TY 2024 Form 990

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) ABER ANN C...................................................................... SEE SCHEDULE O	2.00 ................. 0.00	X		0	0	0
(2) AGRANOVICH CHERYL...................................................................... SEE SCHEDULE O	2.00 ................. 0.00	X		0	0	0
(3) ANNABLE CATHY J S MD...................................................................... SEE SCHEDULE O	2.00 ................. 0.00	X		0	0	0
(4) ANTONIADES STATHIS MPH...................................................................... SEE SCHEDULE O	4.00 ................. 52.00	X	X	0	1,206,896	237,696
(5) ATA GEORGE...................................................................... SEE SCHEDULE O	2.00 ................. 50.00	X		0	529,361	124,504
(6) BALL STANLEY C...................................................................... SEE SCHEDULE O	8.00 ................. 0.00	X		0	0	0
(7) BAMBAKIDIS NICHOLAS MD...................................................................... SEE SCHEDULE O	50.00 ................. 0.00	X		1,272,753	0	91,448
(8) BANIEWICZ JOHN MD...................................................................... SEE SCHEDULE O	52.00 ................. 0.00	X	X	554,918	0	48,708
(9) BEASLEY TERESA METCALF...................................................................... SEE SCHEDULE O	2.00 ................. 0.00	X		0	0	0
(10) BEER ANNE...................................................................... SEE SCHEDULE O	4.00 ................. 2.00	X	X	0	0	0
(11) BENNETT RICHARD J...................................................................... SEE SCHEDULE O	2.00 ................. 0.00	X		0	0	0
(12) BENOIT WILLIAM FACHE...................................................................... SEE SCHEDULE O	12.00 ................. 52.00	X	X	0	687,366	140,359
(13) BIRES TRICIA...................................................................... SEE SCHEDULE O	2.00 ................. 52.00	X	X	0	360,461	59,945
(14) BOND BRADLEY C...................................................................... SEE SCHEDULE O	18.00 ................. 56.00	X	X	0	1,212,745	57,703
(15) BOWLER CONNIE...................................................................... SEE SCHEDULE O	8.00 ................. 0.00	X	X	0	0	0
(16) BOYKO TIMOTHY A...................................................................... SEE SCHEDULE O	6.00 ................. 2.00	X	X	0	0	0
(17) CAMIENER DAVID A...................................................................... SEE SCHEDULE O	2.00 ................. 0.00	X		0	0	0

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(18) CARLUCCI ASHLEY........................................................................ SEE SCHEDULE O	16.00 .......................50.00	X				0	413,307	100,845
(19) CARPENTER JENNIFER........................................................................ SEE SCHEDULE O	2.00 .......................50.00	X				0	532,048	117,487
(20) CARR DAVID........................................................................ SEE SCHEDULE O	2.00 .......................0.00	X	X			0	0	0
(21) CARSON BRENT........................................................................ SEE SCHEDULE O	2.00 .......................50.00	X	X			0	668,618	65,675
(22) CERCELLE TIMOTHY F........................................................................ SEE SCHEDULE O	2.00 .......................0.00	X				0	0	0
(23) CHEN PATRICK........................................................................ SEE SCHEDULE O	4.00 .......................50.00	X	X			0	320,085	79,320
(24) CHICKERELLA DANIELLE MSM RD........................................................................ SEE SCHEDULE O	4.00 .......................50.00	X	X			0	774,158	124,785
(25) CICERO RICHARD........................................................................ SEE SCHEDULE O	4.00 .......................52.00	X	X			0	486,999	95,101
(26) CLARK JILL........................................................................ SEE SCHEDULE O	2.00 .......................0.00	X				0	0	0
(27) COOPER DANIELLE MD........................................................................ SEE SCHEDULE O	52.00 .......................0.00	X				454,018	0	56,276
(28) CULOTTA SUSAN L PHD........................................................................ SEE SCHEDULE O	2.00 .......................0.00	X				0	0	0
(29) DANA RICHARD L........................................................................ SEE SCHEDULE O	8.00 .......................0.00	X	X			0	0	0
(30) DAVIE DIANE........................................................................ SEE SCHEDULE O	6.00 .......................0.00	X	X			0	0	0
(31) DECARLO DONALD MD........................................................................ SEE SCHEDULE O	8.00 .......................50.00	X				0	686,588	124,740
(32) DEPOMPEI PATRICIA M MSN RN........................................................................ SEE SCHEDULE O	4.00 .......................52.00	X	X			0	968,029	58,037
(33) DOLL DAVID........................................................................ SEE SCHEDULE O	2.00 .......................0.00	X				0	0	0
(34) EDWARDS STACEY........................................................................ SEE SCHEDULE O	2.00 .......................2.00	X				0	0	0
(35) FINE LAUREN RICH........................................................................ SEE SCHEDULE O	8.00 .......................0.00	X				0	0	0
(36) FITTS JOHN T........................................................................ SEE SCHEDULE O	8.00 .......................0.00	X	X			0	0	0
(37) FLANIGAN KEVIN........................................................................ SEE SCHEDULE O	6.00 .......................2.00	X				0	0	0
(38) FLYNN SCOTT ESQ........................................................................ SEE SCHEDULE O	4.00 .......................0.00	X				0	0	0
(39) GALLUCCI MICHELLE........................................................................ SEE SCHEDULE O	2.00 .......................50.00	X	X			0	341,883	68,344
(40) GARCIA RICHARD........................................................................ SEE SCHEDULE O	8.00 .......................0.00	X				0	0	0
(41) GUBANC-ANDERSON DAWN MSN RN DPN........................................................................ SEE SCHEDULE O	2.00 .......................0.00	X	X			0	0	0
(42) HABER IRWIN G........................................................................ SEE SCHEDULE O	8.00 .......................2.00	X	X			0	0	0
(43) HARRIS TIMOTHY S........................................................................ SEE SCHEDULE O	2.00 .......................2.00	X				0	0	0
(44) HIMES BRETT S........................................................................ SEE SCHEDULE O	2.00 .......................2.00	X	X			0	0	0
(45) HINCHEY PAUL R MD........................................................................ SEE SCHEDULE O	8.00 .......................50.00	X	X			0	1,714,176	311,745
(46) HIRSCHLER CHRISTOPHER........................................................................ SEE SCHEDULE O	6.00 .......................0.00	X				0	0	0
(47) HOYNES SEAN MD........................................................................ SEE SCHEDULE O	2.00 .......................50.00	X				0	345,164	90,579
(48) JUBECK THOMAS P........................................................................ SEE SCHEDULE O	2.00 .......................2.00	X				0	0	0
(49) JUNAID ANSIR........................................................................ SEE SCHEDULE O	2.00 .......................0.00	X				0	0	0
(50) KELLY MICHAEL J SR........................................................................ SEE SCHEDULE O	4.00 .......................0.00	X				0	0	0
(51) KERCHER KIERAN M........................................................................ SEE SCHEDULE O	56.00 .......................0.00	X				250,708	0	39,190
(52) KLAMMER LISA ESQ........................................................................ SEE SCHEDULE O	2.00 .......................0.00	X	X			0	0	0
(53) KLINE ANDREW L........................................................................ SEE SCHEDULE O	2.00 .......................50.00	X				0	144,429	38,504
(54) KOURY LEE M........................................................................ SEE SCHEDULE O	2.00 .......................0.00	X				0	0	0
(55) LEWIS MICHAEL A........................................................................ SEE SCHEDULE O	4.00 .......................0.00	X	X			0	0	0
(56) MARKOWITZ DALE H........................................................................ SEE SCHEDULE O	8.00 .......................0.00	X				0	0	0
(57) MARONIAN NICOLE C MD........................................................................ SEE SCHEDULE O	50.00 .......................0.00	X	X			1,092,826	0	52,544
(58) MAYHER MICHAEL E........................................................................ SEE SCHEDULE O	2.00 .......................2.00	X	X			0	0	0
(59) MEGERIAN CLIFF MD........................................................................ SEE SCHEDULE O	2.00 .......................50.00	X				0	4,389,348	59,493
(60) MIGGINS LYNN........................................................................ SEE SCHEDULE O	6.00 .......................2.00	X	X			0	0	0
(61) MILLER MARLENE MD........................................................................ SEE SCHEDULE O	52.00 .......................0.00	X				770,642	0	60,692
(62) MONHEIM KAREN M MD........................................................................ SEE SCHEDULE O	2.00 .......................50.00	X				0	204,283	34,476
(63) MONTER BRIAN MSN RN........................................................................ SEE SCHEDULE O	10.00 .......................50.00	X	X			0	816,289	146,784
(64) MOORE ERIC J ESQ........................................................................ SEE SCHEDULE O	6.00 .......................0.00	X				0	0	0
(65) MYERS PAUL R........................................................................ SEE SCHEDULE O	4.00 .......................0.00	X				0	0	0
(66) NOBLE VICKI MD........................................................................ SEE SCHEDULE O	52.00 .......................0.00	X				586,041	0	27,276
(67) PAGANINI RAYMOND J........................................................................ SEE SCHEDULE O	2.00 .......................2.00	X	X			0	0	0
(68) PAPA ALAN J FACHE........................................................................ SEE SCHEDULE O	10.00 .......................50.00	X	X			0	811,648	212,751
(69) PATEL CHETAN P MD........................................................................ SEE SCHEDULE O	2.00 .......................52.00	X				0	795,960	38,894
(70) PLECHA DONNA MD........................................................................ SEE SCHEDULE O	2.00 .......................0.00	X				0	0	0
(71) PLUSH MARK J........................................................................ SEE SCHEDULE O	2.00 .......................0.00	X				0	0	0
(72) PRESTEGAARD BENJAMIN MD........................................................................ SEE SCHEDULE O	4.00 .......................50.00	X				0	564,041	43,412
(73) PRIEMER WILLIAM A........................................................................ SEE SCHEDULE O	2.00 .......................2.00	X	X			0	0	0
(74) PRONOVOST PETER MD........................................................................ SEE SCHEDULE O	2.00 .......................50.00	X	X			0	1,495,513	220,772
(75) RAO GOUTHAM MD........................................................................ SEE SCHEDULE O	52.00 .......................0.00	X				542,722	0	36,015
(76) RAVICHANDRAN KAMALESWARY MD........................................................................ SEE SCHEDULE O	2.00 .......................50.00	X				0	18,968	16,157
(77) RICHARDSON SEAN........................................................................ SEE SCHEDULE O	2.00 .......................0.00	X				0	0	0
(78) RYAN JOHN........................................................................ SEE SCHEDULE O	4.00 .......................2.00	X				0	0	0
(79) SABIK JOSEPH MD........................................................................ SEE SCHEDULE O	50.00 .......................2.00	X				1,431,985	0	63,773
(80) SALATA ROBERT A MD........................................................................ SEE SCHEDULE O	52.00 .......................0.00	X				569,848	0	48,030
(81) SAMSA JOHN MD........................................................................ SEE SCHEDULE O	52.00 .......................0.00	X				578,984	0	47,231
(82) SASSER SCOTT M MD........................................................................ SEE SCHEDULE O	4.00 .......................50.00	X	X			0	679,928	106,110
(83) SCHMOTZER CHRISTINE MD........................................................................ SEE SCHEDULE O	2.00 .......................50.00	X	X			0	650,816	116,746
(84) SCHULZE-FLYNN CYNTHIA V........................................................................ SEE SCHEDULE O	2.00 .......................0.00	X				0	0	0
(85) SENITA JULIA A PHD MSN CNE........................................................................ SEE SCHEDULE O	2.00 .......................0.00	X				0	0	0
(86) SILA CATHY MD........................................................................ SEE SCHEDULE O	52.00 .......................0.00	X	X			647,287	0	30,150
(87) SIMMERS RACHELLE........................................................................ SEE SCHEDULE O	2.00 .......................50.00	X				0	130,543	16,860
(88) SIMON DANIEL I MD........................................................................ SEE SCHEDULE O	2.00 .......................50.00	X				0	1,848,438	54,311
(89) SIRACUSA ANTHONY........................................................................ SEE SCHEDULE O	8.00 .......................0.00	X	X			0	0	0
(90) SIRKO PAUL C........................................................................ SEE SCHEDULE O	2.00 .......................0.00	X				0	0	0
(91) SKARBINSKI JULIE........................................................................ SEE SCHEDULE O	54.00 .......................0.00	X	X			319,743	0	54,014
(92) SNOWBERGER THOMAS D........................................................................ SEE SCHEDULE O	2.00 .......................50.00	X				0	2,352,304	179,084
(93) SPEAR BRENDA........................................................................ SEE SCHEDULE O	6.00 .......................0.00	X				0	0	0
(94) STEIGER DAVID MD........................................................................ SEE SCHEDULE O	2.00 .......................0.00	X				0	0	0
(95) STROSAKER ROBYN MD........................................................................ SEE SCHEDULE O	8.00 .......................52.00	X	X			0	963,253	165,563
(96) SYLVAN DAVID........................................................................ SEE SCHEDULE O	4.00 .......................50.00	X				0	750,739	125,807
(97) TAYLOR EDDIE JR........................................................................ SEE SCHEDULE O	2.00 .......................4.00	X	X			0	0	0
(98) TEKNOS THEODOROS N MD........................................................................ SEE SCHEDULE O	4.00 .......................50.00	X	X			0	1,778,694	234,274
(99) THEADORE JASON........................................................................ SEE SCHEDULE O	2.00 .......................50.00	X				0	503,187	88,268
(100) TIFFT VICTORIA........................................................................ SEE SCHEDULE O	4.00 .......................0.00	X				0	0	0
(101) TOGLIATTI-TRICKETT KIM MD........................................................................ SEE SCHEDULE O	56.00 .......................0.00	X				788,398	0	56,842
(102) TOPALSKY GEORGE MD........................................................................ SEE SCHEDULE O	4.00 .......................50.00	X				0	924,994	35,543
(103) VOOS JAMES MD........................................................................ SEE SCHEDULE O	50.00 .......................0.00	X				1,453,232	0	57,036
(104) WEINER DANIELLE........................................................................ SEE SCHEDULE O	2.00 .......................2.00	X				0	0	0
(105) WILKINSON SCOTT A........................................................................ SEE SCHEDULE O	6.00 .......................2.00	X				0	0	0
(106) WILSON DANIEL L........................................................................ SEE SCHEDULE O	2.00 .......................0.00	X				0	0	0
(107) YATES VIVIAN........................................................................ SEE SCHEDULE O	6.00 .......................0.00	X				0	0	0
(108) ZIEGLER KEITH E........................................................................ SEE SCHEDULE O	2.00 .......................0.00	X				0	0	0
(109) ZNIDARSIC ROBERT MD........................................................................ SEE SCHEDULE O	52.00 .......................0.00	X				377,780	0	57,261
(110) ADELMAN HARLIN G JD........................................................................ SEE SCHEDULE O	2.00 .......................50.00		X			0	1,334,770	67,695
(111) BAZZOLI JANA........................................................................ SEE SCHEDULE O	2.00 .......................50.00		X			0	587,166	98,320
(112) GLOTZBECKER BRETT MD........................................................................ SEE SCHEDULE O	50.00 .......................0.00		X			0	859,537	49,154
(113) HUNT MELISSA........................................................................ SEE SCHEDULE O	2.00 .......................50.00		X			0	469,745	110,077
(114) PIRTZ JASON M MSN RN........................................................................ SEE SCHEDULE O	2.00 .......................50.00		X			0	574,713	121,656
(115) GLOTZBECKER MICHAEL P MD........................................................................ SEE SCHEDULE O	50.00 .......................0.00			X		1,417,762	0	61,123
(116) KONHEIM ARI L MD........................................................................ SEE SCHEDULE O	50.00 .......................0.00			X		1,380,986	0	55,423
(117) HONDA KORD S........................................................................ SEE SCHEDULE O	50.00 .......................0.00			X		1,350,054	0	53,577
(118) EUBANKS JASON D MD........................................................................ SEE SCHEDULE O	50.00 .......................0.00			X		1,334,748	0	37,884
(119) KOSARAJU VIJAYA K MD........................................................................ SEE SCHEDULE O	50.00 .......................0.00			X		1,169,346	0	56,041
(120) GLOWCZEWSKI JASON........................................................................ SEE SCHEDULE O	0.00 .......................50.00				X	0	667,559	199,472
(121) HARFORD TODD........................................................................ SEE SCHEDULE O	0.00 .......................52.00				X	0	515,133	48,416
(122) MOORE-HARDY CYNTHIA........................................................................ SEE SCHEDULE O	0.00 .......................0.00				X	0	604,621	6,544
(123) SALVINO SONIA........................................................................ SEE SCHEDULE O	0.00 .......................50.00				X	0	684,732	19,800
(124) SCHARIO MARK E........................................................................ SEE SCHEDULE O	0.00 .......................50.00				X	0	254,446	30,720
(125) SZUBSKI MICHAEL A........................................................................ SEE SCHEDULE O	0.00 .......................50.00				X	0	1,833,801	42,272
(126) MILLER JANET L ESQ........................................................................ SEE SCHEDULE O	0.00 .......................0.00				X	0	233,783	0
(127) HANSON RICHARD........................................................................ SEE SCHEDULE O	0.00 .......................0.00				X	0	102,700	0

- TIN:

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

2024

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................4

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)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER	341567805	3	Yes		0	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					0	0

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

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)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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

Gross receipts from related activities, etc. (see instructions) ..................

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

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

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) 2024

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)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	2,061,000	1	1	1	1	2,061,004
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	2,061,000	1	1	1	1	2,061,004
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.)						2,061,004

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...	2,061,000	1	1	1	1	2,061,004
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.)..	2,061,000	1	1	1	1	2,061,004

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

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

100.000 %

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

100.000 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

0 %

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

0 %

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

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

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.

Yes

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

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.

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.

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.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

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.

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) .

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).

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.

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.

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.

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

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) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

A family member of a person described on 11a above?

11b

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

Section B. Type I Supporting Organizations

Yes

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.

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

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?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

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.

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.

Parent of Supported Organizations. Answer lines 3a and 3b below.

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.

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.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

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 2024 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-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

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 LAKE HOSPITAL SYSTEM, INC. (LHS) - 34-1425870 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 PARMA COMMUNITY GENERAL HOSPITAL (PARMA) - 34-0827442 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 PRIMEHEALTH, INC. (PH) - 34-1778204 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 ROBINSON HEALTH SYSTEM, INC. (PORT) - 46-1382538 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SAMARITAN REGIONAL HEALTH SYSTEM (SAM) - 34-0714535 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER (AHUJA) - 26-4827222 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, INC. (UHCMC) - 34-1567805 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER (CONN) - 34-0714550 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER (GENEVA) - 34-0714461 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UH REGIONAL HOSPITALS (UHRH) - 34-1924226 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER (SJMC) - 34-1260978 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS COORDINATED CARE ORGANIZATION (CCO) - 90-0794903 509(A)(2) 3605 WARRENSVILLE CENTER RD. - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS HOME CARE SERVICES, INC. (HCS) - 34-1527536 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UH CLEVELAND MEDICAL CENTER COMPREHENSIVE HEALTH CARE OF OHIO, INC. (CHCO) - 34-1492733 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: EMH REGIONAL MEDICAL CENTER HEATHER HILL INC. (HHI) - 34-0771884 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER ROAD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UH CLEVELAND MEDICAL CENTER UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION (UHLSF) - 34-1720429 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. UNIVERSITY HOSPITALS MEDICAL GROUP, INC. (UHMG) - 20-4881619 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UH CLEVELAND MEDICAL CENTER PRIMEHEALTH, INC. IS RECOGNIZED AS A HEALTHCARE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III) OF THE INTERNAL REVENUE CODE. PRIMEHEALTH, INC. DOES NOT OPERATE A FACILITY THAT IS OR IS REQUIRED TO BE LICENSED AS A HOSPITAL. THEREFORE, PRIMEHEALTH, INC. IS NOT REQUIRED TO FILE FORM 990, SCHEDULE H.
SCHEDULE A, PART IV, SECTION C, LINE 1:	THE FOLLOWING GROUP SUBORDINATES RESPONDED YES: - HEATHER HILL, INC. THE FOLLOWING GROUP SUBORDINATES RESPONDED NO: - COMPREHENSIVE HEALTH CARE OF OHIO COMPREHENSIVE HEALTH CARE OF OHIO ("CHCO") IS A SUPPORTING ORGANIZATION OF EMH REGIONAL MEDICAL CENTER AS STATED IN ITS ARTICLES. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. ("UHHS") IS THE SOLE MEMBER OF CHCO. CHCO IS SUPERVISED, DIRECTED AND CONTROLLED BY UHHS. - UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION ("UHLSF") ACTS AS A SUPPORTING ORGANIZATION TO UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. ("UHHS"). ARTICLES OF INCORPORATION PROVIDE UHHS WITH SUPERVISION, DIRECTION AND CONTROL OVER UHLSF. - UNIVERSITY HOSPITALS MEDICAL GROUP, INC. UNIVERSITY HOSPITALS MEDICAL GROUP, INC. ("UHMG") ACTS AS A SUPPORTING ORGANIZATION TO UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER ("UHCMC"). THE CONTROL AND MANAGEMENT OF UHMG IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ITS SUPPORTED ORGANIZATION BECAUSE BOTH ENTITIES ARE PART OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY A COMMON PARENT, UNIVERSITY HOSPITALS HEALTH SYSTEM. - UNIVERSITY HOSPITALS HOMECARE SERVICES, INC. UNIVERSITY HOSPITALS HOMECARE SERVICES, INC. ("UHHCS") ACTS AS A SUPPORTING ORGANIZATION TO UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER ("UHCMC"). THE CONTROL AND MANAGEMENT OF UHHCS IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ITS SUPPORTED ORGANIZATION BECAUSE BOTH ENTITIES ARE PART OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY A COMMON PARENT, UNIVERSITY HOSPITALS HEALTH SYSTEM.

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 LAKE HOSPITAL SYSTEM, INC. (LHS) - 34-1425870 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 PARMA COMMUNITY GENERAL HOSPITAL (PARMA) - 34-0827442 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 PRIMEHEALTH, INC. (PH) - 34-1778204 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 ROBINSON HEALTH SYSTEM, INC. (PORT) - 46-1382538 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SAMARITAN REGIONAL HEALTH SYSTEM (SAM) - 34-0714535 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER (AHUJA) - 26-4827222 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, INC. (UHCMC) - 34-1567805 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER (CONN) - 34-0714550 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER (GENEVA) - 34-0714461 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UH REGIONAL HOSPITALS (UHRH) - 34-1924226 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER (SJMC) - 34-1260978 170(B)(1)(A)(III) 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS COORDINATED CARE ORGANIZATION (CCO) - 90-0794903 509(A)(2) 3605 WARRENSVILLE CENTER RD. - MSC 9155 SHAKER HEIGHTS, OH 44122 UNIVERSITY HOSPITALS HOME CARE SERVICES, INC. (HCS) - 34-1527536 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UH CLEVELAND MEDICAL CENTER COMPREHENSIVE HEALTH CARE OF OHIO, INC. (CHCO) - 34-1492733 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: EMH REGIONAL MEDICAL CENTER HEATHER HILL INC. (HHI) - 34-0771884 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER ROAD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UH CLEVELAND MEDICAL CENTER UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION (UHLSF) - 34-1720429 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. UNIVERSITY HOSPITALS MEDICAL GROUP, INC. (UHMG) - 20-4881619 509(A)(3) - TYPE II ORGANIZATION 3605 WARRENSVILLE CENTER RD - MSC 9155 SHAKER HEIGHTS, OH 44122 SUPPORTED ORGANIZATION: UH CLEVELAND MEDICAL CENTER PRIMEHEALTH, INC. IS RECOGNIZED AS A HEALTHCARE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III) OF THE INTERNAL REVENUE CODE. PRIMEHEALTH, INC. DOES NOT OPERATE A FACILITY THAT IS OR IS REQUIRED TO BE LICENSED AS A HOSPITAL. THEREFORE, PRIMEHEALTH, INC. IS NOT REQUIRED TO FILE FORM 990, SCHEDULE H.

SCHEDULE A, PART IV, SECTION C, LINE 1:

THE FOLLOWING GROUP SUBORDINATES RESPONDED YES: - HEATHER HILL, INC. THE FOLLOWING GROUP SUBORDINATES RESPONDED NO: - COMPREHENSIVE HEALTH CARE OF OHIO COMPREHENSIVE HEALTH CARE OF OHIO ("CHCO") IS A SUPPORTING ORGANIZATION OF EMH REGIONAL MEDICAL CENTER AS STATED IN ITS ARTICLES. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. ("UHHS") IS THE SOLE MEMBER OF CHCO. CHCO IS SUPERVISED, DIRECTED AND CONTROLLED BY UHHS. - UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION ("UHLSF") ACTS AS A SUPPORTING ORGANIZATION TO UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. ("UHHS"). ARTICLES OF INCORPORATION PROVIDE UHHS WITH SUPERVISION, DIRECTION AND CONTROL OVER UHLSF. - UNIVERSITY HOSPITALS MEDICAL GROUP, INC. UNIVERSITY HOSPITALS MEDICAL GROUP, INC. ("UHMG") ACTS AS A SUPPORTING ORGANIZATION TO UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER ("UHCMC"). THE CONTROL AND MANAGEMENT OF UHMG IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ITS SUPPORTED ORGANIZATION BECAUSE BOTH ENTITIES ARE PART OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY A COMMON PARENT, UNIVERSITY HOSPITALS HEALTH SYSTEM. - UNIVERSITY HOSPITALS HOMECARE SERVICES, INC. UNIVERSITY HOSPITALS HOMECARE SERVICES, INC. ("UHHCS") ACTS AS A SUPPORTING ORGANIZATION TO UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER ("UHCMC"). THE CONTROL AND MANAGEMENT OF UHHCS IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ITS SUPPORTED ORGANIZATION BECAUSE BOTH ENTITIES ARE PART OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY A COMMON PARENT, UNIVERSITY HOSPITALS HEALTH SYSTEM.

Schedule A (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

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

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization UNIVERSITY HOSPITALS HEALTH SYSTEM INC GROUP RETURN

Part I	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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose 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

(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

(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

(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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

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

right arrow

Complete if the organization is described below. 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

2024

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.

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

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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) 2024

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 right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures). Click to see attachment

List of Attached Documents:

// Content

B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

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) ......................	930	2,030
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................	165,309	360,800
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................	166,239	362,830
d	Other exempt purpose expenditures ...............................................................................	2,553,408,333	6,846,313,084
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................	2,553,574,572	6,846,675,914
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? ...................................................................................................................		Yes No

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) 2021	(b) 2022	(c) 2023	(d) 2024	(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	361,750	356,061	306,220	362,830	1,386,861

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	15,078	10,722	8,908	2,030	36,738

Schedule C (Form 990) 2024

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

(b)

Amount

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:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

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

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

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."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

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) 2024

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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 July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
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Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
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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)? .............................

Yes No

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.

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.

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 ......................... right arrow

$ 53,600

(ii)

Assets included in Form 990, Part X ............................... right arrow

$ 9,288,554

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:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other SEE SUPPLEMENTAL INFORMATION

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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 ....	306,072,720	272,549,052	291,824,000	241,904,000	211,303,000
b	Contributions ...	22,376,799	17,009,277	18,940,337	22,145,000	10,211,000
c	Net investment earnings, gains, and losses	33,558,372	29,884,094	-24,376,524	41,936,000	24,607,000
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	15,899,469	13,369,703	13,838,761	14,161,000	4,217,000
f	Administrative expenses ....
g	End of year balance ......	346,108,422	306,072,720	272,549,052	291,824,000	241,904,000

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

3.500 %

Permanent endowment right arrow

68.500 %

Term endowment right arrow

28.000 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

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 .....	98,822,730		98,822,730
b	Buildings ....	2,369,894,973	1,087,579,661	1,282,315,312
c	Leasehold improvements	25,314,841	18,385,452	6,929,389
d	Equipment ....	1,273,904,530	1,049,996,310	223,908,220
e	Other .....	16,851,722	46,809,397	-29,957,675
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,582,017,976

Schedule D (Form 990) (Rev. 1-2025)

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) OTHER SECURITIES	306,377,779	F
(B) INVESTMENTS (TR FUNDS)	27,460,399	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	333,838,178

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	216,933,287	F
(2)INVESTMENT IN AFFILIATES	17,469,709	C
(3)PERPETUAL TRUSTS	9,947,964	F
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	244,350,960

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.)...........

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
DUE TO THIRD PARTIES	29,688,548
PENSION LIABILITY	94,270,894
RESEARCH INST OPTION LIABILITY	12,275,690
OTHER LIABILITIES	124,904,851
PROFESSIONAL LIABILITY-WRA	11,770,252
LIABILITY RELATED TO THE SALE OF FUTURE REVENUE	192,974,931



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	465,885,166
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) (Rev. 1-2025)

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 3,386 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, 2024 AND 2023, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)
(Rev. January 2025)

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 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

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.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

YesNo

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)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

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) (Rev. 1-2025)

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.

		(a) Event #1 BERT L. WOLSTEIN LEGACY GOLF (event type)	(b) Event #2 MIRACLES HAPPEN CELEBRATION (event type)	(c) Other events 6 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	280,420	249,447	453,926	983,793
2	Less: Contributions . . . .	216,875	203,647	364,376	784,898
3	Gross income (line 1 minus line 2) . . . . . .	63,545	45,800	89,550	198,895

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .		13,610	1,710	15,320
7	Food and beverages . . .	90,264	47,089	123,140	260,493
8	Entertainment . . . .
9	Other direct expenses . . .	13,520	25,866	29,220	68,606
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				344,419
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-145,524

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.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

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

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

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990) (Rev. 1-2025)

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

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? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

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

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

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

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other 25000.0000000000 %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

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.

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"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .	72,478,222	0	72,478,222	1.230 %
b	Medicaid (from Worksheet 3, column a) . . . . .	957,688,469	750,483,157	207,205,312	3.510 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	1,030,166,691	750,483,157	279,683,534	4.740 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	14,000,228	1,762,129	12,238,099	0.210 %
f	Health professions education (from Worksheet 5) . . .	171,587,540	48,959,535	122,628,005	2.080 %
g	Subsidized health services (from Worksheet 6) . . . .	148,892,609	128,224,136	20,668,473	0.350 %
h	Research (from Worksheet 7) .	141,279,957	66,916,108	74,363,849	1.260 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,118,739	68,705	1,050,034	0.020 %
j	Total. Other Benefits . .	476,879,073	245,930,613	230,948,460	3.920 %
k	Total. Add lines 7d and 7j .	1,507,045,764	996,413,770	510,631,994	8.660 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

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			44,777		44,777	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			44,777		44,777	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

139,165,109

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. ......

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

Enter total revenue received from Medicare (including DSH and IME).....

588,508,600

Enter Medicare allowable costs of care relating to payments on line 5.....

653,876,999

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-65,368,399

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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 %	(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 %
33 MENTOR SURGERY CENTER	OUTPATIENT SURGERY CENTER	44.920 %	55.080 %
44 LAKE WEST MEDICAL SPECIALISTS	MEDICAL OFFICE BUILDING	40.000 %	60.000 %
55 CONCORD MEDICAL CAMPUS PHYSICIAN BUILDING LLC	MEDICAL OFFICE BUILDING	54.410 %	45.590 %
66 UH PHYSICIAN HOSPITAL ORGANIZATION INC	PHYSICIAN SERVICES	50.000 %	50.000 %
77 LAKE WILLOUGHBY PROPERTIES LLC	MEDICAL OFFICE BUILDING	35.000 %	65.000 %
8
9
10
11
12
13

Schedule H (Form 990) 2024

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?16Name, 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)									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 PARMA MEDICAL CENTER 7007 POWERS BLVD PARMA,OH44129 WWW.UHHOSPITALS.ORG 1007 UH PARMA MEDICAL CENTER 340827442	X	X					X		A
4	UH ELYRIA MEDICAL CENTER 630 EAST RIVER STREET ELYRIA,OH44035 WWW.UHHOSPITALS.ORG 1217 UH ELYRIA MEDICAL CENTER 340714612	X	X					X		A
5	UH LAKE WEST MEDICAL CENTER 36000 EUCLID AVENUE WILLOUGHBY,OH44094 WWW.UHHOSPITALS.ORG 1006 LAKE HOSPITAL SYSTEM 341425870	X	X					X		A
6	UH PORTAGE MEDICAL CENTER 6847 NORTH CHESTNUT STREET RAVENNA,OH44266 WWW.UHHOSPITALS.ORG 1255 UH PORTAGE MEDICAL CENTER 461382538	X	X		X			X		A
7	UH GEAUGA MEDICAL CENTER 13207 RAVENNA ROAD CHARDON,OH44024 WWW.UHHOSPITALS.ORG 1001 UH REGIONAL HOSPITALS 341924226	X	X					X	IP PSYCHIATRIC UNIT	B
8	UH AHUJA MEDICAL CENTER 3999 RICHMOND ROAD BEACHWOOD,OH44122 WWW.UHHOSPITALS.ORG 1497 UH AHUJA MEDICAL CENTER 264827222	X	X					X		A
9	UH TRIPOINT MEDICAL CENTER 7590 AUBURN ROAD CONCORD,OH44077 WWW.UHHOSPITALS.ORG 1211 LAKE HOSPITAL SYSTEM 341425870	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 SAMARITAN MEDICAL CENTER 1025 CENTER STREET ASHLAND,OH44805 WWW.SAMARITANHOSPITAL.ORG 1104 UH SAMARITAN MEDICAL CENTER 340714535	X	X					X		B
12	UNIVERSITY HOSPITALS REHABILITATION HOSPITAL 23333 HARVARD ROAD BEACHWOOD,OH44122 WWW.UHHOSPITALS.ORG 1509 UH CLEVELAND MEDICAL CENTER 341567805	X							REHABILATION	A
13	UH AVON REHABILITATION HOSPITAL 37900 CHESTER ROAD AVON,OH44011 WWW.UHHOSPITALS.ORG 1523 UNIVERSITY HOSPITALS HEALTH SYSTEM INC 340714775	X							REHABILATION	A
14	UH GENEVA MEDICAL CENTER 870 WEST MAIN STREET GENEVA,OH44041 WWW.UHHOSPITALS.ORG 1108 UH GENEVA MEDICAL CENTER 340714461	X				X		X		A
15	UH CONNEAUT MEDICAL CENTER 158 WEST MAIN ROAD CONNEAUT,OH44030 WWW.UHHOSPITALS.ORG 1107 UH CONNEAUT MEDICAL CENTER 340714550	X				X		X		A
16	UH BEACHWOOD MEDICAL CENTER 25501 CHAGRIN BLVD BEACHWOOD,OH44122 WWW.UHHOSPITALS.ORG 1917 LAKE HOSPITAL SYSTEM 341425870	X	X							C

Schedule H (Form 990) 2024

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

Community Health Needs Assessment

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?........................

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...............

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......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

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 .................

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..................................

Yes

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. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

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) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Yes

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?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

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

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

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

Community Health Needs Assessment

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?........................

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......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

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..................................

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. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

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) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	REPORTING GROUP B
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	REPORTING GROUP B
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

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

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

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 C
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

Community Health Needs Assessment

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?........................

Yes

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......................

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20

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..................................

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. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url):

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Indicate the tax year the hospital facility last adopted an implementation strategy: 20

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

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) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	REPORTING GROUP C
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	REPORTING GROUP C
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	REPORTING GROUP C
Name of hospital facility or letter of facility reporting group

Yes

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

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 3: UH PARMA MEDICAL CENTER, - FACILITY 4: UH ELYRIA MEDICAL CENTER, - FACILITY 5: UH LAKE WEST MEDICAL CENTER, - FACILITY 6: UH PORTAGE MEDICAL CENTER, - FACILITY 8: UH AHUJA MEDICAL CENTER, - FACILITY 9: UH TRIPOINT MEDICAL CENTER, - FACILITY 10: UH ST. JOHN MEDICAL CENTER, - FACILITY 12: UNIVERSITY HOSPITALS REHABILITATION HOSPITAL, - FACILITY 13: UH AVON REHABILITATION HOSPITAL, - FACILITY 14: UH GENEVA MEDICAL CENTER, - FACILITY 15: UH CONNEAUT MEDICAL CENTER
GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 3J:	IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, HOUSING, AND NEIGHBORHOOD AND BUILT ENVIRONMENT INDICATORS FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AMERICAN COMMUNITY SURVEY, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2022 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CUYAHOGA COUNTY CHNA STEERING COMMITTEE, INCLUDING UH CLEVELAND MEDICAL CENTER AND OTHER UH AFFILIATED HOSPITALS, COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT DEVELOPMENT OF CUYAHOGA COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO IMPROVE COMMUNITY HEALTH BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES.
GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 5:	MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS OF QUALITATIVE DATA COLLECTION IN WHICH INCLUDED TWO VIRTUAL PUBLIC PRIORITIZATION SESSIONS THAT WERE HOSTED IN EARLY AUGUST 2022. UH CLEVELAND MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (KEY INFORMANT INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS AND FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM CUYAHOGA COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS (KIIS) WITH COMMUNITY STAKEHOLDERS AND COMMUNITY FOCUS GROUPS. CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) CONDUCTED KEY INFORMANT INTERVIEWS VIA PHONE AND VIDEO CONFERENCE IN ORDER TO COLLECT COMMUNITY INPUT. INTERVIEWEES INVITED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, AND/OR BEING ABLE TO SPEAK TO THE NEEDS OF UNDERSERVED OR VULNERABLE POPULATIONS. THIRTY-TWO INDIVIDUALS PARTICIPATED AS KEY INFORMANTS REPRESENTING DIFFERENT ENTITIES SERVING CUYAHOGA COUNTY. THE REPRESENTED ORGANIZATIONS ARE LISTED BELOW:- ADAMHS BOARD OF CUYAHOGA COUNTY- ASIAN SERVICES IN ACTION (ASIA)- BENJAMIN ROSE INSTITUTE ON AGING- BETTER HEALTH PARTNERSHIP- CALVARY HILL CHURCH OF GOD IN CHRIST- CENTER FOR COMMUNITY SOLUTIONS- CENTERS FOR FAMILIES & CHILDREN- CITY OF CLEVELAND DIVISION OF EMERGENCY MEDICAL SERVICES (EMS)- CLEVELAND CLINIC LAKEWOOD FAMILY HEALTH CENTER- CLEVELAND DEPARTMENT OF PUBLIC HEALTH (CDPH)- CUYAHOGA COUNTY BOARD OF HEALTH (CCBH)- CUYAHOGA COUNTY HHS- CUYAHOGA COUNTY OFFICE OF HOMELESS SERVICES- CUYAHOGA METROPOLITAN HOUSING AUTHORITY (CMHA)- EDUCATIONAL SERVICE CENTER OF NEO- ESPERANZA, INC- FRONTLINE SERVICE- GREATER CLEVELAND FOOD BANK- GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY (RTA)- HISPANIC ROUNDTABLE- LGBT COMMUNITY CENTER- MAY DUGAN CENTER- NAMI GREATER CLEVELAND- NEIGHBORHOOD FAMILY PRACTICE- POLICY BRIDGE- POSITIVE EDUCATION PROGRAM (PEP)- TAYLOR OSWALD- UNIVERSITY HOSPITALS PEDIATRIC/WOMEN'S- URBAN LEAGUE OF GREATER CLEVELANDSECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM THE HEALTHY NORTHEAST OHIO (NEO) COMMUNITY DATA PLATFORM. HEALTHY NEO IS A PUBLICLY AVAILABLE WEBSITE WHICH HOUSES NEUTRAL POPULATION HEALTH DATA AND COMMUNITY HEALTH RESOURCES TO SUPPORT COMMUNITY HEALTH IMPROVEMENT EFFORTS ACROSS A 9-COUNTY REGION. THE DATA ON THIS PLATFORM, MAINTAINED BY RESEARCHERS AND ANALYSTS AT CONDUENT HCI, INCLUDES OVER 200 COMMUNITY INDICATORS, SPANNING AT LEAST 24 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA ARE PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS IS COMPARED TO OTHER COMMUNITIES, NATIONAL TARGETS, AND TO PREVIOUS TIME PERIODS.
GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH CLEVELAND MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: - UNIVERSITY HOSPITALS RAINBOW BABIES & CHILDREN'S HOSPITAL- UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER- THE PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION D/B/A UNIVERSITY HOSPITALS PARMA MEDICAL CENTER- UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER- BEACHWOOD RH, LLC ("UH REHABILITATION HOSPITAL")- SOUTHWEST GENERAL HEALTH CENTER- ST. VINCENT CHARITY MEDICAL CENTER
GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 6B:	THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: - A VISION OF CHANGE- BETTER HEALTH PARTNERSHIP- CASE WESTERN RESERVE UNIVERSITY- CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE- CLEVELAND CLINIC- CLEVELAND DEPARTMENT OF PUBLIC HEALTH- CUYAHOGA COUNTY BOARD OF HEALTH- CUYAHOGA COUNTY CLERK OF COURTS- CUYAHOGA COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES- THE METROHEALTH SYSTEM- NEIGHBORHOOD FAMILY PRACTICE- POLICYBRIDGE- THE CENTER FOR HEALTH AFFAIRS- UNITED WAY
GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 11:	THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH CLEVELAND MEDICAL CENTER (CUYAHOGA COUNTY) IDENTIFIED THE FOLLOWING TWO PRIORITY HEATH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEATH NEED #1: ACCESSIBLE AND AFFORDABLE HEALTH CARE STRATEGY #1: COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS TO INCREASE ACCESS STRATEGY #2: STRATEGIC PARTNERSHIPS AND TARGETED SCREENING AND EDUCATION AMONG HIGH-RISK POPULATIONS TO INCREASE ACCESS, AND DECREASE BARRIERS TO CANCER SCREENING AND TREATMENT STRATEGY #3: CO-LOCATE PROGRAMS AND SERVICES WITHIN A COMMUNITY-BASED MEDICAL CENTER IN AN UNDER-RESOURCED COMMUNITY STRATEGY #4: CREATE OPPORTUNITIES TO EXPOSE MINORITIZED YOUTH TO CAREERS IN HEALTH CARE:- UH HEALTH SCHOLARS- BLACK MEN IN WHITE COATSPRIORITY HEALTH NEED #2: COMMUNITY CONDITIONS (COMMUNITY SAFETY) STRATEGY #1: COMMUNITY SAFETY TRAINING STRATEGY #2: CO-LOCATE PROGRAMS AND SERVICES WITHIN A COMMUNITY-BASED MEDICAL CENTER IN AN UNDER-RESOURCED COMMUNITY STRATEGY #3: HOSPITAL-BASED INTERVENTION PROGRAM TO SERVE PATIENTS IDENTIFIED AND SCREENED DURING TREATMENTIN ADDITION TO THE AFOREMENTIONED STRATEGIC INITIATIVES OUTLINED IN DETAIL IN THIS PLAN, THE HOSPITAL WILL EITHER BEGIN OR CONTINUE TO PROVIDE OTHER COMMUNITY BENEFIT PROGRAMS RESPONSIVE TO THE HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA. THESE MAY INCLUDE, BUT ARE NOT LIMITED TO, HEALTH EDUCATION PROGRAMS, SCREENINGS, SUPPORT GROUPS AND OTHER COMMUNITY HEALTH IMPROVEMENT SERVICES; MEDICAL RESEARCH; EDUCATION FOR PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS AND ACCESS TO CARE THROUGH THE UH HOSPITAL FINANCIAL ASSISTANCE PROGRAM.THE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE TWO PRIORITIZED HEALTH NEEDS ABOVE AS THOSE NEEDS WERE CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON THOSE NEEDS. THE PRIORITIZED HEALTH NEED IDENTIFIED IN THE 2022 CHNA FOR CUYAHOGA COUNTY THAT IS NOT BEING ADDRESSED BY UH CLEVELAND MEDICAL CENTER IS BEHAVIORAL HEALTH (MENTAL HEALTH & DRUG USE/MISUSE). UH CLEVELAND MEDICAL CENTER HAS DETERMINED THAT IT IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND/OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT NEED AND MAKING A SIGNIFICANT POSITIVE IMPACT.FOR MORE DETAILS ON THE STRATEGIES THAT UH CLEVELAND MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CUYAHOGA COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 13H:	PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 15E:	THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 1 -- UH CLEVELAND MEDICAL CENTER PART V, SECTION B, LINE 18E:	NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 3J:	IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, HOUSING, AND NEIGHBORHOOD AND BUILT ENVIRONMENT INDICATORS FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AMERICAN COMMUNITY SURVEY, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2022 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CUYAHOGA COUNTY CHNA STEERING COMMITTEE, INCLUDING UH RAINBOW BABIES & CHILDREN'S HOSPITAL AND OTHER UH AFFILIATED HOSPITALS, COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT DEVELOPMENT OF CUYAHOGA COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO IMPROVE COMMUNITY HEALTH BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES.
GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5:	MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS OF QUALITATIVE DATA COLLECTION IN WHICH INCLUDED TWO VIRTUAL PUBLIC PRIORITIZATION SESSIONS THAT WERE HOSTED IN EARLY AUGUST 2022.THE UH RAINBOW BABIES & CHILDREN'S MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (KEY INFORMANT INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS AND FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS).TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM CUYAHOGA COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS (KIIS) WITH COMMUNITY STAKEHOLDERS AND COMMUNITY FOCUS GROUPS. CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) CONDUCTED KEY INFORMANT INTERVIEWS VIA PHONE AND VIDEO CONFERENCE IN ORDER TO COLLECT COMMUNITY INPUT. INTERVIEWEES INVITED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, AND/OR BEING ABLE TO SPEAK TO THE NEEDS OF UNDERSERVED OR VULNERABLE POPULATIONS. THIRTY-TWO INDIVIDUALS PARTICIPATED AS KEY INFORMANTS REPRESENTING DIFFERENT ENTITIES SERVING CUYAHOGA COUNTY. THE REPRESENTED ORGANIZATIONS ARE LISTED BELOW:- ADAMHS BOARD OF CUYAHOGA COUNTY- ASIAN SERVICES IN ACTION (ASIA)- BENJAMIN ROSE INSTITUTE ON AGING- BETTER HEALTH PARTNERSHIP- CALVARY HILL CHURCH OF GOD IN CHRIST- CENTER FOR COMMUNITY SOLUTIONS- CENTERS FOR FAMILIES & CHILDREN- CITY OF CLEVELAND DIVISION OF EMERGENCY MEDICAL SERVICES (EMS)- CLEVELAND CLINIC LAKEWOOD FAMILY HEALTH CENTER- CLEVELAND DEPARTMENT OF PUBLIC HEALTH (CDPH)- CUYAHOGA COUNTY BOARD OF HEALTH (CCBH)- CUYAHOGA COUNTY HHS- CUYAHOGA COUNTY OFFICE OF HOMELESS SERVICES- CUYAHOGA METROPOLITAN HOUSING AUTHORITY (CMHA)- EDUCATIONAL SERVICE CENTER OF NEO- ESPERANZA, INC- FRONTLINE SERVICE- GREATER CLEVELAND FOOD BANK- GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY (RTA)- HISPANIC ROUNDTABLE- LGBT COMMUNITY CENTER- MAY DUGAN CENTER- NAMI GREATER CLEVELAND- NEIGHBORHOOD FAMILY PRACTICE- POLICY BRIDGE- POSITIVE EDUCATION PROGRAM (PEP)- TAYLOR OSWALD- UNIVERSITY HOSPITALS PEDIATRIC/WOMEN'S- URBAN LEAGUE OF GREATER CLEVELANDSECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM THE HEALTHY NORTHEAST OHIO (NEO) COMMUNITY DATA PLATFORM. HEALTHY NEO IS A PUBLICLY AVAILABLE WEBSITE WHICH HOUSES NEUTRAL POPULATION HEALTH DATA AND COMMUNITY HEALTH RESOURCES TO SUPPORT COMMUNITY HEALTH IMPROVEMENT EFFORTS ACROSS A 9-COUNTY REGION. THE DATA ON THIS PLATFORM, MAINTAINED BY RESEARCHERS AND ANALYSTS AT CONDUENT HCI, INCLUDES OVER 200 COMMUNITY INDICATORS, SPANNING AT LEAST 24 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA ARE PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS IS COMPARED TO OTHER COMMUNITIES, NATIONAL TARGETS, AND TO PREVIOUS TIME PERIODS.
GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6A:	THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH RAINBOW BABIES & CHILDREN'S HOSPITAL IN THE JOINT CHNA FOR CUYAHOGA COUNTY: - UH CLEVELAND MEDICAL CENTER- UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER- THE PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION D/B/A UNIVERSITY HOSPITALS PARMA MEDICAL CENTER- UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER- BEACHWOOD RH, LLC ("UH REHABILITATION HOSPITAL")- SOUTHWEST GENERAL HEALTH CENTER- ST. VINCENT CHARITY MEDICAL CENTER
GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6B:	THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: - A VISION OF CHANGE- BETTER HEALTH PARTNERSHIP- CASE WESTERN RESERVE UNIVERSITY- CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE- CLEVELAND CLINIC- CLEVELAND DEPARTMENT OF PUBLIC HEALTH- CUYAHOGA COUNTY BOARD OF HEALTH- CUYAHOGA COUNTY CLERK OF COURTS- CUYAHOGA COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES- THE METROHEALTH SYSTEM- NEIGHBORHOOD FAMILY PRACTICE- POLICYBRIDGE- THE CENTER FOR HEALTH AFFAIRS- UNITED WAY
GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11:	THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH RAINBOW BABIES & CHILDREN'S HOSPITAL (CUYAHOGA COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEALTH NEED AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEATH NEED #1: COMMUNITY CONDITIONS STRATEGY #1: RAINBOW CONNECTS SOCIAL NEEDS SCREENING AND NAVIGATION STRATEGY #2: ANTIFRAGILITY INITIATIVE- A HOLISTIC, PERSON-CENTERED PEDIATRIC HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM (HVIP) SERVING YOUTHS AND FAMILIES IN THE GREATER CLEVELAND AREAPRIORITY HEALTH NEED #2: ACCESSIBLE AND AFFORDABLE HEALTH CARE STRATEGY #1: CENTERING PREGNANCY (UH PROGRAM)PRIORITY HEALTH NEED #3: BEHAVIORAL HEALTH STRATEGY #1: CENTERING PREGNANCY (UH PROGRAM) STRATEGY #2: ANTIFRAGILITY INITIATIVE- A HOLISTIC, PERSON-CENTERED PEDIATRIC HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM (HVIP) SERVING YOUTHS AND FAMILIES IN THE GREATER CLEVELAND AREAUH RAINBOW BABIES & CHILDREN'S HOSPITAL IS CURRENTLY ADDRESSING ALL THREE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR CUYAHOGA COUNTY, AND THERE ARE NO PRIORITIZED HEALTH NEEDS THAT UH RAINBOW BABIES & CHILDREN'S HOSPITAL IS NOT ADDRESSING.FOR MORE DETAILS ON THE STRATEGIES THAT UH RAINBOW BABIES & CHILDREN'S HOSPITAL IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CUYAHOGA COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 13H:	PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 15E:	THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 2 -- UH RAINBOW BABIES & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 18E:	NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 8 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 3J:	IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, HOUSING, AND NEIGHBORHOOD AND BUILT ENVIRONMENT INDICATORS FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AMERICAN COMMUNITY SURVEY, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2022 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CUYAHOGA COUNTY CHNA STEERING COMMITTEE, INCLUDING UH AHUJA MEDICAL CENTER AND OTHER UH AFFILIATED HOSPITALS, COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT DEVELOPMENT OF CUYAHOGA COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO IMPROVE COMMUNITY HEALTH BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES.
GROUP A-FACILITY 8 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 5:	MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS OF QUALITATIVE DATA COLLECTION IN WHICH INCLUDED TWO VIRTUAL PUBLIC PRIORITIZATION SESSIONS THAT WERE HOSTED IN EARLY AUGUST 2022. UH AHUJA MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (KEY INFORMANT INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS AND FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS).TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM CUYAHOGA COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS (KIIS) WITH COMMUNITY STAKEHOLDERS AND COMMUNITY FOCUS GROUPS. CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) CONDUCTED KEY INFORMANT INTERVIEWS VIA PHONE AND VIDEO CONFERENCE IN ORDER TO COLLECT COMMUNITY INPUT. INTERVIEWEES INVITED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, AND/OR BEING ABLE TO SPEAK TO THE NEEDS OF UNDERSERVED OR VULNERABLE POPULATIONS. THIRTY-TWO INDIVIDUALS PARTICIPATED AS KEY INFORMANTS REPRESENTING DIFFERENT ENTITIES SERVING CUYAHOGA COUNTY. THE REPRESENTED ORGANIZATIONS ARE LISTED BELOW:- ADAMHS BOARD OF CUYAHOGA COUNTY- ASIAN SERVICES IN ACTION (ASIA)- BENJAMIN ROSE INSTITUTE ON AGING- BETTER HEALTH PARTNERSHIP- CALVARY HILL CHURCH OF GOD IN CHRIST- CENTER FOR COMMUNITY SOLUTIONS- CENTERS FOR FAMILIES & CHILDREN- CITY OF CLEVELAND DIVISION OF EMERGENCY MEDICAL SERVICES (EMS)- CLEVELAND CLINIC LAKEWOOD FAMILY HEALTH CENTER- CLEVELAND DEPARTMENT OF PUBLIC HEALTH (CDPH)- CUYAHOGA COUNTY BOARD OF HEALTH (CCBH)- CUYAHOGA COUNTY HHS- CUYAHOGA COUNTY OFFICE OF HOMELESS SERVICES- CUYAHOGA METROPOLITAN HOUSING AUTHORITY (CMHA)- EDUCATIONAL SERVICE CENTER OF NEO- ESPERANZA, INC- FRONTLINE SERVICE- GREATER CLEVELAND FOOD BANK- GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY (RTA)- HISPANIC ROUNDTABLE- LGBT COMMUNITY CENTER- MAY DUGAN CENTER- NAMI GREATER CLEVELAND- NEIGHBORHOOD FAMILY PRACTICE- POLICY BRIDGE- POSITIVE EDUCATION PROGRAM (PEP)- TAYLOR OSWALD- UNIVERSITY HOSPITALS PEDIATRIC/WOMEN'S- URBAN LEAGUE OF GREATER CLEVELANDSECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM THE HEALTHY NORTHEAST OHIO (NEO) COMMUNITY DATA PLATFORM. HEALTHY NEO IS A PUBLICLY AVAILABLE WEBSITE WHICH HOUSES NEUTRAL POPULATION HEALTH DATA AND COMMUNITY HEALTH RESOURCES TO SUPPORT COMMUNITY HEALTH IMPROVEMENT EFFORTS ACROSS A 9-COUNTY REGION. THE DATA ON THIS PLATFORM, MAINTAINED BY RESEARCHERS AND ANALYSTS AT CONDUENT HCI, INCLUDES OVER 200 COMMUNITY INDICATORS, SPANNING AT LEAST 24 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA ARE PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS IS COMPARED TO OTHER COMMUNITIES, NATIONAL TARGETS, AND TO PREVIOUS TIME PERIODS.
GROUP A-FACILITY 8 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH AHUJA MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: - UH CLEVELAND MEDICAL CENTER - UNIVERSITY HOSPITALS RAINBOW BABIES & CHILDREN'S HOSPITAL- THE PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION D/B/A UNIVERSITY HOSPITALS PARMA MEDICAL CENTER- UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER- BEACHWOOD RH, LLC ("UH REHABILITATION HOSPITAL")- SOUTHWEST GENERAL HEALTH CENTER- ST. VINCENT CHARITY MEDICAL CENTER
GROUP A-FACILITY 8 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 6B:	THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: - A VISION OF CHANGE- BETTER HEALTH PARTNERSHIP- CASE WESTERN RESERVE UNIVERSITY- CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE- CLEVELAND CLINIC- CLEVELAND DEPARTMENT OF PUBLIC HEALTH- CUYAHOGA COUNTY BOARD OF HEALTH- CUYAHOGA COUNTY CLERK OF COURTS- CUYAHOGA COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES- THE METROHEALTH SYSTEM- NEIGHBORHOOD FAMILY PRACTICE- POLICYBRIDGE- THE CENTER FOR HEALTH AFFAIRS- UNITED WAY
GROUP A-FACILITY 8 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 11:	THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH AHUJA MEDICAL CENTER (CUYAHOGA COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: COMMUNITY CONDITIONS STRATEGY #1: STRATEGIC PARTNERSHIPS AND PROGRAMMING TO ADDRESS SOCIAL DETERMINANTS OF HEALTH WITH THE FOLLOWING GOALS: - INCREASE ACCESS TO RESOURCES FOR VULNERABLE POPULATIONS INCLUDING UNDER-RESOURCED INDIVIDUALS, YOUTH AND INFANTS IN PARTICULAR IN CUYAHOGA COUNTY.- REDUCE THE PERCENTAGE OF PATIENTS WHO REPORT THEY CANNOT ACCESS ENOUGH HEALTHY FOOD FOR THEMSELVES OR THEIR CHILDREN AND PROVIDE ADDITIONAL SOCIAL SUPPORT AS NEEDED STRATEGY #2: RAISE AWARENESS ABOUT APPROPRIATE HOSPITAL UTILIZATION OPTIONS AND PROVIDE COMMUNITY-BASED EDUCATION, HEALTH SCREENINGS AND SUPPORT GROUPS TO ADVANCE HEALTH EQUITY IN CUYAHOGA COUNTY WITH THE GOAL TO:- ASSIST PATIENTS WITH NAVIGATING SYSTEMS OF CARE TO ATTAIN NECESSARY SOCIAL SERVICES AND PROVIDE COMMUNITY SPACE FOR JOB TRAINING, WELLNESS CLASSES, SUPPORT GROUPS, ETC.PRIORITY HEALTH NEED #2: ACCESSIBLE AND AFFORDABLE HEALTH CARE STRATEGY #1: RAISE AWARENESS ABOUT APPROPRIATE HOSPITAL UTILIZATION OPTIONS AND PROVIDE COMMUNITY-BASED EDUCATION, HEALTH SCREENINGS AND SUPPORT GROUPS TO ADVANCE HEALTH EQUITY IN CUYAHOGA COUNTY WITH THE FOLLOWING GOALS:- IMPROVE WELL-BEING OF INDIVIDUALS BY INCREASING ACCESS TO CARE BY REMOVING IDENTIFIED BARRIERS THROUGH HEALTH LITERACY AND SCREENINGS- ASSIST PATIENTS WITH NAVIGATING SYSTEMS OF CARE TO ATTAIN NECESSARY SOCIAL SERVICES AND PROVIDE COMMUNITY SPACE FOR JOB TRAINING, WELLNESS CLASSES, SUPPORT GROUPS, ETC.THE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE TWO PRIORITIZED HEALTH NEEDS ABOVE AS THOSE NEEDS WERE CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON THOSE NEEDS. THE PRIORITIZED HEALTH NEED IDENTIFIED IN THE 2022 CHNA FOR CUYAHOGA COUNTY THAT IS NOT BEING ADDRESSED BY UH AHUJA MEDICAL CENTER IS BEHAVIORAL HEALTH (MENTAL HEALTH & DRUG USE/MISUSE). UH AHUJA MEDICAL CENTER HAS DETERMINED THAT IT IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND/OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT NEED AND MAKING A SIGNIFICANT POSITIVE IMPACT.FOR MORE DETAILS ON THE STRATEGIES THAT UH AHUJA MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CUYAHOGA COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 8 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 13H:	PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 8 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 15E:	THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 8 -- UH AHUJA MEDICAL CENTER PART V, SECTION B, LINE 18E:	NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 14 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 3J:	IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH SUCH AS ACCESS TO HEALTH CARE, ECONOMIC STABILITY, EDUCATION, AND NEIGHBORHOOD AND ENVIRONMENT FACTS; BEHAVIORAL RISK FACTORS; MENTAL AND SOCIAL HEALTH FACTORS; MATERNAL AND INFANT HEALTH FACTORS; AND ANALYED THE LEADING CAUSES OF DEATH, ILLNESS, AND INJURY TO ASHTABULA COUNTY RESIDENTS. SECONDARY DATA SOURCES USED TO ASSESS THOSE FACTORS INCLUDE FEDERAL SOURCES SUCH AS THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES: HEALTHY PEOPLE 2030 AND U.S. CENSUS BUREAU; STATE SOURCES SUCH AS OHIO DEPARTMENT OF HEALTH'S DATA WAREHOUSE; AND LOCAL SOURCES SUCH AS UNIVERSITY HOSPITALS AND ASHTABULA COUNTY MEDICAL CENTER. THE ASSESSMENT ALSO ENCOMPASSES PRIMARY SURVEY DATA FROM YOUTH, ADULT RESIDENTS, AND COMMUNITY OUTREACH DATA FROM COMMUNITY POLLS AND COMMUNITY LEADER INTERVIEWS. HEALTHY ASHTABULA COUNTY, INCLUDING UH GENEVA MEDICAL CENTER AND OTHER UH AFFILIATED HOSPITALS, CONTRACTED WITH ILLUMINOLOGY, A CENTRAL OHIO BASED RESEARCH FIRM, TO ASSIST IN THE PREPARATION OF THE 2022 CHNA REPORT FOR ASHTABULA COUNTY. ILLUMINOLOGY LED THE PROCESS FOR LOCATING HEALTH STATUS INDICATOR DATA; FOR DESIGNING AND CONDUCTING THE COMMUNITY LEADER INTERVIEWS, COMMUNITY POLL, AND ADULT SURVEY; AND FOR CREATING THE SUMMARY REPORT. ILLUMINOLOGY HAS 24 YEARS OF EXPERIENCE RELATED TO RESEARCH DESIGN, ANALYSIS, AND REPORTING, AND HAS CONDUCTED NUMEROUS COMMUNITY HEALTH ASSESSMENTS.
GROUP A-FACILITY 14 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 5:	THE UH GENEVA MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES. PRIMARY DATA USED IN THE ASSESSMENT CONSISTED OF DISCUSSIONS WITH COMMUNITY LEADERS, STAKEHOLDERS, AND EMPLOYEES FROM PARTICIPATING ORGANIZATIONS REGARDING HEALTH ISSUES IN ASHTABULA COUNTY. THE PRIMARY DATA FROM ADULT RESIDENTS CONSISTED OF A REPRESENTATIVE SURVEY MAILED TO A TOTAL OF 2,200 ADDRESSES RANDOMLY SELECTED FROM THE UNIVERSE OF RESIDENTIAL ADDRESSES IN ASHTABULA COUNTY. DATA FROM THE YOUTH CONSISTED OF A SURVEY DEVELOPED BY THE OHIO DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES AND FACILITATED BY THE ASHTABULA COUNTY MENTAL HEALTH AND RECOVERY SERVICES BOARD. 1,902 STUDENTS COMPLETED THE YOUTH SURVEY. IN ADDITION TO THE ADULT AND YOUTH SURVEYS, THE ASHTABULA COUNTY HEALTH DEPARTMENT WORKED WITH ILLUMINOLOGY TO DESIGN AND DEPLOY AN INFORMAL, QUALITATIVE POLL OF COMMUNITY RESIDENTS AND STAKEHOLDERS AND CONDUCT COMMUNITY LEADER INTERVIEWS. THE 2022 CHNA WAS OVERSEEN BY HEALTHY ASHTABULA COUNTY, A COMMITTEE OF PUBLIC HEALTH EXPERTS, WHO SIGNIFICANTLY CONTRIBUTED TO IDENTIFYING AND SUMMARIZING THE BROAD INTERESTS OF THE COMMUNITY. THE REPRESENTED ORGANIZATIONS IN THE COMMITTEE ARE LISTED BELOW: - ASHTABULA CITY HEALTH DEPARTMENT- ASHTABULA COUNTY HEALTH DEPARTMENT- ASHTABULA COUNTY JUVENILE COURT- ASHTABULA COUNTY MEDICAL CENTER - ASHTABULA COUNTY MENTAL HEALTH & RECOVERY BOARD- ASHTABULA COUNTY COMMISSIONERS- ASHTABULA COUNTY COMMUNITY ACTION AGENCY- ASHTABULA COUNTY DEPARTMENT OF JFS- ASHTABULA COUNTY EDUCATIONAL SERVICE CENTER- CATHOLIC CHARITIES OF ASHTABULA COUNTY- CONNEAUT CITY HEALTH DEPARTMENT - COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY- COUNTRY NEIGHBOR PROGRAM- GLENBEIGH HOSPITAL- HEALTHY NORTHEAST OHIO- LAKE AREA RECOVERY CENTER- SIGNATURE HEALTH- THE CENTER FOR HEALTH AFFAIRS- UNIVERSITY HOSPITALSSECONDARY DATA FOR THE CHNA CAME FROM NATIONAL, STATE, AND LOCAL SOURCES. DATA FOR ASHTABULA COUNTY OVERALL, ASHTABULA CITY, CONNEAUT CITY, AND OHIO WERE ALSO COLLECTED WHEN AVAILABLE. WHEREVER POSSIBLE, LOCAL FINDINGS WERE COMPARED TO OTHER RELEVANT DATA. ADDITIONAL INFORMATION WAS COLLECTED FROM SECONDARY DATA SOURCES SUCH AS VITAL STATISTICS AND THE OHIO DISEASE REPORTING SYSTEM TO SUPPLEMENT FINDINGS FROM THE PRIMARY DATA COLLECTION.
GROUP A-FACILITY 14 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 6A:	IN ADDITION TO UH GENEVA MEDICAL CENTER, THE FOLLOWING HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR ASHTABULA COUNTY. - UH CONNEAUT MEDICAL CENTER- ASHTABULA COUNTY MEDICAL CENTER
GROUP A-FACILITY 14 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 6B:	THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR ASHTABULA COUNTY: - ASHTABULA CITY HEALTH DEPARTMENT- ASHTABULA COUNTY HEALTH DEPARTMENT- ASHTABULA COUNTY JUVENILE COURT- ASHTABULA COUNTY MENTAL HEALTH & RECOVERY BOARD- ASHTABULA COUNTY COMMISSIONERS- ASHTABULA COUNTY COMMUNITY ACTION AGENCY- ASHTABULA COUNTY DEPARTMENT OF JFS- ASHTABULA COUNTY EDUCATIONAL SERVICE CENTER- CATHOLIC CHARITIES OF ASHTABULA COUNTY- CONNEAUT CITY HEALTH DEPARTMENT - COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY- COUNTRY NEIGHBOR PROGRAM- GLENBEIGH HOSPITAL- HEALTHY NORTHEAST OHIO- LAKE AREA RECOVERY CENTER- SIGNATURE HEALTH- THE CENTER FOR HEALTH AFFAIRS
GROUP A-FACILITY 14 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 11:	THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH GENEVA MEDICAL CENTER (ASHTABULA COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEALTH NEED AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: ACCESS TO CARE STRATEGY #1: IMPROVE ACCESS TO COMPREHENSIVE PRIMARY CAREPRIORITY HEALTH NEED #2: PREVENT OBESITY AND CHRONIC CONDITIONS BY PROMOTING NUTRITION AND PHYSICAL ACTIVITY STRATEGY #1: DIABETES PREVENTION AND EDUCATION PROGRAM STRATEGY #2: IMPLEMENTATION OF A PHYSICAL ACTIVITY AND NUTRITION EDUCATION PROGRAM IN THE COMMUNITY AND SCHOOL ENVIRONMENTS STRATEGY #3: DIABETES PREVENTION PROGRAM (DPP) AND PREDIABETES SCREENING AND REFERRAL STRATEGY #4: HYPERTENSION SCREENING AND FOLLOW-UPPRIORITY HEALTH NEED #3: PREVENT AND PROMOTE TREATMENT OF DEPRESSION AND ANXIETY ACROSS THE LIFESPAN STRATEGY #1: SCHOOL-BASED ALCOHOL/OTHER DRUG PREVENTION PROGRAMSUH GENEVA MEDICAL CENTER IS CURRENTLY ADDRESSING ALL THREE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR ASHTABULA COUNTY, AND THERE ARE NO PRIORITIZED HEALTH NEEDS THAT UH GENEVA MEDICAL CENTER IS NOT ADDRESSING.FOR MORE DETAILS ON THE STRATEGIES THAT UH GENEVA MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 ASHTABULA COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 14 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 13H:	PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 14 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 15E:	THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 14 -- UH GENEVA MEDICAL CENTER PART V, SECTION B, LINE 18E:	NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 15 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 3J:	IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH SUCH AS ACCESS TO HEALTH CARE, ECONOMIC STABILITY, EDUCATION, AND NEIGHBORHOOD AND ENVIRONMENT FACTS; BEHAVIORAL RISK FACTORS; MENTAL AND SOCIAL HEALTH FACTORS; MATERNAL AND INFANT HEALTH FACTORS; AND ANALYED THE LEADING CAUSES OF DEATH, ILLNESS, AND INJURY TO ASHTABULA COUNTY RESIDENTS. SECONDARY DATA SOURCES USED TO ASSESS THOSE FACTORS INCLUDE FEDERAL SOURCES SUCH AS THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES: HEALTHY PEOPLE 2030 AND U.S. CENSUS BUREAU; STATE SOURCES SUCH AS OHIO DEPARTMENT OF HEALTH'S DATA WAREHOUSE; AND LOCAL SOURCES SUCH AS UNIVERSITY HOSPITALS AND ASHTABULA COUNTY MEDICAL CENTER. THE ASSESSMENT ALSO ENCOMPASSES PRIMARY SURVEY DATA FROM YOUTH, ADULT RESIDENTS, AND COMMUNITY OUTREACH DATA FROM COMMUNITY POLLS AND COMMUNITY LEADER INTERVIEWS. HEALTHY ASHTABULA COUNTY, INCLUDING UH CONNEAUT MEDICAL CENTER AND OTHER UH AFFILIATED HOSPITALS, CONTRACTED WITH ILLUMINOLOGY, A CENTRAL OHIO BASED RESEARCH FIRM, TO ASSIST IN THE PREPARATION OF THE 2022 CHNA REPORT FOR ASHTABULA COUNTY. ILLUMINOLOGY LED THE PROCESS FOR LOCATING HEALTH STATUS INDICATOR DATA; FOR DESIGNING AND CONDUCTING THE COMMUNITY LEADER INTERVIEWS, COMMUNITY POLL, AND ADULT SURVEY; AND FOR CREATING THE SUMMARY REPORT. ILLUMINOLOGY HAS 24 YEARS OF EXPERIENCE RELATED TO RESEARCH DESIGN, ANALYSIS, AND REPORTING, AND HAS CONDUCTED NUMEROUS COMMUNITY HEALTH ASSESSMENTS.
GROUP A-FACILITY 15 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 5:	THE UH CONNEAUT MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES. PRIMARY DATA USED IN THE ASSESSMENT CONSISTED OF DISCUSSIONS WITH COMMUNITY LEADERS, STAKEHOLDERS, AND EMPLOYEES FROM PARTICIPATING ORGANIZATIONS REGARDING HEALTH ISSUES IN ASHTABULA COUNTY. THE PRIMARY DATA FROM ADULT RESIDENTS CONSISTED OF A REPRESENTATIVE SURVEY MAILED TO A TOTAL OF 2,200 ADDRESSES RANDOMLY SELECTED FROM THE UNIVERSE OF RESIDENTIAL ADDRESSES IN ASHTABULA COUNTY. DATA FROM THE YOUTH CONSISTED OF A SURVEY DEVELOPED BY THE OHIO DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES AND FACILITATED BY THE ASHTABULA COUNTY MENTAL HEALTH AND RECOVERY SERVICES BOARD. 1,902 STUDENTS COMPLETED THE YOUTH SURVEY. IN ADDITION TO THE ADULT AND YOUTH SURVEYS, THE ASHTABULA COUNTY HEALTH DEPARTMENT WORKED WITH ILLUMINOLOGY TO DESIGN AND DEPLOY AN INFORMAL, QUALITATIVE POLL OF COMMUNITY RESIDENTS AND STAKEHOLDERS AND CONDUCT COMMUNITY LEADER INTERVIEWS. THE 2022 CHNA WAS OVERSEEN BY HEALTHY ASHTABULA COUNTY, A COMMITTEE OF PUBLIC HEALTH EXPERTS, WHO SIGNIFICANTLY CONTRIBUTED TO IDENTIFYING AND SUMMARIZING THE BROAD INTERESTS OF THE COMMUNITY. THE REPRESENTED ORGANIZATIONS IN THE COMMITTEE ARE LISTED BELOW: - ASHTABULA CITY HEALTH DEPARTMENT- ASHTABULA COUNTY HEALTH DEPARTMENT- ASHTABULA COUNTY JUVENILE COURT- ASHTABULA COUNTY MEDICAL CENTER - ASHTABULA COUNTY MENTAL HEALTH & RECOVERY BOARD- ASHTABULA COUNTY COMMISSIONERS- ASHTABULA COUNTY COMMUNITY ACTION AGENCY- ASHTABULA COUNTY DEPARTMENT OF JFS- ASHTABULA COUNTY EDUCATIONAL SERVICE CENTER- CATHOLIC CHARITIES OF ASHTABULA COUNTY- CONNEAUT CITY HEALTH DEPARTMENT - COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY- COUNTRY NEIGHBOR PROGRAM- GLENBEIGH HOSPITAL- HEALTHY NORTHEAST OHIO- LAKE AREA RECOVERY CENTER- SIGNATURE HEALTH- THE CENTER FOR HEALTH AFFAIRS- UNIVERSITY HOSPITALSSECONDARY DATA FOR THE CHNA CAME FROM NATIONAL, STATE, AND LOCAL SOURCES. DATA FOR ASHTABULA COUNTY OVERALL, ASHTABULA CITY, CONNEAUT CITY, AND OHIO WERE ALSO COLLECTED WHEN AVAILABLE. WHEREVER POSSIBLE, LOCAL FINDINGS WERE COMPARED TO OTHER RELEVANT DATA. ADDITIONAL INFORMATION WAS COLLECTED FROM SECONDARY DATA SOURCES SUCH AS VITAL STATISTICS AND THE OHIO DISEASE REPORTING SYSTEM TO SUPPLEMENT FINDINGS FROM THE PRIMARY DATA COLLECTION.
GROUP A-FACILITY 15 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 6A:	IN ADDITION TO UH CONNEAUT MEDICAL CENTER, THE FOLLOWING HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR ASHTABULA COUNTY. - UH GENEVA MEDICAL CENTER- ASHTABULA COUNTY MEDICAL CENTER
GROUP A-FACILITY 15 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 6B:	THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR ASHTABULA COUNTY: - ASHTABULA CITY HEALTH DEPARTMENT- ASHTABULA COUNTY HEALTH DEPARTMENT- ASHTABULA COUNTY JUVENILE COURT- ASHTABULA COUNTY MENTAL HEALTH & RECOVERY BOARD- ASHTABULA COUNTY COMMISSIONERS- ASHTABULA COUNTY COMMUNITY ACTION AGENCY- ASHTABULA COUNTY DEPARTMENT OF JFS- ASHTABULA COUNTY EDUCATIONAL SERVICE CENTER- CATHOLIC CHARITIES OF ASHTABULA COUNTY- CONNEAUT CITY HEALTH DEPARTMENT - COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY- COUNTRY NEIGHBOR PROGRAM- GLENBEIGH HOSPITAL- HEALTHY NORTHEAST OHIO- LAKE AREA RECOVERY CENTER- SIGNATURE HEALTH- THE CENTER FOR HEALTH AFFAIRS
GROUP A-FACILITY 15 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 11:	THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH CONNEAUT MEDICAL CENTER (ASHTABULA COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEALTH NEED AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: ACCESS TO CARE STRATEGY #1: IMPROVE ACCESS TO COMPREHENSIVE PRIMARY CAREPRIORITY HEALTH NEED #2: PREVENT OBESITY AND CHRONIC CONDITIONS BY PROMOTING NUTRITION AND PHYSICAL ACTIVITY STRATEGY #1: DIABETES PREVENTION AND EDUCATION PROGRAM STRATEGY #2: IMPLEMENTATION OF A PHYSICAL ACTIVITY AND NUTRITION EDUCATION PROGRAM IN THE COMMUNITY AND SCHOOL ENVIRONMENTS STRATEGY #3: DIABETES PREVENTION PROGRAM (DPP) AND PREDIABETES SCREENING AND REFERRAL STRATEGY #4: HYPERTENSION SCREENING AND FOLLOW-UPPRIORITY HEALTH NEED #3: PREVENT AND PROMOTE TREATMENT OF DEPRESSION AND ANXIETY ACROSS THE LIFESPAN STRATEGY #1: SCHOOL-BASED ALCOHOL/OTHER DRUG PREVENTION PROGRAMSUH CONNEAUT MEDICAL CENTER IS CURRENTLY ADDRESSING ALL THREE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR ASHTABULA COUNTY, AND THERE ARE NO PRIORITIZED HEALTH NEEDS THAT UH CONNEAUT MEDICAL CENTER IS NOT ADDRESSING.FOR MORE DETAILS ON THE STRATEGIES THAT UH CONNEAUT MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 ASHTABULA COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 15 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 13H:	PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 15 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 15E:	THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 15 -- UH CONNEAUT MEDICAL CENTER PART V, SECTION B, LINE 18E:	NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 3 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 3J:	IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, HOUSING, AND NEIGHBORHOOD AND BUILT ENVIRONMENT INDICATORS FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AMERICAN COMMUNITY SURVEY, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2022 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CUYAHOGA COUNTY CHNA STEERING COMMITTEE, INCLUDING UH PARMA MEDICAL CENTER AND OTHER UH AFFILIATED HOSPITALS, COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT DEVELOPMENT OF CUYAHOGA COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO IMPROVE COMMUNITY HEALTH BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES.
GROUP A-FACILITY 3 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 5:	MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS OF QUALITATIVE DATA COLLECTION IN WHICH INCLUDED TWO VIRTUAL PUBLIC PRIORITIZATION SESSIONS THAT WERE HOSTED IN EARLY AUGUST 2022. UH PARMA MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (KEY INFORMANT INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS AND FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM CUYAHOGA COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS (KIIS) WITH COMMUNITY STAKEHOLDERS AND COMMUNITY FOCUS GROUPS. CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) CONDUCTED KEY INFORMANT INTERVIEWS VIA PHONE AND VIDEO CONFERENCE IN ORDER TO COLLECT COMMUNITY INPUT. INTERVIEWEES INVITED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, AND/OR BEING ABLE TO SPEAK TO THE NEEDS OF UNDERSERVED OR VULNERABLE POPULATIONS. THIRTY-TWO INDIVIDUALS PARTICIPATED AS KEY INFORMANTS REPRESENTING DIFFERENT ENTITIES SERVING CUYAHOGA COUNTY. THE REPRESENTED ORGANIZATIONS ARE LISTED BELOW:- ADAMHS BOARD OF CUYAHOGA COUNTY- ASIAN SERVICES IN ACTION (ASIA)- BENJAMIN ROSE INSTITUTE ON AGING- BETTER HEALTH PARTNERSHIP- CALVARY HILL CHURCH OF GOD IN CHRIST- CENTER FOR COMMUNITY SOLUTIONS- CENTERS FOR FAMILIES & CHILDREN- CITY OF CLEVELAND DIVISION OF EMERGENCY MEDICAL SERVICES (EMS)- CLEVELAND CLINIC LAKEWOOD FAMILY HEALTH CENTER- CLEVELAND DEPARTMENT OF PUBLIC HEALTH (CDPH)- CUYAHOGA COUNTY BOARD OF HEALTH (CCBH)- CUYAHOGA COUNTY HHS- CUYAHOGA COUNTY OFFICE OF HOMELESS SERVICES- CUYAHOGA METROPOLITAN HOUSING AUTHORITY (CMHA)- EDUCATIONAL SERVICE CENTER OF NEO- ESPERANZA, INC- FRONTLINE SERVICE- GREATER CLEVELAND FOOD BANK- GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY (RTA)- HISPANIC ROUNDTABLE- LGBT COMMUNITY CENTER- MAY DUGAN CENTER- NAMI GREATER CLEVELAND- NEIGHBORHOOD FAMILY PRACTICE- POLICY BRIDGE- POSITIVE EDUCATION PROGRAM (PEP)- TAYLOR OSWALD- UNIVERSITY HOSPITALS PEDIATRIC/WOMEN'S- URBAN LEAGUE OF GREATER CLEVELANDSECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM THE HEALTHY NORTHEAST OHIO (NEO) COMMUNITY DATA PLATFORM. HEALTHY NEO IS A PUBLICLY AVAILABLE WEBSITE WHICH HOUSES NEUTRAL POPULATION HEALTH DATA AND COMMUNITY HEALTH RESOURCES TO SUPPORT COMMUNITY HEALTH IMPROVEMENT EFFORTS ACROSS A 9-COUNTY REGION. THE DATA ON THIS PLATFORM, MAINTAINED BY RESEARCHERS AND ANALYSTS AT CONDUENT HCI, INCLUDES OVER 200 COMMUNITY INDICATORS, SPANNING AT LEAST 24 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA ARE PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS IS COMPARED TO OTHER COMMUNITIES, NATIONAL TARGETS, AND TO PREVIOUS TIME PERIODS.
GROUP A-FACILITY 3 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH PARMA MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: - UNIVERSITY HOSPITALS RAINBOW BABIES & CHILDREN'S HOSPITAL- UH CLEVELAND MEDICAL CENTER- UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER- UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER- BEACHWOOD RH, LLC ("UH REHABILITATION HOSPITAL")- SOUTHWEST GENERAL HEALTH CENTER- ST. VINCENT CHARITY MEDICAL CENTER
GROUP A-FACILITY 3 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 6B:	THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: - A VISION OF CHANGE- BETTER HEALTH PARTNERSHIP- CASE WESTERN RESERVE UNIVERSITY- CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE- CLEVELAND CLINIC- CLEVELAND DEPARTMENT OF PUBLIC HEALTH- CUYAHOGA COUNTY BOARD OF HEALTH- CUYAHOGA COUNTY CLERK OF COURTS- CUYAHOGA COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES- THE METROHEALTH SYSTEM- NEIGHBORHOOD FAMILY PRACTICE- POLICYBRIDGE- THE CENTER FOR HEALTH AFFAIRS- UNITED WAY
GROUP A-FACILITY 3 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 11:	THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH PARMA MEDICAL CENTER (CUYAHOGA COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: COMMUNITY CONDITIONS (ACCESS TO HEALTHY FOOD & COMMUNITY SAFETY) STRATEGY #1: NUTRITION PROGRAMMING TO ADDRESS FOOD INSECURITY AMONG OLDER ADULTS AND CHILDREN STRATEGY #2: COMMUNITY-BASED EDUCATION AND AWARENESS ON SAFETYPRIORITY HEALTH NEED #2: ACCESSIBLE AND AFFORDABLE HEALTH CARE STRATEGY #1: INCREASE ACCESS TO COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS TO PREVENT AND/OR MANAGE CHRONIC DISEASES, PARTICULARLY FOR DIABETES AND CORONARY HEART DISEASETHE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE TWO PRIORITIZED HEALTH NEEDS ABOVE AS THOSE NEEDS WERE CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON THOSE NEEDS. THE PRIORITIZED HEALTH NEED IDENTIFIED IN THE 2022 CHNA FOR CUYAHOGA COUNTY THAT IS NOT BEING ADDRESSED BY UH PARMA MEDICAL CENTER IS BEHAVIORAL HEALTH (MENTAL HEALTH & DRUG USE/MISUSE). UH PARMA MEDICAL CENTER HAS DETERMINED THAT IT IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND/OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT NEED AND MAKING A SIGNIFICANT POSITIVE IMPACT.FOR MORE DETAILS ON THE STRATEGIES THAT UH PARMA MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CUYAHOGA COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 3 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 13H:	PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 3 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 15E:	THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 3 -- UH PARMA MEDICAL CENTER PART V, SECTION B, LINE 18E:	NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKINGREASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 4 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 3J:	IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL DETERMINANTS OF HEALTH THAT ARE GROUPED INTO THE FOLLOWING FIVE DOMAINS: NEIGHBORHOOD AND BUILT ENVIRONMENT, ECONOMIC STABILITY, EDUCATION ACCESS AND QUALITY, SOCIAL AND COMMUNITY CONTEXT, AND HEALTHCARE ACCESS AND QUALITY FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, STATE OF OHIO BOARD OF PHARMACY, OHIO DEPARTMENT OF EDUCATION, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES.THE LORAIN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) STEERING COMMITTEE, INCLUDING UH ELYRIA MEDICAL CENTER AND OTHER UH AFFILIATED HOSPITALS, WAS A COLLABORATIVE EFFORT OF PUBLIC HEALTH, HOSPITALS, AND COMMUNITY ORGANIZATIONS. LORAIN COUNTY PUBLIC HEALTH (LCPH) CONDUCTED THE COMMUNITY CONVERSATIONS AND SECONDARY DATA COLLECTION, AND BURGES & BURGES STRATEGISTS CONDUCTED THE KEY STAKEHOLDER INTERVIEWS. THE CHNA ASSESSMENT RELIED ON FEEDBACK FROM LORAIN COUNTY RESIDENTS AND STAKEHOLDERS THROUGH INTERVIEWS AND FOCUS GROUPS AND ANALYZED LOCAL AND SECONDARY DATA.
GROUP A-FACILITY 4 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 5:	THE UH ELYRIA MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (STAKEHOLDER INTERVIEWS AND COMMUNITY CONVERSATIONS) AND SOME SECONDARY FROM GOVERNMANTAL ORGANIZATIONS (REGARDING RISK FACTORS AND HEALTH OUTCOME INFORMATION). TO ENSURE THE BROAD INTEREST OF THE COMMUNITY WERE CONSIDERED, INPUT WAS COLLECTED FROM VARIOUS LORAIN COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THE ASSESSMENT CONSISTED OF STAKEHOLDER INTERVIEWS FROM A DIVERSE SET OF LEADERS FROM ACROSS LORAIN COUNTY, INCLUDING LEADERSHIP FROM HEALTH SERVICE PROVIDERS, SOCIAL SERVICE ORGANIZATIONS, ELECTED AND APPOINTED CIVIC INSTITUTIONS, LOCAL AND REGIONAL BUSINESSES, EDUCATIONAL INSTITUTIONS, AND FAITH COMMUNITIES. BELOW IS A LIST OF ORGANIZATIONS THAT PARTICIPATED IN THE STAKEHOLDER INTERVIEWS:- AVON LOCAL SCHOOL DISTRICT- CHILD CARE RESOURCE CENTER- EDUCATIONAL SERVICES CENTER OF LORAIN COUNTY- EL CENTRO DE SERVICIOS SOCIALES, INC.- ELYRIA CITY SCHOOL DISTRICT- FIRELANDS LOCAL SCHOOL DISTRICT- FULL GOSPEL MINISTRIES- KEYSTONE LOCAL SCHOOLS- LORAIN CITY SCHOOLS- LORAIN COUNTY HEALTH & DENTISTRY- LORAIN COUNTY COMMUNITY COLLEGE- LORAIN COUNTY FAIR BOARD- LORAIN COUNTY FREE CLINIC- LORAIN COUNTY METRO PARKS- LORAIN COUNTY URBAN LEAGUE- LORAIN PUBLIC LIBRARY SYSTEM- LORAIN/MEDINA COMMUNITY BASED CORRECTIONAL FACILITY- RIDDELL- SACRED HEART- SPRENGER HEALTH CARE- THE LCADA WAY- THE NORD CENTER- UNITED WAY OF GREATER LORAIN COUNTY- YWCA LORAINTHE LORAIN COUNTY PUBLIC HEALTH (LCPH) CONDUCTED COMMUNITY CONVERSATIONS WITH NINE DIFFERENT COMMUNITY-BASED AND RESIDENT GROUPS IN 2022, BOTH IN-PERSON AND VIRTUALLY VIA ZOOM. EACH COVERSATION LASTED BETWEEN THIRTY MINUTES AND ONE HOUR WITH THE GOAL OF AUTHENTICALLY ENGAGING MEMBERS OF THE COMMUNITY AND GENERATE PUBLIC KNOWLEDGE THAT CAN HELP MAKE DESICISIONS. LCPH SPECIFICALLY REACHED OUT TO GROUPS REPRESENTING VULNERABLE POPULATIONS. BELOW IS A LIST OF ORGANIZATIONS THAT PARTICIPATED IN THE COMMUNITY CONVERSATIONS:- BLACK PASTORS' HEALTH COALITION- BOY SCOUTS- HISPANIC FUND- LORAIN COUNTY FAIR BOARD- MERCY FAMILY HEALTH- MERCY PARISH NURSING- MERCY PARISH NURSING VOLUNTEERS- RISING STARTS- MEN OF COURAGESECONDARY DATA USED FOR THIS ASSESSMENT WERE COMPILED THROUGH THE GOVERNMENT AGENCIES LISTED BELOW:- OHIO DEPARTMENT OF HEALTH BUREAU OF VITAL STATISTICS OHIO CANCER INCIDENCE SURVEILLANCE SYSTEM COMPILED REPORTS OR DATA BRIEFS- CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)- UNITED STATES CENSUS BUREAU- OHIO DEPARTMENT OF EDUCATION- STATE OF OHIO BOARD OF PHARMACY
GROUP A-FACILITY 4 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR LORAIN COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH ELYRIA MEDICAL CENTER IN THE JOINT CHNA FOR LORAIN COUNTY:- AVON RH, LLC (UH AVON REHABILITATION HOSPITAL)- CLEVELAND CLINIC AVON HOSPITAL- MERCY HEALTH ALLEN HOSPITAL- MERCY HEALTH LORAIN HOSPITAL - SPECIALTY HOSPITAL OF LORAIN
GROUP A-FACILITY 4 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 6B:	THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR LORAIN COUNTY: - LORAIN COUNTY HEALTH & DENTISTRY- LORAIN COUNTY METRO PARKS- LORAIN COUNTY PUBLIC HEALTH- MENTAL HEALTH, ADDICTION, AND RECOVERY SERVICES BOARD OF LORAIN COUNTY
GROUP A-FACILITY 4 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 11:	THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH ELYRIA MEDICAL CENTER (LORAIN COUNTY) IDENTIFIED THE FOLLOWING FOUR PRIORITY HEATH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEATH NEED #1: CHRONIC DISEASE STRATEGY #1: COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS TO PREVENT AND/OR MANAGE CHRONIC DISEASES PARTICULARLY FOR DIABETES, AND CORONARY HEART DISEASEPRIORITY HEATH NEED #2 AND #3: MENTAL HEALTH AND SUBSTANCE USE STRATEGY #1: COMMUNITY-BASED EDUCATION, HEALTH SCREENINGS AND COMMUNITY COLLABORATIONS TO ADDRESS MENTAL HEALTH AND ADDICTIONPRIORITY HEATH NEED #4: CANCER STRATEGY #1: COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS TO PREVENT AND/OR MANAGE CANCERTHE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE FOUR PRIORITIZED HEALTH NEEDS ABOVE AS THOSE NEEDS WERE CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON THOSE NEEDS. THE PRIORITIZED HEALTH NEED IDENTIFIED IN THE 2022 CHNA FOR LORAIN COUNTY THAT IS NOT BEING ADDRESSED BY UH ELYRIA MEDICAL CENTER IS MATERNAL AND CHILD HEALTH. ASPECTS OF THIS HEALTH NEEDS ARE ENCOMPASSED IN OTHER EFFORTS BEING ADDRESSED. OTHER LORAIN COUNTY PARTNERS ARE ALSO ADDRESSING PREVENTION AND OTHER NEEDS. UH ELYRIA MEDICAL CENTER HAS DETERMINED THAT IT IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND/OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT NEED AND MAKING A SIGNIFICANT POSITIVE IMPACT.FOR MORE DETAILS ON THE STRATEGIES THAT UH ELYRIA MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 LORAIN COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 4 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 13H:	PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 4 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 15E:	THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 4 -- UH ELYRIA MEDICAL CENTER PART V, SECTION B, LINE 18E:	NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 3J:	IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, HOUSING, AND NEIGHBORHOOD AND BUILT ENVIRONMENT INDICATORS FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AMERICAN COMMUNITY SURVEY, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2022 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CUYAHOGA COUNTY CHNA STEERING COMMITTEE, INCLUDING UH ST. JOHN MEDICAL CENTER AND OTHER UH AFFILIATED HOSPITALS, COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT DEVELOPMENT OF CUYAHOGA COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO IMPROVE COMMUNITY HEALTH BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES.
GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 5:	MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS OF QUALITATIVE DATA COLLECTION IN WHICH INCLUDED TWO VIRTUAL PUBLIC PRIORITIZATION SESSIONS THAT WERE HOSTED IN EARLY AUGUST 2022. UH ST. JOHN MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (KEY INFORMANT INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS AND FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS).TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM CUYAHOGA COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS (KIIS) WITH COMMUNITY STAKEHOLDERS AND COMMUNITY FOCUS GROUPS. CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) CONDUCTED KEY INFORMANT INTERVIEWS VIA PHONE AND VIDEO CONFERENCE IN ORDER TO COLLECT COMMUNITY INPUT. INTERVIEWEES INVITED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, AND/OR BEING ABLE TO SPEAK TO THE NEEDS OF UNDERSERVED OR VULNERABLE POPULATIONS. THIRTY-TWO INDIVIDUALS PARTICIPATED AS KEY INFORMANTS REPRESENTING DIFFERENT ENTITIES SERVING CUYAHOGA COUNTY. THE REPRESENTED ORGANIZATIONS ARE LISTED BELOW:- ADAMHS BOARD OF CUYAHOGA COUNTY- ASIAN SERVICES IN ACTION (ASIA)- BENJAMIN ROSE INSTITUTE ON AGING- BETTER HEALTH PARTNERSHIP- CALVARY HILL CHURCH OF GOD IN CHRIST- CENTER FOR COMMUNITY SOLUTIONS- CENTERS FOR FAMILIES & CHILDREN- CITY OF CLEVELAND DIVISION OF EMERGENCY MEDICAL SERVICES (EMS)- CLEVELAND CLINIC LAKEWOOD FAMILY HEALTH CENTER- CLEVELAND DEPARTMENT OF PUBLIC HEALTH (CDPH)- CUYAHOGA COUNTY BOARD OF HEALTH (CCBH)- CUYAHOGA COUNTY HHS- CUYAHOGA COUNTY OFFICE OF HOMELESS SERVICES- CUYAHOGA METROPOLITAN HOUSING AUTHORITY (CMHA)- EDUCATIONAL SERVICE CENTER OF NEO- ESPERANZA, INC- FRONTLINE SERVICE- GREATER CLEVELAND FOOD BANK- GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY (RTA)- HISPANIC ROUNDTABLE- LGBT COMMUNITY CENTER- MAY DUGAN CENTER- NAMI GREATER CLEVELAND- NEIGHBORHOOD FAMILY PRACTICE- POLICY BRIDGE- POSITIVE EDUCATION PROGRAM (PEP)- TAYLOR OSWALD- UNIVERSITY HOSPITALS PEDIATRIC/WOMEN'S- URBAN LEAGUE OF GREATER CLEVELANDSECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM THE HEALTHY NORTHEAST OHIO (NEO) COMMUNITY DATA PLATFORM. HEALTHY NEO IS A PUBLICLY AVAILABLE WEBSITE WHICH HOUSES NEUTRAL POPULATION HEALTH DATA AND COMMUNITY HEALTH RESOURCES TO SUPPORT COMMUNITY HEALTH IMPROVEMENT EFFORTS ACROSS A 9-COUNTY REGION. THE DATA ON THIS PLATFORM, MAINTAINED BY RESEARCHERS AND ANALYSTS AT CONDUENT HCI, INCLUDES OVER 200 COMMUNITY INDICATORS, SPANNING AT LEAST 24 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA ARE PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS IS COMPARED TO OTHER COMMUNITIES, NATIONAL TARGETS, AND TO PREVIOUS TIME PERIODS.
GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH ST. JOHN MEDICAL CENTER IN THE JOINT CHNA FOR CUYAHOGA COUNTY: - UH CLEVELAND MEDICAL CENTER- UNIVERSITY HOSPITALS RAINBOW BABIES & CHILDREN'S HOSPITAL- UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER- THE PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION D/B/A UNIVERSITY HOSPITALS PARMA MEDICAL CENTER- BEACHWOOD RH, LLC ("UH REHABILITATION HOSPITAL")- SOUTHWEST GENERAL HEALTH CENTER- ST. VINCENT CHARITY MEDICAL CENTER
GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 6B:	THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: - A VISION OF CHANGE- BETTER HEALTH PARTNERSHIP- CASE WESTERN RESERVE UNIVERSITY- CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE- CLEVELAND CLINIC- CLEVELAND DEPARTMENT OF PUBLIC HEALTH- CUYAHOGA COUNTY BOARD OF HEALTH- CUYAHOGA COUNTY CLERK OF COURTS- CUYAHOGA COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES- THE METROHEALTH SYSTEM- NEIGHBORHOOD FAMILY PRACTICE- POLICYBRIDGE- THE CENTER FOR HEALTH AFFAIRS- UNITED WAY
GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 11:	THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR ST. JOHN MEDICAL CENTER (CUYAHOGA COUNTY) IDENTIFIED THE FOLLOWING ONE PRIORITY HEALTH NEED AND AN ASSOCIATED STRATEGY TO ADDRESS IT:PRIORITY HEALTH NEED: BEHAVIORAL HEALTH (MENTAL HEALTH AND ADDICTION) STRATEGY #1: COMMUNITY-BASED EDUCATION, HEALTH SCREENINGS AND COMMUNITY COLLABORATIONS TO ADDRESS MENTAL HEALTH AND ADDICTIONIN ADDITION TO THE AFOREMENTIONED STRATEGIC INITIATIVES OUTLINED IN DETAIL IN THIS PLAN, THE HOSPITAL WILL EITHER BEGIN OR CONTINUE TO SUSTAIN SEVERAL EFFORTS WHICH DO ADDRESS EACH OF THE COMMUNITY HEALTH NEEDS IN SOME WAY. THE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE ONE PRIORITIZED HEALTH NEED ABOVE AS THIS NEED WAS CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON IT. THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR CUYAHOGA COUNTY THAT ARE NOT BEING ADDRESSED BY ST. JOHN MEDICAL CENTER ARE ACCESSIBLE AND AFFORDABLE HEALTHCARE, AND COMMUNITY CONDITIONS (ACCESS TO HEALTHY FOOD & COMMUNITY SAFETY. UH ST. JOHN MEDICAL CENTER HAS DETERMINED THAT IT IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND/OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT NEED AND MAKING A SIGNIFICANT POSITIVE IMPACT.FOR MORE DETAILS ON THE STRATEGIES THAT UH ST. JOHN MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CUYAHOGA COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 13H:	PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 15E:	THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 10 -- UH ST. JOHN MEDICAL CENTER PART V, SECTION B, LINE 18E:	NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 6 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 3J:	IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS EDUCATION ACCESS AND QUALITY, ECONOMIC STABILITY, HEALTH CARE ACCESS AND QUALITY, NEIGHBORHOOD AND BUILT ENVIRONMENT, AND SOCIAL AND COMMUNITY CONTEXT FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AMERICAN COMMUNITY SURVEY, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. THE 2022 CHNA ALSO IDENTIFIED VARIOUS DISPARITIES IN HEALTH EQUITY BY POPULATION GROUPS AND GEOGRAPHY.UH PORTAGE MEDICAL CENTER WORKED CLOSELY WITH PORTAGE COUNTY COMBINED GENERAL HEALTH DISTRICT (PCCGHD) TO LEVERAGE PRIMARY AND SECONDARY DATA ANALYSIS TO PROVIDE A MORE COMPREHENSIVE PICTURE OF THE SIGNIFICANT HEALTH NEEDS IN PORTAGE COUNTY, OHIO. THE STEERING COMMITTEE WAS COMPRISED OF THE FOLLOWING ORGANIZATIONS:- KENT STATE UNIVERSITY (KSU)- NORTHEAST OHIO MEDICAL UNIVERSITY (NEOMED)- AXESSPOINTE COMMUNITY HEALTH CENTER- PORTAGE COUNTY HEALTH DISTRICT (PCHD)- UNIVERSITY HOSPITALS- KENT CITY HEALTH DEPARTMENT (KCHD)- MENTAL HEALTH & RECOVERY BOARD OF PORTAGE COUNTY (MHRB)THE COMMITTEE ALSO INCLUDED ADDITIONAL REPRESENTATION FROM ACADEMIA, EDUCATION, HEALTHCARE, PUBLIC HEALTH, AND MENTAL HEALTH. THE COMMITTEE MET REGULARLY OVER SIXMONTHS TO REVIEW SECONDARY DATA AND COMMUNITY FEEDBACK, SUGGEST NEW PARTNERS TO CONTRIBUTE TO THE PRIORITIZATION PROCESS, AND FINALLY APPROVE THE FINALIZED HEALTH NEEDS. THE COLLABORATIVE ASSESSMENT DETERMINED THREE SIGNIFICANT HEALTH NEEDS IN PORTAGE COUNTY. THE PRIORITIZATION PROCESS IDENTIFIED THE TOP THREE HEALTH NEEDS, INCLUDING CHRONIC DISEASE, MENTAL HEALTH, SUBSTANCE USE & ADDICTION, AND MATERNAL, INFANT, AND CHILD HEALTH.PORTAGE COUNTY COMBINED GENERAL HEALTH DISTRICT (PCCGHD) AND UH PORTAGE MEDICAL CENTER COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT DEVELOPMENT OF PORTAGE COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO IMPROVE COMMUNITY HEALTH BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES.
GROUP A-FACILITY 6 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 5:	UH PORTAGE MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (KEY INFORMANT INTERVIEWS AND FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS) AND SOME SECONDARY (REGARDING HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE). FOR BOTH PRIMARY AND SECONDARY DATA, IMMENSE EFFORTS WERE MADE TO INCLUDE AS WIDE A RANGE OF COMMUNITY HEALTH INDICATORS, KEY INFORMANTS, AND FOCUS GROUP PARTICIPANTS AS POSSIBLE. ALTHOUGH THE TOPICS BY WHICH DATA WERE ORGANIZED COVERED A WIDE RANGE OF HEALTH AND QUALITY OF LIFE AREAS, WITHIN EACH TOPIC, THERE WAS A VARYING SCOPE AND DEPTH OF SECONDARY DATA INDICATORS AND PRIMARY DATA FINDINGS.TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM PORTAGE COUNTY RESIDENTS. PRIMARY DATA GATHERED DURING THIS PROCESS CONSISTED OF KEY INFORMANT INTERVIEWS (KIIS) CONDUCTED AS PART OF THE PORTAGE COUNTY HEALTH EQUITY PROJECT, FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS, AND A SIXTY-SIX QUESTION YOUTH RISK BEHAVIORAL SURVEY (YRBS) IMPLEMENTED WITH SELECT MIDDLE AND HIGH SCHOOLS WITHIN PORTAGE COUNTY. TWENTY-THREE INDIVIDUALS PARTICIPATED AS KEY INFORMANTS IN THE KEY INFORMANT INTERVIEWS CONDUCTED. THE FOCUS AREAS OF THESE INTERVIEWS INCLUDED LOW SOCIOECONOMIC STATUS, GEOGRAPHICAL ISOLATION, BARRIERS TO ACCURATE AND SHAREABLE INFORMATION, BARRIERS TO FORMAL EDUCATION OPPORTUNITIES, AND DISCRIMINATION/MARGINALIZATION. UH PORTAGE MEDICAL CENTER ALSO CONDUCTED SEVERAL FOCUS GROUPS WITH VARIOUS KEY COMMUNITY GROUPS, INCLUDING SENIOR CITIZEN COMMUNITY MEMBERS, BLACK OR AFRICAN AMERICAN COMMUNITY MEMBERS AND WIC BENEFITS RECIPIENTS IN ORDER TO GAIN DEEPER INSIGHTS ABOUT PERCEPTIONS, ATTITUDES, EXPERIENCES, OR BELIEFS HELD BY COMMUNITY MEMBERS ABOUT THEIR HEALTH AND THE HEALTH OF THEIR COMMUNITY. SECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM A COMMUNITY INDICATOR DATABASE DEVELOPED BY CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI). THE DATABASE, MAINTAINED BY RESEARCHERS AND ANALYSTS AT HCI, INCLUDED OVER 200 COMMUNITY INDICATORS, SPANNING AT LEAST 24 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA WAS PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS IS COMPARED TO OTHER COMMUNITIES, NATIONAL TARGETS, AND TO PREVIOUS TIME PERIODS. THE SECONDARY DATA ANALYSIS IDENTIFIED THE FOLLOWING HEALTH TOPIC AREAS: MEDICATIONS & PRESCRIPTIONS, MENTAL HEALTH & MENTAL DISORDERS, TOBACCO USE, PHYSICAL ACTIVITY, CANCER, AND OTHER CONDITIONS.BELOW ARE THE VARIOUS COMMUNITY ORGANIZATIONS WHO HELPED GUIDE THE 2022 PORTAGE COUNTY CHNA REPORT AND ENSURE THE BROAD INTERESTS OF THE COMMUNITY WERE TAKEN INTO ACCOUNT:- AKRON CHILDREN'S HOSPITAL- AXESSPOINTE COMMUNITY HEALTH CENTER- CANAPI- CHILDREN'S ADVANTAGE- COLEMAN PROFESSIONAL SERVICES- COMMUNITY ACTION COUNCIL- FAMILY AND CHILDREN FIRST COUNCIL- FAMILY AND COMMUNITY SERVICES- HIRAM COLLEGE- KENT CITY BOARD OF HEALTH- KENT CITY HEALTH DEPARTMENT- KENT STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH & CENTER FOR PUBLIC POLICY AND HEALTH- KENT STATE UNIVERSITY HEALTH SERVICES- MENTAL HEALTH & RECOVERY BOARD OF PORTAGE COUNTY- NAMI- NEOMED STUDENT RUN FREE CLINIC- NORTHEAST OHIO MEDICAL UNIVERSITY- OHIOCAN- OPPORTUNITIES FOR OHIOANS WITH DISABILITIES- OUR PLACE- PARTA- PORTAGE COUNTY BOARD OF HEALTH- PORTAGE COUNTY CHILDREN'S SERVICES- PORTAGE COUNTY COMBINED GENERAL HEALTH DISTRICT PORTAGE- PORTAGE COUNTY JOB & FAMILY SERVICES- PORTAGE COUNTY SAFE COMMUNITIES COALITION- PORTAGE COUNTY SCHOOL DISTRICTS- PORTAGE COUNTY WIC- PORTAGE LEARNING CENTERS- PORTAGE PARK DISTRICT- PORTAGE SUBSTANCE ABUSE COMMUNITY COALITION- SEQUOIA WELLNESS- STREETSBORO POLICE DEPARTMENT- SUICIDE PREVENTION COALITION OF PORTAGE COUNTY- THE HAVEN- TOWNHALL II- UNITED WAY OF PORTAGE COUNTY
GROUP A-FACILITY 6 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE FOLLOWING HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT EACH SEPARATE HOSPITAL FACILITY CHNA FOR PORTAGE COUNTY: - AKRON CHILDREN'S HOSPITAL- UH PORTAGE MEDICAL CENTER
GROUP A-FACILITY 6 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 6B:	THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A CHNA FOR PORTAGE COUNTY:- AXESSPOINTE COMMUNITY HEALTH CENTER- CANAPI- CHILDREN'S ADVANTAGE- COLEMAN PROFESSIONAL SERVICES- COMMUNITY ACTION COUNCIL- FAMILY AND CHILDREN FIRST COUNCIL- FAMILY AND COMMUNITY SERVICES- HIRAM COLLEGE- KENT CITY BOARD OF HEALTH- KENT CITY HEALTH DEPARTMENT- KENT STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH & CENTER FOR PUBLIC POLICY AND HEALTH- KENT STATE UNIVERSITY HEALTH SERVICES- MENTAL HEALTH & RECOVERY BOARD OF PORTAGE COUNTY- NAMI- NEOMED STUDENT RUN FREE CLINIC- NORTHEAST OHIO MEDICAL UNIVERSITY- OHIOCAN- OPPORTUNITIES FOR OHIOANS WITH DISABILITIES- OUR PLACE- PARTA- PORTAGE COUNTY BOARD OF HEALTH- PORTAGE COUNTY CHILDREN'S SERVICES- PORTAGE COUNTY COMBINED GENERAL HEALTH DISTRICT PORTAGE- PORTAGE COUNTY JOB & FAMILY SERVICES- PORTAGE COUNTY SAFE COMMUNITIES COALITION- PORTAGE COUNTY SCHOOL DISTRICTS- PORTAGE COUNTY WIC- PORTAGE LEARNING CENTERS- PORTAGE PARK DISTRICT- PORTAGE SUBSTANCE ABUSE COMMUNITY COALITION- SEQUOIA WELLNESS- STREETSBORO POLICE DEPARTMENT- SUICIDE PREVENTION COALITION OF PORTAGE COUNTY- THE HAVEN- TOWNHALL II- UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER- UNITED WAY OF PORTAGE COUNTY
GROUP A-FACILITY 6 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 11:	THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH PORTAGE MEDICAL CENTER (PORTAGE COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: CHRONIC CONDITIONS STRATEGY #1: EDUCATE PORTAGE COUNTY COMMUNITY ON RISK FACTORS AND OBESITY PREVENTION AS WELL AS INCREASE SCREENINGS STRATEGY #2: INCREASE ACCESS TO AND PARTICIPATION IN COMMUNITY-BASED NUTRITION PROGRAMS SUCH AS FARMERS MARKETS STRATEGY #3: SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENINGS AND RESOURCE REFERRALS PRIORITY HEALTH NEED #2: FAMILY, PREGNANCY, INFANT AND CHILD HEALTH (FPICH) STRATEGY #1: IMPLEMENT EARLY URGENT MATERNAL WARNING SIGNS EDUCATION PROGRAM WITHIN PORTAGE COUNTY AND IMPLEMENT REPRODUCTIVE HEALTH AND WELLNESS INTERVENTIONS STRATEGY #2: REDUCE THE USE OF TOBACCO PRODUCTS USED DURING PREGNANCYPRIORITY HEALTH NEED #2: MENTAL HEALTH, SUBSTANCE USE, AND ADDICTION STRATEGY #1: PROVIDE COMMUNITY-BASED ACTIVITIES AND TRAININGS TO RAISE AWARENESS OF MENTAL HEALTH, SUBSTANCE USE, AND ADDICTION STRATEGY #2: PROMOTION OF GUN SAFETY STRATEGY #3: PROVIDE ACCESS TO SUPPORT RESOURCES AND RAISE AWARENESS OF THE RISKS OF TOBACCO, SMOKING, AND VAPINGUH PORTAGE MEDICAL CENTER IS CURRENTLY ADDRESSING ALL THREE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR PORTAGE COUNTY, AND THERE ARE NO PRIORITIZED HEALTH NEEDS THAT UH PORTAGE MEDICAL CENTER IS NOT ADDRESSING.FOR MORE DETAILS ON THE STRATEGIES THAT UH PORTAGE MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 PORTAGE COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 6 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 13H:	PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 6 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 15E:	THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UHHOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 6 -- UH PORTAGE MEDICAL CENTER PART V, SECTION B, LINE 18E:	NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 3J:	IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, HOUSING, AND NEIGHBORHOOD AND BUILT ENVIRONMENT INDICATORS FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AMERICAN COMMUNITY SURVEY, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS. THE ASSESSMENT ALSO ENCOMPASSES INTERVIEW DATA FROM SEVERAL COMMUNITY STAKEHOLDERS WHO ARE EXPERTS ON THE HEALTH CARE NEEDS OF RESIDENTS IN THE COUNTY AS WELL AS EXISTING COMMUNITY VOICE DATA GATHERED BY A RANGE OF OTHER GREATER CLEVELAND ORGANIZATIONS.UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE CENTER FOR HEALTH AFFAIRS ("THE CENTER") TO COMPLETE THE DATA ASSESSMENT AND SUMMARY PORTIONS OF THE 2022 CHNA. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. RETAINED THE CENTER TO ASSIST IN DATA COLLECTION AND ANALYSIS TO ENSURE THE ENTIRE COMMUNITY SERVED BY THE HOSPITAL WAS CAPTURED. THE CENTER GUIDED THE PROCESS AND THEN COLLABORATED WITH THE HOSPITALS TO REVIEW PRIMARY DATA, HOSPITAL UTILIZATION AND DISCHARGE DATA, AND EVALUATION OF PROGRAM IMPACT REPORTS FROM PREVIOUS CHNA'S. THE CENTER IS THE LEADING ADVOCATE FOR NORTHEAST OHIO HOSPITALS. THE CENTER ADVOCATES ON BEHALF OF 36 HOSPITALS IN NINE COUNTIES. THE CUYAHOGA COUNTY CHNA STEERING COMMITTEE, INCLUDING UH REHABILITATION HOSPITAL BEACHWOOD AND OTHER UH AFFILIATED HOSPITALS, COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT DEVELOPMENT OF CUYAHOGA COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO IMPROVE COMMUNITY HEALTH BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES.
GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 5:	MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS OF QUALITATIVE DATA COLLECTION IN WHICH INCLUDED TWO VIRTUAL PUBLIC PRIORITIZATION SESSIONS THAT WERE HOSTED IN EARLY AUGUST 2022. UH REHABILITATION HOSPITAL'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (KEY INFORMANT INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS AND FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM CUYAHOGA COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS (KIIS) WITH COMMUNITY STAKEHOLDERS AND COMMUNITY FOCUS GROUPS. CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) CONDUCTED KEY INFORMANT INTERVIEWS VIA PHONE AND VIDEO CONFERENCE IN ORDER TO COLLECT COMMUNITY INPUT. INTERVIEWEES INVITED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, AND/OR BEING ABLE TO SPEAK TO THE NEEDS OF UNDERSERVED OR VULNERABLE POPULATIONS. THIRTY-TWO INDIVIDUALS PARTICIPATED AS KEY INFORMANTS REPRESENTING DIFFERENT ENTITIES SERVING CUYAHOGA COUNTY. THE REPRESENTED ORGANIZATIONS ARE LISTED BELOW:- ADAMHS BOARD OF CUYAHOGA COUNTY- ASIAN SERVICES IN ACTION (ASIA)- BENJAMIN ROSE INSTITUTE ON AGING- BETTER HEALTH PARTNERSHIP- CALVARY HILL CHURCH OF GOD IN CHRIST- CENTER FOR COMMUNITY SOLUTIONS- CENTERS FOR FAMILIES & CHILDREN- CITY OF CLEVELAND DIVISION OF EMERGENCY MEDICAL SERVICES (EMS)- CLEVELAND CLINIC LAKEWOOD FAMILY HEALTH CENTER- CLEVELAND DEPARTMENT OF PUBLIC HEALTH (CDPH)- CUYAHOGA COUNTY BOARD OF HEALTH (CCBH)- CUYAHOGA COUNTY HHS- CUYAHOGA COUNTY OFFICE OF HOMELESS SERVICES- CUYAHOGA METROPOLITAN HOUSING AUTHORITY (CMHA)- EDUCATIONAL SERVICE CENTER OF NEO- ESPERANZA, INC- FRONTLINE SERVICE- GREATER CLEVELAND FOOD BANK- GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY (RTA)- HISPANIC ROUNDTABLE- LGBT COMMUNITY CENTER- MAY DUGAN CENTER- NAMI GREATER CLEVELAND- NEIGHBORHOOD FAMILY PRACTICE- POLICY BRIDGE- POSITIVE EDUCATION PROGRAM (PEP)- TAYLOR OSWALD- UNIVERSITY HOSPITALS PEDIATRIC/WOMEN'S- URBAN LEAGUE OF GREATER CLEVELANDSECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM THE HEALTHY NORTHEAST OHIO (NEO) COMMUNITY DATA PLATFORM. HEALTHY NEO IS A PUBLICLY AVAILABLE WEBSITE WHICH HOUSES NEUTRAL POPULATION HEALTH DATA AND COMMUNITY HEALTH RESOURCES TO SUPPORT COMMUNITY HEALTH IMPROVEMENT EFFORTS ACROSS A 9-COUNTY REGION. THE DATA ON THIS PLATFORM, MAINTAINED BY RESEARCHERS AND ANALYSTS AT CONDUENT HCI, INCLUDES OVER 200 COMMUNITY INDICATORS, SPANNING AT LEAST 24 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA ARE PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS IS COMPARED TO OTHER COMMUNITIES, NATIONAL TARGETS, AND TO PREVIOUS TIME PERIODS.
GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 6A:	THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR CUYAHOGA COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH REHABILITATION HOSPITAL - BEACHWOOD IN THE JOINT CHNA FOR CUYAHOGA COUNTY: - UH CLEVELAND MEDICAL CENTER - UNIVERSITY HOSPITALS RAINBOW BABIES & CHILDREN'S HOSPITAL- UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER- THE PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION D/B/A UNIVERSITY HOSPITALS PARMA MEDICAL CENTER- UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER- SOUTHWEST GENERAL HEALTH CENTER- ST. VINCENT CHARITY MEDICAL CENTER
GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 6B:	THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT THE JOINT CHNA FOR CUYAHOGA COUNTY: - A VISION OF CHANGE- BETTER HEALTH PARTNERSHIP- CASE WESTERN RESERVE UNIVERSITY- CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE- CLEVELAND CLINIC- CLEVELAND DEPARTMENT OF PUBLIC HEALTH- CUYAHOGA COUNTY BOARD OF HEALTH- CUYAHOGA COUNTY CLERK OF COURTS- CUYAHOGA COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES- THE METROHEALTH SYSTEM- NEIGHBORHOOD FAMILY PRACTICE- POLICYBRIDGE- THE CENTER FOR HEALTH AFFAIRS- UNITED WAY
GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 11:	THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH REHABILITATION HOSPITAL (CUYAHOGA COUNTY) IDENTIFIED THE FOLLOWING ONE PRIORITY HEALTH NEED AND AN ASSOCIATED STRATEGY TO ADDRESS IT:PRIORITY HEALTH NEED: ACCESSIBLE AND AFFORDABLE HEALTH CARE STRATEGY #1: ACCESS TO COMMUNITY BASED EDUCATION AND HEALTH SCREENING TO PREVENT AND/OR MANAGE CHRONIC DISEASESTHE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE ONE PRIORITIZED HEALTH NEED ABOVE AS THIS NEED WAS CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON IT. THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR CUYAHOGA COUNTY THAT ARE NOT BEING ADDRESSED BY UH REHABILITATION HOSPITAL ARE BEHAVIORAL HEALTH (MENTAL HEALTH & DRUG USE/ MISUSE), AND COMMUNITY CONDITIONS (ACCESS TO HEALTHY FOOD & COMMUNITY SAFETY). UH REHABILITATION HOSPITAL BEACHWOOD HAS DETERMINED THAT IT IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND/OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT NEED AND MAKING A SIGNIFICANT POSITIVE IMPACT.FOR MORE DETAILS ON THE STRATEGIES THAT UH REHABILITATION HOSPITAL BEACHWOOD IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CUYAHOGA COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 13H:	PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 15E:	THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 13 -- UH REHABILITATION HOSPITAL - BEACHWOOD PART V, SECTION B, LINE 18E:	NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 12 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 3J:	IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL DETERMINANTS OF HEALTH THAT ARE GROUPED INTO THE FOLLOWING FIVE DOMAINS: NEIGHBORHOOD AND BUILT ENVIRONMENT, ECONOMIC STABILITY, EDUCATION ACCESS AND QUALITY, SOCIAL AND COMMUNITY CONTEXT, AND HEALTHCARE ACCESS AND QUALITY FROM SOURCES SUCH AS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), OHIO DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, STATE OF OHIO BOARD OF PHARMACY, OHIO DEPARTMENT OF EDUCATION, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES.THE LORAIN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) STEERING COMMITTEE, INCLUDING UH AVON REHABILITATION HOSPITAL AND OTHER UH AFFILIATED HOSPITALS, WAS A COLLABORATIVE EFFORT OF PUBLIC HEALTH, HOSPITALS, AND COMMUNITY ORGANIZATIONS. LORAIN COUNTY PUBLIC HEALTH (LCPH) CONDUCTED THE COMMUNITY CONVERSATIONS AND SECONDARY DATA COLLECTION, AND BURGES & BURGES STRATEGISTS CONDUCTED THE KEY STAKEHOLDER INTERVIEWS. THE CHNA ASSESSMENT RELIED ON FEEDBACK FROM LORAIN COUNTY RESIDENTS AND STAKEHOLDERS THROUGH INTERVIEWS AND FOCUS GROUPS AND ANALYZED LOCAL AND SECONDARY DATA.
GROUP A-FACILITY 12 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 5:	THE UH AVON REHABILITATION HOSPITAL'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (STAKEHOLDER INTERVIEWS AND COMMUNITY CONVERSATIONS) AND SOME SECONDARY FROM GOVERNMANTAL ORGANIZATIONS (REGARDING RISK FACTORS AND HEALTH OUTCOME INFORMATION). TO ENSURE THE BROAD INTEREST OF THE COMMUNITY WERE CONSIDERED, INPUT WAS COLLECTED FROM VARIOUS LORAIN COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THE ASSESSMENT CONSISTED OF STAKEHOLDER INTERVIEWS FROM A DIVERSE SET OF LEADERS FROM ACROSS LORAIN COUNTY, INCLUDING LEADERSHIP FROM HEALTH SERVICE PROVIDERS, SOCIAL SERVICE ORGANIZATIONS, ELECTED AND APPOINTED CIVIC INSTITUTIONS, LOCAL AND REGIONAL BUSINESSES, EDUCATIONAL INSTITUTIONS, AND FAITH COMMUNITIES. BELOW IS A LIST OF ORGANIZATIONS THAT PARTICIPATED IN THE STAKEHOLDER INTERVIEWS:- AVON LOCAL SCHOOL DISTRICT- CHILD CARE RESOURCE CENTER- EDUCATIONAL SERVICES CENTER OF LORAIN COUNTY- EL CENTRO DE SERVICIOS SOCIALES, INC.- ELYRIA CITY SCHOOL DISTRICT- FIRELANDS LOCAL SCHOOL DISTRICT- FULL GOSPEL MINISTRIES- KEYSTONE LOCAL SCHOOLS- LORAIN CITY SCHOOLS- LORAIN COUNTY HEALTH & DENTISTRY- LORAIN COUNTY COMMUNITY COLLEGE- LORAIN COUNTY FAIR BOARD- LORAIN COUNTY FREE CLINIC- LORAIN COUNTY METRO PARKS- LORAIN COUNTY URBAN LEAGUE- LORAIN PUBLIC LIBRARY SYSTEM- LORAIN/MEDINA COMMUNITY BASED CORRECTIONAL FACILITY- RIDDELL- SACRED HEART- SPRENGER HEALTH CARE- THE LCADA WAY- THE NORD CENTER- UNITED WAY OF GREATER LORAIN COUNTY- YWCA LORAINTHE LORAIN COUNTY PUBLIC HEALTH (LCPH) CONDUCTED COMMUNITY CONVERSATIONS WITH NINE DIFFERENT COMMUNITY-BASED AND RESIDENT GROUPS IN 2022, BOTH IN-PERSON AND VIRTUALLY VIA ZOOM. EACH COVERSATION LASTED BETWEEN THIRTY MINUTES AND ONE HOUR WITH THE GOAL OF AUTHENTICALLY ENGAGING MEMBERS OF THE COMMUNITY AND GENERATE PUBLIC KNOWLEDGE THAT CAN HELP MAKE DESICISIONS. LCPH SPECIFICALLY REACHED OUT TO GROUPS REPRESENTING VULNERABLE POPULATIONS. BELOW IS A LIST OF ORGANIZATIONS THAT PARTICIPATED IN THE COMMUNITY CONVERSATIONS:- BLACK PASTORS' HEALTH COALITION- BOY SCOUTS- HISPANIC FUND- LORAIN COUNTY FAIR BOARD- MERCY FAMILY HEALTH- MERCY PARISH NURSING- MERCY PARISH NURSING VOLUNTEERS- RISING STARTS- MEN OF COURAGESECONDARY DATA USED FOR THIS ASSESSMENT WERE COMPILED THROUGH THE GOVERNMENT AGENCIES LISTED BELOW:- OHIO DEPARTMENT OF HEALTH BUREAU OF VITAL STATISTICS OHIO CANCER INCIDENCE SURVEILLANCE SYSTEM COMPILED REPORTS OR DATA BRIEFS- CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)- UNITED STATES CENSUS BUREAU- OHIO DEPARTMENT OF EDUCATION- STATE OF OHIO BOARD OF PHARMACY
GROUP A-FACILITY 12 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 6A:	THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH ONE ANOTHER TO CONDUCT A JOINT CHNA FOR LORAIN COUNTY. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED WITH UH AVON REHABILITATION HOSPITAL IN THE JOINT CHNA FOR LORAIN COUNTY:- UH ELYRIA MEDICAL CENTER- CLEVELAND CLINIC AVON HOSPITAL- MERCY HEALTH ALLEN HOSPITAL- MERCY HEALTH LORAIN HOSPITAL- SPECIALTY HOSPITAL OF LORAIN
GROUP A-FACILITY 12 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 6B:	THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR LORAIN COUNTY: - LORAIN COUNTY HEALTH & DENTISTRY- LORAIN COUNTY METRO PARKS- LORAIN COUNTY PUBLIC HEALTH- MENTAL HEALTH, ADDICTION, AND RECOVERY SERVICES BROARD OF LORAIN COUNTY
GROUP A-FACILITY 12 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 11:	THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH AVON REHABILITATION HOSPITAL (LORAIN COUNTY) IDENTIFIED THE FOLLOWING ONE PRIORITY HEALTH NEED AND ASSOCIATED STRATEGY TO ADDRESS IT:PRIORITY HEALTH NEED #1: CHRONIC DISEASE MANAGEMENT AND PREVENTION STRATEGY #1: COMMUNITY-BASED EDUCATION AND HEALTH SCREENINGS TO PREVENT AND/OR MANAGE CHRONIC DISEASESTHE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE ONE PRIORITIZED HEALTH NEED ABOVE AS THIS NEED WAS CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON THIS NEED. THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR LORAIN COUNTY THAT ARE NOT BEING ADDRESSED BY UH AVON REHABILITATION HOSPITAL ARE MATERNAL AND CHILD HEALTH, MENTAL HEALTH, SUBSTANCE USE, AND CANCER. UH AVON REHABILITATION HOSPITAL HAS DETERMINED THAT IT IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND/OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT NEED AND MAKING A SIGNIFICANT POSITIVE IMPACT.FOR MORE DETAILS ON THE STRATEGIES THAT UH AVON REHABILITATION HOSPITAL IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 LORAIN COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 12 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 13H:	PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 12 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 15E:	THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 12 -- UH AVON REHABILITATION HOSPITAL PART V, SECTION B, LINE 18E:	NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 5 -- UH LAKE WEST MEDICAL CENTER PART V, SECTION B, LINE 3J:	IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, AND EDUCATION FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, ROBERT WOOD JOHNSON FOUNDATION, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS. REPRESENTATIVES FROM KEY LAKE COUNTY ANCHOR ORGANIZATIONS FORMED THE LAKE COUNTY CHNA STEERING COMMITTEE TO GUIDE LAKE COUNTY GENERAL HEALTH DISTRICT (LCGHD), UNIVERSITY HOSPITALS LAKE WEST MEDICAL CENTER AND UNIVERSITY HOSPITALS TRIPOINT MEDICAL CENTER ("UH LAKE HEALTH MEDICAL CENTERS") THROUGH THE ASSESSMENT PROCESS. REPRESENTING A VARIETY OF SECTORS INCLUDING ACADEMIA, EDUCATION, HEALTHCARE, TRANSPORTATION, SOCIAL SERVICES, AS WELL AS THE AGING POPULATION AND THOSE WITH DISABILITIES, THESE ORGANIZATIONS PLAY KEY ROLES IN OPTIMIZING THE COMMUNITY'S HEALTH. THE COMMITTEE MET REGULARLY OVER SIX MONTHS TO REVIEW SECONDARY DATA, REVISE RESIDENT SURVEY QUESTIONS, SUGGEST NEW PARTNERS TO CONTRIBUTE TO THE PRIORITIZATION PROCESS, AND FINALLY APPROVE THE FINALIZED HEALTH NEEDS.LCGHD AND UNIVERSITY HOSPITALS COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT DATA ANALYSIS AND REPORT DEVELOPMENT OF LAKE COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO DRIVE COMMUNITY HEALTH OUTCOMES BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES.
GROUP A-FACILITY 5 -- UH LAKE WEST MEDICAL CENTER PART V, SECTION B, LINE 5:	MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS WHICH INCLUDED PARTICIPATION IN QUALITATIVE DATA COLLECTION, MARKETING AND PARTICIPATION IN THE COMMUNITY HEALTH SURVEY, AS WELL AS PARTICIPATION IN THE PUBLIC PRIORITIZATION MEETING THAT WAS HOSTED VIRTUALLY. UH WEST MEDICAL CENTER 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (COMMUNITY SURVEY AND FOCUS GROUPS AND MAYORS AND CITY MANAGERS FEEDBACK) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, SOCIOECONOMIC, MORBIDITY, AND MORTALITY).TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM RESIDENTS IN LAKE COUNTY. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF FOCUS GROUP DISCUSSIONS, AN ONLINE COMMUNITY SURVEY, AS WELL AS AN ADDITIONAL SURVEY WITH MAYORS AND CITY MANAGERS. THE COMMUNITY SURVEY WAS CONDUCTED ONLINE AND PROMOTED ACROSS LAKE COUNTY BY LCGHD AND UH LAKE HEALTH MEDICAL CENTERS AND THEIR COMMUNITY PARTNERS. THE SURVEY CONSISTED OF 103 QUESTIONS RELATED TO TOP HEALTH NEEDS IN THE COMMUNITY, INDIVIDUALS' PERCEPTION OF THEIR OVERALL HEALTH, INDIVIDUALS' ACCESS TO HEALTH CARE SERVICES, AS WELL AS SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH AND GENERAL HEALTH STATUS. RESPONSES WERE COLLECTED FROM JANUARY 21, 2022, TO MARCH 1, 2022. BOTH AN ENGLISH AND SPANISH VERSION OF THE SURVEY WERE MADE AVAILABLE. A TOTAL OF 1,846 RESPONSES WERE COLLECTED.SEVEN ADDITIONAL KEY INFORMANT SURVEYS WERE ADMINISTERED TO LAKE COUNTY MAYORS AND CITY MANAGERS TO GAIN ADDITIONAL COMMUNITY-LEVEL FEEDBACK. FIVE KEY FOCUS GROUP DISCUSSIONS WERE CONDUCTED IN MARCH 2022 TO GAIN DEEPER UNDERSTANDING OF HEALTH ISSUES IMPACTING THE RESIDENTS OF LAKE COUNTY. KEY COMMUNITY GROUPS WHO PARTICIPATED IN THESE FOCUS GROUPS INCLUDE REPRESENTATIVES FROM: - BLACK LIVES MATTER- LGBTQ+ COMMUNITY- NAACP- PAINESVILLE ELM STREET ELEMENTARY- SENIORSINITIALLY, A TOTAL OF 181 SECONDARY DATA MEASURES WERE IDENTIFIED AND COMPILED ACROSS HEALTHY PEOPLE 2030 (WHERE AVAILABLE), NATIONAL, STATE, AND COUNTY VALUES. IN CONJUNCTION WITH LAKE COUNTY VALUES, TWO DEMOGRAPHICALLY SIMILAR COUNTIES, LICKING COUNTY AND CLERMONT COUNTY, AS DETERMINED BY TOTAL POPULATION, POVERTY, AGE, AND MEDIAN HOUSEHOLD INCOME, WERE INCLUDED FOR BENCHMARKING PURPOSES. BASED UPON THE QUALITY, AGE, AVAILABILITY, AND/OR REDUNDANCY OF THE MEASURES, 171 OF THE INITIALLY COMPILED 338 (94%) MEASURES WERE INCLUDED FOR ANALYSIS.
GROUP A-FACILITY 5 -- UH LAKE WEST MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE FOLLOWING HOSPITAL FACILITY IS INCLUDED WITH UH LAKE WEST MEDICAL CENTER IN THE JOINT CHNA FOR LAKE COUNTY:- UH TRIPOINT MEDICAL CENTER
GROUP A-FACILITY 5 -- UH LAKE WEST MEDICAL CENTER PART V, SECTION B, LINE 6B:	THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR LAKE COUNTY: - EDUCATIONAL SERVICE CENTER OF THE WESTERN RESERVE- LAKE COUNTY ALCOHOL, DRUG, AND MENTAL HEALTH SERVICES BOARD- LAKE COUNTY COUNCIL ON AGING- LAKE COUNTY BOARD OF DEVELOPMENTAL DISABILITIES- LAKE COUNTY JOB & FAMILY SERVICES- LAKE METROPARKS- LAKELAND COMMUNITY COLLEGE- LAKETRAN- SIGNATURE HEALTH- UNITED WAY OF LAKE COUNTY- YMCA OF LAKE COUNTY
GROUP A-FACILITY 5 -- UH LAKE WEST MEDICAL CENTER PART V, SECTION B, LINE 11:	THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH LAKE WEST MEDICAL CENTER (LAKE COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEATH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: ACCESS TO HEALTHCARE STRATEGY #1: IMPROVE HEALTHCARE ACCESS THROUGH THE CREATION OF WORKFORCE PIPELINE AND DEVELOPMENT OPPORTUNITIES TO PURSUE CAREERS IN HEALTH CARE. IMPROVE INCLUSIVE HEALTHCARE ACCESS FOR COMMUNITY MEMBERS, ESPECIALLY THOSE IMPACTED BY HIGH COST DUE TO BEING UNINSURED OR UNDERINSURED WITH A HIGH DEDUCTIBLE TO IMPROVE REFERRALS TO PRIMARY CARE.PRIORITY HEALTH NEED #2: BEHAVIORAL HEALTH (MENTAL HEALTH & SUBSTANCE USE AND MISUSE) STRATEGY #1: UH LAKE HEALTH AND PUBLIC HEALTH PARTNERS ADDRESS OPIOIDS/SUBSTANCE USE/MISUSE AND MENTAL HEALTHPRIORITY HEALTH NEED #3: CHRONIC DISEASE CONDITIONS STRATEGY #1: COMMUNITY ENGAGEMENT TO PROVIDE SCREENINGS, EDUCATION AND SUPPORT GROUPS TO PREVENT AND/OR MANAGE CHRONIC DISEASES.UH LAKE WEST MEDICAL CENTER IS CURRENTLY ADDRESSING ALL THREE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR LAKE COUNTY, AND THERE ARE NO PRIORITIZED HEALTH NEEDS THAT UH LAKE WEST MEDICAL CENTER IS NOT ADDRESSING.FOR MORE DETAILS ON THE STRATEGIES THAT UH LAKE WEST MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 LAKE COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 5 -- UH LAKE WEST MEDICAL CENTER PART V, SECTION B, LINE 13H:	PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 5 -- UH LAKE WEST MEDICAL CENTER PART V, SECTION B, LINE 15E:	THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 5 -- UH LAKE WEST MEDICAL CENTER PART V, SECTION B, LINE 18E:	NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP A-FACILITY 9 -- UH TRIPOINT MEDICAL CENTER PART V, SECTION B, LINE 3J:	IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, AND EDUCATION FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, ROBERT WOOD JOHNSON FOUNDATION, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS. REPRESENTATIVES FROM KEY LAKE COUNTY ANCHOR ORGANIZATIONS FORMED THE LAKE COUNTY CHNA STEERING COMMITTEE TO GUIDE LAKE COUNTY GENERAL HEALTH DISTRICT (LCGHD), UNIVERSITY HOSPITALS LAKE WEST MEDICAL CENTER AND UNIVERSITY HOSPITALS TRIPOINT MEDICAL CENTER ("UH LAKE HEALTH MEDICAL CENTERS") THROUGH THE ASSESSMENT PROCESS. REPRESENTING A VARIETY OF SECTORS INCLUDING ACADEMIA, EDUCATION, HEALTHCARE, TRANSPORTATION, SOCIAL SERVICES, AS WELL AS THE AGING POPULATION AND THOSE WITH DISABILITIES, THESE ORGANIZATIONS PLAY KEY ROLES IN OPTIMIZING THE COMMUNITY'S HEALTH. THE COMMITTEE MET REGULARLY OVER SIX MONTHS TO REVIEW SECONDARY DATA, REVISE RESIDENT SURVEY QUESTIONS, SUGGEST NEW PARTNERS TO CONTRIBUTE TO THE PRIORITIZATION PROCESS, AND FINALLY APPROVE THE FINALIZED HEALTH NEEDS.LCGHD AND UNIVERSITY HOSPITALS COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT DATA ANALYSIS AND REPORT DEVELOPMENT OF LAKE COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO DRIVE COMMUNITY HEALTH OUTCOMES BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES.
GROUP A-FACILITY 9 -- UH TRIPOINT MEDICAL CENTER PART V, SECTION B, LINE 5:	MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS WHICH INCLUDED PARTICIPATION IN QUALITATIVE DATA COLLECTION, MARKETING AND PARTICIPATION IN THE COMMUNITY HEALTH SURVEY, AS WELL AS PARTICIPATION IN THE PUBLIC PRIORITIZATION MEETING THAT WAS HOSTED VIRTUALLY. UH WEST MEDICAL CENTER 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (COMMUNITY SURVEY AND FOCUS GROUPS AND MAYORS AND CITY MANAGERS FEEDBACK) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, SOCIOECONOMIC, MORBIDITY, AND MORTALITY).TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM RESIDENTS IN LAKE COUNTY. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF FOCUS GROUP DISCUSSIONS, AN ONLINE COMMUNITY SURVEY, AS WELL AS AN ADDITIONAL SURVEY WITH MAYORS AND CITY MANAGERS. THE COMMUNITY SURVEY WAS CONDUCTED ONLINE AND PROMOTED ACROSS LAKE COUNTY BY LCGHD AND UH LAKE HEALTH MEDICAL CENTERS AND THEIR COMMUNITY PARTNERS. THE SURVEY CONSISTED OF 103 QUESTIONS RELATED TO TOP HEALTH NEEDS IN THE COMMUNITY, INDIVIDUALS' PERCEPTION OF THEIR OVERALL HEALTH, INDIVIDUALS' ACCESS TO HEALTH CARE SERVICES, AS WELL AS SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH AND GENERAL HEALTH STATUS. RESPONSES WERE COLLECTED FROM JANUARY 21, 2022, TO MARCH 1, 2022. BOTH AN ENGLISH AND SPANISH VERSION OF THE SURVEY WERE MADE AVAILABLE. A TOTAL OF 1,846 RESPONSES WERE COLLECTED.SEVEN ADDITIONAL KEY INFORMANT SURVEYS WERE ADMINISTERED TO LAKE COUNTY MAYORS AND CITY MANAGERS TO GAIN ADDITIONAL COMMUNITY-LEVEL FEEDBACK. FIVE KEY FOCUS GROUP DISCUSSIONS WERE CONDUCTED IN MARCH 2022 TO GAIN DEEPER UNDERSTANDING OF HEALTH ISSUES IMPACTING THE RESIDENTS OF LAKE COUNTY. KEY COMMUNITY GROUPS WHO PARTICIPATED IN THESE FOCUS GROUPS INCLUDE REPRESENTATIVES FROM: - BLACK LIVES MATTER- LGBTQ+ COMMUNITY- NAACP- PAINESVILLE ELM STREET ELEMENTARY- SENIORSINITIALLY, A TOTAL OF 181 SECONDARY DATA MEASURES WERE IDENTIFIED AND COMPILED ACROSS HEALTHY PEOPLE 2030 (WHERE AVAILABLE), NATIONAL, STATE, AND COUNTY VALUES. IN CONJUNCTION WITH LAKE COUNTY VALUES, TWO DEMOGRAPHICALLY SIMILAR COUNTIES, LICKING COUNTY AND CLERMONT COUNTY, AS DETERMINED BY TOTAL POPULATION, POVERTY, AGE, AND MEDIAN HOUSEHOLD INCOME, WERE INCLUDED FOR BENCHMARKING PURPOSES. BASED UPON THE QUALITY, AGE, AVAILABILITY, AND/OR REDUNDANCY OF THE MEASURES, 171 OF THE INITIALLY COMPILED 338 (94%) MEASURES WERE INCLUDED FOR ANALYSIS.
GROUP A-FACILITY 9 -- UH TRIPOINT MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE FOLLOWING HOSPITAL FACILITY IS INCLUDED WITH UH TRIPOINT MEDICAL CENTER IN THE JOINT CHNA FOR LAKE COUNTY:- UH LAKE WEST MEDICAL CENTER
GROUP A-FACILITY 9 -- UH TRIPOINT MEDICAL CENTER PART V, SECTION B, LINE 6B:	THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR LAKE COUNTY: - EDUCATIONAL SERVICE CENTER OF THE WESTERN RESERVE- LAKE COUNTY ALCOHOL, DRUG, AND MENTAL HEALTH SERVICES BOARD- LAKE COUNTY COUNCIL ON AGING- LAKE COUNTY BOARD OF DEVELOPMENTAL DISABILITIES- LAKE COUNTY JOB & FAMILY SERVICES- LAKE METROPARKS- LAKELAND COMMUNITY COLLEGE- LAKETRAN- SIGNATURE HEALTH- UNITED WAY OF LAKE COUNTY- YMCA OF LAKE COUNTY
GROUP A-FACILITY 9 -- UH TRIPOINT MEDICAL CENTER PART V, SECTION B, LINE 11:	THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH TRIPOINT MEDICAL CENTER (LAKE COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEATH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: ACCESS TO HEALTHCARE STRATEGY #1: IMPROVE HEALTHCARE ACCESS THROUGH THE CREATION OF WORKFORCE PIPELINE AND DEVELOPMENT OPPORTUNITIES TO PURSUE CAREERS IN HEALTH CARE. IMPROVE INCLUSIVE HEALTHCARE ACCESS FOR COMMUNITY MEMBERS, ESPECIALLY THOSE IMPACTED BY HIGH COST DUE TO BEING UNINSURED OR UNDERINSURED WITH A HIGH DEDUCTIBLE TO IMPROVE REFERRALS TO PRIMARY CARE.PRIORITY HEALTH NEED #2: BEHAVIORAL HEALTH (MENTAL HEALTH & SUBSTANCE USE AND MISUSE) STRATEGY #1: UH LAKE HEALTH AND PUBLIC HEALTH PARTNERS ADDRESS OPIOIDS/SUBSTANCE USE/MISUSE AND MENTAL HEALTHPRIORITY HEALTH NEED #3: CHRONIC DISEASE CONDITIONS STRATEGY #1: COMMUNITY ENGAGEMENT TO PROVIDE SCREENINGS, EDUCATION AND SUPPORT GROUPS TO PREVENT AND/OR MANAGE CHRONIC DISEASES.UH TRIPOINT MEDICAL CENTER IS CURRENTLY ADDRESSING ALL THREE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR LAKE COUNTY, AND THERE ARE NO PRIORITIZED HEALTH NEEDS THAT UH TRIPOINT MEDICAL CENTER IS NOT ADDRESSING.FOR MORE DETAILS ON THE STRATEGIES THAT UH TRIPOINT MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 LAKE COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 9 -- UH TRIPOINT MEDICAL CENTER PART V, SECTION B, LINE 13H:	PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP.CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP A-FACILITY 9 -- UH TRIPOINT MEDICAL CENTER PART V, SECTION B, LINE 15E:	THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP A-FACILITY 9 -- UH TRIPOINT MEDICAL CENTER PART V, SECTION B, LINE 18E:	NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 7: UH GEAUGA MEDICAL CENTER, - FACILITY 11: UH SAMARITAN MEDICAL CENTER
GROUP B-FACILITY 7 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 3J:	IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, EDUCATION, HOUSING, AND NEIGHBORHOOD AND BUILT ENVIRONMENT FACTORS FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS.THE HOSPITAL COUNCIL OF NORTHWEST OHIO WORKED CLOSELY WITH GEAUGA COUNTY LEADERS, THE HEALTH DEPARTMENT, UNIVERSITY HOSPITALS, LOCAL ORGANIZATIONS, AND GEAUGA COUNTY RESIDENTS IN THE 2022 CHNA FOR GEAUGA COUNTY. REPRESENTATIVES FROM GEAUGA PUBLIC HEALTH AND UNIVERSITY HOSPITALS GEAUGA MEDICAL CENTER FORMED THE PARTNERSHIP OF HEALTHY GEAUGA FOR THE 2022 CHNA. THE PARTNERS MET REGULARLY OVER SIX MONTHS TO REVIEW SECONDARY DATA AND COMMUNITY FEEDBACK, SUGGEST NEW PARTNERS TO CONTRIBUTE TO THE PRIORITIZATION PROCESS, AND FINALLY APPROVE THE FINALIZED HEALTH NEEDS. THE PARTNERS ENGAGED WITH GEAUGA COUNTY COMMUNITY MEMBERS THROUGHOUT THE ASSESSMENT PROCESS. REPRESENTING A VARIETY OF SECTORS, INCLUDING ACADEMIA, EDUCATION, HEALTHCARE, TRANSPORTATION, SOCIAL SERVICES, AS WELL AS THE AGING POPULATION AND THOSE WITH DISABILITIES, THESE ORGANIZATIONS PLAY KEY ROLES IN OPTIMIZING THE COMMUNITY'S HEALTH.THE GEAUGA COUNTY CHNA STEERING COMMITTEE (AKA PARTNERSHIP OF HEALTHY GEAUGA), INCLUDING GEAUGA PUBLIC HEALTH AND UH GEAUGA MEDICAL CENTER, COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT DEVELOPMENT OF GEAUGA COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO IMPROVE COMMUNITY HEALTH BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES.
GROUP B-FACILITY 7 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 5:	UH GEAUGA MEDICAL CENTER'S 2022 ASSESSMENT CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (KEY INFORMANT INTERVIEWS, COMMUNITY SURVEY, AND FOCUS GROUPS) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). FOR BOTH PRIMARY AND SECONDARY DATA, IMMENSE EFFORTS WERE MADE TO INCLUDE AS WIDE A RANGE OF COMMUNITY HEALTH INDICATORS, KEY INFORMANTS, AND FOCUS GROUP PARTICIPANTS AS POSSIBLE. ALTHOUGH THE TOPICS BY WHICH DATA WERE ORGANIZED COVERED A WIDE RANGE OF HEALTH AND QUALITY OF LIFE AREAS, WITHIN EACH TOPIC, THERE WAS A VARYING SCOPE AND DEPTH OF SECONDARY DATA INDICATORS AND PRIMARY DATA FINDINGS.TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM GEAUGA COUNTY RESIDENTS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF COMMUNITY SURVEYS, KEY INFORMANT INTERVIEWS (KIIS) WITH KEY COMMUNITY STAKEHOLDERS, AND FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS. GEAUGA PUBLIC HEALTH CONDUCTED FIVE KEY INORMANT INTERVIEWS IN AUGUST 2022. INDIVIDUALS REPRESENTING THE FOLLOWING GROUPS PARTICIPATED IN THE KEY INFORMANT INTERVIEWS: - DEPARTMENT OF AGING- GEAUGA METROPOLITAN HOUSING AUTHORITY- KENT STATE GEAUGA- LEAGUE OF WOMEN VOTERS- UNITED WAYFOUR FOCUS GROUP DISCUSSIONS WERE CONDUCTED BY GEAUGA PUBLIC HEALTH FROM APRIL TO AUGUST 2022 TO GAIN DEEPER INSIGHTS ABOUT PERCEPTIONS, ATTITUDES, EXPERIENCES, OR BELIEFS HELD BY COMMUNITY MEMBERS ABOUT THEIR HEALTH AND THE HEALTH OF THEIR COMMUNITY. PARTICIPANTS IN THE COMMUNITY FOCUS GROUPS INCLUDED REPRESENTATIVES FROM: CHAGRIN FALLS PARK, HISPANIC POPULATIONS, AND SENIORS THAT INCLUDED PERSPECTIVES FROM ACROSS THE COUNTY. THE COMMUNITY SURVEY CONTAINED BOTH CUSTOMIZED QUESTIONS AND A SET OF CORE QUESTIONS TAKEN FROM THE CENTER FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. THE NUMBER OF SURVEYS COMPLETED AND ANALYZED (398) MET THE THRESHOLD FOR STATISTICAL SIGNIFICANCE AT THE 95% CONFIDENCE LEVEL, WITH A 5% MARGIN OF ERROR. WHEREVER POSSIBLE, LOCAL FINDINGS WERE COMPARED TO OTHER LOCAL, REGIONAL, STATE, AND NATIONAL DATA.SECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM A COMMUNITY INDICATOR DATABASE DEVELOPED BY CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI). THE DATABASE, MAINTAINED BY RESEARCHERS AND ANALYSTS AT HCI, INCLUDED OVER 150 COMMUNITY INDICATORS, SPANNING AT LEAST 24 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA WAS PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS WAS COMPARED TO OTHER COMMUNITIES, NATIONAL TARGETS, AND TO PREVIOUS TIME PERIODS. THE SECONDARY DATA ANALYSIS IDENTIFIED THE FOLLOWING HEALTH TOPIC AREAS: MEDICATIONS & PRESCRIPTIONS, NUTRITION & HEALTHY EATING, WOMENS HEALTH, HEALTHCARE ACCESS & QUALITY, AND OTHER CONDITIONS.
GROUP B-FACILITY 7 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 6B:	THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR GEAUGA COUNTY: - GEAUGA COUNTY DEPARTMENT ON AGING- GEAUGA PARK DISTRICT- LAKE GEAUGA RECOVERY CENTERS- MIDDLEFIELD CARE CENTER- UNITED WAY SERVICES OF GEAUGA COUNTY- KENT-STATE GEAUGA- CHAGRIN FALLS PARK COMMUNITY CENTER- GEAUGA SOGI SUPPORT NETWORK- GEAUGA COUNTY VETERAN'S SERVICES- GEAUGA TRANSIT DEPARTMENT- GEAUGA COUNTY PLANNING COMMISSION- GEAUGA METROPOLITAN HOUSING AUTHORITY- GEAUGA COUNTY BOARD OF MENTAL HEALTH & RECOVERY SERVICES- GEAUGA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES- GEAUGA COUNTY EDUCATIONAL SERVICE CENTER- GEAUGA COUNTY JOBS AND FAMILY SERVICES- NAMI GEAUGA- RAVENWOOD MENTAL HEALTH- WOMENSAFE, INC.
GROUP B-FACILITY 7 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 11:	PART V, SECTION B, LINE 11: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH GEAUGA MEDICAL CENTER (GEAUGA COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEATH NEEDS AND ASSOCIATED STRATEGIES TO ADDRESS THEM:PRIORITY HEALTH NEED #1: BEHAVIORAL HEALTH (MENTAL HEALTH & SUBSTANCE USE/MISUSE) STRATEGY #1: SUPPORT COUNTYWIDE COLLABORATIVE EFFORTS FOR BEHAVIORAL HEALTH PREVENTION AND TREATMENT SERVICES STRATEGY #2: COORDINATION OF EDUCATION RELATED TO MENTAL HEALTH PREVENTION STRATEGY #3: COORDINATION OF PREVENTION AND EDUCATION EFFORTS ABOUT ALCOHOL TOBACCO OTHER DRUGS (ATOD) TO THE AMISH COMMUNITYPRIORITY HEALTH NEED #2: CHRONIC CONDITIONS (HEART DISEASE & BREAST CANCER) STRATEGY #1: PLANNING AND COORDINATION OF ACTIVITIES AND SERVICES TO INCREASE AWARENESS ABOUT HEART HEALTH ACROSS GEAUGA COUNTY STRATEGY #2: OUTREACH TO THE AMISH COMMUNITY TO INCREASE AWARENESS ABOUT HEART HEALTH STRATEGY #3: COORDINATION AND OUTREACH TO INCREASE AWARENESS ABOUT BREAST HEALTH AMONG ADULTSPRIORITY HEALTH NEED #3: HEALTHCARE ACCESS AND QUALITY STRATEGY #1: COORDINATION AND OUTREACH EDUCATION TO EXPAND HEALTHCARE ACCESS FOR AMISH COMMUNITYTHE CURRENT PLAN MOST AGGRESSIVELY AND COMPREHENSIVELY ADDRESSES THE THREE PRIORITIZED HEALTH NEEDS ABOVE AS THOSE NEEDS WERE CHOSEN BASED ON THE NUMBER OF COMMUNITY MEMBERS IMPACTED AND THE HOSPITAL BEING IN THE BEST POSITION TO HAVE A POSITIVE IMPACT ON THOSE NEEDS. THE PRIORITIZED HEALTH NEED IDENTIFIED IN THE 2022 CHNA FOR GEAUGA COUNTY THAT IS NOT BEING ADDRESSED BY UH GEAUGA MEDICAL CENTER IS COMMUNITY CONDITIONS (TRANSPORTATION AND HOUSING). UH GEAUGA MEDICAL CENTER HAS DETERMINED THAT IT IS NOT IN A POSITION TO HAVE A SIGNIFICANT POSITIVE IMPACT AND/OR OTHERS ARE KNOWN TO BE FOCUSING ON THAT NEED AND MAKING A SIGNIFICANT POSITIVE IMPACT.FOR MORE DETAILS ON THE STRATEGIES THAT UH GEAUGA MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 GEAUGA COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP B-FACILITY 7 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 13H:	PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP B-FACILITY 7 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 15E:	THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP B-FACILITY 7 -- UH GEAUGA MEDICAL CENTER PART V, SECTION B, LINE 18E:	NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
GROUP B-FACILITY 11 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 3J:	IN ADDITION TO REPORTING THE ITEMS DESCRIBED IN PART V, SECTION B, LINES 3A THROUGH 3I, THE 2022 CHNA EXAMINED SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS INCOME, POVERTY, EMPLOYMENT, EDUCATION, HOUSING, AND NEIGHBORHOOD AND BUILT ENVIRONMENT FACTORS FROM SOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND OTHER NATIONAL, STATE AND LOCAL DATA SOURCES. ADDITIONALLY, THE 2022 CHNA ANALYZED VARIOUS DISPARITIES AND HEALTH EQUITY ISSUES AMONGST VARIOUS POPULATIONS. UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. WORKED CLOSELY WITH THE FOLLOWING ORGANIZATIONS, COMMITTEES, AND WORK GROUPS THAT WERE ACTIVE IN ASHLAND COUNTY AND PROVIDED INPUT INTO THIS ASSESSMENT PROCESS:- FAMILY AND CHILDREN FIRST (FCFC)- ASHLAND COUNTY SUBSTANCE USE COMMITTEE- HOMELESS COALITION- WELLNESS TARGET ACTION GROUP- AMISH HEALTH AND SAFETY GROUP ASHLAND COUNTY HEALTH DEPARTMENT AND UH SAMARITAN MEDICAL CENTER TOGETHER FORMED THE ASHLAND COUNTY STEERING COMMITTEE AND COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT DEVELOPMENT OF ASHLAND COUNTY'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. HCI WORKS WITH CLIENTS ACROSS THE NATION TO IMPROVE COMMUNITY HEALTH BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES.THE STEERING COMMITTEE MET REGULARLY OVER SIX MONTHS TO REVIEW SECONDARY DATA AND COMMUNITY FEEDBACK, SUGGEST NEW PARTNERS TO CONTRIBUTE TO THE PRIORITIZATION PROCESS, AND FINALLY APPROVE THE FINALIZED HEALTH NEEDS. THE STEERING COMMITTEE ENGAGED WITH ASHLAND COUNTY COMMUNITY PARTNERS THROUGHOUT THE ASSESSMENT PROCESS. REPRESENTING A VARIETY OF SECTORS, INCLUDING ACADEMIA, EDUCATION, HEALTHCARE, TRANSPORTATION, SOCIAL SERVICES, AS WELL AS THE AGING POPULATION AND THOSE WITH DISABILITIES.
GROUP B-FACILITY 11 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 5:	MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS WHICH INCLUDED PARTICIPATION IN QUALITATIVE DATA COLLECTION, AS WELL AS PARTICIPATION IN THE PUBLIC PRIORITIZATION THAT WAS HOSTED IN ASHLAND COUNTY IN EARLY AUGUST 2022. UH SAMARITAN MEDICAL CENTER'S 2022 CHNA CONSIDERED MULTIPLE DATA SOURCES, SOME PRIMARY (KEY INFORMANT INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS AND FOCUS GROUP DISCUSSIONS WITH KEY COMMUNITY GROUPS) AND SOME SECONDARY (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS). TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM ASHLAND COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS (KIIS) WITH COMMUNITY STAKEHOLDERS AND COMMUNITY FOCUS GROUPS. CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) CONDUCTED KEY INFORMANT INTERVIEWS VIA PHONE AND VIDEO CONFERENCE IN ORDER TO COLLECT COMMUNITY INPUT. INTERVIEWEES INVITED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, AND/OR BEING ABLE TO SPEAK TO THE NEEDS OF UNDERSERVED OR VULNERABLE POPULATIONS. FIFTEEN INDIVIDUALS PARTICIPATED AS KEY INFORMANTS REPRESENTING DIFFERENT ENTITIES SERVING ASHLAND COUNTY. THE REPRESENTED ORGANIZATIONS ARE LISTED BELOW:- ACCESS - AKRON CHILDREN'S IN ASHLAND - ASHLAND CITY GOVERNMENT - ASHLAND COUNTY COUNCIL ON ALCOHOLISM AND DRUG ABUSE- ASHLAND COUNTY SCHOOL BOARD- ASHLAND GRACE BRETHREN CHURCH- ASHLAND UNIVERSITY- CATHOLIC CHARITIES ASHLAND- CHAMBER OF COMMERCE- COUNCIL ON AGING- JOB AND FAMILY SERVICES- KROC CENTER/SALVATION ARMY- MENTAL HEALTH RECOVERY BOARD- NORTH COUNTY REPRESENTATIVE- OHIO HIGHWAY PATROLFOCUS GROUP DISCUSSIONS WERE CONDUCTED BY HCI AND ASHLAND COUNTY CHNA STEERING COMMITTEE PARTNER UNIVERSITY HOSPITALS TO GAIN DEEPER INSIGHTS ABOUT PERCEPTIONS, ATTITUDES, EXPERIENCES, OR BELIEFS HELD BY COMMUNITY MEMBERS ABOUT THEIR HEALTH AND THE HEALTH OF THEIR COMMUNITY. SECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM A COMMUNITY INDICATOR DATABASE DEVELOPED BY CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI). THE DATABASE, MAINTAINED BY RESEARCHERS AND ANALYSTS AT HCI, INCLUDES OVER 150 COMMUNITY INDICATORS, SPANNING AT LEAST 24 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA ARE PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS IS COMPARED TO OTHER COMMUNITIES, NATIONAL TARGETS, AND TO PREVIOUS TIME PERIODS.
GROUP B-FACILITY 11 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 6B:	THE FOLLOWING ORGANIZATIONS WORKED IN COLLABORATION TO CONDUCT A JOINT CHNA FOR ASHLAND COUNTY:- APPLESEED COMMUNITY MENTAL HEALTH CENTER- ASHLAND CITY GOVERNMENT- ASHLAND CITY SCHOOLS- ASHLAND COUNTY BOARD OF HEALTH- ASHLAND COUNTY CHAMBER OF COMMERCE- ASHLAND COUNTY COUNCIL ON AGING- ASHLAND COUNTY COUNCIL ON ALCOHOLISM AND DRUG ABUSE- ASHLAND COUNTY EMA- ASHLAND COUNTY FAMILY AND CHILDREN FIRST COUNCIL- ASHLAND COUNTY JOB & FAMILY SERVICES- ASHLAND FIRE- ASHLAND PARENTING PLUS- ASHLAND UNIVERSITY- CATHOLIC CHARITIES ASHLAND- KROC CENTER/SALVATION ARMY- LOUDONVILLE- PERRYSVILLE SCHOOLS- MENTAL HEALTH RECOVERY BOARD- OHIO HIGHWAY PATROL
GROUP B-FACILITY 11 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 11:	THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2022 IMPLEMENTATION STRATEGY FOR UH SAMARITAN MEDICAL CENTER (ASHLAND COUNTY) IDENTIFIED THE FOLLOWING THREE PRIORITY HEALTH NEEDS AND ASSOCIATED STRATEGY TO ADDRESS THEM:PRIORITY HEALTH NEED #1: ACCESS TO HEALTHCARE STRATEGY #1: FOCUSING ON TELEHEALTH AND USAGE BY OUR OLDER POPULATION, DEVELOP A FRAMEWORK TO PROVIDE LIVE GROUP EDUCATION EVENTS AND 1-ON-1 TRAINING TO PROMOTE TELEHEALTH AS AN OPTION FOR ROUTINE CHECK-UPSPRIORITY HEALTH NEED #2: BEHAVIORAL HEALTH (MENTAL HEALTH & SUBSTANCE USE/MISUSE) STRATEGY #1: OFFER MUSIC THERAPY TO INPATIENTS AND OUTPATIENTS TO IMPROVE MENTAL HEALTH (INCLUDING BUT NOT LIMITED TO SEIDMAN CANCER & INFUSION CENTER, ED, 1:1 CONSULTATIONS) STRATEGY #2: DECREASE PRESCRIPTION MEDICATION ABUSE STRATEGY #3: OFFER MUSIC THERAPY SERVICES TO COMMUNITYPRIORITY HEALTH NEED #3: CANCER STRATEGY #1: COLLABORATE WITH PROVIDERS AND COMMUNITY PARTNERS ON VARIETY OF COMMUNITY OUTREACH EVENTS TARGETED TO CANCER EDUCATION AND THE VALUE OF CANCER SCREENINGSUH SAMARITAN MEDICAL CENTER IS CURRENTLY ADDRESSING ALL THREE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR ASHLAND COUNTY, AND THERE ARE NO PRIORITIZED HEALTH NEEDS THAT UH SAMARITAN MEDICAL CENTER IS NOT ADDRESSING.FOR MORE DETAILS ON THE STRATEGIES THAT UH SAMARITAN MEDICAL CENTER IS PURSUING TO ADDRESS THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 ASHLAND COUNTY CHNA REPORT, PLEASE VISIT THE LINK BELOW TO ACCESS BOTH THE CHNA AND THE 2022 IMPLEMENTATION STRATEGY.LINK: HTTPS://WWW.UHHOSPITALS.ORG/ABOUT-UH/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP B-FACILITY 11 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 13H:	PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP. CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: - THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. - PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP B-FACILITY 11 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 15E:	THE UH FINANCIAL ASSISTANCE PROGRAM (FAP) IS INTENDED FOR ALL HOSPITAL PATIENTS WHO MEET THE CONDITIONS AND GUIDELINES OUTLINED IN THE POLICY. INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE UH FAP IS INCLUDED ON ALL HOSPITAL PATIENT STATEMENTS AND BILLS, INCLUDED ON THE UH WEBSITE, DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH FACILITIES IN AREAS OF HOSPITAL REGISTRATION AND FINANCIAL COUNSELING, AND DISPLAYED ON SIGNS AND IN BROCHURES AT ALL UH HOSPITAL FACILITIES PATIENT ACCESS AREAS OR FINANICAL ASSISTANCE OFFICES. IF A PATIENT DOES NOT QUALIFY FOR THE FAP BUT BELIEVES THEY HAVE SPECIAL CIRCUMSTANCES, THE PATIENT CAN REQUEST THAT THEIR CARE BE REVIEWED BY A UH HOSPITAL FINANCIAL COUNSELOR.
GROUP B-FACILITY 11 -- UH SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 18E:	NO UH HOSPITAL FACILITIES WERE PERMITTED TO ENGAGE IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 18 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE INDIVIDUALS' ELIGIBILITY UNDER THE FACILITIES' FINANCIAL ASSSTANCE POLICY.
PART V, SECTION B	FACILITY REPORTING GROUP C
FACILITY REPORTING GROUP C CONSISTS OF:	- FACILITY 16: UH BEACHWOOD MEDICAL CENTER
GROUP C-FACILITY 16 -- UH BEACHWOOD MEDICAL CENTER PART V, SECTION B, LINE 2:	UH BEACHWOOD MEDICAL CENTER CONVERTED FROM A TAXABLE MEDICAL FACILITY TO A NON-PROFIT MEDICAL FACILITY IN JUNE OF 2024.
GROUP C-FACILITY 16 -- UH BEACHWOOD 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 C-FACILITY 16 -- UH BEACHWOOD MEDICAL CENTER PART V, SECTION B, LINE 15E:	PATIENTS MUST MEET SEVERAL QUALIFICATIONS TO BE ELIGIBLE FOR THE UH FAP.CRITERIA OTHER THAN THOSE ALREADY CHECKED INCLUDE: THE CARE BEING DISCOUNTED MUST BE MEDICALLY NECESSARY (NON-ELECTIVE) AND A SERVICE THAT THE OHIO MEDICAID PROGRAM WOULD COVER. PATIENTS MUST AGREE TO ALLOW UH TO APPLY ON THEIR BEHALF FOR THIRD-PARTY PAYMENT PROGRAMS, IF APPLICABLE.
GROUP C-FACILITY 16 -- UH BEACHWOOD 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/
REPORTING GROUP C	PART 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 CPART 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 CPART 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) 2024

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?120
Name and address		Type of Facility (describe)
1	1 - UH MINOFF HEALTH CENTER AT CHAGRIN HIGHL 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 MEDINA HEALTH CENTER 4001 CARRICK DR MEDINA,OH44256	OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC
8	8 - UH LANDERBROOK HEALTH CENTER 5850 LANDERBROOK DRIVE MAYFIELD HEIGHTS,OH44124	OUTPATIENT HEALTH CENTER & RAINBOW SPECIALTY CLINIC
9	9 - UH EUCLID HEALTH CENTER 18599 LAKE SHORE BLVD EUCLID,OH44119	OUTPATIENT HEALTH CENTER
10	10 - UH MAYFIELD VILLAGE HEALTH CENTER 730 SOM CENTER ROAD SUITE 110 MAYFIELD VILLAGE,OH44143	OUTPATIENT HEALTH CENTER
11	11 - UH UNIVERSITY SUBURBAN HEALTH CENTER 1611 SOUTH GREEN ROAD SOUTH EUCLID,OH44121	OUTPATIENT HEALTH CENTER, RAINBOW SPECIALTY CLINIC, & SURGERY CENTER
12	12 - UH HUDSON HEALTH CENTER 5778 DARROW ROAD HUDSON,OH44236	OUTPATIENT HEALTH CENTER
13	13 - UH MADISON HEALTH CENTER 701 NORTH LAKE STREET MADISON,OH44057	OUTPATIENT HEALTH CENTER
14	14 - UH OTIS MOSS JR HEALTH CENTER 8819 QUINCY AVENUE CLEVELAND,OH44106	OUTPATIENT HEALTH CENTER
15	15 - UH SOLON HEALTH CENTER 34055 SOLON ROAD SOLON,OH44139	OUTPATIENT HEALTH CENTER
16	16 - UH WELLPOINTE HEALTH CENTER 303 E ROYALTON RD BROADVIEW HTS,OH44147	DIAGNOSTIC AND THERAPY CENTER
17	17 - UH AVON HEALTH CENTER 1997 HEALTHWAY ROAD AVON,OH44011	LAB, IMAGING, REHABILITATION, & FITNESS CENTER SERVICES
18	18 - UH AMHERST HEALTH CENTER 254 CLEVELAND AVE AMHERST,OH44001	LAB, 24 HOUR ER, & IMAGING
19	19 - UH FAIRLAWN HEALTH CENTER 3800 EMBASSY PKWY FAIRLAWN,OH44333	OUTPATIENT HEALTH CENTER
20	20 - UH GEAUGA HEALTH CENTER 13221 RAVENNA RD CHARDON,OH44024	OUTPATIENT HEALTH CENTER
21	21 - UH INDEPENDENCE HEALTH CENTER 6150 OAK TREE BLVD INDEPENDENCE,OH44131	OUTPATIENT HEALTH CENTER
22	22 - UH KENT HEALTH CENTER 401 AND 408 DEVON PLACE KENT,OH44240	OUTPATIENT HEALTH CENTER & LAB
23	23 - UH SHEFFIELD HEALTH CENTER 5001 TRANSPORTATION DRIVE SHEFFIELD LAKE,OH44054	OUTPATIENT HEALTH CENTER
24	24 - UH STREETSBORO HEALTH CENTER 9318 STATE ROUTE 14 STREETSBORO,OH44241	OUTPATIENT HEALTH CENTER
25	25 - UH BROADVIEW HEIGHTS HEALTH CENTER 5901 E ROYALTON ROAD BROADWAY HEIGHTS,OH44147	OUTPATIENT HEALTH CENTER
26	26 - UH ASHTABULA HEALTH CENTER 3315 N RIDGE ROAD ASHTABULA,OH44004	URGENT CARE & RADIOLOGY
27	27 - UHCMC TRANSPLANT INSTITUTE 145 WEST AVENUE TALLMADGE,OH44278	OUTPATIENT HEALTH CENTER
28	28 - UH EVANS MIDDLEFIELD HEALTH CENTER 15976 E HIGH STREET MIDDLEFIELD,OH44062	RADIOLOGY
29	29 - UH BROOK PARK (PARTNER WITH SOUTHWEST) 15900 SNOW ROAD SUITE 200 BROOK PARK,OH44142	URGENT CARE & RADIOLOGY
30	30 - UH NORTH OLMSTED HEALTH CENTER 26127 LORAIN ROAD SUITE 100 NORTH OLMSTED,OH44070	OUTPATIENT HEALTH CENTER & URGENT CARE
31	31 - UH NORTH RIDGEVILLE HEALTH CENTER 32800 LORAIN ROAD NORTH RIDGEVILLE,OH44039	OUTPATIENT HEALTH CENTER
32	32 - UH ASHLAND FAMILY PRACTICE 1941 S BANEY RD STE 100 ASHLAND,OH44805	OUTPATIENT HEALTH CENTER
33	33 - UH KETTERING HEALTH CENTER 546 NORTH UNION STREET LOUDONVILLE,OH44842	URGENT CARE
34	34 - UH RAINBOW AHUJA CENTER FOR WOMEN & CHIL 5805 EUCLID AVENUE CLEVELAND,OH44103	RAINBOW SPECIALTY CLINIC
35	35 - UH ASHLAND MEDICAL CENTER 2212 MIFFLIN AVENUE ASHLAND,OH44805	OUTPATIENT HEALTH CENTER
36	36 - RICHLAND HEALTH CENTER 1033 ASHLAND ROAD MANSFIELD,OH44905	URGENT CARE
37	37 - WESTLAKE FAMILY HEALTH CENTER 26908 DETROIT ROAD WESTLAKE,OH44145	OUTPATIENT HEALTH CENTER
38	38 - UH TRI CITY AVON CONVENIENT CARE 1480 CENTER ROAD SUITE B AVON,OH44011	CONVENIENT CARE
39	39 - UH KATHY RISMAN PAVILION 1000 AUBURN DR BEACHWOOD,OH44122	HOPD FERTILITY CLINIC
40	40 - UH TRI CITY AMHERST 101 COOPER FOSTER PARK RD STE R AMHERST,OH44001	RADIOLOGY
41	41 - EMC ELYRIA DEWHURST 10325 DEWHURST RD STE A ELYRIA,OH44035	HOSPITAL OUTPATIENT SERVICES
42	42 - UH WO WALKER BUILDING 10524 EUCLID AVE CLEVELAND,OH44106	HOSPITAL OUTPATIENT SERVICES
43	43 - BOLWELL HEALTH CENTER PHARMACY 11100 EUCLID AVE BOLWELL HEALTH CENTER CLEVELAND,OH44106	RETAIL PHARMACY/CLINIC PHARMACY
44	44 - NRMFC 11409 STATE RD NORTH ROYALTON,OH44133	OPT EXTENSION SITE
45	45 - GEAUGA YMCA 12460 BASS LAKE RD CHARDON,OH44024	OPT EXTENSION SITE
46	46 - NORTH OHIO HEART - ELYRIA 125 E BROAD ST STE 305 ELYRIA,OH44035	HOSPITAL OUTPATIENT SERVICES
47	47 - UH EMC WOUND CARE & HYPERBARIC MED 133 E BROAD ST ELYRIA,OH44035	HOSPITAL OUTPATIENT SERVICES
48	48 - HARRINGTON HEART & VASCULAR INST 1335 CORPORATE DR HUDSON,OH44236	HOPD CARDIOLOGY
49	49 - EMC AVON T3 REHAB 1965 RECREATION LN STE A AVON,OH44011	REHABILIATION
50	50 - UH FERTILITY CENTER WEST 2055 CROCKER RD STE 206 WESTLAKE,OH44145	HOPD FERTILITY CLINIC
51	51 - SAMARITAN HEALTH & REHAB CENTER 2163 CLAREMONT AVE ASHLAND,OH44805	OPT EXTENSION SITE
52	52 - UH EMC WOUND CARE & HYPERBARIC MED 25200 CENTER RIDGE RD STE 1400 WESTLAKE,OH44145	HOSPITAL OUTPATIENT SERVICES
53	53 - UHCMC REHABILITATION AND SPORTS MED 26001 S WOODLAND RD BEACHWOOD,OH44122	OPT EXTENSION SITE
54	54 - OHIO MEDICAL GROUP - ELYRIA 26908 COOK RD STE A OLMSTEAD TWP,OH44138	HOSPITAL OUTPATIENT SERVICES
55	55 - UH PEDIATRIC REHAB SERVICES 29160 CENTER RIDGE RD WESTLAKE,OH44145	OPT EXTENSION SITE/WOUND CARE
56	56 - NORTH OHIO HEART - WESTLAKE 29325 HEALTH CAMPUS DR STE 3A WESTLAKE,OH44145	HOSPITAL OUTPATIENT SERVICES
57	57 - NORTH OHIO HEART - LORAIN 3600 KOLBE RD STE 127A LORAIN,OH44053	HOSPITAL OUTPATIENT SERVICES
58	58 - UHCMC FOLEY ELDERHEALTH CENTER 3619 PARK EAST DR STE 109 BEACHWOOD,OH44122	HOSPITAL OUTPATIENT SERVICES
59	59 - UH SLEEP CENTER AT MARRIOTT 3628 PARK EAST DR STE 442 BEACHWOOD,OH44122	HOPD SLEEP CENTER
60	60 - CENTER RIDGE REHAB 39000 CENTER RIDGE RD NORTH RIDGEVILLE,OH44039	HOSPITAL OUTPATIENT SERVICES
61	61 - UH PERRICO HEALTH CENTER 4176 STATE ROUTE 306 WILLOUGHBY,OH44094	PHYSICIAN OFFICE & DIAGNOSTIC CENTER
62	62 - UH WARRENSVILLE OPT & NEURO REHAB 4480 RICHMOND RD WARRENSVILLE HEIGHTS,OH44128	OPT EXTENSION SITE
63	63 - UH SPECIALTY CLINIC 6115 POWERS BLVD STE 301 PARMA,OH44129	HOSPITAL OUTPATIENT SERVICES
64	64 - OUTPATIENT CENTER 6305 POWERS BLVD PARMA,OH44129	OUTPATIENT CENTER
65	65 - ANTI-COAGULATION CLINIC 6525 POWERS BLVD PARMA,OH44129	ANTI-COAGULATION CLINIC
66	66 - THERAPY SERVICES 6681 RIDGE RD PARMA,OH44129	OPT EXTENSION SITE/THERAPY/CARDIO THORACIC CLINIC
67	67 - WOUND CLINIC 6707 POWERS BLVD PARMA,OH44129	WOUND CLINIC/SURGERY CLINIC
68	68 - NORTH OHIO HEART - SANDUSKY 703 TYLER ST STE 250A SANDUSKY,OH44870	HOSPITAL OUTPATIENT SERVICES
69	69 - SEVEN HILLS THERAPY 7777 SUMMITVIEW DR SEVEN HILLS,OH44131	OPT EXTENSION SITE
70	70 - BEDFORD MEDICAL OFFICE BUILDING 88 CENTER RD BEDFORD,OH44146	OTHER HEALTH CARE FACILITY
71	71 - UH TWINSBURG TOWN CENTER 8900 DARROW RD STE H111 TWINSBURG,OH44087	HOPD WOMEN'S HEALTH
72	72 - UH WESTLAKE HEALTH CENTER 950 CLAGUE RD STE 101A WESTLAKE,OH44145	HOPD NEUROLOGICAL
73	73 - UH LHPG OHIO HAND AND SHOULDER CENTER BE 25501 CHAGRIN BLVD BEACHWOOD,OH44122	PHYSICIAN OFFICE
74	74 - UH LHPG OHIO HAND AND SHOULDER CENTER 13170 RAVENNA RD STE 200 CHARDON,OH44024	PHYSICIAN OFFICE
75	75 - UH CHARDON HEALTH CENTER 510 5TH AVE CHARDON,OH44024	URGENT CARE CENTER & RADIOLOGY
76	76 - UH LHPG CHARDON PEDIATRICS 510 5TH AVE STE 100 CHARDON,OH44024	PHYSICIAN OFFICE
77	77 - UH LHPG CHARDON FAMILY PRACTICE 510 5TH AVE STE 130 CHARDON,OH44024	PHYSICIAN OFFICE
78	78 - UH LHPG GENERAL SURGERY CONCORD 7580 AUBURN RD STE 314 CONCORD TOWNSHIP,OH44077	GENERAL SURGERY PHYSICIAN OFFICE
79	79 - UH LAKE CONTINUING CARE CENTER 10977 CAPITAL PKWY CONCORD TWP,OH44077	REHABILITATION AND PSYCHIATRIC DEPARTMENTS
80	80 - UH LHPG NORTHEAST OHIO HEART ASSOCIATES 7580 AUBURN RD STE 106 CONCORD TWP,OH44077	PHYSICIAN OFFICE
81	81 - UH LHPG NORTH COAST FAMILY PRACTICE 7580 AUBURN RD STE 202 CONCORD TWP,OH44077	PHYSICIAN OFFICE
82	82 - UH MADISON HEALTH CENTER 6270 N RIDGE RD MADISON,OH44057	GENERAL MEDICAL & PHYSICIAN OFFICES
83	83 - UH BRUNNER SANDEN DEITRICK WELLNESS CENT 8655 MARKET ST MENTOR,OH44060	MEDICAL FITNESS CENTER
84	84 - UH MENTOR HEALTH CENTER 9485 MENTOR AVE MENTOR,OH44060	VARIOUS PHYSICIAN OFFICES - PEDIATRICS, OBGYN, INTERNAL MED, PAIN MANAGEMENT
85	85 - UH LABORATORY LAKE AMBULATORY BLDG 9500 MENTOR AVE SUITE 220 MENTOR,OH44060	DIAGNOSTIC CENTER
86	86 - UH LHPG LAKE COUNTY FAMILY PRACTICE 9500 MENTOR AVENUE SUITE 100 MENTOR,OH44060	PHYSICIAN OFFICE
87	87 - UH LHPG MENTOR GENERAL SURGERY 9500 MENTOR AVENUE SUITE 300 MENTOR,OH44060	PHYSICIAN OFFICE
88	88 - UH LHPG MIDDLEFIELD FAMILY PRACTICE 16030 EAST HIGH STREET MIDDLEFIELD,OH44062	PHYSICIAN OFFICE
89	89 - UH LHPG SOM GENERAL SURGERY 2105 SOM CENTER ROAD SUITE 107 WILLOUGHBY,OH44094	PHYSICIAN OFFICE
90	90 - UH WILLOWICK HEALTH CENTER 29804 LAKESHORE BLVD WILLOWICK,OH44095	URGENT CARE CENTER
91	91 - UH LHPG WILLOWICK FAMILY PRACTICE 29804 LAKESHORE BLVD WILLOWICK,OH44095	PHYSICIAN OFFICE
92	92 - UH LHPG CHARDON CENTER STREET FAMILY PRA 320 CENTER STREET CHARDON,OH44024	PHYSICIAN OFFICE
93	93 - UH LHPG SPORTS MEDICINE & REHAB 36060 EUCLID AVENUE SUITE 105 WILLOUGHBY,OH44094	PHYSICIAN OFFICE
94	94 - UH LHPG ORTHOPEDIC SURGERY 36060 EUCLID AVENUE SUITE 203 WILLOUGHBY,OH44094	PHYSICIAN OFFICE
95	95 - UH LHPG PLASTIC SURGERY 36060 EUCLID AVENUE SUITE 204 WILLOUGHBY,OH44094	PHYSICIAN OFFICE
96	96 - UH LAKE WEST MEDICAL CENTER REFERENCE LA 36100 EUCLID AVE SUITE 190 WILLOUGHBY,OH44094	DIAGNOSTIC CENTER
97	97 - UH LHPG OPHTHALMOLOGY ASSOCIATES 36100 EUCLID AVE SUITE 450 WILLOUGHBY,OH44094	PHYSICIAN OFFICE
98	98 - UH LHPG NORTHEAST OHIO HEART ASSOCIATES 36100 EUCLID AVENUE SUITE 120 WILLOUGHBY,OH44094	PHYSICIAN OFFICE
99	99 - UH IMED NP BEACON HEALTH 36100 EUCLID AVENUE SUITE 120 WILLOUGHBY,OH44094	PHYSICIAN OFFICE
100	100 - UH LHPG BARIATRIC SURGERY 36100 EUCLID AVENUE SUITE 170 WILLOUGHBY,OH44094	PHYSICIAN OFFICE
101	101 - UH LHPG WEST IMED 36100 EUCLID AVENUE SUITE 210 WILLOUGHBY,OH44094	PHYSICIAN OFFICE
102	102 - UH LHPG WILLOUGHBY IMED 36100 EUCLID AVENUE SUITE 240 WILLOUGHBY,OH44094	PHYSICIAN OFFICE
103	103 - UH LHPG WILLOUGHBY PEDIATRICS 36100 EUCLID AVENUE SUITE 300 WILLOUGHBY,OH44094	PHYSICIAN OFFICE
104	104 - UH LHPG CARDIO ELECTROPHYSIOLOGY 36100 EUCLID AVENUE SUITE 400 WILLOUGHBY,OH44094	PHYSICIAN OFFICE
105	105 - UH LAKE SOM HEALTH CENTER WELLNESS & REH 5105 SOM CENTER ROAD WILLOUGHBY,OH44094	REHABILITATION CLINIC
106	106 - UH LHPG ARTHRITIS ASSOCIATES 5105 SOM CENTER ROAD SUITE 200 WILLOUGHBY,OH44094	PHYSICIAN OFFICE
107	107 - UH LHPG OBGYN WILLOUGHBY 5105 SOM CENTER ROAD SUITE 201 WILLOUGHBY,OH44094	PHYSICIAN OFFICE
108	108 - UH LHPG PAIN MANAGEMENT 5105 SOM CENTER ROAD SUITE 202 WILLOUGHBY,OH44094	PHYSICIAN OFFICE
109	109 - UH MAYFIELD WILDCAT WELLNESS CLINIC 6098 MAYFIELD RD MAYFIELD VILLAGE,OH44143	PHYSICIAN OFFICE
110	110 - UH LHPG OHIO HAND AND SHOULDER CENTER CO 7580 AUBURN RD SUITE 214 CONCORD,OH44077	PHYSICIAN OFFICE
111	111 - UH LHPG MENTOR ENDOCRINOLOGY 8300 TYLER BOULEVARD SUITE 102 MENTOR,OH44060	PHYSICIAN OFFICE
112	112 - UH LHPG HACKETT MEDICAL GROUP 8300 TYLER BOULEVARD SUITE 300 MENTOR,OH44060	PHYSICIAN OFFICE
113	113 - UH LHPG MENTOR FAMILY PRACTICE 8655 MARKET STREET MENTOR,OH44060	PHYSICIAN OFFICE
114	114 - UH LHPG INTEGRATIVE MEDICINE 8655 MARKET STREET MENTOR,OH44060	PHYSICIAN OFFICE
115	115 - UH LHPG SPORTS MEDICINE 8655 MARKET STREET MENTOR,OH44060	PHYSICIAN OFFICE
116	116 - UH WELLNESS CLINIC AT MHS 8655 MARKET STREET MENTOR,OH44060	WALK IN CLINIC
117	117 - UH URGENT CARE BRUNNER SANDEN DEITRICK W 8655 MARKET STREET MENTOR,OH44060	URGENT CARE CENTER
118	118 - MACDONALD WOMENS HOSPITAL-MOBILE 11993 RAVENNA RD CHARDON,OH44024	MOBILE UNIT BASE OF OPERATIONS
119	119 - UH WESTLAKE BEHAVIORAL HEALTH 902 WESTPOINT PKWY STE 320 WESTLAKE,OH44145	OUTPATIENT HEALTH CENTER
120	120 - UH WESTLAKE HEALTH CENTER 960 CLAGUE RD STE 1200A WESTLAKE,OH44145	HOPD CANCER CENTER

Schedule H (Form 990) 2024

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 2024 TOTALED $511 MILLION AS COMPARED TO THE 2023 COMMUNITY BENEFIT TOTAL OF $522 MILLION. THE 2024 COMMUNITY BENEFIT NUMBER CONSISTED OF CHARITY CARE ($72 MILLION), MEDICAID SHORTFALL ($207 MILLION), RESEARCH ($74 MILLION), EDUCATION AND TRAINING ($123 MILLION), AND COMMUNITY HEALTH IMPROVEMENT SERVICES, PROGRAMS AND SUPPORT ($35 MILLION), LESS HOSPITAL CARE ASSURANCE PROGRAM ("HCAP") ($60 MILLION). TO MEASURE AND REPORT COMMUNITY BENEFIT, THE SYSTEM HAS FOLLOWED INTERNAL REVENUE SERVICE GUIDELINES. AS SUCH, THE INFORMATION FOR 2024 REPRESENTS THE REVISED REQUIREMENT TO OFFSET VARIOUS COMMUNITY BENEFIT PROGRAMS WITH RELATED REVENUE RECEIVED. FOR 2024, THIS REVENUE OFFSET WAS $60 MILLION. THE 2023 INFORMATION PROVIDED ABOVE ($522 MILLION) INCLUDED A REVENUE OFFSET OF $75 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: $147,109,741. THE TOTAL AMOUNT OF ASSOCIATED DIRECT OFFSETTING REVENUE IS $128,211,443. THE TOTAL AMOUNT OF NET COMMUNITY BENEFIT EXPENSE INCLUDED IN LINE 7G IS $18,898,298.
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 39,731 (6,040 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 2024 ANNUAL REPORT, PLEASE VISIT THE SYSTEM'S WEBSITE AT WWW.UHHOSPITALS.ORG.
PART VI, LINE 3:	UH INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT OPTIONS FOR RESOLUTION OF THEIR BALANCES, INCLUDING ASSISTANCE UNDER GOVERNMENT PROGRAMS AND UNDER THE UH FINANCIAL ASSISTANCE PROGRAM ("ASSISTANCE PROGRAM") IN A VARIETY OF WAYS. SIGNAGE FOR THE STATE OF OHIO HEALTH CARE ASSURANCE PROGRAM (HCAP) AND THE UH PATIENT FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND IN LOCATIONS WHERE PATIENTS REGISTER FOR CARE, PATIENT ACCESS AREAS, AND VARIOUS POINTS OF ENTRY SUCH AS UH EMERGENCY DEPARTMENTS. SUPPLEMENTAL BROCHURES THAT REFLECT THE UH PATIENT FINANCIAL ASSISTANCE PROGRAM AND THE HCAP PROGRAM ARE ALSO AVAILABLE. INFORMATION ABOUT THE ASSISTANCE PROGRAM CAN ALSO BE FOUND ON THE UH WEBSITE IN ADDITION TO BEING PROVIDED ON THE BACKS OF PATIENT STATEMENTS, INCLUDING A TOLL FREE PHONE NUMBER TO CALL FOR ASSISTANCE FROM A UH FINANCIAL COUNSELOR.
PART VI, LINE 4:	UH CLEVELAND MEDICAL CENTERUH RAINBOW BABIES & CHILDREN'S HOSPITALUH AHUJA MEDICAL CENTERUH PARMA MEDICAL CENTERUH ST. JOHN MEDICAL CENTERUH BEACHWOOD REHABILITATION HOSPITALUH BEACHWOOD MEDICAL CENTERTHE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS CUYAHOGA COUNTY. AS OF A 2022 REPORT FROM CLARITAS, THE TOTAL POPULATION FOR CUYAHOGA COUNTY IS 1,229,828. COMMUNITY MEMBERS IDENTIFYING AS WHITE REPRESENT A SMALLER PROPORTION OF THE POPULATION IN CUYAHOGA COUNTY (60.7%) WHEN COMPARED TO OHIO (79.7%) AND THE U.S. (70.4%), WHILE BLACK/AFRICAN AMERICAN PERSONS REPRESENT A HIGHER PROPORTION OF THE POPULATION OF THE COUNTY (30.2%) COMPARED TO OHIO (13.0%) AND THE U.S. (12.6%). 6.8% OF THE POPULATION IN CUYAHOGA COUNTY IDENTIFY AS ETHNICALLY HISPANIC/LATINO. THIS IS A LARGER PROPORTION OF THE POPULATION WHEN COMPARED TO OHIO (4.4%), BUT A SMALLER PROPORTION OF THE POPULATION COMPARED TO THE U.S. CUYAHOGA COUNTY'S POPULATION IS GROWING OLDER, ON AVERAGE. CHILDREN (AGES 0-17) COMPRISED 20.5% OF THE POPULATION IN CUYAHOGA COUNTY. WHEN COMPARED TO OHIO (21.8%) AND THE U.S (22.4%), CUYAHOGA COUNTY HAS A SMALLER PERCENTAGE POPULATION OF CHILDREN (AGES 0-17). IN CUYAHOGA COUNTY, 19.8% OF THE POPULATION IS AGED 65+, WHICH IS A HIGHER PROPORTION IN COMPARISON TO ALL OF OHIO (18.6%) AND THE U.S. (16.0%). CUYAHOGA COUNTY HAS A HIGHER PERCENTAGE OF RESIDENTS WITH A HIGH SCHOOL DEGREE OR HIGHER (90.2%) WHEN COMPARED TO THE U.S VALUE (88.5%) BUT HAS A SLIGHTLY LOWER PERCENTAGE WHEN COMPARED TO THE STATE VALUE (90.7%). HOWEVER, RESIDENTS WITH A BACHELOR'S DEGREE OR HIGHER (33.5%) MAKE UP A LARGER PERCENTAGE OF THE POPULATION WHEN COMPARED TO BOTH THE STATE (29.0%) AND U.S. VALUE (32.9%). THE UNEMPLOYMENT RATE FOR CUYAHOGA COUNTY IS 6.8%, WHICH IS HIGHER THAN THE STATE VALUE AT 4.7% AND THE U.S. VALUE AT 5.4%.UH GEAUGA MEDICAL CENTER THE PRIMARY SERVICE AREA FOR THIS HOSPITAL IS GEAUGA COUNTY. THE TOTAL POPULATION FOR GEAUGA COUNTY AS OF A 2022 REPORT BY CLARITAS IS 93,926. 96.4% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 1.2% AS ASIAN, 1.2% AFRICAN AMERICAN, AND 1.2% AS MORE THAN ONE RACE OR OTHER. 1.9% OF THE POPULATION IN GEAUGA COUNTY IDENTIFY AS ETHNICALLY HISPANIC/LATINO. THIS IS A SMALLER PROPORTION OF THE POPULATION WHEN COMPARED TO OHIO AND U.S. THE AGE DISTRIBUTION OF THE POPULATION IN THE AGE GROUP OF UNDER 18 AND 85+ IN GEAUGA COUNTY IS RELATIVELY SIMILAR TO OHIO AND THE U.S. WHILE, THE PERCENTAGE OF POPULATION IN THE AGE GROUP 25+ IN GEAUGA COUNTY IS SMALLER WHEN COMPARED TO OHIO (50.4%) AND THE U.S. (52.1%). FURTHER, THE POPULATION IN AGE GROUP 65+ IN GEAUGA COUNTY IS SIMILAR TO DISTRIBUTION OF OHIO; HOWEVER, IS HIGHER THAN THE U.S. A HOUSEHOLD INCOME OF $50,000 - $74,999 IS SHARED BY THE LARGEST PROPORTION OF HOUSEHOLDS IN GEAUGA COUNTY (16.3%), FOLLOWED BY A HOUSEHOLD INCOME OF $75,000 - $99,999 (13.5% OF HOUSEHOLDS). HOUSEHOLDS WITH AN INCOME OF LESS THAN $15,000 MAKE UP 4.8% OF HOUSEHOLDS IN GEAUGA COUNTY. THE MEDIAN HOUSEHOLD INCOME FOR GEAUGA COUNTY IS $85,468, WHICH IS HIGHER THAN THE STATE AND NATIONAL VALUES OF $65,070 AND $64,994 RESPECTIVELY. DISPARITIES IN MEDIAN HOUSEHOLD INCOME EXIST BETWEEN RACIAL AND ETHNIC GROUPS WITHIN THE COUNTY. THE MEDIAN HOUSEHOLD INCOME AMONG RESIDENTS OF THE ASIAN COMMUNITY (159,028), 2 OR MORE RACES ($114,706), WHITE COMMUNITY ($85,727), AND NON-HISPANIC/NON-LATINO ($85,710) FALL ABOVE THE COUNTY AVERAGE. OVERALL, 3.4% OF FAMILIES IN GEAUGA COUNTY LIVE BELOW THE POVERTY LEVEL, WHICH IS LOWER THAN BOTH THE STATE VALUE OF 9.6% AND THE NATIONAL VALUE OF 9.1%. THE UNEMPLOYMENT RATE FOR THE GEAUGA COUNTY IS 2.0%, WHICH IS LOWER THAN THE STATE VALUE AT 4.7% AND THE U.S. VALUE AT 5.4%. GEAUGA COUNTY HAS A SLIGHTLY LESSER PERCENTAGE OF RESIDENTS WITH A HIGH SCHOOL DEGREE OR HIGHER (89.5%) WHEN COMPARED TO THE STATE VALUE (90.7%) BUT HAS A HIGHER PERCENTAGE WHEN COMPARED TO THE NATIONAL VALUE (88.5%). WHILE RESIDENTS WITH A BACHELOR'S DEGREE OR HIGHER (37.0%) HAS A HIGHER PERCENTAGE WHEN BOTH COMPARED TO THE STATE (29.0%) AND NATIONAL VALUE (32.9%). UH GENEVA MEDICAL CENTERUH CONNEAUT MEDICAL CENTERTHE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS ASHTABULA COUNTY. THE TOTAL POPULATION FOR ASHTABULA COUNTY AS 2019 IS 97,241. 95.5% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 5.4% AFRICAN AMERICAN, AND 1.5% AS MORE THAN ONE RACE OR OTHER. IN TERMS OF ETHNICITY, 4.4% OF THE POPULATION IDENTIFIES AS HISPANIC/LATINO. 24.8% OF THE POPULATION IS BETWEEN THE AGES OF 0 19; 28.9% ARE BETWEEN 20 44 YEARS OLD; 27.4% ARE BETWEEN 45 64 YEARS OLD; AND 19.8% ARE AGE 65 YEARS OR OLDER. THE AVERAGE HOUSEHOLD SIZE IS 2.4 PEOPLE AND THE AVERAGE FAMILY SIZE IS 2.9 PEOPLE. 59.7% OF THE POPULATION OF ASHTABULA COUNTY HAVE A HIGH SCHOOL DIPLOMA, GED EQUIVALENT, OR LESS; 27.0% OF THE POPULATION HAS AN ASSOCIATES DEGREE OR SOME COLLEGE; AND 13.3% OF THE POPULATION HAS A BACHELOR'S DEGREE OR MORE. 49.7% OF THE POPULATION HAS A HOUSEHOLD INCOME LESS THAN $50,000; 18.1% OF THE POPULATION HAS A HOUSEHOLD INCOME BETWEEN $50,000 - $74,999; 18.4% OF THE POPULATION HAS A HOUSEHOLD INCOME BETWEEN $74,999 - $99,999; AND 13.8% OF THE POPULATION HAS A HOUSEHOLD INCOME OF $100,000 OR MORE.UH ELYRIA MEDICAL CENTERUH REHABILITATION HOSPITAL -- AVONUH AVON REHABILITATION HOSPITAL IS LOCATED IN THE CITY OF AVON IN LORAIN COUNTY, OHIO. UH AVON REHABILITATION HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS ARE ALMOST EXCLUSIVELY CONTAINED WITHIN CUYAHOGA AND LORAIN COUNTIES. THE PRIMARY SERVICE AREA FOR UH AVON REHABILITATION HOSPITAL INCLUDES AVON AND THE SEVEN COMMUNITIES IMMEDIATELY SURROUNDING IT (ELYRIA, NORTH RIDGEVILLE, WESTLAKE, AVON LAKE, NORTH OLMSTED, SHEFFIELD LAKE/VILLAGE AND BAY VILLAGE).THE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS LORAIN COUNTY. THE TOTAL POPULATION FOR LORAIN COUNTY AS OF 2020 IS 309,134. 84% OF THE POPULATION IDENTIFIES AS WHITE, 10.0% AS HISPANIC OR LATINO, 8% AFRICAN AMERICAN, AND 8% AS MORE THAN ONE RACE OR OTHER. 25% OF THE POPULATION IS UNDER AGE 20; 50% OF THE POPULATION IS BETWEEN 20 59; AND 25% OF THE POPULATION IS OVER 60 YEARS OLD. 89.9% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA OR EQUIVALENT OR HIGHER EDUCATION LEVEL, OF THAT 25.3% HAS A BACHELOR'S DEGREE OR HIGHER LEVEL OF EDUCATION. THE MEDIAN HOUSEHOLD INCOME IN LORAIN COUNTY IN 2020 IS $58,798. THE MEAN HOUSEHOLD INCOME IN LORAIN COUNTY IN 2020 IS $78,142. 13.4% OF INDIVIDUALS ARE BELOW THE POVERTY LINE COMPARED TO THE AVERAGE 13.6% IN OHIO. THE UNEMPLOYMENT RATE IN LORAIN COUNTY IS 4.3% COMPARED TO 5.3% IN THE STATE OF OHIO.
PART VI, LINE 5:	UH CONTINUES TO INVEST IN ITSELF AND THE COMMUNITY THROUGH ENHANCED CLINICAL SERVICES, EDUCATIONAL PROGRAMS, RESEARCH, AND CAPITAL IMPROVEMENTS THAT MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES AND PATIENTS IT SERVES. UH PROVIDES AN OUTSTANDING BALANCE OF HIGH-QUALITY CLINICAL CARE WITHIN ITS WALLS, AND COMMUNITY HEALTH OUTREACH TO LOCAL POPULATIONS. FOUR UH HEALTH CLINICS ARE LOCATED IN AREAS DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). THESE CLINICS INCLUDE THE DOUGLAS MOORE HEALTH CLINIC, WOMEN'S HEALTH CENTER, RAINBOW AMBULATORY PRACTICE, AND FAMILY MEDICINE CLINIC, ALL LOCATED ON THE CAMPUS OF UH CASE MEDICAL CENTER. HRSA ALSO DESIGNATES MEDICALLY UNDERSERVED AREAS (MUAS) AND MEDICALLY UNDERSERVED POPULATIONS (MUPS) BASED ON SPECIFIC CRITERIA. TWENTY-FIVE AREAS WITHIN THE UH SERVICE AREA INCLUDING CUYAHOGA, LORAIN, AND SUMMIT COUNTIES QUALIFY AS MUAS, WHILE ONE POPULATION IN KENT, PORTAGE COUNTY IS A DESIGNATED MUP. CUYAHOGA COUNTY ALONE ACCOUNTS FOR 20 MUAS LOCATED IN 13 ZIP CODES, REPRESENTING 12 TOWNS. THE UH SYSTEM'S TWO CRITICAL ACCESS HOSPITALS IN ASHTABULA COUNTY SIT IN APPALACHIA, AS DESIGNATED BY THE APPALACHIAN REGIONAL COMMISSION.UH IS COMMITTED TO TRAINING THE NEXT GENERATION OF PHYSICIANS, NURSES, SPECIALISTS AND OTHER ALLIED HEALTH CARE PROVIDERS ANNUALLY. MANY OF THESE STUDENTS AND TRAINEES COMPLETE THEIR EDUCATION AND TAKE THEIR KNOWLEDGE AND EXPERTISE TO OTHER PARTS OF THE STATE OR COUNTRY, THEREBY BENEFITING OTHER COMMUNITIES.UH WORKS TO INCREASE HEALTH AND MEDICAL KNOWLEDGE THROUGH GOVERNMENT AND NON-PROFIT FUNDED RESEARCH. THE SHARED KNOWLEDGE DERIVED FROM THESE EFFORTS IMPROVES THE HEALTH AND WELL-BEING OF PEOPLE THROUGHOUT THE NATION AND THE WORLD WHEN THEY LEAD TO NEW STANDARDS OF CARE, NEW MEDICAL DEVICES, OR BREAKTHROUGHS IN TACKLING DISEASES.AS INDICATED IN THE ABOVE RESPONSE TO PART VI, LINE 4, UH HAS MADE SIGNIFICANT INVESTMENTS IN ACCESS TO CARE FOR LOW INCOME AND VULNERABLE RESIDENTS WITHIN THE COUNTIES UH SERVES.
PART VI, LINE 6:	FOUR UH HEALTH CLINICS ARE LOCATED IN AREAS DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). THESE CLINICS INCLUDE THE DOUGLAS MOORE HEALTH CLINIC AND FAMILY MEDICINE CLINIC LOCATED ON THE CAMPUS OF UH CLEVELAND MEDICAL CENTER, AND THE WOMEN'S HEALTH CENTER AND RAINBOW AMBULATORY PRACTICE LOCATED OFF CAMPUS IN THE UH RAINBOW CENTER FOR WOMEN & CHILDREN. UH SERVES AN ESSENTIAL ROLE IN THE COMMUNITY BY PROVIDING DIVERSE POPULATIONS THROUGHOUT THE NORTHEAST OHIO REGION WITH COMPREHENSIVE HEALTH CARE - FROM PRIMARY CARE TO HIGHLY SPECIALIZED MEDICAL CARE FOR THE MOST SERIOUS OF HEALTH PROBLEMS. IT PROVIDES THE SAME QUALITY AND COMPASSIONATE SERVICE TO ALL, NO MATTER THEIR INCOME, ABILITY TO PAY OR SOCIOECONOMIC STATUS. UH CARES FOR THE WELL-INSURED AND THE UNINSURED; MEN, WOMEN AND CHILDREN FROM EVERY COMMUNITY IN THE REGION, FROM URBAN CENTERS, SMALL TOWNS, RURAL AREAS AND SUBURBS.
PART VI, LINE 7, REPORTS FILED WITH STATES	OH
PART VI, LINE 4 (CONTINUATION)	UH PORTAGE MEDICAL CENTERUH PORTAGE MEDICAL CENTER IS LOCATED IN THE CITY OF RAVENNA IN PORTAGE COUNTY, OHIO. PORTAGE COUNTY IS LOCATED DIRECTLY EAST OF SUMMIT COUNTY (AKRON METRO AREA) AND SOUTHEAST OF CUYAHOGA COUNTY (CLEVELAND METRO AREA). THE HOSPITAL'S MARKET AREA INCLUDES 15 MUNICIPALITIES (EIGHT IN ITS PRIMARY MARKET AREA AND SEVEN IN ITS SECONDARY MARKET AREA). IT IS ALMOST COMPLETELY CONTAINED WITHIN PORTAGE COUNTY, OHIO. THE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS PORTAGE COUNTY. ACCORDING TO A 2022 REPORT FROM CLARITAS, THE POPULATION IS 164,161. 89.9% OF THE POPULATION IDENTIFIES AS WHITE ALONE, 4.9% IDENTIFY AS AFRICAN AMERICAN, 2.2% IDENTIFY AS ASIAN, AND 3.0% IDENTIFY AS TWO OR MORE RACES OR OTHER. IN TERMS OF ETHNICITY, 2.3% OF THE POPULATION IN PORTAGE COUNTY IDENTIFY AS HISPANIC/LATINO. THIS IS A SMALLER PROPORTION OF THE POPULATION WHEN COMPARED TO OHIO (4.4%) AND THE U.S. (18.2%). CHILDREN (0-17) COMPRISED 18.2% OF THE POPULATION IN PORTAGE COUNTY. WHEN COMPARED TO OHIO (21.8%) AND THE U.S. (22.4%), PORTAGE COUNTY HAS A LOWER PROPORTION OF CHILDREN POPULATION (AGE 0-17). PORTAGE COUNTY HAS 18.4% OF RESIDENTS AGED 65+. PORTAGE COUNTY HAS A SLIGHTLY LOWER PROPORTION OF ELDER POPULATION (AGE 65+) WHEN COMPARED TO OHIO (18.6%), AND HIGHER PROPORTION WHEN COMPARED TO THE U.S. (16.0%). A HOUSEHOLD INCOME OF $50,000 - $74,999 IS SHARED BY THE LARGEST PROPORTION OF HOUSEHOLDS IN THE PORTAGE COUNTY (19.2%). HOUSEHOLDS WITH AN INCOME OF LESS THAN $15,000 MAKE UP 9.2% OF HOUSEHOLDS IN THE PORTAGE COUNTY. THE MEDIAN HOUSEHOLD INCOME FOR PORTAGE COUNTY IS $64,541, WHICH IS LOWER THAN THE STATE VALUE OF $65,070 AND THE U.S. VALUE OF $64,994. TWO RACIAL/ETHNIC GROUPS WHITE AND NON-HISPANIC/NON-LATINO HAVE MEDIAN HOUSEHOLD INCOMES ABOVE THE OVERALL MEDIAN VALUE. ALL OTHER RACES HAVE INCOMES BELOW THE OVERALL VALUE, WITH THE ASIAN POPULATIONS HAVING THE LOWEST MEDIAN HOUSEHOLD INCOME AT $32,879. OVERALL, 8.1% OF FAMILIES IN PORTAGE COUNTY LIVE BELOW THE POVERTY LEVEL, WHICH IS LOWER THAN BOTH THE STATE VALUE OF 9.6% AND THE U.S. OF 9.1%. THE UNEMPLOYMENT RATE FOR PORTAGE COUNTY IS 4.5%, WHICH IS LOWER THAN THE STATE VALUE AT 4.0% AND THE U.S. VALUE AT 5.4%. PORTAGE COUNTY HAS A HIGHER PERCENTAGE OF RESIDENTS WITH A HIGH SCHOOL DEGREE OR HIGHER (92.1%) WHEN COMPARED TO BOTH THE STATE AND THE U.S. VALUE WHILE RESIDENTS WITH A BACHELOR'S DEGREE OR HIGHER (29.0%) HAVE A LOWER PERCENTAGE WHEN COMPARED TO THE U.S. VALUE. UH SAMARITAN MEDICAL CENTERUH SAMARITAN MEDICAL CENTER IS LOCATED IN ASHLAND, OHIO, WITHIN ASHLAND COUNTY, A RURAL COUNTY LOCATED SOUTHWEST OF CUYAHOGA COUNTY (CLEVELAND METRO AREA) AND NORTHEAST OF FRANKLIN COUNTY (COLUMBUS METRO AREA). ASHLAND COUNTY IS COMPRISED OF CITIES, VILLAGES AND TOWNSHIPS. ITS COUNTY SEAT IS THE CITY OF ASHLAND, WHERE THE HOSPITAL IS LOCATED. ACCORDING TO A 2022 REPORT BY CLARITAS, THE POPULATION IS 53,804. 96.1% OF THE POPULATION IDENTIFIES AS WHITE, 0.8% IDENTIFIES AS AFRICAN AMERICAN, 1.8% IDENTIFIES AS HISPANIC OR LATINO (ETHNICITY), 0.8% IDENTIFIES AS ASIAN, AND 2.1% IDENTIFIES AS TWO OR MORE OR OTHER. 21.98% OF THE POPULATION IS UNDER AGE 18 AND 20.23% OF THE POPULATION IS OVER THE AGE OF 65. A HOUSEHOLD INCOME OF $50,000 - $74,999 IS SHARED BY THE LARGEST PROPORTION OF HOUSEHOLDS IN ASHLAND COUNTY (20.6%), FOLLOWED BY A HOUSEHOLD INCOME OF $35,000 - $49,999 (14.5% OF HOUSEHOLDS). HOUSEHOLDS WITH AN INCOME OF LESS THAN $15,000 MAKE UP 8.0% OF HOUSEHOLDS IN ASHLAND COUNTY. THE MEDIAN HOUSEHOLD INCOME FOR ASHLAND COUNTY IS $61,116, WHICH IS LOWER THAN THE STATE AND NATIONAL VALUES OF $65,070 AND $64,994 RESPECTIVELY. DISPARITIES IN MEDIAN HOUSEHOLD INCOME EXIST BETWEEN RACIAL AND ETHNIC GROUPS WITHIN THE COUNTY, HOWEVER. THE MEDIAN HOUSEHOLD INCOME AMONG RESIDENTS OF THE WHITE COMMUNITY ($61,457), BLACK/AFRICAN AMERICAN ($64,646) AND NON-HISPANIC/NON-LATINO COMMUNITY ($61,308) FALL ABOVE THE COUNTY AVERAGE. OVERALL, 7.7% OF FAMILIES IN ASHLAND COUNTY LIVE BELOW THE POVERTY LEVEL, WHICH IS LOWER THAN BOTH THE STATE VALUE OF 9.6% AND THE NATIONAL VALUE OF 9.1%. THE UNEMPLOYMENT RATE FOR THE ASHLAND COUNTY IS 3.4%, WHICH IS LOWER THAN THE STATE VALUE AT 4.7% AND THE U.S. VALUE AT 5.4%. ASHLAND COUNTY HAS THE SAME PERCENTAGE OF RESIDENTS IN THE U.S. WITH A HIGH SCHOOL DEGREE OR HIGHER (88.5%) BUT HAS A LOWER PERCENTAGE WHEN COMPARED TO THE STATE VALUE (90.7%). WHILE RESIDENTS WITH A BACHELOR'S DEGREE OR HIGHER (21.0%) HAS A LOWER PERCENTAGE WHEN BOTH COMPARED TO THE STATE AND U.S. VALUE.WEST MEDICAL CENTERTRIPOINT MEDICAL CENTERTHE PRIMARY SERVICE AREA FOR THESE HOSPITALS IS LAKE COUNTY. ACCORDING TO A 2022 REPORT FROM CLARITAS, THE POPULATION IS 231,521. THE RACIAL MAKEUP OF LAKE COUNTY SHOWS 89% OF THE POPULATION IDENTIFYING AS WHITE. THE PROPORTION OF BLACK/AFRICAN AMERICAN COMMUNITY MEMBERS IS THE SECOND LARGEST OF ALL RACIAL GROUPS AT 5%. ALL OTHER PROPORTIONS OF THE POPULATION FALLS BELOW 5% OF THE POPULATION. 3.1% OF THE POPULATION IN LAKE COUNTY IDENTIFY AS HISPANIC/LATINO. THIS IS A SMALLER PROPORTION OF THE POPULATION WHEN COMPARED TO OHIO. CHILDREN (0-20) COMPRISED 22.8% OF THE POPULATION IN LAKE COUNTY. LAKE COUNTY HAS 21.8% OF RESIDENTS AGED 65+. A HOUSEHOLD INCOME OF $50,000 - $74,999 IS SHARED BY THE LARGEST PROPORTION OF HOUSEHOLDS IN LAKE COUNTY (19.3%), FOLLOWED BY A HOUSEHOLD INCOME OF $75,000 - $99,999 (15.0% OF HOUSEHOLDS). HOUSEHOLDS WITH AN INCOME OF LESS THAN $15,000 MAKE UP 6.0% OF HOUSEHOLDS IN LAKE COUNTY. THE MEDIAN HOUSEHOLD INCOME FOR LAKE COUNTY IS $70,030, WHICH IS HIGHER THAN THE STATE AND NATIONAL VALUES OF $65,070 AND $62,843 RESPECTIVELY. DISPARITIES IN MEDIAN HOUSEHOLD INCOME EXIST BETWEEN RACIAL AND ETHNIC GROUPS WITHIN THE COUNTY HOWEVER. THE MEDIAN HOUSEHOLD INCOME AMONG RESIDENTS OF THE ASIAN COMMUNITY ($90,761), WHITE COMMUNITY ($71,706), AMERICAN INDIAN/ALASKAN NATIVE ($72,384) AND NON-HISPANIC/LATINO COMMUNITY ($70,683) FALL ABOVE THE COUNTY AVERAGE. OVERALL, 3.9% OF FAMILIES IN LAKE COUNTY LIVE BELOW THE POVERTY LEVEL, WHICH IS LOWER THAN BOTH THE STATE VALUE OF 7.3% AND THE NATIONAL VALUE OF 9.5%. THE UNEMPLOYMENT RATE FOR LAKE COUNTY IS 4.2%, WHICH IS LOWER THAN THE STATE AND NATIONAL UNEMPLOYMENT VALUES OF 4.7% AND 5.3% RESPECTIVELY.

Schedule H (Form 990) 2024

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Schedule I
(Form 990)
(Rev. January 2025)

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 instructions and the latest information.

OMB No. 1545-0047

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

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? ........................

Yes No

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	(h) Purpose of grant or assistance
(1) PARMA HOSPITAL HEALTHCARE FOUNDATION 7007 POWERS BLVD PARMA,OH44129	34-1626664	501(C)3	940,212	GENERAL SUPPORT
(2) ROBINSON MEMORIAL HOSPITAL FOUNDATION 6847 N CHESTNUT STREET PO BOX 1204 RAVENNA,OH44266	34-1510544	501(C)3	360,737	GENERAL SUPPORT
(3) LAKE HOSPITAL FOUNDATION INC 3605 WARRENSVILLE CTR RD MSC 9155 SHAKER HEIGHTS,OH44122	34-1425872	501(C)3	402,675	GENERAL SUPPORT
(4) GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY 1240 WEST 6TH STREET CLEVELAND,OH44113		GOVERNMENT	125,000	GENERAL SUPPORT
(5) AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS,TX75231	13-5613797	501(C)3	77,500	GENERAL SUPPORT
(6) THE MT SINAI HEALTH CARE FOUNDATION 10501 EUCLID AVE FL 2 CLEVELAND,OH44106	34-1777878	501(C)3	67,666	GENERAL SUPPORT
(7) YOUNG WOMENS CHRISTIAN ASSOCIATION OF CLEVELAND OHIO 4109 PROSPECT AVE CLEVELAND,OH44103	34-0714800	501(C)3	20,000	GENERAL SUPPORT
(8) ACADEMY OF MEDICINE EDUCATION FOUNDATION 6111 OAK TREE BLVD STE 150 INDEPENDENCE,OH44131	32-0006201	501(C)3	15,000	GENERAL SUPPORT
(9) CUYAHOGA COMMUNITY COLLEGE FOUNDATION 700 CARNEGIE AVE CLEVELAND,OH44115	23-7320719	501(C)3	15,000	GENERAL SUPPORT
(10) FRIENDS OF BREAKTHROUGH SCHOOLS 3615 SUPERIOR AVE E STE 4403D CLEVELAND,OH44114	20-4948838	501(C)3	15,000	GENERAL SUPPORT
(11) LIFEACT 210 BELL STREET SUITE 200 CHAGRIN FALLS,OH44022	34-1724365	501(C)3	15,000	GENERAL SUPPORT
(12) ELYRIA MEDICAL CENTER FOUNDATION 630 EAST RIVER STREET ELYRIA,OH44035	61-1579760	501(C)3	11,740	GENERAL SUPPORT
(13) BUSINESS VOLUNTEERS UNLIMITED 1300 E 9TH ST STE 12200 CLEVELAND,OH44114	34-1724581	501(C)3	10,000	GENERAL SUPPORT
(14) PFLAG 1625 K STREET NW SUITE 700 WASHINGTON,DC20006	95-3750694	501(C)3	10,000	GENERAL SUPPORT
(15) PLAYERS PHILANTHROPY FUND 1122 KENILWORTH DR SUITE 201 TOWSON,MD21204	27-6601178	501(C)3	10,000	GENERAL SUPPORT
(16) URSULINE COLLEGE 2550 LANDER RD PEPPER PIKE,OH44124	34-0714777	501(C)3	6,000	GENERAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

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) Rev. 1-2025

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 .....

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? ....

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

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:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

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 ............

Yes

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 ..........................

Yes

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1MEGERIAN CLIFF MD SEE SCHEDULE O	(i) (ii)	0 ------------- 2,128,879	0 ------------- 1,488,106	0 ------------- 772,363	0 ------------- 26,850	0 ------------- 32,643	0 ------------- 4,448,841	0 ------------- 0
2SNOWBERGER THOMAS D SEE SCHEDULE O	(i) (ii)	0 ------------- 897,917	0 ------------- 452,189	0 ------------- 1,002,198	0 ------------- 160,857	0 ------------- 18,227	0 ------------- 2,531,388	0 ------------- 0
3HINCHEY PAUL R MD SEE SCHEDULE O	(i) (ii)	0 ------------- 1,036,516	0 ------------- 643,437	0 ------------- 34,223	0 ------------- 281,218	0 ------------- 30,527	0 ------------- 2,025,921	0 ------------- 0
4TEKNOS THEODOROS N MD SEE SCHEDULE O	(i) (ii)	0 ------------- 969,059	0 ------------- 596,251	0 ------------- 213,384	0 ------------- 202,950	0 ------------- 31,324	0 ------------- 2,012,968	0 ------------- 0
5SIMON DANIEL I MD SEE SCHEDULE O	(i) (ii)	0 ------------- 1,024,746	0 ------------- 568,102	0 ------------- 255,590	0 ------------- 22,836	0 ------------- 31,475	0 ------------- 1,902,749	0 ------------- 0
6SZUBSKI MICHAEL A SEE SCHEDULE O	(i) (ii)	0 ------------- 225,888	0 ------------- 1,021,136	0 ------------- 586,777	0 ------------- 27,545	0 ------------- 14,727	0 ------------- 1,876,073	0 ------------- 0
7PRONOVOST PETER MD SEE SCHEDULE O	(i) (ii)	0 ------------- 825,516	0 ------------- 455,301	0 ------------- 214,696	0 ------------- 220,772	0 ------------- 0	0 ------------- 1,716,285	0 ------------- 0
8VOOS JAMES MD SEE SCHEDULE O	(i) (ii)	1,335,502 ------------- 0	114,220 ------------- 0	3,510 ------------- 0	23,550 ------------- 0	33,486 ------------- 0	1,510,268 ------------- 0	0 ------------- 0
9SABIK JOSEPH MD SEE SCHEDULE O	(i) (ii)	1,292,416 ------------- 0	103,125 ------------- 0	36,444 ------------- 0	25,200 ------------- 0	38,573 ------------- 0	1,495,758 ------------- 0	0 ------------- 0
10GLOTZBECKER MICHAEL P MD SEE SCHEDULE O	(i) (ii)	1,165,294 ------------- 0	200,108 ------------- 0	52,360 ------------- 0	23,550 ------------- 0	37,573 ------------- 0	1,478,885 ------------- 0	0 ------------- 0
11ANTONIADES STATHIS MPH SEE SCHEDULE O	(i) (ii)	0 ------------- 780,554	0 ------------- 423,589	0 ------------- 2,753	0 ------------- 205,501	0 ------------- 32,195	0 ------------- 1,444,592	0 ------------- 0
12KONHEIM ARI L MD SEE SCHEDULE O	(i) (ii)	1,146,303 ------------- 0	232,396 ------------- 0	2,287 ------------- 0	23,550 ------------- 0	31,873 ------------- 0	1,436,409 ------------- 0	0 ------------- 0
13HONDA KORD S SEE SCHEDULE O	(i) (ii)	970,874 ------------- 0	372,881 ------------- 0	6,299 ------------- 0	22,707 ------------- 0	30,870 ------------- 0	1,403,631 ------------- 0	0 ------------- 0
14ADELMAN HARLIN G JD SEE SCHEDULE O	(i) (ii)	0 ------------- 749,219	0 ------------- 401,796	0 ------------- 183,755	0 ------------- 30,150	0 ------------- 37,545	0 ------------- 1,402,465	0 ------------- 0
15EUBANKS JASON D MD SEE SCHEDULE O	(i) (ii)	1,314,508 ------------- 0	0 ------------- 0	20,240 ------------- 0	25,200 ------------- 0	12,684 ------------- 0	1,372,632 ------------- 0	0 ------------- 0
16BAMBAKIDIS NICHOLAS MD SEE SCHEDULE O	(i) (ii)	1,110,473 ------------- 0	104,125 ------------- 0	58,155 ------------- 0	52,916 ------------- 0	38,532 ------------- 0	1,364,201 ------------- 0	0 ------------- 0
17BOND BRADLEY C SEE SCHEDULE O	(i) (ii)	0 ------------- 759,935	0 ------------- 288,748	0 ------------- 164,062	0 ------------- 26,850	0 ------------- 30,853	0 ------------- 1,270,448	0 ------------- 0
18KOSARAJU VIJAYA K MD SEE SCHEDULE O	(i) (ii)	1,117,151 ------------- 0	27,693 ------------- 0	24,502 ------------- 0	23,550 ------------- 0	32,491 ------------- 0	1,225,387 ------------- 0	0 ------------- 0
19MARONIAN NICOLE C MD SEE SCHEDULE O	(i) (ii)	907,839 ------------- 0	153,125 ------------- 0	31,862 ------------- 0	26,850 ------------- 0	25,694 ------------- 0	1,145,370 ------------- 0	0 ------------- 0
20STROSAKER ROBYN MD SEE SCHEDULE O	(i) (ii)	0 ------------- 590,252	0 ------------- 286,293	0 ------------- 86,708	0 ------------- 130,929	0 ------------- 34,634	0 ------------- 1,128,816	0 ------------- 0
21DEPOMPEI PATRICIA M MSN RN SEE SCHEDULE O	(i) (ii)	0 ------------- 554,072	0 ------------- 276,706	0 ------------- 137,251	0 ------------- 30,150	0 ------------- 27,887	0 ------------- 1,026,066	0 ------------- 0
22PAPA ALAN J FACHE SEE SCHEDULE O	(i) (ii)	0 ------------- 255,194	0 ------------- 239,594	0 ------------- 316,860	0 ------------- 192,912	0 ------------- 19,839	0 ------------- 1,024,399	0 ------------- 0
23MONTER BRIAN MSN RN SEE SCHEDULE O	(i) (ii)	0 ------------- 490,145	0 ------------- 244,713	0 ------------- 81,431	0 ------------- 115,450	0 ------------- 31,334	0 ------------- 963,073	0 ------------- 0
24TOPALSKY GEORGE MD SEE SCHEDULE O	(i) (ii)	0 ------------- 625,880	0 ------------- 212,806	0 ------------- 86,308	0 ------------- 16,500	0 ------------- 19,043	0 ------------- 960,537	0 ------------- 0
25GLOTZBECKER BRETT MD SEE SCHEDULE O	(i) (ii)	0 ------------- 625,801	0 ------------- 208,668	0 ------------- 25,068	0 ------------- 49,154	0 ------------- 0	0 ------------- 908,691	0 ------------- 0
26CHICKERELLA DANIELLE MSM RD SEE SCHEDULE O	(i) (ii)	0 ------------- 456,548	0 ------------- 227,873	0 ------------- 89,737	0 ------------- 109,122	0 ------------- 15,663	0 ------------- 898,943	0 ------------- 0
27SYLVAN DAVID SEE SCHEDULE O	(i) (ii)	0 ------------- 505,198	0 ------------- 178,569	0 ------------- 66,972	0 ------------- 124,847	0 ------------- 960	0 ------------- 876,546	0 ------------- 0
28GLOWCZEWSKI JASON SEE SCHEDULE O	(i) (ii)	0 ------------- 137,804	0 ------------- 100,828	0 ------------- 428,927	0 ------------- 175,062	0 ------------- 24,410	0 ------------- 867,031	0 ------------- 0
29TOGLIATTI-TRICKETT KIM MD SEE SCHEDULE O	(i) (ii)	645,338 ------------- 0	124,583 ------------- 0	18,477 ------------- 0	19,255 ------------- 0	37,587 ------------- 0	845,240 ------------- 0	0 ------------- 0
30PATEL CHETAN P MD SEE SCHEDULE O	(i) (ii)	0 ------------- 688,989	0 ------------- 100,000	0 ------------- 6,971	0 ------------- 13,200	0 ------------- 25,694	0 ------------- 834,854	0 ------------- 0
31MILLER MARLENE MD SEE SCHEDULE O	(i) (ii)	637,835 ------------- 0	103,125 ------------- 0	29,682 ------------- 0	25,200 ------------- 0	35,492 ------------- 0	831,334 ------------- 0	0 ------------- 0
32BENOIT WILLIAM FACHE SEE SCHEDULE O	(i) (ii)	0 ------------- 428,723	0 ------------- 198,162	0 ------------- 60,481	0 ------------- 101,935	0 ------------- 38,424	0 ------------- 827,725	0 ------------- 0
33DECARLO DONALD MD SEE SCHEDULE O	(i) (ii)	0 ------------- 439,861	0 ------------- 174,170	0 ------------- 72,557	0 ------------- 89,348	0 ------------- 35,392	0 ------------- 811,328	0 ------------- 0
34SASSER SCOTT M MD SEE SCHEDULE O	(i) (ii)	0 ------------- 287,261	0 ------------- 378,989	0 ------------- 13,678	0 ------------- 87,472	0 ------------- 18,638	0 ------------- 786,038	0 ------------- 0
35SCHMOTZER CHRISTINE MD SEE SCHEDULE O	(i) (ii)	0 ------------- 466,797	0 ------------- 164,346	0 ------------- 19,673	0 ------------- 86,073	0 ------------- 30,673	0 ------------- 767,562	0 ------------- 0
36CARSON BRENT SEE SCHEDULE O	(i) (ii)	0 ------------- 413,764	0 ------------- 165,688	0 ------------- 89,166	0 ------------- 30,150	0 ------------- 35,525	0 ------------- 734,293	0 ------------- 0
37SALVINO SONIA SEE SCHEDULE O	(i) (ii)	0 ------------- 0	0 ------------- 214,254	0 ------------- 470,478	0 ------------- 19,800	0 ------------- 0	0 ------------- 704,532	0 ------------- 116,813
38PIRTZ JASON M MSN RN SEE SCHEDULE O	(i) (ii)	0 ------------- 400,746	0 ------------- 154,045	0 ------------- 19,922	0 ------------- 90,661	0 ------------- 30,995	0 ------------- 696,369	0 ------------- 0
39BAZZOLI JANA SEE SCHEDULE O	(i) (ii)	0 ------------- 401,668	0 ------------- 157,300	0 ------------- 28,198	0 ------------- 71,208	0 ------------- 27,112	0 ------------- 685,486	0 ------------- 0
40SILA CATHY MD SEE SCHEDULE O	(i) (ii)	510,950 ------------- 0	103,125 ------------- 0	33,212 ------------- 0	30,150 ------------- 0	0 ------------- 0	677,437 ------------- 0	0 ------------- 0
41ATA GEORGE SEE SCHEDULE O	(i) (ii)	0 ------------- 382,909	0 ------------- 145,446	0 ------------- 1,006	0 ------------- 86,836	0 ------------- 37,668	0 ------------- 653,865	0 ------------- 0
42CARPENTER JENNIFER SEE SCHEDULE O	(i) (ii)	0 ------------- 328,276	0 ------------- 133,603	0 ------------- 70,169	0 ------------- 79,265	0 ------------- 38,222	0 ------------- 649,535	0 ------------- 0
43SAMSA JOHN MD SEE SCHEDULE O	(i) (ii)	501,577 ------------- 0	69,883 ------------- 0	7,524 ------------- 0	21,625 ------------- 0	25,606 ------------- 0	626,215 ------------- 0	0 ------------- 0
44SALATA ROBERT A MD SEE SCHEDULE O	(i) (ii)	408,093 ------------- 0	128,736 ------------- 0	33,019 ------------- 0	30,150 ------------- 0	17,880 ------------- 0	617,878 ------------- 0	0 ------------- 0
45NOBLE VICKI MD SEE SCHEDULE O	(i) (ii)	455,220 ------------- 0	103,125 ------------- 0	27,696 ------------- 0	18,550 ------------- 0	8,726 ------------- 0	613,317 ------------- 0	0 ------------- 0
46MOORE-HARDY CYNTHIA SEE SCHEDULE O	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 604,621	0 ------------- 0	0 ------------- 6,544	0 ------------- 611,165	0 ------------- 604,621
47PRESTEGAARD BENJAMIN MD SEE SCHEDULE O	(i) (ii)	0 ------------- 437,885	0 ------------- 123,552	0 ------------- 2,604	0 ------------- 16,500	0 ------------- 26,912	0 ------------- 607,453	0 ------------- 0
48BANIEWICZ JOHN MD SEE SCHEDULE O	(i) (ii)	481,767 ------------- 0	57,474 ------------- 0	15,677 ------------- 0	30,150 ------------- 0	18,558 ------------- 0	603,626 ------------- 0	0 ------------- 0
49THEADORE JASON SEE SCHEDULE O	(i) (ii)	0 ------------- 328,312	0 ------------- 173,423	0 ------------- 1,452	0 ------------- 75,128	0 ------------- 13,140	0 ------------- 591,455	0 ------------- 0
50CICERO RICHARD SEE SCHEDULE O	(i) (ii)	0 ------------- 326,905	0 ------------- 130,992	0 ------------- 29,102	0 ------------- 77,001	0 ------------- 18,100	0 ------------- 582,100	0 ------------- 0
51HUNT MELISSA SEE SCHEDULE O	(i) (ii)	0 ------------- 314,300	0 ------------- 128,058	0 ------------- 27,387	0 ------------- 71,504	0 ------------- 38,573	0 ------------- 579,822	0 ------------- 0
52RAO GOUTHAM MD SEE SCHEDULE O	(i) (ii)	435,393 ------------- 0	103,125 ------------- 0	4,204 ------------- 0	17,509 ------------- 0	18,506 ------------- 0	578,737 ------------- 0	0 ------------- 0
53HARFORD TODD SEE SCHEDULE O	(i) (ii)	0 ------------- 311,857	0 ------------- 127,704	0 ------------- 75,572	0 ------------- 21,489	0 ------------- 26,927	0 ------------- 563,549	0 ------------- 0
54CARLUCCI ASHLEY SEE SCHEDULE O	(i) (ii)	0 ------------- 292,467	0 ------------- 114,665	0 ------------- 6,175	0 ------------- 63,272	0 ------------- 37,573	0 ------------- 514,152	0 ------------- 0
55COOPER DANIELLE MD SEE SCHEDULE O	(i) (ii)	248,021 ------------- 0	190,371 ------------- 0	15,626 ------------- 0	22,603 ------------- 0	33,673 ------------- 0	510,294 ------------- 0	0 ------------- 0
56HOYNES SEAN MD SEE SCHEDULE O	(i) (ii)	0 ------------- 329,286	0 ------------- 12,620	0 ------------- 3,258	0 ------------- 51,976	0 ------------- 38,603	0 ------------- 435,743	0 ------------- 0
57ZNIDARSIC ROBERT MD SEE SCHEDULE O	(i) (ii)	374,038 ------------- 0	0 ------------- 0	3,742 ------------- 0	26,410 ------------- 0	30,851 ------------- 0	435,041 ------------- 0	0 ------------- 0
58BIRES TRICIA SEE SCHEDULE O	(i) (ii)	0 ------------- 258,278	0 ------------- 49,258	0 ------------- 52,925	0 ------------- 46,728	0 ------------- 13,217	0 ------------- 420,406	0 ------------- 0
59GALLUCCI MICHELLE SEE SCHEDULE O	(i) (ii)	0 ------------- 273,248	0 ------------- 68,022	0 ------------- 613	0 ------------- 49,948	0 ------------- 18,396	0 ------------- 410,227	0 ------------- 0
60CHEN PATRICK SEE SCHEDULE O	(i) (ii)	0 ------------- 251,781	0 ------------- 28,861	0 ------------- 39,443	0 ------------- 42,697	0 ------------- 36,623	0 ------------- 399,405	0 ------------- 0
61SKARBINSKI JULIE SEE SCHEDULE O	(i) (ii)	246,197 ------------- 0	65,761 ------------- 0	7,785 ------------- 0	20,765 ------------- 0	33,249 ------------- 0	373,757 ------------- 0	0 ------------- 0
62KERCHER KIERAN M SEE SCHEDULE O	(i) (ii)	209,862 ------------- 0	33,467 ------------- 0	7,379 ------------- 0	15,424 ------------- 0	23,766 ------------- 0	289,898 ------------- 0	0 ------------- 0
63SCHARIO MARK E SEE SCHEDULE O	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 254,446	0 ------------- 15,445	0 ------------- 15,275	0 ------------- 285,166	0 ------------- 81,397
64MONHEIM KAREN M MD SEE SCHEDULE O	(i) (ii)	0 ------------- 191,344	0 ------------- 7,335	0 ------------- 5,604	0 ------------- 13,475	0 ------------- 21,001	0 ------------- 238,759	0 ------------- 0
65MILLER JANET L ESQ SEE SCHEDULE O	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 233,783	0 ------------- 0	0 ------------- 0	0 ------------- 233,783	0 ------------- 0
66KLINE ANDREW L SEE SCHEDULE O	(i) (ii)	0 ------------- 142,086	0 ------------- 423	0 ------------- 1,920	0 ------------- 7,162	0 ------------- 31,342	0 ------------- 182,933	0 ------------- 0
67HANSON RICHARD SEE SCHEDULE O	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 102,700	0 ------------- 0	0 ------------- 0	0 ------------- 102,700	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

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 PERSONS IN PART VII: PAPA, ALAN J. FACHE: $234,920 GLOWCZEWSKI, JASON: $115,518 MOORE-HARDY, CYNTHIA: $604,621 SALVINO, SONIA: $445,212 SCHARIO, MARK E: $254,446
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.
PART I, LINE 4B:	ELIGIBLE EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN UNDER CODE 457(F). ANY AMOUNTS ULTIMATELY PAID UNDER THE PLAN TO AN ELIGIBLE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B (III) IN THE YEAR PAID. SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSON IN PART VII: ADELMAN, HARLIN G. JD ($174,416 - SERP) BENOIT, WILLIAM, FACHE ($57,137 - SERP) BOND, BRADLEY C. ($156,562 - SERP) CARSON, BRENT ($61,321 - SERP) DEPOMPEI, PATRICIA M MSN, RN ($103,926 - SERP) MEGERIAN, CLIFF MD ($729,853 - SERP) PAPA, ALAN J. FACHE ($59,192 - SERP) SIMON, DANIEL I. MD ($240,146 - SERP) SNOWBERGER, THOMAS D. ($70,911 - SERP) TOPALSKY, GEORGE MD ($76,013 - SERP) HARFORD, TODD ($47,388 - SERP) SZUBSKI, MICHAEL A ($293,356 - SERP)

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No




Total ............... $

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) (Rev. 1-2025)

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) ELLEN SABIK	SEE PART V	328,555	SEE PART V		No
(2) MALINDA GIBSON	SEE PART V	41,011	SEE PART V		No
(3) JOHN C BANIEWICZ	SEE PART V	342,556	SEE PART V		No
(4) GINA N CARLUCCI	SEE PART V	13,047	SEE PART V		No
(5) BONNIE SPEED INC	SEE PART V	124,869	SEE PART V		No
(6) SUBSTANTIAL CONTRIBUTOR	SEE PART V	55,296	SEE PART V		No
(7) SUBSTANTIAL CONTRIBUTOR	SEE PART V	3,030,731	SEE PART V		No
(8) SUBSTANTIAL CONTRIBUTOR	SEE PART V	435,849	SEE PART V		No
(9) SUBSTANTIAL CONTRIBUTOR	SEE PART V	1,361,469	SEE PART V		No
(10) SUBSTANTIAL CONTRIBUTOR	SEE PART V	3,636,104	SEE PART V		No
(11) SUBSTANTIAL CONTRIBUTOR	SEE PART V	3,269,684	SEE PART V		No
(12) SUBSTANTIAL CONTRIBUTOR	SEE PART V	319,696	SEE PART V		No
(13) SUBSTANTIAL CONTRIBUTOR	SEE PART V	1,355,347	SEE PART V		No
(14) SUBSTANTIAL CONTRIBUTOR	SEE PART V	1,685,600	SEE PART V		No
(15) SUBSTANTIAL CONTRIBUTOR	SEE PART V	591,122	SEE PART V		No
(16) SUBSTANTIAL CONTRIBUTOR	SEE PART V	86,797	SEE PART V		No
(17) SUBSTANTIAL CONTRIBUTOR	SEE PART V	613,090	SEE PART V		No
(18) SUBSTANTIAL CONTRIBUTOR	SEE PART V	666,089	SEE PART V		No
(19) SUBSTANTIAL CONTRIBUTOR	SEE PART V	46,727	SEE PART V		No
(20) SUBSTANTIAL CONTRIBUTOR	SEE PART V	12,300	SEE PART V		No
(21) SUBSTANTIAL CONTRIBUTOR	SEE PART V	182,030	SEE PART V		No
(22) SUBSTANTIAL CONTRIBUTOR	SEE PART V	65,111	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: ELLEN SABIK.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JOSEPH SABIK, DIRECTOR AT UNIVERSITY HOSPITALS MEDICAL GROUP.(C) AMOUNT OF TRANSACTION: $$328,555(D) DESCRIPTION OF TRANSACTION: A FAMILY MEMBER OF JOSEPH SABIK IS PAID BY UNIVERSITY HOSPITALS MEDICAL GROUP.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: MALINDA GIBSON.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF MICHAEL LEWIS, OFFICER AND DIRECTOR AT UNIVERSITY HOSPITALS ROBINSON HEALTH SYSTEM.(C) AMOUNT OF TRANSACTION: $41,011(D) DESCRIPTION OF TRANSACTION: A FAMILY MEMBER OF MICHAEL LEWIS IS PAID BY UNIVERSITY HOSPITALS ROBINSON HEALTH SYSTEM.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: JOHN C. BANIEWICZ.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JOHN J. BANIEWICZ, DIRECTOR AT PRIMEHEALTH INC.(C) AMOUNT OF TRANSACTION: $342,556(D) DESCRIPTION OF TRANSACTION: A FAMILY MEMBER OF JOHN J. BANIEWICZ IS PAID BY PRIMEHEALTH INC.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: GINA N. CARLUCCI.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF ASHLEY CARLUCCI, DIRECTOR AT LAKE HOSPITAL SYSTEM.(C) AMOUNT OF TRANSACTION: $13,047(D) DESCRIPTION OF TRANSACTION: A FAMILY MEMBER OF ASHLEY CARLUCCI IS PAID BY LAKE HOSPITAL SYSTEM.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: BONNIE SPEED, INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: 35% CONTROLLED ENTITY OF CYNTHIA MOORE-HARDY, FORMER OFFICER OF LAKE HOSPITAL SYSTEM.(C) AMOUNT OF TRANSACTION: $124,869(D) DESCRIPTION OF TRANSACTION: A 35% INDIRECTLY CONTROLLED ENTITY OF CYNTHIA MOORE-HARDY IS PAID BY LAKE HOSPITAL SYSTEM.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UH CLEVELAND MEDICAL CENTER.(C) AMOUNT OF TRANSACTION: $55,296(D) DESCRIPTION OF TRANSACTION: UH CLEVELAND MEDICAL CENTER DOES BUSINESS WITH A SUBSTANTIAL CONTRIBUTOR.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UH CLEVELAND MEDICAL CENTER.(C) AMOUNT OF TRANSACTION: $3,030,731 (D) DESCRIPTION OF TRANSACTION: UH CLEVELAND MEDICAL CENTER DOES BUSINESS WITH A SUBSTANTIAL CONTRIBUTOR.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UH CLEVELAND MEDICAL CENTER.(C) AMOUNT OF TRANSACTION: $435,849 (D) DESCRIPTION OF TRANSACTION: UH CLEVELAND MEDICAL CENTER DOES BUSINESS WITH A SUBSTANTIAL CONTRIBUTOR.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UH CLEVELAND MEDICAL CENTER.(C) AMOUNT OF TRANSACTION: $1,361,469(D) DESCRIPTION OF TRANSACTION: UH CLEVELAND MEDICAL CENTER DOES BUSINESS WITH A SUBSTANTIAL CONTRIBUTOR.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UH CLEVELAND MEDICAL CENTER.(C) AMOUNT OF TRANSACTION: $3,636,104(D) DESCRIPTION OF TRANSACTION: UH CLEVELAND MEDICAL CENTER DOES BUSINESS WITH A SUBSTANTIAL CONTRIBUTOR.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UH CLEVELAND MEDICAL CENTER.(C) AMOUNT OF TRANSACTION: $3,269,684(D) DESCRIPTION OF TRANSACTION: UH CLEVELAND MEDICAL CENTER DOES BUSINESS WITH A SUBSTANTIAL CONTRIBUTOR.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UH CLEVELAND MEDICAL CENTER.(C) AMOUNT OF TRANSACTION: $319,696(D) DESCRIPTION OF TRANSACTION: UH CLEVELAND MEDICAL CENTER DOES BUSINESS WITH A SUBSTANTIAL CONTRIBUTOR.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UH CLEVELAND MEDICAL CENTER.(C) AMOUNT OF TRANSACTION: $1,355,347(D) DESCRIPTION OF TRANSACTION: UH CLEVELAND MEDICAL CENTER DOES BUSINESS WITH A SUBSTANTIAL CONTRIBUTOR.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UH CLEVELAND MEDICAL CENTER.(C) AMOUNT OF TRANSACTION: $1,685,600(D) DESCRIPTION OF TRANSACTION: UH CLEVELAND MEDICAL CENTER DOES BUSINESS WITH A SUBSTANTIAL CONTRIBUTOR.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UH CLEVELAND MEDICAL CENTER.(C) AMOUNT OF TRANSACTION: $591,122(D) DESCRIPTION OF TRANSACTION: UH CLEVELAND MEDICAL CENTER DOES BUSINESS WITH A SUBSTANTIAL CONTRIBUTOR.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UH CLEVELAND MEDICAL CENTER.(C) AMOUNT OF TRANSACTION: $86,797(D) DESCRIPTION OF TRANSACTION: UH CLEVELAND MEDICAL CENTER DOES BUSINESS WITH A SUBSTANTIAL CONTRIBUTOR.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UH CLEVELAND MEDICAL CENTER.(C) AMOUNT OF TRANSACTION: $613,090(D) DESCRIPTION OF TRANSACTION: UH CLEVELAND MEDICAL CENTER DOES BUSINESS WITH A SUBSTANTIAL CONTRIBUTOR.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UH CLEVELAND MEDICAL CENTER.(C) AMOUNT OF TRANSACTION: $666,089(D) DESCRIPTION OF TRANSACTION: UH CLEVELAND MEDICAL CENTER DOES BUSINESS WITH A SUBSTANTIAL CONTRIBUTOR.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UH ELYRIA MEDICAL CENTER.(C) AMOUNT OF TRANSACTION: $46,727(D) DESCRIPTION OF TRANSACTION: UH ELYRIA MEDICAL CENTER DOES BUSINESS WITH A SUBSTANTIAL CONTRIBUTOR.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UH CLEVELAND MEDICAL CENTER.(C) AMOUNT OF TRANSACTION: $12,300 (D) DESCRIPTION OF TRANSACTION: UH CLEVELAND MEDICAL CENTER DOES BUSINESS WITH A SUBSTANTIAL CONTRIBUTOR.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UH CLEVELAND MEDICAL CENTER.(C) AMOUNT OF TRANSACTION: $182,030(D) DESCRIPTION OF TRANSACTION: UH CLEVELAND MEDICAL CENTER DOES BUSINESS WITH A SUBSTANTIAL CONTRIBUTOR.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UH CLEVELAND MEDICAL CENTER.(C) AMOUNT OF TRANSACTION: $65,111(D) DESCRIPTION OF TRANSACTION: UH CLEVELAND MEDICAL CENTER DOES BUSINESS WITH A SUBSTANTIAL CONTRIBUTOR.(E) SHARING OF ORGANIZATION REVENUES? = NO.

Schedule L (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete 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 image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2024

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	28	53,600	APPRAISAL/RECEIPT
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......	X		16	FMV
6 Cars and other vehicles ..	X	1	4,285	FMV
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	65	2,138,411	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 ..
17 Real estate—Other ...
18 Collectibles .....	X	2	951	FMV
19 Food inventory ...	X	5	6,087	RECEIPT
20 Drugs and medical supplies .	X	2	1,235	FMV
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( TOYS )	X	46	19,072	RECEIPT/FMV
26 Other ( GIFT CARDS )	X	60	18,601	STATED VALUE
27 Other ( TICKETS )	X	17	7,805	FMV
28 Other ( EVENT SUPPLIES )	X	1	2,601	RECEIPT/FMV

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

Yes

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

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

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) (2024)

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 NUMBER REPORTED IN PART I, COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS.

Schedule M (Form 990) (2024)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 2024, UNIVERSITY HOSPITALS DEDICATED MORE THAN $511 MILLION TO COMMUNITY BENEFIT PROGRAMS IN NORTHEAST OHIO CONSISTING OF: - EDUCATION AND TRAINING = $123 MILLION - RESEARCH = $74 MILLION - CHARITY CARE = $72 MILLION - MEDICAID SHORTFALL = $207 MILLION - COMMUNITY HEALTH IMPROVEMENT SERVICES, PROGRAMS AND SUPPORT = $34 MILLION - HOSPITAL CARE ASSURANCE PROGRAM (HCAP) RECEIPTS = ($60 MILLION). REFER TO SCHEDULE H FOR FURTHER DETAIL ON HOW THE SYSTEM MEASURES AND REPORTS COMMUNITY BENEFIT. COMMUNITY BENEFIT FOR 2024 TOTALED $511 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 2024, $139 MILLION REPRESENTED REVENUES FOR SERVICES PROVIDED THAT ARE DEEMED TO BE UNCOLLECTIBLE. THE SYSTEM HAS A BROAD PRESENCE THROUGHOUT NORTHEAST OHIO, INCLUDING CUYAHOGA, LORAIN, GEAUGA, ASHTABULA, PORTAGE, ASHLAND, LAKE, AND RICHLAND COUNTIES SERVICE AREAS. THE BREADTH OF THE SYSTEM'S SERVICE AREA IS COVERED THROUGH ITS ACADEMIC MEDICAL CENTER, COMMUNITY MEDICAL CENTERS, JOINT VENTURES, AMBULATORY HEALTH CENTERS, AND MEDICAL PRACTICES. THE UH HEALTH SYSTEM PROVIDES WORK DIRECTLY FOR 39,731 EMPLOYEES AND PHYSICIANS. UH PROVIDES MANY COMMUNITY BENEFITS DIRECTLY AND INDIRECTLY THROUGH NEW OR EXPANDED BUSINESS OPPORTUNITIES AND THROUGH IMPORTANT CAPITAL INVESTMENTS IN OUR FACILITIES. UH HAS COMMITTED - AND CONTINUES TO COMMIT - MILLIONS OF DOLLARS TO FACILITIES AND OPERATIONS WITHIN THE CITY OF CLEVELAND AND THROUGHOUT OUR REGION, PROVIDING CONSTRUCTION AND HOSPITAL-BASED JOBS. STATE-OF-THE-ART FACILITIES AND SERVICES AT UH CLEVELAND MEDICAL CENTER, OUR WORLD-RENOWNED ACADEMIC MEDICAL CENTER IN CLEVELAND, PROVIDE CLEVELAND RESIDENTS AND PEOPLE FROM THROUGHOUT THE REGION AND THE WORLD WITH THE FINEST IN PRIMARY AND SPECIALTY HEALTH CARE. THE FACILITIES ALLOW US TO CONDUCT VITAL MEDICAL RESEARCH AND OFFER ADVANCED TRAINING FOR STUDENTS AND HEALTH PROFESSIONALS. THE QUENTIN & ELISABETH ALEXANDER NEONATAL INTENSIVE CARE UNIT AT UH RAINBOW BABIES & CHILDREN'S HOSPITAL SERVES OUR MOST VULNERABLE CHILDREN. THE SYSTEM'S EMERGENCY FACILITIES AT OR MEDICAL CENTERS AND THE SYSTEM'S SEIDMAN CANCER CENTER AT UH CLEVELAND MEDICAL CENTER AND VARIOUS COMMUNITY MEDICAL CENTERS, CONTINUE TO PROVIDE EXPANDED EMPLOYMENT OPPORTUNITIES WHILE EXTENDING UH'S MISSION TO MORE PATIENTS. NEW STATE-OF-THE-ART OUTPATIENT HEALTH CENTERS IN THE REGION HAVE SPURRED ECONOMIC GROWTH WHILE GIVING PEOPLE ACCESS TO THE CARE THEY NEED CLOSE TO HOME AND EXPANDING OUR COMMUNITY BENEFIT PROGRAMS. THE SYSTEM IS PROUD TO CONTRIBUTE TO THE HEALTH OF ITS CITIZENS AND TO BE A POSITIVE ECONOMIC FORCE IN THE REGION. FOR MORE DETAILED INFORMATION ON THE SYSTEM'S COMMUNITY BENEFIT OR TO VIEW THE 2024 ANNUAL REPORT, PLEASE VISIT THE SYSTEM'S WEBSITE AT WWW.UHHOSPITALS.ORG.
FORM 990, PART VI, SECTION A, LINE 6	UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE ORGANIZATIONS INCLUDED IN THIS RETURN. ITS RIGHTS INCLUDE ELECTING THE BOARD OF DIRECTORS AND APPROVING SIGNIFICANT DECISIONS OF EACH ORGANIZATION'S BOARD.
FORM 990, PART VI, SECTION A, LINE 7A	UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (SOLE MEMBER) ELECTS THE BOARD OF DIRECTORS, INCLUDING THE DESIGNATION OF THE DIRECTORS TO BE THE CHAIRPERSON AND VICE CHAIRPERSON OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7B	CERTAIN GOVERNING RESPONSIBILITIES ARE RESERVED AT THE PARENT ORGANIZATION, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (SOLE MEMBER). EXAMPLES INCLUDE APPROVING MATTERS RELATING TO FINANCES AND FINANCING, MATTERS RELATING TO INVESTMENTS, LEGAL MATTERS, MATERIAL ASSETS SALES OR TRANSFERS, STRATEGIC PLAN, OFFICERS, AND DIRECTORS TO THE ORGANIZATIONS BOARD.
FORM 990, PART VI, SECTION B, LINE 11B	THE AUDIT AND COMPLIANCE COMMITTEE HAS BEEN DELEGATED AUTHORITY BY THE UHHS BOARD OF DIRECTORS TO REVIEW THE FORM 990. THE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION SECTIONS OF THE FORM 990. THE GOVERNANCE AND COMMUNITY BENEFIT COMMITTEE REVIEWED THE COMMUNITY BENEFIT SECTION OF THE FORM 990 (SCHEDULE H). THE UHHS BOARD OF DIRECTORS RECEIVES A COMPLETE COPY OF THE RETURN BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. CERTAIN MEMBERS OF SENIOR MANAGEMENT REVIEW THE FORM WHILE OVERSEEING THIS PROCESS.
FORM 990, PART VI, SECTION B, LINE 12C	THE SYSTEM HAS ADOPTED SIX CONFLICT OF INTEREST POLICIES THAT SET FORTH GUIDELINES RELATED TO TRANSACTIONS WITH DISQUALIFIED PERSONS (AS DEFINED IN APPLICABLE FEDERAL REGULATION). THESE POLICIES APPLY TO ALL EMPLOYEES, EMPLOYED PHYSICIANS AND OTHER LICENSED PRACTITIONERS (EXCLUDING PHYSICIAN TRAINEES), DIRECTORS, OFFICERS, AND RELATED PARTIES TO UH AND ITS WHOLLY-OWNED SUBSIDIARIES. UH REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICIES. DESIGNATED INDIVIDUALS, (E.G., UH MANAGEMENT, DIRECTORS, EMPLOYED PHYSICIANS, AND ADVANCED PRACTICE PROFESSIONALS), ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE AND PROVIDE INFORMATION REGARDING ANY INTERESTS THAT MAY BE POTENTIAL CONFLICTS PURSUANT TO THE CONFLICT OF INTEREST POLICIES. THEY ARE REQUIRED TO PROVIDE ANY CHANGES OR NEW DISCLOSURES SHOULD THEY OCCUR. ALL DISCLOSURES AND SUBSEQUENT UPDATES TO DISCLOSURES ARE REVIEWED BY THE UH COMPLIANCE AND ETHICS DEPARTMENT. BOARD-LEVEL AND KEY PERSONNEL CONFLICTS ARE REVIEWED AND APPROVED, IF APPROPRIATE, BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE UH BOARD AND/OR THE UH BOARD. IF A CONFLICT EXISTS WITH A DIRECTOR, CERTAIN RESTRICTIONS MAY BE IMPOSED, SUCH AS EXCUSING THE DIRECTOR FROM THE ROOM DURING DISCUSSION AND/OR VOTING WITH REGARD TO A PROPOSED TRANSACTION. EDUCATION REGARDING CONFLICTS OF INTEREST IS INCLUDED IN THE ANNUAL COMPLIANCE TRAINING THAT INCLUDES ALL DIRECTORS, EMPLOYEES, PHYSICIANS AND LICENSED PRACTITIONERS.
FORM 990, PART VI, SECTION B, LINE 15	THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS APPROVED BY THE UHHS BOARD OF DIRECTORS. EXECUTIVE COMPENSATION IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD (THE "COMMITTEE"). THE COMMITTEE HAS RETAINED AN INDEPENDENT COMPENSATION CONSULTANT WHO PROVIDES INFORMATION TO THE COMMITTEE ON CHANGES AND TRENDS IN EXECUTIVE COMPENSATION AND OBJECTIVE THIRD PARTY INFORMATION ON COMPETITIVE AND COMPARABLE EXECUTIVE COMPENSATION AND BENEFIT LEVEL/PROGRAMS. THE CONSULTANT COLLECTS AND PROVIDES TO THE COMMITTEE, APPROPRIATE MARKET COMPENSATION AND BENEFITS INFORMATION, APPROPRIATE MARKET PRACTICES FOR COMPARABLE ORGANIZATIONS' POSITIONS AND BEST PRACTICES. THE CONSULTANT ALSO PROVIDES ADVICE ON DEVELOPING AND MODIFYING UH'S EXECUTIVE COMPENSATION PHILOSOPHY.
FORM 990, PART VI, SECTION C, LINE 19	THE FINANCIAL STATEMENTS FOR UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES ARE MADE PUBLICLY AVAILABLE THROUGH THE USE OF DAC BOND (DISCLOSURE DISSEMINATION AGENT) AND CAN BE FOUND ON THE INTERNET AT WWW.DACBOND.COM. THE ORGANIZATION'S ARTICLES, CODE OF REGULATIONS, AND CONFLICT OF INTEREST POLICY MAY BE MADE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A: INDIVIDUAL DISCLOSURES	GROUP ENTITIES LISTED BELOW INCLUDE: AHUJA: UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER, INC. CCO: UNIVERSITY HOSPITALS COORDINATED CARE ORGANIZATION CHCO: COMPREHENSIVE HEALTH CARE OF OHIO, INC. CONNEAUT: UNIVERSITY HOSPITALS CONNEAUT ECC: UHHS HEATHER HILL INC. ELYRIA: EMH REGIONAL MEDICAL CENTER GENEVA: UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER HOME CARE: UNIVERSITY HOSPITALS HOME CARE SERVICES, INC. LHS: LAKE HOSPITAL SYSTEM, INC PARMA: PARMA COMMUNITY GENERAL HOSPITAL PH: PRIMEHEALTH, INC. PORTAGE: ROBINSON HEALTH SYSTEM, INC. REGIONAL: UH REGIONAL HOSPITALS SAMARITAN: SAMARITAN REGIONAL HEALTH SYSTEM ST. JOHN: UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER UHCMC: UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER UHLSF: UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION UHMG: UNIVERSITY HOSPITALS MEDICAL GROUP, INC. HOURS LISTED BELOW INCLUDE: AVERAGE HOURS PER WEEK FOR EACH INDIVIDUALS' ENTITY BOARD. ROLES LISTED BELOW INCLUDE: D: INDIVIDUAL DIRECTOR T: INDIVIDUAL TRUSTEE O: OFFICER KE: KEY EMPLOYEE HCE: HIGHEST COMPENSATED EMPLOYEE F: FORMER MEGERIAN, CLIFF MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (EX-OFF); 2 HOURS; D UHMG: FORMER OFFICER; 0 HOURS; F SNOWBERGER, THOMAS D.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 2 HOURS; D HINCHEY, PAUL R. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CHCO: DIRECTOR/VICE CHAIR; 2 HOURS; D, O HOME CARE: DIRECTOR/CHAIR/PRESIDENT (BEGIN 05/24); 2 HOURS; D, O LHS: DIRECTOR; 2 HOURS; D UHMG: DIRECTOR (BEGIN 05/24); 2 HOURS; D TEKNOS, THEODOROS N. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: PRESIDENT - SEIDMAN CANCER CENTER; 2 HOURS; O UHMG: DIRECTOR; 2 HOURS; D SIMON, DANIEL I. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 2 HOURS; D UHCMC: FORMER OFFICER; 0 HOURS; F SZUBSKI, MICHAEL A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: FORMER OFFICER; 0 HOURS; F PRONOVOST, PETER MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR/CHAIR; 2 HOURS; D, O VOOS, JAMES MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 50 HOURS; D SABIK, JOSEPH MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 50 HOURS; D GLOTZBECKER, MICHAEL P, MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIVISION CHIEF, UHMG; 50 HOURS; HCE ANTONIADES, STATHIS, MPH: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (EX-OFF)/PRESIDENT; 2 HOURS; D, O UHMG: DIRECTOR; 2 HOURS; D KONHEIM, ARI L, MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: PHYSICIAN; 50 HOURS; HCE HONDA, KORD S: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: PHYSICIAN, UHMG; 50 HOURS; HCE ADELMAN, HARLIN G. JD.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: CHIEF LEGAL OFFICER/SECRETARY; 2 HOURS; O EUBANKS, JASON D, MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: ORTHOPEDIC SURGEON; 50 HOURS; HCE BAMBAKIDIS, NICHOLAS MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 50 HOURS; D BOND, BRADLEY C.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: SECRETARY/TREASURER; 2 HOURS; O CCO: TREASURER; 2 HOURS; O CHCO: SECRETARY/TREASURER; 2 HOURS; O CONNEAUT: TREASURER/SECRETARY; 2 HOURS; O ECC: DIRECTOR/SECRETARY/TREASURER (END 05/24); 2 HOURS; D, O ELYRIA: SECRETARY/TREASURER; 2 HOURS; O GENEVA: TREASURER/SECRETARY; 2 HOURS; O REGIONAL: SECRETARY/TREASURER; 2 HOURS; O UHLSF: TREASURER (END 06/24); 2 HOURS; O SAMARITAN: FORMER OFFICER; 0 HOURS; F KOSARAJU, VIJAYA K, MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: PHYSICIAN, UHMG; 50 HOURS; HCE MARONIAN, NICOLE C. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR/CHAIR/PRESIDENT (BEGIN 05/24); 50 HOURS; D, O STROSAKER, ROBYN MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: COO (BEGIN 07/24); 2 HOURS; O CONNEAUT: DIRECTOR/PRESIDENT (BEGIN 07/24); 2 HOURS; D, O GENEVA: DIRECTOR/PRESIDENT (BEGIN 07/24); 2 HOURS; D, O REGIONAL: DIRECTOR (BEGIN 07/24); 2 HOURS; D UHCMC: FORMER OFFICER; 0 HOURS; F DEPOMPEI, PATRICIA M MSN, RN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: PRESIDENT - RAINBOW BABIES & CHILDREN'S (END 11/24); 2 HOURS; O UHMG: DIRECTOR (END 12/24); 2 HOURS; D PAPA, ALAN J. FACHE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR (EX-OFF)/PRESIDENT (END 07/24); 2 HOURS; D, O CONNEAUT: DIRECTOR (EX-OFF)/PRESIDENT (END 07/24); 2 HOURS; D, O GENEVA: DIRECTOR (EX-OFF) (END 05/24)/PRESIDENT (END 07/24); 2 HOURS; D, O LHS: DIRECTOR (END 06/24); 2 HOURS; D REGIONAL: DIRECTOR (EX-OFF)/PRESIDENT (END 07/24); 2 HOURS; D, O MONTER, BRIAN MSN, RN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CHCO: DIRECTOR/PRESIDENT/CHAIR; 2 HOURS; D, O ELYRIA: DIRECTOR (EX-OFF)/PRESIDENT; 2 HOURS; D, O PARMA: DIRECTOR (EX-OFF)/PRESIDENT; 2 HOURS; D, O SAMARITAN: PRESIDENT (BEG 07/24); 2 HOURS; O ST. JOHN: DIRECTOR (EX-OFF)/PRESIDENT; 2 HOURS; D, O REGIONAL: FORMER OFFICER; 0 HOURS; F TOPALSKY, GEORGE MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D HOME CARE: DIRECTOR; 2 HOURS; D GLOTZBECKER, BRETT, MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: CHIEF MEDICAL OFFICER; 50 HOURS; O CHICKERELLA, DANIELLE, MSM, RD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HOME CARE: DIRECTOR/VICE CHAIR; 2 HOURS; D, O LHS: DIRECTOR; 2 HOURS; D SYLVAN, DAVID: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HOME CARE: DIRECTOR; 2 HOURS; D LHS: DIRECTOR; 2 HOURS; D GLOWCZEWSKI, JASON: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CONNEAUT: FORMER OFFICER; 0 HOURS; F GENEVA: FORMER OFFICER; 0 HOURS; F TOGLIATTI-TRICKETT, KIMBERLY, MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR (EX-OFF); 2 HOURS; D PARMA: DIRECTOR (EX-OFF); 52 HOURS; D ST. JOHN: DIRECTOR (EX-OFF); 2 HOURS; D PATEL, CHETAN P. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR; 2 HOURS; D MILLER, MARLENE MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 52 HOURS; D BENOIT, WILLIAM, FACHE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR (EX-OFF)/PRESIDENT (BEGIN 07/24); 2 HOURS; D, O CONNEAUT: DIRECTOR (EX-OFF); 2 HOURS; D GENEVA: DIRECTOR (BEGIN 07/24); 2 HOURS; D PORTAGE: DIRECTOR (EX-OFF)/PRESIDENT; 2 HOURS; D, O REGIONAL: DIRECTOR (EX-OFF)/PRESIDENT (BEGIN 07/24); 2 HOURS; D, O SAMARITAN: DIRECTOR (EX-OFF)/PRESIDENT (END 07/24); 2 HOURS; D, O DECARLO, DONALD, MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR (EX-OFF); 2 HOURS; D CONNEAUT: DIRECTOR (EX-OFF); 2 HOURS; D GENEVA: DIRECTOR (EX-OFF); 2 HOURS; D REGIONAL: DIRECTOR (EX-OFF); 2 HOURS; D SASSER, SCOTT M. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HOME CARE: DIRECTOR/CHAIR/PRESIDENT (END 05/24); 2 HOURS; D, O UHMG: DIRECTOR/CHAIR/PRESIDENT (END 05/24); 2 HOURS; D, O SCHMOTZER, CHRISTINE, MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHLSF: DIRECTOR/PRESIDENT/SECRETARY (END 06/24); 2 HOURS; D, O CARSON, BRENT: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR/ VICE CHAIR; 2 HOURS; D, O SALVINO, SONIA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ST. JOHN: FORMER OFFICER; 0 HOURS; F UHCMC: FORMER OFFICER; 0 HOURS; F UHMG: FORMER OFFICER; 0 HOURS; F UHLSF: FORMER OFFICER; 0 HOURS; F PIRTZ, JASON M. MSN, RN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: CHIEF NURSING OFFICER (END 05/24)/ CHIEF OPERATING OFFICER; 2 HOURS; O
BAZZOLI, JANA:	ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: INTERIM PRESIDENT RB&C (BEGIN 11/24); 2 HOURS; O SILA, CATHY MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HOME CARE: DIRECTOR/SECRETARY/TREASURER; 2 HOURS; D, O ATA, GEORGE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 2 HOURS; D CARPENTER, JENNIFER: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) HOME CARE: DIRECTOR; 2 HOURS; D SAMSA, JOHN MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PH: DIRECTOR; 52 HOURS; D SALATA, ROBERT A. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR (END 08/24); 52 HOURS; D NOBLE, VICKI, MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 52 HOURS; D MOORE-HARDY, CYNTHIA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: FORMER OFFICER; 0 HOURS; F PRESTEGAARD, BENJAMIN MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORTAGE: DIRECTOR (EX-OFF); 2 HOURS; D SAMARITAN: DIRECTOR (EX-OFF); 2 HOURS; D BANIEWICZ, JOHN MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PH: DIRECTOR/CHAIR (EX-OFF); 52 HOURS; D, O THEADORE, JASON: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHLSF: DIRECTOR; 2 HOURS; D CICERO, RICHARD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D PH: DIRECTOR/VICE PRESIDENT; 2 HOURS; D, O HUNT, MELISSA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: CHIEF NURSING OFFICER; 2 HOURS; O RAO, GOUTHAM MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHMG: DIRECTOR; 52 HOURS; D HARFORD, TODD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) SAMARITAN: FORMER OFFICER; 0 HOURS; F CARLUCCI, ASHLEY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR (EX-OFF); 2 HOURS; D CONNEAUT: DIRECTOR (EX-OFF); 2 HOURS; D ELYRIA: DIRECTOR (EX-OFF) (END 07/24); 2 HOURS; D GENEVA: DIRECTOR (EX-OFF); 2 HOURS; D LHS: DIRECTOR (BEGIN 08/24); 2 HOURS; D PARMA: DIRECTOR (EX-OFF) (END 07/24); 2 HOURS; D REGIONAL: DIRECTOR (EX-OFF); 2 HOURS; D ST. JOHN: DIRECTOR (EX-OFF) (END 07/24); 2 HOURS; D COOPER, DANIELLE MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PH: DIRECTOR; 52 HOURS; D HOYNES, SEAN MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D ZNIDARSIC, ROBERT MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PH: DIRECTOR; 52 HOURS; D BIRES, TRICIA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ECC: DIRECTOR/SECRETARY/TREASURER (BEGIN 05/24); 2 HOURS; D, O GALLUCCI, MICHELLE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ECC: DIRECTOR/CHAIR/PRESIDENT; 2 HOURS; D, O CHEN, PATRICK: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHLSF: DIRECTOR/TREASURER/SECRETARY (BEGIN 06/24); 2 HOURS; D, O UHMG: SECRETARY/TREASURER (BEGIN 05/24); 2 HOURS; O SKARBINSKI, JULIE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORTAGE: DIRECTOR (EX-OFF)/SECRETARY/TREASURER; 52 HOURS; D, O SAMARITAN: DIRECTOR (EX-OFF)/SECRETARY/TREASURER; 2 HOURS; D, O KERCHER, KIERAN M: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR (EX-OFF) (BEGIN 07/24); 52 HOURS; D PARMA: DIRECTOR (EX-OFF) (BEGIN 05/24); 2 HOURS; D ST. JOHN: DIRECTOR (EX-OFF) (BEGIN 07/24); 2 HOURS; D SCHARIO, MARK E.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: FORMER OFFICER; 0 HOURS; F MONHEIM, KAREN M. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D MILLER, JANET L. ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: FORMER OFFICER; 0 HOURS; F KLINE, ANDREW L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D SIMMERS, RACHELLE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CHCO: DIRECTOR; 2 HOURS; D HANSON, RICHARD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ST. JOHN: FORMER OFFICER; 0 HOURS; F ECC: FORMER OFFICER; 0 HOURS; F HOME CARE: FORMER OFFICER; 0 HOURS; F RAVICHANDRAN, KAMALESWARY MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D ABER, ANN C.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR ; 2 HOURS; D AGRANOVICH, CHERYL: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D ANNABLE, CATHY J. S. MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D BALL, STANLEY C.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D CONNEAUT: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D REGIONAL: DIRECTOR; 2 HOURS; D BEASLEY, TERESA METCALF: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D BEER, ANNE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORTAGE: DIRECTOR/CHAIR; 2 HOURS; D, O SAMARITAN: DIRECTOR/CHAIR; 2 HOURS; D, O BENNETT, RICHARD J.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR (START 09/24); 2 HOURS; D BOWLER, CONNIE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR/VICE CHAIR (BEGIN 05/24); 2 HOURS; D, O CONNEAUT: DIRECTOR/VICE CHAIR (BEGIN 05/24); 2 HOURS; D, O GENEVA: DIRECTOR/VICE CHAIR (BEGIN 05/24); 2 HOURS; D, O REGIONAL: DIRECTOR/VICE CHAIR (BEGIN 05/24); 2 HOURS; D, O BOYKO, TIMOTHY A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O PARMA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O ST. JOHN: DIRECTOR/VICE CHAIR; 2 HOURS; D, O CAMIENER, DAVID A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (END 05/24); 2 HOURS; D CARR, DAVID: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR/VICE CHAIR (BEGIN 05/24); 2 HOURS; D, O CERCELLE, TIMOTHY F.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D CLARK, JILL: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D CULOTTA, SUSAN L., PHD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR (BEGIN 06/24); 2 HOURS; D DANA, RICHARD L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR/VICE CHAIR (END 05/24); 2 HOURS; D, O CONNEAUT: DIRECTOR/VICE CHAIR (END 05/24); 2 HOURS; D, O GENEVA: DIRECTOR/VICE CHAIR (END 05/24); 2 HOURS; D, O REGIONAL: DIRECTOR/VICE CHAIR (END 05/24); 2 HOURS; D, O DAVIE, DIANE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O PARMA: DIRECTOR/VICE CHAIR; 2 HOURS; D, O ST. JOHN: DIRECTOR/VICE CHAIR; 2 HOURS; D, O DOLL, DAVID: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D EDWARDS, STACEY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (EX-OFF) (BEGIN 05/24); 2 HOURS; D FINE, LAUREN RICH: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D CONNEAUT: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D REGIONAL: DIRECTOR; 2 HOURS; D FITTS, JOHN T.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR/VICE CHAIR (END 05/24); 2 HOURS; D, O CONNEAUT: DIRECTOR/VICE CHAIR (END 05/24); 2 HOURS; D, O GENEVA: DIRECTOR/VICE CHAIR (END 05/24); 2 HOURS; D, O REGIONAL: DIRECTOR/VICE CHAIR (END 04/24); 2 HOURS; D, O FLANIGAN, KEVIN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR; 2 HOURS; D PARMA: DIRECTOR; 2 HOURS; D ST. JOHN: DIRECTOR; 2 HOURS; D FLYNN, SCOTT ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORTAGE: DIRECTOR; 2 HOURS; D SAMARITAN: DIRECTOR; 2 HOURS; D GARCIA, RICHARD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D CONNEAUT: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D REGIONAL: DIRECTOR; 2 HOURS; D GUBANC-ANDERSON, DAWN, MSN, RN, DPN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR/VICE CHAIR (END 04/2024); 2 HOURS; D, O HABER, IRWIN G.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR/CHAIR; 2 HOURS; D, O CONNEAUT: DIRECTOR/CHAIR; 2 HOURS; D, O GENEVA: DIRECTOR/CHAIR; 2 HOURS; D, O REGIONAL: DIRECTOR/CHAIR; 2 HOURS; D, O
HARRIS, TIMOTHY S.:	ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D HIMES, BRETT S.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR/CHAIR; 2 HOURS; D, O HIRSCHLER, CHRISTOPHER: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR; 2 HOURS; D PARMA: DIRECTOR; 2 HOURS; D ST. JOHN: DIRECTOR; 2 HOURS; D JUBECK, THOMAS P.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR; 2 HOURS; D JUNAID, ANSIR: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D KELLY, MICHAEL J. SR.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORTAGE: DIRECTOR; 2 HOURS; D SAMARITAN: DIRECTOR; 2 HOURS; D KLAMMER, LISA, ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR/SECRETARY; 2 HOURS; D, O KOURY, LEE M.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (END 05/24); 2 HOURS; D LEWIS, MICHAEL A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORTAGE: DIRECTOR/VICE CHAIR; 2 HOURS; D, O SAMARITAN: DIRECTOR/VICE CHAIR; 2 HOURS; D, O MARKOWITZ, DALE H.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR; 2 HOURS; D CONNEAUT: DIRECTOR; 2 HOURS; D GENEVA: DIRECTOR; 2 HOURS; D REGIONAL: DIRECTOR; 2 HOURS; D MAYHER, MICHAEL E.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR/TREASURER; 2 HOURS; D, O MIGGINS, LYNN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR/CHAIR; 2 HOURS; D, O PARMA: DIRECTOR/CHAIR; 2 HOURS; D, O ST. JOHN: DIRECTOR/CHAIR; 2 HOURS; D, O CHCO: FORMER OFFICER; 0 HOURS; F MOORE, ERIC J. ESQ.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR; 2 HOURS; D PARMA: DIRECTOR; 2 HOURS; D ST. JOHN: DIRECTOR; 2 HOURS; D MYERS, PAUL R.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORTAGE: DIRECTOR; 2 HOURS; D SAMARITAN: DIRECTOR; 2 HOURS; D PAGANINI, RAYMOND J.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR/VICE CHAIR; 2 HOURS; D, O PLECHA, DONNA MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (EX-OFF); 2 HOURS; D PLUSH, MARK J.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) CCO: DIRECTOR; 2 HOURS; D PRIEMER, WILLIAM A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR/CHAIR (BEGIN 05/24)/VICE CHAIR (END 05/24); 2 HOURS; D, O RICHARDSON, SEAN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D RYAN, JOHN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) PORTAGE: DIRECTOR; 2 HOURS; D SAMARITAN: DIRECTOR; 2 HOURS; D SCHULZE-FLYNN, CYNTHIA V.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D SENITA, JULIA A., PHD, MSN, CNE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR; 2 HOURS; D SIRACUSA, ANTHONY: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) AHUJA: DIRECTOR/VICE CHAIR (BEGIN 05/24); 2 HOURS; D, O CONNEAUT: DIRECTOR/VICE CHAIR (BEGIN 05/24; 2 HOURS; D, O GENEVA: DIRECTOR/VICE CHAIR (BEGIN 05/24); 2 HOURS; D, O REGIONAL: DIRECTOR/VICE CHAIR (BEGIN 05/24); 2 HOURS; D, O SIRKO, PAUL: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR; 2 HOURS; D SPEAR, BRENDA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR; 2 HOURS; D PARMA: DIRECTOR; 2 HOURS; D ST. JOHN: DIRECTOR; 2 HOURS; D STEIGER, DAVID, MD: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR (END 04/24); 2 HOURS; D TAYLOR, EDDIE JR.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: CHAIR (END 05/24)/DIRECTOR; 2 HOURS; D, O TIFFT, VICTORIA: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR; 2 HOURS; D UHMG: DIRECTOR; 2 HOURS; D WEINER, DANIELLE: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) UHCMC: DIRECTOR (EX-OFF) (END 05/24); 2 HOURS; D WILKINSON, SCOTT A.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR; 2 HOURS; D PARMA: DIRECTOR; 2 HOURS; D ST. JOHN: DIRECTOR; 2 HOURS; D WILSON, DANIEL L.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR; 2 HOURS; D YATES, VIVIAN: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) ELYRIA: DIRECTOR; 2 HOURS; D PARMA: DIRECTOR; 2 HOURS; D ST. JOHN: DIRECTOR; 2 HOURS; D ZIEGLER, KEITH E.: ENTITY: TITLE; HOURS; ROLE (D, T, O, KE, HCE, F) LHS: DIRECTOR (END 04/24); 2 HOURS; D
FORM 990, PART XI, LINE 9:	NET ASSETS RELEASED FROM RESTRICTION -47,442,000. EQUITY TRANSFERS -522,258,804. OTHER CHANGES IN FUND BALANCE 44,500,727. CHANGE IN BENEFICIAL INTEREST FOUNDATIONS 18,563,000. INVESTMENT IN WHOLLY OWNED SUBSIDIARIES -10,200,000. BEACHWOOD CONVERSION -4,007,409.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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
(1) LAKE HEALTH IPHE LLC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122	INACTIVE	OH	0	0	LAKE HOSPITAL SYSTEM INC
(2) 7800 TYLER ASSOCIATES LLC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122	INACTIVE	OH	0	0	LAKE HOSPITAL SYSTEM INC
(3) JUSTIN LBP LLC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122	INACTIVE	OH	0	0	LAKE HOSPITAL SYSTEM INC
(4) MENTOR MEDICAL CAMPUS PHYSICIAN BUILDING CO GRAPER & WARMINGOTN INC 340 FOUNDTAIN AVE PAINESVILLE,OH44077 34-1958475	MEDICAL SERVICES	OH	0	0	LAKE HOSPITAL SYSTEM INC
(5) NEW MANNA CLG LLC 25501 CHAGRIN BLVD BEACHWOOD,OH44122 37-1848577	MEDICAL SERVICES	OH	0	0	LAKE HOSPITAL SYSTEM INC

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?
(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	Yes	No
(1)5805 EUCLID INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 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	EMH REGIONAL MEDICAL CENTER	Yes
(3)FUND FOR CURES UK LTD 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122	GRANT FUNDING	UK	N/A	N/A	UNIVERSITY HOSPITALS HEALTH SYSTEM INC	Yes
(4)KETTERING MOHICAN AREA MEDICAL CENTER INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122 34-0823455	INACTIVE	OH	501(C)(3)		SAMARITAN REGIONAL HEALTH SYSTEM	Yes
(5)LAKE HOSPITAL FOUNDATION INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122 34-1425872	SUPPORT HOSPITAL	OH	501(C)(3)	LINE 12A, I	LAKE HOSPITAL SYSTEM INC	Yes
(6)LHS LEGACY 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122 86-2916134	MANAGEMENT	OH	501(C)(3)	LINE 12C, III-FI	LAKE HOSPITAL SYSTEM INC	Yes
(7)PARMA HOSPITAL HEALTH CARE FOUNDATION 7007 POWERS BLVD PARMA,OH44129 34-1626664	SUPPORT HOSPITAL	OH	501(C)(3)	LINE 12A, I	PARMA COMMUNITY GENERAL HOSPITAL	Yes
(8)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
(9)SAMARITAN HOSPITAL FOUNDATION 663 EAST MAIN STREET ASHLAND,OH44805 34-1783215	SUPPORT HOSPITAL	OH	501(C)(3)	LINE 12C, III-FI	SAMARITAN REGIONAL HEALTH SYSTEM	Yes
(10)THE AUXILLARY OF LAKE HOSPITAL SYSTEM INC 7590 AUBURN ROAD CONCORD TOWNSHIP,OH44077 34-1605226	PATIENT NEEDS AND PHYSICIAN EQUIPMENT	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) (Rev. 1-2025)

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) CONCORD MEDICAL CAMPUS PHYSICIAN BUILDING LLC 7580 AUBURN RD CONCORD,OH44077 26-0550261	OFFICE SPACE	OH	LAKE HOSPITAL SYSTEM INC	RELATED	159,103	1,360,168		No			No	54.400 %
(2) SAMARITAN REGIONAL PAIN MANAGEMENT LLC 1025 CENTER STREET ASHLAND,OH44805 46-2286785	MEDICAL SERVICES	OH	SAMARITAN REGIONAL HEALTH SYSTEM	RELATED	102,619	303,621		No			No	51.000 %
(3) UH VALUEHEALTH HOLDINGS LLC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122 85-3503184	HOLDING COMPANY	OH	N/A					No			No
(4) UHHS ENDOSCOPY HOLDINGS LLC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122 83-1284090	MEDICAL SERVICES	OH	N/A					No			No
(5) UNIVERSITY SUBURBAN REAL ESTATE LTD 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122 34-1397180	REAL ESTATE	OH	N/A					No			No
(6) UNIVERSITY HOSPITALS URGENT CARE BY WELLSTREET LLC 3330 CUMBERLAND BLVD STE 825 ATLANTA,GA30339 92-1031874	MEDICAL SERVICES	GA	N/A					No			No
(7) NEW MANNA CLG LLC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122 37-1848577	MEDICAL SERVICES	OH	LAKE HOSPITAL SYSTEM INC	RELATED	20,099,189			No			No	51.000 %

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?
(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	Yes	No
(1) COMPREHENSIVE VENTURES UNLIMITED INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122 34-1596060	PHYSICIAN ADMINISTRATION	OH	COMPREHENSIVE HEALTH CARE OF OHIO INC	C	1,586,149	3,739,848	100.000 %	Yes
(2) EMH MEDICAL OFFICE BUILDING IN AVON INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122 34-1935407	REAL ESTATE	OH	EMH REGIONAL MEDICAL CENTER	C	117,741	831,683	100.000 %	Yes
(3) EMH PROFESSIONAL SERVICES INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122 34-1778419	PHYSICAN GROUP	OH	COMPREHENSIVE VENTURES UNLIMITED	C			100.000 %	Yes
(4) QUALITY CARE NETWORK INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122 81-1081563	MEDICAL MANAGEMENT	OH	N/A	C				Yes
(5) USHC MANAGEMENT INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122 34-1395971	HOLDING COMPANY	OH	N/A	C				Yes
(6) UHHS PROVIDER AND CENTRAL VERIFICATION ORGANIZATION INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122 34-1908517	MEDICAL MANAGEMENT	OH	N/A	C				Yes
(7) UNIVERSITY HOSPITALS ACCOUNTABLE CARE ORGANIZATION INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122 81-3836118	ACCOUNT CARE	OH	N/A	C				Yes
(8) UNIVERSITY HOSPITALS HOLDINGS INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122 34-1768931	HOLDING COMPANY	OH	N/A	C				Yes
(9) UNIVERSITY HOSPITALS PHYSICIAN SERVICES INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122 34-1768929	PHYSICIAN ADMINISTRATION	OH	N/A	C				Yes
(10) UNIVERSITY PRIMARY CARE PRACTICES INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122 34-1768928	PHYSICAN GROUP	OH	N/A	C				Yes
(11) WESTERN RESERVE ASSURANCE CO LTD SPC PO BOX 1051 GT KY1 GRAND CAYMAN CJ 98-0462740	INSURANCE	CJ	N/A	C				Yes
(12) ASTUTE SIGNALS INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS,OH44122 99-4297926	TECHNOLOGY RESEARCH	OH	N/A	C				Yes

Schedule R (Form 990) (Rev. 1-2025)

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

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 .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

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) PARMA COMMUNITY GENERAL HOSPITAL TO PARMA HOSPITAL HEALTH CARE FOUNDATION	B	940,212	GENERAL LEDGER
(2) ROBINSON HEALTH SYSTEM INC TO ROBINSON MEMORIAL HOSPITAL FOUNDATION	B	360,737	GENERAL LEDGER
(3) LAKE HOSPITAL SYSTEM INC TO LAKE HOSPITAL FOUNDATION INC	B	402,675	GENERAL LEDGER
(4) PARMA COMMUNITY GENERAL HOSPITAL FROM PARMA HOSPITAL HEALTH CARE FOUNDATION	C	1,560,035	GENERAL LEDGER
(5) LAKE HOSPITAL SYSTEM INC FROM LAKE HOSPITAL FOUNDATION INC	C	952,665	GENERAL LEDGER
(6) EMH REGIONAL MEDICAL CENTER FROM ELYRIA MEDICAL CENTER FOUNDATION	C	327,585	GENERAL LEDGER
(7) ROBINSON HEALTH SYSTEM INC FROM ROBINSON MEMORIAL HOSPITAL FOUNDATION	C	53,683	GENERAL LEDGER
(8) UNIVERSITY HOSPITALS ST JOHN MEDICAL CENTER TO UNIVERSITY HOSPITALS PHYSIC	J	377,078	GENERAL LEDGER
(9) UH REGIONAL HOSPITALS TO UNIVERSITY HOSPITALS PHYSICIAN SERVICES INC	J	362,887	GENERAL LEDGER
(10) COMPREHENSIVE HEALTH CARE OF OHIO INC TO UNIVERSITY HOSPITALS PHYSICIAN S	J	188,903	GENERAL LEDGER
(11) SAMARITAN REGIONAL HEALTH SYSTEM TO UNIVERSITY HOSPITALS PHYSICIAN SERVICES	J	184,430	GENERAL LEDGER
(12) LAKE HOSPITAL SYSTEM INC TO UNIVERSITY HOSPITALS PHYSICIAN SERVICES INC	J	151,160	GENERAL LEDGER
(13) SAMARITAN REGIONAL HEALTH SYSTEM TO UNIVERSITY HOSPITALS HEALTH SYSTEM INC	J	76,857	GENERAL LEDGER
(14) UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER FROM UNIVERSITY HOSPITALS HEA	K	1,765,561	GENERAL LEDGER
(15) UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER FROM 5805 EUCLID INC	K	931,373	GENERAL LEDGER
(16) UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION FROM UNIVERSITY HOSPITA	K	877,206	GENERAL LEDGER
(17) UNIVERSITY HOSPITALS MEDICAL GROUP INC FROM UNIVERSITY HOSPITALS HEALTH S	K	521,891	GENERAL LEDGER
(18) UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER INC FROM UNIVERSITY HOSPITALS H	K	494,319	GENERAL LEDGER
(19) UNIVERSITY HOSPITALS MEDICAL GROUP INC FROM UNIVERSITY SUBURBAN REAL ESTA	K	473,790	GENERAL LEDGER
(20) UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER FROM UNIVERSITY HOSPITALS HOL	K	441,119	GENERAL LEDGER
(21) UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION FROM UNIVERSITY SUBURBA	K	321,895	GENERAL LEDGER
(22) UH REGIONAL HOSPITALS FROM UNIVERSITY HOSPITALS HEALTH SYSTEM INC	K	290,334	GENERAL LEDGER
(23) SAMARITAN REGIONAL HEALTH SYSTEM FROM UNIVERSITY HOSPITALS HEALTH SYSTEM I	K	237,964	GENERAL LEDGER
(24) PARMA COMMUNITY GENERAL HOSPITAL FROM UNIVERSITY HOSPITALS HOLDINGS INC	K	152,114	GENERAL LEDGER
(25) UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER FROM PRL CORPORATION	K	111,230	GENERAL LEDGER
(26) UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION FROM UNIVERSITY HOSPITA	K	68,108	GENERAL LEDGER
(27) UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER INC FROM PRL CORPORATION	K	67,045	GENERAL LEDGER
(28) UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION FROM COMPREHENSIVE VENT	K	60,086	GENERAL LEDGER
(29) PARMA COMMUNITY GENERAL HOSPITAL FROM UNIVERSITY HOSPITALS HEALTH SYSTEM I	K	52,620	GENERAL LEDGER
(30) UNIVERSITY HOSPITALS MEDICAL GROUP INC TO UNIVERSITY HOSPITALS HEALTH S	R	198,026,954	GENERAL LEDGER
(31) LAKE HOSPITAL SYSTEM INC TO UNIVERSITY HOSPITALS HEALTH SYSTEM INC	R	61,094,238	GENERAL LEDGER
(32) PARMA COMMUNITY GENERAL HOSPITAL TO UNIVERSITY HOSPITALS HEALTH SYSTEM I	R	4,301,636	GENERAL LEDGER
(33) UH REGIONAL HOSPITALS TO UNIVERSITY HOSPITALS HEALTH SYSTEM INC	R	2,576,412	GENERAL LEDGER
(34) UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER TO UNIVERSITY HOSPITALS HEALTH	R	1,242,631	GENERAL LEDGER
(35) PRIMEHEALTH INC TO UNIVERSITY HOSPITALS HEALTH SYSTEM INC	R	60,376	GENERAL LEDGER
(36) UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER FROM UNIVERSITY HOSPITALS HEA	S	307,357,738	GENERAL LEDGER
(37) UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION FROM UNIVERSITY HOSPITA	S	184,745,979	GENERAL LEDGER
(38) UNIVERSITY HOSPITALS HOME CARE SERVICES INC FROM UNIVERSITY HOSPITALS HEA	S	127,932,429	GENERAL LEDGER
(39) UH REGIONAL HOSPITALS FROM UNIVERSITY HOSPITALS HEALTH SYSTEM INC	S	30,215,376	GENERAL LEDGER
(40) UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER INC FROM UNIVERSITY HOSPITALS H	S	24,557,199	GENERAL LEDGER
(41) UNIVERSITY HOSPITALS ST JOHN MEDICAL CENTER FROM UNIVERSITY HOSPITALS HEAL	S	23,340,851	GENERAL LEDGER
(42) UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER FROM UNIVERSITY HOSPITALS HEALTH	S	11,740,778	GENERAL LEDGER
(43) UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER FROM 5805 EUCLID INC	S	11,170,400	ASSESSED VALUE
(44) SAMARITAN REGIONAL HEALTH SYSTEM FROM UNIVERSITY HOSPITALS HEALTH SYSTEM I	S	8,431,778	GENERAL LEDGER
(45) EMH REGIONAL MEDICAL CENTER FROM UNIVERSITY HOSPITALS HEALTH SYSTEM INC	S	7,900,445	GENERAL LEDGER
(46) ROBINSON HEALTH SYSTEM INC FROM UNIVERSITY HOSPITALS HEALTH SYSTEM INC	S	7,194,775	GENERAL LEDGER
(47) COMPREHENSIVE HEALTH CARE OF OHIO INC FROM UNIVERSITY HOSPITALS HEALTH SY	S	341,279	GENERAL LEDGER

Schedule R (Form 990) (Rev. 1-2025)

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)	(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
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation
PART I & PART III	ON MAY 1, 2024, NEW MANNA CLG, LLC CONVERTED FROM A TAXABLE PARTNERSHIP, OWNED 51% BY LAKE HOSPITAL SYSTEM, INC., TO A WHOLLY-OWNED DISREGARDED ENTITY OF LAKE HOSPITAL SYSTEM, INC. DUE TO THE CONVERSION, WE HAVE LISTED NEW MANNA CLG, LLC ON SCHEDULE R, PART I AND SCHEDULE R, PART III OF THIS FORM 990.

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

TY 2024 AffiliatedGroupSchedule

Name:

UNIVERSITY HOSPITALS HEALTH SYSTEM INC

GROUP RETURN

EIN:

90-0059117

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
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	169
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	93
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	33,691
6	Total number of volunteers (estimate if necessary) .............	6	2,844
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	5,444,326
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	147,262

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	121,806,170	76,983,458
9	Program service revenue (Part VIII, line 2g) .........	4,942,412,597	5,437,781,434
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,196,063	12,566,042
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	217,133,254	419,054,458
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	5,286,548,084	5,946,385,392
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,834,180	2,066,793
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)	2,404,792,825	2,556,404,668
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	2,920,066,870	3,337,547,130
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	5,327,693,875	5,896,018,591
19	Revenue less expenses. Subtract line 18 from line 12.......	-41,145,791	50,366,801
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,281,984,566	3,301,758,246
21	Total liabilities (Part X, line 26).............	509,501,504	984,771,301
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,772,483,062	2,316,986,945

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 5,546,542,856 including grants of $ 2,066,793 ) (Revenue $ 5,851,653,463 )
	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 expenses5,546,542,856

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	18,344,781	39,793,965	5,675,334

(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 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	784,898
d	Related organizations		1d	2,893,968
e	Government grants (contributions)		1e	42,114,000

f	All other contributions, gifts, grants, and similar amounts not included above		1f	31,190,592

g	Noncash contributions included in lines 1a - 1f:$		1g	2,252,664

h Total. Add lines 1a-1f.......		76,983,458

		Business Code
2a	NET PROGRAM SERVICE RE	900099	5,437,781,434	5,437,781,434
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		5,437,781,434

3 Investment income (including dividends, interest, and othersimilar amounts) ......			5,010,115		122,827	4,887,288
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	7,555,927
b	Less: cost or other basis and sales expenses	7b	0
c	Gain or (loss)	7c	7,555,927
d	Net gain or (loss).........			7,555,927			7,555,927
8a	Gross income from fundraising events (not including $ 784,898of contributions reported on line 1c). See Part IV, line 18 ....
			8a	198,895
b	Less: direct expenses ...		8b	344,419
c	Net income or (loss) from fundraising events..			-145,524			-145,524
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	6,454
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			6,454			6,454
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..

Business Code
11a	JV INCOME		900099	409,960	409,960
b
c
d	All other revenue ....			418,783,568	413,462,069	5,321,499
e	Total. Add lines 11a–11d ......			419,193,528
12	Total revenue. See instructions.....			5,946,385,392	5,851,653,463	5,444,326	12,304,145

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	2,066,793	2,066,793
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 ...........	12,518,368	11,767,266	751,102
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	725,169	681,659	43,510
7	Other salaries and wages........	2,118,316,323	1,991,217,344	127,098,979
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	56,472,935	53,084,559	3,388,376
9	Other employee benefits .......	237,958,646	223,681,127	14,277,519
10	Payroll taxes ...........	130,413,227	122,588,433	7,824,794
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	351,813	330,704	21,109
c	Accounting ...........	550,667	517,627	33,040
d	Lobbying ...........	355,256		355,256
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)	103,597,588	97,381,733	6,215,855
12	Advertising and promotion ....	1,889,074	1,775,730	113,344
13	Office expenses .......	1,732,444,338	1,628,497,678	103,946,660
14	Information technology ......	7,201,067	6,769,003	432,064
15	Royalties ..
16	Occupancy ...........	211,223,965	198,550,527	12,673,438
17	Travel ............	9,869,721	9,277,538	592,183
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	10,796,780	10,148,973	647,807
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	135,661,277	127,521,600	8,139,677
23	Insurance ...	75,861,896	75,861,896
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	677,457,608	636,810,152	40,647,456
b	OTHER PURCHASED SERVICE	147,449,898	138,602,904	8,846,994
c	OHIO HOSP FRANCHISE FEE	129,923,180	122,127,789	7,795,391
d	UBI TAXES PAID IN 2024	60,000		60,000
e	All other expenses	92,853,002	87,281,821	5,571,181
25	Total functional expenses. Add lines 1 through 24e	5,896,018,591	5,546,542,856	349,475,735	0
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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........				2	2,224,900
3	Pledges and grants receivable, net ......			56,265,157	3	46,258,894
4	Accounts receivable, net .............			852,819,928	4	760,778,830
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 ............			125,372,459	8	135,692,319
9	Prepaid expenses and deferred charges ......			51,818,069	9	52,342,512
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,784,788,796
b	Less: accumulated depreciation	10b	2,202,770,820	1,584,783,844	10c	1,582,017,976
11	Investments—publicly traded securities .			2,915,389	11	4,338,710
12	Investments—other securities. See Part IV, line 11 .....			277,385,794	12	333,838,178
13	Investments—program-related. See Part IV, line 11 ..			224,145,450	13	244,350,960
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			106,478,476	15	139,914,967
16	Total assets. Add lines 1 through 15 (must equal line 33)...			3,281,984,566	16	3,301,758,246

17	Accounts payable and accrued expenses .....	304,571,868	17	335,523,093
18	Grants payable ...		18
19	Deferred revenue .........	5,064,020	19	183,363,042
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 ..		23
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	199,865,616	25	465,885,166
26	Total liabilities. Add lines 17 through 25..	509,501,504	26	984,771,301

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	2,328,087,530	27	1,861,202,756
28	Net assets with donor restrictions ...........	444,395,532	28	455,784,189
	Organizations that do not follow FASB ASC 958, check here 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 ...........	2,772,483,062	32	2,316,986,945
33	Total liabilities and net assets/fund balances ........	3,281,984,566	33	3,301,758,246