BLANCHARD VALLEY REGIONAL HEALTH CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: BLANCHARD VALLEY REGIONAL HEALTH CENTER (EIN 34-1369963)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-08
IRS object ID: 202403139349300835
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-08T08:24:30+00:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 E Wayne Street Suite 600	AddressLine1Txt
City	Fort Wayne	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46802	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	341369963	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BLANCHARD VALLEY REGIONAL HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BLAN	BusinessNameControlTxt
Phone	4194234500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 SOUTH MAIN STREET	AddressLine1Txt
City	FINDLAY	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45840	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID CYTLAK	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4194234500	PhoneNum
Signature	2024-11-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Aaron Hershberger	PreparerPersonNm
PTIN	P00961884	PTIN
Phone	2604604000	PhoneNum
Preparation	2023-11-10	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAVID CYTLAK	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 SOUTH MAIN STREET	AddressLine1Txt
City	FINDLAY	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45840	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$450,640,333	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BVHEALTHSYSTEM.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1982	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	BLANCHARD VALLEY REGIONAL HEALTH CENTER OPERATES TWO HOSPITALS OFFERING INPATIENT, EMERGENCY, MATERNITY, AND OUTPATIENT SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	2793	TotalEmployeeCnt
Total Volunteers	156	TotalVolunteersCnt
Total Gross UBI	$8,042,033	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$281,951	NetUnrelatedBusTxblIncmAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$349,394,362	PYProgramServiceRevenueAmt
CY Program Service Revenue	$386,234,893	CYProgramServiceRevenueAmt
PY Investment Income	$25,160,898	PYInvestmentIncomeAmt
CY Investment Income	$20,169,429	CYInvestmentIncomeAmt
PY Other Revenue	$8,936,500	PYOtherRevenueAmt
CY Other Revenue	$7,187,819	CYOtherRevenueAmt
PY Total Revenue	$383,491,760	PYTotalRevenueAmt
CY Total Revenue	$413,592,141	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$134,878,080	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$143,124,954	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$152,931,680	PYOtherExpensesAmt
CY Other Expenses	$171,490,187	CYOtherExpensesAmt
PY Total Expenses	$287,809,760	PYTotalExpensesAmt
CY Total Expenses	$314,615,141	CYTotalExpensesAmt
PY Revenues Less Expenses	$95,682,000	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$98,977,000	CYRevenuesLessExpensesAmt
Total Assets BOY	$619,787,083	TotalAssetsBOYAmt
Total Assets EOY	$664,695,083	TotalAssetsEOYAmt
Total Liabilities BOY	$103,720,000	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$94,472,000	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$516,067,083	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$570,223,083	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OUR MISSION: OUR EXTRAORDINARY PEOPLE PROVIDE CARING FOR A LIFETIME THROUGH A BROAD CONTINUUM OF EXCEPTIONAL HEALTH-RELATED SERVICES IN NORTHWEST OHIO.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$32,185,969	ExpenseAmt
Revenue	$39,545,818	RevenueAmt
Desc	See Schedule O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$21,485,432	ExpenseAmt
Revenue	$26,398,429	RevenueAmt
Desc	NEUROSCIENCES SERVICES: NEUROSCIENCES SERVICES AT BLANCHARD VALLEY REGIONAL HEALTH CENTER (BVRHC) INCLUDE: SPINAL SURGERY, CRANIAL SURGERY, PERIPHERAL NERVE SURGERY, PAIN MANAGEMENT SURGERY, AND MANY OTHER PROCEDURES. ALSO, BVRHC PROVIDES SERVICES THAT DIAGNOSE, TREAT, AND MANAGE DISORDERS OF THE BRAIN AND NERVOUS SYSTEM. WE WORK DIRECTLY WITH OUR PATIENTS TO CREATE A HEALTH CARE PLAN TO FIT THEIR NEEDS. OUR CONTINUING GOAL IS TO PROVIDE SUPERIOR OUTCOMES BY UTILIZING THE LATEST SURGICAL TECHNIQUES AND EVIDENCE-BASED MEDICINE GUIDELINES TO ACHIEVE CLINICAL EXCELLENCE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$16,820,379	ExpenseAmt
Revenue	$20,666,634	RevenueAmt
Desc	ORTHOPEDIC SERVICES: ORTHOPEDIC SERVICES AT BLANCHARD VALLEY REGIONAL HEALTH CENTER INCLUDE: HIP FRACTURE REPAIR AND REPLACEMENT, KNEE SURGERY, TOTAL KNEE REPLACEMENT, JOINT REPLACEMENT, AND MANY OTHER PROCEDURES. JOINT REPLACEMENTS ARE PERFORMED WITH SOME OF THE MOST ADVANCED TECHNOLOGY IN THE U.S., INCLUDING MINIMALLY INVASIVE AND GENDER-SPECIFIC PROCEDURES. THE ORTHOPEDIC PROGRAM WAS DEVELOPED THROUGH THE COLLABORATION OF BLANCHARD VALLEY REGIONAL HEALTH CENTER'S SPECIALTY ORTHOPEDIC SURGEONS AND HOSPITAL ASSOCIATES. THE SURGEONS AND OTHER HOSPITAL ASSOCIATES WORK DIRECTLY WITH PATIENTS TO CREATE A HEALTH CARE PLAN TO FIT THEIR NEEDS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$212,816,190	ExpenseAmt
Revenue	$291,676,155	RevenueAmt
Desc	OTHER SERVICES PROVIDED AT BVRHC INCLUDE WOMAN'S SERVICES (GYNECOLOGY, OBSTETRICS BREAST HEALTH PEDIATRIC HOSPITALISTS, LEVEL 2 SPECIAL CARE NURSERY), ONCOLOGY SERVICES, UROLOGY/NEPHROLOGY SERVICES, SLEEP DISORDER MANAGEMENT, PAIN MANAGEMENT, WOULD CARE, AND DIALYSIS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$212,816,190	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$291,676,155	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$283,307,970	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	306	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2793	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAVID CYTLAK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4194234500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 SOUTH MAIN STREET	AddressLine1Txt
City	FINDLAY	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45840	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
FRANK COSIANO MD
VICE CHAIR	0.5	1.0	Yes (X)	Yes (X)	$0	$0	$0
GINGER JONES
CHAIRMAN	0.5	1.0	Yes (X)	Yes (X)	$0	$0	$0
JAMES DOWLING MD
SECRETARY	0.5	1.0	Yes (X)	Yes (X)	$0	$0	$0
JEFF SCHRADER
TREASURER	0.5	1.0	Yes (X)	Yes (X)	$0	$0	$0
MYRON LEWIS
CHIEF EXECUTIVE OFFICER	30.0	10.0	Yes (X)	Yes (X)	$0	$760,659	$28,051
ADELE WEBB PHD
TRUSTEE	0.5	1.0	Yes (X)		$0	$0	$0
ANNETTE EDGINGTON
TRUSTEE	0.5	1.0	Yes (X)		$0	$0	$0
BETH KROETZ
TRUSTEE	0.5	1.0	Yes (X)		$0	$0	$0
DAN KENNARD
TRUSTEE	0.5	1.0	Yes (X)		$0	$0	$0
DONALD MALARKY
TRUSTEE	0.5	1.0	Yes (X)		$0	$0	$0
Dr Richard Polder
TRUSTEE	0.5	39.5	Yes (X)		$0	$375,991	$26,284
JOHN REINEKE
TRUSTEE	0.5	1.0	Yes (X)		$0	$0	$0
KIMBERLY STUMPP
IMMEDIATE PAST CHAIR	0.5	1.0	Yes (X)		$0	$0	$0
MICHAEL BROUGH
TRUSTEE	0.5	1.0	Yes (X)		$0	$0	$0
RICHARD STATES DHSC
TRUSTEE	0.5	1.0	Yes (X)		$0	$0	$0
WILLIAM HOPKINS MD
TRUSTEE	0.5	1.0	Yes (X)		$0	$0	$0
Barbara J Pasztor
VP CHIEF NURSING OFFICER	2.0	38.0		Yes (X)	$0	$283,080	$24,157
Dave Cytlak
CHIEF FINANCIAL OFFICER	30.0	10.0		Yes (X)	$0	$486,032	$28,546
DR ANKIT MODH
PHYSICIAN	40.0	0.0			$631,859	$0	$15,706	Yes (X)
DR DEREK THOMAS
PHYSICIAN	40.0	0.0			$728,622	$0	$24,160	Yes (X)
DR IKE ONWERE
PHYSICIAN	40.0	0.0			$658,633	$0	$22,926	Yes (X)
DR OMAR AL ASAD
PHYSICIAN	40.0	0.0			$551,547	$0	$13,672	Yes (X)
DR SHARON COLE
PHYSICIAN	40.0	0.0			$785,074	$0	$4,452	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,355,735	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,905,762	TotReportableCompRltdOrgAmt
Total Other Compensation	$187,954	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	295	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
COVIDIEN LP
15 HAMPSHIRE STREET	MANSFIELD	MA	02048	MEDICAL SUPPLIES	$562,780
MCKESSON PLASMA & BIOLOGICS LLC
401 MASON ROAD SUITE 100	LAVERGNE	TN	37086	MEDICAL SUPPLIES	$403,422
EDWARDS LIFESCIENCES LLC
ONE EDWARDS WAY	IRVINE	CA	92614	MEDICAL SUPPLIES	$104,817

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE	900099	$374,744,218	$371,004,872	$3,739,346
OUTPATIENT PHARMACY	446110	$7,941,782	$3,739,346	$4,202,436
INVESTMENT IN TECHNICORE	541900	$3,548,893	$3,542,818	$6,075

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$386,234,893	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,458,507	TotalRevenueColumnAmt
Exclusion	$21,458,507	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$33,000	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$33,000	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,000	TotalRevenueColumnAmt
Exclusion	$33,000	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$35,759,114	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$37,048,192	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,289,078	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,289,078	TotalRevenueColumnAmt
Exclusion	-$1,289,078	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISCELLANEOUS	Desc
Business	900099	BusinessCd
Total Revenue Column	$7,154,819	TotalRevenueColumnAmt
Unrelated Business Revenue	$94,176	UnrelatedBusinessRevenueAmt
Exclusion	$7,060,643	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,154,819	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$413,592,141	TotalRevenueColumnAmt
Related Or Exempt Func Income	$378,287,036	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,042,033	UnrelatedBusinessRevenueAmt
Exclusion	$27,263,072	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,355,734	TotalAmt
Program Services	$2,852,374	ProgramServicesAmt
Management And General	$503,360	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$112,456,795	TotalAmt
Program Services	$95,588,276	ProgramServicesAmt
Management And General	$16,868,519	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,719,921	TotalAmt
Program Services	$2,311,933	ProgramServicesAmt
Management And General	$407,988	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$24,592,504	TotalAmt
Program Services	$20,903,628	ProgramServicesAmt
Management And General	$3,688,876	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,196,418	TotalAmt
Program Services	$1,866,955	ProgramServicesAmt
Management And General	$329,463	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,347,472	TotalAmt
Program Services	$7,945,351	ProgramServicesAmt
Management And General	$1,402,121	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$757,146	TotalAmt
Program Services	$643,574	ProgramServicesAmt
Management And General	$113,572	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,381,947	TotalAmt
Program Services	$10,524,655	ProgramServicesAmt
Management And General	$1,857,292	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,767,981	TotalAmt
Program Services	$8,302,784	ProgramServicesAmt
Management And General	$1,465,197	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,981,934	TotalAmt
Program Services	$1,684,644	ProgramServicesAmt
Management And General	$297,290	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$583,167	TotalAmt
Program Services	$495,692	ProgramServicesAmt
Management And General	$87,475	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,488,084	TotalAmt
Program Services	$2,964,871	ProgramServicesAmt
Management And General	$523,213	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,769,847	TotalAmt
Program Services	$10,004,370	ProgramServicesAmt
Management And General	$1,765,477	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$44,007	TotalAmt
Program Services	$37,406	ProgramServicesAmt
Management And General	$6,601	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$91,363,805	$91,363,805
PROVISION FOR BAD DEBTS	$14,536,864	$14,536,864
OTHER	$8,617,021	$7,324,468	$1,292,553
MEDICAL & PROFESSIONAL FEES	$3,741,320	$3,180,122	$561,198

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$913,174	TotalAmt
Program Services	$776,198	ProgramServicesAmt
Management And General	$136,976	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$314,615,141	TotalAmt
Program Services	$283,307,970	ProgramServicesAmt
Management And General	$31,307,171	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,192,354	BOYAmt
EOY	$2,094,349	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,000	BOYAmt
EOY	$7,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$48,604,000	BOYAmt
EOY	$57,678,000	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,872,000	BOYAmt
EOY	$9,077,000	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$300,522,000	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$200,550,000	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$95,782,000	BOYAmt
EOY	$99,972,000	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$389,988,729	BOYAmt
EOY	$418,810,734	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$688,000	BOYAmt
EOY	$682,000	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$73,652,000	BOYAmt
EOY	$76,374,000	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$619,787,083	BOYAmt
EOY	$664,695,083	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,676,000	BOYAmt
EOY	$4,150,000	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$86,298,000	BOYAmt
EOY	$79,772,000	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$291,000	BOYAmt
EOY	$293,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,455,000	BOYAmt
EOY	$10,257,000	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$103,720,000	BOYAmt
EOY	$94,472,000	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$499,054,083	BOYAmt
EOY	$552,473,083	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$17,013,000	BOYAmt
EOY	$17,750,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$516,067,083	BOYAmt
EOY	$570,223,083	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$619,787,083	BOYAmt
EOY	$664,695,083	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$98,977,000	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$21,420,000	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$66,241,000	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$18,735	OtherActivitiesAmt
Total Lobbying Expenditures	$18,735	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	BLANCHARD VALLEY REGIONAL HEALTH CENTER PAID MEMBERSHIP DUES TO TWO ORGANIZATIONS FOR WHICH A VARYING PERCENTAGE WAS ATTRIBUTED TO LOBBYING EXPENSES. THESE ORGANIZATIONS INCLUDE THE OHIO HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,012,076	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,773,632	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,912,339	OtherExpendituresAmt
End Year Balance	$17,873,369	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,794,799	BeginningYearBalanceAmt
Investment Earnings Or Losses	$71,853	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,854,576	OtherExpendituresAmt
End Year Balance	$17,012,076	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,867,633	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,697,188	InvestmentEarningsOrLossesAmt
Other Expenditures	$770,022	OtherExpendituresAmt
End Year Balance	$18,794,799	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,500,407	BeginningYearBalanceAmt
Contributions	-$10,000	ContributionsAmt
Investment Earnings Or Losses	-$890,275	InvestmentEarningsOrLossesAmt
Other Expenditures	-$267,501	OtherExpendituresAmt
End Year Balance	$17,867,633	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,238,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,261,340	InvestmentEarningsOrLossesAmt
Other Expenditures	$998,933	OtherExpendituresAmt
End Year Balance	$18,500,407	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.9314	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0686	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,403,815	OtherCostOrOtherBasisAmt
Book Value	$4,403,815	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$150,297,308	OtherCostOrOtherBasisAmt
Depreciation	$88,190,465	DepreciationAmt
Book Value	$62,106,843	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,101,000	OtherCostOrOtherBasisAmt
Depreciation	$1,101,000	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$115,624,379	OtherCostOrOtherBasisAmt
Depreciation	$100,796,913	DepreciationAmt
Book Value	$14,827,466	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,095,498	OtherCostOrOtherBasisAmt
Depreciation	$10,461,622	DepreciationAmt
Book Value	$18,633,876	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$99,972,000	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
ADVANCES TO AFFILIATES	$70,598,000
RIGHT TO USE ASSET	$131,000
GOODWILL	$5,645,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$76,374,000	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
PENSION LIABILITY	$6,655,000
THIRD PARTY SETTLEMENTS	$1,235,000
INTEREST RATE SWAP OBLIGATION	$1,378,000
MINORITY INTEREST IN PAIN MANA	$858,000
LEASE LIABILITY	$131,000

Field	Value	IRS element (for citing)
Total Liability	$10,257,000	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$354,234,277	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$21,420,000	NetUnrealizedGainsInvstAmt
Other Revenue	$10,686,000	OtherRevenueAmt
Revenue Not Reported	$32,106,000	RevenueNotReportedAmt
Revenue Subtotal	$322,128,277	RevenueSubtotalAmt
Other Revenues Not Included	$91,463,864	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$91,463,864	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$413,592,141	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$300,078,277	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$300,078,277	ExpensesSubtotalAmt
Other Expenses Not Included	$14,536,864	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$14,536,864	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$314,615,141	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ASC 740	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
Schedule D, Part V, Line 4 Intended uses of endowment funds	ENDOWMENT FUNDS ARE UTILIZED FOR DONOR DESIGNATED PURPOSES, INCLUDING CHARITY CARE, CAPITAL PROJECTS AND PURCHASES, AND CONTINUING EDUCATION FOR STAFF AND PHYSICIANS.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	CHANGE IN INTEREST RATE SWP AGREEMENT - 5625000 DEFINED BENEFIT PENSION PLAN - 4462000 CHANGE IN PERPETUAL TRUST - 599000
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	BAD DEBT RECLASS - 14536864 OTHER CHANGES IN NONCONTROLLING INTEREST - 4599000 TRANSFERS TO AFFILIATES - 66440000 PENSION SETTLEMENT COST - 5888000
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	BAD DEBT RECLASS - 14536864

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,303,347	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,303,347	NetCommunityBenefitExpnsAmt
Total Expense	0.0043	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,805,009	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,740,598	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,064,411	NetCommunityBenefitExpnsAmt
Total Expense	0.0069	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$35,108,356	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,740,598	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,367,758	NetCommunityBenefitExpnsAmt
Total Expense	0.0112	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,152	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$32,152	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$161,153	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$161,153	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$193,305	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$193,305	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$35,301,661	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,740,598	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,561,063	NetCommunityBenefitExpnsAmt
Total Expense	0.0119	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$5,677,828	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,892,609	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$60,148,909	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$73,215,269	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$13,066,360	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Critical Access HospitalCriticalAccessHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Emergency Room OtherEmergencyRoomOtherInd
BLANCHARD VALLEY HOSPITAL
1	1900 SOUTH MAIN STREET	FINDLAY	OH	45840	WWW.BVHEALTHSYSTEM.ORG	1194	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
BLUFFTON HOSPITAL
2	139 GARAU STREET	BLUFFTON	OH	45817	WWW.BVHEALTHSYSTEM.ORG	1101	Yes (X)	Yes (X)			Yes (X)		Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	OtherOtherInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Income Level CriteriaIncomeLevelCriteriaInd	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
BLANCHARD VALLEY HOSPITAL
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BLUFFTON HOSPITAL
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	21	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	WWW.BVHEALTHSYSTEM.ORG	Yes (X)	Yes (X)	Yes (true)	22	Yes (true)	WWW.BVHEALTHSYSTEM.ORG	false	Yes (true)	Yes (X)	150.0	250.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	WWW.BVHEALTHSYSTEM.ORG	Yes (X)	WWW.BVHEALTHSYSTEM.ORG	Yes (X)	WWW.BVHEALTHSYSTEM.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE HEALTH NEEDS OF HANCOCK COUNTY THAT WERE EXAMINED BY THE NEEDS ASSESSMENT INCLUDE BUT ARE NOT LIMITED TO: HEALTH STATUS PERCEPTIONS, HEALTH CARE COVERAGE, HEALTH CARE ACCESS AND UTILIZATION, CARDIOVASCULAR HEALTH, CANCER, DIABETES, ASTHMA AND OTHER RESPIRATORY DISEASE, WEIGHT STATUS, TOBACCO USE, ALCOHOL CONSUMPTION, DRUG USE, WOMEN'S HEALTH, MEN'S HEALTH, PREVENTIVE MEDICINE AND ENVIRONMENTAL HEALTH, SEXUAL BEHAVIOR AND PREGNANCY OUTCOMES, QUALITY OF LIFE, SOCIAL CONTEXT AND SAFETY, MENTAL HEALTH AND SUICIDE, ORAL HEALTH, YOUTH WEIGHT CONTROL, YOUTH TOBACCO USE, YOUTH ALCOHOL CONSUMPTION, YOUTH DRUG USE, YOUTH SEXUAL BEHAVIOR AND TEEN PREGNANCY OUTCOMES, YOUTH MENTAL HEALTH AND SUICIDE, YOUTH SAFETY, YOUTH VIOLENCE ISSUES, CHILD HEALTH AND FUNCTIONAL STATUS, CHILD HEALTH INSURANCE, ACCESS, AND MEDICAL HOME, EARLY CHILDHOOD, MIDDLE CHILDHOOD, FAMILY FUNCTIONING, NEIGHBORHOOD AND COMMUNITY CONTEXT, AND PARENT HEALTH. THERE WERE 26 KEY LEADERS FROM THE COMMUNITY THAT REPRESENTED PUBLIC HEALTH, LAW ENFORCEMENT, CHURCHES, LOCAL OFFICIALS, SOCIAL SERVICE AGENCIES AND OTHER VARIOUS COMMUNITY MEMBERS IN ATTENDANCE AT THE PUBLIC RELEASE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. AT THE EVENT, PARTICIPANTS PARTICIPATED IN FOCUS GROUPS AND PRIORITIES WERE CHOSEN FOR HANCOCK COUNTY TO FOCUS ON.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - BLANCHARD VALLEY HOSPITAL. A.) A DEFINITION OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY THE DEFINITION OF THE COMMUNITY FOR THE COMMUNITY HEALTH ASSESSMENT WAS HANCOCK COUNTY, OHIO. THE COMMUNITY THAT IS SERVED BY THE HOSPITAL FACILITY IS DEFINED AS RESIDENTS AND COMMUNITY MEMBERS THAT LIVE WITHIN HANCOCK COUNTY AS WELL AS RESIDENTS AND COMMUNITY MEMBERS THAT UTILIZE SERVICES PROVIDED BY BLANCHARD VALLEY HOSPITAL AND BLUFFTON HOSPITAL. B.) DEMOGRAPHICS OF THE COMMUNITY HANCOCK COUNTY, OHIO IS HOME TO 74,920 RESIDENTS. APPROXIMATELY 78% OF RESIDENTS WERE ADULTS OVER THE AGE OF 18, (SOURCE: CENSUS, 2020). THE MAJORITY (88%) OF THE POPULATION WERE CAUCASIAN. HISPANICS (6%), AFRICAN AMERICANS (2%), ASIAN (2%) AND TWO OR MORE RACES (2%) COMPRISE THE REST OF THE POPULATION (SOURCE: CENSUS, 2020). THE MEDIAN HOUSEHOLD INCOME IN HANCOCK COUNTY (IN 2020 INFLATION-ADJUSTED DOLLARS) IS $61,473. NINE PERCENT OF ALL HANCOCK COUNTY RESIDENTS HAD INCOME BELOW THE POVERTY LEVEL IN 2020 (SOURCE: CENSUS, 2020 SMALL AREA INCOME AND POVERTY ESTIMATES). EIGHT PERCENT OF HANCOCK COUNTY RESIDENTS WERE UNINSURED. C.) EXISTING HEALTH CARE FACILITIES AND RESOURCES WITHIN THE COMMUNITY THAT ARE AVAILABLE TO RESPOND TO THE HEALTH NEEDS OF THE COMMUNITY THESE ARE THE ORGANIZATIONS WHO PARTICIPATED IN THE HEALTH ASSESSMENT AND STRATEGIC PLANNING PROCESS: BLANCHARD VALLEY HEALTH SYSTEM, CITY OF FINDLAY PARKS & RECREATION, FINDLAY CITY SCHOOLS, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION, FINDLAY YMCA, HANCOCK COUNTY ADAMHS BOARD/COMMUNITY PARTNERSHIP, HANCOCK COUNTY FAMILY & CHILDREN FIRST COUNCIL, HANCOCK COUNTY SCHOOLS AND EDUCATIONAL SERVICES CENTER, HANCOCK PUBLIC HEALTH, HHWP COMMUNITY ACTION COMMISSION, THE OHIO STATE UNIVERSITY EXTENSION OFFICE, UNITED WAY OF HANCOCK COUNTY, AND 50 NORTH. D) HOW DATA WAS OBTAINED ADULT SURVEY ADULTS AGES 19 AND OVER LIVING IN HANCOCK COUNTY WERE USED AS THE SAMPLING FRAME FOR THE ADULT SURVEY. THERE WERE 57,957 PERSONS AGES 19 AND OVER LIVING IN HANCOCK COUNTY. THE INVESTIGATORS CONDUCTED A POWER ANALYSIS TO DETERMINE WHAT SAMPLE SIZE WAS NEEDED TO ENSURE A 95% CONFIDENCE LEVEL WITH A CORRESPONDING MARGIN OF ERROR OF 6% (I.E., WE CAN BE 95% SURE THAT THE TRUE POPULATION RESPONSES ARE WITHIN A 6% MARGIN OF ERROR OF THE SURVEY FINDINGS.) A SAMPLE SIZE OF AT LEAST 266 ADULTS WAS NEEDED TO ENSURE THIS LEVEL OF CONFIDENCE. THE RANDOM SAMPLE OF MAILING ADDRESSES OF ADULTS FROM HANCOCK COUNTY WAS OBTAINED FROM MELISSA DATA CORPORATION IN RANCHO SANTA MARGARITA, CALIFORNIA. PRIOR TO MAILING THE SURVEY TO ADULTS, THE PROJECT TEAM MAILED AN ADVANCE LETTER TO 2,000 ADULTS IN HANCOCK COUNTY. THIS ADVANCE LETTER WAS PERSONALIZED; PRINTED ON BE HEALTHY NOW HANCOCK COUNTY COALITION STATIONERY; AND SIGNED BY WILLIAM KOSE, VICE PRESIDENT-SPECIAL PROJECTS, BLANCHARD VALLEY HEALTH SYSTEM AND KARIM BAROUDI, HANCOCK COUNTY HEALTH COMMISSIONER. THE LETTER INTRODUCED THE COUNTY HEALTH ASSESSMENT PROJECT AND INFORMED THE READERS THAT THEY MAY BE RANDOMLY SELECTED TO RECEIVE THE SURVEY. THE LETTER ALSO EXPLAINED THAT THE RESPONDENTS' CONFIDENTIALITY WOULD BE PROTECTED AND ENCOURAGED THE READERS TO COMPLETE AND RETURN THE SURVEY PROMPTLY IF THEY WERE SELECTED. SIX WEEKS FOLLOWING THE ADVANCE LETTER, A MAILING PROCEDURE WAS IMPLEMENTED TO MAXIMIZE THE SURVEY RETURN RATE. THE INITIAL MAILING INCLUDED A PERSONALIZED HAND SIGNED COVER LETTER (ON BE HEALTHY NOW HANCOCK COUNTY COALITION STATIONERY) DESCRIBING THE PURPOSE OF THE STUDY, A QUESTIONNAIRE PRINTED ON WHITE PAPER, A SELF- ADDRESSED STAMPED RETURN ENVELOPE, AND A $2 INCENTIVE. SURVEYS RETURNED AS UNDELIVERABLE WERE NOT REPLACED WITH ANOTHER POTENTIAL RESPONDENT. THE RESPONSE RATE FOR THE MAILING WAS 11% (N=213: CI=? 6.70). THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSES IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. F.) PRIMARY AND CHRONIC DISEASE NEEDS AND OTHER HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS LACK OF HEALTH CARE COVERAGE, TOBACCO USE, PRESCRIPTION DRUG ABUSE, LACK OF FEMALE HEALTH SCREENINGS, AND LACK OF ROUTINE DENTAL CARE WERE ALL PREVALENT ISSUES AMONG THOSE HANCOCK COUNTY ADULTS WITH INCOMES LESS THAN $25,000. THE CHRONIC DISEASE PREVALENCE AMONG HANCOCK COUNTY ADULTS WITH INCOMES LESS THAN $25,000 WERE: HIGH BLOOD PRESSURE (62%), HIGH BLOOD CHOLESTEROL (58%), DIABETES (25%), AND ASTHMA (17%). HIGH BLOOD PRESSURE, DIABETES, OBESITY, AND ASTHMA HAD A HIGHER PREVALENCE AMONG THOSE ADULTS WITH INCOMES LESS THAN $25,000. EIGHT PERCENT OF HANCOCK COUNTY ADULTS WERE UNINSURED AT THE TIME OF THE SURVEY. HANCOCK COUNTY ADULTS WHO WERE UNINSURED REPORTED THAT THE REASON THEY WERE WITHOUT HEALTH CARE COVERAGE WAS THAT THEY LOST OR CHANGED EMPLOYERS, THEY COULD NOT AFFORD TO PAY THE INSURANCE PREMIUMS, THEIR SPOUSE OR PARENT LOST THEIR JOB OR CHANGED EMPLOYERS, OR THEIR EMPLOYER DOES NOT/STOPPED OFFERING COVERAGE. THE MAJORITY (88%) OF THE POPULATION WERE CAUCASIAN. HISPANICS (6%), AFRICAN AMERICANS (2%), ASIAN (2%) AND TWO OR MORE RACES (2%) COMPRISE THE REST OF THE POPULATION (SOURCE: CENSUS, 2020). G.) THE PROCESS FOR IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS AND SERVICES TO MEET THE COMMUNITY HEALTH NEEDS THERE WERE 26 KEY LEADERS FROM THE COMMUNITY THAT REPRESENTED PUBLIC HEALTH, LAW ENFORCEMENT, CHURCHES, LOCAL OFFICIALS, SOCIAL SERVICE AGENCIES AND OTHER VARIOUS COMMUNITY MEMBERS IN ATTENDANCE AT THE PUBLIC RELEASE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. AT THE EVENT, PARTICIPANTS PARTICIPATED IN FOCUS GROUPS AND PRIORITIES WERE CHOSEN FOR HANCOCK COUNTY TO FOCUS ON. H.) THE PROCESS FOR CONSULTING WITH PERSONS REPRESENTING THE COMMUNITY'S INTERESTS LOCAL COMMUNITY AGENCIES WERE INVITED TO PARTICIPATE IN THE HEALTH ASSESSMENT PROCESS, INCLUDING CHOOSING QUESTIONS FOR THE SURVEYS, PROVIDING LOCAL DATA, REVIEWING DRAFT REPORTS AND PLANNING THE COMMUNITY EVENT, RELEASE OF THE DATA AND SETTING PRIORITIES. THE NEEDS OF THE POPULATION, ESPECIALLY THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS, WERE TAKEN INTO ACCOUNT THROUGH THE SAMPLE METHODOLOGY THAT SURVEYED THESE POPULATIONS. IN ADDITION, THE ORGANIZATIONS THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT AND COMMUNITY PLANNING PROCESS, SUCH AS UNITED WAY OF HANCOCK COUNTY, CULTURAL CONNECTIONS OF HANCOCK COUNTY, 50 NORTH, ETC. THE PARTICIPANTS INCLUDED: A (PH) INDICATES THEY WORK IN THE PUBLIC HEALTH FIELD. KARIM BAROUDI, HANCOCK PUBLIC HEALTH (PH) KIMBERLY BASH, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION DR. JASMIN BRADLEY, LGBTQ+ SPECTRUM OF FINDLAY GARY BRIGHT, HANCOCK PUBLIC HEALTH CAROLYN COPUS, 50 NORTH ANGELA DEBOSKEY, UNITED WAY OF HANCOCK COUNTY TAYLOR COOTE, UNITED WAY OF HANCOCK COUNTY DR. DR. WILLIAM KOSE, BLANCHARD VALLEY HEALTH SYSTEM MYRON LEWIS, BLANCHARD VALLEY HEALTH SYSTEM AMY MIRANDA, HANCOCK COUNTY JOB AND FAMILY SERVICES ERIN RODABAUGH GALLEGOS, HHWP COMMUNITY ACTION COMMISSION CHAD MASTERS, HANCOCK PUBLIC HEALTH STACY SHAW, CHILDREN'S MENTORING CONNECTION CHRISTINA MURYN, MAYOR CITY OF FINDLAY PRECIA STUBY, HANCOCK COUNTY ADAMHS BOARD ZACHARY THOMAS, HANCOCK COUNTY ADAMHS BRIAN TREECE, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION ROXANNE WILLIAMS, BLANCHARD VA HEALTH.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - BLANCHARD VALLEY HOSPITAL. HANCOCK COUNTY CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, A NON-PROFIT HOSPITAL ASSOCIATION, LOCATED IN TOLEDO, OHIO, TO COORDINATE AND MANAGE THE HEALTH ASSESSMENT PROCESS. THE HOSPITAL COUNCIL HAS BEEN COMPLETING COMPREHENSIVE HEALTH ASSESSMENTS SINCE 1999. THE PROJECT COORDINATOR CONDUCTED A SERIES OF MEETINGS WITH THE PLANNING COMMITTEE FROM HANCOCK COUNTY. DURING THESE MEETINGS, BANKS OF POTENTIAL SURVEY QUESTIONS FROM THE BRFSS, YRBSS, AND NSCH SURVEYS WERE REVIEWED AND DISCUSSED. BASED ON INPUT FROM THE HANCOCK COUNTY PLANNING COMMITTEE, THE PROJECT COORDINATOR COMPOSED DRAFTS OF SURVEYS CONTAINING 112 ITEMS FOR THE ADULT SURVEY. LOCAL COMMUNITY AGENCIES WERE INVITED TO PARTICIPATE IN THE HEALTH ASSESSMENT PROCESS, INCLUDING CHOOSING QUESTIONS FOR THE SURVEYS, PROVIDING LOCAL DATA, REVIEWING DRAFT REPORTS AND PLANNING THE COMMUNITY EVENT, RELEASE OF THE DATA AND SETTING PRIORITIES. THE NEEDS OF THE POPULATION, ESPECIALLY THOSE WHO ARE MEDICALL UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS, WERE TAKEN INTO ACCOUNT THROUGH THE SAMPLE METHODOLOGY THAT SURVEYED THESE POPULATIONS. IN ADDITION, THE ORGANIZATION THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT AND COMMUNITY PLANNING PROCESS, SUCH AS UNITED WAY OF HANCOCK COUNTY, 50 NORTH, ETC. THE PARTICIPANTS INCLUDED: A (PH) AFTER THEIR NAME INDICATES THEY WORK IN THE PUBLIC HEALTH FIELD. KARIM BAROUDI, HANCOCK PUB HEALTH (PH) KIMBERLY BASH, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION DR. JASMIN BRADLEY, LGBTQ+ SPECTRUM OF FINDLAY GARY BRIGHT, HAN PUBLIC HEALTH CAROLYN COPUS, 50 NORTH ANGELA DEBOSKEY, UNITED WAY OF HANCOCK COUNTY TAYLOR COOTE, UNITED WAY OF HANCOCK COUNTY DR. WILLIAM KOSE, BLANCHARD VALLEY HEALTH SYSTEM MYRON LEWIS, BLANCHARD VALLEY HEALTH SYSTEM AMY MIRANDA, HANCOCK COUNTY JOB AND FAMILY SERVICES ERIN RODABAUGH GALLEGOS, HHWP COMMUNITY ACTION COMMISSION CHAD MASTERS, HANCOCK PUBLIC HEALTH STACY SHAW, CHILDREN'S MENTORING CONNECTION CHRISTIN MURYN, MAYOR CITY OF FINDLAY PRECIA STUBY, HANCOCK COUNTY ADAMHS BOARD ZACHARY THOMAS, HANCOCK COUNTY ADAMHS BOARD BRIAN TREECE, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION ROXANNE WILLIAMS, BLANCHARD VA HEALTH
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - BLANCHARD VALLEY HOSPITAL. BLUFFTON HOSPITAL
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - BLANCHARD VALLEY HOSPITAL. THESE ARE THE ORGANIZATIONS WHO PARTICIPATED IN THE HEALTH ASSESSMENT AND STRATEGIC PLANNING PROCESS: BLANCHARD VALLEY HEALTH SYSTEM, CITY OF FINDLAY PARKS & RECREATION, FINDLAY CITY SCHOOLS, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION, FINDLAY YMCA, HANCOCK COUNTY ADAMHS BOARD/COMMUNITY PARTNERSHIP, HANCOCK COUNTY FAMILY & CHILDREN FIRST COUNCIL, HANCOCK COUNTY SCHOOLS AND EDUCATIONAL SERVICES CENTER, HANCOCK PUBLIC HEALTH, HHWP COMMUNITY ACTION COMMISSION, THE OHIO STATE UNIVERSITY EXTENSION OFFICE, UNITED WAY OF HANCOCK COUNTY, AND 50 NORTH.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - BLANCHARD VALLY HOSPITAL. THE ASSESSMENT IS AVAILABLE ON THE HOSPITAL'S WEBSITE AT: HTTPS://WWW.BVHEALTHSYSTEM.ORG/ ALSO, PRINTED COPIES WERE GIVEN TO ALL KEY LEADERS AT A COMMUNITY EVENT.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - BLANCHARD VALLEY HOSPITAL. RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE NEEDS IDENTIFIED THROUGH THE HEALTH ASSESSMENT. OF THE PRIORITY NEEDS IDENTIFIED BY THE COMMUNITY PLANNING PROCESS, THE HOSPITAL IS NOT DIRECTLY ADDRESSING THE ISSUES OF YOUTH VIOLENCE, MENTAL HEALTH AND ADDICTION. THIS IS BECAUSE MANY COMMUNITY AGENCIES ACROSS HANCOCK COUNTY ARE ADDRESSING THESE ISSUES. THE IMPLEMENTATION STRATEGY WILL DELINIATE THE WAYS ALL ISSUES ARE BEING ADDRESSED AND BY WHICH ORGANIZATIONS. THE HOSPITAL IS ADDRESSING THE FOLLOWING NEEDS IDENTIFIED THROUGH THE HEALTH ASSESSMENT: 1) THE HOSPITAL WILL FOCUS ON DIABETES PREVENTION BY IDENTIFYING GAPS IN LOCAL DIABETES PREVENTION PROGRAMMING, DETERMINING THE NUMBER OF DIABETES PREVENTION PROGRAMS, STAFF, AND COACHES IN HANCOCK COUNTY, TAKING INVENTORY OF CURRENT MARKETING CAMPAIGNS AROUND DIABETES PREVENTION, ANALYSIS OF CURRENT CONTINUOUS GLUCOSE MONITORING (CGM) RESULTS, AND RESEARCHING AND UNDERSTANDING CURRENT EVIDENCE-BASED PRACTICES ON THE EFFECTS OF GCM ON TYPE 2 DIABETES. 2) THE HOSPITAL WILL FOCUS ON TOBACCO CESSATION THERAPY/AFFORDABILITY THROUGH DETERMINING OPPORTUNITIES AND BARRIERS TO SEEKING TREATMENT, EXPLORING OPTIONS TO MAKE TOBACCO QUESTIONS MANDATORY FOR PATIENTS TO RESPOND TO IN THE PULMONARY AND PRIMARY CARE OFFICES, EXPORING OPTIONS TO MAKE EDUCATIONAL MATERIALS ELECTRONIC SO THAT DELIVERY CAN BE DOCUMENTED IN PATIENT CHARTS AND PROVIDED ON THE PATIENT PORTAL, EXPORING OPTIONS TO HAVE QUESTIONS REGARDING TOBACCO USE ADDED TO PATIENT CHECKLISTS AND IF THE PATIENT RESPONDS "YES" ASKING IF THEY WANT TO QUIT. 3) THE HOSPITAL WILL FOCUS ON MENTAL HEALTH AND ADDICTION ISSUES THROUGH REVIEWING CURRENT POLICIES AND DETERMINING THE LOCAL PROVIDERS AND AGENCIES WHO WILL MANAGE PATIENTS RECEIVING CARE, AND CAPTURING PATIENT REFERRALS FOR FOLLOW UP AND MONITORING PATIENT COMPLIANCE WITH TREATMENT.
Schedule H, Part V, Section B, Line 3E	THE HEALTH NEEDS OF HANCOCK COUNTY THAT WERE EXAMINED BY THE NEEDS ASSESSMENT INCLUDE BUT ARE NOT LIMITED TO: HEALTH STATUS PERCEPTIONS, HEALTH CARE COVERAGE, HEALTH CARE ACCESS AND UTILIZATION, CARDIOVASCULAR HEALTH, CANCER, DIABETES, ASTHMA AND OTHER RESPIRATORY DISEASE, WEIGHT STATUS, TOBACCO USE, ALCOHOL CONSUMPTION, DRUG USE, WOMEN'S HEALTH, MEN'S HEALTH, PREVENTIVE MEDICINE AND ENVIRONMENTAL HEALTH, SEXUAL BEHAVIOR AND PREGNANCY OUTCOMES, QUALITY OF LIFE, SOCIAL CONTEXT AND SAFETY, MENTAL HEALTH AND SUICIDE, ORAL HEALTH, YOUTH WEIGHT CONTROL, YOUTH TOBACCO USE, YOUTH ALCOHOL CONSUMPTION, YOUTH DRUG USE, YOUTH SEXUAL BEHAVIOR AND TEEN PREGNANCY OUTCOMES, YOUTH MENTAL HEALTH AND SUICIDE, YOUTH SAFETY, YOUTH VIOLENCE ISSUES, CHILD HEALTH AND FUNCTIONAL STATUS, CHILD HEALTH INSURANCE, ACCESS, AND MEDICAL HOME, EARLY CHILDHOOD, MIDDLE CHILDHOOD, FAMILY FUNCTIONING, NEIGHBORHOOD AND COMMUNITY CONTEXT, AND PARENT HEALTH. THERE WERE 26 KEY LEADERS FROM THE COMMUNITY THAT REPRESENTED PUBLIC HEALTH, LAW ENFORCEMENT, CHURCHES, LOCAL OFFICIALS, SOCIAL SERVICE AGENCIES AND OTHER VARIOUS COMMUNITY MEMBERS IN ATTENDANCE AT THE PUBLIC RELEASE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. AT THE EVENT, PARTICIPANTS PARTICIPATED IN FOCUS GROUPS AND PRIORITIES WERE CHOSEN FOR HANCOCK COUNTY TO FOCUS ON.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - BLUFFTON HOSPITAL. A.) A DEFINITION OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY THE DEFINITION OF THE COMMUNITY FOR THE COMMUNITY HEALTH ASSESSMENT WAS HANCOCK COUNTY, OHIO. THE COMMUNITY THAT IS SERVED BY THE HOSPITAL FACILITY IS DEFINED AS RESIDENTS AND COMMUNITY MEMBERS THAT LIVE WITHIN HANCOCK COUNTY AS WELL AS RESIDENTS AND COMMUNITY MEMBERS THAT UTILIZE SERVICES PROVIDED BY BLANCHARD VALLEY HOSPITAL AND BLUFFTON HOSPITAL. B.) DEMOGRAPHICS OF THE COMMUNITY HANCOCK COUNTY, OHIO IS HOME TO 74,920 RESIDENTS. APPROXIMATELY 78% OF RESIDENTS WERE ADULTS OVER THE AGE OF 18, (SOURCE: CENSUS, 2020). THE MAJORITY (88%) OF THE POPULATION WERE CAUCASIAN. HISPANICS (6%), AFRICAN AMERICANS (2%), ASIAN (2%) AND TWO OR MORE RACES (2%) COMPRISE THE REST OF THE POPULATION (SOURCE: CENSUS, 2020). THE MEDIAN HOUSEHOLD INCOME IN HANCOCK COUNTY (IN 2020 INFLATION-ADJUSTED DOLLARS) IS $61,473. NINE PERCENT OF ALL HANCOCK COUNTY RESIDENTS HAD INCOME BELOW THE POVERTY LEVEL IN 2020 (SOURCE: CENSUS, 2020 SMALL AREA INCOME AND POVERTY ESTIMATES). EIGHT PERCENT OF HANCOCK COUNTY RESIDENTS WERE UNINSURED. C.) EXISTING HEALTH CARE FACILITIES AND RESOURCES WITHIN THE COMMUNITY THAT ARE AVAILABLE TO RESPOND TO THE HEALTH NEEDS OF THE COMMUNITY THESE ARE THE ORGANIZATIONS WHO PARTICIPATED IN THE HEALTH ASSESSMENT AND STRATEGIC PLANNING PROCESS: BLANCHARD VALLEY HEALTH SYSTEM, CITY OF FINDLAY PARKS & RECREATION, FINDLAY CITY SCHOOLS, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION, FINDLAY YMCA, HANCOCK COUNTY ADAMHS BOARD/COMMUNITY PARTNERSHIP, HANCOCK COUNTY FAMILY & CHILDREN FIRST COUNCIL, HANCOCK COUNTY SCHOOLS AND EDUCATIONAL SERVICES CENTER, HANCOCK PUBLIC HEALTH, HHWP COMMUNITY ACTION COMMISSION, THE OHIO STATE UNIVERSITY EXTENSION OFFICE, UNITED WAY OF HANCOCK COUNTY, AND 50 NORTH. D) HOW DATA WAS OBTAINED ADULT SURVEY ADULTS AGES 19 AND OVER LIVING IN HANCOCK COUNTY WERE USED AS THE SAMPLING FRAME FOR THE ADULT SURVEY. THERE WERE 57,957 PERSONS AGES 19 AND OVER LIVING IN HANCOCK COUNTY. THE INVESTIGATORS CONDUCTED A POWER ANALYSIS TO DETERMINE WHAT SAMPLE SIZE WAS NEEDED TO ENSURE A 95% CONFIDENCE LEVEL WITH A CORRESPONDING MARGIN OF ERROR OF 6% (I.E., WE CAN BE 95% SURE THAT THE TRUE POPULATION RESPONSES ARE WITHIN A 6% MARGIN OF ERROR OF THE SURVEY FINDINGS.) A SAMPLE SIZE OF AT LEAST 266 ADULTS WAS NEEDED TO ENSURE THIS LEVEL OF CONFIDENCE. THE RANDOM SAMPLE OF MAILING ADDRESSES OF ADULTS FROM HANCOCK COUNTY WAS OBTAINED FROM MELISSA DATA CORPORATION IN RANCHO SANTA MARGARITA, CALIFORNIA. PRIOR TO MAILING THE SURVEY TO ADULTS, THE PROJECT TEAM MAILED AN ADVANCE LETTER TO 2,000 ADULTS IN HANCOCK COUNTY. THIS ADVANCE LETTER WAS PERSONALIZED; PRINTED ON BE HEALTHY NOW HANCOCK COUNTY COALITION STATIONERY; AND SIGNED BY WILLIAM KOSE, VICE PRESIDENT-SPECIAL PROJECTS, BLANCHARD VALLEY HEALTH SYSTEM AND KARIM BAROUDI, HANCOCK COUNTY HEALTH COMMISSIONER. THE LETTER INTRODUCED THE COUNTY HEALTH ASSESSMENT PROJECT AND INFORMED THE READERS THAT THEY MAY BE RANDOMLY SELECTED TO RECEIVE THE SURVEY. THE LETTER ALSO EXPLAINED THAT THE RESPONDENTS' CONFIDENTIALITY WOULD BE PROTECTED AND ENCOURAGED THE READERS TO COMPLETE AND RETURN THE SURVEY PROMPTLY IF THEY WERE SELECTED. SIX WEEKS FOLLOWING THE ADVANCE LETTER, A MAILING PROCEDURE WAS IMPLEMENTED TO MAXIMIZE THE SURVEY RETURN RATE. THE INITIAL MAILING INCLUDED A PERSONALIZED HAND SIGNED COVER LETTER (ON BE HEALTHY NOW HANCOCK COUNTY COALITION STATIONERY) DESCRIBING THE PURPOSE OF THE STUDY, A QUESTIONNAIRE PRINTED ON WHITE PAPER, A SELF- ADDRESSED STAMPED RETURN ENVELOPE, AND A $2 INCENTIVE. SURVEYS RETURNED AS UNDELIVERABLE WERE NOT REPLACED WITH ANOTHER POTENTIAL RESPONDENT. THE RESPONSE RATE FOR THE MAILING WAS 11% (N=213: CI=? 6.70). THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSES IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. F.) PRIMARY AND CHRONIC DISEASE NEEDS AND OTHER HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS LACK OF HEALTH CARE COVERAGE, TOBACCO USE, PRESCRIPTION DRUG ABUSE, LACK OF FEMALE HEALTH SCREENINGS, AND LACK OF ROUTINE DENTAL CARE WERE ALL PREVALENT ISSUES AMONG THOSE HANCOCK COUNTY ADULTS WITH INCOMES LESS THAN $25,000. THE CHRONIC DISEASE PREVALENCE AMONG HANCOCK COUNTY ADULTS WITH INCOMES LESS THAN $25,000 WERE: HIGH BLOOD PRESSURE (62%), HIGH BLOOD CHOLESTEROL (58%), DIABETES (25%), AND ASTHMA (17%). HIGH BLOOD PRESSURE, DIABETES, OBESITY, AND ASTHMA HAD A HIGHER PREVALENCE AMONG THOSE ADULTS WITH INCOMES LESS THAN $25,000. EIGHT PERCENT OF HANCOCK COUNTY ADULTS WERE UNINSURED AT THE TIME OF THE SURVEY. HANCOCK COUNTY ADULTS WHO WERE UNINSURED REPORTED THAT THE REASON THEY WERE WITHOUT HEALTH CARE COVERAGE WAS THAT THEY LOST OR CHANGED EMPLOYERS, THEY COULD NOT AFFORD TO PAY THE INSURANCE PREMIUMS, THEIR SPOUSE OR PARENT LOST THEIR JOB OR CHANGED EMPLOYERS, OR THEIR EMPLOYER DOES NOT/STOPPED OFFERING COVERAGE. THE MAJORITY (88%) OF THE POPULATION WERE CAUCASIAN. HISPANICS (6%), AFRICAN AMERICANS (2%), ASIAN (2%) AND TWO OR MORE RACES (2%) COMPRISE THE REST OF THE POPULATION (SOURCE: CENSUS, 2020). G.) THE PROCESS FOR IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS AND SERVICES TO MEET THE COMMUNITY HEALTH NEEDS THERE WERE 26 KEY LEADERS FROM THE COMMUNITY THAT REPRESENTED PUBLIC HEALTH, LAW ENFORCEMENT, CHURCHES, LOCAL OFFICIALS, SOCIAL SERVICE AGENCIES AND OTHER VARIOUS COMMUNITY MEMBERS IN ATTENDANCE AT THE PUBLIC RELEASE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. AT THE EVENT, PARTICIPANTS PARTICIPATED IN FOCUS GROUPS AND PRIORITIES WERE CHOSEN FOR HANCOCK COUNTY TO FOCUS ON. H.) THE PROCESS FOR CONSULTING WITH PERSONS REPRESENTING THE COMMUNITY'S INTERESTS LOCAL COMMUNITY AGENCIES WERE INVITED TO PARTICIPATE IN THE HEALTH ASSESSMENT PROCESS, INCLUDING CHOOSING QUESTIONS FOR THE SURVEYS, PROVIDING LOCAL DATA, REVIEWING DRAFT REPORTS AND PLANNING THE COMMUNITY EVENT, RELEASE OF THE DATA AND SETTING PRIORITIES. THE NEEDS OF THE POPULATION, ESPECIALLY THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS, WERE TAKEN INTO ACCOUNT THROUGH THE SAMPLE METHODOLOGY THAT SURVEYED THESE POPULATIONS. IN ADDITION, THE ORGANIZATIONS THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT AND COMMUNITY PLANNING PROCESS, SUCH AS UNITED WAY OF HANCOCK COUNTY, CULTURAL CONNECTIONS OF HANCOCK COUNTY, 50 NORTH, ETC. THE PARTICIPANTS INCLUDED: A (PH) INDICATES THEY WORK IN THE PUBLIC HEALTH FIELD. KARIM BAROUDI, HANCOCK PUBLIC HEALTH (PH) KIMBERLY BASH, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION DR. JASMIN BRADLEY, LGBTQ+ SPECTRUM OF FINDLAY GARY BRIGHT, HANCOCK PUBLIC HEALTH CAROLYN COPUS, 50 NORTH ANGELA DEBOSKEY, UNITED WAY OF HANCOCK COUNTY TAYLOR COOTE, UNITED WAY OF HANCOCK COUNTY DR. DR. WILLIAM KOSE, BLANCHARD VALLEY HEALTH SYSTEM MYRON LEWIS, BLANCHARD VALLEY HEALTH SYSTEM AMY MIRANDA, HANCOCK COUNTY JOB AND FAMILY SERVICES ERIN RODABAUGH GALLEGOS, HHWP COMMUNITY ACTION COMMISSION CHAD MASTERS, HANCOCK PUBLIC HEALTH STACY SHAW, CHILDREN'S MENTORING CONNECTION CHRISTINA MURYN, MAYOR CITY OF FINDLAY PRECIA STUBY, HANCOCK COUNTY ADAMHS BOARD ZACHARY THOMAS, HANCOCK COUNTY ADAMHS BRIAN TREECE, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION ROXANNE WILLIAMS, BLANCHARD VA HEALTH.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - BLUFFTON HOSPITAL. HANCOCK COUNTY CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, A NON-PROFIT HOSPITAL ASSOCIATION, LOCATED IN TOLEDO, OHIO, TO COORDINATE AND MANAGE THE HEALTH ASSESSMENT PROCESS. THE HOSPITAL COUNCIL HAS BEEN COMPLETING COMPREHENSIVE HEALTH ASSESSMENTS SINCE 1999. THE PROJECT COORDINATOR CONDUCTED A SERIES OF MEETINGS WITH THE PLANNING COMMITTEE FROM HANCOCK COUNTY. DURING THESE MEETINGS, BANKS OF POTENTIAL SURVEY QUESTIONS FROM THE BRFSS, YRBSS, AND NSCH SURVEYS WERE REVIEWED AND DISCUSSED. BASED ON INPUT FROM THE HANCOCK COUNTY PLANNING COMMITTEE, THE PROJECT COORDINATOR COMPOSED DRAFTS OF SURVEYS CONTAINING 112 ITEMS FOR THE ADULT SURVEY. LOCAL COMMUNITY AGENCIES WERE INVITED TO PARTICIPATE IN THE HEALTH ASSESSMENT PROCESS, INCLUDING CHOOSING QUESTIONS FOR THE SURVEYS, PROVIDING LOCAL DATA, REVIEWING DRAFT REPORTS AND PLANNING THE COMMUNITY EVENT, RELEASE OF THE DATA AND SETTING PRIORITIES. THE NEEDS OF THE POPULATION, ESPECIALLY THOSE WHO ARE MEDICALL UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS, WERE TAKEN INTO ACCOUNT THROUGH THE SAMPLE METHODOLOGY THAT SURVEYED THESE POPULATIONS. IN ADDITION, THE ORGANIZATION THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT AND COMMUNITY PLANNING PROCESS, SUCH AS UNITED WAY OF HANCOCK COUNTY, 50 NORTH, ETC. THE PARTICIPANTS INCLUDED: A (PH) AFTER THEIR NAME INDICATES THEY WORK IN THE PUBLIC HEALTH FIELD. KARIM BAROUDI, HANCOCK PUB HEALTH (PH) KIMBERLY BASH, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION DR. JASMIN BRADLEY, LGBTQ+ SPECTRUM OF FINDLAY GARY BRIGHT, HAN PUBLIC HEALTH CAROLYN COPUS, 50 NORTH ANGELA DEBOSKEY, UNITED WAY OF HANCOCK COUNTY TAYLOR COOTE, UNITED WAY OF HANCOCK COUNTY DR. WILLIAM KOSE, BLANCHARD VALLEY HEALTH SYSTEM MYRON LEWIS, BLANCHARD VALLEY HEALTH SYSTEM AMY MIRANDA, HANCOCK COUNTY JOB AND FAMILY SERVICES ERIN RODABAUGH GALLEGOS, HHWP COMMUNITY ACTION COMMISSION CHAD MASTERS, HANCOCK PUBLIC HEALTH STACY SHAW, CHILDREN'S MENTORING CONNECTION CHRISTIN MURYN, MAYOR CITY OF FINDLAY PRECIA STUBY, HANCOCK COUNTY ADAMHS BOARD ZACHARY THOMAS, HANCOCK COUNTY ADAMHS BOARD BRIAN TREECE, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION ROXANNE WILLIAMS, BLANCHARD VA HEALTH
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - BLUFFTON HOSPITAL. BLANCHARD VALLEY HOPSITAL
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - BLUFFTON HOSPITAL. THESE ARE THE ORGANIZATIONS WHO PARTICIPATED IN THE HEALTH ASSESSMENT AND STRATEGIC PLANNING PROCESS: BLANCHARD VALLEY HEALTH SYSTEM, CITY OF FINDLAY PARKS & RECREATION, FINDLAY CITY SCHOOLS, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION, FINDLAY YMCA, HANCOCK COUNTY ADAMHS BOARD/COMMUNITY PARTNERSHIP, HANCOCK COUNTY FAMILY & CHILDREN FIRST COUNCIL, HANCOCK COUNTY SCHOOLS AND EDUCATIONAL SERVICES CENTER, HANCOCK PUBLIC HEALTH, HHWP COMMUNITY ACTION COMMISSION, THE OHIO STATE UNIVERSITY EXTENSION OFFICE, UNITED WAY OF HANCOCK COUNTY, AND 50 NORTH.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - BLUFFTON HOSPITAL. THE ASSESSMENT IS AVAILABLE ON THE HOSPITAL'S WEBSITE AT: HTTPS://WWW.BVHEALTHSYSTEM.ORG/ ALSO, PRINTED COPIES WERE GIVEN TO ALL KEY LEADERS AT A COMMUNITY EVENT.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - BLUFFTON HOSPITAL. RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE NEEDS IDENTIFIED THROUGH THE HEALTH ASSESSMENT. OF THE PRIORITY NEEDS IDENTIFIED BY THE COMMUNITY PLANNING PROCESS, THE HOSPITAL IS NOT DIRECTLY ADDRESSING THE ISSUES OF YOUTH VIOLENCE, MENTAL HEALTH AND ADDICTION. THIS IS BECAUSE MANY COMMUNITY AGENCIES ACROSS HANCOCK COUNTY ARE ADDRESSING THESE ISSUES. THE IMPLEMENTATION STRATEGY WILL DELINIATE THE WAYS ALL ISSUES ARE BEING ADDRESSED AND BY WHICH ORGANIZATIONS. THE HOSPITAL IS ADDRESSING THE FOLLOWING NEEDS IDENTIFIED THROUGH THE HEALTH ASSESSMENT: 1) THE HOSPITAL WILL FOCUS ON DIABETES PREVENTION BY IDENTIFYING GAPS IN LOCAL DIABETES PREVENTION PROGRAMMING, DETERMINING THE NUMBER OF DIABETES PREVENTION PROGRAMS, STAFF, AND COACHES IN HANCOCK COUNTY, TAKING INVENTORY OF CURRENT MARKETING CAMPAIGNS AROUND DIABETES PREVENTION, ANALYSIS OF CURRENT CONTINUOUS GLUCOSE MONITORING (CGM) RESULTS, AND RESEARCHING AND UNDERSTANDING CURRENT EVIDENCE-BASED PRACTICES ON THE EFFECTS OF GCM ON TYPE 2 DIABETES. 2) THE HOSPITAL WILL FOCUS ON TOBACCO CESSATION THERAPY/AFFORDABILITY THROUGH DETERMINING OPPORTUNITIES AND BARRIERS TO SEEKING TREATMENT, EXPLORING OPTIONS TO MAKE TOBACCO QUESTIONS MANDATORY FOR PATIENTS TO RESPOND TO IN THE PULMONARY AND PRIMARY CARE OFFICES, EXPORING OPTIONS TO MAKE EDUCATIONAL MATERIALS ELECTRONIC SO THAT DELIVERY CAN BE DOCUMENTED IN PATIENT CHARTS AND PROVIDED ON THE PATIENT PORTAL, EXPORING OPTIONS TO HAVE QUESTIONS REGARDING TOBACCO USE ADDED TO PATIENT CHECKLISTS AND IF THE PATIENT RESPONDS "YES" ASKING IF THEY WANT TO QUIT. 3) THE HOSPITAL WILL FOCUS ON MENTAL HEALTH AND ADDICTION ISSUES THROUGH REVIEWING CURRENT POLICIES AND DETERMINING THE LOCAL PROVIDERS AND AGENCIES WHO WILL MANAGE PATIENTS RECEIVING CARE, AND CAPTURING PATIENT REFERRALS FOR FOLLOW UP AND MONITORING PATIENT COMPLIANCE WITH TREATMENT.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	OUR BAD DEBT EXPENSE IS COMPRISED OF FOUR COMPONENTS. FIRST, ACCOUNTS THAT HAVE BEEN TRANSFERRED TO COLLECTION AGENCIES ARE RECORDED AS AN INCREASE TO BAD DEBT EXPENSE. SECOND, CHANGES IN OUR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON CHANGES IN OUR ACCOUNTS RECEIVABLE AGING BUCKETS ARE RECORDED AS AN INCREASE OR DECREASE TO BAD DEBT EXPENSE. THIRD, ANY ACCOUNTS NOT COLLECTIBLE DUE TO BANKRUPTCIES OR DEATHS (ESTATES NOT SUFFICIENT) ARE RECORDED AS AN INCREASE TO BAD DEBT EXPENSE. FINALLY, ANY RECOVERIES THAT ARE RECEIVED FROM COLLECTION AGENCIES ARE RECORDED AS A DECREASE TO BAD DEBT EXPENSE. THESE FOUR COMPONENTS ARE THE NET BAD DEBT EXPENSE AMOUNTS THAT ARE PRESENTED IN OUR FINANCIAL STATEMENTS.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE ASSUMPTION IS THAT OUR CHARITY CARE PROGRAMS CAPTURE A LARGE PERCENTAGE OF THOSE WHO QUALIFY. HOWEVER, THERE IS A SUBSECTION OF PATIENTS WHO ARE PROVIDED THE INFORMATION FOR CHARITY CARE BUT CHOOSE NOT TO PROVIDE THE NECESSARY DOCUMENTS. THERE IS A LARGE PORTION OF BAD DEBT THAT FROM INDIVIDUALS THAT HAVE INSURANCE, AND THESE INDIVIDUALS WORK IN WHITE/BLUE COLLAR JOBS BUT CHOOSE NOT TO PAY THEIR BILLS. THUS, THE ASSUMPTION THAT IS USED IS THAT TWO OUT OF EVERY THREE BAD DEBT ACCOUNTS ARE FOR SUCH INDIVIDUALS. THEREFORE, THE REMAINING ONE OUT OF EVERY THREE BAD DEBT ACCOUNTS WOULD POTENTIALLY QUALIFY FOR CHARITY CARE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	WE DO NOT HAVE A BAD DEBT FOOTNOTE. OUR BAD DEBT EXPENSE IS COMPRISED OF FOUR COMPONENTS. FIRST, ACCOUNTS THAT HAVE BEEN TRANSFERRED TO COLLECTION AGENCIES ARE RECORDED AS AN INCREASE TO BAD DEBT EXPENSE. SECOND, CHANGES IN OUR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON CHANGES IN OUR ACCOUNTS RECEIVABLE AGING BUCKETS ARE RECORDED AS AN INCREASE OR DECREASE TO BAD DEBT EXPENSE. THIRD, ANY ACCOUNTS NOT COLLECTIBLE DUE TO BANKRUPTCIES OR DEATHS (ESTATES NOT SUFFICIENT) ARE RECORDED AS AN INCREASE TO BAD DEBT EXPENSE. FINALLY, ANY RECOVERIES THAT ARE RECEIVED FROM COLLECTION AGENCIES ARE RECORDED AS A DECREASE TO BAD DEBT EXPENSE. THESE FOUR COMPONENTS ARE THE NET BAD DEBT EXPENSE AMOUNTS THAT ARE PRESENTED IN OUR FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	WE FEEL THAT ALL OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. WE PERFORM SERVICES FOR MEDICARE PATIENTS AND CONSCIOUSLY KNOW THAT THE COSTS TO PERFORM SUCH SERVICES ARE HIGHER THAN THE REIMBURSEMENT WE RECEIVE. THUS, WE FEEL THAT THIS IS A BENEFIT TO THE COMMUNITY BY BEING A CONVENIENT AND REPUTABLE SOURCE WITHIN THE COMMUNITY TO RECEIVE SUCH SERVICES. THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS OUR 2023 MEDICARE COST REPORTS AND OUR 2023 PSR REPORTS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	BVRHC HAS ESTABLISHED A FINANCIAL ASSISTANCE POLICY (FAP) THAT HAS BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT, AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. BVRHC WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECA) AGAINST AN INDIVIDUAL TO COLLECT PAYMENT UNLESS IT HAS MADE REASONABLE EFFORTS TO DETERMINE THE ELIGIBILITY UNDER THE FAP. BVRHC WILL WORK WITH ALL PATIENTS TO ESTABLISH SUITABLE PAYMENT ARRANGEMENTS SUCH AS PAYMENT IN FULL, SHORT TERM PAYMENT PLANS, AND LONG TERM LOAN PROGRAMS. BVRHC WILL NOT INITIATE ANY ECA AGAINST AN INDIVIDUAL UNTIL THE PATIENT'S FAP ELIGIBILITY HAS BEEN DETERMINED AND THE INTERNAL COLLECTION PROCESSES HAVE BEEN COMPLETED. THE INTERNAL COLLECTION PROCESSES CONSIST OF MAILING STATEMENTS, MAKING PHONE CALLS, AND SENDING LETTERS. COLLECTION PROCEDURES GENERALLY BEGIN AFTER 120 DAYS AND AFTER ALL EFFORTS HAVE BEEN EXHAUSTED PER THE INTERNAL COLLECTION PROCESSES.
Schedule H, Part V, Section B, Line 16a FAP website	- BLANCHARD VALLEY HOSPITAL: Line 16a URL: WWW.BVHEALTHSYSTEM.ORG; - BLUFFTON HOSPITAL: Line 16a URL: WWW.BVHEALTHSYSTEM.ORG;
Schedule H, Part V, Section B, Line 16b FAP Application website	- BLANCHARD VALLEY HOSPITAL: Line 16b URL: WWW.BVHEALTHSYSTEM.ORG; - BLUFFTON HOSPITAL: Line 16b URL: WWW.BVHEALTHSYSTEM.ORG;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- BLANCHARD VALLEY HOSPITAL: Line 16c URL: WWW.BVHEALTHSYSTEM.ORG; - BLUFFTON HOSPITAL: Line 16c URL: WWW.BVHEALTHSYSTEM.ORG;
Schedule H, Part VI, Line 2 Needs assessment	BLANCHARD VALLEY REGIONAL HEALTH CENTER (BVRHC) HAS A LONG-STANDING COMMITMENT TO THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THROUGH PARTICIPATION IN AND SPONSORSHIP OF HEALTH FAIRS, HEALTH SCREENINGS, AWARENESS CAMPAIGNS, AND EDUCATIONAL EVENTS; AS WELL AS ACTIVE AND ONGOING DIALOGUE WITH THE FINDLAY CITY AND HANCOCK COUNTY HEALTH DEPARTMENTS, BVRHC SEEKS NOT ONLY TO ASSESS THE NEEDS OF LOCAL COMMUNITIES, BUT ALSO TO ENCOURAGE COMMUNITY MEMBERS OF ALL AGES TO TAKE CHARGE OF THEIR HEALTH CARE NEEDS. WE CONFER WITH THE LOCAL CITY AND COUNTY SCHOOLS, AND COOPERATE WITH AGENCIES IN THE COMMUNITY THAT MAY, FROM TIME TO TIME, CONDUCT HEALTH ASSESSMENTS. THE BLUFFTON HOSPITAL COLLABORATES WITH THE LOCAL SCHOOLS TO PROVIDE A SCHOOL NURSE PROGRAM THAT NOT ONLY EVALUATES THE POPULATION FOR HEALTH ISSUES, BUT PROVIDES EDUCATION AS WELL. BVRHC PERIODICALLY CONDUCTS PHYSICIAN NEEDS ASSESSMENTS. OUR MULTIPLE BOARDS AND COMMITTEES ARE FORMED WITH MEMBERS AND PHYSICIANS WHO LIVE WITHIN THE COMMUNITY. WE ALSO MONITOR DISEASES AND CONDITIONS THAT PRESENT IN OUR EMERGENCY DEPARTMENT AT CAUGHMAN HEALTH CENTER.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	BLANCHARD VALLEY REGIONAL HEALTH CENTER EDUCATES PATIENTS ABOUT OUR OPTIONS FOR FINANCIAL ASSISTANCE IN SEVERAL WAYS. THE FINANCIAL ASSISTANCE GUIDELINES ARE ON THE BACK OF EACH STATEMENT. WHEN PATIENTS ARE CALLED OR CALL THE BUSINESS OFFICE, ASSOCIATES IN THE CREDIT AND COLLECTION DEPARTMENT PRE-SCREEN PATIENTS TO DETERMINE IF THEY MAY BE ELIGIBLE FOR ANY TYPE OF FINANCIAL ASSISTANCE. IF THE PATIENT IS DETERMINED TO POTENTIALLY BE ELIGIBLE, WE DISCUSS WITH THE PATIENT THEIR OPTIONS FOR OBTAINING FINANCIAL ASSISTANCE. WE THEN SEND AN APPLICATION TO THE PATIENTS VIA MAIL. THE PROCESS IS ALSO DEFINED AND OUR APPLICATION AVAILABLE ON OUR WEBSITE. IN ADDITION, IF WE HAVE AN OUTPATIENT OR INPATIENT THAT MAY QUALIFY, WE TALK TO THOSE PATIENTS AND EVEN ASSIST WITH COMPLETING THE APPLICATION. APPLICATIONS ARE THEN PROCESSED AND A LETTER OR AWARD OR DENIAL IS SENT TO THE PATIENT. THEY ARE INSTRUCTED TO CALL THE FINANCIAL ADVOCATES IF THEY HAVE FURTHER QUESTIONS OR CONCERNS. NOTE: ALL POINTS OF SERVICE ARE EQUIPPED TO DISCUSS AND DISTRIBUTE THE FINANCIAL ASSISTANCE APPLICATION.
Schedule H, Part VI, Line 4 Community information	BLANCHARD VALLEY HEALTH SYSTEM SERVES AN EIGHT-COUNTY AREA THAT INCLUDES HANCOCK, ALLEN, PUTNAM, HENRY, WOOD, SENECA, WYANDOT, AND HARDIN COUNTIES. HANCOCK (OUR PRIMARY SERVICE AREA) AND SENECA COUNTIES CAN BE DESCRIBED AS MICROPOLITAN; ALLEN AND WOOD COUNTIES AS METROPOLITAN; AND THE SURROUNDING FOUR COUNTIES AS RURAL. FINDLAY HAS BEEN RANKED AS THE TOP MICROPOLITAN COMMUNITY FOR THE PAST 9 YEARS BY SITE SELECTION MAGAZINE (2014-2022). THE POPULATION OF HANCOCK COUNTY IS APPROXIMATELY 76,000, WITH FINDLAY COMPRISING ABOUT HALF OF THAT TOTAL. MEDIAN INCOME IS MODERATE; RANGING FROM $40,000 TO $60,000 DEPENDING ON LOCATION. FINDLAY SUPPORTS A UNIVERSITY, AS WELL AS SEVERAL LARGE CORPORATIONS INCLUDING COOPER TIRE, MARATHON PETROLEUM AND WHIRLPOOL. THE SURROUNDING AREAS ARE HEAVILY AGRICULTURAL.
Schedule H, Part VI, Line 5 Promotion of community health	BY REACHING OUT TO THE COMMUNITY THOUGH HEALTH FAIRS, SERVING ON THE BOARDS OF LOCAL ORGANIZATIONS, AND PROVIDING HEALTH EDUCATION, WE ARE GIVEN THE OPPORTUNITY TO FURTHER THE KNOWLEDGE OF THE COMMUNITY ABOUT THE IMPORTANCE OF WELLNESS. WE ARE ALSO PRESENTED WITH THE OPPORTUNITY TO INTERACT WITH OUR COMMUNITY AND LISTEN TO AND IDENTIFY THEIR NEEDS. OUR HOSPITALS ARE MAJOR SPONSORS OF AND PARTICIPATE IN MANY COMMUNITY HEALTH FAIRS THAT PROVIDE FREE OR LOW-COST HEALTH SCREENS, EDUCATIONAL MATERIALS ON VARIOUS HEALTH TOPICS, AND OVERALL HELP TO INCREASE AWARENESS THROUGHOUT THE COMMUNITY OF HEALTHIER LIFESTYLES AND OF LOCAL RESOURCES FOR HEALTH AND HEALTHCARE SERVICES AND PRODUCTS. THE ORGANIZATION ALSO CONTRIBUTES MONETARILY TO LOCAL CHARITIES SUCH AS UNITED WAY, MARCH OF DIMES AND THE AMERICAN CANCER SOCIETY.
Schedule H, Part VI, Line 6 Affiliated health care system	AFFILIATED HEALTH CARE SYSTEM CAUGHMAN HEALTH CENTER PROVIDES HEALTH CARE TO HANCOCK COUNTY FAMILIES, REGARDLESS OF THEIR ABILITY TO PAY. FAMILY PRACTICE, PEDIATRIC, OB/GYN, AND PREVENTATIVE SERVICES ARE OFFERED AT CAUGHMAN. CAUGHMAN ALSO PARTICIPATES IN A PROGRAM THAT CONNECTS PATIENTS WITH PHARMACEUTICAL COMPANIES' INDIGENT CARE PROGRAMS TO PROVIDE MEDICATIONS AT NO CHARGE TO PATIENTS. A LICENSED INDEPENDENT SOCIAL WORKER IS EMPLOYED AT CAUGHMAN, AND SHE FACILITATES CLASSES FOR TEEN MOMS, PROVIDES COUNSELING TO PATIENTS, MAKES HOME VISITS FOR PATIENTS, AND PROVIDES ADDITIONAL SUPPORT FOR PATIENTS. BLANCHARD VALLEY REGIONAL HEALTH CENTER, ALONG WITH ITS AFFILIATES, PROVIDES UNRESTRICTED ACCESS TO CARE THROUGH THE ABOVE MENTIONED CAUGHMAN HEALTH CENTER, PHYSICIAN'S PLUS URGENT CARE FACILITY, AND ALL OF THEIR RELATED MEDICAL PRACTICES. WE ARE A SPONSORING AND PARTICIPATING MEMBER OF THE NORTHWEST OHIO FLOOD MITIGATION PARTNERSHIP WHICH IS WORKING TOWARDS RESOLVING THE FLOODING ISSUES IN OUR COMMUNITY.
Schedule H, Part VI, Line 7 State filing of community benefit report	OH

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MYRON LEWIS
CHIEF EXECUTIVE OFFICER	$0	$703,010	$0	$0	$0	$57,649	$0	$13,200	$0	$14,851	$0	$788,710	$0	$0
Dr Richard Polder
TRUSTEE	$0	$297,210	$0	$32,601	$0	$46,180	$0	$13,200	$0	$13,084	$0	$402,275	$0	$0
Dave Cytlak
CHIEF FINANCIAL OFFICER	$0	$442,673	$0	$0	$0	$43,359	$0	$19,800	$0	$8,746	$0	$514,578	$0	$0
Barbara J Pasztor
VP CHIEF NURSING OFFICER	$0	$250,525	$0	$0	$0	$32,555	$0	$17,130	$0	$7,027	$0	$307,237	$0	$0
DR DEREK THOMAS
PHYSICIAN	$491,170	$0	$223,175	$0	$14,277	$0	$13,200	$0	$10,960	$0	$752,782	$0	$0	$0
DR SHARON COLE
PHYSICIAN	$753,248	$0	$0	$0	$31,826	$0	$0	$0	$4,452	$0	$789,526	$0	$0	$0
DR IKE ONWERE
PHYSICIAN	$480,440	$0	$124,846	$0	$53,347	$0	$10,916	$0	$12,010	$0	$681,559	$0	$0	$0
DR ANKIT MODH
PHYSICIAN	$576,493	$0	$30,072	$0	$25,294	$0	$7,780	$0	$7,926	$0	$647,565	$0	$0	$0
DR OMAR AL ASAD
PHYSICIAN	$488,924	$0	$50,000	$0	$12,623	$0	$3,138	$0	$10,534	$0	$565,219	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	FormAndLineReferenceDesc
Explanation	IN 2023, BLANCHARD VALLEY HEALTH SYSTEM CALCULATED SERP PAYMENTS TO BE CONTRIBUTED IN 2024. $114,858 WILL BE CONTRIBUTED ON BEHALF OF MYRON LEWIS TO A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2024. SERP CONTRIBUTIONS IN THE AMOUNT OF $96,553 WERE MADE FOR THE BENEFIT OF MYRON LEWIS IN 2023. THE SERP IS AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT CONSISTING OF TWO PLANS: AN ELIGIBLE PLAN SUBJECT TO INTERNAL REVENUE CODE SECTION 457(B) AND AN INELIGIBLE PLAN SUBJECT TO SECTION 457(F). THE 457(B) PLAN WAS ORIGINALLY IMPLEMENTED EFFECTIVE JANUARY 1, 2002. THE 457(F) PLAN WAS ORIGINALLY EFFECTIVE SEPTEMBER 1, 2000 AND WAS RESTATED ON JANUARY 1, 2002 FOR COORDINATION WITH THE 457(B) PLAN. IN 2010 AND 2011, THE 457(F) PLAN WAS FURTHER AMENDED AND RESTATED TO COMPLY WITH THE LATEST REGULATORY GUIDANCE AND PROVIDE FOR A NEW CONTRIBUTION MODEL AND VESTING SCHEDULE. ADDITIONAL EXECUTIVES WERE ALSO ADDED AND DEEMED ELIGIBLE FOR PLAN BENEFITS IN 2010, INCLUDING DAVID CYTLAK. IN 2023, BLANCHARD VALLEY HEALTH SYSTEM CACLULATED SERP PAYMENTS TO BE CONTRIBUTED IN 2024. $31,599 WILL BE CONTRIBUTED ON BEHALF OF DAVID CYTLAK TO THE SERP IN 2024. SERP CONTRIBUTIONS IN THE AMOUNT OF $27,474 WERE MADE FOR THE BENEFIT OF DAVID CYTLAK IN 2023. KEY FEATURES OF THE SERP, AS AMENDED AND RESTATED IN 2010/2011, INCLUDE THE FOLLOWING: * ELIGIBILITY IS LIMITED TO CERTAIN MANAGEMENT OR HIGHLY-COMPENSATED EMPLOYEES OF BVHS (I.E., TOP HAT REFERENCE). FUTURE PARTICIPATION IS UPON NOMINATION BY THE CEO AND APPROVAL BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. *EMPLOYEE CONTRIBUTIONS TO THE SERP ACCOUNT ARE NOT ALLOWED. EACH PARTICIPANT'S 457(B) ACCOUNT WILL BE CREDITED UP TO THE STATUTORY LIMIT ($20,500 IN 2022), WITH THE REMAINING AMOUNT BEING DEPOSITED INTO THE 457(F) ACCOUNT. EMPLOYER CONTRIBUTIONS TO THE 457(F) PLAN ARE SUBJECT TO A CLASS YEAR VESTING SCHEDULE, WITH A WAITING PERIOD SET AT 0-5 YEARS, DEPENDING ON THE AGE OF THE PARTICIPANT AT THE TIME OF CONTRIBUTION. UPON VESTING, THE FULL VESTED BALANCE WILL BE DISTRIBUTED TO THE PARTICIPANT AND CONSIDERED TAXABLE INCOME. IN ADDITION TO THE VESTING SCHEDULE ABOVE, 100% AND IMMEDIATE VESTING OF THE BENEFIT ACCRUED UPON ATTAINMENT OF NORMAL RETIREMENT AGE, DEATH, DISABILITY, INVOLUNTARY TERMINATION WITHOUT CAUSE, PLAN TERMINATION, OR CHANGE OF CONTROL. DISTRIBUTION OF THE VESTED PORTION OF THE 457(F) BENEFIT IS PAID AS A LUMP SUM AS SOON AS ADMINISTRATIVELY FEASIBLE.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
VILLAGE OF BLUFFTON OHIO
A	346400139	2017-12-28	$7,575,000	REFUND ISSUE DATED 6/13/2012	false	false	false
COUNTY OF HANCOCK
B	466400608	2011-04-14	$108,706,899	REFUND ISSUE DATED 11/4/2004	false	false	false
VILLAGE OF BLUFFTON OHIO
C	346400139	2017-12-14	$85,150,000	REFUNDING	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,750,000	$7,575,000	$96,210	$7,478,790	2017	Yes (true)	false	Yes (true)	Yes (true)
B	$104,325,000	$108,706,899	$1,874,847	$106,832,052	2011	Yes (true)	false	Yes (true)	Yes (true)
C	$10,040,000	$85,150,000	$1,106,427	$84,043,573	2017	false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)
B	false	false	Yes (true)	false	false	false	false	false	Yes (true)
C	false	Yes (true)	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a	CARDIOVASCULAR SERVICES: BLANCHARD VALLEY HEARTCARE CENTER OFFERS A COMPLETE RANGE OF SERVICES FOR COMPREHENSIVE CARDIAC CARE. SERVICES FOR DIAGNOSIS AND TREATMENT INCLUDE CORONARY ARTERY BYPASS SURGERY, VALVE REPLACEMENTS, CARDIAC AND PULMONARY REHABILITATION, AND DIAGNOSTIC TESTING INCLUDING EKGS, STRESS TESTS, HOLTER MONITORING, AND ECHOCARDIOGRAMS. THE CARDIAC AND PULMONARY REHAB PROGRAMS ARE NATIONALLY CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACPR). IN ADDITION, EDUCATION IS PROVIDED TO PATIENTS AND THEIR FAMILY, AS WELL AS COMMUNITY MEMBERS, ON A VARIETY OF HEART-RELATED TOPICS THROUGHOUT THE YEAR. THE EMERGENCY DEPARTMENTS AT BLANCHARD VALLEY HOSPITAL AND BLUFFTON HOSPITAL ADHERE TO THE NATIONAL GOLD STANDARD OF HEARTCARE THAT INCLUDES THE ADMINISTRATION OF CLOT BUSTERS AND OTHER DRUG THERAPY. ALL EMERGENCY DEPARTMENT PHYSICIANS AND NURSES HAVE RECEVIED EXTENSIVE EDUCATION IN CRITICAL CARDIAC CARE, WHICH INCLUDES ADVANCED CARDIAC LIFE SUPPORT. THANKS TO TEAMWORK, THE BVH EMERGENCY DEPARTMENT AND THE BLANCHARD VALLEY HEARTCARE CENTER CONSISTENTLY BEAT THE 90-MINUTE NATIONAL BENCHMARK FOR DOOR TO BALLOON TIME, ESTABLISHED BY THE AMERICAN COLLEGE OF CARDIOLOGY (ACC). IN 2022, OUR MEDIAN DOOR TO BALLOON TIME WAS 69 MINUTES.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 212,816,190 including grants of $)(Revenue $ 291,676,155) OTHER SERVICES PROVIDED AT BVRHC INCLUDE WOMAN'S SERVICES (GYNECOLOGY, OBSTETRICS BREAST HEALTH PEDIATRIC HOSPITALISTS, LEVEL 2 SPECIAL CARE NURSERY), ONCOLOGY SERVICES, UROLOGY/NEPHROLOGY SERVICES, SLEEP DISORDER MANAGEMENT, PAIN MANAGEMENT, WOULD CARE, AND DIALYSIS.
Form 990, Part VI, Line 1b	MYRON LEWIS AND DR. RICHARD POLDER ARE BOARD MEMBERS AND PAID EMPLOYEES OF A RELATED ORGANIZATION. DUE TO THEIR EMPLOYMENT, THEY ARE CONSIDERED NON INDEPENDENT VOTING MEMBERS OF THE BOARD.
Form 990, Part VI, Line 6 Classes of members or stockholders	BLANCHARD VALLEY HEALTH SYSTEM, AN OHIO NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF BLANCHARD VALLEY REGIONAL HEALTH CENTER.
Form 990, Part VI, Line 11b Review of form 990 by governing body	A DETAILED REVIEW OF THE FORM 990 IS PERFORMED BY THE ORGANIZATION'S COMPLIANCE & AUDIT COMMITTEE. THIS COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES, MEMBERS OF THE COMMUNITY, AND MEMBERS OF UPPER MANAGEMENT. THE COMPLIANCE & AUDIT COMMITTEE REPORTS TO THE BOARD OF TRUSTEES ANY AREAS OF CONCERN REGARDING THE FORM 990S. ONCE THE FORM 990S HAVE BEEN FINALIZED, REVIEWED AND APPROVED, THE MEMBERS OF BOARD OF TRUSTEES RECEIVE ELECTRONIC COMMUNICATION THAT THE FORM 990S ARE COMPLETE AND AVAILABLE FOR REVIEW. ANY QUESTIONS ARISING FROM BOARD MEMBERS ARE ADDRESSED BY THE COMPLIANCE & AUDIT COMMITTEE, UPPER MANAGEMENT, THE ACCOUNTING DEPARTMENT, AND/OR EXTERNAL ACCOUNTANTS.
Form 990, Part VI, Line 12c Conflict of interest policy	ANNUALLY, THE ORGANIZATION ASKS ITS BOARD MEMBERS, CORPORATE OFFICERS, UPPER MANAGEMENT, AND KEY EMPLOYEES TO COMPLETE CONFLICT OF INTEREST SURVEYS. THESE SURVEYS ALSO INCLUDE RELATIONSHIP & ACTIVITY QUESTIONS THAT THESE INDIVIDUALS ARE ASKED TO COMPLETE FOR THE FORM 990 FILING YEAR. BOARD MEMBERS ARE REQUIRED TO BRING TO THE ATTENTION OF EXECUTIVE MANAGEMENT ANY CONFLICTS AS THEY ARISE. THESE CONFLICTS ARE DOCUMENTED IN THE BOARD MINUTES. BOARD MEMBERS THAT HAVE CONFLICTS ARE TO EXCUSE THEMSELVES FROM DISCUSSIONS AND/OR VOTING ON ISSUES WITH WHICH A CONFLICT EXISTS.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE ORGANIZATION REVIEWS EXECUTIVE COMPENSATION, BENEFITS, AND PREREQUESITES ON A PERIODIC BASIS TO ENSURE CONSISTENCY WITH COMPENSATION PHILOSOPHY AND MARKET PRACTICE. A SUBSET OF MEMBERS FROM THE BOARD OF TRUSTEES SERVES AS THE EXECUTIVE COMPENSATION REVIEW COMMITTEE, AND THIS COMMITTEE MEETS TO APPROVE WAGE INCREASES AS WELL AS REVIEWS THE ORGANIZATION'S POSITION IN THE MARKET WHEN IT COMES TO EXECUTIVE COMPENSATION. IN ADDITION, THE EXECUTIVE COMPENSATION REVIEW COMMITTEE REGULARLY ENGAGES A HUMAN RESOURCES CONSULTING FIRM TO ASSESS THE REASONABLENESS OF THE COMPENSATION PROGRAM USED FOR ITS EXECUTIVES. THE ORGANIZATION IS COMMITTED TO A DECISION-MAKING PROCESS FOR EXECUTIVE COMPENSATION THAT IS CONSISTENT WITH INTERNAL REVENUE CODE SECTION 4958 REQUIREMENTS FOR OBTAINING A REBUTTABLE PRESUMPTION OF REASONABLENESS. THE MEMBERS OF THE COMMITTEE APPROVING EXECUTIVE COMPENSATION DECISIONS ARE INDIVIDUALS WHO ARE DISINTERESTED (I.E., DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE ARRANGEMENTS). THE COMMITTEE REVIEWS OBJECTIVE DATA, INCLUDING SURVEY DATA PREPARED BY INDEPENDENT FIRMS, AS PART OF THE DECISION-MAKING PROCESS. *THE MARKET DATA PROVIDED IN THE COMPENSATION REPORT FROM THE CONSULTING FIRM ASSISTS THE ORGANIZATION IN ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS. THE ORGANIZATION CONSULTS WITH SULLIVAN COTTER AND ASSOCIATES (AN EXTERNAL CONSULTANT) ON AN ANNUAL BASIS TO REVIEW COMPENSATION MATTERS. ON A BIENNIAL BASIS, THE ORGANIZATION PERFORMS A FULL COMPENSATION AND BENEFIT ANALYSIS AND REVIEW. THE RESULTS OF THE REVIEW BY SULLIVAN COTTER AND ASSOCIATES ARE SHARED/DISCUSSED WITH THE BOARD.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE SAME PROCESS APPLIES FOR ALL OTHER EXECUTIVE STEERING COMMITTEE MEMBERS AS DETAILED FOR THE CEO.
Form 990, Part VI, Line 19 Required documents available to the public	FINANCIAL STATEMENTS, REQUIRED TAX FORMS (I.E., FORM 990), AS WELL AS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH THE ADMINISTRATIVE AND FINANCE OFFICES.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN INTEREST RATE SWAP AGREEMENT - 5625000; DEFINED BENEFIT PENSION PLAN - 4462000; OTHER CHANGES IN NONCONTROLLING INTEREST - -4599000; TRANSFERS TO AFFILIATES - -66440000; CHANGE IN PERPETUAL TRUSTS - 599000; PENSION SETTLEMENT COST - -5888000;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CRNA OF BLANCHARD VALLEY LLC
1900 SOUTH MAIN STREET	FINDLAY	OH	45840	061748552	CERT NURSE	OH	BVRHC
BLANCHARD VALLEY MEDICAL PRACTICES LLC
1900 SOUTH MAIN STREET	FINDLAY	OH	45840	421659766	PHYS OFFICES	OH	BVHS
BLANCHARD VALLEY HOME CARE SERVICES
1900 SOUTH MAIN STREET	FINDLAY	OH	45840	421565629	HOME HEALTH	OH	BVCCS
NEUROSURGICAL ASSOCIATES OF NW OHIO
1900 SOUTH MAIN STREET	FINDLAY	OH	45840	342052585	PHYS OFFICES	OH	BVMP
SPECIALTY PHYSICIANS OF BLANCHARD VALLEY
1900 SOUTH MAIN STREET	FINDLAY	OH	45840	262448601	PHYS OFFICES	OH	BVMP
BLANCHARD VALLEY REGIONAL CANCER CENTER
1900 SOUTH MAIN STREET	FINDLAY	OH	45840	050623393	CANCER CARE	OH	BVMP
HANCO EMERGENCY MEDICAL SERVICES LLC
1900 SOUTH MAIN STREET	FINDLAY	OH	45840	463299390	AMBULANCE	OH	BVHS
BIRCHAVEN ESTATES AT EASTERN WOODS LTD
1900 SOUTH MAIN STREET	FINDLAY	OH	45840	201494204	CONDOMINIUMS	OH	BVCCS
BEYOND MEDSPA LLC
1900 SOUTH MAIN STREET	FINDLAY	OH	45840	814440286	COSMETIC SPA	OH	BVHS
FINDLAY SURGERY CENTER LTD
1900 SOUTH MAIN STREET	FINDLAY	OH	45840	870620245	SURGERY CENT	OH	BVRHC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Public Charity StatusPublicCharityStatusTxt
BLANCHARD VALLEY HEALTH SYSTEM
1900 SOUTH MAIN STREET	FINDLAY	OH	45840	344428206	HEALTH CARE	OH	501(c)(3)	NA	Yes (true)
BLANCHARD VALLEY CONTINUING CARE SERVICE
1900 SOUTH MAIN STREET	FINDLAY	OH	45840	346006904	CONTINUING CARE SERVICES	OH	501(c)(3)	BVHS	Yes (true)	10
BLANCHARD VALLEY HEALTH FOUNDATION
1900 SOUTH MAIN STREET	FINDLAY	OH	45840	341370522	FUNDRAISING	OH	501(c)(3)	BVHS	false	7
EC EDWARDS MEMORIAL TRUST
1900 SOUTH MAIN STREET	FINDLAY	OH	45840	346953719	INVESTMENT	OH	501(c)(3)	BVHF	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	UBI Code VUBICodeVAmt
BLANCHARD VALLEY PAIN MANAGEMENT
PAIN MGMT	OH	BVRHC	Related	$4,685,493	$0	false	false	0.51
TECHNICORE CLINICAL ENGINEERING
BIO-MED SUPPORT	OH	BVRHC	Related	$79,611	$407,951	false	false	0.67	$6,075
NORTHWEST OHIO MEDICAL EQUIPMENT
MEDICAL EQUIP	OH	BVCCS	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CITAS INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 SOUTH MAIN STREET	AddressLine1Txt
City	FINDLAY	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45840	ZIPCd

Field	Value	IRS element (for citing)
EIN	341369708	EIN
Primary Activities	RECRUITING	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	BVHS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	TECHNICORE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	L	TransactionTypeTxt
Involved	$142,045	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt