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KMA 3.00 0.00 X 0 0 0 MCCORKLE RETIRED LT GENERAL FREDER PUBLIC TRUSTEE - LORD FDN 3.00 0.00 X 0 0 0 MCGAUGH MICHAEL DIRECTOR - AGMC, LODI 5.00 0.00 X 0 0 0 MCGORRAY KATHLEEN T TRUSTEE - LAKEWOOD 3.00 0.00 X 0 0 0 MERRIMAN JEFF DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 MILLER PAMELA DIRECTOR - REGIONAL HOSPS 5.00 0.00 X 0 0 0 MILSTEN MD RICHARD DIRECTOR - IRHF 3.00 0.00 X 0 0 0 MOORE ESQ TERRY A DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 MORINO MARIO DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 MULROY PATRICIA DIRECTOR - KMA 3.00 0.00 X 0 0 0 MURPHY CAROL DIRECTOR - UHCHF 3.00 0.00 X 0 0 0 NANCE FREDERICK DIR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 NICHOLS ANNA P DIRECTOR - IRHF 3.00 0.00 X 0 0 0 O'BRIEN KATHLEEN C DIRECTOR - IRHF 3.00 0.00 X 0 0 0 OLIVIERI DEAN DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 O'NEILL JOHN TRUSTEE - LAKEWOOD 3.00 0.00 X 0 0 0 ORAFU MD CHINYERE DIRECTOR - UNION HOSP 3.00 0.00 X 0 0 0 PALOMBI MARK DIRECTOR - MARTIN MEM FDN 3.00 0.00 X 0 0 0 PARKER QUINN DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 PATTON REBECCA TRUSTEE - LAKEWOOD 3.00 0.00 X 0 0 0 PELLEGRINI DAVID DIRECTOR - AGMC, LODI 5.00 0.00 X 0 0 0 PETIT DAN DIRECTOR - KMA 3.00 0.00 X 0 0 0 POHL PAUL M PUBLIC TRUSTEE - LORD FDN 3.00 0.00 X 0 0 0 POTTER MARY DIRECTOR - IRHF 3.00 0.00 X 0 0 0 PRITTS GARY TRUSTEE - LAKEWOOD 3.00 0.00 X 0 0 0 RATCLIFFE GEORGE DIRECTOR - MARTIN MEM FDN 3.00 0.00 X 0 0 0 RAUBENOLT MD AMY DIRECTOR - AGMC, LODI 5.00 0.00 X 0 0 0 REISER MATTHEW DIRECTOR - IRMH 3.00 0.00 X 0 0 0 RICH MELINDA DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 RICH JR ROBERT E DIRECTOR - FLA 5.00 0.00 X 0 0 0 ROGICH SIGMOND DIRECTOR - KMA 3.00 0.00 X 0 0 0 ROHRBACH N JACK DIRECTOR - IRHF 3.00 0.00 X 0 0 0 ROSS MARK DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 RUNDELS MATTHEW DIRECTOR - IRHF 3.00 0.00 X 0 0 0 RYAN PATRICK DIR - CCFRH, WESTON, CC FLA, MARTIN 5.00 0.00 X 0 0 0 SABBAGH MD MARWAN DIRECTOR - KMA 3.00 0.00 X 0 0 0 SALEK ANN DIRECTOR - MEDINA HOSP FDN 3.00 0.00 X 0 0 0 SALERNO FREDERIC DIRECTOR - CCFRH, WESTON, CC FLA, MARTIN 5.00 0.00 X 0 0 0 SALVATORE ALBERT DIRECTOR - REGIONAL HOSP 5.00 0.00 X 0 0 0 SARNER GEORGE DIRECTOR - MARTIN MEM FDN 3.00 0.00 X 0 0 0 SAVAGE MATT DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 SCHEER RUTH C DIRECTOR - IRHF 3.00 0.00 X 0 0 0 SCHULMAN DAN DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 SCOTT HAROLD LEE DIR - CCF, CCEF, REG HOSPS & FLA 5.00 0.00 X 0 0 0 SCOVILLE ROGER DIRECTOR - IRHF 3.00 0.00 X 0 0 0 SCULLY WILLIAM P DIRECTOR - IRHF 3.00 0.00 X 0 0 0 SEALY KAREN DIRECTOR - AGMC, LODI 5.00 0.00 X 0 0 0 SEANOR GEORGE D DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 SEVERINO MICHAEL DIRECTOR - KMA 3.00 0.00 X 0 0 0 SHERWOOD EMILY DIRECTOR - IRHF 3.00 0.00 X 0 0 0 SNYDER JEROME F DIRECTOR - KMA 3.00 0.00 X 0 0 0 STEELMAN PAUL DIRECTOR - KMA 3.00 0.00 X 0 0 0 STEINBERG DAVID DIRECTOR - KMA 3.00 0.00 X 0 0 0 STEPHENSON ELIZABETH DIRECTOR - UNION HOSP 3.00 0.00 X 0 0 0 STEVENS MARK DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 STRUTHERS JR HARVEY J DIRECTOR - IRHF 3.00 0.00 X 0 0 0 STURM ROLAND DIRECTOR - KMA, LRBI 5.00 0.00 X 0 0 0 TABBAA MD MOUSAB TRUSTEE - LAKEWOOD 3.00 0.00 X 0 0 0 TAFFER JON DIRECTOR - KMA 3.00 0.00 X 0 0 0 THOMSON DAVE DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 TRUNDLE SYLVIA DIRECTOR - AGMC, LODI, PPG 5.00 0.00 X 0 0 0 VEGA LORRIANE DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 VON ALDENBRUCK GYTHA DIRECTOR - MMF 3.00 0.00 X 0 0 0 WALDRON JOHN DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 WEBB THEORA BUNNY DIR -FLA; VICE CHAIR (MMHS) 5.00 0.00 X X 0 0 0 WEBER ROBERT DIR - CCF, CCEF, REG HOSPS & FLA 5.00 0.00 X 0 0 0 WEINBERG RONALD DIRECTOR - CCF, CCEF & REG HOSPS 5.00 0.00 X 0 0 0 WEISSMAN ROBERT DIRECTOR - MART MEM FDN 3.00 0.00 X 0 0 0 WEXLER NANCY DIRECTOR - KMA 3.00 0.00 X 0 0 0 WILHELM MARK DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 WILLIAMS II FONDA DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 WILLIAMS DDS GEORGE T DIRECTOR - MERCY DEV FDN 3.00 0.00 X 0 0 0 ANDREAS LOIS DIR, BD CHAIR - UHCHF 3.00 0.00 X X 0 0 0 BAREFOOT BRIAN DIR ASST SEC, VICE CHAIR - IRHF 3.00 0.00 X X 0 0 0 BAUCHMAN ROBERT W DIR, ASS SECRETARY - IRHF 3.00 0.00 X X 0 0 0 BRYZTWA ELLEN TRUSTEE, BD VICE CHAIR - LAKEWOOD 3.00 0.00 X X 0 0 0 CLIFFORD J CHRISTOPHER DIRECTOR, VICE CHAIR - IRHF 3.00 0.00 X X 0 0 0 DAKERS KAREN DIRECTOR, CHAIR - MARTIN MEM FDN 3.00 0.00 X X 0 0 0 DOOLING JOHN JACK DIR, BD VICE CHAIR - UNION HOSP 3.00 0.00 X X 0 0 0 GABLE THOMAS J TRUSTEE, BD CHAIR - LAKEWOOD 3.00 0.00 X X 0 0 0 GRAY KEVIN E DIR - UH, UHCHF, SEC - UHCHF 5.00 0.00 X X 0 0 0 GULLQUIST HERBERT DIRECTOR, ASS TREAS - IRHF 3.00 0.00 X X 0 0 0 HAMMES MICHAEL J DIRECTOR - FLA, BD CHAIR - IRMH 5.00 0.00 X X 0 0 0 HOCKMEYER PHD WAYNE DIRECTOR (FLA), CHAIR (IRMH) 5.00 0.00 X X 0 0 0 HORN ROBERT A DIR - UH, UHCHF, VICE CHAIR - UHCHF 5.00 0.00 X X 0 0 0 HUNTER ELLEN DIR, BD CHAIR - MEDINA HOSP FDN 3.00 0.00 X X 0 0 0 HUTSON WILLIAM DIR, VICE CHAIR - MEDINA HOSP FDN 3.00 0.00 X X 0 0 0 KAY HARVEY TRUSTEE, VICE CHAIR - CCCHR 3.00 0.00 X X 0 0 0 LAFAGE JUDITH DIR, VICE CHAIR - IRHF 3.00 0.00 X X 0 0 0 LANG SEAN DIRECTOR (FLA), CHAIR (WESTON) 5.00 0.00 X X 0 0 0 LERNER MARK DIR - REG HOSPS; CHAIR - AGMC 5.00 0.00 X X 0 0 0 LICHTENBERGER WILLIAM DIRECTOR - FLA; CHAIR (MMHS) 5.00 0.00 X X 0 0 0 MAROONE MICHAEL DIR-CCF, CCEF, REG HOSPS, FLA; CHAIR 5.00 0.00 X X 0 0 0 MIKSCH DONALD DIR, VICE CHAIR - MEDINA HOSP FDN 3.00 0.00 X X 0 0 0 MILLER-DAWSON DIANE DIR-AGMC, LODI, V. CHAIR - AGMC 5.00 0.00 X X 0 0 0 MONDELLO JAMES DIR, VICE CHAIR & SEC - MMF 3.00 0.00 X X 0 0 0 MOONEY BETH E DIR, CHAIR-CCF, CCEF, REG HOSPS, FLA 5.00 0.00 X X 0 0 0 MORRIS JAMES PUBLIC TRUSTEE, PRES - LORD FDN 3.00 0.00 X X 0 0 0 MUNN WILLIAM H DIRECTOR, ASST TREAS - IRHF 3.00 0.00 X X 0 0 0 NEVILLE JAMES R TRUSTEE, ASST SEC - CCCHR 3.00 0.00 X X 0 0 0 O'BRIEN TIMOTHY TRUSTEE, CHAIR - CCCHR 3.00 0.00 X X 0 0 0 PAUMIER DDS THOMAS M DIRECTOR, CHAIR - MERCY DEV FDN 3.00 0.00 X X 0 0 0 PETERSON III DONALD A PAST CHAIR, DIR - MERCY DEV FDN 3.00 0.00 X X 0 0 0 PETRAS JR MICHAEL DIR, VICE CHAIR - CCF & CCEF 5.00 0.00 X X 0 0 0 PLAZEK RONALD DIRECTOR, TREAS - MEDINA HOS FDN 3.00 0.00 X X 0 0 0 POLLOCK LARRY DIRECTOR, VICE CHAIR - CCF, CCEF 5.00 0.00 X X 0 0 0 PRELAC JOHN DIR, SEC - MERCY DEV FDN 3.00 0.00 X X 0 0 0 ROBINSON SCOTT DIRECTOR, TREAS - UHCHF 3.00 0.00 X X 0 0 0 ROGERS JR CB DIRECTOR, CHAIR ERMERITUS - IRHF 3.00 0.00 X X 0 0 0 RUVO LARRY DIRECTOR -KMA & LRBI; CHAIR - KMA 5.00 0.00 X X 0 0 0 RUVO CAMILLE DIRECTOR, VICE CHAIR - KMA 3.00 0.00 X X 0 0 0 SHEIFFER PAMELA J DIRECTOR, SECRETARY - IRHF 3.00 0.00 X X 0 0 0 SWIGART AGNES K DIRECTOR, PRES - UHCHF 3.00 0.00 X X 0 0 0 TANSILL DOUGLAS T DIRECTOR, VICE CHAIR - IRHF 3.00 0.00 X X 0 0 0 THORN LEE ANN DIRECTOR, VICE CHAIR - MERCY DEV FDN 3.00 0.00 X X 0 0 0 TREIER J BRET DIRECTOR - AGMC & LODI, CHAIR - AGMC 5.00 0.00 X X 0 0 0 TUCKER JOHN M DIRECTOR, ASST TREAS - MERCY DEV FDN 3.00 0.00 X X 0 0 0 WARTHER PATRICIA DIRECTOR - REG HOSPS, CHAIR (UH) 5.00 0.00 X X 0 0 0 WOODRUFF ANTHONY C DIRECTOR-IRHF, IRMH; CHAIR - IRHF 5.00 0.00 X X 0 0 0 ZIELSDORF ROBERT L DIRECTOR, TREAS - IRHF 3.00 0.00 X X 0 0 0 BANKS JOHN TREASURER - MARYMOUNT 3.00 0.00 X 0 0 0 99126749 8771049 -6637114 13193 1 1 0 QUALIVIS LLC PO BOX 123847 DALLAS TX 75312 PERSONNEL SERVICES 145404636 AYA HEALTHCARE INC PO BOX 123519 DALLAS TX 75312 TRAVEL NURSING AGENCY 27301489 SIEMENS MEDICAL SOLUTIONS INC PO BOX 12102 DALLAS TX 75312 HEALTHCARE IT CONSULTING & ENGINEERING S 22569585 KYNDRYL INC PO BOX 735919 DALLAS PA 75373 INFORMATION TECHNOLOGY SERVICES 22140756 ACCENTURE LLP PO BOX 70629 CHICAGO IL 60673 MANAGEMENT CONSULTING & PROFESSIONAL SER 18458390 858 X 7002498 24270425 192083148 263007726 19520244 486363797 NET PATIENT SERVICES 620000 6372102734 6358847179 13255555 MEDICARE/MEDICAID PAYM 921990 5702537373 5702537373 OTHER PROGRAM SERVICES 900099 952504243 932786166 19718077 PROG.SERV.REVENUE-EXCL 720000 59044854 19795478 39249376 MANAGEMENT FEES 561000 15079517 15079517 6488584 5414683 1073901 13107757305 65898522 65898522 23128023 23128023 36546337 0 36546337 36546337 36546337 2373342037 59848 2352650428 -1039804 20691609 1099652 21791261 21791261 3205658 7002498 3816212 -610554 -610554 DERIVATIVE INCOME 525990 68375765 273848 68101917 INVESTMENT IN AFFIL. 523000 12009664 12009664 LIFE INSURANCE TRUST 525990 154122 154122 -301109400 -301109400 -220569849 13520304842 13014664918 54116859 -34840732 45401452 45401452 114102114 114102114 2438850 2438850 65515223 26494963 39020260 12987222 7759161 5228061 6135980697 5271660772 851379212 12940713 327190584 280996536 45398282 795766 709970730 610094224 98509716 1366790 382790393 328784103 53112856 893434 8585406 7394165 1191241 21226159 18280992 2945167 3114290 3114290 1263236 1263236 1936471 1936471 33751807 33751807 671384859 575270977 93155857 2958025 40673902 34428936 5643577 601389 182560510 156569848 25330600 660062 218276460 187980482 30286251 9727 3699988 3186608 513380 227054026 195549871 31504155 26279615 22266182 3646344 367089 12510571 10567596 1735863 207112 126255821 108737599 17518222 562770864 484684429 78085470 965 110180515 94892770 15287745 MEDICAL SUPPLIES 2725328276 2725317885 10391 BAD DEBT EXPENSE 366879096 366879096 STATE FRANCHISE FEE 191917379 191917379 EQUIPMENT RENTAL & MAIN 175811000 151341250 24394093 75657 157010334 149965595 6969886 74853 13664847850 12174227071 1467722335 22898444 659492079 315826469 7153309 554427938 231253196 359916649 1627183388 1867693590 244925735 465779121 262239001 297132744 101721031 129654563 11378487324 6248854910 4971501635 5129632414 6972859251 5428655833 6598260675 6456936880 299729130 421537284 194045527 204327164 1911782628 2034091595 24082146585 23665612244 1434072335 1852217543 -1014299 3022975 70720583 81012408 4209485038 4124306725 1709569 1441334 452939307 485643154 1717764009 1666388786 7885676542 8214032925 X 14627562594 13712259577 1568907449 1739319742 16196470043 15451579319 24082146585 23665612244 X -144543008 -777130355 -41797923 218580562 X 0 1 X 1 1 1 X 317989021 327817213 741758329 629033712 486363797 2502962072 317989021 327817213 741758329 629033712 486363797 2502962072 2502962072 128454359 164884332 164918079 203214903 125572882 787044555 1686203 769871 1241182 467836 4165092 187750642 437964438 701022749 900292610 80265703 2307296142 5601467861 54876768641 0.44680 0.42110 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: INCOME LOSS ON INVESTMENTS - 2018 AMOUNT: $ 138,561,020. 2019 AMOUNT: $ 279,307,436. 2020 AMOUNT: $ 689,403,579. 2021 AMOUNT: $ 870,791,094. FOREIGN CURRENCY - 2019 AMOUNT: $ 286,197. 2020 AMOUNT: $ 92,893. 2021 AMOUNT: $ 365,082. INCOME FROM FUNDRAISING/GAMING EVENTS - 2018 AMOUNT: $ 13,597. 2020 AMOUNT: $ 5,050. DERIVATIVE INCOME - 2018 AMOUNT: $ 689,834. 2021 AMOUNT: $ 20,749,237. 2022 AMOUNT: $ 68,101,917. LIFE INSURANCE TRUST - 2019 AMOUNT: $ 14,861. 2021 AMOUNT: $ 331,326. 2022 AMOUNT: $ 154,122. INVESTMENT IN AFFILIATES - 2018 AMOUNT: $ 48,486,191. 2019 AMOUNT: $ 158,355,944. 2020 AMOUNT: $ 11,521,227. 2021 AMOUNT: $ 8,055,871. 2022 AMOUNT: $ 12,009,664. PART I, PUBLIC CHARITY STATUS BOX 3 HAS BEEN CHECKED AS THE MOST ACCURATE REPRESENTATION OF THE CLEVELAND CLINIC FOUNDATION GROUP RETURN'S PUBLIC CHARITY STATUS SINCE THE VAST MAJORITY OF THE INFORMATION REPORTED IN THE CLEVELAND CLINIC FOUNDATION GROUP RETURN RELATES TO SECTION 170(B)(1)(A)(III) HOSPITAL ENTITIES. ALL OF THE SUBORDINATE ORGANIZATIONS MAINTAIN A PUBLIC CHARITY STATUS PURSUANT TO SECTION 509(A) AND THE INFORMATION REQUIRED IN PARTS II THROUGH V HAS BEEN REPORTED IN PART VI WHERE APPLICABLE TO ONE OR MORE OF THE SUBORDINATE ORGANIZATIONS. PART I, LINE 12 PURSUANT TO THE INSTRUCTIONS FOR GROUP FILINGS, THE FOLLOWING INFORMATION FOR PARTS 12A-12G IS BEING PROVIDED. LINE 12E THE 509(A)(3) SUBORDINATES INCLUDED IN THIS GROUP RETURN ARE ALL RECOGNIZED AS TYPE I SUPPORTING ORGANIZATIONS UNDER THE CLEVELAND CLINIC FOUNDATION'S GROUP EXEMPTION. LINE 12F THE TOTAL NUMBER OF SUPPORTED ORGANIZATIONS: 9 LINE 12G THE FOLLOWING INFORMATION IS PROVIDED ABOUT THE SUPPORTED ORGANIZATIONS: NAME OF SUPPORTED ORGANIZATION, EIN, TYPE OF ORGANIZATION DESCRIBED IN LINES 1-9 OF SCHEDULE A PART I, WHETHER THE SUPPORTED ORGANIZATION IS LISTED IN THE GOVERNING DOCUMENTS OF THE SUPPORTING ORGANIZATION, AMOUNT OF MONETARY SUPPORT AND SUPPORTING ORGANIZATION. THE CLEVELAND CLINIC FOUNDATION, 34-0714585, 3, YES, PLEASE SEE NARRATIVE IN PART VI, SECTION A, LINE 1 FOR EXCEPTIONS, $0, CCF LYNDHURST PROPERTY CORP., CCF LYNDHURST PROPERTY II CORP., CCF NEW YORK MEDICAL SERVICES, P.C., CCF TENNESSEE MEDICAL SERVICES, P.C., CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION), CLEVELAND CLINIC FLORIDA HOSPITAL (A NONPROFIT CORPORATION), CLEVELAND CLINIC HOME CARE SERVICES, INC., CLEVELAND CLINIC MEDICAL SERVICES DBA ALLOGEN LABORATORIES, CLEVELAND CLINIC NEVADA, CLEVELAND CLINIC SUPPORT SERVICES, CLINIC CARE, INC., LORD FOUNDATION OF OHIO, LOU RUVO BRAIN INSTITUTE, THE CORONARY CLUB, CLEVELAND CLINIC HEALTH SERVICES PROFESSIONAL ASSOCIATION, CLEVELAND CLINIC FLORIDA REGIONAL HEALTH SYSTEM NONPROFIT CORPORATION, THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION AND CLEVELAND CLINC ALLIANCE FOR PATIENT & CAREGIVER SAFETY PATIENT SAFETY ORGANIZATION. CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, 34-0714570, 3, YES, $0, PEDIATRIC MEDICAL MANAGEMENT, INC. CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION, 34-0714593, 3, YES, $0, CLEVELAND CLINIC HOME CARE, INC. AKRON GENERAL MEDICAL CENTER, 34-0714478, 3, YES, $0, AKRON GENERAL HEALTH SYSTEM, AKRON GENERAL PARTNERS AND PARTNERS PHYSICIAN GROUP. THE UNION HOSPITAL ASSOCIATION, 34-0714771, 3, YES, $0, UNION HEALTH SYSTEM. CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION), 65-0003177, 12A, YES, $0, CLEVELAND CLINIC FLORIDA PHARMACY SERVICES NONPROFIT CORPORATION. INDIAN RIVER MEMORIAL HOSPITAL, INC., 59-2496294, 3, YES, $0, INDIAN RIVER HEALTH SERVICES, INC. AND HEALTH SYSTEMS OF INDIAN RIVER, INC. MARTIN MEMORIAL MEDICAL CENTER, INC., 59-0637874, 3, YES, $0, COASTAL CARE CORPORATION AND MARTIN MEMORIAL HEALTH SYSTEM, INC. CLEVELAND CLINIC FLORIDA REGIONAL HEALTH SYSTEM NONPROFIT CORPORATION, 83-2249666, 12A, YES, $0, MARTIN MEMORIAL HEALTH SYSTEM, INC. PART IV, SECTION A AND SECTION B PURSUANT TO THE INSTRUCTIONS, THE FOLLOWING INFORMATION FOR SECTIONS A AND B IS BEING PROVIDED: PART IV -SECTION A - LINE 1 - THERE ARE 2 SUPPORTING ORGANIZATIONS THAT DO NOT LIST THE SUPPORTED ORGANIZATION IN ITS GOVERNING DOCUMENTS (CCF LYNDHURST PROPERTY CORPORATION AND CCF TENNESSEE MEDICAL SERVICES, P.C.). INSTEAD, THE GOVERNING DOCUMENTS INDICATE THAT IF THE ENTITY WERE TO DISSOLVE, THE SUPPORTED ORGANIZATION WOULD CONTROL THE ASSETS OF THE SUPPORTING ORGANIZATION. PART IV -SECTION A - LINE 2 - THERE ARE 3 ORGANIZATIONS THAT SUPPORT OTHER 509(A)(3) SUPPORTING ORGANIZATIONS WHOSE PURPOSE IS TO SUPPORT 509(A)(1) ORGANIZATIONS. PART IV -SECTION A - LINE 6 - THERE ARE 3 SUPPORTING ORGANIZATIONS THAT PROVIDED SUPPORT TO OTHER ORGANIZATIONS EXEMPT UNDER 501(C)(3) THAT WERE NOT LISTED IN THE SUPPORTING ORGANIZATION'S GOVERNING DOCUMENTS. THIS INCLUDED SUPPORT TO ORGANIZATIONS SUCH AS LOCAL HOSPITALS, MEDICAL/HEALTH ASSOCIATIONS, AND OTHER ORGANIZATIONS THAT BENEFIT THE LOCAL COMMUNITIES. ALL OTHER QUESTIONS IN PART IV OF SECTION A ARE ANSWERED EITHER "NO OR "N/A" FOR ALL OF THE SUPPORTING ORGANIZATIONS IN THE GROUP. PART IV -SECTION B - LINE 1 - YES PART IV - SECTION B - LINE 2 - NO RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 812720 1 450516 0 0 1263236 0 SCHEDULE C CLEVELAND CLINIC ENGAGES IN HEALTH CARE RELATED LOBBYING ACTIVITIES IN FURTHERANCE OF ITS EXEMPT PURPOSE AND IN SUPPORT OF ITS MISSION OF CARING FOR LIFE, RESEARCHING FOR HEALTH, AND EDUCATION FOR THOSE WHO SERVE. FUTHER DETAIL ON THE TYPES OF ACTIVITIES IS PROVIDED BELOW. PART II-B, 1B PAID STAFF OR MANAGEMENT - REPRESENTS ACTIVITIES DESCRIBED IN PART II-B LINE 1G CONDUCTED BY MEMBERS OF THE CCF GOVERNMENT RELATIONS OFFICE. PART II-B, 1F GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES - REPRESENTS PAYMENT TO CERTAIN ORGANIZATIONS FOR LOBBYING SERVICES AS WELL AS PAYMENT OF DUES TO CERTAIN TRADE ORGANIZATIONS WHERE A PORTION OF THE DUES ARE USED TO CONDUCT LOBBYING ACTIVITIES. PART II-B, 1G DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY - REPRESENTS MEETINGS WITH AND TOURS CONDUCTED FOR LEGISLATORS AND/OR THEIR STAFF MEMBERS. X 5 60.31 2 1 75.00 3062 622607959 33478101 40664988 16207841 599213231 537603872 22489147 72345109 9830169 622607959 467849153 26948322 59710925 16904528 537603872 388135477 40929881 46870849 8087054 467849153 381810007 17655756 -5582019 5748267 388135477 1.00000 0 0 348134784 348134784 6891383735 3770375791 3121007944 233211092 167384233 65826859 3096020364 2141392695 954627669 809737349 169702191 640035158 5129632414 OTHER SECURITIES (PRIVATE EQUITY) 2987374984 C OTHER SECURITIES (HEDGE FUNDS) 3469561896 C 6456936880 DUE FROM AFFILIATES 405887503 PERPETUAL & BENEFICIAL TRUSTS 125008075 INVESTMENT IN AFFILIATES 966386542 OTHER ASSETS 187917140 DEFERRED ANNUITIES 348892335 2034091595 230384 DEFERRED ANNUITY TRUST 861143 OTHER LIABILITIES 335153882 FUTURE GIFT ANNUITIES 12472151 ACCRUED BENEFITS 244305625 DUE TO AFFILIATES 438056881 ACCRUED PENSION 602642886 INTEREST RATE SWAP 32665834 1666388786 X PART II, LINE 9: THE CONSERVATION COVENANTS REPORTED IN PART II ARE RELATED TO FIVE WETLANDS LOCATED ON THE CLEVELAND CLINIC HEALTH SYSTEM'S PROPERTY IN TWINSBURG, OHIO; AVON, OHIO; AKRON, OH; AND WESTON, FLORIDA (2). THESE EASEMENTS ARE NOT REQUIRED TO BE REPORTED ON THE BALANCE SHEET SEPARATE FROM THE VALUE OF THE LAND. EXPENSES TO MONITOR, INSPECT, AND PROTECT THIS LAND ARE REFLECTED IN THE STATEMENT OF EXPENSES. PART V, LINE 4: THE ENDOWMENT FUNDS OF CLEVELAND CLINIC FOUNDATION AND ITS AFFILIATES ARE USED IN FURTHERANCE OF ITS EXEMPT PURPOSE. SPECIFICALLY, THESE FUNDS ARE USED FOR EDUCATION, RESEARCH, AND PATIENT CARE. PART X, LINE 2: THE CLEVELAND CLINIC HEALTH SYSTEM'S ("THE SYSTEM") AUDITED FINANCIAL STATEMENTS ARE REPORTED ON A CONSOLIDATED BASIS, INCLUDING EXEMPT, TAXABLE, AND FOREIGN ENTITIES TO WHICH THE ASC 740-10 LIABILITY RELATES. THE ASC 740-10 FOOTNOTE ON THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE SYSTEM READS AS FOLLOWS: AT DECEMBER 31, 2022 AND 2021, THE LIABILITY FOR UNCERTAINTY IN INCOME TAXES WAS $2.4 MILLION AND $2.0 MILLION, RESPECTIVELY. THE SYSTEM DOES NOT EXPECT A SIGNIFICANT INCREASE OR DECREASE IN UNRECOGNIZED TAX BENEFITS WITHIN THE NEXT 12 MONTHS. THE SYSTEM RECOGNIZES INTEREST AND PENALTIES ACCRUED RELATED TO THE LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. 1 CENTRAL AMERICA & THE CARIBBEAN 0 0 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 24120000 NORTH AMERICA 2 0 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 49235000 EUROPE 3 33 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 902205000 MIDDLE EAST & NORTH AFRICA 2 73 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 5652000 EAST ASIA AND THE PACIFIC 1 1 PROGRAM SERVICES INESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 25000 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES TRAVEL FOR EDUCATION/PATIENT CARE 49000 EUROPE 0 0 PROGRAM SERVICES TRAVEL FOR EDUCATION/PATIENT CARE 2143000 MIDDLE EAST & NORTH AFRICA 0 0 PROGRAM SERVICES TRAVEL FOR EDUCATION/PATIENT CARE 6748000 CENTRAL AMERICA & THE CARIBBEAN 0 0 PROGRAM SERVICES TRAVEL FOR EDUCATION/PATIENT CARE 1000 NORTH AMERICA 0 0 PROGRAM SERVICES TRAVEL FOR EDUCATION/PATEINT CARE 79000 SOUTH ASIA 0 0 PROGRAM SERVICES TRAVEL FOR EDUCATION/PATIENT CARE 15000 SOUTH AMERICA 0 0 PROGRAM SERVICES TRAVEL FOR EDUCATION/PATIENT CARE 29000 MIDDLE EAST & NORTH AFRICA 0 0 FUNDRAISING EAST ASIA AND THE PACIFIC 0 0 FUNDRAISING CENTRAL AMERICA & THE CARIBBEAN 0 0 FUNDRAISING NORTH AMERICA 0 0 FUNDRAISING SOUTH ASIA 0 0 FUNDRAISING EUROPE 0 0 FUNDRAISING EUROPE 0 0 INVESTING 67525000 SUB SAHARAN AFRICA 0 0 INVESTING 101886000 MIDDLE EAST & NORTH AFRICA 0 0 INVESTING 2419000 NORTH AMERICA 0 0 INVESTING 28426000 CENTRAL AMERICA & THE CARIBBEAN 0 0 INVESTING 3539268000 8 107 0 0 8 107 990177000 3739648000 4729825000 NORTH AMERICA RESEARCH 90000 CHECK AND/OR WIRE 0 NORTH AMERICA RESEARCH 37340 CHECK AND/OR WIRE 0 EAST ASIA AND THE PACIFIC RESEARCH 594000 CHECK AND/OR WIRE 0 NORTH AMERICA RESEARCH 16398 CHECK AND/OR WIRE 0 EUROPE RESEARCH 9437 CHECK AND/OR WIRE 0 EUROPE RESEARCH 6625 CHECK AND/OR WIRE 0 MIDDLE EAST & NORTH AFRICA RESEARCH 45943 CHECK AND/OR WIRE 0 EUROPE RESEARCH 18952 CHECK AND/OR WIRE 0 CENTRAL AMERICA & THE CARIBBEAN RESEARCH 64800 CHECK AND/OR WIRE 0 EUROPE RESEARCH 8290 CHECK AND/OR WIRE 0 EUROPE RESEARCH 395260 CHECK AND/OR WIRE 0 EUROPE RESEARCH 43890 CHECK AND/OR WIRE 0 NORTH AMERICA RESEARCH 11010 CHECK AND/OR WIRE 0 EAST ASIA AND THE PACIFIC RESEARCH 398753 CHECK AND/OR WIRE 0 EAST ASIA AND THE PACIFIC RESEARCH 39800 CHECK AND/OR WIRE 0 NORTH AMERICA RESEARCH 22048 CHECK AND/OR WIRE 0 NORTH AMERICA RESEARCH 7449 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 34500 CHECK AND/OR WIRE 0 NORTH AMERICA RESEARCH 21247 CHECK AND/OR WIRE 0 EAST ASIA AND THE PACIFIC RESEARCH 95028 CHECK AND/OR WIRE 0 NORTH AMERICA RESEARCH 434310 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 37770 CHECK AND/OR WIRE 0 11 11 RESEARCH EAST ASIA AND THE PACIFIC 1 6000 CHECK AND/OR WIRE 0 1 0 1 1 1 1 PART I, LINE 2: A MAJORITY OF THE RESEARCH GRANTS PROVIDED TO FOREIGN ORGANIZATIONS ARE PART OF A NATIONAL INSTITUTES OF HEALTH OR FEDERALLY FUNDED PROGRAM. AS SUCH, THE FOREIGN ORGANIZATION IS REQUIRED TO MEET AND ADHERE TO FEDERAL GRANT REPORTING REQUIREMENTS WITH RESPECT TO THE USE OF THE FUNDS ON AN ON-GOING BASIS IN ORDER TO BE ELIGIBLE TO PARTICIPATE OR CONTINUE TO PARTICIPATE IN THE RESEARCH STUDY. FOR THOSE GRANTS THAT ARE NOT FEDERALLY FUNDED, A CONTRACT EXISTS WITH THE FOREIGN GRANTEE ORGANIZATION THAT ESTABLISHES HOW THE FUNDS ARE TO BE USED AND REQUIRES CERTAIN REPRESENTATIONS AND ACCOUNTING REGARDING THEIR USE. CLEVELAND CLINIC MAINTAINS OVERSIGHT OF THESE GRANTS AND REGULARLY MONITORS THEIR COMPLIANCE WITH EITHER THE FEDERAL REGULATIONS OR THE CONTRACT PROVISIONS. PART I, LINE 3: THE ACCRUAL METHOD IS USED TO ACCOUNT FOR EXPENDITURES. PART III ACCOUNTING METHOD: X X X X X X 1 CLASSY 350 TENTH AVE STE 1300 SAN DIEGO CA 92101 ONLINE SOLICITATION 0 6936090 463184 6472906 RR DONNELLEY 35 W WACKER DR CHICAGO IL 60601 DIRECT MAIL 0 5494928 2696360 2798568 TSM DONOR ENGAGEMENT TEAM 155 COMMERCE DR FREEDOM PA 15042 PHONE SOLICITATION 0 123612 713398 -589786 12554630 3872942 8681688 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 VELOSANO 5595869 4722965 872904 0 0 294332 185166 2000 1272611 CHILDREN'S DERBY DAY SOIREE 1675585 498785 1176800 0 0 49190 140899 2498 566374 11 2936702 1780748 1155954 0 17386 412500 323080 170458 379718 10208156 7002498 3205658 17386 756022 649145 174956 2218703 3816212 -610554 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 1 210813680 0 210813680 0.01590 1793699437 1178320307 615379130 0.04630 0 0 0.00000 2004513117 1178320307 826192810 0.06220 48662570 1422534 47240036 0.00360 419647164 81436925 338210239 0.02540 247123201 189313476 57809725 0.00430 356442372 227579550 128862822 0.00970 21654432 168478 21485954 0.00160 1093529739 499920963 593608776 0.04460 3098042856 1678241270 1419801586 0.10680 32720 0 32720 0.00000 111913 0 111913 0.00000 655416 0 655416 0.00000 0 0 0.00000 5059 0 5059 0.00000 91085 0 91085 0.00000 10112 0 10112 0.00000 49495 0 49495 0.00000 0 0 0.00000 955800 955800 0.00000 1 366879096 0 1589322491 1749898910 -160576419 X 1 1 1 AKRON SURGICAL ASSOCIATES LLC SURGICAL SERVICES 0.51000 0.49000 2 TRADITION SURGERY CENTER LLC SURGICAL SERVICES 0.51660 0.48370 3 STUART SURGERY CENTER LLC SURGICAL VENTURES 0.81720 0.18280 26 1 THE CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVENUE CLEVELAND OH 44195 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1151AHR X X X X X X A 2 AKRON GENERAL MEDICAL CENTER 1 AKRON GENERAL AVENUE AKRON OH 44307 WWW.CLEVELANDCLINIC.ORG OHIO STATE ID 1276AHR X X X X X A 3 FAIRVIEW HOSPITAL 18101 LORAIN AVENUE CLEVELAND OH 44111 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1145AHR X X X X X A 4 HILLCREST HOSPITAL 6780 MAYFIELD ROAD MAYFIELD HEIGHTS OH 44124 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1019AHR X X X X X A 5 CLEVELAND CLINIC WESTON HOSPITAL 2950 CLEVELAND CLINIC BLVD WESTON FL 33331 WWW.CLEVELANDCLINIC.ORG FL LICENSE NUMBER 4299 X X X X X C 6 INDIAN RIVER MEMORIAL HOSPITAL 1000 36TH STREET VERO BEACH FL 32960 WWW.CLEVELANDCLINIC.ORG FL LICENSE 4029 X X X C 7 CLEVELAND CLINIC MERCY HOSPITAL 1320 MERCY DRIVE NW CANTON OH 44708 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1271AHR X X X X 8 CLEVELAND CLINIC MARTIN SOUTH HOSPITAL 2100 SE SALERNO ROAD STUART FL 34997 WWW.CLEVELANDCLINIC.ORG FL LICENSE 4102 X X X C 9 CLEVELAND CLINIC AVON HOSPITAL 33300 CLEVELAND CLINIC BOULEVARD AVON OH 44011 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1531AHR X X X X X A 10 CLEVELAND CLINIC TRADITION HOSPITAL 10000 SW INNOVATION WAY PORT ST LUCIE FL 34987 WWW.CLEVELANDCLINIC.ORG FL LICENSE 4102 X X X C 11 MARYMOUNT HOSPITAL 12300 MCCRACKEN GARFIELD HEIGHTS OH 44125 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1136AHR X X X X X A 12 MEDINA HOSPITAL 1000 E WASHINGTON STREET MEDINA OH 44256 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1236AHR X X X X X A 13 LUTHERAN HOSPITAL 1730 WEST 25TH STREET CLEVELAND OH 44113 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1149AHR X X X X X A 14 SOUTH POINTE HOSPITAL 20000 HARVARD ROAD WARRENSVILLE HTS OH 44122 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1297AHR X X X X X A 15 EUCLID HOSPITAL 18901 LAKESHORE BOULVARD EUCLID OH 44119 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1133AHR X X X X X A 16 THE UNION HOSPITAL ASSOCIATION 659 BOULEVARD DOVER OH 44622 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1285AHR X X X 17 CLEVELAND CLINIC MARTIN NORTH HOSPITAL 200 HOSPITAL AVENUE STUART FL 34994 WWW.CLEVELANDCLINIC.ORG FL LICENSE 4102 X X X C 18 CLEV CLINIC CHILDREN'S HOSP FOR REHAB 2801 MARTIN LUTHER KING DRIVE CLEVELAND OH 44104 WWW.CLEVELANDCLINIC.ORG OH STATE ID 0153RF X X X X X A 19 LODI COMMUNITY HOSPITAL 225 ELYRIA STREET LODI OH 44254 WWW.CLEVELANDCLINIC.ORG OHIO STATE ID 1234AHR X X X X A 20 CLEVELAND CLINIC REHAB - BEACHWOOD 3025 SCIENCE PARK DRIVE BEACHWOOD OH 44122 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1906 X B 21 CLEVELAND CLINIC REHABILITATION-AVON 33355 HEALTH CAMPUS BOULEVARD AVON OH 44011 WWW.CLEVELANDCLINIC.ORG OHIO STATE ID 1522AHR X B 22 CLEVELAND CLINIC REHAB - EDWIN SHAW 4389 MEDINA ROAD COPLEY OH 44321 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1905 X B 23 SELECT SPECIALTY - FAIRHILL 11900 FAIRHILL ROAD CLEVELAND OH 44195 WWW.SELECTMEDICAL.COM OH STATE ID 1468 X B 24 SELECT SPECIALTY - REGENCY EAST 4200 INTERCHANGE CORPORATE CENTER RD WARRENSVILLE HEIGHTS OH 44128 WWW.SELECTMEDICAL.COM OH STATE ID 1479 X B 25 SELECT SPECIALTY - REGENCY WEST 6990 ENGLE ROAD MIDDLEBURG HEIGHTS OH 44130 WWW.SELECTMEDICAL.COM OH STATE ID 1478 X B 26 SELECT SPECIALTY - GATEWAY 2351 E 22ND STREET CLEVELAND OH 44115 WWW.SELECTMEDICAL.COM OH STATE ID 1431 X B REPORTING GROUP A 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X X X 1 X 0 0 REPORTING GROUP B 0 0 1 X X X X X X X X X 22 1 1 0 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 0 X X 0 0 THE UNION HOSPITAL ASSOCIATION 16 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 100.000000000000 200.000000000000 X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 REPORTING GROUP C 0 0 1 X X X X X X X X X 21 1 1 0 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X X X 1 X 0 0 MERCY HOSPITAL 7 0 1 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 MERCY HOSPITAL PART V, SECTION B, LINE 2: IN FEBRUARY 2021, THE CLEVELAND CLINIC FOUNDATION ACQUIRED MERCY HOSPITAL FROM THE SISTERS OF CHARITY OF ST. AUGUSTINE. THE UNION HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: UNION HOSPITAL IS A MEMBER OF "HEALTHY TUSC," A COLLABORATION OF TUSCARAWAS COUNTY HEALTHCARE AND COMMUNITY BASED AGENCIES. HEALTHY TUSC PROVIDED COORDINATION OF THE ASSESSMENT COMMUNITY SURVEY AND DATA ANALYSIS, AND CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT WITH SUPPORT OF NORTHWEST HOSPITAL ASSOCIATION OF OHIO. THE RESULTS OF THAT ASSESSMENT DONE IN 2022 PROVIDED THE DATA NECESSARY OF UNION HOSPITAL TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IT SERVES. IN CONDUCTING THE CHNA, HEALTHY TUSC CREATED A PANEL WHICH INCLUDED REPRESENTATIVES FROM UNITED WAY, LOCAL FAMILY PHYSICIANS, DENTISTS, MENTAL HEALTH AND ADDICTION COUNSELORS FROM THE ALCOHOL, DRUG, ADDICTION AND MENTAL HEALTH SERVICES ("ADAMHS") BOARD, REPRESENTATIVES FROM THE LOCAL SCHOOL DISTRICTS, REPRESENTATIVES FROM COUNTY AND CITY HEALTH DEPARTMENTS, LOCAL YMCA LEADERS, AND HOSPITAL LEADERS. UNION HOSPITAL ALSO COLLABORATED WITH OTHER CLEVELAND CLINIC HOSPITALS TO ALIGN CHNA DATA AND RESOURCES. MERCY HOSPITAL PART V, SECTION B, LINE 5: MERCY HOSPITAL'S CHNA WAS DEVELOPED IN 2022 IN COLLABORATION WITH STARK COUNTY HEALTH DEPARTMENT, ALLIANCE CITY HEALTH DEPARTMENT, CANTON CITY HEALTH DEPARTMENT, MASSILLON HEALTH DEPARTMENT AND AULTMAN HOSPITALS. THE HEALTH DEPARTMENTS AND HOSPITALS ENGAGED CENTER FOR MARKETING & OPINION, LLC (CMOR) TO PROVIDE RESEARCH, DATA ANALYSIS, AND NARRATIVE FOR THE REPORT. FIVE HEALTHCARE PRIORITIES WERE IDENTIFIED, WHICH INCLUDES ACCESS TO HEALTH CARE, ADDICTION, INFANT MORTALITY AND MATERNAL HEALTH, MENTAL HEALTH, AND OBESITY AND HEALTHY LIFESTYLE CHOICES. THESE PRIORITY AREAS ARE IN ALIGHMENT WITH THE PRIORITY HEALTH NEEDS FOR THE CLEVELAND CLINIC HEALTH SYSTEM AS WELL AS THE STATE OF OHIO. MERCY HOSPITAL ALSO COLLABORATED WITH OTHER CLEVELAND CLINIC HOSPITALS TO ALIGN CHNA DATA AND RESOURCES. THE UNION HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6A: UNION HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT WITH TRINITY TWIN CITY HOSPITAL, AN UNRELATED ENTITY, AND COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, AVON HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, THE CLEVELAND CLINIC FOUNDATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, MERCY HOSPITAL, AND SOUTH POINTE HOSPITAL. UNION ALSO COLLABORATED WITH: CLEVELAND CLINIC REHAB HOSPITALS - SELECT CLEVELAND HOSPITALS, STATE AND COUNTY HEALTH DEPARTMENTS, AND COMMUNITY BASED ORGANIZATIONS (CBOS). MERCY HOSPITAL PART V, SECTION B, LINE 6A: CLEVELAND CLINIC MERCY HOSPITAL CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: CLEVELAND CLINIC FOUNDATION MAIN CAMPUS, AKRON GENERAL MEDICAL CENTER, AVON HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND UNION HOSPITAL. CLEVELAND CLINIC MERCY HOSPITAL ALSO WORKED WITH TWO OTHER NOT-FOR-PROFIT COUNTY HOSPITALS, AULTMAN HOSPITAL AND AULTMAN ALLIANCE COMMUNITY HOSPITAL WHO WERE PART OF THE STARK COUNTY COMMUNITY HEALTH ASSESSMENT ADVISORY COMMITTEE. THE UNION HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6B: YES, UNION HOSPITAL CONDUCTED ITS CHNA WITH ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES. THESE ORGANIZATIONS INCLUDE: NEW PHILADELPHIA CITY HEALTH DEPARTMENT, TUSCARAWAS COUNTY HEALTH DEPARTMENT, AND TWIN CITY MEDICAL CENTER. MERCY HOSPITAL PART V, SECTION B, LINE 6B: YES, CLEVELAND CLINIC MERCY HOSPITAL CONDUCTED ITS CHNA WITH ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES. THESE ORGANIZATIONS INCLUDE: STARK COUNTY HEALTH DEPARTMENT, ALLIANCE CITY HEALTH DEPARTMENT, CANTON CITY HEALTH DEPARTMENT, MASSILLON HEALTH DEPARTMENT. THE UNION HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: THE UNION HOSPITAL ASSOCIATION'S (UNION") COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED THE FOLLOWING THREE PRIORITY AREAS: HEALTH BEHAVIORS, ACCESS TO CARE, AND MENTAL HEALTH AND ADDICTION. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. MERCY HOSPITAL PART V, SECTION B, LINE 11: DURING THE CHNA, THE FOLLOWING HEALTH NEEDS WERE IDENTIFIED FROM A COMMUNITY PERSPECTIVE AND INCORPORATED INTO MERCY'S IMPLEMENTATION PLAN, AND ARE LISTED BELOW: ACCESS TO HEALTHCARE, ADDICTION, INFANT MORTALITY AND MATERNAL HEALTH, MENTAL HEALTH, AND OBESITY AND HEALTHY LIFESTYLE CHOICES. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. MERCY HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: THE CLEVELAND CLINIC FOUNDATION, - FACILITY 3: FAIRVIEW HOSPITAL, - FACILITY 4: HILLCREST HOSPITAL, - FACILITY 11: MARYMOUNT HOSPITAL, - FACILITY 14: SOUTH POINTE HOSPITAL, - FACILITY 13: LUTHERAN HOSPITAL, - FACILITY 12: MEDINA HOSPITAL, - FACILITY 15: EUCLID HOSPITAL, - FACILITY 18: CLEV CLINIC CHILDREN'S HOSP FOR REHAB, - FACILITY 19: LODI COMMUNITY HOSPITAL, - FACILITY 2: AKRON GENERAL MEDICAL CENTER, - FACILITY 9: CLEVELAND CLINIC AVON HOSPITAL GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS. CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 6A: CLEVELAND CLINIC FOUNDATION MAIN CAMPUS CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, AVON HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, MERCY HOSPITAL, SOUTH POINTE HOSPITAL, AND UNION HOSPITAL. COLLABORATIONS WERE ALSO DONE WITH CLEVELAND CLINIC REHAB HOSPITALS - SELECT CLEVELAND HOSPITALS, STATE AND COUNTY HEALTH DEPARTMENTS, AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 11: THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING : ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE USE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, MATERNAL AND CHILD HEALTH, AND SOCIOECONOMIC ISSUES. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. IN ADDITION TO THE PRIORITIZED HEALTH NEEDS, THE CHNA IDENTIFIED THREE ADDITIONAL COMMUNITY HEALTH ISSUES PREVALENT IN CONSIDERING COMMUNITY HEALTH: HEALTH EQUITY, SOCIAL DETERMINANTS OF HEALTH, AND MEDICAL EDUCATION AND RESEARCH. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY THE CLEVELAND CLINIC FOUNDATION. UNINSURED PATIENTS THAT THE CLEVELAND CLINIC FOUNDATION DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, THE CLEVELAND CLINIC FOUNDATION NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS. CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 6A: FAIRVIEW HOSPITAL CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, AVON HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, MERCY HOSPITAL, SOUTH POINTE HOSPITAL, AND UNION HOSPITAL. FAIRVIEW ALSO COLLABORATED WITH: CLEVELAND CLINIC REHAB HOSPITALS - SELECT CLEVELAND HOSPITALS, STATE AND COUNTY HEALTH DEPARTMENTS, AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 11: THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING : ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE USE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, MATERNAL AND CHILD HEALTH, AND SOCIOECONOMIC ISSUES. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. IN ADDITION TO THE PRIORITIZED HEALTH NEEDS, THE CHNA IDENTIFIED THREE ADDITIONAL COMMUNITY HEALTH ISSUES PREVALENT IN CONSIDERING COMMUNITY HEALTH: HEALTH EQUITY, SOCIAL DETERMINANTS OF HEALTH, AND MEDICAL EDUCATION AND RESEARCH. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING FAIRVIEW HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, FAIRVIEW HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS. CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 6A: HILLCREST HOSPITAL CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, AVON HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, MERCY HOSPITAL, SOUTH POINTE HOSPITAL, AND UNION HOSPITAL. HILLCREST ALSO COLLABORATED WITH: CLEVELAND CLINIC REHAB HOSPITALS - SELECT CLEVELAND HOSPITALS, STATE AND COUNTY HEALTH DEPARTMENTS, AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 11: THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING : ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE USE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, MATERNAL AND CHILD HEALTH, AND SOCIOECONOMIC ISSUES. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. IN ADDITION TO THE PRIORITIZED HEALTH NEEDS, THE CHNA IDENTIFIED THREE ADDITIONAL COMMUNITY HEALTH ISSUES PREVALENT IN CONSIDERING COMMUNITY HEALTH: HEALTH EQUITY, SOCIAL DETERMINANTS OF HEALTH, AND MEDICAL EDUCATION AND RESEARCH. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING HILLCREST HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING HILLCREST HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, HILLCREST HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 11 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS. CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 11 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 6A: MARYMOUNT HOSPITAL CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, AVON HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, MEDINA HOSPITAL, MERCY HOSPITAL, SOUTH POINTE HOSPITAL, AND UNION HOSPITAL. MARYMOUNT ALSO COLLABORATED WITH: CLEVELAND CLINIC REHAB HOSPITALS - SELECT CLEVELAND HOSPITALS, STATE AND COUNTY HEALTH DEPARTMENTS, AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP A-FACILITY 11 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 11: THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING : ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE USE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, MATERNAL AND CHILD HEALTH, AND SOCIOECONOMIC ISSUES. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. IN ADDITION TO THE PRIORITIZED HEALTH NEEDS, THE CHNA IDENTIFIED THREE ADDITIONAL COMMUNITY HEALTH ISSUES PREVALENT IN CONSIDERING COMMUNITY HEALTH: HEALTH EQUITY, SOCIAL DETERMINANTS OF HEALTH, AND MEDICAL EDUCATION AND RESEARCH. GROUP A-FACILITY 11 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 11 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING MARYMOUNT HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 11 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING MARYMOUNT HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 11 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, MARYMOUNT HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 14 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS. CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 14 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 6A: SOUTH POINTE HOSPITAL CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, AVON HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MERCY HOSPITAL, MEDINA HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, AND UNION HOSPITAL. SOUTH POINTE ALSO COLLABORATED WITH: CLEVELAND CLINIC REHAB HOSPITALS - SELECT CLEVELAND HOSPITALS, STATE AND COUNTY HEALTH DEPARTMENTS, AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP A-FACILITY 14 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 11: THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING : ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE USE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, MATERNAL AND CHILD HEALTH, AND SOCIOECONOMIC ISSUES. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. IN ADDITION TO THE PRIORITIZED HEALTH NEEDS, THE CHNA IDENTIFIED THREE ADDITIONAL COMMUNITY HEALTH ISSUES PREVALENT IN CONSIDERING COMMUNITY HEALTH: HEALTH EQUITY, SOCIAL DETERMINANTS OF HEALTH, AND MEDICAL EDUCATION AND RESEARCH. GROUP A-FACILITY 14 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 14 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING SOUTH POINTE HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 14 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING SOUTH POINTE HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 14 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, SOUTH POINTE HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 15 -- EUCLID HOSPITAL PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS. CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 15 -- EUCLID HOSPITAL PART V, SECTION B, LINE 6A: EUCLID HOSPITAL CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, AVON HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, THE CLEVELAND CLINIC FOUNDATION, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, MERCY HOSPITAL, SOUTH POINTE HOSPITAL, AND UNION HOSPITAL. EUCLID ALSO COLLABORATED WITH: CLEVELAND CLINIC REHAB HOSPITALS - SELECT CLEVELAND HOSPITALS, STATE AND COUNTY HEALTH DEPARTMENTS, AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP A-FACILITY 15 -- EUCLID HOSPITAL PART V, SECTION B, LINE 11: THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING : ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE USE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, MATERNAL AND CHILD HEALTH, AND SOCIOECONOMIC ISSUES. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. IN ADDITION TO THE PRIORITIZED HEALTH NEEDS, THE CHNA IDENTIFIED THREE ADDITIONAL COMMUNITY HEALTH ISSUES PREVALENT IN CONSIDERING COMMUNITY HEALTH: HEALTH EQUITY, SOCIAL DETERMINANTS OF HEALTH, AND MEDICAL EDUCATION AND RESEARCH. GROUP A-FACILITY 15 -- EUCLID HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 15 -- EUCLID HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING EUCLID HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 15 -- EUCLID HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING EUCLID HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 15 -- EUCLID HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, EUCLID HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 13 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS. CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 13 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 6A: LUTHERAN HOSPITAL CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, AVON HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, MERCY HOSPITAL, SOUTH POINTE HOSPITAL, AND UNION HOSPITAL. LUTHERAN ALSO COLLABORATED WITH: CLEVELAND CLINIC REHAB HOSPITALS - SELECT CLEVELAND HOSPITALS, STATE AND COUNTY HEALTH DEPARTMENTS, AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP A-FACILITY 13 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 11: THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING : ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE USE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, MATERNAL AND CHILD HEALTH, AND SOCIOECONOMIC ISSUES. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. IN ADDITION TO THE PRIORITIZED HEALTH NEEDS, THE CHNA IDENTIFIED THREE ADDITIONAL COMMUNITY HEALTH ISSUES PREVALENT IN CONSIDERING COMMUNITY HEALTH: HEALTH EQUITY, SOCIAL DETERMINANTS OF HEALTH, AND MEDICAL EDUCATION AND RESEARCH. GROUP A-FACILITY 13 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 13 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING LUTHERAN HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 13 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING LUTHERAN HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 13 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, LUTHERAN HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 12 -- MEDINA HOSPITAL PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS. CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 12 -- MEDINA HOSPITAL PART V, SECTION B, LINE 6A: MEDINA HOSPITAL CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, AVON HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MERCY HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, SOUTH POINTE HOSPITAL, AND UNION HOSPITAL. MEDINA ALSO COLLABORATED WITH: CLEVELAND CLINIC REHAB HOSPITALS - SELECT CLEVELAND HOSPITALS, STATE AND COUNTY HEALTH DEPARTMENTS, AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP A-FACILITY 12 -- MEDINA HOSPITAL PART V, SECTION B, LINE 11: THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING : ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE USE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, MATERNAL AND CHILD HEALTH, AND SOCIOECONOMIC ISSUES. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. IN ADDITION TO THE PRIORITIZED HEALTH NEEDS, THE CHNA IDENTIFIED THREE ADDITIONAL COMMUNITY HEALTH ISSUES PREVALENT IN CONSIDERING COMMUNITY HEALTH: HEALTH EQUITY, SOCIAL DETERMINANTS OF HEALTH, AND MEDICAL EDUCATION AND RESEARCH. GROUP A-FACILITY 12 -- MEDINA HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 12 -- MEDINA HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING MEDINA HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 12 -- MEDINA HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING MEDINA HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 12 -- MEDINA HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, MEDINA HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 18 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS. CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 18 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 6A: CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, AVON HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, MERCY HOSPITAL, SOUTH POINTE HOSPITAL, AND UNION HOSPITAL. CCCHR ALSO COLLABORATED WITH: CLEVELAND CLINIC REHAB HOSPITALS - SELECT CLEVELAND HOSPITALS, STATE AND COUNTY HEALTH DEPARTMENTS, AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP A-FACILITY 18 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 11: THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING : ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE USE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, MATERNAL AND CHILD HEALTH (INCLUDING AUTISM SPECTRUM DISORDER), AND SOCIOECONOMIC ISSUES. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. IN ADDITION TO THE PRIORITIZED HEALTH NEEDS, THE CHNA IDENTIFIED THREE ADDITIONAL COMMUNITY HEALTH ISSUES PREVALENT IN CONSIDERING COMMUNITY HEALTH: HEALTH EQUITY, SOCIAL DETERMINANTS OF HEALTH, AND MEDICAL EDUCATION AND RESEARCH. GROUP A-FACILITY 18 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 18 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 18 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 18 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 19 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS. CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 19 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: LODI COMMUNITY HOSPITAL CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, AVON HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, THE CLEVELAND CLINIC FOUNDATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, MERCY HOSPITAL, SOUTH POINTE HOSPITAL, AND UNION HOSPITAL. LODI ALSO COLLABORATED WITH: CLEVELAND CLINIC REHAB HOSPITALS - SELECT CLEVELAND HOSPITALS, STATE AND COUNTY HEALTH DEPARTMENTS, AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP A-FACILITY 19 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING : ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE USE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, MATERNAL AND CHILD HEALTH, AND SOCIOECONOMIC ISSUES. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. IN ADDITION TO THE PRIORITIZED HEALTH NEEDS, THE CHNA IDENTIFIED THREE ADDITIONAL COMMUNITY HEALTH ISSUES PREVALENT IN CONSIDERING COMMUNITY HEALTH: HEALTH EQUITY, SOCIAL DETERMINANTS OF HEALTH, AND MEDICAL EDUCATION AND RESEARCH. GROUP A-FACILITY 19 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 19 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING LODI COMMUNITY HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 19 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING LODI COMMUNITY HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 19 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, LODI COMMUNITY HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 9 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS. CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 9 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 6A: CLEVELAND CLINIC AVON HOSPITAL CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HOSPITALS INCLUDING: CLEVELAND CLINIC MAIN CAMPUS, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, AKRON GENERAL MEDICAL CENTER, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, MERCY HOSPITAL, SOUTH POINTE HOSPITAL, AND UNION HOSPITAL. AVON ALSO COLLABORATED WITH: CLEVELAND CLINIC REHAB HOSPITALS - SELECT CLEVELAND HOSPITALS, STATE AND COUNTY HEALTH DEPARTMENTS, AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP A-FACILITY 9 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 11: THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING : ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE USE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, MATERNAL AND CHILD HEALTH, AND SOCIOECONOMIC ISSUES. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. IN ADDITION TO THE PRIORITIZED HEALTH NEEDS, THE CHNA IDENTIFIED THREE ADDITIONAL COMMUNITY HEALTH ISSUES PREVALENT IN CONSIDERING COMMUNITY HEALTH: HEALTH EQUITY, SOCIAL DETERMINANTS OF HEALTH, AND MEDICAL EDUCATION AND RESEARCH. GROUP A-FACILITY 9 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 9 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING CLEVELAND CLINIC AVON HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 9 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING CLEVELAND CLINIC AVON HOSPITAL CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 9 -- CLEVELAND CLINIC AVON HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CLEVELAND CLINIC AVON HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS. CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 6A: AKRON GENERAL MEDICAL CENTER CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: MAIN CAMPUS, AVON HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, MERCY HOSPITAL, SOUTH POINTE HOSPITAL, AND UNION HOSPITAL. AKRON ALSO COLLABORATED WITH: CLEVELAND CLINIC REHAB HOSPITALS - SELECT CLEVELAND HOSPITALS, STATE AND COUNTY HEALTH DEPARTMENTS, AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 11: THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING : ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE USE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, MATERNAL AND CHILD HEALTH, AND SOCIOECONOMIC ISSUES. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. IN ADDITION TO THE PRIORITIZED HEALTH NEEDS, THE CHNA IDENTIFIED THREE ADDITIONAL COMMUNITY HEALTH ISSUES PREVALENT IN CONSIDERING COMMUNITY HEALTH: HEALTH EQUITY, SOCIAL DETERMINANTS OF HEALTH, AND MEDICAL EDUCATION AND RESEARCH. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING AKRON GENERAL MEDICAL CENTER. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING AKRON GENERAL MEDICAL CENTER, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, AKRON GENERAL MEDICAL CENTER NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 21: CLEVELAND CLINIC REHABILITATION-AVON, - FACILITY 25: SELECT SPECIALTY - REGENCY WEST, - FACILITY 24: SELECT SPECIALTY - REGENCY EAST, - FACILITY 23: SELECT SPECIALTY - FAIRHILL, - FACILITY 26: SELECT SPECIALTY - GATEWAY, - FACILITY 22: CLEVELAND CLINIC REHAB - EDWIN SHAW, - FACILITY 20: CLEVELAND CLINIC REHAB - BEACHWOOD GROUP B-FACILITY 21 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS. CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 21 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 6A: CLEVELAND CLINIC REHABILITATION - AVON CONDUCTED ITS CHNA WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW, SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST. CC REHAB - AVON ALSO COLLABORATED WITH: STATE AND COUNTY HEALTH DEPARTMENTS AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP B-FACILITY 21 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED FOR CLEVELAND CLINIC REHABILITATION HOSPITAL, AVON WERE THE FOLLOWING: ACCESS TO HEALTHCARE, ADULT HEALTH, AND COMMUNITY SAFETY. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP B-FACILITY 25 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS. CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 25 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 6A: SELECT SPECIALTY - REGENCY WEST CONDUCTED ITS CHNA WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND EAST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. SELECT SPECIALTY - WEST ALSO COLLABORATED WITH: STATE AND COUNTY HEALTH DEPARTMENTS AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP B-FACILITY 25 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED FOR SELECT SPECIALTY - REGENCY WEST WERE THE FOLLOWING: ACCESS TO HEALTHCARE, ADULT HEALTH, AND COMMUNITY SAFETY. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP B-FACILITY 24 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS. CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 24 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 6A: SELECT SPECIALTY - REGENCY EAST CONDUCTED ITS CHNA WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND WEST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. SELECT SPECIALTY - EAST ALSO COLLABORATED WITH: STATE AND COUNTY HEALTH DEPARTMENTS AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP B-FACILITY 24 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED FOR SELECT SPECIALTY - REGENCY EAST WERE THE FOLLOWING: ACCESS TO HEALTHCARE, ADULT HEALTH, AND COMMUNITY SAFETY. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP B-FACILITY 23 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS. CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 23 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 6A: SELECT SPECIALTY - FAIRHILL CONDUCTED ITS CHNA WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. SELECT SPECIALTY - FAIRHILL ALSO COLLABORATED WITH: STATE AND COUNTY HEALTH DEPARTMENTS AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP B-FACILITY 23 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED FOR SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL WERE THE FOLLOWING: ACCESS TO HEALTHCARE, ADULT HEALTH, AND COMMUNITY SAFETY. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP B-FACILITY 26 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS. SELECT SPECIALTY - GATEWAY BEGAN THE PROCESS OF CONDUCTING A CHNA DURING 2022 UNTIL THE LOCATION CLOSED IN OCTOBER 2022. GROUP B-FACILITY 26 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 6A: SELECT SPECIALTY - GATEWAY BEGAN TO CONDUCT ITS CHNA PROCESS IN 2022 WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. A CHNA WAS NOT COMPLETED AS SELECT SPECIALTY - GATEWAY CLOSED ITS LOCATION IN OCTOBER 2022. GROUP B-FACILITY 26 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED FOR SELECT SPECIALTY HOSPITAL - GATEWAY WERE THE FOLLOWING: ACCESS TO HEALTHCARE, ADULT HEALTH, AND COMMUNITY SAFETY. SELECT SPECIALTY - GATEWAY CLOSED ITS LOCATION IN OCTOBER 2022, THEREFORE AN IMPLEMENTATION STRATEGY WAS NOT ADOPTED. GROUP B-FACILITY 20 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS. CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 20 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 6A: CLEVELAND CLINIC REHABILITATION - BEACHWOOD CONDUCTED ITS CHNA WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW, SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST. CC REHAB - BEACHWOOD ALSO COLLABORATED WITH: STATE AND COUNTY HEALTH DEPARTMENTS AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP B-FACILITY 20 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED FOR CLEVELAND CLINIC REHABILITATION HOSPITAL, BEACHWOOD WERE THE FOLLOWING: ACCESS TO HEALTH AND SOCIAL SERVICES, BEHAVIORAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, MATERNAL AND CHILD HEALTH, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP B-FACILITY 22 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS. CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP B-FACILITY 22 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 6A: CLEVELAND CLINIC REHABILITATION - EDWIN SHAW CONDUCTED ITS CHNA WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST. CC REHAB - EDWIN SHAW ALSO COLLABORATED WITH: STATE AND COUNTY HEALTH DEPARTMENTS AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP B-FACILITY 22 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED FOR CLEVELAND CLINIC REHABILITATION HOSPITAL, EDWIN SHAW WERE THE FOLLOWING: ACCESS TO HEALTHCARE, ADULT HEALTH, AND COMMUNITY SAFETY. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. PART V, SECTION B FACILITY REPORTING GROUP C FACILITY REPORTING GROUP C CONSISTS OF: - FACILITY 5: CLEVELAND CLINIC WESTON HOSPITAL, - FACILITY 6: INDIAN RIVER MEMORIAL HOSPITAL, - FACILITY 17: CLEVELAND CLINIC MARTIN NORTH HOSPITAL, - FACILITY 10: CLEVELAND CLINIC TRADITION HOSPITAL, - FACILITY 8: CLEVELAND CLINIC MARTIN SOUTH HOSPITAL GROUP C-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE MARCH 2021. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP C-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 6A: CLEVELAND CLINIC WESTON HOSPITAL CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: CLEVELAND CLINIC MARTIN NORTH HOSPITAL, CLEVELAND CLINIC TRADITION HOSPITAL, INDIAN RIVER MEMORIAL HOSPITAL, AND CLEVELAND CLINIC MARTIN SOUTH HOSPITAL. GROUP C-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP C-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP C-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING CLEVELAND CLINIC WESTON HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP C-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING CLEVELAND CLINIC WESTON HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC FLORIDA HOSPITAL TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP C-FACILITY 5 -- CLEVELAND CLINIC WESTON HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CLEVELAND CLINIC WESTON HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP C-FACILITY 6 -- INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED IN 2021 FROM GROUPS AND INDIVIDUALS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY, THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, AND GOVERNMENTAL DEPARTMENTS AND AGENCIES WITH CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. IN ALL, 19 COMMUNITY STAKEHOLDERS CONTRIBUTED TO THE ASSESSMENT, WHICH CAN BE FOUND IN APPENDIX C OF THE 2021 CHNA AT WWW.CLEVELANDCLINIC.ORG/ABOUT/COMMUNITY/REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTREPORTSINTERVIEWS WERE CONDUCTED FROM MARCH 16 THROUGH APRIL 13 OF 2021, WHICH TOOK APPROXIMATELY 30 MINUTES TO COMPLETE. A COMPLETE LIST OF INTERVIEW QUESTIONS AND RESPONSES CAN BE FOUND IN APPENDIX D OF THE 2021 CHNA. GROUP C-FACILITY 6 -- INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: CLEVELAND CLINIC INDIAN RIVER MEMORIAL HOSPITAL CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: CLEVELAND CLINIC TRADITION HOSPITAL, CLEVELAND CLINIC MARTIN SOUTH HOSPITAL, CLEVELAND CLINIC MARTIN NORTH HOSPITAL, AND CLEVELAND CLINIC WESTON HOSPITAL. GROUP C-FACILITY 6 -- INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: INDIAN RIVER MEMORIAL HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY (A) ADOPTION OF AN IMPLEMENTATION STRATEGY THAT ADDRESSES EACH OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA, (B) EXECUTION OF THE IMPLEMENTATION STRATEGY, (C) PARTICIPATION IN THE DEVELOPMENT OF A COMMUNITY-WIDE PLAN, (D) PARTICIPATION IN THE EXECUTION OF A COMMUNITY-WIDE PLAN, (E) ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE CHNA, (F) PRIORITIZATION OF HEALTH NEEDS IN ITS COMMUNITY, AND (G) PRIORITIZATION OF SERVICES THAT THE HOSPITAL FACILITY WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY. INDIAN RIVER WILL ADDRESS THE FOLLOWING NEEDS IDENTIFIED AS PRIORITIES: SKIN CANCER, MENTAL HEALTH, AND STROKE. THE OTHER NEEDS IDENTIFIED AS PRIORITIES BY THE CHNA WILL NOT BE ADDRESSED BY INDIAN RIVER AS THE INITIATIVE WILL BE LED BY OTHER FACILITIES AND OTHER ORGANIZATIONS IN COLLABORATION WITH OUR HOSPITAL. GROUP C-FACILITY 6 -- INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. GROUP C-FACILITY 6 -- INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING INDIAN RIVER MEMORIAL HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP C-FACILITY 6 -- INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING INDIAN RIVER MEMORIAL HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH FLORIDA HOSPITAL TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP C-FACILITY 6 -- INDIAN RIVER MEMORIAL HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, INDIAN RIVER MEMORIAL HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP C-FACILITY 17 -- CLEVELAND CLINIC MARTIN NORTH HOSPITAL PART V, SECTION B, LINE 5: PRIMARY DATA SOURCES UTILIZED FOR THE CHNA ARE LISTED IN APPENDIX C AND D OF THE 2021 CHNA. INFORMATION WAS GATHERED BY CONDUCTING INTERVIEWS WITH INDIVIDUALS REPRESENTING COMMUNITY HEALTH AND PUBLIC SERVICE ORGANIZATIONS, MEDICAL PROFESSIONALS, HOSPITAL ADMINISTRATION, AND OTHER HOSPITAL STAFF MEMBERS. INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH 26 COMMUNITY LEADER INTERVIEWS WHICH TOOK PLACE MARCH 2021. THESE INDIVIDUALS WERE IDENTIFIED AS PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY. INTERVIEWERS FOLLOWED THE SAME PROCESS FOR EACH INTERVIEW. THE COMPLETE LIST OF INTERVIEW QUESTIONS AND RESPONSES CAN BE FOUND IN APPENDIX D OF THE CHNA. FOLLOWING THE COMPLETION OF THE COMMUNITY LEADER INTERVIEWS, THE HOSPITAL SOUGHT ADDITIONAL INPUT FROM PUBLIC HEALTH EXPERTS REGARDING COVID 19 AND SYSTEMIC RACISM ISSUES. THREE ADDITIONAL PHONE INTERVIEWS WERE CONDUCTED WITH PREVIOUSLY INTERVIEWED PUBLIC HEALTH EXPERTS FROM JULY 20, 2020 THROUGH JULY 28, 2020. INTERVIEWERS FOLLOWED THE SAME PROCESS FOR EACH INTERVIEW. THE COMPLETE LIST OF INTERVIEW QUESTIONS AND RESPONSES CAN BE FOUND IN APPENDIX E OF THE CHNA. GROUP C-FACILITY 17 -- CLEVELAND CLINIC MARTIN NORTH HOSPITAL PART V, SECTION B, LINE 6A: CLEVELAND CLINIC MARTIN NORTH HOSPITAL CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: CLEVELAND CLINIC MARTIN SOUTH HOSPITAL, CLEVELAND CLINIC TRADITION HOSPITAL, INDIAN RIVER MEMORIAL HOSPITAL, AND CLEVELAND CLINIC WESTON HOSPITAL. GROUP C-FACILITY 17 -- CLEVELAND CLINIC MARTIN NORTH HOSPITAL PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING: COVID-19; ACCESS TO CARE; HEALTH EQUITY & SOCIAL DETERMINANTS OF HEALTH; CHRONIC DISEASE PREVENTION & MANAGEMENT; BEHAVIORAL HEALTH; MATERNAL& CHILD HEALTH; AND MEDICAL RESEARCH & HEALTH PROFESSIONS EDUCATION. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP C-FACILITY 17 -- CLEVELAND CLINIC MARTIN NORTH HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL ASSISTANCE CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME GROUP C-FACILITY 17 -- CLEVELAND CLINIC MARTIN NORTH HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING CLEVELAND CLINIC MARTIN NORTH HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP C-FACILITY 17 -- CLEVELAND CLINIC MARTIN NORTH HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING CLEVELAND CLINIC MARTIN NORTH HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP C-FACILITY 17 -- CLEVELAND CLINIC MARTIN NORTH HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO THE ITEMS LISTED IN 20A-D; CLEVELAND CLINIC MARTIN NORTH HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP C-FACILITY 10 -- CLEVELAND CLINIC TRADITION HOSPITAL PART V, SECTION B, LINE 5: PRIMARY DATA SOURCES UTILIZED FOR THE CHNA ARE LISTED IN APPENDIX C OF THE CHNA. INFORMATION WAS GATHERED BY CONDUCTING INTERVIEWS WITH INDIVIDUALS REPRESENTING COMMUNITY HEALTH AND PUBLIC SERVICE ORGANIZATIONS, MEDICAL PROFESSIONALS, HOSPITAL ADMINISTRATION, AND OTHER HOSPITAL STAFF MEMBERS. INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH 26 COMMUNITY LEADER INTERVIEWS WHICH TOOK PLACE IN MARCH 2021. THESE INDIVIDUALS WERE IDENTIFIED AS PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY. INTERVIEWERS FOLLOWED THE SAME PROCESS FOR EACH INTERVIEW. THE COMPLETE LIST OF INTERVIEW QUESTIONS AND RESPONSES CAN BE FOUND IN APPENDIX D AND E OF THE CHNA. FOLLOWING THE COMPLETION OF THE COMMUNITY LEADER INTERVIEWS, THE HOSPITAL SOUGHT ADDITIONAL INPUT FROM PUBLIC HEALTH EXPERTS REGARDING COVID 19 AND SYSTEMIC RACISM ISSUES. THREE ADDITIONAL PHONE INTERVIEWS WERE CONDUCTED WITH PREVIOUSLY INTERVIEWED PUBLIC HEALTH EXPERTS FROM JULY 20, 2020 THROUGH JULY 28, 2020. INTERVIEWERS FOLLOWED THE SAME PROCESS FOR EACH INTERVIEW. THE COMPLETE LIST OF INTERVIEW QUESTIONS AND RESPONSES CAN BE FOUND IN APPENDIX E OF THE CHNA. GROUP C-FACILITY 10 -- CLEVELAND CLINIC TRADITION HOSPITAL PART V, SECTION B, LINE 6A: CLEVELAND CLINIC TRADITION HOSPITAL CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: CLEVELAND CLINIC MARTIN NORTH HOSPITAL, CLEVELAND CLINIC MARTIN SOUTH HOSPITAL, INDIAN RIVER MEMORIAL HOSPITAL, AND CLEVELAND CLINIC WESTON HOSPITAL. GROUP C-FACILITY 10 -- CLEVELAND CLINIC TRADITION HOSPITAL PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING: COVID-19; ACCESS TO CARE; HEALTH EQUITY & SOCIAL DETERMINANTS OF HEALTH; CHRONIC DISEASE PREVENTION & MANAGEMENT; BEHAVIORAL HEALTH; MATERNAL& CHILD HEALTH; AND MEDICAL RESEARCH & HEALTH PROFESSIONS EDUCATION. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP C-FACILITY 10 -- CLEVELAND CLINIC TRADITION HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL ASSISTANCE CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME GROUP C-FACILITY 10 -- CLEVELAND CLINIC TRADITION HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING CLEVELAND CLINIC TRADITION HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP C-FACILITY 10 -- CLEVELAND CLINIC TRADITION HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING CLEVELAND CLINIC TRADITION HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP C-FACILITY 10 -- CLEVELAND CLINIC TRADITION HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO THE ITEMS LISTED IN 20A-D; CLEVELAND CLINIC TRADITION HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. GROUP C-FACILITY 8 -- CLEVELAND CLINIC MARTIN SOUTH HOSPITAL PART V, SECTION B, LINE 5: PRIMARY DATA SOURCES UTILIZED FOR THE CHNA ARE LISTED IN APPENDIX C OF THE CHNA. INFORMATION WAS GATHERED BY CONDUCTING INTERVIEWS WITH INDIVIDUALS REPRESENTING COMMUNITY HEALTH AND PUBLIC SERVICE ORGANIZATIONS, MEDICAL PROFESSIONALS, HOSPITAL ADMINISTRATION, AND OTHER HOSPITAL STAFF MEMBERS. INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH 26 COMMUNITY LEADER INTERVIEWS WHICH TOOK PLACE IN MARCH 2021. THESE INDIVIDUALS WERE IDENTIFIED AS PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY. INTERVIEWERS FOLLOWED THE SAME PROCESS FOR EACH INTERVIEW. THE COMPLETE LIST OF INTERVIEW QUESTIONS AND RESPONSES CAN BE FOUND IN APPENDIX D AND E OF THE CHNA. FOLLOWING THE COMPLETION OF THE COMMUNITY LEADER INTERVIEWS, THE HOSPITAL SOUGHT ADDITIONAL INPUT FROM PUBLIC HEALTH EXPERTS REGARDING COVID 19 AND SYSTEMIC RACISM ISSUES. THREE ADDITIONAL PHONE INTERVIEWS WERE CONDUCTED WITH PREVIOUSLY INTERVIEWED PUBLIC HEALTH EXPERTS FROM JULY 20, 2020 THROUGH JULY 28, 2020. INTERVIEWERS FOLLOWED THE SAME PROCESS FOR EACH INTERVIEW. THE COMPLETE LIST OF INTERVIEW QUESTIONS AND RESPONSES CAN BE FOUND IN APPENDIX E OF THE CHNA. GROUP C-FACILITY 8 -- CLEVELAND CLINIC MARTIN SOUTH HOSPITAL PART V, SECTION B, LINE 6A: CLEVELAND CLINIC MARTIN SOUTH HOSPITAL CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: CLEVELAND CLINIC MARTIN NORTH HOSPITAL, CLEVELAND CLINIC TRADITION HOSPITAL, INDIAN RIVER MEMORIAL HOSPITAL, AND CLEVELAND CLINIC WESTON HOSPITAL. GROUP C-FACILITY 8 -- CLEVELAND CLINIC MARTIN SOUTH HOSPITAL PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING: COVID-19; ACCESS TO CARE; HEALTH EQUITY & SOCIAL DETERMINANTS OF HEALTH; CHRONIC DISEASE PREVENTION & MANAGEMENT; BEHAVIORAL HEALTH; MATERNAL& CHILD HEALTH; AND MEDICAL RESEARCH & HEALTH PROFESSIONS EDUCATION. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP C-FACILITY 8 -- CLEVELAND CLINIC MARTIN SOUTH HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL ASSISTANCE CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME GROUP C-FACILITY 8 -- CLEVELAND CLINIC MARTIN SOUTH HOSPITAL PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS, INCLUDING CLEVELAND CLINIC MARTIN SOUTH HOSPITAL. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. GROUP C-FACILITY 8 -- CLEVELAND CLINIC MARTIN SOUTH HOSPITAL PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC, INCLUDING CLEVELAND CLINIC MARTIN SOUTH HOSPITAL, CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. GROUP C-FACILITY 8 -- CLEVELAND CLINIC MARTIN SOUTH HOSPITAL PART V, SECTION B, LINE 20E: IN ADDITION TO THE ITEMS LISTED IN 20A-D; CLEVELAND CLINIC MARTIN SOUTH HOSPITAL NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. PART V, SECTION B, LINES 7A, 10A, 16A-16C THE URL LINK TO VIEW THE CHNA, IMPLEMENTATION STRATEGY, FAP, FAP APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE FOUND ON THESE RESPECTIVE DIRECT URLS:HTTPS://MY.CLEVELANDCLINIC.ORG/ABOUT/COMMUNITY/REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORTS#2022-CHNAS-TABHTTPS://MY.CLEVELANDCLINIC.ORG/ABOUT/COMMUNITY/REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORTS#OVERVIEW-TABHTTPS://MY.CLEVELANDCLINIC.ORG/PATIENTS/BILLING-FINANCE/FINANCIAL-ASSISTANCE PART V, SECTION B, LINES 4, 9 SELECT SPECIALTY - GATEWAY HOSPITAL SHUT DOWN OPERATIONS IN OCTOBER 2022. DUE TO THE CLOSURE, THE HOSPITAL FACILITY DID NOT COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022, NOR DID IT ADOPT AN IMPLEMENTATION STRATEGY. 263 1 - WESTON FAMILY HEALTH CENTER 1825 N CORPORATE LAKES BLVD WESTON FL 33326 FAMILY HEALTH CENTER 2 - CLEVELAND CLINIC FLORIDA 2950 CLEVELAND CLINIC BLVD WESTON FL 33331 FAMILY HEALTH CENTER 3 - TWINSBURG FAMILY HEALTH & SURGERY CENTER 8701 DARROW ROAD TWINSBURG OH 44087 FAMILY HEALTH CENTER 4 - STRONGSVILLE FAMILY HEALTH & SURGERY CENTE 16761 SOUTH PARK CENTER STRONGSVILLE OH 44136 FAMILY HEALTH CENTER 5 - BEACHWOOD FAMILY HEALTH & SURGERY CENTER 26900 CEDAR ROAD BEACHWOOD OH 44122 FAMILY HEALTH CENTER 6 - RICHARD E JACOBS HEALTH CENTER 33100 CLEVELAND CLINIC BOULEVARD AVON OH 44011 FAMILY HEALTH CENTER 7 - INDEPENDENCE FAMILY HEALTH CENTER 5001 ROCKSIDE RD CROWN CENTRE II INDEPENDENCE OH 44131 FAMILY HEALTH CENTER 8 - CLEVELAND CLINIC HOME CARE SERVICES 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 HOME CARE SERVICES 9 - AKRON GENERAL HEALTH & WELLNESS CENTER - W 4125 MEDINA ROAD AKRON OH 44333 FAMILY HEALTH CENTER 10 - WILLOUGHBY HILLS FAMILY HEALTH CENTER 2550 2570 SOM CENTER ROAD WILLOUGHBY HILLS OH 44094 FAMILY HEALTH CENTER 11 - MARTIN HEALTH AT ST LUCIE WEST 1095 NW ST LUCIE WEST BOULEVARD PORT ST LUCIE FL 34986 FAMILY HEALTH CENTER 12 - CLEVELAND CLINIC CANCER CENTERS 417 QUARRY LAKES DRIVE SANDUSKY OH 44870 OUTPATIENT PHYSICIAN CLINIC 13 - LORAIN FAMILY HEALTH & SURGERY CENTER 5700 COOPER FOSTER PARK ROAD LORAIN OH 44053 FAMILY HEALTH CENTER 14 - WOOSTER FAMILY HEALTH CENTER 1740 CLEVELAND ROAD WOOSTER OH 44691 FAMILY HEALTH CENTER 15 - HILLCREST MEDICAL OFFICE I & II 6803 MAYFIELD ROAD MAYFIELD HEIGHTS OH 44124 OUTPATIENT PHYSICIAN CLINIC 16 - AKRON GENERAL HEALTH & WELLNESS CENTER 4300 ALLEN ROAD STOW OH 44224 FAMILY HEALTH CENTER 17 - AKRON GENERAL HEALTH & WELLNESS CENTER- GR 1940 TOWN PARK BLVD UNIONTOWN OH 44685 FAMILY HEALTH CENTER 18 - BRUNSWICK FAMILY HEALTH CENTER 3574 CENTER ROAD BRUNSWICK OH 44212 FAMILY HEALTH CENTER 19 - WESTLAKE MEDICAL CAMPUS A 850 COLUMBIA ROAD WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC & DIAGNOSTIC CTR 20 - CLEVELAND CLINIC CANCER CENTERS 1125 ASPIRA COURT MANSFIELD OH 44906 OUTPATIENT PHYSICIAN CLINIC 21 - LAKEWOOD FAMILY HEALTH CENTER 14601 DETROIT AVENUE LAKEWOOD OH 44107 FAMILY HEALTH CENTER 22 - CORAL SPRINGS FAMILY HEALTH CENTER 5701 NORTH UNIVERSITY DRIVE CORAL SPRINGS FL 33067 FAMILY HEALTH CENTER 23 - AKRON GENERAL PHYSICIAN OFFICE 224 W EXCHANGE STREET AKRON OH 44307 OUTPATIENT PHYSICIAN CLINIC 24 - FAIRVIEW HOSPITAL MEDICAL OFFICE 24700 LORAIN AVENUE NORTH OLMSTED OH 44070 OUTPATIENT PHYSICIAN CLINIC 25 - SOLON FAMILY HEALTH CENTER 29800 BAINBRIDGE ROAD SOLON OH 44139 FAMILY HEALTH CENTER 26 - ELYRIA FAMILY HEALTH & SURGERY CENTER 303 CHESTNUT COMMONS DRIVE ELYRIA OH 44035 FAMILY HEALTH CENTER 27 - TOMSICH HEALTH AND MEDICAL CENTER OF PALM 525 OKEECHOBEE BOULEVARD CITY PLACE TOWER WEST PALM BEACH FL 33401 FAMILY HEALTH CENTER 28 - MENTOR MEDICAL OFFICE 7060 WAYSIDE DRIVE MENTOR OH 44060 OUTPATIENT PHYSICIAN CLINIC 29 - MERCY HEALTH CENTER AND STATCARE OF NORTH 6200 WHIPPLE AVENUE NW CANTON OH 44720 OUTPATIENT PHYSICIAN CLINIC 30 - MERCY HEALTH CENTER AND STATCARE OF JACKSO 7337 CARITAS CIRCLE NW MASSILLON OH 44646 OUTPATIENT PHYSICIAN CLINIC 31 - AMHERST FAMILY HEALTH CENTER 5172 LEAVITT ROAD LORAIN OH 44053 FAMILY HEALTH CENTER 32 - MARYMOUNT MEDICAL CENTER 2001 E ROYALTON ROAD BROADVIEW HTS OH 44147 OUTPATIENT PHYSICIAN CLINIC 33 - NORTH OHIO GASTROENTEROLOGY 30701 CLEMENS ROAD WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 34 - CHAGRIN FALLS FAMILY HEALTH CENTER 551 EAST WASHINGTON STREET CHAGRIN FALLS OH 44022 FAMILY HEALTH CENTER 35 - MERCY MEDICAL OFFICE BUILDING 1330 MERCY DRIVE NW CANTON OH 44708 OUTPAIENT PHYSICIAN CLINIC 36 - VERO RADIOLOGY ASSOCIATES 3725 11TH CIRCLE VERO BEACH FL 32960 DIAGNOSTIC CENTER 37 - SUMMIT GASTROENTEROLOGY ASSOCIATES 3939 S CLEVELAND MASSILLON ROAD BARBERTON OH 44203 OUTPATIENT PHYSICIAN CLINIC 38 - LANDERBROOK OFFICE AND ENDOSCOPY CENTER 5900 LANDERBROOK DRIVE MAYFIELD HEIGHTS OH 44124 OUTPATIENT PHYSICIAN CLINIC 39 - SHEFFIELD FAMILY HEALTH CENTER 5334 MEADOW LANE CT SHEFFIELD VILLAGE OH 44035 FAMILY HEALTH CENTER 40 - STEPHANIE TUBBS JONES HEALTH CENTER 13944 EUCLID AVENUE EAST CLEVELAND OH 44112 FAMILY HEALTH CENTER 41 - CLEVELAND CLINIC SUMMIT OPHTHALMOLOGY 1 PARK WEST BOULEVARD STE 150 AKRON OH 44320 OUTPATIENT PHYSICIAN CLINIC 42 - AVON POINTE FAMILY HEALTH CENTER 36901 AMERICAN WAY AVON OH 44011 FAMILY HEALTH CENTER 43 - SKILLED NURSING SOUTH 6011 SE TOWER ROAD STUART FL 34997 HOME CARE SERVICES 44 - MERCY HEALTH CENTER AND STATCARE OF CARROL 125 CANTON ROAD NW CARROLLTON OH 44615 OUTPATIENT PHYSICIAN CLINIC 45 - MERCY MEDICAL CENTER HOME CARE AND HOSPICE 4215 WHIPPLE AVENUE NW CANTON OH 44718 OUTPATIENT PHYSICIAN CLINIC 46 - CONCORD MEDICAL OUTPATIENT CENTER 7519 FREDLE DRIVE CONCORD OH 44077 OUTPATIENT PHYSICIAN CLINIC 47 - MERCY HEALTH CENTER AND STATCARE OF MASSIL 2935 LINCOLN WAY NW MASSILLON OH 44647 OUTPATIENT PHYSICIAN CLINIC 48 - CLEVELAND CLINIC ADMIN CAMPUS 3275 SCIENCE PARK DRIVE BLDG 5 BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 49 - MERCY HEALTH CENTER AND STATCARE OF TUSCAR 1039 WEST HIGH AVENUE NEW PHILADELPHIA OH 44663 OUTPATIENT PHYSICIAN CLINIC 50 - SMITHFIELD PLAZA 2157-2221 SE OCEAN BOULEVARD STUART FL 34996 OUTPATIENT PHYSICIAN CLINIC 51 - AVON LAKE FAMILY HEALTH CENTER 450 AVON BELDEN ROAD AVON LAKE OH 44012 FAMILY HEALTH CENTER 52 - SOUTHSIDE MEDICAL BUILDING 5595 TRANSPORTATION BOULEVARD GARFIELD HEIGHTS OH 44125 OUTPATIENT PHYSICIAN CLINIC 53 - NILES STAR IMAGING 650 YOUNGSTOWN-WARREN ROAD NILES OH 44446 DIAGNOSTIC CENTER 54 - TRADITION HEALTHPARK I 10000 SW INNOVATION WAY PORT ST LUCIE FL 34987 OUTPATIENT PHYSICIAN CLINIC 55 - CLEVELAND CLINIC FAMILY MEDICINE 19300 DETROIT AVENUE ROCKY RIVER OH 44116 OUTPATIENT PHYSICIAN CLINIC 56 - CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN 888 WEST BONNEVILLE AVENUE LAS VEGAS NV 89106 OUTPATIENT PHYSICIAN CLINIC 57 - CLEVELAND CLINIC LYNDHURST CAMPUS 1950 RICHMOND ROAD LYNDHURST OH 44124 OUTPATIENT PHYSICIAN CLINIC 58 - COLUMBUS STAR IMAGING 921 JASONWAY AVENUE COLUMBUS OH 43214 DIAGNOSTIC CENTER 59 - COMMUNITY PEDIATRICS 8254 MAYFIELD ROAD CHESTERLAND OH 44026 OUTPATIENT PHYSICIAN CLINIC 60 - MIDDLEBURG HEIGHTS ORTHOPAEDICS 7010 ENGLE ROAD STE 105 MIDDLEBURG HEIGHTS OH 44130 OUTPATIENT PHYSICIAN CLINIC 61 - PALM BEACH GARDENS 4520 DONALD ROSS ROAD STE 200 PALM BEACH GARDENS FL 33418 OUTPATIENT PHYSICIAN CLINIC 62 - MADISON MEDICAL OFFICE 2999 MCMACKIN ROAD MADISON OH 44057 OUTPATIENT PHYSICIAN CLINIC 63 - MERCY HEALTH CENTER AND STATCARE OF PLAIN 2638 EASTON STREET NE CANTON OH 44721 OUTPATIENT PHYSICIAN CLINIC 64 - MENTOR REHABILITATION AND SPORTS THERAPY 7533 CENTER STREET MENTOR OH 44060 OUTPATIENT PHYSICIAN CLINIC 65 - CLEVELAND CLINIC COLE EYE OF STREETSBORO ( 9424 STATE ROUTE 14 STREETSBORO OH 44241 OUTPATIENT PHYSICIAN CLINIC 66 - OLMSTED TOWNSHIP PRIMARY CARE 27089 BAGLEY ROAD OLMSTED TOWNSHIP OH 44138 OUTPATIENT PHYSICIAN CLINIC 67 - WADSWORTH PRIMARY CARE ONE PARK CENTER DRIVE WADSWORTH OH 44281 OUTPATIENT PHYSICIAN CLINIC 68 - MARTIN HEALTH AT HOBE SOUND 11600 SE FEDERAL HIGHWAY HOBE SOUND FL 33455 OUTPATIENT PHYSICIAN CLINIC 69 - AKRON GENERAL TALLMADGE HEALTH CENTER 33 NORTH AVENUE TALLMADGE OH 44278 OUTPATIENT PHYSICIAN CLINIC 70 - SEBASTIAN MEDICAL SUITES 801 WELLNESS WAY SEBASTIAN FL 32958 OUTPATIENT PHYSICIAN CLINIC 71 - OHIO RENAL CARE CLEVELAND EAST 2429 MARTIN LUTHER KING JR DR CLEVELAND OH 44104 DIALYSIS CENTER 72 - CLEVELAND CLINIC STAR IMAGING 1449 BOARDMAN-CANFIELD ROAD YOUNGSTOWN OH 44512 DIAGNOSTIC CENTER 73 - PARKLAND 7857 N UNIVERSITY DRIVE STE 401 PARKLAND FL 33067 OUTPATIENT PHYSICIAN CLINIC 74 - MACEDONIA EXPRESS AND OUTPATIENT CARE 8210 MACEDONIA COMMONS BOULEVARD MACEDONIA OH 44056 OUTPATIENT PHYSICIAN CLINIC 75 - CLEVELAND CLINIC FLORIDA WELLINGTON 2789 S STATE RD 7 STE 100/200 WELLINGTON FL 33414 OUTPATIENT PHYSICIAN CLINIC 76 - MARYMOUNT REHABILITATION AND SPORTS THERAP 2525 EAST ROYALTON ROAD BROADVIEW HEIGHTS OH 44147 OUTPATIENT PHYSICIAN CLINIC 77 - NORTH RIDGEVILLE MEDICAL OFFICE 35105 CENTER RIDGE ROAD NORTH RIDGEVILLE OH 44039 OUTPATIENT PHYSICIAN CLINIC 78 - CLEVELAND CLINIC URGENT CARE ROCKY RIVER 19895 DETROIT ROAD ROCKY RIVER OH 44116 OUTPATIENT PHYSICIAN CLINIC 79 - FAIRVIEW HOSPITAL WELLNESS CENTER 3035 WOOSTER ROAD ROCKY RIVER OH 44116 OUTPATIENT PHYSICIAN CLINIC 80 - SUMMIT OPHTHALMOLOGY 1587 BOETTLER ROAD UNIONTOWN OH 44685 OUTPATIENT PHYSICIAN CLINIC 81 - ASHLAND OPHTHALMOLOGYSUGARBUSH EYE AND LA 21 SUGARBUSH COURT ASHLAND OH 44805 OUTPATIENT PHYSICIAN CLINIC 82 - TWINSBURG MEDICAL OFFICE 2365 EDISON BOULEVARD TWINSBURG OH 44087 OUTPATIENT PHYSICIAN CLINIC 83 - NEW FAMILY PHYSICIANS LYNDHURST 5187 MAYFIELD ROAD LYNDHURST OH 44124 OUTPATIENT PHYSICIAN CLINIC 84 - MERCY HEALTH CENTER OF LAKE 1025 LAKE CENTER STREET NW UNIONTOWN OH 44685 OUTPATIENT PHYSICIAN CLINIC 85 - BAINBRIDGE URGENT CARE 17747 CHILLICOTHE ROAD STE 100 BAINBRIDGE OH 44023 OUTPATIENT PHYSICIAN CLINIC 86 - SOUTH POINTE HOSPITAL MEDICAL OFFICE 20050 HARVARD ROAD WARRENSVILLE HEIGHTS OH 44122 OUTPATIENT PHYSICIAN CLINIC 87 - MERCY HEALTH CENTER OF ALLIANCE 149 EAST SIMPSON STREET ALLIANCE OH 44601 OUTPATIENT PHYSICIAN CLINIC 88 - EAST OHIO ORTHOPAEDICS 515 UNION AVENUE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 89 - BRECKSVILLE EXPRESS CARE 8805 BRECKSVILLE ROAD BRECKSVILLE OH 44141 OUTPATIENT PHYSICIAN CLINIC 90 - GEMINI RECREATION CENTER 21225 LORAIN ROAD FAIRVIEW PARK OH 44126 OUTPATIENT PHYSICIAN CLINIC 91 - UNION MEDICAL OFFICE 3 400 MEDICAL PARK DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 92 - EUCLID MEDICAL OFFICE 99 NORTHLINE CIRCLE EUCLID OH 44119 OUTPATIENT PHYSICIAN CLINIC 93 - COMMUNITY PEDIATRICS 2001 CROCKER ROAD WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 94 - BROOKPARK COMPREHENSIVE FAMILY CARE 14401 SNOW ROAD BROOKPARK OH 44142 OUTPATIENT PHYSICIAN CLINIC 95 - OHIO RENAL CARE GROUP WESTLAKE 26024 DETROIT AVENUE WESTLAKE OH 44145 DIALYSIS CENTER 96 - SLEEP DISORDERS CENTER 3122 EASTPOINTE DRIVE MEDINA OH 44256 DIAGNOSTIC CENTER 97 - SOUTH RUSSELL FAMILY PRACTICE 5192 CHILLICOTHE ROAD SOUTH RUSSELL OH 44022 OUTPATIENT PHYSICIAN CLINIC 98 - RIDGE PARK OBSTETRICS AND GYNECOLOGY 7575 NORTHCLIFF AVENUE 302 BROOKLYN OH 44144 OUTPATIENT PHYSICIAN CLINIC 99 - CLEVELAND CLINIC CHILDRENS STOW 3925 DARROW ROAD STOW OH 44224 OUTPATIENT PHYSICIAN CLINIC 100 - UNION PHYSICIAN SERVICES CENTRAL 205 HOSPITAL DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 101 - AKRON GENERAL EXPRESS CARE CLINIC 4494 STATE ROUTE 43 KENT OH 44240 OUTPATIENT PHYSICIAN CLINIC 102 - DAYTON STAR IMAGING 5529 FAR HILLS AVENUE DAYTON OH 45429 DIAGNOSTIC CENTER 103 - CANFIELD ORTHOPAEDICS AND REHABILITATION 3736 BOARDMAN CANFIELD ROAD CANFIELD OH 44406 OUTPATIENT PHYSICIAN CLINIC 104 - OHIO RENAL CARE GROUP HERITAGE 1160 E BROAD ST ELYRIA OH 44035 DIALYSIS CENTER 105 - MERCY HEALTH CENTER OF LOUISVILLE 13030 CALIFORNIA AVENUE LOUISVILLE OH 44641 OUTPATIENT PHYSICIAN CLINIC 106 - OHIO RENAL CARE GROUP LTAC ACUTEWHITE PO 690 WHITE POND DR AKRON OH 44320 DIALYSIS CENTER 107 - CLEVELAND CLINIC CHILDREN'S CENTER FOR AUT 21016 HILLIARD BOULEVARD ROCKY RIVER OH 44116 OUTPATIENT PHYSICIAN CLINIC 108 - CHARDON REHABILITATION AND SPORTS THERAPY 325 CENTER STREET CHARDON OH 44024 OUTPATIENT PHYSICIAN CLINIC 109 - OHIO RENAL CARE GROUP AMHERST 100 COPPER FOSTER PARK RD AMHERST OH 44001 DIALYSIS CENTER 110 - MOHICAN EYE CENTER 484 PARK AVENUE WEST MANSFIELD OH 44906 OUTPATIENT PHYSICIAN CLINIC 111 - OHIO RENAL CARE GROUP FARNSWORTH 3280 W 25TH ST CLEVELAND OH 44109 DIALYSIS CENTER 112 - VALLEY CITY FAMILY MEDICINE 6605 CENTER ROAD VALLEY CITY OH 44280 OUTPATIENT PHYSICIAN CLINIC 113 - OHIO RENAL CARE GROUP SOLON 6020 ENTERPRISE PARKWAY SOLON OH 44139 DIALYSIS CENTER 114 - OHIO RENAL CARE GROUP WEST 14670 SNOW ROAD BROOKPARK OH 44142 DIALYSIS CENTER 115 - NEWCOMERSTOWN UNION PHYSICIAN SERVICES 60881 COUNTY ROAD 9 1 NEWCOMERSTOWN OH 43832 OUTPATIENT PHYSICIAN CLINIC 116 - OHIO RENAL CARE GROUP STREETSBORO 9200 STAPLES DR STREETSBORO OH 44241 DIALYSIS CENTER 117 - OHIO RENAL CARE GROUP EUCLID 26450 EUCLID AVENUE EUCLID OH 44132 DIALYSIS CENTER 118 - UNION HOSPITAL FIRSTCARE URGENT CARE CENTE 110 DUBLIN DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 119 - DOWNTOWN EXPRESS CARE 315 EUCLID AVENUE STE 2 CLEVELAND OH 44114 OUTPATIENT PHYSICIAN CLINIC 120 - AKRON GENERAL REHABILITATION AND SPORTS TH 585 WHITE POND DRIVE AKRON OH 44320 OUTPATIENT REHABILITATION 121 - OHIO RENAL CARE GROUP MENTOR 8840 TYLER BLVD MENTOR OH 44060 DIALYSIS CENTER 122 - OHIO RENAL CARE GROUP GARFIELD HEIGHTS HO 9729 GRANGER RD GARFIELD HTS OH 44125 DIALYSIS CENTER 123 - OHIO RENAL CARE GROUP OHIO ACUTES 2500 METROHEALTH DRIVE CLEVELAND OH 44109 DIALYSIS CENTER 124 - OHIO RENAL CARE NORTH RANDALL 5035 RICHMOND ROAD BEDFORD HEIGHTS OH 44146 DIALYSIS CENTER 125 - CLEVELAND CLINIC EXPRESS CARE 7580 NORTHCLIFF AVENUE BROOKLYN OH 44144 OUTPATIENT PHYSICIAN CLINIC 126 - OBERLIN OPHTHALMOLOGY 309 WEST LORAIN STREET OBERLIN OH 44074 OUTPATIENT PHYSICIAN CLINIC 127 - STARK MEDICAL SPECIALTIES MASSILLON 323 MARION AVENUE MASSILLON OH 44646 OUTPATIENT PHYSICIAN CLINIC 128 - BELDEN CENTER 4677 FULTON DRIVE NW CANTON OH 44718 OUTPATIENT PHYSICIAN CLINIC 129 - SEVERANCE MEDICAL ARTS 5 SEVERANCE CIRCLE CLEVELAND HEIGHTS OH 44118 OUTPATIENT PHYSICIAN CLINIC 130 - MADISON REHABILITATION AND SPORTS THERAPY 2622 HUBBARD ROAD MADISON OH 44057 OUTPATIENT PHYSICIAN CLINIC 131 - OHIO RENAL CARE GROUP HINCKLEY 2583 CENTER RD HINCKLEY OH 44233 DIALYSIS CENTER 132 - OHIO RENAL CARE GROUP KENT 401 DEVON PL 100 KENT OH 44240 DIALYSIS CENTER 133 - OHIO RENAL CARE GROUP ELYRIA 5316 HOAG DR SHEFFILED OH 44035 DIALYSIS CENTER 134 - OHIO RENAL CARE GROUP CUYAHOGA FALLS 320 BROADWAY ST E E CUYAHOGA FALLS OH 44221 DIALYSIS CENTER 135 - MERCY MEDICAL CENTER OF ST PAUL SQUARE 1459 SUPERIOR AVENUE NE CANTON OH 44705 OUTPATIENT PHYSICIAN CLINIC 136 - WESTLAKE PHYSICIANS CENTER 805 COLUMBIA ROAD WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 137 - OHIO RENAL CARE GROUP WADSWORTH 1160 WILLIAMS RESERVE BLVD WADSWORTH OH 44281 DIALYSIS CENTER 138 - MARYMOUNTCCF PAIN MANAGEMENT CENTER 12000 MCCRACKEN RD GARFIELD HEIGHTS OH 44125 OUTPATIENT PHYSICIAN CLINIC 139 - MEDINA MEDICAL OFFICE 970 E WASHINGTON MEDINA OH 44256 OUTPATIENT PHYSICIAN CLINIC 140 - MOHICAN EYE CENTER 637 NORTH UNION STREET LOUDONVILLE OH 44842 OUTPATIENT PHYSICIAN CLINIC 141 - OHIO RENAL CARE GROUP SOUTHPOINT DIALYSIS 4200 WARRENSVILLE CENTER RD STE 100 WARRENSVILLE HTS OH 44122 DIALYSIS CENTER 142 - UNION HOSPITAL FAMILY MEDICINE 155 GARLAND DRIVE SW NEW PHILADELPHIA OH 44663 OUTPATIENT PHYSICIAN CLINIC 143 - MERCY PRIMARY CARE PORTAGE 1413 PORTAGE STREET NW CANTON OH 44720 OUTPATIENT PHYSICIAN CLINIC 144 - OHIO RENAL CARE GROUP MEDINA 3995 MEDINA RD STE 150 MEDINA OH 44256 DIALYSIS CENTER 145 - SAGAMORE HILLS MEDICAL OFFICE II 885 WEST AURORA RD SAGAMORE HILLS OH 44067 OUTPATIENT PHYSICIAN CLINIC 146 - OHIO RENAL CARE GROUP ASHTABULA 2117 LAKE AVENUE ASHTABULA OH 44004 DIALYSIS CENTER 147 - MERCY PRIMARY CARE BELDEN 4909 MUNSON STREET NW CANTON OH 44718 OUTPATIENT PHYSICIAN CLINIC 148 - LAKEWOOD MEDICAL BUILDING 1450 BELLE AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 149 - UNION HOSPITAL TUSCARAWAS AMBULATORY SURGE 320 OXFORD STREET DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 150 - OHIO RENAL CARE GROUP LAKEWOOD 13900 DETROIT RD LAKEWOOD OH 44107 DIALYSIS CENTER 151 - OHIO RENAL CARE GROUP MARYMOUNT 12532 ROCKSIDE RD GARFIELD HEIGHTS OH 44125 DIALYSIS CENTER 152 - ACCESS TO CARE 29000 AURORA ROAD SOLON OH 44139 OUTPATIENT PHYSICIAN CLINIC 153 - ADVANCED CARDIOVASCULAR CONSULTANTS 531 FIFTH AVENUE CHARDON OH 44024 OUTPATIENT PHYSICIAN CLINIC 154 - AGMC - PPG - CAMERON PRACTICE 551 WABASH AVENUE NW NEW PHILADELPHIA OH 44663 OUTPATIENT PHYSICIAN CLINIC 155 - AGMC - PPG - STEINBERGER PRACTICE 2708 CRAWFIS BLVD FAIRLAWN OH 44333 OUTPATIENT PHYSICIAN CLINIC 156 - AKRON GENERAL GAMMA KNIFE CENTER 762 S CLEVELAND-MASSILLON RD AKRON OH 44333 OUTPATIENT PHYSICIAN CLINIC 157 - AKRON GENERAL HEALTH CENTER 676 S BROADWAY STREET AKRON OH 44311 OUTPATIENT PHYSICIAN CLINIC 158 - AKRON GENERAL JUSTIN T ROGERS HOSPICE CAR 3358 RIDGEWOOD ROAD AKRON OH 44333 HOSPICE 159 - AKRON GENERAL OBSTETRICS AND GYNECOLOGY 1622 E TURKEYFOOT LAKE ROAD AKRON OH 44312 OUTPATIENT PHYSICIAN CLINIC 160 - AKRON GENERAL OBSTETRICS AND GYNECOLOGY 3634 WEST MARKET STREET FAIRLAWN OH 44333 OUTPATIENT PHYSICIAN CLINIC 161 - AKRON GENERAL ORTHOPEDICS 43 SOUTH MAIN STREET MUNROE FALLS OH 44262 OUTPATIENT PHYSICIAN CLINIC 162 - AKRON GENERAL REHABILITATION AND SPORTS TH 1500 AKRON CANTON RD AKRON OH 44312 OUTPATIENT REHABILITATION 163 - AKRON GENERAL SPINE & PAIN INSTITUTE AND U 2603 W MARKET ST 200-210 AKRON OH 44313 OUTPATIENT PHYSICIAN CLINIC 164 - ALLIANCE AND SALEM UROLOGY 885 S SAWBURG AVENUE ALLIANCE OH 44601 OUTPATIENT PHYSICIAN CLINIC 165 - ALPINE FAMILY MEDICINE 126 1/2 NORTH BROADWAY SUGARCREEK OH 44681 OUTPATIENT PHYSICIAN CLINIC 166 - ASHTABULA COUNTY MEDICAL CENTER 2422 LAKE AVENUE ASHTABULA OH 44004 OUTPATIENT PHYSICIAN CLINIC 167 - BOARDMAN STAR IMAGING 7067 TIFFANY BOULEVARD YOUNGSTOWN OH 44512 DIAGNOSTIC CENTER 168 - BRUNSWICK EMERGENCY CARE 3724 CENTER ROAD BRUNSWICK OH 44212 OUTPATIENT PHYSICIAN CLINIC 169 - CANOPY CHILD ADVOCACY CENTER 1711 PAYNE AVENUE CLEVELAND OH 44114 OUTPATIENT PHYSICIAN CLINIC 170 - CENTER FOR UROLOGIC HEALTH 320 W EXCHANGE STREET AKRON OH 44302 OUTPATIENT PHYSICIAN CLINIC 171 - CHARDON PLAZA MEDICAL OUTPATIENT CENTER 425 WATER STREET CHARDON OH 44024 OUTPATIENT PHYSICIAN CLINIC 172 - CHARLESTON AREA MEDICAL CENTER 1201 WASHINGTON STREET EAST STE 100 CHARLESTON WV 25301 OUTPATIENT PHYSICIAN CLINIC 173 - CLEVELAND CLINIC DIABETES AND ENDOCRINOLOG 3733 PARK EAST DRIVE STE 105 BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 174 - CLEVELAND CLINIC FAMILY HEALTH CENTER STU 3801 S KANNER HIGHWAY STUART FL 34994 FAMILY HEALTH CENTER 175 - CLEVELAND CLINIC HEALTH & WELLNESS CENTER 3450 11TH COURT VERO BEACH FL 32960 OUTPATIENT PHYSICIAN CLINIC 176 - CLEVELAND CLINIC INDIAN RIVER AMBULATORY S 3650 10TH COURT VERO BEACH FL 32960 OUTPATIENT PHYSICIAN CLINIC 177 - CLEVELAND CLINIC SUPERIOR MEDICAL CARE 1959 COOPER FOSTER PARK ROAD AMHERST OH 44053 DIAGNOSTIC CENTER 178 - COLE EYE INSTITUTE 2000 AUBURN DRIVE STE 100 BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 179 - COLUMBUS STAR IMAGING BEECHER 425 BEECHER ROAD COLUMBUS OH 43230 DIAGNOSTIC CENTER 180 - COMMUNITY MENTAL HEALTH INC 201 HOSPITAL DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 181 - CROSSROADS SLEEP DISORDER CENTER 721 BOARDMAN POLAND ROAD YOUNGSTOWN OH 44512 OUTPATIENT PHYSICIAN CLINIC 182 - EL CENTRO COMMUNITY CENTER PRIMARY CARE CL 2800 PEARL AVENUE LORAIN OH 44055 OUTPATIENT PHYSICIAN CLINIC 183 - ENCOMPASS HEALTH REHABILITATION 5850 SE COMMUNITY DRIVE STUART FL 34994 OUTPATIENT REHABILITATION 184 - ERADIOLOGY (WESTON TOWN CENTER) 1792 BELL TOWER LANE WESTON FL 33326 DIAGNOSTIC CENTER 185 - EXPRESS CARE 82 WEST STREETSBORO STREET HUDSON OH 44236 OUTPATIENT PHYSICIAN CLINIC 186 - FAIRLAWN UROLOGY 2651 W MARKET STREET FAIRLAWN OH 44333 OUTPATIENT PHYSICIAN CLINIC 187 - FORT LAUDERDALE CONCIERGE MEDICINE 1301 EAST BROWARD BOULEVARD FORT LAUDERDALE FL 33301 OUTPATIENT PHYSICIAN CLINIC 188 - GREAT LAKES CARE INC 29001 CEDAR ROAD LYNDHURST OH 44124 OUTPATIENT PHYSICIAN CLINIC 189 - HEALTH SPOT LAKEWOOD HIGH SCHOOL 14100 FRANKLIN BOULEVARD LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 190 - HOSPICE TCIH 1201 SE INDIAN STREET STUART FL 34997 HOSPICE 191 - INDIAN RIVER BEHAVIORAL HEALTH CENTER 1190 37TH STREET VERO BEACH FL 32960 OUTPATIENT PHYSICIAN CLINIC 192 - INDIAN RIVER HEALTH & WELLNESS CENTER 3450 11TH COURT VERO BEACH FL 32960 OUTPATIENT PHYSICIAN CLINIC 193 - INDIAN RIVER PRIMARY CARE SOUTH 4165 9TH STREET SW VERO BEACH FL 32968 OUTPATIENT PHYSICIAN CLINIC 194 - KRUPA CENTER 3250 MERIDIAN PARKWAY WESTON FL 33331 OUTPATIENT PHYSICIAN CLINIC 195 - LAKEWOOD FAMILY MEDICINE - ROCKPORT 11851 DETROIT AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 196 - LAKEWOOD LAKE POINTE LAB DRAW SITE 15800 DETROIT AVENUE LAKEWOOD OH 44107 DIAGNOSTIC CENTER 197 - LAKEWOOD MEDICAL OFFICE 16215 MADISON AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 198 - LAKEWOOD YMCA 16915 DETROIT AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 199 - LAND STUDIO COMMUNITY WELLNESS 1701 WEST 25TH STREET CLEVELAND OH 44113 OUTPATIENT PHYSICIAN CLINIC 200 - LORAIN ORTHOPAEDICS 5800 COOPER FOSTER PARK ROAD LORAIN OH 44053 OUTPATIENT PHYSICIAN CLINIC 201 - LORAIN COUNTY LONG-TERM CARE 1130 TOWER BOULEVARD LORAIN OH 44052 OUTPATIENT PHYSICIAN CLINIC 202 - LUTHERAN HOSPITAL MEDICAL OFFICES 6412 FRANKLIN BOULEVARD CLEVELAND OH 44102 OUTPATIENT PHYSICIAN CLINIC 203 - MARTIN HEALTH AT JENSEN BEACH 3496 NW FEDERAL HIGHWAY JENSEN BEACH FL 34957 OUTPATIENT PHYSICIAN CLINIC 204 - MARTIN HEALTH AT PALM CITY 3066 SW MARTIN DOWNS BOULEVARD PALM CITY FL 34990 OUTPATIENT PHYSICIAN CLINIC 205 - MARTIN HEALTH AT TIFFANY 1651 SE TIFFANY AVENUE PORT ST LUCIE FL 34952 OUTPATIENT PHYSICIAN CLINIC 206 - MARTIN HEALTH MEDICAL OFFICE AND SURGERY C 509 RIVERSIDE DRIVE STUART FL 34994 OUTPATIENT PHYSICIAN CLINIC 207 - MARTIN HEALTH OCCUPATIONAL HEALTH SERVICES 432 SE OSCEOLA STREET STUART FL 34994 OUTPATIENT PHYSICIAN CLINIC 208 - MARTIN HEALTH REHAB & FITNESS CENTER STUA 6001 SE TOWER ROAD STUART FL 34997 OUTPATIENT PHYSICIAN CLINIC 209 - MARTIN HEALTH ROBERT AND CAROL WEISSMAN C 501 SE OSCEOLA STREET STUART FL 34994 OUTPATIENT PHYSICIAN CLINIC 210 - MARTIN MAGNETIC IMAGING 625 SE RIVERSIDE DRIVE STUART FL 34994 DIAGNOSTIC CENTER 211 - MEDICAL OFFICE BUILDING 2 300 MEDICAL PARK DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 212 - MEDICAL OFFICE BUILDING 3 400 MEDICAL PARK DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 213 - MEDICAL OFFICE PAVILION 1946 TOWN PARK BLVD UNIONTOWN OH 44685 OUTPATIENT PHYSICIAN CLINIC 214 - MEDINA COMMUNITY RECREATION CENTER 855 WEYMOUTH ROAD MEDINA OH 44256 OUTPATIENT PHYSICIAN CLINIC 215 - MEDINA FIRE STATION 1 300 WEST REAGAN PARKWAY MEDINA OH 44256 OTHER 216 - MEDINA FIRE STATION 5 6665 WADSWORTH ROAD MEDINA OH 44256 OTHER 217 - MERCY MEDICAL CENTER PHYSICAL THERAPY 1001 CANTON ROAD CARROLLTON OH 44615 OUTPATIENT PHYSICIAN CLINIC 218 - MERCY PRIMARY CARE AARONWOOD 2859 AARONWOOD AVENUE NE MASSILLON OH 44646 OUTPATIENT PHYSICIAN CLINIC 219 - MONTROSE SLEEP CENTER 4880 S MAIN STREET AKRON OH 44319 OUTPATIENT PHYSICIAN CLINIC 220 - NEW FAMILY PHYSICIANS WILLOUGHBY HILLS 34500 CHARDON ROAD WILLOUGHBY HILLS OH 44094 OUTPATIENT PHYSICIAN CLINIC 221 - NORTH RIDGEVILLE MEDICAL OUTPATIENT CENTER 34960 CENTER RIDGE ROAD NORTH RIDGEVILLE OH 44039 OUTPATIENT PHYSICIAN CLINIC 222 - NORTHEASTERN OHIO MEDICAL SPECIALISTS 470 WHITE POND DRIVE AKRON OH 44320 OUTPATIENT PHYSICIAN CLINIC 223 - OLIVERIO PRACTICE 5225 WOOSTER ROAD W BARBERTON OH 44203 OUTPATIENT PHYSICIAN CLINIC 224 - PARKLAND 7857-7869 NORTH UNIVERSITY DRIVE BUILDING PARKLAND FL 33067 OUTPATIENT PHYSICIAN CLINIC 225 - PARTNERS IN WOMEN'S HEALTH 1050 37TH PLACE VERO BEACH FL 32960 OUTPATIENT PHYSICIAN CLINIC 226 - POINTE WEST MEDICAL OFFICE 1960 POINTE WEST DRIVE VERO BEACH FL 32966 OUTPATIENT PHYSICIAN CLINIC 227 - PREMIER LAB CARE 37121 EUCLID AVENUE WILLOUGHBY OH 44094 OUTPATIENT PHYSICIAN CLINIC 228 - PRIMARY CARE OF TREASURE COAST 1265 36TH STREET VERO BEACH FL 32958 OUTPATIENT PHYSICIAN CLINIC 229 - PRIMARY CARE PHYSICIAN ASSOCIATES 4575 STEPHEN CIRCLE NW CANTON OH 44718 OUTPATIENT PHYSICIAN CLINIC 230 - SCULLY WELSH CANCER CENTER 3555 10TH COURT VERO BEACH FL 32960 OUTPATIENT PHYSICIAN CLINIC 231 - SLEEP DISORDERS CENTER 24901 COUNTRY CLUB BOULEVARD NORTH OLMSTED OH 44070 DIAGNOSTIC CENTER 232 - SLEEP DISORDERS CENTER 8971 WILCOX DRIVE TWINSBURG OH 44087 DIAGNOSTIC CENTER 233 - SLEEP DISORDERS CENTER 5051 WEST CREEK ROAD INDEPENDENCE OH 44131 DIAGNOSTIC CENTER 234 - SPINE & PAIN INSTITUTE 307 W MAIN ST C KENT OH 44240 OUTPATIENT PHYSICIAN CLINIC 235 - SPINE & PAIN INSTITUTE 265 WEST MAIN STREET KENT OH 44240 OUTPATIENT PHYSICIAN CLINIC 236 - SPORTS HEALTH CENTER 5555 TRANSPORTATION BOULEVARD GARFIELD HEIGHTS OH 44125 OUTPATIENT PHYSICIAN CLINIC 237 - STAR IMAGING DUBLIN 333 W BRIDGE STREET DUBLIN OH 43017 DIAGNOSTIC CENTER 238 - STOW-FALLS MEDICAL OUTPATIENT CENTER 857 GRAHAM RD STOW OH 44221 OUTPATIENT PHYSICIAN CLINIC 239 - STUART SURGERY CENTER 2096 SE OCEAN BOULEVARD STUART FL 34996 OUTPATIENT PHYSICIAN CLINIC 240 - SUBURBAN HEALTH FAMILY PHYSICIANS 2818 S ARLINGTON ROAD AKRON OH 44312 OUTPATIENT PHYSICIAN CLINIC 241 - SUMMIT MEDICAL 3600 WEST MARKET STREET AKRON OH 44333 OUTPATIENT PHYSICIAN CLINIC 242 - THE LANGSTON HUGHES CENTER CLEVELAND CLINI 2390 E 79TH ST CLEVELAND OH 44104 OUTPATIENT PHYSICIAN CLINIC 243 - THERAPY SERVICES MEDINA 2498 - 2508 MEDINA ROAD MEDINA OH 44256 OUTPATIENT PHYSICIAN CLINIC 244 - THERAPY SERVICES SOUTH 17800 JEFFERSON PARK DRIVE STE 101 MIDDLEBURG HTS OH 44130 OUTPATIENT PHYSICIAN CLINIC 245 - THERAPY SERVICES WEST 826 WESTPOINT PKWY STE 1200 WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 246 - TUSCARAWAS VALLEY REGIONAL CANCER CENTER 659 BOULEVARD ST DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 247 - UNION HOSPITAL CARDIOLOGY MASSILLON 323 MARION AVENUE MASSILLON OH 44646 OUTPATIENT PHYSICIAN CLINIC 248 - UNION HOSPITAL FAMILY MEDICINE WEST 155 GARLAND DRIVE SW NEW PHILADELPHIA OH 44663 OUTPATIENT PHYSICIAN CLINIC 249 - UNION HOSPITAL HEALTHPLEX 500 MEDICAL PARK DR DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 250 - UNION HOSPITAL IMAGING & HOME MEDICAL EQUI 101 HOSPITAL DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 251 - UNION HOSPITAL REGIONAL CANCER CENTER 300 MEDICAL PARK DRIVE DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 252 - UNION MEDICAL OFFICE 1 200 MEDICAL PARK DR DOVER OH 44622 OUTPATIENT PHYSICIAN CLINIC 253 - VERO BEACH CONCIERGE MEDICINE 920 37TH PLACE VERO BEACH FL 32961 OUTPATIENT PHYSICIAN CLINIC 254 - WEST END PEDIATRICS (CLEVELAND CLINIC CHIL 14701 DETROIT AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 255 - WEST PALM BEACH CONCIERGE 1515 N FLAGLER DRIVE WEST PALM BEACH FL 33401 OUTPATIENT PHYSICIAN CLINIC 256 - WEST PARK LEARNING CENTER 15531 LORAIN AVENUE CLEVELAND OH 44111 OUTPATIENT PHYSICIAN CLINIC 257 - WEST VALLEY MEDICAL 20455 LORAIN ROAD 301 FAIRVIEW PARK OH 44126 OUTPATIENT PHYSICIAN CLINIC 258 - WESTOWN PHYSICIAN CENTER 10654 LORAIN AVENUE CLEVELAND OH 44111 OUTPATIENT PHYSICIAN CLINIC 259 - WILLOUGHBY HILLS BEHAVIORAL HEALTH 2785 SOM CENTER ROAD WILLOUGHBY HILLS OH 44094 OUTPATIENT PHYSICIAN CLINIC 260 - WILLOUGHBY HILLS REHABILITATION AND SPORTS 29017 CHARDON ROAD WILLOUGHBY HILLS OH 44094 OUTPATIENT PHYSICIAN CLINIC 261 - WOOSTER MILLTOWN SPECIALTY & SURGERY CENTE 721 EAST MILLTOWN ROAD WOOSTER OH 44691 OUTPATIENT PHYSICIAN CLINIC 262 - YMCA SOUTH FLORIDA 20201 SADDLE CLUB ROAD WESTON FL 33327 OUTPATIENT PHYSICIAN CLINIC 263 - EXPRESS CARE 82 WEST STREETSBORO STREET HUDSON OH 44236 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 3C: CCHS PROVIDES MEDICALLY NECESSARY SERVICES TO ALL PATIENTS, REGARDLESS OF RACE, COLOR, CREED, GENDER OR COUNTRY OF NATIONAL ORIGIN AND WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. THIS POLICY APPLIES TO ALL CCHS FACILITIES, AND THE AMOUNT OF CARE PROVIDED UNDER THE POLICY IS DETERMINED BY NEED AND IS NOT LIMITED OR RATIONED BY BUDGETED AMOUNTS.UNDER THE POLICY, IN GENERAL, CCHS PROVIDES FREE CARE TO INDIVIDUALS WITHOUT INSURANCE WITH INCOMES UP TO 250% OF THE FEDERAL POVERTY LEVEL AND DISCOUNTED CARE UP TO 400% OF THE FEDERAL POVERTY LEVEL. IN ADDITION, THE POLICY CONTAINS ADDITIONAL WAYS TO QUALIFY BASED ON FINANCIAL AND MEDICAL NEED. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM A COST ACCOUNTING SYSTEM. IN OTHER CATEGORIES, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THAT CATEGORY. PART I, LINE 7G: CCHS EMPLOYS ITS PHYSICIANS, THEREFORE THE ASSOCIATED COSTS AND CHARGES RELATING TO THESE PHYSICIAN SERVICES ARE INCLUDED IN ALL RELEVANT CATEGORIES OF PART I. PART I, LN 7 COL(F): THE PROPORTIONATE SHARE OF TOTAL JV EXPENSES AND BAD DEBT EXPENSES ARE FACTORED IN FOR PURPOSES OF CALCULATING THE PERCENTAGES. PART I, LINE 6A AN ANNUAL COMMUNITY BENEFIT REPORT IS PREPARED FOR THE HEALTH SYSTEM AS A WHOLE, WHICH INCLUDES THE PARENT ORGANIZATION AND RELATED AFFILIATES. PART I, LINE 7B THE NET COMMUNITY BENEFIT EXPENSE FIGURE REPORTED FOR UNREIMBURSED MEDICAID IS NET OF CCHS'S HOSPITAL CARE ASSURANCE PROGRAM (HCAP) BENEFIT OF -$6,682,705. PART I, LINE 7K NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $1,419,801,586 AS REPORTED ON PART I, LINE 7 DIFFERS FROM THE TOTAL COMMUNITY BENEFIT FOR CLEVELAND CLINIC HEALTH SYSTEM AS REPORTED IN THE SYSTEM'S COMMUNITY BENEFIT REPORT. THE AMOUNT DIFFERS IN THAT THE IRS DOES NOT CONSIDER COMMUNITY BUILDING ACTIVITIES AS REPORTED IN PART II TO BE COMMUNITY BENEFIT WHERE THESE ACTIVITIES ARE INCLUDED IN COMMUNITY BENEFIT PER CHA GUIDELINES. PART I, LINE 2 CLEVELAND CLINIC REHABILITATION AND SELECT SPECIALTY FACILITIES HAVE THEIR OWN FINANCIAL ASSISTANCE POLICIES, WHICH COMPLY WITH ALL 501(R) REGULATIONS.EFFECTIVE FEBRUARY 2021, THE CLINIC BECAME THE SOLE MEMBER OF MERCY MEDICAL CENTER (MERCY) PURSUANT TO THE TERMS OF A MEMBER SUBSTITUTION AGREEMENT WITH THE SISTERS OF CHARITY OF ST. AUGUSTINE HEALTH SYSTEM, THE PRIOR SOLE MEMBER OF MERCY. MERCY IS A 337-STAFFED BED HOSPITAL SERVING STARK, CARROLL, WAYNE, HOLMES, AND TUSCARAWAS COUNTIES AND PARTS OF SOUTHEASTERN OHIO. PART I, LINE 7 CLEVELAND CLINIC INCURRED COSTS IN SUPPORT OF ITS INITIAL AND ON-GOING RESPONSE TO THE COVID-19 PANDEMIC. CERTAIN OF THESE COSTS ARE REFLECTED IN THE COMMUNITY BENEFIT AMOUNTS REPORTED ON PART I, LINE 7. SPECIFICALLY, COMMUNITY-BASED CLINICAL SERVICES WERE PROVIDED CONSISTING OF: COVID-19 CLINICS AND SCREENINGS, PUBLIC EDUCATION RELATED TO COVID-19, AND VARIOUS COVID-19 PUBLIC ASSISTANCE PROGRAMS. OVERALL FOR 2022, $31 MILLION OF COVID-19 EXPENSES ARE REPORT IN PART I, LINE 7. PART II, COMMUNITY BUILDING ACTIVITIES: CLEVELAND CLINIC ADDRESSES VARIOUS COMMUNITY CONCERNS, INCLUDING HEALTH IMPROVEMENT, POVERTY, WORKFORCE DEVELOPMENT, AND ACCESS TO HEALTH CARE. CLEVELAND CLINIC DEVOTES EMPLOYEE TIME AND TALENT TO PARTICIPATE IN COMMUNITY COLLABORATION BOARDS, HEALTH ADVOCACY PROGRAMS, AND PHYSICAL IMPROVEMENT PROJECTS TO PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. PART III, LINE 2: ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS, NOT INCLUDED IN BAD DEBT EXPENSE. PART III, LINE 4: SEE EXPLANATION OF IMPLICIT PRICE CONCESSIONS IN FOOTNOTE #3 ON PG. 11 OF THE AUDITED FINANCIAL STATEMENTS, WHICH ARE ATTACHED TO THE FORM 990. PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE CALCULATED USING A COST-TO-CHARGE RATIO. PART III, LINE 9B: IT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS OR BEFORE REASONABLE EFFORTS HAVE BEEN MADE TO MAKE SUCH DETERMINATION. IN CERTAIN CASES IT MAY NOT BE EASILY DETERMINED WHETHER OR NOT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE; HOWEVER, IF AFTER COLLECTION PRACTICES HAVE BEGUN IT LATER BECOMES KNOWN THAT A PATIENT QUALIFIES, THE COLLECTION EFFORTS CEASE. ADDITIONALLY, OUR EXTERNAL THIRD PARTY (COLLECTION) AGENCIES ARE TRAINED ON OUR FINANCIAL ASSISTANCE POLICY AND ASSIST A PATIENT IN NEED BY SUPPLYING OUR APPLICATION FOR FINANCIAL ASSISTANCE. PART III, LINES 5, 6, & 7 IN ADDITION TO THE MEDICARE PROGRAMS REFLECTED IN THE COST REPORTS, CCHS INCURS COSTS AND RECEIVES REIMBURSEMENT FOR OTHER MEDICARE ELIGIBLE SERVICES. THE TOTAL REVENUE RECEIVED AND COSTS ASSOCIATED WITH THE ADDITIONAL MEDICARE SERVICES ARE $2,539,144,180 AND $3,179,013,113 RESPECTIVELY. THIS RESULTS IN MEDICARE SHORTFALL OF $639,868,933 WHICH ADDED TO THE SHORTFALL OF $160,576,419 AS REPORTED ON THE COST REPORTS, BRINGS THE TOTAL MEDICARE SHORTFALL TO $800,445,352. PART VI, LINE 2: IN ADDITION TO THE CHNA PROCESS, CCHS, ITS INSTITUTES AND DEPARTMENTS, AND EACH HOSPITAL MAY GATHER, ANALYZE, AND REVIEW RELEVANT HEALTH STATISTICS AND DEMOGRAPHIC DATA FOR THAT PARTICULAR FACILITY'S COMMUNITY. THE DATA IS USED TO EVALUATE POTENTIAL NEW OR REVISED HEALTH SERVICES THAT CCHS MAY PROVIDE TO PARTICULAR GROUPS OF PATIENTS WITHIN THE COMMUNITIES IT SERVES. PART VI, LINE 3: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND THE CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATIONS WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY AND AN INSERT DESCRIBING THE FINANCIAL ASSISTANCE PROGRAM IS INCLUDED WITH BILLING STATEMENTS. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. PART VI, LINE 4: THE COMMUNITY FOR EACH OF THE HOSPITAL FACILITIES IN THE CLEVELAND CLINIC HEALTH SYSTEM IS DEFINED BY BOTH MISSION AND GEOGRAPHY. THE GEOGRAPHIC COMMUNITY IS DEFINED BY THE HOSPITAL FACILITY'S IMMEDIATELY CONTIGUOUS AREAS AS WELL AS THE BROADER SURROUNDING COUNTIES/REGIONS FROM WHICH THE MAJORITY OF DISCHARGED INPATIENTS RESIDE. DEMOGRAPHIC DATA BY ZIP CODE WAS ANALYZED TO ENSURE THAT MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS WHO LIVE IN THE GEOGRAPHIC AREAS FROM WHICH THE HOSPITALS DRAW PATIENTS WERE NOT EXCLUDED FROM THE DEFINED COMMUNITY. ADDITIONALLY, THE COMMUNITY INCLUDES PATIENTS WHO REQUIRE THE EXPERTISE AND SPECIALIZED SERVICES OF THE CLEVELAND CLINIC. THE COMMUNITY FOR MEDICAL RESEARCH AND EDUCATION IS THE PUBLIC AT LARGE. ADDITIONAL DETAIL DESCRIBING THE COMMUNITY THE ORGANIZATION SERVES CAN BE FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. PART VI, LINE 5: ONE OF THE HALLMARKS OF A CHARITABLE ORGANIZATION IS THAT THE ORGANIZATION SERVES A BROAD, INDEFINITE CHARITABLE CLASS. ONE OF THE KEY INDICATORS THAT AN ORGANIZATION SERVES THE BROADER COMMUNITY IS LEADERSHIP BY BOARDS COMPRISED OF INDEPENDENT COMMUNITY LEADERS. CCF AND ITS NORTHEAST OHIO REGIONAL HOSPITAL GOVERNING BOARDS ARE MADE UP OF MEMBERS OF THE COMMUNITY WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF CCF AND ITS AFFILIATES. TRUSTEES/DIRECTORS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO THE CLEVELAND CLINIC AND THE HEALTH SYSTEM AND ARE NOT COMPENSATED FOR THEIR SERVICES.ANOTHER HALLMARK OF A CHARITABLE ORGANIZATION IS THAT SURPLUS FUNDS ARE USED TO FURTHER CHARITABLE PURPOSES AND ACTIVITIES. SURPLUS FUNDS FOR CCF AND ITS AFFILIATES ARE REINVESTED AND USED TO CARRY OUT THE ORGANIZATION'S EXEMPT MISSION -- PATIENT CARE, RESEARCH, AND EDUCATION. PART VI, LINE 6: CLEVELAND CLINIC IS THE PARENT ORGANIZATION OF THE HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM CONSISTING OF AN ACADEMIC MEDICAL CENTER, MEDICAL SCHOOL, COMMUNITY HOSPITALS, FAMILY HEALTH CENTERS, VARIOUS ANCILLARY SERVICES, AND A LARGE GROUP OF EMPLOYED PHYSICIANS AND PHYSICIAN RESEARCHERS. PART VI, LINE 7 THE STATE OF OHIO COLLECTS SCHEDULE H DATA, HOWEVER, NO COMMUNITY BENEFIT REPORT IS FILED IN ANY STATE. 1 ASSOCIATION OF FUNDRAISING PROFESSIONALS GREATER CLEVELAND CHAPTER 3053 NATIONWIDE PKWY BRUNSWICK OH 44212 341575857 501(C)(3) 5600 0 COMMUNITY SUPPORT AKRON COMMUNITY FOUNDATION 990 SE 3RD AVE STE 300 FORT LAUDERDALE FL 33316 341087615 501(C)(3) 7500 0 COMMUNITY SUPPORT AKRON COMMUNITY SERVICE CENTER AND URBAN LEAGUE INC 440 VERNON ODOM BLVD AKRON OH 44307 340714520 501(C)(3) 12850 0 COMMUNITY SUPPORT ALICE FLAHERTY EXCELLENCE IN NURSING SCHOLARSHIP FUND INC 24179 AMBOUR DR NORTH OLMSTED OH 44070 470974372 501(C)(3) 10000 0 COMMUNITY SUPPORT ALZHEIMERS ASSOCIATION 12200 FAIRHILL RD CLEVELAND OH 44120 133039601 501(C)(3) 28500 0 COMMUNITY SUPPORT AMERICAN CANCER SOCIETY 10501 EUCLID AVE CLEVELAND OH 44106 131788491 501(C)(3) 56500 0 COMMUNITY SUPPORT AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 380000 0 COMMUNITY SUPPORT AMERICAN LUNG ASSOCIATION 55 WEST WACKER DRIVE CHICAGO IL 60601 131632524 501(C)(3) 28500 0 COMMUNITY SUPPORT AMERICAN NATIONAL RED CROSS 431 18TH ST NW WASHINGTON DC 20006 530196605 501(C)(3) 36000 0 COMMUNITY SUPPORT ARTS IN STARK 900 CLEVELAND AVE NW CANTON OH 44702 346609771 501(C)(3) 6500 0 COMMUNITY SUPPORT BESSIE ANGELS 17017 MILES RD CLEVELAND OH 44128 474200543 501(C)(3) 15000 0 COMMUNITY SUPPORT BIG BROTHERS BIG SISTERS 4610 PROSPECT AVE STE 410 CLEVELAND OH 44103 341809153 501(C)(3) 10000 0 COMMUNITY SUPPORT BIRTHING BEAUTIFUL COMMUNITIES 1416 EAST 105TH ST CLEVELAND OH 44106 474453278 501(C)(3) 10000 0 COMMUNITY SUPPORT PGA TOUR INC 100 PGA TOUR BOLEVARD PONTE VEDRA VEACH FL 32082 520999206 501(C)(6) 9000 0 COMMUNITY SUPPORT CASE WESTERN RESERVE UNIVERSITY 2040 ADELBERT RD CLEVELAND OH 44106 341018992 501(C)(3) 112750 0 HEALTHCARE RESEARCH & EDUCATION CATHOLIC CHARITIES CORPORATION 7911 DETROIT AVE CLEVELAND OH 44102 341908590 501(C)(3) 42000 0 COMMUNITY SUPPORT CATHY'S HOUSE INC PO BOX 811 MEDINA OH 44258 341876466 501(C)(3) 20000 0 COMMUNITY SUPPORT CITY MISSION 84 W WHEELING ST WASHINGTON PA 15301 340760586 501(C)(3) 12240 0 COMMUNITY SUPPORT CITY OF AKRON 166 S HIGH ST AKRON OH 44308 346000020 501(C)(1) 34467 56880 ESTIMATED VALUE MEDICAL SUPPLIES COMMUNITY SUPPORT CITY OF MEDINA 132 N ELMWOOD AVE MEDINA OH 44258 800864124 501(C)(1) 16000 0 COMMUNITY SUPPORT CITY OF MENTOR 8500 CIVIC CENTER BLVD MENTOR OH 44060 346001861 501(C)(1) 22320 0 COMMUNITY SUPPORT CLEVELAND LEADERSHIP CENTER 1375 EAST 9TH ST STE 1100 CLEVELAND OH 44114 341927317 501(C)(4) 10000 0 COMMUNITY SUPPORT CLEVELAND METROPOLITAN SCHOOL DISTRICT 1111 SUPERIOR AVE E STE 1800 CLEVELAND OH 44114 346000662 501(C)(1) 13000 0 COMMUNITY SUPPORT COLORECTAL CANCER ALLIANCE 1025 VERMONT AVE NW STE 1066 WASHINGTON DC 20005 860947831 501(C)(3) 33333 0 COMMUNITY SUPPORT COMMUNITY PARTNERSHIP ON AGING 1370 VICTORY DR SOUTH EUCLID OH 44121 341261538 501(C)(3) 6838 0 COMMUNITY SUPPORT COMMUNITY SERVICE ALLIANCE 4001 TRENT AVE CLEVELAND OH 44109 201418132 501(C)(3) 5400 0 COMMUNITY SUPPORT COPLEY TOWNSHIP 1540 S CLEVELAND-MASSILLON RD COPLEY OH 44321 346000779 501(C)(1) 0 7280 ESTIMATED VALUE MEDICAL SUPPLIES COMMUNITY SUPPORT CORAL SPRINGS COCONUT CREEK REGIONAL CHAMBER OF COMMERCE 9500 W SAMPLE RD CORAL SPRINGS FL 33065 650779708 501(C)(6) 10000 0 COMMUNITY SUPPORT CUYAHOGA COMMUNITY COLLEGE 700 CARNEGIE AVE CLEVELAND OH 44115 340896630 501(C)(1) 10000 0 COMMUNITY SUPPORT CUYAHOGA COMMUNITY COLLEGE FOUNDATION 700 CARNEGIE AVE CLEVELAND OH 44115 237320719 501(C)(3) 10000 0 COMMUNITY SUPPORT OHIO DEPARTMENT OF HEALTH 246 N HIGH ST COLUMBUS OH 43215 346000817 501(C)(1) 35000 0 COMMUNITY SUPPORT DIGITALC 6815 EUCLID AVE CLEVELAND OH 44103 811731053 501(C)(3) 325000 0 COMMUNITY SUPPORT EARS TO YOU LLC PO BOX 190 HINCKLEY OH 44233 264131382 501(C)(3) 6800 0 COMMUNITY SUPPORT ESPERANZA INC 4115 BRIDGE AVE CLEVELAND OH 44113 341403492 501(C)(3) 20000 0 COMMUNITY SUPPORT EUCLID CHAMBER OF COMMERCE 20150 LAKE SHORE BLVD EUCLID OH 44123 341181067 501(C)(6) 5065 0 COMMUNITY SUPPORT FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION 8111 QUINCY AVE STE 100 CLEVELAND OH 44104 341706856 501(C)(3) 569499 0 COMMUNITY SUPPORT FAMICOS FOUNDATION INC 1325 ANSEL RD CLEVELAND OH 44106 341053534 501(C)(3) 28606 0 COMMUNITY SUPPORT FIRST LADYS CHARITABLE FOUNDATION PO BOX 340734 COLUMBUS OH 43234 871678867 501(C)(3) 10000 0 COMMUNITY SUPPORT FRIENDS OF BREAKTHROUGH SCHOOL 3615 SUPERIOR AVE STE 3103A CLEVELAND OH 44114 204948838 501(C)(3) 10000 0 COMMUNITY SUPPORT GATHERING PLACE 23300 COMMERCE PARK BEACHWOOD OH 44122 341879035 501(C)(3) 10000 0 COMMUNITY SUPPORT GLOBAL CLEVELAND 1422 EUCLID AVE STE 1652 CLEVELAND OH 44115 275245539 501(C)(3) 10000 0 COMMUNITY SUPPORT GREATER FORT LAUDERDALE ALLIANCE 110 E BROWARD BLVD STE 1990 FORT LAUDERDALE FL 33301 592697760 501(C)(3) 10000 0 COMMUNITY SUPPORT HEALTHCARE ANCHOR NETWORK INC 2202 18TH ST NW STE 317 WASHINGTON DC 20009 862147253 501(C)(4) 50000 0 COMMUNITY SUPPORT HEALTHY START COALITION 2806 N ARMENIA AVE STE 100 TAMPA FL 33607 650466549 501(C)(3) 8000 0 COMMUNITY SUPPORT CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION 6780 MAYFIELD RD MAYFIELD HEIGHTS OH 44124 340714593 501(C)(3) 0 120000 ESTIMATED VALUE MEDICAL SUPPLIES COMMUNITY SUPPORT KAMMS CORNERS DEVELOPMENT CORP 17407 LORAIN AVE STE 200 CLEVELAND OH 44111 341254542 501(C)(3) 15000 0 COMMUNITY SUPPORT KARAMU HOUSE 2355 E 89TH ST CLEVELAND OH 44106 340714448 501(C)(3) 10000 0 COMMUNITY SUPPORT KENT STATE UNIVERSITY 800 SUMMIT RD KENT OH 44242 316402079 501(C)(1) 7500 0 COMMUNITY SUPPORT KIDNEY FOUNDATION OF OHIO INC 2831 PROSPECT AVE CLEVELAND OH 44115 340827748 501(C)(3) 7500 0 HEALTHCARE RESEARCH & EDUCATION KOREAN AMERICAN MEDICAL ASSOCIATION OF USA INC 200 SYLVAN AVE STE 22 ENGLEWOOD CLIFFS NJ 07632 823304552 501(C)(3) 25000 0 COMMUNITY SUPPORT THE VILLAGE OF LAKEMORE 1400 MAIN ST LAKEMORE OH 44250 341510059 501(C)(1) 0 6701 ESTIMATED VALUE MEDICAL SUPPLIES COMMUNITY SUPPORT LEGAL AID SOCIETY OF CLEVELAND 1223 W 6TH ST CLEVELAND OH 44113 340866026 501(C)(3) 384000 0 COMMUNITY SUPPORT LBGT COMMUNITY CENTER OF GREATER CLEVELAND 6705 DETROIT AVE CLEVELAND OH 44102 341190920 501(C)(3) 15000 0 COMMUNITY SUPPORT LEUKEMIA & LYMPHOMA SOCIETY 3 INTERNATIONAL DR STE 200 RYE BROOK NY 10573 135644916 501(C)(3) 142000 0 COMMUNITY SUPPORT LORAIN COUNTY COMMUNITY COLLEGE FOUNDATION 1005 N ABBE RD ELYRIA OH 44035 510146485 501(C)(3) 10000 0 COMMUNITY SUPPORT LORAIN COUNTY FREE CLINIC INC 5040 OBERLIN AVE LORAIN OH 44053 341506180 501(C)(3) 10000 0 COMMUNITY SUPPORT LORAIN COUNTY URBAN LEAGUE INC 200 MIDDLE AVE STE 200 ELYRIA OH 44035 341263379 501(C)(3) 5886 0 COMMUNITY SUPPORT MAIN STREET MEDINA 39 PUBLIC SQUARE STE 305 MEDINA OH 44256 261802645 501(C)(3) 6000 0 COMMUNITY SUPPORT MAKE-A-WISH FOUNDATION OF OHIO KENTUCKY AND INDIANA INC 2545 FARMERS DRIVE STE 300 COLUMBUS OH 43235 341471131 501(C)(3) 10000 0 COMMUNITY SUPPORT MARCH OF DIMES INC 1550 CRYSTAL DRIVE STE 1300 ARLINGTON VA 22202 131846366 501(C)(3) 29000 0 COMMUNITY SUPPORT MEDWISH INTERNATIONAL 17325 EUCLID AVE CLEVELAND OH 44112 341903712 501(C)(3) 0 4845192 ESTIMATED VALUE MEDICAL SUPPLIES COMMUNITY SUPPORT METRO WEST COMMUNITY DEVELOPMENT ORGANIZATION 3167 FULTON RD 303 CLEVELAND OH 44109 814534855 501(C)(3) 10000 0 COMMUNITY SUPPORT METRO HEALTH SYSTEM 2500 METROHEALTH DR CLEVELAND OH 44109 346004382 501(C)(3) 214170 0 SUPPORT EDUCATIONAL ACTIVITIES MOBILE SCHOOL PANTRY PO BOX 223126 HOLLYWOOD CA 33022 320420453 501(C)(3) 7000 0 COMMUNITY SUPPORT THE NATIONAL ASSOCIATION OF THE ADVANCEMENT OF COLORED PEOPLE 4805 MT HOPE DR BALTIMORE MD 21215 340846628 501(C)(4) 10000 0 COMMUNITY SUPPORT NEIGHBORHOOD ALLIANCE 1536 E 30TH ST LORAIN OH 44055 340714471 501(C)(3) 20410 0 COMMUNITY SUPPORT NEIGHBORHOOD FAMILY PRACTICE 3569 RIDGE RD CLEVELAND OH 44102 341300581 501(C)(3) 123798 0 COMMUNITY SUPPORT NORTH UNION FARMERS MARKET 13111 SHAKER SQUARE STE 301 CLEVELAND OH 44120 341812026 501(C)(3) 18500 0 COMMUNITY SUPPORT NORTHEAST OHIO COALITION FOR THE HOMELESS 3631 PERKINS AVE STE 3A-3 CLEVELAND OH 44114 341590112 501(C)(3) 10000 0 COMMUNITY SUPPORT OHIO AND ERIE CANALWAY COALITION 47 W EXCHANGE ST AKRON OH 44308 341636766 501(C)(3) 7500 0 COMMUNITY SUPPORT OHIO MINORITY SUPPLIER DEVELOPMENT COUNCIL 100 E BROAD ST COLUMBUS OH 43215 311022688 501(C)(3) 10000 0 COMMUNITY SUPPORT URBAN LEAGUE OF GREATER SOUTHWESTERN OHIO INC 3458 READING RD CINCINNATI OH 45229 310565428 501(C)(3) 6500 0 COMMUNITY SUPPORT OHIO UNIVERSITY FOUNDATION PO BOX 869 ATHENS OH 45701 316402269 501(C)(3) 250000 0 COMMUNITY SUPPORT ONETEN COALITION INC 126 ATLANTIC ST NORFOLK VA 23514 861528485 501(C)(3) 2250000 0 COMMUNITY SUPPORT OROC PO BOX 40332 BAY VILLAGE OH 44140 800093560 501(C)(3) 10000 0 COMMUNITY SUPPORT NATIONAL FOOTBALL MUSEUM INC 2121 GEORGE HALAS DR NW CANTON OH 44708 340898576 501(C)(3) 10000 0 COMMUNITY SUPPORT REGIONAL TRANSIT AUTHORITY ART PO BOX 6566 CLEVELAND OH 44101 341170830 501(C)(1) 125000 0 COMMUNITY SUPPORT BENJAMIN ROSE INSTITUTE OF AGING 11890 FAIRHILL RD CLEVELAND OH 44120 340714482 501(C)(3) 30000 0 COMMUNITY SUPPORT THE SALVATION ARMY 440 W NYACK RD WEST NYACK NY 10994 135562351 501(C)(3) 11000 0 COMMUNITY SUPPORT SCHOLARSHIP AMERICA INC PO BOX 240 ST PETER MN 56082 042296967 501(C)(3) 18000 0 COMMUNITY SUPPORT SENIOR TRANSPORTATION CONNECTION OF CUYAHOGA COUNTY 4735 W 105TH ST STE A CLEVELAND OH 44135 300319480 501(C)(3) 25000 0 COMMUNITY SUPPORT ST JOSEPH ACADEMY 3470 ROCKY RIVER DR CLEVELAND OH 44111 341618516 501(C)(3) 7500 0 COMMUNITY SUPPORT SAINT MARTIN DE PORRES HIGH SCHOOL 6111 LAUSCHE AVE CLEVELAND OH 44103 522401852 501(C)(3) 40268 0 COMMUNITY SUPPORT CITY OF TALLMADGE 46 NORTH AVE TALLMADGE OH 44278 346002784 501(C)(1) 0 5458 ESTIMATED VALUE MEDICAL SUPPLIES COMMUNITY SUPPORT THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION 9500 EUCLID AVE CLEVELAND OH 44195 340714553 501(C)(3) 24141960 0 COMMUNITY SUPPORT THE KHNEMU FOUNDATION 966 E 105TH ST CLEVELAND OH 44108 812766763 501(C)(3) 17250 0 COMMUNITY SUPPORT THE THORACIC SURGERY FOUNDATION 633 N ST CLAIR ST CHICAGO IL 60611 363635910 501(C)(3) 10000 0 COMMUNITY SUPPORT TIDES CENTER PO BOX 29907 SAN FRANCISCO CA 94129 943213100 501(C)(3) 3000000 0 HEALTHCARE RESEARCH & EDUCATION TRANSPLANT HOUSE OF CLEVELAND 2029 E 115TH ST CLEVELAND OH 44106 272834616 501(C)(3) 12400 0 COMMUNITY SUPPORT UNITED CEREBRAL PALSY ASSOCIATION OF GREATER CLEVELAND 10011 EUCLID AVE CLEVELAND OH 44106 340753561 501(C)(3) 114631 0 COMMUNITY SUPPORT UNITED METHODIST FOUNDATION 700 WATERFIELD RIDGE PL GARNER NC 27529 861146214 501(C)(3) 8400 0 COMMUNITY SUPPORT LEAD SAFE CLEVELAND COALITION 4600 EUCLID AVE CLEVELAND OH 44103 346516654 501(C)(3) 7000000 0 COMMUNITY SUPPORT UNITED WAY OF GREATER CLEVELAND 2930 PROSPECT AVE CLEVELAND OH 44115 341011104 501(C)(3) 15000 0 COMMUNITY SUPPORT UNITED WAY OF SUMMIT COUNTY 90 N PROSPECT ST AKRON OH 44304 341169257 501(C)(3) 41500 0 COMMUNITY SUPPORT VALUES-IN-ACTION FOUNDATION 6700 BETA DRIVE STE 120 MAYFIELD VILLAGE OH 44143 341795459 501(C)(3) 20000 0 COMMUNITY SUPPORT YOUTH OPPORTUNITIES UNLIMITED 1361 EUCLID AVE CLEVELAND OH 44115 341381135 501(C)(3) 15000 0 COMMUNITY SUPPORT 79 17 SCHOLARSHIPS 245 8993878 FELLOWSHIPS 2003 105108236 PART I, LINE 2: CCHS CONTRIBUTES FINANCIAL AND IN-KIND SUPPORT TO OTHER TAX EXEMPT ORGANIZATIONS AND AGENCIES THAT FURTHER THE CCHS MISSION OF PATIENT CARE, RESEARCH, AND EDUCATION. THESE ORGANIZATIONS ARE TO USE THE SUPPORT TO STRENGTHEN THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. SCHEDULE I, PART III THE SCHOLARSHIPS AND FELLOWSHIPS LISTED ARE IN FURTHERANCE OF CLEVELAND CLINIC HEALTH SYSTEM'S MISSION TO INCREASE KNOWLEDGE, AWARENESS, AND QUALITY OF PATIENT CARE AND RESEARCH THROUGH EDUCATION. X X X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 MIHALJEVIC MD TOMISLAV DIRECTOR, PRES, CEO - CCF 6179863 0 0 0 25572 0 30500 0 20815 0 6256750 0 0 0 BROOKS MD PETER PHYSICIAN (2022 RETIREE) 1104947 0 0 0 6359474 0 -1640391 0 7836 0 5831866 0 0 0 DONLEY MD BRIAN CEO, CC LONDON (PART YEAR) 0 1760415 0 0 0 2664503 0 30500 0 23756 0 4479174 0 0 ROWAN DAVID DIR, SEC, CHIEF LEGAL OFF - CCF 2229137 0 0 0 58959 0 30500 0 17405 0 2336001 0 0 0 FALCONE MD TOMMASO INTERIM CEO, CC LONDON (PART YR) 0 507200 0 0 0 1706727 0 30500 0 23756 0 2268183 0 0 KOTTKE-MARCHANT MD KANDICE PHYSICIAN (2022 RETIREE) 219857 0 0 0 2706893 0 -688164 0 6047 0 2244633 0 0 0 STREIN STEFAN CHIEF INVESTMENT OFFICER - CCF 1982706 0 0 0 28038 0 30500 0 18764 0 2060008 0 0 0 PEACOCK WILLIAM DIRECTOR, COO - CCF 1918635 0 0 0 26970 0 29751 0 15943 0 1991299 0 0 0 SZENTIRMAI OSZKAR NEUROSURGEON - MARTIN MEDICAL CTR 1097313 0 122755 0 660848 0 0 0 20284 0 1901200 0 0 0 SVENSSON MD LARS FORMER KEY EMP, CHAIR HVTI 1810221 0 0 0 30494 0 30500 0 21196 0 1892411 0 0 0 CHANDRA PHD ROHIT CHIEF DIGITAL OFFICER - CCF, CCEF 1768899 0 0 0 59137 0 30500 0 20618 0 1879154 0 0 0 RUGGIERI MD PAUL PHYSICIAN (2022 RETIREE) 617215 0 0 0 1827581 0 -688550 0 20863 0 1777109 0 0 0 DELANEY MD PHD CONOR DIR, CEO & PRES (FLA), 1618880 0 0 0 66504 0 30500 0 14253 0 1730137 0 0 0 GLASS STEVEN C DIR, CFO & TREAS- CCF (PART YR) 1646187 0 0 0 22371 0 13373 0 9486 0 1691417 0 0 0 SURI MD RAKESH FORMER KEY EMP - CEO CCAD 623237 0 0 0 1006169 0 27729 0 17572 0 1674707 0 955217 0 HANCOCK DNP RN NE-BC KELLY DIR, CHIEF CAREGIVER OFFICER-CCF 1563798 0 0 0 22918 0 -11560 0 17618 0 1592774 0 0 0 MERLINO MD JAMES DIR, CHIEF CLINICAL TRANSFORM OFF 1536530 0 0 0 23955 0 30500 0 1500 0 1592485 0 0 0 GUZMAN MD JORGE CEO, CCAD - CCF 1120893 0 0 0 398021 0 30500 0 17214 0 1566628 0 0 0 MACHADO MD ANDRE DIRECTOR - KMA, PHYSICIAN 1408441 0 0 0 22314 0 30500 0 22521 0 1483776 0 0 0 RIDGEWAY MD BERI DIR, CHIEF OF STAFF - CCF 1397213 0 0 0 22314 0 30500 0 20140 0 1470167 0 0 0 SMEDIRA MD MBA NICHOLAS DIR-CCF, CCEF & REG HOSPS, PHYS 1274820 0 0 0 27467 0 30500 0 0 0 1332787 0 0 0 SMALL DEBORAH FORMER KEY EMPLOYEE - CNO FAIRVIEW 0 169821 0 0 0 1014568 0 28458 0 17521 0 1230368 0 0 IANNOTTI MD PHD JOSEPH DIR - FLA ENTITIES, VP - CC FLA FDN 1135230 0 0 0 31433 0 30500 0 14844 0 1212007 0 0 0 LORD ROBERT FORMER OFFICER - MARTIN (RETIRED) 328766 0 426 0 732631 0 52947 0 15896 0 1130666 0 721147 0 MATT-AMARAL MD LAURIE DIRECTOR - PPG, PHYSICIAN 1061993 0 0 0 2198 0 30218 0 17817 0 1112226 0 0 0 HELTON ANTHONY DIR, INTERIM CFO & TREASURER - CCF 995518 0 0 0 3680 0 23684 0 13933 0 1036815 0 0 0 SAVAGE MD EDWARD DIRECTOR - MMF, PHYSICIAN 867000 0 0 0 29220 0 30500 0 21761 0 948481 0 0 0 MILLER MD CHARLES DIR - REG HOSPS; CHIEF MED OFF- CCMS 865495 0 0 0 35350 0 30500 0 16733 0 948078 0 0 0 RASMUSSEN MD PETER FORMER OFFICER - CCHSPA 460023 387625 0 0 21974 0 30500 0 21866 0 534363 387625 0 0 BLANDON MD RODOLFO DIR - IRMH, PRES - WESTON, CC FLA 805950 0 0 0 23955 0 30500 0 18273 0 878678 0 0 0 MURRAY MD KAREN TRUSTEE, PRES - CCCHR 799960 0 0 0 25247 0 30500 0 18018 0 873725 0 0 0 HARTE MD BRIAN DIR, PRES SOUTH SUBMARKET, AKRON GEN 773909 0 0 0 22918 0 26720 0 19223 0 842770 0 0 0 SINGH MD RISHI DIR - CCF; PRES - MMMC 758229 0 0 0 31960 0 30500 0 14647 0 835336 0 0 0 EL GHAMRY SABE MD AHMED FORMER OFFICER - MERCY 672603 0 62985 0 24893 0 10069 0 26203 0 796753 0 0 0 YOUNG MD JAMES P FORMER OFFICER - CCF 701810 0 0 0 22626 0 29733 0 9447 0 763616 0 0 0 KALAFATIS LARA DIR - KMA, PHILANTHROPY INST CHAIR 671506 0 0 0 24245 0 30500 0 19072 0 745323 0 0 0 BOLOGNA MD RAYMOND DIRECTOR, CHAIR - PPG 640997 0 0 0 30543 0 30500 0 17089 0 719129 0 0 0 STARCK MD REBECCA HOSPITAL PRESIDENT - AVON 658961 0 0 0 23646 0 17517 0 18101 0 718225 0 0 0 ROSENCRANCE MD J GREGORY DIRECTOR, PRES - HSIR, IRHS, IRMH 668212 0 0 0 5153 0 30500 0 14272 0 718137 0 0 0 HEDRICK MD DAVID DIRECTOR - AGMC, LODI, PHYSICIAN 644710 0 0 0 24310 0 30500 0 18337 0 717857 0 0 0 CATO DAVID DIR FLA, COO FLORIDA 656566 0 0 0 1995 0 30500 0 16560 0 705621 0 0 0 BARRETT LISA FORMER OFFICER - AKRON 621061 0 0 0 3337 0 30047 0 20346 0 674791 0 0 0 NAPIERKOWSKI MD DANIEL PRESIDENT, MARYMOUNT HOSPITAL 587444 0 0 0 29794 0 30500 0 17134 0 664872 0 0 0 DEL CASTILLO BARBARA DIRECTOR, GEN COUNSEL, SEC (FLA) 613256 0 0 0 5321 0 30342 0 15060 0 663979 0 0 0 DAVIS MARLEINA ASST. SEC - CCF, CCEF 647946 0 0 0 1372 0 -4287 0 16103 0 661134 0 0 0 LINDENTHAL MD JOHN DIRECTOR - IRMH, PHYSICIAN 577697 0 23731 0 21822 0 5500 0 17194 0 645944 0 0 0 GROOFF MD PAUL SECRETARY, TREAS (CCHSPA), PHYS 562649 0 0 0 18430 0 30500 0 17247 0 628826 0 0 0 KALAYCIO MD MATT DIR - CCF, CCEF & REG HOSPS, PHYS 547445 0 0 0 25653 0 30500 0 16733 0 620331 0 0 0 BARNETT MD TIMOTHY HOSPITAL PRESIDENT - LUTHERAN 555369 0 0 0 2766 0 30500 0 17109 0 605744 0 0 0 MCKENZIE MD MARGARET HOSPITAL PRES - SOUTH POINTE 497241 0 0 0 27464 0 30500 0 18337 0 573542 0 0 0 SASIDHAR MD MADHU DIR-MMF, PRES-TRADITION HOSPITAL 450066 0 0 0 61171 0 29663 0 17810 0 558710 0 0 0 SMITH DO NEIL PRES WEST SUBMARKET, FAIRVIEW HOSP 467602 0 0 0 42210 0 30500 0 15775 0 556087 0 0 0 SOSKA CHRISTOPHER COO - MARTIN HEALTH 462650 0 0 0 22522 0 30500 0 17146 0 532818 0 0 0 VICKERS MD JEAN DIRECTOR - CCC, PHYSICIAN 448847 0 0 0 21811 0 30680 0 16136 0 517474 0 0 0 LONGVILLE TIMOTHY DIR, TREAS-KMA, LRBI; CAO & CONTROL 584696 0 0 0 12343 0 -106473 0 18490 0 509056 0 0 0 PETRY DO FERNANDO SECRETARY - CCC, PHYSICIAN 460694 0 0 0 11569 0 0 0 20640 0 492903 0 0 0 ZINK MD JILL DIRECTOR - AGMC, LODI, PHYSICIAN 441785 0 0 0 840 0 32700 0 12577 0 487902 0 0 0 CRONE MD TIMOTHY DIR- UNION HOSP; HOSP PRES - MERCY 434502 0 0 0 1069 0 30211 0 19601 0 485383 0 0 0 PETER MD DAVID DIRECTOR - IRHS, CMO - IRMC 414675 0 0 0 25870 0 30500 0 14201 0 485246 0 0 0 ROCHESTER DHA CHARMAINE CHIEF FINANCIAL OFFICER, FLORIDA 395505 0 0 0 46449 0 28794 0 10218 0 480966 0 0 0 RUSSELL MD REBECCA DIRECTOR - PPG, PHYSICIAN 430310 0 0 0 1181 0 30500 0 18143 0 480134 0 0 0 MCHUGH LINDA FORMER OFFICER - CCSS 0 0 0 0 472626 0 -6995 0 7913 0 473544 0 475000 0 BEHRENS SUE CNO HILLCREST 283306 0 0 0 151594 0 8646 0 15943 0 459489 0 0 0 LEWIS DO JAMESETTA H DIRECTOR - MERCY DEV FDN, PHYS 0 440482 0 0 0 295 0 5745 0 12149 0 458671 0 0 SIMON MD ERIN DIRECTOR - AGMC, LODI, PHYSICIAN 397026 0 0 0 24669 0 12200 0 20398 0 454293 0 0 0 VENKATESHAIAH MD LOKESH DIRECTOR - AGMC, LODI, PHYSICIAN 382775 0 0 0 21505 0 30500 0 17303 0 452083 0 0 0 BENNETT KRIS DIR-AGMC, LODI, EXEC DIR REG HOSPS 406776 0 0 0 12635 0 9150 0 20494 0 449055 0 0 0 ABDENOUR STEPHEN COO - AKRON 459085 0 0 0 23875 0 -52528 0 15943 0 446375 0 0 0 MALLOY MARK DIR; REGIONAL CFO/TREAS - OHIO 391086 0 0 0 6731 0 12748 0 17305 0 427870 0 0 0 PAPPAS MD RITA FORMER OFFICER - CCCHR, PHYS 383681 0 0 0 2896 0 21667 0 17969 0 426213 0 0 0 SHEWBRIDGE MD RICHARD HOSPITAL PRESIDENT - MEDINA HOSP 373626 0 0 0 3141 0 30500 0 16837 0 424104 0 0 0 DAVIS DO DENNIS DIRECTOR, PRES - PPG, PHYSICIAN 364815 0 0 0 2024 0 30500 0 18101 0 415440 0 0 0 CHANDURKAR DO ROHIT DIRECTOR - PPG, PHYSICIAN 367584 0 0 0 9632 0 12200 0 23234 0 412650 0 0 0 LASH-RITTER MD TERI DIRECTOR - UNION HOSP, PHYSICIAN 363363 0 0 0 1648 0 30500 0 16715 0 412226 0 0 0 FENTON MD ANDREW VICE CHAIR, DIR - PPG, PHYSICIAN 437129 0 0 0 30390 0 -76013 0 16652 0 408158 0 0 0 STEWART DAVID K DIR, TREAS - MDF, COO-MERCY HOSP 358821 0 0 0 20724 0 5675 0 19729 0 404949 0 0 0 MILLS JOHN COO - FAIRVIEW 378093 0 0 0 2360 0 8335 0 1320 0 390108 0 0 0 POSK MD LAURIE DIRECTOR - IRMH, PHYSICIAN 338066 0 0 0 2686 0 30500 0 17810 0 389062 0 0 0 WILLIAMS EMILY DIR, SEC- MERCY, AKRON, UNION, GC 343226 0 0 0 7607 0 9150 0 18037 0 378020 0 0 0 SHOOK MD STEVEN DIR, PRES, CCHSPA, TREAS -NY MED, PH 304251 0 0 0 22233 0 30500 0 18877 0 375861 0 0 0 MAJOR MSN RN NE-BC KERRY FORMER KEY EMP; CNO - CC FLA REG 333646 0 0 0 1720 0 23963 0 14450 0 373779 0 0 0 MILLER SHEILA CNO - AGHS 287699 0 12085 0 24292 0 9919 0 39085 0 373080 0 0 0 MENDIOLA MD AMANDA DIRECTOR - AGMC, LODI, PHYSICIAN 342575 0 0 0 840 0 11814 0 17467 0 372696 0 0 0 ESPINOSA ALEXIS FORMER KEY EMP; COO - CC FLA HEALTH 337866 0 0 0 9830 0 3135 0 16902 0 367733 0 0 0 KOLONICK RENEE FORMER KEY EMP; EXEC DIR HOSP OPS 359439 0 0 0 8284 0 -19904 0 18680 0 366499 0 0 0 SNYDER VICKY COO - HILLCREST 348169 0 0 0 6290 0 -7005 0 17941 0 365395 0 0 0 MCLAIN JESSICA FORMER OFF- MARTIN, PI V. CHAIR FLA 331871 0 0 0 2138 0 12886 0 16309 0 363204 0 0 0 MACKETT MD CHARLES FORMER KEY EMPLOYEE - INDIAN RIVER 349332 0 2300 0 4191 0 5500 0 856 0 362179 0 0 0 PAGANO MD TRINA DIRECTOR - AGMC, LODI, PHYSICIAN 280199 0 0 0 23315 0 30500 0 21669 0 355683 0 0 0 MARKS DO MICHELLE TRUSTEE, MED DIR - CCCHR 292704 0 0 0 2358 0 29920 0 17576 0 342558 0 0 0 FREEMAN MD RICHARD B TRUSTEE - LAKEWOOD, PHYSICIAN 269608 0 0 0 20007 0 28572 0 22684 0 340871 0 0 0 HARLEY DO DOUGLAS DIRECTOR - PPG, PHYSICIAN 297163 0 0 0 3200 0 10602 0 21826 0 332791 0 0 0 GORMSEN DO DAVID FORMER OFFICER - MERCY 290250 0 0 0 21837 0 5800 0 11870 0 329757 0 0 0 SWEITZER MD KIRBY DIRECTOR - MERCY DEV FDN, PHYS 280516 0 27900 0 1583 0 5774 0 13696 0 329469 0 0 0 THOBURN MARY BETH CNO - FAIRVIEW 290115 0 0 0 1679 0 9038 0 15505 0 316337 0 0 0 BRAMAN DO KENNETH DIR, CHIEF MED OFFICER- PPG 275125 0 0 0 9516 0 11360 0 19953 0 315954 0 0 0 BURKE DO DAVID DIR - MEDINA HOSP FDN, PHYSICIAN 270335 0 0 0 1393 0 27536 0 16103 0 315367 0 0 0 OBLANDER JASON ASST. SECRETARY - CCF 274359 0 0 0 6789 0 5025 0 16704 0 302877 0 0 0 CLARK CNO SUSAN DIRECTOR, VP - COASTAL CARE 283791 0 0 0 811 0 0 0 15010 0 299612 0 0 0 SHEERS MD TITUS DIRECTOR - AGMC & LODI, PHYSICIAN 339044 0 0 0 6192 0 -66230 0 19342 0 298348 0 0 0 SAUER MARY CNO -AVON 253555 0 0 0 7973 0 20144 0 16565 0 298237 0 0 0 MARKOVICH MD RENEE DIRECTOR - PPG, PHYSICIAN 252244 0 0 0 5271 0 10280 0 15834 0 283629 0 0 0 BIBENS TODD FORMER KEY EMP - IR 261175 0 0 0 1487 0 4707 0 10719 0 278088 0 0 0 STEPP LEONARD COO - EUCLID 240521 0 6713 0 2534 0 7644 0 18659 0 276071 0 0 0 FETTO JULIE DIRECTOR - UNION HOSP, CNO 254210 0 0 0 3468 0 1726 0 13121 0 272525 0 0 0 KUNBERGER SHANNON CNO - EUCLID 243623 0 0 0 8675 0 11774 0 7047 0 271119 0 0 0 FULLER WARREN FORMER KEY EMPLOYEE - IR 249719 0 0 0 4598 0 -6787 0 19009 0 266539 0 0 0 PIKE JEFFREY FORMER OFFICER - MERCY 233071 0 0 0 751 0 4857 0 24359 0 263038 0 0 0 VOLAS PETER VICE PRESIDENT - CLINIC CARE 252472 0 0 0 8502 0 -21101 0 21523 0 261396 0 0 0 WALTON LINDA FORMER KEY EMP; CNO - INDIAN RIVER 249337 0 0 0 2946 0 4048 0 4769 0 261100 0 0 0 BAKER JOHN T FORMER KEY EMP; CNO - UH 235516 0 0 0 7689 0 58 0 17131 0 260394 0 0 0 ZINNER BARBARA CNO - MARYMOUNT 275375 0 0 0 7406 0 -38847 0 16364 0 260298 0 0 0 MADASZ MD JIM DIR- MEDINA HOSP FDN, PPG, PHYS 228248 0 0 0 4623 0 7102 0 19572 0 259545 0 0 0 ROME MD ELLEN TRUSTEE - CCCHR, PHYSICIAN 214079 0 0 0 3088 0 22287 0 19868 0 259322 0 0 0 MOEHRING MICHAEL DIR-MMF, ASST TREAS - MARTIN 301044 0 8293 0 1226 0 -76585 0 20996 0 254974 0 0 0 VIDMAR ERICK ADMINISTRATOR - CC NV 235399 0 0 0 6517 0 -5399 0 17394 0 253911 0 0 0 TURNER TOM PRESIDENT - MERCY DEV FDN 232066 0 0 0 770 0 4751 0 13575 0 251162 0 0 0 FRIGO DAVID DIR TREASURER AKRON 265665 0 0 0 4634 0 -37874 0 16820 0 249245 0 0 0 KOCSIS DANA CNO- UNION (PART YR) 21195 0 0 0 221196 0 0 0 1432 0 243823 0 0 0 MASON MD NKOSI DIRECTOR - AGMC, LODI, PHYSICIAN 199658 0 0 0 22405 0 4477 0 15343 0 241883 0 0 0 CRAIG ROBERT FORMER OFFICER - UNION 136024 0 6691 0 71348 0 0 0 11439 0 225502 0 0 0 MURRAY TERRI CNO - S. POINTE (PART YR) 198839 0 0 0 5867 0 6093 0 12566 0 223365 0 0 0 MOROCCO DARLENE CNO - LUTHERAN (PART YR) 185282 0 0 0 10710 0 5506 0 13286 0 214784 0 0 0 DAVIDSON MD ELLIOT FORMER OFFICER - PPG 213452 0 0 0 20994 0 -42541 0 20281 0 212186 0 0 0 BECK CHRIS FORMER OFFICER - UNION 169940 0 26515 0 1054 0 0 0 12534 0 210043 0 0 0 OLIPHANT DAVID COO - MARYMOUNT (PART YR) 74921 119413 0 0 1072 0 2031 0 4232 0 82256 119413 0 0 JAMES BRUCE PRES - UNION HOSP (PART YR) 158153 0 36975 0 935 0 0 0 3320 0 199383 0 0 0 SAHADI LEE DIR- PPG (PART YR), EXEC DIR MED STA 137449 0 0 0 36608 0 -1 0 20198 0 194254 0 0 0 YINGLING BARBARA CNO - MERCY (PART YR) 172749 0 0 0 764 0 2467 0 4652 0 180632 0 0 0 GORMAN BRIDGET COO - AVON (PART YR) 165983 0 2125 0 2241 0 -7301 0 10370 0 173418 0 0 0 SPENCER SUSAN CNO - MERCY (PART YR) 159532 0 0 0 526 0 0 0 11715 0 171773 0 0 0 SABANEGH MD EDMUND FORMER OFFICER - CCF (RETIRED) 0 0 0 0 162548 0 0 0 2821 0 165369 0 163556 0 SMITH DARWIN K FORMER OFFICER - UNION 74560 0 0 0 79842 0 0 0 5560 0 159962 0 0 0 BRUYERE JOHN COO - SOUTH POINTE 273350 0 0 0 1584 0 -140642 0 20194 0 154486 0 0 0 HICKEY CINDY FORMER OFFICER - MERCY 133705 0 0 0 1352 0 2827 0 15772 0 153656 0 0 0 COSGROVE MD DELOS FORMER OFFICER (RETIRED CEO) 216197 0 0 0 501667 0 -565228 0 0 0 152636 0 202433 0 ROGERS MD THOMAS DIR, PRES - UH (PART YR), UHCHF 118505 0 0 0 10823 0 13260 0 8207 0 150795 0 0 0 VANLITH RICHARD FORMER KEY EMP - IR 147501 0 0 0 0 0 138 0 0 0 147639 0 0 0 FINDING MSN MBA DONIELLE DIR, SEC - MEDINA HOSP FDN 146907 0 0 0 6138 0 -26248 0 20496 0 147293 0 0 0 HANKINS STEVEN COO - LUTHERAN (PART YR) 139917 0 0 0 1429 0 4241 0 1567 0 147154 0 0 0 MAU KATHLEEN FORMER OFFICER - MED FDN 142526 0 1259 0 7105 0 -28987 0 17746 0 139649 0 0 0 MEEHAN MICHAEL J RECORDING SEC; ASST SEC - EAST REG 329426 0 0 0 36280 0 -261997 0 17152 0 120861 0 0 0 STOLLER MD MS JAMES K CHAIR, EDUCATION INSTITUTE - CCEF 582355 0 0 0 13428 0 -521275 0 16680 0 91188 0 0 0 DEWS MD TERESA HOSP PRESIDENT - CCHS-ER (EUCLID) 582944 0 0 0 24853 0 -670489 0 21319 0 -41373 0 0 0 MALONE JR MD DONALD A DIR; PRES, OH HOSPS & FHCS 1312175 0 0 0 26022 0 -1511737 0 16044 0 -157496 0 0 0 ERZURUM MD SERPIL CHIEF RESEARCH & ACADEMIC OFF 1322200 0 0 0 27467 0 -1572691 0 1500 0 -221524 0 0 0 PARKER MD RICHARD PRES EAST SUBMARKET, HILLCREST 848058 0 0 0 29810 0 -1156428 0 17545 0 -261015 0 0 0 WIEDEMANN MD HERBERT FORMER OFFICER - CCF (RETIRED) 210113 0 0 0 0 0 -796066 0 0 0 -585953 0 210113 0 PART I, LINE 1A LISTED BENEFITS THE BENEFITS CHECKED IN PART I, QUESTION 1A, WERE PROVIDED TO CERTAIN PERSONS LISTED IN FORM 990, PART VII, SECTION A ON AN EXCEPTION BASIS ONLY FOR AN APPROPRIATE BUSINESS PURPOSE. ANY REIMBURSEMENT OF THE EXPENSES LISTED MET CLEVELAND CLINIC'S WRITTEN POLICY REGARDING SUBSTANTIATION AND REIMBURSEMENT. WHERE REQUIRED BY IRS RULES AND REGULATIONS, THE LISTED BENEFITS WERE INCLUDED IN TAXABLE INCOME. PART I, LINES 4A-B SCHEDULE J, PART I, LINE 4A, SEVERANCE PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: ROBERT CRAIG $69,289 DANA KOCSIS $221,160 ROBERT LORD $721,147 LINDA MCHUGH $475,000 EDMUND SABANEGH, M.D. $163,556 LEE SAHADI $20,097 DARWIN SMITH $79,564 RAKESH SURI, M.D. $955,217 SEVERANCE PAYMENTS ACCRUED IN 2022 BUT NOT YET PAID ARE REPORTED IN PART VII, COLUMN F AND SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUAL: LEE SAHADI $40,781 SCHEDULE J, PART I, LINE 4B, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PETER BROOKS, M.D. - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES $6,333,810 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT HIS VESTED AMOUNT IN THE PLAN. KANDICE KOTTKE-MARCHANT, M.D. - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES $2,700,175 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT HIS VESTED AMOUNT IN THE PLAN. PETER RUGGIERI, M.D. - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES $1,818,287 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT HIS VESTED AMOUNT IN THE PLAN. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: PETER BROOKS, M.D. $172,481 DELOS COSGROVE, M.D. $202,433 KANDICE KOTTKE-MARCHANT, M.D. $94,400 MICHAEL MODIC, M.D. $109,916 HERBERT WIEDEMANN, M.D. $210,113 THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND/OR A QUALIFIED DEFINED BENEFIT PLAN AND THE ANNUAL INCREASE OR DECREASE OF THE ACTUARIAL VALUE IS INCLUDED IN SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: STEPHEN ABDENOUR - $64,728 DECREASE, JOHN T. BAKER $1,988 DECREASE, LISA BARRETT - $453 DECREASE, PETER BROOKS, M.D. - $1,670,891 DECREASE, JOHN BRUYERE - $149,116 DECREASE, KATHLEEN MAU - $33,501 DECREASE, DELOS COSGROVE, M.D. - $565,228 DECREASE, ELLIOT DAVIDSON, M.D. - $50,712 DECREASE, MARLEINA DAVIS - $34,787 DECREASE, BARBARA DEL CASTILLO - $158 DECREASE, THERESA DEWS, M.D. - $700,989 DECREASE, SERPIL ERZURUM, M.D. - $1,603,191 DECREASE, ALEXIS ESPINOSA - $5,705 DECREASE, ANDREW FENTON, M.D. - $88,213 DECREASE, JULIE FETTO - $693 DECREASE, DONIELLE FINDING, MSN, MBA $30,934 DECREASE, DAVID FRIGO - $46,016 DECREASE, WARREN FULLER - $11,992 DECREASE, STEVE C. GLASS - $17,127 DECREASE, BRIDGET GORMAN - $12,798 DECREASE, KELLY HANCOCK, DNP, RN, NE-BC - $42,060 DECREASE, ANTHONY HELTON - $6,816 DECREASE, RENEE KOLONICK - $29,054 DECREASE, KANDICE KOTTKE-MARCHANT, M.D. - $701,357 DECREASE, TIMOTHY LONGVILLE - $136,973 DECREASE, ROBERT LORD - $52,947 INCREASE, KERRY MAJOR - $6,537 DECREASE, MARK MALLOY - $17,752 DECREASE, DONALD A. MALONE, JR, M.D. - $1,542,237 DECREASE, LINDA MCHUGH - $6,995 DECREASE, JESSICA MCLAIN - $3,736 DECREASE, MICHAEL J. MEEHAN - $292,497 DECREASE, JOHN MILLS - $815 DECREASE, MICHAEL MODIC, M.D. - $328,050 DECREASE, MICHAEL MOEHRING - $76,585 DECREASE, JASON OBLANDER - $3,375 DECREASE, RITA PAPPAS, M.D. - $8,833 DECREASE, RICHARD PARKER, M.D. - $1,186,928 DECREASE, WILLIAM PEACOCK - $749 DECREASE, PAUL RUGGIERI, M.D. - $719,050 DECREASE, LEE SAHADI - $45,546 DECREASE, MARY SAUER - $12,373 INCREASE, TITUS SHEERS, M.D. - $77,238 DECREASE, DEBORAH SMALL - $209 INCREASE, VICKY SNYDER - $16,155 DECREASE, REBECCA STARCK, M.D. - $12,983 DECREASE, JAMES K. STOLLER, M.S., M.D. - $551,775 DECREASE, MARYBETH THOBURN - $202 INCREASE, ERICK VIDMAR - $12,650 DECREASE, PETER VOLAS - $28,989 DECREASE, HERBERT P. WIEDEMANN, M.D. $796,066 DECREASE, BARBARA ZINNER - $47,267 DECREASE. FORM 990, PART VII, SECTION A AND SCHEDULE J THE COMPENSATION OF DR. BRIAN DONLEY, DR. TOMMASSO FALCONE, DR. JORGE GUZMAN AND DEBORAH SMALL, AS REPORTED ON PART VII, SECTION A AND SCHEDULE J INCLUDES REGULAR WAGES AND TAXABLE EXPATRIATE BENEFITS. A COLLIER COUNTY HEALTH FACILITIES AUTHORITY 592351395 19463LAB9 2003-04-16 118200000 BOND 2003C: REFUND FL SERIES 1999; FINANCING WESTON CLINIC 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756AJ37 2008-10-15 670000000 BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 NONEAVAIL 2011-11-02 41120000 BOND 2011B: REFUND 1992A & B AND 1989 SERIES 0 0 0 D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756DAY2 2013-05-29 309434914 BOND 2013: REFUND 2004B, 2003A AND FACILITY IMPROVEMENTS 0 0 0 A 76295000 118200000 412525 13520714 104266761 2003 1 0 1 1 B 342425000 670000000 1200000 324315217 372706929 2008 1 0 1 1 C 21125000 41120000 2302465 735249 38082286 2011 1 0 1 1 D 72270592 309434914 2129301 20001498 287304115 2013 1 0 1 1 A 0 1 1 1 1 1 0.00180 0.00180 0 0 1 B 0 1 1 1 1 1 0.00460 0.00010 0.00470 0 0 1 C 0 1 1 1 1 1 0 0 1 D 0 1 1 1 1 1 0.00120 0.00120 0 0 1 A 0 0 0 1 1 0 0 1 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 1 0 0 0 1 D 0 0 1 1 1 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: COLLIER COUNTY HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/16/2018 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 10/15/2018 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 11/02/2016 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/29/2018 ISSUER NAME: MARTIN COUNTY HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2019 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 12/21/2022 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 08/28/2022 A MARTIN COUNTY HEALTH FACILITIES AUTHORITY 362646523 NONEAVAIL 2013-09-24 26555000 BOND 2013: REFUND 5/2007 BOND ISSUE 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 NONEAVAIL 2017-12-21 9305000 BOND 2017C: REFUND 2002 SERIES 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561KS0 2017-08-29 939576748 BOND 2017A: REFUND 2008A, 2008B, 2009A, 2009B, 2012A SERIES 0 0 0 D MARTIN COUNTY HEALTH FACILITIES AUTHORITY 596000743 573903FZ9 2019-05-09 259345371 BOND 2019AREFINANCE 2012, 2012B & 2015 MHS BONDS & ACQUIRE MEMBERSHIP IN MHS 0 0 0 A 12100000 26555000 26555000 2013 1 0 1 1 B 2115000 9305000 9305000 2017 0 1 1 1 C 97931264 939576748 939576748 2017 0 1 1 1 D 1691301 259345371 822172 257297825 1225374 2019 0 0 1 1 A 0 0 1 1 1 1 0.00120 0.00120 0 0 1 B 0 1 1 1 1 1 0 0 1 C 0 1 1 1 1 1 0.01630 0.00010 0.01640 0 0 1 D 0 1 1 1 1 1 0 0 1 A 0 0 0 1 0 1 WELLS FARGO 25.000000000000 0 0 0 0 1 B 0 1 0 1 1 0 0 0 1 C 0 1 0 1 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CDN5 2019-05-09 351450108 BOND 2019BC: FUND CAPITAL PROJECTS 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561KZ4 2019-05-09 380150000 BOND 2019DEF: FUND CAPITAL PROJECTS 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561LP5 2021-07-28 82791709 BOND 2021A: ACQUIRE MEMBERSHIP IN MERCY HOSPITAL 0 0 0 D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561MG4 2021-10-05 249692662 BOND 2021B: REFUND SERIES 2011A 0 0 0 A 1667890 351450108 1125388 348905103 1419617 2019 0 0 1 1 B 380150000 1262472 378404897 482631 2019 0 0 1 1 C 82791709 82791709 2021 0 0 1 1 D 3725555 249692662 2103785 247588877 2021 1 0 1 1 A 0 1 1 1 1 1 0.01390 0.00010 0.01400 0 0 1 B 0 1 1 1 1 1 0.01500 0.00010 0.01510 0 0 1 C 0 1 1 1 1 1 0.02770 0.02770 0 0 1 D 0 1 1 1 1 1 0.00070 0.00060 0.00130 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 ADRIENNE DELANEY FAMILY MEMBER OF CONOR DELANEY, M.D., PH.D., CCF OFFICER 32156 EMPLOYMENT AGREEMENT WITH CCF 0 AMANDA HANCOCK FAMILY MEMBER OF KELLY HANCOCK, DNP, RN, NE-BC, CCF OFFICER 34197 EMPLOYMENT AGREEMENT WITH CCF 0 AMBER BRADFORD-SAFFLES FAMILY MEMBER OF JOHN BRADFORD, D.O., PPG DIRECTOR 379110 EMPLOYMENT AGREEMENT WITH PPG 0 AMY MERLINO FAMILY MEMBER OF JAMES MERLINO, M.D., CCF OFFICER 582917 EMPLOYMENT AGREEMENT WITH CCF 0 ANTHONY O'BRIEN FAMILY MEMBER OF TIMOTHY O'BRIEN, CCCHR OFFICER AND DIRECTOR 25267 EMPLOYMENT AGREEMENT WITH CCCHR 0 ELLEN IANNOTTI FAMILY MEMBER OF JOSEPH IANNOTTI, M.D., CC FLORIDA TRUSTEE 41662 EMPLOYMENT AGREEMENT WITH CC FLORIDA 0 FRANK IANNOTTI FAMILY MEMBER OF JOSEPH IANNOTTI, M.D., CC FLORIDA TRUSTEE 42961 EMPLOYMENT AGREEMENT WITH CC FLORIDA 0 GRANT DILLON FAMILY MEMBER OF WILLIAM PEACOCK, CCF OFFICER 10408 EMPLOYMENT AGREEMENT WITH CCF 0 GREGORY BILOWSKY FAMILY MEMBER OF AMANDA MENDIOLA, M.D., AGMC DIRECTOR 82664 EMPLOYMENT AGREEMENT WITH AGMC 0 JIM HALLORAN FAMILY MEMBER OF KELLY HANCOCK, DNP, RN, NE-BC, CCF OFFICER 18228 EMPLOYMENT AGREEMENT WITH CCF 0 JOANNE MCDONALD KILBANE FAMILY MEMBER OF CATHERINE KILBANE, CCF DIRECTOR 89874 EMPLOYMENT AGREEMENT WITH CCF 0 LAURA SWEENEY FAMILY MEMBER OF TIMOTHY LONGVILLE, CCF OFFICER 107153 EMPLOYMENT AGREEMENT WITH CCF 0 MATTHEW BRUYERE FAMILY MEMBER OF JOHN BRUYERE, CCHS EAST KEY EMPLOYEE 20945 EMPLOYMENT AGREEMENT WITH CCF 0 MICHAEL PETRAS FAMILY MEMBER OF MICHAEL PETRAS, JR., CCF DIRECTOR AND OFFICER 48501 EMPLOYMENT AGREEMENT WITH CCF 0 ROBERT SYTO FAMILY MEMBER OF BERI RIDGEWAY, M.D., CCF OFFICER AND DIRECTOR 58774 EMPLOYMENT AGREEMENT WITH CCF 0 RYAN OAKLEY FAMILY MEMBER OF WILLIAM PEACOCK, CCF OFFICER 78072 EMPLOYMENT AGREEMENT WITH CCF 0 VICTORIA JAVOR FAMILY MEMBER OF KELLY HANCOCK, DNP, RN, NE-BC, CCF OFFICER 99996 EMPLOYMENT AGREEMENT WITH CCF 0 X 9 55020 APPRAISAL X 161644 SALE COMPARABLE GOODS X 178 18601016 AVERAGE HIGH/LOW X 19 45378 COST X 7 525305 COST X EVENT TICKETS 23 131881 COST 2 0 1 1 PART I, LINE 32B: CLEVELAND CLINIC HEALTH SYSTEM WILL AT TIMES HIRE INDEPENDENT THIRD PARTIES TO SELL CERTAIN NON-CASH CONTRIBUTIONS SUCH AS AUCTION ITEMS OR REAL ESTATE. FORM 990, PART III, PROGRAM SERVICE STATEMENT CLEVELAND CLINIC, HEADQUARTERED IN CLEVELAND, OHIO, IS A NONPROFIT, TAX-EXEMPT ACADEMIC MEDICAL CENTER THAT INTEGRATES CLINICAL AND HOSPITAL CARE WITH RESEARCH AND EDUCATION. THE CLEVELAND CLINIC FOUNDATION IS THE PARENT OF THE CLEVELAND CLINIC HEALTH SYSTEM. CLEVELAND CLINIC WAS ESTABLISHED IN 1921. WHEN THE CLINIC CELEBRATED ITS CENTENNIAL YEAR A NEW MISSION STATEMENT WAS UNVEILED: CARING FOR LIFE, RESEARCHING FOR HEALTH AND EDUCATING THOSE WHO SERVE. THE NEW MISSION STATEMENT STAYS TRUE TO THE PAST, ENCOMPASSES THE PRESENT, AND OUTLINES THE FUTURE OF THE ORGANIZATION. CONSISTENT WITH ITS TRIPARTITE MISSION, CLEVELAND CLINIC'S PRIMARY PROGRAM SERVICES ARE FOCUSED ON PATIENT CARE PROVIDED ON A CHARITABLE BASIS, MEDICAL RESEARCH, AND EDUCATION OF BOTH MEDICAL PROFESSIONALS AND THE COMMUNITY. THE FOUNDERS RECOGNIZED THAT IT IS IN THE BEST INTEREST OF PATIENTS TO POOL THE TALENTS OF MEDICAL SPECIALISTS TO DEVELOP, TEACH AND APPLY THE BEST MEDICAL TECHNIQUES. THIS STATEMENT IS NOT INTENDED TO IDENTIFY ALL THE ACTIVITIES BY WHICH CLEVELAND CLINIC HEALTH SYSTEM FULFILLS ITS CHARITABLE PURPOSES, BUT RATHER IS A SUMMARY OF ITS PRIMARY PROGRAM SERVICES AND CONTRIBUTIONS TO THE COMMUNITY. THE CLEVELAND CLINIC HEALTH SYSTEM DEFINES AND MEASURES COMMUNITY BENEFIT (INCLUDING FINANCIAL ASSISTANCE) USING THE CATHOLIC HEALTH ASSOCIATION ("CHA") COMMUNITY BENEFIT MODEL, WHICH RECOMMENDS REPORTING FINANCIAL ASSISTANCE ON A COST BASIS. USING THIS MODEL, IN 2022 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $1.42 BILLION IN BENEFITS TO THE COMMUNITIES SERVED. THE COMMUNITY BENEFIT THAT THE CLEVELAND CLINIC HEALTH SYSTEM PROVIDES INCLUDES PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH, EDUCATION, MEDICAID SHORTFALL, SUBSIDIZED HEALTH SERVICES, AND COMMUNITY OUTREACH PROGRAMS. THE CURRENT COMMUNITY BENEFIT REPORT IS AVAILABLE AT CLEVELANDCLINIC.ORG. (COMMUNITY BENEFIT AMOUNTS REPORTED IN THIS PROGRAM SERVICE STATEMENT REFER TO THE CLEVELAND CLINIC'S 2022 COMMUNITY CONNECTIONS, BASED ON THE CHA REPORTING METHODOLOGY.) COVID-19 ON MARCH 11, 2020, THE WORLD HEALTH ORGANIZATION DECLARED THE NOVEL CORONAVIRUS DISEASE (COVID-19) OUTBREAK A GLOBAL PANDEMIC. THE GOVERNORS OF OHIO AND FLORIDA DECLARED A STATE OF EMERGENCY FOR THEIR RESPECTIVE STATES RELATED TO THE COVID-19 OUTBREAK ON MARCH 9, 2020, AND A NATIONAL STATE OF EMERGENCY IN THE U.S. WAS DECLARED ON MARCH 13, 2020. THE SYSTEM HAS ENGAGED IN VARIOUS COMMUNITY HEALTH IMPROVEMENT INITIATIVES INCLUDING: HEALTH EDUCATION AND CLINICAL SERVICES FOR COMMUNITY RESIDENTS REGARDING VIRUS IMPACT, TESTING, AND VACCINE DISTRIBUTION IN NEIGHBORHOODS, WELLNESS INITIATIVES TO RESIDENTS, SCHOOLS, AND COMMUNITY BASED ORGANIZATIONS IN THE AREAS OF DISEASE PREVENTION, DONATIONS OF PERSONAL PROTECTIVE EQUIPMENT TO COMMUNITY BASED ORGANIZATIONS SUPPORTED SAFETY ISSUES, AND ADMINSTRATION OF COVID-19 VACCINES IN UNDERSERVED AREAS AND COMMUNITIES WITH MINORITY POPULATIONS AND LARGE NUMBERS OF RESIDENTS AGED 60 YEARS OR OLDER TO HELP ADDRESS HEALTH DISPARITIES. I. PATIENT CARE THE CLEVELAND CLINIC HEALTH SYSTEM (SYSTEM) IS A WORLD-RENOWNED PROVIDER OF HEALTHCARE SERVICES THAT ATTRACTED PATIENTS FROM ACROSS THE UNITED STATES AND FROM 131 OTHER COUNTRIES IN 2022. AS OF DECEMBER 31, 2022, THE SYSTEM OPERATES 20 HOSPITALS AND IS THE LEADING PROVIDER OF HEALTHCARE SERVICES IN NORTHEAST OHIO. FOURTEEN OF THE HOSPITALS ARE OPERATED IN THE NORTHEAST OHIO AREA, ANCHORED BY THE CLEVELAND CLINIC FOUNDATION (CLINIC). THE SYSTEM OPERATES 21 OUTPATIENT FAMILY HEALTH CENTERS, 9 AMBULATORY SURGERY CENTERS, AS WELL AS NUMEROUS PHYSICIAN OFFICES, WHICH ARE LOCATED THROUGHOUT NORTHEAST OHIO, AND SPECIALIZED CANCER CENTERS IN SANDUSKY AND MANSFIELD, OHIO. IN FLORIDA, THE SYSTEM OPERATES FIVE HOSPITALS AND CLINICS LOCATED THROUGHOUT SOUTHEAST FLORIDA, OUTPATIENT FAMILY HEALTH CENTERS IN PORT ST. LUCIE, STUART AND WEST PALM BEACH, AN OUTPATIENT FAMILY HEALTH AND AMBULATORY SURGERY CENTER IN CORAL SPRINGS AND NUMEROUS PHYSICIAN OFFICES LOCATED THROUGHOUT SOUTHEAST FLORIDA. IN ADDITION, THE SYSTEM OPERATES A HEALTH AND WELLNESS CENTER AND A SPORTS MEDICINE CLINIC IN TORONTO, CANADA AND A SPECIALIZED NEUROLOGICAL CLINICAL CENTER IN LAS VEGAS, NEVADA. IN MARCH 2022, CLEVELAND CLINIC LONDON HOSPITAL OPENED FOR PATIENTS. PURSUANT TO AGREEMENTS, THE SYSTEM ALSO PROVIDES MANAGEMENT SERVICES FOR ASHTABULA COUNTY MEDICAL CENTER, LOCATED IN ASHTABULA, OHIO, AND CLEVELAND CLINIC ABU DHABI, A MULTISPECIALTY HOSPITAL OFFERING CRITICAL AND ACUTE CARE SERVICES THAT IS PART OF MUBADALA DEVELOPMENT COMPANY'S NETWORK OF HEALTHCARE FACILITIES LOCATED IN ABU DHABI, UNITED ARAB EMIRATES. CLEVELAND CLINIC HEALTH SYSTEM IS DEDICATED TO THE COMMUNITIES IT SERVES STRIVING TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE TO ALL WHO NEED IT; AND SUPPORTING PROGRAMS AND INITIATIVES THAT IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. THROUGH ITS FINANCIAL ASSISTANCE EFFORTS AND AS A LEADING MEDICAID PROVIDER IN OHIO, CLEVELAND CLINIC PROVIDES HEALTHCARE TO THOSE WHO OTHERWISE COULD NOT AFFORD IT. IN 2022, CLEVELAND CLINIC RECORDED 5,328 TOTAL STAFFED BEDS, 907,039 EMERGENCY VISITS, 269,776 SURGICAL CASES, 244,350 ADMISSIONS, AND MORE THAN 12.8 MILLION TOTAL CLINIC VISITS. IT IS THE POLICY OF CLEVELAND CLINIC HEALTH SYSTEM TO TREAT ALL PATIENTS WITH COMPASSION, DIGNITY AND RESPECT, REGARDLESS OF THEIR RACE, CREED, OR ABILITY TO PAY. CLEVELAND CLINIC'S PATIENT CARE SERVICES ARE PROVIDED VIA PATIENT-ORIENTED INSTITUTES, WHICH ARE STRUCTURED ON THE BASIS OF ORGAN SYSTEM OR DISEASE. THE INSTITUTES FACILITATE A MULTIDISCIPLINARY APPROACH, AND ARE DESIGNED TO ENHANCE CONVENIENCE FOR PATIENTS AND THE EXCHANGE OF KNOWLEDGE, RESEARCH AND EDUCATIONAL COLLABORATION FOR BETTER PATIENT OUTCOMES. SOME OF THE INSTITUTES ARE: ANESTHESIOLOGY & PAIN MANAGEMENT; BARIATRIC & METABOLIC; CANCER CENTER/TAUSSIG CANCER; CLEVELAND CLINIC CHILDREN'S AND PEDIATRIC INSTITUTE, COMMUNITY CARE; DERMATOLOGY & PLASTIC SURGERY INSTITUTE; DIGESTIVE DISEASE & SURGERY INSTITUTE; EMERGENCY SERVICES INSTITUTE; ENDOCRINOLOGY & METABOLISM INSTITUTE; EYE INSTITUTE (COLE); GENOMICS; HEAD & NECK INSTITUTE; HEART, VASCULAR & THORACIC INSTITUTE (SYDELL AND ARNOLD MILLER FAMILY); IMAGING INSTITUTE; NEUROLOGICAL INSTITUTE; NURSING INSTITUTE (STANLEY SHALOM ZIELONY); OB/GYN & WOMEN'S HEALTH INSTITUTE; ORTHOPAEDIC & RHEUMATOLOGIC INSTITUTE; PATHOLOGY & LABORATORY MEDICINE; RESPIRATORY INSTITUTE; AND UROLOGY & KIDNEY INSTITUTE (GLICKMAN); WELLNESS & PREVENTIVE MEDICINE. NOTABLE ACHIEVEMENTS CLEVELAND CLINIC WAS AGAIN RECOGNIZED FOR ITS QUALITY OF CARE IN U.S. NEWS & WORLD REPORT'S PRESTIGIOUS ANNUAL AMERICA'S BEST HOSPITALS SURVEY IN 2022. OVERALL, CLEVELAND CLINIC WAS AMONG THE NATION'S BEST HOSPITALS, EARNING THE NO. 4 RANKING. FOR THE 28TH CONSECUTIVE YEAR, CLEVELAND CLINIC RANKED BEST IN THE NATION FOR CARDIOLOGY AND HEART SURGERY, EARNING THE NO. 1 SPOT. 11 CLEVELAND CLINIC SPECIALTIES ALSO RANKED IN THE TOP 10. OF THESE, SIX PLACED IN THE TOP 5 INCLUDING: CARDIOLOGY & HEART SURGERY; UROLOGY; GASTROENTEROLOGY & GASTROINTESTINAL SURGERY; RHEUMATOLOGY; GERIATRICS & GYNECOLOGY. CLEVELAND CLINIC WAS NATIONALLY RANKED IN 13 ADULT SPECIALTIES AND 9 CHILDREN'S SPECIALTIES. CLEVELAND CLINIC WAS ALSO RATED HIGH PERFORMING IN EIGHTEEN PROCEDURES AND CONDITIONS. CLEVELAND CLINIC HAS ACHIEVED THE DISTINGUISHED MAGNET RECOGNITION. MAGNET STATUS IS THE HIGHEST NATIONAL RECOGNITION AWARDED TO A HOSPITAL OR MEDICAL CENTER FOR EXCELLENCE IN NURSING. AMERICAN NURSES CREDENTIALING CENTER, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. FOR THE TWELFTH TIME IN THE PAST 14 YEARS, CLEVELAND CLINIC HAS BEEN RECOGNIZED AS ONE OF THE WORLD'S MOST ETHICAL COMPANIES. CLEVELAND CLINIC IS ONE OF JUST FIVE HEALTHCARE PROVIDERS WORLDWIDE ON THE 2022 LIST BY THE ETHISPHERE INSTITUTE, WHICH DESCRIBES ITSELF AS "ADVANCING THE STANDARDS OF ETHICAL BUSINESS PRACTICES THAT FUEL CORPORATE CHARACTER, MARKETPLACE TRUST AND BUSINESS SUCCESS". FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED) CLEVELAND CLINIC RECEIVED THE ENVIRONMENTAL EXCELLENCE AWARD FROM PRACTICE GREENHEALTH. PRACTICE GREENHEALTH RECOGNIZES ORGANIZATIONS WITHIN THE HEALTHCARE SECTOR THAT SUPPORT AND CREATE BETTER, SAFER, AND GREENER WORKPLACES AND COMMUNITIES. IN 2022, CLEVELAND CLINIC AND ITS FACILITIES RECEIVED: THE TOP 25 ENVIRONMENTAL EXCELLENCE AWARD, THE CIRCLE OF EXCELLENCE AWARD AND THE GREENING THE OPERATING ROOM RECOGNITION AWARD. THESE AWARDS RECOGNIZE SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY, COVERING A RANGE OF DIFFERENT SUSTAINABILITY PROGRAMS AND ACTIVITIES. WINNERS HAVE ALSO MADE SUBSTANTIVE PROGRESS ON MERCURY ELIMINATION. FOUNDED IN 1914, AKRON GENERAL IS A NONPROFIT HEALTHCARE ORGANIZATION THAT SERVES AS THE HUB FOR CLEVELAND CLINIC'S SOUTHERN REGION. THE 485 STAFFED BED TEACHING AND RESEARCH MEDICAL CENTER INCLUDES LODI HOSPITAL AND HEALTH & WELLNESS CENTERS. THE LEVEL 1 TRAUMA CENTER, AS DESIGNATED BY THE AMERICAN COLLEGE OF SURGEONS, OFFERS THE TECHNOLOGY, EXPERTISE, AND STAFFING TO TREAT ALL INJURIES REGARDLESS OF SEVERITY. IN 2022 U.S. NEWS & WORLD REPORT RANKED AKRON GENERAL AS THE SEVENTH BEST HOSPITAL IN OHIO AND THE NUMBER ONE HOSPITAL IN AKRON. AKRON GENERAL WAS ALSO RANKED AS HIGH PERFORMING IN TEN ADULT MEDICAL SPECIALTIES AND NINE COMMON ADULT PROCEDURES AND CONDITIONS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS MAGNET STATUS DESIGNATION TO AKRON GENERAL. AKRON GENERAL IS ACCREDITED BY JOINT COMMISSION, ALSO RECEIVING ITS GOLD SEAL OF APPROVAL STROKE CARE. IT IS SUMMIT COUNTY'S FIRST ACCREDITED CHEST PAIN CENTER, MEETING STRICT CRITERIA FROM THE SOCIETY OF CHEST PAIN CENTERS AND PROVIDERS. AKRON GENERAL'S MCDOWELL CANCER INSTITUTE IS THE ONLY AKRON CANCER HOSPITAL TO RECEIVE AN OUTSTANDING ACHIEVEMENT AWARD FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. AKRON GENERAL PARTICIPATES IN NATIONAL CANCER INSTITUTE (NCI) SPONSORED CLINICAL TRIALS, AS WELL AS PHARMACEUTICAL INDUSTRY SPONSORED TRIALS. MEMBERSHIP IN SIX NCI COOPERATIVE GROUPS PROVIDES PATIENTS WITH ACCESS TO A WIDE MENU OF CLINICAL TRIALS. IN 2022, AKRON GENERAL WAS AWARDED THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY. AKRON GENERAL WAS NATIONALLY RECOGNIZED FOR THE WELLNESS PHILOSOPHY - HEALTH & WELLNESS CENTER, LIFESTYLES AND FITNESS PROGRAMS THAT INCORPORATES INTEGRATED OUTPATIENT CLINICAL CARE, PREVENTION, REHABILITATION AND NUTRITIONAL COUNSELING. OPENED IN NOVEMBER 2016, AVON HOSPITAL HAS 126 STAFFED BEDS AND PROVIDES INPATIENT AND OUTPATIENT SERVICES. THE FIVE STORY HOSPITAL WAS DESIGNED TO ACCOMMODATE FUTURE ADVANCES IN MEDICAL CARE. AVON HOSPITAL'S FEATURES INCLUDE SIX OPERATING ROOMS, AN INTENSIVE CARE UNIT, IMAGING AND RADIOLOGY, PHARMACY AND LABORATORY SERVICES, A CARDIAC CATHETERIZATION LABORATORY AS WELL AS AN EXPANDED EMERGENCY DEPARTMENT. AVON HOSPITAL HAS OBTAINED AN ADVANCED CERTIFICATION FOR PRIMARY STROKE BY THE JOINT COMMISSION. IN ADDITION, IN 2022, AVON HOSPITAL RECEIVED THE ANTHEM BLUE DISTINCTION CENTER FOR KNEE AND HIP REPLACEMENT. IN 2022, AVON HOSPITAL WAS AWARDED THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY. FOUNDED IN 1907, EUCLID HOSPITAL HAS BECOME ONE OF THE REGION'S LEADING SUB-ACUTE CARE, OUTPATIENT REHABILITATION AND ORTHOPEDIC CENTERS. THE HOSPITAL, WITH 166 STAFFED BEDS, OFFERS A COMPLETE CONTINUUM OF CARE WITH NATIONALLY RENOWNED SPECIALTIES THAT INCLUDE: SUB-ACUTE CARE, CLEVELAND CLINIC NEURO-REHABILITATION PROGRAM, EMERGENCY DEPARTMENT, GERIATRIC ASSESSMENT PROGRAM, HEALING GARDEN WITH LAKEFRONT VIEWS, ORTHOPEDICS, AND OUTPATIENT REHABILITATION. IN 2022, EUCLID HOSPITAL WAS AWARDED THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY. FOUNDED IN 1892, FAIRVIEW HOSPITAL IS A FAITH-BASED COMMUNITY HOSPITAL WITH 498 STAFFED BEDS. IT IS A FULLY ACCREDITED HOSPITAL BY THE JOINT COMMISSION, WITH A CERTIFIED LEVEL II TRAUMA CENTER. CLEVELAND CLINIC CANCER CENTER AT FAIRVIEW HOSPITAL, HAS BEEN AWARDED THE OUTSTANDING ACHIEVEMENT AWARD BY THE AMERICAN COLLEGE OF SURGEONS, COMMISSION ON CANCER. THE HOSPITAL ALSO RECEIVED THE AMERICAN DIABETES ASSOCIATION EDUCATION RECOGNITION CERTIFICATE FOR ITS QUALITY DIABETES SELF-MANAGEMENT EDUCATION PROGRAM. FAIRVIEW HOSPITAL'S ADDITIONAL STRONG CLINICAL CENTERS OF EXCELLENCE INCLUDE: BIRTHING CENTER, HEART SURGERY, CANCER, AND SURGERY. FAIRVIEW IS ALSO DEVELOPING A NATIONAL REPUTATION IN BLOOD CONSERVATION, EDUCATION AND RESEARCH THROUGH ITS CENTER FOR BLOOD CONSERVATION. IN 2022, U.S. NEWS & WORLD REPORT RECOGNIZED FAIRVIEW HOSPITAL AS THE NUMBER FOUR HOSPITAL IN THE CLEVELAND METROPOLITAN AREA AND NUMBER FIVE IN OHIO. FAIRVIEW HOSPITAL WAS NATIONALLY RANKED FOR NEUROLOGY & NEUROSURGERY AND ORTHOPEDICS AND HIGHEST PERFORMING IN SIX OTHER SPECIALTIES. FAIRVIEW ALSO ACHIEVED THE HIGH PERFORMING RATING IN ELEVEN COMMON ADULT PROCEDURES AND CONDITIONS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS MAGNET STATUS TO FAIRVIEW HOSPITAL. ANCC, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. IN 2022, FAIRVIEW HOSPITAL WAS AWARDED THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY. FAIRVIEW HOSPITAL WAS RECOGNIZED BY THOMSON REUTERS IN THE TOP 100 HOSPITALS, CATEGORIES INCLUDE LOWER INPATIENT MORTALITY, FEWER PATIENT COMPLICATIONS, PROVIDED FASTER EMERGENCY CARE, KEPT INPATIENT EXPENSES LOW WHILE STILL MAINTAINING A HEALTHY FINANCIAL ENVIRONMENT AND SCORED HIGHER ON PATIENT RATINGS OF THEIR OVERALL HOSPITAL EXPERIENCE. OPENED IN NOVEMBER 1968, HILLCREST HOSPITAL HAS 462 STAFFED HOSPITAL BEDS. HILLCREST HOSPITAL HAS BEEN NATIONALLY RECOGNIZED 13 TIMES AS ONE OF AMERICA'S 100 TOP HOSPITALS, A DESIGNATION BASED ON EXTENSIVE RESEARCH OF U.S. HOSPITALS, AS CONDUCTED BY THOMSON REUTERS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS MAGNET STATUS TO HILLCREST HOSPITAL. ANCC, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. IN THE 2022 U.S. NEWS & WORLD REPORT, HILLCREST HOSPITAL WAS NATIONALLY RANKED IN THREE ADULT SPECIALTIES, CARDIOLOGY & HEART SURGERY, GASTROENTEROLOGY & GI SURGERY AND NEUROLOGY & NEUROSURGERY, AND AS HIGH PERFORMING IN FOUR OTHER ADULT SPECIALTIES. HILLCREST ALSO ACHIEVED HIGH PERFORMING RATINGS IN ELEVEN COMMON ADULT PROCEDURES AND CONDITIONS. THE HOSPITAL IS ALSO RANKED THIRD AMONG CLEVELAND -AREA HOSPITALS AND FOURTH IN THE STATE OF OHIO. HILLCREST HOSPITAL HOLDS ACCREDITATION FROM THE JOINT COMMISSION ON ACCREDITATION OF HEALTH ORGANIZATIONS AND FULL ACCREDITATION WITH PERCUTANEOUS CORONARY INTERVENTION ("PCI") FROM THE SOCIETY OF CHEST PAIN CENTERS. IN THE CONSUMER GUIDE TO OHIO HOSPITAL QUALITY, HILLCREST RECEIVED THE HIGHEST POSSIBLE RANKING IN FIVE CARDIAC CATEGORIES, INCLUDING ANGIOPLASTY, CARDIAC CATHETERIZATION, CAROTID (NECK) ARTERY SURGERY, CONGESTIVE HEART FAILURE AND CORONARY ARTERY BYPASS GRAFT. IN 2022, HILLCREST HOSPITAL WAS AWARDED THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY. FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED) OPENED IN 1896, LUTHERAN HOSPITAL IS A 192 STAFFED BED HOSPITAL OFFERING QUALITY MEDICAL CARE, CUTTING-EDGE TECHNOLOGY AND ADVANCED RESEARCH AND SURGERY. LUTHERAN OFFERS EXPERT CARE IN AREAS SUCH AS ORTHOPEDICS, SPINE, PAIN MANAGEMENT, GENERAL SURGERY, BEHAVIORAL HEALTH, ALCOHOL AND DRUG RECOVERY, WOUND CARE, LAB AND IMAGING SERVICES, AND EMERGENCY MEDICINE. AMONG THE COMMUNITY HOSPITALS NATIONWIDE, LUTHERAN HOSPITAL HAS PLACED #1 IN 2019, WINNING THE VIZIENT BERNARD A. BIRNBAUM, MD, QUALITY LEADERSHIP AWARD FOR EXCELLENCE IN DELIVERING SAFE, PATIENT-CENTERED CARE THAT IS TIMELY, EFFECTIVE, EFFICIENT, AND EQUITABLE. IN THE 2022 U.S. NEWS & WORLD REPORT, LUTHERAN HOSPITAL ACHIEVED HIGH PERFORMING IN TWO ADULT PROCEDURES & CONDITIONS. THE JOINT COMMISSION, THE LEADING ACCREDITOR OF HEALTHCARE ORGANIZATIONS IN THE UNITED STATES, HAS ALSO RECOGNIZED LUTHERAN HOSPITAL AS A TOP PERFORMER ON KEY QUALITY MEASURES. LUTHERAN WAS AWARDED THE PATHWAY TO EXCELLENCE DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). THIS DESIGNATION IS EARNED BY HEALTHCARE ORGANIZATIONS THAT DEMONSTRATE COMMITMENT TO CREATING A POSITIVE PRACTICE ENVIRONMENT THAT EMPOWERS AND ENGAGES STAFF. IN 2022, LUTHERAN HOSPITAL WAS AWARDED THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY. FOUNDED IN 1949, MARYMOUNT HOSPITAL IS A 263 STAFFED BED ACUTE CARE HOSPITAL PROVIDING ADVANCED HEALTH CARE, GUIDED BY THE VALUES OF SERVICE, COMPASSION, DIGNITY, AND RESPECT. IN 2022, U.S. NEWS & WORLD REPORT RECOGNIZED MARYMOUNT HOSPITAL AS HIGH PERFORMING IN FOUR ADULT PROCEDURES & CONDITIONS. IN 2022, MARYMOUNT WAS AWARDED THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY. MARYMOUNT HOLDS A NUMBER OF CERTIFICATIONS AND ACCREDITATIONS INCLUDING: CERTIFICATION FROM AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER; CERTIFIED AS A PRIMARY STROKE CENTER BY THE JOINT COMMISSION FOR HOSPITAL ACCREDITATION, AN ACCREDITED HOSPITAL PROGRAM BY THE JOINT COMMISSION, A BEHAVIORAL HEALTH PROGRAM ACCREDITED BY THE JOINT COMMISSION, LAB ACCREDITED BY THE COLLEGE OF AMERICAN PATHOLOGIST (CAP) AND AMERICAN ASSOCIATION OF BLOOD BANKS, ACCREDITED BY AMERICAN COLLEGE OF RADIOLOGY FOR MAMMOGRAPHY AND MAGNETIC RESONANCE IMAGING (MRI), AND CERTIFICATION BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. FOUNDED IN 1944, MEDINA HOSPITAL IS A 148 STAFFED BED ACUTE CARE FACILITY. MEDINA'S STRONG CLINICAL CENTERS OF EXCELLENCE INCLUDE EMERGENCY DEPARTMENT, ORTHOPEDICS, AND SURGERY. THE HOSPITAL FEATURES MORE THAN 300 PHYSICIANS COVERING MORE THAN 30 AREAS OF SPECIALIZATION. MEDINA WAS AWARDED THE PATHWAY TO EXCELLENCE DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). THIS DESIGNATION IS EARNED BY HEALTHCARE ORGANIZATIONS THAT DEMONSTRATE COMMITMENT TO CREATING A POSITIVE PRACTICE ENVIRONMENT THAT EMPOWERS AND ENGAGES STAFF. IN 2022, U.S. NEWS & WORLD REPORT RECOGNIZED MEDINA HOSPITAL AS HIGH PERFORMING IN FOUR ADULT PROCEDURES & CONDITIONS. IN 2022, MEDINA WAS AWARDED THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY. MEDINA HOSPITAL CURRENTLY HOLDS ACCREDITATIONS FROM THE COLLEGE OF AMERICAN PATHOLOGISTS (CAP) FOR THE LABORATORY AND RESPIRATORY THERAPY BLOOD GAS LAB, AN ACCREDITED HOSPITAL PROGRAM FOR ONCOLOGY FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION, AND CERTIFICATION FROM THE AMERICAN COLLEGE OF RADIOLOGY (ACR) FOR MAMMOGRAPHY, MRI AND ULTRASOUND. IN 2021, CLEVELAND CLINIC BECAME THE SOLE MEMBER OF CLEVELAND CLINIC MERCY, FORMERLY KNOWN AS MERCY MEDICAL CENTER PURSUANT TO THE TERMS OF A MEMBER SUBSTITUTION AGREEMENT WITH THE SISTERS OF CHARITY OF ST. AUGUSTINE HEALTH SYSTEM, THE PRIOR SOLE MEMBER OF MERCY. MERCY IS A 323 LICENSED BED HOSPITAL SERVING STARK, CARROLL, WAYNE, HOLMES, AND TUSCARAWAS COUNTIES AND PARTS OF SOUTHEASTERN OHIO. BECOMING A FULL MEMBER OF THE CLINIC IS EXPECTED TO RESULT IN MANY BENEFITS, INCLUDING EXPANDING HIGH-QUALITY SERVICES, IMPROVING TECHNOLOGY, PROVIDING SUPPORT AND INVESTMENT TO ADDRESS ADDITIONAL NEEDS IN THE COMMUNITY, BUILDING OPPORTUNITIES FOR PHYSICIAN COLLABORATION AND INCREASING ACCESS TO HIGHLY SPECIALIZED SERVICES FOR PATIENTS IN STARK COUNTY AND SURROUNDING COMMUNITIES. IN 2022, U.S. NEWS & WORLD REPORT RECOGNIZED MERCY HOSPITAL AS HIGH PERFORMING IN SEVEN ADULT PROCEDURES & CONDITION. THE HOSPITAL IS ALSO RANKED 19TH IN THE STATE OF OHIO. SOUTH POINTE HOSPITAL, IS A 172 STAFFED BED ACUTE CARE, COMMUNITY TEACHING HOSPITAL WHICH HAS BEEN SERVICING THE HEALTHCARE NEEDS OF ITS COMMUNITY SINCE 1957. SOUTH POINTE DELIVERS A PATIENT CENTERED MODEL OF CARE WHICH PROMOTES THE HEALING OF THE MIND, BODY AND SPIRIT. IN THE 2022 U.S. NEWS & WORLD REPORT, SOUTH POINTE HOSPITAL WAS NATIONALLY RANKED IN ONE ADULT SPECIALTY, GERIATRICS, AND AS HIGH PERFORMING IN TWO OTHER ADULT SPECIALTIES. SOUTH POINTE ALSO ACHIEVED HIGH PERFORMING RATINGS IN FIVE COMMON ADULT PROCEDURES AND CONDITIONS. THE HOSPITAL IS ALSO RANKED FIFTH AMONG CLEVELAND -AREA HOSPITALS AND 12TH IN THE STATE OF OHIO. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS MAGNET STATUS TO SOUTH POINTE. ANCC, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. IN 2022, SOUTH POINTE HOSPITAL WAS AWARDED THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY. SOUTH POINTE'S CANCER PROGRAM HAS A FOUR YEAR ACCREDITATION BY THE COMMISSION ON CANCER FOR THE AMERICAN COLLEGE OF SURGEONS. FOUNDED IN 1906, UNION HOSPITAL IS A 96 STAFFED BED HOSPITAL. THE HOSPITAL'S 25 ACRE MEDICAL CAMPUS INCLUDES PHYSICIAN OFFICE BUILDINGS, OUTPATIENT REHABILITATION AND SPORTS MEDICINE CENTER, AND A MENTAL HEALTHCARE AGENCY. OFF CAMPUS FACILITIES INCLUDE AN AMBULATORY SURGERY CENTER, OCCUPATIONAL MEDICINE AND AN URGENT CARE CENTER. IN 2022 U.S. NEWS & WORLD REPORT RECOGNIZED UNION HOSPITAL AS HIGH PERFORMING IN ONE COMMON ADULT PROCEDURES AND CONDITIONS. UNION HOSPITAL HAS BEEN NAMED TO THE LIST OF THE 100 GREAT COMMUNITY HOSPITALS BY BECKER'S HOSPITAL REVIEW, A MONTHLY PUBLICATION OF BUSINESS AND LEGAL NEWS FOR HOSPITAL EXECUTIVES. IT IS ONE OF SIX HOSPITALS NATIONWIDE RECOGNIZED AS A TOP PERFORMING HOSPITAL IN THE MIDAS+ PLATINUM QUALITY AWARD PROGRAM. IN ADDITION, IT ACHIEVED CERTIFICATION AS A PRIMARY STROKE CENTER. UNION HOSPITAL HAS ALSO BEEN DESIGNATED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY, INDICATING THAT BREAST IMAGING AT UNION MEETS THE HIGHEST STANDARDS OF THE RADIOLOGY PROFESSION. AS A RECOGNITION OF A TOP-PERFORMING HOME HEALTH AGENCY, HOMECARE ELITE IDENTIFIES THE TOP 25 PERCENT OF MEDICARE-CERTIFIED AGENCIES. FOR THE FOURTH CONSECUTIVE YEAR IN A ROW, UNION HOSPITAL HOME HEALTH HAS ACHIEVED TOP 500 STATUS AS RANKED BY HOME CARE ELITE. FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED) CLEVELAND CLINIC WESTON INCLUDES A 264 STAFFED BED HOSPITAL, DIAGNOSTIC CENTERS, OUTPATIENT SURGERY, AND A 24-HOUR EMERGENCY DEPARTMENT IN WESTON, FLORIDA. CLEVELAND CLINIC FLORIDA HAS LOCATIONS IN WESTON, WEST PALM BEACH, WELLINGTON, PALM BEACH GARDENS, PARKLAND, AND CORAL SPRINGS. IN 2022, CLEVELAND CLINIC FLORIDA HAD 602,219 PATIENT VISITS, 5,277 INTERNATIONAL PATIENT VISITS; AND MORE THAN 367 STAFF PHYSICIAN AND 136 RESIDENTS AND FELLOWS IN 11 ACCREDITED TRAINING PROGRAMS. IN 2022, U.S. NEWS & WORLD REPORT NATIONALLY RANKED ONE OF FLORIDA'S ADULT SPECIALTIES: GASTROENTEROLOGY & GI SURGERY. IT WAS ALSO HIGH PERFORMING IN FOUR ADULT SPECIALTIES AND TWELVE ADULT PROCEDURES & CONDITIONS. IN ADDITION, PRACTICE GREENHEALTH AWARDED IT WITH THE PARTNER FOR CHANGE AWARD. CLEVELAND CLINIC FLORIDA IS A WORLD-RENOWNED ACADEMIC MEDICAL CENTER WITH ONE OF THE LARGEST GRADUATE MEDICAL EDUCATION PROGRAMS IN SOUTH FLORIDA. FOR THE THIRTEENTH YEAR IN A ROW, CLEVELAND CLINIC FLORIDA RANKED HIGHEST AMONG HOSPITALS IN BROWARD COUNTY IN REGIONAL RANKINGS IN U.S. NEWS & WORLD REPORT'S RANKING OF BEST HOSPITALS 2022-2023. CLEVELAND CLINIC FLORIDA IS RANKED FIRST IN THE MIAMI-FT. LAUDERDALE METROPOLITAN REGION AND FIFTH IN THE STATE OF FLORIDA. CLEVELAND CLINIC FLORIDA HOLDS SEVERAL AWARDS, INCLUDING: NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS FROM THE AMERICAN COLLEGE OF SURGEONS, DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY, A 3 YEAR ACCREDITED CANCER PROGRAM, ADVANCED CERTIFICATION FOR PRIMARY CARE STROKE CENTERS FROM THE JOINT COMMISSION AND AMERICAN HEART ASSOCIATION, A COMPREHENSIVE STROKE CENTER DESIGNATION FROM FLORIDA'S AGENCY FOR HEALTH CARE ADMINISTRATION, A STROKE GOLD PLUS ACHIEVEMENT AWARD WITH TARGET STROKE HONOR ROLL ELITE PLUS FROM THE AMERICAN HEART ASSOCIATION, A TOP PERFORMER FOR ADVANCED CERTIFICATION IN VENTRICULAR ASSIST DEVICE (VAD) FROM JOINT COMMISSION, A FULLY ACCREDITED METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM FROM THE AMERICAN COLLEGE OF SURGEONS, THE LANTERN AWARD 2017-2022 FROM THE EMERGENCY NURSES ASSOCIATION, THE BEACON AWARD FROM AMERICAN ASSOCIATION OF CRITICAL CARE NURSES, AND A NATIONAL ACCREDITATION FOR RECTAL CANCER FROM THE AMERICAN COLLEGE OF SURGEONS. MARTIN MEMORIAL MEDICAL CENTER, INC. IS A NOT-FOR-PROFIT, TAX-EXEMPT ORGANIZATION THAT OPERATES GENERAL ACUTE CARE FACILITIES IN STUART, PORT SALERNO, AND PORT ST. LUCIE, FLORIDA, WITH A TOTAL OF 344 BEDS AND ASSOCIATED ANCILLARY SERVICE DEPARTMENTS. THE MARTIN HEALTH SYSTEM'S PRIMARY MISSION IS TO PROVIDE QUALITY HEALTH CARE SERVICES TO CITIZENS OF MARTIN, ST. LUCIE, AND EASTERN OKEECHOBEE COUNTIES THROUGH ITS ACUTE AND AMBULATORY CARE FACILITIES. IN 2022 U.S. NEWS & WORLD REPORT RANKED MARTIN MEMORIAL HEALTH SYSTEM AS THE THIRTY-FIRST BEST HOSPITALS IN FLORIDA. THE HOSPITAL ALSO ACHIEVED HIGH PERFORMING RATINGS IN EIGHT COMMON ADULT PROCEDURES AND CONDITIONS. MARTIN MEMORIAL HEALTH SYSTEM IS THE JOINT COMMISSION ACCREDITED; RANKING AMONG THE TOP 10 PERCENT OF HOSPITALS NATIONWIDE. THE HOSPITAL WAS ALSO AWARDED CERTIFICATION BY THE JOINT COMMISSION FOR THE PRIMARY STROKE CENTER, ORTHOPEDIC SPECIALTY CENTER AND PATIENT BLOOD MANAGEMENT PROGRAM. THE ROBERT AND CAROL WEISSMAN CANCER CENTER AT MARTIN HEALTH RECEIVED A THREE-YEAR ACCREDITATION WITH COMMENDATION FROM THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. FOUNDED IN 1939 AS MARTIN COUNTY HOSPITAL, MARTIN NORTH HOSPITAL'S 244 BED FACILITY TREATS PATIENTS WITH MAJOR ILLNESSES OR INJURIES AND LIFE-THREATENING SYMPTOMS. THE CAMPUS IS HOME TO THE FRANCES LANGFORD HEART CENTER, THE ROBERT AND CAROL WEISSMAN CANCER CENTER, THE BACK AND SPINE CENTER AND A MINIMALLY INVASIVE SURGERY CENTER. MARTIN HEALTH OPENED THE SOUTH HOSPITAL ON SALERNO ROAD IN STUART IN 1992. THIS 100-BED HOSPITAL TREATS PATIENTS WITH MAJOR ILLNESSES OR INJURIES AND LIFE-THREATENING SYMPTOMS. THIS HOSPITAL IS HOME TO THE MARTIN HEALTH ORTHOPAEDIC SPECIALTY CENTER, A COMPREHENSIVE PROGRAM DEDICATED TO HELPING PATIENTS REGAIN INDEPENDENCE FOLLOWING ORTHOPAEDIC SURGERY. IN DECEMBER 2013, MARTIN HEALTH SYSTEM BROUGHT HIGH-QUALITY HEALTH CARE TO THE RESIDENTS OF WEST PORT ST. LUCIE WHEN THE DOORS TO TRADITION MEDICAL CENTER OPENED. THE STATE-OF-THE-ART ACUTE CARE FACILITY HAS A TOTAL OF NINE STORIES WITH 177 PATIENT ROOMS. FOUNDED IN 1932, INDIAN RIVER HOSPITAL HAS GROWN FROM A SMALL COMMUNITY HOSPITAL TO A 275 STAFFED BED HOSPITAL. INDIAN RIVER HOSPITAL SERVES AS THE AREA'S LEADING PROVIDER OF COMPREHENSIVE HIGH QUALITY HEALTH AND MEDICAL SERVICES AND IMPROVES THE HEALTH AND WELL-BEING OF THE PEOPLE AND THAT OF THE COMMUNITIES SERVED. INDIAN RIVER HOSPITAL HAS BEEN DESIGNATED AS A BLUE DISTINCTION CENTER FOR CARDIAC CARE AND KNEE AND HIP REPLACEMENT BY FLORIDA BLUE AND AWARDED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL. IT HAS BEEN RECOGNIZED AS THE EIGHTEENTH BEST HOSPITALS IN FLORIDA BY U.S. NEWS & WORLD REPORT. IN THE 2022 U.S. NEWS & WORLD REPORT, INDIAN RIVER HOSPITAL ACHIEVED HIGH PERFORMING IN EIGHT ADULT PROCEDURES AND CONDITIONS. INDIAN RIVER WAS AWARDED THE 2019 READERS CHOICE AWARD WINNER FOR BEST HOSPITALS AS VOTED BY THE HOMETOWN NEWS READERS OF VERO BEACH. INDIAN RIVER HAS ACHIEVED THE GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION. THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES ("AACN") RECENTLY CONFERRED A BRONZE-LEVEL BEACON AWARD FOR EXCELLENCE. THE AWARD RECOGNIZES UNIT CAREGIVERS WHO SUCCESSFULLY IMPROVE PATIENT OUTCOMES AND ALIGN PRACTICES WITH AACN'S SIX HEALTHY WORK ENVIRONMENT STANDARDS. INDIAN RIVER RECEIVED ACCREDITATION FROM: THE AMERICAN COLLEGE OF RADIOLOGY; A THREE YEAR TERM IN ULTRASOUND BY THE AMERICAN COLLEGE OF RADIOLOGY; COMPUTED TOMOGRAPHY BY THE AMERICAN COLLEGE OF RADIOLOGY; A CANCER PROGRAM ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER; AND IS DESIGNATED AS A CHEST PAIN CENTER V5 WITH PRIMARY PCI ACCREDITATION. THE CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN HEALTH IS A MULTIDISCIPLINARY CENTER, CO-LOCATED IN LAS VEGAS AND CLEVELAND PROVIDING DIAGNOSIS AND TREATMENT FOR PATIENTS WITH COGNITIVE DISORDERS AND SUPPORT FOR THEIR FAMILIES. PHYSICIANS AND STAFF FOCUS ON EARLY INTERVENTION FOR MILD COGNITIVE DISORDERS THROUGH PHYSICAL EXERCISE, COGNITIVE REHABILITATION, AND MEDICATION. THE CENTER ALSO ENGAGES IN EDUCATION AND RESEARCH ACTIVITIES. THE LOU RUVO CENTER FOR BRAIN HEALTH WAS NAMED A RESEARCH CENTER OF EXCELLENCE BY THE LEWY BODY DEMENTIA ASSOCIATION. IT HAS BEEN NAMED ONE OF THE FIRST FIVE CUREPSP CENTERS OF CARE IN THE UNITED STATES. IT IS ALSO THE ONLY PROGRAM IN SOUTHERN NEVADA TO RECEIVE THE PARTNERS IN CARE DESIGNATION FROM THE NATIONAL MULTIPLE SCLEROSIS SOCIETY. KEEP MEMORY ALIVE ("KMA") RAISES FUNDS TO OPERATE THE CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN HEALTH TO ADVANCE THE RESEARCH AND TREATMENT OF PATIENTS WITH NEUROCOGNITIVE DISORDERS THAT RESULT FROM NEUROLOGICAL DISEASES INCLUDING ALZHEIMER'S, HUNTINGTON'S, PARKINSON'S, AND AMYOTROPHIC LATERAL SCLEROSIS (ALS). KMA STRIVES TO CREATE GREATER AWARENESS OF NEUROCOGNITIVE DISORDERS; EDUCATE FAMILIES ABOUT TREATMENTS, RESEARCH EFFORTS, AND AVAILABLE CAREGIVER SERVICES; AND PROMOTES LIFESTYLE CHANGES TO ENCOURAGE HEALTHY BRAIN AGING. FINANCIAL ASSISTANCE THE CLEVELAND CLINIC FINANCIAL ASSISTANCE PROGRAM REPRESENTS THE COST OF PROVIDING FREE OR DISCOUNTED MEDICALLY NECESSARY OR EMERGENCY CARE TO PATIENTS UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS. THE SYSTEM'S FINANCIAL ASSISTANCE POLICY PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED PATIENTS WITH INCOMES UP TO 400 PERCENT OF THE FEDERAL POVERTY LEVEL AND WHO MEET CERTAIN OTHER ELIGIBILITY CRITERIA BY STATE. THIS POLICY COVERS BOTH HOSPITAL CARE AND SERVICES PROVIDED BY THE SYSTEM'S EMPLOYED PHYSICIANS. PATIENTS WITH SPECIAL MEDICAL OR EXCEPTIONAL CIRCUMSTANCES MAY ALSO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY IS DESIGNED TO PREVENT MEDICAL BILLS FROM CAUSING A PATIENT OR FAMILY UNDUE FINANCIAL HARDSHIP. THE CLEVELAND CLINIC HEALTH SYSTEM PROVIDED FINANCIAL ASSISTANCE AT A COST OF $210.8 MILLION IN 2022. II. RESEARCH CLEVELAND CLINIC'S MISSION INCLUDES CONDUCTING RESEARCH TO ADVANCE BIOMEDICAL SCIENCE AND ULTIMATELY IMPROVE PATIENT CARE, PREVENT DISEASE, AND FIND CURES FOR MEDICAL ISSUES. THE CLEVELAND CLINIC HEALTH SYSTEM'S RESEARCH ACTIVITIES ARE INTENDED TO IMPROVE PATIENT CARE AND THE HEALTH OF THE PUBLIC AT LARGE, BY PROVIDING THE LATEST ADVANCES IN MEDICINE DIRECTLY TO PATIENTS AND BY REFINING THE PRACTICE OF MEDICINE THROUGH THE DEVELOPMENT AND PROMULGATION OF NEW TECHNIQUES, DEVICES, AND TREATMENT PROTOCOLS. CLEVELAND CLINIC'S LERNER RESEARCH INSTITUTE ("LRI") IS ITS RESEARCH INSTITUTE LOCATED ON THE MAIN CAMPUS AND HOME TO A COMPLETE SPECTRUM OF LABORATORY-, TRANSLATIONAL-, AND CLINICAL-BASED RESEARCH. FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED) LRI HAS APPROXIMATELY 237 FACULTY-LEVEL SCIENTISTS ORGANIZED IN THE FOLLOWING DEPARTMENTS: BIOMEDICAL ENGINEERING, CANCER BIOLOGY, CARDIOVASCULAR AND METABOLIC SCIENCES, COMPUTATIONAL LIFE SCIENCES, GENOMIC MEDICINE, IMMUNOTHERAPY & PRECISION IMMUNO-ONCOLOGY, INFECTION BIOLOGY, INFLAMMATION AND IMMUNITY, NEUROSCIENCES, OPHTHALMIC RESEARCH, QUANTITATIVE HEALTH SCIENCES, AND TRANSLATIONAL HEMATOLOGY AND ONCOLOGY RESEARCH. LRI IS ONE OF THE LEADING NIH-FUNDED RESEARCH INSTITUTES IN THE UNITED STATES AND HAS SPEARHEADED NUMEROUS ADVANCES IN THE DIAGNOSIS AND TREATMENT OF COMPLEX MEDICAL PROBLEMS. SCIENTISTS AND THEIR TEAMS ARE PURSUING A WIDE RANGE OF BIOMEDICAL QUESTIONS AT LRI, INCLUDING THOSE RELATED TO CARDIOVASCULAR, CANCER, NEUROLOGICAL, MUSCULOSKELETAL, AND METABOLIC DISEASES. ALTOGETHER, NEARLY 1,700 SCIENTISTS AND SUPPORT PERSONNEL WORK AT LRI. THIS INCLUDES APPROXIMATELY 268 RESEARCH FELLOWS, 162 GRADUATE STUDENTS AND 146 UNDERGRADUATE STUDENTS. IN ADDITION TO BASIC PRE-CLINICAL RESEARCH, THE CLEVELAND CLINIC, ITS AFFILIATES, AND EMPLOYED PHYSICIANS PARTICIPATE OR ARE PRIMARY INVESTIGATORS IN MANY CLINICAL TRIALS. IN 2022, CLEVELAND CLINIC WAS INVOLVED IN APPROXIMATELY 3,600 ACTIVE INSTITUTIONAL REVIEW BOARD APPROVED HUMAN SUBJECTS' RESEARCH STUDIES. THE ONGOING COLLABORATION BETWEEN PHYSICIAN INVESTIGATORS AND STUDY VOLUNTEERS IS CENTRAL TO TESTING THE SAFETY AND EFFECTIVENESS OF DRUGS AND MEDICAL PROCEDURES AND HELPS TO SET THE STANDARDS FOR PATIENT CARE. RESEARCH AT CLEVELAND CLINIC IS FUNDED BY EXTERNAL SOURCES, SUCH AS FEDERAL GRANTS, BUT IS ALSO SUBSTANTIALLY SUPPORTED BY THE CLINIC'S OWN INTERNAL RESOURCES. IN 2022, CLEVELAND CLINIC PROVIDED COMMUNITY BENEFIT IN RESEARCH AT A SUBSIDIZED COST OF MORE THAN $129 MILLION, WHICH INCLUDED EXTERNALLY- SPONSORED FUNDING OF $227.6 MILLION. III. EDUCATION ON ITS MAIN CAMPUS, CLEVELAND CLINIC OPERATES A MEDICAL SCHOOL AND RELATED RESEARCH INSTITUTE. THE PRIMARY FOCUS OF CLEVELAND CLINIC LERNER COLLEGE OF MEDICINE OF CASE WESTERN RESERVE UNIVERSITY (THE "LERNER COLLEGE OF MEDICINE") IS THE TEACHING AND TRAINING OF MEDICAL STUDENTS WHO HAVE A PARTICULAR INTEREST IN RESEARCH. MANY CLEVELAND CLINIC PHYSICIANS SERVE AS FACULTY FOR THE LERNER COLLEGE OF MEDICINE, FURTHERING THE INTEGRATION OF CLINICAL CARE WITH RESEARCH AND EDUCATION. THE LERNER COLLEGE OF MEDICINE CURRENTLY PROVIDES ALL STUDENTS WITH FULL TUITION SCHOLARSHIPS. IN ADDITION TO TRAINING THE NATION'S FUTURE DOCTORS, CLEVELAND CLINIC SPONSORS A WIDE RANGE OF HIGH QUALITY MEDICAL EDUCATION TRAINING THROUGHOUT THE HEALTH SYSTEM INCLUDING ACCREDITED TRAINING PROGRAMS FOR NURSES AND HEALTH SCIENCE PROFESSIONALS. CLEVELAND CLINIC HEALTH SYSTEM DEVOTES SUBSTANTIAL RESOURCES TO EDUCATION PROGRAMS, WHICH, IN 2022, PROVIDED A NET COMMUNITY BENEFIT OF $338.2 MILLION. THESE EDUCATIONAL ACTIVITIES ENSURE RESIDENTS AND PATIENTS IN ALL OF THE CLEVELAND CLINIC HEALTH SYSTEM'S COMMUNITIES ARE RECEIVING THE HIGHEST STANDARD OF MEDICAL CARE AND HAVE TRAINED HEALTH PROFESSIONALS TO CARE FOR THEM IN THE FUTURE. SOME OF THESE EDUCATION PROGRAMS INCLUDE: -GRADUATE MEDICAL EDUCATION: CLEVELAND CLINIC MAINTAINS ONE OF THE LARGEST GRADUATE MEDICAL EDUCATION PROGRAMS IN THE COUNTRY. IN 2022, 1,484 RESIDENTS AND FELLOWS TRAINED IN 110 ACCREDITED TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 169 ADVANCED FELLOWS IN 101 FELLOWSHIP PROGRAMS. -LERNER COLLEGE OF MEDICINE: SINCE ITS INCEPTION IN MAY 2002, THE LERNER COLLEGE OF MEDICINE HAS LINKED ONE OF THE NATION'S TOP HOSPITALS WITH ONE OF THE NATION'S LEADING RESEARCH UNIVERSITIES. THERE WERE 1,687 APPLICANTS FOR 32 POSITIONS FOR THE 2022-23 ACADEMIC YEAR. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 143 PUBLICATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE BASED ON 2022 CALENDAR YEAR (WHICH INCLUDES PUBLISHED ARTICLES AND ABSTRACT SUBMISSIONS), AND 30 STUDENTS PARTICIPATED IN LOCAL AND NATIONAL MEETINGS WITH PRESENTATIONS AND POSTERS. -VISITING MEDICAL STUDENTS: VISITING MEDICAL STUDENT EDUCATION REPRESENTS A MAJOR ACADEMIC COMMITMENT BY CLEVELAND CLINIC. IN 2022, 230 MEDICAL STUDENTS FROM 118 MEDICAL SCHOOLS AROUND THE WORLD ROTATED THROUGH CLEVELAND CLINIC. -CENTER FOR CONTINUING EDUCATION: CLEVELAND CLINIC MAINTAINS ONE OF THE LARGEST CONTINUING MEDICAL EDUCATION (CME) PROGRAMS IN THE COUNTRY AND ENJOYS THE HIGHEST ACCME RANKING: ACCREDITATION WITH COMMENDATION. IN 2022, THE CENTER FOR CONTINUING EDUCATION CERTIFIED 2,327 CME ACTIVITIES THAT OFFERED OVER 12,986 CME CREDITS TO 394,938 PARTICIPANTS. OF THAT NUMBER, 1,561 WERE LIVE COURSES THAT ATTRACTED 124,447 PARTICIPANTS. CLEVELAND CLINIC IS ONE OF THE LARGEST PROVIDERS OF ONLINE CME AMONG THE NATION'S ACADEMIC MEDICAL CENTERS. THE CENTER'S WEBSITE HAD 718 ACTIVITIES THAT ATTRACTED 2,544,522 ACTIVITY VIEWERS. JOURNAL CME CONTINUES TO REACH A LARGE NUMBER OF LEARNERS, AWARDING MORE THAN 29,300 CERTIFICATES TO CLEVELAND CLINIC JOURNAL OF MEDICINE (CCJM) PARTICIPANTS. IN 2022, THE CENTER ISSUED 394,938 CERTIFICATES FOR ALL ACTIVITIES COMBINED. -THE CCJM ENJOYED A CIRCULATION OF MORE THAN 128,725 COPIES AND RANKED NO. 2 IN READERSHIP AMONG JOURNALS DIRECTED TO OFFICE-BASED INTERNISTS AND CARDIOLOGISTS. EACH YEAR, THE PRINT AND ONLINE VERSIONS ARE READ OR ACCESSED BY APPROXIMATELY 3.3 MILLION PEOPLE AROUND THE WORLD. IN 2022, THE CCJM WEBSITE RECORDED 4,675,274 PAGE VIEWS FROM 5,668,522 UNIQUE VISITORS. -CENTER FOR HEALTH SCIENCES EDUCATION: CLEVELAND CLINIC IS A MAJOR EDUCATION AND TRAINING SITE FOR A NUMBER OF ALLIED HEALTH STUDENTS FROM VARIOUS ACADEMIC PROGRAMS THROUGHOUT THE REGION. THE CLEVELAND CLINIC HEALTH SYSTEM CURRENTLY OFFERS 21 IN-HOUSE ALLIED HEALTH PROGRAMS AND HAS 56 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2022, CLEVELAND CLINIC HEALTH SYSTEM HOSTED MORE THAN 526,525 CLINICAL ROTATION HOURS FOR OVER 2,430 HEALTH SCIENCE STUDENTS. -CENTER FOR INTERNATIONAL MEDICAL EDUCATION: THE CENTER FOR INTERNATIONAL MEDICAL EDUCATION (CIME) IS RESPONSIBLE FOR COORDINATING CLEVELAND CLINIC'S INTERNATIONAL EDUCATIONAL INITIATIVES AND FOR ENSURING THE PROVISION OF HIGH QUALITY EDUCATIONAL EXPERIENCES FOR THE GLOBAL MEDICAL COMMUNITY. IV. ADDITIONAL COMMUNITY BENEFIT PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH, AND EDUCATION DESCRIBED ABOVE ARE INTEGRAL COMPONENTS OF THE COMMUNITY BENEFIT THE CLEVELAND CLINIC HEALTH SYSTEM ANNUALLY REPORTS TO THE COMMUNITY. THE OTHER COMPONENTS OF THE CLEVELAND CLINIC'S COMMUNITY BENEFIT ARE: MEDICAID SHORTFALL THE CLEVELAND CLINIC HEALTH SYSTEM IS A LEADING PROVIDER OF MEDICAID SERVICES IN OHIO. IN MANY STATES, INCLUDING OHIO, MEDICAID PAYMENTS HAVE NOT BEEN SUFFICIENT TO COVER THE COST OF TREATING MEDICAID BENEFICIARIES. IN 2022, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $615 MILLION (THIS FIGURE INCLUDES AN HCAP ASSESSMENT OF $6.7 MILLION). SUBSIDIZED HEALTH SERVICES IN ADDITION TO FINANCIAL ASSISTANCE AND COSTS NOT COVERED BY MEDICAID PAYMENTS, ANOTHER CLINICAL COMMUNITY BENEFIT CATEGORY IS "SUBSIDIZED HEALTH SERVICES." THESE SERVICES YIELD LOW OR NEGATIVE MARGINS BUT ARE NEEDED IN THE COMMUNITY. CLEVELAND CLINIC PROVIDED SUBSIDIZED HEALTH SERVICES IN 2022 AT A COST OF $57.8 MILLION. COMMUNITY OUTREACH PROGRAMS THE CLEVELAND CLINIC HEALTH SYSTEM IS ACTIVELY ENGAGED IN A BROAD ARRAY OF COMMUNITY OUTREACH PROGRAMS, PROVIDING OR CONTRIBUTING TO OUTREACH ACTIVITIES FOR A TOTAL NET COMMUNITY BENEFIT OF $68.7 MILLION, PARTIALLY OFFSET BY EXTERNAL FUNDING. THESE PROGRAMS ARE DESIGNED TO SERVE THE VULNERABLE AND AT-RISK POPULATIONS, AS WELL AS BROADER POPULATION IN OUR COMMUNITIES. OUR RESPONSIVE OUTREACH PROGRAMS RANGE FROM FREE WELLNESS INITIATIVES, HEALTH SCREENINGS, CLINICAL SERVICES, EDUCATION, AND YOUTH WORKFORCE DEVELOPMENT TO ENROLLMENT ASSISTANCE FOR GOVERNMENT-FUNDED HEALTH PROGRAMS. OUTREACH PROGRAMS ADDRESS DOCUMENTED HEALTH NEEDS OF OUR COMMUNITIES, ALIGN WITH OUR COMMUNITY HEALTH NEEDS ASSESSMENTS AND FALL INTO THREE MAIN CATEGORIES: COMMUNITY HEALTH SERVICES, CASH AND IN-KIND DONATIONS, AND COMMUNITY BUILDING. IN 2022, SOME HIGHLIGHTS INCLUDED: FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED) -HEALTH EDUCATION AND CLINICAL SERVICES FOR COMMUNITY RESIDENTS ON COVID-19 IMPACT AND TESTING. ESTABLISHED COVID-19 VACCINATION CLINIC TO HELP ENSURE THAT THOSE WHO ARE AT HIGHER RISK OF INFECTION AND DEATH FROM THE VIRUS INCLUDING BLACK, HISPANIC AND UNDERSERVED COMMUNITIES HAVE ACCESS TO THE VACCINE. INCLUDED PARTNERSHIPS WITH HEALTH DEPARTMENTS AND COMMUNITY BASED ORGANIZATIONS. -PLEDGED $50 MILLION IN JANUARY 2022 TO LEAD SAFE CLEVELAND COALITION, IN ADDITION TO THE PREVIOUSLY COMMITTED $2.5 MILLION TO ADVANCE LEAD POISONING PREVENTION EFFORTS WITH UNITED WAY. THE FIVE-YEAR FINANCIAL COMMITTMENT WILL HELP SUPPORT THE COLLABORATION TO REMOVE HARMFUL SOURCES OF LEAD EXPOSURE FROM LOCAL HOMES. -FAITH BASED FORUMS FOR KEY COMMUNITY LEADERS ON COVID-19 EDUCATION AND ACCESS. -WELLNESS INITIATIVES TO RESIDENTS, SCHOOLS AND COMMUNITY BASED ORGANIZATIONS IN THE AREAS OF DISEASE PREVENTION, INCLUDING COVID-19 PROTOCOL, PERSONAL SAFETY, BEHAVIORAL HEALTH, STRESS MANAGEMENT, NUTRITION IMPROVEMENT AND EXERCISE. -COMMUNITY FARMERS MARKETS, URBAN GARDENS AND A MOBILE FOOD PANTRY PROVIDED ACCESS TO FRESH LOCAL PRODUCTS AND SUPPLEMENTAL FOOD PROGRAMS TO ADDRESS FOOD INSECURITY ISSUES. -NO-COST CLINICAL CARE TO UNDER- AND UNINSURED FAMILIES AT COMMUNITY SITES, INCLUDING LANGSTON HUGHES HEALTH & EDUCATION CENTER IN THE FAIRFAX NEIGHBORHOOD. CARE INCLUDES MULTIGENERATIONAL WELLNESS CLASSES, CANCER SCREENING AND CHRONIC DISEASE MANAGEMENT SERVICES. -COLLABORATIVE INITIATIVES WITH COMMUNITY NONPROFIT ORGANIZATIONS AND LOCAL GOVERNMENTS ADDRESSED CRITICAL POPULATION ISSUES. TASKFORCE STRATEGIES FOCUSED ON DECREASING OPIOID PRESCRIPTIONS USE AND OVERDOSE DEATHS. PROVIDED METHODS TO DECREASE INFANT MORTALITY INCLUDING PROACTIVE CENTERING PROGRAMS. -WORKFORCE DEVELOPMENT PROGRAMS TO MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS TO ENHANCE GRADUATION RATES, PURSUE SECONDARY EDUCATION AND OBTAIN EMPLOYMENT. -PARTNERSHIP WITH CITY OF CLEVELAND, MEIJER, FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION AND FAIRMOUNT PROPERTIES ON A $52.8 MILLION DEVELOPMENT THAT WILL INCLUDE A NEW 40,000-SQUARE-FOOT GROCERY MARKET AND 196 APARTMENT UNITS IN THE FAIRFAX NEIGHBORHOOD OF CLEVELAND. -AMONG 12 U.S. HEALTH SYSTEMS TO SIGN THE "IMPACT PURCHASING COMMITMENT," DESIGNED BY THE HEALTHCARE ANCHOR NETWORK. CLEVELAND CLINIC IDENTIFIES QUALIFIED DIVERSE SUPPLIERS, INCLUDING MINORITY- AND WOMEN-OWNED BUSINESSES, AS WELL AS LOCALLY OWNED, EMPLOYEE-OWNED, COOPERATIVELY OWNED OR NONPROFIT-OWNED ENTERPRISES. -CONNECTING PATIENTS WITH HEALTH AND SOCIAL ORGANIZATIONS TO REDUCE BARRIERS TO CARE THROUGH THE UNITE US PROGRAM. -EXPANDING ACCESS TO MENTAL HEALTH, VISION AND PRIMARY CARE SERVICES TO LOCAL YOUTH THROUGH SCHOOL-BASED PROGRAMS. V. CONCLUSION THE PURPOSE OF THE CLEVELAND CLINIC HEALTH SYSTEM IS TO BENEFIT HUMANITY THROUGH THE EFFICIENT, EFFECTIVE, AND ETHICAL PRACTICE OF MEDICINE, BY ADVANCING SCIENTIFIC INVESTIGATION AND MEDICAL EDUCATION, BY MAINTAINING THE HIGHEST STANDARDS OF QUALITY, AND BY FOSTERING CREATIVITY AND INNOVATION. FORM 990, PART VI, SECTION A, LINE 1A LAKEWOOD HOSPITAL ASSOCIATION'S BOARD OF TRUSTEES HAS DELEGATED AUTHORITY TO THREE OF ITS BOARD MEMBERS TO ACT ON BEHALF OF THE BOARD AND OVERSEE THE WIND DOWN OF THE ORGANIZATION AS IT CARRIES OUT REMAINING FUNCTIONS SINCE INPATIENTS OPERATIONS HAVE CEASED. THE BOARD OF EACH OF THE CLEVELAND CLINIC HOSPITALS HAS DELEGATED AUTHORITY TO AN EXECUTIVE COMMITTEE MADE UP OF BOARD MEMBERS TO: (1) TO TRANSACT ALL BUSINESS OF THE BOARD DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO THE LIMITATIONS SET FORTH IN THE RESPECTIVE BYLAWS OR CODE OF REGULATIONS AND ANY LIMITATIONS OTHERWISE IMPOSED BY THE BOARDS; (2) TO INITIATE AND RECOMMEND TO THE BOARD CHANGES IN THE RESPECTIVE BYLAWS OR CODE OF REGULATIONS OF THE PARTICULAR HOSPITAL, OR ANY OF ITS AFFILIATED CORPORATIONS, OR WHEN REQUESTED TO DO SO BY THE RESPECTIVE BOARD OR AN AFFILIATED BOARD, OR WHEN THE EXECUTIVE COMMITTEE DEEMS THAT A CHANGE IN BYLAWS OR CODE OF REGULATIONS IS NEEDED; (3) TO EXERCISE ON BEHALF OF THE HOSPITAL LEGAL ENTITY, THE POWERS THAT THE HOSPITAL LEGAL ENTITY POSSESSES AS A SOLE MEMBER OF OTHER CORPORATIONS THAT ARE NOT DELEGATED BY THE BYLAWS OR CODE OF REGULATIONS TO OTHER COMMITTEES OF THE BOARD; (4) TO REVIEW HOSPITAL PERFORMANCE AS COMPARED TO ENTERPRISE GOALS; (5) TO APPROVE ALL REQUIRE HOSPITAL ANNUAL PLANS; (6) TO ESTABLISH PERSONAL GOALS AND OBJECTIVES FOR THE PRESIDENT/CEO, AND TO OTHERWISE ESTABLISH OTHER CORPORATE GOALS AND OBJECTIVES AS IT DEEMS APPROPRIATE; (7) TO APPROVE ALL ACTIONS RELATED TO MEDICAL STAFF CREDENTIALING, PRIVILEGING, DISCIPLINARY ACTIVITY AND AMENDMENTS TO MEDICAL STAFF BYLAWS; AND (8) REVIEW AND APPROVE POLICIES ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 2 DEBORAH CRAWFORD, CCF DIRECTOR & PATRICK V. AULETTA, CCF DIRECTOR - BUSINESS WILLIAM PEACOCK, CCF OFFICER & TIMOTHY LONGVILLE, CCF OFFICER - BUSINESS WILLIAM PEACOCK, CCF/CCEF OFFICER & KELLY HANCOCK, CCF/CCEF OFFICER - BUSINESS LARRY RUVO, KMA OFFICER & CAMILLE RUVO, KMA OFFICER - FAMILY ANDRE MACHADO, KMA DIRECTOR & WILLIAM PEACOCK KMA OFFICER & DIRECTOR - BUSINESS STEVEN C. GLASS, CCF OFFICER & TIMOTHY LONGVILLE, CCF OFFICER - BUSINESS FORM 990, PART VI, SECTION A, LINE 3 CCF HOTEL SERVICES, LLC, A SINGLE MEMBER DISREGARDED ENTITY OF CCF HAS ENTERED INTO A MANAGEMENT AGREEMENT WITH INTERCONTINENTAL HOTELS CORPORATION TO MANAGE THE TWO HOTELS OWNED BY CCF HOTEL SERVICES, LLC. THE CLEVELAND CLINIC FOUNDATION ENTERED INTO A MANAGEMENT AGREEMENT WITH KESSLER REHABILITATION SERVICES, INC. AS PART OF A JOINT VENTURE WITH HOSPITAL HOLDINGS CORPORATION (SELECT MEDICAL") TO MANAGE AND OPERATE THREE INPATIENT REHABILITATION HOSPITAL FACILITIES. THE CLEVELAND CLINIC FOUNDATION ENTERED INTO A MANAGEMENT AGREEMENT WITH REGENCY HOSPITALS, LLC AS PART OF A JOINT VENTURE WITH SELECT UNIT MANAGEMENT, INC. (SELECT MEDICAL") TO MANAGE AND OPERATE FOUR LONG- TERM ACUTE CARE FACILITIES. FORM 990, PART VI, SECTION A, LINE 6 PURSUANT TO NONPROFIT CORPORATION LAW, THERE CAN BE NO SHAREHOLDERS OR OTHER "EQUITY OWNERS" OF A NONPROFIT CORPORATION. MANAGEMENT AND CONTROL RIGHTS ARE HELD AND EXERCISED BY THE "MEMBERS" OF THE NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS BOTH MEMBERS AND DIRECTORS. IT DOES NOT HAVE STOCKHOLDERS. THE MEMBER OF EACH SUBORDINATE IN THE CCF GROUP IS EITHER CCF OR AN INDIRECT SUBORDINATE. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO NONPROFIT CORPORATION LAW, THE "MEMBERS" OF THE CORPORATION ELECT THE BOARD OF DIRECTORS OR BOARD OF TRUSTEES, AND THE BOARD THEN CONDUCTS THE AFFAIRS OF THE CORPORATION. NONPROFIT CORPORATION LAW PERMITS THE USE OF EITHER "BOARD OF TRUSTEES OR "BOARD OF DIRECTORS." CCF HAS ADOPTED A PRACTICE THAT A BOARD OF DIRECTORS IS GENERALLY THE FIDUCIARY BOARD FOR AN ORGANIZATION. IN ADDITION, ONE NONPROFIT CORPORATION MAY BE THE "MEMBER" OF ANOTHER NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS MEMBERS WHO ELECT THE DIRECTORS. THE MEMBER OF EACH SUBORDINATE IN THE CCF GROUP IS EITHER CCF OR AN INDIRECT SUBORDINATE AND THAT MEMBER ELECTS THE BOARD OF THE RESPECTIVE SUBORDINATE. FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO NONPROFIT CORPORATION LAW, CERTAIN OF THE DECISIONS OF THE GOVERNING BODIES MUST BE APPROVED BY THE MEMBERS. FOR EXAMPLE, ANY CHANGES TO THE ARTICLES OF INCORPORATION AND CODE OF REGULATIONS MUST BE APPROVED BY A VOTE OF THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY EXPERIENCED AND QUALIFIED MEMBERS OF THE FINANCE DIVISION TAX DEPARTMENT. PRIOR TO FILING, KEY SECTIONS OF THE FORM ARE REVIEWED WITH EXPERIENCED AND QUALIFIED MEMBERS OF THE LAW DEPARTMENT. IN ADDITION, THE ENTIRE RETURN IS ALSO REVIEWED WITH THE CFO, AND MEMBERS OF THE AUDIT COMMITTEE. THE PAID PREPARER (BIG 4 PUBLIC ACCOUNTING FIRM) CONDUCTS AN IN DEPTH REVIEW OF THE FORM. ANNUALLY, THE 990 FILING IS DISCUSSED WITH THE ENTIRE AUDIT COMMITTEE. UPON CONFIRMATION OF SUCCESSFUL E-FILING FROM THE IRS, A COPY OF THE FINAL E-FILED RETURN WILL BE MADE AVAILABLE TO APPROPRIATE MEMBERS OF THE GOVERNING BODY. THE FINAL E-FILED RETURN WILL BE POSTED ON THE ORGANIZATION'S WEBSITE AT WWW.CLEVELANDCLINIC.ORG. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND OFFICERS OF CCF AND ITS SUBSIDIARIES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE DISCLOSURES ARE REVIEWED BY STAFF REPORTING TO THE CHIEF GOVERNANCE OFFICER AND ANY ITEMS THAT MAY CREATE A CONFLICT ARE BROUGHT TO HIS ATTENTION. IF THERE ANY DISCLOSURE CHANGES DURING THE YEAR OR A NEW DISCLOSURE, THE POLICY REQUIRES THAT THOSE INDIVIDUALS INFORM THE CHIEF GOVERNANCE OFFICER. THE BOARD OF DIRECTORS CONFLICT OF INTEREST AND MANAGING INNOVATIONS COMMITTEE MEETS FOUR TIMES PER YEAR AND REVIEWS THE DISCLOSURES OF ALL CCF DIRECTORS, TRUSTEES AND OFFICERS, ANY PROPOSED ARRANGEMENTS THAT MAY INVOLVE A POTENTIAL CONFLICT OF INTEREST, AND DOCUMENTS ITS CONCLUSIONS. THE EXECUTIVE COMMITTEE OF EACH HOSPITAL REVIEWS THE DISCLOSURES OF ITS RESPECTIVE BOARD MEMBERS AND OFFICERS. UNDER THE POLICY, THE INTERESTED PERSON MAY ATTEND A MEETING AT THE DISCRETION OF THE BOARD OR COMMITTEE TO PROVIDE INFORMATION OR ANSWER QUESTIONS, BUT THEY MAY NOT BE PRESENT DURING THE FINAL CONSIDERATION OR VOTING ON THE ARRANGEMENTS. FORM 990, PART VI, SECTION B, LINE 15A BOARD MEMBERS AND OFFICERS OF CCF AND ITS SUBSIDIARIES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE DISCLOSURES ARE REVIEWED BY STAFF REPORTING TO THE CHIEF GOVERNANCE OFFICER AND ANY ITEMS THAT MAY CREATE A CONFLICT ARE BROUGHT TO HIS ATTENTION. IF THERE ANY DISCLOSURE CHANGES DURING THE YEAR OR A NEW DISCLOSURE, THE POLICY REQUIRES THAT THOSE INDIVIDUALS INFORM THE CHIEF GOVERNANCE OFFICER. THE BOARD OF DIRECTORS CONFLICT OF INTEREST AND MANAGING INNOVATIONS COMMITTEE MEETS FOUR TIMES PER YEAR AND REVIEWS THE DISCLOSURES OF ALL CCF DIRECTORS, TRUSTEES AND OFFICERS, ANY PROPOSED ARRANGEMENTS THAT MAY INVOLVE A POTENTIAL CONFLICT OF INTEREST, AND DOCUMENTS ITS CONCLUSIONS. THE EXECUTIVE COMMITTEE OF EACH HOSPITAL REVIEWS THE DISCLOSURES OF ITS RESPECTIVE BOARD MEMBERS AND OFFICERS. UNDER THE POLICY, THE INTERESTED PERSON MAY ATTEND A MEETING AT THE DISCRETION OF THE BOARD OR COMMITTEE TO PROVIDE INFORMATION OR ANSWER QUESTIONS, BUT THEY MAY NOT BE PRESENT DURING THE FINAL CONSIDERATION OR VOTING ON THE ARRANGEMENTS. FORM 990, PART VI, SECTION C, LINE 18 THE MOST RECENTLY FILED FORM 990 IS AVAILABLE ON THE CCF WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT US" SECTION. ALL OTHER DOCUMENTS WHICH ARE REQUIRED TO BE AVAILABLE TO THE PUBLIC CAN BE OBTAINED UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 CCHS MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT US" SECTION. IN THIS SECTION, THE FINANCIAL STATEMENTS, ANNUAL REPORT, COMMUNITY BENEFIT REPORT, CCF'S CONFLICT OF INTEREST POLICY, AND CORPORATE COMPLIANCE POLICIES ARE AVAILABLE. FORM 990, PART VI, SECTION A, LINE 1A AND 1B OF THE SUBORDINATE ORGANIZATIONS IN THE CLEVELAND CLINIC GROUP EXEMPTION, THE TAX EXEMPT HOSPITAL NONPROFIT CORPORATIONS HAVE BOARDS THAT ARE MAJORITY INDEPENDENT. THE REMAINING SUBORDINATES ARE WHOLLY OWNED SUBSIDIARIES MANY OF WHICH HAVE BOARDS COMPRISED IN WHOLE OR IN PART BY INDIVIDUALS WHO ARE OFFICERS AND/OR EMPLOYEES OF THE PARENT ORGANIZATION. FORM 990, PART XI, LINE 9: DONATED CAPITAL AND ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL PURPOSES -11,810,989. GIFTS AND BEQUESTS 350,956,191. TRANSFERS OF NET ASSETS -40,095,952. NET INVESTMENT INCOME -45,520,012. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -87,694,537. RETIREMENT BENEFITS ADJUSTMENT 62,165,080. NET CHANGE IN UNREALIZED GAINS ON NON-TRADING INVESTMENTS -1,175,986. EQUITY TRANSFERS & OTHER TRANSFERS -8,243,233. FORM 990, PART XI, LINE 8 THE PRIOR PERIOD ADJUSTMENT IN THE AMOUNT OF $41,797,923 IS DUE TO THE ADDITION OF SINGLE MEMBER LIMITED LIABILITY COMPANIES (SMLLCS) TREATED AS DISREGARDED ENTITIES WITHIN THE CLEVELAND CLINIC FOUNDATION. 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