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      <Desc>Disaster Preparedness COVID-19 Initiatives and Funding: - Facilitated Ohio Governor's Executive Advisory Group - Facilitated weekly surgeon/proceduralist forums - Collaborated with Ohio Department of Administrative Services for procurement of viable PPE product options - Facilitated and updated congregate care and hospital pairing list - Member of Vaccine Planning Workgroup - Facilitated bi-weekly forum of infectious disease physicians - Served on monthly Housing and Homelessness forums - Collaborated with ODH/Governor's office on creating a staffing relief resource - Administered the Hospital Association COVID-19 Preparedness grant funding from the Department of Health and Human Services (HHS) Assistant Secretary for Preparedness and Response (ASPR)</Desc>
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        <Desc>Safety &amp; Quality Sepsis Mortality: For the seventh year, the OHA Statewide Sepsis Initiative was facilitated in response to the OHA Board-directed goal of a statewide reduction in sepsis mortality to 14.9%. One hundred twenty-five member hospitals have maintained their commitment to participate in the ongoing initiative which includes data submission regarding compliance to the elements of the 3-hour sepsis bundle, monthly educational/coaching calls, and dissemination of effective practices. A sepsis website was hosted and maintained. Evidence-based, approved, continuing education webcasts were posted to the site along with evidence-based literature and resources. OHA analyzed and provided quarterly sepsis comparator data outcomes reports to participating hospitals. Report enhancements were made to include the addition of live links to web-based sepsis resources. A "COVID-19 landmarks" document was developed and is updated monthly, for use when interpreting data and as a tool to consider the landmarks that occur throughout the evolving pandemic. Continuous Service Readiness (CSR): Access to continuous survey readiness services for hospital accreditation were facilitated for 85 member hospitals via subscription to the CSR consultant service. Both Spring and Fall conferences were provided virtually, related to accreditation standards. Regional Quality Collaboratives: Regional quality collaboratives were facilitated in the Northeast, Central and Northwest Ohio regions. Each collaborative was facilitated by a chairperson or two co-chairs. Collaborative services included facilitating meetings and providing quarterly data reports including Patient Safety Indicators (PSI), Readmissions, and Sepsis. Hand Hygiene: In 2021, the hand hygiene program contracted hand hygiene observers and reporting continued. Certain hospitals and hospital systems saw the need for continuous hand hygiene monthly monitoring and at higher thresholds of observations than associated with projects typically led by OHA. In 2021, the hand hygiene subscription service expanded from 42 hospitals to 58 hospitals.</Desc>
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        <Desc>Ohio Patient Safety Institute Patient Safety Organization (OPSI PSO) Patient safety data collection and analysis was continued for 49 members voluntarily participating in Ohio Patient Safety Institute Patient Safety Organization (OPSI PSO) while securing uniform federal confidentiality and privilege protections. OPSI maintained its three objectives: 1. OPSI shall set the Ohio patient safety agenda as the convener or facilitator by: - Identifying, sharing, disseminating best practices, and using those practices to set statewide benchmarks - Acting as the catalyst to provide safe patient-centered care along the continuum 2. As a designated PSO, OPSI will be a conduit to identify opportunities for improvement and effective practices by: - Adopting and developing tools to enhance patient safety - Providing leadership and consulting services to integrate evidence-based safe practices in healthcare settings - Working with local, state, and national partners whenever possible 3. OPSI shall be a leader in creating a learning culture that emphasizes patient safety through professionalism, collaboration, interpersonal skills, and teamwork by: - Spreading a culture of safety, mitigating risks, facilitating effective communication, and enhancing safe behavior OPSI PSO conducted user groups and provided multiple webcasts. OPSI awarded the following recognitions in 2021: - OPSI Patient Engagement Best Practice Award to University Hospitals Cleveland Medical Center for "Continuous Remote Monitoring Program in Patients at High Risk of Decompensation who were Discharged from the Emergency Department with COVID-19" - OPSI COVID-19 Best Practice Award to University Hospitals for "COVID-19 Intercept Strategy" - OPSI Acute Care Best Practice Award to LakeHealth for "Eliminating Post-Operative Respiratory Failure"</Desc>
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        <Desc>Community Health Opioid Response Initiative (ORI): The Opioid Response Initiative began as a targeted initiative aimed at hospitals most disproportionately affected by the opioid epidemic. The goals of the ORI are divided into three focus areas of advocacy, intervention and economic sustainability with clinical interventions grouped into target areas of prevention, harm reduction, and transition to treatment and recovery. In addition to the remarkable clinical initiatives launched by member hospitals and shared among ORI participants, much of the efforts have been concentrated in two areas: Data Support and Grant Development. Data Support: -Continued support for the public data release for opioid overdose with data presented statewide, by market area, and by county, with appropriate HIPAA restrictions -The Opioid Data Collaborative, or ODC, was launched July 2018 to serve as a data-aggregating and benchmarking service for opioid prescribing at participating hospitals with a goal to support hospitals' internal efforts in right-sizing opioid prescribing by peer-to-peer education and large statewide comparison groups -The practice areas include emergency departments, hospital discharge, outpatient surgical centers, and physician offices -Participating hospitals receive free quarterly reports. First reports were delivered in December 2019: 1. Data Integrity Report - this includes data at the hospital level and is intended to provide a view of the data the facility has submitted 2. Use Case Report - this includes data for hospital(s) and health system (if applicable) and is intended to provide information about data compared to the project-wide benchmarks 3. Provider Report - this includes data for each individual hospitals' providers and is intended to provide information about the hospital specific data compared to the health system (if applicable) and the project-wide benchmarks for hospitals who submit this data. -At the time of this submission, there are 103 participating hospitals and/or health systems -In 2021, 483 reports were produced as a part of the ODC for these participating hospitals and health systems. Grant Development: The Educating Ohio's Prescribers grant from the Coverys Community Healthcare Foundation provides education around three focus areas, each with its own timeline: Compliance Education, Comparative Education, and Best Practices Education. Comparative Education Opioid Data Collaborative 2.0: As established through this partnership with Coverys, the Opioid Data Collaborative (ODC) 2.0 work began in 2020 as a continuation of previously funded work. We currently have 103 OHA member hospitals and facilities participating in the OHA Opioid Data Collaborative. This represents a very large portion of the total inpatient and outpatient encounter volume for Ohio. OHA had been in the process of completing agreements with two other large health systems and two independent hospitals who were considering or were in the process of joining the ODC, but the pandemic impacted and stalled those conversations. The OHA data team developed a data architecture and framework for aggregating, benchmarking and reporting the data back to participants. The following data metrics are benchmarked for hospitals and providers: Hospital Report: 1. Morphine Equivalent Dose (MED) Calculation -The MED is calculated using the State of Ohio Board of Pharmacy MME conversion factors and formula provided here: https://www.ohiopmp.gov/Documents/MorphineEquivalentDailyDoseConversionTable.pdf 2.Average Daily MED -This calculation is applied to all prescriptions in the specified care setting and use case in each report section: Total MED/ Number of All Opioid Prescriptions 3. Acute Prescriptions -The days supply for the prescription is 28 days or less. 4.Non-Acute Prescriptions -The days supply for the prescriptions is greater than 28 days. 5.Prescription count Provider Report: - each by specialty and use case/care setting: 1. Provider Count -Number of physicians who wrote a prescription 2. Prescription Count -Number of opioid prescriptions that were written 3. Average daily MED by physician specialty 4. Daily MED range by physician specialty The first round of reports was released to hospitals in December of 2019. This involved the release of 154 reports back to participating members of the ODC. To express the level of detail within these reports, some of the Provider Reports were over one hundred pages in length. Hospitals have received quarterly reports with the most recent being for Q2 2022 data. Hospitals received a hospital-level report that included benchmark data on for four different care settings and six pre-determined use case groups. Following the first round of reports that were released to participants, OHA has been in ongoing discussions with the ODC to explore the data and see if there are additional use cases that warrant being included in future reports. After allowing enough time for hospital teams to analyze the reports internally, OHA gathers feedback to be used to increase the value of the reports back to members. This will be used internally to determine how we might be able to adjust the reports, data metrics, and data submission for future iterations of the report. Since the ODC began producing their first reports in July 2019, for Q4 2018 data, OHA has released seven iterations of these reports. Participants receive their Data Integrity Reports, Use Case Reports, and Provider Reports (for those submitting that level of data). Since the initiative's inception, OHA has produced over 975 individual reports for all participating hospitals and health systems. Best Practice Education: Opioid-related Webinar Series: OHA had begun planning for the 2020 education opportunities for hospitals, but the pandemic created a circumstance where both OHA and hospital resources were limited. In consultation with Coverys, it was determined most practical to delay this work. Four sessions were hosted in 2019. Previously, OHA worked with hospitals as a part of a federal grant called the Hospital Improvement Innovation Networks. Part of that scope of work included opioids, and that grant ended in early 2020. Based on the Spring of 2019 HIIN Opioid gap analysis only 12 out of 101 hospitals had a comprehensive Opioid Stewardship program in place. In reflection of COVID effect on hospitals efforts surrounding Opioid education, it was determined a series on developing a comprehensive Opioid Stewardship program would be beneficial for most hospitals. The Opioid Stewardship program developed a six-part series with an option for an additional webcast. In addition, two opioid regional coordinators were hired to assist hospitals with their progress toward the development of an internal opioid stewardship program. The Opioid regional coordinators work one-on-one with hospitals to assist with implementation of opioid stewardship programs; make routine visits offer appropriate support; follow-up on areas of opportunity from opioid Gap analysis; provide resources and share effective practices with hospitals; follow-up regarding progress towards goals; and identify and collect resources to share. In addition, they assist with the development of continuing education programs; source speakers for monthly opioid presentations, and obtain necessary documentation for continuing education application The opioid stewardship web series was offered at no fee to participants and provided continuing education credits to pharmacists and nurse. At the completion of the Opioid Stewardship web series, the participant will discuss key actions for implementation of a successful opioid stewardship program. Maternal and Infant Health Infant Mortality: -OHA served on executive/steering committees for the Ohio Perinatal Quality Collaborative and Ohio March of Dimes. -OHA has a seat on the state of Ohio Commission on Infant Mortality and Ohio Newborn Advisory Steering Committee -OHA served on the Ohio Governor's Task Force to Eliminate Disparities in Infant Mortality Breastfeeding: -The First Steps for Healthy Babies, a quarterly recognition program for hospitals implementing the 10 Steps to Successful Breastfeeding, was launched in March of 2015 in partnership with the Ohio Department of Health. In 2021, the program continued its reach to over 99% of the maternity hospitals in the state. -The First Steps program partnered with the Ohio Lactation Consultants Association (OLCA) and Ohio Breastfeeding Alliance (OBA) to revive a 'Bag Free' recognition program for hospitals. This program launched in early 2016 and was continued in 2021. 79 hospitals were recognized in 2021 for their work in 2020. This reflects over a 50% increase in participation since the first year.</Desc>
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        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Internal Revenue Service has ruled that the Foundation is a tax exempt organization as defined under Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for federal income taxes has been made in the financial statements. Additionally, the Foundation has been determined not to be a private foundation under Section 509(a) of the U.S. Internal Revenue Code. Accounting principles generally accepted in the United States of America prescribe recognition thresholds and measurement attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Tax benefits will be recognized only if the tax position is more likely-than-not sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized will be the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the more-likely-than-not test, no tax benefit will be recorded. Management has concluded that they are unaware of any tax benefits or liabilities to be recognized at December 31, 2021 and 2020. The Foundation does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Foundation would recognize interest and penalties related to the unrecognized tax benefits in interest and income tax expense, respectively. The Foundation has no amounts accrued for interest or penalties as of December 31, 2021 and 2020.</ExplanationTxt>
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          <BusinessNameLine1Txt>Community Memorial Hospital</BusinessNameLine1Txt>
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          <AddressLine1Txt>208 North Columbus Street</AddressLine1Txt>
          <CityNm>Hicksville</CityNm>
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          <AddressLine1Txt>951 East Market Street</AddressLine1Txt>
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          <BusinessNameLine1Txt>Knox Community Hospital</BusinessNameLine1Txt>
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          <AddressLine1Txt>1330 Coshocton Road</AddressLine1Txt>
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          <AddressLine1Txt>4646 Hilton Corporate Drive</AddressLine1Txt>
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          <BusinessNameLine1Txt>Ohio Hospital for Psychiatry LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>880 Greenlawn Ave</AddressLine1Txt>
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          <BusinessNameLine1Txt>Van Wert Health</BusinessNameLine1Txt>
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          <AddressLine1Txt>1250 South Washington Street</AddressLine1Txt>
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        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Trustees and management monitor the use of grants to ensure they are used for their intended purposes. Additionally, an audit of compliance in accordance with Uniform Guidance was performed. Under federal guidelines, the Foundation is responsible for monitoring grant recipients to help assure that federal awards are expended for authorized purposes in compliance with law, regulations and the provisions of contracts or grant agreements, and that performance goals are achieved.</ExplanationTxt>
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          <BusinessNameLine1Txt>Michael Abrams</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Mary Gallagher</BusinessNameLine1Txt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization relied on Ohio Hospital Association's (OHA), a related tax-exempt organization, process to compensate the Chief Executive Officer (CEO). AN INDEPENDENT COMPENSATION COMMITTEE DELEGATED BY THE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE YEARLY COMPENSATION REVIEW OF THE CEO. OUTSIDE CONSULTANTS, SALARY SURVEYS, AND DATA FROM COMPARABLE ORGANIZATIONS ARE USED IN THE PROCESS OF DETERMINING THE CEO'S COMPENSATION. THIS PROCESS WAS LAST PERFORMED IN 2021 AND IS DOCUMENTED WITHIN THE COMPENSATION COMMITTEE MINUTES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>Mike Abrams participates in a SERP 457(f) plan maintained by OHA. Amounts includible in income under section 457(f) = $0 Contributions to nonqualified plans (nonvested) = $88,155</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d PROGRAM SERVICE DESCRIPTION (Cont.)</FormAndLineReferenceDesc>
        <ExplanationTxt>Maternal Health: OHA created a Maternal Health Steering Committee with member hospitals, health systems, and partner organizations. This group includes representatives from rural hospitals, large systems, AWHONN, ACOG, OPQC, and other healthcare partners. In 2020, OHA partnered with the Ohio Department of Health (ODH) to submit an application for Ohio to join the national ACOG program, the Alliance for Innovation on Maternal Health (AIM). This application was accepted in September 2020. Additionally, OHA continues to serve on the steering committee of a HRSA funded project that is run through ODH to pilot work around severe maternal hypertension. The OHA has been providing quarterly hospital benchmark reports on maternal health outcomes, including 'Severe Maternal Morbidity'. In 2021, OHA provided 392 total reports to member hospitals at no cost. Physician Leadership Council The Physician Leadership Council, launched in 2017, brought together physician leaders from statewide hospitals and health systems. Four meetings of the Physician Leadership Council and a series of webcasts were facilitated in 2021. Continuing Education Provider Unit: The Ohio Hospital Association is approved as a provider unit of continuing education by the Ohio Board of Nursing through the approver unit at the Ohio League for Nursing and provider unit status is valid through June 30, 2023. In 2021, OHA successfully maintained its nursing continuing education provider unit status and a total of 77.22 hours of approved continuing nursing education were provided via this unit.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 210,684 including grants of $) Community Health Opioid Response Initiative (ORI): The Opioid Response Initiative began as a targeted initiative aimed at hospitals most disproportionately affected by the opioid epidemic. The goals of the ORI are divided into three focus areas of advocacy, intervention and economic sustainability with clinical interventions grouped into target areas of prevention, harm reduction, and transition to treatment and recovery. In addition to the remarkable clinical initiatives launched by member hospitals and shared among ORI participants, much of the efforts have been concentrated in two areas: Data Support and Grant Development. Data Support: -Continued support for the public data release for opioid overdose with data presented statewide, by market area, and by county, with appropriate HIPAA restrictions -The Opioid Data Collaborative, or ODC, was launched July 2018 to serve as a data-aggregating and benchmarking service for opioid prescribing at participating hospitals with a goal to support hospitals' internal efforts in right-sizing opioid prescribing by peer-to-peer education and large statewide comparison groups -The practice areas include emergency departments, hospital discharge, outpatient surgical centers, and physician offices -Participating hospitals receive free quarterly reports. First reports were delivered in December 2019: 1. Data Integrity Report - this includes data at the hospital level and is intended to provide a view of the data the facility has submitted 2. Use Case Report - this includes data for hospital(s) and health system (if applicable) and is intended to provide information about data compared to the project-wide benchmarks 3. Provider Report - this includes data for each individual hospitals' providers and is intended to provide information about the hospital specific data compared to the health system (if applicable) and the project-wide benchmarks for hospitals who submit this data. -At the time of this submission, there are 103 participating hospitals and/or health systems -In 2021, 483 reports were produced as a part of the ODC for these participating hospitals and health systems. Grant Development: The Educating Ohio's Prescribers grant from the Coverys Community Healthcare Foundation provides education around three focus areas, each with its own timeline: Compliance Education, Comparative Education, and Best Practices Education. Comparative Education Opioid Data Collaborative 2.0: As established through this partnership with Coverys, the Opioid Data Collaborative (ODC) 2.0 work began in 2020 as a continuation of previously funded work. We currently have 103 OHA member hospitals and facilities participating in the OHA Opioid Data Collaborative. This represents a very large portion of the total inpatient and outpatient encounter volume for Ohio. OHA had been in the process of completing agreements with two other large health systems and two independent hospitals who were considering or were in the process of joining the ODC, but the pandemic impacted and stalled those conversations. The OHA data team developed a data architecture and framework for aggregating, benchmarking and reporting the data back to participants. The following data metrics are benchmarked for hospitals and providers: Hospital Report: 1. Morphine Equivalent Dose (MED) Calculation -The MED is calculated using the State of Ohio Board of Pharmacy MME conversion factors and formula provided here: https://www.ohiopmp.gov/Documents/MorphineEquivalentDailyDoseConversionTable.pdf 2.Average Daily MED -This calculation is applied to all prescriptions in the specified care setting and use case in each report section: Total MED/ Number of All Opioid Prescriptions 3. Acute Prescriptions -The days supply for the prescription is 28 days or less. 4.Non-Acute Prescriptions -The days supply for the prescriptions is greater than 28 days. 5.Prescription count Provider Report: - each by specialty and use case/care setting: 1. Provider Count -Number of physicians who wrote a prescription 2. Prescription Count -Number of opioid prescriptions that were written 3. Average daily MED by physician specialty 4. Daily MED range by physician specialty The first round of reports was released to hospitals in December of 2019. This involved the release of 154 reports back to participating members of the ODC. To express the level of detail within these reports, some of the Provider Reports were over one hundred pages in length. Hospitals have received quarterly reports with the most recent being for Q2 2022 data. Hospitals received a hospital-level report that included benchmark data on for four different care settings and six pre-determined use case groups. Following the first round of reports that were released to participants, OHA has been in ongoing discussions with the ODC to explore the data and see if there are additional use cases that warrant being included in future reports. After allowing enough time for hospital teams to analyze the reports internally, OHA gathers feedback to be used to increase the value of the reports back to members. This will be used internally to determine how we might be able to adjust the reports, data metrics, and data submission for future iterations of the report. Since the ODC began producing their first reports in July 2019, for Q4 2018 data, OHA has released seven iterations of these reports. Participants receive their Data Integrity Reports, Use Case Reports, and Provider Reports (for those submitting that level of data). Since the initiative's inception, OHA has produced over 975 individual reports for all participating hospitals and health systems. Best Practice Education: Opioid-related Webinar Series: OHA had begun planning for the 2020 education opportunities for hospitals, but the pandemic created a circumstance where both OHA and hospital resources were limited. In consultation with Coverys, it was determined most practical to delay this work. Four sessions were hosted in 2019. Previously, OHA worked with hospitals as a part of a federal grant called the Hospital Improvement Innovation Networks. Part of that scope of work included opioids, and that grant ended in early 2020. Based on the Spring of 2019 HIIN Opioid gap analysis only 12 out of 101 hospitals had a comprehensive Opioid Stewardship program in place. In reflection of COVID effect on hospitals efforts surrounding Opioid education, it was determined a series on developing a comprehensive Opioid Stewardship program would be beneficial for most hospitals. The Opioid Stewardship program developed a six-part series with an option for an additional webcast. In addition, two opioid regional coordinators were hired to assist hospitals with their progress toward the development of an internal opioid stewardship program. The Opioid regional coordinators work one-on-one with hospitals to assist with implementation of opioid stewardship programs; make routine visits offer appropriate support; follow-up on areas of opportunity from opioid Gap analysis; provide resources and share effective practices with hospitals; follow-up regarding progress towards goals; and identify and collect resources to share. In addition, they assist with the development of continuing education programs; source speakers for monthly opioid presentations, and obtain necessary documentation for continuing education application The opioid stewardship web series was offered at no fee to participants and provided continuing education credits to pharmacists and nurse. At the completion of the Opioid Stewardship web series, the participant will discuss key actions for implementation of a successful opioid stewardship program. Maternal and Infant Health Infant Mortality: -OHA served on executive/steering committees for the Ohio Perinatal Quality Collaborative and Ohio March of Dimes. -OHA has a seat on the state of Ohio Commission on Infant Mortality and Ohio Newborn Advisory Steering Committee -OHA served on the Ohio Governor's Task Force to Eliminate Disparities in Infant Mortality Breastfeeding: -The First Steps for Healthy Babies, a quarterly recognition program for hospitals implementing the 10 Steps to Successful Breastfeeding, was launched in March of 2015 in partnership with the Ohio Department of Health. In 2021, the program continued its reach to over 99% of the maternity hospitals in the state. -The First Steps program partnered with the Ohio Lactation Consultants Association (OLCA) and Ohio Breastfeeding Alliance (OBA) to revive a 'Bag Free' recognition program for hospitals. This program launched in early 2016 and was continued in 2021. 79 hospitals were recognized in 2021 for their work in 2020. This reflects over a 50% increase in participation since the first year.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a Common Pay Agent</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIO HOSPITAL ASSOCIATION (OHA) EIN 31-4270340 IS THE COMMON PAYING AGENT FOR THE FOLLOWING RELATED ORGANIZATIONS. THEREFORE, ALL APPLICABLE IRS TAX FILINGS ARE REPORTED BY OHA. --OHIO HOSPITALS GROUP RATED WORKERS COMPENSATION PROGRAM, INC. EIN 31-1314404 --THE RESEARCH &amp; EDUCATIONAL FOUNDATION OF THE OHIO HOSPITAL ASSOCIATION EIN 31-6060347 --OHIO HEALTHCARE PURCHASING EIN 20-0414070 THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, OHA, FOR THE YEAR ENDED DECEMBER 31, 2021 WAS 56. FOR PURPOSES OF REPORTING THE NUMBER OF EMPLOYEES ON THE FORM 990, PART V, LINE 2A, THERE WERE THE FOLLOWING FOR EACH RESPECTIVE ORGANIZATION: --OHIO HOSPITAL ASSOCIATION - 53 EMPLOYEES --OHIO HOSPITALS GROUP RATED WORKERS COMPENSATION PROGRAM, INC. - 0 EMPLOYEES --THE RESEARCH &amp; EDUCATIONAL FOUNDATION OF THE OHIO HOSPITAL ASSOCIATION - 3 EMPLOYEES --OHIO HEALTHCARE PURCHASING - 0 EMPLOYEES</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE OTHER OFFICERS OR KEY EMPLOYEES THAT RECEIVE COMPENSATION. THEREFORE, THIS QUESTION IS NOT APPLICABLE AND HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. THEY ARE COMPENSATED BY THE ORGANIZATION'S COMMON PAY AGENT, OHIO HOSPITAL ASSOCIATION (OHA), A RELATED TAX-EXEMPT ORGANIZATION. OHA CURRENTLY USES AN OUTSIDE CONSULTANT TO PERIODICALLY PROVIDE A BENCHMARK OF COMPARABLE SALARY RANGES FOR ALL OFFICERS AND KEY EMPLOYEES. THIS PROCESS WAS LAST PERFORMED IN 2020. OHIO HOSPITAL ASSOCIATION'S COMPENSATION IS BASED ON THE USE OF THIS DATA FOR SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS AT SIMILAR SIZED ASSOCIATIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a PROCESS USED TO DETERMINE COMPENSATION FOR TOP MANAGEMENT OFFICIAL</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE OFFICERS THAT RECEIVE COMPENSATION. THEREFORE, THIS QUESTION IS NOT APPLICABLE AND HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. THE CEO IS COMPENSATED BY THE ORGANIZATION'S COMMON PAY AGENT, OHIO HOSPITAL ASSOCIATION (OHA), A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION PROCESS IS THAT OF OHA'S. AN INDEPENDENT COMPENSATION COMMITTEE DELEGATED BY THE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE YEARLY COMPENSATION REVIEW OF THE CHIEF EXECUTIVE OFFICER (CEO). OUTSIDE CONSULTANTS, SALARY SURVEYS, AND DATA FROM COMPARABLE ORGANIZATIONS ARE USED IN THE PROCESS OF DETERMINING THE CEO'S COMPENSATION. THIS PROCESS WAS PERFORMED IN 2021 AND IS DOCUMENTED WITHIN THE COMPENSATION COMMITTEE MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of trustees may, by resolution, establish an executive committee, which shall consist of at least three (3) trustees, which committee shall have the power to transact all of the business of the corporation during the interim between meetings of the board of trustees and which shall have and exercise the authority of the board of trustees in the management of the corporation subject to any restrictions established by the board of trustees. The designation of the executive committee and the delegation thereto of such authority shall not operate to relieve the board of trustees, or any individual trustee of any responsibility imposed by law. The executive committee shall be subject to the control and direction of the board of trustees. Additionally, as the sole member of filing organization, Ohio Hospital Association, a related tax-exempt organization, has broad authority to act on behalf of the governing body. Please see the narratives for Part VI, Lines 6, 7a and 7b for a description of such authority.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member of the Corporation shall be the Ohio Hospital Association, an Ohio nonprofit corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>As the sole member of the filing organization, OHA has the right to elect, appoint or remove members of the governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>As the sole member of the filing organization, OHA has the right to approve or deny significance governance decisions of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 and supplemental schedules were reviewed by management and the Audit Committee Chair with the paid tax preparer. A copy of the organization's final form 990 (including required schedules), as ultimately filed with the IRS, was provided to each voting member of the organization's governing body, officers, and management prior to its filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH TRUSTEE, DIRECTOR, PRINCIPAL OFFICER, other officer, key employee, AND MEMBER OF A COMMITTEE WITH BOARD DESIGNATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE DUALITY OF INTEREST AND CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THE ORGANIZATION IS TAX-EXEMPT AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. After a disclosure, and after any discussions with the interested person, the interested person may be asked by the chairperson to leave the board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. If a conflict of interest exists, the interested person may make a presentation to the board or committee and may be asked to leave the meeting during the discussion of, and the vote on, the arrangement that results in the conflict. After exercising due diligence, the board or committee shall determine whether the company can obtain a more advantageous arrangement with reasonable efforts from a person that would not give rise to a conflict of interest. If that is not reasonably attainable, the board or committee shall determine by a majority vote of the disinterested directors whether the arrangement is in the company's best interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial statements, governing documents, and conflict of interest policy are available upon request from the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Quality/Patient Safety Consulting - Total Expense: 149000, Program Service Expense: 149000, Management and General Expenses: , Fundraising Expenses: ; Hospital Improvement Innovation Network - Total Expense: 304024, Program Service Expense: 304024, Management and General Expenses: , Fundraising Expenses: ; Community Health - Total Expense: 70455, Program Service Expense: 70455, Management and General Expenses: , Fundraising Expenses: ; Energy Programs - Total Expense: 16500, Program Service Expense: 16500, Management and General Expenses: , Fundraising Expenses: ; Other - Total Expense: 193379, Program Service Expense: 161324, Management and General Expenses: 32055, Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="21014044" softwareVersionNum="2021v4.2">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OHIO HOSPITAL ASSOCIATION (OHA)</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>155 E BROAD ST SUITE 301</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <EIN>314270340</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(6)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OHIO HOSPITALS GROUP RATED WORKERS COMP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>155 E BROAD ST SUITE 301</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <EIN>311314404</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(6)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FRIENDS OF OHIO HOSPITALS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>155 E BROAD ST</AddressLine1Txt>
          <AddressLine2Txt>SUITE 301</AddressLine2Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <EIN>311237308</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>527</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Q3 Health Innovation Partners LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>30 North Third St Suite 600</AddressLine1Txt>
          <CityNm>Harrisburg</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17101</ZIPCd>
        </USAddress>
        <EIN>830909844</EIN>
        <PrimaryActivitiesTxt>Quality Improvement</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OHIO HEALTHCARE PURCHASING INC DBA OHA SOLUTIONS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>155 E BROAD ST SUITE 301</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <EIN>200414070</EIN>
        <PrimaryActivitiesTxt>PURCHASING CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Ohio Hospital Association</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>309637</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Ohio Hospital Association</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>160000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part II, Column (b) Primary Activity</FormAndLineReferenceDesc>
        <ExplanationTxt>1. OHIO HOSPITAL ASSOCIATION PRIMARY ACTIVITY: A MEMBERSHIP DRIVEN ORGANIZATION THAT PROVIDES PROACTIVE LEADERSHIP TO CREATE AN ENVIRONMENT IN WHICH OHIO HOSPITALS ARE SUCCESSFUL IN SERVING THEIR COMMUNITIES. THIS NON-PROFIT TRADE ASSOCIATION WORKS ON BEHALF OF MEMBER HOSPITALS THROUGH LEADERSHIP IN THE DEVELOPMENT OF PUBLIC POLICY, IN THE REPRESENTATION AND ADVOCACY OF HOSPITAL INTERESTS, AND IN THE PROVISION OF SERVICES WHICH ASSIST HOSPITALS IN MEETING HEALTH CARE NEEDS AND IMPROVING THE HEALTH STATUS OF THEIR COMMUNITIES, WHICH IN TURN IMPROVES THE HEALTH CARE INDUSTRY AS A WHOLE. 2. OHIO HOSPITALS GROUP RATED WORKERS COMP PRIMARY ACTIVITY: THE PRIMARY PURPOSE OF THE OHIO HOSPITALS GROUP RATED WORKERS COMPENSATION PROGRAM, INC. IS TO DEVELOP AND IMPLEMENT PROGRAMS THAT WILL PROMOTE A SAFE WORKING ENVIRONMENT AND REDUCE HEALTH CARE COSTS. 3. Friends of Ohio Hospitals Primary Activity: THE ORGANIZATION MAKES CONTRIBUTIONS IN SUPPORT OF POLITICAL CANDIDATES AND PARTIES IN THE INTEREST OF OHIO HOSPITALS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
