO'S BONUS IS APPROVED BY THE GOVERNANCE COMMITTEE OF THE BOARD. CEO RECOMMENDS FOR APPROVAL THE EXECUTIVES BONUSES TO THE BOARD AND THEY APPROVE THEM. THE CEO APPROVES THE VICE PRESIDENTS BONUSES.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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	009730QS4	05-12-2022	83,892,426	2022A - REFUND PRIOR ISSUE		X		X		X
B	AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT	34-1448680	009730NB4	05-15-2023	90,905,000	2023 - REFUND PRIOR ISSUE	X			X		X
C	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	67756CGB8	06-04-2024	101,312,910	HOSPITAL FACILITIES IMPROVEMENT		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	12,420,000
2 Amount of bonds legally defeased ..............			8,450,323
3 Total proceeds of issue ..................	83,892,426		90,905,000		101,312,910
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	932,000
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	196,856				1,312,910
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............
11 Other spent proceeds .............	82,763,570		90,905,000		40,153,898
12 Other unspent proceeds .............					59,846,102
13 Year of substantial completion .............	2013
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X			X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, 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

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

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

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
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	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 .........	0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, 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

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

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

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference

Explanation

SCHEDULE K, PART I, BOND ISSUE:

(A) ISSUER NAME: AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT (A)(F) DESCRIPTION OF PURPOSE WAS TO REFUND A SERIES 2012 AND SERIES 2013B BOND ISSUES FOR CAPITAL IMPROVEMENTS TO THE AKRON CAMPUS. (B) ISSUER NAME: AKRON, BATH AND COPLEY JOINT TOWNSHIP HOSPITAL DISTRICT (B)(F) DESCRIPTION OF PURPOSE: TO REFUND BONDS USED TO REFINANCE THE CONSTRUCTION OF AN APPROXIMATELY 366,000 SQUARE FOOT KAY JEWELERS PAVILION ON THE AKRON CAMPUS. (C) ISSUER NAME: STATE OF OHIO HOSPITAL FACILITIES (C)(F) DESCRIPTION OF PURPOSE: TO FUND HOSPITAL FACILITIES CAPITAL IMPROVEMENTS

Schedule K (Form 990) (Rev. 1-2025)

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Schedule L
(Form 990)
(Rev. January 2025)

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.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 section 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 the organization managers or disqualified persons during the year under section 4958. ........................... $

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

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) (Rev. 1-2025)

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) BWK ENGINEERING	FAMILY OF BOARD MEMBER, LISA BANDWEN OWNS MORE THAN 35% OF BWK ENGINEERING	347,531	ENGINEERING DESIGN SERVICES		No
(2) BETSY BRYSON	FAMILY MEMBER OF KEY EMPLOYEE, SHAWN LYDEN	156,005	EMPLOYEE		No
(3) SUSAN BLAKEMORE	FAMILY MEMBER OF KEY EMPLOYEE, SHAWN LYDEN	110,741	EMPLOYEE		No

Part V

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

Return Reference	Explanation

Schedule L (Form 990) (Rev. 1-2025)

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- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 VI, SECTION A, LINE 6	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, SECTION A, LINE 7A	ACCORDING TO THE CODE OF REGULATIONS OF CHMCA, FIVE OF THE MEMBERS SHALL CONSIST OF THE WOMEN'S BOARD OF CHMCA AND SHALL HOLD SUCH POSITION FOR A PERIOD OF TWO YEARS OR UNTIL THEIR SUCCESSORS ARE ELECTED AND QUALIFIED. THE HOSPITAL'S CHIEF EXECUTIVE OFFICER, THE PRESIDENT OF THE MEDICAL STAFF, THE IMMEDIATE PAST PRESIDENT OF THE MEDICAL STAFF AND THE CHAIR OF THE FOUNDATION BOARD SHALL EACH BE AN EX-OFFICIO VOTING MEMBER OF THE BOARD OF DIRECTORS. THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS SHALL BE ELECTED BY THE MEMBERS OF CHMCA. EXCEPT FOR WOMEN'S BOARD MEMBERS AND EX-OFFICIO DIRECTORS, ALL OTHER DIRECTORS SHALL BE ELECTED FOR A THREE-YEAR TERM. A DIRECTOR MAY SERVE FOR UP TO THREE (3) THREE (3) YEAR TERMS OR SUCH LESSER PERIOD OF TIME IN THE EVENT OF DEATH, RESIGNATION OR REMOVAL OF SUCH DIRECTOR. AFTER SERVING THREE (3) THREE (3) YEAR TERMS, A FORMER DIRECTOR WILL BE ELIGIBLE TO BE REAPPOINTED TO THE BOARD AFTER SUCH PERSON WAS OFF OF THE BOARD FOR AT LEAST ONE (1) YEAR. A BOARD MEMBER'S TERM SHALL BE TOLLED WHILE SERVING AS CHAIR OF THE CORPORATION. NOTWITHSTANDING THE TERM LIMITS, A BOARD MEMBER WILL SERVE FOR ONE (1) YEAR IMMEDIATELY AFTER STEPPING DOWN FROM THE CHAIR POSITION. A FORMER CHAIR WHO AFTER SUCH TERM EXPIRES, SHALL BECOME A DIRECTOR EMERITUS. THE DIRECTORS' RESPONSIBILITIES INCLUDE: ENSURING THAT CHMCA FULFILLS ITS DUTY TO SERVE COMMUNITY BENEFIT PURPOSES, INCLUDING THE HOSPITAL'S MISSION OF IMPROVING THE HEALTH OF CHILDREN THROUGH OUTSTANDING QUALITY PATIENT CARE, EDUCATION, ADVOCACY, COMMUNITY SERVICE, AND RESEARCH BY CONTINUING TO SATISFY THE FEDERAL TAX LAWS AROUND MAINTAINING CHARITABLE AND PUBLIC BENEFIT STATUS WHILE NOT ENGAGING IN PRIVATE INUREMENTS. THE BOARD SHALL GOVERN THE AFFAIRS OF CHMCA AND ITS PROPERTY. THE CORPORATE POWERS, PROPERTY, AND AFFAIRS OF CHMCA SHALL BE EXERCISED, CONDUCTED, AND CONTROLLED BY THE DIRECTORS. THE GOVERNANCE COMMITTEE MEMBERSHIP IS DELINEATED IN THE CODE OF REGULATIONS.
FORM 990, PART VI, SECTION A, LINE 7B	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 AND CHIEF EXECUTIVE OFFICER. THE CHIEF EXECUTIVE OFFICER SHALL, IN ALL MATTERS PERTAINING TO HOSPITAL ADMINISTRATION, REPRESENT THE BOARD OF DIRECTORS AND SHALL BE RESPONSIBLE TO THEM RESPECTIVELY FOR THE PROPER PERFORMANCE OF DUTIES. IT SHALL BE THE DUTY OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER TO MAKE KNOWN AND ENFORCE ALL RULES AND REGULATIONS WHICH SHALL BE MADE BY AND UNDER THE AUTHORITY OF THE BOARD OF DIRECTORS OR THE EXECUTIVE COMMITTEE OF THE BOARD. IN ALL CASES OF DISPUTED AUTHORITY OR UNCERTAINTY AS TO THE MEANING OF THE REGULATIONS, THE DECISION OF THE CHIEF EXECUTIVE OFFICER IS ABSOLUTE UNTIL A RULING IS RENDERED BY THE BOARD OF DIRECTORS, PRESIDENT, AND THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PROVIDED TO THE ENTERPRISE RISK AND COMPLIANCE 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 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.
FORM 990, PART VI, SECTION B, LINE 12C	IT IS CHMCA'S POLICY THAT ALL EMPLOYEES, BOARD MEMBERS, AND OFFICERS DISCLOSE REAL AND APPARENT CONFLICTS OF INTEREST AS A CONDITION OF EMPLOYMENT WITH CHMCA. CHMCA ALSO REQUIRES THAT EACH EMPLOYEE, BOARD MEMBER, AND OFFICER 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, 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 CHIEF HUMAN RESOURCES OFFICER WHO WILL PRESENT IT TO THE PRESIDENT AND CEO OR THEIR DESIGNEE. IT IS THE RESPONSIBILITY OF THE PRESIDENT AND CEO OR THE 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 RESPONSIBILITYOR OTHER DISCIPLINARY ACTION UP TO AND INCLUDING DISCHARGE.
FORM 990, PART VI, SECTION B, LINE 15	CHMCA'S EXECUTIVE TOTAL COMPENSATION PROGRAM IS GOVERNED BY THE GOVERNANCE 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 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 2024 AND RECOMMENDATIONS WERE PROVIDED AND PRESENTED BY THE INDEPENDENT CONSULTANT TO THE COMMITTEE FOR APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19	CHMCA MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, CERTAIN 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 VI, LINE 16B:	CHMCA HAS MADE INVESTMENTS IN LIMITED LIABILITY OR LIMITED PARTNER ORGANIZATIONS ON A LIMITED BASIS TO SUPPORT THE DOWNTOWN AKRON AS WELL AS YOUNGSTOWN COMMUNITIES WITH THE GOAL OF ATTRACTING NEW BUSINESS TO THOSE AREAS. FURTHER, CHMCA HAS INVESTED IN A LIMITED BASIS ON INNOVATIVE IDEAS TO IMPROVE HEALTHCARE. ALL JOINT VENTURES ARE REVIEWED TO ENSURE EXEMPTION IS NOT AT RISK.
FORM 990, PART XI, LINE 9:	INVESTMENT IN FOUNDATION 14,768,722. OTHER CHANGES IN NET ASSETS 360,163. CHANGE IN PENSION PLAN REQUIREMENTS -1,151,404. CHANGE IN POST RETIREMENT REQUIREMENTS -120,614. TRANSFERS FROM FOUNDATION -796,640.

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 1 PERKINS SQUARE AKRON,OH44308 23-7114013	FOUNDATION	OH	501(C)(3)	LINE 7	CHMCA	Yes
(2)CHILD DIMENSIONS INSURANCE COMPANY 1 PERKINS SQUARE AKRON,OH44308 03-0317160	INSURANCE	VT	501(C)(3)	LINE 12A, I	CHMCA	Yes
(3)AKRON CHILDREN'S HEALTH COLLABORATIVE 1 PERKINS SQUARE AKRON,OH44308 87-0853487	ACCOUNTABLE CARE ORGANIZATION	OH	501(C)(4)		CHMCA	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(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?		(k) Percentage ownership
(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	(k) Percentage ownership
(1) GAMUT QUALITY IMPROVEMENT COLLABORATIVE LLC 68 RAVENNA STREET 463 HUDSON,OH44236 87-1832345	CONTRACT MANAGEMENT	OH	CHILDREN'S HOSPITAL MED CENTER OF AKRON	RELATED	103,119	276,099		No			No	60.000 %
(2) GALLIARD BROAD MARKET CORE FUND 1415 VANTAGE PARK DRIVE 3RD FLOOR CHARLOTTE,NC28203 93-2232944	INVESTMENTS	NC	CHILDREN'S HOSPITAL MED CENTER OF AKRON	RELATED	3,353,269	116,319,796		No			No	99.990 %

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	(h) Percentage ownership	(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	(h) Percentage ownership	Yes	No

Schedule R (Form 990) (Rev. 1-2025)

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

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

Yes

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

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

Yes

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) AKRON CHILDRENS HEALTH COLLABORATIVE	Q	5,832,850	ACTUAL PER GL
(2) AKRON CHILDRENS HEALTH COLLABORATIVE	L	109,168,451	ACTUAL PER GL
(3) CHILD DIMENSIONS INSURANCE COMPANY	Q	3,244,148	ACTUAL PER GL
(4) AKRON CHILDRENS HOSPITAL FOUNDATION	C	19,911,756	ACTUAL PER GL
(5) AKRON CHILDRENS HOSPITAL FOUNDATION	S	934,866	ACTUAL PER GL
(6) CHILD DIMENSIONS INSURANCE COMPANY	S	88,437	ACTUAL PER GL

Schedule R (Form 990) (Rev. 1-2025)

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

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, RESEARCH & EDUCATION, COMMUNITY SERVICE, AND CHILD ADVOCACY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	25
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	20
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	8,707
6	Total number of volunteers (estimate if necessary) .............	6	1,069
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	99,843
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	19,879,467	28,510,950
9	Program service revenue (Part VIII, line 2g) .........	1,300,095,952	1,453,633,921
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	58,479,320	51,925,945
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,735,935	6,217,428
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,383,190,674	1,540,288,244
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	758,555	1,119,495
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)	757,528,153	811,866,439
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 6,367,029
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	493,002,013	540,902,828
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,251,288,721	1,353,888,762
19	Revenue less expenses. Subtract line 18 from line 12.......	131,901,953	186,399,482
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,212,338,485	2,507,373,699
21	Total liabilities (Part X, line 26).............	593,050,223	666,993,722
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,619,288,262	1,840,379,977

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,060,873,971 including grants of $ 1,119,495 ) (Revenue $ 1,453,633,921 )
	CHMCA IS THE LARGEST PEDIATRIC HEALTHCARE SYSTEM IN NORTHEAST OHIO. IN 2024, CHMCA OPERATED TWO HOSPITAL CAMPUSES IN NORTHEAST OHIO PROVIDING INPATIENT AND OUTPATIENT SERVICES, EMERGENCY, URGENT CARE, AND PRIMARY AND SPECIALTY CARE OFFICES THROUGHOUT OHIO. DURING 2024 CHMCA DELIVERED OVER 1,428,000 PATIENT VISITS THROUGH ALL OF ITS PROGRAMS.INPATIENT SERVICES INCLUDE AREAS OF ROUTINE CARE, NEONATAL INTENSIVE CARE, PEDIATRIC INTENSIVE CARE, BEHAVIORAL HEALTH, REGIONAL BURN CENTER, HEMATOLOGY/ONCOLOGY, AND EMERGENCY/TRAUMA SERVICES. OUTPATIENT SERVICES OFFERS UNIQUE SERVICES IN A BROAD RANGE OF PEDIATRIC SUBSPECIALTIES SUCH AS NEONATOLOGY, BEHAVIORAL HEALTH,REHABILITATION SERVICES, CARDIOLOGY, PLASTIC SURGERY, GENETICS, MATERNAL FETAL MEDICINE, URGENT AND QUICK CARE, ADOLESCENT MEDICINE, PALLIATIVE CARE, PULMONARY MEDICINE, UROLOGY, OPHTHALMOLOGY, ORTHOPEDICS, NEUROLOGY, ALLERGY, DENTAL, ADDICTION SERVICES, PHYSICAL AND OCCUPATIONAL THERAPY, AND INFECTIOUS DISEASE SERVICES.

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,060,873,971

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	16,934,523	0	1,239,451

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	1,210,853
d	Related organizations		1d	19,911,756
e	Government grants (contributions)		1e	5,369,685

f	All other contributions, gifts, grants, and similar amounts not included above		1f	2,018,656

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		28,510,950

		Business Code
2a	NET PATIENT SERVICE REVENUE	621110	1,298,042,128	1,298,042,128
b	OTHER PROGRAM SERVICE REVENUE	621110	155,591,793	155,591,793
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,453,633,921

3 Investment income (including dividends, interest, and othersimilar amounts) ......			41,014,565		425	41,014,140
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	1,175,932,579
b	Less: cost or other basis and sales expenses	7b	1,164,466,120	555,079
c	Gain or (loss)	7c	11,466,459	-555,079
d	Net gain or (loss).........			10,911,380			10,911,380
8a	Gross income from fundraising events (not including $ 1,210,853of contributions reported on line 1c). See Part IV, line 18 ....
			8a	403,618
b	Less: direct expenses ...		8b	1,473,616
c	Net income or (loss) from fundraising events..			-1,069,998			-1,069,998
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	CAFETERIA		722514	3,641,280			3,641,280
b	PARKING REVENUE		812930	708,729			708,729
c	OUTSIDE LAB SERVICES		621500	99,418		99,418
d	All other revenue ....			2,837,999			2,837,999
e	Total. Add lines 11a–11d ......			7,287,426
12	Total revenue. See instructions.....			1,540,288,244	1,453,633,921	99,843	58,043,530

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,119,495	1,119,495
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	11,828,350		11,828,350
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	634,206,111	536,360,339	94,368,396	3,477,376
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	31,368,867	25,555,115	5,640,634	173,118
9	Other employee benefits .......	94,473,134	74,499,672	19,476,904	496,558
10	Payroll taxes ...........	39,989,977	32,579,062	7,171,568	239,347
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,127,098		1,127,098
c	Accounting ...........	684,244	158,210	526,034
d	Lobbying ...........	249,531		249,531
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	930,615		930,615
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	86,608,714	38,535,827	47,117,355	955,532
12	Advertising and promotion ....	13,193,450	253,995	12,872,158	67,297
13	Office expenses .......	15,677,377	12,435,075	3,242,302
14	Information technology ......	1,491,275		1,491,275
15	Royalties ..
16	Occupancy ...........	8,116,287	992,822	7,123,465
17	Travel ............	4,739,126	3,629,031	851,631	258,464
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	8,378,924	2,131,135	6,247,785	4
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	62,652,436	21,797,930	40,844,362	10,144
23	Insurance ...	7,540,501	8,110	7,532,391
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 SUPPLI	201,941,870	201,941,870
b	BAD DEBT EXPENSE	44,785,972	44,785,972
c	FRANCHISE FEE	35,427,423	35,427,423
d	EQUIPMENT RENTAL/MAINTE	27,839,243	21,986,498	5,852,745
e	All other expenses	19,518,742	6,676,390	12,153,163	689,189
25	Total functional expenses. Add lines 1 through 24e	1,353,888,762	1,060,873,971	286,647,762	6,367,029
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 ........			17,332	1	17,332
2	Savings and temporary cash investments .........			201,230,752	2	312,753,418
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			165,319,569	4	161,790,905
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			37,079,432	7	22,200,936
8	Inventories for sale or use ............			13,076,659	8	14,813,548
9	Prepaid expenses and deferred charges ......			19,247,109	9	12,331,781
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,467,316,863
b	Less: accumulated depreciation	10b	913,478,194	536,553,918	10c	553,838,669
11	Investments—publicly traded securities .			895,279,375	11	1,019,989,952
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			56,325,030	13	42,941,368
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			288,209,309	15	366,695,790
16	Total assets. Add lines 1 through 15 (must equal line 33)...			2,212,338,485	16	2,507,373,699

17	Accounts payable and accrued expenses .....	198,742,700	17	225,901,639
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	167,567,426	20	253,355,693
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	32,045,251	23
24	Unsecured notes and loans payable to unrelated third parties ..	62,379,610	24	47,344,953
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	132,315,236	25	140,391,437
26	Total liabilities. Add lines 17 through 25..	593,050,223	26	666,993,722

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	1,474,884,314	27	1,682,369,898
28	Net assets with donor restrictions ...........	144,403,948	28	158,010,079
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	1,619,288,262	32	1,840,379,977
33	Total liabilities and net assets/fund balances ........	2,212,338,485	33	2,507,373,699