2024-11-15T18:49:14-06:00 2023-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2023-01-01 900059117 UNIVERSITY HOSPITALS HEALTH SYSTEM INC GROUP RETURN UNIV 2168441000 3605 WARRENSVILLE CENTER ROAD SHAKER HEIGHTS OH 44122 MICHAEL A SZUBSKI CHIEF FINANCIAL OFFICER 2168441000 2024-11-15 1 0 SHAWNA M JANSONS P01222873 3174648600 2023 2024-10-15 13:58:12Z BRADLEY C BOND 3605 WARRENSVILLE CENTER ROAD SHAKER HEIGHTS OH 44122 5287646961 1 1 3829 X WWW.UHHOSPITALS.ORG X UNIVERSITY HOSPITALS (THE SYSTEM) IS GUIDED BY ITS MISSION "TO HEAL. TO TEACH. 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PURCHASED SERVICE 127044978 119422279 7622699 OHIO STATE HOSPITAL FRA 122491888 115142375 7349513 UBI TAXES PAID IN 2023 140000 140000 60575895 56935340 3640555 5327693875 5007781674 319912201 0 57338605 56265157 724914075 852819928 107708926 125372459 14133049 51818069 3641808645 2057024801 1526807088 1584783844 3838585 2915389 252166893 277385794 212882600 224145450 23750 0 103298216 106478476 3003111787 3281984566 263105677 304571868 1345923 5064020 212892696 199865616 477344296 509501504 X 2091032280 2328087530 434735211 444395532 2525767491 2772483062 3003111787 3281984566 X -41145791 21239878 266621484 X 0 1 X 1 1 1 X 4 UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER 341567805 3 1 0 0 UNIVERSITY HOSPITALS ROBINSON HEALTH SYSTEM INC 461382538 3 1 0 0 EMH REGIONAL MEDICAL CENTER 340714612 3 1 0 0 SAMARITAN REGIONAL HEALTH SYSTEM 340714535 3 1 0 0 4 0 0 387000 2061000 1 1 1 2448003 387000 2061000 1 1 1 2448003 0 0 0 2448003 387000 2061000 1 1 1 2448003 1.00000 1.00000 0.00000 0.00000 X 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, PART I: PUBLIC CHARITY CLASSIFICATION OF EACH GROUP MEMBER IS SHOWN BELOW: EMH REGIONAL MEDICAL CENTER (ELYRIA) - 34-0714612 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 LAKE HOSPITAL SYSTEM, INC. (LHS) - 34-1425870 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 PARMA COMMUNITY GENERAL HOSPITAL (PARMA) - 34-0827442 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 PRIMEHEALTH, INC. (PH) - 34-1778204 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 ROBINSON HEALTH SYSTEM, INC. (PORT) - 46-1382538 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SAMARITAN REGIONAL HEALTH SYSTEM (SAM) - 34-0714535 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER (AHUJA) - 26-4827222 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, INC. (UHCMC) - 34-1567805 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER (CONN) - 34-0714550 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER (GENEVA) - 34-0714461 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UH REGIONAL HOSPITALS (UHRH) - 34-1924226 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER (SJMC) - 34-1260978 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS COORDINATED CARE ORGANIZATION (CCO) - 90-0794903 509(A)(2) 3605 WARRENSVILLE CENTER RD. - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS HOME CARE SERVICES, INC. (HCS) - 34-1527536 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UH CLEVELAND MEDICAL CENTER COMPREHENSIVE HEALTH CARE OF OHIO, INC. (CHCO) - 34-1492733 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: EMH REGIONAL MEDICAL CENTER HEATHER HILL INC. (HHI) - 34-0771884 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER ROAD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UH CLEVELAND MEDICAL CENTER UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION (UHLSF) - 34-1720429 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. UNIVERSITY HOSPITALS MEDICAL GROUP, INC. (UHMG) - 20-4881619 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UH CLEVELAND MEDICAL CENTER PRIMEHEALTH, INC. IS RECOGNIZED AS A HEALTHCARE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III) OF THE INTERNAL REVENUE CODE. PRIMEHEALTH, INC. DOES NOT OPERATE A FACILITY THAT IS OR IS REQUIRED TO BE LICENSED AS A HOSPITAL. THEREFORE, PRIMEHEALTH, INC. IS NOT REQUIRED TO FILE FORM 990, SCHEDULE H. SCHEDULE A, PART IV, SECTION C, LINE 1: THE FOLLOWING GROUP SUBORDINATES RESPONDED YES: - HEATHER HILL, INC. THE FOLLOWING GROUP SUBORDINATES RESPONDED NO: - COMPREHENSIVE HEALTH CARE OF OHIO COMPREHENSIVE HEALTH CARE OF OHIO ("CHCO") IS A SUPPORTING ORGANIZATION OF EMH REGIONAL MEDICAL CENTER AS STATED IN ITS ARTICLES. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. ("UHHS") IS THE SOLE MEMBER OF CHCO. CHCO IS SUPERVISED, DIRECTED AND CONTROLLED BY UHHS. - UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION ("UHLSF") ACTS AS A SUPPORTING ORGANIZATION TO UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. ("UHHS"). ARTICLES OF INCORPORATION PROVIDE UHHS WITH SUPERVISION, DIRECTION AND CONTROL OVER UHLSF. - UNIVERSITY HOSPITALS MEDICAL GROUP, INC. UNIVERSITY HOSPITALS MEDICAL GROUP, INC. ("UHMG") ACTS AS A SUPPORTING ORGANIZATION TO UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER ("UHCMC"). THE CONTROL AND MANAGEMENT OF UHMG IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ITS SUPPORTED ORGANIZATION BECAUSE BOTH ENTITIES ARE PART OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY A COMMON PARENT, UNIVERSITY HOSPITALS HEALTH SYSTEM. - UNIVERSITY HOSPITALS HOMECARE SERVICES, INC. UNIVERSITY HOSPITALS HOMECARE SERVICES, INC. ("UHHCS") ACTS AS A SUPPORTING ORGANIZATION TO UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER ("UHCMC"). THE CONTROL AND MANAGEMENT OF UHHCS IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ITS SUPPORTED ORGANIZATION BECAUSE BOTH ENTITIES ARE PART OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY A COMMON PARENT, UNIVERSITY HOSPITALS HEALTH SYSTEM. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 4357 8908 145432 297312 149789 306220 2434179049 6314141076 2434328838 6314447296 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 535466 361750 356061 306220 1559497 250000 250000 250000 250000 1000000 1500000 16853 15078 10722 8908 51561 11002 9024495 X X SEE SUPPLEMENTAL INFORMATION 0 272549052 17009277 29884094 13369703 306072720 291824000 18940337 -24376524 13838761 272549052 241904000 22145000 41936000 14161000 291824000 211303000 10211000 24607000 4217000 241904000 179723000 9871000 32087000 10378000 211303000 0.04000 0.70110 0.25890 0 1 1 92070523 92070523 2282524443 1010317547 1272206896 25657245 17425813 8231432 1207760411 982947477 224812934 33796023 46333964 -12537941 1584783844 OTHER SECURITIES 277385794 F 277385794 BENEFICIAL INT. IN FOUNDATION 199123719 F INVESTMENT IN AFFILIATES 15828825 C PERPETUAL TRUSTS 9192906 F 224145450 DUE TO THIRD PARTIES 45102945 PENSION LIABILITY 69468148 RESEARCH INST OPTION LIABILITY 16458703 OTHER LIABILITIES 59532585 DUE TO AFFILIATES 572 PROFESSIONAL LIABILITY-WRA 9302170 MEDICARE STIMULUS 493 199865616 X PART III, LINE 4: THE UH ART COLLECTION INCLUDES APPROXIMATELY 3,339 ORIGINAL WORKS OF ART, MANY DONATED OVER THE YEARS. ARTWORK INCLUDES PAINTINGS, PHOTOS, SCULPTURES AND THE LIKE. THE UH ART COLLECTION HAS BEEN ESTABLISHED TO ENCOURAGE REFLECTION, AND TO DELIGHT, UPLIFT AND COMFORT OUR PATIENTS, VISITORS, AND EMPLOYEES. PART V, LINE 4: THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUND VARIES DEPENDING ON DONOR STIPULATIONS. ALL SPENDING OF ENDOWMENT EARNINGS ARE DONE SO IN ACCORDANCE WITH DONOR INTENT AND APPLICABLE LAW. ENDOWMENTS ARE HELD ON THE BOOKS OF THE PARENT ORGANIZATION OF THE GROUP MEMBERS. SPENDING ALLOCATIONS ARE MADE TO THE PROPER UH ENTITY BY THE PARENT TO COMPLY WITH DONOR WISHES. PART X, LINE 2: UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. MUST RECONGIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. AS OF DECEMBER 31, 2023 AND 2022, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS. FIVE STAR GALA & GOLF 1324245 1084995 239250 308613 100716 470675 MIRACLES HAPPEN GALA 201415 159115 42300 3177 35033 30471 6 380302 303042 77260 0 112315 37877 1905962 1547152 358810 311790 248064 539023 1098877 -740067 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 1 57705985 0 57705985 0.01080 987665368 719757316 267908052 0.05030 1045371353 719757316 325614037 0.06110 11776024 846404 10929620 0.00210 137514580 37945243 99569337 0.01870 156104511 129060265 27044246 0.00510 121867297 64053524 57813773 0.01090 1254730 70545 1184185 0.00020 428517142 231975981 196541161 0.03700 1473888495 951733297 522155198 0.09810 13169 13169 0.00000 13169 13169 0.00000 0 129411003 564182702 642545667 -78362965 X 1 1 1 EMH SHEFFIELD MEDICAL BUILDING CONDOMINIUM ASSOCIATION CONDO MANAGEMENT 0.33330 0.66670 2 GATES MEDICAL CENTER INC CONDO MANAGEMENT 0.40000 0.60000 3 MENTOR SURGERY CENTER OUTPATIENT SURGERY CENTER 0.46150 0.53850 4 LAKE WEST MEDICAL SPECIALISTS MEDICAL OFFICE BUILDING 0.12000 0.88000 5 CONCORD MEDICAL CAMPUS PHYSICIAN BUILDING LLC MEDICAL OFFICE BUILDING 0.52490 0.47510 6 MENTOR MEDICAL CAMPUS PHYSICIAN BUILDING LLC MEDICAL OFFICE BUILDING 0.49400 0.50600 7 UH PHYSICIAN HOSPITAL ORGANIZATION INC PHYSICIAN SERVICES 0.50000 0.50000 8 LAKE WILLOUGHBY PROPERTIES LLC MEDICAL OFFICE BUILDING 0.35000 0.65000 15 1 UH CLEVELAND MEDICAL CENTER 11100 EUCLID AVENUE CLEVELAND OH 44106 WWW.UHHOSPITALS.ORG 1142 UH CLEVELAND MEDICAL CENTER 341567805 X X X X X IP PSYCH./IP REHAB./SKILLED NURSING LVL 1 TRAUMA CNTR A 2 UH RAINBOW BABIES & CHILDREN'S HOSPITAL 11100 EUCLID AVENUE CLEVELAND OH 44106 WWW.UHHOSPITALS.ORG 1142 UH CLEVELAND MEDICAL CENTER 341567805 X X X X X X LVL 1 TRAUMA CTR A 3 UH PARMA MEDICAL CENTER 7007 POWERS BLVD PARMA OH 44129 WWW.UHHOSPITALS.ORG 1007 UH PARMA MEDICAL CENTER 340827442 X X X A 4 UH ELYRIA MEDICAL CENTER 630 EAST RIVER STREET ELYRIA OH 44035 WWW.UHHOSPITALS.ORG 1217 UH ELYRIA MEDICAL CENTER 340714612 X X X A 5 UH LAKE WEST MEDICAL CENTER 36000 EUCLID AVENUE WILLOUGHBY OH 44094 WWW.UHHOSPITALS.ORG 1006 LAKE HOSPITAL SYSTEM 341425870 X X X A 6 UH PORTAGE MEDICAL CENTER 6847 NORTH CHESTNUT STREET RAVENNA OH 44266 WWW.UHHOSPITALS.ORG 1255 UH PORTAGE MEDICAL CENTER 461382538 X X X X A 7 UH GEAUGA MEDICAL CENTER 13207 RAVENNA ROAD CHARDON OH 44024 WWW.UHHOSPITALS.ORG 1001 UH REGIONAL HOSPITALS 341924226 X X X IP PSYCHIATRIC UNIT B 8 UH AHUJA MEDICAL CENTER 3999 RICHMOND ROAD BEACHWOOD OH 44122 WWW.UHHOSPITALS.ORG 1497 UH AHUJA MEDICAL CENTER 264827222 X X X A 9 UH TRIPOINT MEDICAL CENTER 7590 AUBURN ROAD CONCORD OH 44077 WWW.UHHOSPITALS.ORG 1211 LAKE HOSPITAL SYSTEM 341425870 X X X A 10 UH ST JOHN MEDICAL CENTER 29000 CENTER RIDGE ROAD WESTLAKE OH 441455275 WWW.UHHOSPITALS.ORG 1034 UH ST JOHN MEDICAL CENTER 341260978 X X X X A 11 UH SAMARITAN MEDICAL CENTER 1025 CENTER STREET ASHLAND OH 44805 WWW.SAMARITANHOSPITAL.ORG 1104 UH SAMARITAN MEDICAL CENTER 340714535 X X X B 12 UNIVERSITY HOSPITALS REHABILITATION HOSPITAL 23333 HARVARD ROAD BEACHWOOD OH 44122 WWW.UHHOSPITALS.ORG 1509 UH CLEVELAND MEDICAL CENTER 341567805 X REHABILATION A 13 UH AVON REHABILITATION HOSPITAL 37900 CHESTER ROAD AVON OH 44011 WWW.UHHOSPITALS.ORG 1523 UNIVERSITY HOSPITALS HEALTH SYSTEM INC 340714775 X REHABILATION A 14 UH GENEVA MEDICAL CENTER 870 WEST MAIN STREET GENEVA OH 44041 WWW.UHHOSPITALS.ORG 1108 UH GENEVA MEDICAL CENTER 340714461 X X X A 15 UH CONNEAUT MEDICAL CENTER 158 WEST MAIN ROAD CONNEAUT OH 44030 WWW.UHHOSPITALS.ORG 1107 UH CONNEAUT MEDICAL CENTER 340714550 X X X A REPORTING GROUP A 0 0 1 X 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 X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 REPORTING GROUP B 0 0 1 X X X X X X X X X X 22 1 0 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 X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: UH CLEVELAND MEDICAL CENTER, - FACILITY 2: UH RAINBOW BABIES & CHILDREN'S HOSPITAL, - FACILITY 3: UH PARMA MEDICAL CENTER, - FACILITY 4: UH ELYRIA MEDICAL CENTER, - FACILITY 5: UH LAKE WEST MEDICAL CENTER, - FACILITY 6: UH PORTAGE MEDICAL CENTER, - FACILITY 8: UH AHUJA MEDICAL CENTER, - FACILITY 9: UH TRIPOINT MEDICAL CENTER, - FACILITY 10: UH ST. JOHN MEDICAL CENTER, - FACILITY 12: UNIVERSITY HOSPITALS REHABILITATION HOSPITAL, - FACILITY 13: UH AVON REHABILITATION HOSPITAL, - FACILITY 14: UH GENEVA MEDICAL CENTER, - FACILITY 15: UH CONNEAUT MEDICAL CENTER GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, HOUSING, AND NEIGHBORHOOD AND BUILT ENVIRONMENT INDICATORS FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AMERICAN COMMUNITY SURVEY, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2022 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CUYAHOGA COUNTY CHNA STEERING COMMITTEE, INCLUDING UH CLEVELAND MEDICAL CENTER AND OTHER UH AFFILIATED HOSPITALS, COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT DEVELOPMENT OF CUYAHOGA COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO IMPROVE COMMUNITY HEALTH BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES. GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 5: MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS OF QUALITATIVE DATA COLLECTION IN WHICH INCLUDED TWO VIRTUAL PUBLIC PRIORITIZATION SESSIONS THAT WERE HOSTED IN EARLY AUGUST 2022. UH CLEVELAND MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (KEY INFORMANT INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS AND FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM CUYAHOGA COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS (KIIS) WITH COMMUNITY STAKEHOLDERS AND COMMUNITY FOCUS GROUPS. CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) CONDUCTED KEY INFORMANT INTERVIEWS VIA PHONE AND VIDEO CONFERENCE IN ORDER TO COLLECT COMMUNITY INPUT. INTERVIEWEES INVITED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, AND/OR BEING ABLE TO SPEAK TO THE NEEDS OF UNDERSERVED OR VULNERABLE POPULATIONS. THIRTY-TWO INDIVIDUALS PARTICIPATED AS KEY INFORMANTS REPRESENTING DIFFERENT ENTITIES SERVING CUYAHOGA COUNTY. THE REPRESENTED ORGANIZATIONS ARE LISTED BELOW:- ADAMHS BOARD OF CUYAHOGA COUNTY- ASIAN SERVICES IN ACTION (ASIA)- BENJAMIN ROSE INSTITUTE ON AGING- BETTER HEALTH PARTNERSHIP- CALVARY HILL CHURCH OF GOD IN CHRIST- CENTER FOR COMMUNITY SOLUTIONS- CENTERS FOR FAMILIES & CHILDREN- CITY OF CLEVELAND DIVISION OF EMERGENCY MEDICAL SERVICES (EMS)- CLEVELAND CLINIC LAKEWOOD FAMILY HEALTH CENTER- CLEVELAND DEPARTMENT OF PUBLIC HEALTH (CDPH)- CUYAHOGA COUNTY BOARD OF HEALTH (CCBH)- CUYAHOGA COUNTY HHS- CUYAHOGA COUNTY OFFICE OF HOMELESS SERVICES- CUYAHOGA METROPOLITAN HOUSING AUTHORITY (CMHA)- EDUCATIONAL SERVICE CENTER OF NEO- ESPERANZA, INC- FRONTLINE SERVICE- GREATER CLEVELAND FOOD BANK- GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY (RTA)- HISPANIC ROUNDTABLE- LGBT COMMUNITY CENTER- MAY DUGAN CENTER- NAMI GREATER CLEVELAND- NEIGHBORHOOD FAMILY PRACTICE- POLICY BRIDGE- POSITIVE EDUCATION PROGRAM (PEP)- TAYLOR OSWALD- UNIVERSITY HOSPITALS PEDIATRIC/WOMEN'S- URBAN LEAGUE OF GREATER CLEVELANDSECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM THE HEALTHY NORTHEAST OHIO (NEO) COMMUNITY DATA PLATFORM. HEALTHY NEO IS A PUBLICLY AVAILABLE WEBSITE WHICH HOUSES NEUTRAL POPULATION HEALTH DATA AND COMMUNITY HEALTH RESOURCES TO SUPPORT COMMUNITY HEALTH IMPROVEMENT EFFORTS ACROSS A 9-COUNTY REGION. THE DATA ON THIS PLATFORM, MAINTAINED BY RESEARCHERS AND ANALYSTS AT CONDUENT HCI, INCLUDES OVER 200 COMMUNITY INDICATORS, SPANNING AT LEAST 24 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA ARE PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS IS COMPARED TO OTHER COMMUNITIES, NATIONAL TARGETS, AND TO PREVIOUS TIME PERIODS. GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH CLEVELAND MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: - UNIVERSITY HOSPITALS RAINBOW BABIES & CHILDREN'S HOSPITAL- UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER- THE PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION D/B/A UNIVERSITY HOSPITALS PARMA MEDICAL CENTER- UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER- BEACHWOOD RH, LLC ("UH REHABILITATION HOSPITAL")- SOUTHWEST GENERAL HEALTH CENTER- ST. VINCENT CHARITY MEDICAL CENTER GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: - A VISION OF CHANGE- BETTER HEALTH PARTNERSHIP- CASE WESTERN RESERVE UNIVERSITY- CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE- CLEVELAND CLINIC- CLEVELAND DEPARTMENT OF PUBLIC HEALTH- CUYAHOGA COUNTY BOARD OF HEALTH- CUYAHOGA COUNTY CLERK OF COURTS- CUYAHOGA COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES- THE METROHEALTH SYSTEM- NEIGHBORHOOD FAMILY PRACTICE- POLICYBRIDGE- THE CENTER FOR HEALTH AFFAIRS- UNITED WAY GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH CLEVELAND MEDICAL CENTER (CUYAHOGA COUNTY) IDENTIFIED THE FOLLOWING TWO PRIORITY HEATH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEATH NEED #1: ACCESSIBLE AND AFFORDABLE HEALTH CARE STRATEGY #1: COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS TO INCREASE ACCESS STRATEGY #2: STRATEGIC PARTNERSHIPS AND TARGETED SCREENING AND EDUCATION AMONG HIGH-RISK POPULATIONS TO INCREASE ACCESS, AND DECREASE BARRIERS TO CANCER SCREENING AND TREATMENT STRATEGY #3: CO-LOCATE PROGRAMS AND SERVICES WITHIN A COMMUNITY-BASED MEDICAL CENTER IN AN UNDER-RESOURCED COMMUNITY STRATEGY #4: CREATE OPPORTUNITIES TO EXPOSE MINORITIZED YOUTH TO CAREERS IN HEALTH CARE:- UH HEALTH SCHOLARS- BLACK MEN IN WHITE COATSPRIORITY HEALTH NEED #2: COMMUNITY CONDITIONS (COMMUNITY SAFETY) STRATEGY #1: COMMUNITY SAFETY TRAINING STRATEGY #2: CO-LOCATE PROGRAMS AND SERVICES WITHIN A COMMUNITY-BASED MEDICAL CENTER IN AN UNDER-RESOURCED COMMUNITY STRATEGY #3: HOSPITAL-BASED INTERVENTION PROGRAM TO SERVE PATIENTS IDENTIFIED AND SCREENED DURING TREATMENTIN ADDITION TO THE AFOREMENTIONED STRATEGIC INITIATIVES OUTLINED IN DETAIL IN THIS PLAN, THE HOSPITAL WILL EITHER BEGIN OR CONTINUE TO PROVIDE OTHER COMMUNITY BENEFIT PROGRAMS RESPONSIVE TO THE HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA. THESE MAY INCLUDE, BUT ARE NOT LIMITED TO, HEALTH EDUCATION PROGRAMS, SCREENINGS, SUPPORT GROUPS AND OTHER COMMUNITY HEALTH IMPROVEMENT SERVICES; MEDICAL RESEARCH; EDUCATION FOR PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS AND ACCESS TO CARE THROUGH THE UH HOSPITAL FINANCIAL ASSISTANCE PROGRAM.THE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE TWO PRIORITIZED HEALTH NEEDS ABOVE AS THOSE NEEDS WERE CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON THOSE NEEDS. THE PRIORITIZED HEALTH NEED IDENTIFIED IN THE 2022 CHNA FOR CUYAHOGA COUNTY THAT IS NOT BEING ADDRESSED BY UH CLEVELAND MEDICAL CENTER IS BEHAVIORAL HEALTH (MENTAL HEALTH & DRUG USE/MISUSE). UH CLEVELAND MEDICAL CENTER HAS DETERMINED THAT IT IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND/OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT NEED AND MAKING A SIGNIFICANT POSITIVE IMPACT.FOR MORE DETAILS ON THE STRATEGIES THAT UH CLEVELAND MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CUYAHOGA COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, HOUSING, AND NEIGHBORHOOD AND BUILT ENVIRONMENT INDICATORS FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AMERICAN COMMUNITY SURVEY, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2022 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CUYAHOGA COUNTY CHNA STEERING COMMITTEE, INCLUDING UH RAINBOW BABIES & CHILDREN'S HOSPITAL AND OTHER UH AFFILIATED HOSPITALS, COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT DEVELOPMENT OF CUYAHOGA COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO IMPROVE COMMUNITY HEALTH BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES. GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5: MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS OF QUALITATIVE DATA COLLECTION IN WHICH INCLUDED TWO VIRTUAL PUBLIC PRIORITIZATION SESSIONS THAT WERE HOSTED IN EARLY AUGUST 2022.THE UH RAINBOW BABIES & CHILDREN'S MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (KEY INFORMANT INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS AND FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS).TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM CUYAHOGA COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS (KIIS) WITH COMMUNITY STAKEHOLDERS AND COMMUNITY FOCUS GROUPS. CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) CONDUCTED KEY INFORMANT INTERVIEWS VIA PHONE AND VIDEO CONFERENCE IN ORDER TO COLLECT COMMUNITY INPUT. INTERVIEWEES INVITED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, AND/OR BEING ABLE TO SPEAK TO THE NEEDS OF UNDERSERVED OR VULNERABLE POPULATIONS. THIRTY-TWO INDIVIDUALS PARTICIPATED AS KEY INFORMANTS REPRESENTING DIFFERENT ENTITIES SERVING CUYAHOGA COUNTY. THE REPRESENTED ORGANIZATIONS ARE LISTED BELOW:- ADAMHS BOARD OF CUYAHOGA COUNTY- ASIAN SERVICES IN ACTION (ASIA)- BENJAMIN ROSE INSTITUTE ON AGING- BETTER HEALTH PARTNERSHIP- CALVARY HILL CHURCH OF GOD IN CHRIST- CENTER FOR COMMUNITY SOLUTIONS- CENTERS FOR FAMILIES & CHILDREN- CITY OF CLEVELAND DIVISION OF EMERGENCY MEDICAL SERVICES (EMS)- CLEVELAND CLINIC LAKEWOOD FAMILY HEALTH CENTER- CLEVELAND DEPARTMENT OF PUBLIC HEALTH (CDPH)- CUYAHOGA COUNTY BOARD OF HEALTH (CCBH)- CUYAHOGA COUNTY HHS- CUYAHOGA COUNTY OFFICE OF HOMELESS SERVICES- CUYAHOGA METROPOLITAN HOUSING AUTHORITY (CMHA)- EDUCATIONAL SERVICE CENTER OF NEO- ESPERANZA, INC- FRONTLINE SERVICE- GREATER CLEVELAND FOOD BANK- GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY (RTA)- HISPANIC ROUNDTABLE- LGBT COMMUNITY CENTER- MAY DUGAN CENTER- NAMI GREATER CLEVELAND- NEIGHBORHOOD FAMILY PRACTICE- POLICY BRIDGE- POSITIVE EDUCATION PROGRAM (PEP)- TAYLOR OSWALD- UNIVERSITY HOSPITALS PEDIATRIC/WOMEN'S- URBAN LEAGUE OF GREATER CLEVELANDSECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM THE HEALTHY NORTHEAST OHIO (NEO) COMMUNITY DATA PLATFORM. HEALTHY NEO IS A PUBLICLY AVAILABLE WEBSITE WHICH HOUSES NEUTRAL POPULATION HEALTH DATA AND COMMUNITY HEALTH RESOURCES TO SUPPORT COMMUNITY HEALTH IMPROVEMENT EFFORTS ACROSS A 9-COUNTY REGION. THE DATA ON THIS PLATFORM, MAINTAINED BY RESEARCHERS AND ANALYSTS AT CONDUENT HCI, INCLUDES OVER 200 COMMUNITY INDICATORS, SPANNING AT LEAST 24 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA ARE PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS IS COMPARED TO OTHER COMMUNITIES, NATIONAL TARGETS, AND TO PREVIOUS TIME PERIODS. GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH RAINBOW BABIES & CHILDREN'S HOSPITAL IN THE JOINT CHNA FOR CUYAHOGA COUNTY: - UH CLEVELAND MEDICAL CENTER- UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER- THE PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION D/B/A UNIVERSITY HOSPITALS PARMA MEDICAL CENTER- UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER- BEACHWOOD RH, LLC ("UH REHABILITATION HOSPITAL")- SOUTHWEST GENERAL HEALTH CENTER- ST. VINCENT CHARITY MEDICAL CENTER GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: - A VISION OF CHANGE- BETTER HEALTH PARTNERSHIP- CASE WESTERN RESERVE UNIVERSITY- CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE- CLEVELAND CLINIC- CLEVELAND DEPARTMENT OF PUBLIC HEALTH- CUYAHOGA COUNTY BOARD OF HEALTH- CUYAHOGA COUNTY CLERK OF COURTS- CUYAHOGA COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES- THE METROHEALTH SYSTEM- NEIGHBORHOOD FAMILY PRACTICE- POLICYBRIDGE- THE CENTER FOR HEALTH AFFAIRS- UNITED WAY GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH RAINBOW BABIES & CHILDREN'S HOSPITAL (CUYAHOGA COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEALTH NEED AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEATH NEED #1: COMMUNITY CONDITIONS STRATEGY #1: RAINBOW CONNECTS SOCIAL NEEDS SCREENING AND NAVIGATION STRATEGY #2: ANTIFRAGILITY INITIATIVE- A HOLISTIC, PERSON-CENTERED PEDIATRIC HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM (HVIP) SERVING YOUTHS AND FAMILIES IN THE GREATER CLEVELAND AREAPRIORITY HEALTH NEED #2: ACCESSIBLE AND AFFORDABLE HEALTH CARE STRATEGY #1: CENTERING PREGNANCY (UH PROGRAM)PRIORITY HEALTH NEED #3: BEHAVIORAL HEALTH STRATEGY #1: CENTERING PREGNANCY (UH PROGRAM) STRATEGY #2: ANTIFRAGILITY INITIATIVE- A HOLISTIC, PERSON-CENTERED PEDIATRIC HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM (HVIP) SERVING YOUTHS AND FAMILIES IN THE GREATER CLEVELAND AREAUH RAINBOW BABIES & CHILDREN'S HOSPITAL IS CURRENTLY ADDRESSING ALL THREE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR CUYAHOGA COUNTY, AND THERE ARE NO PRIORITIZED HEALTH NEEDS THAT UH RAINBOW BABIES & CHILDREN'S HOSPITAL IS NOT ADDRESSING.FOR MORE DETAILS ON THE STRATEGIES THAT UH RAINBOW BABIES & CHILDREN'S HOSPITAL IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CUYAHOGA COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 8 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, HOUSING, AND NEIGHBORHOOD AND BUILT ENVIRONMENT INDICATORS FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AMERICAN COMMUNITY SURVEY, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2022 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CUYAHOGA COUNTY CHNA STEERING COMMITTEE, INCLUDING UH AHUJA MEDICAL CENTER AND OTHER UH AFFILIATED HOSPITALS, COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT DEVELOPMENT OF CUYAHOGA COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO IMPROVE COMMUNITY HEALTH BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES. GROUP A-FACILITY 8 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 5: MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS OF QUALITATIVE DATA COLLECTION IN WHICH INCLUDED TWO VIRTUAL PUBLIC PRIORITIZATION SESSIONS THAT WERE HOSTED IN EARLY AUGUST 2022. UH AHUJA MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (KEY INFORMANT INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS AND FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS).TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM CUYAHOGA COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS (KIIS) WITH COMMUNITY STAKEHOLDERS AND COMMUNITY FOCUS GROUPS. CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) CONDUCTED KEY INFORMANT INTERVIEWS VIA PHONE AND VIDEO CONFERENCE IN ORDER TO COLLECT COMMUNITY INPUT. INTERVIEWEES INVITED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, AND/OR BEING ABLE TO SPEAK TO THE NEEDS OF UNDERSERVED OR VULNERABLE POPULATIONS. THIRTY-TWO INDIVIDUALS PARTICIPATED AS KEY INFORMANTS REPRESENTING DIFFERENT ENTITIES SERVING CUYAHOGA COUNTY. THE REPRESENTED ORGANIZATIONS ARE LISTED BELOW:- ADAMHS BOARD OF CUYAHOGA COUNTY- ASIAN SERVICES IN ACTION (ASIA)- BENJAMIN ROSE INSTITUTE ON AGING- BETTER HEALTH PARTNERSHIP- CALVARY HILL CHURCH OF GOD IN CHRIST- CENTER FOR COMMUNITY SOLUTIONS- CENTERS FOR FAMILIES & CHILDREN- CITY OF CLEVELAND DIVISION OF EMERGENCY MEDICAL SERVICES (EMS)- CLEVELAND CLINIC LAKEWOOD FAMILY HEALTH CENTER- CLEVELAND DEPARTMENT OF PUBLIC HEALTH (CDPH)- CUYAHOGA COUNTY BOARD OF HEALTH (CCBH)- CUYAHOGA COUNTY HHS- CUYAHOGA COUNTY OFFICE OF HOMELESS SERVICES- CUYAHOGA METROPOLITAN HOUSING AUTHORITY (CMHA)- EDUCATIONAL SERVICE CENTER OF NEO- ESPERANZA, INC- FRONTLINE SERVICE- GREATER CLEVELAND FOOD BANK- GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY (RTA)- HISPANIC ROUNDTABLE- LGBT COMMUNITY CENTER- MAY DUGAN CENTER- NAMI GREATER CLEVELAND- NEIGHBORHOOD FAMILY PRACTICE- POLICY BRIDGE- POSITIVE EDUCATION PROGRAM (PEP)- TAYLOR OSWALD- UNIVERSITY HOSPITALS PEDIATRIC/WOMEN'S- URBAN LEAGUE OF GREATER CLEVELANDSECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM THE HEALTHY NORTHEAST OHIO (NEO) COMMUNITY DATA PLATFORM. HEALTHY NEO IS A PUBLICLY AVAILABLE WEBSITE WHICH HOUSES NEUTRAL POPULATION HEALTH DATA AND COMMUNITY HEALTH RESOURCES TO SUPPORT COMMUNITY HEALTH IMPROVEMENT EFFORTS ACROSS A 9-COUNTY REGION. THE DATA ON THIS PLATFORM, MAINTAINED BY RESEARCHERS AND ANALYSTS AT CONDUENT HCI, INCLUDES OVER 200 COMMUNITY INDICATORS, SPANNING AT LEAST 24 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA ARE PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS IS COMPARED TO OTHER COMMUNITIES, NATIONAL TARGETS, AND TO PREVIOUS TIME PERIODS. GROUP A-FACILITY 8 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH AHUJA MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: - UH CLEVELAND MEDICAL CENTER - UNIVERSITY HOSPITALS RAINBOW BABIES & CHILDREN'S HOSPITAL- THE PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION D/B/A UNIVERSITY HOSPITALS PARMA MEDICAL CENTER- UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER- BEACHWOOD RH, LLC ("UH REHABILITATION HOSPITAL")- SOUTHWEST GENERAL HEALTH CENTER- ST. VINCENT CHARITY MEDICAL CENTER GROUP A-FACILITY 8 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: - A VISION OF CHANGE- BETTER HEALTH PARTNERSHIP- CASE WESTERN RESERVE UNIVERSITY- CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE- CLEVELAND CLINIC- CLEVELAND DEPARTMENT OF PUBLIC HEALTH- CUYAHOGA COUNTY BOARD OF HEALTH- CUYAHOGA COUNTY CLERK OF COURTS- CUYAHOGA COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES- THE METROHEALTH SYSTEM- NEIGHBORHOOD FAMILY PRACTICE- POLICYBRIDGE- THE CENTER FOR HEALTH AFFAIRS- UNITED WAY GROUP A-FACILITY 8 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH AHUJA MEDICAL CENTER (CUYAHOGA COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: COMMUNITY CONDITIONS STRATEGY #1: STRATEGIC PARTNERSHIPS AND PROGRAMMING TO ADDRESS SOCIAL DETERMINANTS OF HEALTH WITH THE FOLLOWING GOALS: - INCREASE ACCESS TO RESOURCES FOR VULNERABLE POPULATIONS INCLUDING UNDER-RESOURCED INDIVIDUALS, YOUTH AND INFANTS IN PARTICULAR IN CUYAHOGA COUNTY.- REDUCE THE PERCENTAGE OF PATIENTS WHO REPORT THEY CANNOT ACCESS ENOUGH HEALTHY FOOD FOR THEMSELVES OR THEIR CHILDREN AND PROVIDE ADDITIONAL SOCIAL SUPPORT AS NEEDED STRATEGY #2: RAISE AWARENESS ABOUT APPROPRIATE HOSPITAL UTILIZATION OPTIONS AND PROVIDE COMMUNITY-BASED EDUCATION, HEALTH SCREENINGS AND SUPPORT GROUPS TO ADVANCE HEALTH EQUITY IN CUYAHOGA COUNTY WITH THE GOAL TO:- ASSIST PATIENTS WITH NAVIGATING SYSTEMS OF CARE TO ATTAIN NECESSARY SOCIAL SERVICES AND PROVIDE COMMUNITY SPACE FOR JOB TRAINING, WELLNESS CLASSES, SUPPORT GROUPS, ETC.PRIORITY HEALTH NEED #2: ACCESSIBLE AND AFFORDABLE HEALTH CARE STRATEGY #1: RAISE AWARENESS ABOUT APPROPRIATE HOSPITAL UTILIZATION OPTIONS AND PROVIDE COMMUNITY-BASED EDUCATION, HEALTH SCREENINGS AND SUPPORT GROUPS TO ADVANCE HEALTH EQUITY IN CUYAHOGA COUNTY WITH THE FOLLOWING GOALS:- IMPROVE WELL-BEING OF INDIVIDUALS BY INCREASING ACCESS TO CARE BY REMOVING IDENTIFIED BARRIERS THROUGH HEALTH LITERACY AND SCREENINGS- ASSIST PATIENTS WITH NAVIGATING SYSTEMS OF CARE TO ATTAIN NECESSARY SOCIAL SERVICES AND PROVIDE COMMUNITY SPACE FOR JOB TRAINING, WELLNESS CLASSES, SUPPORT GROUPS, ETC.THE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE TWO PRIORITIZED HEALTH NEEDS ABOVE AS THOSE NEEDS WERE CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON THOSE NEEDS. THE PRIORITIZED HEALTH NEED IDENTIFIED IN THE 2022 CHNA FOR CUYAHOGA COUNTY THAT IS NOT BEING ADDRESSED BY UH AHUJA MEDICAL CENTER IS BEHAVIORAL HEALTH (MENTAL HEALTH & DRUG USE/MISUSE). UH AHUJA MEDICAL CENTER HAS DETERMINED THAT IT IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND/OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT NEED AND MAKING A SIGNIFICANT POSITIVE IMPACT.FOR MORE DETAILS ON THE STRATEGIES THAT UH AHUJA MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CUYAHOGA COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT GROUP A-FACILITY 8 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 8 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 8 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 14 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH SUCH AS ACCESS TO HEALTH CARE, ECONOMIC STABILITY, EDUCATION, AND NEIGHBORHOOD AND ENVIRONMENT FACTS; BEHAVIORAL RISK FACTORS; MENTAL AND SOCIAL HEALTH FACTORS; MATERNAL AND INFANT HEALTH FACTORS; AND ANALYED THE LEADING CAUSES OF DEATH, ILLNESS, AND INJURY TO ASHTABULA COUNTY RESIDENTS. SECONDARY DATA SOURCES USED TO ASSESS THOSE FACTORS INCLUDE FEDERAL SOURCES SUCH AS THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES: HEALTHY PEOPLE 2030 AND U.S. CENSUS BUREAU; STATE SOURCES SUCH AS OHIO DEPARTMENT OF HEALTH'S DATA WAREHOUSE; AND LOCAL SOURCES SUCH AS UNIVERSITY HOSPITALS AND ASHTABULA COUNTY MEDICAL CENTER. THE ASSESSMENT ALSO ENCOMPASSES PRIMARY SURVEY DATA FROM YOUTH, ADULT RESIDENTS, AND COMMUNITY OUTREACH DATA FROM COMMUNITY POLLS AND COMMUNITY LEADER INTERVIEWS. HEALTHY ASHTABULA COUNTY, INCLUDING UH GENEVA MEDICAL CENTER AND OTHER UH AFFILIATED HOSPITALS, CONTRACTED WITH ILLUMINOLOGY, A CENTRAL OHIO BASED RESEARCH FIRM, TO ASSIST IN THE PREPARATION OF THE 2022 CHNA REPORT FOR ASHTABULA COUNTY. ILLUMINOLOGY LED THE PROCESS FOR LOCATING HEALTH STATUS INDICATOR DATA; FOR DESIGNING AND CONDUCTING THE COMMUNITY LEADER INTERVIEWS, COMMUNITY POLL, AND ADULT SURVEY; AND FOR CREATING THE SUMMARY REPORT. ILLUMINOLOGY HAS 24 YEARS OF EXPERIENCE RELATED TO RESEARCH DESIGN, ANALYSIS, AND REPORTING, AND HAS CONDUCTED NUMEROUS COMMUNITY HEALTH ASSESSMENTS. GROUP A-FACILITY 14 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH GENEVA MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES. PRIMARY DATA USED IN THE ASSESSMENT CONSISTED OF DISCUSSIONS WITH COMMUNITY LEADERS, STAKEHOLDERS, AND EMPLOYEES FROM PARTICIPATING ORGANIZATIONS REGARDING HEALTH ISSUES IN ASHTABULA COUNTY. THE PRIMARY DATA FROM ADULT RESIDENTS CONSISTED OF A REPRESENTATIVE SURVEY MAILED TO A TOTAL OF 2,200 ADDRESSES RANDOMLY SELECTED FROM THE UNIVERSE OF RESIDENTIAL ADDRESSES IN ASHTABULA COUNTY. DATA FROM THE YOUTH CONSISTED OF A SURVEY DEVELOPED BY THE OHIO DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES AND FACILITATED BY THE ASHTABULA COUNTY MENTAL HEALTH AND RECOVERY SERVICES BOARD. 1,902 STUDENTS COMPLETED THE YOUTH SURVEY. IN ADDITION TO THE ADULT AND YOUTH SURVEYS, THE ASHTABULA COUNTY HEALTH DEPARTMENT WORKED WITH ILLUMINOLOGY TO DESIGN AND DEPLOY AN INFORMAL, QUALITATIVE POLL OF COMMUNITY RESIDENTS AND STAKEHOLDERS AND CONDUCT COMMUNITY LEADER INTERVIEWS. THE 2022 CHNA WAS OVERSEEN BY HEALTHY ASHTABULA COUNTY, A COMMITTEE OF PUBLIC HEALTH EXPERTS, WHO SIGNIFICANTLY CONTRIBUTED TO IDENTIFYING AND SUMMARIZING THE BROAD INTERESTS OF THE COMMUNITY. THE REPRESENTED ORGANIZATIONS IN THE COMMITTEE ARE LISTED BELOW: - ASHTABULA CITY HEALTH DEPARTMENT- ASHTABULA COUNTY HEALTH DEPARTMENT- ASHTABULA COUNTY JUVENILE COURT- ASHTABULA COUNTY MEDICAL CENTER - ASHTABULA COUNTY MENTAL HEALTH & RECOVERY BOARD- ASHTABULA COUNTY COMMISSIONERS- ASHTABULA COUNTY COMMUNITY ACTION AGENCY- ASHTABULA COUNTY DEPARTMENT OF JFS- ASHTABULA COUNTY EDUCATIONAL SERVICE CENTER- CATHOLIC CHARITIES OF ASHTABULA COUNTY- CONNEAUT CITY HEALTH DEPARTMENT - COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY- COUNTRY NEIGHBOR PROGRAM- GLENBEIGH HOSPITAL- HEALTHY NORTHEAST OHIO- LAKE AREA RECOVERY CENTER- SIGNATURE HEALTH- THE CENTER FOR HEALTH AFFAIRS- UNIVERSITY HOSPITALSSECONDARY DATA FOR THE CHNA CAME FROM NATIONAL, STATE, AND LOCAL SOURCES. DATA FOR ASHTABULA COUNTY OVERALL, ASHTABULA CITY, CONNEAUT CITY, AND OHIO WERE ALSO COLLECTED WHEN AVAILABLE. WHEREVER POSSIBLE, LOCAL FINDINGS WERE COMPARED TO OTHER RELEVANT DATA. ADDITIONAL INFORMATION WAS COLLECTED FROM SECONDARY DATA SOURCES SUCH AS VITAL STATISTICS AND THE OHIO DISEASE REPORTING SYSTEM TO SUPPLEMENT FINDINGS FROM THE PRIMARY DATA COLLECTION. GROUP A-FACILITY 14 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 6A: IN ADDITION TO UH GENEVA MEDICAL CENTER, THE FOLLOWING HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR ASHTABULA COUNTY. - UH CONNEAUT MEDICAL CENTER- ASHTABULA COUNTY MEDICAL CENTER GROUP A-FACILITY 14 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR ASHTABULA COUNTY: - ASHTABULA CITY HEALTH DEPARTMENT- ASHTABULA COUNTY HEALTH DEPARTMENT- ASHTABULA COUNTY JUVENILE COURT- ASHTABULA COUNTY MENTAL HEALTH & RECOVERY BOARD- ASHTABULA COUNTY COMMISSIONERS- ASHTABULA COUNTY COMMUNITY ACTION AGENCY- ASHTABULA COUNTY DEPARTMENT OF JFS- ASHTABULA COUNTY EDUCATIONAL SERVICE CENTER- CATHOLIC CHARITIES OF ASHTABULA COUNTY- CONNEAUT CITY HEALTH DEPARTMENT - COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY- COUNTRY NEIGHBOR PROGRAM- GLENBEIGH HOSPITAL- HEALTHY NORTHEAST OHIO- LAKE AREA RECOVERY CENTER- SIGNATURE HEALTH- THE CENTER FOR HEALTH AFFAIRS GROUP A-FACILITY 14 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH GENEVA MEDICAL CENTER (ASHTABULA COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEALTH NEED AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: ACCESS TO CARE STRATEGY #1: IMPROVE ACCESS TO COMPREHENSIVE PRIMARY CAREPRIORITY HEALTH NEED #2: PREVENT OBESITY AND CHRONIC CONDITIONS BY PROMOTING NUTRITION AND PHYSICAL ACTIVITY STRATEGY #1: DIABETES PREVENTION AND EDUCATION PROGRAM STRATEGY #2: IMPLEMENTATION OF A PHYSICAL ACTIVITY AND NUTRITION EDUCATION PROGRAM IN THE COMMUNITY AND SCHOOL ENVIRONMENTS STRATEGY #3: DIABETES PREVENTION PROGRAM (DPP) AND PREDIABETES SCREENING AND REFERRAL STRATEGY #4: HYPERTENSION SCREENING AND FOLLOW-UPPRIORITY HEALTH NEED #3: PREVENT AND PROMOTE TREATMENT OF DEPRESSION AND ANXIETY ACROSS THE LIFESPAN STRATEGY #1: SCHOOL-BASED ALCOHOL/OTHER DRUG PREVENTION PROGRAMSUH GENEVA MEDICAL CENTER IS CURRENTLY ADDRESSING ALL THREE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR ASHTABULA COUNTY, AND THERE ARE NO PRIORITIZED HEALTH NEEDS THAT UH GENEVA MEDICAL CENTER IS NOT ADDRESSING.FOR MORE DETAILS ON THE STRATEGIES THAT UH GENEVA MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 ASHTABULA COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT GROUP A-FACILITY 14 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 14 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 14 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 15 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH SUCH AS ACCESS TO HEALTH CARE, ECONOMIC STABILITY, EDUCATION, AND NEIGHBORHOOD AND ENVIRONMENT FACTS; BEHAVIORAL RISK FACTORS; MENTAL AND SOCIAL HEALTH FACTORS; MATERNAL AND INFANT HEALTH FACTORS; AND ANALYED THE LEADING CAUSES OF DEATH, ILLNESS, AND INJURY TO ASHTABULA COUNTY RESIDENTS. SECONDARY DATA SOURCES USED TO ASSESS THOSE FACTORS INCLUDE FEDERAL SOURCES SUCH AS THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES: HEALTHY PEOPLE 2030 AND U.S. CENSUS BUREAU; STATE SOURCES SUCH AS OHIO DEPARTMENT OF HEALTH'S DATA WAREHOUSE; AND LOCAL SOURCES SUCH AS UNIVERSITY HOSPITALS AND ASHTABULA COUNTY MEDICAL CENTER. THE ASSESSMENT ALSO ENCOMPASSES PRIMARY SURVEY DATA FROM YOUTH, ADULT RESIDENTS, AND COMMUNITY OUTREACH DATA FROM COMMUNITY POLLS AND COMMUNITY LEADER INTERVIEWS. HEALTHY ASHTABULA COUNTY, INCLUDING UH CONNEAUT MEDICAL CENTER AND OTHER UH AFFILIATED HOSPITALS, CONTRACTED WITH ILLUMINOLOGY, A CENTRAL OHIO BASED RESEARCH FIRM, TO ASSIST IN THE PREPARATION OF THE 2022 CHNA REPORT FOR ASHTABULA COUNTY. ILLUMINOLOGY LED THE PROCESS FOR LOCATING HEALTH STATUS INDICATOR DATA; FOR DESIGNING AND CONDUCTING THE COMMUNITY LEADER INTERVIEWS, COMMUNITY POLL, AND ADULT SURVEY; AND FOR CREATING THE SUMMARY REPORT. ILLUMINOLOGY HAS 24 YEARS OF EXPERIENCE RELATED TO RESEARCH DESIGN, ANALYSIS, AND REPORTING, AND HAS CONDUCTED NUMEROUS COMMUNITY HEALTH ASSESSMENTS. GROUP A-FACILITY 15 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH CONNEAUT MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES. PRIMARY DATA USED IN THE ASSESSMENT CONSISTED OF DISCUSSIONS WITH COMMUNITY LEADERS, STAKEHOLDERS, AND EMPLOYEES FROM PARTICIPATING ORGANIZATIONS REGARDING HEALTH ISSUES IN ASHTABULA COUNTY. THE PRIMARY DATA FROM ADULT RESIDENTS CONSISTED OF A REPRESENTATIVE SURVEY MAILED TO A TOTAL OF 2,200 ADDRESSES RANDOMLY SELECTED FROM THE UNIVERSE OF RESIDENTIAL ADDRESSES IN ASHTABULA COUNTY. DATA FROM THE YOUTH CONSISTED OF A SURVEY DEVELOPED BY THE OHIO DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES AND FACILITATED BY THE ASHTABULA COUNTY MENTAL HEALTH AND RECOVERY SERVICES BOARD. 1,902 STUDENTS COMPLETED THE YOUTH SURVEY. IN ADDITION TO THE ADULT AND YOUTH SURVEYS, THE ASHTABULA COUNTY HEALTH DEPARTMENT WORKED WITH ILLUMINOLOGY TO DESIGN AND DEPLOY AN INFORMAL, QUALITATIVE POLL OF COMMUNITY RESIDENTS AND STAKEHOLDERS AND CONDUCT COMMUNITY LEADER INTERVIEWS. THE 2022 CHNA WAS OVERSEEN BY HEALTHY ASHTABULA COUNTY, A COMMITTEE OF PUBLIC HEALTH EXPERTS, WHO SIGNIFICANTLY CONTRIBUTED TO IDENTIFYING AND SUMMARIZING THE BROAD INTERESTS OF THE COMMUNITY. THE REPRESENTED ORGANIZATIONS IN THE COMMITTEE ARE LISTED BELOW: - ASHTABULA CITY HEALTH DEPARTMENT- ASHTABULA COUNTY HEALTH DEPARTMENT- ASHTABULA COUNTY JUVENILE COURT- ASHTABULA COUNTY MEDICAL CENTER - ASHTABULA COUNTY MENTAL HEALTH & RECOVERY BOARD- ASHTABULA COUNTY COMMISSIONERS- ASHTABULA COUNTY COMMUNITY ACTION AGENCY- ASHTABULA COUNTY DEPARTMENT OF JFS- ASHTABULA COUNTY EDUCATIONAL SERVICE CENTER- CATHOLIC CHARITIES OF ASHTABULA COUNTY- CONNEAUT CITY HEALTH DEPARTMENT - COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY- COUNTRY NEIGHBOR PROGRAM- GLENBEIGH HOSPITAL- HEALTHY NORTHEAST OHIO- LAKE AREA RECOVERY CENTER- SIGNATURE HEALTH- THE CENTER FOR HEALTH AFFAIRS- UNIVERSITY HOSPITALSSECONDARY DATA FOR THE CHNA CAME FROM NATIONAL, STATE, AND LOCAL SOURCES. DATA FOR ASHTABULA COUNTY OVERALL, ASHTABULA CITY, CONNEAUT CITY, AND OHIO WERE ALSO COLLECTED WHEN AVAILABLE. WHEREVER POSSIBLE, LOCAL FINDINGS WERE COMPARED TO OTHER RELEVANT DATA. ADDITIONAL INFORMATION WAS COLLECTED FROM SECONDARY DATA SOURCES SUCH AS VITAL STATISTICS AND THE OHIO DISEASE REPORTING SYSTEM TO SUPPLEMENT FINDINGS FROM THE PRIMARY DATA COLLECTION. GROUP A-FACILITY 15 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 6A: IN ADDITION TO UH CONNEAUT MEDICAL CENTER, THE FOLLOWING HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR ASHTABULA COUNTY. - UH GENEVA MEDICAL CENTER- ASHTABULA COUNTY MEDICAL CENTER GROUP A-FACILITY 15 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR ASHTABULA COUNTY: - ASHTABULA CITY HEALTH DEPARTMENT- ASHTABULA COUNTY HEALTH DEPARTMENT- ASHTABULA COUNTY JUVENILE COURT- ASHTABULA COUNTY MENTAL HEALTH & RECOVERY BOARD- ASHTABULA COUNTY COMMISSIONERS- ASHTABULA COUNTY COMMUNITY ACTION AGENCY- ASHTABULA COUNTY DEPARTMENT OF JFS- ASHTABULA COUNTY EDUCATIONAL SERVICE CENTER- CATHOLIC CHARITIES OF ASHTABULA COUNTY- CONNEAUT CITY HEALTH DEPARTMENT - COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY- COUNTRY NEIGHBOR PROGRAM- GLENBEIGH HOSPITAL- HEALTHY NORTHEAST OHIO- LAKE AREA RECOVERY CENTER- SIGNATURE HEALTH- THE CENTER FOR HEALTH AFFAIRS GROUP A-FACILITY 15 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH CONNEAUT MEDICAL CENTER (ASHTABULA COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEALTH NEED AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: ACCESS TO CARE STRATEGY #1: IMPROVE ACCESS TO COMPREHENSIVE PRIMARY CAREPRIORITY HEALTH NEED #2: PREVENT OBESITY AND CHRONIC CONDITIONS BY PROMOTING NUTRITION AND PHYSICAL ACTIVITY STRATEGY #1: DIABETES PREVENTION AND EDUCATION PROGRAM STRATEGY #2: IMPLEMENTATION OF A PHYSICAL ACTIVITY AND NUTRITION EDUCATION PROGRAM IN THE COMMUNITY AND SCHOOL ENVIRONMENTS STRATEGY #3: DIABETES PREVENTION PROGRAM (DPP) AND PREDIABETES SCREENING AND REFERRAL STRATEGY #4: HYPERTENSION SCREENING AND FOLLOW-UPPRIORITY HEALTH NEED #3: PREVENT AND PROMOTE TREATMENT OF DEPRESSION AND ANXIETY ACROSS THE LIFESPAN STRATEGY #1: SCHOOL-BASED ALCOHOL/OTHER DRUG PREVENTION PROGRAMSUH CONNEAUT MEDICAL CENTER IS CURRENTLY ADDRESSING ALL THREE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR ASHTABULA COUNTY, AND THERE ARE NO PRIORITIZED HEALTH NEEDS THAT UH CONNEAUT MEDICAL CENTER IS NOT ADDRESSING.FOR MORE DETAILS ON THE STRATEGIES THAT UH CONNEAUT MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 ASHTABULA COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT GROUP A-FACILITY 15 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 15 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 15 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 3 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, HOUSING, AND NEIGHBORHOOD AND BUILT ENVIRONMENT INDICATORS FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AMERICAN COMMUNITY SURVEY, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2022 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CUYAHOGA COUNTY CHNA STEERING COMMITTEE, INCLUDING UH PARMA MEDICAL CENTER AND OTHER UH AFFILIATED HOSPITALS, COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT DEVELOPMENT OF CUYAHOGA COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO IMPROVE COMMUNITY HEALTH BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES. GROUP A-FACILITY 3 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 5: MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS OF QUALITATIVE DATA COLLECTION IN WHICH INCLUDED TWO VIRTUAL PUBLIC PRIORITIZATION SESSIONS THAT WERE HOSTED IN EARLY AUGUST 2022. UH PARMA MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (KEY INFORMANT INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS AND FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM CUYAHOGA COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS (KIIS) WITH COMMUNITY STAKEHOLDERS AND COMMUNITY FOCUS GROUPS. CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) CONDUCTED KEY INFORMANT INTERVIEWS VIA PHONE AND VIDEO CONFERENCE IN ORDER TO COLLECT COMMUNITY INPUT. INTERVIEWEES INVITED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, AND/OR BEING ABLE TO SPEAK TO THE NEEDS OF UNDERSERVED OR VULNERABLE POPULATIONS. THIRTY-TWO INDIVIDUALS PARTICIPATED AS KEY INFORMANTS REPRESENTING DIFFERENT ENTITIES SERVING CUYAHOGA COUNTY. THE REPRESENTED ORGANIZATIONS ARE LISTED BELOW:- ADAMHS BOARD OF CUYAHOGA COUNTY- ASIAN SERVICES IN ACTION (ASIA)- BENJAMIN ROSE INSTITUTE ON AGING- BETTER HEALTH PARTNERSHIP- CALVARY HILL CHURCH OF GOD IN CHRIST- CENTER FOR COMMUNITY SOLUTIONS- CENTERS FOR FAMILIES & CHILDREN- CITY OF CLEVELAND DIVISION OF EMERGENCY MEDICAL SERVICES (EMS)- CLEVELAND CLINIC LAKEWOOD FAMILY HEALTH CENTER- CLEVELAND DEPARTMENT OF PUBLIC HEALTH (CDPH)- CUYAHOGA COUNTY BOARD OF HEALTH (CCBH)- CUYAHOGA COUNTY HHS- CUYAHOGA COUNTY OFFICE OF HOMELESS SERVICES- CUYAHOGA METROPOLITAN HOUSING AUTHORITY (CMHA)- EDUCATIONAL SERVICE CENTER OF NEO- ESPERANZA, INC- FRONTLINE SERVICE- GREATER CLEVELAND FOOD BANK- GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY (RTA)- HISPANIC ROUNDTABLE- LGBT COMMUNITY CENTER- MAY DUGAN CENTER- NAMI GREATER CLEVELAND- NEIGHBORHOOD FAMILY PRACTICE- POLICY BRIDGE- POSITIVE EDUCATION PROGRAM (PEP)- TAYLOR OSWALD- UNIVERSITY HOSPITALS PEDIATRIC/WOMEN'S- URBAN LEAGUE OF GREATER CLEVELANDSECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM THE HEALTHY NORTHEAST OHIO (NEO) COMMUNITY DATA PLATFORM. HEALTHY NEO IS A PUBLICLY AVAILABLE WEBSITE WHICH HOUSES NEUTRAL POPULATION HEALTH DATA AND COMMUNITY HEALTH RESOURCES TO SUPPORT COMMUNITY HEALTH IMPROVEMENT EFFORTS ACROSS A 9-COUNTY REGION. THE DATA ON THIS PLATFORM, MAINTAINED BY RESEARCHERS AND ANALYSTS AT CONDUENT HCI, INCLUDES OVER 200 COMMUNITY INDICATORS, SPANNING AT LEAST 24 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA ARE PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS IS COMPARED TO OTHER COMMUNITIES, NATIONAL TARGETS, AND TO PREVIOUS TIME PERIODS. GROUP A-FACILITY 3 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH PARMA MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: - UNIVERSITY HOSPITALS RAINBOW BABIES & CHILDREN'S HOSPITAL- UH CLEVELAND MEDICAL CENTER- UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER- UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER- BEACHWOOD RH, LLC ("UH REHABILITATION HOSPITAL")- SOUTHWEST GENERAL HEALTH CENTER- ST. VINCENT CHARITY MEDICAL CENTER GROUP A-FACILITY 3 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: - A VISION OF CHANGE- BETTER HEALTH PARTNERSHIP- CASE WESTERN RESERVE UNIVERSITY- CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE- CLEVELAND CLINIC- CLEVELAND DEPARTMENT OF PUBLIC HEALTH- CUYAHOGA COUNTY BOARD OF HEALTH- CUYAHOGA COUNTY CLERK OF COURTS- CUYAHOGA COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES- THE METROHEALTH SYSTEM- NEIGHBORHOOD FAMILY PRACTICE- POLICYBRIDGE- THE CENTER FOR HEALTH AFFAIRS- UNITED WAY GROUP A-FACILITY 3 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH PARMA MEDICAL CENTER (CUYAHOGA COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: COMMUNITY CONDITIONS (ACCESS TO HEALTHY FOOD & COMMUNITY SAFETY) STRATEGY #1: NUTRITION PROGRAMMING TO ADDRESS FOOD INSECURITY AMONG OLDER ADULTS AND CHILDREN STRATEGY #2: COMMUNITY-BASED EDUCATION AND AWARENESS ON SAFETYPRIORITY HEALTH NEED #2: ACCESSIBLE AND AFFORDABLE HEALTH CARE STRATEGY #1: INCREASE ACCESS TO COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS TO PREVENT AND/OR MANAGE CHRONIC DISEASES, PARTICULARLY FOR DIABETES AND CORONARY HEART DISEASETHE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE TWO PRIORITIZED HEALTH NEEDS ABOVE AS THOSE NEEDS WERE CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON THOSE NEEDS. THE PRIORITIZED HEALTH NEED IDENTIFIED IN THE 2022 CHNA FOR CUYAHOGA COUNTY THAT IS NOT BEING ADDRESSED BY UH PARMA MEDICAL CENTER IS BEHAVIORAL HEALTH (MENTAL HEALTH & DRUG USE/MISUSE). UH PARMA MEDICAL CENTER HAS DETERMINED THAT IT IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND/OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT NEED AND MAKING A SIGNIFICANT POSITIVE IMPACT.FOR MORE DETAILS ON THE STRATEGIES THAT UH PARMA MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CUYAHOGA COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT GROUP A-FACILITY 3 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 3 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 3 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKINGREASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 4 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL DETERMINANTS OF HEALTH THAT ARE GROUPED INTO THE FOLLOWING FIVE DOMAINS: NEIGHBORHOOD AND BUILT ENVIRONMENT, ECONOMIC STABILITY, EDUCATION ACCESS AND QUALITY, SOCIAL AND COMMUNITY CONTEXT, AND HEALTHCARE ACCESS AND QUALITY FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, STATE OF OHIO BOARD OF PHARMACY, OHIO DEPARTMENT OF EDUCATION, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES.THE LORAIN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) STEERING COMMITTEE, INCLUDING UH ELYRIA MEDICAL CENTER AND OTHER UH AFFILIATED HOSPITALS, WAS A COLLABORATIVE EFFORT OF PUBLIC HEALTH, HOSPITALS, AND COMMUNITY ORGANIZATIONS. LORAIN COUNTY PUBLIC HEALTH (LCPH) CONDUCTED THE COMMUNITY CONVERSATIONS AND SECONDARY DATA COLLECTION, AND BURGES & BURGES STRATEGISTS CONDUCTED THE KEY STAKEHOLDER INTERVIEWS. THE CHNA ASSESSMENT RELIED ON FEEDBACK FROM LORAIN COUNTY RESIDENTS AND STAKEHOLDERS THROUGH INTERVIEWS AND FOCUS GROUPS AND ANALYZED LOCAL AND SECONDARY DATA. GROUP A-FACILITY 4 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH ELYRIA MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (STAKEHOLDER INTERVIEWS AND COMMUNITY CONVERSATIONS) AND SOME SECONDARY FROM GOVERNMANTAL ORGANIZATIONS (REGARDING RISK FACTORS AND HEALTH OUTCOME INFORMATION). TO ENSURE THE BROAD INTEREST OF THE COMMUNITY WERE CONSIDERED, INPUT WAS COLLECTED FROM VARIOUS LORAIN COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THE ASSESSMENT CONSISTED OF STAKEHOLDER INTERVIEWS FROM A DIVERSE SET OF LEADERS FROM ACROSS LORAIN COUNTY, INCLUDING LEADERSHIP FROM HEALTH SERVICE PROVIDERS, SOCIAL SERVICE ORGANIZATIONS, ELECTED AND APPOINTED CIVIC INSTITUTIONS, LOCAL AND REGIONAL BUSINESSES, EDUCATIONAL INSTITUTIONS, AND FAITH COMMUNITIES. BELOW IS A LIST OF ORGANIZATIONS THAT PARTICIPATED IN THE STAKEHOLDER INTERVIEWS:- AVON LOCAL SCHOOL DISTRICT- CHILD CARE RESOURCE CENTER- EDUCATIONAL SERVICES CENTER OF LORAIN COUNTY- EL CENTRO DE SERVICIOS SOCIALES, INC.- ELYRIA CITY SCHOOL DISTRICT- FIRELANDS LOCAL SCHOOL DISTRICT- FULL GOSPEL MINISTRIES- KEYSTONE LOCAL SCHOOLS- LORAIN CITY SCHOOLS- LORAIN COUNTY HEALTH & DENTISTRY- LORAIN COUNTY COMMUNITY COLLEGE- LORAIN COUNTY FAIR BOARD- LORAIN COUNTY FREE CLINIC- LORAIN COUNTY METRO PARKS- LORAIN COUNTY URBAN LEAGUE- LORAIN PUBLIC LIBRARY SYSTEM- LORAIN/MEDINA COMMUNITY BASED CORRECTIONAL FACILITY- RIDDELL- SACRED HEART- SPRENGER HEALTH CARE- THE LCADA WAY- THE NORD CENTER- UNITED WAY OF GREATER LORAIN COUNTY- YWCA LORAINTHE LORAIN COUNTY PUBLIC HEALTH (LCPH) CONDUCTED COMMUNITY CONVERSATIONS WITH NINE DIFFERENT COMMUNITY-BASED AND RESIDENT GROUPS IN 2022, BOTH IN-PERSON AND VIRTUALLY VIA ZOOM. EACH COVERSATION LASTED BETWEEN THIRTY MINUTES AND ONE HOUR WITH THE GOAL OF AUTHENTICALLY ENGAGING MEMBERS OF THE COMMUNITY AND GENERATE PUBLIC KNOWLEDGE THAT CAN HELP MAKE DESICISIONS. LCPH SPECIFICALLY REACHED OUT TO GROUPS REPRESENTING VULNERABLE POPULATIONS. BELOW IS A LIST OF ORGANIZATIONS THAT PARTICIPATED IN THE COMMUNITY CONVERSATIONS:- BLACK PASTORS' HEALTH COALITION- BOY SCOUTS- HISPANIC FUND- LORAIN COUNTY FAIR BOARD- MERCY FAMILY HEALTH- MERCY PARISH NURSING- MERCY PARISH NURSING VOLUNTEERS- RISING STARTS- MEN OF COURAGESECONDARY DATA USED FOR THIS ASSESSMENT WERE COMPILED THROUGH THE GOVERNMENT AGENCIES LISTED BELOW:- OHIO DEPARTMENT OF HEALTH BUREAU OF VITAL STATISTICS OHIO CANCER INCIDENCE SURVEILLANCE SYSTEM COMPILED REPORTS OR DATA BRIEFS- CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)- UNITED STATES CENSUS BUREAU- OHIO DEPARTMENT OF EDUCATION- STATE OF OHIO BOARD OF PHARMACY GROUP A-FACILITY 4 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR LORAIN COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH ELYRIA MEDICAL CENTER IN THE JOINT CHNA FOR LORAIN COUNTY:- AVON RH, LLC (UH AVON REHABILITATION HOSPITAL)- CLEVELAND CLINIC AVON HOSPITAL- MERCY HEALTH ALLEN HOSPITAL- MERCY HEALTH LORAIN HOSPITAL - SPECIALTY HOSPITAL OF LORAIN GROUP A-FACILITY 4 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR LORAIN COUNTY: - LORAIN COUNTY HEALTH & DENTISTRY- LORAIN COUNTY METRO PARKS- LORAIN COUNTY PUBLIC HEALTH- MENTAL HEALTH, ADDICTION, AND RECOVERY SERVICES BOARD OF LORAIN COUNTY GROUP A-FACILITY 4 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH ELYRIA MEDICAL CENTER (LORAIN COUNTY) IDENTIFIED THE FOLLOWING FOUR PRIORITY HEATH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEATH NEED #1: CHRONIC DISEASE STRATEGY #1: COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS TO PREVENT AND/OR MANAGE CHRONIC DISEASES PARTICULARLY FOR DIABETES, AND CORONARY HEART DISEASEPRIORITY HEATH NEED #2 AND #3: MENTAL HEALTH AND SUBSTANCE USE STRATEGY #1: COMMUNITY-BASED EDUCATION, HEALTH SCREENINGS AND COMMUNITY COLLABORATIONS TO ADDRESS MENTAL HEALTH AND ADDICTIONPRIORITY HEATH NEED #4: CANCER STRATEGY #1: COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS TO PREVENT AND/OR MANAGE CANCERTHE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE FOUR PRIORITIZED HEALTH NEEDS ABOVE AS THOSE NEEDS WERE CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON THOSE NEEDS. THE PRIORITIZED HEALTH NEED IDENTIFIED IN THE 2022 CHNA FOR LORAIN COUNTY THAT IS NOT BEING ADDRESSED BY UH ELYRIA MEDICAL CENTER IS MATERNAL AND CHILD HEALTH. ASPECTS OF THIS HEALTH NEEDS ARE ENCOMPASSED IN OTHER EFFORTS BEING ADDRESSED. OTHER LORAIN COUNTY PARTNERS ARE ALSO ADDRESSING PREVENTION AND OTHER NEEDS. UH ELYRIA MEDICAL CENTER HAS DETERMINED THAT IT IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND/OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT NEED AND MAKING A SIGNIFICANT POSITIVE IMPACT.FOR MORE DETAILS ON THE STRATEGIES THAT UH ELYRIA MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 LORAIN COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT GROUP A-FACILITY 4 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 4 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 4 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, HOUSING, AND NEIGHBORHOOD AND BUILT ENVIRONMENT INDICATORS FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AMERICAN COMMUNITY SURVEY, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2022 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CUYAHOGA COUNTY CHNA STEERING COMMITTEE, INCLUDING UH ST. JOHN MEDICAL CENTER AND OTHER UH AFFILIATED HOSPITALS, COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT DEVELOPMENT OF CUYAHOGA COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO IMPROVE COMMUNITY HEALTH BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES. GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 5: MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS OF QUALITATIVE DATA COLLECTION IN WHICH INCLUDED TWO VIRTUAL PUBLIC PRIORITIZATION SESSIONS THAT WERE HOSTED IN EARLY AUGUST 2022. UH ST. JOHN MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (KEY INFORMANT INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS AND FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS).TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM CUYAHOGA COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS (KIIS) WITH COMMUNITY STAKEHOLDERS AND COMMUNITY FOCUS GROUPS. CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) CONDUCTED KEY INFORMANT INTERVIEWS VIA PHONE AND VIDEO CONFERENCE IN ORDER TO COLLECT COMMUNITY INPUT. INTERVIEWEES INVITED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, AND/OR BEING ABLE TO SPEAK TO THE NEEDS OF UNDERSERVED OR VULNERABLE POPULATIONS. THIRTY-TWO INDIVIDUALS PARTICIPATED AS KEY INFORMANTS REPRESENTING DIFFERENT ENTITIES SERVING CUYAHOGA COUNTY. THE REPRESENTED ORGANIZATIONS ARE LISTED BELOW:- ADAMHS BOARD OF CUYAHOGA COUNTY- ASIAN SERVICES IN ACTION (ASIA)- BENJAMIN ROSE INSTITUTE ON AGING- BETTER HEALTH PARTNERSHIP- CALVARY HILL CHURCH OF GOD IN CHRIST- CENTER FOR COMMUNITY SOLUTIONS- CENTERS FOR FAMILIES & CHILDREN- CITY OF CLEVELAND DIVISION OF EMERGENCY MEDICAL SERVICES (EMS)- CLEVELAND CLINIC LAKEWOOD FAMILY HEALTH CENTER- CLEVELAND DEPARTMENT OF PUBLIC HEALTH (CDPH)- CUYAHOGA COUNTY BOARD OF HEALTH (CCBH)- CUYAHOGA COUNTY HHS- CUYAHOGA COUNTY OFFICE OF HOMELESS SERVICES- CUYAHOGA METROPOLITAN HOUSING AUTHORITY (CMHA)- EDUCATIONAL SERVICE CENTER OF NEO- ESPERANZA, INC- FRONTLINE SERVICE- GREATER CLEVELAND FOOD BANK- GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY (RTA)- HISPANIC ROUNDTABLE- LGBT COMMUNITY CENTER- MAY DUGAN CENTER- NAMI GREATER CLEVELAND- NEIGHBORHOOD FAMILY PRACTICE- POLICY BRIDGE- POSITIVE EDUCATION PROGRAM (PEP)- TAYLOR OSWALD- UNIVERSITY HOSPITALS PEDIATRIC/WOMEN'S- URBAN LEAGUE OF GREATER CLEVELANDSECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM THE HEALTHY NORTHEAST OHIO (NEO) COMMUNITY DATA PLATFORM. HEALTHY NEO IS A PUBLICLY AVAILABLE WEBSITE WHICH HOUSES NEUTRAL POPULATION HEALTH DATA AND COMMUNITY HEALTH RESOURCES TO SUPPORT COMMUNITY HEALTH IMPROVEMENT EFFORTS ACROSS A 9-COUNTY REGION. THE DATA ON THIS PLATFORM, MAINTAINED BY RESEARCHERS AND ANALYSTS AT CONDUENT HCI, INCLUDES OVER 200 COMMUNITY INDICATORS, SPANNING AT LEAST 24 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA ARE PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS IS COMPARED TO OTHER COMMUNITIES, NATIONAL TARGETS, AND TO PREVIOUS TIME PERIODS. GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH ST. JOHN MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: - UH CLEVELAND MEDICAL CENTER- UNIVERSITY HOSPITALS RAINBOW BABIES & CHILDREN'S HOSPITAL- UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER- THE PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION D/B/A UNIVERSITY HOSPITALS PARMA MEDICAL CENTER- BEACHWOOD RH, LLC ("UH REHABILITATION HOSPITAL")- SOUTHWEST GENERAL HEALTH CENTER- ST. VINCENT CHARITY MEDICAL CENTER GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: - A VISION OF CHANGE- BETTER HEALTH PARTNERSHIP- CASE WESTERN RESERVE UNIVERSITY- CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE- CLEVELAND CLINIC- CLEVELAND DEPARTMENT OF PUBLIC HEALTH- CUYAHOGA COUNTY BOARD OF HEALTH- CUYAHOGA COUNTY CLERK OF COURTS- CUYAHOGA COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES- THE METROHEALTH SYSTEM- NEIGHBORHOOD FAMILY PRACTICE- POLICYBRIDGE- THE CENTER FOR HEALTH AFFAIRS- UNITED WAY GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR ST. JOHN MEDICAL CENTER (CUYAHOGA COUNTY) IDENTIFIED THE FOLLOWING ONE PRIORITY HEALTH NEED AND AN ASSOCIATED STRATEGY TO ADDRESS IT:PRIORITY HEALTH NEED: BEHAVIORAL HEALTH (MENTAL HEALTH AND ADDICTION) STRATEGY #1: COMMUNITY-BASED EDUCATION, HEALTH SCREENINGS AND COMMUNITY COLLABORATIONS TO ADDRESS MENTAL HEALTH AND ADDICTIONIN ADDITION TO THE AFOREMENTIONED STRATEGIC INITIATIVES OUTLINED IN DETAIL IN THIS PLAN, THE HOSPITAL WILL EITHER BEGIN OR CONTINUE TO SUSTAIN SEVERAL EFFORTS WHICH DO ADDRESS EACH OF THE COMMUNITY HEALTH NEEDS IN SOME WAY. THE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE ONE PRIORITIZED HEALTH NEED ABOVE AS THIS NEED WAS CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON IT. THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR CUYAHOGA COUNTY THAT ARE NOT BEING ADDRESSED BY ST. JOHN MEDICAL CENTER ARE ACCESSIBLE AND AFFORDABLE HEALTHCARE, AND COMMUNITY CONDITIONS (ACCESS TO HEALTHY FOOD & COMMUNITY SAFETY. UH ST. JOHN MEDICAL CENTER HAS DETERMINED THAT IT IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND/OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT NEED AND MAKING A SIGNIFICANT POSITIVE IMPACT.FOR MORE DETAILS ON THE STRATEGIES THAT UH ST. JOHN MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CUYAHOGA COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 6 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS EDUCATION ACCESS AND QUALITY, ECONOMIC STABILITY, HEALTH CARE ACCESS AND QUALITY, NEIGHBORHOOD AND BUILT ENVIRONMENT, AND SOCIAL AND COMMUNITY CONTEXT FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AMERICAN COMMUNITY SURVEY, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE 2022 CHNA ALSO IDENTIFIED VARIOUS DISPARITIES IN HEALTH EQUITY BY POPULATION GROUPS AND GEOGRAPHY.UH PORTAGE MEDICAL CENTER WORKED CLOSELY WITH PORTAGE COUNTY COMBINED GENERAL HEALTH DISTRICT (PCCGHD) TO LEVERAGE PRIMARY AND SECONDARY DATA ANALYSIS TO PROVIDE A MORE COMPREHENSIVE PICTURE OF THE SIGNIFICANT HEALTH NEEDS IN PORTAGE COUNTY, OHIO. THE STEERING COMMITTEE WAS COMPRISED OF THE FOLLOWING ORGANIZATIONS:- KENT STATE UNIVERSITY (KSU)- NORTHEAST OHIO MEDICAL UNIVERSITY (NEOMED)- AXESSPOINTE COMMUNITY HEALTH CENTER- PORTAGE COUNTY HEALTH DISTRICT (PCHD)- UNIVERSITY HOSPITALS- KENT CITY HEALTH DEPARTMENT (KCHD)- MENTAL HEALTH & RECOVERY BOARD OF PORTAGE COUNTY (MHRB)THE COMMITTEE ALSO INCLUDED ADDITIONAL REPRESENTATION FROM ACADEMIA, EDUCATION, HEALTHCARE, PUBLIC HEALTH, AND MENTAL HEALTH. THE COMMITTEE MET REGULARLY OVER SIXMONTHS TO REVIEW SECONDARY DATA AND COMMUNITY FEEDBACK, SUGGEST NEW PARTNERS TO CONTRIBUTE TO THE PRIORITIZATION PROCESS, AND FINALLY APPROVE THE FINALIZED HEALTH NEEDS. THE COLLABORATIVE ASSESSMENT DETERMINED THREE SIGNIFICANT HEALTH NEEDS IN PORTAGE COUNTY. THE PRIORITIZATION PROCESS IDENTIFIED THE TOP THREE HEALTH NEEDS, INCLUDING CHRONIC DISEASE, MENTAL HEALTH, SUBSTANCE USE & ADDICTION, AND MATERNAL, INFANT, AND CHILD HEALTH.PORTAGE COUNTY COMBINED GENERAL HEALTH DISTRICT (PCCGHD) AND UH PORTAGE MEDICAL CENTER COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT DEVELOPMENT OF PORTAGE COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO IMPROVE COMMUNITY HEALTH BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES. GROUP A-FACILITY 6 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 5: UH PORTAGE MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (KEY INFORMANT INTERVIEWS AND FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS) AND SOME SECONDARY (REGARDING HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE). FOR BOTH PRIMARY AND SECONDARY DATA, IMMENSE EFFORTS WERE MADE TO INCLUDE AS WIDE A RANGE OF COMMUNITY HEALTH INDICATORS, KEY INFORMANTS, AND FOCUS GROUP PARTICIPANTS AS POSSIBLE. ALTHOUGH THE TOPICS BY WHICH DATA WERE ORGANIZED COVERED A WIDE RANGE OF HEALTH AND QUALITY OF LIFE AREAS, WITHIN EACH TOPIC, THERE WAS A VARYING SCOPE AND DEPTH OF SECONDARY DATA INDICATORS AND PRIMARY DATA FINDINGS.TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM PORTAGE COUNTY RESIDENTS. PRIMARY DATA GATHERED DURING THIS PROCESS CONSISTED OF KEY INFORMANT INTERVIEWS (KIIS) CONDUCTED AS PART OF THE PORTAGE COUNTY HEALTH EQUITY PROJECT, FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS, AND A SIXTY-SIX QUESTION YOUTH RISK BEHAVIORAL SURVEY (YRBS) IMPLEMENTED WITH SELECT MIDDLE AND HIGH SCHOOLS WITHIN PORTAGE COUNTY. TWENTY-THREE INDIVIDUALS PARTICIPATED AS KEY INFORMANTS IN THE KEY INFORMANT INTERVIEWS CONDUCTED. THE FOCUS AREAS OF THESE INTERVIEWS INCLUDED LOW SOCIOECONOMIC STATUS, GEOGRAPHICAL ISOLATION, BARRIERS TO ACCURATE AND SHAREABLE INFORMATION, BARRIERS TO FORMAL EDUCATION OPPORTUNITIES, AND DISCRIMINATION/MARGINALIZATION. UH PORTAGE MEDICAL CENTER ALSO CONDUCTED SEVERAL FOCUS GROUPS WITH VARIOUS KEY COMMUNITY GROUPS, INCLUDING SENIOR CITIZEN COMMUNITY MEMBERS, BLACK OR AFRICAN AMERICAN COMMUNITY MEMBERS AND WIC BENEFITS RECIPIENTS IN ORDER TO GAIN DEEPER INSIGHTS ABOUT PERCEPTIONS, ATTITUDES, EXPERIENCES, OR BELIEFS HELD BY COMMUNITY MEMBERS ABOUT THEIR HEALTH AND THE HEALTH OF THEIR COMMUNITY. SECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM A COMMUNITY INDICATOR DATABASE DEVELOPED BY CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI). THE DATABASE, MAINTAINED BY RESEARCHERS AND ANALYSTS AT HCI, INCLUDED OVER 200 COMMUNITY INDICATORS, SPANNING AT LEAST 24 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA WAS PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS IS COMPARED TO OTHER COMMUNITIES, NATIONAL TARGETS, AND TO PREVIOUS TIME PERIODS. THE SECONDARY DATA ANALYSIS IDENTIFIED THE FOLLOWING HEALTH TOPIC AREAS: MEDICATIONS & PRESCRIPTIONS, MENTAL HEALTH & MENTAL DISORDERS, TOBACCO USE, PHYSICAL ACTIVITY, CANCER, AND OTHER CONDITIONS.BELOW ARE THE VARIOUS COMMUNITY ORGANIZATIONS WHO HELPED GUIDE THE 2022 PORTAGE COUNTY CHNA REPORT AND ENSURE THE BROAD INTERESTS OF THE COMMUNITY WERE TAKEN INTO ACCOUNT:- AKRON CHILDREN'S HOSPITAL- AXESSPOINTE COMMUNITY HEALTH CENTER- CANAPI- CHILDREN'S ADVANTAGE- COLEMAN PROFESSIONAL SERVICES- COMMUNITY ACTION COUNCIL- FAMILY AND CHILDREN FIRST COUNCIL- FAMILY AND COMMUNITY SERVICES- HIRAM COLLEGE- KENT CITY BOARD OF HEALTH- KENT CITY HEALTH DEPARTMENT- KENT STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH & CENTER FOR PUBLIC POLICY AND HEALTH- KENT STATE UNIVERSITY HEALTH SERVICES- MENTAL HEALTH & RECOVERY BOARD OF PORTAGE COUNTY- NAMI- NEOMED STUDENT RUN FREE CLINIC- NORTHEAST OHIO MEDICAL UNIVERSITY- OHIOCAN- OPPORTUNITIES FOR OHIOANS WITH DISABILITIES- OUR PLACE- PARTA- PORTAGE COUNTY BOARD OF HEALTH- PORTAGE COUNTY CHILDREN'S SERVICES- PORTAGE COUNTY COMBINED GENERAL HEALTH DISTRICT PORTAGE- PORTAGE COUNTY JOB & FAMILY SERVICES- PORTAGE COUNTY SAFE COMMUNITIES COALITION- PORTAGE COUNTY SCHOOL DISTRICTS- PORTAGE COUNTY WIC- PORTAGE LEARNING CENTERS- PORTAGE PARK DISTRICT- PORTAGE SUBSTANCE ABUSE COMMUNITY COALITION- SEQUOIA WELLNESS- STREETSBORO POLICE DEPARTMENT- SUICIDE PREVENTION COALITION OF PORTAGE COUNTY- THE HAVEN- TOWNHALL II- UNITED WAY OF PORTAGE COUNTY GROUP A-FACILITY 6 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 6A: THE FOLLOWING HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT EACH SEPARATE HOSPITAL FACILITY CHNA FOR PORTAGE COUNTY: - AKRON CHILDREN'S HOSPITAL- UH PORTAGE MEDICAL CENTER GROUP A-FACILITY 6 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A CHNA FOR PORTAGE COUNTY:- AXESSPOINTE COMMUNITY HEALTH CENTER- CANAPI- CHILDREN'S ADVANTAGE- COLEMAN PROFESSIONAL SERVICES- COMMUNITY ACTION COUNCIL- FAMILY AND CHILDREN FIRST COUNCIL- FAMILY AND COMMUNITY SERVICES- HIRAM COLLEGE- KENT CITY BOARD OF HEALTH- KENT CITY HEALTH DEPARTMENT- KENT STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH & CENTER FOR PUBLIC POLICY AND HEALTH- KENT STATE UNIVERSITY HEALTH SERVICES- MENTAL HEALTH & RECOVERY BOARD OF PORTAGE COUNTY- NAMI- NEOMED STUDENT RUN FREE CLINIC- NORTHEAST OHIO MEDICAL UNIVERSITY- OHIOCAN- OPPORTUNITIES FOR OHIOANS WITH DISABILITIES- OUR PLACE- PARTA- PORTAGE COUNTY BOARD OF HEALTH- PORTAGE COUNTY CHILDREN'S SERVICES- PORTAGE COUNTY COMBINED GENERAL HEALTH DISTRICT PORTAGE- PORTAGE COUNTY JOB & FAMILY SERVICES- PORTAGE COUNTY SAFE COMMUNITIES COALITION- PORTAGE COUNTY SCHOOL DISTRICTS- PORTAGE COUNTY WIC- PORTAGE LEARNING CENTERS- PORTAGE PARK DISTRICT- PORTAGE SUBSTANCE ABUSE COMMUNITY COALITION- SEQUOIA WELLNESS- STREETSBORO POLICE DEPARTMENT- SUICIDE PREVENTION COALITION OF PORTAGE COUNTY- THE HAVEN- TOWNHALL II- UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER- UNITED WAY OF PORTAGE COUNTY GROUP A-FACILITY 6 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH PORTAGE MEDICAL CENTER (PORTAGE COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC CONDITIONS STRATEGY #1: EDUCATE PORTAGE COUNTY COMMUNITY ON RISK FACTORS AND OBESITY PREVENTION AS WELL AS INCREASE SCREENINGS STRATEGY #2: INCREASE ACCESS TO AND PARTICIPATION IN COMMUNITY-BASED NUTRITION PROGRAMS SUCH AS FARMERS MARKETS STRATEGY #3: SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENINGS AND RESOURCE REFERRALS PRIORITY HEALTH NEED #2: FAMILY, PREGNANCY, INFANT AND CHILD HEALTH (FPICH) STRATEGY #1: IMPLEMENT EARLY URGENT MATERNAL WARNING SIGNS EDUCATION PROGRAM WITHIN PORTAGE COUNTY AND IMPLEMENT REPRODUCTIVE HEALTH AND WELLNESS INTERVENTIONS STRATEGY #2: REDUCE THE USE OF TOBACCO PRODUCTS USED DURING PREGNANCYPRIORITY HEALTH NEED #2: MENTAL HEALTH, SUBSTANCE USE, AND ADDICTION STRATEGY #1: PROVIDE COMMUNITY-BASED ACTIVITIES AND TRAININGS TO RAISE AWARENESS OF MENTAL HEALTH, SUBSTANCE USE, AND ADDICTION STRATEGY #2: PROMOTION OF GUN SAFETY STRATEGY #3: PROVIDE ACCESS TO SUPPORT RESOURCES AND RAISE AWARENESS OF THE RISKS OF TOBACCO, SMOKING, AND VAPINGUH PORTAGE MEDICAL CENTER IS CURRENTLY ADDRESSING ALL THREE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR PORTAGE COUNTY, AND THERE ARE NO PRIORITIZED HEALTH NEEDS THAT UH PORTAGE MEDICAL CENTER IS NOT ADDRESSING.FOR MORE DETAILS ON THE STRATEGIES THAT UH PORTAGE MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 PORTAGE COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT GROUP A-FACILITY 6 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 6 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UHHOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 6 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, HOUSING, AND NEIGHBORHOOD AND BUILT ENVIRONMENT INDICATORS FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AMERICAN COMMUNITY SURVEY, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2022 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CUYAHOGA COUNTY CHNA STEERING COMMITTEE, INCLUDING UH REHABILITATION HOSPITAL BEACHWOOD AND OTHER UH AFFILIATED HOSPITALS, COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT DEVELOPMENT OF CUYAHOGA COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO IMPROVE COMMUNITY HEALTH BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES. GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 5: MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS OF QUALITATIVE DATA COLLECTION IN WHICH INCLUDED TWO VIRTUAL PUBLIC PRIORITIZATION SESSIONS THAT WERE HOSTED IN EARLY AUGUST 2022. UH REHABILITATION HOSPITAL'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (KEY INFORMANT INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS AND FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM CUYAHOGA COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS (KIIS) WITH COMMUNITY STAKEHOLDERS AND COMMUNITY FOCUS GROUPS. CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) CONDUCTED KEY INFORMANT INTERVIEWS VIA PHONE AND VIDEO CONFERENCE IN ORDER TO COLLECT COMMUNITY INPUT. INTERVIEWEES INVITED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, AND/OR BEING ABLE TO SPEAK TO THE NEEDS OF UNDERSERVED OR VULNERABLE POPULATIONS. THIRTY-TWO INDIVIDUALS PARTICIPATED AS KEY INFORMANTS REPRESENTING DIFFERENT ENTITIES SERVING CUYAHOGA COUNTY. THE REPRESENTED ORGANIZATIONS ARE LISTED BELOW:- ADAMHS BOARD OF CUYAHOGA COUNTY- ASIAN SERVICES IN ACTION (ASIA)- BENJAMIN ROSE INSTITUTE ON AGING- BETTER HEALTH PARTNERSHIP- CALVARY HILL CHURCH OF GOD IN CHRIST- CENTER FOR COMMUNITY SOLUTIONS- CENTERS FOR FAMILIES & CHILDREN- CITY OF CLEVELAND DIVISION OF EMERGENCY MEDICAL SERVICES (EMS)- CLEVELAND CLINIC LAKEWOOD FAMILY HEALTH CENTER- CLEVELAND DEPARTMENT OF PUBLIC HEALTH (CDPH)- CUYAHOGA COUNTY BOARD OF HEALTH (CCBH)- CUYAHOGA COUNTY HHS- CUYAHOGA COUNTY OFFICE OF HOMELESS SERVICES- CUYAHOGA METROPOLITAN HOUSING AUTHORITY (CMHA)- EDUCATIONAL SERVICE CENTER OF NEO- ESPERANZA, INC- FRONTLINE SERVICE- GREATER CLEVELAND FOOD BANK- GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY (RTA)- HISPANIC ROUNDTABLE- LGBT COMMUNITY CENTER- MAY DUGAN CENTER- NAMI GREATER CLEVELAND- NEIGHBORHOOD FAMILY PRACTICE- POLICY BRIDGE- POSITIVE EDUCATION PROGRAM (PEP)- TAYLOR OSWALD- UNIVERSITY HOSPITALS PEDIATRIC/WOMEN'S- URBAN LEAGUE OF GREATER CLEVELANDSECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM THE HEALTHY NORTHEAST OHIO (NEO) COMMUNITY DATA PLATFORM. HEALTHY NEO IS A PUBLICLY AVAILABLE WEBSITE WHICH HOUSES NEUTRAL POPULATION HEALTH DATA AND COMMUNITY HEALTH RESOURCES TO SUPPORT COMMUNITY HEALTH IMPROVEMENT EFFORTS ACROSS A 9-COUNTY REGION. THE DATA ON THIS PLATFORM, MAINTAINED BY RESEARCHERS AND ANALYSTS AT CONDUENT HCI, INCLUDES OVER 200 COMMUNITY INDICATORS, SPANNING AT LEAST 24 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA ARE PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS IS COMPARED TO OTHER COMMUNITIES, NATIONAL TARGETS, AND TO PREVIOUS TIME PERIODS. GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH REHABILITATION HOSPITAL - BEACHWOOD IN THE JOINT CHNA FOR CUYAHOGA COUNTY: - UH CLEVELAND MEDICAL CENTER - UNIVERSITY HOSPITALS RAINBOW BABIES & CHILDREN'S HOSPITAL- UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER- THE PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION D/B/A UNIVERSITY HOSPITALS PARMA MEDICAL CENTER- UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER- SOUTHWEST GENERAL HEALTH CENTER- ST. VINCENT CHARITY MEDICAL CENTER GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: - A VISION OF CHANGE- BETTER HEALTH PARTNERSHIP- CASE WESTERN RESERVE UNIVERSITY- CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE- CLEVELAND CLINIC- CLEVELAND DEPARTMENT OF PUBLIC HEALTH- CUYAHOGA COUNTY BOARD OF HEALTH- CUYAHOGA COUNTY CLERK OF COURTS- CUYAHOGA COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES- THE METROHEALTH SYSTEM- NEIGHBORHOOD FAMILY PRACTICE- POLICYBRIDGE- THE CENTER FOR HEALTH AFFAIRS- UNITED WAY GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 11: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH REHABILITATION HOSPITAL (CUYAHOGA COUNTY) IDENTIFIED THE FOLLOWING ONE PRIORITY HEALTH NEED AND AN ASSOCIATED STRATEGY TO ADDRESS IT:PRIORITY HEALTH NEED: ACCESSIBLE AND AFFORDABLE HEALTH CARE STRATEGY #1: ACCESS TO COMMUNITY BASED EDUCATION AND HEALTH SCREENING TO PREVENT AND/OR MANAGE CHRONIC DISEASESTHE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE ONE PRIORITIZED HEALTH NEED ABOVE AS THIS NEED WAS CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON IT. THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR CUYAHOGA COUNTY THAT ARE NOT BEING ADDRESSED BY UH REHABILITATION HOSPITAL ARE BEHAVIORAL HEALTH (MENTAL HEALTH & DRUG USE/ MISUSE), AND COMMUNITY CONDITIONS (ACCESS TO HEALTHY FOOD & COMMUNITY SAFETY). UH REHABILITATION HOSPITAL BEACHWOOD HAS DETERMINED THAT IT IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND/OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT NEED AND MAKING A SIGNIFICANT POSITIVE IMPACT.FOR MORE DETAILS ON THE STRATEGIES THAT UH REHABILITATION HOSPITAL BEACHWOOD IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CUYAHOGA COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 12 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL DETERMINANTS OF HEALTH THAT ARE GROUPED INTO THE FOLLOWING FIVE DOMAINS: NEIGHBORHOOD AND BUILT ENVIRONMENT, ECONOMIC STABILITY, EDUCATION ACCESS AND QUALITY, SOCIAL AND COMMUNITY CONTEXT, AND HEALTHCARE ACCESS AND QUALITY FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, STATE OF OHIO BOARD OF PHARMACY, OHIO DEPARTMENT OF EDUCATION, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES.THE LORAIN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) STEERING COMMITTEE, INCLUDING UH AVON REHABILITATION HOSPITAL AND OTHER UH AFFILIATED HOSPITALS, WAS A COLLABORATIVE EFFORT OF PUBLIC HEALTH, HOSPITALS, AND COMMUNITY ORGANIZATIONS. LORAIN COUNTY PUBLIC HEALTH (LCPH) CONDUCTED THE COMMUNITY CONVERSATIONS AND SECONDARY DATA COLLECTION, AND BURGES & BURGES STRATEGISTS CONDUCTED THE KEY STAKEHOLDER INTERVIEWS. THE CHNA ASSESSMENT RELIED ON FEEDBACK FROM LORAIN COUNTY RESIDENTS AND STAKEHOLDERS THROUGH INTERVIEWS AND FOCUS GROUPS AND ANALYZED LOCAL AND SECONDARY DATA. GROUP A-FACILITY 12 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 5: THE UH AVON REHABILITATION HOSPITAL'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (STAKEHOLDER INTERVIEWS AND COMMUNITY CONVERSATIONS) AND SOME SECONDARY FROM GOVERNMANTAL ORGANIZATIONS (REGARDING RISK FACTORS AND HEALTH OUTCOME INFORMATION). TO ENSURE THE BROAD INTEREST OF THE COMMUNITY WERE CONSIDERED, INPUT WAS COLLECTED FROM VARIOUS LORAIN COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THE ASSESSMENT CONSISTED OF STAKEHOLDER INTERVIEWS FROM A DIVERSE SET OF LEADERS FROM ACROSS LORAIN COUNTY, INCLUDING LEADERSHIP FROM HEALTH SERVICE PROVIDERS, SOCIAL SERVICE ORGANIZATIONS, ELECTED AND APPOINTED CIVIC INSTITUTIONS, LOCAL AND REGIONAL BUSINESSES, EDUCATIONAL INSTITUTIONS, AND FAITH COMMUNITIES. BELOW IS A LIST OF ORGANIZATIONS THAT PARTICIPATED IN THE STAKEHOLDER INTERVIEWS:- AVON LOCAL SCHOOL DISTRICT- CHILD CARE RESOURCE CENTER- EDUCATIONAL SERVICES CENTER OF LORAIN COUNTY- EL CENTRO DE SERVICIOS SOCIALES, INC.- ELYRIA CITY SCHOOL DISTRICT- FIRELANDS LOCAL SCHOOL DISTRICT- FULL GOSPEL MINISTRIES- KEYSTONE LOCAL SCHOOLS- LORAIN CITY SCHOOLS- LORAIN COUNTY HEALTH & DENTISTRY- LORAIN COUNTY COMMUNITY COLLEGE- LORAIN COUNTY FAIR BOARD- LORAIN COUNTY FREE CLINIC- LORAIN COUNTY METRO PARKS- LORAIN COUNTY URBAN LEAGUE- LORAIN PUBLIC LIBRARY SYSTEM- LORAIN/MEDINA COMMUNITY BASED CORRECTIONAL FACILITY- RIDDELL- SACRED HEART- SPRENGER HEALTH CARE- THE LCADA WAY- THE NORD CENTER- UNITED WAY OF GREATER LORAIN COUNTY- YWCA LORAINTHE LORAIN COUNTY PUBLIC HEALTH (LCPH) CONDUCTED COMMUNITY CONVERSATIONS WITH NINE DIFFERENT COMMUNITY-BASED AND RESIDENT GROUPS IN 2022, BOTH IN-PERSON AND VIRTUALLY VIA ZOOM. EACH COVERSATION LASTED BETWEEN THIRTY MINUTES AND ONE HOUR WITH THE GOAL OF AUTHENTICALLY ENGAGING MEMBERS OF THE COMMUNITY AND GENERATE PUBLIC KNOWLEDGE THAT CAN HELP MAKE DESICISIONS. LCPH SPECIFICALLY REACHED OUT TO GROUPS REPRESENTING VULNERABLE POPULATIONS. BELOW IS A LIST OF ORGANIZATIONS THAT PARTICIPATED IN THE COMMUNITY CONVERSATIONS:- BLACK PASTORS' HEALTH COALITION- BOY SCOUTS- HISPANIC FUND- LORAIN COUNTY FAIR BOARD- MERCY FAMILY HEALTH- MERCY PARISH NURSING- MERCY PARISH NURSING VOLUNTEERS- RISING STARTS- MEN OF COURAGESECONDARY DATA USED FOR THIS ASSESSMENT WERE COMPILED THROUGH THE GOVERNMENT AGENCIES LISTED BELOW:- OHIO DEPARTMENT OF HEALTH BUREAU OF VITAL STATISTICS OHIO CANCER INCIDENCE SURVEILLANCE SYSTEM COMPILED REPORTS OR DATA BRIEFS- CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)- UNITED STATES CENSUS BUREAU- OHIO DEPARTMENT OF EDUCATION- STATE OF OHIO BOARD OF PHARMACY GROUP A-FACILITY 12 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR LORAIN COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH AVON REHABILITATION HOSPITAL IN THE JOINT CHNA FOR LORAIN COUNTY:- UH ELYRIA MEDICAL CENTER- CLEVELAND CLINIC AVON HOSPITAL- MERCY HEALTH ALLEN HOSPITAL- MERCY HEALTH LORAIN HOSPITAL- SPECIALTY HOSPITAL OF LORAIN GROUP A-FACILITY 12 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR LORAIN COUNTY: - LORAIN COUNTY HEALTH & DENTISTRY- LORAIN COUNTY METRO PARKS- LORAIN COUNTY PUBLIC HEALTH- MENTAL HEALTH, ADDICTION, AND RECOVERY SERVICES BROARD OF LORAIN COUNTY GROUP A-FACILITY 12 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 11: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH AVON REHABILITATION HOSPITAL (LORAIN COUNTY) IDENTIFIED THE FOLLOWING ONE PRIORITY HEALTH NEED AND ASSOCIATED STRATEGY TO ADDRESS IT:PRIORITY HEALTH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION STRATEGY #1: COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS TO PREVENT AND/OR MANAGE CHRONIC DISEASESTHE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE ONE PRIORITIZED HEALTH NEED ABOVE AS THIS NEED WAS CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON THIS NEED. THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR LORAIN COUNTY THAT ARE NOT BEING ADDRESSED BY UH AVON REHABILITATION HOSPITAL ARE MATERNAL AND CHILD HEALTH, MENTAL HEALTH, SUBSTANCE USE, AND CANCER. UH AVON REHABILITATION HOSPITAL HAS DETERMINED THAT IT IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND/OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT NEED AND MAKING A SIGNIFICANT POSITIVE IMPACT.FOR MORE DETAILS ON THE STRATEGIES THAT UH AVON REHABILITATION HOSPITAL IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 LORAIN COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT GROUP A-FACILITY 12 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 12 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 12 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 5 -- UH LAKE WEST MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, AND EDUCATION FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, ROBERT WOOD JOHNSON FOUNDATION, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS. REPRESENTATIVES FROM KEY LAKE COUNTY ANCHOR ORGANIZATIONS FORMED THE LAKE COUNTY CHNA STEERING COMMITTEE TO GUIDE LAKE COUNTY GENERAL HEALTH DISTRICT (LCGHD), UNIVERSITY HOSPITALS LAKE WEST MEDICAL CENTER AND UNIVERSITY HOSPITALS TRIPOINT MEDICAL CENTER ("UH LAKE HEALTH MEDICAL CENTERS") THROUGH THE ASSESSMENT PROCESS. REPRESENTING A VARIETY OF SECTORS INCLUDING ACADEMIA, EDUCATION, HEALTHCARE, TRANSPORTATION, SOCIAL SERVICES, AS WELL AS THE AGING POPULATION AND THOSE WITH DISABILITIES, THESE ORGANIZATIONS PLAY KEY ROLES IN OPTIMIZING THE COMMUNITY'S HEALTH. THE COMMITTEE MET REGULARLY OVER SIX MONTHS TO REVIEW SECONDARY DATA, REVISE RESIDENT SURVEY QUESTIONS, SUGGEST NEW PARTNERS TO CONTRIBUTE TO THE PRIORITIZATION PROCESS, AND FINALLY APPROVE THE FINALIZED HEALTH NEEDS.LCGHD AND UNIVERSITY HOSPITALS COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT DATA ANALYSIS AND REPORT DEVELOPMENT OF LAKE COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO DRIVE COMMUNITY HEALTH OUTCOMES BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES. GROUP A-FACILITY 5 -- UH LAKE WEST MEDICAL CENTER PART V, SECTION B, LINE 5: MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS WHICH INCLUDED PARTICIPATION IN QUALITATIVE DATA COLLECTION, MARKETING AND PARTICIPATION IN THE COMMUNITY HEALTH SURVEY, AS WELL AS PARTICIPATION IN THE PUBLIC PRIORITIZATION MEETING THAT WAS HOSTED VIRTUALLY. UH WEST MEDICAL CENTER 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (COMMUNITY SURVEY AND FOCUS GROUPS AND MAYORS AND CITY MANAGERS FEEDBACK) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, SOCIOECONOMIC, MORBIDITY, AND MORTALITY).TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM RESIDENTS IN LAKE COUNTY. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF FOCUS GROUP DISCUSSIONS, AN ONLINE COMMUNITY SURVEY, AS WELL AS AN ADDITIONAL SURVEY WITH MAYORS AND CITY MANAGERS. THE COMMUNITY SURVEY WAS CONDUCTED ONLINE AND PROMOTED ACROSS LAKE COUNTY BY LCGHD AND UH LAKE HEALTH MEDICAL CENTERS AND THEIR COMMUNITY PARTNERS. THE SURVEY CONSISTED OF 103 QUESTIONS RELATED TO TOP HEALTH NEEDS IN THE COMMUNITY, INDIVIDUALS' PERCEPTION OF THEIR OVERALL HEALTH, INDIVIDUALS' ACCESS TO HEALTH CARE SERVICES, AS WELL AS SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH AND GENERAL HEALTH STATUS. RESPONSES WERE COLLECTED FROM JANUARY 21, 2022, TO MARCH 1, 2022. BOTH AN ENGLISH AND SPANISH VERSION OF THE SURVEY WERE MADE AVAILABLE. A TOTAL OF 1,846 RESPONSES WERE COLLECTED.SEVEN ADDITIONAL KEY INFORMANT SURVEYS WERE ADMINISTERED TO LAKE COUNTY MAYORS AND CITY MANAGERS TO GAIN ADDITIONAL COMMUNITY-LEVEL FEEDBACK. FIVE KEY FOCUS GROUP DISCUSSIONS WERE CONDUCTED IN MARCH 2022 TO GAIN DEEPER UNDERSTANDING OF HEALTH ISSUES IMPACTING THE RESIDENTS OF LAKE COUNTY. KEY COMMUNITY GROUPS WHO PARTICIPATED IN THESE FOCUS GROUPS INCLUDE REPRESENTATIVES FROM: - BLACK LIVES MATTER- LGBTQ+ COMMUNITY- NAACP- PAINESVILLE ELM STREET ELEMENTARY- SENIORSINITIALLY, A TOTAL OF 181 SECONDARY DATA MEASURES WERE IDENTIFIED AND COMPILED ACROSS HEALTHY PEOPLE 2030 (WHERE AVAILABLE), NATIONAL, STATE, AND COUNTY VALUES. IN CONJUNCTION WITH LAKE COUNTY VALUES, TWO DEMOGRAPHICALLY SIMILAR COUNTIES, LICKING COUNTY AND CLERMONT COUNTY, AS DETERMINED BY TOTAL POPULATION, POVERTY, AGE, AND MEDIAN HOUSEHOLD INCOME, WERE INCLUDED FOR BENCHMARKING PURPOSES. BASED UPON THE QUALITY, AGE, AVAILABILITY, AND/OR REDUNDANCY OF THE MEASURES, 171 OF THE INITIALLY COMPILED 338 (94%) MEASURES WERE INCLUDED FOR ANALYSIS. GROUP A-FACILITY 5 -- UH LAKE WEST MEDICAL CENTER PART V, SECTION B, LINE 6A: THE FOLLOWING HOSPITAL FACILITY IS INCLUDED WITH UH LAKE WEST MEDICAL CENTER IN THE JOINT CHNA FOR LAKE COUNTY:- UH TRIPOINT MEDICAL CENTER GROUP A-FACILITY 5 -- UH LAKE WEST MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR LAKE COUNTY: - EDUCATIONAL SERVICE CENTER OF THE WESTERN RESERVE- LAKE COUNTY ALCOHOL, DRUG, AND MENTAL HEALTH SERVICES BOARD- LAKE COUNTY COUNCIL ON AGING- LAKE COUNTY BOARD OF DEVELOPMENTAL DISABILITIES- LAKE COUNTY JOB & FAMILY SERVICES- LAKE METROPARKS- LAKELAND COMMUNITY COLLEGE- LAKETRAN- SIGNATURE HEALTH- UNITED WAY OF LAKE COUNTY- YMCA OF LAKE COUNTY GROUP A-FACILITY 5 -- UH LAKE WEST MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH LAKE WEST MEDICAL CENTER (LAKE COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEATH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: ACCESS TO HEALTHCARE STRATEGY #1: IMPROVE HEALTHCARE ACCESS THROUGH THE CREATION OF WORKFORCE PIPELINE AND DEVELOPMENT OPPORTUNITIES TO PURSUE CAREERS IN HEALTH CARE. IMPROVE INCLUSIVE HEALTHCARE ACCESS FOR COMMUNITY MEMBERS, ESPECIALLY THOSE IMPACTED BY HIGH COST DUE TO BEING UNINSURED OR UNDERINSURED WITH A HIGH DEDUCTIBLE TO IMPROVE REFERRALS TO PRIMARY CARE.PRIORITY HEALTH NEED #2: BEHAVIORAL HEALTH (MENTAL HEALTH & SUBSTANCE USE AND MISUSE) STRATEGY #1: UH LAKE HEALTH AND PUBLIC HEALTH PARTNERS ADDRESS OPIOIDS/SUBSTANCE USE/MISUSE AND MENTAL HEALTHPRIORITY HEALTH NEED #3: CHRONIC DISEASE CONDITIONS STRATEGY #1: COMMUNITY ENGAGEMENT TO PROVIDE SCREENINGS, EDUCATION AND SUPPORT GROUPS TO PREVENT AND/OR MANAGE CHRONIC DISEASES.UH LAKE WEST MEDICAL CENTER IS CURRENTLY ADDRESSING ALL THREE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR LAKE COUNTY, AND THERE ARE NO PRIORITIZED HEALTH NEEDS THAT UH LAKE WEST MEDICAL CENTER IS NOT ADDRESSING.FOR MORE DETAILS ON THE STRATEGIES THAT UH LAKE WEST MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 LAKE COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT GROUP A-FACILITY 5 -- UH LAKE WEST MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 5 -- UH LAKE WEST MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 5 -- UH LAKE WEST MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP A-FACILITY 9 -- UH TRIPOINT MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, AND EDUCATION FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, ROBERT WOOD JOHNSON FOUNDATION, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS. REPRESENTATIVES FROM KEY LAKE COUNTY ANCHOR ORGANIZATIONS FORMED THE LAKE COUNTY CHNA STEERING COMMITTEE TO GUIDE LAKE COUNTY GENERAL HEALTH DISTRICT (LCGHD), UNIVERSITY HOSPITALS LAKE WEST MEDICAL CENTER AND UNIVERSITY HOSPITALS TRIPOINT MEDICAL CENTER ("UH LAKE HEALTH MEDICAL CENTERS") THROUGH THE ASSESSMENT PROCESS. REPRESENTING A VARIETY OF SECTORS INCLUDING ACADEMIA, EDUCATION, HEALTHCARE, TRANSPORTATION, SOCIAL SERVICES, AS WELL AS THE AGING POPULATION AND THOSE WITH DISABILITIES, THESE ORGANIZATIONS PLAY KEY ROLES IN OPTIMIZING THE COMMUNITY'S HEALTH. THE COMMITTEE MET REGULARLY OVER SIX MONTHS TO REVIEW SECONDARY DATA, REVISE RESIDENT SURVEY QUESTIONS, SUGGEST NEW PARTNERS TO CONTRIBUTE TO THE PRIORITIZATION PROCESS, AND FINALLY APPROVE THE FINALIZED HEALTH NEEDS.LCGHD AND UNIVERSITY HOSPITALS COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT DATA ANALYSIS AND REPORT DEVELOPMENT OF LAKE COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO DRIVE COMMUNITY HEALTH OUTCOMES BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES. GROUP A-FACILITY 9 -- UH TRIPOINT MEDICAL CENTER PART V, SECTION B, LINE 5: MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS WHICH INCLUDED PARTICIPATION IN QUALITATIVE DATA COLLECTION, MARKETING AND PARTICIPATION IN THE COMMUNITY HEALTH SURVEY, AS WELL AS PARTICIPATION IN THE PUBLIC PRIORITIZATION MEETING THAT WAS HOSTED VIRTUALLY. UH WEST MEDICAL CENTER 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (COMMUNITY SURVEY AND FOCUS GROUPS AND MAYORS AND CITY MANAGERS FEEDBACK) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, SOCIOECONOMIC, MORBIDITY, AND MORTALITY).TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM RESIDENTS IN LAKE COUNTY. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF FOCUS GROUP DISCUSSIONS, AN ONLINE COMMUNITY SURVEY, AS WELL AS AN ADDITIONAL SURVEY WITH MAYORS AND CITY MANAGERS. THE COMMUNITY SURVEY WAS CONDUCTED ONLINE AND PROMOTED ACROSS LAKE COUNTY BY LCGHD AND UH LAKE HEALTH MEDICAL CENTERS AND THEIR COMMUNITY PARTNERS. THE SURVEY CONSISTED OF 103 QUESTIONS RELATED TO TOP HEALTH NEEDS IN THE COMMUNITY, INDIVIDUALS' PERCEPTION OF THEIR OVERALL HEALTH, INDIVIDUALS' ACCESS TO HEALTH CARE SERVICES, AS WELL AS SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH AND GENERAL HEALTH STATUS. RESPONSES WERE COLLECTED FROM JANUARY 21, 2022, TO MARCH 1, 2022. BOTH AN ENGLISH AND SPANISH VERSION OF THE SURVEY WERE MADE AVAILABLE. A TOTAL OF 1,846 RESPONSES WERE COLLECTED.SEVEN ADDITIONAL KEY INFORMANT SURVEYS WERE ADMINISTERED TO LAKE COUNTY MAYORS AND CITY MANAGERS TO GAIN ADDITIONAL COMMUNITY-LEVEL FEEDBACK. FIVE KEY FOCUS GROUP DISCUSSIONS WERE CONDUCTED IN MARCH 2022 TO GAIN DEEPER UNDERSTANDING OF HEALTH ISSUES IMPACTING THE RESIDENTS OF LAKE COUNTY. KEY COMMUNITY GROUPS WHO PARTICIPATED IN THESE FOCUS GROUPS INCLUDE REPRESENTATIVES FROM: - BLACK LIVES MATTER- LGBTQ+ COMMUNITY- NAACP- PAINESVILLE ELM STREET ELEMENTARY- SENIORSINITIALLY, A TOTAL OF 181 SECONDARY DATA MEASURES WERE IDENTIFIED AND COMPILED ACROSS HEALTHY PEOPLE 2030 (WHERE AVAILABLE), NATIONAL, STATE, AND COUNTY VALUES. IN CONJUNCTION WITH LAKE COUNTY VALUES, TWO DEMOGRAPHICALLY SIMILAR COUNTIES, LICKING COUNTY AND CLERMONT COUNTY, AS DETERMINED BY TOTAL POPULATION, POVERTY, AGE, AND MEDIAN HOUSEHOLD INCOME, WERE INCLUDED FOR BENCHMARKING PURPOSES. BASED UPON THE QUALITY, AGE, AVAILABILITY, AND/OR REDUNDANCY OF THE MEASURES, 171 OF THE INITIALLY COMPILED 338 (94%) MEASURES WERE INCLUDED FOR ANALYSIS. GROUP A-FACILITY 9 -- UH TRIPOINT MEDICAL CENTER PART V, SECTION B, LINE 6A: THE FOLLOWING HOSPITAL FACILITY IS INCLUDED WITH UH TRIPOINT MEDICAL CENTER IN THE JOINT CHNA FOR LAKE COUNTY:- UH LAKE WEST MEDICAL CENTER GROUP A-FACILITY 9 -- UH TRIPOINT MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR LAKE COUNTY: - EDUCATIONAL SERVICE CENTER OF THE WESTERN RESERVE- LAKE COUNTY ALCOHOL, DRUG, AND MENTAL HEALTH SERVICES BOARD- LAKE COUNTY COUNCIL ON AGING- LAKE COUNTY BOARD OF DEVELOPMENTAL DISABILITIES- LAKE COUNTY JOB & FAMILY SERVICES- LAKE METROPARKS- LAKELAND COMMUNITY COLLEGE- LAKETRAN- SIGNATURE HEALTH- UNITED WAY OF LAKE COUNTY- YMCA OF LAKE COUNTY GROUP A-FACILITY 9 -- UH TRIPOINT MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH TRIPOINT MEDICAL CENTER (LAKE COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEATH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: ACCESS TO HEALTHCARE STRATEGY #1: IMPROVE HEALTHCARE ACCESS THROUGH THE CREATION OF WORKFORCE PIPELINE AND DEVELOPMENT OPPORTUNITIES TO PURSUE CAREERS IN HEALTH CARE. IMPROVE INCLUSIVE HEALTHCARE ACCESS FOR COMMUNITY MEMBERS, ESPECIALLY THOSE IMPACTED BY HIGH COST DUE TO BEING UNINSURED OR UNDERINSURED WITH A HIGH DEDUCTIBLE TO IMPROVE REFERRALS TO PRIMARY CARE.PRIORITY HEALTH NEED #2: BEHAVIORAL HEALTH (MENTAL HEALTH & SUBSTANCE USE AND MISUSE) STRATEGY #1: UH LAKE HEALTH AND PUBLIC HEALTH PARTNERS ADDRESS OPIOIDS/SUBSTANCE USE/MISUSE AND MENTAL HEALTHPRIORITY HEALTH NEED #3: CHRONIC DISEASE CONDITIONS STRATEGY #1: COMMUNITY ENGAGEMENT TO PROVIDE SCREENINGS, EDUCATION AND SUPPORT GROUPS TO PREVENT AND/OR MANAGE CHRONIC DISEASES.UH TRIPOINT MEDICAL CENTER IS CURRENTLY ADDRESSING ALL THREE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR LAKE COUNTY, AND THERE ARE NO PRIORITIZED HEALTH NEEDS THAT UH TRIPOINT MEDICAL CENTER IS NOT ADDRESSING.FOR MORE DETAILS ON THE STRATEGIES THAT UH TRIPOINT MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 LAKE COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT GROUP A-FACILITY 9 -- UH TRIPOINT MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP.CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP A-FACILITY 9 -- UH TRIPOINT MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP A-FACILITY 9 -- UH TRIPOINT MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 7: UH GEAUGA MEDICAL CENTER, - FACILITY 11: UH SAMARITAN MEDICAL CENTER GROUP B-FACILITY 7 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, EDUCATION, HOUSING, AND NEIGHBORHOOD AND BUILT ENVIRONMENT FACTORS FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS.THE HOSPITAL COUNCIL OF NORTHWEST OHIO WORKED CLOSELY WITH GEAUGA COUNTY LEADERS, THE HEALTH DEPARTMENT, UNIVERSITY HOSPITALS, LOCAL ORGANIZATIONS, AND GEAUGA COUNTY RESIDENTS IN THE 2022 CHNA FOR GEAUGA COUNTY. REPRESENTATIVES FROM GEAUGA PUBLIC HEALTH AND UNIVERSITY HOSPITALS GEAUGA MEDICAL CENTER FORMED THE PARTNERSHIP OF HEALTHY GEAUGA FOR THE 2022 CHNA. THE PARTNERS MET REGULARLY OVER SIX MONTHS TO REVIEW SECONDARY DATA AND COMMUNITY FEEDBACK, SUGGEST NEW PARTNERS TO CONTRIBUTE TO THE PRIORITIZATION PROCESS, AND FINALLY APPROVE THE FINALIZED HEALTH NEEDS. THE PARTNERS ENGAGED WITH GEAUGA COUNTY COMMUNITY MEMBERS THROUGHOUT THE ASSESSMENT PROCESS. REPRESENTING A VARIETY OF SECTORS, INCLUDING ACADEMIA, EDUCATION, HEALTHCARE, TRANSPORTATION, SOCIAL SERVICES, AS WELL AS THE AGING POPULATION AND THOSE WITH DISABILITIES, THESE ORGANIZATIONS PLAY KEY ROLES IN OPTIMIZING THE COMMUNITY'S HEALTH.THE GEAUGA COUNTY CHNA STEERING COMMITTEE (AKA PARTNERSHIP OF HEALTHY GEAUGA), INCLUDING GEAUGA PUBLIC HEALTH AND UH GEAUGA MEDICAL CENTER, COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT DEVELOPMENT OF GEAUGA COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO IMPROVE COMMUNITY HEALTH BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES. GROUP B-FACILITY 7 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 5: UH GEAUGA MEDICAL CENTER'S 2022 ASSESSMENT CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (KEY INFORMANT INTERVIEWS, COMMUNITY SURVEY, AND FOCUS GROUPS) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). FOR BOTH PRIMARY AND SECONDARY DATA, IMMENSE EFFORTS WERE MADE TO INCLUDE AS WIDE A RANGE OF COMMUNITY HEALTH INDICATORS, KEY INFORMANTS, AND FOCUS GROUP PARTICIPANTS AS POSSIBLE. ALTHOUGH THE TOPICS BY WHICH DATA WERE ORGANIZED COVERED A WIDE RANGE OF HEALTH AND QUALITY OF LIFE AREAS, WITHIN EACH TOPIC, THERE WAS A VARYING SCOPE AND DEPTH OF SECONDARY DATA INDICATORS AND PRIMARY DATA FINDINGS.TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM GEAUGA COUNTY RESIDENTS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF COMMUNITY SURVEYS, KEY INFORMANT INTERVIEWS (KIIS) WITH KEY COMMUNITY STAKEHOLDERS, AND FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS. GEAUGA PUBLIC HEALTH CONDUCTED FIVE KEY INORMANT INTERVIEWS IN AUGUST 2022. INDIVIDUALS REPRESENTING THE FOLLOWING GROUPS PARTICIPATED IN THE KEY INFORMANT INTERVIEWS: - DEPARTMENT OF AGING- GEAUGA METROPOLITAN HOUSING AUTHORITY- KENT STATE GEAUGA- LEAGUE OF WOMEN VOTERS- UNITED WAYFOUR FOCUS GROUP DISCUSSIONS WERE CONDUCTED BY GEAUGA PUBLIC HEALTH FROM APRIL TO AUGUST 2022 TO GAIN DEEPER INSIGHTS ABOUT PERCEPTIONS, ATTITUDES, EXPERIENCES, OR BELIEFS HELD BY COMMUNITY MEMBERS ABOUT THEIR HEALTH AND THE HEALTH OF THEIR COMMUNITY. PARTICIPANTS IN THE COMMUNITY FOCUS GROUPS INCLUDED REPRESENTATIVES FROM: CHAGRIN FALLS PARK, HISPANIC POPULATIONS, AND SENIORS THAT INCLUDED PERSPECTIVES FROM ACROSS THE COUNTY. THE COMMUNITY SURVEY CONTAINED BOTH CUSTOMIZED QUESTIONS AND A SET OF CORE QUESTIONS TAKEN FROM THE CENTER FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. THE NUMBER OF SURVEYS COMPLETED AND ANALYZED (398) MET THE THRESHOLD FOR STATISTICAL SIGNIFICANCE AT THE 95% CONFIDENCE LEVEL, WITH A 5% MARGIN OF ERROR. WHEREVER POSSIBLE, LOCAL FINDINGS WERE COMPARED TO OTHER LOCAL, REGIONAL, STATE, AND NATIONAL DATA.SECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM A COMMUNITY INDICATOR DATABASE DEVELOPED BY CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI). THE DATABASE, MAINTAINED BY RESEARCHERS AND ANALYSTS AT HCI, INCLUDED OVER 150 COMMUNITY INDICATORS, SPANNING AT LEAST 24 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA WAS PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS WAS COMPARED TO OTHER COMMUNITIES, NATIONAL TARGETS, AND TO PREVIOUS TIME PERIODS. THE SECONDARY DATA ANALYSIS IDENTIFIED THE FOLLOWING HEALTH TOPIC AREAS: MEDICATIONS & PRESCRIPTIONS, NUTRITION & HEALTHY EATING, WOMENS HEALTH, HEALTHCARE ACCESS & QUALITY, AND OTHER CONDITIONS. GROUP B-FACILITY 7 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR GEAUGA COUNTY: - GEAUGA COUNTY DEPARTMENT ON AGING- GEAUGA PARK DISTRICT- LAKE GEAUGA RECOVERY CENTERS- MIDDLEFIELD CARE CENTER- UNITED WAY SERVICES OF GEAUGA COUNTY- KENT-STATE GEAUGA- CHAGRIN FALLS PARK COMMUNITY CENTER- GEAUGA SOGI SUPPORT NETWORK- GEAUGA COUNTY VETERAN'S SERVICES- GEAUGA TRANSIT DEPARTMENT- GEAUGA COUNTY PLANNING COMMISSION- GEAUGA METROPOLITAN HOUSING AUTHORITY- GEAUGA COUNTY BOARD OF MENTAL HEALTH & RECOVERY SERVICES- GEAUGA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES- GEAUGA COUNTY EDUCATIONAL SERVICE CENTER- GEAUGA COUNTY JOBS AND FAMILY SERVICES- NAMI GEAUGA- RAVENWOOD MENTAL HEALTH- WOMENSAFE, INC. GROUP B-FACILITY 7 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 11: PART V, SECTION B, LINE 11: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH GEAUGA MEDICAL CENTER (GEAUGA COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEATH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: BEHAVIORAL HEALTH (MENTAL HEALTH & SUBSTANCE USE/MISUSE) STRATEGY #1: SUPPORT COUNTYWIDE COLLABORATIVE EFFORTS FOR BEHAVIORAL HEALTH PREVENTION AND TREATMENT SERVICES STRATEGY #2: COORDINATION OF EDUCATION RELATED TO MENTAL HEALTH PREVENTION STRATEGY #3: COORDINATION OF PREVENTION AND EDUCATION EFFORTS ABOUT ALCOHOL TOBACCO OTHER DRUGS (ATOD) TO THE AMISH COMMUNITYPRIORITY HEALTH NEED #2: CHRONIC CONDITIONS (HEART DISEASE & BREAST CANCER) STRATEGY #1: PLANNING AND COORDINATION OF ACTIVITIES AND SERVICES TO INCREASE AWARENESS ABOUT HEART HEALTH ACROSS GEAUGA COUNTY STRATEGY #2: OUTREACH TO THE AMISH COMMUNITY TO INCREASE AWARENESS ABOUT HEART HEALTH STRATEGY #3: COORDINATION AND OUTREACH TO INCREASE AWARENESS ABOUT BREAST HEALTH AMONG ADULTSPRIORITY HEALTH NEED #3: HEALTHCARE ACCESS AND QUALITY STRATEGY #1: COORDINATION AND OUTREACH EDUCATION TO EXPAND HEALTHCARE ACCESS FOR AMISH COMMUNITYTHE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE THREE PRIORITIZED HEALTH NEEDS ABOVE AS THOSE NEEDS WERE CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON THOSE NEEDS. THE PRIORITIZED HEALTH NEED IDENTIFIED IN THE 2022 CHNA FOR GEAUGA COUNTY THAT IS NOT BEING ADDRESSED BY UH GEAUGA MEDICAL CENTER IS COMMUNITY CONDITIONS (TRANSPORTATION AND HOUSING). UH GEAUGA MEDICAL CENTER HAS DETERMINED THAT IT IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND/OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT NEED AND MAKING A SIGNIFICANT POSITIVE IMPACT.FOR MORE DETAILS ON THE STRATEGIES THAT UH GEAUGA MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 GEAUGA COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT GROUP B-FACILITY 7 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP B-FACILITY 7 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP B-FACILITY 7 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. GROUP B-FACILITY 11 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, EDUCATION, HOUSING, AND NEIGHBORHOOD AND BUILT ENVIRONMENT FACTORS FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE FOLLOWING ORGANIZATIONS, COMMITTEES, AND WORK GROUPS THAT WERE ACTIVE IN ASHLAND COUNTY AND PROVIDED INPUT INTO THIS ASSESSMENT PROCESS:- FAMILY AND CHILDREN FIRST (FCFC)- ASHLAND COUNTY SUBSTANCE USE COMMITTEE- HOMELESS COALITION- WELLNESS TARGET ACTION GROUP- AMISH HEALTH AND SAFETY GROUP ASHLAND COUNTY HEALTH DEPARTMENT AND UH SAMARITAN MEDICAL CENTER TOGETHER FORMED THE ASHLAND COUNTY STEERING COMMITTEE AND COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT DEVELOPMENT OF ASHLAND COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO IMPROVE COMMUNITY HEALTH BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES.THE STEERING COMMITTEE MET REGULARLY OVER SIX MONTHS TO REVIEW SECONDARY DATA AND COMMUNITY FEEDBACK, SUGGEST NEW PARTNERS TO CONTRIBUTE TO THE PRIORITIZATION PROCESS, AND FINALLY APPROVE THE FINALIZED HEALTH NEEDS. THE STEERING COMMITTEE ENGAGED WITH ASHLAND COUNTY COMMUNITY PARTNERS THROUGHOUT THE ASSESSMENT PROCESS. REPRESENTING A VARIETY OF SECTORS, INCLUDING ACADEMIA, EDUCATION, HEALTHCARE, TRANSPORTATION, SOCIAL SERVICES, AS WELL AS THE AGING POPULATION AND THOSE WITH DISABILITIES. GROUP B-FACILITY 11 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 5: MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS WHICH INCLUDED PARTICIPATION IN QUALITATIVE DATA COLLECTION, AS WELL AS PARTICIPATION IN THE PUBLIC PRIORITIZATION THAT WAS HOSTED IN ASHLAND COUNTY IN EARLY AUGUST 2022. UH SAMARITAN MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (KEY INFORMANT INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS AND FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM ASHLAND COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS (KIIS) WITH COMMUNITY STAKEHOLDERS AND COMMUNITY FOCUS GROUPS. CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) CONDUCTED KEY INFORMANT INTERVIEWS VIA PHONE AND VIDEO CONFERENCE IN ORDER TO COLLECT COMMUNITY INPUT. INTERVIEWEES INVITED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, AND/OR BEING ABLE TO SPEAK TO THE NEEDS OF UNDERSERVED OR VULNERABLE POPULATIONS. FIFTEEN INDIVIDUALS PARTICIPATED AS KEY INFORMANTS REPRESENTING DIFFERENT ENTITIES SERVING ASHLAND COUNTY. THE REPRESENTED ORGANIZATIONS ARE LISTED BELOW:- ACCESS - AKRON CHILDREN'S IN ASHLAND - ASHLAND CITY GOVERNMENT - ASHLAND COUNTY COUNCIL ON ALCOHOLISM AND DRUG ABUSE- ASHLAND COUNTY SCHOOL BOARD- ASHLAND GRACE BRETHREN CHURCH- ASHLAND UNIVERSITY- CATHOLIC CHARITIES ASHLAND- CHAMBER OF COMMERCE- COUNCIL ON AGING- JOB AND FAMILY SERVICES- KROC CENTER/SALVATION ARMY- MENTAL HEALTH RECOVERY BOARD- NORTH COUNTY REPRESENTATIVE- OHIO HIGHWAY PATROLFOCUS GROUP DISCUSSIONS WERE CONDUCTED BY HCI AND ASHLAND COUNTY CHNA STEERING COMMITTEE PARTNER UNIVERSITY HOSPITALS TO GAIN DEEPER INSIGHTS ABOUT PERCEPTIONS, ATTITUDES, EXPERIENCES, OR BELIEFS HELD BY COMMUNITY MEMBERS ABOUT THEIR HEALTH AND THE HEALTH OF THEIR COMMUNITY. SECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM A COMMUNITY INDICATOR DATABASE DEVELOPED BY CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI). THE DATABASE, MAINTAINED BY RESEARCHERS AND ANALYSTS AT HCI, INCLUDES OVER 150 COMMUNITY INDICATORS, SPANNING AT LEAST 24 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA ARE PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS IS COMPARED TO OTHER COMMUNITIES, NATIONAL TARGETS, AND TO PREVIOUS TIME PERIODS. GROUP B-FACILITY 11 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR ASHLAND COUNTY:- APPLESEED COMMUNITY MENTAL HEALTH CENTER- ASHLAND CITY GOVERNMENT- ASHLAND CITY SCHOOLS- ASHLAND COUNTY BOARD OF HEALTH- ASHLAND COUNTY CHAMBER OF COMMERCE- ASHLAND COUNTY COUNCIL ON AGING- ASHLAND COUNTY COUNCIL ON ALCOHOLISM AND DRUG ABUSE- ASHLAND COUNTY EMA- ASHLAND COUNTY FAMILY AND CHILDREN FIRST COUNCIL- ASHLAND COUNTY JOB & FAMILY SERVICES- ASHLAND FIRE- ASHLAND PARENTING PLUS- ASHLAND UNIVERSITY- CATHOLIC CHARITIES ASHLAND- KROC CENTER/SALVATION ARMY- LOUDONVILLE- PERRYSVILLE SCHOOLS- MENTAL HEALTH RECOVERY BOARD- OHIO HIGHWAY PATROL GROUP B-FACILITY 11 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH SAMARITAN MEDICAL CENTER (ASHLAND COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGY TO ADDRESS THEM:PRIORITY HEALTH NEED #1: ACCESS TO HEALTHCARE STRATEGY #1: FOCUSING ON TELEHEALTH AND USAGE BY OUR OLDER POPULATION, DEVELOP A FRAMEWORK TO PROVIDE LIVE GROUP EDUCATION EVENTS AND 1-ON-1 TRAINING TO PROMOTE TELEHEALTH AS AN OPTION FOR ROUTINE CHECK-UPSPRIORITY HEALTH NEED #2: BEHAVIORAL HEALTH (MENTAL HEALTH & SUBSTANCE USE/MISUSE) STRATEGY #1: OFFER MUSIC THERAPY TO INPATIENTS AND OUTPATIENTS TO IMPROVE MENTAL HEALTH (INCLUDING BUT NOT LIMITED TO SEIDMAN CANCER & INFUSION CENTER, ED, 1:1 CONSULTATIONS) STRATEGY #2: DECREASE PRESCRIPTION MEDICATION ABUSE STRATEGY #3: OFFER MUSIC THERAPY SERVICES TO COMMUNITYPRIORITY HEALTH NEED #3: CANCER STRATEGY #1: COLLABORATE WITH PROVIDERS AND COMMUNITY PARTNERS ON VARIETY OF COMMUNITY OUTREACH EVENTS TARGETED TO CANCER EDUCATION AND THE VALUE OF CANCER SCREENINGSUH SAMARITAN MEDICAL CENTER IS CURRENTLY ADDRESSING ALL THREE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR ASHLAND COUNTY, AND THERE ARE NO PRIORITIZED HEALTH NEEDS THAT UH SAMARITAN MEDICAL CENTER IS NOT ADDRESSING.FOR MORE DETAILS ON THE STRATEGIES THAT UH SAMARITAN MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 ASHLAND COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT GROUP B-FACILITY 11 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE. GROUP B-FACILITY 11 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR. GROUP B-FACILITY 11 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY. REPORTING GROUP A PART V, SECTION B, LINE 7A:HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTREPORTING GROUP APART V, SECTION B, LINE 10A:HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTREPORTING GROUP APART V, SECTION B, LINE 16A, FAP WEBSITE:HTTPS://WWW.UHHOSPITALS.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-MEDICAL-RECORDS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/REPORTING GROUP APART V, SECTION B, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.UHHOSPITALS.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-MEDICAL-RECORDS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/REPORTING GROUP APART V, SECTION B, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.UHHOSPITALS.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-MEDICAL-RECORDS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/ REPORTING GROUP B PART V, SECTION B, LINE 7A:HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTREPORTING GROUP BPART V, SECTION B, LINE 10A:HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTREPORTING GROUP BPART V, SECTION B, LINE 16A, FAP WEBSITE:HTTPS://WWW.UHHOSPITALS.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-MEDICAL-RECORDS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/REPORTING GROUP BPART V, SECTION B, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.UHHOSPITALS.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-MEDICAL-RECORDS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/REPORTING GROUP BPART V, SECTION B, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.UHHOSPITALS.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-MEDICAL-RECORDS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/ 120 1 - UH MINOFF HEALTH CENTER AT CHAGRIN HIGHL 3909 ORANGE PLACE ORANGE VILLAGE OH 44122 OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC 2 - UH WESTLAKE HEALTH CENTER 960 CLAGUE ROAD WESTLAKE OH 44145 OUTPATIENT HEALTH CENTER & SURGICAL CENTER & RAINBOW 3 - UH TWINSBURG HEALTH CENTER 8819 COMMONS BLVD SUITE 100 TWINSBURG OH 44087 OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC 4 - UH SHARON HEALTH CENTER 5133 RIDGE RD WADSWORTH OH 44281 OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC 5 - UH MENTOR HOPKINS HEALTH CENTER 9000 MENTOR AVENUE MENTOR OH 44060 OUTPATIENT HEALTH CENTER & SURGICAL CENTER & RAINBOW 6 - UH CONCORD HEALTH CENTER 7500 AUBURN ROAD PAINSVILLECONCORD J OH 44077 OUTPATIENT HEALTH CENTER & URGENT CARE 7 - UH MEDINA HEALTH CENTER 4001 CARRICK DR MEDINA OH 44256 OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC 8 - UH LANDERBROOK HEALTH CENTER 5850 LANDERBROOK DRIVE MAYFIELD HEIGHTS OH 44124 OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC 9 - UH EUCLID HEALTH CENTER 18599 LAKE SHORE BLVD EUCLID OH 44119 OUTPATIENT HEALTH CENTER 10 - UH MAYFIELD VILLAGE HEALTH CENTER 730 SOM CENTER ROAD SUITE 110 MAYFIELD VILLAGE OH 44143 OUTPATIENT HEALTH CENTER 11 - UH UNIVERSITY SUBURBAN HEALTH CENTER 1611 SOUTH GREEN ROAD SOUTH EUCLID OH 44121 OUTPATIENT HEALTH CENTER, RAINBOW SPECIALTY CLINIC, & SURGERY CENTER 12 - UH HUDSON HEALTH CENTER 5778 DARROW ROAD HUDSON OH 44236 OUTPATIENT HEALTH CENTER 13 - UH MADISON HEALTH CENTER 701 NORTH LAKE STREET MADISON OH 44057 OUTPATIENT HEALTH CENTER 14 - UH OTIS MOSS JR HEALTH CENTER 8819 QUINCY AVENUE CLEVELAND OH 44106 OUTPATIENT HEALTH CENTER 15 - UH SOLON HEALTH CENTER 34055 SOLON ROAD SOLON OH 44139 OUTPATIENT HEALTH CENTER 16 - UH WELLPOINTE HEALTH CENTER 303 E ROYALTON RD BROADVIEW HTS OH 44147 DIAGNOSTIC AND THERAPY CENTER 17 - UH AVON HEALTH CENTER 1997 HEALTHWAY ROAD AVON OH 44011 LAB, IMAGING, REHABILITATION, & FITNESS CENTER SERVICES 18 - UH AMHERST HEALTH CENTER 254 CLEVELAND AVE AMHERST OH 44001 LAB, 24 HOUR ER, & IMAGING 19 - UH FAIRLAWN HEALTH CENTER 3800 EMBASSY PKWY FAIRLAWN OH 44333 OUTPATIENT HEALTH CENTER 20 - UH GEAUGA HEALTH CENTER 13221 RAVENNA RD CHARDON OH 44024 OUTPATIENT HEALTH CENTER 21 - UH INDEPENDENCE HEALTH CENTER 6150 OAK TREE BLVD INDEPENDENCE OH 44131 OUTPATIENT HEALTH CENTER 22 - UH KENT HEALTH CENTER 401 AND 408 DEVON PLACE KENT OH 44240 OUTPATIENT HEALTH CENTER & LAB 23 - UH SHEFFIELD HEALTH CENTER 5001 TRANSPORTATION DRIVE SHEFFIELD LAKE OH 44054 OUTPATIENT HEALTH CENTER 24 - UH STREETSBORO HEALTH CENTER 9318 STATE ROUTE 14 STREETSBORO OH 44241 OUTPATIENT HEALTH CENTER 25 - UH BROADVIEW HEIGHTS HEALTH CENTER 5901 E ROYALTON ROAD BROADWAY HEIGHTS OH 44147 OUTPATIENT HEALTH CENTER 26 - UH ASHTABULA HEALTH CENTER 3315 N RIDGE ROAD ASHTABULA OH 44004 URGENT CARE & RADIOLOGY 27 - UHCMC TRANSPLANT INSTITUTE 145 WEST AVENUE TALLMADGE OH 44278 OUTPATIENT HEALTH CENTER 28 - UH EVANS MIDDLEFIELD HEALTH CENTER 15976 E HIGH STREET MIDDLEFIELD OH 44062 RADIOLOGY 29 - UH BROOK PARK (PARTNER WITH SOUTHWEST) 15900 SNOW ROAD SUITE 200 BROOK PARK OH 44142 URGENT CARE & RADIOLOGY 30 - UH NORTH OLMSTED HEALTH CENTER 26127 LORAIN ROAD SUITE 100 NORTH OLMSTED OH 44070 OUTPATIENT HEALTH CENTER & URGENT CARE 31 - UH NORTH RIDGEVILLE HEALTH CENTER 32800 LORAIN ROAD NORTH RIDGEVILLE OH 44039 OUTPATIENT HEALTH CENTER 32 - UH ASHLAND FAMILY PRACTICE 1941 S BANEY RD STE 100 ASHLAND OH 44805 OUTPATIENT HEALTH CENTER 33 - UH KETTERING HEALTH CENTER 546 NORTH UNION STREET LOUDONVILLE OH 44842 URGENT CARE 34 - UH RAINBOW AHUJA CENTER FOR WOMEN & CHIL 5805 EUCLID AVENUE CLEVELAND OH 44103 RAINBOW SPECIALTY CLINIC 35 - UH ASHLAND MEDICAL CENTER 2212 MIFFLIN AVENUE ASHLAND OH 44805 OUTPATIENT HEALTH CENTER 36 - RICHLAND HEALTH CENTER 1033 ASHLAND ROAD MANSFIELD OH 44905 URGENT CARE 37 - WESTLAKE FAMILY HEALTH CENTER 26908 DETROIT ROAD WESTLAKE OH 44145 OUTPATIENT HEALTH CENTER 38 - UH TRI CITY AVON CONVENIENT CARE 1480 CENTER ROAD SUITE B AVON OH 44011 CONVENIENT CARE 39 - UH KATHY RISMAN PAVILION 1000 AUBURN DR BEACHWOOD OH 44122 HOPD FERTILITY CLINIC 40 - UH TRI CITY AMHERST 101 COOPER FOSTER PARK RD STE R AMHERST OH 44001 RADIOLOGY 41 - EMC ELYRIA DEWHURST 10325 DEWHURST RD STE A ELYRIA OH 44035 HOSPITAL OUTPATIENT SERVICES 42 - UH WO WALKER BUILDING 10524 EUCLID AVE CLEVELAND OH 44106 HOSPITAL OUTPATIENT SERVICES 43 - BOLWELL HEALTH CENTER PHARMACY 11100 EUCLID AVE BOLWELL HEALTH CENTER CLEVELAND OH 44106 RETAIL PHARMACY/CLINIC PHARMACY 44 - NRMFC 11409 STATE RD NORTH ROYALTON OH 44133 OPT EXTENSION SITE 45 - GEAUGA YMCA 12460 BASS LAKE RD CHARDON OH 44024 OPT EXTENSION SITE 46 - NORTH OHIO HEART - ELYRIA 125 E BROAD ST STE 305 ELYRIA OH 44035 HOSPITAL OUTPATIENT SERVICES 47 - UH EMC WOUND CARE & HYPERBARIC MED 133 E BROAD ST ELYRIA OH 44035 HOSPITAL OUTPATIENT SERVICES 48 - HARRINGTON HEART & VASCULAR INST 1335 CORPORATE DR HUDSON OH 44236 HOPD CARDIOLOGY 49 - EMC AVON T3 REHAB 1965 RECREATION LN STE A AVON OH 44011 REHABILIATION 50 - UH FERTILITY CENTER WEST 2055 CROCKER RD STE 206 WESTLAKE OH 44145 HOPD FERTILITY CLINIC 51 - SAMARITAN HEALTH & REHAB CENTER 2163 CLAREMONT AVE ASHLAND OH 44805 OPT EXTENSION SITE 52 - UH EMC WOUND CARE & HYPERBARIC MED 25200 CENTER RIDGE RD STE 1400 WESTLAKE OH 44145 HOSPITAL OUTPATIENT SERVICES 53 - UHCMC REHABILITATION AND SPORTS MED 26001 S WOODLAND RD BEACHWOOD OH 44122 OPT EXTENSION SITE 54 - OHIO MEDICAL GROUP - ELYRIA 26908 COOK RD STE A OLMSTEAD TWP OH 44138 HOSPITAL OUTPATIENT SERVICES 55 - UH PEDIATRIC REHAB SERVICES 29160 CENTER RIDGE RD WESTLAKE OH 44145 OPT EXTENSION SITE/WOUND CARE 56 - NORTH OHIO HEART - WESTLAKE 29325 HEALTH CAMPUS DR STE 3A WESTLAKE OH 44145 HOSPITAL OUTPATIENT SERVICES 57 - NORTH OHIO HEART - LORAIN 3600 KOLBE RD STE 127A LORAIN OH 44053 HOSPITAL OUTPATIENT SERVICES 58 - UHCMC FOLEY ELDERHEALTH CENTER 3619 PARK EAST DR STE 109 BEACHWOOD OH 44122 HOSPITAL OUTPATIENT SERVICES 59 - UH SLEEP CENTER AT MARRIOTT 3628 PARK EAST DR STE 442 BEACHWOOD OH 44122 HOPD SLEEP CENTER 60 - CENTER RIDGE REHAB 39000 CENTER RIDGE RD NORTH RIDGEVILLE OH 44039 HOSPITAL OUTPATIENT SERVICES 61 - UH PERRICO HEALTH CENTER 4176 STATE ROUTE 306 WILLOUGHBY OH 44094 PHYSICIAN OFFICE & DIAGNOSTIC CENTER 62 - UH WARRENSVILLE OPT & NEURO REHAB 4480 RICHMOND RD WARRENSVILLE HEIGHTS OH 44128 OPT EXTENSION SITE 63 - UH SPECIALTY CLINIC 6115 POWERS BLVD STE 301 PARMA OH 44129 HOSPITAL OUTPATIENT SERVICES 64 - OUTPATIENT CENTER 6305 POWERS BLVD PARMA OH 44129 OUTPATIENT CENTER 65 - ANTI-COAGULATION CLINIC 6525 POWERS BLVD PARMA OH 44129 ANTI-COAGULATION CLINIC 66 - THERAPY SERVICES 6681 RIDGE RD PARMA OH 44129 OPT EXTENSION SITE/THERAPY/CARDIO THORACIC CLINIC 67 - WOUND CLINIC 6707 POWERS BLVD PARMA OH 44129 WOUND CLINIC/SURGERY CLINIC 68 - NORTH OHIO HEART - SANDUSKY 703 TYLER ST STE 250A SANDUSKY OH 44870 HOSPITAL OUTPATIENT SERVICES 69 - SEVEN HILLS THERAPY 7777 SUMMITVIEW DR SEVEN HILLS OH 44131 OPT EXTENSION SITE 70 - BEDFORD MEDICAL OFFICE BUILDING 88 CENTER RD BEDFORD OH 44146 OTHER HEALTH CARE FACILITY 71 - UH TWINSBURG TOWN CENTER 8900 DARROW RD STE H111 TWINSBURG OH 44087 HOPD WOMEN'S HEALTH 72 - UH WESTLAKE HEALTH CENTER 950 CLAGUE RD STE 101A WESTLAKE OH 44145 HOPD NEUROLOGICAL 73 - UH LHPG OHIO HAND AND SHOULDER CENTER BE 25501 CHAGRIN BLVD BEACHWOOD OH 44122 PHYSICIAN OFFICE 74 - UH LHPG OHIO HAND AND SHOULDER CENTER 13170 RAVENNA RD STE 200 CHARDON OH 44024 PHYSICIAN OFFICE 75 - UH CHARDON HEALTH CENTER 510 5TH AVE CHARDON OH 44024 URGENT CARE CENTER & RADIOLOGY 76 - UH LHPG CHARDON PEDIATRICS 510 5TH AVE STE 100 CHARDON OH 44024 PHYSICIAN OFFICE 77 - UH LHPG CHARDON FAMILY PRACTICE 510 5TH AVE STE 130 CHARDON OH 44024 PHYSICIAN OFFICE 78 - UH LHPG GENERAL SURGERY CONCORD 7580 AUBURN RD STE 314 CONCORD TOWNSHIP OH 44077 GENERAL SURGERY PHYSICIAN OFFICE 79 - UH LAKE CONTINUING CARE CENTER 10977 CAPITAL PKWY CONCORD TWP OH 44077 REHABILITATION AND PSYCHIATRIC DEPARTMENTS 80 - UH LHPG NORTHEAST OHIO HEART ASSOCIATES 7580 AUBURN RD STE 106 CONCORD TWP OH 44077 PHYSICIAN OFFICE 81 - UH LHPG NORTH COAST FAMILY PRACTICE 7580 AUBURN RD STE 202 CONCORD TWP OH 44077 PHYSICIAN OFFICE 82 - UH MADISON HEALTH CENTER 6270 N RIDGE RD MADISON OH 44057 GENERAL MEDICAL & PHYSICIAN OFFICES 83 - UH BRUNNER SANDEN DEITRICK WELLNESS CENT 8655 MARKET ST MENTOR OH 44060 MEDICAL FITNESS CENTER 84 - UH MENTOR HEALTH CENTER 9485 MENTOR AVE MENTOR OH 44060 VARIOUS PHYSICIAN OFFICES - PEDIATRICS, OBGYN, INTERNAL MED, PAIN MANAGEMENT 85 - UH LABORATORY LAKE AMBULATORY BLDG 9500 MENTOR AVE SUITE 220 MENTOR OH 44060 DIAGNOSTIC CENTER 86 - UH LHPG LAKE COUNTY FAMILY PRACTICE 9500 MENTOR AVENUE SUITE 100 MENTOR OH 44060 PHYSICIAN OFFICE 87 - UH LHPG MENTOR GENERAL SURGERY 9500 MENTOR AVENUE SUITE 300 MENTOR OH 44060 PHYSICIAN OFFICE 88 - UH LHPG MIDDLEFIELD FAMILY PRACTICE 16030 EAST HIGH STREET MIDDLEFIELD OH 44062 PHYSICIAN OFFICE 89 - UH LHPG SOM GENERAL SURGERY 2105 SOM CENTER ROAD SUITE 107 WILLOUGHBY OH 44094 PHYSICIAN OFFICE 90 - UH WILLOWICK HEALTH CENTER 29804 LAKESHORE BLVD WILLOWICK OH 44095 URGENT CARE CENTER 91 - UH LHPG WILLOWICK FAMILY PRACTICE 29804 LAKESHORE BLVD WILLOWICK OH 44095 PHYSICIAN OFFICE 92 - UH LHPG CHARDON CENTER STREET FAMILY PRA 320 CENTER STREET CHARDON OH 44024 PHYSICIAN OFFICE 93 - UH LHPG SPORTS MEDICINE & REHAB 36060 EUCLID AVENUE SUITE 105 WILLOUGHBY OH 44094 PHYSICIAN OFFICE 94 - UH LHPG ORTHOPEDIC SURGERY 36060 EUCLID AVENUE SUITE 203 WILLOUGHBY OH 44094 PHYSICIAN OFFICE 95 - UH LHPG PLASTIC SURGERY 36060 EUCLID AVENUE SUITE 204 WILLOUGHBY OH 44094 PHYSICIAN OFFICE 96 - UH LAKE WEST MEDICAL CENTER REFERENCE LA 36100 EUCLID AVE SUITE 190 WILLOUGHBY OH 44094 DIAGNOSTIC CENTER 97 - UH LHPG OPHTHALMOLOGY ASSOCIATES 36100 EUCLID AVE SUITE 450 WILLOUGHBY OH 44094 PHYSICIAN OFFICE 98 - UH LHPG NORTHEAST OHIO HEART ASSOCIATES 36100 EUCLID AVENUE SUITE 120 WILLOUGHBY OH 44094 PHYSICIAN OFFICE 99 - UH IMED NP BEACON HEALTH 36100 EUCLID AVENUE SUITE 120 WILLOUGHBY OH 44094 PHYSICIAN OFFICE 100 - UH LHPG BARIATRIC SURGERY 36100 EUCLID AVENUE SUITE 170 WILLOUGHBY OH 44094 PHYSICIAN OFFICE 101 - UH LHPG WEST IMED 36100 EUCLID AVENUE SUITE 210 WILLOUGHBY OH 44094 PHYSICIAN OFFICE 102 - UH LHPG WILLOUGHBY IMED 36100 EUCLID AVENUE SUITE 240 WILLOUGHBY OH 44094 PHYSICIAN OFFICE 103 - UH LHPG WILLOUGHBY PEDIATRICS 36100 EUCLID AVENUE SUITE 300 WILLOUGHBY OH 44094 PHYSICIAN OFFICE 104 - UH LHPG CARDIO ELECTROPHYSIOLOGY 36100 EUCLID AVENUE SUITE 400 WILLOUGHBY OH 44094 PHYSICIAN OFFICE 105 - UH LAKE SOM HEALTH CENTER WELLNESS & REH 5105 SOM CENTER ROAD WILLOUGHBY OH 44094 REHABILITATION CLINIC 106 - UH LHPG ARTHRITIS ASSOCIATES 5105 SOM CENTER ROAD SUITE 200 WILLOUGHBY OH 44094 PHYSICIAN OFFICE 107 - UH LHPG OBGYN WILLOUGHBY 5105 SOM CENTER ROAD SUITE 201 WILLOUGHBY OH 44094 PHYSICIAN OFFICE 108 - UH LHPG PAIN MANAGEMENT 5105 SOM CENTER ROAD SUITE 202 WILLOUGHBY OH 44094 PHYSICIAN OFFICE 109 - UH MAYFIELD WILDCAT WELLNESS CLINIC 6098 MAYFIELD RD MAYFIELD VILLAGE OH 44143 PHYSICIAN OFFICE 110 - UH LHPG OHIO HAND AND SHOULDER CENTER CO 7580 AUBURN RD SUITE 214 CONCORD OH 44077 PHYSICIAN OFFICE 111 - UH LHPG MENTOR ENDOCRINOLOGY 8300 TYLER BOULEVARD SUITE 102 MENTOR OH 44060 PHYSICIAN OFFICE 112 - UH LHPG HACKETT MEDICAL GROUP 8300 TYLER BOULEVARD SUITE 300 MENTOR OH 44060 PHYSICIAN OFFICE 113 - UH LHPG MENTOR FAMILY PRACTICE 8655 MARKET STREET MENTOR OH 44060 PHYSICIAN OFFICE 114 - UH LHPG INTEGRATIVE MEDICINE 8655 MARKET STREET MENTOR OH 44060 PHYSICIAN OFFICE 115 - UH LHPG SPORTS MEDICINE 8655 MARKET STREET MENTOR OH 44060 PHYSICIAN OFFICE 116 - UH WELLNESS CLINIC AT MHS 8655 MARKET STREET MENTOR OH 44060 WALK IN CLINIC 117 - UH URGENT CARE BRUNNER SANDEN DEITRICK W 8655 MARKET STREET MENTOR OH 44060 URGENT CARE CENTER 118 - MACDONALD WOMENS HOSPITAL-MOBILE 11993 RAVENNA RD CHARDON OH 44024 MOBILE UNIT BASE OF OPERATIONS 119 - UH WESTLAKE BEHAVIORAL HEALTH 902 WESTPOINT PKWY STE 320 WESTLAKE OH 44145 OUTPATIENT HEALTH CENTER 120 - UH WESTLAKE HEALTH CENTER 960 CLAGUE RD STE 1200A WESTLAKE OH 44145 HOPD CANCER CENTER PART I, LINE 3C: PLEASE REFER TO SCHEDULE H, PART V, LINE 13 A-H. PART I, LINE 6A: THE PARENT ORGANIZATION, UNIVERSITY HOSPITALS (34-0714775), PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT ENCOMPASSES ALL OF THE UNIVERSITY HOSPITALS HEALTH SYSTEM INCLUDING THE SUBORDINATE ORGANIZATIONS COMPLETING SCHEDULE H. PART I, LINE 7: AMOUNTS CALCULATED AND REPORTED IN THIS TABLE WERE DERIVED FROM THE MOST ACCURATE, AVAILABLE SOURCES. A COST-TO-CHARGE RATIO WAS USED TO DETERMINE FINANCIAL ASSISTANCE COST USING HOSPITAL FINANCIAL STATEMENTS. MEDICAID SHORTFALL FOR GROUP SUBORDINATES WAS CALCULATED; 1) BASED ON THE TAX YEAR'S MEDICAID COST REPORT ADJUSTED TO REFLECT FULL COSTS TO DIRECT OFFSETTING REVENUE FROM THE MEDICAID COST REPORT, OR 2) BASED ON A COST-TO-CHARGE RATIO AND MEDICAID REVENUES DERIVED USING FINANCIAL STATEMENTS. INCLUDED IN THIS MEDICAID SHORTFALL IS THE OHIO STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP) SHORTFALL. COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BENEFIT OPERATIONS COSTS HAVE BEEN REPORTED BASED ON ACTUAL DIRECT COSTS USING ACTUAL OR AVERAGE EMPLOYEE COMPENSATION RATES AND ADDING INDIRECT COSTS WHICH ARE CALCULATED BY A COST ACCOUNTING SYSTEM AS A PERCENTAGE OF TOTAL COST. THE MEDICARE COST REPORT, ADJUSTED TO REFLECT FULL COSTS, WAS USED TO DETERMINE GROSS COMMUNITY BENEFIT EXPENSE AMOUNTS FOR HEALTH PROFESSIONS EDUCATION. DIRECT OFFSETTING REVENUES ARE INCLUDED FROM MEDICARE, CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION, AND MEDICAID FOR DIRECT MEDICAL EDUCATION. RESEARCH AMOUNTS WERE ALSO BASED ON THE MEDICARE COST REPORT, ADJUSTED TO REFLECT FULL COSTS, USING COSTS ASSIGNED TO RESEARCH COST CENTERS, LESS INDUSTRY-SPONSORED RESEARCH DIRECT AND INDIRECT COSTS. THE EXPENSE OF RESTRICTED CASH CONTRIBUTIONS IS REPORTED BASED ON THE ACTUAL VALUE OF THE CONTRIBUTION BEFORE INDIRECT COST. RESTRICTED IN-KIND CONTRIBUTIONS ARE REPORTED AT FAIR MARKET VALUE. IN CALCULATING GROSS AND NET COMMUNITY BENEFIT EXPENSES, CARE WAS TAKEN TO AVOID DOUBLE-COUNTING COMMUNITY BENEFIT EXPENSES. THE SYSTEM'S NET COMMUNITY BENEFIT CONTRIBUTION FOR FISCAL YEAR 2023 TOTALED $522 MILLION AS COMPARED TO THE 2022 COMMUNITY BENEFIT TOTAL OF $531 MILLION. THE 2023 COMMUNITY BENEFIT NUMBER CONSISTED OF CHARITY CARE ($58 MILLION), MEDICAID SHORTFALL ($268 MILLION), RESEARCH ($58 MILLION), EDUCATION AND TRAINING ($100 MILLION), AND COMMUNITY HEALTH IMPROVEMENT SERVICES, PROGRAMS AND SUPPORT ($38 MILLION), LESS HOSPITAL CARE ASSURANCE PROGRAM ("HCAP") ($75 MILLION). TO MEASURE AND REPORT COMMUNITY BENEFIT, THE SYSTEM HAS FOLLOWED INTERNAL REVENUE SERVICE GUIDELINES. AS SUCH, THE INFORMATION FOR 2023 REPRESENTS THE REVISED REQUIREMENT TO OFFSET VARIOUS COMMUNITY BENEFIT PROGRAMS WITH RELATED REVENUE RECEIVED. FOR 2023, THIS REVENUE OFFSET WAS $75 MILLION. THE 2022 INFORMATION PROVIDED ABOVE ($531 MILLION) INCLUDED A REVENUE OFFSET OF $55 MILLION. PART I, LINE 7G: LINE 7G INCLUDES THE COSTS AND DIRECT OFFSETTING REVENUE ASSOCIATED WITH CERTAIN HOSPITAL SERVICES THAT QUALIFY TO BE REPORTED AS A SUBSIDIZED HEALTH SERVICE. THE TOTAL AMOUNT OF GROSS COMMUNITY BENEFIT EXPENSE INCLUDED IN LINE 7G FOR THESE CLINICS IS: $153,990,377. THE TOTAL AMOUNT OF ASSOCIATED DIRECT OFFSETTING REVENUE IS $129,058,475. THE TOTAL AMOUNT OF NET COMMUNITY BENEFIT EXPENSE INCLUDED IN LINE 7G IS $24,931,902. PART II, COMMUNITY BUILDING ACTIVITIES: COMMITMENT TO THE COMMUNITY REMAINS AT THE CORE OF THE SYSTEM'S MISSION: TO HEAL. TO TEACH. TO DISCOVER. THE SYSTEM SUPPORTS NUMEROUS COMMUNITY BUILDING ACTIVITIES THROUGH ALL SYSTEM ENTITIES AND NOT JUST THOSE REPORTED WITHIN THE UH GROUP 990. MANY OF OUR COMMUNITY BUILDING ACTIVITIES ARE DIFFICULT TO QUANTIFY OR REPORT WITHIN THE SPECIFIC CATEGORIES PROVIDED IN SCHEDULE H, AS THEY OCCUR SYSTEM-WIDE AND NOT AT SPECIFIC ENTITY LEVELS.THE SYSTEM IS PROUD TO CONTRIBUTE TO THE ECONOMIC GROWTH OF THE COMMUNITIES WE SERVE. THE UH HEALTH SYSTEM PROVIDES EMPLOYMENT DIRECTLY FOR 38,433 (5,826 REPORTED ON THE PARENT ORGANIZATION'S FORM 990, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (34-0714775)) EMPLOYEES AND PHYSICIANS. UH PROVIDED MANY MORE COMMUNITY BUILDING ACTIVITIES, DIRECTLY AND INDIRECTLY, THROUGH NEW OR EXPANDED BUSINESS OPPORTUNITIES AND THROUGH IMPORTANT CAPITAL INVESTMENTS IN OUR FACILITIES. UH HAS COMMITTED - AND CONTINUES TO COMMIT - MILLIONS OF DOLLARS TO FACILITIES AND OPERATIONS WITHIN THE CITY OF CLEVELAND AND THROUGHOUT OUR REGION, PROVIDING CONSTRUCTION AND HOSPITAL-BASED JOBS. NEW STATE-OF-THE-ART OUTPATIENT HEALTH CENTERS IN THE REGION HAVE SPURRED ECONOMIC GROWTH WHILE GIVING PEOPLE ACCESS TO THE CARE THEY NEED CLOSE TO HOME AND EXPANDING OUR COMMUNITY BENEFIT PROGRAMS. THE SYSTEM'S SUPPLY CHAIN MANAGEMENT STRATEGY ENCOMPASSES SUPPLIER DIVERSITY TO INCLUDE MINORITY AND WOMEN-OWNED BUSINESS ENTERPRISES PROVIDING THEM OPPORTUNITIES TO BE OUR PARTNERS AND SUPPLIERS OF GOODS AND SERVICES THROUGHOUT THE SYSTEM.THE SYSTEM SEEKS TO INCORPORATE ENVIRONMENTAL RESPONSIBILITY AND IS WORKING TOWARDS REDUCING ITS ENVIRONMENTAL FOOTPRINT THROUGHOUT THE COMMUNITIES IT SERVES. WITH REGARD TO UH BUILDINGS AND MAJOR RENOVATIONS, UH ENDEVORS TO INCORPORATE DESIGN AND CONSTRUCTION STRATEGIES OF THIRD-PARTY BEST-PRACTICE GUIDES SUCH AS THE U.S. GREEN BUILDING COUNCIL'S LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED) CERTIFICATION SYSTEM, THE EPA'S ENERGY STAR PERFORMANCE RATING, AND HEALTHCARE WITHOUT HARM'S GREEN GUIDE FOR HEALTHCARE. RECENT CONSTRUCTION PROJECTS HAVE INCORPORATED SUSTAINABLE DESIGN STRATEGIES. PART III, LINE 2: THE COST OF BAD DEBT IS CALCULATED USING A COST TO CHARGE RATIO.ALLOWANCES ARE MADE FOR ESTIMATED DOUBTFUL ACCOUNTS BASED ON HISTORICAL EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS. PART III, LINE 3: THERE IS NO ESTIMATED AMOUNT (ZERO) OF BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER THE FINANCIAL ASSISTANCE POLICY. FOR PATIENTS WHO QUALIFY, THOSE PATIENTS ARE DEEMED TO BE UNABLE TO PAY AND ARE THEREFORE WRITTEN OFF TO CHARITY RATHER THAN BAD DEBT. PART III, LINE 8: UH HOSPITALS PROVIDE SERVICES TO MANY LOW-INCOME MEDICARE RECIPIENTS. THE MEDICARE LOSSES SUSTAINED AT THESE HOSPITALS ARE A RESULT OF MEDICARE REIMBURSING AT LESS THAN OPERATING COSTS. IRS REV. RUL. 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR HOSPITALS, PROVIDES THAT IF A HOSPITAL SERVES PATIENTS COVERED BY GOVERNMENTAL HEALTH BENEFITS (INCLUDING MEDICARE), THEN THIS INDICATES THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. IN TURN, TREATING MEDICARE PATIENTS IS CONSIDERED A COMMUNITY BENEFIT. COSTS WERE DERIVED USING THE MEDICARE COST REPORT. PART III, LINE 9B: PATIENT LIABILITIES FOR SERVICES RENDERED BY UH HOSPITAL FACILITIES SHALL BE COLLECTED FROM ALL PATIENTS. AMOUNTS OWED BY PATIENTS QUALIFYING FOR CHARITY CARE UNDER THE UH HOSPITALS FACILITIES' CHARITY/FINANCIAL ASSISTANCE POLICY SHALL NOT BE BILLED TO PATIENTS AT AMOUNTS THAT ARE MORE THAN THE AMOUNTS GENERALLY BILLED TO MEDICARE PATIENTS.IF A PATIENT QUALIFIES FOR A 100% FINANCIAL ASSISTANCE DISCOUNT, COLLECTION OF THE ACCOUNT IS NOT PURSUED. IF A PATIENT RECEIVES A PARTIAL DISCOUNT DUE TO MEDICAL INDIGENCY UNDER THE FINANCIAL ASSISTANCE POLICY, ANY REMAINING BALANCE NOT DISCOUNTED IS TREATED IN ACCORDANCE WITH THE UH HOSPITALS COLLECTION POLICY. PART VI, LINE 2: UH ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITIES AS PART OF THE REGULAR STRATEGIC PLANNING PROCESS WHICH INCLUDES ASSESSMENTS OF ENVIRONMENTAL, DEMOGRAPHIC, AND ECONOMIC FACTORS. THE SYSTEM ALSO USES UH PATIENT SURVEYS REGARDING HEALTH CARE UTILIZATION AND WORKS ACTIVELY WITH VARIOUS PARTNERS THROUGHOUT THE COMMUNITIES WE SERVE. UH HAS WORKED WITH COMMUNITY ORGANIZATIONS IN ITS MEDICAL CENTERS' SERVICE AREAS (I.E. NEIGHBORHOOD CONNECTIONS, LOCAL DEPARTMENTS OF PUBLIC HEALTH, LOCAL DISEASE FOUNDATIONS, ETC.). THE SYSTEM WORKS CLOSELY WITH LOCAL GOVERNMENTS AND ELECTED OFFICIALS TO UNDERSTAND THEIR COMMUNITIES' NEEDS AND WORK TO IMPLEMENT PROGRAMS AND ACTIVITIES TO ASSIST IN RESPONDING TO THOSE NEEDS. THE MEMBERS OF VARIOUS UH BOARDS ARE ACTIVE MEMBERS WITHIN THE COMMUNITIES SERVED AND PROVIDE AN UNDERSTANDING OF AND COLLABORATIVE FEEDBACK RELATED TO THE NEEDS OF THE COMMUNITIES.THE SYSTEM IS PROUD TO CONTRIBUTE TO THE HEALTH OF ITS CITIZENS AND TO BE A POSITIVE ECONOMIC FORCE IN ITS REGION. FOR MORE DETAILED INFORMATION ON THE SYSTEM'S COMMUNITY BENEFIT OR TO VIEW THE 2023 COMMUNITY BENEFIT REPORT, PLEASE VISIT THE SYSTEM'S WEBSITE AT WWW.UHHOSPITALS.ORG. PART VI, LINE 3: UH INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT OPTIONS FOR RESOLUTION OF THEIR BALANCES, INCLUDING ASSISTANCE UNDER GOVERNMENT PROGRAMS AND UNDER THE UH FINANCIAL ASSISTANCE PROGRAM ("ASSISTANCE PROGRAM") IN A VARIETY OF WAYS. SIGNAGE FOR THE STATE OF OHIO HEALTH CARE ASSURANCE PROGRAM (HCAP) AND THE UH PATIENT FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND IN LOCATIONS WHERE PATIENTS REGISTER FOR CARE, PATIENT ACCESS AREAS, AND VARIOUS POINTS OF ENTRY SUCH AS UH EMERGENCY DEPARTMENTS. SUPPLEMENTAL BROCHURES THAT REFLECT THE UH PATIENT FINANCIAL ASSISTANCE PROGRAM AND THE HCAP PROGRAM ARE ALSO AVAILABLE. INFORMATION ABOUT THE ASSISTANCE PROGRAM CAN ALSO BE FOUND ON THE UH WEBSITE IN ADDITION TO BEING PROVIDED ON THE BACKS OF PATIENT STATEMENTS, INCLUDING A TOLL FREE PHONE NUMBER TO CALL FOR ASSISTANCE FROM A UH FINANCIAL COUNSELOR. PART VI, LINE 4: UH CLEVELAND MEDICAL CENTERUH RAINBOW BABIES & CHILDREN'S HOSPITALUH AHUJA MEDICAL CENTERUH PARMA MEDICAL CENTERUH ST. JOHN MEDICAL CENTERUH BEACHWOOD REHABILITATION HOSPITALTHE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS CUYAHOGA COUNTY. AS OF A 2022 REPORT FROM CLARITAS, THE TOTAL POPULATION FOR CUYAHOGA COUNTY IS 1,229,828. COMMUNITY MEMBERS IDENTIFYING AS WHITE REPRESENT A SMALLER PROPORTION OF THE POPULATION IN CUYAHOGA COUNTY (60.7%) WHEN COMPARED TO OHIO (79.7%) AND THE U.S. (70.4%), WHILE BLACK/AFRICAN AMERICAN PERSONS REPRESENT A HIGHER PROPORTION OF THE POPULATION OF THE COUNTY (30.2%) COMPARED TO OHIO (13.0%) AND THE U.S. (12.6%). 6.8% OF THE POPULATION IN CUYAHOGA COUNTY IDENTIFY AS ETHNICALLY HISPANIC/LATINO. THIS IS A LARGER PROPORTION OF THE POPULATION WHEN COMPARED TO OHIO (4.4%), BUT A SMALLER PROPORTION OF THE POPULATION COMPARED TO THE U.S. CUYAHOGA COUNTY'S POPULATION IS GROWING OLDER, ON AVERAGE. CHILDREN (AGES 0-17) COMPRISED 20.5% OF THE POPULATION IN CUYAHOGA COUNTY. WHEN COMPARED TO OHIO (21.8%) AND THE U.S (22.4%), CUYAHOGA COUNTY HAS A SMALLER PERCENTAGE POPULATION OF CHILDREN (AGES 0-17). IN CUYAHOGA COUNTY, 19.8% OF THE POPULATION IS AGED 65+, WHICH IS A HIGHER PROPORTION IN COMPARISON TO ALL OF OHIO (18.6%) AND THE U.S. (16.0%). CUYAHOGA COUNTY HAS A HIGHER PERCENTAGE OF RESIDENTS WITH A HIGH SCHOOL DEGREE OR HIGHER (90.2%) WHEN COMPARED TO THE U.S VALUE (88.5%) BUT HAS A SLIGHTLY LOWER PERCENTAGE WHEN COMPARED TO THE STATE VALUE (90.7%). HOWEVER, RESIDENTS WITH A BACHELOR'S DEGREE OR HIGHER (33.5%) MAKE UP A LARGER PERCENTAGE OF THE POPULATION WHEN COMPARED TO BOTH THE STATE (29.0%) AND U.S. VALUE (32.9%). THE UNEMPLOYMENT RATE FOR CUYAHOGA COUNTY IS 6.8%, WHICH IS HIGHER THAN THE STATE VALUE AT 4.7% AND THE U.S. VALUE AT 5.4%.UH GEAUGA MEDICAL CENTER THE PRIMARY SERVICE AREA FOR THIS HOSPITAL IS GEAUGA COUNTY. THE TOTAL POPULATION FOR GEAUGA COUNTY AS OF A 2022 REPORT BY CLARITAS IS 93,926. 96.4% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 1.2% AS ASIAN, 1.2% AFRICAN AMERICAN, AND 1.2% AS MORE THAN ONE RACE OR OTHER. 1.9% OF THE POPULATION IN GEAUGA COUNTY IDENTIFY AS ETHNICALLY HISPANIC/LATINO. THIS IS A SMALLER PROPORTION OF THE POPULATION WHEN COMPARED TO OHIO AND U.S. THE AGE DISTRIBUTION OF THE POPULATION IN THE AGE GROUP OF UNDER 18 AND 85+ IN GEAUGA COUNTY IS RELATIVELY SIMILAR TO OHIO AND THE U.S. WHILE, THE PERCENTAGE OF POPULATION IN THE AGE GROUP 25+ IN GEAUGA COUNTY IS SMALLER WHEN COMPARED TO OHIO (50.4%) AND THE U.S. (52.1%). FURTHER, THE POPULATION IN AGE GROUP 65+ IN GEAUGA COUNTY IS SIMILAR TO DISTRIBUTION OF OHIO; HOWEVER, IS HIGHER THAN THE U.S. A HOUSEHOLD INCOME OF $50,000 - $74,999 IS SHARED BY THE LARGEST PROPORTION OF HOUSEHOLDS IN GEAUGA COUNTY (16.3%), FOLLOWED BY A HOUSEHOLD INCOME OF $75,000 - $99,999 (13.5% OF HOUSEHOLDS). HOUSEHOLDS WITH AN INCOME OF LESS THAN $15,000 MAKE UP 4.8% OF HOUSEHOLDS IN GEAUGA COUNTY. THE MEDIAN HOUSEHOLD INCOME FOR GEAUGA COUNTY IS $85,468, WHICH IS HIGHER THAN THE STATE AND NATIONAL VALUES OF $65,070 AND $64,994 RESPECTIVELY. DISPARITIES IN MEDIAN HOUSEHOLD INCOME EXIST BETWEEN RACIAL AND ETHNIC GROUPS WITHIN THE COUNTY. THE MEDIAN HOUSEHOLD INCOME AMONG RESIDENTS OF THE ASIAN COMMUNITY (159,028), 2 OR MORE RACES ($114,706), WHITE COMMUNITY ($85,727), AND NON-HISPANIC/NON-LATINO ($85,710) FALL ABOVE THE COUNTY AVERAGE. OVERALL, 3.4% OF FAMILIES IN GEAUGA COUNTY LIVE BELOW THE POVERTY LEVEL, WHICH IS LOWER THAN BOTH THE STATE VALUE OF 9.6% AND THE NATIONAL VALUE OF 9.1%. THE UNEMPLOYMENT RATE FOR THE GEAUGA COUNTY IS 2.0%, WHICH IS LOWER THAN THE STATE VALUE AT 4.7% AND THE U.S. VALUE AT 5.4%. GEAUGA COUNTY HAS A SLIGHTLY LESSER PERCENTAGE OF RESIDENTS WITH A HIGH SCHOOL DEGREE OR HIGHER (89.5%) WHEN COMPARED TO THE STATE VALUE (90.7%) BUT HAS A HIGHER PERCENTAGE WHEN COMPARED TO THE NATIONAL VALUE (88.5%). WHILE RESIDENTS WITH A BACHELOR'S DEGREE OR HIGHER (37.0%) HAS A HIGHER PERCENTAGE WHEN BOTH COMPARED TO THE STATE (29.0%) AND NATIONAL VALUE (32.9%). UH GENEVA MEDICAL CENTERUH CONNEAUT MEDICAL CENTERTHE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS ASHTABULA COUNTY. THE TOTAL POPULATION FOR ASHTABULA COUNTY AS 2019 IS 97,241. 95.5% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 5.4% AFRICAN AMERICAN, AND 1.5% AS MORE THAN ONE RACE OR OTHER. IN TERMS OF ETHNICITY, 4.4% OF THE POPULATION IDENTIFIES AS HISPANIC/LATINO. 24.8% OF THE POPULATION IS BETWEEN THE AGES OF 0 19; 28.9% ARE BETWEEN 20 44 YEARS OLD; 27.4% ARE BETWEEN 45 64 YEARS OLD; AND 19.8% ARE AGE 65 YEARS OR OLDER. THE AVERAGE HOUSEHOLD SIZE IS 2.4 PEOPLE AND THE AVERAGE FAMILY SIZE IS 2.9 PEOPLE. 59.7% OF THE POPULATION OF ASHTABULA COUNTY HAVE A HIGH SCHOOL DIPLOMA, GED EQUIVALENT, OR LESS; 27.0% OF THE POPULATION HAS AN ASSOCIATES DEGREE OR SOME COLLEGE; AND 13.3% OF THE POPULATION HAS A BACHELOR'S DEGREE OR MORE. 49.7% OF THE POPULATION HAS A HOUSEHOLD INCOME LESS THAN $50,000; 18.1% OF THE POPULATION HAS A HOUSEHOLD INCOME BETWEEN $50,000 - $74,999; 18.4% OF THE POPULATION HAS A HOUSEHOLD INCOME BETWEEN $74,999 - $99,999; AND 13.8% OF THE POPULATION HAS A HOUSEHOLD INCOME OF $100,000 OR MORE.UH ELYRIA MEDICAL CENTERUH REHABILITATION HOSPITAL -- AVONUH AVON REHABILITATION HOSPITAL IS LOCATED IN THE CITY OF AVON IN LORAIN COUNTY, OHIO. UH AVON REHABILITATION HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS ARE ALMOST EXCLUSIVELY CONTAINED WITHIN CUYAHOGA AND LORAIN COUNTIES. THE PRIMARY SERVICE AREA FOR UH AVON REHABILITATION HOSPITAL INCLUDES AVON AND THE SEVEN COMMUNITIES IMMEDIATELY SURROUNDING IT (ELYRIA, NORTH RIDGEVILLE, WESTLAKE, AVON LAKE, NORTH OLMSTED, SHEFFIELD LAKE/VILLAGE AND BAY VILLAGE).THE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS LORAIN COUNTY. THE TOTAL POPULATION FOR LORAIN COUNTY AS OF 2020 IS 309,134. 84% OF THE POPULATION IDENTIFIES AS WHITE, 10.0% AS HISPANIC OR LATINO, 8% AFRICAN AMERICAN, AND 8% AS MORE THAN ONE RACE OR OTHER. 25% OF THE POPULATION IS UNDER AGE 20; 50% OF THE POPULATION IS BETWEEN 20 59; AND 25% OF THE POPULATION IS OVER 60 YEARS OLD. 89.9% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA OR EQUIVALENT OR HIGHER EDUCATION LEVEL, OF THAT 25.3% HAS A BACHELOR'S DEGREE OR HIGHER LEVEL OF EDUCATION. THE MEDIAN HOUSEHOLD INCOME IN LORAIN COUNTY IN 2020 IS $58,798. THE MEAN HOUSEHOLD INCOME IN LORAIN COUNTY IN 2020 IS $78,142. 13.4% OF INDIVIDUALS ARE BELOW THE POVERTY LINE COMPARED TO THE AVERAGE 13.6% IN OHIO. THE UNEMPLOYMENT RATE IN LORAIN COUNTY IS 4.3% COMPARED TO 5.3% IN THE STATE OF OHIO. PART VI, LINE 5: UH CONTINUES TO INVEST IN ITSELF AND THE COMMUNITY THROUGH ENHANCED CLINICAL SERVICES, EDUCATIONAL PROGRAMS, RESEARCH, AND CAPITAL IMPROVEMENTS THAT MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES AND PATIENTS IT SERVES. UH PROVIDES AN OUTSTANDING BALANCE OF HIGH-QUALITY CLINICAL CARE WITHIN ITS WALLS, AND COMMUNITY HEALTH OUTREACH TO LOCAL POPULATIONS. FOUR UH HEALTH CLINICS ARE LOCATED IN AREAS DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). THESE CLINICS INCLUDE THE DOUGLAS MOORE HEALTH CLINIC, WOMEN'S HEALTH CENTER, RAINBOW AMBULATORY PRACTICE, AND FAMILY MEDICINE CLINIC, ALL LOCATED ON THE CAMPUS OF UH CASE MEDICAL CENTER. HRSA ALSO DESIGNATES MEDICALLY UNDERSERVED AREAS (MUAS) AND MEDICALLY UNDERSERVED POPULATIONS (MUPS) BASED ON SPECIFIC CRITERIA. TWENTY-FIVE AREAS WITHIN THE UH SERVICE AREA INCLUDING CUYAHOGA, LORAIN, AND SUMMIT COUNTIES QUALIFY AS MUAS, WHILE ONE POPULATION IN KENT, PORTAGE COUNTY IS A DESIGNATED MUP. CUYAHOGA COUNTY ALONE ACCOUNTS FOR 20 MUAS LOCATED IN 13 ZIP CODES, REPRESENTING 12 TOWNS. THE UH SYSTEM'S TWO CRITICAL ACCESS HOSPITALS IN ASHTABULA COUNTY SIT IN APPALACHIA, AS DESIGNATED BY THE APPALACHIAN REGIONAL COMMISSION.UH IS COMMITTED TO TRAINING THE NEXT GENERATION OF PHYSICIANS, NURSES, SPECIALISTS AND OTHER ALLIED HEALTH CARE PROVIDERS ANNUALLY. MANY OF THESE STUDENTS AND TRAINEES COMPLETE THEIR EDUCATION AND TAKE THEIR KNOWLEDGE AND EXPERTISE TO OTHER PARTS OF THE STATE OR COUNTRY, THEREBY BENEFITING OTHER COMMUNITIES.UH WORKS TO INCREASE HEALTH AND MEDICAL KNOWLEDGE THROUGH GOVERNMENT AND NON-PROFIT FUNDED RESEARCH. THE SHARED KNOWLEDGE DERIVED FROM THESE EFFORTS IMPROVES THE HEALTH AND WELL-BEING OF PEOPLE THROUGHOUT THE NATION AND THE WORLD WHEN THEY LEAD TO NEW STANDARDS OF CARE, NEW MEDICAL DEVICES, OR BREAKTHROUGHS IN TACKLING DISEASES.AS INDICATED IN THE ABOVE RESPONSE TO PART VI, LINE 4, UH HAS MADE SIGNIFICANT INVESTMENTS IN ACCESS TO CARE FOR LOW INCOME AND VULNERABLE RESIDENTS WITHIN THE COUNTIES UH SERVES. PART VI, LINE 6: FOUR UH HEALTH CLINICS ARE LOCATED IN AREAS DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). THESE CLINICS INCLUDE THE DOUGLAS MOORE HEALTH CLINIC AND FAMILY MEDICINE CLINIC LOCATED ON THE CAMPUS OF UH CLEVELAND MEDICAL CENTER, AND THE WOMEN'S HEALTH CENTER AND RAINBOW AMBULATORY PRACTICE LOCATED OFF CAMPUS IN THE UH RAINBOW CENTER FOR WOMEN & CHILDREN. UH SERVES AN ESSENTIAL ROLE IN THE COMMUNITY BY PROVIDING DIVERSE POPULATIONS THROUGHOUT THE NORTHEAST OHIO REGION WITH COMPREHENSIVE HEALTH CARE - FROM PRIMARY CARE TO HIGHLY SPECIALIZED MEDICAL CARE FOR THE MOST SERIOUS OF HEALTH PROBLEMS. IT PROVIDES THE SAME QUALITY AND COMPASSIONATE SERVICE TO ALL, NO MATTER THEIR INCOME, ABILITY TO PAY OR SOCIOECONOMIC STATUS. UH CARES FOR THE WELL-INSURED AND THE UNINSURED; MEN, WOMEN AND CHILDREN FROM EVERY COMMUNITY IN THE REGION, FROM URBAN CENTERS, SMALL TOWNS, RURAL AREAS AND SUBURBS. PART VI, LINE 7, REPORTS FILED WITH STATES OH PART VI, LINE 4 (CONTINUATION) UH PORTAGE MEDICAL CENTERUH PORTAGE MEDICAL CENTER IS LOCATED IN THE CITY OF RAVENNA IN PORTAGE COUNTY, OHIO. PORTAGE COUNTY IS LOCATED DIRECTLY EAST OF SUMMIT COUNTY (AKRON METRO AREA) AND SOUTHEAST OF CUYAHOGA COUNTY (CLEVELAND METRO AREA). THE HOSPITAL'S MARKET AREA INCLUDES 15 MUNICIPALITIES (EIGHT IN ITS PRIMARY MARKET AREA AND SEVEN IN ITS SECONDARY MARKET AREA). IT IS ALMOST COMPLETELY CONTAINED WITHIN PORTAGE COUNTY, OHIO. THE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS PORTAGE COUNTY. ACCORDING TO A 2022 REPORT FROM CLARITAS, THE POPULATION IS 164,161. 89.9% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 4.9% IDENTIFY AS AFRICAN AMERICAN, 2.2% IDENTIFY AS ASIAN, AND 3.0% IDENTIFY AS TWO OR MORE RACES OR OTHER. IN TERMS OF ETHNICITY, 2.3% OF THE POPULATION IN PORTAGE COUNTY IDENTIFY AS HISPANIC/LATINO. THIS IS A SMALLER PROPORTION OF THE POPULATION WHEN COMPARED TO OHIO (4.4%) AND THE U.S. (18.2%). CHILDREN (0-17) COMPRISED 18.2% OF THE POPULATION IN PORTAGE COUNTY. WHEN COMPARED TO OHIO (21.8%) AND THE U.S. (22.4%), PORTAGE COUNTY HAS A LOWER PROPORTION OF CHILDREN POPULATION (AGE 0-17). PORTAGE COUNTY HAS 18.4% OF RESIDENTS AGED 65+. PORTAGE COUNTY HAS A SLIGHTLY LOWER PROPORTION OF ELDER POPULATION (AGE 65+) WHEN COMPARED TO OHIO (18.6%), AND HIGHER PROPORTION WHEN COMPARED TO THE U.S. (16.0%). A HOUSEHOLD INCOME OF $50,000 - $74,999 IS SHARED BY THE LARGEST PROPORTION OF HOUSEHOLDS IN THE PORTAGE COUNTY (19.2%). HOUSEHOLDS WITH AN INCOME OF LESS THAN $15,000 MAKE UP 9.2% OF HOUSEHOLDS IN THE PORTAGE COUNTY. THE MEDIAN HOUSEHOLD INCOME FOR PORTAGE COUNTY IS $64,541, WHICH IS LOWER THAN THE STATE VALUE OF $65,070 AND THE U.S. VALUE OF $64,994. TWO RACIAL/ETHNIC GROUPS WHITE AND NON-HISPANIC/NON-LATINO HAVE MEDIAN HOUSEHOLD INCOMES ABOVE THE OVERALL MEDIAN VALUE. ALL OTHER RACES HAVE INCOMES BELOW THE OVERALL VALUE, WITH THE ASIAN POPULATIONS HAVING THE LOWEST MEDIAN HOUSEHOLD INCOME AT $32,879. OVERALL, 8.1% OF FAMILIES IN PORTAGE COUNTY LIVE BELOW THE POVERTY LEVEL, WHICH IS LOWER THAN BOTH THE STATE VALUE OF 9.6% AND THE U.S. OF 9.1%. THE UNEMPLOYMENT RATE FOR PORTAGE COUNTY IS 4.5%, WHICH IS LOWER THAN THE STATE VALUE AT 4.0% AND THE U.S. VALUE AT 5.4%. PORTAGE COUNTY HAS A HIGHER PERCENTAGE OF RESIDENTS WITH A HIGH SCHOOL DEGREE OR HIGHER (92.1%) WHEN COMPARED TO BOTH THE STATE AND THE U.S. VALUE WHILE RESIDENTS WITH A BACHELOR'S DEGREE OR HIGHER (29.0%) HAVE A LOWER PERCENTAGE WHEN COMPARED TO THE U.S. VALUE. UH SAMARITAN MEDICAL CENTERUH SAMARITAN MEDICAL CENTER IS LOCATED IN ASHLAND, OHIO, WITHIN ASHLAND COUNTY, A RURAL COUNTY LOCATED SOUTHWEST OF CUYAHOGA COUNTY (CLEVELAND METRO AREA) AND NORTHEAST OF FRANKLIN COUNTY (COLUMBUS METRO AREA). ASHLAND COUNTY IS COMPRISED OF CITIES, VILLAGES AND TOWNSHIPS. ITS COUNTY SEAT IS THE CITY OF ASHLAND, WHERE THE HOSPITAL IS LOCATED. ACCORDING TO A 2022 REPORT BY CLARITAS, THE POPULATION IS 53,804. 96.1% OF THE POPULATION IDENTIFIES AS WHITE, 0.8% IDENTIFIES AS AFRICAN AMERICAN, 1.8% IDENTIFIES AS HISPANIC OR LATINO (ETHNICITY), 0.8% IDENTIFIES AS ASIAN, AND 2.1% IDENTIFIES AS TWO OR MORE OR OTHER. 21.98% OF THE POPULATION IS UNDER AGE 18 AND 20.23% OF THE POPULATION IS OVER THE AGE OF 65. A HOUSEHOLD INCOME OF $50,000 - $74,999 IS SHARED BY THE LARGEST PROPORTION OF HOUSEHOLDS IN ASHLAND COUNTY (20.6%), FOLLOWED BY A HOUSEHOLD INCOME OF $35,000 - $49,999 (14.5% OF HOUSEHOLDS). HOUSEHOLDS WITH AN INCOME OF LESS THAN $15,000 MAKE UP 8.0% OF HOUSEHOLDS IN ASHLAND COUNTY. THE MEDIAN HOUSEHOLD INCOME FOR ASHLAND COUNTY IS $61,116, WHICH IS LOWER THAN THE STATE AND NATIONAL VALUES OF $65,070 AND $64,994 RESPECTIVELY. DISPARITIES IN MEDIAN HOUSEHOLD INCOME EXIST BETWEEN RACIAL AND ETHNIC GROUPS WITHIN THE COUNTY, HOWEVER. THE MEDIAN HOUSEHOLD INCOME AMONG RESIDENTS OF THE WHITE COMMUNITY ($61,457), BLACK/AFRICAN AMERICAN ($64,646) AND NON-HISPANIC/NON-LATINO COMMUNITY ($61,308) FALL ABOVE THE COUNTY AVERAGE. OVERALL, 7.7% OF FAMILIES IN ASHLAND COUNTY LIVE BELOW THE POVERTY LEVEL, WHICH IS LOWER THAN BOTH THE STATE VALUE OF 9.6% AND THE NATIONAL VALUE OF 9.1%. THE UNEMPLOYMENT RATE FOR THE ASHLAND COUNTY IS 3.4%, WHICH IS LOWER THAN THE STATE VALUE AT 4.7% AND THE U.S. VALUE AT 5.4%. ASHLAND COUNTY HAS THE SAME PERCENTAGE OF RESIDENTS IN THE U.S. WITH A HIGH SCHOOL DEGREE OR HIGHER (88.5%) BUT HAS A LOWER PERCENTAGE WHEN COMPARED TO THE STATE VALUE (90.7%). WHILE RESIDENTS WITH A BACHELOR'S DEGREE OR HIGHER (21.0%) HAS A LOWER PERCENTAGE WHEN BOTH COMPARED TO THE STATE AND U.S. VALUE.WEST MEDICAL CENTERTRIPOINT MEDICAL CENTERTHE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS LAKE COUNTY. ACCORDING TO A 2022 REPORT FROM CLARITAS, THE POPULATION IS 231,521. THE RACIAL MAKEUP OF LAKE COUNTY SHOWS 89% OF THE POPULATION IDENTIFYING AS WHITE. THE PROPORTION OF BLACK/AFRICAN AMERICAN COMMUNITY MEMBERS IS THE SECOND LARGEST OF ALL RACIAL GROUPS AT 5%. ALL OTHER PROPORTIONS OF THE POPULATION FALLS BELOW 5% OF THE POPULATION. 3.1% OF THE POPULATION IN LAKE COUNTY IDENTIFY AS HISPANIC/LATINO. THIS IS A SMALLER PROPORTION OF THE POPULATION WHEN COMPARED TO OHIO. CHILDREN (0-20) COMPRISED 22.8% OF THE POPULATION IN LAKE COUNTY. LAKE COUNTY HAS 21.8% OF RESIDENTS AGED 65+. A HOUSEHOLD INCOME OF $50,000 - $74,999 IS SHARED BY THE LARGEST PROPORTION OF HOUSEHOLDS IN LAKE COUNTY (19.3%), FOLLOWED BY A HOUSEHOLD INCOME OF $75,000 - $99,999 (15.0% OF HOUSEHOLDS). HOUSEHOLDS WITH AN INCOME OF LESS THAN $15,000 MAKE UP 6.0% OF HOUSEHOLDS IN LAKE COUNTY. THE MEDIAN HOUSEHOLD INCOME FOR LAKE COUNTY IS $70,030, WHICH IS HIGHER THAN THE STATE AND NATIONAL VALUES OF $65,070 AND $62,843 RESPECTIVELY. DISPARITIES IN MEDIAN HOUSEHOLD INCOME EXIST BETWEEN RACIAL AND ETHNIC GROUPS WITHIN THE COUNTY HOWEVER. THE MEDIAN HOUSEHOLD INCOME AMONG RESIDENTS OF THE ASIAN COMMUNITY ($90,761), WHITE COMMUNITY ($71,706), AMERICAN INDIAN/ALASKAN NATIVE ($72,384) AND NON-HISPANIC/LATINO COMMUNITY ($70,683) FALL ABOVE THE COUNTY AVERAGE. OVERALL, 3.9% OF FAMILIES IN LAKE COUNTY LIVE BELOW THE POVERTY LEVEL, WHICH IS LOWER THAN BOTH THE STATE VALUE OF 7.3% AND THE NATIONAL VALUE OF 9.5%. THE UNEMPLOYMENT RATE FOR LAKE COUNTY IS 4.2%, WHICH IS LOWER THAN THE STATE AND NATIONAL UNEMPLOYMENT VALUES OF 4.7% AND 5.3% RESPECTIVELY. 1 PARMA HOSPITAL HEALTH CARE FOUNDATION 7007 POWERS BLVD PARMA OH 44129 341626664 501(C)3 1267914 0 GENERAL SUPPORT LAKE HOSPITAL FOUNDATION INC 3605 WARRENSVILLE CTR RD MSC 9155 SHAKER HEIGHTS OH 44122 341425872 501(C)3 500058 0 GENERAL SUPPORT ROBINSON MEMORIAL HOSPITAL FOUNDATION 6847 N CHESTNUT STREET PO BOX 1204 RAVENNA OH 44266 341510544 501(C)3 324958 0 GENERAL SUPPORT GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY 1240 WEST 6TH STREET CLEVELAND OH 44113 GOVERNMENT 125000 0 GENERAL SUPPORT THE GATHERING PLACE 23300 COMMERCE PARK DRIVE STE 180 BEACHWOOD OH 44122 341879035 501(C)3 100000 0 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)3 75000 0 GENERAL SUPPORT THE MT SINAI HEALTH CARE FOUNDATION 10501 EUCLID AVE FL 2 CLEVELAND OH 44106 341777878 501(C)3 66667 0 GENERAL SUPPORT ELYRIA MEDICAL CENTER FOUNDATION 630 EAST RIVER STREET ELYRIA OH 44035 611579760 501(C)3 59472 0 GENERAL SUPPORT AMERICAN CANCER SOCIETY INC 3380 CHASTAIN MEADOWS PARKWAY NW SUITE 200 KENNESAW GA 30144 131788491 501(C)3 50000 0 GENERAL SUPPORT YOUNG WOMENS CHRISTIAN ASSOCIATION OF CLEVELAND OHIO 4109 PROSPECT AVE CLEVELAND OH 44103 340714800 501(C)3 30000 0 GENERAL SUPPORT PROVIDENCE HOUSE INC 2050 W 32ND STREET CLEVELAND OH 44113 341336325 501(C)3 25000 0 GENERAL SUPPORT CATHOLIC CHARITIES CORPORATION 7911 DETROIT AVE CLEVELAND OH 44102 341318541 501(C)3 25000 0 GENERAL SUPPORT GREATER CLEV FOOD BANK INC 15500 SOUTH WATERLOO RD CLEVELAND OH 44110 341292848 501(C)3 15000 0 GENERAL SUPPORT POSITIVE EDUCATION PROGRAM 3100 EUCLID AVE CLEVELAND OH 44115 341127919 501(C)3 15000 0 GENERAL SUPPORT CUYAHOGA COMMUNITY COLLEGE FOUNDATION 700 CARNEGIE AVE CLEVELAND OH 44115 237320719 501(C)3 15000 0 GENERAL SUPPORT LIFEACT 210 BELL STREET SUITE 200 CHAGRIN FALLS OH 44022 341724365 501(C)3 15000 0 GENERAL SUPPORT TOWARDS EMPLOYMENT INC 1255 EUCLID AVE SUITE 300 CLEVELAND OH 44115 341578831 501(C)3 10000 0 GENERAL SUPPORT PASSAGES CONNECTING FATHERS AND SONS INC 4600 CARNEGIE AVE SUITE 4HE CLEVELAND OH 44103 510455278 501(C)3 10000 0 GENERAL SUPPORT PFLAG NATIONAL 1625 K STREET NW SUITE 700 WASHINGTON DC 20006 953750694 501(C)3 10000 0 GENERAL SUPPORT MEDWISH INTERNATIONAL 1625 E 31ST STREET CLEVELAND OH 44114 341903712 501(C)3 10000 0 GENERAL SUPPORT BUSINESS VOLUNTEERS UNLIMITED 1300 EAST 9TH STREET SUITE 1220 CLEVELAND OH 44114 341724581 501(C)3 10000 0 GENERAL SUPPORT AMERICAN RED CROSS 431 18TH ST NW WASHINGTON DC 20006 530196605 501(C)3 10000 0 GENERAL SUPPORT RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST OHIO 10415 EUCLID AVE CLEVELAND OH 44106 341269123 501(C)3 10000 0 GENERAL SUPPORT PLAYERS PHILANTHROPY FUND 1122 KENILWORTH DR SUITE 201 TOWSON MD 21204 276601178 501(C)3 10000 0 GENERAL SUPPORT HUMBLE DESIGN INC 180 N SAGINAW C/O TREGER STRASBERG PONTIAC MI 48342 270410088 501(C)3 7500 0 GENERAL SUPPORT 25 0 PART I, LINE 2: UH HAS A PROCESS WHERE WE RECEIVE AND REVIEW REQUESTS FOR FUNDING, WHICH INCLUDES OUR SENIOR LEADERS. IN THAT REVIEW PROCESS WE CHECK TO BE SURE THE ORGANIZATION IS MISSION ALIGNED TO UH AND REVIEW HISTORICAL GIVING. MUCH OF OUR SUPPORT IS REVIEWED BOTH INTERNALLY AND WITH THE EXTERNAL GROUP ON AN ANNUAL BASIS. X X X X X 1 1 0 0 0 0 0 1 1 1 MEGERIAN CLIFF MD SEE SCHEDULE O 0 1773351 0 504430 0 490194 0 26400 0 32110 0 2826485 0 0 SZUBSKI MICHAEL A SEE SCHEDULE O 0 980587 0 220559 0 223501 0 273539 0 37928 0 1736114 0 0 TAIT PAUL G SEE SCHEDULE O 0 485021 0 147118 0 933136 0 8438 0 28119 0 1601832 0 0 SIMON DANIEL I MD SEE SCHEDULE O 0 1024683 0 227243 0 204513 0 22956 0 31061 0 1510456 0 0 TEKNOS THEODOROS N MD SEE SCHEDULE O 0 969557 0 307508 0 159111 0 24750 0 30793 0 1491719 0 0 GLOTZBECKER MICHAEL P MD SEE SCHEDULE O 1366482 0 0 0 34708 0 23100 0 36602 0 1460892 0 0 0 SABIK JOSEPH MD SEE SCHEDULE O 1292566 0 41250 0 36444 0 24750 0 37328 0 1432338 0 0 0 EUBANKS JASON D MD SEE SCHEDULE O 1362996 0 59 0 20010 0 24750 0 8752 0 1416567 0 0 0 VOOS JAMES SEE SCHEDULE O 1289438 0 41250 0 3510 0 23100 0 30254 0 1387552 0 0 0 ZIMMER SCOTT M MD SEE SCHEDULE O 1096733 0 152108 0 5409 0 20718 0 31201 0 1306169 0 0 0 KONHEIM ARI L MD SEE SCHEDULE O 1064240 0 153171 0 2337 0 23100 0 29578 0 1272426 0 0 0 BAMBAKIDIS NICHOLAS MD SEE SCHEDULE O 1105423 0 41250 0 55722 0 24750 0 36087 0 1263232 0 0 0 HINCHEY PAUL R SEE SCHEDULE O 0 967582 0 202274 0 35563 0 23100 0 27488 0 1256007 0 0 TOPALSKY GEORGE MD SEE SCHEDULE O 0 603190 0 86675 0 381384 0 142221 0 18655 0 1232125 0 0 OCHENJELE GEORGE MD SEE SCHEDULE O 1133880 0 0 0 24729 0 21450 0 39452 0 1219511 0 0 0 SNOWBERGER THOMAS D SEE SCHEDULE O 0 740355 0 212511 0 148798 0 24750 0 18255 0 1144669 0 0 PRONOVOST PETER MD SEE SCHEDULE O 0 796453 0 178565 0 58891 0 24750 0 83 0 1058742 0 0 ADELMAN HARLIN G ESQ SEE SCHEDULE O 0 680076 0 146107 0 159407 0 29700 0 39183 0 1054473 0 0 SASSER SCOTT M MD SEE SCHEDULE O 0 732721 0 150007 0 41802 0 22059 0 38712 0 985301 0 0 PAPA ALAN J FACHE SEE SCHEDULE O 0 458468 0 93060 0 322859 0 24750 0 21397 0 920534 0 0 ANTONIADES STATHIS MPH SEE SCHEDULE O 0 742643 0 89060 0 2606 0 16198 0 30512 0 881019 0 0 SALATA ROBERT A MD SEE SCHEDULE O 611444 0 134139 0 49529 0 29700 0 25885 0 850697 0 0 0 STROSAKER ROBYN MD SEE SCHEDULE O 0 590656 0 114509 0 55946 0 24750 0 33724 0 819585 0 0 MOORE-HARDY CYNTHIA SEE SCHEDULE O 0 0 0 0 0 806161 0 0 0 8592 0 814753 0 808496 DEPOMPEI PATRICIA M SEE SCHEDULE O 0 531217 0 107459 0 113389 0 29700 0 26824 0 808589 0 0 TOGLIATTI-TRICKETT KIMBERLY MD SEE SCHEDULE O 626830 0 58116 0 18130 0 19440 0 36578 0 759094 0 0 0 SALVINO SONIA SEE SCHEDULE O 0 415691 0 83207 0 91633 0 146513 0 0 0 737044 0 0 PATEL CHETAN P MD SEE SCHEDULE O 0 690211 0 14 0 6971 0 13200 0 22826 0 733222 0 0 MILLER MARLENE MD SEE SCHEDULE O 595110 0 41250 0 28718 0 24750 0 34711 0 724539 0 0 0 SAMSA JOHN MD SEE SCHEDULE O 485061 0 141553 0 35404 0 21766 0 24500 0 708284 0 0 0 SCHARIO MARK E SEE SCHEDULE O 0 253936 0 44697 0 279381 0 104640 0 18502 0 701156 0 0 BOND BRADLEY C SEE SCHEDULE O 0 466871 0 85782 0 72314 0 26400 0 35670 0 687037 0 0 MONTER BRIAN SEE SCHEDULE O 0 464886 0 93221 0 74135 0 23100 0 30785 0 686127 0 0 GLOTZBECKER BRETT SEE SCHEDULE O 0 550452 0 44552 0 23335 0 23100 0 275 0 641714 0 0 SILA CATHY MD SEE SCHEDULE O 529575 0 41264 0 33534 0 29700 0 275 0 634348 0 0 0 CHICKERELLA DANIELLE SEE SCHEDULE O 0 424855 0 84267 0 73899 0 23100 0 11091 0 617212 0 0 TRACZ ROBERT SEE SCHEDULE O 218474 0 36517 0 311993 0 23934 0 25755 0 616673 0 0 0 DECARLO DONALD SEE SCHEDULE O 0 421649 0 67601 0 64727 0 24750 0 34436 0 613163 0 0 CARSON BRENT SEE SCHEDULE O 0 394815 0 63573 0 76430 0 29700 0 34436 0 598954 0 0 BANIEWICZ JOHN MD SEE SCHEDULE O 481734 0 42089 0 13614 0 29700 0 17996 0 585133 0 0 0 BENOIT WILLIAM SEE SCHEDULE O 0 394053 0 76933 0 52883 0 24750 0 35781 0 584400 0 0 SCHMOTZER CHRISTINE SEE SCHEDULE O 0 446638 0 63222 0 19600 0 24750 0 29852 0 584062 0 0 NOBLE VICKI SEE SCHEDULE O 486780 0 41293 0 25062 0 18750 0 8866 0 580751 0 0 0 THEADORE JASON SEE SCHEDULE O 0 440991 0 66175 0 2027 0 23100 0 18425 0 550718 0 0 PRESTEGAARD MD BENJAMIN SEE SCHEDULE O 0 442981 0 45374 0 2746 0 16500 0 25790 0 533391 0 0 RAO GOUTHAM MD SEE SCHEDULE O 422996 0 41250 0 4620 0 17509 0 27645 0 514020 0 0 0 SYLVAN DAVID SEE SCHEDULE O 0 363918 0 85976 0 42564 0 18724 0 851 0 512033 0 0 HARFORD TODD SEE SCHEDULE O 0 297262 0 49662 0 65664 0 23673 0 37328 0 473589 0 0 CARPENTER JENNIFER SEE SCHEDULE O 0 310466 0 47378 0 45956 0 29479 0 36905 0 470184 0 0 PIRTZ JASON M SEE SCHEDULE O 0 347932 0 48456 0 1207 0 20818 0 31240 0 449653 0 0 HOYNES SEAN MD SEE SCHEDULE O 0 323649 0 12795 0 3335 0 69353 0 40178 0 449310 0 0 VEHOVEC MICHAEL R SEE SCHEDULE O 0 0 0 62218 0 372281 0 0 0 9320 0 443819 0 323202 ATA GEORGE SEE SCHEDULE O 0 332357 0 47749 0 962 0 20214 0 36668 0 437950 0 0 CICERO RICHARD SEE SCHEDULE O 0 312709 0 47616 0 28388 0 29196 0 18418 0 436327 0 0 ZNIDARISC ROBERT MD SEE SCHEDULE O 368725 0 71 0 3826 0 26179 0 30171 0 428972 0 0 0 COOPER DANIELLE MD SEE SCHEDULE O 245072 0 69256 0 32179 0 22385 0 34812 0 403704 0 0 0 CARLUCCI ASHLEY SEE SCHEDULE O 0 281203 0 42547 0 1063 0 21475 0 41578 0 387866 0 0 GLOWCZEWSKI JASON SEE SCHEDULE O 0 230299 0 39252 0 49876 0 19804 0 23306 0 362537 0 0 SKARBINSKI JULIE SEE SCHEDULE O 227319 0 30134 0 12833 0 20857 0 30965 0 322108 0 0 0 RAVICHANDRAN KAMALESWARY MD SEE SCHEDULE O 0 266500 0 5220 0 7142 0 14525 0 26283 0 319670 0 0 GALLUCCI MICHELLE SEE SCHEDULE O 0 234118 0 14476 0 27824 0 15277 0 17845 0 309540 0 0 MONHEIM KAREN M MD SEE SCHEDULE O 0 179704 0 31285 0 5500 0 13475 0 20703 0 250667 0 0 CHEN PARTICK SEE SCHEDULE O 0 162053 0 13242 0 5163 0 11698 0 33692 0 225848 0 0 MILLER JANET L ESQ SEE SCHEDULE O 0 0 0 0 0 190376 0 0 0 0 0 190376 0 0 KLINE ANDREW L SEE SCHEDULE O 0 136222 0 161 0 1837 0 6939 0 31801 0 176960 0 0 VITO LIESE MD SEE SCHEDULE O 165190 0 0 0 1447 0 4956 0 0 0 171593 0 0 0 MILLER CHRISTOPHER N MD SEE SCHEDULE O 141095 0 0 0 8633 0 3022 0 7761 0 160511 0 0 0 PART I, LINE 7 MANAGEMENT INCENTIVE PLAN (MIP) PAYMENTS ARE CALCULATED ANNUALLY AS A PERCENTAGE OF BASE SALARY BASED UPON GOAL ATTAINMENT FOR EACH INCENTIVE CYCLE. THE ELIGIBLE INCENTIVE PERCENTAGE IS DEPENDENT UPON EACH INDIVIDUAL'S LEADERSHIP LEVEL IN THE ORGANIZATION. PART I, LINE 8 CERTAIN EMPLOYEE COMPENSATION DISCLOSED IN PART VII MEET THE REQUIREMENTS OF THE INITIAL CONTRACT EXCEPTION. PART I, LINE 4A: UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION. SEVERANCE PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: VEHOVEC, MICHAEL: $323,202 MOORE-HARDY, CYNTHIA: $808,496 SASSER, SCOTT M. MD: $42,304 PART I, LINE 4B: ELIGIBLE EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN UNDER CODE 457(F). ANY AMOUNTS ULTIMATELY PAID UNDER THE PLAN TO AN ELIGIBLE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B (III) IN THE YEAR PAID. SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSON IN PART VII: ADELMAN, HARLIN G. ESQ. ($150,395 - SERP) BAMBAKIDIS, NICHOLAS MD ($25,550 - SERP) BENOIT, WILLIAM ($47,143 - SERP) BOND, BRADLEY C. ($67,636 - SERP) CARPENTER, JENNIFER ($42,462 - SERP) CHICKERELLA, DANIELLE ($46,986 - SERP) DECARLO, DONALD ($38,239 - SERP) DEPOMPEI, PATRICIA M. ($80,803 - SERP) GLOWCZEWSKI, JASON ($26,132 - SERP) HARFORD, TODD ($38,199 - SERP) MEGERIAN, CLIFF MD ($444,626 - SERP) MONTER, BRIAN ($48,482 - SERP) PAPA, ALAN J. FACHE ($206,698 - SERP) PRONOVOST, PETER MD ($26,549 - SERP) SALVINO, SONIA ($62,569 - SERP) SCHARIO, MARK E. ($159,168 - SERP) SIMON, DANIEL I. MD (189,019 - SERP) SNOWBERGER, THOMAS D. ($113,797 - SERP) STROSAKER, ROBYN MD ($52,799 - SERP) SYLVAN, DAVID ($15,417 - SERP) SZUBSKI, MICHAEL A. ($185,532 - SERP) TAIT, PAUL G. ($598,238 - SERP) TEKNOS, THEODOROS N. MD ($122,150 - SERP) TOPALSKY, GEORGE MD ($308,412 - SERP) VEHOVEC, MICHAEL R. ($167,212 - SERP) FORM 990, SCHEDULE J, PART II: FORM 990 REPORTING REQUIREMENTS RELATED TO ITEMS SUCH AS DEFERRED COMPENSATION PROGRAMS REQUIRE DUAL REPORTING IN SOME YEARS FOR VARIOUS PARTICIPANTS. AS SUCH, AMOUNTS MAY BE SHOWN IN PART VII AND SCHEDULE J DURING A YEAR IN WHICH THOSE AMOUNTS WERE DEFERRED, AND AGAIN IN SUBSEQUENT YEARS IN PART VII AND SCHEDULE J WHEN ACTUALLY PAID. ONLY SCHEDULE J INCLUDES A COLUMN (F), NOTING THESE AMOUNTS WERE PREVIOUSLY REPORTED. ELLEN SABIK SEE PART V 314114 SEE PART V 0 MALINDA GIBSON SEE PART V 44644 SEE PART V 0 JOHN C BANIEWICZ SEE PART V 276121 SEE PART V 0 CAMERON J DECARLO SEE PART V 11755 SEE PART V 0 SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: ELLEN SABIK.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JOSEPH SABIK, DIRECTOR AT UNIVERSITY HOSPITALS MEDICAL GROUP.(C) AMOUNT OF TRANSACTION: $314,114.(D) DESCRIPTION OF TRANSACTION: A FAMILY MEMBER OF JOSEPH SABIK IS PAID BY UNIVERSITY HOSPITALS MEDICAL GROUP.(E) SHARING OF ORGANIZATION REVENUES? = NO. SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: MALINDA GIBSON.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF MICHAEL LEWIS, OFFICER AND DIRECTOR AT UNIVERSITY HOSPITALS ROBINSON HEALTH SYSTEM.(C) AMOUNT OF TRANSACTION: $44,644.(D) DESCRIPTION OF TRANSACTION: A FAMILY MEMBER OF MICHAEL LEWIS IS PAID BY UNIVERSITY HOSPITALS ROBINSON HEALTH SYSTEM.(E) SHARING OF ORGANIZATION REVENUES? = NO. SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: JOHN C. BANIEWICZ.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JOHN J. BANIEWICZ, DIRECTOR AT PRIMEHEALTH INC.(C) AMOUNT OF TRANSACTION: $276,121.(D) DESCRIPTION OF TRANSACTION: A FAMILY MEMBER OF JOHN J. BANIEWICZ IS PAID BY PRIMEHEALTH INC.(E) SHARING OF ORGANIZATION REVENUES? = NO. SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: CAMERON J. DECARLO.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF DONALD DECARLO, DIRECTOR EX-OFFICIO AT UH REGIONAL HOSPITALS.(C) AMOUNT OF TRANSACTION: $11,755.(D) DESCRIPTION OF TRANSACTION: COMERON J. DECARLO, A FAMILY MEMBER OF DONALD DECARLO, IS PAID BY UH REGIONAL HOSPITAL(E) SHARING OF ORGANIZATION REVENUES? = NO. X 13 11002 APPRAISAL/RECEIPT X 1 15000 FMV X 42 1977247 FMV X 1 1285 FMV X 9 8047 RECEIPT X 1 1 N/A X TOYS 8 8220 RECEIPT/FMV X EVENT SUPPLIES 4 3240 RECEIPT/FMV X GIFT CARDS 19 358 STATED VALUE 0 0 1 0 PART I, COLUMN (B): THE NUMBER REPORTED IN PART I, COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS. PART I, LINE 33: SIX BLOOD PRESSURE MONITORS, INSUFFICIENT SUPPORTING DOCUMENTATION TO VALUE. FORM 990, PART I, LINE 6: THE TOTAL NUMBER OF VOLUNTEERS IS PROVIDED BY EACH UH MEDICAL CENTER'S VOLUNTEER COORDINATOR. VOLUNTEERS PROVIDE ASSISTANCE IN MANY DIFFERENT DEPARTMENTS THROUGHOUT THE UH MEDICAL CENTERS. THE ROLES OF A VOLUNTEER FALL INTO THREE CATEGORIES: PATIENT CONTACT, LIMITED PATIENT CONTACT AND NO PATIENT CONTACT. ROLES IN THE PATIENT CONTACT CATEGORY INCLUDE THOSE WHERE THE VOLUNTEER IS WORKING DIRECTLY WITH A PATIENT OR THE PATIENT'S FAMILY. EXAMPLES OF VOLUNTEER ROLES FROM THIS CATEGORY INCLUDE BUT ARE NOT LIMITED TO PASTORAL CARE VOLUNTEERS AND NEWBORN NURSERY VOLUNTEERS. VOLUNTEERS WHO SERVE IN ROLES WHERE THERE IS LIMITED PATIENT CONTACT WORK IN AREAS WHERE THEY MAY BE WORKING MORE WITH HOSPITAL STAFF THAN OUR PATIENTS OR VISITORS. EXAMPLES OF VOLUNTEER ROLES UNDER THE LIMITED PATIENT CONTACT INCLUDE BUT ARE NOT LIMITED TO FLOWER DELIVERY VOLUNTEERS AND ATRIUM GIFT SHOP VOLUNTEERS. FINALLY, EXAMPLES OF VOLUNTEER ROLES FROM THE NO PATIENT CONTACT CATEGORY INCLUDE BUT ARE NOT LIMITED TO MAILROOM AND CLERICAL VOLUNTEERS (WORKING IN OFFICES THROUGHOUT THE UH MEDICAL CENTERS). FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION: UNIVERSITY HOSPITALS (THE "SYSTEM") IS GUIDED BY ITS MISSION "TO HEAL. TO TEACH. TO DISCOVER." THE SYSTEM SERVES A UNIQUE ROLE IN THE COMMUNITIES IT SERVES BY PROVIDING DIVERSE POPULATIONS THROUGHOUT THE NORTHEAST OHIO REGION WITH COMPREHENSIVE HEALTH CARE - FROM PRIMARY CARE TO HIGHLY SPECIALIZED MEDICAL CARE FOR THE MOST SERIOUS OF HEALTH PROBLEMS. THE SYSTEM IS KNOWN FOR PROVIDING SUPERIOR, LEADING-EDGE HEALTH CARE ACROSS THE FULL RANGE OF MEDICAL AND SURGICAL SPECIALITIES FROM INFANCY TO ELDER CARE. IN ADDITION TO DELIVERING QUALITY PATIENT CARE, THE SYSTEM SERVES AS A PREEMINENT TEACHING FACILITY FOR PHYSICIANS, NURSES AND ANCILLARY MEDICAL PERSONNEL. THE SYSTEM'S EXTENSIVE CLINICAL RESEARCH PROGRAMS CONTINUE TO IMPROVE THE UNDERSTANDING OF DISEASE AND ENHANCE PATIENT CARE. FORM 990, PART III - PROGRAM SERVICE, LINE 4A: COMMITMENT TO THE COMMUNITY REMAINS AT THE CORE OF THE SYSTEM'S MISSION: TO HEAL. TO TEACH. TO DISCOVER. IN 2023, UNIVERSITY HOSPITALS DEDICATED MORE THAN $522 MILLION TO COMMUNITY BENEFIT PROGRAMS IN NORTHEAST OHIO CONSISTING OF: - EDUCATION AND TRAINING = $100 MILLION - RESEARCH = $58 MILLION - CHARITY CARE = $58 MILLION - MEDICAID SHORTFALL = $268 MILLION - COMMUNITY HEALTH IMPROVEMENT SERVICES, PROGRAMS AND SUPPORT = $38 MILLION - HOSPITAL CARE ASSURANCE PROGRAM (HCAP) RECEIPTS = ($75 MILLION). REFER TO SCHEDULE H FOR FURTHER DETAIL ON HOW THE SYSTEM MEASURES AND REPORTS COMMUNITY BENEFIT. COMMUNITY BENEFIT FOR 2023 TOTALED $522 MILLION. IN ADDITION TO CHARITY CARE AND INSUFFICIENT FUNDING FROM THE MEDICAID PROGRAM, THE SYSTEM INCURS SIGNIFICANT LOSSES RELATED TO SELF-PAY PATIENTS WHO FAIL TO MAKE PAYMENT FOR SERVICES RENDERED OR INSURED PATIENTS WHO FAIL TO REMIT CO-PAYMENTS AND DEDUCTIBLES AS REQUIRED UNDER APPLICABLE HEALTH INSURANCE ARRANGEMENTS. IN 2023, $129 MILLION REPRESENTED REVENUES FOR SERVICES PROVIDED THAT ARE DEEMED TO BE UNCOLLECTIBLE. THE SYSTEM HAS A BROAD PRESENCE THROUGHOUT NORTHEAST OHIO, INCLUDING CUYAHOGA, LORAIN, GEAUGA, ASHTABULA, PORTAGE, ASHLAND, LAKE, AND RICHLAND COUNTIES SERVICE AREAS. THE BREADTH OF THE SYSTEM'S SERVICE AREA IS COVERED THROUGH ITS ACADEMIC MEDICAL CENTER, COMMUNITY MEDICAL CENTERS, JOINT VENTURES, AMBULATORY HEALTH CENTERS, AND MEDICAL PRACTICES. THE UH HEALTH SYSTEM PROVIDES WORK DIRECTLY FOR 38,433 EMPLOYEES AND PHYSICIANS. UH PROVIDES MANY COMMUNITY BENEFITS DIRECTLY AND INDIRECTLY THROUGH NEW OR EXPANDED BUSINESS OPPORTUNITIES AND THROUGH IMPORTANT CAPITAL INVESTMENTS IN OUR FACILITIES. UH HAS COMMITTED - AND CONTINUES TO COMMIT - MILLIONS OF DOLLARS TO FACILITIES AND OPERATIONS WITHIN THE CITY OF CLEVELAND AND THROUGHOUT OUR REGION, PROVIDING CONSTRUCTION AND HOSPITAL-BASED JOBS. STATE-OF-THE-ART FACILITIES AND SERVICES AT UH CLEVELAND MEDICAL CENTER, OUR WORLD-RENOWNED ACADEMIC MEDICAL CENTER IN CLEVELAND, PROVIDE CLEVELAND RESIDENTS AND PEOPLE FROM THROUGHOUT THE REGION AND THE WORLD WITH THE FINEST IN PRIMARY AND SPECIALTY HEALTH CARE. THE FACILITIES ALLOW US TO CONDUCT VITAL MEDICAL RESEARCH AND OFFER ADVANCED TRAINING FOR STUDENTS AND HEALTH PROFESSIONALS. THE QUENTIN & ELISABETH ALEXANDER NEONATAL INTENSIVE CARE UNIT AT UH RAINBOW BABIES & CHILDREN'S HOSPITAL SERVES OUR MOST VULNERABLE CHILDREN. THE SYSTEM'S EMERGENCY FACILITIES AT OR MEDICAL CENTERS AND THE SYSTEM'S SEIDMAN CANCER CENTER AT UH CLEVELAND MEDICAL CENTER AND VARIOUS COMMUNITY MEDICAL CENTERS, CONTINUE TO PROVIDE EXPANDED EMPLOYMENT OPPORTUNITIES WHILE EXTENDING UH'S MISSION TO MORE PATIENTS. NEW STATE-OF-THE-ART OUTPATIENT HEALTH CENTERS IN THE REGION HAVE SPURRED ECONOMIC GROWTH WHILE GIVING PEOPLE ACCESS TO THE CARE THEY NEED CLOSE TO HOME AND EXPANDING OUR COMMUNITY BENEFIT PROGRAMS. THE SYSTEM IS PROUD TO CONTRIBUTE TO THE HEALTH OF ITS CITIZENS AND TO BE A POSITIVE ECONOMIC FORCE IN THE REGION. FOR MORE DETAILED INFORMATION ON THE SYSTEM'S COMMUNITY BENEFIT OR TO VIEW THE 2023 COMMUNITY BENEFIT REPORT, PLEASE VISIT THE SYSTEM'S WEBSITE AT WWW.UHHOSPITALS.ORG. FORM 990, PART VI, SECTION A, LINE 6 UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE ORGANIZATIONS INCLUDED IN THIS RETURN. ITS RIGHTS INCLUDE ELECTING THE BOARD OF DIRECTORS AND APPROVING SIGNIFICANT DECISIONS OF EACH ORGANIZATION'S BOARD. FORM 990, PART VI, SECTION A, LINE 7A UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (SOLE MEMBER) ELECTS THE BOARD OF DIRECTORS, INCLUDING THE DESIGNATION OF THE DIRECTORS TO BE THE CHAIRPERSON AND VICE CHAIRPERSON OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN GOVERNING RESPONSIBILITIES ARE RESERVED AT THE PARENT ORGANIZATION, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (SOLE MEMBER). EXAMPLES INCLUDE APPROVING MATTERS RELATING TO FINANCES AND FINANCING, MATTERS RELATING TO INVESTMENTS, LEGAL MATTERS, MATERIAL ASSETS SALES OR TRANSFERS, STRATEGIC PLAN, OFFICERS, AND DIRECTORS TO THE ORGANIZATIONS BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT AND COMPLIANCE COMMITTEE HAS BEEN DELEGATED AUTHORITY BY THE UHHS BOARD OF DIRECTORS TO REVIEW THE FORM 990. THE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION SECTIONS OF THE FORM 990. THE GOVERNANCE AND COMMUNITY BENEFIT COMMITTEE REVIEWED THE COMMUNITY BENEFIT SECTION OF THE FORM 990 (SCHEDULE H). THE UHHS BOARD OF DIRECTORS RECEIVES A COMPLETE COPY OF THE RETURN BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. CERTAIN MEMBERS OF SENIOR MANAGEMENT REVIEW THE FORM WHILE OVERSEEING THIS PROCESS. FORM 990, PART VI, SECTION B, LINE 12C THE SYSTEM HAS ADOPTED SIX CONFLICT OF INTEREST POLICIES THAT SET FORTH GUIDELINES RELATED TO TRANSACTIONS WITH DISQUALIFIED PERSONS (AS DEFINED IN APPLICABLE FEDERAL REGULATION). THESE POLICIES APPLY TO ALL EMPLOYEES, EMPLOYED PHYSICIANS AND OTHER LICENSED PRACTITIONERS (EXCLUDING PHYSICIAN TRAINEES), DIRECTORS, OFFICERS, AND RELATED PARTIES TO UH AND ITS WHOLLY-OWNED SUBSIDIARIES. UH REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICIES. DESIGNATED INDIVIDUALS, (E.G., UH MANAGEMENT, DIRECTORS, EMPLOYED PHYSICIANS, AND ADVANCED PRACTICE PROFESSIONALS), ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE AND PROVIDE INFORMATION REGARDING ANY INTERESTS THAT MAY BE POTENTIAL CONFLICTS PURSUANT TO THE CONFLICT OF INTEREST POLICIES. THEY ARE REQUIRED TO PROVIDE ANY CHANGES OR NEW DISCLOSURES SHOULD THEY OCCUR. ALL DISCLOSURES AND SUBSEQUENT UPDATES TO DISCLOSURES ARE REVIEWED BY THE UH COMPLIANCE AND ETHICS DEPARTMENT. BOARD-LEVEL AND KEY PERSONNEL CONFLICTS ARE REVIEWED AND APPROVED, IF APPROPRIATE, BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE UH BOARD AND/OR THE UH BOARD. IF A CONFLICT EXISTS WITH A DIRECTOR, CERTAIN RESTRICTIONS MAY BE IMPOSED, SUCH AS EXCUSING THE DIRECTOR FROM THE ROOM DURING DISCUSSION AND/OR VOTING WITH REGARD TO A PROPOSED TRANSACTION. EDUCATION REGARDING CONFLICTS OF INTEREST IS INCLUDED IN THE ANNUAL COMPLIANCE TRAINING THAT INCLUDES ALL DIRECTORS, EMPLOYEES, PHYSICIANS AND LICENSED PRACTITIONERS. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS APPROVED BY THE UHHS BOARD OF DIRECTORS. EXECUTIVE COMPENSATION IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD (THE "COMMITTEE"). THE COMMITTEE HAS RETAINED AN INDEPENDENT COMPENSATION CONSULTANT WHO PROVIDES INFORMATION TO THE COMMITTEE ON CHANGES AND TRENDS IN EXECUTIVE COMPENSATION AND OBJECTIVE THIRD PARTY INFORMATION ON COMPETITIVE AND COMPARABLE EXECUTIVE COMPENSATION AND BENEFIT LEVEL/PROGRAMS. THE CONSULTANT COLLECTS AND PROVIDES TO THE COMMITTEE, APPROPRIATE MARKET COMPENSATION AND BENEFITS INFORMATION, APPROPRIATE MARKET PRACTICES FOR COMPARABLE ORGANIZATIONS' POSITIONS AND BEST PRACTICES. THE CONSULTANT ALSO PROVIDES ADVICE ON DEVELOPING AND MODIFYING UH'S EXECUTIVE COMPENSATION PHILOSOPHY. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS FOR UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES ARE MADE PUBLICLY AVAILABLE THROUGH THE USE OF DAC BOND (DISCLOSURE DISSEMINATION AGENT) AND CAN BE FOUND ON THE INTERNET AT WWW.DACBOND.COM. THE ORGANIZATION'S ARTICLES, CODE OF REGULATIONS, AND CONFLICT OF INTEREST POLICY MAY BE MADE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A: INDIVIDUAL DISCLOSURES GROUP ENTITIES LISTED BELOW INCLUDE: AHUJA: UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER, INC. CCO: UNIVERSITY HOSPITALS COORDINATED CARE ORGANIZATION CHCO: COMPREHENSIVE HEALTH CARE OF OHIO, INC. CONNEAUT: UNIVERSITY HOSPITALS CONNEAUT ECC: UHHS HEATHER HILL INC. ELYRIA: EMH REGIONAL MEDICAL CENTER GENEVA: UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER HOME CARE: UNIVERSITY HOSPITALS HOME CARE SERVICES, INC. LHS: LAKE HOSPITAL SYSTEM, INC PARMA: PARMA COMMUNITY GENERAL HOSPITAL PH: PRIMEHEALTH, INC. PORTAGE: ROBINSON HEALTH SYSTEM, INC. REGIONAL: UH REGIONAL HOSPITALS SAMARITAN: SAMARITAN REGIONAL HEALTH SYSTEM ST. JOHN: UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER UHCMC: UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER UHLSF: UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION UHMG: UNIVERSITY HOSPITALS MEDICAL GROUP, INC. HOURS LISTED BELOW INCLUDE: AVERAGE HOURS PER WEEK FOR EACH INDIVIDUALS' ENTITY BOARD. ROLES LISTED BELOW INCLUDE: D: INDIVIDUAL DIRECTOR T: INDIVIDUAL TRUSTEE O: OFFICER KE: KEY EMPLOYEE HCE: HIGHEST COMPENSATED EMPLOYEE F: FORMER MEGERIAN, CLIFF MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (EX-OFF); 2 HOURS; D UHMG: FORMER OFFICER; 0 HOURS; F SZUBSKI, MICHAEL A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR/VICE CHAIR/TREASURER (END 09/23); 2 HOURS; D, O TAIT, PAUL G.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR (END 09/23); 2 HOURS; D LHS: DIRECTOR (END 09/23); 2 HOURS; D SIMON, DANIEL I. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 2 HOURS; D UHCMC: FORMER OFFICER; 0 HOURS; F TEKNOS, THEODOROS N. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: PRESIDENT - SEIDMAN CANCER CENTER; 2 HOURS; O UHMG: DIRECTOR; 2 HOURS; D GLOTZBECKER, MICHAEL P. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIVISION CHIEF, UHMG; 50 HOURS; HCE SABIK, JOSEPH MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 50 HOURS; D EUBANKS, JASON D. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: ORTHOPEDIC SURGEON; 50 HOURS; HCE VOOS, JAMES MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 50 HOURS; D ZIMMER, SCOTT M MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PH: ORTHOPEDIC SURGEON; 50 HOURS; HCE KONHEIM, ARI L. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: PHYSICIAN; 50 HOURS; HCE BAMBAKIDIS, NICHOLAS MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 50 HOURS; D HINCHEY, PAUL R.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CHCO: DIRECTOR/VICE CHAIR; 2 HOURS; D, O LHS: DIRECTOR; 2 HOURS; D TOPALSKY, GEORGE MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D HOME CARE: DIRECTOR; 2 HOURS; D OCHENJELE, GEORGE MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: ORTHOPEDIC SURGEON; 50 HOURS; HCE SNOWBERGER, THOMAS D.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 2 HOURS; D PRONOVOST, PETER MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR/CHAIR; 2 HOURS; D, O ADELMAN, HARLIN G. ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: CHIEF LEGAL OFFICER/SECRETARY; 2 HOURS; O SASSER, SCOTT M MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HOME CARE: DIRECTOR/CHAIR/PRESIDENT (BEGIN 05/23); 2 HOURS; D, O UHMG: DIRECTOR/CHAIR/PRESIDENT (BEGIN 05/23); 2 HOURS; D, O PAPA, ALAN J. FACHE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR (EX-OFF)/PRESIDENT; 2 HOURS; D, O CONNEAUT: DIRECTOR (EX-OFF)/PRESIDENT; 2 HOURS; D, O GENEVA: DIRECTOR (EX-OFF)/PRESIDENT; 2 HOURS; D, O LHS: DIRECTOR; 2 HOURS; D REGIONAL: DIRECTOR (EX-OFF)/PRESIDENT; 2 HOURS; D, O ANTONIADES, STATHIS MPH: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (EX-OFF)/PRESIDENT; 2 HOURS; D, O UHMG: DIRECTOR; 2 HOURS; D SALATA, ROBERT A. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 52 HOURS; D STROSAKER, ROBYN MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: FORMER OFFICER; 0 HOURS; F MOORE-HARDY, CYNTHIA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: FORMER OFFICER; 0 HOURS; F DEPOMPEI, PATRICIA M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: PRESIDENT - RAINBOW BABIES & CHILDREN'S; 2 HOURS; O UHMG: DIRECTOR; 2 HOURS; D TOGLIATTI-TRICKETT, KIMBERLY MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR (EX-OFF); 2 HOURS; D PARMA: DIRECTOR (EX-OFF); 52 HOURS; D ST. JOHN: DIRECTOR (EX-OFF); 2 HOURS; D SALVINO, SONIA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ST. JOHN: SECRETARY/TREASURER (END 12/23); 2 HOURS; O UHCMC: TREASURER (END 12/23); 2 HOURS; O UHMG: DIRECTOR/SECRETARY/TREASURER (END 12/13); 2 HOURS; D, O UHLSF: FORMER OFFICER; 0 HOURS; F PATEL, CHETAN P., MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR; 2 HOURS; D MILLER, MARLENE MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 52 HOURS; D SAMSA, JOHN MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PH: DIRECTOR; 2 HOURS; D SCHARIO, MARK E.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: PRESIDENT/SECRETARY (END 10/23); 2 HOURS; O BOND, BRADLEY C.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: SECRETARY/TREASURER; 2 HOURS; O CCO: TREASURER (BEGIN 09/23); 2 HOURS; O CHCO: DIRECTOR (END 09/23)/SECRETARY/TREASURER; 2 HOURS; D, O CONNEAUT: TREASURER/SECRETARY; 2 HOURS; O ECC: DIRECTOR/SECRETARY/TREASURER; 2 HOURS; D, O ELYRIA: SECRETARY/TREASURER; 2 HOURS; O GENEVA: TREASURER/SECRETARY; 2 HOURS; O REGIONAL: SECRETARY/TREASURER; 2 HOURS; O UHLSF: DIRECTOR (END 09/23)/TREASURER; 2 HOURS; D, O SAMARITAN: FORMER OFFICER; 0 HOURS; F MONTER, BRIAN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CHCO: DIRECTOR/PRESIDENT/CHAIR; 2 HOURS; D, O ELYRIA: DIRECTOR (EX-OFF)/PRESIDENT; 2 HOURS; D, O PARMA: DIRECTOR (EX-OFF)/PRESIDENT; 2 HOURS; D, O ST. JOHN: DIRECTOR (EX-OFF)/PRESIDENT; 2 HOURS; D, O REGIONAL: FORMER OFFICER; 0 HOURS; F GLOTZBECKER, BRETT: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: CHIEF MEDICAL OFFICER (BEGIN 05/23); 50 HOURS; O SILA, CATHY MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HOME CARE: DIRECTOR/SECRETARY/TREASURER; 2 HOURS; D, O CHICKERELLA, DANIELLE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HOME CARE: DIRECTOR/VICE CHAIR; 2 HOURS; D, O LHS: DIRECTOR; 2 HOURS; D UHMG: DIRECTOR (END 09/23); 2 HOURS; D TRACZ, ROBERT: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PH: DIRECTOR (END 06/23); 2 HOURS; D DECARLO, DONALD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR (EX-OFF); 2 HOURS; D CONNEAUT: DIRECTOR (EX-OFF); 2 HOURS; D GENEVA: DIRECTOR (EX-OFF); 2 HOURS; D REGIONAL: DIRECTOR (EX-OFF); 2 HOURS; D CARSON, BRENT: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR/ VICE CHAIR (BEGIN 09/23); 2 HOURS; D, O BANIEWICZ, JOHN MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PH: DIRECTOR (EX-OFF); 52 HOURS; D BENOIT, WILLIAM: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORTAGE: DIRECTOR (EX-OFF)/PRESIDENT; 2 HOURS; D, O SAMARITAN: DIRECTOR (EX-OFF)/PRESIDENT; 2 HOURS; D, O SCHMOTZER, CHRISTINE ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHLSF: DIRECTOR/PRESIDENT/SECRETARY (BEGIN 05/23); 2 HOURS; D, O NOBLE, VICKI: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR (BEGIN 05/23); 52 HOURS; D THEADORE, JASON: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHLSF: DIRECTOR (BEGIN 05/23); 2 HOURS; D PRESTEGAARD, BENJAMIN MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORTAGE: DIRECTOR (EX-OFF); 2 HOURS; D SAMARITAN: DIRECTOR (EX-OFF); 2 HOURS; D RAO, GOUTHAM MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 52 HOURS; D SYLVAN, DAVID: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HOME CARE: DIRECTOR; 2 HOURS; D LHS: DIRECTOR (BEGIN 09/23); 2 HOURS; D HARFORD, TODD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAMARITAN: FORMER OFFICER; 0 HOURS; F CARPENTER, JENNIFER: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HOME CARE: DIRECTOR; 2 HOURS; D PIRTZ, JASON M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: CHIEF NURSING OFFICER/ CHIEF OPERATING OFFICER (BEGIN 07/23); 2 HOURS; O HOYNES, SEAN MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D VEHOVEC, MICHAEL R.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ECC: FORMER OFFICER; 0 HOURS; F ATA, GEORGE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR (BEGIN 09/23); 2 HOURS; D CICERO, RICHARD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR (BEGIN 09/23); 2 HOURS; D PH: DIRECTOR/VICE PRESIDENT; 2 HOURS; D, O ZNIDARISC, ROBERT MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PH: DIRECTOR; 52 HOURS; D COOPER, DANIELLE MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PH: DIRECTOR; 52 HOURS; D CARLUCCI, ASHLEY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR (EX-OFF); 2 HOURS; D CONNEAUT: DIRECTOR (EX-OFF); 2 HOURS; D ELYRIA: DIRECTOR (EX-OFF); 2 HOURS; D GENEVA: DIRECTOR (EX-OFF); 2 HOURS; D PARMA: DIRECTOR (EX-OFF); 2 HOURS; D REGIONAL: DIRECTOR (EX-OFF); 2 HOURS; D ST. JOHN: DIRECTOR (EX-OFF); 2 HOURS; D GLOWCZEWSKI, JASON: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONNEAUT: FORMER OFFICER; 0 HOURS; F GENEVA: FORMER OFFICER; 0 HOURS; F SKARBINSKI, JULIE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORTAGE: DIRECTOR (EX-OFF)/SECRETARY/TREASURER; 52 HOURS; D, O SAMARITAN: DIRECTOR (EX-OFF)/SECRETARY/TREASURER; 2 HOURS; D, O RAVICHANDRAN, KAMALESWARY MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D GALLUCCI, MICHELLE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ECC: DIRECTOR/CHAIR/PRESIDENT (BEGIN 05/23); 2 HOURS; D, O MONHEIM, KAREN M. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D CHEN, PATRICK: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHLSF: DIRECTOR (BEGIN 09/23); 2 HOURS; D MILLER, JANET L. ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: FORMER OFFICER; 0 HOURS; F KLINE, ANDREW L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (BEGIN 05/23); 2 HOURS; D VITO, LIESE MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PH: DIRECTOR/CHAIR (END 07/23); 2 HOURS; D, O MILLER, CHRISTOPHER N. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HOME CARE: DIRECTOR/CHAIR (END 03/23); 2 HOURS; D, O UHMG: DIRECTOR (EX-OFF)/PRESIDENT/CHAIR (END 03/23); 50 HOURS; D, O SIMMERS, RACHELLE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CHCO: DIRECTOR (BEGIN 09/23); 2 HOURS; D GOODELLE, MICHAEL: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHLSF: DIRECTOR (END 04/23); 2 HOURS; D ABER, ANN C.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (BEGIN 05/23); 2 HOURS; D AGRANOVICH, CHERYL: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D ANNABLE, CATHY J. S. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D BALL, STANLEY C.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D CONNEAUT: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D REGIONAL: DIRECTOR; 2 HOURS; D BALLINGER, MARCIA PHD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR (END 05/23); 2 HOURS; D PARMA: DIRECTOR (END 05/23); 2 HOURS; D ST. JOHN: DIRECTOR (END 05/23); 2 HOURS; D CHCO: FORMER OFFICER; 0 HOURS; F BEASLEY, TERESA METCALF: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D BEER, ANNE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORTAGE: DIRECTOR/CHAIR; 2 HOURS; D, O SAMARITAN: DIRECTOR/CHAIR; 2 HOURS; D, O BOWLER, CONNIE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D CONNEAUT: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D REGIONAL: DIRECTOR; 2 HOURS; D BOYKO, TIMOTHY A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O PARMA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O ST. JOHN: DIRECTOR/VICE CHAIR; 2 HOURS; D, O CAMIENER, DAVID A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D CARR, DAVID: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D CERCELLE, TIMOTHY F.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (BEGIN 05/23); 2 HOURS; D CLARK, JILL: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D DANA, RICHARD L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O CONNEAUT: DIRECTOR/VICE CHAIR; 2 HOURS; D, O GENEVA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O REGIONAL: DIRECTOR/VICE CHAIR; 2 HOURS; D, O DAVIE, DIANE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O PARMA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O ST. JOHN: DIRECTOR/VICE CHAIR; 2 HOURS; D, O DOLL, DAVID: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D FINE, LAUREN RICH: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR (BEGIN 12/23); 2 HOURS; D CONNEAUT: DIRECTOR (BEGIN 12/23); 2 HOURS; D GENEVA: DIRECTOR (BEGIN 12/23); 2 HOURS; D REGIONAL: DIRECTOR (BEGIN 12/23); 2 HOURS; D FITTS, JOHN T.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O CONNEAUT: DIRECTOR/VICE CHAIR; 2 HOURS; D, O GENEVA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O REGIONAL: DIRECTOR/VICE CHAIR; 2 HOURS; D, O FLANIGAN, KEVIN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR; 2 HOURS; D PARMA: DIRECTOR; 2 HOURS; D ST. JOHN: DIRECTOR; 2 HOURS; D FLYNN, SCOTT ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORTAGE: DIRECTOR; 2 HOURS; D SAMARITAN: DIRECTOR; 2 HOURS; D GARCIA, RICHARD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D CONNEAUT: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D REGIONAL: DIRECTOR; 2 HOURS; D GUBANC-ANDERSON, DAWN, MSN, RN, DPN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR/VICE CHAIR; 2 HOURS; D, O HABER, IRWIN G.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR/CHAIR; 2 HOURS; D, O CONNEAUT: DIRECTOR/CHAIR; 2 HOURS; D, O GENEVA: DIRECTOR/CHAIR; 2 HOURS; D, O REGIONAL: DIRECTOR/CHAIR; 2 HOURS; D, O HARRIS, TIMOTHY S.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D HIMES, BRETT S.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR, CHAIR; 2 HOURS; D, O HIRSCHLER, CHRISTOPHER: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR (BEGIN 05/23); 2 HOURS; D PARMA: DIRECTOR (BEGIN 05/23); 2 HOURS; D ST. JOHN: DIRECTOR (BEGIN 05/23); 2 HOURS; D HUNT, MELISSA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: CHIEF NURSING OFFICER (BEGIN 07/23); 2 HOURS; O JORDAN, SHARON SOBOL: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR (END 12/23); 2 HOURS; D CONNEAUT: DIRECTOR (END 12/23); 2 HOURS; D GENEVA: DIRECTOR (END 12/23); 2 HOURS; D REGIONAL: DIRECTOR (END 12/23); 2 HOURS; D JUBECK, THOMAS P.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR; 2 HOURS; D JUNAID, ANSIR: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D KELLY, MICHAEL J. SR.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORTAGE: DIRECTOR; 2 HOURS; D SAMARITAN: DIRECTOR; 2 HOURS; D KLAMMER, LISA, ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR/SECRETARY (BEGIN 04/23); 2 HOURS; D, O KOURY, LEE M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D LEWIS, MICHAEL A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORTAGE: DIRECTOR/VICE CHAIR; 2 HOURS; D, O SAMARITAN: DIRECTOR/VICE CHAIR; 2 HOURS; D, O MARKOWITZ, DALE H.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D CONNEAUT: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D REGIONAL: DIRECTOR; 2 HOURS; D MAYHER, MICHAEL E.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR/TREASURER; 2 HOURS; D, O MCQUISTON, EDWARD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR (END 05/23); 2 HOURS; D PARMA: DIRECTOR (END 05/23); 2 HOURS; D ST. JOHN: DIRECTOR (END 05/23); 2 HOURS; D MIGGINS, LYNN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR/CHAIR; 2 HOURS; D, O PARMA: DIRECTOR/CHAIR; 2 HOURS; D, O ST. JOHN: DIRECTOR/CHAIR; 2 HOURS; D, O CHCO: FORMER OFFICER; 0 HOURS; O MOORE, ERIC J. ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR; 2 HOURS; D PARMA: DIRECTOR; 2 HOURS; D ST. JOHN: DIRECTOR; 2 HOURS; D MYERS, PAUL R.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORTAGE: DIRECTOR; 2 HOURS; D SAMARITAN: DIRECTOR; 2 HOURS; D PAGANINI, RAYMOND J.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR; 2 HOURS; D PHYFER, CHERI M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (END 02/23); 2 HOURS; D PLECHA, DONNA MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (EX-OFF); 2 HOURS; D PLUSH, MARK J.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D PRIEMER, WILLIAM A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR/VICE CHAIR (BEGIN 05/23); 2 HOURS; D, O RICHARDSON, SEAN: ENTITY: TITLE; HOURS; ROLE (D, UHCMC: DIRECTOR; 2 HOURS; D RIEMENSCHNEIDER, DANIEL R. CPA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORTAGE: DIRECTOR (END 05/23); 2 HOURS; D SAMARITAN: DIRECTOR (END 05/23); 2 HOURS; D RYAN, JOHN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORTAGE: DIRECTOR (BEGIN 05/23); 2 HOURS; D SAMARITAN: DIRECTOR (BEGIN 05/23); 2 HOURS; D SCHULZE-FLYNN, CYNTHIA V.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D SINES, RAYMOND. E.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR/SECRETARY (END 05/23); 2 HOURS; D, O SIRACUSA, ANTHONY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D CONNEAUT: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D REGIONAL: DIRECTOR; 2 HOURS; D SIRKO, PAUL: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR (BEGIN 04/23); 2 HOURS; D SKODA, GREGORY J.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR/VICE CHAIR (END 05/23); 2 HOURS; D, O SPEAR, BRENDA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR; 2 HOURS; D PARMA: DIRECTOR; 2 HOURS; D ST. JOHN: DIRECTOR; 2 HOURS; D STEIGER, DAVID, MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR; 2 HOURS; D TAYLOR, EDDIE JR.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: CHAIR/DIRECTOR; 2 HOURS; D, O TIFFT, VICTORIA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D UHMG: DIRECTOR; 2 HOURS; D WEINER, DANIELLE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (EX-OFF); 2 HOURS; D WILKINSON, SCOTT A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR (BEGIN 05/23); 2 HOURS; D PARMA: DIRECTOR (BEGIN 05/23); 2 HOURS; D ST. JOHN: DIRECTOR (BEGIN 05/23); 2 HOURS; D WILSON, DANIEL L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR; 2 HOURS; D YATES, VIVIAN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR; 2 HOURS; D PARMA: DIRECTOR; 2 HOURS; D ST. JOHN: DIRECTOR; 2 HOURS; D ZIEGLER, KEITH E.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR; 2 HOURS; D FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTION -42,174,000. EQUITY TRANSFERS 271,326,525. OTHER CHANGES IN FUND BALANCE 25,417,959. CHANGE IN BENEFICIAL INTEREST FOUNDATIONS 12,051,000. 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