2020-10-30T08:45:52-05:00 2019-12-31 346565596 ERNST & YOUNG LLP 950 MAIN AVE 1800 CLEVELAND OH 44113 990 2019-01-01 912153073 THE CLEVELAND CLINIC FOUNDATION GROUP RETURN CLEV 2164442200 6801 BRECKSVILLE RD RK1-85 INDEPENDENCE OH 44131 STEVEN C GLASS CHIEF FINANCIAL OFFICER 2164442200 2020-10-30 1 TERENCE M KENNEDY P00089502 2168615000 139.137.128.63 2020-10-30 09:42:22 ED P 344DAD6184B0AEB29D92C9305E46EE692C727723 A1524C4345D7695420D9C40E99DCD2C6533A7ED4 2019 2021-01-29 14:40:06Z TOMISLAV MIHALJEVIC 6801 BRECKSVILLE RD RK1-85 INDEPENDENCE OH 44131 20662364172 1 1 3641 X WWW.CLEVELANDCLINIC.ORG X PATIENT CARE, RESEARCH AND EDUCATION 677 451 71093 6579 63861687 769871 317989021 327817213 9207430066 10229466263 243520402 537229549 238503075 464025353 10007442564 11558538378 138597529 139835146 0 0 5033203265 5525322945 1625085 1770231 15666956 4151856865 4507771963 9325282744 10174700285 682159820 1383838093 16108542205 18683589721 6354600176 7000966102 9753942029 11682623619 X TO PROVIDE BETTER CARE OF THE SICK, INVESTIGATION OF THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE. 0 0 9030907836 139835146 10229466263 SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O. 9030907836 1 1 0 1 0 0 1 0 0 1 1 1 0 0 1 1 0 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 1 0 0 1 0 1 1 0 0 1 1 1 1 0 0 1 X 6442 2 1 71093 1 1 1 1 UK SA LU IS CJ NO HK KS SW BR CA DA PO 0 0 0 1 1 0 0 0 0 1 0 X 677 451 1 1 1 0 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 0 1 1 OH FL X X ROBERT F WAITKUS 2164452526 6801 BRECKSVILLE ROAD RK1-85 INDEPENDENCE OH 44131 DONLEY MD BRIAN FORMER OFF - 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AGMC, LODI 5.00 0.00 X 0 0 0 KNISELY JAMES E TRUSTEE - UNION HOSP ASSOC 3.00 0.00 X 0 0 0 KOHL STEWART DIRECTOR - CCF, CCEF, REG HOSPS 5.00 0.00 X 0 0 0 KRAMER RICHARD DIRECTOR - CCF, CCEF, REG HOSPS 5.00 0.00 X 0 0 0 LERNER MARK DIRECTOR - CCF, CCEF, REG HOSPS 5.00 0.00 X 0 0 0 LERNER NORMA DIRECTOR - CCF, CCEF, REG HOSPS 5.00 0.00 X 0 0 0 LONG JARROD DIRECTOR - MEDINA HOSP FD 3.00 0.00 X 0 0 0 MACDONALD WILLIAM III DIRECTOR - CCF, CCEF, REG HOSPS 5.00 0.00 X 0 0 0 MARKS JEANNINE DIR - AGMC, LODI 5.00 0.00 X 0 0 0 MATTHEWS THOMAS TJ DIRECTOR - KMA 3.00 0.00 X 0 0 0 MCGORRAY KATHLEEN T TRUSTEE - LAKEWOOD 3.00 0.00 X 0 0 0 MIKSCH DONALD DIRECTOR - MEDINA HOSP FD 3.00 0.00 X 0 0 0 MILLER PAMELA DIRECTOR - REG HOSPITALS 5.00 0.00 X 0 0 0 MILLER SAMUEL H DIR-CCF, CCEF & REG HOSP (PART YR) 5.00 0.00 X 0 0 0 MILLER-DAWSON DIANE DIR - AGMC, LODI 5.00 0.00 X 0 0 0 MORINO MARIO DIRECTOR - CCF, CCEF, REG HOSPS 5.00 0.00 X 0 0 0 MULROY PATRICIA DIRECTOR - KMA 3.00 0.00 X 0 0 0 NANCE FREDERICK DIRECTOR - CCEF, CCF, REG HOSPS 5.00 0.00 X 0 0 0 NANN VICKY DIRECTOR - MEDINA HOSP FD 3.00 0.00 X 0 0 0 O'LEARY BS MPA ANTHONY DIRECTOR - VNS 3.00 0.00 X 0 0 0 PATTON REBECCA TRUSTEE - LAKEWOOD 3.00 0.00 X 0 0 0 PETIT DAN DIRECTOR - KMA 3.00 0.00 X 0 0 0 PETRAS JR MICHAEL DIRECTOR - CCF, CCEF, REG HOSPS 5.00 0.00 X 0 0 0 POHL PAUL M PUBLIC TRUSTEE - LORD FDN 3.00 0.00 X 0 0 0 POLLOCK LARRY DIRECTOR - CCF, CCEF, REG HOSPS 5.00 0.00 X 0 0 0 PRITTS GARY TRUSTEE - LAKEWOOD 3.00 0.00 X 0 0 0 RATCLIFFE GEORGE DIRECTOR - MMFI 3.00 0.00 X 0 0 0 REISER MATTHEW DIRECTOR - IRMHI 3.00 0.00 X 0 0 0 RICE RONALD TRUSTEE - CCCHR 3.00 0.00 X 0 0 0 ROCHE DENNIS J TRUSTEE - LAKEWOOD 3.00 0.00 X 0 0 0 ROGICH SIGMOND DIRECTOR - KMA 3.00 0.00 X 0 0 0 ROSS MD RONALD J DIRECTOR - REGIONAL HOSPS 5.00 0.00 X 0 0 0 SALEK ANN DIRECTOR - MEDINA 3.00 0.00 X 0 0 0 SCOTT HAROLD LEE DIRECTOR - CCF, CCEF, REG HOSPS 5.00 0.00 X 0 0 0 SEVERINO MICHAEL DIRECTOR - KMA 3.00 0.00 X 0 0 0 SNYDER JEROME F DIRECTOR - KMA 3.00 0.00 X 0 0 0 STEELMAN PAUL DIRECTOR - KMA 3.00 0.00 X 0 0 0 STEINBERG DAVID DIRECTOR - KMA 3.00 0.00 X 0 0 0 STEVENS MARK DIRECTOR - CCF, CCEF, REG HOSPS 5.00 0.00 X 0 0 0 STURM ROLAND DIRECTOR - KMA, LRBI 5.00 0.00 X 0 0 0 TAFFER JON DIRECTOR - KMA 3.00 0.00 X 0 0 0 TRUNDLE SYLVIA DIRECTOR - PPG 3.00 0.00 X 0 0 0 VEGA LORRAINE DIRECTOR - REGIONAL HOSPITALS 5.00 0.00 X 0 0 0 WARTHER PAT A TRUSTEE - UNION HOSP ASSOC 3.00 0.00 X 0 0 0 WEBER ROBERT DIRECTOR - CCF, CCEF, REG HOSPS 5.00 0.00 X 0 0 0 WEINBERG RONALD DIRECTOR - CCF, CCEF, REG HOSPS 5.00 0.00 X 0 0 0 WEISS MORRY DIRECTOR - CCF, CCEF, REG HOSPS 5.00 0.00 X 0 0 0 WEXLER NANCY DIRECTOR - KMA 3.00 0.00 X 0 0 0 ALDEN JOHN W DIRECTOR - IRHFI 3.00 0.00 X 0 0 0 BALLARD REV KAREN DIRECTOR - VNS 3.00 0.00 X 0 0 0 BARROW CHRISOPHER T DIRECTOR - IRHFI 3.00 0.00 X 0 0 0 BERES STEVEN DIRECTOR - MMFI 3.00 0.00 X 0 0 0 BOUSQUETTE MARGARET DIRECTOR - MMFI 3.00 0.00 X 0 0 0 BOYLE RICHARD DIRECTOR - MMFI 3.00 0.00 X 0 0 0 CROCE KAREN DIRECTOR - MMFI 3.00 0.00 X 0 0 0 CUNNINGHAM MARYBETH DIRECTOR - IRMHI 3.00 0.00 X 0 0 0 DAKERS KAREN DIRECTOR - MMFI 3.00 0.00 X 0 0 0 DOCKERY JOSEPH DIRECTOR - MMFI 3.00 0.00 X 0 0 0 DOODY JOHN DIRECTOR - MMFI 3.00 0.00 X 0 0 0 DOOLING JOHN E JACK TRUSTEE - UNION 3.00 0.00 X 0 0 0 FEINOUR EUGENE P DIRECTOR - IRHFI 3.00 0.00 X 0 0 0 FORDE JOHN DIRECTOR - MMFI 3.00 0.00 X 0 0 0 GINSBURG MERLE DIRECTOR - MMFI 3.00 0.00 X 0 0 0 GRIMM PETER DIRECTOR - MMFI 3.00 0.00 X 0 0 0 HAYES SAMUEL DIRECTOR - IRHFI 3.00 0.00 X 0 0 0 HEIDENREICH PER DIRECTOR - MMFI 3.00 0.00 X 0 0 0 JOHNSON MD NATHAN TRUSTEE - UNION HOSP ASSOC 3.00 0.00 X 0 0 0 KEMP III JOHN B DIRECTOR - IRHFI 3.00 0.00 X 0 0 0 KILBANE CATHERINE DIRECTOR - CCF, CCEF, REG HOSPS 5.00 0.00 X 0 0 0 KNAPP JULES DIRECTOR- MMFI 3.00 0.00 X 0 0 0 LAMBERT WILLIAM DIRECTOR - MMFI 3.00 0.00 X 0 0 0 LEVITT MARYLIN DIRECTOR - MMFI 3.00 0.00 X 0 0 0 LOMAX-HOMIER MD JULIETTE DIRECTOR - IRMHI 3.00 0.00 X 0 0 0 LYTLE TOM DIRECTOR - MMFI 3.00 0.00 X 0 0 0 MEYER ROSEMARY DIRECTOR - MMFI 3.00 0.00 X 0 0 0 MILSTEN MD RICHARD DIRECTOR - IRHFI 3.00 0.00 X 0 0 0 MUNN WILLIAM H DIRECTOR - IRHFI 3.00 0.00 X 0 0 0 NICHOLS ANNA P DIRECTOR - IRHFI 3.00 0.00 X 0 0 0 O'NEILL JOHN TRUSTEE - LAKEWOOD 3.00 0.00 X 0 0 0 PALOMBI MARK DIRECTOR - MMFI 3.00 0.00 X 0 0 0 PFEIFFER MD ERIC DIRECTOR - MMFI 3.00 0.00 X 0 0 0 ROHRBACH N JACK DIRECTOR - IRHFI 3.00 0.00 X 0 0 0 SAMETH RICHARD E DIRECTOR - IRHFI 3.00 0.00 X 0 0 0 SARNER GEORGE DIRECTOR - MMFI 3.00 0.00 X 0 0 0 SCHEER RUTH C DIRECTOR - IRHFI 3.00 0.00 X 0 0 0 SHERWOOD EMILY DIRECTOR - IRHFI 3.00 0.00 X 0 0 0 SHROPSHIRE DONALD DIRECTOR - IRHFI 3.00 0.00 X 0 0 0 TAYLOR NANCYANN DIRECTOR - MMFI 3.00 0.00 X 0 0 0 WEISSMAN ROBERT DIRECTOR - MMFI 3.00 0.00 X 0 0 0 WONG NANCY DIRECTOR - MMFI 3.00 0.00 X 0 0 0 WRIGHT RITA MAY DIRECTOR - MMFI 3.00 0.00 X 0 0 0 BARKHEIMER MARLENE VICE PRESIDENT - LODI 3.00 0.00 X 0 0 0 79566454 7565554 14124119 8410 1 1 0 IBM CORP 500 FIRST AVENUE PITTSBURGH PA 15219 INFORMATION TECHNOLOGY SYSTEMS 23152230 SIEMENS MEDICAL SOLUTIONS INC PO BOX 121102 DALLAS TX 75312 HEALTHCARE IT & ENGINEERING SOLUTIONS 23111289 CARDINAL HEALTH PO BOX 70539 CHICAGO IL 60673 INTEGRATED HEALTHCARE SOLUTIONS 11795634 THE HCI GROUP PO BOX 734305 CHICAGO IL 60673 HEALTHCARE IT CONSULTING & TECH SOLUTION 11790127 TOWNE PARK LLC PO BOX 79349 BALTIMORE MD 21279 PARKING SERVICES 10472068 703 18628419 22203130 124079521 162906143 13565601 327817213 NET PATIENT SERVICES 612990 5380332181 5354936968 25395213 MEDICARE/MEDICAID PAYM 921990 4151917864 4151917864 OTHER PROGRAM SERVICES 900099 603766239 585027844 18738395 PARKING, PHONE & OTHER 900099 57717934 18171840 39546094 MANAGEMENT FEES 561000 30918088 30918088 4813957 4739800 74157 10229466263 98978988 98978988 33706063 33706063 32199281 0 32199281 32199281 226797 31972484 9533184875 2373004 9070609865 26697453 462575010 -24324449 438250561 438250561 2129229 18628419 6475744 -4346515 -4346515 15210 42732 -27522 -27522 INC ON HEDGE FUND INV 523000 279307436 279307436 INVESTMENT IN AFFILIAT 523000 158355944 1255285 157100659 FOREIGN CURRENCY 525990 286197 286197 -35455531 -35455531 402494046 11558538378 10127540564 63861687 1039318914 37651472 37651472 101073773 101073773 1109901 1109901 64238433 28468644 35769789 16801568 8193213 8608355 4396057402 3761527759 625983904 8545739 247555394 211771782 35251062 532550 514061107 439918419 73200586 942102 286609041 245212238 40812171 584632 8542108 7325740 1216368 5691667 4881193 810474 4067284 4067284 623865 623865 1770231 1770231 26959355 26959355 461211985 393673380 65675047 1863558 40179803 34395065 5721470 63268 136098304 116347274 19379944 371086 125660548 107765042 17893643 1863 2872643 2463588 409055 175820084 150781803 25036193 2088 30507341 25613416 4344143 549782 13905713 11644999 1980127 280587 130328528 111770181 18558347 531789706 456034432 75725079 30195 78056860 66941824 11115036 MEDICAL SUPPLIES 2105708012 2105697173 10839 BAD DEBT EXPENSE 302247933 302247933 EQUIPMENT RENTAL & MAIN 159477778 136732074 22709103 36601 STATE FRANCHISE FEE 96671023 96671023 71351423 64370630 6898958 81835 10174700285 9030907836 1128125493 15666956 471328199 349487435 8798503 204824448 256146814 255234495 1206990329 1319081134 7444253 7756160 29577317 109990379 161698677 179507850 71010579 81384011 10124279879 5205747625 4702438031 4918532254 5500810028 6409749203 2666755619 3577321949 260173925 301191921 94494376 95229354 670875555 874299128 16108542205 18683589721 1133378819 1210615064 453264 443987 92550936 81485067 3428380347 4014821159 105026322 2212850 208794598 302706471 1386015890 1388681504 6354600176 7000966102 X 8688038334 10467651324 1065903695 1214972295 9753942029 11682623619 16108542205 18683589721 X 1383838093 399419688 68673030 76750779 X 0 1 X 1 1 1 X 284947202 302252529 297153216 317989021 327817213 1530159181 284947202 302252529 297153216 317989021 327817213 1530159181 1530159181 109699336 124406638 160820856 128454359 164884332 688265521 398836 1686203 769871 2854910 115282299 104055964 127186173 187750642 437964438 972239516 3193519128 10127540564 0.47910 0.54170 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: INCOME LOSS ON INVESTMENTS - 2015 AMOUNT: $ 70,959,640. 2016 AMOUNT: $ 103,453,582. 2017 AMOUNT: $ 126,762,607. 2018 AMOUNT: $ 138,561,020. 2019 AMOUNT: $ 279,307,436. FOREIGN CURRENCY - 2015 AMOUNT: $ 610,292. 2016 AMOUNT: $ 73,310. 2017 AMOUNT: $ 273,145. 2019 AMOUNT: $ 286,197. INCOME FROM FUNDRAISING/GAMING EVENTS - 2016 AMOUNT: $ 397,995. 2018 AMOUNT: $ 13,597. DERIVATIVE INCOME - 2018 AMOUNT: $ 689,834. LIFE INSURANCE TRUST - 2015 AMOUNT: $ 183,292. 2016 AMOUNT: $ 131,077. 2017 AMOUNT: $ 150,421. 2019 AMOUNT: $ 14,861. INVESTMENT IN AFFILIATES - 2015 AMOUNT: $ 43,529,075. 2018 AMOUNT: $ 48,486,191. 2019 AMOUNT: $ 158,355,944. PART I, PUBLIC CHARITY STATUS WHILE THE LARGEST NUMBER OF ORGANIZATIONS ARE CLASSIFIED AS HOSPITALS UNDER IRS SECTION 509(A)(1) AND IRS SECTION 170(B)(1)(A)(III), ALL OF THE ORGANIZATIONS MAINTAIN PUBLIC CHARITY STATUS PURSUANT TO IRS SECTION 509(A). PART 1, LINE 12 PURSUANT TO THE INSTRUCTIONS FOR GROUP FILINGS, THE FOLLOWING INFORMATION FOR PARTS 12A-12G IS BEING PROVIDED. LINE 12E THE 509(A)(3) SUBORDINATES INCLUDED IN THIS GROUP RETURN ARE ALL RECOGNIZED AS TYPE I SUPPORTING ORGANIZATIONS UNDER THE CLEVELAND CLINIC FOUNDATION'S GROUP EXEMPTION. LINE 12F THE TOTAL NUMBER OF SUPPORTED ORGANIZATIONS: 9 LINE 12G THE FOLLOWING INFORMATION IS PROVIDED ABOUT THE SUPPORTED ORGANIZATIONS: NAME OF SUPPORTED ORGANIZATION, EIN, TYPE OF ORGANIZATION DESCRIBED IN LINES 1-9 OF SCHEDULE A PART I, WHETHER THE SUPPORTED ORGANIZATION IS LISTED IN THE GOVERNING DOCUMENTS OF THE SUPPORTING ORGANIZATION, AMOUNT OF MONETARY SUPPORT AND SUPPORTING ORGANIZATION. THE CLEVELAND CLINIC FOUNDATION, 34-0714585, 3, YES, PLEASE SEE NARRATIVE IN PART VI, SECTION A, LINE 1 FOR EXCEPTIONS, $0, CCF LYNDHURST PROPERTY CORP., CCF LYNDHURST PROPERTY II CORP., CCF NEW YORK MEDICAL SERVICES, P.C., CCF TENNESSEE MEDICAL SERVICES, P.C., CLEVELAND CLINIC FLORIDA, CLEVELAND CLINIC FLORIDA HOSPITAL, CLEVELAND CLINIC HOME CARE SERVICES, INC., CLEVELAND CLINIC MEDICAL SERVICES DBA ALLOGEN LABORATORIES, CLEVELAND CLINIC NEVADA, CLEVELAND CLINIC SUPPORT SERVICES, CLINIC CARE, INC., LORD FOUNDATION OF OHIO, LOU RUVO BRAIN INSTITUTE, THE CORONARY CLUB, KEEP MEMORY ALIVE, CLEVELAND CLINIC HEALTH SERVICES PROFESSIONAL ASSOCIATION, CLEVELAND CLINIC FLORIDA REGIONAL HEALTH SYSTEM AND THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION. CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, 34-0714570, 3, YES, $0, PEDIATRIC MEDICAL MANAGEMENT, INC. CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION, 34-0714593, 3, YES, $0, CLEVELAND CLINIC HOME CARE, INC. AKRON GENERAL MEDICAL CENTER, 34-0714478, 3, YES, $0, AKRON GENERAL HEALTH SYSTEM, AKRON GENERAL PARTNERS AND PARTNERS PHYSICIAN GROUP. THE UNION HOSPITAL ASSOCIATION, 34-0714771, 3, YES, $0, UNION HEALTH SYSTEM. CLEVELAND CLINIC FLORIDA, 65-0003177, 12A, YES, $0, CLEVELAND CLINIC FLORIDA PHARMACY SERVICES. INDIAN RIVER MEMORIAL HOSPITAL, INC., 59-2496294, 3, YES, $0, INDIAN RIVER HEALTH SERVICES, INC. AND HEALTH SYSTEMS OF INDIAN RIVER, INC. MARTIN MEMORIAL HEALTH SYSTEM, INC., 59-2307522, 12A, YES, $0, COASTAL CARE CORPORATION. CLEVELAND CLINIC FLORIDA REGIONAL HEALTH SYSTEM NONPROFIT CORPORATION, 83-2249666, 12A, YES, $0, MARTIN MEMORIAL HEALTH SYSTEM, INC. PART IV, SECTION A AND SECTION B PURSUANT TO THE INSTRUCTIONS, THE FOLLOWING INFORMATION FOR SECTIONS A AND B IS BEING PROVIDED: PART IV -SECTION A - LINE 1 - THERE ARE 2 SUPPORTING ORGANIZATIONS THAT DO NOT LIST THE SUPPORTED ORGANIZATION IN IT'S GOVERNING DOCUMENTS. INSTEAD, THE GOVERNING DOCUMENTS INDICATE THAT IF THE ENTITY WERE TO DISSOLVE, THE SUPPORTED ORGANIZATION WOULD CONTROL THE ASSETS OF THE SUPPORTING ORGANIZATION. PART IV -SECTION A - LINE 2 - THERE ARE 3 ORGANIZATIONS THAT SUPPORT OTHER 509(A)(3) SUPPORTING ORGANIZATIONS WHOSE PURPOSE IS TO SUPPORT 509(A)(1) ORGANIZATIONS. PART IV -SECTION A - LINE 6 - THERE ARE 3 SUPPORTING ORGANIZATIONS THAT PROVIDED SUPPORT TO OTHER ORGANIZATIONS EXEMPT UNDER 501(C)(3) THAT WERE NOT LISTED IN THE SUPPORTING ORGANIZATION'S GOVERNING DOCUMENTS. THIS INCLUDED SUPPORT TO ORGANIZATIONS SUCH AS LOCAL HOSPITALS, MEDICAL/HEALTH ASSOCIATIONS, AND OTHER ORGANIZATIONS THAT BENEFIT THE LOCAL COMMUNITIES. ALL OTHER QUESTIONS IN PART IV OF SECTION A ARE ANSWERED EITHER "NO OR "N/A" FOR ALL OF THE SUPPORTING ORGANIZATIONS IN THE GROUP. PART IV -SECTION B - LINE 1 - YES PART IV - SECTION B - LINE 2 - NO RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 630216 630216 10294617093 10295247309 1000000 250000 0 0 1000000 1000000 1500000 630216 630216 250000 250000 375000 SCHEDULE C - PART II-A THE TAXPAYER ACQUIRED MARTIN MEMORIAL MEDICAL CENTER, INC., EIN 59-0637874, IN 2019. MARTIN MEMORIAL MEDICAL CENTER, INC. FILES A SEPARATE FORM 990, IS A 501(C)(3) ORGANIZATION AND FILED FORM 5768 (ELECTION UNDER 501(H)). X 5 60.13 0 0 0 2 1 75.00 13620 388135477 40929881 46870849 8087054 467849153 381810007 17655756 -5582019 5748267 388135477 324551580 22185007 40398300 5324880 381810007 295878858 20199629 15766204 7293111 324551580 279608818 25049027 -993841 7785146 295878858 0.00000 1.00000 0.00000 0 0 281369517 281369517 6300961118 2990388126 3310572992 226899590 134808886 92090704 3028002744 1992657418 1035345326 287046910 87893195 199153715 4918532254 HEDGE FUNDS 2017844680 C PRIVATE EQUITY 1259139712 C REAL ESTATE 300337557 C 3577321949 1008894 DEFERRED ANNUITY TRUST 1082837 OTHER LIABILITIES 411006787 FUTURE GIFT ANNUITY PAYMENTS 13986991 INTEREST RATE SWAPS 129880019 ACCRUED PENSION 626755281 ACCRUED BENEFITS 204960695 1388681504 X PART II, LINE 9: THE CONSERVATION COVENANTS REPORTED IN PART II ARE RELATED TO FIVE WETLANDS LOCATED ON THE CLEVELAND CLINIC HEALTH SYSTEM'S PROPERTY IN TWINSBURG, OHIO; AVON, OHIO; AKRON, OH; AND WESTON, FLORIDA. THESE EASEMENTS ARE NOT REQUIRED TO BE REPORTED ON THE BALANCE SHEET SEPARATE FROM THE VALUE OF THE LAND. EXPENSES TO MONITOR, INSPECT, AND PROTECT THIS LAND ARE REFLECTED IN THE STATEMENT OF EXPENSES. PART V, LINE 4: THE ENDOWMENT FUNDS OF CLEVELAND CLINIC FOUNDATION AND ITS AFFILIATES ARE USED IN FURTHERANCE OF ITS EXEMPT PURPOSE. SPECIFICALLY, THESE FUNDS ARE USED FOR EDUCATION, RESEARCH, AND PATIENT CARE. PART X, LINE 2: THE CLEVELAND CLINIC HEALTH SYSTEM'S ("THE SYSTEM") AUDITED FINANCIAL STATEMENTS ARE REPORTED ON A CONSOLIDATED BASIS, INCLUDING EXEMPT, TAXABLE, AND FOREIGN ENTITIES TO WHICH THE ASC 740-10 LIABILITY RELATES. THE ASC 740-10 FOOTNOTE ON THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE CLEVELAND CLINIC HEALTH SYSTEM READS AS FOLLOWS: AT DECEMBER 31, 2019 AND 2018, THE LIABILITY FOR UNCERTAINTY IN INCOME TAXES WAS $1.0 MILLION AND $0.9 MILLION, RESPECTIVELY. THE SYSTEM DOES NOT EXPECT A SIGNIFICANT INCREASE OR DECREASE IN UNRECOGNIZED TAX BENEFITS WITHIN THE NEXT 12 MONTHS. THE SYSTEM RECOGNIZES INTEREST AND PENALTIES ACCRUED RELATED TO THE LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. 1 CENTRAL AMERICA & THE CARIBBEAN 0 0 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 2120000 NORTH AMERICA 2 1 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 46559000 EUROPE 2 16 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 223016000 MIDDLE EAST & NORTH AFRICA 1 59 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 5151000 CENTRAL AMERICA & THE CARIBBEAN 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS 8000 SOUTH AMERICA 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS 67000 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS 40000 EUROPE 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS 17000 SOUTH ASIA 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS 42000 MIDDLE EAST & NORTH AFRICA 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS 31000 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES TRAVEL FOR MEETINGS/CONFERENCES 277000 EUROPE 0 0 PROGRAM SERVICES TRAVEL FOR MEETINGS/CONFERENCES 1267000 MIDDLE EAST & NORTH AFRICA 0 0 PROGRAM SERVICES TRAVEL FOR MEETINGS/CONFERENCES 1038000 NORTH AMERICA 0 0 PROGRAM SERVICES TRAVEL FOR MEETINGS/CONFERENCES 438000 RUSSIA & NEIGHBORING STATES 0 0 PROGRAM SERVICES TRAVEL FOR MEETINGS/CONFERENCES 1000 SOUTH AMERICA 0 0 PROGRAM SERVICES TRAVEL FOR MEETINGS/CONFERENCES 136000 SOUTH ASIA 0 0 PROGRAM SERVICES TRAVEL FOR MEETINGS/CONFERENCES 86000 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES TRAVEL FOR MEETINGS/CONFERENCES 6000 CENTRAL AMERICA & THE CARIBBEAN 0 0 FUNDRAISING EAST ASIA AND THE PACIFIC 0 0 FUNDRAISING EUROPE 0 0 FUNDRAISING 70000 MIDDLE EAST & NORTH AFRICA 0 0 FUNDRAISING 17000 NORTH AMERICA 0 0 FUNDRAISING 5000 SOUTH AMERICA 0 0 FUNDRAISING SOUTH ASIA 0 0 FUNDRAISING 22000 SUB-SAHARAN AFRICA 0 0 FUNDRAISING EUROPE 0 0 INVESTING 283862000 SUB-SAHARAN AFRICA 0 0 INVESTING 33766000 MIDDLE EAST & NORTH AFRICA 0 0 INVESTING 2419000 CENTRAL AMERICA & THE CARIBBEAN 0 0 INVESTING 2347943000 5 76 0 0 5 76 276978000 2671426000 2948404000 NORTH AMERICA RESEARCH 35800 CHECK 0 NORTH AMERICA RESEARCH 21792 CHECK 0 EUROPE RESEARCH 56473 CHECK 0 NORTH AMERICA RESEARCH 10000 CHECK 0 EUROPE RESEARCH 23712 CHECK 0 EUROPE RESEARCH 325141 CHECK 0 NORTH AMERICA RESEARCH 6002 CHECK 0 NORTH AMERICA RESEARCH 9375 CHECK 0 NORTH AMERICA RESEARCH 5819 CHECK 0 EAST ASIA AND THE PACIFIC RESEARCH 55000 CHECK 0 EAST ASIA AND THE PACIFIC RESEARCH 91548 CHECK 0 NORTH AMERICA RESEARCH 9934 CHECK 0 SOUTH AMERICA RESEARCH 45912 CHECK 0 SUB-SAHARAN AFRICA RESEARCH 5600 CHECK 0 NORTH AMERICA RESEARCH 267529 CHECK 0 NORTH AMERICA RESEARCH 162055 CHECK 0 11 16 RESEARCH EUROPE 1 12500 CHECK 0 RESEARCH EAST ASIA AND THE PACIFIC 1 6000 CHECK 0 RESEARCH EAST ASIA AND THE PACIFIC 1 5115 CHECK 0 RESERACH EUROPE 1 34000 CHECK 0 RESEARCH NORTH AMERICA 1 11991 CHECK 0 RESEARCH RUSSIA & NEIGHBORING STATES 1 5728 CHECK 0 RESEARCH EUROPE 1 8000 CHECK 0 RESEARCH EUROPE 1 9921 CHECK 0 RESEARCH EAST ASIA AND THE PACIFIC 1 8025 CHECK 0 RESEARCH EAST ASIA AND THE PACIFIC 1 9200 CHECK 0 1 0 1 1 1 1 PART I, LINE 2: A MAJORITY OF THE RESEARCH GRANTS PROVIDED TO FOREIGN ORGANIZATIONS ARE PART OF A NATIONAL INSTITUTES OF HEALTH OR FEDERALLY FUNDED PROGRAM. AS SUCH, THE FOREIGN ORGANIZATION IS REQUIRED TO MEET AND ADHERE TO FEDERAL GRANT REPORTING REQUIREMENTS WITH RESPECT TO THE USE OF THE FUNDS ON AN ON-GOING BASIS IN ORDER TO BE ELIGIBLE TO PARTICIPATE OR CONTINUE TO PARTICIPATE IN THE RESEARCH STUDY. FOR THOSE GRANTS THAT ARE NOT FEDERALLY FUNDED, A CONTRACT EXISTS WITH THE FOREIGN GRANTEE ORGANIZATION THAT ESTABLISHES HOW THE FUNDS ARE TO BE USED AND REQUIRES CERTAIN REPRESENTATIONS AND ACCOUNTING REGARDING THEIR USE. CLEVELAND CLINIC MAINTAINS OVERSIGHT OF THESE GRANTS AND REGULARLY MONITORS THEIR COMPLIANCE WITH EITHER THE FEDERAL REGULATIONS OR THE CONTRACT PROVISIONS. PART I, LINE 3: THE ACCRUAL METHOD IS USED TO ACCOUNT FOR EXPENDITURES. PART III ACCOUNTING METHOD: X X X X X X X 1 CLASSY 350 TENTH AVE STE 1300 SAN DIEGO CA 92101 ONLINE SOLICITATION 0 4677592 134145 4543447 RR DONNELLEY 35 W WACKER DR CHICAGO IL 60601 DIRECT MAIL 0 1130560 525752 604808 TSM DONOR ENGAGEMENT TEAM 155 COMMERCE DR FREEDOM PA 15042 PHONE SOLICITATION 0 478286 1110334 -632048 6286438 1770231 4516207 AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY KEEP MEMORY ALIVE GALA 9303229 8089889 1213340 390466 509785 1476785 316560 VELOSANO 4987548 4873569 113979 142163 138116 78837 978272 17 6466871 5664961 801910 8868 11218 339127 690238 463929 931380 20757648 18628419 2129229 8868 11218 871756 1338139 2019551 2226212 6475744 -4346515 15210 10000 1735 7100 23897 1 1.00000 15210 10000 1735 7100 23897 42732 -27522 OH NV 0 THE STATE OF OHIO DOES NOT REQUIRE A LICENSE FOR A RAFFLE CONDUCTED BY AN IRC SECTION 501(C)(3) ORGANIZATION. THE STATE OF NEVADA ALSO DOES NOT REQUIRE A LICENSE, PROVIDED THE ORGANIZATION REGISTERS WITH THE NEVADA GAMING CONTROL BOARD AND THE PRIZES DO NOT EXCEED $500,000. BOTH PROVISIONS REQUIRED BY THE STATE OF NEVADA HAVE BEEN MET BY THE ORGANIZATION. 0 1 0 1.00000 ROBERT F WAITKUS 6801 BRECKSVILLE ROAD RK1-85 INDEPENDENCE OH 44131 0 NA 0 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 147148063 6000000 141148063 0.01420 1271816199 764432313 507383886 0.05110 0 0 0.00000 1418964262 770432313 648531949 0.06530 27081505 126152 26955353 0.00270 365622510 65157396 300465114 0.03020 130149317 105285518 24863799 0.00250 258074299 169265332 88808967 0.00890 12912032 412328 12499704 0.00130 793839663 340246726 453592937 0.04560 2212803925 1110679039 1102124886 0.11090 6421 0 6421 0.00000 3686 50 3636 0.00000 333429 333429 0.00000 0 0.00000 227 227 0.00000 41608 41608 0.00000 18088 18088 0.00000 80562 119 80443 0.00000 484021 169 483852 0.00000 1 302788727 0 1465258674 1488696301 -23437627 X 1 1 1 AKRON SURGICAL ASSOCIATES LLC SURGICAL SERVICES 0.51000 0.49000 22 1 THE CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVENUE CLEVELAND OH 44195 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1151AHR X X X X X X A 2 AKRON GENERAL MEDICAL CENTER 1 AKRON GENERAL AVENUE AKRON OH 44307 WWW.CLEVELANDCLINIC.ORG OHIO STATE ID 1276AHR X X X X X A 3 FAIRVIEW HOSPITAL 18101 LORAIN AVENUE CLEVELAND OH 44111 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1145AHR X X X X X A 4 HILLCREST HOSPITAL 6780 MAYFIELD ROAD MAYFIELD HEIGHTS OH 44124 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1019AHR X X X X X A 5 CLEVELAND CLINIC WESTON HOSPITAL 2950 CLEVELAND CLINIC BLVD WESTON FL 33331 WWW.CLEVELANDCLINIC.ORG FL LICENSE NUMBER 4299 X X X X X A 6 INDIAN RIVER MEMORIAL HOSPITAL 1000 36TH STREET VERO BEACH FL 32960 WWW.CLEVELANDCLINIC.ORG FL LICENSE 4029 X X X 7 CLEVELAND CLINIC AVON HOSPITAL 33300 CLEVELAND CLINIC BOULEVARD AVON OH 44011 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1531AHR X X X X X A 8 MARYMOUNT HOSPITAL 12300 MCCRACKEN GARFIELD HEIGHTS OH 44125 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1136AHR X X X X X A 9 SOUTH POINTE HOSPITAL 20000 HARVARD ROAD WARRENSVILLE HTS OH 44122 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1297AHR X X X X X A 10 MEDINA HOSPITAL 1000 E WASHINGTON STREET MEDINA OH 44256 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1236AHR X X X X X A 11 LUTHERAN HOSPITAL 1730 WEST 25TH STREET CLEVELAND OH 44113 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1149AHR X X X X X A 12 THE UNION HOSPITAL ASSOCIATION 659 BOULEVARD DOVER OH 44622 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1285AHR X X X 13 EUCLID HOSPITAL 18901 LAKESHORE BOULVARD EUCLID OH 44119 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1133AHR X X X X X A 14 CLEV CLINIC CHILDREN'S HOSP FOR REHAB 2801 MARTIN LUTHER KING DRIVE CLEVELAND OH 44104 WWW.CLEVELANDCLINIC.ORG OH STATE ID 0153RF X X X X X A 15 LODI COMMUNITY HOSPITAL 225 ELYRIA STREET LODI OH 44254 WWW.CLEVELANDCLINIC.ORG OHIO STATE ID 1234AHR X X X X A 16 CLEVELAND CLINIC REHAB - BEACHWOOD 3025 SCIENCE PARK DRIVE BEACHWOOD OH 44012 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1906 X B 17 SELECT SPECIALTY - FAIRHILL 11900 FAIRHILL ROAD CLEVELAND OH 44195 WWW.SELECTMEDICAL.COM OH STATE ID 1468 X B 18 CLEVELAND CLINIC REHAB - EDWIN SHAW 4389 MEDINA ROAD COPLEY OH 44321 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1905 X B 19 CLEVELAND CLINIC REHABILITATION-AVON 33355 HEALTH CAMPUS BOULEVARD AVON OH 44011 WWW.CLEVELANDCLINIC.ORG OHIO STATE ID 1522AHR X B 20 SELECT SPECIALTY - REGENCY WEST 6990 ENGLE ROAD MIDDLEBURG HEIGHTS OH 44130 WWW.SELECTMEDICAL.COM OH STATE ID 1478 X B 21 SELECT SPECIALTY - REGENCY EAST 4200 INTERCHANGE CORPORATE CENTER RD WARRENSVILLE HEIGHTS OH 44128 WWW.SELECTMEDICAL.COM OH STATE ID 1479 X B 22 SELECT SPECIALTY - GATEWAY 2351 E 22ND STREET CLEVELAND OH 44115 WWW.SELECTMEDICAL.COM OH STATE ID 1431 X B FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 19 1 1 0 1 X WWW.CLEVELANDCLINIC.ORG X 1 17 1 WWW.CLEVELANDCLINIC.ORG 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X X X X X X X 1 X 0 X X X X X 1 X 0 0 REPORTING GROUP B 0 0 1 X X X X X X X X X 19 1 1 0 1 X WWW.CLEVELANDCLINIC.ORG X 1 17 1 WWW.CLEVELANDCLINIC.ORG 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X 1 X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X X X X X X 1 X 0 X X X 0 X X 0 0 THE UNION HOSPITAL ASSOCIATION 12 0 1 1 X X X X X X X X X 19 1 1 1 1 X WWW.CLEVELANDCLINIC.ORG X 1 19 1 WWW.CLEVELANDCLINIC.ORG 0 1 X 100.000000000000 200.000000000000 X X 1 1 X X X 1 X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 INDIAN RIVER MEMORIAL HOSPITAL 6 0 1 1 X X X X X X X X X 18 1 0 1 1 X WWW.INDIANRIVERMEDICALCENTER.COM X 1 19 1 WWW.INDIANRIVERMEDICALCENTER.COM 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X X X X X X X 1 X 0 X X X X X 1 X 0 0 THE UNION HOSPITAL ASSOCIATION PART V, SECTION B, LINE 2: IN APRIL 2018, THE CLEVELAND CLINIC FOUNDATION THROUGH A SUBSIDIARY BECAME THE SOLE MEMBER OF THE UNION HOSPITAL ASSOCIATION (UNION HOSPITAL"). INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 2: IN JANUARY 2019, THE CLEVELAND CLINIC FOUNDATION THROUGH A SUBSIDIARY BECAME THE SOLE MEMBER OF INDIAN RIVER MEMORIAL HOSPITAL. THE UNION HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: UNION HOSPITAL IS A MEMBER OF ACCESS TUSCARAWAS, A COLLABORATION OF TUSCARAWAS COUNTY HEALTHCARE AND COMMUNITY BASED AGENCIES. DURING 2018, ACCESS TUSCARAWAS PROVIDED COORDINATION OF THE COMMUNITY SURVEY AND DATA ANALYSIS, AND CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT WITH SUPPORT OF THE NORTHWEST HOSPITAL ASSOCIATION OF OHIO. THE RESULTS OF THAT ASSESSMENT PROVIDED THE DATA NECESSARY FOR UNION HOSPITAL TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IT SERVES. TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, INCLUDING MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS, ACCESS TUSCARAWAS CREATED A PANEL WHICH INCLUDED REPRESENTATIVES FROM UNITED WAY, LOCAL FAMILY PHYSICIANS, DENTISTS, MENTAL HEALTH AND ADDICTION COUNSELORS FROM THE ALCOHOL, DRUG, ADDICTION AND MENTAL HEALTH SERVICES ("ADAMHS") BOARD, REPRESENTATIVES FROM THE LOCAL SCHOOL DISTRICTS, REPRESENTATIVES FROM COUNTY AND CITY HEALTH DEPARTMENTS, LOCAL YMCA LEADERS, AND HOSPITAL LEADERS. UNION HOSPITAL ALSO COLLABORATED WITH OTHER CLEVELAND CLINIC HOSPITALS TO ALIGN CHNA DATA AND RESOURCES. INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMATION SURVEYS WHICH TOOK PLACE IN 2018. TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, INCLUDING MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS, A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY INDIAN RIVER MEDICAL CENTER; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR A PHYSICIAN, A PUBLIC HEALTH REPRESENTATIVE, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL.KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE. IN ALL, 23 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY.UPON COMPLETION OF THE SURVEY, A GROUP OF MORE THAN 30 COMMUNITY STAKEHOLDERS (REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS) MET TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR COMMUNITY, BASED ON THE FINDINGS OF THE SURVEY. REFER TO PAGE 11 OF THE CHNA REPORT AT WWW.INDIANRIVERMEDICALCENTER.COM FOR A LIST OF ORGANIZATIONS THAT PARTICIPATED. THE UNION HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6A: UNION HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT WITH TRINITY TWIN CITY HOSPITAL, AN UNRELATED ENTITY, AND COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, THE CLEVELAND CLINIC FOUNDATION, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL AND SOUTH POINTE HOSPITAL. THE UNION HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6B: UNION HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT WITH TUSCARAWAS COUNTY HEALTH DEPARTMENT, ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARD, TUSCARAWAS COUNTY SENIOR CENTER, UNITED WAY OF TUSCARAWAS COUNTY, ACCESS TUSCARAWAS PERSONAL FAMILY AND COUNSELING SERVICES, GUIDESTONE, EAST CENTRAL OHIO EDUCATIONAL SERVICES CENTER, NEW PHILADELPHIA CITY HEALTH DEPARTMENT, PERSONAL FAMILY AND COUNSELING SERVICES, T4C, TUSCARAWAS YMCA, TUSCARAWAS CLINIC FOR THE WORKING UNINSURED, TUSCARAWAS COUNTY ANTI-DRUG COALITION INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: INDIAN RIVER MEMORIAL HOSPITAL INC.'S MOST RECENT CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING ORGANIZATIONS THAT ARE NOT HOSPITAL FACILITIES: INDIAN RIVER COUNTY FIRE & RESCUE, INDIAN RIVER SHORES EMS, AMERICAN HEART ASSOCIATION, TREASURE COAST COMMUNITY HEALTH, FLORIDA DEPARTMENT OF HEALTH, VISITING NURSE ASSOCIATION OF THE TREASURE COAST, SENIOR RESOURCE ASSOCIATION, AND INDIAN RIVER HOSPITAL DISTRICT. THE UNION HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: THE UNION HOSPITAL ASSOCIATION'S (UNION") COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED THE FOLLOWING KEY NEEDS: ACCESS TO AFFORDABLE HEALTHCARE, ADDICTION (INCLUDES ADULT AND YOUTH DRUG USE AND OVERDOSE DEATHS), CHRONIC DISEASE (INCLUDES ADULT AND YOUTH OBESITY, AS IT IMPACTS CHRONIC DISEASES SUCH AS DIABETES AND HEART DISEASE), INFANT MORTALITY, MENTAL HEALTH (INCLUDES ADULT AND YOUTH DEPRESSION AND SUICIDE) AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY (A) ADOPTION OF AN IMPLEMENTATION STRATEGY THAT ADDRESSES EACH OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA, (B) EXECUTION OF THE IMPLEMENTATION STRATEGY, (C) PARTICIPATION IN THE DEVELOPMENT OF A COMMUNITY-WIDE PLAN, (D) PARTICIPATION IN THE EXECUTION OF A COMMUNITY-WIDE PLAN, (E) ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE CHNA, (F) PRIORITIZATION OF HEALTH NEEDS IN ITS COMMUNITY, AND (G) PRIORITIZATION OF SERVICES THAT THE HOSPITAL FACILITY WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY. INDIAN RIVER WILL ADDRESS THE FOLLOWING NEEDS IDENTIFIED AS PRIORITIES: SKIN CANCER, MENTAL HEALTH, AND STROKE. THE OTHER NEEDS IDENTIFIED AS PRIORITIES BY THE CHNA WILL NOT BE ADDRESSED BY INDIAN RIVER AS THE INITIATIVE WILL BE LED BY OTHER FACILITIES AND OTHER ORGANIZATIONS IN COLLABORATION WITH OUR HOSPITAL. PLEASE REFER TO PAGE 2 OF THE FACILITIES COMMUNITY HEALTH IMPROVEMENT PLAN AT WWW.INDIANRIVERMEDICAL.COM. INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH FLORIDA HOSPITAL TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CCHS NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: THE CLEVELAND CLINIC FOUNDATION, - FACILITY 3: FAIRVIEW HOSPITAL, - FACILITY 4: HILLCREST HOSPITAL, - FACILITY 5: CLEVELAND CLINIC WESTON HOSPITAL, - FACILITY 8: MARYMOUNT HOSPITAL, - FACILITY 9: SOUTH POINTE HOSPITAL, - FACILITY 11: LUTHERAN HOSPITAL, - FACILITY 10: MEDINA HOSPITAL, - FACILITY 13: EUCLID HOSPITAL, - FACILITY 14: CLEV CLINIC CHILDREN'S HOSP FOR REHAB, - FACILITY 15: LODI COMMUNITY HOSPITAL, - FACILITY 2: AKRON GENERAL MEDICAL CENTER, - FACILITY 7: CLEVELAND CLINIC AVON HOSPITAL GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX H OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 6A: CLEVELAND CLINIC FOUNDATION MAIN CAMPUS COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC WESTON HOSPITAL. CLEVELAND CLINIC FOUNDATION MAIN CAMPUS ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 6B: CLEVELAND CLINIC HEALTH SYSTEM COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CCHS NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018.THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 6A: CLEVELAND CLINIC HEALTH SYSTEM COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 6B: CCHS COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CCHS NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018.THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 6A: HILLCREST HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL AND CLEVELAND CLINIC WESTON HOSPITAL. HILLCREST HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 6B: CLEVELAND CLINIC HEALTH SYSTEM COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CCHS NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 6A: CLEVELAND CLINIC WESTON HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL AND THE CLEVELAND CLINIC FOUNDATION. CLEVELAND CLINIC WESTON HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 6B: CLEVELAND CLINIC HEALTH SYSTEM COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC FLORIDA HOSPITAL TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CCHS NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 8 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 8 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 6A: MARYMOUNT HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL AND CLEVELAND CLINIC WESTON HOSPITAL. MARYMOUNT HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 8 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 6B: CLEVELAND CLINIC HEALTH SYSTEM COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 8 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 8 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 8 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 8 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 8 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CCHS NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 9 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 9 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 6A: SOUTH POINTE HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, UNION HOSPITAL AND CLEVELAND CLINIC WESTON HOSPITAL. SOUTH POINTE HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 9 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 6B: CLEVELAND CLINIC HEALTH SYSTEM COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 9 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 9 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 9 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 9 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 9 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CCHS NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 13 -- EUCLID HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 13 -- EUCLID HOSPITAL PART V, SECTION B, LINE 6A: EUCLID HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, THE CLEVELAND CLINIC FOUNDATION, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL AND CLEVELAND CLINIC WESTON HOSPITAL. EUCLID HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 13 -- EUCLID HOSPITAL PART V, SECTION B, LINE 6B: CLEVELAND CLINIC HEALTH SYSTEM COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 13 -- EUCLID HOSPITAL PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 13 -- EUCLID HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 13 -- EUCLID HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 13 -- EUCLID HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 13 -- EUCLID HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CCHS NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 6A: LUTHERAN HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL AND CLEVELAND CLINIC WESTON HOSPITAL. LUTHERAN HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 6B: CLEVELAND CLINIC HEALTH SYSTEM COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CCHS NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 10 -- MEDINA HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 10 -- MEDINA HOSPITAL PART V, SECTION B, LINE 6A: MEDINA HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, SOUTH POINTE HOSPITAL, UNION HOSPITAL AND CLEVELAND CLINIC WESTON HOSPITAL. MEDINA HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 10 -- MEDINA HOSPITAL PART V, SECTION B, LINE 6B: CLEVELAND CLINIC HEALTH SYSTEM COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 10 -- MEDINA HOSPITAL PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 10 -- MEDINA HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 10 -- MEDINA HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 10 -- MEDINA HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 10 -- MEDINA HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CCHS NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 14 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX H OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 14 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 6A: CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL AND CLEVELAND CLINIC WESTON HOSPITAL. CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 14 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 6B: CLEVELAND CLINIC HEALTH SYSTEM COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 14 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 14 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 14 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 14 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 14 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CCHS NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 15 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 15 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: LODI COMMUNITY HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, THE CLEVELAND CLINIC FOUNDATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL AND CLEVELAND CLINIC WESTON HOSPITAL. LODI COMMUNITY HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER, GLENBEIGH, SUMMA HEALTH SYSTEM, AND AKRON CHILDREN'S HOSPITAL. GROUP A-FACILITY 15 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 6B: CLEVELAND CLINIC HEALTH SYSTEM COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 15 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 15 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 15 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 15 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 15 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CCHS NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 7 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 7 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 6A: CLEVELAND CLINIC AVON HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HOSPITALS INCLUDING: CLEVELAND CLINIC MAIN CAMPUS, CLEVELAND CLINIC CHILDREN'S, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, AKRON GENERAL MEDICAL CENTER, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL AND CLEVELAND CLINIC WESTON. GROUP A-FACILITY 7 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 6B: CLEVELAND CLINIC HEALTH SYSTEM COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 7 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 7 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 7 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 7 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 7 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CCHS NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 6A: AKRON GENERAL MEDICAL CENTER COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: MAIN CAMPUS, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL, AND CLEVELAND CLINIC WESTON HOSPITAL. AKRON GENERAL MEDICAL CENTER ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 6B: CLEVELAND CLINIC HEALTH SYSTEM COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CCHS NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 19: CLEVELAND CLINIC REHABILITATION-AVON, - FACILITY 20: SELECT SPECIALTY - REGENCY WEST, - FACILITY 21: SELECT SPECIALTY - REGENCY EAST, - FACILITY 17: SELECT SPECIALTY - FAIRHILL, - FACILITY 22: SELECT SPECIALTY - GATEWAY, - FACILITY 18: CLEVELAND CLINIC REHAB - EDWIN SHAW, - FACILITY 16: CLEVELAND CLINIC REHAB - BEACHWOOD GROUP B-FACILITY 19 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 19 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 6A: CLEVELAND CLINIC REHABILITATION - AVON COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW, SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST. GROUP B-FACILITY 19 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.CLEVELAND CLINIC REHABILITATION - AVON CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH CLEVELAND CLINIC REHABILITATION - AVON CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC REHABILITATION - AVON CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH CLEVELAND CLINIC REHABILITATION -AVON IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. CLEVELAND CLINIC REHABILITATION - AVON SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP B-FACILITY 19 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 20D: PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS. GROUP B-FACILITY 20 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 20 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 6A: SELECT SPECIALTY - REGENCY WEST COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. GROUP B-FACILITY 20 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - REGENCY WEST CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - REGENCY WEST CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - REGENCY WEST CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH SELECT SPECIALTY - REGENCY WEST IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - REGENCY WEST SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP B-FACILITY 20 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 20D: PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS. GROUP B-FACILITY 21 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 21 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 6A: SELECT SPECIALTY - REGENCY EAST COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND WEST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. GROUP B-FACILITY 21 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - REGENCY EAST CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - REGENCY EAST CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - REGENCY EAST CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH SELECT SPECIALTY - REGENCY EAST IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - REGENCY EAST SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP B-FACILITY 21 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 20D: PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS. GROUP B-FACILITY 17 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 17 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 6A: SELECT SPECIALTY - FAIRHILL COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. GROUP B-FACILITY 17 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - FAIRHILL CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - FAIRHILL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - FAIRHILL CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH SELECT SPECIALTY - FAIRHILL IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - FAIRHILL SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP B-FACILITY 17 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 20D: PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS. GROUP B-FACILITY 22 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 22 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 6A: SELECT SPECIALTY - GATEWAY COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. GROUP B-FACILITY 22 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - GATEWAY CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - GATEWAY CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - GATEWAY CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH SELECT SPECIALTY - GATEWAY IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - GATEWAY SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP B-FACILITY 22 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 20D: PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS. GROUP B-FACILITY 18 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN AUGUST AND DECEMBER 2018, AND SUPPLEMENTAL INTERVIEWS IN MARCH 2019. KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 18 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 6A: CLEVELAND CLINIC REHABILITATION - EDWIN SHAW COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST. GROUP B-FACILITY 18 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.CLEVELAND CLINIC REHABILITATION - EDWIN SHAW CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH CLEVELAND CLINIC REHABILITATION - EDWIN SHAW CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC REHABILITATION - EDWIN SHAW CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH CLEVELAND CLINIC REHABILITATION - EDWIN SHAW IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. CLEVELAND CLINIC REHABILITATION -EDWIN SHAW SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP B-FACILITY 18 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 20D: PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS. GROUP B-FACILITY 16 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN AUGUST AND DECEMBER 2018, AND SUPPLEMENTAL INTERVIEWS IN MARCH 2019. KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 16 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 6A: CLEVELAND CLINIC REHABILITATION - BEACHWOOD COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW, SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST. GROUP B-FACILITY 16 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.CLEVELAND CLINIC REHABILITATION - BEACHWOOD CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE REHABILITATION HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH CLEVELAND CLINIC REHABILITATION - BEACHWOOD CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC REHABILITATION - BEACHWOOD CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH CLEVELAND CLINIC REHABILITATION -BEACHWOOD IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. CLEVELAND CLINIC REHABILITATION - BEACHWOOD SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP B-FACILITY 16 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 20D: PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS. PART V - SECTION B - LINE 9 - REPORTING GROUP A & B THE IMPLEMENTATION STRATEGY REPORT THAT CORRESPONDS WITH THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS ADOPTED IN 2020. FOR PURPOSES OF THE 2019 FORM 990, THE MOST CURRENT IMPLEMENTATION STRATEGY REPORT ADOPTED AT THE TIME WAS 2017. 219 1 - WESTON FAMILY HEALTH CENTER 1825 N CORPORATE LAKES BLVD WESTON FL 33326 FAMILY HEALTH CENTER 2 - CLEVELAND CLINIC FLORIDA 2950 CLEVELAND CLINIC BLVD WESTON FL 33331 FAMILY HEALTH CENTER 3 - TWINSBURG FAMILY HEALTH & SURGERY CENTER 8701 DARROW ROAD TWINSBURG OH 44087 FAMILY HEALTH CENTER 4 - BEACHWOOD FAMILY HEALTH & SURGERY CENTER 26900 CEDAR ROAD BEACHWOOD OH 44122 FAMILY HEALTH CENTER 5 - STRONGSVILLE FAMILY HEALTH & SURGERY CEN 16761 SOUTH PARK CENTER STRONGSVILLE OH 44136 FAMILY HEALTH CENTER 6 - RICHARD E JACOBS HEALTH CENTER 33100 CLEVELAND CLINIC BOULEVARD AVON OH 44011 FAMILY HEALTH CENTER 7 - CLEVELAND CLINIC HOME CARE SERVICES 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 HOME CARE SERVICES 8 - INDEPENDENCE FAMILY HEALTH CENTER 5001 ROCKSIDE RD CROWN CENTRE II INDEPENDENCE OH 44131 FAMILY HEALTH CENTER 9 - LORAIN FAMILY HEALTH & SURGERY CENTER 5700 COOPER FOSTER PARK ROAD LORAIN OH 44053 FAMILY HEALTH CENTER 10 - WILLOUGHBY HILLS FAMILY HEALTH CENTER 2550 2570 SOM CENTER ROAD WILLOUGHBY HILLS OH 44094 FAMILY HEALTH CENTER 11 - AKRON GENERAL HEALTH & WELLNESS CENTER - 4125 MEDINA ROAD AKRON OH 44333 OUTPATIENT PHYSICIAN CLINIC 12 - WOOSTER FAMILY HEALTH CENTER 1740 CLEVELAND ROAD WOOSTER OH 44691 FAMILY HEALTH CENTER 13 - CLEVELAND CLINIC CANCER CENTERS 417 QUARRY LAKES DRIVE SANDUSKY OH 44870 OUTPATIENT PHYSICIAN CLINIC 14 - BRUNSWICK FAMILY HEALTH CENTER 3574 CENTER ROAD BRUNSWICK OH 44212 FAMILY HEALTH CENTER 15 - HILLCREST MEDICAL OFFICE I & II 6803 MAYFIELD ROAD MAYFIELD HEIGHTS OH 44124 OUTPATIENT PHYSICIAN CLINIC 16 - AKRON GENERAL HEALTH & WELLNESS CENTER 4300 ALLEN ROAD STOW OH 44224 OUTPATIENT PHYSICIAN CLINIC 17 - AKRON GENERAL HEALTH CENTER 676 S BROADWAY STREET AKRON OH 44311 OUTPATIENT PHYSICIAN CLINIC 18 - AKRON GENERAL HEALTH & WELLNESS CENTER- 1940 TOWN PARK BLVD UNIONTOWN OH 44685 OUTPATIENT PHYSICIAN CLINIC 19 - LAKEWOOD FAMILY HEALTH CENTER 14601 DETROIT AVENUE LAKEWOOD OH 44107 FAMILY HEALTH CENTER 20 - CLEVELAND CLINIC CANCER CENTERS 1125 ASPIRA COURT MANSFIELD OH 44906 OUTPATIENT PHYSICIAN CLINIC 21 - SOLON FAMILY HEALTH CENTER 29800 BAINBRIDGE ROAD SOLON OH 44139 FAMILY HEALTH CENTER 22 - ELYRIA FAMILY HEALTH & SURGERY CENTER 303 CHESTNUT COMMONS DRIVE ELYRIA OH 44035 FAMILY HEALTH CENTER 23 - TOMSICH HEALTH AND MEDICAL CENTER OF PAL 525 OKEECHOBEE BOULEVARD CITY PLACE TOW WEST PALM BEACH FL 33401 FAMILY HEALTH CENTER 24 - WESTLAKE PHYSICIANS CENTER 805 COLUMBIA ROAD WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 25 - FAIRVIEW HOSPITAL MEDICAL OFFICE 24700 LORAIN AVENUE NORTH OLMSTED OH 44070 OUTPATIENT PHYSICIAN CLINIC 26 - MARYMOUNT MEDICAL CENTER 2001 E ROYALTON ROAD BROADVIEW HTS OH 44147 OUTPATIENT PHYSICIAN CLINIC 27 - VERO RADIOLOGY ASSOCIATES 3725 11TH CIRCLE VERO BEACH FL 32960 DIAGNOSTIC CENTER 28 - CHAGRIN FALLS FAMILY HEALTH CENTER 551 EAST WASHINGTON STREET CHAGRIN FALLS OH 44022 FAMILY HEALTH CENTER 29 - SHEFFIELD FAMILY HEALTH CENTER 5334 MEADOW LANE CT SHEFFIELD VILLAGE OH 44035 FAMILY HEALTH CENTER 30 - LANDERBROOK OFFICE AND ENDOSCOPY CENTER 5900 LANDERBROOK DRIVE MAYFIELD HEIGHTS OH 44124 OUTPATIENT PHYSICIAN CLINIC 31 - AVON POINTE FAMILY HEALTH CENTER 36901 AMERICAN WAY AVON OH 44011 FAMILY HEALTH CENTER 32 - NORTH OHIO GASTROENTEROLOGY 30701 CLEMENS ROAD WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 33 - SKILLED NURSING SOUTH 6011 SE TOWER ROAD STUART FL 34997 HOME CARE SERVICES 34 - STEPHANIE TUBBS JONES HEALTH CENTER 13944 EUCLID AVENUE EAST CLEVELAND OH 44112 FAMILY HEALTH CENTER 35 - CCF CONSULTANTS IN GASTROENTEROLOGY 7530 FREDLE DRIVE CONCORD OH 44077 OUTPATIENT PHYSICIAN CLINIC 36 - AMHERST FAMILY HEALTH CENTER 5172 LEAVITT ROAD LORAIN OH 44053 FAMILY HEALTH CENTER 37 - SUMMIT GASTROENTEROLOGY ASSOCIATES 3939 S CLEVELAND MASSILLON ROAD BARBERTON OH 44203 OUTPATIENT PHYSICIAN CLINIC 38 - CLEVELAND CLINIC LOU RUVO CENTER FOR BRA 888 WEST BONNEVILLE AVENUE LAS VEGAS NV 89106 OUTPATIENT PHYSICIAN CLINIC 39 - AVON LAKE FAMILY HEALTH CENTER 450 AVON BELDEN ROAD AVON LAKE OH 44012 FAMILY HEALTH CENTER 40 - CLEVELAND CLINIC SUMMIT OPHTHALMOLOGY 1 PARK WEST BOULEVARD STE 150 AKRON OH 44320 OUTPATIENT PHYSICIAN CLINIC 41 - AKRON GENERAL PHYSICIAN OFFICE 224 W EXCHANGE STREET AKRON OH 44307 OUTPATIENT PHYSICIAN CLINIC 42 - CLEVELAND CLINIC ADMINISTRATIVE CAMPUS 3275 SCIENCE PARK DRIVE BLDG 5 BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 43 - MENTOR MEDICAL OFFICE 7060 WAYSIDE DRIVE MENTOR OH 44060 OUTPATIENT PHYSICIAN CLINIC 44 - AKRON GENERAL TALLMADGE HEALTH CENTER 33 NORTH AVENUE TALLMADGE OH 44278 OUTPATIENT PHYSICIAN CLINIC 45 - MENTOR REHABILITATION AND SPORTS THERAPY 7533 CENTER STREET MENTOR OH 44060 OUTPATIENT PHYSICIAN CLINIC 46 - OHIO RENAL CARE CLEVELAND EAST 2429 MARTIN LUTHER KING JR DR CLEVELAND OH 44104 DIALYSIS CENTER 47 - SOUTHSIDE MEDICAL BUILDING 5595 TRANSPORTATION BOULEVARD GARFIELD HEIGHTS OH 44125 OUTPATIENT PHYSICIAN CLINIC 48 - MIDDLEBURG HEIGHTS ORTHOPAEDICS 7010 ENGLE ROAD STE 105 MIDDLEBURG HEIGHTS OH 44130 OUTPATIENT PHYSICIAN CLINIC 49 - COMMUNITY PEDIATRICS 8254 MAYFIELD ROAD CHESTERLAND OH 44026 OUTPATIENT PHYSICIAN CLINIC 50 - MADISON MEDICAL OFFICE 2999 MCMACKIN ROAD MADISON OH 44057 OUTPATIENT PHYSICIAN CLINIC 51 - PALM BEACH GARDENS 4520 DONALD ROSS ROAD STE 200 PALM BEACH GARDENS FL 33418 OUTPATIENT PHYSICIAN CLINIC 52 - CLEVELAND CLINIC FLORIDA WELLINGTON 2789 S STATE RD 7 STE 100/200 WELLINGTON FL 33414 OUTPATIENT PHYSICIAN CLINIC 53 - OLMSTED TOWNSHIP PRIMARY CARE 27089 BAGLEY ROAD OLMSTED TOWNSHIP OH 44138 OUTPATIENT PHYSICIAN CLINIC 54 - PARKLAND 7857 N UNIVERSITY DRIVE STE 401 PARKLAND FL 33067 OUTPATIENT PHYSICIAN CLINIC 55 - TWINSBURG MEDICAL OFFICE 2365 EDISON BOULEVARD TWINSBURG OH 44087 OUTPATIENT PHYSICIAN CLINIC 56 - FAIRLAWN UROLOGY 2651 W MARKET STREET FAIRLAWN OH 44333 OUTPATIENT PHYSICIAN CLINIC 57 - CLEVELAND CLINIC COLE EYE OF STREETSBORO 9424 STATE ROUTE 14 STREETSBORO OH 44241 OUTPATIENT PHYSICIAN CLINIC 58 - ASHLAND OPHTHALMOLOGYSUGARBUSH EYE AND 21 SUGARBUSH COURT ASHLAND OH 44805 OUTPATIENT PHYSICIAN CLINIC 59 - COMMUNITY PEDIATRICS 2001 CROCKER ROAD WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 60 - SUMMIT OPHTHALMOLOGY 1587 BOETTLER ROAD GREEN OH 44685 OUTPATIENT PHYSICIAN CLINIC 61 - GEMINI RECREATION CENTER 21225 LORAIN ROAD FAIRVIEW PARK OH 44126 OUTPATIENT PHYSICIAN CLINIC 62 - BAINBRIDGE URGENT CARE 17747 CHILLICOTHE ROAD STE 100 BAINBRIDGE OH 44023 OUTPATIENT PHYSICIAN CLINIC 63 - UNION MEDICAL OFFICE 3 400 MEDICAL PARK DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 64 - EAST OHIO ORTHOPAEDICS 515 UNION AVENUE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 65 - OHIO RENAL CARE GROUP WESTLAKE 26024 DETROIT AVENUE WESTLAKE OH 44145 DIALYSIS CENTER 66 - MARYMOUNT REHABILITATION AND SPORTS THER 2525 EAST ROYALTON ROAD BROADVIEW HEIGHTS OH 44147 OUTPATIENT PHYSICIAN CLINIC 67 - MAYFIELD VILLAGE PEDIATRICS 6559 WILSON MILLS RD STE101-D MAYFIELD VILLAGE OH 44143 OUTPATIENT PHYSICIAN CLINIC 68 - SOUTH RUSSELL FAMILY PRACTICE 5192 CHILLICOTHE ROAD SOUTH RUSSELL OH 44022 OUTPATIENT PHYSICIAN CLINIC 69 - BROOKPARK COMPREHENSIVE FAMILY CARE 14401 SNOW ROAD BROOKPARK OH 44142 OUTPATIENT PHYSICIAN CLINIC 70 - WADSWORTH PRIMARY CARE ONE PARK CENTER DRIVE WADSWORTH OH 44281 OUTPATIENT PHYSICIAN CLINIC 71 - WILLOUGHBY HILLS BEHAVIORAL HEALTH 2785 SOM CENTER ROAD WILLOUGHBY HILLS OH 44094 OUTPATIENT PHYSICIAN CLINIC 72 - BRUNSWICK EMERGENCY CARE 3724 CENTER ROAD BRUNSWICK OH 44212 OUTPATIENT PHYSICIAN CLINIC 73 - UNION HOSPITAL FIRSTCARE URGENT CARE CEN 110 DUBLIN DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 74 - OHIO RENAL CARE GROUP HERITAGE 1160 E BROAD ST ELYRIA OH 44035 DIALYSIS CENTER 75 - OHIO RENAL CARE GROUP WEST 14670 SNOW ROAD BROOKPARK OH 44142 DIALYSIS CENTER 76 - CLEVELAND CLINIC CANCER CENTERS 509 W MCPHERSON HIGHWAY CLYDE OH 43410 OUTPATIENT PHYSICIAN CLINIC 77 - CLEVELAND CLINIC LYNDHURST CAMPUS 1950 RICHMOND ROAD LYNDHURST OH 44124 OUTPATIENT PHYSICIAN CLINIC 78 - SOUTH POINTE HOSPITAL MEDICAL OFFICE 20050 HARVARD ROAD WARRENSVILLE HEIGHTS OH 44122 OUTPATIENT PHYSICIAN CLINIC 79 - OHIO RENAL CARE GROUP GARFIELD HEIGHTS 9729 GRANGER RD GARFIELD HTS OH 44125 DIALYSIS CENTER 80 - EUCLID MEDICAL OFFICE 99 NORTHLINE CIRCLE EUCLID OH 44119 OUTPATIENT PHYSICIAN CLINIC 81 - RIDGE PARK OBSTETRICS AND GYNECOLOGY 7575 NORTHCLIFF AVENUE 302 BROOKLYN OH 44144 OUTPATIENT PHYSICIAN CLINIC 82 - NORTH RIDGEVILLE MEDICAL OFFICE 35105 CENTER RIDGE ROAD NORTH RIDGEVILLE OH 44039 OUTPATIENT PHYSICIAN CLINIC 83 - OHIO RENAL CARE GROUP EUCLID 26450 EUCLID AVENUE EUCLID OH 44132 DIALYSIS CENTER 84 - AKRON GENERAL EXPRESS CARE CLINIC 4494 STATE ROUTE 43 KENT OH 44240 OUTPATIENT PHYSICIAN CLINIC 85 - BRECKSVILLE EXPRESS CARE 8805 BRECKSVILLE ROAD BRECKSVILLE OH 44141 OUTPATIENT PHYSICIAN CLINIC 86 - CHARDON REHABILITATION AND SPORTS THERAP 325 CENTER STREET CHARDON OH 44024 OUTPATIENT PHYSICIAN CLINIC 87 - CLEVELAND CLINIC URGENT CARE ROCKY RIVE 19895 DETROIT ROAD ROCKY RIVER OH 44116 OUTPATIENT PHYSICIAN CLINIC 88 - MACEDONIA EXPRESS AND OUTPATIENT CARE 8210 MACEDONIA COMMONS BOULEVARD MACEDONIA OH 44056 OUTPATIENT PHYSICIAN CLINIC 89 - CLEVELAND CLINIC CHILDREN'S CENTER FOR A 21016 HILLIARD BOULEVARD ROCKY RIVER OH 44116 OUTPATIENT PHYSICIAN CLINIC 90 - OHIO RENAL CARE GROUP SOLON 6020 ENTERPRISE PARKWAY SOLON OH 44139 DIALYSIS CENTER 91 - OHIO RENAL CARE GROUP AMHERST 1168 CLEVELAND AVE AMHERST OH 44001 DIALYSIS CENTER 92 - OHIO RENAL CARE GROUP OHIO ACUTES 2500 METROHEALTH DRIVE CLEVELAND OH 44109 DIALYSIS CENTER 93 - CLEVELAND CLINIC DIABETES AND ENDOCRINOL 3733 PARK EAST DRIVE STE 105 BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 94 - OHIO RENAL CARE GROUP FARNSWORTH 3764 PEARL RD CLEVELAND OH 44109 DIALYSIS CENTER 95 - CLEVELAND CLINIC SUPERIOR MEDICAL CARE 1959 COOPER FOSTER PARK ROAD AMHERST OH 44053 DIAGNOSTIC CENTER 96 - EXPRESS CARE 82 WEST STREETSBORO STREET HUDSON OH 44236 OUTPATIENT PHYSICIAN CLINIC 97 - UNION PHYSICIAN SERVICES CENTRAL 205 HOSPITAL DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 98 - NEWCOMERSTOWN UNION PHYSICIAN SERVICES 60881 COUNTY ROAD 9 1 NEWCOMERSTOWN OH 43832 OUTPATIENT PHYSICIAN CLINIC 99 - CANFIELD ORTHOPAEDICS AND REHABILITATION 3736 BOARDMAN CANFIELD ROAD CANFIELD OH 44406 OUTPATIENT PHYSICIAN CLINIC 100 - OHIO RENAL CARE GROUP MENTOR 8840 TYLER BLVD MENTOR OH 44060 DIALYSIS CENTER 101 - SEVERANCE MEDICAL ARTS 5 SEVERANCE CIRCLE CLEVELAND HEIGHTS OH 44118 OUTPATIENT PHYSICIAN CLINIC 102 - BEDFORD DIALYSIS CENTER 5035 RICHMOND ROAD BEDFORD HEIGHTS OH 44146 DIALYSIS CENTER 103 - AKRON GENERAL REHABILITATION AND SPORTS 585 WHITE POND DRIVE AKRON OH 44320 OUTPATIENT REHABILITATION 104 - MOHICAN EYE CENTER 484 PARK AVENUE WEST MANSFIELD OH 44906 OUTPATIENT PHYSICIAN CLINIC 105 - OHIO RENAL CARE GROUP ELYRIA 5316 HOAG DR SHEFFILED OH 44035 DIALYSIS CENTER 106 - OHIO RENAL CARE GROUP LAKEWOOD 13900 DETROIT RD LAKEWOOD OH 44109 DIALYSIS CENTER 107 - OHIO RENAL CARE GROUP WHITE POND 690 WHITE POND DR AKRON OH 44320 DIALYSIS CENTER 108 - OHIO RENAL CARE GROUP WADSWORTH 1160 WILLIAMS RESERVE BLVD WADSWORTH OH 44281 DIALYSIS CENTER 109 - MADISON REHABILITATION AND SPORTS THERAP 2622 HUBBARD ROAD MADISON OH 44057 OUTPATIENT PHYSICIAN CLINIC 110 - WELLINGTON MEDICAL OFFICE 805 PATRIOT DRIVE UNIT E WELLINGTON OH 44090 OUTPATIENT PHYSICIAN CLINIC 111 - MEDICAL OFFICE PAVILION 1946 TOWN PARK BLVD UNIONTOWN OH 44685 OUTPATIENT PHYSICIAN CLINIC 112 - OHIO RENAL CARE GROUP SOUTHPOINT DIALYS 4200 WARRENSVILLE CENTER RD STE 100 WARRENSVILLE HTS OH 44122 DIALYSIS CENTER 113 - CLEVELAND CLINIC EXPRESS CARE 7580 NORTHCLIFF AVENUE BROOKLYN OH 44144 OUTPATIENT PHYSICIAN CLINIC 114 - COLE EYE INSTITUTE 2000 AUBURN DRIVE STE 100 BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 115 - COLE EYE SOLON 32901 STATION STREET SOLON OH 44139 OUTPATIENT PHYSICIAN CLINIC 116 - OBERLIN OPHTHALMOLOGY 309 WEST LORAIN STREET OBERLIN OH 44074 OUTPATIENT PHYSICIAN CLINIC 117 - UNION HOSPITAL FAMILY MEDICINE 155 GARLAND DRIVE SW NEW PHILADELPHIA OH 44663 OUTPATIENT PHYSICIAN CLINIC 118 - MOHICAN EYE CENTER 637 NORTH UNION STREET LOUDONVILLE OH 44842 OUTPATIENT PHYSICIAN CLINIC 119 - OHIO RENAL CARE GROUP CUYAHOGA FALLS 320 BROADWAY ST E E CUYAHOGA FALLS OH 44221 DIALYSIS CENTER 120 - BELDEN CENTER 4677 FULTON DRIVE NW CANTON OH 44718 OUTPATIENT PHYSICIAN CLINIC 121 - ALPINE FAMILY MEDICINE 126 1/2 NORTH BROADWAY SUGARCREEK OH 44681 OUTPATIENT PHYSICIAN CLINIC 122 - MARYMOUNTCCF PAIN MANAGEMENT CENTER 12000 MCCRACKEN RD GARFIELD HEIGHTS OH 44125 OUTPATIENT PHYSICIAN CLINIC 123 - MEDINA MEDICAL OFFICE 970 E WASHINGTON MEDINA OH 44256 OUTPATIENT PHYSICIAN CLINIC 124 - SAGAMORE HILLS MEDICAL OFFICE II 885 WEST AURORA RD SAGAMORE HILLS OH 44067 OUTPATIENT PHYSICIAN CLINIC 125 - LAKEWOOD MEDICAL BUILDING 1450 BELLE AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 126 - LAKEWOOD MEDICAL OFFICE 16215 MADISON AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 127 - SAGAMORE HILLS MEDICAL CENTER I 863 WEST AURORA ROAD SAGAMORE HILLS OH 44067 OUTPATIENT PHYSICIAN CLINIC 128 - THE LANGSTON HUGHES CENTER CLEVELAND CLI 2390 E 79TH ST CLEVELAND OH 44104 OUTPATIENT PHYSICIAN CLINIC 129 - FAIRVIEW HOSPITAL WELLNESS CENTER 3035 WOOSTER ROAD ROCKY RIVER OH 44116 OUTPATIENT PHYSICIAN CLINIC 130 - AKRON GENERAL GAMMA KNIFE CENTER 762 S CLEVELAND-MASSILLON RD AKRON OH 44333 OUTPATIENT PHYSICIAN CLINIC 131 - STOW-FALLS MEDICAL OUTPATIENT CENTER 857 GRAHAM RD STOW OH 44221 OUTPATIENT PHYSICIAN CLINIC 132 - WESTLAKE MEDICAL CAMPUS A 850 COLUMBIA ROAD WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC & DIAGNOSTIC CTR 133 - THERAPY SERVICES WEST 826 WESTPOINT PKWY STE 1200 WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 134 - AKRON GENERAL JUSTIN T ROGERS HOSPICE C 3358 RIDGEWOOD ROAD AKRON OH 44333 HOSPICE 135 - ACCESS TO CARE 29000 AURORA ROAD SOLON OH 44139 OUTPATIENT PHYSICIAN CLINIC 136 - AGMC - PPG - CAMERON PRACTICE 551 WABASH AVENUE NW NEW PHILADELPHIA OH 44663 OUTPATIENT PHYSICIAN CLINIC 137 - AGMC - PPG - STEINBERGER PRACTICE 2708 CRAWFIS BLVD FAIRLAWN OH 44333 OUTPATIENT PHYSICIAN CLINIC 138 - AGMC - PPG - SUMMIT CENTER FOR BEHAVIORA 3200 W MARKET ST FAIRLAWN OH 44333 OUTPATIENT PHYSICIAN CLINIC 139 - AKRON GENERAL OBSTETRICS AND GYNECOLOGY 3636 YELLOW CREEK ROAD AKRON OH 44333 OUTPATIENT PHYSICIAN CLINIC 140 - AKRON GENERAL OBSTETRICS AND GYNECOLOGY 1355 CORPORATE DRIVE HUDSON OH 44236 OUTPATIENT PHYSICIAN CLINIC 141 - AKRON GENERAL OBSTETRICS AND GYNECOLOGY 1622 E TURKEYFOOT LAKE ROAD AKRON OH 44312 OUTPATIENT PHYSICIAN CLINIC 142 - AKRON GENERAL OBSTETRICS AND GYNECOLOGY 3634 WEST MARKET STREET FAIRLAWN OH 44333 OUTPATIENT PHYSICIAN CLINIC 143 - AKRON GENERAL ORTHOPEDICS 43 SOUTH MAIN STREET MUNROE FALLS OH 44262 OUTPATIENT PHYSICIAN CLINIC 144 - AKRON GENERAL REHABILITATION AND SPORTS 1500 AKRON CANTON RD AKRON OH 44312 OUTPATIENT REHABILITATION 145 - AKRON GENERAL SPINE & PAIN INSTITUTE AND 2603 W MARKET ST 200-210 AKRON OH 44313 OUTPATIENT PHYSICIAN CLINIC 146 - ASHTABULA COUNTY MEDICAL CENTER 2422 LAKE AVENUE ASHTABULA OH 44004 OUTPATIENT PHYSICIAN CLINIC 147 - BOARDMAN STAR IMAGING 7067 TIFFANY BOULEVARD YOUNGSTOWN OH 44512 DIAGNOSTIC CENTER 148 - CCF GASTROENTEROLOGY 3700 PARK EAST DRIVE BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 149 - CENTER FOR ARTHRITIS 1716 NORTH ROAD SE WARREN OH 44484 OUTPATIENT PHYSICIAN CLINIC 150 - CENTER FOR UROLOGIC HEALTH 320 W EXCHANGE STREET AKRON OH 44302 OUTPATIENT PHYSICIAN CLINIC 151 - CHARLESTON AREA MEDICAL CENTER 1201 WASHINGTON STREET EAST STE 100 CHARLESTON WV 25301 OUTPATIENT PHYSICIAN CLINIC 152 - CLEVELAND CLINIC FAMILY MEDICINE 19300 DETROIT AVENUE ROCKY RIVER OH 44116 OUTPATIENT PHYSICIAN CLINIC 153 - CLEVELAND CLINIC HEART & VASCULAR 1400 WEST MAIN STREET BELLEVUE HOSPITAL BELLEVUE OH 44811 OUTPATIENT PHYSICIAN CLINIC 154 - CLEVELAND CLINIC INDIAN RIVER AMBULATORY 3650 10TH COURT VERO BEACH FL 32960 OUTPATIENT PHYSICIAN CLINIC 155 - CLEVELAND CLINIC STAR IMAGING 1449 BOARDMAN-CANFIELD ROAD YOUNGSTOWN OH 44512 DIAGNOSTIC CENTER 156 - CLUB VIEW VISION CENTER OPTOMETRIC 1650 E MANSFIELD STREET BUCYRUS OH 44820 OUTPATIENT PHYSICIAN CLINIC 157 - COLUMBUS STAR IMAGING 1550 KENNY ROAD COLUMBUS OH 43212 DIAGNOSTIC CENTER 158 - COLUMBUS STAR IMAGING 921 JASONWAY AVENUE COLUMBUS OH 43214 DIAGNOSTIC CENTER 159 - COLUMBUS STAR IMAGING BEECHER 425 BEECHER ROAD COLUMBUS OH 43230 DIAGNOSTIC CENTER 160 - COMMUNITY MENTAL HEALTH INC 201 HOSPITAL DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 161 - CORAL SPRINGS FAMILY HEALTH CENTER 5701 NORTH UNIVERSITY DRIVE CORAL SPRINGS FL 33067 FAMILY HEALTH CENTER 162 - DAYTON STAR IMAGING 5529 FAR HILLS AVENUE DAYTON OH 45429 DIAGNOSTIC CENTER 163 - DOWNTOWN EXPRESS CARE 315 EUCLID AVENUE STE 2 CLEVELAND OH 44114 OUTPATIENT PHYSICIAN CLINIC 164 - ERADIOLOGY (WESTON TOWN CENTER) 1792 BELL TOWER LANE WESTON FL 33326 DIAGNOSTIC CENTER 165 - FIRELANDS PEDIATRIC SUBSPECIALTY CLINIC 1111 HAYES AVE SANDUSKY OH 44870 OUTPATIENT PHYSICIAN CLINIC 166 - FORT LAUDERDALE CONCIERGE MEDICINE 1301 EAST BROWARD BOULEVARD FORT LAUDERDALE FL 33301 OUTPATIENT PHYSICIAN CLINIC 167 - INDIAN RIVER BARIATRIC AND WEIGHT LOSS 920 37TH PLACE VERO BEACH FL 32961 OUTPATIENT PHYSICIAN CLINIC 168 - INDIAN RIVER BEHAVIORAL HEALTH CENTER 1190 37TH STREET VERO BEACH FL 32960 OUTPATIENT PHYSICIAN CLINIC 169 - INDIAN RIVER CARDIOLOGY 3607 15TH AVENUE VERO BEACH FL 32960 OUTPATIENT PHYSICIAN CLINIC 170 - INDIAN RIVER HEALTH & WELLNESS CENTER 3450 11TH COURT VERO BEACH FL 32960 OUTPATIENT PHYSICIAN CLINIC 171 - INDIAN RIVER MEDICAL CENTER CARDIOVASCUL 13885 US HIGHWAY 1 SEBASTIAN FL 32958 OUTPATIENT PHYSICIAN CLINIC 172 - INDIAN RIVER PRIMARY CARE SOUTH 4165 9TH STREET SW VERO BEACH FL 32968 OUTPATIENT PHYSICIAN CLINIC 173 - KRUPA CENTER 3250 MERIDIAN PARKWAY WESTON FL 33331 OUTPATIENT PHYSICIAN CLINIC 174 - LAKEWEST MEDICAL BUILDING 36100 EUCLID AVENUE STE 280 WILLOUGHBY OH 44094 OUTPATIENT PHYSICIAN CLINIC 175 - LAKEWOOD FAMILY MEDICINE - ROCKPORT 11851 DETROIT AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 176 - LAKEWOOD LAKE POINTE LAB DRAW SITE 15800 DETROIT AVENUE LAKEWOOD OH 44107 DIAGNOSTIC CENTER 177 - LAKEWOOD YMCA 16915 DETROIT AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 178 - LORAIN ORTHOPAEDICS 5800 COOPER FOSTER PARK ROAD LORAIN OH 44053 OUTPATIENT PHYSICIAN CLINIC 179 - LUTHERAN HOSPITAL MEDICAL OFFICES 6412 FRANKLIN BOULEVARD CLEVELAND OH 44102 OUTPATIENT PHYSICIAN CLINIC 180 - MONTROSE SLEEP CENTER 4880 S MAIN STREET AKRON OH 44319 OUTPATIENT PHYSICIAN CLINIC 181 - NILES STAR IMAGING 650 YOUNGSTOWN-WARREN ROAD NILES OH 44446 DIAGNOSTIC CENTER 182 - NORTHEASTERN OHIO MEDICAL SPECIALISTS 470 WHITE POND DRIVE AKRON OH 44320 OUTPATIENT PHYSICIAN CLINIC 183 - NPCS - BEACHWOOD 26110 EMERY ROAD WARRENSVILLE HEIGHTS OH 44128 OUTPATIENT PHYSICIAN CLINIC 184 - PARTNERS IN WOMEN'S HEALTH 1050 37TH PLACE VERO BEACH FL 32960 OUTPATIENT PHYSICIAN CLINIC 185 - POINTE WEST MEDICAL OFFICE 1960 POINTE WEST DRIVE VERO BEACH FL 32966 OUTPATIENT PHYSICIAN CLINIC 186 - PORTAGE HILLS FAMILY MEDICINE 754 S CLEVELAND AVE MOGADORE OH 44260 OUTPATIENT PHYSICIAN CLINIC 187 - ROCKSIDE I 6100 WEST CREEK ROAD INDEPENDENCE OH 44131 OUTPATIENT PHYSICIAN CLINIC 188 - ROCKSIDE MEDICAL CENTER 6701 ROCKSIDE ROAD INDEPENDENCE OH 44131 OUTPATIENT PHYSICIAN CLINIC 189 - SCULLY WELSH CANCER CENTER 3555 10TH COURT VERO BEACH FL 32960 OUTPATIENT PHYSICIAN CLINIC 190 - SEBASTIAN MEDICAL SUITES 801 WELLNESS WAY SEBASTIAN FL 32958 OUTPATIENT PHYSICIAN CLINIC 191 - SLEEP DISORDERS CENTER 24901 COUNTRY CLUB BOULEVARD NORTH OLMSTED OH 44070 DIAGNOSTIC CENTER 192 - SLEEP DISORDERS CENTER 3750 ORANGE PLACE BEACHWOOD OH 44122 DIAGNOSTIC CENTER 193 - SLEEP DISORDERS CENTER 8971 WILCOX DRIVE TWINSBURG OH 44087 DIAGNOSTIC CENTER 194 - SLEEP DISORDERS CENTER 5051 WEST CREEK ROAD INDEPENDENCE OH 44131 DIAGNOSTIC CENTER 195 - SLEEP DISORDERS CENTER 3122 EASTPOINTE DRIVE MEDINA OH 44256 DIAGNOSTIC CENTER 196 - SOUTHEASTERN OHIO REGIONAL MEDICAL CENTE 1341 CLARK STREET CAMBRIDGE OH 43725 OUTPATIENT PHYSICIAN CLINIC 197 - SPINE & PAIN INSTITUTE 307 W MAIN ST C KENT OH 44240 OUTPATIENT PHYSICIAN CLINIC 198 - SPINE & PAIN INSTITUTE 265 WEST MAIN STREET KENT OH 44240 OUTPATIENT PHYSICIAN CLINIC 199 - SPORTS HEALTH CENTER 5555 TRANSPORTATION BOULEVARD GARFIELD HEIGHTS OH 44125 OUTPATIENT PHYSICIAN CLINIC 200 - STAR IMAGING DUBLIN 333 W BRIDGE STREET DUBLIN OH 43017 DIAGNOSTIC CENTER 201 - SUBURBAN HEALTH FAMILY PHYSICIANS 2818 S ARLINGTON ROAD AKRON OH 44312 OUTPATIENT PHYSICIAN CLINIC 202 - SUMMIT MEDICAL 3600 WEST MARKET STREET AKRON OH 44333 OUTPATIENT PHYSICIAN CLINIC 203 - SUMMIT VASCULAR SPECIALISTS 1761 BEALL AVENUE WOOSTER OH 44691 OUTPATIENT PHYSICIAN CLINIC 204 - THERAPY SERVICES SOUTH 17800 JEFFERSON PARK DRIVE STE 101 MIDDLEBURG HTS OH 44130 OUTPATIENT PHYSICIAN CLINIC 205 - TUSCARAWAS VALLEY REGIONAL CANCER CENTER 659 BOULEVARD ST DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 206 - UNION HOSPITAL HEALTHPLEX 500 MEDICAL PARK DR DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 207 - UNION HOSPITAL MAMMOGRAPHY 101 HOSPITAL DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 208 - UNION HOSPITAL REGIONAL CANCER CENTER 300 MEDICAL PARK DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 209 - UNION HOSPITAL TUSCARAWAS AMBULATORY SUR 320 OXFORD STREET DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 210 - UNION MEDICAL OFFICE 1 200 MEDICAL PARK DR DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 211 - UPS CARE COORDINATION CENTER 301 WEST THIRD STREET DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 212 - VALLEY CITY FAMILY MEDICINE 6605 CENTER ROAD VALLEY CITY OH 44280 OUTPATIENT PHYSICIAN CLINIC 213 - WEST PARK LEARNING CENTER 15531 LORAIN AVENUE CLEVELAND OH 44111 OUTPATIENT PHYSICIAN CLINIC 214 - WEST VALLEY MEDICAL 20455 LORAIN ROAD 301 FAIRVIEW PARK OH 44126 OUTPATIENT PHYSICIAN CLINIC 215 - WESTOWN PHYSICIAN CENTER 10654 LORAIN AVENUE CLEVELAND OH 44111 OUTPATIENT PHYSICIAN CLINIC 216 - WILLOUGHBY HILLS REHABILITATION AND SPOR 29017 CHARDON ROAD WILLOUGHBY HILLS OH 44094 OUTPATIENT PHYSICIAN CLINIC 217 - WOOSTER MILLTOWN SPECIALTY & SURGERY CEN 721 EAST MILLTOWN ROAD WOOSTER OH 44691 OUTPATIENT PHYSICIAN CLINIC 218 - WOOSTER WOMEN'S HEALTH CENTER 1739 CLEVELAND ROAD WOOSTER OH 44691 OUTPATIENT PHYSICIAN CLINIC 219 - YMCA SOUTH FLORIDA 20201 SADDLE CLUB ROAD WESTON FL 33327 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 3C: CCHS PROVIDES MEDICALLY NECESSARY SERVICES TO ALL PATIENTS, REGARDLESS OF RACE, COLOR, CREED, GENDER OR COUNTRY OF NATIONAL ORIGIN AND WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. THIS POLICY APPLIES TO ALL CCHS FACILITIES, AND THE AMOUNT OF CARE PROVIDED UNDER THE POLICY IS DETERMINED BY NEED AND IS NOT LIMITED OR RATIONED BY BUDGETED AMOUNTS. UNDER THE POLICY, IN GENERAL, CCHS PROVIDES FREE CARE TO INDIVIDUALS WITHOUT INSURANCE WITH INCOMES UP TO 250% OF THE FEDERAL POVERTY LEVEL AND DISCOUNTED CARE UP TO 400% OF THE FEDERAL POVERTY LEVEL. IN ADDITION, THE POLICY CONTAINS ADDITIONAL WAYS TO QUALIFY BASED ON FINANCIAL AND MEDICAL NEED. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM A COST ACCOUNTING SYSTEM. IN OTHER CATEGORIES, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THAT CATEGORY. PART I, LINE 7G: CCHS EMPLOYS ITS PHYSICIANS, THEREFORE THE ASSOCIATED COSTS AND CHARGES RELATING TO THESE PHYSICIAN SERVICES ARE INCLUDED IN ALL RELEVANT CATEGORIES OF PART I. PART I, LN 7 COL(F): THE PROPORTIONATE SHARE OF TOTAL JV EXPENSES AND BAD DEBT EXPENSES ARE FACTORED IN FOR PURPOSES OF CALCULATING THE PERCENTAGES. PART I, LINE 6A SCH H PART I, LINE 6A - AN ANNUAL COMMUNITY BENEFIT REPORT IS PREPARED FOR THE HEALTH SYSTEM AS A WHOLE, WHICH INCLUDES THE PARENT ORGANIZATION AND RELATED AFFILIATES. PART I, LINE 7 THE NET COMMUNITY BENEFIT EXPENSE FIGURE REPORTED FOR UNREIMBURSED MEDICAID IS NET OF CCHS'S HCAP BENEFIT OF $5,085,745. PART I, LINE 7 NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $1,102,124,886 AS REPORTED ON PART I, LINE 7 DIFFERS FROM THE TOTAL COMMUNITY BENEFIT FOR CLEVELAND CLINIC HEALTH SYSTEM AS REPORTED IN THE SYSTEM'S COMMUNITY BENEFIT REPORT. THE AMOUNT DIFFERS IN TWO RESPECTS: 1) IRS DOES NOT CONSIDER COMMUNITY BUILDING ACTIVITIES AS REPORTED IN PART II TO BE COMMUNITY BENEFIT WHERE THESE ACTIVITIES ARE INCLUDED IN COMMUNITY BENEFIT PER CHA GUIDELINES, AND2) THE PROPORTIONATE SHARE OF JOINT VENTURE COMMUNITY BENEFIT IS INCLUDED IN LINE 7. PART I, LINE 2 EFFECTIVE APRIL 2018, THE CLEVELAND CLINIC FOUNDATION, THROUGH A SUBSIDIARY BECAME THE SOLE MEMBER OF THE UNION HOSPITAL ASSOCIATION (UNION HOSPITAL"). UNION HOSPITAL HAS ITS OWN FINANCIAL ASSISTANCE POLICY, WHICH COMPLIES WITH ALL 501(R) REGULATIONS.CLEVELAND CLINIC REHABILITATION AND SELECT FACILITIES HAVE THEIR OWN FINANCIAL ASSISTANCE POLICIES, WHICH COMPLY WITH ALL 501(R) REGULATIONS. PART II, COMMUNITY BUILDING ACTIVITIES: CLEVELAND CLINIC ADDRESSES VARIOUS COMMUNITY CONCERNS, INCLUDING HEALTH IMPROVEMENT, POVERTY, WORKFORCE DEVELOPMENT, AND ACCESS TO HEALTH CARE. CLEVELAND CLINIC DEVOTES EMPLOYEE TIME AND TALENT TO PARTICIPATE IN COMMUNITY COLLABORATION BOARDS, HEALTH ADVOCACY PROGRAMS, AND PHYSICAL IMPROVEMENT PROJECTS TO PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. PART III, LINE 2: ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS, NOT INCLUDED IN BAD DEBT EXPENSE. PART III, LINE 4: SEE EXPLANATION OF IMPLICIT PRICE CONCESSIONS IN FOOTNOTE #3 ON PG. 13 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE CALCULATED USING A COST-TO-CHARGE RATIO.CCHS HAS USED THE CHA METHODOLOGY FOR REPORTING COMMUNITY BENEFIT SINCE 2004 AS IT WAS THE EMERGING COMMUNITY BENEFIT REPORTING STANDARD AND NOW HAS BEEN ADOPTED IN LARGE PART BY THE IRS FOR 990 REPORTING PURPOSES. THE CHA MODEL DOES NOT INCLUDE MEDICARE SHORTFALL AS COMMUNITY BENEFIT. PART III, LINE 9B: IT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS OR BEFORE REASONABLE EFFORTS HAVE BEEN MADE TO MAKE SUCH DETERMINATION. IN CERTAIN CASES IT MAY NOT BE EASILY DETERMINED WHETHER OR NOT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE; HOWEVER, IF AFTER COLLECTION PRACTICES HAVE BEGUN IT LATER BECOMES KNOWN THAT A PATIENT QUALIFIES, THE COLLECTION EFFORTS CEASE. ADDITIONALLY, OUR EXTERNAL THIRD PARTY (COLLECTION) AGENCIES ARE TRAINED ON OUR FINANCIAL ASSISTANCE POLICY AND ASSIST A PATIENT IN NEED BY SUPPLYING OUR APPLICATION FOR FINANCIAL ASSISTANCE. PART III, LINES 5, 6, & 7 IN ADDITION TO THE MEDICARE PROGRAMS REFLECTED IN THE COST REPORTS, CCHS INCURS COSTS AND RECEIVES REIMBURSEMENT FOR OTHER MEDICARE ELIGIBLE SERVICES. THE TOTAL REVENUE RECEIVED AND COSTS ASSOCIATED WITH THE ADDITIONAL MEDICARE SERVICES ARE $1,656,638,762 AND $2,152,965,340 RESPECTIVELY. THIS RESULTS IN MEDICARE SHORTFALL OF $496,326,578 WHICH ADDED TO THE SHORTFALL OF $23,437,627 AS REPORTED ON THE COST REPORTS, BRINGS THE TOTAL MEDICARE SHORTFALL TO $519,764,205. PART VI, LINE 2: IN ADDITION TO THE CHNA PROCESS, CCHS, ITS INSTITUTES AND DEPARTMENTS, AND EACH HOSPITAL MAY GATHER, ANALYZE, AND REVIEW RELEVANT HEALTH STATISTICS AND DEMOGRAPHIC DATA FOR THAT PARTICULAR FACILTY'S COMMUNITY. THE DATA IS USED TO EVALUATE POTENTIAL NEW OR REVISED HEALTH SERVICES THAT CCHS MAY PROVIDE TO PARTICULAR GROUPS OF PATIENTS WITHIN THE COMMUNITIES IT SERVES. PART VI, LINE 3: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND THE CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATIONS WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY AND AN INSERT DESCRIBING THE FINANCIAL ASSISTANCE PROGRAM IS INCLUDED WITH BILLING STATEMENTS. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. PART VI, LINE 4: THE COMMUNITY FOR EACH OF THE HOSPITAL FACILITIES IN THE CLEVELAND CLINIC HEALTH SYSTEM IS DEFINED BY BOTH MISSION AND GEOGRAPHY. THE GEOGRAPHIC COMMUNITY IS DEFINED BY THE HOSPITAL FACILITY'S IMMEDIATELY CONTIGUOUS AREAS AS WELL AS THE BROADER SURROUNDING COUNTIES/REGIONS FROM WHICH THE MAJORITY OF DISCHARGED INPATIENTS RESIDE. ADDITIONALLY, THE COMMUNITY INCLUDES PATIENTS WHO REQUIRE THE EXPERTISE AND SPECIALIZED SERVICES OF THE CLEVELAND CLINIC. THE COMMUNITY FOR MEDICAL RESEARCH AND EDUCATION IS THE PUBLIC AT LARGE. ADDITIONAL DETAIL DESCRIBING THE COMMUNITY THE ORGANIZATION SERVES CAN BE FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. PART VI, LINE 5: ONE OF THE HALLMARKS OF A CHARITABLE ORGANIZATION IS THAT THE ORGANIZATION SERVES A BROAD, INDEFINITE CHARITABLE CLASS. ONE OF THE KEY INDICATORS THAT AN ORGANIZATION SERVES THE BROADER COMMUNITY IS CONTROL OF THE ORGANIZATION BY INDEPENDENT COMMUNITY LEADERS. CCF AND ITS NORTHEAST OHIO REGIONAL HOSPITAL GOVERNING BOARDS ARE MADE UP OF MEMBERS OF THE COMMUNITY WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF CCF AND ITS SUBORDINATES. TRUSTEES/DIRECTORS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO THE CLEVELAND CLINIC AND THE HEALTH SYSTEM AND ARE NOT COMPENSATED FOR THEIR SERVICES.ANOTHER HALLMARK OF A CHARITABLE ORGANIZATION IS THAT SURPLUS FUNDS ARE USED TO FURTHER CHARITABLE PURPOSES AND ACTIVITIES. SURPLUS FUNDS FOR CCF AND ITS SUBORDINATES ARE REINVESTED AND USED TO CARRY OUT THE ORGANIZATION'S EXEMPT MISSION -- PATIENT CARE, RESEARCH, AND EDUCATION. PART VI, LINE 6: CLEVELAND CLINIC IS THE PARENT ORGANIZATION OF THE HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM CONSISTING OF AN ACADEMIC MEDICAL CENTER, MEDICAL SCHOOL, COMMUNITY HOSPITALS, FAMILY HEALTH CENTERS, VARIOUS ANCILLARY SERVICES, AND A LARGE GROUP OF EMPLOYED PHYSICIANS AND PHYSICIAN RESEARCHERS. PART VI, LINE 7 AFTER FILING THE FORM 990, A COPY OF THE SCHEDULE H FOR THE CLEVELAND CLINIC FOUNDATION AND ALL SUBORDINATES IS SUBMITTED TO THE STATE OF OHIO. 1 AKRON COMMUNITY FOUNDATION 345 W CEDAR ST AKRON OH 44307 341087615 501(C)(3) 7500 COMMUNITY SUPPORT AKRON COMMUNITY SERVICE CENTER AND URBAN LEAGUE INC 440 VERNON ODOM BLVD AKRON OH 44307 340714520 501(C)(3) 10500 COMMUNITY SUPPORT AKRON ROUNDTABLE PO BOX 1051 CUYAHOGA FALLS OH 44223 341249338 501(C)(3) 12400 SUPPORT EDUCATIONAL ACTIVITIES ALICE FLAHERTY EXCELLENCE IN NURSING SCHOLARSHIP FUND INC 24179 AMBOUR DR NORTH OLMSTED OH 44070 470974372 501(C)(3) 10000 SUPPORT EDUCATIONAL ACTIVITIES AMERICAN CANCER SOCIETY 10501 EUCLID AVE CLEVELAND OH 44106 131788491 501(C)(3) 66890 HEALTHCARE RESEARCH & EDUCATION AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 70863 HEALTHCARE RESEARCH & EDUCATION AMERICAN LIVER FOUNDATION 39 BROADWAY 27TH FL NEW YORK NY 10006 362883000 501(C)(3) 24000 HEALTHCARE RESEARCH & EDUCATION AMERICAN LUNG ASSOCIATION 55 WEST WACKER DRIVE CHICAGO IL 60601 131632524 501(C)(3) 14625 COMMUNITY SUPPORT AMERICAN NATIONAL RED CROSS 431 18TH ST NW WASHINGTON DC 20006 530196605 501(C)(3) 10000 COMMUNITY SUPPORT ARTHRITIS FOUNDATION INC 1355 PEACHTREE ST NE STE 600 CLEVELAND OH 44104 581341679 501(C)(3) 12500 COMMUNITY SUPPORT ATHLETES AND CAUSES INC 12551 FRANKLIN ROAD THONOTOSASSA FL 33592 472377003 501(C)(3) 423675 COMMUNITY SUPPORT AUTISM SOCIETY GREATER AKRON 580 GRANT ST AKRON OH 44311 471129984 501(C)(3) 11500 COMMUNITY SUPPORT AXESSPOINTE COMMUNITY HEALTH CENTERS 500 FISHERS LANE ROCKVILLE MD 20857 341735884 501(C)(3) 1635169 COMMUNITY SUPPORT BIRTHING BEAUTIFUL COMMUNITIES 1416 EAST 105TH ST CLEVELAND OH 44106 474453278 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION BURTEN BELL CARR DEVELOPMENT INC 7201 KINSMAN RD CLEVELAND OH 44104 341657533 501(C)(3) 10000 COMMUNITY SUPPORT CASE WESTERN RESERVE UNIVERSITY 2040 ADELBERT RD CLEVELAND OH 44106 341018992 501(C)(3) 42627 SUPPORT EDUCATIONAL ACTIVITIES CATHOLIC CHARITIES CORPORATION 7911 DETROIT AVE CLEVELAND OH 44102 341908590 501(C)(3) 5300 COMMUNITY SUPPORT CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON 1 PERKINS SQUARE AKRON OH 44308 340714357 501(C)(3) 7633 HEALTHCARE RESEARCH & EDUCATION CITY CLUB OF CLEVELAND 850 EUCLID AVE 2ND FLOOR CLEVELAND OH 44114 340144897 501(C)(3) 15543 COMMUNITY SUPPORT CITY OF AKRON 166 S HIGH ST AKRON OH 44308 346000020 501(C)(1) 12500 COMMUNITY SUPPORT CITY OF AVON 36080 CHESTER RD AVON OH 44011 346000165 501(C)(1) 10000 COMMUNITY SUPPORT CITY OF LAKEWOOD 12650 DETROIT AVE LAKEWOOD OH 44107 346001633 501(C)(1) 1101500 COMMUNITY SUPPORT CITY OF WARRENSVILLE HEIGHTS 4743 RICHMOND RD WARRENSVILLE HEIGHTS OH 44128 346002992 501(C)(1) 27345 COMMUNITY SUPPORT CLEVELAND CENTER FOR ARTS AND TECHNOLOGY 3634 EUCLID AVE NO 100 CLEVELAND OH 44115 271193704 501(C)(3) 10000 SUPPORT EDUCATIONAL ACTIVITIES CLEVELAND INTERNATIONAL FILM FESTIVAL INC 2510 MARKET AVE CLEVELAND OH 44113 341262368 501(C)(3) 15000 COMMUNITY SUPPORT CLEVELAND LEADERSHIP CENTER 1375 EAST 9TH ST STE 1100 CLEVELAND OH 44114 341927317 501(C)(3) 10000 COMMUNITY SUPPORT CLEVELAND METROPARKS 4101 FULTON PARKWAY CLEVELAND OH 44144 346000704 501(C)(3) 76141 HEALTHCARE RESEARCH & EDUCATION CLEVELAND METROPOLITAN SCHOOL DISTRICT 1111 SUPERIOR AVE EAST STE 1800 CLEVELAND OH 44114 346000662 501(C)(3) 11200 HEALTHCARE RESEARCH & EDUCATION CLEVELAND SCHOOL OF SCIENCE & MEDICINE 2075 STOKES BLVD CLEVELAND OH 44106 343740643 501(C)(3) 10000 SUPPORT EDUCATIONAL ACTIVITIES CLEVELAND STATE UNIVERSITY 2121 EUCLID AVE CLEVELAND OH 44115 340966056 501(C)(3) 7500 SUPPORT EDUCATIONAL ACTIVITIES CLINIC MEDICAL SERVICES 1450 BELLE AVE LAKEWOOD OH 44107 341932969 501(C)(3) 5569 COMMUNITY SUPPORT COASTAL CARE CORPORATION PO BOX 9033 STUART FL 34995 592333374 501(C)(3) 90985 COMMUNITY SUPPORT COLLEGE NOW GREATER CLEVELAND INC 50 PUBLIC SQUARE STE 1800 CLEVELAND OH 44113 346580096 501(C)(3) 16500 SUPPORT EDUCATIONAL ACTIVITIES COMMUNITY WEST FOUNDATION 800 SHARON DR STE C WESTLAKE OH 44145 341456398 501(C)(3) 32175 COMMUNITY SUPPORT CROHNS & COLITIS FOUNDATION OF AMERICA 23366 COMMERCE PARK RD BEACHWOOD OH 44122 136193105 501(C)(3) 23000 HEALTHCARE RESEARCH & EDUCATION CUYAHOGA COMMUNITY COLLEGE FOUNDATION 700 CARNEGIE AVE CLEVELAND OH 44115 237320719 501(C)(3) 7500 SUPPORT EDUCATIONAL ACTIVITIES CUYAHOGA VALLEY SCENIC RAILROAD 1630 MILL ST WEST PENINSULA OH 44264 237198801 501(C)(3) 10000 COMMUNITY SUPPORT DANCING CLASSROOMS NORTHEAST OHIO 1085 ROCKSIDE RD STE 6 PARMA OH 44134 262300532 501(C)(3) 26250 COMMUNITY SUPPORT DEMOCRACY COLLABORATIVE FOUNDATION INC 1422 EUCLID AVE STE 1652 CLEVELAND OH 44115 200387511 501(C)(3) 40000 COMMUNITY SUPPORT EMERIL LAGASSE FOUNDATION 829 ST CHARLES AVE NEW ORLEANS LA 70130 421536915 501(C)(3) 80000 HEALTHCARE RESEARCH & EDUCATION EPILEPSY FOUNDATION OF FLORIDA INC 7300 N KENDALL DR NO 760 MIAMI FL 33156 592164525 501(C)(3) 7500 HEALTHCARE RESEARCH & EDUCATION FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION 8111 QUINCY AVE STE 100 CLEVELAND OH 44104 341706856 501(C)(3) 323220 COMMUNITY SUPPORT FAMICOS FOUNDATION INC 1325 ANSEL RD CLEVELAND OH 44106 341053534 501(C)(3) 10175 COMMUNITY SUPPORT FATIMA FAMILY CENTER 6600 LEXINGTON AVE CLEVELAND OH 44103 261323950 501(C)(3) 15000 COMMUNITY SUPPORT FIRE CHIEFS ASSOCIATION OF BROWARD COUNTY 6919 W BROWARD BLVD PLANTATION FL 33317 911909626 501(C)(3) 5125 COMMUNITY SUPPORT FLASHES OF HOPE INC 36 SOUTH FRANKLIN ST CHAGRIN FALLS OH 44022 043648694 501(C)(3) 10000 COMMUNITY SUPPORT FRIENDS OF BREAKTHROUGH SCHOOL 3615 SUPERIOR AVE STE 3103A CLEVELAND OH 44114 204948838 501(C)(3) 13400 SUPPORT EDUCATIONAL ACTIVITIES GATHERING PLACE 23300 COMMERCE PARK BEACHWOOD OH 44122 341879035 501(C)(3) 92500 COMMUNITY SUPPORT GREATER AKRON CHAMBER OF COMMERCE 388 S MAIN ST STE 205 AKRON OH 44311 341156576 501(C)(6) 7250 COMMUNITY SUPPORT GREATER BOCA RATON CHAMBER OF COMMERCE 1800 NORTH DIXIE HIGHWAY BOCA RATON FL 33432 590667561 501(C)(6) 6000 SUPPORT EDUCATIONAL ACTIVITIES GREATER CLEVELAND FOOD BANK INC 15500 S WATERLOO RD CLEVELAND OH 44110 341292848 501(C)(3) 10500 COMMUNITY SUPPORT GREATER CLEVELAND HABITAT FOR HUMANITY 2110 W 110TH ST CLEVELAND OH 44102 311209423 501(C)(3) 10000 COMMUNITY SUPPORT HEALTH POLICY INSTITUTE OF OHIO 10 WEST BROAD ST COLUMBUS OH 43215 300186863 501(C)(3) 10000 COMMUNITY SUPPORT INDIAN RIVER MEMORIAL HOSPITAL INC 1000 36TH ST VERO BEACH FL 32960 592496294 501(C)(3) 1554706 COMMUNITY SUPPORT KAMMS CORNERS DEVELOPMENT CORP 17407 LORAIN AVE STE 200 CLEVELAND OH 44111 341254542 501(C)(3) 14000 SUPPORT EDUCATIONAL ACTIVITIES KEEP MEMORY ALIVE 888 W BONNEVILLE AVE LAS VEGAS NV 89105 880515534 501(C)(3) 65672 HEALTHCARE RESEARCH & EDUCATION KENT STATE UNIVERSITY PO BOX 5190 KENT OH 44242 316402079 501(C)(3) 13500 SUPPORT EDUCATIONAL ACTIVITIES LAKEWOOD COMMUNITY SERVICES CENTER INC 14230 MADISON AVE LAKEWOOD OH 44107 341446497 501(C)(3) 63503 HEALTHCARE RESEARCH & EDUCATION LAND STUDIO INC 1939 WEST 25TH ST STE 200 CLEVELAND OH 44113 341212421 501(C)(3) 35000 COMMUNITY SUPPORT LEUKEMIA & LYMPHOMA SOCIETY 3 INTERNATIONAL DR STE 200 RYE BROOK NY 10573 135644916 501(C)(3) 90500 HEALTHCARE RESEARCH & EDUCATION MAIN STREET MEDINA 39 PUBLIC SQUARE STE 305 MEDINA OH 44256 261802645 501(C)(3) 13500 HEALTHCARE RESEARCH & EDUCATION MAKE-A-WISH FOUNDATION OF OHIO KENTUCKY AND INDIANA INC 2545 FARMERS DRIVE STE 300 COLUMBUS OH 43235 341471131 501(C)(3) 18000 COMMUNITY SUPPORT MARCH OF DIMES INC 1550 CRYSTAL DRIVE STE 1300 ARLINGTON VA 22202 131846366 501(C)(3) 5400 COMMUNITY SUPPORT MARTIN MEMORIAL MEDICAL CENTER INC PO BOX 9010 STUART FL 34995 590637874 501(C)(3) 6705908 COMMUNITY SUPPORT MEDINA COMMUNITY RECREATION CENTER 855 WEYMOUTH RD MEDINA OH 44256 346001856 501(C)(3) 20000 COMMUNITY SUPPORT MEDINA HOSPITAL FOUNDATION 1000 E WASHINGTON ST MEDINA OH 44256 341657989 501(C)(3) 6250 HEALTHCARE RESEARCH & EDUCATION 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1061 EAST MAIN STREET STE 300 EAST DUNDEE IL 60118 742307811 501(C)(3) 25000 COMMUNITY SUPPORT SUMMIT METRO PARKS 975 TREATY LINE RD AKRON OH 44313 346553677 501(C)(3) 15000 SUPPORT EDUCATIONAL ACTIVITIES SUSAN G KOMEN BREAST CANCER FOUNDATION 26210 EMERY RD STE 307 CLEVELAND OH 44128 341793460 501(C)(3) 5250 HEALTHCARE RESEARCH & EDUCATION THE CENTERS FOR FAMILIES AND CHILDREN 3929 ROCKY RIVER DRIVE CLEVELAND OH 44111 237084455 501(C)(3) 15000 COMMUNITY SUPPORT THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION 9500 EUCLID AVE CLEVELAND OH 44195 340714553 501(C)(3) 20549700 HEALTHCARE RESEARCH & EDUCATION THE CLEVELAND FOUNDATION 1422 EUCLID AVE STE 1300 CLEVELAND OH 44115 340714588 501(C)(3) 250000 COMMUNITY SUPPORT THE COLORECTAL CANCER ALLIANCE 1025 VERMONT AVE STE 1066 WASHINGTON DC 20005 860947831 501(C)(3) 61713 HEALTHCARE RESEARCH & EDUCATION THE MANDEL JEWISH COMMUNITY CENTER OF CLEVELAND 26001 SOUTH WOODLAND RD BEACHWOOD OH 44122 340714439 501(C)(3) 16330 COMMUNITY SUPPORT THE MARFAN FOUNDATION INC 22 MANHASSET AVE PORT WASHINGTON NY 11050 521265361 501(C)(3) 5300 SUPPORT EDUCATIONAL ACTIVITIES THE MUSICAL ARTS ASSOCIATION 11001 EUCLID AVE CLEVELAND OH 44106 340714468 501(C)(3) 12500 SUPPORT EDUCATIONAL ACTIVITIES THE OHIO STATE UNIVERSITY 281 WEST LANE AVE COLUMBUS OH 43210 316025986 501(C)(3) 12200 COMMUNITY SUPPORT THE ORANGE BOWL COMMITTEE INC 14360 NW 77TH COURT MIAMI LAKES FL 33016 590384382 501(C)(3) 30792 SUPPORT EDUCATIONAL ACTIVITIES THE SALVATION ARMY 440 W NYACK RD WEST NYACK NY 10994 135562351 501(C)(3) 11000 COMMUNITY SUPPORT THE THORACIC SURGERY FOUNDATION 633 N ST CLAIR STREET CHICAGO IL 60611 363635910 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION TOWARDS EMPLOYMENT INC 1255 EUCLID AVE STE 300 CLEVELAND OH 44115 341578831 501(C)(3) 10000 COMMUNITY SUPPORT TRINITY SUPPORT SERVICES 12425 GRANGER RD GARFIELD HTS OH 44125 263704435 501(C)(3) 24258 SUPPORT EDUCATIONAL ACTIVITIES UNITED JEWISH COMMUNITY OF BROWARD COUNTY INC 5890 SOUTH PINE ISLAND ROAD DAVIE FL 33328 590967823 501(C)(3) 15000 COMMUNITY SUPPORT UNITED WAY OF BROWARD COUNTY 1300 SOUTH ANDREWS AVE FORT LAUDERDALE FL 33316 590624402 501(C)(3) 10000 COMMUNITY SUPPORT UNITED WAY OF GREATER CLEVELAND 1331 EUCLID AVE CLEVELAND OH 44115 346516654 501(C)(3) 7063 COMMUNITY SUPPORT UNITED WAY OF SUMMIT COUNTY 90 N PROSPECT ST AKRON OH 44304 341169257 501(C)(3) 21500 COMMUNITY SUPPORT UNIVERSITY OF MIAMI PO BOX 248106 CORAL GABLES FL 33124 590624458 501(C)(3) 40000 COMMUNITY SUPPORT URBAN LEAGUE OF GREATER CLEVELAND 2930 PROSPECT AVE CLEVELAND OH 44115 340720563 501(C)(3) 10000 SUPPORT EDUCATIONAL ACTIVITIES URSULINE COLLEGE 2550 LANDER ROAD PEPPER PIKE OH 44124 340714777 501(C)(3) 5200 HEALTHCARE RESEARCH & EDUCATION WILDCAT COMMUNITY FOUNDATION 1101 SOM CENTER RD MAYFIELD HEIGHTS OH 44124 273158155 501(C)(3) 16200 COMMUNITY SUPPORT WOMEN IN DISTRESS OF BROWARD COUNTY INC PO BOX 50187 LIGHTHOUSE POINT FL 33074 591592524 501(C)(3) 7500 HEALTHCARE RESEARCH & EDUCATION YMCA OF BROWARD COUNTY FLORIDA 20201 SADDLE CLUB ROAD WESTON FL 33327 590624463 501(C)(3) 30000 COMMUNITY SUPPORT 101 8 SCHOLARSHIPS 226 8423834 FELLOWSHIPS 1887 92649939 PART I, LINE 2: CCHS CONTRIBUTES FINANCIAL AND IN-KIND SUPPORT TO OTHER TAX EXEMPT ORGANIZATIONS AND AGENCIES THAT FURTHER THE CCHS MISSION OF PATIENT CARE, RESEARCH, AND EDUCATION. THESE ORGANIZATIONS ARE TO USE THE SUPPORT TO STRENGTHEN THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. SCHEDULE I, PART III THE SCHOLARSHIPS AND FELLOWSHIPS LISTED ARE IN FURTHERANCE OF CLEVELAND CLINIC HEALTH SYSTEM'S MISSION TO INCREASE KNOWLEDGE, AWARENESS, AND QUALITY OF PATIENT CARE AND RESEARCH THROUGH EDUCATION. X X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 DONLEY MD BRIAN FORMER OFF - CCF, CC LONDON - CEO 0 951936 0 0 0 1957875 0 28000 0 784727 0 3722538 0 0 MIHALJEVIC MD TOMISLAV DIRECTOR, PRES & CEO - CCF 2965469 0 0 0 297949 0 28000 0 17449 0 3308867 0 0 0 KRANYAK MD MARGARET RETIRED PHYSICIAN (PART YR) 144418 0 0 0 1781754 0 779324 0 4187 0 2709683 0 0 0 BROOKS MD PETER PHYSICIAN - CCF 1335161 0 0 0 133311 0 809973 0 17565 0 2296010 0 0 0 SURI MD RAKESH CEO CCAD 1309542 0 0 0 623533 0 28000 0 133121 0 2094196 0 0 0 PEACOCK WILLIAM DIRECTOR - CC FLA REG HS, COO - CCF 1680404 0 0 0 147274 0 30874 0 17072 0 1875624 0 0 0 TUZCU MD E MURAT CHIEF ACADEMIC OFF-CCAD 1150972 0 0 0 509662 0 28000 0 121972 0 1810606 0 0 0 GLASS STEVEN C DIRECTOR, CFO & TREAS-CCF 1578904 0 0 0 154587 0 40369 0 18572 0 1792432 0 0 0 NAJM MD HANI PHYSICIAN -CCF 1554304 0 0 0 152830 0 28000 0 18572 0 1753706 0 0 0 ROWAN DAVID DIR, SEC, CHIEF GOV OFF, CHIEF LEGAL 1524968 0 0 0 159883 0 28000 0 19508 0 1732359 0 0 0 SVENSSON MD LARS CHAIR HVI - CCF 1528979 0 0 0 153277 0 28000 0 18247 0 1728503 0 0 0 WIEDEMANN MD HERBERT DIR, CHIEF OF STAFF - CCF 997545 0 0 0 83492 0 581950 0 19931 0 1682918 0 0 0 BARSOUM MD WAEL DIR, CEO, PRES- CC FLA REG HOSPS 1321697 0 0 0 137959 0 28000 0 13626 0 1501282 0 0 0 MARTIN MD DANIEL INST CHAIR - COLE EYE 1312229 0 0 0 129714 0 28000 0 18247 0 1488190 0 0 0 ERZURUM MD SERPIL FORMER OFFICER 671000 0 0 0 44951 0 751559 0 1500 0 1469010 0 0 0 GUTIERREZ MD JAMES DIR-CCF, CCEF, REG HOSP, PHYSICIAN 247443 0 0 0 921505 0 28000 0 195061 0 1392009 0 0 0 IANNOTTI MD JOSEPH DIR-CC FLA REG, MARTIN, IRMH, CHIEF 1157453 0 0 0 117950 0 28000 0 13410 0 1316813 0 0 0 LORD ROBERT DIRECTOR, PRESIDENT - MARTIN 0 748644 0 0 0 429255 0 98302 0 33556 0 1309757 0 428966 PARKER MD RICHARD HOS PRES - HILLCREST & EAST REGION 817140 0 0 0 81686 0 378639 0 19336 0 1296801 0 0 0 CLEAVER CHARLES TREASURER/CFO/ ASST TREAS (MARTIN) 0 152256 0 65000 0 376496 0 675089 0 15182 0 1284023 0 85979 MACHADO MD ANDRE DIRECTOR - KMA, PHYSICIAN 1029904 0 0 0 98440 0 28000 0 20822 0 1177166 0 0 0 SABANEGH MD EDMUND DIR, PRES, CC MAIN, REG HOSPS, FHCS 987549 0 0 0 99715 0 28000 0 17938 0 1133202 0 0 0 MUAKKASSA MD FARID FORMER KEY EMPLOYEE 1006859 0 0 0 45562 0 54603 0 21501 0 1128525 0 0 0 SMALL DEBORAH FORMER KEY EMPLOYEE - FAIRVIEW 157274 0 0 0 806704 0 28226 0 126979 0 1119183 0 0 0 YOUNG MD JAMES P CHIEF ACADEMIC OFF - CCF & CCEF 885591 0 0 0 101547 0 28000 0 18394 0 1033532 0 0 0 MCHUGH LINDA FORMER OFFICER 866857 0 0 0 87754 0 43765 0 17619 0 1015995 0 0 0 MILLER MD CHARLIE CHIEF MEDICAL OFFICER - CCMS 854140 0 0 0 88866 0 28000 0 17836 0 988842 0 0 0 COSGROVE MD DELOS FORMER CCF CEO, EXEC ADVISOR 823428 0 0 0 0 0 118937 0 0 0 942365 0 202433 0 DEWS MD TERESA HOSPITAL PRESIDENT - EUCLID HOSP 543004 0 0 0 51161 0 340598 0 19472 0 954235 0 0 0 BORDEN MD BRAD TRUSTEE - CCCHR, PHYSICIAN 817654 0 0 0 84840 0 28000 0 17072 0 947566 0 0 0 MALONE JR MD DONALD HOSPITAL PRESIDENT - LUTHERAN 440508 0 0 0 42644 0 439724 0 17987 0 940863 0 0 0 RASMUSSEN MD PETER DIRECTOR, PRESIDENT - CCHSPA 805558 0 0 0 77455 0 28000 0 18458 0 929471 0 0 0 BLANDON MD RODOLFO TRUSTEE, PRESIDENT - WESTON 776816 0 0 0 74666 0 28000 0 16126 0 895608 0 0 0 NOGUERAS MD JUAN FORMER OFFICER 563247 0 0 0 55986 0 239589 0 12695 0 871517 0 0 0 ROSENTHAL MD RAUL FORMER OFFICER 774407 0 0 0 54908 0 28000 0 13100 0 870415 0 0 0 ABDENOUR STEPHEN FORMER KEY EMPLOYEE 354707 0 0 0 391352 0 62923 0 47803 0 856785 0 0 0 BERAN JOSETTE DIR-CC FLA REG, UNION, STRATEGY OFF 694627 0 0 0 63761 0 51749 0 20603 0 830740 0 0 0 HARTE MD BRIAN DIR, PRESIDENT - AGMC & SOUTH REG 651754 0 0 0 60452 0 28000 0 19722 0 759928 0 0 0 ROSENCRANCE MD J GREGORY DIRECTOR, PRESIDENT - INDIAN RIVER 649105 0 0 0 68198 0 28000 0 12838 0 758141 0 0 0 STARCK MD REBECCA HOSPITAL PRESIDENT - AVON 616404 0 0 0 57978 0 36741 0 17072 0 728195 0 0 0 ISAACSON MD J HARRY DIR-CCF, CCEF & REG HOSP, PHYSICIAN 327856 0 0 0 30271 0 348907 0 18620 0 725654 0 0 0 BOLOGNA MD RAYMOND DIR, CHAIR - PPG, PHYSICIAN 621295 0 0 0 47742 0 28000 0 16589 0 713626 0 0 0 HAMILTON THOMAS FORMER OFFICER 455975 0 0 0 29891 0 194155 0 19501 0 699522 0 0 0 THOMAS RAMONA ASST SEC - MMHSI 0 129857 0 0 0 205727 0 334452 0 24590 0 694626 0 34784 FLIPPO LIBBY VP - COASTAL CARE 0 1956 0 0 0 471271 0 193389 0 24111 0 690727 0 149278 BREAUX MD TODD DIR - AGMC, LODI, PHYSICIAN 596272 0 0 0 46814 0 28000 0 16460 0 687546 0 0 0 PETRY DO FERNANDO SECRETARY - COASTAL CARE 0 468665 0 0 0 155787 0 15900 0 42571 0 682923 0 155787 NAPIERKOWSKI MD DANIEL PRES -MM & EUCLID (PART YR) 568668 0 0 0 56921 0 28000 0 17808 0 671397 0 0 0 GROOFF MD PAUL DIR, PRES, SEC - CCF NY MED SVCS 548229 0 0 0 50308 0 28000 0 18247 0 644784 0 0 0 HORATTAS MD MARK DIR - AGMC, LODI, PHYSICIAN 512839 0 0 0 65192 0 34653 0 17077 0 629761 0 0 0 STOLLER MD JAMES CCEF CHAIR, EDUCATION INST 536222 0 0 0 36216 0 34469 0 18254 0 625161 0 0 0 KALAFATIS LARA DIR - KMA, PHILANTHROPY CHAIR 541212 0 0 0 21325 0 28000 0 17072 0 607609 0 0 0 LONGVILLE TIMOTHY DIR- KMA, CAO & CONTROLLER - CCF 457721 0 0 0 21115 0 101441 0 18500 0 598777 0 0 0 DEL CASTILLO BARBARA DIR, ASST SEC, GEN COUNSEL - WESTON 525927 0 0 0 28198 0 28244 0 13410 0 595779 0 0 0 PIEDIMONTE MD GIOVANNI FORMER OFFICER 506250 0 0 0 25800 0 28000 0 12325 0 572375 0 0 0 THOMPSON MD THOMAS DIR - AGMC, LODI, PHYSICIAN 490313 0 0 0 29668 0 37447 0 13228 0 570656 0 0 0 PAPA ALAN DIRECTOR - AGP, VNS, COO 474516 0 0 0 32358 0 40121 0 16314 0 563309 0 0 0 PETER MD DAVID DIRECTOR IRHS, PHYSICIAN 474747 0 0 0 40659 0 30572 0 13653 0 559631 0 0 0 LARCOMBE VALERIE DIRECTOR, SECRETARY - HSIRI 142695 0 0 0 116478 0 292683 0 5825 0 557681 0 0 0 MCKENZIE MD MARGARET DIR, PRES - S POINTE HOSP 457904 0 0 0 44490 0 28000 0 18572 0 548966 0 0 0 SMITH DO NEIL PRESIDENT - FAIRVIEW & WEST REG 436000 0 0 0 58320 0 28000 0 15275 0 537595 0 0 0 NILSSON KEITH DIRECTOR (FLA PHARM), CFO - CCFPS 465569 0 0 0 15481 0 36448 0 17234 0 534732 0 0 0 TALMAGE MD LANCE DIR - AGMC, LODI, PHYSICIAN 484856 0 0 0 20932 0 11200 0 15698 0 532686 0 0 0 FENTON MD ANDREW DIR, VICE CHAIR - PPG, PHYSICIAN 430781 0 0 0 26958 0 56861 0 13361 0 527961 0 0 0 WRIGHT MD DENNIS FORMER KEY EMPLOYEE 473452 0 0 0 10041 0 11200 0 14396 0 509089 0 0 0 DELGADO OSMEL DIRECTOR, COO - CC FLA REG 455374 0 0 0 8538 0 10821 0 13640 0 488373 0 0 0 DAVIS MARLEINA ASST. SECRETARY - CCF, CCEF 403476 0 0 0 13436 0 45932 0 16747 0 479591 0 0 0 VICKERS MD JEAN DIRECTOR - COASTAL CARE, PHYSICIAN 0 426007 0 0 0 0 0 15900 0 31348 0 473255 0 0 SLIFKO JESSICA FORMER OFFICER 403763 0 0 0 13619 0 33748 0 16460 0 467590 0 0 0 JAMES BRUCE TRUSTEE, PRESIDENT - UNION 358444 0 67464 0 792 0 15000 0 25282 0 466982 0 0 0 RUSSELL MD REBECCA DIRECTOR - PPG, PHYSICIAN 401754 0 0 0 13357 0 28000 0 19722 0 462833 0 0 0 BARRETT LISA DIRECTOR, SECRETARY - AGP 399570 0 0 0 16936 0 24492 0 16853 0 457851 0 0 0 PAPPAS MD RITA TRUSTEE, INTERIM PRES - CCCHR 383679 0 0 0 12586 0 34004 0 22216 0 452485 0 0 0 SABBAGH MD MARWAN DIR - KMA, PHYSICIAN 377404 0 0 0 29474 0 28000 0 17072 0 451950 0 0 0 SMITH BRIAN VICE PRESIDENT - CLINIC CARE 115655 0 0 0 141464 0 171134 0 16232 0 444485 0 0 0 ZINK MD JILL DIRECTOR - AGMC, LODI, PHYSICIAN 410109 0 0 0 840 0 11200 0 10763 0 432912 0 0 0 MCLAIN JESSICA DIRECTOR, VP/CPO - MMFI 0 255926 0 0 0 108351 0 36650 0 24824 0 425751 0 108272 HARRINGTON MICHAEL DIR-LRBI, CAO/CONTROLLER, ASSOC CFO 340865 0 0 0 28351 0 28000 0 9474 0 406690 0 0 0 SHEERS MD TITUS DIR - AGMC, LODI, PHYSICIAN 325731 0 0 0 10032 0 50289 0 17828 0 403880 0 0 0 CHHABRA ANKIT DIR - AGMC, LODI, UNION, OH REG CFO 326062 0 0 0 32465 0 22052 0 18002 0 398581 0 0 0 MEEHAN MICHAEL J RECORDING SEC - CCF, REGIONALS 340511 0 0 0 39264 0 -4645 0 17965 0 393095 0 0 0 SHEWBRIDGE MD RICHARD HOSPITAL PRESIDENT - MEDINA 328404 0 0 0 7570 0 28000 0 17072 0 381046 0 0 0 LASH-RITTER MD TERI TRUSTEE - UNION HOSP, PHYSICIAN 329894 0 0 0 6395 0 28000 0 16500 0 380789 0 0 0 DAVIS DO DENNIS PRESIDENT - PPG 328909 0 0 0 6389 0 28000 0 16747 0 380045 0 0 0 MATT-AMARAL MD LAURIE DIRECTOR - PPG, PHYSICIAN 335239 0 0 0 20132 0 11200 0 13413 0 379984 0 0 0 CHANDURKAR DO ROHIT DIRECTOR - PPG, PHYSICIAN 337295 0 0 0 4577 0 11200 0 19727 0 372799 0 0 0 KOLONICK RENEE COO - HILLCREST, MARYMOUNT HOSP 323048 0 0 0 6217 0 24152 0 15384 0 368801 0 0 0 MACKETT MD CHARLES FORMER KEY EMPLOYEE 322378 0 0 0 19347 0 23000 0 1367 0 366092 0 0 0 FORD MD DONALD FORMER OFFICER 292360 0 0 0 25789 0 28000 0 18116 0 364265 0 0 0 BENNETT KRIS DIR - AGMC, LODI, EXEC DIR REG HOSP 334254 0 0 0 2430 0 8400 0 15892 0 360976 0 0 0 MURRAY MD KAREN TRUSTEE, PRESIDENT - CCCHR 312055 0 0 0 11251 0 28000 0 8599 0 359905 0 0 0 BRUYERE JOHN COO - SOUTH POINTE 251792 0 0 0 5436 0 84852 0 15107 0 357187 0 0 0 FREEMAN MD RICHARD B TRUSTEE - LAKEWOOD, PHYSICIAN 283461 0 0 0 29568 0 28000 0 16115 0 357144 0 0 0 DAVIDSON MD ELLIOT FORMER OFFICER 269983 0 0 0 23186 0 40165 0 19193 0 352527 0 0 0 JUHASZ DO ROBERT FORMER OFFICER 280261 0 0 0 26074 0 28000 0 16465 0 350800 0 0 0 TURNER RALPH DIR- HEALTH SYS OF INDIAN RIVER, COO 316590 0 10000 0 772 0 11777 0 9652 0 348791 0 0 0 MILLS JOHN COO - FAIRVIEW & AVON 332090 0 0 0 1445 0 10678 0 2650 0 346863 0 0 0 SUSI JEFFREY FORMER OFFICER (RETIRED) 102600 0 0 0 225953 0 11616 0 5593 0 345762 0 0 0 COLLIER SUSAN VP NURSING, CNO - HILLCREST 268899 0 0 0 5931 0 58904 0 11114 0 344848 0 0 0 MAJOR KERRY CNO - CC FLA REGION 307468 0 0 0 5172 0 12315 0 15046 0 340001 0 0 0 MEYERHOEFER TODD FORMER OFFICER 239660 0 32669 0 20916 0 15000 0 23784 0 332029 0 0 0 HARLEY DO DOUGLAS DIR - AGMC, LODI, PPG, PHYSICIAN 301018 0 0 0 2816 0 11200 0 15985 0 331019 0 0 0 MARKS DO MICHELLE TRUSTEE, MED DIR - CCCHR, PHYSCIAN 277148 0 0 0 2490 0 28000 0 20828 0 328466 0 0 0 MOEHRING MICHAEL DIRECTOR - MMFI, ASST TREAS - CCC 0 218498 0 0 0 192 0 49682 0 42422 0 310794 0 0 BRAMAN DO KENNETH DIRECTOR, CHIEF MED OFF - PPG 274690 0 0 0 6460 0 11200 0 17866 0 310216 0 0 0 TULISIAK MD THOMAS FORMER OFFICER 258726 0 0 0 4643 0 26125 0 18000 0 307494 0 0 0 MENDIOLA MD AMANDA DIR - AGMC, LODI, PHYSICIAN 279058 0 0 0 756 0 10978 0 14514 0 305306 0 0 0 SNYDER VICKY DIRECTOR - MED HOSP FDN, COO 251072 0 0 0 3561 0 20518 0 25000 0 300151 0 0 0 GREENE MD KATHIE DIRECTOR - PPG, PHYSICIAN 246063 0 639 0 32691 0 8481 0 11063 0 298937 0 0 0 CARROLL DONALD FORMER KEY EMPLOYEE 253978 0 0 0 5651 0 20382 0 13965 0 293976 0 0 0 MILLER SHEILA CNO - AGHS 253810 0 0 0 13420 0 9451 0 15243 0 291924 0 0 0 MARKOVICH MD RENEE DIRECTOR - PPG, PHYSICIAN 261805 0 0 0 4148 0 10678 0 13704 0 290335 0 0 0 THORN III EUGENE A FORMER OFFICER 219603 0 34041 0 792 0 13414 0 18638 0 286488 0 0 0 SHERIDAN MD CATHERINE DIRECTOR- MED HOSP FDN, PHYSICIAN 243664 0 0 0 973 0 24504 0 16854 0 285995 0 0 0 RIBLEY DOUGLAS FORMER KEY EMPLOYEE 241740 0 0 0 8289 0 17582 0 13373 0 280984 0 0 0 BEKENY MD JAMES TRUSTEE - LAKEWOOD, PHYSICIAN 220576 0 0 0 23249 0 25249 0 8619 0 277693 0 0 0 ZINNER BARBARA CNO - MARYMOUNT 216967 0 0 0 9390 0 32106 0 15874 0 274337 0 0 0 CUMMINGS JEFFREY DIRECTOR - KMA, PHYSICIAN 269100 0 0 0 0 0 0 0 0 0 269100 0 0 0 FOSTER SUSAN FORMER KEY EMPLOYEE 204390 0 0 0 20930 0 26666 0 15244 0 267230 0 0 0 VANLITH RICHARD FORMER KEY EMPLOYEE 207103 0 10000 0 18681 0 23000 0 8062 0 266846 0 0 0 CLARK CNO SUSAN VICE PRESIDENT - COASTAL CARE 0 221413 0 0 0 0 0 13285 0 31039 0 265737 0 0 ESPINOSA ALEXIS COO - CC FLA HEALTH SYS 237770 0 0 0 7546 0 3769 0 14908 0 263993 0 0 0 MULLEN RN MBA KAREN PRESIDENT, DIRECTOR - VNS 39436 0 0 0 219434 0 4286 0 177 0 263333 0 219423 0 EIGHMY GEORGE DIRECTOR, TREAS - INDIAN RIVER 183466 0 0 0 64443 0 3173 0 8575 0 259657 0 0 0 FUNK MD JONATHAN R FORMER OFFICER 216832 0 0 0 3190 0 21825 0 16894 0 258741 0 0 0 FRIGO DAVID DIRECTOR, TREASURER - AGP 202865 0 0 0 4752 0 30524 0 13766 0 251907 0 0 0 SAUER MARY CNO -AVON 214222 0 0 0 5492 0 17850 0 14114 0 251678 0 0 0 BAILEY DAWN CNO - EUCLID HOSPITAL 187225 0 0 0 11745 0 35595 0 16256 0 250821 0 0 0 THOBURN MARY BETH CNO - FAIRVIEW 225557 0 0 0 1402 0 8043 0 13467 0 248469 0 0 0 LOWERY RICHARD CNO - EUCLID HOSPITAL 158296 0 0 0 3400 0 69097 0 15418 0 246211 0 0 0 BIBENS TODD FORMER KEY EMPLOYEE 226043 0 10000 0 928 0 5500 0 2534 0 245005 0 0 0 OBLANDER JASON ASST. SEC - CCF & REGIONALS 215149 0 0 0 5264 0 8382 0 14737 0 243532 0 0 0 WALTON LINDA CNO - INDIAN RIVER 222319 0 10000 0 928 0 5500 0 2650 0 241397 0 0 0 WILLIAMS EMILY DIRECTOR, SECRETARY - AGP 230935 0 0 0 1784 0 6198 0 2078 0 240995 0 0 0 SCHUSTER JANET CNO - LUTHERAN HOSPITAL 211283 0 0 0 6479 0 6570 0 16853 0 241185 0 0 0 FETTO JULIE TRUSTEE - UNION, CNO - MEDINA 217097 0 0 0 4446 0 3043 0 14346 0 238932 0 0 0 STEPP LEONARD COO - EUCLID 211872 0 0 0 1024 0 6463 0 16119 0 235478 0 0 0 ROME MD ELLEN TRUSTEE - CCCHR, PHYSICIAN 193661 0 0 0 2207 0 19661 0 18424 0 233953 0 0 0 KOCSIS DANA CNO - UNION 201928 0 0 0 6396 0 5380 0 9453 0 223157 0 0 0 VIDMAR ERICK ADMIN DIRECTOR - CC NV 195300 0 0 0 161 0 12064 0 15167 0 222692 0 0 0 VANHORN AMANDA FORMER OFFICER 196995 0 0 0 1824 0 5588 0 14021 0 218428 0 0 0 KANE PERCIVAL COO - MARYMOUNT HOSP 182195 0 0 0 15778 0 4781 0 11293 0 214047 0 0 0 CRAIG ROBERT FORMER OFFICER 160586 0 20177 0 1643 0 8892 0 17116 0 208414 0 0 0 FULLER WARREN FORMER KEY EMPLOYEE 150827 0 0 0 17184 0 27769 0 10977 0 206757 0 0 0 SCHMIEDEL JUSTIN FORMER KEY EMPLOYEE 182551 0 0 0 2472 0 5588 0 10736 0 201347 0 0 0 SMITH DARWIN K FORMER OFFICER 148684 0 18807 0 792 0 9300 0 19793 0 197376 0 0 0 GRUBB MICHELLE DIRECTOR - PPG,FHC ADMIN 171681 0 0 0 4350 0 5314 0 14797 0 196142 0 0 0 MODIC MD MICHAEL DIRECTOR, VP KMA 109916 0 0 0 0 0 81992 0 0 0 191908 0 109916 0 MADASZ MD JIM DIRECTOR - PPG, PHYSICIAN 157197 0 0 0 8091 0 4931 0 16521 0 186740 0 0 0 BECK CHRIS FORMER OFFICER 141731 0 22314 0 901 0 9007 0 8808 0 182761 0 0 0 MATTNER MATTHEW COO - LUTHERAN HOSPITAL 164594 0 0 0 2835 0 5040 0 9627 0 182096 0 0 0 BAKER JOHN T VP NURSING & OPS LODI 147024 0 0 0 9959 0 5895 0 20377 0 183255 0 0 0 SAHADI LEE DIRECTOR - PPG, MEDICAL STAFF ADMIN 126410 0 0 0 4952 0 29378 0 20166 0 180906 0 0 0 MORRIS DELESA SR. DIRECTOR OF PHILANTHROPY 0 108525 0 17311 0 0 0 12354 0 41019 0 179209 0 0 ALVAREZ MD BENITO PRESIDENT - PPG 155908 0 0 0 3865 0 4178 0 4748 0 168699 0 0 0 CULLEY MD CARL A JR TRUSTEE - LAKEWOOD, PHYSICIAN 138581 0 0 0 4747 0 13908 0 8450 0 165686 0 0 0 BRUNER LISBETH FORMER OFFICER - IR 153378 0 0 0 871 0 3200 0 7290 0 164739 0 0 0 MAU KATHLEEN DIRECTOR, SECRETARY - MEDINA 122509 0 0 0 6117 0 20658 0 14601 0 163885 0 0 0 LYTLE MD BRUCE W FORMER KEY EMPLOYEE (RETIRED) 118200 0 0 0 0 0 44110 0 0 0 162310 0 118200 0 FINDING MSN MBA DONIELLE DIRECTOR, SEC - MEDINA HOSP FD. 117230 0 0 0 4816 0 20379 0 15619 0 158044 0 0 0 ELLIOTT SARAH DIRECTOR - PPG, ADMINISTRATOR 131480 0 0 0 477 0 3467 0 16594 0 152018 0 0 0 HAHN MD JOSEPH FORMER OFFICER (RETIRED) 148394 0 0 0 0 0 -375 0 0 0 148019 0 148394 0 BOYD DIANA FORMER OFFICER 97162 0 19154 0 487 0 6159 0 12456 0 135418 0 0 0 EMMELHAINZ LARRY FORMER KEY EMPLOYEE (RETIRED) 0 0 0 0 134213 0 0 0 1175 0 135388 0 31952 0 PART I, LINE 1A LISTED BENEFITS THE BENEFITS CHECKED IN PART I, QUESTION 1A, WERE PROVIDED TO CERTAIN PERSONS LISTED IN FORM 990, PART VII, SECTION A ON AN EXCEPTION BASIS ONLY FOR AN APPROPRIATE BUSINESS PURPOSE. ANY REIMBURSEMENT OF THE EXPENSES LISTED MET CLEVELAND CLINIC'S WRITTEN POLICY REGARDING SUBSTANTIATION AND REIMBURSEMENT. WHERE REQUIRED BY IRS RULES AND REGULATIONS, THE LISTED BENEFITS WERE INCLUDED IN TAXABLE INCOME. PART I, LINES 4A-B SCHEDULE J, PART I, LINE 4A, SEVERANCE PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: CHARLES CLEAVER $290,308 GEORGE EIGHMY $63,461 LARRY EMMELHAINZ $134,401 LIBBY FLIPPO $321,994 VALERIE LARCOMBE $47,693 KAREN MULLEN $219,435 BRIAN SMITH $134,396 JEFFREY SUSI $223,268 RAMONA THOMAS $170,654 SEVERANCE PAYMENTS ACCRUED IN 2019 BUT NOT YET PAID ARE REPORTED IN PART VII, COLUMN F AND SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS: CHARLES CLEAVER $432,502 LIBBY FLIPPO $192,933 VALERIE LARCOMBE $287,182 RAMONA THOMAS $326,214 BRIAN SMITH $124,440 SCHEDULE J, PART I, LINE 4B, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN MARGARET KRANYAK - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES $1,771,154 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT HER VESTED AMOUNT IN THE PLANS. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: CHARLES CLEAVER $85,979 DELOS COSGROVE $202,433 LIBBY FLIPPO $149,278 JOSEPH HAHN $148,394 MARGARET KRANYAK $101,036 ROBERT LORD $428,966 BRUCE LYTLE $118,200 JESSICA MCLAIN $108,272 MICHAEL MODIC $109,916 FERNANDO PETRY $155,787 RAMONA THOMAS $34,784 THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND/OR A QUALIFIED DEFINED BENEFIT PLAN AND THE ANNUAL INCREASE OR DECREASE OF THE ACTUARIAL VALUE IS INCLUDED IN SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: STEPHEN ABDENOUR - $34,923 INCREASE, DAWN BAILEY - $29,765 INCREASE, JOHN BAKER $1,223 INCREASE, LISA BARRETT - $303 INCREASE, JAMES BEKENY - $1,203 INCREASE, JOSETTE BERAN $23,749 INCREASE, PETER BROOKS - $781,973 INCREASE, JOHN BRUYERE - $83,941 INCREASE, KATHLEEN (BURNS) MAU - $16,819 INCREASE, DONALD CARROLL - $12,654 INCREASE, ANKIT CHHABRA - $542 INCREASE, CHARLES CLEAVER - $209,012 INCREASE, SUSAN COLLIER - $50,746 INCREASE, DELOS COSGROVE - $118,937 INCREASE, MIGUEL COTY - $15,494 INCREASE, ELLIOT DAVIDSON - $28,965 INCREASE, MARLEINA DAVIS - $17,932 INCREASE, BARBARA DEL CASTILLO - $244 INCREASE, OSMEL DELGADO - $7,345 INCREASE, THERESA DEWS - $312,598 INCREASE, D. EDELMAN - $8845 INCREASE, SERPIL ERZURUM - $723,559 INCREASE, ALEXIS ESPINOSA - $3,769 INCREASE, ANDREW FENTON - $45,661 INCREASE, JULIE FETTO - $1,939 INCREASE, DONIELLE FINDING - $16,674 INCREASE, SUSAN FOSTER - $18,676 INCREASE, DAVID FRIGO - $22,201 INCREASE, WARREN FULLER - $6,731 INCREASE, STEVE GLASS - $12,369 INCREASE, JOSEPH HAHN - $375 DECREASE, THOMAS HAMILTON - $166,155 INCREASE, MARK HORATTAS - $29,199 INCREASE, J. ISAACSON - $320,907 INCREASE, RENEE KOLONICK - $15,752 INCREASE, MARGARET KRANYAK - $763,927 INCREASE, GEORGE LITMAN - $1,063 DECREASE, TIMOTHY LONGVILLE - $69,023 INCREASE, ROBERT LORD - $63,402 INCREASE, RICHARD LOWERY - $64,163 INCREASE, BRUCE LYTLE - $44,110 INCREASE, KERRY MAJOR - $3,915 INCREASE, DONALD MALONE - $411,724 INCREASE, LINDA MCHUGH - $15,765 INCREASE, JESSICA MCLAIN - $1,750 INCREASE, MICHAEL MEEHAN - $32,645 DECREASE, JOHN MILLS - $2,278 INCREASE, MICHAEL MODIC - $81,992 INCREASE, MICHAEL MOEHRING - $38,483 INCREASE, FARID MUAKKASSA - $43,403 INCREASE, KAREN MULLEN - $4,286 INCREASE, KEITH NILSSON - $28,048 INCREASE, JUAN NOGUERAS - $211,589 ICREASE, JASON OBLANDER - $1,766 INCREASE, ALAN PAPA - $28,921 INCREASE, RITA PAPPAS - $6,004 INCREASE, RICHARD PARKER - $350,639 INCREASE, WILLIAM PEACOCK - $2,874 INCREASE, DOUGLAS RIBLEY - $7,720 INCREASE, LEE SAHADI - $23,857 INCREASE, MARY SAUER - $11,280 INCREASE, TITUS SHEERS - $39,089 INCREASE, JESSICA SLIFKO - $5,748 INCREASE, DEBORAH SMALL - $226 INCREASE, BRIAN SMITH - $38,986 INCREASE, VICKY SNYDER - $12,744 INCREASE, REBECCA STARCK - $8,741 INCREASE, JAMES STOLLER - $6,469 INCREASE, JEFFREY SUSI - $11,616 INCREASE, MARYBETH THOBURN - $1,153 INCREASE, THOMAS THOMPSON - $26,247 INCREASE, ERICK VIDMAR - $6,030 INCREASE, HERBERT WIEDEMANN $553,950 INCREASE, BARBARA ZINNER - $25,847 INCREASE. FORM 990, PART VII, SECTION A AND SCHEDULE J THE COMPENSATION OF DR. BRIAN DONLEY AND DEBORAH SMALL, AS REPORTED ON PART VII, SECTION A AND SCHEDULE J INCLUDES REGULAR WAGES AND TAXABLE EXPATRIATE BENEFITS. DR. DELOS COSGROVE'S COMPENSATION AS REPORTED ON PART VII, SECTION A AND SCHEDULE J INCLUDES COMPENSATION FOR DR. COSGROVE'S ROLE AS EXECUTIVE ADVISOR AND HIS RETIREMENT COMPENSATION. A COLLIER COUNTY HEALTH FACILITIES AUTHORITY 592351395 19463LAB9 2003-04-16 118200000 BOND 2003C: REFUND FL SERIES 1999; FINANCING WESTON CLINIC 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756AJ37 2008-10-15 670000000 BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561HU9 2011-11-02 208951439 BOND 2011A: REFUND 2003A SERIES 0 0 0 D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 NONEAVAIL 2011-11-02 41120000 BOND 2011B: REFUND 1992A & B AND 1989 SERIES 0 0 0 A 76295000 118200000 412525 13520714 104266761 2003 1 0 1 1 B 342425000 670000000 1200000 324315217 372706929 2008 1 0 1 1 C 109100972 208951439 2003385 206948054 2011 0 1 1 1 D 16220000 41120000 2302465 735249 38082286 2011 1 0 1 1 A 0 1 1 1 1 1 0.01130 0.00000 0.01130 0 0 1 B 0 1 1 1 1 1 0.00520 0.00020 0.00540 0 0 1 C 0 1 1 1 1 1 0.01130 0.00000 0.01130 0 0 1 D 0 1 1 1 1 1 0 0 1 A 0 0 0 1 1 0 0 1 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: COLLIER COUNTY HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/16/2018 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 10/15/2018 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 11/02/2016 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 11/02/2016 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/09/2017 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/29/2018 A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756A3Z3 2012-05-09 519383182 BOND 2012: REFUND 2009, 2003A AND FACILITY IMPROVEMENTS 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756DAY2 2013-05-29 309434914 BOND 2013: REFUND 2004B, 2003A AND FACILITY IMPROVEMENTS 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 NONEAVAIL 2017-12-21 9305000 BOND 2017C: REFUND 2002 SERIES 0 0 0 D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561KS0 2017-08-29 939576748 BOND 2017A: REFUND 2008A, 2008B, 2009A, 2009B, 2012A SERIES 0 0 0 A 222415391 519383182 3825815 411300530 104256837 2012 0 1 1 1 B 72104660 309434914 2129301 20001498 287304115 2013 1 0 1 1 C 750000 9305000 9305000 2017 0 1 1 1 D 18173191 939576748 939576748 2017 0 1 1 1 A 0 1 1 1 1 1 0.00690 0.00080 0.00770 0 0 1 B 0 1 1 1 1 1 0.00220 0.00000 0.00220 0 0 1 C 0 1 1 1 1 1 0 0 1 D 0 1 1 1 1 1 0.01510 0.00010 0.01520 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 1 1 1 0 0 0 1 C 0 1 0 0 1 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A MARTIN COUNTY HEALTH FACILITIES AUTHORITY 596000743 573903FZ9 2019-05-09 259345371 REFINANCE 2012, 2012B & 2015 MHS BONDS & ACQUIRE MEMBERSHIP IN MHS 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CDN5 2019-05-09 351450108 FUND CAPITAL PROJECTS 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561KZ4 2019-05-09 380150000 FUND CAPITAL PROJECTS 0 0 0 A 307509 259345371 822172 257297825 1225373 2019 0 0 1 1 B 303253 351450108 1125388 348905103 1419617 2019 0 0 1 1 C 27000000 380150000 1262472 378404897 482631 2019 0 0 1 1 A 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 1 1 0.01320 0.00030 0.01350 0 0 1 C 0 1 1 1 1 1 0.01430 0.00030 0.01460 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D COSGROVE FORMER PRES/CEO INSURANCE PREMIUM PAYMENTS TREATED AS A LOAN X 229247 7756160 0 1 1 7756160 DENISE ANGERSTIEN FAMILY MEMBER OF DENNIS CHACK, AGMC DIRECTOR 80037 EMPLOYMENT AGREEMENT WITH AGMC 0 KAREN R COOPER FAMILY MEMBER OF STEWART KOHL, CCF DIRECTOR 173191 EMPLOYMENT AGREEMENT WITH CCF 0 RYAN OAKLEY FAMILY MEMBER OF WILLIAM PEACOCK, CCF OFFICER 50600 EMPLOYMENT AGREEMENT WITH CCF 0 KATHERINE MCHUGH FAMILY MEMBER OF LINDA MCHUGH, FORMER CCF OFFICER 45013 EMPLOYMENT AGREEMENT WITH CCF 0 CLAIRE CAPPELLE FAMILY MEMBER OF MARGARET MCKENZIE, CCHS EAST OFFICER 10162 EMPLOYMENT AGREEMENT WITH CCHS EAST 0 SOPHIA HORATTAS FAMILY MEMBER OF MARK HORATTAS, AGMC DIRECTOR 59189 EMPLOYMENT AGREEMENT WITH AGMC 0 AMBER BRADFORD-SAFFLES FAMILY MEMBER OF JOHN BRADFORD, PPG DIRECTOR 346662 EMPLOYMENT AGREEMENT WITH PPG 0 JOANNE MCDONALD KILBANE FAMILY MEMBER OF CATHERINE KILBANE, CCF DIRECTOR 52924 EMPLOYMENT AGREEMENT WITH CCF 0 LAURA SWEENEY FAMILY MEMBER OF TIMOTHY LONGVILLE, CCF OFFICER 85406 EMPLOYMENT AGREEMENT WITH CCF 0 MICHAEL PETRAS FAMILY MEMBER OF MICHAEL PETRAS, JR., CCF DIRECTOR 16776 EMPLOYMENT AGREEMENT WITH CCF 0 KATHLEEN ISAACSON FAMILY MEMBER OF HARRY J. ISAACSON, CCF DIRECTOR 26946 EMPLOYMENT AGREEMENT WITH CCF 0 ILEANA HORATTAS FAMILY MEMBER OF MARK HORATTAS, AGMC DIRECTOR 16606 EMPLOYMENT AGREEMENT WITH AGMC 0 JESSICA SHEERS FAMILY MEMBER OF TITUS SHEERS, AGMC DIRECTOR 54339 EMPLOYMENT AGREEMENT WITH AGMC 0 ANTHONY O'BRIEN FAMILY MEMBER OF TIMOTHY O'BRIEN, CCCHR OFFICER & DIRECTOR 12313 EMPLOYMENT AGREEMENT WITH CCCHR 0 X 10 67500 APPRAISAL X 247417 SALE COMPARABLE GOODS X 212 12738142 AVERAGE HIGH/LOW X 7 58308 COST X MEDICAL EQUIPMENT 31 449542 SALE COMPARABLE GOOD X EVENT TICKETS 8 4692 COST 11 0 1 1 PART I, LINE 32B: CLEVELAND CLINIC HEALTH SYSTEM WILL AT TIMES HIRE INDEPENDENT THIRD PARTIES TO SELL CERTAIN NON-CASH CONTRIBUTIONS SUCH AS AUCTION ITEMS OR REAL ESTATE. FORM 990, PART III, PROGRAM SERVICE STATEMENT CLEVELAND CLINIC, LOCATED IN CLEVELAND, OHIO, IS A NONPROFIT, TAX-EXEMPT ACADEMIC MEDICAL CENTER THAT INTEGRATES CLINICAL AND HOSPITAL CARE WITH RESEARCH AND EDUCATION. THE CLEVELAND CLINIC FOUNDATION IS THE PARENT OF THE CLEVELAND CLINIC HEALTH SYSTEM. CLEVELAND CLINIC WAS ESTABLISHED IN 1921 WITH THE SAME MISSION THAT CONTINUES TODAY: BETTER CARE FOR THE SICK, INVESTIGATION OF THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE. CONSISTENT WITH ITS TRIPARTITE MISSION, CLEVELAND CLINIC'S PRIMARY PROGRAM SERVICES ARE FOCUSED ON PATIENT CARE PROVIDED ON A CHARITABLE BASIS, MEDICAL RESEARCH, AND EDUCATION OF BOTH MEDICAL PROFESSIONALS AND THE COMMUNITY. THE FOUNDERS RECOGNIZED THAT IT IS IN THE BEST INTEREST OF PATIENTS TO POOL THE TALENTS OF MEDICAL SPECIALISTS TO DEVELOP, TEACH AND APPLY THE BEST MEDICAL TECHNIQUES. THIS STATEMENT IS NOT INTENDED TO IDENTIFY ALL THE ACTIVITIES BY WHICH CLEVELAND CLINIC HEALTH SYSTEM FULFILLS ITS CHARITABLE PURPOSES, BUT RATHER IS A SUMMARY OF ITS PRIMARY PROGRAM SERVICES AND CONTRIBUTIONS TO THE COMMUNITY. THE CLEVELAND CLINIC HEALTH SYSTEM DEFINES AND MEASURES COMMUNITY BENEFIT (INCLUDING FINANCIAL ASSISTANCE) USING THE CATHOLIC HEALTH ASSOCIATION ("CHA") COMMUNITY BENEFIT MODEL, WHICH RECOMMENDS REPORTING FINANCIAL ASSISTANCE ON A COST BASIS. USING THIS MODEL, IN 2019 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $1.102 BILLION IN BENEFITS TO THE COMMUNITIES SERVED. THE COMMUNITY BENEFIT THAT THE CLEVELAND CLINIC HEALTH SYSTEM PROVIDES INCLUDES PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH, EDUCATION, MEDICAID SHORTFALL, SUBSIDIZED HEALTH SERVICES, AND COMMUNITY OUTREACH PROGRAMS. THE CURRENT COMMUNITY BENEFIT REPORT IS AVAILABLE AT CLEVELANDCLINIC.ORG. (COMMUNITY BENEFIT AMOUNTS REPORTED IN THIS PROGRAM SERVICE STATEMENT REFER TO THE CLEVELAND CLINIC'S 2019 COMMUNITY CONNECTIONS, BASED ON THE CHA REPORTING METHODOLOGY. SEE FORM 990, SCHEDULE H FOR A RECONCILIATION OF SCHEDULE H TO COMMUNITY BENEFIT REPORTING.) I. PATIENT CARE IN 2019, THE CLEVELAND CLINIC HEALTH SYSTEM INCLUDED AN ACADEMIC MEDICAL CENTER AND 11 COMMUNITY HOSPITALS (AKRON, AVON, EUCLID, FAIRVIEW, HILLCREST, LODI, LUTHERAN, MARYMOUNT, MEDINA, SOUTH POINTE, AND UNION HOSPITALS), AND A SPECIALTY HOSPITAL (CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION) IN NORTHEAST OHIO; FIVE HOSPITALS, ONE CLINIC, OUTPATIENT FAMILY HEALTH CENTERS AND AN OUTPATIENT FAMILY HEALTH AND AMBULATORY SURGERY CENTER IN FLORIDA; AND A CENTER FOR BRAIN HEALTH IN LAS VEGAS, NEVADA. CLEVELAND CLINIC HEALTH SYSTEM IS DEDICATED TO THE COMMUNITIES IT SERVES STRIVING TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE TO ALL WHO NEED IT; AND SUPPORTING PROGRAMS AND INITIATIVES THAT IMPROVE THE HEALTH AND WELL-BEING OF ITS COMMUNITIES. THROUGH ITS FINANCIAL ASSISTANCE EFFORTS AND AS A LEADING MEDICAID PROVIDER IN OHIO, CLEVELAND CLINIC PROVIDES HEALTHCARE TO THOSE WHO OTHERWISE COULD NOT AFFORD IT. IN 2019, THE CLEVELAND CLINIC HEALTH SYSTEM RECORDED 4,899 TOTAL STAFFED BEDS, 883,839 EMERGENCY VISITS, 255,096 SURGICAL CASES, 237,893 ADMISSIONS, AND MORE THAN 12.8 MILLION TOTAL CLINIC VISITS. IT IS THE POLICY OF CLEVELAND CLINIC HEALTH SYSTEM TO TREAT ALL PATIENTS WITH COMPASSION, DIGNITY AND RESPECT, REGARDLESS OF THEIR RACE, CREED, OR ABILITY TO PAY. CLEVELAND CLINIC'S PATIENT CARE SERVICES ARE PROVIDED VIA PATIENT-ORIENTED INSTITUTES, WHICH ARE STRUCTURED ON THE BASIS OF ORGAN SYSTEM OR DISEASE. THE INSTITUTES FACILITATE A MULTIDISCIPLINARY APPROACH, AND ARE DESIGNED TO ENHANCE CONVENIENCE FOR PATIENTS AND THE EXCHANGE OF KNOWLEDGE, RESEARCH AND EDUCATIONAL COLLABORATION FOR BETTER PATIENT OUTCOMES. SOME OF THE INSTITUTES ARE: ANESTHESIOLOGY & PAIN MANAGEMENT, BARIATRIC & METABOLIC, COLE EYE, DERMATOLOGY & PLASTIC SURGERY, DIGESTIVE DISEASE & SURGERY, EMERGENCY SERVICES, ENDOCRINOLOGY & METABOLISM, GENOMICS, GLICKMAN UROLOGICAL & KIDNEY, HEAD & NECK, MILLER FAMILY HEART & VASCULAR, IMAGING, NEUROLOGICAL, NURSING, OB/GYN & WOMEN'S HEALTH, ORTHOPEDIC & RHEUMATOLOGY, PATHOLOGY & LABORATORY MEDICINE, PEDIATRIC & CHILDREN'S HOSPITAL, RESPIRATORY, TAUSSIG CANCER, & COMMUNITY CARE. NOTABLE ACHIEVEMENTS CLEVELAND CLINIC WAS AGAIN RECOGNIZED FOR ITS QUALITY OF CARE IN U.S. NEWS & WORLD REPORT'S PRESTIGIOUS ANNUAL AMERICA'S BEST HOSPITALS SURVEY IN 2019. OVERALL, CLEVELAND CLINIC WAS AMONG THE NATION'S BEST HOSPITALS, EARNING THE NO. 4 RANKING. FOR THE 25TH CONSECUTIVE YEAR, CLEVELAND CLINIC RANKED BEST IN THE NATION FOR CARDIOLOGY AND HEART SURGERY, EARNING THE NO. 1 SPOT. NINE CLEVELAND CLINIC SPECIALTIES ALSO RANKED IN THE TOP 10. OF THESE, SIX PLACED IN THE TOP 5 INCLUDING: CARDIOLOGY & HEART SURGERY; UROLOGY; GASTROENTEROLOGY AND GASTROINTESTINAL SURGERY; NEPHROLOGY; RHEUMATOLOGY; AND GYNECOLOGY. CLEVELAND CLINIC WAS NATIONALLY RANKED IN 15 ADULT SPECIALTY AND 9 CHILDREN'S SPECIALTIES. CLEVELAND CLINIC WAS ALSO RATED HIGH PERFORMING IN NINE PROCEDURES AND CONDITIONS. CLEVELAND CLINIC HAS ACHIEVED THE DISTINGUISHED MAGNET RECOGNITION. MAGNET STATUS IS THE HIGHEST NATIONAL RECOGNITION AWARDED TO A HOSPITAL OR MEDICAL CENTER FOR EXCELLENCE IN NURSING. ANCC, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. CLEVELAND CLINIC RECEIVED SEVERAL AWARDS FROM PRACTICE GREENHEALTH. PRACTICE GREENHEALTH RECOGNIZES ORGANIZATIONS WITHIN THE HEALTHCARE SECTOR THAT SUPPORT AND CREATE BETTER, SAFER, AND GREENER WORKPLACES AND COMMUNITIES. IN 2019, CLEVELAND CLINIC AND ITS FACILITIES RECEIVED: THE ENVIRONMENTAL EXCELLENCE AWARD, GREENING THE OR AWARD, ENERGY CIRCLE AWARD, CLIMATE CIRCLE AWARD, GREEN BUILDING CIRCLE AWARD, AND SYSTEM FOR CHANGE AWARD. FOUNDED IN 1914, AKRON GENERAL IS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT SERVES AS THE HUB FOR CLEVELAND CLINIC'S SOUTHERN REGION. THE 502 STAFFED BED TEACHING AND RESEARCH MEDICAL CENTER INCLUDES LODI HOSPITAL, VISITING NURSE SERVICE, AND HEALTH & WELLNESS CENTERS. THE LEVEL 1 TRAUMA CENTER, AS DESIGNATED BY THE AMERICAN COLLEGE OF SURGEONS, OFFERS THE TECHNOLOGY, EXPERTISE, AND STAFFING TO TREAT ALL INJURIES REGARDLESS OF SEVERITY. IN 2019 U.S. NEWS & WORLD REPORT RANKED AKRON GENERAL AS THE FOURTEENTH BEST HOSPITAL IN OHIO AND THE BEST HOSPITAL IN AKRON. AKRON GENERAL IS RANKED HIGH PERFORMING IN PULMONOLOGY AND LUNG SURGERY. AKRON WAS ALSO RANKED AS HIGH PERFORMING IN THREE ADULT PROCEDURES AND CONDITIONS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS MAGNET STATUS DESIGNATION TO AKRON GENERAL. AKRON GENERAL IS ACCREDITED BY JOINT COMMISSION, ALSO RECEIVING ITS GOLD SEAL OF APPROVAL STROKE CARE. IT IS SUMMIT COUNTY'S FIRST ACCREDITED CHEST PAIN CENTER, MEETING STRICT CRITERIA FROM THE SOCIETY OF CHEST PAIN CENTERS AND PROVIDERS. AKRON GENERAL'S MCDOWELL CANCER INSTITUTE IS THE ONLY AKRON CANCER HOSPITAL TO RECEIVE AN OUTSTANDING ACHIEVEMENT AWARD FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. AKRON GENERAL PARTICIPATES IN NATIONAL CANCER INSTITUTE (NCI) SPONSORED CLINICAL TRIALS, AS WELL AS PHARMACEUTICAL INDUSTRY SPONSORED TRIALS. MEMBERSHIP IN SIX NCI COOPERATIVE GROUPS PROVIDES PATIENTS WITH ACCESS TO A WIDE MENU OF CLINICAL TRIALS. IN 2019, AKRON GENERAL WAS AWARDED THE PARTNER RECOGNITION AWARD FROM PRACTICE GREENHEALTH. THIS AWARD IS GIVEN TO HEALTH CARE FACILITIES THAT ARE CHANGING THEIR PRACTICES TO BECOME MORE SUSTAINABLE AND HAVE ACHIEVED PROGRESS IN AREAS SUCH AS WASTE REDUCTION, RENEWABLE ENERGY ADOPTION, FOOD PURCHASING, AND MERCURY ELIMINATION. OPENED IN NOVEMBER 2016, AVON HOSPITAL HAS 126 STAFFED BEDS AND PROVIDES INPATIENT AND OUTPATIENT SERVICES. THE FIVE STORY HOSPITAL WAS DESIGNED TO ACCOMMODATE FUTURE ADVANCES IN MEDICAL CARE. AVON HOSPITAL'S FEATURES INCLUDE SIX OPERATING ROOMS, INTENSIVE CARE UNIT, IMAGING AND RADIOLOGY, PHARMACY AND LABORATORY SERVICES, A CARDIAC CATHETERIZATION LABORATORY AS WELL AS AN EXPANDED EMERGENCY DEPARTMENT. THE HOSPITAL HAD A SUCCESSFUL JOINT COMMISSION ACCREDITATION SURVEY AND RECEIVED FULL ACCREDITATION STATUS ON DEC. 9, 2016. IN APRIL 2019, AVON HOSPITAL WAS GRANTED AN ADVANCED CERTIFICATION FOR PRIMARY STROKE BY THE JOINT COMMISSION. IN ADDITION, IN 2019, AVON RECEIVED THE 2019 HEALTHGRADES OUTSTANDING PATIENT EXPERIENCE AWARD. THE AWARD RECOGNIZES HOSPITALS THAT PROVIDE AN OVERALL OUTSTANDING PATIENT EXPERIENCE. FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED) FOUNDED IN 1907, EUCLID HOSPITAL HAS BECOME ONE OF THE REGION'S LEADING SUB-ACUTE CARE, OUTPATIENT REHABILITATION AND ORTHOPEDIC CENTERS. THE HOSPITAL, WITH 166 STAFFED BEDS, OFFERS A COMPLETE CONTINUUM OF CARE WITH NATIONALLY RENOWNED SPECIALTIES THAT INCLUDE: SUB-ACUTE CARE, CLEVELAND CLINIC NEURO-REHABILITATION PROGRAM, EMERGENCY DEPARTMENT, GERIATRIC ASSESSMENT PROGRAM, HEALING GARDEN WITH LAKEFRONT VIEWS, ORTHOPEDICS, AND OUTPATIENT REHABILITATION. US WORLD & NEWS REPORT RATED EUCLID HOSPITAL AS HIGH PERFORMING IN KNEE REPLACEMENT. IN 2019, EUCLID HOSPITAL WAS RECOGNIZED WITH THE GREENHEALTH EMERALD, THE NATION'S LEADING HEALTHCARE COMMUNITY THAT EMPOWERS ITS MEMBERS TO INCREASE THEIR EFFICIENCIES AND ENVIRONMENTAL STEWARDSHIP WHILE IMPROVING PATIENT SAFETY AND CARE THROUGH TOOLS, BEST PRACTICES AND KNOWLEDGE. THE AWARD IS ONE OF THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARDS GIVEN EACH YEAR TO INCREASE ENVIRONMENTAL SUSTAINABILITY ACHIEVEMENTS IN THE HEALTHCARE SECTOR. FOUNDED IN 1892, FAIRVIEW HOSPITAL IS A FAITH-BASED COMMUNITY HOSPITAL WITH 460 STAFFED BEDS. IT IS A FULLY ACCREDITED HOSPITAL BY THE JOINT COMMISSION, WITH A CERTIFIED LEVEL II TRAUMA CENTER. CLEVELAND CLINIC CANCER CENTER AT FAIRVIEW HOSPITAL, HAS BEEN AWARDED THE OUTSTANDING ACHIEVEMENT AWARD BY THE AMERICAN COLLEGE OF SURGEONS, COMMISSION ON CANCER. THE HOSPITAL ALSO RECEIVED THE AMERICAN DIABETES ASSOCIATION EDUCATION RECOGNITION CERTIFICATE FOR ITS QUALITY DIABETES SELF-MANAGEMENT EDUCATION PROGRAM. FAIRVIEW HOSPITAL'S ADDITIONAL STRONG CLINICAL CENTERS OF EXCELLENCE INCLUDE: BIRTHING CENTER, HEART SURGERY, CANCER, AND SURGERY. FAIRVIEW IS ALSO DEVELOPING A NATIONAL REPUTATION IN BLOOD CONSERVATION, EDUCATION AND RESEARCH THROUGH ITS CENTER FOR BLOOD CONSERVATION. IN 2019, U.S. NEWS & WORLD REPORT RECOGNIZED FAIRVIEW HOSPITAL AS THE NUMBER THREE HOSPITAL IN THE CLEVELAND METROPOLITAN AREA AND NUMBER FOUR IN OHIO. FAIRVIEW HOSPITAL WAS NATIONALLY RANKED FOR CARDIOLOGY & HEART SURGERY AND ORTHOPEDICS AND HIGHEST PERFORMING IN SEVEN OTHER SPECIALTIES. THE HOSPITAL ALSO ACHIEVED THE HIGH PERFORMING RATING IN FIVE COMMON ADULT PROCEDURES AND CONDITIONS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS MAGNET STATUS TO FAIRVIEW HOSPITAL. ANCC, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. IN 2019, FAIRVIEW HOSPITAL RECEIVED SEVERAL AWARDS FROM PRACTICE GREENHEALTH, INCLUDING: THE EMERALD AWARD AND GREENING THE OR RECOGNITION AWARD. OPENED IN NOVEMBER 1968, HILLCREST HOSPITAL HAS 440 STAFFED HOSPITAL BEDS. HILLCREST HOSPITAL HAS BEEN NATIONALLY RECOGNIZED 12 TIMES AS ONE OF AMERICA'S 100 TOP HOSPITALS, A DESIGNATION BASED ON EXTENSIVE RESEARCH OF U.S. HOSPITALS, AS CONDUCTED BY THOMSON REUTERS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS MAGNET STATUS TO HILLCREST HOSPITAL. ANCC, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. IN THE 2019 U.S. NEWS & WORLD REPORT, HILLCREST HOSPITAL WAS NATIONALLY RANKED IN 2 ADULT SPECIALTIES, CARDIOLOGY & HEART SURGERY AND ORTHOPEDICS, AND AS HIGH PERFORMING IN FIVE OTHER ADULT SPECIALTIES. THE HOSPITAL ALSO ACHIEVED HIGH PERFORMING RATINGS IN SIX COMMON ADULT PROCEDURES AND CONDITIONS. THE HOSPITAL IS ALSO RANKED FOURTH AMONG CLEVELAND -AREA HOSPITALS AND FIFTH IN THE STATE OF OHIO. HILLCREST HOSPITAL HOLDS ACCREDITATION FROM THE JOINT COMMISSION ON ACCREDITATION OF HEALTH ORGANIZATIONS AND FULL ACCREDITATION WITH PERCUTANEOUS CORONARY INTERVENTION ("PCI") FROM THE SOCIETY OF CHEST PAIN CENTERS. IN THE CONSUMER GUIDE TO OHIO HOSPITAL QUALITY, HILLCREST RECEIVED THE HIGHEST POSSIBLE RANKING IN FIVE CARDIAC CATEGORIES, INCLUDING ANGIOPLASTY, CARDIAC CATHETERIZATION, CAROTID (NECK) ARTERY SURGERY, CONGESTIVE HEART FAILURE AND CORONARY ARTERY BYPASS GRAFT. IN 2018, HILLCREST WAS AWARDED THE GREENHEALTH PARTNER FOR CHANGE AWARD. OPENED IN 1896, LUTHERAN HOSPITAL IS A 194 STAFFED BED HOSPITAL OFFERING QUALITY MEDICAL CARE, CUTTING-EDGE TECHNOLOGY AND ADVANCED RESEARCH AND SURGERY. LUTHERAN OFFERS EXPERT CARE IN AREAS SUCH AS ORTHOPEDICS, SPINE, PAIN MANAGEMENT, GENERAL SURGERY, BEHAVIORAL HEALTH, ALCOHOL AND DRUG RECOVERY, WOUND CARE, LAB AND IMAGING SERVICES, AND EMERGENCY MEDICINE. AMONG THE COMMUNITY HOSPITALS NATIONWIDE, LUTHERAN HOSPITAL HAS PLACED #1, WINNING THE VIZIENT BERNARD A. BIRNBAUM, MD, QUALITY LEADERSHIP AWARD FOR EXCELLENCE IN DELIVERING SAFE, PATIENT-CENTERED CARE THAT IS TIMELY, EFFECTIVE, EFFICIENT, AND EQUITABLE. IN THE 2019 U.S. NEWS & WORLD REPORT, LUTHERAN HOSPITAL WAS ACHIEVED HIGH PERFORMING IN ONE ADULT PROCEDURE & CONDITION. THE JOINT COMMISSION, THE LEADING ACCREDITOR OF HEALTHCARE ORGANIZATIONS IN THE UNITED STATES, HAS ALSO RECOGNIZED LUTHERAN HOSPITAL AS A TOP PERFORMER ON KEY QUALITY MEASURES. LUTHERAN WAS AWARDED THE PATHWAY TO EXCELLENCE DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). THIS DESIGNATION IS EARNED BY HEALTHCARE ORGANIZATIONS THAT DEMONSTRATE COMMITMENT TO CREATING A POSITIVE PRACTICE ENVIRONMENT THAT EMPOWERS AND ENGAGES STAFF. IN 2019, LUTHERAN WAS AWARDED THE PRACTICE GREENHEALTH PATHWAYS TO EXCELLENCE. FOUNDED IN 1949, MARYMOUNT HOSPITAL IS A 269 STAFFED BED ACUTE CARE HOSPITAL PROVIDING ADVANCED HEALTH CARE, GUIDED BY THE VALUES OF SERVICE, COMPASSION, DIGNITY, AND RESPECT. IN 2019, U.S. NEWS & WORLD REPORT RECOGNIZED MARYMOUNT HOSPITAL AS HIGH PERFORMING IN ONE COMMON ADULT PROCEDURE. MARYMOUNT HOSPITAL WAS RECOGNIZED WITH THE PARTNERS IN CHANGE AWARD BY PRACTICE GREENHEALTH, THE NATION'S LEADING HEALTHCARE COMMUNITY THAT EMPOWERS ITS MEMBERS TO INCREASE THEIR EFFICIENCIES AND ENVIRONMENTAL STEWARDSHIP WHILE IMPROVING PATIENT SAFETY AND CARE THROUGH TOOLS, BEST PRACTICES AND KNOWLEDGE. MARYMOUNT HOLDS A NUMBER OF CERTIFICATIONS AND ACCREDITATIONS INCLUDING: CERTIFICATION FROM AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER; CERTIFIED AS A PRIMARY STROKE CENTER BY THE JOINT COMMISSION FOR HOSPITAL ACCREDITATION, AN ACCREDITED HOSPITAL PROGRAM BY THE JOINT COMMISSION, A BEHAVIORAL HEALTH PROGRAM ACCREDITED BY THE JOINT COMMISSION, LAB ACCREDITED BY THE COLLEGE OF AMERICAN PATHOLOGIST (CAP) AND AMERICAN ASSOCIATION OF BLOOD BANKS, AND CERTIFICATION BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. FOUNDED IN 1944, MEDINA HOSPITAL IS A 148 STAFFED BED ACUTE CARE FACILITY. MEDINA'S STRONG CLINICAL CENTERS OF EXCELLENCE INCLUDE EMERGENCY DEPARTMENT, ORTHOPEDICS, AND SURGERY. THE HOSPITAL FEATURES MORE THAN 300 PHYSICIANS COVERING MORE THAN 30 AREAS OF SPECIALIZATION. MEDINA WAS AWARDED THE PATHWAY TO EXCELLENCE DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). THIS DESIGNATION IS EARNED BY HEALTHCARE ORGANIZATIONS THAT DEMONSTRATE COMMITMENT TO CREATING A POSITIVE PRACTICE ENVIRONMENT THAT EMPOWERS AND ENGAGES STAFF. IN 2019, U.S. NEWS & WORLD REPORT RECOGNIZED MEDINA HOSPITAL AS HIGH PERFORMING IN ONE COMMON ADULT PROCEDURE. SOUTH POINTE HOSPITAL, IS A 163 STAFFED BED ACUTE CARE, COMMUNITY TEACHING HOSPITAL WHICH HAS BEEN SERVICING THE HEALTHCARE NEEDS OF ITS COMMUNITY SINCE 1957. SOUTH POINTE DELIVERS A PATIENT CENTERED MODEL OF CARE WHICH PROMOTES THE HEALING OF THE MIND, BODY AND SPIRIT. IN 2019 U.S. NEWS & WORLD REPORT RECOGNIZED SOUTH POINTE HOSPITAL AS HIGH PERFORMING IN TWO CLINICAL SPECIALTIES AND TWO COMMON ADULT PROCEDURES AND CONDITIONS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS MAGNET STATUS TO SOUTH POINTE. ANCC, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED) FOUNDED IN 1906, UNION HOSPITAL IS A 136 STAFFED BED HOSPITAL. THE HOSPITAL'S 25 ACRE MEDICAL CAMPUS INCLUDES PHYSICIAN OFFICE BUILDINGS, OUTPATIENT REHABILITATION AND SPORTS MEDICINE CENTER, AND A MENTAL HEALTHCARE AGENCY. OFF CAMPUS FACILITIES INCLUDE AN AMBULATORY SURGERY CENTER, OCCUPATIONAL MEDICINE AND AN URGENT CARE CENTER. IN 2019, U.S. NEWS & WORLD REPORT RECOGNIZED UNION HOSPITAL AS HIGH PERFORMING IN ONE COMMON ADULT PROCEDURE. UNION HOSPITAL HAS BEEN NAMED TO THE LIST OF THE 100 GREAT COMMUNITY HOSPITALS BY BECKER'S HOSPITAL REVIEW, A MONTHLY PUBLICATION OF BUSINESS AND LEGAL NEWS FOR HOSPITAL EXECUTIVES. IT IS ONE OF SIX HOSPITALS NATIONWIDE RECOGNIZED AS A TOP PERFORMING HOSPITAL IN THE MIDAS+ PLATINUM QUALITY AWARD PROGRAM. IN ADDITION, IT ACHIEVED CERTIFICATION AS A PRIMARY STROKE CENTER. UNION HOSPITAL HAS ALSO BEEN DESIGNATED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY, INDICATING THAT BREAST IMAGING AT UNION MEETS THE HIGHEST STANDARDS OF THE RADIOLOGY PROFESSION. AS A RECOGNITION OF A TOP-PERFORMING HOME HEALTH AGENCY, HOMECARE ELITE IDENTIFIES THE TOP 25 PERCENT OF MEDICARE-CERTIFIED AGENCIES. FOR THE THIRD CONSECUTIVE YEAR IN A ROW, UNION HOSPITAL HOME HEALTH HAS ACHIEVED TOP 500 STATUS AS RANKED BY HOME CARE ELITE. CLEVELAND CLINIC FLORIDA INCLUDES A 206 STAFFED BED HOSPITAL, DIAGNOSTIC CENTERS, OUTPATIENT SURGERY, AND A 24-HOUR EMERGENCY DEPARTMENT IN WESTON, FLORIDA. CLEVELAND CLINIC FLORIDA HAS LOCATIONS IN WESTON, WEST PALM BEACH, WELLINGTON, PALM BEACH GARDENS, PARKLAND, AND CORAL SPRINGS. IN 2019, CLEVELAND CLINIC FLORIDA HAD 543,555 PATIENT VISITS, 16,242 INTERNATIONAL PATIENT VISITS; AND MORE THAN 299 STAFF PHYSICIAN AND 133 RESIDENTS AND FELLOWS IN 11 ACCREDITED TRAINING PROGRAMS. IN 2019, U.S. NEWS & WORLD REPORT NATIONALLY RANKED ONE OF FLORIDA'S ADULT SPECIALTIES: GASTROENTEROLOGY & GI SURGERY. IT WAS ALSO HIGH PERFORMING IN FIVE ADULT SPECIALTIES AND ALL NINE ADULT PROCEDURES & CONDITIONS. IN ADDITION, PRACTICE GREENHEALTH AWARDED IT WITH THE PARTNER FOR CHANGE AWARD. CLEVELAND CLINIC FLORIDA IS A WORLD-RENOWNED ACADEMIC MEDICAL CENTER WITH ONE OF THE LARGEST GRADUATE MEDICAL EDUCATION PROGRAMS IN SOUTH FLORIDA. FOR THE TENTH YEAR IN A ROW, CLEVELAND CLINIC FLORIDA RANKED HIGHEST AMONG HOSPITALS IN BROWARD COUNTY IN REGIONAL RANKINGS IN U.S. NEWS & WORLD REPORT'S RANKING OF BEST HOSPITALS 2019-2020. CLEVELAND CLINIC FLORIDA IS RANKED FIRST IN THE MIAMI-FT. LAUDERDALE METROPOLITAN REGION AND FIFTH IN THE STATE OF FLORIDA. CLEVELAND CLINIC FLORIDA HOLDS SEVERAL AWARDS, INCLUDING: NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS FROM THE AMERICAN COLLEGE OF SURGEONS, DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY, A 3 YEAR ACCREDITED CANCER PROGRAM, ADVANCED CERTIFICATION FOR PRIMARY CARE STROKE CENTERS FROM THE JOINT COMMISSION AND AMERICAN HEART ASSOCIATION, A COMPREHENSIVE STROKE CENTER DESIGNATION FROM FLORIDA'S AGENCY FOR HEALTH CARE ADMINISTRATION, A STROKE GOLD PLUS ACHIEVEMENT AWARD WITH TARGET STROKE HONOR ROLL ELITE PLUS FROM THE AMERICAN HEART ASSOCIATION, A TOP PERFORMER FOR ADVANCED CERTIFICATION IN VENTRICULAR ASSIST DEVISE, A FULLY ACCREDITED METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM, THE LANTERN AWARD FROM THE EMERGENCY NURSES ASSOCIATION, THE BEACON AWARD FROM AMERICAN ASSOCIATION OF CRITICAL CARE NURSES, AND A NATIONAL ACCREDITATION FOR RECTAL CANCER FROM THE AMERICAN COLLEGE OF SURGEONS. IN JANUARY 2019, CLEVELAND CLINIC THROUGH A SUBSIDIARY BECAME THE SOLE MEMBER OF MARTIN MEMORIAL HEALTH SYSTEM, INC. (MARTIN HEALTH SYSTEM) AND INDIAN RIVER MEMORIAL HOSPITAL, INC. MARTIN MEMORIAL MEDICAL CENTER, INC. IS A NOT-FOR-PROFIT, TAX EXEMPT ORGANIZATION THAT OPERATES GENERAL ACUTE CARE FACILITIES IN STUART, PORT SALERNO, AND PORT ST. LUCIE, FLORIDA, WITH A TOTAL OF 521 BEDS AND ASSOCIATED ANCILLARY SERVICE DEPARTMENTS. MARTIN MEMORIAL HEALTH SYSTEMS CONTROLS FOUR AFFILIATED COMPANIES, INCLUDING REAL ESTATE MANAGEMENT COMPANIES. THE MARTIN HEALTH SYSTEM'S PRIMARY MISSION IS TO PROVIDE QUALITY HEALTH CARE SERVICES TO CITIZENS OF MARTIN, ST. LUCIE, AND EASTERN OKEECHOBEE COUNTIES THROUGH ITS ACUTE AND AMBULATORY CARE FACILITIES. IN 2019, MARTIN MEMORIAL MEDICAL CENTER WILL FILE A SEPARATE FORM 990 WHICH WILL DETAIL ITS PROGRAM SERVICES AND ACCOMPLISHMENTS IN DETAIL. THE ACTIVITIES OF ALL THE OTHER TAX EXEMPT ORGANIZATIONS OF MARTIN HEALTH SYSTEM IS INCLUDED IN THE CLEVELAND CLINIC FOUNDATION GROUP RETURN'S FORM 990. FOUNDED IN 1932, INDIAN RIVER HOSPITAL HAS GROWN FROM A SMALL COMMUNITY HOSPITAL TO A 250 STAFFED BED HOSPITAL. INDIAN RIVER HOSPITAL SERVES AS THE AREA'S LEADING PROVIDER OF COMPREHENSIVE HIGH QUALITY HEALTH AND MEDICAL SERVICES AND IMPROVES THE HEALTH AND WELL-BEING OF THE PEOPLE OF AND COMMUNITIES SERVED. INDIAN RIVER HOSPITAL HAS BEEN DESIGNATED AS A BLUE DISTINCTION CENTER FOR CARDIAC CARE AND KNEE AND HIP REPLACEMENT BY FLORIDA BLUE AND AWARDED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL. IT HAS BEEN RECOGNIZED AS ONE OF SOUTHERN FLORIDA'S BEST REGIONAL HOSPITALS BY U.S. NEWS & WORLD REPORT. INDIAN RIVER WAS AWARDED THE 2019 READERS CHOICE AWARD WINNER FOR BEST HOSPITALS AS VOTED BY THE HOMETOWN NEWS READERS OF VERO BEACH. INDIAN RIVER HAS ACHIEVED THE GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION. THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES ("AACN") RECENTLY CONFERRED A BRONZE-LEVEL BEACON AWARD FOR EXCELLENCE. THE AWARD RECOGNIZES UNIT CAREGIVERS WHO SUCCESSFULLY IMPROVE PATIENT OUTCOMES AND ALIGN PRACTICES WITH AACN'S SIX HEALTHY WORK ENVIRONMENT STANDARDS. INDIAN RIVER RECEIVED ACCREDITATION FROM: THE AMERICAN COLLEGE OF RADIOLOGY; A THREE YEAR TERM IN ULTRASOUND BY THE AMERICAN COLLEGE OF RADIOLOGY; COMPUTED TOMOGRAPHY BY THE AMERICAN COLLEGE OF RADIOLOGY; A CANCER PROGRAM ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER; AND IS DESIGNATED AS A CHEST PAIN CENTER V5 WITH PRIMARY PCI ACCREDITATION. THE CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN HEALTH IS A MULTIDISCIPLINARY CENTER, CO-LOCATED IN LAS VEGAS AND CLEVELAND PROVIDING DIAGNOSIS AND TREATMENT FOR PATIENTS WITH COGNITIVE DISORDERS AND SUPPORT FOR THEIR FAMILIES. PHYSICIANS AND STAFF FOCUS ON EARLY INTERVENTION FOR MILD COGNITIVE DISORDERS THROUGH PHYSICAL EXERCISE, COGNITIVE REHABILITATION, AND MEDICATION. THE CENTER ALSO ENGAGES IN EDUCATION AND RESEARCH ACTIVITIES. THE LOU RUVO CENTER FOR BRAIN HEALTH WAS NAMED A RESEARCH CENTER OF EXCELLENCE BY THE LEWY BODY DEMENTIA ASSOCIATION. IT HAS BEEN NAMED ONE OF THE FIRST FIVE CUREPSP CENTERS OF CARE IN THE UNITED STATES. IT IS ALSO THE ONLY PROGRAM IN SOUTHERN NEVADA TO RECEIVE THE PARTNERS IN CARE DESIGNATION FROM THE NATIONAL MULTIPLE SCLEROSIS SOCIETY. KEEP MEMORY ALIVE ("KMA") RAISES FUNDS TO OPERATE THE CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN HEALTH TO ADVANCE THE RESEARCH AND TREATMENT OF PATIENTS WITH NEUROCOGNITIVE DISORDERS THAT RESULT FROM NEUROLOGICAL DISEASES INCLUDING ALZHEIMER'S, HUNTINGTON'S, PARKINSON'S, AND AMYOTROPHIC LATERAL SCLEROSIS (ALS). KMA STRIVES TO CREATE GREATER AWARENESS OF NEUROCOGNITIVE DISORDERS; EDUCATE FAMILIES ABOUT TREATMENTS, RESEARCH EFFORTS, AND AVAILABLE CAREGIVER SERVICES; AND PROMOTES LIFESTYLE CHANGES TO ENCOURAGE HEALTHY BRAIN AGING. FINANCIAL ASSISTANCE THE CLEVELAND CLINIC FINANCIAL ASSISTANCE POLICY ASSISTS POOR AND INDIGENT PATIENTS BY PROVIDING FREE CARE FOR EMERGENCY AND MEDICALLY NECESSARY SERVICES TO UNINSURED PATIENTS WITH INCOMES UP TO 250 PERCENT OF THE FEDERAL POVERTY LEVEL AND ALSO OFFERS DISCOUNTS ON EMERGENCY AND MEDICALLY NECESSARY SERVICES FOR UNINSURED PATIENTS WHOSE INCOME IS UP TO 400 PERCENT OF THE POVERTY LEVEL. PATIENTS WITH SPECIAL MEDICAL OR EXCEPTIONAL CIRCUMSTANCES MAY ALSO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY IS DESIGNED TO PREVENT MEDICAL BILLS FROM CAUSING A PATIENT OR FAMILY UNDUE FINANCIAL HARDSHIP. THE CLEVELAND CLINIC HEALTH SYSTEM PROVIDED FINANCIAL ASSISTANCE AT A COST OF $166.3 MILLION IN 2019. II. RESEARCH CLEVELAND CLINIC'S MISSION INCLUDES CONDUCTING RESEARCH TO ADVANCE BIOMEDICAL SCIENCE AND ULTIMATELY IMPROVE PATIENT CARE, PREVENT DISEASE, AND FIND CURES FOR MEDICAL ISSUES. THE CLEVELAND CLINIC HEALTH SYSTEM'S RESEARCH ACTIVITIES ARE INTENDED TO IMPROVE PATIENT CARE AND THE HEALTH OF THE PUBLIC AT LARGE, BY PROVIDING THE LATEST ADVANCES IN MEDICINE DIRECTLY TO PATIENTS AND BY REFINING THE PRACTICE OF MEDICINE THROUGH THE DEVELOPMENT AND PROMULGATION OF NEW TECHNIQUES, DEVICES, AND TREATMENT PROTOCOLS. CLEVELAND CLINIC'S LERNER RESEARCH INSTITUTE ("LRI") IS ITS RESEARCH INSTITUTE LOCATED ON THE MAIN CAMPUS AND HOME TO A COMPLETE SPECTRUM OF LABORATORY-, TRANSLATIONAL-, AND CLINICAL-BASED RESEARCH. FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED) LRI HAS APPROXIMATELY 175 FACULTY-LEVEL SCIENTISTS ORGANIZED IN THE FOLLOWING DEPARTMENTS: BIOMEDICAL ENGINEERING, CANCER BIOLOGY, CARDIOVASCULAR AND METABOLIC SCIENCES, GENOMIC MEDICINE, INFLAMMATION AND IMMUNITY, NEUROSCIENCES, OPHTHALMIC RESEARCH, PATHOBIOLOGY, QUANTITATIVE HEALTH SCIENCES, AND TRANSLATIONAL HEMATOLOGY AND ONCOLOGY RESEARCH. LRI IS ONE OF THE LEADING NIH-FUNDED RESEARCH INSTITUTES IN THE UNITED STATES AND HAS SPEARHEADED NUMEROUS ADVANCES IN THE DIAGNOSIS AND TREATMENT OF COMPLEX MEDICAL PROBLEMS. SCIENTISTS AND THEIR TEAMS ARE PURSUING A WIDE RANGE OF BIOMEDICAL QUESTIONS AT LRI, INCLUDING THOSE RELATED TO CARDIOVASCULAR, CANCER, NEUROLOGICAL, MUSCULOSKELETAL, AND METABOLIC DISEASES. ALTOGETHER, NEARLY 1,500 SCIENTISTS AND SUPPORT PERSONNEL WORK AT LRI. THIS INCLUDES APPROXIMATELY 240 RESEARCH FELLOWS, 109 GRADUATE STUDENTS AND 200 UNDERGRADUATE STUDENTS. IN ADDITION TO BASIC PRE-CLINICAL RESEARCH, THE CLEVELAND CLINIC, ITS AFFILIATES, AND EMPLOYED PHYSICIANS PARTICIPATE OR ARE PRIMARY INVESTIGATORS IN MANY CLINICAL TRIALS. IN 2019, CLEVELAND CLINIC WAS INVOLVED IN APPROXIMATELY 4,000 ACTIVE INSTITUTIONAL REVIEW BOARD APPROVED HUMAN SUBJECTS' RESEARCH STUDIES. THE ONGOING COLLABORATION BETWEEN PHYSICIAN INVESTIGATORS AND STUDY VOLUNTEERS IS CENTRAL TO TESTING THE SAFETY AND EFFECTIVENESS OF DRUGS AND MEDICAL PROCEDURES AND HELPS TO SET THE STANDARDS FOR PATIENT CARE. RESEARCH AT CLEVELAND CLINIC IS FUNDED BY EXTERNAL SOURCES, SUCH AS FEDERAL GRANTS, BUT IS ALSO SUBSTANTIALLY SUPPORTED BY THE CLINIC'S OWN INTERNAL RESOURCES. IN 2019, CLEVELAND CLINIC PROVIDED COMMUNITY BENEFIT IN RESEARCH AT A SUBSIDIZED COST OF MORE THAN $258.1 MILLION, WHICH INCLUDED EXTERNALLY- SPONSORED FUNDING OF $169.3 MILLION. III. EDUCATION ON ITS MAIN CAMPUS, CLEVELAND CLINIC OPERATES A MEDICAL SCHOOL AND RELATED RESEARCH INSTITUTE. THE PRIMARY FOCUS OF CLEVELAND CLINIC LERNER COLLEGE OF MEDICINE OF CASE WESTERN RESERVE UNIVERSITY (THE "LERNER COLLEGE OF MEDICINE") IS THE TEACHING AND TRAINING OF MEDICAL STUDENTS WHO HAVE A PARTICULAR INTEREST IN RESEARCH. MANY CLEVELAND CLINIC PHYSICIANS SERVE AS FACULTY FOR THE LERNER COLLEGE OF MEDICINE, FURTHERING THE INTEGRATION OF CLINICAL CARE WITH RESEARCH AND EDUCATION. THE LERNER COLLEGE OF MEDICINE CURRENTLY PROVIDES ALL STUDENTS WITH FULL TUITION SCHOLARSHIPS. IN ADDITION TO TRAINING THE NATION'S FUTURE DOCTORS, CLEVELAND CLINIC SPONSORS A WIDE RANGE OF HIGH QUALITY MEDICAL EDUCATION TRAINING THROUGHOUT THE HEALTH SYSTEM INCLUDING ACCREDITED TRAINING PROGRAMS FOR NURSES AND HEALTH SCIENCE PROFESSIONALS. CLEVELAND CLINIC HEALTH SYSTEM DEVOTES SUBSTANTIAL RESOURCES TO EDUCATION PROGRAMS, WHICH, IN 2019, PROVIDED A NET COMMUNITY BENEFIT OF $303.6 MILLION. THESE EDUCATIONAL ACTIVITIES ENSURE RESIDENTS AND PATIENTS IN ALL OF THE CLEVELAND CLINIC HEALTH SYSTEM'S COMMUNITIES ARE RECEIVING THE HIGHEST STANDARD OF MEDICAL CARE AND HAVE TRAINED HEALTH PROFESSIONALS TO CARE FOR THEM IN THE FUTURE. SOME OF THESE EDUCATION PROGRAMS INCLUDE: -GRADUATE MEDICAL EDUCATION: CLEVELAND CLINIC MAINTAINS ONE OF THE LARGEST GRADUATE MEDICAL EDUCATION PROGRAMS IN THE COUNTRY. IN 2019, 1,383 RESIDENTS AND FELLOWS TRAINED IN 104 ACCREDITED TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 155 ADVANCED FELLOWS IN 92 FELLOWSHIP PROGRAMS. -LERNER COLLEGE OF MEDICINE: SINCE ITS INCEPTION IN MAY 2002, THE LERNER COLLEGE OF MEDICINE HAS LINKED ONE OF THE NATION'S TOP HOSPITALS WITH ONE OF THE NATION'S LEADING RESEARCH UNIVERSITIES. THERE WERE 1,961 APPLICANTS FOR 32 POSITIONS FOR THE 2019-20 ACADEMIC YEAR. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 195 PUBLICATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE BASED ON 2019 CALENDAR YEAR (WHICH INCLUDES PUBLISHED ARTICLES AND ABSTRACT SUBMISSIONS), AND 42 STUDENTS PARTICIPATED IN LOCAL AND NATIONAL MEETINGS WITH PRESENTATIONS AND POSTERS. -VISITING MEDICAL STUDENTS: VISITING MEDICAL STUDENT EDUCATION REPRESENTS A MAJOR ACADEMIC COMMITMENT BY CLEVELAND CLINIC. IN 2019, 218 MEDICAL STUDENTS FROM 128 MEDICAL SCHOOLS AROUND THE WORLD ROTATED THROUGH CLEVELAND CLINIC. -CENTER FOR CONTINUING EDUCATION: CLEVELAND CLINIC MAINTAINS ONE OF THE LARGEST CONTINUING MEDICAL EDUCATION (CME) PROGRAMS IN THE COUNTRY AND ENJOYS THE HIGHEST ACCME RANKING: ACCREDITATION WITH COMMENDATION. IN 2019, THE CENTER FOR CONTINUING EDUCATION CERTIFIED 1,658 CME ACTIVITIES THAT OFFERED OVER 12,000 CME CREDITS TO 186,491 PARTICIPANTS. OF THAT NUMBER, 1,321 WERE LIVE COURSES THAT ATTRACTED 84,588 PARTICIPANTS. CLEVELAND CLINIC IS ONE OF THE LARGEST PROVIDERS OF ONLINE CME AMONG THE NATION'S ACADEMIC MEDICAL CENTERS. THE CENTER'S WEBSITE HAD 403 ACTIVITIES THAT ATTRACTED 365,053 ACTIVITY VIEWERS. JOURNAL CME CONTINUES TO REACH A LARGE NUMBER OF LEARNERS, AWARDING MORE THAN 65,000 CERTIFICATES TO CLEVELAND CLINIC JOURNAL OF MEDICINE (CCJM) PARTICIPANTS. IN 2019, THE CENTER ISSUED 164,767 CERTIFICATES FOR ALL ACTIVITIES COMBINED. -THE CCJM ENJOYED A CIRCULATION OF MORE THAN 124,000 COPIES AND RANKED NO. 2 IN READERSHIP AMONG JOURNALS DIRECTED TO OFFICE-BASED INTERNISTS AND CARDIOLOGISTS. EACH YEAR, THE PRINT AND ONLINE VERSIONS ARE READ OR ACCESSED BY APPROXIMATELY 7.1 MILLION PEOPLE AROUND THE WORLD. IN 2019 THE CCJM WEBSITE RECORDED 12,561,060 PAGE VIEWS FROM 9,554,530 UNIQUE VISITORS. -CENTER FOR HEALTH SCIENCES EDUCATION: CLEVELAND CLINIC IS A MAJOR EDUCATION AND TRAINING SITE FOR A NUMBER OF ALLIED HEALTH STUDENTS FROM VARIOUS ACADEMIC PROGRAMS THROUGHOUT THE REGION. THE CLEVELAND CLINIC HEALTH SYSTEM CURRENTLY OFFERS 16 IN-HOUSE ALLIED HEALTH PROGRAMS AND HAS 50 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2019, CLEVELAND CLINIC HEALTH SYSTEM HOSTED MORE THAN 717,000 CLINICAL ROTATION HOURS FOR OVER 2,600 HEALTH SCIENCE STUDENTS. -CENTER FOR INTERNATIONAL MEDICAL EDUCATION: THE CENTER FOR INTERNATIONAL MEDICAL EDUCATION (CIME) IS RESPONSIBLE FOR COORDINATING CLEVELAND CLINIC'S INTERNATIONAL EDUCATIONAL INITIATIVES AND FOR ENSURING THE PROVISION OF HIGH QUALITY EDUCATIONAL EXPERIENCES FOR THE GLOBAL MEDICAL COMMUNITY. IN 2019, 986 INTERNATIONAL PHYSICIANS AND MEDICAL STUDENTS TRAVELED TO CLEVELAND CLINIC TO PARTICIPATE IN OBSERVERSHIPS; 207 PHYSICIANS ATTENDED SYMPOSIA HELD AT CLEVELAND CLINIC PATIENT EXPERIENCE, CARDIOLOGY, COLORECTAL SURGERY, SPINE SURGERY, GASTROENTEROLOGY, LEUKEMIA, UROLOGY, CONGENITAL HEART DISEASE, BREAST CANCER, AND OBESITY; AND STAFF TRAVELED TO 14 COUNTRIES TO SHARE CLINICAL AND SURGICAL INNOVATIONS. IV. ADDITIONAL COMMUNITY BENEFIT PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH, AND EDUCATION DESCRIBED ABOVE ARE INTEGRAL COMPONENTS OF THE COMMUNITY BENEFIT THE CLEVELAND CLINIC HEALTH SYSTEM ANNUALLY REPORTS TO THE COMMUNITY. THE OTHER COMPONENTS OF THE CLEVELAND CLINIC'S COMMUNITY BENEFIT ARE: MEDICAID SHORTFALL THE CLEVELAND CLINIC HEALTH SYSTEM IS A LEADING PROVIDER OF MEDICAID SERVICES IN OHIO. IN MANY STATES, INCLUDING OHIO, MEDICAID PAYMENTS HAVE NOT BEEN SUFFICIENT TO COVER THE COST OF TREATING MEDICAID BENEFICIARIES. IN 2019, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $439.9 MILLION (THIS FIGURE IS NET OF AN HCAP BENEFIT OF $5.1 MILLION). SUBSIDIZED HEALTH SERVICES IN ADDITION TO FINANCIAL ASSISTANCE AND COSTS NOT COVERED BY MEDICAID PAYMENTS, ANOTHER CLINICAL COMMUNITY BENEFIT CATEGORY IS "SUBSIDIZED HEALTH SERVICES." THESE SERVICES YIELD LOW OR NEGATIVE MARGINS BUT ARE NEEDED IN THE COMMUNITY. CLEVELAND CLINIC PROVIDED SUBSIDIZED HEALTH SERVICES IN 2019 AT A COST OF $24.9 MILLION. COMMUNITY OUTREACH PROGRAMS THE CLEVELAND CLINIC HEALTH SYSTEM IS ACTIVELY ENGAGED IN A BROAD ARRAY OF COMMUNITY OUTREACH PROGRAMS, PROVIDING A TOTAL NET COMMUNITY BENEFIT OF $39.9 MILLION. THESE PROGRAMS ARE DESIGNED TO SERVE THE VULNERABLE AND AT-RISK POPULATIONS IN ITS COMMUNITIES. ITS WELL-ESTABLISHED OUTREACH PROGRAMS RANGE FROM FREE WELLNESS INITIATIVES, HEALTH SCREENINGS, CLINICAL SERVICES, AND EDUCATION TO ENROLLMENT ASSISTANCE FOR GOVERNMENT-FUNDED HEALTH PROGRAMS. OUTREACH PROGRAMS ADDRESS DOCUMENTED HEALTH NEEDS OF THE CLEVELAND CLINIC'S COMMUNITIES, ALIGN WITH ITS COMMUNITY HEALTH NEEDS ASSESSMENTS AND FALL INTO THREE MAIN CATEGORIES: COMMUNITY HEALTH SERVICES, CASH AND IN-KIND DONATIONS, AND COMMUNITY BUILDING. IN 2019, SOME HIGHLIGHTS INCLUDED: -WELLNESS INITIATIVES IN THE AREAS OF DISEASE/INJURY PREVENTION AND HEALTHY BEHAVIORAL CHANGE, INCLUDING TOBACCO CESSATION, NUTRITION IMPROVEMENT AND EXERCISE. -COMMUNITY CLASSES OFFERED HEALTH EDUCATION ON CHRONIC DISEASE MANAGEMENT IN THE AREAS OF HEART DISEASE, STROKE, CANCER, DIABETES, ASTHMA AND BRAIN HEALTH. CLEVELAND CLINIC HOSPITALS AND FAMILY HEALTH CENTERS PROVIDED CLASSES FOR HEALTHY SENIOR AND YOUTH LIFESTYLES. NAVIGATORS WORKED WITH COMMUNITY RESIDENTS TO OBTAIN NEEDED SOCIOECONOMIC RESOURCES. FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED) -EDUCATION AND COMMUNITY SERVICES ADDRESSED AREAS OF INFANT MORTALITY, TEEN PARENTING, LEAD POISONING, INTIMATE PARTNER VIOLENCE AND ADVERSE CHILDHOOD EXPERIENCES. PROGRAMS WERE PROVIDED TO SCHOOLS, FAITH-BASED ORGANIZATIONS, COMMUNITY CENTERS, COLLABORATING CITIES AND COUNTIES. - OPIOID EPIDEMIC COMMUNITY COLLABORATIONS PROVIDED UNIFIED RESPONSES AND RESOURCE ALLOCATION IN AN EFFORT TO REDUCE OVERDOSES. -HEALTH FAIRS PROVIDED THOUSANDS OF PEOPLE WITH FREE HEALTH SCREENINGS. THE CLEVELAND CLINIC MINORITY MEN'S HEALTH FAIRS, CELEBRATING SISTERHOOD, BEYOND PINK AND NEIGHBORHOOD FAIRS EDUCATED COMMUNITY MEMBERS ON THE BENEFITS OF PREVENTATIVE CARE. -CLEVELAND CLINIC PROVIDED NO-COST CLINICAL CARE TO UNDER- AND UNINSURED FAMILIES AT COMMUNITY SITES, INCLUDING LANGSTON HUGHES HEALTH & EDUCATION CENTER AND THE PEDIATRIC MOBILE UNIT, WHICH PROVIDED WELLNESS SERVICES TO ITS COMMUNITIES. IN ADDITION, LABORATORY AND VISION SERVICES WERE DONATED TO CLEVELAND-AREA ORGANIZATIONS. -HEALTHY COMMUNITY INITIATIVES CONTINUED TO CONNECT RESIDENTS WITH LOCAL RESOURCES IN A COLLABORATION TO STRENGTHEN COMMUNITIES THROUGH NEIGHBORHOOD WELLNESS ACTIVITIES COMPETITIONS, ACADEMIC ACHIEVEMENT AND CAREER PREPAREDNESS. -K-12 YOUTH MENTORING PROGRAM PROVIDED EDUCATIONAL RESOURCES AND PROGRAMS TO SUPPORT SUCCESS IN THE CLASSROOM AND WORKFORCE; EMPOWERING YOUTH TO BECOME NORTHEAST OHIO'S NEXT GENERATION OF LEADERS. -COMMUNITY FARMERS MARKETS, URBAN GARDENS AND A MOBILE FOOD PANTRY PROVIDED ACCESS TO FRESH LOCAL PRODUCTS AND SUPPLEMENTAL FOOD PROGRAMS TO ADDRESS FOOD INSECURITY ISSUES. V. CONCLUSION THE PURPOSE OF THE CLEVELAND CLINIC HEALTH SYSTEM IS TO BENEFIT HUMANITY THROUGH THE EFFICIENT, EFFECTIVE, AND ETHICAL PRACTICE OF MEDICINE, BY ADVANCING SCIENTIFIC INVESTIGATION AND MEDICAL EDUCATION, BY MAINTAINING THE HIGHEST STANDARDS OF QUALITY, AND BY FOSTERING CREATIVITY AND INNOVATION. FORM 990, PART VI, SECTION A, LINE 1 LAKEWOOD HOSPITAL ASSOCIATION'S BOARD OF TRUSTEES HAS DELEGATED AUTHORITY TO THREE OF ITS BOARD MEMBERS TO ACT ON BEHALF OF THE BOARD AND OVERSEE THE WIND DOWN OF THE ORGANIZATION AS IT CARRIES OUT REMAINING FUNCTIONS SINCE INPATIENTS OPERATIONS HAVE CEASED. EACH OF THE BOARDS OF DIRECTORS OF AKRON GENERAL HEALTH SYSTEM, CLEVELAND CLINIC AVON HOSPITAL, FAIRVIEW HOSPITAL, LUTHERAN HOSPITAL, MEDINA HOSPITAL, CLEVELAND CLINIC HEALTH SYSTEM EAST REGION, AND UNION HEALTH SYSTEM HAVE DELEGATED FULL AUTHORITY TO A JOINT EXECUTIVE COMMITTEE TO ACT ON BEHALF OF THE BOARD OF DIRECTORS IN BETWEEN BOARD MEETINGS. THESE COMMITTEES HAVE THE SAME COMPOSITION AND ARE COMPOSED ENTIRELY OF BOARD MEMBERS, CONSISTING OF THE CHAIRS OF THE BOARD OF EACH SUCH ORGANIZATION AND THE PRESIDENT OF THE REGIONAL HOSPITALS AND FAMILY HEALTH CENTERS. FORM 990, PART VI, SECTION A, LINE 2 RONALD WEINBERG, CCF DIRECTOR & WILLIAM PEACOCK, CCF OFFICER - BUSINESS DEBORAH CRAWFORD, CCF DIRECTOR & PATRICK AULETTA, CCF DIRECTOR - BUSINESS LARRY RUVO, KMA DIRECTOR & CAMILLE RUVO, KMA DIRECTOR - FAMILY FORM 990, PART VI, SECTION A, LINE 3 CCF HOTEL SERVICES, LLC, A SINGLE MEMBER DISREGARDED ENTITY OF CCF, HAS ENTERED INTO A MANAGEMENT AGREEMENT WITH INTERCONTINENTAL HOTELS CORPORATION TO MANAGE THE TWO HOTELS OWNED BY CCF HOTEL SERVICES, LLC. CCF ENTERED INTO A MANAGEMENT AGREEMENT WITH KESSLER REHABILITATION SERVICES, INC. AS PART OF A JOINT VENTURE WITH HOSPITAL HOLDINGS CORPORATION (SELECT MEDICAL") TO MANAGE AND OPERATE THREE INPATIENT REHABILITATION HOSPITAL FACILITIES. CCF ENTERED INTO A MANAGEMENT AGREEMENT WITH REGENCY HOSPITALS, LLC AS PART OF A JOINT VENTURE WITH SELECT UNIT MANAGEMENT, INC. TO MANAGE AND OPERATE FOUR LONG TERM ACUTE CARE FACILITIES. FORM 990, PART VI, SECTION A, LINE 4 AKRON GENERAL PARTNERS, INC. AMENDED THE CODE OF REGULATIONS TO FORMALIZE A 1 YEAR TERM FOR OFFICERS, AND OFFICER NOMINATION/APPOINTMENT PROCESS. PARTNERS PHYSICIAN GROUP AMENDED THE CODE OF REGULATIONS TO ADD TWO NEW OFFICERS TO BOARD LISTING. THE UNION HOSPITAL ASSOCIATION AMENDED ITS CODE OF REGULATIONS TO: PROVIDE STAGGERED TERMS FOR THE DIRECTORS; DEFINE EX OFFICIO DIRECTORS; AND ESTABLISH A SERVICE PERIOD. MARTIN MEMORIAL HEALTH SYSTEM REVISED ITS ARTICLES OF INCORPORATION AND BYLAWS TO: REFLECT A CHANGE IN THE SOLE MEMBER; AND MIRROR THEIR DOCUMENTS TO THE CCHS FORMAT AND CONTENT, INCLUDING CHANGES TO THE COMPOSITION OF THE GOVERNING BOARD. INDIAN RIVER MEMORIAL HOSPITAL REVISED ITS ARTICLES OF INCORPORATION AND BYLAWS TO: REFLECT A CHANGE IN THE SOLE MEMBER; AND MIRROR THEIR DOCUMENTS TO THE CCHS FORMAT AND CONTENT, INCLUDING CHANGES TO THE COMPOSITION OF THE GOVERNING BOARD. ON APRIL 29, 2020 CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT CORPORATION AMENDED ITS ARTICLES OF INCORPORATION TO CHANGE ITS NAME TO CLEVELAND CLINIC WESTON HOSPITAL NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 6 PURSUANT TO NONPROFIT CORPORATION LAW, THERE CAN BE NO SHAREHOLDERS OR OTHER "EQUITY OWNERS" OF A NONPROFIT CORPORATION. MANAGEMENT AND CONTROL RIGHTS ARE HELD AND EXERCISED BY THE "MEMBERS" OF THE NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS BOTH MEMBERS AND TRUSTEES/DIRECTORS. IT DOES NOT HAVE STOCKHOLDERS. THE MEMBER OF EACH SUBORDINATE IN THE CCF GROUP IS EITHER CCF OR AN INDIRECT SUBORDINATE. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO NONPROFIT CORPORATION LAW, THE "MEMBERS" OF THE CORPORATION ELECT THE BOARD OF DIRECTORS (TRUSTEES), AND THE BOARD THEN CONDUCTS THE AFFAIRS OF THE CORPORATION. IN ADDITION, ONE NONPROFIT CORPORATION MAY BE THE "MEMBER" OF ANOTHER NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS MEMBERS WHO ELECT THE DIRECTORS. THE MEMBER OF EACH SUBORDINATE IN THE CCF GROUP IS EITHER CCF OR AN INDIRECT SUBORDINATE AND THAT MEMBER ELECTS THE BOARD OF THE RESPECTIVE SUBORDINATE. FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO NONPROFIT CORPORATION LAW, CERTAIN OF THE DECISIONS OF THE GOVERNING BODIES MUST BE APPROVED BY THE MEMBERS. FOR EXAMPLE, ANY CHANGES TO THE ARTICLES OF INCORPORATION AND CODE OF REGULATIONS MUST BE APPROVED BY A VOTE OF THE MEMBERS. IN ADDITION, CERTAIN SUBORDINATES IN THE CCF GROUP EACH HAVE A "SPECIAL" MEMBER THAT ARE OTHER NONPROFIT TAX EXEMPT ENTITIES THAT HOLD SPECIAL RIGHTS TO APPROVE SIGNIFICANT TRANSACTIONS OR CHANGES SUCH AS MERGER, DISSOLUTION, SALE OF SUBSTANTIALLY ALL ASSETS, OR A MATERIAL CHANGE IN MISSION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY EXPERIENCED AND QUALIFIED MEMBERS OF THE FINANCE DIVISION TAX DEPARTMENT. PRIOR TO FILING, KEY SECTIONS OF THE FORM ARE REVIEWED WITH EXPERIENCED AND QUALIFIED MEMBERS OF THE LAW DEPARTMENT. IN ADDITION, THE ENTIRE RETURN IS ALSO REVIEWED WITH THE CFO, AND MEMBERS OF THE AUDIT COMMITTEE. THE PAID PREPARER (BIG 4 PUBLIC ACCOUNTING FIRM) CONDUCTS AN IN DEPTH REVIEW OF THE FORM. ANNUALLY, THE 990 FILING IS REVIEWED AND DISCUSSED WITH THE ENTIRE AUDIT COMMITTEE. UPON CONFIRMATION OF SUCCESSFUL E-FILING FROM THE IRS, A COPY OF THE FINAL E-FILED RETURN WILL BE MADE AVAILABLE TO APPROPRIATE MEMBERS OF THE GOVERNING BODY. IN ADDITION TO POSTING ON GUIDESTAR, THE FINAL E-FILED RETURN WILL BE POSTED ON THE ORGANIZATION'S WEBSITE AT WWW.CLEVELANDCLINIC.ORG. FORM 990, PART VI, SECTION B, LINE 12C CCF HAS ADOPTED A CONFLICT OF INTEREST ("COI") POLICY CONSISTENT WITH THE MODEL IRS COI POLICY. IT APPLIES TO DIRECTORS, OFFICERS AND TRUSTEES OF CCF AND ALL ITS AFFILIATES, BOTH EXEMPT AND TAXABLE. UNDER THE BOARD OF DIRECTORS POLICY AND PROCEDURES FOR DEALING WITH CONFLICT OF INTEREST ISSUES (THE POLICY), A TRUSTEE OR DIRECTOR WHO HAS A CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT MUST REFRAIN FROM VOTING ON ANY MATTER RELATING TO THE CONTRACT, TRANSACTION, OR ARRANGEMENT. IN ADDITION, THE TRUSTEES, DIRECTORS AND OFFICERS MUST ANNUALLY DISCLOSE ANY INTERESTS AS DEFINED IN THE POLICY THAT MAY BE CONSIDERED A POTENTIAL CONFLICT OF INTEREST. FAILURE TO TIMELY REPLY IS TO BE ADDRESSED BY THE COMMITTEE UNDER THE POLICY. THE TRUSTEES, OFFICERS AND DIRECTORS HAVE A CONTINUING OBLIGATION TO NOTIFY THE CHIEF GOVERNANCE OFFICER AT ANY TIME DURING THE YEAR IF ANY OF THEIR DISCLOSURES CHANGE OR IF A NEW DISCLOSURE IS REQUIRED UNDER THE POLICY. THE BOARD CONFLICT OF INTEREST COMMITTEE MEETS FOUR TIMES A YEAR AND REVIEWS THE DISCLOSURES, ANY PROPOSED ARRANGEMENTS THAT MAY INVOLVE A POTENTIAL CONFLICT OF INTEREST, AND DOCUMENTS THEIR CONCLUSIONS. UNDER THE POLICY, THE INTERESTED PERSONS MAY ATTEND A MEETING AT THE DISCRETION OF THE BOARD OR COMMITTEE TO PROVIDE INFORMATION OR ANSWER QUESTIONS, BUT THEY MAY NOT BE PRESENT DURING FINAL CONSIDERATION OR VOTING ON THE ARRANGEMENTS. FORM 990, PART VI, SECTION B, LINE 15A ALL CCF OFFICERS AND KEY EMPLOYEE POSITIONS HAVE THEIR COMPENSATION REVIEWED IN ADVANCE ANNUALLY BY THE COMPENSATION COMMITTEE OF THE CCF BOARD OF DIRECTORS, WHICH IS VESTED WITH BOARD-DELEGATED POWERS TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO COMPENSATION MATTERS. IN REVIEWING AND ESTABLISHING COMPENSATION FOR THESE OFFICERS, THE COMMITTEE USES A PROCESS WHICH IS INTENDED TO CREATE THE PRESUMPTION IN REGULATION 53.4958-6(A) THAT PAYMENTS OF COMPENSATION TO THESE PERSONS CONSTITUTE REASONABLE COMPENSATION, DEFINED AS AMOUNTS THAT ARE WITHIN THE RANGE OF COMPENSATION PAID BY SIMILARLY SITUATED ORGANIZATIONS TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS. IN THIS PROCESS, NO MEMBER OF THE COMMITTEE WHO HAS A CONFLICT OF INTEREST WITHIN THE MEANING OF REGULATION 53.4958-6(C)(1)(III) WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE IS PERMITTED TO PARTICIPATE IN THE REVIEW AND APPROVAL OF THAT COMPENSATION ARRANGEMENT. IN ESTABLISHING COMPENSATION FOR EMPLOYED PHYSICIANS FOR PHYSICIAN SERVICES, CCF PARTICIPATES IN PRODUCTIVITY AND COMPENSATION SURVEYS WITH SIMILARLY SITUATED ORGANIZATIONS ACROSS THE U.S. IN ADDITION, CCF ENGAGES THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT WHO EACH YEAR PROVIDES CCF WITH A CUSTOMIZED COMPENSATION REPORT REGARDING PHYSICIAN COMPENSATION. BY USING THIS DATA, CCF HAS BEEN ABLE TO DEVELOP MARKET-BASED COMPENSATION FOR PHYSICIAN SERVICES. IN ESTABLISHING COMPENSATION FOR OFFICERS AND KEY EMPLOYEES PERFORMING NON-PHYSICIAN SERVICES, THE COMPENSATION COMMITTEE RETAINS AND CONSULTS WITH AN INDEPENDENT COMPENSATION CONSULTANT, WHO PREPARES A CUSTOMIZED REPORT FOR THE COMMITTEE REGARDING AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS. THE COMMITTEE USES THE MARKET-BASED DATA PROVIDED BY THE CONSULTANT, AND WHERE APPROPRIATE, PERFORMANCE REVIEWS AND COMPENSATION RECOMMENDATIONS BY THE CHIEF EXECUTIVE OFFICER AND CHIEF OF STAFF, TO ESTABLISH MARKET-BASED COMPENSATION. AFTER MAKING ITS COMPENSATION DECISIONS, THE COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DELIBERATIONS AND DECISIONS IN CCF'S WRITTEN OR ELECTRONIC BOOKS AND RECORDS. A SMALL NUMBER OF EMPLOYEES HOLDING AFFILIATE OFFICER POSITIONS HAVE THEIR COMPENSATION REVIEWED AND APPROVED BY THEIR MANAGERS ANNUALLY WITHIN GUIDELINES PRESCRIBED BY THE ORGANIZATION'S HUMAN RESOURCE FUNCTION. THESE GUIDELINES TAKE INTO CONSIDERATION APPLICABLE COMPARABILITY DATA AND SIMILAR COMPENSATION METRICS. FORM 990, PART VI, SECTION C, LINE 18 THE MOST RECENTLY FILED FORM 990 IS AVAILABLE ON THE CCF WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT CLEVELAND CLINIC" SECTION. ALL OTHER DOCUMENTS WHICH ARE REQUIRED TO BE AVAILABLE TO THE PUBLIC CAN BE OBTAINED UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 CCHS MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT CLEVELAND CLINIC" SECTION. IN THIS SECTION, THE FINANCIAL STATEMENTS, ANNUAL REPORT, COMMUNITY BENEFIT REPORT, CCF'S CONFLICT OF INTEREST POLICY, AND CORPORATE COMPLIANCE POLICIES ARE AVAILABLE. FORM 990, PART VI, SECTION A, LINE 1A AND 1B OF THE SUBORDINATE ORGANIZATIONS IN THE CLEVELAND CLINIC GROUP EXEMPTION, THE TAX EXEMPT HOSPITAL NONPROFIT CORPORATIONS HAVE BOARDS THAT ARE MAJORITY INDEPENDENT. THE REMAINING SUBORDINATES ARE WHOLLY OWNED SUBSIDIARIES MANY OF WHICH HAVE BOARDS COMPRISED IN WHOLE OR IN PART BY INDIVIDUALS WHO ARE OFFICERS AND/OR EMPLOYEES OF THE PARENT ORGANIZATION. FORM 990, PART XI, LINE 9: DONATED CAPITAL AND ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL PURPOSES 8,651,242. GIFTS AND BEQUESTS 114,896,329. TRANSFERS OF NET ASSETS -50,062,164. NET INVESTMENT INCOME 70,740,933. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -51,756,390. RETIREMENT BENEFITS ADJUSTMENT -6,171,475. NET CHANGE IN UNREALIZED GAINS ON NON-TRADING INVESTMENTS 1,796,704. EQUITY TRANSFERS & OTHER TRANSFERS -11,344,400. 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