2021-11-15T14:44:52-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 388 SOUTH MAIN STREET SUITE 420 AKRON OH 44311 990 2020-01-01 320483994 AULTMAN HEALTH FOUNDATION GROUP RETURN AULT 3303636352 2600 SIXTH STREET SW CANTON OH 44710 MARK D WRIGHT CHIEF FINANCIAL OFFICER 3303636352 2021-11-15 1 MARK WRIGHT 999009999 RYAN SANTARELLA P02069285 3303760100 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z RICK HAINES 2600 SIXTH STREET SW CANTON OH 44710 828276495 1 1 6141 X WWW.AULTMAN.ORG X OH THE MISSION OF THE AULTMAN HEALTH SYSTEM IS TO "LEAD OUR COMMUNITY TO IMPROVED HEALTH." X 85 60 6998 515 711690 0 6280299 13077148 780551384 806340791 42074914 50186 8200592 8514510 837107189 827982635 3040871 2094586 0 0 357877591 349382990 0 0 37186 429850432 434368980 790768894 785846556 46338295 42136079 410133378 437757526 85491943 177848319 324641435 259909207 X 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 125 YEARS.(CONTINUED ON SCHEDULE O) 0 0 518674572 1994500 617753737 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. 90524451 0 114761078 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. 37456030 0 50661310 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." 4854011 0 4818865 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/BS IN HEALTH SCIENCES, ASSOCIATES IN NURSING, AS/AAS IN RADIOGRAPHY, BACHELORS OF SOCIAL WORK AND BSN (PRE- AND POST- LICENSURE).ENROLLMENT AT AULTMAN COLLEGE OF NURSING AND HEALTH SCIENCES REMAINED STEADY WITH APPROXIMATELY 438 STUDENTS ENROLLED IN 2020. AULTMAN COLLEGE GRADUATED 51 STUDENTS AND 5 MA GRADUATES IN 2020. FACULTY, STAFF AND STUDENTS DONATED MORE THAN 323 HOURS OF COMMUNITY SERVICE IN 2020 THROUGH THE COLLEGE'S SERVICE-LEARNING PROGRAM. 507875 100086 188 THE AULTMAN FOUNDATION (TAF) RAISES AND ADMINISTERS FUNDS IN ORDER 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. 23952265 0 18345613 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. 29314151 100086 23164666 675969204 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 1 0 1 0 0 1 0 1 0 1 1 1 0 0 0 1 886 0 6998 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 85 60 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 OH X MARK D WRIGHT 3303636192 2600 SIXTH STREET SW CANTON OH 44710 EDWARD J ROTH III PRESIDENT AHF - PRESIDENT & CEO; DIRECTOR - AOH & AACH 6.00 49.00 X X 0 776388 15474 MARK D WRIGHT CFO - AHF; DIRECTOR/TREASURER - AACH 8.00 47.00 X X 0 468572 3630 ADAM LUNTZ CFO - AH; TREASURER - ACON 5.00 50.00 X X 0 307294 3095 CHRISTOPHER E REMARK CEO - HDS; DIRECTOR - AOH & AACH 49.00 6.00 X X 524059 0 4303 JEFFREY MILLER MD CHAIR - AH; DIRECTOR - AOH 1.00 8.00 X X 0 0 0 BRIAN S BELDEN VICE CHAIR - AH; CHAIR - TAF 5.00 4.00 X X 0 0 0 WILLIAM WALLACE MD SECRETARY & TREASURER - AH 4.00 6.00 X X 0 0 0 PEGGY CLAYTOR DIRECTOR - AH 3.00 0.00 X 0 0 0 NATE J COOKS DIRECTOR - AH 1.00 3.00 X 0 0 0 ANTHONY DEGENHARD DO DIRECTOR - AH 1.00 4.00 X 0 0 0 MILAN R DOPIRAK MD DIRECTOR - AH 1.00 1.00 X 0 0 0 ANNE GUNTHER CNO - HDS; DIRECTOR - ACON 47.00 8.00 X 247800 0 4137 NICOLE KOLACZ DIRECTOR - AH 53.00 2.00 X 233476 0 3150 PAT HEDDLESTON DIRECTOR - AH 1.00 1.00 X 0 0 0 JOHN B HUMPHREY JR MD DIRECTOR - AH 1.00 5.00 X 0 0 0 JOANNE KRIVETZKY MD MS DIRECTOR - AH 1.00 5.00 X 0 0 0 MICHAEL LYNCH DIRECTOR - AH 7.00 48.00 X 0 446404 27246 LOUIS G SHAHEEN MD DIRECTOR - AH 1.00 3.00 X 0 0 0 DAVID LUNDGREN CHAIR - AACH 1.00 0.00 X X 0 0 0 SCOTT INGLEDUE VICE CHAIR - AACH 1.00 0.00 X X 0 0 0 JOSEPH R HALTER SECRETARY - AACH 1.00 0.00 X X 0 0 0 JAQUELINE DEGARMO DIRECTOR - AACH 3.00 1.00 X 0 0 0 CARL FOSTER MD DIRECTOR - AACH MEDICAL STAFF PRES. - AACH 1.00 0.00 X 0 0 0 JOHN GROSS DIRECTOR - AACH 1.00 0.00 X 0 0 0 MICHAEL HOOVER DIRECTOR - AACH 1.00 0.00 X 0 0 0 DEBRA LEHRER MD DIRECTOR - AACH 47.00 8.00 X 227360 0 12002 RON LYONS DIRECTOR - AACH 1.00 2.00 X 0 0 0 R CLINT ZOLLINGER ESQ DIRECTOR - AACH 1.00 2.00 X 0 0 0 JEAN PADDOCK PRESIDENT - ACON 48.00 7.00 X X 235152 0 2659 PATRICK WILLOUGHBY CHAIR - ACON 1.00 0.00 X X 0 0 0 WILLIAM SCHAUER VICE-CHAIR - ACON 1.00 0.00 X X 0 0 0 KAREN SOEHNLEN MCQUEEN CHAIR - ACON 1.00 2.00 X X 0 0 0 JAMES CARMAN DIRECTOR - ACON 1.00 0.00 X 0 0 0 GREG COLANER DIRECTOR - ACON 1.00 1.00 X 0 0 0 PATRICIA H DRAVES PHD DIRECTOR - ACON 1.00 1.00 X 0 0 0 BARBARA FORDYCE DIRECTOR - ACON 1.00 1.00 X 0 0 0 COREY GRUBBS DIRECTOR - ACON 1.00 0.00 X 0 0 0 MARILYN THOMAS JONES DIRECTOR - ACON 1.00 2.00 X 0 0 0 MARTIN KERSTEN DIRECTOR - ACON 1.00 1.00 X 0 0 0 MARY ANN KING DIRECTOR - ACON 1.00 1.00 X 0 0 0 LORI MARTINO DIRECTOR - ACON 1.00 1.00 X 0 0 0 THERESA GOLDEN MCCLELLAND DIRECTOR - ACON 1.00 1.00 X 0 0 0 JOHN MCGRATH DIRECTOR - ACON 1.00 1.00 X 0 0 0 STEPHEN PASSERINI DIRECTOR - ACON 1.00 0.00 X 0 0 0 RAFAEL RODRIGUEZ DIRECTOR - ACON 1.00 0.00 X 0 0 0 MEAGAN SHAHEEN DIRECTOR - ACON 1.00 1.00 X 0 0 0 JENNIFER KESSEL CEO AOH 52.00 3.00 X 234372 0 2945 MARK A AUBLE CHAIR - AOH 1.00 1.00 X X 0 0 0 DIANE JARRETT CHAIR - AOH 1.00 1.00 X X 0 0 0 ANDREW NAUMOFF MD VICE CHAIR - AOH 54.00 1.00 X X 239358 0 16237 DOUGLAS J SIBILA SECRETARY - AOH 2.00 2.00 X X 0 0 0 PATRICIA A GRISCHOW DIRECTOR - AOH 1.00 3.00 X 0 0 0 BECKY L JEWELL DIRECTOR - AOH; DIRECTOR - AH 1.00 1.00 X 0 0 0 ALFRED SCHLABACH DIRECTOR - AOH 1.00 0.00 X 0 0 0 CLIFFORD G JOHNSON MD MEDICAL DIRECTOR - ANCMG 52.00 3.00 X X 368682 0 18828 T STEPHEN GREGORY DIRECTOR - AH & ANCMG; TREAS - AOH 4.00 6.00 X X 0 0 0 LEO DOYLE DIRECTOR - ANCMG 8.00 8.00 X 0 0 0 JULIA FIORENTINO MD DIRECTOR - ANCMG 55.00 0.00 X 325109 0 16399 MATTHEW HIESTAND MD DIRECTOR - ANCMG 51.00 4.00 X 313812 0 16213 RAMESH KRISHNAMURTHI DIRECTOR - ANCMG 53.00 2.00 X 171839 0 13714 SHRUTI TREHAN MD DIRECTOR - ANCMG; DIRECTOR - TAF 53.00 2.00 X 1475610 0 21983 RYAN JONES DIRECTOR - AOH; CEO - AACH 51.00 4.00 X X 333018 0 3294 LISA GEIGER CFO - AACH/CHI; DIRECTOR - ACH 50.00 5.00 X X 151847 0 2982 VICTORIA L HAINES VP - FDTN SERVICES; DIRECTOR - TAF 51.00 4.00 X X 258003 0 6748 JEANEEN MCDANIELS VICE CHAIR - TAF 2.00 0.00 X X 0 0 0 ERIC BELDEN DIRECTOR - TAF 2.00 1.00 X 0 0 0 TIA CERNAVA DIRECTOR - TAF 3.00 52.00 X 0 132514 114 LIZ EDMUNDS DIRECTOR - TAF 2.00 53.00 X 0 150734 3834 DAN FLOWERS DIRECTOR - TAF 1.00 1.00 X 0 0 0 EVRIM FULMER DIRECTOR - TAF 1.00 1.00 X 0 0 0 SHANNON HEXAMER DIRECTOR - TAF 1.00 1.00 X 0 0 0 DENISE HILL DIRECTOR - TAF 1.00 1.00 X 0 0 0 CHUCK HOOVER DIRECTOR - TAF 1.00 0.00 X 0 0 0 GERRI HUMPHREY DIRECTOR - TAF 1.00 0.00 X 0 0 0 BRIAN LAYMAN DIRECTOR - TAF 3.00 1.00 X 0 0 0 GREG LUNTZ DIRECTOR - TAF 1.00 1.00 X 0 0 0 NANCY PRYCE DIRECTOR - TAF 1.00 0.00 X 0 0 0 GAIL STERLING DIRECTOR - TAF 2.00 0.00 X 0 0 0 GARY MARTIN DIRECTOR - TAF 1.00 1.00 X 0 0 0 TOM WINKHART DIRECTOR - TAF 1.00 0.00 X 0 0 0 SELENA RIORDAN DIRECTOR - AOH 55.00 0.00 X 113651 0 286 JON RITCHIE DIRECTOR - AOH 1.00 0.00 X 0 0 0 NICHOLAS SHEROCK MD DIRECTOR - AOH 1.00 0.00 X 0 0 0 SABRINA SHILAD MD DIRECTOR - AOH 55.00 0.00 X 416660 0 24778 FRANCIS TONY SNYDER AH - CEO 54.00 1.00 X X 375407 0 6093 STEPHANIE BOYD VP OF QUALITY 46.00 9.00 X 81639 0 2770 SUSAN E MERCER MD VP - MEDICAL EDUCATION - AH 55.00 0.00 X 312431 0 14635 LORI L MERTES MD PHYSICIAN CHIEF QUALITY OFFICER - AH 54.00 1.00 X 423837 0 3989 AMY ANTONACCI VP - PATIENT CARE SERVICES 55.00 0.00 X 181470 0 3287 DAVID SHROADES VP - OPERATIONS - AACH 55.00 0.00 X 167416 0 4246 MARCHELLE L SUPPAN DPM CEO OF AMG 41.00 14.00 X 264551 0 6842 SUNITHA VEMULAPALLI MD PHYSICIAN - ANCMG 55.00 0.00 X 1461515 0 21102 DAVID V MUNGO MD PHYSICIAN - AACH 55.00 0.00 X 798621 0 0 MICHAEL A NECCI MD PHYSICIAN - AACH 55.00 0.00 X 728644 0 0 PRABHCHARAN GILL MD PHYSICIAN - AH 53.00 2.00 X 671014 0 23250 RAZA KHAN MD PHYSICIAN - ANCMG 55.00 0.00 X 1421768 0 24092 12758121 2281906 334357 288 0 1 0 BOSTON SCIENTIFIC CORP 100 BOSTON SCIENTIFIC WAY MARLBOROUGH MA 01752 MRI SERVICES 5393998 SQUIRE PATTON BOGGS (US) LLP 4900 KEY TOWER 127 PUBLIC SQUARE CLEVELAND OH 44114 LEGAL SERVICES 3270000 CANTON MED ED FOUNDATION 2600 SIXTH STREET SW CANTON OH 44710 PHYSICIAN SERVICES 2408267 CERNER CORP 2800 ROCKCREEK PWKY KANSAS CITY MO 64117 SOFTWARE SUPPORT 2275319 PULMONARY PHYSICIANS INC 2600 W TUSCARAWAS ST STE 100 CANTON OH 44708 PHYSICIAN SERVICES 1947469 245 13840 21661 36800 13004847 49026 13077148 NET PATIENT SERVICE REVENUE 621110 658303053 658303053 PREMIUM REVENUE 621110 86032164 86032164 MISCELLANEOUS REVENUE 900099 51030536 51030536 PHARMACY REVENUE 446110 6156173 6156173 TUITION REVENUE 611710 4818865 4818865 806340791 336493 336493 3678786 0 3678786 3678786 124578 3554208 7553 0 293860 7553 -293860 -286307 -286307 682437 0 682437 682437 FOOD SERVICE 722210 3277097 22765 3254332 LAB INCOME 621500 564347 564347 MISCELLANEOUS REVENUE 900099 311843 311843 4153287 827982635 806340791 711690 7853006 1950086 1950086 144500 144500 13036656 10690057 2346599 274646239 225578218 49068021 4248168 3566837 681331 37465637 30706379 6759258 19986290 16425352 3560938 8423007 6903516 1519491 3050767 2501528 549239 164258 134052 30206 4000 3280 720 72289437 59235307 13054130 1468836 1202904 265932 27774336 22785571 4988765 2224440 1823284 401156 17482626 14349665 3132961 1131957 931390 200567 92938 76292 16646 6695336 5521402 1173934 41141671 33736170 7405501 23374838 19203944 4170894 6062244 4973370 1088874 MEDICAL SUPPLIES 95477913 95477913 MEDICATION 75288956 75288956 BAD DEBT EXPENSE 37245667 30528463 6717204 HOSPITAL FRANCHISE FEE 11366235 9312411 2053824 3609518 2918357 653975 37186 785846556 675969204 109840166 37186 24846 24457 36754704 70431240 82313926 94117394 25000 25000 787815 374764 6458323 6764991 8211141 7251994 638880136 398625897 252119558 240254239 7018651 7901619 2550988 3224306 5187814 6053741 8680612 1333781 410133378 437757526 69986809 82814198 7670862 36638037 6234873 6871062 1599399 51525022 85491943 177848319 X 314647451 241604656 9993984 18304551 324641435 259909207 410133378 437757526 X 42136079 537988 -107406295 X 0 1 X 1 1 1 X PART I, PUBLIC CHARITY STATUS 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). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10268 10268 0 PART II-B, LINE 1: TOTAL DUES OF $108,816 WERE PAID TO THE OHIO HOSPITAL ASSOCIATION BY AH, OF WHICH 5.85% WERE RELATED TO LOBBYING ACTIVITIES. TOTAL DUES OF $19,061 WERE PAID TO THE OHIO HOSPITAL ASSOCIATION BY AOH, OF WHICH 5.85% WERE RELATED TO LOBBYING ACTIVITIES. TOTAL DUES OF $31,689 WERE PAID TO THE OHIO HOSPITAL ASSOCIATION BY AACH, OF WHICH 5.85% WERE RELATED TO LOBBYING ACTIVITIES. TOTAL DUES OF $4,509 WERE PAID TO THE OHIO HEALTH CARE ASSOCIATION BY AACH, OF WHICH 20.71% WERE RELATED TO LOBBYING ACTIVITIES. 776367 44156 4000 816523 733598 46769 4000 776367 734605 4643 5650 733598 727562 13033 5990 734605 718271 25000 15263 30972 727562 0.00000 1.00000 0.00000 0 0 48622069 48622069 230803581 120559530 110244051 371210 100886 270324 334085124 268196926 65888198 24998152 9768555 15229597 240254239 DUE TO AFFLIATES 1036294 ESTIMATED THIRD PARTY SETTTLEMENTS 47275728 OTHER LIABILITIES 3213000 51525022 X 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. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 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. 1 1 X 1 X 0 1 1 0 1 1 11514463 9786887 1727576 0.00220 111464980 69081749 42383231 0.05390 122979443 78868636 44110807 0.05610 1285356 22485 1262871 0.00160 12383597 1836304 10547293 0.01340 92305616 71992457 20313159 0.02580 915535 603340 312195 0.00040 1904519 55996 1848523 0.00240 108794623 74510582 34284041 0.04360 231774066 153379218 78394848 0.09970 185483 185483 0.00020 171 171 0.00000 612095 612095 0.00080 797749 797749 0.00100 1 28964788 4152983 109198165 102548924 6649241 X 1 1 1 AULTMAN ONCOLOGY CENTER OF EXCELLENCE LLC ONCOLOGY SERVICES 0.81030 0.00000 0.18970 5 1 AULTMAN HOSPITAL 2600 SIXTH ST SW CANTON OH 44708 HTTP://WWW.AULTMAN.ORG 1270 AULTMAN HOSPITAL 340714538 X X X X X MAIN HOSPITAL A 2 AULTMAN WOODLAWN 2821 WOODLAWN AVE NW CANTON OH 44708 HTTP://WWW.AULTMAN.ORG 1270 AULTMAN HOSPITAL 340714538 X SKILLED NURSING, REHAB, HOME CARE, HOSPICE A 3 AULTMAN MASSILLON 2051 WALES AVE NW MASSILLON OH 44708 HTTP://WWW.AULTMAN.ORG 1443 AULTMAN HOSPITAL 340714538 X X X IMMEDIATE CARE, DIAGNOSTICS, THERAPY, PAIN MANAGEMENT A 4 AULTMAN ORRVILLE HOSPITAL 832 S MAIN STREET ORRVILLE OH 44667 HTTP://WWW.AULTMANORRVILLE.ORG/ 1291 AULTMAN ORRVILLE HOSPITAL 340733138 X X X X 5 AULTMAN ALLIANCE COMMUNITY HOSPITAL 200 E STATE STREET ALLIANCE OH 44601 HTTPS://AULTMANALLIANCE.ORG/ 198252 ALLIANCE COMMUNITY HOSPITAL 340714581 X X X X SKILLED NURSING, HOSPICE, GERIATRIC PSYCH UNIT FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE PART V, SECTION B, LINE 7D X X 1 19 1 SEE PART V, SECTION B, LINE 7D 0 1 X 100.000000000000 X X X X 1 1 X X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFORMATION X SEE SCHEDULE H SUPPLEMENTAL INFORMATION X SEE SCHEDULE H SUPPLEMENTAL INFORMATION X X X X X X 1 X 0 X X X X 1 X 0 0 AULTMAN ORRVILLE HOSPITAL 4 0 0 1 X X X X X X X X X 19 1 0 1 1 X SEE PART V, SECTION B, LINE 7D X X 1 19 1 SEE PART V, SECTION B, LINE 7D 0 1 X 100.000000000000 X X X X 1 1 X X X X 1 X AULTMANORRVILLE.ORG/PATIENT-INFORMATION/RESOURCES/BILLING X AULTMANORRVILLE.ORG/PATIENT-INFORMATION/RESOURCES/BILLING X AULTMANORRVILLE.ORG/PATIENT-INFORMATION/RESOURCES/BILLING X X X X X X 1 X 0 X X X X 1 X 0 0 AULTMAN ALLIANCE COMMUNITY HOSPITAL 5 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE PART V, SECTION B, LINE 7D X X 1 19 1 SEE PART V, SECTION B, LINE 7D 0 1 X 100.000000000000 300.000000000000 X X X 1 1 X X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFORMATION X SEE SCHEDULE H SUPPLEMENTAL INFORMATION X SEE SCHEDULE H SUPPLEMENTAL INFORMATION X X X X X X X 1 X 0 X X X X 1 X 0 0 AULTMAN ORRVILLE HOSPITAL PART V, SECTION B, LINE 5: AULTMAN ORRVILLE HOSPITAL ENGAGED BRICKER AND ECKLER/INCOMPLIANCE CONSULTING TO ASSIST IN CONDUCTING THEIR CHNA. INCOMPLIANCE CONSULTING IDENTIFIED DATA SOURCES AND INDICATORS WHICH REFLECT A HEALTHCARE ISSUE THAT IS PERTINENT TO THE COMMUNITY AND CAME FROM SOURCES THAT ARE RELIABLE AND ARE LIKELY TO BE AVAILABLE IN THE FUTURE. THE CONSULTANT IDENTIFIED AREAS OF CONCERN FROM THE DATA SOURCES BY COMPARING WAYNE COUNTY DATA TO STATE AND NATIONAL DATA FOR THE METRIC AND HEALTH ISSUES THAT WERE IDENTIFIED BY MULTIPLE DATA SOURCES. ALONG WITH WEB SOURCED DATA, THE WAYNE COUNTY FAMILY AND CHILDREN FIRST COUNCIL SHARED PLAN UPDATE FOR STATE'S FISCAL YEARS 2019, THE WAYNE COUNTY 2018 YOUTH ASSETS AND SUBSTANCE USE SURVEY (YASUS), AND THE 2019 WAYNE COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), PREPARED BY THE WAYNE COUNTY HEALTH DEPARTMENT, WERE UTILIZED IN THIS CHNA.PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, PARTICIPATED IN THE CHNA PROCESS AS MEMBERS OF THE CHNA ADVISORY COMMITTEE. THE CHNA ADVISORY COMMITTEE MET ON JUNE 6, 2019, TO REVIEW INDICATORS, IDENTIFY AND PRIORITIZE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFY EXISTING HEALTHCARE FACILITIES AND RESOURCES WHICH ARE POTENTIALLY AVAILABLE TO ADDRESS THE PRIORITY HEALTH NEEDS IDENTIFIED. PLEASE REFER TO APPENDIX A FOR PARTICIPATING ORGANIZATIONS AND THE GROUPS EACH ORGANIZATION REPRESENT. AULTMAN ORRVILLE HOSPITAL SOLICITED PARTICIPATION FROM ALL REQUIRED SOURCES AND ALL REQUIRED SOURCES AGREED TO PARTICIPATE. 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.)ACCESS TO HEALTH CARE, 2.)MENTAL HEALTH SERVICES, 3.)INFANT MORTALITY AND 4.) OBESITY AND HEALTHY LIFESTYLE. AS PART OF THE GROUP'S POPULATION HEALTH STRATEGY, WE IDENTIFIED AND INCUDED A FIFTH PRIORITY, SOCIAL DETERMINANTS OF HEALTH. AULTMAN ALLIANCE COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN COLLABORATION WITH AULTMAN SPECIALTY HOSPITAL, AND AULTMAN HOSPITAL. AULTMAN ORRVILLE HOSPITAL PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING NON-HOSPITAL FACILITIES: ORRVILLE CITY HALL, WAYNE/HOLMES COUNTIES MENTAL HEALTH AND RECOVERY, AOH- CEO, CNO/COO, CFO, AND DIRECTOR OF POPULATION HEALTH, AOH BOARD OF DIRECTORS PRESIDENT, ORRVILLE AREA CHAMBER OF COMMERCE PRESIDENT, WAYNE COUNTY HEALTH DEPARTMENT, VIOLA STARTZMAN FREE CLINIC, AOH GROWING HEALTHY HABITS, UNIVERSITY OF AKRON WAYNE COLLEGE, ORRVILLE PUBLIC LIBRARY, WAYNE COUNTY EMERGENCY MANAGEMENT AGENCY, ORRVILLE UNITED WAY, WAYNE COUNTY SCHOOL CAREER CENTER, AOH COORDINATORY OF AMISH SERVICES, AMISH CHURCH FOUNDATION, SMUCKER'S WELLNESS, OBSTETRICS AND GYNECOLOGY SERVICES, OHIO STATE UNIVERSITY EXTENSION WAYNE COUNTY, AND LIFECARE HOSPICE.IN ADDITION, AULTMAN ORRVILLE HOSPITAL ENGAGED BRICKER AND ECKLER/INCOMPLIANCE CONSULTING TO ASSIST IN CONDUCTING THEIR CHNA. INCOMPLIANCE CONSULTING IDENTIFIED DATA SOURCES AND INDICATORS WHICH REFLECT A HEALTHCARE ISSUE THAT IS PERTINENT TO THE COMMUNITY AND CAME FROM SOURCES THAT ARE RELIABLE AND ARE LIKELY TO BE AVAILABLE IN THE FUTURE. THE CONSULTANT IDENTIFIED AREAS OF CONCERN FROM THE DATA SOURCES BY COMPARING WAYNE COUNTY DATA TO STATE AND NATIONAL DATA FOR THE METRIC AND HEALTH ISSUES THAT WERE IDENTIFIED BY MULTIPLE DATA SOURCES. AULTMAN ALLIANCE COMMUNITY HOSPITAL PART V, SECTION B, LINE 6B: THE HOSPITAL'S CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITIES: ACCESS HEALTH STARK COUNTY, ALLIANCE CITY HEALTH DEPARTMENT, ALLIANCE FAMILY HEALTH CENTER, BEACON PHARMACY, CANTON CITY HEALTH DEPARTMENT, COMMQUEST, MASSILLON CITY HEALTH DEPARTMENT, MY COMMUNITY HEALTH CENTER, OHIO STATE UNIVERSITY EXTENSION, PARAMOUNT ADVANTAGE, PEGASUS FARM, SISTERS OF CHARITY FOUNDATION OF CANTON, STARKFRESH, STARK COUNTY HEALTH DEPARTMENT, STARK COUNTY COMMUNITY ACTION AGENCY, STARK COUNTY FAMILY COUNCIL, STARK COUNTY JOBS AND FAMILY SERVICES, STARK COUNTY DISTRICT LIBRARY, STARK MENTAL HEALTH & ADDICTION RECOVERY (STARKMHAR), STARK PARKS, STARK COUNTY TASC, UNITED WAY OF GREATER STARK COUNTY AND YMCA OF CENTRAL STARK COUNTY. IN ADDITION THE COLLABOARATION CONTRACTED WITH THE CENTER FOR MARKETING & OPINION RESEARCH, LLC TO PROVIDE PUBLIC OPINION RESEARCH SERVICES (TELEPHONE, WEB AND MAIL SURVEYS, INTERVIEWS, FOCUS GROUP ADMINISTRATION AND CONSULTING SERVICES). BRICKER & ECKLER LLP PROVIDED COMPLIANCE SERVICES IN PREPARING OUR 2019 CHNA. AULTMAN ORRVILLE HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA AND CHNA IMPLEMENTATION PLAN 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 AND CHNA IMPLEMENTATION PLAN 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: 2020 IS AULTMAN ALLIANCE COMMUNITY HOSPITAL'S (AACH) FIRST YEAR IMPLEMENTING THE STRATEGIES AS PART OF THE JOINT CHNA WITH AULTMAN HOSPITAL AND AULTMAN SPECIALTY HOSPITAL. WE HAVE MADE GREAT PROGRESS IN UNDERSTANDING OUR COMMUNITY'S HEALTH NEEDS AND LEADING OUR COMMUNITY TO IMPROVED HEALTH IN THE PRIORITY HEALTH NEEDS IDENTIFIED: 1.) ACCESS TO HEALTH CARE, 2.) MENTAL HEALTH SERVICES, 3.) INFANT MORTALITY, 4.) OBESITY AND HEALTHY LIFESTYLE AND 5) SOCIAL DETERMINANTS OF HEALTH. DURING THE COVID-19 PANDEMIC, ALL NEEDS HAVE BEEN ADDRESSED WITHIN THE SAFETY GUIDELINES MANDATED WHILE FIGHTING THIS DEADLY, UNPRECEDENTED DISEASE. 1) ACCESS TO HEALTHCARE - WE STRIVE TO PROVIDE ACCESS TO HIGH-QUALITY, AFFORDABLE, HOLISTIC, AND CULTURALLY RELEVANT CARE.A) TELEHEALTH SERVICES- 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. THE GRANT FUNDED 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 RAPIDLY EXPANDED ACCESS TO TELEHEALTH SERVICES, ADDING 400 CLINICIANS AND 17 TELEHEALTH SERVICES. IN 2020, AULTMAN LAUNCHED THE "AULTMANNOW" APP FOR PRIMARY CARE APPOINTMENTS SERVING 1,968 PATIENTS RESIDING IN THE CITY OF ALLIANCE. B) MAC TRAILER WELLNESS CLINIC- SINCE 2013, AACH HAS CONTRACTED WITH MAC TRAILER MANUFACTURING, ONE OF THE CITY'S LARGEST EMPLOYERS, TO OFFER ONSITE PREVENTIVE AND TREATMENT SERVICES TO THEIR EMPLOYEES. SERVICES INCLUDE BIOMETRIC SCREENING, LABORATORY TESTING, HEALTH RISK SCREENING, INFLUENZA VACCINATION, AND AN OUTPATIENT CLINIC THAT OPERATES FOR TREATMENT OF MINOR ILLNESS, NON-WORK-RELATED MINOR INJURY, HEALTH COUNSELING, AND EDUCATION. IN 2020, PROVIDERS OFFERED TELEHEALTH VISITS TO REMAIN OPEN DURING THE PANDEMIC. IN-PERSON AND TELEHEALTH VISITS TOTALED 1,725 FOR THE YEAR.C) UNIVERSITY OF MOUNT UNION STUDENT HEALTH CENTER- AACH STAFFS A STUDENT HEALTH CENTER LOCATED NEAR THE UNIVERSITY OF MOUNT UNION CAMPUS. THE STUDENT BODY PRIMARILY LIVES ON CAMPUS AND NEEDS ACCESS TO A LOCAL PRIMARY CARE PROVIDER. THE STUDENT HEALTH CENTER IS LOCATED ON THE HOSPITAL'S CAMPUS AND NO APPOINTMENT IS REQUIRED FOR STUDENTS TO ACCESS SERVICES THAT INCLUDE HEALTH PROMOTION, DISEASE PREVENTION, AND TREATMENT OF MINOR ILLNESSES AND INJURIES. UNIVERSITY CAMPUS SECURITY OFFERS TRANSPORTATION TO STUDENTS IF NEEDED. THE CENTER'S WALK-IN HOURS AND PHONE NUMBER ARE POSTED ON THE UNIVERSITY'S WEBSITE FOR THE STUDENTS' CONVENIENCE. ALTHOUGH THE CENTER WAS CLOSED MID-MAY THROUGH JUNE DUE TO THE PANDEMIC, THEY HAD A TOTAL OF 1,392 VISITS FOR THE YEAR.2) INFANT MORTALITY - AULTMAN AIMS TO DECREASE THE STARK COUNTY INFANT MORTALITY RATE BY OFFERING MANY PROGRAMS AND SERVICES. THE HOSPITAL ALSO COLLABORATES WITH A MULTITUDE OF LOCAL AND STATE ORGANIZATIONS TO ADDRESS ISSUES RELATED TO INFANT MORTALITY. SINCE ALLIANCE DOES NOT OFFER OBSTETRIC SERVICES AT THE HOSPITAL WE HAVE DETERMINED THAT THE SAFE SLEEP EDUCATION CAN BE INCORPORATED INTERNALLY AS PART OF OUR EMERGENCY ROOM AND SAME DAY SURGERY DEPARTMENTS BY PROVIDING FLYERS TO ALL ED PATIENTS PLUS SAME DAY SURGERY PATIENTS UNDER THE AGE OF ONE AS PART OF THEIR DISCHARGE FOLDERS.3) OBESITY AND HEALTHY LIFESTYLE - AACH PROMOTES HEALTHY LIFESTYLE CHOICES AND PREVENTION AND MANAGEMENT OF CHRONIC DISEASES AND CONDITIONS SUCH AS OBESITY, TYPE 2 DIABETES, HYPERTENSION, HEART DISEASE, STROKE, AND CANCER. A) THE AULTMAN GENERATIONS PROGRAM ENGAGES COMMUNITY MEMBERS 50 AND OLDER TO STAY ACTIVE AND LIVE A HEALTHY LIFE. THE GENERATIONS PROGRAM OFFERS FREE AND LOW-COST SOCIAL ACTIVITIES, WELLNESS CLASSES, HEALTH SCREENINGS, AND EDUCATIONAL OPPORTUNITIES SPECIFICALLY DESIGNED FOR SENIORS. IN 2020, OVER 14,000 MEMBERS (ALLIANCE AND OTHER AULTMAN LOCATIONS) ENJOYED THESE BENEFITS AND OVER 350 SENIORS REGULARLY VOLUNTEERED. DUE TO THE PANDEMIC, THE GENERATIONS PROGRAM EXPERIENCED INTERRUPTIONS TO IN-PERSON EVENTS. B) GIVE IT UP TOBACCO CESSATION PROGRAM - NURSES SCREEN HOSPITAL PATIENTS FOR TOBACCO USE AND MAKE REFERRALS TO RESPIRATORY THERAPY FOR PATIENT EDUCATION ON TOBACCO CESSATION COUNSELING. 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, GIVE IT UP! COVERS TOPICS RANGING FROM HOW TO CREATE A QUITTING "PLAN" TO TIPS ON STAYING TOBACCO-FREE. THE COVID-19 PANDEMIC SEVERELY AFFECTED THE OPERATION OF THE GIVE IT UP! PROGRAM WITH NO IN PERSON SESSIONS OFFERED IN 2020. AT THE END OF 2020, GIVE IT UP! ADDED SESSIONS VIA THE AULTMANNOW APP. C)MEDICATION, EDUCATION, DIET, SUPPORT (MEDS) CLINIC- SINCE 2015, THE MEDS CLINIC OFFERS A FULL SPECTRUM OF SERVICES FOR ADULTS WITH PREDIABETES, TYPE 1 DIABETES, TYPE 2 DIABETES, AND GESTATIONAL DIABETES. MEDS CLINIC PATIENTS CAN MEET WITH A DEDICATED AND CARING TEAM OF PHARMACISTS, DIETITIANS, NURSES, AND CERTIFIED DIABETES EDUCATORS FOR AN INDIVIDUALIZED PLAN AND SELF-MANAGEMENT TOOLS AND INFORMATION ABOUT DISEASE PROCESSES AND MANAGEMENT. 4) MENTAL HEALTH - WE PROVIDE ACCESS TO MENTAL HEALTH CARE THAT IS INTEGRATED WITH PRIMARY CARE, SUBSTANCE ABUSE TREATMENT, COMMUNITY SAFETY, AND VIOLENCE PREVENTION. A) YOU MATTER CAMPAIGN- THE SIMPLICITY OF THE AULTCARE YOU MATTER CAMPAIGN MESSAGE FROM OUR HOSPITALS TO THE SCHOOL SYSTEMS, SHARES THAT EVERYONE MATTERS. IN 2020, AULTCARE, PART OF THE AULTMAN GROUP, COLLABORATED WITH CHILD & ADOLESCENCE BEHAVIORAL HEALTH TO PROMOTE THE MESSAGE OF YOU MATTER FROM ELEMENTARY SCHOOL TO HIGH SCHOOL STUDENTS. B) HEALTH INTEGRATION COLLABORATIVES- IN 2020, AULTMAN BEHAVIORAL HEALTH CORPORATE PLAN TEAM MEMBERS ENGAGED WITH COMMUNITY STAKEHOLDERS TO FORM AN AD HOC BEHAVIORAL HEALTH STRATEGY WORKGROUP TO DEVELOP A SUSTAINABLE LONG-TERM PLAN FOR ACCESS TO MENTAL HEALTH SERVICES FOR STARK COUNTY. AULTMAN ALSO PARTICIPATES ON THE STARK COUNTY SUICIDE PREVENTION COALITION'S CARE COORDINATION COMMITTEE IMPLEMENTING COMMUNITY-WIDE YOUTH SUICIDE STANDARDIZED PREVENTION STRATEGIES.C) ALLIANCE SENIOR CARE UNIT- 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. THE UNIT PROVIDED 2,811 DAYS OF LOCAL INPATIENT MENTAL HEALTH SERVICES CARE IN 2020. D) AULTMAN OPIOID COMMITTEE - AS A GROUP, WE OFFER AN INTEGRATED AND STANDARDIZED SYSTEM-WIDE SAFE OPIOID PRESCRIBING PRACTICES. SUBCOMMITTEES ADDRESS THE KEY DRIVERS OF SAFE OPIOID PRESCRIBING PRACTICES. E) ALLIANCE DETOX AND RECOVERY UNIT- IN 2017, AACH PARTNERED WITH COMMQUEST SERVICES, INC. FOR AN ALLIANCE DETOX & RECOVERY UNIT TO PROVIDE MENTAL HEALTH SERVICES, SUBSTANCE USE RECOVERY SERVICES, AND SOCIAL SERVICES COVERAGE FOR THE GREATER CITY OF ALLIANCE REGION. THE UNIT OFFERS 24/7 ADMISSIONS FOR MEDICATION-ASSISTED RECOVERY, DETOXIFICATION, INDIVIDUAL AND GROUP COUNSELING, AND CASE MANAGEMENT SERVICES. THE 16-BED INPATIENT RESIDENTIAL TREATMENT PROGRAM USES A COMBINATION OF MEDICATION, COUNSELING, AND CASE MANAGEMENT SERVICES TO BEGIN THE RECOVERY PROCESS. IN 2020, THE UNIT HAD 230 PATIENT DAYS PRIOR TO CLOSING MAY - DECEMBER DUE TO THE PANDEMIC.5) SOCIAL DETERMINANTS OF HEALTH - AULTMAN'S POPULATION HEALTH STRATEGY HAS INVESTED IN THE IDENTIFICATION OF SOCIAL DETERMINANTS OF HEALTH SUCH AS FOOD INSECURITY AS A SIGNIFICANT COMMUNITY NEED. PATIENTS ARE SCREENED AND GIVEN RESOURCE REFERRALS IN ORDER TO ADDRESS THIS ISSUE IN ADDITION TO COMMUNITY COLLABORATION EFFORTS.A) AACH NUTRITIONAL SERVICES DEPARTMENT - THE HOSPITAL'S NUTRITIONAL SERVICES DEPARTMENT COLLABORATES WITH THE CITY OF ALLIANCE CHAPTER OF MEALS ON WHEELS AMERICA TO PROVIDE MEALS TO CITY RESIDENTS IN NEED OF A FOOD DELIVERY SERVICE. THE MEALS ON WHEELS VOLUNTEERS DELIVERED 17,205 MEALS IN 2020.B) ALLIANCE COMMUNITY GARDENS- INITIATED IN 2017, THE COMMUNITY GARDEN LOCATED ON AACH'S CAMPUS GROWS VEGETABLES AND FRUITS. HOSPITAL NUTRITIONAL SERVICES DEPARTMENT STAFF OFFER RESIDENTS RECIPES ON HOW TO PREPARE NUTRITIOUS MEALS WITH THE PRODUCE. IN 2020, AACH'S GARDEN PROVIDED 454 POUNDS OF FRESH PRODUCE FOR COMMUNITY CONSUMPTION WHILE MAINTAINING LIMITED OPERATIONS DURING THE PANDEMIC.(CONTINUED IN SCHEDULE H, PART V, SECTION C) 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 45%. 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. 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 CHA PROCESS TO MEET AFFORDABLE CARE ACT REQUIREMENTS FOR NONPROFIT HOSPITALS AND PUBLIC HEALTH ACCREDITATION BOARD STANDARDS FOR HEALTH DEPARTMENTS. LOCAL PUBLIC HEALTH DEPARTMENTS, HEALTH CARE 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 ADVISORY COMMITTEE SELECTED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) MODEL, FOR THE 2020-2022 CYCLE. THE MAPP MODEL 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 SHARED, LONG-TERM COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE APPROACH IMPROVES PUBLIC HEALTH PRACTICE THROUGH SIX PHASES AND FOUR ASSESSMENTS. THREE SIGNIFICANT COMPONENTS SERVE AS THE FOUNDATION OF THE MAPP PROCESS: 1) STRATEGIC PLANNING, 2) COLLABORATION AND 3) QUALITY IMPROVEMENT. THE ADVISORY COMMITTEE SELECTED CENTER FOR MARKETING AND OPINION RESEARCH (CMOR) TO CONDUCT THE 2019 CHA AS THEY DID FOR PREVIOUS CHA CYCLES. AULTMAN HEALTH FOUNDATION LEADERS SERVE AS MEMBERS OF THE ADVISORY COMMITTEE. THE 2019 CHA SERVES AS A FOUNDATION OF THE JOINT 2019 AULTMAN HOSPITAL, AULTMAN ALLIANCE COMMUNITY HOSPITAL, & AULTMAN SPECIALTY HOSPITAL CHNA. THE 2019 CHA IS AVAILABLE AT HTTPS://WWW.STARKCOUNTYOHIO.GOV/PUBLIC-HEALTH/COMMUNITY-HEALTH-ASSESSMENT. ADDITIONALLY, AULTMAN HEALTH FOUNDATION USES THE COMMUNITY HEALTH ASSESSMENT TOOLKIT AS A FRAMEWORK (ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT, 2017).CMOR GATHERED 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 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 SURVEY. THE FIRST PHASE CONSISTED OF A RANDOM SAMPLE TELEPHONE SURVEY OF STARK COUNTY HOUSEHOLDS. TELEPHONE INTERVIEWS ENSURED ADEQUATE SAMPLE SIZE AND REPRESENTATIVENESS OF THE POPULATION. THE FINAL SAMPLE SIZE OF 800 RESULTED IN AN OVERALL SAMPLING ERROR OF +/- 3.5% WITHIN A 95% CONFIDENCE LEVEL. AN OVERSAMPLE OF APPROXIMATELY 160 AFRICAN-AMERICAN RESIDENTS AND 105 CANTON RESIDENTS WAS CONDUCTED IN ADDITION TO THE 800 INTERVIEWS IN ORDER TO ATTAIN ENOUGH CASES OF THIS POPULATION TO BE ABLE TO DRAW STATISTICALLY VALID CONCLUSIONS. DATA COLLECTION BEGAN ON JULY 5, 2018 AND ENDED ON AUGUST 7, 2018. MOST CALLING TOOK PLACE BETWEEN THE EVENING HOURS OF 5:15 P.M. AND 9:15 P.M. SOME INTERVIEWS WERE CONDUCTED DURING THE DAY AND ON SOME WEEKENDS TO ACCOMMODATE RESPONDENT SCHEDULES. THE INTERVIEWS TOOK AN AVERAGE OF 14.4 MINUTES.SECONDARY DATA. THE SECOND PHASE CONSISTED OF REVIEWING AND ANALYZING SECONDARY DATA SOURCES TO IDENTIFY PRIORITY AREAS OF CONCERN WHEN ANALYZED ALONGSIDE SURVEY DATA. CMOR GATHERED AND COMPILED HEALTH AND DEMOGRAPHIC DATA FROM VARIOUS SOURCES. COMMUNITY LEADER SURVEY. THE THIRD PHASE CONSISTED OF A WEB SURVEY OF COMMUNITY LEADERS WHO WERE KNOWLEDGEABLE ABOUT PUBLIC HEALTH. A TOTAL OF 101 COMMUNITY LEADERS COMPLETED THE WEB SURVEY BETWEEN OCTOBER 25 AND NOVEMBER 12, 2018. SEE APPENDIX 2 ORGANIZATIONS RESPONDING TO THE INVITATION TO PARTICIPATE IN THE COMMUNITY LEADER SURVEY.COMMUNITY FOCUS GROUP. THE FOURTH PHASE CONSISTED OF A MODERATED DISCUSSION WITH A DIVERSE DEMOGRAPHIC MIX OF ADULT STARK COUNTY RESIDENTS. THE COMMUNITY FOCUS GROUP WAS HELD ON FEBRUARY 20, 2019, AT THE STARK COUNTY HEALTH DEPARTMENT. CMOR MODERATED THE DISCUSSION. PARTICIPANTS IN THE COMMUNITY FOCUS GROUP COMPRISED A DIVERSE GROUP OF INDIVIDUAL CITIZENS. GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING HOSPITAL FACILITIES: AULTMAN SPECIALTY HOSPITAL, AND ALLIANCE COMMUNITY 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 FAMILY HEALTH CENTER, ALLIANCE CITY HEALTH DEPARTMENT, THE AULTMAN HEALTH FOUNDATION, AULTMAN MEDICAL GROUP, BEACON CHARITABLE PHARMACY, CANTON CITY PUBLIC HEALTH , COMMQUEST, MASSILLON CITY HEALTH DEPARTMENT, MERCY MEDICAL CENTER, MY COMMUNITY HEALTH CENTER, THE OHIO STATE UNIVERSITY EXTENSION OFFICE, PARAMOUNT ADVANTAGE, PEGASUS FARM, STARK COUNTY COMMUNITY ACTION AGENCY, STARK COUNTY FAMILY COUNCIL, STARK COUNTY HEALTH DEPARTMENT, STARK COUNTY JOBS AND FAMILY SERVICES, STARK COUNTY DISTRICT LIBRARY, STARK MENTAL HEALTH & ADDICTION RECOVERY, STARK FRESH, STARK PARKS, STARK COUNTY TASC, SUMMA HEALTH, SISTERS OF CHARITY FOUNDATION OF CANTON, UNITED WAY OF GREATER STARK COUNTY, AND YMCA OF CENTRAL STARK COUNTY.IN ADDITION, THE COLLABORATION CONTRACTED WITH CENTER FOR MARKETING & OPINION RESEARCH, LLC AND BRICKER & ECKLER LLP/INCOMPLIANCE CONSULTING TO CONDUCT THE STARK COUNTY HEALTH NEEDS ASSESSMENT AND PREPARE THE 2019 STARK COUNTY HEALTH NEEDS ASSESSMENT. THE CENTER FOR MARKETING & OPINION RESEARCH PROVIDES PUBLIC OPINION RESEARCH SERVICES TO COLLEGES AND UNIVERSITIES, HOSPITALS AND HEALTH CARE ORGANIZATIONS, BUSINESSES, AND COMMUNITY-BASED ORGANIZATIONS AND GOVERNMENT AGENCIES. SERVICES INCLUDE TELEPHONE, WEB AND MAIL SURVEYS, FIELD, INTERCEPT AND KEY INFORMANT INTERVIEWS, FOCUS GROUP ADMINISTRATION, AS WELL AS A WIDE RANGE OF CONSULTING SERVICES. GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA AND CHNA IMPLEMENTATION PLAN 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 CARE (AFFORDABLE, BASIC HEALTHCARE)ACTIONS: 1. AULTMAN MEDICAL GROUP PROVIDERS2. INTEGRATIVE HEALTH CARE (IHC) MEDICARE SHARED SAVINGS PROGRAM3. AULTMANNOW APP TELEHEALTHANTICIPATED IMPACT:1. SUSTAIN THE NUMBER OF AULTMAN MEDICAL GROUP PROVIDERS.2. AULTMAN MEDICAL GROUP WILL REDUCE THE NUMBER OF ED VISITS/1000 BY 5% FROM 312.7 IN 2018 TO 297.1 BY DECEMBER 31, 2019.3. AULTMAN MEDICAL GROUP WILL REDUCE THE NUMBER OF AMBULATORY SENSITIVE ADMISSIONS/1000 BY 5% FROM 38.0 IN 2018 TO 36.1 BY DECEMBER 31, 2019.4. NUMBER OF AULTMANNOW APP TELEHEALTH APPOINTMENTS.5. IHC MEDICARE SHARED SAVINGS PROGRAM (IHC MSSP) ED VISIT RATE = NUMBER OF MSSP ENROLLEE/1000 MSSP BENEFICIARIES.6. IHC MSSP PRIMARY CARE VISIT RATE = NUMBER OF MSSP ENROLLEE PRIMARY CARE VISITS/1000 MSSP BENEFICIARIES.7. IHC MSSP WELLNESS VISIT RATE = NUMBER OF MSSP ENROLLEE WELLNESS VISITS/1000 ENROLLED IN MSSPNEED 2: INFANT MORTALITYACTIONS:1. SAFE SLEEP ENVIRONMENT IN THE BIRTH CENTER DURING NEWBORN ROOMING-IN A. ACTIVE ENDORSEMENT OF AMERICAN ACADEMY OF PEDIATRICS (AAP) INFANT SAFE SLEEP GUIDELINES B. HOSPITAL POLICY CONSISTENT WITH AAP INFANT SAFE SLEEP GUIDELINES C. HOSPITAL STAFF MODEL SAFE SLEEP GUIDELINES D. INFANT CAREGIVER EDUCATION TO BUILD KNOWLEDGE, SKILLS AND SELF-EFFICACY TO PRACTICE SAFE SLEEP E. REFERRAL OF ELIGIBLE FAMILIES TO STARK COUNTY HEALTH DEPARTMENT SAFE CRIBS PROGRAM F. BIRTH CENTER NURSE COMMUNITY OUTREACH SAFE SLEEP ENVIRONMENT DEMONSTRATIONS AND EDUCATION AT WELLNESS ON WHEELS (WOW) LOCATIONS2. COMMUNITY PARTNERSHIPS TO ALIGN GOALS AND STRATEGIES A. STARK COUNTY THRIVE COLLABORATIVE B. OHIO DEPARTMENT OF HEALTH OHIO COLLABORATIVE TO PREVENT INFANT MORTALITY C. STARK COUNTY FAMILY COUNCIL D. OHIO INJURY PREVENTION PROGRAM SAFE SLEEP SUBCOMMITTEEANTICIPATED IMPACT:1. INPATIENT INFANTS WILL HAVE A SAFE SLEEP ENVIRONMENT 100% OF THE TIME - SAFE SLEEP ENVIRONMENT RATE = NUMBER OF DOCUMENTED SAFE SLEEP ENVIRONMENTS/NUMBER OF INPATIENT INFANTS.2. PARENTS/LEGAL GUARDIANS OF INFANTS WILL RECEIVE SAFE SLEEP EDUCATION DURING A HOSPITAL STAY 100% OF THE TIME - SAFE SLEEP EDUCATION RATE = NUMBER OF DOCUMENTED EDUCATION ON SAFE SLEEP/NUMBER OF INPATIENT INFANTS.3. ELIGIBLE PARENTS/LEGAL GUARDIANS OF INFANTS WILL RECEIVE SAFE SLEEP ENVIRONMENT RESOURCES - NUMBER OF CRIBS FOR KIDS PROGRAM REFERRALS.4. COMMUNITY OUTREACH EDUCATION ON SAFE SLEEP ENVIRONMENT. - NUMBER OF FAMILIES RECEIVING SAFE SLEEP EDUCATION.NEED 3: OBESITY & HEALTHY LIFESTYLE1. GENERATIONS PROGRAM:ACTIONS:A. PHYSICAL FITNESS ACTIVITIES INCLUDING WALKING, YOGA, BOWLING, GOLF AND PICKLEBALL.B. FOOD AND MEAL EVENTS INCLUDING NUTRITIOUS MEAL PREPARATION, FOOD TOURS.C. SOCIAL OUTINGS TO SPORTS EVENTS, MUSIC EVENTS AND CULTURAL EVENTS.D. CHORAL SINGING ACTIVITIES.E. EDUCATIONAL SESSIONS ON MEDICAL CONDITIONS, PREVENTION AND WELLNESS.F. "HANDS-ONLY" CPR TRAINING.G. HEALTH SCREENINGS.ANTICIPATED IMPACT: PARTICIPATION RATE = NUMBER OF ENROLLED PARTICIPANTS/NUMBER OF COUNTY MEMBERS.2. BEE HEALTHY EMPLOYEE WELLNESS PROGRAMACTIONS:A. BEE HEALTHY RUNB. CAF NUTRITION OFFERINGSC. ONLINE WELLNESS PORTAL (CHALLENGES, PROGRAMS, TRACKING FOOD/FITNESS/WATER)D. AULTMAN EMPLOYEE GYME. TELEPHONE COACHINGF. 100 DAYS OF SUMMER WALKING CHALLENGEG. BEE HEALTHY PROGRAM CASH INCENTIVE AND REDUCED HEALTH PLAN PREMIUMS FOR COMPLETION OF REQUIREMENTS:- ONE AGE- OR GENDER-APPROPRIATE PREVENTIVE SCREENING.- A DENTAL AND/OR VISION VISIT.- COMPLETE THE ONLINE HEALTH RISK ASSESSMENT VIA THE BEE HEALTHY WELLNESS PORTAL.ANTICIPATED IMPACT: BEE HEALTHY PARTICIPATION RATE = NUMBER OF EMPLOYEES ENROLLED/NUMBER OF EMPLOYEES3. AULTMAN AMBASSADOR PROGRAMACTIONS:A. AULTMAN AMBASSADOR PROGRAM: SUPPORT STUDENT PEER-TO-PEER MENTORING, STAFF ADVISING AND UNIVERSITY PARTNER FOR THE ALLIANCE FOR A HEALTHIER GENERATION HEALTHY SCHOOLS PROGRAM CYCLE OF ASSESSMENT, ACTION PLANNING, IMPLEMENTATION OF STRATEGIES AND EVALUATION OF IMPACT.B. SUSTAIN INTERMEDIARY PARTNER WITH THE ALLIANCE FOR A HEALTHIER GENERATION.ANTICIPATED IMPACT: A. SCHOOL ENROLLMENT RATE = NUMBER OF STARK COUNTY SCHOOLS ENROLLED/NUMBER OF STARK COUNTY SCHOOLSB. SCHOOL PARTICIPATION RATE = NUMBER OF ENROLLED SCHOOLS COMPLETING A HEALTHY SCHOOLS PROGRAM ASSESSMENT/NUMBER OF ENROLLED SCHOOLSC. SCHOOL PARTICIPATION RATE = NUMBER OF ENROLLED SCHOOLS DEVELOPING AN ACTION PLAN/NUMBER OF ENROLLED SCHOOLSD. NUMBER OF STUDENT AMBASSADORS4. TOBACCO CESSATION/VAPINGACTIONS:A. INCREASE COMMUNITY AWARENESS OF TOBACCO CESSATION PROGRAMS.B. GIVE IT UP! TOBACCO CESSATION PROGRAM LED BY TOBACCO TREATMENT SPECIALISTS.C. IMPLEMENT THE ADOLESCENT VAPING AWARENESS PROGRAM OFFERED BY AULTMAN CARDIAC REHABILITATION TOBACCO TREATMENT SPECIALISTS.D. INCREASE COMMUNITY AWARENESS OF THE HEALTH HAZARDS ASSOCIATED WITH E-CIGARETTES OR VAPING.ANTICIPATED IMPACT:A. TOBACCO USE SCREENING RATE = NUMBER OF 18-YEAR-OLD OR OLDER INPATIENTS NOT COGNITIVELY IMPAIRED SCREENED/NUMBER OF 18-YEAR-OLD OR OLDER INPATIENTS NOT COGNITIVELY IMPAIREDB. TOBACCO CESSATION COUNSELING REFERRAL RATE = TOTAL NUMBER OF PATIENTS WHO HAVE USED TOBACCO IN THE PAST 30 DAYS REFERRED TO TOBACCO CESSATION COUNSELING/TOTAL NUMBER OF PATIENTS WHO HAVE USED TOBACCO IN THE PAST 30 DAYS C. GRADUATION RATE = NUMBER OF PARTICIPANTS ATTENDING FOUR OR MORE SESSIONS/NUMBER OF PARTICIPANTSD. QUIT SUCCESS RATE = NUMBER OF PARTICIPANTS WITH A NORMAL CO LEVELS AT FINAL SESSION/NUMBER OF PARTICIPANTSE. ADOLESCENT VAPING AWARENESS PROGRAM COMPLETION RATE = NUMBER OF ADOLESCENTS REFERRED TO PROGRAM/NUMBER OF ADOLESCENTS COMPLETING THE 2-SESSION PROGRAM5. WEIGHT MANAGEMENT PROGRAMSACTIONS:A. NEW DIRECTION WEIGHT MANAGEMENT: THREE-PHASE, MEDICALLY MONITORED, VERY LOW-CALORIE DIET DESIGNED FOR PEOPLE WITH AT LEAST 40 POUNDS TO LOSE.B. NEW OUTLOOK WEIGHT MANAGEMENT: THREE-PHASE MEDICALLY MONITORED LOW-CALORIE DIET FOR PEOPLE WANTING TO LOSE 20 POUNDS OR MORE.C. NEW CHOICES WEIGHT MANAGEMENT: BASED ON WELL-BALANCED MEALS AND HEALTHY SNACKS FROM GROCERY STORE FOOD FOR PEOPLE WITH ANY AMOUNT OF WEIGHT TO LOSE.ANTICIPATED IMPACT:A. PERCENT OF MEDICATION DISCONTINUATION/DOSE REDUCTION = NUMBER OF ACTIVE CLIENTS WHO WERE ABLE TO DISCONTINUE OR REDUCE THE DOSE OF A PRESCRIBED ANTIHYPERTENSIVE, DIABETES OR CHOLESTEROL MEDICATION/NUMBER OF ACTIVE CLIENTS WHO STARTED A PROGRAM ON PRESCRIBED ANTIHYPERTENSIVE, DIABETES OR CHOLESTEROL MEDICATIONB. PERCENT OF ACTIVE CLIENTS WITH DECREASE IN AVERAGE WAIST SIZE = NUMBER OF ACTIVE CLIENTS THAT DECREASED WAIST SIZE/NUMBER OF ACTIVE CLIENTS THAT COMPLETED 12 WEEKS OF THE PROGRAMNEED 4: MENTAL HEALTH1. ACCESSACTIONS:A. AULTMAN COLLEGE OF NURSING AND HEALTH SCIENCES OFFERING A BACHELOR OF SOCIAL WORK DEGREE PROGRAMB. AULTMAN HOSPITAL EMERGENCY SERVICES BEHAVIORAL HEALTH NAVIGATORSC. AULTMAN MEDICAL GROUP BEHAVIORAL HEALTH AND COUNSELING CENTER INPATIENT AND OUTPATIENT CLIENT SERVICES AND DEVELOPMENT OF A BEHAVIORAL HEALTH PLAN OF CARE FOR MY COMMUNITY HEALTH CENTER PATIENT POPULATIOND. COMMQUEST SERVICES, INC. UNIT AT AULTMAN HOSPITAL TO PROVIDE TREATMENT OF ALCOHOL, DRUGS AND OTHER ADDICTIVE BEHAVIORS.E. SOCIAL WORKER CARE COORDINATION TO LINK PATIENTS TO NEEDED COMMUNITY MENTAL HEALTH SERVICES.F. IMPLEMENT AULTMAN HOSPITAL BEHAVIORAL HEALTH RESPONSE TEAM CODE ROSEG. BEHAVIORAL HEALTH STRATEGIC PLANNING WORKGROUP FOR COORDINATION OF COUNTY SERVICES AND RESOURCESANTICIPATED IMPACT:A. AULTMAN COLLEGE OF NURSING AND HEALTH SCIENCES SOCIAL WORK PROGRAM GRADUATION RATE = NUMBER OF GRADUATES/NUMBER OF STUDENTS ENROLLED IN THE SOCIAL WORK PROGRAMB. AMG BEHAVIORAL HEALTH AND COUNSELING PATIENT WAIT TIME FOR BEHAVIORAL HEALTH SERVICESC. COMMQUEST SERVICES, INC. UNIT AT AULTMAN HOSPITAL INPATIENT VOLUMESD. NUMBER OF SOCIAL WORKER PATIENT REFERRALS TO NEEDED COMMUNITY BEHAVIORAL HEALTH SERVICES.E. NUMBER OF CODE ROSE ACTIVATIONS FOR BEHAVIORAL HEALTH ASSESSMENT(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 100% OF FPG RECEIVES 100% DISCOUNT, 101% TO 150% OF FPG IS DISCOUNTED 90%, 151% TO 200% IS DISCOUNTED 80%, 201% TO 300% IS DISCOUNTED 65%, AND 301% AND ABOVE IS DISCOUNTED 58%. GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE INFORMATION CAN BE FOUND AT THE FOLLOWING URL: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 AND CHNA IMPLEMENTATION PLAN 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 100% OF FEDERAL POVERTY GUIDELINE (FPG) RECEIVES 100% DISCOUNT, 101% TO 150% OF FPG IS DISCOUNTED 90%, 151% TO 200% IS DISCOUNTED 80%, 201% TO 300% IS DISCOUNTED 65%, AND 301% AND ABOVE IS DISCOUNTED 58%. GROUP A-FACILITY 2 -- AULTMAN WOODLAWN PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE INFORMATION CAN BE FOUND AT THE FOLLOWING URL: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 AND CHNA IMPLEMENTATION PLAN 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 100% OF FEDERAL POVERTY GUIDELINE (FPG) RECEIVES 100% DISCOUNT, 101% TO 150% OF FPG IS DISCOUNTED 90%, 151% TO 200% IS DISCOUNTED 80%, 201% TO 300% IS DISCOUNTED 65%, AND 301% AND ABOVE IS DISCOUNTED 58%. GROUP A-FACILITY 3 -- AULTMAN MASSILLON PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE INFORMATION CAN BE FOUND AT THE FOLLOWING URL: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 100% OF FPG RECEIVES 100% DISCOUNT, 101% TO 150% OF FPG IS DISCOUNTED 90%, 151% TO 200% IS DISCOUNTED 80%, 201% TO 300% IS DISCOUNTED 65%, AND 301% AND ABOVE IS DISCOUNTED 58%. PART V, LINE 11 (AULTMAN ALLIANCE COMMUNITY HOSPITAL) (CONTINUED FROM SCHEDULE H, PART V, LINE 11 - AULTMAN ALLIANCE COMMUNITY HOSPITAL)C) STARKFRESH MOBILE GROCERY MARKET- IN 2020, AACH PARTNERED WITH STARKFRESH TO EXPAND THEIR MOBILE GROCERY MARKET LOCATIONS AND TIMES TO SERVE VULNERABLE COMMUNITY MEMBERS. COMMUNITY MEMBERS USING TWO BUS STOPS LOCATED NEAR THE HOSPITAL HAVE EASY ACCESS TO LOW-COST, NUTRITIOUS FOOD PRODUCTS. IN 2020, STARKFRESH MOBILE GROCERY MARKET MADE 11 VISITS TO THE AULTMAN ALLIANCE COMMUNITY HOSPITAL SITE AND RECORDED 78 COMMUNITY TRANSACTIONS FOR FOOD PRODUCTS. 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)2. YOUTH SUICIDE PREVENTIONACTIONS:A. BEHAVIORAL HEALTH CORPORATE PLANB. AULTCARE: YOU MATTER CAMPAIGNC. ZERO SUICIDE CONTINUOUS QUALITY IMPROVEMENT FRAMEWORK FOR TRANSFORMING SUICIDE PREVENTION IN HEALTH AND BEHAVIORAL HEALTH CARE SYSTEMS. - COLUMBIA SUICIDE SEVERITY RATING SCALE (C-SSRS) SCREENING OF ALL YOUTH AGES 12 TO 17 YEARS OF AGE THAT PRESENT TO THE ED. EXPAND C-SSRS COMPLETION FROM A HYBRID PROCESS OF EMR/PAPER CSSR-S COMPLETION TO ALL VIA EMR.DEVELOP EMR REPORTS FOR METRICS. - CARE COORDINATION FOR TRANSITION FROM ED TO COMMUNITY MENTAL HEALTH CARE SERVICES FOR YOUTH WITH POSITIVE C-SSRS SCREEN OR SUICIDE ATTEMPT.D. MAINTAIN COMPETENCY FOR STAFF WHO CARE FOR AT RISK PATIENTS. - SECURITY: CRISIS PREVENTION INSTITUTE (CPI) NONVIOLENT CRISIS INTERVENTION TRAINING PROGRAM - CLINICAL STAFF: SKILLS FOR CARING FOR PATIENTS WITH BEHAVIORAL HEALTH CONDITIONS SUICIDAL PATIENT - AULTMAN HOSPITAL 2-DAY EMERGENCY DEPARTMENT STAFF TRAINING ON CALM: COUNSELING ON ACCESS TO LETHAL MEANSE. CDC 2018 NORTHEAST OHIO YOUTH HEALTH SURVEY (NOYHS) PROTECTIVE FACTORS RECOMMENDED TO HELP YOUTH WITH HIGH SUICIDAL RISK FACTORS. STRENGTHEN ACCESS & DELIVERY OF YOUTH BEHAVIORAL HEALTH CARE: AULTMAN WILL SUSTAIN CARE COORDINATION OF YOUTH PRESENTING TO EMERGENCY SERVICES AS A SUICIDE RISK.ANTICIPATED IMPACT:A. C-SSRS COMPLETION RATE = NUMBER OF COMPLETED C-SSRS COMPLETED/NUMBER OF YOUTH (AGES 12 TO 17 YEARS) THAT PRESENT TO THE EDB. C-SSRS POSITIVE RISK SCREEN RATE = NUMBER OF C-SSRS POSITIVE SCREENINGS/NUMBER OF C-SSRS COMPLETEDC. CONSENT TO REFERRAL RATE = NUMBER OF CONSENTS PROVIDED FOR REFERRAL TO COLEMAN PROFESSIONAL SERVICES/NUMBER OF YOUTH (AGES 12 TO 17 YEARS) WITH C-SSRS POSITIVE RISK SCREENINGS3. HEROIN/OPIATE USEACTIONS:A. SUPPORT OPTIMIZING HEALING IN OHIO COMMUNITIES (OHIO) (PART OF THE NIH HEALING COMMUNITIES STUDY) LED BY OHIO STATE UNIVERSITY AND CASE WESTERN RESERVE UNIVERSITY IN STARK COUNTY. - AIM TO REDUCE OVERDOSE DEATHS STATEWIDE BY 40% OVER THE NEXT THREE YEARS.B. ENGAGE IN COMMUNITY PARTNERSHIPS - OHIO HOSPITAL ASSOCIATION OPIOID RESPONSE INITIATIVE - STARK COUNTY OPIATE TASK FORCE - STOP HEROIN FROM KILLING COMMITTEEC. CARE COORDINATION - SUSTAIN EMERGENCY SERVICES BEHAVIORAL HEALTH NAVIGATOR ROLE - ENGAGE STARK COUNTY TASC PEER RECOVERY SUPPORTER ROLE - SUSTAIN SOCIAL WORKER ROLE TO HELP PATIENTS TRANSITION TO COMMUNITY MENTAL HEALTH SERVICESD. TREATMENT - LEASE SPACE FOR COMMQUEST DETOX AND RECOVERY UNIT IN AULTMAN HOSPITALE. AULTMAN OPIOID COMMITTEE - AULTMAN HOSPITAL'S MEDICAL EXECUTIVE COMMITTEE RECOMMENDATION TO ADD AN ADDICTION SPECIALIST - SUBCOMMITTEE IT: GOAL BETTER TRANSITIONS BETWEEN PRACTITIONERS. DESCRIPTION: PROMOTE SAFE, EFFECTIVE AND OPTIMAL UTILIZATION OF TECHNOLOGY WITHIN THE CLINICAL SETTING: CREATE DASHBOARD(S) FOR PROVIDER FEEDBACK (CHRONIC OPIOID MEASURES AND ACUTE OPIOID MEASURES) (I.E. BENZODIAZEPINE CO-PRESCRIBING), EVALUATE CERNER'S OPIOID TOOLKIT AND MAKE RECOMMENDATION, FACILITATE CHANGES TO EMR - SUBCOMMITTEE REGULATORY/COMPLIANCE: GOAL SAFE PRESCRIBING. DESCRIPTION: ASSURE THAT REGULATORY AND COMPLIANCE STANDARDS RELATING TO PAIN ASSESSMENT AND MANAGEMENT ARE BEING MET. - SUBCOMMITTEE ACUTE/CHRONIC PAIN: GOAL PROPER TREATMENT & PROPER EVALUATION. DESCRIPTION: EVALUATES STANDARDS OF CLINICAL PRACTICE AND PATIENT CARE FOR CONSISTENCY WITH EVIDENCE-BASED PRACTICE, QUALITY OUTCOMES, REGULATORY REQUIREMENTS. - SUBCOMMITTEE EDUCATION: GOAL EDUCATION TO PHYSICIANS, NURSES, CLINICIANS AND PATIENTS. DESCRIPTION: TO UTILIZE CONSISTENT EDUCATIONAL PROGRAMS TO ENHANCE STAFF KNOWLEDGE BASE ABOUT ALL ASPECTS OF THE OPIOID CRISIS. WORKS IN COLLABORATION WITH MEDICAL STAFF AND ADMINISTRATION TO SECURE TOPICS, SPEAKERS AND LOGISTICS FOR THE HEALTHCARE DELIVERY SYSTEM. FOCUS ON UNDERSTANDING OHIO LAW, MORPHINE EQUIVALENT DOSE AND INTERPRETATION OF A URINE DRUG SCREEN. PROVIDE PATIENT EDUCATION AND DRUG DISPOSAL KITS ON DISCHARGE.ANTICIPATED IMPACT:A. OPIOID PRESCRIPTION PILL QUANTITY/DAY SUPPLY <7 DAYS AT PATIENT DISCHARGEB. NUMBER OF OPIOID IV PUSH DOSES IN ACCEPTABLE RANGE ADMINISTERED IN INPATIENT SETTINGS (EXCLUSIONS: ED, OR, END OF LIFE CARE PATIENTS)C. NUMBER OF NALOXONE DOSES ADMINISTERED IN INPATIENT SETTINGS (UNITS EXCLUDED: ED, OR)D. NUMBER OF DISCHARGE SCRIPTS WRITTEN FOR OPIOIDS INCLUDING QUANTITY DISPENSED, DAY SUPPLY AND ICD-10 INDICATION.E. PERCENT COMPLIANCE WITH REGULATORY AND COMPLIANCE STANDARDS FOR PAIN ASSESSMENT AND MANAGEMENT.F. PERCENT OF CREDENTIALED AND EMPLOYED PROVIDERS COMPLETING SMARTRX EDUCATION.NEED 5: SOCIAL DETERMINANTS OF HEALTH FOOD INSECURITYACTIONS:1. PROVIDE NON-FINANCIAL SUPPORT (E.G. STAFF TIME, MATERIALS), FINANCIAL SUPPORT AND/OR ESTABLISHED A FORMAL PARTNERSHIP (BINDING AGREEMENT) FOR COMMUNITY FOOD INITIATIVES. A. PARTICIPATE IN THE AKRON-CANTON REGIONAL FOODBANK HARVEST FOR HUNGER FOOD DRIVE FOR EMERGENCY FOOD PROVISION (E.G. FOOD BANK, FOOD PANTRY, SOUP KITCHEN). B. PARTICIPATE IN PROGRAMS THAT OFFER SUPPLEMENTAL MEAL PROVISION (E.G. SCHOOL-BASED, SUMMER MEALS, MEALS ON WHEELS) - EMPLOYEE VOLUNTEER HOURS FOR MEALS ON WHEELS. - EMPLOYEE VOLUNTEER HOURS BACKPACK FOR KIDS STARK COUNTY HUNGER TASK FORCE.2. FORM COMMUNITY PARTNERSHIPS AND COLLABORATIONS TO ADDRESS FOOD SECURITY. A. FOOD SYSTEM ADVOCACY GROUP (E.G. FOOD POLICY COUNCIL, FOOD JUSTICE COALITION) - MEMBER OF THE STARK COUNTY FOOD COUNCIL B. ESTABLISH HEALTH CARE DELIVERY SYSTEM PROCESS FOR IDENTIFYING PATIENTS EXPERIENCING DIFFICULTY ACCESSING FRESH PRODUCE/FRUIT AND/OR FOOD INSECURITY AND LINKING FOOD-INSECURE PEOPLE TO COMMUNITY FOOD RESOURCES. - IMPLEMENTATION OF SCREENING OF PATIENTS USING THE HEALTHY VITAL SIGN 2-ITEM FOOD INSECURITY TOOL. - PILOT PRODUCE PERKS MIDWEST PRODUCE PRESCRIPTION (PRX) PROGRAM GRANT WITH 35 ELIGIBLE FAMILIES. - REFER ELIGIBLE PATIENTS FOR SNAP ENROLLMENT. - REFER ELIGIBLE PATIENTS FOR WIC ENROLLMENT.ANTICIPATED IMPACT:1. POSITIVE SCREEN RATE: NUMBER OF PATIENTS WITH POSITIVE SCREEN/TOTAL NUMBER OF PATIENTS SCREENED FOR FOOD INSECURITY2. REFERRAL RATE: NUMBER OF REFERRALS TO FOOD RESOURCES/NUMBER OF PATIENTS THAT SCREEN POSITIVE FOR FOOD INSECURITYNEED 6: SOCIAL DETERMINANTS OF HEALTH: SAFE, AFFORDABLE HOUSING (DESIGNATED GEOGRAPHIC AREA OF NEED: TUSCARAWAS TO 9TH STREET & HARRISON TO BELLFLOWER)ACTIONS: 1. LEAD AND COORDINATE THE AULTMAN CAMPUS PLAN/NEIGHBORHOOD REVITALIZATION COMMITTEE A. COMMUNITY ENGAGEMENT AULTMAN AREA NEIGHBORHOOD ASSOCIATION B. HOME ASSESSMENT AND REPAIR/RENOVATION PROGRAMS - HOME DOWN PAYMENT ASSISTANCE - EXTERIOR GRANT REWARDS FUNDING - CITY OF CANTON EMERGENCY REPAIR PROGRAM - DEMONSTRATION PROJECT FUNDING - CODE ENFORCEMENT DIVISION OF THE CITY OF CANTON, OHIO IDENTIFICATION OF HOMES OUT OF CODE COMPLIANCE C. COMMUNITY DEVELOPMENT DIRECTOR FOR CITY OF CANTON, OHIO APPLICATION FOR HUD LEAD ABATEMENT PROGRAM GRANTANTICIPATED IMPACT:1. NUMBER OF DOWN PAYMENT ASSISTANCE FOR HOME OWNERSHIP2. NUMBER OF EXTERIOR GRANT REWARDS FUNDING FOR HOUSE RENOVATIONS3. NUMBER OF HOMES THAT RECEIVED HUD FUNDS 4. NUMBER OF HOMES WITH COMPLETED LEAD ABATEMENT5. NUMBER OF EMPLOYEES ACCEPTING RENTAL INCENTIVE FOR THE DESIGNATED NEIGHBORHOOD6. NUMBER OF HOMES RENOVATED WITH PRIVATE INVESTOR FUNDING 8 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 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 100% OF FPG RECEIVES 100% DISCOUNT, 101% TO 150% OF FPG IS DISCOUNTED 90%, 151% TO 200% IS DISCOUNTED 80%, 201% TO 300% IS DISCOUNTED 65%, AND 301% AND ABOVE IS DISCOUNTED 58%.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 100% OF FPG RECEIVES 100% DISCOUNT, 101% TO 150% OF FPG IS DISCOUNTED 90%, 151% TO 200% IS DISCOUNTED 80%, 201% TO 300% IS 65%, 301% TO 400% IS DISCOUNTED TO 55%, 401% AND ABOVE IS DISCOUNTED 43%.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 300% IS DISCOUNTED 53%. 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 HTTPS://AULTMAN.ORG/ASSETS/ABOUT/AULTMAN-HOSPITAL-2019-ANNUAL-REPORT.PDF) 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 REPORTEDIN THE TABLE FOR LINE 7. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENTSEGMENTS SPECIFIC TO AACH. WHERE APPLICABLE, A COST TO CHARGE RATIO WASUSED AND THE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARECOST-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) PROVIDESEDUCATION TO THE COMMUNITY THROUGH: 1) HEALTH TALKS BY QUALIFIEDPHYSICIANS AND PROFESSIONALS; 2) SUPPORT GROUPS FOR DIABETICS; 3) CLINICALEXPERIENCES FOR RADIOLOGIC TECHNOLOGY, NURSING AND PHYSICAL THERAPYSTUDENTS; 4) SMOKING CESSATION CLASSES; 5) COUNTY HEALTH FAIR; 6)BUSINESSSHOWCASES; AND 7) ELEMENTARY STUDENT BICYCLE SAFETY THROUGH THE AULTMANSAFETY FIRST PROGRAM.AACH'S SUBSIDIZED HEALTH SERVICES DATA ON LINE 7G DO NOT INCLUDE ANY COSTSATTRIBUTABLE TO A PHYSICIAN CLINIC; THUS THERE ARE NO COSTS TO REPORT INPART 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. DUE TO THE PANDEMIC, THE PROGRAM WAS SHUT DOWN FOR MOST OF 2020. SIMILAR TO THE HOSPITALITY PROGRAM, AACH ALSO HOSTS THE STUDENTS WITH DISABILITIES PROGRAM FOR 2 LOCAL SCHOOLS WHERE SCHOOL STAFF MENTOR THEIR STUDENTS WITH SIMILAR SKILLS. WHEN THE STUDENTS AND THEIR AIDES COULD NO LONGER ENTER THE HOSPITAL, THEIR PROGRAM CONTINUED VIRTUALLY WITH PICK-UPS AND DROP-OFFS AT THE HOSPITAL ENTRANCE. AACH OFFERS READING PROGRAMS TO SPECIAL-NEEDS CHILDREN AND THERAPEUTIC PROGRAMS TO LOCAL NURSING HOME RESIDENTS. THE SUMMER TEEN PROGRAM (PANDEMIC CANCELLED THIS PROGRAM FOR 2020) 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. NUMEROUS COLLEAGUES PROVIDE COMMUNITY SUPPORT IN COLLABORATIVE EVENTS INCLUDING BLOOD DRIVES AND VOLUNTEER NUMEROUS HOURS PARTICIPATING ON LOCAL HEALTH-RELATED BOARDS AND COMMITTEES FOR NONPROFIT ORGANIZATIONS CONTRIBUTING TO THE LOCAL COMUNITY'S HEALTH AND WELL-BEING. 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 ON A MONTHLY BASIS. 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 58% 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 62% 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 2019 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 HEATH CARE, SUCH AS MEDICAID. PART III, LINE 4: SEE THE "PATIENT SERVICE REVENUE AND PATIENT RECEIVABLES" PARAGRAPHS IN NOTE 3 ON PAGES 20-21 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: AH - THE HOSPITAL HAS A SHORTFALL OF 6,290,729 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 2020. 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 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 2019, 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 1,065 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 2019 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 - AACHAACH ASSESSES THE HEALTH CARE NEEDS BY ACTIVELY PARTICIPATING IN OUR COUNTY-WIDE COMMUNITY HEALTH ASSESSMENT GROUP. THIS EXTENSIVE GROUP OF INDIVIDUALS FROM VARIOUS LOCAL NONPROFITS PROVIDE VALUABLE FEEDBACK WHEN EVALUATING THE HEALTH CARE NEEDS OF THE COMMUNITY. THIS INVOLVEMENT PROVIDES INSIGHT IN SELECTING TOPICS FOR OUR MONTHLY LECTURE LUNCHEONS WHICH ARE FREE TO THE PUBLIC ON A VARIETY OF HEALTH TOPICS. OUR IN-PERSON LUNCHEONS MARCH - DECEMBER WERE CANCELLED DUE TO THE PANDEMIC BUT WE HOSTED 2 MORE VIRTUAL HEALTH TALKS LATER IN 2020. AULTMAN ALLIANCE COMMUNITY HOSPITAL WAS A VERY PROMINENT COMMUNITY LEADER IN THE ARENA OF COVID-19 EDUCATION FOR OUR COMMUNITY, PARTICULARLY AS IT RELATED TO TESTING AND VACCINES. AS TESTING BECAME AVAILABLE, AND AS NEED INCREASED, WE OFFERED COVID TESTING IN A DRIVE-THRU CLINIC 5 DAYS A WEEK. AS THE COMMUNITY HEALTHCARE LEADER, OUR PUBLIC RELATIONS OFFICE ESTABLISHED A "JOINT TESTING" DOCUMENT TO OUTLINE TESTING AVAILABILITY IN THE CITY OF ALLIANCE. WE FELT OPEN COMMUNICATION WAS BEST TO GET AS MANY RESIDENTS TESTED AS POSSIBLE DURING PEAK POSITIVITY TIMES. THIS DOCUMENT WAS SHARED THROUGHOUT THE CITY AND INCLUDED COMMUNITY PARTNERS SUCH AS THE ALLIANCE FAMILY HEALTH CENTER, RITE AID AND HOMETOWN URGENT CARE. 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 2018 INCLUDED FORMAL FINANCIAL COUNSELOR STAFF TRAINING IN HCAP/FAP PROGRAM REQUIREMENTS AND CUSTOMER SERVICE SKILLS.PATIENT EDUCATION AND ELIGIBIITY 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 2017 POPULATION OF OUR FIVE COUNTY AREAS TO BE 650,690. THERE ARE EIGHT REGISTERED HOSPITALS IN THE FIVE COUNTY AREA. THREE OF THESE ARE AULTMAN FACILITIES. AULTMAN PROVIDED CARE FOR 26% OF THE TOTAL 359,729 MEDICAID CASES IN THE PRIMARY SERVICE AREA FOR 2018. 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.COMMUNITY INFORMATION - AACHAULTMAN 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 2020, OUR PATIENT CHARGES CONSISTED OF THE FOLLOWING FINANCIAL CLASSES: 25% FROM INDIVIDUALS ON MEANS-TESTED GOVERNMENT PROGRAMS OR UNINSURED; 27% FROM COMMERCIAL INSURANCE, HEALTH MAINTENANCE AND PREFERRED PROVIDER ORGANIZATIONS; AND 48% FROM MEDICARE PROGRAMS. PERSONS BELOW THE POVERTY LEVEL WAS 15% 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 $49,416. PERSONS UNDER THE AGE OF 18 ACCOUNTED FOR 21% 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 11 NON-EMPLOYED MEMBERS. A TOTAL OF 16 OF THE 18 VOTING BOARD MEMBERS RESIDE IN THE CORE MARKET AREA. THE REMAINING PORTION RESIDES IN THE TERTIARY MARKET.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 2020, 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. IN 2020, HUNDREDS OF AULTMAN EMPLOYEES VOLUNTEERED TO TEACH NEARLY 4,300 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 35,000 STUDENTS WITH THE IMPORTANT MESSAGE OF BICYCLE SAFETY. WORKING ON WELLNESS (WOW)THE AULTMAN WORKING ON WELLNESS (WOW) TEAM PROVIDES HEALTH SCREENINGS AND EDUCATION AT NO COST TO LEAD OUR COMMUNITY TO IMPROVED HEALTH. THE WOW TEAM VISITED 100 SITES IN 2020 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 PROVIDED HEALTH EDUCATION TO 3,700 COMMUNITY MEMBERS IN 2020.CANCER OUTREACH - AULTMAN 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 2020, AULTMAN EMPLOYEES DONATED $31,282 IN MONETARY 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 WAY - EVERY YEAR, AULTMAN ORGANIZES A FUNDRAISING CAMPAIGN TO BENEFIT UNITED WAY. IN 2020, AULTMAN EMPLOYEES AND PHYSICIANS GENEROUSLY DONATED $457,659 TO FUND PROGRAMS TO BENEFIT COMMUNITY MEMBERS OF ALL AGES AND FROM ALL WALKS OF LIFE.AULTMAN AMBASSADOR PROGRAMAS PART OF AULTMAN HEALTH FOUNDATION'S MISSION TO LEAD OUR COMMUNITY TO IMPROVED HEALTH, THE AULTMAN AMBASSADOR PROGRAM (AAP) PROVIDES AN OPPORTUNITY TO EMPOWER HIGH SCHOOL STUDENTS TO BE "AULTMAN AMBASSADORS" TO ENGAGE THEIR PEERS, FAMILIES AND COMMUNITIES IN PROMOTING HEALTHY LIFESTYLE CHANGES. AAP IS PARTNERED WITH THE ALLIANCE FOR A HEALTHIER GENERATION HEALTHY SCHOOLS PROGRAM TO PROVIDE EVIDENCE-BASED RESOURCES ON THE CORE PRINCIPLES OF THE AAP: NUTRITION, HYDRATION, PHYSICAL ACTIVITY, SLEEP AND STRESS. THE AAP IS CURRENTLY PARTNERED WITH SIXTEEN HIGH SCHOOLS AND FIVE COLLEGE/UNIVERSITIES IN THREE COUNTIES; STARK, MAHONING, AND WAYNE. FOR THE 2019/2020 SCHOOL YEAR THE PROGRAM INVOLVED 201 TOTAL STUDENT AMBASSADORS WITH 51 SENIORS. AULTMAN CONTINUES TO EXPAND THE AMBASSADOR PROGRAM IN THE GREATER STARK COUNTY AREAS. 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 - AACH(CONTINUED IN SCHEDULE H PART VI) PART VI, LINE 6: AULTMAN'S BOARD OF DIRECTORS HAS 38 NON-EMPLOYED MEMBERS. A TOTAL OF 64 OF THE 70 VOTING BOARD MEMBERS RESIDE IN THE CORE MARKET AREA. THE REMAINING PORTION RESIDE IN THE TERTIARY MARKET.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 (CONTINUED FROM PART VI, LINE 5)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 2020, ALLIANCE OFFERED A FREE BREAST CANCER SCREENING DAY AND ADDED A FREE PROSTATE SCREENING DAY IN SEPTEMBER 2020. 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 2020. 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 2020 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. 1 MY COMMUNITY HEALTH CENTER 2600 7TH STREET SW CANTON OH 44710 812171085 501(C)(3) 1850000 OPERATIONAL SUPPORT AHEAD INC PO BOX 1568 MASSILLON OH 44648 341800520 501(C)(3) 6375 OPERATIONAL SUPPORT BEACON CHARITABLE PHARMACY 408 9TH ST SW STE 1450 CANTON OH 44707 200797475 501(C)(3) 6000 OPERATIONAL SUPPORT GENTLEBROOK 880 SUNNYSIDE ST SW HARTVILLE OH 44632 237400452 501(C)(3) 6000 OPERATIONAL SUPPORT ALLIANCE FAMILY HEALTH CENTER 1401 S ARCH AVE STE A ALLIANCE OH 44601 810789614 501(C)(3) 5400 OPERATIONAL SUPPORT 5 0 AULTMAN HEALTH FOUNDATION SCHOLARSHIP 23 144500 PART I, LINE 2: 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. X 1 1 X X X X X X 1 1 0 0 0 0 0 0 0 SHRUTI TREHAN MD DIRECTOR - ANCMG; DIRECTOR - TAF 678544 0 790907 0 6159 0 19500 0 2483 0 1497593 0 0 0 SUNITHA VEMULAPALLI MD PHYSICIAN - ANCMG 615404 0 836478 0 9633 0 19500 0 1602 0 1482617 0 0 0 RAZA KHAN MD PHYSICIAN - ANCMG 629906 0 791862 0 0 0 19500 0 4592 0 1445860 0 0 0 DAVID V MUNGO MD PHYSICIAN - AACH 561608 0 237013 0 0 0 0 0 0 0 798621 0 0 0 EDWARD J ROTH III PRESIDENT AHF - PRESIDENT & CEO; DIRECTOR - AO 0 625029 0 151359 0 0 0 2659 0 12815 0 791862 0 0 MICHAEL A NECCI MD PHYSICIAN - AACH 582114 0 146530 0 0 0 0 0 0 0 728644 0 0 0 PRABHCHARAN GILL MD PHYSICIAN - AH 645714 0 25300 0 0 0 23250 0 0 0 694264 0 0 0 CHRISTOPHER E REMARK CEO - HDS; DIRECTOR - AOH & AACH 426759 0 97300 0 0 0 2659 0 1644 0 528362 0 0 0 MICHAEL LYNCH DIRECTOR - AH 0 442604 0 3800 0 0 0 25637 0 1609 0 473650 0 0 MARK D WRIGHT CFO - AHF; DIRECTOR/TREASURER - AACH 0 385272 0 83300 0 0 0 2659 0 971 0 472202 0 0 SABRINA SHILAD MD DIRECTOR - AOH 351965 0 64695 0 0 0 24222 0 556 0 441438 0 0 0 LORI L MERTES MD PHYSICIAN CHIEF QUALITY OFFICER - AH 359344 0 64493 0 0 0 2659 0 1330 0 427826 0 0 0 CLIFFORD G JOHNSON MD MEDICAL DIRECTOR - ANCMG 319528 0 49154 0 0 0 14612 0 4216 0 387510 0 0 0 FRANCIS TONY SNYDER AH - CEO 328532 0 46875 0 0 0 2659 0 3434 0 381500 0 0 0 JULIA FIORENTINO MD DIRECTOR - ANCMG 246074 0 76084 0 2951 0 15630 0 769 0 341508 0 0 0 RYAN JONES DIRECTOR - AOH; CEO - AACH 262236 0 70782 0 0 0 2659 0 635 0 336312 0 0 0 MATTHEW HIESTAND MD DIRECTOR - ANCMG 253423 0 58291 0 2098 0 15340 0 873 0 330025 0 0 0 SUSAN E MERCER MD VP - MEDICAL EDUCATION - AH 303815 0 8616 0 0 0 2659 0 11976 0 327066 0 0 0 ADAM LUNTZ CFO - AH; TREASURER - ACON 0 274474 0 32700 0 120 0 2659 0 436 0 310389 0 0 MARCHELLE L SUPPAN DPM CEO OF AMG 219108 0 45443 0 0 0 2659 0 4183 0 271393 0 0 0 VICTORIA L HAINES VP - FDTN SERVICES; DIRECTOR - TAF 209113 0 48890 0 0 0 2659 0 4089 0 264751 0 0 0 ANDREW NAUMOFF MD VICE CHAIR - AOH 206891 0 32467 0 0 0 12789 0 3448 0 255595 0 0 0 ANNE GUNTHER CNO - HDS; DIRECTOR - ACON 219345 0 28455 0 0 0 2659 0 1478 0 251937 0 0 0 DEBRA LEHRER MD DIRECTOR - AACH 227060 0 300 0 0 0 12002 0 0 0 239362 0 0 0 JEAN PADDOCK PRESIDENT - ACON 183570 0 51582 0 0 0 2659 0 0 0 237811 0 0 0 JENNIFER KESSEL CEO AOH 178828 0 55544 0 0 0 2659 0 286 0 237317 0 0 0 NICOLE KOLACZ DIRECTOR - AH 218025 0 15451 0 0 0 2659 0 491 0 236626 0 0 0 RAMESH KRISHNAMURTHI DIRECTOR - ANCMG 158223 0 11945 0 1671 0 13399 0 315 0 185553 0 0 0 AMY ANTONACCI VP - PATIENT CARE SERVICES 181070 0 400 0 0 0 2659 0 628 0 184757 0 0 0 DAVID SHROADES VP - OPERATIONS - AACH 167116 0 300 0 0 0 2659 0 1587 0 171662 0 0 0 LISA GEIGER CFO - AACH/CHI; DIRECTOR - ACH 151547 0 300 0 0 0 2659 0 323 0 154829 0 0 0 LIZ EDMUNDS DIRECTOR - TAF 0 129779 0 20955 0 0 0 2659 0 1175 0 154568 0 0 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. PART I, LINES 4A-B VIVIAN LEGGETT, FRANCIS SNYDER AND CHRIS REMARK ARE PARTICIPANTS IN THE ORGANIZATION'S 457 (F) PLAN. THERE WERE NO CONTRIBUTIONS IN 2020. DR MICHAEL NECCI EMPLOYED PHYSICIAN PHYSICIAN ADVANCE X 75000 25000 0 1 1 25000 RICE'S NURSERY BRYAN RICE, AHF BOARD MEMBER, OWNS RICE'S NURSERY 850084 LANDSCAPING SERVICES FOR AULTMAN HOSPITAL 0 X 16012 DONORS' VALUE X TRAVEL AND ENTERTAINMENT 3 22700 DONORS' VALUE X FOOD 1 5314 DONORS' VALUE X OTHER 1 5000 DONORS' VALUE 0 0 1 0 FIXED ASSETS 2019-04-15 4588 MARKET VALUE BASED ON CONDITION 341867253 NORTHEAST PROFESSIONAL HOME INC 1177 S MAIN ST NORTH CANTON OH 44720 S-CORPORATION EMPLOYEE FILES 2019-04-15 4000 AGREED UPON PURCHASE ALLOCATION 341867253 NORTHEAST PROFESSIONAL HOME INC 1177 S MAIN ST NORTH CANTON OH 44720 S-CORPORATION PATIENT CHARTS 2019-04-15 1000 AGREED UPON PURCHASE ALLOCATION 341867253 NORTHEAST PROFESSIONAL HOME INC 1177 S MAIN ST NORTH CANTON OH 44720 S-CORPORATION 0 0 0 0 1 1 1 1 0 SCHEDULE N, PART I, LINE 1: CARING HANDS, INC. WAS DISSOLVED DURING 2020. ALL REMAINING ASSETS WERE PURCHASED BY NORTHEAST PROFESSIONAL HOME, INC. 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 CARED 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. SINCE 1996 AULTMAN ORRVILLE HOSPITAL HAS BEEN A MEMBER OF INDEPENDENT HOSPITAL NETWORK (IHN), WHICH CONSISTS OF FIVE AREA HOSPITALS, SHARING A COMMON MISSION OF MAINTAINING LOCAL, NOT-FOR-PROFIT CONTROL. BUILDING ON A 16-YEAR RELATIONSHIP THROUGH THE IHN, AULTMAN ORRVILLE HOSPITAL ENTERED INTO A MEMBER SUBSTITUTION AGREEMENT TO BECOME A SUBSIDIARY OF THE AULTMAN HEALTH FOUNDATION IN 2012. THE AFFILIATION ALLOWS AULTMAN ORRVILLE HOSPITAL TO REMAIN A CLOSE-TO-HOME, COMMUNITY HOSPITAL WHILE IMPROVING ACCESS TO ADVANCED HEALTH CARE SERVICES. 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. CARING HANDS INC. (CHI) PROVIDES BASIC, COST EFFICIENT, COMMUNITY-BASED HOME CARE AIDE SERVICES WHICH ENABLE OUR CLIENTS TO REMAIN IN THEIR HOMES TO LIVE A FULL AND SATISFYING LIFE. IN 2019, THE ORGANIZATION'S ASSETS WERE SOLD TO A LOCAL HOME CARE BUSINESS FOR CONTINUED SERVICE TO CARING HANDS PATIENTS. CARING HANDS CORPORATION WAS DISSOLVED IN 2020. FORM 990, PART VI, SECTION A, LINE 2 JACQUELINE DEGARMO AND CHRIS REMARK HAVE A BUSINESS RELATIONSHIP. 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), AULTMAN ALLIANCE COMMUNITY HOSPITAL (AACH) AND CARING HANDS, INC. (CHI) 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 MEMBERS, 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 DISCLOSING ANY CONFLICTS OF INTEREST THEY MAY HAVE. 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 -107,406,295. 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) CARING HANDS, INC. (34-1505340) FEDERAL ELECTIONS AULTMAN HEALTH FOUNDATION GROUP RETURN EMPLOYER IDENTIFICATION NUMBER: 32-0483994 FOR THE YEAR ENDING DECEMBER 31, 2020 AULTMAN HEALTH FOUNDATION GROUP RETURN IS MAKING THE DE MINIMIS SAFE HARBOR ELECTION UNDER REG. SEC. 1.263(A)-1(F). ALLIANCE COMMUNITY MEDICAL FOUNDATION LLC 200 E STATE STREET ALLIANCE OH 44601 263646817 PHYSICIAN OFFICES OH 11748260 570422 ALLIANCE COMMUNITY HOSPITAL 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 AULTMAN HOSPITAL 1 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 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 AULTMAN HOSPITAL RELATED 116290 3489 0 1 0.81030 MCKINLEY ASSURANCE SPC PO BOX 1051 GEORGE TOWN GRAND CAYMANS CJ 980468384 PORTFOLIO CJ N/A C 0 AULTCARE CORPORATION 2600 SIXTH ST SW CANTON OH 44710 341488123 PREF. PROVIDER ORG. 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