Click here for an interactive map of all healthcare options in Lakewood (Map loads best with opened using Google Chrome)
Lakewood City Council voted in 2015 to approve the master agreement forged between the City, Lakewood Hospital Association and The Cleveland Clinic to ensure the availability of high quality health care, including 24/7/365 emergency services.
The unanimous vote came after more than 10 hours of public comments during three public readings of the ordinance presented to Council on Dec. 7, 2015. Since the agreement involves real estate transactions, Council’s approval was required before elements of the agreement could be launched.
Key highlights of the agreement include:
- More personalized, responsive care and services for residents based on comprehensive research into community health needs
- Location of a modern family health center that creates more value for the downtown district and increases economic development
- Continued access to emergency services in a fully staffed emergency department open 24/7/365
- Creates a unique community health foundation forging a long-term partnership of elected officials, civic leaders, health care providers and others to ensure appropriate and innovative health services
- Holds health care providers accountable for effective programs that improve patient outcomes
- More flexibility in the use of community assets, with increased opportunity to develop city-owned property.
- The promise of a vibrant new downtown district to attract employers
- Meets the special needs of the community’s diverse population
- Reassurances for current employees of Lakewood Hospital
The plan to create a new health and wellness campus, first announced in January 2015, was reached after an extensive evaluation process. Lakewood Hospital Association trustees worked with consultants and conducted a Request for Proposal (RFP) from healthcare providers both nationally and locally. In addition, the plan reflects a community health needs assessment, a review of the hospital’s aging facilities (some of which are nearly 100 years old), the continued decline in inpatient volumes and the dramatic shift in the way healthcare is delivered throughout the country.
Is the city of Lakewood’s agreement to sell the former hospital site located at the southeast corner of Belle Avenue and Detroit Avenue to Carnegie Management & Development Corporation legal and in accordance with the requirements of the Ohio Constitution, the Ohio Revised Code and the Lakewood Third Amended Charter and Lakewood Codified Ordinances?
Yes. Lakewood Ordinance 27-18 was adopted and approved by the city on May 8, 2018 and the Letter of Intent and Development & Use Agreement subsequently entered into by the city of Lakewood and Carnegie Management & Development Corporation were legal and in accordance with the procedures set forth in the Ohio Constitution, the Ohio Revised Code, the city of Lakewood Third Amended Charter and the Lakewood Codified Ordinances. All provisions of Chapters 111 and 155 of the Lakewood Codified Ordinances, including but not limited to Sections 111.04 and 155.07, with respect to contracts for the purchase, sale or lease of city-owned property were met by Ordinance 27-18.
Why wasn’t the city required to comply with Ohio Revised Code Chapter 721 and advertise the sale of the ‘hospital property’ at Belle Avenue and Detroit Avenue in a newspaper for five consecutive weeks followed by a sale of the property to the highest bidder?
The city was not required to advertise the hospital property for sale in accordance with Ohio Revised Code Chapter 721 because municipalities, such as Lakewood, have been given home-rule powers in Article XVIII, Section 3 of the Ohio Constitution and have been granted the opportunity to develop their own processes for the sale of property under the authority of their own municipal charters. In many cases, it makes little sense to advertise a property and offer it according to the Revised Code’s customary provisions because properties like the hospital property come with a great deal of complexity (asbestos abatement, demolition costs, what the community envisions for expected future use of the property, and the ability for any buyer to deliver on those expectations, among many other considerations).
Why didn’t the city decide to advertise the property in a newspaper?
The development of a property of this size and complexity, with an existing hospital building onsite and with such a transformative objective in mind, did not merit simply advertising the property and selling it to a bidder. The city underwent a lengthy, detailed process (described more fully here and here) that resulted in a developer being selected who could meet all of the objectives.
Bids are only appropriate when a fixed product is clearly identified. In the case of a large commercial development such as this, the final product would ultimately be determined by a combination of developer vision, marketplace acceptance, and practical realities of building something new and unique. Consequently, the city sought a partner to work through all of these uncertainties. A request for proposal was issued. Seven developer teams responded, and the process narrowed it to two candidates by an experienced and expert group of volunteer citizens accustomed to working with developers on major land-use projects such as this. Additional information was solicited from the two finalists. One was ultimately selected on the basis of experience, financial strength, commitment, corporate culture, approach to risk and design vision for the project. All these steps, rather than a simple advertisement in the newspaper, were required to ensure the best possible outcome for Lakewood.
When did the city of Lakewood adopt its first charter?
In 1913, the city of Lakewood was one of five municipalities, along with Cleveland, Dayton, Middletown and Springfield, to become a chartered one year after the Ohio Constitution, Article XVIII was adopted in 1912. Municipal charters must be approved by a vote of the majority of those voting.
What are ‘home rule’ powers?
According to the Ohio Constitution Article XVIII, Section 3, established in 1912, municipalities have the authority to exercise all powers of local self-government, and to adopt and enforce within their limits such local police, sanitary and other similar regulations, so long as they are not in conflict with general laws. Powers of local self-government are procedural powers of self-government that relate to structure and form of government and procedures – or, how government operates. These powers include the power to buy and sell property on terms approved by city council.
How does a municipal government obtain ‘home rule’ powers?
A municipality was granted home-rule powers in Article XVIII, Section 3 of the Ohio Constitution. Article XVIII, Section 7 grants that any municipality may frame and adopt or amend a charter for its government and may exercise all powers of local self-government. Thus, the municipal charter is essentially the constitution for the municipality.
Has the city of Lakewood amended its charter since first being adopted in 1913?
Yes. The city of Lakewood has amended its charter many times over the years, and has made large-scale amendments in 1985, 2000 and most recently 2017, when the Third Amended Charter was adopted by the voters.
December 21, 2015, Master Agreement+-
- Comments from Kevin Butler to Lakewood City Council, Feb. 11, 2016
- Letter from Cuyahoga County Board of Election to Lakewood City Council, Feb. 9, 2016
- City Council Answers Residents’ Frequently Asked Question
- Master Agreement (fully executed Dec. 21, 2015)
- First Amendment to 1996 lease – City of Lakewood, LHA executed Dec. 21, 2015
- Family Health Center site Purchase Agreement – City of Lakewood, Cleveland Clinic executed Dec. 21, 2015
- Assignment and Assumption of Leases – City of Lakewood, LHA executed Dec. 21, 2015
- Key points of the master agreement
- Lakewood City Council Moves Forward on New Deal
- Governance structure of Lakewood Hospital
- Lakewood Hospital Timeline
- Final Ordinance Authorizing 2015 Lakewood Healthcare Master Agreement (adopted Dec. 21, 2015)
Health & Human Services Needs Assessments+-
- 2013 Community Health Needs Assessment
- Cuyahoga County Board of Health – Health Determinants Model
- North Coast Health Statement to City Council – 9/8/15
- Human Services Summit Executive Summary 2012
- American Community Survey (ACS) 2013 Facts & Graphs
- 2016 Community Health Needs Assessment – Lakewood portion begins on Appendix A, Page 28
Health Care Consultant Reports+-
RFP/Search Process for New Hospital Operators+-
- Subsidium Hospital RFP
- Subsidium Preliminary Memorandum: Community Hospital Seeks Community Partner
- Clinic’s Response to RFP
- Subsidium Slides 1 of 2
- Subsidium Slides 2 of 2
MetroHealth proposal, presentation, and withdrawal
Proposed Changes to Hospital Campus/Health Services+-
City Communications & FAQs+-
- Setting The Record Straight…The Numbers According to the New Master Agreement
- Q&A in the water bill, January and February 2016
- Mayor Summers’ Q & A About Lakewood Hospital
- City of Lakewood Law Director Kevin Butler FAQs on Lakewood Hospital
- Mayor Summers Updates Residents About Lakewood Hospital
- City of Lakewood Consultant Huron Releases Initial Draft of Phase One Analysis of Proposed Plan for Lakewood Hospital
- City Hires Thompson Hine LLP To Advise On Hospital Issue
- City Finances as they relate to Lakewood Hospital – Committee of the Whole Presentation, April 20, 2015
- Lakewood Hospital Timeline
- Lakewood Fire Chief Scott Gilman Clarifies Misinformation About Lakewood Hospital
- Lakewood Community Bulletin
Lakewood Hospital Association (LHA) Financial Information & Minutes+-
- 2009 Financial Statement
- 2010 Financial Statement
- 2011 Financial Statement
- 2012 Financial Statement
- 2013 Financial Statement
- 2014 Financial Statement
- 2015 Financial Statement
Real Estate Assets+-
- Overview of Real Estate Elements in the Letter of Intent
- Physical Conditions of Hospital Properties, July 2015
- Survey and Analysis of Lakewood Parking Garage Report, July 2015
- Structural Analysis Summary for Parking Garage at 1422 Belle
- Allegro Presentation – Physical Conditions of Hospital Property
Community Meeting Presentation Slides+-
In The News+-
- When Hospitals Close, Frequent Fears About Care Aren’t Realized
- Cleveland Clinic Grapples With Changes in Health Care
- Hospitals face closures as ‘a new day in healthcare’ dawns
- Crain’s Cleveland Business article about Lakewood Hospital
- Summa CEO: Big Changes Coming for Patients
- In Strategy Shift, MetroHealth Seeks to Compete for the Region’s Outpatients
Healthcare-related records requests+-
Take a look at this table to see the more than 400 separate records requests the city of Lakewood has received since January 2015 related to healthcare in Lakewood or Lakewood Hospital.
Foundation Planning Task Force+-
Click here for information about the Wellness Foundation Planning Task Force.