2025-11-17T08:16:05+00:00 2024-12-31 440160260 Forvis Mazars LLP 111 E Wayne Street Suite 600 Fort Wayne IN 46802 990 2024-01-01 341369963 BLANCHARD VALLEY REGIONAL HEALTH CENTER BLAN 4194234500 1900 SOUTH MAIN STREET FINDLAY OH 45840 DAVID CYTLAK CFO 4194234500 2025-11-17 true Aaron Hershberger P00961884 2604604000 2023-11-10 2024 2025-03-06 01:10:19Z DAVID CYTLAK 1900 SOUTH MAIN STREET FINDLAY OH 45840 461168528 false X WWW.BVHEALTHSYSTEM.ORG X 1982 OH BLANCHARD VALLEY REGIONAL HEALTH CENTER OPERATES TWO HOSPITALS OFFERING INPATIENT, EMERGENCY, MATERNITY, AND OUTPATIENT SERVICES. 17 15 2972 203 6857906 183329 0 0 386234893 385289777 20169429 23581564 7187819 4795274 413592141 413666615 0 0 143124954 142176506 0 0 171490187 177743028 314615141 319919534 98977000 93747081 664695083 677291082 94472000 79133000 570223083 598158082 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 200934541 277979367 OTHER SERVICES PROVIDED AT BVRHC INCLUDE WOMAN'S SERVICES (GYNECOLOGY, OBSTETRICS BREAST HEALTH PEDIATRIC HOSPITALISTS, LEVEL 2 SPECIAL CARE NURSERY), ONCOLOGY SERVICES, UROLOGY/NEPHROLOGY SERVICES, SLEEP DISORDER MANAGEMENT, PAIN MANAGEMENT, WOULD CARE, AND DIALYSIS. 41793039 49796941 See Schedule O 22585265 26910633 ORTHOPEDIC SERVICES: ORTHOPEDIC SERVICES AT BLANCHARD VALLEY REGIONAL HEALTH CENTER INCLUDE: HIP FRACTURE REPAIR AND REPLACEMENT, KNEE SURGERY, TOTAL KNEE REPLACEMENT, JOINT REPLACEMENT, AND MANY OTHER PROCEDURES. JOINT REPLACEMENTS ARE PERFORMED WITH SOME OF THE MOST ADVANCED TECHNOLOGY IN THE U.S., INCLUDING MINIMALLY INVASIVE AND GENDER-SPECIFIC PROCEDURES. THE ORTHOPEDIC PROGRAM WAS DEVELOPED THROUGH THE COLLABORATION OF BLANCHARD VALLEY REGIONAL HEALTH CENTER'S SPECIALTY ORTHOPEDIC SURGEONS AND HOSPITAL ASSOCIATES. THE SURGEONS AND OTHER HOSPITAL ASSOCIATES WORK DIRECTLY WITH PATIENTS TO CREATE A HEALTH CARE PLAN TO FIT THEIR NEEDS. 22526619 26840755 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. 22526619 26840755 287839464 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 319 0 true 2972 true true true false false false false false false false false false false false X 17 15 false false false false true false false true true false false false true true true true true true true true true true X DAVID CYTLAK 4194234500 1900 SOUTH MAIN STREET FINDLAY OH 45840 FRANK COSIANO MD Trustee 0.5 1.0 X X 0 0 0 GINGER JONES CHAIRMAN 0.5 1.0 X X 0 0 0 JAMES DOWLING MD SECRETARY 0.5 1.0 X X 0 0 0 JEFF SCHRADER TREASURER 0.5 1.0 X X 0 0 0 Joseph Longo Vice Chair 0.5 1.0 X X 0 0 0 Myron Lewis Chief Executive Officer 30.0 10.0 X X 0 1106411 30737 ADELE WEBB PHD TRUSTEE 0.5 1.0 X 0 0 0 ANNETTE EDGINGTON TRUSTEE 0.5 1.0 X 0 0 0 BETH KROETZ TRUSTEE 0.5 1.0 X 0 0 0 DAN KENNARD TRUSTEE 0.5 1.0 X 0 0 0 DONALD MALARKY TRUSTEE 0.5 1.0 X 0 0 0 DR Richard M Polder TRUSTEE 0.5 39.0 X 0 322041 25727 JOHN REINEKE TRUSTEE 0.5 1.5 X 0 0 0 Kirby Overton Trustee 0.5 1.0 X 0 0 0 MICHAEL BROUGH TRUSTEE 0.5 1.0 X 0 0 0 Thomas Lause Trustee 0.5 1.0 X 0 0 0 WILLIAM HOPKINS MD TRUSTEE 0.5 1.0 X 0 0 0 Barbara J Pasztor VP CHIEF NURSING OFFICER 18.0 22.0 X 0 340151 25365 Dave M Cytlak CHIEF FINANCIAL OFFICER 12.0 28.0 X 0 585126 27651 Ankit Modh Physician 40.0 0 X 720828 0 20768 Derek Edwin Thomas Physician 40.0 0 X 742968 0 26170 Douglas W Yoder Physician 40.0 0 X 844685 0 30237 Ike Armstrong Onwere Physician 40.0 0 X 699832 0 53620 Sharon K Cole Physician 40.0 0 X 863755 0 5767 3872068 2353729 246042 312 false true false Covidien LP 401 Mason Road Suite 100 LaVergne TN 37086 Medical Supplies 307317 1 0 PATIENT SERVICE 900099 371122605 367720491 3402114 OUTPATIENT PHARMACY 446110 10076476 6739295 3337181 INVESTMENT IN TECHNICORE 541900 4090696 4070911 19785 0 0 0 0 385289777 23169348 98826 23070522 36000 36000 0 36000 36000 47914129 47076913 425000 837216 -425000 412216 -425000 837216 MISCELLANEOUS 900099 4759274 4759274 0 0 0 0 4759274 413666615 378105697 6857906 28703012 114976567 97730082 17246485 3138584 2667796 470788 24061355 20452152 3609203 2742986 2331538 411448 22641 22641 9912932 8445237 1467695 0 829374 704968 124406 11901448 10116231 1785217 10336987 8786439 1550548 2378216 2021484 356732 559754 475791 83963 2150113 1827596 322517 12925886 10987003 1938883 588012 499810 88202 PROVISION FOR BAD DEBTS 16780255 16780255 MEDICAL & PROFESSIONAL FEES 6407384 5446276 961108 DUES & SUBSCRIPTIONS 582462 495093 87369 MEDICAL SUPPLIES 89272147 89272147 0 10352431 8799566 1552865 0 319919534 287839464 32080070 0 2094349 5505335 7000 6000 57678000 51986000 0 0 9077000 9151000 318505000 211637000 99972000 106868000 418810734 366962747 682000 676000 0 76374000 136136000 664695083 677291082 4150000 5974000 79772000 68215000 0 293000 304000 10257000 4640000 94472000 79133000 552473083 578874082 17750000 19284000 570223083 598158082 664695083 677291082 X 93747081 5974000 -68449001 X false true true true true X false false false false false false false false true 22641 22641 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 17873369 1477735 245870 19105234 17012076 2773632 1912339 17873369 18794799 71853 1854576 17012076 17867633 1697188 770022 18794799 18500407 -10000 -890275 -267501 17867633 0.0 0.9323 0.0677 true true true 4403815 4403815 151508886 92360276 59148610 1161254 1114110 47144 131489807 107909182 23580625 29941238 10253432 19687806 106868000 ADVANCES TO AFFILIATES 130271000 RIGHT TO USE ASSET 1537000 GOODWILL 4328000 136136000 Federal Income Taxes PENSION LIABILITY 0 THIRD PARTY SETTLEMENTS 1210000 INTEREST RATE SWAP OBLIGATION 0 MINORITY INTEREST IN PAIN MANA 1892000 LEASE LIABILITY 1538000 4640000 331074279 5974000 29426000 35400000 295674279 114655255 114655255 410329534 303139278 0 0 303139278 16780256 16780256 319919534 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. Schedule D, Part V, Line 4 Intended uses of endowment funds ENDOWMENT FUNDS ARE UTILIZED FOR DONOR DESIGNATED PURPOSES, INCLUDING CHARITY CARE, CAPITAL PROJECTS AND PURCHASES, AND CONTINUING EDUCATION FOR STAFF AND PHYSICIANS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 CHANGE IN INTEREST SWAP AGREEMENT - 481000 DEFINED BENEFIT PENSION PLAN - 27479000 CHANGE IN PERPETUAL TRUST - 1466000 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements BAD DEBT RECLASS - 16780255 OTHER CHANGES IN NONCONTROLLING INTEREST - 4368000 TRANSFERS TO AFFILIATES - 71719000 PENSION SETTLEMENT COST - 21788000 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements BAD DEBT RECLASS - 16780256 true true X true X true X 1555499 1555499 0.00513 32323899 30309287 2014612 0.00665 0 0.0 0 0 33879398 30309287 3570111 0.01178 140011 140011 0.00046 0 0.0 0 0.0 0 0.0 229390 229390 0.00076 0 0 369401 0 369401 0.00122 0 0 34248799 30309287 3939512 0.01300 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 5925265 1975088 62140483 75754719 -13614236 X true true 2 1 BLANCHARD VALLEY HOSPITAL 1900 SOUTH MAIN STREET FINDLAY OH 45840 WWW.BVHEALTHSYSTEM.ORG 1194 X X X X X X X X 2 BLUFFTON HOSPITAL 139 GARAU STREET BLUFFTON OH 45817 WWW.BVHEALTHSYSTEM.ORG 1101 X X X X BLANCHARD VALLEY HOSPITAL 1 false false true X X X X X X X X X X 24 true true true true X WWW.BVHEALTHSYSTEM.ORG X X true 25 true WWW.BVHEALTHSYSTEM.ORG/ABOUT-BVHS/COMMUNITY-B false true X 150.0 250.0 X X X X X X true true X X X X true X WWW.BVHEALTHSYSTEM.ORG X WWW.BVHEALTHSYSTEM.ORG X WWW.BVHEALTHSYSTEM.ORG X X X X X X true X false X X X X true X false false BLUFFTON HOSPITAL 1 false false true X X X X X X X X X X 24 true true true true X WWW.BVHEALTHSYSTEM.ORG X X true 25 true WWW.BVHEALTHSYSTEM.ORG false true X 150.0 250.0 X X X X X X true true X X X X true X WWW.BVHEALTHSYSTEM.ORG X WWW.BVHEALTHSYSTEM.ORG X WWW.BVHEALTHSYSTEM.ORG X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E 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, WOMEN'S HEALTH, MEN'S 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. Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - BLANCHARD VALLEY HOSPITAL. A.) A DEFINITION OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY THE DEFINITION OF THE COMMUNITY FOR THE COMMUNITY HEALTH ASSESSMENT WAS HANCOCK COUNTY, OHIO. THE COMMUNITY THAT IS SERVED BY THE HOSPITAL FACILITY IS DEFINED AS RESIDENTS AND COMMUNITY MEMBERS THAT LIVE WITHIN HANCOCK COUNTY AS WELL AS RESIDENTS AND COMMUNITY MEMBERS THAT UTILIZE SERVICES PROVIDED BY BLANCHARD VALLEY HOSPITAL AND BLUFFTON HOSPITAL. B.) DEMOGRAPHICS OF THE COMMUNITY HANCOCK COUNTY, OHIO IS HOME TO 74,920 RESIDENTS. APPROXIMATELY 78% OF RESIDENTS WERE ADULTS OVER THE AGE OF 18, (SOURCE: CENSUS, 2020). THE MAJORITY (88%) OF THE POPULATION WERE CAUCASIAN. HISPANICS (6%), AFRICAN AMERICANS (2%), ASIAN (2%) AND TWO OR MORE RACES (2%) COMPRISE THE REST OF THE POPULATION (SOURCE: CENSUS, 2020). THE MEDIAN HOUSEHOLD INCOME IN HANCOCK COUNTY (IN 2020 INFLATION-ADJUSTED DOLLARS) IS $61,473. NINE PERCENT OF ALL HANCOCK COUNTY RESIDENTS HAD INCOME BELOW THE POVERTY LEVEL IN 2020 (SOURCE: CENSUS, 2020 SMALL AREA INCOME AND POVERTY ESTIMATES). EIGHT PERCENT OF HANCOCK COUNTY RESIDENTS WERE UNINSURED. C.) EXISTING HEALTH CARE FACILITIES AND RESOURCES WITHIN THE COMMUNITY THAT ARE AVAILABLE TO RESPOND TO THE HEALTH NEEDS OF THE COMMUNITY THESE ARE THE ORGANIZATIONS WHO PARTICIPATED IN THE HEALTH ASSESSMENT AND STRATEGIC PLANNING PROCESS: BLANCHARD VALLEY HEALTH SYSTEM, CITY OF FINDLAY PARKS & RECREATION, FINDLAY CITY SCHOOLS, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION, FINDLAY YMCA, HANCOCK COUNTY ADAMHS BOARD/COMMUNITY PARTNERSHIP, HANCOCK COUNTY FAMILY & CHILDREN FIRST COUNCIL, HANCOCK COUNTY SCHOOLS AND EDUCATIONAL SERVICES CENTER, HANCOCK PUBLIC HEALTH, HHWP COMMUNITY ACTION COMMISSION, THE OHIO STATE UNIVERSITY EXTENSION OFFICE, UNITED WAY OF HANCOCK COUNTY, AND 50 NORTH. D) HOW DATA WAS OBTAINED ADULT SURVEY ADULTS AGES 19 AND OVER LIVING IN HANCOCK COUNTY WERE USED AS THE SAMPLING FRAME FOR THE ADULT SURVEY. THERE WERE 57,957 PERSONS AGES 19 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 6% (I.E., WE CAN BE 95% SURE THAT THE TRUE POPULATION RESPONSES ARE WITHIN A 6% MARGIN OF ERROR OF THE SURVEY FINDINGS.) A SAMPLE SIZE OF AT LEAST 266 ADULTS WAS NEEDED TO ENSURE THIS LEVEL OF CONFIDENCE. THE RANDOM SAMPLE OF MAILING ADDRESSES OF ADULTS FROM HANCOCK COUNTY WAS OBTAINED FROM MELISSA DATA CORPORATION IN RANCHO SANTA MARGARITA, CALIFORNIA. PRIOR TO MAILING THE SURVEY TO ADULTS, THE PROJECT TEAM MAILED AN ADVANCE LETTER TO 2,000 ADULTS IN HANCOCK COUNTY. THIS ADVANCE LETTER WAS PERSONALIZED; PRINTED ON BE HEALTHY NOW HANCOCK COUNTY COALITION STATIONERY; AND SIGNED BY WILLIAM KOSE, VICE PRESIDENT-SPECIAL PROJECTS, BLANCHARD VALLEY HEALTH SYSTEM AND KARIM BAROUDI, HANCOCK COUNTY HEALTH COMMISSIONER. THE LETTER INTRODUCED THE COUNTY HEALTH ASSESSMENT PROJECT AND INFORMED THE READERS THAT THEY MAY BE RANDOMLY SELECTED TO RECEIVE THE SURVEY. THE LETTER ALSO EXPLAINED THAT THE RESPONDENTS' CONFIDENTIALITY WOULD BE PROTECTED AND ENCOURAGED THE READERS TO COMPLETE AND RETURN THE SURVEY PROMPTLY IF THEY WERE SELECTED. SIX WEEKS FOLLOWING THE ADVANCE LETTER, A MAILING PROCEDURE WAS IMPLEMENTED TO MAXIMIZE THE SURVEY RETURN RATE. THE INITIAL MAILING INCLUDED A PERSONALIZED HAND SIGNED COVER LETTER (ON BE HEALTHY NOW HANCOCK COUNTY COALITION STATIONERY) DESCRIBING THE PURPOSE OF THE STUDY, A QUESTIONNAIRE PRINTED ON WHITE PAPER, A SELF- ADDRESSED STAMPED RETURN ENVELOPE, AND A $2 INCENTIVE. SURVEYS RETURNED AS UNDELIVERABLE WERE NOT REPLACED WITH ANOTHER POTENTIAL RESPONDENT. THE RESPONSE RATE FOR THE MAILING WAS 11% (N=213: CI=? 6.70). THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSES IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. F.) PRIMARY AND CHRONIC DISEASE NEEDS AND OTHER HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS LACK OF HEALTH CARE COVERAGE, TOBACCO USE, PRESCRIPTION DRUG ABUSE, LACK OF FEMALE HEALTH SCREENINGS, AND LACK OF ROUTINE DENTAL CARE WERE ALL PREVALENT ISSUES AMONG THOSE HANCOCK COUNTY ADULTS WITH INCOMES LESS THAN $25,000. THE CHRONIC DISEASE PREVALENCE AMONG HANCOCK COUNTY ADULTS WITH INCOMES LESS THAN $25,000 WERE: HIGH BLOOD PRESSURE (62%), HIGH BLOOD CHOLESTEROL (58%), DIABETES (25%), AND ASTHMA (17%). HIGH BLOOD PRESSURE, DIABETES, OBESITY, AND ASTHMA HAD A HIGHER PREVALENCE AMONG THOSE ADULTS WITH INCOMES LESS THAN $25,000. EIGHT 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, THEIR SPOUSE OR PARENT LOST THEIR JOB OR CHANGED EMPLOYERS, OR THEIR EMPLOYER DOES NOT/STOPPED OFFERING COVERAGE. THE MAJORITY (88%) OF THE POPULATION WERE CAUCASIAN. HISPANICS (6%), AFRICAN AMERICANS (2%), ASIAN (2%) AND TWO OR MORE RACES (2%) COMPRISE THE REST OF THE POPULATION (SOURCE: CENSUS, 2020). G.) THE PROCESS FOR IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS AND SERVICES TO MEET THE COMMUNITY HEALTH NEEDS THERE WERE 26 KEY LEADERS FROM THE COMMUNITY THAT REPRESENTED PUBLIC HEALTH, LAW ENFORCEMENT, CHURCHES, LOCAL OFFICIALS, SOCIAL SERVICE AGENCIES AND OTHER VARIOUS COMMUNITY MEMBERS IN ATTENDANCE AT THE PUBLIC RELEASE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. AT THE EVENT, PARTICIPANTS PARTICIPATED IN FOCUS GROUPS AND PRIORITIES WERE CHOSEN FOR HANCOCK COUNTY TO FOCUS ON. H.) THE PROCESS FOR CONSULTING WITH PERSONS REPRESENTING THE COMMUNITY'S INTERESTS LOCAL COMMUNITY AGENCIES WERE INVITED TO PARTICIPATE IN THE HEALTH ASSESSMENT PROCESS, INCLUDING CHOOSING QUESTIONS FOR THE SURVEYS, PROVIDING LOCAL DATA, REVIEWING DRAFT REPORTS AND PLANNING THE COMMUNITY EVENT, RELEASE OF THE DATA AND SETTING PRIORITIES. THE NEEDS OF THE POPULATION, ESPECIALLY THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS, WERE TAKEN INTO ACCOUNT THROUGH THE SAMPLE METHODOLOGY THAT SURVEYED THESE POPULATIONS. IN ADDITION, THE ORGANIZATIONS THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT AND COMMUNITY PLANNING PROCESS, SUCH AS UNITED WAY OF HANCOCK COUNTY, CULTURAL CONNECTIONS OF HANCOCK COUNTY, 50 NORTH, ETC. THE PARTICIPANTS INCLUDED: A (PH) INDICATES THEY WORK IN THE PUBLIC HEALTH FIELD. KARIM BAROUDI, HANCOCK PUBLIC HEALTH (PH) KIMBERLY BASH, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION DR. JASMIN BRADLEY, LGBTQ+ SPECTRUM OF FINDLAY GARY BRIGHT, HANCOCK PUBLIC HEALTH CAROLYN COPUS, 50 NORTH ANGELA DEBOSKEY, UNITED WAY OF HANCOCK COUNTY TAYLOR COOTE, UNITED WAY OF HANCOCK COUNTY DR. DR. WILLIAM KOSE, BLANCHARD VALLEY HEALTH SYSTEM MYRON LEWIS, BLANCHARD VALLEY HEALTH SYSTEM AMY MIRANDA, HANCOCK COUNTY JOB AND FAMILY SERVICES ERIN RODABAUGH GALLEGOS, HHWP COMMUNITY ACTION COMMISSION CHAD MASTERS, HANCOCK PUBLIC HEALTH STACY SHAW, CHILDREN'S MENTORING CONNECTION CHRISTINA MURYN, MAYOR CITY OF FINDLAY PRECIA STUBY, HANCOCK COUNTY ADAMHS BOARD ZACHARY THOMAS, HANCOCK COUNTY ADAMHS BRIAN TREECE, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION ROXANNE WILLIAMS, BLANCHARD VA HEALTH. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - BLANCHARD VALLEY HOSPITAL. HANCOCK COUNTY CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, A NON-PROFIT HOSPITAL ASSOCIATION, LOCATED IN TOLEDO, OHIO, TO COORDINATE AND MANAGE THE HEALTH ASSESSMENT PROCESS. THE HOSPITAL COUNCIL HAS BEEN COMPLETING COMPREHENSIVE HEALTH ASSESSMENTS SINCE 1999. THE PROJECT COORDINATOR CONDUCTED A SERIES OF MEETINGS WITH THE PLANNING COMMITTEE FROM HANCOCK COUNTY. DURING THESE MEETINGS, BANKS OF POTENTIAL SURVEY QUESTIONS FROM THE BRFSS, YRBSS, AND NSCH SURVEYS WERE REVIEWED AND DISCUSSED. BASED ON INPUT FROM THE HANCOCK COUNTY PLANNING COMMITTEE, THE PROJECT COORDINATOR COMPOSED DRAFTS OF SURVEYS CONTAINING 112 ITEMS FOR THE ADULT SURVEY. 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 MEDICALL 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 ORGANIZATION THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT AND COMMUNITY PLANNING PROCESS, SUCH AS UNITED WAY OF HANCOCK COUNTY, 50 NORTH, ETC. THE PARTICIPANTS INCLUDED: A (PH) AFTER THEIR NAME INDICATES THEY WORK IN THE PUBLIC HEALTH FIELD. KARIM BAROUDI, HANCOCK PUB HEALTH (PH) KIMBERLY BASH, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION DR. JASMIN BRADLEY, LGBTQ+ SPECTRUM OF FINDLAY GARY BRIGHT, HAN PUBLIC HEALTH CAROLYN COPUS, 50 NORTH ANGELA DEBOSKEY, UNITED WAY OF HANCOCK COUNTY TAYLOR COOTE, UNITED WAY OF HANCOCK COUNTY DR. WILLIAM KOSE, BLANCHARD VALLEY HEALTH SYSTEM MYRON LEWIS, BLANCHARD VALLEY HEALTH SYSTEM AMY MIRANDA, HANCOCK COUNTY JOB AND FAMILY SERVICES ERIN RODABAUGH GALLEGOS, HHWP COMMUNITY ACTION COMMISSION CHAD MASTERS, HANCOCK PUBLIC HEALTH STACY SHAW, CHILDREN'S MENTORING CONNECTION CHRISTIN MURYN, MAYOR CITY OF FINDLAY PRECIA STUBY, HANCOCK COUNTY ADAMHS BOARD ZACHARY THOMAS, HANCOCK COUNTY ADAMHS BOARD BRIAN TREECE, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION ROXANNE WILLIAMS, BLANCHARD VA HEALTH Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - BLANCHARD VALLEY HOSPITAL. BLUFFTON HOSPITAL Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - BLANCHARD VALLEY HOSPITAL. THESE ARE THE ORGANIZATIONS WHO PARTICIPATED IN THE HEALTH ASSESSMENT AND STRATEGIC PLANNING PROCESS: BLANCHARD VALLEY HEALTH SYSTEM, CITY OF FINDLAY PARKS & RECREATION, FINDLAY CITY SCHOOLS, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION, FINDLAY YMCA, HANCOCK COUNTY ADAMHS BOARD/COMMUNITY PARTNERSHIP, HANCOCK COUNTY FAMILY & CHILDREN FIRST COUNCIL, HANCOCK COUNTY SCHOOLS AND EDUCATIONAL SERVICES CENTER, HANCOCK PUBLIC HEALTH, HHWP COMMUNITY ACTION COMMISSION, THE OHIO STATE UNIVERSITY EXTENSION OFFICE, UNITED WAY OF HANCOCK COUNTY, AND 50 NORTH. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - BLANCHARD VALLEY HOSPITAL. THE ASSESSMENT IS AVAILABLE ON THE HOSPITAL'S WEBSITE AT: HTTPS://WWW.BVHEALTHSYSTEM.ORG/ ALSO, PRINTED COPIES WERE GIVEN TO ALL KEY LEADERS AT A COMMUNITY EVENT. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - BLANCHARD VALLEY HOSPITAL. RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE NEEDS IDENTIFIED THROUGH THE HEALTH ASSESSMENT. OF THE PRIORITY NEEDS IDENTIFIED BY THE COMMUNITY PLANNING PROCESS, THE HOSPITAL IS NOT DIRECTLY ADDRESSING THE ISSUES OF YOUTH VIOLENCE, MENTAL HEALTH AND ADDICTION. THIS IS BECAUSE MANY COMMUNITY AGENCIES ACROSS HANCOCK COUNTY ARE ADDRESSING THESE ISSUES. THE IMPLEMENTATION STRATEGY WILL DELINIATE THE WAYS ALL ISSUES ARE BEING ADDRESSED AND BY WHICH ORGANIZATIONS. THE HOSPITAL IS ADDRESSING THE FOLLOWING NEEDS IDENTIFIED THROUGH THE HEALTH ASSESSMENT: 1) THE HOSPITAL WILL FOCUS ON DIABETES PREVENTION BY IDENTIFYING GAPS IN LOCAL DIABETES PREVENTION PROGRAMMING, DETERMINING THE NUMBER OF DIABETES PREVENTION PROGRAMS, STAFF, AND COACHES IN HANCOCK COUNTY, TAKING INVENTORY OF CURRENT MARKETING CAMPAIGNS AROUND DIABETES PREVENTION, ANALYSIS OF CURRENT CONTINUOUS GLUCOSE MONITORING (CGM) RESULTS, AND RESEARCHING AND UNDERSTANDING CURRENT EVIDENCE-BASED PRACTICES ON THE EFFECTS OF GCM ON TYPE 2 DIABETES. 2) THE HOSPITAL WILL FOCUS ON TOBACCO CESSATION THERAPY/AFFORDABILITY THROUGH DETERMINING OPPORTUNITIES AND BARRIERS TO SEEKING TREATMENT, EXPLORING OPTIONS TO MAKE TOBACCO QUESTIONS MANDATORY FOR PATIENTS TO RESPOND TO IN THE PULMONARY AND PRIMARY CARE OFFICES, EXPORING OPTIONS TO MAKE EDUCATIONAL MATERIALS ELECTRONIC SO THAT DELIVERY CAN BE DOCUMENTED IN PATIENT CHARTS AND PROVIDED ON THE PATIENT PORTAL, EXPORING OPTIONS TO HAVE QUESTIONS REGARDING TOBACCO USE ADDED TO PATIENT CHECKLISTS AND IF THE PATIENT RESPONDS "YES" ASKING IF THEY WANT TO QUIT. 3) THE HOSPITAL WILL FOCUS ON MENTAL HEALTH AND ADDICTION ISSUES THROUGH REVIEWING CURRENT POLICIES AND DETERMINING THE LOCAL PROVIDERS AND AGENCIES WHO WILL MANAGE PATIENTS RECEIVING CARE, AND CAPTURING PATIENT REFERRALS FOR FOLLOW UP AND MONITORING PATIENT COMPLIANCE WITH TREATMENT. Schedule H, Part V, Section B, Line 3E 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, WOMEN'S HEALTH, MEN'S 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. Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - BLUFFTON HOSPITAL. A.) A DEFINITION OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY THE DEFINITION OF THE COMMUNITY FOR THE COMMUNITY HEALTH ASSESSMENT WAS HANCOCK COUNTY, OHIO. THE COMMUNITY THAT IS SERVED BY THE HOSPITAL FACILITY IS DEFINED AS RESIDENTS AND COMMUNITY MEMBERS THAT LIVE WITHIN HANCOCK COUNTY AS WELL AS RESIDENTS AND COMMUNITY MEMBERS THAT UTILIZE SERVICES PROVIDED BY BLANCHARD VALLEY HOSPITAL AND BLUFFTON HOSPITAL. B.) DEMOGRAPHICS OF THE COMMUNITY HANCOCK COUNTY, OHIO IS HOME TO 74,920 RESIDENTS. APPROXIMATELY 78% OF RESIDENTS WERE ADULTS OVER THE AGE OF 18, (SOURCE: CENSUS, 2020). THE MAJORITY (88%) OF THE POPULATION WERE CAUCASIAN. HISPANICS (6%), AFRICAN AMERICANS (2%), ASIAN (2%) AND TWO OR MORE RACES (2%) COMPRISE THE REST OF THE POPULATION (SOURCE: CENSUS, 2020). THE MEDIAN HOUSEHOLD INCOME IN HANCOCK COUNTY (IN 2020 INFLATION-ADJUSTED DOLLARS) IS $61,473. NINE PERCENT OF ALL HANCOCK COUNTY RESIDENTS HAD INCOME BELOW THE POVERTY LEVEL IN 2020 (SOURCE: CENSUS, 2020 SMALL AREA INCOME AND POVERTY ESTIMATES). EIGHT PERCENT OF HANCOCK COUNTY RESIDENTS WERE UNINSURED. C.) EXISTING HEALTH CARE FACILITIES AND RESOURCES WITHIN THE COMMUNITY THAT ARE AVAILABLE TO RESPOND TO THE HEALTH NEEDS OF THE COMMUNITY THESE ARE THE ORGANIZATIONS WHO PARTICIPATED IN THE HEALTH ASSESSMENT AND STRATEGIC PLANNING PROCESS: BLANCHARD VALLEY HEALTH SYSTEM, CITY OF FINDLAY PARKS & RECREATION, FINDLAY CITY SCHOOLS, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION, FINDLAY YMCA, HANCOCK COUNTY ADAMHS BOARD/COMMUNITY PARTNERSHIP, HANCOCK COUNTY FAMILY & CHILDREN FIRST COUNCIL, HANCOCK COUNTY SCHOOLS AND EDUCATIONAL SERVICES CENTER, HANCOCK PUBLIC HEALTH, HHWP COMMUNITY ACTION COMMISSION, THE OHIO STATE UNIVERSITY EXTENSION OFFICE, UNITED WAY OF HANCOCK COUNTY, AND 50 NORTH. D) HOW DATA WAS OBTAINED ADULT SURVEY ADULTS AGES 19 AND OVER LIVING IN HANCOCK COUNTY WERE USED AS THE SAMPLING FRAME FOR THE ADULT SURVEY. THERE WERE 57,957 PERSONS AGES 19 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 6% (I.E., WE CAN BE 95% SURE THAT THE TRUE POPULATION RESPONSES ARE WITHIN A 6% MARGIN OF ERROR OF THE SURVEY FINDINGS.) A SAMPLE SIZE OF AT LEAST 266 ADULTS WAS NEEDED TO ENSURE THIS LEVEL OF CONFIDENCE. THE RANDOM SAMPLE OF MAILING ADDRESSES OF ADULTS FROM HANCOCK COUNTY WAS OBTAINED FROM MELISSA DATA CORPORATION IN RANCHO SANTA MARGARITA, CALIFORNIA. PRIOR TO MAILING THE SURVEY TO ADULTS, THE PROJECT TEAM MAILED AN ADVANCE LETTER TO 2,000 ADULTS IN HANCOCK COUNTY. THIS ADVANCE LETTER WAS PERSONALIZED; PRINTED ON BE HEALTHY NOW HANCOCK COUNTY COALITION STATIONERY; AND SIGNED BY WILLIAM KOSE, VICE PRESIDENT-SPECIAL PROJECTS, BLANCHARD VALLEY HEALTH SYSTEM AND KARIM BAROUDI, HANCOCK COUNTY HEALTH COMMISSIONER. THE LETTER INTRODUCED THE COUNTY HEALTH ASSESSMENT PROJECT AND INFORMED THE READERS THAT THEY MAY BE RANDOMLY SELECTED TO RECEIVE THE SURVEY. THE LETTER ALSO EXPLAINED THAT THE RESPONDENTS' CONFIDENTIALITY WOULD BE PROTECTED AND ENCOURAGED THE READERS TO COMPLETE AND RETURN THE SURVEY PROMPTLY IF THEY WERE SELECTED. SIX WEEKS FOLLOWING THE ADVANCE LETTER, A MAILING PROCEDURE WAS IMPLEMENTED TO MAXIMIZE THE SURVEY RETURN RATE. THE INITIAL MAILING INCLUDED A PERSONALIZED HAND SIGNED COVER LETTER (ON BE HEALTHY NOW HANCOCK COUNTY COALITION STATIONERY) DESCRIBING THE PURPOSE OF THE STUDY, A QUESTIONNAIRE PRINTED ON WHITE PAPER, A SELF- ADDRESSED STAMPED RETURN ENVELOPE, AND A $2 INCENTIVE. SURVEYS RETURNED AS UNDELIVERABLE WERE NOT REPLACED WITH ANOTHER POTENTIAL RESPONDENT. THE RESPONSE RATE FOR THE MAILING WAS 11% (N=213: CI=? 6.70). THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSES IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. F.) PRIMARY AND CHRONIC DISEASE NEEDS AND OTHER HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS LACK OF HEALTH CARE COVERAGE, TOBACCO USE, PRESCRIPTION DRUG ABUSE, LACK OF FEMALE HEALTH SCREENINGS, AND LACK OF ROUTINE DENTAL CARE WERE ALL PREVALENT ISSUES AMONG THOSE HANCOCK COUNTY ADULTS WITH INCOMES LESS THAN $25,000. THE CHRONIC DISEASE PREVALENCE AMONG HANCOCK COUNTY ADULTS WITH INCOMES LESS THAN $25,000 WERE: HIGH BLOOD PRESSURE (62%), HIGH BLOOD CHOLESTEROL (58%), DIABETES (25%), AND ASTHMA (17%). HIGH BLOOD PRESSURE, DIABETES, OBESITY, AND ASTHMA HAD A HIGHER PREVALENCE AMONG THOSE ADULTS WITH INCOMES LESS THAN $25,000. EIGHT 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, THEIR SPOUSE OR PARENT LOST THEIR JOB OR CHANGED EMPLOYERS, OR THEIR EMPLOYER DOES NOT/STOPPED OFFERING COVERAGE. THE MAJORITY (88%) OF THE POPULATION WERE CAUCASIAN. HISPANICS (6%), AFRICAN AMERICANS (2%), ASIAN (2%) AND TWO OR MORE RACES (2%) COMPRISE THE REST OF THE POPULATION (SOURCE: CENSUS, 2020). G.) THE PROCESS FOR IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS AND SERVICES TO MEET THE COMMUNITY HEALTH NEEDS THERE WERE 26 KEY LEADERS FROM THE COMMUNITY THAT REPRESENTED PUBLIC HEALTH, LAW ENFORCEMENT, CHURCHES, LOCAL OFFICIALS, SOCIAL SERVICE AGENCIES AND OTHER VARIOUS COMMUNITY MEMBERS IN ATTENDANCE AT THE PUBLIC RELEASE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. AT THE EVENT, PARTICIPANTS PARTICIPATED IN FOCUS GROUPS AND PRIORITIES WERE CHOSEN FOR HANCOCK COUNTY TO FOCUS ON. H.) THE PROCESS FOR CONSULTING WITH PERSONS REPRESENTING THE COMMUNITY'S INTERESTS LOCAL COMMUNITY AGENCIES WERE INVITED TO PARTICIPATE IN THE HEALTH ASSESSMENT PROCESS, INCLUDING CHOOSING QUESTIONS FOR THE SURVEYS, PROVIDING LOCAL DATA, REVIEWING DRAFT REPORTS AND PLANNING THE COMMUNITY EVENT, RELEASE OF THE DATA AND SETTING PRIORITIES. THE NEEDS OF THE POPULATION, ESPECIALLY THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS, WERE TAKEN INTO ACCOUNT THROUGH THE SAMPLE METHODOLOGY THAT SURVEYED THESE POPULATIONS. IN ADDITION, THE ORGANIZATIONS THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT AND COMMUNITY PLANNING PROCESS, SUCH AS UNITED WAY OF HANCOCK COUNTY, CULTURAL CONNECTIONS OF HANCOCK COUNTY, 50 NORTH, ETC. THE PARTICIPANTS INCLUDED: A (PH) INDICATES THEY WORK IN THE PUBLIC HEALTH FIELD. KARIM BAROUDI, HANCOCK PUBLIC HEALTH (PH) KIMBERLY BASH, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION DR. JASMIN BRADLEY, LGBTQ+ SPECTRUM OF FINDLAY GARY BRIGHT, HANCOCK PUBLIC HEALTH CAROLYN COPUS, 50 NORTH ANGELA DEBOSKEY, UNITED WAY OF HANCOCK COUNTY TAYLOR COOTE, UNITED WAY OF HANCOCK COUNTY DR. DR. WILLIAM KOSE, BLANCHARD VALLEY HEALTH SYSTEM MYRON LEWIS, BLANCHARD VALLEY HEALTH SYSTEM AMY MIRANDA, HANCOCK COUNTY JOB AND FAMILY SERVICES ERIN RODABAUGH GALLEGOS, HHWP COMMUNITY ACTION COMMISSION CHAD MASTERS, HANCOCK PUBLIC HEALTH STACY SHAW, CHILDREN'S MENTORING CONNECTION CHRISTINA MURYN, MAYOR CITY OF FINDLAY PRECIA STUBY, HANCOCK COUNTY ADAMHS BOARD ZACHARY THOMAS, HANCOCK COUNTY ADAMHS BRIAN TREECE, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION ROXANNE WILLIAMS, BLANCHARD VA HEALTH. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - BLUFFTON HOSPITAL. HANCOCK COUNTY CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, A NON-PROFIT HOSPITAL ASSOCIATION, LOCATED IN TOLEDO, OHIO, TO COORDINATE AND MANAGE THE HEALTH ASSESSMENT PROCESS. THE HOSPITAL COUNCIL HAS BEEN COMPLETING COMPREHENSIVE HEALTH ASSESSMENTS SINCE 1999. THE PROJECT COORDINATOR CONDUCTED A SERIES OF MEETINGS WITH THE PLANNING COMMITTEE FROM HANCOCK COUNTY. DURING THESE MEETINGS, BANKS OF POTENTIAL SURVEY QUESTIONS FROM THE BRFSS, YRBSS, AND NSCH SURVEYS WERE REVIEWED AND DISCUSSED. BASED ON INPUT FROM THE HANCOCK COUNTY PLANNING COMMITTEE, THE PROJECT COORDINATOR COMPOSED DRAFTS OF SURVEYS CONTAINING 112 ITEMS FOR THE ADULT SURVEY. 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 MEDICALL 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 ORGANIZATION THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT AND COMMUNITY PLANNING PROCESS, SUCH AS UNITED WAY OF HANCOCK COUNTY, 50 NORTH, ETC. THE PARTICIPANTS INCLUDED: A (PH) AFTER THEIR NAME INDICATES THEY WORK IN THE PUBLIC HEALTH FIELD. KARIM BAROUDI, HANCOCK PUB HEALTH (PH) KIMBERLY BASH, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION DR. JASMIN BRADLEY, LGBTQ+ SPECTRUM OF FINDLAY GARY BRIGHT, HAN PUBLIC HEALTH CAROLYN COPUS, 50 NORTH ANGELA DEBOSKEY, UNITED WAY OF HANCOCK COUNTY TAYLOR COOTE, UNITED WAY OF HANCOCK COUNTY DR. WILLIAM KOSE, BLANCHARD VALLEY HEALTH SYSTEM MYRON LEWIS, BLANCHARD VALLEY HEALTH SYSTEM AMY MIRANDA, HANCOCK COUNTY JOB AND FAMILY SERVICES ERIN RODABAUGH GALLEGOS, HHWP COMMUNITY ACTION COMMISSION CHAD MASTERS, HANCOCK PUBLIC HEALTH STACY SHAW, CHILDREN'S MENTORING CONNECTION CHRISTIN MURYN, MAYOR CITY OF FINDLAY PRECIA STUBY, HANCOCK COUNTY ADAMHS BOARD ZACHARY THOMAS, HANCOCK COUNTY ADAMHS BOARD BRIAN TREECE, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION ROXANNE WILLIAMS, BLANCHARD VA HEALTH Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - BLUFFTON HOSPITAL. BLANCHARD VALLEY HOSPITAL Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - BLUFFTON HOSPITAL. THESE ARE THE ORGANIZATIONS WHO PARTICIPATED IN THE HEALTH ASSESSMENT AND STRATEGIC PLANNING PROCESS: BLANCHARD VALLEY HEALTH SYSTEM, CITY OF FINDLAY PARKS & RECREATION, FINDLAY CITY SCHOOLS, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION, FINDLAY YMCA, HANCOCK COUNTY ADAMHS BOARD/COMMUNITY PARTNERSHIP, HANCOCK COUNTY FAMILY & CHILDREN FIRST COUNCIL, HANCOCK COUNTY SCHOOLS AND EDUCATIONAL SERVICES CENTER, HANCOCK PUBLIC HEALTH, HHWP COMMUNITY ACTION COMMISSION, THE OHIO STATE UNIVERSITY EXTENSION OFFICE, UNITED WAY OF HANCOCK COUNTY, AND 50 NORTH. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - BLUFFTON HOSPITAL. THE ASSESSMENT IS AVAILABLE ON THE HOSPITAL'S WEBSITE AT: HTTPS://WWW.BVHEALTHSYSTEM.ORG/ ALSO, PRINTED COPIES WERE GIVEN TO ALL KEY LEADERS AT A COMMUNITY EVENT. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - BLUFFTON HOSPITAL. RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE NEEDS IDENTIFIED THROUGH THE HEALTH ASSESSMENT. OF THE PRIORITY NEEDS IDENTIFIED BY THE COMMUNITY PLANNING PROCESS, THE HOSPITAL IS NOT DIRECTLY ADDRESSING THE ISSUES OF YOUTH VIOLENCE, MENTAL HEALTH AND ADDICTION. THIS IS BECAUSE MANY COMMUNITY AGENCIES ACROSS HANCOCK COUNTY ARE ADDRESSING THESE ISSUES. THE IMPLEMENTATION STRATEGY WILL DELINIATE THE WAYS ALL ISSUES ARE BEING ADDRESSED AND BY WHICH ORGANIZATIONS. THE HOSPITAL IS ADDRESSING THE FOLLOWING NEEDS IDENTIFIED THROUGH THE HEALTH ASSESSMENT: 1) THE HOSPITAL WILL FOCUS ON DIABETES PREVENTION BY IDENTIFYING GAPS IN LOCAL DIABETES PREVENTION PROGRAMMING, DETERMINING THE NUMBER OF DIABETES PREVENTION PROGRAMS, STAFF, AND COACHES IN HANCOCK COUNTY, TAKING INVENTORY OF CURRENT MARKETING CAMPAIGNS AROUND DIABETES PREVENTION, ANALYSIS OF CURRENT CONTINUOUS GLUCOSE MONITORING (CGM) RESULTS, AND RESEARCHING AND UNDERSTANDING CURRENT EVIDENCE-BASED PRACTICES ON THE EFFECTS OF GCM ON TYPE 2 DIABETES. 2) THE HOSPITAL WILL FOCUS ON TOBACCO CESSATION THERAPY/AFFORDABILITY THROUGH DETERMINING OPPORTUNITIES AND BARRIERS TO SEEKING TREATMENT, EXPLORING OPTIONS TO MAKE TOBACCO QUESTIONS MANDATORY FOR PATIENTS TO RESPOND TO IN THE PULMONARY AND PRIMARY CARE OFFICES, EXPORING OPTIONS TO MAKE EDUCATIONAL MATERIALS ELECTRONIC SO THAT DELIVERY CAN BE DOCUMENTED IN PATIENT CHARTS AND PROVIDED ON THE PATIENT PORTAL, EXPORING OPTIONS TO HAVE QUESTIONS REGARDING TOBACCO USE ADDED TO PATIENT CHECKLISTS AND IF THE PATIENT RESPONDS "YES" ASKING IF THEY WANT TO QUIT. 3) THE HOSPITAL WILL FOCUS ON MENTAL HEALTH AND ADDICTION ISSUES THROUGH REVIEWING CURRENT POLICIES AND DETERMINING THE LOCAL PROVIDERS AND AGENCIES WHO WILL MANAGE PATIENTS RECEIVING CARE, AND CAPTURING PATIENT REFERRALS FOR FOLLOW UP AND MONITORING PATIENT COMPLIANCE WITH TREATMENT. 0 Schedule H, Part I, Line 7 BLANCHARD VALLEY HEALTH SYSTEM OPERATES THROUGH MULTIPLE AFFILIATED ENTITIES, INCLUDING PHYSICIAN PRACTICE GROUPS THAT OPERATE IN SEPARATE LEGAL ENTITIES UNDER COMMON CONTROL. COMMUNITY BENEFIT REPORTING ON SCHEDULE H PART I REFLECTS ACTIVITIES AND COSTS INCURRED DIRECTLY BY BVRHC, AND CERTAIN REPORTABLE ITEMS SUCH AS LOSSES FROM PHYSICIAN PRACTICES MAY OCCUR WITHIN AFFILIATED ENTITIES AND ARE NOT REPORTED FOR SCHEDULE H PURPOSES. BVRHC RECOGNIZES THAT PHYSICIAN PRACTICES OFTEN OPERATE AT A FINANCIAL LOSS TO ENSURE COMMUNITY ACCESS TO ESSENTIAL HEALTH SERVICES. WHILE THESE LOSSES REPRESENT A SIGNIFICANT COMMUNITY BENEFIT, THEY ARE DISCLOSED AS SUBSIDIZED HEALTH SERVICES ONLY WHEN INCURRED BY THE HOSPITAL OR DISREGARDED ENTITIES, IN ACCORDANCE WITH THE IRS INSTRUCTIONS. LOSSES INCURRED BY AFFILIATES ARE EXCLUDED TO AVOID DUPLICATION AND MAINTAIN COMPLIANCE WITH IRS REPORTING REQUIREMENTS. THE ORGANIZATION'S GOVERNANCE STRUCTURE ENSURES THAT ALL ENTITIES COLLECTIVELY SUPPORT THE MISSION TO PROVIDE HEALTH SERVICES TO THE COMMUNITY, EVEN WHEN CERTAIN COSTS ARE NOT REFLECTED IN SCHEDULE H. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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, Line 3 Bad Debt Expense Methodology THE ASSUMPTION IS THAT OUR CHARITY CARE PROGRAMS CAPTURE 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 FROM INDIVIDUALS THAT HAVE INSURANCE, AND THESE INDIVIDUALS WORK IN WHITE/BLUE COLLAR JOBS BUT CHOOSE NOT TO PAY THEIR BILLS. THUS, THE ASSUMPTION THAT IS USED IS THAT TWO OUT OF EVERY THREE BAD DEBT ACCOUNTS ARE FOR SUCH INDIVIDUALS. THEREFORE, THE REMAINING ONE OUT OF EVERY THREE BAD DEBT ACCOUNTS WOULD POTENTIALLY QUALIFY FOR CHARITY CARE. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs WE FEEL THAT ALL OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. WE PERFORM SERVICES FOR MEDICARE PATIENTS AND CONSCIOUSLY KNOW THAT THE COSTS TO PERFORM SUCH SERVICES ARE HIGHER THAN THE REIMBURSEMENT WE RECEIVE. THUS, WE FEEL THAT THIS IS A BENEFIT TO THE COMMUNITY BY BEING A CONVENIENT AND REPUTABLE SOURCE WITHIN THE COMMUNITY TO RECEIVE SUCH SERVICES. THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS OUR 2023 MEDICARE COST REPORTS AND OUR 2023 PSR REPORTS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance BVRHC HAS ESTABLISHED A FINANCIAL ASSISTANCE POLICY (FAP) THAT HAS BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT, AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. BVRHC WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECA) AGAINST AN INDIVIDUAL TO COLLECT PAYMENT UNLESS IT HAS MADE REASONABLE EFFORTS TO DETERMINE THE ELIGIBILITY UNDER THE FAP. BVRHC WILL WORK WITH ALL PATIENTS TO ESTABLISH SUITABLE PAYMENT ARRANGEMENTS SUCH AS PAYMENT IN FULL, SHORT TERM PAYMENT PLANS, AND LONG TERM LOAN PROGRAMS. BVRHC WILL NOT INITIATE ANY ECA AGAINST AN INDIVIDUAL UNTIL THE PATIENT'S FAP ELIGIBILITY HAS BEEN DETERMINED AND THE INTERNAL COLLECTION PROCESSES HAVE BEEN COMPLETED. THE INTERNAL COLLECTION PROCESSES CONSIST OF MAILING STATEMENTS, MAKING PHONE CALLS, AND SENDING LETTERS. COLLECTION PROCEDURES GENERALLY BEGIN AFTER 120 DAYS AND AFTER ALL EFFORTS HAVE BEEN EXHAUSTED PER THE INTERNAL COLLECTION PROCESSES. Schedule H, Part V, Section B, Line 16a FAP website - BLANCHARD VALLEY HOSPITAL: Line 16a URL: WWW.BVHEALTHSYSTEM.ORG; - BLUFFTON HOSPITAL: Line 16a URL: WWW.BVHEALTHSYSTEM.ORG; Schedule H, Part V, Section B, Line 16b FAP Application website - BLANCHARD VALLEY HOSPITAL: Line 16b URL: WWW.BVHEALTHSYSTEM.ORG; - BLUFFTON HOSPITAL: Line 16b URL: WWW.BVHEALTHSYSTEM.ORG; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - BLANCHARD VALLEY HOSPITAL: Line 16c URL: WWW.BVHEALTHSYSTEM.ORG; - BLUFFTON HOSPITAL: Line 16c URL: WWW.BVHEALTHSYSTEM.ORG; Schedule H, Part VI, Line 2 Needs assessment BVRHC HAS ESTABLISHED A FINANCIAL ASSISTANCE POLICY (FAP) THAT HAS BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT, AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. BVRHC WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECA) AGAINST AN INDIVIDUAL TO COLLECT PAYMENT UNLESS IT HAS MADE REASONABLE EFFORTS TO DETERMINE THE ELIGIBILITY UNDER THE FAP. BVRHC WILL WORK WITH ALL PATIENTS TO ESTABLISH SUITABLE PAYMENT ARRANGEMENTS SUCH AS PAYMENT IN FULL, SHORT TERM PAYMENT PLANS, AND LONG TERM LOAN PROGRAMS. BVRHC WILL NOT INITIATE ANY ECA AGAINST AN INDIVIDUAL UNTIL THE PATIENT'S FAP ELIGIBILITY HAS BEEN DETERMINED AND THE INTERNAL COLLECTION PROCESSES HAVE BEEN COMPLETED. THE INTERNAL COLLECTION PROCESSES CONSIST OF MAILING STATEMENTS, MAKING PHONE CALLS, AND SENDING LETTERS. COLLECTION PROCEDURES GENERALLY BEGIN AFTER 120 DAYS AND AFTER ALL EFFORTS HAVE BEEN EXHAUSTED PER THE INTERNAL COLLECTION PROCESSES. Schedule H, 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 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. Schedule H, Part VI, Line 4 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. FINDLAY HAS BEEN RANKED AS THE TOP MICROPOLITAN COMMUNITY FOR THE PAST 9 YEARS BY SITE SELECTION MAGAZINE (2014-2022). THE POPULATION OF HANCOCK COUNTY IS APPROXIMATELY 76,000, WITH FINDLAY COMPRISING ABOUT HALF OF THAT TOTAL. MEDIAN INCOME IS MODERATE; RANGING FROM $40,000 TO $60,000 DEPENDING ON LOCATION. FINDLAY SUPPORTS A UNIVERSITY, AS WELL AS SEVERAL LARGE CORPORATIONS INCLUDING COOPER TIRE, MARATHON PETROLEUM AND WHIRLPOOL. THE SURROUNDING AREAS ARE HEAVILY AGRICULTURAL. Schedule H, Part VI, Line 5 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 AND THE AMERICAN CANCER SOCIETY. Schedule H, Part VI, Line 6 Affiliated health care system AFFILIATED HEALTH CARE SYSTEM CAUGHMAN HEALTH CENTER PROVIDES HEALTH CARE TO HANCOCK COUNTY FAMILIES, REGARDLESS OF THEIR ABILITY TO PAY. FAMILY PRACTICE, PEDIATRIC, OB/GYN, AND PREVENTATIVE SERVICES ARE OFFERED AT CAUGHMAN. CAUGHMAN ALSO PARTICIPATES IN A PROGRAM THAT CONNECTS PATIENTS WITH PHARMACEUTICAL COMPANIES' INDIGENT CARE PROGRAMS TO PROVIDE MEDICATIONS AT NO CHARGE TO PATIENTS. A LICENSED INDEPENDENT SOCIAL WORKER IS EMPLOYED AT CAUGHMAN, AND SHE FACILITATES CLASSES FOR TEEN MOMS, PROVIDES COUNSELING TO PATIENTS, MAKES HOME VISITS FOR PATIENTS, AND PROVIDES ADDITIONAL SUPPORT FOR PATIENTS. BLANCHARD VALLEY REGIONAL HEALTH CENTER, ALONG WITH ITS AFFILIATES, PROVIDES UNRESTRICTED ACCESS TO CARE THROUGH THE ABOVE MENTIONED CAUGHMAN HEALTH CENTER, PHYSICIAN'S PLUS URGENT CARE FACILITY, AND ALL OF THEIR RELATED MEDICAL PRACTICES. WE ARE A SPONSORING AND PARTICIPATING MEMBER OF THE NORTHWEST OHIO FLOOD MITIGATION PARTNERSHIP WHICH IS WORKING TOWARDS RESOLVING THE FLOODING ISSUES IN OUR COMMUNITY. Schedule H, Part VI, Line 7 State filing of community benefit report OH X X X X X X false true false false false false false false false Myron Lewis Chief Executive Officer 0 757739 0 200876 0 147796 0 13800 0 16937 0 1137148 0 0 DR Richard M Polder TRUSTEE 0 276945 0 15000 0 30096 0 12627 0 13100 0 347768 0 0 Dave M Cytlak CHIEF FINANCIAL OFFICER 0 469194 0 72182 0 43750 0 20700 0 6951 0 612777 0 0 Barbara J Pasztor VP CHIEF NURSING OFFICER 0 262875 0 44780 0 32496 0 17879 0 7486 0 365516 0 0 Sharon K Cole Physician 847203 0 0 0 16552 0 0 0 5767 0 869522 0 0 0 Douglas W Yoder Physician 673997 0 53390 0 117298 0 13800 0 16437 0 874922 0 0 0 Derek Edwin Thomas Physician 487643 0 242648 0 12677 0 13800 0 12370 0 769138 0 0 0 Ankit Modh Physician 598414 0 96543 0 25871 0 13800 0 6968 0 741596 0 0 0 Ike Armstrong Onwere Physician 490283 0 173602 0 35947 0 13800 0 39820 0 753452 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan IN 2024, BLANCHARD VALLEY HEALTH SYSTEM CALCULATED SERP PAYMENTS TO BE CONTRIBUTED IN 2025. $124,943 WILL BE CONTRIBUTED ON BEHALF OF MYRON LEWIS TO A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2025. SERP CONTRIBUTIONS IN THE AMOUNT OF $114,858 WERE MADE FOR THE BENEFIT OF MYRON LEWIS IN 2025. 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 2024, BLANCHARD VALLEY HEALTH SYSTEM CACLULATED SERP PAYMENTS TO BE CONTRIBUTED IN 2025. $33,337 WILL BE CONTRIBUTED ON BEHALF OF DAVID CYTLAK TO THE SERP IN 2025. SERP CONTRIBUTIONS IN THE AMOUNT OF $31,599 WERE MADE FOR THE BENEFIT OF DAVID CYTLAK IN 2025. KEY FEATURES OF THE SERP, AS AMENDED AND RESTATED IN 2010/2011, INCLUDE THE FOLLOWING: * ELIGIBILITY IS LIMITED TO CERTAIN MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES OF BVHS (I.E., TOP HAT REFERENCE). FUTURE PARTICIPATION IS UPON NOMINATION BY THE CEO AND APPROVAL BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. **EMPLOYEE CONTRIBUTIONS TO THE SERP ACCOUNT ARE NOT ALLOWED. *EACH PARTICIPANT'S 457(B) ACCOUNT WILL BE CREDITED UP TO THE STATUTORY LIMIT ($20,500 IN 2022), 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 0-5 YEARS, DEPENDING ON THE AGE OF THE PARTICIPANT AT THE TIME OF CONTRIBUTION. UPON VESTING, THE FULL VESTED BALANCE WILL BE DISTRIBUTED TO THE PARTICIPANT AND CONSIDERED TAXABLE INCOME. IN ADDITION TO THE VESTING SCHEDULE ABOVE, 100% AND IMMEDIATE VESTING OF THE BENEFIT ACCRUED UPON ATTAINMENT OF NORMAL RETIREMENT AGE, DEATH, DISABILITY, INVOLUNTARY TERMINATION WITHOUT CAUSE, PLAN TERMINATION, OR CHANGE OF CONTROL. *DISTRIBUTION OF THE VESTED PORTION OF THE 457(F) BENEFIT IS PAID AS A LUMP SUM AS SOON AS ADMINISTRATIVELY FEASIBLE. A Village of Bluffton Ohio 346400139 2017-12-14 85150000 Refunding false false false A 20800000 85150000 1106427 84043573 2017 false true true true A false false true true false false 0 0 0.0 false false 0 false true A false true false false false false 0 false false false 0 false false true A true Form 990, Part III, Line 4a CARDIOVASCULAR SERVICES: BLANCHARD VALLEY HEARTCARE CENTER OFFERS A COMPLETE RANGE OF SERVICES FOR COMPREHENSIVE CARDIAC CARE. SERVICES FOR DIAGNOSIS AND TREATMENT INCLUDE CORONARY ARTERY BYPASS SURGERY, VALVE REPLACEMENTS, CARDIAC AND PULMONARY REHABILITATION, AND DIAGNOSTIC TESTING INCLUDING EKGS, STRESS TESTS, HOLTER MONITORING, AND ECHOCARDIOGRAMS. THE CARDIAC AND PULMONARY REHAB PROGRAMS ARE NATIONALLY CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACPR). IN ADDITION, EDUCATION IS PROVIDED TO PATIENTS AND THEIR FAMILY, AS WELL AS COMMUNITY MEMBERS, ON A VARIETY OF HEART-RELATED TOPICS THROUGHOUT THE YEAR. THE EMERGENCY DEPARTMENTS AT BLANCHARD VALLEY HOSPITAL AND BLUFFTON HOSPITAL ADHERE TO THE NATIONAL GOLD STANDARD OF HEARTCARE THAT INCLUDES THE ADMINISTRATION OF CLOT BUSTERS AND OTHER DRUG THERAPY. ALL EMERGENCY DEPARTMENT PHYSICIANS AND NURSES HAVE RECEVIED EXTENSIVE EDUCATION IN CRITICAL CARDIAC CARE, WHICH INCLUDES ADVANCED CARDIAC LIFE SUPPORT. THANKS TO TEAMWORK, THE BVH EMERGENCY DEPARTMENT AND THE BLANCHARD VALLEY HEARTCARE CENTER CONSISTENTLY BEAT THE 90-MINUTE NATIONAL BENCHMARK FOR DOOR TO BALLOON TIME, ESTABLISHED BY THE AMERICAN COLLEGE OF CARDIOLOGY (ACC). IN 2022, OUR MEDIAN DOOR TO BALLOON TIME WAS 69 MINUTES. Form 990, Part III, Line 4a-4c Description of program services (Expenses $ 22,526,619 including grants of $)(Revenue $ 26,840,755) 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. Form 990, Part VI, Line 1b MYRON LEWIS AND DR. RICHARD POLDER ARE BOARD MEMBERS AND PAID EMPLOYEES OF A RELATED ORGANIZATION. DUE TO THEIR EMPLOYMENT, THEY ARE CONSIDERED NON INDEPENDENT VOTING MEMBERS OF THE BOARD. Form 990, Part VI, Line 6 Classes of members or stockholders BLANCHARD VALLEY HEALTH SYSTEM, AN OHIO NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF BLANCHARD VALLEY REGIONAL HEALTH CENTER. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 990S. ONCE THE FORM 990S HAVE BEEN FINALIZED, REVIEWED AND APPROVED, THE MEMBERS OF BOARD OF TRUSTEES RECEIVE ELECTRONIC COMMUNICATION THAT THE FORM 990S ARE COMPLETE AND AVAILABLE FOR REVIEW. ANY QUESTIONS ARISING FROM BOARD MEMBERS ARE ADDRESSED BY THE COMPLIANCE & AUDIT COMMITTEE, UPPER MANAGEMENT, THE ACCOUNTING DEPARTMENT, AND/OR EXTERNAL ACCOUNTANTS. Form 990, Part VI, Line 12c Conflict of interest policy ANNUALLY, THE ORGANIZATION ASKS ITS BOARD MEMBERS, CORPORATE OFFICERS, UPPER MANAGEMENT, AND KEY EMPLOYEES TO COMPLETE CONFLICT OF INTEREST SURVEYS. THESE SURVEYS ALSO INCLUDE RELATIONSHIP & ACTIVITY QUESTIONS THAT THESE INDIVIDUALS ARE ASKED TO COMPLETE 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 A CONFLICT EXISTS. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE ORGANIZATION REVIEWS EXECUTIVE COMPENSATION, BENEFITS, AND PREREQUESITES ON A PERIODIC BASIS TO ENSURE CONSISTENCY WITH COMPENSATION PHILOSOPHY AND MARKET PRACTICE. A SUBSET OF MEMBERS FROM THE BOARD OF TRUSTEES SERVES AS THE EXECUTIVE COMPENSATION REVIEW COMMITTEE, AND THIS COMMITTEE MEETS TO APPROVE WAGE INCREASES AS WELL AS REVIEWS THE ORGANIZATION'S POSITION IN THE MARKET WHEN IT COMES TO EXECUTIVE COMPENSATION. IN ADDITION, THE EXECUTIVE COMPENSATION REVIEW COMMITTEE REGULARLY ENGAGES A HUMAN RESOURCES CONSULTING FIRM TO ASSESS THE REASONABLENESS OF THE COMPENSATION PROGRAM USED FOR ITS EXECUTIVES. THE ORGANIZATION IS COMMITTED TO A DECISION-MAKING PROCESS FOR EXECUTIVE COMPENSATION THAT IS CONSISTENT WITH INTERNAL REVENUE CODE SECTION 4958 REQUIREMENTS FOR OBTAINING A REBUTTABLE PRESUMPTION OF REASONABLENESS. *THE MEMBERS OF THE COMMITTEE APPROVING EXECUTIVE COMPENSATION DECISIONS ARE INDIVIDUALS WHO ARE DISINTERESTED (I.E., DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE ARRANGEMENTS). *THE COMMITTEE REVIEWS OBJECTIVE DATA, INCLUDING SURVEY DATA PREPARED BY INDEPENDENT FIRMS, AS PART OF THE DECISION-MAKING PROCESS. *THE MARKET DATA PROVIDED IN THE COMPENSATION REPORT FROM THE CONSULTING FIRM ASSISTS THE ORGANIZATION IN ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS. THE ORGANIZATION CONSULTS WITH SULLIVAN COTTER AND ASSOCIATES (AN EXTERNAL CONSULTANT) ON AN ANNUAL BASIS TO REVIEW COMPENSATION MATTERS. ON A BIENNIAL BASIS, THE ORGANIZATION PERFORMS A FULL COMPENSATION AND BENEFIT ANALYSIS AND REVIEW. THE RESULTS OF THE REVIEW BY SULLIVAN COTTER AND ASSOCIATES ARE SHARED/DISCUSSED WITH THE BOARD. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE SAME PROCESS APPLIES FOR ALL OTHER EXECUTIVE STEERING COMMITTEE MEMBERS AS DETAILED FOR THE CEO. Form 990, Part VI, Line 19 Required documents available to the public FINANCIAL STATEMENTS, REQUIRED TAX FORMS (I.E., FORM 990), AS WELL AS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH THE ADMINISTRATIVE AND FINANCE OFFICES. Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN INTEREST RATE SWAP AGREEMENT - 481000; DEFINED BENEFIT PENSION PLAN - 27479000; OTHER CHANGES IN NONCONTROLLING INTEREST - -4368000; TRANSFERS TO AFFILIATES - -71719001; CHANGE IN PERPETUAL TRUSTS - 1466000; PENSION SETTLEMENT COST - -21788000; Total - -68449001; CRNA of Blanchard Valley LLC 1900 South Main Street Findlay OH 45840 061748552 Cert Nurse OH BVRHC Blanchard Valley Medical Practices LLC 1900 South Main Street Findlay OH 45840 421659766 Physician Offices OH BVHS Blanchard Valley Home Care Services 1900 South Main Street Findlay OH 45840 421565629 Home Health OH BVCCS Neurosurgical Associates of Northwest Ohio 1900 South Main Street Findlay OH 45840 342052585 Physician Offices OH BVMP Specialty Physicians of Blanchard Valley 1900 South Main Street Findlay OH 45840 262448601 Physician Office OH BVMP Blanchard Valley Regional Cancer Center 1900 South Main Street Findlay OH 45840 050623393 Cancer Center OH BVMP HANCO Emergency Medical Services LLC 1900 South Main Street Findlay OH 45840 463299390 Ambulance OH BVHS Birchaven Estates at Eastern Woods LTD 1900 South Main Street Findlay OH 45840 201494204 Condominiums OH BVCCS Beyond MedSpa LLC 1900 South Main Street Findlay OH 45840 814440286 Cosmetic Spa OH BVHS Findlay Surgery Center LTD 1900 South Main Street Findlay OH 45840 870620245 Surgery Center OH BVRHC Blanchard Valley Health System 1900 South Main Street Findlay OH 45840 344428206 Health Care OH 501(c)(3) NA true Blanchard Valley Continuing Care Service 1900 South Main Street Findlay OH 45840 346006904 Continuing Care Services OH 501(c)(3) 10 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) BVHF false Blanchard Valley Pain Management 1900 South Main Street Findlay OH 45840 Pain Management OH BVRHC Related 3583945 false false 0.51 Technicore Clinical Engineering 1900 South Main Sreet Findlay OH 45840 Bio-Med Support OH BVRHC Related 246697 656735 false false 0.67 Northwest Ohio Medical Equipment 1900 South Main Street Findlay OH 45840 Medical Equipment OH BVCCS N/A CITAS Inc 1900 South Main Street Findlay OH 45840 341369708 Recruiting OH BVHS C Corporation false true false true false true false false false false true false true true true false false false true true Technicore L 163628 FMV