2025-11-13T07:46:29-06:00 2024-12-31 331498605 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2024-01-01 340714357 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON CHIL 3305438171 1 PERKINS SQUARE AKRON OH 44308 GORDON T EDWARDS CHIEF FINANCIAL OFFICER & TREASURER 3305438171 2025-11-12 1 1 AMY CIMINELLO P00796388 6148493000 2025-11-12 2024 2025-03-06 01:10:19Z AKRON CHILDREN'S GORDON T EDWARDS 1 PERKINS SQUARE AKRON OH 44308 2706783059 0 X AKRONCHILDRENS.ORG X 1897 OH 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. 25 20 8707 1069 99843 0 19879467 28510950 1300095952 1453633921 58479320 51925945 4735935 6217428 1383190674 1540288244 758555 1119495 0 0 757528153 811866439 0 0 6367029 493002013 540902828 1251288721 1353888762 131901953 186399482 2212338485 2507373699 593050223 666993722 1619288262 1840379977 X TO IMPROVE THE HEALTH OF CHILDREN, TEENAGERS AND YOUNG ADULTS THROUGH EXCELLENCE IN PATIENT CARE, EDUCATION, RESEARCH, ADVOCACY AND COMMUNITY PARTNERSHIPS. 0 0 1060873971 1119495 1453633921 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. 1060873971 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 612 0 1 8707 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 25 20 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 X GORDON T EDWARDS 3305431000 1 PERKINS SQUARE AKRON OH 44308 CHRISTOPHER A GESSNER BOD/OFFICER-PRESIDENT AND CEO 47.80 2.20 X X 1475726 0 315582 GORDON EDWARDS BOD/OFFICER-CHIEF FINANCIAL OFFICER AND TREASURER 45.00 5.00 X X 884190 0 79021 KIMBERLY MOSES CHIEF LEGAL OFFICER 50.00 0.00 X X 449541 0 47285 MARK WULKAN MD DEPARTMENT CHAIR SURGERY-PART YEAR 50.00 0.00 X 944848 0 45687 ROBERT MCGREGOR MD CHIEF MEDICAL OFFICER - PART YEAR 48.00 2.00 X X 767148 0 31726 SHEFALI MAHESH MD PRESIDENT OF MEDICAL STAFF/CHAIR PEDIATRICS 47.00 3.00 X 367852 0 43974 VIRGINIA ADDICOTT CHAIR OF BOARD OF DIRECTORS 14.00 1.00 X X 0 0 0 JODI VRABEC DIRECTOR 14.00 0.00 X 0 0 0 TIMOTHY BURKE DIRECTOR/CHAIR FINANCE COMMITTEE 3.00 0.00 X 0 0 0 PAUL CATANIA DIRECTOR 3.00 0.00 X 0 0 0 PATRICK COVEY DIRECTOR 3.00 0.00 X 0 0 0 JOSEPH GINGO DIRECTOR 2.00 0.00 X 0 0 0 MARK OELSCHLAGER DIRECTOR 3.00 12.00 X 0 0 0 MONTRELLA JACKSON DIRECTOR 2.00 0.00 X 0 0 0 LISA JEFFRIES DIRECTOR 14.00 0.00 X 0 0 0 WILLIAM KELLEHER DIRECTOR 3.00 0.00 X 0 0 0 ROBERT DAVIS DIRECTOR 2.00 1.00 X 0 0 0 KARA LEWIS DIRECTOR 3.00 0.00 X 0 0 0 REV LEWIS MACKLIN DIRECTOR 2.00 0.00 X 0 0 0 JOHN MAYER DIRECTOR 3.00 0.00 X 0 0 0 RICHARD ROGERS DIRECTOR 2.00 0.00 X 0 0 0 DENISE SCHAFFNER DIRECTOR 14.00 0.00 X 0 0 0 SUSAN MCMAINS DIRECTOR 14.00 0.00 X 0 0 0 BARBARA VARLEY DIRECTOR 15.00 1.00 X 0 0 0 TUCKER MARSHALL DIRECTOR 2.00 0.00 X 0 0 0 ROBERT WELLS DIRECTOR 2.00 0.00 X 0 0 0 SUZANNE LOCKE SECRETARY - PART YEAR 13.00 0.00 X X 0 0 0 LISA BANDWEN DIRECTOR - PART YEAR 1.00 0.00 X 0 0 0 VIRGINIA DROSOS DIRECTOR - PART YEAR 1.00 0.00 X 0 0 0 JOAN LAUCK DIRECTOR - PART YEAR 13.00 0.00 X 0 0 0 GLEN STEPHENS DIRECTOR - PART YEAR 3.00 0.00 X 0 0 0 DARREN WELLS DIRECTOR - PART YEAR 2.00 0.00 X 0 0 0 KERWYN JONES PEDIATRIC ORTHOPEDIC SURGEON 50.00 0.00 X 667658 0 58751 LISA AURILIO CHIEF OPERATING OFFICER 49.00 1.00 X 1055002 0 38023 MICHAEL BIGHAM MD CHIEF QUALITY OFFICER 48.00 2.00 X 777688 0 57785 RHONDA LARIMORE CHIEF HUMAN RESOURCES OFFICER 50.00 0.00 X 682935 0 57871 SHAWN LYDEN CHIEF STRATEGY OFFICER - PART YEAR 48.00 2.00 X 1571036 0 122165 TODD RITZMAN MD SURGEON IN CHIEF 50.00 0.00 X 1121356 0 44098 TARUN BHALLA MD CHIEF CLINICAL OFFICER 49.00 1.00 X 792001 0 55811 RICHARD LOU BURN SURGEON 50.00 0.00 X 1034761 0 53275 ANJAY KHANDELWAL DIR BURN SURGERY 50.00 0.00 X 1169159 0 24977 KATHERINE WOLFE MD CHIEF MATERIAL FETAIL MED SVS 50.00 0.00 X 1070455 0 56310 ROBERT STEWART MD DIRECTOR CARDIOTHORACIC SURGERY 50.00 0.00 X 1026220 0 59270 TSULEE CHEN MD DIRECTOR NEUROSURGERY 49.00 1.00 X 1076947 0 47840 16934523 0 1239451 1416 0 1 0 LOGICALIS INC 3333 RICHMOND ROAD SUITE 420 BEACHWOOD OH 44122 SOFTWARE MAINENANCE, HARDWARE, AND PROFE 10711542 ADENA CORPORATION 6816 LAUFFER ROAD COLUMBUS OH 43231 CONSTRUCTION SVCS 9877397 KRUMROY-COZAD CONSTRUCTION CORP 376 W EXCHANGE ST AKRON OH 44302 CONSTRUCTION SVCS 9153650 QUALVIS LLC 100 CENTER POINT RD COLUMBIA SC 29210 NURSE SCHEDULING SVCS 8333531 MARCUS THOMAS LLC PO BOX 74694 CLEVELAND OH 441940002 ADVERTISING AND MARKETING 7635312 61 1210853 19911756 5369685 2018656 28510950 NET PATIENT SERVICE REVENUE 621110 1298042128 1298042128 OTHER PROGRAM SERVICE REVENUE 621110 155591793 155591793 1453633921 41014565 425 41014140 1175932579 1164466120 555079 11466459 -555079 10911380 10911380 403618 1210853 1473616 -1069998 -1069998 CAFETERIA 722514 3641280 3641280 PARKING REVENUE 812930 708729 708729 OUTSIDE LAB SERVICES 621500 99418 99418 2837999 2837999 7287426 1540288244 1453633921 99843 58043530 1119495 1119495 11828350 11828350 634206111 536360339 94368396 3477376 31368867 25555115 5640634 173118 94473134 74499672 19476904 496558 39989977 32579062 7171568 239347 1127098 1127098 684244 158210 526034 249531 249531 930615 930615 86608714 38535827 47117355 955532 13193450 253995 12872158 67297 15677377 12435075 3242302 1491275 1491275 8116287 992822 7123465 4739126 3629031 851631 258464 8378924 2131135 6247785 4 62652436 21797930 40844362 10144 7540501 8110 7532391 MEDICAL/SURGICAL SUPPLI 201941870 201941870 BAD DEBT EXPENSE 44785972 44785972 FRANCHISE FEE 35427423 35427423 EQUIPMENT RENTAL/MAINTE 27839243 21986498 5852745 19518742 6676390 12153163 689189 1353888762 1060873971 286647762 6367029 17332 17332 201230752 312753418 165319569 161790905 37079432 22200936 13076659 14813548 19247109 12331781 1467316863 913478194 536553918 553838669 895279375 1019989952 56325030 42941368 288209309 366695790 2212338485 2507373699 198742700 225901639 167567426 253355693 32045251 62379610 47344953 132315236 140391437 593050223 666993722 X 1474884314 1682369898 144403948 158010079 1619288262 1840379977 2212338485 2507373699 X 186399482 21632006 13060227 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 1 249531 249531 0 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. 60074929 6031263 18734593 1537830 83302955 61668557 2028601 -3155463 466766 60074929 38005847 29006746 -4520397 823639 61668557 30205732 4390474 1918829 -1490812 38005847 24391406 1246737 3213212 -1354377 30205732 0.13900 0.84200 0.01900 0 1 1 22940903 22940903 852080953 457721225 394359728 60311321 27219094 33092227 507643254 423216864 84426390 24340432 5321011 19019421 553838669 BENEFICIAL INT IN FOUNDATION 162625481 GOODWILL AND PRACTICE RIGHTS 36460664 HTC TRANASFER FROM UNRESTRICTED 8908593 OTHER ASSETS 81472928 RIGHT OF USE ASSET 77228124 366695790 OTHER LONG TERM LIABILITIES 84113612 ACCRUED POST EMPLOYMENT BENEFITS 23566475 OPERATING LEASE LIABILITIES 29637350 RESERVE FOR LIABILITIES 3074000 140391437 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. HOLIDAY TREE FESTIVAL 544413 408310 136103 560446 CHARITY BALL 125421 94066 31355 517895 7 944637 708477 236160 395275 1614471 1210853 403618 1473616 1473616 -1069998 1 1 X 1 X 1 X 1 1 0 1 1 6483948 6483948 0.00500 606322795 459511337 146811458 0.11210 3357011 1625860 1731151 0.00130 616163754 461137197 155026557 0.11840 12346247 3219448 9126799 0.00700 30452084 11615676 18836408 0.01440 45653602 32474914 13178688 0.01010 8249905 2668200 5581705 0.00430 83980 83980 0.00010 96785818 49978238 46807580 0.03590 712949572 511115435 201834137 0.15430 1191 1191 0.00000 2041 2041 0.00000 35790 35790 0.00000 5439 5439 0.00000 7703 7703 0.00000 54763 54763 0.00000 185 185 0.00000 107112 107112 0.00000 0 44785972 1351448 2990185 -1638737 X 1 1 1 GAMUT QUALITY IMPROVEMENT COLLABORATIVE LLC TRANSPORT QUALITY COLLABORATIVE 0.60000 0.20000 1 1 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON 1 PERKINS SQUARE AKRON OH 44308 WWW.AKRONCHILDRENS.ORG X X X X CHILDREN'S HOSPITAL MEDICAL CENTER OF AK 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X HTTPS://TINYURL.COM/BPXZBUM3 X 1 23 1 HTTPS://TINYURL.COM/52K7EPNW 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X HTTPS://TINYURL.COM/3H4VDXEP X HTTPS://TINYURL.COM/3H4VDXEP X HTTPS://TINYURL.COM/3H4VDXEP X X X X X 1 X 0 X X X X 1 X 0 0 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. 74 1 - CHILDREN'S - BEEGHLY CAMPUS 6505 MARKET STREET YOUNGSTOWN OH 44512 NICU, PEDIATRIC UNIT, EMERGENCY DEPARTMENT 2 - AULTMAN HOSPITAL 2600 6TH ST SW CANTON OH 447101702 NICU AND PEDIATRIC UNIT 3 - SUMMA HOSPITAL 141 N FORGE ST AKRON OH 443041407 NICU NURSERY 4 - ST ELIZABETH'S BOARDMAN HEALTH CENTER 8401 MARKET ST BOARDMAN OH 445126725 NICU NURSERY 5 - NORTH CANTON 6076 WHIPPLE 6076 WHIPPLE AVE NW NORTH CANTON OH 44720 PRIMARY CARE & SPECIALTY - ACP 6 - WARREN 5000 E MARKET ST STE 29 WARREN OH 444842259 PRIMARY CARE & SPECIALTY - ACP 7 - MANSFIELD HEALTH CENTER 1029 SOUTH TRIMBLE ROAD MANSFIELD OH 44906 PRIMARY CARE & SPECIALTY - ACP 8 - BOSTON HEIGHTS 328 EAST HINES HILL ROAD HUDSON OH 44236 PRIMARY CARE & SPECIALTY - ACP 9 - MEDINA 3443 MEDINA RD MEDINA OH 442565965 PRIMARY CARE & SPECIALTY - ACP 10 - PORTAGE HEALTH CENTER 2497 STATE ROUTE 59 RAVENNA OH 44266 PRIMARY CARE & SPECIALTY - ACP 11 - GREEN 1622 EAST TURKEYFOOT LAKE RD STE 100 AKRON OH 443125277 PRIMARY CARE & SPECIALTY - ACP 12 - CLEVELAND CLINIC AKRON GENERAL MEDICAL CEN 1 AKRON GENERAL AVE AKRON OH 443072432 NICU NURSERY 13 - FAIRLAWN 701 WHITE POND DR SUITE 100 AKRON OH 443201193 PEDIATRIC PRIMARY CARE - ACP 14 - NEW PHILADELPHIA 1045 W HIGH AVE NEW PHILADELPHIA OH 446632071 PRIMARY CARE & SPECIALTY - ACP 15 - MASSILLON 1149 LINCOLN WAY E MASSILLON OH 44646 PRIMARY CARE & SPECIALTY - ACP 16 - AUSTINTOWN 5480 NORQUEST BLVD AUSTINTOWN OH 445151820 PRIMARY CARE & SPECIALTY - ACP 17 - BEACHWOOD CENTER 3733 PARK EAST DR STE 230 BEACHWOOD OH 441224334 PRIMARY CARE & SPECIALTY - ACP 18 - BARBERTON 566 ROBINSON AVENUE BARBERTON OH 442033652 PEDIATRIC PRIMARY CARE - ACP 19 - WOOSTER HEALTH CENTER 3807 FRIENDSVILLE RD WOOSTER OH 44691 PRIMARY CARE & SPECIALTY - ACP 20 - ALLIANCE 1826 S ARCH AVE ALLIANCE OH 446014332 PRIMARY CARE & SPECIALTY - ACP 21 - HUDSON 1365 CORPORATE DR SUITE A HUDSON OH 442364432 PEDIATRIC PRIMARY CARE - ACP 22 - WOOSTER COMMUNITY HOSPITAL 1761 BEALL AVE WOOSTER OH 446912342 NICU NURSERY 23 - ST JOSEPH'S HOSPITAL MERCY HEALTH 667 EASTLAND AVE SE WARREN OH 444844503 SPECIAL CARE NURSERY 24 - WADSWORTH ACHP 323 HIGH ST SUITE A WADSWORTH OH 442811869 PRIMARY CARE & SPECIALTY - ACP 25 - PERRY TOWNSHIP 125 WHIPPLE AVE SW CANTON OH 447101374 PEDIATRIC PRIMARY CARE - ACP 26 - PSYCH STARK 626 30TH STREET NW CANTON OH 44709 SPECIALITY CARE ACP 27 - MARIETTA ACHP 310 E 8TH ST SUITE 130 MARIETTA OH 45750 PRIMARY CARE & SPECIALITY - ACP 28 - MONTROSE URGENT CARE 4118 MEDINA RD AKRON OH 443332452 URGENT CARE 29 - AMHERST HEALTH CENTER 47185 COOPER FOSTER PARK RD AMHERST OH 440013307 PRIMARY CARE & SPECIALTY - ACP 30 - AKRON EAST 891 E EXCHANGE ST AKRON OH 443061127 PEDIATRIC PRIMARY CARE - ACP 31 - ASHLAND 1120 GEORGE RD ASHLAND OH 448058857 PRIMARY CARE & SPECIALTY - ACP 32 - LISBON 400 N MARKET ST LISBON OH 444321014 PRIMARY CARE & SPECIALTY - ACP 33 - ELLET 1463 CANTON RD SUITE A AKRON OH 443124022 PEDIATRIC PRIMARY CARE - ACP 34 - WADSWORTH NORTH 1225 HIGH ST WADSWORTH OH 44281 PRIMARY CARE & SPECIALTY - ACP 35 - TALLMADGE 143 NORTHWEST AVE STE 102 TALLMADGE OH 442782381 PRIMARY CARE & SPECIALTY - ACP 36 - CUYAHOGA FALLS - POA 1100 PORTAGE TRAILS CUYAHOGA FALLS OH 44223 PRIMARY CARE & SPECIALTY - ACP 37 - STOW GRAHAM RD 3019 GRAHAM ROAD STOW OH 44224 PRIMARY CARE & SPECIALTY - ACP 38 - TWINSBURG 8054 DARROW RD STE 4 TWINSBURG OH 440872381 PEDIATRIC PRIMARY CARE - ACP 39 - BELPRE REHABILITATION CENTER 1804 WASHINGTON BLVD STE D BELPRE OH 45714 SPECIALITY CARE ACP 40 - BELPRE 807 FARSON ST SUITE 201C BELPRE OH 45714 PEDIARIC PRIMARY CARE - ACP 41 - PSYCH RICHLAND 1027 SOUTH TRIMBLE ROAD MANSFIELD OH 44906 SPECIALITY CARE ACP 42 - UNIVERSITY OF AKRON - SPORTS HEALTH 254 SPICER ST AKRON OH 44304 SPECIALITY CARE - REHAB 43 - ASHLAND WEST 1522 CLAREMONT AVE ASHLAND OH 44805 PRIMARY CARE 44 - ONTARIO ACHP 896 N LEXINGTON SPRINGMILL RD ONTARIO OH 44906 SPECIALITY CARE ACP 45 - LIBERTY 3530 BELMONT AVE STE 8 YOUNGSTOWN OH 44505 PRIMARY CARE & SPECIALTY - ACP 46 - WARREN DOWNTOWN 661 MAHONING AVE NW WARREN OH 444834607 PEDIATRIC PRIMARY CARE - ACP 47 - BEACHWOOD ACHP 3733 PARK EAST DR STE 102 BEACHWOOD OH 44122 PEDIATRIC PRIMARY CARE - ACP 48 - MAYFIELD HEIGHTS ACHP 5800 LANDERBROOK DR STE 250 MAYFIELD HTS OH 44124 SPECIALITY CARE ACP 49 - BRECKSVILLE 7001 S EDGERTON RD SUITE 500 BRECKSVILLE OH 441414206 PRIMARY CARE & SPECIALTY - ACP 50 - EAST LIVERPOOL - ACHP 15655 STATE ROUTE 170 EAST LIVERPOOL OH 43920 PEDIATRIC PRIMARY CARE - ACP 51 - STREETSBORO 9150 MARKET SQUARE SUITE 203 STREETSBORO OH 442414573 PEDIATRIC PRIMARY CARE - ACP 52 - WOOSTER SPECIALTY CARE MFM 546 WINTER ST SUITE 110 WOOSTER OH 446912339 PRIMARY CARE & SPECIALTY - ACP 53 - MERCY LORAIN HOSPITAL 3700 KOLBE RD LORAIN OH 44053 SCN & PRIMARY CARE & SPECIALTY 54 - CAMPBELL ACHP 434 STRUTHERS-COITSVILLE RD LOWELLVILLE OH 44436 PEDIARIC PRIMARY CARE - ACP 55 - SALEM ACHP 1076 E STATE ST SALEM OH 44460 SPECIALITY CARE ACP 56 - MEDINA EAST 313 MEDINA ROAD STE 101 MEDINA OH 44256 SPECIALTY CARE - ACP 57 - MILLERSBURG 1261 WOOSTER RD SUITE 220 MILLERSBURG OH 446541570 PRIMARY CARE & SPECIALTY - ACP 58 - NORWALK MEDICAL PARK II 282 BENEDICT AVE NORWALK OH 448572712 PRIMARY CARE & SPECIALTY - ACP 59 - COLUMBIANA ACHP 116 CARRIAGE DRIVE COLUMBINA OH 44408 SPECIALTY CARE - ACP 60 - MARIETTA MEMORIAL 320 E 8TH ST SUITE 140 MARIETTA OH 45750 PRIMARY CARE & SPECIALTY - ACP 61 - OBERLIN ACHP 224 W LORAIN ST STE 800 OBERLIN OH 44704 PRIMARY CARE & SPECIALTY - ACP 62 - CHILD ADVOCACY CENTER 213 MARKET AVE N SUITE 200 CANTON OH 447021440 SPECIALTY CARE - ACP 63 - HATTIE LARLHAM FOUNDATION 9772 DIAGONAL RD MANTUA OH 442559128 PRIMARY CARE & SPECIALTY - ACP 64 - WAYNE COUNTY CHILDREN'S ADVOCACY CENTER 1734 GASCHE STREET WOOSTER OH 44691 SPECIALTY CARE - ACP 65 - BEACHWOOD OSC 3755 ORANGE PL STE 102 BEACHWOOD OH 441224455 OUTPATIENT SURGERY CENTER 66 - SHARON HEART CENTER 740 E STATE ST SHARON PA 16146 SPECIALTY CARE - ACP 67 - AKRON CHILDREN'S MATERNAL FETAL MEDICINE 75 ARCH ST STE 102 AKRON OH 443041430 PEDIARIC PRIMARY CARE 68 - AKRON CHILDREN'S BEHAVIORAL HEALTH BOAR 6614 SOUTHERN BLVD BOARDMAN OH 445123455 SPECIALTY CARE 69 - AKRON CHILDREN'S MATERNAL FETAL MEDICINE 2600 TUSCARAWAS ST W STE 300 CANTON OH 447084694 PEDIARIC PRIMARY CARE 70 - AKRON CHILDREN'S PT AT NEW PHILADELPHIA 1039 W HIGH AVE NEW PHILADELPHIA OH 446632071 SPECIALTY CARE 71 - AKRON CHILDREN'S PT AT NORTH CANTON 6200 WHIPPLE AVE NW NEW PHILADELPHIA OH 447207624 SPECIALTY CARE 72 - AKRON CHILDREN'S REHABILITATIVE SERVICES 5000 E MARKET ST STE 28 WARREN OH 444842259 SPECIALTY CARE 73 - AKRON CHILDREN'S PEDIATRICS - WARREN 5000 E MARKET ST STE 30 WARREN OH 444842259 PEDIARIC PRIMARY CARE 74 - AKRON CHILDREN'S HOME CARE 185 W CEDAR ST AKRON OH 443072400 SPECIALTY CARE 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. 1 AKRON AREA YMCA 50 S MAIN ST STE LL100 AKRON OH 44308 340714727 501(C)(3) 15000 0 GENERAL SUPPORT AKRON BASEBALL LLC 300 SOUTH MAIN ST AKRON OH 44308 990379765 501(C)(3) 351000 0 GENERAL SUPPORT AKRON COMMUNITY FOUNDATION 345 WEST CEDAR ST AKRON OH 44307 341087615 501(C)(3) 10000 0 GENERAL SUPPORT AKRON MARATHON CHARITABLE CORP 155 E VORIS STREET AKRON OH 443111513 421531773 501(C)(3) 10000 0 GENERAL SUPPORT AKRON ZOOLOGICAL PARK 500 EDGEWOOD AVENUE AKRON OH 44307 346003866 501(C)(3) 19200 0 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 10000 0 GENERAL SUPPORT ASSOCIATION OF FUNDRAISING PROFESSIONALS NORTHEAST OHIO CHAPTER 4200 WILSON BLVD STE 300 ARLINGTON VA 22203 341623032 501(C)(6) 5480 0 GENERAL SUPPORT AUTISM SOCIETY GREATER AKRON 703 S MAIN ST AKRON OH 44311 471129984 501(C)(3) 6300 0 GENERAL SUPPORT CANTON REGIONAL CHAMBER OF COMMERCE 222 MARKET AVENUE N CANTON OH 44702 340129930 501(C)(3) 7000 0 GENERAL SUPPORT CITIZENS COMMITTEE FOR CHILDREN SERVICES PO BOX 7273 AKRON OH 44306 341882537 10600 0 GENERAL SUPPORT COLUMBIANA CO EDUC SERVICE CTR 38720 SALTWELL ROAD LISBON OH 44432 341566369 6000 0 GENERAL SUPPORT CONSERVANCY FOR CUYAHOGA VALLEY NATIONAL PARK 1403 WEST HINES HILL ROAD PENINSULA OH 44264 341917257 501(C)(3) 6000 0 GENERAL SUPPORT COVELLI CENTRE 229 E FRONT STREET YOUNGSTOWN OH 44503 261299078 30000 0 GENERAL SUPPORT EASTWOOD MALL PO BOX 7535 CAROL STREAM IL 601977535 346510608 10500 0 GENERAL SUPPORT FEARLESS FIGHTERS FOUNDATION INC 3900 DARROW RD UNIT 1686 STOW OH 44224 872850975 501(C)(3) 8500 0 GENERAL SUPPORT GREATER AKRON AMENITIES 77 E MILL ST AKRON OH 44308 010675880 501(C)(3) 10000 0 GENERAL SUPPORT GREATER AKRON CHAMBER OF COMMERCE 388 S MAIN ST STE 205 AKRON OH 44311 341156575 11750 0 GENERAL SUPPORT HOPE MEADOWS FOUNDATION 4820 RIDGE RD WADSWORTH OH 44281 352327253 501(C)(3) 5088 0 GENERAL SUPPORT KAULIG COMPANIES CHAMPIONSHIP 1 PGA TOUR BLVD PONTE VEDRA BEACH FL 32082 520999206 501(C)(6) 21000 0 GENERAL SUPPORT MAHONING COUNTY AGRICULTURAL SOCIETY 7265 COLUMBIANA CANFIELD ROAD CANFIELD OH 44406 340764399 501(C)(3) 15000 0 GENERAL SUPPORT MERCY HEALTH FOUNDATION MAHONING VALLEY 4600 MCAULEY PL STE 100 BLUE ASH OH 45242 201072726 501(C)(3) 8000 0 GENERAL SUPPORT NORTHERN OHIO GOLF CHARITIES FOUNDATION INC 440 EAST WARNER ROAD AKRON OH 44319 341712857 501(C)(3) 10000 0 GENERAL SUPPORT STAN HYWET HALL & GARDENS 714 NORTH PORTAGE PATH AKRON OH 443031399 340819149 501(C)(3) 5600 0 GENERAL SUPPORT THE YOUNGSTOWN BUSINESS INCUBATOR 241 W FEDERAL STREET YOUNGSTOWN OH 44503 341751707 501(C)(3) 5800 0 GENERAL SUPPORT YOUNGSTOWN PHANTOMS 229 E FRONT STREET YOUNGSTOWN OH 44503 542117655 12400 0 SPONSORSHIPS YOUNGSTOWN STATE UNIVERSITY 2029 BURNING TREE LN YOUNGSTOWN OH 44555 341011998 501(C)(3) 7850 0 GENERAL SUPPORT YOUNGSTOWN WARREN REGIONAL CHAMBER 100 E FEDERAL STREET YOUNGSTOWN OH 44503 341731411 501(C)(6) 34430 0 GENERAL SUPPORT 18 9 X X X 1 1 X X X X 1 1 0 1 0 1 0 1 0 CHRISTOPHER A GESSNER BOD/OFFICER-PRESIDENT AND CEO 1000002 0 472501 0 3223 0 279014 0 36568 0 1791308 0 0 0 SHAWN LYDEN CHIEF STRATEGY OFFICER - PART YEAR 454034 0 144491 0 972511 0 102877 0 19288 0 1693201 0 670742 0 ANJAY KHANDELWAL DIR BURN SURGERY 507207 0 558966 0 102986 0 20700 0 4277 0 1194136 0 0 0 TODD RITZMAN MD SURGEON IN CHIEF 682109 0 294926 0 144321 0 24150 0 19948 0 1165454 0 0 0 KATHERINE WOLFE MD CHIEF MATERIAL FETAIL MED SVS 797740 0 180000 0 92715 0 20700 0 35610 0 1126765 0 0 0 TSULEE CHEN MD DIRECTOR NEUROSURGERY 859832 0 30000 0 187115 0 20700 0 27140 0 1124787 0 0 0 LISA AURILIO CHIEF OPERATING OFFICER 672358 0 185094 0 197550 0 24150 0 13873 0 1093025 0 175998 0 RICHARD LOU BURN SURGEON 523547 0 443497 0 67717 0 20700 0 32575 0 1088036 0 0 0 ROBERT STEWART MD DIRECTOR CARDIOTHORACIC SURGERY 827937 0 0 0 198283 0 24150 0 35120 0 1085490 0 0 0 MARK WULKAN MD DEPARTMENT CHAIR SURGERY-PART YEAR 697348 0 0 0 247500 0 24150 0 21537 0 990535 0 0 0 GORDON EDWARDS BOD/OFFICER-CHIEF FINANCIAL OFFICER 656011 0 206644 0 21535 0 43825 0 35196 0 963211 0 0 0 TARUN BHALLA MD CHIEF CLINICAL OFFICER 700016 0 0 0 91985 0 20700 0 35111 0 847812 0 0 0 MICHAEL BIGHAM MD CHIEF QUALITY OFFICER 464100 0 127764 0 185824 0 24150 0 33635 0 835473 0 150735 0 ROBERT MCGREGOR MD CHIEF MEDICAL OFFICER - PART YEAR 550014 0 173255 0 43879 0 6900 0 24826 0 798874 0 0 0 RHONDA LARIMORE CHIEF HUMAN RESOURCES OFFICER 417305 0 114660 0 150970 0 24150 0 33721 0 740806 0 152512 0 KERWYN JONES PEDIATRIC ORTHOPEDIC SURGEON 528891 0 42458 0 96309 0 24150 0 34601 0 726409 0 0 0 KIMBERLY MOSES CHIEF LEGAL OFFICER 445016 0 0 0 4525 0 13800 0 33485 0 496826 0 0 0 SHEFALI MAHESH MD PRESIDENT OF MEDICAL STAFF/CHAIR PED 383959 0 0 0 -16107 0 23816 0 20158 0 411826 0 0 0 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. A AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT 341448680 009730QS4 2022-05-12 83892426 2022A - REFUND PRIOR ISSUE 0 0 0 B AKRON BATH AND COPLEY JOINT TWSP HOSP DISTRICT 341448680 009730NB4 2023-05-15 90905000 2023 - REFUND PRIOR ISSUE 1 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CGB8 2024-06-04 101312910 HOSPITAL FACILITIES IMPROVEMENT 0 0 0 A 12420000 83892426 932000 196856 82763570 2013 1 0 1 1 B 8450323 90905000 90905000 0 1 1 1 C 101312910 1312910 40153898 59846102 0 0 1 1 A 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 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 BWK ENGINEERING FAMILY OF BOARD MEMBER, LISA BANDWEN OWNS MORE THAN 35% OF BWK ENGINEERING 347531 ENGINEERING DESIGN SERVICES 0 BETSY BRYSON FAMILY MEMBER OF KEY EMPLOYEE, SHAWN LYDEN 156005 EMPLOYEE 0 SUSAN BLAKEMORE FAMILY MEMBER OF KEY EMPLOYEE, SHAWN LYDEN 110741 EMPLOYEE 0 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. AKRON CHILDREN'S HOSPITAL FOUNDATION 1 PERKINS SQUARE AKRON OH 44308 237114013 FOUNDATION OH 501(C)(3) LINE 7 CHMCA 1 CHILD DIMENSIONS INSURANCE COMPANY 1 PERKINS SQUARE AKRON OH 44308 030317160 INSURANCE VT 501(C)(3) LINE 12A, I CHMCA 1 AKRON CHILDREN'S HEALTH COLLABORATIVE 1 PERKINS SQUARE AKRON OH 44308 870853487 ACCOUNTABLE CARE ORGANIZATION OH 501(C)(4) CHMCA 1 GAMUT QUALITY IMPROVEMENT COLLABORATIVE LLC 68 RAVENNA STREET 463 HUDSON OH 44236 871832345 CONTRACT MANAGEMENT OH CHILDREN'S HOSPITAL MED CENTER OF AKRON RELATED 103119 276099 0 0 0.60000 GALLIARD BROAD MARKET CORE FUND 1415 VANTAGE PARK DRIVE 3RD FLOOR CHARLOTTE NC 28203 932232944 INVESTMENTS NC CHILDREN'S HOSPITAL MED CENTER OF AKRON RELATED 3353269 116319796 0 0 0.99990 0 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 1 AKRON CHILDRENS HEALTH COLLABORATIVE Q 5832850 ACTUAL PER GL AKRON CHILDRENS HEALTH COLLABORATIVE L 109168451 ACTUAL PER GL CHILD DIMENSIONS INSURANCE COMPANY Q 3244148 ACTUAL PER GL AKRON CHILDRENS HOSPITAL FOUNDATION C 19911756 ACTUAL PER GL AKRON CHILDRENS HOSPITAL FOUNDATION S 934866 ACTUAL PER GL CHILD DIMENSIONS INSURANCE COMPANY S 88437 ACTUAL PER GL