2022-11-15T21:28:46-06:00 2021-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2021-01-01 900059117 UNIVERSITY HOSPITALS HEALTH SYSTEM INC GROUP RETURN UNIV 2168441000 3605 WARRENSVILLE CENTER ROAD SHAKER HEIGHTS OH 44122 MICHAEL A SZUBSKI CHIEF FINANCIAL OFFICER 2168441000 2022-11-15 1 MICHAEL SZUBSKI 999009999 SHAWNA M JANSONS P01222873 3174648600 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MICHAEL A SZUBSKI 3605 WARRENSVILLE CENTER ROAD SHAKER HEIGHTS OH 44122 4403851000 1 1 3829 X WWW.UHHOSPITALS.ORG X UNIVERSITY HOSPITALS (THE SYSTEM) IS GUIDED BY ITS MISSION "TO HEAL. TO TEACH. TO DISCOVER." 164 112 28155 1857 6008281 439443 228533000 79033000 3701447000 4218393000 282000 58000 96880000 105832000 4027142000 4403316000 0 1895000 0 0 1709234000 1836644000 0 0 12736000 2074327000 2247045000 3783561000 4085584000 243581000 317732000 2307020000 2443180000 610841000 529367000 1696179000 1913813000 X SEE SCHEDULE O. 0 0 3828173000 1895000 4318525860 SEE SCHEDULE O. 3828173000 1 1 0 1 0 0 0 1 0 1 1 0 1 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 0 0 1 0 0 28155 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 164 112 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 AL FL GA HI IL KS KY MA MD MI MN MS NC ND NH NJ NM NY OK OR PA SC TN VA WI UT X X MICHAEL A SZUBSKI 2168441000 3605 WARRENSVILLE CENTER RD SHAKER HEIGHTS OH 44122 X ZENTY THOMAS F III SEE SCHEDULE O 2.00 50.00 X 0 5396717 682779 MEGERIAN CLIFF MD SEE SCHEDULE O 4.00 50.00 X 0 2573373 50441 SIMON DANIEL I MD SEE SCHEDULE O 4.00 50.00 X X 0 1946974 49718 SZUBSKI MICHAEL A SEE SCHEDULE O 2.00 50.00 X X 0 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99686860 5837140 105970000 4403316000 4318525860 6008281 -251141 1895000 1895000 7071000 6647000 424000 1421000 1336000 85000 1474388000 1377506000 87926000 8956000 78196000 73504000 4692000 179506000 166552000 10631000 2323000 96062000 90298000 5764000 1429000 1343000 86000 562000 528000 34000 406000 406000 83960000 78774000 5028000 158000 2482000 2044000 130000 308000 1056827000 993245000 63399000 183000 5513000 5162000 330000 21000 159677000 150026000 9576000 75000 5081000 4697000 300000 84000 114494000 107605000 6868000 21000 51344000 48263000 3081000 CORPORATE ALLOCATIONS 520456000 489229000 31227000 OTHER PURCHASED SERVICE 91685000 86048000 5501000 136000 OHIO STATE HOSPITAL FRA 90734000 85290000 5444000 CWRU AFFILIATION 15729000 14785000 944000 46666000 43396000 2799000 471000 4085584000 3828173000 244675000 12736000 3227000 3499000 54858000 57514000 559913000 627980000 95454000 96795000 11704000 9925000 3199621000 1885754000 1265119000 1313867000 2626000 3113000 183000 5000 195301000 216565000 4410000 4410000 114225000 109507000 2307020000 2443180000 187196000 195159000 1288000 1221000 15000 15000 422342000 332972000 610841000 529367000 X 1277278000 1442951000 418901000 470862000 1696179000 1913813000 2307020000 2443180000 X 317732000 -100098000 X 0 1 X 1 1 1 X 4 UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER 341567805 3 1 131194000 0 UNIVERSITY HOSPITALS ROBINSON HEALTH SYSTEM INC 461382538 3 1 0 0 EMH REGIONAL MEDICAL CENTER 340714612 3 1 0 0 SAMARITAN REGIONAL HEALTH SYSTEM 340714535 3 1 0 0 4 131194000 0 147000 913000 387000 2061000 1 3508001 147000 913000 387000 2061000 1 3508001 0 0 0 3508001 147000 913000 387000 2061000 1 3508001 1.00000 1.00000 0.00000 0.00000 X 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, PART I: PUBLIC CHARITY CLASSIFICATION OF EACH GROUP MEMBER IS SHOWN BELOW: EMH REGIONAL MEDICAL CENTER (ELYRIA) - 34-0714612 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 PARMA COMMUNITY GENERAL HOSPITAL (PARMA) - 34-0827442 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 ROBINSON HEALTH SYSTEM, INC. (PORT) - 46-1382538 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SAMARITAN REGIONAL HEALTH SYSTEM (SAM) - 34-0714535 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER (AHUJA) - 26-4827222 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, INC. (UHCMC) - 34-1567805 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER (CONN) - 34-0714550 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS GEAUGA MEDICAL CENTER (GEAUGA) - 34-0816492 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER (GENEVA) - 34-0714461 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UH REGIONAL HOSPITALS (UHRH) - 34-1924226 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER (SJMC) - 34-1260978 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS COORDINATED CARE ORGANIZATION (CCO) - 90-0794903 509(A)(2) 3605 WARRENSVILLE CENTER RD. - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS HOME CARE SERVICES, INC. (HCS) - 34-1527536 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UH CLEVELAND MEDICAL CENTER COMPREHENSIVE HEALTH CARE OF OHIO, INC. (CHCO) - 34-1492733 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: EMH REGIONAL MEDICAL CENTER HEATHER HILL INC. (HHI) - 34-0771884 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER ROAD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UH CLEVELAND MEDICAL CENTER UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION (UHLSF) - 34-1720429 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. UNIVERSITY HOSPITALS MEDICAL GROUP, INC. (UHMG) - 20-4881619 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UH CLEVELAND MEDICAL CENTER SCHEDULE A, PART IV, SECTION C, LINE 1: THE FOLLOWING GROUP SUBORDINATES RESPONDED YES: - HEATHER HILL, INC. THE FOLLOWING GROUP SUBORDINATES RESPONDED NO: - COMPREHENSIVE HEALTH CARE OF OHIO COMPREHENSIVE HEALTH CARE OF OHIO ("CHCO") IS A SUPPORTING ORGANIZATION OF EMH REGIONAL MEDICAL CENTER AS STATED IN ITS ARTICLES. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. ("UHHS") IS THE SOLE MEMBER OF CHCO. CHCO IS SUPERVISED, DIRECTED AND CONTROLLED BY UHHS. - UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION ("UHLSF") ACTS AS A SUPPORTING ORGANIZATION TO UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. ("UHHS"). ARTICLES OF INCORPORATION PROVIDE UHHS WITH SUPERVISION, DIRECTION AND CONTROL OVER UHLSF. - UNIVERSITY HOSPITALS MEDICAL GROUP, INC. UNIVERSITY HOSPITALS MEDICAL GROUP, INC. ("UHMG") ACTS AS A SUPPORTING ORGANIZATION TO UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER ("UHCMC"). THE CONTROL AND MANAGEMENT OF UHMG IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ITS SUPPORTED ORGANIZATION BECAUSE BOTH ENTITIES ARE PART OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY A COMMON PARENT, UNIVERSITY HOSPITALS HEALTH SYSTEM. - UNIVERSITY HOSPITALS HOMECARE SERVICES, INC. UNIVERSITY HOSPITALS HOMECARE SERVICES, INC. ("UHHCS") ACTS AS A SUPPORTING ORGANIZATION TO UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER ("UHCMC"). THE CONTROL AND MANAGEMENT OF UHHCS IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ITS SUPPORTED ORGANIZATION BECAUSE BOTH ENTITIES ARE PART OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY A COMMON PARENT, UNIVERSITY HOSPITALS HEALTH SYSTEM. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 7373 15078 169505 346672 176878 361750 2107027537 5073795440 2107204415 5074157190 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 423303 507309 535466 361750 1827828 250000 250000 250000 250000 1000000 1500000 17431 16057 16853 15078 65419 127100 8423916 X X SEE SUPPLEMENTAL INFORMATION 0 241904000 22145000 41936000 14161000 291824000 211303000 10211000 24607000 4217000 241904000 179723000 9871000 32087000 10378000 211303000 187557000 5345000 -5466000 7713000 179723000 159046000 8523000 28790000 8802000 187557000 0.04340 0.61430 0.34230 0 1 1 132009000 132009000 1928037000 918351000 1009686000 20997000 15231000 5766000 1086989000 910783000 176206000 31589000 41389000 -9800000 1313867000 BENEFICIAL INT. IN FOUNDATION 199980000 F INVESTMENT IN AFFILIATES 5827000 C INVESTMENTS - PROGRAM RELATED 10757000 F 216564000 MEDICARE ACCELERATED 184197000 DUE TO THIRD PARTIES 56044000 PENSION LIABILITY 44318000 RESEARCH INST OPTION LIABILITY 18492000 OTHER LIABILITIES 29525000 DUE TO AFFILIATES 1000 PROFESSIONAL LIABILITY-WRA 395000 332972000 X PART III, LINE 4: THE UH ART COLLECTION INCLUDES APPROXIMATELY 3,152 ORIGINAL WORKS OF ART, MANY DONATED OVER THE YEARS. ARTWORK INCLUDES PAINTINGS, PHOTOS, SCULPTURES AND THE LIKE. THE UH ART COLLECTION HAS BEEN ESTABLISHED TO ENCOURAGE REFLECTION, AND TO DELIGHT, UPLIFT AND COMFORT OUR PATIENTS, VISITORS, AND EMPLOYEES. PART V, LINE 4: THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUND VARIES DEPENDING ON DONOR STIPULATIONS. ALL SPENDING OF ENDOWMENT EARNINGS ARE DONE SO IN ACCORDANCE WITH DONOR INTENT AND APPLICABLE LAW. ENDOWMENTS ARE HELD ON THE BOOKS OF THE PARENT ORGANIZATION OF THE GROUP MEMBERS. SPENDING ALLOCATIONS ARE MADE TO THE PROPER UH ENTITY BY THE PARENT TO COMPLY WITH DONOR WISHES. PART X, LINE 2: UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. MUST RECONGIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. AS OF DECEMBER 31, 2021 AND 2020, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS. FIVE STAR GOLF/CHEF 833267 686537 146730 30308 80630 104844 HENNESSY GOLF 122750 102450 20300 28161 5393 6 474485 394619 79866 102665 33052 1430502 1183606 246896 30308 211456 143289 385053 -138157 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 1 49505851 49505851 0.01210 962181102 703700119 258480983 0.06330 1011686953 703700119 307986834 0.07540 8820937 1337547 7483390 0.00180 134475378 30609233 103866145 0.02540 35690659 21611264 14079395 0.00340 102296836 36793864 65502972 0.01600 619278 69836 549442 0.00010 281903088 90421744 191481344 0.04670 1293590041 794121863 499468178 0.12210 34274 34274 0.00000 34274 34274 0.00000 0 125090010 546526083 642398650 -95872567 X 1 1 1 EMH SHEFFIELD MEDICAL BUILDING CONDOMINIUM ASSOCIATION CONDO MANAGEMENT 0.33330 0.66670 2 GATES MEDICAL CENTER INC CONDO MANAGEMENT 0.40000 0.60000 14 1 UH CLEVELAND MEDICAL CENTER 11100 EUCLID AVENUE CLEVELAND OH 44106 WWW.UHHOSPITALS.ORG 1142 UH CLEVELAND MEDICAL CENTER 341567805 X X X X X IP PSYCH./IP REHAB./SKILLED NURSING LVL 1 TRAUMA CNTR A 2 UH RAINBOW BABIES & CHILDREN'S HOSPITAL 11100 EUCLID AVENUE CLEVELAND OH 44106 WWW.UHHOSPITALS.ORG 1142 UH CLEVELAND MEDICAL CENTER 341567805 X X X X X X LVL 1 TRAUMA CTR A 3 UH GEAUGA MEDICAL CENTER 13207 RAVENNA ROAD CHARDON OH 44024 WWW.UHHOSPITALS.ORG 1001 UH GEAUGA MEDICAL CENTER 340816492 X X X IP PSYCHIATRIC UNIT B 4 UH AHUJA MEDICAL CENTER 3999 RICHMOND ROAD BEACHWOOD OH 44122 WWW.UHHOSPITALS.ORG 1497 UH AHUJA MEDICAL CENTER 264827222 X X X A 5 UH REGIONAL HOSPITALS 27100 CHARDON ROAD RICHMOND HEIGHTS OH 44143 WWW.UHHOSPITALS.ORG 1141&1008 UH REGIONAL HOSPITALS 341924226 X X X X A 6 UH GENEVA MEDICAL CENTER 870 WEST MAIN STREET GENEVA OH 44041 WWW.UHHOSPITALS.ORG 1108 UH GENEVA MEDICAL CENTER 340714461 X X X A 7 UH CONNEAUT MEDICAL CENTER 158 WEST MAIN ROAD CONNEAUT OH 44030 WWW.UHHOSPITALS.ORG 1107 UH CONNEAUT MEDICAL CENTER 340714550 X X X A 8 UH PARMA MEDICAL CENTER 7007 POWERS BLVD PARMA OH 44129 WWW.UHHOSPITALS.ORG 1007 UH PARMA MEDICAL CENTER 340827442 X X X A 9 UH ELYRIA MEDICAL CENTER 630 EAST RIVER STREET ELYRIA OH 44035 WWW.UHHOSPITALS.ORG 1217 UH ELYRIA MEDICAL CENTER 340714612 X X X A 10 UH ST JOHN MEDICAL CENTER 29000 CENTER RIDGE ROAD WESTLAKE OH 441455275 WWW.UHHOSPITALS.ORG 1034 UH ST JOHN MEDICAL CENTER 341260978 X X X X A 11 UH PORTAGE MEDICAL CENTER 6847 NORTH CHESTNUT STREET RAVENNA OH 44266 WWW.UHHOSPITALS.ORG 1255 UH PORTAGE MEDICAL CENTER 461382538 X X X X A 12 UH SAMARITAN MEDICAL CENTER 1025 CENTER STREET ASHLAND OH 44805 WWW.SAMARITANHOSPITAL.ORG 1104 UH SAMARITAN MEDICAL CENTER 340714535 X X X B 13 UNIVERSITY HOSPITALS REHABILITATION HOSPITAL 23333 HARVARD ROAD BEACHWOOD OH 44122 WWW.UHHOSPITALS.ORG 1509 UH CLEVELAND MEDICAL CENTER 341567805 X REHABILATION A 14 UH AVON REHABILITATION HOSPITAL 37900 CHESTER ROAD AVON OH 44011 WWW.UHHOSPITALS.ORG 1523 UNIVERSITY HOSPITALS HEALTH SYSTEM INC 340714775 X REHABILATION A REPORTING GROUP A 0 0 1 X X X X X X X X X X 19 1 1 1 1 X SEE PART V, SECTION C X 1 19 1 SEE PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 X 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 1 X 0 X X X X 1 X 0 0 REPORTING GROUP B 0 0 1 X X X X X X X X X X 19 1 0 1 1 X SEE PART V, SECTION C X 1 19 1 SEE PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 X 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 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: UH CLEVELAND MEDICAL CENTER, - FACILITY 2: UH RAINBOW BABIES & CHILDREN'S HOSPITAL, - FACILITY 4: UH AHUJA MEDICAL CENTER, - FACILITY 5: UH REGIONAL HOSPITALS, - FACILITY 6: UH GENEVA MEDICAL CENTER, - FACILITY 7: UH CONNEAUT MEDICAL CENTER, - FACILITY 8: UH PARMA MEDICAL CENTER, - FACILITY 9: UH ELYRIA MEDICAL CENTER, - FACILITY 10: UH ST. JOHN MEDICAL CENTER, - FACILITY 11: UH PORTAGE MEDICAL CENTER, - FACILITY 13: UNIVERSITY HOSPITALS REHABILITATION HOSPITAL, - FACILITY 14: UH AVON REHABILITATION HOSPITAL GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES. GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 5: UH CLEVELAND MEDICAL CENTER'S 2019 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (SURVEY OF MARKET AREA RESIDENTS AND HOSPITAL DISCHARGE DATA) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH RANDOMIZED MAIL SURVEYS OF HOUSEHOLDS IN SERVICE AREA COUNTIES, AS WELL AS, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, AND OTHER RELEVANT ORGANIZATIONS OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: A DESCRIPTION OF THE COMMUNITY SURROUNDING THE UH CLEVELAND MEDICAL CENTER; DEMOGRAPHICS OF UH CLEVELAND MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS (E.G. AGE, GENDER, AND RACE/ETHNICITY); HOSPITAL PATIENTS SERVED; OVERARCHING THEMES (E.G. TRUST AND STRUCTURAL RACISM); CHRONIC DISEASE (E.G. CARDIOVASCULAR DISEASE, CHILDHOOD ASTHMA, AND DIABETES); HIGH FREQUENCY OF INAPPROPRIATE EMERGENCY DEPARTMENT USE; QUALITY OF LIFE INDICATORS (E.G. POVERTY, HOMICIDE RATES, AND FOOD INSECURITY); CANCER TREATMENT (E.G. INCREASING EARLY DETECTION, REDUCING BARRIERS TO CANCER CARE, AND REDUCING THE HIGH CANCER MORTALITY RATES); REDUCING INCIDENCES OF CARDIOVASCULAR DISEASE (E.G. EARLY DETECTION, INCREASING PATIENTS' UNDERSTANDING OF ITS SEVERITY, AND TEACHING CARDIOVASCULAR DISEASE SELF-TREATMENT); BEHAVIORAL RISK FACTORS (E.G. OBESITY, FLU VACCINATION RATES, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); MENTAL HEALTH AND ADDICTION (E.G. MENTAL HEALTH/SUICIDE, OPIOIDS AND OTHER SUBSTANCE ABUSE, AND VIOLENCE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE AND LEAD POISONING). GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH CLEVELAND MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: UH RAINBOW BABIES & CHILDREN'S HOSPITAL, UH AHUJA MEDICAL CENTER, UH REGIONAL HOSPITALS (UH BEDFORD MEDICAL CENTER AND UH RICHMOND MEDICAL CENTER), UH PARMA MEDICAL CENTER, UH ST. JOHN MEDICAL CENTER, UH REHABILITATION HOSPITAL, SOUTHWEST GENERAL HEALTH CENTER, ST. VINCENT CHARITY MEDICAL CENTER, AND THE METROHEALTH SYSTEM. GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: BETTER HEALTH PARTNERSHIP, CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, HEALTH IMPROVEMENT PARTNERSHIP-CUYAHOGA, POLICYBRIDGE, THE CENTER FOR HEALTH AFFAIRS, AND UNITED WAY OF GREATER CLEVELAND. GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH CLEVELAND MEDICAL CENTER IDENTIFIED THE FOLLOWING FOUR PRIORITY HEATH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM: PRIORITY HEATH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS- STRATEGY #2: TARGETED SCREENING AND EDUCATION AMONG HIGH-RISK POPULATIONS- STRATEGY #3: DECREASE BARRIERS TO CANCER SCREENING AND TREATMENTPRIORITY HEALTH NEED #2: IMPROVE COMMUNITY CONDITIONS- STRATEGY #1: SAFETY TRAINING- STRATEGY #2: CO-LOCATE PROGRAMS AND SERVICES WITHIN A COMMUNITY-BASED MEDICAL CENTER IN AN UNDER-RESOURCED NEIGHBORHOOD- STRATEGY #3: HOSPITAL-BASED INTERVENTION TO INTERRUPT GUN-RELATED VIOLENCE AND RETALIATIONPRIORITY HEALTH NEED #3: MENTAL HEALTH AND ADDICTION- STRATEGY #1: COMMUNITY-BASED EDUCATION AND STRATEGIC PARTNERSHIPSPRIORITY HEALTH NEED #4: ELIMINATING STRUCTURAL RACISM- STRATEGY #1: JOB PIPELINE PROGRAM FOR MINORITIZED SECONDARY SCHOOL STUDENTS INTERESTED IN BECOMING PHYSICIANSIN ADDITION TO THE AFOREMENTIONED STRATEGIC INITIATIVES OUTLINED IN DETAIL IN THIS PLAN, THE HOSPITAL WILL EITHER BEGIN OR CONTINUE TO PROVIDE OTHER COMMUNITY BENEFIT PROGRAMS RESPONSIVE TO THE HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA. THESE MAY INCLUDE, BUT ARE NOT LIMITED TO, HEALTH EDUCATION PROGRAMS, SCREENINGS, SUPPORT GROUPS AND OTHER COMMUNITY HEALTH IMPROVEMENT SERVICES; MEDICAL RESEARCH; EDUCATION FOR PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS AND ACCESS TO CARE THROUGH THE UH HOSPITAL FINANCIAL ASSISTANCE PROGRAM. THE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE FOUR ISSUES ABOVE AS THOSE ISSUES WERE CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON THOSE ISSUES. THE ISSUES WHICH WERE NOT CHOSEN TO BE A FOCUS OF THIS PLAN WERE THOSE WHERE THE HOSPITAL IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT ISSUE.NOT ALL NEEDS IDENTIFIED IN THE 2019 CHNA ARE BEING ADDRESSED BUT THROUGH IMPLEMENTING THE ABOVE STRATEGIES, THE HOSPITAL ANTICIPATES THE FOLLOWING IMPROVEMENTS IN COMMUNITY HEALTH: POSITIVE IMPACT ON THE REDUCTION OF CARDIOVASCULAR DISEASE; POSITIVE IMPACT ON THE REDUCTION OF INFANT MORTALITY AND IMPROVED INFANT HEALTH; REDUCED INAPPROPRIATE EMERGENCY ROOM USE AND POSITIVE IMPACT ON THE REDUCTION OF CANCER MORTALITY RATES, FOCUSING ON LUNG, COLON, BREAST AND CERVICAL CANCERS. COINCIDENT WITH THIS WILL BE A POSITIVE IMPACT ON RATES OF TOBACCO USE. SOME NEEDS NOT BEING ADDRESSED ARE HIGH BLOOD LEAD LEVELS, CHILDHOOD ASTHMA, INFLUENZA, TOBACCO USE, AND SUICIDE PREVENTION. THESE NEEDS ARE ALSO BEING ADDRESSED IN UH CLINICAL SETTINGS. GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES. GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5: THE UH RAINBOW BABIES & CHILDREN'S MEDICAL CENTER'S 2019 ASSESSMENT CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (SURVEY OF MARKET AREA RESIDENTS, HOSPITAL DISCHARGE DATA) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH RANDOMIZED MAIL SURVEYS OF HOUSEHOLDS IN SERVICE AREA COUNTIES, AS WELL AS, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, AND OTHER RELEVANT ORGANIZATIONS OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: A DESCRIPTION OF THE COMMUNITY SURROUNDING THE UH RAINBOW BABIES & CHILDREN'S HOSPITAL; DEMOGRAPHICS OF UH RAINBOW BABIES & CHILDREN'S HOSPITAL PRIMARY AND SECONDARY MARKET AREAS (E.G. AGE, GENDER, AND RACE/ETHNICITY); HOSPITAL PATIENTS SERVED; OVERARCHING THEMES (E.G. TRUST AND STRUCTURAL RACISM); CHRONIC DISEASE (E.G. CARDIOVASCULAR DISEASE, CHILDHOOD ASTHMA, AND DIABETES); ACCESS TO DENTAL CARE FOR CHILDREN; ACCESS TO PRIMARY CARE; QUALITY OF LIFE INDICATORS (E.G. POVERTY, HOMICIDE RATES, AND FOOD INSECURITY); CANCER TREATMENT (E.G. INCREASING EARLY DETECTION, REDUCING BARRIERS TO CANCER CARE, AND REDUCING THE HIGH CANCER MORTALITY RATES); REDUCING INCIDENCES OF CARDIOVASCULAR DISEASE (E.G. EARLY DETECTION, INCREASING PATIENTS' UNDERSTANDING OF ITS SEVERITY, AND TEACHING CARDIOVASCULAR DISEASE SELF-TREATMENT); BEHAVIORAL RISK FACTORS (E.G. OBESITY, FLU VACCINATION RATES, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); MENTAL HEALTH AND ADDICTION (E.G. MENTAL HEALTH/SUICIDE, OPIOIDS AND OTHER SUBSTANCE ABUSE, AND VIOLENCE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE AND LEAD POISONING); REDUCE INFANT MORTALITY (E.G. EXTREME PREMATURITY, BIRTH DEFECTS, AND SLEEP-RELATED DEATHS). GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH RAINBOW BABIES & CHILDREN'S HOSPITAL IN THE JOINT CHNA FOR CUYAHOGA COUNTY: UH CLEVELAND MEDICAL CENTER, UH AHUJA MEDICAL CENTER, UH REGIONAL HOSPITALS (UH BEDFORD MEDICAL CENTER AND UH RICHMOND MEDICAL CENTER), UH PARMA MEDICAL CENTER, UH ST. JOHN MEDICAL CENTER, UH REHABILITATION HOSPITAL, SOUTHWEST GENERAL HEALTH CENTER, ST. VINCENT CHARITY MEDICAL CENTER, AND THE METROHEALTH SYSTEM. GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: BETTER HEALTH PARTNERSHIP, CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, HEALTH IMPROVEMENT PARTNERSHIP-CUYAHOGA, POLICYBRIDGE, THE CENTER FOR HEALTH AFFAIRS, AND UNITED WAY OF GREATER CLEVELAND. GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH RAINBOW BABIES & CHILDREN'S HOSPITAL IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEED AND ASSOCIATED STRATEGIES TO ADDRESS IT: PRIORITY HEATH NEED #1: IMPROVE COMMUNITY CONDITIONS/ELIMINATING STRUCTURAL RACISM- STRATEGY #1: MOBILE DENTAL CLINIC- STRATEGY #2: NUTRITION PROGRAMMING TO ADDRESS FOOD INSECURITY- STRATEGY #3: CENTERING PREGNANCYTHE IMPLEMENTATION STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA: HIGH BLOOD LEAD LEVELS, CHILDHOOD ASTHMA, INFLUENZA, TOBACCO USE/CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND SUICIDE PREVENTION. THESE HEALTH NEEDS ARE BEING ADDRESSED IN UH CLINICAL SETTINGS. GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES. GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 5: UH AHUJA MEDICAL CENTER'S 2019 ASSESSMENT CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (SURVEY OF MARKET AREA RESIDENTS, HOSPITAL DISCHARGE DATA) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH RANDOMIZED MAIL SURVEYS OF HOUSEHOLDS IN SERVICE AREA COUNTIES, AS WELL AS, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: A DESCRIPTION OF THE COMMUNITY SURROUNDING THE UH AHUJA MEDICAL CENTER; DEMOGRAPHICS OF UH AHUJA MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS (E.G. AGE, GENDER, AND RACE/ETHNICITY); HOSPITAL PATIENTS SERVED; OVERARCHING THEMES (E.G. TRUST AND STRUCTURAL RACISM); CHRONIC DISEASE (E.G. CARDIOVASCULAR DISEASE, CHILDHOOD ASTHMA, AND DIABETES); REDUCING HOSPITALIZATION AND DECREASING HOSPITAL READMISSION; QUALITY OF LIFE INDICATORS (E.G. POVERTY, HOMICIDE RATES, AND FOOD INSECURITY); CANCER TREATMENT (E.G. INCREASING EARLY DETECTION, REDUCING BARRIERS TO CANCER CARE, AND REDUCING THE HIGH CANCER MORTALITY RATES); REDUCING INCIDENCES OF CARDIOVASCULAR DISEASE (E.G. EARLY DETECTION, INCREASING PATIENTS' UNDERSTANDING OF ITS SEVERITY, AND TEACHING CARDIOVASCULAR DISEASE SELF-TREATMENT); BEHAVIORAL RISK FACTORS (E.G. OBESITY, FLU VACCINATION RATES, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); MENTAL HEALTH AND ADDICTION (E.G. MENTAL HEALTH/SUICIDE, OPIOIDS AND OTHER SUBSTANCE ABUSE, AND VIOLENCE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND LEAD POISONING). GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH AHUJA MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: UH RAINBOW BABIES & CHILDREN'S HOSPITAL, UH CLEVELAND MEDICAL CENTER, UH REGIONAL HOSPITALS (UH BEDFORD MEDICAL CENTER AND UH RICHMOND MEDICAL CENTER), UH PARMA MEDICAL CENTER, UH ST. JOHN MEDICAL CENTER, AND UH REHABILITATION HOSPITAL, SOUTHWEST GENERAL HEALTH CENTER, ST. VINCENT CHARITY MEDICAL CENTER, AND THE METROHEALTH SYSTEM. GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: BETTER HEALTH PARTNERSHIP, CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, HEALTH IMPROVEMENT PARTNERSHIP-CUYAHOGA, POLICYBRIDGE, THE CENTER FOR HEALTH AFFAIRS, AND UNITED WAY OF GREATER CLEVELAND. GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH AHUJA MEDICAL CENTER IDENTIFIES THE FOLLOWING THREE PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: COMMUNITY-BASED EDUCATION, HEALTH SCREENING AND SUPPORT GROUPS TO PREVENT AND/OR MANAGE CHRONIC DISEASESPRIORITY HEALTH NEED #2: IMPROVE COMMUNITY CONDITIONS- STRATEGY #1: STRATEGIC PARTNERSHIPS AND PROGRAMMING TO ADDRESS SOCIAL DETERMINANTS OF HEALTH PRIORITY HEALTH NEED #3: MENTAL HEALTH AND ADDICTION- STRATEGY #1: COMMUNITY-BASED EDUCATION TO PROMOTE POSITIVE MENTAL HEALTHTHE IMPLEMENTATION STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA: HIGH BLOOD LEAD LEVELS, CHILDHOOD ASTHMA, INFLUENZA, TOBACCO USE/CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND SUICIDE PREVENTION. THESE HEALTH NEEDS ARE BEING ADDRESSED IN UH CLINICAL SETTINGS. GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES. GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 5: THE CHNA FOR THE RICHMOND CAMPUS OF UH REGIONAL HOSPITALS (UH RICHMOND MEDICAL CENTER) TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH RANDOMIZED TELEPHONE SURVEYS OF HOUSEHOLDS IN CUYAHOGA COUNTY, AS WELL AS, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: A DESCRIPTION OF THE COMMUNITY SURROUNDING THE UH RICHMOND MEDICAL CENTER; DEMOGRAPHICS OF UH RICHMOND MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS (E.G. AGE, GENDER, AND RACE/ETHNICITY); HOSPITAL PATIENTS SERVED; OVERARCHING THEMES (E.G. TRUST AND STRUCTURAL RACISM); REDUCING THE PREVALENCE OF RESPIRATORY DISEASE AND IMPROVING PATIENTS' QUALITY OF LIFE IN ACCORDANCE WITH THE DISEASE; CHRONIC DISEASE (E.G. HEART DISEASE, CARDIOVASCULAR DISEASE, CHILDHOOD ASTHMA, AND DIABETES); QUALITY OF LIFE INDICATORS (E.G. POVERTY, HOMICIDE RATES, AND FOOD INSECURITY); CANCER TREATMENT (E.G. INCREASING EARLY DETECTION, REDUCING BARRIERS TO CANCER CARE, AND REDUCING THE HIGH CANCER MORTALITY RATES); REDUCING INCIDENCES OF CARDIOVASCULAR DISEASE (E.G. EARLY DETECTION, INCREASING PATIENTS' UNDERSTANDING OF ITS SEVERITY, AND TEACHING CARDIOVASCULAR DISEASE SELF-TREATMENT); BEHAVIORAL RISK FACTORS (E.G. OBESITY, FLU VACCINATION RATES, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); MENTAL HEALTH AND ADDICTION (E.G. MENTAL HEALTH/SUICIDE, OPIOIDS AND OTHER SUBSTANCE ABUSE, AND VIOLENCE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND LEAD POISONING).THE CHNA FOR THE BEDFORD CAMPUS OF UH REGIONAL HOSPITALS (UH BEDFORD MEDICAL CENTER) TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH RANDOMIZED MAIL SURVEYS OF HOUSEHOLDS IN CUYAHOGA COUNTY, AS WELL AS, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS A LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCY. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: A DESCRIPTION OF THE COMMUNITY SURROUNDING THE UH BEDFORD MEDICAL CENTER; DEMOGRAPHICS OF UH BEDFORD MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS (E.G. AGE, GENDER, AND RACE/ETHNICITY); HOSPITAL PATIENTS SERVED; OVERARCHING THEMES (E.G. TRUST AND STRUCTURAL RACISM); CHRONIC DISEASE (E.G. HEART DISEASE, CARDIOVASCULAR DISEASE, CHILDHOOD ASTHMA, AND DIABETES); REDUCING HOSPITALIZATION AND DECREASING HOSPITAL READMISSION; QUALITY OF LIFE INDICATORS (E.G. POVERTY, HOMICIDE RATES, AND FOOD INSECURITY); BEHAVIORAL RISK FACTORS (E.G. OBESITY, FLU VACCINATION RATES, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); MENTAL HEALTH AND ADDICTION (E.G. MENTAL HEALTH/SUICIDE, OPIOIDS AND OTHER SUBSTANCE ABUSE, AND VIOLENCE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND LEAD POISONING). GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH REGIONAL HOSPITALS (UH BEDFORD MEDICAL CENTER AND UH RICHMOND MEDICAL CENTER) IN THE JOINT CHNA FOR CUYAHOGA COUNTY: UH RAINBOW BABIES & CHILDREN'S HOSPITAL, UH CLEVELAND MEDICAL CENTER, UH AHUJA MEDICAL CENTER, UH PARMA MEDICAL CENTER, UH ST. JOHN MEDICAL CENTER, AND UH REHABILITATION HOSPITAL, SOUTHWEST GENERAL HEALTH CENTER, ST. VINCENT CHARITY MEDICAL CENTER, AND THE METROHEALTH SYSTEM. GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: BETTER HEALTH PARTNERSHIP, CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, HEALTH IMPROVEMENT PARTNERSHIP-CUYAHOGA, POLICYBRIDGE, THE CENTER FOR HEALTH AFFAIRS, AND UNITED WAY OF GREATER CLEVELAND. GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH REGIONAL HOSPITALS IDENTIFIED THE FOLLOWING TWO PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS TO PREVENT AND/OR MANAGE CHRONIC DISEASESPRIORITY HEALTH NEED #2: IMPROVE COMMUNITY CONDITIONS- STRATEGY #1: RAISE AWARENESS ABOUT HOSPITAL UTILIZATION OPTIONS AND FINANCIAL ASSISTANCE AVAILABLE FOR MEDICAL CARETHE FOLLOWING NEEDS WERE IDENTIFIED IN THE 2019 CHNA, BUT ARE NOT BEING ADDRESSED IN 2019 INCLUDE: HIGH BLOOD LEAD LEVELS, CHILDHOOD ASTHMA, INFLUENZA, TOBACCO USE/CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND SUICIDE PREVENTION. THESE NEEDS ARE BEING ADDRESSED IN UH CLINICAL SETTINGS. GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS COUNTY HEALTH ASSESSMENT, CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITALIZATION ASSOCIATION, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE HOSPITAL COUNCIL OF NORTHWEST OHIO WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. THE HOSPITAL COUNCIL OF NORTHWEST OHIO RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION. GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH GENEVA MEDICAL CENTER'S CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY BY SURVEYS ADMINISTERED THROUGH RANDOMIZED EMAIL LIST SERVS, SOCIAL MEDIA SURVEYS, AND PUBLIC NOTICES IN ASHTABULA COUNTY. COMMUNITY LEADERS FROM THE ASHTABULA CITY HEALTH DEPARTMENT AND ASHTABULA COUNTY HEALTH DEPARTMENT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. DATA WAS ALSO OBTAINED BY INDEPENDENT RESEARCHERS FROM THE TOLEDO-BASED HOSPITAL COUNCIL OF NORTHWEST OHIO AND THEIR PARTNERS AT THE UNIVERSITY OF TOLEDO. THE SURVEY DATA WAS COLLECTED FROM A CROSS-SECTIONAL, RANDOMIZED SAMPLE OF 1,200 ASHTABULA COUNTY RESIDENTS AGED 19 YEARS AND OLDER. THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSES IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: HEALTHCARE ACCESS (HEALTHCARE COVERAGE, ACCESS AND UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, AND ORAL HEALTH), HEALTH BEHAVIORS (HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, DRUG USE, SEXUAL BEHAVIOR, MENTAL HEALTH), CHRONIC DISEASE (CARDIOVASCULAR HEALTH, CANCER, ASTHMA, ARTHRITIS, DIABETES, QUALITY OF LIFE), AND SOCIAL CONDITIONS (SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL HEALTH, AND PARENTING). GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR ASHTABILA COUNTY. UH GENEVA MEDICAL CENTER AND UH CONNEAUT MEDICAL CENTER ARE INCLUDED IN THE JOINT CHNA FOR ASHTABULA COUNTY. GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR ASHTABILA COUNTY: ASHTABULA CITY HEALTH DEPARTMENT, ASHTABULA COUNTY CHILDREN'S SERVICES, ASHTABULA COUNTY COMMISSIONERS, ASHTABULA COUNTY COMMUNITY ACTION AGENCY, ASHTABULA COUNTY EDUCATIONAL SERVICE CENTER, ASHTABULA COUNTY ENGINEERS DEPARTMENT, ASHTABULA COUNTY FAMILY & CHILDREN'S FIRST COUNCIL, ASHTABULA COUNTY HEALTH DEPARTMENT, ASHTABULA COUNTY JOB & FAMILY SERVICES, ASHTABULA COUNTY MEDICAL CENTER, ASHTABULA COUNTY MENTAL HEALTH RECOVERY BOARD, ASHTABULA COUNTY REGIONAL HOME HEALTH SERVICES, ASHTABULA COUNTY YMCA, CATHOLIC CHARITIES OF ASHTABULA COUNTY, CENTER FOR HEALTH AFFAIRS, COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY, CONNEAUT CITY HEALTH DEPARTMENT, COUNTRY NEIGHBOR, GLENBEIGH, KENT STATE UNIVERSITY-ASHTABULA, LAKE AREA RECOVERY CENTER, OHIO STATE UNIVERSITY COOPERATIVE EXTENSION-ASHTABULA COUNTY, AND SIGNATURE HEALTH/FAMILY PLANNING ASSOCIATION OF NORTHEAST OHIO. GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH GENEVA MEDICAL CENTER IDENTIFIED THE FOLLOWING TWO PRIORITY HEALTH NEEDS AND CROSSING-CUTTING FACTOR, ALONG WITH STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC DISEASE- STRATEGY #1: PRESCRIPTIONS FOR PHYSICAL ACTIVITY- STRATEGY #2: HYPERTENSION SCREENING AND FOLLOW UP- STRATEGY #3: DIABETES PREVENTION PROGRAM (DPP) AND PREDIABETES SCREENING AND REFERRALPRIORITY HEALTH NEED #2: MENTAL HEALTH AND ADDICTION- STRATEGY #1: SCHOOL-BASED ALCOHOL/OTHER DRUG PREVENTION PROGRAMS- STRATEGY #2: SAFE DISPOSAL OF PRESCRIPTION DRUGSCROSS-CUTTING FACTOR #1: HEALTHCARE SYSTEM AND ACCESS- STRATEGY #1: IMPROVE ACCESS TO COMPREHENSIVE PRIMARY CARE- STRATEGY #2: SCREENING FOR SOCIAL DETERMINANTS OF HEALTH (SDOH) USING A STANDARDIZED TOOL- STRATEGY #3: COMMUNITY HEALTH WORKERS (INCLUDING WORKERS IN COMMUNITY-BASED SETTINGS) TO ADDRESS SOCIAL DETERMINANTS OF HEALTHNEEDS IDENTIFIED IN 2019 WHICH ARE NOT BEING ADDRESSED INCLUDE SUICIDE PREVENTION. THIS SPECIFIC ISSUE IS BEING ADDRESSED BY OTHER PARTNERS IN ASHTABULA COUNTY. GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS COUNTY HEALTH ASSESSMENT, CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITALIZATION ASSOCIATION, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE HOSPITAL COUNCIL OF NORTHWEST OHIO WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. THE HOSPITAL COUNCIL OF NORTHWEST OHIO RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION. GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH CONNEAUT MEDICAL CENTER'S CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY BY SURVEYS ADMINISTERED THROUGH RANDOMIZED EMAIL LIST SERVS, SOCIAL MEDIA SURVEYS, AND PUBLIC NOTICES IN ASHTABULA COUNTY. COMMUNITY LEADERS FROM THE ASHTABULA CITY HEALTH DEPARTMENT AND ASHTABULA COUNTY HEALTH DEPARTMENT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. DATA WAS ALSO OBTAINED BY INDEPENDENT RESEARCHERS FROM THE TOLEDO-BASED HOSPITAL COUNCIL OF NORTHWEST OHIO AND THEIR PARTNERS AT THE UNIVERSITY OF TOLEDO. THE SAMPLE COLLECTED BY THEM WAS A RANDOMIZED MIXTURE OF 1,200 ASHTABULA COUNTY RESIDENTS 19 YEARS AND OLDER. THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSES IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: HEALTHCARE ACCESS (HEALTHCARE COVERAGE, ACCESS AND UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, AND ORAL HEALTH), HEALTH BEHAVIORS (HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, DRUG USE, SEXUAL BEHAVIOR, MENTAL HEALTH), CHRONIC DISEASE (CARDIOVASCULAR HEALTH, CANCER, ASTHMA, ARTHRITIS, DIABETES, QUALITY OF LIFE), AND SOCIAL CONDITIONS (SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL HEALTH, AND PARENTING). GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR ASHTABILA COUNTY. UH GENEVA MEDICAL CENTER AND UH CONNEAUT MEDICAL CENTER ARE INCLUDED IN THE JOINT CHNA FOR ASHTABULA COUNTY. GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR ASHTABILA COUNTY: ASHTABULA CITY HEALTH DEPARTMENT, ASHTABULA COUNTY CHILDREN'S SERVICES, ASHTABULA COUNTY COMMISSIONERS, ASHTABULA COUNTY COMMUNITY ACTION AGENCY, ASHTABULA COUNTY EDUCATIONAL SERVICE CENTER, ASHTABULA COUNTY ENGINEERS DEPARTMENT, ASHTABULA COUNTY FAMILY & CHILDREN'S FIRST COUNCIL, ASHTABULA COUNTY HEALTH DEPARTMENT, ASHTABULA COUNTY JOB & FAMILY SERVICES, ASHTABULA COUNTY MEDICAL CENTER, ASHTABULA COUNTY MENTAL HEALTH RECOVERY BOARD, ASHTABULA COUNTY REGIONAL HOME HEALTH SERVICES, ASHTABULA COUNTY YMCA, CATHOLIC CHARITIES OF ASHTABULA COUNTY, CENTER FOR HEALTH AFFAIRS, COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY, CONNEAUT CITY HEALTH DEPARTMENT, COUNTRY NEIGHBOR, GLENBEIGH, KENT STATE UNIVERSITY-ASHTABULA, LAKE AREA RECOVERY CENTER, OHIO STATE UNIVERSITY COOPERATIVE EXTENSION-ASHTABULA COUNTY, AND SIGNATURE HEALTH/FAMILY PLANNING ASSOCIATION OF NORTHEAST OHIO. GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR CONNEAUT MEDICAL CENTER IDENTIFIED THE FOLLOWING TWO PRIORITY HEALTH NEEDS AND CROSSING-CUTTING FACTOR, ALONG WITH STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC DISEASE- STRATEGY #1: PRESCRIPTIONS FOR PHYSICAL ACTIVITY- STRATEGY #2: HYPERTENSION SCREENING AND FOLLOW UP- STRATEGY #3: DIABETES PREVENTION PROGRAM (DPP) AND PREDIABETES SCREENING AND REFERRALPRIORITY HEALTH NEED #2: MENTAL HEALTH AND ADDICTION- STRATEGY #1: SCHOOL-BASED ALCOHOL/OTHER DRUG PREVENTION PROGRAMS- STRATEGY #2: SAFE DISPOSAL OF PRESCRIPTION DRUGSCROSS-CUTTING FACTOR #1: HEALTHCARE SYSTEM AND ACCESS- STRATEGY #1: IMPROVE ACCESS TO COMPREHENSIVE PRIMARY CARE- STRATEGY #2: SCREENING FOR SOCIAL DETERMINANTS OF HEALTH (SDOH) USING A STANDARDIZED TOOL- STRATEGY #3: COMMUNITY HEALTH WORKERS (INCLUDING WORKERS IN COMMUNITY-BASED SETTINGS) TO ADDRESS SOCIAL DETERMINANTS OF HEALTHNEEDS IDENTIFIED IN 2019 WHICH ARE NOT BEING ADDRESSED INCLUDE SUICIDE PREVENTION. THIS SPECIFIC ISSUE IS BEING ADDRESSED BY OTHER PARTNERS IN ASHTABULA COUNTY. GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES. GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 5: UH PARMA MEDICAL CENTER'S 2019 ASSESSMENT CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (SURVEY OF MARKET AREA RESIDENTS, HOSPITAL DISCHARGE DATA) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH RANDOMIZED MAIL SURVEYS OF HOUSEHOLDS IN SERVICE AREA COUNTIES, AS WELL AS, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, AND OTHER RELEVANT ORGANIZATIONS OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: A DESCRIPTION OF THE COMMUNITY SURROUNDING THE UH PARMA MEDICAL CENTER; DEMOGRAPHICS OF UH PARMA MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS (E.G. AGE, GENDER, AND RACE/ETHNICITY); HOSPITAL PATIENTS SERVED; OVERARCHING THEMES (E.G. TRUST AND STRUCTURAL RACISM); CHRONIC DISEASE (E.G. CARDIOVASCULAR DISEASE, CHILDHOOD ASTHMA, AND DIABETES); HIGH FREQUENCY OF INAPPROPRIATE EMERGENCY DEPARTMENT USE; QUALITY OF LIFE INDICATORS (E.G. POVERTY, HOMICIDE RATES, AND FOOD INSECURITY); CANCER TREATMENT (E.G. INCREASING EARLY DETECTION, REDUCING BARRIERS TO CANCER CARE, AND REDUCING THE HIGH CANCER MORTALITY RATES); REDUCING INCIDENCES OF CARDIOVASCULAR DISEASE (E.G. EARLY DETECTION, INCREASING PATIENTS' UNDERSTANDING OF ITS SEVERITY, AND TEACHING CARDIOVASCULAR DISEASE SELF-TREATMENT); BEHAVIORAL RISK FACTORS (E.G. OBESITY, FLU VACCINATION RATES, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); INCREASING ACCESS TO PRIMARY CARE; MENTAL HEALTH AND ADDICTION (E.G. MENTAL HEALTH/SUICIDE, OPIOIDS AND OTHER SUBSTANCE ABUSE, AND VIOLENCE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND LEAD POISONING). GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH PARMA MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: UH RAINBOW BABIES & CHILDREN'S HOSPITAL, UH CLEVELAND MEDICAL CENTER, UH REGIONAL HOSPITALS (UH BEDFORD MEDICAL CENTER AND UH RICHMOND MEDICAL CENTER), UH AHUJA MEDICAL CENTER, UH ST. JOHN MEDICAL CENTER, AND UH REHABILITATION HOSPITAL, SOUTHWEST GENERAL HEALTH CENTER, ST. VINCENT CHARITY MEDICAL CENTER, AND THE METROHEALTH SYSTEM. GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: BETTER HEALTH PARTNERSHIP, CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, HEALTH IMPROVEMENT PARTNERSHIP-CUYAHOGA, POLICYBRIDGE, THE CENTER FOR HEALTH AFFAIRS, AND UNITED WAY OF GREATER CLEVELAND. GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH PARMA MEDICAL CENTER IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS TO PREVENT AND/OR MANAGE CHRONIC DISEASES, PARTICULARLY FOR DIABETES AND HEART DISEASEPRIORITY HEALTH NEED #2: IMPROVE COMMUNITY CONDITIONS- STRATEGY #1: HEALTHY FOOD ACCESSTHE STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA: HIGH BLOOD LEAD LEVELS, CHILDHOOD ASTHMA, INFLUENZA, TOBACCO USE/CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND SUICIDE PREVENTION. THESE NEEDS ARE BEING ADDRESSED IN UH CLINICAL SETTINGS. GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES. GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH ELYRIA MEDICAL CENTER'S CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH A RANDOMIZED TELEPHONE SURVEY OF HOUSEHOLDS IN LORAIN COUNTY, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE ELYRIA CITY HEALTH DISTRICT AND THE LORAIN COUNTY GENERAL HEALTH DISTRICT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. SURVEYS WERE MAILED OUT TO 2,400 ADULTS IN LORAIN COUNTY. THE RESPONSE RATE FOR THE GENERAL POPULATION WAS 29%. THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSE IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: HEALTHCARE ACCESS (HEALTHCARE COVERAGE, ACCESS AND UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, AND ORAL HEALTH), HEALTH BEHAVIORS (HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, TOBACCO USE, ALCOHOL CONSUMPTION, DRUG USE, SEXUAL BEHAVIOR, MENTAL HEALTH), CHRONIC DISEASE (HEART HEALTH, CANCER, ASTHMA, ARTHRITIS, DIABETES, AND QUALITY OF LIFE), SOCIAL CONDITIONS (SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL HEALTH, PARENTING, MATERNAL AND INFANT HEALTH), RURAL HEALTH, SUBURBAN HEALTH, URBAN HEALTH, AND YOUTH HEALTH (WEIGHT STATUS, TOBACCO USE, ALCOHOL USE, DRUG USE, MENTAL HEALTH, SAFETY AND VIOLENCE ISSUES, AND PERCEPTIONS). GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR LORAIN COUNTY. UH ELYRIA MEDICAL CENTER, UH AVON REHABILITATION HOSPITAL, CLEVELAND CLINIC AVON HOSPITAL, MERCY HEALTH ALLEN HOSPITAL, MERCY HEALTH LORAIN HOSPITAL AND SPECIALTY HOSPITAL OF LORAIN ARE INCLUDED IN THE 2019 CHNA FOR LORAIN COUNTY. GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR LORAIN COUNTY: ALCOHOL AND DRUG ADDICTION SERVICES BOARD OF LORAIN COUNTY, LORAIN COUNTY BOARD OF MENTAL HEALTH, LORAIN COUNTY HEALTH & DENTISTRY, LORAIN COUNTY METRO PARKS, LORAIN COUNTY OFFICE ON AGING, LORAIN COUNTY PUBIC HEALTH, AND UNITED WAY OF GREATER LORAIN COUNTY. GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH ELYRIA MEDICAL CENTER IDENTIFIED THE FOLLOWING TWO PRIORITY HEATH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM: PRIORITY HEATH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: COMMUNITY-BASED EDUCATION, HEALTH SCREENINGS AND PHYSICAL ACTIVITIES TO PREVENT AND/OR MANAGE CHRONIC DISEASESPRIORITY HEATH NEED #2: CANCER- STRATEGY #1: INCREASE SCREENING AND IMMUNIZATION RATES IN THREE CANCERS WITH EVIDENCE-BASED RECOMMENDATIONS IN TARGET HIGH-RISK SUBPOPULATIONS IN LORAIN COUNTY- STRATEGY #2: DECREASE BARRIERS TO TREATMENT THE IMPLEMENTATION STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA: MENTAL HEALTH AND ADDICTION AS WELL AS ACCESS TO CARE OR PREVENTION AS STAND-ALONE PRIORITIES. ASPECTS OF THESE HEALTH NEEDS ARE ENCOMPASSED IN OTHER EFFORTS BEING ADDRESSED. OTHER LORAIN COUNTY PARTNERS ARE ALSO ADDRESSING PREVENTION AND OTHER NEEDS. GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES. GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 5: UH ST. JOHN MEDICAL CENTER'S 2019 ASSESSMENT CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (SURVEY OF MARKET AREA RESIDENTS, HOSPITAL DISCHARGE DATA) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH RANDOMIZED MAIL SURVEYS OF HOUSEHOLDS IN SERVICE AREA COUNTIES, AS WELL AS, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, AND OTHER RELEVANT ORGANIZATIONS OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: A DESCRIPTION OF THE COMMUNITY SURROUNDING THE UH ST. JOHN MEDICAL CENTER; DEMOGRAPHICS OF UH ST. JOHN MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS (E.G. AGE, GENDER, AND RACE/ETHNICITY); HOSPITAL PATIENTS SERVED; OVERARCHING THEMES (E.G. TRUST AND STRUCTURAL RACISM); CHRONIC DISEASE (E.G. CARDIOVASCULAR DISEASE, CHILDHOOD ASTHMA, AND DIABETES); HIGH FREQUENCY OF INAPPROPRIATE EMERGENCY DEPARTMENT USE; QUALITY OF LIFE INDICATORS (E.G. POVERTY, HOMICIDE RATES, AND FOOD INSECURITY); CANCER TREATMENT (E.G. INCREASING EARLY DETECTION, REDUCING BARRIERS TO CANCER CARE, AND REDUCING THE HIGH CANCER MORTALITY RATES); REDUCING INCIDENCES OF CARDIOVASCULAR DISEASE (E.G. EARLY DETECTION, INCREASING PATIENTS' UNDERSTANDING OF ITS SEVERITY, AND TEACHING CARDIOVASCULAR DISEASE SELF-TREATMENT); BEHAVIORAL RISK FACTORS (E.G. OBESITY, FLU VACCINATION RATES, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); MENTAL HEALTH AND ADDICTION (E.G. MENTAL HEALTH/SUICIDE, OPIOIDS AND OTHER SUBSTANCE ABUSE, AND VIOLENCE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND LEAD POISONING). GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH ST. JOHN MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: UH RAINBOW BABIES & CHILDREN'S HOSPITAL, UH CLEVELAND MEDICAL CENTER, UH REGIONAL HOSPITALS (UH BEDFORD MEDICAL CENTER AND UH RICHMOND MEDICAL CENTER), UH AHUJA MEDICAL CENTER, UH PARMA MEDICAL CENTER, AND UH REHABILITATION HOSPITAL, SOUTHWEST GENERAL HEALTH CENTER, ST. VINCENT CHARITY MEDICAL CENTER, AND THE METROHEALTH SYSTEM. GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: BETTER HEALTH PARTNERSHIP, CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, HEALTH IMPROVEMENT PARTNERSHIP-CUYAHOGA, POLICYBRIDGE, THE CENTER FOR HEALTH AFFAIRS, AND UNITED WAY OF GREATER CLEVELAND. GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR ST. JOHN MEDICAL CENTER IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: COMMUNITY-BASED EDUCATION, HEALTH SCREENINGS AND PHYSICAL ACTIVITIES TO PREVENT AND/OR MANAGE CHRONIC DISEASESPRIORITY HEALTH NEED #2: ENHANCE TRUST- STRATEGY #1: STRATEGIC PARTNERSHIPS AND COMMUNITY ENGAGEMENT TO BUILD AND/OR MAINTAIN TRUSTTHE HOSPITAL HAS AND WILL CONTINUE TO SUSTAIN SEVERAL EFFORTS WHICH DO ADDRESS EACH OF THE COMMUNITY HEALTH NEEDS IN SOME WAY. THE COMMUNITY HEALTH NEEDS INCLUDE: POVERTY, FOOD INSECURITY, LEAD POISONING, HEART DISEASE, CHILDHOOD ASTHMA, VACCINATION RATES, TOBACCO USE, LACK OF PHYSICAL ACTIVITY, SUICIDE, HOMICIDE/VIOLENCE, AND INFANT MORTALITY. THE IMPLEMENTATION STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA: HIGH BLOOD LEAD LEVELS, CHILDHOOD ASTHMA, INFLUENZA, TOBACCO USE/CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND SUICIDE PREVENTION. THESE HEALTH NEEDS ARE BEING ADDRESSED IN UH CLINICAL SETTINGS. GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED ECONOMIC INDICATORS SUCH AS POVERTY, UNEMPLOYMENT, STATE BUDGET DEVELOPMENTS, HOUSEHOLD INCOME AND HEALTH STATUS INDICATORS FROM SOURCES SUCH AS COUNTY HEALTH RANKINGS, THE COMMUNITY HEALTH STATUES INDICATORS PROJECT, THE OHIO DEPARTMENT OF HEALTH, THE U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), THE DIGNITY HEALTH COMMUNITY NEEDS INDEX, AND THE U.S. DEPARTMENT OF AGRICULTURE. DATA FROM THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) REGARDING FEDERALLY QUALIFIED HEALTH CENTERS WERE ALSO USED. MEDICALLY UNDERSERVED AREAS AND POPULATIONS, HEALTH PROFESSIONAL SHORTAGE AREAS, AND HOSPITAL UTILIZATION WERE ALSO ASSESSED.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES. GROUP A-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH PORTAGE MEDICAL CENTER CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. THE MAILING SURVEY WAS SENT TO 1,200 ADULTS IN PORTAGE COUNTY AND THE RESPONSE RATE WAS 27%, WHICH SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. ADOLESCENTS WERE RANDOMLY CHOSEN AFTER APPROVAL BY SUPERINTENDENT AND PARENT APPROVAL. THE RESPONSE RATE FOR ADOLESCENTS WAS 94%. FINALLY, A CHILD SURVEY WAS SENT TO 2,400 PARENTS WITH A RESPONSE RATE OF 7% WHICH SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY AT A 7% MARGIN OF ERROR. COUNTY-LEVEL DATA, NUMEROUS CDC SITES, THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, US CENSUS DATA, AND OTHER NATIONAL AND LOCAL SOURCES WERE ALSO USED IN COLLECTING SECONDARY DATA. COMMUNITY LEADERS FROM THE PORTAGE CITY HEALTH DISTRICT AND RAVENNA CITY HEALTH DISTRICT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: HEALTH CARE ACCESS (E.G. HEALTH CARE COVERAGE, ACCESS AND UTILIZATION, PREVENTIVE MEDICINE, MEN/WOMEN'S HEALTH, AND ORAL HEALTH); HEALTH BEHAVIORS (E.G. HEALTH STATUS PERCEPTIONS, ADULT WEIGH STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, ADULT DRUG USE, ADULT SEXUAL BEHAVIOR, AND ADULT MENTAL HEALTH); CHRONIC DISEASE (E.G. CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, AND QUALITY OF LIFE); SOCIAL CONDITIONS (E.G. SOCIAL DETERMINANTS OF HEALTH AND ENVIRONMENTAL HEALTH); YOUTH HEALTH (E.G. YOUTH WEIGHT STATUES, YOUTH TOBACCO USE, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH SOCIAL DETERMINANTS OF HEALTH, AND YOUTH VIOLENCE); CHILD HEALTH (E.G. HEALTH AND FUNCTIONAL STATUS, HEALTH CARE ACCESS, EARLY CHILDHOOD, MIDDLE CHILDHOOD, FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH). GROUP A-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 6A: THE FOLLOWING HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT EACH SEPARATE HOSPITAL FACILITY CHNA FOR PORTAGE COUNTY: AKRON CHILDREN'S HOSPITAL AND UH PORTAGE MEDICAL CENTER. GROUP A-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A CHNA FOR PORTAGE COUNTY: AXESSPOINTE COMMUNITY HEALTH CENTER, CHILDREN'S ADVANTAGE, COLEMAN PROFESSIONAL SERVICES, FAMILY AND CHILDREN FIRST COUNCIL, FAMILY AND COMMUNITY SERVICES, HIRAM COLLEGE, KENT CITY BOARD OF HEALTH, KENT CITY HEALTH DEPARTMENT, KENT STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH & CENTER FOR PUBLIC POLICY AND HEALTH, KENT STATE UNIVERSITY HEALTH SERVICES, KENT STATE UNIVERSITY, CENTER FOR NUTRITION OUTREACH, MENTAL HEALTH & RECOVERY BOARD OF PORTAGE COUNTY, NORTHEAST OHIO MEDICAL UNIVERSITY, OHIOCAN, PARTA, PORTAGE COUNTY BOARD OF HEALTH, PORTAGE COUNTY CHILDREN'S SERVICES , PORTAGE COUNTY COMBINED GENERAL HEALTH DISTRICT, PORTAGE COUNTY COMMISSIONERS, PORTAGE COUNTY JOB & FAMILY SERVICES, PORTAGE COUNTY SAFE COMMUNITIES COALITION, PORTAGE COUNTY SCHOOL DISTRICTS, PORTAGE COUNTY SHERIFF'S DEPARTMENT, PORTAGE COUNTY TOWNSHIP TRUSTEES, PORTAGE COUNTY VETERANS SERVICES, PORTAGE COUNTY WIC, PORTAGE LEARNING CENTERS, PORTAGE PARK DISTRICT, PORTAGE SUBSTANCE ABUSE COMMUNITY COALITION, RAVENNA CITY BOARD OF HEALTH, SEQUOIA WELLNESS, SUICIDE PREVENTION COALITION OF PORTAGE COUNTY, THE PORTAGE FOUNDATION, TOWNHALL II, AND UNITED WAY OF PORTAGE COUNTY. GROUP A-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH PORTAGE MEDICAL CENTER IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: MENTAL HEALTH AND ADDICTION- STRATEGY #1: YOUTH ALCOHOL/OTHER DRUG PREVENTION AND MENTAL HEALTH PROGRAMS- STRATEGY #2: LINKS TO CESSATION SUPPORTPRIORITY HEALTH NEED #2: CHRONIC DISEASE- STRATEGY #1: FOOD INSECURITY SCREENING AND REFERRAL- STRATEGY #2: PREDIABETES SCREENING AND REFERRAL- STRATEGY #3: HYPERTENSION SCREENING AND FOLLOW UP- STRATEGY #4: COMMUNITY GARDENS PRIORITY HEALTH NEED #3: MATERNAL, INFANT, AND CHILD HEALTH- STRATEGY #1: REPRODUCTIVE HEALTH INTERVENTIONSTHE IMPLEMENTATION STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA: SOCIAL DETERMINANTS OF HEALTH, HEALTHCARE SYSTEMS AND ACCESS, AND HEALTH EQUITY. ANY NEEDS NOT BEING ADDRESSED BY THE UH PORTAGE MEDICAL CENTER ARE BEING ADDRESSED IN UH CLINICAL SETTINGS. GROUP A-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES. GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 5: UH REHABILITATION HOSPITAL'S 2019 ASSESSMENT CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (SURVEY OF MARKET AREA RESIDENTS, HOSPITAL DISCHARGE DATA) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH RANDOMIZED MAIL SURVEYS OF HOUSEHOLDS IN SERVICE AREA COUNTIES, AS WELL AS, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, AND OTHER RELEVANT ORGANIZATIONS OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: A DESCRIPTION OF THE COMMUNITY SURROUNDING THE UH REHABILITATION HOSPITAL; DEMOGRAPHICS OF UH REHABILITATION HOSPITAL'S PRIMARY AND SECONDARY MARKET AREAS (E.G. AGE, GENDER, AND RACE/ETHNICITY); HOSPITAL PATIENTS SERVED; OVERARCHING THEMES (E.G. TRUST AND STRUCTURAL RACISM); CHRONIC DISEASE (E.G. CARDIOVASCULAR DISEASE, CHILDHOOD ASTHMA, AND DIABETES); QUALITY OF LIFE INDICATORS (E.G. POVERTY, HOMICIDE RATES, AND FOOD INSECURITY); CANCER TREATMENT (E.G. INCREASING EARLY DETECTION, REDUCING BARRIERS TO CANCER CARE, AND REDUCING THE HIGH CANCER MORTALITY RATES); REDUCING INCIDENCES OF CARDIOVASCULAR DISEASE (E.G. EARLY DETECTION, INCREASING PATIENTS' UNDERSTANDING OF ITS SEVERITY, AND TEACHING CARDIOVASCULAR DISEASE SELF-TREATMENT); BEHAVIORAL RISK FACTORS (E.G. OBESITY, FLU VACCINATION RATES, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); MENTAL HEALTH AND ADDICTION (E.G. MENTAL HEALTH/SUICIDE, OPIOIDS AND OTHER SUBSTANCE ABUSE, AND VIOLENCE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND LEAD POISONING). GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH REHABILITATION HOSPITAL - BEACHWOOD IN THE 2019 CHNA FOR CUYAHOGA COUNTY: UH CLEVELAND MEDICAL CENTER, UH RAINBOW BABIES & CHILDREN'S HOSPITAL, UH AHUJA MEDICAL CENTER, UH REGIONAL HOSPITALS UH REGIONAL HOSPITALS (UH BEDFORD MEDICAL CENTER AND UH RICHMOND MEDICAL CENTER), UH PARMA MEDICAL CENTER, UH ST. JOHN MEDICAL CENTER, SOUTHWEST GENERAL HEALTH CENTER, ST. VINCENT CHARITY MEDICAL CENTER, AND THE METROHEALTH SYSTEM. GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: BETTER HEALTH PARTNERSHIP, CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, HEALTH IMPROVEMENT PARTNERSHIP-CUYAHOGA, POLICYBRIDGE, THE CENTER FOR HEALTH AFFAIRS, AND UNITED WAY OF GREATER CLEVELAND. GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH REHABILITATION HOSPITAL IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEED AND CROSSING-CUTTING FACTOR, ALONG WITH STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS TO PREVENT AND/OR MANAGE CHRONIC DISEASESCROSS-CUTTING FACTOR #1: IMPROVE COMMUNITY CONDITIONS- STRATEGY #1: RAISE AWARENESS ABOUT HOSPITAL UNTILIZATION OPTIONS AND FINANCIAL ASSISTANCE AVAILABLE FOR MEDICAL CARETHE IMPLEMENTATION STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA: HIGH BLOOD LEAD LEVELS, CHILDHOOD ASTHMA, INFLUENZA, TOBACCO USE/CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND SUICIDE PREVENTION. THESE HEALTH NEEDS ARE BEING ADDRESSED IN UH CLINICAL SETTINGS. GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES. GROUP A-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 5: THE UH AVON REHABILITATION HOSPITAL'S CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH BOTH A RANDOMIZED TELEPHONE SURVEY OF HOUSEHOLDS IN LORAIN COUNTY, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE ELYRIA CITY HEALTH DISTRICT AND THE LORAIN COUNTY GENERAL HEALTH DISTRICT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. SURVEYS WERE MAILED OUT TO 2,400 ADULTS IN LORAIN COUNTY. THE RESPONSE RATE FOR THE GENERAL POPULATION WAS 29%. THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSE IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: HEALTHCARE ACCESS (HEALTHCARE COVERAGE, ACCESS AND UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, AND ORAL HEALTH), HEALTH BEHAVIORS (HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, TOBACCO USE, ALCOHOL CONSUMPTION, DRUG USE, SEXUAL BEHAVIOR, MENTAL HEALTH), CHRONIC DISEASE (HEART HEALTH, CANCER, ASTHMA, ARTHRITIS, DIABETES, AND QUALITY OF LIFE), SOCIAL CONDITIONS (SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL HEALTH, PARENTING, MATERNAL AND INFANT HEALTH), RURAL HEALTH, SUBURBAN HEALTH, URBAN HEALTH, AND YOUTH HEALTH (WEIGHT STATUS, TOBACCO USE, ALCOHOL USE, DRUG USE, MENTAL HEALTH, SAFETY AND VIOLENCE ISSUES, AND PERCEPTIONS). GROUP A-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR LORAIN COUNTY. UH ELYRIA MEDICAL CENTER, UH AVON REHABILITATION HOSPITAL, CLEVELAND CLINIC AVON HOSPITAL, MERCY HEALTH ALLEN HOSPITAL, MERCY HEALTH LORAIN HOSPITAL, AND SPECIALTY HOSPITAL OF LORAIN ARE INCLUDED IN THE 2019 CHNA FOR LORAIN COUNTY. GROUP A-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR LORAIN COUNTY: ALCOHOL AND DRUG ADDICTION SERVICES, BOARD OF LORAIN COUNTY, LORAIN COUNTY BOARD OF MENTAL HEALTH, LORAIN COUNTY HEALTH & DENTISTRY, LORAIN COUNTY METRO PARKS, LORAIN COUNTY OFFICE ON AGING, LORAIN COUNTY PUBIC HEALTH, AND UNITED WAY OF GREATER LORAIN COUNTY. GROUP A-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH AVON REHABILITATION HOSPITAL IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEED AND ASSOCIATED STRATEGIES TO ADDRESS IT:PRIORITY HEALTH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS TO PREVENT AND/OR MANAGE CHRONIC DISEASESTHE IMPLEMENTATION STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA: MENTAL HEALTH AND ADDICTION AS WELL AS ACCESS TO CARE OR PREVENTION AS STAND-ALONE PRIORITIES. ASPECTS OF THESE HEALTH NEEDS ARE ENCOMPASSED IN OTHER EFFORTS BEING ADDRESSED. OTHER LORAIN COUNTY PARTNERS ARE ALSO ADDRESSING PREVENTION AND OTHER NEEDS. GROUP A-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 3: UH GEAUGA MEDICAL CENTER, - FACILITY 12: UH SAMARITAN MEDICAL CENTER GROUP B-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS COUNTY HEALTH ASSESSMENT, CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITALIZATION ASSOCIATION, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE HOSPITAL COUNCIL OF NORTHWEST OHIO WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. THE HOSPITAL COUNCIL OF NORTHWEST OHIO RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION. GROUP B-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 5: UH GEAUGA MEDICAL CENTER'S 2019 ASSESSMENT TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH A RANDOMIZED MAIL SURVEY OF HOUSEHOLDS IN GEAUGA COUNTY, REGIONAL FORUMS, AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE GEAUGA COUNTY HEALTH DISTRICT AND THE LAKE COUNTY HEALTH DISTRICT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENT PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. 1,200 SURVEYS WERE MAILED TO ADULTS IN GEAUGA COUNTY AND HAD A RESPONSE RATE OF 26%. THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSES IN THE ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: HEALTHCARE ACCESS INDICATORS (E.G. COVERAGE, UTILIZATION, WOMEN'S HEALTH EXAMS, MEN'S HEALTH EXAMS, AND ORAL HEALTH EXAMS); HEALTH BEHAVIORS INDICATORS (E.G. ADDICTION, HEALTH STATUS PERCEPTIONS, ADULT TOBACCO, DRUG, AND ALCOHOL USE, SEXUAL BEHAVIOR, AND MENTAL HEALTH); CHRONIC DISEASE (E.G. CARDIOVASCULAR HEALTH, CANCER, ASTHMA, ARTHRITIS, DIABETES); AND SOCIAL CONDITIONS (E.G. SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL HEALTH, AND PARENTING). GROUP B-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR GEAUGA COUNTY: CASA FOR KIDS OF GEAUGA COUNTY, CATHOLIC CHARITIES COMMUNITY SERVICES, CHAGRIN FALLS PARK COMMUNITY CENTER, DDC CLINIC, FAMILY PLANNING ASSOCIATION OF NORTHEAST OHIO, INC. (A DIVISION OF SIGNATURE HEALTH), FAMILY PRIDE, GEAUGA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES, GEAUGA COUNTY BOARD OF HEALTH, GEAUGA COUNTY BOARD OF MENTAL HEALTH & RECOVERY SERVICES, GEAUGA COUNTY CLERK OF COURTS, GEAUGA COUNTY COMMISSIONERS, GEAUGA COUNTY DEPARTMENT ON AGING, GEAUGA COUNTY EDUCATIONAL SERVICE CENTER: (REPRESENTING ALL GEAUGA COUNTY SCHOOL DISTRICTS), GEAUGA PUBLIC HEALTH, GEAUGA COUNTY HEALTH DISTRICT ADVISORY COUNCIL, GEAUGA COUNTY HUNGER TASK FORCE, GEAUGA COUNTY JOB AND FAMILY SERVICES, GEAUGA COUNTY PUBLIC LIBRARY SYSTEM, GEAUGA COUNTY RESIDENTS, GEAUGA COUNTY SHERIFF, GEAUGA COUNTY TOWNSHIP ASSOCIATION, GEAUGA FAMILY FIRST COUNCIL, GEAUGA PARK DISTRICT, LAKE-GEAUGA HEAD START, LAKE GEAUGA RECOVERY CENTERS, LIFE ACT, MIDDLEFIELD CARE CENTER, NAMI GEAUGA, OHIO DEPARTMENT OF HEALTH, RAVENWOOD MENTAL HEALTH CENTER, STARTING POINT, TORCHLIGHT YOUTH MENTORING ALLIANCE, UNITED WAY SERVICES OF GEAUGA COUNTY, AND WOMENSAFE, INC. GROUP B-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH GEAUGA MEDICAL CENTER IDENTIFIES THE FOLLOWING FIVE PRIORITY HEALTH NEEDS AND TWO CROSSING-CUTTING FACTORS, ALONG WITH STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: MENTAL HEALTH- STRATEGY #1: CAMPAIGN TO INCREASE AWARENESS OF BEHAVIORAL HEALTH WARNING SIGNSPRIORITY HEALTH NEED #2: ADDICTION- STRATEGY #1: MEDICATION ASSISTED TREATMENT (MAT)- STRATEGY #2: SCHOOL-BASED ALCOHOL/OTHER DRUG PREVENTION PROGRAMS- STRATEGY #3: NALOXONE ACCESSPRIORITY HEALTH NEED #3: CHRONIC DISEASE- STRATEGY #1: PREDIABETES SCREENING AND REFERRAL- STRATEGY #2: HYPERTENSION SCREENING AND FOLLOW UP- STRATEGY #3: WELLNESS NAVIGATION- STRATEGY #4: SCREENING EVENTSCROSS-CUTTING FACTOR #1: PUBLIC HEALTH SYSTEM, PREVENTION AND HEALTH BEHAVIORS- STRATEGY #1: EMPLOY STRATEGIES OF INTENTIONAL INCLUSION IN THE COLLECTION OF POPULATION HEALTH DATA TO ASSURE REPRESENTATION OF POPULATIONS WHO EXPERIENCE HEALTH DISPARITIES AND HEALTH INEQUITIESCROSS-CUTTING FACTOR #2: HEALTH SYSTEMS AND ACCESS- STRATEGY #1: AMISH OUTREACH PROGRAMSNEEDS IDENTIFIED IN THE 2019 CHNA BUT NOT BEING ADDRESSED BY THE HOSPITAL INCLUDE: TRAUMA INFORMED CARE, SCHOOL-BASED SOCIAL AND EMOTIONAL INSTRUCTION, DIABETES PREVENTION PROGRAM, MASS-REACH COMMUNICATIONS, EXPANDED ACCESS TO EVIDENCE BASED TOBACCO CESSATION TREATMENTS, AND OUTREACH TO INCREASE UPTAKE FOR EARNED INCOME TAX CREDITS. THESE NEEDS ARE BEING ADDRESSED BY OTHER GEAUGA PARTNERS BASED ON THEIR SPECIFIC EXPERTISE, EXPERIENCES, OR RESOURCES. GROUP B-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP B-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP B-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED ECONOMIC INDICATORS SUCH AS POVERTY, UNEMPLOYMENT, STATE BUDGET DEVELOPMENTS, HOUSEHOLD INCOME AND HEALTH STATUS INDICATORS FROM SOURCES SUCH AS COUNTY HEALTH RANKINGS, THE COMMUNITY HEALTH STATUES INDICATORS PROJECT, THE OHIO DEPARTMENT OF HEALTH, THE U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), THE DIGNITY HEALTH COMMUNITY NEEDS INDEX, AND THE U.S. DEPARTMENT OF AGRICULTURE. DATA FROM THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) REGARDING FEDERALLY QUALIFIED HEALTH CENTERS WERE ALSO USED. MEDICALLY UNDERSERVED AREAS AND POPULATIONS, HEALTH PROFESSIONAL SHORTAGE AREAS, AND HOSPITAL UTILIZATION WERE ALSO ASSESSED.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES. GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH SAMARITAN MEDICAL CENTER CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. THE MAILING SURVEY WAS SENT TO 1,200 ADULTS IN ASHLAND COUNTY AND THE RESPONSE RATE WAS 30%, WHICH FORCED THE CONFIDENCE LEVEL TO RISE FROM +/- 5% TO +/-5.25%. ADOLESCENTS WERE RANDOMLY CHOSEN AFTER APPROVAL BY SUPERINTENDENT AND PARENT APPROVAL. THE RESPONSE RATE FOR ADOLESCENTS WAS 93%. COUNTY-LEVEL DATA, NUMEROUS CDC SITES, THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, US CENSUS DATA, AND OTHER NATIONAL AND LOCAL SOURCES WERE ALSO USED IN COLLECTING SECONDARY DATA. COMMUNITY LEADERS FROM THE ASHLAND CITY HEALTH DISTRICT AND THE ASHLAND COUNTY GENERAL HEALTH DISTRICT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: HEALTH CARE ACCESS (E.G. HEALTH CARE COVERAGE, ACCESS AND UTILIZATION, PREVENTIVE MEDICINE, MEN/WOMEN'S HEALTH, AND ORAL HEALTH); HEALTH BEHAVIORS (E.G. HEALTH STATUS PERCEPTIONS, ADULT WEIGH STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, ADULT DRUG USE, ADULT SEXUAL BEHAVIOR, AND ADULT MENTAL HEALTH); CHRONIC DISEASE (E.G. CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, AND QUALITY OF LIFE); SOCIAL CONDITIONS (E.G. SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL HEALTH, AND PARENTING); YOUTH HEALTH (E.G. YOUTH WEIGHT STATUES, YOUTH TOBACCO USE, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH SOCIAL DETERMINANTS OF HEALTH, AND YOUTH VIOLENCE). GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR ASHLAND COUNTY: CITY OF ASHLAND, ASHLAND COUNTY HEALTH DEPARTMENT, ASHLAND COUNTY MENTAL HEALTH & RECOVERY BOARD, ASHLAND CITY SCHOOLS, MAPLETON LOCAL SCHOOLS, ASHLAND COUNTY COMMUNITY ACADEMY, ASHLAND COUNTY FAMILY & CHILDREN FIRST COUNCIL, ASHLAND COUNTY CATHOLIC CHARITIES, ASHLAND COUNTY COUNCIL ON AGING, ASHLAND COUNTY BOARD OF DEVELOPMENTAL DISABILITIES, APPLESEED COMMUNITY MENTAL HEALTH CENTER, ASHLAND COUNTY BOARD OF HEALTH, ASHLAND YMCA, ASHLAND COUNTY CHAMBER OF COMMERCE, ASHLAND PARENTING PLUS, ASHLAND COUNTY EMA, ASHLAND COUNTY JOB & FAMILY SERVICES, AND SAFE HAVEN OF ASHLAND, OHIO. GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH SAMARITAN MEDICAL CENTER IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEEDS AND CROSSING-CUTTING FACTORS, ALONG WITH STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: MENTAL HEALTH AND ADDICTION- STRATEGY #1: MUSIC THERAPY- STRATEGY #2: COMMUNITY AWARENESS AND EDUCATION OF RISKY BEHAVIORS AND SUBSTANCE ABUSE ISSUES AND TRENDS - STRATEGY #3: INCREASE SAFE DISPOSAL OF PRESCRIPTION DRUGSPRIORITY HEALTH NEED #2: CHRONIC DISEASE- STRATEGY #1: ONLINE COMMUNITY WELLNESS CALENDAR- STRATEGY #2: EDUCATE THE COMMUNITY ON CHRONIC PAIN MANAGEMENT BASED ON BEST PRACTICES- STRATEGY #3: PREDIABETES SCREENING AND REFERRAL- STRATEGY #4: COMMUNITY WIDE PHYSICAL ACTIVITY CAMPAIGNS CROSS-CUTTING FACTOR #1: PUBLIC HEALTH SYSTEM, PREVENTION, AND HEALTH BEHAVIORS- STRATEGY #1: PROGRAMS AND/OR POLICIES TO DECREASE AVAILABILITY/INCREASE KNOWLEDGE OF TOBACCO PRODUCTS AND RISKS ASSOCIATED WITH TOBACCO USETHE IMPLEMENTATION STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA: SOCIAL DETERMINANTS OF HEALTH AND HEALTHCARE SYSTEMS AND ACCESS. ANY NEEDS NOT BEING ADDRESSED BY THE UH SAMARITAN MEDICAL CENTER ARE BEING ADDRESSED IN UH CLINICAL SETTINGS. GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. REPORTING GROUP A PART V, SECTION B, LINE 7A:HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTREPORTING GROUP APART V, SECTION B, LINE 10A:HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTREPORTING GROUP APART V, SECTION B, LINE 16A, FAP WEBSITE:HTTPS://WWW.UHHOSPITALS.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-MEDICAL-RECORDS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/REPORTING GROUP APART V, SECTION B, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.UHHOSPITALS.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-MEDICAL-RECORDS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/REPORTING GROUP APART V, SECTION B, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.UHHOSPITALS.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-MEDICAL-RECORDS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/ REPORTING GROUP B PART V, SECTION B, LINE 7A:HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTREPORTING GROUP BPART V, SECTION B, LINE 10A:HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTREPORTING GROUP BPART V, SECTION B, LINE 16A, FAP WEBSITE:HTTPS://WWW.UHHOSPITALS.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-MEDICAL-RECORDS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/REPORTING GROUP BPART V, SECTION B, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.UHHOSPITALS.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-MEDICAL-RECORDS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/REPORTING GROUP BPART V, SECTION B, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.UHHOSPITALS.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-MEDICAL-RECORDS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/ 53 1 - UH MINOFF HEALTH CENTER AT CHAGRIN HIGHLAN 3909 ORANGE PLACE ORANGE VILLAGE OH 44122 OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC 2 - UH WESTLAKE HEALTH CENTER 960 CLAGUE ROAD WESTLAKE OH 44145 OUTPATIENT HEALTH CENTER & SURGICAL CENTER & RAINBOW 3 - UH TWINSBURG HEALTH CENTER 8819 COMMONS BLVD SUITE 100 TWINSBURG OH 44087 OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC 4 - UH SHARON HEALTH CENTER 5133 RIDGE RD WADSWORTH OH 44281 OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC 5 - UH MENTOR HOPKINS HEALTH CENTER 9000 MENTOR AVENUE MENTOR OH 44060 OUTPATIENT HEALTH CENTER & SURGICAL CENTER & RAINBOW 6 - UH CONCORD HEALTH CENTER 7500 AUBURN ROAD PAINSVILLECONCORD J OH 44077 OUTPATIENT HEALTH CENTER & URGENT CARE 7 - UH LYNDHURST SURGERY CENTER 29017 CEDAR ROAD LYNDHURST OH 44124 SURGICAL CENTER 8 - UH MEDINA HEALTH CENTER 4001 CARRICK DR MEDINA OH 44256 OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC 9 - UH LANDERBROOK HEALTH CENTER 5850 LANDERBROOK DRIVE MAYFIELD HEIGHTS OH 44124 OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC 10 - UH EUCLID HEALTH CENTER 18599 LAKE SHORE BLVD EUCLID OH 44119 OUTPATIENT HEALTH CENTER 11 - UH MAYFIELD VILLAGE HEALTH CENTER 730 SOM CENTER ROAD SUITE 110 MAYFIELD VILLAGE OH 44143 OUTPATIENT HEALTH CENTER 12 - UH UNIVERSITY SUBURBAN HEALTH CENTER 1611 SOUTH GREEN ROAD SOUTH EUCLID OH 44121 OUTPATIENT HEALTH CENTER, RAINBOW SPECIALTY CLINIC, & SURGERY CENTER 13 - UH HUDSON HEALTH CENTER 5778 DARROW ROAD HUDSON OH 44236 OUTPATIENT HEALTH CENTER 14 - UH MADISON HEALTH CENTER 701 NORTH LAKE STREET MADISON OH 44057 OUTPATIENT HEALTH CENTER 15 - UH OTIS MOSS JR HEALTH CENTER 8819 QUINCY AVENUE CLEVELAND OH 44106 OUTPATIENT HEALTH CENTER 16 - UH SOLON HEALTH CENTER 34055 SOLON ROAD SOLON OH 44139 OUTPATIENT HEALTH CENTER 17 - UH AURORA HEALTH CENTER 55 NORTH CHILLICOTHE ROAD AURORA OH 44202 OUTPATIENT HEALTH CENTER 18 - UH WELLPOINTE HEALTH CENTER 303 E ROYALTON RD BROADVIEW HTS OH 44147 DIAGNOSTIC AND THERAPY CENTER 19 - UH AVON HEALTH CENTER 1997 HEALTHWAY ROAD AVON OH 44011 LAB, IMAGING, REHABILITATION, & FITNESS CENTER SERVICES 20 - UH AMHERST HEALTH CENTER 254 CLEVELAND ROAD AMHERST OH 44001 LAB, 24 HOUR ER, & IMAGING 21 - UH BAINBRIDGE HEALTH CENTER 8185 E WASHINGTON ST CHAGRIN FALLS OH 44023 OUTPATIENT HEALTH CENTER 22 - UH CHESTERLAND HEALTH CENTER 8055 MAYFIELD RD CHESTERLAND OH 44026 OUTPATIENT HEALTH CENTER 23 - UH FAIRLAWN HEALTH CENTER 3800 EMBASSY PKWY FAIRLAWN OH 44333 OUTPATIENT HEALTH CENTER 24 - UH GEAUGA HEALTH CENTER 13221 RAVENNA RD CHARDON OH 44024 OUTPATIENT HEALTH CENTER 25 - UH INDEPENDENCE HEALTH CENTER 6150 OAK TREE BLVD INDEPENDENCE OH 44131 OUTPATIENT HEALTH CENTER 26 - UH WESTSHORE PRIMARY CARE 2535 HALE STREET SUITE A AVON OH 44011 OUTPATIENT HEALTH CENTER 27 - UH KENT HEALTH CENTER 401 408 AND 411 DEVON PLACE KENT OH 44240 OUTPATIENT HEALTH CENTER & LAB 28 - UH MANTUA HEALTH CENTER 10803 MAIN ST MANTUA OH 44255 OUTPATIENT HEALTH CENTER 29 - UH SHEFFIELD HEALTH CENTER 5001 TRANSPORTATION DRIVE SHEFFIELD LAKE OH 44054 OUTPATIENT HEALTH CENTER 30 - UH STREETSBORO HEALTH CENTER 9318 STATE ROUTE 14 STREETSBORO OH 44241 OUTPATIENT HEALTH CENTER 31 - UH WALDEN HEALTH CENTER 700 WALDEN PL AURORA OH 44202 OUTPATIENT HEALTH CENTER 32 - UH BROADVIEW HEIGHTS HEALTH CENTER 5901 E ROYALTON ROAD BROADWAY HEIGHTS OH 44147 OUTPATIENT HEALTH CENTER 33 - UH CUYAHOGA FALLS HEALTH CENTER 96 GRAHAM ROAD SUITE A CUYAHOGA FALLS OH 44223 LABORATORY SERVICES 34 - UH ASHTABULA HEALTH CENTER 3315 N RIDGE ROAD ASHTABULA OH 44004 URGENT CARE & RADIOLOGY 35 - UH AKRON URGENT CARE 145 WEST AVENUE TALLMADGE OH 44278 URGENT CARE 36 - SOUTHWEST GENERAL STRONGSVILLE MED CTR 18181 PEARL ROAD SUITE 3104 STRONGSVILLE OH 44136 URGENT CARE 37 - UH EVANS MIDDLEFIELD HEALTH CENTER 15976 E HIGH STREET MIDDLEFIELD OH 44062 RADIOLOGY 38 - UH ANDOVER HEALTH CENTER 476 S MAIN STREET ANDOVER OH 44003 OUTPATIENT HEALTH CENTER 39 - UH BROOK PARK (PARTNER WITH SOUTHWEST) 15900 SNOW ROAD SUITE 200 BROOK PARK OH 44142 URGENT CARE & RADIOLOGY 40 - UH NORTH OLMSTED HEALTH CENTER 26127 LORAIN ROAD SUITE 100 NORTH OLMSTED OH 44070 OUTPATIENT HEALTH CENTER & URGENT CARE 41 - UH NORTH RIDGEVILLE HEALTH CENTER 32800 LORAIN ROAD NORTH RIDGEVILLE OH 44039 OUTPATIENT HEALTH CENTER 42 - SOUTHWEST GENERAL BRUNSWICK MEDICAL CENT 4065 CENTER ROAD BRUNSWICK OH 44212 OUTPATIENT HEALTH CENTER & EMERGENCY ROOM 43 - SOUTHWEST GENERAL HEALTH CENTER 18697 BAGLEY ROAD MIDDLEBURG HEIGHTS OH 44130 OUTPATIENT HEALTH CENTER & EMERGENCY ROOM 44 - UH BANEY ROAD HEALTH CENTER 1941 BANEY ROAD ASHLAND OH 44805 OUTPATIENT HEALTH CENTER 45 - UH KETTERING HEALTH CENTER 546 NORTH UNION STREET LOUDONVILLE OH 44842 URGENT CARE 46 - UH NEW LONDON URGENT CARE 206 WEST MAIN STREET LONDON OH 44851 URGENT CARE 47 - UH RAINBOW AHUJA CENTER FOR WOMEN & CHILDR 5805 EUCLID AVENUE CLEVELAND OH 44103 RAINBOW SPECIALTY CLINIC 48 - UH SAMARITAN HEALTH CENTER 2212 MIFFLIN AVENUE ASHLAND OH 44805 OUTPATIENT HEALTH CENTER 49 - UH SAMARITAN RICHLAND URGENT CARE 1033 ASHLAND ROAD MANSFIELD OH 44905 URGENT CARE 50 - UH SAMARITAN URGENT CARE 663 EAST MAIN STREET ASHLAND OH 44805 URGENT CARE 51 - UH ST JOHN HEALTH CENTER 26908 DETROIT ROAD WESTLAKE OH 44145 OUTPATIENT HEALTH CENTER 52 - UH TRI CITY ELYRIA CONVENIENT CARE 1120 EAST BROAD STREET SUITE 200 ELYRIA OH 44035 CONVENIENT CARE 53 - UH TRI CITY AVON CONVENIENT CARE 1480 CENTER ROAD SUITE B AVON OH 44011 CONVENIENT CARE PART I, LINE 3C: PLEASE REFER TO SCHEDULE H, PART V, LINE 13 A-H. PART I, LINE 6A: THE PARENT ORGANIZATION, UNIVERSITY HOSPITALS (34-0714775), PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT ENCOMPASSES ALL OF THE UNIVERSITY HOSPITALS HEALTH SYSTEM INCLUDING THE SUBORDINATE ORGANIZATIONS COMPLETING SCHEDULE H. PART I, LINE 7: AMOUNTS CALCULATED AND REPORTED IN THIS TABLE WERE DERIVED FROM THE MOST ACCURATE, AVAILABLE SOURCES. A COST-TO-CHARGE RATIO WAS USED TO DETERMINE FINANCIAL ASSISTANCE COST USING HOSPITAL FINANCIAL STATEMENTS. MEDICAID SHORTFALL FOR GROUP SUBORDINATES WAS CALCULATED; 1) BASED ON THE TAX YEAR'S MEDICAID COST REPORT ADJUSTED TO REFLECT FULL COSTS TO DIRECT OFFSETTING REVENUE FROM THE MEDICAID COST REPORT, OR 2) BASED ON A COST-TO-CHARGE RATIO AND MEDICAID REVENUES DERIVED USING FINANCIAL STATEMENTS. INCLUDED IN THIS MEDICAID SHORTFALL IS THE OHIO STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP) SHORTFALL. COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BENEFIT OPERATIONS COSTS HAVE BEEN REPORTED BASED ON ACTUAL DIRECT COSTS USING ACTUAL OR AVERAGE EMPLOYEE COMPENSATION RATES AND ADDING INDIRECT COSTS WHICH ARE CALCULATED BY A COST ACCOUNTING SYSTEM AS A PERCENTAGE OF TOTAL COST. THE MEDICARE COST REPORT, ADJUSTED TO REFLECT FULL COSTS, WAS USED TO DETERMINE GROSS COMMUNITY BENEFIT EXPENSE AMOUNTS FOR HEALTH PROFESSIONS EDUCATION. DIRECT OFFSETTING REVENUES ARE INCLUDED FROM MEDICARE, CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION, AND MEDICAID FOR DIRECT MEDICAL EDUCATION. RESEARCH AMOUNTS WERE ALSO BASED ON THE MEDICARE COST REPORT, ADJUSTED TO REFLECT FULL COSTS, USING COSTS ASSIGNED TO RESEARCH COST CENTERS, LESS INDUSTRY-SPONSORED RESEARCH DIRECT AND INDIRECT COSTS. THE EXPENSE OF RESTRICTED CASH CONTRIBUTIONS IS REPORTED BASED ON THE ACTUAL VALUE OF THE CONTRIBUTION BEFORE INDIRECT COST. RESTRICTED IN-KIND CONTRIBUTIONS ARE REPORTED AT FAIR MARKET VALUE. IN CALCULATING GROSS AND NET COMMUNITY BENEFIT EXPENSES, CARE WAS TAKEN TO AVOID DOUBLE-COUNTING COMMUNITY BENEFIT EXPENSES. THE SYSTEM'S NET COMMUNITY BENEFIT CONTRIBUTION FOR FISCAL YEAR 2021 TOTALED $500 MILLION AS COMPARED TO THE 2020 COMMUNITY BENEFIT TOTAL OF $483 MILLION. THE 2021 COMMUNITY BENEFIT NUMBER CONSISTED OF CHARITY CARE ($50 MILLION), MEDICAID SHORTFALL ($290 MILLION), RESEARCH ($66 MILLION), EDUCATION AND TRAINING ($104 MILLION), AND COMMUNITY HEALTH IMPROVEMENT SERVICES, PROGRAMS AND SUPPORT ($22 MILLION), LESS HOSPITAL CARE ASSURANCE PROGRAM ("HCAP") ($32 MILLION). TO MEASURE AND REPORT COMMUNITY BENEFIT, THE SYSTEM HAS FOLLOWED INTERNAL REVENUE SERVICE GUIDELINES. AS SUCH, THE INFORMATION FOR 2021 REPRESENTS THE REVISED REQUIREMENT TO OFFSET VARIOUS COMMUNITY BENEFIT PROGRAMS WITH RELATED REVENUE RECEIVED. FOR 2021, THIS REVENUE OFFSET WAS $32 MILLION. THE 2020 INFORMATION PROVIDED ABOVE ($483 MILLION) INCLUDED A REVENUE OFFSET OF $27 MILLION. PART I, LINE 7G: LINE 7G INCLUDES THE COSTS AND DIRECT OFFSETTING REVENUE ASSOCIATED WITH CERTAIN HOSPITAL SERVICES THAT QUALIFY TO BE REPORTED AS A SUBSIDIZED HEALTH SERVICE. THE TOTAL AMOUNT OF GROSS COMMUNITY BENEFIT EXPENSE INCLUDED IN LINE 7G FOR THESE CLINICS IS: $34,877,639. THE TOTAL AMOUNT OF ASSOCIATED DIRECT OFFSETTING REVENUE IS $21,606,557. THE TOTAL AMOUNT OF NET COMMUNITY BENEFIT EXPENSE INCLUDED IN LINE 7G IS $13,271,082. PART II, COMMUNITY BUILDING ACTIVITIES: COMMITMENT TO THE COMMUNITY REMAINS AT THE CORE OF THE SYSTEM'S MISSION: TO HEAL. TO TEACH. TO DISCOVER. THE SYSTEM SUPPORTS NUMEROUS COMMUNITY BUILDING ACTIVITIES THROUGH ALL SYSTEM ENTITIES AND NOT JUST THOSE REPORTED WITHIN THE UH GROUP 990. MANY OF OUR COMMUNITY BUILDING ACTIVITIES ARE DIFFICULT TO QUANTIFY OR REPORT WITHIN THE SPECIFIC CATEGORIES PROVIDED IN SCHEDULE H, AS THEY OCCUR SYSTEM-WIDE AND NOT AT SPECIFIC ENTITY LEVELS.THE SYSTEM IS PROUD TO CONTRIBUTE TO THE ECONOMIC GROWTH OF THE COMMUNITIES WE SERVE. THE UH HEALTH SYSTEM PROVIDES EMPLOYMENT DIRECTLY FOR 42,009 (6,056 REPORTED ON THE PARENT ORGANIZATION'S FORM 990, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (34-0714775)) EMPLOYEES AND PHYSICIANS. UH PROVIDED MANY MORE COMMUNITY BUILDING ACTIVITIES, DIRECTLY AND INDIRECTLY, THROUGH NEW OR EXPANDED BUSINESS OPPORTUNITIES AND THROUGH IMPORTANT CAPITAL INVESTMENTS IN OUR FACILITIES. UH HAS COMMITTED - AND CONTINUES TO COMMIT - MILLIONS OF DOLLARS TO FACILITIES AND OPERATIONS WITHIN THE CITY OF CLEVELAND AND THROUGHOUT OUR REGION, PROVIDING CONSTRUCTION AND HOSPITAL-BASED JOBS. NEW STATE-OF-THE-ART OUTPATIENT HEALTH CENTERS IN THE REGION HAVE SPURRED ECONOMIC GROWTH WHILE GIVING PEOPLE ACCESS TO THE CARE THEY NEED CLOSE TO HOME AND EXPANDING OUR COMMUNITY BENEFIT PROGRAMS. THE SYSTEM'S SUPPLY CHAIN MANAGEMENT STRATEGY ENCOMPASSES SUPPLIER DIVERSITY TO INCLUDE MINORITY AND WOMEN-OWNED BUSINESS ENTERPRISES PROVIDING THEM OPPORTUNITIES TO BE OUR PARTNERS AND SUPPLIERS OF GOODS AND SERVICES THROUGHOUT THE SYSTEM.THE SYSTEM SEEKS TO INCORPORATE ENVIRONMENTAL RESPONSIBILITY AND IS WORKING TOWARDS REDUCING ITS ENVIRONMENTAL FOOTPRINT THROUGHOUT THE COMMUNITIES IT SERVES. WITH REGARD TO UH BUILDINGS AND MAJOR RENOVATIONS, UH ENDEVORS TO INCORPORATE DESIGN AND CONSTRUCTION STRATEGIES OF THIRD-PARTY BEST-PRACTICE GUIDES SUCH AS THE U.S. GREEN BUILDING COUNCIL'S LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED) CERTIFICATION SYSTEM, THE EPA'S ENERGY STAR PERFORMANCE RATING, AND HEALTHCARE WITHOUT HARM'S GREEN GUIDE FOR HEALTHCARE. RECENT CONSTRUCTION PROJECTS HAVE INCORPORATED SUSTAINABLE DESIGN STRATEGIES. PART III, LINE 2: THE COST OF BAD DEBT IS CALCULATED USING A COST TO CHARGE RATIO.ALLOWANCES ARE MADE FOR ESTIMATED DOUBTFUL ACCOUNTS BASED ON HISTORICAL EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS. PART III, LINE 3: THERE IS NO ESTIMATED AMOUNT (ZERO) OF BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER THE FINANCIAL ASSISTANCE POLICY. FOR PATIENTS WHO QUALIFY, THOSE PATIENTS ARE DEEMED TO BE UNABLE TO PAY AND ARE THEREFORE WRITTEN OFF TO CHARITY RATHER THAN BAD DEBT. PART III, LINE 8: UH HOSPITALS PROVIDE SERVICES TO MANY LOW-INCOME MEDICARE RECIPIENTS. THE MEDICARE LOSSES SUSTAINED AT THESE HOSPITALS ARE A RESULT OF MEDICARE REIMBURSING AT LESS THAN OPERATING COSTS. IRS REV. RUL. 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR HOSPITALS, PROVIDES THAT IF A HOSPITAL SERVES PATIENTS COVERED BY GOVERNMENTAL HEALTH BENEFITS (INCLUDING MEDICARE), THEN THIS INDICATES THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. IN TURN, TREATING MEDICARE PATIENTS IS CONSIDERED A COMMUNITY BENEFIT. COSTS WERE DERIVED USING THE MEDICARE COST REPORT. PART III, LINE 9B: PATIENT LIABILITIES FOR SERVICES RENDERED BY UH HOSPITAL FACILITIES SHALL BE COLLECTED FROM ALL PATIENTS. AMOUNTS OWED BY PATIENTS QUALIFYING FOR CHARITY CARE UNDER THE UH HOSPITALS FACILITIES' CHARITY/FINANCIAL ASSISTANCE POLICY SHALL NOT BE BILLED TO PATIENTS AT AMOUNTS THAT ARE MORE THAN THE AMOUNTS GENERALLY BILLED TO MEDICARE PATIENTS.IF A PATIENT QUALIFIES FOR A 100% FINANCIAL ASSISTANCE DISCOUNT, COLLECTION OF THE ACCOUNT IS NOT PURSUED. IF A PATIENT RECEIVES A PARTIAL DISCOUNT DUE TO MEDICAL INDIGENCY UNDER THE FINANCIAL ASSISTANCE POLICY, ANY REMAINING BALANCE NOT DISCOUNTED IS TREATED IN ACCORDANCE WITH THE UH HOSPITALS COLLECTION POLICY. PART VI, LINE 2: UH ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITIES AS PART OF THE REGULAR STRATEGIC PLANNING PROCESS WHICH INCLUDES ASSESSMENTS OF ENVIRONMENTAL, DEMOGRAPHIC, AND ECONOMIC FACTORS. THE SYSTEM ALSO USES UH PATIENT SURVEYS REGARDING HEALTH CARE UTILIZATION AND WORKS ACTIVELY WITH VARIOUS PARTNERS THROUGHOUT THE COMMUNITIES WE SERVE. UH HAS WORKED WITH COMMUNITY ORGANIZATIONS IN ITS MEDICAL CENTERS' SERVICE AREAS (I.E. NEIGHBORHOOD CONNECTIONS, LOCAL DEPARTMENTS OF PUBLIC HEALTH, LOCAL DISEASE FOUNDATIONS, ETC.). THE SYSTEM WORKS CLOSELY WITH LOCAL GOVERNMENTS AND ELECTED OFFICIALS TO UNDERSTAND THEIR COMMUNITIES' NEEDS AND WORK TO IMPLEMENT PROGRAMS AND ACTIVITIES TO ASSIST IN RESPONDING TO THOSE NEEDS. THE MEMBERS OF VARIOUS UH BOARDS ARE ACTIVE MEMBERS WITHIN THE COMMUNITIES SERVED AND PROVIDE AN UNDERSTANDING OF AND COLLABORATIVE FEEDBACK RELATED TO THE NEEDS OF THE COMMUNITIES.THE SYSTEM IS PROUD TO CONTRIBUTE TO THE HEALTH OF ITS CITIZENS AND TO BE A POSITIVE ECONOMIC FORCE IN ITS REGION. FOR MORE DETAILED INFORMATION ON THE SYSTEM'S COMMUNITY BENEFIT OR TO VIEW THE 2021 COMMUNITY BENEFIT REPORT, PLEASE VISIT THE SYSTEM'S WEBSITE AT WWW.UHHOSPITALS.ORG. PART VI, LINE 3: UH INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT OPTIONS FOR RESOLUTION OF THEIR BALANCES, INCLUDING ASSISTANCE UNDER GOVERNMENT PROGRAMS AND UNDER THE UH FINANCIAL ASSISTANCE PROGRAM ("ASSISTANCE PROGRAM") IN A VARIETY OF WAYS. SIGNAGE FOR THE STATE OF OHIO HEALTH CARE ASSURANCE PROGRAM (HCAP) AND THE UH PATIENT FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND IN LOCATIONS WHERE PATIENTS REGISTER FOR CARE, PATIENT ACCESS AREAS, AND VARIOUS POINTS OF ENTRY SUCH AS UH EMERGENCY DEPARTMENTS. SUPPLEMENTAL BROCHURES THAT REFLECT THE UH PATIENT FINANCIAL ASSISTANCE PROGRAM AND THE HCAP PROGRAM ARE ALSO AVAILABLE. INFORMATION ABOUT THE ASSISTANCE PROGRAM CAN ALSO BE FOUND ON THE UH WEBSITE IN ADDITION TO BEING PROVIDED ON THE BACKS OF PATIENT STATEMENTS, INCLUDING A TOLL FREE PHONE NUMBER TO CALL FOR ASSISTANCE FROM A UH FINANCIAL COUNSELOR. PART VI, LINE 4: UH CLEVELAND MEDICAL CENTERUH RAINBOW BABIES & CHILDREN'S HOSPITALUH AHUJA MEDICAL CENTERUH REGIONAL HOSPITALSUH PARMA MEDICAL CENTERUH ST. JOHN MEDICAL CENTERUH BEACHWOOD REHABILITATION HOSPITALTHE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS CUYAHOGA COUNTY. AS OF THE 2017 CENSUS, THE TOTAL POPULATION FOR CUYAHOGA COUNTY IS 1,248,514. 59.0% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 29.1% AFRICAN AMERICAN, 5.9% HISPANIC OR LATINO, AND 6.0% AS MORE THAN ONE RACE OR OTHER. CUYAHOGA COUNTY ALSO ENCOMPASSES THE CITY OF CLEVELAND. THE TOTAL POPULATION FOR THE CITY OF CLEVELAND AS OF 2017 IS 385,552. 32.9% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 48.3% AFRICAN AMERICAN, 12.4% HISPANIC OR LATINO, AND 6.4% AS MORE THAN ONE RACE OR OTHER. CUYAHOGA COUNTY'S POPULATION IS GROWING OLDER, ON AVERAGE. THE 2016 POPULATION ESTIMATES INDICATE MINOR DIFFERENCES BETWEEN CUYAHOGA COUNTY OVERALL AND THE CITY OF CLEVELAND WITH RESPECT TO AGE GROUPS AND GENDER. ALTHOUGH SMALL, THE MOST NOTABLE DIFFERENCES INCLUDE A GREATER PERCENTAGE OF PERSONS UNDER THE AGE OF 18 AND PERSONS 18 TO 34 YEARS OF AGE LIVING IN THE CITY OF CLEVELAND COMPARED TO CUYAHOGA COUNTY AS A WHOLE. CONVERSELY, A GREATER PERCENTAGE OF INDIVIDUALS AGED 65 AND OVER ARE LIVING IN CUYAHOGA COUNTY OVERALL COMPARED TO THE CITY OF CLEVELAND. THE AVERAGE LIFE EXPECTANCY IN CUYAHOGA COUNTY IS 76.4 YEARS OLD COMPARED TO 72.2 YEARS OLD IN THE CITY OF CLEVELAND. 94.6% OF THE POPULATION IN CUYAHOGA COUNTY HAS A HIGH SCHOOL DIPLOMA OR EQUIVALENT, AND 89.9% IN THE STATE OF OHIO. AS OF 2017, 18.0% OF THE POPULATION OF THE COUNTY IS BELOW THE POVERTY LINE COMPARED TO 33.1% IN THE CITY OF CLEVELAND. BOTH OF WHICH ARE HIGHER THAN THE 14.0% AVERAGE IN OHIO.UH GEAUGA MEDICAL CENTER THE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS GEAUGA COUNTY. THE TOTAL POPULATION FOR GEAUGA COUNTY AS OF THE 2017 CENSUS IS 93,895. 96.7% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 1.4% AS HISPANIC OR LATINO, 1.2% AFRICAN AMERICAN, AND 3.0% AS MORE THAN ONE RACE OR OTHER. THE MEDIAN AGE IS 44.4 YEARS OLD. THE AVERAGE HOUSEHOLD SIZE IS 2.65 PEOPLE AND THE AVERAGE FAMILY SIZE IS 3.09 PEOPLE. THE MEDIAN HOME VALUE FOR THE COUNTY IS $228,000. 90.3% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA OR EQUIVALENT OR HIGHER EDUCATION LEVEL, OF THAT 38.0% HAS A BACHELOR'S DEGREE OR HIGHER LEVEL OF EDUCATION. THE PER CAPITA PERSONAL INCOME FOR THE COUNTY IS $39,513. 6.5% OF INDIVIDUALS AND 4.3% OF FAMILIES IS BELOW THE POVERTY LINE COMPARED TO THE AVERAGE 14.0% IN OHIO.UH GENEVA MEDICAL CENTERUH CONNEAUT MEDICAL CENTERTHE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS ASHTABULA COUNTY. THE TOTAL POPULATION FOR ASHTABULA COUNTY AS OF THE 2017 CENSUS IS 98,622. 92.9% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 4.0% AS HISPANIC OR LATINO, 3.7% AFRICAN AMERICAN, 0.5% ASIAN, AND 2.9% AS MORE THAN ONE RACE OR OTHER. THE MEDIAN AGE IS 42.5 YEARS OLD. THE AVERAGE HOUSEHOLD SIZE IS 2.48 PEOPLE AND THE AVERAGE FAMILY SIZE IS 3.05 PEOPLE. THE MEDIAN HOME VALUE FOR THE COUNTY IS $106,300. 85.7% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA OR EQUIVALENT OR HIGHER EDUCATION LEVEL, OF THAT 13.4% HAS A BACHELOR'S DEGREE OR HIGHER LEVEL OF EDUCATION. THE PER CAPITA PERSONAL INCOME FOR THE COUNTY IS $23,297. 19.8% OF INDIVIDUALS AND 14.2% OF FAMILIES IS BELOW THE POVERTY LINE COMPARED TO THE AVERAGE 14.0% IN OHIO.UH ELYRIA MEDICAL CENTERTHE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS LORAIN COUNTY. THE TOTAL POPULATION FOR LORAIN COUNTY AS OF THE 2017 CENSUS IS 307,924. 78.1% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 10.0% AS HISPANIC OR LATINO, 7.6% AFRICAN AMERICAN, 1.1% ASIAN, AND 3.2% AS MORE THAN ONE RACE OR OTHER. THE MEDIAN AGE IS 42.2 YEARS OLD. THE AVERAGE HOUSEHOLD SIZE IS 2.47 PEOPLE AND THE AVERAGE FAMILY SIZE IS 3.03 PEOPLE. THE MEDIAN HOME VALUE FOR THE COUNTY IS $143,600. 89.3% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA OR EQUIVALENT OR HIGHER EDUCATION LEVEL, OF THAT 23.6% HAS A BACHELOR'S DEGREE OR HIGHER LEVEL OF EDUCATION. THE PER CAPITA PERSONAL INCOME FOR THE COUNTY IS $28,525. 13.9% OF INDIVIDUALS AND 10.4% OF FAMILIES IS BELOW THE POVERTY LINE COMPARED TO THE AVERAGE 14.0% IN OHIO.UH PORTAGE MEDICAL CENTERUH PORTAGE MEDICAL CENTER IS LOCATED IN THE CITY OF RAVENNA IN PORTAGE COUNTY, OHIO. PORTAGE COUNTY IS LOCATED DIRECTLY EAST OF SUMMIT COUNTY (AKRON METRO AREA) AND SOUTHEAST OF CUYAHOGA COUNTY (CLEVELAND METRO AREA). THE HOSPITAL'S MARKET AREA INCLUDES 15 MUNICIPALITIES (EIGHT IN ITS PRIMARY MARKET AREA AND SEVEN IN ITS SECONDARY MARKET AREA). IT IS ALMOST COMPLETELY CONTAINED WITHIN PORTAGE COUNTY, OHIO. ACCORDING TO THE 2017 CENSUS, THE POPULATION IS 162,080. 91.0% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 4.1% IDENTIFY AS AFRICAN AMERICAN, 1.9% IDENTIFY AS ASIAN, 1.7% IDENTIFY AS HISPANIC OR LATINO, AND 3.0% IDENTIFY AS TWO OR MORE RACES OR OTHER. THE MEDIAN AGE IN PORTAGE COUNTY IS 37.8 YEARS OLD. THE AVERAGE HOUSEHOLD SIZE IS 2.49 PEOPLE AND THE AVERAGE FAMILY SIZE IS 3.06 PEOPLE. THE MEDIAN HOME VALUE FOR THE COUNTY IS $152,000. 91.9% OF THE POPULATION HAS A HIGH DIPLOMA OR EQUIVALENT OR HIGHER EDUCATION LEVEL, AND OF THAT 27.4% HAS A BACHELOR'S DEGREE OR HIGHER. THE PER CAPITA PERSONAL INCOME IS $27,985. 14.5% OF INDIVIDUALS AND 9.3% OF FAMILIES IS BELOW THE POVERTY LINE COMPARED TO THE AVERAGE 14.0% IN OHIO. UH SAMARITAN MEDICAL CENTERUH SAMARITAN MEDICAL CENTER IS LOCATED IN ASHLAND, OHIO, WITHIN ASHLAND COUNTY, A RURAL COUNTY LOCATED SOUTHWEST OF CUYAHOGA COUNTY (CLEVELAND METRO AREA) AND NORTHEAST OF FRANKLIN COUNTY (COLUMBUS METRO AREA). ASHLAND COUNTY IS COMPRISED OF CITIES, VILLAGES AND TOWNSHIPS. ITS COUNTY SEAT IS THE CITY OF ASHLAND, WHERE THE HOSPITAL IS LOCATED. ACCORDING TO THE 2017 CENSUS, THE POPULATION IS 53,299. 98.2% OF THE POPULATION IDENTIFIES AS WHITE, 1.3% IDENTIFIES AS AFRICAN AMERICAN, 1.3% IDENTIFIES AS HISPANIC OR LATINO, 0.8% IDENTIFIES AS ASIAN, AND 2.2% IDENTIFIES AS TWO OR MORE OR OTHER. THE MEDIAN AGE IN ASHLAND COUNTY IS 40.4 YEARS OLD. THE AVERAGE HOUSEHOLD SIZE IS 2.49 PEOPLE AND THE AVERAGE FAMILY SIZE IS 3.00 PEOPLE. THE MEDIAN HOME VALUE IN THE COUNTY IS $122,000. 88.4% % OF THE POPULATION HAS A HIGH DIPLOMA OR EQUIVALENT OR HIGHER EDUCATION LEVEL, AND OF THAT 20.2% HAS A BACHELOR'S DEGREE OR HIGHER. THE PER CAPITA PERSONAL INCOME IS $72,510. 14.2% OF INDIVIDUALS AND 9.4% OF FAMILIES IS BELOW THE POVERTY LINE COMPARED TO THE AVERAGE 14.0% IN OHIO. UH REHABILITATION HOSPITAL -- AVONUH AVON REHABILITATION HOSPITAL IS LOCATED IN THE CITY OF AVON IN LORAIN COUNTY, OHIO. UH AVON REHABILITATION HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS ARE ALMOST EXCLUSIVELY CONTAINED WITHIN CUYAHOGA AND LORAIN COUNTIES. THE PRIMARY SERVICE AREA FOR UH AVON REHABILITATION HOSPITAL INCLUDES AVON AND THE SEVEN COMMUNITIES IMMEDIATELY SURROUNDING IT (ELYRIA, NORTH RIDGEVILLE, WESTLAKE, AVON LAKE, NORTH OLMSTED, SHEFFIELD LAKE/VILLAGE AND BAY VILLAGE). 61% OF UH AVON'S DISCHARGES ARE RESIDENTS OF LORAIN COUNTY. THE PRIMARY SERVICE AREA FOR UH AVON REHABILITATION HOSPITAL IS LORAIN COUNTY. THE TOTAL POPULATION FOR LORAIN COUNTY AS OF THE 2017 CENSUS IS 307,924. 78.1% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 10.0% AS HISPANIC OR LATINO, 7.6% AFRICAN AMERICAN, 1.1% ASIAN, AND 3.2% AS MORE THAN ONE RACE OR OTHER. THE MEDIAN AGE IS 42.2 YEARS OLD. THE AVERAGE HOUSEHOLD SIZE IS 2.47 PEOPLE AND THE AVERAGE FAMILY SIZE IS 3.03 PEOPLE. THE MEDIAN HOME VALUE FOR THE COUNTY IS $143,600. 89.3% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA OR EQUIVALENT OR HIGHER EDUCATION LEVEL, OF THAT 23.6% HAS A BACHELOR'S DEGREE OR HIGHER LEVEL OF EDUCATION. THE PER CAPITA PERSONAL INCOME FOR THE COUNTY IS $28,525. 13.9% OF INDIVIDUALS AND 10.4% OF FAMILIES IS BELOW THE POVERTY LINE COMPARED TO THE AVERAGE 14.0% IN OHIO. PART VI, LINE 5: UH CONTINUES TO INVEST IN ITSELF AND THE COMMUNITY THROUGH ENHANCED CLINICAL SERVICES, EDUCATIONAL PROGRAMS, RESEARCH, AND CAPITAL IMPROVEMENTS THAT MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES AND PATIENTS IT SERVES. UH PROVIDES AN OUTSTANDING BALANCE OF HIGH-QUALITY CLINICAL CARE WITHIN ITS WALLS, AND COMMUNITY HEALTH OUTREACH TO LOCAL POPULATIONS. FOUR UH HEALTH CLINICS ARE LOCATED IN AREAS DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). THESE CLINICS INCLUDE THE DOUGLAS MOORE HEALTH CLINIC, WOMEN'S HEALTH CENTER, RAINBOW AMBULATORY PRACTICE, AND FAMILY MEDICINE CLINIC, ALL LOCATED ON THE CAMPUS OF UH CASE MEDICAL CENTER. HRSA ALSO DESIGNATES MEDICALLY UNDERSERVED AREAS (MUAS) AND MEDICALLY UNDERSERVED POPULATIONS (MUPS) BASED ON SPECIFIC CRITERIA. TWENTY-FIVE AREAS WITHIN THE UH SERVICE AREA INCLUDING CUYAHOGA, LORAIN, AND SUMMIT COUNTIES QUALIFY AS MUAS, WHILE ONE POPULATION IN KENT, PORTAGE COUNTY IS A DESIGNATED MUP. CUYAHOGA COUNTY ALONE ACCOUNTS FOR 20 MUAS LOCATED IN 13 ZIP CODES, REPRESENTING 12 TOWNS. THE UH SYSTEM'S TWO CRITICAL ACCESS HOSPITALS IN ASHTABULA COUNTY SIT IN APPALACHIA, AS DESIGNATED BY THE APPALACHIAN REGIONAL COMMISSION.UH IS COMMITTED TO TRAINING THE NEXT GENERATION OF PHYSICIANS, NURSES, SPECIALISTS AND OTHER ALLIED HEALTH CARE PROVIDERS ANNUALLY. MANY OF THESE STUDENTS AND TRAINEES COMPLETE THEIR EDUCATION AND TAKE THEIR KNOWLEDGE AND EXPERTISE TO OTHER PARTS OF THE STATE OR COUNTRY, THEREBY BENEFITING OTHER COMMUNITIES.UH WORKS TO INCREASE HEALTH AND MEDICAL KNOWLEDGE THROUGH GOVERNMENT AND NON-PROFIT FUNDED RESEARCH. THE SHARED KNOWLEDGE DERIVED FROM THESE EFFORTS IMPROVES THE HEALTH AND WELL-BEING OF PEOPLE THROUGHOUT THE NATION AND THE WORLD WHEN THEY LEAD TO NEW STANDARDS OF CARE, NEW MEDICAL DEVICES, OR BREAKTHROUGHS IN TACKLING DISEASES.AS INDICATED IN THE ABOVE RESPONSE TO PART VI, LINE 4, UH HAS MADE SIGNIFICANT INVESTMENTS IN ACCESS TO CARE FOR LOW INCOME AND VULNERABLE RESIDENTS WITHIN THE COUNTIES UH SERVES. PART VI, LINE 6: FOUR UH HEALTH CLINICS ARE LOCATED IN AREAS DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). THESE CLINICS INCLUDE THE DOUGLAS MOORE HEALTH CLINIC AND FAMILY MEDICINE CLINIC LOCATED ON THE CAMPUS OF UH CLEVELAND MEDICAL CENTER, AND THE WOMEN'S HEALTH CENTER AND RAINBOW AMBULATORY PRACTICE LOCATED OFF CAMPUS IN THE UH RAINBOW CENTER FOR WOMEN & CHILDREN. UH SERVES AN ESSENTIAL ROLE IN THE COMMUNITY BY PROVIDING DIVERSE POPULATIONS THROUGHOUT THE NORTHEAST OHIO REGION WITH COMPREHENSIVE HEALTH CARE - FROM PRIMARY CARE TO HIGHLY SPECIALIZED MEDICAL CARE FOR THE MOST SERIOUS OF HEALTH PROBLEMS. IT PROVIDES THE SAME QUALITY AND COMPASSIONATE SERVICE TO ALL, NO MATTER THEIR INCOME, ABILITY TO PAY OR SOCIOECONOMIC STATUS. UH CARES FOR THE WELL-INSURED AND THE UNINSURED; MEN, WOMEN AND CHILDREN FROM EVERY COMMUNITY IN THE REGION, FROM URBAN CENTERS, SMALL TOWNS, RURAL AREAS AND SUBURBS. PART VI, LINE 7, REPORTS FILED WITH STATES OH 1 AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)3 159000 0 GENERAL SUPPORT GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY 1240 WEST 6TH STREET CLEVELAND OH 44113 GOVERNMENT 125000 0 GENERAL SUPPORT YWCA OF GREATER CLEVELAND 4019 PROSPECT AVE CLEVELAND OH 44103 340714800 501(C)3 40000 0 GENERAL SUPPORT ELYRIA MEDICAL CENTER FOUNDATION 630 EAST RIVER STREET ELYRIA OH 44035 611579760 501(C)3 70193 0 GENERAL SUPPORT PARMA HOSPITAL HEALTH CARE FOUNDATION 7007 POWERS BLVD PARMA OH 44129 341626664 501(C)3 783616 0 GENERAL SUPPORT ROBINSON MEMORIAL HOSPITAL FOUNDATION 6847 N CHESTNUT STREET PO BOX 1204 RAVENNA OH 44266 341510544 501(C)3 717688 0 GENERAL SUPPORT 6 0 PART I, LINE 2: UH HAS A PROCESS WHERE WE RECEIVE AND REVIEW REQUESTS FOR FUNDING, WHICH INCLUDES OUR SENIOR LEADERS. IN THAT REVIEW PROCESS WE CHECK TO BE SURE THE ORGANIZATION IS MISSION ALIGNED TO UH AND REVIEW HISTORICAL GIVING. MUCH OF OUR SUPPORT IS REVIEWED BOTH INTERNALLY AND WITH THE EXTERNAL GROUP ON AN ANNUAL BASIS. 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0 1952 0 13050 0 26131 0 490540 0 0 MILLER JANET L ESQ SEE SCHEDULE O 0 0 0 70777 0 395767 0 0 0 3453 0 469997 0 0 SIPPEY MEGAN MD SEE SCHEDULE O 0 444238 0 71 0 885 0 8700 0 10392 0 464286 0 0 HILL JAMES L SEE SCHEDULE O 0 374112 0 23543 0 20673 0 18850 0 26136 0 463314 0 0 SYLVAN DAVID SEE SCHEDULE O 0 317252 0 121111 0 3956 0 16434 0 1145 0 459898 0 0 ZOLTANSKI JOAN MD SEE SCHEDULE O 288197 0 80964 0 55488 0 15053 0 18135 0 457837 0 0 0 COLE MELISSA CNP SEE SCHEDULE O 0 325682 0 74751 0 7815 0 15581 0 32186 0 456015 0 0 SCHARIO MARK E SEE SCHEDULE O 0 277666 0 78994 0 34845 0 21655 0 27661 0 440821 0 0 PIRTZ JASON M SEE SCHEDULE O 0 296205 0 75942 0 1377 0 16542 0 26320 0 416386 0 0 HARFORD TODD SEE SCHEDULE O 0 259573 0 76018 0 21165 0 20849 0 26067 0 403672 0 0 BROWN SAM H SEE SCHEDULE O 0 261074 0 98880 0 859 0 16286 0 26067 0 403166 0 0 ROYAL KIMBERLY S DO SEE SCHEDULE O 0 322400 0 15037 0 3091 0 20853 0 15053 0 376434 0 0 SAGUE JONATHAN SEE SCHEDULE O 0 278861 0 64088 0 7974 0 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181385 0 0 0 310 0 6368 0 610 0 188673 0 0 BECK JOHN SEE SCHEDULE O 0 100856 0 13456 0 816 0 9548 0 25909 0 150585 0 0 JURIS SUSAN V SEE SCHEDULE O 0 0 0 0 0 114312 0 0 0 8399 0 122711 0 0 PART I, LINE 7 MANAGEMENT INCENTIVE PLAN (MIP) PAYMENTS ARE CALCULATED ANNUALLY AS A PERCENTAGE OF BASE SALARY BASED UPON GOAL ATTAINMENT FOR EACH INCENTIVE CYCLE. THE ELIGIBLE INCENTIVE PERCENTAGE IS DEPENDENT UPON EACH INDIVIDUAL'S LEADERSHIP LEVEL IN THE ORGANIZATION. PART I, LINE 8 CERTAIN EMPLOYEE COMPENSATION DISCLOSED IN PART VII MEET THE REQUIREMENTS OF THE INITIAL CONTRACT EXCEPTION. PART I, LINE 4A: UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION. SEVERANCE PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSON IN PART VII: DAVID, ROBERT G.: $318,264 JONES, M. STEVEN: $464,419 SINK, KRISTI M.: $129,708 PART I, LINE 4B: ELIGIBLE EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN UNDER CODE 457(F). ANY AMOUNTS ULTIMATELY PAID UNDER THE PLAN TO AN ELIGIBLE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B (III) IN THE YEAR PAID. SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSON IN PART VII: BRADLEY C. BOND ($309,673 - SERP) MUKESH JAIN, MD ($332,693 - SERP) SUSAN V. JURIS ($114,312 - SERP) JANET L. MILLER, ESQ. ($395,767 - SERP) KRISTI M. SINK ($248,607 - SERP) THEODOROS N. TEKNOS, MD ($100,000 - SERP) THOMAS F. ZENTY, III ($3,362,236 - SERP) THOMAS F. ZENTY, III RETIRED AS CEO IN JANUARY 2021 AFTER NEARLY 18 YEARS OF UNIVERSITY HOSPITALS HEALTH SYSTEM LEADERSHIP. UNDER ZENTY'S LEADERSHIP, UNIVERSITY HOSPITALS HEALTH SYSTEM EXPANDED FROM 3 TO 18 HOSPITALS TO PROVIDE CARE FOR 1.3 MILLION PATIENTS ANNUALLY. FOR CALENDAR YEAR 2021, ZENTY'S TOTAL COMPENSATION OF $6,079,496 INCLUDES A FINAL DEFERRED RETIREMENT COMPENSATION PAYOUT OF $3,362,236 WHICH IS INCLUDED ON SCHEDULE J, PART II, COLUMN (B)(III), OTHER REPORTABLE COMPENSATION. FORM 990, SCHEDULE J, PART II: FORM 990 REPORTING REQUIREMENTS RELATED TO ITEMS SUCH AS DEFERRED COMPENSATION PROGRAMS REQUIRE DUAL REPORTING IN SOME YEARS FOR VARIOUS PARTICIPANTS. AS SUCH, AMOUNTS MAY BE SHOWN IN PART VII AND SCHEDULE J DURING A YEAR IN WHICH THOSE AMOUNTS WERE DEFERRED, AND AGAIN IN SUBSEQUENT YEARS IN PART VII AND SCHEDULE J WHEN ACTUALLY PAID. ONLY SCHEDULE J INCLUDES A COLUMN (F), NOTING THESE AMOUNTS WERE PREVIOUSLY REPORTED. MINDY GUSZ SEE PART V 15262 SEE PART V 0 ELLEN SABIK SEE PART V 192738 SEE PART V 0 RACHEL TOTH SEE PART V 82532 SEE PART V 0 KATHRYN THOMPSON SEE PART V 117568 SEE PART V 0 SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: MINDY GUSZ.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY RELATIONSHIP.(C) AMOUNT OF TRANSACTION: $15,262.(D) DESCRIPTION OF TRANSACTION: FAMILY MEMBER OF MR. JOHN GUSZ, ROBINSON HEALTH SYSTEM, INC. DIRECTOR EX OFFICIO.(E) SHARING OF ORGANIZATION REVENUES? = NO. SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: ELLEN SABIK.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY RELATIONSHIP.(C) AMOUNT OF TRANSACTION: $192,738.(D) DESCRIPTION OF TRANSACTION: FAMILY MEMBER OF MR. JOSEPH SABIK, UH MEDICAL GROUP, INC. DIRECTOR EX OFFICIO.(E) SHARING OF ORGANIZATION REVENUES? = NO. SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: RACHEL TOTH.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY RELATIONSHIP.(C) AMOUNT OF TRANSACTION: $82,532.(D) DESCRIPTION OF TRANSACTION: FAMILY MEMBER OF MS. PATRICIA SHARPNACK, CURRENT DIRECTOR ON THE UH AHUJA MEDICAL CENTER, INC. BOARD.(E) SHARING OF ORGANIZATION REVENUES? = NO. SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: KATHRYN THOMPSON.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY RELATIONSHIP.(C) AMOUNT OF TRANSACTION: $117,568.(D) DESCRIPTION OF TRANSACTION: FAMILY MEMBER OF MS. PATRICIA DEPOMPEI, PRESIDENT UHCMC RAINBOW BABIES & CHILDREN'S HOSPITAL.(E) SHARING OF ORGANIZATION REVENUES? = NO. X 36 127100 APPRAISAL/RECEIPT X 42074 RECEIPT/FMV/INVOICE X 57 3110502 FMV X 1 106300 APPRAISAL X 13 48801 RECEIPT/INVOICE X 5 107885 INVOICE X EVENT 11 35398 RECEIPT/FMV/INVOICE X MISCELLANEOUS 33 16977 RECEIPT/FMV/INVOICE 4 0 1 0 PART I, COLUMN (B): THE NUMBERS REPORTED IN PART I, COLUMN (B) REPRESENT A COMBINATION OF THE NUMBER OF CONTRIBUTIONS OR THE NUMBER OF ITEMS RECEIVED. FORM 990, PART I, LINE 6: THE TOTAL NUMBER OF VOLUNTEERS IS PROVIDED BY EACH UH MEDICAL CENTER'S VOLUNTEER COORDINATOR. VOLUNTEERS PROVIDE ASSISTANCE IN MANY DIFFERENT DEPARTMENTS THROUGHOUT THE UH MEDICAL CENTERS. THE ROLES OF A VOLUNTEER FALL INTO THREE CATEGORIES: PATIENT CONTACT, LIMITED PATIENT CONTACT AND NO PATIENT CONTACT. ROLES IN THE PATIENT CONTACT CATEGORY INCLUDE THOSE WHERE THE VOLUNTEER IS WORKING DIRECTLY WITH A PATIENT OR THE PATIENT'S FAMILY. EXAMPLES OF VOLUNTEER ROLES FROM THIS CATEGORY INCLUDE BUT ARE NOT LIMITED TO PASTORAL CARE VOLUNTEERS AND NEWBORN NURSERY VOLUNTEERS. VOLUNTEERS WHO SERVE IN ROLES WHERE THERE IS LIMITED PATIENT CONTACT WORK IN AREAS WHERE THEY MAY BE WORKING MORE WITH HOSPITAL STAFF THAN OUR PATIENTS OR VISITORS. EXAMPLES OF VOLUNTEER ROLES UNDER THE LIMITED PATIENT CONTACT INCLUDE BUT ARE NOT LIMITED TO FLOWER DELIVERY VOLUNTEERS AND ATRIUM GIFT SHOP VOLUNTEERS. FINALLY, EXAMPLES OF VOLUNTEER ROLES FROM THE NO PATIENT CONTACT CATEGORY INCLUDE BUT ARE NOT LIMITED TO MAILROOM AND CLERICAL VOLUNTEERS (WORKING IN OFFICES THROUGHOUT THE UH MEDICAL CENTERS). FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION: UNIVERSITY HOSPITALS (THE "SYSTEM") IS GUIDED BY ITS MISSION "TO HEAL. TO TEACH. TO DISCOVER." THE SYSTEM SERVES A UNIQUE ROLE IN THE COMMUNITIES IT SERVES BY PROVIDING DIVERSE POPULATIONS THROUGHOUT THE NORTHEAST OHIO REGION WITH COMPREHENSIVE HEALTH CARE - FROM PRIMARY CARE TO HIGHLY SPECIALIZED MEDICAL CARE FOR THE MOST SERIOUS OF HEALTH PROBLEMS. THE SYSTEM IS KNOWN FOR PROVIDING SUPERIOR, LEADING-EDGE HEALTH CARE ACROSS THE FULL RANGE OF MEDICAL AND SURGICAL SPECIALITIES FROM INFANCY TO ELDER CARE. IN ADDITION TO DELIVERING QUALITY PATIENT CARE, THE SYSTEM SERVES AS A PREEMINENT TEACHING FACILITY FOR PHYSICIANS, NURSES AND ANCILLARY MEDICAL PERSONNEL. THE SYSTEM'S EXTENSIVE CLINICAL RESEARCH PROGRAMS CONTINUE TO IMPROVE THE UNDERSTANDING OF DISEASE AND ENHANCE PATIENT CARE. FORM 990, PART III - PROGRAM SERVICE, LINE 4A: COMMITMENT TO THE COMMUNITY REMAINS AT THE CORE OF THE SYSTEM'S MISSION: TO HEAL. TO TEACH. TO DISCOVER. IN 2021, UNIVERSITY HOSPITALS DEDICATED MORE THAN $500 MILLION TO COMMUNITY BENEFIT PROGRAMS IN NORTHEAST OHIO CONSISTING OF: - EDUCATION AND TRAINING = $ 104 MILLION - RESEARCH = $ 66 MILLION - CHARITY CARE = $50 MILLION - MEDICAID SHORTFALL = $290 MILLION - COMMUNITY HEALTH IMPROVEMENT SERVICES, PROGRAMS AND SUPPORT = $22 MILLION - HOSPITAL CARE ASSURANCE PROGRAM (HCAP) RECEIPTS = ($32 MILLION). REFER TO SCHEDULE H FOR FURTHER DETAIL ON HOW THE SYSTEM MEASURES AND REPORTS COMMUNITY BENEFIT. COMMUNITY BENEFIT FOR 2021 TOTALED $500 MILLION. IN ADDITION TO CHARITY CARE AND INSUFFICIENT FUNDING FROM THE MEDICAID PROGRAM, THE SYSTEM INCURS SIGNIFICANT LOSSES RELATED TO SELF-PAY PATIENTS WHO FAIL TO MAKE PAYMENT FOR SERVICES RENDERED OR INSURED PATIENTS WHO FAIL TO REMIT CO-PAYMENTS AND DEDUCTIBLES AS REQUIRED UNDER APPLICABLE HEALTH INSURANCE ARRANGEMENTS. IN 2021, $125 MILLION REPRESENTED REVENUES FOR SERVICES PROVIDED THAT ARE DEEMED TO BE UNCOLLECTIBLE. THE SYSTEM HAS A BROAD PRESENCE THROUGHOUT NORTHEAST OHIO, INCLUDING CUYAHOGA, LORAIN, GEAUGA, ASHTABULA, PORTAGE, ASHLAND, AND RICHLAND COUNTIES SERVICE AREAS. THE BREADTH OF THE SYSTEM'S SERVICE AREA IS COVERED THROUGH ITS ACADEMIC MEDICAL CENTER, COMMUNITY MEDICAL CENTERS, JOINT VENTURES, AMBULATORY HEALTH CENTERS, AND MEDICAL PRACTICES. THE UH HEALTH SYSTEM PROVIDES WORK DIRECTLY FOR 42,009 EMPLOYEES AND PHYSICIANS. UH PROVIDES MANY COMMUNITY BENEFITS DIRECTLY AND INDIRECTLY THROUGH NEW OR EXPANDED BUSINESS OPPORTUNITIES AND THROUGH IMPORTANT CAPITAL INVESTMENTS IN OUR FACILITIES. UH HAS COMMITTED - AND CONTINUES TO COMMIT - MILLIONS OF DOLLARS TO FACILITIES AND OPERATIONS WITHIN THE CITY OF CLEVELAND AND THROUGHOUT OUR REGION, PROVIDING CONSTRUCTION AND HOSPITAL-BASED JOBS. STATE-OF-THE-ART FACILITIES AND SERVICES AT UH CLEVELAND MEDICAL CENTER, OUR WORLD-RENOWNED ACADEMIC MEDICAL CENTER IN CLEVELAND, PROVIDE CLEVELAND RESIDENTS AND PEOPLE FROM THROUGHOUT THE REGION AND THE WORLD WITH THE FINEST IN PRIMARY AND SPECIALTY HEALTH CARE. THE FACILITIES ALLOW US TO CONDUCT VITAL MEDICAL RESEARCH AND OFFER ADVANCED TRAINING FOR STUDENTS AND HEALTH PROFESSIONALS. THE QUENTIN & ELISABETH ALEXANDER NEONATAL INTENSIVE CARE UNIT AT UH RAINBOW BABIES & CHILDREN'S HOSPITAL SERVES OUR MOST VULNERABLE CHILDREN. THE SYSTEM'S EMERGENCY FACILITIES AT OR MEDICAL CENTERS AND THE SYSTEM'S SEIDMAN CANCER CENTER AT UH CLEVELAND MEDICAL CENTER AND VARIOUS COMMUNITY MEDICAL CENTERS, CONTINUE TO PROVIDE EXPANDED EMPLOYMENT OPPORTUNITIES WHILE EXTENDING UH'S MISSION TO MORE PATIENTS. NEW STATE-OF-THE-ART OUTPATIENT HEALTH CENTERS IN THE REGION HAVE SPURRED ECONOMIC GROWTH WHILE GIVING PEOPLE ACCESS TO THE CARE THEY NEED CLOSE TO HOME AND EXPANDING OUR COMMUNITY BENEFIT PROGRAMS. DURING 2021, THE COVID-19 PANDEMIC CONTINUED TO CAUSE CHALLENGES FOR THE NORTHEAST OHIO REGION. THIS PRESENTED NEW OPPORTUNITIES FOR THE HEALTH SYSTEM TO CONTRIBUTE TO THE COMMUNITY BY: - A COVID-19 VACCINE CLINIC THAT PROVIDED NEARLY 165,000 VACCINES TO 82,000 PATIENTS AND CAREGIVERS. - MORE THAN 200 COVID-19 FOCUSED CLINICAL TRIALS AND RESEARCH STUDIES. - CARING FOR PATIENTS THROUGH THE COVID-19 SURGES WHILE MANAGING THROUGH AN UNPRECEDENTED NATIONAL HEALTH CARE STAFFING SHORTAGE. - THROUGH HARRINGTON DISCOVERY INSTITUTE AT UNIVERSITY HOSPITALS, ENGAGED SCHOLARS FROM AROUND THE WORLD IN FIGHTING COVID-19, RESULTING IN FOUR INNOVATIONS THAT HAVE ALREADY PROGRESSED TO THE STAGE OF CLINICAL TRIALS. THE SYSTEM IS PROUD TO CONTRIBUTE TO THE HEALTH OF ITS CITIZENS AND TO BE A POSITIVE ECONOMIC FORCE IN THE REGION. FOR MORE DETAILED INFORMATION ON THE SYSTEM'S COMMUNITY BENEFIT OR TO VIEW THE 2021 COMMUNITY BENEFIT REPORT, PLEASE VISIT THE SYSTEM'S WEBSITE AT WWW.UHHOSPITALS.ORG. FORM 990, PART VI, SECTION A, LINE 6 UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE ORGANIZATIONS INCLUDED IN THIS RETURN. ITS RIGHTS INCLUDE ELECTING THE BOARD OF DIRECTORS AND APPROVING SIGNIFICANT DECISIONS OF EACH ORGANIZATION'S BOARD. FORM 990, PART VI, SECTION A, LINE 7A UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (SOLE MEMBER) ELECTS THE BOARD OF DIRECTORS, INCLUDING THE DESIGNATION OF THE DIRECTORS TO BE THE CHAIRPERSON AND VICE CHAIRPERSON OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN GOVERNING RESPONSIBILITIES ARE RESERVED AT THE PARENT ORGANIZATION, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (SOLE MEMBER). EXAMPLES INCLUDE APPROVING MATTERS RELATING TO FINANCES AND FINANCING, MATTERS RELATING TO INVESTMENTS, LEGAL MATTERS, MATERIAL ASSETS SALES OR TRANSFERS, STRATEGIC PLAN, OFFICERS, AND DIRECTORS TO THE ORGANIZATIONS BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT AND COMPLIANCE COMMITTEE HAS BEEN DELEGATED AUTHORITY BY THE UHHS BOARD OF DIRECTORS TO REVIEW THE FORM 990. THE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION SECTIONS OF THE FORM 990. THE GOVERNANCE AND COMMUNITY BENEFIT COMMITTEE REVIEWED THE COMMUNITY BENEFIT SECTION OF THE FORM 990 (SCHEDULE H). THE UHHS BOARD OF DIRECTORS RECEIVES A COMPLETE COPY OF THE RETURN BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. CERTAIN MEMBERS OF SENIOR MANAGEMENT REVIEW THE FORM WHILE OVERSEEING THIS PROCESS. FORM 990, PART VI, SECTION B, LINE 12C THE SYSTEM HAS ADOPTED SIX CONFLICT OF INTEREST POLICIES THAT SET FORTH GUIDELINES RELATED TO TRANSACTIONS WITH DISQUALIFIED PERSONS (AS DEFINED IN APPLICABLE FEDERAL REGULATION). THESE POLICIES APPLY TO ALL EMPLOYEES, EMPLOYED PHYSICIANS AND OTHER LICENSED PRACTITIONERS (EXCLUDING PHYSICIAN TRAINEES), DIRECTORS, OFFICERS, AND RELATED PARTIES TO UH AND ITS WHOLLY-OWNED SUBSIDIARIES. UH REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICIES. DESIGNATED INDIVIDUALS, (E.G., UH MANAGEMENT, DIRECTORS, EMPLOYED PHYSICIANS, AND ADVANCED PRACTICE PROFESSIONALS), ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE AND PROVIDE INFORMATION REGARDING ANY INTERESTS THAT MAY BE POTENTIAL CONFLICTS PURSUANT TO THE CONFLICT OF INTEREST POLICIES. THEY ARE REQUIRED TO PROVIDE ANY CHANGES OR NEW DISCLOSURES SHOULD THEY OCCUR. ALL DISCLOSURES AND SUBSEQUENT UPDATES TO DISCLOSURES ARE REVIEWED BY THE UH COMPLIANCE AND ETHICS DEPARTMENT. BOARD-LEVEL AND KEY PERSONNEL CONFLICTS ARE REVIEWED AND APPROVED, IF APPROPRIATE, BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE UH BOARD AND/OR THE UH BOARD. IF A CONFLICT EXISTS WITH A DIRECTOR, CERTAIN RESTRICTIONS MAY BE IMPOSED, SUCH AS EXCUSING THE DIRECTOR FROM THE ROOM DURING DISCUSSION AND/OR VOTING WITH REGARD TO A PROPOSED TRANSACTION. EDUCATION REGARDING CONFLICTS OF INTEREST IS INCLUDED IN THE ANNUAL COMPLIANCE TRAINING THAT INCLUDES ALL DIRECTORS, EMPLOYEES, PHYSICIANS AND LICENSED PRACTITIONERS. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS APPROVED BY THE UHHS BOARD OF DIRECTORS. EXECUTIVE COMPENSATION IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD (THE "COMMITTEE"). THE COMMITTEE HAS RETAINED AN INDEPENDENT COMPENSATION CONSULTANT WHO PROVIDES INFORMATION TO THE COMMITTEE ON CHANGES AND TRENDS IN EXECUTIVE COMPENSATION AND OBJECTIVE THIRD PARTY INFORMATION ON COMPETITIVE AND COMPARABLE EXECUTIVE COMPENSATION AND BENEFIT LEVEL/PROGRAMS. THE CONSULTANT COLLECTS AND PROVIDES TO THE COMMITTEE, APPROPRIATE MARKET COMPENSATION AND BENEFITS INFORMATION, APPROPRIATE MARKET PRACTICES FOR COMPARABLE ORGANIZATIONS' POSITIONS AND BEST PRACTICES. THE CONSULTANT ALSO PROVIDES ADVICE ON DEVELOPING AND MODIFYING UH'S EXECUTIVE COMPENSATION PHILOSOPHY. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS FOR UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES ARE MADE PUBLICLY AVAILABLE THROUGH THE USE OF DAC BOND (DISCLOSURE DISSEMINATION AGENT) AND CAN BE FOUND ON THE INTERNET AT WWW.DACBOND.COM. THE ORGANIZATION'S ARTICLES, CODE OF REGULATIONS, AND CONFLICT OF INTEREST POLICY MAY BE MADE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A: INDIVIDUAL DISCLOSURES GROUP ENTITES LISTED BELOW INCLUDE: AHUJA: UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER, INC. CCO: UNIVERSITY HOSPITALS COORDINATED CARE ORGANIZATION CHCO: COMPREHENSIVE HEALTH CARE OF OHIO, INC. CONN: UNIVERSITY HOSPITALS CONNEAUT ELYRIA: EMH REGIONAL MEDICAL CENTER GEAUGA: UNIVERSITY HOSPITALS GEAUGA MEDICAL CENTER GENEVA: UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER HCS: UNIVERSITY HOSPITALS HOME CARE SERVICES, INC. HHI: UHHS HEATHER HILL INC. PARMA: PARMA COMMUNITY GENERAL HOSPITAL PORT: ROBINSON HEALTH SYSTEM, INC. SAM: SAMARITAN REGIONAL HEALTH SYSTEM SJMC: UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER UHCMC: UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER UHLSF: UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION UHMG: UNIVERSITY HOSPITALS MEDICAL GROUP, INC. UHRH: UH REGIONAL HOSPITALS HOURS LISTED BELOW INCLUDE: AVERAGE HOURS PER WEEK FOR EACH INDIVIDUALS' ENTITY BOARD. ROLES LISTED BELOW INCLUDE: D: INDIVIDUAL TRUSTEE OR DIRECTOR T: INSTITUTIONAL TRUSTEE O: OFFICER KE: KEY EMPLOYEE HCE: HIGHEST COMPENSATED EMPLOYEE F: FORMER ADAIR, BRETT DO: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR (BEGIN 05/21); 2 HOURS; D ADELMAN, HARLIN G. ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: CHIEF LEGAL OFFICER/SECRETARY; 2 HOURS; O UHMG: FORMER OFFICER; 0 HOURS; F AGRANOVICH, CHERYL: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D ANDRES, BLAKE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D ANNABLE, CATHY J. S. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D BALL, STANLEY C.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D BALLINGER, MARCIA PHD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O CHCO: DIRECTOR/VICE CHAIR; 2 HOURS; D, O BALOGH, SCOTT: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D BAMBAKIDIS, NICHOLAS C: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: VP, NEUROLOGICAL INSTITUTE; 50 HOURS; HCE BARR, WILLIAM H. III: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D BECK, ERIC H. DO, MPH: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR EX OFFICIO/INTERIM PRESIDENT (BEG 09/21); 2 HOURS; D, O UHMG: DIRECTOR EX OFFICIO (BEGIN 09/21); 2 HOURS; D HCS: DIRECTOR/CHAIR; 2 HOURS; D, O BECK, JOHN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HHI: DIRECTOR/PRESIDENT; 2 HOURS; D, O BEER, ANNE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR/CHAIR; 2 HOURS; D, O BEJANISHVILI, TAMAR MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR EX OFFICIO; 2 HOURS; D BENOIT, WILLIAM: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR EX OFFICIO/PRESIDENT; 2 HOURS; D, O SAM: DIRECTOR EX OFFICIO (BEGIN 12/21)/PRESIDENT (BEGIN 06/21); 2 HOURS; D, O BEVERAGE, MORRIS W. JR., EDM: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D BLOXDORF, GREGORY DO: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR EX OFFICIO; 2 HOURS; D BOND, BRADLEY C.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: SECRETARY/TREASURER; 2 HOURS; O SAM: SECRETARY/TREASURER; 2 HOURS; O HHI: DIRECTOR/SECRETARY/TREASURER; 2 HOURS; D, O AHUJA: SECRETARY/TREASURER; 2 HOURS; O UHRH: SECRETARY/TREASURER (BEGIN 03/21); 2 HOURS; O CHCO: SECRETARY/TREASURER; 2 HOURS; O UHLSF: DIRECTOR/TREASURER; 2 HOURS; D, O BOWLER, CONNIE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR/VICE CHAIR (BEGIN 05/21); 2 HOURS; D, O GENEVA: DIRECTOR/VICE CHAIR (BEGIN 05/21); 2 HOURS; D, O BOYKO, TIMOTHY A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR/CHAIR; 2 HOURS; D, O BRADLEY, SALLY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D BRAGG, DAN A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CHCO: DIRECTOR; 2 HOURS; D ELYRIA: DIRECTOR; 2 HOURS; D BRECHT, CHRISTOPHER E.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GENEVA: DIRECTOR; 2 HOURS; D CONN: DIRECTOR; 2 HOURS; D BROOME, BARBARA ANN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR/VICE CHAIR; 2 HOURS; D, O BROWN, SAM H.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHLSF: DIRECTOR/PRESIDENT/SECRETARY; 2 HOURS; D, O BURKHOLDER, HARVEY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR; 2 HOURS; D CAMIENER, DAVID A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D CARPENTER, JENNIFER: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HCS: DIRECTOR; 2 HOURS; D CARR, DAVID: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D CHANDLER, POLLY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR; 2 HOURS; D CHANG, PHILLIP MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: CHIEF MEDICAL OFFICER; 2 HOURS; O CHICKERELLA, DANIELLE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR ; 2 HOURS; D HCS: DIRECTOR/VICE PRESIDENT (END 05/21)/VICE CHAIR; 2 HOURS; D, O CHILDERS, WILLIAM: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR; 2 HOURS; D CIACCIA, JULIUS JR.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR; 2 HOURS; D CLARK, JILL: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D CLOUGH, MAYOR DENNIS: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR; 2 HOURS; D COE, RICHARD J.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR EX OFFICIO (END 05/21); 2 HOURS; D COLE, MELISSA CNP: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HCS: DIRECTOR/PRESIDENT; 2 HOURS; D, O CONNER, MARJORIE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR; 2 HOURS; D CORCORAN, KEVIN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CHCO: DIRECTOR; 2 HOURS; D ELYRIA: DIRECTOR; 2 HOURS; D CORRENTI, MARY ANN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR; 2 HOURS; D COWEN, TIMOTHY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR; 2 HOURS; D DANA, RICHARD L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR/CHAIR; 2 HOURS; D, O GENEVA: DIRECTOR/CHAIR; 2 HOURS; D, O DAVID, ROBERT G.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR EX OFFICIO/PRESIDENT (END 02/21); 2 HOURS; D, O DAVIE, DIANE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR; 2 HOURS; D DEBS, MICHAEL MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR EX OFFICIO (BEGIN 05/21); 2 HOURS; D DECARLO, DONALD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR EX OFFICIO/PRESIDENT (END 06/21); 2 HOURS; D, O DECK, CHARLES V.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR/VICE CHAIR (END 05/21); 2 HOURS; D, O GENEVA: DIRECTOR/VICE CHAIR (END 05/21); 2 HOURS; D, O DEPOMPEI, PATRICIA M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: PRESIDENT - RAINBOW BABIES & CHILDRENS; 2 HOURS; O UHMG: DIRECTOR; 2 HOURS; D DESOUZA, LESLEY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR/SECRETARY (BEGIN 07/21); 2 HOURS; D, O DEVANEY, ERIC J: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIVISION CHIEF, UHMG; 50 HOURS; HCE DOLL, DAVID: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (BEGIN 05/21); 2 HOURS; D DOODY, RICHARD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D EGLESTON, INDRANI: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D EMRHEIN, WILLIAM: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR EX OFFICIO; 2 HOURS; D EUBANKS, JASON D: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: ORTHOPEDIC SURGEON; 50 HOURS; HCE FINE, LAUREN RICH: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D FITTS, JOHN T.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR/CHAIR; 2 HOURS; D, O FLYNN, SCOTT ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR/VICE CHAIR; 2 HOURS; D, O FRENCH, MATTHEW C.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR; 2 HOURS; D GARCIA, RICHARD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GENEVA: DIRECTOR; 2 HOURS; D CONN: DIRECTOR; 2 HOURS; D GAUGHAN, HON. PATRICIA ANN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR; 2 HOURS; D GIANFAGNA, JEAN M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR; 2 HOURS; D GILMAN, THOMAS R.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR/VICE CHAIR (END 05/21); 2 HOURS; D, O GISZTL, RODNEY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR/TREASURER (BEGIN 07/21); 2 HOURS; D, O GLOTZBECKER, MICHAEL P: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIVISION CHIEF, UHMG; 50 HOURS; HCE GLOWCZEWSKI, JASON: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GENEVA: DIRECTOR EX OFFICIO (BEGIN 06/21)/SECRETARY/TREASURER; 2 HOURS; D, O GEAUGA: DIRECTOR EX OFFICIO (BEGIN 06/21); 2 HOURS; D CONN: DIRECTOR EX OFFICIO (BEGIN 06/21)/SECRETARY/TREASURER; 2 HOURS; D, O GOODELLE, MICHAEL: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHLSF: DIRECTOR; 2 HOURS; D GREIG, JUDITH C. RN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR; 2 HOURS; D GUAY, MARC MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CHCO: DIRECTOR EX OFFICIO (BEGIN 01/01); 2 HOURS; D ELYRIA: DIRECTOR EX OFFICIO (BEGIN 01/21); 2 HOURS; D GUSZ, JOHN R. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR EX OFFICIO; 2 HOURS; D HABER, IRWIN G.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O HAMMACK, ELIZABETH R. ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: FORMER OFFICER; 0 HOURS; F HANFF, POLLY M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR; 2 HOURS; D HARDIN, JR. CHARLES W.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GENEVA: DIRECTOR (BEGIN 05/21); 2 HOURS; D CONN: DIRECTOR (BEGIN 05/21); 2 HOURS; D HARFORD, TODD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR EX OFFICIO (BEGIN 09/21); 2 HOURS; D SAM: DIRECTOR EX OFF. (END 12/21)/PRESIDENT (END 06/21); 2 HOURS; D, O HARRINGTON-MCLAUGHLIN, JILL: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D HARRIS, TIMOTHY S.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D HEIMANN, SUSAN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR (END 07/21); 2 HOURS; D HERTZ, ANDREW R. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR (END 05/21); 2 HOURS; D HILL, JAMES L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR EX OFFICIO (BEGIN 06/21); 2 HOURS; D HINCHEY, PAUL R.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CHCO: DIRECTOR (BEGIN 05/21) (END 06/21); 2 HOURS; D ELYRIA: DIRECTOR (BEGIN 05/21) (END 06/21); 2 HOURS; D PARMA: DIRECTOR (BEGIN 05/21) (END 06/21); 2 HOURS; D HOCKADAY, JAMES E.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D HOSIER-ORVIS, B. PAIGE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D HOYNES, SEAN MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D HUNT, JOYCE ANNE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR; 52 HOURS; D IMHOFF, DONNA PHD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR (END 05/21); 2 HOURS; D JAIN, MUKESH MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 2 HOURS; D JARZEMBAK, KELLIE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR EX OFFICIO (END 05/21); 52 HOURS; D JEMISON, TRACY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O JONES, M. STEVEN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: FORMER OFFICER; 0 HOURS; F CONN: DIRECTOR EX OFFICIO/PRESIDENT (END 03/21); 2 HOURS; D, O UHRH: SECRETARY/TREASURER (END 03/21); 2 HOURS; O GENEVA: DIRECTOR EX OFFICIO/PRESIDENT (END 03/21); 2 HOURS; D, O AHUJA: DIRECTOR EX OFFICIO (END 03/21); 2 HOURS; D PORT: DIRECTOR EX OFFICIO (END 03/21); 2 HOURS; D JORDAN, SHARON SOBOL: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D JUDD, JAMES (DELL) O.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR; 2 HOURS; D JURIS, SUSAN V.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: FORMER OFFICER; 0 HOURS; F HHI: FORMER OFFICER; 0 HOURS; F KARLOVEC, JOHN D.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D KELLY, MICHAEL J. SR.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR; 2 HOURS; D KELSAY, RALPH J.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR; 2 HOURS; D KELSHEIMER, JERRY L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR EX OFFICIO (END 05/21); 2 HOURS; D KINNEY, WARD (BUD) L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D KLINE, ANDREW L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D KNECHT, BARBARA L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR/SECRETARY/TREASURER; 2 HOURS; D, O KONHEIM, ARI L: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: PHYSICIAN; 50 HOURS; HCE KOURY, LEE M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D KUMAR, AJAY MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GENEVA: DIRECTOR EX OFFICIO; 2 HOURS; D CONN: DIRECTOR EX OFFICIO ; 2 HOURS; D LAISURE, COLLETTE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR EX OFFICIO; 2 HOURS; D LEGEZA, MICHAEL D.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D LEININGER, KIMM: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D LEWIS, MICHAEL A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR/CHAIR; 2 HOURS; D, O LONG, REV. JANET: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR; 2 HOURS; D CHCO: DIRECTOR; 2 HOURS; D MACKINLAY, SARA ANN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR/CHAIR; 2 HOURS; D, O MAINE, KAREEM D.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR (BEGIN 05/21); 2 HOURS; D MARKOWITZ, DALE H.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D MCGEE, THOMAS: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR (END 05/21); 2 HOURS; D MCQUISTON, EDWARD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR; 2 HOURS; D MEGERIAN, CLIFF MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR (END 05/21); 2 HOURS; D UHCMC: DIRECTOR EX OFFICIO (BEGIN 01/21); 2 HOURS; D UHMG: FORMER OFFICER; 0 HOURS; F METCALF BEASLEY, TERESA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (BEGIN 05/21); 2 HOURS; D MIGGINS, LYNN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR/CHAIR; 2 HOURS; D, O CHCO: DIRECTOR/CHAIR; 2 HOURS; D, O MILLER, CHRISTOPHER N. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR EX OFFICIO/PRESIDENT; 50 HOURS; D, O MILLER, JANET L. ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: FORMER OFFICER; 0 HOURS; F MILLER, MARCIA J.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR/VICE CHAIR (END 12/21)/CHAIR (BEG 12/21); 2 HOURS; D, O MILLER, MARLENE MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR EX OFFICIO; 50 HOURS; D MILLER, PETE C.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D MONHEIM, KAREN M. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D MONTER, BRIAN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: FORMER OFFICER; 0 HOURS; F PARMA: DIRECTOR EX OFFICIO (END 06/21)/PRESIDENT; 2 HOURS; D, O SJMC: DIRECTOR EX OFFICIO (BEGIN 02/21) (END 06/21)/PRESIDENT (BEGIN 02/21); 2 HOURS; D, O CHCO: DIRECTOR EX OFFICIO/PRESIDENT (BEGIN 02/21); 2 HOURS; D, O ELYRIA: DIRECTOR EX OFFICIO (BEGIN 02/21) (END 06/21)/PRESIDENT (BEGIN 02/21); 2 HOURS; D, O MOORE, ERIC J. ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O MYERS, PAUL R.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR EX OFFICIO; 2 HOURS; D NEWCOMB, CHRISTOPHER M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D OWEN, MELISSA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR (BEGIN 05/21); 2 HOURS; D PAPA, ALAN J. 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CENTER K 1621308 GENERAL LEDGER UH PHYSICIAN SERVICES TO CONNEAUT MEDICAL CENTER K 54703 GENERAL LEDGER UH PHYSICIAN SERVICES TO ELYRIA MEDICAL CENTER K 156765 GENERAL LEDGER CLEVELAND MEDICAL CENTER TO GEAUGA MEDICAL CENTER K 500322 GENERAL LEDGER UH PHYSICIAN SERVICES TO GEAUGA MEDICAL CENTER K 379905 GENERAL LEDGER UH PHYSICIAN SERVICES TO GENEVA MEDICAL CENTER K 109807 GENERAL LEDGER ELYRIA MEDICAL CENTER TO NORTH OHIO HEART INC K 141691 GENERAL LEDGER UH PHYSICIAN SERVICES TO PARMA MEDICAL CENTER K 376689 GENERAL LEDGER CLEVELAND MEDICAL CENTER TO PORTAGE MEDICAL CENTER K 268349 GENERAL LEDGER UH PHYSICIAN SERVICES TO PORTAGE MEDICAL CENTER K 1818291 GENERAL LEDGER CLEVELAND MEDICAL CENTER TO PRL CORPORATION K 472686 GENERAL LEDGER PARMA MEDICAL CENTER TO PRL CORPORATION K 720752 GENERAL LEDGER UNIVERSITY HOSPITALS MEDICAL GROUP TO PRL CORPORATION K 97740 GENERAL LEDGER UH PHYSICIAN SERVICES TO SAMARITAN MEDICAL CENTER K 773914 GENERAL LEDGER CLEVELAND MEDICAL CENTER TO ST JOHN MEDICAL CENTER K 3612735 GENERAL LEDGER UH PHYSICIAN SERVICES TO ST JOHN MEDICAL CENTER K 582064 GENERAL LEDGER CLEVELAND MEDICAL CENTER UH REGIONAL HOSPITALS K 886633 GENERAL LEDGER UH PHYSICIAN SERVICES TO UH REGIONAL HOSPITALS K 364197 GENERAL LEDGER AHUJA MEDICAL CENTER TO UNIVERSITY SUBURBAN REAL ESTATE K 361250 GENERAL LEDGER CLEVELAND MEDICAL CENTER TO UNIVERSITY SUBURBAN REAL ESTATE K 604370 GENERAL LEDGER UH LAB SERVICES FOUNDATION TO UNIVERSITY SUBURBAN REAL ESTATE K 128758 GENERAL LEDGER UNIVERSITY HOSPITAL MEDICAL GROUP TO UNIVERSITY SUBURBAN REAL ESTATE K 789650 GENERAL LEDGER UH REGIONAL HOSPITALS TO UHHS INC R 1973361 GENERAL LEDGER PARMA MEDICAL CENTER TO UHHS INC R 471401 GENERAL LEDGER ELYRIA MEDICAL CENTER TO UHHS INC R 10293390 GENERAL LEDGER AHUJA MEDICAL CENTER TO UHHS INC R 14158755 GENERAL LEDGER UH HOME CARE SERVICES TO UHHS INC R 47596727 GENERAL LEDGER UNIVERSITY HOSPITALS MEDICAL GROUP TO UHHS INC R 90768956 GENERAL LEDGER CLEVELAND MEDICAL CENTER FROM UHHS INC S 165594306 GENERAL LEDGER UH LAB SERVICES FOUNDATION FROM UHHS INC S 11318468 GENERAL LEDGER GEAUGA MEDICAL CENTER FROM UHHS INC S 23115304 GENERAL LEDGER GENEVA MEDICAL CENTER FROM UHHS INC S 1490303 GENERAL LEDGER CONNEAUT MEDICAL CENTER FROM UHHS INC S 3830173 GENERAL LEDGER SAMARITAN MEDICAL CENTER FROM UHHS INC S 15046208 GENERAL LEDGER ST JOHN MEDICAL CENTER FROM UHHS INC S 6984891 GENERAL LEDGER PORTAGE MEDICAL CENTER FROM UHHS INC S 7617204 GENERAL LEDGER COMPREHENSIVE HEALTH CARE OF OHIO FROM UHHS INC S 217120 GENERAL LEDGER UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER 11100 EUCLID AVENUE CLEVELAND OH 44106 341567805 X 7373 169505 176878 2107027537 2107204415 1000000 250000 0 0 0 UH REGIONAL HOSPITALS 11100 EUCLID AVENUE CLEVELAND OH 44106 341271115 404 9297 9701 127130508 127140209 1000000 250000 0 0 0 UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER 158 WEST MAIN RD CONNEAUT OH 44030 340750341 110 2520 2630 30537285 30539915 1000000 250000 0 0 0 UNIVERSITY HOSPITALS GEAUGA MEDICAL CENTER 13207 RAVENNA RD CHARDON OH 44024 340816492 533 12255 12788 149147996 149160784 1000000 250000 0 0 0 UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER 870 WEST MAIN STREET GENEVA OH 44041 340714461 178 4082 4260 46191919 46196179 1000000 250000 0 0 0 UNIVERSITY HOSPITALS HOME CARE SERVICES 4901 GALAXY PARKWAY WARRENSVILLE HEIGHTS OH 44128 341527536 397 9128 9525 174460723 174470248 1000000 250000 0 0 0 UNIVERSITY HOSPITALS LABORATORY SERVICES 11100 EUCLID AVENUE CLEVELAND OH 44106 341720429 200 4606 4806 53056408 53061214 1000000 250000 0 0 0 UNIVERSITY HOSPITALS MEDICAL GROUP INC 11100 EUCLID AVENUE CLEVELAND OH 44106 204881619 1424 32742 34166 541939968 541974134 1000000 250000 0 0 0 UNIVERSITY HOSPITALS HEALTH SYSTEM INC 11100 EUCLID AVENUE CLEVELAND OH 44106 340714775 1048 24102 25150 842337850 842363000 1000000 250000 0 0 0 UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER 11100 EUCLID AVENUE CLEVELAND OH 44106 264827222 768 17667 18435 209092079 209110514 1000000 250000 0 0 0 PARMA COMMUNITY GENERAL HOSPITAL ASSOC 3605 WARRENSVILLE CENTER RD SHAKER HEIGHTS OH 44122 340827442 575 13218 13793 181561375 181575168 1000000 250000 0 0 0 COMPREHENSIVE HEALTH CARE OF OHIO INC 3605 WARRENSVILLE CENTER RD SHAKER HEIGHTS OH 44122 341492733 2 35 37 2328 2365 473 118 0 0 0 EMH REGIONAL MEDICAL CENTER 3605 WARRENSVILLE CENTER RD SHAKER HEIGHTS OH 44122 340714512 642 14771 15413 194567393 194582806 1000000 250000 0 0 0 ROBINSON HEALTH SYSTEM INC 3605 WARRENSVILLE CENTER RD SHAKER HEIGHTS OH 44122 461382538 525 12069 12594 155919367 155931961 1000000 250000 0 0 0 ST JOHN MEDICAL CENTER 3605 WARRENSVILLE CENTER RD SHAKER HEIGHTS OH 44122 341260978 606 13943 14549 178502194 178516743 1000000 250000 0 0 0 SAMARITAN REGIONAL HEALTH SYSTEM 3605 WARRENSVILLE CENTER RD SHAKER HEIGHTS OH 44122 340714535 293 6732 7025 82320510 82327535 1000000 250000 0 0 0