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CCCHR 3.00 0.00 X 0 0 0 GUTWALD DENNIS DIRECTOR - KMA 3.00 0.00 X 0 0 0 HABER KENNETH TRUSTEE - LAKEWOOD HOSP 3.00 0.00 X 0 0 0 HARRIS JANET DIRECTOR - MEDINA HOSP FDN 3.00 0.00 X 0 0 0 HARRIS RICHARD DIRECTOR - AGMC, LODI 5.00 0.00 X 0 0 0 HAYES SAMUEL DIRECTOR - IRHF 3.00 0.00 X 0 0 0 HEIDENREICH PER DIRECTOR - MMF 3.00 0.00 X 0 0 0 HOOVER CAROLE DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 ISHRAK PHD OMAR DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 JOHNSON CINDY DIRECTOR - AGMC, LODI 5.00 0.00 X 0 0 0 KELLER JOHN DIRECTOR - MMF 3.00 0.00 X 0 0 0 KEMP III JOHN B DIRECTOR - IRHF 3.00 0.00 X 0 0 0 KEMPER BETTY RN DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 KILBANE CATHERINE DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 KNISELY JAMES E TRUSTEE - UNION HOSP 3.00 0.00 X 0 0 0 KOHL STEWART DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 KOLP MONSIGNOR JAMES DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 KRAMER RICHARD DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 LAMBERT WILLIAM DIRECTOR - MMF 3.00 0.00 X 0 0 0 LEE RALPH DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 LERNER NORMA DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 LEVITT MARYLIN DIRECTOR - MMF 3.00 0.00 X 0 0 0 LIBERATOR JACK B DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 LINZ MD MICHAEL H DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 LOCKE JONI DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 LOMAX-HOMIER MD JULIETTE DIRECTOR - IRMH 3.00 0.00 X 0 0 0 LONG JARROD DIRECTOR - MEDINA HOSP FDN 3.00 0.00 X 0 0 0 LYTLE TOM DIRECTOR - MMF 3.00 0.00 X 0 0 0 MACDONALD WILLIAM III DIR - CCF, CCEF, REG HOSPS & FLA 5.00 0.00 X 0 0 0 MAHONEY LOUISE F DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 MARKS JEANNINE DIRECTOR - AGMC, LODI 5.00 0.00 X 0 0 0 MATTHEWS THOMAS TJ DIRECTOR - KMA 3.00 0.00 X 0 0 0 MCCORKLE RET LT GEN FREDERICK PUBLIC TRUSTEE - LORD FDN 3.00 0.00 X 0 0 0 MCGAUGH MICHAEL DIRECTOR - AGMC, LODI 5.00 0.00 X 0 0 0 MCGORRAY KATHLEEN T TRUSTEE - LAKEWOOD HOSP 3.00 0.00 X 0 0 0 MCGRAW RYAN DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 MERRIMAN JEFF DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 MERTES ESQ BRIAN DIRECTOR - MERCY MED CTR 3.00 0.00 X 0 0 0 MIKSCH DONALD DIRECTOR - MEDINA HOSP FDN 3.00 0.00 X 0 0 0 MILLER PAMELA DIRECTOR - REGIONAL HOSPS 5.00 0.00 X 0 0 0 MILSTEN MD RICHARD DIRECTOR - IRHF 3.00 0.00 X 0 0 0 MOORE ESQ TERRY A DIRECTOR - MERCY MED CTR 3.00 0.00 X 0 0 0 MORINO MARIO DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 MULROY PATRICIA DIRECTOR - KMA 3.00 0.00 X 0 0 0 NANCE FREDERICK DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 NANN VICKY DIRECTOR - MHF 3.00 0.00 X 0 0 0 NICHOLS ANNA P DIRECTOR - IRHF 3.00 0.00 X 0 0 0 O'BRIEN KATHLEEN C DIRECTOR - IRHF 3.00 0.00 X 0 0 0 OLIVIERI DEAN DIRECTOR - MERCY MED CTR, MERCY DEV FDN 5.00 0.00 X 0 0 0 O'NEILL JOHN TRUSTEE - LAKEWOOD HOSP 3.00 0.00 X 0 0 0 ORAFU MD CHINYERE TRUSTEE - UNION HOSP 3.00 0.00 X 0 0 0 PARKER QUINN DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 PATTON REBECCA TRUSTEE - LAKEWOOD HOSP 3.00 0.00 X 0 0 0 PELLEGRINI DAVID DIRECTOR - AGMC, LODI 5.00 0.00 X 0 0 0 PETIT DAN DIRECTOR - KMA 3.00 0.00 X 0 0 0 POHL PAUL M PUBLIC TRUSTEE - LORD FDN 3.00 0.00 X 0 0 0 POTTER MARY DIRECTOR - IRHF 3.00 0.00 X 0 0 0 POWELL RENEE DIRECTOR - MERCY MED CTR 3.00 0.00 X 0 0 0 PRITTS GARY TRUSTEE - LAKEWOOD HOSP 3.00 0.00 X 0 0 0 RACINE PHD WILLIAM DIRECTOR - MERCY MED CTR, MERCY DEV FDN 5.00 0.00 X 0 0 0 RATCLIFFE GEORGE DIRECTOR - MMF 3.00 0.00 X 0 0 0 REISER MATTHEW DIRECTOR - IRMH 3.00 0.00 X 0 0 0 RICH MELINDA DIRECTOR - CCF & REG HOSPS 5.00 0.00 X 0 0 0 RICH JR ROBERT E DIR - WESTON, CC FLA, MARTIN 5.00 0.00 X 0 0 0 ROCHE DENNIS J TRUSTEE - LAKEWOOD HOSP 3.00 0.00 X 0 0 0 ROGERS MELISSA DIRECTOR - MERCY MED CTR; CFO SISTERS OF CHARITY 3.00 0.00 X 0 0 0 ROGICH SIGMOND DIRECTOR - KMA 3.00 0.00 X 0 0 0 ROHRBACH N JACK DIRECTOR - IRHF 3.00 0.00 X 0 0 0 RUNDELS MATTHEW DIRECTOR - IRHF 3.00 0.00 X 0 0 0 RYAN PATRICK DIR - WESTON, CC FLA, MARTIN 5.00 0.00 X 0 0 0 SALEK ANN DIRECTOR - MEDINA HOSP FDN 3.00 0.00 X 0 0 0 SALVATORE ALBERT DIRECTOR - REGIONAL HOSPS 5.00 0.00 X 0 0 0 SAMETH RICHARD E DIRECTOR - IRHF 3.00 0.00 X 0 0 0 SARNER GEORGE DIRECTOR - MMF 3.00 0.00 X 0 0 0 SAVAGE MATT DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 SCHEER RUTH C DIRECTOR - IRHF 3.00 0.00 X 0 0 0 SCOTT HAROLD LEE DIR - CCF, CCEF, REG HOSPS & FLA 5.00 0.00 X 0 0 0 SEALY KAREN DIRECTOR - AGMC, LODI 5.00 0.00 X 0 0 0 SEANOR GEORGE D DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 SEVERINO MICHAEL DIRECTOR - KMA 3.00 0.00 X 0 0 0 SHERWOOD EMILY DIRECTOR - IRHF 3.00 0.00 X 0 0 0 SHROPSHIRE DONALD DIRECTOR - IRHF 3.00 0.00 X 0 0 0 SNYDER JEROME F DIRECTOR - KMA 3.00 0.00 X 0 0 0 STEELMAN PAUL DIRECTOR - KMA 3.00 0.00 X 0 0 0 STEINBERG DAVID DIRECTOR - KMA 3.00 0.00 X 0 0 0 STEPHENSON ELIZABETH TRUSTEE - UNION HOSP 3.00 0.00 X 0 0 0 STEVENS MARK DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 STRAUSS THOMAS J DIRECTOR - MERCY MED CTR 3.00 0.00 X 0 0 0 STRUTHERS JR HARVEY J DIRECTOR - IRHF 3.00 0.00 X 0 0 0 STURM ROLAND DIRECTOR - KMA, LRBI 5.00 0.00 X 0 0 0 TAFFER JON DIRECTOR - KMA 3.00 0.00 X 0 0 0 TRUNDLE SYLVIA DIRECTOR - AGMC, LODI, PPG 5.00 0.00 X 0 0 0 VEGA LORRAINE DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 WALDRON JOHN DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 WEBER ROBERT DIR - CCF, CCEF, REG HOSPS & FLA 5.00 0.00 X 0 0 0 WEINBERG RONALD DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 WEISSMAN ROBERT DIRECTOR - MMF 3.00 0.00 X 0 0 0 WEXLER NANCY DIRECTOR - KMA 3.00 0.00 X 0 0 0 WILHELM MARK DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 WILLIAMS II FONDA DIRECTOR - MERCY DEV FDN, MERCY MED CTR 5.00 0.00 X 0 0 0 WILLIAMS DDS GEORGE T DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 WONG NANCY DIRECTOR - MMF 3.00 0.00 X 0 0 0 ANDREAS LOIS DIRECTOR, BD CHAIR - UHCHF 3.00 0.00 X X 0 0 0 BAREFOOT BRIAN DIRECTOR, ASST SECRETARY - IRHF 3.00 0.00 X X 0 0 0 BAUCHMAN ROBERT W DIRECTOR, ASST SECRETARY - IRHF 3.00 0.00 X X 0 0 0 BRYZTWA ELLEN TRUSTEE, BD VICE CHAIR - LAKEWD 3.00 0.00 X X 0 0 0 CARPENTER DMD JOE L DIR, BD V. CHAIR - MERCY MED CTR 3.00 0.00 X X 0 0 0 CLIFFORD J CHRISTOPHER DIRECTOR, VICE CHAIR - IRHF 3.00 0.00 X X 0 0 0 DAKERS KAREN DIRECTOR, CHAIR - MMF 3.00 0.00 X X 0 0 0 DOOLING JOHN E JACK TRUSTEE, VICE CHAIR - UNION HOSP 3.00 0.00 X X 0 0 0 GABLE THOMAS J TRUSTEE, BD CHAIR - LKWD 3.00 0.00 X X 0 0 0 GRAVO JACK DIR REG HOSPS; BD CHAIR - MERCY 5.00 0.00 X X 0 0 0 GRAY KEVIN TRSTEE- UH; SEC UHCHF (PART YR) 3.00 0.00 X X 0 0 0 GULLQUIST HERBERT DIRECTOR, ASST TREAS (IRHF) 3.00 0.00 X X 0 0 0 HAMMES MICHAEL J DIRECTOR, VICE CHAIR - IRMH 3.00 0.00 X X 0 0 0 HEROLD JEFF DIR, SECRETARY - MERCY MED CTR 3.00 0.00 X X 0 0 0 HOCKMEYER PHD WAYNE DIRECTOR (FLA), CHAIR (IRMH) 5.00 0.00 X X 0 0 0 HORN ROBERT A DIR, V. CHAIR - UHCHF; TRSTEE - UH 3.00 0.00 X X 0 0 0 HUNTER ELLEN DIRECTOR, BD CHAIR - MEDINA HOSP FDN 3.00 0.00 X X 0 0 0 HUSTON WILLIAM DIR, VICE CHAIR - MEDINA HOSP FDN 3.00 0.00 X X 0 0 0 KAY HARVEY TRUSTEE, VICE CHAIR - CCCHR 3.00 0.00 X X 0 0 0 LAFAGE JUDITH DIRECTOR, VICE CHAIR - IRHF 3.00 0.00 X X 0 0 0 LANG SEAN DIRECTOR (FLA), CHAIR (WESTON) 5.00 0.00 X X 0 0 0 LERNER MARK DIR - REG HOSPS, CHAIR - AGHS 5.00 0.00 X X 0 0 0 LICHTENBERGER WILLIAM DIRECTOR - FLA; CHAIR (MMHS) 5.00 0.00 X X 0 0 0 MAROONE MICHAEL DIRECTOR; CHAIR - CC FLA REG 5.00 0.00 X X 0 0 0 MILLER-DAWSON DIANE DIR - AGMC, LODI; VICE CHAIR - AGMC 5.00 0.00 X X 0 0 0 MONDELLO JAMES DIR, VICE CHAIR & SEC - MMF 3.00 0.00 X X 0 0 0 MOONEY BETH E DIR, CHAIR - CCF, CCEF, REG HOSPS 5.00 0.00 X X 0 0 0 MORRIS JAMES PUBLIC TRUSTEE, PRES - LORD FDN 3.00 0.00 X X 0 0 0 MUNN WILLIAM H DIRECTOR, ASST TREAS - IRHF 3.00 0.00 X X 0 0 0 NEVILLE JAMES R TRUSTEE, ASST SEC - CCCHR 3.00 0.00 X X 0 0 0 O'BRIEN TIMOTHY TRUSTEE, BD CHAIR - CCCHR 3.00 0.00 X X 0 0 0 PALOMBI MARK DIRECTOR, VICE CHAIR - MMF 3.00 0.00 X X 0 0 0 PETERSON III DONALD A DIR; PAST CHAIR- MERCY DEV FDN 5.00 0.00 X X 0 0 0 PETRAS JR MICHAEL J DIR; VICE CHAIR - CCF & CCEF 5.00 0.00 X X 0 0 0 PLAZEK RONALD DIR & TREAS - MEDINA HOSP FDN 3.00 0.00 X X 0 0 0 POLLOCK LARRY DIR; VICE CHAIR - CCF, CCEF 5.00 0.00 X X 0 0 0 PRELAC JOHN DIRECTOR, SEC - MERCY DEV FD 3.00 0.00 X X 0 0 0 ROBINSON SCOTT DIRECTOR, TREAS - UHCHF 3.00 0.00 X X 0 0 0 ROGERS JR CB DIRECTOR, CHAIR EMERITUS - IRHF 3.00 0.00 X X 0 0 0 RUVO LARRY DIR - KMA & LRBI; CHAIR - KMA 3.00 0.00 X X 0 0 0 RUVO CAMILLE DIRECTOR & VICE CHAIR - KMA 3.00 0.00 X X 0 0 0 SALERNO FREDERIC DIR - MMHS, WEST, CC FLA, CHAIR - MMHS 5.00 0.00 X X 0 0 0 SCULLY WILLIAM P DIRECTOR, VICE CHAIR - IRHF 3.00 0.00 X X 0 0 0 SHEIFFER PAMELA J DIRECTOR, SECRETARY - IRHF 3.00 0.00 X X 0 0 0 SWIGART AGNES K DIRECTOR, PRES - UHCHF 3.00 0.00 X X 0 0 0 TANSILL DOUGLAS T DIRECTOR, VICE CHAIR - IRHF 3.00 0.00 X X 0 0 0 THORN LEE ANN DIR, VICE CHAIR - MERCY DEV FDN 3.00 0.00 X X 0 0 0 TREIER J BRET DIRECTOR, CHAIR - AGMC 5.00 0.00 X X 0 0 0 TUCKER JOHN M DIRECTOR, ASST TREAS - MERCY DEV FDN 3.00 0.00 X X 0 0 0 WARTHER PATRICIA DIR - REG HOSPS, CHAIR UH 5.00 0.00 X X 0 0 0 WEBB THEORA DIR, VICE CHAIR -MMHS (PART YR) 5.00 0.00 X X 0 0 0 WOODRUFF ANTHONY C DIR - IRHF, IRMHI, CHAIR - IRHF 5.00 0.00 X X 0 0 0 ZIELSDORF ROBERT L DIRECTOR, TREAS - IRHF 3.00 0.00 X X 0 0 0 BANKS JOHN TREASURER - MARYMOUNT 3.00 0.00 X 0 0 0 DALY JAMES J ASST SECRETARY - IRHF 3.00 0.00 X 0 0 0 104536699 5616786 16044574 10411 1 1 0 SIEMENS MEDICAL SOLUTIONS INC PO BOX 121102 DALLAS TX 75312 HEALTHCARE IT & ENGINEERING SOLUTIONS 22392331 ADCOM GROUP INC 1468 W 9TH STREET STE 600 CLEVELAND OH 44113 ADVERTISING SERVICES 19097363 QUALIVIS LLC PO BOX 123847 DALLAS TX 75312 PERSONNEL SERVICES 18276803 IBM CORP 500 FIRST AVENUE PITTSBURGH PA 15219 INFORMATION TECHNOLOGY SYSTEMS 17897586 THE HCI GROUP PO BOX 734305 CHICAGO IL 60673 HEALTHCARE IT CONSULTING & TECH SOLUTION 15413478 846 X 14461772 21971306 360715856 231884778 31680857 629033712 NET PATIENT SERVICES 620000 6121011764 6105925954 15085810 MEDICARE/MEDICAID PAYM 921990 5347746412 5347746412 OTHER PROGRAM SERVICES 900099 844622304 830162168 14460136 PARKING, PHONE, & OTHE 720000 50748061 12984552 37763509 MANAGEMENT FEES 561000 14036691 14036691 9679577 8718361 961216 12387844809 142280190 142280190 27842306 27842306 33092407 0 33092407 33092407 33092407 2752553689 53985 2552702263 792213 199851426 -738228 199113198 199113198 1952024 14461772 4899875 -2947851 -2947851 INCOME IN INVESTMENTS 901101 878989417 8198323 870791094 DERIVATIVE INCOME 525990 20749237 20749237 INVESTMENTS IN AFF 523000 8055871 8055871 696408 696408 908490933 14324749704 12306589586 51690037 1337436369 40404340 40404340 109480237 109480237 1392815 1392815 83343905 43399052 39944853 15624846 8917618 6707228 5364841691 4627247885 728123811 9469995 291654421 251478804 39583745 591872 684545114 590584520 92907419 1053175 350987654 302698122 47636535 652997 10222280 8834898 1387382 9882223 8540994 1341229 4437504 4437389 115 991995 991995 2301099 2301099 29917376 29917376 515752953 445754242 69998711 44984752 38747517 6105393 131842 164231120 141790741 22289677 150702 184202237 159199117 25000185 2935 2638719 2280588 358131 197226884 170458976 26767908 11386639 9728972 1545411 112256 5771711 4907482 783345 80884 120596540 104229009 16367531 573010736 495240918 77769818 110416776 95430857 14985919 MEDICAL SUPPLIES 2490577717 2490572318 5399 BAD DEBT EXPENSE 293375342 293375342 STATE FRANCHISE FEE 185320248 185320248 EQUIPMENT RENTAL & MAIN 166025340 143443320 22533191 48829 120081339 114769164 5206923 105252 12185626553 10889220091 1281699110 14707352 1030255194 659492079 71936633 7153309 226126190 231253196 1322290667 1627183388 181467030 244925735 245395571 262239001 76444242 101721031 10736866072 5765364437 5122303453 4971501635 5981537493 6972859251 5332374509 6598260675 332745057 299729130 116318757 194045527 1268210185 1911782628 21307404981 24082146585 1300334887 1434072335 643540 -1014299 90295090 70720583 4263881070 4209485038 1966676 1709569 388267793 452939307 1637389972 1717764009 7682779028 7885676542 X 12285433993 14627562594 1339191960 1568907449 13624625953 16196470043 21307404981 24082146585 X 2139123151 232061979 -19058740 219717700 X 0 1 X 1 1 1 X 297153216 317989021 327817213 741758329 629033712 2313751491 297153216 317989021 327817213 741758329 629033712 2313751491 2313751491 160820856 128454359 164884332 164918079 203214903 822292529 1686203 769871 1241182 3697256 127186173 187750642 437964438 701022749 900292610 2354216612 5493957888 50410710266 0.42110 0.46310 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: INCOME LOSS ON INVESTMENTS - 2017 AMOUNT: $ 126,762,607. 2018 AMOUNT: $ 138,561,020. 2019 AMOUNT: $ 279,307,436. 2020 AMOUNT: $ 689,403,579. 2021 AMOUNT: $ 870,791,094. FOREIGN CURRENCY - 2017 AMOUNT: $ 273,145. 2019 AMOUNT: $ 286,197. 2020 AMOUNT: $ 92,893. 2021 AMOUNT: $ 365,082. INCOME FROM FUNDRAISING/GAMING EVENTS - 2018 AMOUNT: $ 13,597. 2020 AMOUNT: $ 5,050. DERIVATIVE INCOME - 2018 AMOUNT: $ 689,834. 2021 AMOUNT: $ 20,749,237. LIFE INSURANCE TRUST - 2017 AMOUNT: $ 150,421. 2019 AMOUNT: $ 14,861. 2021 AMOUNT: $ 331,326. INVESTMENT IN AFFILIATES - 2018 AMOUNT: $ 48,486,191. 2019 AMOUNT: $ 158,355,944. 2020 AMOUNT: $ 11,521,227. 2021 AMOUNT: $ 8,055,871. PART I, PUBLIC CHARITY STATUS BOX 3 HAS BEEN CHECKED AS THE MOST ACCURATE REPRESENTATION OF THE CLEVELAND CLINIC FOUNDATION GROUP RETURN'S PUBLIC CHARITY STATUS SINCE THE VAST MAJORITY OF THE INFORMATION REPORTED IN THE CLEVELAND CLINIC FOUNDATION GROUP RETURN RELATES TO SECTION 170(B)(1)(A)(III) HOSPITAL ENTITIES. ALL OF THE SUBORDINATE ORGANIZATIONS MAINTAIN A PUBLIC CHARITY STATUS PURSUANT TO SECTION 509(A) AND THE INFORMATION REQUIRED IN PARTS II THROUGH V HAS BEEN REPORTED IN PART VI WHERE APPLICABLE TO ONE OR MORE OF THE SUBORDINATE ORGANIZATIONS. PART I, LINE 12 PURSUANT TO THE INSTRUCTIONS FOR GROUP FILINGS, THE FOLLOWING INFORMATION FOR PARTS 12A-12G IS BEING PROVIDED. LINE 12E THE 509(A)(3) SUBORDINATES INCLUDED IN THIS GROUP RETURN ARE ALL RECOGNIZED AS TYPE I SUPPORTING ORGANIZATIONS UNDER THE CLEVELAND CLINIC FOUNDATION'S GROUP EXEMPTION. LINE 12F THE TOTAL NUMBER OF SUPPORTED ORGANIZATIONS: 9 LINE 12G THE FOLLOWING INFORMATION IS PROVIDED ABOUT THE SUPPORTED ORGANIZATIONS: NAME OF SUPPORTED ORGANIZATION, EIN, TYPE OF ORGANIZATION DESCRIBED IN LINES 1-9 OF SCHEDULE A PART I, WHETHER THE SUPPORTED ORGANIZATION IS LISTED IN THE GOVERNING DOCUMENTS OF THE SUPPORTING ORGANIZATION, AMOUNT OF MONETARY SUPPORT AND SUPPORTING ORGANIZATION. THE CLEVELAND CLINIC FOUNDATION, 34-0714585, 3, YES, PLEASE SEE NARRATIVE IN PART VI, SECTION A, LINE 1 FOR EXCEPTIONS, $0, CCF LYNDHURST PROPERTY CORP., CCF LYNDHURST PROPERTY II CORP., CCF NEW YORK MEDICAL SERVICES, P.C., CCF TENNESSEE MEDICAL SERVICES, P.C., CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION), CLEVELAND CLINIC FLORIDA HOSPITAL (A NONPROFIT CORPORATION), CLEVELAND CLINIC HOME CARE SERVICES, INC., CLEVELAND CLINIC MEDICAL SERVICES DBA ALLOGEN LABORATORIES, CLEVELAND CLINIC NEVADA, CLEVELAND CLINIC SUPPORT SERVICES, CLINIC CARE, INC., LORD FOUNDATION OF OHIO, LOU RUVO BRAIN INSTITUTE, THE CORONARY CLUB, CLEVELAND CLINIC HEALTH SERVICES PROFESSIONAL ASSOCIATION, CLEVELAND CLINIC FLORIDA REGIONAL HEALTH SYSTEM NONPROFIT CORPORATION, THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION AND CLEVELAND CLINC ALLIANCE FOR PATIENT & CAREGIVER SAFETY PATIENT SAFETY ORGANIZATION. CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, 34-0714570, 3, YES, $0, PEDIATRIC MEDICAL MANAGEMENT, INC. CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION, 34-0714593, 3, YES, $0, CLEVELAND CLINIC HOME CARE, INC. AKRON GENERAL MEDICAL CENTER, 34-0714478, 3, YES, $0, AKRON GENERAL HEALTH SYSTEM, AKRON GENERAL PARTNERS AND PARTNERS PHYSICIAN GROUP. THE UNION HOSPITAL ASSOCIATION, 34-0714771, 3, YES, $0, UNION HEALTH SYSTEM. CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION), 65-0003177, 12A, YES, $0, CLEVELAND CLINIC FLORIDA PHARMACY SERVICES NONPROFIT CORPORATION. INDIAN RIVER MEMORIAL HOSPITAL, INC., 59-2496294, 3, YES, $0, INDIAN RIVER HEALTH SERVICES, INC. AND HEALTH SYSTEMS OF INDIAN RIVER, INC. MARTIN MEMORIAL MEDICAL CENTER, INC., 59-0637874, 3, YES, $0, COASTAL CARE CORPORATION AND MARTIN MEMORIAL HEALTH SYSTEM, INC. CLEVELAND CLINIC FLORIDA REGIONAL HEALTH SYSTEM NONPROFIT CORPORATION, 83-2249666, 12A, YES, $0, MARTIN MEMORIAL HEALTH SYSTEM, INC. PART IV, SECTION A AND SECTION B PURSUANT TO THE INSTRUCTIONS, THE FOLLOWING INFORMATION FOR SECTIONS A AND B IS BEING PROVIDED: PART IV -SECTION A - LINE 1 - THERE ARE 2 SUPPORTING ORGANIZATIONS THAT DO NOT LIST THE SUPPORTED ORGANIZATION IN ITS GOVERNING DOCUMENTS (CCF LYNDHURST PROPERTY CORPORATION AND CCF TENNESSEE MEDICAL SERVICES, P.C.). INSTEAD, THE GOVERNING DOCUMENTS INDICATE THAT IF THE ENTITY WERE TO DISSOLVE, THE SUPPORTED ORGANIZATION WOULD CONTROL THE ASSETS OF THE SUPPORTING ORGANIZATION. PART IV -SECTION A - LINE 2 - THERE ARE 3 ORGANIZATIONS THAT SUPPORT OTHER 509(A)(3) SUPPORTING ORGANIZATIONS WHOSE PURPOSE IS TO SUPPORT 509(A)(1) ORGANIZATIONS. PART IV -SECTION A - LINE 6 - THERE ARE 3 SUPPORTING ORGANIZATIONS THAT PROVIDED SUPPORT TO OTHER ORGANIZATIONS EXEMPT UNDER 501(C)(3) THAT WERE NOT LISTED IN THE SUPPORTING ORGANIZATION'S GOVERNING DOCUMENTS. THIS INCLUDED SUPPORT TO ORGANIZATIONS SUCH AS LOCAL HOSPITALS, MEDICAL/HEALTH ASSOCIATIONS, AND OTHER ORGANIZATIONS THAT BENEFIT THE LOCAL COMMUNITIES. ALL OTHER QUESTIONS IN PART IV OF SECTION A ARE ANSWERED EITHER "NO OR "N/A" FOR ALL OF THE SUPPORTING ORGANIZATIONS IN THE GROUP. PART IV -SECTION B - LINE 1 - YES PART IV - SECTION B - LINE 2 - NO RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 48 0 1 794381 1 197384 1 182 0 991995 0 SCHEDULE C - PART II-B, LINES 1B-1I PART II-B, 1B PAID STAFF OR MANAGEMENT - REPRESENTS ACTIVITIES DESCRIBED IN PART II-B LINES 1C-1I CONDUCTED BY MEMBERS OF THE CCF GOVERNMENT RELATIONS OFFICE PART II-B, 1D MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC - REPRESENTS LETTERS SENT TO LEGISLATORS AND ORGANIZATIONS ON VARIOUS HEALTHCARE RELATED TOPICS AND ISSUES PART II-B, 1F GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES - REPRESENTS PAYMENT TO CERTAIN ORGANIZATIONS FOR LOBBYING SERVICES AS WELL AS PAYMENT OF DUES TO CERTAIN TRADE ORGANIZATIONS WHERE A PORTION OF THE DUES ARE USED TO CONDUCT LOBBYING ACTIVITIES. PART II-B, 1G DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY - REPRESENTS MEETINGS WITH AND TOURS CONDUCTED FOR LEGISLATORS AND/OR THEIR STAFF MEMBERS PART II-B, 1H RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES, OR ANY OTHER SIMILAR MEANS - REPRESENTS ORGANIZATION OF AND PARTICIPATION IN TRADE ASSOCIATION MEETINGS AND CONFERENCES X 5 60.13 2 1 75.00 13620 537603872 22489147 72345109 9830169 622607959 467849153 26948322 59710925 16904528 537603872 388135477 40929881 46870849 8087054 467849153 381810007 17655756 -5582019 5748267 388135477 324551580 22185007 40398300 5324880 381810007 1.00000 0 0 342875831 342875831 6827373301 3492851844 3334521457 235561680 156290826 79270854 2879678869 2017738167 861940702 451376391 98483600 352892791 4971501635 OTHER SECURITIES (PRIVATE EQUITY) 2786723091 C OTHER SECURITIES (HEDGE FUNDS) 3811537584 C 6598260675 DUE FROM AFFILIATES 262073022 PERPETUAL & BENEFICIAL TRUSTS 120934177 INVESTMENT IN AFFILIATES 962162681 OTHER ASSETS 171068157 DEFERRED ANNUITIES 395544591 1911782628 104901 DEFERRED ANNUITY TRUST 931629 OTHER LIABILITIY 413357535 FUTURE GIFT ANNUITY PAYMENTS 11415829 INTEREST RATE SWAP 117001345 ACCRUED BENEFITS 235268644 DUE TO AFFILIATES 238678852 ACCRUED PENSION 701005274 1717764009 X PART II, LINE 9: THE CONSERVATION COVENANTS REPORTED IN PART II ARE RELATED TO FIVE WETLANDS LOCATED ON THE CLEVELAND CLINIC HEALTH SYSTEM'S PROPERTY IN TWINSBURG, OHIO; AVON, OHIO; AKRON, OH; AND WESTON, FLORIDA (2). THESE EASEMENTS ARE NOT REQUIRED TO BE REPORTED ON THE BALANCE SHEET SEPARATE FROM THE VALUE OF THE LAND. EXPENSES TO MONITOR, INSPECT, AND PROTECT THIS LAND ARE REFLECTED IN THE STATEMENT OF EXPENSES. PART V, LINE 4: THE ENDOWMENT FUNDS OF CLEVELAND CLINIC FOUNDATION AND ITS AFFILIATES ARE USED IN FURTHERANCE OF ITS EXEMPT PURPOSE. SPECIFICALLY, THESE FUNDS ARE USED FOR EDUCATION, RESEARCH, AND PATIENT CARE. PART X, LINE 2: THE CLEVELAND CLINIC HEALTH SYSTEM'S ("THE SYSTEM") AUDITED FINANCIAL STATEMENTS ARE REPORTED ON A CONSOLIDATED BASIS, INCLUDING EXEMPT, TAXABLE, AND FOREIGN ENTITIES TO WHICH THE ASC 740-10 LIABILITY RELATES. THE ASC 740-10 FOOTNOTE ON THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE CLEVELAND CLINIC HEALTH SYSTEM READS AS FOLLOWS: AT DECEMBER 31, 2021 AND 2020, THE LIABILITY FOR UNCERTAINTY IN INCOME TAXES WAS $2.0 MILLION AND $1.5 MILLION, RESPECTIVELY. THE SYSTEM DOES NOT EXPECT A SIGNIFICANT INCREASE OR DECREASE IN UNRECOGNIZED TAX BENEFITS WITHIN THE NEXT 12 MONTHS. THE SYSTEM RECOGNIZES INTEREST AND PENALTIES ACCRUED RELATED TO THE LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. 1 CENTRAL AMERICA & THE CARIBBEAN 0 0 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 2680000 NORTH AMERICA 2 0 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 46559000 EUROPE 3 32 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 818825000 MIDDLE EAST & NORTH AFRICA 2 71 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 5488000 EUROPE 0 0 PROGRAM SERVICES TRAVEL FOR MEETINGS/CONFERENCES 410000 MIDDLE EAST & NORTH AFRICA 0 0 PROGRAM SERVICES TRAVEL FOR MEETINGS/CONFERENCES 3701000 EAST ASIA AND THE PACIFIC 0 0 FUNDRAISING CENTRAL AMERICA & THE CARIBBEAN 0 0 FUNDRAISING NORTH AMERICA 0 0 FUNDRAISING SOUTH ASIA 0 0 FUNDRAISING EUROPE 0 0 FUNDRAISING 1000 EUROPE 0 0 INVESTING 103623000 SUB-SAHARAN AFRICA 0 0 INVESTING 100421000 MIDDLE EAST & NORTH AFRICA 0 0 INVESTING 2419000 CENTRAL AMERICA & THE CARIBBEAN 0 0 INVESTING 3925854000 NORTH AMERICA 0 0 INVESTING 8645000 EAST ASIA AND THE PACIFIC 0 1 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 25000 MIDDLE EAST & NORTH AFRICA 0 0 FUNDRAISING 7 103 0 1 7 104 877663000 4140988000 5018651000 NORTH AMERICA RESEARCH 231000 CHECK AND/OR WIRE 0 EUROPE RESEARCH 5360 CHECK AND/OR WIRE 0 NORTH AMERICA RESEARCH 64465 CHECK AND/OR WIRE 0 EUROPE RESEARCH 133670 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 40480 CHECK AND/OR WIRE 0 EUROPE RESEARCH 16307 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 141772 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 45425 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 8664 CHECK AND/OR WIRE 0 EUROPE RESEARCH 28080 CHECK AND/OR WIRE 0 EUROPE RESEARCH 384536 CHECK AND/OR WIRE 0 EAST ASIA AND THE PACIFIC RESEARCH 83400 CHECK AND/OR WIRE 0 NORTH AMERICA RESEARCH 18143 CHECK AND/OR WIRE 0 EUROPE RESEARCH 13000 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 27070 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 23800 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 64770 CHECK AND/OR WIRE 0 NORTH AMERICA RESEARCH 32873 CHECK AND/OR WIRE 0 14 4 RESEARCH EUROPE 1 15000 CHECK AND/OR WIRE 0 RESEARCH EUROPE 1 15000 CHECK AND/OR WIRE 0 1 0 1 1 1 1 PART I, LINE 2: A MAJORITY OF THE RESEARCH GRANTS PROVIDED TO FOREIGN ORGANIZATIONS ARE PART OF A NATIONAL INSTITUTES OF HEALTH OR FEDERALLY FUNDED PROGRAM. AS SUCH, THE FOREIGN ORGANIZATION IS REQUIRED TO MEET AND ADHERE TO FEDERAL GRANT REPORTING REQUIREMENTS WITH RESPECT TO THE USE OF THE FUNDS ON AN ON-GOING BASIS IN ORDER TO BE ELIGIBLE TO PARTICIPATE OR CONTINUE TO PARTICIPATE IN THE RESEARCH STUDY. FOR THOSE GRANTS THAT ARE NOT FEDERALLY FUNDED, A CONTRACT EXISTS WITH THE FOREIGN GRANTEE ORGANIZATION THAT ESTABLISHES HOW THE FUNDS ARE TO BE USED AND REQUIRES CERTAIN REPRESENTATIONS AND ACCOUNTING REGARDING THEIR USE. CLEVELAND CLINIC MAINTAINS OVERSIGHT OF THESE GRANTS AND REGULARLY MONITORS THEIR COMPLIANCE WITH EITHER THE FEDERAL REGULATIONS OR THE CONTRACT PROVISIONS. PART I, LINE 3: THE ACCRUAL METHOD IS USED TO ACCOUNT FOR EXPENDITURES. PART III ACCOUNTING METHOD: X X X X X X X 1 CLASSY 350 TENTH AVE STE 1300 SAN DIEGO CA 92101 ONLINE SOLICITATION 0 6146892 265737 5881155 RR DONNELLEY 35 W WACKER DR CHICAGO IL 60601 DIRECT MAIL 0 4169333 1127404 3041929 TSM DONOR ENGAGEMENT TEAM 155 COMMERCE DR FREEDOM PA 15042 PHONE SOLICITATION 0 239452 907958 -668506 10555677 2301099 8254578 AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY POWER OF LOVE GALA 9310105 7628883 1681222 0 0 0 478985 0 2400205 VELOSANO 5058171 4963609 94562 0 0 207535 93752 0 1130775 11 2045520 1869280 176240 2818 11427 41843 178739 19899 333897 16413796 14461772 1952024 2818 11427 249378 751476 19899 3864877 4899875 -2947851 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 1 180958979 3000000 177958979 0.01490 1632577014 965658567 666918447 0.05600 0 0 0.00000 1813535993 968658567 844877426 0.07090 107405341 6670954 100734387 0.00850 382918912 60695265 322223647 0.02710 224425231 190931580 33493651 0.00290 266712628 165709341 101003287 0.00840 9170421 229 9170192 0.00080 990632533 424007369 566625164 0.04770 2804168526 1392665936 1411502590 0.11860 0 0 0.00000 100500 0 100500 0.00000 194604 0 194604 0.00000 0 0 0.00000 0 0 0.00000 67453 0 67453 0.00000 16880 0 16880 0.00000 221649 400 221249 0.00000 0 0 0.00000 601086 400 600686 0.00000 1 295846024 0 1649320628 1671508546 -22187918 X 1 1 1 AKRON SURGICAL ASSOCIATES LLC SURGICAL SERVICES 0.51000 0.49000 2 TRADITION SURGERY CENTER LLC SURGICAL SERVICES 0.31620 0.49000 3 STUART SURGERY CENTER SURGICAL VENTURES 0.48400 0.21940 26 1 THE CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVENUE CLEVELAND OH 44195 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1151AHR X X X X X X A 2 AKRON GENERAL MEDICAL CENTER 1 AKRON GENERAL AVENUE AKRON OH 44307 WWW.CLEVELANDCLINIC.ORG OHIO STATE ID 1276AHR X X X X X A 3 FAIRVIEW HOSPITAL 18101 LORAIN AVENUE CLEVELAND OH 44111 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1145AHR X X X X X A 4 HILLCREST HOSPITAL 6780 MAYFIELD ROAD MAYFIELD HEIGHTS OH 44124 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1019AHR X X X X X A 5 CLEVELAND CLINIC WESTON HOSPITAL 2950 CLEVELAND CLINIC BLVD WESTON FL 33331 WWW.CLEVELANDCLINIC.ORG FL LICENSE NUMBER 4299 X X X X X C 6 CLEVELAND CLINIC MARTIN NORTH HOSPITAL 200 HOSPITAL AVENUE STUART FL 34994 WWW.CLEVELANDCLINIC.ORG FL LICENSE 4102 X X X C 7 INDIAN RIVER MEMORIAL HOSPITAL 1000 36TH STREET VERO BEACH FL 32960 WWW.CLEVELANDCLINIC.ORG FL LICENSE 4029 X X X C 8 CLEVELAND CLINIC MERCY HOSPITAL 1320 MERCY DRIVE NW CANTON OH 44708 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1271AHR X X X X 9 MARYMOUNT HOSPITAL 12300 MCCRACKEN GARFIELD HEIGHTS OH 44125 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1136AHR X X X X X A 10 CLEVELAND CLINIC AVON HOSPITAL 33300 CLEVELAND CLINIC BOULEVARD AVON OH 44011 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1531AHR X X X X X A 11 CLEVELAND CLINIC TRADITION HOSPITAL 10000 SW INNOVATION WAY PORT ST LUCIE FL 34987 WWW.CLEVELANDCLINIC.ORG FL LICENSE 4102 X X X C 12 MEDINA HOSPITAL 1000 E WASHINGTON STREET MEDINA OH 44256 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1236AHR X X X X X A 13 SOUTH POINTE HOSPITAL 20000 HARVARD ROAD WARRENSVILLE HTS OH 44122 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1297AHR X X X X X A 14 LUTHERAN HOSPITAL 1730 WEST 25TH STREET CLEVELAND OH 44113 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1149AHR X X X X X A 15 THE UNION HOSPITAL ASSOCIATION 659 BOULEVARD DOVER OH 44622 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1285AHR X X X 16 EUCLID HOSPITAL 18901 LAKESHORE BOULVARD EUCLID OH 44119 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1133AHR X X X X X A 17 CLEV CLINIC CHILDREN'S HOSP FOR REHAB 2801 MARTIN LUTHER KING DRIVE CLEVELAND OH 44104 WWW.CLEVELANDCLINIC.ORG OH STATE ID 0153RF X X X X X A 18 LODI COMMUNITY HOSPITAL 225 ELYRIA STREET LODI OH 44254 WWW.CLEVELANDCLINIC.ORG OHIO STATE ID 1234AHR X X X X A 19 CLEVELAND CLINIC MARTIN SOUTH HOSPITAL 2100 SE SALERNO ROAD STUART FL 34997 WWW.CLEVELANDCLINIC.ORG FL LICENSE 4102 X X X C 20 CLEVELAND CLINIC REHAB - BEACHWOOD 3025 SCIENCE PARK DRIVE BEACHWOOD OH 44122 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1906 X B 21 CLEVELAND CLINIC REHABILITATION-AVON 33355 HEALTH CAMPUS BOULEVARD AVON OH 44011 WWW.CLEVELANDCLINIC.ORG OHIO STATE ID 1522AHR X B 22 CLEVELAND CLINIC REHAB - EDWIN SHAW 4389 MEDINA ROAD COPLEY OH 44321 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1905 X B 23 SELECT SPECIALTY - FAIRHILL 11900 FAIRHILL ROAD CLEVELAND OH 44195 WWW.SELECTMEDICAL.COM OH STATE ID 1468 X B 24 SELECT SPECIALTY - REGENCY EAST 4200 INTERCHANGE CORPORATE CENTER RD WARRENSVILLE HEIGHTS OH 44128 WWW.SELECTMEDICAL.COM OH STATE ID 1479 X B 25 SELECT SPECIALTY - REGENCY WEST 6990 ENGLE ROAD MIDDLEBURG HEIGHTS OH 44130 WWW.SELECTMEDICAL.COM OH STATE ID 1478 X B 26 SELECT SPECIALTY - GATEWAY 2351 E 22ND STREET CLEVELAND OH 44115 WWW.SELECTMEDICAL.COM OH STATE ID 1431 X B REPORTING GROUP A 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE PART V, SECTION C X 1 21 1 SEE PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X X X 1 X 0 0 REPORTING GROUP B 0 0 1 X X X X X X X X X 19 1 1 0 1 X SEE PART V, SECTION C X 1 21 1 SEE PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 0 X X 0 0 THE UNION HOSPITAL ASSOCIATION 15 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE PART V, SECTION C X 1 21 1 SEE PART V, SECTION C 0 1 X 100.000000000000 200.000000000000 X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 REPORTING GROUP C 0 0 1 X X X X X X X X X 21 1 1 0 1 X SEE PART V, SECTION C X 1 21 1 SEE PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X X X 1 X 0 0 MERCY HOSPITAL 8 0 1 1 X X X X X X X X X 19 1 1 1 1 X SEE PART V, SECTION C X 1 21 1 SEE PART V, SECTION C 0 1 X 200.000000000000 250.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 THE UNION HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: UNION HOSPITAL IS A MEMBER OF ACCESS TUSCARAWAS, A COLLABORATION OF TUSCARAWAS COUNTY HEALTHCARE AND COMMUNITY BASED AGENCIES. DURING 2018, ACCESS TUSCARAWAS PROVIDED COORDINATION OF THE COMMUNITY SURVEY AND DATA ANALYSIS, AND CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT WITH SUPPORT OF THE NORTHWEST HOSPITAL ASSOCIATION OF OHIO. THE RESULTS OF THAT ASSESSMENT PROVIDED THE DATA NECESSARY FOR UNION HOSPITAL TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IT SERVES. TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, INCLUDING MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS, ACCESS TUSCARAWAS CREATED A PANEL WHICH INCLUDED REPRESENTATIVES FROM UNITED WAY, LOCAL FAMILY PHYSICIANS, DENTISTS, MENTAL HEALTH AND ADDICTION COUNSELORS FROM THE ALCOHOL, DRUG, ADDICTION AND MENTAL HEALTH SERVICES ("ADAMHS") BOARD, REPRESENTATIVES FROM THE LOCAL SCHOOL DISTRICTS, REPRESENTATIVES FROM COUNTY AND CITY HEALTH DEPARTMENTS, LOCAL YMCA LEADERS, AND HOSPITAL LEADERS. UNION HOSPITAL ALSO COLLABORATED WITH OTHER CLEVELAND CLINIC HOSPITALS TO ALIGN CHNA DATA AND RESOURCES. THE UNION HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6A: UNION HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT WITH TRINITY TWIN CITY HOSPITAL, AN UNRELATED ENTITY, AND COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, THE CLEVELAND CLINIC FOUNDATION, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL AND SOUTH POINTE HOSPITAL. THE UNION HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6B: UNION HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT WITH TUSCARAWAS COUNTY HEALTH DEPARTMENT, ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARD, TUSCARAWAS COUNTY SENIOR CENTER, UNITED WAY OF TUSCARAWAS COUNTY, ACCESS TUSCARAWAS PERSONAL FAMILY AND COUNSELING SERVICES, GUIDESTONE, EAST CENTRAL OHIO EDUCATIONAL SERVICES CENTER, NEW PHILADELPHIA CITY HEALTH DEPARTMENT, PERSONAL FAMILY AND COUNSELING SERVICES, T4C, TUSCARAWAS YMCA, TUSCARAWAS CLINIC FOR THE WORKING UNINSURED, TUSCARAWAS COUNTY ANTI-DRUG COALITION THE UNION HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: THE UNION HOSPITAL ASSOCIATION'S (UNION") COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED THE FOLLOWING KEY NEEDS: ACCESS TO AFFORDABLE HEALTHCARE, ADDICTION (INCLUDES ADULT AND YOUTH DRUG USE AND OVERDOSE DEATHS), CHRONIC DISEASE (INCLUDES ADULT AND YOUTH OBESITY, AS IT IMPACTS CHRONIC DISEASES SUCH AS DIABETES AND HEART DISEASE), INFANT MORTALITY, MENTAL HEALTH (INCLUDES ADULT AND YOUTH DEPRESSION AND SUICIDE) AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: THE CLEVELAND CLINIC FOUNDATION, - FACILITY 3: FAIRVIEW HOSPITAL, - FACILITY 4: HILLCREST HOSPITAL, - FACILITY 9: MARYMOUNT HOSPITAL, - FACILITY 13: SOUTH POINTE HOSPITAL, - FACILITY 14: LUTHERAN HOSPITAL, - FACILITY 12: MEDINA HOSPITAL, - FACILITY 16: EUCLID HOSPITAL, - FACILITY 17: CLEV CLINIC CHILDREN'S HOSP FOR REHAB, - FACILITY 18: LODI COMMUNITY HOSPITAL, - FACILITY 2: AKRON GENERAL MEDICAL CENTER, - FACILITY 10: CLEVELAND CLINIC AVON HOSPITAL GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018.THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX H OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 6A: CLEVELAND CLINIC FOUNDATION MAIN CAMPUS COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC WESTON HOSPITAL. CLEVELAND CLINIC FOUNDATION MAIN CAMPUS ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 6B: THE CLEVELAND CLINIC FOUNDATION, AS PART OF THE CLEVELAND CLINIC HEALTH SYSTEM, COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY THE CLEVELAND CLINIC FOUNDATION WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY THE CLEVELAND CLINIC FOUNDATION. UNINSURED PATIENTS THAT THE CLEVELAND CLINIC FOUNDATION DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, THE CLEVELAND CLINIC FOUNDATION NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018.THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 6A: FAIRVIEW HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, THE CLEVELAND CLINIC FOUNDATION MAIN CAMPUS, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC WESTON HOSPITAL. CLEVELAND CLINIC FOUNDATION MAIN CAMPUS ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 6B: FAIRVIEW HOSPITAL, AS PART OF THE CLEVELAND CLINIC HEALTH SYSTEM, COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED IN BY FAIRVIEW HOSPITAL WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING FAIRVIEW HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, FAIRVIEW HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018.THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 6A: HILLCREST HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL AND CLEVELAND CLINIC WESTON HOSPITAL. HILLCREST HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 6B: HILLCREST HOSPITAL, AS PART OF THE CLEVELAND CLINIC HEALTH SYSTEM, COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING HILLCREST HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING HILLCREST HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, HILLCREST HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 9 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 9 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 6A: MARYMOUNT HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL AND CLEVELAND CLINIC WESTON HOSPITAL. MARYMOUNT HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 9 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 6B: MARYMOUNT HOSPITAL, AS PART OF THE CLEVELAND CLINIC HEALTH SYSTEM COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 9 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY MARYMOUNT HOSPITAL WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 9 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 9 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING MARYMOUNT HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 9 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING MARYMOUNT HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 9 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, MARYMOUNT HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 13 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 13 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 6A: SOUTH POINTE HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, UNION HOSPITAL AND CLEVELAND CLINIC WESTON HOSPITAL. SOUTH POINTE HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 13 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 6B: SOUTH POINTE HOSPITAL, AS PART OF THE CLEVELAND CLINIC HEALTH SYSTEM, COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 13 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY SOUTH POINTE HOSPITAL WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 13 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 13 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING SOUTH POINTE HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 13 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING SOUTH POINTE HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 13 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, SOUTH POINTE HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 16 -- EUCLID HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 16 -- EUCLID HOSPITAL PART V, SECTION B, LINE 6A: EUCLID HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, THE CLEVELAND CLINIC FOUNDATION, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL AND CLEVELAND CLINIC WESTON HOSPITAL. EUCLID HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 16 -- EUCLID HOSPITAL PART V, SECTION B, LINE 6B: EUCLID HOSPITAL, AS PART OF THE CLEVELAND CLINIC HEALTH SYSTEM, COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 16 -- EUCLID HOSPITAL PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY EUCLID HOSPITAL WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 16 -- EUCLID HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 16 -- EUCLID HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING EUCLID HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 16 -- EUCLID HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING EUCLID HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 16 -- EUCLID HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, EUCLID HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 14 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 14 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 6A: LUTHERAN HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL AND CLEVELAND CLINIC WESTON HOSPITAL. LUTHERAN HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 14 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 6B: LUTHERAN HOSPITAL, AS PART OF THE CLEVELAND CLINIC HEALTH SYSTEM, COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 14 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 14 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 14 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING LUTHERAN HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 14 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING LUTHERAN HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 14 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, LUTHERAN HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 12 -- MEDINA HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 12 -- MEDINA HOSPITAL PART V, SECTION B, LINE 6A: MEDINA HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, SOUTH POINTE HOSPITAL, UNION HOSPITAL AND CLEVELAND CLINIC WESTON HOSPITAL. MEDINA HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 12 -- MEDINA HOSPITAL PART V, SECTION B, LINE 6B: MEDINA HOSPITAL, AS PART OF THE CLEVELAND CLINIC HEALTH SYSTEM, COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 12 -- MEDINA HOSPITAL PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY MEDINA HOSPITAL WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 12 -- MEDINA HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 12 -- MEDINA HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING MEDINA HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 12 -- MEDINA HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING MEDINA HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 12 -- MEDINA HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, MEDINA HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 17 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX H OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 17 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 6A: CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL AND CLEVELAND CLINIC WESTON HOSPITAL. CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 17 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 6B: CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, AS PART OF THE CLEVELAND CLINIC HEALTH SYSTEM, COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 17 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 17 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 17 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 17 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 17 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 18 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 18 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: LODI COMMUNITY HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, THE CLEVELAND CLINIC FOUNDATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL AND CLEVELAND CLINIC WESTON HOSPITAL. LODI COMMUNITY HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER, GLENBEIGH, SUMMA HEALTH SYSTEM, AND AKRON CHILDREN'S HOSPITAL. GROUP A-FACILITY 18 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 6B: LODI COMMUNITY HOSPITAL, AS PART OF THE CLEVELAND CLINIC HEALTH SYSTEM, COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 18 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY LODI COMMUNITY HOSPITAL WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 18 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 18 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING LODI COMMUNITY HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 18 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING LODI COMMUNITY HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 18 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, LODI COMMUNITY HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 10 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 10 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 6A: CLEVELAND CLINIC AVON HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HOSPITALS INCLUDING: CLEVELAND CLINIC MAIN CAMPUS, CLEVELAND CLINIC CHILDREN'S, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, AKRON GENERAL MEDICAL CENTER, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL AND CLEVELAND CLINIC WESTON. GROUP A-FACILITY 10 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 6B: CLEVELAND CLINIC AVON, AS PART OF THE CLEVELAND CLINIC HEALTH SYSTEM, COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 10 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED VY CLEVELAND CLINIC AVON HOSPITAL WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 10 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 10 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING CLEVELAND CLINIC AVON HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 10 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING CLEVELAND CLINIC AVON HOSPITAL CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 10 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CLEVELAND CLINIC AVON HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018.THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 6A: AKRON GENERAL MEDICAL CENTER COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: MAIN CAMPUS, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL, AND CLEVELAND CLINIC WESTON HOSPITAL. AKRON GENERAL MEDICAL CENTER ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 6B: AKRON GENERAL MEDICAL CENTER, AS PART OF THE CLEVELAND CLINIC HEALTH SYSTEM, COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY AKRON GENERAL MEDICAL CENTER WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING AKRON GENERAL MEDICAL CENTER. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING AKRON GENERAL MEDICAL CENTER, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, AKRON GENERAL MEDICAL CENTER NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 21: CLEVELAND CLINIC REHABILITATION-AVON, - FACILITY 25: SELECT SPECIALTY - REGENCY WEST, - FACILITY 24: SELECT SPECIALTY - REGENCY EAST, - FACILITY 23: SELECT SPECIALTY - FAIRHILL, - FACILITY 26: SELECT SPECIALTY - GATEWAY, - FACILITY 22: CLEVELAND CLINIC REHAB - EDWIN SHAW, - FACILITY 20: CLEVELAND CLINIC REHAB - BEACHWOOD GROUP B-FACILITY 21 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 21 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 6A: CLEVELAND CLINIC REHABILITATION - AVON COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW, SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST. GROUP B-FACILITY 21 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY CLEVELAND CLINIC REHABILITATION - AVON WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.CLEVELAND CLINIC REHABILITATION - AVON CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH CLEVELAND CLINIC REHABILITATION - AVON CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC REHABILITATION - AVON CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH CLEVELAND CLINIC REHABILITATION -AVON IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. CLEVELAND CLINIC REHABILITATION - AVON SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP B-FACILITY 25 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 25 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 6A: SELECT SPECIALTY - REGENCY WEST COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. GROUP B-FACILITY 25 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY SELECT SPECIALTY - REGENCY WEST WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - REGENCY WEST CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - REGENCY WEST CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - REGENCY WEST CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH SELECT SPECIALTY - REGENCY WEST IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - REGENCY WEST SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP B-FACILITY 24 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 24 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 6A: SELECT SPECIALTY - REGENCY EAST COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND WEST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. GROUP B-FACILITY 24 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY SELECT SPECIALTY - REGENCY EAST WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE; CHRONIC DISEASE PREVENTION AND MANAGEMENT; AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - REGENCY EAST CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - REGENCY EAST CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - REGENCY EAST CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH SELECT SPECIALTY - REGENCY EAST IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - REGENCY EAST SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP B-FACILITY 23 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 23 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 6A: SELECT SPECIALTY - FAIRHILL COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. GROUP B-FACILITY 23 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY SELECT SPECIALTY - FAIRHILL WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - FAIRHILL CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - FAIRHILL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - FAIRHILL CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH SELECT SPECIALTY - FAIRHILL IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - FAIRHILL SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP B-FACILITY 26 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 26 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 6A: SELECT SPECIALTY - GATEWAY COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. GROUP B-FACILITY 26 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY SELECT SPECIALTY - GATEWAY WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - GATEWAY CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - GATEWAY CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - GATEWAY CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH SELECT SPECIALTY - GATEWAY IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - GATEWAY SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP B-FACILITY 20 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN AUGUST AND DECEMBER 2018, AND SUPPLEMENTAL INTERVIEWS IN MARCH 2019. KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 20 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 6A: CLEVELAND CLINIC REHABILITATION - BEACHWOOD COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW, SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST. GROUP B-FACILITY 20 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY CLEVELAND CLINIC REHABILITATION - BEACHWOOD WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.CLEVELAND CLINIC REHABILITATION - BEACHWOOD CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE REHABILITATION HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH CLEVELAND CLINIC REHABILITATION - BEACHWOOD CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC REHABILITATION - BEACHWOOD CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH CLEVELAND CLINIC REHABILITATION -BEACHWOOD IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. CLEVELAND CLINIC REHABILITATION - BEACHWOOD SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP B-FACILITY 22 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN AUGUST AND DECEMBER 2018, AND SUPPLEMENTAL INTERVIEWS IN MARCH 2019. KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 22 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 6A: CLEVELAND CLINIC REHABILITATION - EDWIN SHAW COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST. GROUP B-FACILITY 22 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY CLEVELAND CLINIC REHABILITATION - EDWIN SHAW WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.CLEVELAND CLINIC REHABILITATION - EDWIN SHAW CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH CLEVELAND CLINIC REHABILITATION - EDWIN SHAW CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC REHABILITATION - EDWIN SHAW CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH CLEVELAND CLINIC REHABILITATION - EDWIN SHAW IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. CLEVELAND CLINIC REHABILITATION -EDWIN SHAW SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP B-FACILITY 22 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 20D: PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS. PART V, SECTION B FACILITY REPORTING GROUP C FACILITY REPORTING GROUP C CONSISTS OF: - FACILITY 5: CLEVELAND CLINIC WESTON HOSPITAL, - FACILITY 7: INDIAN RIVER MEMORIAL HOSPITAL, - FACILITY 6: CLEVELAND CLINIC MARTIN NORTH HOSPITAL, - FACILITY 11: CLEVELAND CLINIC TRADITION HOSPITAL, - FACILITY 19: CLEVELAND CLINIC MARTIN SOUTH HOSPITAL GROUP C-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE MACH 2021. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP C-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 6B: CLEVELAND CLINIC WESTON HOSPITAL, AS PART OF CLEVELAND CLINIC HEALTH SYSTEM, COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP C-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP C-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP C-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING CLEVELAND CLINIC WESTON HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP C-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING CLEVELAND CLINIC WESTON HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC FLORIDA HOSPITAL TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP C-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CLEVELAND CLINIC WESTON HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP C-FACILITY 7 -- INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED IN 2021 FROM GROUPS AND INDIVIDUALS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY, THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, AND GOVERNMENTAL DEPARTMENTS AND AGENCIES WITH CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. IN ALL, 19 COMMUNITY STAKEHOLDERS CONTRIBUTED TO THE ASSESSMENT, WHICH CAN BE FOUND IN APPENDIX C OF THE 2021 CHNA AT WWW.CLEVELANDCLINIC.ORG/ABOUT/COMMUNITY/REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTREPORTSINTERVIEWS WERE CONDUCTED FROM MARCH 16 THROUGH APRIL 13 OF 2021, WHICH TOOK APPROXIMATELY 30 MINUTES TO COMPLETE. A COMPLETE LIST OF INTERVIEW QUESTIONS AND RESPONSES CAN BE FOUND IN APPENDIX D OF THE 2021 CHNA. GROUP C-FACILITY 7 -- INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: CLEVELAND CLINIC INDIAN RIVER MEMORIAL HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: CLEVELAND CLINIC TRADITION HOSPITAL, CLEVELAND CLINIC MARTIN SOUTH HOSPITAL, AND CLEVELAND CLINIC MARTIN NORTH HOSPITAL GROUP C-FACILITY 7 -- INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: INDIAN RIVER MEMORIAL HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY (A) ADOPTION OF AN IMPLEMENTATION STRATEGY THAT ADDRESSES EACH OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA, (B) EXECUTION OF THE IMPLEMENTATION STRATEGY, (C) PARTICIPATION IN THE DEVELOPMENT OF A COMMUNITY-WIDE PLAN, (D) PARTICIPATION IN THE EXECUTION OF A COMMUNITY-WIDE PLAN, (E) ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE CHNA, (F) PRIORITIZATION OF HEALTH NEEDS IN ITS COMMUNITY, AND (G) PRIORITIZATION OF SERVICES THAT THE HOSPITAL FACILITY WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY. INDIAN RIVER WILL ADDRESS THE FOLLOWING NEEDS IDENTIFIED AS PRIORITIES: SKIN CANCER, MENTAL HEALTH, AND STROKE. THE OTHER NEEDS IDENTIFIED AS PRIORITIES BY THE CHNA WILL NOT BE ADDRESSED BY INDIAN RIVER AS THE INITIATIVE WILL BE LED BY OTHER FACILITIES AND OTHER ORGANIZATIONS IN COLLABORATION WITH OUR HOSPITAL. GROUP C-FACILITY 7 -- INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP C-FACILITY 7 -- INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING INDIAN RIVER MEMORIAL HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP C-FACILITY 7 -- INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING INDIAN RIVER MEMORIAL HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH FLORIDA HOSPITAL TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP C-FACILITY 7 -- INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, INDIAN RIVER MEMORIAL HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP C-FACILITY 6 -- CLEVELAND CLINIC MARTIN NORTH HOSPITAL PART V, SECTION B, LINE 5: PRIMARY DATA SOURCES UTILIZED FOR THE CHNA ARE LISTED IN APPENDIX C AND D OF THE 2021 CHNA. INFORMATION WAS GATHERED BY CONDUCTING INTERVIEWS WITH INDIVIDUALS REPRESENTING COMMUNITY HEALTH AND PUBLIC SERVICE ORGANIZATIONS, MEDICAL PROFESSIONALS, HOSPITAL ADMINISTRATION, AND OTHER HOSPITAL STAFF MEMBERS. INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH 26 COMMUNITY LEADER INTERVIEWS WHICH TOOK MARCH 2021. THESE INDIVIDUALS WERE IDENTIFIED AS PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY. INTERVIEWERS FOLLOWED THE SAME PROCESS FOR EACH INTERVIEW. THE COMPLETE LIST OF INTERVIEW QUESTIONS AND RESPONSES CAN BE FOUND IN APPENDIX D OF THE CHNA. FOLLOWING THE COMPLETION OF THE COMMUNITY LEADER INTERVIEWS, THE HOSPITAL SOUGHT ADDITIONAL INPUT FROM PUBLIC HEALTH EXPERTS REGARDING COVID 19 AND SYSTEMIC RACISM ISSUES. THREE ADDITIONAL PHONE INTERVIEWS WERE CONDUCTED WITH PREVIOUSLY INTERVIEWED PUBLIC HEALTH EXPERTS FROM JULY 20, 2020 THROUGH JULY 28, 2020. INTERVIEWERS FOLLOWED THE SAME PROCESS FOR EACH INTERVIEW. THE COMPLETE LIST OF INTERVIEW QUESTIONS AND RESPONSES CAN BE FOUND IN APPENDIX E OF THE CHNA. GROUP C-FACILITY 6 -- CLEVELAND CLINIC MARTIN NORTH HOSPITAL PART V, SECTION B, LINE 6A: CLEVELAND CLINIC MARTIN NORTH HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: CLEVELAND CLINIC TRADITION HOSPITAL AND CLEVELAND CLINIC MARTIN SOUTH HOSPITAL. GROUP C-FACILITY 6 -- CLEVELAND CLINIC MARTIN NORTH HOSPITAL PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING: COVID-19; ACCESS TO CARE; HEALTH EQUITY & SOCIAL DETERMINANTS OF HEALTH; CHRONIC DISEASE PREVENTION & MANAGEMENT; BEHAVIORAL HEALTH; MATERNAL& CHILD HEALTH; AND MEDICAL RESEARCH & HEALTH PROFESSIONS EDUCATION. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP C-FACILITY 6 -- CLEVELAND CLINIC MARTIN NORTH HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL ASSISTANCE CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME GROUP C-FACILITY 6 -- CLEVELAND CLINIC MARTIN NORTH HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING CLEVELAND CLINIC MARTIN NORTH HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP C-FACILITY 6 -- CLEVELAND CLINIC MARTIN NORTH HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING CLEVELAND CLINIC MARTIN NORTH HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP C-FACILITY 6 -- CLEVELAND CLINIC MARTIN NORTH HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO THE ITEMS LISTED IN 20A-D; CLEVELAND CLINIC MARTIN NORTH HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP C-FACILITY 11 -- CLEVELAND CLINIC TRADITION HOSPITAL PART V, SECTION B, LINE 5: PRIMARY DATA SOURCES UTILIZED FOR THE CHNA ARE LISTED IN APPENDIX C OF THE CHNA. INFORMATION WAS GATHERED BY CONDUCTING INTERVIEWS WITH INDIVIDUALS REPRESENTING COMMUNITY HEALTH AND PUBLIC SERVICE ORGANIZATIONS, MEDICAL PROFESSIONALS, HOSPITAL ADMINISTRATION, AND OTHER HOSPITAL STAFF MEMBERS. INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH 26 COMMUNITY LEADER INTERVIEWS WHICH TOOK PLACE IN MARCH 2021. THESE INDIVIDUALS WERE IDENTIFIED AS PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY. INTERVIEWERS FOLLOWED THE SAME PROCESS FOR EACH INTERVIEW. THE COMPLETE LIST OF INTERVIEW QUESTIONS AND RESPONSES CAN BE FOUND IN APPENDIX D AND E OF THE CHNA. FOLLOWING THE COMPLETION OF THE COMMUNITY LEADER INTERVIEWS, THE HOSPITAL SOUGHT ADDITIONAL INPUT FROM PUBLIC HEALTH EXPERTS REGARDING COVID 19 AND SYSTEMIC RACISM ISSUES. THREE ADDITIONAL PHONE INTERVIEWS WERE CONDUCTED WITH PREVIOUSLY INTERVIEWED PUBLIC HEALTH EXPERTS FROM JULY 20, 2020 THROUGH JULY 28, 2020. INTERVIEWERS FOLLOWED THE SAME PROCESS FOR EACH INTERVIEW. THE COMPLETE LIST OF INTERVIEW QUESTIONS AND RESPONSES CAN BE FOUND IN APPENDIX E OF THE CHNA. GROUP C-FACILITY 11 -- CLEVELAND CLINIC TRADITION HOSPITAL PART V, SECTION B, LINE 6A: CLEVELAND CLINIC TRADITION HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: CLEVELAND CLINIC MARTIN NORTH HOSPITAL AND CLEVELAND CLINIC MARTIN SOUTH HOSPITAL. GROUP C-FACILITY 11 -- CLEVELAND CLINIC TRADITION HOSPITAL PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING: COVID-19; ACCESS TO CARE; HEALTH EQUITY & SOCIAL DETERMINANTS OF HEALTH; CHRONIC DISEASE PREVENTION & MANAGEMENT; BEHAVIORAL HEALTH; MATERNAL& CHILD HEALTH; AND MEDICAL RESEARCH & HEALTH PROFESSIONS EDUCATION. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP C-FACILITY 11 -- CLEVELAND CLINIC TRADITION HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL ASSISTANCE CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME GROUP C-FACILITY 11 -- CLEVELAND CLINIC TRADITION HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING CLEVELAND CLINIC TRADITION HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP C-FACILITY 11 -- CLEVELAND CLINIC TRADITION HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING CLEVELAND CLINIC TRADITION HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP C-FACILITY 11 -- CLEVELAND CLINIC TRADITION HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO THE ITEMS LISTED IN 20A-D; CLEVELAND CLINIC TRADITION HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP C-FACILITY 19 -- CLEVELAND CLINIC MARTIN SOUTH HOSPITAL PART V, SECTION B, LINE 5: PRIMARY DATA SOURCES UTILIZED FOR THE CHNA ARE LISTED IN APPENDIX C OF THE CHNA. INFORMATION WAS GATHERED BY CONDUCTING INTERVIEWS WITH INDIVIDUALS REPRESENTING COMMUNITY HEALTH AND PUBLIC SERVICE ORGANIZATIONS, MEDICAL PROFESSIONALS, HOSPITAL ADMINISTRATION, AND OTHER HOSPITAL STAFF MEMBERS. INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH 26 COMMUNITY LEADER INTERVIEWS WHICH TOOK PLACE IN MARCH 2021. THESE INDIVIDUALS WERE IDENTIFIED AS PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY. INTERVIEWERS FOLLOWED THE SAME PROCESS FOR EACH INTERVIEW. THE COMPLETE LIST OF INTERVIEW QUESTIONS AND RESPONSES CAN BE FOUND IN APPENDIX D AND E OF THE CHNA. FOLLOWING THE COMPLETION OF THE COMMUNITY LEADER INTERVIEWS, THE HOSPITAL SOUGHT ADDITIONAL INPUT FROM PUBLIC HEALTH EXPERTS REGARDING COVID 19 AND SYSTEMIC RACISM ISSUES. THREE ADDITIONAL PHONE INTERVIEWS WERE CONDUCTED WITH PREVIOUSLY INTERVIEWED PUBLIC HEALTH EXPERTS FROM JULY 20, 2020 THROUGH JULY 28, 2020. INTERVIEWERS FOLLOWED THE SAME PROCESS FOR EACH INTERVIEW. THE COMPLETE LIST OF INTERVIEW QUESTIONS AND RESPONSES CAN BE FOUND IN APPENDIX E OF THE CHNA. GROUP C-FACILITY 19 -- CLEVELAND CLINIC MARTIN SOUTH HOSPITAL PART V, SECTION B, LINE 6A: CLEVELAND CLINIC MARTIN SOUTH HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: CLEVELAND CLINIC MARTIN NORTH HOSPITAL AND CLEVELAND CLINIC TRADITION HOSPITAL. GROUP C-FACILITY 19 -- CLEVELAND CLINIC MARTIN SOUTH HOSPITAL PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING: COVID-19; ACCESS TO CARE; HEALTH EQUITY & SOCIAL DETERMINANTS OF HEALTH; CHRONIC DISEASE PREVENTION & MANAGEMENT; BEHAVIORAL HEALTH; MATERNAL& CHILD HEALTH; AND MEDICAL RESEARCH & HEALTH PROFESSIONS EDUCATION. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP C-FACILITY 19 -- CLEVELAND CLINIC MARTIN SOUTH HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL ASSISTANCE CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME GROUP C-FACILITY 19 -- CLEVELAND CLINIC MARTIN SOUTH HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING CLEVELAND CLINIC MARTIN SOUTH HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP C-FACILITY 19 -- CLEVELAND CLINIC MARTIN SOUTH HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING CLEVELAND CLINIC MARTIN SOUTH HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP C-FACILITY 19 -- CLEVELAND CLINIC MARTIN SOUTH HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO THE ITEMS LISTED IN 20A-D; CLEVELAND CLINIC MARTIN SOUTH HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. PART V, SECTION B, LINES 7A, 10A, 16A-16C THE URL LINK TO VIEW THE CHNA, IMPLEMENTATION STRATEGY, FAP, FAP APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE FOUND ON THESE RESPECTIVE DIRECT URLS:HTTPS://MY.CLEVELANDCLINIC.ORG/ABOUT/COMMUNITY/REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORTS#2021-CHNAS-TABHTTPS://MY.CLEVELANDCLINIC.ORG/ABOUT/COMMUNITY/REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORTS#OVERVIEW-TABHTTPS://MY.CLEVELANDCLINIC.ORG/PATIENTS/BILLING-FINANCE/FINANCIAL-ASSISTANCE PART V, SECTION B, LINES 7A, 10A, 16A-16C THE URL LINK TO VIEW THE CHNA AND IMPLEMENTATION STRATEGY FOR MERCY HOSPITAL CAN BE VIEWED AT THIS DIRECT URL:HTTPS://MY.CLEVELANDCLINIC.ORG/-/SCASSETS/FILES/ORG/LOCATIONS/MERCY-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CHNA-IMPLEMENTATION-STRATEGY-2020.PDF?LA=EN PART V, SECTION B, LINE 2 MERCY HOSPITAL: EFFECTIVE FEBRUARY 2021, THE CLINIC BECAME THE SOLE MEMBER OF MERCY MEDICAL CENTER (MERCY) PURSUANT TO THE TERMS OF A MEMBER SUBSTITUTION AGREEMENT WITH THE SISTERS OF CHARITY OF ST. AUGUSTINE HEALTH SYSTEM, THE PRIOR SOLE MEMBER OF MERCY. MERCY IS A 337-STAFFED BED HOSPITAL SERVING STARK, CARROLL, WAYNE, HOLMES, AND TUSCARAWAS COUNTIES AND PARTS OF SOUTHEASTERN OHIO. PART V, SECTION B, LINE 5 MERCY HOSPITAL: MERCY MEDICAL CENTER'S CHNA WAS DEVELOPED USING AND REVIEWING THE DATA GATHERED BY THE STARK COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE WHICH IS A COLLABORATIVE COMMUNITY EFFORT. THE STARK COUNTY COMMUNITY HEALTH ASSESSMENT PROCESS IS A COLLABORATION OF LOCAL PUBLIC HEALTH, HOSPITALS AND HEALTH CARE ORGANIZATIONS, SOCIAL SERVICES AGENCIES, NON PROFIT ORGANIZATIONS AND COMMUNITY VOLUNTEERS WHO MEET REGULARLY TO IDENTIFY COMMUNITY NEEDS AND DEVELOP A PLAN TO ADDRESS THOSE NEEDS. THE PROCESS IS AN ONGOING CYCLE WHICH INCLUDES: BUILDING PARTNERSHIPS; COORDINATING A CONSORTIUM; ASSESSING DATA, COMMUNITY NEEDS, AND CAPACITY; AND CONDUCTING LANNING; PRIORITIZATION, INTERVENTIONS, IMPLEMENTATION AND EVALUATION. PART V, SECTION B, LINE 6A MERCY HOSPITAL: MERCY MEDICAL CENTER WORKED WITH TWO OTHER NOT-FOR-PROFIT COUNTY HOSPITALS, AULTMAN HOSPITAL AND AULTMAN ALLIANCE COMMUNITY HOSPITAL WHO WERE PART OF THE STARK COUNTY COMMUNITY HEALTH ASSESSMENT ADVISORY COMMITTEE. PART V, SECTION B, LINE 6B MERCY HOSPITAL: THE STARK COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY COMMITTEE IS MADE UP OF A VARIETY OF HEALTH AND SOCIAL SERVICES AGENCIES AND VOLUNTEERS IN THE COMMUNITY. THE FOLLOWING AGENCIES HAVE BEEN INVOLVED IN THE CHNA PROCESS: ACCESS HEALTH STARK COUNTY; ALLIANCE COMMUNITY HOSPITAL; ALLIANCE CITY HEALTH DEPARTMENT; ALLIANCE FAMILY HEALTH CENTER; AULTMAN HEALTH FOUNDATION; AULTMAN HOSPITAL, AULTMAN ALLIANCE COMMUNITY HOSPITAL, BEACON PHARMACY, CANTON CITY HEALTH DEPARTMENT; COMMQUEST, LIFECARE FAMILY HEALTH AND DENTAL CENTER (LIFECARE), MASSILLON CITY HEALTH DEPARTMENT; MERCY MEDICAL CENTER; MY COMMUNITY HEALTH CENTER (MCHC); OSU EXTENSION; PARAMOUNT ADVANTAGE; PEGASUS FARM; SISTERS OF CHARITY FOUNDATION OF CANTON; STARTFRESH; STARK COUNTY COMMUNITY ACTION AGENCY (SCCAA); STARK COUNTY FAMLY COUNCIL; STARK COUNTY HEALTH DEPARTMENT (SCHD); STARK COUNTY JOB AND FAMILY SERVICES (SCHFS); STARK COUNTY MENTAL HEALTH & ADDICTION RECOVERY (STARKMHAR); STARK COUNTY TREATMENT ACCOUNTABILITY FOR SAFER COMMUNITIES AGENCY (TASC); STARK PARKS; AND UNITED WATER OF GREATER STARK COUNTY. PART V, SECTION B, LINE 11 MERCY HOSPITAL: DURING THE CHNA, THE FOLLOWING HEALTH NEEDS WERE IDENTIFIED FROM A COMMUNITY PERSPECTIVE AND INCORPORATED INTO MERCY'S IMPLEMENTATION PLAN, AND ARE LISTED BELOW: ACCESS TO HEALTHCARE AND DENTAL CARE AND SERVING UNINSURED AND UNDERINSURED PATIENTS, ADDRESSING HEROIN AND OPIATE USE, ADDRESSING INFANTY MORTALITY, MENTAL HEALTH SERVICES AND SUICIDE PREVENTION, OBESITY AND HEALTHY LIFESTYLE CHOICES. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. PART V, SECTION B, LINE 13B MERCY HOSPITAL: THE INCOME LEVELS FOR FINANCIAL ASSISTANCE AND DISCOUNTED CARE ARE BASED ON THE FOLLOWING TABLES:AT OR BELOW 100% OF POVERTY LEVEL; 100% DISCOUNT101% TO 200% OF POVERTY LEVEL; 100% DISCOUNT201% TO 250% OF POVERTY LEVEL; 50% DISCOUNT 255 1 - CLEVELAND CLINIC FLORIDA 2950 CLEVELAND CLINIC BLVD WESTON FL 33331 FAMILY HEALTH CENTER 2 - WESTON FAMILY HEALTH CENTER 1825 N CORPORATE LAKES BLVD WESTON FL 33326 FAMILY HEALTH CENTER 3 - TWINSBURG FAMILY HEALTH & SURGERY CENTER 8701 DARROW ROAD TWINSBURG OH 44087 FAMILY HEALTH CENTER 4 - STRONGSVILLE FAMILY HEALTH & SURGERY CENTE 16761 SOUTH PARK CENTER STRONGSVILLE OH 44136 FAMILY HEALTH CENTER 5 - BEACHWOOD FAMILY HEALTH & SURGERY CENTER 26900 CEDAR ROAD BEACHWOOD OH 44122 FAMILY HEALTH CENTER 6 - RICHARD E JACOBS HEALTH CENTER 33100 CLEVELAND CLINIC BOULEVARD AVON OH 44011 FAMILY HEALTH CENTER 7 - CLEVELAND CLINIC HOME CARE SERVICES 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 HOME CARE SERVICES 8 - INDEPENDENCE FAMILY HEALTH CENTER 5001 ROCKSIDE RD CROWN CENTRE II INDEPENDENCE OH 44131 FAMILY HEALTH CENTER 9 - MARTIN HEALTH AT ST LUCIE WEST 1095 NW ST LUCIE WEST BOULEVARD PORT ST LUCIE FL 34986 FAMILY HEALTH CENTER 10 - WILLOUGHBY HILLS FAMILY HEALTH CENTER 2550 2570 SOM CENTER ROAD WILLOUGHBY HILLS OH 44094 FAMILY HEALTH CENTER 11 - LORAIN FAMILY HEALTH & SURGERY CENTER 5700 COOPER FOSTER PARK ROAD LORAIN OH 44053 FAMILY HEALTH CENTER 12 - CLEVELAND CLINIC CANCER CENTERS 417 QUARRY LAKES DRIVE SANDUSKY OH 44870 OUTPATIENT PHYSICIAN CLINIC 13 - AKRON GENERAL HEALTH & WELLNESS CENTER - W 4125 MEDINA ROAD AKRON OH 44333 FAMILY HEALTH CENTER 14 - WOOSTER FAMILY HEALTH CENTER 1740 CLEVELAND ROAD WOOSTER OH 44691 FAMILY HEALTH CENTER 15 - HILLCREST MEDICAL OFFICE I & II 6803 MAYFIELD ROAD MAYFIELD HEIGHTS OH 44124 OUTPATIENT PHYSICIAN CLINIC 16 - AKRON GENERAL HEALTH & WELLNESS CENTER- GR 1940 TOWN PARK BLVD UNIONTOWN OH 44685 FAMILY HEALTH CENTER 17 - AKRON GENERAL HEALTH & WELLNESS CENTER 4300 ALLEN ROAD STOW OH 44224 FAMILY HEALTH CENTER 18 - BRUNSWICK FAMILY HEALTH CENTER 3574 CENTER ROAD BRUNSWICK OH 44212 FAMILY HEALTH CENTER 19 - WESTLAKE MEDICAL CAMPUS A 850 COLUMBIA ROAD WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC & DIAGNOSTIC CTR 20 - LAKEWOOD FAMILY HEALTH CENTER 14601 DETROIT AVENUE LAKEWOOD OH 44107 FAMILY HEALTH CENTER 21 - AKRON GENERAL PHYSICIAN OFFICE 224 W EXCHANGE STREET AKRON OH 44307 OUTPATIENT PHYSICIAN CLINIC 22 - CLEVELAND CLINIC CANCER CENTERS 1125 ASPIRA COURT MANSFIELD OH 44906 OUTPATIENT PHYSICIAN CLINIC 23 - SOLON FAMILY HEALTH CENTER 29800 BAINBRIDGE ROAD SOLON OH 44139 FAMILY HEALTH CENTER 24 - ELYRIA FAMILY HEALTH & SURGERY CENTER 303 CHESTNUT COMMONS DRIVE ELYRIA OH 44035 FAMILY HEALTH CENTER 25 - CORAL SPRINGS FAMILY HEALTH CENTER 5701 NORTH UNIVERSITY DRIVE CORAL SPRINGS FL 33067 FAMILY HEALTH CENTER 26 - MENTOR MEDICAL OFFICE 7060 WAYSIDE DRIVE MENTOR OH 44060 OUTPATIENT PHYSICIAN CLINIC 27 - TOMSICH HEALTH AND MEDICAL CENTER OF PALM 525 OKEECHOBEE BOULEVARD CITY PLACE TOWER WEST PALM BEACH FL 33401 FAMILY HEALTH CENTER 28 - FAIRVIEW HOSPITAL MEDICAL OFFICE 24700 LORAIN AVENUE NORTH OLMSTED OH 44070 OUTPATIENT PHYSICIAN CLINIC 29 - MERCY HEALTH CENTER - NORTH CANTON 6200 WHIPPLE AVENUE NW CANTON OH 44720 OUTPATIENT PHYSICIAN CLINIC 30 - MERCY HEALTH CENTER - JACKSON 7337 CARITAS CIRCLE NW MASSILLON OH 44646 OUTPATIENT PHYSICIAN CLINIC 31 - NORTH OHIO GASTROENTEROLOGY 30701 CLEMENS ROAD WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 32 - CHAGRIN FALLS FAMILY HEALTH CENTER 551 EAST WASHINGTON STREET CHAGRIN FALLS OH 44022 FAMILY HEALTH CENTER 33 - MARYMOUNT MEDICAL CENTER 2001 E ROYALTON ROAD BROADVIEW HTS OH 44147 OUTPATIENT PHYSICIAN CLINIC 34 - VERO RADIOLOGY ASSOCIATES 3725 11TH CIRCLE VERO BEACH FL 32960 DIAGNOSTIC CENTER 35 - SHEFFIELD FAMILY HEALTH CENTER 5334 MEADOW LANE CT SHEFFIELD VILLAGE OH 44035 FAMILY HEALTH CENTER 36 - MERCY MEDICAL CENTER HOME CARE AND HOSPICE 4215 WHIPPLE AVENUE NW CANTON OH 44718 OUTPATIENT PHYSICIAN CLINIC 37 - LANDERBROOK OFFICE AND ENDOSCOPY CENTER 5900 LANDERBROOK DRIVE MAYFIELD HEIGHTS OH 44124 OUTPATIENT PHYSICIAN CLINIC 38 - MERCY MEDICAL OFFICE BUILDING 1330 MERCY DRIVE NW CANTON OH 44708 OUTPAIENT PHYSICIAN CLINIC 39 - SUMMIT GASTROENTEROLOGY ASSOCIATES 3939 S CLEVELAND MASSILLON ROAD BARBERTON OH 44203 OUTPATIENT PHYSICIAN CLINIC 40 - CLEVELAND CLINIC SUMMIT OPHTHALMOLOGY 1 PARK WEST BOULEVARD STE 150 AKRON OH 44320 OUTPATIENT PHYSICIAN CLINIC 41 - MERCY HEALTH CENTER - CARROLL COUNTY 125 CANTON ROAD NW CARROLLTON OH 44615 OUTPATIENT PHYSICIAN CLINIC 42 - AVON POINTE FAMILY HEALTH CENTER 36901 AMERICAN WAY AVON OH 44011 FAMILY HEALTH CENTER 43 - CONCORD MEDICAL OUTPATIENT CENTER 7519 FREDLE DRIVE CONCORD OH 44077 OUTPATIENT PHYSICIAN CLINIC 44 - MERCY HEALTH CENTER - MASSILLON 2935 LINCOLN WAY NW MASSILLON OH 44647 OUTPATIENT PHYSICIAN CLINIC 45 - SKILLED NURSING SOUTH 6011 SE TOWER ROAD STUART FL 34997 HOME CARE SERVICES 46 - CLEVELAND CLINIC ADMINISTRATIVE CAMPUS 3275 SCIENCE PARK DRIVE BLDG 5 BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 47 - MERCY HEALTH CENTER - TUSCARAWAS 1039 WEST HIGH AVENUE NEW PHILADELPHIA OH 44663 OUTPATIENT PHYSICIAN CLINIC 48 - AMHERST FAMILY HEALTH CENTER 5172 LEAVITT ROAD LORAIN OH 44053 FAMILY HEALTH CENTER 49 - CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN 888 WEST BONNEVILLE AVENUE LAS VEGAS NV 89106 OUTPATIENT PHYSICIAN CLINIC 50 - AVON LAKE FAMILY HEALTH CENTER 450 AVON BELDEN ROAD AVON LAKE OH 44012 FAMILY HEALTH CENTER 51 - SMITHFIELD PLAZA 2157-2221 SE OCEAN BOULEVARD STUART FL 34996 OUTPATIENT PHYSICIAN CLINIC 52 - STEPHANIE TUBBS JONES HEALTH CENTER 13944 EUCLID AVENUE EAST CLEVELAND OH 44112 FAMILY HEALTH CENTER 53 - COLUMBUS STAR IMAGING 921 JASONWAY AVENUE COLUMBUS OH 43214 DIAGNOSTIC CENTER 54 - SOUTHSIDE MEDICAL BUILDING 5595 TRANSPORTATION BOULEVARD GARFIELD HEIGHTS OH 44125 OUTPATIENT PHYSICIAN CLINIC 55 - TRADITION HEALTHPARK I 10000 SW INNOVATION WAY PORT ST LUCIE FL 34987 OUTPATIENT PHYSICIAN CLINIC 56 - MERCY HEALTH CENTER - PLAIN 2638 EASTON STREET NE CANTON OH 44721 OUTPATIENT PHYSICIAN CLINIC 57 - PALM BEACH GARDENS 4520 DONALD ROSS ROAD STE 200 PALM BEACH GARDENS FL 33418 OUTPATIENT PHYSICIAN CLINIC 58 - MIDDLEBURG HEIGHTS ORTHOPAEDICS 7010 ENGLE ROAD STE 105 MIDDLEBURG HEIGHTS OH 44130 OUTPATIENT PHYSICIAN CLINIC 59 - AKRON GENERAL TALLMADGE HEALTH CENTER 33 NORTH AVENUE TALLMADGE OH 44278 OUTPATIENT PHYSICIAN CLINIC 60 - MARTIN HEALTH AT HOBE SOUND 11600 SE FEDERAL HIGHWAY HOBE SOUND FL 33455 OUTPATIENT PHYSICIAN CLINIC 61 - COMMUNITY PEDIATRICS 8254 MAYFIELD ROAD CHESTERLAND OH 44026 OUTPATIENT PHYSICIAN CLINIC 62 - MADISON MEDICAL OFFICE 2999 MCMACKIN ROAD MADISON OH 44057 OUTPATIENT PHYSICIAN CLINIC 63 - NILES STAR IMAGING 650 YOUNGSTOWN-WARREN ROAD NILES OH 44446 DIAGNOSTIC CENTER 64 - CLEVELAND CLINIC FLORIDA WELLINGTON 2789 S STATE RD 7 STE 100/200 WELLINGTON FL 33414 OUTPATIENT PHYSICIAN CLINIC 65 - MENTOR REHABILITATION AND SPORTS THERAPY 7533 CENTER STREET MENTOR OH 44060 OUTPATIENT PHYSICIAN CLINIC 66 - OLMSTED TOWNSHIP PRIMARY CARE 27089 BAGLEY ROAD OLMSTED TOWNSHIP OH 44138 OUTPATIENT PHYSICIAN CLINIC 67 - PARKLAND 7857 N UNIVERSITY DRIVE STE 401 PARKLAND FL 33067 OUTPATIENT PHYSICIAN CLINIC 68 - MARYMOUNT REHABILITATION AND SPORTS THERAP 2525 EAST ROYALTON ROAD BROADVIEW HEIGHTS OH 44147 OUTPATIENT PHYSICIAN CLINIC 69 - CLEVELAND CLINIC COLE EYE OF STREETSBORO ( 9424 STATE ROUTE 14 STREETSBORO OH 44241 OUTPATIENT PHYSICIAN CLINIC 70 - CLEVELAND CLINIC STAR IMAGING 1449 BOARDMAN-CANFIELD ROAD YOUNGSTOWN OH 44512 DIAGNOSTIC CENTER 71 - FAIRVIEW HOSPITAL WELLNESS CENTER 3035 WOOSTER ROAD ROCKY RIVER OH 44116 OUTPATIENT PHYSICIAN CLINIC 72 - UNION HOSPITAL TUSCARAWAS AMBULATORY SURGE 320 OXFORD STREET DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 73 - MERCY HEALTH CENTER OF LAKE 1025 LAKE CENTER STREET NW UNIONTOWN OH 44685 OUTPATIENT PHYSICIAN CLINIC 74 - OHIO RENAL CARE CLEVELAND EAST 2429 MARTIN LUTHER KING JR DR CLEVELAND OH 44104 DIALYSIS CENTER 75 - CLEVELAND CLINIC CHILDRENS STOW 3925 DARROW ROAD STOW OH 44224 OUTPATIENT PHYSICIAN CLINIC 76 - NEW FAMILY PHYSICIANS LYNDHURST 5187 MAYFIELD ROAD LYNDHURST OH 44124 OUTPATIENT PHYSICIAN CLINIC 77 - SUMMIT OPHTHALMOLOGY 1587 BOETTLER ROAD UNIONTOWN OH 44685 OUTPATIENT PHYSICIAN CLINIC 78 - CLEVELAND CLINIC FAMILY MEDICINE 19300 DETROIT AVENUE ROCKY RIVER OH 44116 OUTPATIENT PHYSICIAN CLINIC 79 - MACEDONIA EXPRESS AND OUTPATIENT CARE 8210 MACEDONIA COMMONS BOULEVARD MACEDONIA OH 44056 OUTPATIENT PHYSICIAN CLINIC 80 - SOUTH RUSSELL FAMILY PRACTICE 5192 CHILLICOTHE ROAD SOUTH RUSSELL OH 44022 OUTPATIENT PHYSICIAN CLINIC 81 - OHIO RENAL CARE GROUP WEST 14670 SNOW ROAD BROOKPARK OH 44142 DIALYSIS CENTER 82 - EAST OHIO ORTHOPAEDICS 515 UNION AVENUE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 83 - ASHLAND OPHTHALMOLOGYSUGARBUSH EYE AND LA 21 SUGARBUSH COURT ASHLAND OH 44805 OUTPATIENT PHYSICIAN CLINIC 84 - BAINBRIDGE URGENT CARE 17747 CHILLICOTHE ROAD STE 100 BAINBRIDGE OH 44023 OUTPATIENT PHYSICIAN CLINIC 85 - MERCY HEALTH CENTER OF LOUISVILLE 13030 CALIFORNIA AVENUE LOUISVILLE OH 44641 OUTPATIENT PHYSICIAN CLINIC 86 - GEMINI RECREATION CENTER 21225 LORAIN ROAD FAIRVIEW PARK OH 44126 OUTPATIENT PHYSICIAN CLINIC 87 - BROOKPARK COMPREHENSIVE FAMILY CARE 14401 SNOW ROAD BROOKPARK OH 44142 OUTPATIENT PHYSICIAN CLINIC 88 - SEBASTIAN MEDICAL SUITES 801 WELLNESS WAY SEBASTIAN FL 32958 OUTPATIENT PHYSICIAN CLINIC 89 - BRECKSVILLE EXPRESS CARE 8805 BRECKSVILLE ROAD BRECKSVILLE OH 44141 OUTPATIENT PHYSICIAN CLINIC 90 - SOUTH POINTE HOSPITAL MEDICAL OFFICE 20050 HARVARD ROAD WARRENSVILLE HEIGHTS OH 44122 OUTPATIENT PHYSICIAN CLINIC 91 - OHIO RENAL CARE GROUP WESTLAKE 26024 DETROIT AVENUE WESTLAKE OH 44145 DIALYSIS CENTER 92 - UNION MEDICAL OFFICE 3 400 MEDICAL PARK DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 93 - WADSWORTH PRIMARY CARE ONE PARK CENTER DRIVE WADSWORTH OH 44281 OUTPATIENT PHYSICIAN CLINIC 94 - CANFIELD ORTHOPAEDICS AND REHABILITATION 3736 BOARDMAN CANFIELD ROAD CANFIELD OH 44406 OUTPATIENT PHYSICIAN CLINIC 95 - EUCLID MEDICAL OFFICE 99 NORTHLINE CIRCLE EUCLID OH 44119 OUTPATIENT PHYSICIAN CLINIC 96 - SLEEP DISORDERS CENTER 3122 EASTPOINTE DRIVE MEDINA OH 44256 DIAGNOSTIC CENTER 97 - MAYFIELD VILLAGE PEDIATRICS 6559 WILSON MILLS RD STE101-D MAYFIELD VILLAGE OH 44143 OUTPATIENT PHYSICIAN CLINIC 98 - DAYTON STAR IMAGING 5529 FAR HILLS AVENUE DAYTON OH 45429 DIAGNOSTIC CENTER 99 - CLEVELAND CLINIC LYNDHURST CAMPUS 1950 RICHMOND ROAD LYNDHURST OH 44124 OUTPATIENT PHYSICIAN CLINIC 100 - AKRON GENERAL EXPRESS CARE CLINIC 4494 STATE ROUTE 43 KENT OH 44240 OUTPATIENT PHYSICIAN CLINIC 101 - UNION PHYSICIAN SERVICES CENTRAL 205 HOSPITAL DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 102 - OHIO RENAL CARE GROUP HERITAGE 1160 E BROAD ST ELYRIA OH 44035 DIALYSIS CENTER 103 - CLEVELAND CLINIC URGENT CARE ROCKY RIVER 19895 DETROIT ROAD ROCKY RIVER OH 44116 OUTPATIENT PHYSICIAN CLINIC 104 - CLEVELAND CLINIC CHILDREN'S CENTER FOR AUT 21016 HILLIARD BOULEVARD ROCKY RIVER OH 44116 OUTPATIENT PHYSICIAN CLINIC 105 - RIDGE PARK OBSTETRICS AND GYNECOLOGY 7575 NORTHCLIFF AVENUE 302 BROOKLYN OH 44144 OUTPATIENT PHYSICIAN CLINIC 106 - NORTH RIDGEVILLE MEDICAL OFFICE 35105 CENTER RIDGE ROAD NORTH RIDGEVILLE OH 44039 OUTPATIENT PHYSICIAN CLINIC 107 - MERCY HEALTH CENTER OF ALLIANCE 149 EAST SIMPSON STREET ALLIANCE OH 44601 OUTPATIENT PHYSICIAN CLINIC 108 - OHIO RENAL CARE GROUP LTAC ACUTEWHITE PO 690 WHITE POND DR AKRON OH 44320 DIALYSIS CENTER 109 - COMMUNITY PEDIATRICS 2001 CROCKER ROAD WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 110 - NEWCOMERSTOWN UNION PHYSICIAN SERVICES 60881 COUNTY ROAD 9 1 NEWCOMERSTOWN OH 43832 OUTPATIENT PHYSICIAN CLINIC 111 - TWINSBURG MEDICAL OFFICE 2365 EDISON BOULEVARD TWINSBURG OH 44087 OUTPATIENT PHYSICIAN CLINIC 112 - CHARDON REHABILITATION AND SPORTS THERAPY 325 CENTER STREET CHARDON OH 44024 OUTPATIENT PHYSICIAN CLINIC 113 - OHIO RENAL CARE GROUP AMHERST 100 COPPER FOSTER PARK RD AMHERST OH 44001 DIALYSIS CENTER 114 - UNION HOSPITAL FIRSTCARE URGENT CARE CENTE 110 DUBLIN DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 115 - VALLEY CITY FAMILY MEDICINE 6605 CENTER ROAD VALLEY CITY OH 44280 OUTPATIENT PHYSICIAN CLINIC 116 - OHIO RENAL CARE GROUP GARFIELD HEIGHTS HO 9729 GRANGER RD GARFIELD HTS OH 44125 DIALYSIS CENTER 117 - OHIO RENAL CARE GROUP FARNSWORTH 3280 W 25TH ST CLEVELAND OH 44109 DIALYSIS CENTER 118 - OHIO RENAL CARE GROUP EUCLID 26450 EUCLID AVENUE EUCLID OH 44132 DIALYSIS CENTER 119 - MERCY PRIMARY CARE PORTAGE 1413 PORTAGE STREET NW CANTON OH 44720 OUTPATIENT PHYSICIAN CLINIC 120 - AKRON GENERAL REHABILITATION AND SPORTS TH 585 WHITE POND DRIVE AKRON OH 44320 OUTPATIENT REHABILITATION 121 - OHIO RENAL CARE GROUP OHIO ACUTES 2500 METROHEALTH DRIVE CLEVELAND OH 44109 DIALYSIS CENTER 122 - SEVERANCE MEDICAL ARTS 5 SEVERANCE CIRCLE CLEVELAND HEIGHTS OH 44118 OUTPATIENT PHYSICIAN CLINIC 123 - DOWNTOWN EXPRESS CARE 315 EUCLID AVENUE STE 2 CLEVELAND OH 44114 OUTPATIENT PHYSICIAN CLINIC 124 - OHIO RENAL CARE GROUP MENTOR 8840 TYLER BLVD MENTOR OH 44060 DIALYSIS CENTER 125 - OHIO RENAL CARE GROUP SOLON 6020 ENTERPRISE PARKWAY SOLON OH 44139 DIALYSIS CENTER 126 - STARK MEDICAL SPECIALTIES MASSILLON 323 MARION AVENUE MASSILLON OH 44646 OUTPATIENT PHYSICIAN CLINIC 127 - OHIO RENAL CARE NORTH RANDALL 5035 RICHMOND ROAD BEDFORD HEIGHTS OH 44146 DIALYSIS CENTER 128 - SAGAMORE HILLS MEDICAL OFFICE II 885 WEST AURORA RD SAGAMORE HILLS OH 44067 OUTPATIENT PHYSICIAN CLINIC 129 - UNION HOSPITAL FAMILY MEDICINE 155 GARLAND DRIVE NEW PHIL OH 44663 OUTPATIENT PHYSICIAN CLINIC 130 - MOHICAN EYE CENTER 484 PARK AVENUE WEST MANSFIELD OH 44906 OUTPATIENT PHYSICIAN CLINIC 131 - WESTLAKE PHYSICIANS CENTER 805 COLUMBIA ROAD WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 132 - MADISON REHABILITATION AND SPORTS THERAPY 2622 HUBBARD ROAD MADISON OH 44057 OUTPATIENT PHYSICIAN CLINIC 133 - OHIO RENAL CARE GROUP ELYRIA 5316 HOAG DR SHEFFILED OH 44035 DIALYSIS CENTER 134 - OHIO RENAL CARE GROUP WADSWORTH 1160 WILLIAMS RESERVE BLVD WADSWORTH OH 44281 DIALYSIS CENTER 135 - OHIO RENAL CARE GROUP CUYAHOGA FALLS 320 BROADWAY ST E E CUYAHOGA FALLS OH 44221 DIALYSIS CENTER 136 - EXPRESS CARE 82 WEST STREETSBORO STREET HUDSON OH 44236 OUTPATIENT PHYSICIAN CLINIC 137 - MARYMOUNTCCF PAIN MANAGEMENT CENTER 12000 MCCRACKEN RD GARFIELD HEIGHTS OH 44125 OUTPATIENT PHYSICIAN CLINIC 138 - MEDINA MEDICAL OFFICE 970 E WASHINGTON MEDINA OH 44256 OUTPATIENT PHYSICIAN CLINIC 139 - OHIO RENAL CARE GROUP SOUTHPOINT DIALYSIS 4200 WARRENSVILLE CENTER RD STE 100 WARRENSVILLE HTS OH 44122 DIALYSIS CENTER 140 - OBERLIN OPHTHALMOLOGY 309 WEST LORAIN STREET OBERLIN OH 44074 OUTPATIENT PHYSICIAN CLINIC 141 - MERCY MEDICAL CENTER OF ST PAUL SQUARE 1459 SUPERIOR AVENUE NE CANTON OH 44705 OUTPATIENT PHYSICIAN CLINIC 142 - MERCY PRIMARY CARE BELDEN 4909 MUNSON STREET NW CANTON OH 44718 OUTPATIENT PHYSICIAN CLINIC 143 - CLEVELAND CLINIC EXPRESS CARE 7580 NORTHCLIFF AVENUE BROOKLYN OH 44144 OUTPATIENT PHYSICIAN CLINIC 144 - BELDEN CENTER 4677 FULTON DRIVE NW CANTON OH 44718 OUTPATIENT PHYSICIAN CLINIC 145 - MOHICAN EYE CENTER 637 NORTH UNION STREET LOUDONVILLE OH 44842 OUTPATIENT PHYSICIAN CLINIC 146 - OHIO RENAL CARE GROUP ASHTABULA 2117 LAKE AVENUE ASHTABULA OH 44004 DIALYSIS CENTER 147 - OHIO RENAL CARE GROUP LAKEWOOD 13900 DETROIT RD LAKEWOOD OH 44107 DIALYSIS CENTER 148 - LAKEWOOD MEDICAL BUILDING 1450 BELLE AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 149 - THE LANGSTON HUGHES CENTER CLEVELAND CLINI 2390 E 79TH ST CLEVELAND OH 44104 OUTPATIENT PHYSICIAN CLINIC 150 - THERAPY SERVICES WEST 826 WESTPOINT PKWY STE 1200 WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 151 - ACCESS TO CARE 29000 AURORA ROAD SOLON OH 44139 OUTPATIENT PHYSICIAN CLINIC 152 - ADVANCED CARDIOVASCULAR CONSULTANTS 531 FIFTH AVENUE CHARDON OH 44024 OUTPATIENT PHYSICIAN CLINIC 153 - AGMC PPG CAMERON PRACTICE 551 WABASH AVE NW NEW PHILAD OH 44663 OUTPATIENT PHYSICIAN CLINIC 154 - AGMC PPG STEINBERGER PRACTICE 2708 CRAWFIS BOULEVARD FAIRLAWN OH 44333 OUTPATIENT PHYSICIAN CLINIC 155 - AKRON GENERAL GAMMA KNIFE CENTER 762 S CLEVELAND-MASSILLON RD AKRON OH 44333 OUTPATIENT PHYSICIAN CLINIC 156 - AKRON GENERAL HEALTH CENTER 676 S BROADWAY STREET AKRON OH 44311 OUTPATIENT PHYSICIAN CLINIC 157 - AKRON GENERAL JUSTIN T ROGERS HOSPICE CAR 3358 RIDGEWOOD ROAD AKRON OH 44333 HOSPICE 158 - AKRON GENERAL OBSTETRICS AND GYNECOLOGY 1622 E TURKEYFOOT LAKE ROAD AKRON OH 44312 OUTPATIENT PHYSICIAN CLINIC 159 - AKRON GENERAL OBSTETRICS AND GYNECOLOGY 3634 WEST MARKET STREET FAIRLAWN OH 44333 OUTPATIENT PHYSICIAN CLINIC 160 - AKRON GENERAL ORTHOPEDICS 43 SOUTH MAIN STREET MUNROE FALLS OH 44262 OUTPATIENT PHYSICIAN CLINIC 161 - AKRON GENERAL REHABILITATION AND SPORTS TH 1500 AKRON CANTON RD AKRON OH 44312 OUTPATIENT REHABILITATION 162 - AKRON GENERAL SPINE & PAIN INSTITUTE AND U 2603 W MARKET ST 200-210 AKRON OH 44313 OUTPATIENT PHYSICIAN CLINIC 163 - ALPINE FAMILY MEDICINE 126 1/2 NORTH BROADWAY SUGARCREEK OH 44681 OUTPATIENT PHYSICIAN CLINIC 164 - ASHTABULA COUNTY MEDICAL CENTER 2422 LAKE AVENUE ASHTABULA OH 44004 OUTPATIENT PHYSICIAN CLINIC 165 - BOARDMAN STAR IMAGING 7067 TIFFANY BOULEVARD YOUNGSTOWN OH 44512 DIAGNOSTIC CENTER 166 - BRUNSWICK EMERGENCY CARE 3724 CENTER ROAD BRUNSWICK OH 44212 OUTPATIENT PHYSICIAN CLINIC 167 - CENTER FOR ARTHRITIS 1716 NORTH ROAD SE WARREN OH 44484 OUTPATIENT PHYSICIAN CLINIC 168 - CENTER FOR UROLOGIC HEALTH 320 W EXCHANGE STREET AKRON OH 44302 OUTPATIENT PHYSICIAN CLINIC 169 - CHARDON PLAZA MEDICAL OUTPATIENT CENTER 425 WATER STREET CHARDON OH 44024 OUTPATIENT PHYSICIAN CLINIC 170 - CHARLESTON AREA MEDICAL CENTER 1201 WASHINGTON STREET EAST STE 100 CHARLESTON WV 25301 OUTPATIENT PHYSICIAN CLINIC 171 - CLEVELAND CLINIC DIABETES AND ENDOCRINOLOG 3733 PARK EAST DRIVE STE 105 BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 172 - CLEVELAND CLINIC FAMILY HEALTH CENTER STU 3801 S KANNER HIGHWAY STUART FL 34994 FAMILY HEALTH CENTER 173 - CLEVELAND CLINIC HEALTH & WELLNESS CENTER 3450 11TH COURT VERO BEACH FL 32960 OUTPATIENT PHYSICIAN CLINIC 174 - CLEVELAND CLINIC INDIAN RIVER AMBULATORY S 3650 10TH COURT VERO BEACH FL 32960 OUTPATIENT PHYSICIAN CLINIC 175 - CLEVELAND CLINIC SUPERIOR MEDICAL CARE 1959 COOPER FOSTER PARK ROAD AMHERST OH 44053 DIAGNOSTIC CENTER 176 - COLE EYE INSTITUTE 2000 AUBURN DRIVE STE 100 BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 177 - COLUMBUS STAR IMAGING BEECHER 425 BEECHER ROAD COLUMBUS OH 43230 DIAGNOSTIC CENTER 178 - COMMUNITY MENTAL HEALTH INC 201 HOSPITAL DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 179 - EL CENTRO COMMUNITY CENTER PRIMARY CARE CL 2800 PEARL AVENUE LORAIN OH 44055 OUTPATIENT PHYSICIAN CLINIC 180 - ENCOMPASS HEALTH REHABILITATION 5850 SE COMMUNITY DRIVE STUART FL 34994 OUTPATIENT REHABILITATION 181 - ERADIOLOGY (WESTON TOWN CENTER) 1792 BELL TOWER LANE WESTON FL 33326 DIAGNOSTIC CENTER 182 - FAIRLAWN UROLOGY 2651 W MARKET STREET FAIRLAWN OH 44333 OUTPATIENT PHYSICIAN CLINIC 183 - FIRELANDS PEDIATRIC SUBSPECIALTY CLINIC 1111 HAYES AVE SANDUSKY OH 44870 OUTPATIENT PHYSICIAN CLINIC 184 - FORT LAUDERDALE CONCIERGE MEDICINE 1301 EAST BROWARD BOULEVARD FORT LAUDERDALE FL 33301 OUTPATIENT PHYSICIAN CLINIC 185 - HEALTH SPOT LAKEWOOD HIGH SCHOOL 14100 FRANKLIN BOULEVARD LAKEWOOD OH 44107 HOSPICE 186 - HOSPICE TCIH 1201 SE INDIAN STREET STUART FL 34997 OUTPATIENT PHYSICIAN CLINIC 187 - INDIAN RIVER BEHAVIORAL HEALTH CENTER 1190 37TH STREET VERO BEACH FL 32960 OUTPATIENT PHYSICIAN CLINIC 188 - INDIAN RIVER HEALTH & WELLNESS CENTER 3450 11TH COURT VERO BEACH FL 32960 OUTPATIENT PHYSICIAN CLINIC 189 - INDIAN RIVER PRIMARY CARE SOUTH 4165 9TH STREET SW VERO BEACH FL 32968 OUTPATIENT PHYSICIAN CLINIC 190 - KRUPA CENTER 3250 MERIDIAN PARKWAY WESTON FL 33331 OUTPATIENT PHYSICIAN CLINIC 191 - LAKEWOOD FAMILY MEDICINE - ROCKPORT 11851 DETROIT AVENUE LAKEWOOD OH 44107 DIAGNOSTIC CENTER 192 - LAKEWOOD LAKE POINTE LAB DRAW SITE 15800 DETROIT AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 193 - LAKEWOOD MEDICAL OFFICE 16215 MADISON AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 194 - LAKEWOOD YMCA 16915 DETROIT AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 195 - LAND STUDIO COMMUNITY WELLNESS 1701 WEST 25TH STREET CLEVELAND OH 44113 OUTPATIENT PHYSICIAN CLINIC 196 - LORAIN ORTHOPAEDICS 5800 COOPER FOSTER PARK ROAD LORAIN OH 44053 OUTPATIENT PHYSICIAN CLINIC 197 - LORAIN COUNTY LONG-TERM CARE 1130 TOWER BOULEVARD LORAIN OH 44052 OUTPATIENT PHYSICIAN CLINIC 198 - LUTHERAN HOSPITAL MEDICAL OFFICES 6412 FRANKLIN BOULEVARD CLEVELAND OH 44102 OUTPATIENT PHYSICIAN CLINIC 199 - MARTIN HEALTH AT JENSEN BEACH 3496 NW FEDERAL HIGHWAY JENSEN BEACH FL 34957 OUTPATIENT PHYSICIAN CLINIC 200 - MARTIN HEALTH AT PALM CITY 3066 SW MARTIN DOWNS BOULEVARD PALM CITY FL 34990 OUTPATIENT PHYSICIAN CLINIC 201 - MARTIN HEALTH AT TIFFANY 1651 SE TIFFANY AVENUE PORT ST LUCIE FL 34952 OUTPATIENT PHYSICIAN CLINIC 202 - MARTIN HEALTH MEDICAL OFFICE AND SURGERY C 509 RIVERSIDE DRIVE STUART FL 34994 OUTPATIENT PHYSICIAN CLINIC 203 - MARTIN HEALTH OCCUPATIONAL HEALTH SERVICES 432 SE OSCEOLA STREET STUART FL 34994 OUTPATIENT PHYSICIAN CLINIC 204 - MARTIN HEALTH REHAB & FITNESS CENTER STUA 6001 SE TOWER ROAD STUART FL 34997 OUTPATIENT PHYSICIAN CLINIC 205 - MARTIN HEALTH ROBERT AND CAROL WEISSMAN C 501 SE OSCEOLA STREET STUART FL 34994 DIAGNOSTIC CENTER 206 - MARTIN MAGNETIC IMAGING 625 SE RIVERSIDE DRIVE STUART FL 34994 OUTPATIENT PHYSICIAN CLINIC 207 - MEDICAL OFFICE BUILDING 2 300 MEDICAL PARK DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 208 - MEDICAL OFFICE BUILDING 3 400 MEDICAL PARK DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 209 - MEDICAL OFFICE PAVILION 1946 TOWN PARK BLVD UNIONTOWN OH 44685 OUTPATIENT PHYSICIAN CLINIC 210 - MEDINA COMMUNITY RECREATION CENTER 855 WEYMOUTH ROAD MEDINA OH 44256 OUTPATIENT PHYSICIAN CLINIC 211 - MERCY MEDICAL CENTER PHYSICAL THERAPY 1001 CANTON ROAD CARROLLTON OH 44615 OUTPATIENT PHYSICIAN CLINIC 212 - MERCY PRIMARY CARE AARONWOOD 2859 AARONWOOD AVENUE NE MASSILLON OH 44646 OUTPATIENT PHYSICIAN CLINIC 213 - MONTROSE SLEEP CENTER 4880 S MAIN STREET AKRON OH 44319 OUTPATIENT PHYSICIAN CLINIC 214 - NEW FAMILY PHYSICIANS WILLOUGHBY HILLS 34500 CHARDON ROAD WILLOUGHBY HILLS OH 44094 OUTPATIENT PHYSICIAN CLINIC 215 - NORTH RIDGEVILLE MEDICAL OUTPATIENT CENTER 34960 CENTER RIDGE ROAD NORTH RIDGEVILLE OH 44039 OUTPATIENT PHYSICIAN CLINIC 216 - NORTHEASTERN OHIO MEDICAL SPECIALISTS 470 WHITE POND DRIVE AKRON OH 44320 OUTPATIENT PHYSICIAN CLINIC 217 - OLIVERIO PRACTICE 5225 WOOSTER ROAD W BARBERTON OH 44203 OUTPATIENT PHYSICIAN CLINIC 218 - PARKLAND 7857-7869 NORTH UNIVERSITY DRIVE BUILDING PARKLAND FL 33067 OUTPATIENT PHYSICIAN CLINIC 219 - PARTNERS IN WOMEN'S HEALTH 1050 37TH PLACE VERO BEACH FL 32960 OUTPATIENT PHYSICIAN CLINIC 220 - POINTE WEST MEDICAL OFFICE 1960 POINTE WEST DRIVE VERO BEACH FL 32966 OUTPATIENT PHYSICIAN CLINIC 221 - PREMIER LAB CARE 37121 EUCLID AVENUE WILLOUGHBY OH 44094 OUTPATIENT PHYSICIAN CLINIC 222 - PRIMARY CARE OF TREASURE COAST 1265 36TH STREET VERO BEACH FL 32958 OUTPATIENT PHYSICIAN CLINIC 223 - ROCKSIDE MEDICAL CENTER 6701 ROCKSIDE ROAD INDEPENDENCE OH 44131 OUTPATIENT PHYSICIAN CLINIC 224 - SAGAMORE HILLS MEDICAL CENTER I 863 WEST AURORA ROAD SAGAMORE HILLS OH 44067 OUTPATIENT PHYSICIAN CLINIC 225 - SCULLY WELSH CANCER CENTER 3555 10TH COURT VERO BEACH FL 32960 DIAGNOSTIC CENTER 226 - SLEEP DISORDERS CENTER 24901 COUNTRY CLUB BOULEVARD NORTH OLMSTED OH 44070 DIAGNOSTIC CENTER 227 - SLEEP DISORDERS CENTER 8971 WILCOX DRIVE TWINSBURG OH 44087 DIAGNOSTIC CENTER 228 - SLEEP DISORDERS CENTER 5051 WEST CREEK ROAD INDEPENDENCE OH 44131 OUTPATIENT PHYSICIAN CLINIC 229 - SPINE & PAIN INSTITUTE 307 W MAIN ST C KENT OH 44240 OUTPATIENT PHYSICIAN CLINIC 230 - SPINE & PAIN INSTITUTE 265 WEST MAIN STREET KENT OH 44240 OUTPATIENT PHYSICIAN CLINIC 231 - SPORTS HEALTH CENTER 5555 TRANSPORTATION BOULEVARD GARFIELD HEIGHTS OH 44125 DIAGNOSTIC CENTER 232 - STAR IMAGING DUBLIN 333 W BRIDGE STREET DUBLIN OH 43017 OUTPATIENT PHYSICIAN CLINIC 233 - STOW-FALLS MEDICAL OUTPATIENT CENTER 857 GRAHAM RD STOW OH 44221 OUTPATIENT PHYSICIAN CLINIC 234 - STUART SURGERY CENTER 2096 SE OCEAN BOULEVARD STUART FL 34996 OUTPATIENT PHYSICIAN CLINIC 235 - SUBURBAN HEALTH FAMILY PHYSICIANS 2818 S ARLINGTON ROAD AKRON OH 44312 OUTPATIENT PHYSICIAN CLINIC 236 - SUMMIT MEDICAL 3600 WEST MARKET STREET AKRON OH 44333 OUTPATIENT PHYSICIAN CLINIC 237 - THERAPY SERVICES MEDINA 2498 - 2508 MEDINA ROAD MEDINA OH 44256 OUTPATIENT PHYSICIAN CLINIC 238 - THERAPY SERVICES SOUTH 17800 JEFFERSON PARK DRIVE STE 101 MIDDLEBURG HTS OH 44130 OUTPATIENT PHYSICIAN CLINIC 239 - TUSCARAWAS VALLEY REGIONAL CANCER CENTER 659 BOULEVARD ST DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 240 - UNION HOSPITAL CARDIOLOGY MASSILLON 323 MARION AVENUE MASSILLON OH 44646 OUTPATIENT PHYSICIAN CLINIC 241 - UNION HOSPITAL FAMILY MEDICINE WEST 155 GARLAND DR SW NEW PHILADE OH 44663 OUTPATIENT PHYSICIAN CLINIC 242 - UNION HOSPITAL HEALTHPLEX 500 MEDICAL PARK DR DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 243 - UNION HOSPITAL IMAGING & HOME MEDICAL EQUI 101 HOSPITAL DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 244 - UNION HOSPITAL REGIONAL CANCER CENTER 300 MEDICAL PARK DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 245 - UNION MEDICAL OFFICE 1 200 MEDICAL PARK DR DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 246 - UNION PHYSICIAN SVCS CARE COORDINATION CEN 301 WEST THIRD STREET DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 247 - VERO BEACH CONCIERGE MEDICINE 920 37TH PLACE VERO BEACH FL 32961 OUTPATIENT PHYSICIAN CLINIC 248 - WEST PALM BEACH CONCIERGE 1515 N FLAGLER DRIVE WEST PALM BEACH FL 33401 OUTPATIENT PHYSICIAN CLINIC 249 - WEST PARK LEARNING CENTER 15531 LORAIN AVENUE CLEVELAND OH 44111 OUTPATIENT PHYSICIAN CLINIC 250 - WEST VALLEY MEDICAL 20455 LORAIN ROAD 301 FAIRVIEW PARK OH 44126 OUTPATIENT PHYSICIAN CLINIC 251 - WESTOWN PHYSICIAN CENTER 10654 LORAIN AVENUE CLEVELAND OH 44111 OUTPATIENT PHYSICIAN CLINIC 252 - WILLOUGHBY HILLS BEHAVIORAL HEALTH 2785 SOM CENTER ROAD WILLOUGHBY HILLS OH 44094 OUTPATIENT PHYSICIAN CLINIC 253 - WILLOUGHBY HILLS REHABILITATION AND SPORTS 29017 CHARDON ROAD WILLOUGHBY HILLS OH 44094 OUTPATIENT PHYSICIAN CLINIC 254 - WOOSTER MILLTOWN SPECIALTY & SURGERY CENTE 721 EAST MILLTOWN ROAD WOOSTER OH 44691 OUTPATIENT PHYSICIAN CLINIC 255 - YMCA SOUTH FLORIDA 20201 SADDLE CLUB ROAD WESTON FL 33327 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 3C: CCHS PROVIDES MEDICALLY NECESSARY SERVICES TO ALL PATIENTS, REGARDLESS OF RACE, COLOR, CREED, GENDER OR COUNTRY OF NATIONAL ORIGIN AND WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. THIS POLICY APPLIES TO ALL CCHS FACILITIES, AND THE AMOUNT OF CARE PROVIDED UNDER THE POLICY IS DETERMINED BY NEED AND IS NOT LIMITED OR RATIONED BY BUDGETED AMOUNTS.UNDER THE POLICY, IN GENERAL, CCHS PROVIDES FREE CARE TO INDIVIDUALS WITHOUT INSURANCE WITH INCOMES UP TO 250% OF THE FEDERAL POVERTY LEVEL AND DISCOUNTED CARE UP TO 400% OF THE FEDERAL POVERTY LEVEL. IN ADDITION, THE POLICY CONTAINS ADDITIONAL WAYS TO QUALIFY BASED ON FINANCIAL AND MEDICAL NEED. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM A COST ACCOUNTING SYSTEM. IN OTHER CATEGORIES, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THAT CATEGORY. PART I, LINE 7G: CCHS EMPLOYS ITS PHYSICIANS, THEREFORE THE ASSOCIATED COSTS AND CHARGES RELATING TO THESE PHYSICIAN SERVICES ARE INCLUDED IN ALL RELEVANT CATEGORIES OF PART I. PART I, LN 7 COL(F): THE PROPORTIONATE SHARE OF TOTAL JV EXPENSES AND BAD DEBT EXPENSES ARE FACTORED IN FOR PURPOSES OF CALCULATING THE PERCENTAGES. PART I, LINE 6A SCH H PART I, LINE 6A - AN ANNUAL COMMUNITY BENEFIT REPORT IS PREPARED FOR THE HEALTH SYSTEM AS A WHOLE, WHICH INCLUDES THE PARENT ORGANIZATION AND RELATED AFFILIATES. PART I, LINE 7B THE NET COMMUNITY BENEFIT EXPENSE FIGURE REPORTED FOR UNREIMBURSED MEDICAID IS NET OF CCHS'S HOSPITAL CARE ASSURANCE PROGRAM (HCAP) BENEFIT OF $14,835,632. PART I, LINE 7D NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $1,411,502,590 AS REPORTED ON PART I, LINE 7 DIFFERS FROM THE TOTAL COMMUNITY BENEFIT FOR CLEVELAND CLINIC HEALTH SYSTEM AS REPORTED IN THE SYSTEM'S COMMUNITY BENEFIT REPORT. THE AMOUNT DIFFERS IN THAT THE IRS DOES NOT CONSIDER COMMUNITY BUILDING ACTIVITIES AS REPORTED IN PART II TO BE COMMUNITY BENEFIT WHERE THESE ACTIVITIES ARE INCLUDED IN COMMUNITY BENEFIT PER CHA GUIDELINES. PART I, LINE 2 CLEVELAND CLINIC REHABILITATION AND SELECT FACILITIES HAVE THEIR OWN FINANCIAL ASSISTANCE POLICIES, WHICH COMPLY WITH ALL 501(R) REGULATIONS.EFFECTIVE FEBRUARY 2021, THE CLINIC BECAME THE SOLE MEMBER OF MERCY MEDICAL CENTER (MERCY) PURSUANT TO THE TERMS OF A MEMBER SUBSTITUTION AGREEMENT WITH THE SISTERS OF CHARITY OF ST. AUGUSTINE HEALTH SYSTEM, THE PRIOR SOLE MEMBER OF MERCY. MERCY IS A 337-STAFFED BED HOSPITAL SERVING STARK, CARROLL, WAYNE, HOLMES, AND TUSCARAWAS COUNTIES AND PARTS OF SOUTHEASTERN OHIO. PART I, LINE 7K CLEVELAND CLINIC INCURRED COSTS IN SUPPORT OF ITS INITIAL AND ON-GOING RESPONSE TO THE COVID-19 PANDEMIC. CERTAIN OF THESE COSTS ARE REFLECTED IN THE COMMUNITY BENEFIT AMOUNTS REPORTED ON PART I, LINE 7. SPECIFICALLY, COMMUNITY-BASED CLINICAL SERVICES WERE PROVIDED CONSISTING OF: COVID-19 CLINICS AND SCREENINGS, PUBLIC EDUCATION RELATED TO COVID-19, AND VARIOUS COVID-19 PUBLIC ASSISTANCE PROGRAMS. ADDITIONALLY, CLEVELAND CLINIC INVESTED IN CAPITAL AND EQUIPMENT TO PREPARE FOR THE ANTICIPATED SURGE OF PATIENTS REQUIRING TREATMENT AND HOSPITALIZATION. TO PARTIALLY DEFRAY ITS COVID-19 COSTS, CLEVELAND CLINIC APPLIED FOR AND RECEIVED REIMBURSEMENT OF FUNDS FROM THE FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA). TO THE EXTENT THE COVID-19 COSTS REPORTED AS COMMUNITY BENEFIT EXPENSE WERE REIMBURSED BY FEMA, THE REIMBURSEMENT IS REFLECTED AS DIRECT OFFSETTING REVENUE. OVERALL FOR 2021, $87 MILLION OF COVID-19 EXPENSES ARE REPORTED IN PART I, LINE 7 REPRESENTING $94 MILLION OF COMMUNITY BENEFIT EXPENSE NET OF $7 MILLION OF DIRECT OFFSETTING REVENUE. PART II, COMMUNITY BUILDING ACTIVITIES: CLEVELAND CLINIC ADDRESSES VARIOUS COMMUNITY CONCERNS, INCLUDING HEALTH IMPROVEMENT, POVERTY, WORKFORCE DEVELOPMENT, AND ACCESS TO HEALTH CARE. CLEVELAND CLINIC DEVOTES EMPLOYEE TIME AND TALENT TO PARTICIPATE IN COMMUNITY COLLABORATION BOARDS, HEALTH ADVOCACY PROGRAMS, AND PHYSICAL IMPROVEMENT PROJECTS TO PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. PART III, LINE 2: ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS, NOT INCLUDED IN BAD DEBT EXPENSE. PART III, LINE 4: SEE EXPLANATION OF IMPLICIT PRICE CONCESSIONS IN FOOTNOTE #3 ON PG. 11 OF THE AUDITED FINANCIAL STATEMENTS, WHICH ARE ATTACHED TO THE FORM 990. PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE CALCULATED USING A COST-TO-CHARGE RATIO. PART III, LINE 9B: IT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS OR BEFORE REASONABLE EFFORTS HAVE BEEN MADE TO MAKE SUCH DETERMINATION. IN CERTAIN CASES IT MAY NOT BE EASILY DETERMINED WHETHER OR NOT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE; HOWEVER, IF AFTER COLLECTION PRACTICES HAVE BEGUN IT LATER BECOMES KNOWN THAT A PATIENT QUALIFIES, THE COLLECTION EFFORTS CEASE. ADDITIONALLY, OUR EXTERNAL THIRD PARTY (COLLECTION) AGENCIES ARE TRAINED ON OUR FINANCIAL ASSISTANCE POLICY AND ASSIST A PATIENT IN NEED BY SUPPLYING OUR APPLICATION FOR FINANCIAL ASSISTANCE. PART III, LINES 5, 6, & 7 IN ADDITION TO THE MEDICARE PROGRAMS REFLECTED IN THE COST REPORTS, CCHS INCURS COSTS AND RECEIVES REIMBURSEMENT FOR OTHER MEDICARE ELIGIBLE SERVICES. THE TOTAL REVENUE RECEIVED AND COSTS ASSOCIATED WITH THE ADDITIONAL MEDICARE SERVICES ARE $2,379,695,692 AND $2,844,364,226 RESPECTIVELY. THIS RESULTS IN MEDICARE SHORTFALL OF $464,668,534 WHICH ADDED TO THE SHORTFALL OF $22,187,918 AS REPORTED ON THE COST REPORTS, BRINGS THE TOTAL MEDICARE SHORTFALL TO $486,856,453. PART VI, LINE 2: IN ADDITION TO THE CHNA PROCESS, CCHS, ITS INSTITUTES AND DEPARTMENTS, AND EACH HOSPITAL MAY GATHER, ANALYZE, AND REVIEW RELEVANT HEALTH STATISTICS AND DEMOGRAPHIC DATA FOR THAT PARTICULAR FACILITY'S COMMUNITY. THE DATA IS USED TO EVALUATE POTENTIAL NEW OR REVISED HEALTH SERVICES THAT CCHS MAY PROVIDE TO PARTICULAR GROUPS OF PATIENTS WITHIN THE COMMUNITIES IT SERVES. PART VI, LINE 3: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND THE CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATIONS WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY AND AN INSERT DESCRIBING THE FINANCIAL ASSISTANCE PROGRAM IS INCLUDED WITH BILLING STATEMENTS. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. PART VI, LINE 4: THE COMMUNITY FOR EACH OF THE HOSPITAL FACILITIES IN THE CLEVELAND CLINIC HEALTH SYSTEM IS DEFINED BY BOTH MISSION AND GEOGRAPHY. THE GEOGRAPHIC COMMUNITY IS DEFINED BY THE HOSPITAL FACILITY'S IMMEDIATELY CONTIGUOUS AREAS AS WELL AS THE BROADER SURROUNDING COUNTIES/REGIONS FROM WHICH THE MAJORITY OF DISCHARGED INPATIENTS RESIDE. DEMOGRAPHIC DATA BY ZIP CODE WAS ANALYZED TO ENSURE THAT MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS WHO LIVE IN THE GEOGRAPHIC AREAS FROM WHICH THE HOSPITALS DRAW PATIENTS WERE NOT EXCLUDED FROM THE DEFINED COMMUNITY. ADDITIONALLY, THE COMMUNITY INCLUDES PATIENTS WHO REQUIRE THE EXPERTISE AND SPECIALIZED SERVICES OF THE CLEVELAND CLINIC. THE COMMUNITY FOR MEDICAL RESEARCH AND EDUCATION IS THE PUBLIC AT LARGE. ADDITIONAL DETAIL DESCRIBING THE COMMUNITY THE ORGANIZATION SERVES CAN BE FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. PART VI, LINE 5: ONE OF THE HALLMARKS OF A CHARITABLE ORGANIZATION IS THAT THE ORGANIZATION SERVES A BROAD, INDEFINITE CHARITABLE CLASS. ONE OF THE KEY INDICATORS THAT AN ORGANIZATION SERVES THE BROADER COMMUNITY IS LEADERSHIP BY BOARDS COMPRISED OF INDEPENDENT COMMUNITY LEADERS. CCF AND ITS NORTHEAST OHIO REGIONAL HOSPITAL GOVERNING BOARDS ARE MADE UP OF MEMBERS OF THE COMMUNITY WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF CCF AND ITS SUBORDINATES. TRUSTEES/DIRECTORS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO THE CLEVELAND CLINIC AND THE HEALTH SYSTEM AND ARE NOT COMPENSATED FOR THEIR SERVICES. PART VI, LINE 6: CLEVELAND CLINIC IS THE PARENT ORGANIZATION OF THE HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM CONSISTING OF AN ACADEMIC MEDICAL CENTER, MEDICAL SCHOOL, COMMUNITY HOSPITALS, FAMILY HEALTH CENTERS, VARIOUS ANCILLARY SERVICES, AND A LARGE GROUP OF EMPLOYED PHYSICIANS AND PHYSICIAN RESEARCHERS. PART VI, LINE 7 THE STATE OF OHIO COLLECTS SCHEDULE H DATA, HOWEVER, NO COMMUNITY BENEFIT REPORT IS FILED IN ANY STATE. 1 AKRON COMMUNITY FOUNDATION 990 SE 3RD AVE STE 300 FORT LAUDERDALE FL 33316 341087615 501(C)(3) 10000 0 COMMUNITY SUPPORT AKRON COMMUNITY SERVICE CENTER AND URBAN LEAGUE INC 440 VERNON ODOM BLVD AKRON OH 44307 340714520 501(C)(3) 10300 0 COMMUNITY SUPPORT AKRON ROUNDTABLE PO BOX 1051 CUYAHOGA FALLS OH 44223 341249338 501(C)(3) 10450 0 COMMUNITY SUPPORT ALICE FLAHERTY EXCELLENCE IN NURSING SCHOLARSHIP FUND INC 24179 AMBOUR DR NORTH OLMSTED OH 44070 470974372 501(C)(3) 10000 0 COMMUNITY SUPPORT ALZHEIMERS ASSOCIATION 12200 FAIRHILL RD CLEVELAND OH 44120 133039601 501(C)(3) 20000 0 HEALTHCARE RESEARCH & EDUCATION AMERICAN CANCER SOCIETY 10501 EUCLID AVE CLEVELAND OH 44106 131788491 501(C)(3) 537500 0 HEALTHCARE RESEARCH & EDUCATION AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 182500 0 HEALTHCARE RESEARCH & EDUCATION AMERICAN HOSPITAL ASSOCIATION 155 N WACKER DR STE 400 CHICAGO IL 60606 360726140 501(C)(3) 25000 0 HEALTHCARE RESEARCH & EDUCATION AMERICAN LUNG ASSOCIATION 55 WEST WACKER DRIVE CHICAGO IL 60601 131632524 501(C)(3) 25000 0 HEALTHCARE RESEARCH & EDUCATION AMERICAN NATIONAL RED CROSS 431 18TH ST NW WASHINGTON DC 20006 530196605 501(C)(3) 13000 0 HEALTHCARE RESEARCH & EDUCATION ARTS IN STARK 900 CLEVELAND AVE NW CANTON OH 44702 346609771 501(C)(3) 6500 0 COMMUNITY SUPPORT BIG BROTHERS BIG SISTERS 4610 PROSPECT AVE STE 410 CLEVELAND OH 44103 341039700 501(C)(3) 10000 0 SUPPORT EDUCATIONAL ACTIVITIES BIKUR CHOLIM OF CLEVELAND 1845 S TAYLOR RD CLEVELAND HEIGHTS OH 44118 341809885 501(C)(3) 6000 0 COMMUNITY SUPPORT BIRTHING BEAUTIFUL COMMUNITIES 1416 EAST 105TH ST CLEVELAND OH 44106 474453278 501(C)(3) 15000 0 COMMUNITY SUPPORT BOYS AND GIRLS CLUBS OF CLEVELAND 6114 BROADWAY AVE CLEVELAND OH 44127 341856214 501(C)(3) 15000 0 SUPPORT EDUCATIONAL ACTIVITIES BROWARD EDUCATION FOUNDATION INC 600 SE 3RD 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COMMUNITY SUPPORT CITY OF STOW 1819 GRAHAM RD STOW OH 44224 346002740 501(C)(1) 10000 0 COMMUNITY SUPPORT CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION 18901 LAKESHORE BLVD EUCLID OH 44119 340714593 501(C)(3) 0 120000 ESTIMATED VALUE MEDICAL SUPPLIES HEALTHCARE RESEARCH & EDUCATION CLEVELAND LEADERSHIP CENTER 1375 EAST 9TH ST STE 1100 CLEVELAND OH 44114 341927317 501(C)(4) 7500 0 COMMUNITY SUPPORT CLEVELAND SCHOOL OF SCIENCE & MEDICINE 2075 STOKES BLVD CLEVELAND OH 44106 343740643 501(C)(3) 10000 0 SUPPORT EDUCATIONAL ACTIVITIES COMMUNITY PARTNERSHIP ON AGING 1370 VICTORY DR SOUTH EUCLID OH 44121 341261538 501(C)(3) 6630 0 HEALTHCARE RESEARCH & EDUCATION COMMUNITY WEST FOUNDATION 800 SHARON DR STE C WESTLAKE OH 44145 341456398 501(C)(3) 10004 0 COMMUNITY SUPPORT CROHNS & COLITIS FOUNDATION OF AMERICA 23366 COMMERCE PARK RD BEACHWOOD OH 44122 136193105 501(C)(3) 18500 0 HEALTHCARE RESEARCH & EDUCATION CUYAHOGA COMMUNITY COLLEGE FOUNDATION 700 CARNEGIE AVE CLEVELAND OH 44115 237320719 501(C)(3) 29500 0 HEALTHCARE RESEARCH & EDUCATION CUYAHOGA COUNTY 2079 EAST 9TH ST CLEVELAND OH 44115 346000817 501(C)(1) 70000 0 COMMUNITY SUPPORT DAVID POSNACK JEWISH COMMUNITY CENTER 5850 S PINE ISLAND RD DAVIE FL 33328 592075982 501(C)(3) 6000 0 SUPPORT EDUCATIONAL ACTIVITIES DIAPER BANK OF GREATER CLEVELAND 12200 FAIRHILL RD CLEVELAND OH 44120 841957545 501(C)(3) 15000 0 COMMUNITY SUPPORT ESPERANZA INC 4115 BRIDGE AVE CLEVELAND OH 44113 341403492 501(C)(3) 10000 0 SUPPORT EDUCATIONAL ACTIVITIES FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION 8111 QUINCY AVE STE 100 CLEVELAND OH 44104 341706856 501(C)(3) 526603 0 COMMUNITY SUPPORT FAMICOS FOUNDATION INC 1325 ANSEL RD CLEVELAND OH 44106 341053534 501(C)(3) 28000 0 COMMUNITY SUPPORT FREE CLINIC OF MEDINA COUNTY 970 E WASHINGTON ST STE 104 MEDINA OH 44256 300092944 501(C)(3) 5866 0 COMMUNITY SUPPORT FRIENDS OF BREAKTHROUGH SCHOOL 3615 SUPERIOR AVE STE 3103A CLEVELAND OH 44114 204948838 501(C)(3) 10000 0 COMMUNITY SUPPORT GATHERING PLACE 23300 COMMERCE PARK BEACHWOOD OH 44122 341879035 501(C)(3) 10000 0 SUPPORT EDUCATIONAL ACTIVITIES GLOBAL CLEVELAND 1422 EUCLID AVE STE 1652 CLEVELAND OH 44115 275245539 501(C)(3) 25000 0 COMMUNITY SUPPORT GREATER CLEVELAND FOOD BANK INC 15500 S WATERLOO RD CLEVELAND OH 44110 341292848 501(C)(3) 10810 0 COMMUNITY SUPPORT GREATER FORT LAUDERDALE ALLIANCE 110 E BROWARD BLVD STE 1990 FORT LAUDERDALE FL 33301 592697760 501(C)(3) 10000 0 COMMUNITY SUPPORT I'M IN MINISTRY 10608 PENFIELD AVE GARFIELD HEIGHTS OH 44125 364872043 501(C)(3) 10000 0 COMMUNITY SUPPORT INTERNATIONAL SOCIETY FOR GENETIC EYE DISEASE AND RETINOBLASTOMA 33350 PEPPER PIKE SHAKER HEIGHTS OH 44122 300065906 501(C)(3) 107794 0 HEALTHCARE RESEARCH & EDUCATION JOSEPH'S HOME 2412 COMMUNITY COLLEGE AVE CLEVELAND OH 44115 341901676 501(C)(3) 10000 0 COMMUNITY SUPPORT JOURNEY CENTER FOR SAFETY AND HEALING PO BOX 5466 CLEVELAND OH 44101 341278377 501(C)(3) 10000 0 HEALTHCARE RESEARCH & EDUCATION KAMMS CORNERS DEVELOPMENT CORP 17407 LORAIN AVE STE 200 CLEVELAND OH 44111 341254542 501(C)(3) 14000 0 COMMUNITY SUPPORT KARAMU HOUSE 2355 E 89TH ST CLEVELAND OH 44106 340714448 501(C)(3) 39248 0 COMMUNITY SUPPORT KEEP MEMORY ALIVE 888 W BONNEVILLE AVE LAS VEGAS NV 89106 880515534 501(C)(3) 18000 0 COMMUNITY SUPPORT LAKE COUNTY FREE CLINIC 125 E ERIE ST PAINESVILLE OH 44077 341081191 501(C)(3) 10000 0 COMMUNITY SUPPORT LBGT COMMUNITY CENTER OF GREATER CLEVELAND 6705 DETROIT AVE CLEVELAND OH 44102 341190920 501(C)(3) 10000 0 COMMUNITY SUPPORT LEAD SAFE CLEVELAND COALITION 4600 EUCLID AVE CLEVELAND OH 44103 346516654 501(C)(3) 500000 0 HEALTHCARE RESEARCH & EDUCATION LEADERSHIP AKRON 37 N HIGH ST STE C AKRON OH 44308 311655877 501(C)(3) 16575 0 HEALTHCARE RESEARCH & EDUCATION LEGAL AID SOCIETY OF CLEVELAND 1223 W 6TH ST CLEVELAND OH 44113 340866026 501(C)(3) 6000 0 COMMUNITY SUPPORT LEUKEMIA & LYMPHOMA SOCIETY 3 INTERNATIONAL DR STE 200 RYE BROOK NY 10573 135644916 501(C)(3) 58598 0 HEALTHCARE RESEARCH & EDUCATION MAHONING VALLEY SECOND HARVEST 2805 SALT SPRINGS RD YOUNGSTOWN OH 44509 341446685 501(C)(3) 10000 0 COMMUNITY SUPPORT MAIN STREET MEDINA 39 PUBLIC SQUARE STE 305 MEDINA OH 44256 261802645 501(C)(3) 7500 0 HEALTHCARE RESEARCH & EDUCATION MAKE-A-WISH FOUNDATION OF OHIO KENTUCKY AND INDIANA INC 2545 FARMERS DRIVE STE 300 COLUMBUS OH 43235 341471131 501(C)(3) 10000 0 COMMUNITY SUPPORT MARCH OF DIMES INC 1550 CRYSTAL DRIVE STE 1300 ARLINGTON VA 22202 131846366 501(C)(3) 14500 0 COMMUNITY SUPPORT MARTIN MEMORIAL MEDICAL CENTER PO BOX 9033 STUART FL 34995 590637874 501(C)(3) 5286527 0 HEALTHCARE RESEARCH & EDUCATION MAY DUGAN CENTER 4115 BRIDGE AVE CLEVELAND OH 44113 237061949 501(C)(3) 6000 0 COMMUNITY SUPPORT MEDWISH INTERNATIONAL 17325 EUCLID AVE CLEVELAND OH 44112 341903712 501(C)(3) 10000 3266351 ESTIMATED VALUE MEDICAL SUPPLIES HEALTHCARE RESEARCH & EDUCATION METRO HEALTH SYSTEM 2500 METROHEALTH DR CLEVELAND OH 44109 346004382 501(C)(3) 166984 0 HEALTHCARE RESEARCH & EDUCATION NAMI GREATER CLEVELAND 2012 W 25TH ST STE 600 CLEVELAND OH 44113 202254268 501(C)(3) 10840 0 COMMUNITY SUPPORT NEIGHBORHOOD FAMILY PRACTICE 3569 RIDGE RD CLEVELAND OH 44102 341300581 501(C)(3) 83175 0 HEALTHCARE RESEARCH & EDUCATION NEW IMAGE LIFE SKILLS ACADEMY INC 19425 VAN AKEN BLVD STE 205 SHAKER HEIGHTS OH 44122 810545479 501(C)(3) 15000 0 SUPPORT EDUCATIONAL ACTIVITIES NORTHEAST OHIO COALITION FOR THE HOMELESS 3631 PERKINS AVE STE 3A-3 CLEVELAND OH 44114 341590112 501(C)(3) 37425 0 COMMUNITY SUPPORT OHIO AND ERIE CANALWAY COALITION 47 W EXCHANGE ST AKRON OH 44308 341636766 501(C)(3) 10000 0 COMMUNITY SUPPORT OHIO CITY INCORPORATED 2525 MARKET AVE STE A CLEVELAND OH 44113 341372076 501(C)(3) 10000 0 HEALTHCARE RESEARCH & EDUCATION OHIO UNIVERSITY FOUNDATION PO BOX 869 ATHENS OH 45701 316402269 501(C)(3) 500000 0 HEALTHCARE RESEARCH & EDUCATION OROC PO BOX 40332 BAY VILLAGE OH 44140 800093560 501(C)(3) 10000 0 HEALTHCARE RESEARCH & EDUCATION PALM BEACH ATLANTIC UNIVERSITY 901 S FLAGLER DR WEST PALM BEACH FL 33401 591092732 501(C)(3) 100000 0 HEALTHCARE RESEARCH & EDUCATION PREGNANT WITH POSSIBILITIES RESOURCE CENTER 16004 BROADWAY AVE STE 203 MAPLE HEIGHTS OH 44137 472882533 501(C)(3) 25000 0 HEALTHCARE RESEARCH & EDUCATION REACH OUT AND READ GREATER CLEVELAND 4340 STATE ROAD STE 5 CLEVELAND OH 44109 341931851 501(C)(3) 10000 0 SUPPORT EDUCATIONAL ACTIVITIES REGIONAL TRANSIT AUTHORITY ART PO BOX 6566 CLEVELAND OH 44101 421133312 501(C)(3) 125000 0 COMMUNITY SUPPORT RONALD MCDONALD HOUSE OF CLEVELAND INC 10415 EUCLID AVE CLEVELAND OH 44106 341269123 501(C)(3) 90547 0 HEALTHCARE RESEARCH & EDUCATION SOS STRENGTHING OUR STUDENTS 2214 MT VERNON BLVD EAST CLEVELAND OH 44112 341710719 501(C)(3) 20000 0 SUPPORT EDUCATIONAL ACTIVITIES SAINT MARTIN DE PORRES HIGH SCHOOL 6111 LAUSCHE AVE CLEVELAND OH 44103 522401852 501(C)(3) 43669 0 SUPPORT EDUCATIONAL ACTIVITIES SCHOLARSHIP AMERICA INC PO BOX 240 ST PETER MN 56082 042296967 501(C)(3) 19900 0 HEALTHCARE RESEARCH & EDUCATION SENIOR TRANSPORTATION CONNECTION OF CUYAHOGA COUNTY 4735 W 105TH ST STE A CLEVELAND OH 44135 300319480 501(C)(3) 25000 0 COMMUNITY SUPPORT SHEPHERD HIGHER EDUCATION CONSORTIUM ON POVERTY 204 W WASHINGTON ST LEXINGTON VA 24450 455507122 501(C)(3) 6500 0 SUPPORT EDUCATIONAL ACTIVITIES STARK ECONOMIC DEVELOPMENT BOARD INC 400 3RD ST STE 310 CANTON OH 44702 341476938 501(C)(3) 12500 0 COMMUNITY SUPPORT STEWART'S CARING PLACE 2955 W MARKET ST STE R FAIRLAWN OH 44333 200181338 501(C)(3) 10000 0 COMMUNITY SUPPORT THE AKRON NAACP 230 W CENTER ST AKRON OH 44302 346596175 501(C)(3) 6000 0 COMMUNITY SUPPORT THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION 9500 EUCLID AVE CLEVELAND OH 44195 340714553 501(C)(3) 21971306 0 HEALTHCARE RESEARCH & EDUCATION THE CLEVELAND CLINIC FOUNDATION 14604 DETROIT AVE LAKEWOOD OH 44107 340714585 501(C)(3) 500000 0 COMMUNITY SUPPORT THE CLEVELAND FOUNDATION 325 SUPERIOR AVE STE 38 CLEVELAND OH 44114 340714588 501(C)(3) 100000 0 COMMUNITY SUPPORT THE COLORECTAL CANCER ALLIANCE 1025 VERMONT AVE STE 1066 WASHINGTON DC 20005 860947831 501(C)(3) 16667 0 HEALTHCARE RESEARCH & EDUCATION THE LAKEWOOD FOUNDATION 16024 MADISON AVE LAKEWOOD OH 44107 311529669 501(C)(3) 4100000 0 COMMUNITY SUPPORT THE NATIONAL ASSOCIATION OF THE ADVANCEMENT OF COLORED PEOPLE 4805 MT HOPE DR BALTIMORE MD 21215 340846628 501(C)(4) 10000 0 COMMUNITY SUPPORT THE SALVATION ARMY 440 W NYACK RD WEST NYACK NY 10994 135562351 501(C)(3) 10000 0 COMMUNITY SUPPORT THE THORACIC SURGERY FOUNDATION 633 N ST CLAIR ST CHICAGO IL 60611 363635910 501(C)(3) 10000 0 HEALTHCARE RESEARCH & EDUCATION UNITE US 217 BROADWAY FL 8 NEW YORK NY 10007 461914165 501(C)(3) 260000 0 COMMUNITY SUPPORT UNITED CEREBRAL PALSY OF GREATER CLEVELAND 10011 EUCLID AVE CLEVELAND OH 44106 340753561 501(C)(3) 93617 0 HEALTHCARE RESEARCH & EDUCATION UNITED WAY OF GREATER CLEVELAND 1331 EUCLID AVE CLEVELAND OH 44115 341011104 501(C)(3) 12058 0 COMMUNITY SUPPORT UNITED WAY OF SUMMIT COUNTY 90 N PROSPECT ST AKRON OH 44304 341169257 501(C)(3) 70000 0 COMMUNITY SUPPORT UNIVERSITY OF AKRON 302 BUCHTEL COMMON AKRON OH 44331 346002924 501(C)(3) 15000 0 HEALTHCARE RESEARCH & EDUCATION UNIVERSITY SETTLEMENT 4800 BROADWAY AVE CLEVELAND OH 44105 340714776 501(C)(3) 12000 0 COMMUNITY SUPPORT URBAN LEAGUE OF GREATER CLEVELAND 2930 PROSPECT AVE CLEVELAND OH 44115 340720563 501(C)(3) 10000 0 SUPPORT EDUCATIONAL ACTIVITIES VICTIM ASSISTANCE PROGRAM 137 S MAIN ST STE 300 AKRON OH 44308 383142753 501(C)(3) 7000 0 HEALTHCARE RESEARCH & EDUCATION VILLAGE OF MARYMOUNT 5200 MARYMOUNT VILLAGE DR GARFIELD HEIGHTS OH 44125 205652595 501(C)(3) 15000 0 COMMUNITY SUPPORT WOMEN'S ALZHEIMER'S MOVEMENT 888 W BONNEVILLE AVE LAS VEGAS NV 89106 451837864 501(C)(3) 218096 0 HEALTHCARE RESEARCH & EDUCATION YMCA OF GREATER CLEVELAND 1801 SUPERIOR AVE STE 130 CLEVELAND OH 44114 340714728 501(C)(3) 15000 0 SUPPORT EDUCATIONAL ACTIVITIES YOUNG MEN'S CHRISTIAN ASSOCIATION OF SOUTH FLORIDA INC 990 SE 3RD AVE STE 300 FORT LAUDERDALE FL 33316 590624464 501(C)(3) 60148 0 SUPPORT EDUCATIONAL ACTIVITIES YOUTH OPPORTUNITIES UNLIMITED 1361 EUCLID AVE CLEVELAND OH 44115 341381135 501(C)(3) 15000 0 SUPPORT EDUCATIONAL ACTIVITIES ZELIE'S HOME 13643 ROCKSIDE RD GARFIELD HEIGHTS OH 44125 851358110 501(C)(3) 10000 0 COMMUNITY SUPPORT 100 8 SCHOLARSHIPS 272 8953477 FELLOWSHIPS 1958 100526760 PART I, LINE 2: CCHS CONTRIBUTES FINANCIAL AND IN-KIND SUPPORT TO OTHER TAX EXEMPT ORGANIZATIONS AND AGENCIES THAT FURTHER THE CCHS MISSION OF PATIENT CARE, RESEARCH, AND EDUCATION. THESE ORGANIZATIONS ARE TO USE THE SUPPORT TO STRENGTHEN THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. SCHEDULE I, PART III THE SCHOLARSHIPS AND FELLOWSHIPS LISTED ARE IN FURTHERANCE OF CLEVELAND CLINIC HEALTH SYSTEM'S MISSION TO INCREASE KNOWLEDGE, AWARENESS, AND QUALITY OF PATIENT CARE AND RESEARCH THROUGH EDUCATION. X X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 TUZCU MD E MURAT PHYSICIAN (2021 RETIREE) 1185011 0 0 0 6294851 0 -49588 0 125215 0 7555489 0 0 0 MIHALJEVIC MD TOMISLAV DIRECTOR, PRES, CEO 5978904 0 0 0 596850 0 29000 0 17822 0 6622576 0 0 0 MALONE JR MD DONALD A DIR; PRES, OH HOSPS FHC 1254879 0 0 0 129915 0 4224893 0 17847 0 5627534 0 0 0 WIEDEMANN MD HERBERT P PHYSICIAN (2021 RETIREE) 904957 0 0 0 3435528 0 476849 0 11976 0 4829310 0 0 0 ERZURUM MD SERPIL CHIEF OF RESEARCH & ACAD OFFICER 1264030 0 0 0 127171 0 3182048 0 1500 0 4574749 0 0 0 DONLEY MD BRIAN FORMER OFFICER - CCF, CEO - CCL 0 1010550 0 0 0 2535624 0 29000 0 895125 0 4470299 0 0 KLEIN MD ERIC PHYSICIAN (2021 RETIREE) 848554 0 0 0 3593979 0 -295183 0 18997 0 4166347 0 0 0 SURI MD RAKESH CEO CCAD (PART YR) 1569437 0 0 0 501827 0 1484708 0 33521 0 3589493 0 0 0 LORD ROBERT DIR, PRES - MARTIN (2021 RETIREE) 738494 0 0 0 52225 0 1761182 0 20317 0 2572218 0 0 0 GLASS STEVEN C DIR, CFO & TREASURER 2269404 0 0 0 224520 0 28506 0 19322 0 2541752 0 0 0 ROWAN DAVID DIR, SEC, CHIEF LEGAL OFF 2005468 0 0 0 229153 0 29000 0 19258 0 2282879 0 0 0 O'CONNOR MD MICHAEL PHYSICIAN (2021 RETIREE) 490305 0 0 0 1782689 0 -161858 0 17935 0 2129071 0 0 0 PEACOCK WILLIAM DIRECTOR, COO 1853511 0 0 0 185541 0 29597 0 17215 0 2085864 0 0 0 GOLDFARB MD DAVID PHYSICIAN (2021 RETIREE) 451229 0 0 0 1385738 0 -39303 0 18997 0 1816661 0 0 0 SVENSSON MD LARS FORMER KEY EMPLOYEE, CHAIR HVTI 1592804 0 0 0 163054 0 29000 0 19012 0 1803870 0 0 0 DELANEY MD CONOR DIR, CEO & PRES (FLA) 1504323 0 0 0 180587 0 29000 0 13254 0 1727164 0 0 0 MERLINO MD JAMES DIR, CHIEF TRANSFORMATION OFF 1476000 0 0 0 144660 0 29000 0 1500 0 1651160 0 0 0 HANCOCK DNP RN NE-BC KELLY DIR, CHIEF CAREGIVER OFF 1423434 0 0 0 139002 0 26092 0 19322 0 1607850 0 0 0 GUZMAN MD JORGE CEO CCAD (PART YR) 992545 0 0 0 440658 0 29000 0 106984 0 1569187 0 0 0 RIDGEWAY MD BERI DIRECTOR, CHIEF OF STAFF 1353394 0 0 0 131449 0 29000 0 19332 0 1533175 0 0 0 MCHUGH LINDA FORMER OFFICER - CCF 244129 0 0 0 1039849 0 26384 0 17097 0 1327459 0 950000 0 MACHADO MD ANDRE DIRECTOR - KMA 1073554 0 0 0 103833 0 29000 0 23572 0 1229959 0 0 0 IANNOTTI MD JOSEPH DIR - FLA; CHIEF OF STAFF 1026022 0 0 0 106917 0 29000 0 13545 0 1175484 0 0 0 YOUNG MD JAMES P FORMER OFFICER - CCF 1010890 0 0 0 115141 0 29000 0 18586 0 1173617 0 0 0 SMALL DEBORAH FORMER KEY EMPLOYEE (FV HOSP) 0 162610 0 0 0 809471 0 27224 0 131217 0 1130522 0 0 SABANEGH MD EDMUND FORMER OFFICER - CCF 168014 0 0 0 883667 0 17238 0 17644 0 1086563 0 875000 0 MILLER MD CHARLIE CHIEF MEDICAL OFFICER - CCMSI 858540 0 0 0 92395 0 29000 0 18586 0 998521 0 0 0 RASMUSSEN MD PETER DIRECTOR, PRES - CCHSPA 416593 507500 0 0 35910 0 29000 0 4131 0 485634 507500 0 0 SAVAGE MD EDWARD DIR - MMF, PHYSICIAN 842960 0 0 0 83141 0 29000 0 16117 0 971218 0 0 0 PARKER MD RICHARD HOSPITAL PRES - HILLCREST 831577 0 0 0 97216 0 -24719 0 20149 0 924223 0 0 0 BLANDON MD RODOLFO HOSPITAL PRES - WESTON, DIR 782916 0 0 0 76120 0 29000 0 17661 0 905697 0 0 0 ROSENTHAL MD RAUL FORMER OFFICER 787947 0 0 0 57541 0 29000 0 13130 0 887618 0 0 0 EL GHAMRY SABE MD AHMED FORMER OFFICER - MERCY 513849 0 313184 0 14207 0 5800 0 23858 0 870898 0 0 0 MATT-AMARAL MD LAURIE DIR - PPG, PHYSICIAN 771968 0 0 0 21716 0 11600 0 13784 0 819068 0 0 0 HARTE MD BRIAN DIR, PRES - AKRON & SOUTH REGION 671154 0 0 0 63902 0 28134 0 20572 0 783762 0 0 0 BOLOGNA MD RAYMOND DIRECTOR, CHAIR - PPG 631895 0 0 0 89157 0 29000 0 17339 0 767391 0 0 0 STARCK MD REBECCA HOSPITAL PRES - AVON 634904 0 0 0 78651 0 28428 0 17822 0 759805 0 0 0 MURRAY MD KAREN TRUSTEE, PRES - CCCHR 674358 0 0 0 26507 0 29000 0 18268 0 748133 0 0 0 ROSENCRANCE MD J GREGORY DIRECTOR, PRES - IR 643104 0 0 0 41435 0 29000 0 12973 0 726512 0 0 0 KALAFATIS LARA DIRECTOR - KMA 600997 0 0 0 63955 0 29000 0 19562 0 713514 0 0 0 RIM MD ALICE DIRECTOR - CCF; PHYSICIAN 596560 0 0 0 56155 0 29000 0 20166 0 701881 0 0 0 BROWN MD HAL DIRECTOR - IRMH, PHYSICIAN 649748 0 1580 0 23064 0 5500 0 8809 0 688701 0 0 0 NAPIERKOWSKI MD DANIEL HOSP PRES - MARYMOUNT 573739 0 0 0 60464 0 29000 0 18987 0 682190 0 0 0 AGBA C OKEY DIR, ASST TREAS, CFO, FLORIDA 574981 0 0 0 53363 0 29000 0 10321 0 667665 0 0 0 BARRETT LISA FORMER OFFICER 581528 0 0 0 37565 0 28979 0 17823 0 665895 0 0 0 DAVIS MARLEINA ASST. SECRETARY (CCF & CCEF) 581529 0 0 0 32199 0 25358 0 17822 0 656908 0 0 0 GROOFF MD PAUL SEC (NY, TN, CCHSPA); TREAS 572914 0 0 0 33590 0 29000 0 17497 0 653001 0 0 0 DEL CASTILLO BARBARA DIR, GEN COUNSEL, SEC, ASST SEC (FLA 553532 0 0 0 33043 0 29031 0 13545 0 629151 0 0 0 LINDENTHAL MD JOHN DIRECTOR - IRMH, PHYSICIAN 551322 0 32000 0 21072 0 5500 0 9723 0 619617 0 0 0 BARNETT MD TIMOTHY HOSP PRES - LUTHERAN (PART YR) 538791 0 0 0 31312 0 29000 0 18494 0 617597 0 0 0 MCKENZIE MD MARGARET HOSPITAL PRES - SOUTH POINTE 476454 0 0 0 48560 0 29000 0 19322 0 573336 0 0 0 DEWS MD TERESA HOSPITAL PRESIDENT - EUCLID 567564 0 0 0 55230 0 -73426 0 20222 0 569590 0 0 0 SMITH DO NEIL HOSPITAL PRESIDENT - FAIRVIEW 458500 0 0 0 62498 0 29000 0 16025 0 566023 0 0 0 LONGVILLE TIMOTHY DIR, TREAS (KMA), CAO & CONTROLLER 495501 0 0 0 29765 0 18814 0 19650 0 563730 0 0 0 SASIDHAR MD MADHU DIR - MMF; PRES -TRADITION HOSP 406724 0 0 0 86642 0 27292 0 35063 0 555721 0 0 0 BEHRENS SUE CNO- HILLCREST 250117 0 0 0 257653 0 23401 0 19193 0 550364 0 0 0 HAMILTON THOMAS FORMER OFFICER - CCF, CCEF 479250 0 0 0 37844 0 -18381 0 19751 0 518464 0 0 0 PETRY DO FERNANDO SECRETARY - COASTAL CARE 469361 0 0 0 4685 0 15633 0 27380 0 517059 0 0 0 BERAN JOSETTE DIR -UH, IRMH; SEC UHCHF (PART YR) 97442 0 0 0 389878 0 6222 0 11158 0 504700 0 310417 0 THOMPSON MD THOMAS DIRECTOR - AGMC, LODI; PHYSICIAN 468853 0 0 0 38304 0 -20090 0 13240 0 500307 0 0 0 STOLLER MD MS JAMES K CHAIR, EDUCATION INST - CCEF 549848 0 0 0 40344 0 -118961 0 20023 0 491254 0 0 0 PETER MD DAVID DIRECTOR - IRHS, PHYSICIAN 404675 0 0 0 39624 0 29000 0 12902 0 486201 0 0 0 CRONE MD TIMOTHY TRUSTEE - UH, HOSP PRES -MERCY 422479 0 0 0 15655 0 28805 0 18997 0 485936 0 0 0 RUSSELL MD REBECCA DIRECTOR - PPG; PHYSICIAN 418354 0 0 0 15796 0 29000 0 19622 0 482772 0 0 0 LEWIS DO JAMESETTA H DIR- MERCY DEV FDN; PROCARE PHYS 0 425927 0 15537 0 467 0 16852 0 16246 0 475029 0 0 COLLINS EDMUND FORMER OFFICER - MMMC 191368 0 0 0 257690 0 5996 0 17620 0 472674 0 257452 0 FENTON MD ANDREW DIRECTOR, VICE CHAIR - PPG 416402 0 0 0 29047 0 6179 0 12755 0 464383 0 0 0 SOSKA CHRISTOPHER COO - MARTIN 383228 0 0 0 34640 0 29000 0 15354 0 462222 0 0 0 ABDENOUR STEPHEN COO - AKRON 408199 0 0 0 23186 0 3971 0 14566 0 449922 0 0 0 VENKATESHAIAH MD LOKESH DIRECTOR - AGMC, LODI; PHYSICIAN 366504 0 0 0 31881 0 29000 0 18722 0 446107 0 0 0 JAMES BRUCE PRESIDENT - UNION HOSP 370883 0 32081 0 4892 0 17400 0 14512 0 439768 0 0 0 STEWART DAVID K DIRECTOR, TREAS - MERCY DEV FDN 368675 0 46641 0 2706 0 4575 0 13441 0 436038 0 0 0 MAYS MD MARYANN DIRECTOR - CCF, CCEF & REG HOSPS 368339 0 0 0 10191 0 29000 0 20212 0 427742 0 0 0 PAPPAS MD RITA FORMER OFFICER - CCCCHR 364350 0 0 0 11838 0 28616 0 19688 0 424492 0 0 0 ZINK MD JILL DIRECTOR - AGMC, LODI; PHYSICIAN 351419 0 0 0 49392 0 11600 0 10643 0 423054 0 0 0 BROOKS MD STEVE DIRECTOR - AGMC, LODI 385383 0 0 0 9938 0 11600 0 16069 0 422990 0 0 0 RAUBENOLT MD AMY DIRECTOR - AGMC, LODI, PHYSICIAN 364568 0 0 0 27944 0 11600 0 15790 0 419902 0 0 0 DAVIS DO DENNIS PRESIDENT - PPG 356404 0 0 0 10262 0 29000 0 17822 0 413488 0 0 0 LASH-RITTER MD TERI TRUSTEE - UNION HOSP; PHYSICIAN 356976 0 0 0 9971 0 29000 0 17250 0 413197 0 0 0 ANDERSON MD MICHAEL DIR - CCF,CCEF, REG HOS; PHYSICIAN 326694 0 0 0 31721 0 29000 0 17086 0 404501 0 0 0 SABBAGH MD MARWAN DIRECTOR - KMA; PHYSICIAN 306268 0 0 0 54579 0 29000 0 14109 0 403956 0 0 0 SHEWBRIDGE MD RICHARD HOSPITAL PRES- MEDINA HOSP 343433 0 0 0 10012 0 29000 0 17822 0 400267 0 0 0 CHANDURKAR DO ROHIT DIRECTOR - PPG; PHYSICIAN 361251 0 0 0 7378 0 11600 0 19812 0 400041 0 0 0 MALLOY MARK DIR; REGIONAL CFO - OHIO 339859 0 0 0 11591 0 26885 0 18294 0 396629 0 0 0 FORD MD DONALD FORMER OFFICER - HILLCREST 313631 0 0 0 29527 0 29000 0 17418 0 389576 0 0 0 BENNETT KRIS DIRECTOR - AGMC, LODI; EXEC DIR 339197 0 0 0 13902 0 8700 0 19207 0 381006 0 0 0 GORMSEN DO DAVID FORMER OFFICER - MERCY 311371 0 40619 0 2207 0 5800 0 18831 0 378828 0 0 0 SHOOK MD STEVEN DIRECTOR, PRES - CCHSPA 301009 0 0 0 23054 0 29000 0 19622 0 372685 0 0 0 KOLONICK RENEE FORMER COO - HILL, MM 337628 0 0 0 8829 0 8700 0 16477 0 371634 0 0 0 MAJOR MSN RN NE-BC KERRY FORMER KEY EMPLOYEE - CC FLA REG 321505 0 0 0 6457 0 28548 0 13151 0 369661 0 0 0 FREEMAN MD RICHARD B TRUSTEE - LAKEWD HOSP; PHYSICIAN 291536 0 0 0 33585 0 29000 0 15178 0 369299 0 0 0 VICKERS MD JEAN DIR - COASTAL CARE, PHYSICIAN 314864 0 0 0 19938 0 17473 0 15724 0 367999 0 0 0 MILLS JOHN COO - FAIRVIEW & AVON 342364 0 0 0 7127 0 9128 0 1800 0 360419 0 0 0 POSK MD LAURIE DIRECTOR - IRMH; PHYSICIAN 306588 0 0 0 6172 0 29000 0 16511 0 358271 0 0 0 SHEERS MD TITUS DIRECTOR - AGMC, LODI; PHYSICIAN 325774 0 0 0 7692 0 6283 0 17957 0 357706 0 0 0 MEEHAN MICHAEL J SEC, ASST SEC - CCF 349811 0 0 0 43602 0 -56847 0 18715 0 355281 0 0 0 MACKETT MD CHARLES FORMER KEY EMPLOYEE 336332 0 5275 0 2255 0 5500 0 1520 0 350882 0 0 0 PAGANO MD TRINA DIRECTOR - AGMC, LODI 295704 0 0 0 3532 0 29000 0 20522 0 348758 0 0 0 MCLAIN JESSICA FORMER OFFICER - MARTIN 313150 0 0 0 6813 0 10748 0 16260 0 346971 0 0 0 MENDIOLA MD AMANDA DIRECTOR - AGMC, LODI; PHYSICIAN 302093 0 0 0 17659 0 11376 0 13385 0 344513 0 0 0 TURNER RALPH D DIRECTOR - HSIR, IRHS, COO 326130 0 0 0 2266 0 5500 0 9593 0 343489 0 0 0 MARKS DO MICHELLE TRUSTEE, MEDICAL DIRECTOR 287633 0 0 0 3852 0 29000 0 18943 0 339428 0 0 0 WILLIAMS EMILY DIR (AGP, AGF, VNS); SEC - MERCY, UH 324529 0 0 0 3540 0 8700 0 2184 0 338953 0 0 0 SNYDER VICKY COO- HILLCREST 289083 0 0 0 7582 0 8554 0 27500 0 332719 0 0 0 YINGLING BARBARA CNO - MERCY 274025 0 35925 0 1174 0 3918 0 7868 0 322910 0 0 0 ESPINOSA ALEXIS FORMER KEY EMP; COO - CCFHS 297068 0 0 0 10222 0 -274 0 15791 0 322807 0 0 0 HARLEY DO DOUGLAS DIRECTOR - PPG; PHYSICIAN 289974 0 0 0 6200 0 7405 0 17257 0 320836 0 0 0 MILLER SHEILA CNO - AGHS 258222 0 0 0 25616 0 9468 0 15733 0 309039 0 0 0 BRAMAN DO KENNETH DIRECTOR, CHIEF MED OFF - PPG 268763 0 0 0 11016 0 11180 0 17968 0 308927 0 0 0 COTY MIGUEL FORMER OFFICER - MARTIN 267848 0 0 0 1560 0 13189 0 19317 0 301914 0 0 0 CATO DAVID DIR (FLA PHARM & IRMH), COO FLORIDA 256548 0 0 0 8776 0 23304 0 5734 0 294362 0 0 0 CLARK CNO SUSAN DIRECTOR, VP - COASTAL CARE 260943 0 0 0 378 0 11724 0 19317 0 292362 0 0 0 MOEHRING MICHAEL DIR (MMF); ASST TREAS (COASTAL CARE, 254150 0 0 0 552 0 4480 0 32383 0 291565 0 0 0 PIKE JEFFREY FORMER OFFICER - MERCY 84178 149100 31571 0 2095 0 4846 0 18358 0 141048 149100 0 0 DAVIDSON MD ELLIOT FORMER OFFICER - PPG 235456 0 0 0 22494 0 8638 0 18835 0 285423 0 0 0 BURKE DO DAVID DIR - MEDINA HOSP FDN; PHYSICIAN 240104 0 0 0 2809 0 24320 0 17822 0 285055 0 0 0 MARKOVICH MD RENEE DIRECTOR - PPG, PHYSICIAN 251342 0 0 0 6771 0 10340 0 14389 0 282842 0 0 0 COLLIER SUSAN CNO - HILLCREST 275247 0 0 0 11432 0 -17725 0 11462 0 280416 0 0 0 OBLANDER JASON ASST. SECRETARY - CCF 247501 0 0 0 8734 0 7299 0 15474 0 279008 0 0 0 KANE PERCIVAL COO - MARYMOUNT HOSP 252500 0 0 0 1869 0 7791 0 15538 0 277698 0 0 0 THOBURN MARY BETH CNO - FAIRVIEW 243055 0 0 0 2941 0 7813 0 14369 0 268178 0 0 0 SCHUSTER JANET CNO - LUTHERAN 221174 0 7007 0 12710 0 7131 0 19176 0 267198 0 0 0 VOLAS PETER VP - CLINIC CARE 232411 0 0 0 6949 0 6330 0 19317 0 265007 0 0 0 SAUER MARY CNO -AVON 225762 0 0 0 8343 0 12791 0 14789 0 261685 0 0 0 BRUYERE JOHN COO - SOUTH POINTE 240540 0 0 0 7864 0 -3924 0 17170 0 261650 0 0 0 STEPP LEONARD COO - EUCLID 233272 0 0 0 3948 0 7229 0 16044 0 260493 0 0 0 FOSTER SUSAN FORMER KEY EMPLOYEE - AGMC 205321 0 0 0 28702 0 7222 0 14682 0 255927 0 0 0 FRIGO DAVID DIR, TREAS (AKRON) 229859 0 0 0 5881 0 3357 0 14601 0 253698 0 0 0 VANHORN AMANDA FORMER OFFICER - AKRON 222420 0 0 0 8631 0 6879 0 15243 0 253173 0 0 0 TURNER TOM PRESIDENT - MERCY DEV FDN 232956 0 0 0 3123 0 4769 0 10184 0 251032 0 0 0 ZINNER BARBARA CNO - MARYMOUNT 225358 0 0 0 7073 0 3131 0 14496 0 250058 0 0 0 MADASZ MD JIM DIR - MED HOSP FDN, PPG; PHYS 214954 0 0 0 10552 0 6728 0 17646 0 249880 0 0 0 ROME MD ELLEN TRUSTEE - CCCHR; PHYS 203831 0 0 0 3906 0 20825 0 19144 0 247706 0 0 0 HANKINS STEVEN COO - LUTHERAN 230135 0 0 0 4536 0 7040 0 3243 0 244954 0 0 0 FETTO JULIE TRUSTEE - UNION; CNO - MEDINA 223872 0 0 0 4820 0 1500 0 13563 0 243755 0 0 0 BIBENS TODD FORMER KEY EMPLOYEE - IR 233090 0 0 0 2428 0 5166 0 2910 0 243594 0 0 0 FULLER WARREN FORMER KEY EMPLOYEE 225793 0 0 0 4242 0 1130 0 10767 0 241932 0 0 0 KOCSIS DANA FORMER KEY EMPLOYEE - CNO UNION 211366 0 0 0 2359 0 12353 0 14845 0 240923 0 0 0 WALTON LINDA CNO - INDIAN RIVER 228590 0 0 0 2925 0 4627 0 2750 0 238892 0 0 0 VIDMAR ERICK ADMIN DIRECTOR - CC NV 209316 0 0 0 7696 0 4859 0 15932 0 237803 0 0 0 NOWLIN JACQUELINE CNO - S. POINTE 200656 0 0 0 3756 0 11330 0 13896 0 229638 0 0 0 VANLITH RICHARD FORMER KEY EMPLOYEE - IR 195103 0 0 0 11510 0 6391 0 13553 0 226557 0 0 0 MASON MD NKOSI DIR - AGMC, LODI; PHYSICIAN 205697 0 0 0 1740 0 5332 0 13588 0 226357 0 0 0 MEYERHOEFER TODD FORMER OFFICER - UNION 29146 0 16155 0 148120 0 3138 0 17843 0 214402 0 0 0 BECK CHRIS FORMER OFFICER - UNION 146969 0 13312 0 904 0 9140 0 37436 0 207761 0 0 0 BAKER JOHN T FORMER KEY EMPLOYEE - LODI 180102 0 0 0 4194 0 2837 0 14356 0 201489 0 0 0 CRAIG ROBERT FORMER OFFICER - UNION 160191 0 9206 0 1773 0 8021 0 16654 0 195845 0 0 0 SMITH DARWIN K FORMER OFFICER - UNION 153455 0 10025 0 785 0 8923 0 17771 0 190959 0 0 0 MORRIS DELESA EXECUTIVE DIRECTOR - MMF 151130 0 0 0 552 0 9579 0 26317 0 187578 0 0 0 FUNK MD JONATHAN R FORMER OFFICER - MEDINA 140081 0 0 0 3834 0 11031 0 8822 0 163768 0 0 0 HICKEY CINDY FORMER OFFICER - MERCY 143373 0 0 0 4689 0 3015 0 12625 0 163702 0 0 0 SAHADI LEE DIR - PPG, EXEC DIR MED STAFF ADMIN 128437 0 0 0 6286 0 4844 0 21077 0 160644 0 0 0 FINDING MSN MBA DONIELLE DIR, SEC - MED HOSP FDN 125521 0 0 0 7186 0 1197 0 18772 0 152676 0 0 0 MAU KATHLEEN FORMER OFFICER - MED FDN 125900 0 2037 0 6957 0 363 0 15681 0 150938 0 0 0 COSGROVE MD DELOS FORMER OFF (RETIRED CEO) 202433 0 0 0 0 0 -167959 0 0 0 34474 0 202432 0 PART I, LINE 1A LISTED BENEFITS THE BENEFITS CHECKED IN PART I, QUESTION 1A, WERE PROVIDED TO CERTAIN PERSONS LISTED IN FORM 990, PART VII, SECTION A ON AN EXCEPTION BASIS ONLY FOR AN APPROPRIATE BUSINESS PURPOSE. ANY REIMBURSEMENT OF THE EXPENSES LISTED MET CLEVELAND CLINIC'S WRITTEN POLICY REGARDING SUBSTANTIATION AND REIMBURSEMENT. WHERE REQUIRED BY IRS RULES AND REGULATIONS, THE LISTED BENEFITS WERE INCLUDED IN TAXABLE INCOME. PART I, LINES 4A-B SCHEDULE J, PART I, LINE 4A, SEVERANCE PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: JOSETTE BERAN $386,826 EDMUND COLLINS $257,452 LINDA MCHUGH $950,000 EDMUND SABANEGH, MD $875,000 TODD MEYERHOEFER $134,628 SEVERANCE PAYMENTS ACCRUED IN 2021 BUT NOT YET PAID ARE REPORTED IN PART VII, COLUMN F AND SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUAL: ROBERT LORD $1,740,003 RAKESH SURI, MD $1,455,708 SCHEDULE J, PART I, LINE 4B, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DAVID GOLDFARB, MD - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES $1,360,693 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT HIS VESTED AMOUNT IN THE PLAN. ERIC KLEIN, MD - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES $3,507,034 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT HIS VESTED AMOUNT IN THE PLAN. MICHAEL O'CONNOR, MD - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES $1,734,536 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT HIS VESTED AMOUNT IN THE PLAN. E. MURAT TUZCU, MD - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES $5,782,494 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT HIS VESTED AMOUNT IN THE PLAN. HERBERT WIEDEMANN, MD - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES $3,372,395 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT HIS VESTED AMOUNT IN THE PLAN. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: DELOS COSGROVE, MD $202,432 MICHAEL MODIC, MD $109,916 HERBERT WIEDEMANN, MD $87,547 THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND/OR A QUALIFIED DEFINED BENEFIT PLAN AND THE ANNUAL INCREASE OR DECREASE OF THE ACTUARIAL VALUE IS INCLUDED IN SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: STEPHEN ABDENOUR - $3,129 DECREASE, JOHN T. BAKER $126 DECREASE, LISA BARRETT - $21 DECREASE, JOSETTE BERAN $3,903 DECREASE, JOHN BRUYERE - $11,405 DECREASE, KATHLEEN MAU - $3,650 DECREASE, SUSAN COLLIER - $26,067 DECREASE, DELOS COSGROVE, MD - $167,959 DECREASE, MIGUEL COTY - $1,882 DECREASE, ELLIOT DAVIDSON, MD - $1,574 DECREASE, MARLEINA DAVIS - $3,642 DECREASE, BARBARA DEL CASTILLO - $31 INCREASE, OSMEL DELGADO - $1,412 DECREASE, THERESA DEWS, MD - $102,426 DECREASE, SERPIL ERZURUM, MD - $3,153,048 INCREASE, ALEXIS ESPINOSA - $274 DECREASE, ANDREW FENTON, MD - $5,421 DECREASE, JULIE FETTO - $363 INCREASE, DONIELLE FINDING, MSN, MBA $2,881 DECREASE, SUSAN FOSTER - $1,659 DECREASE, DAVID FRIGO - $3,966 DECREASE, WARREN FULLER - $3,577 DECREASE, STEVE C. GLASS - $494 DECREASE, DAVID GOLDFARB, MD - $68,303 DECREASE, THOMAS HAMILTON - $47,381 DECREASE, KELLY HANCOCK, DNP, RN, NE-BC - $2,908 DECREASE, ERIC KLEIN, MD - $324,183 DECREASE, RENEE KOLONICK - $2,666 DECREASE, TIMOTHY LONGVILLE - $14,604 DECREASE, ROBERT LORD - $4,821 DECREASE, KERRY MAJOR - $452 DECREASE, MARK MALLOY - $2,115 DECREASE, DONALD A. MALONE, JR, MD - $4,195,893 INCREASE, LINDA MCHUGH - $2,634 INCREASE, JESSICA MCLAIN - $591 DECREASE, MICHAEL J. MEEHAN - $85,847 DECREASE, JOHN MILLS - $428 INCREASE, MICHAEL MODIC, MD - $95,775 DECREASE, MICHAEL MOEHRING - $9,446 DECREASE, E. MURAT TUZCU, MD - $78,588 DECREASE, JACQUELINE NOWLIN - $5,144 INCREASE, JASON OBLANDER - $340 DECREASE, MICHAEL O'CONNOR, MD - $190,858 DECREASE, RITA PAPPAS, MD - $384 DECREASE, RICHARD PARKER, MD - $53,719 DECREASE, WILLIAM PEACOCK - $597 INCREASE, LEE SAHADI - $830 DECREASE, MARY SAUER - $5,825 INCREASE, TITUS SHEERS, MD - $5,317 DECREASE, DEBORAH SMALL - $123 INCREASE, VICKY SNYDER - $146 DECREASE, REBECCA STARCK, MD - $572 DECREASE, JAMES K. STOLLER, MS,MD - $147,961 DECREASE, MARYBETH THOBURN - $341 INCREASE, THOMAS THOMPSON - $31,690 DECREASE, ERICK VIDMAR - $1,648 DECREASE, PETER VOLAS - $911 DECREASE, HERBERT P. WIEDEMANN, MD $447,849 INCREASE, BARBARA ZINNER - $3,814 DECREASE. FORM 990, PART VII, SECTION A AND SCHEDULE J THE COMPENSATION OF DR. BRIAN DONLEY, DR. JORGE GUZMAN, DR. RAKESH SURI, DR. E. MURAT TUZCU, SUE BEHRENS AND DEBORAH SMALL, AS REPORTED ON PART VII, SECTION A AND SCHEDULE J INCLUDES REGULAR WAGES AND TAXABLE EXPATRIATE BENEFITS. A COLLIER COUNTY HEALTH FACILITIES AUTHORITY 592351395 19463LAB9 2003-04-16 118200000 BOND 2003C: REFUND FL SERIES 1999; FINANCING WESTON CLINIC 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756AJ37 2008-10-15 670000000 BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 NONEAVAIL 2011-11-02 41120000 BOND 2011B: REFUND 1992A & B AND 1989 SERIES 0 0 0 D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756A3Z3 2012-05-09 519383182 BOND 2012: REFUND 2009, 2003A AND FACILITY IMPROVEMENTS 0 0 0 A 76295000 118200000 412525 13520714 104266761 2003 1 0 1 1 B 342425000 670000000 1200000 324315217 372706929 2008 1 0 1 1 C 19410000 41120000 2302465 735249 38082286 2011 1 0 1 1 D 508583182 519383182 3825815 411300530 104256837 2012 0 1 1 1 A 0 1 1 1 1 1 0.00090 0.00000 0.00090 0 0 1 B 0 1 1 1 1 1 0.00210 0.00010 0.00220 0 0 1 C 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 D 0 1 1 1 1 1 0.00060 0.00040 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EDUCATIONAL FACILITY COMMISSION 346849674 677561KZ4 2019-05-09 380150000 FUND CAPITAL PROJECTS 0 0 0 C MARTIN COUNTY HEALTH FACILITIES AUTHORITY 362646523 NONEAVAIL 2013-09-24 26555000 BOND 2013: REFUND 5/2007 BOND ISSUE 0 0 0 D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561LP5 2021-07-28 82791709 ACQUIRE MEMBERSHIP IN MERCY HOSPITAL 0 0 0 A 1213011 351450108 1125388 348905103 1419617 2019 0 0 1 1 B 380150000 1262472 378404897 482631 2019 0 0 1 1 C 12100000 26555000 26555000 2013 1 0 1 1 D -15476 82791709 82791709 2021 0 0 1 1 A 0 1 1 1 1 1 0.00200 0.00010 0.00210 0 0 1 B 0 1 1 1 1 1 0.00220 0.00010 0.00230 0 0 1 C 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 D 0 1 1 1 1 1 0.00500 0.00000 0.00500 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 0 0 1 0 1 WELLS FARGO 25.000000000000 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561MG4 2021-10-05 249692662 BOND 2021B: REFUND SERIES 2011A 0 0 0 A 745111 249692662 2103785 247588877 2021 1 0 1 1 A 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 AMBER BRADFORD-SAFFLES FAMILY MEMBER OF JOHN BRADFORD, D.O., PPG DIRECTOR 384279 EMPLOYMENT AGREEMENT WITH PPG 0 ANTHONY O'BRIEN FAMILY MEMBER OF TIMOTHY O'BRIEN, CCCHR OFFICER/DIRECTOR 23157 EMPLOYMENT AGREEMENT WITH CCCHR 0 ELLEN IANNOTTI FAMILY MEMBER OF JOSEPH IANNOTTI, M.D., CC FLORIDA TRUSTEE 38986 EMPLOYMENT AGREEMENT WITH CC FLORIDA 0 FRANK IANNOTTI FAMILY MEMBER OF JOSEPH IANNOTTI, M.D., CC FLORIDA TRUSTEE 38131 EMPLOYMENT AGREEMENT WITH CC FLORIDA 0 GRANT DILLON FAMILY MEMBER OF WILLIAM PEACOCK, CCF OFFICER 22847 EMPLOYMENT AGREEMENT WITH CCF 0 GREGORY BILOWSKY FAMILY MEMBER OF AMANDA MENDIOLA, M.D., AGMC OFFICER 82079 EMPLOYMENT AGREEMENT WITH AGMC 0 JESSICA SHEERS FAMILY MEMBER OF TITUS SHEERS, M.D., AGMC DIRECTOR 26377 EMPLOYMENT AGREEMENT WITH AGMC 0 JOANNE MCDONALD KILBANE FAMILY MEMBER OF CATHERINE KILBANE, CCF DIRECTOR 89960 EMPLOYMENT AGREEMENT WITH CCF 0 KAREN R COOPER FAMILY MEMBER OF STEWART KOHL, CCF DIRECTOR 72734 EMPLOYMENT AGREEMENT WITH CCF 0 KATHERINE MCHUGH FAMILY MEMBER OF LINDA MCHUGH, FORMER CCF OFFICER 47854 EMPLOYMENT AGREEMENT WITH CCF 0 LAURA SWEENEY FAMILY MEMBER OF TIMOTHY LONGVILLE, CCF OFFICER 99183 EMPLOYMENT AGREEMENT WITH CCF 0 MARGARET T ANDERSON FAMILY MEMBER OF MICHAEL ANDERSON, M.D., CCF DIRECTOR 19940 EMPLOYMENT AGREEMENT WITH CCF 0 MICHAEL PETRAS FAMILY MEMBER OF MICHAEL J. PETRAS JR., CCF DIRECTOR 88652 EMPLOYMENT AGREEMENT WITH CCF 0 RYAN OAKLEY FAMILY MEMBER OF WILLIAM PEACOCK, CCF OFFICER 66058 EMPLOYMENT AGREEMENT WITH CCF 0 VICTORIA JAVOR FAMILY MEMBER OF KELLY HANCOCK, DNP, RN, NE-BC, CCF OFFICER 99488 EMPLOYMENT AGREEMENT WITH CCF 0 ALEXANDER J RIM FAMILY MEMBER OF ALICE RIM, M.D., CCF DIRECTOR 522574 EMPLOYMENT AGREEMENT WITH CCF 0 EMMA G RICO FAMILY MEMBER OF ALICE RIM, M.D., CCF DIRECTOR 20179 EMPLOYMENT AGREEMENT WITH CCF 0 ROBERT SYTO FAMILY MEMBER OF BERI RIDGEWAY, M.D., CCF OFFICER & DIRECTOR 24589 EMPLOYMENT AGREEMENT WITH CCF 0 X 9 3281344 APPRAISAL X 107559 SALE COMPARABLE GOODS X 1 425000 COST X 246 26915405 AVERAGE HIGH/LOW X 2 117000 APPRAISAL X 32 400620 COST X 8 72129 COST X EVENT TICKETS 16 361800 COST 3 0 1 1 PART I, LINE 32B: CLEVELAND CLINIC HEALTH SYSTEM WILL AT TIMES HIRE INDEPENDENT THIRD PARTIES TO SELL CERTAIN NON-CASH CONTRIBUTIONS SUCH AS AUCTION ITEMS OR REAL ESTATE. FORM 990, PART III, PROGRAM SERVICE STATEMENT CLEVELAND CLINIC, HEADQUARTERED IN CLEVELAND, OHIO, IS A NONPROFIT, TAX-EXEMPT ACADEMIC MEDICAL CENTER THAT INTEGRATES CLINICAL AND HOSPITAL CARE WITH RESEARCH AND EDUCATION. THE CLEVELAND CLINIC FOUNDATION IS THE PARENT OF THE CLEVELAND CLINIC HEALTH SYSTEM. CLEVELAND CLINIC WAS ESTABLISHED IN 1921. IN JANUARY 2021 AS THE CLINIC CELEBRATED ITS CENTENNIAL YEAR A NEW MISSION STATEMENT WAS UNVEILED: CARING FOR LIFE, RESEARCHING FOR HEALTH AND EDUCATING THOSE WHO SERVE. THE NEW MISSION STATEMENT STAYS TRUE TO THE PAST, ENCOMPASSES THE PRESENT, AND OUTLINES THE FUTURE OF THE ORGANIZATION. CONSISTENT WITH ITS TRIPARTITE MISSION, CLEVELAND CLINIC'S PRIMARY PROGRAM SERVICES ARE FOCUSED ON PATIENT CARE PROVIDED ON A CHARITABLE BASIS, MEDICAL RESEARCH, AND EDUCATION OF BOTH MEDICAL PROFESSIONALS AND THE COMMUNITY. THE FOUNDERS RECOGNIZED THAT IT IS IN THE BEST INTEREST OF PATIENTS TO POOL THE TALENTS OF MEDICAL SPECIALISTS TO DEVELOP, TEACH AND APPLY THE BEST MEDICAL TECHNIQUES. THIS STATEMENT IS NOT INTENDED TO IDENTIFY ALL THE ACTIVITIES BY WHICH CLEVELAND CLINIC HEALTH SYSTEM FULFILLS ITS CHARITABLE PURPOSES, BUT RATHER IS A SUMMARY OF ITS PRIMARY PROGRAM SERVICES AND CONTRIBUTIONS TO THE COMMUNITY. THE CLEVELAND CLINIC HEALTH SYSTEM DEFINES AND MEASURES COMMUNITY BENEFIT (INCLUDING FINANCIAL ASSISTANCE) USING THE CATHOLIC HEALTH ASSOCIATION ("CHA") COMMUNITY BENEFIT MODEL, WHICH RECOMMENDS REPORTING FINANCIAL ASSISTANCE ON A COST BASIS. USING THIS MODEL, IN 2021 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $1.41 BILLION IN BENEFITS TO THE COMMUNITIES SERVED. THE COMMUNITY BENEFIT THAT THE CLEVELAND CLINIC HEALTH SYSTEM PROVIDES INCLUDES PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH, EDUCATION, MEDICAID SHORTFALL, SUBSIDIZED HEALTH SERVICES, AND COMMUNITY OUTREACH PROGRAMS. THE CURRENT COMMUNITY BENEFIT REPORT IS AVAILABLE AT CLEVELANDCLINIC.ORG. (COMMUNITY BENEFIT AMOUNTS REPORTED IN THIS PROGRAM SERVICE STATEMENT REFER TO THE CLEVELAND CLINIC'S 2021 COMMUNITY CONNECTIONS, BASED ON THE CHA REPORTING METHODOLOGY. COVID-19 ON MARCH 11, 2020, THE WORLD HEALTH ORGANIZATION DECLARED THE NOVEL CORONAVIRUS DISEASE (COVID-19) OUTBREAK A GLOBAL PANDEMIC. THE GOVERNORS OF OHIO AND FLORIDA DECLARED A STATE OF EMERGENCY FOR THEIR RESPECTIVE STATES RELATED TO THE COVID-19 OUTBREAK ON MARCH 9, 2020, AND A NATIONAL STATE OF EMERGENCY IN THE U.S. WAS DECLARED ON MARCH 13, 2020. THE SYSTEM IS WORKING WITH PUBLIC HEALTH PARTNERS AT ALL LEVELS TO MAINTAIN THE HEALTH AND SAFETY OF PATIENTS, VISITORS AND CAREGIVERS TO PREVENT THE SPREAD OF COVID-19. THE SYSTEM IS ALSO PROVIDING EXTENSIVE EDUCATION TO PATIENTS ON THE PRECAUTIONS THAT HAVE BEEN IMPLEMENTED TO KEEP PATIENTS AND CAREGIVERS SAFE DURING THEIR APPOINTMENTS AND PROCEDURES. THROUGHOUT THE PANDEMIC THE SYSTEM HAS REMAINED FOCUSED ON CREATING A SAFE ENVIRONMENT FOR PATIENTS AND CAREGIVERS TO ENSURE THE AVAILABILITY OF CARE FOR EARLY IDENTIFICATION OF DISEASES AND HELPING PATIENTS IN MANAGING CHRONIC DISEASES. SINCE THE BEGINNING OF THE PANDEMIC, THE SYSTEM HAS PROVIDED CARE TO MORE THAN 40,000 COVID-19 PATIENTS ADMITTED TO ITS OHIO AND FLORIDA FACILITIES. IN OHIO, THE SYSTEM HAS CARED FOR APPROXIMATELY 25% OF ALL PATIENTS HOSPITALIZED WITH COVID-19. DURING THE EARLY PHASE OF THE PANDEMIC, THE SYSTEM ESTABLISHED TESTING SITES IN ITS COMMUNITIES TO HELP SLOW THE SPREAD OF COVID-19. THE SYSTEM WAS ONE OF THE FIRST HEALTH SYSTEMS TO OFFER COVID-19 TESTING WHEN THE PANDEMIC BEGAN AND HAS PERFORMED MORE THAN 1.3 MILLION TESTS IN ITS LABORATORIES IN OHIO AND FLORIDA. I. PATIENT CARE THE CLEVELAND CLINIC HEALTH SYSTEM (SYSTEM) IS A WORLD-RENOWNED PROVIDER OF HEALTHCARE SERVICES THAT ATTRACTED PATIENTS FROM ACROSS THE UNITED STATES AND FROM 131 OTHER COUNTRIES IN 2021. AS OF DECEMBER 31, 2021, THE SYSTEM OPERATES 19 HOSPITALS AND IS THE LEADING PROVIDER OF HEALTHCARE SERVICES IN NORTHEAST OHIO. FOURTEEN OF THE HOSPITALS ARE OPERATED IN THE NORTHEAST OHIO AREA, ANCHORED BY THE CLEVELAND CLINIC FOUNDATION (CLINIC). THE SYSTEM OPERATES 21 OUTPATIENT FAMILY HEALTH CENTERS, 11 AMBULATORY SURGERY CENTERS, AS WELL AS NUMEROUS PHYSICIAN OFFICES, WHICH ARE LOCATED THROUGHOUT NORTHEAST OHIO, AND SPECIALIZED CANCER CENTERS IN SANDUSKY AND MANSFIELD, OHIO. IN FLORIDA, THE SYSTEM OPERATES FIVE HOSPITALS AND A CLINIC LOCATED THROUGHOUT SOUTHEAST FLORIDA, OUTPATIENT FAMILY HEALTH CENTERS IN PORT ST. LUCIE, STUART AND WEST PALM BEACH, AN OUTPATIENT FAMILY HEALTH AND AMBULATORY SURGERY CENTER IN CORAL SPRINGS AND NUMEROUS PHYSICIAN OFFICES LOCATED THROUGHOUT SOUTHEAST FLORIDA. IN ADDITION, THE SYSTEM OPERATES A HEALTH AND WELLNESS CENTER AND A SPORTS MEDICINE CLINIC IN TORONTO, CANADA AND A SPECIALIZED NEUROLOGICAL CLINICAL CENTER IN LAS VEGAS, NEVADA. CLEVELAND CLINIC LONDON COMPLETED CONSTRUCTION OF THE HOSPITAL AND BEGAN TO SERVICE PATIENTS ON MARCH 29, 2022. IN SEPTEMBER 2021, CLEVELAND CLINIC LONDON OPENED AN OUTPATIENT FACILITY LOCATED NEAR THE HOSPITAL. PURSUANT TO AGREEMENTS, THE SYSTEM ALSO PROVIDES MANAGEMENT SERVICES FOR ASHTABULA COUNTY MEDICAL CENTER, LOCATED IN ASHTABULA, OHIO, AND CLEVELAND CLINIC ABU DHABI, A MULTISPECIALTY HOSPITAL OFFERING CRITICAL AND ACUTE CARE SERVICES THAT IS PART OF MUBADALA DEVELOPMENT COMPANY'S NETWORK OF HEALTHCARE FACILITIES LOCATED IN ABU DHABI, UNITED ARAB EMIRATES. CLEVELAND CLINIC HEALTH SYSTEM IS DEDICATED TO THE COMMUNITIES IT SERVES STRIVING TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE TO ALL WHO NEED IT; AND SUPPORTING PROGRAMS AND INITIATIVES THAT IMPROVE THE HEALTH AND WELL-BEING OF ITS COMMUNITIES. THROUGH ITS FINANCIAL ASSISTANCE EFFORTS AND AS A LEADING MEDICAID PROVIDER IN OHIO, CLEVELAND CLINIC PROVIDES HEALTHCARE TO THOSE WHO OTHERWISE COULD NOT AFFORD IT. IN 2021, CLEVELAND CLINIC RECORDED 5,128 TOTAL STAFFED BEDS, 892,394 EMERGENCY VISITS, 259,289 SURGICAL CASES, 247,301 ADMISSIONS, AND MORE THAN 10.2 MILLION TOTAL CLINIC VISITS. IT IS THE POLICY OF CLEVELAND CLINIC HEALTH SYSTEM TO TREAT ALL PATIENTS WITH COMPASSION, DIGNITY AND RESPECT, REGARDLESS OF THEIR RACE, CREED, OR ABILITY TO PAY. CLEVELAND CLINIC'S PATIENT CARE SERVICES ARE PROVIDED VIA PATIENT-ORIENTED INSTITUTES, WHICH ARE STRUCTURED ON THE BASIS OF ORGAN SYSTEM OR DISEASE. THE INSTITUTES FACILITATE A MULTIDISCIPLINARY APPROACH, AND ARE DESIGNED TO ENHANCE CONVENIENCE FOR PATIENTS AND THE EXCHANGE OF KNOWLEDGE, RESEARCH AND EDUCATIONAL COLLABORATION FOR BETTER PATIENT OUTCOMES. SOME OF THE INSTITUTES ARE: ANESTHESIOLOGY & PAIN MANAGEMENT; CANCER CENTER/TAUSSIG CANCER; CLEVELAND CLINIC CHILDREN'S AND PEDIATRIC INSTITUTE, COMMUNITY CARE; DERMATOLOGY & PLASTIC SURGERY INSTITUTE; DIGESTIVE DISEASE & SURGERY INSTITUTE; EMERGENCY SERVICES INSTITUTE; ENDOCRINOLOGY & METABOLISM INSTITUTE; OPHTHALMOLOGY INSTITUTE (COLE); GENOMICS; HEAD & NECK INSTITUTE; HEART, VASCULAR & THORACIC INSTITUTE (SYDELL AND ARNOLD MILLER FAMILY); IMAGING INSTITUTE; NEUROLOGICAL INSTITUTE; NURSING INSTITUTE (STANLEY SHALOM ZIELONY); OB/GYN & WOMEN'S HEALTH INSTITUTE; ORTHOPAEDIC & RHEUMATOLOGIC INSTITUTE; PATHOLOGY & LABORATORY MEDICINE; RESPIRATORY INSTITUTE; AND UROLOGY & KIDNEY INSTITUTE (GLICKMAN); RESEARCH; QUALITY & PATIENT SAFETY. NOTABLE ACHIEVEMENTS CLEVELAND CLINIC WAS AGAIN RECOGNIZED FOR ITS QUALITY OF CARE IN U.S. NEWS & WORLD REPORT'S PRESTIGIOUS ANNUAL AMERICA'S BEST HOSPITALS SURVEY IN 2021. OVERALL, CLEVELAND CLINIC WAS AMONG THE NATION'S BEST HOSPITALS, EARNING THE NO. 2 RANKING. FOR THE 27TH CONSECUTIVE YEAR, CLEVELAND CLINIC RANKED BEST IN THE NATION FOR CARDIOLOGY AND HEART SURGERY, EARNING THE NO. 1 SPOT. 11 CLEVELAND CLINIC SPECIALTIES ALSO RANKED IN THE TOP 10. OF THESE, EIGHT PLACED IN THE TOP 5 INCLUDING: CARDIOLOGY & HEART SURGERY; UROLOGY; GASTROENTEROLOGY AND GASTROINTESTINAL SURGERY; RHEUMATOLOGY; PULMONOLOGY AND LUNG SURGERY; CANCER; GERIATRICS AND GYNECOLOGY. CLEVELAND CLINIC WAS NATIONALLY RANKED IN 13 ADULT SPECIALTIES AND 10 CHILDREN'S SPECIALTIES. CLEVELAND CLINIC WAS ALSO RATED HIGH PERFORMING IN NINE PROCEDURES AND CONDITIONS. CLEVELAND CLINIC HAS ACHIEVED THE DISTINGUISHED MAGNET RECOGNITION. MAGNET STATUS IS THE HIGHEST NATIONAL RECOGNITION AWARDED TO A HOSPITAL OR MEDICAL CENTER FOR EXCELLENCE IN NURSING. AMERICAN NURSES CREDENTIALING CENTER, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. FOR THE ELEVENTH TIME IN THE PAST 13 YEARS, CLEVELAND CLINIC HAS BEEN RECOGNIZED AS ONE OF THE WORLD'S MOST ETHICAL COMPANIES. CLEVELAND CLINIC IS ONE OF JUST FIVE HEALTHCARE PROVIDERS WORLDWIDE ON THE 2021 LIST BY THE ETHISPHERE INSTITUTE, WHICH DESCRIBES ITSELF AS "ADVANCING THE STANDARDS OF ETHICAL BUSINESS PRACTICES THAT FUEL CORPORATE CHARACTER, MARKETPLACE TRUST AND BUSINESS SUCCESS". FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED) CLEVELAND CLINIC RECEIVED THE ENVIRONMENTAL EXCELLENCE AWARD FROM PRACTICE GREENHEALTH. PRACTICE GREENHEALTH RECOGNIZES ORGANIZATIONS WITHIN THE HEALTHCARE SECTOR THAT SUPPORT AND CREATE BETTER, SAFER, AND GREENER WORKPLACES AND COMMUNITIES. IN 2021, CLEVELAND CLINIC AND ITS FACILITIES RECEIVED: THE ENVIRONMENTAL EXCELLENCE AWARD, WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY, COVERING A RANGE OF DIFFERENT SUSTAINABILITY PROGRAMS AND ACTIVITIES. WINNERS HAVE ALSO MADE SUBSTANTIVE PROGRESS ON MERCURY ELIMINATION. FOUNDED IN 1914, AKRON GENERAL IS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT SERVES AS THE HUB FOR CLEVELAND CLINIC'S SOUTHERN REGION. THE 469 STAFFED BED TEACHING AND RESEARCH MEDICAL CENTER INCLUDES LODI HOSPITAL AND HEALTH & WELLNESS CENTERS. THE LEVEL 1 TRAUMA CENTER, AS DESIGNATED BY THE AMERICAN COLLEGE OF SURGEONS, OFFERS THE TECHNOLOGY, EXPERTISE, AND STAFFING TO TREAT ALL INJURIES REGARDLESS OF SEVERITY. IN 2021 U.S. NEWS & WORLD REPORT RANKED AKRON GENERAL AS THE SEVENTH BEST HOSPITAL IN OHIO AND THE NUMBER ONE HOSPITAL IN AKRON. AKRON GENERAL WAS ALSO RANKED AS HIGH PERFORMING IN SEVEN ADULT MEDICAL SPECIALTIES AND NINE COMMON ADULT PROCEDURES AND CONDITIONS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS MAGNET STATUS DESIGNATION TO AKRON GENERAL. AKRON GENERAL IS ACCREDITED BY JOINT COMMISSION, ALSO RECEIVING ITS GOLD SEAL OF APPROVAL STROKE CARE. IT IS SUMMIT COUNTY'S FIRST ACCREDITED CHEST PAIN CENTER, MEETING STRICT CRITERIA FROM THE SOCIETY OF CHEST PAIN CENTERS AND PROVIDERS. AKRON GENERAL'S MCDOWELL CANCER INSTITUTE IS THE ONLY AKRON CANCER HOSPITAL TO RECEIVE AN OUTSTANDING ACHIEVEMENT AWARD FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. AKRON GENERAL PARTICIPATES IN NATIONAL CANCER INSTITUTE (NCI) SPONSORED CLINICAL TRIALS, AS WELL AS PHARMACEUTICAL INDUSTRY SPONSORED TRIALS. MEMBERSHIP IN SIX NCI COOPERATIVE GROUPS PROVIDES PATIENTS WITH ACCESS TO A WIDE MENU OF CLINICAL TRIALS. IN 2021, AKRON GENERAL WAS AWARDED THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY. AKRON GENERAL WAS NATIONALLY RECOGNIZED FOR THE WELLNESS PHILOSOPHY - HEALTH & WELLNESS CENTER, LIFESTYLES AND FITNESS PROGRAMS THAT INCORPORATES INTEGRATED OUTPATIENT CLINICAL CARE, PREVENTION, REHABILITATION AND NUTRITIONAL COUNSELING. OPENED IN NOVEMBER 2016, AVON HOSPITAL HAS 126 STAFFED BEDS AND PROVIDES INPATIENT AND OUTPATIENT SERVICES. THE FIVE STORY HOSPITAL WAS DESIGNED TO ACCOMMODATE FUTURE ADVANCES IN MEDICAL CARE. AVON HOSPITAL'S FEATURES INCLUDE SIX OPERATING ROOMS, INTENSIVE CARE UNIT, IMAGING AND RADIOLOGY, PHARMACY AND LABORATORY SERVICES, A CARDIAC CATHETERIZATION LABORATORY AS WELL AS AN EXPANDED EMERGENCY DEPARTMENT. AVON HOSPITAL HAS OBTAINED AN ADVANCED CERTIFICATION FOR PRIMARY STROKE BY THE JOINT COMMISSION. IN ADDITION, IN 2021, AVON HOSPITAL RECEIVED THE ANTHEM BLUE DISTINCTION CENTER FOR KNEE AND HIP REPLACEMENT. IN 2021, AVON HOSPITAL WAS AWARDED THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY. FOUNDED IN 1907, EUCLID HOSPITAL HAS BECOME ONE OF THE REGION'S LEADING SUB-ACUTE CARE, OUTPATIENT REHABILITATION AND ORTHOPEDIC CENTERS. THE HOSPITAL, WITH 126 STAFFED BEDS, OFFERS A COMPLETE CONTINUUM OF CARE WITH NATIONALLY RENOWNED SPECIALTIES THAT INCLUDE: SUB-ACUTE CARE, CLEVELAND CLINIC NEURO-REHABILITATION PROGRAM, EMERGENCY DEPARTMENT, GERIATRIC ASSESSMENT PROGRAM, HEALING GARDEN WITH LAKEFRONT VIEWS, ORTHOPEDICS, AND OUTPATIENT REHABILITATION. IN 2021, EUCLID HOSPITAL WAS AWARDED THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY. FOUNDED IN 1892, FAIRVIEW HOSPITAL IS A FAITH-BASED COMMUNITY HOSPITAL WITH 494 STAFFED BEDS. IT IS A FULLY ACCREDITED HOSPITAL BY THE JOINT COMMISSION, WITH A CERTIFIED LEVEL II TRAUMA CENTER. CLEVELAND CLINIC CANCER CENTER AT FAIRVIEW HOSPITAL, HAS BEEN AWARDED THE OUTSTANDING ACHIEVEMENT AWARD BY THE AMERICAN COLLEGE OF SURGEONS, COMMISSION ON CANCER. THE HOSPITAL ALSO RECEIVED THE AMERICAN DIABETES ASSOCIATION EDUCATION RECOGNITION CERTIFICATE FOR ITS QUALITY DIABETES SELF-MANAGEMENT EDUCATION PROGRAM. FAIRVIEW HOSPITAL'S ADDITIONAL STRONG CLINICAL CENTERS OF EXCELLENCE INCLUDE: BIRTHING CENTER, HEART SURGERY, CANCER, AND SURGERY. FAIRVIEW IS ALSO DEVELOPING A NATIONAL REPUTATION IN BLOOD CONSERVATION, EDUCATION AND RESEARCH THROUGH ITS CENTER FOR BLOOD CONSERVATION. IN 2021, U.S. NEWS & WORLD REPORT RECOGNIZED FAIRVIEW HOSPITAL AS THE NUMBER FOUR HOSPITAL IN THE CLEVELAND METROPOLITAN AREA AND NUMBER SIX IN OHIO. FAIRVIEW HOSPITAL WAS NATIONALLY RANKED FOR NEUROLOGY & NEUROSURGERY AND ORTHOPEDICS AND HIGHEST PERFORMING IN FOUR OTHER SPECIALTIES. FAIRVIEW ALSO ACHIEVED THE HIGH PERFORMING RATING IN TEN COMMON ADULT PROCEDURES AND CONDITIONS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS MAGNET STATUS TO FAIRVIEW HOSPITAL. ANCC, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. IN 2021, FAIRVIEW HOSPITAL WAS AWARDED THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY. FAIRVIEW HOSPITAL WAS RECOGNIZED BY THOMSON REUTERS IN THE TOP 100 HOSPITALS, CATEGORIES INCLUDE LOWER INPATIENT MORTALITY, FEWER PATIENT COMPLICATIONS, PROVIDED FASTER EMERGENCY CARE, KEPT INPATIENT EXPENSES LOW WHILE STILL MAINTAINING A HEALTHY FINANCIAL ENVIRONMENT AND SCORED HIGHER ON PATIENT RATINGS OF THEIR OVERALL HOSPITAL EXPERIENCE. OPENED IN NOVEMBER 1968, HILLCREST HOSPITAL HAS 452 STAFFED HOSPITAL BEDS. HILLCREST HOSPITAL HAS BEEN NATIONALLY RECOGNIZED 12 TIMES AS ONE OF AMERICA'S 100 TOP HOSPITALS, A DESIGNATION BASED ON EXTENSIVE RESEARCH OF U.S. HOSPITALS, AS CONDUCTED BY THOMSON REUTERS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS MAGNET STATUS TO HILLCREST HOSPITAL. ANCC, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. IN THE 2021 U.S. NEWS & WORLD REPORT, HILLCREST HOSPITAL WAS NATIONALLY RANKED IN THREE ADULT SPECIALTIES, CARDIOLOGY & HEART SURGERY, GASTROENTEROLOGY & GI SURGERY AND NEUROLOGY & NEUROSURGERY, AND AS HIGH PERFORMING IN FIVE OTHER ADULT SPECIALTIES. HILLCREST ALSO ACHIEVED HIGH PERFORMING RATINGS IN 10 COMMON ADULT PROCEDURES AND CONDITIONS. THE HOSPITAL IS ALSO RANKED THIRD AMONG CLEVELAND -AREA HOSPITALS AND FOURTH IN THE STATE OF OHIO. HILLCREST HOSPITAL HOLDS ACCREDITATION FROM THE JOINT COMMISSION ON ACCREDITATION OF HEALTH ORGANIZATIONS AND FULL ACCREDITATION WITH PERCUTANEOUS CORONARY INTERVENTION ("PCI") FROM THE SOCIETY OF CHEST PAIN CENTERS. IN THE CONSUMER GUIDE TO OHIO HOSPITAL QUALITY, HILLCREST RECEIVED THE HIGHEST POSSIBLE RANKING IN FIVE CARDIAC CATEGORIES, INCLUDING ANGIOPLASTY, CARDIAC CATHETERIZATION, CAROTID (NECK) ARTERY SURGERY, CONGESTIVE HEART FAILURE AND CORONARY ARTERY BYPASS GRAFT. IN 2021, HILLCREST HOSPITAL WAS AWARDED THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY. OPENED IN 1896, LUTHERAN HOSPITAL IS A 132 STAFFED BED HOSPITAL OFFERING QUALITY MEDICAL CARE, CUTTING-EDGE TECHNOLOGY AND ADVANCED RESEARCH AND SURGERY. LUTHERAN OFFERS EXPERT CARE IN AREAS SUCH AS ORTHOPEDICS, SPINE, PAIN MANAGEMENT, GENERAL SURGERY, BEHAVIORAL HEALTH, ALCOHOL AND DRUG RECOVERY, WOUND CARE, LAB AND IMAGING SERVICES, AND EMERGENCY MEDICINE. AMONG THE COMMUNITY HOSPITALS NATIONWIDE, LUTHERAN HOSPITAL HAS PLACED #1 IN 2019, WINNING THE VIZIENT BERNARD A. BIRNBAUM, MD, QUALITY LEADERSHIP AWARD FOR EXCELLENCE IN DELIVERING SAFE, PATIENT-CENTERED CARE THAT IS TIMELY, EFFECTIVE, EFFICIENT, AND EQUITABLE. IN THE 2021 U.S. NEWS & WORLD REPORT, LUTHERAN HOSPITAL ACHIEVED HIGH PERFORMING IN TWO ADULT PROCEDURES & CONDITIONS. THE JOINT COMMISSION, THE LEADING ACCREDITOR OF HEALTHCARE ORGANIZATIONS IN THE UNITED STATES, HAS ALSO RECOGNIZED LUTHERAN HOSPITAL AS A TOP PERFORMER ON KEY QUALITY MEASURES. LUTHERAN WAS AWARDED THE PATHWAY TO EXCELLENCE DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). THIS DESIGNATION IS EARNED BY HEALTHCARE ORGANIZATIONS THAT DEMONSTRATE COMMITMENT TO CREATING A POSITIVE PRACTICE ENVIRONMENT THAT EMPOWERS AND ENGAGES STAFF. IN 2021, LUTHERAN HOSPITAL WAS AWARDED THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY. FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED) FOUNDED IN 1949, MARYMOUNT HOSPITAL IS A 218 STAFFED BED ACUTE CARE HOSPITAL PROVIDING ADVANCED HEALTH CARE, GUIDED BY THE VALUES OF SERVICE, COMPASSION, DIGNITY, AND RESPECT. IN 2021, U.S. NEWS & WORLD REPORT RECOGNIZED MARYMOUNT HOSPITAL AS HIGH PERFORMING IN THREE ADULT PROCEDURES & CONDITIONS. IN 2021, MARYMOUNT WAS AWARDED THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY. MARYMOUNT HOLDS A NUMBER OF CERTIFICATIONS AND ACCREDITATIONS INCLUDING: CERTIFICATION FROM AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER; CERTIFIED AS A PRIMARY STROKE CENTER BY THE JOINT COMMISSION FOR HOSPITAL ACCREDITATION, AN ACCREDITED HOSPITAL PROGRAM BY THE JOINT COMMISSION, A BEHAVIORAL HEALTH PROGRAM ACCREDITED BY THE JOINT COMMISSION, LAB ACCREDITED BY THE COLLEGE OF AMERICAN PATHOLOGIST (CAP) AND AMERICAN ASSOCIATION OF BLOOD BANKS, ACCREDITED BY AMERICAN COLLEGE OF RADIOLOGY FOR MAMMOGRAPHY AND MAGNETIC RESONANCE IMAGING (MRI), AND CERTIFICATION BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. FOUNDED IN 1944, MEDINA HOSPITAL IS A 148 STAFFED BED ACUTE CARE FACILITY. MEDINA'S STRONG CLINICAL CENTERS OF EXCELLENCE INCLUDE EMERGENCY DEPARTMENT, ORTHOPEDICS, AND SURGERY. THE HOSPITAL FEATURES MORE THAN 300 PHYSICIANS COVERING MORE THAN 30 AREAS OF SPECIALIZATION. MEDINA WAS AWARDED THE PATHWAY TO EXCELLENCE DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). THIS DESIGNATION IS EARNED BY HEALTHCARE ORGANIZATIONS THAT DEMONSTRATE COMMITMENT TO CREATING A POSITIVE PRACTICE ENVIRONMENT THAT EMPOWERS AND ENGAGES STAFF. IN 2021, U.S. NEWS & WORLD REPORT RECOGNIZED MEDINA HOSPITAL AS HIGH PERFORMING IN TWO ADULT PROCEDURES & CONDITIONS. IN 2021, MEDINA WAS AWARDED THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY. MEDINA HOSPITAL CURRENTLY HOLDS ACCREDITATIONS FROM THE COLLEGE OF AMERICAN PATHOLOGISTS (CAP) FOR THE LABORATORY AND RESPIRATORY THERAPY BLOOD GAS LAB, AN ACCREDITED HOSPITAL PROGRAM FOR ONCOLOGY FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION, AND CERTIFICATION FROM THE AMERICAN COLLEGE OF RADIOLOGY (ACR) FOR MAMMOGRAPHY, MRI AND ULTRASOUND. ON FEBRUARY 1, 2021, THE CLINIC BECAME THE SOLE MEMBER OF CLEVELAND CLINIC MERCY, FORMALLY KNOWN AS MERCY MEDICAL CENTER PURSUANT TO THE TERMS OF A MEMBER SUBSTITUTION AGREEMENT WITH THE SISTERS OF CHARITY OF ST. AUGUSTINE HEALTH SYSTEM, THE PRIOR SOLE MEMBER OF MERCY. MERCY IS A 377 LICENSED BED HOSPITAL SERVING STARK, CARROLL, WAYNE, HOLMES, AND TUSCARAWAS COUNTIES AND PARTS OF SOUTHEASTERN OHIO. BECOMING A FULL MEMBER OF THE CLINIC IS EXPECTED TO RESULT IN MANY BENEFITS, INCLUDING EXPANDING HIGH-QUALITY SERVICES, IMPROVING TECHNOLOGY, PROVIDING SUPPORT AND INVESTMENT TO ADDRESS ADDITIONAL NEEDS IN THE COMMUNITY, BUILDING OPPORTUNITIES FOR PHYSICIAN COLLABORATION AND INCREASING ACCESS TO HIGHLY SPECIALIZED SERVICES FOR PATIENTS IN STARK COUNTY AND SURROUNDING COMMUNITIES. SOUTH POINTE HOSPITAL, IS A 172 STAFFED BED ACUTE CARE, COMMUNITY TEACHING HOSPITAL WHICH HAS BEEN SERVICING THE HEALTHCARE NEEDS OF ITS COMMUNITY SINCE 1957. SOUTH POINTE DELIVERS A PATIENT CENTERED MODEL OF CARE WHICH PROMOTES THE HEALING OF THE MIND, BODY AND SPIRIT. IN 2021 U.S. NEWS & WORLD REPORT RECOGNIZED SOUTH POINTE HOSPITAL AS HIGH PERFORMING IN THREE ADULT MEDICAL SPECIALTIES AND FOUR COMMON ADULT PROCEDURES AND CONDITIONS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS MAGNET STATUS TO SOUTH POINTE. ANCC, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. IN 2021, SOUTH POINTE HOSPITAL WAS AWARDED THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY. SOUTH POINTE'S CANCER PROGRAM HAS A FOUR YEAR ACCREDITATION BY THE COMMISSION ON CANCER FOR THE AMERICAN COLLEGE OF SURGEONS. FOUNDED IN 1906, UNION HOSPITAL IS A 96 STAFFED BED HOSPITAL. THE HOSPITAL'S 25 ACRE MEDICAL CAMPUS INCLUDES PHYSICIAN OFFICE BUILDINGS, OUTPATIENT REHABILITATION AND SPORTS MEDICINE CENTER, AND A MENTAL HEALTHCARE AGENCY. OFF CAMPUS FACILITIES INCLUDE AN AMBULATORY SURGERY CENTER, OCCUPATIONAL MEDICINE AND AN URGENT CARE CENTER. IN 2021 U.S. NEWS & WORLD REPORT RECOGNIZED UNION HOSPITAL AS HIGH PERFORMING IN TWO COMMON ADULT PROCEDURES AND CONDITIONS. UNION HOSPITAL HAS BEEN NAMED TO THE LIST OF THE 100 GREAT COMMUNITY HOSPITALS BY BECKER'S HOSPITAL REVIEW, A MONTHLY PUBLICATION OF BUSINESS AND LEGAL NEWS FOR HOSPITAL EXECUTIVES. IT IS ONE OF SIX HOSPITALS NATIONWIDE RECOGNIZED AS A TOP PERFORMING HOSPITAL IN THE MIDAS+ PLATINUM QUALITY AWARD PROGRAM. IN ADDITION, IT ACHIEVED CERTIFICATION AS A PRIMARY STROKE CENTER. UNION HOSPITAL HAS ALSO BEEN DESIGNATED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY, INDICATING THAT BREAST IMAGING AT UNION MEETS THE HIGHEST STANDARDS OF THE RADIOLOGY PROFESSION. AS A RECOGNITION OF A TOP-PERFORMING HOME HEALTH AGENCY, HOMECARE ELITE IDENTIFIES THE TOP 25 PERCENT OF MEDICARE-CERTIFIED AGENCIES. FOR THE FOURTH CONSECUTIVE YEAR IN A ROW, UNION HOSPITAL HOME HEALTH HAS ACHIEVED TOP 500 STATUS AS RANKED BY HOME CARE ELITE. CLEVELAND CLINIC WESTON INCLUDES A 244 STAFFED BED HOSPITAL, DIAGNOSTIC CENTERS, OUTPATIENT SURGERY, AND A 24-HOUR EMERGENCY DEPARTMENT IN WESTON, FLORIDA. CLEVELAND CLINIC FLORIDA HAS LOCATIONS IN WESTON, WEST PALM BEACH, WELLINGTON, PALM BEACH GARDENS, PARKLAND, AND CORAL SPRINGS. IN 2021, CLEVELAND CLINIC FLORIDA HAD 586,268 PATIENT VISITS, 4,808 INTERNATIONAL PATIENT VISITS; AND MORE THAN 328 STAFF PHYSICIAN AND 132 RESIDENTS AND FELLOWS IN 11 ACCREDITED TRAINING PROGRAMS. IN 2021, U.S. NEWS & WORLD REPORT NATIONALLY RANKED ONE OF FLORIDA'S ADULT SPECIALTIES: GASTROENTEROLOGY & GI SURGERY. IT WAS ALSO HIGH PERFORMING IN FOUR ADULT SPECIALTIES AND 13 ADULT PROCEDURES & CONDITIONS. IN ADDITION, PRACTICE GREENHEALTH AWARDED IT WITH THE PARTNER FOR CHANGE AWARD. CLEVELAND CLINIC FLORIDA IS A WORLD-RENOWNED ACADEMIC MEDICAL CENTER WITH ONE OF THE LARGEST GRADUATE MEDICAL EDUCATION PROGRAMS IN SOUTH FLORIDA. FOR THE TWELFTH YEAR IN A ROW, CLEVELAND CLINIC FLORIDA RANKED HIGHEST AMONG HOSPITALS IN BROWARD COUNTY IN REGIONAL RANKINGS IN U.S. NEWS & WORLD REPORT'S RANKING OF BEST HOSPITALS 2021-2022. CLEVELAND CLINIC FLORIDA IS RANKED FIRST IN THE MIAMI-FT. LAUDERDALE METROPOLITAN REGION AND FIFTH IN THE STATE OF FLORIDA. CLEVELAND CLINIC FLORIDA HOLDS SEVERAL AWARDS, INCLUDING: NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS FROM THE AMERICAN COLLEGE OF SURGEONS, DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY, A 3 YEAR ACCREDITED CANCER PROGRAM, ADVANCED CERTIFICATION FOR PRIMARY CARE STROKE CENTERS FROM THE JOINT COMMISSION AND AMERICAN HEART ASSOCIATION, A COMPREHENSIVE STROKE CENTER DESIGNATION FROM FLORIDA'S AGENCY FOR HEALTH CARE ADMINISTRATION, A STROKE GOLD PLUS ACHIEVEMENT AWARD WITH TARGET STROKE HONOR ROLL ELITE PLUS FROM THE AMERICAN HEART ASSOCIATION, A TOP PERFORMER FOR ADVANCED CERTIFICATION IN VENTRICULAR ASSIST DEVICE (VAD) FROM JOINT COMMISSION, A FULLY ACCREDITED METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM FROM THE AMERICAN COLLEGE OF SURGEONS, THE LANTERN AWARD 2017-2021 FROM THE EMERGENCY NURSES ASSOCIATION, THE BEACON AWARD FROM AMERICAN ASSOCIATION OF CRITICAL CARE NURSES, AND A NATIONAL ACCREDITATION FOR RECTAL CANCER FROM THE AMERICAN COLLEGE OF SURGEONS. MARTIN MEMORIAL MEDICAL CENTER, INC. IS A NOT-FOR-PROFIT, TAX EXEMPT ORGANIZATION THAT OPERATES GENERAL ACUTE CARE FACILITIES IN STUART, PORT SALERNO, AND PORT ST. LUCIE, FLORIDA, WITH A TOTAL OF 344 BEDS AND ASSOCIATED ANCILLARY SERVICE DEPARTMENTS. THE MARTIN HEALTH SYSTEM'S PRIMARY MISSION IS TO PROVIDE QUALITY HEALTH CARE SERVICES TO CITIZENS OF MARTIN, ST. LUCIE, AND EASTERN OKEECHOBEE COUNTIES THROUGH ITS ACUTE AND AMBULATORY CARE FACILITIES. IN 2021 U.S. NEWS & WORLD REPORT RANKED MARTIN MEMORIAL HEALTH SYSTEM AS THE TWENTY-FIFTH BEST HOSPITALS IN FLORIDA. THE HOSPITAL ALSO ACHIEVED HIGH PERFORMING RATINGS IN EIGHT COMMON ADULT PROCEDURES AND CONDITIONS. MARTIN MEMORIAL HEALTH SYSTEM IS THE JOINT COMMISSION ACCREDITED; RANKING AMONG THE TOP 10 PERCENT OF HOSPITALS NATIONWIDE. THE HOSPITAL WAS ALSO AWARDED CERTIFICATION BY THE JOINT COMMISSION FOR THE PRIMARY STROKE CENTER, ORTHOPEDIC SPECIALTY CENTER AND PATIENT BLOOD MANAGEMENT PROGRAM. THE ROBERT AND CAROL WEISSMAN CANCER CENTER AT MARTIN HEALTH RECEIVED A THREE-YEAR ACCREDITATION WITH COMMENDATION FROM THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED) FOUNDED IN 1939 AS MARTIN COUNTY HOSPITAL, MARTIN NORTH HOSPITAL'S 244 BED FACILITY TREATS PATIENTS WITH MAJOR ILLNESSES OR INJURIES AND LIFE-THREATENING SYMPTOMS. THE CAMPUS IS HOME TO THE FRANCES LANGFORD HEART CENTER, THE ROBERT AND CAROL WEISSMAN CANCER CENTER, THE BACK AND SPINE CENTER AND A MINIMALLY INVASIVE SURGERY CENTER. MARTIN HEALTH OPENED THE SOUTH HOSPITAL ON SALERNO ROAD IN STUART IN 1992. THIS 100-BED HOSPITAL TREATS PATIENTS WITH MAJOR ILLNESSES OR INJURIES AND LIFE-THREATENING SYMPTOMS. THIS HOSPITAL IS HOME TO THE MARTIN HEALTH ORTHOPAEDIC SPECIALTY CENTER, A COMPREHENSIVE PROGRAM DEDICATED TO HELPING PATIENTS REGAIN INDEPENDENCE FOLLOWING ORTHOPAEDIC SURGERY. IN DECEMBER 2013, MARTIN HEALTH SYSTEM BROUGHT HIGH-QUALITY HEALTH CARE TO THE RESIDENTS OF WEST PORT ST. LUCIE WHEN THE DOORS TO TRADITION MEDICAL CENTER OPENED. THE STATE-OF-THE-ART ACUTE CARE FACILITY HAS A TOTAL OF NINE STORIES WITH 177 PATIENT ROOMS. FOUNDED IN 1932, INDIAN RIVER HOSPITAL HAS GROWN FROM A SMALL COMMUNITY HOSPITAL TO A 250 STAFFED BED HOSPITAL. INDIAN RIVER HOSPITAL SERVES AS THE AREA'S LEADING PROVIDER OF COMPREHENSIVE HIGH QUALITY HEALTH AND MEDICAL SERVICES AND IMPROVES THE HEALTH AND WELL-BEING OF THE PEOPLE OF AND COMMUNITIES SERVED. INDIAN RIVER HOSPITAL HAS BEEN DESIGNATED AS A BLUE DISTINCTION CENTER FOR CARDIAC CARE AND KNEE AND HIP REPLACEMENT BY FLORIDA BLUE AND AWARDED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL. IT HAS BEEN RECOGNIZED AS THE THIRTY-FIRST BEST HOSPITALS IN FLORIDA BY U.S. NEWS & WORLD REPORT. IN THE 2021 U.S. NEWS & WORLD REPORT, INDIAN RIVER HOSPITAL ACHIEVED HIGH PERFORMING IN SIX ADULT PROCEDURES AND CONDITIONS. INDIAN RIVER WAS AWARDED THE 2019 READERS CHOICE AWARD WINNER FOR BEST HOSPITALS AS VOTED BY THE HOMETOWN NEWS READERS OF VERO BEACH. INDIAN RIVER HAS ACHIEVED THE GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION. THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES ("AACN") RECENTLY CONFERRED A BRONZE-LEVEL BEACON AWARD FOR EXCELLENCE. THE AWARD RECOGNIZES UNIT CAREGIVERS WHO SUCCESSFULLY IMPROVE PATIENT OUTCOMES AND ALIGN PRACTICES WITH AACN'S SIX HEALTHY WORK ENVIRONMENT STANDARDS. INDIAN RIVER RECEIVED ACCREDITATION FROM: THE AMERICAN COLLEGE OF RADIOLOGY; A THREE YEAR TERM IN ULTRASOUND BY THE AMERICAN COLLEGE OF RADIOLOGY; COMPUTED TOMOGRAPHY BY THE AMERICAN COLLEGE OF RADIOLOGY; A CANCER PROGRAM ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER; AND IS DESIGNATED AS A CHEST PAIN CENTER V5 WITH PRIMARY PCI ACCREDITATION. THE CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN HEALTH IS A MULTIDISCIPLINARY CENTER, CO-LOCATED IN LAS VEGAS AND CLEVELAND PROVIDING DIAGNOSIS AND TREATMENT FOR PATIENTS WITH COGNITIVE DISORDERS AND SUPPORT FOR THEIR FAMILIES. PHYSICIANS AND STAFF FOCUS ON EARLY INTERVENTION FOR MILD COGNITIVE DISORDERS THROUGH PHYSICAL EXERCISE, COGNITIVE REHABILITATION, AND MEDICATION. THE CENTER ALSO ENGAGES IN EDUCATION AND RESEARCH ACTIVITIES. THE LOU RUVO CENTER FOR BRAIN HEALTH WAS NAMED A RESEARCH CENTER OF EXCELLENCE BY THE LEWY BODY DEMENTIA ASSOCIATION. IT HAS BEEN NAMED ONE OF THE FIRST FIVE CUREPSP CENTERS OF CARE IN THE UNITED STATES. IT IS ALSO THE ONLY PROGRAM IN SOUTHERN NEVADA TO RECEIVE THE PARTNERS IN CARE DESIGNATION FROM THE NATIONAL MULTIPLE SCLEROSIS SOCIETY. KEEP MEMORY ALIVE ("KMA") RAISES FUNDS TO OPERATE THE CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN HEALTH TO ADVANCE THE RESEARCH AND TREATMENT OF PATIENTS WITH NEUROCOGNITIVE DISORDERS THAT RESULT FROM NEUROLOGICAL DISEASES INCLUDING ALZHEIMER'S, HUNTINGTON'S, PARKINSON'S, AND AMYOTROPHIC LATERAL SCLEROSIS (ALS). KMA STRIVES TO CREATE GREATER AWARENESS OF NEUROCOGNITIVE DISORDERS; EDUCATE FAMILIES ABOUT TREATMENTS, RESEARCH EFFORTS, AND AVAILABLE CAREGIVER SERVICES; AND PROMOTES LIFESTYLE CHANGES TO ENCOURAGE HEALTHY BRAIN AGING. FINANCIAL ASSISTANCE THE CLEVELAND CLINIC FINANCIAL ASSISTANCE PROGRAM REPRESENTS THE COST OF PROVIDING FREE OR DISCOUNTED MEDICALLY NECESSARY CARE TO PATIENTS UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS. THE SYSTEM'S FINANCIAL ASSISTANCE POLICY PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED PATIENTS WITH INCOMES UP TO 400 PERCENT OF THE FEDERAL POVERTY LEVEL AND WHO MEET CERTAIN OTHER ELIGIBILITY CRITERIA BY STATE. THIS POLICY COVERS BOTH HOSPITAL CARE AND SERVICES PROVIDED BY THE SYSTEM'S EMPLOYED PHYSICIANS. PATIENTS WITH SPECIAL MEDICAL OR EXCEPTIONAL CIRCUMSTANCES MAY ALSO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY IS DESIGNED TO PREVENT MEDICAL BILLS FROM CAUSING A PATIENT OR FAMILY UNDUE FINANCIAL HARDSHIP. THE CLEVELAND CLINIC HEALTH SYSTEM PROVIDED FINANCIAL ASSISTANCE AT A COST OF $179.1 MILLION IN 2021. II. RESEARCH CLEVELAND CLINIC'S MISSION INCLUDES CONDUCTING RESEARCH TO ADVANCE BIOMEDICAL SCIENCE AND ULTIMATELY IMPROVE PATIENT CARE, PREVENT DISEASE, AND FIND CURES FOR MEDICAL ISSUES. THE CLEVELAND CLINIC HEALTH SYSTEM'S RESEARCH ACTIVITIES ARE INTENDED TO IMPROVE PATIENT CARE AND THE HEALTH OF THE PUBLIC AT LARGE, BY PROVIDING THE LATEST ADVANCES IN MEDICINE DIRECTLY TO PATIENTS AND BY REFINING THE PRACTICE OF MEDICINE THROUGH THE DEVELOPMENT AND PROMULGATION OF NEW TECHNIQUES, DEVICES, AND TREATMENT PROTOCOLS. CLEVELAND CLINIC'S LERNER RESEARCH INSTITUTE ("LRI") IS ITS RESEARCH INSTITUTE LOCATED ON THE MAIN CAMPUS AND HOME TO A COMPLETE SPECTRUM OF LABORATORY-, TRANSLATIONAL-, AND CLINICAL-BASED RESEARCH. LRI HAS APPROXIMATELY 210 FACULTY-LEVEL SCIENTISTS ORGANIZED IN THE FOLLOWING DEPARTMENTS: BIOMEDICAL ENGINEERING, CANCER BIOLOGY, CARDIOVASCULAR AND METABOLIC SCIENCES, GENOMIC MEDICINE, IMMUNOTHERAPY & PRECISION IMMUNO-ONCOLOGY, INFECTION BIOLOGY, INFLAMMATION AND IMMUNITY, NEUROSCIENCES, OPHTHALMIC RESEARCH, QUANTITATIVE HEALTH SCIENCES, AND TRANSLATIONAL HEMATOLOGY AND ONCOLOGY RESEARCH. LRI IS ONE OF THE LEADING NIH-FUNDED RESEARCH INSTITUTES IN THE UNITED STATES AND HAS SPEARHEADED NUMEROUS ADVANCES IN THE DIAGNOSIS AND TREATMENT OF COMPLEX MEDICAL PROBLEMS. SCIENTISTS AND THEIR TEAMS ARE PURSUING A WIDE RANGE OF BIOMEDICAL QUESTIONS AT LRI, INCLUDING THOSE RELATED TO CARDIOVASCULAR, CANCER, NEUROLOGICAL, MUSCULOSKELETAL, AND METABOLIC DISEASES. ALTOGETHER, NEARLY 1,600 SCIENTISTS AND SUPPORT PERSONNEL WORK AT LRI. THIS INCLUDES APPROXIMATELY 283 RESEARCH FELLOWS, 136 GRADUATE STUDENTS AND 131 UNDERGRADUATE STUDENTS. IN ADDITION TO BASIC PRE-CLINICAL RESEARCH, THE CLEVELAND CLINIC, ITS AFFILIATES, AND EMPLOYED PHYSICIANS PARTICIPATE OR ARE PRIMARY INVESTIGATORS IN MANY CLINICAL TRIALS. IN 2021, CLEVELAND CLINIC WAS INVOLVED IN APPROXIMATELY 3,200 ACTIVE INSTITUTIONAL REVIEW BOARD APPROVED HUMAN SUBJECTS' RESEARCH STUDIES. THE ONGOING COLLABORATION BETWEEN PHYSICIAN INVESTIGATORS AND STUDY VOLUNTEERS IS CENTRAL TO TESTING THE SAFETY AND EFFECTIVENESS OF DRUGS AND MEDICAL PROCEDURES AND HELPS TO SET THE STANDARDS FOR PATIENT CARE. RESEARCH AT CLEVELAND CLINIC IS FUNDED BY EXTERNAL SOURCES, SUCH AS FEDERAL GRANTS, BUT IS ALSO SUBSTANTIALLY SUPPORTED BY THE CLINIC'S OWN INTERNAL RESOURCES. IN 2021, CLEVELAND CLINIC PROVIDED COMMUNITY BENEFIT IN RESEARCH AT A SUBSIDIZED COST OF MORE THAN $101 MILLION, WHICH INCLUDED EXTERNALLY- SPONSORED FUNDING OF $224.4 MILLION. III. EDUCATION ON ITS MAIN CAMPUS, CLEVELAND CLINIC OPERATES A MEDICAL SCHOOL AND RELATED RESEARCH INSTITUTE. THE PRIMARY FOCUS OF CLEVELAND CLINIC LERNER COLLEGE OF MEDICINE OF CASE WESTERN RESERVE UNIVERSITY (THE "LERNER COLLEGE OF MEDICINE") IS THE TEACHING AND TRAINING OF MEDICAL STUDENTS WHO HAVE A PARTICULAR INTEREST IN RESEARCH. MANY CLEVELAND CLINIC PHYSICIANS SERVE AS FACULTY FOR THE LERNER COLLEGE OF MEDICINE, FURTHERING THE INTEGRATION OF CLINICAL CARE WITH RESEARCH AND EDUCATION. THE LERNER COLLEGE OF MEDICINE CURRENTLY PROVIDES ALL STUDENTS WITH FULL TUITION SCHOLARSHIPS. IN ADDITION TO TRAINING THE NATION'S FUTURE DOCTORS, CLEVELAND CLINIC SPONSORS A WIDE RANGE OF HIGH QUALITY MEDICAL EDUCATION TRAINING THROUGHOUT THE HEALTH SYSTEM INCLUDING ACCREDITED TRAINING PROGRAMS FOR NURSES AND HEALTH SCIENCE PROFESSIONALS. CLEVELAND CLINIC HEALTH SYSTEM DEVOTES SUBSTANTIAL RESOURCES TO EDUCATION PROGRAMS, WHICH, IN 2021, PROVIDED A NET COMMUNITY BENEFIT OF $322.2 MILLION. THESE EDUCATIONAL ACTIVITIES ENSURE RESIDENTS AND PATIENTS IN ALL OF THE CLEVELAND CLINIC HEALTH SYSTEM'S COMMUNITIES ARE RECEIVING THE HIGHEST STANDARD OF MEDICAL CARE AND HAVE TRAINED HEALTH PROFESSIONALS TO CARE FOR THEM IN THE FUTURE. SOME OF THESE EDUCATION PROGRAMS INCLUDE: -GRADUATE MEDICAL EDUCATION: CLEVELAND CLINIC MAINTAINS ONE OF THE LARGEST GRADUATE MEDICAL EDUCATION PROGRAMS IN THE COUNTRY. IN 2021, 1,452 RESIDENTS AND FELLOWS TRAINED IN 110 ACCREDITED TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 149 ADVANCED FELLOWS IN 93 FELLOWSHIP PROGRAMS. FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED) -LERNER COLLEGE OF MEDICINE: SINCE ITS INCEPTION IN MAY 2002, THE LERNER COLLEGE OF MEDICINE HAS LINKED ONE OF THE NATION'S TOP HOSPITALS WITH ONE OF THE NATION'S LEADING RESEARCH UNIVERSITIES. THERE WERE 2,099 APPLICANTS FOR 32 POSITIONS FOR THE 2021-22 ACADEMIC YEAR. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 139 PUBLICATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE BASED ON 2021 CALENDAR YEAR (WHICH INCLUDES PUBLISHED ARTICLES AND ABSTRACT SUBMISSIONS), AND 39 STUDENTS PARTICIPATED IN LOCAL AND NATIONAL MEETINGS WITH PRESENTATIONS AND POSTERS. -VISITING MEDICAL STUDENTS: VISITING MEDICAL STUDENT EDUCATION REPRESENTS A MAJOR ACADEMIC COMMITMENT BY CLEVELAND CLINIC. IN 2021, 134 MEDICAL STUDENTS FROM 58 MEDICAL SCHOOLS AROUND THE WORLD ROTATED THROUGH CLEVELAND CLINIC. -CENTER FOR CONTINUING EDUCATION: CLEVELAND CLINIC MAINTAINS ONE OF THE LARGEST CONTINUING MEDICAL EDUCATION (CME) PROGRAMS IN THE COUNTRY AND ENJOYS THE HIGHEST ACCME RANKING: ACCREDITATION WITH COMMENDATION. IN 2021, THE CENTER FOR CONTINUING EDUCATION CERTIFIED 1,841 CME ACTIVITIES THAT OFFERED OVER 11,384 CME CREDITS TO 273,684 PARTICIPANTS. OF THAT NUMBER, 1,186 WERE LIVE COURSES THAT ATTRACTED 150,231 PARTICIPANTS. CLEVELAND CLINIC IS ONE OF THE LARGEST PROVIDERS OF ONLINE CME AMONG THE NATION'S ACADEMIC MEDICAL CENTERS. THE CENTER'S WEBSITE HAD 646 ACTIVITIES THAT ATTRACTED 490,894 ACTIVITY VIEWERS. JOURNAL CME CONTINUES TO REACH A LARGE NUMBER OF LEARNERS, AWARDING MORE THAN 33,300 CERTIFICATES TO CLEVELAND CLINIC JOURNAL OF MEDICINE (CCJM) PARTICIPANTS. IN 2021, THE CENTER ISSUED 256,766 CERTIFICATES FOR ALL ACTIVITIES COMBINED. -THE CCJM ENJOYED A CIRCULATION OF MORE THAN 128,716 COPIES AND RANKED NO. 2 IN READERSHIP AMONG JOURNALS DIRECTED TO OFFICE-BASED INTERNISTS AND CARDIOLOGISTS. EACH YEAR, THE PRINT AND ONLINE VERSIONS ARE READ OR ACCESSED BY APPROXIMATELY 3.6 MILLION PEOPLE AROUND THE WORLD. IN 2021, THE CCJM WEBSITE RECORDED 10,466,780 PAGE VIEWS FROM 7,843,172 UNIQUE VISITORS. -CENTER FOR HEALTH SCIENCES EDUCATION: CLEVELAND CLINIC IS A MAJOR EDUCATION AND TRAINING SITE FOR A NUMBER OF ALLIED HEALTH STUDENTS FROM VARIOUS ACADEMIC PROGRAMS THROUGHOUT THE REGION. THE CLEVELAND CLINIC HEALTH SYSTEM CURRENTLY OFFERS 18 IN-HOUSE ALLIED HEALTH PROGRAMS AND HAS 47 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2021, CLEVELAND CLINIC HEALTH SYSTEM HOSTED MORE THAN 366,271 CLINICAL ROTATION HOURS FOR OVER 1,723 HEALTH SCIENCE STUDENTS. -CENTER FOR INTERNATIONAL MEDICAL EDUCATION: THE CENTER FOR INTERNATIONAL MEDICAL EDUCATION (CIME) IS RESPONSIBLE FOR COORDINATING CLEVELAND CLINIC'S INTERNATIONAL EDUCATIONAL INITIATIVES AND FOR ENSURING THE PROVISION OF HIGH QUALITY EDUCATIONAL EXPERIENCES FOR THE GLOBAL MEDICAL COMMUNITY. IV. ADDITIONAL COMMUNITY BENEFIT PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH, AND EDUCATION DESCRIBED ABOVE ARE INTEGRAL COMPONENTS OF THE COMMUNITY BENEFIT THE CLEVELAND CLINIC HEALTH SYSTEM ANNUALLY REPORTS TO THE COMMUNITY. THE OTHER COMPONENTS OF THE CLEVELAND CLINIC'S COMMUNITY BENEFIT ARE: MEDICAID SHORTFALL THE CLEVELAND CLINIC HEALTH SYSTEM IS A LEADING PROVIDER OF MEDICAID SERVICES IN OHIO. IN MANY STATES, INCLUDING OHIO, MEDICAID PAYMENTS HAVE NOT BEEN SUFFICIENT TO COVER THE COST OF TREATING MEDICAID BENEFICIARIES. IN 2021, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $652 MILLION (THIS FIGURE INCLUDES AS HCAP ASSESSMENT OF $14.8 MILLION). SUBSIDIZED HEALTH SERVICES IN ADDITION TO FINANCIAL ASSISTANCE AND COSTS NOT COVERED BY MEDICAID PAYMENTS, ANOTHER CLINICAL COMMUNITY BENEFIT CATEGORY IS "SUBSIDIZED HEALTH SERVICES." THESE SERVICES YIELD LOW OR NEGATIVE MARGINS BUT ARE NEEDED IN THE COMMUNITY. CLEVELAND CLINIC PROVIDED SUBSIDIZED HEALTH SERVICES IN 2020 AT A COST OF $34.4 MILLION. COMMUNITY OUTREACH PROGRAMS THE CLEVELAND CLINIC HEALTH SYSTEM IS ACTIVELY ENGAGED IN A BROAD ARRAY OF COMMUNITY OUTREACH PROGRAMS, PROVIDING OR CONTRIBUTING TO OUTREACH ACTIVITIES FOR A TOTAL NET COMMUNITY BENEFIT OF $130 MILLION, PARTIALLY OFFSET BY EXTERNAL FUNDING. THESE PROGRAMS ARE DESIGNED TO SERVE THE VULNERABLE AND AT-RISK POPULATIONS, AS WELL AS BROADER POPULATION IN OUR COMMUNITIES. OUR RESPONSIVE OUTREACH PROGRAMS RANGE FROM FREE WELLNESS INITIATIVES, HEALTH SCREENINGS, CLINICAL SERVICES, EDUCATION, AND YOUTH WORKFORCE DEVELOPMENT TO ENROLLMENT ASSISTANCE FOR GOVERNMENT-FUNDED HEALTH PROGRAMS. OUTREACH PROGRAMS ADDRESS DOCUMENTED HEALTH NEEDS OF OUR COMMUNITIES, ALIGN WITH OUR COMMUNITY HEALTH NEEDS ASSESSMENTS AND FALL INTO THREE MAIN CATEGORIES: COMMUNITY HEALTH SERVICES, CASH AND IN-KIND DONATIONS, AND COMMUNITY BUILDING. IN 2021, SOME HIGHLIGHTS INCLUDED: -HEALTH EDUCATION AND CLINICAL SERVICES FOR COMMUNITY RESIDENTS ON COVID-19 IMPACT AND TESTING. ESTABLISHED COVID-19 VACCINATION CLINIC TO HELP ENSURE THAT THOSE WHO ARE AT HIGHER RISK OF INFECTION AND DEATH FROM THE VIRUS INCLUDING BLACK, HISPANIC AND UNDERSERVED COMMUNITIES HAVE ACCESS TO THE VACCINE. INCLUDED PARTNERSHIPS WITH HEALTH DEPARTMENTS AND COMMUNITY BASED ORGANIZATIONS. -FAITH BASED FORUMS FOR KEY COMMUNITY LEADERS ON COVID-19 EDUCATION AND ACCESS. -WELLNESS INITIATIVES TO RESIDENTS, SCHOOLS AND COMMUNITY BASED ORGANIZATIONS IN THE AREAS OF DISEASE PREVENTION, INCLUDING COVID-19 PROTOCOL, PERSONAL SAFETY, BEHAVIORAL HEALTH, STRESS MANAGEMENT, NUTRITION IMPROVEMENT AND EXERCISE. -COMMUNITY FARMERS MARKETS, URBAN GARDENS AND A MOBILE FOOD PANTRY PROVIDED ACCESS TO FRESH LOCAL PRODUCTS AND SUPPLEMENTAL FOOD PROGRAMS TO ADDRESS FOOD INSECURITY ISSUES. -NO-COST CLINICAL CARE TO UNDER- AND UNINSURED FAMILIES AT COMMUNITY SITES, INCLUDING LANGSTON HUGHES HEALTH & EDUCATION CENTER IN THE FAIRFAX NEIGHBORHOOD. CARE INCLUDES MULTIGENERATIONAL WELLNESS CLASSES, CANCER SCREENING AND CHRONIC DISEASE MANAGEMENT SERVICES. -COLLABORATIVE INITIATIVES WITH COMMUNITY NONPROFIT ORGANIZATIONS AND LOCAL GOVERNMENTS ADDRESSED CRITICAL POPULATION ISSUES. TASKFORCE STRATEGIES FOCUSED ON DECREASING OPIOID PRESCRIPTIONS USE AND OVERDOSE DEATHS. PROVIDED METHODS TO DECREASE INFANT MORTALITY INCLUDING PROACTIVE CENTERING PROGRAMS. -WORKFORCE DEVELOPMENT PROGRAMS TO MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS TO ENHANCE GRADUATION RATES, PURSUE SECONDARY EDUCATION AND OBTAIN EMPLOYMENT. -PARTNERSHIP WITH CITY OF CLEVELAND, MEIJER, FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION AND FAIRMOUNT PROPERTIES ON A $52.8 MILLION DEVELOPMENT THAT WILL INCLUDE A NEW 40,000-SQUARE-FOOT GROCERY MARKET AND 196 APARTMENT UNITS IN THE FAIRFAX NEIGHBORHOOD OF CLEVELAND. -AMONG 12 U.S. HEALTH SYSTEMS TO SIGN THE "IMPACT PURCHASING COMMITMENT," DESIGNED BY THE HEALTHCARE ANCHOR NETWORK. CLEVELAND CLINIC IDENTIFIES QUALIFIED DIVERSE SUPPLIERS, INCLUDING MINORITY- AND WOMEN-OWNED BUSINESSES, AS WELL AS LOCALLY OWNED, EMPLOYEE-OWNED, COOPERATIVELY OWNED OR NONPROFIT-OWNED ENTERPRISES. -COMMITTED $2.5 MILLION TO LEAD SAFE CLEVELAND COALITION TO ADVANCE LEAD POISONING PREVENTION EFFORTS WITH UNITED WAY. THE FIVE-YEAR FINANCIAL COMMITMENT WILL HELP SUPPORT THE COLLABORATION TO REMOVE HARMFUL SOURCES OF LEAD EXPOSURE FROM LOCAL HOMES. -CONNECTING PATIENTS WITH HEALTH AND SOCIAL ORGANIZATIONS TO REDUCE BARRIERS TO CARE THROUGH THE UNITE US PROGRAM. -EXPANDING ACCESS TO MENTAL HEALTH, VISION AND PRIMARY CARE SERVICES TO LOCAL YOUTH THROUGH SCHOOL-BASED PROGRAMS. V. CONCLUSION THE PURPOSE OF THE CLEVELAND CLINIC HEALTH SYSTEM IS TO BENEFIT HUMANITY THROUGH THE EFFICIENT, EFFECTIVE, AND ETHICAL PRACTICE OF MEDICINE, BY ADVANCING SCIENTIFIC INVESTIGATION AND MEDICAL EDUCATION, BY MAINTAINING THE HIGHEST STANDARDS OF QUALITY, AND BY FOSTERING CREATIVITY AND INNOVATION. FORM 990, PART VI, SECTION A, LINE 1A LAKEWOOD HOSPITAL ASSOCIATION'S BOARD OF TRUSTEES HAS DELEGATED AUTHORITY TO THREE OF ITS BOARD MEMBERS TO ACT ON BEHALF OF THE BOARD AND OVERSEE THE WIND DOWN OF THE ORGANIZATION AS IT CARRIES OUT REMAINING FUNCTIONS SINCE INPATIENTS OPERATIONS HAVE CEASED. THE BOARD OF EACH OF THE CLEVELAND CLINIC HOSPITALS HAS DELEGATED AUTHORITY TO AN EXECUTIVE COMMITTEE MADE UP OF BOARD MEMBERS TO: (1) TO TRANSACT ALL BUSINESS OF THE BOARD DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO THE LIMITATIONS SET FORTH IN THE RESPECTIVE BYLAWS OR CODE OF REGULATIONS AND ANY LIMITATIONS OTHERWISE IMPOSED BY THE BOARDS; (2) TO INITIATE AND RECOMMEND TO THE BOARD CHANGES IN THE RESPECTIVE BYLAWS OR CODE OF REGULATIONS OF THE PARTICULAR HOSPITAL, OR ANY OF ITS AFFILIATED CORPORATIONS, OR WHEN REQUESTED TO DO SO BY THE RESPECTIVE BOARD OR AN AFFILIATED BOARD, OR WHEN THE EXECUTIVE COMMITTEE DEEMS THAT A CHANGE IN BYLAWS OR CODE OF REGULATIONS IS NEEDED; (3) TO EXERCISE ON BEHALF OF THE HOSPITAL LEGAL ENTITY, THE POWERS THAT THE HOSPITAL LEGAL ENTITY POSSESSES AS A SOLE MEMBER OF OTHER CORPORATIONS THAT ARE NOT DELEGATED BY THE BYLAWS OR CODE OF REGULATIONS TO OTHER COMMITTEES OF THE BOARD; (4) TO REVIEW HOSPITAL PERFORMANCE AS COMPARED TO ENTERPRISE GOALS; (5) TO APPROVE ALL REQUIRE HOSPITAL ANNUAL PLANS; (6) TO ESTABLISH PERSONAL GOALS AND OBJECTIVES FOR THE PRESIDENT/CEO, AND TO OTHERWISE ESTABLISH OTHER CORPORATE GOALS AND OBJECTIVES AS IT DEEMS APPROPRIATE; (7) TO APPROVE ALL ACTIONS RELATED TO MEDICAL STAFF CREDENTIALING, PRIVILEGING, DISCIPLINARY ACTIVITY AND AMENDMENTS TO MEDICAL STAFF BYLAWS; AND (8) REVIEW AND APPROVE POLICIES ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 2 DEBORAH CRAWFORD, CCF DIRECTOR & PATRICK V. AULETTA, CCF DIRECTOR - BUSINESS LARRY RUVO, KMA DIRECTOR & CAMILLE RUVO, KMA DIRECTOR - FAMILY FORM 990, PART VI, SECTION A, LINE 3 CCF HOTEL SERVICES, LLC, A SINGLE MEMBER DISREGARDED ENTITY OF CCF HAS ENTERED INTO A MANAGEMENT AGREEMENT WITH INTERCONTINENTAL HOTELS CORPORATION TO MANAGE THE TWO HOTELS OWNED BY CCF HOTEL SERVICES, LLC. THE CLEVELAND CLINIC FOUNDATION ENTERED INTO A MANAGEMENT AGREEMENT WITH KESSLER REHABILITATION SERVICES, INC. AS PART OF A JOINT VENTURE WITH HOSPITAL HOLDINGS CORPORATION (SELECT MEDICAL") TO MANAGE AND OPERATE THREE INPATIENT REHABILITATION HOSPITAL FACILITIES. THE CLEVELAND CLINIC FOUNDATION ENTERED INTO A MANAGEMENT AGREEMENT WITH REGENCY HOSPITALS, LLC AS PART OF A JOINT VENTURE WITH SELECT UNIT MANAGEMENT, INC. (SELECT MEDICAL") TO MANAGE AND OPERATE FOUR LONG- TERM ACUTE CARE FACILITIES. FORM 990, PART VI, SECTION A, LINE 4 CLEVELAND CLINIC MERCY HOSPITAL ADOPTED AMENDED AND RESTATED ARTICLES OF INCORPORATION TO REFLECT THE MEMBER SUBSTITUTION, INDICATING THE CLEVELAND CLINIC FOUNDATION AS THE SOLE MEMBER OF THE ENTITY. FORM 990, PART VI, SECTION A, LINE 6 PURSUANT TO NONPROFIT CORPORATION LAW, THERE CAN BE NO SHAREHOLDERS OR OTHER "EQUITY OWNERS" OF A NONPROFIT CORPORATION. MANAGEMENT AND CONTROL RIGHTS ARE HELD AND EXERCISED BY THE "MEMBERS" OF THE NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS BOTH MEMBERS AND DIRECTORS. IT DOES NOT HAVE STOCKHOLDERS. THE MEMBER OF EACH SUBORDINATE IN THE CCF GROUP IS EITHER CCF OR AN INDIRECT SUBORDINATE. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO NONPROFIT CORPORATION LAW, THE "MEMBERS" OF THE CORPORATION ELECT THE BOARD OF DIRECTORS OR BOARD OF TRUSTEES, AND THE BOARD THEN CONDUCTS THE AFFAIRS OF THE CORPORATION. NONPROFIT CORPORATION LAW PERMITS THE USE OF EITHER "BOARD OF TRUSTEES OR "BOARD OF DIRECTORS." CCF HAS ADOPTED A PRACTICE THAT A BOARD OF DIRECTORS IS GENERALLY THE FIDUCIARY BOARD FOR AN ORGANIZATION. IN ADDITION, ONE NONPROFIT CORPORATION MAY BE THE "MEMBER" OF ANOTHER NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS MEMBERS WHO ELECT THE DIRECTORS. THE MEMBER OF EACH SUBORDINATE IN THE CCF GROUP IS EITHER CCF OR AN INDIRECT SUBORDINATE AND THAT MEMBER ELECTS THE BOARD OF THE RESPECTIVE SUBORDINATE. FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO NONPROFIT CORPORATION LAW, CERTAIN OF THE DECISIONS OF THE GOVERNING BODIES MUST BE APPROVED BY THE MEMBERS. FOR EXAMPLE, ANY CHANGES TO THE ARTICLES OF INCORPORATION AND CODE OF REGULATIONS MUST BE APPROVED BY A VOTE OF THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY EXPERIENCED AND QUALIFIED MEMBERS OF THE FINANCE DIVISION TAX DEPARTMENT. PRIOR TO FILING, KEY SECTIONS OF THE FORM ARE REVIEWED WITH EXPERIENCED AND QUALIFIED MEMBERS OF THE LAW DEPARTMENT. IN ADDITION, THE ENTIRE RETURN IS ALSO REVIEWED WITH THE CFO, AND MEMBERS OF THE AUDIT COMMITTEE. THE PAID PREPARER (BIG 4 PUBLIC ACCOUNTING FIRM) CONDUCTS AN IN DEPTH REVIEW OF THE FORM. ANNUALLY, THE 990 FILING IS REVIEWED AND DISCUSSED WITH THE ENTIRE AUDIT COMMITTEE. UPON CONFIRMATION OF SUCCESSFUL E-FILING FROM THE IRS, A COPY OF THE FINAL E-FILED RETURN WILL BE MADE AVAILABLE TO APPROPRIATE MEMBERS OF THE GOVERNING BODY. THE FINAL E-FILED RETURN WILL BE POSTED ON THE ORGANIZATION'S WEBSITE AT WWW.CLEVELANDCLINIC.ORG. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND OFFICERS OF CCF AND ITS SUBSIDIARIES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE DISCLOSURES ARE REVIEWED BY STAFF REPORTING TO THE CHIEF GOVERNANCE OFFICER AND ANY ITEMS THAT MAY CREATE A CONFLICT ARE BROUGHT TO HIS ATTENTION. IF THERE ANY DISCLOSURE CHANGES DURING THE YEAR OR A NEW DISCLOSURE, THE POLICY REQUIRES THAT THOSE INDIVIDUALS INFORM THE CHIEF GOVERNANCE OFFICER. THE BOARD OF DIRECTORS CONFLICT OF INTEREST AND MANAGING INNOVATIONS COMMITTEE MEETS FOUR TIMES PER YEAR AND REVIEWS THE DISCLOSURES OF ALL CCF DIRECTORS, TRUSTEES AND OFFICERS, ANY PROPOSED ARRANGEMENTS THAT MAY INVOLVE A POTENTIAL CONFLICT OF INTEREST, AND DOCUMENTS ITS CONCLUSIONS. THE EXECUTIVE COMMITTEE OF EACH HOSPITAL REVIEWS THE DISCLOSURES OF ITS RESPECTIVE BOARD MEMBERS AND OFFICERS. UNDER THE POLICY, THE INTERESTED PERSON MAY ATTEND A MEETING AT THE DISCRETION OF THE BOARD OR COMMITTEE TO PROVIDE INFORMATION OR ANSWER QUESTIONS, BUT THEY MAY NOT BE PRESENT DURING THE FINAL CONSIDERATION OR VOTING ON THE ARRANGEMENTS. FORM 990, PART VI, SECTION B, LINE 15A ALL CCF OFFICERS AND KEY EMPLOYEE POSITIONS HAVE THEIR COMPENSATION REVIEWED IN ADVANCE ANNUALLY BY THE COMPENSATION COMMITTEE OF THE CCF BOARD OF DIRECTORS, WHICH IS VESTED WITH THE BOARD- DELEGATED POWERS TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO COMPENSATION MATTERS. IN REVIEWING AND ESTABLISHING COMPENSATION FOR THESE OFFICERS, THE COMMITTEE USES A PROCESS THAT IS INTENDED TO CREATE THE PRESUMPTION IN REGULATION 53.4958-6(A) THAT PAYMENTS OF COMPENSATION TO THESE PERSONS CONSTITUTE REASONABLE COMPENSATION, DEFINED AS AMOUNTS THAT ARE WITHIN THE RANGE OF COMPENSATION PAID BY SIMILARLY SITUATED ORGANIZATIONS TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS. FORM 990, PART VI, SECTION C, LINE 18 THE MOST RECENTLY FILED FORM 990 IS AVAILABLE ON THE CCF WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT US" SECTION. ALL OTHER DOCUMENTS WHICH ARE REQUIRED TO BE AVAILABLE TO THE PUBLIC CAN BE OBTAINED UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 CCHS MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT US" SECTION. IN THIS SECTION, THE FINANCIAL STATEMENTS, ANNUAL REPORT, COMMUNITY BENEFIT REPORT, CCF'S CONFLICT OF INTEREST POLICY, AND CORPORATE COMPLIANCE POLICIES ARE AVAILABLE. FORM 990, PART VI, SECTION A, LINE 1A AND 1B OF THE SUBORDINATE ORGANIZATIONS IN THE CLEVELAND CLINIC GROUP EXEMPTION, THE TAX EXEMPT HOSPITAL NONPROFIT CORPORATIONS HAVE BOARDS THAT ARE MAJORITY INDEPENDENT. THE REMAINING SUBORDINATES ARE WHOLLY OWNED SUBSIDIARIES MANY OF WHICH HAVE BOARDS COMPRISED IN WHOLE OR IN PART BY INDIVIDUALS WHO ARE OFFICERS AND/OR EMPLOYEES OF THE PARENT ORGANIZATION. FORM 990, PART VIII, LINE 1E THE SYSTEM HAS RECEIVED SUPPORT UNDER THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT, INCLUDING PROVIDER RELIEF FUNDS (PRF) AND THE EMPLOYEE RETENTION CREDIT (ERC). THE SYSTEM ACCOUNTED FOR BOTH THE PRF PAYMENTS AND ERC AS CONTRIBUTIONS THAT ARE RECOGNIZED AS REVENUE WHEN ANY RELATED CONDITIONS HAVE BEEN SUBSTANTIALLY MET. THE PRF PROVIDES FUNDING FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) TO HEALTHCARE PROVIDERS TO SUPPORT HEALTHCARE-RELATED EXPENSES OR LOST REVENUE ATTRIBUTABLE TO COVID-19. FUNDS RECEIVED FROM THE PRF REPRESENT PAYMENTS TO PROVIDERS AND DO NOT NEED TO BE REPAID AS LONG AS THE SYSTEM COMPLIES WITH CERTAIN TERMS AND CONDITIONS IMPOSED BY HHS, INCLUDING REPORTING AND COMPLIANCE REQUIREMENTS. IN 2021, THE SYSTEM RECEIVED $222 MILLION OF PRF PAYMENTS. THE SYSTEM RECOGNIZED $222 MILLION OF PRF PAYMENTS IN OTHER UNRESTRICTED REVENUEUS BASED ON THE TERMS AND CONDITIONS OF THE PAYMENTS. FORM 990, PART XI, LINE 9: DONATED CAPITAL AND ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL PURPOSES 11,981,978. GIFTS AND BEQUESTS 211,945,562. TRANSFERS OF NET ASSETS 2,955,705. NET INVESTMENT INCOME 69,375,123. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -48,483,777. RETIREMENT BENEFITS ADJUSTMENT -34,752,770. NET CHANGE IN UNREALIZED GAINS ON NON-TRADING INVESTMENTS 1,773,898. EQUITY TRANSFERS & OTHER TRANSFERS 4,921,981. FORM 990, PART XI, LINE 8 THE PRIOR PERIOD ADJUSTMENT IN THE AMOUNT OF $19,058,740 IS DUE TO THE ADDITION OF CLEVELAND CLINIC MERCY HOSPITAL TO THE CLEVELAND CLINIC FOUNDATION GROUP 990. CLEVELAND CLINIC MERCY HOSPITAL FILED A SEPARATE FORM 990 IN 2020. 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