2018-11-07T15:32:16-06:00 2017-12-31 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2017-01-01 341369963 BLANCHARD VALLEY REGIONAL HEALTH CENTER % DAVID M CYTLAK BLAN 4194234500 1900 SOUTH MAIN STREET FINDLAY OH 45840 DAVID M CYTLAK CFO 4194235497 2018-11-15 true AARON D HERSHBERGER P00961884 2604604000 68.38.119.134 35027420183115000006 2018-11-07 P 00366C703701EE9F8F204612D166C0A2DE02EC71 8193C6E21FDC853689B017ED35849D8705607233 2017 2019-02-21 02:37:17Z DAVID M CYTLAK 1900 SOUTH MAIN STREET FINDLAY OH 45840 389990490 false X WWW.BVHEALTHSYSTEM.ORG X 1982 OH BLANCHARD VALLEY REGIONAL HEALTH CENTER OPERATES TWO HOSPITALS OFFERING INPATIENT, EMERGENCY, MATERNITY AND OUTPATIENT SERVICES. 16 15 1902 405 1767875 650581 0 0 255859450 258251127 1054004 19498365 3785733 3271208 260699187 281020700 0 0 0 0 91841370 94388950 0 0 0 102510766 123437037 194352136 217825987 66347051 63194713 524555809 604016976 168408020 172737009 356147789 431279967 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 20892645 27835845 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 FITTHEIR NEEDS. OUR CONTINUING GOAL IS TO PROVIDE SUPERIOR OUTCOMES BY UTILIZING THE LATEST SURGICAL TECHNIQUES AND EVIDENCE-BASED MEDICINE GUIDELINES TO ACHIEVE CLINICAL EXCELLENCE. 26550802 35374363 CARDIOVASCULAR SERVICES: BLANCHARD VALLEY HEARTCARE CENTER OFFERS A COMPLETE RANGE OF SERVICES FOR COMPREHENSIVE CARDIAC CARE. SERVICESFOR 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 HEART CARE 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 2017, OUR MEDIAN DOOR TO BALLOON TIME WAS 56 MINUTES. 15365019 20471236 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. 130838498 174570683 OTHER SERVICES PROVIDED AT BVRHC INCLUDE: WOMAN'S AND CHILDREN'S SERVICES (GYNECOLOGY, OBSTETRICS, BREAST HEALTH, PEDIATRIC HOSPITALISTS, LEVEL 2 SPECIAL CARE NURSERY), ONCOLOGY/HEMATOLOGY SERVICES, UROLOGY/ NEPHROLOGY SERVICES, SLEEP DISORDERS, PAIN MANAGEMENT, WOUND CARE, AND DIALYSIS. 130838498 174570683 193646964 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 324 0 1902 true true true false false false false false false false false false X 16 15 false false false false false false false true true false false true true true true true true true true true true X DAVID M CYTLAK 4194234500 1900 SOUTH MAIN STREET FINDLAY OH 45840 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 DUANE JEBBETT CHAIRMAN 0.5 1.0 X X 0 0 0 KAREN KLASSEN HARDER SECRETARY 0.5 1.0 X X 0 0 0 RANDALL MYERS TRUSTEE 0.5 1.0 X 0 0 0 RODNEY NICHOLS TRUSTEE 0.5 1.0 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 TRUSTEE 0.5 1.0 X 0 0 0 KIMBERLY STUMPP TRUSTEE 0.5 1.0 X 0 0 0 PAUL WORSTELL VICE 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 SCOTT MALANEY CHIEF EXECUTIVE OFFICER 32.0 8.0 X X 0 1058712 25291 DEBRA PARKER TRUSTEE 0.5 1.0 X 0 0 0 DAVE CYTLAK CHIEF FINANCIAL OFFICER 32.0 8.0 X 0 417451 21939 WILLIAM KOSE CHIEF QUALITY OFFICER 36.0 4.0 X 0 270246 23617 BARBARA PASZTOR VP OF NURSING 40.0 0.0 X 280252 0 21975 CHRISTINE KELLER VP OF CLINICAL SERVICES 40.0 0.0 X 263048 0 21712 ANGELA HOLT PHYSICIAN 40.0 0.0 X 443936 0 21499 MICHAEL MANUAL PHYSICIAN 40.0 0.0 X 430880 0 28153 DANIEL SAK PHYSICIAN 40.0 0.0 X 397454 0 6301 MARCIA HOFFHEIMER PHYSICIAN 40.0 0.0 X 346984 0 5494 THOMAS GRACE PHYSICIAN 40.0 0.0 X 357582 0 20488 2520136 1746409 196469 77 false true false CONCORDANCE HEALTHCARE SOLUTIONS LL 85 SHAFFER PARK DRIVE TIFFIN OH 44883 MEDICAL SUPPLIES 513962 EDWARDS LIFESCIENCES LLC 23146 NETWORK PLACE CHICAGO IL 60673 MEDICAL EQUIPMENT 242534 2 0 PATIENT SERVICE 900099 253980197 253980197 OUTPATIENT PHARMACY 446110 1710112 839507 870605 INVESTMENT IN TECHNICORE 541900 2560818 2587018 -26200 258251127 8544926 8544926 0 0 78905 78905 0 78905 78905 119536573 1000 108584134 10952439 1000 10953439 1000 10952439 0 0 0 0 0 0 407651 385656 21995 21995 INVESTMENT IN PARTNERSHIP 621300 923470 923470 MISCELLANEOUS 900099 1874359 1874359 FINDLAY SURGICAL PROPERTIES 900099 156752 156752 215727 215727 3170308 281020700 257407722 1767875 21845103 0 0 0 0 586987 498939 88048 0 72835220 61909937 10925283 2626282 2232340 393942 13540060 11509051 2031009 4800401 4080341 720060 0 0 65573 55737 9836 0 0 0 5745538 4883707 861831 688889 585556 103333 10842186 9215858 1626328 7082151 6019828 1062323 0 2495149 2120877 374272 573691 487637 86054 0 0 21263718 18074160 3189558 0 11922589 10134201 1788388 1489162 1265788 223374 PROVISION FOR BAD DEBTS 11564552 11564552 MEDICAL & PROFESSIONAL FEES 2378611 2021819 356792 MEDICAL SUPPLIES 45067947 45067947 DUES & SUBSCRIPTIONS 242448 206081 36367 2014833 1712608 302225 217825987 193646964 24179023 0 X 0 0 3904740 3243043 0 0 37080545 34849520 0 0 0 0 0 0 7452588 7213154 0 0 270566258 152904986 116586431 117661272 250244048 283158575 754218 705907 0 0 0 0 108533239 157185505 524555809 604016976 3276199 4219631 0 0 39670 39670 106318397 113124395 0 0 0 0 277570 280522 0 0 58496184 55072791 168408020 172737009 X 337000883 411572598 897129 1061938 18249777 18645431 356147789 431279967 524555809 604016976 X 63194713 17479000 -5541535 X X false true X true false X false false false false false false false false true 12021 12021 false 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. 19158967 1014967 1095849 19078085 7142069 12609392 852205 1444699 19158967 7573876 -48989 382818 7142069 7583720 291783 301627 7573876 6814938 1051432 282650 7583720 0.94430 0.05570 true true true 3193307 3193307 141811954 59314002 82497952 1101000 1099782 1218 105336089 85592791 19743298 19123908 6898411 12225497 117661272 ADVANCES TO AFFILIATES 157185505 157185505 0 PENSION LIABILITY 35731275 THIRD PARTY SETTLEMENTS 1328866 INTEREST RATE SWAP OBLIGATION 20742216 MINORITY INTEREST IN PAIN MANA -2729566 55072791 281393613 17479000 1594328 19073328 262320285 18700415 18700415 281020700 206261435 206261435 11564552 11564552 217825987 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 INTEREST RATE SWAP AGREEMENT 1,594,328 TOTAL $ 1,594,328 PART XI, LINE 4B DEFINED BENEFIT PENSION PLAN 1,019,358 BAD DEBT RECLASS 11,564,552 OTHER CHANGES IN NONCONTROLLING INTEREST 4,681,324 TRANSFERS FROM AFFILIATES 1,435,181 TOTAL $18,700,415 PART XII, LINE 4D BAD DEBT RECLASS 11,564,552 TOTAL $11,564,552 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 true true 2425786 2425786 0.01180 28141721 22524417 5617304 0.02720 30567507 22524417 8043090 0.03900 150384 150384 0.00070 54108 54108 0.00030 83398 83398 0.00040 287890 287890 0.00140 30855397 22524417 8330980 0.04040 54497 54497 0.00030 90457 90457 0.00070 144954 144954 0.00100 false 4581191 1527064 53595393 59087425 -5492032 X true true 2 1 BLANCHARD VALLEY HOSPITAL 1900 SOUTH MAIN STREET FINDLAY OH 45840 WWW.BVHEALTHSYSTEM.ORG X X X 2 BLUFFTON HOSPITAL 139 GARAU STREET BLUFFTON OH 45817 WWW.BVHEALTHSYSTEM.ORG X X X X BLANCHARD VALLEY HOSPITAL 1 false false true X X X X X X X X X 15 true true true true X WWW.BVHEALTHSYSTEM.ORG X X true 16 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 false X X X X true X false false BLUFFTON HOSPITAL 2 false false true X X X X X X X X X 15 true true true true X WWW.BVHEALTHSYSTEM.ORG X X true 16 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 false X X X X true X false false PART V, LINE 3 - BLANCHARD VALLEY HOSPITAL & BLUFFTON HOSPITAL a.) 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.) 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 2014 inflation-adjusted dollars) is $50,166. Fifteen percent of all Hancock County residents and ten percent of Hancock County families had an income below the poverty level in 2014 (Source: Census, 2010-2014 American Community Survey 5-year estimates). Three percent of Hancock County residents were uninsured. c.) 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. d) 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%. 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 Allegra Marketing Services in Louisville, KY. Prior to mailing the survey to adults, an advance letter was mailed to 1,200 adults in Hancock County. This advance letter was personalized, printed on Be Healthy Now Hancock County stationery and was signed by William Kose, M.D., Chief Quality Officer, Blanchard Valley Regional Health Center, Stephen Mills, D.O., Health Commissioner, Findlay City Health Department, Katherine Kreuchauf, President, Findlay-Hancock County Community Foundation, and John Urbanski, President & CEO, United Way of Hancock County. 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. Three 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 stationery) describing the purpose of the study; a questionnaire printed on colored paper; a self-addressed stamped return envelope; and a $2 incentive. Approximately three weeks after the first mailing, a second wave mailing included another personalized cover letter encouraging them to reply, another copy of the questionnaire on colored 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 for the mailing was 48% (n=501: CI= 4.36). 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 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 87% (n=381: CI= 4.89). Child Survey Children ages 0-11 residing in Hancock County were used as the sampling frames for the surveys. Using U.S. Census Bureau data, it was determined that 11,446 children ages 0-11 reside in Hancock County. The investigators conducted a power analysis based on a post-hoc distribution of variation in responses (70/30 split) 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). Because many of the items were identical between the 0-5 and 6-11 surveys, the responses were combined to analyze data for children 0-11. The sample size required to generalize to children ages 0-11 was 372. The random sample of mailing addresses of parents of children 0-11 from Hancock County was obtained from Allegra Marketing Services in Louisville, KY. Prior to mailing the survey to parents of 0-11 year olds, an advance letter was mailed to 2,400 parents in Hancock County. This advance letter was personalized, printed on Be Healthy Now Hancock County stationery and was signed by William Kose, M.D., Chief Quality Officer, Blanchard Valley Regional Health Center, Stephen Mills, D.O., Health Commissioner, Findlay City Health Department, Katherine Kreuchauf, President, Findlay-Hancock County Community Foundation, and John Urbanski, President & CEO, United Way of Hancock County. 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. Three 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 stationery) describing the purpose of the study; a questionnaire printed on colored paper; a self-addressed stamped return envelope; and a $2 incentive. Approximately three weeks after the first mailing, a second wave mailing included another personalized cover letter encouraging them to reply, another copy of the questionnaire on colored 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 24% (n=429: CI= 4.64). E.) 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.) Lack of health care coverage, tobacco use, drug use (including marijuana and 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 (35%), high blood cholesterol (32%), asthma (13%), and diabetes (12%). High blood pressure, diabetes, and asthma had a higher prevalence among those adults with incomes less than $25,000. Three 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, 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.) 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.) 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, Alzheimers Association, Hancock Family and Children First Council, etc. The participants included: (A (PH) indicates they work in the Public Health field.) Kathy Kreuchauf, Findlay-Hancock County Community Foundation Kimberly Bash, Findlay-Hancock County Community Foundation John Urbanski, United Way of Hancock County William Kose M.D, Blanchard Valley Hospital Marty Rothey, Blanchard Valley Health Foundation Barb Wilhelm, Findlay City Health Department (PH) Noah Stuby, Findlay City Health Department (PH) Greg Arnette, Hancock County Health Department (PH) Larry Busdeker, Hancock County Schools/ESC Jennifer Rathburn, Hancock County Family First Council Precia Stuby, Hancock County ADAMHS Board Zach Thomas, Hancock County Community Partnership Craig Kupferberg, Findlay City Schools Jill McGee, Hancock County Family and Children First Council Jennifer Rathburn, Hancock County Help Me Grow Carolyn Copus, 50 North Andrea Koepke, University of Findlay Larry Kreps, St. Andrews United Methodist Church Dave Salucci, HHWP Community Action Commission Marty Williman, Alzheimers Association Tom Shindledecker, Findlay City Council Amy Miranda, Hancock County Job and Family Services Angel Torrez, Senior Insurance Services Michelle Kessler, Lutheran Social Services Diane Franks, Caretakers PART V, SECTION B, LINE 6A - BLANCHARD VALLEY HOSPITAL BLUFFTON HOSPITAL PART V, SECTION B, LINE 6A - BLUFFTON HOSPITAL BLANCHARD VALLEY 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.SERVICES, CARETAKERS. SERVICES, CARETAKERS.SERVICES, CARETAKERS. SERVICES, CARETAKERS.SERVICES, CARETAKERS. PART V, SECTION B, LINE 3I BLANCHARD VALLEY HOSPITAL & BLUFFTON HOSPITAL The impact of any actions taken as a result of prior Community Health Assessments are referenced and incorporated in the selection of questions for current and future Community Health Assessments. PART V, SECTION B, LINE 11 - BLANCHARD VALLEY HOSPITAL & BLUFFTON HOSPITAL Resource restrictions do not allow the hospital to address all of the needs identified through the health assessment. Of the priority needs identified by the community planning process, the hospital is not directly addressing the issues of obesity, substance abuse and youth violence. This is because many community agencies across Hancock County are addressing these issues through the following action steps: - Findlay City Health Department is going to implement a higher quality school lunch program, create a Healthier Choices Campaign, and implement organized activities (during recess times or before/after school to increase physical activity). - The United Way of Hancock County is going to work to create community gardens. - The Hancock County Family First Council is going to address increasing opportunities for un-employed/high-risk adults to enroll in an evidenced based weight loss program. - Through the Hancock County Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board, the issues of decreasing youth substance abuse will be addressed through an adverse childhood experience study, seller/server trainings, evidence based prevention programs in the Hancock County schools, decreasing point of purchase advertising at local retailers, and increasing parent involvement and knowledge of the law pertaining to alcohol and minors. When addressing adult substance abuse, the ADAMHS Board is going to initiate a feasibility study of an outpatient detox facility, implement a community based comprehensive program to reduce substance abuse, and increase the efforts of the Hancock County Prescription/Opiate Task Force. - THE FAMILY RESOURCE CENTER IS GOING TO IMPLEMENT A YOUTH SMOKING Cessation program in Hancock County. - The Reducing the Risk Coalition will implement a bullying prevention program. - Together, the Finlay-Hancock County Community Foundation and the O.S.U. Extension in Hancock County will increase education for parents and families regarding youth violence. PART V, SECTION B, LINE 7D THE ASSESSMENT IS AVAILABLE ON THE FOLLOWING ADDITIONAL WEBSITES: Hancock Public Health http://co.hancock.oh.us/government-services/board-of-health/about-our-agen cy/health-assessment-project United Way of Hancock County http://liveunitedhancockcounty.org/community-reports 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 10 - BLANCHARD VALLEY HOSPITAL & BLUFFTON HOSPITAL BVHS has been active in the implementation and execution of the Hancock County and Findlay Community Health Needs Assessment which includes Bluffton and southwestern Hancock County. BVHS is part of the community collaborative that intends to make improvements to the entire area by coordinating efforts of improvement under the leadership of the United Way and the Community Foundation. BVHS serves as a Pacesetter for Unit Way as well as contributing leaders to the community effort. BVHS has also volunteered to establish a Health Coalition to implement the findings of prioritized need of the Community survey: 1. bullying, 2. mental health including the current opioid use epidemic, and 3. Obesity and diabetes. The Health Coalition meets quarterly to discuss the needs, issues, and results of the 3 committees. BVHS is directly involved with the mental health group. 1. The chairperson for Century Health is Kelly Shroll. 2. BJ Pasztor is chairperson for Hancock County Public Health and is leading a task force to develop as crisis intervention, detoxification center for Hancock County sponsored by BVHS. 3. Brad Bundy, D.O. serves as co-chair for the Opioid Task Force of Hancock County for the developing of policy and implementation of co-ordinating services as well as for education to the public related to the opioid crisis. Bill Kose, Michelle McGraw, Jenn Reese, and Natalie Phoenix serve in various capacities related to clinician education and logistics of service co-ordination. BVHS volunteered through Roxanne Williams to chair the obesity/diabetes task force. 1. In-patient services have expanded diabetic education and are standardizing treatments for diabetes as well as co-ordinating with out-patient care. 2. Out-patient care is being redesigned to offer access for diabetic patients as well as educating providers of the current concepts in diabetic care. Co-ordination with all specialties including wound, Caughman, and primary care are in process. Specific goals have been established to reduce the number of uncontrolled diabetic patients in our community. 3. Working with Public Health, plans are being formulated to advocate for better nutrition and access to exercise facilities for all Hancock County residents that would include diabetics. PART V, SECTION B, LINE 14 - BLANCHARD VALLEY HOSPITAL & BLUFFTON HOSPITAL The hio Revised Code is posted throughout the hospital facility, financial assistance information is included on the back of a patient's monthly statement, literature (i.e. brochures, packets, etc.) available, and Financial Counselors are available and make room visits. PART V, SECTION B, LINE 13B BLANCHARD VALLEY HOSPITAL & BLUFFTON HOSPITAL Blanchard Valley Regional Health Center (BVRHC) provides finance assistance to patients under a stepdown process. The process starts with State of Ohios Hospital Care Assurance Program (HCAP). If patients are not eligible for HCAP, then it is determine if the patient meets the hospitals Charity Care program, which provides free or discounted care up to 250% of FPG. If patients are not eligible for either of these programs, BVRHC works with the patients to see if they meet either the hospitals Catastrophic Program or the hospitals Hardship Program. Both of these programs are not based on FPG, but are based on a relationship of the hospitals charges and the patients income. 1 CREIGHTON DIALYSIS LLC 1000 EAST MAIN CROSS STREET FINDLAY OH 45840 DIALYSIS CENTER 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 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. BAD DEBT AT COST (PART III LINE 2) IS CALCULATED BY MULTIPLYING TOTAL BAD DEBT EXPENSE FOR THE YEAR BY THE AVERAGE COST-TO-CHARGE RATIO PER THE MEDICARE COST REPORT. THE AMOUNT OF THAT NUMBER ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER CHARITY CARE POLICIES (PART III LINE 3) IS ESTIMATED BASED UPON PAST EXPERIENCES. BAD DEBT SHOULD BE TREATED AS COMMUNITY BENEFIT. WE PERFORM SERVICES TO ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. WE CONSCIOUSLY KNOW THAT SOME OF THESE INDIVIDUALS WILL NOT BE ABLE TO PAY SOME OR ALL OF THE COSTS ASSOCIATED WITH PROVIDING SERVICES TO THESE INDIVIDUALS. THUS, THIS IS A BENEFIT TO THE COMMUNITY AS THEY KNOW THAT THEY WILL ALWAYS BE TREATED AND WILL NOT BE TURNED AWAY. PART III, SECTION B, LINE 8 ALL OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. WE PERFORM SERVICES TO 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 2017 MEDICARE COST REPORTS AND OUR 2017 PSR REPORTS. SCHEDULE H, PART III, SECTION B, LINE 9B BLANCHARD VALLEY HEALTH SYSTEM EDUCATES PATIENTS WITH 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 AND WHAT FINANCIAL ASSISTANCE CONSISTS OF. WE THEN SEND AN APPLICATION TO THE PATIENTS VIA MAIL. OUR APPLICATIONS AND PROCESS IS ALSO ON OUR WEBSITE. IN ADDITION, IF WE HAVE AN OUTPATIENT OR INPATIENT THAT MAY QUALIFY, WE TALK TO THOSE PATIENTS AND EVEN ASSIST WITH THE APPLICATION. APPLICATIONS ARE THEN PROCESSED AND A LETTER OF 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 THE FINANCIAL APPLICATION AS WELL AS DISTRIBUTE. PART III, SECTION C, LINE 9B BVRHC HAS ESTABLISHED A FINANCIAL ASSISTANCE POLICY (FAP) THAT HAS BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT, AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. BVRHC WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECA) AGAINST AN INDIVIDUAL TO COLLECT PAYMENT UNLESS IT HAS MADE REASONABLE EFFORTS TO DETERMINE THE ELIGIBILITY UNDER THE FAP. BVRHC WILL WORK WITH ALL PATIENTS TO ESTABLISH SUITABLE PAYMENT ARRANGEMENTS SUCH AS PAYMENT IN FULL, SHORT TERM PAYMENT PLANS, AND LONG TERM LOAN PROGRAMS. BVRHC WILL NOT INITIATE ANY ECA AGAINST AN INDIVIDUAL UNTIL THE PATIENT'S FAP ELIGIBILITY HAS BEEN DETERMINED AND THE INTERNAL COLLECTION PROCESSES HAVE BEEN COMPLETED. THE INTERNAL COLLECTION PROCESS CONSISTS 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 ARE PRESENTED IN OUR EMERGENCY DEPARTMENT. PART VI, LINE 3 PATIENT EDUCATION OR ELIGIBILITY FOR ASSISTANCE BLANCHARD VALLEY REGIONAL HEALTH CENTER EDUCATES PATIENTS ABOUT OUR OPTIONS FOR FINANCIAL ASSISTANCE IN SEVERAL WAYS. THE FINANCIAL ASSISTANCE GUIDELINES ARE ON THE BACK OF EACH STATEMENT. WHEN PATIENTS ARE CALLED OR CALL THE BUSINESS OFFICE, ASSOCIATES IN THE CREDIT AND COLLECTION DEPARTMENT PRE-SCREEN PATIENTS TO DETERMINE IF THEY MAY BE ELIGIBLE FOR ANY TYPE OF FINANCIAL ASSISTANCE. IF THE PATIENT IS DETERMINED TO POTENTIALLY BE ELIGIBLE, WE DISCUSS WITH THE PATIENT THEIR OPTIONS FOR OBTAINING FINANCIAL ASSISTANCE. WE THEN SEND AN APPLICATION TO THE PATIENTS VIA MAIL. THE PROCESS IS ALSO DEFINED AND OUR APPLICATION IS 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. THE FINDLAY/HANCOCK COUNTY AREA HAS PLACED IN THE TOP 20 FOR THE PAST 11 CONSECUTIVE YEARS OF SITE SELECTION MAGAZINE'S LISTING OF BEST MICROPOLITON COMMUNITIES IN THE U.S. 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 false true false false false false false false false SCOTT MALANEY CHIEF EXECUTIVE OFFICER 0 581201 0 126972 0 350539 0 18000 0 7291 0 1084003 168481 DAVE CYTLAK CHIEF FINANCIAL OFFICER 0 342169 0 47737 0 27545 0 18000 0 3939 0 439390 3766 WILLIAM KOSE CHIEF QUALITY OFFICER 0 193591 0 51184 0 25471 0 13507 0 10110 0 293863 ANGELA HOLT PHYSICIAN 424386 0 0 0 19550 0 16200 0 5299 0 465435 0 MICHAEL MANUAL PHYSICIAN 197715 0 214874 0 18291 0 16200 0 11953 0 459033 0 DANIEL SAK PHYSICIAN 392257 0 0 0 5197 0 0 0 6301 0 403755 0 MARCIA HOFFHEIMER PHYSICIAN 247859 0 47644 0 51481 0 3553 0 1941 0 352478 0 THOMAS GRACE PHYSICIAN 274408 0 82983 0 191 0 16200 0 4288 0 378070 0 BARBARA PASZTOR VP OF NURSING 232518 0 35527 0 12207 0 14956 0 7019 0 302227 0 CHRISTINE KELLER VP OF CLINICAL SERVICES 230834 0 31876 0 338 0 14242 0 7470 0 284760 0 SCHEDULE J, PART I, LINE 4C IN 2017, BLANCHARD VALLEY HEALTH SYSTEM CONTRIBUTED ON BEHALF OF SCOTT MALANEY $18,000 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 2017, BLANCHARD VALLEY HEALTH SYSTEM CONTRIBUTED ON BEHALF OF DAVID CYTLAK $18,000 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 ($18,000 IN 2017), 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 VILLAGE OF BLUFFTON OHIO 346400139 2010-12-31 11293759 REFUNDED PRIOR OBLIGATION, SEE PAR true true false B COUNTY OF HANCOCK OHIO 346400608 410040BY4 2011-04-14 108706899 REFUND ISSUE DATED 11/4/2004 false false false C VILLAGE OF ANNA OHIO 340894539 2012-06-13 9700000 BUILDING & EQUIPMENT FINANCING true true false D VILLAGE OF BLUFFTON OHIO 346400139 2017-12-14 85150000 REFUNDING false false false A 11293759 0 11293759 0 0 0 0 0 0 0 11293759 0 false false true true B 96100000 0 108706899 0 0 0 1874847 0 0 0 106832052 0 true false true true C 9700000 0 9700000 0 0 0 0 0 0 9700000 0 0 true false true true D 0 0 85150000 0 0 0 1106427 0 0 0 84043573 0 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 D false false true true false 0 false false false true A false true false false true false 0 false 0 false true B false true true false false false 0 false 0 false true C false true false false true false 0 false 0 false true D true false false false false 0 false 0 false true A true B true C true D 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. A VILLAGE OF BLUFFTON OHIO 346400139 2017-12-28 7575000 REFUND ISSUE DATED 6/13/2012 false false false A 0 0 7575000 0 0 0 96210 0 0 0 7478790 0 true false true true A false false true true false 0 false false false true A true false false true false 0 false 0 false true A true FORM 990, PART VI, SECTION B, LINE 1B SCOTT MALANEY IS A BOARD MEMBER AND PAID EMPLOYEE OF A RELATED ORGANIZATION. DUE TO HIS EMPLOYMENT, HE IS CONSIDERED A NON INDEPENDENT VOTING MEMBER OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B A DETAILED REVIEW OF THE FORM 990 IS PERFORMED BY THE ORGANIZATION'S COMPLIANCE & AUDIT COMMITTEE. THIS COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES, MEMBERS OF THE COMMUNITY, AND MEMBERS OF UPPER MANAGEMENT. THE COMPLIANCE & AUDIT COMMITTEE REPORTS TO THE BOARD OF TRUSTEES ANY AREAS OF CONCERN REGARDING THE FORM 990. ONCE THE FORM 990 HAS BEEN FINALIZED, REVIEWED AND APPROVED, THE MEMBERS OF BOARD OF TRUSTEES RECEIVE ELECTRONIC COMMUNICATION THAT THE FORM 990 IS 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 & BENEFIT ANALYSIS & 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 X CERTAIN RECLASSIFICATIONS HAVE BEEN MADE TO THE 2016 FINANCIAL STATEMENTS TO CONFORM TO THE 2017 FINANCIAL STATEMENT PRESENTATION. THE RECLASSIFICATIONS WERE A RESULT OF THE ADOPTION OF ASU 2015-03,'INTEREST - IMPUTATION OF INTEREST (SUBTOPIC 835-30): SIMPLIFYING THE PRESENTATION OF DEBT ISSUANCE COSTS.' THE RECLASSIFICATIONS WERE DEEMED TO BE IMMATERIAL AND HAD NO EFFECT ON THE CHANGE IN NET ASSETS. THESE HAVE BEEN RECORDED APPROPRIATELY ON PART X. FORM 990, PART XI, LINE 9 CHANGE IN INTEREST RATE SWAP AGREEMENT 1,594,328 DEFINED BENEFIT PENSION PLAN -1,019,358 OTHER CHANGES IN NONCONTROLLING INTEREST -4,681,324 TRANSFERS FROM AFFILIATES -1,435,181 TOTAL $ -5,541,535 CRNA OF BLANCHARD VALLEY LLC 1900 SOUTH MAIN STREET FINDLAY OH 45840 061748552 CERT NURSE OH 1597129 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 PF BVHF false BLANCHARD VALLEY PAIN MANAGEMENT 1900 SOUTH MAIN STREET FINDLAY OH 45840 270095470 PAIN MGMT OH BVRHC RELATED 5276156 996498 false false 0.51000 TECHNICORE CLINICAL ENGINEERING SERVICES 1900 SOUTH MAIN STREET FINDLAY OH 45840 421702910 BIO-MED SUPPORT OH BVRHC RELATED -16781 459818 false -26200 false 0.66000 NORTHWEST OHIO MEDICAL EQUIPMENT 1900 SOUTH MAIN STREET FINDLAY OH 45840 341882390 MEDICAL EQUIP OH BVCCS N/A CREIGHTON DIALYSIS LLC 1900 SOUTH MAIN ST FINDLAY OH 45840 274527592 DIALYSIS SERVICES OH BVRHC RELATED 12765 0 0.60000 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 false true false true true false false false false false BLANCHARD VALLEY HEALTH SYSTEM E 97725000 FMV TECHNICORE M 106000 FMV