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MASTER AGREEMENT <br />AMONG <br />CITY OF LAKEWOOD, LAKEWOOD HOSPITAL ASSOCIATION, AND THE <br />CLEVELAND CLINIC FOUNDATION REGARDING THE FUTURE OF HEALTH <br />CARE SERVICES IN THE LAKEWOOD COMMUNITY <br />This MASTER AGREEMENT ( "Master Agreement ") is made as of this 21st <br />day of December, 2015 (the "Effective Date "), by and among the City of Lakewood, Ohio, a <br />municipal corporation and political subdivision in and of the State of Ohio (the "City "); <br />Lakewood Hospital Association, an Ohio nonprofit corporation ( "LHA "); and The Cleveland <br />Clinic Foundation, an Ohio nonprofit corporation (the "Clinic ") (the foregoing are sometimes <br />referred to herein individually as a "party" and collectively as the "parties "). <br />RECITALS <br />WHEREAS, the City and LHA are parties to a lease agreement dated as of <br />December 23, 1996 (the "Original Lease'; the Original Lease, together with any amendments <br />thereto, is referred to herein as the "1996 Lease ") under which the City leases to LHA certain <br />real property and personal property, including such real and personal property associated with <br />that certain facility commonly known as Lakewood Hospital (the "Hospital "); <br />WHEREAS, LHA operates the Hospital as a community hospital located in the <br />City of Lakewood, Ohio that provides hospital and health care services to residents of the City of <br />Lakewood and its surrounding communities; <br />WHEREAS, the Clinic operates a multi- specialty academic medical center that <br />integrates clinical and hospital care with research and education, and the Clinic's health system <br />is comprised of community hospitals, affiliate hospitals, and family health centers with a <br />northeast Ohio, national and international presence; <br />WHEREAS, the Clinic and LHA have entered into a Definitive Agreement <br />executed on December 19, 1996 (the "1996 Definitive Agreement") that is related to the <br />operation of the Hospital and that terminates upon the expiration or termination of the 1996 <br />Lease; <br />WHEREAS, each of LHA and the Clinic is exempt from federal income tax <br />under Section 501(a) by reason of being described in Section 501(c)(3) of the Internal Revenue <br />Code of 1986, as amended; <br />WHEREAS, the City, LHA and the Clinic understand that, at both the national <br />and local levels, health care is in the midst of an unprecedented transformation from an inpatient <br />hospital -based model, designed to care for the sick, to a population -based model of <br />comprehensive healthcare delivered primarily in outpatient and home settings designed to <br />improve the health of an entire community by helping people live healthier lives and treating <br />their health conditions early to prevent chronic diseases; <br />11938585.11 <br />