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      <Desc>THE MISSION OF REID HOSPITAL AND HEALTH CARE SERVICES, INC. IS TO SERVE THE PEOPLE OF A MULTI-COUNTY SERVICE AREA IN REFERENCE TO THEIR CURRENT AND FUTURE NEEDS FOR HEALTH CARE SERVICES. IN FURTHERANCE OF THIS MISSION, REID HOSPITAL AND HEALTH CARE SERVICES, INC. PROVIDES QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY. DURING 2016, REID HOSPITAL AND HEALTH CARE SERVICES, INC. ADMITTED APPROXIMATELY 12,114 PATIENTS FOR IN-PATIENT SERVICES REPRESENTING 56,098 PATIENT DAYS; 696 BIRTHS REPRESENTING 2,060 NEWBORN PATIENT DAYS AND PERFORMED APPROXIMATELY 2,357 IN-PATIENT SURGERIES. IN ADDITION, REID HOSPITAL AND HEALTH CARE SERVICES, INC. RECEIVED OVER 303,000 OUT-PATIENT ENCOUNTERS FOR NON-EMERGENCY DIAGNOSTIC AND TREATMENT SERVICES INCLUDING 10,555 AMBULATORY SURGERIES AND 11,300 HOME HEALTH ENCOUNTERS. REID HOSPITAL AND HEALTH CARE SERVICES, INC. OFFERS EMERGENCY SERVICES 24 HOURS PER DAY, 365 DAYS EACH YEAR. IN 2015, OVER 46,100 PATIENTS WERE TREATED THROUGH EMERGENCY SERVICES. IN KEEPING WITH REID HOSPITAL AND HEALTH CARE SERVICES, INC.'S COMMITMENT TO SERVE ALL MEMBERS OF OUR MULTI-COUNTY SERVICE AREA, REID HOSPITAL AND HEALTH CARE SERVICES, INC. PROVIDES HEALTHCARE TO THE ELDERLY AND DISABLED COVERED UNDER MEDICARE AND MEDICAID PROGRAMS AT OR BELOW COST. IN ADDITION, REID HOSPITAL AND HEALTH CARE SERVICES, INC. HAS ESTABLISHED A FINANCIAL ASSISTANCE POLICY FOR THE POOR WHO DO NOT HAVE THE MEANS TO PAY FOR SERVICES. FOR 2015, THE TOTAL VALUE OF UNCOMPENSATED CARE AT COST FOR THE ELDERLY AND DISABLED WAS $14.8 MILLION AND FINANCIAL ASSISTANCE FOR THE POOR WAS $18.9 MILLION. TO ENSURE MEMBERS OF OUR SERVICE COMMUNITY HAVE ADEQUATE ACCESS AND RESOURCES AVAILABLE TO MEET THEIR HEALTHCARE NEEDS, REID HOSPITAL AND HEALTH CARE SERVICES, INC. HAS UNDERTAKEN A DELIBERATE PHYSICIAN RECRUITMENT PROGRAM CONSISTENT WITH IRS GUIDANCE. THIS PROGRAM PROVIDES ASSURANCE THAT OUR SERVICE COMMUNITY HAS ADEQUATE AND QUALIFIED PHYSICIAN RESOURCES COVERING A VARIETY OF SPECIALTY AREAS. THE COST OF FUNDING THIS RECRUITMENT EFFORT WAS $615,841 FOR 2015. IN ADDITION, REID HOSPITAL AND HEALTH CARE SERVICES, INC. IS COMMITTED TO INITIATING, PARTICIPATING IN, OR COOPERATIVELY SUPPORTING COMMUNITY EFFORTS THAT ENHANCE THE GENERAL HEALTH STATUS, WELL-BEING AND TOTAL QUALITY OF LIFE IN OUR SERVICE COMMUNITY.</Desc>
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        <PersonNm>JANET MECKLEY MD</PersonNm>
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        <PersonNm>ANGELA DICKMAN</PersonNm>
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        <PersonNm>CHRISTOPHER KNIGHT</PersonNm>
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        <PersonNm>RANDALL KIRK</PersonNm>
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        <OrgProfitOrOwnershipPct>0.11</OrgProfitOrOwnershipPct>
        <OfcrEtcProfitOrOwnershipPct>0.08</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.89</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>ROSE LLC</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>OUTPATIENT SURGICAL SERVICES</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.55</OrgProfitOrOwnershipPct>
        <OfcrEtcProfitOrOwnershipPct>0.6</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.45</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>REID HOSPITAL &amp; HEALTH CARE SERVICES</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1100 REID PARKWAY</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.REIDHEALTH.ORG</WebsiteAddressTxt>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>OUTPATIENT SURGERY CENTER</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>REID HOSPITAL &amp; HEALTH CARE SERVICES</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>16</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.REIDHEALTH.ORG</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>16</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.REIDHEALTH.ORG</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>150.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.REIDHEALTH.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.REIDHEALTH.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.REIDHEALTH.ORG</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>CHNA COMMUNITY INPUT COMMUNITY INPUT WAS COLLECTED VIA AN ENGLISH LANGUAGE COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS, AND FOCUS GROUPS. COMMUNITY SURVEY ONE FORM OF COMMUNITY INPUT COLLECTED WAS VIA AN ONLINE ENGLISH LANGUAGE COMMUNITY SURVEY. SURVEY MONKEY WAS THE TOOL USED TO DISTRIBUTE AND COLLECT RESPONSES FOR THE COMMUNITY SURVEY. PAPER SURVEYS WERE ALSO MADE AVAILABLE. ANSWERS TO THE PAPER SURVEY WERE INPUT INTO THE SURVEY MONKEY TOOL. THE COMMUNITY SURVEY WAS DISTRIBUTED ACROSS REID HEALTHS ENTIRE SERVICE AREA FROM FEBRUARY 15TH, 2016 TO APRIL 1ST, 2016. A TOTAL OF 769 RESPONSES WERE COLLECTED. RESULTS IN THIS REPORT ARE BASED ON THE EIGHT COUNTIES THAT COMPRISE REID HEALTHS SERVICE AREA. THIS WAS A CONVENIENCE SAMPLE, WHICH MEANS RESULTS MAY BE VULNERABLE TO SELECTION BIAS AND MAKE THE FINDINGS LESS GENERALIZABLE. ANOTHER LIMITATION TO THE SURVEY IS THAT IT WAS CONDUCTED ONLY IN ENGLISH. OUT OF THE 769 RESPONDENTS, 80% WERE FEMALE AND 20% WERE MALE. THEY WERE COMPRISED OF 57% HEALTH PROFESSIONALS. FOCUS GROUPS ANOTHER FORM OF COMMUNITY INPUT WAS COLLECTED VIA FIVE FOCUS GROUPS WITH TWENTY-FOUR PARTICIPANTS TOTAL. THESE FOCUS GROUPS WERE HELD BETWEEN APRIL 19TH, 2016 AND APRIL 26TH, 2016. THE FOCUS GROUP DISCUSSIONS LASTED BETWEEN 60-90 MINUTES IN LENGTH. FOUR OF THE FIVE FOCUS GROUPS WERE HELD AT REID HEALTH, AND ONE WAS HELD IN THE COMMUNITY OF CONNERSVILLE, INDIANA (FAYETTE COUNTY). DURING THE FOCUS GROUP DISCUSSIONS, QUESTIONS WERE ASKED TO LEARN MORE ABOUT THE COMMUNITYS OVERALL HEALTH STATUS, BIGGEST HEALTH NEEDS, BARRIERS TO HEALTH, AND AVAILABLE COMMUNITY RESOURCES. NOTES FROM THE FOCUS GROUP DISCUSSIONS WERE TRANSCRIBED AND UPLOADED TO THE WEB-BASED QUALITATIVE DATA ANALYSIS TOOL, DEDOOSE. EXCERPTS WERE CODED BY RELEVANT TOPIC AREAS AND KEY HEALTH THEMES. THE FREQUENCY WITH WHICH A HEALTH TOPIC WAS DISCUSSED WAS USED TO ASSESS THE RELATIVE IMPORTANCE OF THAT HEALTH AND/OR SOCIAL NEED TO DETERMINE THE MOST PRESSING HEALTH NEEDS OF THE COMMUNITY. KEY INFORMANT INTERVIEWS HCI CONSULTANTS CONDUCTED KEY INFORMANT INTERVIEWS VIA A QUESTIONNAIRE IN ORDER TO COLLECT COMMUNITY INPUT. INTERVIEWEES WHO WERE ASKED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS AND/OR REPRESENTED THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL, AND/OR COULD SPEAK TO THE NEEDS OF MEDICALLY UNDERSERVED OR VULNERABLE POPULATIONS. TWENTY-FIVE INDIVIDUALS AGREED TO PARTICIPATE AS KEY INFORMANTS. THE ORGANIZATIONS TO THE RIGHT ARE REPRESENTATIVE OF THE INDIVIDUALS WHO PARTICIPATED IN THE INTERVIEWS. THE TWENTY-FIVE KEY INFORMANT INTERVIEWS WERE HELD BETWEEN FEBRUARY 18TH, 2016 AND APRIL 1ST, 2016 VIA AN EMAIL QUESTIONNAIRE. THE QUESTIONNAIRE CONSISTED OF QUESTIONS TO LEARN ABOUT THE INTERVIEWEES BACKGROUND AND ORGANIZATION, BIGGEST HEALTH NEEDS AND BARRIERS OF CONCERN IN THE COMMUNITY, AS WELL AS THE IMPACT OF HEALTH ISSUES ON VULNERABLE POPULATIONS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY HEALTH NEEDS THE FOLLOWING COMMUNITY HEALTH NEEDS, IDENTIFIED IN REID HOSPITAL AND HEALTH CARE SERVICES, INC.'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, WERE ADDRESSED IN AN IMPLEMENTATION STRATEGY TO ADDRESS EACH COMMUNITY HEALTH NEED IDENTIFIED AND EXECUTING THE STRATEGY. A COMMUNITY BENEFIT SECTION IS INCLUDED WITHIN OPERATIONAL PLANS AND MONITORED BY THE CONTINUUM OF CARE COMMITTEE. PROVISIONS ARE BUDGETED EACH YEAR FOR SERVICES THAT ADDRESS THE IDENTIFIED NEEDS. THROUGH AN ANALYSIS OF THE PRIMARY AND SECONDARY DATA THE FOLLOWING TOP HEALTH NEEDS WERE DETERMINED: - ACCESS TO HEALTH SERVICES - CANCER - DIABETES - ECONOMY - EDUCATION - EXERCISE, NUTRITION &amp; WEIGHT - HEART DISEASE &amp; STROKE - MENTAL HEALTH &amp; MENTAL DISORDERS - SUBSTANCE ABUSE - TRANSPORTATION ON JUNE 28TH, 2016, REID HEALTHS COMMUNITY BENEFIT TEAM, OTHER MEMBERS FROM VARIOUS DEPARTMENTS IN THE HOSPITAL, AND REPRESENTATIVE MEMBERS OF THE COMMUNITY CAME TOGETHER TO PRIORITIZE THE SIGNIFICANT HEALTH NEEDS IN A SESSION LED BY CONSULTANTS FROM HEALTHY COMMUNITIES INSTITUTE. WHILE CONSIDERING SEVERAL PRIORITIZATION CRITERIA, THE FOLLOWING THREE TOPICS WERE IDENTIFIED AS PRIORITIES TO ADDRESS: - SUBSTANCE ABUSE &amp; MENTAL HEALTH AND MENTAL DISORDERS - ACCESS TO HEALTH SERVICES - EXERCISE, NUTRITION, &amp; WEIGHT MENTAL HEALTH AND SUBSTANCE ABUSE REID HEALTH WILL ATTEMPT TO MAKE IMPROVEMENTS IN THE COMMUNITY NEEDS RELATED TO MENTAL HEALTH AND SUBSTANCE ABUSE THROUGH USE OF INTERNAL RESOURCES SUCH AS PSYCH SERVICES, EMERGENCY SERVICES, COMMUNITY OUTREACH, MARKETING AND COMMUNITY RELATIONS. REID WILL WORK WITH COMMUNITY AGENCIES IDENTIFIED THROUGH THE GROUP SESSIONS FOR IMPLEMENTATION PLANNING TO IMPLEMENT THE STRATEGIC INTERVENTIONS AND CONTINUE EFFORTS ALREADY IN PROGRESS TO ADDRESS THESE NEEDS. GOAL PROMOTE MENTAL, EMOTIONAL, AND BEHAVIORAL WELL-BEING WITHIN THE COMMUNITIES WE SERVE BY IMPROVING MENTAL HEALTH AND REDUCING SUBSTANCE ABUSE. OBJECTIVES 1. INCREASE ACCESS TO MENTAL HEALTH SERVICES 2. IMPROVE OVERALL MENTAL HEALTH WITHIN THE COMMUNITY 3. REDUCE THE INCIDENCE AND COMPLICATIONS OF SUBSTANCE ABUSE INTERVENTIONS 1. PROVIDE EDUCATION AND ENHANCE AWARENESS OF CURRENT PROGRAMS AMONG PROVIDERS AND COMMUNITY MEMBERS TO INCREASE THE ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES AND IMPROVE THE OVERALL MENTAL HEALTH AND REDUCE THE INCIDENCE OF SUBSTANCE ABUSE. 2. PROMOTE POSITIVE STORIES REGARDING SUCCESSFUL TREATMENT FOR MENTAL HEALTH AND/OR SUBSTANCE ABUSE TO ENCOURAGE COMMUNITY MEMBERS TO SEEK HELP FOR MENTAL HEALTH ISSUES AND SUBSTANCE ABUSE. 3. CONDUCT A STIGMA REDUCTION CAMPAIGN TO INCREASE THE LEVEL OF AWARENESS OF THE IMPORTANCE OF MENTAL HEALTH AND SUBSTANCE ABUSE AS AN ASPECT OF OVERALL HEALTH MANAGEMENT AND REDUCE COMMUNITY BIASES AGAINST THOSE AFFLICTED WITH MENTAL HEALTH OR SUBSTANCE ABUSE ISSUES. CONTINUED EFFORTS - ADDICTION RESOURCE GUIDE - ALZHEIMERS EDUCATION SERIES - BIRTH CONTROL OPTIONS FOR THOSE SUFFERING WITH ADDICTION - CALL US FIRST/SIGNS OF HEROIN USE CARDS - HEROIN IS HERE - JACY HOUSE - MENTAL HEALTH AND SUBSTANCE ABUSE SYMPOSIUM - NARCAN PROGRAM - NEONATAL ABSTINENCE PROGRAM - OPIOID EDUCATION FLYERS - PRESCRIPTION DRUG SAFETY AWARENESS EDUCATION - REID HEALTH COMMUNITY BENEFIT GRANT PROGRAM - SYRINGE EXCHANGE PROGRAM INDICATORS TO MEASURE IMPROVEMENT - ADULTS WHO SMOKE - CONTROLLED SUBSTANCES DISPENSED - DEATH RATE DUE TO DRUG POISONING - DEPRESSION: MEDICARE POPULATION - FREQUENT MENTAL DISTRESS - HEROIN TREATMENT RATE - MOTHERS WHO SMOKED DURING PREGNANCY ACCESS TO CARE REID HEALTH WILL ATTEMPT TO MAKE IMPROVEMENTS IN THE COMMUNITY NEEDS RELATED TO ACCESS TO CARE THROUGH USE OF INTERNAL RESOURCES SUCH AS CLAIM AID, PSYCH SERVICES, EMERGENCY SERVICES, REID HEALTH PHYSICIAN ASSOCIATES (RHPA), CONTINUUM OF CARE, COMMUNITY OUTREACH, RECRUITING, MARKETING AND COMMUNITY RELATIONS. REID WILL WORK WITH COMMUNITY AGENCIES IDENTIFIED THROUGH THE GROUP SESSIONS FOR IMPLEMENTATION PLANNING TO IMPLEMENT THE STRATEGIC INTERVENTIONS AND CONTINUE EFFORTS ALREADY IN PROGRESS TO ADDRESS THESE NEEDS. GOAL IMPROVE ACCESS TO CARE FOR THE REID SERVICE AREA BY REDUCING BARRIERS TO CARE THROUGH ADDRESSING THE SHORTAGE OF PROVIDERS, CLOSING THE INSURANCE COVERAGE GAPS, AND IMPROVING OVERALL HEALTH LITERACY. OBJECTIVES 1. IMPROVE AVAILABILITY OF SERVICES 2. REDUCE BARRIERS TO RECEIVING SERVICES 3. INFORM, EDUCATE, AND EMPOWER COMMUNITY MEMBERS TO UTILIZE THE APPROPRIATE CARE SETTING FOR THEIR HEALTHCARE NEEDS INTERVENTIONS 1. EXPAND DENTAL CLINIC TO OTHER COUNTIES TO INCREASE THE AVAILABILITY OF DENTAL SERVICES AND INCREASE THE SCREENING OF INDIVIDUALS WITHOUT DENTAL COVERAGE TO ASSIST THEM IN APPLYING FOR INSURANCE PROGRAMS THAT THEY MAY QUALIFY FOR. 2. EXPAND HEALTHCARE WORKFORCE DEVELOPMENT TO TARGET AREAS OF NEED SUCH AS DENTISTRY, PRIMARY CARE, AND MENTAL HEALTH. 3. INCREASE AWARENESS EVENTS WITH COMMUNITY AGENCIES OFFERING CHILDREN'S SERVICES OR WITH THOSE SERVING THE ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED (ALICE) POPULATION TO EXPAND THE COMMUNITY KNOWLEDGE OF INSURANCE PROGRAMS THAT THEY MAY APPLY FOR. CONTINUED EFFORTS - COMMUNITY SCREENINGS - DENTAL CLINIC - ENROLLMENT ASSISTANCE - HEALTH CAREER CAMP - HEALTHCARE WORKFORCE DEVELOPMENT - HIP 2.0 ASSISTANCE PROGRAM - LAB PROCESSING - MEDICAL STUDENTS - PATIENT ASSISTANCE FUND - PURSUIT OF FEDERALLY QUALIFIED HEALTH CENTER (FQHC) - REID NURSE CALL LINE - SCHOLARSHIPS INDICATORS TO MEASURE IMPROVEMENT - ADULTS UNABLE TO AFFORD TO SEE A DOCTOR - ADULTS WITH HEALTH INSURANCE - CHILDREN WITH HEALTH INSURANCE - DENTIST RATE - MENTAL HEALTH PROVIDER RATE - NON-PHYSICIAN PRIMARY CARE PROVIDER RATE - PREVENTABLE HOSPITAL STAYS - PRIMARY CARE PROVIDER RATE PHYSICAL ACTIVITY, NUTRITION &amp; WEIGHT REID HEALTH WILL ATTEMPT TO MAKE IMPROVEMENTS IN THE COMMUNITY NEEDS RELATED TO PHYSICAL ACTIVITY, NUTRITION, AND WEIGHT THROUGH USE OF INTERNAL RESOURCES SUCH AS FOOD AND NUTRITION SERVICES, WELLNESS, COMMUNITY OUTREACH, MARKETING AND COMMUNITY RELATIONS. REID WILL WORK WITH COMMUNITY AGENCIES IDENTIFIED THROUGH THE GROUP SESSIONS FOR IMPLEMENTATION PLANNING TO IMPLEMENT THE STRATEGIC INTERVENTIONS AND CONTINUE EFFORTS ALREADY IN PROGRESS TO ADDRESS THESE NEEDS. GOAL IMPROVE THE HEALTH OF THE COMMUNITY BY ENCOURAGING HEALTHY CHOICES AND REDUCING THE DISPARITIES RELATED TO ACTIVITY AND NUTRITION. OBJECTIVES 1. INCREASE PHYSICAL ACTIVITY AND REDUCE OBESITY 2. INCREASE THE AVAILABILITY OF HEALTHY FOODS WITHIN THE COMMUNITY INTERVENTIONS 1. HOST AND/OR PARTNER WITH COMMUNITY AGENCIES TO PROVIDE CLASSES TO EDUCATE THE COMMUNITY ON HEALTHY EATING ON A BUDGET. 2. HOST AND/OR PARTNER WITH COMMUNITY AGENCIES TO PROVIDE FAMILY FITNESS EVENTS AND/OR EDUCATION TO COMMUNITY MEMBERS TO ENCOURAGE ENGAGEMENT IN PHYSICAL ACTIVITY FOR THE WHOLE FAMILY. 3. INCENTIVIZE COMMUNITY PARTICIPATION FOR PARTICIPATION IN EVENTS WHICH PROMOTE PHYSICAL ACTIVITY, HEALTHY EATING, AND WEIGHT REDUCTION. 4. EXPAND CORPORATE WELLNESS PROGRAMS AND/OR CHALLENGES IN THE COMMUNITY TO FURTHER ENGAGE INDIVIDUALS IN PHYSICAL ACTIVITY, HEALTHY EATING, AND WEIGHT REDUCTION. CONTINUED EFFORTS - END HUNGER NOW EVENT - FOOD RESCUE COLLABORATIVE - HEALTHY COOKING CLASSES - I HEART COOKING - MEAL DONATIONS TO COMMUNITY MEAL SITES - REID HEALTH COMMUNITY BENEFIT GRANT PROGRAM - REID HEALTHIER - STEPS TO END HUNGER - SUBSIDIZED MEALS FOR COMMUNITY PROGRAMS INDICATORS TO MEASURE IMPROVEMENT - ACCESS TO EXERCISE OPPORTUNITIES - ADULTS 20+ WHO ARE OBESE - ADULTS 20+ WHO ARE SEDENTARY - CHILD FOOD INSECURITY RATE SIGNIFICANT HEALTH NEEDS NOT ADDRESSED IN AN EFFORT TO MAKE IMPROVEMENTS IN THE PRIORITIZED AREAS OF COMMUNITY HEALTH NEEDS, THERE ARE OTHER SIGNIFICANT NEEDS WHICH REID HEALTH WILL NOT ADDRESS THROUGH THE IMPLEMENTATION PLAN DUE TO RESOURCE CONSTRAINTS OR SCOPE OF SERVICES. THOSE NEEDS WHICH REID HEALTH WILL NOT ADDRESS THROUGH NEW COMMUNITY BENEFIT INITIATIVES INCLUDE THE FOLLOWING: CANCER THIS IMPLEMENTATION PLAN WILL NOT INCLUDE A FOCUSED EFFORT ON CANCER IN THE COMMUNITIES SERVED BY REID HEALTH. REID WILL CONTINUE TO SUPPORT THE ONGOING INITIATIVES RELATED TO CANCER AS A COMMUNITY HEALTH NEED, WHICH INCLUDE THE FOLLOWING: - BREAST EXAM CARDS - COMMUNITY BLOOD DRIVES - LOOK GOOD, FEEL BETTER SUPPORT GROUP - MAMMOGRAMS - ORAL HEAD AND NECK SCREENINGS - PROSTATE SPECIFIC ANTIGEN SCREENINGS DIABETES THIS IMPLEMENTATION PLAN WILL NOT INCLUDE A FOCUSED EFFORT ON DIABETES IN THE COMMUNITIES SERVED BY REID HEALTH. THIS HEALTH NEED IS LARGELY IMPACTED BY MANY OF THE INITIATIVES THAT FALL UNDER THE PRIORITIZED NEED OF PHYSICAL ACTIVITY, NUTRITION, AND WEIGHT. REID WILL CONTINUE TO SUPPORT THE ONGOING INITIATIVES RELATED TO DIABETES AS A COMMUNITY HEALTH NEED, WHICH INCLUDE THE FOLLOWING: - DIABETES EDUCATION DINNER - DIABETES SUPPORT GROUP - FREE GLUCOSE SCREENING EVENTS ECONOMY THIS IMPLEMENTATION PLAN WILL NOT INCLUDE A FOCUSED EFFORT ON THE ECONOMY IN THE COMMUNITIES SERVED BY REID HEALTH. REID, AS A HEALTHCARE ORGANIZATION, LACKS EXPERTI</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7G</FormAndLineReferenceDesc>
        <ExplanationTxt>SUBSIDIZED HEALTH SERVICES NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC WERE INCLUDED IN SUBSIDIZED HEALTH SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II, LINES 1 - 10</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BUILDING ACTIVITIES TRASH COLLECTION, CLEAN UP AND MAINTENANCE OF THE US 27 CORRIDOR AND REID PARKWAY VIA THE ADOPT-A-STREET PROGRAM. COSTS ASSOCIATED WITH PROVIDING GRAND ROUNDS MEDICAL EDUCATION. ALL COMMUNITY PHYSICIANS ARE INVITED AND THE ANNOUNCEMENTS ARE WIDELY DISTRIBUTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE THE AMOUNT REPORTED ON PART III, LINE 2 IS CALCULATED BASED ON TOTAL BAD DEBT EXPENSE BASED ON CHARGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE AN ALLOCATION PERCENTAGE WAS CALCULATED USING FY2016 BAD DEBT EXPENSE AND BAD DEBT ATTRIBUTED TO PATIENTS UNDER THE FINANCIAL ASSISTANCE POLICY. THIS PERCENTAGE WAS THEN APPLIED TO FY2016 BAD DEBT EXPENSE TO CALCULATE THE AMOUNT REPORTED ON LINE 3.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE REID HOSPITAL AND HEALTH CARE SERVICES, INC. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, REID HOSPITAL AND HEALTH CARE SERVICES, INC. ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, REID HOSPITAL AND HEALTH CARE SERVICES, INC. ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), REID HOSPITAL AND HEALTH CARE SERVICES, INC. RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION B, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE REID HOSPITAL AND HEALTH CARE SERVICES, INC. BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE OUR MISSION IS TO PROMOTE QUALITY HEALTHCARE AND HEALTH EDUCATION IN OUR SERVICE COMMUNITY REGARDLESS OF ONE'S ABILITY TO PAY. WE DO NOT LIMIT THE CARE AVAILABLE TO ANY PATIENTS, INCLUDING THOSE COVERED UNDER THE MEDICARE PROGRAM. WE ARE RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE TO MEDICARE PATIENTS BELOW COST. TAX-EXEMPT HOSPITALS ARE EXPECTED TO PARTICIPATE IN THE MEDICARE PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION C, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>COLLECTION PRACTICES COLLECTION PRACTICES ANY INDICATION OF A PATIENTS INABILITY TO PAY FOR SERVICES IS TREATED AS A REQUEST FOR CHARITY CARE. THIS REQUEST CAN BE MADE BY, OR ON BEHALF OF AN INDIVIDUAL SEEKING SERVICE. REID HOSPITAL &amp; HEALTH CARE SERVICES, INC.'S COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. PATIENTS ARE SCREENED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE ANY COLLECTION PROCEDURES BEGIN. IF AT ANY POINT IN THE COLLECTION PROCESS DOCUMENTATION IS RECEIVED THAT INDICATES THE PATIENT IS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT APPLIED FOR IT, THE ACCOUNT IS REFERRED BACK TO A COUNSELOR FOR ASSISTANCE AND REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>NEEDS ASSESSMENT A NEEDS ASSESSMENT IS CONDUCTED EVERY 3 YEARS IN ACCORDANCE WITH STATE AND FEDERAL REQUIREMENTS. THE LAST NEEDS ASSESSMENT OF REID HOSPITAL AND HEALTH CARE SERVICES, INC.'S SERVICE AREA WAS CONDUCTED IN 2016. THE RESULTS OF THE NEEDS ASSESSMENT ARE POSTED ON REID HOSPITAL AND HEALTH CARE SERVICES, INC.'S WEBSITE SO THAT COMMUNITY MEMBERS AND ORGANIZATIONS MAY USE THE INFORMATION AS NEEDED. FORMAL AND INFORMAL MEETINGS ARE HELD WITH COMMUNITY STAKEHOLDERS TO SEEK THEIR INPUT ON THE RESULTS. HEALTHY COMMUNITIES INSTITUTE CONDUCTED THE NEEDS ASSESSMENT AND PROVIDED A COMPARISON TO THE 2013 NEEDS ASSESSMENT RESULTS. THE NEXT NEEDS ASSESSMENT WILL BE CONDUCTED IN 2019 AND WILL COMPLY WITH ALL REQUIREMENTS FOR COMMUNITY HEALTH NEEDS ASSESSMENTS UNDER THE AFFORDABLE CARE ACT AND CORRESPONDING REGULATIONS. IN ADDITION, ALL INDEPENDENT AND NON-INDEPENDENT VOTING MEMBERS OF THE BOARD ARE REQUIRED TO RESIDE WITHIN REID HOSPITAL AND HEALTH CARE SERVICES, INC.'S SERVICE AREA. THE DISTINCTION IS IMPORTANT BECAUSE THEY ARE INVOLVED AND BETTER AWARE OF THE HEALTH NEEDS OF THE COMMUNITY REID HOSPITAL AND HEALTH CARE SERVICES, INC. SERVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE REID HOSPITAL AND HEALTH CARE SERVICES, INC. STAFF INFORMS ALL PATIENTS, AS THEY ARE ADMITTED, OF THE VARIOUS ASSISTANCE PROGRAMS AVAILABLE TO HELP THEM PAY THEIR BILL. WE HAVE COMMUNITY EDUCATION INITIATIVES (THAT INCLUDE THE DISTRIBUTION OF FLYERS AND CARDS IN PUBLIC PLACES, INSERTS IN BILLS, AND FLYERS FOR CHURCHES THAT PROMOTE THE PATIENT ADVOCATE PROGRAM) ASKING PEOPLE TO CONTACT A PATIENT ADVOCATE IF THEY, OR A LOVED ONE, DOES NOT HAVE HEALTH COVERAGE. REID HOSPITAL AND HEALTH CARE SERVICES, INC. USES TARGETED ADVERTISEMENTS IN AN EFFORT TO REACH PEOPLE BEFORE THEY ARE IN NEED OF CARE AND TO CONNECT THEM WITH OUR PATIENT ADVOCATES TO HELP DETERMINE ELIGIBILITY FOR INSURANCE COVERAGE. WE HAVE CONTRACTED WITH A THIRD PARTY VENDOR THAT SPECIALIZES IN HELPING PEOPLE WITH THE APPLICATION PROCESS FOR VARIOUS PROGRAMS. IN ADDITION, WE PROVIDE INFORMATION ABOUT FINANCIAL ASSISTANCE IN OUR MONTHLY STATEMENTS. WE CURRENTLY PROMOTE FREE SCREENING SERVICES DIRECTED TO SELF PAY PATIENTS. THOSE WHO RESPOND MAKE AN APPOINTMENT WITH OUR PATIENT ADVOCATES THEN RECEIVE THEIR FREE WELLNESS LAB TEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INFORMATION REID HOSPITAL AND HEALTH CARE SERVICES, INC. SERVES FIVE (5) COUNTIES IN INDIANA (WAYNE, UNION, RANDOLPH, HENRY, AND FAYETTE) AND TWO (2) COUNTIES IN OHIO (PREBLE AND DARKE)("SERVICE AREA"). THE DEMOGRAPHICS OF A COMMUNITY SIGNIFICANTLY IMPACT ITS HEALTH PROFILE. DIFFERENT RACE/ETHNIC, AGE, AND SOCIOECONOMIC GROUPS MAY HAVE UNIQUE NEEDS AND REQUIRE VARIED APPROACHES TO HEALTH IMPROVEMENT EFFORTS. ALL DEMOGRAPHIC ESTIMATES ARE SOURCED FROM THE U.S. CENSUS BUREAUS 2010-2014 AMERICAN COMMUNITY SURVEY UNLESS OTHERWISE INDICATED. POPULATION ACCORDING TO THE U.S. CENSUS BUREAUS 2010-2014 AMERICAN COMMUNITY SURVEY, THE SERVICE AREA HAD A POPULATION OF APPROXIMATELY 292,129. REID HOSPITAL AND HEALTH CARE SERVICES, INC. IS GEOGRAPHICALLY LOCATED IN THE CENTER OF THEIR SERVICE AREA AND WITHIN THE MOST POPULATED COUNTY AND ZIP CODE. AGE THE AGE DISTRIBUTION OF THE SERVICE AREA WAS SIMILAR TO BOTH OHIO AND INDIANA WITH THE EXCEPTION OF SOME MINOR DIFFERENCES. PROPORTIONALLY THERE WERE SLIGHTLY LESS YEAR OLDS, AND THERE WERE SLIGHTLY MORE 45-64 YEAR OLDS. THERE WAS, HOWEVER, A SIGNIFICANTLY LARGER PROPORTION OF OLDER ADULTS (AGE 65+) IN THE SERVICE AREA, WHEN COMPARED TO THE STATES OF INDIANA AND OHIO. RACE/ETHNICITY THE RACIAL AND ETHNIC MAKEUP OF THE SERVICE AREA WAS MORE HOMOGENOUS COMPARED TO THE STATE OF INDIANA AND THE STATE OF OHIO, WITH APPROXIMATELY 95.4% OF THE POPULATION IDENTIFYING AS WHITE. COMPARED TO INDIANA AND OHIO, THE SERVICE AREA HAD A SMALLER PROPORTION OF BLACK OR AFRICAN AMERICANS, ASIANS, THOSE WHO IDENTIFY AS TWO OR MORE RACES, AND HISPANIC OR LATINOS. IT WAS ESTIMATED THAT 1.7% OF THE SERVICE AREA POPULATION IDENTIFIES AS HISPANIC OR LATINO. SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH SOCIAL DETERMINANTS ARE THE CONDITIONS IN WHICH PEOPLE ARE BORN, GROW, WORK, LIVE, AND AGE, AND THE WIDER SET OF FORCES AND SYSTEMS SHAPING THE CONDITIONS OF DAILY LIFE. INCOME ALL COUNTIES IN THE SERVICE AREA HAD A MEDIAN HOUSEHOLD INCOME BELOW THE NATIONAL VALUE. FRANKLIN COUNTY, INDIANA HAD THE HIGHEST ESTIMATED MEDIAN HOUSEHOLD INCOME AT APPROXIMATELY $50,262, WHICH WAS JUST SLIGHTLY HIGHER THAN THE MEDIAN HOUSEHOLD INCOME FOR THE STATE OF INDIANA. BOTH FAYETTE COUNTY, INDIANA AND WAYNE COUNTY, INDIANA HAD THE LOWEST APPROXIMATE MEDIAN HOUSEHOLD INCOME AT JUST BELOW $38,000; NEARLY $15,000 LESS THAN THE NATIONAL VALUE. POVERTY OUT OF THE EIGHT COUNTIES IN THE SERVICE AREA, WAYNE COUNTY HAD THE HIGHEST PROPORTION OF THE POPULATION LIVING BELOW POVERTY (21.1%). THIS VALUE IS HIGHER THAN BOTH THE INDIANA AND OHIO POVERTY RATE, 15.5% AND 15.9%, RESPECTIVELY. UNEMPLOYMENT THE UNEMPLOYMENT RATE IN THE SERVICE AREA RANGED FROM 4.9% IN DARKE COUNTY, OHIO, TO 7.5% IN FAYETTE COUNTY, INDIANA. ADDITIONALLY, SIX OUT OF EIGHT COUNTIES IN THE SERVICE AREA HAD HIGHER UNEMPLOYMENT RATES WHEN COMPARED TO THE U.S. VALUE FOR UNEMPLOYMENT (5.2%). EDUCATION HIGH SCHOOL DEGREE ATTAINMENT IS FAIRLY SIMILAR BETWEEN COUNTIES IN THE SERVICE AREA AND COMPARED TO THE INDIANA STATE VALUE (86.7%), THE OHIO STATE VALUE (88.8%), AND THE U.S. NATIONAL VALUE (86.3%). HOWEVER, FAYETTE, INDIANA HAD THE LOWEST HIGH SCHOOL ATTAINMENT IN THE SERVICE AREA AT APPROXIMATELY 80.1%. TRANSPORTATION THE PERCENT OF HOUSEHOLDS WITHOUT A VEHICLE IN THE SERVICE AREA RANGED FROM 7.7% TO 14%. OUT OF THE EIGHT COUNTIES IN THE SERVICE AREA, WAYNE COUNTY HAD THE HIGHEST PROPORTION OF HOUSEHOLDS WITHOUT A VEHICLE AT 10.6%. RESIDENTS IN THESE IMPACTED LOCATIONS MAY BE MORE LIKELY TO EXPERIENCE DIFFICULTIES ACCESSING SERVICES PROVIDED BY REID HOSPITAL AND HEALTH CARE SERVICES, INC. CARE SERVICES, INC.'S SERVICE AREA RANGED FROM 7.7% TO 14%. OUT OF THE EIGHT COUNTIES IN REID HOSPITAL AND HEALTH CARE SERVICES, INC.'S SERVICE AREA, WAYNE COUNTY HAD THE HIGHEST PROPORTION OF HOUSEHOLDS WITHOUT A VEHICLE AT 10.6%. RESIDENTS IN THESE IMPACTED LOCATIONS MAY BE MORE LIKELY TO EXPERIENCE DIFFICULTIES ACCESSING SERVICES PROVIDED BY REID HOSPITAL AND HEALTH CARE SERVICES, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH REID HOSPITAL AND HEALTH CARE SERVICES, INC. SERVES AS A CORNERSTONE FOR THE COMMUNITY BY PROVIDING MANY AREAS OF OUTREACH AND COMMUNITY SERVICE. EXEMPT EMPLOYEES SERVE ON LOCAL BOARDS SUCH AS THE BOYS AND GIRLS CLUB, GIRLS, INC., UNITED WAY, ACHIEVA RESOURCES, THE CHAMBER OF COMMERCE, COMMUNITIES IN SCHOOLS, BIRTH TO FIVE, HEADSTART HEALTH AND EDUCATION ADVISORY COUNCIL AND MANY OTHER CIVIC ORGANIZATIONS. A COMMUNITY BENEFIT PAYROLL BUDGET IS ESTABLISHED EACH YEAR TO ALLOW HOURLY EMPLOYEES TO SERVE IN THE COMMUNITY (DURING WORKING HOURS) ON PROJECTS SUCH AS HABITAT FOR HUMANITY. AS OF 2016, A TOTAL OF 225 AED'S (AUTOMATED EXTERNAL DEFIBRILLATORS) WERE PLACED IN LOCAL SCHOOLS, NOT FOR PROFIT ORGANIZATIONS, FIRE AND POLICE, AND EMS SERVICES, TO SUPPORT THE HEALTH OF THE COMMUNITY. REID HOSPITAL AND HEALTH CARE SERVICES, INC. ALSO PROVIDES ASSISTANCE TO THESE PUBLIC DEPARTMENTS WITH CERTIFICATION AND RENEWAL OF REQUIRED AMERICAN HEART ASSOCIATION COURSES SUCH AS BLS (BASIC LIFE SUPPORT), ACLS (ADVANCED CARDIAC LIFE SUPPORT), AND PALS (PEDIATRIC ADVANCED LIFE SUPPORT). SUSTAINING A WELL-EDUCATED HEALTH CARE WORK FORCE IS PART OF THE OUTREACH OF REID HOSPITAL AND HEALTH CARE SERVICES, INC. MEDICAL GRAND ROUNDS ARE OFFERED WEEKLY AND ARE OPEN TO ALL PHYSICIANS IN THE COMMUNITY. EACH YEAR REID HOSPITAL AND HEALTH CARE SERVICES, INC., IVY TECH COMMUNITY COLLEGE AND INDIANA UNIVERSITY-EAST CAMPUS COLLABORATE ON A HEALTH CAREER CAMP WHICH PROVIDES HIGH SCHOOL STUDENTS AN OPPORTUNITY TO PARTICIPATE IN NURSING AND ALLIED HEALTH ACTIVITIES. STUDENTS FROM THE 7-COUNTY SERVICE AREA ARE INVITED TO ATTEND. THERE ARE SOCIAL DETERMINANTS OF HEALTH AND READING IS ONE OF THOSE ELEMENTS REID HOSPITAL AND HEALTH CARE SERVICES, INC. HAS CHOSEN TO SUPPORT. EACH YEAR THE THIRD GRADE READING ACADEMY WORKS WITH CHILDREN WHO ARE NOT READING AT GRADE LEVEL AND SPEND THE SUMMER IMPROVING THEIR READING SKILLS. REID HOSPITAL AND HEALTH CARE SERVICES, INC. HAS SUPPORTED THIS NOT FOR PROFIT ORGANIZATION SINCE IT BEGAN. THE GOVERNING BOARD OF REID HOSPITAL AND HEALTH CARE SERVICES, INC. AND ESPECIALLY THE COMMUNITY BENEFIT COMMITTEE OF THE BOARD GUIDE THE OUTREACH TO THE COMMUNITY TO MAKE CERTAIN THAT REID HOSPITAL AND HEALTH CARE SERVICES, INC. SERVES THE PATIENTS AND THE COMMUNITY WITH EQUAL CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>STATE FILING OF COMMUNITY BENEFIT REPORT INDIANA</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>BIRTH-TO-FIVE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 1815</AddressLine1Txt>
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        <RecipientEIN>351843800</RecipientEIN>
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        <CashGrantAmt>44025</CashGrantAmt>
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          <AddressLine1Txt>PO BOX 1784</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
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          <ZIPCd>47375</ZIPCd>
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        <RecipientEIN>352132872</RecipientEIN>
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        <CashGrantAmt>18750</CashGrantAmt>
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          <BusinessNameLine1Txt>DIPLOMAS</BusinessNameLine1Txt>
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          <AddressLine1Txt>380 HUB ETCHISON PKWY</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
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        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOPE PREGNANCY CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>531 N CENTRAL AVE</AddressLine1Txt>
          <AddressLine2Txt>SUITE 6</AddressLine2Txt>
          <CityNm>CONNERSVILLE</CityNm>
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          <ZIPCd>47331</ZIPCd>
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        <RecipientEIN>352029028</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20163</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>INFORMATION &amp; REFERRAL NETWORK INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3901 MERIDIAN ST</AddressLine1Txt>
          <AddressLine2Txt>SUITE 300</AddressLine2Txt>
          <CityNm>INDIANAPOLIS</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46208</ZIPCd>
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        <RecipientEIN>311216792</RecipientEIN>
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        <CashGrantAmt>12500</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ACHIEVA RESOURCES CORPORATION INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>800 MENDLESON DR</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
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        <RecipientEIN>351005528</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>22150</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOYS &amp; GIRLS CLUB OF WAYNE COUNTY IN INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>1717 SOUTH L STREET</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
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        <RecipientEIN>351065715</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>30060</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OPEN ARMS MINISTRIES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>401 E MAIN ST</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
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        <RecipientEIN>300583053</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7825</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WHOLE FAMILY COMMUNITY INITIATIVE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>322 SUMMIT AVE</AddressLine1Txt>
          <CityNm>CONNERSVILLE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47331</ZIPCd>
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        <RecipientEIN>204798593</RecipientEIN>
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        <CashGrantAmt>31200</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>YWCA OF RICHMOND INDIANA</BusinessNameLine1Txt>
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          <AddressLine1Txt>15 SOUTH 11TH ST</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
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        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>GIRLS INCORPORATED OF WAYNE COUNTY</BusinessNameLine1Txt>
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          <AddressLine1Txt>121 NORTH 10TH ST</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
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          <ZIPCd>47374</ZIPCd>
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        <CashGrantAmt>5688</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>CITY OF RICHMOND</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>50 NORTH 5TH ST</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
        </USAddress>
        <RecipientEIN>356001174</RecipientEIN>
        <IRCSectionDesc>CITY - RICHMOND</IRCSectionDesc>
        <CashGrantAmt>23875</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT FOR CITY PROGRAMS</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Area 9</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5209 South 9th St</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
        </USAddress>
        <RecipientEIN>356001673</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>22563</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Home Is The Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1751 N Barron St</AddressLine1Txt>
          <CityNm>Eaton</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45320</ZIPCd>
        </USAddress>
        <RecipientEIN>421580792</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Independent Living Center of Richmond</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1818 W Main St</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
        </USAddress>
        <RecipientEIN>352054653</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>14000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Senior Opportunity Services</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>401 S 4th St</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
        </USAddress>
        <RecipientEIN>310918573</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Sunrise Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2670 Minneman Rd</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
        </USAddress>
        <RecipientEIN>310979407</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8385</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Centerstone of Indiana</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>645 S Rogers St</AddressLine1Txt>
          <CityNm>Bloomington</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47403</ZIPCd>
        </USAddress>
        <RecipientEIN>351147323</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10500</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cross Road Chrisitian Recovery Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6512 US 27 South</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
        </USAddress>
        <RecipientEIN>371431060</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>22500</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Drug Free Wayne Co Partnership</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>318 National Rd West</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
        </USAddress>
        <RecipientEIN>351011466</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>6100</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JACY House</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2 Quaker Hill Dr</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
        </USAddress>
        <RecipientEIN>161637581</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>11250</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Journey Home Shelter</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>325 S Oak St</AddressLine1Txt>
          <CityNm>Winchester</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47394</ZIPCd>
        </USAddress>
        <RecipientEIN>462943028</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>12500</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Meridian Health Services</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>630 E Main St</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
        </USAddress>
        <RecipientEIN>351302836</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7300</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Richmond-Wayne Co Halfway House Corp</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>275 Grove Rd</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
        </USAddress>
        <RecipientEIN>352130321</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Unchained Praises</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1920 Rich Rd</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
        </USAddress>
        <RecipientEIN>465712750</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>12250</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Christian Charities of Richmond</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3121 South East PKWY</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
        </USAddress>
        <RecipientEIN>200850936</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19500</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Circle U Help Center Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>19 N 13th St</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
        </USAddress>
        <RecipientEIN>351611125</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>11250</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAMMING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>27</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION PROCEDURES FOR MONITORING THE COMMUNITY BENEFIT GRANT PROGRAM OF REID HOSPITAL AND HEALTH CARE SERVICES, INC. DEMONSTRATES THE COMMITMENT OF THE ORGANIZATION TO COMMUNITY SERVICE THROUGH FUNDING ORGANIZATIONS WITHIN THE REID HOSPITAL AND HEALTH CARE SERVICES, INC. SERVICE AREA WHICH FUNCTION TO MEET AN IDENTIFIED HEALTH NEED OR NEEDS AND/OR REDUCE A GOVERNMENT BURDEN THROUGH THEIR EFFORTS OR PROGRAMS. GRANT APPLICATIONS ARE ACCEPTED ELECTRONICALLY VIA WEB APPLICATION ON A QUARTERLY BASIS. UPON SUBMISSION OF A GRANT BY A COMMUNITY ORGANIZATION, A REPRESENTATIVE FROM REID HOSPITAL AND HEALTH CARE SERVICES, INC.'S COMMUNITY BENEFIT DEPARTMENT MAY CONDUCT A SITE VISIT TO GAIN FURTHER KNOWLEDGE OF THE ORGANIZATION AND PROGRAM TO BE FUNDED. ALL GRANT APPLICATIONS ARE REVIEWED AND SCORED BY THE COMMUNITY BENEFIT DEPARTMENT MEMBERS. SCORING FACTORS INCLUDE THE ABILITY OF THE ORGANIZATION OR PROGRAM TO: - IMPROVE COMMUNITY HEALTH - ADVANCE HEALTH KNOWLEDGE THROUGH EDUCATION - ADVANCE HEALTH KNOWLEDGE THROUGH RESEARCH - RELIEVE A GOVERNMENT BURDEN - FOCUS ON ONE OF THE TOP PRIORITIZED HEALTH NEEDS BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDING: - IMPROVING ACCESS TO CARE - IMPACTING PHYSICAL ACTIVITY, NUTRITION, AND/OR WELLNESS - IMPACTING MENTAL HEALTH AND OR SUBSTANCE ABUSE - FOCUS ON ANOTHER IDENTIFIED HEALTH NEED THE SCORES ARE THEN DISCUSSED AND AVERAGED FOR AN OVERALL SCORE OF THE GRANT REQUEST. THESE REQUESTS AND SCORE SHEETS ARE THEN REVIEWED BY THE COMMUNITY BENEFIT COMMITTEE FOR APPROVAL AND MODIFICATIONS TO THE AWARDED AMOUNTS ARE DETERMINED. FOR AWARDS EXCEEDING $15,000, THE GRANT REQUEST MUST BE SUBMITTED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. ORGANIZATIONS THAT ARE AWARDED GRANT FUNDS ARE REQUIRED TO SUBMIT QUARTERLY REPORTS DETAILING: - THE PROJECT FUNDED - THE NUMBER OF PEOPLE AND TARGET POPULATION SERVED - HOW THE FUNDS WERE UTILIZED - OUTCOMES OF THE ORGANIZATION/PROGRAM TO DATE ATTEMPTS WILL BE MADE BY THE COMMUNITY BENEFIT TEAM MEMBERS TO CONTACT ORGANIZATIONS WHO FAIL TO SUBMIT REPORTS IN AN EFFORT TO RESOLVE THE DEFICIENCY. FAILURE TO SUBMIT QUARTERLY REPORTS BY AN ORGANIZATION MAY JEOPARDIZE THE OPPORTUNITY FOR FUTURE COMMUNITY BENEFIT GRANT FUNDING TO THAT ORGANIZATION. LIKEWISE, ORGANIZATIONS WHO FAIL TO DEMONSTRATE POSITIVE COMMUNITY IMPACT MAY FORFEIT FURTHER FUNDING OPPORTUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
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        <OtherCompensationFilingOrgAmt>30089</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>9089</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>247623</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RANDALL KIRK</PersonNm>
        <TitleTxt>VP/FOUNDATION PRESIDENT</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>THOMAS MURRAY</PersonNm>
        <TitleTxt>DIR MUSCULOSKELETAL SERVICE LI</TitleTxt>
        <BaseCompensationFilingOrgAmt>149411</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>938</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6320</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6751</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1216</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>164636</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NATHANIEL PEYTON</PersonNm>
        <TitleTxt>PHARMACIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>109291</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>572</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>43020</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4696</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9887</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>167466</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIMOTHY LOVE</PersonNm>
        <TitleTxt>DIRECTOR OF INFORMATION SERVIC</TitleTxt>
        <BaseCompensationFilingOrgAmt>132417</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1563</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>13785</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6572</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23971</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>178308</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OFFICERS OF REID HOSPITAL &amp; HEALTH CARE SERVICES, INC. PARTICIPATE IN A 457F NONQUALIFIED RETIREMENT PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATE IN THE PLAN. AMOUNTS PROVIDED REPRESENT CURRENT YEAR CONTRIBUTIONS TO THE PLAN. - CRAIG KINYON $33,850 - BRENDA CARTWRIGHT $12,513 - ANGELA DICKMAN $11,586 - JENNIFER EHLERS $10,676 - THOMAS HUTH, M.D. $17,756 - SCOTT RAUCH $10,671 - CHRISTOPHER KNIGHT $15,076 - RANDALL KIRK $9,322</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>HOSPITAL AUTHORITY OF RICHMOND</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>351867077</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2015-02-24</BondIssuedDt>
        <IssuePriceAmt>91990000</IssuePriceAmt>
        <PurposeDesc>REFUND 2009A BONDS ISSUED 3/31/200</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>104156808</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>952946</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
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        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
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        <NoRebateDueInd>false</NoRebateDueInd>
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        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
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        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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    <IRS990ScheduleK documentId="IRS990ScheduleKN1">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
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          <BusinessNameLine1Txt>HOSPITAL AUTHORITY OF RICHMOND</BusinessNameLine1Txt>
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        <BondIssuerEIN>351867077</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2016-11-09</BondIssuedDt>
        <IssuePriceAmt>36500000</IssuePriceAmt>
        <PurposeDesc>REFUND 2012 BONDS ISSUED 12/1/2012</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
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        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
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        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
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        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleKN2">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>HOSPITAL AUTHORITY OF RICHMOND</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>351867077</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2016-11-09</BondIssuedDt>
        <IssuePriceAmt>35571194</IssuePriceAmt>
        <PurposeDesc>REFUND 2012 BONDS ISSUED 12/1/2012</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>35571194</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>0</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>PAUL LINGLE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>292657</TransactionAmt>
        <TransactionDesc>CONSULTING AND BROKERAGE FEES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CLAUDIA ANDERSON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>55111</TransactionAmt>
        <TransactionDesc>EMPLOYED FAMILY MEMBER</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SCOTT HOFFER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>57213</TransactionAmt>
        <TransactionDesc>EMPLOYED FAMILY MEMBER</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>WILLIAM CARTWRIGHT</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>13865</TransactionAmt>
        <TransactionDesc>EMPLOYED FAMILY MEMBER</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>GREG EHLERS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>52261</TransactionAmt>
        <TransactionDesc>EMPLOYED FAMILY MEMBER</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JONATHAN COOL</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>18872</TransactionAmt>
        <TransactionDesc>EMPLOYED FAMILY MEMBER</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>AMANDA BRINKER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>10658</TransactionAmt>
        <TransactionDesc>EMPLOYED FAMILY MEMBER</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>DR WILLIAM DUCEY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>497745</TransactionAmt>
        <TransactionDesc>EMPLOYED FAMILY MEMBER</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JACQUELINE SCOTT</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>34300</TransactionAmt>
        <TransactionDesc>EMPLOYED FAMILY MEMBER</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSACTIONS WITH INTERESTED PERSONS PAUL LINGLE, WHO IS A BOARD MEMBER OF REID HOSPITAL &amp; HEALTH CARE SERVICES, INC., IS A REAL ESTATE BROKER AND REPRESENTS REID HOSPITAL &amp; HEALTH CARE SERVICES, INC. IN ALL OF ITS REAL ESTATE TRANSACTIONS. THIS BUSINESS RELATIONSHIP HAS BEEN APPROVED BY THE BOARD OF DIRECTORS. MR. LINGLE IS EXCUSED FROM ANY BOARD BUSINESS THAT COULD RESULT IN A CONFLICT OF INTEREST. THE COMPENSATION PAID TO MR. LINGLE IS BASED ON FAIR MARKET VALUE AND CONSISTENT WITH THE INDUSTRY. TOTAL FEES OF $292,657 WERE PAID FOR CONSULTING SERVICES, BROKERAGE FEES RECEIVED BY LINGLE REAL ESTATE FOR PROPERTY PURCHASED BY REID HOSPITAL &amp; HEALTH CARE SERVICES, INC., LEASE PAYMENTS FOR PROPERTY LEASED TO REID HOSPITAL &amp; HEALTH CARE SERVICES, INC., AND PROPERTY MANAGEMENT SERVICES BY LINGLE MANAGEMENT CO. CLAUDIA ANDERSON, FAMILY MEMBER OF PATRICK ANDERSON, WHO IS A BOARD MEMBER OF REID HOSPITAL &amp; HEALTH CARE SERVICES, INC., IS EMPLOYED BY REID HOSPITAL &amp; HEALTH CARE SERVICES, INC. SHE EARNED $55,111 IN COMPENSATION DURING CALENDAR YEAR 2016. SCOTT HOFFER, FAMILY MEMBER OF JON FORD, WHO IS A BOARD MEMBER OF REID HOSPITAL &amp; HEALTH CARE SERVICES, INC., IS EMPLOYED BY REID HOSPITAL &amp; HEALTH CARE SERVICES, INC. HE EARNED $57,213 IN COMPENSATION DURING CALENDAR YEAR 2016. WILLIAM CARTWRIGHT, FAMILY MEMBER OF BRENDA CARTWRIGHT, WHO IS AN OFFICER OF REID HOSPITAL &amp; HEALTH CARE SERVICES, INC., IS EMPLOYED BY REID HOSPITAL &amp; HEALTH CARE SERVICES, INC. HE EARNED $13,865 IN COMPENSATION DURING CALENDAR YEAR 2016. GREG EHLERS, FAMILY MEMBER OF JENNIFER EHLERS, WHO IS AN OFFICER OF REID HOSPITAL &amp; HEALTH CARE SERVICES, INC., IS EMPLOYED BY REID HOSPITAL &amp; HEALTH CARE SERVICES, INC. HE EARNED $52,261 IN COMPENSATION DURING CALENDAR YEAR 2016. JONATHON COOL, FAMILY MEMBER OF BRENDA CARTWRIGHT, WHO IS AN OFFICER OF REID HOSPITAL &amp; HEALTH CARE SERVICES, INC., IS EMPLOYED BY REID HOSPITAL &amp; HEALTH CARE SERVICES, INC. HE EARNED $18,872 IN COMPENSATION DURING CALENDAR YEAR 2016. AMANDA BRINKER, FAMILY MEMBER OF SCOTT RAUCH, WHO IS AN OFFICER OF REID HOSPITAL &amp; HEALTH CARE SERVICES, INC., IS EMPLOYED BY REID HOSPITAL &amp; HEALTH CARE SERVICES, INC. SHE EARNED $10,658 IN COMPENSATION DURING CALENDAR YEAR 2016. WILLIAM DUCEY, FAMILY MEMBER OF SCOTT RAUCH, WHO IS AN OFFICER OF REID HOSPITAL &amp; HEALTH CARE SERVICES, INC., IS EMPLOYED BY REID PHYSICIAN ASSOCIATES, INC. HE EARNED $497,745 IN COMPENSATION DURING CALENDAR YEAR 2016. JACQUELINE SCOTT, FAMILY MEMBER OF PHILLIP SCOTT, WHO IS A BOARD MEMBER OF REID HOSPITAL &amp; HEALTH CARE SERVICES, INC., IS EMPLOYED BY REID PHYSICIAN ASSOCIATES, INC. SHE EARNED $34,300 IN COMPENSATION DURING CALENDAR YEAR 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BUSINESS RELATIONSHIP REID HOSPITAL AND HEALTH CARE SERVICES, INC. CEO, CRAIG KINYON, AND REID HOSPITAL AND HEALTH CARE SERVICES, INC. BOARD MEMBER, JOHN MCBRIDE, HAVE A BUSINESS RELATIONSHIP THROUGH WEST END BANK. MORE SPECIFICALLY, MR. KINYON SERVES ON THE BOARD OF DIRECTORS OF WEST END BANK, AND MR. MCBRIDE IS THE BOARD CHAIRMAN OF WEST END BANK. THERE WERE NO TRANSACTIONS BETWEEN REID HOSPITAL AND HEALTH CARE SERVICES, INC. AND WEST END BANK DURING 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>POLICIES THIS FORM 990 WAS PREPARED AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM AND LEGAL COUNSEL BEFORE BEING PRESENTED TO MANAGEMENT FOR REVIEW. FOLLOWING MANAGEMENT'S REVIEW, THE FORM 990 WAS PRESENTED TO THE BOARD FOR FINAL REVIEW AND APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>POLICIES EVERY YEAR ALL KEY EMPLOYEES, OFFICERS, AND DIRECTORS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST RELATING TO REID HOSPITAL AND HEALTH CARE SERVICES, INC. AND ITS SUBSIDIARIES. THIS INFORMATION IS REVIEWED BY THE ORGANIZATION'S ADMINSTRATIVE STAFF AND INTERNAL AUDITOR. DURING THE YEAR, EACH KEY EMPLOYEE AND OFFICER IS REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST ISSUE WHEN IT OCCURS. THE BOARD OF DIRECTORS IS ASKED IF THERE ARE ANY CONFLICT OF INTEREST ISSUES BEFORE EACH AND EVERY BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>POLICIES THE MISSION OF REID HOSPITAL AND HEALTH CARE SERVICES, INC. IS TO SERVE THE PEOPLE OF A MULTI-COUNTY SERVICE AREA IN REFERENCE TO THEIR CURRENT AND FUTURE NEEDS FOR HEALTH CARE SERVICES. THE GOVERNING BOARD IS VESTED WITH THE ULTIMATE RESPONSIBILITY AND AUTHORITY FOR THE SUCCESSFUL FULFILLMENT OF THIS MISSION. THE GOVERNING BOARD OF REID HOSPITAL AND HEALTH CARE SERVICES, INC. EXERCISES A FIDUCIARY RESPONSIBILITY ON BEHALF OF THE SERVICE AREA AND PEOPLE WE SERVE. WHILE REID HOSPITAL AND HEALTH CARE SERVICES, INC. IS A PRIVATE, NON-PROFIT ORGANIZATION, THE BOARD IS COMMITTED TO A CONCEPT OF GOVERNANCE THAT SEES AS HAVING A PUBLIC MISSION AND OUTLOOK. REID HOSPITAL AND HEALTH CARE SERVICES, INC.'S GOVERNING BOARD MAINTAINS AN ONGOING COMMITMENT TO QUALITY AND EXCELLENCE. IT IS THE BELIEF OF THE BOARD THAT THE PEOPLE WE SERVE DESERVE NOTHING LESS. TO COMMIT TO A LESSER STANDARD OR TO BE ACCEPTING OF LESSER PERFORMANCE WOULD BE AN ULTIMATE BREACH OF OUR REASON FOR EXISTENCE. THE COMMITMENT TO QUALITY AND EXCELLENCE STEMS FROM A REALIZATION OF THE STEWARDSHIP INVOLVED IN GOVERNING AND PRESERVING A VITAL HEALTH CARE RESOURCE FOR THE PEOPLE OF A SIX-COUNTY AREA IN EAST CENTRAL INDIANA AND WESTERN OHIO. THIS STEWARDSHIP AND SENSE OF RESPONSIBILITY EXTENDS TO A REALIZATION THAT REID HOSPITAL AND HEALTH CARE SERVICES, INC. IS THE LARGEST EMPLOYER IN WAYNE COUNTY. THIS BOARD'S ULTIMATE AUTHORITY AND RESPONSIBILITY INCLUDES ALL ASPECTS OF THE OPERATION: QUALITY OF SERVICES RENDERED, QUALITY OF ITS MEDICAL STAFF, QUALITY OF ITS LEADERSHIP AND OTHER FINANCIAL, LEGAL, ETHICAL, AND OPERATIONAL CONSIDERATIONS. AS A SERVICE TEAM PROVIDING HUMAN SERVICES, REID HOSPITAL AND HEALTH CARE SERVICES, INC.'S PEOPLE (GOVERNING AND FOUNDATION BOARDS, MEDICAL STAFF, EMPLOYEES AND VOLUNTEERS) REPRESENT THE SINGLE MOST IMPORTANT ASSET POSSESSED BY THE ORGANIZATION. MORE THAN ANY OTHER FACTOR (BUILDINGS, EQUIPMENT, TECHNOLOGY, ETC.), THE QUALITY OF REID HOSPITAL AND HEALTH CARE SERVICES, INC.'S HUMAN RESOURCES DETERMINES THE QUALITY OF SERVICES ULTIMATELY PROVIDED TO ITS PATIENTS AND FAMILIES. THIS COMMITMENT TO QUALITY AND THE STEWARDSHIP OF HUMAN RESOURCES SERVICES ARE THE FOUNDATION FOR REID HOSPITAL AND HEALTH CARE SERVICES, INC.'S EMPLOYEE RELATIONS POSTURE. THIS APPLIES TO ALL ASPECTS OF EMPLOYEE RELATIONS AT ALL LEVELS. A COMPENSATION PHILOSOPHY THAT ATTRACTS AND RETAINS QUALIFIED, HIGH QUALITY COMMITTED EMPLOYEES AT ALL LEVELS IS IN THE BEST INTEREST OF REID HOSPITAL AND HEALTH CARE SERVICES, INC. AND THOSE WE SERVE. THE CHIEF EXECUTIVE OFFICER (PRESIDENT AND CEO), SELECTED AND APPOINTED BY THE GOVERNING BOARD, IS CHARGED WITH THE RESPONSIBILITY OF DEVELOPING AND ADMINISTERING A COMPENSATION PLAN THAT REFLECTS THE PREVIOUSLY STATED PHILOSOPHY AND MISSION. THE CEO IS ACCOUNTABLE TO THE GOVERNING BOARD IN THIS REGARD, JUST AS HE/SHE IS ACCOUNTABLE IN ALL OTHER AREAS. THE FOLLOWING PHILOSOPHY AND GUIDELINES AFFIRM THE BOARD'S COMMITMENT IN REFERENCE TO DEVELOPING A REASONABLE AND APPROPRIATE COMPENSATION PACKAGE FOR THE CEO AND EXECUTIVE STAFF. EXECUTIVE COMPENSATION PHILOSOPHY, GUIDELINES, AND PRACTICES: AN EFFECTIVE EXECUTIVE COMPENSATION PROGRAM ADDRESSES A NUMBER OF GOALS. THESE GOALS INCLUDE: 1.) THE ABILITY TO ATTRACT AN INDIVIDUAL WHO IS HIGHLY QUALIFIED BY REASON OF PROFESSIONAL EDUCATION, PAST EXPERIENCE, AND PERSONAL CHARACTERISTICS; 2.) APPROPRIATE RECOGNITION OF PERFORMANCE (POSITIVE OR NEGATIVE); 3.) MAINTENANCE OF MOTIVATION FOR FURTHER PERFORMANCE AT A LEVEL OF EXCELLENCE; 4.) RETENTION (WHEN DESIRED) OF LEADERSHIP EXPERTISE; AND 5.) FAIRNESS. IT IS IMPORTANT TO NOTE THAT THE ISSUE OF FAIRNESS RELATES TO THE COMMUNITY, THE ORGANIZATION AND TO THE INDIVIDUAL. THAT IS, THE GOAL OF THE BOARD WILL NOT BE TO MINIMIZE COST PER SE. CONVERSELY, THE EXPECTATIONS OF THE CEO SHOULD NOT BE TO MAXIMIZE INCOME AS A SINGLE OBJECTIVE. THE GOAL OF BOTH PARTIES WILL BE TO ACHIEVE A COMPENSATION PACKAGE THAT IS FAIR TO THE COMMUNITY, FIAR TO THE ORGANIZATION, AND FAIR TO THE INDIVIDUAL. REID HOSPITAL &amp; HEALTH CARE SERVICES, INC. ENDEAVORS TO SATISFY THE STANDARDS ADVOCATED BY THE INTERNAL REVENUE SERVICE FOR APPROVING EXECUTIVE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>POLICIES THE CHIEF EXECUTIVE OFFICER (PRESIDENT AND CEO), SELECTED AND APPOINTED BY THE GOVERNING BOARD, IS CHARGED WITH THE RESPONSIBILITY OF DEVELOPING AND ADMINISTERING A COMPENSATION PLAN THAT REFLECTS THE PHILOSOPHY AND MISSION OF THE ORGANIZATION. THE CEO IS ACCOUNTABLE TO THE GOVERNING BOARD IN THIS REGARD JUST AS HE/SHE IS ACCOUNTABLE IN ALL OTHER AREAS. THE COMPENSATION IS SHARED WITH THE EXECUTIVE COMMITTEE FOR AWARENESS, CONSULTATION, AND DIALOGUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCLOSURE THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AS AN ATTACHMENT TO FORM 990 AT WWW.GUIDESTAR.ORG OR UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES IN NET ASSETS OTHER: $4,382,146</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <CityNm>RICHMOND</CityNm>
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          <ZIPCd>47374</ZIPCd>
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        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <TotalIncomeAmt>463153</TotalIncomeAmt>
        <EndOfYearAssetsAmt>180296</EndOfYearAssetsAmt>
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          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47374</ZIPCd>
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        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
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          <AddressLine1Txt>1100 REID PARKWAY</AddressLine1Txt>
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        <EIN>202844915</EIN>
        <PrimaryActivitiesTxt>SURGERY CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
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        </DirectControllingEntityName>
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        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>REID HOSPITAL &amp; HEALTH CARE SRVCS FDN</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>8043589</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>REID OUTPATIENT SURGERY &amp; ENDOSCOPY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>14606507</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>