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      <Desc>Quality and Patient Safety: Hospital Engagement Network (HEN) 2.0: The REF was awarded the Hospital Engagement Network 2.0 award (HHSM-500-2015-00294C) effective September 24, 2015 in the amount of $3,422,826. Recruitment was conducted immediately and 66 hospitals submitted commitments to participate by end of the calendar year. The initiative was designed to reduce all-cause preventable inpatient harm by 40% and readmissions by 20%. Participating hospitals then formed multi-disciplinary teams which included: -Senior healthcare facility executive champion(s) -Site project team leader -Physician champion(s)/epidemiologist(s) -Quality/process improvement specialists And others as appropriate such as: -Nursing manager/director/champion(s) -Bedside staff nurses -Data collector/submitter (if different than someone listed here) -Infection control practitioner(s) -Pharmacy -Laboratory The REF HEN began its focused efforts as follows: -Expanding adverse drug events (ADE) to include opioid safety. anticoagulation safety, and glycemic management -Expanding catheter-associated urinary tract infections (CAUTI) to all hospital settings, including avoiding placement of catheters in the ER and in the hospital -Expanding central line-associated bloodstream infections (CLABSI) to all hospital settings -Expanding obstetrical adverse events beyond Early Elective Delivery (EED) reduction, to include OB trauma, obstetrical hemorrhage, and preeclampsia prevention -Expanding SSI to include total hip replacements and total knee replacements -Expanding venous thromboembolism (VTE), at a minimum to all surgical settings -Including ventilator-associated conditions (VAC), infection-related ventilator-association complications -(IVAC) and ventilator-associated pneumonia (VAP) for ventilator-associated events (VAE) In addition to the required base measures outlined above, the hospitals chose to participate in at least one of the selected initiatives listed below: -Severe sepsis and septic shock -Hospital culture of safety that fully integrates patient safety with worker safety (limited to 15 hospitals) -Iatrogenic delirium -Clostridium difficile (C. diff), including antibiotic stewardship -Hospitals began to submit the required outcome and process measures on a monthly and quarterly basis to the REF, allowing enough time to provide aggregate data to CMS by the assigned due date. -Other hospital deliverables included: -Develop an action plan based on a completed gap analysis Implement harm reduction strategies to meet or exceed HEN 2.0 improvement goals -Have at least one participant on monthly content and coaching calls -Incorporate patient centered, patient and family engagement and safe care practices into all methodologies -Consider health disparity and health literacy in the development of patient education materials, communications, and care planning -Incorporate antibiotic stewardship into improvement plan -Host the regional coordinator on a quarterly basis -Submit monthly data collection by the established due date -Meet regularly with team to develop strategies for improvement and reporting process -Share internal data with leadership and staff so they can continually work on improvement plan -Conduct educational programming for staff to meet the project goals as appropriate -Identify any problems with project implementation and alert the regional coordinator as soon as possible -Collaboration with other hospitals participating in the REF HEN -Attend internal team meetings -Baseline data and metrics -Monthly process and outcome measure data either by granting access to NHSN or enter data onto the REF data entry site -Quarterly process and outcome measure data through existing administrative data set -Participation as a mentor facility, as requested and able, for an area of identified strength REF deliverables included: -Outcomes data using existing data sources -OHA obtaining data from NHSN on behalf of the hospital -A web-based data entry site to enable timely data collection and submission -Free access to Wayfinder and associated data reports for the duration of HEN 2.0 -Hand Hygiene Process Observers to collect up to 150 hand hygiene observations monthly from participating hospitals at no additional cost -Educational programming and resources related to the HEN 2.0 topics -Regional Coordinators to serve as a reference and support to our organization -Engagement awards based on the hospital level of engagement and level of attainment of benchmarks at the end of the contract -Continuous Service Readiness (CSR) -Facilitated subscriptions for continuous survey readiness to member hospitals via subscription to the CSR consultant service for 92 hospitals. Provided both a Spring and a Fall conference related to accreditation standards at two locations per offering. Quality Summit Conducted the 8th Annual Quality Summit on June 10, 2015 entitled, "A Century of Health Care Innovation" with over 200 attendees participating. The summit was held at the Hilton at Easton, Columbus, Ohio and featured four panel presentations including: -Sepsis: Improving Outcomes and Decreasing Mortality Through Effective Practices -Reducing All Cause Readmissions through the Lenses of Finance, Quality, and Clinical Practice -Incorporating Patient Family Engagement -Disparities: A Population-Based Approach to Medication Errors Professional poster presentations with ample networking opportunities to disseminate effective practices were coordinated. Following the summit, recordings of panel presentations and poster abstracts were posted to the OHA website. Initiated the REF of OHA Statewide Sepsis Initiative in response to the OHA Board-directed goal of a statewide 30% reduction in sepsis mortality. 75 member hospitals submitted letters of commitment to participate in the ongoing initiative which includes: -Data submission regarding compliance to the elements of the 3-hour bundle -Monthly educational/coaching calls -Dissemination of effective practices Website launched in June, 2015 with monthly educational/coaching webinars posted along with literature and resources. Hand Hygiene (HH): In 2015, the hand hygiene program included the onset of CONTRACTED hand hygiene observations and reporting. Certain hospitals and hospital systems saw the need for continuous hand hygiene monitoring on a monthly basis and at higher thresholds of observations than associated with projects typically led by the REF. Other locations within OHA member community hospitals have also chosen to participate. 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        <Desc>Emergency Preparedness: Regional Initiative Funding: Regional funds in the amount of $556,408 were received to complete required deliverables, provide an initial $1,500 funding for each hospital with the option to submit for additional funds totaling $70,000. These funds provide the opportunity for healthcare facilities to address their preparedness initiatives as well as supporting the regional healthcare coordinator, the regional coalition coordinator, and 14 county coalitions. Drills and Exercises - collaboration with state and regional partners Regional Full Scale Exercise partnership with Public Health and Regional Coalition members to test hospital and community preparedness for an Ebola outbreak situation. The exercise was designed to provide all participants the opportunity to establish incident command, test identification and isolation of suspected Ebola patient, and staff health and safety procedures. Regional SNS Request Exercise partnership with all 17 hospitals, 2 regional PH coordinators, 14 local health departments and 14 county EMAs (hospitals are only present in 14 of the 21 counties). The SNS Request Standard Operating Guide developed for and adopted by the hospitals which outlines how to request and provide information to PH and EMA was tested via a functional exercise conducted in May, 2016. Special Training: SNS requesting/receiving/awareness training was held via webinar in May 2015 and was attended by 42 hospital participants and 21 local public health departments. Training on how to assemble the mobile all-weather shelters (aka BluMed) was held at two locations in September and was attended by 35 hospitals along with public health, and EMA partners. Assets *SE Ohio has always been conscious of the size and rural nature of the region. All assets are stored at no expense to the grant and available to the entire region -Patient Care/Med Surge supply caches are pre-positioned in 10 of the 21 counties and are inventoried and moved yearly -Mass casualty trailers or supplies are prepositioned in 3 counties cross the region -Refrigerated remains trailer or portable morgue units are prepositioned in 2 counties -Bus Fitting evacuation cots are prepositioned in 11 counties -Oxygen administration units are in two counties -Large portable generators are in two counties and two large generators have been installed in senior centers/community centers in two counties. *For FY 2015, we initiated preventive maintenance record submission for all regional assets stored within the hospitals or Pike County Health District warehouse. *Hospital inventories of grant purchased equipment are verified through site vists. Coalitions *Regional - the Southeast Ohio Healthcare Coalition (SOHC) was developed in FY 2013 with by-laws adopted and a Steering Committee set. The Steering Committee approved the FY 2015-2016 budget and activities related to the coalitions: -In FY 2015-16 the SOHC developed both a communications plan and a command and control plan which were tested in the regional functional exercises -Proposed activities for FY 2015 have been cross-walked against the BP4 reporting measures to ensure we are on track *County - Since 2009, SE Ohio has worked to establish county healthcare coalitions consisting of hospitals, public health, EMA, and all other healthcare and other organizations willing to participate. 14 coalitions work on a local/county/multi-county level to improve the healthcare preparedness State Initiative Funding *State funds in the amount of $364,801 were used to initiate and sustain existing programs/initiatives and develop and implement new statewide programs/initiatives as well as provide funding for the Director of Public Health Programs to oversee this grant and the SE Ohio Regional Grant. These initiatives included: -Provided training to all users of the OHTrac (patient tracking/family reunification system) on the new mobile application developed and implemented in November 2015. This new app will allow expansion of OHTrac to the EMS environment to initiate patient tracking from scene to final destination as well as provide hospitals with the opportunity access OHTrac from any location. A narrated power point training was developed and provided to all healthcare facilities, Regional Healthcare Coordinators and other healthcare providers on the use of the mobile application to include downloading procedures, scanning of patient information, and destination location. -Pediatric triage model for crisis standard of care: Triage mode has been completed and is currently available, with ODH permission for peer review at the request of the developers. This triage model will serve as a model not only for Ohio hospitals and healthcare facilities but for healthcare facilities across the nation. The Institute of Medicine and Assistant Secretary for Preparedness and Response are extremely interested in viewing the final product for endorsement. -Implementation of standard data field definitions and process for data entered into Surgenet (bed tracking) by hospitals and healthcare partners was completed and approved by Ohio Department of Health. Webinars are in place to provide Surgenet users with education on the changes along with a web based test site that can be utilized for training of new users, and during exercises. The development of the test site was a direct request from hospitals so that multiple users could conduct training and participating in exercises on the system without affecting the live system or incurring travel or loss of work costs for hospitals. Ebola and Other Special Pathogens Initiatives and Funding -Ebola and Other Special Pathogens healthcare and community response guidelines were established in collaboration with the Ohio Department of Health and the regional healthcare coordinators. These guidelines were utilized by the regional healthcare coordinators, regional public health coordinators, and appropriate partners to establish their regional Ebola and Other Special Pathogens Response Plan. -OHA entered into a five (5) year contract with the Ohio Department of Health in the amount of $1.2 million over the 5-year period. The goal of this contract is to establish a response process to address pathogens that can be transmitted via the contact, droplet or airborne routes. A statewide Ohio Special Pathogens Coalition was developed with representation of all entities responding to or caring for a suspected or confirmed patient with any disease/condition spread by the routes identified. This Coalition developed a statewide training and exercise plan to identify opportunities to test and/or train on their process to identify, transport, and care for the patient. Additionally, the REF developed a web-based Personal Protective Equipment (PPE) Inventory tool that will identify the type and amounts of PPE available across the state.</Desc>
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        <Desc>Population Health: Infant Mortality: Presented the Good4Baby program to the quarterly in-person meeting of the Ohio Collaborative to Prevent Infant Mortality in December 2015. The REF of OHA served on executive/steering committees for the Ohio Collaborative to Prevent Infant Mortality, Ohio Perinatal Quality Collaborative, and Cradle Cincinnati. Safe Sleep: The REF of OHA continued its "Safe Sleep is Good4Baby" initiative aimed at promoting the ABC's of safe sleep practices in Ohio. REF worked closely with Ohio birthing hospitals related to mandated reporting to the Ohio Department of Health (ODH) due to legislation passed in 2014. This legislation requires hospitals to report data to ODH regarding new parents who report not having access to a safe sleep environment. Early Elective Deliveries: The REF continued its "39+ Weeks is Good4Baby" initiative aimed at reducing early elective deliveries (EED) in Ohio hospitals. OHA continued the EED work as a part of the HEN 2.0 contract. OHA received a grant for $2,000 in patient brochures related to 39+ weeks from the March of Dimes which were distributed at no cost to Ohio hospitals. Breastfeeding: The First Steps for Healthy Babies, a quarterly recognition program for hospitals implementing the 10 Steps to Successful Breastfeeding, was launched in March of 2015 in partnership with the Ohio Department of Health. OHA received a $15,000 contract from the Association of State and Territorial Health Officials (ASTHO) to support the First Steps program. A portion of these funds were used to develop a certificate, small poster, and larger progress poster which were printed for hospitals as free resources. Two rounds were received in 2015, as the submissions began in July 2015. 36 hospitals, including 8 Baby Friendly USA hospitals, were recognized. All recognized hospitals received free materials. Presented the First Steps program with co-lead from ODH on national ASTHO virtual learning session in December 2015. Walk With A Doc (WWAD): As a part of OHA's centennial celebration, OHA covered the start-up cost and two-year fees for hospitals who wished to begin or continue the Walk With A Doc community walking program. Funded 20 hospitals and health systems to support the WWAD program ($10,000). Energy Foundation: The energy program increased energy efficiency and renewable energy resources through new policy initiatives and improved air quality to improve the health of all Ohioans. It includes a strong network for sustainable healthcare including engagement of hospitals in PUCO rate cases, collaboratives and state policy, creating a powerful learning community, supporting hospitals to achieve high levels of energy efficiency, emergency preparedness and other climate mitigation and sustainability strategies.</Desc>
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        <Desc>Ohio Patient Safety Institute Patient Safety Organization Enhanced patient safety data collection and analysis for 35 members voluntarily participating in OPSI Patient Safety Organization (PSO) while securing uniform federal confidentiality and privilege protections. Led four statewide webinars as a part of the Advancing Patient Safety Conference Series, including: -March - Use of Abbreviations -June - Clinical Alarm Management Program -September - Prenatal Care Safety -November - Deep Dive into Reducing Patient Falls The OPSI 2015 Audio Conference Series included: -February 12th Maternal Opiate Addiction, Care, Collaboration and Community - Summa - Jocelyn Davis, DNP, CNM, RN, C-EFM -May 14th Towards the Elimination of Pediatric Adverse Drug Events - Nationwide Children's - Richard McClead Jr. MD, MHA and Shelly Morvay, Pharm D -August 13th Reducing Nosocomial Multi Drug Resistant Acinetobacter - Metro Health Medical Center - Anne Aulisio, Patient Safety Officer, Jennifer Conti RN BSN and Nicole Rabic RN BSN -November 12th Pharmacy Facilitated Discharge Medication Reconciliation - Mount Carmel - Virginia Ruef, Pharm D</Desc>
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      <ReconcilationRevenueExpnssAmt>-611619</ReconcilationRevenueExpnssAmt>
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        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
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        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 3b Qualified Under 501C(4)(5) Or (6)</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization, using input from the supported organization, completes a pro forma Schedule A, Part III annually to confirm the supported organization meets the Section 509(a)(2) public support test. The support calculation is maintained in the supporting organization's files.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 3c Support To Org. Used Exclusively Sec. 170(c)(2) Purposes</FormAndLineReferenceDesc>
        <ExplanationTxt>The supporting organization does not provide monetary support to its supported organization. If the filing organization were to provide monetary support to its supported organization, it would ensure such support is used solely for charitable purposes.</ExplanationTxt>
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      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
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        <BookValueAmt>566891</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>566891</TotalBookValueOtherAssetsAmt>
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        <Desc>Due to Related Party</Desc>
        <Amt>304806</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>304806</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>2461491</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-270146</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>0</OtherRevenueAmt>
      <RevenueNotReportedAmt>-270146</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2731637</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>0</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2731637</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3343256</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>0</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3343256</ExpensesSubtotalAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Accounting principles generally accepted in the United States of America prescribe recognition thresholds and measurement attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Tax benefits will be recognized only if the tax position is more likely-than-not sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized will be the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the more-likely-than-not test, no tax benefit will be recorded. Management has concluded that they are unaware of any tax benefits or liabilities to be recognized at December 31, 2015 and 2014. The Foundation does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Foundation would recognize interest and penalties related to the unrecognized tax benefits in interest and income tax expense, respectively. The Foundation has no amounts accrued for interest or penalties as of December 31, 2015 and 2014.</ExplanationTxt>
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      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>Holzer Medical Center</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 Jackson Pike</AddressLine1Txt>
          <CityNm>Gallipolis</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45631</ZIPCd>
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        <RecipientEIN>314379491</RecipientEIN>
        <IRCSectionDesc>501 c 3</IRCSectionDesc>
        <CashGrantAmt>35489</CashGrantAmt>
        <PurposeOfGrantTxt>Disaster preparedness</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Holzer Medical Center-Jackson</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>500 Burlington Road</AddressLine1Txt>
          <CityNm>Jackson</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45640</ZIPCd>
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        <RecipientEIN>314379491</RecipientEIN>
        <IRCSectionDesc>501 c 3</IRCSectionDesc>
        <CashGrantAmt>24137</CashGrantAmt>
        <PurposeOfGrantTxt>Disaster preparedness</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Pike County General Health District Total</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>14050 US 23 North</AddressLine1Txt>
          <CityNm>Waverly</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45690</ZIPCd>
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        <RecipientEIN>316400084</RecipientEIN>
        <IRCSectionDesc>501 c 3</IRCSectionDesc>
        <CashGrantAmt>34800</CashGrantAmt>
        <PurposeOfGrantTxt>Disaster preparedness</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Selby General Hospital</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1106 Colgate Drive</AddressLine1Txt>
          <CityNm>Marietta</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45750</ZIPCd>
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        <RecipientEIN>314413259</RecipientEIN>
        <IRCSectionDesc>501 c 3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Disaster preparedness</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Southern Ohio Medical Center</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1805 27th Street</AddressLine1Txt>
          <CityNm>Portsmouth</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45662</ZIPCd>
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        <RecipientEIN>310678022</RecipientEIN>
        <IRCSectionDesc>501 c 3</IRCSectionDesc>
        <CashGrantAmt>24127</CashGrantAmt>
        <PurposeOfGrantTxt>Disaster preparedness</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Zanesville-Muskingum County Health Department</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>205 North 7th Street</AddressLine1Txt>
          <CityNm>Zanesville</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43701</ZIPCd>
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        <RecipientEIN>316400080</RecipientEIN>
        <IRCSectionDesc>Government</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>Disaster preparedness</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Jefferson County Emergency Management Agency</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>16001 State Route 7</AddressLine1Txt>
          <CityNm>Steubenville</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43952</ZIPCd>
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        <RecipientEIN>346001501</RecipientEIN>
        <IRCSectionDesc>Government</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Disaster preparedness</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>7</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Trustees and management monitor the use of grants to ensure they are used for their intended purposes. Additionally, a special audit (A-133) is performed to ensure compliance. Under Federal Circular A-133 the Foundation is responsible for monitoring grant recipients to help assure that Federal awards are expended for authorized purposes in compliance with law, regulations and the provisions of contracts or grant agreements, and that performance goals are achieved.</ExplanationTxt>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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          <BusinessNameLine1Txt>Michael Abrams</BusinessNameLine1Txt>
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        <CompensationBasedOnRltdOrgsAmt>496681</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>246088</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>167749</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>18000</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>30695</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>959213</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Mary Gallagher</BusinessNameLine1Txt>
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        <TitleTxt>Executive VP &amp; Chief of Staff</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>300000</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>59175</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>18000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>30770</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>407945</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>James Guliano</BusinessNameLine1Txt>
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        <TitleTxt>Vice President, Quality Programs</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14437</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>184542</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization relied on Ohio Hospital Association's (OHA), a related tax-exempt organization, process to compensate the Chief Executive Officer (CEO). AN INDEPENDENT COMPENSATION COMMITTEE DELEGATED BY THE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE YEARLY COMPENSATION REVIEW OF THE CEO. OUTSIDE CONSULTANTS, SALARY SURVEYS, AND DATA FROM COMPARABLE ORGANIZATIONS ARE USED IN THE PROCESS OF DETERMINING THE CEO'S COMPENSATION. THIS PROCESS WAS LAST PERFORMED IN 2015 AND IS DOCUMENTED WITHIN THE COMPENSATION COMMITTEE MINUTES.</ExplanationTxt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="15000238" softwareVersionNum="2015v2.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 288,581 including grants of $)(Revenue $ 344,250) Ohio Patient Safety Institute Patient Safety Organization Enhanced patient safety data collection and analysis for 35 members voluntarily participating in OPSI Patient Safety Organization (PSO) while securing uniform federal confidentiality and privilege protections. Led four statewide webinars as a part of the Advancing Patient Safety Conference Series, including: -March - Use of Abbreviations -June - Clinical Alarm Management Program -September - Prenatal Care Safety -November - Deep Dive into Reducing Patient Falls The OPSI 2015 Audio Conference Series included: -February 12th Maternal Opiate Addiction, Care, Collaboration and Community - Summa - Jocelyn Davis, DNP, CNM, RN, C-EFM -May 14th Towards the Elimination of Pediatric Adverse Drug Events - Nationwide Children's - Richard McClead Jr. MD, MHA and Shelly Morvay, Pharm D -August 13th Reducing Nosocomial Multi Drug Resistant Acinetobacter - Metro Health Medical Center - Anne Aulisio, Patient Safety Officer, Jennifer Conti RN BSN and Nicole Rabic RN BSN -November 12th Pharmacy Facilitated Discharge Medication Reconciliation - Mount Carmel - Virginia Ruef, Pharm D</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a Common Pay Agent</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIO HOSPITAL ASSOCIATION (OHA) EIN 31-4270340 IS THE COMMON PAYING AGENT FOR THE FOLLOWING RELATED ORGANIZATIONS. THEREFORE, ALL APPLICABLE IRS TAX FILINGS ARE REPORTED BY OHA. OHIO HOSPITAL CAPITAL, INC. EIN 31-1193166 OHIO HOSPITALS GROUP RATED WORKERS COMPENSATION PROGRAM, INC. EIN 31-1314404 THE RESEARCH &amp; EDUCATIONAL FOUNDATION OF THE OHIO HOSPITAL ASSOCIATION EIN 31-6060347 OHIO HEALTHCARE PURCHASING EIN 20-0414070 THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, OHA, FOR THE YEAR ENDED DECEMBER 31, 2015 WAS 67. FOR PURPOSES OF REPORTING THE NUMBER OF EMPLOYEES ON THE FORM 990, PART V, LINE 2A, THERE WERE THE FOLLOWING FOR EACH RESPECTIVE ORGANIZATION: OHIO HOSPITAL ASSOCIATION - 59 EMPLOYEES OHIO HOSPITAL CAPITAL, INC. - 0 EMPLOYEES OHIO HOSPITALS GROUP RATED WORKERS COMPENSATION PROGRAM, INC. - 0 EMPLOYEES THE RESEARCH &amp; EDUCATIONAL FOUNDATION OF THE OHIO HOSPITAL ASSOCIATION - 6 EMPLOYEES OHIO HEALTHCARE PURCHASING - 2 EMPLOYEES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE OTHER OFFICERS OR KEY EMPLOYEES THAT RECEIVE COMPENSATION. THEREFORE, THIS QUESTION IS NOT APPLICABLE AND HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a PROCESS USED TO DETERMINE COMPENSATION FOR TOP MANAGEMENT OFFICIAL</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE OFFICERS THAT RECEIVE COMPENSATION. THEREFORE, THIS QUESTION IS NOT APPLICABLE AND HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. THE CEO IS COMPENSATED BY THE ORGANIZATION'S COMMON PAY AGENT, OHIO HOSPITAL ASSOCIATION (OHA), A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION PROCESS IS THAT OF OHA'S. AN INDEPENDENT COMPENSATION COMMITTEE DELEGATED BY THE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE YEARLY COMPENSATION REVIEW OF THE CHIEF EXECUTIVE OFFICER (CEO). OUTSIDE CONSULTANTS, SALARY SURVEYS, AND DATA FROM COMPARABLE ORGANIZATIONS ARE USED IN THE PROCESS OF DETERMINING THE CEO'S COMPENSATION. THIS PROCESS WAS PERFORMED IN 2015 AND IS DOCUMENTED WITHIN THE COMPENSATION COMMITTEE MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of trustees may, by resolution, establish an executive committee, which shall consist of at least three (3) trustees, which committee shall have the power to transact all of the business of the corporation during the interim between meetings of the board of trustees and which shall have and exercise the authority of the board of trustees in the management of the corporation subject to any restrictions established by the board of trustees. The designation of the executive committee and the delegation thereto of such authority shall not operate to relieve the board of trustees, or any individual trustee of any responsibility imposed by law. The executive committee shall be subject to the control and direction of the board of trustees. Additionally, as the sole member of filing organization, Ohio Hospital Association, a related tax-exempt organization, has broad authority to act on behalf of the governing body. Please see the narratives for Part VI, Lines 6, 7a and 7b for a description of such authority.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member of the Corporation shall be the Ohio Hospital Association, an Ohio nonprofit corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>As the sole member of the filing organization, OHA has the right to elect, appoint or remove members of the governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>As the sole member of the filing organization, OHA has the right to approve or deny significance governance decisions of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 was reviewed by management with the paid tax preparer. A copy of the organization's final form 990 (including required schedules), as ultimately filed with the IRS, was provided to each voting member of the organization's governing body and officers prior to its electronic filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH TRUSTEE, DIRECTOR, PRINCIPAL OFFICER, other officer, key employee, AND MEMBER OF A COMMITTEE WITH BOARD DESIGNATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE DUALITY OF INTEREST AND CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THE ORGANIZATION IS TAX-EXEMPT AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. After a disclosure, and after any discussions with the interested person, the interested person may be asked by the chairperson to leave the board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. If a conflict of interest exists, the interested person may make a presentation to the board or committee and may be asked to leave the meeting during the discussion of, and the vote on, the arrangement that results in the conflict. After exercising due diligence, the board or committee shall determine whether the company can obtain a more advantageous arrangement with reasonable efforts from a person that would not give rise to a conflict of interest. If that is not reasonably attainable, the board or committee shall determine by a majority vote of the disinterested directors whether the arrangement is in the company's best interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial statements, governing documents, and conflict of interest policy are available upon request from the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Quality/Patient Safety Consulting - Total Expense: 634252, Program Service Expense: 634252, Management and General Expenses: , Fundraising Expenses: ; Continued Survey Readiness - Total Expense: 562788, Program Service Expense: 562788, Management and General Expenses: , Fundraising Expenses: ; Data processing - Total Expense: 27562, Program Service Expense: 27562, Management and General Expenses: , Fundraising Expenses: ; Energy consulting - Total Expense: 126902, Program Service Expense: 126902, Management and General Expenses: , Fundraising Expenses: ; Population Health promotion - Total Expense: 27752, Program Service Expense: 27752, Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="15000238" softwareVersionNum="2015v2.1">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OHIO HOSPITAL ASSOCIATION (OHA)</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>155 E BROAD ST SUITE 301</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <EIN>314270340</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(6</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OHIO HOSPITAL CAPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>155 E BROAD ST SUITE 301</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <EIN>311193166</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(4</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OHIO HOSPITALS GROUP RATED WORKERS COMP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>155 E BROAD ST SUITE 301</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <EIN>311314404</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(6</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OHIO HEALTH COUNCIL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>155 E BROAD ST SUITE 301</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <EIN>311708195</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FRIENDS OF OHIO HOSPITALS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>155 E BROAD ST</AddressLine1Txt>
          <AddressLine2Txt>SUITE 301</AddressLine2Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <EIN>311237308</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>527</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OHIO HEALTHCARE PURCHASING INC DBA OHA SOLUTIONS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>155 E BROAD ST SUITE 301</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <EIN>200414070</EIN>
        <PrimaryActivitiesTxt>PURCHASING CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <OwnershipPct>0</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Ohio Hospital Association</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>564410</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part II, Column (b) Primary Activity</FormAndLineReferenceDesc>
        <ExplanationTxt>1. OHIO HOSPITAL CAPITAL, INC. PRIMARY ACTIVITY: IT WAS ORIGINALLY ORGANIZED FOR THE PURPOSE OF ASSISTING TAX-EXEMPT HOSPITALS IN ATTAINING AND ADMINISTERING HOSPITAL TAX-EXEMPT FINANCING PROGRAMS FOR CAPITAL EXPANSION. 2. OHIO HOSPITALS GROUP RATED WORKERS COMP PRIMARY ACTIVITY: THE PRIMARY PURPOSE OF THE OHIO HOSPITALS GROUP RATED WORKERS COMPENSATION PROGRAM, INC. IS TO DEVELOP AND IMPLEMENT PROGRAMS THAT WILL PROMOTE A SAFE WORKING ENVIRONMENT AND REDUCE HEALTH CARE COSTS. 3. OHIO HOSPITAL ASSOCIATION PRIMARY ACTIVITY: A MEMBERSHIP DRIVEN ORGANIZATION THAT PROVIDES PROACTIVE LEADERSHIP TO CREATE AN ENVIRONMENT IN WHICH OHIO HOSPITALS ARE SUCCESSFUL IN SERVING THEIR COMMUNITIES. THIS NON-PROFIT TRADE ASSOCIATION WORKS ON BEHALF OF MEMBER HOSPITALS THROUGH LEADERSHIP IN THE DEVELOPMENT OF PUBLIC POLICY, IN THE REPRESENTATION AND ADVOCACY OF HOSPITAL INTERESTS, AND IN THE PROVISION OF SERVICES WHICH ASSIST HOSPITALS IN MEETING HEALTH CARE NEEDS AND IMPROVING THE HEALTH STATUS OF THEIR COMMUNITIES, WHICH IN TURN IMPROVES THE HEALTH CARE INDUSTRY AS A WHOLE. 4. OHIO HEALTH COUNCIL PRIMARY ACTIVITY: PROMOTION OF HEALTH BY COORDINATING THE EFFORTS OF ITS MEMBERS AND OTHER ORGANIZATIONS INTERESTED IN THE HEALTH OF COMMUNITIES. THIS PURPOSE INCLUDES FUNDING PROJECTS THAT CONDUCT HEALTH EDUCATION AND HEALTH PROMOTION PROGRAMS REGARDING THE ADVANTAGES TO THE HEALTH OF COMMUNITIES TO BE GAINED THROUGH THE PRACTICE OF MEDICINE AND OTHER HEALTH PROFESSIONS AND THE OPERATION OF HOSPITALS. 5. Friends of Ohio Hospitals Primary Activity: THE ORGANIZATION MAKES CONTRIBUTIONS IN SUPPORT OF POLITICAL CANDIDATES AND PARTIES IN THE INTEREST OF OHIO HOSPITALS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>