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BUILDING A BRIGHTER FUTURE

THE METROHEALTH SYSTEM 2017 ANNUAL REPORT

MISSION

Leading the way to a healthier you and a healthier community through service, teaching, discovery and teamwork.

MESSAGE FROM THE CEO

To care for everyone – no matter how sick or how poor.

The leaders of Cleveland founded City Hospital on that promise.

And as we grew and became MetroHealth, we kept that promise, for 180 years.

A few years ago, we made another promise to this community: We would rebuild our main campus hospital – the hospital for all people – so everyone in Cuyahoga County would have access to high-quality, affordable health care that heals and lifts them up.

Plans are underway to reconstruct the West 25th Street campus. As significant as this is, we know it’s not enough.

We can do more. And we will.

We will build a brighter future for this community, not just with bricks and steel, but with a broader – and deeper – commitment to our mission. As you’ll read in this annual report, we are improving our neighborhood, nurturing our community, promoting learning and working toward equality in health for everyone.

And we plan to continue that – for another 180 years and beyond.

Akram Boutros, MD
President and CEO
The MetroHealth System

_0001_Thomas McDonald

Thomas McDonald
Chairman, Board of Trustees
The MetroHealth System

Chief Executive Officer & President
McDonald Partners, LLC

Our standout event of the year was selling the bonds to finance the new hospital. We might be the only public hospital to ever do that and our success was fueled by our financial performance in the last few years, backed by our consistent quality care. I look with optimism and excitement toward our future and what it will mean for our community.

_0001_O'Neill-Brian

Brian M. O’Neill
Chairman, Board of Directors
The MetroHealth Foundation

Partner
Tucker Ellis, LLP

It’s an honor and privilege to serve as chair of The MetroHealth Foundation Board of Directors and work with such a highly engaged group of civic leaders. Our commitment to raising $100 million over five years will support MetroHealth’s vast efforts in improving the health of our community. Together, we have the opportunity to benefit our region by promoting innovation, development and programming.

To see a list of donors, visit metrohealth.org/2017-donors.

FINANCES

BUILDING ON OUR STRENGTHS

OPERATING REVENUE
44.5%

INCREASE IN 5 YEARS

EARNINGS*

$96.1M

OPERATING INCOME**

$41.5M

* Earnings before interest, depreciation and amortization, which excludes non-cash actuarial pension adjustment (GASB 68)
** Operating income, which excludes non-cash actuarial pension adjustment (GASB 68)

COMMUNITY BENEFIT

Subsidizing care for those who need it most

Investing in Cuyahoga County through programs to increase access to health care services and improve community health.

Includes uncompensated care, financial assistance, 100+ community programs, education and research.

$231

MILLION
IN COMMUNITY BENEFIT

PORTION OF OPERATING EXPENSES THAT GOES BACK TO OUR COMMUNITY

*MetroHealth community benefit calculation for the year ended 2017
**From Ernst & Young 2016 Schedule H Benchmark Report for the American Hospital Association

STATISTICAL HIGHLIGHTS

ADDING PATIENT VISITS EVERY YEAR

Total Patient Visits

1,405,542

Inpatient

25,399

Outpatient

1,239,970

Emergency Department*

140,173

Babies Delivered

3,117

Metro Life Flight Transports

3,500

Helicopter

1,532

Ground

1,968

Major Trauma Cases

4,827

39%

INCREASE IN
5 YEARS

In the last two years, with an emphasis on preventive care, outpatient visits increased by 18% and hospital patient days decreased by 3.8%. This points toward better long-term health and lower health care costs for everyone.

*at our West 25th Street verified Level I Trauma and Burn Center, and our three emergency departments in Brecksville, Cleveland Heights and Parma

EMPLOYEE GROWTH

EXPANDING OUR TALENTED TEAM

21%

INCREASE IN
5 YEARS

Distribution as of December 31, 2017

Nurses

2,018

Physicians*

626

Residents

390

All other employees

4,433

Total

7,467

Inclusion and Diversity

As an organization, we are committed to reflecting the diverse patient population and community we serve.

In 2017, of the 80% of hires who self-identified, 37% were racially/ethnically diverse.

*All MetroHealth active staff physicians are faculty of Case Western Reserve University School of Medicine.

LOCATIONS

PROVIDING CARE WITH CONVENIENCE

To better serve residents in eastern and western Cuyahoga County, we planned for the January 2018 opening of new hospitals at our Cleveland Heights and Parma buildings, which already had Emergency Departments, primary care and specialty care.

METROHEALTH LOCATIONS AS OF JANUARY 2018:

22

Health Centers

• Beachwood Health Center

• Bedford Medical Offices

• Brecksville Health and Surgery Center

• Broadway Health Center

• Brooklyn Health Center

• Brunswick Health Center

• Buckeye Health Center

• MetroHealth Medical Center, Cleveland Heights

• J. Glen Smith Health Center*

• Lyndhurst Health Center

• MetroHealth Medical Center, Main Campus

• Middleburg Heights November Family Health Center

• MetroHealth Medical Center, Old Brooklyn

• MetroHealth Medical Center, Parma

• Parma Health Center

• Physical Therapy at West Shore Family YMCA

• Rocky River Medical Offices

• State Road Family Practice

• Thomas F. McCafferty Health Center*

• West 150th Health and Surgery Center

• West Park Health Center

• Westlake Health Center

*Operating in partnership with city of Cleveland

4

Emergency Departments

• Brecksville

• Cleveland Heights

• Main Campus (Cleveland)

• Parma

9

Pharmacies

• Bedford

• Brecksville

• Broadway (Cleveland)

• Buckeye (Cleveland)

• Cleveland Heights

• Main Campus (Cleveland)

• Middleburg Heights

• Old Brooklyn

• Parma

4

Clinics in Discount Drug Marts

• Independence

• North Royalton

• Olmsted Falls

• Parma Heights

1

Zubizarreta House

(temporary housing for patients seeking treatment for spinal cord injuries)

5

MetroExpressCare

• Beachwood

• Broadway

• Middleburg Heights

• West Park

• Westlake

13

Schools Served by In-School Clinic or Mobile Van

Elementary and Middle Schools

• Anton Grdina School

• Buhrer Dual Language Academy

• Fullerton School of Academics

• Harvey Rice School

• Luis Munoz Marin School

• Miles Park School

• Mound-STEM School

• Scranton School

• Walton School

• Willow School

High Schools

• Garrett Morgan High School

• John Adams High School

• Lincoln-West High School

30+

Additional Community Sites Offering MetroHealth Care