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In 1994, Ashtabula County Medical Center affiliated with the renowned Cleveland Clinic to provide anesthesia, radiology, pathology and pain management services. Later that year, ACMC acquired Glenbeigh to ensure alcohol and chemical dependency programs would remain in the county. In 1999, ACMC became an affiliate of the Cleveland Clinic Health System (CCHS). Since 2001, the President and CEO of Ashtabula County Medical Center, as well as several key executives, became employed by Cleveland Clinic and have dual accountability to the ACMC Board of Trustees and to Cleveland Clinic leadership.