AULTMAN HEALTH FOUNDATION GROUP RETURN: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: AULTMAN HEALTH FOUNDATION GROUP RETURN (EIN 32-0483994)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-15
IRS object ID: 202303199349303770
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule E
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-15T08:34:52-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	388 SOUTH MAIN STREET SUITE 420	AddressLine1Txt
City	AKRON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44311	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	320483994	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AULTMAN HEALTH FOUNDATION GROUP RETURN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	AULT	BusinessNameControlTxt
Phone	3303636352	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 SIXTH STREET SW	AddressLine1Txt
City	CANTON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44710	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARK D WRIGHT	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	3303636352	PhoneNum
Signature	2023-11-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MARK	PersonFirstNm
Person Last	WRIGHT	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RYAN SANTARELLA	PreparerPersonNm
PTIN	P02069285	PTIN
Phone	3303760100	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	RICK HAINES	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 SIXTH STREET SW	AddressLine1Txt
City	CANTON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44710	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$874,323,301	GrossReceiptsAmt
Group Return For Affiliates	Yes (1)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (1)	AllAffiliatesIncludedInd
Group Exemption	6141	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.AULTMAN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF THE AULTMAN HEALTH SYSTEM IS TO "LEAD OUR COMMUNITY TO IMPROVED HEALTH."	ActivityOrMissionDesc
Voting Members Governing Body	80	VotingMembersGoverningBodyCnt
Voting Members Independent	51	VotingMembersIndependentCnt
Total Employee	6989	TotalEmployeeCnt
Total Volunteers	220	TotalVolunteersCnt
Total Gross UBI	$1,577,796	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,335,831	PYContributionsGrantsAmt
CY Contributions Grants	$14,626,018	CYContributionsGrantsAmt
PY Program Service Revenue	$862,935,470	PYProgramServiceRevenueAmt
CY Program Service Revenue	$850,993,085	CYProgramServiceRevenueAmt
PY Investment Income	$384,298	PYInvestmentIncomeAmt
CY Investment Income	-$457,326	CYInvestmentIncomeAmt
PY Other Revenue	$9,299,082	PYOtherRevenueAmt
CY Other Revenue	$8,207,029	CYOtherRevenueAmt
PY Total Revenue	$880,954,681	PYTotalRevenueAmt
CY Total Revenue	$873,368,806	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,426,571	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,706,167	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$378,442,820	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$391,180,014	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$457,704,188	PYOtherExpensesAmt
CY Other Expenses	$473,431,193	CYOtherExpensesAmt
PY Total Expenses	$838,573,579	PYTotalExpensesAmt
CY Total Expenses	$867,317,374	CYTotalExpensesAmt
PY Revenues Less Expenses	$42,381,102	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,051,432	CYRevenuesLessExpensesAmt
Total Assets BOY	$450,362,832	TotalAssetsBOYAmt
Total Assets EOY	$473,758,246	TotalAssetsEOYAmt
Total Liabilities BOY	$140,260,405	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$134,062,610	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$310,102,427	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$339,695,636	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF AULTMAN HEALTH FOUNDATION AND ITS SUBSIDIARIES (COLLECTIVELY, "AULTMAN") IS TO LEAD OUR COMMUNITY TO IMPROVED HEALTH. AULTMAN HOSPITAL HAS BEEN MEETING THE HEALTH CARE NEEDS OF STARK AND SURROUNDING COUNTIES FOR MORE THAN 130 YEARS.(CONTINUED ON SCHEDULE O)	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$565,205,426	ExpenseAmt
Grant	$1,944,000	GrantAmt
Revenue	$652,322,465	RevenueAmt
Desc	AULTMAN HOSPITAL (AH) IS A NOT-FOR-PROFIT TEACHING HOSPITAL SERVING STARK AND SURROUNDING COUNTIES IN NORTHEAST OHIO. THE HOSPITAL'S MAJOR PROGRAMS INCLUDE WOMEN AND CHILDREN'S SERVICES, EMERGENCY AND TRAUMA SERVICES, HEART SERVICES, CANCER CARE, NEUROSURGERY, ORTHOPEDICS, AND CRITICAL-CARE MEDICINE. EACH YEAR, AH PROVIDES A SIGNIFICANT AMOUNT OF THE AREA'S TOTAL CARE FOR PATIENTS HAVING NO GOVERNMENT OR PRIVATE HEALTH CARE INSURANCE. AULTMAN ALSO SERVES THOUSANDS OF PATIENTS COVERED BY PROGRAMS SUCH AS MEDICAID.AH PROVIDES POST-ACUTE SERVICES AT ITS AULTMAN WOODLAWN FACILITY. AULTMAN WOODLAWN INCLUDES A 60-BED UNIT FOR PATIENTS REQUIRING SKILLED NURSING CARE AND A 30-BED UNIT FOR PATIENTS NEEDING REHABILITATION. AULTMAN WOODLAWN FEATURES INDOOR THERAPY ENVIRONMENTS SUCH AS A MOCK KITCHEN, BEDROOM, STORE, AND CARE TRANSFER - ALONG WITH AN OUTDOOR COURTYARD FEATURING A VARIETY OF SURFACES TO HELP PATIENTS IMPROVE THEIR MOBILITY AND PREPARE FOR DISCHARGE. AULTMAN WOODLAWN ALSO HOUSES AULTMAN'S HOSPICE, PALLIATIVE CARE, GRIEF SERVICES AND HOME HEALTH CARE PROGRAMS. AULTMAN HOME MEDICAL SUPPLY IS ALSO PART OF THE POST-ACUTE CARE SERVICES AULTMAN PROVIDES.AH PROVIDES AN ARRAY OF MEDICAL SERVICES AT COMMUNITY CENTERS LOCATED THROUGHOUT STARK AND CARROLL COUNTIES. IMMEDIATE CARE SERVICES ARE AVAILABLE FOR MINOR INJURIES AND ILLNESSES - SEVEN DAYS A WEEK, CLOSED ONLY NEW YEAR'S DAY, INDEPENDENCE DAY, THANKSGIVING, AND CHRISTMAS EVE. SERVICES SUCH AS PHYSICAL AND OCCUPATIONAL THERAPY, CARDIAC REHABILITATION, OUTPATIENT LABORATORY SERVICES, SPORTS MEDICINE PROGRAMS AND DIAGNOSTIC TESTING ARE ALSO AVAILABLE AT THE AULTMAN SATELLITE FACILITIES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$105,931,905	ExpenseAmt
Grant	$233,529	GrantAmt
Revenue	$120,142,336	RevenueAmt
Desc	AULTMAN ALLIANCE COMMUNITY HOSPITAL (AACH) IS A NOT-FOR-PROFIT, ACUTE CARE HOSPITAL SERVING STARK AND SURROUNDING COUNTIES. AACH PROVIDES CARE TO ALL, REGARDLESS OF ABILITY TO PAY. THE MOST SIGNIFICANT ACTIVITIES INCLUDE INPATIENT AND OUTPATIENT CARE, SURGICAL PROCEDURES, RADIOLOGY SERVICES, A SKILLED NURSING FACILITY, LAB SERVICES AND 24-HOUR EMERGENCY CARE. EACH YEAR, AACH'S INPATIENT HEALTH CARE PROGRAMS PROVIDE A SIGNIFICANT AMOUNT OF SUBSIDIZED CARE TO ITS PATIENTS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$50,393,633	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$63,464,281	RevenueAmt
Desc	AULTMAN ORRVILLE HOSPITAL IS A NOT-FOR-PROFIT, 25 BED CRITICAL ACCESS HOSPITAL THAT HAS SERVED ORRVILLE AND THE EASTERN WAYNE COUNTY COMMUNITY FOR MORE THAN 60 YEARS. AULTMAN ORRVILLE HOSPITAL IS A CRITICAL ACCESS HOSPITAL ACCREDITED BY THE JOINT COMMISSION.AS A NOT-FOR-PROFIT HOSPITAL, AULTMAN ORRVILLE HOSPITAL PROVIDES HIGH-QUALITY HEALTH CARE PROGRAMS AND SERVICES THAT ARE ACCESSIBLE TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. AULTMAN ORRVILLE HOSPITAL FUNDS ARE GENERALLY REINVESTED IN FACILITY AND EQUIPMENT IMPROVEMENTS, ENHANCEMENTS IN PATIENT CARE, MEDICAL TRAINING, EDUCATION, PHYSICIAN RECRUITMENT AND COMMUNITY OUTREACH.EACH YEAR, AULTMAN ORRVILLE HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF CARE FOR PATIENTS HAVING NO GOVERNMENT OR PRIVATE HEALTH CARE INSURANCE OR LOW-INCOME PATIENTS. AULTMAN ORRVILLE HOSPITAL ALSO SERVES PATIENTS COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID, AND PAYMENTS FROM THESE FEDERALLY FUNDED PROGRAMS DO NOT ALWAYS COVER THE TOTAL COST OF SERVICE.SINCE BECOMING A SUBSIDIARY OF AULTMAN HEALTH FOUNDATION, AULTMAN ORRVILLE HOSPITAL HAS MADE IMPROVEMENTS IN ITS DELIVERY OF CARE, AND THE COMMUNITY HAS GREATER ACCESS TO ADVANCED HEALTH CARE SERVICES. AULTMAN ORRVILLE HOSPITAL COMBINES CLOSE TO HOME CONVENIENCE WITH CUTTING EDGE TECHNOLOGY TO OFFER AN ARRAY OF INPATIENT AND OUTPATIENT SERVICES.AULTMAN ORRVILLE HOSPITAL PROVIDES CARE RANGING FROM THE FAMILY BIRTH CENTER TO SKILLED NURSING CARE ON THE INPATIENT TRANSITIONAL CARE UNIT. ADDITIONAL SERVICES INCLUDE DIAGNOSTIC IMAGING SERVICES, LABORATORY AND OUTPATIENT TESTING, REHABILITATION SERVICES, SURGICAL AND ENDOSCOPIC PROCEDURES, MEDICAL AND SURGICAL CARE, AND HIGHLY EFFECTIVE AND EFFICIENT EMERGENCY DEPARTMENT. THE MISSION OF AULTMAN ORRVILLE HOSPITAL IS "TO LEAD OUR COMMUNITY TO IMPROVED HEALTH."	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$5,093,478	$481,465	$4,291,441	AULTMAN COLLEGE OF NURSING AND HEALTH SCIENCES (ACON) IS A HEALTH-SYSTEM AFFILIATED INSTITUTION OF HIGHER LEARNING COMMITTED TO MEETING THE NEEDS OF NURSING AND ALLIED HEALTH STUDENTS BY PROVIDING A COHERENT, GENERAL, AND PROFESSIONAL EDUCATIONAL EXPERIENCE TO PREPARE INDIVIDUALS FOR SERVICE AND LEADERSHIP ROLES. WITH MORE THAN 100 YEARS OF NURSING EDUCATION EXPERIENCE, AULTMAN COLLEGE OFFERS MULTIPLE ACCREDITED PROGRAMS; AS IN HEALTH SCIENCES, ASSOCIATES IN NURSING, AAS IN RADIOGRAPHY, BACHELOR OF SOCIAL WORK AND BSN (PRE- AND POST- LICENSURE).ENROLLMENT AT AULTMAN COLLEGE OF NURSING AND HEALTH SCIENCES REMAINED STEADY WITH APPROXIMATELY 318 STUDENTS ENROLLED IN 2022-2023. AULTMAN COLLEGE GRADUATED 83 STUDENTS IN 2022-2023. FACULTY, STAFF, AND STUDENTS DONATED MORE THAN 992 HOURS OF COMMUNITY SERVICE IN 2022 THROUGH THE COLLEGE'S SERVICE-LEARNING PROGRAM.
$864,797	$47,173	$225	THE AULTMAN FOUNDATION (TAF) RAISES AND ADMINISTERS FUNDS TO SUPPORT AND PROMOTE EDUCATION AND WELLNESS OUTREACH PROGRAMMING THAT WILL IMPROVE THE HEALTH OF THE COMMUNITY. THE FOUNDATION PROVIDES GRANT FUNDING TO AREA NONPROFIT ORGANIZATIONS THAT PROVIDE SERVICES FOCUSING ON WELLNESS, HEALTH EDUCATION AND HUMAN SERVICES - WITH SPECIAL CONSIDERATION FOR THE UNDERSERVED MEMBERS OF THE POPULATION SUCH AS THE POOR, ELDERLY, AND CHILDREN.ONCE A YEAR THE AULTMAN FOUNDATION ACCEPTS GRANT REQUESTS FROM 501(C)(3) NONPROFIT ORGANIZATIONS. ENDEAVORS THAT RECEIVED THE AULTMAN FOUNDATION'S FINANCIAL SUPPORT INCLUDED SUBSTANCE ABUSE TREATMENT, WELLNESS PROGRAMS, SENIOR CARE PROGRAMS, AND MORE.
$17,834,266	$0	$10,772,337	AULTMAN NORTH CANTON MEDICAL GROUP (ANCMG) PROVIDES MEDICAL SERVICES TO CITIZENS OF THE COMMUNITY IN AN OUTPATIENT SETTING ENABLING PATIENTS TO BE DIAGNOSED AND TREATED EFFECTIVELY, REDUCING THE NEED TO HOSPITALIZE THE PATIENT FOR CARE. THIS RESULTS IN HEALTH CARE COST REDUCTIONS. IN ADDITION, CHARITABLE SERVICES WERE PROVIDED TO PATIENTS WHO WERE INDIGENT, AND FEE REDUCTION CONSIDERATIONS WERE GIVEN TO OTHERS WHO WERE NOT CONSIDERED INDIGENT BUT WERE EXPERIENCING FINANCIAL HARDSHIPS. HEALTH EDUCATION PROGRAMS OPEN TO THE COMMUNITY AT LARGE WERE CONDUCTED TO PROMOTE HEALTH CONSCIOUSNESS WITH THE OBJECTIVE BEING TO IMPROVE THE OVERALL HEALTH STATUS OF THE PUBLIC.

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$23,792,541	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$528,638	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$15,064,003	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$745,323,505	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	Yes (1)	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	Yes (1)	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	807	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	6989	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	80	GoverningBodyVotingMembersCnt
Independent Voting Member	51	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARK D WRIGHT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3303636192	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 SIXTH STREET SW	AddressLine1Txt
City	CANTON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44710	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (87 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
RICK HAINES
CEO - AHF; DIRECTOR - AH, AACH, ACON, AO	11.00	44.00	Yes (X)	Yes (X)	$0	$840,056	$19,866
MARK D WRIGHT
CFO - AHF; TREASURER - AACH; DIRECTOR - AOH	7.00	48.00	Yes (X)	Yes (X)	$0	$463,980	$34,985
ADAM LUNTZ
CFO - AH; TREASURER - ACON	4.00	51.00	Yes (X)	Yes (X)	$0	$305,563	$32,813
CHRISTOPHER E REMARK
CEO - AULTPLAN; DIRECTOR - AACH, ANCMG	7.00	48.00	Yes (X)	Yes (X)	$0	$511,518	$35,113
BRIAN S BELDEN
VICE CHAIR - AH; DIRECTOR - TAF	2.00	5.00	Yes (X)	Yes (X)	$0	$0	$0
JASON BERTRAM MD
DIRECTOR - AH	2.00	53.00	Yes (X)		$0	$342,828	$12,592
WILLIAM WALLACE MD
CHAIR - AH	4.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
T STEPHEN GREGORY
DIRECTOR - AH; SEC. ANCMG; TREAS. - AOH	3.00	6.00	Yes (X)	Yes (X)	$0	$0	$0
NATE J COOKS
DIRECTOR - AH	1.00	3.00	Yes (X)		$0	$0	$0
ANTHONY DEGENHARD DO
DIRECTOR - AH	2.00	2.00	Yes (X)		$0	$16,063	$0
MILAN R DOPIRAK MD
DIRECTOR - AH	1.00	2.00	Yes (X)		$0	$0	$0
STACY DULIK
WOMEN'S BOARD PRESIDENT; DIRECTOR - AH	3.00	2.00	Yes (X)		$0	$0	$0
ANNE GUNTHER
CNO - HDS; DIRECTOR - AH, ACON, AOH, AACH	12.00	43.00	Yes (X)		$0	$329,146	$26,339
NICOLE KOLACZ
DIRECTOR - AH, ACON	52.00	3.00	Yes (X)		$261,011	$0	$9,694
PAT HEDDLESTON
TRES./SEC. - AH	1.00	2.00	Yes (X)		$0	$0	$0
JOHN B HUMPHREY JR MD
DIRECTOR - AH	2.00	5.00	Yes (X)		$0	$0	$0
STEVE NAM MD
DIRECTOR - AH	2.00	1.00	Yes (X)		$0	$13,625	$0
STEVE PASSERINI MD
DIRECTOR - AH, ACON	2.00	2.00	Yes (X)		$0	$30,000	$0
FRANCIS TONY SNYDER
CEO - AH; DIRECTOR - ACON	52.00	3.00	Yes (X)	Yes (X)	$404,935	$0	$17,268
SHRUTI TREHAN MD
DIRECTOR - AH, ANCMG	51.00	4.00	Yes (X)		$282,185	$0	$9,009
DAVID LUNDGREN
DIRECTOR - AACH	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
SCOTT INGLEDUE
CHAIR - AACH	3.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
JOSEPH R HALTER JR
SECRETARY - AACH	3.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
JAQUELINE DEGARMO
DIRECTOR - AACH	2.00	5.00	Yes (X)		$0	$0	$0
JEAN D DIB MD
CHIEF OF STAFF; DIRECTOR - AACH	2.00	0.00	Yes (X)		$0	$0	$0
JOHN GROSS
DIRECTOR - AACH	2.00	0.00	Yes (X)		$0	$0	$0
MICHAEL HOOVER
DIRECTOR - AACH	2.00	0.00	Yes (X)		$0	$0	$0
RYAN JONES
CEO - AACH	52.00	3.00	Yes (X)	Yes (X)	$310,810	$0	$35,113
MD DEBRA LEHRER
DIRECTOR - AACH	52.00	3.00	Yes (X)		$256,023	$0	$0
RON LYONS
V. CHAIR - AACH	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
R CLINT ZOLLINGER ESQ
DIRECTOR - AACH	1.00	4.00	Yes (X)		$0	$0	$0
JEAN PADDOCK PHD
PRESIDENT - ACON	54.00	1.00	Yes (X)	Yes (X)	$227,095	$0	$21,289
GREG COLANER
DIRECTOR - ACON	3.00	0.00	Yes (X)		$0	$0	$0
PATRICIA H DRAVES PHD
DIRECTOR - ACON	2.00	0.00	Yes (X)		$0	$0	$0
MICHELE HEBERLING PHD
DIRECTOR - ACON	2.00	0.00	Yes (X)		$0	$0	$0
CHACE MCKINNEY
DIRECTOR - ACON	2.00	1.00	Yes (X)		$0	$0	$0
SUE OLIVERA
DIRECTOR - ACON	1.00	54.00	Yes (X)		$0	$292,208	$32,623
BARBARA FORDYCE PHD
DIRECTOR - ACON	3.00	0.00	Yes (X)		$0	$0	$0
THERESA GOLDEN MCCLELLAND
DIRECTOR - ACON	2.00	0.00	Yes (X)		$0	$0	$0
MARTIN KERSTEN
DIRECTOR - ACON	2.00	0.00	Yes (X)		$0	$0	$0
NATE RITTER
DIRECTOR - ACON	55.00	0.00	Yes (X)		$136,393	$0	$31,114
MEAGAN SHAHEEN
DIRECTOR - ACON	2.00	0.00	Yes (X)		$0	$0	$0
LORI MARTINO
DIRECTOR - ACON	2.00	0.00	Yes (X)		$0	$0	$0
SCOTT ZURAKOWSKI
DIRECTOR - ACON	2.00	0.00	Yes (X)		$0	$0	$0
RAFAEL RODRIGUEZ
DIRECTOR - ACON	2.00	0.00	Yes (X)		$0	$0	$0
WILLIAM SCHAUER
V. CHAIR - ACON	3.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
PATRICK WILLOUGHBY
CHAIR - ACON	4.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
DIANE JARRETT
CHAIR - AOH	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JASON DPM SUPPAN
V. CHAIR - AOH	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
AMELIA MD LAING
SECRETARY - AOH	55.00	0.00	Yes (X)	Yes (X)	$162,074	$0	$25,000
ALFRED SCHLABACH
DIRECTOR - AOH	1.00	0.00	Yes (X)		$0	$0	$0
DEBBIE BUSBY
DIRECTOR - AOH	2.00	0.00	Yes (X)		$0	$0	$0
RYAN STENGER
DIRECTOR - AOH	1.00	1.00	Yes (X)		$0	$0	$0
MARIBETH BURNS
DIRECTOR - AOH	1.00	1.00	Yes (X)		$0	$0	$0
PATRICIA A GRISCHOW
DIRECTOR - AOH	1.00	2.00	Yes (X)		$0	$0	$0
SHAUNA KREGER
DIRECTOR - AOH	2.00	0.00	Yes (X)		$0	$0	$0
JENNIFER KESSEL
CEO - AOH	54.00	1.00	Yes (X)	Yes (X)	$244,742	$0	$35,659
JON RITCHIE
DIRECTOR - AOH	1.00	0.00	Yes (X)		$0	$0	$0
STEVEN WENGERD
DIRECTOR - AOH	2.00	0.00	Yes (X)		$0	$0	$0
CLIFFORD G JOHNSON MD
MEDICAL DIRECTOR - ANCMG	55.00	0.00	Yes (X)	Yes (X)	$520,617	$0	$34,325
LEO E DOYLE
DIRECTOR - ANCMG	1.00	4.00	Yes (X)		$0	$0	$0
JULIA FIORENTINO MD
DIRECTOR - ANCMG	55.00	0.00	Yes (X)		$435,882	$0	$15,825
MATTHEW HIESTAND MD
DIRECTOR - ANCMG	55.00	0.00	Yes (X)		$422,281	$0	$34,200
SELENA RIORDAN
DIRECTOR - ANCMG	55.00	0.00	Yes (X)		$108,533	$0	$32,809
MATT STEWART
DIRECTOR - ANCMG	55.00	0.00	Yes (X)		$181,954	$0	$28,359
KEVIN PETE
CEO - AMG; DIRECTOR - ANCMG	2.00	53.00	Yes (X)		$0	$312,877	$30,772
JEANEEN MCDANIELS
CHAIR - TAF	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
ERIC BELDEN
DIRECTOR - TAF	3.00	0.00	Yes (X)		$0	$0	$0
TIA CERNAVA
TRES. & SEC. - TAF	3.00	52.00	Yes (X)	Yes (X)	$0	$188,093	$30,413
LIZ EDMUNDS
DIRECTOR - TAF	2.00	53.00	Yes (X)		$0	$154,101	$19,866
DAN FLOWERS
DIRECTOR - TAF	2.00	0.00	Yes (X)		$0	$0	$0
EVRIM FULMER
DIRECTOR - TAF	2.00	0.00	Yes (X)		$0	$0	$0
SHANNON HEXAMER
DIRECTOR - TAF	2.00	0.00	Yes (X)		$0	$0	$0
LISA ZELLERS
DIRECTOR - TAF	2.00	53.00	Yes (X)		$0	$172,678	$777
BRIAN LAYMAN
V. CHAIR - TAF	2.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
GREG LUNTZ
DIRECTOR - TAF	3.00	0.00	Yes (X)		$0	$0	$0
GARY MARTIN
DIRECTOR - TAF	3.00	0.00	Yes (X)		$0	$0	$0
SABRINA SHILAD MD
DIRECTOR - TAF	55.00	0.00	Yes (X)		$524,845	$0	$105,963
GAIL STERLING
DIRECTOR - TAF	2.00	0.00	Yes (X)		$0	$0	$0
TOM WINKHART
DIRECTOR - TAF	1.00	0.00	Yes (X)		$0	$0	$0
LORI L MERTES MD
CHIEF QUALITY OFFICER - AH	54.00	1.00			$401,878	$0	$0	Yes (X)
LISA GEIGER
CFO - AACH	50.00	5.00			$171,403	$0	$18,599	Yes (X)
SUNITHA VEMULAPALLI MD
PHYSICIAN - ANCMG	55.00	0.00			$1,104,831	$0	$30,261		Yes (X)
DAVID V MUNGO MD
PHYSICIAN - AACH	55.00	0.00			$838,242	$0	$33,613		Yes (X)
MICHAEL A NECCI MD
PHYSICIAN - AACH	55.00	0.00			$613,651	$0	$36,313		Yes (X)
PRABHCHARAN GILL MD
PHYSICIAN - AH	53.00	2.00			$718,508	$0	$78,889		Yes (X)
MICHAEL A KREW MD
PHYSICIAN - AH	54.00	1.00			$698,948	$0	$97,189		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,026,841	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,972,736	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,006,650	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	461	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HAMMOND CONSTRUCTION INC
1278 PARK AVE SW	CANTON	OH	44706	CONSTRUCTION MANAGEMENT	$10,409,958
BOSTON SCIENTIFIC CORP
100 BOSTON SCIENTIFIC WAY	MARLBOROUGH	MA	01752	MRI SERVICES	$8,141,403
CERNER CORP
2800 ROCKCREEK PWKY	KANSAS CITY	MO	64117	SOFTWARE SUPPORT	$4,512,881
CLEVELAND CLINIC FOUNDATION
PO BOX 74222	CLEVELAND	OH	44194	LAB CONSULTING	$2,113,711
BANC OF AMERICA
4300 MUNSON ST NW	CANTON	OH	44718	FINANCIAL SERVICES	$2,092,094

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	280	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$11,777	FederatedCampaignsAmt
Membership Dues	$19,675	MembershipDuesAmt
Fundraising	$887,606	FundraisingAmt
Related Organizations	$15,157	RelatedOrganizationsAmt
Government Grants	$6,011,575	GovernmentGrantsAmt
All Other Contributions	$7,680,228	AllOtherContributionsAmt
Noncash Contributions	$172,059	NoncashContributionsAmt
Total Contributions	$14,626,018	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$746,333,807	$746,333,807
PREMIUM REVENUE	621110	$77,263,792	$77,263,792
PHARMACY REVENUE	456110	$16,481,721	$16,481,721
MISCELLANEOUS REVENUE	900099	$6,622,324	$6,622,324
TUITION REVENUE	611710	$4,291,441	$4,291,441

Field	Value	IRS element (for citing)
Total Program Service Revenue	$850,993,085	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71,978	TotalRevenueColumnAmt
Exclusion	$71,978	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,152,390	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,152,390	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,152,390	TotalRevenueColumnAmt
Unrelated Business Revenue	$122,566	UnrelatedBusinessRevenueAmt
Exclusion	$3,029,824	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$121,838	SecuritiesAmt
Other	$407,466	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$121,838	SecuritiesAmt
Other	-$407,466	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$529,304	TotalRevenueColumnAmt
Exclusion	-$529,304	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$129,651	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$887,606	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$420,966	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$291,315	TotalRevenueColumnAmt
Exclusion	-$291,315	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$33,325	GamingGrossIncomeAmt
Gaming Direct Expenses	$4,225	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,100	TotalRevenueColumnAmt
Exclusion	$29,100	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$851,403	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$851,403	TotalRevenueColumnAmt
Exclusion	$851,403	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
FOOD SERVICE	722514	$2,995,349	$18,668	$2,976,681
LAB INCOME	621500	$1,436,562	$1,436,562
MISCELLANEOUS REVENUE	900099	$33,540		$33,540

Field	Value	IRS element (for citing)
Other Revenue Total	$4,465,451	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$873,368,806	TotalRevenueColumnAmt
Related Or Exempt Func Income	$850,993,085	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,577,796	UnrelatedBusinessRevenueAmt
Exclusion	$6,171,907	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,224,702	TotalAmt
Program Services	$2,224,702	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$481,465	TotalAmt
Program Services	$481,465	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,506,888	TotalAmt
Program Services	$4,515,648	ProgramServicesAmt
Management And General	$991,240	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$314,601,385	TotalAmt
Program Services	$258,401,370	ProgramServicesAmt
Management And General	$56,200,015	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,767,753	TotalAmt
Program Services	$8,107,134	ProgramServicesAmt
Management And General	$1,660,619	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$39,488,796	TotalAmt
Program Services	$32,344,663	ProgramServicesAmt
Management And General	$7,144,133	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$21,815,192	TotalAmt
Program Services	$17,911,678	ProgramServicesAmt
Management And General	$3,903,514	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$12,508,845	TotalAmt
Program Services	$10,242,178	ProgramServicesAmt
Management And General	$2,266,667	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$37,474	TotalAmt
Program Services	$30,728	ProgramServicesAmt
Management And General	$6,746	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$96,897	TotalAmt
Program Services	$79,156	ProgramServicesAmt
Management And General	$17,741	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$4,000	TotalAmt
Program Services	$3,280	ProgramServicesAmt
Management And General	$720	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$80,267,404	TotalAmt
Program Services	$65,861,914	ProgramServicesAmt
Management And General	$14,405,490	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,013,550	TotalAmt
Program Services	$1,650,155	ProgramServicesAmt
Management And General	$363,395	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$31,023,440	TotalAmt
Program Services	$25,438,453	ProgramServicesAmt
Management And General	$5,584,987	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,508,395	TotalAmt
Program Services	$1,243,446	ProgramServicesAmt
Management And General	$264,949	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$17,905,378	TotalAmt
Program Services	$14,650,953	ProgramServicesAmt
Management And General	$3,254,425	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,301,589	TotalAmt
Program Services	$1,069,964	ProgramServicesAmt
Management And General	$231,625	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$305,777	TotalAmt
Program Services	$251,949	ProgramServicesAmt
Management And General	$53,828	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,836,872	TotalAmt
Program Services	$5,637,800	ProgramServicesAmt
Management And General	$1,199,072	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$50,864,475	TotalAmt
Program Services	$41,708,870	ProgramServicesAmt
Management And General	$9,155,605	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,636,609	TotalAmt
Program Services	$19,420,172	ProgramServicesAmt
Management And General	$4,216,437	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,423,143	TotalAmt
Program Services	$4,448,641	ProgramServicesAmt
Management And General	$974,502	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$99,754,856	$99,754,856
MEDICATION	$84,285,681	$84,285,681
BAD DEBT EXPENSE	$30,917,874	$25,315,598	$5,602,276
HOSPITAL FRANCHISE FEE	$20,500,934	$16,796,917	$3,704,017

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,238,000	TotalAmt
Program Services	$3,446,134	ProgramServicesAmt
Management And General	$791,866	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$867,317,374	TotalAmt
Program Services	$745,323,505	ProgramServicesAmt
Management And General	$121,993,869	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$24,447	BOYAmt
EOY	$23,918	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$55,855,693	BOYAmt
EOY	$50,145,270	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$110,331,493	BOYAmt
EOY	$107,328,214	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	-$189,225	BOYAmt
EOY	-$29,123	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,437,168	BOYAmt
EOY	$6,710,918	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,290,795	BOYAmt
EOY	$8,595,066	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$707,829,061	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$445,354,182	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$240,425,695	BOYAmt
EOY	$262,474,879	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$7,558,452	BOYAmt
EOY	$3,054,767	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,083,961	BOYAmt
EOY	$3,448,856	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,587,121	BOYAmt
EOY	$11,441,708	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$7,957,232	BOYAmt
EOY	$20,563,773	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$450,362,832	BOYAmt
EOY	$473,758,246	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$74,929,899	BOYAmt
EOY	$92,995,125	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$52,644,669	BOYAmt
EOY	$8,953,841	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,242,697	BOYAmt
EOY	$26,656,365	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,443,140	BOYAmt
EOY	$5,457,279	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$140,260,405	BOYAmt
EOY	$134,062,610	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$287,863,337	BOYAmt
EOY	$316,550,280	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$22,239,090	BOYAmt
EOY	$23,145,356	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$310,102,427	BOYAmt
EOY	$339,695,636	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$450,362,832	BOYAmt
EOY	$473,758,246	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$6,051,432	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$544,651	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$24,086,428	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, PUBLIC CHARITY STATUS	FormAndLineReferenceDesc
Explanation	PURSUANT TO THE INSTRUCTIONS FOR GROUP FILINGS, SCHEDULE A, PART I, PUBLIC CHARITY STATUS HAS BEEN COMPLETED BASED ON THE LARGEST NUMBER OF SUBORDINATES IN THE GROUP. AULTMAN HOSPITAL (34-0714538) IS NOT A PRIVATE FOUNDATION BECAUSE IT IS A HOSPITAL OR A COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III) (BOX 3). ORRVILLE HOSPITAL FOUNDATION (DBA: AULTMAN ORRVILLE HOSPITAL) (34-0733138) IS NOT A PRIVATE FOUNDATION BECAUSE IT IS A HOSPITAL OR A COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III) (BOX 3). AULTMAN ALLIANCE COMMUNITY HOSPITAL (34-0733138) IS NOT A PRIVATE FOUNDATION BECAUSE IT IS A HOSPITAL OR A COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III) (BOX 3). AULTMAN COLLEGE OF NURSING AND HEALTH SCIENCES (20-1359433) IS NOT A PRIVATE FOUNDATION BECAUSE IT IS A SCHOOL DESCRIBED IN SECTION 170(B)(1)(A)(II) (BOX 2). THE AULTMAN FOUNDATION (20-8090459) IS NOT A PRIVATE FOUNDATION BECAUSE IT IS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI) (BOX 7). AULTMAN NORTH CANTON MEDICAL GROUP (34-1088530) IS NOT A PRIVATE FOUNDATION BECAUSE IT IS AN ORGANIZATION THAT NORMALLY RECEIVES: (1) MORE THAN 33 1/3% OF ITS SUPPORT FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTIONS - SUBJECT TO CERTAIN EXCEPTIONS, AND (2) NO MORE THAN 33 1/3% OF ITS SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME (LESS SECTION 511 TAX) FROM BUSINESSES ACQUIRED BY THE ORGANIZATION AFTER JUNE 30, 1975. SEE SECTION 509(A)(2) (BOX 10).	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$30,547	OtherActivitiesAmt
Total Lobbying Expenditures	$30,547	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	TOTAL DUES OF $116,625 WERE PAID TO THE OHIO HOSPITAL ASSOCIATION BY AH, OF WHICH 5.5% WERE RELATED TO LOBBYING ACTIVITIES. TOTAL DUES OF $63,383 WERE PAID TO THE AMERICAN HOSPITAL ASSOCIATION BY AH, OF WHICH 27.29% WERE RELATED TO LOBBYING ACTIVITIES. TOTAL DUES OF $20,250 WERE PAID TO THE OHIO HOSPITAL ASSOCIATION BY AOH, OF WHICH 5.5% WERE RELATED TO LOBBYING ACTIVITIES. TOTAL DUES OF $10,742 WERE PAID TO THE AMERICAN HOSPITAL ASSOCIATION BY AOH, OF WHICH 27.29% WERE RELATED TO LOBBYING ACTIVITIES. TOTAL DUES OF $31,840 WERE PAID TO THE OHIO HOSPITAL ASSOCIATION BY AACH, OF WHICH 5.5% WERE RELATED TO LOBBYING ACTIVITIES. TOTAL DUES OF $5,278 WERE PAID TO THE OHIO HEALTH CARE ASSOCIATION BY AACH, OF WHICH 19.68% WERE RELATED TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$840,216	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$102,563	InvestmentEarningsOrLossesAmt
Administrative Expenses	$4,000	AdministrativeExpensesAmt
End Year Balance	$733,653	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$816,523	BeginningYearBalanceAmt
Investment Earnings Or Losses	$27,693	InvestmentEarningsOrLossesAmt
Administrative Expenses	$4,000	AdministrativeExpensesAmt
End Year Balance	$840,216	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$776,367	BeginningYearBalanceAmt
Investment Earnings Or Losses	$44,156	InvestmentEarningsOrLossesAmt
Administrative Expenses	$4,000	AdministrativeExpensesAmt
End Year Balance	$816,523	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$733,598	BeginningYearBalanceAmt
Investment Earnings Or Losses	$46,769	InvestmentEarningsOrLossesAmt
Administrative Expenses	$4,000	AdministrativeExpensesAmt
End Year Balance	$776,367	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$734,605	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,643	InvestmentEarningsOrLossesAmt
Administrative Expenses	$5,650	AdministrativeExpensesAmt
End Year Balance	$733,598	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$46,913,986	OtherCostOrOtherBasisAmt
Book Value	$46,913,986	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$255,534,940	OtherCostOrOtherBasisAmt
Depreciation	$133,657,546	DepreciationAmt
Book Value	$121,877,394	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$796,503	OtherCostOrOtherBasisAmt
Depreciation	$102,083	DepreciationAmt
Book Value	$694,420	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$359,182,940	OtherCostOrOtherBasisAmt
Depreciation	$293,895,333	DepreciationAmt
Book Value	$65,287,607	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$45,400,692	OtherCostOrOtherBasisAmt
Depreciation	$17,699,220	DepreciationAmt
Book Value	$27,701,472	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$262,474,879	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO AFFLIATES	$1,135,460
ESTIMATED THIRD PARTY SETTTLEMENTS	$1,616,786
OTHER LIABILITIES	$2,705,033

Field	Value	IRS element (for citing)
Total Liability	$5,457,279	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO SUPPORT THE CHAPLAINCY PROGRAM.

PART X, LINE 2:

WHEN TAX RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. IN ACCORDANCE WITH THE INCOME TAXES TOPIC OF THE FINANCIAL ACCOUNTING STANDARDS BOARD ACCOUNTING STANDARDS CODIFICATION, THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS TAKEN ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY OF BEING REALIZED UPON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS RECORDED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION.

Schedule E IRS990ScheduleE

Field	Value	IRS element (for citing)
Nondiscriminatory Policy Stmt	Yes (1)	NondiscriminatoryPolicyStmtInd
Policy Stmt In Brochures Etc	Yes (1)	PolicyStmtInBrochuresEtcInd
Plcy Pblczd Via Broadcast Media	Yes (1)	PlcyPblczdViaBroadcastMediaInd
Maintain Racial Comp Recs	Yes (1)	MaintainRacialCompRecsInd
Maintain Scholarships Recs	Yes (1)	MaintainScholarshipsRecsInd
Maintain Cpy Of Brochures Etc	Yes (1)	MaintainCpyOfBrochuresEtcInd
Maintain Cpy Of All Sol	Yes (1)	MaintainCpyOfAllSolInd
Discriminate Race Stdnts Rghts	0	DiscriminateRaceStdntsRghtsInd
Discriminate Race Admiss Plcy	0	DiscriminateRaceAdmissPlcyInd
Discriminate Race Emplm Fculty	0	DiscriminateRaceEmplmFcultyInd
Discriminate Race Schs	0	DiscriminateRaceSchsInd
Discriminate Race Educ Plcy	0	DiscriminateRaceEducPlcyInd
Discriminate Race Use Of Fclts	0	DiscriminateRaceUseOfFcltsInd
Discriminate Race Athlt Prog	0	DiscriminateRaceAthltProgInd
Discriminate Race Other Acty	0	DiscriminateRaceOtherActyInd
Government Financial Aid Rcvd	Yes (1)	GovernmentFinancialAidRcvdInd
Government Financial Aid Rvkd	0	GovernmentFinancialAidRvkdInd
Compliance With Rev Proc7550	Yes (1)	ComplianceWithRevProc7550Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE E, PART I, LINE 3	AULTMAN COLLEGE OF NURSING AND HEALTH SCIENCES HAS MADE ITS NONDISCRIMINATORY POLICY KNOWN TO ALL SEGMENTS OF THE GENERAL COMMUNITY THAT THE COLLEGE SERVES BY POSTING A COPY ON ITS WEBSITE AND IN SEVERAL CANTON AREA NEWSPAPERS.
SCHEDULE E, PART I, LINE 6	AULTMAN COLLEGE OF NURSING AND HEALTH SCIENCES RECEIVES FEDERAL FUNDS IN THE FORMS OF THE FEDERAL PELL GRANT PROGRAM, THE FEDERAL WORK-STUDY PROGRAM, AND FEDERAL DIRECT STAFFORD LOANS.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	ANGEL AUCTION	Event1Nm
Gross Receipts Event1	$926,732	GrossReceiptsEvent1Amt
Charitable Contri Event1	$853,406	CharitableContriEvent1Amt
Gross Revenue Event1	$73,326	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$200,440	NonCashPrizesEvent1Amt
Entertainment Event1	$198,486	EntertainmentEvent1Amt
Event2	FASHION SHOW	Event2Nm
Gross Receipts Event2	$90,525	GrossReceiptsEvent2Amt
Charitable Contri Event2	$34,200	CharitableContriEvent2Amt
Gross Revenue Event2	$56,325	GrossRevenueEvent2Amt
Cash Prizes Event2	$4,180	CashPrizesEvent2Amt
Non Cash Prizes Event2	$5,757	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$6,454	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$5,649	FoodAndBeverageEvent2Amt
Gross Receipts Total	$1,017,257	GrossReceiptsTotalAmt
Charitable Contributions Tot	$887,606	CharitableContributionsTotAmt
Gross Revenue Total Events	$129,651	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$4,180	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$206,197	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$6,454	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$5,649	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$198,486	EntertainmentTotalEventsAmt
Direct Expense Summary Events	$420,966	DirectExpenseSummaryEventsAmt
Net Income Summary	-$291,315	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$33,325	GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming	$4,225	CashPrizesOtherGamingAmt
Volunteer Labor Other Gaming	0	VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming	$33,325	GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming	$4,225	CashPrizesTotalGamingAmt
Direct Expense Summary Gaming	$4,225	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$29,100	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	OH	StatesWhereGamingConductedCd
Licensed	0	LicensedInd
Explanation If No	THE ORGANIZATION DOES NOT CONDUCT THE TYPE OF GAMING ACTIVITIES THAT REQUIRE A LICENSE.	ExplanationIfNoTxt
License Suspended Etc	0	LicenseSuspendedEtcInd
Gaming With Nonmembers	Yes (1)	GamingWithNonmembersInd
Member Of Other Entity	0	MemberOfOtherEntityInd
Gaming Other Facility	1.00000	GamingOtherFacilityPct
Individual With Books	MARK D WRIGHT	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	2600 SIXTH STREET SW	AddressLine1Txt
City	CANTON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44710	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	0	CntrctWith3rdPrtyForGameRevInd
Gaming Manager Person	LISA ZELLERS	GamingManagerPersonNm
Gaming Manager Compensation	$0	GamingManagerCompensationAmt
Gaming Manager Services Prov	OVERSIGHT OF RAFFLES ASSOCIATED WITH FUNDRAISING EVENTS	GamingManagerServicesProvTxt
Gaming Manager Is Employee	Yes (X)	GamingManagerIsEmployeeInd
Charitable Distribution Rqr	0	CharitableDistributionRqrInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,561,567	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,471,886	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,089,681	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$128,705,157	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,008,219	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,696,938	NetCommunityBenefitExpnsAmt
Total Expense	0.06770	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$140,266,724	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$79,480,105	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,786,619	NetCommunityBenefitExpnsAmt
Total Expense	0.07010	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,264,501	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$59,763	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,204,738	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,355,135	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,165,033	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,190,102	NetCommunityBenefitExpnsAmt
Total Expense	0.01410	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$228,003,503	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$182,038,489	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,965,014	NetCommunityBenefitExpnsAmt
Total Expense	0.05300	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$800,612	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$781,502	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,110	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,128,047	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,078	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,063,969	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$246,551,798	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$185,108,865	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$61,442,933	NetCommunityBenefitExpnsAmt
Total Expense	0.07090	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$386,818,522	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$264,588,970	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$122,229,552	NetCommunityBenefitExpnsAmt
Total Expense	0.14100	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$150,192	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$150,192	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$522,788	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$522,788	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$672,980	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$672,980	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$29,148,743	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,404,415	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$107,215,066	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$109,588,643	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,373,577	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 AULTMAN ONCOLOGY CENTER OF EXCELLENCE LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	ONCOLOGY SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.91870	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.08130	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	5	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Business Name Line1SubordinateHospitalName/BusinessNameLine1Txt	Subordinate Hospital EINSubordinateHospitalEIN	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
AULTMAN HOSPITAL
1	2600 SIXTH ST SW	CANTON	OH	44708	HTTP://WWW.AULTMAN.ORG	1270	AULTMAN HOSPITAL	340714538	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	MAIN HOSPITAL	A
AULTMAN WOODLAWN
2	2821 WOODLAWN AVE NW	CANTON	OH	44708	HTTP://WWW.AULTMAN.ORG	1270	AULTMAN HOSPITAL	340714538	Yes (X)					SKILLED NURSING, REHAB, HOME CARE, HOSPICE	A
AULTMAN MASSILLON
3	2051 WALES AVE NW	MASSILLON	OH	44708	HTTP://WWW.AULTMAN.ORG	1443	AULTMAN HOSPITAL	340714538	Yes (X)	Yes (X)			Yes (X)	IMMEDIATE CARE, DIAGNOSTICS, THERAPY, PAIN MANAGEMENT	A
AULTMAN ORRVILLE HOSPITAL
4	832 S MAIN STREET	ORRVILLE	OH	44667	HTTP://WWW.AULTMANORRVILLE.ORG/	1291	AULTMAN ORRVILLE HOSPITAL	340733138	Yes (X)	Yes (X)			Yes (X)			Yes (X)
AULTMAN ALLIANCE COMMUNITY HOSPITAL
5	200 E STATE STREET	ALLIANCE	OH	44601	HTTPS://AULTMANALLIANCE.ORG/	198252	ALLIANCE COMMUNITY HOSPITAL	340714581	Yes (X)	Yes (X)	Yes (X)		Yes (X)	SKILLED NURSING, GERIATRIC PSYCH UNIT

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	FacilityFacilityNum	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Other PublicityOtherPublicityInd	Other Actions TakenOtherActionsTakenInd
FACILITY REPORTING GROUP - A
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE PART V, SECTION B, LINE 7D	Yes (X)	Yes (X)	Yes (1)	20	Yes (1)	SEE PART V, SECTION B, LINE 7D	0	Yes (1)	Yes (X)	200.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE SCHEDULE H SUPPLEMENTAL INFORMATION	Yes (X)	SEE SCHEDULE H SUPPLEMENTAL INFORMATION	Yes (X)	SEE SCHEDULE H SUPPLEMENTAL INFORMATION	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
AULTMAN ORRVILLE HOSPITAL
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (1)	0	Yes (1)	Yes (1)	Yes (X)	SEE PART V, SECTION B, LINE 7D	Yes (X)	Yes (X)	Yes (1)	20	Yes (1)	SEE PART V, SECTION B, LINE 7D	0	Yes (1)	Yes (X)	200.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	AULTMANORRVILLE.ORG/PATIENT-INFORMATION/RESOURCES/BILLING	Yes (X)	AULTMANORRVILLE.ORG/PATIENT-INFORMATION/RESOURCES/BILLING	Yes (X)	AULTMANORRVILLE.ORG/PATIENT-INFORMATION/RESOURCES/BILLING	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0	4
AULTMAN ALLIANCE COMMUNITY HOSPITAL
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (1)	Yes (1)	Yes (1)	Yes (1)			Yes (X)	Yes (X)	Yes (1)	20	Yes (1)	SEE PART V, SECTION B, LINE 7D	0	Yes (1)	Yes (X)	100.000000000000	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE SCHEDULE H SUPPLEMENTAL INFORMATION	Yes (X)	SEE SCHEDULE H SUPPLEMENTAL INFORMATION	Yes (X)	SEE SCHEDULE H SUPPLEMENTAL INFORMATION	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0	5	Yes (X)	SEE PART V, SECTION B, LINE 7D	400.000000000000	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (38 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
AULTMAN ORRVILLE HOSPITAL	PART V, SECTION B, LINE 5: THROUGH ITS CHNA ADVISORY COMMITTEE, AULTMAN ORRVILLE HOSPITAL SOLICITED AND RECEIVED PARTICIPATION FROM ALL REQUIRED SOURCES, INCLUDING (1) AT LEAST ONE STATE, LOCAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT WITH KNOWLEDGE, INFORMATION, OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY, AND (2) INDIVIDUALS AND ORGANIZATIONS SERVING MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN THE COMMUNITY. PLEASE REFER TO APPENDIX A FOR A FULL LIST OF INDIVIDUALS AND ORGANIZATIONS THAT PARTICIPATED IN THE CHNA ADVISORY COMMITTEE AND THE POPULATIONS THOSE INDIVIDUALS AND ORGANIZATIONS REPRESENT.AULTMAN ORRVILLE HOSPITAL CONSULTED WITH THE CHNA ADVISORY COMMITTEE MEMBERS IN VARIOUS WAYS, INCLUDING THROUGH AN ONLINE SURVEY (DISCUSSED FURTHER BELOW), A STAKEHOLDER MEETING ON AUG. 23, 2022 (DISCUSSED FURTHER BELOW), AND THROUGH DIRECT, ONGOING DISCUSSIONS.IN ADDITION TO THE PARTNERS AND ORGANIZATIONS PARTICIPATING ON THE CHNA ADVISORY COMMITTEE, AULTMAN ORRVILLE HOSPITAL COLLABORATED WITH SQUIRE PATTON BOGGS (US) LLP TO ASSIST IN CONDUCTING THE CHNA PROCESS. AMONG OTHER STEPS, SQUIRE PATTON BOGGS PROVIDED SOURCE DATA FOR AULTMAN ORRVILLE HOSPITAL'S REVIEW, PREPARED AND FACILITATED AN ONLINE SURVEY (DISCUSSED BELOW), CONDUCTED A STAKEHOLDER MEETING, ADVISED ON CHNA PROGRAM REQUIREMENTS AND ASSISTED IN PREPARING THIS CHNA REPORT.AS PART OF ITS 2022 CHNA, AULTMAN ORRVILLE HOSPITAL TOOK THE FOLLOWING STEPS TO IDENTIFY AND PRIORITIZE THE COMMUNITY'S HEALTH NEEDS. FIRST, IT CONDUCTED AN ONLINE SURVEY TO SOLICIT INFORMATION FROM STAKEHOLDERS IN WAYNE, TUSCARAWAS AND CARROLL COUNTIES. SECOND, IT CONDUCTED A MEETING ON AUG. 23, 2022, WITH STAKEHOLDERS IN ITS PRIMARY SERVICE AREA OF WAYNE COUNTY TO DISCUSS THE RESULTS OF THE ONLINE SURVEY AND OTHER ISSUES CONCERNING THE COMMUNITY'S HEALTH NEEDS AND RESOURCES. THIRD, IT CONSIDERED VARIOUS DATA SOURCES RELATING TO HEALTH AND WELLNESS ISSUES IN THE COMMUNITY.AULTMAN ORRVILLE HOSPITAL COLLABORATED WITH SPB TO CONDUCT AN ONLINE SURVEY THROUGH SURVEYMONKEY. THE SURVEY CONSISTED OF 144 QUESTIONS DIVIDED INTO FOUR COMPONENTS:1. IDENTIFYING AND PRIORITIZING KEY HEALTH ISSUES IN THE COMMUNITY2. IDENTIFYING AND EVALUATING COMMUNITY RESOURCES FOR SPECIFIC HEALTH ISSUES3. IDENTIFYING BARRIERS TO TREATMENT FOR SPECIFIC HEALTH ISSUES4. EVALUATING POST-COVID CHANGES TO HEALTHCARE ACCESS AND DELIVERYTHE SURVEY WAS OPEN TO PARTICIPANTS FROM JULY 5 TO AUG. 1, 2022. DURING THAT TIME, MORE THAN 4,700 DATA POINTS WERE COLLECTED FROM THE 29 INDIVIDUALS WHO PARTICIPATED IN THE SURVEY, REPRESENTING STAKEHOLDERS IN WAYNE, TUSCARAWAS AND CARROLL COUNTIES. A LIST OF THE INDIVIDUALS AND ORGANIZATIONS INVITED TO PARTICIPATE IN THE SURVEY IS PROVIDED AT APPENDIX A. THE SURVEY CONTENTS AND RESULTS ARE SUMMARIZED BELOW.STAKEHOLDER MEETINGON AUG. 23, 2022, AULTMAN ORRVILLE HOSPITAL CONDUCTED A MEETING WITH STAKEHOLDERS FROM WAYNE COUNTY. INDIVIDUALS ATTENDED BOTH IN-PERSON AND REMOTELY BY VIDEO, AND IDENTIFICATION OF ATTENDEES IS INCLUDED IN APPENDIX A.AT THE MEETING, SQUIRE PATTON BOGGS PRESENTED THE RESULTS OF THE ONLINE SURVEY AND FACILITATED A DISCUSSION OF THE RESULTS AND OTHER EXPERIENCES AND DATA BEARING ON THE COMMUNITY'S HEALTH NEEDS AND RESOURCES. PARTICIPANTS GENERALLY AGREED THAT THE KEY HEALTH ISSUES IDENTIFIED IN THE SURVEY RESULTS (MENTAL HEALTH, SUBSTANCE ABUSE AND OBESITY/OVERWEIGHT) WERE PRIORITY ISSUES FOR THE COMMUNITY. PARTICIPANTS ALSO DISCUSSED THE EXTENT TO WHICH THE HEALTHCARE COMMUNITY'S RESPONSES TO THOSE KEY ISSUES MAY OVERLAP OR DIFFER. FOR EXAMPLE, MENTAL HEALTH AND SUBSTANCE ABUSE WERE VIEWED AS FREQUENTLY ALIGNED IN TERMS OF RESOURCES AND BARRIERS TO TREATMENT. IN ADDITION, OBESITY/OVERWEIGHT WAS VIEWED AS A CORE HEALTH ISSUE IMPACTING MANY OF THE OTHER HEALTH ISSUES PRESENT IN THE COMMUNITY.THE DISCUSSION ALSO ADDRESSED POST-COVID CHANGES TO HEALTHCARE ACCESS AND DELIVERY, PARTICULARLY THE ROLE OF ALTERNATIVE DELIVERY SERVICES SUCH AS VIDEO, TELEPHONE AND ELECTRONIC COMMUNICATION. PARTICIPANTS EMPHASIZED THE IMPORTANCE OF IDENTIFYING THE TYPES OF SERVICES AND CIRCUMSTANCES WHERE TELEHEALTH AND OTHER ALTERNATIVE DELIVERY SERVICES WERE MOST EFFECTIVE AND PROVIDED THE MOST BENEFIT COMPARED TO IN-PERSON HEALTHCARE. FOR EXAMPLE, TELEHEALTH WAS VIEWED AS MOST EFFECTIVE AS A CONVENIENT MEANS OF ROUTINE OR MAINTENANCE CHECK-INS, WHEREAS IN-PERSON HEALTHCARE WAS VIEWED AS MOST EFFECTIVE IN ACUTE HEALTH EVENTS.IN ADDITION TO DATA FROM THE SURVEY AND STAKEHOLDER MEETING, AULTMAN ORRVILLE HOSPITAL CONSIDERED VARIOUS DATA SOURCES SUMMARIZED IN APPENDIX D. THE FOLLOWING ARE EXAMPLES OF DATA SOURCES BEARING ON AULTMAN ORRVILLE HOSPITAL'S EVALUATION OF PRIORITY HEALTH NEEDS IN ITS COMMUNITY.1. WAYNE COUNTY FAMILY AND CHILDREN FIRST COUNCIL SHARED PLAN FOR SFYS 2022-2412OHIO LAW REQUIRES COUNTY FAMILY AND CHILDREN FIRST COUNCILS (FCFCS) TO ESTABLISH A PROCESS TO IDENTIFY LOCAL PRIORITIES, MONITOR PROGRESS OF MEETING THESE LOCAL PRIORITIES WITH INDICATORS ESTABLISHED BY THE FCFCS AND DEVELOP AN ANNUAL PLAN THAT IDENTIFIES THE LOCAL INTER-AGENCY EFFORTS TO ENHANCE CHILD WELL-BEING IN THE COUNTY. COUNTY FCFCS ARE ALSO REQUIRED TO DEMONSTRATE PROGRESS OF INCREASING CHILD WELL-BEING BY REPORTING ANNUALLY TO THE OHIO FCF CABINET COUNCIL AND THE COUNTY COMMISSIONERS.2. 2021-2024 WAYNE COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN13THE WAYNE COUNTY HEALTH DEPARTMENT PREPARED ITS 2021-2024 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AS PART OF A LONG-TERM, SYSTEMATIC EFFORT TO ADDRESS HEALTH PROBLEMS IN THE COMMUNITY BASED ON RESULTS FROM A COMMUNITY HEALTH ASSESSMENT (CHA). IT IDENTIFIED THREE PRIORITIES: (1) MENTAL HEALTH AND SUBSTANCE USE DISORDERS, (2) PHYSICAL HEALTH AND CHRONIC CONDITIONS AND (3) CROSS-CUTTING FACTORS.3. 2020-2022 STATE HEALTH IMPROVEMENT PLAN14THE OHIO DEPARTMENT OF HEALTH (ODH)'S STATE HEALTH IMPROVEMENT PLAN (SHIP) TAKES A COMPREHENSIVE APPROACH TO ACHIEVING EQUITY AND ADDRESSING THE MANY FACTORS THAT SHAPE HEALTH, INCLUDING HOUSING, POVERTY, EDUCATION AND TRAUMA. THE 2020-2022 SHIP IDENTIFIED SIX PRIORITIES, INCLUDING THREE HEALTH FACTORS AND THREE HEALTH OUTCOMES.4. COUNTY HEALTH RANKINGS & ROADMAPS (2022)15THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE PREPARES AN ANNUAL SURVEY ON VARIOUS FACTORS THAT INFLUENCE HEALTH. THE 2022 SURVEY INCLUDES THE FOLLOWING DATA FOR THE STATE OF OHIO AND WAYNE, TUSCARAWAS AND CARROLL COUNTIES.5. WAYNE COUNTY 2018 YOUTH ASSETS AND SUBSTANCE USE SURVEY (YASUS)16THIS SURVEY INCLUDED EVERY SCHOOL DISTRICT IN WAYNE COUNTY. NEARLY THREE-QUARTERS OF THE 3,001 RESPONDENTS SAID THEY WERE SELF-CONFIDENT, AND APPROXIMATELY THE SAME NUMBER HAD FUTURE ASPIRATIONS, WITH 84% REPORTING FUTURE ASPIRATIONS FOR EDUCATION. JUST OVER 80% FELT THEY MADE RESPONSIBLE CHOICES, AND HALF REPORTED THEY HAD FAMILY COMMUNICATIONS.
AULTMAN ALLIANCE COMMUNITY HOSPITAL	PART V, SECTION B, LINE 5: AACH'S MOST RECENT CHNA WAS PREPARED IN 2019 WITH AULTMAN HOSPITAL AND AULTMAN SPECIALTY HOSPITAL (GROUP). THE GROUP COLLABORATED WITH VARIOUS COMMUNITY ORGANIZATIONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY TO CONDUCT THE STARK COUNTY COMMUNITY HEALTH ASSESSMENT (CHA), THE BASIS FOR THE GROUP CHNA. CHA CONTRACTED WITH THE CENTER FOR MARKETING AND OPINION RESEARCH (CMOR) TO PERFORM THE PUBLIC OPINION RESEARCH SERVICES. CMOR'S EXPERTISE INCLUDES TELEPHONE INTERVIEWS, WEB AND MAIL SURVEYS, FIELD, INTERCEPT AND KEY INFORMANT INTERVIEWS, FOCUS GROUP ADMINISTRATION, AS WELL AS A WIDE RANGE OF CONSULTING SERVICES THE CHA PROCESS INCLUDED GATHERING PRIMARY AND SECONDARY DATA COLLECTION THROUGH FOUR PHASES: 1) COMMUNITY SURVEY, 2) COMMUNITY HEALTH LEADER SURVEY, 3) SECONDARY DATA AND 4) COMMUNITY FOCUS GROUP. THE PROCESS CULMINATED IN A HEALTH IMPROVEMENT SUMMIT, WHERE HOSPITALS AND COMMUNITY STAKEHOLDER MEMBERS OF THE STARK COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY COMMITTEE IDENTIFIED AND PRIORITIZED STARK COUNTY COMMUNITY HEALTH NEEDS AS THE FOLLOWING: 1.) MENTAL HEALTH SERVICES - ACCESS, ADDICTION, SUICIDE AND 2.) ACCESS TO HEALTHCARE - PRIMARY CARE
AULTMAN ALLIANCE COMMUNITY HOSPITAL	PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING HOSPITAL FACILITIES: AULTMAN HOSPITAL, AND AULTMAN SPECIALTY HOSPITAL.
AULTMAN ORRVILLE HOSPITAL	PART V, SECTION B, LINE 6B: AULTMAN ORRVILLE HOSPITAL EVALUATED THE RESULTS OF THE SURVEY DATA, STAKEHOLDER FEEDBACK AND OTHER DATA SOURCES DISCUSSED ABOVE TO IDENTIFY THE PRIORITY HEALTH NEEDS OF THE COMMUNITY. THE SURVEY DATA INDICATED MENTAL HEALTH, SUBSTANCE ABUSE AND OBESITY/OVERWEIGHT WERE THE MOST SIGNIFICANT HEALTH NEEDS BY VIRTUALLY ALL METRICS. AS DISCUSSED ABOVE, THE SURVEY RESULTS WERE CONSISTENT WITH STAKEHOLDER FEEDBACK AND OTHER DATA SOURCES REGARDING COMMUNITY HEALTH NEEDS, WHICH ALSO INDICATED THE IMPORTANCE OF ADDRESSING OBESITY/OVERWEIGHT ISSUES AS PART OF AN OVERALL FOCUS ON HEALTHY BEHAVIORS THAT CAN IMPACT MANY OTHER ASSOCIATED AND PREVENTABLE HEALTH ISSUES.AULTMAN ORRVILLE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT BY:LEVEL I PRIORITY NEEDS:1 & 2 MENTAL HEALTH & SUBSTANCE ABUSEGOAL: IMPROVE AWARENESS AND EDUCATION REGARDING MENTAL HEALTH AND SUBSTANCE ABUSE RESOURCES IN THE COMMUNITY: INCREASED USE OF MENTAL HEALTH AND SUBSTANCE ABUSE CARE. IMPROVE ACCESS TO SCREENING FOR MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES AND PSYCHIATRIC CARE. IMPROVE CARE COORDINATION BETWEEN MENTAL HEALTH AND SUBSTANCE ABUSE PROVIDERS. IMPROVE ACCESS TO SUBSTANCE USE DISORDER AND PSYCHIATRIC CARE.3) HEALTHY BEHAVIORSGOAL: IMPROVE AWARENESS OF THE IMPORTANCE OF HEALTHY BEHAVIORS, DECREASE THE PREVALENCE OF UNHEALTHY BEHAVIORS AND INCREASE ACCESS TO SERVICES THAT ENCOURAGE HEALTHY BEHAVIORS. DECREASE THE INCIDENCE OF TOBACCO USAGE, INFECTIOUS DISEASES AND SEXUALLY TRANSMITTED INFECTIONS WITHIN THE COMMUNITY. IMPROVE EDUCATION ON DIABETES PREVENTION. IMPROVE ACCESS TO FACILITIES THAT ENABLE HEALTHY LIFESTYLES. INCREASED EDUCATION OF THE IMPORTANCE OF PHYSICAL ACTIVITY, HEALTHY HABITS AND STRESS RELIEF.THESE PRIORITY HEALTH NEEDS ALIGN WITH LOCAL AND STATE HEALTH PRIORITIES. AS DISCUSSED ABOVE, THE TOP THREE PRIORITIES IN THE WAYNE COUNTY HEALTH DEPARTMENT'S 2021-2024 CHIP WERE (1) MENTAL HEALTH AND SUBSTANCE USE DISORDERS, (2) PHYSICAL HEALTH AND CHRONIC CONDITIONS (INCLUDING PHYSICAL ACTIVITY, NUTRITION, AND DIET) AND (3) CROSS-CUTTING FACTORS (INCLUDING OBESITY). SIMILARLY, OHIO'S 2020-2022 SHIP IDENTIFIED HEALTHY BEHAVIORS (INCLUDING NUTRITION AND PHYSICAL ACTIVITY) AS A PRIORITY HEALTH FACTOR, AND MENTAL HEALTH AND ADDICTION AS A PRIORITY HEALTH OUTCOME.LEVEL II PRIORITY NEEDS:1) ACCESS TO HEALTHCAREGOAL: IMPROVE ACCESS TO HEALTHCARE SERVICES AND PROVIDERS, ESPECIALLY FOR MEDICALLY UNDERSERVED POPULATIONS.ANTICIPATED IMPACT: INCREASE ACCESS TO NECESSARY SERVICES AND SPECIALISTS. IMPROVE CARE COORDINATION ACROSS THE CARE SPECTRUM. IMPROVE AFFORDABILITY OF HEALTHCARE SERVICES.
AULTMAN ALLIANCE COMMUNITY HOSPITAL	PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING NON-HOSPITAL FACILITIES: ACCESS HEALTH STARK COUNTY, ALLIANCE CITY HEALTH DEPARTMENT, ALLIANCE FAMILY HEALTH CENTER, THE AULTMAN HEALTH FOUNDATION, BEACON CHARITABLE PHARMACY, CANTON CITY PUBLIC HEALTH, DOMESTIC VIOLENCE PROJECT, JACKSON TWP FIRE, LIFECARE FAMILY HEALTH AND DENTAL CETNER, MASSILLON CITY HEALTH DEPARTMENT, MEALS ON WHEELS NORTHEAST OHIO, MY COMMUNITY HEALTH CENTER, THE OHIO STATE UNIVERSITY EXTENSION OFFICE, SALVATION ARMY OF CANTON CITADEL, STARK COMMUNITY FOUNDATION, STARKFRESH, STARK PARKS, STARK COUNTY COMMUNITY ACTION AGENCY, STARK COUNTY FAMILY COUNCIL, STARK COUNTY HEALTH DEPARTMENT, STARK COUNTY JOBS AND FAMILY SERVICES, STARK MENTAL HEALTH & ADDICTION RECOVERY (STARKMHAR), UNITED WAY OF GREATER STARK COUNTY, AND YOUNGSTOWN STATE UNIVERSITY.IN ADDITION, THE COLLABORATION CONTRACTED WITH CENTER FOR MARKETING & OPINION RESEARCH, LLC (CMOR) AND SQUIRE PATTON BOGGS LLP (SQUIRE) TO CONDUCT THE STARK COUNTY HEALTH NEEDS ASSESSMENT AND PREPARE THE 2022 STARK COUNTY HEALTH NEEDS ASSESSMENT. CMOR PROVIDES PUBLIC OPINION RESEARCH SERVICES TO COLLEGES AND UNIVERSITIES, HOSPITALS AND HEALTHCARE ORGANIZATIONS, BUSINESSES AND COMMUNITY-BASED ORGANIZATIONS AND GOVERNMENT AGENCIES. THEY HAVE EXPERTISE IN ASKING THE RIGHT QUESTIONS TO THE RIGHT PEOPLE THE RIGHT WAY USING TELEPHONE, WEB AND MAIL SURVEYS, FIELD, INTERCEPT AND KEY INFORMANT INTERVIEWS AND FOCUS GROUP ADMINISTRATION, AS WELL AS A WIDE RANGE OF CONSULTING SERVICES.SQUIRE PATTON BOGGS (US) LLP ("SQUIRE"), LOCATED AT 2000 HUNTINGTON CENTER, 41 SOUTH HIGH STREET, COLUMBUS, OHIO 43215, WAS ALSO ENGAGED TO ASSIST WITH REVIEW OF THIS CHNA REPORT. SQUIRE IS A FULL SERVICE, GLOBAL LAW FIRM WITH A DEEP HEALTHCARE PRACTICE. THE PRIMARY SQUIRE PERSONNEL WHO REVIEWED THIS REPORT INCLUDE GEORGE SCHUTZER, A TAX-EXEMPT ORGANIZATION EXPERT WITH OVER 40 YEARS OF EXPERIENCE; JOHN WYAND, A HEALTHCARE REGULATORY AND OPERATIONS EXPERT WITH 40 YEARS IN THE HEALTHCARE FIELD; AND HEATHER STUTZ, A HEALTHCARE GOVERNANCE, REGULATORY AND OPERATIONS EXPERT WITH 18 YEARS OF EXPERIENCE. SQUIRE CONDUCTS AND REVIEWS COMMUNITY HEALTH NEEDS ASSESSMENTS ON BEHALF OF HOSPITALS AND THEIR PARENT ORGANIZATIONS AND ASSISTS TAX EXEMPT ENTITIES WITH FORM 990 TAX RETURNS.
AULTMAN ORRVILLE HOSPITAL	PART V, SECTION B, LINE 7D: THE CHNA CAN BE FOUND AT THE FOLLOWING URL: AULTMANORRVILLE.ORG/AULTMAN-HOSPITAL-INFORMATION/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
AULTMAN ALLIANCE COMMUNITY HOSPITAL	PART V, SECTION B, LINE 7D: THE CHNA CAN BE FOUND AT THE FOLLOWING URL:AULTMAN.ORG/HOME/ABOUT/AULTMAN-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
AULTMAN ORRVILLE HOSPITAL	PART V, SECTION B, LINE 11: AULTMAN ORRVILLE HOSPITAL IMPLEMENTATION POLICY:AULTMAN ORRVILLE HOSPITAL DEVELOPED A STRATEGY FOR THE SELECTED PRIORITY HEALTH NEEDS AND/OR SOCIAL DETERMINANTS OF HEALTH. THE HOSPITAL THEN SELECTED STRATEGIES THAT IMPACT THE CLINICAL NEEDS OF OUR PATIENT POPULATION AND SOCIAL DETERMINANTS OF THE PRIORITY NEED.NEED 1: MENTAL HEALTH AND SUBSTANCE ABUSE EDUCATION, SCREENING, ACCESS TO PSYCHIATRIC CARE, AND IMPACT ON CHILDHOOD TRAUMA.ACTIONS:1. SCREEN PATIENTS TO EVALUATE THOSE AT HIGH RISK FOR EMOTIONAL INSTABILITY. 2. FACILITATE REFERRALS TO THE APPROPRIATE HEALTH CARE PROVIDER OR AGENCY.3. ACTIVELY PARTICIPATE ON THE WAYNE COUNTY FAMILY AND CHILDREN'S FIRST COUNCIL.4. PARTICIPATE IN THE "STEPPING UP INITIATIVE". THIS NATIONAL INITIATIVE TARGETS REDUCING THE NUMBER OF PEOPLE WITH MENTAL ILLNESSES IN JAILS.5. LEADERSHIP MEMBERS COORDINATE/PARTICIPATE WITH THE O'HUDDLE MENTORING PROGRAM THROUGH THE ORRVILLE CITY SCHOOLS.6. ACTIVELY PARTICIPATE IN TURNING POINT COALITION. A COMMUNITY-BASED VOLUNTEER ORGANIZATION THAT WORKS TO HELP CREATE AN ENVIRONMENT IN OUR COMMUNITY THAT WILL HELP KEEP YOUTH ALCOHOL, TOBACCO, AND DRUG FREE. 7. COLLABORATE WITH AULTMAN HOSPITAL SERENITY PROGRAM THAT ENSURES THAT PATIENTS RECEIVE PROMPT TREATMENT AND CARE FOR INDIVIDUALS IMPACTED BY SEXUAL OR DOMESTIC VIOLENCE, CHILD ABUSE AND HUMAN TRAFFICKING.8. COORDINATE WITH WAYNE COUNT CHILDREN'S ADVOCACY CENTER TO DEVELOP EMERGENCY PROTOCOLS FOR VICTIM OF SEXUAL ABUSE.ANTICIPATED IMPACT: 1. THE SCREENING SCORES OF AULTMAN ORRVILLE PATIENTS ARE EVALUATED, AND REFERRALS ARE MADE TO THE APPROPRIATE HEALTH CARE PROVIDER OR AGENCY.2. AULTMAN ORRVILLE WORKS COLLABORATIVELY WITH THE CRISIS CENTER AND THE MENTAL HEALTH AND RECOVERY BOARD TO PROVIDE THE APPROPRIATE CARE AND SERVICES TO INDIVIDUALS IN NEED. 3. COORDINATE RESOURCES TO ASSIST WITH THE NEEDS AND PROGRAMS OF THE WAYNE COUNTY FAMILY AND CHILDREN'S FIRST COUNCIL.4. ADDRESS MENTAL HEALTH ISSUES OF PERSONS IN JAILS WITH MENTAL ILLNESS, COORDINATING ASSESSMENT, TREATMENT AND RECOVERY SUPPORT. 5. WORKING WITH STUDENTS IN THE ORRVILLE SCHOOL SYSTEM IN A MENTORING PROGRAM TO DEVELOP STUDENT ASSETS.6. COMMUNITY BASED ORGANIZATIONS THAT WORK TO HELP KEEP YOUTH ALCOHOL, TOBACCO AND DRUG FREE.NEED 2: HEALTHY BEHAVIORS - TOBACCO USE AND VAPING, INFECTIOUS DISEASES, SEXUALLY TRANSMITTED INFECTIONS, HEALTHY EATING, PHYSICAL ACTIVITY, HEALTHY HABITS AT SCHOOL AND WITHIN THE FAMILY, FACTORS CONTRIBUTING TO TYPE II DIABETES, STRESS RELIEF, AND EDUCATION ON HEALTH BEHAVIORS AND HEALTHY LIFESTYLE CHOICES.ACTIONS:1. DEPARTMENT OF POPULATION HEALTH WILL PROMOTE WELLNESS THROUGH COMMUNITY EDUCATION, SCREENINGS, AND COORDINATE PROGRAMS AND EVENTS THROUGHOUT OUR COMMUNITY. LOSE-A-TON/WIN-A-TON COMMUNITY 12-WEEK WEIGHT LOSS COMPETITION ORRVILLE WALKS PROGRAM ENCOURAGING INDIVIDUALS TO GET UP AND MOVE ORRVILLE WALKS 1-MILE WALK AND ORRVILLE WALKS KIDS FUN RUN2. EXPAND THE "AULTMAN AMBASSADOR PROGRAM" TO SCHOOLS THROUGHOUT WAYNE COUNTY SCHOOLS. THIS PROGRAM'S MISSION, TO IMPROVE THE HEALTH AND WELL-BEING OF ADOLESCENTS BY IMPLEMENTING ONGOING HEALTH PROMOTION TO DECREASE OBESITY AND INCREASE PHYSICAL ACTIVITY, RESULTING IN A HEALTHIER COMMUNITY, SPEAKS DIRECTLY TO ALL THE NEEDS IDENTIFIED WITHIN THE FRAMEWORK OF HEALTHY BEHAVIORS.3. CONTINUE THE "SAFETY FIRST" BIKE HELMET PROGRAM FOR THE FIRST GRADERS AT EASTERN WAYNE COUNTY SCHOOLS.4. FREE COMMUNITY HEALTH TALKS5. SUPPORT GROUPS 6. ACTIVELY PARTICIPATE IN TURNING POINT COALITION.7. WEIGHT MANAGEMENT PROGRAM8. WORK WITH THE WAYNE COUNTY HEALTH DEPARTMENT AND PROVIDERS TO EDUCATE THE PUBLIC ON SAFE SEX PRACTICES AND THE PREVENTION OF SEXUALLY TRANSMITTED DISEASES.ANTICIPATED IMPACT:1. INCREASE THE KNOWLEDGE AND UNDERSTANDING OF HEALTHY BEHAVIORS AND MEASURES TO PROMOTE LIFESTYLE CHANGING BEHAVIORS. 2. THE "AULTMAN AMBASSADOR PROGRAM" UTILIZES THE ALLIANCE FOR A HEALTHIER GENERATIONS ASSESSMENT WHICH IDENTIFIES NEEDS WITHIN THE SCHOOLS. THE AMBASSADORS CORE FOCUS ADDRESS: A. NUTRITIONB. HYDRATIONC. SLEEPD. STRESSE. PHYSICAL ACTIVITY3. EDUCATION TO ADDRESS PREVENTION OF CHRONIC DISEASE PROCESSES.4. PROVIDE SUPPORT AND EDUCATION TO THOSE ALREADY DIAGNOSED WITH CHRONIC DISEASES.5. COMMUNITY BASED ORGANIZATION THAT WORKS TO HELP KEEP YOUTH ALCOHOL, TOBACCO AND DRUG FREE.6. 12-WEEK WELLNESS-BASED, FOOD-FOCUSED PROGRAM FOCUSES ON BEHAVIOR CHANGE FOR LONG-TERM SUCCESS.7. DECREASE THE NUMBER OF REPORTED SEXUALLY TRANSMITTED DISEASES IN WAYNE COUNTY.NEED 3: ACCESS TO CARE - ACCESS TO FAMILY PRACTICE PHYSICIANS, PRIMARY CARE, SPECIALTY CARE SERVICES, ACCESS FOR UNINSURED, MAMMOGRAM SCREENINGS, BARIATRIC PATIENT NEEDS, COORDINATION OF DIAGNOSTIC SERVICES, AND ORAL HEALTH SERVICES.ACTIONS:1. IMPROVE PRIMARY CARE AND SPECIALTY CARE ACCESS FOR PATIENTS WITHIN THE CURRENT RURAL HEALTH CLINIC FRAMEWORK.2. INVESTIGATE ADDITIONAL SITES FOR EXPANSION OF RURAL HEALTH CLINICS.3. INCREASE THE UTILIZATION OF TELEHEALTH SERVICES: AULTMANNOW TELESTROKE SCHOOL BASED 4. SCHEDULE PRIMARY CARE PHYSICIAN FOLLOW UP APPOINTMENTS PRIOR TO PATIENT DISCHARGE.5. CONTINUE TO PROVIDE SPECIALTY SERVICES ON THE AULTMAN ORRVILLE HOSPITAL CAMPUS, INCLUDING BUT NOT LIMITED TO: GENERAL SURGERY OB/GYN CARDIOLOGY ENDOCRINOLOGY ORTHOPEDICS GASTROENTEROLOGY PODIATRY EAR, NOSE AND THROAT (ENT) PAIN MANAGEMENT SLEEP LAB TRANSITIONAL CARE6. COORDINATE ORAL HEALTH CARE SERVICES WITH VIOLA STARTZMAN CLINIC AND THE ORRVILLE AREA BOYS AND GIRLS CLUB SITE. 7. CONTINUE TO PROVIDE CERTIFIED STATE OF THE ART MAMMOGRAM SERVICES8. CONTINUE TO CONTRACT AND COORDINATE TRANSPORTATION SERVICES TO INDIVIDUALS UTILIZING AULTMAN ORRVILLE HOSPITAL, PROVIDERS, AND ITS SERVICES.ANTICIPATED IMPACT:1. INCREASE NUMBER OF VISITS TO PRIMARY CARE PHYSICIANS AND SPECIALTY SERVICES WITHIN OUR SERVICE AREA.2. INCREASE UTILIZATION OF TELEHEALTH RESOURCES. 3. DECREASE READMISSION FOR HIGH-RISK DIAGNOSIS THROUGH CARE COORDINATION.4. INCREASE MAMMOGRAPHY VISITS BY PROVIDING STATE OF THE ART AFFORDABLE SCREENINGS WITHIN OUR COMMUNITY.5. INCREASE NUMBER OF VISITS TO HOSPITAL-BASED SERVICES.
AULTMAN ALLIANCE COMMUNITY HOSPITAL	PART V, SECTION B, LINE 11: 2022 IS THE THIRD YEAR OF THE JOINT CHNA IMPLEMENTATION CYCLE, AND AULTMAN ALLIANCE COMMUNITY HOSPITAL (AACH) CONTINUES TO PURSUE OUR GROUP STRATEGIES TO UNDERSTAND AND MEET OUR COMMUNITY'S HEALTH NEEDS. WE SET OUR SIGHTS ON CONTINUING TO LEAD OUR COMMUNITY TO IMPROVED HEALTH FOR THE PRIORITY HEALTH NEEDS IDENTIFIED AS FOLLOWS: 1. ACCESS TO HEALTH CARE - WE STRIVE TO PROVIDE ACCESS TO HIGH-QUALITY, AFFORDABLE, HOLISTIC, AND CULTURALLY RELEVANT CARE, COMMITTED TO A VARIETY OF STRATEGIES ADDRESSING ACCESSIBLE CARE. A) AACH OFFERS A FREE SHUTTLE SERVICE TO PATIENTS WITHIN THE CITY LIMITS OF ALLIANCE TO ENSURE PATIENT TRANSPORTATION TO THEIR APPOINTMENTS. B) AACH'S TELEHEALTH SERVICES AND THE "AULTMANNOW" APP ALLOW FOR PRIMARY CARE SERVICES 24/7/365 FROM HOME, WORK OR SCHOOL. C) WE CONTINUED CONTRACTING WITH A LOCAL BUSINESS, PROVIDING OVER 2,600 ONSITE AND TELEHEALTH VISITS TO THEIR EMPLOYEES, GEARED TOWARD PREVENTIVE CARE AND MINOR-ILLNESS TREATMENT SERVICES. D)WE ALSO CONTRACT WITH OUR LOCAL UNIVERSITY TO OFFER THEIR STUDENTS ACCESS TO HEALTHCARE (INCLUDING TRANSPORTATION) WHEN THEY ARE AWAY FROM HOME. NO APPOINTMENT IS NEEDED AND THE UNIVERSITY HEALTH CLINIC EXPERIENCED MORE THAN 2,000 VISITS DURING THE YEAR.2. MENTAL HEALTH SERVICES - WE PROVIDE ACCESS TO MENTAL HEALTH CARE THAT IS INTEGRATED WITH PRIMARY CARE, SUBSTANCE ABUSE TREATMENT, COMMUNITY SAFETY, AND VIOLENCE PREVENTION, INCLUDING CALM (COUNSELING ON ACCESS TO LETHAL MEANS ) PROGRAM TRAINING. THE ONGOING COLLABORATIVE HOPES TO IDENTIFY TRENDS IN CHRONIC USE OF EMERGENCY DEPARTMENTS FOR BEHAVIORAL HEALTHCARE, INCLUDING THE AULTMAN ALLIANCE COMMUNITY HOSPITAL AND AULTMAN HOSPITAL EMERGENCY DEPARTMENTS. THROUGH APRIL 2022, THE CHIEF INTEGRATION OFFICER CONDUCTED SIX COMMUNITY MEETINGS AND 15 SMALL FOCUS GROUPS HOSTED IN THE 17 STARK COUNTY SCHOOL DISTRICTS TO ENSURE INFORMATION GATHERING BY LOCALITY. COMMUNITY MEMBERS PARTICIPATED IN A VIRTUAL FACILITATED DISCUSSION REGARDING BARRIERS AND CHALLENGES POSED BY COMMUNITY SOCIAL DETERMINANTS OF HEALTH AND STRATEGIES TO ADDRESS THEM. LONG-TERM PLANS INCLUDE THE CREATION OF INCREASED OUTPATIENT ACCESS POINTS FOR BEHAVIORAL HEALTH SERVICES THROUGH 30 EVIDENCE-BASED MODELS FOR INTEGRATION INTO THE PRIMARY CARE SETTINGS. THIS STRATEGY IS HOPED TO CONTRIBUTE TO A DECREASED EMERGENCY DEPARTMENT UTILIZATION RATE FOR BEHAVIORAL HEALTH CONDITIONS. A) AACH MAINTAINS A 12-BED INPATIENT SENIOR CARE UNIT THAT OFFERS CLINICAL AND BEHAVIORAL INITIATIVES INCLUDING PALLIATIVE CARE SERVICES, A SENSORY SUITE, A ROBUST DEHYDRATION PREVENTION PROTOCOL, AND ROUTINE FAMILY MEETINGS. IN 2022, WE PROVIDED CARE FOR OVER 2,500 PATIENT DAYS. B) AS PART OF THE AULTMAN OPIOID COMMITTEE, AACH CONTINUES TO INTEGRATE AND STANDARDIZE SYSTEM-WIDE SAFE OPIOID PRESCRIBING PRACTICES ADDRESSING THE KEY DRIVERS OF SAFE OPIOID PRESCRIBING PRACTICES. IN 2022 AACH EXCEEDED THE COMMITTEE GOAL OF 95% COMPLIANCE WITH THE PRESCRIBING PRACTICE OF OPIOID PILL PRESCRIPTIONS WITH A QUANTITY/SUPPLY OF 7 DAYS AT DISCHARGE. C) SINCE 2019, AULTMAN ALLIANCE COMMUNITY HOSPITAL PARTNERS WITH SHARPS COMPLIANCE TO REDUCE PRESCRIPTION MEDICATION ABUSE BY PROVIDING SOLUTIONS TO SAFELY DISPOSE OF EXPIRED AND UNUSED MEDICATIONS. A MEDSAFE COLLECTION AND DISPOSAL RECEPTACLE IS LOCATED JUST OUTSIDE OF THE AACH EMERGENCY ROOM ENTRANCE AND IN 2022, WE COLLECTED OVER 290 POUNDS IN THE MEDSAFE RECEPTACLE. 3. INFANT MORTALITY - IN CONJUNCTION WITH A MULTITUDE OF STATE AND LOCAL AGENCIES, AULTMAN AIMS TO DECREASE STARK COUNTY'S INFANT MORTALITY RATE THROUGH VARIOUS PROGRAMS AND SERVICES. SAFE SLEEP EDUCATION, POLICIES, AND RESOURCES CREATE AWARENESS AND ENCULTURATE (INFANT) SAFE SLEEP POLICIES AND PRACTICES. STARTING IN JULY 2021, AACH'S EDUCATIONAL PROGRAM BEGAN BY INCLUDING A SAFE SLEEP INFORMATION SHEET IN EMERGENCY DEPARTMENT DISCHARGE PACKETS FOR FAMILIES. IN 2022, MORE THAN 25,000 SAFE SLEEP INFORMATION SHEETS WERE DISTRIBUTED IN THE EMERGENCY DEPARTMENT DISCHARGE PACKETS. 4. OBESITY AND HEALTHY LIFESTYLE AND 5.) SOCIAL DETERMINANTS OF HEALTH - AACH PROMOTES HEALTHY LIFESTYLE CHOICES AND ADDRESSES THEIR INTERCONNECTION WITH SOCIO-ECONOMIC FACTORS. A) IN AACH'S MEDS (MEDICATION, EDUCATION, DIET, SUPPORT) CLINIC, PREVENTION AND MANAGEMENT OF CHRONIC DISEASES AND CONDITIONS SUCH AS OBESITY, TYPE 2 DIABETES, HYPERTENSION, HEART DISEASE, STROKE AND CANCER ARE THE FOCUS. SERVICES INCLUDING NUTRITIONAL GUIDANCE, GLUCOSE MONITORING, AND INSULIN PUMP EDUCATION ARE SERVICES OFFERED. B) AULTMAN INTEGRATED THE HUNGER VITAL SIGNTM FOOD INSECURITY SCREENING ITEMS IN THE ELECTRONIC MEDICAL RECORD (EMR) TO GUIDE SYSTEM-WIDE IDENTIFICATION OF FOOD INSECURE PATIENTS AND HELPS DETERMINE A PATIENT'S ELIGIBILITY FOR FOOD ASSISTANCE PROGRAMS. C) AACH PARTNERED WITH STARKFRESH AGAIN IN 2022 PROVIDING TWO BUS STOPS LOCATED NEAR THE HOSPITAL FOR THE MOBILE GROCERY MARKET . THE MOBILE GROCERY MARKET PROVIDES EASY ACCESS TO LOW-COST, NUTRITIOUS FOOD PRODUCTS TO SERVE VULNERABLE COMMUNITY MEMBERS. STARKFRESH ALSO PROVIDES THE HOSPITAL WITH SEED PACKETS FOR THE COMMUNITY'S SPRING PLANTING. D) AACH'S NUTRITIONAL SERVICES DEPARTMENT PREPARES MEALS FOR THE CITY OF ALLIANCE CHAPTER OF MEALS ON WHEELS AMERICA. COMMUNITY VOLUNTEERS DELIVERED OVER 17,000 MEALS TO CITY OF ALLIANCE RESIDENTS IN NEED OF A FOOD DELIVERY SERVICE. E) INITIATED IN 2017, THE COMMUNITY GARDEN LOCATED ON AACH'S CAMPUS HARVESTS VEGETABLES AND FRUITS WHICH ARE THEN GIVEN TO PATIENTS IN THE MEDS CLINIC, CARDIAC REHAB AND COMMUNITY RESIDENTS. THE COMMUNITY GARDEN IS MAINTAINED BY VOLUNTEERS AND PRODUCED MORE THAN 500 POUNDS OF FRESH PRODUCE IN 2022.
AULTMAN ORRVILLE HOSPITAL	PART V, SECTION B, LINE 13H: ACCORDING TO AULTMAN ORRVILLE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 200% OF FPG RECEIVES 100% DISCOUNT, 201% TO 400% IS DISCOUNTED 65%, AND 401% AND ABOVE IS DISCOUNTED 55%.
AULTMAN ALLIANCE COMMUNITY HOSPITAL	PART V, SECTION B, LINE 16J: AACH'S REGISTRATION PERSONNEL REFER UNINSURED AND LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS OUR FAP AND OFFER ASSISTANCE IN APPLYING FOR FINANCIAL ASSISTANCE. OUR PHYSICIAN PRACTICES FOLLOW THE SAME REFERRAL PROCESS IF A PATIENT IS HAVING A TEST AT THE HOSPITAL.THE FINANCIAL ASSISTANCE INFORMATION CAN BE FOUND AT THE FOLLOWING URL: HTTPS://AULTMANALLIANCE.ORG/PATIENTS-AND-VISITORS/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE/
AULTMAN ALLIANCE COMMUNITY HOSPITAL	PART V, SECTION B, LINE 20E: AACH PROVIDES FINANCIAL COUNSELING SERVICES AND PARTNERS WITH A VENDOR TO ASSIST WITH MEDICAID ELIGIBILITY.
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: AULTMAN HOSPITAL, - FACILITY 2: AULTMAN WOODLAWN, - FACILITY 3: AULTMAN MASSILLON
GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 5:	SINCE 2010, THE STARK COUNTY HEALTH DEPARTMENT HAS FACILITATED A COLLABORATIVE COMMUNITY HEALTH ASSESSMENT PROCESS TO MEET AFFORDABLE CARE ACT REQUIREMENTS FOR NONPROFIT HOSPITALS AND PUBLIC HEALTH ACCREDITATION BOARD STANDARDS FOR HEALTH DEPARTMENTS. LOCAL PUBLIC HEALTH DEPARTMENTS, HEALTHCARE SYSTEMS, MENTAL HEALTH, SOCIAL SERVICE AGENCIES AND NON-PROFIT ORGANIZATIONS SUPPORT AND GUIDE THIS PROCESS. THE ASSESSMENT PROCESS IS AN ONGOING CYCLE THAT INCLUDES BUILDING PARTNERSHIPS; COORDINATING A CONSORTIUM; ASSESSING DATA, COMMUNITY NEEDS AND CAPACITY; AND PLANNING, PRIORITIZATION, ACTION DEVELOPMENT, IMPLEMENTATION AND EVALUATION. THE CHA ADVISORY COMMITTEE SELECTED CENTER FOR MARKETING AND OPINION RESEARCH (CMOR) TO CONDUCT THE 2022 COMMUNITY HEALTH ASSESSMENT AS THEY DID FOR PREVIOUS ASSESSMENT CYCLES. THE CHA ADVISORY COMMITTEE USES THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) MODEL (FIGURE 6). MAPP IS AN EVIDENCE-BASED, COMMUNITY-WIDE STRATEGIC PLANNING PROCESS THAT ASSISTS COMMUNITIES WITH PRIORITIZING PUBLIC HEALTH ISSUES, IDENTIFYING RESOURCES FOR ADDRESSING THOSE ISSUES AND DEVELOPING A COMMUNITY HEALTH IMPROVEMENT PLAN. IN 2022, THE CHA ADVISORY COMMITTEE BEGAN USING THE BUILDING A CULTURE OF HEALTH ACTION FRAMEWORK, DEVELOPED BY THE ROBERT WOOD JOHNSON FOUNDATION (FIGURE 7). THIS EVIDENCE-BASED COMMUNITY-WIDE STRATEGIC ACTION FRAMEWORK ASSISTS COMMUNITIES WITH PRIORITIZING PUBLIC HEALTH ISSUES, IDENTIFYING RESOURCES FOR ADDRESSING THOSE ISSUES AND DEVELOPING A COMMUNITY HEALTH IMPROVEMENT PLAN. THE FRAMEWORK IDENTIFIES PRIORITIES, ORGANIZED UNDER DISTINCT ACTION AREAS, FOR DRIVING MEASURABLE, SUSTAINABLE PROGRESS TO IMPROVE THE HEALTH AND WELL-BEING OF ALL. THE CULTURE OF HEALTH ACTION FRAMEWORK FOCUSES ON FOUR AREAS: 1. MAKING HEALTH A SHARED VALUE, 2. FOSTERING CROSS-SECTOR COLLABORATION, 3. CREATING HEALTHIER, MORE EQUITABLE COMMUNITIES, AND 4. STRENGTHEN INTEGRATION OF HEALTH SERVICES AND SYSTEMS. THE ADVISORY COMMITTEE SELECTED CENTER FOR MARKETING AND OPINION RESEARCH (CMOR) TO CONDUCT THE 2022 CHA AS THEY DID FOR PREVIOUS CHA CYCLES. AULTMAN HEALTH FOUNDATION LEADERS SERVE AS MEMBERS OF THE ADVISORY COMMITTEE. THE 2022 CHA SERVES AS A FOUNDATION OF THE JOINT 2022 AULTMAN HOSPITAL, AULTMAN ALLIANCE COMMUNITY HOSPITAL, & AULTMAN SPECIALTY HOSPITAL CHNA. THE 20122 CHA IS AVAILABLE AT HTTPS://WWW.STARKCOUNTYOHIO.GOV/PUBLIC-HEALTH/COMMUNITY-HEALTH-ASSESSMENT (STARK CHA REPORT 2022 FINAL 9-22-22_POSTED20220928.PDF (REVIZE.COM)). ADDITIONALLY, AULTMAN HEALTH FOUNDATION USES THE COMMUNITY HEALTH ASSESSMENT TOOLKIT AS A FRAMEWORK (ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT, 2022).CMOR GATHERED PRIMARY AND SECONDARY DATA COLLECTION THROUGH FOUR PHASES: 1) COMMUNITY LEADER SURVEY, 2) STARK POLL, 3) VOICES OF STARK COUNTY REPORT AND 4) SECONDARY DATA. THE CHA INCLUDED A COMBINATION OF QUANTITATIVE DEMOGRAPHIC AND HEALTH DATA, AS WELL AS QUALITATIVE DATA THAT REFLECTS THE EXPERIENCES AND OPINIONS OF COMMUNITY RESIDENTS AND HEALTH LEADERS. AFTER GATHERING THE DATA, CMOR COMPILED THE INFORMATION BY SOURCE AND PREPARED A REPORT WITH NARRATIVE AND VISUAL DISPLAYS OF DATA. WHEN AVAILABLE, DATA WAS COMPARED TO PREVIOUS DATA, AS WELL AS OTHER STATE AND NATIONAL DATA. ANALYSIS INCLUDED SURVEY DATA IN CONJUNCTION WITH HEALTH AND DEMOGRAPHIC DATA. USING ALL DATA AVAILABLE, CMOR IDENTIFIED COMMUNITY HEALTH NEEDS FOR STARK COUNTY.COMMUNITY LEADER SURVEY. THE FIRST PHASE CONSISTED OF A WEB SURVEY OF COMMUNITY LEADERS WHO WERE KNOWLEDGEABLE ABOUT PUBLIC HEALTH. A WEB SURVEY OF 125 COMMUNITY LEADERS FAMILIAR WITH HEALTH-RELATED ISSUES COMPLETED A WEB SURVEY. THE COMMUNITY LEADERS PROVIDED INPUT TO REFLECT THE NEEDS OF THEIR POPULATIONS SERVED INCLUDING MEDICALLY UNDERSERVED, LOW INCOME, AND RACIAL AND ETHNIC MINORITY POPULATIONS.STARK POLL. THE 2021 STARK COUNTY COLLABORATIVE POLL WAS A LARGE-SCALE, RANDOM SAMPLING SURVEY OF HOUSEHOLDS IN STARK COUNTY. THIS METHOD WAS USED TO ENSURE REPRESENTATIVENESS OF THE POPULATION AND TO WARRANT STATISTICAL VALIDITY. THE FINAL SAMPLE SIZE WAS 600 WHICH RESULTED IN AN OVERALL SAMPLING ERROR OF +/- 4.0% WITHIN A 95% CONFIDENCE LEVEL. THE QUESTIONS ON THE STARK POLL WERE FUNDED BY STARKMHAR AND FOCUSED PRIMARILY ON MENTAL HEALTH AND ADDICTION.VOICES OF STARK COUNTY REPORT. COMPILED BY THE BEHAVIORAL HEALTH ACCESS AND INTEGRATION COLLABORATIVE. FROM SEPTEMBER 2021 THROUGH APRIL 2022, SIX COMMUNITY MEETINGS AND FIFTEEN SMALL FOCUS GROUPS WERE HOSTED IN THE 17 STARK COUNTY SCHOOL DISTRICTS TO ENSURE INFORMATION GATHERING BY LOCALITY. STARK COUNTY RESIDENTS WERE INVITED TO PARTICIPATE THROUGH A VARIETY OF WAYS INCLUDING EMAILED INVITES, WORD OF MOUTH, AND SOCIAL MEDIA. BECAUSE OF THE COVID-19 PANDEMIC, MOST MEETINGS WERE HELD VIRTUALLY. A TOTAL OF 167 INDIVIDUALS (140 WOMEN, 27 MEN) PARTICIPATED FROM VARIOUS COMMUNITY SECTORS. FACILITATORS RECORDED PARTICIPANT RESPONSES TO GROUP DISCUSSION QUESTIONS: WHAT DO YOU SEE AS THE CHALLENGES AND/OR BARRIERS IN YOUR COMMUNITY TIED TO EACH OF THE FIVE SOCIAL DETERMINANTS OF HEALTH THAT PREVENT PEOPLE FROM ACCESSING BEHAVIORAL HEALTH SERVICES? IF MONEY WERE NO OPTION, WHAT IDEAS DO YOU HAVE TO ADDRESS THE CHALLENGES AND/OR BARRIERS BROUGHT UP DURING OUR CONVERSATION? SECONDARY DATA. A REVIEW AND ANALYSIS OF SECONDARY DATA SOURCES TO IDENTIFY PRIORITY AREAS OF CONCERN WHEN COMPARED TO SURVEY DATA. CMOR GATHERED AND COMPILED HEALTH AND DEMOGRAPHIC DATA FROM VARIOUS SOURCES.VOICES OF STARK COUNTY REPORT. COMPILED BY THE BEHAVIORAL HEALTH ACCESS AND INTEGRATION COLLABORATIVE. FROM SEPTEMBER 2021 THROUGH APRIL 2022, SIX COMMUNITY MEETINGS AND FIFTEEN SMALL FOCUS GROUPS WERE HOSTED IN THE 17 STARK COUNTY SCHOOL DISTRICTS TO ENSURE INFORMATION GATHERING BY LOCALITY. STARK COUNTY RESIDENTS WERE INVITED TO PARTICIPATE THROUGH A VARIETY OF WAYS INCLUDING EMAILED INVITES, WORD OF MOUTH, AND SOCIAL MEDIA. BECAUSE OF THE COVID-19 PANDEMIC, MOST MEETINGS WERE HELD VIRTUALLY. A TOTAL OF 167 INDIVIDUALS (140 WOMEN, 27 MEN) PARTICIPATED FROM VARIOUS COMMUNITY SECTORS.SECONDARY DATA. A REVIEW AND ANALYSIS OF SECONDARY DATA SOURCES TO IDENTIFY PRIORITY AREAS OF CONCERN WHEN COMPARED TO SURVEY DATA. CMOR GATHERED AND COMPILED HEALTH AND DEMOGRAPHIC DATA FROM VARIOUS SOURCES.
GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 6A:	THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING HOSPITAL FACILITIES: ALLIANCE COMMUNITY HOSPITAL, AULTMAN HOSPITAL, AND AULTMAN SPECIALTY HOSPITAL.
GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 6B:	THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING NON-HOSPITAL FACILITIES: ACCESS HEALTH STARK COUNTY, ALLIANCE CITY HEALTH DEPARTMENT, ALLIANCE FAMILY HEALTH CENTER, THE AULTMAN HEALTH FOUNDATION, BEACON CHARITABLE PHARMACY, CANTON CITY PUBLIC HEALTH, CANTON CITY PUBLIC HEALTH, CLEVELAND CLINIC MERCY HOSPITAL, DOMESTIC VIOLENCE PROJECT, JACKSON TWP FIRE, LIFECARE FAMILY HEALTH AND DENTAL CETNER, MASSILLON CITY HEALTH DEPARTMENT, MEALS ON WHEELS NORTHEAST OHIO, MY COMMUNITY HEALTH CENTER, THE OHIO STATE UNIVERSITY EXTENSION OFFICE, SALVATION ARMY OF CANTON CITADEL, STARK COMMUNITY FOUNDATION, STARKFRESH, STARK PARKS, STARK COUNTY COMMUNITY ACTION AGENCY, STARK COUNTY FAMILY COUNCIL, STARK COUNTY HEALTH DEPARTMENT, STARK COUNTY JOBS AND FAMILY SERVICES, STARK MENTAL HEALTH & ADDICTION RECOVERY (STARKMHAR), UNITED WAY OF GREATER STARK COUNTY, AND YOUNGSTOWN STATE UNIVERSITY.IN ADDITION, THE COLLABORATION CONTRACTED WITH CENTER FOR MARKETING & OPINION RESEARCH, LLC (CMOR AND SQUIRE PATTON BOGGS LLP (SQUIRE) TO CONDUCT THE STARK COUNTY HEALTH NEEDS ASSESSMENT AND PREPARE THE 2022 STARK COUNTY HEALTH NEEDS ASSESSMENT. CMOR PROVIDES PUBLIC OPINION RESEARCH SERVICES TO COLLEGES AND UNIVERSITIES, HOSPITALS AND HEALTHCARE ORGANIZATIONS, BUSINESSES AND COMMUNITY-BASED ORGANIZATIONS AND GOVERNMENT AGENCIES. THEY HAVE EXPERTISE IN ASKING THE RIGHT QUESTIONS TO THE RIGHT PEOPLE THE RIGHT WAY USING TELEPHONE, WEB AND MAIL SURVEYS, FIELD, INTERCEPT AND KEY INFORMANT INTERVIEWS AND FOCUS GROUP ADMINISTRATION, AS WELL AS A WIDE RANGE OF CONSULTING SERVICES.SQUIRE PATTON BOGGS (US) LLP ("SQUIRE"), LOCATED AT 2000 HUNTINGTON CENTER, 41 SOUTH HIGH STREET, COLUMBUS, OHIO 43215, WAS ALSO ENGAGED TO ASSIST WITH REVIEW OF THIS CHNA REPORT. SQUIRE IS A FULL SERVICE, GLOBAL LAW FIRM WITH A DEEP HEALTHCARE PRACTICE. THE PRIMARY SQUIRE PERSONNEL WHO REVIEWED THIS REPORT INCLUDE GEORGE SCHUTZER, A TAX-EXEMPT ORGANIZATION EXPERT WITH OVER 40 YEARS OF EXPERIENCE; JOHN WYAND, A HEALTHCARE REGULATORY AND OPERATIONS EXPERT WITH 40 YEARS IN THE HEALTHCARE FIELD; AND HEATHER STUTZ, A HEALTHCARE GOVERNANCE, REGULATORY AND OPERATIONS EXPERT WITH 18 YEARS OF EXPERIENCE. SQUIRE CONDUCTS AND REVIEWS COMMUNITY HEALTH NEEDS ASSESSMENTS ON BEHALF OF HOSPITALS AND THEIR PARENT ORGANIZATIONS AND ASSISTS TAX EXEMPT ENTITIES WITH FORM 990 TAX RETURNS.
GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 7D:	THE CHNA CAN BE FOUND AT THE FOLLOWING URL:AULTMAN.ORG/HOME/ABOUT/AULTMAN-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 11:	AULTMAN HOSPITAL DEVELOPED A STRATEGY FOR THE SELECTED PRIORITY HEALTH NEEDS AND/OR SOCIAL DETERMINANTS OF HEALTH. THE HOSPITAL THEN SELECTED STRATEGIES THAT IMPACT THE CLINICAL NEEDS OF OUR PATIENT POPULATION AND SOCIAL DETERMINANTS OF THE PRIORITY NEED.NEED 1: ACCESS TO HEALTH CAREACTION: AULTMAN MEDICAL GROUPAULTMAN MEDICAL GROUP, AN AULTMAN HEALTH FOUNDATION AFFILIATE, HAS A NETWORK OF MORE THAN 240 MEDICAL PROFESSIONALS COVERING 23 SPECIALTIES, INCREASING COMMUNITY ACCESS TO A WIDE RANGE OF SERVICES. PHYSICIAN AND SPECIALTY PRACTICES AND CLINICS SPAN SIX COUNTIES AT MORE THAN 20 LOCATIONS PROVIDING COMMUNITY MEMBERS WITH CARE CLOSE TO HOME.EVALUATION OF IMPACTIN 2021, AULTMAN MEDICAL GROUP'S 79 PRIMARY CARE PROVIDERS (I.E., PHYSICIANS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS) ENHANCED ACCESS TO PRIMARY CARE WITH THE AIM OF DECREASING UNNECESSARY EMERGENCY ROOM UTILIZATION (FIGURE 54). 2022 DATA PENDING.ACTION: INTEGRATED HEALTH COLLABORATIVEMEDICARE SHARED SAVINGS PROGRAM PROVIDERS WHO COME TOGETHER VOLUNTARILY TO GIVE COORDINATED, HIGH-QUALITY CARE TO HELP MEET TRADITIONAL MEDICARE BENEFICIARIES' HEALTHCARE NEEDS. THE IHC ALSO PARTNERS WITH LOCAL AGENCIES, SKILLED NURSING FACILITIES, REHABILITATION FACILITIES AND OTHERS TO HELP MEET HEALTHCARE NEEDS. BY USING A TEAM APPROACH, THE IHC GOAL IS TO HELP GUIDE PATIENTS THROUGH THE HEALTHCARE SYSTEM AND MAKE IT EASIER TO GET THE CARE THEY NEED WHEN THEY NEED IT. IN COLLABORATION WITH MEMBER PHYSICIANS, IHC CARE COORDINATORS, A SOCIAL WORKER, PHARMACIST AND OTHERS WORK CLOSELY WITH AT-RISK BENEFICIARIES TO HELP THEM MEET THEIR HEALTHCARE GOALS. THIS TEAM LINKS MEMBERS TO COMMUNITY RESOURCES, PROVIDES EDUCATION ON HEALTHY LIFESTYLE CHOICES AND CHRONIC CONDITIONS (E.G., DIABETES, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, HEART FAILURE, HYPERTENSION, OBESITY) AND OFFERS SOCIAL SUPPORT. THE IHC IS COMMITTED TO PROVIDING ACCESS TO THE HIGHEST QUALITY OF CARE AT THE LOWEST COST.EVALUATION OF IMPACTIN 2019-2022, THE INTEGRATIVE HEALTH COLLABORATIVE MEDICARE SHARED SAVINGS PROGRAM (IHC MSSP) EXPERIENCED A DECREASING TREND IN NUMBER OF EMERGENCY ROOM VISITS PER 1,000 ENROLLEES WITH 35 VISITS IN 2019, 26 VISITS IN 2020, 32 VISITS IN 2021 (FIGURE 55) AND INCREASING TREND IN PRIMARY CARE VISITS WITH 908 VISITS IN 2019, 947 VISITS IN 2020 AND 3019 VISITS IN 2021 (FIGURE 56). 2022 DATA PENDING.ACTION: AULTMANNOW TELEHEALTH SERVICESSINCE 2018, AULTMAN HAS OFFERED THE AULTMANNOW APP FOR TELEHEALTH SERVICES THAT CONNECT COMMUNITY MEMBERS FOR ONE-ON-ONE SCHEDULED OR ON-DEMAND DISCUSSIONS WITH AN EXPERIENCED, BOARD-CERTIFIED PHYSICIAN FROM HOME, WORK OR SCHOOL 24/7/365 ABOUT NON-EMERGENCY AILMENTS LIKE SORE THROAT, COUGH, COLD, FEVER AND MORE. IN 2020, THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TOOK STEPS THAT ENABLED AULTMAN TO EXPAND TELEHEALTH SERVICES DURING THE COVID-19 PANDEMIC. THE CENTERS FOR MEDICARE & MEDICAID SERVICES TELEHEALTH WAIVERS MADE IT EASIER FOR PEOPLE ENROLLED IN MEDICARE, MEDICAID AND CHILDREN'S HEALTH INSURANCE PROGRAM TO RECEIVE MEDICAL CARE THROUGH TELEHEALTH SERVICES DURING THE COVID-19 PANDEMIC PUBLIC HEALTH EMERGENCY. SOME OF THE CHANGES ALLOW PROVIDERS TO: CONDUCT TELEHEALTH WITH PATIENTS LOCATED IN THEIR HOMES AND OUTSIDE OF DESIGNATED RURAL AREAS. PRACTICE REMOTE CARE, EVEN ACROSS STATE LINES, THROUGH TELEHEALTH. DELIVER CARE TO BOTH ESTABLISHED AND NEW PATIENTS THROUGH TELEHEALTH. BILL FOR TELEHEALTH SERVICES (BOTH VIDEO AND AUDIO-ONLY) AS IF THEY WERE PROVIDED IN PERSON.IN 2020, THE FEDERAL COMMUNICATIONS COMMISSION AWARDED AULTMAN A $294,749 COVID-19 TELEHEALTH PROGRAM GRANT, PART OF THE $2 TRILLION CORONAVIRUS AID, RELIEF AND ECONOMIC SECURITY (CARES) ACT, TO SUPPORT TELEHEALTH EXPANSION AMID THE PANDEMIC. AULTMAN USED THE FUNDING FOR A TELEHEALTH PLATFORM, OFFICE EQUIPMENT, MOBILE HOTSPOTS AND TELEHEALTH EQUIPMENT TO ENHANCE PATIENT ACCESS TO HEALTHCARE VIA SMARTPHONES, TABLETS AND COMPUTERS. AS A RESULT, AULTMAN WAS ABLE TO RAPIDLY EXPAND ACCESS TO TELEHEALTH SERVICES, ADDING 400 CLINICIANS AND 17 TELEHEALTH SERVICES. IN 2020, AULTMAN LAUNCHED AULTMANNOW APP PRIMARY CARE SERVICES, FURTHER EXPANDING ACCESS TO CARE.EVALUATION OF IMPACTIN 2020-2021, AULTMAN MEDICAL GROUP PRIMARY CARE AND SPECIALTY PROVIDERS OFFERED TELEHEALTH APPOINTMENTS IN ADDITION TO OFFICE VISITS, PROVIDING ADDITIONAL ACCESS TO PRIMARY CARE AND SPECIALTY SERVICES. AULTMAN MEDICAL GROUP PROVIDED 7,792 PRIMARY CARE TELEHEALTH APPOINTMENTS IN 2020, 3,640 PRIMARY CARE TELEHEALTH APPOINTMENTS IN 2021 AND 1,955 PRIMARY CARE TELEHEALTH APPOINTMENTS IN THE FIRST HALF OF 2022. AULTMAN MEDICAL GROUP PROVIDED 4,476 SPECIALTY CARE TELEHEALTH APPOINTMENTS IN 2020, 3,032 SPECIALTY CARE TELEHEALTH APPOINTMENTS IN 2021 AND 594 SPECIALTY CARE TELEHEALTH APPOINTMENTS IN THE FIRST HALF OF 2022. THE 2020 LAUNCH OF TELEHEALTH PRIMARY CARE SERVICES AND THE EXPANSION OF SPECIALTY TELEHEALTH SERVICES PROVIDED AN ALTERNATIVE TO OFFICE VISITS DURING THE COVID-19 PANDEMIC, INCREASING ACCESS TO HEALTHCARE. IN 2020, THE PANDEMIC SKEWED THE VOLUME OF TELEHEALTH APPOINTMENTS WITH AN OVERALL INCREASED TREND IN UTILIZATION OF TELEHEALTH SERVICES.NEED 2: MENTAL HEALTH (ACCESS)ACTION: BEHAVIORAL HEALTH NAVIGATORIN 2019, AULTMAN BEHAVIORAL HEALTH CORPORATE PLAN TEAM MEMBERS RECOGNIZED THE NEED FOR COMMUNITY COLLABORATION TO ADDRESS ACCESS TO MENTAL HEALTH SERVICES IN STARK COUNTY. AS A RESULT, AULTMAN HEALTH FOUNDATION ENGAGED WITH COMMUNITY STAKEHOLDERS TO FORM AN AD HOC BEHAVIORAL HEALTH STRATEGY WORKGROUP TO DEVELOP A SUSTAINABLE LONG-TERM PLAN. IN 2020, AULTMAN HEALTH FOUNDATION, STARKMHAR AND THE STARK COUNTY EDUCATIONAL SERVICE CENTER FUNDED A COUNTY-WIDE CHIEF INTEGRATION OFFICER (CIO) POSITION TO LEAD A COMMUNITY INITIATIVE FOR INCREASING ACCESS TO STARK COUNTY MENTAL HEALTH SERVICES. AS A FIRST STEP, THE CIO IS STUDYING THE SCOPE OF THE NEED, IDENTIFYING THE SOCIAL DETERMINANTS OF HEALTH THAT CHALLENGE PEOPLE FROM ACCESSING MENTAL HEALTH SERVICES AND LEADING INTEGRATION AND COORDINATION OF ACCESS TO COUNTY MENTAL HEALTH SERVICES AND RESOURCES. THE CIO FORMED A COMMUNITY BEHAVIORAL HEALTH ACCESS AND INTEGRATION COLLABORATIVE (COLLABORATIVE), A STARK COUNTY INITIATIVE SUPPORTED BY AULTMAN HEALTH FOUNDATION, STARK MENTAL HEALTH & ADDICTION RECOVERY AND THE STARK COUNTY EDUCATIONAL SERVICE CENTER THAT FOCUSES ON TWO PRIMARY GOALS: A) INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH INNOVATIVE EVIDENCE-BASED MODELS, AND B) ADDRESS THE BARRIERS AND CHALLENGES POSED BY SOCIAL DETERMINANTS OF HEALTH THAT INHIBIT STARK COUNTY'S RESIDENTS FROM ACCESSING BEHAVIORAL HEALTH SERVICES. IN 2021, THE COLLABORATIVE FORMED THREE SUBCOMMITTEES TO A) ESTABLISH HIPAA COMPLIANT PRACTICES FOR SHARING OF DATA, B) ESTABLISH A PROCESS FOR DATA USAGE TO FACILITATE COMMUNITY TREATMENT SERVICES AND CARE COORDINATION BETWEEN HEALTHCARE PROVIDERS AND C) TO STUDY SOCIAL DETERMINANTS OF HEALTH THAT INFLUENCE ACCESS TO BEHAVIORAL HEALTH SERVICES. AULTMAN ALLIANCE COMMUNITY HOSPITAL AND AULTMAN HOSPITAL WILL SHARE DATA ON ADULT AND YOUTH UTILIZATION OF THEIR EMERGENCY DEPARTMENTS FOR BEHAVIORAL HEALTH SERVICES. THIS INFORMATION WILL BE SHARED WITH STAKEHOLDERS AS A MEANS OF DETERMINING SUCCESS OF CURRENT INITIATIVES USED TO ADDRESS THE COMMUNITY MEMBER MENTAL HEALTH CHALLENGES AND PROVIDE INSIGHT INTO UNKNOWN CHALLENGES THAT WOULD NEED TO BE ADDRESSED WITH ADDITIONAL OR NEW STRATEGIES. THROUGH VARIOUS SOURCES OF DATA (2017-2021), THE COLLABORATIVE HOPES TO IDENTIFY TRENDS IN CHRONIC USE OF EMERGENCY DEPARTMENTS FOR BEHAVIORAL HEALTHCARE, INCLUDING THE AULTMAN ALLIANCE COMMUNITY HOSPITAL AND AULTMAN HOSPITAL EMERGENCY DEPARTMENTS.EVALUATION OF IMPACTFROM SEPTEMBER 2021 THROUGH APRIL 2022, THE CHIEF INTEGRATION OFFICER CONDUCTED SIX COMMUNITY MEETINGS AND 15 SMALL FOCUS GROUPS HOSTED IN THE 17 STARK COUNTY SCHOOL DISTRICTS TO ENSURE INFORMATION GATHERING BY LOCALITY. COMMUNITY MEMBERS PARTICIPATED IN A VIRTUAL FACILITATED DISCUSSION REGARDING BARRIERS AND CHALLENGES POSED BY COMMUNITY SOCIAL DETERMINANTS OF HEALTH AND STRATEGIES TO ADDRESS THEM. LONG-TERM PLANS INCLUDE THE CREATION OF INCREASED OUTPATIENT ACCESS POINTS FOR BEHAVIORAL HEALTH SERVICES THROUGH EVIDENCE-BASED MODELS FOR INTEGRATION INTO THE PRIMARY CARE SETTINGS. THIS STRATEGY IS HOPED TO CONTRIBUTE TO A DECREASED EMERGENCY DEPARTMENT UTILIZATION RATE FOR BEHAVIORAL HEALTH CONDITIONS.(CONTINUED IN SCHEDULE H, PART V, SECTION C)
GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 13H:	ACCORDING TO AULTMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 200% OF FPG RECEIVES 100% DISCOUNT, 201% TO 400% IS DISCOUNTED 65%, AND 401% AND ABOVE IS DISCOUNTED 64 %.
GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 16J:	THE FINANCIAL ASSISTANCE INFORMATION CAN BE FOUND AT THE FOLLOWING URL:HTTPS://AULTMAN.ORG/HOME/PATIENTS-AND-VISITORS/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE/#/
GROUP A-FACILITY 2 -- AULTMAN WOODLAWN PART V, SECTION B, LINE 5:	SEE GROUP A - FACILITY 1 -- AULTMAN HOSPITAL DISCLOSURE
GROUP A-FACILITY 2 -- AULTMAN WOODLAWN PART V, SECTION B, LINE 6A:	SEE GROUP A - FACILITY 1 -- AULTMAN HOSPITAL DISCLOSURE
GROUP A-FACILITY 2 -- AULTMAN WOODLAWN PART V, SECTION B, LINE 7D:	THE CHNA CAN BE FOUND AT THE FOLLOWING URL:AULTMAN.ORG/HOME/ABOUT/AULTMAN-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
GROUP A-FACILITY 2 -- AULTMAN WOODLAWN PART V, SECTION B, LINE 13H:	ACCORDING TO AULTMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 200% OF FPG RECEIVES 100% DISCOUNT, 201% TO 400% IS DISCOUNTED 65%, AND 401% AND ABOVE IS DISCOUNTED 64%.
GROUP A-FACILITY 2 -- AULTMAN WOODLAWN PART V, SECTION B, LINE 16J:	THE FINANCIAL ASSISTANCE INFORMATION CAN BE FOUND AT THE FOLLOWING URL:HTTPS://AULTMAN.ORG/HOME/PATIENTS-AND-VISITORS/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE/#/
GROUP A-FACILITY 3 -- AULTMAN MASSILLON PART V, SECTION B, LINE 5:	SEE GROUP A - FACILITY 1 -- AULTMAN HOSPITAL DISCLOSURE
GROUP A-FACILITY 3 -- AULTMAN MASSILLON PART V, SECTION B, LINE 6A:	SEE GROUP A - FACILITY 1 -- AULTMAN HOSPITAL DISCLOSURE
GROUP A-FACILITY 3 -- AULTMAN MASSILLON PART V, SECTION B, LINE 7D:	THE CHNA CAN BE FOUND AT THE FOLLOWING URL:AULTMAN.ORG/HOME/ABOUT/AULTMAN-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
GROUP A-FACILITY 3 -- AULTMAN MASSILLON PART V, SECTION B, LINE 13H:	ACCORDING TO AULTMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 200% OF FPG RECEIVES 100% DISCOUNT, 201% TO 400% IS DISCOUNTED 65%, AND 401% AND ABOVE IS DISCOUNTED 64%.
GROUP A-FACILITY 3 -- AULTMAN MASSILLON PART V, SECTION B, LINE 16J:	THE FINANCIAL ASSISTANCE INFORMATION CAN BE FOUND AT THE FOLLOWING URL:HTTPS://AULTMAN.ORG/HOME/PATIENTS-AND-VISITORS/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE/#/
PART V, LINE 13A	ACCORDING TO AULTMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 200% OF FPG RECEIVES 100% DISCOUNT, 201% TO 400% IS DISCOUNTED 65%, AND 401% AND ABOVE IS DISCOUNTED 64%.
PART V, LINE 16A-16C (AULTMAN ALLIANCE COMMUNITY HOSPITAL)	16A, FAP WEBSITE:AULTMANALLIANCE.ORG/PATIENTS-AND-VISITORS/INSURANCE-AND- BILLING/FINANCIAL-ASSISTANCE/16B, FAP APPLICATION WEBSITE:AULTMANALLIANCE.ORG/ASSETS/PDFZIPS/FINANCIAL-SERVICES/ AD0C90B462/AACH-PATIENT-HCAP-2019.PDF16C, FAP PLAIN-LANGUAGE SUMMARY:AULTMANALLIANCE.ORG/PATIENTS-AND-VISITORS/INSURANCE-AND- BILLING/FINANCIAL-ASSISTANCE/
PART V, LINE 16A-16C (AULTMAN HOSPITAL)	16A, FAP WEBSITE:AULTMAN.ORG/HOME/PATIENTS-AND-VISITORS/INSURANCE-AND- BILLING/FINANCIAL-ASSISTANCE/16B, FAP APPLICATION WEBSITE:AULTMAN.ORG/HOME/PATIENTS-AND-VISITORS/INSURANCE-AND- BILLING/FINANCIAL-ASSISTANCE/16C, FAP PLAIN-LANGUAGE SUMMARY:AULTMAN.ORG/HOME/PATIENTS-AND-VISITORS/INSURANCE-AND- BILLING/FINANCIAL-ASSISTANCE/
PART V, LINE 11 (AULTMAN HOSPITAL)	(CONTINUED FROM SCHEDULE H, PART V, LINE 11 - AULTMAN HOSPITAL)AULTMAN MEDICAL GROUP BEHAVIORAL HEALTH AND COUNSELING CENTERAULTMAN MEDICAL GROUP, AN AULTMAN HEALTH FOUNDATION AFFILIATE, OFFERS PSYCHIATRIC SERVICES AND OTHER TREATMENTS TAILORED TOWARD THE INDIVIDUAL PATIENT THROUGH A BEHAVIORAL HEALTH AND COUNSELING CENTER. BEHAVIORAL HEALTH SPECIALISTS PARTNER WITH THE REGION'S PHYSICIANS AND MENTAL HEALTH PROVIDERS, OFFERING A WIDE RANGE OF SERVICES FOR MENTAL HEALTH CONCERNS INCLUDING ANXIETY, BIPOLAR DISORDERS, PERSONALITY DISORDERS AND POST-TRAUMATIC STRESS DISORDER. A TEAM OF PSYCHIATRISTS AND MENTAL HEALTH SPECIALISTS OFFER A RANGE OF TREATMENT MODALITIES INCLUDING PSYCHIATRIC ASSESSMENTS, MEDICATION EVALUATION/MANAGEMENT, INDIVIDUAL THERAPY AND DIALECTICAL BEHAVIORAL THERAPY. IN 2021, AN ADVANCED PRACTICE REGISTERED NURSE JOINED THE PRACTICE, AND A COUNSELOR JOINED IN 2022.EVALUATION OF IMPACTAULTMAN MEDICAL GROUP BEHAVIORAL HEALTH AND COUNSELING, AN AULTMAN AFFILIATE, STARTED TRACKING WAIT TIMES IN JULY 2020 WITH A 0.65% WAIT TIME GREATER THAN 10 DAYS. IN 2021, INCREASED DEMAND FOR SERVICES AND PROVIDER TURNOVER CONTRIBUTED TO A WAIT TIME GREATER THAN 10 DAYS FOR 20.2% (231/1144) OF NEW APPOINTMENTS. IN THE FIRST HALF OF 2022, 0.7% (4/588) OF NEW APPOINTMENTS HAD A WAIT TIME GREATER THAN 10 DAYSMENTAL HEALTH (ADDICTION)ACTION: AULTMAN HOSPITAL EMERGENCY ROOM MENTAL HEALTH CRISIS INTERVENTION AND CARE COORDINATIONAULTMAN EMERGENCY ROOM SOCIAL WORKERS AND A COLEMAN PROFESSIONAL SERVICES BEHAVIORAL HEALTH NAVIGATORS PROVIDE CRISIS INTERVENTION AND CARE COORDINATION FOR PATIENTS WHO PRESENT TO THE EMERGENCY ROOM WITH A MENTAL HEALTH CRISIS, INCLUDING PATIENTS WHO PRESENT AS AN OVERDOSE OR WHO SEEK DETOX SERVICES. THE SOCIAL WORKERS AND BEHAVIORAL HEALTH NAVIGATORS FACILITATE THE PLACEMENT OF PATIENTS WHO SEEK DETOX SERVICES TO INPATIENT SERVICES. THEY MAY ALSO REFER PATIENTS TO COMMUNITY STARK COUNTY TREATMENT ACCOUNTABILITY FOR SAFER COMMUNITIES (TASC) PEER RECOVERY SUPPORTERS FOR COORDINATION OF THE PATIENT TRANSITION TO THE APPROPRIATE COMMUNITY MENTAL HEALTH SERVICES SETTING.EVALUATION OF IMPACTTHE EMERGENCY ROOM CARE COORDINATION SERVICES PROVIDED MENTAL HEALTH REFERRALS AND PLACEMENTS FOR 50% MORE EMERGENCY DEPARTMENT PATIENTS (1,789 REFERRALS AND PLACEMENTS) IN 2021 COMPARED TO 877 REFERRALS AND PLACEMENTS IN 2019. IN THE FIRST HALF OF 2022, EMERGENCY ROOM CARE COORDINATION SERVICES PROVIDED MENTAL HEALTH REFERRALS AND PLACEMENTS FOR 730 PATIENTS.ACTION: COMMQUEST DETOX AND RECOVERY UNIT IN AULTMAN HOSPITALIN 2020, COMMQUEST SERVICES AND AULTMAN HOSPITAL PARTNERED TO OPEN A WITHDRAWAL MANAGEMENT UNIT WITHIN AULTMAN HOSPITAL. UNDER THIS PARTNERSHIP AGREEMENT, COMMQUEST SERVICES OPERATES A WITHDRAWAL MANAGEMENT UNIT FOCUSING ON ADDICTION SERVICES, SERVING INDIVIDUALS WHO ARE IN CRISIS AND IN NEED OF RECOVERY TREATMENT. THE NEW PROGRAM ALLOWS COMMQUEST AND AULTMAN STAFF TO COLLABORATE AND FACILITATE INDIVIDUAL NEEDS RELATED TO WITHDRAWAL MANAGEMENT FOR THOSE PATIENTS WHO MAY BE TREATED IN THE HOSPITAL.PREVIOUSLY, COMMQUEST SERVICES OPERATED DETOX UNITS AT COMMQUEST'S REGIONAL CENTER FOR DETOX AND RECOVERY (RECOR) AT ITS MASSILLON RECOVERY CAMPUS. RELOCATING AND EXPANDING WITHDRAWAL MANAGEMENT SERVICES ALLOWED COMMQUEST SERVICES THE CONTINUED ABILITY TO OFFER 24/7 DETOX SERVICES WITH NO WAITING LISTS. THIS IS A CRITICAL COMPONENT RELATED TO EASE OF ACCESS AND CONTINUITY OF CARE. FOR MANY PEOPLE STRUGGLING WITH ADDICTION, THEIR FIRST CONTACT WITH CARE IS OFTEN DUE TO AN OVERDOSE. THIS HOSPITAL-BASED LOCATION PROVIDES FOR IMMEDIATE INTAKE UPON RELEASE FROM AULTMAN HOSPITAL EMERGENCY ROOM MEDICAL TREATMENT INTO THE COMMQUEST DETOX AND RECOVERY UNIT, AVOIDING CARE DELAYS.IN 2021, THE COMMQUEST SERVICES CLOSED THE DETOX UNIT AT AULTMAN ALLIANCE COMMUNITY HOSPITAL DUE TO A PATTERN OF LOW PATIENT VOLUMES AND LOWER DEMAND FOR SERVICES DURING THE COVID-19 PANDEMIC AND DID NOT RENEW THE LEASE FOR 2022. COMMQUEST TRANSFERRED PATIENTS TO COMMQUEST DETOX AND RECOVERY UNIT AT AULTMAN HOSPITAL. CALLS TO THE COMMQUEST DETOX UNIT AT AULTMAN ALLIANCE COMMUNITY HOSPITAL ARE FORWARDED TO THE COMMQUEST DETOX AND RECOVERY UNIT AT AULTMAN HOSPITAL.EVALUATION OF IMPACTOPENING IN MARCH 2020, THE COMMQUEST DETOX AND RECOVERY UNIT IN AULTMAN HOSPITAL INCREASED COMMUNITY ACCESS FOR INPATIENT MENTAL HEALTH SERVICES FOR ADDICTION RECOVERY CARE WITH OVER 2219 ADMISSIONS THROUGH THE FIRST HALF OF 2022.ACTION: AULTMAN OPIOID COMMITTEETHE AULTMAN OPIOID COMMITTEE IS AN INTEGRATED AND STANDARDIZED AULTMAN-WIDE COMMITTEE WITH SUBCOMMITTEES THAT ADDRESS THE KEY DRIVERS OF SAFE OPIOID PRESCRIBING PRACTICES. IN 2022, COMMITTEE MEMBERS WILL EXPLORE ADDITIONAL AREAS OF OPPORTUNITY IDENTIFIED FROM A 2021 OHIO HOSPITAL ASSOCIATION GAP ANALYSIS INCLUDING OVERDOSE POLICIES, STANDARD POLICIES AND PROTOCOLS FOR OPIOIDS IN THE FACILITY, STANDARDIZED NALOXONE DISPENSING, BUPRENORPHINE TRAINING AND CULTURAL COMPETENCE IN THE CARE OF PATIENTS WITH OPIOID USE DISORDER.SUBCOMMITTEE INFORMATION TECHNOLOGYTHE SUBCOMMITTEE AIMS TO ENHANCE TRANSITIONS BETWEEN PRACTITIONERS WITH THE USE OF SAFE, EFFECTIVE, OPTIMAL USE OF TECHNOLOGY IN THE CLINICAL SETTING. STRATEGIES INCLUDE CREATING A DASHBOARD FOR PROVIDER FEEDBACK (E.G., CHRONIC AND ACUTE OPIOID MEASURES SUCH AS BENZODIAZEPINE CO-PRESCRIBING), MAKING RECOMMENDATIONS ON THE USE OF THE CERNER OPIOID TOOLKIT AND FACILITATING CHANGES TO THE ELECTRONIC MEDICAL RECORD. THE CERNER OPIOID TOOLKIT INCLUDES A CENTRAL CHART LOCATION TO REVIEW OPIOID-RELATED RISK, CLINICAL DECISION SUPPORT FOR OPIOID MANAGEMENT, OPIOID MANAGEMENT ANALYTICS TO HELP ENABLE ASSESSMENT OF PRESCRIBING PATTERNS, OPIOID TREATMENT AND NALOXONE PROVISIONING AND A PREDICTIVE MODEL TO HELP INFORM PROVIDERS OF PATIENTS' RISK FOR A FUTURE OPIOID USE DISORDER EVENT.SUBCOMMITTEE ACUTE/CHRONIC PAIN & REGULATORY/COMPLIANCETHE SUBCOMMITTEE AIMS TO SUPPORT SAFE INPATIENT PRESCRIBING PRACTICES WITH ADHERENCE TO REGULATORY AND COMPLIANCE STANDARDS ON PAIN ASSESSMENT AND MANAGEMENT. THE SUBCOMMITTEE AIMS TO PROMOTE THE PROPER TREATMENT AND EVALUATION OF STANDARDS OF CLINICAL PRACTICE AND PATIENT CARE FOR CONSISTENCY WITH EVIDENCEBASED PRACTICE, QUALITY OUTCOMES AND REGULATORY REQUIREMENTS.SUBCOMMITTEE EDUCATIONTHE SUBCOMMITTEE AIMS TO EDUCATE PHYSICIANS, NURSES, CLINICIANS AND PATIENTS ON THE OPIOID CRISIS. SUBCOMMITTEE MEMBERS SECURE SPEAKERS, DETERMINE TOPICS AND IDENTIFY LOGISTICS FOR THE HEALTHCARE DELIVERY SYSTEM. TOPICS INCLUDE UNDERSTANDING OHIO LAW, MORPHINE EQUIVALENT DOSE AND INTERPRETATION OF A URINE DRUG SCREEN. PATIENT EDUCATION INCLUDES SAFE DISPOSAL OF MEDICATIONS WITH THE DISTRIBUTION OF DRUG DISPOSAL KITS ON DISCHARGE.IN 2018, THE OHIO DEPARTMENT OF HEALTH CONDUCTED THE NORTHEAST OHIO YOUTH HEALTH SURVEY AS A COMPONENT OF ITS URGENT PUBLIC HEALTH RESPONSE TO THE YOUTH SUICIDE CLUSTER, WITH THE PURPOSE OF PREVENTING FURTHER SUICIDE DEATHS AND SELF-INFLICTED INJURIES AMONG YOUTH. THE SURVEY WILL BE CONDUCTED ANNUALLY FOR THE NEXT FIVE YEARS. THE 2018 SURVEY WAS COMPLETED BY 16,000 STUDENTS AND PRELIMINARY FINDINGS NOTED THAT STARK COUNTY YOUTH FEEL MORE ISOLATED AND COMMUNICATION TO PARENTS IS MORE LIMITED THAN THE U.S. AVERAGE (SEE 2018 NORTHEAST OHIO YOUTH HEALTH SURVEY). MEMBERS FROM STARK COUNTY MENTAL HEALTH & ADDICTION RECOVERY (STARK MHAR), STARK EDUCATIONAL SERVICE CENTER, CANTON CITY HEALTH AND STARK COUNTY SHERIFF'S OFFICE DEVELOPED A CLUSTER RESPONSE PLAN. THE COORDINATING COMMITTEE INVITED AULTMAN HOSPITAL TO CHAIR A CARE COORDINATION COMMITTEE. THE COMMITTEE DEVELOPED A STANDARDIZED PROCESS FOR NAVIGATING COMMUNITY MENTAL HEALTH RESOURCES AND SYSTEMS ALONG THE CONTINUUM OF CARE THAT AREA HOSPITALS USE. THE PROCESS HELPS ASSURE PATIENTS HAVE A CONSISTENT DISCHARGE PLAN FOR REFERRAL TO LOCAL MENTAL HEALTH RESOURCES. THE CARE COORDINATION COMMITTEE STRENGTHENED THE CONTINUUM OF CARE IN THE FOLLOWING WAYS:- DEVELOPED AND IMPLEMENTED A STANDARDIZED HOSPITAL PROCESS FOR DISCHARGING A YOUTH AT RISK FOR SUICIDE.- PROVIDED CONTINUING EDUCATION ON SUICIDE FOR AULTMAN HOSPITAL, AULTMAN ALLIANCE AND MERCY MEDICAL CENTER PROVIDERS AND LEADERSHIP TEAMS. - FUNDED AND PROMOTED USE OF THE TEEN BULLYING & SUICIDE MENTAL HEALTH TOOLKIT.- IDENTIFIED COLEMAN PROFESSIONAL SERVICE'S MOBILE YOUTH RESPONSE TEAM AS THE STARK COUNTY AFTER HOSPITAL CARE CONTACT AND THE FIRST CALL FOR LOCAL ASSESSMENT OF YOUTH EXPERIENCING A BEHAVIORAL HEALTH CONCERN.- THE MOBILE RESPONSE YOUTH PROGRAM IS OPERATED BY STAFF AT COLEMAN CRISIS SERVICES 24 HOURS EVERY DAY, INCLUDING WEEKENDS AND HOLIDAYS TO RESIDENTS OF STARK COUNTY.- MOBILE RESPONSE STAFF ARE AVAILABLE TO PROVIDE ANY INFORMATION, REFERRAL AND AFTERCARE LINKAGE SERVICES TO ANY ONGOING MENTAL HEALTH AND/OR SUBSTANCE USE PROVIDERS IN THE COMMUNITY FOR YOUTH AND YOUNG ADULTS SEEN AT THE HOSPITAL.
PART V, LINE 11 (AULTMAN HOSPITAL) CONTINUED	- MOBILE RESPONSE IS ALSO ABLE TO PROVIDE ANY SUBSEQUENT URGENT INTERVENTION NEEDED UPON REQUEST OF THE FAMILY AT THEIR HOME, SCHOOL OR OTHER VARIOUS COMMUNITY SETTINGS. - DISTRIBUTED THE STARKMHAR RESOURCES FOR HEALTHCARE PROFESSIONALS TO AREA HOSPITALS.- TRAINING AND IMPLEMENTATION OF THE ZERO SUICIDE FRAMEWORK FOR A SYSTEM-WIDE, ORGANIZATIONAL COMMITMENT TO SAFER SUICIDE CARE IN HEALTH AND BEHAVIORAL HEALTH CARE SYSTEMS. - EIGHT AULTMAN HOSPITAL AND AULTMAN ALLIANCE COMMUNITY HOSPITAL STAFF COMPLETED TRAIN-THE-TRAINER TRAINING ON ZERO SUICIDE FOR SYSTEM-WIDE IMPLEMENTATION.- PARTICIPATION IN MONTHLY COMMUNITY OF LEARNING CALLS COORDINATED THROUGH STARKMHAR.- TRAINING AND IMPLEMENTATION OF THE COLUMBIA RISK ASSESSMENT AS A STANDARD SUICIDE RISK SCREENING TOOL .IMPLEMENTATION OF A COMPANION PROGRAM.PROMOTED SCHOOL DISTRICT USE OF THE STARK COUNTY CARE TEAM INITIATIVE'S SCHOOL-BASED COORDINATE AND ALIGN RESOURCES TO ENGAGE, EMPOWER AND EDUCATE TEAM MODEL (IC.A.R.E.3) FOR MENTAL HEALTH SERVICES AND RESOURCES. AN IC.A.R.E.3 TEAM MAY BE COMPRISED OF SCHOOL PRINCIPALS, COUNSELORS, TEACHERS, NURSES, RESOURCE OFFICERS, FAMILY SUPPORT SPECIALISTS/LIAISONS, INTERVENTION SPECIALISTS, MENTAL HEALTH AND/OR ALCOHOL AND DRUG PROFESSIONALS, AND/OR PSYCHOLOGISTS. IN A CONFIDENTIAL SETTING, AN IC.A.R.E.3 TEAM WRAPS ADDITIONAL SUPPORTS AROUND A CHILD FOR A SUCCESSFUL TRANSITION BACK INTO A DAILY SCHOOL ROUTINE AFTER A HOSPITAL VISIT OR STAY. AVAILABLE IN 22 SCHOOL DISTRICTS, IC.A.R.E.3 TEAMS DEVELOP STRATEGIES AND ALIGN RESOURCES TO PROMOTE PHYSICAL, SOCIAL, EMOTIONAL AND INTELLECTUAL SUPPORTS WHEN A LITTLE EXTRA HELP IS NEEDED IN SCHOOL. A PARENT, SCHOOL COUNSELOR, TEACHER, ADMINISTRATOR, COMMUNITY AGENCY OR ANY CONCERNED INDIVIDUAL MAY REFER A STUDENT TO A SCHOOL-BASED IC.A.R.E.3 TEAM. THE IC.A.R.E.3 TEAM BROCHURE, PARENTAL GUIDE TO YOUR SCHOOL'S IC.A.R.E.3 TEAM, IS SHARED AFTER A HOSPITAL STAY OR VISIT.NEED 3: INFANT MORALITYACTION: AULTMAN AIMS TO DECREASE THE STARK COUNTY INFANT MORTALITY RATE BY OFFERING MANY PROGRAMS AND SERVICES. THE HOSPITAL ALSO COLLABORATES WITH SEVERAL LOCAL AND STATE ORGANIZATIONS TO ADDRESS ISSUES RELATED TO INFANT MORTALITY. STARK COUNTY TOWARD HEALTH RESILIENCY FOR INFANT VITALITY & EQUITY (THRIVE) COLLABORATIVE BASED ON A NATIONAL INSTITUTE FOR EQUITY IN BIRTH OUTCOMES MODEL, NINE OHIO COMMUNITIES MAKE UP THE OHIO INSTITUTE FOR EQUITY IN BIRTH OUTCOMES (OHIO EQUITY INSTITUTE), A COMMUNITY-DRIVEN EFFORT TO REDUCE INFANT DEATHS. IN 2013, THE NINE OHIO COMMUNITIES, OHIO EQUITY INSTITUTE, THE OHIO DEPARTMENT OF HEALTH AND CITYMATCH PARTNERED TO IMPROVE THE INFANT MORTALITY RATE (IMR) AND REDUCE RACIAL DISPARITIES. THE STARK COUNTY FETAL INFANT MORTALITY REVIEW COMMITTEE REVIEWS INFANT MORTALITY DATA, DETERMINES PREVENTABLE DEATHS, IDENTIFIES OPPORTUNITIES FOR IMPROVEMENT IN CARE OR SERVICES AND MAKES RECOMMENDATIONS TO THE THRIVE COLLABORATIVE ON INTERVENTIONS NEEDED TO PREVENT FUTURE INFANT DEATHS. THE STARK COUNTY THRIVE EVALUATION TEAM & PATHWAYS HUB QUALITY IMPROVEMENT TEAM ANALYZES AND REPORTS THE STARK COUNTY PATHWAYS HUB DATA TO THRIVE COLLABORATIVE MEMBERS. ALTHOUGH THRIVE SERVES ALL STARK COUNTY, THE INITIATIVE PRIORITIZES WOMEN RESIDING IN SOUTHEAST AND NORTHEAST CANTON, CENTRAL MASSILLON AND EASTERN ALLIANCE BASED ON COUNTY IMR AND DISPARITY RATE DATA. THRIVE FOCUSES ON TWO INTERVENTIONS FOR THE GREATEST POSSIBLE IMPACT ON THE IMR AND DISPARITIES.1. CENTERINGPREGNANCY PRENATAL CARE AND COMMUNITY-BASED CARE COORDINATION WITH THE GOALS OF INCREASING AWARENESS OF THE VALUE OF EARLY PRENATAL CARE, LINKING WOMEN TO PRENATAL SERVICES, ADDRESSING BARRIERS TO PRENATAL CARE AND MEETING SOCIO-ECONOMIC NEEDS. AULTMAN PROVIDERS REFER PATIENTS TO THE MY COMMUNITY HEALTH CENTER CENTERINGPREGNANCY PROGRAM.A. CERTIFIED COMMUNITY HEALTH WORKERS (CHWS) AND STARK COUNTY THRIVE PATHWAYS HUB. TEN CARE COORDINATION AGENCIES EMPLOY 26 THRIVE CHWS WHO ARE REPRESENTATIVE OF THE COMMUNITIES AND INDIVIDUALS THAT THEY SERVE. THE CHWS COMPLETE OHIO BOARD OF NURSING APPROVED TRAINING. THE STARK COUNTY THRIVE PATHWAYS HUB IMPLEMENTS 20 PATHWAYS THAT ADDRESS SOCIAL DETERMINANTS OF HEALTH (E.G., AFFORDABLE HOUSING, SUBSTANCE USE, PRENATAL CARE, SOCIAL SERVICE NEEDS, MEDICATION ASSISTANCE AND HEALTH INSURANCE). CHWS MAKE IN-HOME VISITS TO ASSESS A CLIENT'S NEEDS, COORDINATE CARE, PROVIDE EVIDENCE-BASED HEALTH EDUCATION AND SUPPORT THE CLIENT IN ACCESSING AND COMPLETING TREATMENT AS APPROPRIATE. CHWS TYPICALLY WORK ONE-ON-ONE WITH FAMILIES, VISITING THEM AT HOME AND ACCOMPANYING THE NEW MOTHERS TO MEDICAL APPOINTMENTS. DURING THE PANDEMIC, CHWS KEPT IN TOUCH WITH EXPECTANT FAMILIES VIA VIDEO CONFERENCING AND PHONE CALLS.B. RACISM, CULTURAL COMPETENCY AND HUMILITY. PARTNERSHIPS WITH STARK MENTAL HEALTH & ADDICTION RECOVERY AND MARY CHURCH TERRELL FEDERATED CLUB PROVIDE SUPPORT FOR COMMUNITY PARTNERS, SERVICE PROVIDERS AND CLIENTS TO ADDRESS BARRIERS AND CHALLENGES RELATED TO RACISM AND OFFER CULTURALLY APPROPRIATE SERVICES.C. STARK COUNTY FATHERHOOD COALITION AND EARLY CHILDHOOD RESOURCE CENTER PROVIDES MENTORING PROGRAMS AND ACCESS TO RESOURCES TO FATHERS IN SUPPORTING MEANINGFUL ENGAGEMENT WITH CHILDREN AND MOTHERS.D. COMMUNITY LEGAL AID PROVIDES THE HEALTH EDUCATION ADVOCACY AND LAW PROGRAM, WHICH IS A PARTNERSHIP BETWEEN COMMUNITY LEGAL AID TO HELP PATIENTS OVERCOME LEGAL PROBLEMS THAT INTERFERE WITH THEIR HEALTH.E. THRIVE TENANT-BASED RENTAL ASSISTANCE PROGRAM. CHW CLIENTS EXPERIENCING HOUSING BARRIERS HAVE ACCESS TO A TENANT BASED RENTAL ASSISTANCE PROGRAM FUNDED BY THE CITY OF CANTON DEPARTMENT OF COMMUNITY DEVELOPMENT IN PARTNERSHIP WITH THE YWCA OF CANTON. 2. SAFE SLEEP EDUCATION, POLICIES AND RESOURCES CREATE AWARENESS AND ENCULTURATE SAFE SLEEP POLICIES AND PRACTICES. AULTMAN ADOPTED SAFE SLEEP POLICIES PER OHIO LAW AND MONITORS RELIABLE USE AND MODELING OF SAFE SLEEP PRACTICES. ON AVERAGE, MORE THAN THREE OHIO INFANTS DIE EACH WEEK DUE TO SLEEP-RELATED CAUSES, WHICH IS WHY AULTMAN FOLLOWS THE CURRENT SAFE SLEEP STANDARDS AND ACTIVELY EDUCATES ITS YOUNG PATIENT PARENTS AND CAREGIVERS ON THEIR IMPORTANCE. THE STANDARDS INCLUDE THE "ABCS OF SLEEP," REMINDING PARENTS AND CAREGIVERS THAT INFANTS SHOULD SLEEP ALONE, ON THEIR BACKS AND IN A CRIB, AMONG OTHER IMPORTANT FACTS. AULTMAN PARTNERS WITH HOSPITALS AND ORGANIZATIONS AROUND THE COUNTY TO EDUCATE ON SAFE SLEEP PRACTICES. DURING HOSPITAL STAYS, NURSES SHARE SAFE SLEEP INFORMATION WITH FAMILIES IN THE BIRTH CENTER. ADDITIONAL STRATEGIES INCLUDE:- BIRTH CENTER FAMILY ENGAGEMENT NURSES PROVIDE PATIENT REFERRALS TO COMMUNITY HEALTH WORKER SERVICES AND CANTON CITY HEALTH PUBLIC HEALTH NURSES FOR NEWBORN HOME VISITS.- USING A SAFE SLEEP TOOLKIT (I.E., FLOOR TALKERS, CHANGING TABLE STICKERS, CRIB CARDS) WITH ONE CONSISTENT MESSAGE FOR COUNTYWIDE DISTRIBUTION AT COMMUNITY VENUES (E.G., PHYSICIAN PRACTICES, GROCERY STORES, HOSPITALS, HEALTH FAIRS, FAITH-BASED GROUPS).- PARTICIPATION IN THE STARK COUNTY HEALTH DEPARTMENT CRIBS FOR KIDS PROGRAM WITH DISTRIBUTION OF SAFE SLEEP KITS TO ELIGIBLE FAMILIES IN THE BIRTH CENTER.- COMMUNITY OUTREACH EDUCATION BY WORKING ON WELLNESS (WOW) TEAM NURSES. IN 2020, THE WOW TEAM PROGRAM COMMUNITY OUTREACH EDUCATION WAS SUSPENDED DURING THE PANDEMIC.QUALITY IMPROVEMENT COLLABORATIVES TESTING OF EMERGING BEST PRACTICES AULTMAN PHYSICIANS PLAY A KEY ROLE IN IDENTIFYING AND EVALUATING EFFECTIVENESS OF EMERGING PRACTICES AS MEMBERS OF THE OHIO PERINATAL QUALITY COLLABORATIVE (OPQC), OHIO COLLABORATIVE TO PREVENT INFANT MORTALITY, COLLABORATIVE IMPROVEMENT & INNOVATION NETWORK AND BREASTFEEDING TASK FORCE. EACH COLLABORATIVE ALIGNS WITH THE THRIVE GOAL. FOR EXAMPLE, DR. MICHAEL KREW, MD, MS, MATERNAL-FETAL MEDICINE SPECIALIST AND CLINICAL PROFESSOR OBSTETRICS AND GYNECOLOGY AT NORTHEAST OHIO MEDICAL UNIVERSITY, SERVES AS AN OBSTETRIC CONSULTANT FOR THE OPQC PREMATURITY PREVENTION INITIATIVES INCLUDING REDUCTION IN ELECTIVE BIRTH <39 WEEKS, INITIATING PROGESTERONE FOR PRETERM BIRTH RISK AND USE OF HUMAN MILK IN INFANTS 22-29 WEEKS GESTATIONAL AGE.
PART V, LINE 11 (AULTMAN HOSPITAL) CONTINUED	IMPACT: FOR SIX YEARS, CANTON CITY PUBLIC HEALTH HAS LED AN EFFORT TO REDUCE INFANT MORTALITY AND DISPARITY RATES THROUGH A COUNTYWIDE STARK COUNTY THRIVE COLLABORATIVE. SINCE 2017, THE CHWS HAVE SUPPORTED 429 PREGNANT OR WOMEN WITH A CHILD UNDER AGE 1; 139 BIRTHS; AND INDIVIDUALS AND FAMILIES IN GETTING NEEDED MEDICAL AND SOCIAL SERVICES AND BASIC NEEDS. THE THRIVE COLLABORATIVE MEMBERS HAVE GAINED A MUCH DEEPER UNDERSTANDING OF THE NATURE OF STARK COUNTY'S INFANT MORTALITY PROBLEM THROUGH THE USE OF DATA AND STUDY. THE THRIVE COLLABORATIVE LOOKS TO FIVE-YEAR TRENDS TO GAUGE PROGRESS SINCE STARK COUNTY HAS FEWER BIRTHS THAN LARGER COUNTIES IN OHIO. PRELIMINARY STARK COUNTY THRIVE RESULTS ARE PROMISING WITH A DROP IN THE STARK COUNTY IMR TO 5.5 DEATHS PER 1,000 LIVE BIRTHS IN 2018. THIS REPRESENTS A SIGNIFICANT DECREASE FROM A RATE OF 9.3 IN 2017 AND 9 IN 2016 AND SHOWS PROGRESS IN ADDRESSING RACIAL DISPARITY IN BIRTH OUTCOMES. STATEWIDE DATA SHOWED THAT BLACK INFANTS IN OHIO IN 2017 WERE DYING AT NEARLY THREE TIMES THE RATE OF WHITE INFANTS. STARK COUNTY'S DISPARITY RATE RATIO, WHICH COMPARES THE INFANT MORTALITY RATE OF BLACK AND WHITE INFANTS, DROPPED TO 5.5 IN 2018, DOWN FROM 9.3 IN 2017. STARK COUNTY'S BLACK INFANT MORTALITY RATE WAS 7.4 DEATHS PER 1,000 LIVE BIRTHS IN 2018, DOWN FROM 17.5 IN 2017. THE WHITE INFANT MORTALITY RATE WAS 5.4 DEATHS PER 1,000 LIVE BIRTHS, DOWN FROM 8.5 IN 2017. IN 2019, THE AMERICAN HOSPITAL ASSOCIATION RECOGNIZED AULTMAN HOSPITAL AND THE THRIVE WITH THE DICK DAVIDSON NOVA AWARD FOR INNOVATIVE COLLABORATIONS IN WHICH HOSPITALS ARE ENGAGED TO BRING BETTER HEALTH TO THE POPULATIONS THEY SERVE. NEED 4: OBESITY AND HEALTHY LIFESTYLE CHOICESACTION: BEE HEALTHY WELLNESS PROGRAMBEE HEALTHY IS A VOLUNTARY PROGRAM THAT PROMOTES HEALTH, WELLNESS AND PREVENTIVE STRATEGIES TO OUR COLLEAGUES SUPPORTING AULTMAN'S MISSION OF LEADING THE COMMUNITY TO IMPROVED HEALTH. STAFF MEMBERS HAVE OPPORTUNITIES TO EARN INCENTIVES WHILE ENGAGING IN A HEALTHY AND FIT LIFESTYLE. IN 2020, DUE TO THE PANDEMIC, THE BEE HEALTHY WELLNESS PROGRAM SUSPENDED ACTIVITIES, AND ALL COLLEAGUES RECEIVED REDUCED PREMIUMS FOR 2021 AULTCARE HEALTH PLANS. 2022 DATA PENDING.AULTMAN HOSPITAL GIVE IT UP: TOBACCO CESSATION NURSES SCREEN ADULT PATIENTS IN INPATIENT SETTINGS FOR TOBACCO USE AND MAKE REFERRALS TO THE RESPIRATORY THERAPY DEPARTMENT FOR TOBACCO CESSATION COUNSELING. TOBACCO CESSATION SPECIALISTS WORKED WITH PHYSICIAN OFFICES TO STANDARDIZE EDUCATION MATERIALS AND STREAMLINE THE PHYSICIAN REFERRAL PROCESS BY INTEGRATION INTO THE ELECTRONIC HEALTH RECORD. AULTMAN COMMITS RESOURCES (E.G., STAFF, TOBACCO CESSATION AIDES AND EDUCATION MATERIAL) FREE OF CHARGE. AT NO CHARGE, COMMUNITY MEMBERS CAN PARTICIPATE IN GROUP SESSIONS OFFERED EACH YEAR. THE FREE ONE-HOUR, ONCE-A-WEEK SESSION MEETS FOR SIX WEEKS AT AULTMAN HOSPITAL. LED BY TOBACCO TREATMENT SPECIALISTS IN FACE-TO-FACE OR VIRTUAL SESSIONS, THE GIVE IT UP! PROGRAM COVERS TOPICS RANGING FROM HOW TO CREATE A QUIT "PLAN" TO TIPS ON STAYING TOBACCO-FREE. DURING SESSIONS, PARTICIPANTS:- EXAMINE THEIR TOBACCO USE HISTORY.- IDENTIFY BARRIERS TO QUITTING TOBACCO.- CREATE A QUIT PLAN THAT INCLUDES A SPECIFIC DATE TO STOP USING.- LEARN ABOUT MEDICATION THAT MIGHT HELP (E.G., THE PATCH OR CHANTIX).- LEARN TO COMBAT THE OBSTACLES SUCH AS WEIGHT GAIN, STRESS, WITHDRAWAL AND CRAVINGS.- PREPARE TO STAY TOBACCO-FREE FOR GOOD AND FORM A SUPPORT NETWORK.- ATTEND ADDITIONAL COUNSELING SESSIONS OR CALL FOR SUPPORT AFTER PROGRAM COMPLETION.AULTMAN WEIGHT MANAGEMENTAULTMAN WEIGHT MANAGEMENT OFFERS THREE COMPREHENSIVE WEIGHT-LOSS PROGRAMS BASED ON CLIENT WEIGHT, LIFESTYLE AND NEEDS: NEW DIRECTION, NEW OUTLOOK AND NEW CHOICES. EACH PROGRAM COMBINES THE KEY COMPONENTS OF WEIGHT-LOSS SUCCESS: NUTRITION, BEHAVIOR MODIFICATION, PHYSICAL ACTIVITY AND EMOTIONAL SUPPORT. EACH OFFERS CLIENTS A TEAM OF HEALTHCARE PROFESSIONALS (PHYSICIANS, NURSE PRACTITIONERS, LICENSED DIETITIANS AND LICENSED BEHAVIORAL COUNSELORS). NEW DIRECTION IS A THREE-PHASE, MEDICALLY MONITORED, VERY LOW-CALORIE DIET DESIGNED FOR PEOPLE WITH AT LEAST 40 POUNDS TO LOSE. THE AVERAGE WEIGHT LOSS IS 2-5 POUNDS PER WEEK. THE SOLE MEAL SOURCE IS NUTRITIONALLY COMPLETE SUPPLEMENTS, OFFERED IN 15 DIFFERENT FLAVORS OF BEVERAGES, PUDDINGS, SOUPS OR FUDGE BARS. A HEALTHCARE TEAM GUIDES CLIENTS THROUGH SAFE, RAPID WEIGHT LOSS. WEEKLY EDUCATIONAL CLASSES FOCUS ON NUTRITION, BEHAVIOR CHANGE AND PHYSICAL ACTIVITY. THE PROGRAM TEACHES SKILLS TO ACHIEVE A HEALTHIER WEIGHT AND EAT HEALTHIER. ONGOING GROUP SUPPORT HELPS CLIENTS ACHIEVE THEIR GOALS AND SUSTAIN WEIGHT LOSS.- NEW OUTLOOK IS A THREE-PHASE MEDICALLY MONITORED LOW-CALORIE DIET FOR PEOPLE WANTING TO LOSE 20 POUNDS OR MORE. THE AVERAGE WEIGHT LOSS IS 2-3 POUNDS PER WEEK. THIS PROGRAM COMBINES TWO NEW DIRECTION MEAL SUPPLEMENTS PLUS ONE BALANCED MEAL AND SNACKS PER DAY PURCHASED FROM THE GROCERY STORE. A HEALTHCARE TEAM GUIDES CLIENTS THROUGH ALL PHASES OF THE PROGRAM. WEEKLY EDUCATIONAL CLASSES FOCUS ON NUTRITION, BEHAVIOR CHANGE AND PHYSICAL ACTIVITY. THE PROGRAM TEACHES SKILLS TO ACHIEVE A HEALTHIER WEIGHT AND EAT HEALTHIER. ONGOING GROUP SUPPORT HELPS CLIENTS STAY ON TRACK TO ACHIEVE THEIR GOALS AND SUSTAIN WEIGHT LOSS.- NEW CHOICES IS BASED ON WELL-BALANCED MEALS AND HEALTHY SNACKS FROM GROCERY STORE FOOD. PARTICIPANTS ALSO HAVE THE OPTION TO USE ONE NEW DIRECTION MEAL SUPPLEMENT PER DAY. THIS PROGRAM IS FOR ANYONE WITH ANY AMOUNT OF WEIGHT TO LOSE. THE AVERAGE WEIGHT LOSS IS 0.5 TO 2 POUNDS PER WEEK. PARTICIPANTS MAY ATTEND WEEKLY CLINICS AND EDUCATION CLASSES OR SCHEDULE ONE-ON-ONE VISITS WITH A DIETITIAN. FOLLOW-UP VISITS TO MONITOR WEIGHT, AND FOOD LOGS HELP KEEP PARTICIPANTS ACCOUNTABLE AND ON TRACK TO ACHIEVE GOALS.IN LATE 2019, AULTMAN HEALTH FOUNDATION INTRODUCED AULTMANWM, A MOBILE APP THAT EMPOWERS INDIVIDUALS TO SECURELY JOURNAL MEALS, EXERCISE, HYDRATION AND WEIGHT AS PART OF AN AULTMAN WEIGHT MANAGEMENT PROGRAM OR AS A STAND-ALONE RESOURCE. THE APP MAY ALSO BE PAIRED WITH AN AULTMAN BLUETOOTH SCALE FOR EVEN MORE DAILY BIOMETRIC COLLECTION. WEIGHT MANAGEMENT PROGRAM STAFF MAY USE THE APP DATA TO BETTER ENGAGE WITH CLIENTS ON THEIR WEIGHT LOSS JOURNEY AT OFFICE VISITS OR IN CONJUNCTION WITH TELEHEALTH VISITS. AULTMANWM APP FUNCTIONALITIES INCLUDE:1. THIRD-PARTY INTEGRATION WITH APPLE HEALTHKIT.2. HIPAA-COMPLIANT MESSAGING & SCHEDULING.3. PROGRESS TRACKING.4. HYDRATION & SUPPLEMENT TRACKING.5. MEAL LOGGING.6. DIGITAL CONTENT.EVALUATION OF IMPACTIN 2020, THE COVID-19 PANDEMIC SEVERELY AFFECTED THE OPERATION OF THE AULTMAN WEIGHT MANAGEMENT PROGRAM WITH CLOSURE FOR 4.5 MONTHS IN COMPLIANCE WITH HEALTH REGULATIONS. IN 2020, 100% OF ENROLLED CLIENTS DISCONTINUED OR REDUCED THE DOSE OF AN ANTIHYPERTENSIVE, DIABETES OR CHOLESTEROL MEDICATION, AND 89% ACHIEVED A DECREASE IN THEIR AVERAGE WAIST SIZE. IN 2021, 83% OF ENROLLED CLIENTS DISCONTINUED OR REDUCED THE DOSE OF AN ANTIHYPERTENSIVE, DIABETES OR CHOLESTEROL MEDICATION, AND 95% ACHIEVED A 77% DECREASE IN THEIR AVERAGE WAIST SIZE. IN 2022, 57% (8/14) OF ENROLLED CLIENTS DISCONTINUED OR REDUCED THE DOSE OF AN ANTIHYPERTENSIVE, DIABETES OR CHOLESTEROL MEDICATION, AND 100% (23/23) ACHIEVED A DECREASE IN THEIR AVERAGE WAIST SIZE.AULTMAN GENERATIONS PROGRAMTHE AULTMAN GENERATIONS PROGRAM ENGAGES COMMUNITY MEMBERS 50 AND OLDER TO STAY ACTIVE AND LIVE A HEALTHY LIFE. GENERATIONS OFFERS FREE AND LOW-COST SOCIAL ACTIVITIES, WELLNESS CLASSES, HEALTH SCREENINGS AND EDUCATIONAL OPPORTUNITIES SPECIFICALLY DESIGNED FOR SENIORS. AN ONLINE EVENT CALENDAR LISTS PROGRAM EVENTS. AULTMAN AMBASSADOR PROGRAM INITIATED IN 2012, THE AULTMAN AMBASSADOR PROGRAM HAS THE VISION OF MAKING GREATER STARK COUNTY SCHOOLS THE HEALTHIEST IN THE STATE OF OHIO BY THE YEAR 2032. THE PROGRAM HAS A MISSION TO IMPROVE THE OVERALL HEALTH AND WELL-BEING OF YOUTH BY IMPLEMENTING ONGOING HEALTH PROMOTION AND PREVENTION, RESULTING IN A HEALTHIER COMMUNITY. THE AULTMAN AMBASSADOR PROGRAM PARTNERS WITH AREA COLLEGES, UNIVERSITIES AND HIGH SCHOOLS TO INFLUENCE HEALTHY LIFESTYLE CHOICES AMONG THE STUDENT POPULATION. THE AULTMAN AMBASSADOR PROGRAM, IN PARTNERSHIP WITH THE ALLIANCE FOR A HEALTHIER GENERATION, USES THE EVIDENCE-BASED HEALTHY SCHOOLS PROGRAM FRAMEWORK IN 16 STARK COUNTY HIGH SCHOOLS, FOUR WAYNE COUNTY HIGH SCHOOLS AND ONE MIDDLE SCHOOL AND ONE MAHONING COUNTY HIGH SCHOOL. AN AULTMAN WELLNESS COORDINATOR LEADS THE INITIATIVE PROVIDING COACHING AND MENTORING OF HIGH SCHOOL AND UNIVERSITY TEAMS ON USE OF THE HEALTHY SCHOOLS PROGRAM FRAMEWORK, CYCLE, TOOLS AND RESOURCES. PARTICIPATING SCHOOLS COMPLETE AN ASSESSMENT AND IMPLEMENT AN ACTION PLAN TO INFLUENCE A CULTURE OF HEALTH AND INSTILL HEALTHY LIFESTYLE HABITS.
PART V, LINE 11 (AULTMAN HOSPITAL) CONTINUED	THE AULTMAN AMBASSADOR PROGRAM EMPOWERS HIGH SCHOOL STUDENTS THROUGH AN OPPORTUNITY TO SERVE AS AN AULTMAN AMBASSADOR TO ENGAGE THEIR PEERS, FAMILIES AND COMMUNITIES IN HEALTHY LIFESTYLE HABITS. STUDENTS IN ALL PARTICIPATING SCHOOLS SHOW STEADY INTEREST TO SERVE AS AULTMAN AMBASSADORS WITH THREE HUNDRED AND FIFTY-THREE (353) STUDENTS USING PEER-TO-PEER MENTORING TO PROMOTE THE PROGRAM'S CORE PRINCIPLES OF NUTRITIOUS MEALS AND SNACKS, WATER HYDRATION, ACTIVE LIFESTYLE, SLEEP HABITS AND STRESS MANAGEMENT. THE TEAMS AT EACH ENROLLED SCHOOL FOLLOW AN ANNUAL CYCLE TO CONDUCT AN ASSESSMENT, DEVELOP AN ACTION PLAN, IMPLEMENT THE ACTION PLAN AND EVALUATE THE IMPACT OF THE ACTION PLAN. THE ASSESSMENT IDENTIFIES PRIORITY HEALTHY SCHOOL TOPIC AREAS AT EACH SCHOOL. THE ACTION PLAN IS BUILT BASED ON NEEDS. HEALTH PROMOTION ACTIVITIES DETAILED IN THE ACTION PLAN (E.G., WALKING AND HYDRATION CHALLENGES, STAFF PROFESSIONAL DEVELOPMENT WELLNESS ACTIVITIES, MENTAL HEALTH DAYS) ARE IMPLEMENTED THROUGHOUT THE SCHOOL YEAR. THE EVALUATION PHASE MEASURES ACCOMPLISHMENT OF GOALS TO HELP GUIDE THE NEXT STEPS. IN 2020, IN-PERSON PARTICIPATION WAS SUSPENDED DURING THE PANDEMIC AND VIRTUAL ACTIVITIES WERE IMPLEMENTED. AT YEAR-END 2021 TO 2022, AULTMAN HEALTH FOUNDATION RECOGNIZED SCHOOL PARTICIPATION.AULTMAN FOOD INSECURITY COMMITTEEBECAUSE ONLY 20% OF HEALTH CAN BE ATTRIBUTED TO MEDICAL CARE, AULTMAN'S POPULATION HEALTH STRATEGY HAS INVESTED IN THE IDENTIFICATION OF SOCIAL DETERMINANTS OF HEALTH SUCH AS FOOD INSECURITY AS A SIGNIFICANT POPULATION HEALTH ISSUE. ACCORDING TO THE USDA, FOOD INSECURITY REPRESENTS A HOUSEHOLD-LEVEL ECONOMIC AND SOCIAL CONDITION OF LIMITED OR UNCERTAIN ACCESS TO ADEQUATE FOOD FOR AN ACTIVE AND HEALTHY LIFE. HUNGER MAY RESULT FROM FOOD INSECURITY. FEEDING AMERICA ESTIMATES A STARK COUNTY FOOD INSECURITY RATE OF 17.5% OF THE TOTAL POPULATION, A 30% INCREASE DUE TO THE PANDEMIC. THE STARK COUNTY CHILD FOOD INSECURITY RATE IS 27.6%, A 39% INCREASE DUE TO THE PANDEMIC. FOOD INSECURITY CAN INCREASE THE RISK OF:- PHYSICAL HEALTH ISSUES INCLUDING HYPERTENSION, ASTHMA, TOOTH DECAY, ANEMIA, INFECTION AND BIRTH DEFECTS.- BEHAVIORAL HEALTH ISSUES INCLUDING DEPRESSION AND ANXIETY.- CHRONIC HEALTH CONDITIONS INCLUDING OBESITY AND DIABETES.FROM 2019 TO 2021, THE AULTMAN FOOD INSECURITY COMMITTEE, COMPRISED OF HOSPITAL AND COMMUNITY PARTNER MEMBERS, ADDRESSED HOSPITAL-BASED STRATEGIES TO ADDRESS STARK COUNTY FOOD INSECURITY AND MITIGATE THE IMPACT FOOD INSECURITY HAS ON HEALTH AND HEALTH OUTCOMES FOR PATIENT POPULATIONS SERVED. AULTMAN USED THE AMERICAN HOSPITAL ASSOCIATION'S ROLE OF HOSPITALS IN FOOD INSECURITY AS A FRAMEWORK. THE AULTMAN FOOD INSECURITY COMMITTEE AIMED TO IMPROVE COMMUNITY HEALTH BY IMPLEMENTING UPSTREAM AFFORDABLE, PATIENT-CENTERED, EQUITABLE INTERVENTIONS. THE POPULATION HEALTH STRATEGY INTEGRATED EVIDENCE-BASED CLINICAL AND NON-CLINICAL INTERVENTIONS THAT LEAD TO A SUSTAINABLE IMPACT ON REDUCING THE PREVALENCE OF FOOD INSECURITY AND RELATED HEALTH CONDITIONS. BENEFITS OF IMPLEMENTING CLINICAL INTERVENTIONS INCLUDE IDENTIFYING THE TARGET POPULATION, REDUCING THE PREVALENCE OF FOOD INSECURITY AND ITS RELATED HEALTH CONDITIONS, ADVANCING CULTURALLY COMPETENT CARE AND PROMOTING A HEALTHIER ENVIRONMENT. BENEFITS OF IMPLEMENTING NONCLINICAL INTERVENTIONS INCLUDE LEVERAGING PARTNERSHIPS WITH LOCAL FOOD ORGANIZATIONS AND OVERCOMING THE STIGMA ASSOCIATED WITH FOOD INSECURITY. IN NOVEMBER 2021, THE COMMITTEE WAS DISSOLVED, AND AULTMAN HEALTH FOUNDATION WILL CONTRIBUTE TO ONGOING COMMUNITY NEEDS AS A MEMBER OF THE STARK COUNTY FOOD COUNCIL.IN 2019-2022, THE AULTMAN FOOD INSECURITY COMMITTEE PARTNERS IMPLEMENTED AND SUSTAINED THE FOLLOWING PROGRAMS AND SERVICES TO MEET LOCAL COMMUNITY FOOD NEEDS: SCREENING FOR FOOD INSECURITY, LITTLE FLOWER FAMILY PRACTICE PRODUCE PERKS MIDWEST PRODUCE PRESCRIPTION GRANT, CEDAR ELEMENTARY SCHOOL FOOD ASSISTANCE PROGRAMS, AKRON-CANTON REGIONAL FOODBANK CANTON CAMPUS AND STARKFRESH MOBILE GROCERY MARKET.

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - AULTMAN NORTH
6100 WHIPPLE AVE NW	NORTH CANTON	OH	44720	IMMEDIATE CARE, DIAGNOSTICS THERAPY
2 - HOME MEDICAL SUPPLY EQUIPMENT
5200 TUSCARAWAS ST	CANTON	OH	44708	MEDICAL SUPPLY CO
3 - AULTWORKS
4650 HILLS DALES RD NW	CANTON	OH	44708	BWC-CERTIFIED TREATMENT FACILITY
4 - AULTMAN CARROLLTON
1020 TRUMP RD	CARROLLTON	OH	44615	IMMEDIATE CARE, DIAGNOSTICS THERAPY AND SURGERY
5 - AULTMAN TUSCARAWAS AND WEIGHT MANAGEMENT
2615 TUSCARAWAS ST W	CANTON	OH	44708	THERAPY CLINIC AND WEIGHT MANAGEMENT
6 - AULTMAN FAMILY MEDICINE CENTER
8320 WAYNESBURG DR SE	WAYNESBURG	OH	44688	OUTPATIENT PHYSICIAN CLINIC
7 - AULTMAN LOUISVILLE
1925 WILLIAMSBURG WAY	LOUISVILLE	OH	44641	THERAPY CLINIC
8 - ALLIANCE COMMUNITY MEDICAL FOUNDATION
200 E STATE STREET	ALLIANCE	OH	44601	PHYSICIAN PRACTICES

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	ACCORDING TO AULTMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 200% OF FPG RECEIVES 100% DISCOUNT, 201% TO 400% IS DISCOUNTED 65%, AND 401% AND ABOVE IS DISCOUNTED 59%.ACCORDING TO AULTMAN ORRVILLE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 200% OF FPG RECEIVES 100% DISCOUNT, 201% TO 400% IS 65%, 401% AND ABOVE IS DISCOUNTED 59%.ACCORDING TO AULTMAN ALLIANCE COMMUNITY HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES.THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 100% OF FPG RECEIVES 100% DISCOUNT, 101% TO 200% IS DISCOUNTED 75% AND 201% TO 400% IS DISCOUNTED 55 %.
PART I, LINE 6A:	AULTMAN HEALTH FOUNDATION, THE PARENT COMPANY, PUBLISHES ANNUALLY ITS ANNUAL REPORT WHICH INCLUDES ALL RELATED ORGANIZATIONS' PROGRAMS AND SERVICES DESIGNED TO LEAD THE COMMUNITY TO IMPROVED HEALTH AND PROMOTE HEALTHY LIFESTYLES. THIS REPORT IS AVAILABLE ON AULTMAN'S WEBSITE. (SEE 2022-ANNUAL-REPORT.PDF (AULTMAN.ORG).
PART I, LINE 7:	AH AND AOH USE A COMBINATION OF THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 OF SCHEDULE H AND DIRECT COSTING METHOD OF CERTAIN PROGRAMS.AACH'S COST ACCOUNTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR LINE 7. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS SPECIFIC TO AACH. WHERE APPLICABLE, A COST TO CHARGE RATIO WAS USED AND THE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.
PART I, LINE 7G:	AULTMAN HOSPITAL PROVIDES EDUCATION TO THE COMMUNITY THROUGH: 1) HEALTH TALKS BY QUALIFIED PHYSICIANS AND PROFESSIONALS; 2) SUPPORT GROUPS FOR DIABETICS; 3) CLINICAL EXPERIENCES FOR RADIOLOGIC TECHNOLOGY, NURSING AND PHYSICAL THERAPY STUDENTS; 4) SMOKING CESSATION CLASSES; 5) COUNTY HEALTH FAIR; 6) BUSINESS SHOWCASES; AND 7) ELEMENTARY STUDENT BICYCLE SAFETY THROUGH THE AULTMAN SAFETY FIRST PROGRAM.ORRVILLE HOSPITAL FOUNDATION, DBA AULTMAN ORRVILLE HOSPITAL (AOH) PROVIDES EDUCATION TO THE COMMUNITY THROUGH: 1) HEALTH TALKS BY QUALIFIED PHYSICIANS AND PROFESSIONALS; 2) SUPPORT GROUPS FOR DIABETICS; 3) CLINICAL EXPERIENCES FOR RADIOLOGIC TECHNOLOGY, NURSING AND PHYSICAL THERAPYSTUDENTS; 4) SMOKING CESSATION CLASSES; 5) COUNTY HEALTH FAIR; 6)BUSINESS SHOWCASES; AND 7) ELEMENTARY STUDENT BICYCLE SAFETY THROUGH THE AULTMAN SAFETY FIRST PROGRAM.AACH'S SUBSIDIZED HEALTH SERVICES DATA ON LINE 7G DO NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC; THUS THERE ARE NO COSTS TO REPORT IN PART VI.
PART II, COMMUNITY BUILDING ACTIVITIES:	AACH'S IN-HOUSE HOSPITALITY PROGRAM IS OFFERED ANNUALLY DURING THE FALL AND SPRING SCHOOL SEMESTERS. IT IS GEARED TO TEACH HANDICAPPED HIGH SCHOOL STUDENTS JOB, LIFE, AND PERSONAL SKILLS. STUDENTS ARE MENTORED BY AN AACH COLLEAGUE. TWO MORE PROGRAMS WERE OFFERED IN 2019 SIMILAR TO THE HOSPITALITY PROGRAM: 1) STUDENTS WITH DISABILITIES PROGRAM FOR 2 LOCAL SCHOOLS WHERE SCHOOL STAFF MENTOR THEIR STUDENTS WITH SIMILAR SKILLS AND 2) STUDENTS AND AIDES FROM LA FELGER COMMUNITY AND CAREER SERVICES. AACH COLLEAGUES ALSO REACH OUT TO THE COMMUNITY TO PROTECT AND IMPROVE COMMUNITY HEALTH AND SAFETY. THE SUMMER TEEN PROGRAM IS AN OPPORTUNITY FOR HIGH SCHOOL STUDENTS AGES 16 TO GRADUATION TO VOLUNTEER OVER THE SUMMER MONTHS DURING THEIR SCHOOL BREAK. WHILE VOLUNTEERING IN THIS PROGRAM IS NOT AN INTERNSHIP OR SHADOWING PROGRAM, IT DOES AFFORD STUDENTS THE UNIQUE OPPORTUNITY TO GAIN NON-CLINICAL EXPERIENCE IN A HOSPITAL SETTING WHILE GAINING PERSONAL SATISFACTION OF HELPING OTHERS. AACH OFFERS READING PROGRAMS TO SPECIAL-NEEDS CHILDREN AND THERAPEUTIC PROGRAMS TO LOCAL NURSING HOME RESIDENTS. NUMEROUS COLLEAGUES PROVIDE COMMUNITY SUPPORT IN COLLABORATIVE EVENTS INCLUDING BLOOD DRIVES. COLLEAGUES ALSO VOLUNTEER NUMEROUS HOURS OR PARTICIPATE ON LOCAL HEALTH-RELATED BOARDS SUCH AS THE STARK COUNTY OPIATE TASK FORCE, THE STARK COUNTY HEALTH NEEDS ADVISORY COMMITTEE, LOCAL CHAPTER OF QUOTA INTERNATIONAL, ALLIANCE FOOD PANTRY, ALLIANCE FOR CHILDREN AND FAMILIES AND DOMESTIC VIOLENCE SHELTER.
PART III, LINE 2:	EXPLANATION OF METHODOLOGY FOR AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE - AH & AOHPATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. PREMIUM RECEIVABLES ARE CARRIED AT ORIGINAL BILLED AMOUNT LESS AN ESTIMATE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS MONTHLY. PREMIUM RECEIVABLES ARE CONSIDERED PAST DUE TO THE EXTENT THAT THERE IS NO RELATED UNEARNED PREMIUM.ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR DOUBTFUL ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE ORGANIZATION HAS DETERMINED, BASED ON AN ASSESSMENT AT THE CONSOLIDATED ENTITY LEVEL, THAT PATIENT SERVICE REVENUE IS PRIMARILY RECORDED PRIOR TO ASSESSING THE PATIENT'S ABILITY TO PAY AND AS SUCH, THE ENTIRE PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO PATIENT REVENUE IS RECORDED AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS.EXPLANATION OF METHODOLOGY FOR AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE - AACHBAD DEBT EXPENSE AT COST WAS CALCULATED BY MULTIPLYING BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS TIMES THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2.
PART III, LINE 3:	METHODOLOGY FOR BAD DEBT RELATED TO CHARITY CARE ACCORDING TO AULTMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE.(1) ELIGIBILITY CRITERIA IS BASED ON THE FEDERAL POVERTY GUIDELINES AND ARE UPDATED ANNUALLY BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES OF HEALTH AND HUMAN SERVICES. THE FAP DISCOUNT IS BASED ON INCOME AND FAMILY SIZE. SELF-PAY BALANCES WILL RECEIVE A MINIMUM OF 63% DISCOUNT AND UP TO 100% IF THE NECESSARY FINANCIAL ASSISTANCE APPLICATION IS COMPLETE. PATIENTS MUST COOPERATE WITH THE FACILITY TO PROVIDE THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY.TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE THAT POTENTIALLY COULD HAVE BEEN ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS CHARITY CARE POLICY THE ORGANIZATION LOOKED AT ALL BAD DEBT BALANCES THAT WERE SELF-PAY. FROM THIS POPULATION THE ORGANIZATION IDENTIFIED THOSE SELF-PAY BALANCES THAT DID NOT RECEIVE ANY FORM OF FAP OR HCAP DISCOUNT. BECAUSE ALL SELF-PAY PATIENTS RECEIVE AT LEAST A MINIMUM OF 63% REGARDLESS OF INCOME, THE ASSUMPTION WAS MADE THAT IF THE ACCOUNT HAD NO DISCOUNT THE PROPER PAPER WORK WAS NOT TURNED IN TO DETERMINE ELIGIBILITY CRITERIA. FROM THIS REMAINING POPULATION THE ESTIMATED DISCOUNT AT COST THAT WOULD HAVE BEEN PROVIDED IF DOCUMENTATION HAD BEEN RECEIVED WAS CALCULATED BY APPLYING THE ACTUAL FAP DISTRIBUTION OF PATIENTS WHO RECEIVED DISCOUNTS IN 2022 AND THEN MULTIPLYING THIS AMOUNT BY THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2. (1) TO BE CONSIDERED FOR FINANCIAL ASSISTANCE, THE PATIENT MUST COOPERATE WITH THE FACILITY TO PROVIDE THE INFORMATION AND DOCUMENTATION NECESSARY TO APPLY FOR OTHER EXISTING FINANCIAL RESOURCES THAT MAY BE AVAILABLE TO PAY FOR HIS OR HER HEATH CARE, SUCH AS MEDICAID.METHODOLOGY FOR BAD DEBT RELATED TO CHARITY CARE - AACHESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER AACH'S CHARITY CARE POLICY WAS CALCULATED BASED ON THE ESTIMATED PERCENTAGE DETERMINED BY REVIEWING PATIENT DEMOGRAPHICS, HISTORICAL COLLECTION RATES, CURRENT ECONOMIC CONDITIONS, AND HANDS-ON EXPERIENCE FROM OUR PATIENT FINANCIAL SERVICES DEPARTMENT WHICH INCLUDES AACH'S FINANCIAL COUNSELORS.(1) TO BE CONSIDERED FOR FINANCIAL ASSISTANCE, THE PATIENT MUST COOPERATE WITH THE FACILITY TO PROVIDE THE INFORMATION AND DOCUMENTATION NECESSARY TO APPLY FOR OTHER EXISTING FINANCIAL RESOURCES THAT MAY BE AVAILABLE TO PAY FOR HIS OR HER HEALTH CARE, SUCH AS MEDICAID.
PART III, LINE 4:	SEE THE "PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE" PARAGRAPHS IN NOTE 3 ON PAGES 23 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	AH - THE HOSPITAL HAS A SHORTFALL OF 2,348,066 WITH ITS MEDICARE PATIENTS. 100% OF THE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT EXPENSE SINCE IT IS RELATED TO CARE FOR ELDERLY PATIENTS WHO MIGHT OTHERWISE STRUGGLE TO AFFORD CARE. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS MEDICARE COST REPORT.AOH - AS A CRITICAL ACCESS HOSPITAL, MEDICARE PAYS AT 101% COST, THUS THERE IS NO SHORTFALL. ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT WERE DETERMINED USING THE MEDICARE COST-TO-CHARGE RATIO CALCULATED AS REQUIRED BY MEDICARE.AACH HAS A SHORTFALL FOR 2022. PART III LINES 5 & 6 DATA WAS DERIVED BASED ON WORKSHEET B FROM THE MEDICARE COST REPORTS EXCLUDING NET COMMUNITY BENEFIT INCLUDED ON LINE 7F AND SUBSIDIZED PROGRAMS INCLUDED ON PART I, LINE 7G. THE SHORTFALL CALCULATED ON PART III SHOULD BE CONSIDERED COMMUNITY BENEFIT SINCE THE MEDICARE PARTICIPANTS SERVED BY AACH RECEIVED THOSE SERVICES AT A SIGNIFICANT PERSONAL DISCOUNT OR FREE OF CHARGE AND MAY NOT HAVE BEEN ABLE TO AFFORD HEALTHCARE OTHERWISE
PART III, LINE 9B:	AH & AOH - THE COLLECTIONS DEPARTMENT WILL ATTEMPT TO CONTACT THE PATIENT; BY PHONE, LETTER OR A COMBINATION OF THE TWO, TO SETTLE A DEBT WITH PAYMENT IN FULL OR MONTHLY INSTALLMENTS. IF IT HAS BEEN DETERMINED AN ACCOUNT IS APPROVED FOR HCAP THE ACCOUNT IS REMOVED FROM BAD DEBT AND THE ADJUSTMENT IS APPLIED. ALSO, IF AN ACCOUNT IS APPROVED FOR FAP, THE ACCOUNT IS REMOVED FROM BAD DEBT AND THE ADJUSTMENT IS APPLIED. AFTER THE GUIDELINE ADJUSTMENT HAS BEEN MADE THE REMAINING BALANCE IS SENT BACK TO RESUME COLLECTIONS. ONCE IT HAS BEEN DETERMINED THAT INTERNAL COLLECTION EFFORTS WILL CEASE, THE COLLECTOR WILL REQUEST THE ACCOUNT TO BE CANCELLED. THESE ACCOUNTS WILL THEN BE REFERRED TO A SECONDARY OUTSIDE COLLECTION AGENCY.AACH'S COLLECTION PRACTICES FOR PATIENTS IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE IS BASED ON THE ACCOUNT BALANCE NET OF THE CHARITY WRITE-OFF. AS LONG AS THE PATIENT MAKES A MINIMAL MONTHLY PAYMENT, THE ACCOUNT IS CONSIDERED CURRENT. IF PAYMENT IS NOT RECEIVED MONTHLY, A CALL FROM OUR FINANCIAL COUNSELING ASSOCIATES IS MADE ALONG WITH SENDING OUT A MONTHLY STATEMENT. IF PAYMENT IS THEN RECEIVED, THE ACCOUNT RETURNS TO "CURRENT". IF THERE ARE SIX CONSECUTIVE MONTHS WITHOUT PAYMENT, THE ACCOUNT IS TURNED OVER TO OUR COLLECTION AGENCY TO ATTEMPT TO COLLECT THE BALANCE DUE. AACH DOES NOT CHARGE INTEREST ON OUTSTANDING BALANCES.
PART V, FACILITY INFORMATION	AULTMAN HOSPITAL INCLUDES ONE DURABLE MEDICAL EQUIPMENT COMPANY, ONE PAIN MANAGEMENT CENTER, ONE SKILLED NURSING FACILITY, ONE HOME CARE, ONE HOSPICE, TWO BUREAU OF WORKMAN'S COMPENSATION CERTIFIED TREATMENT FACILITIES, ONE DIALYSIS CENTER, TWO FAMILY PRACTICES, ONE WEIGHT MANAGEMENT FACILITY, SIX THERAPY CLINICS, THREE DIAGNOSTIC CENTERS, TWO SAME DAY SURGERY CENTERS, ONE INPATIENT SURGERY CENTER, AND THREE IMMEDIATE CARE CENTERS.
PART VI, LINE 2:	NEEDS ASSESSMENT - AHAULTMAN HOSPITAL ASSESSES THE COMMUNITY'S HEALTH CARE NEEDS IN A VARIETY OF WAYS. WE STUDY PROTOCOL VOLUME AND PATIENT SATISFACTION SURVEYS. WE DOCUMENT THE MEDICAL CONDITIONS THOUSANDS OF COMMUNITY MEMBERS AND MEDICAL STAFF MEMBERS INQUIRE ABOUT IN OUR SHARON LANE HEALTH CENTER HEALTH LIBRARY. WE TRACK ATTENDANCE AT THE MORE THAN 100 "HEALTH TALK" PRESENTATIONS HELD EACH YEAR TO DETERMINE WHAT TOPICS ARE OF MOST INTEREST TO THE COMMUNITY. IN 2022, AULTMAN COLLABORATED WITH AREA HOSPITALS AND HEALTH CARE FACILITIES TO CONDUCT A COMMUNITY HEALTH SURVEY. THE GOAL WAS TO GAUGE THE HEALTH STATUS AND HEALTH HABITS OF STARK COUNTY RESIDENTS - AND IDENTIFY AREAS WHERE AULTMAN CAN IMPROVE THE HEALTH OF OUR COMMUNITY . FIFTEEN QUESTIONS WERE INCLUDED ON THE POLL OF 1,136 STARK COUNTY HOUSEHOLDS.NEEDS ASSESSMENT - AOHEVERY THREE YEARS, THE ORGANIZATION IS REQUIRED TO PERFORM A COMMUNITY HEALTH NEEDS ASSESSMENT. AULTMAN ORRVILLE HOSPITAL CONDUCTED ITS MOST RECENT SURVEY AND ASSESSMENT DURING 2022 AND HAVE POSTED BOTH THE REPORT AND IMPLEMENTATION STRATEGY TO THE AOH WEBSITE. THE AULTMAN ORRVILLE HOSPITAL CEO AND CFO ALSO CONDUCT COMMUNITY AWARENESS PRESENTATIONS OF THE REPORT AND STRATEGY WITH VARIOUS LOCAL NON-PROFIT INTEREST GROUPS TO GENERATE AWARENESS.NEEDS ASSESSMENT - AACHIN ADDITION, OUR THREE-YEAR GROUP CHNA, AACH ASSESSES HEALTH CARE NEEDS BY ACTIVELY PARTICIPATING IN OUR COUNTY-WIDE COMMUNITY HEALTH ASSESSMENT GROUP. THIS EXTENSIVE GROUP OF INDIVIDUALS FROM VARIOUS LOCAL NONPROFITS PROVIDES ONGOING AND VALUABLE FEEDBACK WHEN EVALUATING THE HEALTH CARE NEEDS OF OUR COMMUNITY.
PART VI, LINE 3:	PATIENT EDUCATION AND ELIGIBILITY FOR ASSISTANCE - AHTHE APPLICATION AND GUIDELINES ARE PROVIDED ON THE BACK OF EVERY PATIENT STATEMENT. AT THE TIME OF REGISTRATION PATIENTS ARE ASKED TO FILL OUT THE HOSPITAL CARE ASSURANCE PROGRAM APPLICATION WHICH INCLUDES CONTACT INFORMATION FOR QUESTIONS AND ASSISTANCE IN COMPLETING THE FORM. SIGNS AND APPLICATIONS ARE POSTED AT ALL POINTS OF ADMISSIONS INFORMING PATIENTS OF THE FREE CARE PROGRAMS WHICH ARE AVAILABLE. IN 2010, THE APPLICATION WAS ADDED TO THE INTERNET FOR EASY PATIENT ACCESS. AULTMAN'S OUTREACH DEPARTMENT ASSISTS SELF-PAY INPATIENTS WITH THE INITIAL MEDICAID APPLICATION PROCESS AND OTHER CHARITY CARE PROGRAMS UNDER WHICH THEY ARE ELIGIBLE FOR ASSISTANCE. PATIENTS WHO ARE UNABLE TO BE SCREENED DURING THEIR ADMISSION OR OUTPATIENT VISIT ARE SENT AN APPLICATION, UPON REQUEST, AFTER THEY HAVE BEEN DISCHARGED. IMPROVEMENT PROCESSES FOR 2019 INCLUDED FORMAL PATIENT OUTREACH STAFF TRAINING IN HCAP PROGRAM REQUIREMENTS AND CUSTOMER SERVICE SKILLS.PATIENT EDUCATION AND ELIGIBILITY FOR ASSISTANCE - AOHTHE APPLICATION AND GUIDELINES ARE PROVIDED ON THE BACK OF EVERY PATIENT STATEMENT. AT THE TIME OF REGISTRATION PATIENTS ARE ASKED TO FILL OUT THE HOSPITAL CARE ASSURANCE PROGRAM APPLICATION AND FAP WHICH INCLUDES CONTACT INFORMATION FOR QUESTIONS AND ASSISTANCE IN COMPLETING THE FORM. SIGNS AND APPLICATIONS ARE POSTED AT ALL POINTS OF ADMISSIONS INFORMING PATIENTS OF THE FREE CARE PROGRAMS WHICH ARE AVAILABLE. IN 2016, THE APPLICATION WAS ADDED TO THE INTERNET FOR EASY PATIENT ACCESS. AULTMAN ORRVILLE HOSPITAL FINANCIAL COUNSELORS ASSIST SELF-PAY INPATIENTS WITH THE INITIAL MEDICAID APPLICATION PROCESS AND OTHER CHARITY CARE PROGRAMS UNDER WHICH THEY ARE ELIGIBLE FOR ASSISTANCE. PATIENTS WHO ARE UNABLE TO BE SCREENED DURING THEIR ADMISSION OR OUTPATIENT VISIT ARE SENT AN APPLICATION, UPON REQUEST, AFTER THEY HAVE BEEN DISCHARGED. IMPROVEMENT PROCESSES FOR 2020 INCLUDED FORMAL FINANCIAL COUNSELOR STAFF TRAINING IN HCAP/FAP PROGRAM REQUIREMENTS AND CUSTOMER SERVICE SKILLS.PATIENT EDUCATION AND ELIGIBILITY FOR ASSISTANCE - AACHDURING THE REGISTRATION PROCESS, THE PATIENT'S INITIAL FINANCIAL RESPONSIBILITY IS DETERMINED BASED ON INSURANCE COVERAGE, DEDUCTIBLES, ETC. SUPPLIED BY THE PATIENT. IF IT IS DETERMINED THAT THE PATIENT WILL BE PARTIALLY OR FULLY RESPONSIBLE FOR THEIR MEDICAL CHARGES, THEN THE PATIENT WILL RECEIVE PERSONAL CREDIT COUNSELING FROM AACH CREDIT PERSONNEL, OUR FINANCIAL COUNSELING TEAM. AACH FOLLOWS EMTALA STANDARDS FOR EMERGENCY ROOM AND LABOR VISITS. A PATIENT BILLING BROCHURE IS AVAILABLE IN THE ADMISSIONS AND EMERGENCY ROOM AREAS TO ALL PATIENTS. THE BROCHURE PROVIDES INFORMATION ON FINANCIAL ASSISTANCE ALONG WITH PHONE NUMBERS SO THAT AN INDIVIDUAL CAN SPEAK TO A MEMBER OF THE PATIENT BILLING TEAM AND/OR SET UP A PERSONAL APPOINTMENT FOR FINANCIAL COUNSELING. IN ADDITION, MONTHLY BILLING STATEMENTS INCLUDE A FINANCIAL ASSISTANCE APPLICATION ON THE BACK PLUS PHONE NUMBERS FOR ASSISTANCE. AACH HAS AN "EARLY-OUT" SERVICE TO HELP ALL PATIENTS WITH ASSISTANCE. WE REFER PATIENTS WHO WE BELIEVE ARE ELIGIBLE FOR MEDICAID TO AN AGENCY SPECIALIZING IN MEDICAID ELIGIBILITY AND APPLICATION SO THE PATIENT RECEIVES THE FINANCIAL EXPERTISE NEEDED FOR FINANCIAL ASSISTANCE. AACH POSTS THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ON THE HOSPITAL'S WEBSITE UNDER PATIENT RESOURCES.
PART VI, LINE 4:	COMMUNITY INFORMATION - AHAULTMAN'S SERVICE AREA INCLUDES STARK, WAYNE, HOLMES, CARROLL AND TUSCARAWAS COUNTIES. THE CORE MARKET FOR AULTMAN HOSPITAL IS STARK COUNTY. THE U.S. CENSUS BUREAU ESTIMATED THE 2022 POPULATION OF OUR FIVE COUNTY AREAS TO BE 606,692. THERE ARE EIGHT REGISTERED HOSPITALS IN THE FIVE COUNTY AREA. THREE OF THESE ARE AULTMAN FACILITIES. AULTMAN PROVIDED CARE FOR 26% OF THE TOTAL 368,210 MEDICAID CASES IN THE PRIMARY SERVICE AREA FOR 2022. OF THE 69,581 SELF-PAY CASES IN OUR PRIMARY SERVICE AREA AULTMAN PROVIDED CARE FOR 23%.COMMUNITY INFORMATION - AOHTHE ORGANIZATION SERVES EASTERN WAYNE COUNTY AS THE PRIMARY SERVICE AREA, AS WELL AS THE SURROUNDING COUNTIES (STARK, MEDINA, AND HOLMES) AS THE SECONDARY SERVICE AREA. THE HOSPITAL SERVES ALL RESIDENTS WITH VARIOUS DEMOGRAPHICS, INCLUDING A HIGH POPULATION OF AMISH.AULTMAN ALLIANCE COMMUNITY HOSPITAL IS LOCATED IN ALLIANCE, OHIO AND SERVES STARK, MAHONING, COLUMBIANA AND OTHER SURROUNDING COUNTIES. THE GEOGRAPHIC SERVICE AREA IS MADE UP OF URBAN, SUBURBAN, AND RURAL AREAS. IN 2021, OUR PATIENT CHARGES CONSISTED OF THE FOLLOWING FINANCIAL CLASSES: 22% FROM INDIVIDUALS ON MEANS-TESTED GOVERNMENT PROGRAMS OR UNINSURED; 27% FROM COMMERCIAL INSURANCE, HEALTH MAINTENANCE AND PREFERRED PROVIDER ORGANIZATIONS; AND 51% FROM MEDICARE PROGRAMS. PERSONS BELOW THE POVERTY LEVEL WAS 14% PER THE LATEST CENSUS DATA AVAILABLE AT WWW.CENSUS.GOV. FOR THE SURROUNDING AREA, THE AVERAGE HOUSEHOLD SIZE WAS 2.3 AND THE MEDIAN HOUSEHOLD INCOME WAS $50,515. PERSONS UNDER THE AGE OF 18 ACCOUNTED FOR 20% OF THE POPULATION, AND 21% OF THE POPULATION WAS 65 YEARS AND OLDER. 8% OF PERSONS UNDER THE AGE OF 65 REPORT TO BE WITHOUT HEALTH INSURANCE.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH - AH & AOHAULTMAN'S BOARD OF DIRECTORS HAS 7 NON-EMPLOYED MEMBERS. A TOTAL OF 12 OF THE 12 VOTING BOARD MEMBERS RESIDE IN THE CORE MARKET AREA. AOH'S BOARD OF DIRECTORS IS COMPOSED OF AREA RESIDENTS INCLUDING BUSINESS AND COMMUNITY LEADERS AS WELL AS PHYSICIANS. THESE VOLUNTEERS WORK COUNTLESS HOURS IN THEIR OVERSIGHT ROLE. THEY ARE INVOLVED IN FUNDRAISING, COMMUNITY NEEDS, AND GENERAL STEWARDSHIP.COMMUNITY PHYSICIANS REQUESTING AND ULTIMATELY QUALIFYING FOR MEDICAL STAFF PRIVILEGES WOULD BE GRANTED PRIVILEGES IN THEIR RESPECTIVE MEDICAL DEPARTMENTS. AULTMAN HAS MORE THAN 700 PHYSICIANS ON ACTIVE STAFF IN MORE THAN 40 MEDICAL SPECIALTIES. FROM BICYCLE SAFETY PROGRAMS TO THE ANNUAL UNITED WAY FUNDRAISING CAMPAIGN, AULTMAN'S COMMITMENT TO THE COMMUNITY EXTENDS FAR BEYOND THE WALLS OF ITS HEALTH CARE FACILITIES. EDUCATIONAL PROGRAMS INCLUDE MORE THAN 100 FREE HEALTH TALK PRESENTATIONS EACH YEAR, FEATURING LOCAL PHYSICIANS AND HEALTH CARE PROFESSIONALS. THE AULTMAN WEBSITE HAS ADDITIONAL HEALTH CARE RESOURCES, INCLUDING HEALTH LIBRARY, SYMPTOM CHECKER, VIDEOS AND RISK ASSESSMENTS.IN 2022, AULTMAN HEALTH FOUNDATION CONTRIBUTED TO THE BETTERMENT OF THE STARK COUNTY COMMUNITY WITH THE FOLLOWING ACTIVITIES. SAFETY FIRSTTHROUGH THE SAFETY-FIRST PROGRAM, AULTMAN STRIVES TO KEEP OUR COMMUNITY'S KIDS SAFE BY PREVENTING HEAD TRAUMA AND OTHER BIKE-RELATED INJURIES. AULTMAN EMPLOYEES VOLUNTEERED TO TEACH LOCAL FIRST-GRADE STUDENTS ABOUT BIKE SAFETY. TOPICS INCLUDED THE IMPORTANCE OF WEARING A BIKE HELMET AND OTHER SAFETY GEAR; OBEYING TRAFFIC SIGNS AND SIGNALS; AND USING HAND SIGNALS. IN ADDITION TO THE IN-CLASS EDUCATION, EACH STUDENT RECEIVED A FREE BICYCLE SAFETY BOOKLET AND BIKE HELMET. SINCE THE PROGRAM'S INCEPTION IN 2005, SAFETY FIRST HAS REACHED ABOUT 30,000 STUDENTS WITH THE IMPORTANT MESSAGE OF BICYCLE SAFETY.WORKING ON WELLNESS (WOW)AULTMAN'S WORKING ON WELLNESS (WOW) MOBILE HEALTH-FAIR UNIT DEBUTED IN FEBRUARY 2009. STAFFED BY MEDICAL PROFESSIONALS, THE WOW VAN VISITS SCHOOLS, COMMUNITY CENTERS, CHURCHES, SENIOR CENTERS AND BLOCK PARTIES TO PROVIDE FREE SCREENINGS AND HEALTH EDUCATION. SCREENINGS SUCH AS BLOOD PRESSURE CHECKS, HEIGHT, WEIGHT, AND BODY MASS INDEX/PERCENTAGE OF BODY FAT ARE PROVIDED. THE AULTMAN WORKING ON WELLNESS (WOW) TEAM PROVIDES HEALTH SCREENINGS AND EDUCATION AT NO COST TO OUR COMMUNITY. MEMBERS OF THE WOW TEAM VISIT A VARIETY OF SITES RANGING FROM SCHOOLS, COMMUNITY/OUTREACH CENTERS, CHURCHES, HEALTH FAIRS AND MORE. THE WOW TEAM IS STAFFED BY REGISTERED NURSES WHO PROVIDE HEALTH EDUCATION, RESOURCES AND REFERRALS, AS NEEDED. HEALTH INFORMATION IS AVAILABLE ON A VARIETY OF MEDICAL TOPICS AND CAN BE CUSTOMIZED TO FIT AN INDIVIDUAL'S NEEDS. THE WOW TEAM HAS ATTENDED OVER 297 EVENTS IN 2022, PROVIDING WELLNESS OUTREACH TO THOUSANDS, AND IMPACTING MANY LIVES ALONG THE WAY. WE ARE PROUD TO BE LEADING OUR COMMUNITY TO BETTER HEALTH. CANCER OUTREACHAULTMAN CANCER CENTER BELIEVES THAT EVERY CANCER PATIENT SHOULD BE ABLE TO RECEIVE UP-TO-DATE QUALITY CARE IN THEIR OWN COMMUNITY. THIS DRIVES THE COMMITMENT FOR EXCELLENCE, QUALITY, VALUE AND SERVICE. AULTMAN HOSPITAL REGISTERED NURSE NAVIGATORS, A FINANCIAL RESOURCE ADVOCATE AND A SURVIVORSHIP COORDINATOR RAISE AWARENESS OF HEALTHY LIFESTYLE CHOICES AND CANCER PREVENTION STRATEGIES THROUGH COMMUNITY CANCER SCREENING EVENTS, EDUCATION, AND FOLLOW-UP ACTIVITIES. THESE ANNUAL CANCER PREVENTION OUTREACH EVENTS DEMONSTRATE HOW AULTMAN EMPLOYEES AND LOCAL PHYSICIANS WHO VOLUNTEER THEIR TIME FOR THIS ENDEAVOR PROVIDED ACCESS TO SCREENING SERVICES FOR OVER 500 RESIDENTS WITH OVER 1000 SCREENINGS IN STARK AND SURROUNDING COUNTIES. THEY PARTICIPATE IN COMMUNITY OUTREACH EVENTS, A SCHOOL-BASED INITIATIVE WITH SIXTH-GRADE STUDENTS, A HOMELESS SHELTER AND PARTNER WITH THE MINORITY COMMUNITY TO RAISE AWARENESS ABOUT HEALTH DISPARITIES ASSOCIATED WITH LIFESTYLE CHOICES. THE AULTMAN CANCER CENTER CONDUCTS FREE CANCER SCREENING DAYS FOR BREAST, CERVICAL, COLON, LUNG, PROSTATE, AND SKIN CANCER FOLLOWING NATIONALLY RECOMMENDED SCREENING GUIDELINES. THE AULTMAN CANCER CENTER ENCOURAGES PEOPLE WITH A FAMILY HISTORY OF CANCER OR THOSE WHO HAVE NEVER BEEN SCREENED TO TAKE ADVANTAGE OF THE FREE CANCER SCREENINGS. CANCER SCREENING DAYS ALSO OFFER EDUCATIONAL MATERIALS THAT TEACH THE SIGNS AND SYMPTOMS OF CANCER, AS WELL AS IMPORTANT SCREENING GUIDELINES FOR MEN AND WOMEN AS THEY AGE. THE EVENTS EMPHASIZE THAT BEST CANCER PREVENTION IS TO LIVE A HEALTHY LIFESTYLE BY NOT USING TOBACCO PRODUCTS, LIMITING TIME IN THE SUN, AND ALWAYS USING SUNSCREEN WITH SPF 15 OR HIGHER, LEADING A PHYSICALLY ACTIVE LIFE AND MAINTAINING A HEALTHY WEIGHT.HARVEST FOR HUNGERFOOD INSECURITY IS A CRITICAL ISSUE IN NORTHEASTERN OHIO, AND AULTMAN TEAM MEMBERS GIVE GENEROUSLY TO THE ANNUAL HARVEST FOR HUNGER CAMPAIGN. IN 2022, AULTMAN EMPLOYEES PROVIDED 559 POUNDS OF NONPERISHABLE FOOD DONATIONS AND $5,425 IN CORPORATE AND EMPLOYEE GIFTS THAT HELPED THOUSANDS OF FAMILIES AND INDIVIDUALS IN NEED.CAREERS IN HEALTH CARE SUMMER LEARNING PROGRAMAULTMAN MEDICAL EDUCATION HOSTED THE TWELFTH ANNUAL CAREERS IN HEALTH CARE PROGRAM, DESIGNED FOR STUDENTS 18 AND OLDER WITH INTERESTS IN HEALTH CARE CAREERS. THE PROGRAM INCLUDED PRESENTATIONS FROM DOCTORS, NURSES, AND HOSPITAL ADMINISTRATORS, PROVIDING A GLIMPSE AT HOW A HOSPITAL RUNS. THE SYMPOSIUM ALSO FEATURED A CAREER FAIR THAT ENABLE THE STUDENTS TO TALK WITH EMPLOYEES FROM MORE THAN A DOZEN AULTMAN DEPARTMENTS. SUMMER JOB SHADOWING EXPERIENCES WERE ALSO AVAILABLE FOR SYMPOSIUM PARTICIPANTS. NATIONAL WALKING DAY FOR NATIONAL WALKING DAY IN APRIL, AULTMAN ENCOURAGED BOTH EMPLOYEES AND THE COMMUNITY TO JOIN IN A COMMUNITY WALK AT THE CANTON GARDEN CENTER AT STADIUM PARK IN CANTON. AULTMAN HEALTH FOUNDATION AND MERCY MEDICAL CENTER COLLABORATED TO MAKE THE NATIONAL WALKING DAY EVENT BIGGER AND BETTER THAN BEFORE! THE EVENT INCLUDED EDUCATION BY THE WORKING ON WELLNESS (WOW) TEAM, AULTMAN HEART CENTER, HAPPY TAILS PROGRAM, GENERATIONS, AULTCARE AND OTHERS. DRS. DAVID MALLAMACI AND DALSON SEIBERT JOINED WITH DR. DAVID GORMAN OF MERCY TO LEAD AN HOUR-LONG WALK THROUGH THE PARK THAT EVENING, AS WELL. BREAST OASISFOR WOMEN WHO CANNOT AFFORD BASIC CLOTHING ITEMS SUCH AS BRAS, EACH DAY PRESENTS EMOTIONAL AND UNCOMFORTABLE SITUATIONS. THE BREAST OASIS IS UNDER NEW LEADERSHIP. WHILE AULTMAN EMPLOYEES CONTINUE TO DONATE TOWARDS THIS BASIC NEED, AND DONATIONS HAVE BEEN DISTRIBUTED TO LOCAL BATTERED WOMEN AND HOMELESS SHELTERS AS WELL AS THE STARK COUNTY YWCA.WALKING TO RAISE FUNDS AND IMPROVE THE COMMUNITY'S HEALTHAULTMAN HEALTH FOUNDATION TEAM MEMBERS AND THEIR LOVED ONES SUPPORT ANNUAL FUNDRAISING WALKS FOR ORGANIZATIONS INCLUDING THE MARCH OF DIMES AND JUVENILE DIABETES RESEARCH FOUNDATION. AULTMAN NOT ONLY PARTICIPATES IN THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE AND MAKING STRIDES AGAINST BREAST CANCER WALK - ALONG WITH THE AMERICAN HEART ASSOCIATION'S HEART WALK - BUT CLINICIANS ARE ON HAND TO PROVIDE EDUCATIONAL INFORMATION ABOUT REDUCING RISKS OF CANCER AND HEART DISEASE. UNITED WAYEVERY YEAR, AULTMAN ORGANIZES A FUNDRAISING CAMPAIGN TO BENEFIT UNITED WAY. IN 2022, AULTMAN EMPLOYEES AND PHYSICIANS GENEROUSLY DONATED $300,555 TO FUND PROGRAMS TO BENEFIT COMMUNITY MEMBERS OF ALL AGES AND FROM ALL WALKS OF LIFE.AULTMAN AMBASSADOR PROGRAMINITIATED IN 2012, THE AULTMAN AMBASSADOR PROGRAM HAS THE VISION OF MAKING GREATER STARK COUNTY SCHOOLS THE HEALTHIEST IN THE STATE OF OHIO BY THE YEAR 2032. THE PROGRAM HAS A MISSION TO IMPROVE THE OVERALL HEALTH AND WELL-BEING OF YOUTH BY IMPLEMENTING ONGOING HEALTH PROMOTION AND PREVENTION, RESULTING IN A HEALTHIER COMMUNITY. THE AULTMAN AMBASSADOR PROGRAM PARTNERS WITH AREA COLLEGES, UNIVERSITIES AND HIGH SCHOOLS TO INFLUENCE HEALTHY LIFESTYLE CHOICES AMONG THE STUDENT POPULATION. THE AULTMAN AMBASSADOR PROGRAM, IN PARTNERSHIP WITH THE ALLIANCE FOR A HEALTHIER GENERATION, USES THE EVIDENCE-BASED HEALTHY SCHOOLS PROGRAM FRAMEWORK IN 16 STARK COUNTY HIGH SCHOOLS, FOUR WAYNE COUNTY HIGH SCHOOLS AND ONE MIDDLE SCHOOL AND ONE MAHONING COUNTY HIGH SCHOOL. AN AULTMAN WELLNESS COORDINATOR LEADS THE INITIATIVE PROVIDING COACHING AND MENTORING OF HIGH SCHOOL AND UNIVERSITY TEAMS ON USE OF THE HEALTHY SCHOOLS PROGRAM FRAMEWORK, CYCLE, TOOLS AND RESOURCES. PARTICIPATING SCHOOLS COMPLETE AN ASSESSMENT AND IMPLEMENT AN ACTION PLAN TO INFLUENCE A CULTURE OF HEALTH AND INSTILL HEALTHY LIFESTYLE HABITS.(CONTINUED IN SCHEDULE H PART VI)
PART VI, LINE 6:	AULTMAN'S BOARD OF DIRECTORS HAS 51 NON-EMPLOYED MEMBERS. A TOTAL OF 75 OF THE 80 VOTING BOARD MEMBERS RESIDE IN THE CORE MARKET AREA. 4 RESIDE IN THE TERTIARY MARKET AND 1 LIVE OUT OF STATE. COMMUNITY PHYSICIANS REQUESTING AND ULTIMATELY QUALIFYING FOR MEDICAL STAFF PRIVILEGES WOULD BE GRANTED PRIVILEGES IN THEIR RESPECTIVE MEDICAL DEPARTMENTS.
PART VI, LINE 7, REPORTS FILED WITH STATES	OH
PART VI, LINE 5	THE AULTMAN AMBASSADOR PROGRAM EMPOWERS HIGH SCHOOL STUDENTS THROUGH AN OPPORTUNITY TO SERVE AS AN AULTMAN AMBASSADOR TO ENGAGE THEIR PEERS, FAMILIES AND COMMUNITIES IN HEALTHY LIFESTYLE HABITS. STUDENTS IN ALL PARTICIPATING SCHOOLS SHOW STEADY INTEREST TO SERVE AS AULTMAN AMBASSADORS WITH THREE HUNDRED AND FIFTY-THREE (353) STUDENTS USING PEER-TO-PEER MENTORING TO PROMOTE THE PROGRAM'S CORE PRINCIPLES OF NUTRITIOUS MEALS AND SNACKS, WATER HYDRATION, ACTIVE LIFESTYLE, SLEEP HABITS AND STRESS MANAGEMENT. THE TEAMS AT EACH ENROLLED SCHOOL FOLLOW AN ANNUAL CYCLE TO CONDUCT AN ASSESSMENT, DEVELOP AN ACTION PLAN, IMPLEMENT THE ACTION PLAN AND EVALUATE THE IMPACT OF THE ACTION PLAN. THE ASSESSMENT IDENTIFIES PRIORITY HEALTHY SCHOOL TOPIC AREAS AT EACH SCHOOL. THE ACTION PLAN IS BUILT BASED ON NEEDS. HEALTH PROMOTION ACTIVITIES DETAILED IN THE ACTION PLAN (E.G., WALKING AND HYDRATION CHALLENGES, STAFF PROFESSIONAL DEVELOPMENT WELLNESS ACTIVITIES, MENTAL HEALTH DAYS) ARE IMPLEMENTED THROUGHOUT THE SCHOOL YEAR. THE EVALUATION PHASE MEASURES ACCOMPLISHMENT OF GOALS TO HELP GUIDE THE NEXT STEPS. IN 2020, IN-PERSON PARTICIPATION WAS SUSPENDED DURING THE PANDEMIC AND VIRTUAL ACTIVITIES WERE IMPLEMENTED. AT YEAR-END 2021 TO 2022, AULTMAN HEALTH FOUNDATION RECOGNIZED SCHOOL PARTICIPATION WITH CERTIFICATES, SOCIAL MEDIA POSTS AND A PRESS RELEASE. IN 2020-2022, AULTMAN AWARDED 23 AULTMAN AMBASSADOR SCHOLARSHIPS, 16 AMBASSADOR OF THE YEAR SCHOLARSHIPS AND 14 HIGH SCHOOL HEALTH GRANTS.ADDITIONAL COMMUNITY BENEFITIN ADDITION TO PROVIDING CARE FOR PATIENTS WITH NO INSURANCE, AULTMAN ALSO SERVES THOUSANDS OF PATIENTS COVERED BY PROGRAMS SUCH AS MEDICAID. PAYMENTS FROM THESE FEDERALLY FUNDED PROGRAMS DO NOT ALWAYS COVER THE TOTAL COST OF SERVICE. THROUGH ITS RESIDENT TEACHING PROGRAMS, AULTMAN DELIVERS A SIGNIFICANT LEVEL OF QUALITY OUTPATIENT AND INPATIENT HEALTH CARE TO INSURED, UNDERINSURED AND UNINSURED INDIVIDUALS IN OUR MARKET. FOR MEMBERS OF THE AMISH COMMUNITY, AULTMAN OFFERS FREE TRANSPORTATION TO AND FROM DOCTORS' APPOINTMENTS AND AULTMAN HOSPITAL. AN AMISH HOUSE IS ALSO LOCATED ADJACENT TO THE AULTMAN CAMPUS, GIVING VISITORS A FREE PLACE TO STAY WHEN LOVED ONES ARE HOSPITALIZED.PROMOTION OF COMMUNITY HEALTH - AACHBLOOD PRESSURE SCREENINGS AND PROVIDE HEALTH INFORMATION/HANDOUTS. HEALTH FAIRS ARE ALSO OFFERED FREE TO THE COMMUNITY AT LOCAL FARMER'S MARKETS, YMCA'S, AND ASSISTED LIVING LOCATIONS. THE HOSPITAL'S HEALTH CARING RESOURCES LIBRARY PROVIDES FREE BLOOD PRESSURE SCREENINGS TO THE COMMUNITY EACH WEEK AND THE LIBRARY IS AVAILABLE TO THE PUBLIC FOR MEDICAL QUESTIONS. AULTMAN ALLIANCE COMMUNITY HOSPITAL (AACH) PROMOTES THE HEALTH OF THE COMMUNITY BY GIVING BOTH TIME AND DOLLARS TO LOCAL CHARITABLE ORGANIZATIONS S. AACH SUPPORTS ITS MISSION TO PROVIDE A SAFE, COMFORTING, HEALING ENVIRONMENT AND IS ALSO COMMITTED TO PROMOTING COMMUNITY HEALTH. UNFORTUNATELY, MANY OF OUR ANNUAL SUPPORT ACTIVITIES (CARNATION DAYS IN THE PARK, HEALTH FAIRS, LOCAL FARMER'S MARKETS AND ASSISTED LIVING SCREENINGS) WERE CANCELLED DUE TO THE PANDEMIC. THE HOSPITAL'S HEALTH CARING RESOURCES LIBRARY PROVIDES WEEKLY FREE BLOOD PRESSURE SCREENINGS TO THE COMMUNITY EACH WEEK (ONLY THROUGH MID-MARCH FOR 2020 DUE TO PANDEMIC). THE LIBRARY IS AVAILABLE TO THE PUBLIC AS A RESOURCE FOR MEDICAL QUESTIONS AND RESEARCH. THE LIBRARY IS ALSO THE DISTRIBUTION CENTER FOR SEED PACKETS PROVIDED BY STARKFRESH TO GROW FRESH SEASONAL PRODUCE AND THE PUBLIC IS NOTIFIED OF THIS FREE OFFER. AACH COORDINATES COLLEAGUE FUNDRAISING FOR THE ANNUAL UNITED WAY CAMPAIGN AND PROMOTED THE AMERICAN CANCER SOCIETY'S VIRTUAL RELAY FOR LIFE. ALLIANCE'S FACEBOOK PAGE OFFERS HEALTH TIPS AND NOTIFIES THE COMMUNITY ABOUT OUR MONTHLY LUNCHEON PRESENTATIONS WHICH ARE FREE TO THE PUBLIC AND COVER VARIOUS HEALTH TOPICS. AGAIN IN 2021, ALLIANCE OFFERED A FREE BREAST CANCER SCREENING DAY AND ADDED A FREE PROSTATE SCREENING DAY IN SEPTEMBER 2021. DIABETIC EDUCATION CLASSES ARE OFFERED AT THE HOSPITAL FOR A MINIMAL FEE. AACH'S NUTRITIONAL SERVICES DEPARTMENT PREPARES NUTRITIOUS MEALS FOR MEALS ON WHEELS AND LOCAL VOLUNTEERS DELIVERED 17,205 MEALS IN 2021. AACH'S VOLUNTEER DEPARTMENT COORDINATES MANY COMMUNITY PROGRAMS INCLUDING THOSE MENTIONED IN SCHEDULE H PART II, COMMUNITY BUILDING ACTIVITIES. ANOTHER COMMUNITY PROGRAM INCLUDES OUR PET THERAPY PROGRAM AND MOST OF THEIR PARTICIPATION WAS OFFERED OUTSIDE PATIENT WINDOWS IN 2021 WITH PANDEMIC RESTRICTIONS. OUR MEETING ROOMS ARE OFFERED FREE OF CHARGE TO LOCAL ORGANIZATIONS; HOWEVER, IN-PERSON MEETINGS WERE VERY LIMITED IN 2020. THROUGHOUT THE YEAR, CLINICAL PERSONNEL, MANAGERS, DIRECTORS AND EXECUTIVES ARE ENCOURAGED TO SUPPORT THE COMMUNITY THROUGH PARTICIPATION IN VARIOUS CIVIC GROUPS AND ORGANIZATIONS. EACH COLLEAGUE IS ENCOURAGED BY THE ORGANIZATION TO SHARE THEIR UNIQUE GIFTS WITH THE COMMUNITY IN A WAY THAT FURTHERS THE PURPOSE OF OUR CHARITABLE ORGANIZATION.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
MY COMMUNITY HEALTH CENTER
2600 7TH STREET SW	CANTON	OH	44710	812171085	501(C)(3)	$1,942,000	$0	OPERATIONAL SUPPORT
ALLIANCE FAMILY HEALTH CENTER
1401 S ARCH AVE STE A	ALLIANCE	OH	44601	810789614	501(C)(3)	$88,731	$0	MEDICAL PROFESSIONAL COMPENSATION ASSISTANCE
PREMIER HEALTH ASSOCIATES INC
22792 HARRISBURG WESTVILLE RD	ALLIANCE	OH	44601	341965720		$144,798	$0	OPERATIONAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
AULTMAN HEALTH FOUNDATION SCHOLARSHIP	57	$164,091
EMPLOYEE TUITION DISCOUNTS	112	$317,374

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	AULTMAN HOSPITAL - THE AULTMAN HOSPITAL COMMUNITY SUPPORT POLICY/PROCEDURE PROVIDES GUIDANCE IN RESPONSE TO COMMUNITY ORGANIZATION REQUESTS FOR SUPPORT. AULTMAN HOSPITAL DEEMS IT BENEFICIAL AND NECESSARY TO BE A GOOD CORPORATE CITIZEN AND WILL CONSIDER SUPPORT OF COMMUNITY ENDEAVORS AND PROJECTS THAT WILL IMPROVE THE LIVES AND LIVELIHOOD OF THE COMMUNITY IT SERVES. AULTMAN COLLEGE OF NURSING AND HEALTH SCIENCES - ALL SCHOLARSHIPS ARE APPLIED DIRECTLY TO THE COLLEGE FOR TUITION OF THE ENROLLEE. THE AULTMAN FOUNDATION - AFTER A GRANTEE IS SELECTED, THEY COMPLETE AND SIGN A GRANT ACCEPTANCE AGREEMENT AND A W-9 FORM. GRANTEES ARE ISSUED THEIR FUNDING IN ONE LUMP SUM IN THE FORM OF A CHECK. THE AULTMAN FOUNDATION STAFF REQUEST A PROGRESS REPORT AT 6 MONTHS FROM THE DATE OF FUNDING AND A YEAR-END REPORT AT THE END OF THE FUNDING YEAR. DETAILS REQUESTED FROM THE YEAR-END REPORT INCLUDE: A COMPLETE FINANCIAL REPORT; OBJECTIVES; BENEFITS; COMMUNITY VALUE; FUTURE FUNDING; AND ORGANIZATIONAL GROWTH EVALUATION. IF A PROJECT IS NOT COMPLETE AT THE TIME OF THE YEAR-END REPORT, THE AGENCY SUBMITS A REQUEST FOR AN EXTENSION. THE AGREEMENT STATES THAT THE GRANTEE SHALL RETURN TO THE AULTMAN FOUNDATION ANY UNEXPENDED FUNDS IF THE GRANTEE HAS NOT PERFORMED IN ACCORDANCE WITH THE AGREEMENT AND APPROVED BUDGET OR IF THE GRANTEE LOSES ITS 501(C)(3) EXEMPTION. THE AULTMAN FOUNDATION STAFF PERFORMS ONSITE VISITS POST FUNDING WHERE POSSIBLE AND FEASIBLE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (32 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SUNITHA VEMULAPALLI MD
PHYSICIAN - ANCMG	$650,031	$0	$454,800	$0	$0	$0	$0	$0	$30,261	$0	$1,135,092	$0	$0	$0
DAVID V MUNGO MD
PHYSICIAN - AACH	$558,666	$0	$279,576	$0	$0	$0	$0	$0	$33,613	$0	$871,855	$0	$0	$0
RICK HAINES
CEO - AHF; DIRECTOR - AH, AACH, ACON	$0	$839,056	$0	$1,000	$0	$0	$0	$0	$0	$19,866	$0	$859,922	$0	$0
PRABHCHARAN GILL MD
PHYSICIAN - AH	$641,123	$0	$77,385	$0	$0	$0	$60,850	$0	$18,039	$0	$797,397	$0	$0	$0
MICHAEL A KREW MD
PHYSICIAN - AH	$632,948	$0	$66,000	$0	$0	$0	$70,850	$0	$26,339	$0	$796,137	$0	$0	$0
MICHAEL A NECCI MD
PHYSICIAN - AACH	$549,110	$0	$64,541	$0	$0	$0	$0	$0	$36,313	$0	$649,964	$0	$0	$0
SABRINA SHILAD MD
DIRECTOR - TAF	$337,691	$0	$187,154	$0	$0	$0	$70,850	$0	$35,113	$0	$630,808	$0	$0	$0
CLIFFORD G JOHNSON MD
MEDICAL DIRECTOR - ANCMG	$270,894	$0	$249,723	$0	$0	$0	$0	$0	$34,325	$0	$554,942	$0	$0	$0
CHRISTOPHER E REMARK
CEO - AULTPLAN; DIRECTOR - AACH, ANC	$0	$510,518	$0	$1,000	$0	$0	$0	$0	$0	$35,113	$0	$546,631	$0	$0
MARK D WRIGHT
CFO - AHF; TREASURER - AACH; DIRECTO	$0	$462,980	$0	$1,000	$0	$0	$0	$0	$0	$34,985	$0	$498,965	$0	$0
MATTHEW HIESTAND MD
DIRECTOR - ANCMG	$291,427	$0	$130,854	$0	$0	$0	$0	$0	$34,200	$0	$456,481	$0	$0	$0
JULIA FIORENTINO MD
DIRECTOR - ANCMG	$308,480	$0	$127,402	$0	$0	$0	$0	$0	$15,825	$0	$451,707	$0	$0	$0
FRANCIS TONY SNYDER
CEO - AH; DIRECTOR - ACON	$300,174	$0	$1,000	$0	$103,761	$0	$0	$0	$17,268	$0	$422,203	$0	$0	$0
LORI L MERTES MD
CHIEF QUALITY OFFICER - AH	$401,128	$0	$750	$0	$0	$0	$0	$0	$0	$0	$401,878	$0	$0	$0
ANNE GUNTHER
CNO - HDS; DIRECTOR - AH, ACON, AOH,	$0	$328,146	$0	$1,000	$0	$0	$0	$0	$0	$26,339	$0	$355,485	$0	$0
JASON BERTRAM MD
DIRECTOR - AH	$0	$315,078	$0	$27,750	$0	$0	$0	$0	$0	$12,592	$0	$355,420	$0	$0
RYAN JONES
CEO - AACH	$310,060	$0	$750	$0	$0	$0	$0	$0	$35,113	$0	$345,923	$0	$0	$0
KEVIN PETE
CEO - AMG; DIRECTOR - ANCMG	$0	$312,127	$0	$750	$0	$0	$0	$0	$0	$30,772	$0	$343,649	$0	$0
ADAM LUNTZ
CFO - AH; TREASURER - ACON	$0	$304,813	$0	$750	$0	$0	$0	$0	$0	$32,813	$0	$338,376	$0	$0
SUE OLIVERA
DIRECTOR - ACON	$0	$286,208	$0	$6,000	$0	$0	$0	$0	$0	$32,623	$0	$324,831	$0	$0
SHRUTI TREHAN MD
DIRECTOR - AH, ANCMG	$173,955	$0	$108,230	$0	$0	$0	$0	$0	$9,009	$0	$291,194	$0	$0	$0
JENNIFER KESSEL
CEO - AOH	$243,992	$0	$750	$0	$0	$0	$0	$0	$35,659	$0	$280,401	$0	$0	$0
NICOLE KOLACZ
DIRECTOR - AH, ACON	$255,011	$0	$6,000	$0	$0	$0	$0	$0	$9,694	$0	$270,705	$0	$0	$0
MD DEBRA LEHRER
DIRECTOR - AACH	$215,530	$0	$40,493	$0	$0	$0	$0	$0	$0	$0	$256,023	$0	$0	$0
JEAN PADDOCK PHD
PRESIDENT - ACON	$226,595	$0	$500	$0	$0	$0	$0	$0	$21,289	$0	$248,384	$0	$0	$0
TIA CERNAVA
TRES. & SEC. - TAF	$0	$161,443	$0	$26,650	$0	$0	$0	$0	$0	$30,413	$0	$218,506	$0	$0
MATT STEWART
DIRECTOR - ANCMG	$181,204	$0	$750	$0	$0	$0	$0	$0	$28,359	$0	$210,313	$0	$0	$0
LISA GEIGER
CFO - AACH	$170,653	$0	$750	$0	$0	$0	$0	$0	$18,599	$0	$190,002	$0	$0	$0
AMELIA MD LAING
SECRETARY - AOH	$151,386	$0	$10,688	$0	$0	$0	$25,000	$0	$0	$0	$187,074	$0	$0	$0
LIZ EDMUNDS
DIRECTOR - TAF	$0	$153,101	$0	$1,000	$0	$0	$0	$0	$0	$19,866	$0	$173,967	$0	$0
LISA ZELLERS
DIRECTOR - TAF	$0	$172,178	$0	$500	$0	$0	$0	$0	$0	$777	$0	$173,455	$0	$0
NATE RITTER
DIRECTOR - ACON	$135,893	$0	$500	$0	$0	$0	$0	$0	$31,114	$0	$167,507	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	ALL EMPLOYEES ARE ELIGIBLE TO RECEIVE REIMBURSEMENT FOR HEALTH CLUB COSTS UP TO $120 ANNUALLY AS PART OF THE ORGANIZATION'S EFFORT TO PROMOTE HEALTHY LIFESTYLES. THIS AMOUNT WAS INCLUDED AS TAXABLE COMPENSATION FOR ALL EMPLOYEES THAT RECEIVED THE BENEFIT.
PART I, LINE 3	AULTMAN HEALTH FOUNDATION, A RELATED ORGANIZATION, DETERMINES THE HEALTH SYSTEM'S CEO'S COMPENSATION. THE FOLLOWING WERE USED BY AULTMAN HEALTH FOUNDATION IN DETERMINING THE CEO'S COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RICE'S NURSERY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	BRYAN RICE, AHF BOARD MEMBER, OWNS RICE'S NURSERY	RelationshipDescriptionTxt
Transaction	$1,009,335	TransactionAmt
Transaction	LANDSCAPING SERVICES FOR AULTMAN HOSPITAL	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$48,683	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONORS' VALUE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	TRAVEL AND ENTERTAINMENT	57	$83,425	DONORS' VALUE
Yes (X)	OTHER	20	$24,935	DONORS' VALUE
Yes (X)	FOOD AND BEVERAGE	35	$15,016	DONORS' VALUE

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 1:	(CONTINUED FROM FORM 990, PAGE 2.) AULTMAN CONTINUOUSLY INVESTS IN FACILITIES AND TECHNOLOGY TO IMPROVE PATIENT CARE. AULTMAN PROVIDES EDUCATIONAL OPPORTUNITIES FOR STUDENTS IN HIGH SCHOOL, COLLEGE, MEDICAL SCHOOL, AND RESIDENCY PROGRAMS. THROUGH OUTREACH EFFORTS INCLUDING THE WORKING ON WELLNESS (WOW) MOBILE HEALTH UNIT, AULTMAN OFFERS HEALTH AND WELLNESS EDUCATION FOR OUR COMMUNITY. AULTMAN IS ONE OF THE LOWEST-COST HEALTH CARE PROVIDERS IN NORTHEASTERN OHIO, HELPING LOCAL BUSINESSES STAY FINANCIALLY HEALTHY AND MAINTAIN GOOD JOBS IN OUR COMMUNITY. IN RECOGNITION OF THE HOSPITAL'S LOW-COST AND HIGH-QUALITY PHILOSOPHY, BEING NAMED ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS BY TRUVEN HEALTH ANALYTICS AND EARNING THE "MAGNET" DESIGNATION FOR NURSING EXCELLENCE THREE TIMES. THE MISSION OF AULTMAN ORRVILLE HOSPITAL IS "TO LEAD OUR COMMUNITY TO IMPROVED HEALTH." AULTMAN ORRVILLE HOSPITAL HAS BEEN MEETING THE HEALTH CARE NEEDS OF EASTERN WAYNE COUNTY FOR MORE THAN 60 YEARS. AULTMAN ORRVILLE HOSPITAL CARES FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. AULTMAN ORRVILLE HOSPITAL CONTINUOUSLY INVESTS IN FACILITIES AND TECHNOLOGY TO IMPROVE PATIENT CARE. THROUGH OUTREACH EFFORTS, INCLUDING THE WORKING ON WELLNESS MOBILE HEALTH UNIT, AULTMAN ORRVILLE HOSPITAL OFFERS HEALTH AND WELLNESS EDUCATION FOR OUR COMMUNITY. AULTMAN ORRVILLE HOSPITAL IS A LOW-COST HEALTH CARE PROVIDER IN NORTHEAST OHIO, HELPING LOCAL BUSINESSES STAY FINANCIALLY HEALTHY WHILE FOSTERING EMPLOYMENT JOBS IN OUR COMMUNITY. AULTMAN ALLIANCE COMMUNITY HOSPITAL (AACH) HAS BEEN LEADING ALLIANCE AND ITS SURROUNDING COMMUNITIES TO IMPROVED HEALTH FOR MORE THAN A CENTURY. SINCE 1901, AACH HAS PROVIDED QUALITY CARE, CLOSE TO HOME, THROUGH A WIDE ARRAY OF GENERAL AND SPECIALTY SERVICES THAT'S ALWAYS EXPANDING AND IMPROVING AND ADMINISTERED BY MORE THAN 150 ACTIVE AND COVERING PHYSICIANS. OUR SERVICES CENTER AROUND HOLISTIC, COMPASSIONATE HEALTH CARE IN A HOMELIKE, HEALING SETTING. AULTMAN COLLEGE OF NURSING AND HEALTH SCIENCES (ACON) IS A HEALTH-SYSTEM AFFILIATED INSTITUTION OF HIGHER LEARNING COMMITTED TO MEETING THE NEEDS OF NURSING AND ALLIED HEALTH STUDENTS BY PROVIDING A COHERENT, GENERAL, AND PROFESSIONAL EDUCATIONAL EXPERIENCE TO PREPARE INDIVIDUALS FOR SERVICE AND LEADERSHIP ROLES. WITH MORE THAN 100 YEARS OF NURSING EDUCATION EXPERIENCE, ACON OFFERS MULTIPLE ACCREDITED PROGRAMS; AS/BS IN HEALTH SCIENCES, AS IN NURSING, AS/AAS IN RADIOGRAPHY, BACHELORS OF SOCIAL WORK AND BSN (PRE- AND POST-LICENSURE). THE AULTMAN FOUNDATION (TAF) WILL RAISE AND ADMINISTER FUNDS IN ORDER TO SUPPORT AND PROMOTE EDUCATION AND WELLNESS OUTREACH PROGRAMMING THAT WILL IMPROVE THE HEALTH OF THE COMMUNITY. THE AULTMAN FOUNDATION PARTNERS WITH OTHER NONPROFIT ORGANIZATIONS TO PROVIDE GRANTS TO HELP SUPPORT PROJECTS THAT PROMOTE WELLNESS, HEALTH EDUCATION, AND HUMAN SERVICES. AULTMAN NORTH CANTON MEDICAL GROUP (ANCMG) LEADS OUR COMMUNITY TO IMPROVED HEALTH THROUGH PROVIDERS DEDICATED TO DELIVERING HIGH-QUALITY, COMPASSIONATE CARE. AULTMAN NORTH CANTON MEDICAL GROUP IS A MULTISPECIALTY GROUP DEDICATED TO THE BETTERMENT OF THE HEALTH AND WELL-BEING OF PATIENTS, COMMUNITY, AND HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 2	JACQUELINE DEGARMO AND CHRIS REMARK HAVE A BUSINESS RELATIONSHIP. JACQUELINE DEGARMO - WALSH UNIVERSITY BOARD, BOARD OF ADVISORS KENT STARK, COMMITTEE CHAIR UNITED WAY OF GREATER STARK COUNTY, BOARD OF STARK COUNTY LIBRARY FOUNDATION BRYAN RICE - OWNER RICE'S LANDSCAPE PROVIDES THE LANDSCAPE SERVICES FOR AULTMAN HEALTH FOUNDATION. GEOFF KARCHERS - RICE'S LANDSCAPE - MANAGES DIGITAL MARKETING AND MARKETING FOR GREGORY INDUSTRIES MICHAEL HANKE - MARKETING CONSULTANCY WITH AULTCARE JOHNNY SIRPILLA AND BRIAN BELDEN ARE BOARD MEMBER OF PRO FOOTBALL HALL OF FAME - AULTMAN IS A PARTNER OF THE PRO FOOTBALL HALL OF FAME VILLAGE PROJECT AND THE HALL OF FAME IS A CLIENT OF AULTCARE. TIM SEIFERT - PRESIDENT OF SEIFERT TECHNOLOGIES RYAN FULMER OWNS BEESE FULMER EVRIM FULMER PARTICIPATES IN FUNDRAISING FOR AULTMAN WOMEN'S BOARD AND LINE AND DESIGN GARDEN CLUB R. CLINT ZOLLINGER - OWNS THE LAW OFFICE OF R. CLINT ZOLLINGER AND WORKS WITH BUCKINGHAM, DOOLITTLE & BURROUGHS
FORM 990, PART VI, SECTION A, LINE 6	AULTMAN HOSPITAL (AH), THE AULTMAN FOUNDATION (TAF), AULTMAN ORRVILLE HOSPITAL (AOH), AULTMAN NORTH CANTON MEDICAL GROUP (ANCMG), AND AULTMAN ALLIANCE COMMUNITY HOSPITAL (AACH) HAVE A SINGLE MEMBER, AULTMAN HEALTH FOUNDATION (AHF). AHF HAS A RIGHT TO PARTICIPATE IN EACH ORGANIZATIONS' GOVERANCE AND APPROVE SIGNIFICANT DECISIONS OF EACH ORGANIZATIONS' BOARD OF DIRECTORS. AULTMAN COLLEGE OF NURSING AND HEALTH SCIENCES (ACON) HAS A SINGLE MEMBER, AULTMAN HOSPITAL (AH). AH HAS THE RIGHT TO PARTICIPATE IN ACON'S GOVERNANCE AND APPROVE SIGNIFICANT DECISIONS OF THE ACON'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7A	AH'S SOLE MEMBER, AHF, HAS THE RIGHT TO ELECT THE CEO OF AH, WHO SHALL BE THE PRESIDENT OF AH AND AN EX-OFFICIO VOTING MEMBER OF THE BOARD OF DIRECTORS OF AH. AHF ALSO ELECTS ITS OWN DIRECTORS, FROM WHICH IT NOMINATES MEMBERS FOR THE AH BOARD OF DIRECTORS. AH DIRECTORS SHALL BE MEMBERS OF THE AHF BOARD OF DIRECTORS. AHF ALSO HAS THE POWER TO RATIFY AH'S BOARD OF DIRECTORS SELECTION OR REMOVAL OF OFFICERS. ACON'S SOLE MEMBER, AH, HAS THE RIGHT TO ELECT, EVALUATE, REAPPOINT, AND REMOVE ALL DIRECTORS OF THE ACON BOARD INCLUDING THE FILLING OF ANY VACANCIES. TAF'S SOLE MEMBER, AHF, HAS THE RIGHT TO APPOINT ALL THE DIRECTORS OF THE TAF'S BOARD. AOH'S SOLE MEMBER, AHF, HAS THE RIGHT TO APPOINT OR REPLACE THE DIRECTORS OF AOH'S BOARD FROM A SLATE OF CANDIDATES PRESENTED BY AOH'S BOARD. AACH'S SOLE MEMBER, AHF, HAS THE RIGHT TO APPOINT OR REPLACE THE DIRECTORS OF AACH'S BOARD. THE SOLE MEMBER OF ANCMG IS AHF. AHF, AS SOLE MEMBER, HAS THE RESERVED POWER TO ELECT OR APPOINT BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7B	AH'S SOLE MEMBER, AHF, HAS THE FOLLOWING APPROVAL RIGHTS, WHETHER RESERVED TO IT OR SUBJECT TO APPROVAL BY IT: APPROVAL OF THE ANNUAL BUDGET, BYLAWS, ARTICLES OF INCORPORATION, BORROWING, LENDING, ALL MERGERS AND ACQUISITIONS, AND EXECUTIVE COMPENSATION; ELECTION OF A CEO, WHO SERVES AS THE PRESIDENT OF AH AND AN EX-OFFICIO VOTING MEMBER OF THE BOARD OF DIRECTORS OF AH; RATIFICATION OF THE ELECTION AND REMOVAL OF OFFICERS, EXCEPT FOR VICE PRESIDENTS; AND THE ELECTION OF THE AHF DIRECTORS, FROM WHICH IT NOMINATES DIRECTORS FOR AH'S BOARD. ACON'S SOLE MEMBER, AH, HAS THE FOLLOWING APPROVAL RIGHTS: THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF ACON, MERGERS OR AFFILIATIONS; THE FORMATION OF SUBSIDIARIES AND THE DISSOLUTION OR DIVESTITURE OF THE SAME; ANY ACTION OR FAILURE TO ACT THAT COULD ADVERSELY IMPACT THE TAX-EXEMPT STATUS OF ACON, THE DISSOLUTION OR DIVESTITURE OF THE SAME; ANY ACTION OR FAILURE TO ACT THAT COULD ADVERSELY IMPACT THE TAX-EXEMPT STATUS OF ACON, COMPLIANCE WITH FEDERAL OR STATE LAW, OR THE ABILITY OF THE MEMBER TO OBTAIN PAYMENT OF CERTAIN COSTS UNDER APPLICABLE MEDICARE REIMBURSEMENT REGULATIONS; THE BORROWING OF MONEY FOR CAPITAL PURPOSES OR FOR ANY PURPOSE NOT INVOLVING DAY-TO-DAY OPERATIONS OF ACON; THE PURCHASE, SALE, LEASE (AS LESSEE OR LESSOR) OR DISPOSITION OF REAL PROPERTY OF ACON; THE APPOINTMENT OF FISCAL AUDITORS; THE ADOPTION, ALTERING, AMENDING, OR REPEALING OF THE ARTICLES OF INCORPORATION AND CODE OF REGULATIONS; THE LIQUIDATION, DISSOLUTION, WINDING UP OR ABANDONMENT OF ACON; THE APPROVAL OF THE ACON'S STRATEGIC PLAN, UPON THE RECOMMENDATION OF THE ACON BOARD; THE REVIEW AND APPROVAL OF ALL YEARLY CAPITAL AND OPERATIONAL BUDGETS OF ACON, UPON THE RECOMMENDATION OF THE ACON BOARD; AND ANY OTHER MATTERS RESERVED FOR THE MEMBER UNDER OHIO LAW. TAF'S SOLE MEMBER, AHF, MUST APPROVE BY RESOLUTION OF THE AHF BOARD OR EXECUTIVE COMMITTEE OF THE BOARD, THE FOLLOWING ACTIONS OF TAF'S BOARD: ADOPTION OF THE STRATEGIC PLAN; APPROVAL OF THE ANNUAL BUDGET; AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION; INCURRENCE OF DEBT OUTSIDE OF THE FINANCIAL THRESHOLDS ESTABLISHED BY THE SOLE MEMBER; AND INDEMNIFICATION OF AN OFFICER OR DIRECTOR OF TAF. AOH'S SOLE MEMBER, AHF, HAS THE RIGHT TO APPROVE THE FOLLOWING ACTION OF AOH'S BOARD: AMENDING OR RESTATING THE ARTICLES OF INCORPORATION OR THE CODE OF REGULATIONS; EFFECTING A MERGER, CONSOLIDATION, AFFILIATION OR CHANGE IN CONTROL WITH AN ENTITY NOT AFFILIATED WITH THE MEMBER; EXECUTING THE SALE, TRANSFER, EXCHANGE OR OTHER DISPOSITION OF GREATER THAN 5% OF AOH'S ASSETS; EFFECTING PARTIAL OR TOTAL DISSOLUTION; AND INCURRING ANY DEBT OR INDEBTNESS ON BEHALF OF THE HOSPITAL. ONLY THE SOLE MEMBER HAS THE AUTHORITY TO TAKE THE FOLLOWING ACTIONS: APPROVING APPOINTMENT OR TERMINATION OF THE PRESIDENT AND CEO OF AOH AND GIVING THE FINAL APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGET OF AOH. AACH'S SOLE MEMBER, AHF, HAS THE RIGHT TO APPROVE THE FOLLOWING ACTION OF AACH'S BOARD: AMENDING OR RESTATING THE ARTICLES OF INCORPORATION OR THE CODE OF REGULATIONS; EFFECTING A MERGER, CONSOLIDATION, AFFILIATION OR CHANGE IN CONTROL WITH AN ENTITY NOT AFFILIATED WITH THE MEMBER; EFFECTING A SALE, PLEDGE, HYPOTHECATION, TRANSFER, EXCHANGE OR OTHER DISPOSITION OF ASSETS HAVING A FAIR MARKET VALUE IN EXCESS OF 5% OF THE BOOK VALUE OF AACH'S ASSETS; EFFECTING PARTIAL OR TOTAL DISSOLUTION; AND INCURRING ANY DEBT OR INDEBTEDNESS ON BEHALF OF THE HOSPITAL. ONLY THE SOLE MEMBER HAS THE AUTHORITY TO TAKE THE FOLLOWING ACTIONS: APPROVING APPOINTMENT OR TERMINATION OF THE PRESIDENT AND CEO OF AACH AND GIVING THE FINAL APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGET OF AACH. AHF, AS SOLE MEMBER OF ANCMG, HAS THE RESERVED POWER TO APPROVE ANY CHANGE IN THE ORGANIZATION'S MISSION OR PURPOSE, APPROVE ANY AMENDMENT TO THE ORGANIZATION'S ARTICLES OF INCORPORATION OR APPROVE ANY AMENDMENT TO THE CODE OF REGULATIONS.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 WAS PREPARED BY AN INDEPENDENT CPA FIRM BASED ON INFORMATION PROVIDED BY AULTMAN HEALTH FOUNDATION'S FINANCE DEPARTMENT. AHF'S FINANCE DEPARTMENT CAREFULLY REVIEWED AND ANALYZED THE TAX RETURN. THE DEPARTMENT RECONCILED THE GENERAL LEDGER AMOUNTS TO THE APPROPRIATE SCHEDULES ON THE FORM 990 AND COMPARED THOSE AMOUNTS TO THE AUDITED FINANCIAL STATEMENTS. IN ADDITION, THE FINANCE DEPARTMENT DID A COMPARATIVE ANALYSIS TO THE PRIOR YEAR RETURN. THE ANALYSIS AND RECONCILIATION SCHEDULES ALONG WITH A COMPLETE COPY OF THE 990 WERE PROVIDED TO THE CHIEF FINANCIAL OFFICER FOR REVIEW AND APPROVAL. A COMPLETE COPY OF THE 990 WAS THEN MADE AVAILABLE TO THE BOARDS OF DIRECTORS THROUGH A SECURE INTERNET PORTAL PRIOR TO THE FILING DATE.
FORM 990, PART VI, SECTION B, LINE 12C	THE BOARDS OF DIRECTORS HAVE A CONFLICT-OF-INTEREST POLICY. AS A RESULT OF THIS POLICY, EACH YEAR BOARD MEMBERS, OFFICERS, AND SENIOR STAFF COMPLETE A FORM, ANNUALLY, DISCLOSING ANY INTEREST THAT COULD GIVE RISE TO CONFLICTS. THE COMPLIANCE OFFICER REVIEWS THESE DISCLOSURE FORMS AND INFORMS THE BOARD CHAIRMAN, AND OTHER APPROPRIATE OFFICERS, OF NOTABLE CONFLICTS, IF ANY. THOSE WITH CONFLICTS ARE ASKED TO RECUSE THEMSELVES FROM DISCUSSIONS RELATING TO THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	THE AULTMAN HEALTH FOUNDATION AND ITS AFFILIATED ENTITIES USE THE FOLLOWING REFERENCE MATERIALS FOR THE DEVELOPMENT OF EXECUTIVE COMPENSATION: OHIO HOSPITAL ASSOCIATION (OHA), MERCER INTEGRATED HEALTH NETWORK, INCLUDING SURVEY DATA FOR BOTH HOSPITALS AND HEALTH PLANS, AND SULLIVAN COTTER AND ASSOCIATES (SCA) AND COLLEGE AND UNIVERSITY PROFESSIONAL ASSOCIATION FOR HUMAN RESOURCES (CUPA). ADDITIONAL SOURCES OF SALARY SURVEY DATA ARE AVAILABLE FOR USE WHERE APPROPRIATE INCLUDING COMPDATASURVEYS.COM, SALARY.COM, AND CHAMPS. IN THESE CASES, THE SURVEY IS REFERENCED WHERE APPLICABLE. EXECUTIVE PERFORMANCE, WAGE RECOMMENDATIONS AND BONUS PAYMENTS ARE REVIEWED BY THE CEO PRIOR TO REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE AULTMAN HEALTH FOUNDATION BOARD OF DIRECTORS. THE CEO'S COMPENSATION IS ALSO REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE AULTMAN HEALTH FOUNDATION BOARD OF DIRECTORS. THE AULTMAN HEALTH FOUNDATION HAS ENGAGED SULLIVAN COTTER AND ASSOCIATES, INC., AN INDEPENDENT COMPENSATION CONSULTING FIRM, FOR REVIEW OF EXECUTIVE COMPENSATION PRACTICES. THE AULTMAN HEALTH FOUNDATION AND ITS AFFILIATED ENTITIES USE THE FOLLOWING REFERENCE MATERIALS FOR THE DEVELOPMENT OF PHYSICIAN COMPENSATION: MEDICAL GROUP MANAGEMENT ASSOCIATES (MGMA), AMERICAN MEDICAL GROUP ASSOCIATION (AMGA), HOSPITAL AND HEALTHCARE COMPENSATION SERVICE (HHCS) AND SULLIVAN COTTER AND ASSOCIATES (SCA). IN ADDITION TO SALARY SURVEYS, AULTMAN HOSPITAL ALSO RETAINS AN INDEPENDENT CONSULTING FIRM FOR PHYSICIAN COMPENSATION SERVICES. ALL PHYSICIAN COMPENSATION RECOMMENDATIONS ARE SENT TO THE CEO FOR FINAL APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19	AULTMAN HEALTH FOUNDATION AND SUBORDINATE ORGANIZATIONS MAKE THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	INTERFUND TRANSFERS 24,086,428.
GROUP RETURN	THIS GROUP RETURN CONTAINS THE ACTIVITY OF ALL THE SUBORDINATE ORGANIZATIONS INCLUDED UNDER GROUP EXEMPTION NUMBER 6141 OF THE AULTMAN HEALTH FOUNDATION. THESE SUBORDINATES ARE AS FOLLOWS: AULTMAN HOSPITAL (34-0714538) AULTMAN COLLEGE OF NURSING AND HEALTH SCIENCES (20-1359433) THE AULTMAN FOUNDATION (20-8090459) ORRVILLE HOSPITAL FOUNDATION DBA AULTMAN ORRVILLE HOSPITAL (34-0733138) AULTMAN NORTH CANTON MEDICAL GROUP (34-1088530) ALLIANCE COMMUNITY HOSPITAL (34-0714581)
FEDERAL ELECTIONS	AULTMAN HEALTH FOUNDATION GROUP RETURN EMPLOYER IDENTIFICATION NUMBER: 32-0483994 FOR THE YEAR ENDING DECEMBER 31, 2022 AULTMAN HEALTH FOUNDATION GROUP RETURN IS MAKING THE DE MINIMIS SAFE HARBOR ELECTION UNDER REG. SEC. 1.263(A)-1(F).

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ALLIANCE COMMUNITY MEDICAL FOUNDATION LLC
200 E STATE STREET	ALLIANCE	OH	44601	263646817	PHYSICIAN OFFICES	OH	$12,956,828	$377,929	ALLIANCE COMMUNITY HOSPITAL
AULTMAN CANCER CARE LLC
2600 6TH STREET SW	CANTON	OH	44710	871559540	PHYSICIAN OFFICES	OH	$0	$0	AULTMAN NORTH CANTON MEDICAL GROUP

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
AULTMAN HEALTH FOUNDATION
2600 SIXTH ST SW	CANTON	OH	44710	341445390	SUPPORT ORGANIZATION	OH	501(C)(3)	LINE 12B, II	N/A	0
TUSCARAWAS VALLEY REGIONAL CANCER CENTER
300 MEDICAL PARK DRIVE	DOVER	OH	44622	311689698	MEDICAL SERVICE	OH	501(C)(3)	LINE 3	N/A	0
DARTMOUTH CHILD CARE CENTER CONTRACTING SERVICES INC
2600 SIXTH ST SW	CANTON	OH	44710	341652364	SUPPORT ORGANIZATION	OH	501(C)(3)	LINE 12C, III-FI		Yes (1)	AULTMAN HOSPITAL
ALLIANCE COMMUNITY HOSPITAL AUXILIARY
200 E STATE STREET	ALLIANCE	OH	44601	340777659	VOLUNTEER SERVICES	OH	501(C)(3)	LINE 12C, III-FI	N/A	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
WEST TUSCARAWAS PROPERTY MANAGEMENT LLC
2600 SIXTH ST SW	CANTON	OH	44710	200090246	PROPERTY MGMT	OH	N/A	0	0
AULTMAN ONCOLOGY CENTER OF EXCELLENCE LLC
2600 SIXTH ST SW	CANTON	OH	44710	454215510	HEALTHCARE	OH		0	Yes (1)	AULTMAN HOSPITAL	RELATED	$165,660	$92	0.91870

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
MCKINLEY ASSURANCE SPC
PO BOX 1051	GEORGE TOWN	GRAND CAYMANS	CJ	980468384	PORTFOLIO	CJ	N/A	C	0
AULTCARE CORPORATION
				341488123	PREF. PROVIDER ORG.		N/A	C	0	2600 SIXTH ST SW	CANTON	OH	44710	OH
AULTCARE HOLDING COMPANY
				471165287	HOLDING COMPANY		N/A	C	0	2600 SIXTH ST SW	CANTON	OH	44710	OH
NORTH CENTRAL MEDICAL RESOURCES INC
				341610344	MEDICAL EQUIPMENT RENTAL		N/A	C	0	2600 SIXTH ST SW	CANTON	OH	44710	OH
OHIO SPECIALTY PHYSICIANS CORPORATION
				341853300	HEALTH SERVICES		N/A	C	0	2600 SIXTH ST SW	CANTON	OH	44710	OH
OHIO HOSPITAL BASED PHYSICIANS CORP
				341871647	HEALTH SERVICES		N/A	C	0	2600 SIXTH ST SW	CANTON	OH	44710	OH
OHIO PHYSICIANS PROFESSIONAL CORP
				311509897	HEALTH SERVICES		N/A	C	0	2600 SIXTH ST SW	CANTON	OH	44710	OH
AULTMAN MSO
				311509904	ADMIN SERVICES		N/A	C	0	2600 SIXTH ST SW	CANTON	OH	44710	OH
AULTCARE HEALTH INSURING CORPORATION
				463305099	INSURANCE		N/A	C	0	2600 SIXTH ST SW	CANTON	OH	44710	OH
AULTCARE INSURANCE COMPANY
				341624818	INSURANCE		N/A	C	0	2600 SIXTH ST SW	CANTON	OH	44710	OH
AULTRA ADMINISTRATIVE GROUP
				204951704	ADMIN SERVICE		N/A	C	0	2600 SIXTH ST SW	CANTON	OH	44710	OH
AULTCOMP MCO INC
				274379962	HEALTH SERVICES		N/A	C	0	2600 SIXTH ST SW	CANTON	OH	44710	OH
AULTMAN MEDICAL GROUP
				453166014	HEALTH SERVICES		N/A	C	0	2600 SIXTH ST SW	CANTON	OH	44710	OH
MAINSITE ASO LLC
				473587655	HEALTH SERVICES		N/A	C	0	2600 SIXTH ST SW	CANTON	OH	44710	OH
HEALTH ALLIANCE INC
				341531993	HEALTH SERVICES		N/A	C	0	200 E STATE STREET	ALLIANCE	OH	44601	OH
ALLIANCE HEALTH PARTNERS
				341884059	PHO		N/A	C	0	200 E STATE STREET	ALLIANCE	OH	44601	OH
AULTMAN DEUBLE HEART & VASCULAR
				842848226	HEALTH SERVICES		N/A	C	0	2600 SIXTH ST SW	CANTON	OH	44710	OH
AULTMAN NOW URGENT CARE LLC
				844874605	HEALTH SERVICES		N/A	C	0	2600 SIXTH ST SW	CANTON	OH	44710	OH
AULTPLAN LLC
				851242075	HEALTH SERVICES		N/A	C	0	2600 SIXTH ST SW	CANTON	OH	44710	OH

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd