2015-11-12T14:36:59-06:00 2014-12-31 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2014-01-01 341369963 BLANCHARD VALLEY REGIONAL HEALTH CENTER % DAVID M CYTLAK BLAN 4194235497 1900 SOUTH MAIN STREET FINDLAY OH 45840 DAVID M CYTLAK CFO 4194235497 2015-11-16 true Joyce A Dulworth P00151125 2604604000 2014 2016-04-25 22:37:26Z DAVID M CYTLAK 1900 SOUTH MAIN STREET FINDLAY OH 45840 260182248 false X WWW.BVHEALTHSYSTEM.ORG X 1982 OH BLANCHARD VALLEY REGIONAL HEALTH CENTER OPERATES TWO HOSPITALS OFFERING INPATIENT, EMERGENCY, MATERNITY AND OUTPATIENT SERVICES; OUTPATIENT CENTERS, AND A PRIMARY CARE CLINIC. 18 17 1662 337 848744 271536 0 0 222131680 239953936 26897054 9434345 6698857 6421853 255727591 255810134 0 0 0 0 98764104 101318061 0 0 0 104481902 105376654 203246006 206694715 52481585 49115419 440378509 476961067 195939019 229011496 244439490 247949571 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 32283415 41856696 ORTHOPEDIC SERVICES: ORTHOPEDIC SERVICES AT BLANCHARD VALLEY HOSPITAL INCLUDE: HIP FRACTURE REPAIR AND REPLACEMENT, KNEE SURGERY, JOINT REPLACEMENT, TOTAL KNEE REPLACEMENT, AND MANY OTHER PROCEDURES. WE HAVE PERFORMED MORE THAN 1,000 JOINT REPLACEMENTS SINCE 2008 WITH SOME OF THE MOST ADVANCED TECHNOLOGY IN THE U.S., INCLUDING MINIMALLY INVASIVE AND GENDER-SPECIFIC PROCEDURES. OUR ORTHOPEDIC PROGRAM WAS DEVELOPED THROUGH THE COLLABORATION OF OUR SPECIALTY ORTHOPEDIC SURGEONS AND HOSPITAL ASSOCIATES. WE WORK DIRECTLY WITH OUR PATIENTS TO CREATE A HEALTH CARE PLAN TO FIT THEIR NEEDS. IN 2012, HEALTHGRADES - THE LEADING INDEPENDENT HEALTH CARE RATINGS COMPANY - AWARDED SEVERAL HONORS TO THE BVH TOTAL JOINT REPLACEMENT PROGRAM INCLUDING: 2012 HEALTHGRADES ORTHOPEDIC SURGERY EXCELLENCE AWARD #1 IN OHIO FOR OVERALL ORTHOPEDICS; 5-STAR RATING FOR OVERALL ORTHOPEDICS; 5-STAR RATING FOR TOTAL JOINT REPLACEMENT; 5-STAR RATING FOR TOTAL KNEE REPLACEMENT; 5-STAR RAITING FOR TOTAL HIP REPLACEMENT. 23262437 30160649 CARDIOVASCULAR SERVICES: BLANCHARD VALLEY HEARTCARE CENTER OFFERS A COMPLETE RANGE OF SERVICES FOR COMPREHENSIVE CARDIAC CARE. SERVICES FOR DIAGNOSIS AND TREATMENT INCLUDE CORONARY ARTERY BYPASS SURGERY, VALVE REPLACEMENTS, CARDIAC AND PULMONARY REHABILITATION, AND DIAGNOSTIC TESTING INCLUDING EKGS, STRESS TESTS, HOLTER MONITORING, AND ECHOCARDIOGRAMS. THE CARDIAC AND PULMONARY REHAB PROGRAMS ARE NATIONALLY CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACPR). IN ADDITION, EDUCATION IS PROVIDED TO PATIENTS AND THEIR FAMILY, AS WELL AS COMMUNITY MEMBERS, ON A VARIETY OF HEART-RELATED TOPICS THROUGHOUT THE YEAR. THE EMERGENCY DEPARTMENTS AT BLANCHARD VALLEY HOSPITAL AND BLUFFTON HOSPITAL ADHERE TO THE NATIONAL GOLD STANDARD OF HEART CARE THAT INCLUDES THE ADMINISTRATION OF CLOT BUSTERS AND OTHER DRUG THERAPY. ALL EMERGENCY DEPARTMENT PHYSICIANS AND NURSES HAVE RECEVIED EXTENSIVE EDUCATION IN CRITICAL CARDIAC CARE, WHICH INCLUDES ADVANCED CARDIAC LIFE SUPPORT. THANKS TO TEAMWORK, THE BVH EMERGENCY DEPARTMENT AND THE BLANCHARD VALLEY HEARTCARE CENTER CONSISTENTLY BEAT THE 90-MINUTE NATIONAL BENCHMARK FOR DOOR TO BALLOON TIME, ESTABLISHED BY THE AMERICAN COLLEGE OF CARDIOLOGY (ACC). IN 2014, OUR MEDIAN DOOR TO BALLOON TIME WAS 49 MINUTES. ALSO, BLANCHARD VALLEY HOSPITAL'S CARDIOVASCULAR PROGRAM, PART OF THE JANE AND GARY HEMINGER HEARTCARE CENTER, WAS NAMED ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS FOR 2013 BY TRUVEN HEALTH ANALYTICS, FORMERLY THOMSON REUTERS. 23776579 30827254 GENERAL SURGERY: BLANCHARD VALLEY HOSPITAL'S GENERAL SURGERY GROUP IS RESPONSIBLE FOR A FULL SPECTRUM OF CARE, FROM SCHEDULED, ELECTIVE PROCEDURES TO THE TREATMENT OF ADVANCED STAGES OF CANCER. PROCEDURES PERFORMED BY THIS GROUP INCLUDE BUT ARE NOT LIMITED TO APPENDECTOMY (REMOVAL OF THE APPENDIX), CHOLECYSTECOMY (REMOVAL OF THE GALLBLADDER), NON-COSMETIC BREAST SURGERY (FROM LUMPECTOMY TO MASTECTOMY), ORTHOPEDIC PROCEDURES (JOINT REPLACEMENT), AND LUNG AND VASCULAR PROCEDURES. BLANCHARD VALLEY HOSPITAL IS A LEVEL 3 TRAUMA CENTER, SO OUR SURGEONS ARE TRAINED AND AVAILABLE TO RESPOND TO A WIDE RANGE OF TRAUMA NEEDS AND MOST SURGICAL EMERGENCIES THAT COME INTO OUR EMERGENCY DEPARTMENT. 103682898 136468370 OTHER SERVICES PROVIDED AT BVRHC INCLUDE: WOMAN'S AND CHILDREN'S SERVICES (GYNECOLOGY, OBSTETRICS, BREAST HEALTH, PEDIATRIC HOSPITALISTS, LEVEL 2 SPECIAL CARE NURSERY), ONCOLOGY/HEMATOLOGY SERVICES, UROLOGY/ NEPHROLOGY SERVICES, SLEEP DISORDERS, PAIN MANAGEMENT, WOUND CARE, AND DIALYSIS. 103682898 136468370 183005329 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 429 0 true 1662 true true true false false false false false false false false false X 18 17 false false false false false false false true true false false true true true true true true true true true true X DAVID M CYTLAK 4194235497 1900 SOUTH MAIN STREET FINDLAY OH 45840 SCOTT MALANEY CHIEF EXECUTIVE OFFICER 32.0 8.0 X X 0 856896 24088 DUANE JEBBETT CHAIR 0.5 1.0 X 0 0 0 PAUL WORSTELL VICE CHAIR 0.5 1.0 X 0 0 0 CHERYL BUCKLAND TRUSTEE 0.5 1.0 X 0 0 0 KAREN CLINE TRUSTEE 0.5 1.0 X 0 0 0 DAVID EUBANKS TRUSTEE 0.5 1.0 X 0 0 0 RANDALL MYERS TRUSTEE 0.5 1.0 X 0 0 0 ROD NICHOLS TRUSTEE 0.5 1.0 X 0 0 0 GARRY PEIFFER TRUSTEE 0.5 1.0 X 0 0 0 ANDREA KOEPKE TRUSTEE 0.5 1.0 X 0 0 0 WILLIAM REIST DMIN TRUSTEE 0.5 1.0 X 0 0 0 LEROY SCHROEDER MD TRUSTEE 0.5 1.0 X 0 0 0 BRADLEY HUGHES TRUSTEE 0.5 1.0 X 0 0 0 KIMBERLY STUMPP TRUSTEE 0.5 1.0 X 0 0 0 JOSEPH LONGO TRUSTEE 0.5 1.0 X 0 0 0 KAREN KLASSEN HARDER SECRETARY 0.5 1.0 X 0 0 0 ERIC BOSTICK MD TRUSTEE 0.5 1.0 X 0 0 0 RICHARD POLDER MD TRUSTEE 0.5 1.0 X 0 0 0 DAVE CYTLAK CHIEF FINANCIAL OFFICER 32.0 8.0 X 0 392875 21888 DR WILLIAM KOSE CHIEF QUALITY OFFICER 36.0 4.0 X 0 406724 25200 CHRISTOPHER PRESS PRESIDENT (LEFT DEC. 2014) 32.0 8.0 X 0 484768 2055 BARBARA PASZTOR VP OF NURSING 40.0 0.0 X 276092 0 39332 CHRISTINE KELLER VP OF CLINICAL SERVICES 40.0 0.0 X 230874 0 14536 DR CHIRANJI AGRAWAL PHYSICIAN 40.0 0.0 X 525119 0 15533 DR ANGELA HOLT PHYSICIAN 40.0 0.0 X 459825 0 23074 DR MICHAEL MANUAL PHYSICIAN 40.0 0.0 X 379553 0 25819 DR DANIEL SAK PHYSICIAN 40.0 0.0 X 396562 0 5988 DR THOMAS GRACE PHYSICIAN 40.0 0.0 X 334840 0 6923 2602865 2141263 204436 57 false true false MAYO COLLABORATIVE SERVICES INC 200 SW FIRST ST ROCHESTER MN 55905 LABORATORY SERVICES 1048436 HYLANT GROUP INC 811 MADISON AVE TOLEDO OH 43604 CONSULTING SERVICE 1363617 SODEXHO INC 9011 WASHINGTON AVE GAITHERSBURG MD 20878 DIETARY SERVICES 1355357 TECHNICORE PO BOX 1210 FINDLAY OH 45839 BIO-MED SUPPORT 1442852 CARETECH SOLUTIONS INC 901 WILSHIRE SOLUTIONS INC TROY MI 48084 IT & COMMUNICATIONS 6519527 39 0 PATIENT SERVICE 900099 235938135 235938135 OUTPATIENT PHARMACY 446110 1334660 837716 496944 INVESTMENT IN TECHNICORE 541900 2295525 2305020 -9495 MEDICAL SERVICES 900099 125111 125111 CHARITY SERVICES 900099 260505 260505 239953936 9412155 9412155 0 0 257972 257972 0 257972 257972 4178331 4002623 153518 175708 -153518 22190 -153518 175708 0 0 251924 215973 35951 35951 INVESTMENT IN PARTNERSHIP 621300 361295 361295 CAFETERIA 900099 154613 154613 MEAL TICKETS 900099 846175 846175 4765847 4765847 6127930 255810134 239312969 848744 15648421 0 0 0 0 2706336 2300386 405950 0 77973519 66277491 11696028 2857500 2428875 428625 12583420 10695907 1887513 5197286 4417693 779593 0 23675 20124 3551 125621 106778 18843 0 0 0 10102961 8587517 1515444 774568 658383 116185 6228471 5294200 934271 4198587 3568799 629788 0 3828707 3254401 574306 668180 567953 100227 0 0 6996888 5947355 1049533 0 11669554 9919121 1750433 1055847 897470 158377 PROVISION FOR BAD DEBTS 10969629 10969629 MEDICAL & PROFESSIONAL FEES 4249018 3611665 637353 UBI TAX LIABILITY FROM 2014 270148 270148 MEDICAL SUPPLIES 37795844 37795844 6418956 5415590 1003366 206694715 183005329 23689386 0 0 0 27726363 23604657 0 0 23535678 29552485 0 0 0 0 0 0 4706036 5158587 1272580 516580 232195668 114163356 124170869 118032312 196544549 225542261 1393637 802202 0 0 0 0 61028797 73751983 440378509 476961067 21073701 25336805 0 0 148832 133449 121208211 117307976 0 0 0 0 8556995 8784939 0 0 44951280 77448327 195939019 229011496 X 236855769 240375695 900084 962699 6683637 6611177 244439490 247949571 440378509 476961067 X 49115419 -3945000 -41660338 X false true X true false X false false false false false false false false true 10510 10510 false false PART II-B, LINE 1I BLANCHARD VALLEY REGIONAL HEALTH CENTER PAID MEMBERSHIP DUES TO TWO ORGANIZATIONS FOR WHICH A VARYING PERCENTAGE WAS ATTRIBUTED TO LOBBYING EXPENSES. THESE ORGANIZATIONS INCLUDE THE OHIO HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. 7583720 291783 301627 7573876 6814938 1051432 282650 7583720 6334186 752562 271810 6814938 6518959 -168872 15901 6334186 6136329 389430 6800 6518959 0.87290 0.12710 true true true 3125096 3125096 132894600 44514062 88380538 1101000 1098465 2535 83383015 64244478 19138537 11691958 4306352 7385606 118032312 ADVANCES TO AFFILIATES 72160148 DEFERRED BOND ISSUANCE COSTS 1591835 73751983 0 PENSION LIABILITY 49221466 THIRD PARTY SETTLEMENTS 5028342 INTEREST RATE SWAP OBLIGATION 22100868 MINORITY INTEREST IN PAIN MANA 808722 INVESTMENT IN SUBSIDIARY 288929 77448327 199235167 -3945000 665000 -3280000 202515167 53294967 53294967 255810134 195725086 195725086 10969629 10969629 206694715 PART V, LINE 4 ENDOWMENT FUNDS ARE UTILIZED FOR DONOR DESIGNATED PURPOSES, INCLUDING CHARITY CARE, CAPITAL PROJECTS AND PURCHASES, AND CONTINUING EDUCATION FOR STAFF AND PHYSICIANS. PART XI, LINE 2D TRANSFERS FROM AFFILIATES $665,000 PART XI, LINE 4B CHANGE IN INTEREST RATE SWAP AGREEMENT 3,786,645 DEFINED BENEFIT PENSION PLAN 29,747,978 CHANGE IN PERPETUAL TRUST 72,459 OTHER CHANGES IN NONCONTROLLING INTEREST 8,718,256 BAD DEBT RECLASS 10,969,629 TOTAL $53,294,967 PART XII, LINE 4B BAD DEBT RECLASS $10,969,629 ASC 740 Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. true true X true X true X true true false true true 2789289 2789289 0.01430 25496080 20055929 5440151 0.02780 2823329 2025112 798217 0.00410 31108698 22081041 9027657 0.04620 245098 685 244413 0.00120 131347 131347 0.00070 98491 98491 0.00050 474936 685 474251 0.00240 31583634 22081726 9501908 0.04860 6044 6044 80719 2185 78534 0.00040 84214 84214 0.00040 130575 130575 0.00070 301552 2185 299367 0.00150 false 4613638 1537879 37326471 44224818 -6898347 X true false 2 1 BLANCHARD VALLEY HOSPITAL 1900 SOUTH MAIN STREET FINDLAY OH 45840 www.bvhealthsystem.org 1194 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 false true true false true X 150. 250. X X X X X X true true X X X X true X X X X X X X X X X true false X X X true X false false BLUFFTON HOSPITAL 2 false false false false true X 150. 250. X X X X X X true true X X X X true X X X X X X X X X X true false X X X true X false false PART V LINE 3 - 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 from the Hospital Council of NW Ohio holds a Masters degree in Public Health and conducted a series of meetings with the planning committee from Hancock County. During these meetings, banks of potential survey questions from the Behavioral Risk Factor Surveillance, Youth Risk Behavior Surveillance, and National Survey of Childrens Health surveys were reviewed and discussed. Based on input from the Hancock County planning committee, the Project Coordinator composed drafts of surveys containing 116 items for the adult survey, 77 items for the adolescent survey, 79 items for the 0-5 survey, and 83 items for the 6-11 survey. The drafts were reviewed and approved by health researchers at the UNIVERSITY OF TOLEDO. 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, Hancock County ADAMHS Board, etc. THE FOLLOWING ORGANIZATIONS HAD INDIVIDUALS WHO SERVED ON THE HANCOCK COUNTY PLANNING COMMITTEE: BLANCHARD VALLEY HEALTH SYSTEM FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION UNITED WAY OF HANCOCK COUNTY BLANCHARD VALLEY HEALTH FOUNDATION FINDLAY CITY HEALTH DEPARTMENT HANCOCK COUNTY HEALTH DEPARTMENT HANCOCK COUNTY SCHOOLS/ESC HANCOCK COUNTY FAMILY FIRST COUNCIL HANCOCK COUNTY ADAMHS BOARD HANCOCK COUNTY O.S.U. EXTENSION FINDLAY CITY SCHOOLS PART V, LINE 3 - BLUFFTON HOSPITAL CERTAIN INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS WERE CONSULTED DURING THE CHNA PROCESS: Bluffton Hospital Community Memorial Hospital Fountain of Faith Free Clinic Defiance Regional Hospital and Fostoria Community Hospital Hospital Council of Northwest Ohio Fostoria Community Hospital Fulton County Health Center Fulton County Health Department H.B. Magruder Hospital Ottawa County Health Department Henry County Hospital Ohio Department of Health Ohio University's Voinovich School of Leadership and Public Affairs University of Toledo PART V, LINE 6B IN RESPONSE TO THE RESULTS OF BLANCHARD VALLEY REGIONAL HEALTH CENTER'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL: HTTP://WWW.BVHEALTHSYSTEM.ORG PART V, LINE 7 - 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 obesity, substance abuse and youth violence. This is because many community agencies across Hancock County are addressing these issues through the following action steps: - Findlay City Health Department is going to implement a higher quality school lunch program, create a Healthier Choices Campaign, and implement organized activities (during recess times or before/after school to increase physical activity). - The United Way of Hancock County is going to work to create community gardens. - The Hancock County Family First Council is going to address increasing opportunities for un-employed/high-risk adults to enroll in an evidenced based weight loss program. - Through the Hancock County Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board, the issues of decreasing youth substance abuse will be addressed through an adverse childhood experience study, seller/server trainings, evidence based prevention programs in the Hancock County schools, decreasing point of purchase advertising at local retailers, and increasing parent involvement and knowledge of the law pertaining to alcohol and minors. When addressing adult substance abuse, the ADAMHS Board is going to initiate a feasibility study of an outpatient detox facility, implement a community based comprehensive program to reduce substance abuse, and increase the efforts of the Hancock County Prescription/Opiate Task Force. - THE FAMILY RESOURCE CENTER IS GOING TO IMPLEMENT A YOUTH SMOKING Cessation program in Hancock County. - The Reducing the Risk Coalition will implement a bullying prevention program. - Together, the Finlay-Hancock County Community Foundation and the O.S.U. Extension in Hancock County will increase education for parents and families regarding youth violence. PART V, LINE 7 - BLUFFTON HOSPITAL THE NEEDS OF THE COMMUNITY WERE CATEGORIZED BY THE FOLLOWING SIGNIFICANCE: IMPORTANT, URGENT, AND CRITICAL. BASED ON THESE CATEGORIES, THE NEEDS WERE PRIORITIZED AND STRATEGIES WERE ASSIGNED BASED ON THE PRIORTIZATION. THUS, CERTAIN NEEDS ARE NOT ABLE TO BE ADDRESSED IN THE CURRENT STRATEGY DUE TO THE LEVEL OF SIGNIFICANCE. PART V, LINE 14 - BLANCHARD VALLEY HOSPITAL & BLUFFTON HOSPITAL The Ohio Revised Code is posted throughout the hospital facility, financial assistance information is included on the back of a patient's monthly statement, literature (i.e. brochures, packets, etc.) is available, and Financial Couselors are available and make room visits. 2 CAUGHMAN HEALTH CENTER 1800 NORTH BLANCHARD STREET SUITE FINDLAY OH 45840 OUTPATIENT CLINIC CREIGHTON DIALYSIS LLC 1000 EAST MAIN CROSS STREET FINDLAY OH 45840 DIALYSIS CENTER PART III, SECTION A, LINE 2 OUR BAD DEBT EXPENSE IS COMPRISED OF FOUR COMPONENTS. FIRST, ACCOUNTS THAT HAVE BEEN TRANSFERRED TO COLLECTION AGENCIES ARE RECORDED AS AN INCREASE TO BAD DEBT EXPENSE. SECOND, CHANGES IN OUR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON CHANGES IN OUR ACCOUNTS RECEIVABLE AGING BUCKETS ARE RECORDED AS AN INCREASE OR DECREASE TO BAD DEBT EXPENSE. THIRD, ANY ACCOUNTS NOT COLLECTIBLE DUE TO BANKRUPTCIES OR DEATHS (ESTATES NOT SUFFICIENT) ARE RECORDED AS AN INCREASE TO BAD DEBT EXPENSE. FINALLY, ANY RECOVERIES THAT ARE RECEIVED FROM COLLECTION AGENCIES ARE RECORDED AS A DECREASE TO BAD DEBT EXPENSE. THESE FOUR COMPONENTS ARE THE NET BAD DEBT EXPENSE AMOUNTS THAT ARE PRESENTED IN OUR FINANCIAL STATEMENTS. PART III, SECTION A, LINE 3 ASSUMPTION IS THAT OUR CHARITY CARE PROGRAM CAPTURES A LARGE PERCENTAGE OF THOSE WHO QUALIFY. HOWEVER, THERE IS A SUBSECTION OF PATIENTS WHO ARE PROVIDED THE INFORMATION FOR CHARITY CARE BUT CHOOSE NOT TO PROVIDE THE NECESSARY DOCUMENTS. THERE IS A LARGE PORTION OF BAD DEBT THAT IS ATTRIBUTABLE TO INDIVIDUALS THAT HAVE INSURANCE AND WORK IN WHITE COLLAR JOBS, THUS THE ASSUMPTION IS THAT 2 OUT OF EVERY THREE BAD DEBT ACCOUNTS ARE FOR SUCH INDIVIDUALS. THUS, THE REMAINING 1/3 RELATE TO THOSE WHO COULD QUALIFY FOR CHARITY CARE. PART III, SECTION A, LINE 4 WE DO NOT HAVE A BAD DEBT FOOTNOTE. OUR BAD DEBT EXPENSE IS COMPRISED OF FOUR COMPONENTS. FIRST, ACCOUNTS THAT HAVE BEEN TRANSFERRED TO COLLECTION AGENCIES ARE RECORDED AS AN INCREASE TO BAD DEBT EXPENSE. SECOND, CHANGES IN OUR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON CHANGES IN OUR ACCOUNTS RECEIVABLE AGING BUCKETS ARE RECORDED AS AN INCREASE OR DECREASE TO BAD DEBT EXPENSE. THIRD, ANY ACCOUNTS NOT COLLECTIBLE DUE TO BANKRUPTCIES OR DEATHS (ESTATES NOT SUFFICIENT) ARE RECORDED AS AN INCREASE TO BAD DEBT EXPENSE. FINALLY, ANY RECOVERIES THAT ARE RECEIVED FROM COLLECTION AGENCIES ARE RECORDED AS A DECREASE TO BAD DEBT EXPENSE. THESE FOUR COMPONENTS ARE THE NET BAD DEBT EXPENSE AMOUNTS THAT ARE PRESENTED IN OUR FINANCIAL STATEMENTS. Bad Debt at Cost (Part III line 2) is calculated by multiplying total bad debt expense for the year by the average cost-to-charge ratio per the Medicare Cost Report. The amount of that number attributable to patients eligible under charity care policies (Part III line 3) is estimated based upon past experiences. Bad debt should be treated as community benefit. We perform services to all patients, regardless of ability to pay. We consciously know that some of these individuals will not be able to pay some or all of the costs associated with providing services to these individuals. Thus, this is a benefit to the community as they know that they will always be treated and will not be turned away. PART III, SECTION B, LINE 8 ALL OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. WE PERFORM SERVICES TO MEDICARE PATIENTS AND CONSCIOUSLY KNOW THAT THE COSTS TO PERFORM SUCH SERVICES ARE HIGHER THAN THE REIMBURSEMENT WE RECEIVE. THUS, WE FEEL THAT THIS IS A BENEFIT TO THE COMMUNITY BY BEING A CONVENIENT AND REPUTABLE SOURCE WITHIN THE COMMUNITY TO RECEIVE SUCH SERVICES. THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS OUR 2014 MEDICARE COST REPORTS AND OUR 2014 PSR REPORTS. PART III, SECTION B, LINE 9B BLANCHARD VALLEY HEALTH SYSTEM EDUCATES PATIENTS WITH FINANCIAL ASSISTANCE IN SEVERAL WAYS. THE FINANCIAL ASSISTANCE GUIDELINES ARE ON THE BACK OF EACH STATEMENT. WHEN PATIENTS ARE CALLED OR CALL THE BUSINESS OFFICE, ASSOCIATES IN THE CREDIT AND COLLECTION DEPARTMENT PRE-SCREEN PATIENTS TO DETERMINE IF THEY MAY BE ELIGIBLE FOR ANY TYPE OF FINANCIAL ASSISTANCE. IF THE PATIENT IS DETERMINED TO POTENTIALLY BE ELIGIBLE, WE DISCUSS WITH THE PATIENT THEIR OPTIONS AND WHAT FINANCIAL ASSISTANCE CONSISTS OF. WE THEN SEND AN APPLICATION TO THE PATIENTS VIA MAIL. OUR APPLICATIONS AND PROCESS IS ALSO ON OUR WEBSITE. IN ADDITION, IF WE HAVE AN OUTPATIENT OR INPATIENT THAT MAY QUALIFY, WE TALK TO THOSE PATIENTS AND EVEN ASSIST WITH THE APPLICATION. APPLICATIONS ARE THEN PROCESSED AND A LETTER OF AWARD OR DENIAL IS SENT TO THE PATIENT. THEY ARE INSTRUCTED TO CALL THE FINANCIAL ADVOCATES IF THEY HAVE FURTHER QUESTIONS OR CONCERNS. NOTE: ALL POINTS OF SERVICE ARE EQUIPPED TO DISCUSS THE FINANCIAL APPLICATION AS WELL AS DISTRIBUTE. NEEDS ASSESSMENT BLANCHARD VALLEY REGIONAL HEALTH CENTER (BVRHC) HAS A LONG-STANDING COMMITMENT TO THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THROUGH PARTICIPATION IN AND SPONSORSHIP OF HEALTH FAIRS, HEALTH SCREENINGS, AWARENESS CAMPAIGNS, AND EDUCATIONAL EVENTS; AS WELL AS ACTIVE AND ONGOING DIALOGUE WITH THE FINDLAY CITY AND HANCOCK COUNTY HEALTH DEPARTMENTS, BVRHC SEEKS NOT ONLY TO ASSESS THE NEEDS OF LOCAL COMMUNITIES, BUT ALSO TO ENCOURAGE COMMUNITY MEMBERS OF ALL AGES TO TAKE CHARGE OF THEIR HEALTH CARE NEEDS. WE CONFER WITH THE LOCAL CITY AND COUNTY SCHOOLS, AND COOPERATE WITH AGENCIES IN THE COMMUNITY THAT MAY, FROM TIME TO TIME, CONDUCT HEALTH ASSESSMENTS. THE BLUFFTON HOSPITAL COLLABORATES WITH THE LOCAL SCHOOLS TO PROVIDE A SCHOOL NURSE PROGRAM THAT NOT ONLY EVALUATES THE POPULATION FOR HEALTH ISSUES, BUT PROVIDES EDUCATION AS WELL. BVRHC PERIODICALLY CONDUCTS PHYSICIAN NEEDS ASSESSMENTS. OUR MULTIPLE BOARDS AND COMMITTEES ARE FORMED WITH MEMBERS AND PHYSICIANS WHO LIVE WITHIN THE COMMUNITY. WE ALSO MONITOR DISEASES AND CONDITIONS THAT PRESENT IN OUR EMERGENCY DEPARTMENT AT CAUGHMAN HEALTH CENTER. BVRHC HELPED LEAD THE DEVELOPMENT OF THE 2011 HANCOCK COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL'S CONTRIBUTIONS INCLUDED SENIOR EXECUTIVE TIME AND FINANCIAL SUPPORT. BVRHC SUCCESSFULLY SOUGHT EXECUTIVE AND FINANCIAL SUPPORT FROM OTHER HANCOCK COUNTY PRIVATE AND PUBLIC AGENCIES WHO ARE STAKEHOLDERS IN ANY HEALTH NEEDS ASSESSMENT. DURING 2011, THE HOSPITAL HELPED A STEERING COMMITTEE ADMINISTER ASSESSMENTS OF ADULTS, YOUTH, AND CHILDREN. THE REPORT WAS COMPLETED IN LATE 2011. THE HOSPITAL REMAINS INVOLVED WITH THE COMMITTEE AS IT CONTINUES FORWARD TO DEVISE ACTION PLANS TO ADDRESS SELECTED HEALTH PROBLEMS. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE Blanchard Valley Regional Health Center educates patients about our options for financial assistance in several ways. The financial assistance guidelines are on the back of each statement. When patients are called or call the Business Office, associates in the Credit and Collection Department pre-screen patients to determine if they may be eligible for any type of financial assistance. If the patient is determined to potentially be eligible, we discuss with the patient their options for obtaining financial assistance. We then send an application to the patients via mail. The process is also defined and our application IS available on our website. In addition, if we have an outpatient or inpatient that may qualify, we talk to those patients and even assist with completing the application. Applications are then processed and a letter or award or denial is sent to the patient. They are instructed to call the Financial Advocates if they have further questions or concerns. NOTE: All points of service are equipped to discuss and distribute the financial assistance application. PART VI, LINE 3 PATIENT EDUCATION OR ELIGIBILITY FOR ASSISTANCE BLANCHARD VALLEY REGIONAL HEALTH CENTER EDUCATES PATIENTS ABOUT OUR OPTIONS FOR FINANCIAL ASSISTANCE IN SEVERAL WAYS. THE FINANCIAL ASSISTANCE GUIDELINES ARE ON THE BACK OF EACH STATEMENT. WHEN PATIENTS ARE CALLED OR CALL THE BUSINESS OFFICE, ASSOCIATES IN THE CREDIT AND COLLECTION DEPARTMENT PRE-SCREEN PATIENTS TO DETERMINE IF THEY MAY BE ELIGIBLE FOR ANY TYPE OF FINANCIAL ASSISTANCE. IF THE PATIENT IS DETERMINED TO POTENTIALLY BE ELIGIBLE, WE DISCUSS WITH THE PATIENT THEIR OPTIONS FOR OBTAINING FINANCIAL ASSISTANCE. WE THEN SEND AN APPLICATION TO THE PATIENTS VIA MAIL. THE PROCESS IS ALSO DEFINED AND OUR APPLICATION IS AVAILABLE ON OUR WEBSITE. IN ADDITION, IF WE HAVE AN OUTPATIENT OR INPATIENT THAT MAY QUALIFY, WE TALK TO THOSE PATIENTS AND EVEN ASSIST WITH COMPLETING THE APPLICATION. APPLICATIONS ARE THEN PROCESSED AND A LETTER OR AWARD OR DENIAL IS SENT TO THE PATIENT. THEY ARE INSTRUCTED TO CALL THE FINANCIAL ADVOCATES IF THEY HAVE FURTHER QUESTIONS OR CONCERNS. NOTE: ALL POINTS OF SERVICE ARE EQUIPPED TO DISCUSS AND DISTRIBUTE THE FINANCIAL ASSISTANCE APPLICATION. COMMUNITY INFORMATION BLANCHARD VALLEY HEALTH SYSTEM SERVES AN EIGHT-COUNTY AREA THAT INCLUDES HANCOCK, ALLEN, PUTNAM, HENRY, WOOD, SENECA, WYANDOT, AND HARDIN COUNTIES. HANCOCK (OUR PRIMARY SERVICE AREA) AND SENECA COUNTIES CAN BE DESCRIBED AS MICROPOLITAN; ALLEN AND WOOD COUNTIES AS METROPOLITAN; AND THE SURROUNDING FOUR COUNTIES AS RURAL. THE FINDLAY/HANCOCK COUNTY AREA HAS PLACED IN THE TOP 20 FOR THE PAST 11 CONSECUTIVE YEARS OF SITE SELECTION MAGAZINE'S LISTING OF BEST MICROPOLITON COMMUNITIES IN THE U.S. THE POPULATION OF HANCOCK COUNTY IS APPROXIMATELY 75,000, WITH FINDLAY COMPRISING ABOUT HALF OF THAT TOTAL. MEDIAN INCOME IS MODERATE; RANGING FROM $40,000 TO $60,000 DEPENDING ON LOCATION. FINDLAY SUPPORTS A LARGE UNIVERSITY, AS WELL AS SEVERAL LARGE CORPORATIONS INCLUDING COOPER TIRE & RUBBER COMPANY, MARATHON PETROLEUM COMPANY, AND WHIRLPOOL CORPORATION. THE SURROUNDING AREAS ARE HEAVILY AGRICULTURAL. PROMOTION OF COMMUNITY HEALTH BY REACHING OUT TO THE COMMUNITY THOUGH HEALTH FAIRS, SERVING ON THE BOARDS OF LOCAL ORGANIZATIONS, AND PROVIDING HEALTH EDUCATION, WE ARE GIVEN THE OPPORTUNITY TO FURTHER THE KNOWLEDGE OF THE COMMUNITY ABOUT THE IMPORTANCE OF WELLNESS. WE ARE ALSO PRESENTED WITH THE OPPORTUNITY TO INTERACT WITH OUR COMMUNITY AND LISTEN TO AND IDENTIFY THEIR NEEDS. OUR HOSPITALS ARE MAJOR SPONSORS OF AND PARTICIPATE IN MANY COMMUNITY HEALTH FAIRS THAT PROVIDE FREE OR LOW-COST HEALTH SCREENS, EDUCATIONAL MATERIALS ON VARIOUS HEALTH TOPICS, AND OVERALL HELP TO INCREASE AWARENESS THROUGHOUT THE COMMUNITY OF HEALTHIER LIFESTYLES AND OF LOCAL RESOURCES FOR HEALTH AND HEALTHCARE SERVICES AND PRODUCTS. THE ORGANIZATION ALSO CONTRIBUTES MONETARILY TO LOCAL CHARITIES SUCH AS UNITED WAY, MARCH OF DIMES, THE AMERICAN CANCER SOCIETY, SUSAN G. KOMEN, AND THE AMERICAN HEART ASSOCIATION. AFFILIATED HEALTH CARE SYSTEM CAUGHMAN HEALTH CENTER (CAUGHMAN) AND WOMENS & CHILDRENS CENTER (W&C) PROVIDES HEALTH CARE TO HANCOCK COUNTY FAMILIES, REGARDLESS OF THEIR ABILITY TO PAY. FAMILY PRACTICE, PEDIATRIC, OB/GYN, AND PREVENTATIVE SERVICES ARE OFFERED AT CAUGHMAN. CAUGHMAN AND W&C ALSO PARTICIPATES IN A PROGRAM THAT CONNECTS PATIENTS WITH PHARMACEUTICAL COMPANIES' INDIGENT CARE PROGRAMS TO PROVIDE MEDICATIONS AT NO CHARGE TO PATIENTS. A LICENSED INDEPENDENT SOCIAL WORKER IS EMPLOYED AT CAUGHMAN, AND SHE FACILITATES CLASSES FOR TEEN MOMS, PROVIDES COUNSELING TO PATIENTS, MAKES HOME VISITS FOR PATIENTS, AND PROVIDES ADDITIONAL SUPPORT FOR PATIENTS. BLANCHARD VALLEY REGIONAL HEALTH CENTER, ALONG WITH ITS AFFILIATES, PROVIDES UNRESTRICTED ACCESS TO CARE THROUGH THE ABOVE MENTIONED CAUGHMAN HEALTH CENTER, WOMENS & CHILDRENS CENTER, PHYSICIAN'S PLUS URGENT CARE FACILITY, AND ALL OF THEIR RELATED MEDICAL PRACTICES. STATE FILING OF COMMUNITY BENEFIT REPORT OHIO true true false false false false false false false SCOTT MALANEY CHIEF EXECUTIVE OFFICER 0 515636 0 180133 0 161127 0 15600 0 8488 0 880984 0 0 DAVE CYTLAK CHIEF FINANCIAL OFFICER 0 297010 0 70281 0 25584 0 15600 0 6288 0 414763 0 0 DR WILLIAM KOSE CHIEF QUALITY OFFICER 0 298540 0 75943 0 32241 0 15600 0 9600 0 431924 0 0 DR CHIRANJI AGRAWAL PHYSICIAN 522627 0 0 0 2492 0 13211 0 2322 0 540652 0 0 0 DR ANGELA HOLT PHYSICIAN 459016 0 0 0 809 0 15600 0 7474 0 482899 0 0 0 DR MICHAEL MANUAL PHYSICIAN 379292 0 0 0 261 0 15600 0 10219 0 405372 0 0 0 DR DANIEL SAK PHYSICIAN 393988 0 0 0 2574 0 0 0 5988 0 402550 0 0 0 DR THOMAS GRACE PHYSICIAN 334692 0 0 0 148 0 5193 0 1730 0 341763 0 0 0 BARBARA PASZTOR VP OF NURSING 217720 0 51792 0 6580 0 31331 0 8001 0 315424 0 0 0 CHRISTINE KELLER VP OF CLINICAL SERVICES 189007 0 41701 0 166 0 11480 0 3056 0 245410 0 0 0 CHRISTOPHER PRESS PRESIDENT (LEFT DEC. 2014) 0 251730 0 89436 0 143602 0 1769 0 286 0 486823 0 117744 PART I, LINE 4A CONSISTENT WITH HIS CONTRACT TERMS, SEVERENCE PAY OF $275,000 WAS GIVEN TO CHRISTOPHER PRESS. PART I, LINE 4B IN 2014, BLANCHARD VALLEY HEALTH SYSTEM CONTRIBUTED ON BEHALF OF SCOTT Malaney $146,184 to a Supplemental Executive Retirement Plan (SERP). The SERP is an unfunded, nonqualified deferred compensation arrangement consisting of two plans: an "eligible" plan subject to Internal Revenue Code Section 457(b) and an "ineligible" plan subject to Section 457(f). The 457(b) plan was originally implemented effective January 1, 2002. The 457(f) plan was originally effective September 1, 2000 and was restated on January 1, 2002 for coordination with the 457(b) plan. In 2010 and 2011, the 457(f) plan was further amended and restated to comply with the latest regulatory guidance and provide for a new contribution model and vesting schedule. Additional executives were also added and deemed eligible for plan benefits in 2010, including Christopher Press and David Cytlak. In 2014, Blanchard Valley Health System contributed on behalf of David Cytlak $21,149 to the SERP. Key features of the SERP, as amended and restated in 2010/2011, include the following: *Eligibility is limited to certain management or highly-compensated employees of BVHS (i.e., "top hat" reference). Future participation is upon nomination by the CEO and approval by the Committee of the Board. *Employer contributions are comprised of: ** Defined Contribution Target Income Replacement Percentage Contribution: - Provide 60% target income replacement for CEO (Scott Malaney) - Provide 50% target income replacement for President (Christopher Press) - Provide 50% target income replacement for CFO (David Cytlak) ** Employee contributions to the 457(f) account are not allowed. * Each participant's 457(b) account will be credited up to the statutory limit ($17,500 in 2014), with the remaining amount being deposited into the 457(f) account. * Employer contributions to the 457(f) plan are subject to a class year vesting schedule, with a waiting period set at 2-5 years, depending on the age of the participant at the time of contribution. Upon vesting, the full vested balance will be distributed to the participant and considered taxable income. In addition to the vesting schedule above, 100% and immediate vesting of the benefit accrued upon attainment of normal retirement age, death, disability, involuntary termination without cause, plan termination, or change of control. * Distribution of the vested portion of the 457(f) benefit is paid as a lump sum as soon as administratively feasible. A VILLAGE OF BLUFFTON OHIO 346400139 2010-12-31 11293759 REFUNDED PRIOR OBLIG. SEE PART VI false false false B COUNTY OF HANCOCK OHIO 346400608 410040BY4 2011-04-14 108706899 REFUND ISSUE DATED 11/4/2004 false false false C VILLAGE OF ANNA OHIO 340894539 2012-06-13 9700000 BUILDING & EQUIPMENT FINANCING false false false A 8841078 0 11293759 0 0 0 0 0 0 0 11293759 0 true false true true B 4125000 0 108706899 0 0 0 1874847 0 0 0 106832052 0 true false true true C 1175000 0 9700000 0 0 0 0 0 0 9700000 0 0 false false true true A false false true true false 0 true false false true B false false true true false 0 true false false true C false false true true false 0 true false false true A false false true false true false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false true false 0 false 0 false true A true B true C true PART I, COL. B, F: THE ISSUE REFUNDED LEASE OBLIGATIONS DATED 11/15/2002, 12/21/2005, 12/20/2006, AND 10/23/2009. PART 2, COL. A & B, LINE 11: THE PROCEEDS LISTED WERE USED TO CURRENTLY REFUND THE PRIOR OBLIGATIONS LISTED IN PART I. PART VI QUESTION 1B SCOTT MALANEY IS A BOARD MEMBER AND PAID EMPLOYEE OF A RELATED ORGANIZATION. DUE TO HIS EMPLOYMENT, HE IS CONSIDERED A NON INDEPENDENT VOTING MEMBER OF THE BOARD. PART VI, SECTION B, LINE 11B A DETAIL REVIEW OF THE FORM 990 IS PERFORMED BY THE ORGANIZATION'S COMPLIANCE & AUDIT COMMITTEE. THIS COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES, MEMBERS OF THE COMMUNITY, AND MEMBERS OF UPPER MANAGEMENT. THE COMPLIANCE & AUDIT COMMITTEE REPORTS TO THE BOARD OF TRUSTEES ANY AREAS OF CONCERN REGARDING THE FORM 990'S. ONCE THE FORM 990'S HAVE BEEN FINALIZED, REVIEWED AND APPROVED, THE MEMBERS OF BOARD OF TRUSTEES RECEIVE ELECTRONIC COMMUNICATION THAT THE FORM 990'S ARE COMPLETE AND AVAILABLE ON BOARDNET. ANY QUESTIONS ARISING FROM BOARD MEMBERS ARE ADDRESSED BY THE COMPLIANCE & AUDIT COMMITTEE UPPER MANAGEMENT, THE ACCOUNTING DEPARTMENT, AND/OR EXTERNAL ACCOUNTANTS. PART VI, SECTION B, LINE 12C ANNUALLY, THE ORGANIZATION ASKS ITS BOARD MEMBERS, ITS CORPORATE OFFICERS, AND ITS KEY EMPLOYEES TO SIGN CONFLICT OF INTEREST LETTERS. THE ORGANIZATION ALSO ASKS THESE INDIVIDUALS TO REVIEW THEIR ACTIVITIES AND COMPLETE RELATIONSHIP QUESTIONNAIRES FOR THE FORM 990 FILING YEAR. BOARD MEMBERS ARE REQUIRED TO BRING TO THE ATTENTION OF EXECUTIVE MANAGEMENT ANY CONFLICTS AS THEY ARISE. THESE CONFLICTS ARE DOCUMENTED IN THE BOARD MINUTES. BOARD MEMBERS THAT HAVE CONFLICTS ARE TO EXCUSE THEMSELVES FROM DISCUSSIONS AND/OR VOTING ON ISSUES WITH WHICH CONFLICTS EXIST. PART VI, SECTION B, LINE 15A THE ORGANIZATION REVIEWS EXECUTIVE COMPENSATION, BENEFITS, AND PERQUISITES ON A BI-ANNUAL BASIS TO ENSURE CONSISTENCY WITH COMPENSATION PHILOSOPHY AND MARKET PRACTICE. A SUBSET OF MEMBERS FROM THE BOARD OF DIRECTORS SERVES AS THE EXECUTIVE COMPENSATION REVIEW COMMITTEE, AND THIS COMMITTEE MEETS TO APPROVE WAGE INCREASES AS WELL AS REVIEWS THE ORGANIZATION'S POSITION IN THE MARKET WHEN IT COMES TO EXECUTIVE COMPENSATION. IN ADDITION, THE EXECUTIVE COMPENSATION REVIEW COMMITTEE REGULARLY ENGAGES A HUMAN RESOURCES CONSULTING FIRM TO ASSESS THE REASONABLENESS OF THE COMPENSATION PROGRAM USED FOR ITS EXECUTIVES. THE ORGANIZATION IS COMMITTED TO A DECISION-MAKING PROCESS FOR EXECUTIVE COMPENSATION THAT IS CONSISTENT WITH INTERNAL REVENUE CODE SECTION 4958 REQUIREMENTS FOR OBTAINING A REBUTTABLE PRESUMPTION OF REASONABLENESS. *THE MEMBERS OF THE COMMITTEE APPROVING EXECUTIVE COMPENSATION DECISIONS ARE INDIVIDUALS WHO ARE DISINTERESTED (I.E., DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE ARRANGEMENTS). * THE COMMITTEE REVIEWS OBJECTIVE DATA, INCLUDING SURVEY DATA PREPARED BY INDEPENDENT FIRMS, AS PART OF THE DECISION-MAKING PROCESS. *THE MARKET DATA PROVIDED IN THE COMPENSATION REPORT FROM THE CONSULTING FIRM ASSISTS THE ORGANIZATION IN ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS. THE ORGANIZATION CONSULTS WITH SULLIVAN COTTER AND ASSOCIATES (AN EXTERNAL CONSULTANT) ON AN ANNUAL BASIS TO REVIEW COMPENSATION MATTERS. ON A BIANNUAL BASIS, THE ORGANIZATION PERFORMS A FULL COMPENSATION & BENEFIT ANALYSIS & REVIEW. THE MOST RECENT FULL COMEPENSATION & BENEFIT ANALYSIS & REVIEW WAS COMPLETED IN EARLY 2014 BY SULLIVAN COTTER AND ASSOCIATES AND SHARED/DISCUSSED WITH THE BOARD IN APRIL 2014. PART VI, SECTION B, LINE 15B THE SAME PROCESS APPLIES FOR ALL OTHER EXECUTIVE STEERING COMMITTEE MEMBERS AS DETAILED FOR THE CEO. PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, REQUIRED TAX FORMS (I.E., FORM 990), AS WELL AS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH THE ADMINISTRATIVE AND FINANCE OFFICES. PART XI, LINE 9 CHANGE IN INTEREST RATE SWAP AGREEMENT -3,786,645 DEFINED BENEFIT PENSION PLAN -29,747,978 CHANGE IN PERPETUAL TRUST -72,459 OTHER CHANGES IN NONCONTROLLING INTEREST -8,718,256 TRANSFERS FROM AFFILIATES 665,000 TOTAL $-41,660,338 CRNA OF BLANCHARD VALLEY LLC 1900 SOUTH MAIN STREET FINDLAY OH 45840 061748552 CERT NURSE OH 3208794 BVRHC BLANCHARD VALLEY MEDICAL PRACTICES 1900 SOUTH MAIN STREET FINDLAY OH 45840 421659766 PHYS OFFICES OH BVHS BLANCHARD VALLEY HOME CARE SERVICES 1900 SOUTH MAIN STREET FINDLAY OH 45840 421565629 HOME HEALTH OH BVCCS NEUROSURGICAL ASSOCIATES OF NW OHIO 1900 SOUTH MAIN STREET FINDLAY OH 45840 342052585 PHYS OFFICES OH BVMP SPECIALTY PHYSICIANS OF BLANCHARD VALLEY 1900 SOUTH MAIN STREET FINDLAY OH 45840 262448601 PHYS OFFICES OH BVMP BLANCHARD VALLEY REGIONAL CANCER CENTER 1900 SOUTH MAIN STREET FINDLAY OH 45840 050623393 CANCER CARE OH N HANCO EMERGENCY MEDICAL SERVICES LLC 1900 SOUTH MAIN STREET FINDLAY OH 45840 463299390 AMBULANCE OH BVHS BLANCHARD VALLEY HEALTH SYSTEM 1900 SOUTH MAIN ST FINDLAY OH 45840 344428206 HEALTH CARE OH 501(C)(3) 11A NA true BLANCHARD VALLEY CONTINUING CARE SERVICE 15100 BIRCHAVEN LANE FINDLAY OH 45840 346006904 CONTINUING CA OH 501(C)(3) 9 BVHS true BLANCHARD VALLEY HEALTH FOUNDATION 1900 SOUTH MAIN ST FINDLAY OH 45840 341369963 FUNDRAISING OH 501(C)(3) 7 BVHS false EC EDWARDS MEMORIAL TRUST 1900 SOUTH MAIN ST FINDLAY OH 45840 346953719 INVESTMENT OH 501(C)(3) 11A BVHF false BLANCHARD VALLEY PAIN MANAGEMENT 1900 SOUTH MAIN ST FINDLAY OH 45840 270095470 PAIN MGMT OH BVRHC RELATED 10764060 947070 false false 0.51000 TECHNICORE 1900 SOUTH MAIN ST FINDLAY OH 45840 421702910 BIO-MED SUPPORT OH BVRHC RELATED 1530667 1015333 false -9495 true 0.66667 CREIGHTON DIALYSIS 1900 SOUTH MAIN ST FINDLAY OH 45840 274527592 DIALYSIS SERVICES OH BVRHC RELATED 2685000 587000 0.60000 NORTHWEST OHIO MEDICAL EQUIPMENT 1900 SOUTH MAIN ST FINDLAY OH 45840 341882390 MEDICAL EQUIPMENT OH BVCCS CITAS INC 1900 SOUTH MAIN ST FINDLAY OH 45840 341369708 RECRUITING OH BVHS C CORP false BIRCHAVEN ESTATES AT EASTERN WOODS LTD 15100 BIRCHAVEN LANE FINDLAY OH 45840 201494204 CONDOMINIUM OH BVCCS C CORP false true false true false true false false false false false true false true true false false false false false BLANCHARD VALLEY PAIN MANAGEMENT A 322273 FMV TECHNICORE M 183674 FMV