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      <Desc>QUALITY AND PATIENT SAFETY: Completed the optional (third) year of Partnership for Patients, the nationwide public-private partnership to reduce preventable hospital acquired conditions by 40% and preventable 30-day re-admissions by 20% over 3 years with 68 hospitals participating. As of December, 2014, OHA Hospital Engagement Network (HEN) hospitals demonstrated a 55% reduction overall in the ten healthcare associated conditions/re-admissions but specifically: -100% reduction of Ventilator Associated Pneumonia (VAP) -59% reduction in Central Line Associated Blood Stream Infections (CLABSI) -54% reduction in Pressure Ulcers -49% reduction in Falls -39% reduction in C. Difficile -35% reduction in early elective deliveries -20% reduction in Urinary catheter infections (CAUTI) -36% reduction in surgical site infections -25% reduction in VTE -7% reduction in re-admissions This constitutes a reduction of overall costs by at least $16,981,699. In addition hospitals improved patient and family engagement by 39% and improved leadership by 29%. As result of the significant reduction of harm, 67 hospitals received a $10,000 stipend (total of $670,000). For the 68 hospitals in the OHA HEN, 23 student nurse process observers (at no cost to the facility) were deployed to collect real time data related to healthcare worker hand hygiene, head-of-bed elevation, and central line maintenance. Significant improvement in compliance with these measures were key strategies to reduction in hospital related infections. The Leading Edge Advanced Practice Topics (LEAPT) award from Centers for Medicare and Medicaid completed in December 2014 for rapid cycle quality improvement initiatives in the areas of: -Severe sepsis/septic shock - participating hospitals demonstrated a 38.6% reduction in surgical patients and a 10.6% reduction in non-surgical patients. -Hospital acquired acute renal failure - participating hospitals demonstrated a 20% reduction in AKI -Results beyond 40/20 aims in re-admissions, including hospital teaming with their broader community on work to reduce re-admissions -Cost savings calculations for hospital acquired conditions (core and/or above), especially using "actual" cost and volume data (as compared with "projected") - participating hospitals developed a modeling approach using the Medicare spending per beneficiary (MSPB) data -Hospital culture of safety that fully integrates patient safety with worker safety - participating hospitals demonstrated a 42.6% reduction in employee injury As result of the significant reduction of harm, 27 hospitals received a $50,000 stipend (total of $1,350,000). Facilitated subscriptions for continuous survey readiness to member hospitals via subscription to the CSR consultant service for 89 hospitals. Provided both a Spring and a Fall conference related to accreditation standards at two locations per offering. Maintained three regional quality collaborates in the Northeast, Central and Northwest Ohio regions. Each collaborative was designated two co-chairs, updated their participation agreements, and re-visited their desired areas of focus. Conducted the 7th Annual Quality Summit on June 11, 2014 entitled, "Transforming Ohio Through Our Leadership" with over 200 attendees participating. The summit was held at the Hilton at Easton, Columbus, Ohio and featured four panel presentations that addressed the four statewide focus areas and professional poster presentations with ample networking opportunities to disseminate effective practices followed by the posting of panel presentations and poster abstracts to the OHA website.</Desc>
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        <Desc>DISASTER PREPAREDNESS: Regional Initiative Funding -Regional funds in the amount of $791,463.00 were received to: complete required deliverables, provide $1,500.00 (or more) funding for each hospital to continue their preparedness issues, and to support the regional hospital coordinator, the regional coalition coordinator, and both local county coalitions, and one regional coalition. Drills and Exercises - collaboration with state and regional partners -Regional Full Scale Exercise partnership with Public Health and Regional Coalition members to test hospital and community preparedness for recovery procedures after an earthquake. The exercise was designed to provide all participants the opportunity to establish incident command and evaluate community preparedness. -Regional SNS Request Exercise - partnership with all 18 hospitals, two regional PH coordinators, 14 local health departments and 14 county EMAs (hospitals are only present in 14 of the 21 counties). The drill tested the SNS Request Standard Operating Guide developed for and adopted by the hospitals which outlines how to request and provide information to PH and EMA. Special Training -SNS requesting/receiving/awareness training was held via webinar in September, 2014 and was attended by 43 hospital participants. -Training on how to assemble the mobile all-weather shelters (aka BluMed) was held at two locations in September and was attended by 35 hospital, public health, and EMA participants. Assets SE Ohio has always been conscious of the size and rural nature of the region. 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The Steering Committee approved the FY 2014 budget and activities related to the coalition, both regional and local -In FY 2014 the SOHC will develop a communications plan and a command and control plan which will be tested in drills and exercises -Proposed activities for FY 2014 have been cross walked against the BP2 reporting measures to ensure we are on track Local - since 2009, SE Ohio has worked to establish local healthcare coalitions consisting of hospitals, public health, EMA, and all other healthcare and other organizations willing to participate. 14 groups work on a local/county/multi-county level to improve the healthcare preparedness State Initiative Funding State funds in the amount of $560,000.00 were used to initiate new statewide programs/initiatives and to sustain existing programs/initiatives as well as to provide funding for the Director of Public Health Programs, to oversee this grant and the SE Ohio Regional Grant. These initiatives included: -Provided training to healthcare facilities, Regional Healthcare Coordinators and other healthcare providers on the family reunification system via development of webinar links that can be viewed at the leisure of the member user. This provides our members with the opportunity to provide training to a large number of individuals within the facility with no travel, and no loss of work costs -Pediatric triage model for crisis standard of care. Triage mode has been completed and is currently out, with ODH permission for peer review at the request of the developers. This triage model will serve as a model not only for Ohio hospitals and healthcare facilities but for healthcare facilities across the nation. The Institute of Medicine and Assistant Secretary for Preparedness and Response are extremely interested in viewing the final product for endorsement -Four provider sessions were held throughout the state of Ohio. Sessions were well received with useful direction received in return. The final report has been compiled with results and recommendations identified and shared with ODH leadership and Crisis Standards of Care Steering Committee. -Expansion of the Ohio Burn Surge Plan was completed with the identification of a lead state burn coordinating center. It was determined by the Burn Surge Committee that OSU Medical Center would serve as the primary state coordinating center, with Metro Health and University of Cincinnati Hospital serving as secondary coordinating centers. Work will continue in the next grant period on training and exercising these facilities with state agencies to include Ohio Department of Health, Ohio Emergency Management Agency, and the American Burn Association. 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        <Desc>THE OHIO PATIENT SAFETY INSTITUTE (OPSI): Enhanced patient safety data collection and analysis for 32 members voluntarily participating in OPSI Patient Safety Organization (PSO) while securing uniform federal confidentiality and privilege protections. Presented the OPSI Best Practice Award to Summa Health System for their program for opiate addicted mothers and babies. Led four statewide webinars as a part of the Advancing Patient Safety Conference Series, including: May 22, 2014 - Obstetric Hemorrhage: Implementing a Plan for Prevention and Treatment July 17, 2014 - Learn Not to Burn: Scoring fire risk for the Surgical Patient September 11, 2014 - Improving Depression Screening in a Diabetes Clinic; Reducing Serious Safety Events November 6, 2014 - Charting in the Electronic World: Does Your Documentation Defend You?</Desc>
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        <SupportedOrgQualifiedInd>true</SupportedOrgQualifiedInd>
        <SuprtExclusivelySec170c2BInd>true</SuprtExclusivelySec170c2BInd>
        <SupportedOrgNotOrganizedUSInd>false</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>false</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>false</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>false</PaymentSubstantialContribtrInd>
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        <ExcessBusinessHoldingsRulesInd>false</ExcessBusinessHoldingsRulesInd>
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        <Contribution35ControlledInd>false</Contribution35ControlledInd>
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        <PowerAppointMajorityDirTrstInd>true</PowerAppointMajorityDirTrstInd>
        <OperateBenefitNonSuprtOrgInd>false</OperateBenefitNonSuprtOrgInd>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 3b Qualified Under 501C(4)(5) Or (6)</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization, using input from the supported organization, completes a pro forma Schedule A, Part III annually to confirm the supported organization meets the Section 509(a)(2) public support test. The support calculation is maintained in the supporting organization's files.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 3c Support To Org. Used Exclusively Sec. 170(c)(2) Purposes</FormAndLineReferenceDesc>
        <ExplanationTxt>The supporting organization does not provide monetary support to its supported organization. If the filing organization were to provide monetary support to its supported organization, it would ensure such support is used solely for charitable purposes.</ExplanationTxt>
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    </IRS990ScheduleA>
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        <ContributorNum>RESTRICTED</ContributorNum>
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          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>111723</DepreciationAmt>
        <BookValueAmt>1935</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>1935</TotalBookValueLandBuildingsAmt>
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        <Amt>614857</Amt>
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      <TotalLiabilityAmt>614857</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Internal Revenue Service has ruled that the REF and FHC are tax exempt organizations as defined under Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for federal income taxes has been made in the financial statements. Additionally, the REF and FHC have been determined not to be a private foundation under Section 509(a) of the U.S. Internal Revenue Code. Accounting principles generally accepted in the United States of America prescribe recognition thresholds and measurement attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Tax benefits will be recognized only if the tax position is more likely- than-not sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized will be the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the more-likely-than-not test, no tax benefit will be recorded. Management has concluded that they are unaware of any tax benefits or liabilities to be recognized at December 31, 2014. The Foundation does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months.</ExplanationTxt>
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      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>Holzer Medical Center</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 Jackson Pike</AddressLine1Txt>
          <CityNm>Gallipolis</CityNm>
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          <ZIPCd>45631</ZIPCd>
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        <RecipientEIN>314379491</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>159485</CashGrantAmt>
        <PurposeOfGrantTxt>Disaster preparedness</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Holzer Medical Center-Jackson</BusinessNameLine1Txt>
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          <AddressLine1Txt>500 Burlington Road</AddressLine1Txt>
          <CityNm>Jackson</CityNm>
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        <CashGrantAmt>30774</CashGrantAmt>
        <PurposeOfGrantTxt>Disaster preparedness</PurposeOfGrantTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Pike County General Health District Total</BusinessNameLine1Txt>
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          <AddressLine1Txt>14050 US 23 North</AddressLine1Txt>
          <CityNm>Waverly</CityNm>
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        <RecipientEIN>316400084</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>34800</CashGrantAmt>
        <PurposeOfGrantTxt>Disaster preparedness</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Selby General Hospital</BusinessNameLine1Txt>
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          <AddressLine1Txt>1106 Colgate Drive</AddressLine1Txt>
          <CityNm>Marietta</CityNm>
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        <RecipientEIN>314413259</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50071</CashGrantAmt>
        <PurposeOfGrantTxt>Disaster preparedness</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Southern Ohio Medical Center</BusinessNameLine1Txt>
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          <AddressLine1Txt>1805 27th Street</AddressLine1Txt>
          <CityNm>Portsmouth</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45662</ZIPCd>
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        <RecipientEIN>310678022</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>49447</CashGrantAmt>
        <PurposeOfGrantTxt>Disaster preparedness</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Zanesville-Muskingum County Health Department Total</BusinessNameLine1Txt>
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          <AddressLine1Txt>205 North 7th Street</AddressLine1Txt>
          <CityNm>Zanesville</CityNm>
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          <ZIPCd>43701</ZIPCd>
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        <RecipientEIN>316400080</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>110000</CashGrantAmt>
        <PurposeOfGrantTxt>Disaster preparedness</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>6</Total501c3OrgCnt>
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        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Trustees and management monitor the use of grants to ensure they are used for their intended purposes. Additionally, a special audit (A-133) is performed to ensure compliance. Under Federal Circular A-133 the Foundation is responsible for monitoring grant recipients to help assure that Federal awards are expended for authorized purposes in compliance with law, regulations and the provisions of contracts or grant agreements, and that performance goals are achieved.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Trustees and management monitor the use of grants to ensure they are used for their intended purposes. Additionally, a special audit (A-133) is performed to ensure compliance. Under Federal Circular A-133 the Foundation is responsible for monitoring grant recipients to help assure that Federal awards are expended for authorized purposes in compliance with law, regulations and the provisions of contracts or grant agreements, and that performance goals are achieved.</ExplanationTxt>
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          <BusinessNameLine1Txt>MICHAEL ABRAMS</BusinessNameLine1Txt>
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        <TitleTxt>President &amp; CEO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>478790</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>114108</BonusRelatedOrganizationsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <BusinessName>
          <BusinessNameLine1Txt>MARY GALLAGHER</BusinessNameLine1Txt>
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        <TitleTxt>EXECUTIVE VP &amp; CHIEF OF STAFF</TitleTxt>
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          <BusinessNameLine1Txt>James Guliano</BusinessNameLine1Txt>
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        <TitleTxt>VP Quality Programs</TitleTxt>
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        <TotalCompensationFilingOrgAmt>179589</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization relied on Ohio Hospital Association's (OHA), a related tax-exempt organization, process to compensate the Chief Executive Officer (CEO). AN INDEPENDENT COMPENSATION COMMITTEE DELEGATED BY THE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE YEARLY COMPENSATION REVIEW OF THE CEO. OUTSIDE CONSULTANTS, SALARY SURVEYS, AND DATA FROM COMPARABLE ORGANIZATIONS ARE USED IN THE PROCESS OF DETERMINING THE CEO'S COMPENSATION. THIS PROCESS WAS LAST PERFORMED IN 2014 AND IS DOCUMENTED WITHIN THE COMPENSATION COMMITTEE MINUTES.</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="14000329" softwareVersionNum="2014v1.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 2 New program services</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2014, The Ohio Hospital Association ("OHA") Board of Trustees approved the dissolution of the Foundation for Healthy Communities ("FHC"), also an affiliated organization of the OHA, and the transfer of its assets and programs into the Research and Educational Foundation of Ohio Hospital Association. The transfer was completed effective December 31, 2014.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CoreFormPartIII_PartIIILine4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 218,742 including grants of $)(Revenue $ 75,900) ENERGY BENCHMARKING PROGRAM and other program services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a Common Pay Agent</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIO HOSPITAL ASSOCIATION (OHA) EIN 31-4270340 IS THE COMMON PAYING AGENT FOR THE FOLLOWING RELATED ORGANIZATIONS. THEREFORE, ALL APPLICABLE IRS TAX FILINGS ARE REPORTED BY OHA. OHIO HOSPITAL CAPITAL, INC. EIN 31-1193166 OHIO HOSPITALS GROUP RATED WORKERS COMPENSATION PROGRAM, INC. EIN 31-1314404 FOUNDATION FOR HEALTHY COMMUNITIES EIN 31-1368843 THE RESEARCH &amp; EDUCATIONAL FOUNDATION OF THE OHIO HOSPITAL ASSOCIATION EIN 31-6060347 OHIO HEALTHCARE PURCHASING EIN 20-0414070 THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, OHA, FOR THE YEAR ENDED DECEMBER 31, 2014 WAS 80. FOR PURPOSES OF REPORTING THE NUMBER OF EMPLOYEES ON THE FORM 990, PART V, LINE 2A, THERE WERE THE FOLLOWING FOR EACH RESPECTIVE ORGANIZATION: OHIO HOSPITAL ASSOCIATION - 73 EMPLOYEES OHIO HOSPITAL CAPITAL, INC. - 0 EMPLOYEES OHIO HOSPITALS GROUP RATED WORKERS COMPENSATION PROGRAM, INC. - 0 EMPLOYEES FOUNDATION FOR HEALTHY COMMUNITIES - 1 EMPLOYEE THE RESEARCH &amp; EDUCATIONAL FOUNDATION OF THE OHIO HOSPITAL ASSOCIATION - 4 EMPLOYEES OHIO HEALTHCARE PURCHASING - 2 EMPLOYEES</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE OTHER OFFICERS OR KEY EMPLOYEES THAT RECEIVE COMPENSATION. THEREFORE, THIS QUESTION IS NOT APPLICABLE AND HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. OHA CURRENTLY USES AN OUTSIDE CONSULTANT TO PERIODICALLY PROVIDE A BENCHMARK OF COMPARABLE SALARY RANGES FOR ALL OFFICERS AND KEY EMPLOYEES. THIS PROCESS WAS LAST PERFORMED IN 2014. OHIO HOSPITAL ASSOCIATION'S COMPENSATION IS BASED ON THE USE OF THIS DATA FOR SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS AT SIMILAR SIZED ASSOCIATIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a PROCESS USED TO DETERMINE COMPENSATION FOR TOP MANAGEMENT OFFICIAL</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE OFFICERS THAT RECEIVE COMPENSATION. THEREFORE, THIS QUESTION IS NOT APPLICABLE AND HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. THE CEO IS COMPENSATED BY THE ORGANIZATION'S COMMON PAY AGENT, OHIO HOSPITAL ASSOCIATION (OHA), A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION PROCESS IS THAT OF OHA'S. AN INDEPENDENT COMPENSATION COMMITTEE DELEGATED BY THE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE YEARLY COMPENSATION REVIEW OF THE CHIEF EXECUTIVE OFFICER (CEO). OUTSIDE CONSULTANTS, SALARY SURVEYS, AND DATA FROM COMPARABLE ORGANIZATIONS ARE USED IN THE PROCESS OF DETERMINING THE CEO'S COMPENSATION. THIS PROCESS WAS PERFORMED IN 2014 AND IS DOCUMENTED WITHIN THE COMPENSATION COMMITTEE MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>the board of trustees may, by resolution, establish an executive committee, which shall consist of at least three (3) trustees, which committee shall have the power to transact all of the business of the corporation during the interim between meetings of the board of trustees and which shall have and exercise the authority of the board of trustees in the management of the corporation subject to any restrictions established by the board of trustees. the designation of the executive committee and the delegation thereto of such authority shall not operate to relieve the board of trustees, or any individual trustee of any responsibility imposed by law. the executive committee shall be subject to the control and direction of the board of trustees. Additionally, as the sole member of filing organization, Ohio Hospital Association, a related tax-exempt organization, has broad authority to act on behalf of the governing body. Please see the narratives for Part VI, Lines 6, 7a and 7b for a description of such authority.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2014, the OHA Board of Trustees approved the dissolution of the Foundation for Healthy Communities ("FHC"), also an affiliated organization of the OHA, and the transfer of its assets and programs into the REF. The transfer was completed effective December 31, 2014. As a result of this merger, a new code of regulations was prepared and implemented.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member of the Corporation shall be the Ohio Hospital Association, an Ohio nonprofit coporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>As the sole member of the filing organization, OHA has the right to elect, appoint or remove members of the governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>As the sole member of the filing organization, OHA has the right to approve or deny significance governance decisions of the organization. Specifically, more recently, OHA approved the dissolution of FHC and the transfer of its assets and programs into REF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 was reviewed by management with the paid tax preparer. A copy of the organization's final form 990 (including required schedules), as ultimately filed with the IRS, was provided to each voting member of the organization's governing body and officers prior to its electronic filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH TRUSTEE, DIRECTOR, PRINCIPAL OFFICER, other officer, key employee, AND MEMBER OF A COMMITTEE WITH BOARD DESIGNATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE DUALITY OF INTEREST AND CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THE ORGANIZATION IS TAX-EXEMPT AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. After a disclosure, and after any discussions with the interested person, the interested person may be asked by the chairperson to leave the board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. If a conflict of interest exists, the interested person may make a presentation to the board or committee and may be asked to leave the meeting during the discussion of, and the vote on, the arrangement that results in the conflict. After exercising due diligence, the board or committee shall determine whether the company can obtain a more advantageous arrangement with reasonable efforts from a person that would not give rise to a conflict of interest. If that is not reasonably attainable, the board or committee shall determine by a majority vote of the disinterested directors whether the arrangement is in the company's best interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial statements, governing documents, and conflict of interest policy are available upon request from the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Quality/Patient Safety Consulting - Total Expense: 1452133, Program Service Expense: 1452133, Management and General Expenses: , Fundraising Expenses: ; Continued Survey Readiness - Total Expense: 622765, Program Service Expense: 622765, Management and General Expenses: , Fundraising Expenses: ; Data processing - Total Expense: 31000, Program Service Expense: 31000, Management and General Expenses: , Fundraising Expenses: ; Energy consulting - Total Expense: 78500, Program Service Expense: 78500, Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER OF ASSETS FROM THE FOUNDATION FOR HEALTHY COMMUNITIES - 1690272;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="14000329" softwareVersionNum="2014v1.0">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OHIO HOSPITAL ASSOCIATION (OHA)</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>155 E BROAD ST SUITE 301</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <EIN>314270340</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(6</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OHIO HOSPITAL CAPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>155 E BROAD ST SUITE 301</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <EIN>311193166</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(4</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OHIO HOSPITALS GROUP RATED WORKERS COMP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>155 E BROAD ST SUITE 301</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <EIN>311314404</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(6</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FOUNDATION FOR HEALTHY COMMUNITIES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>155 E BROAD ST SUITE 301</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <EIN>311368843</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OHIO HEALTH COUNCIL</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>155 E BROAD ST SUITE 301</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <EIN>311708195</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OHIO HEALTHCARE PURCHASING INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>155 E BROAD ST SUITE 301</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <EIN>200414070</EIN>
        <PrimaryActivitiesTxt>PURCHASING CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <OwnershipPct>0</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Ohio Hospital Association</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>631599</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part II, Column (b) Primary Activity</FormAndLineReferenceDesc>
        <ExplanationTxt>1. OHIO HOSPITAL CAPITAL, INC. PRIMARY ACTIVITY: IT WAS ORIGINALLY ORGANIZED FOR THE PURPOSE OF ASSISTING TAX-EXEMPT HOSPITALS IN ATTAINING AND ADMINISTERING HOSPITAL TAX-EXEMPT FINANCING PROGRAMS FOR CAPITAL EXPANSION. 2. OHIO HOSPITALS GROUP RATED WORKERS COMP PRIMARY ACTIVITY: THE PRIMARY PURPOSE OF THE OHIO HOSPITALS GROUP RATED WORKERS COMPENSATION PROGRAM, INC. IS TO DEVELOP AND IMPLEMENT PROGRAMS THAT WILL PROMOTE A SAFE WORKING ENVIRONMENT AND REDUCE HEALTH CARE COSTS. 3. OHIO HOSPITAL ASSOCIATION PRIMARY ACTIVITY: A MEMBERSHIP DRIVEN ORGANIZATION THAT PROVIDES PROACTIVE LEADERSHIP TO CREATE AN ENVIRONMENT IN WHICH OHIO HOSPITALS ARE SUCCESSFUL IN SERVING THEIR COMMUNITIES. THIS NON-PROFIT TRADE ASSOCIATION WORKS ON BEHALF OF MEMBER HOSPITALS THROUGH LEADERSHIP IN THE DEVELOPMENT OF PUBLIC POLICY, IN THE REPRESENTATION AND ADVOCACY OF HOSPITAL INTERESTS, AND IN THE PROVISION OF SERVICES WHICH ASSIST HOSPITALS IN MEETING HEALTH CARE NEEDS AND IMPROVING THE HEALTH STATUS OF THEIR COMMUNITIES, WHICH IN TURN IMPROVES THE HEALTH CARE INDUSTRY AS A WHOLE. 4. FOUNDATION FOR HEALTHY COMMUNITIES PRIMARY ACTIVITY: THE FOUNDATION IS A CHARITABLE ARM OF THE THE OHIO HOSPITAL ASSOCIATION; the mission of the Foundation for Healthy Communities is to help hospitals lead Ohioans to better health. 5. OHIO HEALTH COUNCIL PRIMARY ACTIVITY: PROMOTION OF HEALTH BY COORDINATING THE EFFORTS OF ITS MEMBERS AND OTHER ORGANIZATIONS INTERESTED IN THE HEALTH OF COMMUNITIES. THIS PURPOSE INCLUDES FUNDING PROJECTS THAT CONDUCT HEALTH EDUCATION AND HEALTH PROMOTION PROGRAMS REGARDING THE ADVANTAGES TO THE HEALTH OF COMMUNITIES TO BE GAINED THROUGH THE PRACTICE OF MEDICINE AND OTHER HEALTH PROFESSIONS AND THE OPERATION OF HOSPITALS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>