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SIMON DANIEL I MD DIRECTOR EX OFFICIO 50.00 0.00 X X 1386575 0 244865 UHCMC - SKODA GREGORY J DIRECTOR 2.00 0.00 X 0 0 0 UHCMC - SKORY JOHN E DIRECTOR 2.00 0.00 X 0 0 0 UHCMC - STEINHILBER JEFFREY DIRECTOR 2.00 0.00 X 0 0 0 UHCMC - TAYLOR EDDIE JR DIRECTOR/VICE CHAIRPERSON 2.00 0.00 X X 0 0 0 UHCMC - TEKNOS THEODORE MD DIRECTOR EX OFFICIO 2.00 0.00 X 0 0 0 UHCMC - ZENTY THOMAS F III DIRECTOR EX OFFICIO 2.00 0.00 X 0 0 0 UHHS - ADELMAN SHELDON G DIRECTOR 2.00 0.00 X 0 0 0 UHHS - AHUJA MONTE DIRECTOR 2.00 0.00 X 0 0 0 UHHS - ANTON ARTHUR F DIRECTOR/VICE CHAIRPERSON 2.00 0.00 X X 0 0 0 UHHS - ANTONUCCI JOHN DIRECTOR 2.00 0.00 X 0 0 0 UHHS - ARNOLD CRAIG A DIRECTOR 2.00 0.00 X 0 0 0 UHHS - BANKS ANDREW J DIRECTOR (END 05/18) 2.00 0.00 X 0 0 0 UHHS - CLARK PAUL DIRECTOR 2.00 0.00 X 0 0 0 UHHS - CONNELL MICHELE L DIRECTOR (START 05/18) 2.00 0.00 X 0 0 0 UHHS - CONNOR CHRISTOPHER M DIRECTOR 2.00 0.00 X 0 0 0 UHHS - DELLA RATTA RALPH DIRECTOR 2.00 0.00 X 0 0 0 UHHS - ETTINGER HEATHER R DIRECTOR 2.00 0.00 X 0 0 0 UHHS - GORMAN CHRISTOPHER M DIRECTOR 2.00 0.00 X 0 0 0 UHHS - HALL BRIAN E DIRECTOR 2.00 0.00 X 0 0 0 UHHS - HARDY KENNETH D DIRECTOR 2.00 0.00 X 0 0 0 UHHS - HARLAN M ANN DIRECTOR 2.00 0.00 X 0 0 0 UHHS - HASLAM DEE DIRECTOR 2.00 0.00 X 0 0 0 UHHS - KELSHEIMER JERRY L DIRECTOR 2.00 0.00 X 0 0 0 UHHS - LACEY WILLIAM DIRECTOR 2.00 0.00 X 0 0 0 UHHS - MORIKIS JOHN G DIRECTOR (BEGIN 05/18) 2.00 0.00 X 0 0 0 UHHS - NOVAK ERNEST J JR DIRECTOR 2.00 0.00 X 0 0 0 UHHS - PANDRANGI VASU MD DIRECTOR EX OFFICIO 2.00 50.00 X 0 670916 181290 UHHS - PIANALTO SANDRA DIRECTOR/CHAIRPERSON 2.00 0.00 X X 0 0 0 UHHS - POTASH STEVEN DIRECTOR 2.00 0.00 X 0 0 0 UHHS - RANKIN ALFRED M JR DIRECTOR (END 05/18) 2.00 0.00 X 0 0 0 UHHS - SABIK JOSEPH MD DIRECTOR (START 05/18) 50.00 0.00 X 1360882 0 61665 UHHS - SALATA ROBERT A MD DIRECTOR (END 05/18) 50.00 0.00 X 616076 0 55641 UHHS - SMITH ROBERT C DIRECTOR (END 05/18) 50.00 0.00 X 17907 0 7372 UHHS - YOUNG WILLIAM A JR DIRECTOR EX OFFICIO 2.00 0.00 X 0 0 0 UHHS - ZENTY THOMAS F III DIRECTOR EX OFFICIO/CEO 50.00 0.00 X X 4587517 0 755309 UHLSF - DZIEDZICKI RONALD E DIRECTOR/CHAIRPERSON/SECRETARY 2.00 0.00 X X 0 0 0 UHLSF - GOODELLE MICHAEL DIRECTOR 50.00 0.00 X 182040 0 38850 UHLSF - HARFORD TODD DIRECTOR 50.00 0.00 X 204102 0 21831 UHLSF - SALVINO SONIA DIRECTOR/TREASURER 2.00 0.00 X X 0 0 0 UHMG - DEPOMPEI PATRICIA M DIRECTOR 2.00 0.00 X 0 0 0 UHMG - HALLBERG CHARLES E DIRECTOR 2.00 0.00 X 0 0 0 UHMG - HARDING CLIFFORD V MD DIRECTOR 50.00 0.00 X 289150 0 17218 UHMG - MEGERIAN CLIFF MD DIRECTOR/PRESIDENT 50.00 0.00 X X 1345110 0 264775 UHMG - MILLER MARLENE MD DIRECTOR (BEGIN 05/18) 50.00 0.00 X 533206 0 25575 UHMG - PETERS JEFFREY H MD DIRECTOR (END 05/18) 2.00 0.00 X 0 0 0 UHMG - RAO GOUTHAM MD DIRECTOR 50.00 0.00 X 447881 0 39582 UHMG - ROTHSTEIN FRED C MD DIRECTOR EX OFFICIO/CHAIR (END 05/18) 50.00 0.00 X X 975450 0 9436 UHMG - SABIK JOSEPH MD DIRECTOR EX OFFICIO/CHAIR 2.00 0.00 X X 0 0 0 UHMG - SALATA ROBERT A MD DIRECTOR EX OFFICIO/CHAIR 2.00 0.00 X X 0 0 0 UHMG - SALVINO SONIA DIRECTOR 2.00 0.00 X 0 0 0 UHMG - SELMAN WARREN R MD DIRECTOR 50.00 0.00 X 1135742 0 55322 UHMG - SHAUGHNESSY MARIAN K DIRECTOR 2.00 0.00 X 0 0 0 UHMG - SIMON DANIEL I MD DIRECTOR EX OFFICIO/CHAIR 2.00 0.00 X X 0 0 0 UHMG - SNOWBERGER THOMAS D DIRECTOR 2.00 0.00 X 0 0 0 UHMG - ZOLTANSKI JOAN MD DIRECTOR 50.00 0.00 X 328998 0 40053 RCC - TAIT PAUL G DIRECTOR/CHAIR/PRESIDENT 2.00 0.00 X X 0 0 0 ACO - HAMMACK ELIZABETH R ESQ SECRETARY (END 02/18) 2.00 0.00 X 0 0 0 ACO - HILLARD BRADLEY G DO PRESIDENT (BEGIN 02/18) 2.00 50.00 X 0 351909 49822 ACO - SCHARIO MARK E SECRETARY (BEGIN 02/18) 2.00 0.00 X 0 0 0 ACO - STEINER WILLIAM II MD PRESIDENT (END 03/18) 50.00 0.00 X 77747 0 5924 AUX OF PORT - HORKY KAREN PRESIDENT 2.00 0.00 X 0 0 0 AUX OF PORT - REEDY ANGIE CO-PRESIDENT, FUNDRAISER 2.00 0.00 X 0 0 0 CCO - HILLARD BRADLEY G DO PRESIDENT (BEGIN 03/18) 2.00 0.00 X 0 0 0 CCO - HUNT NATE SECRETARY 2.00 0.00 X 0 0 0 CCO - SCHARIO MARK E SECRETARY 50.00 0.00 X 323542 0 45941 CCO - STEINER WILLIAM II MD PRESIDENT (END 03/18) 2.00 0.00 X 0 0 0 CCO - SZUBSKI MICHAEL A TREASURER 2.00 0.00 X 0 0 0 RCC - HAMMACK ELIZABETH R ESQ SECRETARY 2.00 0.00 X 0 0 0 RCC - HERTZ ANDREW R MD VICE PRESIDENT 2.00 0.00 X 0 0 0 RCC - STEINER WILLIAM II MD PRESIDENT 2.00 0.00 X 0 0 0 SPC - BOGGS DANNY L PRESIDENT 2.00 0.00 X 29106 0 0 UHCMC - ADELMAN HARLIN G ESQ ASSISTANT SECRETARY (BEGIN 05/18) 2.00 0.00 X 0 0 0 UHCMC - BLAKE JEAN D RN CHIEF NURSING OFFICER 50.00 0.00 X 769565 0 47547 UHCMC - DEPOMPEI PATRICIA M PRESIDENT - RAINBOW BABIES & CHILDREN'S HOSPITAL & 50.00 0.00 X 689701 0 67431 UHCMC - DZIEDZICKI RONALD E CHIEF OPERATING OFFICER 50.00 0.00 X 765981 0 55701 UHCMC - MILLER JANET L ESQ CHIEF LEGAL OFFICER/SECRETARY 2.00 0.00 X 0 0 0 UHCMC - SALVINO SONIA TREASURER 50.00 0.00 X 861783 0 69858 UHCMC - STROSACKER ROBYN MD CHIEF MEDICAL OFFICER 50.00 0.00 X 412725 0 36747 UHHS - ANNABLE WILLIAM L MD CHIEF QUALITY OFFICER/CHIEF MEDICAL OFFICER (END 0 50.00 0.00 X 736327 0 7305 UHHS - BRIEN WILLIAM W MD CHIEF MEDICAL OFFICER/CHIEF QUALITY OFFICER (BEGIN 50.00 0.00 X 559505 0 19667 UHHS - MILLER JANET L ESQ CHIEF LEGAL OFFICER/SECRETARY 50.00 0.00 X 1295340 0 49164 UHHS - PETERS JEFFREY H MD CHIEF OPERATING OFFICER (END 05/18) 50.00 0.00 X 3375283 0 30373 UHHS - SNOWBERGER THOMAS D CHIEF HUMAN RESOURCES OFFICER 50.00 0.00 X 896543 0 237196 UHHS - STANDLEY STEVEN D CHIEF ADMINISTRATIVE OFFICER 50.00 0.00 X 1430680 0 28034 UHHS - SZUBSKI MICHAEL A CHIEF FINANCIAL OFFICER/TREASURER 50.00 0.00 X 1907001 0 270375 UHHS - TAIT PAUL G CHIEF STRATEGY OFFICER 50.00 0.00 X 1374479 0 68979 UHLSF - LANDEK DON PRESIDENT 50.00 0.00 X 193914 0 17133 UHHS - BISHOP SHERRI L CHIEF DEVELOPMENT OFFICER 50.00 0.00 X 973109 0 112376 UHHS - BIXENSTINE KIM F CHIEF COMPLIANCE OFFICER 50.00 0.00 X 524848 0 51915 UHHS - KEEGAN ARTHUR EDWIN CHIEF MARKETING OFFICER 50.00 0.00 X 439145 0 25351 UHMG - HONDA KORD S DIRECTOR - DERMATOPATHOLOGY 50.00 0.00 X 1264268 0 40447 UHMG - EUBANKS JASON D ORTHOPEDIC SURGEON 50.00 0.00 X 1233742 0 44824 UHMG - VOOS JAMES E ORTHOPEDIC SURGEON 50.00 0.00 X 1223606 0 44390 UHMG - DEVANEY ERIC J CHIEF, PEDIATRIC CARDIAC SURGERY 50.00 0.00 X 1201974 0 43449 UHMG - BAMBAKIDIS NICHOLAS C DIRECTOR - CEREBREVASCULAR SURGERY 50.00 0.00 X 1063092 0 67941 AMHERST - SHELDON DONALD S MD FORMER OFFICER 0.00 0.00 X 236803 0 0 CCO - HAMMACK ELIZABETH R ESQ FORMER OFFICER 50.00 0.00 X 251786 0 41815 CHCO - WRAY CHARLOTTE A FORMER OFFICER 0.00 0.00 X 379509 0 31372 PARMA - SINK KRISTI M FORMER OFFICER 0.00 0.00 X 431969 0 38461 UHMG - ADELMAN HARLIN G ESQ FORMER OFFICER 50.00 0.00 X 513815 0 52358 ST JOHN - O'MALLEY CHERYL H FORMER KEY EMPLOYEE 0.00 0.00 X 319634 0 30624 UHHS - GARTLAND HEIDI I FORMER KEY EMPLOYEE 50.00 0.00 X 626963 0 50344 UHMG - RONIS ROBERT FORMER KEY EMPLOYEE 50.00 X 449589 0 55123 52510078 8130723 5983515 1626 1 1 0 MCKESSON CORPORATION 1 PORT STREET SUITE 3275 SAN FRANCISCO CA 94104 PHARMACEUTICALS DISTRIBUTION 218306756 OWENS & MINOR DIST INC 9120 LOCKWOOD BLVD MECHANICSVILLE VA 23116 MEDICAL SUPPLIES 83735117 CVS CAREMARK SPECIALTY PHARMACY 1 CVS DRIVE WOONSOCKET RI 02895 PHARMACEUTICALS 54814733 PROKARMA INC 222 SOUTH 15TH STREET SUITE 505N OMAHA NE 68102 INFORMATION TECHNOLOGY CONSULTING 31252463 SODEXO INC & AFFILIATES 9801 WASHINGTONIAN BLVD GAITHERSBURG MD 20878 FACILITIES MANAGEMENT 28944975 878 X 490000 1018000 51393000 26392000 7409356 79293000 NET PROGRAM SERVICE RE 900099 3524427000 3524427000 GOVERNMENT REIMBURSEME 900099 62177000 62177000 CHILDRENS SUPPLEMENTAL 900099 2100000 2100000 PROGRAM SERVICE RENTAL 900099 49000 49000 3588753000 30985000 3112000 27873000 6191000 -6191000 -6191000 -6191000 172000 490000 219000 -47000 -47000 37000 11000 26000 26000 ANCILLARY REVENUE 900099 137303000 137303000 JV INCOME 900099 12898000 12898000 SWAP VALUATION ADJUSTM 900099 10195000 10195000 160396000 3853215000 3749149000 3112000 21661000 8070000 8070000 48076000 27736000 20340000 2849000 2849000 1540311000 1440014000 91916000 8381000 47005000 44185000 2820000 206252000 191832000 12246000 2174000 102873000 96701000 6172000 2801000 2633000 168000 1090000 1025000 65000 439000 439000 126000 126000 111451000 104806000 6645000 12487000 11164000 713000 610000 740348000 695232000 44376000 740000 81060000 76176000 4862000 22000 160691000 150940000 9634000 117000 9720000 8955000 572000 193000 46654000 43855000 2799000 158570000 149031000 9513000 26000 37438000 35192000 2246000 OTHER PURCHASED SERVICE 110758000 103934000 6645000 179000 OHIO STATE HOSPITAL FRA 52440000 49294000 3146000 SPECIAL CHARGES 50138000 47130000 3008000 OTHER NONSERVICE PERIOD 21496000 20206000 1290000 61789000 57360000 3733000 696000 3614932000 3368759000 232909000 13264000 191810000 279890000 45245000 46610000 580673000 609621000 64345000 74985000 35162000 33753000 3667800000 1973437000 1632972000 1694363000 1340751000 1294963000 323546000 358816000 491488000 460070000 6723000 6519000 152641000 155398000 4865356000 5014988000 397933000 429974000 1799000 1400000 1139000000 1245237000 170030000 139736000 671209000 623364000 2379971000 2439711000 X 1716247000 1811978000 365627000 0 403511000 763299000 2485385000 2575277000 4865356000 5014988000 X 238283000 -55279000 -93112000 X 0 1 X 1 1 1 X 4 UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER 341567805 3 1 0 0 UNIVERSITY HOSPITALS ROBINSON HEALTH SYSTEM INC 461382538 3 1 0 0 EMH REGIONAL MEDICAL CENTER 340714612 3 1 0 0 SAMARITAN REGIONAL HEALTH SYSTEM 340714535 3 1 0 0 4 0 0 217000 9000 2800000 147000 913000 4086000 217000 9000 2800000 147000 913000 4086000 0 0 0 4086000 217000 9000 2800000 147000 913000 4086000 1.00000 1.00000 0.00000 X 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PUBLIC CHARITY CLASSIFICATION OF EACH GROUP MEMBER IS SHOWN AMHERST HOSPITAL ASSOCIATION, INC. - 34-0067060 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 EMH REGIONAL MEDICAL CENTER - 34-0714612 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 PARMA COMMUNITY GENERAL HOSPITAL - 34-0827442 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 ROBINSON HEALTH SYSTEM, INC. - 46-1382538 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SAMARITAN REGIONAL HEALTH SYSTEM - 34-0714535 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER - 26-4827222 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, INC. (UHCMC) - 34-1567805 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER (CMC) - 34-0714550 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS GEAUGA MEDICAL CENTER (GMC) - 34-0816492 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER (UHGMC) - 34-0714461 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UH REGIONAL HOSPITALS - 34-1924226 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER - 34-1260978 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SAMARITAN PROFESSIONAL CORPORATION - 34-1856531 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER ROAD SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS ACCOUNTABLE CARE ORGANIZATION - 27-3970270 509(A)(2) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS COORDINATED CARE ORGANIZATION - 90-0794903 509(A)(2) 3605 WARRENSVILLE CENTER RD. - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS RAINBOW CARE CONNECTION INC. - 46-1074672 509(A)(2) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS HOME CARE SERVICES, INC. (HCS) - 34-1527536 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 PART I LINE 12G (I) NAME OF SUPPORTED ORGANIZATION: UH CLEVELAND MEDICAL CENTER (II) EIN OF SUPPORTED ORGANIZATION: 34-1567805 (III) TYPE OF ORG. (DESCRIBED ON LINES 1-10 ABOVE OR IRC SECTION): 509(A) (3) - TYPE II ORGANIZATION (IV) IS THE SUPPORTED ORG. LISTED IN YOUR GOVERNING DOCUMENTS? YES (V) AMOUNT OF MONETARY SUPPORT: $0 ROBINSON HEALTH AFFILIATES - 34-1499719 509(A)(3) - TYPE I ORGANIZATION 3605 WARRENSVILLE CENTER RD -MSC 9155 SHAKER HEIGHTS, OH 44122 PART I LINE 12G (I) ROBINSON HEALTH SYSTEM, INC. (II) 46-1382538 (III) 170(B)(1)(A)(III) (IV) YES (V) $0 COMPREHENSIVE HEALTH CARE OF OHIO, INC. - 34-1492733 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 PART I LINE 12G (I) EMH REGIONAL MEDICAL CENTER (II) 34-0714612 (III) 170(B)(1)(A)(III) (IV) YES (V) $0 SAMARITAN HOSPITAL HOSPITALITY SHOP - 34-0808574 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 PART I LINE 12G (I) SAMARITAN REGIONAL HEALTH SYSTEM (II) 34-0714535 (III) 170(B)(1)(A)(III) (IV) YES (V) $0 HEATHER HILL INC. (HHI) - 34-0771884 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER ROAD - MSC 9155 SHAKER HEIGHTS, OH 44122 PART I LINE 12G (I) UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER (II) 34-1567805 (III) 170(B)(1)(A)(III) (IV) YES (V) $0 UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION (UHLSF) - 34-1720429 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 PART I LINE 12G (I) UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER (II) 34-1567805 (III) 170(B)(1)(A)(III) (IV) YES (V) $0 UNIVERSITY HOSPITALS MEDICAL GROUP, INC. (UHMG) - 20-4881619 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 PART I LINE 12G (I) UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER (II) 34-1567805 (III) 170(B)(1)(A)(III) (IV) YES (V) $60,090,000 SCHEDULE A, PART IV, SECTION C, TYPE II ORGANIZATIONS THE FOLLOWING GROUP SUBORDINATES RESPONDED YES: - HEATHER HILL, INC. THE FOLLOWING GROUP SUBORDINATES RESPONDED NO: - COMPREHENSIVE HEALTH CARE OF OHIO COMPREHENSIVE HEALTH CARE OF OHIO ("CHCO") IS A SUPPORTING ORGANIZATION OF EMH REGIONAL MEDICAL CENTER AS STATED IN ITS ARTICLES. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. ("UHHS") IS THE SOLE MEMBER OF CHCO. CHCO IS SUPERVISED, DIRECTED AND CONTROLLED BY UHHS. -SAMARITAN HOSPITAL HOSPITALITY SHOP SAMARITAN HOSPITAL HOSPITALITY SHOP ("SHHS") IS A SUPPORTING ORGANIZATION OF SAMARITAN REGIONAL HEALTH SYSTEM (SAMARITAN) AS STATED IN ITS ARTICLES. SHHS IS OWNED AND CONTROLLED BY SAMARITAN. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. ("UHHS") IS THE SOLE MEMBER OF SAMARITAN. SAMARITAN IS SUPERVISED, DIRECTED AND CONTROLLED BY UHHS. -UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION ("UHLSF") ACTS AS A SUPPORTING ORGANIZATION TO UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER ("UHCMC"). ARTICLES OF INCORPORATION PROVIDE UHCMC WITH SUPERVISION, DIRECTION AND CONTROL OVER UHLSF. -UNIVERISTY HOSPITALS MEDICAL GROUP, INC. UNIVERSITY HOSPITALS MEDICAL GROUP, INC. ("UHMG") ACTS AS A SUPPORTING ORGANIZATION TO UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER ("UHCMC"). THE CONTROL AND MANAGEMENT OF UHMG IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ITS SUPPORTED ORGANIZATION BECAUSE BOTH ENTITIES ARE PART OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY A COMMON PARENT, UNIVERSITY HOSPITALS HEALTH SYSTEM. -UNIVERISTY HOSPITALS HOMECARE SERVICES, INC. UNIVERSITY HOSPITALS HOMECARE SERVICES, INC. ("UHHCS") ACTS AS A SUPPORTING ORGANIZATION TO UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER ("UHCMC"). THE CONTROL AND MANAGEMENT OF UHHCS IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ITS SUPPORTED ORGANIZATION BECAUSE BOTH ENTITIES ARE PART OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY A COMMON PARENT, UNIVERSITY HOSPITALS HEALTH SYSTEM. SCHEDULE A, PART IV, SECTION D, TYPE III ORGANIZATIONS AUXILIARY OF PORTAGE MEDICAL CENTER - 34-0771932 509(A)(3) - TYPE III ORGANIZATION 6847 N. CHESTNUT STREET RAVENNA, OH 44266 PART I LINE 12G (I) UH PORTAGE MEDICAL CENTER (II) 46-1382538 (III) 170(B)(1)(A)(III) (IV) YES (V) $0 1. YES 2. YES 3. YES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 9108 17431 221183 423303 230291 440734 1174022975 4654478917 1174253266 4654919651 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 432066 282398 627175 423303 1764942 250000 250000 250000 250000 1000000 1500000 4248 8225 17170 17431 47074 FORM 990, SCHEDULE C, PART IV UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. GROUP RETURN DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS), ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. FORM 990, SCHEDULE C, PART II-B SOFTWARE WOULD NOT ALLOW THE COMPLETION OF PART II-B: 1A - NO 1B - YES 1C - NO 1D - YES $164,083 1E - NO 1F - YES $82,039 1G - YES $120,102 1H - NO 1I - NO 1J - $366,224 2A - NO 566054 6390874 X X SEE SUPPLEMENTAL INFORMATIO 0 227487000 5345000 -7225000 0 10025000 0 215582000 193568000 8523000 33352000 0 7956000 0 227487000 183805000 7136000 10239000 0 7612000 0 193568000 183504000 7350000 -357000 0 6692000 0 183805000 164715000 12048000 12832000 0 6091000 0 183504000 0.08470 0.71830 0.19700 0 1 1 149104000 149104000 1914143000 838085000 1076058000 31648000 20426000 11222000 1489109000 1074482000 414627000 83796000 40444000 43352000 1694363000 INVESTMENTS 358816000 F 358816000 BENEFICIAL INT. IN FOUNDATION 162724000 F INVESTMENT IN AFFILIATES 108043000 C INVESTMENTS - PROGRAM RELATED 189303000 F 460070000 RESEARCH INST OPTION LIABILITY 23850000 DUE TO THIRD PARTIES 20569000 OTHER LIABILITIES 64327000 INTERST RATE SWAP LIABILITY 49592000 SELF INSURED LIABILITY 15866000 PENSION LIABILITY 356402000 PROFESSIONAL LIABILITY 50046000 PROFESSIONAL LIABILITY-WRA 42712000 623364000 X PART III, LINE 4: THE UH ART COLLECTION INCLUDES APPROXIMATELY 2,828 ORIGINAL WORKS OF ART, MANY DONATED OVER THE YEARS. ARTWORK INCLUDES PAINTINGS, PHOTOS, SCULPTURES AND THE LIKE. THE UH ART COLLECTION HAS BEEN ESTABLISHED TO ENCOURAGE REFLECTION, AND TO DELIGHT, UPLIFT AND COMFORT OUR PATIENTS, VISITORS, AND EMPLOYEES. PART V, LINE 4: THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUND VARIES DEPENDING ON DONOR STIPULATIONS. ALL SPENDING OF ENDOWMENT EARNINGS ARE DONE SO IN ACCORDANCE WITH DONOR INTENT AND APPLICABLE LAW. ENDOWMENTS ARE HELD ON THE BOOKS OF THE PARENT ORGANIZATION OF THE GROUP MEMBERS. SPENDING ALLOCATIONS ARE MADE TO THE PROPER UH ENTITY BY THE PARENT TO COMPLY WITH DONOR WISHES. PART X, LINE 2: UNIVERISTY HOSPITALS HEALTH SYSTEM, INC. MUST RECONGIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. AS OF DECEMBER 31, 2018 AND 2017, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS. FORM 990, SCHEDULE D, PART V IN 2016 THE HEALTH SYSTEM ADOPTED FINANCIAL ACCOUNTING STANDARDS BOARD CODIFACTION TOPIC 820 ("FASB"). AS A RESULT THE HEALTH SYSTEM'S ENDOWMENT FUNDS FOR 2016-2018 HAVE BEEN PRESENTED TO CONFORM TO THE STANDARD. THE 2014-2015 YEARS HAVE BEEN RESTATED FOR COMPARATIVE PURPOSES. X X X 0 TRUE SENSE 155 COMMERCE DRIVE FREEDOM PA 15042 TELEPHONE FUNDRAISING 0 48750 126000 77250 48750 126000 77250 AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY MH - GALA 163286 121571 41715 32732 21725 PARMA GOLF 177783 135391 42392 33681 23407 4 320452 233136 87316 5650 69111 33067 661521 490098 171423 5650 135524 78199 219373 -47950 37400 11275 0 37400 11275 11275 26125 OH 0 501(C)(3) ORGANIZATIONS ARE ELIGIBLE TO CONDUCT RAFFLES IN OHIO. 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JOHN MEDICAL CENTER, - FACILITY 13: UNIVERSITY HOSPITALS REHABILITATION HOSPITAL GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2018 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS AND THE CYPRESS RESEARCH GROUP TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2018 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER FOR HEALTH AFFAIRS IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CYPRESS RESEARCH GROUP PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH CLEVELAND MEDICAL CENTER CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH AND CLEVELAND DEPARTMENT OF PUBLIC HEALTH OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2018 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: DEMOGRAPHICS OF UH CLEVELAND MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS; ECONOMIC ISSUES FACING THE HOSPITAL'S PRIMARY AND SECONDARDY MARKET AREAS (E.G. POVERTY, HOMICIDE, OPIOID ABUSE); HOSPITAL PATIENTS SERVED; SOCIOECONOMIC INDICATORS (E.G. UNEMPLOYEMENT AND AVERAGE LIFE EXPECTANCY); HEALTH RESOURCE AVAILABILITY (E.G. AMBULATORY CARE SENSITIVE (ACS) DISCHARGES AND LICENSED PRIMARY CARE PHYSICIANS); QUALITY OF LIFE INDICATORS (E.G. FOOD DESERT AREAS, HOMICIDE RATES, AND RECREATIONAL FACILITIES RATE); BEHAVIORAL RISK FACTORS (E.G. OBESITY, ILLEGAL DRUG USE, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); SOCIAL AND MENTAL HEALTH (E.G. CHILD ABUSE, VIOLENT CRIME, DOMESTIC VIOLENCE, AND SUICIDE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND PRENATAL CARE); DEATH, ILLNESS, AND INJURY (E.G. CANCER MORTALITY RATE AND SICK DAYS); COMMUNICABLE DISEASE (E.G. HIV INFECTION RATE AND VACCINATIONS); SENTINEL EVENTS (E.G. GUN-RELATED DEATH RATE, DRUG-INDUCED DEATH RATES, WORK RELATED DEATH RATES, AND LATE-STAGE BREAST AND CERVICAL CANCER); AND EMERGING HEALTH CONCERNS (E.G. OPIOID ABUSE AND ZIKA VIRUS). GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH CLEVELAND MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: UH RAINBOW BABIES & CHILDREN'S HOSPITAL, UH AHUJA MEDICAL CENTER, UH REGIONAL HOSPITALS, UH PARMA MEDICAL CENTER, UH ST. JOHN MEDICAL CENTER, AND UH REHABILITATION HOSPITAL. GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2019 IMPLEMENTATION STRATEGY FOR UH CLEVELAND MEDICAL CENTER IDENTIFIED THE FOLLOWING 3 PRIORITY HEATH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM: PRIORITY HEATH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: IMPROVE THE LEVEL OF STATE OF THE ART STROKE CARE EDUCATION- STRATEGY #2: COMMUNITY STROKE EDUCATION THROUGH STROKE RISK SCREENING SESSIONS- STRATEGY #3: EARLY DETECTION OF CHRONIC DISEASES- STRATEGY #4: HEART FAILURE CPR/SAFETY TRAINING- STRATEGY #5: DEVELOP CAREERS RELATED TO HEART HEALTH- STRATEGY #6: CANCER RISK REDUCTION STRATEGIES FOR UNDER-RESOURCED COMMUNITY MEMBERS- STRATEGY #7: ENHANCE HEALTH LITERACY, INCLUDING CANCER RELATED INFORMATIONPRIORITY HEALTH NEED #2: POVERTY- STRATEGY #1: DEVELOP CAREERS RELATED TO HEART-HEALTH- STRATEGY #2: EMPLOYMENT AND RETENTION WITHIN UH CLEVELAND MEDICAL CENTER- STRATEGY #3: FACILITATE A PIPELINE PROGRAM FOR SECONDARY SCHOOL STUDENTS OF A MINORITY- STRATEGY #4: PROVIDE FOOD FOR UH PATIENTS WHEN EXPERIENCING FOOD INSECURITYPRIORITY HEALTH NEED #3: HOMICIDES/VIOLENCE/SAFETY- STRATEGY #1: PARTNERSHIP WITH PEACEMAKERS ALLIANCE TO REDUCE GUN-RELATED VIOLENCE- STRATEGY #2: PROVIDE STOP THE BLEED TRAINING AND SUPPLIES TO SCHOOLS IN CUYAHOGA COUNTYIN ADDITION TO THE AFOREMENTIONED STRATEGIC INITIATIVES OUTLINED IN DETAIL IN THIS PLAN, THE HOSPITAL WILL EITHER BEGIN OR CONTINUE TO PROVIDE OTHER COMMUNITY BENEFIT PROGRAMS RESPONSIVE TO THE HEALTH NEEDS IDENTIFIED IN THE 2018 CHNA. THESE MAY INCLUDE, BUT ARE NOT LIMITED TO, HEALTH EDUCATION PROGRAMS, SCREENINGS, SUPPORT GROUPS AND OTHER COMMUNITY HEALTH IMPROVEMENT SERVICES; MEDICAL RESEARCH; EDUCATION FOR PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS AND ACCESS TO CARE THROUGH THE UH HOSPITAL FINANCIAL ASSISTANCE PROGRAM. THE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE THREE ISSUES ABOVE AS THOSE ISSUES WERE CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON THOSE ISSUES. THE ISSUES WHICH WERE NOT CHOSEN TO BE A FOCUS OF THIS PLAN WERE THOSE WHERE THE HOSPITAL IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT ISSUE.NOT ALL NEEDS IDENTIFIED IN THE 2018 CHNA ARE BEING ADDRESSED BUT THROUGH IMPLEMENTING THE ABOVE STRATEGIES, THE HOSPITAL ANTICIPATES THE FOLLOWING IMPROVEMENTS IN COMMUNITY HEALTH: POSITIVE IMPACT ON THE REDUCTION OF CARDIOVASCULAR DISEASE; POSITIVE IMPACT ON THE REDUCTION OF INFANT MORTALITY AND IMPROVED INFANT HEALTH; REDUCED INAPPROPRIATE EMERGENCY ROOM USE AND POSITIVE IMPACT ON THE REDUCTION OF CANCER MORTALITY RATES, FOCUSING ON LUNG, COLON, BREAST AND CERVICAL CANCERS. COINCIDENT WITH THIS WILL BE A POSITIVE IMPACT ON RATES OF TOBACCO USE. THESE NEEDS ARE ALSO BEING ADDRESSED IN UH CLINICAL SETTINGS. GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2018 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS AND THE CYPRESS RESEARCH GROUP TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2018 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER FOR HEALTH AFFAIRS IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CYPRESS RESEARCH GROUP PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5: THE UH RAINBOW BABIES & CHILDREN'S HOSPITAL CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH AND CLEVELAND DEPARTMENT OF PUBLIC HEALTH OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2018 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: DEMOGRAPHICS OF UH CLEVELAND MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS; ECONOMIC ISSUES FACING THE HOSPITAL'S PRIMARY AND SECONDARDY MARKET AREAS (E.G. POVERTY, HOMICIDE, OPIOID ABUSE); HOSPITAL PATIENTS SERVED; SOCIOECONOMIC INDICATORS (E.G. UNEMPLOYEMENT AND AVERAGE LIFE EXPECTANCY); HEALTH RESOURCE AVAILABILITY (E.G. AMBULATORY CARE SENSITIVE (ACS) DISCHARGES AND LICENSED PRIMARY CARE PHYSICIANS); QUALITY OF LIFE INDICATORS (E.G. FOOD DESERT AREAS, HOMICIDE RATES, AND RECREATIONAL FACILITIES RATE); BEHAVIORAL RISK FACTORS (E.G. OBESITY, ILLEGAL DRUG USE, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); SOCIAL AND MENTAL HEALTH (E.G. CHILD ABUSE, VIOLENT CRIME, DOMESTIC VIOLENCE, AND SUICIDE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND PRENATAL CARE); DEATH, ILLNESS, AND INJURY (E.G. CANCER MORTALITY RATE AND SICK DAYS); COMMUNICABLE DISEASE (E.G. HIV INFECTION RATE AND VACCINATIONS); SENTINEL EVENTS (E.G. GUN-RELATED DEATH RATE, DRUG-INDUCED DEATH RATES, WORK RELATED DEATH RATES, AND LATE-STAGE BREAST AND CERVICAL CANCER); AND EMERGING HEALTH CONCERNS (E.G. OPIOID ABUSE AND ZIKA VIRUS). GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH RAINBOW BABIES & CHILDREN'S HOSPITAL IN THE JOINT CHNA FOR CUYAHOGA COUNTY: UH CLEVELAND MEDICAL CENTER, UH AHUJA MEDICAL CENTER, UH REGIONAL HOSPITALS, UH PARMA MEDICAL CENTER, UH ST. JOHN MEDICAL CENTER, AND UH REHABILITATION HOSPITAL. GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: THE 2019 IMPLEMENTATION STRATEGY FOR UH RAINBOW BABIES & CHILDREN'S HOSPITAL IDENTIFIED THE FOLLOWING 2 PRIORITY HEATH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM: PRIORITY HEATH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: DENTAL CARE FOR CHILDREN THROUGH THE RONALD MCDONALD CARE MOBILE, A MOBILE DENTAL CLINIC- STRATEGY #2: IMPROVED CHRONIC DISEASE MANAGEMENT AND PREVENTION BY NUTRITION EDUCATION- STRATEGY #3: FOOD INSECURITY RESOURCE COORDINATIONPRIORITY HEALTH NEED #2: INFANT MORTALITY- STRATEGY #1: CENTERING PREGNANCY PROGRAM- STRATEGY #2: CENTERING PREGNANCY APPROACH TO PRENATAL CARETHE IMPLEMENTATION STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2018 CHNA: HIGH BLOOD LEAD LEVELS, CHILDHOOD ASTHMA, INFLUENZA, TOBACCO USE/CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND SUICIDE PREVENTION. THESE HEALTH NEEDS ARE BEING ADDRESSED IN UH CLINICAL SETTINGS.IMPLEMENTATION STRATEGIES FROM THE 2018 CHNA BEGAN IN 2018. GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2018 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS AND THE CYPRESS RESEARCH GROUP TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2018 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER FOR HEALTH AFFAIRS IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CYPRESS RESEARCH GROUP PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 5: UH AHUJA MEDICAL CENTER'S 2018 ASSESSMENT CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (SURVEY OF MARKET AREA RESIDENTS, HOSPITAL DISCHARGE DATA) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). AHUJA'S CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH BOTH A RANDOMIZED MAIL SURVEY OF HOUSEHOLDS IN SERVICE AREA COUNTIES, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2018 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: DEMOGRAPHICS OF UH AHUJA MEDICAL CENTER'S MARKET AREAS; HOSPITAL PATIENTS SERVED; SOCIOECONOMIC INDICATORS (E.G. UNEMPLOYEMENT AND AVERAGE LIFE EXPECTANCY); HEALTH RESOURCE AVAILABILITY (E.G. AMBULATORY CARE SENSITIVE (ACS) DISCHARGES AND LICENSED PRIMARY CARE PHYSICIANS); QUALITY OF LIFE INDICATORS (E.G. FOOD DESERT AREAS, HOMICIDE RATES, AND RECREATIONAL FACILITIES RATE); BEHAVIORAL RISK FACTORS (E.G. OBESITY, ILLEGAL DRUG USE, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); SOCIAL AND MENTAL HEALTH (E.G. CHILD ABUSE, VIOLENT CRIME, DOMESTIC VIOLENCE, AND SUICIDE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND PRENATAL CARE); DEATH, ILLNESS, AND INJURY (E.G. CANCER MORTALITY RATE); COMMUNICABLE DISEASE (E.G. HIV INFECTION RATE AND VACCINATIONS); SENTINEL EVENTS (E.G. GUN-RELATED DEATH RATE, DRUG-INDUCED DEATH RATES, WORK RELATED DEATH RATES, AND LATE-STAGE BREAST AND CERVICAL CANCER); AND EMERGING HEALTH CONCERNS (E.G. OPIOID ABUSE AND ZIKA VIRUS). GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH AHUJA MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: UH CLEVELAND MEDICAL CENTER, UH RAINBOW BABIES & CHILDREN'S HOSPITAL, UH REGIONAL HOSPITALS, UH PARMA MEDICAL CENTER, UH ST. JOHN MEDICAL CENTER, AND UH REHABILITATION HOSPITAL. GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2019 IMPLEMENTATION STRATEGY FOR UH AHUJA MEDICAL CENTER IDENTIFIES THE FOLLOWING TWO PRIORITY HEALTH NEEDS:PRIORITY HEALTH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: COMMUNITY ENGAGEMENT FOR EDUCATION, SCREENING, AND SUPPORT OF CHRONIC DISEASESPRIORITY HEALTH NEED #2: POVERTY- STRATEGY #2: ANNUAL EVENT TO TARGET UNDER-RESOURCED COMMUNITY MEMBERSNEEDS IDENTIFIED IN THE 2018 CHNA BUT NOT BEING ADDRESSED IN 2018 INCLUDE: FOOD INSECURITY, BEHAVIORAL HEALTH (FLU VACCINATION RATES, TOBACCO USE/COPD, AND LACK OF PHYSICAL ACTIVITY), MENTAL HEALTH AND ADDICTION (SUICIDE, HOMICIDE/VIOLENCE, AND OPIOIDS/SUBSTANCE USE), AND MATERNAL/CHILD HEALTH (INFANT MORTALITY). THESE NEEDS ARE BEING ADDRESSED IN UH CLINICAL SETTINGS. GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP.CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2018 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS AND THE CYPRESS RESEARCH GROUP TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2018 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER FOR HEALTH AFFAIRS IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CYPRESS RESEARCH GROUP PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 5: THE CHNA FOR THE RICHMOND CAMPUS OF UH REGIONAL HOSPITALS (UH RICHMOND MEDICAL CENTER) TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH BOTH A RANDOMIZED TELEPHONE SURVEY OF HOUSEHOLDS IN CUYAHOGA COUNTY, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2018 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: DEMOGRAPHICS OF UH BEDFORD MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS; HOSPITAL PATIENTS SERVED; SOCIOECONOMIC INDICATORS (E.G. UNEMPLOYEMENT AND AVERAGE LIFE EXPECTANCY); HEALTH RESOURCE AVAILABILITY (E.G. AMBULATORY CARE SENSITIVE (ACS) DISCHARGES AND LICENSED PRIMARY CARE PHYSICIANS); QUALITY OF LIFE INDICATORS (E.G. FOOD DESERT AREAS, HOMICIDE RATES, AND RECREATIONAL FACILITIES RATE); BEHAVIORAL RISK FACTORS (E.G. OBESITY, ILLEGAL DRUG USE, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); SOCIAL AND MENTAL HEALTH (E.G. CHILD ABUSE, VIOLENT CRIME, DOMESTIC ABUSE, AND SUICIDE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND PRENATAL CARE); DEATH, ILLNESS, AND INJURY (E.G. CANCER MORTALITY RATE AND SICK DAYS); COMMUNICABLE DISEASE (E.G. HIV INFECTION RATE AND VACCINATIONS); SENTINEL EVENTS (E.G. GUN-RELATED DEATH RATE, DRUG-INDUCED DEATH RATES, WORK RELATED DEATH RATES, AND LATE-STAGE BREAST AND CERVICAL CANCER); AND EMERGING HEALTH CONCERNS (E.G. OPIOID ABUSE AND ZIKA VIRUS).THE CHNA FOR THE BEDFORD CAMPUS OF UH REGIONAL HOSPITALS (UH BEDFORD MEDICAL CENTER) TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH BOTH A RANDOMIZED MAIL SURVEY OF HOUSEHOLDS IN CUYAHOGA COUNTY, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS A LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCY. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2018 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: DEMOGRAPHICS OF UH BEDFORD MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS; HOSPITAL PATIENTS SERVED; SOCIOECONOMIC INDICATORS (E.G. UNEMPLOYEMENT AND AVERAGE LIFE EXPECTANCY); HEALTH RESOURCE AVAILABILITY (E.G. AMBULATORY CARE SENSITIVE (ACS) DISCHARGES AND LICENSED PRIMARY CARE PHYSICIANS); QUALITY OF LIFE INDICATORS (E.G. FOOD DESERT AREAS, HOMICIDE RATES, AND RECREATIONAL FACILITIES RATE); BEHAVIORAL RISK FACTORS (E.G. OBESITY, ILLEGAL DRUG USE, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); SOCIAL AND MENTAL HEALTH (E.G. CHILD ABUSE, VIOLENT CRIME, DOMESTIC ABUSE, AND SUICIDE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND PRENATAL CARE); DEATH, ILLNESS, AND INJURY (E.G. CANCER MORTALITY RATE AND SICK DAYS); COMMUNICABLE DISEASE (E.G. HIV INFECTION RATE AND VACCINATIONS); SENTINEL EVENTS (E.G. GUN-RELATED DEATH RATE, DRUG-INDUCED DEATH RATES, WORK RELATED DEATH RATES, AND LATE-STAGE BREAST AND CERVICAL CANCER); AND EMERGING HEALTH CONCERNS (E.G. OPIOID ABUSE AND ZIKA VIRUS). GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH REGIONAL HOSPITALS IN THE JOINT CHNA FOR CUYAHOGA COUNTY: UH CLEVELAND MEDICAL CENTER, UH RAINBOW BABIES & CHILDREN'S HOSPITAL, UH AHUJA MEDICAL CENTER, UH PARMA MEDICAL CENTER, UH ST. JOHN MEDICAL CENTER, AND UH REHABILITATION HOSPITAL. GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 11: THE 2019 IMPLEMENTATION STRATEGY FOR UH REGIONAL HOSPITALS IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: SCREENINGS AND HEALTH/DISEASE EDUCATION FOR CHRONIC DISEASEPRIORITY HEALTH NEED #2: POVERTY- STRATEGY #2: EDUCATION ON BETTER HEALTH CARE SERVICE UTILIZATION AND FINANCIAL COUNSELLINGTHE FOLLOWING NEEDS WERE IDENTIFIED IN THE 2018 CHNA, BUT ARE NOT BEING ADDRESSED IN 2018 INCLUDE: HIGH BLOOD LEAD LEVELS, CHILDHOOD ASTHMA, INFLUENZA, TOBACCO USE/CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND SUICIDE PREVENTION. THESE NEEDS ARE BEING ADDRESSED IN UH CLINICAL SETTINGS. GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2018 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS COUNTY HEALTH ASSESSMENT, CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITALIZATION ASSOCIATION, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE HOSPITAL COUNCIL OF NORTHWEST OHIO WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS AND THE CYPRESS RESEARCH GROUP TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2018 CHNA. THE HOSPITAL COUNCIL OF NORTHWEST OHIO RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER FOR HEALTH AFFAIRS IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CYPRESS RESEARCH GROUP PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH GENEVA MEDICAL CENTER CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH BOTH A RANDOMIZED MAIL SURVEY OF HOUSEHOLDS IN ASHTABULA COUNTY. INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE ASHTABULA CITY HEALTH DEPARTMENT AND ASHTABULA COUNTY HEALTH DEPARTMENT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. 1,200 ADVANCE LETTERS WERE MAILED TO ADULTS IN ASHTABULA COUNTY. THE RESPONSE RATE FOR THE ENTIRE MAILING WAS 41%. THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSES IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. THE 2018 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: HEALTHCARE ACCESS (HEALTHCARE COVERAGE, ACCESS AND UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, AND ORAL HEALTH), HEALTH BEHAVIORS (HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, DRUG USE, SEXUAL BEHAVIOR, MENTAL HEALTH), CHRONIC DISEASE (CARDIOVASCULAR HEALTH, CANCER, ASTHMA, ARTHRITIS, DIABETES, QUALITY OF LIFE), AND SOCIAL CONDITIONS (SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL HEALTH, AND PARENTING). GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR ASHTABILA COUNTY. UH GENEVA MEDICAL CENTER AND UH CONNEAUT MEDICAL CENTER ARE INCLUDED IN THE JOINT CHNA FOR ASHTABULA COUNTY. GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2019 IMPLEMENTATION STRATEGY FOR UH GENEVA MEDICAL CENTER IDENTIFIED THE FOLLOWING 2 PRIORITY HEALTH NEEDS AND 2 CROSSING-CUTTING FACTORS, ALONG WITH STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC DISEASE- STRATEGY #1: DIABETES PREVENTION PROGRAM- STRATEGY #2: PRESCRIPTIONS FOR PHYSICAL ACTIVITY- STRATEGY #3: SCHOOL-BASED NUTRITION EDUCATION PROGRAMS- STRATEGY #4: NUTRITION AND PHYSICAL ACTIVITY INTERVENTIONS IN PRESCHOOL/CHILD CAREPRIORITY HEALTH NEED #2: MENTAL HEALTH AND ADDICTION- STRATEGY #1: SCHOOL-BASED ALCOHOL/OTHER DRUG PREVENTION PROGRAMS- STRATEGY #2: EMERGENCY ROOM AND FIRST RESPONDER OVERDOSE RESPONSE TRAINING (NALOXONE ACCESS)CROSS-CUTTING FACTOR #1: PUBLIC HEALTH SYSTEM, PREVENTION AND HEALTH BEHAVIORS- STRATEGY #1: LINKS TO CESSATION SUPPORT- STRATEGY #2: COMMUNITY GARDENS- STRATEGY #3: COMMUNITY-WIDE PHYSICAL ACTIVITY CAMPAIGNSCROSS-CUTTING FACTOR #2: HEALTHCARE SYSTEM AND ACCESS- STRATEGY #1: COMMUNITY HEALTH SCREENINGS- STRATEGY #2: FREE MAMMOGRAMS AND PAP SMEARS- STRATEGY #3: IMPROVE ACCESS TO COMPREHENSIVE PRIMARY CARE- STRATEGY #4: EXPAND ACCESS TO EVIDENCE-BASED TOBACCO CESSATION TREATMENTS- STRATEGY #5: COMMUNITY HEALTH WORKERSNEEDS IDENTIFIED IN 2018 WHICH ARE NOT BEING ADDRESSED INCLUDE SUICIDE PREVENTION. THIS SPECIFIC ISSUE IS BEING ADDRESSED BY OTHER PARTNERS IN ASHTABULA COUNTY. GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2018 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS COUNTY HEALTH ASSESSMENT, CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITALIZATION ASSOCIATION, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE HOSPITAL COUNCIL OF NORTHWEST OHIO WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS AND THE CYPRESS RESEARCH GROUP TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2018 CHNA. THE HOSPITAL COUNCIL OF NORTHWEST OHIO RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER FOR HEALTH AFFAIRS IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CYPRESS RESEARCH GROUP PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH CONNEAUT MEDICAL CENTER CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH BOTH A RANDOMIZED MAIL SURVEY OF HOUSEHOLDS IN ASHTABULA COUNTY. INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE ASHTABULA CITY HEALTH DEPARTMENT AND ASHTABULA COUNTY HEALTH DEPARTMENT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. 1,200 ADVANCE LETTERS WERE MAILED TO ADULTS IN ASHTABULA COUNTY. THE RESPONSE RATE FOR THE ENTIRE MAILING WAS 41%. THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSES IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. THE 2018 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: HEALTHCARE ACCESS (HEALTHCARE COVERAGE, ACCESS AND UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, AND ORAL HEALTH), HEALTH BEHAVIORS (HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, DRUG USE, SEXUAL BEHAVIOR, MENTAL HEALTH), CHRONIC DISEASE (CARDIOVASCULAR HEALTH, CANCER, ASTHMA, ARTHRITIS, DIABETES, QUALITY OF LIFE), AND SOCIAL CONDITIONS (SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL HEALTH, AND PARENTING). GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR ASHTABULA COUNTY. UH CONNEAUT MEDICAL CENTER AND UH GENEVA MEDICAL CENTER ARE INCLUDED IN THE JOINT CHNA FOR ASHTABULA COUNTY. GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2019 IMPLEMENTATION STRATEGY FOR UH CONNEAUT MEDICAL CENTER IDENTIFIED THE FOLLOWING 2 PRIORITY HEALTH NEEDS AND 2 CROSSING-CUTTING FACTORS, ALONG WITH STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC DISEASE- STRATEGY #1: DIABETES PREVENTION PROGRAM- STRATEGY #2: PRESCRIPTIONS FOR PHYSICAL ACTIVITY- STRATEGY #3: SCHOOL-BASED NUTRITION EDUCATION PROGRAMS- STRATEGY #4: NUTRITION AND PHYSICAL ACTIVITY INTERVENTIONS IN PRESCHOOL/CHILD CAREPRIORITY HEALTH NEED #2: MENTAL HEALTH AND ADDICTION- STRATEGY #1: SCHOOL-BASED ALCOHOL/OTHER DRUG PREVENTION PROGRAMS- STRATEGY #2: EMERGENCY ROOM AND FIRST RESPONDER OVERDOSE RESPONSE TRAINING (NALOXONE ACCESS)CROSS-CUTTING FACTOR #1: PUBLIC HEALTH SYSTEM, PREVENTION AND HEALTH BEHAVIORS- STRATEGY #1: LINKS TO CESSATION SUPPORT- STRATEGY #2: COMMUNITY GARDENS- STRATEGY #3: COMMUNITY-WIDE PHYSICAL ACTIVITY CAMPAIGNSCROSS-CUTTING FACTOR #2: HEALTHCARE SYSTEM AND ACCESS- STRATEGY #1: COMMUNITY HEALTH SCREENINGS- STRATEGY #2: FREE MAMMOGRAMS AND PAP SMEARS- STRATEGY #3: IMPROVE ACCESS TO COMPREHENSIVE PRIMARY CARE- STRATEGY #4: EXPAND ACCESS TO EVIDENCE-BASED TOBACCO CESSATION TREATMENTS- STRATEGY #5: COMMUNITY HEALTH WORKERSNEEDS IDENTIFIED IN 2018 WHICH ARE NOT BEING ADDRESSED INCLUDE SUICIDE PREVENTION. THIS SPECIFIC ISSUE IS BEING ADDRESSED BY OTHER PARTNERS IN ASHTABULA COUNTY. GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP.CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2018 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS COUNTY HEALTH ASSESSMENT, CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITALIZATION ASSOCIATION, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE HOSPITAL COUNCIL OF NORTHWEST OHIO WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS AND THE CYPRESS RESEARCH GROUP TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2018 CHNA. THE HOSPITAL COUNCIL OF NORTHWEST OHIO RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER FOR HEALTH AFFAIRS IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CYPRESS RESEARCH GROUP PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH PARMA MEDICAL CENTER CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH A RANDOMIZED MAIL SURVEY OF HOUSEHOLDS IN CUYAHOGA COUNTY AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENT PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2018 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: DEMOGRAPHICS OF UH PARMA MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS; HOSPITAL PATIENTS SERVED; SOCIOECONOMIC INDICATORS (E.G. UNEMPLOYEMENT AND AVERAGE LIFE EXPECTANCY); HEALTH RESOURCE AVAILABILITY (E.G. AMBULATORY CARE SENSITIVE (ACS) DISCHARGES AND LICENSED PRIMARY CARE PHYSICIANS); QUALITY OF LIFE INDICATORS (E.G. FOOD DESERT AREAS, HOMICIDE RATES, AND RECREATIONAL FACILITIES RATE); BEHAVIORAL RISK FACTORS (E.G. OBESITY, ILLEGAL DRUG USE, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); SOCIAL AND MENTAL HEALTH (E.G. CHILD ABUSE, DOMESTIC ABUSE, VIOLENT CRIMES, AND SUICIDE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY AND PRENATAL CARE); DEATH, ILLNESS, AND INJURY (E.G. CANCER MORTALITY RATE AND SICK DAYS); COMMUNICABLE DISEASE (E.G. HIV INFECTION RATE AND VACCINATIONS); SENTINEL EVENTS (E.G. GUN-RELATED DEATH RATE, DRUG-INDUCED DEATH RATES, WORK RELATED DEATH RATES, AND LATE-STAGE BREAST AND CERVICAL CANCER); AND EMERGING HEALTH CONCERNS (E.G. OPIOID ABUSE AND ZIKA VIRUS). GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH PARMA MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: UH CLEVELAND MEDICAL CENTER, UH RAINBOW BABIES & CHILDREN'S HOSPITAL, UH AHUJA MEDICAL CENTER, UH REGIONAL HOSPITALS, UH ST. JOHN MEDICAL CENTER, AND UH REHABILITATION HOSPITAL. GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2019 IMPLEMENTATION STRATEGY FOR UH PARMA MEDICAL CENTER IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: CONTINUED IMPROVEMENT IN OUTREACH EFFORTS RELATED TO HEALTH INFORMATION, EDUCATION, SCREENINGS, AND WELLNESS BUILDINGSPRIORITY HEALTH NEED #2: POVERTY- STRATEGY #1: INCREASE ACCESS TO HEALTHY FOODS FOR VULNERABLE COMMUNITIESTHE STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2018 CHNA: HIGH BLOOD LEAD LEVELS, CHILDHOOD ASTHMA, INFLUENZA, TOBACCO USE/CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND SUICIDE PREVENTION. THESE NEEDS ARE BEING ADDRESSED BY UH CLINICAL SETTINGS. GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2018 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS AND THE CYPRESS RESEARCH GROUP TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2018 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER FOR HEALTH AFFAIRS IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CYPRESS RESEARCH GROUP PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH ELYRIA MEDICAL CENTER CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH BOTH A RANDOMIZED TELEPHONE SURVEY OF HOUSEHOLDS IN LORAIN COUNTY, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE ELYRIA CITY HEALTH DISTRICT AND THE LORAIN COUNTY GENERAL HEALTH DISTRICT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. SURVEYS WERE MAILED OUT TO 2,400 ADULTS IN LORAIN COUNTY. THE RESPONSE RATE FOR THE GENERAL POPULATION WAS 39%. THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSE IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. THE 2018 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: HEALTHCARE ACCESS (HEALTHCARE COVERAGE, ACCESS AND UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, AND ORAL HEALTH), HEALTH BEHAVIORS (HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, TOBACCO USE, ALCOHOL CONSUMPTION, DRUG USE, SEXUAL BEHAVIOR, MENTAL HEALTH), CHRONIC DISEASE (HEART HEALTH, CANCER, ASTHMA, ARTHRITIS, DIABETES, AND QUALITY OF LIFE), SOCIAL CONDITIONS (SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL HEALTH, PARENTING, MATERNAL AND INFANT HEALTH), RURAL HEALTH, SUBURBAN HEALTH, URBAN HEALTH, AND YOUTH HEALTH (WEIGHT STATUS, TOBACCO USE, ALCOHOL USE, DRUG USE, MENTAL HEALTH, SAFETY AND VIOLENCE ISSUES, AND PERCEPTIONS). GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR LORAIN COUNTY. UH ELYRIA MEDICAL CENTER AND SPECIALTY HOSPITAL OF LORAIN ARE INCLUDED IN THE 2018 CHNA FOR LORAIN COUNTY. GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 11: STRATEGIC INITIATIVES INCLUDE: ACCESS TO CARE (AVAILABLE PROVIDERS), EXPANDED COORDINATED EDUCATION AND PREVENTION SERVICES, IMPROVING MENTAL HEALTH, IMPROVING OBESITY AND WEIGHT CONTROL, AND IMPROVING SUBSTANCE ABUSE.NEEDS IDENTIFIED IN 2018 BUT NOT BEING ADDRESSED IN 2018 INCLUDE: ACCESS TO CARE (TRANSPORTATION) AND ALCOHOL USE. GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP.CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2018 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS AND THE CYPRESS RESEARCH GROUP TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2018 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER FOR HEALTH AFFAIRS IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CYPRESS RESEARCH GROUP PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH ST. JOHN MEDICAL CENTER CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH AND CLEVELAND DEPARTMENT OF PUBLIC HEALTH OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2018 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: DEMOGRAPHICS OF UH CLEVELAND MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS; ECONOMIC ISSUES FACING THE HOSPITAL'S PRIMARY AND SECONDARDY MARKET AREAS (E.G. POVERTY, HOMICIDE, OPIOID ABUSE); HOSPITAL PATIENTS SERVED; SOCIOECONOMIC INDICATORS (E.G. UNEMPLOYEMENT AND AVERAGE LIFE EXPECTANCY); HEALTH RESOURCE AVAILABILITY (E.G. AMBULATORY CARE SENSITIVE (ACS) DISCHARGES AND LICENSED PRIMARY CARE PHYSICIANS); QUALITY OF LIFE INDICATORS (E.G. FOOD DESERT AREAS, HOMICIDE RATES, AND RECREATIONAL FACILITIES RATE); BEHAVIORAL RISK FACTORS (E.G. OBESITY, ILLEGAL DRUG USE, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); SOCIAL AND MENTAL HEALTH (E.G. CHILD ABUSE, VIOLENT CRIME, DOMESTIC VIOLENCE, AND SUICIDE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND PRENATAL CARE); DEATH, ILLNESS, AND INJURY (E.G. CANCER MORTALITY RATE AND SICK DAYS); COMMUNICABLE DISEASE (E.G. HIV INFECTION RATE AND VACCINATIONS); SENTINEL EVENTS (E.G. GUN-RELATED DEATH RATE, DRUG-INDUCED DEATH RATES, WORK RELATED DEATH RATES, AND LATE-STAGE BREAST AND CERVICAL CANCER); AND EMERGING HEALTH CONCERNS (E.G. OPIOID ABUSE AND ZIKA VIRUS). GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH ST. JOHN MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: UH CLEVELAND MEDICAL CENTER, UH RAINBOW BABIES & CHILDREN'S HOSPITAL, UH AHUJA MEDICAL CENTER, UH REGIONAL MEDICAL CENTER, UH PARMA MEDICAL CENTER, AND UH REHABILITATION HOSPITAL. GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2019 IMPLEMENTATION STRATEGY FOR ST. JOHN MEDICAL CENTER IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: COMMUNITY EDUCATION AND PREVENTATIVE HEALTH SCREENINGSPRIORITY HEALTH NEED #2: OPIOIDS/SUBSTANCE USE DISORDERS/MENTAL AND BEHAVIORAL HEALTH- STRATEGY #1: PARTICIPATION IN THE OPIATE ABUSE ADVISORY COMMITTEE FOR CUYAHOGA COUNTYTHE HOSPITAL HAS AND WILL CONTINUE TO SUSTAIN SEVERAL EFFORTS WHICH DO ADDRESS EACH OF THE COMMUNITY HEALTH NEEDS IN SOME WAY. THE COMMUNITY HEALTH NEEDS INCLUDE: POVERTY, FOOD INSECURITY, LEAD POISONING, HEART DISEASE, CHILDHOOD ASTHMA, VACCINATION RATES, TOBACCO USE, LACK OF PHYSICAL ACTIVITY, SUICIDE, HOMICIDE/VIOLENCE, AND INFANT MORTALITY. GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2018 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS AND THE CYPRESS RESEARCH GROUP TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2018 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER FOR HEALTH AFFAIRS IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CYPRESS RESEARCH GROUP PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 5: THE UH REHABILITATION HOSPITAL - BEACHWOOD CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH AND CLEVELAND DEPARTMENT OF PUBLIC HEALTH OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2018 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: DEMOGRAPHICS OF UH CLEVELAND MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS; ECONOMIC ISSUES FACING THE HOSPITAL'S PRIMARY AND SECONDARDY MARKET AREAS (E.G. POVERTY, HOMICIDE, OPIOID ABUSE); HOSPITAL PATIENTS SERVED; SOCIOECONOMIC INDICATORS (E.G. UNEMPLOYEMENT AND AVERAGE LIFE EXPECTANCY); HEALTH RESOURCE AVAILABILITY (E.G. AMBULATORY CARE SENSITIVE (ACS) DISCHARGES AND LICENSED PRIMARY CARE PHYSICIANS); QUALITY OF LIFE INDICATORS (E.G. FOOD DESERT AREAS, HOMICIDE RATES, AND RECREATIONAL FACILITIES RATE); BEHAVIORAL RISK FACTORS (E.G. OBESITY, ILLEGAL DRUG USE, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); SOCIAL AND MENTAL HEALTH (E.G. CHILD ABUSE, VIOLENT CRIME, DOMESTIC VIOLENCE, AND SUICIDE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND PRENATAL CARE); DEATH, ILLNESS, AND INJURY (E.G. CANCER MORTALITY RATE AND SICK DAYS); COMMUNICABLE DISEASE (E.G. HIV INFECTION RATE AND VACCINATIONS); SENTINEL EVENTS (E.G. GUN-RELATED DEATH RATE, DRUG-INDUCED DEATH RATES, WORK RELATED DEATH RATES, AND LATE-STAGE BREAST AND CERVICAL CANCER); AND EMERGING HEALTH CONCERNS (E.G. OPIOID ABUSE AND ZIKA VIRUS). GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH REHABILITATION HOSPITAL - BEACHWOOD IN THE 2018 CHNA FOR CUYAHOGA COUNTY: UH CLEVELAND MEDICAL CENTER, UH RAINBOW BABIES & CHILDREN'S HOSPITAL, UH AHUJA MEDICAL CENTER, UH REGIONAL HOSPITALS, UH PARMA MEDICAL CENTER, AND UH ST. JOHN MEDICAL CENTER. GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 11: THE 2019 IMPLEMENTATION STRATEGY FOR UH REHABILITATION HOSPITAL - BEACHWOOD IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEED AND ASSOCIATED STRATEGIES TO ADDRESS IT:PRIORITY HEALTH NEED: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: IMPROVE STROKE AWARENESS AND EDUCATION- STRATEGY #2: COMMUNITY EDUCATION ON RISK FACTORS ASSOCIATED WITH DIABETESNEEDS IDENTIFIED IN 2018 BUT NOT BEING ADDRESSED IN 2018 INCLUDE: POVERTY, FOOD INSECURITY, LEAD POISONING, FLU VACCINATION RATES, SUICIDE, HOMICIDE/VIOLENCE, OPIOIDS/SUBSTANCE USE, AND INFANT MORTALITY. THESE NEEDS ARE BEING ADDRESSED IN UH CLINICAL SETTINGS. GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP.CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES.IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 11: UH PORTAGE MEDICAL CENTER, - FACILITY 12: UH SAMARITAN MEDICAL CENTER GROUP B-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBEDIN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2015 AND 2016 CHNAS EXAMINEECONOMIC INDICATORS, SUCH AS POVERTY, UNEMPLOYMENT, STATE BUDGETDEVELOPMENTS, HOUSEHOLD INCOME AND HEALTH STATUS INDICATORS FROM SOURCESSUCH AS COUNTY HEALTH RANKINGS, THE COMMUNITY HEALTH STATUS INDICATORSPROJECT, THE OHIO DEPARTMENT OF HEALTH, THE U.S. CENTERS FOR DISEASECONTROL AND PREVENTION'S (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM(BRFSS), THE DIGNITY HEALTH COMMUNITY NEEDS INDEX, AND THE U.S. DEPARTMENTOF AGRICULTURE. DATA FROM THE U.S. HEALTH RESOURCES AND SERVICESADMINISTRATION (HRSA) REGARDING FEDERALLY QUALIFIED HEALTH CENTERS.MEDICALLY UNDERSERVED AREAS AND POPULATIONS AND HEALTH PROFESSIONALSHORTAGE AREAS WERE ALSO ASSESSED.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTERFOR HEALTH AFFAIRS AND THE CYPRESS RESEARCH GROUP TO COMPLETE THE DATAASSESSMENT AND SUMMARY PORTIONS OF THE 2015 AND 2016 CHNAS. UNIVERSITYHOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER FOR HEALTH AFFAIRS TOASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITYSERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER FOR HEALTH AFFAIRS IS THELEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ONBEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CYPRESS RESEARCH GROUPPROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESSRESEARCH NEEDS. GROUP B-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH PORTAGE MEDICAL CENTER CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH BOTH A RANDOMIZED TELEPHONE SURVEY OF HOUSEHOLDS IN PORTAGE COUNTY, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE RAVENNA CITY HEALTH DISTRICT AND THE PORTAGE COUNTY GENERAL HEALTH DISTRICT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2016 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: DEMOGRAPHICS OF UH PORTAGE MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS; ECONOMIC ISSUES FACING THE HOSPITAL'S PRIMARY AND SECONDARY MARKET AREAS (E.G. POVERTY, UNEMPLOYMENT); COMMUNITY ISSUES (E.G. ENVIRONMENTAL CONCERNS AND CRIME); HEALTH STATUS INDICATORS (E.G.; MORBIDITY RATES FOR VARIOUS DISEASES AND CONDITIONS, AND MORTALITY RATES FOR LEADING CAUSES OF DEATH); HEALTH ACCESS INDICATORS (E.G. UNINSURED RATES, AMBULATORY CARE SENSITIVE (ACS) DISCHARGES AND USE OF EMERGENCY DEPARTMENTS); HEALTH DISPARITIES INDICATORS AND AVAILABILITY OF HEALTH CARE FACILITIES AND RESOURCES. GROUP B-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT EACH SEPARATE HOSPITAL FACILITY CHNA. GROUP B-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 11: STRATEGIC INITIATIVES INCLUDE: VULNERABLE POPULATIONS (SERVICES FOR THE ELDERLY, LOWER INCOME: WINDHAM AND SINGLE-HEADED HOUSEHOLDS), ACCESS BARRIERS (ACCESS TO PRIMARY CARE, INSUFFICIENT SPECIALISTS), LIFESTYLE BARRIERS (OBESITY), CHRONIC DISEASE CONDITIONS (DIABETES, HYPERTENSION AND CHOLESTEROL, HEART DISEASE AND STROKE, MENTAL ILLNESS AND SUBSTANCE ABUSE). NEEDS IDENTIFIED IN 2016 BUT NOT BEING ADDRESSED IN 2016-2018 INCLUDE: VULNERABLE POPULATIONS (GROWING INTERNATIONAL STUDENT POPULATION), ACCESS BARRIERS (COST OF CARE, HEALTH LITERACY AND KNOWLEDGE OF RESOURCES, TRANSPORTATION BARRIERS, ACCESS TO AND AWARENESS OF HEALTHY FOODS), LIFESTYLE BARRIERS (SMOKING), AND CHRONIC DISEASE CONDITIONS (CANCER, MENTAL HEALTH, ASTHMA, RENAL FAILURE AND PNEUMONIA. IMPLEMENTATION STRATEGIES BEGAN IN 2017. DURING 2017 THE PORTAGE MEDICAL CENTER HELD COMMUNITY EVENTS AND PROGRAMS RELATED TO THEIR STRATEGIC INITIATIVES IN WHICH OVER 3,600 COMMUNITY MEMBERS PARTICIPATED. GROUP B-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP B-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP B-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBEDIN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2015 AND 2016 CHNAS EXAMINEECONOMIC INDICATORS, SUCH AS POVERTY, UNEMPLOYMENT, STATE BUDGETDEVELOPMENTS, HOUSEHOLD INCOME AND HEALTH STATUS INDICATORS FROM SOURCESSUCH AS COUNTY HEALTH RANKINGS, THE COMMUNITY HEALTH STATUS INDICATORSPROJECT, THE OHIO DEPARTMENT OF HEALTH, THE U.S. CENTERS FOR DISEASECONTROL AND PREVENTION'S (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM(BRFSS), THE DIGNITY HEALTH COMMUNITY NEEDS INDEX, AND THE U.S. DEPARTMENTOF AGRICULTURE. DATA FROM THE U.S. HEALTH RESOURCES AND SERVICESADMINISTRATION (HRSA) REGARDING FEDERALLY QUALIFIED HEALTH CENTERS.MEDICALLY UNDERSERVED AREAS AND POPULATIONS AND HEALTH PROFESSIONALSHORTAGE AREAS WERE ALSO ASSESSED.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTERFOR HEALTH AFFAIRS AND THE CYPRESS RESEARCH GROUP TO COMPLETE THE DATAASSESSMENT AND SUMMARY PORTIONS OF THE 2015 AND 2016 CHNAS. UNIVERSITYHOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER FOR HEALTH AFFAIRS TOASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITYSERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER FOR HEALTH AFFAIRS IS THELEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ONBEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CYPRESS RESEARCH GROUPPROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESSRESEARCH NEEDS. GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH SAMARITAN MEDICAL CENTER CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH BOTH A RANDOMIZED TELEPHONE SURVEY OF HOUSEHOLDS IN ASHLAND COUNTY, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE ASHLAND CITY HEALTH DISTRICT AND THE ASHLAND COUNTY GENERAL HEALTH DISTRICT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2016 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: DEMOGRAPHICS OF UH SAMARITAN MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS; ECONOMIC ISSUES FACING THE HOSPITAL'S PRIMARY AND SECONDARY MARKET AREAS (E.G. POVERTY, UNEMPLOYMENT); COMMUNITY ISSUES (E.G. ENVIRONMENTAL CONCERNS AND CRIME); HEALTH STATUS INDICATORS (E.G.; MORBIDITY RATES FOR VARIOUS DISEASES AND CONDITIONS, AND MORTALITY RATES FOR LEADING CAUSES OF DEATH); HEALTH ACCESS INDICATORS (E.G. UNINSURED RATES, AMBULATORY CARE SENSITIVE (ACS) DISCHARGES AND USE OF EMERGENCY DEPARTMENTS); HEALTH DISPARITIES INDICATORS AND AVAILABILITY OF HEALTH CARE FACILITIES AND RESOURCES. GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 11: STRATEGIC INITIATIVES INCLUDE: VULNERABLE POPULATIONS (SERVICES FOR THE ELDERLY), ACCESS BARRIERS (INSUFFICIENT SPECIALISTS, HEALTH LITERACY AND KNOWLEDGE OF RESOURCES), LIFESTYLE BARRIERS (OBESITY, SUBSTANCE ABUSE AND SMOKING), CHRONIC DISEASE CONDITIONS (CANCER, ESPECIALLY BREAST CANCER, DIABETES AND HYPERTENSION, HEART DISEASES, MENTAL ILLNESS AND NEUROLOGY). NEEDS IDENTIFIED IN 2016 BUT NOT BEING ADDRESSED IN 2016-2018 INCLUDE: VULNERABLE POPULATIONS (LOWER INCOME SUBSET SINGLE-HEADED HOUSEHOLDS, AMISH POPULATION, SERVICES FOR CHILDREN), ACCESS BARRIERS (COST OF CARE, TRANSPORTATION BARRIERS, ACCESS TO PRIMARY CARE) AND VIOLENCE (DOMESTIC AND CHILD ABUSE).IMPLEMENTATION STRATEGIES BEGAN IN 2017. DURING 2017 THE UH SAMARITAN MEDICAL CENTER HELD COMMUNITY EVENTS AND PROGRAMS RELATED TO THEIR STRATEGIC INITIATIVES IN WHICH OVER 1,600 COMMUNITY MEMBERS PARTICIPATED. GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP.CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. PART V, SECTION B FACILITY REPORTING GROUP C FACILITY REPORTING GROUP C CONSISTS OF: - FACILITY 14: UH AVON REHABILITATION HOSPITAL GROUP C-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE CHNAS EXAMINE ECONOMIC INDICATORS, SUCH AS POVERTY, UNEMPLOYMENT, STATE BUDGET DEVELOPMENTS, HOUSEHOLD INCOME AND HEALTH STATUS INDICATORS FROM SOURCES SUCH AS COUNTY HEALTH RANKINGS, THE COMMUNITY HEALTH STATUS INDICATORS PROJECT, THE OHIO DEPARTMENT OF HEALTH, THE U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION'S (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), THE DIGNITY HEALTH COMMUNITY NEEDS INDEX, AND THE U.S. DEPARTMENT OF AGRICULTURE. DATA FROM THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) REGARDING FEDERALLY QUALIFIED HEALTH CENTERS. MEDICALLY UNDERSERVED AREAS AND POPULATIONS AND HEALTH PROFESSIONAL SHORTAGE AREAS WERE ALSO ASSESSED.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS AND THE CYPRESS RESEARCH GROUP TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTION OF THE 2017 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER FOR HEALTH AFFAIRS IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CYPRESS RESEARCH GROUP PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. GROUP C-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 5: UH AVON REHABILITATION HOSPITAL DEVELOPED A LIST OF HOSPITAL LEADERS FROM UH AVON REHABILITATION HOSPITAL, UH ELYRIA MEDICAL CENTER AND UH ST. JOHN MEDICAL CENTER. FROM THAT COMPREHENSIVE LIST, THE CENTER FOR HEALTH AFFAIRS COMPLETED 9 TELEPHONE INTERVIEWS FROM MARCH 2017 TO APRIL OF 2017. ALL INTERVIEWEES WERE TOLD THE PURPOSE OF THE INTERVIEWS. IN ADDITION, KEY THEMES FROM INTERVIEWS CONDUCTED WITH FIVE PUBLIC HEALTH, BEHAVIORAL HEALTH AND GOVERNMENT LEADERS IN 2015 WERE ALSO INCORPORATED INTO THE SUMMARY. GROUP C-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 11: POOR HEALTH STATUS CAN RESULT IF A COMPLEX INTERACTION OF CHALLENGING SOCIAL, ECONOMIC, ENVIRONMENTAL AND BEHAVIORAL FACTORS COMBINED WITH A LACK OF ACCESS TO CARE IS PRESENT. ADDRESSING THE MORE COMMON "ROOT" CAUSES OF POOR COMMUNITY HEALTH CAN SERVE TO IMPROVE A COMMUNITY'S QUALITY OF LIFE AND TO REDUCE MORTALITY AND MORBIDITY. AFTER CAREFUL ANALYSIS OF BOTH QUALITATIVE AND QUANTITATIVE DATA, UH AVON REHABILITATION HOSPITAL IDENTIFIED ONE BROAD PRIORITY HEALTH NEED THAT IMPACTS THE COMMUNITY SERVED BY THE HOSPITAL WHICH IS OBESITY. THIS PRIORITY WAS SELECTED BASED ON INPUT FROM THE BROAD INTERESTS OF THE COMMUNITY AS WELL AS DATA REGARDING HOSPITAL DISCHARGES AND DATA COLLECTION FROM SECONDARY SOURCES. IN PARTICULAR, THE HIGH PREVALENCE OF CHRONIC DISEASE. THE TOP FIVE LEADING CAUSES OF DEATH IN LORAIN COUNTY WERE CANCER, HEART DISEASE, STROKE, ACCIDENTAL DEATH AND DIABETES. OBESITY TOPPED THE CHART IN TERMS OF MOST PREVALENT MORBIDITY IN ADULTS AND YOUTH (29.4%). THIS INFORMATION WAS DISCUSSED AND VETTED WITH KEY LEADERS FROM THE UH AVON REHABILITATION HOSPITAL CORE TEAM. IN ADDITION TO THE DATA ANALYSIS, OBESITY WAS SELECTED BY UH AVON REHABILITATION HOSPITAL AS THE SOLE PRIORITY BASED ON THE HOSPITAL'S ABILITY TO TRACK OUTCOMES; THE HOSPITAL'S ABILITY TO LEVERAGE RESOURCES WITH PARTNERS AND THEIR CONGRUENCE WITH COUNTY-WIDE INITIATIVES; THE CORRELATION OF OBESITY AND THE ADVERSE IMPACT AS IT RELATES TO REHABILITATION.IMPLEMENTATION STRATEGIES BEGAN IN 2017. GROUP C-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP.CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP C-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES.IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP C-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. PART V, SECTION B FACILITY REPORTING GROUP D FACILITY REPORTING GROUP D CONSISTS OF: - FACILITY 3: UH GEAUGA MEDICAL CENTER GROUP D-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2018 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS COUNTY HEALTH ASSESSMENT, CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITALIZATION ASSOCIATION, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE HOSPITAL COUNCIL OF NORTHWEST OHIO WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS AND THE CYPRESS RESEARCH GROUP TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2018 CHNA. THE HOSPITAL COUNCIL OF NORTHWEST OHIO RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER FOR HEALTH AFFAIRS IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CYPRESS RESEARCH GROUP PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. GROUP D-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 5: UH GEAUGA MEDICAL CENTER'S 2018 ASSESSMENT TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH BOTH A RANDOMIZED MAIL SURVEY OF HOUSEHOLDS IN GEAUGA COUNTY, AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE GEAUGA COUNTY HEALTH DISTRICT AND THE LAKE COUNTY HEALTH DISTRICT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENT PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. 1,200 SURVEYS WERE MAILED TO ADULTS IN GEAUGA COUNTY AND HAD A RESPONSE RATE OF 40%. THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSES IN THE ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. THE 2018 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: HEALTHCARE ACCESS INDICATORS (E.G. COVERAGE, UTILIZATION, WOMEN'S HEALTH EXAMS, MEN'S HEALTH EXAMS, AND ORAL HEALTH EXAMS); HEALTH BEHAVIORS INDICATORS (E.G. HEALTH STATUS PERCEPTIONS, ADULT TOBACCO, DRUG, AND ALCOHOL USE, SEXUAL BEHAVIOR, AND MENTAL HEALTH); CHRONIC DISEASE (E.G. CARDIOVASCULAR HEALTH, CANCER, ASTHMA, ARTHRITIS, DIABETES); SOCIAL CONDITIONS INDICATORS; CHILD HEALTH INDICATORS (E.G. HEALTHCARE ACCESS, EARLY CHILDHOOD HEALTH, PARENT HEALTH, FAMILY FUNCTIONING AND COMMUNITY CHARACTERISTICS). GROUP D-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2019 IMPLEMENTATION STRATEGY FOR UH GEAUGA MEDICAL CENTER IDENTIFIES THE FOLLOWING THREE PRIORITY HEALTH NEEDS:PRIORITY HEALTH NEED #1: MENTAL HEALTH AND ADDICTION- STRATEGY #1: DECREASE DRUG ABUSE AMONG ADULTS WITH COORDINATED CARE- STRATEGY #2: FIRST RESPONDER OVERDOSE RESPONSE TRAINING (NALOXONE ACCESS)PRIORITY HEALTH NEED #2: CHRONIC DISEASE- STRATEGY #1: INCREASE WELLNESS SCREENINGS- STRATEGY #2: SCREENING EVENTS- STRATEGY #3: CANCER SCREENING EVENTS- STRATEGY #4: CHRONIC DISEASE EDUCATION- STRATEGY #5: INITIATE AN OUTPATIENT CHRONIC DISEASE CLINICPRIORITY HEALTH NEED #3: MATERNAL AND INFANT HEALTH- STRATEGY #1: BREASTFEEDING PROMOTION PROGRAMSCROSS-CUTTING FACTOR: PUBLIC HEALTH SYSTEM, PREVENTION AND HEALTH BEHAVIORS- STRATEGY #1: CHILD-SPECIFIC EDUCATION- STRATEGY #2: AMISH OUTREACH PROGRAMSNEEDS IDENTIFIED IN THE 2018 CHNA BUT NOT BEING ADDRESSED BY THE HOSPITAL INCLUDE: CAMPAIGN TO PROMOTE THE AVAILABILITY OF ADDICTION PREVENTION RESOURCES, SCHOOL-BASED NUTRITION PROGRAMMING, WIC VOUCHER DISTRIBUTION, AND SMOKE-FREE WORKSITE/HOUSING ADVOCACY. THESE NEEDS ARE BEING ADDRESSED BY OTHER GEAUGA PARTNERS BASED ON THEIR SPECIFIC EXPERTISE, EXPERIENCES, OR RESOURCES. GROUP D-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP D-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP D-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. 62 1 - UH CHAGRIN HIGHLANDS MEDICAL CENTER 3909 ORANGE PLACE ORANGE VILLAGE OH 44122 OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC 2 - UH WESTLAKE HEALTH CENTER 960 CLAGUE ROAD WESTLAKE OH 44145 OUTPATIENT HEALTH CENTER& SURGICAL CENTER & RAINBOW 3 - UH SEIDMAN CANCER CENTER AT MONARCH 5885 LANDERBROOK DRIVE MAYFIELD HEIGHTS OH 44124 OUTPATIENT HEALTH CENTER 4 - UH TWINSBURG HEALTH CENTER 8819 COMMONS BLVD SUITE 100 TWINSBURG OH 44087 OUTPATIENT HEALTH CENTER& RAINBOW SPECIALY CLINIC 5 - UH SHARON HEALTH CENTER 5133 RIDGE RD WADSWORTH OH 44281 OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC 6 - UH MENTOR HEALTH CENTER 9000 MENTOR AVENUE MENTOR OH 44060 OUTPATIENT HEALTH CENTER& SURGICAL CENTER & RAINBOW 7 - UH CONCORD HEALTH CENTER 7500 AUBURN ROAD PAINSVILLECONCORD J OH 44077 OUTPATIENT HEALTH CENTER, URGENT CARE 8 - UH LYNDHURST SURGERY CENTER 29017 CEDAR ROAD LYNDHURST OH 44124 SURGICAL CENTER 9 - UH MEDINA HEALTH CENTER OUTPATIENT HEALT 4001 CARRICK DR MEDINA OH 44256 OUTPATIENT HEALTH CENTER& RAINBOW SPECIALTY CLINIC 10 - UH LANDERBROOK HEALTH CENTER 5850 LANDERBROOK DRIVE MAYFIELD HEIGHTS OH 44124 OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC 11 - UH EUCLID HEALTH CENTER 18599 LAKE SHORE BLVD EUCLID OH 44119 OUTPATIENT HEALTH CENTER 12 - UH MAYFIELD VILLAGE HEALTH CENTER 730 SOM CENTER ROAD SUITE 110 MAYFIELD VILLAGE OH 44143 OUTPATIENT HEALTH CENTER 13 - UH UNIVERSITY SUBURBAN HEALTH CENTER 1611 SOUTH GREEN ROAD SOUTH EUCLID OH 44121 OUTPATIENT HEALTH CENTER& RAINBOW SPECIALTY CLINIC 14 - UH HUDSON HEALTH CENTER 5778 DARROW ROAD HUDSON OH 44236 OUTPATIENT HEALTH CENTER 15 - UH MADISON HEALTH CENTER 701 NORTH LAKE STREET MADISON OH 44057 OUTPATIENT HEALTH CENTER 16 - UH ASHTABULA HEALTH CENTER 2131 LAKE AVENUE ASHTABULA OH 44004 OUTPATIENT HEALTH CENTER 17 - UH OTIS MOSS JR HEALTH CENTER 8819 QUINCY AVENUE CLEVELAND OH 44106 OUTPATIENT HEALTH CENTER 18 - UH SOLON HEALTH CENTER 34055 SOLON ROAD SOLON OH 44139 OUTPATIENT HEALTH CENTER 19 - UH AURORA HEALTH CENTER 55 NORTH CHILLICOTHE ROAD AURORA OH 44202 OUTPATIENT HEALTH CENTER 20 - UH FOLEY ELDER HEALTH CENTER 3619 PARK EAST DRIVE BEACHWOOD OH 44122 OUTPATIENT HEALTH CENTER 21 - UH WELLPOINTE HEALTH CENTER 303 E ROYALTON RD BROADVIEW HTS OH 44147 DIAGNOSTIC AND THERAPY CENTER 22 - PARMA MEDICAL ARTS BUILDING 4 6115 POWERS BLVD PARMA OH 44129 DIAGNOSTIC IMAGING& RAINBOW SPECIALTY CLINIC 23 - UH AVON HEALTH CENTER 1997 HEALTHWAY ROAD AVON OH 44011 LAB , IMAGING, REHABILITATION, FITNESS CENTER SERVICES, 24 - UH AMHERST HEALTH CENTER 254 CLEVELAND ROAD AMHERST OH 44001 LAB, 24 HOUR ER, IMAGING 25 - UH BAINBRIDGE HEALTH CENTER 8185 E WASHINGTON ST CHAGRIN FALLS OH 44023 OUTPATIENT HEALTH CENTER 26 - UH CHESTERLAND HEALTH CENTER 8055 MAYFIELD RD CHESTERLAND OH 44026 OUTPATIENT HEALTH CENTER 27 - UH FAIRLAWN HEALTH CENTER 3800 EMBASSY PKWY AKRON OH 44333 OUTPATIENT HEALTH CENTER 28 - UH GEAUGA HEALTH CENTER 13221 RAVENNA RD CHARDON OH 44024 OUTPATIENT HEALTH CENTER 29 - UH INDEPENDENCE HEALTH CENTER 6150 OAK TREE BLVD INDEPENDENCE OH 44131 OUTPATIENT HEALTH CENTER 30 - UH WESTSHORE PRIMARY CARE 26908 DETROIT ROAD WESTLAKE OH 44145 OUTPATIENT HEALTH CENTER 31 - UH KENT HEALTH CENTER 401 DEVON PLACE KENT OH 44240 OUTPATIENT HEALTH CENTER 32 - UH MANTUA HEALTH CENTER 10803 MAIN ST MANTUA OH 44255 OUTPATIENT HEALTH CENTER 33 - UH SHEFFIELD HEALTH CENTER 5001 TRANSPORTATION DRIVE SHEFFIELD LAKE OH 44054 OUTPATIENT HEALTH CENTER 34 - UH STREETSBORO HEALTH CENTER 9318 STATE ROUTE 14 STREETSBORO OH 44241 OUTPATIENT HEALTH CENTER 35 - UH WALDEN HEALTH CENTER 700 WALDEN PL AURORA OH 44202 OUTPATIENT HEALTH CENTER 36 - CENTER FOR WOUND CARE LABORATORY SERVICE 133 E BROAD STREET ELYRIA OH 44035 ANCILLARY SERVICES 38 - ELYRIA FAMILY PRACTICE LABORATORY SVCS 5319 MEADOW LN ELYRIA OH 44035 ANCILLARY SERVICES 39 - GRAFTON FAMILY CARE LABORATORY SERVICES 489 MAIN ST GRAFTON OH 44044 ANCILLARY SERVICES 40 - NORTH ROYALTON LABORATORY SVCS 14200 RIDGE RD NORTH ROYALTON OH 44131 ANCILLARY SERVICES 41 - UH EUCLID HEALTH CENTER LABORATORY SVCS 18599 LAKESHORE BLVD CLEVELAND OH 44119 ANCILLARY SERVICES 42 - UH PARMA OUTPATIENT CENTER 6305 POWERS BLVD PARMA OH 44129 ANCILLARY SERVICES 43 - FIRELANDS REGIONAL MEDICAL CENTER 1912 HAYES AVE SOUTH CAMPUS SANDUSKY OH 44870 RAINBOW SPECIALTY CLINIC 44 - PEDIATRIC OPHTHALMOLOGY RAINBOW SPECIALT 6001 LANDERHAVEN DR MAYFIELD HEIGHTS OH 44124 RAINBOW SPECIALTY CLINIC 45 - UH RAINBOW PHYSICIANS AND SURGEONS 4137 BOARDMAN CANFIELD RD CANFIELD OH 44406 RAINBOW SPECIALTY CLINIC 46 - UH BROADVIEW HEIGHTS HEALTH CENTER 5901 E ROYALTON ROAD BROADWAY HEIGHTS OH 44147 OUTPATIENT HEALTH CENTER 47 - EMC PHLEBOTOMY AMBULATORY CARE CENTER 630 E RIVER STREET ELYRIA OH 44035 ANCILLARY SERVICES 48 - INTERNAL MEDICINE SPECIALISTS 96 GRAHAM ROAD SUITE A CUYAHOGA FALLS OH 44223 ANCILLARY SERVICES 49 - UH ASHLAND QCARE 350 HILLCREST DRIVE ASHLAND OH 44805 URGENT CARE 51 - UH ASHTABULA HEALTH CENTER 3315 N RIDGE ROAD ASHTABULA OH 44004 URGENT CARE, RADIOLOGY 52 - UH AKRON - URGENT CARE 145 WEST AVENUE TALLMADGE OH 44278 URGENT CARE 53 - UH STRONSVILLE 18181 PEARL ROAD SUITE 3104 STRONGSVILLE OH 44136 URGENT CARE 54 - UH KENT HEALTH CENTER 411 DEVON PLACE KENT OH 44240 LAB 55 - UH EVANS MIDDLEFIELD 15976 E HIGH STREET MIDLEFIELD OH 44062 RADIOLOGY 56 - UH PAINESVILLE 470 BACON ROAD PAINESVILLE OH 44077 RADIOLOGY 57 - UH ANDOVER HEALTH CENTER 476 S MAIN STREET ANDOVER OH 44003 OUTPATIENT HEALTH CENTER 58 - UH CHAGRIN HIGHLANDS HEALTH CENTER 3909 ORANGE PLACE BEECHWOOD OH 44122 OUTPATIENT HEALTH CENTER, RADIOLOGY 59 - UH BROOK PARK (PARTNER WITH SOUTHWEST) 15900 SNOW ROAD SUITE 200 BROOK PARK OH 44142 URGENT CARE, RADIOLOGY 60 - UH BEDFORD MEDICAL CENTER 50 BLAINE AVENUE SUITE 2100 BEDFORD OH 44146 LAB 61 - UH BROOK PARK IMAGING CENTER 5260 SMITH ROAD BROOK PARK OH 44142 RADIOLOGY 62 - UH LOUDONVILLE STATCARE 26127 LORAIN ROAD SUITE 100 NORTH OLMSTED OH 44070 OUTPATIENT HEALTH CENTER, URGENT CARE 63 - UH HOME CARE 4510 RICHMOND ROAD CLEVELAND OH 44128 HOME CARE 64 - UH NORTH RIDGEVILLE HEALTH CENTER 32800 LORAIN ROAD NORTH RIDGEVILLE OH 44039 OUTPATIENT HEALTH CENTER PART I, LINE 3C: PLEASE REFER TO SCHEDULE H, PART V, LINE 13 A-H. PART I, LINE 6A: THE PARENT ORGANIZATION, UNIVERSITY HOSPITALS (34-0714775), PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT ENCOMPASSES ALL OF THE UNIVERSITY HOSPITALS HEALTH SYSTEM INCLUDING THE SUBORDINATE ORGANIZATIONS COMPLETING SCHEDULE H. PART I, LINE 7: AMOUNTS CALCULATED AND REPORTED IN THIS TABLE WERE DERIVED FROM THE MOST ACCURATE, AVAILABLE SOURCES. A COST-TO-CHARGE RATIO WAS USED TO DETERMINE FINANCIAL ASSISTANCE COST USING HOSPITAL FINANCIAL STATEMENTS. MEDICAID SHORTFALL FOR GROUP SUBORDINATES WAS CALCULATED; 1) BASED ON THE TAX YEAR'S MEDICAID COST REPORT ADJUSTED TO REFLECT FULL COSTS TO DIRECT OFFSETTING REVENUE FROM THE MEDICAID COST REPORT, OR 2) BASED ON A COST-TO-CHARGE RATIO AND MEDICAID REVENUES DERIVED USING FINANCIAL STATEMENTS. INCLUDED IN THIS MEDICAID SHORTFALL IS THE OHIO STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP) SHORTFALL. COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BENEFIT OPERATIONS COSTS HAVE BEEN REPORTED BASED ON ACTUAL DIRECT COSTS USING ACTUAL OR AVERAGE EMPLOYEE COMPENSATION RATES AND ADDING INDIRECT COSTS WHICH ARE CALCULATED BY A COST ACCOUNTING SYSTEM AS A PERCENTAGE OF TOTAL COST. THE MEDICARE COST REPORT, ADJUSTED TO REFLECT FULL COSTS, WAS USED TO DETERMINE GROSS COMMUNITY BENEFIT EXPENSE AMOUNTS FOR HEALTH PROFESSIONS EDUCATION. DIRECT OFFSETTING REVENUES ARE INCLUDED FROM MEDICARE, CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION, AND MEDICAID FOR DIRECT MEDICAL EDUCATION. RESEARCH AMOUNTS WERE ALSO BASED ON THE MEDICARE COST REPORT, ADJUSTED TO REFLECT FULL COSTS, USING COSTS ASSIGNED TO RESEARCH COST CENTERS, LESS INDUSTRY-SPONSORED RESEARCH DIRECT AND INDIRECT COSTS. THE EXPENSE OF RESTRICTED CASH CONTRIBUTIONS IS REPORTED BASED ON THE ACTUAL VALUE OF THE CONTRIBUTION BEFORE INDIRECT COST. RESTRICTED IN-KIND CONTRIBUTIONS ARE REPORTED AT FAIR MARKET VALUE. IN CALCULATING GROSS AND NET COMMUNITY BENEFIT EXPENSES, CARE WAS TAKEN TO AVOID DOUBLE-COUNTING COMMUNITY BENEFIT EXPENSES. THE SYSTEM'S NET COMMUNITY BENEFIT CONTRIBUTION FOR FISCAL YEAR 2018 TOTALED $383 MILLION AS COMPARED TO THE 2017 COMMUNITY BENEFIT TOTAL OF $325 MILLION. THE 2018 COMMUNITY BENEFIT NUMBER CONSISTED OF CHARITY CARE ($47 MILLION), MEDICAID SHORTFALL ($212 MILLION), RESEARCH ($37 MILLION), EDUCATION AND TRAINING ($82 MILLION), AND COMMUNITY HEALTH IMPROVEMENT SERVICES, PROGRAMS AND SUPPORT ($24 MILLION), LESS HOSPITAL CARE ASSURANCE PROGRAM ("HCAP") ($19 MILLION). TO MEASURE AND REPORT COMMUNITY BENEFIT, THE SYSTEM HAS FOLLOWED INTERNAL REVENUE SERVICE GUIDELINES. AS SUCH, THE INFORMATION FOR 2018 REPRESENTS THE REVISED REQUIREMENT TO OFFSET VARIOUS COMMUNITY BENEFIT PROGRAMS WITH RELATED REVENUE RECEIVED. FOR 2018, THIS REVENUE OFFSET WAS $19 MILLION. THE 2017 INFORMATION PROVIDED ABOVE ($325 MILLION) INCLUDED A REVENUE OFFSET OF $20 MILLION. PART I, LINE 7G: LINE 7G INCLUDES THE COSTS AND DIRECT OFFSETTING REVENUE ASSOCIATED WITH CERTAIN HOSPITAL SERVICES THAT QUALIFY TO BE REPORTED AS A SUBSIDIZED HEALTH SERVICE. THE TOTAL AMOUNT OF GROSS COMMUNITY BENEFIT EXPENSE INCLUDED IN LINE 7G FOR THESE CLINICS IS: $39,101,243. THE TOTAL AMOUNT OF ASSOCIATED DIRECT OFFSETTING REVENUE IS $27,879,765. THE TOTAL AMOUNT OF NET COMMUNITY BENEFIT EXPENSE INCLUDED IN LINE 7G IS $11,221,478. PART II, COMMUNITY BUILDING ACTIVITIES: ALTHOUGH DIFFICULT TO MEASURE AND NOT REPORTED NUMERICALLY, UH BENEFITS THE COMMUNITY THROUGH IMPORTANT COMMUNITY BUILDING ACTIVITIES THAT ULTIMATELY PROMOTE IMPROVED HEALTH AND WELL-BEING FOR THE SURROUNDING POPULATION. GUIDED BY OUR COMMUNITY HEALTH NEEDS ASSESSMENTS AND COMMUNITY HOSPITAL BOARDS OF DIRECTORS, UH CONTINUES TO MEET COMMUNITY NEEDS THROUGH ECONOMIC DEVELOPMENT OPPORTUNITIES, LOCAL, REGIONAL AND NATIONAL DISASTER PREPAREDNESS EFFORTS, ADVOCACY AND COALITION BUILDING, AMONG OTHERS. PART III, LINE 2: THE COST OF BAD DEBT IS CALCULATED USING A COST TO CHARGE RATIO.ALLOWANCES ARE MADE FOR ESTIMATED DOUBTFUL ACCOUNTS BASED ON HISTORICAL EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS. PART III, LINE 3: THERE IS NO ESTIMATED AMOUNT (ZERO) OF BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER THE FINANCIAL ASSISTANCE POLICY. FOR PATIENTS WHO QUALIFY, THOSE PATIENTS ARE DEEMED TO BE UNABLE TO PAY AND ARE THEREFORE WRITTEN OFF TO CHARITY RATHER THAN BAD DEBT. FORM 990, SCHEDULE H, PART II, COMMUNITY BUILDING ACTIVITIES COMMITMENT TO THE COMMUNITY REMAINS AT THE CORE OF THE SYSTEM'S MISSION: TO HEAL. TO TEACH. TO DISCOVER. THE SYSTEM SUPPORTS NUMEROUS COMMUNITY BUILDING ACTIVITIES THROUGH ALL SYSTEM ENTITIES AND NOT JUST THOSE REPORTED WITHIN THE UH GROUP 990. MANY OF OUR COMMUNITY BUILDING ACTIVITIES ARE DIFFICULT TO QUANTIFY OR REPORT WITHIN THE SPECIFIC CATEGORIES PROVIDED IN SCHEDULE H, AS THEY OCCUR SYSTEM-WIDE AND NOT AT SPECIFIC ENTITY LEVELS.THE SYSTEM IS PROUD TO CONTRIBUTE TO THE ECONOMIC GROWTH OF THE COMMUNITIES WE SERVE. THE UH HEALTH SYSTEM PROVIDES EMPLOYMENT DIRECTLY FOR OVER 27,500 EMPLOYEES AND PHYSICIANS. UH SUPPORTS THE ECONOMY AS WELL AS STATE AND LOCAL GOVERNMENTS. SYSTEM EMPLOYEES PAID MORE THAN $99 MILLION IN STATE AND LOCAL INCOME TAXES DURING 2018.UH PROVIDED MANY MORE COMMUNITY BUILDING ACTIVITIES, DIRECTLY AND INDIRECTLY, THROUGH NEW OR EXPANDED BUSINESS OPPORTUNITIES AND THROUGH IMPORTANT CAPITAL INVESTMENTS IN OUR FACILITIES. UH HAS COMMITTED - AND CONTINUES TO COMMIT - MILLIONS OF DOLLARS TO FACILITIES AND OPERATIONS WITHIN THE CITY OF CLEVELAND AND THROUGHOUT OUR REGION, PROVIDING CONSTRUCTION AND HOSPITAL-BASED JOBS. NEW STATE-OF-THE-ART OUTPATIENT HEALTH CENTERS IN THE REGION HAVE SPURRED ECONOMIC GROWTH WHILE GIVING PEOPLE ACCESS TO THE CARE THEY NEED CLOSE TO HOME AND EXPANDING OUR COMMUNITY BENEFIT PROGRAMS. THE SYSTEM'S SUPPLY CHAIN MANAGEMENT STRATEGY ENCOMPASSES SUPPLIER DIVERSITY TO INCLUDE MINORITY AND WOMEN-OWNED BUSINESS ENTERPRISES PROVIDING THEM OPPORTUNITIES TO BE OUR PARTNERS AND SUPPLIERS OF GOODS AND SERVICES THROUGHOUT THE SYSTEM.THE SYSTEM SEEKS TO INCORPORATE ENVIRONMENTAL RESPONSIBILITY AND IS WORKING TOWARDS REDUCING ITS ENVIRONMENTAL FOOTPRINT THROUGHOUT THE COMMUNITIES IT SERVES. WITH REGARD TO UH BUILDINGS AND MAJOR RENOVATIONS, UH ENDEVORS TO INCORPORATE DESIGN AND CONSTRUCTION STRATEGIES OF THIRD-PARTY BEST-PRACTICE GUIDES SUCH AS THE U.S. GREEN BUILDING COUNCIL'S LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED)CERTIFICATION SYSTEM, THE EPA'S ENERGY STAR PERFORMANCE RATING, AND HEALTHCARE WITHOUT HARM'S GREEN GUIDE FOR HEALTHCARE. RECENT CONSTRUCTION PROJECTS HAVE INCORPORATED SUSTAINABLE DESIGN STRATEGIES. PART III, LINE 8: UH HOSPITALS PROVIDE SERVICES TO MANY LOW-INCOME MEDICARE RECIPIENTS. THE MEDICARE LOSSES SUSTAINED AT THESE HOSPITALS ARE A RESULT OF MEDICARE REIMBURSING AT LESS THAN OPERATING COSTS. IRS REV. RUL. 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR HOSPITALS, PROVIDES THAT IF A HOSPITAL SERVES PATIENTS COVERED BY GOVERNMENTAL HEALTH BENEFITS (INCLUDING MEDICARE), THEN THIS INDICATES THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. IN TURN, TREATING MEDICARE PATIENTS IS CONSIDERED A COMMUNITY BENEFIT. COSTS WERE DERIVED USING THE MEDICARE COST REPORT. PART III, LINE 9B: PATIENT LIABILITIES FOR SERVICES RENDERED BY UH HOSPITAL FACILITIES SHALL BE COLLECTED FROM ALL PATIENTS. AMOUNTS OWED BY PATIENTS QUALIFYING FOR CHARITY CARE UNDER THE UH HOSPITALS FACILITIES' CHARITY/FINANCIAL ASSISTANCE POLICY SHALL NOT BE BILLED TO PATIENTS AT AMOUNTS THAT ARE MORE THAN THE AMOUNTS GENERALLY BILLED TO MEDICARE PATIENTS.IF A PATIENT QUALIFIES FOR A 100% FINANCIAL ASSISTANCE DISCOUNT, COLLECTION OF THE ACCOUNT IS NOT PURSUED. IF A PATIENT RECEIVES A PARTIAL DISCOUNT DUE TO MEDICAL INDIGENCY UNDER THE FINANCIAL ASSISTANCE POLICY, ANY REMAINING BALANCE NOT DISCOUNTED IS TREATED IN ACCORDANCE WITH THE UH HOSPITALS COLLECTION POLICY. PART VI, LINE 2: UH ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITIES AS PART OF THE REGULAR STRATEGIC PLANNING PROCESS WHICH INCLUDES ASSESSMENTS OF ENVIRONMENTAL, DEMOGRAPHIC, AND ECONOMIC FACTORS. THE SYSTEM ALSO USES UH PATIENT SURVEYS REGARDING HEALTH CARE UTILIZATION AND WORKS ACTIVELY WITH VARIOUS PARTNERS THROUGHOUT THE COMMUNITIES WE SERVE. UH HAS WORKED WITH COMMUNITY ORGANIZATIONS IN ITS MEDICAL CENTERS' SERVICE AREAS (I.E. NEIGHBORHOOD CONNECTIONS, LOCAL DEPARTMENTS OF PUBLIC HEALTH, LOCAL DISEASE FOUNDATIONS, ETC.). THE SYSTEM WORKS CLOSELY WITH LOCAL GOVERNMENTS AND ELECTED OFFICIALS TO UNDERSTAND THEIR COMMUNITIES' NEEDS AND WORK TO IMPLEMENT PROGRAMS AND ACTIVITIES TO ASSIST IN RESPONDING TO THOSE NEEDS. THE MEMBERS OF VARIOUS UH BOARDS ARE ACTIVE MEMBERS WITHIN THE COMMUNITIES SERVED AND PROVIDE AN UNDERSTANDING OF AND COLLABORATIVE FEEDBACK RELATED TO THE NEEDS OF THE COMMUNITIES.THE SYSTEM IS PROUD TO CONTRIBUTE TO THE HEALTH OF ITS CITIZENS AND TO BE A POSITIVE ECONOMIC FORCE IN ITS REGION. FOR MORE DETAILED INFORMATION ON THE SYSTEM'S COMMUNITY BENEFIT OR TO VIEW THE 2018 COMMUNITY BENEFIT REPORT, PLEASE VISIT THE SYSTEM'S WEBSITE AT WWW.UHHOSPITALS.ORG. PART VI, LINE 3: UH INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT OPTIONS FOR RESOLUTION OF THEIR BALANCES, INCLUDING ASSISTANCE UNDER GOVERNMENT PROGRAMS AND UNDER THE UH FINANCIAL ASSISTANCE PROGRAM ("ASSISTANCE PROGRAM") IN A VARIETY OF WAYS. SIGNAGE FOR THE STATE OF OHIO HEALTH CARE ASSURANCE PROGRAM (HCAP) AND THE UH PATIENT FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND IN LOCATIONS WHERE PATIENTS REGISTER FOR CARE, PATIENT ACCESS AREAS, AND VARIOUS POINTS OF ENTRY SUCH AS UH EMERGENCY DEPARTMENTS. SUPPLEMENTAL BROCHURES THAT REFLECT THE UH PATIENT FINANCIAL ASSISTANCE PROGRAM AND THE HCAP PROGRAM ARE ALSO AVAILABLE. INFORMATION ABOUT THE ASSISTANCE PROGRAM CAN ALSO BE FOUND ON THE UH WEBSITE IN ADDITION TO BEING PROVIDED ON THE BACKS OF PATIENT STATEMENTS, INCLUDING A TOLL FREE PHONE NUMBER TO CALL FOR ASSISTANCE FROM A UH FINANCIAL COUNSELOR. PART VI, LINE 4: REPORTING GROUPS A, B, C, AND DFACILITY 1 -- UH CLEVELAND MEDICAL CENTERFACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITALFACILITY 4 -- UH AHUJA MEDICAL CENTERFACILITY 5 -- UH REGIONAL HOSPITALSFACILITY 8 -- UH PARMA MEDICAL CENTERFACILITY 10 -- UH ST. JOHN MEDICAL CENTERFACILITY 13 -- UH BEACHWOOD REHABILITATION HOSPITALTHE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS CUYAHOGA COUNTY. THE TOTAL POPULATION FOR CUYAHOGA COUNTY IS 1,249,352. 59.2% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 29.1% AFRICAN AMERICAN, 5.7% HISPANIC OR LATINO, AND 6% AS MORE THAN ONE RACE OR OTHER. CUYAHOGA COUNTY ALSO ENCOMPASSES THE CITY OF CLEVELAND. THE TOTAL POPULATION FOR THE CITY OF CLEVELAND IS 385,810. 34.5% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 49.1% AFRICAN AMERICAN, 11% HISPANIC OR LATINO, AND 5.4% AS MORE THAN ONE RACE OR OTHER. CUYAHOGA COUNTY'S POPULATION IS GROWING OLDER, ON AVERAGE. THE 2016 POPULATION ESTIMATES INDICATE MINOR DIFFERENCES BETWEEN CUYAHOGA COUNTY OVERALL AND THE CITY OF CLEVELAND WITH RESPECT TO AGE GROUPS AND GENDER. ALTHOUGH SMALL, THE MOST NOTABLE DIFFERENCES INCLUDE A GREATER PERCENTAGE OF PERSONS 18 TO 34 YEARS OF AGE LIVING IN THE CITY OF CLEVELAND COMPARED TO CUYAHOGA COUNTY AS A WHOLE. CONVERSELY, A GREATER PERCENTAGE OF INDIVIDUALS AGED 65 AND OVER ARE LIVING IN CUYAHOGA COUNTY OVERALL COMPARED TO THE CITY OF CLEVELAND. THE AVERAGE LIFE EXPECTANCY IN CUYAHOGA COUNTY IS 76.4 YEARS OLD COMPARED TO 72.2 YEARS OLD IN THE CITY OF CLEVELAND. 89.5% OF THE POPULATION IN CUYAHOGA COUNTY HAS A HIGH SCHOOL DIPLOMA OR EQUIVALENT, AND 81% IN THE CITY OF CLEVELAND. 18.1% OF THE POPULATION OF THE COUNTY IS BELOW THE POVERTY LINE COMPARED TO 35% IN THE CITY OF CLEVELAND. BOTH OF WHICH ARE HIGHER THAN THE 15.8% AVERAGE IN OHIO. FACILITY 3 -- UH GEAUGA MEDICAL CENTER THE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS GEAUGA COUNTY. THE TOTAL POPULATION FOR GEAUGA COUNTY IS 94,020. 96.7% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 1.3% AS HISPANIC OR LATINO, 1.3% AFRICAN AMERICAN, AND 2.3% AS MORE THAN ONE RACE OR OTHER. THE MEDIAN AGE IS 44.2 YEARS OLD. THE AVERAGE HOUSEHOLD SIZE IS 2.67 PEOPLE AND THE AVERAGE FAMILY SIZE IS 3.1 PEOPLE. THE MEDIAN HOME VALUE FOR THE COUNTY IS $221,500. 91.1% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA OR EQUIVALENT OR HIGHER EDUCATION LEVEL, OF THAT 37.3% HAS A BACHELOR DEGREE OR HIGHER LEVEL OF EDUCATION. THE PER CAPITA PERSONAL INCOME FOR THE COUNTY IS $36,337. 7.5% OF THE POPULATION OF THE COUNTY IS BELOW THE POVERTY LINE COMPARED TO THE AVERAGE 15.8% IN OHIO.FACILITY 6 -- UH GENEVA MEDICAL CENTERFACILITY 7 -- UH CONNEAUT MEDICAL CENTERTHE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS ASHTABULA COUNTY. THE TOTAL POPULATION FOR ASHTABULA COUNTY IS 99,175. 93% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 2.9% AS HISPANIC OR LATINO, 3.5% AFRICAN AMERICAN, .4% ASIAN, AND 3.1% AS MORE THAN ONE RACE OR OTHER. THE MEDIAN AGE IS 42.2 YEARS OLD. THE AVERAGE HOUSEHOLD SIZE IS 2.47 PEOPLE AND THE AVERAGE FAMILY SIZE IS 3.05 PEOPLE. THE MEDIAN HOME VALUE FOR THE COUNTY IS $104,700. 85.4% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA OR EQUIVALENT OR HIGHER EDUCATION LEVEL, OF THAT 13.1% HAS A BACHELOR DEGREE OR HIGHER LEVEL OF EDUCATION. THE PER CAPITA PERSONAL INCOME FOR THE COUNTY IS $23,266. 20.1% OF THE POPULATION OF THE COUNTY IS BELOW THE POVERTY LINE COMPARED TO THE AVERAGE 15.8% IN OHIO.FACILITY 9 -- UH ELYRIA MEDICAL CENTERTHE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS LORAIN COUNTY. THE TOTAL POPULATION FOR LORAIN COUNTY IS 304,091. 85.4% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 9.3% AS HISPANIC OR LATINO, 8.5% AFRICAN AMERICAN, 1% ASIAN, AND 5.1% AS MORE THAN ONE RACE OR OTHER. THE MEDIAN AGE IS 41.2 YEARS OLD. THE AVERAGE HOUSEHOLD SIZE IS 2.5 PEOPLE AND THE AVERAGE FAMILY SIZE IS 3.04 PEOPLE. THE MEDIAN HOME VALUE FOR THE COUNTY IS $138,600. 89.2% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA OR EQUIVALENT OR HIGHER EDUCATION LEVEL, OF THAT 23.5% HAS A BACHELOR DEGREE OR HIGHER LEVEL OF EDUCATION. THE PER CAPITA PERSONAL INCOME FOR THE COUNTY IS $27,537. 14.4% OF THE POPULATION OF THE COUNTY IS BELOW THE POVERTY LINE COMPARED TO THE AVERAGE 15.8% IN OHIO.FACILITY 11 -- UH PORTAGE MEDICAL CENTERUH PORTAGE MEDICAL CENTER IS LOCATED IN THE CITY OF RAVENNA IN PORTAGE COUNTY, OHIO. PORTAGE COUNTY IS LOCATED DIRECTLY EAST OF SUMMIT COUNTY (AKRON METRO AREA) AND SOUTHEAST OF CUYAHOGA COUNTY (CLEVELAND METRO AREA). THE HOSPITAL'S MARKET AREA INCLUDES 15 MUNICIPALITIES (EIGHT IN ITS PRIMARY MARKET AREA AND SEVEN IN ITS SECONDARY MARKET AREA). IT IS ALMOST COMPLETELY CONTAINED WITHIN PORTAGE COUNTY, OHIO. IN 2014, THE HOSPITAL HAD 6,358 DISCHARGED PATIENTS. OF THOSE, 5,316 WERE IN THE HOSPITAL'S PRIMARY MARKET AREA (83.6%) AND 622 (9.8%) WERE IN THE HOSPITAL'S SECONDARY MARKET AREA. THE CITY OF RAVENNA WAS HOME TO ONE-THIRD OF DISCHARGED PATIENTS IN 2014 (37.1%), ALTHOUGH ONLY 15.5% OF THE TOTAL MARKET AREA'S POPULATION LIVES IN RAVENNA. THE CITY OF KENT IS THE SECOND MOST COMMON SOURCE OF PATIENTS FOR THE HOSPITAL (17.7%).FACILITY 12 -- UH SAMARITAN MEDICAL CENTERUH SAMARITAN MEDICAL CENTER IS LOCATED IN ASHLAND, OHIO, WITHIN ASHLAND COUNTY, A RURAL COUNTY LOCATED SOUTHWEST OF CUYAHOGA COUNTY (CLEVELAND METRO AREA) AND NORTHEAST OF FRANKLIN COUNTY (COLUMBUS METRO AREA). ASHLAND COUNTY IS COMPRISED OF CITIES, VILLAGES AND TOWNSHIPS. ITS COUNTY SEAT IS THE CITY OF ASHLAND, WHERE THE HOSPITAL IS LOCATED. ITS 2010 POPULATION WAS ABOUT 53,000. THE PRIMARY SERVICE AREA FOR THE HOSPITAL INCLUDES ALMOST ALL OF ASHLAND COUNTY. ITS MARKET AREA (MOSTLY SECONDARY MARKET AREA) SLIGHTLY EXPANDS INTO HURON, LORAIN, MEDINA, WAYNE, MORROW, KNOX AND HOLMES COUNTIES. THE HOSPITAL'S SECONDARY MARKET AREA ALSO INCLUDES ALMOST ALL OF RICHLAND COUNTY, JUST TO THE WEST OF ASHLAND COUNTY. THE MUNICIPALITIES OF ASHLAND, JEROMESVILLE, LOUDONVILLE, NOVA, PERRYSVILLE, POLK, SAVANNAH AND SULLIVAN COMPRISE THE HOSPITAL'S PRIMARY MARKET AREA.FACILITY 14 -- UH REHABILITATION HOSPITAL -- AVONUH AVON REHABILITATION HOSPITAL IS LOCATED IN THE CITY OF AVON IN LORAIN COUNTY, OHIO. UH AVON REHABILITATION HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS ARE ALMOST EXCLUSIVELY CONTAINED WITHIN CUYAHOGA AND LORAIN COUNTIES. THE PRIMARY SERVICE AREA FOR UH AVON REHABILITATION HOSPITAL INCLUDES AVON AND THE SEVEN COMMUNITIES IMMEDIATELY SURROUNDING IT (ELYRIA, NORTH RIDGEVILLE, WESTLAKE, AVON LAKE, NORTH OLMSTED, SHEFFIELD LAKE/VILLAGE AND BAY VILLAGE). THE SEVEN COMMUNITIES THAT COMPRISE UH AVON REHABILITATION HOSPITAL'S SECONDARY SERVICE AREA ARE LORAIN, CLEVELAND, LAKEWOOD, ROCKY RIVER, GRAFTON, OLMSTED FALLS AND AMHERST.IN 2015 66.9% OF PATIENT DISCHARGES WERE RESIDENTS OF ITS PRIMARY MARKET AREA; 22.2% WERE RESIDENTS OF ITS SECONDARY MARKET AREA; 74.5% WERE MEDICARE PATIENTS; 13.3% WERE INSURED THROUGH A COMMERCIAL PAYER AND 11.9% WERE MEDICAID PATIENTS. ALMOST TWO-THIRDS (63%) OF PATIENTS ADMITTED IN 2016 WERE SENIOR CITIZENS AND ALMOST HALF OF INPATIENTS TREATED IN 2016 WERE RECEIVING REHABILITATION SERVICES BECAUSE OF A STROKE OR OTHER NEUROLOGICAL CONDITION OR TRAUMA. PART VI, LINE 5: UH CONTINUES TO INVEST IN ITSELF AND THE COMMUNITY THROUGH ENHANCED CLINICAL SERVICES, EDUCATIONAL PROGRAMS, RESEARCH, AND CAPITAL IMPROVEMENTS THAT MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES AND PATIENTS IT SERVES. UH PROVIDES AN OUTSTANDING BALANCE OF HIGH-QUALITY CLINICAL CARE WITHIN ITS WALLS, AND COMMUNITY HEALTH OUTREACH TO LOCAL POPULATIONS. FOUR UH HEALTH CLINICS ARE LOCATED IN AREAS DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). THESE CLINICS INCLUDE THE DOUGLAS MOORE HEALTH CLINIC, WOMEN'S HEALTH CENTER, RAINBOW AMBULATORY PRACTICE, AND FAMILY MEDICINE CLINIC, ALL LOCATED ON THE CAMPUS OF UH CASE MEDICAL CENTER. HRSA ALSO DESIGNATES MEDICALLY UNDERSERVED AREAS (MUAS) AND MEDICALLY UNDERSERVED POPULATIONS (MUPS) BASED ON SPECIFIC CRITERIA. TWENTY-FIVE AREAS WITHIN THE UH SERVICE AREA INCLUDING CUYAHOGA, LORAIN, AND SUMMIT COUNTIES QUALIFY AS MUAS, WHILE ONE POPULATION IN KENT, PORTAGE COUNTY IS A DESIGNATED MUP. CUYAHOGA COUNTY ALONE ACCOUNTS FOR 20 MUAS LOCATED IN 13 ZIP CODES, REPRESENTING 12 TOWNS. THE UH SYSTEM'S TWO CRITICAL ACCESS HOSPITALS IN ASHTABULA COUNTY SIT IN APPALACHIA, AS DESIGNATED BY THE APPALACHIAN REGIONAL COMMISSION.UH IS COMMITTED TO TRAINING THE NEXT GENERATION OF PHYSICIANS, NURSES, SPECIALISTS AND OTHER ALLIED HEALTH CARE PROVIDERS ANNUALLY. MANY OF THESE STUDENTS AND TRAINEES COMPLETE THEIR EDUCATION AND TAKE THEIR KNOWLEDGE AND EXPERTISE TO OTHER PARTS OF THE STATE OR COUNTRY, THEREBY BENEFITING OTHER COMMUNITIES.UH WORKS TO INCREASE HEALTH AND MEDICAL KNOWLEDGE THROUGH GOVERNMENT AND NON-PROFIT FUNDED RESEARCH. THE SHARED KNOWLEDGE DERIVED FROM THESE EFFORTS IMPROVES THE HEALTH AND WELL-BEING OF PEOPLE THROUGHOUT THE NATION AND THE WORLD WHEN THEY LEAD TO NEW STANDARDS OF CARE, NEW MEDICAL DEVICES, OR BREAKTHROUGHS IN TACKLING DISEASES.AS INDICATED IN THE ABOVE RESPONSE TO PART VI, LINE 4, UH HAS MADE SIGNIFICANT INVESTMENTS IN ACCESS TO CARE FOR LOW INCOME AND VULNERABLE RESIDENTS WITHIN THE COUNTIES UH SERVES. PART VI, LINE 6: FOUR UH HEALTH CLINICS ARE LOCATED IN AREAS DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). THESE CLINICS INCLUDE THE DOUGLAS MOORE HEALTH CLINIC AND FAMILY MEDICINE CLINIC LOCATED ON THE CAMPUS OF UH CLEVELAND MEDICAL CENTER, AND THE WOMEN'S HEALTH CENTER AND RAINBOW AMBULATORY PRACTICE LOCATED OFF CAMPUS IN THE UH RAINBOW CENTER FOR WOMEN & CHILDREN. UH SERVES AN ESSENTIAL ROLE IN THE COMMUNITY BY PROVIDING DIVERSE POPULATIONS THROUGHOUT THE NORTHEAST OHIO REGION WITH COMPREHENSIVE HEALTH CARE - FROM PRIMARY CARE TO HIGHLY SPECIALIZED MEDICAL CARE FOR THE MOST SERIOUS OF HEALTH PROBLEMS. IT PROVIDES THE SAME QUALITY AND COMPASSIONATE SERVICE TO ALL, NO MATTER THEIR INCOME, ABILITY TO PAY OR SOCIOECONOMIC STATUS. UH CARES FOR THE WELL-INSURED AND THE UNINSURED; MEN, WOMEN AND CHILDREN FROM EVERY COMMUNITY IN THE REGION, FROM URBAN CENTERS, SMALL TOWNS, RURAL AREAS AND SUBURBS. PART VI, LINE 7, REPORTS FILED WITH STATES OH 1 ACE MENTOR PROGRAM OF CLEVELAND 1100 SUPERIOR AVE SUITE 1500 CLEVELAND OH 44114 271547626 501(C)(3) 50000 GENERAL SUPPORT AMERICAN CANCER SOCIETY 10501 EUCLID AVENUE CLEVELAND OH 44106 131788491 501(C)(3) 100000 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75232 135613797 501(C)(3) 161000 GENERAL SUPPORT AMERICAN RED CROSS 431 18TH STREET NW WASHINGTON DC 20006 530196605 501(C)(3) 5500 GENERAL SUPPORT AMERICAN LUNG ASSOCIATION 55 W WACKER DR SUITE 1150 CHICAGO IL 60601 131632524 501(C)(3) 10000 GENERAL SUPPORT ARTHRITIS FOUND NORTHEASTERN OHIO 4630 RICHMOND ROAD CLEVELAND OH 44128 581341679 501(C)(3) 10000 GENERAL SUPPORT CLEV METROPARKS (CLEVELAND FOUNDATION) 1422 EUCLID AVENUE SUITE 1300 CLEVELAND OH 44115 340714588 501(C)(3) 25000 GENERAL SUPPORT CLEV STATE UNIV FOUNDATION 2121 EUCLID AVENUE UN 501 CLEVELAND OH 441152214 341316665 501(C)(3) 10000 GENERAL SUPPORT CLEVELAND FILM SOCIETY 2510 MARKET AVE CLEVELAND OH 441133434 341262368 501(C)(3) 20000 GENERAL SUPPORT CLEVELAND PLAY HOUSE 1901 E 13TH STREET SUITE 200 CLEVELAND OH 44114 346515260 501(C)(3) 10000 GENERAL SUPPORT CLEVELAND PUBLIC THEATRE 6415 DETROIT AVE CLEVELAND OH 44102 341359225 501(C)(3) 10000 GENERAL SUPPORT COLLECTIVE ARTS NETWORK PO BOX 771748 LAKEWOOD OH 44107 464406224 501(C)(3) 50000 GENERAL SUPPORT COMMUNITY IMPROVEMENT CORPORATION OF SHAKER HEIGHTS OHIO 3400 LEE ROAD SHAKER HEIGHTS OH 44120 341314225 501(C)(3) 10000 GENERAL SUPPORT CRAINS CLEV BUSINESS 1155 GRATIOT AVENUE DETROIT MI 48207 360708800 8000 GENERAL SUPPORT CUYAHOGA COMMUNITY COLLEGE FOUNDATION 700 CARNEGIE AVE CLEVELAND OH 44115 237320719 501(C)(3) 7000 GENERAL SUPPORT DESTINATION CLEVELAND PO BOX 2063 SHELBY NC 28151 208085344 501(C)(3) 7500 GENERAL SUPPORT ECONOMIC GROWTH FOUNDATION 1240 HURON RD E STE 300 CLEVELAND OH 44115 341916518 501(C)(3) 100000 GENERAL SUPPORT ENVIRONMENTAL HEALTH WATCH 5802 DETROIT AVE SUITE 1U CLEVELAND OH 44102 341443935 501(C)(3) 25000 GENERAL SUPPORT EPILEPSY ASSOCIATION 2831 PROSPECT AVENUE CLEVELAND OH 44115 237198807 501(C)(3) 10000 GENERAL SUPPORT FRIENDS OF BREAKTHROUGH SCHOOLS 3615 SUPERIOR AVENUE SUITE 3103A CLEVELAND OH 44114 204948838 501(C)(3) 39700 GENERAL SUPPORT FRONT EXHIBITION COMPANY 1460 WEST 29TH STREET CLEVELAND OH 44113 812956023 501(C)(3) 250000 GENERAL SUPPORT GATHERING PLACE 23300 COMMERCE PARK DR CLEVELAND OH 44122 341879035 501(C)(3) 25000 GENERAL SUPPORT GREATER CLEVELAND FOOD BANK INC 15500 SOUTH WATERLOO RD CLEVELAND OH 44110 341292848 501(C)(3) 11750 GENERAL SUPPORT GREATER CLEVELAND SPORTS COMMISSION 334 EUCLID AVENUE CLEVELAND OH 44131 311381131 501(C)(3) 67000 GENERAL SUPPORT IMG COLLEGE LLC PO BOX 16533 PALATINE IL 60055 273646546 189100 GENERAL SUPPORT KARAMU HOUSE INC 2355 E 89TH ST CLEVELAND OH 44106 340714448 501(C)(3) 10000 GENERAL SUPPORT LIFEACT 210 BELL STREET CHARGIN FALLS OH 44022 341724365 501(C)(3) 30000 GENERAL SUPPORT MALTZ MUSEUM OF JEWISH HERITAG 2929 RICHMOND ROAD BEECHWOOD OH 44122 043684531 501(C)(3) 16667 GENERAL SUPPORT MUSICAL ARTS ASSOCIATION 11001 EUCLID AVENUE CLEVELAND OH 44106 340714468 501(C)(3) 15000 GENERAL SUPPORT NEOMED FOUNDATION PO BOX 95 ROOTSTOWN OH 44272 341264220 501(C)(3) 10000 GENERAL SUPPORT PGA TOUR GOLF COURSE PROPERTIES INC 100 PGA TOUR BOULEVARD PONTE VERDA BEACH FL 32082 592009946 27000 GENERAL SUPPORT POSITIVE EDUCATION PROGRAM 3100 EUCLID AVE CLEVELAND OH 44115 341127919 501(C)(3) 7500 GENERAL SUPPORT RONALD MCDONALD HOUSE OF CLE 10415 EUCLID AVENUE CLEVELAND OH 44106 341269123 501(C)(3) 35000 GENERAL SUPPORT SHAKER HEIGHTS DEVELOPMENT CORPORATION 3400 LEE ROAD SHAKER HEIGHTS OH 44120 341314225 501(C)(3) 25000 GENERAL SUPPORT SOUTHWEST COMMUNITY HEALTH FOUND 18697 BAGLEY ROAD CLEVELAND OH 44130 341455135 501(C)(3) 15000 GENERAL SUPPORT STEWARTS CARING PLACE 2955 WEST MARKET ST STE R AKRON OH 44333 200181338 501(C)(3) 10000 GENERAL SUPPORT SUSAN G KOMEN NORTHEAST OHIO 26210 EMERY ROAD STE 307 CLEVELAND OH 44128 341793460 501(C)(3) 25000 GENERAL SUPPORT UNITED WAY SVC 1331 EUCLID AVE CLEVELAND OH 44115 346516654 501(C)(3) 55000 GENERAL SUPPORT YWCA OF GREATER CLEVELAND 4019 PROSPECT AVE CLEVELAND OH 44103 340714800 501(C)(3) 75000 GENERAL SUPPORT PARMA HOSPITAL HEALTH CARE FOUNDATION 7007 POWERS BLVD PARMA OH 44129 341626664 501(C)(3) 312673 GENERAL SUPPORT ROBINSON MEMORIAL HOSPITAL FOUNDATION 6847 N CHESTNUT STREET PO BOX 1204 RAVENNA OH 44266 341510544 501(C)(3) 368538 GENERAL SUPPORT 36 3 PART I, LINE 2: UH HAS A PROCESS WHERE WE RECEIVE AND REVIEW REQUESTS FOR FUNDING, WHICH INCLUDES OUR SENIOR LEADERS. IN THAT REVIEW PROCESS WE CHECK TO BE SURE THE ORGANIZATION IS MISSION ALIGNED TO UH AND REVIEW HISTORICAL GIVING. MUCH OF OUR SUPPORT IS REVIEWED BOTH INTERNALLY AND WITH THE EXTERNAL GROUP ON AN ANNUAL BASIS. X X X X X 1 1 0 0 0 0 0 1 1 1 ACO - BECK ERIC DO DIRECTOR (BEGIN 06/18) 446879 0 0 0 52166 0 0 0 13363 0 512408 0 0 0 AHUJA - JURIS SUSAN V PRESIDENT/DIRECTOR EX OFFICIO 391246 0 126506 0 70168 0 39930 0 28094 0 655944 0 0 0 AHUJA - SHAPIRO ERIC MD DIRECTOR EX OFFICIO (END 05/18) 0 414265 0 0 0 6237 0 113363 0 19355 0 553220 0 0 CCO - HARWELL CARLA M MD DIRECTOR 203796 0 0 0 1949 0 14193 0 32219 0 252157 0 0 0 CCO - HERTZ ANDREW R MD DIRECTOR (BEGIN 06/18) 396443 0 100832 0 2652 0 35947 0 123 0 535997 0 0 0 CCO - HOYNES SEAN MD DIRECTOR 0 288031 0 150000 0 2106 0 56615 0 32689 0 529441 0 0 CCO - ROS PABLO R MD DIRECTOR (END 11/18) 687496 0 39113 0 10701 0 37285 0 22129 0 796724 0 0 0 CCO - ZELIS CYNTHIA MD DIRECTOR (BEGIN 05/18) 406012 0 147669 0 19306 0 37542 0 32562 0 643091 0 0 0 CHCO - LARCHIAN WILLIAM MD DIRECTOR EX OFFICIO 0 356659 0 0 0 5267 0 39183 0 18393 0 419502 0 0 CONNEAUT - KUMAR AJAY MD DIRECTOR (BEGIN 05/18) 0 290727 0 50000 0 1032 0 5513 0 19865 0 367137 0 0 CONNEAUT - SUNDARAMOORTHY ABIRAMMY DIRECTOR EX OFFICIO (END 05/18) 0 293757 0 0 0 571 0 8709 0 8061 0 311098 0 0 ECC - BOND BRADLEY C DIRECTOR/SECRETARY/TREASURER 388600 0 140038 0 325682 0 20061 0 30039 0 904420 0 0 0 GEAUGA - JONES M STEVEN PRESIDENT/DIRECTOR EX OFFICIO 512016 0 168443 0 90736 0 38393 0 15573 0 825161 0 0 0 GENEVA - HOWE EVAN MD DIRECTOR EX OFFICIO 0 259040 0 61 0 42572 0 8524 0 25074 0 335271 0 0 HOME CARE - CHICKERELLA DANIELLE DIRECTOR 287698 0 74519 0 1589 0 34219 0 14894 0 412919 0 0 0 HOME CARE - MAITLAND KEITH RPH DIRECTOR /PRESIDENT (END 07/18) 241942 0 94572 0 108262 0 20021 0 32046 0 496843 0 0 0 HOME CARE - SILA CATHY MD DIRECTOR/SECRETARY/TREASURER 377606 0 16 0 4953 0 37349 0 1200 0 421124 0 0 0 PARMA - BERGMANN PETER U FACHE PRESIDENT/DIRECTOR EX OFFICIO 444867 0 90318 0 2165 0 7323 0 25228 0 569901 0 0 0 PARMA - BURMA GERALD M MD PHD DIRECTOR EX OFFICIO 0 651836 0 12255 0 31069 0 197007 0 14794 0 906961 0 0 PARMA - WURST JENNIFER MD DIRECTOR EX OFFICIO (END 05/18) 0 196642 0 0 0 542 0 7571 0 14405 0 219160 0 0 PORTAGE - BENOIT WILLIAM DIRECTOR EX OFFICIO (BEGIN 03/18) 300500 0 60619 0 1576 0 18190 0 27720 0 408605 0 0 0 PORTAGE - HANSON RICHARD A DIRECTOR EX OFFICIO (END 05/18) 660335 0 738600 0 148055 0 37759 0 22893 0 1607642 0 0 0 RCC - CARSON BRENT DIRECTOR/TREASURER 294340 0 87197 0 43503 0 39123 0 31012 0 495175 0 0 0 RCC - GALLAGHER MARILEE DIRECTOR 0 289252 0 0 0 5486 0 34184 0 6214 0 335136 0 0 RCC - GROSSBERG RICHARD MD DIRECTOR 270877 0 17 0 21510 0 19503 0 30312 0 342219 0 0 0 RCC - ZEIGER TODD MD DIRECTOR 0 267098 0 150000 0 1791 0 11660 0 31164 0 461713 0 0 REGIONAL - ADAMEK PETER M MD DIRECTOR EX OFFICIO (END 05/18) 0 396582 0 0 0 4166 0 11795 0 9403 0 421946 0 0 REGIONAL - JASPER JOHN J MD DIRECTOR EX OFFICIO (END 05/18) 0 441015 0 0 0 4474 0 50791 0 5757 0 502037 0 0 REGIONAL - MONTER BRIAN DIRECTOR EX OFFICIO/PRESIDENT 324588 0 83168 0 1578 0 17520 0 24880 0 451734 0 0 0 REGIONAL - RAPKIN DAVID S MD DIRECTOR EX OFFICIO (BEGIN 05/18) 0 446344 0 0 0 7789 0 11890 0 32279 0 498302 0 0 SAMARITAN - MACDONALD MARY CARY MD DIRECTOR EX OFFICIO 0 362053 0 57350 0 3602 0 13293 0 32051 0 468349 0 0 SAMARITAN - MCNEIL KAREN DIRECTOR EX OFFICIO/PRESIDENT 258786 0 68211 0 94407 0 38723 0 19948 0 480075 0 0 0 SAMARITAN - SNYDER ROGER MD DIRECTOR 0 217778 0 31779 0 2322 0 43883 0 21149 0 316911 0 0 SAMARITAN - STENCEL MICHAEL MD DIRECTOR 0 243284 0 45818 0 2591 0 86865 0 22149 0 400707 0 0 SPC - TAVALLAEE MEHRDAD MD DIRECTOR 0 523709 0 94536 0 1251 0 11912 0 25705 0 657113 0 0 ST JOHN - BLOXDORF GREGORY DO DIRECTOR EX OFFICIO (BEGIN 05/18) 265501 0 31005 0 44587 0 14321 0 21680 0 377094 0 0 0 ST JOHN - DAVID ROBERT G DIRECTOR EX OFFICIO /PRESIDENT 380241 0 119121 0 64211 0 39520 0 24880 0 627973 0 0 0 ST JOHN - TRACY ALLEN R TREASURER (END 02/18) 300785 0 81295 0 21575 0 48174 0 21109 0 472938 0 0 0 UHCMC - MACHTAY MD MITCHELL DIRECTOR EX OFFICIO (BEGIN 01/18) 518615 0 67181 0 5212 0 31513 0 29101 0 651622 0 0 0 UHCMC - MANGOSH LINDA DIRECTOR (BEGIN 01/18) 202529 0 48384 0 29728 0 18124 0 22285 0 321050 0 0 0 UHCMC - SIMON DANIEL I MD DIRECTOR EX OFFICIO 952457 0 424260 0 9858 0 219705 0 25160 0 1631440 0 0 0 UHHS - PANDRANGI VASU MD DIRECTOR EX OFFICIO 0 633589 0 0 0 37327 0 171479 0 9811 0 852206 0 0 UHHS - SABIK JOSEPH MD DIRECTOR (START 05/18) 1292964 0 57806 0 10112 0 36785 0 24880 0 1422547 0 0 0 UHHS - SALATA ROBERT A MD DIRECTOR (END 05/18) 597446 0 0 0 18630 0 32609 0 23032 0 671717 0 0 0 UHHS - ZENTY THOMAS F III DIRECTOR EX OFFICIO/CEO 1405472 0 1633475 0 1548570 0 743966 0 11343 0 5342826 0 916000 0 UHLSF - GOODELLE MICHAEL DIRECTOR 157492 0 17880 0 6668 0 12769 0 26081 0 220890 0 0 0 UHLSF - HARFORD TODD DIRECTOR 175828 0 19650 0 8624 0 14595 0 7236 0 225933 0 0 0 UHMG - HARDING CLIFFORD V MD DIRECTOR 285063 0 16 0 4071 0 13916 0 3302 0 306368 0 0 0 UHMG - MEGERIAN CLIFF MD DIRECTOR/PRESIDENT 929482 0 165639 0 249989 0 238368 0 26407 0 1609885 0 0 0 UHMG - MILLER MARLENE MD DIRECTOR (BEGIN 05/18) 388130 0 75000 0 70076 0 13835 0 11740 0 558781 0 0 0 UHMG - RAO GOUTHAM MD DIRECTOR 406675 0 39056 0 2150 0 13253 0 26329 0 487463 0 0 0 UHMG - ROTHSTEIN FRED C MD DIRECTOR EX OFFICIO/CHAIR (END 05/18 304958 0 176842 0 493650 0 9313 0 123 0 984886 0 0 0 UHMG - SELMAN WARREN R MD DIRECTOR 1049778 0 57806 0 28158 0 36704 0 18618 0 1191064 0 0 0 UHMG - ZOLTANSKI JOAN MD DIRECTOR 265685 0 19 0 63294 0 13668 0 26385 0 369051 0 0 0 ACO - HILLARD BRADLEY G DO PRESIDENT (BEGIN 02/18) 0 319817 0 27466 0 4626 0 12420 0 37402 0 401731 0 0 CCO - SCHARIO MARK E SECRETARY 255086 0 65337 0 3119 0 19245 0 26696 0 369483 0 0 0 UHCMC - BLAKE JEAN D RN CHIEF NURSING OFFICER 413881 0 338090 0 17594 0 20177 0 27370 0 817112 0 0 0 UHCMC - DEPOMPEI PATRICIA M PRESIDENT - RAINBOW BABIES & CHILDRE 470596 0 139425 0 79680 0 40760 0 26671 0 757132 0 0 0 UHCMC - DZIEDZICKI RONALD E CHIEF OPERATING OFFICER 515609 0 159878 0 90494 0 38972 0 16729 0 821682 0 0 0 UHCMC - SALVINO SONIA TREASURER 378313 0 127209 0 356261 0 39948 0 29910 0 931641 0 0 0 UHCMC - STROSACKER ROBYN MD CHIEF MEDICAL OFFICER 337473 0 73471 0 1781 0 17814 0 18933 0 449472 0 0 0 UHHS - ANNABLE WILLIAM L MD CHIEF QUALITY OFFICER/CHIEF MEDICAL 202113 0 493310 0 40904 0 2699 0 4606 0 743632 0 0 0 UHHS - BRIEN WILLIAM W MD CHIEF MEDICAL OFFICER/CHIEF QUALITY 529340 0 29 0 30136 0 18884 0 783 0 579172 0 0 0 UHHS - MILLER JANET L ESQ CHIEF LEGAL OFFICER/SECRETARY 558037 0 613714 0 123589 0 38354 0 10810 0 1344504 0 0 0 UHHS - PETERS JEFFREY H MD CHIEF OPERATING OFFICER (END 05/18) 1028713 0 669608 0 1676962 0 23274 0 7099 0 3405656 0 0 0 UHHS - SNOWBERGER THOMAS D CHIEF HUMAN RESOURCES OFFICER 557012 0 335951 0 3580 0 221955 0 15241 0 1133739 0 0 0 UHHS - STANDLEY STEVEN D CHIEF ADMINISTRATIVE OFFICER 618428 0 675547 0 136705 0 20657 0 7377 0 1458714 0 0 0 UHHS - SZUBSKI MICHAEL A CHIEF FINANCIAL OFFICER/TREASURER 877755 0 845422 0 183824 0 239313 0 31062 0 2177376 0 0 0 UHHS - TAIT PAUL G CHIEF STRATEGY OFFICER 594853 0 646044 0 133582 0 40051 0 28928 0 1443458 0 0 0 UHLSF - LANDEK DON PRESIDENT 167891 0 15194 0 10829 0 16039 0 1094 0 211047 0 0 0 UHHS - BISHOP SHERRI L CHIEF DEVELOPMENT OFFICER 422090 0 457359 0 93660 0 78718 0 33658 0 1085485 0 0 0 UHHS - BIXENSTINE KIM F CHIEF COMPLIANCE OFFICER 335892 0 126315 0 62641 0 35860 0 16055 0 576763 0 0 0 UHHS - KEEGAN ARTHUR EDWIN CHIEF MARKETING OFFICER 300214 0 0 0 138931 0 0 0 25351 0 464496 0 0 0 UHMG - HONDA KORD S DIRECTOR - DERMATOPATHOLOGY 1261816 0 0 0 2452 0 9201 0 31246 0 1304715 0 0 0 UHMG - EUBANKS JASON D ORTHOPEDIC SURGEON 1231402 0 0 0 2340 0 35023 0 9801 0 1278566 0 0 0 UHMG - VOOS JAMES E ORTHOPEDIC SURGEON 1221241 0 0 0 2365 0 18111 0 26279 0 1267996 0 0 0 UHMG - DEVANEY ERIC J CHIEF, PEDIATRIC CARDIAC SURGERY 1191887 0 0 0 10087 0 17492 0 25957 0 1245423 0 0 0 UHMG - BAMBAKIDIS NICHOLAS C DIRECTOR - CEREBREVASCULAR SURGERY 1018226 0 0 0 44866 0 35530 0 32411 0 1131033 0 0 0 AMHERST - SHELDON DONALD S MD FORMER OFFICER 233945 0 0 0 2858 0 13776 0 3026 0 253605 0 0 0 CCO - HAMMACK ELIZABETH R ESQ FORMER OFFICER 215202 0 31579 0 5005 0 16608 0 25207 0 293601 0 0 0 CHCO - WRAY CHARLOTTE A FORMER OFFICER 254589 0 0 0 124920 0 14653 0 16719 0 410881 0 0 0 PARMA - SINK KRISTI M FORMER OFFICER 362141 0 67228 0 2600 0 13758 0 24703 0 470430 0 0 0 UHMG - ADELMAN HARLIN G ESQ FORMER OFFICER 317585 0 120845 0 75385 0 20896 0 31462 0 566173 0 0 0 ST JOHN - O'MALLEY CHERYL H FORMER KEY EMPLOYEE 257672 0 58876 0 3086 0 19163 0 11461 0 350258 0 0 0 UHHS - GARTLAND HEIDI I FORMER KEY EMPLOYEE 289900 0 82421 0 254642 0 40468 0 9876 0 677307 0 0 0 UHMG - RONIS ROBERT FORMER KEY EMPLOYEE 403142 0 39056 0 7391 0 33043 0 22080 0 504712 0 0 0 PART I, LINE 7 MANAGEMENT INCENTIVE PLAN (MIP) PAYMENTS ARE CALCULATED ANNUALLY AS A PERCENTAGE OF BASE SALARY BASED UPON GOAL ATTAINMENT FOR EACH INCENTIVE CYCLE. THE ELIGIBLE INCENTIVE PERCENTAGE IS DEPENDENT UPON EACH INDIVIDUAL'S LEADERSHIP LEVEL IN THE ORGANIZATION. PART I, LINE 8 CERTAIN EMPLOYEE COMPENSATION DISCLOSED IN PART VII MEET THE REQUIREMENTS OF THE INITIAL CONTRACT EXCEPTION. PART I, LINE 4A DURING TAX YEAR 2018, WILLIAM STEINER II RECEIVED $36,755 OF SEVERANCE PAY. PART I, LINE 4B THE FOLLOWING PERSONS PARTICIPATED IN, OR RECEIVED PAYMENT FROM A NONQUALIFIED RETIREMENT PLAN (457(F)OR SERP) IN 2018: ADELMAN, HARLIN G. ESQ. ($53,894 - SERP) BAMBAKIDIS, NICHOLAS C. ($20,340 - SERP) BECK, ERIC H. ($51,810 - SERP) BENOIT, WILLIAM A. ($36,809 - SERP) BERGMANN, PETER U FACHE ($54,257 - SERP) BISHOP, SHERRI L. ($88,451 - SERP) BIXENSTINE, KIM F. ($55,927 - SERP) BLAKE, JEAN D. RN ($86,600 - SERP) BOND, BRADLEY C. ($64,555 - SERP) BRIEN, WILLIAM W. ($63,600 - SERP) CARSON, BRENT ($39,183 - SERP) CHICKERELLA, DANIELLE ($36,683 - SERP) DAVID, ROBERT G. ($60,766 - SERP) DEPOMPEI, PATRICIA M ($74,262 - SERP) DZIEDZICKI, RONALD E ($81,859 - SERP) GARTLAND, HEIDI I. ($37,721 - SERP) HANSON, RICHARD A. ($136,738 - SERP) HERTZ, ANDREW R. MD ($49,726 - SERP) JONES, STEVEN M. ($82,331 - SERP) JURIS, SUSAN ($63,360 - SERP) KEEGAN, ARTHUR EDWIN ($46,586 - SERP) MCNEIL, KAREN ($33,480 - SERP) MEGERIAN, CLIFF MD ($171,510 - SERP) MILLER, JANET ($114,459 - SERP) MONTER, BRIAN ($41,539 - SERP) O'MALLEY, CHERYL H. ($32,199 - SERP) SALVINO, SONIA ($61,766 - SERP) SCHARIO, MARK E ($32,926 - SERP) SIMON, DANIEL I. MD ($187,374 - SERP) SINK, KRISTI ($34,897 - SERP) SNOWBERGER, THOMAS D. ($113,830 - SERP) STANDLEY, STEVEN D ($126,652 - SERP) STROSACKER, ROBYN MD ($41,914 - SERP) SZUBSKI, MICHAEL A ($174,602 - SERP) TAIT, PAUL G. ($122,622 - SERP) ZELIS, CYNTHIA B.R. ($67,124 - SERP) ZENTY, THOMAS F III ($406,848 - SERP) ZOLTANSKI, JOAN MD ($30,660 - SERP) FORM 990, SCHEDULE J, PART II FORM 990 REPORTING REQUIREMENTS RELATED TO ITEMS SUCH AS DEFERRED COMPENSATION PROGRAMS REQUIRE DUAL REPORTING IN SOME YEARS FOR VARIOUS PARTICIPANTS. AS SUCH, AMOUNTS MAY BE SHOWN IN PART VII AND SCHEDULE J DURING A YEAR IN WHICH THOSE AMOUNTS WERE DEFERRED, AND AGAIN IN SUBSEQUENT YEARS IN PART VII AND SCHEDULE J WHEN ACTUALLY PAID. ONLY SCHEDULE J INCLUDES A COLUMN (F), NOTING THESE AMOUNTS WERE PREVIOUSLY REPORTED. KATHYRN THOMPSON FAMILY RELATIONSHIP 100000 PATRICIA M. DEPOMPEI: FAMILY MEMBER OF MS. DEPOMPEI, PRESIDENT UHCMC RAINBOW BABIES & CHILDREN'S HOSPITAL/UHCMC DIRECTOR.A FAMILY MEMBER OF MS. DEPOMPEI IS EMPLOYED BY UHCMC. 0 MATTHEW DZIEDZICKI FAMILY RELATIONSHIP 54320 RONALD E. DZIEDZICKI: FAMILY MEMBER OF MR. DZIEDZICKI, CHIEF OPERATING OFFICER UHCMC.A FAMILY MEMBER OF MR. DZIEDZICKI IS EMPLOYED BY UHCMC. 0 LAUREN NEDRICH FAMILY RELATIONSHIP 45853 DAVID NEDRICH: FAMILY MEMBER OF MR. NEDRICH, PARMA CHAIR/DIRECTOR.A FAMILY MEMBER OF MR. NEDRICH IS EMPLOYED BY PARMA. 0 KORINA SHULEMOVICH FAMILY RELATIONSHIP 120000 MITCHELL MACHTAY, MD: FAMILY MEMBER OF MITCHELL MACHTAY, MD UHMG DIRECTOR.A FAMILY MEMBER OF DR. MACHTAY IS EMPLOYED BY UHMG. 0 ADDITIONAL INFORMATION FOR SCHEDULE L PART V IN ACCORDANCE WITH IRS REQUIREMENTS, BUSINESS TRANSACTIONS INVOLVINGINDIVIDUALS AND ENTITIES THAT ARE INTERESTED PERSONS WITH RESPECT TOUNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (EIN: 34-0714775) ARE REPORTEDON PART IV OF THE SCHEDULE L INCLUDED WITH THE SEPARATE FORM 990 FILED BY UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. X 51 566054 APPRAISALS,RECEIPT X 7 RECEIPT X 11401 RECEIPT,FMV,RETAIL PRICE X 76 6518343 FMV X 2 61000 APPRAISALS X 7 7748 RECEIPT X 3 74019 RECEIPT X AUCTION ITEMS 169 115779 RECEIPT,FMV X EVENT ITEMS 19 40440 RECEIPT X MISCELLANEOUS 14 14565 RECEIPT, FMV 9 0 1 1 PART I, COLUMN (B): THE NUMBERS REPORTED IN PART I, COLUMN (B) REPRESENT A COMBINATION OF THE NUMBER OF CONTRIBUTIONS OR THE NUMBER OF ITEMS RECEIVED. PART I, LINE 32B: BNY MELLON CAPITAL MARKETS AND STATE STREET CORPORATION WERE USED IN 2018 TO FACILITATE THE TRANSFER AND SALE OF SECURITIES. FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION UNIVERSITY HOSPITALS (THE "SYSTEM") IS GUIDED BY ITS MISSION "TO HEAL. TO TEACH. TO DISCOVER." THE SYSTEM SERVES A UNIQUE ROLE IN THE COMMUNITIES IT SERVES BY PROVIDING DIVERSE POPULATIONS THROUGHOUT THE NORTHEAST OHIO REGION WITH COMPREHENSIVE HEALTH CARE - FROM PRIMARY CARE TO HIGHLY SPECIALIZED MEDICAL CARE FOR THE MOST SERIOUS OF HEALTH PROBLEMS. THE SYSTEM IS KNOWN FOR PROVIDING SUPERIOR, LEADING-EDGE HEALTH CARE ACROSS THE FULL RANGE OF MEDICAL AND SURGICAL SPECIALITIES FROM INFANCY TO ELDER CARE. IN ADDITION TO DELIVERING QUALITY PATIENT CARE, THE SYSTEM SERVES AS A PREEMINENT TEACHING FACILITY FOR PHYSICIANS, NURSES AND ANCILLARY MEDICAL PERSONNEL. THE SYSTEM'S EXTENSIVE CLINICAL RESEARCH PROGRAMS CONTINUE TO IMPROVE THE UNDERSTANDING OF DISEASE AND ENHANCE PATIENT CARE. FORM 990, PART I, LINE 6 THE TOTAL NUMBER OF VOLUNTEERS IS PROVIDED BY EACH UH MEDICAL CENTER'S VOLUNTEER COORDINATOR. VOLUNTEERS PROVIDE ASSISTANCE IN MANY DIFFERENT DEPARTMENTS THROUGHOUT THE UH MEDICAL CENTERS. THE ROLES OF A VOLUNTEER FALL INTO THREE CATEGORIES: PATIENT CONTACT, LIMITED PATIENT CONTACT AND NO PATIENT CONTACT. ROLES IN THE PATIENT CONTACT CATEGORY INCLUDE THOSE WHERE THE VOLUNTEER IS WORKING DIRECTLY WITH A PATIENT OR THE PATIENT'S FAMILY. EXAMPLES OF VOLUNTEER ROLES FROM THIS CATEGORY INCLUDE BUT ARE NOT LIMITED TO PASTORAL CARE VOLUNTEERS AND NEWBORN NURSERY VOLUNTEERS. VOLUNTEERS WHO SERVE IN ROLES WHERE THERE IS LIMITED PATIENT CONTACT WORK IN AREAS WHERE THEY MAY BE WORKING MORE WITH HOSPITAL STAFF THAN OUR PATIENTS OR VISITORS. EXAMPLES OF VOLUNTEER ROLES UNDER THE LIMITED PATIENT CONTACT INCLUDE BUT ARE NOT LIMITED TO FLOWER DELIVERY VOLUNTEERS AND ATRIUM GIFT SHOP VOLUNTEERS. FINALLY, EXAMPLES OF VOLUNTEER ROLES FROM THE NO PATIENT CONTACT CATEGORY INCLUDE BUT ARE NOT LIMITED TO MAILROOM AND CLERICAL VOLUNTEERS (WORKING IN OFFICES THROUGHOUT THE UH MEDICAL CENTERS). TREASURY REGULATION SECTION 1.6033-2(D)(5): PURSUANT TO TREASURY REGULATION SECTION 1.6033-2(D)(5), UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. ("PARENT ORGANIZATION") HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS AND GRANTS, AND COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, CERTAIN HIGHLY COMPENSATED EMPLOYEES, AND CERTAIN PROFESSIONAL CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL THE MEMBERS OF ITS GROUP EXEMPTION, INCLUDING THE PARENT ORGANIZATION, ON THE UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. GROUP RETURN. FORM 990, PART III - PROGRAM SERVICE, LINE 4A COMMITMENT TO THE COMMUNITY REMAINS AT THE CORE OF THE SYSTEM'S MISSION: TO HEAL. TO TEACH. TO DISCOVER. IN 2018, UNIVERSITY HOSPITALS DEDICATED MORE THAN $383 MILLION TO COMMUNITY BENEFIT PROGRAMS IN NORTHEAST OHIO CONSISTING OF: - EDUCATION AND TRAINING = $ 82 MILLION - RESEARCH = $ 37 MILLION - CHARITY CARE = $47 MILLION - MEDICAID SHORTFALL = $212 MILLION - COMMUNITY HEALTH IMPROVEMENT SERVICES, PROGRAMS AND SUPPORT = $24 MILLION - HOSPITAL CARE ASSURANCE PROGRAM (HCAP) RECEIPTS = ($19 MILLION). REFER TO SCHEDULE H FOR FURTHER DETAIL ON HOW THE SYSTEM MEASURES AND REPORTS COMMUNITY BENEFIT. COMMUNITY BENEFIT FOR 2018 TOTALED $382 MILLION. IN ADDITION TO CHARITY CARE AND INSUFFICIENT FUNDING FROM THE MEDICAID PROGRAM, THE SYSTEM INCURS SIGNIFICANT LOSSES RELATED TO SELF-PAY PATIENTS WHO FAIL TO MAKE PAYMENT FOR SERVICES RENDERED OR INSURED PATIENTS WHO FAIL TO REMIT CO-PAYMENTS AND DEDUCTIBLES AS REQUIRED UNDER APPLICABLE HEALTH INSURANCE ARRANGEMENTS. IN 2018, $53 MILLION REPRESENTED REVENUES FOR SERVICES PROVIDED THAT ARE DEEMED TO BE UNCOLLECTIBLE. THE SYSTEM HAS A BROAD PRESENCE THROUGHOUT NORTHEAST OHIO, INCLUDING CUYAHOGA, LORAIN, GEAUGA, ASHTABULA, PORTAGE, ASHLAND, AND RICHLAND COUNTIES SERVICE AREAS. THE BREADTH OF THE SYSTEM'S SERVICE AREA IS COVERED THROUGH ITS ACADEMIC MEDICAL CENTER, COMMUNITY MEDICAL CENTERS, JOINT VENTURES, AMBULATORY HEALTH CENTERS, AND MEDICAL PRACTICES. THE UH HEALTH SYSTEM PROVIDES WORK DIRECTLY FOR MORE THAN 27,500 EMPLOYEES AND PHYSICIANS. UH PROVIDES MANY COMMUNITY BENEFITS DIRECTLY AND INDIRECTLY THROUGH NEW OR EXPANDED BUSINESS OPPORTUNITIES AND THROUGH IMPORTANT CAPITAL INVESTMENTS IN OUR FACILITIES. UH HAS COMMITTED - AND CONTINUES TO COMMIT - MILLIONS OF DOLLARS TO FACILITIES AND OPERATIONS WITHIN THE CITY OF CLEVELAND AND THROUGHOUT OUR REGION, PROVIDING CONSTRUCTION AND HOSPITAL-BASED JOBS. STATE-OF-THE-ART FACILITIES AND SERVICES AT UH CLEVELAND MEDICAL CENTER, OUR WORLD-RENOWNED ACADEMIC MEDICAL CENTER IN CLEVELAND, PROVIDE CLEVELAND RESIDENTS AND PEOPLE FROM THROUGHOUT THE REGION AND THE WORLD WITH THE FINEST IN PRIMARY AND SPECIALTY HEALTH CARE. THE FACILITIES ALLOW US TO CONDUCT VITAL MEDICAL RESEARCH AND OFFER ADVANCED TRAINING FOR STUDENTS AND HEALTH PROFESSIONALS. THE QUENTIN & ELISABETH ALEXANDER NEONATAL INTENSIVE CARE UNIT AT UH RAINBOW BABIES & CHILDREN'S HOSPITAL SERVES OUR MOST VULNERABLE CHILDREN. THE SYSTEM'S EMERGENCY FACILITIES AT OR MEDICAL CENTERS AND THE SYSTEM'S SEIDMAN CANCER CENTER AT UH CLEVELAND MEDICAL CENTER AND VARIOUS COMMUNITY MEDICAL CENTERS, CONTINUE TO PROVIDE EXPANDED EMPLOYMENT OPPORTUNITIES WHILE EXTENDING UH'S MISSION TO MORE PATIENTS. NEW STATE-OF-THE-ART OUTPATIENT HEALTH CENTERS IN THE REGION HAVE SPURRED ECONOMIC GROWTH WHILE GIVING PEOPLE ACCESS TO THE CARE THEY NEED CLOSE TO HOME AND EXPANDING OUR COMMUNITY BENEFIT PROGRAMS. THE SYSTEM IS PROUD TO CONTRIBUTE TO THE HEALTH OF ITS CITIZENS AND TO BE A POSITIVE ECONOMIC FORCE IN THE REGION. FOR MORE DETAILED INFORMATION ON THE SYSTEM'S COMMUNITY BENEFIT OR TO VIEW THE 2018 COMMUNITY BENEFIT REPORT, PLEASE VISIT THE SYSTEM'S WEBSITE AT WWW.UHHOSPITALS.ORG. FORM 990, TAX EXEMPT BOND INFORMATION: THE SYSTEM'S TAX-EXEMPT BONDS WERE ISSUED IN THE NAME OF THE PARENT ORGANIZATION, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (EIN: 34-0714775). THEREFORE, THE IRS REQUIRES THAT INFORMATION RELATED TO THESE BONDS BE REPORTED ON SCHEDULE K, SUPPLEMENTAL INFORMATION OF TAX-EXEMPT BONDS, INCLUDED WITH THE SEPARATE FORM 990 FILED BY THE UH PARENT ORGANIZATION. THE SYSTEM HAS THE FOLLOWING TAX-EXEMPT BOND ISSUES OUTSTANDING: -2003 CUYAHOGA COUNTY, OHIO BONDS: ISSUE PRICE $14,389,000 -2007 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION BONDS: ISSUE PRICE $290,313,879 -2010 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION BONDS: ISSUE PRICE $94,797,375 -2012 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION BONDS: ISSUE PRICE $189,782,379 -2012 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION BONDS: ISSUE PRICE $40,710,000 -2012 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION BONDS: ISSUE PRICE $55,371,387 -2012 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION BONDS: ISSUE PRICE $23,775,000 -2013 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION BONDS: ISSUE PRICE $124,142,966 -2014 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION BONDS: ISSUE PRICE $100,361,458 -2015 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION BONDS: ISSUE PRICE $20,000,000 -2015 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION BONDS: ISSUE PRICE $100,000,000 -2015 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION BONDS: ISSUE PRICE $91,000,000 -2016 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION BONDS: ISSUE PRICE $249,373,895 -2018 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION BONDS: ISSUE PRICE $243,220,482 -2018 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION BONDS: ISSUE PRICE $109,150,000 FORM 990, PART V, LINE 2A UHHS ACTS AS A COMMON PAY AGENT FOR THE VARIOUS ENTITIES THAT COMPRISE THE SYSTEM. AS A RESULT THE NUMBER OF EMPLOYEES REPORTED ON FORM W-3 WILL BE DIFFERENT THAN WHAT IS SHOWN IN PART V LINE 2A BECAUSE THIS GROUP RETURN DOES NOT ENCOMPASS ALL ENTITIES FOR WHICH THE PARENT ACTS AS A COMMON PAY AGENT. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INFORMATION REGARDING FAMILY AND BUSINESS RELATIONSHIPS WAS OBTAINED WHILE REVIEWING CONFLICT OF INTEREST QUESTIONNAIRE RESPONSES RECEIVED FROM DIRECTORS, OFFICERS, AND KEY EMPLOYEES. UNIVERSITY HOSPITALS RELIES UPON THESE QUESTIONNAIRE RESPONSES TO DETERMINE THESE RELATIONSHIPS. MR. LEE KOURY (UHCMC DIRECTOR) AND MR. GREGORY SKODA (UHCMC DIRECTOR) HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE ORGANIZATIONS INCLUDED IN THIS RETURN. ITS RIGHTS INCLUDE ELECTING THE BOARD OF DIRECTORS AND APPROVING SIGNIFICANT DECISIONS OF EACH ORGANIZATION'S BOARD. FORM 990, PART VI, SECTION A, LINE 7A UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (SOLE MEMBER) ELECTS THE BOARD OF DIRECTORS, INCLUDING THE DESIGNATION OF THE DIRECTORS TO BE THE CHAIRPERSON AND VICE CHAIRPERSON OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN GOVERNING RESPONSIBILITIES ARE RESERVED AT THE PARENT ORGANIZATION, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (SOLE MEMBER). EXAMPLES INCLUDE APPROVING MATTERS RELATING TO FINANCES AND FINANCING, MATTERS RELATING TO INVESTMENTS, LEGAL MATTERS, MATERIAL ASSETS SALES OR TRANSFERS, STRATEGIC PLAN, OFFICERS, AND DIRECTORS TO THE ORGANIZATIONS BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT AND COMPLIANCE COMMITTEE HAS BEEN DELEGATED AUTHORITY BY THE UHHS BOARD OF DIRECTORS TO REVIEW THE FORM 990. THE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION SECTIONS OF THE FORM 990. THE GOVERNANCE AND COMMUNITY BENEFIT COMMITTEE REVIEWED THE COMMUNITY BENEFIT SECTION OF THE FORM 990 (SCHEDULE H). THE UHHS BOARD OF DIRECTORS RECEIVES A COMPLETE COPY OF THE RETURN BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. CERTAIN MEMBERS OF SENIOR MANAGEMENT REVIEW THE FORM WHILE OVERSEEING THIS PROCESS. FORM 990, PART VI, SECTION B, LINE 12C THE SYSTEM HAS ADOPTED SIX CONFLICT OF INTEREST POLICIES THAT SET FORTH GUIDELINES RELATED TO TRANSACTIONS WITH DISQUALIFIED PERSONS (AS DEFINED IN APPLICABLE FEDERAL REGULATION). THESE POLICIES APPLY TO ALL EMPLOYEES, EMPLOYED PHYSICIANS AND OTHER LICENSED PRACTITIONERS (EXCLUDING PHYSICIAN TRAINEES), DIRECTORS, OFFICERS, AND RELATED PARTIES TO UH AND ITS WHOLLY-OWNED SUBSIDIARIES. UH REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICIES. DESIGNATED INDIVIDUALS, (E.G., UH MANAGEMENT, DIRECTORS, EMPLOYED PHYSICIANS, AND ADVANCED PRACTICE PROFESSIONALS), ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE AND PROVIDE INFORMATION REGARDING ANY INTERESTS THAT MAY BE POTENTIAL CONFLICTS PURSUANT TO THE CONFLICT OF INTEREST POLICIES. THEY ARE REQUIRED TO PROVIDE ANY CHANGES OR NEW DISCLOSURES SHOULD THEY OCCUR. ALL DISCLOSURES AND SUBSEQUENT UPDATES TO DISCLOSURES ARE REVIEWED BY THE UH COMPLIANCE AND ETHICS DEPARTMENT. BOARD-LEVEL AND KEY PERSONNEL CONFLICTS ARE REVIEWED AND APPROVED, IF APPROPRIATE, BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE UH BOARD AND/OR THE UH BOARD. IF A CONFLICT EXISTS WITH A DIRECTOR, CERTAIN RESTRICTIONS MAY BE IMPOSED, SUCH AS EXCUSING THE DIRECTOR FROM THE ROOM DURING DISCUSSION AND/OR VOTING WITH REGARD TO A PROPOSED TRANSACTION. EDUCATION REGARDING CONFLICTS OF INTEREST IS INCLUDED IN THE ANNUAL COMPLIANCE TRAINING THAT INCLUDES ALL DIRECTORS, EMPLOYEES, PHYSICIANS AND LICENSED PRACTITIONERS. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS APPROVED BY THE UHHS BOARD OF DIRECTORS. EXECUTIVE COMPENSATION IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD (THE "COMMITTEE"). THE COMMITTEE HAS RETAINED AN INDEPENDENT COMPENSATION CONSULTANT WHO PROVIDES INFORMATION TO THE COMMITTEE ON CHANGES AND TRENDS IN EXECUTIVE COMPENSATION AND OBJECTIVE THIRD PARTY INFORMATION ON COMPETITIVE AND COMPARABLE EXECUTIVE COMPENSATION AND BENEFIT LEVEL/PROGRAMS. THE CONSULTANT COLLECTS AND PROVIDES TO THE COMMITTEE, APPROPRIATE MARKET COMPENSATION AND BENEFITS INFORMATION, APPROPRIATE MARKET PRACTICES FOR COMPARABLE ORGANIZATIONS' POSITIONS AND BEST PRACTICES. THE CONSULTANT ALSO PROVIDES ADVICE ON DEVELOPING AND MODIFYING UH'S EXECUTIVE COMPENSATION PHILOSOPHY. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS FOR UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES ARE MADE PUBLICLY AVAILABLE THROUGH THE USE OF DAC BOND (DISCLOSURE DISSEMINATION AGENT) AND CAN BE FOUND ON THE INTERNET AT WWW.DACBOND.COM. THE ORGANIZATION'S ARTICLES, CODE OF REGULATIONS, AND CONFLICT OF INTEREST POLICY MAY BE MADE AVAILABLE UPON REQUEST. FORM 990, PARTS VIII, IX AND X: IN ORDER TO PROVIDE A MORE COMPLETE AND ACCURATE PICTURE OF UNIVERSITY HOSPITALS HEALTH SYSTEM'S FINANCIAL INFORMATION, UH HAS INCLUDED ALL FINANCIAL DATA FOR BOTH THE CONSOLIDATED GROUP AND PARENT ORGANIZATION IN THIS FORM 990 FOR PARTS VIII, IX AND X, INCLUDING SUPPLEMENTAL INFORMATION REQUIRED IN SCHEDULE D. PLEASE REFER TO THE AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS RETURN AND THE SEPARATELY FILED FORM 990 FOR THE UH PARENT FOR ADDITIONAL INFORMATION. RECONCILIATION OF GROUP PRESENTATION PART VIII - STATEMENT OF REVENUE UH GROUP AND UH PARENT ELIMINATIONS UH GROUP UH PARENT PARENT ONLY (WITHOUT UH COMBINED PARENT) LINE 1H 79,293,000 (12,520,000) 2,318,000 69,091,000 LINE 2G 3,588,753,000 (488,785,000) 437,521,000 3,537,489,000 LINE 3 30,985,000 (30,852,000) - 133,000 LINE 6 - - - - LINE 7D (6,191,000) 6,206,000 - 15,000 LINE 8C (47,000) - - (47,000) LINE 9 26,000 - - 26,000 LINE 11E 160,396,000 (78,669,000) - 81,727,000 LINE 12 3,853,215,000 (604,620,000) 439,839,000 3,688,434,000 *TOTAL REVENUE REPORTED ON LINE 12 OF $3,853,215,000 CONSISTED OF $3,749,149,000 EXEMPT FUNCTION REVENUE, $3,112,000 OF UNRELATED BUSINESS REVENUE, AND $21,661,000 OF REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512-514. PART IX - STATEMENT OF FUNCTIONAL EXPENSES UH GROUP UH PARENT ELIMINATIONS UH GROUP AND PARENT WITHOUT UH COMBINED PARENT) LINE 1 8,070,000 (8,046,000) - 24,000 LINE 5 48,076,000 (20,340,000) - 27,736,000 LINE 6 2,849,000 (677,000) - 2,172,000 LINE 7 1,540,311,000 (260,040,000) - 1,280,271,000 LINE 8 47,005,000 17,306,000 - 64,311,000 LINE 9 206,252,000 (44,265,000) - 161,987,000 LINE 10 102,873,000 (17,982,000) - 84,891,000 LINE 11B 2,801,000 (2,789,000) - 12,000 LINE 11C 1,090,000 (521,000) - 569,000 LINE 11D 439,000 (16,000) - 423,000 LINE 11E 126,000 - - 126,000 LINE 11G 111,451,000 (29,082,000) - 82,369,000 LINE 12 12,487,000 (9,935,000) - 2,552,000 LINE 13 740,348,000 (6,832,000) - 733,516,000 LINE 14 81,060,000 (76,757,000) - 4,303,000 LINE 16 160,691,000 (19,440,000) - 141,251,000 LINE 17 9,720,000 (1,959,000) - 7,761,000 LINE 20 46,654,000 (46,654,000) - - LINE 22 158,570,000 (51,168,000) - 107,402,000 LINE 23 37,438,000 9,839,000 - 47,277,000 LINE 24 296,621,000 (107,336,000) 437,521,000 626,806,000 LINE 25 3,614,932,000 (676,694,000) 437,521,000 3,375,759,000 TOTAL FUNCTIONAL EXPENSES REPORTED ON LINE 25 OF $3,614,932,000 CONSISTED OF $3,368,759,000 PROGRAM SERVICE EXPENSES, $232,909,000 OF MANAGEMENT AND GENERAL EXPENSES, AND $13,264,000 OF FUNDRAISING EXPENSES. PART X - BALANCE SHEET UH GROUP AND UH PARENT ELIMINATIONS UH GROUP UH PARENT WITHOUT UH COMBINED PARENT) LINE 2 279,890,000 (272,285,000) 7,605,000 LINE 3 46,610,000 (7,459,000) 39,151,000 LINE 4 609,621,000 (22,406,000) 587,215,000 LINE 7 - - - LINE 8 74,985,000 - 74,985,000 LINE 9 33,753,000 (25,842,000) 7,911,000 LINE 10C 1,694,363,000 (488,383,000) 1,205,980,000 LINE 11 1,294,963,000 (1,294,417,000) 546,000 LINE 12 358,816,000 (355,341,000) 3,475,000 LINE 13 460,070,000 (1,859,031,000) 1,576,951,000 177,990,000 LINE 14 6,519,000 (2,109,000) 4,410,000 LINE 15 155,398,000 (51,752,000) 103,646,000 LINE 16 5,014,988,000 (4,379,025,000) 1,576,951,000 2,212,914,000 LINE 17 429,974,000 (280,603,000) 149,371,000 LINE 18 - - - LINE 19 1,400,000 - 1,400,000 LINE 20 1,245,237,000 (1,245,303,000) (66,000) LINE 23 139,736,000 (139,736,000) - LINE 25 623,364,000 (507,547,000) 115,817,000 LINE 26 2,439,711,000 (2,173,189,000) - 266,522,000 LINE 27 1,811,978,000 (1,824,632,000) 1,576,951,000 1,564,297,000 LINE 29 763,299,000 (381,204,000) - 382,095,000 LINE 33 2,575,277,000 (2,205,836,000) 1,576,951,000 1,946,392,000 LINE 34 5,014,988,000 (4,379,025,000) 1,576,951,000 2,212,914,000 FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTION -31,259,000. INVESTMENT IN SUBSIDIARIES -1,848,000. ADDITIONAL MINIMUM LIABILITY -10,985,000. EQUITY TRANSFERS -103,515,000. OTHER CHANGES IN FUND BALANCE 88,357,000. CHANGE IN BENEFICIAL INTEREST FOUNDATIONS -33,862,000. MEDINA COMMUNITY HEALTHCARE PROPERTIES 11100 EUCLID AVE CLEVELAND OH 44106 REAL ESTATE OH 0 0 UHHS JWR COMMERCIAL PROPERTIES LLC 11100 EUCLID AVE CLEVELAND OH 44106 REAL ESTATE OH 0 0 UHHS CHESTER ROAD COMMERCIAL PROPERTIES LLC 11100 EUCLID AVE CLEVELAND OH 44106 REAL ESTATE OH 0 0 UHHS UH HEALTH SOLUTIONS LLC 11100 EUCLID AVE CLEVELAND OH 44106 SUPPORT SERVICES OH 0 0 UHHS UH HEALTH VENTURES LLC 11100 EUCLID AVE CLEVELAND OH 44106 SUPPORT SERVICES OH 0 0 UHHS UH RESEARCH EDUCATION AND COLLABORATION LLC 11100 EUCLID AVE CLEVELAND OH 44106 271287585 SUPPORT SERVICES OH 0 0 UHHS PARMA HOSPITAL HEALTH CARE FOUNDATION 7007 POWERS BLVD PARMA OH 44129 341626664 SUPPORT HOSPITAL OH 501(C)(3) TYPE I UHPMC 1 SAMARITAN HOSPITAL FOUNDATION 663 EAST MAIN ST ASHLAND OH 44805 341783215 SUPPORT HOSPITAL OH 501(C)(3) TYPE I UHSRMC 1 ROBINSON MEMORIAL HOSPITAL FOUNDATION 6847 N CHESTNUT ST RAVENNA OH 44266 341510544 SUPPORT HOSPITAL OH 501(C)(3) TYPE I UHRHS 1 ELYRIA MEDICAL CENTER FOUNDATION 630 EAST 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