SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
SOUTHWEST GENERAL HEALTH CENTER
 
Employer identification number

34-0753531
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

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

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    1,743,794 532,486 1,211,308 0.360 %
b Medicaid (from Worksheet 3, column a) . . . . .     33,537,710 17,931,182 15,606,528 4.670 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     35,281,504 18,463,668 16,817,836 5.030 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     957,799 69,502 888,297 0.270 %
f Health professions education (from Worksheet 5) . . .     637,224 41,709 595,515 0.180 %
g Subsidized health services (from Worksheet 6) . . . .     14,016,683 11,105,540 2,911,143 0.870 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     67,413 1,258 66,155 0.020 %
j Total. Other Benefits . .     15,679,119 11,218,009 4,461,110 1.340 %
k Total. Add lines 7d and 7j .     50,960,623 29,681,677 21,278,946 6.370 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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            
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            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
5,031,835
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
79,838,657
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
88,379,896
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-8,541,239
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1Foundation Surgery of Middleburg
 
Ambulatory Surgery 20.000 %   70.000 %
2SW General Heart & Vascular Institute
 
Cardiovascular Services 40.000 % 13.860 % 46.140 %
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 Southwest General Health Center
18697 Bagley Road
Middleburg Hts,OH44130
www.swgeneral.com
X X         X     A
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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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)
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):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): www.swgeneral.com
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
www.swgeneral.com/pay my bill
b
www.swgeneral.com/pay my bill
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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, 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
Group Southwest General Health Center Line Part V, Section B, Line 5 Southwest General Health Center hosted a Community Forum which included leaders within Southwest General and representatives from local community organizations that represent the general community and those at risk. In addition, community health needs assessments were sent to residents in order to obtain self-reported information related to numerous health indicators.
Group Southwest General Health Center Line Part V, Section B, Line 11 Southwest General Health Center reviewed all the data and prioritized community health needs based on the hospitals scope of practice and expertise. Many of the health indicators identified for adults were currently being addressed through Southwest Generals acute, outpatient and community programs. A decision was made to focus on the following three priorities Chronic Disease Management, Obesity and Health Choices, Behavioral Health. Within these three priority areas, many of the other health indicators i.e. heart disease, diabetes, and hypertension also fell within these priorities and will continue to be addressed internally or with our collaborative partners. Needs not addressed are related to safety and social indicators/issues, such as issues pertaining to guns and violence, helping residents pay rent and/or utilities, providing emergency shelter, clothing, legal services, and tax preparation. Also not being addressed at this time, will be oral health. All of these services are available within the community and, as needed, referrals can be made to the appropriate resources.
Group Southwest General Health Center Line Part V, Section B, Line 13b Southwest General Health Center will provide Free Care to uninsured individuals whose household income is less than or equal to 250 of the current Federal Poverty Guidelines adjusted for family size. Southwest will provide Discounted Care to uninsured individuals with a household income between 251-400 adjusted for family size of the current Federal Poverty Guidelines. In 2018, 100 of the Federal Poverty guideline was 12,140 for a family size of 1. That limit increases by 4,320 for each additional family member. Discounted Care shall mean care that has been discounted to the rate set forth as the Amount Generally Billed AGB. Uninsured patients who do not qualify for Free Care or Discounted Care may still qualify for financial assistance if they can demonstrate that their medical expenses exceed an established percentage of their family income.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2018
Page 9
Schedule H (Form 990) 2018
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?11
Name and address Type of Facility (describe)
1 The Surgery Center of Southwest General
19250 Bagley Rd
Middleburg Hts,OH44130
Ambulatory Outpatient Surgery
2 Brunswick Med Center
4065 Center Road
Brunswick,OH44212
ER and Outpatient Svs
3 LifeWorks of Southwest General
7390 Old Oak Blvd
Middleburg Hts,OH44130
Physical Therapy
4 Big Creek Surgery Center
15345 Bagley Road
Middleburg Hts,OH44130
Ambulatory Outpatient Surgery
5 Behavioral Health OP
18780 Bagley Road
Middleburg Hts,OH44130
OP Behavioral Hlth
6 Pain Management
18780 Bagley Road
Middleburg Hts,OH44130
Pain Management
7 Strongsville Med Center
18181 Pearl Road
Strongsville,OH44136
Outpatient Svc
8 Oakview Behavioral Health
7265 Old Oak Blvd
Middleburg Hts,OH44130
IP Mental Health
9 Southwest Home Health Services
17951 Jefferson Park Road
Middleburg Hts,OH44130
Home Health Services
10 Southwest Hospice Services
18659 Drake Road
Strongsville,OH44136
Hospice
11 SW Physical Therapy North Royalton
5340 Royalton Road
North Royalton,OH44133
Physical Therapy
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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 When a patient does not provide a Financial Assistance Application or supporting documentation, Southwest may utilize other sources of information to make an individual assessment of financial need. Southwest General Health Center may utilize a third-party to conduct an electronic review of patient information to assess financial need. Relief granted using this method will be identified as presumptive financial assistance. The patient will be notified in writing if the discount is less than 100 and will have an opportunity to submit a financial assistance application if the patient believes that he or she may qualify for more assistance. The review utilizes a healthcare industry- recognized predictive model that is based on public record data basis. The models rule based electronic technology is calibrated to the historical approvals for financial assistance under the general application process and is designed to statistically match the hospitals policy. The model considers multiple decision criteria designed to assess each patient to the same standards as defined in this policy. This ensures that Southwest grants assistance only to patients with characteristics similar to the patients who have qualified based on criteria defined in this policy. This predictive model calculates a socio-economic and financial capacity score that includes estimates for income, assets and liquidity. The data returned from this electronic eligibility review will constitute adequate documentation of financial need under this policy.
Part I Line 6a Community Benefits are reported in the annual report sent to the Board and members of the community.
Part I Line 7 A cost-to-charge ratio was used to complete the charity care Line 7a and means-tested government programs Line 7b. The cost- to- charge ratio was derived from Worksheet 2 that accompanies the instructions to this schedule.
Part I Line 7 The hospitals accounting records were used to complete the community health improvement services and community benefit operations Line 7e and health professions education Line 7f.
Part I Line 7 g Subsidized health services include costs and direct offsetting revenue for the following services Inpatient Mental Health, Geriatric Mental Health, Coumadin Clinic, and Breakthru Therapy. The hospitals cost accounting system was used to determine revenue and costs on all services.
Part I Line 7 column f. In calculating the percent of total expense reported in column f, the total expense as reported on Form 990 Pt IX, Line 25, column a was reduced by 22,564,282 - the amount of bad debt reported on line 24 a.
Part III Line 2 A patient care cost to charge ratio is applied to the financial statement provision for bad debt expense of 22,564,282 to estimate the bad debt amount.
Part III Line 4 The System adopted ASU 2014-09 on January 1, 2018 using the modified retrospective method of transition. The System performed an analysis of revenue streams and transactions under ASU 2014-09. In particular, for net patient service revenue, the System performed an analysis into the application of the portfolio approach as a practical expedient to group patient contracts with similar characteristics, such that revenue for a given portfolio would not be materially different than if it were evaluated on a contract-by-contract basis. Upon adoption, the majority of what was previously classified as provision for bad debts and presented as a reduction to net patient service revenue on the consolidated statements of operations and changes in net assets is treated as a price concession that reduces the transaction price, which is reported as net patient service revenue. The new standard also requires enhanced disclosures related to the disaggregation of revenue and significant judgments made in measurement and recognition.
Part III Line 8 Medicare shortfall is considered a community benefit of the Health Center. Medicare shortfall uses Medicare revenue and allowable costs as reported in the Medicare Cost Report less net subsidized health services reported in Part 1 line 7g and health professions education reported in Part 1 line 7f.
Part III Line 8 In addition to traditional Medicare costs reported in Part III line 7, the Health Center incurred an additional 11,327,795 in Medicare Advantage plans shortfall. This shortfall is calculated using charges and costs from a cost accounting system.
Part III Line 9b Under all circumstances, the collection practices of Southwest are performed in a professional and compassionate manner, consistent with our mission and values and the Federal Fair Debt Collection Practices Act. In fairness to those patients who pay for their services, Southwest will pursue patient accounts through appropriate financial assistance plans for those who are legitimately unable to pay for the care they received.
Part VI Line 2 Since its founding by local communities more than 95 years ago, Southwest General has enjoyed a unique partnership with the communities it serves. Representatives from these communities serve on Southwest Community Health System, the Parent of Southwest General Health Center, helping to promote effective communication between the Health Center and its constituencies.
Part VI Line 3 We provide financial assistance information via the Southwest General website and patient statements. We provide the contact information for customer service representatives as 1-844-530-1996. We will also discuss the financial assistance program with patients in person and over the telephone in the various registration areas as well as in the Financial Clearance Department at 440-816-4701. Signage is posted that lists the Federal Poverty Guidelines at the following locations Emergency, Seidman Cancer Center, Oakview Outpatient, Physical Medicine SWGHC, Physical Medicine LifeWorks, Timeshare, Lab, Strongsville Hospice, Cashier, Patient Registration, and Strongsville Outpatient.
Part VI Line 4 Southwest General draws the majority of its patients from southwestern Cuyahoga, eastern Lorain, and northern Medina counties in Ohio. The primary service area is based on the following cities Berea, Brook Park, Brunswick, Columbia Station, Middleburg Heights, Olmsted Falls, and Strongsville. The secondary service area is comprised of the cities of Hinckley, Parma, Medina, North Royalton, Valley City and the West Park area of Cleveland.
Part VI Line 5 Community Nurse and Transition Coach RN Program Health screenings and educational programs are provided to community members of all ages. Services are provided in convenient neighborhood locations such as recreation and senior centers, libraries and local meeting places. Transition Coach RN program provided home visits and telephone support for 30 days post discharge for high risk patients in the community.
Part VI Line 5 School Health Program Provides school nurses for the Berea City School District which is comprised of the following three of our taxing communities Berea, Brook Park, and Middleburg Heights. Nurses provide basic first aid, medication assistance, control of communicable diseases and state-mandated health screenings.
Part VI Line 5 The Family Life program offers educational classes focusing on helping expectant couples prepare for a healthy pregnancy, labor and birth. Clients within the taxing district receive a discount on class charges. The following programs are offered Family and Friends CPR, Boot Camp for New Dads, Breastfeeding, Grandparenting, Infant Care, Happiest Baby on the Block, Sibling Class, Southwest Safe Sitter, Southwest Safe Sitter-to-Go, and Maternity Tours in Childbirth classes. Staff also participate in health fairs within the surrounding communities to promote classes and provide family health and safety information.
Part VI Line 5 Van Transportation Free van transportation is provided for residents of Berea, Brook Park, Columbia Township, Middleburg Heights, Olmsted Falls, Strongsville, and Brunswick who are unable to provide their own transportation to doctor appointments, tests and other clinical services at Southwest Generals Main Campus and off-site buildings.
Part VI Line 5 EMS Education Program Certification education for paramedics, Emergency Medical Technicians EMT and 9-1-1 dispatchers, including educational requirements to maintain certification for the state of Ohio and National Registry accreditation for Homeland Security and County Training Academy for Citizens Emergency Response Training as well as American Heart Association accreditation to provide Basic Life Support, Advanced Cardiac Life Support, Pediatric Advanced Life Support and Internal Trauma Life Support courses for professionals and community members. Education is provided at the hospital, community venues, and local fire stations.
Part VI Line 5 EMS Medical Control Emergency Medical Technicians EMT must function under the direction of a medical director/physician. They follow written patient care protocols and act on behalf of a physician in the field. Southwest General provides medical control for the following departments Cleveland Hopkins International Airport, Burke Lakefront Airport, Berea Fire, NASA Glenn Research Center at Lewis Field, Brunswick Fire/ Dispatchers, Brunswick Hills Township Fire, Columbia Township Fire, Brook Park Fire, Middleburg Heights Fire, Strongsville Fire/Dispatchers, and Olmsted Falls Fire.
Part VI Line 5 Health Connection Free physician referral and health information phone service staffed by a registered nurse.
Part VI Line 5 The Drug Replacement program provides patients with up-to-date information regarding medication assistance programs, disease-based assistance, and insurance eligibility including federal and state subsidies.
Part VI Line 5 Medication Disposal Program Allows residents to drop off unused medication at Southwest General for appropriate disposal, keeping water sources cleaner.
Part VI Line 5 The SANE program provides care for Sexual Abuse victims that come to Southwest Generals Emergency department as referred by the police department. Trained nurses are on call for the program.
Part VI Line 6 Southwest General Health Center is part of a Partnering Agreement with University Hospital Health System UHHS, a large integrated delivery system. UHHS brought Rainbow Babies and Children, MacDonald Womens, and Seidman Cancer UHHS Programs to Southwest Generals facilities. Under the Partnering Agreement, UHHS obtained 50 representation on Southwest General Health Centers Board of Directors.
Schedule H (Form 990) 2018
Additional Data


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