Form990
Click to see list of attachments
Click to see list of attachments
Click to see list of attachments
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2021 , and ending 12-31-2021
BCheck if applicable:
CName of organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
GROUP RETURN
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
3605 WARRENSVILLE CENTER ROAD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SHAKER HEIGHTS, OH44122
D Employer identification number

90-0059117
E Telephone number

G Gross receipts $ 4,403,851,000
F Name and address of principal officer:
MICHAEL A SZUBSKI
3605 WARRENSVILLE CENTER ROAD
SHAKER HEIGHTS,OH44122
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.UHHOSPITALS.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet3829
K Form of organization:  
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: UNIVERSITY HOSPITALS (THE SYSTEM) IS GUIDED BY ITS MISSION "TO HEAL. TO TEACH. TO DISCOVER."
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 164
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 112
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 28,155
6 Total number of volunteers (estimate if necessary) ............. 6 1,857
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 6,008,281
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 439,443
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 228,533,000 79,033,000
9 Program service revenue (Part VIII, line 2g) ......... 3,701,447,000 4,218,393,000
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 282,000 58,000
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 96,880,000 105,832,000
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 4,027,142,000 4,403,316,000
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 1,895,000
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,709,234,000 1,836,644,000
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet12,736,000    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 2,074,327,000 2,247,045,000
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 3,783,561,000 4,085,584,000
19 Revenue less expenses. Subtract line 18 from line 12....... 243,581,000 317,732,000
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,307,020,000 2,443,180,000
21 Total liabilities (Part X, line 26)............. 610,841,000 529,367,000
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,696,179,000 1,913,813,000
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
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Signature of officer Date
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Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: SEE SCHEDULE O.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 3,828,173,000 including grants of $ 1,895,000 ) (Revenue $ 4,318,525,860 )
SEE SCHEDULE O.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet3,828,173,000
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment..............
8
Yes
 
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
30
Yes
 
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
28,155
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
164
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
112
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
AL , FL , GA , HI , IL , KS , KY , MA , MD , MI , MN , MS , NC , ND , NH , NJ , NM , NY , OK , OR , PA , SC , TN , VA , WI , UT
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletMICHAEL A SZUBSKI3605 WARRENSVILLE CENTER RD   SHAKER HEIGHTS,OH44122 (216) 844-1000
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) ZENTY THOMAS F III......................................................................
SEE SCHEDULE O
2.00
.................
50.00
X           0 5,396,717 682,779
(2) MEGERIAN CLIFF MD......................................................................
SEE SCHEDULE O
4.00
.................
50.00
X           0 2,573,373 50,441
(3) SIMON DANIEL I MD......................................................................
SEE SCHEDULE O
4.00
.................
50.00
X   X       0 1,946,974 49,718
(4) SZUBSKI MICHAEL A......................................................................
SEE SCHEDULE O
2.00
.................
50.00
X   X       0 1,825,358 52,767
(5) SABIK JOSEPH MD......................................................................
SEE SCHEDULE O
50.00
.................
2.00
X           1,373,073 0 47,817
(6) BECK ERIC H DO MPH......................................................................
SEE SCHEDULE O
6.00
.................
50.00
X   X       0 1,341,386 46,125
(7) VOOS JAMES......................................................................
SEE SCHEDULE O
50.00
.................
0.00
X           1,274,037 0 46,938
(8) JAIN MUKESH MD......................................................................
SEE SCHEDULE O
2.00
.................
50.00
X           0 1,260,837 46,881
(9) TAIT PAUL G......................................................................
SEE SCHEDULE O
8.00
.................
50.00
X           0 1,225,447 52,367
(10) SELMAN WARREN R MD......................................................................
SEE SCHEDULE O
50.00
.................
0.00
X           1,188,453 0 53,341
(11) SINK KRISTI M......................................................................
SEE SCHEDULE O
4.00
.................
50.00
X   X       0 774,884 396,812
(12) DAVID ROBERT G......................................................................
SEE SCHEDULE O
2.00
.................
50.00
X   X       0 1,027,881 142,797
(13) SNOWBERGER THOMAS D......................................................................
SEE SCHEDULE O
4.00
.................
50.00
X           0 1,118,072 37,391
(14) PRONOVOST PETER MD......................................................................
SEE SCHEDULE O
2.00
.................
50.00
X   X       0 1,121,799 22,010
(15) TOPALSKY GEORGE MD......................................................................
SEE SCHEDULE O
4.00
.................
50.00
X           0 839,514 250,399
(16) BOND BRADLEY C......................................................................
SEE SCHEDULE O
14.00
.................
50.00
X   X       0 1,025,459 49,349
(17) MILLER CHRISTOPHER N MD......................................................................
SEE SCHEDULE O
50.00
.................
0.00
X   X       923,890 0 46,660
Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) GUAY MARC MD........................................................................
SEE SCHEDULE O
4.00
.......................50.00
X           0 797,412 149,368
(19) JONES M STEVEN........................................................................
SEE SCHEDULE O
10.00
.......................50.00
X   X       0 808,671 104,141
(20) DEPOMPEI PATRICIA M........................................................................
SEE SCHEDULE O
4.00
.......................50.00
X           0 797,868 47,927
(21) STEFANO GREGORY MD........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X           0 757,611 38,028
(22) SALATA ROBERT A MD........................................................................
SEE SCHEDULE O
50.00
.......................0.00
X           690,817 0 39,745
(23) MILLER MARLENE MD........................................................................
SEE SCHEDULE O
50.00
.......................0.00
X           676,014 0 46,494
(24) SALVINO SONIA........................................................................
SEE SCHEDULE O
6.00
.......................50.00
X   X       0 627,419 52,167
(25) MONTER BRIAN........................................................................
SEE SCHEDULE O
8.00
.......................50.00
X   X       0 607,549 46,913
(26) PAPA ALAN J FACHE........................................................................
SEE SCHEDULE O
10.00
.......................50.00
X   X       0 599,215 40,289
(27) SILA CATHY MD........................................................................
SEE SCHEDULE O
52.00
.......................0.00
X   X       611,461 0 27,321
(28) CHICKERELLA DANIELLE........................................................................
SEE SCHEDULE O
4.00
.......................50.00
X   X       0 573,870 28,757
(29) DECARLO DONALD........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X   X       0 540,614 45,396
(30) HINCHEY PAUL R........................................................................
SEE SCHEDULE O
6.00
.......................50.00
X           0 570,487 14,349
(31) BENOIT WILLIAM........................................................................
SEE SCHEDULE O
4.00
.......................50.00
X   X       0 485,696 46,913
(32) RAO GOUTHAM MD........................................................................
SEE SCHEDULE O
50.00
.......................0.00
X           488,859 0 42,756
(33) ROWELL ROBIN........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X   X       0 476,349 52,546
(34) RAPKIN DAVID S MD........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X           0 454,508 68,441
(35) VEHOVEC MICHAEL R........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X   X       0 483,961 25,387
(36) CARPENTER JENNIFER........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X           0 445,971 58,463
(37) BEJANISHVILI TAMAR MD........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X           0 451,359 39,181
(38) SIPPEY MEGAN MD........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X           0 445,194 19,092
(39) HILL JAMES L........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X           0 418,328 44,986
(40) SYLVAN DAVID........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X           0 442,319 17,579
(41) ZOLTANSKI JOAN MD........................................................................
SEE SCHEDULE O
52.00
.......................0.00
X           424,649 0 33,188
(42) COLE MELISSA CNP........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X   X       0 408,248 47,767
(43) HARFORD TODD........................................................................
SEE SCHEDULE O
4.00
.......................50.00
X   X       0 356,756 46,916
(44) BROWN SAM H........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X   X       0 360,813 42,353
(45) ROYAL KIMBERLY S DO........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X           0 340,528 35,906
(46) SAGUE JONATHAN........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X           0 350,923 22,572
(47) HOYNES SEAN MD........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X           0 318,333 41,176
(48) KUMAR AJAY MD........................................................................
SEE SCHEDULE O
4.00
.......................50.00
X           0 338,265 18,346
(49) ADAIR BRETT DO........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X           0 336,940 16,342
(50) STENCEL MICHAEL MD........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X           0 322,434 30,141
(51) RAVICHANDRAN KAMALESWARY MD........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X           0 280,067 46,700
(52) SNELSON MARC MD........................................................................
SEE SCHEDULE O
52.00
.......................0.00
X           272,535 0 47,587
(53) GLOWCZEWSKI JASON........................................................................
SEE SCHEDULE O
6.00
.......................50.00
X   X       0 297,312 19,611
(54) HERTZ ANDREW R MD........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X           0 256,998 3,417
(55) MONHEIM KAREN M MD........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X           0 229,649 29,373
(56) GOODELLE MICHAEL........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X           0 199,721 33,658
(57) SOORIYAPALAN NISHANTHINI MD........................................................................
SEE SCHEDULE O
4.00
.......................50.00
X           0 181,695 6,978
(58) BECK JOHN........................................................................
SEE SCHEDULE O
2.00
.......................50.00
X   X       0 115,128 35,457
(59) JARZEMBAK KELLIE........................................................................
SEE SCHEDULE O
52.00
.......................0.00
X           107,970 0 6,417
(60) HUNT JOYCE ANNE........................................................................
SEE SCHEDULE O
52.00
.......................0.00
X           20,653 0 1,202
(61) AGRANOVICH CHERYL........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(62) ANDRES BLAKE........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(63) ANNABLE CATHY J S MD........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(64) BALL STANLEY C........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(65) BALLINGER MARCIA PHD........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X   X       0 0 0
(66) BALOGH SCOTT........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(67) BARR WILLIAM H III........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(68) BEER ANNE........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(69) BEVERAGE MORRIS W JR EDM........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(70) BLOXDORF GREGORY DO........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(71) BOWLER CONNIE........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X   X       0 0 0
(72) BOYKO TIMOTHY A........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(73) BRADLEY SALLY........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X           0 0 0
(74) BRAGG DAN A........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X           0 0 0
(75) BRECHT CHRISTOPHER E........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X           0 0 0
(76) BROOME BARBARA ANN........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(77) BURKHOLDER HARVEY........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(78) CAMIENER DAVID A........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(79) CARR DAVID........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(80) CHANDLER POLLY........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(81) CHILDERS WILLIAM........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(82) CIACCIA JULIUS JR........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(83) CLARK JILL........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(84) CLOUGH MAYOR DENNIS........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(85) COE RICHARD J........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(86) CONNER MARJORIE........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(87) CORCORAN KEVIN........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X           0 0 0
(88) CORRENTI MARY ANN........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(89) COWEN TIMOTHY........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(90) DANA RICHARD L........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X   X       0 0 0
(91) DAVIE DIANE........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(92) DEBS MICHAEL MD........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(93) DECK CHARLES V........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X   X       0 0 0
(94) DESOUZA LESLEY........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(95) DOLL DAVID........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(96) DOODY RICHARD........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(97) EGLESTON INDRANI........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(98) EMRHEIN WILLIAM........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(99) FINE LAUREN RICH........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(100) FITTS JOHN T........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(101) FLYNN SCOTT ESQ........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(102) FRENCH MATTHEW C........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(103) GARCIA RICHARD........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X           0 0 0
(104) GAUGHAN HON PATRICIA ANN........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(105) GIANFAGNA JEAN M........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(106) GILMAN THOMAS R........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(107) GISZTL RODNEY........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(108) GREIG JUDITH C RN........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(109) GUSZ JOHN R MD........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(110) HABER IRWIN G........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(111) HANFF POLLY M........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(112) HARDIN JR CHARLES W........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X           0 0 0
(113) HARRINGTON-MCLAUGHLIN JILL........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(114) HARRIS TIMOTHY S........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(115) HEIMANN SUSAN........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(116) HOCKADAY JAMES E........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X           0 0 0
(117) HOSIER-ORVIS B PAIGE........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(118) IMHOFF DONNA PHD........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(119) JEMISON TRACY........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(120) JORDAN SHARON SOBOL........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(121) JUDD JAMES DELL O........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(122) KARLOVEC JOHN D........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(123) KELLY MICHAEL J SR........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(124) KELSAY RALPH J........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(125) KELSHEIMER JERRY L........................................................................
SEE SCHEDULE O
2.00
.......................2.00
X           0 0 0
(126) KINNEY WARD BUD L........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(127) KLINE ANDREW L........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(128) KNECHT BARBARA L........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(129) KOURY LEE M........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(130) LAISURE COLLETTE........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(131) LEGEZA MICHAEL D........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X           0 0 0
(132) LEININGER KIMM........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(133) LEWIS MICHAEL A........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(134) LONG REV JANET........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X           0 0 0
(135) MACKINLAY SARA ANN........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(136) MAINE KAREEM D........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(137) MARKOWITZ DALE H........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(138) MCGEE THOMAS........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(139) MCQUISTON EDWARD........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(140) METCALF BEASLEY TERESA........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(141) MIGGINS LYNN........................................................................
SEE SCHEDULE O
4.00
.......................2.00
X   X       0 0 0
(142) MILLER MARCIA J........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(143) MILLER PETE C........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(144) MOORE ERIC J ESQ........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(145) MYERS PAUL R........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(146) NEWCOMB CHRISTOPHER M........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X           0 0 0
(147) OWEN MELISSA........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(148) PAUL STAMY S........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(149) PHYFER CHERI M........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(150) PLECHA DONNA MD........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(151) PLUMMER DEBORAH L........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(152) PLUSH MARK J........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(153) POLITO MARIA ANN........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(154) PRAUSE JACK H........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X           0 0 0
(155) PRIEMER WILLIAM A........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(156) REIDY JOAN........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X           0 0 0
(157) REYNOLDS DAVID M........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(158) RICHARDSON SEAN........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(159) RIEMENSCHNEIDER CPA DANIEL R........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(160) RILEY LORI A........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X           0 0 0
(161) ROSENBERG ENID........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(162) SAHR MICHELLE........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(163) SARGENT STEVE........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X           0 0 0
(164) SCHULZE-FLYNN CYNTHIA V........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(165) SEITZ THOMAS W........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(166) SETHI NEIL MD........................................................................
SEE SCHEDULE O
2.00
.......................2.00
X   X       0 0 0
(167) SHARPNACK PATRICIA DNP RN........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(168) SIRACUSA ANTHONY........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(169) SKODA GREGORY J........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(170) SKORY JOHN E........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(171) SKUFCA MICHAEL DDS........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X           0 0 0
(172) SMITH GERI M........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(173) SPALSBURG ANGELA........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(174) SPEAR BRENDA........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(175) STANO DIANE PHD OSU........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(176) STEINHILBER JEFFREY........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(177) TAYLOR EDDIE JR........................................................................
SEE SCHEDULE O
2.00
.......................2.00
X   X       0 0 0
(178) THOMAS DONNA ESQ........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(179) TIFFT VICTORIA........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X           0 0 0
(180) TREXLER THOMAS........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(181) VARCKETTE STEVE........................................................................
SEE SCHEDULE O
4.00
.......................0.00
X           0 0 0
(182) WALDECK JOHN JACK W........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(183) WILKINSON SCOTT A........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(184) YATES VIVIAN........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(185) ZANIN CLAUDIO........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X   X       0 0 0
(186) ZELIS CYNTHIA MD........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(187) ZELLER LORNA A........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(188) ZELMAN DANIEL N........................................................................
SEE SCHEDULE O
2.00
.......................0.00
X           0 0 0
(189) TEKNOS THEODOROS N MD........................................................................
SEE SCHEDULE O
2.00
.......................50.00
    X       0 1,289,313 47,756
(190) ADELMAN HARLIN G ESQ........................................................................
SEE SCHEDULE O
2.00
.......................50.00
    X       0 903,962 52,822
(191) STROSACKER ROBYN MD........................................................................
SEE SCHEDULE O
2.00
.......................50.00
    X       0 799,511 45,779
(192) CHANG PHILLIP MD........................................................................
SEE SCHEDULE O
2.00
.......................50.00
    X       0 693,830 33,831
(193) SCHARIO MARK E........................................................................
SEE SCHEDULE O
2.00
.......................50.00
    X       0 391,505 49,316
(194) PIRTZ JASON M........................................................................
SEE SCHEDULE O
2.00
.......................50.00
    X       0 373,524 42,862
(195) GLOTZBECKER MICHAEL P........................................................................
SEE SCHEDULE O
50.00
.......................0.00
        X   1,340,463 0 46,015
(196) EUBANKS JASON D........................................................................
SEE SCHEDULE O
50.00
.......................0.00
        X   1,336,874 0 29,392
(197) KONHEIM ARI L........................................................................
SEE SCHEDULE O
50.00
.......................0.00
        X   1,271,391 0 44,917
(198) DEVANEY ERIC J........................................................................
SEE SCHEDULE O
50.00
.......................0.00
        X   1,201,633 0 48,686
(199) BAMBAKIDIS NICHOLAS C........................................................................
SEE SCHEDULE O
50.00
.......................0.00
        X   1,148,703 0 49,204
(200) MILLER JANET L ESQ........................................................................
SEE SCHEDULE O
0.00
.......................50.00
          X 0 466,544 3,453
(201) HAMMACK ELIZABETH R ESQ........................................................................
SEE SCHEDULE O
0.00
.......................50.00
          X 0 271,560 44,928
(202) JURIS SUSAN V........................................................................
SEE SCHEDULE O
0.00
.......................50.00
          X 0 114,312 8,399
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 14,351,475 42,259,973 4,283,298
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet2,026
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet0
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 1,184,000
d Related organizations1d 2,790,000
e Government grants (contributions)1e 56,767,000
f All other contributions, gifts, grants, and similar amounts not included above1f 18,292,000
g Noncash contributions included in lines 1a - 1f:$ 1g 3,595,000
h Total. Add lines 1a-1f.......MediumBullet 79,033,000
 Program Service RevenueAmt Business Code
2a NET PROGRAM SERVICE RE 900099 4,186,469,000 4,186,469,000    
b GOVERNMENT REIMBURSEME 900099 31,924,000 31,924,000    
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 4,218,393,000
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 208,000   171,141 36,859
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss)     6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory     7a
b Less: cost or other basis and sales expenses   150,000 7b
c Gain or (loss)   -150,000 7c
d Net gain or (loss).........MediumBullet -150,000     -150,000
8a Gross income from fundraising events (not including $ 1,184,000of contributions reported on line 1c). See Part IV, line 18 ....
8a 247,000
b Less: direct expenses ... 8b 385,000
c Net income or (loss) from fundraising events..MediumBullet -138,000   -138,000
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a JV INCOME 900099 446,000 446,000    
b            
c            
d All other revenue .... 105,524,000 99,686,860 5,837,140  
e Total. Add lines 11a–11d ...... MediumBullet 105,970,000
12 Total revenue. See instructions.....MediumBullet 4,403,316,000 4,318,525,860 6,008,281 -251,141
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 1,895,000 1,895,000
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 7,071,000 6,647,000 424,000  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 1,421,000 1,336,000 85,000  
7 Other salaries and wages........ 1,474,388,000 1,377,506,000 87,926,000 8,956,000
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 78,196,000 73,504,000 4,692,000  
9 Other employee benefits ....... 179,506,000 166,552,000 10,631,000 2,323,000
10 Payroll taxes ........... 96,062,000 90,298,000 5,764,000  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,429,000 1,343,000 86,000  
c Accounting ........... 562,000 528,000 34,000  
d Lobbying ........... 406,000   406,000  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 83,960,000 78,774,000 5,028,000 158,000
12 Advertising and promotion .... 2,482,000 2,044,000 130,000 308,000
13 Office expenses ....... 1,056,827,000 993,245,000 63,399,000 183,000
14 Information technology ...... 5,513,000 5,162,000 330,000 21,000
15 Royalties ..        
16 Occupancy ........... 159,677,000 150,026,000 9,576,000 75,000
17 Travel ............ 5,081,000 4,697,000 300,000 84,000
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 114,494,000 107,605,000 6,868,000 21,000
23 Insurance ... 51,344,000 48,263,000 3,081,000  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a CORPORATE ALLOCATIONS 520,456,000 489,229,000 31,227,000  
b OTHER PURCHASED SERVICE 91,685,000 86,048,000 5,501,000 136,000
c OHIO STATE HOSPITAL FRA 90,734,000 85,290,000 5,444,000  
d CWRU AFFILIATION 15,729,000 14,785,000 944,000  
e All other expenses 46,666,000 43,396,000 2,799,000 471,000
25 Total functional expenses. Add lines 1 through 24e 4,085,584,000 3,828,173,000 244,675,000 12,736,000
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........   1  
2 Savings and temporary cash investments ......... 3,227,000 2 3,499,000
3 Pledges and grants receivable, net ...... 54,858,000 3 57,514,000
4 Accounts receivable, net ............. 559,913,000 4 627,980,000
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............ 95,454,000 8 96,795,000
9 Prepaid expenses and deferred charges ...... 11,704,000 9 9,925,000
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,199,621,000
b Less: accumulated depreciation 10b 1,885,754,000 1,265,119,000 10c 1,313,867,000
11 Investments—publicly traded securities . 2,626,000 11 3,113,000
12 Investments—other securities. See Part IV, line 11 ..... 183,000 12 5,000
13 Investments—program-related. See Part IV, line 11 .. 195,301,000 13 216,565,000
14 Intangible assets ............... 4,410,000 14 4,410,000
15 Other assets. See Part IV, line 11 ........... 114,225,000 15 109,507,000
16 Total assets. Add lines 1 through 15 (must equal line 33)... 2,307,020,000 16 2,443,180,000
Liabilities 17 Accounts payable and accrued expenses ..... 187,196,000 17 195,159,000
18 Grants payable ...   18  
19 Deferred revenue ......... 1,288,000 19 1,221,000
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties .. 15,000 23 15,000
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 422,342,000 25 332,972,000
26 Total liabilities. Add lines 17 through 25.. 610,841,000 26 529,367,000
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 1,277,278,000 27 1,442,951,000
28 Net assets with donor restrictions ........... 418,901,000 28 470,862,000
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 1,696,179,000 32 1,913,813,000
33 Total liabilities and net assets/fund balances ........ 2,307,020,000 33 2,443,180,000
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
4,403,316,000
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
4,085,584,000
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
317,732,000
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
1,696,179,000
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-100,098,000
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
1,913,813,000
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
GROUP RETURN
Employer identification number

90-0059117
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................4
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
 
341567805 3 Yes   131,194,000 0
(B) UNIVERSITY HOSPITALS ROBINSON HEALTH SYSTEM INC
 
461382538 3 Yes   0 0
(C) EMH REGIONAL MEDICAL CENTER
 
340714612 3 Yes   0 0
(D) SAMARITAN REGIONAL HEALTH SYSTEM
 
340714535 3 Yes   0 0
Total
4
131,194,000 0
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 147,000 913,000 387,000 2,061,000 1 3,508,001
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5 147,000 913,000 387,000 2,061,000 1 3,508,001
7a Amounts included on lines 1, 2, and 3 received from disqualified persons           0
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.           0
c Add lines 7a and 7b..           0
8 Public support. (Subtract line 7c from line 6.) 3,508,001
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
9 Amounts from line 6... 147,000 913,000 387,000 2,061,000 1 3,508,001
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.).. 147,000 913,000 387,000 2,061,000 1 3,508,001
14
Section C. Computation of Public Support Percentage
15
15
100.000 %
16
16
100.000 %
Section D. Computation of Investment Income Percentage
17
17
0 %
18
18
0 %
19a
b
20
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
Yes
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
No
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
No
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
No
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described on 11a above?
11b
 
No
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
No
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2021 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2021
(iii)
Distributable
Amount for 2021
1 Distributable amount for 2021 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2021:
a From 2016.......  
b From 2017.......  
c From 2018.......  
d From 2019.......  
e From 2020.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2021 distributable amount  
i Carryover from 2016 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2021 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2021 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2021, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2021. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2022. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2017.....  
b Excess from 2018.....  
c Excess from 2019.....  
d Excess from 2020.....  
e Excess from 2021.....  
Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
SCHEDULE A, PART I: PUBLIC CHARITY CLASSIFICATION OF EACH GROUP MEMBER IS SHOWN BELOW: EMH REGIONAL MEDICAL CENTER (ELYRIA) - 34-0714612 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 PARMA COMMUNITY GENERAL HOSPITAL (PARMA) - 34-0827442 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 ROBINSON HEALTH SYSTEM, INC. (PORT) - 46-1382538 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SAMARITAN REGIONAL HEALTH SYSTEM (SAM) - 34-0714535 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER (AHUJA) - 26-4827222 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, INC. (UHCMC) - 34-1567805 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER (CONN) - 34-0714550 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS GEAUGA MEDICAL CENTER (GEAUGA) - 34-0816492 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER (GENEVA) - 34-0714461 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UH REGIONAL HOSPITALS (UHRH) - 34-1924226 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER (SJMC) - 34-1260978 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS COORDINATED CARE ORGANIZATION (CCO) - 90-0794903 509(A)(2) 3605 WARRENSVILLE CENTER RD. - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS HOME CARE SERVICES, INC. (HCS) - 34-1527536 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UH CLEVELAND MEDICAL CENTER COMPREHENSIVE HEALTH CARE OF OHIO, INC. (CHCO) - 34-1492733 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: EMH REGIONAL MEDICAL CENTER HEATHER HILL INC. (HHI) - 34-0771884 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER ROAD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UH CLEVELAND MEDICAL CENTER UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION (UHLSF) - 34-1720429 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. UNIVERSITY HOSPITALS MEDICAL GROUP, INC. (UHMG) - 20-4881619 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UH CLEVELAND MEDICAL CENTER
SCHEDULE A, PART IV, SECTION C, LINE 1: THE FOLLOWING GROUP SUBORDINATES RESPONDED YES: - HEATHER HILL, INC. THE FOLLOWING GROUP SUBORDINATES RESPONDED NO: - COMPREHENSIVE HEALTH CARE OF OHIO COMPREHENSIVE HEALTH CARE OF OHIO ("CHCO") IS A SUPPORTING ORGANIZATION OF EMH REGIONAL MEDICAL CENTER AS STATED IN ITS ARTICLES. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. ("UHHS") IS THE SOLE MEMBER OF CHCO. CHCO IS SUPERVISED, DIRECTED AND CONTROLLED BY UHHS. - UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION ("UHLSF") ACTS AS A SUPPORTING ORGANIZATION TO UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. ("UHHS"). ARTICLES OF INCORPORATION PROVIDE UHHS WITH SUPERVISION, DIRECTION AND CONTROL OVER UHLSF. - UNIVERSITY HOSPITALS MEDICAL GROUP, INC. UNIVERSITY HOSPITALS MEDICAL GROUP, INC. ("UHMG") ACTS AS A SUPPORTING ORGANIZATION TO UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER ("UHCMC"). THE CONTROL AND MANAGEMENT OF UHMG IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ITS SUPPORTED ORGANIZATION BECAUSE BOTH ENTITIES ARE PART OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY A COMMON PARENT, UNIVERSITY HOSPITALS HEALTH SYSTEM. - UNIVERSITY HOSPITALS HOMECARE SERVICES, INC. UNIVERSITY HOSPITALS HOMECARE SERVICES, INC. ("UHHCS") ACTS AS A SUPPORTING ORGANIZATION TO UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER ("UHCMC"). THE CONTROL AND MANAGEMENT OF UHHCS IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ITS SUPPORTED ORGANIZATION BECAUSE BOTH ENTITIES ARE PART OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY A COMMON PARENT, UNIVERSITY HOSPITALS HEALTH SYSTEM.
Schedule A (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Name of the organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
GROUP RETURN
Employer identification number

90-0059117
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (2021)
Schedule B (Form 990) (2021) Page 2
Name of organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
GROUP RETURN
Employer identification number
90-0059117
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)
Schedule B (Form 990) (2021)
Page 3
Name of organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
GROUP RETURN
Employer identification number

90-0059117
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
Schedule B (Form 990) (2021)
Schedule B (Form 990) (2021)
Page 4
Name of organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
GROUP RETURN
Employer identification number

90-0059117
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2021)
Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
GROUP RETURN
Employer identification number

90-0059117
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).Click to see attachment
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...................... 7,373 15,078
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................ 169,505 346,672
c Total lobbying expenditures (add lines 1a and 1b) ............................................................ 176,878 361,750
d Other exempt purpose expenditures ............................................................................... 2,107,027,537 5,073,795,440
e Total exempt purpose expenditures (add lines 1c and 1d) .................................................. 2,107,204,415 5,074,157,190
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
1,000,000 1,000,000
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) ................................................. 250,000 250,000
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................ 0 0
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................ 0 0
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) Total
2a Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
b Lobbying ceiling amount
(150% of line 2a, column(e))
6,000,000
c Total lobbying expenditures 423,303 507,309 535,466 361,750 1,827,828
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
e Grassroots ceiling amount
(150% of line 2d, column (e))
1,500,000
f Grassroots lobbying expenditures 17,431 16,057 16,853 15,078 65,419
Schedule C (Form 990) 2021


Schedule C (Form 990) 2021
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
 
c
Media advertisements? ...................................................................................................
 
 
 
d
Mailings to members, legislators, or the public? .............................................................................
 
 
 
e
Publications, or published or broadcast statements? ...........................................................
 
 
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
 
 
i
Other activities? ...................................................................................................................
 
 
 
j
Total. Add lines 1c through 1i ....................................................................................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C (Form 990) 2021


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
GROUP RETURN
Employer identification number

90-0059117
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $ 127,100
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $ 8,423,916
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
SEE SUPPLEMENTAL INFORMATION
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance .... 241,904,000 211,303,000 179,723,000 187,557,000 159,046,000
b Contributions ... 22,145,000 10,211,000 9,871,000 5,345,000 8,523,000
c Net investment earnings, gains, and losses 41,936,000 24,607,000 32,087,000 -5,466,000 28,790,000
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
14,161,000 4,217,000 10,378,000 7,713,000 8,802,000
f Administrative expenses ....          
g End of year balance ...... 291,824,000 241,904,000 211,303,000 179,723,000 187,557,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet4.340 %
b
Permanent endowment SchDMd Bullet61.430 %
c
Term endowment SchDMd Bullet34.230 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
No
(ii) Related organizations .................
3a(ii)
Yes
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   132,009,000 132,009,000
b Buildings ....   1,928,037,000 918,351,000 1,009,686,000
c Leasehold improvements   20,997,000 15,231,000 5,766,000
d Equipment ....   1,086,989,000 910,783,000 176,206,000
e Other .....   31,589,000 41,389,000 -9,800,000
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 1,313,867,000
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)BENEFICIAL INT. IN FOUNDATION 199,980,000 F
(2)INVESTMENT IN AFFILIATES 5,827,000 C
(3)INVESTMENTS - PROGRAM RELATED 10,757,000 F
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 216,564,000
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 332,972,000
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART III, LINE 4: THE UH ART COLLECTION INCLUDES APPROXIMATELY 3,152 ORIGINAL WORKS OF ART, MANY DONATED OVER THE YEARS. ARTWORK INCLUDES PAINTINGS, PHOTOS, SCULPTURES AND THE LIKE. THE UH ART COLLECTION HAS BEEN ESTABLISHED TO ENCOURAGE REFLECTION, AND TO DELIGHT, UPLIFT AND COMFORT OUR PATIENTS, VISITORS, AND EMPLOYEES.
PART V, LINE 4: THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUND VARIES DEPENDING ON DONOR STIPULATIONS. ALL SPENDING OF ENDOWMENT EARNINGS ARE DONE SO IN ACCORDANCE WITH DONOR INTENT AND APPLICABLE LAW. ENDOWMENTS ARE HELD ON THE BOOKS OF THE PARENT ORGANIZATION OF THE GROUP MEMBERS. SPENDING ALLOCATIONS ARE MADE TO THE PROPER UH ENTITY BY THE PARENT TO COMPLY WITH DONOR WISHES.
PART X, LINE 2: UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. MUST RECONGIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. AS OF DECEMBER 31, 2021 AND 2020, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS.
Schedule D (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




SCHEDULE G (Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
GROUP RETURN
Employer identification number

90-0059117
Part I
Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990) 2021
Schedule G (Form 990) 2021
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.









VerticalRevenue
(a) Event #1

FIVE STAR GOLF/CHEF
(event type)
(b) Event #2

HENNESSY GOLF
(event type)
(c) Other events

6
(total number)
(d) Total events
(add col. (a) through col. (c))

1

Gross receipts . . . . .

833,267

122,750

474,485

1,430,502

2

Less: Contributions . . . .

686,537

102,450

394,619

1,183,606
3 Gross income (line 1 minus
line 2) . . . . . .

146,730

20,300

79,866

246,896



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .        
6 Rent/facility costs . . . . 30,308     30,308
7 Food and beverages . . . 80,630 28,161 102,665 211,456
8 Entertainment . . . .        
9 Other direct expenses . . . 104,844 5,393 33,052 143,289
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 385,053
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow -138,157
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1

Gross revenue . . . . .

 

 

 

 
VerticalDirectExpenses

2

Cash prizes . . . . .

 

 

 

 

3

Noncash prizes . . . .

 

 

 

 

4

Rent/facility costs . . . .

 

 

 

 

5

Other direct expenses . . .

 

 

 

 


6


Volunteer labor . . . .
%
%
%


7

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

 

8

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990) 2021
Schedule G (Form 990) 2021
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference Explanation
Schedule G (Form 990) 2021
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
GROUP RETURN
Employer identification number

90-0059117
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    49,505,851   49,505,851 1.210 %
b Medicaid (from Worksheet 3, column a) . . . . .     962,181,102 703,700,119 258,480,983 6.330 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     1,011,686,953 703,700,119 307,986,834 7.540 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     8,820,937 1,337,547 7,483,390 0.180 %
f Health professions education (from Worksheet 5) . . .     134,475,378 30,609,233 103,866,145 2.540 %
g Subsidized health services (from Worksheet 6) . . . .     35,690,659 21,611,264 14,079,395 0.340 %
h Research (from Worksheet 7) .     102,296,836 36,793,864 65,502,972 1.600 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     619,278 69,836 549,442 0.010 %
j Total. Other Benefits . .     281,903,088 90,421,744 191,481,344 4.670 %
k Total. Add lines 7d and 7j .     1,293,590,041 794,121,863 499,468,178 12.210 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support     34,274   34,274 0 %
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total     34,274   34,274 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
125,090,010
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
546,526,083
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
642,398,650
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-95,872,567
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
11 EMH SHEFFIELD MEDICAL BUILDING CONDOMINIUM ASSOCIATION
 
CONDO MANAGEMENT 33.330 %   66.670 %
22 GATES MEDICAL CENTER INC
 
CONDO MANAGEMENT 40.000 %   60.000 %
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?14Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 UH CLEVELAND MEDICAL CENTER
11100 EUCLID AVENUE
CLEVELAND,OH44106
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,OH44106
WWW.UHHOSPITALS.ORG
1142
UH CLEVELAND MEDICAL CENTER
341567805
X X X X   X X   LVL 1 TRAUMA CTR A
3 UH GEAUGA MEDICAL CENTER
13207 RAVENNA ROAD
CHARDON,OH44024
WWW.UHHOSPITALS.ORG
1001
UH GEAUGA MEDICAL CENTER
340816492
X X         X   IP PSYCHIATRIC UNIT B
4 UH AHUJA MEDICAL CENTER
3999 RICHMOND ROAD
BEACHWOOD,OH44122
WWW.UHHOSPITALS.ORG
1497
UH AHUJA MEDICAL CENTER
264827222
X X         X     A
5 UH REGIONAL HOSPITALS
27100 CHARDON ROAD
RICHMOND HEIGHTS,OH44143
WWW.UHHOSPITALS.ORG
1141&1008
UH REGIONAL HOSPITALS
341924226
X X   X     X     A
6 UH GENEVA MEDICAL CENTER
870 WEST MAIN STREET
GENEVA,OH44041
WWW.UHHOSPITALS.ORG
1108
UH GENEVA MEDICAL CENTER
340714461
X       X   X     A
7 UH CONNEAUT MEDICAL CENTER
158 WEST MAIN ROAD
CONNEAUT,OH44030
WWW.UHHOSPITALS.ORG
1107
UH CONNEAUT MEDICAL CENTER
340714550
X       X   X     A
8 UH PARMA MEDICAL CENTER
7007 POWERS BLVD
PARMA,OH44129
WWW.UHHOSPITALS.ORG
1007
UH PARMA MEDICAL CENTER
340827442
X X         X     A
9 UH ELYRIA MEDICAL CENTER
630 EAST RIVER STREET
ELYRIA,OH44035
WWW.UHHOSPITALS.ORG
1217
UH ELYRIA MEDICAL CENTER
340714612
X X         X     A
10 UH ST JOHN MEDICAL CENTER
29000 CENTER RIDGE ROAD
WESTLAKE,OH441455275
WWW.UHHOSPITALS.ORG
1034
UH ST JOHN MEDICAL CENTER
341260978
X X   X     X     A
11 UH PORTAGE MEDICAL CENTER
6847 NORTH CHESTNUT STREET
RAVENNA,OH44266
WWW.UHHOSPITALS.ORG
1255
UH PORTAGE MEDICAL CENTER
461382538
X X   X     X     A
12 UH SAMARITAN MEDICAL CENTER
1025 CENTER STREET
ASHLAND,OH44805
WWW.SAMARITANHOSPITAL.ORG
1104
UH SAMARITAN MEDICAL CENTER
340714535
X X         X     B
13 UNIVERSITY HOSPITALS REHABILITATION HOSPITAL
23333 HARVARD ROAD
BEACHWOOD,OH44122
WWW.UHHOSPITALS.ORG
1509
UH CLEVELAND MEDICAL CENTER
341567805
X               REHABILATION A
14 UH AVON REHABILITATION HOSPITAL
37900 CHESTER ROAD
AVON,OH44011
WWW.UHHOSPITALS.ORG
1523
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
340714775
X               REHABILATION A
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
REPORTING GROUP B
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
REPORTING GROUP B
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
REPORTING GROUP B
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
REPORTING GROUP B
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: UH CLEVELAND MEDICAL CENTER, - FACILITY 2: UH RAINBOW BABIES & CHILDREN'S HOSPITAL, - FACILITY 4: UH AHUJA MEDICAL CENTER, - FACILITY 5: UH REGIONAL HOSPITALS, - FACILITY 6: UH GENEVA MEDICAL CENTER, - FACILITY 7: UH CONNEAUT MEDICAL CENTER, - FACILITY 8: UH PARMA MEDICAL CENTER, - FACILITY 9: UH ELYRIA MEDICAL CENTER, - FACILITY 10: UH ST. JOHN MEDICAL CENTER, - FACILITY 11: UH PORTAGE MEDICAL CENTER, - FACILITY 13: UNIVERSITY HOSPITALS REHABILITATION HOSPITAL, - FACILITY 14: UH AVON REHABILITATION HOSPITAL
GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES.
GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 5: UH CLEVELAND MEDICAL CENTER'S 2019 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (SURVEY OF MARKET AREA RESIDENTS AND HOSPITAL DISCHARGE DATA) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH RANDOMIZED MAIL SURVEYS OF HOUSEHOLDS IN SERVICE AREA COUNTIES, AS WELL AS, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, AND OTHER RELEVANT ORGANIZATIONS OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: A DESCRIPTION OF THE COMMUNITY SURROUNDING THE UH CLEVELAND MEDICAL CENTER; DEMOGRAPHICS OF UH CLEVELAND MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS (E.G. AGE, GENDER, AND RACE/ETHNICITY); HOSPITAL PATIENTS SERVED; OVERARCHING THEMES (E.G. TRUST AND STRUCTURAL RACISM); CHRONIC DISEASE (E.G. CARDIOVASCULAR DISEASE, CHILDHOOD ASTHMA, AND DIABETES); HIGH FREQUENCY OF INAPPROPRIATE EMERGENCY DEPARTMENT USE; QUALITY OF LIFE INDICATORS (E.G. POVERTY, HOMICIDE RATES, AND FOOD INSECURITY); CANCER TREATMENT (E.G. INCREASING EARLY DETECTION, REDUCING BARRIERS TO CANCER CARE, AND REDUCING THE HIGH CANCER MORTALITY RATES); REDUCING INCIDENCES OF CARDIOVASCULAR DISEASE (E.G. EARLY DETECTION, INCREASING PATIENTS' UNDERSTANDING OF ITS SEVERITY, AND TEACHING CARDIOVASCULAR DISEASE SELF-TREATMENT); BEHAVIORAL RISK FACTORS (E.G. OBESITY, FLU VACCINATION RATES, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); MENTAL HEALTH AND ADDICTION (E.G. MENTAL HEALTH/SUICIDE, OPIOIDS AND OTHER SUBSTANCE ABUSE, AND VIOLENCE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE AND LEAD POISONING).
GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH CLEVELAND MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: UH RAINBOW BABIES & CHILDREN'S HOSPITAL, UH AHUJA MEDICAL CENTER, UH REGIONAL HOSPITALS (UH BEDFORD MEDICAL CENTER AND UH RICHMOND MEDICAL CENTER), UH PARMA MEDICAL CENTER, UH ST. JOHN MEDICAL CENTER, UH REHABILITATION HOSPITAL, SOUTHWEST GENERAL HEALTH CENTER, ST. VINCENT CHARITY MEDICAL CENTER, AND THE METROHEALTH SYSTEM.
GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: BETTER HEALTH PARTNERSHIP, CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, HEALTH IMPROVEMENT PARTNERSHIP-CUYAHOGA, POLICYBRIDGE, THE CENTER FOR HEALTH AFFAIRS, AND UNITED WAY OF GREATER CLEVELAND.
GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH CLEVELAND MEDICAL CENTER IDENTIFIED THE FOLLOWING FOUR PRIORITY HEATH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM: PRIORITY HEATH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS- STRATEGY #2: TARGETED SCREENING AND EDUCATION AMONG HIGH-RISK POPULATIONS- STRATEGY #3: DECREASE BARRIERS TO CANCER SCREENING AND TREATMENTPRIORITY HEALTH NEED #2: IMPROVE COMMUNITY CONDITIONS- STRATEGY #1: SAFETY TRAINING- STRATEGY #2: CO-LOCATE PROGRAMS AND SERVICES WITHIN A COMMUNITY-BASED MEDICAL CENTER IN AN UNDER-RESOURCED NEIGHBORHOOD- STRATEGY #3: HOSPITAL-BASED INTERVENTION TO INTERRUPT GUN-RELATED VIOLENCE AND RETALIATIONPRIORITY HEALTH NEED #3: MENTAL HEALTH AND ADDICTION- STRATEGY #1: COMMUNITY-BASED EDUCATION AND STRATEGIC PARTNERSHIPSPRIORITY HEALTH NEED #4: ELIMINATING STRUCTURAL RACISM- STRATEGY #1: JOB PIPELINE PROGRAM FOR MINORITIZED SECONDARY SCHOOL STUDENTS INTERESTED IN BECOMING PHYSICIANSIN ADDITION TO THE AFOREMENTIONED STRATEGIC INITIATIVES OUTLINED IN DETAIL IN THIS PLAN, THE HOSPITAL WILL EITHER BEGIN OR CONTINUE TO PROVIDE OTHER COMMUNITY BENEFIT PROGRAMS RESPONSIVE TO THE HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA. THESE MAY INCLUDE, BUT ARE NOT LIMITED TO, HEALTH EDUCATION PROGRAMS, SCREENINGS, SUPPORT GROUPS AND OTHER COMMUNITY HEALTH IMPROVEMENT SERVICES; MEDICAL RESEARCH; EDUCATION FOR PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS AND ACCESS TO CARE THROUGH THE UH HOSPITAL FINANCIAL ASSISTANCE PROGRAM. THE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE FOUR ISSUES ABOVE AS THOSE ISSUES WERE CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON THOSE ISSUES. THE ISSUES WHICH WERE NOT CHOSEN TO BE A FOCUS OF THIS PLAN WERE THOSE WHERE THE HOSPITAL IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT ISSUE.NOT ALL NEEDS IDENTIFIED IN THE 2019 CHNA ARE BEING ADDRESSED BUT THROUGH IMPLEMENTING THE ABOVE STRATEGIES, THE HOSPITAL ANTICIPATES THE FOLLOWING IMPROVEMENTS IN COMMUNITY HEALTH: POSITIVE IMPACT ON THE REDUCTION OF CARDIOVASCULAR DISEASE; POSITIVE IMPACT ON THE REDUCTION OF INFANT MORTALITY AND IMPROVED INFANT HEALTH; REDUCED INAPPROPRIATE EMERGENCY ROOM USE AND POSITIVE IMPACT ON THE REDUCTION OF CANCER MORTALITY RATES, FOCUSING ON LUNG, COLON, BREAST AND CERVICAL CANCERS. COINCIDENT WITH THIS WILL BE A POSITIVE IMPACT ON RATES OF TOBACCO USE. SOME NEEDS NOT BEING ADDRESSED ARE HIGH BLOOD LEAD LEVELS, CHILDHOOD ASTHMA, INFLUENZA, TOBACCO USE, AND SUICIDE PREVENTION. THESE NEEDS ARE ALSO BEING ADDRESSED IN UH CLINICAL SETTINGS.
GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES.
GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5: THE UH RAINBOW BABIES & CHILDREN'S MEDICAL CENTER'S 2019 ASSESSMENT CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (SURVEY OF MARKET AREA RESIDENTS, HOSPITAL DISCHARGE DATA) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH RANDOMIZED MAIL SURVEYS OF HOUSEHOLDS IN SERVICE AREA COUNTIES, AS WELL AS, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, AND OTHER RELEVANT ORGANIZATIONS OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: A DESCRIPTION OF THE COMMUNITY SURROUNDING THE UH RAINBOW BABIES & CHILDREN'S HOSPITAL; DEMOGRAPHICS OF UH RAINBOW BABIES & CHILDREN'S HOSPITAL PRIMARY AND SECONDARY MARKET AREAS (E.G. AGE, GENDER, AND RACE/ETHNICITY); HOSPITAL PATIENTS SERVED; OVERARCHING THEMES (E.G. TRUST AND STRUCTURAL RACISM); CHRONIC DISEASE (E.G. CARDIOVASCULAR DISEASE, CHILDHOOD ASTHMA, AND DIABETES); ACCESS TO DENTAL CARE FOR CHILDREN; ACCESS TO PRIMARY CARE; QUALITY OF LIFE INDICATORS (E.G. POVERTY, HOMICIDE RATES, AND FOOD INSECURITY); CANCER TREATMENT (E.G. INCREASING EARLY DETECTION, REDUCING BARRIERS TO CANCER CARE, AND REDUCING THE HIGH CANCER MORTALITY RATES); REDUCING INCIDENCES OF CARDIOVASCULAR DISEASE (E.G. EARLY DETECTION, INCREASING PATIENTS' UNDERSTANDING OF ITS SEVERITY, AND TEACHING CARDIOVASCULAR DISEASE SELF-TREATMENT); BEHAVIORAL RISK FACTORS (E.G. OBESITY, FLU VACCINATION RATES, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); MENTAL HEALTH AND ADDICTION (E.G. MENTAL HEALTH/SUICIDE, OPIOIDS AND OTHER SUBSTANCE ABUSE, AND VIOLENCE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE AND LEAD POISONING); REDUCE INFANT MORTALITY (E.G. EXTREME PREMATURITY, BIRTH DEFECTS, AND SLEEP-RELATED DEATHS).
GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH RAINBOW BABIES & CHILDREN'S HOSPITAL IN THE JOINT CHNA FOR CUYAHOGA COUNTY: UH CLEVELAND MEDICAL CENTER, UH AHUJA MEDICAL CENTER, UH REGIONAL HOSPITALS (UH BEDFORD MEDICAL CENTER AND UH RICHMOND MEDICAL CENTER), UH PARMA MEDICAL CENTER, UH ST. JOHN MEDICAL CENTER, UH REHABILITATION HOSPITAL, SOUTHWEST GENERAL HEALTH CENTER, ST. VINCENT CHARITY MEDICAL CENTER, AND THE METROHEALTH SYSTEM.
GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: BETTER HEALTH PARTNERSHIP, CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, HEALTH IMPROVEMENT PARTNERSHIP-CUYAHOGA, POLICYBRIDGE, THE CENTER FOR HEALTH AFFAIRS, AND UNITED WAY OF GREATER CLEVELAND.
GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH RAINBOW BABIES & CHILDREN'S HOSPITAL IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEED AND ASSOCIATED STRATEGIES TO ADDRESS IT: PRIORITY HEATH NEED #1: IMPROVE COMMUNITY CONDITIONS/ELIMINATING STRUCTURAL RACISM- STRATEGY #1: MOBILE DENTAL CLINIC- STRATEGY #2: NUTRITION PROGRAMMING TO ADDRESS FOOD INSECURITY- STRATEGY #3: CENTERING PREGNANCYTHE IMPLEMENTATION STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA: HIGH BLOOD LEAD LEVELS, CHILDHOOD ASTHMA, INFLUENZA, TOBACCO USE/CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND SUICIDE PREVENTION. THESE HEALTH NEEDS ARE BEING ADDRESSED IN UH CLINICAL SETTINGS.
GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES.
GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 5: UH AHUJA MEDICAL CENTER'S 2019 ASSESSMENT CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (SURVEY OF MARKET AREA RESIDENTS, HOSPITAL DISCHARGE DATA) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH RANDOMIZED MAIL SURVEYS OF HOUSEHOLDS IN SERVICE AREA COUNTIES, AS WELL AS, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: A DESCRIPTION OF THE COMMUNITY SURROUNDING THE UH AHUJA MEDICAL CENTER; DEMOGRAPHICS OF UH AHUJA MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS (E.G. AGE, GENDER, AND RACE/ETHNICITY); HOSPITAL PATIENTS SERVED; OVERARCHING THEMES (E.G. TRUST AND STRUCTURAL RACISM); CHRONIC DISEASE (E.G. CARDIOVASCULAR DISEASE, CHILDHOOD ASTHMA, AND DIABETES); REDUCING HOSPITALIZATION AND DECREASING HOSPITAL READMISSION; QUALITY OF LIFE INDICATORS (E.G. POVERTY, HOMICIDE RATES, AND FOOD INSECURITY); CANCER TREATMENT (E.G. INCREASING EARLY DETECTION, REDUCING BARRIERS TO CANCER CARE, AND REDUCING THE HIGH CANCER MORTALITY RATES); REDUCING INCIDENCES OF CARDIOVASCULAR DISEASE (E.G. EARLY DETECTION, INCREASING PATIENTS' UNDERSTANDING OF ITS SEVERITY, AND TEACHING CARDIOVASCULAR DISEASE SELF-TREATMENT); BEHAVIORAL RISK FACTORS (E.G. OBESITY, FLU VACCINATION RATES, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); MENTAL HEALTH AND ADDICTION (E.G. MENTAL HEALTH/SUICIDE, OPIOIDS AND OTHER SUBSTANCE ABUSE, AND VIOLENCE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND LEAD POISONING).
GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH AHUJA MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: UH RAINBOW BABIES & CHILDREN'S HOSPITAL, UH CLEVELAND MEDICAL CENTER, UH REGIONAL HOSPITALS (UH BEDFORD MEDICAL CENTER AND UH RICHMOND MEDICAL CENTER), UH PARMA MEDICAL CENTER, UH ST. JOHN MEDICAL CENTER, AND UH REHABILITATION HOSPITAL, SOUTHWEST GENERAL HEALTH CENTER, ST. VINCENT CHARITY MEDICAL CENTER, AND THE METROHEALTH SYSTEM.
GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: BETTER HEALTH PARTNERSHIP, CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, HEALTH IMPROVEMENT PARTNERSHIP-CUYAHOGA, POLICYBRIDGE, THE CENTER FOR HEALTH AFFAIRS, AND UNITED WAY OF GREATER CLEVELAND.
GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH AHUJA MEDICAL CENTER IDENTIFIES THE FOLLOWING THREE PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: COMMUNITY-BASED EDUCATION, HEALTH SCREENING AND SUPPORT GROUPS TO PREVENT AND/OR MANAGE CHRONIC DISEASESPRIORITY HEALTH NEED #2: IMPROVE COMMUNITY CONDITIONS- STRATEGY #1: STRATEGIC PARTNERSHIPS AND PROGRAMMING TO ADDRESS SOCIAL DETERMINANTS OF HEALTH PRIORITY HEALTH NEED #3: MENTAL HEALTH AND ADDICTION- STRATEGY #1: COMMUNITY-BASED EDUCATION TO PROMOTE POSITIVE MENTAL HEALTHTHE IMPLEMENTATION STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA: HIGH BLOOD LEAD LEVELS, CHILDHOOD ASTHMA, INFLUENZA, TOBACCO USE/CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND SUICIDE PREVENTION. THESE HEALTH NEEDS ARE BEING ADDRESSED IN UH CLINICAL SETTINGS.
GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 4 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES.
GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 5: THE CHNA FOR THE RICHMOND CAMPUS OF UH REGIONAL HOSPITALS (UH RICHMOND MEDICAL CENTER) TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH RANDOMIZED TELEPHONE SURVEYS OF HOUSEHOLDS IN CUYAHOGA COUNTY, AS WELL AS, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: A DESCRIPTION OF THE COMMUNITY SURROUNDING THE UH RICHMOND MEDICAL CENTER; DEMOGRAPHICS OF UH RICHMOND MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS (E.G. AGE, GENDER, AND RACE/ETHNICITY); HOSPITAL PATIENTS SERVED; OVERARCHING THEMES (E.G. TRUST AND STRUCTURAL RACISM); REDUCING THE PREVALENCE OF RESPIRATORY DISEASE AND IMPROVING PATIENTS' QUALITY OF LIFE IN ACCORDANCE WITH THE DISEASE; CHRONIC DISEASE (E.G. HEART DISEASE, CARDIOVASCULAR DISEASE, CHILDHOOD ASTHMA, AND DIABETES); QUALITY OF LIFE INDICATORS (E.G. POVERTY, HOMICIDE RATES, AND FOOD INSECURITY); CANCER TREATMENT (E.G. INCREASING EARLY DETECTION, REDUCING BARRIERS TO CANCER CARE, AND REDUCING THE HIGH CANCER MORTALITY RATES); REDUCING INCIDENCES OF CARDIOVASCULAR DISEASE (E.G. EARLY DETECTION, INCREASING PATIENTS' UNDERSTANDING OF ITS SEVERITY, AND TEACHING CARDIOVASCULAR DISEASE SELF-TREATMENT); BEHAVIORAL RISK FACTORS (E.G. OBESITY, FLU VACCINATION RATES, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); MENTAL HEALTH AND ADDICTION (E.G. MENTAL HEALTH/SUICIDE, OPIOIDS AND OTHER SUBSTANCE ABUSE, AND VIOLENCE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND LEAD POISONING).THE CHNA FOR THE BEDFORD CAMPUS OF UH REGIONAL HOSPITALS (UH BEDFORD MEDICAL CENTER) TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH RANDOMIZED MAIL SURVEYS OF HOUSEHOLDS IN CUYAHOGA COUNTY, AS WELL AS, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS A LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCY. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: A DESCRIPTION OF THE COMMUNITY SURROUNDING THE UH BEDFORD MEDICAL CENTER; DEMOGRAPHICS OF UH BEDFORD MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS (E.G. AGE, GENDER, AND RACE/ETHNICITY); HOSPITAL PATIENTS SERVED; OVERARCHING THEMES (E.G. TRUST AND STRUCTURAL RACISM); CHRONIC DISEASE (E.G. HEART DISEASE, CARDIOVASCULAR DISEASE, CHILDHOOD ASTHMA, AND DIABETES); REDUCING HOSPITALIZATION AND DECREASING HOSPITAL READMISSION; QUALITY OF LIFE INDICATORS (E.G. POVERTY, HOMICIDE RATES, AND FOOD INSECURITY); BEHAVIORAL RISK FACTORS (E.G. OBESITY, FLU VACCINATION RATES, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); MENTAL HEALTH AND ADDICTION (E.G. MENTAL HEALTH/SUICIDE, OPIOIDS AND OTHER SUBSTANCE ABUSE, AND VIOLENCE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND LEAD POISONING).
GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH REGIONAL HOSPITALS (UH BEDFORD MEDICAL CENTER AND UH RICHMOND MEDICAL CENTER) IN THE JOINT CHNA FOR CUYAHOGA COUNTY: UH RAINBOW BABIES & CHILDREN'S HOSPITAL, UH CLEVELAND MEDICAL CENTER, UH AHUJA MEDICAL CENTER, UH PARMA MEDICAL CENTER, UH ST. JOHN MEDICAL CENTER, AND UH REHABILITATION HOSPITAL, SOUTHWEST GENERAL HEALTH CENTER, ST. VINCENT CHARITY MEDICAL CENTER, AND THE METROHEALTH SYSTEM.
GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: BETTER HEALTH PARTNERSHIP, CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, HEALTH IMPROVEMENT PARTNERSHIP-CUYAHOGA, POLICYBRIDGE, THE CENTER FOR HEALTH AFFAIRS, AND UNITED WAY OF GREATER CLEVELAND.
GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH REGIONAL HOSPITALS IDENTIFIED THE FOLLOWING TWO PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS TO PREVENT AND/OR MANAGE CHRONIC DISEASESPRIORITY HEALTH NEED #2: IMPROVE COMMUNITY CONDITIONS- STRATEGY #1: RAISE AWARENESS ABOUT HOSPITAL UTILIZATION OPTIONS AND FINANCIAL ASSISTANCE AVAILABLE FOR MEDICAL CARETHE FOLLOWING NEEDS WERE IDENTIFIED IN THE 2019 CHNA, BUT ARE NOT BEING ADDRESSED IN 2019 INCLUDE: HIGH BLOOD LEAD LEVELS, CHILDHOOD ASTHMA, INFLUENZA, TOBACCO USE/CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND SUICIDE PREVENTION. THESE NEEDS ARE BEING ADDRESSED IN UH CLINICAL SETTINGS.
GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 5 -- UH REGIONAL HOSPITALS PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS COUNTY HEALTH ASSESSMENT, CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITALIZATION ASSOCIATION, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE HOSPITAL COUNCIL OF NORTHWEST OHIO WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. THE HOSPITAL COUNCIL OF NORTHWEST OHIO RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION.
GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH GENEVA MEDICAL CENTER'S CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY BY SURVEYS ADMINISTERED THROUGH RANDOMIZED EMAIL LIST SERVS, SOCIAL MEDIA SURVEYS, AND PUBLIC NOTICES IN ASHTABULA COUNTY. COMMUNITY LEADERS FROM THE ASHTABULA CITY HEALTH DEPARTMENT AND ASHTABULA COUNTY HEALTH DEPARTMENT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. DATA WAS ALSO OBTAINED BY INDEPENDENT RESEARCHERS FROM THE TOLEDO-BASED HOSPITAL COUNCIL OF NORTHWEST OHIO AND THEIR PARTNERS AT THE UNIVERSITY OF TOLEDO. THE SURVEY DATA WAS COLLECTED FROM A CROSS-SECTIONAL, RANDOMIZED SAMPLE OF 1,200 ASHTABULA COUNTY RESIDENTS AGED 19 YEARS AND OLDER. THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSES IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: HEALTHCARE ACCESS (HEALTHCARE COVERAGE, ACCESS AND UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, AND ORAL HEALTH), HEALTH BEHAVIORS (HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, DRUG USE, SEXUAL BEHAVIOR, MENTAL HEALTH), CHRONIC DISEASE (CARDIOVASCULAR HEALTH, CANCER, ASTHMA, ARTHRITIS, DIABETES, QUALITY OF LIFE), AND SOCIAL CONDITIONS (SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL HEALTH, AND PARENTING).
GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR ASHTABILA COUNTY. UH GENEVA MEDICAL CENTER AND UH CONNEAUT MEDICAL CENTER ARE INCLUDED IN THE JOINT CHNA FOR ASHTABULA COUNTY.
GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR ASHTABILA COUNTY: ASHTABULA CITY HEALTH DEPARTMENT, ASHTABULA COUNTY CHILDREN'S SERVICES, ASHTABULA COUNTY COMMISSIONERS, ASHTABULA COUNTY COMMUNITY ACTION AGENCY, ASHTABULA COUNTY EDUCATIONAL SERVICE CENTER, ASHTABULA COUNTY ENGINEERS DEPARTMENT, ASHTABULA COUNTY FAMILY & CHILDREN'S FIRST COUNCIL, ASHTABULA COUNTY HEALTH DEPARTMENT, ASHTABULA COUNTY JOB & FAMILY SERVICES, ASHTABULA COUNTY MEDICAL CENTER, ASHTABULA COUNTY MENTAL HEALTH RECOVERY BOARD, ASHTABULA COUNTY REGIONAL HOME HEALTH SERVICES, ASHTABULA COUNTY YMCA, CATHOLIC CHARITIES OF ASHTABULA COUNTY, CENTER FOR HEALTH AFFAIRS, COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY, CONNEAUT CITY HEALTH DEPARTMENT, COUNTRY NEIGHBOR, GLENBEIGH, KENT STATE UNIVERSITY-ASHTABULA, LAKE AREA RECOVERY CENTER, OHIO STATE UNIVERSITY COOPERATIVE EXTENSION-ASHTABULA COUNTY, AND SIGNATURE HEALTH/FAMILY PLANNING ASSOCIATION OF NORTHEAST OHIO.
GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH GENEVA MEDICAL CENTER IDENTIFIED THE FOLLOWING TWO PRIORITY HEALTH NEEDS AND CROSSING-CUTTING FACTOR, ALONG WITH STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC DISEASE- STRATEGY #1: PRESCRIPTIONS FOR PHYSICAL ACTIVITY- STRATEGY #2: HYPERTENSION SCREENING AND FOLLOW UP- STRATEGY #3: DIABETES PREVENTION PROGRAM (DPP) AND PREDIABETES SCREENING AND REFERRALPRIORITY HEALTH NEED #2: MENTAL HEALTH AND ADDICTION- STRATEGY #1: SCHOOL-BASED ALCOHOL/OTHER DRUG PREVENTION PROGRAMS- STRATEGY #2: SAFE DISPOSAL OF PRESCRIPTION DRUGSCROSS-CUTTING FACTOR #1: HEALTHCARE SYSTEM AND ACCESS- STRATEGY #1: IMPROVE ACCESS TO COMPREHENSIVE PRIMARY CARE- STRATEGY #2: SCREENING FOR SOCIAL DETERMINANTS OF HEALTH (SDOH) USING A STANDARDIZED TOOL- STRATEGY #3: COMMUNITY HEALTH WORKERS (INCLUDING WORKERS IN COMMUNITY-BASED SETTINGS) TO ADDRESS SOCIAL DETERMINANTS OF HEALTHNEEDS IDENTIFIED IN 2019 WHICH ARE NOT BEING ADDRESSED INCLUDE SUICIDE PREVENTION. THIS SPECIFIC ISSUE IS BEING ADDRESSED BY OTHER PARTNERS IN ASHTABULA COUNTY.
GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 6 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS COUNTY HEALTH ASSESSMENT, CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITALIZATION ASSOCIATION, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE HOSPITAL COUNCIL OF NORTHWEST OHIO WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. THE HOSPITAL COUNCIL OF NORTHWEST OHIO RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION.
GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH CONNEAUT MEDICAL CENTER'S CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY BY SURVEYS ADMINISTERED THROUGH RANDOMIZED EMAIL LIST SERVS, SOCIAL MEDIA SURVEYS, AND PUBLIC NOTICES IN ASHTABULA COUNTY. COMMUNITY LEADERS FROM THE ASHTABULA CITY HEALTH DEPARTMENT AND ASHTABULA COUNTY HEALTH DEPARTMENT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. DATA WAS ALSO OBTAINED BY INDEPENDENT RESEARCHERS FROM THE TOLEDO-BASED HOSPITAL COUNCIL OF NORTHWEST OHIO AND THEIR PARTNERS AT THE UNIVERSITY OF TOLEDO. THE SAMPLE COLLECTED BY THEM WAS A RANDOMIZED MIXTURE OF 1,200 ASHTABULA COUNTY RESIDENTS 19 YEARS AND OLDER. THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSES IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: HEALTHCARE ACCESS (HEALTHCARE COVERAGE, ACCESS AND UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, AND ORAL HEALTH), HEALTH BEHAVIORS (HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, DRUG USE, SEXUAL BEHAVIOR, MENTAL HEALTH), CHRONIC DISEASE (CARDIOVASCULAR HEALTH, CANCER, ASTHMA, ARTHRITIS, DIABETES, QUALITY OF LIFE), AND SOCIAL CONDITIONS (SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL HEALTH, AND PARENTING).
GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR ASHTABILA COUNTY. UH GENEVA MEDICAL CENTER AND UH CONNEAUT MEDICAL CENTER ARE INCLUDED IN THE JOINT CHNA FOR ASHTABULA COUNTY.
GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR ASHTABILA COUNTY: ASHTABULA CITY HEALTH DEPARTMENT, ASHTABULA COUNTY CHILDREN'S SERVICES, ASHTABULA COUNTY COMMISSIONERS, ASHTABULA COUNTY COMMUNITY ACTION AGENCY, ASHTABULA COUNTY EDUCATIONAL SERVICE CENTER, ASHTABULA COUNTY ENGINEERS DEPARTMENT, ASHTABULA COUNTY FAMILY & CHILDREN'S FIRST COUNCIL, ASHTABULA COUNTY HEALTH DEPARTMENT, ASHTABULA COUNTY JOB & FAMILY SERVICES, ASHTABULA COUNTY MEDICAL CENTER, ASHTABULA COUNTY MENTAL HEALTH RECOVERY BOARD, ASHTABULA COUNTY REGIONAL HOME HEALTH SERVICES, ASHTABULA COUNTY YMCA, CATHOLIC CHARITIES OF ASHTABULA COUNTY, CENTER FOR HEALTH AFFAIRS, COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY, CONNEAUT CITY HEALTH DEPARTMENT, COUNTRY NEIGHBOR, GLENBEIGH, KENT STATE UNIVERSITY-ASHTABULA, LAKE AREA RECOVERY CENTER, OHIO STATE UNIVERSITY COOPERATIVE EXTENSION-ASHTABULA COUNTY, AND SIGNATURE HEALTH/FAMILY PLANNING ASSOCIATION OF NORTHEAST OHIO.
GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR CONNEAUT MEDICAL CENTER IDENTIFIED THE FOLLOWING TWO PRIORITY HEALTH NEEDS AND CROSSING-CUTTING FACTOR, ALONG WITH STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC DISEASE- STRATEGY #1: PRESCRIPTIONS FOR PHYSICAL ACTIVITY- STRATEGY #2: HYPERTENSION SCREENING AND FOLLOW UP- STRATEGY #3: DIABETES PREVENTION PROGRAM (DPP) AND PREDIABETES SCREENING AND REFERRALPRIORITY HEALTH NEED #2: MENTAL HEALTH AND ADDICTION- STRATEGY #1: SCHOOL-BASED ALCOHOL/OTHER DRUG PREVENTION PROGRAMS- STRATEGY #2: SAFE DISPOSAL OF PRESCRIPTION DRUGSCROSS-CUTTING FACTOR #1: HEALTHCARE SYSTEM AND ACCESS- STRATEGY #1: IMPROVE ACCESS TO COMPREHENSIVE PRIMARY CARE- STRATEGY #2: SCREENING FOR SOCIAL DETERMINANTS OF HEALTH (SDOH) USING A STANDARDIZED TOOL- STRATEGY #3: COMMUNITY HEALTH WORKERS (INCLUDING WORKERS IN COMMUNITY-BASED SETTINGS) TO ADDRESS SOCIAL DETERMINANTS OF HEALTHNEEDS IDENTIFIED IN 2019 WHICH ARE NOT BEING ADDRESSED INCLUDE SUICIDE PREVENTION. THIS SPECIFIC ISSUE IS BEING ADDRESSED BY OTHER PARTNERS IN ASHTABULA COUNTY.
GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 7 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES.
GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 5: UH PARMA MEDICAL CENTER'S 2019 ASSESSMENT CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (SURVEY OF MARKET AREA RESIDENTS, HOSPITAL DISCHARGE DATA) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH RANDOMIZED MAIL SURVEYS OF HOUSEHOLDS IN SERVICE AREA COUNTIES, AS WELL AS, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, AND OTHER RELEVANT ORGANIZATIONS OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: A DESCRIPTION OF THE COMMUNITY SURROUNDING THE UH PARMA MEDICAL CENTER; DEMOGRAPHICS OF UH PARMA MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS (E.G. AGE, GENDER, AND RACE/ETHNICITY); HOSPITAL PATIENTS SERVED; OVERARCHING THEMES (E.G. TRUST AND STRUCTURAL RACISM); CHRONIC DISEASE (E.G. CARDIOVASCULAR DISEASE, CHILDHOOD ASTHMA, AND DIABETES); HIGH FREQUENCY OF INAPPROPRIATE EMERGENCY DEPARTMENT USE; QUALITY OF LIFE INDICATORS (E.G. POVERTY, HOMICIDE RATES, AND FOOD INSECURITY); CANCER TREATMENT (E.G. INCREASING EARLY DETECTION, REDUCING BARRIERS TO CANCER CARE, AND REDUCING THE HIGH CANCER MORTALITY RATES); REDUCING INCIDENCES OF CARDIOVASCULAR DISEASE (E.G. EARLY DETECTION, INCREASING PATIENTS' UNDERSTANDING OF ITS SEVERITY, AND TEACHING CARDIOVASCULAR DISEASE SELF-TREATMENT); BEHAVIORAL RISK FACTORS (E.G. OBESITY, FLU VACCINATION RATES, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); INCREASING ACCESS TO PRIMARY CARE; MENTAL HEALTH AND ADDICTION (E.G. MENTAL HEALTH/SUICIDE, OPIOIDS AND OTHER SUBSTANCE ABUSE, AND VIOLENCE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND LEAD POISONING).
GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH PARMA MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: UH RAINBOW BABIES & CHILDREN'S HOSPITAL, UH CLEVELAND MEDICAL CENTER, UH REGIONAL HOSPITALS (UH BEDFORD MEDICAL CENTER AND UH RICHMOND MEDICAL CENTER), UH AHUJA MEDICAL CENTER, UH ST. JOHN MEDICAL CENTER, AND UH REHABILITATION HOSPITAL, SOUTHWEST GENERAL HEALTH CENTER, ST. VINCENT CHARITY MEDICAL CENTER, AND THE METROHEALTH SYSTEM.
GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: BETTER HEALTH PARTNERSHIP, CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, HEALTH IMPROVEMENT PARTNERSHIP-CUYAHOGA, POLICYBRIDGE, THE CENTER FOR HEALTH AFFAIRS, AND UNITED WAY OF GREATER CLEVELAND.
GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH PARMA MEDICAL CENTER IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS TO PREVENT AND/OR MANAGE CHRONIC DISEASES, PARTICULARLY FOR DIABETES AND HEART DISEASEPRIORITY HEALTH NEED #2: IMPROVE COMMUNITY CONDITIONS- STRATEGY #1: HEALTHY FOOD ACCESSTHE STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA: HIGH BLOOD LEAD LEVELS, CHILDHOOD ASTHMA, INFLUENZA, TOBACCO USE/CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND SUICIDE PREVENTION. THESE NEEDS ARE BEING ADDRESSED IN UH CLINICAL SETTINGS.
GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 8 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES.
GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH ELYRIA MEDICAL CENTER'S CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH A RANDOMIZED TELEPHONE SURVEY OF HOUSEHOLDS IN LORAIN COUNTY, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE ELYRIA CITY HEALTH DISTRICT AND THE LORAIN COUNTY GENERAL HEALTH DISTRICT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. SURVEYS WERE MAILED OUT TO 2,400 ADULTS IN LORAIN COUNTY. THE RESPONSE RATE FOR THE GENERAL POPULATION WAS 29%. THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSE IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: HEALTHCARE ACCESS (HEALTHCARE COVERAGE, ACCESS AND UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, AND ORAL HEALTH), HEALTH BEHAVIORS (HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, TOBACCO USE, ALCOHOL CONSUMPTION, DRUG USE, SEXUAL BEHAVIOR, MENTAL HEALTH), CHRONIC DISEASE (HEART HEALTH, CANCER, ASTHMA, ARTHRITIS, DIABETES, AND QUALITY OF LIFE), SOCIAL CONDITIONS (SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL HEALTH, PARENTING, MATERNAL AND INFANT HEALTH), RURAL HEALTH, SUBURBAN HEALTH, URBAN HEALTH, AND YOUTH HEALTH (WEIGHT STATUS, TOBACCO USE, ALCOHOL USE, DRUG USE, MENTAL HEALTH, SAFETY AND VIOLENCE ISSUES, AND PERCEPTIONS).
GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR LORAIN COUNTY. UH ELYRIA MEDICAL CENTER, UH AVON REHABILITATION HOSPITAL, CLEVELAND CLINIC AVON HOSPITAL, MERCY HEALTH ALLEN HOSPITAL, MERCY HEALTH LORAIN HOSPITAL AND SPECIALTY HOSPITAL OF LORAIN ARE INCLUDED IN THE 2019 CHNA FOR LORAIN COUNTY.
GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR LORAIN COUNTY: ALCOHOL AND DRUG ADDICTION SERVICES BOARD OF LORAIN COUNTY, LORAIN COUNTY BOARD OF MENTAL HEALTH, LORAIN COUNTY HEALTH & DENTISTRY, LORAIN COUNTY METRO PARKS, LORAIN COUNTY OFFICE ON AGING, LORAIN COUNTY PUBIC HEALTH, AND UNITED WAY OF GREATER LORAIN COUNTY.
GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH ELYRIA MEDICAL CENTER IDENTIFIED THE FOLLOWING TWO PRIORITY HEATH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM: PRIORITY HEATH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: COMMUNITY-BASED EDUCATION, HEALTH SCREENINGS AND PHYSICAL ACTIVITIES TO PREVENT AND/OR MANAGE CHRONIC DISEASESPRIORITY HEATH NEED #2: CANCER- STRATEGY #1: INCREASE SCREENING AND IMMUNIZATION RATES IN THREE CANCERS WITH EVIDENCE-BASED RECOMMENDATIONS IN TARGET HIGH-RISK SUBPOPULATIONS IN LORAIN COUNTY- STRATEGY #2: DECREASE BARRIERS TO TREATMENT THE IMPLEMENTATION STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA: MENTAL HEALTH AND ADDICTION AS WELL AS ACCESS TO CARE OR PREVENTION AS STAND-ALONE PRIORITIES. ASPECTS OF THESE HEALTH NEEDS ARE ENCOMPASSED IN OTHER EFFORTS BEING ADDRESSED. OTHER LORAIN COUNTY PARTNERS ARE ALSO ADDRESSING PREVENTION AND OTHER NEEDS.
GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 9 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES.
GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 5: UH ST. JOHN MEDICAL CENTER'S 2019 ASSESSMENT CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (SURVEY OF MARKET AREA RESIDENTS, HOSPITAL DISCHARGE DATA) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH RANDOMIZED MAIL SURVEYS OF HOUSEHOLDS IN SERVICE AREA COUNTIES, AS WELL AS, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, AND OTHER RELEVANT ORGANIZATIONS OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: A DESCRIPTION OF THE COMMUNITY SURROUNDING THE UH ST. JOHN MEDICAL CENTER; DEMOGRAPHICS OF UH ST. JOHN MEDICAL CENTER'S PRIMARY AND SECONDARY MARKET AREAS (E.G. AGE, GENDER, AND RACE/ETHNICITY); HOSPITAL PATIENTS SERVED; OVERARCHING THEMES (E.G. TRUST AND STRUCTURAL RACISM); CHRONIC DISEASE (E.G. CARDIOVASCULAR DISEASE, CHILDHOOD ASTHMA, AND DIABETES); HIGH FREQUENCY OF INAPPROPRIATE EMERGENCY DEPARTMENT USE; QUALITY OF LIFE INDICATORS (E.G. POVERTY, HOMICIDE RATES, AND FOOD INSECURITY); CANCER TREATMENT (E.G. INCREASING EARLY DETECTION, REDUCING BARRIERS TO CANCER CARE, AND REDUCING THE HIGH CANCER MORTALITY RATES); REDUCING INCIDENCES OF CARDIOVASCULAR DISEASE (E.G. EARLY DETECTION, INCREASING PATIENTS' UNDERSTANDING OF ITS SEVERITY, AND TEACHING CARDIOVASCULAR DISEASE SELF-TREATMENT); BEHAVIORAL RISK FACTORS (E.G. OBESITY, FLU VACCINATION RATES, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); MENTAL HEALTH AND ADDICTION (E.G. MENTAL HEALTH/SUICIDE, OPIOIDS AND OTHER SUBSTANCE ABUSE, AND VIOLENCE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND LEAD POISONING).
GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH ST. JOHN MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: UH RAINBOW BABIES & CHILDREN'S HOSPITAL, UH CLEVELAND MEDICAL CENTER, UH REGIONAL HOSPITALS (UH BEDFORD MEDICAL CENTER AND UH RICHMOND MEDICAL CENTER), UH AHUJA MEDICAL CENTER, UH PARMA MEDICAL CENTER, AND UH REHABILITATION HOSPITAL, SOUTHWEST GENERAL HEALTH CENTER, ST. VINCENT CHARITY MEDICAL CENTER, AND THE METROHEALTH SYSTEM.
GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: BETTER HEALTH PARTNERSHIP, CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, HEALTH IMPROVEMENT PARTNERSHIP-CUYAHOGA, POLICYBRIDGE, THE CENTER FOR HEALTH AFFAIRS, AND UNITED WAY OF GREATER CLEVELAND.
GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR ST. JOHN MEDICAL CENTER IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: COMMUNITY-BASED EDUCATION, HEALTH SCREENINGS AND PHYSICAL ACTIVITIES TO PREVENT AND/OR MANAGE CHRONIC DISEASESPRIORITY HEALTH NEED #2: ENHANCE TRUST- STRATEGY #1: STRATEGIC PARTNERSHIPS AND COMMUNITY ENGAGEMENT TO BUILD AND/OR MAINTAIN TRUSTTHE HOSPITAL HAS AND WILL CONTINUE TO SUSTAIN SEVERAL EFFORTS WHICH DO ADDRESS EACH OF THE COMMUNITY HEALTH NEEDS IN SOME WAY. THE COMMUNITY HEALTH NEEDS INCLUDE: POVERTY, FOOD INSECURITY, LEAD POISONING, HEART DISEASE, CHILDHOOD ASTHMA, VACCINATION RATES, TOBACCO USE, LACK OF PHYSICAL ACTIVITY, SUICIDE, HOMICIDE/VIOLENCE, AND INFANT MORTALITY. THE IMPLEMENTATION STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA: HIGH BLOOD LEAD LEVELS, CHILDHOOD ASTHMA, INFLUENZA, TOBACCO USE/CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND SUICIDE PREVENTION. THESE HEALTH NEEDS ARE BEING ADDRESSED IN UH CLINICAL SETTINGS.
GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED ECONOMIC INDICATORS SUCH AS POVERTY, UNEMPLOYMENT, STATE BUDGET DEVELOPMENTS, HOUSEHOLD INCOME AND HEALTH STATUS INDICATORS FROM SOURCES SUCH AS COUNTY HEALTH RANKINGS, THE COMMUNITY HEALTH STATUES INDICATORS PROJECT, THE OHIO DEPARTMENT OF HEALTH, THE U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), THE DIGNITY HEALTH COMMUNITY NEEDS INDEX, AND THE U.S. DEPARTMENT OF AGRICULTURE. DATA FROM THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) REGARDING FEDERALLY QUALIFIED HEALTH CENTERS WERE ALSO USED. MEDICALLY UNDERSERVED AREAS AND POPULATIONS, HEALTH PROFESSIONAL SHORTAGE AREAS, AND HOSPITAL UTILIZATION WERE ALSO ASSESSED.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES.
GROUP A-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH PORTAGE MEDICAL CENTER CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. THE MAILING SURVEY WAS SENT TO 1,200 ADULTS IN PORTAGE COUNTY AND THE RESPONSE RATE WAS 27%, WHICH SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. ADOLESCENTS WERE RANDOMLY CHOSEN AFTER APPROVAL BY SUPERINTENDENT AND PARENT APPROVAL. THE RESPONSE RATE FOR ADOLESCENTS WAS 94%. FINALLY, A CHILD SURVEY WAS SENT TO 2,400 PARENTS WITH A RESPONSE RATE OF 7% WHICH SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY AT A 7% MARGIN OF ERROR. COUNTY-LEVEL DATA, NUMEROUS CDC SITES, THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, US CENSUS DATA, AND OTHER NATIONAL AND LOCAL SOURCES WERE ALSO USED IN COLLECTING SECONDARY DATA. COMMUNITY LEADERS FROM THE PORTAGE CITY HEALTH DISTRICT AND RAVENNA CITY HEALTH DISTRICT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: HEALTH CARE ACCESS (E.G. HEALTH CARE COVERAGE, ACCESS AND UTILIZATION, PREVENTIVE MEDICINE, MEN/WOMEN'S HEALTH, AND ORAL HEALTH); HEALTH BEHAVIORS (E.G. HEALTH STATUS PERCEPTIONS, ADULT WEIGH STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, ADULT DRUG USE, ADULT SEXUAL BEHAVIOR, AND ADULT MENTAL HEALTH); CHRONIC DISEASE (E.G. CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, AND QUALITY OF LIFE); SOCIAL CONDITIONS (E.G. SOCIAL DETERMINANTS OF HEALTH AND ENVIRONMENTAL HEALTH); YOUTH HEALTH (E.G. YOUTH WEIGHT STATUES, YOUTH TOBACCO USE, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH SOCIAL DETERMINANTS OF HEALTH, AND YOUTH VIOLENCE); CHILD HEALTH (E.G. HEALTH AND FUNCTIONAL STATUS, HEALTH CARE ACCESS, EARLY CHILDHOOD, MIDDLE CHILDHOOD, FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH).
GROUP A-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 6A: THE FOLLOWING HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT EACH SEPARATE HOSPITAL FACILITY CHNA FOR PORTAGE COUNTY: AKRON CHILDREN'S HOSPITAL AND UH PORTAGE MEDICAL CENTER.
GROUP A-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A CHNA FOR PORTAGE COUNTY: AXESSPOINTE COMMUNITY HEALTH CENTER, CHILDREN'S ADVANTAGE, COLEMAN PROFESSIONAL SERVICES, FAMILY AND CHILDREN FIRST COUNCIL, FAMILY AND COMMUNITY SERVICES, HIRAM COLLEGE, KENT CITY BOARD OF HEALTH, KENT CITY HEALTH DEPARTMENT, KENT STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH & CENTER FOR PUBLIC POLICY AND HEALTH, KENT STATE UNIVERSITY HEALTH SERVICES, KENT STATE UNIVERSITY, CENTER FOR NUTRITION OUTREACH, MENTAL HEALTH & RECOVERY BOARD OF PORTAGE COUNTY, NORTHEAST OHIO MEDICAL UNIVERSITY, OHIOCAN, PARTA, PORTAGE COUNTY BOARD OF HEALTH, PORTAGE COUNTY CHILDREN'S SERVICES , PORTAGE COUNTY COMBINED GENERAL HEALTH DISTRICT, PORTAGE COUNTY COMMISSIONERS, PORTAGE COUNTY JOB & FAMILY SERVICES, PORTAGE COUNTY SAFE COMMUNITIES COALITION, PORTAGE COUNTY SCHOOL DISTRICTS, PORTAGE COUNTY SHERIFF'S DEPARTMENT, PORTAGE COUNTY TOWNSHIP TRUSTEES, PORTAGE COUNTY VETERANS SERVICES, PORTAGE COUNTY WIC, PORTAGE LEARNING CENTERS, PORTAGE PARK DISTRICT, PORTAGE SUBSTANCE ABUSE COMMUNITY COALITION, RAVENNA CITY BOARD OF HEALTH, SEQUOIA WELLNESS, SUICIDE PREVENTION COALITION OF PORTAGE COUNTY, THE PORTAGE FOUNDATION, TOWNHALL II, AND UNITED WAY OF PORTAGE COUNTY.
GROUP A-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH PORTAGE MEDICAL CENTER IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: MENTAL HEALTH AND ADDICTION- STRATEGY #1: YOUTH ALCOHOL/OTHER DRUG PREVENTION AND MENTAL HEALTH PROGRAMS- STRATEGY #2: LINKS TO CESSATION SUPPORTPRIORITY HEALTH NEED #2: CHRONIC DISEASE- STRATEGY #1: FOOD INSECURITY SCREENING AND REFERRAL- STRATEGY #2: PREDIABETES SCREENING AND REFERRAL- STRATEGY #3: HYPERTENSION SCREENING AND FOLLOW UP- STRATEGY #4: COMMUNITY GARDENS PRIORITY HEALTH NEED #3: MATERNAL, INFANT, AND CHILD HEALTH- STRATEGY #1: REPRODUCTIVE HEALTH INTERVENTIONSTHE IMPLEMENTATION STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA: SOCIAL DETERMINANTS OF HEALTH, HEALTHCARE SYSTEMS AND ACCESS, AND HEALTH EQUITY. ANY NEEDS NOT BEING ADDRESSED BY THE UH PORTAGE MEDICAL CENTER ARE BEING ADDRESSED IN UH CLINICAL SETTINGS.
GROUP A-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 11 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES.
GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 5: UH REHABILITATION HOSPITAL'S 2019 ASSESSMENT CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (SURVEY OF MARKET AREA RESIDENTS, HOSPITAL DISCHARGE DATA) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH RANDOMIZED MAIL SURVEYS OF HOUSEHOLDS IN SERVICE AREA COUNTIES, AS WELL AS, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE CUYAHOGA COUNTY BOARD OF HEALTH, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, AND OTHER RELEVANT ORGANIZATIONS OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: A DESCRIPTION OF THE COMMUNITY SURROUNDING THE UH REHABILITATION HOSPITAL; DEMOGRAPHICS OF UH REHABILITATION HOSPITAL'S PRIMARY AND SECONDARY MARKET AREAS (E.G. AGE, GENDER, AND RACE/ETHNICITY); HOSPITAL PATIENTS SERVED; OVERARCHING THEMES (E.G. TRUST AND STRUCTURAL RACISM); CHRONIC DISEASE (E.G. CARDIOVASCULAR DISEASE, CHILDHOOD ASTHMA, AND DIABETES); QUALITY OF LIFE INDICATORS (E.G. POVERTY, HOMICIDE RATES, AND FOOD INSECURITY); CANCER TREATMENT (E.G. INCREASING EARLY DETECTION, REDUCING BARRIERS TO CANCER CARE, AND REDUCING THE HIGH CANCER MORTALITY RATES); REDUCING INCIDENCES OF CARDIOVASCULAR DISEASE (E.G. EARLY DETECTION, INCREASING PATIENTS' UNDERSTANDING OF ITS SEVERITY, AND TEACHING CARDIOVASCULAR DISEASE SELF-TREATMENT); BEHAVIORAL RISK FACTORS (E.G. OBESITY, FLU VACCINATION RATES, PHYSICAL ACTIVITY, AND TOBACCO USE); ENVIRONMENTAL HEALTH INDICATORS (E.G. CHILDHOOD LEAD POISONING, EPA AIR QUALITY STANDARDS, AND FOODBORNE DISEASE); MENTAL HEALTH AND ADDICTION (E.G. MENTAL HEALTH/SUICIDE, OPIOIDS AND OTHER SUBSTANCE ABUSE, AND VIOLENCE); MATERNAL AND CHILD HEALTH (E.G. ADOLESCENT BIRTH RATE, INFANT MORTALITY, AND LEAD POISONING).
GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH REHABILITATION HOSPITAL - BEACHWOOD IN THE 2019 CHNA FOR CUYAHOGA COUNTY: UH CLEVELAND MEDICAL CENTER, UH RAINBOW BABIES & CHILDREN'S HOSPITAL, UH AHUJA MEDICAL CENTER, UH REGIONAL HOSPITALS UH REGIONAL HOSPITALS (UH BEDFORD MEDICAL CENTER AND UH RICHMOND MEDICAL CENTER), UH PARMA MEDICAL CENTER, UH ST. JOHN MEDICAL CENTER, SOUTHWEST GENERAL HEALTH CENTER, ST. VINCENT CHARITY MEDICAL CENTER, AND THE METROHEALTH SYSTEM.
GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: BETTER HEALTH PARTNERSHIP, CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, HEALTH IMPROVEMENT PARTNERSHIP-CUYAHOGA, POLICYBRIDGE, THE CENTER FOR HEALTH AFFAIRS, AND UNITED WAY OF GREATER CLEVELAND.
GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH REHABILITATION HOSPITAL IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEED AND CROSSING-CUTTING FACTOR, ALONG WITH STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS TO PREVENT AND/OR MANAGE CHRONIC DISEASESCROSS-CUTTING FACTOR #1: IMPROVE COMMUNITY CONDITIONS- STRATEGY #1: RAISE AWARENESS ABOUT HOSPITAL UNTILIZATION OPTIONS AND FINANCIAL ASSISTANCE AVAILABLE FOR MEDICAL CARETHE IMPLEMENTATION STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA: HIGH BLOOD LEAD LEVELS, CHILDHOOD ASTHMA, INFLUENZA, TOBACCO USE/CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND SUICIDE PREVENTION. THESE HEALTH NEEDS ARE BEING ADDRESSED IN UH CLINICAL SETTINGS.
GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITAL ASSOCIATION, PREVENTION RESEARCH CENTER FOR HEALTHY NEIGHBORHOODS AT CASE WESTERN RESERVE UNIVERSITY, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES.
GROUP A-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 5: THE UH AVON REHABILITATION HOSPITAL'S CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH BOTH A RANDOMIZED TELEPHONE SURVEY OF HOUSEHOLDS IN LORAIN COUNTY, A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE ELYRIA CITY HEALTH DISTRICT AND THE LORAIN COUNTY GENERAL HEALTH DISTRICT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. SURVEYS WERE MAILED OUT TO 2,400 ADULTS IN LORAIN COUNTY. THE RESPONSE RATE FOR THE GENERAL POPULATION WAS 29%. THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSE IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: HEALTHCARE ACCESS (HEALTHCARE COVERAGE, ACCESS AND UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, AND ORAL HEALTH), HEALTH BEHAVIORS (HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, TOBACCO USE, ALCOHOL CONSUMPTION, DRUG USE, SEXUAL BEHAVIOR, MENTAL HEALTH), CHRONIC DISEASE (HEART HEALTH, CANCER, ASTHMA, ARTHRITIS, DIABETES, AND QUALITY OF LIFE), SOCIAL CONDITIONS (SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL HEALTH, PARENTING, MATERNAL AND INFANT HEALTH), RURAL HEALTH, SUBURBAN HEALTH, URBAN HEALTH, AND YOUTH HEALTH (WEIGHT STATUS, TOBACCO USE, ALCOHOL USE, DRUG USE, MENTAL HEALTH, SAFETY AND VIOLENCE ISSUES, AND PERCEPTIONS).
GROUP A-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR LORAIN COUNTY. UH ELYRIA MEDICAL CENTER, UH AVON REHABILITATION HOSPITAL, CLEVELAND CLINIC AVON HOSPITAL, MERCY HEALTH ALLEN HOSPITAL, MERCY HEALTH LORAIN HOSPITAL, AND SPECIALTY HOSPITAL OF LORAIN ARE INCLUDED IN THE 2019 CHNA FOR LORAIN COUNTY.
GROUP A-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR LORAIN COUNTY: ALCOHOL AND DRUG ADDICTION SERVICES, BOARD OF LORAIN COUNTY, LORAIN COUNTY BOARD OF MENTAL HEALTH, LORAIN COUNTY HEALTH & DENTISTRY, LORAIN COUNTY METRO PARKS, LORAIN COUNTY OFFICE ON AGING, LORAIN COUNTY PUBIC HEALTH, AND UNITED WAY OF GREATER LORAIN COUNTY.
GROUP A-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH AVON REHABILITATION HOSPITAL IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEED AND ASSOCIATED STRATEGIES TO ADDRESS IT:PRIORITY HEALTH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION- STRATEGY #1: COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS TO PREVENT AND/OR MANAGE CHRONIC DISEASESTHE IMPLEMENTATION STRATEGY DOES NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA: MENTAL HEALTH AND ADDICTION AS WELL AS ACCESS TO CARE OR PREVENTION AS STAND-ALONE PRIORITIES. ASPECTS OF THESE HEALTH NEEDS ARE ENCOMPASSED IN OTHER EFFORTS BEING ADDRESSED. OTHER LORAIN COUNTY PARTNERS ARE ALSO ADDRESSING PREVENTION AND OTHER NEEDS.
GROUP A-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 14 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
PART V, SECTION B FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 3: UH GEAUGA MEDICAL CENTER, - FACILITY 12: UH SAMARITAN MEDICAL CENTER
GROUP B-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, UNINSURED, AVERAGE LIFE EXPECTANCY, AND POVERTY INDICATORS FROM SOURCES SUCH AS COUNTY HEALTH ASSESSMENT, CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, OHIO HOSPITALIZATION ASSOCIATION, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE HOSPITAL COUNCIL OF NORTHWEST OHIO WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. THE HOSPITAL COUNCIL OF NORTHWEST OHIO RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION.
GROUP B-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 5: UH GEAUGA MEDICAL CENTER'S 2019 ASSESSMENT TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH A RANDOMIZED MAIL SURVEY OF HOUSEHOLDS IN GEAUGA COUNTY, REGIONAL FORUMS, AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. COMMUNITY LEADERS FROM THE GEAUGA COUNTY HEALTH DISTRICT AND THE LAKE COUNTY HEALTH DISTRICT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENT PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. 1,200 SURVEYS WERE MAILED TO ADULTS IN GEAUGA COUNTY AND HAD A RESPONSE RATE OF 26%. THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSES IN THE ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: HEALTHCARE ACCESS INDICATORS (E.G. COVERAGE, UTILIZATION, WOMEN'S HEALTH EXAMS, MEN'S HEALTH EXAMS, AND ORAL HEALTH EXAMS); HEALTH BEHAVIORS INDICATORS (E.G. ADDICTION, HEALTH STATUS PERCEPTIONS, ADULT TOBACCO, DRUG, AND ALCOHOL USE, SEXUAL BEHAVIOR, AND MENTAL HEALTH); CHRONIC DISEASE (E.G. CARDIOVASCULAR HEALTH, CANCER, ASTHMA, ARTHRITIS, DIABETES); AND SOCIAL CONDITIONS (E.G. SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL HEALTH, AND PARENTING).
GROUP B-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR GEAUGA COUNTY: CASA FOR KIDS OF GEAUGA COUNTY, CATHOLIC CHARITIES COMMUNITY SERVICES, CHAGRIN FALLS PARK COMMUNITY CENTER, DDC CLINIC, FAMILY PLANNING ASSOCIATION OF NORTHEAST OHIO, INC. (A DIVISION OF SIGNATURE HEALTH), FAMILY PRIDE, GEAUGA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES, GEAUGA COUNTY BOARD OF HEALTH, GEAUGA COUNTY BOARD OF MENTAL HEALTH & RECOVERY SERVICES, GEAUGA COUNTY CLERK OF COURTS, GEAUGA COUNTY COMMISSIONERS, GEAUGA COUNTY DEPARTMENT ON AGING, GEAUGA COUNTY EDUCATIONAL SERVICE CENTER: (REPRESENTING ALL GEAUGA COUNTY SCHOOL DISTRICTS), GEAUGA PUBLIC HEALTH, GEAUGA COUNTY HEALTH DISTRICT ADVISORY COUNCIL, GEAUGA COUNTY HUNGER TASK FORCE, GEAUGA COUNTY JOB AND FAMILY SERVICES, GEAUGA COUNTY PUBLIC LIBRARY SYSTEM, GEAUGA COUNTY RESIDENTS, GEAUGA COUNTY SHERIFF, GEAUGA COUNTY TOWNSHIP ASSOCIATION, GEAUGA FAMILY FIRST COUNCIL, GEAUGA PARK DISTRICT, LAKE-GEAUGA HEAD START, LAKE GEAUGA RECOVERY CENTERS, LIFE ACT, MIDDLEFIELD CARE CENTER, NAMI GEAUGA, OHIO DEPARTMENT OF HEALTH, RAVENWOOD MENTAL HEALTH CENTER, STARTING POINT, TORCHLIGHT YOUTH MENTORING ALLIANCE, UNITED WAY SERVICES OF GEAUGA COUNTY, AND WOMENSAFE, INC.
GROUP B-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2020 IMPLEMENTATION STRATEGY FOR UH GEAUGA MEDICAL CENTER IDENTIFIES THE FOLLOWING FIVE PRIORITY HEALTH NEEDS AND TWO CROSSING-CUTTING FACTORS, ALONG WITH STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: MENTAL HEALTH- STRATEGY #1: CAMPAIGN TO INCREASE AWARENESS OF BEHAVIORAL HEALTH WARNING SIGNSPRIORITY HEALTH NEED #2: ADDICTION- STRATEGY #1: MEDICATION ASSISTED TREATMENT (MAT)- STRATEGY #2: SCHOOL-BASED ALCOHOL/OTHER DRUG PREVENTION PROGRAMS- STRATEGY #3: NALOXONE ACCESSPRIORITY HEALTH NEED #3: CHRONIC DISEASE- STRATEGY #1: PREDIABETES SCREENING AND REFERRAL- STRATEGY #2: HYPERTENSION SCREENING AND FOLLOW UP- STRATEGY #3: WELLNESS NAVIGATION- STRATEGY #4: SCREENING EVENTSCROSS-CUTTING FACTOR #1: PUBLIC HEALTH SYSTEM, PREVENTION AND HEALTH BEHAVIORS- STRATEGY #1: EMPLOY STRATEGIES OF INTENTIONAL INCLUSION IN THE COLLECTION OF POPULATION HEALTH DATA TO ASSURE REPRESENTATION OF POPULATIONS WHO EXPERIENCE HEALTH DISPARITIES AND HEALTH INEQUITIESCROSS-CUTTING FACTOR #2: HEALTH SYSTEMS AND ACCESS- STRATEGY #1: AMISH OUTREACH PROGRAMSNEEDS IDENTIFIED IN THE 2019 CHNA BUT NOT BEING ADDRESSED BY THE HOSPITAL INCLUDE: TRAUMA INFORMED CARE, SCHOOL-BASED SOCIAL AND EMOTIONAL INSTRUCTION, DIABETES PREVENTION PROGRAM, MASS-REACH COMMUNICATIONS, EXPANDED ACCESS TO EVIDENCE BASED TOBACCO CESSATION TREATMENTS, AND OUTREACH TO INCREASE UPTAKE FOR EARNED INCOME TAX CREDITS. THESE NEEDS ARE BEING ADDRESSED BY OTHER GEAUGA PARTNERS BASED ON THEIR SPECIFIC EXPERTISE, EXPERIENCES, OR RESOURCES.
GROUP B-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP B-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP B-FACILITY 3 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 3J: IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2019 CHNA EXAMINED ECONOMIC INDICATORS SUCH AS POVERTY, UNEMPLOYMENT, STATE BUDGET DEVELOPMENTS, HOUSEHOLD INCOME AND HEALTH STATUS INDICATORS FROM SOURCES SUCH AS COUNTY HEALTH RANKINGS, THE COMMUNITY HEALTH STATUES INDICATORS PROJECT, THE OHIO DEPARTMENT OF HEALTH, THE U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), THE DIGNITY HEALTH COMMUNITY NEEDS INDEX, AND THE U.S. DEPARTMENT OF AGRICULTURE. DATA FROM THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) REGARDING FEDERALLY QUALIFIED HEALTH CENTERS WERE ALSO USED. MEDICALLY UNDERSERVED AREAS AND POPULATIONS, HEALTH PROFESSIONAL SHORTAGE AREAS, AND HOSPITAL UTILIZATION WERE ALSO ASSESSED.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") AND THE CYPRESS RESEARCH GROUP ("CYPRESS") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2019 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER FOR HEALTH AFFAIRS TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER AND CYPRESS GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. CYPRESS PROVIDES CUSTOM RESEARCH SERVICES TO MEET VARIOUS MARKET AND BUSINESS RESEARCH NEEDS. THEY FOCUS ON QUANTITATIVE ANALYSIS OF PRIMARY AND SECONDARY MARKET AND INDUSTRY DATA, ESPECIALLY IN THE HEALTH CARE, HI-TECH, AND HIGHER EDUCATION INDUSTRIES.
GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 5: THE UH SAMARITAN MEDICAL CENTER CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH A SERIES OF MAIL SURVEYS AND IN-PERSON INTERVIEWS WITH COMMUNITY LEADERS. THE MAILING SURVEY WAS SENT TO 1,200 ADULTS IN ASHLAND COUNTY AND THE RESPONSE RATE WAS 30%, WHICH FORCED THE CONFIDENCE LEVEL TO RISE FROM +/- 5% TO +/-5.25%. ADOLESCENTS WERE RANDOMLY CHOSEN AFTER APPROVAL BY SUPERINTENDENT AND PARENT APPROVAL. THE RESPONSE RATE FOR ADOLESCENTS WAS 93%. COUNTY-LEVEL DATA, NUMEROUS CDC SITES, THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, US CENSUS DATA, AND OTHER NATIONAL AND LOCAL SOURCES WERE ALSO USED IN COLLECTING SECONDARY DATA. COMMUNITY LEADERS FROM THE ASHLAND CITY HEALTH DISTRICT AND THE ASHLAND COUNTY GENERAL HEALTH DISTRICT OFFERED THEIR ANALYSIS BASED ON THEIR WORK AS LOCAL GOVERNMENTAL PUBLIC HEALTH AGENCIES. PARTICIPATING COMMUNITY LEADERS PROVIDED INPUT INTO THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE 2019 REPORT ADDRESSES THE FOLLOWING BROAD TOPICS: HEALTH CARE ACCESS (E.G. HEALTH CARE COVERAGE, ACCESS AND UTILIZATION, PREVENTIVE MEDICINE, MEN/WOMEN'S HEALTH, AND ORAL HEALTH); HEALTH BEHAVIORS (E.G. HEALTH STATUS PERCEPTIONS, ADULT WEIGH STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, ADULT DRUG USE, ADULT SEXUAL BEHAVIOR, AND ADULT MENTAL HEALTH); CHRONIC DISEASE (E.G. CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, AND QUALITY OF LIFE); SOCIAL CONDITIONS (E.G. SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL HEALTH, AND PARENTING); YOUTH HEALTH (E.G. YOUTH WEIGHT STATUES, YOUTH TOBACCO USE, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH SOCIAL DETERMINANTS OF HEALTH, AND YOUTH VIOLENCE).
GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR ASHLAND COUNTY: CITY OF ASHLAND, ASHLAND COUNTY HEALTH DEPARTMENT, ASHLAND COUNTY MENTAL HEALTH & RECOVERY BOARD, ASHLAND CITY SCHOOLS, MAPLETON LOCAL SCHOOLS, ASHLAND COUNTY COMMUNITY ACADEMY, ASHLAND COUNTY FAMILY & CHILDREN FIRST COUNCIL, ASHLAND COUNTY CATHOLIC CHARITIES, ASHLAND COUNTY COUNCIL ON AGING, ASHLAND COUNTY BOARD OF DEVELOPMENTAL DISABILITIES, APPLESEED COMMUNITY MENTAL HEALTH CENTER, ASHLAND COUNTY BOARD OF HEALTH, ASHLAND YMCA, ASHLAND COUNTY CHAMBER OF COMMERCE, ASHLAND PARENTING PLUS, ASHLAND COUNTY EMA, ASHLAND COUNTY JOB & FAMILY SERVICES, AND SAFE HAVEN OF ASHLAND, OHIO.
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
GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 15E: THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP B-FACILITY 12 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 18E: NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
REPORTING GROUP A PART V, SECTION B, LINE 7A:HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTREPORTING GROUP APART V, SECTION B, LINE 10A:HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTREPORTING GROUP APART V, SECTION B, LINE 16A, FAP WEBSITE:HTTPS://WWW.UHHOSPITALS.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-MEDICAL-RECORDS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/REPORTING GROUP APART V, SECTION B, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.UHHOSPITALS.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-MEDICAL-RECORDS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/REPORTING GROUP APART V, SECTION B, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.UHHOSPITALS.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-MEDICAL-RECORDS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/
REPORTING GROUP B PART V, SECTION B, LINE 7A:HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTREPORTING GROUP BPART V, SECTION B, LINE 10A:HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTREPORTING GROUP BPART V, SECTION B, LINE 16A, FAP WEBSITE:HTTPS://WWW.UHHOSPITALS.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-MEDICAL-RECORDS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/REPORTING GROUP BPART V, SECTION B, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.UHHOSPITALS.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-MEDICAL-RECORDS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/REPORTING GROUP BPART V, SECTION B, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.UHHOSPITALS.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-MEDICAL-RECORDS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?53
Name and address Type of Facility (describe)
1 1 - UH MINOFF HEALTH CENTER AT CHAGRIN HIGHLAN
3909 ORANGE PLACE
ORANGE VILLAGE,OH44122
OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC
2 2 - UH WESTLAKE HEALTH CENTER
960 CLAGUE ROAD
WESTLAKE,OH44145
OUTPATIENT HEALTH CENTER & SURGICAL CENTER & RAINBOW
3 3 - UH TWINSBURG HEALTH CENTER
8819 COMMONS BLVD SUITE 100
TWINSBURG,OH44087
OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC
4 4 - UH SHARON HEALTH CENTER
5133 RIDGE RD
WADSWORTH,OH44281
OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC
5 5 - UH MENTOR HOPKINS HEALTH CENTER
9000 MENTOR AVENUE
MENTOR,OH44060
OUTPATIENT HEALTH CENTER & SURGICAL CENTER & RAINBOW
6 6 - UH CONCORD HEALTH CENTER
7500 AUBURN ROAD
PAINSVILLECONCORD J,OH44077
OUTPATIENT HEALTH CENTER & URGENT CARE
7 7 - UH LYNDHURST SURGERY CENTER
29017 CEDAR ROAD
LYNDHURST,OH44124
SURGICAL CENTER
8 8 - UH MEDINA HEALTH CENTER
4001 CARRICK DR
MEDINA,OH44256
OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC
9 9 - UH LANDERBROOK HEALTH CENTER
5850 LANDERBROOK DRIVE
MAYFIELD HEIGHTS,OH44124
OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC
10 10 - UH EUCLID HEALTH CENTER
18599 LAKE SHORE BLVD
EUCLID,OH44119
OUTPATIENT HEALTH CENTER
11 11 - UH MAYFIELD VILLAGE HEALTH CENTER
730 SOM CENTER ROAD SUITE 110
MAYFIELD VILLAGE,OH44143
OUTPATIENT HEALTH CENTER
12 12 - UH UNIVERSITY SUBURBAN HEALTH CENTER
1611 SOUTH GREEN ROAD
SOUTH EUCLID,OH44121
OUTPATIENT HEALTH CENTER, RAINBOW SPECIALTY CLINIC, & SURGERY CENTER
13 13 - UH HUDSON HEALTH CENTER
5778 DARROW ROAD
HUDSON,OH44236
OUTPATIENT HEALTH CENTER
14 14 - UH MADISON HEALTH CENTER
701 NORTH LAKE STREET
MADISON,OH44057
OUTPATIENT HEALTH CENTER
15 15 - UH OTIS MOSS JR HEALTH CENTER
8819 QUINCY AVENUE
CLEVELAND,OH44106
OUTPATIENT HEALTH CENTER
16 16 - UH SOLON HEALTH CENTER
34055 SOLON ROAD
SOLON,OH44139
OUTPATIENT HEALTH CENTER
17 17 - UH AURORA HEALTH CENTER
55 NORTH CHILLICOTHE ROAD
AURORA,OH44202
OUTPATIENT HEALTH CENTER
18 18 - UH WELLPOINTE HEALTH CENTER
303 E ROYALTON RD
BROADVIEW HTS,OH44147
DIAGNOSTIC AND THERAPY CENTER
19 19 - UH AVON HEALTH CENTER
1997 HEALTHWAY ROAD
AVON,OH44011
LAB, IMAGING, REHABILITATION, & FITNESS CENTER SERVICES
20 20 - UH AMHERST HEALTH CENTER
254 CLEVELAND ROAD
AMHERST,OH44001
LAB, 24 HOUR ER, & IMAGING
21 21 - UH BAINBRIDGE HEALTH CENTER
8185 E WASHINGTON ST
CHAGRIN FALLS,OH44023
OUTPATIENT HEALTH CENTER
22 22 - UH CHESTERLAND HEALTH CENTER
8055 MAYFIELD RD
CHESTERLAND,OH44026
OUTPATIENT HEALTH CENTER
23 23 - UH FAIRLAWN HEALTH CENTER
3800 EMBASSY PKWY
FAIRLAWN,OH44333
OUTPATIENT HEALTH CENTER
24 24 - UH GEAUGA HEALTH CENTER
13221 RAVENNA RD
CHARDON,OH44024
OUTPATIENT HEALTH CENTER
25 25 - UH INDEPENDENCE HEALTH CENTER
6150 OAK TREE BLVD
INDEPENDENCE,OH44131
OUTPATIENT HEALTH CENTER
26 26 - UH WESTSHORE PRIMARY CARE
2535 HALE STREET SUITE A
AVON,OH44011
OUTPATIENT HEALTH CENTER
27 27 - UH KENT HEALTH CENTER
401 408 AND 411 DEVON PLACE
KENT,OH44240
OUTPATIENT HEALTH CENTER & LAB
28 28 - UH MANTUA HEALTH CENTER
10803 MAIN ST
MANTUA,OH44255
OUTPATIENT HEALTH CENTER
29 29 - UH SHEFFIELD HEALTH CENTER
5001 TRANSPORTATION DRIVE
SHEFFIELD LAKE,OH44054
OUTPATIENT HEALTH CENTER
30 30 - UH STREETSBORO HEALTH CENTER
9318 STATE ROUTE 14
STREETSBORO,OH44241
OUTPATIENT HEALTH CENTER
31 31 - UH WALDEN HEALTH CENTER
700 WALDEN PL
AURORA,OH44202
OUTPATIENT HEALTH CENTER
32 32 - UH BROADVIEW HEIGHTS HEALTH CENTER
5901 E ROYALTON ROAD
BROADWAY HEIGHTS,OH44147
OUTPATIENT HEALTH CENTER
33 33 - UH CUYAHOGA FALLS HEALTH CENTER
96 GRAHAM ROAD SUITE A
CUYAHOGA FALLS,OH44223
LABORATORY SERVICES
34 34 - UH ASHTABULA HEALTH CENTER
3315 N RIDGE ROAD
ASHTABULA,OH44004
URGENT CARE & RADIOLOGY
35 35 - UH AKRON URGENT CARE
145 WEST AVENUE
TALLMADGE,OH44278
URGENT CARE
36 36 - SOUTHWEST GENERAL STRONGSVILLE MED CTR
18181 PEARL ROAD SUITE 3104
STRONGSVILLE,OH44136
URGENT CARE
37 37 - UH EVANS MIDDLEFIELD HEALTH CENTER
15976 E HIGH STREET
MIDDLEFIELD,OH44062
RADIOLOGY
38 38 - UH ANDOVER HEALTH CENTER
476 S MAIN STREET
ANDOVER,OH44003
OUTPATIENT HEALTH CENTER
39 39 - UH BROOK PARK (PARTNER WITH SOUTHWEST)
15900 SNOW ROAD SUITE 200
BROOK PARK,OH44142
URGENT CARE & RADIOLOGY
40 40 - UH NORTH OLMSTED HEALTH CENTER
26127 LORAIN ROAD SUITE 100
NORTH OLMSTED,OH44070
OUTPATIENT HEALTH CENTER & URGENT CARE
41 41 - UH NORTH RIDGEVILLE HEALTH CENTER
32800 LORAIN ROAD
NORTH RIDGEVILLE,OH44039
OUTPATIENT HEALTH CENTER
42 42 - SOUTHWEST GENERAL BRUNSWICK MEDICAL CENT
4065 CENTER ROAD
BRUNSWICK,OH44212
OUTPATIENT HEALTH CENTER & EMERGENCY ROOM
43 43 - SOUTHWEST GENERAL HEALTH CENTER
18697 BAGLEY ROAD
MIDDLEBURG HEIGHTS,OH44130
OUTPATIENT HEALTH CENTER & EMERGENCY ROOM
44 44 - UH BANEY ROAD HEALTH CENTER
1941 BANEY ROAD
ASHLAND,OH44805
OUTPATIENT HEALTH CENTER
45 45 - UH KETTERING HEALTH CENTER
546 NORTH UNION STREET
LOUDONVILLE,OH44842
URGENT CARE
46 46 - UH NEW LONDON URGENT CARE
206 WEST MAIN STREET
LONDON,OH44851
URGENT CARE
47 47 - UH RAINBOW AHUJA CENTER FOR WOMEN & CHILDR
5805 EUCLID AVENUE
CLEVELAND,OH44103
RAINBOW SPECIALTY CLINIC
48 48 - UH SAMARITAN HEALTH CENTER
2212 MIFFLIN AVENUE
ASHLAND,OH44805
OUTPATIENT HEALTH CENTER
49 49 - UH SAMARITAN RICHLAND URGENT CARE
1033 ASHLAND ROAD
MANSFIELD,OH44905
URGENT CARE
50 50 - UH SAMARITAN URGENT CARE
663 EAST MAIN STREET
ASHLAND,OH44805
URGENT CARE
51 51 - UH ST JOHN HEALTH CENTER
26908 DETROIT ROAD
WESTLAKE,OH44145
OUTPATIENT HEALTH CENTER
52 52 - UH TRI CITY ELYRIA CONVENIENT CARE
1120 EAST BROAD STREET SUITE 200
ELYRIA,OH44035
CONVENIENT CARE
53 53 - UH TRI CITY AVON CONVENIENT CARE
1480 CENTER ROAD SUITE B
AVON,OH44011
CONVENIENT CARE
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C: PLEASE REFER TO SCHEDULE H, PART V, LINE 13 A-H.
PART I, LINE 6A: THE PARENT ORGANIZATION, UNIVERSITY HOSPITALS (34-0714775), PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT ENCOMPASSES ALL OF THE UNIVERSITY HOSPITALS HEALTH SYSTEM INCLUDING THE SUBORDINATE ORGANIZATIONS COMPLETING SCHEDULE H.
PART I, LINE 7: AMOUNTS CALCULATED AND REPORTED IN THIS TABLE WERE DERIVED FROM THE MOST ACCURATE, AVAILABLE SOURCES. A COST-TO-CHARGE RATIO WAS USED TO DETERMINE FINANCIAL ASSISTANCE COST USING HOSPITAL FINANCIAL STATEMENTS. MEDICAID SHORTFALL FOR GROUP SUBORDINATES WAS CALCULATED; 1) BASED ON THE TAX YEAR'S MEDICAID COST REPORT ADJUSTED TO REFLECT FULL COSTS TO DIRECT OFFSETTING REVENUE FROM THE MEDICAID COST REPORT, OR 2) BASED ON A COST-TO-CHARGE RATIO AND MEDICAID REVENUES DERIVED USING FINANCIAL STATEMENTS. INCLUDED IN THIS MEDICAID SHORTFALL IS THE OHIO STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP) SHORTFALL. COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BENEFIT OPERATIONS COSTS HAVE BEEN REPORTED BASED ON ACTUAL DIRECT COSTS USING ACTUAL OR AVERAGE EMPLOYEE COMPENSATION RATES AND ADDING INDIRECT COSTS WHICH ARE CALCULATED BY A COST ACCOUNTING SYSTEM AS A PERCENTAGE OF TOTAL COST. THE MEDICARE COST REPORT, ADJUSTED TO REFLECT FULL COSTS, WAS USED TO DETERMINE GROSS COMMUNITY BENEFIT EXPENSE AMOUNTS FOR HEALTH PROFESSIONS EDUCATION. DIRECT OFFSETTING REVENUES ARE INCLUDED FROM MEDICARE, CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION, AND MEDICAID FOR DIRECT MEDICAL EDUCATION. RESEARCH AMOUNTS WERE ALSO BASED ON THE MEDICARE COST REPORT, ADJUSTED TO REFLECT FULL COSTS, USING COSTS ASSIGNED TO RESEARCH COST CENTERS, LESS INDUSTRY-SPONSORED RESEARCH DIRECT AND INDIRECT COSTS. THE EXPENSE OF RESTRICTED CASH CONTRIBUTIONS IS REPORTED BASED ON THE ACTUAL VALUE OF THE CONTRIBUTION BEFORE INDIRECT COST. RESTRICTED IN-KIND CONTRIBUTIONS ARE REPORTED AT FAIR MARKET VALUE. IN CALCULATING GROSS AND NET COMMUNITY BENEFIT EXPENSES, CARE WAS TAKEN TO AVOID DOUBLE-COUNTING COMMUNITY BENEFIT EXPENSES. THE SYSTEM'S NET COMMUNITY BENEFIT CONTRIBUTION FOR FISCAL YEAR 2021 TOTALED $500 MILLION AS COMPARED TO THE 2020 COMMUNITY BENEFIT TOTAL OF $483 MILLION. THE 2021 COMMUNITY BENEFIT NUMBER CONSISTED OF CHARITY CARE ($50 MILLION), MEDICAID SHORTFALL ($290 MILLION), RESEARCH ($66 MILLION), EDUCATION AND TRAINING ($104 MILLION), AND COMMUNITY HEALTH IMPROVEMENT SERVICES, PROGRAMS AND SUPPORT ($22 MILLION), LESS HOSPITAL CARE ASSURANCE PROGRAM ("HCAP") ($32 MILLION). TO MEASURE AND REPORT COMMUNITY BENEFIT, THE SYSTEM HAS FOLLOWED INTERNAL REVENUE SERVICE GUIDELINES. AS SUCH, THE INFORMATION FOR 2021 REPRESENTS THE REVISED REQUIREMENT TO OFFSET VARIOUS COMMUNITY BENEFIT PROGRAMS WITH RELATED REVENUE RECEIVED. FOR 2021, THIS REVENUE OFFSET WAS $32 MILLION. THE 2020 INFORMATION PROVIDED ABOVE ($483 MILLION) INCLUDED A REVENUE OFFSET OF $27 MILLION.
PART I, LINE 7G: LINE 7G INCLUDES THE COSTS AND DIRECT OFFSETTING REVENUE ASSOCIATED WITH CERTAIN HOSPITAL SERVICES THAT QUALIFY TO BE REPORTED AS A SUBSIDIZED HEALTH SERVICE. THE TOTAL AMOUNT OF GROSS COMMUNITY BENEFIT EXPENSE INCLUDED IN LINE 7G FOR THESE CLINICS IS: $34,877,639. THE TOTAL AMOUNT OF ASSOCIATED DIRECT OFFSETTING REVENUE IS $21,606,557. THE TOTAL AMOUNT OF NET COMMUNITY BENEFIT EXPENSE INCLUDED IN LINE 7G IS $13,271,082.
PART II, COMMUNITY BUILDING ACTIVITIES: COMMITMENT TO THE COMMUNITY REMAINS AT THE CORE OF THE SYSTEM'S MISSION: TO HEAL. TO TEACH. TO DISCOVER. THE SYSTEM SUPPORTS NUMEROUS COMMUNITY BUILDING ACTIVITIES THROUGH ALL SYSTEM ENTITIES AND NOT JUST THOSE REPORTED WITHIN THE UH GROUP 990. MANY OF OUR COMMUNITY BUILDING ACTIVITIES ARE DIFFICULT TO QUANTIFY OR REPORT WITHIN THE SPECIFIC CATEGORIES PROVIDED IN SCHEDULE H, AS THEY OCCUR SYSTEM-WIDE AND NOT AT SPECIFIC ENTITY LEVELS.THE SYSTEM IS PROUD TO CONTRIBUTE TO THE ECONOMIC GROWTH OF THE COMMUNITIES WE SERVE. THE UH HEALTH SYSTEM PROVIDES EMPLOYMENT DIRECTLY FOR 42,009 (6,056 REPORTED ON THE PARENT ORGANIZATION'S FORM 990, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (34-0714775)) EMPLOYEES AND PHYSICIANS. UH PROVIDED MANY MORE COMMUNITY BUILDING ACTIVITIES, DIRECTLY AND INDIRECTLY, THROUGH NEW OR EXPANDED BUSINESS OPPORTUNITIES AND THROUGH IMPORTANT CAPITAL INVESTMENTS IN OUR FACILITIES. UH HAS COMMITTED - AND CONTINUES TO COMMIT - MILLIONS OF DOLLARS TO FACILITIES AND OPERATIONS WITHIN THE CITY OF CLEVELAND AND THROUGHOUT OUR REGION, PROVIDING CONSTRUCTION AND HOSPITAL-BASED JOBS. NEW STATE-OF-THE-ART OUTPATIENT HEALTH CENTERS IN THE REGION HAVE SPURRED ECONOMIC GROWTH WHILE GIVING PEOPLE ACCESS TO THE CARE THEY NEED CLOSE TO HOME AND EXPANDING OUR COMMUNITY BENEFIT PROGRAMS. THE SYSTEM'S SUPPLY CHAIN MANAGEMENT STRATEGY ENCOMPASSES SUPPLIER DIVERSITY TO INCLUDE MINORITY AND WOMEN-OWNED BUSINESS ENTERPRISES PROVIDING THEM OPPORTUNITIES TO BE OUR PARTNERS AND SUPPLIERS OF GOODS AND SERVICES THROUGHOUT THE SYSTEM.THE SYSTEM SEEKS TO INCORPORATE ENVIRONMENTAL RESPONSIBILITY AND IS WORKING TOWARDS REDUCING ITS ENVIRONMENTAL FOOTPRINT THROUGHOUT THE COMMUNITIES IT SERVES. WITH REGARD TO UH BUILDINGS AND MAJOR RENOVATIONS, UH ENDEVORS TO INCORPORATE DESIGN AND CONSTRUCTION STRATEGIES OF THIRD-PARTY BEST-PRACTICE GUIDES SUCH AS THE U.S. GREEN BUILDING COUNCIL'S LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED) CERTIFICATION SYSTEM, THE EPA'S ENERGY STAR PERFORMANCE RATING, AND HEALTHCARE WITHOUT HARM'S GREEN GUIDE FOR HEALTHCARE. RECENT CONSTRUCTION PROJECTS HAVE INCORPORATED SUSTAINABLE DESIGN STRATEGIES.
PART III, LINE 2: THE COST OF BAD DEBT IS CALCULATED USING A COST TO CHARGE RATIO.ALLOWANCES ARE MADE FOR ESTIMATED DOUBTFUL ACCOUNTS BASED ON HISTORICAL EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS.
PART III, LINE 3: THERE IS NO ESTIMATED AMOUNT (ZERO) OF BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER THE FINANCIAL ASSISTANCE POLICY. FOR PATIENTS WHO QUALIFY, THOSE PATIENTS ARE DEEMED TO BE UNABLE TO PAY AND ARE THEREFORE WRITTEN OFF TO CHARITY RATHER THAN BAD DEBT.
PART III, LINE 8: UH HOSPITALS PROVIDE SERVICES TO MANY LOW-INCOME MEDICARE RECIPIENTS. THE MEDICARE LOSSES SUSTAINED AT THESE HOSPITALS ARE A RESULT OF MEDICARE REIMBURSING AT LESS THAN OPERATING COSTS. IRS REV. RUL. 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR HOSPITALS, PROVIDES THAT IF A HOSPITAL SERVES PATIENTS COVERED BY GOVERNMENTAL HEALTH BENEFITS (INCLUDING MEDICARE), THEN THIS INDICATES THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. IN TURN, TREATING MEDICARE PATIENTS IS CONSIDERED A COMMUNITY BENEFIT. COSTS WERE DERIVED USING THE MEDICARE COST REPORT.
PART III, LINE 9B: PATIENT LIABILITIES FOR SERVICES RENDERED BY UH HOSPITAL FACILITIES SHALL BE COLLECTED FROM ALL PATIENTS. AMOUNTS OWED BY PATIENTS QUALIFYING FOR CHARITY CARE UNDER THE UH HOSPITALS FACILITIES' CHARITY/FINANCIAL ASSISTANCE POLICY SHALL NOT BE BILLED TO PATIENTS AT AMOUNTS THAT ARE MORE THAN THE AMOUNTS GENERALLY BILLED TO MEDICARE PATIENTS.IF A PATIENT QUALIFIES FOR A 100% FINANCIAL ASSISTANCE DISCOUNT, COLLECTION OF THE ACCOUNT IS NOT PURSUED. IF A PATIENT RECEIVES A PARTIAL DISCOUNT DUE TO MEDICAL INDIGENCY UNDER THE FINANCIAL ASSISTANCE POLICY, ANY REMAINING BALANCE NOT DISCOUNTED IS TREATED IN ACCORDANCE WITH THE UH HOSPITALS COLLECTION POLICY.
PART VI, LINE 2: UH ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITIES AS PART OF THE REGULAR STRATEGIC PLANNING PROCESS WHICH INCLUDES ASSESSMENTS OF ENVIRONMENTAL, DEMOGRAPHIC, AND ECONOMIC FACTORS. THE SYSTEM ALSO USES UH PATIENT SURVEYS REGARDING HEALTH CARE UTILIZATION AND WORKS ACTIVELY WITH VARIOUS PARTNERS THROUGHOUT THE COMMUNITIES WE SERVE. UH HAS WORKED WITH COMMUNITY ORGANIZATIONS IN ITS MEDICAL CENTERS' SERVICE AREAS (I.E. NEIGHBORHOOD CONNECTIONS, LOCAL DEPARTMENTS OF PUBLIC HEALTH, LOCAL DISEASE FOUNDATIONS, ETC.). THE SYSTEM WORKS CLOSELY WITH LOCAL GOVERNMENTS AND ELECTED OFFICIALS TO UNDERSTAND THEIR COMMUNITIES' NEEDS AND WORK TO IMPLEMENT PROGRAMS AND ACTIVITIES TO ASSIST IN RESPONDING TO THOSE NEEDS. THE MEMBERS OF VARIOUS UH BOARDS ARE ACTIVE MEMBERS WITHIN THE COMMUNITIES SERVED AND PROVIDE AN UNDERSTANDING OF AND COLLABORATIVE FEEDBACK RELATED TO THE NEEDS OF THE COMMUNITIES.THE SYSTEM IS PROUD TO CONTRIBUTE TO THE HEALTH OF ITS CITIZENS AND TO BE A POSITIVE ECONOMIC FORCE IN ITS REGION. FOR MORE DETAILED INFORMATION ON THE SYSTEM'S COMMUNITY BENEFIT OR TO VIEW THE 2021 COMMUNITY BENEFIT REPORT, PLEASE VISIT THE SYSTEM'S WEBSITE AT WWW.UHHOSPITALS.ORG.
PART VI, LINE 3: UH INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT OPTIONS FOR RESOLUTION OF THEIR BALANCES, INCLUDING ASSISTANCE UNDER GOVERNMENT PROGRAMS AND UNDER THE UH FINANCIAL ASSISTANCE PROGRAM ("ASSISTANCE PROGRAM") IN A VARIETY OF WAYS. SIGNAGE FOR THE STATE OF OHIO HEALTH CARE ASSURANCE PROGRAM (HCAP) AND THE UH PATIENT FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND IN LOCATIONS WHERE PATIENTS REGISTER FOR CARE, PATIENT ACCESS AREAS, AND VARIOUS POINTS OF ENTRY SUCH AS UH EMERGENCY DEPARTMENTS. SUPPLEMENTAL BROCHURES THAT REFLECT THE UH PATIENT FINANCIAL ASSISTANCE PROGRAM AND THE HCAP PROGRAM ARE ALSO AVAILABLE. INFORMATION ABOUT THE ASSISTANCE PROGRAM CAN ALSO BE FOUND ON THE UH WEBSITE IN ADDITION TO BEING PROVIDED ON THE BACKS OF PATIENT STATEMENTS, INCLUDING A TOLL FREE PHONE NUMBER TO CALL FOR ASSISTANCE FROM A UH FINANCIAL COUNSELOR.
PART VI, LINE 4: UH CLEVELAND MEDICAL CENTERUH RAINBOW BABIES & CHILDREN'S HOSPITALUH AHUJA MEDICAL CENTERUH REGIONAL HOSPITALSUH PARMA MEDICAL CENTERUH ST. JOHN MEDICAL CENTERUH BEACHWOOD REHABILITATION HOSPITALTHE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS CUYAHOGA COUNTY. AS OF THE 2017 CENSUS, THE TOTAL POPULATION FOR CUYAHOGA COUNTY IS 1,248,514. 59.0% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 29.1% AFRICAN AMERICAN, 5.9% HISPANIC OR LATINO, AND 6.0% AS MORE THAN ONE RACE OR OTHER. CUYAHOGA COUNTY ALSO ENCOMPASSES THE CITY OF CLEVELAND. THE TOTAL POPULATION FOR THE CITY OF CLEVELAND AS OF 2017 IS 385,552. 32.9% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 48.3% AFRICAN AMERICAN, 12.4% HISPANIC OR LATINO, AND 6.4% AS MORE THAN ONE RACE OR OTHER. CUYAHOGA COUNTY'S POPULATION IS GROWING OLDER, ON AVERAGE. THE 2016 POPULATION ESTIMATES INDICATE MINOR DIFFERENCES BETWEEN CUYAHOGA COUNTY OVERALL AND THE CITY OF CLEVELAND WITH RESPECT TO AGE GROUPS AND GENDER. ALTHOUGH SMALL, THE MOST NOTABLE DIFFERENCES INCLUDE A GREATER PERCENTAGE OF PERSONS UNDER THE AGE OF 18 AND PERSONS 18 TO 34 YEARS OF AGE LIVING IN THE CITY OF CLEVELAND COMPARED TO CUYAHOGA COUNTY AS A WHOLE. CONVERSELY, A GREATER PERCENTAGE OF INDIVIDUALS AGED 65 AND OVER ARE LIVING IN CUYAHOGA COUNTY OVERALL COMPARED TO THE CITY OF CLEVELAND. THE AVERAGE LIFE EXPECTANCY IN CUYAHOGA COUNTY IS 76.4 YEARS OLD COMPARED TO 72.2 YEARS OLD IN THE CITY OF CLEVELAND. 94.6% OF THE POPULATION IN CUYAHOGA COUNTY HAS A HIGH SCHOOL DIPLOMA OR EQUIVALENT, AND 89.9% IN THE STATE OF OHIO. AS OF 2017, 18.0% OF THE POPULATION OF THE COUNTY IS BELOW THE POVERTY LINE COMPARED TO 33.1% IN THE CITY OF CLEVELAND. BOTH OF WHICH ARE HIGHER THAN THE 14.0% AVERAGE IN OHIO.UH GEAUGA MEDICAL CENTER THE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS GEAUGA COUNTY. THE TOTAL POPULATION FOR GEAUGA COUNTY AS OF THE 2017 CENSUS IS 93,895. 96.7% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 1.4% AS HISPANIC OR LATINO, 1.2% AFRICAN AMERICAN, AND 3.0% AS MORE THAN ONE RACE OR OTHER. THE MEDIAN AGE IS 44.4 YEARS OLD. THE AVERAGE HOUSEHOLD SIZE IS 2.65 PEOPLE AND THE AVERAGE FAMILY SIZE IS 3.09 PEOPLE. THE MEDIAN HOME VALUE FOR THE COUNTY IS $228,000. 90.3% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA OR EQUIVALENT OR HIGHER EDUCATION LEVEL, OF THAT 38.0% HAS A BACHELOR'S DEGREE OR HIGHER LEVEL OF EDUCATION. THE PER CAPITA PERSONAL INCOME FOR THE COUNTY IS $39,513. 6.5% OF INDIVIDUALS AND 4.3% OF FAMILIES IS BELOW THE POVERTY LINE COMPARED TO THE AVERAGE 14.0% IN OHIO.UH GENEVA MEDICAL CENTERUH CONNEAUT MEDICAL CENTERTHE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS ASHTABULA COUNTY. THE TOTAL POPULATION FOR ASHTABULA COUNTY AS OF THE 2017 CENSUS IS 98,622. 92.9% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 4.0% AS HISPANIC OR LATINO, 3.7% AFRICAN AMERICAN, 0.5% ASIAN, AND 2.9% AS MORE THAN ONE RACE OR OTHER. THE MEDIAN AGE IS 42.5 YEARS OLD. THE AVERAGE HOUSEHOLD SIZE IS 2.48 PEOPLE AND THE AVERAGE FAMILY SIZE IS 3.05 PEOPLE. THE MEDIAN HOME VALUE FOR THE COUNTY IS $106,300. 85.7% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA OR EQUIVALENT OR HIGHER EDUCATION LEVEL, OF THAT 13.4% HAS A BACHELOR'S DEGREE OR HIGHER LEVEL OF EDUCATION. THE PER CAPITA PERSONAL INCOME FOR THE COUNTY IS $23,297. 19.8% OF INDIVIDUALS AND 14.2% OF FAMILIES IS BELOW THE POVERTY LINE COMPARED TO THE AVERAGE 14.0% IN OHIO.UH ELYRIA MEDICAL CENTERTHE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS LORAIN COUNTY. THE TOTAL POPULATION FOR LORAIN COUNTY AS OF THE 2017 CENSUS IS 307,924. 78.1% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 10.0% AS HISPANIC OR LATINO, 7.6% AFRICAN AMERICAN, 1.1% ASIAN, AND 3.2% AS MORE THAN ONE RACE OR OTHER. THE MEDIAN AGE IS 42.2 YEARS OLD. THE AVERAGE HOUSEHOLD SIZE IS 2.47 PEOPLE AND THE AVERAGE FAMILY SIZE IS 3.03 PEOPLE. THE MEDIAN HOME VALUE FOR THE COUNTY IS $143,600. 89.3% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA OR EQUIVALENT OR HIGHER EDUCATION LEVEL, OF THAT 23.6% HAS A BACHELOR'S DEGREE OR HIGHER LEVEL OF EDUCATION. THE PER CAPITA PERSONAL INCOME FOR THE COUNTY IS $28,525. 13.9% OF INDIVIDUALS AND 10.4% OF FAMILIES IS BELOW THE POVERTY LINE COMPARED TO THE AVERAGE 14.0% IN OHIO.UH PORTAGE MEDICAL CENTERUH PORTAGE MEDICAL CENTER IS LOCATED IN THE CITY OF RAVENNA IN PORTAGE COUNTY, OHIO. PORTAGE COUNTY IS LOCATED DIRECTLY EAST OF SUMMIT COUNTY (AKRON METRO AREA) AND SOUTHEAST OF CUYAHOGA COUNTY (CLEVELAND METRO AREA). THE HOSPITAL'S MARKET AREA INCLUDES 15 MUNICIPALITIES (EIGHT IN ITS PRIMARY MARKET AREA AND SEVEN IN ITS SECONDARY MARKET AREA). IT IS ALMOST COMPLETELY CONTAINED WITHIN PORTAGE COUNTY, OHIO. ACCORDING TO THE 2017 CENSUS, THE POPULATION IS 162,080. 91.0% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 4.1% IDENTIFY AS AFRICAN AMERICAN, 1.9% IDENTIFY AS ASIAN, 1.7% IDENTIFY AS HISPANIC OR LATINO, AND 3.0% IDENTIFY AS TWO OR MORE RACES OR OTHER. THE MEDIAN AGE IN PORTAGE COUNTY IS 37.8 YEARS OLD. THE AVERAGE HOUSEHOLD SIZE IS 2.49 PEOPLE AND THE AVERAGE FAMILY SIZE IS 3.06 PEOPLE. THE MEDIAN HOME VALUE FOR THE COUNTY IS $152,000. 91.9% OF THE POPULATION HAS A HIGH DIPLOMA OR EQUIVALENT OR HIGHER EDUCATION LEVEL, AND OF THAT 27.4% HAS A BACHELOR'S DEGREE OR HIGHER. THE PER CAPITA PERSONAL INCOME IS $27,985. 14.5% OF INDIVIDUALS AND 9.3% OF FAMILIES IS BELOW THE POVERTY LINE COMPARED TO THE AVERAGE 14.0% IN OHIO. UH SAMARITAN MEDICAL CENTERUH SAMARITAN MEDICAL CENTER IS LOCATED IN ASHLAND, OHIO, WITHIN ASHLAND COUNTY, A RURAL COUNTY LOCATED SOUTHWEST OF CUYAHOGA COUNTY (CLEVELAND METRO AREA) AND NORTHEAST OF FRANKLIN COUNTY (COLUMBUS METRO AREA). ASHLAND COUNTY IS COMPRISED OF CITIES, VILLAGES AND TOWNSHIPS. ITS COUNTY SEAT IS THE CITY OF ASHLAND, WHERE THE HOSPITAL IS LOCATED. ACCORDING TO THE 2017 CENSUS, THE POPULATION IS 53,299. 98.2% OF THE POPULATION IDENTIFIES AS WHITE, 1.3% IDENTIFIES AS AFRICAN AMERICAN, 1.3% IDENTIFIES AS HISPANIC OR LATINO, 0.8% IDENTIFIES AS ASIAN, AND 2.2% IDENTIFIES AS TWO OR MORE OR OTHER. THE MEDIAN AGE IN ASHLAND COUNTY IS 40.4 YEARS OLD. THE AVERAGE HOUSEHOLD SIZE IS 2.49 PEOPLE AND THE AVERAGE FAMILY SIZE IS 3.00 PEOPLE. THE MEDIAN HOME VALUE IN THE COUNTY IS $122,000. 88.4% % OF THE POPULATION HAS A HIGH DIPLOMA OR EQUIVALENT OR HIGHER EDUCATION LEVEL, AND OF THAT 20.2% HAS A BACHELOR'S DEGREE OR HIGHER. THE PER CAPITA PERSONAL INCOME IS $72,510. 14.2% OF INDIVIDUALS AND 9.4% OF FAMILIES IS BELOW THE POVERTY LINE COMPARED TO THE AVERAGE 14.0% IN OHIO. UH REHABILITATION HOSPITAL -- AVONUH AVON REHABILITATION HOSPITAL IS LOCATED IN THE CITY OF AVON IN LORAIN COUNTY, OHIO. UH AVON REHABILITATION HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS ARE ALMOST EXCLUSIVELY CONTAINED WITHIN CUYAHOGA AND LORAIN COUNTIES. THE PRIMARY SERVICE AREA FOR UH AVON REHABILITATION HOSPITAL INCLUDES AVON AND THE SEVEN COMMUNITIES IMMEDIATELY SURROUNDING IT (ELYRIA, NORTH RIDGEVILLE, WESTLAKE, AVON LAKE, NORTH OLMSTED, SHEFFIELD LAKE/VILLAGE AND BAY VILLAGE). 61% OF UH AVON'S DISCHARGES ARE RESIDENTS OF LORAIN COUNTY. THE PRIMARY SERVICE AREA FOR UH AVON REHABILITATION HOSPITAL IS LORAIN COUNTY. THE TOTAL POPULATION FOR LORAIN COUNTY AS OF THE 2017 CENSUS IS 307,924. 78.1% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 10.0% AS HISPANIC OR LATINO, 7.6% AFRICAN AMERICAN, 1.1% ASIAN, AND 3.2% AS MORE THAN ONE RACE OR OTHER. THE MEDIAN AGE IS 42.2 YEARS OLD. THE AVERAGE HOUSEHOLD SIZE IS 2.47 PEOPLE AND THE AVERAGE FAMILY SIZE IS 3.03 PEOPLE. THE MEDIAN HOME VALUE FOR THE COUNTY IS $143,600. 89.3% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA OR EQUIVALENT OR HIGHER EDUCATION LEVEL, OF THAT 23.6% HAS A BACHELOR'S DEGREE OR HIGHER LEVEL OF EDUCATION. THE PER CAPITA PERSONAL INCOME FOR THE COUNTY IS $28,525. 13.9% OF INDIVIDUALS AND 10.4% OF FAMILIES IS BELOW THE POVERTY LINE COMPARED TO THE AVERAGE 14.0% IN OHIO.
PART VI, LINE 5: UH CONTINUES TO INVEST IN ITSELF AND THE COMMUNITY THROUGH ENHANCED CLINICAL SERVICES, EDUCATIONAL PROGRAMS, RESEARCH, AND CAPITAL IMPROVEMENTS THAT MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES AND PATIENTS IT SERVES. UH PROVIDES AN OUTSTANDING BALANCE OF HIGH-QUALITY CLINICAL CARE WITHIN ITS WALLS, AND COMMUNITY HEALTH OUTREACH TO LOCAL POPULATIONS. FOUR UH HEALTH CLINICS ARE LOCATED IN AREAS DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). THESE CLINICS INCLUDE THE DOUGLAS MOORE HEALTH CLINIC, WOMEN'S HEALTH CENTER, RAINBOW AMBULATORY PRACTICE, AND FAMILY MEDICINE CLINIC, ALL LOCATED ON THE CAMPUS OF UH CASE MEDICAL CENTER. HRSA ALSO DESIGNATES MEDICALLY UNDERSERVED AREAS (MUAS) AND MEDICALLY UNDERSERVED POPULATIONS (MUPS) BASED ON SPECIFIC CRITERIA. TWENTY-FIVE AREAS WITHIN THE UH SERVICE AREA INCLUDING CUYAHOGA, LORAIN, AND SUMMIT COUNTIES QUALIFY AS MUAS, WHILE ONE POPULATION IN KENT, PORTAGE COUNTY IS A DESIGNATED MUP. CUYAHOGA COUNTY ALONE ACCOUNTS FOR 20 MUAS LOCATED IN 13 ZIP CODES, REPRESENTING 12 TOWNS. THE UH SYSTEM'S TWO CRITICAL ACCESS HOSPITALS IN ASHTABULA COUNTY SIT IN APPALACHIA, AS DESIGNATED BY THE APPALACHIAN REGIONAL COMMISSION.UH IS COMMITTED TO TRAINING THE NEXT GENERATION OF PHYSICIANS, NURSES, SPECIALISTS AND OTHER ALLIED HEALTH CARE PROVIDERS ANNUALLY. MANY OF THESE STUDENTS AND TRAINEES COMPLETE THEIR EDUCATION AND TAKE THEIR KNOWLEDGE AND EXPERTISE TO OTHER PARTS OF THE STATE OR COUNTRY, THEREBY BENEFITING OTHER COMMUNITIES.UH WORKS TO INCREASE HEALTH AND MEDICAL KNOWLEDGE THROUGH GOVERNMENT AND NON-PROFIT FUNDED RESEARCH. THE SHARED KNOWLEDGE DERIVED FROM THESE EFFORTS IMPROVES THE HEALTH AND WELL-BEING OF PEOPLE THROUGHOUT THE NATION AND THE WORLD WHEN THEY LEAD TO NEW STANDARDS OF CARE, NEW MEDICAL DEVICES, OR BREAKTHROUGHS IN TACKLING DISEASES.AS INDICATED IN THE ABOVE RESPONSE TO PART VI, LINE 4, UH HAS MADE SIGNIFICANT INVESTMENTS IN ACCESS TO CARE FOR LOW INCOME AND VULNERABLE RESIDENTS WITHIN THE COUNTIES UH SERVES.
PART VI, LINE 6: FOUR UH HEALTH CLINICS ARE LOCATED IN AREAS DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). THESE CLINICS INCLUDE THE DOUGLAS MOORE HEALTH CLINIC AND FAMILY MEDICINE CLINIC LOCATED ON THE CAMPUS OF UH CLEVELAND MEDICAL CENTER, AND THE WOMEN'S HEALTH CENTER AND RAINBOW AMBULATORY PRACTICE LOCATED OFF CAMPUS IN THE UH RAINBOW CENTER FOR WOMEN & CHILDREN. UH SERVES AN ESSENTIAL ROLE IN THE COMMUNITY BY PROVIDING DIVERSE POPULATIONS THROUGHOUT THE NORTHEAST OHIO REGION WITH COMPREHENSIVE HEALTH CARE - FROM PRIMARY CARE TO HIGHLY SPECIALIZED MEDICAL CARE FOR THE MOST SERIOUS OF HEALTH PROBLEMS. IT PROVIDES THE SAME QUALITY AND COMPASSIONATE SERVICE TO ALL, NO MATTER THEIR INCOME, ABILITY TO PAY OR SOCIOECONOMIC STATUS. UH CARES FOR THE WELL-INSURED AND THE UNINSURED; MEN, WOMEN AND CHILDREN FROM EVERY COMMUNITY IN THE REGION, FROM URBAN CENTERS, SMALL TOWNS, RURAL AREAS AND SUBURBS.
PART VI, LINE 7, REPORTS FILED WITH STATES OH
Schedule H (Form 990) 2021
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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
GROUP RETURN
Employer identification number
90-0059117
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE
DALLAS,TX75231
13-5613797 501(C)3 159,000 0     GENERAL SUPPORT
(2) GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY
1240 WEST 6TH STREET
CLEVELAND,OH44113
GOVERNMENT 125,000 0     GENERAL SUPPORT
(3) YWCA OF GREATER CLEVELAND
4019 PROSPECT AVE
CLEVELAND,OH44103
34-0714800 501(C)3 40,000 0     GENERAL SUPPORT
(4) ELYRIA MEDICAL CENTER FOUNDATION
630 EAST RIVER STREET
ELYRIA,OH44035
61-1579760 501(C)3 70,193 0     GENERAL SUPPORT
(5) PARMA HOSPITAL HEALTH CARE FOUNDATION
7007 POWERS BLVD
PARMA,OH44129
34-1626664 501(C)3 783,616 0     GENERAL SUPPORT
(6) ROBINSON MEMORIAL HOSPITAL FOUNDATION
6847 N CHESTNUT STREET PO BOX 1204
RAVENNA,OH44266
34-1510544 501(C)3 717,688 0     GENERAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
6
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
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.
Schedule I (Form 990) 2021



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
GROUP RETURN
Employer identification number

90-0059117
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
Yes
 
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1ZENTY THOMAS F III
SEE SCHEDULE O
(i)

(ii)
0
-------------
140,297
0
-------------
1,266,493
0
-------------
3,989,927
0
-------------
681,968
0
-------------
811
0
-------------
6,079,496
0
-------------
0
2MEGERIAN CLIFF MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
1,418,674
0
-------------
823,179
0
-------------
331,520
0
-------------
23,200
0
-------------
27,241
0
-------------
2,623,814
0
-------------
0
3SIMON DANIEL I MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
1,024,758
0
-------------
689,865
0
-------------
232,351
0
-------------
23,200
0
-------------
26,518
0
-------------
1,996,692
0
-------------
0
4SZUBSKI MICHAEL A
SEE SCHEDULE O
(i)

(ii)
0
-------------
941,339
0
-------------
645,124
0
-------------
238,895
0
-------------
26,100
0
-------------
26,667
0
-------------
1,878,125
0
-------------
0
5SABIK JOSEPH MD
SEE SCHEDULE O
(i)

(ii)
1,261,929
-------------
0
75,000
-------------
0
36,144
-------------
0
21,750
-------------
0
26,067
-------------
0
1,420,890
-------------
0
0
-------------
0
6BECK ERIC H DO MPH
SEE SCHEDULE O
(i)

(ii)
0
-------------
917,979
0
-------------
420,486
0
-------------
2,921
0
-------------
18,850
0
-------------
27,275
0
-------------
1,387,511
0
-------------
0
7GLOTZBECKER MICHAEL P
SEE SCHEDULE O
(i)

(ii)
1,319,014
-------------
0
0
-------------
0
21,449
-------------
0
18,850
-------------
0
27,165
-------------
0
1,386,478
-------------
0
0
-------------
0
8EUBANKS JASON D
SEE SCHEDULE O
(i)

(ii)
1,318,020
-------------
0
14
-------------
0
18,840
-------------
0
21,750
-------------
0
7,642
-------------
0
1,366,266
-------------
0
0
-------------
0
9TEKNOS THEODOROS N MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
851,838
0
-------------
307,638
0
-------------
129,837
0
-------------
21,750
0
-------------
26,006
0
-------------
1,337,069
0
-------------
0
10VOOS JAMES
SEE SCHEDULE O
(i)

(ii)
1,196,525
-------------
0
75,072
-------------
0
2,440
-------------
0
20,300
-------------
0
26,638
-------------
0
1,320,975
-------------
0
0
-------------
0
11KONHEIM ARI L
SEE SCHEDULE O
(i)

(ii)
1,031,321
-------------
0
238,567
-------------
0
1,503
-------------
0
18,850
-------------
0
26,067
-------------
0
1,316,308
-------------
0
0
-------------
0
12JAIN MUKESH MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
637,297
0
-------------
189,085
0
-------------
434,455
0
-------------
20,300
0
-------------
26,581
0
-------------
1,307,718
0
-------------
0
13TAIT PAUL G
SEE SCHEDULE O
(i)

(ii)
0
-------------
624,850
0
-------------
433,633
0
-------------
166,964
0
-------------
26,100
0
-------------
26,267
0
-------------
1,277,814
0
-------------
0
14DEVANEY ERIC J
SEE SCHEDULE O
(i)

(ii)
1,191,446
-------------
0
0
-------------
0
10,187
-------------
0
21,750
-------------
0
26,936
-------------
0
1,250,319
-------------
0
0
-------------
0
15SELMAN WARREN R MD
SEE SCHEDULE O
(i)

(ii)
1,067,180
-------------
0
75,000
-------------
0
46,273
-------------
0
26,100
-------------
0
27,241
-------------
0
1,241,794
-------------
0
0
-------------
0
16BAMBAKIDIS NICHOLAS C
SEE SCHEDULE O
(i)

(ii)
1,049,547
-------------
0
57,818
-------------
0
41,338
-------------
0
21,750
-------------
0
27,454
-------------
0
1,197,907
-------------
0
0
-------------
0
17SINK KRISTI M
SEE SCHEDULE O
(i)

(ii)
0
-------------
265,643
0
-------------
110,785
0
-------------
398,456
0
-------------
370,923
0
-------------
25,889
0
-------------
1,171,696
0
-------------
0
18DAVID ROBERT G
SEE SCHEDULE O
(i)

(ii)
0
-------------
87,163
0
-------------
144,508
0
-------------
796,210
0
-------------
116,960
0
-------------
25,837
0
-------------
1,170,678
0
-------------
0
19SNOWBERGER THOMAS D
SEE SCHEDULE O
(i)

(ii)
0
-------------
663,126
0
-------------
295,044
0
-------------
159,902
0
-------------
21,750
0
-------------
15,641
0
-------------
1,155,463
0
-------------
0
20PRONOVOST PETER MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
776,050
0
-------------
318,302
0
-------------
27,447
0
-------------
21,750
0
-------------
260
0
-------------
1,143,809
0
-------------
0
21TOPALSKY GEORGE MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
584,194
0
-------------
215,435
0
-------------
39,885
0
-------------
234,758
0
-------------
15,641
0
-------------
1,089,913
0
-------------
0
22BOND BRADLEY C
SEE SCHEDULE O
(i)

(ii)
0
-------------
423,694
0
-------------
149,968
0
-------------
451,797
0
-------------
23,200
0
-------------
26,149
0
-------------
1,074,808
0
-------------
0
23MILLER CHRISTOPHER N MD
SEE SCHEDULE O
(i)

(ii)
733,053
-------------
0
166,130
-------------
0
24,707
-------------
0
20,300
-------------
0
26,360
-------------
0
970,550
-------------
0
0
-------------
0
24ADELMAN HARLIN G ESQ
SEE SCHEDULE O
(i)

(ii)
0
-------------
578,897
0
-------------
220,006
0
-------------
105,059
0
-------------
26,100
0
-------------
26,722
0
-------------
956,784
0
-------------
0
25GUAY MARC MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
790,185
0
-------------
8
0
-------------
7,219
0
-------------
124,729
0
-------------
24,639
0
-------------
946,780
0
-------------
0
26JONES M STEVEN
SEE SCHEDULE O
(i)

(ii)
0
-------------
68,384
0
-------------
195,053
0
-------------
545,234
0
-------------
89,060
0
-------------
15,081
0
-------------
912,812
0
-------------
0
27DEPOMPEI PATRICIA M
SEE SCHEDULE O
(i)

(ii)
0
-------------
501,647
0
-------------
184,162
0
-------------
112,059
0
-------------
26,100
0
-------------
21,827
0
-------------
845,795
0
-------------
0
28STROSACKER ROBYN MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
567,388
0
-------------
202,200
0
-------------
29,923
0
-------------
21,750
0
-------------
24,029
0
-------------
845,290
0
-------------
0
29STEFANO GREGORY MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
726,791
0
-------------
29,209
0
-------------
1,611
0
-------------
11,600
0
-------------
26,428
0
-------------
795,639
0
-------------
0
30SALATA ROBERT A MD
SEE SCHEDULE O
(i)

(ii)
576,987
-------------
0
77,000
-------------
0
36,830
-------------
0
23,200
-------------
0
16,545
-------------
0
730,562
-------------
0
0
-------------
0
31CHANG PHILLIP MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
514,609
0
-------------
124,330
0
-------------
54,891
0
-------------
20,021
0
-------------
13,810
0
-------------
727,661
0
-------------
0
32MILLER MARLENE MD
SEE SCHEDULE O
(i)

(ii)
554,419
-------------
0
75,000
-------------
0
46,595
-------------
0
21,750
-------------
0
24,744
-------------
0
722,508
-------------
0
0
-------------
0
33SALVINO SONIA
SEE SCHEDULE O
(i)

(ii)
0
-------------
388,249
0
-------------
146,881
0
-------------
92,289
0
-------------
26,100
0
-------------
26,067
0
-------------
679,586
0
-------------
0
34MONTER BRIAN
SEE SCHEDULE O
(i)

(ii)
0
-------------
461,897
0
-------------
118,475
0
-------------
27,177
0
-------------
20,300
0
-------------
26,613
0
-------------
654,462
0
-------------
0
35PAPA ALAN J FACHE
SEE SCHEDULE O
(i)

(ii)
0
-------------
441,092
0
-------------
129,037
0
-------------
29,086
0
-------------
21,750
0
-------------
18,539
0
-------------
639,504
0
-------------
0
36SILA CATHY MD
SEE SCHEDULE O
(i)

(ii)
502,902
-------------
0
75,000
-------------
0
33,559
-------------
0
26,100
-------------
0
1,221
-------------
0
638,782
-------------
0
0
-------------
0
37CHICKERELLA DANIELLE
SEE SCHEDULE O
(i)

(ii)
0
-------------
377,954
0
-------------
132,299
0
-------------
63,617
0
-------------
20,300
0
-------------
8,457
0
-------------
602,627
0
-------------
0
38DECARLO DONALD
SEE SCHEDULE O
(i)

(ii)
0
-------------
405,267
0
-------------
108,703
0
-------------
26,644
0
-------------
21,750
0
-------------
23,646
0
-------------
586,010
0
-------------
0
39HINCHEY PAUL R
SEE SCHEDULE O
(i)

(ii)
0
-------------
502,785
0
-------------
7
0
-------------
67,695
0
-------------
0
0
-------------
14,349
0
-------------
584,836
0
-------------
0
40BENOIT WILLIAM
SEE SCHEDULE O
(i)

(ii)
0
-------------
358,678
0
-------------
92,825
0
-------------
34,193
0
-------------
20,300
0
-------------
26,613
0
-------------
532,609
0
-------------
0
41RAO GOUTHAM MD
SEE SCHEDULE O
(i)

(ii)
411,609
-------------
0
75,000
-------------
0
2,250
-------------
0
15,591
-------------
0
27,165
-------------
0
531,615
-------------
0
0
-------------
0
42ROWELL ROBIN
SEE SCHEDULE O
(i)

(ii)
0
-------------
327,962
0
-------------
93,568
0
-------------
54,819
0
-------------
26,100
0
-------------
26,446
0
-------------
528,895
0
-------------
0
43RAPKIN DAVID S MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
446,954
0
-------------
0
0
-------------
7,554
0
-------------
42,051
0
-------------
26,390
0
-------------
522,949
0
-------------
0
44VEHOVEC MICHAEL R
SEE SCHEDULE O
(i)

(ii)
0
-------------
293,830
0
-------------
109,826
0
-------------
80,305
0
-------------
24,797
0
-------------
590
0
-------------
509,348
0
-------------
0
45CARPENTER JENNIFER
SEE SCHEDULE O
(i)

(ii)
0
-------------
297,383
0
-------------
104,346
0
-------------
44,242
0
-------------
25,791
0
-------------
32,672
0
-------------
504,434
0
-------------
0
46BEJANISHVILI TAMAR MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
427,832
0
-------------
21,575
0
-------------
1,952
0
-------------
13,050
0
-------------
26,131
0
-------------
490,540
0
-------------
0
47MILLER JANET L ESQ
SEE SCHEDULE O
(i)

(ii)
0
-------------
0
0
-------------
70,777
0
-------------
395,767
0
-------------
0
0
-------------
3,453
0
-------------
469,997
0
-------------
0
48SIPPEY MEGAN MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
444,238
0
-------------
71
0
-------------
885
0
-------------
8,700
0
-------------
10,392
0
-------------
464,286
0
-------------
0
49HILL JAMES L
SEE SCHEDULE O
(i)

(ii)
0
-------------
374,112
0
-------------
23,543
0
-------------
20,673
0
-------------
18,850
0
-------------
26,136
0
-------------
463,314
0
-------------
0
50SYLVAN DAVID
SEE SCHEDULE O
(i)

(ii)
0
-------------
317,252
0
-------------
121,111
0
-------------
3,956
0
-------------
16,434
0
-------------
1,145
0
-------------
459,898
0
-------------
0
51ZOLTANSKI JOAN MD
SEE SCHEDULE O
(i)

(ii)
288,197
-------------
0
80,964
-------------
0
55,488
-------------
0
15,053
-------------
0
18,135
-------------
0
457,837
-------------
0
0
-------------
0
52COLE MELISSA CNP
SEE SCHEDULE O
(i)

(ii)
0
-------------
325,682
0
-------------
74,751
0
-------------
7,815
0
-------------
15,581
0
-------------
32,186
0
-------------
456,015
0
-------------
0
53SCHARIO MARK E
SEE SCHEDULE O
(i)

(ii)
0
-------------
277,666
0
-------------
78,994
0
-------------
34,845
0
-------------
21,655
0
-------------
27,661
0
-------------
440,821
0
-------------
0
54PIRTZ JASON M
SEE SCHEDULE O
(i)

(ii)
0
-------------
296,205
0
-------------
75,942
0
-------------
1,377
0
-------------
16,542
0
-------------
26,320
0
-------------
416,386
0
-------------
0
55HARFORD TODD
SEE SCHEDULE O
(i)

(ii)
0
-------------
259,573
0
-------------
76,018
0
-------------
21,165
0
-------------
20,849
0
-------------
26,067
0
-------------
403,672
0
-------------
0
56BROWN SAM H
SEE SCHEDULE O
(i)

(ii)
0
-------------
261,074
0
-------------
98,880
0
-------------
859
0
-------------
16,286
0
-------------
26,067
0
-------------
403,166
0
-------------
0
57ROYAL KIMBERLY S DO
SEE SCHEDULE O
(i)

(ii)
0
-------------
322,400
0
-------------
15,037
0
-------------
3,091
0
-------------
20,853
0
-------------
15,053
0
-------------
376,434
0
-------------
0
58SAGUE JONATHAN
SEE SCHEDULE O
(i)

(ii)
0
-------------
278,861
0
-------------
64,088
0
-------------
7,974
0
-------------
14,714
0
-------------
7,858
0
-------------
373,495
0
-------------
0
59HOYNES SEAN MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
314,206
0
-------------
0
0
-------------
4,127
0
-------------
13,050
0
-------------
28,126
0
-------------
359,509
0
-------------
0
60KUMAR AJAY MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
327,550
0
-------------
10,000
0
-------------
715
0
-------------
10,150
0
-------------
8,196
0
-------------
356,611
0
-------------
0
61ADAIR BRETT DO
SEE SCHEDULE O
(i)

(ii)
0
-------------
336,065
0
-------------
233
0
-------------
642
0
-------------
8,700
0
-------------
7,642
0
-------------
353,282
0
-------------
0
62STENCEL MICHAEL MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
296,382
0
-------------
18,321
0
-------------
7,731
0
-------------
14,500
0
-------------
15,641
0
-------------
352,575
0
-------------
0
63RAVICHANDRAN KAMALESWARY MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
272,827
0
-------------
0
0
-------------
7,240
0
-------------
19,174
0
-------------
27,526
0
-------------
326,767
0
-------------
0
64SNELSON MARC MD
SEE SCHEDULE O
(i)

(ii)
272,419
-------------
0
16
-------------
0
100
-------------
0
21,609
-------------
0
25,978
-------------
0
320,122
-------------
0
0
-------------
0
65GLOWCZEWSKI JASON
SEE SCHEDULE O
(i)

(ii)
0
-------------
228,109
0
-------------
45,719
0
-------------
23,484
0
-------------
5,324
0
-------------
14,287
0
-------------
316,923
0
-------------
0
66HAMMACK ELIZABETH R ESQ
SEE SCHEDULE O
(i)

(ii)
0
-------------
227,302
0
-------------
28,755
0
-------------
15,503
0
-------------
18,595
0
-------------
26,333
0
-------------
316,488
0
-------------
0
67HERTZ ANDREW R MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
119,513
0
-------------
120,784
0
-------------
16,701
0
-------------
3,294
0
-------------
123
0
-------------
260,415
0
-------------
0
68MONHEIM KAREN M MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
226,508
0
-------------
0
0
-------------
3,141
0
-------------
11,854
0
-------------
17,519
0
-------------
259,022
0
-------------
0
69GOODELLE MICHAEL
SEE SCHEDULE O
(i)

(ii)
0
-------------
170,361
0
-------------
21,036
0
-------------
8,324
0
-------------
13,981
0
-------------
19,677
0
-------------
233,379
0
-------------
0
70SOORIYAPALAN NISHANTHINI MD
SEE SCHEDULE O
(i)

(ii)
0
-------------
181,385
0
-------------
0
0
-------------
310
0
-------------
6,368
0
-------------
610
0
-------------
188,673
0
-------------
0
71BECK JOHN
SEE SCHEDULE O
(i)

(ii)
0
-------------
100,856
0
-------------
13,456
0
-------------
816
0
-------------
9,548
0
-------------
25,909
0
-------------
150,585
0
-------------
0
72JURIS SUSAN V
SEE SCHEDULE O
(i)

(ii)
0
-------------
0
0
-------------
0
0
-------------
114,312
0
-------------
0
0
-------------
8,399
0
-------------
122,711
0
-------------
0
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 7 MANAGEMENT INCENTIVE PLAN (MIP) PAYMENTS ARE CALCULATED ANNUALLY AS A PERCENTAGE OF BASE SALARY BASED UPON GOAL ATTAINMENT FOR EACH INCENTIVE CYCLE. THE ELIGIBLE INCENTIVE PERCENTAGE IS DEPENDENT UPON EACH INDIVIDUAL'S LEADERSHIP LEVEL IN THE ORGANIZATION.
PART I, LINE 8 CERTAIN EMPLOYEE COMPENSATION DISCLOSED IN PART VII MEET THE REQUIREMENTS OF THE INITIAL CONTRACT EXCEPTION.
PART I, LINE 4A: UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION. SEVERANCE PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSON IN PART VII: DAVID, ROBERT G.: $318,264 JONES, M. STEVEN: $464,419 SINK, KRISTI M.: $129,708 PART I, LINE 4B: ELIGIBLE EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN UNDER CODE 457(F). ANY AMOUNTS ULTIMATELY PAID UNDER THE PLAN TO AN ELIGIBLE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B (III) IN THE YEAR PAID. SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSON IN PART VII: BRADLEY C. BOND ($309,673 - SERP) MUKESH JAIN, MD ($332,693 - SERP) SUSAN V. JURIS ($114,312 - SERP) JANET L. MILLER, ESQ. ($395,767 - SERP) KRISTI M. SINK ($248,607 - SERP) THEODOROS N. TEKNOS, MD ($100,000 - SERP) THOMAS F. ZENTY, III ($3,362,236 - SERP) THOMAS F. ZENTY, III RETIRED AS CEO IN JANUARY 2021 AFTER NEARLY 18 YEARS OF UNIVERSITY HOSPITALS HEALTH SYSTEM LEADERSHIP. UNDER ZENTY'S LEADERSHIP, UNIVERSITY HOSPITALS HEALTH SYSTEM EXPANDED FROM 3 TO 18 HOSPITALS TO PROVIDE CARE FOR 1.3 MILLION PATIENTS ANNUALLY. FOR CALENDAR YEAR 2021, ZENTY'S TOTAL COMPENSATION OF $6,079,496 INCLUDES A FINAL DEFERRED RETIREMENT COMPENSATION PAYOUT OF $3,362,236 WHICH IS INCLUDED ON SCHEDULE J, PART II, COLUMN (B)(III), OTHER REPORTABLE COMPENSATION.
FORM 990, SCHEDULE J, PART II: FORM 990 REPORTING REQUIREMENTS RELATED TO ITEMS SUCH AS DEFERRED COMPENSATION PROGRAMS REQUIRE DUAL REPORTING IN SOME YEARS FOR VARIOUS PARTICIPANTS. AS SUCH, AMOUNTS MAY BE SHOWN IN PART VII AND SCHEDULE J DURING A YEAR IN WHICH THOSE AMOUNTS WERE DEFERRED, AND AGAIN IN SUBSEQUENT YEARS IN PART VII AND SCHEDULE J WHEN ACTUALLY PAID. ONLY SCHEDULE J INCLUDES A COLUMN (F), NOTING THESE AMOUNTS WERE PREVIOUSLY REPORTED.
Schedule J (Form 990) 2021

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
GROUP RETURN
Employer identification number

90-0059117
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) 2021
Schedule L (Form 990) 2021
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) MINDY GUSZ SEE PART V 15,262 SEE PART V   No
(2) ELLEN SABIK SEE PART V 192,738 SEE PART V   No
(3) RACHEL TOTH SEE PART V 82,532 SEE PART V   No
(4) KATHRYN THOMPSON SEE PART V 117,568 SEE PART V   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: MINDY GUSZ.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY RELATIONSHIP.(C) AMOUNT OF TRANSACTION: $15,262.(D) DESCRIPTION OF TRANSACTION: FAMILY MEMBER OF MR. JOHN GUSZ, ROBINSON HEALTH SYSTEM, INC. DIRECTOR EX OFFICIO.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: ELLEN SABIK.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY RELATIONSHIP.(C) AMOUNT OF TRANSACTION: $192,738.(D) DESCRIPTION OF TRANSACTION: FAMILY MEMBER OF MR. JOSEPH SABIK, UH MEDICAL GROUP, INC. DIRECTOR EX OFFICIO.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: RACHEL TOTH.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY RELATIONSHIP.(C) AMOUNT OF TRANSACTION: $82,532.(D) DESCRIPTION OF TRANSACTION: FAMILY MEMBER OF MS. PATRICIA SHARPNACK, CURRENT DIRECTOR ON THE UH AHUJA MEDICAL CENTER, INC. BOARD.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: KATHRYN THOMPSON.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY RELATIONSHIP.(C) AMOUNT OF TRANSACTION: $117,568.(D) DESCRIPTION OF TRANSACTION: FAMILY MEMBER OF MS. PATRICIA DEPOMPEI, PRESIDENT UHCMC RAINBOW BABIES & CHILDREN'S HOSPITAL.(E) SHARING OF ORGANIZATION REVENUES? = NO.
Schedule L (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
GROUP RETURN
Employer identification number

90-0059117
Part I
Types of Property
(a)
Check if applicable
(b)
Number of contributions or items contributed
(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
noncash contribution amounts
1 Art—Works of art .... X 36 127,100 APPRAISAL/RECEIPT
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods .......
X 42,074 RECEIPT/FMV/INVOICE
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 57 3,110,502 FMV
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial .. X 1 106,300 APPRAISAL
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ... X 13 48,801 RECEIPT/INVOICE
20 Drugs and medical supplies . X 5 107,885 INVOICE
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( EVENT ) X 11 35,398 RECEIPT/FMV/INVOICE
26 Other Right pointing arrow large image ( MISCELLANEOUS ) X 33 16,977 RECEIPT/FMV/INVOICE
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
4
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2021)
Schedule M (Form 990) (2021)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
PART I, COLUMN (B): THE NUMBERS REPORTED IN PART I, COLUMN (B) REPRESENT A COMBINATION OF THE NUMBER OF CONTRIBUTIONS OR THE NUMBER OF ITEMS RECEIVED.
Schedule M (Form 990) (2021)

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
GROUP RETURN
Employer identification number

90-0059117
Return Reference Explanation
FORM 990, PART I, LINE 6: THE TOTAL NUMBER OF VOLUNTEERS IS PROVIDED BY EACH UH MEDICAL CENTER'S VOLUNTEER COORDINATOR. VOLUNTEERS PROVIDE ASSISTANCE IN MANY DIFFERENT DEPARTMENTS THROUGHOUT THE UH MEDICAL CENTERS. THE ROLES OF A VOLUNTEER FALL INTO THREE CATEGORIES: PATIENT CONTACT, LIMITED PATIENT CONTACT AND NO PATIENT CONTACT. ROLES IN THE PATIENT CONTACT CATEGORY INCLUDE THOSE WHERE THE VOLUNTEER IS WORKING DIRECTLY WITH A PATIENT OR THE PATIENT'S FAMILY. EXAMPLES OF VOLUNTEER ROLES FROM THIS CATEGORY INCLUDE BUT ARE NOT LIMITED TO PASTORAL CARE VOLUNTEERS AND NEWBORN NURSERY VOLUNTEERS. VOLUNTEERS WHO SERVE IN ROLES WHERE THERE IS LIMITED PATIENT CONTACT WORK IN AREAS WHERE THEY MAY BE WORKING MORE WITH HOSPITAL STAFF THAN OUR PATIENTS OR VISITORS. EXAMPLES OF VOLUNTEER ROLES UNDER THE LIMITED PATIENT CONTACT INCLUDE BUT ARE NOT LIMITED TO FLOWER DELIVERY VOLUNTEERS AND ATRIUM GIFT SHOP VOLUNTEERS. FINALLY, EXAMPLES OF VOLUNTEER ROLES FROM THE NO PATIENT CONTACT CATEGORY INCLUDE BUT ARE NOT LIMITED TO MAILROOM AND CLERICAL VOLUNTEERS (WORKING IN OFFICES THROUGHOUT THE UH MEDICAL CENTERS).
FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION: UNIVERSITY HOSPITALS (THE "SYSTEM") IS GUIDED BY ITS MISSION "TO HEAL. TO TEACH. TO DISCOVER." THE SYSTEM SERVES A UNIQUE ROLE IN THE COMMUNITIES IT SERVES BY PROVIDING DIVERSE POPULATIONS THROUGHOUT THE NORTHEAST OHIO REGION WITH COMPREHENSIVE HEALTH CARE - FROM PRIMARY CARE TO HIGHLY SPECIALIZED MEDICAL CARE FOR THE MOST SERIOUS OF HEALTH PROBLEMS. THE SYSTEM IS KNOWN FOR PROVIDING SUPERIOR, LEADING-EDGE HEALTH CARE ACROSS THE FULL RANGE OF MEDICAL AND SURGICAL SPECIALITIES FROM INFANCY TO ELDER CARE. IN ADDITION TO DELIVERING QUALITY PATIENT CARE, THE SYSTEM SERVES AS A PREEMINENT TEACHING FACILITY FOR PHYSICIANS, NURSES AND ANCILLARY MEDICAL PERSONNEL. THE SYSTEM'S EXTENSIVE CLINICAL RESEARCH PROGRAMS CONTINUE TO IMPROVE THE UNDERSTANDING OF DISEASE AND ENHANCE PATIENT CARE.
FORM 990, PART III - PROGRAM SERVICE, LINE 4A: COMMITMENT TO THE COMMUNITY REMAINS AT THE CORE OF THE SYSTEM'S MISSION: TO HEAL. TO TEACH. TO DISCOVER. IN 2021, UNIVERSITY HOSPITALS DEDICATED MORE THAN $500 MILLION TO COMMUNITY BENEFIT PROGRAMS IN NORTHEAST OHIO CONSISTING OF: - EDUCATION AND TRAINING = $ 104 MILLION - RESEARCH = $ 66 MILLION - CHARITY CARE = $50 MILLION - MEDICAID SHORTFALL = $290 MILLION - COMMUNITY HEALTH IMPROVEMENT SERVICES, PROGRAMS AND SUPPORT = $22 MILLION - HOSPITAL CARE ASSURANCE PROGRAM (HCAP) RECEIPTS = ($32 MILLION). REFER TO SCHEDULE H FOR FURTHER DETAIL ON HOW THE SYSTEM MEASURES AND REPORTS COMMUNITY BENEFIT. COMMUNITY BENEFIT FOR 2021 TOTALED $500 MILLION. IN ADDITION TO CHARITY CARE AND INSUFFICIENT FUNDING FROM THE MEDICAID PROGRAM, THE SYSTEM INCURS SIGNIFICANT LOSSES RELATED TO SELF-PAY PATIENTS WHO FAIL TO MAKE PAYMENT FOR SERVICES RENDERED OR INSURED PATIENTS WHO FAIL TO REMIT CO-PAYMENTS AND DEDUCTIBLES AS REQUIRED UNDER APPLICABLE HEALTH INSURANCE ARRANGEMENTS. IN 2021, $125 MILLION REPRESENTED REVENUES FOR SERVICES PROVIDED THAT ARE DEEMED TO BE UNCOLLECTIBLE. THE SYSTEM HAS A BROAD PRESENCE THROUGHOUT NORTHEAST OHIO, INCLUDING CUYAHOGA, LORAIN, GEAUGA, ASHTABULA, PORTAGE, ASHLAND, AND RICHLAND COUNTIES SERVICE AREAS. THE BREADTH OF THE SYSTEM'S SERVICE AREA IS COVERED THROUGH ITS ACADEMIC MEDICAL CENTER, COMMUNITY MEDICAL CENTERS, JOINT VENTURES, AMBULATORY HEALTH CENTERS, AND MEDICAL PRACTICES. THE UH HEALTH SYSTEM PROVIDES WORK DIRECTLY FOR 42,009 EMPLOYEES AND PHYSICIANS. UH PROVIDES MANY COMMUNITY BENEFITS DIRECTLY AND INDIRECTLY THROUGH NEW OR EXPANDED BUSINESS OPPORTUNITIES AND THROUGH IMPORTANT CAPITAL INVESTMENTS IN OUR FACILITIES. UH HAS COMMITTED - AND CONTINUES TO COMMIT - MILLIONS OF DOLLARS TO FACILITIES AND OPERATIONS WITHIN THE CITY OF CLEVELAND AND THROUGHOUT OUR REGION, PROVIDING CONSTRUCTION AND HOSPITAL-BASED JOBS. STATE-OF-THE-ART FACILITIES AND SERVICES AT UH CLEVELAND MEDICAL CENTER, OUR WORLD-RENOWNED ACADEMIC MEDICAL CENTER IN CLEVELAND, PROVIDE CLEVELAND RESIDENTS AND PEOPLE FROM THROUGHOUT THE REGION AND THE WORLD WITH THE FINEST IN PRIMARY AND SPECIALTY HEALTH CARE. THE FACILITIES ALLOW US TO CONDUCT VITAL MEDICAL RESEARCH AND OFFER ADVANCED TRAINING FOR STUDENTS AND HEALTH PROFESSIONALS. THE QUENTIN & ELISABETH ALEXANDER NEONATAL INTENSIVE CARE UNIT AT UH RAINBOW BABIES & CHILDREN'S HOSPITAL SERVES OUR MOST VULNERABLE CHILDREN. THE SYSTEM'S EMERGENCY FACILITIES AT OR MEDICAL CENTERS AND THE SYSTEM'S SEIDMAN CANCER CENTER AT UH CLEVELAND MEDICAL CENTER AND VARIOUS COMMUNITY MEDICAL CENTERS, CONTINUE TO PROVIDE EXPANDED EMPLOYMENT OPPORTUNITIES WHILE EXTENDING UH'S MISSION TO MORE PATIENTS. NEW STATE-OF-THE-ART OUTPATIENT HEALTH CENTERS IN THE REGION HAVE SPURRED ECONOMIC GROWTH WHILE GIVING PEOPLE ACCESS TO THE CARE THEY NEED CLOSE TO HOME AND EXPANDING OUR COMMUNITY BENEFIT PROGRAMS. DURING 2021, THE COVID-19 PANDEMIC CONTINUED TO CAUSE CHALLENGES FOR THE NORTHEAST OHIO REGION. THIS PRESENTED NEW OPPORTUNITIES FOR THE HEALTH SYSTEM TO CONTRIBUTE TO THE COMMUNITY BY: - A COVID-19 VACCINE CLINIC THAT PROVIDED NEARLY 165,000 VACCINES TO 82,000 PATIENTS AND CAREGIVERS. - MORE THAN 200 COVID-19 FOCUSED CLINICAL TRIALS AND RESEARCH STUDIES. - CARING FOR PATIENTS THROUGH THE COVID-19 SURGES WHILE MANAGING THROUGH AN UNPRECEDENTED NATIONAL HEALTH CARE STAFFING SHORTAGE. - THROUGH HARRINGTON DISCOVERY INSTITUTE AT UNIVERSITY HOSPITALS, ENGAGED SCHOLARS FROM AROUND THE WORLD IN FIGHTING COVID-19, RESULTING IN FOUR INNOVATIONS THAT HAVE ALREADY PROGRESSED TO THE STAGE OF CLINICAL TRIALS. THE SYSTEM IS PROUD TO CONTRIBUTE TO THE HEALTH OF ITS CITIZENS AND TO BE A POSITIVE ECONOMIC FORCE IN THE REGION. FOR MORE DETAILED INFORMATION ON THE SYSTEM'S COMMUNITY BENEFIT OR TO VIEW THE 2021 COMMUNITY BENEFIT REPORT, PLEASE VISIT THE SYSTEM'S WEBSITE AT WWW.UHHOSPITALS.ORG.
FORM 990, PART VI, SECTION A, LINE 6 UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE ORGANIZATIONS INCLUDED IN THIS RETURN. ITS RIGHTS INCLUDE ELECTING THE BOARD OF DIRECTORS AND APPROVING SIGNIFICANT DECISIONS OF EACH ORGANIZATION'S BOARD.
FORM 990, PART VI, SECTION A, LINE 7A UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (SOLE MEMBER) ELECTS THE BOARD OF DIRECTORS, INCLUDING THE DESIGNATION OF THE DIRECTORS TO BE THE CHAIRPERSON AND VICE CHAIRPERSON OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7B CERTAIN GOVERNING RESPONSIBILITIES ARE RESERVED AT THE PARENT ORGANIZATION, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (SOLE MEMBER). EXAMPLES INCLUDE APPROVING MATTERS RELATING TO FINANCES AND FINANCING, MATTERS RELATING TO INVESTMENTS, LEGAL MATTERS, MATERIAL ASSETS SALES OR TRANSFERS, STRATEGIC PLAN, OFFICERS, AND DIRECTORS TO THE ORGANIZATIONS BOARD.
FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT AND COMPLIANCE COMMITTEE HAS BEEN DELEGATED AUTHORITY BY THE UHHS BOARD OF DIRECTORS TO REVIEW THE FORM 990. THE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION SECTIONS OF THE FORM 990. THE GOVERNANCE AND COMMUNITY BENEFIT COMMITTEE REVIEWED THE COMMUNITY BENEFIT SECTION OF THE FORM 990 (SCHEDULE H). THE UHHS BOARD OF DIRECTORS RECEIVES A COMPLETE COPY OF THE RETURN BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. CERTAIN MEMBERS OF SENIOR MANAGEMENT REVIEW THE FORM WHILE OVERSEEING THIS PROCESS.
FORM 990, PART VI, SECTION B, LINE 12C THE SYSTEM HAS ADOPTED SIX CONFLICT OF INTEREST POLICIES THAT SET FORTH GUIDELINES RELATED TO TRANSACTIONS WITH DISQUALIFIED PERSONS (AS DEFINED IN APPLICABLE FEDERAL REGULATION). THESE POLICIES APPLY TO ALL EMPLOYEES, EMPLOYED PHYSICIANS AND OTHER LICENSED PRACTITIONERS (EXCLUDING PHYSICIAN TRAINEES), DIRECTORS, OFFICERS, AND RELATED PARTIES TO UH AND ITS WHOLLY-OWNED SUBSIDIARIES. UH REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICIES. DESIGNATED INDIVIDUALS, (E.G., UH MANAGEMENT, DIRECTORS, EMPLOYED PHYSICIANS, AND ADVANCED PRACTICE PROFESSIONALS), ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE AND PROVIDE INFORMATION REGARDING ANY INTERESTS THAT MAY BE POTENTIAL CONFLICTS PURSUANT TO THE CONFLICT OF INTEREST POLICIES. THEY ARE REQUIRED TO PROVIDE ANY CHANGES OR NEW DISCLOSURES SHOULD THEY OCCUR. ALL DISCLOSURES AND SUBSEQUENT UPDATES TO DISCLOSURES ARE REVIEWED BY THE UH COMPLIANCE AND ETHICS DEPARTMENT. BOARD-LEVEL AND KEY PERSONNEL CONFLICTS ARE REVIEWED AND APPROVED, IF APPROPRIATE, BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE UH BOARD AND/OR THE UH BOARD. IF A CONFLICT EXISTS WITH A DIRECTOR, CERTAIN RESTRICTIONS MAY BE IMPOSED, SUCH AS EXCUSING THE DIRECTOR FROM THE ROOM DURING DISCUSSION AND/OR VOTING WITH REGARD TO A PROPOSED TRANSACTION. EDUCATION REGARDING CONFLICTS OF INTEREST IS INCLUDED IN THE ANNUAL COMPLIANCE TRAINING THAT INCLUDES ALL DIRECTORS, EMPLOYEES, PHYSICIANS AND LICENSED PRACTITIONERS.
FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS APPROVED BY THE UHHS BOARD OF DIRECTORS. EXECUTIVE COMPENSATION IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD (THE "COMMITTEE"). THE COMMITTEE HAS RETAINED AN INDEPENDENT COMPENSATION CONSULTANT WHO PROVIDES INFORMATION TO THE COMMITTEE ON CHANGES AND TRENDS IN EXECUTIVE COMPENSATION AND OBJECTIVE THIRD PARTY INFORMATION ON COMPETITIVE AND COMPARABLE EXECUTIVE COMPENSATION AND BENEFIT LEVEL/PROGRAMS. THE CONSULTANT COLLECTS AND PROVIDES TO THE COMMITTEE, APPROPRIATE MARKET COMPENSATION AND BENEFITS INFORMATION, APPROPRIATE MARKET PRACTICES FOR COMPARABLE ORGANIZATIONS' POSITIONS AND BEST PRACTICES. THE CONSULTANT ALSO PROVIDES ADVICE ON DEVELOPING AND MODIFYING UH'S EXECUTIVE COMPENSATION PHILOSOPHY.
FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS FOR UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES ARE MADE PUBLICLY AVAILABLE THROUGH THE USE OF DAC BOND (DISCLOSURE DISSEMINATION AGENT) AND CAN BE FOUND ON THE INTERNET AT WWW.DACBOND.COM. THE ORGANIZATION'S ARTICLES, CODE OF REGULATIONS, AND CONFLICT OF INTEREST POLICY MAY BE MADE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A: INDIVIDUAL DISCLOSURES GROUP ENTITES LISTED BELOW INCLUDE: AHUJA: UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER, INC. CCO: UNIVERSITY HOSPITALS COORDINATED CARE ORGANIZATION CHCO: COMPREHENSIVE HEALTH CARE OF OHIO, INC. CONN: UNIVERSITY HOSPITALS CONNEAUT ELYRIA: EMH REGIONAL MEDICAL CENTER GEAUGA: UNIVERSITY HOSPITALS GEAUGA MEDICAL CENTER GENEVA: UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER HCS: UNIVERSITY HOSPITALS HOME CARE SERVICES, INC. HHI: UHHS HEATHER HILL INC. PARMA: PARMA COMMUNITY GENERAL HOSPITAL PORT: ROBINSON HEALTH SYSTEM, INC. SAM: SAMARITAN REGIONAL HEALTH SYSTEM SJMC: UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER UHCMC: UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER UHLSF: UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION UHMG: UNIVERSITY HOSPITALS MEDICAL GROUP, INC. UHRH: UH REGIONAL HOSPITALS HOURS LISTED BELOW INCLUDE: AVERAGE HOURS PER WEEK FOR EACH INDIVIDUALS' ENTITY BOARD. ROLES LISTED BELOW INCLUDE: D: INDIVIDUAL TRUSTEE OR DIRECTOR T: INSTITUTIONAL TRUSTEE O: OFFICER KE: KEY EMPLOYEE HCE: HIGHEST COMPENSATED EMPLOYEE F: FORMER ADAIR, BRETT DO: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR (BEGIN 05/21); 2 HOURS; D ADELMAN, HARLIN G. ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: CHIEF LEGAL OFFICER/SECRETARY; 2 HOURS; O UHMG: FORMER OFFICER; 0 HOURS; F AGRANOVICH, CHERYL: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D ANDRES, BLAKE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D ANNABLE, CATHY J. S. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D BALL, STANLEY C.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D BALLINGER, MARCIA PHD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O CHCO: DIRECTOR/VICE CHAIR; 2 HOURS; D, O BALOGH, SCOTT: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D BAMBAKIDIS, NICHOLAS C: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: VP, NEUROLOGICAL INSTITUTE; 50 HOURS; HCE BARR, WILLIAM H. III: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D BECK, ERIC H. DO, MPH: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR EX OFFICIO/INTERIM PRESIDENT (BEG 09/21); 2 HOURS; D, O UHMG: DIRECTOR EX OFFICIO (BEGIN 09/21); 2 HOURS; D HCS: DIRECTOR/CHAIR; 2 HOURS; D, O BECK, JOHN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HHI: DIRECTOR/PRESIDENT; 2 HOURS; D, O BEER, ANNE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR/CHAIR; 2 HOURS; D, O BEJANISHVILI, TAMAR MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR EX OFFICIO; 2 HOURS; D BENOIT, WILLIAM: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR EX OFFICIO/PRESIDENT; 2 HOURS; D, O SAM: DIRECTOR EX OFFICIO (BEGIN 12/21)/PRESIDENT (BEGIN 06/21); 2 HOURS; D, O BEVERAGE, MORRIS W. JR., EDM: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D BLOXDORF, GREGORY DO: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR EX OFFICIO; 2 HOURS; D BOND, BRADLEY C.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: SECRETARY/TREASURER; 2 HOURS; O SAM: SECRETARY/TREASURER; 2 HOURS; O HHI: DIRECTOR/SECRETARY/TREASURER; 2 HOURS; D, O AHUJA: SECRETARY/TREASURER; 2 HOURS; O UHRH: SECRETARY/TREASURER (BEGIN 03/21); 2 HOURS; O CHCO: SECRETARY/TREASURER; 2 HOURS; O UHLSF: DIRECTOR/TREASURER; 2 HOURS; D, O BOWLER, CONNIE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR/VICE CHAIR (BEGIN 05/21); 2 HOURS; D, O GENEVA: DIRECTOR/VICE CHAIR (BEGIN 05/21); 2 HOURS; D, O BOYKO, TIMOTHY A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR/CHAIR; 2 HOURS; D, O BRADLEY, SALLY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D BRAGG, DAN A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CHCO: DIRECTOR; 2 HOURS; D ELYRIA: DIRECTOR; 2 HOURS; D BRECHT, CHRISTOPHER E.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GENEVA: DIRECTOR; 2 HOURS; D CONN: DIRECTOR; 2 HOURS; D BROOME, BARBARA ANN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR/VICE CHAIR; 2 HOURS; D, O BROWN, SAM H.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHLSF: DIRECTOR/PRESIDENT/SECRETARY; 2 HOURS; D, O BURKHOLDER, HARVEY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR; 2 HOURS; D CAMIENER, DAVID A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D CARPENTER, JENNIFER: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HCS: DIRECTOR; 2 HOURS; D CARR, DAVID: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D CHANDLER, POLLY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR; 2 HOURS; D CHANG, PHILLIP MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: CHIEF MEDICAL OFFICER; 2 HOURS; O CHICKERELLA, DANIELLE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR ; 2 HOURS; D HCS: DIRECTOR/VICE PRESIDENT (END 05/21)/VICE CHAIR; 2 HOURS; D, O CHILDERS, WILLIAM: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR; 2 HOURS; D CIACCIA, JULIUS JR.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR; 2 HOURS; D CLARK, JILL: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D CLOUGH, MAYOR DENNIS: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR; 2 HOURS; D COE, RICHARD J.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR EX OFFICIO (END 05/21); 2 HOURS; D COLE, MELISSA CNP: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HCS: DIRECTOR/PRESIDENT; 2 HOURS; D, O CONNER, MARJORIE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR; 2 HOURS; D CORCORAN, KEVIN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CHCO: DIRECTOR; 2 HOURS; D ELYRIA: DIRECTOR; 2 HOURS; D CORRENTI, MARY ANN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR; 2 HOURS; D COWEN, TIMOTHY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR; 2 HOURS; D DANA, RICHARD L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR/CHAIR; 2 HOURS; D, O GENEVA: DIRECTOR/CHAIR; 2 HOURS; D, O DAVID, ROBERT G.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR EX OFFICIO/PRESIDENT (END 02/21); 2 HOURS; D, O DAVIE, DIANE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR; 2 HOURS; D DEBS, MICHAEL MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR EX OFFICIO (BEGIN 05/21); 2 HOURS; D DECARLO, DONALD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR EX OFFICIO/PRESIDENT (END 06/21); 2 HOURS; D, O DECK, CHARLES V.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR/VICE CHAIR (END 05/21); 2 HOURS; D, O GENEVA: DIRECTOR/VICE CHAIR (END 05/21); 2 HOURS; D, O DEPOMPEI, PATRICIA M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: PRESIDENT - RAINBOW BABIES & CHILDRENS; 2 HOURS; O UHMG: DIRECTOR; 2 HOURS; D DESOUZA, LESLEY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR/SECRETARY (BEGIN 07/21); 2 HOURS; D, O DEVANEY, ERIC J: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIVISION CHIEF, UHMG; 50 HOURS; HCE DOLL, DAVID: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (BEGIN 05/21); 2 HOURS; D DOODY, RICHARD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D EGLESTON, INDRANI: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D EMRHEIN, WILLIAM: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR EX OFFICIO; 2 HOURS; D EUBANKS, JASON D: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: ORTHOPEDIC SURGEON; 50 HOURS; HCE FINE, LAUREN RICH: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D FITTS, JOHN T.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR/CHAIR; 2 HOURS; D, O FLYNN, SCOTT ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR/VICE CHAIR; 2 HOURS; D, O FRENCH, MATTHEW C.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR; 2 HOURS; D GARCIA, RICHARD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GENEVA: DIRECTOR; 2 HOURS; D CONN: DIRECTOR; 2 HOURS; D GAUGHAN, HON. PATRICIA ANN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR; 2 HOURS; D
GIANFAGNA, JEAN M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR; 2 HOURS; D GILMAN, THOMAS R.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR/VICE CHAIR (END 05/21); 2 HOURS; D, O GISZTL, RODNEY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR/TREASURER (BEGIN 07/21); 2 HOURS; D, O GLOTZBECKER, MICHAEL P: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIVISION CHIEF, UHMG; 50 HOURS; HCE GLOWCZEWSKI, JASON: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GENEVA: DIRECTOR EX OFFICIO (BEGIN 06/21)/SECRETARY/TREASURER; 2 HOURS; D, O GEAUGA: DIRECTOR EX OFFICIO (BEGIN 06/21); 2 HOURS; D CONN: DIRECTOR EX OFFICIO (BEGIN 06/21)/SECRETARY/TREASURER; 2 HOURS; D, O GOODELLE, MICHAEL: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHLSF: DIRECTOR; 2 HOURS; D GREIG, JUDITH C. RN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR; 2 HOURS; D GUAY, MARC MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CHCO: DIRECTOR EX OFFICIO (BEGIN 01/01); 2 HOURS; D ELYRIA: DIRECTOR EX OFFICIO (BEGIN 01/21); 2 HOURS; D GUSZ, JOHN R. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR EX OFFICIO; 2 HOURS; D HABER, IRWIN G.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O HAMMACK, ELIZABETH R. ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: FORMER OFFICER; 0 HOURS; F HANFF, POLLY M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR; 2 HOURS; D HARDIN, JR. CHARLES W.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GENEVA: DIRECTOR (BEGIN 05/21); 2 HOURS; D CONN: DIRECTOR (BEGIN 05/21); 2 HOURS; D HARFORD, TODD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR EX OFFICIO (BEGIN 09/21); 2 HOURS; D SAM: DIRECTOR EX OFF. (END 12/21)/PRESIDENT (END 06/21); 2 HOURS; D, O HARRINGTON-MCLAUGHLIN, JILL: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D HARRIS, TIMOTHY S.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D HEIMANN, SUSAN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR (END 07/21); 2 HOURS; D HERTZ, ANDREW R. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR (END 05/21); 2 HOURS; D HILL, JAMES L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR EX OFFICIO (BEGIN 06/21); 2 HOURS; D HINCHEY, PAUL R.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CHCO: DIRECTOR (BEGIN 05/21) (END 06/21); 2 HOURS; D ELYRIA: DIRECTOR (BEGIN 05/21) (END 06/21); 2 HOURS; D PARMA: DIRECTOR (BEGIN 05/21) (END 06/21); 2 HOURS; D HOCKADAY, JAMES E.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D HOSIER-ORVIS, B. PAIGE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D HOYNES, SEAN MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D HUNT, JOYCE ANNE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR; 52 HOURS; D IMHOFF, DONNA PHD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR (END 05/21); 2 HOURS; D JAIN, MUKESH MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 2 HOURS; D JARZEMBAK, KELLIE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR EX OFFICIO (END 05/21); 52 HOURS; D JEMISON, TRACY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O JONES, M. STEVEN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: FORMER OFFICER; 0 HOURS; F CONN: DIRECTOR EX OFFICIO/PRESIDENT (END 03/21); 2 HOURS; D, O UHRH: SECRETARY/TREASURER (END 03/21); 2 HOURS; O GENEVA: DIRECTOR EX OFFICIO/PRESIDENT (END 03/21); 2 HOURS; D, O AHUJA: DIRECTOR EX OFFICIO (END 03/21); 2 HOURS; D PORT: DIRECTOR EX OFFICIO (END 03/21); 2 HOURS; D JORDAN, SHARON SOBOL: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D JUDD, JAMES (DELL) O.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR; 2 HOURS; D JURIS, SUSAN V.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: FORMER OFFICER; 0 HOURS; F HHI: FORMER OFFICER; 0 HOURS; F KARLOVEC, JOHN D.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D KELLY, MICHAEL J. SR.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR; 2 HOURS; D KELSAY, RALPH J.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR; 2 HOURS; D KELSHEIMER, JERRY L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR EX OFFICIO (END 05/21); 2 HOURS; D KINNEY, WARD (BUD) L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D KLINE, ANDREW L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D KNECHT, BARBARA L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR/SECRETARY/TREASURER; 2 HOURS; D, O KONHEIM, ARI L: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: PHYSICIAN; 50 HOURS; HCE KOURY, LEE M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D KUMAR, AJAY MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GENEVA: DIRECTOR EX OFFICIO; 2 HOURS; D CONN: DIRECTOR EX OFFICIO ; 2 HOURS; D LAISURE, COLLETTE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR EX OFFICIO; 2 HOURS; D LEGEZA, MICHAEL D.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D LEININGER, KIMM: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D LEWIS, MICHAEL A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR/CHAIR; 2 HOURS; D, O LONG, REV. JANET: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR; 2 HOURS; D CHCO: DIRECTOR; 2 HOURS; D MACKINLAY, SARA ANN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR/CHAIR; 2 HOURS; D, O MAINE, KAREEM D.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR (BEGIN 05/21); 2 HOURS; D MARKOWITZ, DALE H.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D MCGEE, THOMAS: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR (END 05/21); 2 HOURS; D MCQUISTON, EDWARD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR; 2 HOURS; D MEGERIAN, CLIFF MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR (END 05/21); 2 HOURS; D UHCMC: DIRECTOR EX OFFICIO (BEGIN 01/21); 2 HOURS; D UHMG: FORMER OFFICER; 0 HOURS; F METCALF BEASLEY, TERESA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (BEGIN 05/21); 2 HOURS; D MIGGINS, LYNN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR/CHAIR; 2 HOURS; D, O CHCO: DIRECTOR/CHAIR; 2 HOURS; D, O MILLER, CHRISTOPHER N. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR EX OFFICIO/PRESIDENT; 50 HOURS; D, O MILLER, JANET L. ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: FORMER OFFICER; 0 HOURS; F MILLER, MARCIA J.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR/VICE CHAIR (END 12/21)/CHAIR (BEG 12/21); 2 HOURS; D, O MILLER, MARLENE MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR EX OFFICIO; 50 HOURS; D MILLER, PETE C.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D MONHEIM, KAREN M. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D MONTER, BRIAN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: FORMER OFFICER; 0 HOURS; F PARMA: DIRECTOR EX OFFICIO (END 06/21)/PRESIDENT; 2 HOURS; D, O SJMC: DIRECTOR EX OFFICIO (BEGIN 02/21) (END 06/21)/PRESIDENT (BEGIN 02/21); 2 HOURS; D, O CHCO: DIRECTOR EX OFFICIO/PRESIDENT (BEGIN 02/21); 2 HOURS; D, O ELYRIA: DIRECTOR EX OFFICIO (BEGIN 02/21) (END 06/21)/PRESIDENT (BEGIN 02/21); 2 HOURS; D, O MOORE, ERIC J. ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O MYERS, PAUL R.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR EX OFFICIO; 2 HOURS; D NEWCOMB, CHRISTOPHER M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D OWEN, MELISSA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR (BEGIN 05/21); 2 HOURS; D
PAPA, ALAN J. FACHE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR EX OFFICIO/PRESIDENT; 2 HOURS; D, O CONN: DIRECTOR EX OFFICIO (BEGIN 03/21) (END 06/21)/PRESIDENT (BEGIN 03/21); 2 HOURS; D, O GEAUGA: PRESIDENT (BEGIN 06/21); 2 HOURS; O GENEVA: DIRECTOR EX OFFICIO (BEGIN 03/21) (END 06/21)/PRESIDENT (BEGIN 03/21); 2 HOURS; D, O UHRH: PRESIDENT (BEGIN 06/21); 2 HOURS; O PAUL, STAMY S.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR/CHAIR (END 07/21); 2 HOURS; D, O PHYFER, CHERI M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D PIRTZ, JASON M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: CHIEF NURSING OFFICER; 2 HOURS; O PLECHA, DONNA MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR EX OFFICIO (BEGIN 05/21); 2 HOURS; D PLUMMER, DEBORAH L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D PLUSH, MARK J.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D POLITO, MARIA ANN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR; 2 HOURS; D PRAUSE, JACK H.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D PRIEMER, WILLIAM A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D PRONOVOST, PETER MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR/VICE CHAIR; 2 HOURS; D, O RAO, GOUTHAM MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR ; 50 HOURS; D RAPKIN, DAVID S. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR EX OFFICIO ; 2 HOURS; D RAVICHANDRAN, KAMALESWARY MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D REIDY, JOAN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CHCO: DIRECTOR (END 05/21); 2 HOURS; D ELYRIA: DIRECTOR (END 05/21); 2 HOURS; D REYNOLDS, DAVID M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D RICHARDSON, SEAN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (BEGIN 05/21); 2 HOURS; D RIEMENSCHNEIDER, CPA DANIEL R.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR EX OFFICIO (BEGIN 05/21); 2 HOURS; D RILEY, LORI A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR (BEGIN 05/21); 2 HOURS; D GENEVA: DIRECTOR (BEGIN 05/21); 2 HOURS; D ROSENBERG, ENID: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D ROWELL, ROBIN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR EX OFFICIO/PRESIDENT (END 06/21); 2 HOURS; D, O ROYAL, KIMBERLY S. DO: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR EX OFFICIO; 2 HOURS; D SABIK, JOSEPH MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR EX OFFICIO; 50 HOURS; D SAGUE, JONATHAN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR EX OFFICIO (BEGIN 06/21); 2 HOURS; D SAHR, MICHELLE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR; 2 HOURS; D SALATA, ROBERT A. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR EX OFFICIO; 50 HOURS; D SALVINO, SONIA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: TREASURER; 2 HOURS; O UHMG: DIRECTOR/SECRETARY/TREASURER; 2 HOURS; D, O UHLSF: FORMER OFFICER; 0 HOURS; F SJMC: SECRETARY/TREASURER; 2 HOURS; O SARGENT, STEVE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR (BEGIN 05/21); 2 HOURS; D GENEVA: DIRECTOR (BEGIN 05/21); 2 HOURS; D SCHARIO, MARK E.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: PRESIDENT/SECRETARY; 2 HOURS; O SCHULZE-FLYNN, CYNTHIA V.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D SEITZ, THOMAS W.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D SELMAN, WARREN R. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR ; 50 HOURS; D SETHI, NEIL M.D.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR/CHAIR (END 05/21); 2 HOURS; D, O SHARPNACK, PATRICIA DNP, RN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D SILA, CATHY MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HCS: DIRECTOR/SECRETARY/TREASURER; 52 HOURS; D, O SIMON, DANIEL I. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR EX OFFICIO/PRESIDENT (END 09/21); 2 HOURS; D, O UHMG: DIRECTOR EX OFFICIO (END 09/21)/CHAIR; 2 HOURS; D, O SINK, KRISTI M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR EX OFFICIO (END 08/21)/PRESIDENT (END 02/21); 2 HOURS; D, O CHCO: DIRECTOR EX OFFICIO/PRESIDENT (END 02/21); 2 HOURS; D, O PARMA: FORMER OFFICER; 0 HOURS; F SIPPEY, MEGAN MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR (BEGIN 05/21); 2 HOURS; D SIRACUSA, ANTHONY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR/VICE CHAIR; 2 HOURS; D, O SKODA, GREGORY J.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR/VICE CHAIR; 2 HOURS; D, O SKORY, JOHN E.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D SKUFCA, MICHAEL DDS: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR (END 05/21); 2 HOURS; D GENEVA: DIRECTOR (END 05/21); 2 HOURS; D SMITH, GERI M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR; 2 HOURS; D SNELSON, MARC MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR EX OFFICIO (BEGIN 06/21); 52 HOURS; D SNOWBERGER, THOMAS D.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR; 2 HOURS; D UHMG: DIRECTOR; 2 HOURS; D SOORIYAPALAN, NISHANTHINI MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR EX OFFICIO; 2 HOURS; D SPALSBURG, ANGELA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D SPEAR, BRENDA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O STANO, DIANE PHD, OSU: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR (END 05/21); 2 HOURS; D STEFANO, GREGORY MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR EX OFFICIO; 2 HOURS; D STEINHILBER, JEFFREY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D STENCEL, MICHAEL MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR (END 05/21); 2 HOURS; D STROSACKER, ROBYN MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: CHIEF MEDICAL OFFICER/CHIEF OPERATING OFFICER; 2 HOURS; O SYLVAN, DAVID: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HCS: DIRECTOR; 2 HOURS; D SZUBSKI, MICHAEL A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR/CHAIR/TREASURER; 2 HOURS; D, O UHMG: FORMER OFFICER; 0 HOURS; F TAIT, PAUL G.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CHCO: DIRECTOR (END 05/21); 2 HOURS; D ELYRIA: DIRECTOR (END 05/21); 2 HOURS; D CCO: DIRECTOR; 2 HOURS; D PARMA: DIRECTOR (END 05/21); 2 HOURS; D TAYLOR, EDDIE JR.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR/CHAIR; 2 HOURS; D, O TEKNOS, THEODOROS N. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: PRESIDENT - SEIDMAN CANCER CENTER; 2 HOURS; O THOMAS, DONNA ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR; 2 HOURS; D TIFFT, VICTORIA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D UHMG: DIRECTOR; 2 HOURS; D TOPALSKY, GEORGE MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D HCS: DIRECTOR; 2 HOURS; D TREXLER, THOMAS: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORT: DIRECTOR; 2 HOURS; D VARCKETTE, STEVE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONN: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D VEHOVEC, MICHAEL R.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HHI: DIRECTOR/CHAIR; 2 HOURS; D, O VOOS, JAMES: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR ; 50 HOURS; D WALDECK, JOHN (JACK) W.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) GEAUGA: DIRECTOR; 2 HOURS; D WILKINSON, SCOTT A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR; 2 HOURS; D
YATES, VIVIAN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SJMC: DIRECTOR; 2 HOURS; D ZANIN, CLAUDIO: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PARMA: DIRECTOR/SECRETARY (END 07/21); 2 HOURS; D, O ZELIS, CYNTHIA MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR (END 05/21); 2 HOURS; D ZELLER, LORNA A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHRH: DIRECTOR; 2 HOURS; D ZELMAN, DANIEL N.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D ZENTY, THOMAS F. III: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR EX OFFICIO (END 01/21); 2 HOURS; D ZOLTANSKI, JOAN MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAM: DIRECTOR; 2 HOURS; D UHMG: DIRECTOR ; 50 HOURS; D
FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTION -43,016,000. EQUITY TRANSFERS -131,840,000. OTHER CHANGES IN FUND BALANCE 50,631,000. CHANGE IN BENEFICIAL INTEREST FOUNDATIONS 24,127,000.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
GROUP RETURN
Employer identification number

90-0059117
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)5805 EUCLID INC
3605 WARRENSVILLE CENTER ROAD

SHAKER HEIGHTS,OH44122
81-4962989
SUPPORT HOSPITAL OH 501(C)(3) LINE 12B, II UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(2)ELYRIA MEDICAL CENTER FOUNDATION
630 EAST RIVER STREET

ELYRIA,OH44035
61-1579760
SUPPORT HOSPITAL OH 501(C)(3) LINE 12A, I ELYRIA MEDICAL CENTER
 
Yes
 
(3)PARMA HOSPITAL HEALTH CARE FOUNDATION
7007 POWERS BLVD

PARMA,OH44129
34-1626664
SUPPORT HOSPITAL OH 501(C)(3) LINE 12A, I PARMA COMMUNITY MEDICAL CENTER
 
Yes
 
(4)ROBINSON MEMORIAL HOSPITAL FOUNDATION
6847 N CHESTNUT STREET PO BOX

RAVENNA,OH44266
34-1510544
SUPPORT HOSPITAL OH 501(C)(3) LINE 12A, I ROBINSON HEALTH SYSTEM INC
 
Yes
 
(5)SAMARITAN HOSPITAL FOUNDATION
663 EAST MAIN STREET

ASHLAND,OH44805
34-1783215
SUPPORT HOSPITAL OH 501(C)(3) LINE 12C, III-FI SAMARITAN REGIONAL MEDICAL CENTER
 
Yes
 
(6)FUND FOR CURES UK LTD
3605 WARRENSVILLE CENTER ROAD

SHAKER HEIGHTS,OH44122
GRANT FUNDING UK N/A N/A UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(7)KETTERING MOHICAN AREA MEDICAL CENTER INC
3605 WARRENSVILLE CENTER ROAD

SHAKER HEIGHTS,OH44122
34-0823455
INACTIVE OH 501(C)(3)    
Yes
 
(8)LAKE HOSPITAL SYSTEM INC
3606 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44123
34-1425870
HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(9)LAKE HOSPITAL FOUNDATION INC
3607 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44124
34-1425872
SUPPORT HOSPITAL OH 501(C)(3) LINE 12A, I LAKE HOSPITAL SYSTEM INC
 
Yes
 
(10)PRIMEHEALTH INC
3608 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44125
34-1778204
HEALTHCARE OH 501(C)(3) LINE 3 LAKE HOSPITAL SYSTEM INC
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) NEW MANNA CLG LLC

3605 WARRENSVILLE CENTER ROAD
SHAKER HEIGHTS,OH44122
37-1848577
MEDICAL SERVICES OH N/A
        No     No  
(2) SAMARITAN REGIONAL PAIN MANAGEMENT LLC

1025 CENTER STREET
ASHLAND,OH44805
46-2286785
MEDICAL SERVICES OH SAMARITAN REGIONAL HEALTH SYSTEM
 
RELATED -13,671 337,006   No     No 51.000 %
(3) UH CANTON-ENDOSCOPY LLC

3605 WARRENSVILLE CENTER ROAD
SHAKER HEIGHTS,OH44122
83-0638696
MEDICAL SERVICES OH N/A
        No     No  
(4) UH CLINICAL ASSOCIATES LLC

3605 WARRENSVILLE CENTER ROAD
SHAKER HEIGHTS,OH44122
84-3169305
MEDICAL SERVICES OH N/A
        No     No  
(5) UH VALUE HEALTH HOLDINGS LLC

3605 WARRENSVILLE CENTER ROAD
SHAKER HEIGHTS,OH44122
85-3503184
HOLDING COMPANY OH N/A
        No     No  
(6) UHHS ENDOSCOPY HOLDINGS LLC

3605 WARRENSVILLE CENTER ROAD
SHAKER HEIGHTS,OH44122
83-1284090
MEDICAL SERVICES OH N/A
        No     No  
(7) UNIVERSITY SUBURBAN REAL ESTATE LTD

3605 WARRENSVILLE CENTER ROAD
SHAKER HEIGHTS,OH44122
34-1397180
REAL ESTATE OH N/A
        No     No  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) COMPREHENSIVE VENTURES UNLIMITED INC

3605 WARRENSVILLE CNTR RD
SHAKER HEIGHTS,OH44122
34-1596060
PHYSICIAN ADMINISTRATION OH COMPREHENSIVE HEALTH CARE OF OHIO INC
 
C 1,140,365 4,217,153 100.000 % Yes  
(2) EMH MEDICAL OFFICE BUILDING IN AVON INC

3605 WARRENSVILLE CNTR RD
SHAKER HEIGHTS,OH44122
34-1935407
REAL ESTATE OH ELYRIA MEDICAL CENTER
 
C 63,068 68,846 100.000 % Yes  
(3) EMH PROFESSIONAL SERVICES INC

3605 WARRENSVILLE CNTR RD
SHAKER HEIGHTS,OH44122
34-1778419
PHYSICAN GROUP OH N/A
C       Yes  
(4) EMH SHEFFIELD MEDICAL BUILDING CONDO

3605 WARRENSVILLE CNTR RD
SHAKER HEIGHTS,OH44122
26-0636602
REAL ESTATE OH UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
C 130,000 845,257 100.000 % Yes  
(5) LAKE PHO INC

3605 WARRENSVILLE CNTR RD
SHAKER HEIGHTS,OH44122
34-1696001
PHYSICIAN ADMINISTRATION OH N/A
C       Yes  
(6) NORTH OHIO HEART INC

3605 WARRENSVILLE CNTR RD
SHAKER HEIGHTS,OH44122
27-2574020
PHYSICIANS GROUP OH COMPREHENSIVE HEALTH CARE OF OHIO INC
 
C 15,379,031 387,875 100.000 % Yes  
(7) POWERS PROFESSIONAL CORPORATION

3605 WARRENSVILLE CNTR RD
SHAKER HEIGHTS,OH44122
34-1735290
PHYSICIANS GROUP OH PARMA COMMUNITY MEDICAL CENTER
 
C     100.000 % Yes  
(8) PRL CORPORATION

3605 WARRENSVILLE CNTR RD
SHAKER HEIGHTS,OH44122
34-1499245
PHYSICIANS GROUP OH PARMA COMMUNITY MEDICAL CENTER
 
C 2,568,681 5,751,161 100.000 % Yes  
(9) QUALITY CARE NETWORK

3605 WARRENSVILLE CNTR RD
SHAKER HEIGHTS,OH44122
81-1081563
MEDICAL MANAGEMENT OH N/A
C       Yes  
(10) USHC MANAGEMENT INC

3605 WARRENSVILLE CNTR RD
SHAKER HEIGHTS,OH44122
34-1395971
HOLDING COMPANY OH N/A
C       Yes  
(11) UHHS PROVIDER & CENTRAL VERIFICATION ORG

3605 WARRENSVILLE CNTR RD
SHAKER HEIGHTS,OH44122
34-1908517
MEDICAL MANAGEMENT OH N/A
C       Yes  
(12) UNIVERSITY HOSPITALS ACCOUNTABLE CARE ORGANIZATION INC

3605 WARRENSVILLE CNTR RD
SHAKER HEIGHTS,OH44122
81-3836118
ACCOUNT CARE OH N/A
C       Yes  
(13) UNIVERSITY HOSPITALS HOLDINGS INC

3605 WARRENSVILLE CNTR RD
SHAKER HEIGHTS,OH44122
34-1768931
HOLDING COMPANY OH N/A
C       Yes  
(14) UNIVERSITY HOSPITALS PHYSICIAN SERVICES

3605 WARRENSVILLE CNTR RD
SHAKER HEIGHTS,OH44122
34-1768929
PHYSICIAN ADMINISTRATION OH N/A
C       Yes  
(15) UNIVERSITY PRIMARY CARE PRACTICES INC

3605 WARRENSVILLE CNTR RD
SHAKER HEIGHTS,OH44122
34-1768928
PHYSICAN GROUP OH N/A
C       Yes  
(16) WESTERN RESERVE ASSURANCE CO LTD SPC

PO BOX 1051
GEORGE TOWN,GRAND CAYMANKY1 - 1102
CJ
98-0462740
INSURANCE CJ N/A
C       Yes  
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) 5805 EUCLID INC FROM CLEVELAND MEDICAL CENTER

A 877,653 GENERAL LEDGER
(2) AHUJA MEDICAL CENTER FROM UH LAB SERVICES FOUNDATION

A 5,231 GENERAL LEDGER
(3) AHUJA MEDICAL CENTER FROM UH PHYSICIAN SERVICES

A 13,006 GENERAL LEDGER
(4) AHUJA MEDICAL CENTER FROM UNIVERSITY HOSPITALS MEDICAL GROUP

A 1,797 GENERAL LEDGER
(5) CLEVELAND MEDICAL CENTER FROM UH LAB SERVICES FOUNDATION

A 177,696 GENERAL LEDGER
(6) CLEVELAND MEDICAL CENTER FROM UNIVERSITY HOSPITALS MEDICAL GROUP

A 1,621,308 GENERAL LEDGER
(7) CONNEAUT MEDICAL CENTER FROM UH PHYSICIAN SERVICES

A 54,703 GENERAL LEDGER
(8) ELYRIA MEDICAL CENTER FROM UH PHYSICIAN SERVICES

A 156,765 GENERAL LEDGER
(9) GEAUGA MEDICAL CENTER FROM CLEVELAND MEDICAL CENTER

A 500,322 GENERAL LEDGER
(10) GEAUGA MEDICAL CENTER FROM UH LAB SERVICES FOUNDATION

A 3,902 GENERAL LEDGER
(11) GEAUGA MEDICAL CENTER FROM UH PHYSICIAN SERVICES

A 379,905 GENERAL LEDGER
(12) GENEVA MEDICAL CENTER FROM UH PHYSICIAN SERVICES

A 109,807 GENERAL LEDGER
(13) GENEVA MEDICAL CENTER FROM UNIVERSITY HOSPITALS MEDICAL GROUP

A 25,670 GENERAL LEDGER
(14) NORTH OHIO HEART INC FROM ELYRIA MEDICAL CENTER

A 141,691 GENERAL LEDGER
(15) PARMA MEDICAL CENTER FROM CLEVELAND MEDICAL CENTER

A 40,375 GENERAL LEDGER
(16) PARMA MEDICAL CENTER FROM UH PHYSICIAN SERVICES

A 376,689 GENERAL LEDGER
(17) PORTAGE MEDICAL CENTER FROM CLEVELAND MEDICAL CENTER

A 268,349 GENERAL LEDGER
(18) PORTAGE MEDICAL CENTER FROM UH PHYSICIAN SERVICES

A 1,818,291 GENERAL LEDGER
(19) PORTAGE MEDICAL CENTER FROM UH ACCOUNTABLE CARE ORGANIZATION

A 44,348 GENERAL LEDGER
(20) PRL CORPORATION FROM CLEVELAND MEDICAL CENTER

A 472,686 GENERAL LEDGER
(21) PRL CORPORATION FROM PARMA MEDICAL CENTER

A 720,752 GENERAL LEDGER
(22) PRL CORPORATION FROM UHHS INC

A 65,215 GENERAL LEDGER
(23) PRL CORPORATION FROM UNIVERSITY HOSPITALS MEDICAL GROUP

A 97,740 GENERAL LEDGER
(24) SAMARITAN MEDICAL CENTER FROM UH HOME CARE SERVICES

A 7,145 GENERAL LEDGER
(25) SAMARITAN MEDICAL CENTER FROM UH PHYSICIAN SERVICES

A 773,914 GENERAL LEDGER
(26) SAMARITAN MEDICAL CENTER FROM UHHS INC

A 84,901 GENERAL LEDGER
(27) ST JOHN MEDICAL CENTER FROM CLEVELAND MEDICAL CENTER

A 3,612,735 GENERAL LEDGER
(28) ST JOHN MEDICAL CENTER FROM UH PHYSICIAN SERVICES

A 582,064 GENERAL LEDGER
(29) ST JOHN MEDICAL CENTER FROM UNIVERSITY HOSPITALS MEDICAL GROUP

A 49,034 GENERAL LEDGER
(30) UH PHYSICIAN SERVICES FROM ELYRIA MEDICAL CENTER

A 23,051 GENERAL LEDGER
(31) UH PHYSICIAN SERVICES FROM PORTAGE MEDICAL CENTER

A 20,290 GENERAL LEDGER
(32) UH PHYSICIAN SERVICES FROM ST JOHN MEDICAL CENTER

A 28,809 GENERAL LEDGER
(33) UH REGIONAL HOSPITALS FROM CLEVELAND MEDICAL CENTER

A 886,633 GENERAL LEDGER
(34) UH REGIONAL HOSPITALS FROM UH PHYSICIAN SERVICES

A 364,197 GENERAL LEDGER
(35) UNIVERSITY SUBURBAN REAL ESTATE FROM AHUJA MEDICAL CENTER

A 361,250 GENERAL LEDGER
(36) UNIVERSITY SUBURBAN REAL ESTATE FROM CLEVELAND MEDICAL CENTER

A 604,370 GENERAL LEDGER
(37) UNIVERSITY SUBURBAN REAL ESTATE FROM UH LAB SERVICES FOUNDATION

A 128,758 GENERAL LEDGER
(38) UNIVERSITY SUBURBAN REAL ESTATE FROM UNIVERSITY HOSPITAL MEDICAL GROUP

A 789,650 GENERAL LEDGER
(39) EMH REGIONAL MEDICAL CENTER TO ELYRIA MEDICAL CENTER FOUNDATION

B 70,193 GENERAL LEDGER
(40) PARMA MEDICAL CENTER TO PARMA HOSPITAL HEALTH CARE FOUNDATION

B 783,616 GENERAL LEDGER
(41) ROBINSON HEALTH SYSTEM INC TO ROBINSON MEMORIAL HOSPITAL FOUNDATION

B 717,688 GENERAL LEDGER
(42) EMH REGIONAL MEDICAL CENTER FROM ELYRIA MEDICAL CENTER FOUNDATION

C 191,400 GENERAL LEDGER
(43) PARMA MEDICAL CENTER FROM PARMA HOSPITAL HEALTH CARE FOUNDATION

C 447,775 GENERAL LEDGER
(44) ROBINSON HEALTH SYSTEM INC FROM ROBINSON MEMORIAL HOSPITAL FOUNDATION

C 310,571 GENERAL LEDGER
(45) AHUJA MEDICAL CENTER TO UHHS INC

K 1,132,938 GENERAL LEDGER
(46) CLEVELAND MEDICAL CENTER TO UHHS INC

K 7,716,384 GENERAL LEDGER
(47) GEAUGA MEDICAL CENTER TO UHHS INC

K 147,772 GENERAL LEDGER
(48) GENEVA MEDICAL CENTER TO UHHS INC

K 71,850 GENERAL LEDGER
(49) PARMA MEDICAL CENTER TO UHHS INC

K 69,208 GENERAL LEDGER
(50) SAMARITAN MEDICAL CENTER TO UHHS INC

K 227,585 GENERAL LEDGER
(51) UH LAB SERVICES FOUNDATION TO UHHS INC

K 454,263 GENERAL LEDGER
(52) UH PHYSICIAN SERVICES TO UHHS INC

K 11,308,053 GENERAL LEDGER
(53) UH REGIONAL HOSPITALS TO UHHS INC

K 180,781 GENERAL LEDGER
(54) UNIVERSITY HOSPITALS MEDICAL GROUP TO UHHS INC

K 3,074,906 GENERAL LEDGER
(55) CLEVELAND MEDICAL CENTER TO 5805 EUCLID INC

K 877,653 GENERAL LEDGER
(56) UH LAB SERVICES FOUNDATION TO CLEVELAND MEDICAL CENTER

K 177,696 GENERAL LEDGER
(57) UNIVERSITY HOSPITALS MEDICAL GROUP TO CLEVELAND MEDICAL CENTER

K 1,621,308 GENERAL LEDGER
(58) UH PHYSICIAN SERVICES TO CONNEAUT MEDICAL CENTER

K 54,703 GENERAL LEDGER
(59) UH PHYSICIAN SERVICES TO ELYRIA MEDICAL CENTER

K 156,765 GENERAL LEDGER
(60) CLEVELAND MEDICAL CENTER TO GEAUGA MEDICAL CENTER

K 500,322 GENERAL LEDGER
(61) UH PHYSICIAN SERVICES TO GEAUGA MEDICAL CENTER

K 379,905 GENERAL LEDGER
(62) UH PHYSICIAN SERVICES TO GENEVA MEDICAL CENTER

K 109,807 GENERAL LEDGER
(63) ELYRIA MEDICAL CENTER TO NORTH OHIO HEART INC

K 141,691 GENERAL LEDGER
(64) UH PHYSICIAN SERVICES TO PARMA MEDICAL CENTER

K 376,689 GENERAL LEDGER
(65) CLEVELAND MEDICAL CENTER TO PORTAGE MEDICAL CENTER

K 268,349 GENERAL LEDGER
(66) UH PHYSICIAN SERVICES TO PORTAGE MEDICAL CENTER

K 1,818,291 GENERAL LEDGER
(67) CLEVELAND MEDICAL CENTER TO PRL CORPORATION

K 472,686 GENERAL LEDGER
(68) PARMA MEDICAL CENTER TO PRL CORPORATION

K 720,752 GENERAL LEDGER
(69) UNIVERSITY HOSPITALS MEDICAL GROUP TO PRL CORPORATION

K 97,740 GENERAL LEDGER
(70) UH PHYSICIAN SERVICES TO SAMARITAN MEDICAL CENTER

K 773,914 GENERAL LEDGER
(71) CLEVELAND MEDICAL CENTER TO ST JOHN MEDICAL CENTER

K 3,612,735 GENERAL LEDGER
(72) UH PHYSICIAN SERVICES TO ST JOHN MEDICAL CENTER

K 582,064 GENERAL LEDGER
(73) CLEVELAND MEDICAL CENTER UH REGIONAL HOSPITALS

K 886,633 GENERAL LEDGER
(74) UH PHYSICIAN SERVICES TO UH REGIONAL HOSPITALS

K 364,197 GENERAL LEDGER
(75) AHUJA MEDICAL CENTER TO UNIVERSITY SUBURBAN REAL ESTATE

K 361,250 GENERAL LEDGER
(76) CLEVELAND MEDICAL CENTER TO UNIVERSITY SUBURBAN REAL ESTATE

K 604,370 GENERAL LEDGER
(77) UH LAB SERVICES FOUNDATION TO UNIVERSITY SUBURBAN REAL ESTATE

K 128,758 GENERAL LEDGER
(78) UNIVERSITY HOSPITAL MEDICAL GROUP TO UNIVERSITY SUBURBAN REAL ESTATE

K 789,650 GENERAL LEDGER
(79) UH REGIONAL HOSPITALS TO UHHS INC

R 1,973,361 GENERAL LEDGER
(80) PARMA MEDICAL CENTER TO UHHS INC

R 471,401 GENERAL LEDGER
(81) ELYRIA MEDICAL CENTER TO UHHS INC

R 10,293,390 GENERAL LEDGER
(82) AHUJA MEDICAL CENTER TO UHHS INC

R 14,158,755 GENERAL LEDGER
(83) UH HOME CARE SERVICES TO UHHS INC

R 47,596,727 GENERAL LEDGER
(84) UNIVERSITY HOSPITALS MEDICAL GROUP TO UHHS INC

R 90,768,956 GENERAL LEDGER
(85) CLEVELAND MEDICAL CENTER FROM UHHS INC

S 165,594,306 GENERAL LEDGER
(86) UH LAB SERVICES FOUNDATION FROM UHHS INC

S 11,318,468 GENERAL LEDGER
(87) GEAUGA MEDICAL CENTER FROM UHHS INC

S 23,115,304 GENERAL LEDGER
(88) GENEVA MEDICAL CENTER FROM UHHS INC

S 1,490,303 GENERAL LEDGER
(89) CONNEAUT MEDICAL CENTER FROM UHHS INC

S 3,830,173 GENERAL LEDGER
(90) SAMARITAN MEDICAL CENTER FROM UHHS INC

S 15,046,208 GENERAL LEDGER
(91) ST JOHN MEDICAL CENTER FROM UHHS INC

S 6,984,891 GENERAL LEDGER
(92) PORTAGE MEDICAL CENTER FROM UHHS INC

S 7,617,204 GENERAL LEDGER
(93) COMPREHENSIVE HEALTH CARE OF OHIO FROM UHHS INC

S 217,120 GENERAL LEDGER
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2021

Additional Data


Software ID:  
Software Version:  






TY 2021 AffiliatedGroupSchedule
Name:
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
GROUP RETURN
EIN:
90-0059117
Affiliated Group Business Name:
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Address. Either US or Foreign Type:
11100 EUCLID AVENUE
CLEVELAND, OH44106    
EIN:
34-1567805
Electing Organization Checkbox:
Total Grassroots Lobbying:
7,373
Total Direct Lobbying:
169,505
Total Lobbying Expenditures:
176,878
Other Exempt Purpose Expenditures:
2,107,027,537
Total Exempt Purpose Expenditures:
2,107,204,415
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UH REGIONAL HOSPITALS
Address. Either US or Foreign Type:
11100 EUCLID AVENUE
CLEVELAND, OH44106    
EIN:
34-1271115
Electing Organization Checkbox:
Total Grassroots Lobbying:
404
Total Direct Lobbying:
9,297
Total Lobbying Expenditures:
9,701
Other Exempt Purpose Expenditures:
127,130,508
Total Exempt Purpose Expenditures:
127,140,209
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER
Address. Either US or Foreign Type:
158 WEST MAIN RD
CONNEAUT, OH44030    
EIN:
34-0750341
Electing Organization Checkbox:
Total Grassroots Lobbying:
110
Total Direct Lobbying:
2,520
Total Lobbying Expenditures:
2,630
Other Exempt Purpose Expenditures:
30,537,285
Total Exempt Purpose Expenditures:
30,539,915
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UNIVERSITY HOSPITALS GEAUGA MEDICAL CENTER
Address. Either US or Foreign Type:
13207 RAVENNA RD
CHARDON, OH44024    
EIN:
34-0816492
Electing Organization Checkbox:
Total Grassroots Lobbying:
533
Total Direct Lobbying:
12,255
Total Lobbying Expenditures:
12,788
Other Exempt Purpose Expenditures:
149,147,996
Total Exempt Purpose Expenditures:
149,160,784
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER
Address. Either US or Foreign Type:
870 WEST MAIN STREET
GENEVA, OH44041    
EIN:
34-0714461
Electing Organization Checkbox:
Total Grassroots Lobbying:
178
Total Direct Lobbying:
4,082
Total Lobbying Expenditures:
4,260
Other Exempt Purpose Expenditures:
46,191,919
Total Exempt Purpose Expenditures:
46,196,179
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UNIVERSITY HOSPITALS HOME CARE SERVICES
Address. Either US or Foreign Type:
4901 GALAXY PARKWAY
WARRENSVILLE HEIGHTS, OH44128    
EIN:
34-1527536
Electing Organization Checkbox:
Total Grassroots Lobbying:
397
Total Direct Lobbying:
9,128
Total Lobbying Expenditures:
9,525
Other Exempt Purpose Expenditures:
174,460,723
Total Exempt Purpose Expenditures:
174,470,248
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UNIVERSITY HOSPITALS LABORATORY SERVICES
Address. Either US or Foreign Type:
11100 EUCLID AVENUE
CLEVELAND, OH44106    
EIN:
34-1720429
Electing Organization Checkbox:
Total Grassroots Lobbying:
200
Total Direct Lobbying:
4,606
Total Lobbying Expenditures:
4,806
Other Exempt Purpose Expenditures:
53,056,408
Total Exempt Purpose Expenditures:
53,061,214
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UNIVERSITY HOSPITALS MEDICAL GROUP INC
Address. Either US or Foreign Type:
11100 EUCLID AVENUE
CLEVELAND, OH44106    
EIN:
20-4881619
Electing Organization Checkbox:
Total Grassroots Lobbying:
1,424
Total Direct Lobbying:
32,742
Total Lobbying Expenditures:
34,166
Other Exempt Purpose Expenditures:
541,939,968
Total Exempt Purpose Expenditures:
541,974,134
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
Address. Either US or Foreign Type:
11100 EUCLID AVENUE
CLEVELAND, OH44106    
EIN:
34-0714775
Electing Organization Checkbox:
Total Grassroots Lobbying:
1,048
Total Direct Lobbying:
24,102
Total Lobbying Expenditures:
25,150
Other Exempt Purpose Expenditures:
842,337,850
Total Exempt Purpose Expenditures:
842,363,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER
Address. Either US or Foreign Type:
11100 EUCLID AVENUE
CLEVELAND, OH44106    
EIN:
26-4827222
Electing Organization Checkbox:
Total Grassroots Lobbying:
768
Total Direct Lobbying:
17,667
Total Lobbying Expenditures:
18,435
Other Exempt Purpose Expenditures:
209,092,079
Total Exempt Purpose Expenditures:
209,110,514
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
PARMA COMMUNITY GENERAL HOSPITAL ASSOC
Address. Either US or Foreign Type:
3605 WARRENSVILLE CENTER RD
SHAKER HEIGHTS, OH44122    
EIN:
34-0827442
Electing Organization Checkbox:
Total Grassroots Lobbying:
575
Total Direct Lobbying:
13,218
Total Lobbying Expenditures:
13,793
Other Exempt Purpose Expenditures:
181,561,375
Total Exempt Purpose Expenditures:
181,575,168
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
COMPREHENSIVE HEALTH CARE OF OHIO INC
Address. Either US or Foreign Type:
3605 WARRENSVILLE CENTER RD
SHAKER HEIGHTS, OH44122    
EIN:
34-1492733
Electing Organization Checkbox:
Total Grassroots Lobbying:
2
Total Direct Lobbying:
35
Total Lobbying Expenditures:
37
Other Exempt Purpose Expenditures:
2,328
Total Exempt Purpose Expenditures:
2,365
Lobbying Nontaxable Amount:
473
Grassroots Nontaxable Amount:
118
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
EMH REGIONAL MEDICAL CENTER
Address. Either US or Foreign Type:
3605 WARRENSVILLE CENTER RD
SHAKER HEIGHTS, OH44122    
EIN:
34-0714512
Electing Organization Checkbox:
Total Grassroots Lobbying:
642
Total Direct Lobbying:
14,771
Total Lobbying Expenditures:
15,413
Other Exempt Purpose Expenditures:
194,567,393
Total Exempt Purpose Expenditures:
194,582,806
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
ROBINSON HEALTH SYSTEM INC
Address. Either US or Foreign Type:
3605 WARRENSVILLE CENTER RD
SHAKER HEIGHTS, OH44122    
EIN:
46-1382538
Electing Organization Checkbox:
Total Grassroots Lobbying:
525
Total Direct Lobbying:
12,069
Total Lobbying Expenditures:
12,594
Other Exempt Purpose Expenditures:
155,919,367
Total Exempt Purpose Expenditures:
155,931,961
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
ST JOHN MEDICAL CENTER
Address. Either US or Foreign Type:
3605 WARRENSVILLE CENTER RD
SHAKER HEIGHTS, OH44122    
EIN:
34-1260978
Electing Organization Checkbox:
Total Grassroots Lobbying:
606
Total Direct Lobbying:
13,943
Total Lobbying Expenditures:
14,549
Other Exempt Purpose Expenditures:
178,502,194
Total Exempt Purpose Expenditures:
178,516,743
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
SAMARITAN REGIONAL HEALTH SYSTEM
Address. Either US or Foreign Type:
3605 WARRENSVILLE CENTER RD
SHAKER HEIGHTS, OH44122    
EIN:
34-0714535
Electing Organization Checkbox:
Total Grassroots Lobbying:
293
Total Direct Lobbying:
6,732
Total Lobbying Expenditures:
7,025
Other Exempt Purpose Expenditures:
82,320,510
Total Exempt Purpose Expenditures:
82,327,535
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0