2016-11-10T15:02:17-06:00 2015-12-31 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2015-01-01 341369963 BLANCHARD VALLEY REGIONAL HEALTH CENTER % DAVID M CYTLAK BLAN 4194234500 1900 SOUTH MAIN STREET FINDLAY OH 45840 DAVID M CYTLAK CFO 4194235497 2016-11-15 true Joyce A Dulworth P00151125 2604604000 2015 2017-02-10 21:41:12Z DAVID M CYTLAK 1900 SOUTH MAIN STREET FINDLAY OH 45840 273552351 false X WWW.BVHEALTHSYSTEM.ORG X 1982 OH BLANCHARD VALLEY REGIONAL HEALTH CENTER OPERATES TWO HOSPITALS OFFERING INPATIENT, EMERGENCY, MATERNITY AND OUTPATIENT SERVICES; OUTPATIENT CENTERS, AND A PRIMARY CARE CLINIC. 18 17 1671 348 1315803 671951 0 0 239953936 251330036 9434345 14151326 6421853 5816147 255810134 271297509 0 0 0 0 101318061 104647697 0 0 0 105376654 115989418 206694715 220637115 49115419 50660394 476961067 494791464 229011496 206226740 247949571 288564724 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 22738708 30137694 NEUROSCIENCES SERVICES: NEUROSCIENCES SERVICES AT BLANCHARD VALLEY REGIONAL HEALTH CENTER (BVRHC) INCLUDE: SPINAL SURGERY, CRANIAL SURGERY, PERIPHERAL NERVE SURGERY, PAIN MANAGEMENT SURGERY, AND MANY OTHER PROCEDURES. ALSO, BVRHC PROVIDES SERVICES THAT DIAGNOSE, TREAT, AND MANAGE DISORDERS OF THE BRAIN AND NERVOUS SYSTEM. WE WORK DIRECTLY WITH OUR PATIENTS TO CREATE A HEALTH CARE PLAN TO FIT THEIR NEEDS. OUR CONTINUING GOAL IS TO PROVIDE SUPERIOR OUTCOMES BY UTILIZING THE LATEST SURGICAL TECHNIQUES AND EVIDENCE-BASED MEDICINE GUIDELINES TO ACHIEVE CLINICAL EXCELLENCE. THEIR NEEDS. IN 2012, HEALTHGRADES - THE LEADING INDEPENDENT HEALTH CARE RATINGS COMPANY - AWARDED SEVERAL HONORS TO THE BVH TOTAL JOINT REPLACEMENT PROGRAM INCLUDING: 2012 HEALTHGRADES ORTHOPEDIC SURGERY EXCELLENCE AWARD #1 IN OHIO FOR OVERALL ORTHOPEDICS; 5-STAR RATING FOR OVERALL ORTHOPEDICS; 5-STAR RATING FOR TOTAL JOINT REPLACEMENT; 5-STAR RATING FOR TOTAL KNEE REPLACEMENT; 5-STAR RAITING FOR TOTAL HIP REPLACEMENT. 22366516 29644394 CARDIOVASCULAR SERVICES: BLANCHARD VALLEY HEARTCARE CENTER OFFERS A COMPLETE RANGE OF SERVICES FOR COMPREHENSIVE CARDIAC CARE. SERVICES FOR DIAGNOSIS AND TREATMENT INCLUDE CORONARY ARTERY BYPASS SURGERY, VALVE REPLACEMENTS, CARDIAC AND PULMONARY REHABILITATION, AND DIAGNOSTIC TESTING INCLUDING EKGS, STRESS TESTS, HOLTER MONITORING, AND ECHOCARDIOGRAMS. THE CARDIAC AND PULMONARY REHAB PROGRAMS ARE NATIONALLY CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACPR). IN ADDITION, EDUCATION IS PROVIDED TO PATIENTS AND THEIR FAMILY, AS WELL AS COMMUNITY MEMBERS, ON A VARIETY OF HEART-RELATED TOPICS THROUGHOUT THE YEAR. THE EMERGENCY DEPARTMENTS AT BLANCHARD VALLEY HOSPITAL AND BLUFFTON HOSPITAL ADHERE TO THE NATIONAL GOLD STANDARD OF 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 2015, OUR MEDIAN DOOR TO BALLOON TIME WAS 52 MINUTES. ALSO, BLANCHARD VALLEY HOSPITAL'S CARDIOVASCULAR PROGRAM, PART OF THE JANE AND GARY HEMINGER HEARTCARE CENTER, WAS NAMED ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS FOR 2013 BY TRUVEN HEALTH ANALYTICS, FORMERLY THOMSON REUTERS. 19430320 25752783 GENERAL SURGERY: BLANCHARD VALLEY HOSPITAL'S GENERAL SURGERY GROUP IS RESPONSIBLE FOR A FULL SPECTRUM OF CARE, FROM SCHEDULED, ELECTIVE PROCEDURES TO THE TREATMENT OF ADVANCED STAGES OF CANCER. PROCEDURES PERFORMED BY THIS GROUP INCLUDE BUT ARE NOT LIMITED TO APPENDECTOMY (REMOVAL OF THE APPENDIX), CHOLECYSTECOMY (REMOVAL OF THE GALLBLADDER), NON-COSMETIC BREAST SURGERY (FROM LUMPECTOMY TO MASTECTOMY), ORTHOPEDIC PROCEDURES (JOINT REPLACEMENT), AND LUNG AND VASCULAR PROCEDURES. BLANCHARD VALLEY HOSPITAL IS A LEVEL 3 TRAUMA CENTER, SO OUR SURGEONS ARE TRAINED AND AVAILABLE TO RESPOND TO A WIDE RANGE OF TRAUMA NEEDS AND MOST SURGICAL EMERGENCIES THAT COME INTO OUR EMERGENCY DEPARTMENT. 130849455 165137424 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. 130849455 165137424 195384999 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 434 0 true 1671 true true true false false false false false false false false false X 18 17 false false false false false false false true true false false true true true true true true true true true true OH X DAVID M CYTLAK 4194235497 1900 SOUTH MAIN STREET FINDLAY OH 45840 SCOTT MALANEY CEO 32.0 8.0 X X 0 1135837 24844 DUANE JEBBETT CHAIR 0.5 1.0 X 0 0 0 PAUL WORSTELL VICE CHAIR 0.5 1.0 X 0 0 0 KAREN KLASSEN HARDER SECRETARY 0.5 1.0 X 0 0 0 GARRY PEIFFER TREASURER 0.5 1.0 X 0 0 0 CHERYL BUCKLAND TRUSTEE 0.5 1.0 X 0 0 0 KAREN CLINE TRUSTEE 0.5 1.0 X 0 0 0 DAVID EUBANKS TRUSTEE 0.5 1.0 X 0 0 0 RANDALL MYERS TRUSTEE 0.5 1.0 X 0 0 0 ROD NICHOLS TRUSTEE 0.5 1.0 X 0 0 0 ANDREA KOEPKE TRUSTEE 0.5 1.0 X 0 0 0 WILLIAM REIST DMIN TRUSTEE 0.5 1.0 X 0 0 0 LEROY SCHROEDER MD TRUSTEE 0.5 1.0 X 0 0 0 GINGER JONES TRUSTEE 0.5 1.0 X 0 0 0 KIMBERLY STUMPP TRUSTEE 0.5 1.0 X 0 0 0 JOSEPH LONGO TRUSTEE 0.5 1.0 X 0 0 0 RICHARD POLDER MD TRUSTEE 0.5 1.0 X 0 0 0 FRANK COSIANO MD TRUSTEE 0.5 1.0 X 0 0 0 DAVE CYTLAK CFO 32.0 8.0 X 0 431550 16865 DR WILLIAM KOSE CQO 36.0 4.0 X 0 440189 26129 BARBARA PASZTOR VP OF NURSING 40.0 0.0 X 295494 0 21242 CHRISTINE KELLER VP OF CLINICAL SERVICES 40.0 0.0 X 244154 0 16453 DR ANGELO COLLINS PHYSICIAN 40.0 0.0 X 342870 0 0 DR ANGELA HOLT PHYSICIAN 40.0 0.0 X 478071 0 25000 DR MICHAEL MANUAL PHYSICIAN 40.0 0.0 X 358144 0 26829 DR DANIEL SAK PHYSICIAN 40.0 0.0 X 413664 0 8005 DR REBECCA DOEDE PHYSICIAN 40.0 0.0 X 320216 0 1267 2452613 2007576 166634 75 false true false HANCOCK MEDICAL GROUP LTD 1900 S MAIN ST FINDLAY OH 45840 PHYSICIAN SERVICES 549813 BLANCHARD VALLEY PATHOLOGY LABORA 1900 S MAIN ST FINDLAY OH 45840 PHYSICIAN SERVICES 780000 PROLINK HEALTHCARE LLC 10700 MONTGOMERY ROAD CINCINNATI OH 45242 LOCUM SERVICES 866252 NWO SURGICAL SERVICES LLC PO BOX 96024 LAS VEGAS NV 89193 LOCUM SERVICES 1572682 CONCORDANCE HEALTHCARE SOLUTIONS LL 85 SHAFFER PARK DR TIFFIN OH 44883 MEDICAL SUPPLIES 4766493 25 0 PATIENT SERVICE 900099 247027207 247027207 OUTPATIENT PHARMACY 446110 1539157 997322 541835 INVESTMENT IN TECHNICORE 541900 2384633 2394316 -9683 MEDICAL SERVICES 900099 109061 109061 CHARITY SERVICES 900099 269978 269978 251330036 14105910 14105910 0 0 272025 272025 0 272025 272025 2082433 1911428 125589 171005 -125589 45416 -125589 171005 0 0 219846 217825 2021 2021 INVESTMENT IN PARTNERSHIP 621300 783651 783651 CAFETERIA 900099 160661 160661 MEAL TICKETS 900099 899300 899300 3698489 3698489 5542101 271297509 250672295 1315803 19309411 0 0 0 0 2551415 2168703 382712 0 79721934 67763644 11958290 7078818 6016995 1061823 9704965 8249220 1455745 5590565 4751980 838585 0 10166 8641 1525 858954 730111 128843 0 0 0 12351186 10498508 1852678 1130666 961066 169600 9521711 8093454 1428257 3605826 3064952 540874 0 4039695 3433741 605954 871282 740590 130692 0 0 6726284 5717341 1008943 0 12050180 10242653 1807527 171440 145724 25716 PROVISION FOR BAD DEBTS 11757334 11757334 MEDICAL & PROFESSIONAL FEES 5124435 4355770 768665 DUES & SUBSCRIPTIONS 736561 736561 MEDICAL SUPPLIES 39795784 39795784 7237914 6152227 1085687 220637115 195384999 25252116 0 0 0 23604657 14116829 0 0 29552485 33433734 0 0 0 0 0 0 5158587 6072016 516580 526350 252321278 131524179 118032312 120797099 225542261 224760751 802202 298760 0 0 0 0 73751983 94785925 476961067 494791464 25336805 26225748 0 0 133449 122524 117307976 111600000 0 0 0 0 8784939 7738294 0 0 77448327 60540174 229011496 206226740 X 240375695 281422656 962699 928562 6611177 6213506 247949571 288564724 476961067 494791464 X 50660394 -15557000 5511759 X X false true X true false X false false false false false false false false true 10680 10680 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. 7573876 -48989 382818 7142069 7583720 291783 301627 7573876 6814938 1051432 282650 7583720 6334186 752562 271810 6814938 6518959 -168872 15901 6334186 0.87000 0.13000 true true true 3125096 3125096 137030713 22709685 86481427 1101000 1098958 2042 97380021 74670336 22709685 13684449 5205600 8478849 120797099 ADVANCES TO AFFILIATES 93367346 DEFERRED BOND ISSUANCE COSTS 1418579 94785925 0 PENSION LIABILITY 38519143 THIRD PARTY SETTLEMENTS 1488032 INTEREST RATE SWAP OBLIGATION 23279076 MINORITY INTEREST IN PAIN MANA -3556843 INVESTMENT IN SUBSIDIARY 810766 60540174 249494934 -15557000 11001922 -4555078 254050012 17247497 17247497 271297509 208879781 208879781 11757334 11757334 220637115 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 DEFINED BENEFIT PENSION PLAN 11,001,922 TOTAL $11,001,922 PART XI, LINE 4B BAD DEBT RECLASS 11,757,334 CHANGE IN INTEREST RATE SWAP AGREEMENT 1,178,207 OTHER CHANGES IN NONCONTROLLING INTEREST 3,303,284 CHANGE IN PERPETUAL TRUST 397,672 TRANSFERS FROM AFFILIATES 611,000 TOTAL $17,247,497 PART XII, LINE 4D BAD DEBT RECLASS 11,757,334 TOTAL $11,757,334 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 2566759 2566759 0.01230 27954262 21164432 6789830 0.03250 2606458 2298735 307723 0.00150 33127479 23463167 9664312 0.04630 172907 172907 0.00080 109126 109126 0.00050 571060 571060 0.00270 853093 853093 0.00400 33980572 23463167 10517405 0.05030 1191 1191 107799 1453 106346 0.00050 102756 102756 0.00050 104580 104580 0.00050 316326 1453 314873 0.00150 false 4852853 1617617 43000989 46231715 -3230726 X true false 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 false true true X www.bvhealthsystem.org X X false 13 true www.bvhealthsystem.org false 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 true false X X X true X false false BLUFFTON HOSPITAL 2 false false true X X X X X X X X X 15 true false true true X www.bvhealthsystem.org X X false 13 true www.bvhealthsystem.org false 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 true false X X X true X false false PART V, LINE 3 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 commu 2 CAUGHMAN HEALTH CENTER 1800 NORTH BLANCHARD STREET SUITE FINDLAY OH 45840 OUTPATIENT CLINIC CREIGHTON DIALYSIS LLC 1000 EAST MAIN CROSS STREET FINDLAY OH 45840 DIALYSIS CENTER SCHEDULE H, 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. SCHEDULE H, 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. SCHEDULE H, 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. SCHEDULE H, 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 2015 MEDICARE COST REPORTS AND OUR 2014 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. NEEDS ASSESSMENT BLANCHARD VALLEY REGIONAL HEALTH CENTER (BVRHC) HAS A LONG-STANDING COMMITMENT TO THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THROUGH PARTICIPATION IN AND SPONSORSHIP OF HEALTH FAIRS, HEALTH SCREENINGS, AWARENESS CAMPAIGNS, AND EDUCATIONAL EVENTS; AS WELL AS ACTIVE AND ONGOING DIALOGUE WITH THE FINDLAY CITY AND HANCOCK COUNTY HEALTH DEPARTMENTS, BVRHC SEEKS NOT ONLY TO ASSESS THE NEEDS OF LOCAL COMMUNITIES, BUT ALSO TO ENCOURAGE COMMUNITY MEMBERS OF ALL AGES TO TAKE CHARGE OF THEIR HEALTH CARE NEEDS. WE CONFER WITH THE LOCAL CITY AND COUNTY SCHOOLS, AND COOPERATE WITH AGENCIES IN THE COMMUNITY THAT MAY, FROM TIME TO TIME, CONDUCT HEALTH ASSESSMENTS. THE BLUFFTON HOSPITAL COLLABORATES WITH THE LOCAL SCHOOLS TO PROVIDE A SCHOOL NURSE PROGRAM THAT NOT ONLY EVALUATES THE POPULATION FOR HEALTH ISSUES, BUT PROVIDES EDUCATION AS WELL. BVRHC PERIODICALLY CONDUCTS PHYSICIAN NEEDS ASSESSMENTS. OUR MULTIPLE BOARDS AND COMMITTEES ARE FORMED WITH MEMBERS AND PHYSICIANS WHO LIVE WITHIN THE COMMUNITY. WE ALSO MONITOR DISEASES AND CONDITIONS THAT PRESENT IN OUR EMERGENCY DEPARTMENT AT CAUGHMAN HEALTH CENTER. BVRHC HELPED LEAD THE DEVELOPMENT OF THE 2011 HANCOCK COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL'S CONTRIBUTIONS INCLUDED SENIOR EXECUTIVE TIME AND FINANCIAL SUPPORT. BVRHC SUCCESSFULLY SOUGHT EXECUTIVE AND FINANCIAL SUPPORT FROM OTHER HANCOCK COUNTY PRIVATE AND PUBLIC AGENCIES WHO ARE STAKEHOLDERS IN ANY HEALTH NEEDS ASSESSMENT. DURING 2011, THE HOSPITAL HELPED A STEERING COMMITTEE ADMINISTER ASSESSMENTS OF ADULTS, YOUTH, AND CHILDREN. THE REPORT WAS COMPLETED IN LATE 2011. THE HOSPITAL REMAINS INVOLVED WITH THE COMMITTEE AS IT CONTINUES FORWARD TO DEVISE ACTION PLANS TO ADDRESS SELECTED HEALTH PROBLEMS. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE Blanchard Valley Regional Health Center educates patients about our options for financial assistance in several ways. The financial assistance guidelines are on the back of each statement. When patients are called or call the Business Office, associates in the Credit and Collection Department pre-screen patients to determine if they may be eligible for any type of financial assistance. If the patient is determined to potentially be eligible, we discuss with the patient their options for obtaining financial assistance. We then send an application to the patients via mail. The process is also defined and our application 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 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. COMMUNITY INFORMATION BLANCHARD VALLEY HEALTH SYSTEM SERVES AN EIGHT-COUNTY AREA THAT INCLUDES HANCOCK, ALLEN, PUTNAM, HENRY, WOOD, SENECA, WYANDOT, AND HARDIN COUNTIES. HANCOCK (OUR PRIMARY SERVICE AREA) AND SENECA COUNTIES CAN BE DESCRIBED AS MICROPOLITAN; ALLEN AND WOOD COUNTIES AS METROPOLITAN; AND THE SURROUNDING FOUR COUNTIES AS RURAL. 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 LARGE UNIVERSITY, AS WELL AS SEVERAL LARGE CORPORATIONS INCLUDING COOPER TIRE & RUBBER COMPANY, MARATHON PETROLEUM COMPANY, AND WHIRLPOOL CORPORATION. THE SURROUNDING AREAS ARE HEAVILY AGRICULTURAL. PROMOTION OF COMMUNITY HEALTH BY REACHING OUT TO THE COMMUNITY THOUGH HEALTH FAIRS, SERVING ON THE BOARDS OF LOCAL ORGANIZATIONS, AND PROVIDING HEALTH EDUCATION, WE ARE GIVEN THE OPPORTUNITY TO FURTHER THE KNOWLEDGE OF THE COMMUNITY ABOUT THE IMPORTANCE OF WELLNESS. WE ARE ALSO PRESENTED WITH THE OPPORTUNITY TO INTERACT WITH OUR COMMUNITY AND LISTEN TO AND IDENTIFY THEIR NEEDS. OUR HOSPITALS ARE MAJOR SPONSORS OF AND PARTICIPATE IN MANY COMMUNITY HEALTH FAIRS THAT PROVIDE FREE OR LOW-COST HEALTH SCREENS, EDUCATIONAL MATERIALS ON VARIOUS HEALTH TOPICS, AND OVERALL HELP TO INCREASE AWARENESS THROUGHOUT THE COMMUNITY OF HEALTHIER LIFESTYLES AND OF LOCAL RESOURCES FOR HEALTH AND HEALTHCARE SERVICES AND PRODUCTS. THE ORGANIZATION ALSO CONTRIBUTES MONETARILY TO LOCAL CHARITIES SUCH AS UNITED WAY, MARCH OF DIMES, THE AMERICAN CANCER SOCIETY, SUSAN G. KOMEN, AND THE AMERICAN HEART ASSOCIATION. AFFILIATED HEALTH CARE SYSTEM CAUGHMAN HEALTH CENTER (CAUGHMAN) AND WOMENS & CHILDRENS CENTER (W&C) 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 AND W&C 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, WOMENS & CHILDRENS CENTER, PHYSICIAN'S PLUS URGENT CARE FACILITY, AND ALL OF THEIR RELATED MEDICAL PRACTICES. STATE FILING OF COMMUNITY BENEFIT REPORT OHIO false true false false false false false false false SCOTT MALANEY CEO 0 554777 0 188818 0 392242 0 15900 0 8944 0 1160681 0 357754 DAVE CYTLAK CFO 0 332468 0 73377 0 25705 0 15900 0 965 0 448415 0 0 DR WILLIAM KOSE CQO 0 327882 0 78720 0 33587 0 15900 0 10229 0 466318 0 0 DR ANGELO COLLINS PHYSICIAN 342870 0 0 0 0 0 0 0 0 0 342870 0 0 0 DR ANGELA HOLT PHYSICIAN 448979 0 10000 0 19092 0 15900 0 9100 0 503071 0 0 0 DR MICHAEL MANUAL PHYSICIAN 282465 0 57408 0 18271 0 15900 0 10929 0 384973 0 0 0 DR DANIEL SAK PHYSICIAN 410951 0 0 0 2713 0 0 0 8005 0 421669 0 0 0 DR REBECCA DOEDE PHYSICIAN 293650 0 0 0 26566 0 0 0 1267 0 321483 0 0 0 BARBARA PASZTOR VP OF NURSING 216167 0 54831 0 24496 0 14710 0 6532 0 316736 0 0 0 CHRISTINE KELLER VP OF CLINICAL SERVICES 197841 0 46134 0 179 0 12087 0 4366 0 260607 0 0 0 SCHEDULE J, PART I, LINE 4B IN 2015, BLANCHARD VALLEY HEALTH SYSTEM CONTRIBUTED ON BEHALF OF SCOTT MALANEY $156,671 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 2015, BLANCHARD VALLEY HEALTH SYSTEM CONTRIBUTED ON BEHALF OF DAVID CYTLAK $22,556 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 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 457(F) ARE NOT ALLOWED. *EACH PARTICIPANT'S 457(B) ACCOUNT WILL BE CREDITED UP TO THE STATUTORY LIMIT ($18,000 IN 2015), 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 OH 346400139 2010-12-31 11293759 REFUNDED PRIOR OBLIGATION, SEE PAR false false 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 false false false A 11293759 0 11293759 0 0 0 0 0 0 0 11293759 0 true false true true B 5275000 0 108706899 0 0 0 1874847 0 0 0 106832052 0 true false true true C 1500000 0 9700000 0 0 0 0 0 0 9700000 0 0 false false true true A false false true true false 0 false false false true B false false true true false 0 false false false true C false false true true false 0 false false false true A false false true false true false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false true false 0 false 0 false true A true B true C true PART I, COL. B, F: THE ISSUE REFUNDED LEASE OBLIGATIONS DATED 11/15/2002, 12/21/2005, 12/20/2006, AND 10/23/2009. PART 2, COL. A & B, LINE 11: THE PROCEEDS LISTED WERE USED TO CURRENTLY REFUND THE PRIOR OBLIGATIONS LISTED IN PART I. 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'S. ONCE THE FORM 990'S HAVE BEEN FINALIZED, REVIEWED AND APPROVED, THE MEMBERS OF BOARD OF TRUSTEES RECEIVE ELECTRONIC COMMUNICATION THAT THE FORM 990'S ARE COMPLETE AND AVAILABLE ON BOARDNET. 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 PERQUISITES ON A BIENNIAL 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 MOST RECENT FULL COMEPENSATION & BENEFIT ANALYSIS & REVIEW WAS COMPLETED IN EARLY 2015 BY SULLIVAN COTTER AND ASSOCIATES AND SHARED/DISCUSSED WITH THE BOARD IN APRIL 2015. 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. PART XI, LINE 9 CHANGE IN INTEREST RATE SWAP AGREEMENT -1,178,207 DEFINED BENEFIT PENSION PLAN 11,001,922 CHANGE IN PERPETUAL TRUST -397,672 OTHER CHANGES IN NONCONTROLLING INTEREST -3,303,284 TRANSFERS FROM AFFILIATES -611,000 TOTAL $5,511,759 CRNA OF BLANCHARD VALLEY LLC 1900 SOUTH MAIN STREET FINDLAY OH 45840 061748552 CERT NURSE OH 3034349 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 BLANCHARD VALLEY HEALTH SYSTEM 1900 SOUTH MAIN STREET FINDLAY OH 45840 344428206 HEALTH CARE OH 501(C)3 11A NA true BLANCHARD VALLEY CONTINUING CARE SERVICE 15100 BIRCHAVEN LANE FINDLAY OH 45840 346006904 CONTINUING CA OH 501(C)3 9 BVHS true 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 11A BVHF false BLANCHARD VALLEY PAIN MANAGEMENT 1900 SOUTH MAIN STREET FINDLAY OH 45840 270095470 PAIN MGMT OH BVRHC RELATED 5194677 919069 false false 0.51000 TECHNICORE CLINICAL ENGINEERING SERVICES 1900 SOUTH MAIN STREET FINDLAY OH 45840 421702910 BIO-MED SUPPORT OH BVRHC RELATED 1589755 2616440 false -9683 false 0.66660 CREIGHTON DIALYSIS LLC 1900 SOUTH MAIN STREET FINDLAY OH 45840 274527592 DIALYSIS SERVICES OH BVRHC RELATED 1608141 396849 false false 0.60000 NORTHWEST OHIO MEDICAL EQUIPMENT 1900 SOUTH MAIN STREET FINDLAY OH 45840 341882390 MEDICAL EQUIP OH BVCCS N/A true false true false true false false false false false true false true true false false false false false BLANCHARD VALLEY PAIN MANAGEMENT A 313064 FMV TECHNICORE M 191990 FMV