Akron General Medical Center

“Akron general medical center has one member, akron general health system. Akron general health system is organized in ohio as a non-profit corporation and is recognized as exempt from federal income tax under irc 501(c)(3). Akron general health system is not a private foundation.”

“Akron general health system has the power to appoint the members of akron general medical center's governing body. The organization follows the practice under which akron general medical center's current board suggests candidates for openings on its board, that are then reviewed for approval by akron general health system's board.”

“Akron general health system is the sole member of akron general medical center. Akron general health system's responsibilities include providing long term planning, establishing system policies and procedures, financial management, and assisting organizations within the system in carrying out their exempt purposes. Generaly, akron general health system limits its power of approval over decisions made by the board of akron general medical center to those concerning membership of that organizaton's board and that organization's annual budget.”

“Line 11b - akron general medical center prepares its form 990 internally. Akron general medical center is a member of the akron general health system. The return is subject to financial review by the vice president of accounting and finance of akron general health system and review for compliance with the reporting requirements of form 990 by the director of corporate tax of akron general health system. An overall review is performed by the chief financial officer and the governance committee of the akron general health system board. The form 990 is then reviewed by an independent accounting firm, which signs as preparer.”

“Akron general medical center is a member of the akron general health system (system). Akron general health system is the parent organization of the system and as such it determines certain policies and procedures applicable to all member organizations. In the case of conflict of interest reporting, akron general health system not only determines the policy and the procedure, it carries out the procedure for all system organizations itself. A conflict of interest questionnaire is distributed to all board members, management personnel, employed physicians and any other personnel that have been designated by management. The distribution covers all system organizations. All responses that indicate a perceived conflict of interest are turned over to the governance committee (the committee) of akron general health system for review. The committee makes a determination as to whether the perceived conflict is likely to be an actual conflict, the materiality of any actual conflicts and the extent of safeguards required for any actual conflicts. Safeguards include, but are not limited to, requiring, in the case of a board member, that the person recuse himself or herself from any discussions or voting that may be affected by the conflict, requiring the person to disengage from the conduct creating the conflict or requiring the person to resign from the position affected by the conflict. This process is conducted by akron general health system's legal services department annually. The conflict of interest letter puts the recipient on notice that he or she is under an ongoing duty to report any potential conflicts that may arise subsequent to this formal process. Subsequent event reporting is monitored by akron general health system's legal services department. Any subsequent reported items are subject to the aforementioned review process by akron general health system's governance committee.”

“The reporting organization is a member of the akron general health system. The exempt purpose of the system parent, akron general health system (aghs), is to support the members of that system. One of the support services that aghs provides is determining the compensation of the top management personnel of the reporting organization. Aghs follows a process for determining the compensation of the reporting organization's top management personnel that is modeled after the requirements found in internal revenue code section 4958 for establishing the presumption of reasonable compensation. Therefore, the process calls for recommendations - developed by an independent compensation consultant, based on comparable market data from published surveys and the forms 990 of comparable organizations - that are within the range of the compensation of similarly situated persons at similarly situated organizations. These recommendations are reviewed by the compensation committee of the reporting organization's board of directors. The compensation committee is comprised of independent persons and the deliberations are documented, contemporaneously, in the committee's minutes. The compensation for all top management was reviewed for reasonableness using this process in 2012.”

“Currently, akron general medical center does not make its governing documents, conflict of interest policy or its financial statements generally available to the public. Akron general medical center does make these documents available on a case by case basis.”

“Emergency rooms are open to all, regardless of ability to pay. The financial assistance policy (see schedule h for more details) is applicable not only to medically necessary and emergency services at the two hospital facilities but to those services at all akron general medical center locations. In 2013, financial assistance exceeded $16 million dollars (please see schedule h). At the end of 2013 akron general, in partnership with the other akron hospital systems, released a collaborative community health needs assessment (chna) as required by the irs to be reported by each hospital facility. The chna report is easily accessible to the community on the hospital's website. Progress is now being made to address the identified needs via implementation strategies, also developed during the process. Kent state university's college of public health, which conducted the assessment, continues to work with the hospitals to develop a collaborative community diabetes initiative, focusing on prevention. A representative list of important programs supported by akron general in 2013 includes the following: * akron general partners with the university of akron's nursing center for community health to improve access to health care services. The main clinic, located on the university of akron campus, is staffed by akron general family medicine physicians who provide free primary medical care for people who cannot afford it and do not qualify for federal programs. * akron general also serves the primary medical care needs of women and children at access inc., a homeless women's shelter in akron and a satellite of the university of akron nursing clinic. Thousands of patients are seen each year at the ua-based location in mary gladwin hall and the access facility. * during national breast cancer awareness month in october, more than $77,000 was raised to support akron general's award winning muffins for mammograms program which provides free mammograms and other related services for uninsured women in our community who otherwise could not afford them. In 2013, akron general provided 856 services to area women. * the pink ribbon project provides free breast and cervical cancer screenings for women who otherwise could not afford them. Mammograms and pap smears are provided at akron general's women's health clinic to qualifying women. In 2013, 549 services were provided to 296 women in need. * the 13th annual heart and vascular screening was conducted to detect stroke risk, atrial fibrillation and peripheral vascular disease among community residents. Akron general's heart and vascular center staff provided free screenings to 366 individuals - many who were uninsured and high-risk. Participants were referred for appropriate follow up as needed. * several free cancer screenings were conducted for the uninsured and underserved to help detect cancer and other diseases and conditions in their earliest stages. These are offered free throughout the year with the help and support of our medical staff, residents and staff. Screenings for cervical, breast, skin and lung cancers were among those offered in 2013. More than 366 individuals participated. Akron general also provided 239 skin cancer screenings during may which is skin cancer awareness month. * for the 6th consecutive year, akron general partnered with the arthritis foundation for the summit county arthritis expo, bringing 115 people to the health & wellness center west for talks by medical professionals and information on area resources that support individuals living with this chronic disease. * celebrating the great american smoke out on november 21st, akron general offered free screenings, information and support for those interested in quitting smoking and tobacco use. Akron general continues to offer community members a six week free smoking cessation program several times a year. The program is led by one of our respiratory therapists who is also a tobacco treatment specialist. * akron gene”

“Change in value of beneficial interest in foundation net assets 625,847. Transfers from/(to) other affiliated organizations -25,010,683. Pension liability 29,097,035. Net change in restricted funds -768,280. Change in value of cash flow hedge 22,978. Grant funding for capital 23,926.”