2020-11-16T07:37:34-06:00 2019-12-31 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2019-01-01 341369963 BLANCHARD VALLEY REGIONAL HEALTH CENTER % DAVID M CYTLAK BLAN 4194234500 1900 SOUTH MAIN STREET FINDLAY OH 45840 DAVID M CYTLAK CFO 4194235497 2020-11-16 true AARON D HERSHBERGER P00961884 2604604000 167.68.126.162 35027420203185000005 2020-11-13 P 4054C3EF14AA7DF352A59B9CFDC0CB34D463127C 25E9B303A56A0274D6E2F2256A0CAB7F3BE98F83 2019 2021-01-29 14:40:06Z DAVID M CYTLAK 1900 SOUTH MAIN STREET FINDLAY OH 45840 310266723 false X WWW.BVHEALTHSYSTEM.ORG X 1982 OH BLANCHARD VALLEY REGIONAL HEALTH CENTER OPERATES TWO HOSPITALS OFFERING INPATIENT, EMERGENCY, MATERNITY, AND OUTPATIENT SERVICES. 17 15 2299 338 1848212 765044 0 0 275844526 288367868 14939790 17054153 2712629 2266670 293496945 307688691 0 0 0 0 94290669 102625923 0 0 0 116639681 121988767 210930350 224614690 82566595 83074001 532680928 582096000 162226630 162759968 370454298 419336032 X OUR MISSION: OUR EXTRAORDINARY PEOPLE PROVIDE CARING FOR A LIFETIME THROUGH A BROAD CONTINUUM OF EXCEPTIONAL HEALTH-RELATED SERVICES IN NORTHWEST OHIO. false false 15030651 20327751 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. 23348586 31577091 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 2019, OUR MEDIAN DOOR TO BALLOON TIME WAS 55 MINUTES. OUR MEDIAN DOOR TO BALLOON TIME WAS 56 MINUTES. 12502467 16908585 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. 149917626 218581705 OTHER SERVICES PROVIDED AT BVRHC INCLUDE: WOMAN'S SERVICES (GYNECOLOGY, OBSTETRICS, BREAST HEALTH, P HOSPITALISTS, LEVEL 2 SPECIAL CARE NURSERY), ONCOL SERVICES, UROLOGY/ NEPHROLOGY SERVICES, SLEEP DISO MANAGEMENT, WOUND CARE, AND DIALYSIS. NEPHROLOGY SERVICES, SLEEP DISORDERS, PAIN MANAGEMENT, WOUND CARE, AND DIALYSIS. 149917626 218581705 200799330 true false false true false false false false false true true false false true true false false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false true true true true false false true 332 0 2299 true true true false false false false false false false false false false false X 17 15 false false false false false false false true true false false true true true true true true true true true true OH X DAVID M CYTLAK 4194234500 1900 SOUTH MAIN STREET FINDLAY OH 45840 SCOTT MALANEY CHIEF EXECUTIVE OFFICER 32.0 8.0 X X 0 986338 24801 ANGELO COLLINS MD PHYSICIAN 40.0 0.0 X 496735 0 19525 ANGELA HOLT MD PHYSICIAN 40.0 0.0 X 475640 0 23939 DAVE CYTLAK CHIEF FINANCIAL OFFICER 32.0 8.0 X 0 475024 21006 DEBORA KACZYNSKI MD PHYSICIAN 40.0 0.0 X 484721 0 11200 MICHAEL MANUAL MD PHYSICIAN 40.0 0.0 X 455397 0 30426 RICHARD POLDER MD TRUSTEE 1.0 0.0 X 0 469453 11552 KYLE BARDEN MD PHYSICIAN 40.0 0.0 X 454020 0 16619 KAREN CLINE TRUSTEE 0.5 1.0 X 0 0 0 FRANK A COSIANO MD TRUSTEE 0.5 1.0 X 0 0 0 DAVID EUBANKS TRUSTEE 0.5 1.0 X 0 0 0 KAREN KLASSEN HARDER TRUSTEE 0.5 1.0 X 0 0 0 RANDALL MYERS TRUSTEE 0.5 1.0 X 0 0 0 JAMES DOWLING MD SECRETARY 0.5 1.0 X X 0 0 0 GARRY PEIFFER TREASURER 0.5 1.0 X X 0 0 0 RICHARD POLDER MD TRUSTEE 0.5 1.0 X 0 0 0 WILLIAM REIST DMIN TRUSTEE 0.5 1.0 X 0 0 0 KIMBERLY STUMPP VICE CHAIR 0.5 1.0 X X 0 0 0 PAUL WORSTELL CHAIRMAN 0.5 1.0 X X 0 0 0 GINGER JONES TRUSTEE 0.5 1.0 X 0 0 0 JOSEPH LONGO TRUSTEE 0.5 1.0 X 0 0 0 ADELE WEBB PHD TRUSTEE 0.5 1.0 X 0 0 0 RICHARD STATES DHSC TRUSTEE 0.5 1.0 X 0 0 0 JOHN REINEKE TRUSTEE 0.5 1.0 X 0 0 0 2366513 1930815 159068 191 false true false EDWARDS LIFESCIENCES LLC 23146 NETWORK PLACE CHICAGO IL 60673 MEDICAL EQUIPMENT 113166 1 0 PATIENT SERVICE 900099 284089207 284089207 OUTPATIENT PHARMACY 446110 1789793 802942 986851 INVESTMENT IN TECHNICORE 541900 2488868 2465205 23663 288367868 16767855 30883 17736972 0 0 63000 63000 0 63000 63000 2607614 37779 2359096 248518 37779 286298 37779 248519 0 0 0 0 0 0 285203 218936 66267 66267 INVESTMENT IN PARTNERSHIP 621300 687879 687879 MISCELLANEOUS 900099 1010177 1010177 FINDLAY SURGICAL PROPERTIES 900099 134746 134746 304601 118936 185665 2137403 307688691 287395133 1848212 19445346 0 0 0 0 2366513 2011536 354977 0 75830575 64455989 11374586 2709136 2302766 406370 21719699 18461744 3257955 0 0 0 1676968 1425423 251545 0 0 0 6760880 5746748 1014132 829902 705417 124485 9363097 7958632 1404465 7608135 6466915 1141220 0 2201849 1871572 330277 720529 612450 108079 0 0 5960689 5066586 894103 0 12919156 10981283 1937873 463588 394050 69538 PROVISION FOR BAD DEBTS 14313919 14313919 MEDICAL & PROFESSIONAL FEES 2128588 1809300 319288 MEDICAL SUPPLIES 51531686 51531686 DUES & SUBSCRIPTIONS 225758 191894 33864 5284023 4491420 792603 224614690 200799330 23815360 0 0 0 3797252 1458837 0 0 32148053 34691000 0 0 0 0 0 0 7414425 6985000 0 0 286452000 177288000 114553351 109164000 273982742 321852163 584105 361000 0 0 0 0 100201000 107584000 532680928 582096000 8531387 5663000 0 0 39670 40000 109800797 104424000 0 0 0 0 282415 286000 0 0 43572361 52346968 162226630 162759968 X 353216298 401414032 17238000 17922000 370454298 419336032 532680928 582096000 X 83074001 30025000 -64217267 X X false true X true false X false false false false false false false false true 13948 13948 false PART II-B, LINE 1I 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. 17238000 2261340 998933 18500407 19078085 -645890 1194195 17238000 19158967 1014967 1095849 19078085 7142069 12609392 852205 1444699 19158967 7573876 -48989 382818 7142069 0.94100 0.05900 true true true 3176137 3176137 146368733 69523429 76845304 1101000 1100542 458 120688599 98665920 22022679 15117531 7998109 7119422 109164000 ADVANCES TO AFFILIATES 107584000 107584000 0 PENSION LIABILITY 30325000 THIRD PARTY SETTLEMENTS 1252000 INTEREST RATE SWAP OBLIGATION 20142000 MINORITY INTEREST IN PAIN MANAGEMENT -1371032 LEASE LIABILITY 1999000 52346968 259182424 30025000 511000 30536000 228646424 79042267 79042267 307688691 210300690 210300690 14314000 14314000 224614690 SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE UTILIZED FOR DONOR DESIGNATED PURPOSES, INCLUDING CHARITY CARE, CAPITAL PROJECTS AND PURCHASES, AND CONTINUING EDUCATION FOR STAFF AND PHYSICIANS. PART XI, LINE 2D CHANGE IN PERPETUAL TRUSTS 511,000 TOTAL $511,000 PART XI, LINE 4B BAD DEBT RECLASS 14,314,000 OTHER CHANGES IN NONCONTROLLING INTEREST 2,406,000 TRANSFERS TO AFFILIATES 50,270,000 CHANGE IN INTEREST RATE SWAP AGREEMENT 2,897,000 DEFINED BENEFIT PENSION PLAN 9,089,000 GIFT SHOP INCOME 66,267 TOTAL $79,042,267 PART XII, LINE 4D BAD DEBT RECLASS 14,314,000 TOTAL $14,314,000 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. true true X true X true X true true false false 3633968 3633968 0.01730 28363325 19353595 9009730 0.04280 31997293 19353595 12643698 0.06010 24573 24573 0.00010 154591 154591 0.00070 179164 179164 0.00080 32176457 19353595 12822862 0.06090 148758 148758 0.00070 160385 160385 0.00080 1866 1866 311009 311009 0.00150 false 5590729 1863576 55614812 67239520 -11624708 X true true 2 1 BLANCHARD VALLEY HOSPITAL 1900 SOUTH MAIN STREET FINDLAY OH 45840 WWW.BVHEALTHSYSTEM.ORG 1194 X X X 2 BLUFFTON HOSPITAL 139 GARAU STREET BLUFFTON OH 45817 WWW.BVHEALTHSYSTEM.ORG 1101 X X X X BLANCHARD VALLEY HOSPITAL 1 false false true X X X X X X X X X 18 true true true true X WWW.BVHEALTHSYSTEM.ORG X X true 19 true WWW.BVHEALTHSYSTEM.ORG false true X 150. 250. X X X X X X true true X X X X true X WWW.BVHEALTHSYSTEM.ORG X WWW.BVHEALTHSYSTEM.ORG X WWW.BVHEALTHSYSTEM.ORG X X X X X X true X false X X X X true X false false BLUFFTON HOSPITAL 2 false false true X X X X X X X X X 18 true true true true X WWW.BVHEALTHSYSTEM.ORG X X true 19 true WWW.BVHEALTHSYSTEM.ORG false true X 150. 250. X X X X X X true true X X X X true X WWW.BVHEALTHSYSTEM.ORG X WWW.BVHEALTHSYSTEM.ORG X WWW.BVHEALTHSYSTEM.ORG X X X X X X true X false X X X X true X false false PART V, LINE 3 - BLANCHARD VALLEY HOSPITAL & 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 74,782 residents. Three-fourths (75%) of residents were adults over the age of 19, 10% were youth ages 12-18 years, and 15% were adolescents under the age of 11 (Source: Census, 2010). The majority (93%) of the population were Caucasian. Hispanics (5%), African Americans (2%), Asian (2%) and two or more races (2%) comprise the rest of the population (Source: Census, 2010). The median household income in Hancock County (in 2017 inflation-adjusted dollars) is $51,360. Ten percent of all Hancock County residents and seven percent of Hancock County families had an income below the poverty level in 2017 (Source: Census, 2017 American Community Survey 1-year estimates). Five 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: 50 North, Blanchard Valley Health Foundation, Blanchard Valley Health System, Caretakers Home Care, City of Findlay Parks & Recreation, Cultural Connections of Hancock County, Findlay City Schools, Findlay-Hancock County Community Foundation, Findlay YMCA, HHWP Community Action Commission, Hancock County ADAMHS Board/Community Partnership, Hancock County Family and Children First Council, Hancock County Schools/ESC, Hancock Public Health, LGBTQ+ Spectrum of Findlay, The Ohio State University Extension Office, United Way of Hancock County. 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 56,041 persons ages 18 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 5% (i.e., we can be 95% sure that the true population responses are within a 5% margin of error of the survey findings.) A sample size of at least 382 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 1,400 adults in Hancock County. This advance letter was personalized; printed on Be Healthy Now Hancock County Coalition stationery; and signed by 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. Two weeks following the advance letter, a three-wave 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. Approximately two weeks after the first mailing, a second wave mailing included another personalized cover letter encouraging the recipient to reply, another copy of the questionnaire on white paper, and another reply envelope. A third wave postcard was sent two weeks after the second wave mailing. Surveys returned as undeliverable were not replaced with another potential respondent. The response rate for the mailing was 30% (n=392: CI= 4.91). This return rate and sample size means that the responses in the health assessment should be representative of the entire county. Adolescent Survey There were 7,295 persons ages 12 to 18 years old living in Hancock County. A sample size of 365 adolescents was needed to ensure a 95% confidence interval with a corresponding 5% margin of error. Students were randomly selected and surveyed in the schools. The survey was approved by all participating superintendents. Schools and grades were randomly selected. Each student in that grade had to have an equal chance of being in the class that was selected, such as a general English or health class. Classrooms were chosen by the school principal. Passive permission slips were mailed home to parents of any student whose class was selected to participate. The response rate was 85% (n=373: CI= 4.94). Child Survey The sampling frame for the child survey consisted of children ages 0 through 11 residing in Hancock County. Using U.S. Census Bureau data, it was determined that 11,446 children ages 0 through 11 resided in Hancock County. The investigators conducted a power analysis to determine what sample size was needed to ensure a 95% confidence level with corresponding confidence interval of 5% (i.e., we can be 95% sure that the true population responses are within a 5% margin of error). The sample size required to generalize to children aged 0 through 11 was 372. The random sample of mailing addresses of parents from Hancock County was obtained from Melissa Data Corporation in Rancho Santa Margarita, California. Prior to mailing the survey to parents of 0 through 11-year-olds, the project team mailed an advance letter to 2,400 parents in Hancock County. This advance letter was personalized; printed on Be Healthy Now Hancock County Coalition stationery; and signed by 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. Two weeks following the advance letter, a three-wave 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. Approximately two weeks after the first mailing, a second wave mailing included another personalized cover letter encouraging the recipient to reply, another copy of the questionnaire on white paper, and another reply envelope. A third wave postcard was sent three weeks after the second wave mailing. Surveys returned as undeliverable were not replaced with another potential respondent. The response rate was 18% (n=355: CI= 5.12). E.) THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY 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, womens health, mens 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. 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 (53%), high blood cholesterol (43%), diabetes (23%), and asthma (19%). High blood pressure, diabetes, obesity, and asthma had a higher prevalence among those adults with incomes less than $25,000. Five 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, they became ineligible, or their employer does not/stopped offering coverage. The majority (93%) of the population were Caucasian. Hispanics (5%), African Americans (2%), Asian (2%) and two or more races (2%) comprise the rest of the population (Source: Census, 2010). 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 communitys 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 Larry Busdeker, Hancock County Schools/ESC Carolyn Copus, 50 North Tasha Dimling, Blanchard Valley Health Foundation Diane Franks, Caretakers Home Care Dr. Hiroaki Kawamura, Cultural Connections of Hancock County Dr. William Kose, Blanchard Valley Health System Kathy Kreuchauf, Findlay-Hancock County Community Foundation Amy Miranda, Hancock County Job and Family Services Erin Rodabaugh Gallegos, HHWP Community Action Commission Troy Roth, Findlay City Schools Stacy Shaw, Childrens Mentoring Connection John Simmons, Black Heritage Library and Multicultural Center Precia Stuby, Hancock County ADAMHS Board John Urbanski, United Way of Hancock County Roxanne Williams, Blanchard Valley Health System Angel Torrez, Senior Insurance Services Michelle Kessler, Lutheran Social Services Diane Franks, Caretakers PART V, LINE 5 - BLANCHARD VALLEY HOSPITAL & 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 from the Hospital Council of NW Ohio holds a Masters degree in Public Health and 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 130 items for the adult survey, 76 items for the adolescent grades 6-12 survey, and 91 items for the 0-11 survey. The drafts were reviewed and approved by health researchers at the University of Toledo. 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) after their name 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 Larry Busdeker, Hancock County Schools/ESC Carolyn Copus, 50 North Tasha Dimling, Blanchard Valley Health Foundation Diane Franks, Caretakers Home Care Dr. Hiroaki Kawamura, Cultural Connections of Hancock County Dr. William Kose, Blanchard Valley Health System Kathy Kreuchauf, Findlay-Hancock County Community Foundation Amy Miranda, Hancock County Job and Family Services Erin Rodabaugh Gallegos, HHWP Community Action Commission Troy Roth, Findlay City Schools Stacy Shaw, Childrens Mentoring Connection John Simmons, Black Heritage Library and Multicultural Center Precia Stuby, Hancock County ADAMHS Board John Urbanski, United Way of Hancock County Roxanne Williams, Blanchard Valley Health System PART V, SECTION B, LINE 6A - BLANCHARD VALLEY HOSPITAL & BLUFFTON HOSPITAL PART V, SECTION B, LINE 6B - BLANCHARD VALLEY HOSPITAL & BLUFFTON HOSPITAL THESE ARE THE ORGANIZATIONS WHO PARTICIPATED IN THE HEALTH ASSESSMENT AND STRATEGIC PLANNING PROCESS: FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION, UNITED WAY OF HANCOCK COUNTY, BLANCHARD VALLEY HEALTH SYSTEM, BLANCHARD VALLEY HEALTH FOUNDATION, FINDLAY CITY HEALTH DEPARTMENT, HANCOCK COUNTY HEALTH DEPARTMENT, HANCOCK COUNTY SCHOOLS/ESC, HANCOCK COUNTY FAMILY FIRST COUNCIL, HANCOCK COUNTY ADAMHS BOARD, HANCOCK COUNTY COMMUNITY PARTNERSHIP, FINDLAY CITY SCHOOLS, HANCOCK COUNTY FAMILY AND CHILDREN FIRST COUNCIL, HANCOCK COUNTY HELP ME GROW, 50 NORTH, UNIVERSITY OF FINDLAY, ST. ANDREWS UNITED METHODIST CHURCH, HHWP COMMUNITY ACTION COMMISSION, ALZHEIMERS ASSOCIATION, FINDLAY CITY COUNCIL, HANCOCK COUNTY JOB AND FAMILY SERVICES, SENIOR INSURANCE SERVICES, LUTHERAN SOCIAL SERVICES, CARETAKERS. PART V, SECTION B, LINE 7D The assessment is available on the hospitals website at: https://www.bvhealthsystem.org/media/file/Hancock-County-Final-CHA-4-11-19 .pdf The assessment is available on the following additional websites: Hancock Public Health https://co.hancock.oh.us/docs/healthdeptdataprovider/reports/health-assesm ent/hancock-county-2018-cha.pdf?sfvrsn=de1527c4_2 Hospital Council of Northwest Ohio http://www.hcno.org/community-services/community-health-assessments/ Hospital Council of Northwest Ohio http://www.hcno.org/pdf/counties/HancockCounty2015HealthAssessment.pdf Also, printed copies were given to all key leaders at community event. PART V, SECTION B, LINE 11 - BLANCHARD VALLEY HOSPITAL & BLUFFTON HOSPITAL Blanchard Valley Health System will enlist organizations to initiate wellness/insurance incentive programs, implement nutrition prescription programs in primary care offices, promote/market current diabetes prevention program, partner with organizations to screen and raise awareness for prediabetes, work to increase percentage of residents with advance care directives, and encourage adoption of smoke-free policies in public locations. 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 through the following action steps: - Hancock County ADAMHS Board is going to increase trauma informed care trainings, implement school-based social and emotional programming, and determine services that can be provided within the mobile health clinic. - Findlay City Schools are going to work to implement school-based social and emotional programming, educate community awareness programs related to risky behaviors and substance abuse issues/trends, and pilot evidence-based violence prevention programming. - Hancock Public Health is going to work to implement an alcohol prevention program, implement a healthier choices eating campaign, enlist businesses and organizations to initiate wellness and/or insurance incentive programs, promote/market diabetes prevention programs, partner with organizations to screen and raise awareness for prediabetes, determine services that can be provided within the mobile health clinic, and encourage adoption of smoke-free policies in public locations. - Food Security Coalition will implement healthy food initiatives in local food pantries or farmers markets, and develop community gardens, and pilot nutrition prescription programs with local primary care offices. - United Way of Hancock County will develop community gardens. - YMCA is going to enlist businesses and organizations to initiate wellness and/or insurance incentive programs, and promote/market diabetes prevention programs, partner with organizations to screen and raise awareness for prediabetes, and encourage adoption of smoke-free policies in public locations. - Raise the Bar Hancock County will determine the feasibility of implementing future health care cohorts. - Center for Civic Engagement will work to convene a work group to address health disparities. PART III, SECTION A, LINE 2 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. PART III, SECTION A, LINE 3 THE ASSUMPTION IS THAT OUR CHARITY CARE PROGRAM CAPTURES 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 IS ATTRIBUTABLE TO INDIVIDUALS THAT HAVE INSURANCE AND WORK IN WHITE COLLAR JOBS, THUS THE ASSUMPTION IS THAT 2 OUT OF EVERY THREE BAD DEBT ACCOUNTS ARE FOR SUCH INDIVIDUALS. THUS, THE REMAINING 1/3 RELATE TO THOSE WHO COULD QUALIFY FOR CHARITY CARE. PART III, SECTION A, LINE 4 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. PART III, SECTION B, LINE 8 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 2018 MEDICARE COST REPORTS AND OUR 2018 PSR REPORTS. SCHEDULE H, PART III, SECTION C, LINE 9B BLANCHARD VALLEY REGIONAL HEALTH CENTER 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. PART VI, LINE 2 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. PART VI, LINE 3 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. PART VI, LINE 4 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 5 YEARS BY SITE SELECTION MAGAZINE (2015-2019). THE POPULATION OF HANCOCK COUNTY IS APPROXIMATELY 75,000, 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. PART VI, LINE 5 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. PART VI, LINE 6 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. PART VI, LINE 7 OHIO X X X X X X false true false false false false false false false SCOTT MALANEY CHIEF EXECUTIVE OFFICER 0 609455 0 174853 0 202030 0 16800 0 8001 0 1011139 DAVE CYTLAK CHIEF FINANCIAL OFFICER 0 363976 0 76818 0 34230 0 16800 0 4206 0 496030 4405 ANGELA HOLT MD PHYSICIAN 454896 0 0 0 20744 0 16800 0 7139 0 499579 0 MICHAEL MANUAL MD PHYSICIAN 214871 0 221033 0 19493 0 16800 0 13626 0 485823 0 DEBORA KACZYNSKI MD PHYSICIAN 463498 0 0 0 21223 0 11200 0 0 0 495921 0 ANGELO COLLINS MD PHYSICIAN 495725 0 0 0 1010 0 11200 0 8325 0 516260 0 KYLE BARDEN MD PHYSICIAN 453673 0 0 0 347 0 11200 0 5419 0 470639 0 RICHARD POLDER MD TRUSTEE 0 466626 0 0 2827 0 0 11552 0 481005 SCHEDULE J, PART I, LINE 4C IN 2019, BLANCHARD VALLEY HEALTH SYSTEM CONTRIBUTED ON BEHALF OF SCOTT MALANEY $19,000 TO A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). 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 2019, BLANCHARD VALLEY HEALTH SYSTEM CONTRIBUTED ON BEHALF OF DAVID CYTLAK $25,673 TO THE SERP. 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. EMPLOYER CONTRIBUTIONS ARE COMPRISED OF: ** DEFINED CONTRIBUTION TARGET INCOME REPLACEMENT PERCENTAGE CONTRIBUTION: - PROVIDE 60% TARGET INCOME REPLACEMENT FOR CEO (SCOTT MALANEY) - PROVIDE 50% TARGET INCOME REPLACEMENT FOR CFO (DAVID CYTLAK) **EMPLOYEE CONTRIBUTIONS TO THE SERP ACCOUNT ARE NOT ALLOWED. *EACH PARTICIPANT'S 457(B) ACCOUNT WILL BE CREDITED UP TO THE STATUTORY LIMIT ($19,000 IN 2019), 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 2-5 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. A COUNTY OF HANCOCK OHIO 466400608 2011-04-14 108706899 REFUND ISSUE DATED 11/4/2004 false false false B VILLAGE OF BLUFFTON OHIO 346400139 2017-12-28 7575000 REFUND ISSUE DATED 6/13/2012 false false false C VILLAGE OF BLUFFTON OHIO 346400139 2017-12-14 85150000 REFUNDING false false false A 104325000 0 108706899 0 0 0 1874847 0 0 0 106832052 0 2011 true false true true B 600000 0 7575000 0 0 0 96210 0 0 0 7478790 0 2017 true false true true C 0 0 85150000 0 0 0 1106427 0 0 0 84023573 0 2017 false true true true A false false true true false 0 false false false true B false false true true false 0 false false false true C false false true true false 0 false false false true A false false true false false false 0 false 0 false true B false true false false true false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true PART I, COL. B, F: THE ISSUE REFUNDED LEASE OBLIGATIONS DATED 11/15/2002, 12/21/2005, 12/20/2006, AND 10/23/2009. PART 2, PAGE 1 COL. A, B, D, AND PAGE 2 COL. A LINE 11 AND: THE PROCEEDS LISTED WERE USED TO CURRENTLY REFUND THE PRIOR OBLIGATIONS LISTED IN PART I. FORM 990, PART VI, SECTION A, LINE 1B SCOTT MALANEY AND 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, SECTION B, LINE 11B A DETAIL 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 990'S. ONCE THE FORM 990'S HAVE BEEN FINALIZED, REVIEWED AND APPROVED, THE MEMBERS OF BOARD OF TRUSTEES RECEIVE ELECTRONIC COMMUNICATION THAT THE FORM 990'S 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, SECTION B, LINE 12C ANNUALLY, THE ORGANIZATION ASKS ITS BOARD MEMBERS, ITS CORPORATE OFFICERS, AND ITS KEY EMPLOYEES TO SIGN CONFLICT OF INTEREST LETTERS. THE ORGANIZATION ALSO ASKS THESE INDIVIDUALS TO REVIEW THEIR ACTIVITIES AND COMPLETE RELATIONSHIP QUESTIONNAIRES 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 CONFLICTS EXIST. FORM 990, PART VI, SECTION B, LINE 15A 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 DIRECTORS 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, SECTION B, LINE 15B THE SAME PROCESS APPLIES FOR ALL OTHER EXECUTIVE STEERING COMMITTEE MEMBERS AS DETAILED FOR THE CEO. FORM 990, PART VI, SECTION C, LINE 19 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 CHANGE IN INTEREST RATE SWAP AGREEMENT -2,897,000 DEFINED BENEFIT PENSION PLAN -9,089,000 OTHER CHANGES IN NONCONTROLLING INTEREST -2,406,000 TRANSFERS TO AFFILIATES -50,270,000 CHANGE IN PERPETUAL TRUSTS 511,000 GIFT SHOP INCOME -66,267 TOTAL $ -64,217,267 CRNA OF BLANCHARD VALLEY LLC 1900 SOUTH MAIN STREET FINDLAY OH 45840 061748552 CERT NURSE OH 1600214 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 15100 BIRCHAVEN LANE FINDLAY OH 45840 201494204 CONDOMINIUMS OH BVCCS BEYOND MEDSPA LLC 1900 SOUTH MAIN STREET FINDLAY OH 45840 814440286 COSMETIC SPA OH BVHS BLANCHARD VALLEY HEALTH SYSTEM 1900 SOUTH MAIN STREET FINDLAY OH 45840 344428206 HEALTH CARE OH 501(C)3 12A NA true BLANCHARD VALLEY CONTINUING CARE SERVICE 15100 BIRCHAVEN LANE FINDLAY OH 45840 346006904 CONTINUING CA OH 501(C)3 10 BVHS false BLANCHARD VALLEY HEALTH FOUNDATION 1900 SOUTH MAIN STREET FINDLAY OH 45840 341370522 FUNDRAISING OH 501(C)3 7 BVHS false EC EDWARDS MEMORIAL TRUST 1900 SOUTH MAIN STREET FINDLAY OH 45840 346953719 INVESTMENT OH 501(C)3 12A BVHF false BLANCHARD VALLEY PAIN MANAGEMENT 1900 SOUTH MAIN STREET FINDLAY OH 45840 270095470 PAIN MGMT OH BVRHC RELATED 3496354 835945 false false 0.51000 TECHNICORE CLINICAL ENGINEERING SERVICES 1900 SOUTH MAIN STREET FINDLAY OH 45840 421702910 BIO-MED SUPPORT OH BVRHC RELATED -135216 415644 false 23663 false 0.66000 NORTHWEST OHIO MEDICAL EQUIPMENT 1900 SOUTH MAIN STREET FINDLAY OH 45840 341882390 MEDICAL EQUIP OH BVCCS N/A CITAS INC 1900 SOUTH MAIN STREET FINDLAY OH 45840 341369708 RECRUITING OH BVHS C CORP false true false true false true false false false false true false true true true false false false true true TECHNICORE (TECH-89000) L 100365 FMV