and nurses. Milestones during this period included the formation of the hospital's first medical staff in 1891, the construction of a children's hospital in 1899 and the construction of a tuberculosis sanitorium in 1902. In 1914 City Hospital and the medical school at Western Reserve University (now Case Western Reserve University) forged a formal affiliation, combining research with education and creating a firm basis for modern medical science. By City Hospital's 100th anniversary in 1937, its campus on Scranton Road boasted 16 buildings and 1,650 beds, making it the country's sixth largest hospital. In 1958, voters of Cuyahoga County approved a measure to transfer City Hospital to county control, and the Cuyahoga County Hospital System was born. It is recognized as the nation's first public hospital system. City Hospital became known as Cleveland Metropolitan General Hospital. In 1970, the system opened its nationally renowned burn center. In 1972, construction was completed on Cleveland Metropolitan General Hospital's 12-story twin bed towers, capping a decade-long $40 million expansion and renovation of the hospital's campus. The Cuyahoga County Hospital System was renamed The MetroHealth System in 1989. In May 2014, MetroHealth announced plans for a Campus Transformation project to rebuild the hospital on its main campus. Structure and finances The MetroHealth System is governed by a board of trustees composed of 10 voluntary members approved by Cuyahoga County Council. Per Section 339 of the Ohio Revised Code, the trustees are appointed or re-appointed for a term of six years. MetroHealth receives funding from Cuyahoga County taxpayers via a Health and Human Services levy. In 2020, the system received $32.4 million in county taxpayer support, which made up 2.2% of its total operating revenue. Education and research MetroHealth is an academic medical center and has been affiliated with the Case Western Reserve University School of Medicine since 1914. All active staff physicians hold faculty appointments at CWRU. The system has 47 residency and fellowship programs and trains more than 2,000 students, residents and fellows each year. Medical, clinical and epidemiological research is conducted throughout the system. Main Campus Transformation and the MetroHealth Glick Center In 2014, the system announced plans for a Main Campus Transformation that included the construction a new hospital and the eventual demolition of the current hospital bed towers. Financing for the project was secured in 2017 with the sale of $946 million in hospital-issued revenue bonds. The system unveiled the