BLANCHARD VALLEY REGIONAL HEALTH CENTER: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- BLANCHARD VALLEY REGIONAL HEALTH CENTER (EIN 34-1369963)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-10
- IRS object ID
- 201633159349303323
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-10T15:02:17-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E Main St Suite 700 | AddressLine1Txt |
| City | Fort Wayne | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341369963 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLANCHARD VALLEY REGIONAL HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % DAVID M CYTLAK | InCareOfNm |
| Business Name Control | BLAN | BusinessNameControlTxt |
| Phone | 4194234500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 SOUTH MAIN STREET | AddressLine1Txt |
| City | FINDLAY | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45840 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID M CYTLAK | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4194235497 | PhoneNum |
| Signature | 2016-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Joyce A Dulworth | PreparerPersonNm |
| PTIN | P00151125 | PTIN |
| Phone | 2604604000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID M CYTLAK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 SOUTH MAIN STREET | AddressLine1Txt |
| City | FINDLAY | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45840 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $273,552,351 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BVHEALTHSYSTEM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | BLANCHARD VALLEY REGIONAL HEALTH CENTER OPERATES TWO HOSPITALS OFFERING INPATIENT, EMERGENCY, MATERNITY AND OUTPATIENT SERVICES; OUTPATIENT CENTERS, AND A PRIMARY CARE CLINIC. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 1671 | TotalEmployeeCnt |
| Total Volunteers | 348 | TotalVolunteersCnt |
| Total Gross UBI | $1,315,803 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $671,951 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $239,953,936 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $251,330,036 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,434,345 | PYInvestmentIncomeAmt |
| CY Investment Income | $14,151,326 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,421,853 | PYOtherRevenueAmt |
| CY Other Revenue | $5,816,147 | CYOtherRevenueAmt |
| PY Total Revenue | $255,810,134 | PYTotalRevenueAmt |
| CY Total Revenue | $271,297,509 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $101,318,061 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $104,647,697 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $105,376,654 | PYOtherExpensesAmt |
| CY Other Expenses | $115,989,418 | CYOtherExpensesAmt |
| PY Total Expenses | $206,694,715 | PYTotalExpensesAmt |
| CY Total Expenses | $220,637,115 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $49,115,419 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $50,660,394 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $476,961,067 | TotalAssetsBOYAmt |
| Total Assets EOY | $494,791,464 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $229,011,496 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $206,226,740 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $247,949,571 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $288,564,724 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION: OUR EXTRAORDINARY PEOPLE PROVIDE CARING FOR A LIFETIME THROUGH A BROAD CONTINUUM OF EXCEPTIONAL HEALTH-RELATED SERVICES IN NORTHWEST OHIO. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $22,738,708 | ExpenseAmt |
| Revenue | $30,137,694 | RevenueAmt |
| Desc | NEUROSCIENCES SERVICES: NEUROSCIENCES SERVICES AT BLANCHARD VALLEY REGIONAL HEALTH CENTER (BVRHC) INCLUDE: SPINAL SURGERY, CRANIAL SURGERY, PERIPHERAL NERVE SURGERY, PAIN MANAGEMENT SURGERY, AND MANY OTHER PROCEDURES. ALSO, BVRHC PROVIDES SERVICES THAT DIAGNOSE, TREAT, AND MANAGE DISORDERS OF THE BRAIN AND NERVOUS SYSTEM. WE WORK DIRECTLY WITH OUR PATIENTS TO CREATE A HEALTH CARE PLAN TO FIT THEIR NEEDS. OUR CONTINUING GOAL IS TO PROVIDE SUPERIOR OUTCOMES BY UTILIZING THE LATEST SURGICAL TECHNIQUES AND EVIDENCE-BASED MEDICINE GUIDELINES TO ACHIEVE CLINICAL EXCELLENCE. THEIR NEEDS. IN 2012, HEALTHGRADES - THE LEADING INDEPENDENT HEALTH CARE RATINGS COMPANY - AWARDED SEVERAL HONORS TO THE BVH TOTAL JOINT REPLACEMENT PROGRAM INCLUDING: 2012 HEALTHGRADES ORTHOPEDIC SURGERY EXCELLENCE AWARD #1 IN OHIO FOR OVERALL ORTHOPEDICS; 5-STAR RATING FOR OVERALL ORTHOPEDICS; 5-STAR RATING FOR TOTAL JOINT REPLACEMENT; 5-STAR RATING FOR TOTAL KNEE REPLACEMENT; 5-STAR RAITING FOR TOTAL HIP REPLACEMENT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,366,516 | ExpenseAmt |
| Revenue | $29,644,394 | RevenueAmt |
| Desc | CARDIOVASCULAR SERVICES: BLANCHARD VALLEY HEARTCARE CENTER OFFERS A COMPLETE RANGE OF SERVICES FOR COMPREHENSIVE CARDIAC CARE. SERVICES FOR DIAGNOSIS AND TREATMENT INCLUDE CORONARY ARTERY BYPASS SURGERY, VALVE REPLACEMENTS, CARDIAC AND PULMONARY REHABILITATION, AND DIAGNOSTIC TESTING INCLUDING EKGS, STRESS TESTS, HOLTER MONITORING, AND ECHOCARDIOGRAMS. THE CARDIAC AND PULMONARY REHAB PROGRAMS ARE NATIONALLY CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACPR). IN ADDITION, EDUCATION IS PROVIDED TO PATIENTS AND THEIR FAMILY, AS WELL AS COMMUNITY MEMBERS, ON A VARIETY OF HEART-RELATED TOPICS THROUGHOUT THE YEAR. THE EMERGENCY DEPARTMENTS AT BLANCHARD VALLEY HOSPITAL AND BLUFFTON HOSPITAL ADHERE TO THE NATIONAL GOLD STANDARD OF HEART CARE THAT INCLUDES THE ADMINISTRATION OF CLOT BUSTERS AND OTHER DRUG THERAPY. ALL EMERGENCY DEPARTMENT PHYSICIANS AND NURSES HAVE RECEVIED EXTENSIVE EDUCATION IN CRITICAL CARDIAC CARE, WHICH INCLUDES ADVANCED CARDIAC LIFE SUPPORT. THANKS TO TEAMWORK, THE BVH EMERGENCY DEPARTMENT AND THE BLANCHARD VALLEY HEARTCARE CENTER CONSISTENTLY BEAT THE 90-MINUTE NATIONAL BENCHMARK FOR DOOR TO BALLOON TIME, ESTABLISHED BY THE AMERICAN COLLEGE OF CARDIOLOGY (ACC). IN 2015, OUR MEDIAN DOOR TO BALLOON TIME WAS 52 MINUTES. ALSO, BLANCHARD VALLEY HOSPITAL'S CARDIOVASCULAR PROGRAM, PART OF THE JANE AND GARY HEMINGER HEARTCARE CENTER, WAS NAMED ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS FOR 2013 BY TRUVEN HEALTH ANALYTICS, FORMERLY THOMSON REUTERS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $19,430,320 | ExpenseAmt |
| Revenue | $25,752,783 | RevenueAmt |
| Desc | GENERAL SURGERY: BLANCHARD VALLEY HOSPITAL'S GENERAL SURGERY GROUP IS RESPONSIBLE FOR A FULL SPECTRUM OF CARE, FROM SCHEDULED, ELECTIVE PROCEDURES TO THE TREATMENT OF ADVANCED STAGES OF CANCER. PROCEDURES PERFORMED BY THIS GROUP INCLUDE BUT ARE NOT LIMITED TO APPENDECTOMY (REMOVAL OF THE APPENDIX), CHOLECYSTECOMY (REMOVAL OF THE GALLBLADDER), NON-COSMETIC BREAST SURGERY (FROM LUMPECTOMY TO MASTECTOMY), ORTHOPEDIC PROCEDURES (JOINT REPLACEMENT), AND LUNG AND VASCULAR PROCEDURES. BLANCHARD VALLEY HOSPITAL IS A LEVEL 3 TRAUMA CENTER, SO OUR SURGEONS ARE TRAINED AND AVAILABLE TO RESPOND TO A WIDE RANGE OF TRAUMA NEEDS AND MOST SURGICAL EMERGENCIES THAT COME INTO OUR EMERGENCY DEPARTMENT. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (7 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $130,849,455 | $165,137,424 | OTHER SERVICES PROVIDED AT BVRHC INCLUDE: |
| WOMAN'S AND CHILDREN'S SERVICES (GYNECOLOGY, | ||
| OBSTETRICS, BREAST HEALTH, PEDIATRIC | ||
| HOSPITALISTS, LEVEL 2 SPECIAL CARE NURSERY), | ||
| ONCOLOGY/HEMATOLOGY SERVICES, UROLOGY/ | ||
| NEPHROLOGY SERVICES, SLEEP DISORDERS, PAIN | ||
| MANAGEMENT, WOUND CARE, AND DIALYSIS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $130,849,455 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $165,137,424 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $195,384,999 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 434 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1671 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID M CYTLAK | PersonNm |
| Phone | 4194235497 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 SOUTH MAIN STREET | AddressLine1Txt |
| City | FINDLAY | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45840 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| SCOTT MALANEY | |||||||||
| CEO | 32.0 | 8.0 | Yes (X) | Yes (X) | $0 | $1,135,837 | $24,844 | ||
| DUANE JEBBETT | |||||||||
| CHAIR | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| PAUL WORSTELL | |||||||||
| VICE CHAIR | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| KAREN KLASSEN HARDER | |||||||||
| SECRETARY | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| GARRY PEIFFER | |||||||||
| TREASURER | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| CHERYL BUCKLAND | |||||||||
| TRUSTEE | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| KAREN CLINE | |||||||||
| TRUSTEE | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| DAVID EUBANKS | |||||||||
| TRUSTEE | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| RANDALL MYERS | |||||||||
| TRUSTEE | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| ROD NICHOLS | |||||||||
| TRUSTEE | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| ANDREA KOEPKE | |||||||||
| TRUSTEE | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM REIST DMIN | |||||||||
| TRUSTEE | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| LEROY SCHROEDER MD | |||||||||
| TRUSTEE | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| GINGER JONES | |||||||||
| TRUSTEE | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| KIMBERLY STUMPP | |||||||||
| TRUSTEE | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH LONGO | |||||||||
| TRUSTEE | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD POLDER MD | |||||||||
| TRUSTEE | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| FRANK COSIANO MD | |||||||||
| TRUSTEE | 0.5 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| DAVE CYTLAK | |||||||||
| CFO | 32.0 | 8.0 | Yes (X) | $0 | $431,550 | $16,865 | |||
| DR WILLIAM KOSE | |||||||||
| CQO | 36.0 | 4.0 | Yes (X) | $0 | $440,189 | $26,129 | |||
| BARBARA PASZTOR | |||||||||
| VP OF NURSING | 40.0 | 0.0 | $295,494 | $0 | $21,242 | Yes (X) | |||
| CHRISTINE KELLER | |||||||||
| VP OF CLINICAL SERVICES | 40.0 | 0.0 | $244,154 | $0 | $16,453 | Yes (X) | |||
| DR ANGELO COLLINS | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $342,870 | $0 | $0 | Yes (X) | |||
| DR ANGELA HOLT | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $478,071 | $0 | $25,000 | Yes (X) | |||
| DR MICHAEL MANUAL | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $358,144 | $0 | $26,829 | Yes (X) | |||
| DR DANIEL SAK | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $413,664 | $0 | $8,005 | Yes (X) | |||
| DR REBECCA DOEDE | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $320,216 | $0 | $1,267 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,452,613 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,007,576 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $166,634 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 75 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HANCOCK MEDICAL GROUP LTD | |||||
| 1900 S MAIN ST | FINDLAY | OH | 45840 | PHYSICIAN SERVICES | $549,813 |
| BLANCHARD VALLEY PATHOLOGY LABORA | |||||
| 1900 S MAIN ST | FINDLAY | OH | 45840 | PHYSICIAN SERVICES | $780,000 |
| PROLINK HEALTHCARE LLC | |||||
| 10700 MONTGOMERY ROAD | CINCINNATI | OH | 45242 | LOCUM SERVICES | $866,252 |
| NWO SURGICAL SERVICES LLC | |||||
| PO BOX 96024 | LAS VEGAS | NV | 89193 | LOCUM SERVICES | $1,572,682 |
| CONCORDANCE HEALTHCARE SOLUTIONS LL | |||||
| 85 SHAFFER PARK DR | TIFFIN | OH | 44883 | MEDICAL SUPPLIES | $4,766,493 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 25 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE | 900099 | $247,027,207 | $247,027,207 | |
| OUTPATIENT PHARMACY | 446110 | $1,539,157 | $997,322 | $541,835 |
| INVESTMENT IN TECHNICORE | 541900 | $2,384,633 | $2,394,316 | -$9,683 |
| MEDICAL SERVICES | 900099 | $109,061 | $109,061 | |
| CHARITY SERVICES | 900099 | $269,978 | $269,978 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $251,330,036 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,105,910 | TotalRevenueColumnAmt |
| Exclusion | $14,105,910 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $272,025 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $272,025 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $272,025 | TotalRevenueColumnAmt |
| Exclusion | $272,025 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,082,433 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,911,428 | SecuritiesAmt |
| Other | $125,589 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $171,005 | SecuritiesAmt |
| Other | -$125,589 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,416 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$125,589 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $171,005 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $219,846 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $217,825 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,021 | TotalRevenueColumnAmt |
| Exclusion | $2,021 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| INVESTMENT IN PARTNERSHIP | 621300 | $783,651 | $783,651 | |
| CAFETERIA | 900099 | $160,661 | $160,661 | |
| MEAL TICKETS | 900099 | $899,300 | $899,300 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,698,489 | TotalRevenueColumnAmt |
| Exclusion | $3,698,489 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,542,101 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $271,297,509 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $250,672,295 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,315,803 | UnrelatedBusinessRevenueAmt |
| Exclusion | $19,309,411 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,551,415 | TotalAmt |
| Program Services | $2,168,703 | ProgramServicesAmt |
| Management And General | $382,712 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,721,934 | TotalAmt |
| Program Services | $67,763,644 | ProgramServicesAmt |
| Management And General | $11,958,290 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,078,818 | TotalAmt |
| Program Services | $6,016,995 | ProgramServicesAmt |
| Management And General | $1,061,823 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,704,965 | TotalAmt |
| Program Services | $8,249,220 | ProgramServicesAmt |
| Management And General | $1,455,745 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,590,565 | TotalAmt |
| Program Services | $4,751,980 | ProgramServicesAmt |
| Management And General | $838,585 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,166 | TotalAmt |
| Program Services | $8,641 | ProgramServicesAmt |
| Management And General | $1,525 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $858,954 | TotalAmt |
| Program Services | $730,111 | ProgramServicesAmt |
| Management And General | $128,843 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,351,186 | TotalAmt |
| Program Services | $10,498,508 | ProgramServicesAmt |
| Management And General | $1,852,678 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,130,666 | TotalAmt |
| Program Services | $961,066 | ProgramServicesAmt |
| Management And General | $169,600 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,521,711 | TotalAmt |
| Program Services | $8,093,454 | ProgramServicesAmt |
| Management And General | $1,428,257 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,605,826 | TotalAmt |
| Program Services | $3,064,952 | ProgramServicesAmt |
| Management And General | $540,874 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,039,695 | TotalAmt |
| Program Services | $3,433,741 | ProgramServicesAmt |
| Management And General | $605,954 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $871,282 | TotalAmt |
| Program Services | $740,590 | ProgramServicesAmt |
| Management And General | $130,692 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,726,284 | TotalAmt |
| Program Services | $5,717,341 | ProgramServicesAmt |
| Management And General | $1,008,943 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,050,180 | TotalAmt |
| Program Services | $10,242,653 | ProgramServicesAmt |
| Management And General | $1,807,527 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,440 | TotalAmt |
| Program Services | $145,724 | ProgramServicesAmt |
| Management And General | $25,716 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROVISION FOR BAD DEBTS | $11,757,334 | $11,757,334 | |
| MEDICAL & PROFESSIONAL FEES | $5,124,435 | $4,355,770 | $768,665 |
| DUES & SUBSCRIPTIONS | $736,561 | $736,561 | |
| MEDICAL SUPPLIES | $39,795,784 | $39,795,784 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,237,914 | TotalAmt |
| Program Services | $6,152,227 | ProgramServicesAmt |
| Management And General | $1,085,687 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,637,115 | TotalAmt |
| Program Services | $195,384,999 | ProgramServicesAmt |
| Management And General | $25,252,116 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,604,657 | BOYAmt |
| EOY | $14,116,829 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,552,485 | BOYAmt |
| EOY | $33,433,734 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,158,587 | BOYAmt |
| EOY | $6,072,016 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $516,580 | BOYAmt |
| EOY | $526,350 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $252,321,278 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $131,524,179 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,032,312 | BOYAmt |
| EOY | $120,797,099 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,542,261 | BOYAmt |
| EOY | $224,760,751 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $802,202 | BOYAmt |
| EOY | $298,760 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,751,983 | BOYAmt |
| EOY | $94,785,925 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $476,961,067 | BOYAmt |
| EOY | $494,791,464 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,336,805 | BOYAmt |
| EOY | $26,225,748 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,449 | BOYAmt |
| EOY | $122,524 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,307,976 | BOYAmt |
| EOY | $111,600,000 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,784,939 | BOYAmt |
| EOY | $7,738,294 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,448,327 | BOYAmt |
| EOY | $60,540,174 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,011,496 | BOYAmt |
| EOY | $206,226,740 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,375,695 | BOYAmt |
| EOY | $281,422,656 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $962,699 | BOYAmt |
| EOY | $928,562 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,611,177 | BOYAmt |
| EOY | $6,213,506 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,949,571 | BOYAmt |
| EOY | $288,564,724 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $476,961,067 | BOYAmt |
| EOY | $494,791,464 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $50,660,394 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$15,557,000 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $5,511,759 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $10,680 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,680 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | BLANCHARD VALLEY REGIONAL HEALTH CENTER PAID MEMBERSHIP DUES TO TWO ORGANIZATIONS FOR WHICH A VARYING PERCENTAGE WAS ATTRIBUTED TO LOBBYING EXPENSES. THESE ORGANIZATIONS INCLUDE THE OHIO HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,573,876 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$48,989 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $382,818 | OtherExpendituresAmt |
| End Year Balance | $7,142,069 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,583,720 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $291,783 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $301,627 | OtherExpendituresAmt |
| End Year Balance | $7,573,876 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,814,938 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,051,432 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $282,650 | OtherExpendituresAmt |
| End Year Balance | $7,583,720 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,334,186 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $752,562 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $271,810 | OtherExpendituresAmt |
| End Year Balance | $6,814,938 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,518,959 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$168,872 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $15,901 | OtherExpendituresAmt |
| End Year Balance | $6,334,186 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.87000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.13000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,125,096 | OtherCostOrOtherBasisAmt |
| Book Value | $3,125,096 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $137,030,713 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,709,685 | DepreciationAmt |
| Book Value | $86,481,427 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,101,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,098,958 | DepreciationAmt |
| Book Value | $2,042 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $97,380,021 | OtherCostOrOtherBasisAmt |
| Depreciation | $74,670,336 | DepreciationAmt |
| Book Value | $22,709,685 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,684,449 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,205,600 | DepreciationAmt |
| Book Value | $8,478,849 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $120,797,099 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ADVANCES TO AFFILIATES | $93,367,346 |
| DEFERRED BOND ISSUANCE COSTS | $1,418,579 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $94,785,925 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION LIABILITY | $38,519,143 |
| THIRD PARTY SETTLEMENTS | $1,488,032 |
| INTEREST RATE SWAP OBLIGATION | $23,279,076 |
| MINORITY INTEREST IN PAIN MANA | -$3,556,843 |
| INVESTMENT IN SUBSIDIARY | $810,766 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $60,540,174 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $249,494,934 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$15,557,000 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $11,001,922 | OtherRevenueAmt |
| Revenue Not Reported | -$4,555,078 | RevenueNotReportedAmt |
| Revenue Subtotal | $254,050,012 | RevenueSubtotalAmt |
| Other Revenues Not Included | $17,247,497 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $17,247,497 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $271,297,509 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $208,879,781 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $208,879,781 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $11,757,334 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $11,757,334 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $220,637,115 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | ENDOWMENT FUNDS ARE UTILIZED FOR DONOR DESIGNATED PURPOSES, INCLUDING CHARITY CARE, CAPITAL PROJECTS AND PURCHASES, AND CONTINUING EDUCATION FOR STAFF AND PHYSICIANS. |
| PART XI, LINE 2D | DEFINED BENEFIT PENSION PLAN 11,001,922 TOTAL $11,001,922 PART XI, LINE 4B BAD DEBT RECLASS 11,757,334 CHANGE IN INTEREST RATE SWAP AGREEMENT 1,178,207 OTHER CHANGES IN NONCONTROLLING INTEREST 3,303,284 CHANGE IN PERPETUAL TRUST 397,672 TRANSFERS FROM AFFILIATES 611,000 TOTAL $17,247,497 PART XII, LINE 4D BAD DEBT RECLASS 11,757,334 TOTAL $11,757,334 |
| ASC 740 | Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,566,759 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,566,759 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01230 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,954,262 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,164,432 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,789,830 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03250 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,606,458 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,298,735 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $307,723 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,127,479 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,463,167 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,664,312 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04630 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $172,907 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $172,907 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $109,126 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $109,126 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $571,060 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $571,060 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $853,093 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $853,093 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,980,572 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,463,167 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,517,405 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05030 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,191 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,191 | NetCommunityBenefitExpnsAmt |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $107,799 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,453 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $106,346 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $102,756 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $102,756 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $104,580 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $104,580 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $316,326 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,453 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $314,873 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,852,853 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,617,617 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $43,000,989 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $46,231,715 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,230,726 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | false | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|
| BLANCHARD VALLEY HOSPITAL | |||||||||
| 1 | 1900 SOUTH MAIN STREET | FINDLAY | OH | 45840 | www.bvhealthsystem.org | Yes (X) | Yes (X) | Yes (X) | |
| BLUFFTON HOSPITAL | |||||||||
| 2 | 139 GARAU STREET | BLUFFTON | OH | 45817 | www.bvhealthsystem.org | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Income Level CriteriaIncomeLevelCriteriaInd | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Lowest Negotiated RatesLowestNegotiatedRatesInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLANCHARD VALLEY HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (true) | false | Yes (true) | Yes (true) | Yes (X) | www.bvhealthsystem.org | Yes (X) | Yes (X) | false | 13 | Yes (true) | www.bvhealthsystem.org | false | false | Yes (true) | Yes (X) | 150. | 250. | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | WWW.BVHEALTHSYSTEM.ORG | Yes (X) | WWW.BVHEALTHSYSTEM.ORG | Yes (X) | WWW.BVHEALTHSYSTEM.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| BLUFFTON HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (true) | false | Yes (true) | Yes (true) | Yes (X) | www.bvhealthsystem.org | Yes (X) | Yes (X) | false | 13 | Yes (true) | www.bvhealthsystem.org | false | false | Yes (true) | Yes (X) | 150. | 250. | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | WWW.BVHEALTHSYSTEM.ORG | Yes (X) | WWW.BVHEALTHSYSTEM.ORG | Yes (X) | WWW.BVHEALTHSYSTEM.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 3 | a.) The definition of the community for the community health assessment was Hancock County, Ohio. The community that is served by the hospital facility is defined as residents and community members that live within Hancock County as well as residents and community members that utilize services provided by Blanchard Valley Hospital and Bluffton Hospital. b.) Hancock County, Ohio is home to 74,782 residents. Three-fourths (75%) of residents were adults over the age of 19, 10% were youth ages 12-18 years, and 15% were adolescents under the age of 11 (Source: Census, 2010). The majority (93%) of the population were Caucasian. Hispanics (5%), African Americans (2%), Asian (2%) and two or more races (2%) comprise the rest of the population (Source: Census, 2010). The median household income in Hancock County (in 2014 inflation-adjusted dollars) is $50,166. Fifteen percent of all Hancock County residents and ten percent of Hancock County families had an income below the poverty level in 2014 (Source: Census, 2010-2014 American Community Survey 5-year estimates). Three percent of Hancock County residents were uninsured. c.) These are the organizations who participated in the health assessment and strategic planning process: Findlay-Hancock County Community Foundation, United Way of Hancock County, Blanchard Valley Health System, Blanchard Valley Health Foundation, Findlay City Health Department, Hancock County Health Department, Hancock County Schools/ESC, Hancock County Family First Council, Hancock County ADAMHS Board, Hancock County Community Partnership, Findlay City Schools, Hancock County Family and Children First Council, Hancock County Help Me Grow, 50 North, University of Findlay, St. Andrews United Methodist Church, HHWP Community Action Commission, Alzheimers Association, Findlay City Council, Hancock County Job and Family Services, Senior Insurance Services, Lutheran Social Services, Caretakers. |
| d) Adult Survey | Adults ages 19 and over living in Hancock County were used as the sampling frame for the adult survey. There were 56,041 persons ages 18 and over living in Hancock County. The investigators conducted a power analysis to determine what sample size was needed to ensure a 95% confidence level with a corresponding margin of error of 5% A sample size of at least 382 adults was needed to ensure this level of confidence. The random sample of mailing addresses of adults from Hancock County was obtained from Allegra Marketing Services in Louisville, KY. Prior to mailing the survey to adults, an advance letter was mailed to 1,200 adults in Hancock County. This advance letter was personalized, printed on Be Healthy Now Hancock County stationery and was signed by William Kose, M.D., Chief Quality Officer, Blanchard Valley Regional Health Center, Stephen Mills, D.O., Health Commissioner, Findlay City Health Department, Katherine Kreuchauf, President, Findlay-Hancock County Community Foundation, and John Urbanski, President & CEO, United Way of Hancock County. The letter introduced the county health assessment project and informed the readers that they may be randomly selected to receive the survey. The letter also explained that the respondents confidentiality would be protected and encouraged the readers to complete and return the survey promptly if they were selected. Three weeks following the advance letter, a three-wave mailing procedure was implemented to maximize the survey return rate. The initial mailing included a personalized hand signed cover letter (on Be Healthy Now Hancock County stationery) describing the purpose of the study; a questionnaire printed on colored paper; a self-addressed stamped return envelope; and a $2 incentive. Approximately three weeks after the first mailing, a second wave mailing included another personalized cover letter encouraging them to reply, another copy of the questionnaire on colored paper, and another reply envelope. A third wave postcard was sent three weeks after the second wave mailing. Surveys returned as undeliverable were not replaced with another potential respondent. The response rate for the mailing was 48% (n=501: CI= 4.36). This return rate and sample size means that the responses in the health assessment should be representative of the entire county. Adolescent Survey There were 7,295 persons ages 12 to 18 years old living in Hancock County. A sample size of 365 adolescents was needed to ensure a 95% confidence interval with a corresponding 5% margin of error. Students were randomly selected and surveyed in the schools. The survey was approved by all superintendents. Schools and grades were randomly selected. Each student in that grade had to have an equal chance of being in the class that was selected, such as a general English or health class. Classrooms were chosen by the school principal. Passive permission slips were mailed home to parents of any student whose class was selected to participate. The response rate was 87% (n=381: CI= 4.89). Child Survey Children ages 0-11 residing in Hancock County were used as the sampling frames for the surveys. Using U.S. Census Bureau data, it was determined that 11,446 children ages 0-11 reside in Hancock County. The investigators conducted a power analysis based on a post-hoc distribution of variation in responses (70/30 split) to determine what sample size was needed to ensure a 95% confidence level with corresponding confidence interval of 5% (i.e., we can be 95% sure that the true population responses are within a 5% margin of error). Because many of the items were identical between the 0-5 and 6-11 surveys, the responses were combined to analyze data for children 0-11. The sample size required to generalize to children ages 0-11 was 372. The random sample of mailing addresses of parents of children 0-11 from Hancock County was obtained from Allegra Marketing Services in Louisville, KY. Prior to mailing the survey to parents of 0-11 year olds, an advance letter was mailed to 2,400 parents in Hancock County. This advance letter was personalized, printed on Be Healthy Now Hancock County stationery and was signed by William Kose, M.D., Chief Quality Officer, Blanchard Valley Regional Health Center, Stephen Mills, D.O., Health Commissioner, Findlay City Health Department, Katherine Kreuchauf, President, Findlay-Hancock County Community Foundation, and John Urbanski, President & CEO, United Way of Hancock County. The letter introduced the county health assessment project and informed the readers that they may be randomly selected to receive the survey. The letter also explained that the respondents confidentiality would be protected and encouraged the readers to complete and return the survey promptly if they were selected. Three weeks following the advance letter, a three-wave mailing procedure was implemented to maximize the survey return rate. The initial mailing included a personalized hand signed cover letter (on Be Healthy Now Hancock County stationery) describing the purpose of the study; a questionnaire printed on colored paper; a self-addressed stamped return envelope; and a $2 incentive. Approximately three weeks after the first mailing, a second wave mailing included another personalized cover letter encouraging them to reply, another copy of the questionnaire on colored paper, and another reply envelope. A third wave postcard was sent three weeks after the second wave mailing. Surveys returned as undeliverable were not replaced with another potential respondent. The response rate was 24% (n=429: CI= 4.64). E.) The health needs of Hancock County that were examined by the needs assessment include but are not limited to: health status perceptions, health care coverage, health care access and utilization, cardiovascular health, cancer, diabetes, asthma and other respiratory disease, weight status, tobacco use, alcohol consumption, drug use, womens health, mens health, preventive medicine and environmental health, sexual behavior and pregnancy outcomes, quality of life, social context and safety, mental health and suicide, oral health, youth weight control, youth tobacco use, youth alcohol consumption, youth drug use, youth sexual behavior and teen pregnancy outcomes, youth mental health and suicide, youth safety, youth violence issues, child health and functional status, child health insurance, access, and medical home, early childhood, middle childhood, family functioning, neighborhood and community context, and parent health. There were 26 key leaders from the community that represented public health, law enforcement, churches, local officials, social service agencies and other various community members in attendance at the public release of the community health needs assessment. At the event, participants participated in focus groups and priorities were chosen for Hancock County to focus on. F.) Lack of health care coverage, tobacco use, drug use (including marijuana and prescription drug abuse), lack of female health screenings, and lack of routine dental care were all prevalent issues among those Hancock County adults with incomes less than $25,000. The chronic disease prevalence among Hancock County adults with incomes less than $25,000 were: high blood pressure (35%), high blood cholesterol (32%), asthma (13%), and diabetes (12%). High blood pressure, diabetes, and asthma had a higher prevalence among those adults with incomes less than $25,000. Three percent of Hancock County adults were uninsured at the time of the survey. Hancock County adults who were uninsured reported that the reason they were without health care coverage was that they lost or changed employers, they could not afford to pay the insurance premiums, or their employer does not/stopped offering coverage. The majority (93%) of the population were Caucasian. Hispanics (5%), African Americans (2%), Asian (2%) and two or more races (2%) comprise the rest of the population (Source: Census, 2010). G.) There were 26 key leaders from the community that represented public health, law enforcement, churches, local officials, social service agencies and other various community members in attendance at the public release of the community health needs assessment. At the event, participants participated in focus groups and priorities were chosen for Hancock County to focus on. H.) Local community agencies were invited to participate in the health assessment process, including choosing questions for the surveys, providing local data, reviewing draft reports and planning the community event, release of the data and setting priorities. The needs of the population, especially those who are medically underserved, low-income, minority populations and populations with chronic disease needs, were taken into account through the sample methodology that surveyed these populations. In addition, the organizations that serve these populations participated in the health assessment and commu |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| CAUGHMAN HEALTH CENTER | ||||
| 1800 NORTH BLANCHARD STREET SUITE | FINDLAY | OH | 45840 | OUTPATIENT CLINIC |
| CREIGHTON DIALYSIS LLC | ||||
| 1000 EAST MAIN CROSS STREET | FINDLAY | OH | 45840 | DIALYSIS CENTER |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART III, SECTION A, LINE 2 | OUR BAD DEBT EXPENSE IS COMPRISED OF FOUR COMPONENTS. FIRST, ACCOUNTS THAT HAVE BEEN TRANSFERRED TO COLLECTION AGENCIES ARE RECORDED AS AN INCREASE TO BAD DEBT EXPENSE. SECOND, CHANGES IN OUR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON CHANGES IN OUR ACCOUNTS RECEIVABLE AGING BUCKETS ARE RECORDED AS AN INCREASE OR DECREASE TO BAD DEBT EXPENSE. THIRD, ANY ACCOUNTS NOT COLLECTIBLE DUE TO BANKRUPTCIES OR DEATHS (ESTATES NOT SUFFICIENT) ARE RECORDED AS AN INCREASE TO BAD DEBT EXPENSE. FINALLY, ANY RECOVERIES THAT ARE RECEIVED FROM COLLECTION AGENCIES ARE RECORDED AS A DECREASE TO BAD DEBT EXPENSE. THESE FOUR COMPONENTS ARE THE NET BAD DEBT EXPENSE AMOUNTS THAT ARE PRESENTED IN OUR FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, SECTION A, LINE 3 | ASSUMPTION IS THAT OUR CHARITY CARE PROGRAM CAPTURES A LARGE PERCENTAGE OF THOSE WHO QUALIFY. HOWEVER, THERE IS A SUBSECTION OF PATIENTS WHO ARE PROVIDED THE INFORMATION FOR CHARITY CARE BUT CHOOSE NOT TO PROVIDE THE NECESSARY DOCUMENTS. THERE IS A LARGE PORTION OF BAD DEBT THAT IS ATTRIBUTABLE TO INDIVIDUALS THAT HAVE INSURANCE AND WORK IN WHITE COLLAR JOBS, THUS THE ASSUMPTION IS THAT 2 OUT OF EVERY THREE BAD DEBT ACCOUNTS ARE FOR SUCH INDIVIDUALS. THUS, THE REMAINING 1/3 RELATE TO THOSE WHO COULD QUALIFY FOR CHARITY CARE. |
| SCHEDULE H, PART III, SECTION A, LINE 4 | WE DO NOT HAVE A BAD DEBT FOOTNOTE. OUR BAD DEBT EXPENSE IS COMPRISED OF FOUR COMPONENTS. FIRST, ACCOUNTS THAT HAVE BEEN TRANSFERRED TO COLLECTION AGENCIES ARE RECORDED AS AN INCREASE TO BAD DEBT EXPENSE. SECOND, CHANGES IN OUR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON CHANGES IN OUR ACCOUNTS RECEIVABLE AGING BUCKETS ARE RECORDED AS AN INCREASE OR DECREASE TO BAD DEBT EXPENSE. THIRD, ANY ACCOUNTS NOT COLLECTIBLE DUE TO BANKRUPTCIES OR DEATHS (ESTATES NOT SUFFICIENT) ARE RECORDED AS AN INCREASE TO BAD DEBT EXPENSE. FINALLY, ANY RECOVERIES THAT ARE RECEIVED FROM COLLECTION AGENCIES ARE RECORDED AS A DECREASE TO BAD DEBT EXPENSE. THESE FOUR COMPONENTS ARE THE NET BAD DEBT EXPENSE AMOUNTS THAT ARE PRESENTED IN OUR FINANCIAL STATEMENTS. Bad Debt at Cost (Part III line 2) is calculated by multiplying total bad debt expense for the year by the average cost-to-charge ratio per the Medicare Cost Report. The amount of that number attributable to patients eligible under charity care policies (Part III line 3) is estimated based upon past experiences. Bad debt should be treated as community benefit. We perform services to all patients, regardless of ability to pay. We consciously know that some of these individuals will not be able to pay some or all of the costs associated with providing services to these individuals. Thus, this is a benefit to the community as they know that they will always be treated and will not be turned away. |
| SCHEDULE H, PART III, SECTION B, LINE 8 | ALL OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. WE PERFORM SERVICES TO MEDICARE PATIENTS AND CONSCIOUSLY KNOW THAT THE COSTS TO PERFORM SUCH SERVICES ARE HIGHER THAN THE REIMBURSEMENT WE RECEIVE. THUS, WE FEEL THAT THIS IS A BENEFIT TO THE COMMUNITY BY BEING A CONVENIENT AND REPUTABLE SOURCE WITHIN THE COMMUNITY TO RECEIVE SUCH SERVICES. THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS OUR 2015 MEDICARE COST REPORTS AND OUR 2014 PSR REPORTS. |
| SCHEDULE H, PART III, SECTION B, LINE 9B | BLANCHARD VALLEY HEALTH SYSTEM EDUCATES PATIENTS WITH FINANCIAL ASSISTANCE IN SEVERAL WAYS. THE FINANCIAL ASSISTANCE GUIDELINES ARE ON THE BACK OF EACH STATEMENT. WHEN PATIENTS ARE CALLED OR CALL THE BUSINESS OFFICE, ASSOCIATES IN THE CREDIT AND COLLECTION DEPARTMENT PRE-SCREEN PATIENTS TO DETERMINE IF THEY MAY BE ELIGIBLE FOR ANY TYPE OF FINANCIAL ASSISTANCE. IF THE PATIENT IS DETERMINED TO POTENTIALLY BE ELIGIBLE, WE DISCUSS WITH THE PATIENT THEIR OPTIONS AND WHAT FINANCIAL ASSISTANCE CONSISTS OF. WE THEN SEND AN APPLICATION TO THE PATIENTS VIA MAIL. OUR APPLICATIONS AND PROCESS IS ALSO ON OUR WEBSITE. IN ADDITION, IF WE HAVE AN OUTPATIENT OR INPATIENT THAT MAY QUALIFY, WE TALK TO THOSE PATIENTS AND EVEN ASSIST WITH THE APPLICATION. APPLICATIONS ARE THEN PROCESSED AND A LETTER OF AWARD OR DENIAL IS SENT TO THE PATIENT. THEY ARE INSTRUCTED TO CALL THE FINANCIAL ADVOCATES IF THEY HAVE FURTHER QUESTIONS OR CONCERNS. NOTE: ALL POINTS OF SERVICE ARE EQUIPPED TO DISCUSS THE FINANCIAL APPLICATION AS WELL AS DISTRIBUTE. |
| NEEDS ASSESSMENT | BLANCHARD VALLEY REGIONAL HEALTH CENTER (BVRHC) HAS A LONG-STANDING COMMITMENT TO THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THROUGH PARTICIPATION IN AND SPONSORSHIP OF HEALTH FAIRS, HEALTH SCREENINGS, AWARENESS CAMPAIGNS, AND EDUCATIONAL EVENTS; AS WELL AS ACTIVE AND ONGOING DIALOGUE WITH THE FINDLAY CITY AND HANCOCK COUNTY HEALTH DEPARTMENTS, BVRHC SEEKS NOT ONLY TO ASSESS THE NEEDS OF LOCAL COMMUNITIES, BUT ALSO TO ENCOURAGE COMMUNITY MEMBERS OF ALL AGES TO TAKE CHARGE OF THEIR HEALTH CARE NEEDS. WE CONFER WITH THE LOCAL CITY AND COUNTY SCHOOLS, AND COOPERATE WITH AGENCIES IN THE COMMUNITY THAT MAY, FROM TIME TO TIME, CONDUCT HEALTH ASSESSMENTS. THE BLUFFTON HOSPITAL COLLABORATES WITH THE LOCAL SCHOOLS TO PROVIDE A SCHOOL NURSE PROGRAM THAT NOT ONLY EVALUATES THE POPULATION FOR HEALTH ISSUES, BUT PROVIDES EDUCATION AS WELL. BVRHC PERIODICALLY CONDUCTS PHYSICIAN NEEDS ASSESSMENTS. OUR MULTIPLE BOARDS AND COMMITTEES ARE FORMED WITH MEMBERS AND PHYSICIANS WHO LIVE WITHIN THE COMMUNITY. WE ALSO MONITOR DISEASES AND CONDITIONS THAT PRESENT IN OUR EMERGENCY DEPARTMENT AT CAUGHMAN HEALTH CENTER. BVRHC HELPED LEAD THE DEVELOPMENT OF THE 2011 HANCOCK COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL'S CONTRIBUTIONS INCLUDED SENIOR EXECUTIVE TIME AND FINANCIAL SUPPORT. BVRHC SUCCESSFULLY SOUGHT EXECUTIVE AND FINANCIAL SUPPORT FROM OTHER HANCOCK COUNTY PRIVATE AND PUBLIC AGENCIES WHO ARE STAKEHOLDERS IN ANY HEALTH NEEDS ASSESSMENT. DURING 2011, THE HOSPITAL HELPED A STEERING COMMITTEE ADMINISTER ASSESSMENTS OF ADULTS, YOUTH, AND CHILDREN. THE REPORT WAS COMPLETED IN LATE 2011. THE HOSPITAL REMAINS INVOLVED WITH THE COMMITTEE AS IT CONTINUES FORWARD TO DEVISE ACTION PLANS TO ADDRESS SELECTED HEALTH PROBLEMS. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE Blanchard Valley Regional Health Center educates patients about our options for financial assistance in several ways. The financial assistance guidelines are on the back of each statement. When patients are called or call the Business Office, associates in the Credit and Collection Department pre-screen patients to determine if they may be eligible for any type of financial assistance. If the patient is determined to potentially be eligible, we discuss with the patient their options for obtaining financial assistance. We then send an application to the patients via mail. The process is also defined and our application IS available on our website. In addition, if we have an outpatient or inpatient that may qualify, we talk to those patients and even assist with completing the application. Applications are then processed and a letter or award or denial is sent to the patient. They are instructed to call the Financial Advocates if they have further questions or concerns. NOTE: All points of service are equipped to discuss and distribute the financial assistance application. |
| PART VI, LINE 3 | PATIENT EDUCATION OR ELIGIBILITY FOR ASSISTANCE BLANCHARD VALLEY REGIONAL HEALTH CENTER EDUCATES PATIENTS ABOUT OUR OPTIONS FOR FINANCIAL ASSISTANCE IN SEVERAL WAYS. THE FINANCIAL ASSISTANCE GUIDELINES ARE ON THE BACK OF EACH STATEMENT. WHEN PATIENTS ARE CALLED OR CALL THE BUSINESS OFFICE, ASSOCIATES IN THE CREDIT AND COLLECTION DEPARTMENT PRE-SCREEN PATIENTS TO DETERMINE IF THEY MAY BE ELIGIBLE FOR ANY TYPE OF FINANCIAL ASSISTANCE. IF THE PATIENT IS DETERMINED TO POTENTIALLY BE ELIGIBLE, WE DISCUSS WITH THE PATIENT THEIR OPTIONS FOR OBTAINING FINANCIAL ASSISTANCE. WE THEN SEND AN APPLICATION TO THE PATIENTS VIA MAIL. THE PROCESS IS ALSO DEFINED AND OUR APPLICATION IS AVAILABLE ON OUR WEBSITE. IN ADDITION, IF WE HAVE AN OUTPATIENT OR INPATIENT THAT MAY QUALIFY, WE TALK TO THOSE PATIENTS AND EVEN ASSIST WITH COMPLETING THE APPLICATION. APPLICATIONS ARE THEN PROCESSED AND A LETTER OR AWARD OR DENIAL IS SENT TO THE PATIENT. THEY ARE INSTRUCTED TO CALL THE FINANCIAL ADVOCATES IF THEY HAVE FURTHER QUESTIONS OR CONCERNS. NOTE: ALL POINTS OF SERVICE ARE EQUIPPED TO DISCUSS AND DISTRIBUTE THE FINANCIAL ASSISTANCE APPLICATION. |
| COMMUNITY INFORMATION | BLANCHARD VALLEY HEALTH SYSTEM SERVES AN EIGHT-COUNTY AREA THAT INCLUDES HANCOCK, ALLEN, PUTNAM, HENRY, WOOD, SENECA, WYANDOT, AND HARDIN COUNTIES. HANCOCK (OUR PRIMARY SERVICE AREA) AND SENECA COUNTIES CAN BE DESCRIBED AS MICROPOLITAN; ALLEN AND WOOD COUNTIES AS METROPOLITAN; AND THE SURROUNDING FOUR COUNTIES AS RURAL. THE FINDLAY/HANCOCK COUNTY AREA HAS PLACED IN THE TOP 20 FOR THE PAST 11 CONSECUTIVE YEARS OF SITE SELECTION MAGAZINE'S LISTING OF BEST MICROPOLITON COMMUNITIES IN THE U.S. THE POPULATION OF HANCOCK COUNTY IS APPROXIMATELY 75,000, WITH FINDLAY COMPRISING ABOUT HALF OF THAT TOTAL. MEDIAN INCOME IS MODERATE; RANGING FROM $40,000 TO $60,000 DEPENDING ON LOCATION. FINDLAY SUPPORTS A LARGE UNIVERSITY, AS WELL AS SEVERAL LARGE CORPORATIONS INCLUDING COOPER TIRE & RUBBER COMPANY, MARATHON PETROLEUM COMPANY, AND WHIRLPOOL CORPORATION. THE SURROUNDING AREAS ARE HEAVILY AGRICULTURAL. |
| PROMOTION OF COMMUNITY HEALTH | BY REACHING OUT TO THE COMMUNITY THOUGH HEALTH FAIRS, SERVING ON THE BOARDS OF LOCAL ORGANIZATIONS, AND PROVIDING HEALTH EDUCATION, WE ARE GIVEN THE OPPORTUNITY TO FURTHER THE KNOWLEDGE OF THE COMMUNITY ABOUT THE IMPORTANCE OF WELLNESS. WE ARE ALSO PRESENTED WITH THE OPPORTUNITY TO INTERACT WITH OUR COMMUNITY AND LISTEN TO AND IDENTIFY THEIR NEEDS. OUR HOSPITALS ARE MAJOR SPONSORS OF AND PARTICIPATE IN MANY COMMUNITY HEALTH FAIRS THAT PROVIDE FREE OR LOW-COST HEALTH SCREENS, EDUCATIONAL MATERIALS ON VARIOUS HEALTH TOPICS, AND OVERALL HELP TO INCREASE AWARENESS THROUGHOUT THE COMMUNITY OF HEALTHIER LIFESTYLES AND OF LOCAL RESOURCES FOR HEALTH AND HEALTHCARE SERVICES AND PRODUCTS. THE ORGANIZATION ALSO CONTRIBUTES MONETARILY TO LOCAL CHARITIES SUCH AS UNITED WAY, MARCH OF DIMES, THE AMERICAN CANCER SOCIETY, SUSAN G. KOMEN, AND THE AMERICAN HEART ASSOCIATION. |
| AFFILIATED HEALTH CARE SYSTEM | CAUGHMAN HEALTH CENTER (CAUGHMAN) AND WOMENS & CHILDRENS CENTER (W&C) PROVIDES HEALTH CARE TO HANCOCK COUNTY FAMILIES, REGARDLESS OF THEIR ABILITY TO PAY. FAMILY PRACTICE, PEDIATRIC, OB/GYN, AND PREVENTATIVE SERVICES ARE OFFERED AT CAUGHMAN. CAUGHMAN AND W&C ALSO PARTICIPATES IN A PROGRAM THAT CONNECTS PATIENTS WITH PHARMACEUTICAL COMPANIES' INDIGENT CARE PROGRAMS TO PROVIDE MEDICATIONS AT NO CHARGE TO PATIENTS. A LICENSED INDEPENDENT SOCIAL WORKER IS EMPLOYED AT CAUGHMAN, AND SHE FACILITATES CLASSES FOR TEEN MOMS, PROVIDES COUNSELING TO PATIENTS, MAKES HOME VISITS FOR PATIENTS, AND PROVIDES ADDITIONAL SUPPORT FOR PATIENTS. BLANCHARD VALLEY REGIONAL HEALTH CENTER, ALONG WITH ITS AFFILIATES, PROVIDES UNRESTRICTED ACCESS TO CARE THROUGH THE ABOVE MENTIONED CAUGHMAN HEALTH CENTER, WOMENS & CHILDRENS CENTER, PHYSICIAN'S PLUS URGENT CARE FACILITY, AND ALL OF THEIR RELATED MEDICAL PRACTICES. |
| STATE FILING OF COMMUNITY BENEFIT REPORT | OHIO |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SCOTT MALANEY | ||||||||||||||
| CEO | $0 | $554,777 | $0 | $188,818 | $0 | $392,242 | $0 | $15,900 | $0 | $8,944 | $0 | $1,160,681 | $0 | $357,754 |
| DAVE CYTLAK | ||||||||||||||
| CFO | $0 | $332,468 | $0 | $73,377 | $0 | $25,705 | $0 | $15,900 | $0 | $965 | $0 | $448,415 | $0 | $0 |
| DR WILLIAM KOSE | ||||||||||||||
| CQO | $0 | $327,882 | $0 | $78,720 | $0 | $33,587 | $0 | $15,900 | $0 | $10,229 | $0 | $466,318 | $0 | $0 |
| DR ANGELO COLLINS | ||||||||||||||
| PHYSICIAN | $342,870 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $342,870 | $0 | $0 | $0 |
| DR ANGELA HOLT | ||||||||||||||
| PHYSICIAN | $448,979 | $0 | $10,000 | $0 | $19,092 | $0 | $15,900 | $0 | $9,100 | $0 | $503,071 | $0 | $0 | $0 |
| DR MICHAEL MANUAL | ||||||||||||||
| PHYSICIAN | $282,465 | $0 | $57,408 | $0 | $18,271 | $0 | $15,900 | $0 | $10,929 | $0 | $384,973 | $0 | $0 | $0 |
| DR DANIEL SAK | ||||||||||||||
| PHYSICIAN | $410,951 | $0 | $0 | $0 | $2,713 | $0 | $0 | $0 | $8,005 | $0 | $421,669 | $0 | $0 | $0 |
| DR REBECCA DOEDE | ||||||||||||||
| PHYSICIAN | $293,650 | $0 | $0 | $0 | $26,566 | $0 | $0 | $0 | $1,267 | $0 | $321,483 | $0 | $0 | $0 |
| BARBARA PASZTOR | ||||||||||||||
| VP OF NURSING | $216,167 | $0 | $54,831 | $0 | $24,496 | $0 | $14,710 | $0 | $6,532 | $0 | $316,736 | $0 | $0 | $0 |
| CHRISTINE KELLER | ||||||||||||||
| VP OF CLINICAL SERVICES | $197,841 | $0 | $46,134 | $0 | $179 | $0 | $12,087 | $0 | $4,366 | $0 | $260,607 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | IN 2015, BLANCHARD VALLEY HEALTH SYSTEM CONTRIBUTED ON BEHALF OF SCOTT MALANEY $156,671 TO A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE SERP IS AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT CONSISTING OF TWO PLANS: AN ELIGIBLE PLAN SUBJECT TO INTERNAL REVENUE CODE SECTION 457(B) AND AN INELIGIBLE PLAN SUBJECT TO SECTION 457(F). THE 457(B) PLAN WAS ORIGINALLY IMPLEMENTED EFFECTIVE JANUARY 1, 2002. THE 457(F) PLAN WAS ORIGINALLY EFFECTIVE SEPTEMBER 1, 2000 AND WAS RESTATED ON JANUARY 1, 2002 FOR COORDINATION WITH THE 457(B) PLAN. IN 2010 AND 2011, THE 457(F) PLAN WAS FURTHER AMENDED AND RESTATED TO COMPLY WITH THE LATEST REGULATORY GUIDANCE AND PROVIDE FOR A NEW CONTRIBUTION MODEL AND VESTING SCHEDULE. ADDITIONAL EXECUTIVES WERE ALSO ADDED AND DEEMED ELIGIBLE FOR PLAN BENEFITS IN 2010, INCLUDING DAVID CYTLAK. IN 2015, BLANCHARD VALLEY HEALTH SYSTEM CONTRIBUTED ON BEHALF OF DAVID CYTLAK $22,556 TO THE SERP. KEY FEATURES OF THE SERP, AS AMENDED AND RESTATED IN 2010/2011, INCLUDE THE FOLLOWING: *ELIGIBILITY IS LIMITED TO CERTAIN MANAGEMENT OR HIGHLY-COMPENSATED EMPLOYEES OF BVHS (I.E., "TOP HAT" REFERENCE). FUTURE PARTICIPATION IS UPON NOMINATION BY THE CEO AND APPROVAL BY THE COMMITTEE OF THE BOARD. EMPLOYER CONTRIBUTIONS ARE COMPRISED OF: ** DEFINED CONTRIBUTION TARGET INCOME REPLACEMENT PERCENTAGE CONTRIBUTION: - PROVIDE 60% TARGET INCOME REPLACEMENT FOR CEO (SCOTT MALANEY) - PROVIDE 50% TARGET INCOME REPLACEMENT FOR CFO (DAVID CYTLAK) **EMPLOYEE CONTRIBUTIONS TO THE 457(F) ARE NOT ALLOWED. *EACH PARTICIPANT'S 457(B) ACCOUNT WILL BE CREDITED UP TO THE STATUTORY LIMIT ($18,000 IN 2015), WITH THE REMAINING AMOUNT BEING DEPOSITED INTO THE 457(F) ACCOUNT. *EMPLOYER CONTRIBUTIONS TO THE 457(F) PLAN ARE SUBJECT TO A CLASS YEAR VESTING SCHEDULE, WITH A WAITING PERIOD SET AT 2-5 YEARS, DEPENDING ON THE AGE OF THE PARTICIPANT AT THE TIME OF CONTRIBUTION. UPON VESTING, THE FULL VESTED BALANCE WILL BE DISTRIBUTED TO THE PARTICIPANT AND CONSIDERED TAXABLE INCOME. IN ADDITION TO THE VESTING SCHEDULE ABOVE, 100% AND IMMEDIATE VESTING OF THE BENEFIT ACCRUED UPON ATTAINMENT OF NORMAL RETIREMENT AGE, DEATH, DISABILITY, INVOLUNTARY TERMINATION WITHOUT CAUSE, PLAN TERMINATION, OR CHANGE OF CONTROL. DISTRIBUTION OF THE VESTED PORTION OF THE 457(F) BENEFIT IS PAID AS A LUMP SUM AS SOON AS ADMINISTRATIVELY FEASIBLE. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| VILLAGE OF BLUFFTON OH | ||||||||
| A | 346400139 | 2010-12-31 | $11,293,759 | REFUNDED PRIOR OBLIGATION, SEE PAR | false | false | false | |
| COUNTY OF HANCOCK OHIO | ||||||||
| B | 346400608 | 2011-04-14 | $108,706,899 | REFUND ISSUE DATED 11/4/2004 | false | false | false | 410040BY4 |
| VILLAGE OF ANNA OHIO | ||||||||
| C | 340894539 | 2012-06-13 | $9,700,000 | BUILDING & EQUIPMENT FINANCING | false | false | false | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $11,293,759 | $0 | $11,293,759 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $11,293,759 | $0 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $5,275,000 | $0 | $108,706,899 | $0 | $0 | $0 | $1,874,847 | $0 | $0 | $0 | $106,832,052 | $0 | Yes (true) | false | Yes (true) | Yes (true) |
| C | $1,500,000 | $0 | $9,700,000 | $0 | $0 | $0 | $0 | $0 | $0 | $9,700,000 | $0 | $0 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | 0 | false | false | false | Yes (true) |
| B | false | false | Yes (true) | Yes (true) | false | 0 | false | false | false | Yes (true) |
| C | false | false | Yes (true) | Yes (true) | false | 0 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | false | Yes (true) | false | Yes (true) | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| B | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| C | false | Yes (true) | false | false | Yes (true) | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, COL. B, F: | THE ISSUE REFUNDED LEASE OBLIGATIONS DATED 11/15/2002, 12/21/2005, 12/20/2006, AND 10/23/2009. |
| PART 2, COL. A & B, LINE 11: | THE PROCEEDS LISTED WERE USED TO CURRENTLY REFUND THE PRIOR OBLIGATIONS LISTED IN PART I. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 1B | SCOTT MALANEY IS A BOARD MEMBER AND PAID EMPLOYEE OF A RELATED ORGANIZATION. DUE TO HIS EMPLOYMENT, HE IS CONSIDERED A NON INDEPENDENT VOTING MEMBER OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B A DETAILED REVIEW OF THE FORM 990 IS PERFORMED BY THE ORGANIZATION'S COMPLIANCE & AUDIT COMMITTEE. THIS COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES, MEMBERS OF THE COMMUNITY, AND MEMBERS OF UPPER MANAGEMENT. THE COMPLIANCE & AUDIT COMMITTEE REPORTS TO THE BOARD OF TRUSTEES ANY AREAS OF CONCERN REGARDING THE FORM 990'S. ONCE THE FORM 990'S HAVE BEEN FINALIZED, REVIEWED AND APPROVED, THE MEMBERS OF BOARD OF TRUSTEES RECEIVE ELECTRONIC COMMUNICATION THAT THE FORM 990'S ARE COMPLETE AND AVAILABLE ON BOARDNET. ANY QUESTIONS ARISING FROM BOARD MEMBERS ARE ADDRESSED BY THE COMPLIANCE & AUDIT COMMITTEE, UPPER MANAGEMENT, THE ACCOUNTING DEPARTMENT, AND/OR EXTERNAL ACCOUNTANTS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, THE ORGANIZATION ASKS ITS BOARD MEMBERS, ITS CORPORATE OFFICERS, AND ITS KEY EMPLOYEES TO SIGN CONFLICT OF INTEREST LETTERS. THE ORGANIZATION ALSO ASKS THESE INDIVIDUALS TO REVIEW THEIR ACTIVITIES AND COMPLETE RELATIONSHIP QUESTIONNAIRES FOR THE FORM 990 FILING YEAR. BOARD MEMBERS ARE REQUIRED TO BRING TO THE ATTENTION OF EXECUTIVE MANAGEMENT ANY CONFLICTS AS THEY ARISE. THESE CONFLICTS ARE DOCUMENTED IN THE BOARD MINUTES. BOARD MEMBERS THAT HAVE CONFLICTS ARE TO EXCUSE THEMSELVES FROM DISCUSSIONS AND/OR VOTING ON ISSUES WITH WHICH CONFLICTS EXIST. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE ORGANIZATION REVIEWS EXECUTIVE COMPENSATION, BENEFITS, AND PERQUISITES ON A BIENNIAL BASIS TO ENSURE CONSISTENCY WITH COMPENSATION PHILOSOPHY AND MARKET PRACTICE. A SUBSET OF MEMBERS FROM THE BOARD OF DIRECTORS SERVES AS THE EXECUTIVE COMPENSATION REVIEW COMMITTEE, AND THIS COMMITTEE MEETS TO APPROVE WAGE INCREASES AS WELL AS REVIEWS THE ORGANIZATION'S POSITION IN THE MARKET WHEN IT COMES TO EXECUTIVE COMPENSATION. IN ADDITION, THE EXECUTIVE COMPENSATION REVIEW COMMITTEE REGULARLY ENGAGES A HUMAN RESOURCES CONSULTING FIRM TO ASSESS THE REASONABLENESS OF THE COMPENSATION PROGRAM USED FOR ITS EXECUTIVES. THE ORGANIZATION IS COMMITTED TO A DECISION-MAKING PROCESS FOR EXECUTIVE COMPENSATION THAT IS CONSISTENT WITH INTERNAL REVENUE CODE SECTION 4958 REQUIREMENTS FOR OBTAINING A REBUTTABLE PRESUMPTION OF REASONABLENESS. *THE MEMBERS OF THE COMMITTEE APPROVING EXECUTIVE COMPENSATION DECISIONS ARE INDIVIDUALS WHO ARE DISINTERESTED (I.E., DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE ARRANGEMENTS). * THE COMMITTEE REVIEWS OBJECTIVE DATA, INCLUDING SURVEY DATA PREPARED BY INDEPENDENT FIRMS, AS PART OF THE DECISION-MAKING PROCESS. *THE MARKET DATA PROVIDED IN THE COMPENSATION REPORT FROM THE CONSULTING FIRM ASSISTS THE ORGANIZATION IN ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS. THE ORGANIZATION CONSULTS WITH SULLIVAN COTTER AND ASSOCIATES (AN EXTERNAL CONSULTANT) ON AN ANNUAL BASIS TO REVIEW COMPENSATION MATTERS. ON A BIENNIAL BASIS, THE ORGANIZATION PERFORMS A FULL COMPENSATION & BENEFIT ANALYSIS & REVIEW. THE MOST RECENT FULL COMEPENSATION & BENEFIT ANALYSIS & REVIEW WAS COMPLETED IN EARLY 2015 BY SULLIVAN COTTER AND ASSOCIATES AND SHARED/DISCUSSED WITH THE BOARD IN APRIL 2015. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE SAME PROCESS APPLIES FOR ALL OTHER EXECUTIVE STEERING COMMITTEE MEMBERS AS DETAILED FOR THE CEO. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL STATEMENTS, REQUIRED TAX FORMS (I.E., FORM 990), AS WELL AS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH THE ADMINISTRATIVE AND FINANCE OFFICES. |
| PART XI, LINE 9 | CHANGE IN INTEREST RATE SWAP AGREEMENT -1,178,207 DEFINED BENEFIT PENSION PLAN 11,001,922 CHANGE IN PERPETUAL TRUST -397,672 OTHER CHANGES IN NONCONTROLLING INTEREST -3,303,284 TRANSFERS FROM AFFILIATES -611,000 TOTAL $5,511,759 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|
| CRNA OF BLANCHARD VALLEY LLC | ||||||||
| 1900 SOUTH MAIN STREET | FINDLAY | OH | 45840 | 061748552 | CERT NURSE | OH | $3,034,349 | BVRHC |
| BLANCHARD VALLEY MEDICAL PRACTICES LLC | ||||||||
| 1900 SOUTH MAIN STREET | FINDLAY | OH | 45840 | 421659766 | PHYS OFFICES | OH | BVHS | |
| BLANCHARD VALLEY HOME CARE SERVICES | ||||||||
| 1900 SOUTH MAIN STREET | FINDLAY | OH | 45840 | 421565629 | HOME HEALTH | OH | BVCCS | |
| NEUROSURGICAL ASSOCIATES OF NW OHIO | ||||||||
| 1900 SOUTH MAIN STREET | FINDLAY | OH | 45840 | 342052585 | PHYS OFFICES | OH | BVMP | |
| SPECIALTY PHYSICIANS OF BLANCHARD VALLEY | ||||||||
| 1900 SOUTH MAIN STREET | FINDLAY | OH | 45840 | 262448601 | PHYS OFFICES | OH | BVMP | |
| BLANCHARD VALLEY REGIONAL CANCER CENTER | ||||||||
| 1900 SOUTH MAIN STREET | FINDLAY | OH | 45840 | 050623393 | CANCER CARE | OH | BVMP | |
| HANCO EMERGENCY MEDICAL SERVICES LLC | ||||||||
| 1900 SOUTH MAIN STREET | FINDLAY | OH | 45840 | 463299390 | AMBULANCE | OH | BVHS | |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BLANCHARD VALLEY HEALTH SYSTEM | ||||||||||
| 1900 SOUTH MAIN STREET | FINDLAY | OH | 45840 | 344428206 | HEALTH CARE | OH | 501(C)3 | 11A | NA | Yes (true) |
| BLANCHARD VALLEY CONTINUING CARE SERVICE | ||||||||||
| 15100 BIRCHAVEN LANE | FINDLAY | OH | 45840 | 346006904 | CONTINUING CA | OH | 501(C)3 | 9 | BVHS | Yes (true) |
| BLANCHARD VALLEY HEALTH FOUNDATION | ||||||||||
| 1900 SOUTH MAIN STREET | FINDLAY | OH | 45840 | 341370522 | FUNDRAISING | OH | 501(C)3 | 7 | BVHS | false |
| EC EDWARDS MEMORIAL TRUST | ||||||||||
| 1900 SOUTH MAIN STREET | FINDLAY | OH | 45840 | 346953719 | INVESTMENT | OH | 501(C)3 | 11A | BVHF | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | UBI Code VUBICodeVAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLANCHARD VALLEY PAIN MANAGEMENT | ||||||||||||||
| 1900 SOUTH MAIN STREET | FINDLAY | OH | 45840 | 270095470 | PAIN MGMT | OH | BVRHC | RELATED | $5,194,677 | $919,069 | false | false | 0.51000 | |
| TECHNICORE CLINICAL ENGINEERING SERVICES | ||||||||||||||
| 1900 SOUTH MAIN STREET | FINDLAY | OH | 45840 | 421702910 | BIO-MED SUPPORT | OH | BVRHC | RELATED | $1,589,755 | $2,616,440 | false | false | 0.66660 | -$9,683 |
| CREIGHTON DIALYSIS LLC | ||||||||||||||
| 1900 SOUTH MAIN STREET | FINDLAY | OH | 45840 | 274527592 | DIALYSIS SERVICES | OH | BVRHC | RELATED | $1,608,141 | $396,849 | false | false | 0.60000 | |
| NORTHWEST OHIO MEDICAL EQUIPMENT | ||||||||||||||
| 1900 SOUTH MAIN STREET | FINDLAY | OH | 45840 | 341882390 | MEDICAL EQUIP | OH | BVCCS | N/A | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BLANCHARD VALLEY PAIN MANAGEMENT | ||
| A | $313,064 | FMV |
| TECHNICORE | ||
| M | $191,990 | FMV |