BLANCHARD VALLEY REGIONAL HEALTH CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: BLANCHARD VALLEY REGIONAL HEALTH CENTER (EIN 34-1369963)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-14
IRS object ID: 201403189349307475
Schema version: 2013v3.1
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 D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-14T14:56:15-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 E Main St Suite 700	AddressLine1
City	Fort Wayne	City
State	IN	State
ZIP Code	46802	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	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	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% DAVID M CYTLAK	InCareOfNm
Business Name Control	BLAN	BusinessNameControlTxt
Phone	4194235497	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 SOUTH MAIN STREET	AddressLine1
Address Line2	Suite	AddressLine2
City	FINDLAY	City
State	OH	State
ZIP Code	45840	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	David M Cytlak CFO	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4194235497	PhoneNum
Signature	2014-11-15	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	4194235497	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	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	AddressLine1
City	FINDLAY	City
State	OH	State
ZIP Code	45840	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$483,923,585	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	21	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	1662	TotalEmployeeCnt
Total Volunteers	367	TotalVolunteersCnt
Total Gross UBI	$1,321,060	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$794,552	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$214,115,860	PYProgramServiceRevenueAmt
CY Program Service Revenue	$222,131,680	CYProgramServiceRevenueAmt
PY Investment Income	$7,392,278	PYInvestmentIncomeAmt
CY Investment Income	$26,897,054	CYInvestmentIncomeAmt
PY Other Revenue	$6,408,953	PYOtherRevenueAmt
CY Other Revenue	$6,698,857	CYOtherRevenueAmt
PY Total Revenue	$227,917,091	PYTotalRevenueAmt
CY Total Revenue	$255,727,591	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	$98,794,796	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$98,764,104	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$100,273,844	PYOtherExpensesAmt
CY Other Expenses	$104,481,902	CYOtherExpensesAmt
PY Total Expenses	$199,068,640	PYTotalExpensesAmt
CY Total Expenses	$203,246,006	CYTotalExpensesAmt
PY Revenues Less Expenses	$28,848,451	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$52,481,585	CYRevenuesLessExpensesAmt
Total Assets BOY	$396,025,373	TotalAssetsBOYAmt
Total Assets EOY	$440,378,509	TotalAssetsEOYAmt
Total Liabilities BOY	$227,053,543	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$195,939,019	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$168,971,830	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$244,439,490	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	$35,288,484	ExpenseAmt
Revenue	$43,489,977	RevenueAmt
Desc	ORTHOPEDIC SERVICES: ORTHOPEDIC SERVICES AT BLANCHARD VALLEY HOSPITAL INCLUDE: HIP FRACTURE REPAIR AND REPLACEMENT, KNEE SURGERY, JOINT REPLACEMENT, TOTAL KNEE REPLACEMENT, AND MANY OTHER PROCEDURES. WE HAVE PERFORMED MORE THAN 1,000 JOINT REPLACEMENTS SINCE 2008 WITH SOME OF THE MOST ADVANCED TECHNOLOGY IN THE U.S., INCLUDING MINIMALLY INVASIVE AND GENDER-SPECIFIC PROCEDURES. OUR ORTHOPEDIC PROGRAM WAS DEVELOPED THROUGH THE COLLABORATION OF OUR SPECIALTY ORTHOPEDIC SURGEONS AND HOSPITAL ASSOCIATES. WE WORK DIRECTLY WITH OUR PATIENTS TO CREATE A HEALTH CARE PLAN TO FIT THEIR NEEDS. IN 2012, HEALTHGRADES - THE LEADING INDEPENDENT HEALTH CARE RATINGS COMPANY - AWARDED SEVERAL HONORS TO THE BVH TOTAL JOINT REPLACEMENT PROGRAM INCLUDING: 2012 HEALTHGRADES ORTHOPEDIC SURGERY EXCELLENCE AWARD #1 IN OHIO FOR OVERALL ORTHOPEDICS; 5-STAR RATING FOR OVERALL ORTHOPEDICS; 5-STAR RATING FOR TOTAL JOINT REPLACEMENT; 5-STAR RATING FOR TOTAL KNEE REPLACEMENT; 5-STAR RAITING FOR TOTAL HIP REPLACEMENT.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$27,526,443	ExpenseAmt
Revenue	$33,923,938	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 2013, OUR MEDIAN "DOOR TO BALLOON TIME" WAS 49 MINUTES. ALSO, BLANCHARD VALLEY HOSPITAL'S CARDIOVASCULAR PROGRAM, PART OF THE JANE & 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	$21,640,685	ExpenseAmt
Revenue	$26,670,256	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

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$95,403,402	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$117,576,367	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$179,859,014	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	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	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	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	468	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1662	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	21	GoverningBodyVotingMembersCnt
Independent Voting Member	19	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
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	AddressLine1
City	FINDLAY	City
State	OH	State
ZIP Code	45840	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (32 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
Chief Executive Officer	32.0	8.0	Yes (X)	Yes (X)	$0	$691,548	$41,028
Dr Eric Bostick
Trustee	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
Kurt Geisheimer
Treasurer	0.5	1.0	Yes (X)		$0	$0	$0
Duane Jebbett
Chairman	0.5	1.0	Yes (X)		$0	$0	$0
Karen Klassen Harder
Secretary	0.5	1.0	Yes (X)		$0	$0	$0
Andrea Koepke
Trustee	0.5	1.0	Yes (X)		$0	$0	$0
Joe Longo
Trustee	0.5	1.0	Yes (X)		$0	$0	$0
Dr Steve McCullough
Trustee	0.5	1.0	Yes (X)		$0	$0	$0
Dr Randall Myers
Trustee	0.5	1.0	Yes (X)		$0	$0	$0
Rod Nichols
Trustee	0.5	1.0	Yes (X)		$0	$0	$0
Dr Nancy Orel
Trustee	0.5	1.0	Yes (X)		$0	$0	$0
Dr Richard Polder
Trustee	0.5	1.0	Yes (X)		$0	$0	$0
Dr LeRoy Schroeder
Trustee	0.5	1.0	Yes (X)		$0	$0	$0
Kimberly Stump
Trustee	0.5	1.0	Yes (X)		$0	$0	$0
David Eubanks
Trustee	0.5	1.0	Yes (X)		$0	$0	$0
Garry Peiffer
Trustee	0.5	1.0	Yes (X)		$0	$0	$0
Paul Worstell
Vice Chairman	0.5	1.0	Yes (X)		$0	$0	$0
William Reist Dmin
Trustee	0.5	1.0	Yes (X)		$0	$0	$0
Bradley Hughes
Trustee	0.5	1.0	Yes (X)		$0	$0	$0
Dave Cytlak
Chief Financial Officer	32.0	8.0		Yes (X)	$0	$380,705	$37,235
Christopher Press
President BVRHC	38.0	2.0		Yes (X)	$0	$351,526	$16,989
WILLIAM KOSE
CHIEF QUALITY OFFICER	4.0	36.0		Yes (X)	$0	$400,327	$32,692
BARBARA PASZTOR
VP of Nursing	40.0				$264,146	$0	$37,954	Yes (X)
CHRISTINE KELLER
VP of Clinical Services	40.0				$211,414	$0	$23,414	Yes (X)
William Watkins
Chief Administrative Officer	4.0	36.0			$18,208	$174,044	$26,071	Yes (X)
Dr Chiranji Agrawal
Physician	40.0				$483,750	$0	$31,396		Yes (X)
Dr Angela Holt
Physician	40.0				$459,699	$0	$25,461		Yes (X)
Dr Michael Manuel
Physician	40.0				$288,501	$0	$40,723		Yes (X)
Dr Kirk Crouser
Physician	40.0				$296,111	$0	$17,863		Yes (X)
Dr Liping Guan
Physician	40.0	0.0			$280,885	$0	$17,327		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,302,714	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,998,150	TotReportableCompRltdOrgAmt
Total Other Compensation	$348,153	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	61	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Caretech Solutions Inc
901 Wilshire Dr Suite 250	TROY	MI	48084	IT & COMMUNICATION	$6,499,641
Sodexo Inc
9001 Washington Blvd	GAITHERSBURG	MD	20878	Dietary Services	$1,243,381
Hylant Group Inc
811 MADISON AVE	TOLEDO	OH	43604	CONSULTING SERVICES	$1,159,546
Technicore
PO Box 1210	FINDLAY	OH	45839	Bio-Med Support	$1,329,862
Delta Dental Plan Of Ohio
PO Box 633198	CINCINNATI	OH	45263	Dental Plan	$1,039,121

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	40	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	$218,317,540	$218,317,540
OUTPATIENT PHARMACY	446110	$1,331,172	$828,142	$503,030
INVESTMENT IN TECHNICORE	541900	$2,120,552	$2,131,121	-$10,569
MEDICAL SERVICES	900099	$117,169	$117,169
CHARITY SERVICES	900099	$245,247	$245,247

Field	Value	IRS element (for citing)
Total Program Service Revenue	$222,131,680	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,220,696	TotalRevenueColumnAmt
Exclusion	$16,220,696	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	$293,301	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$293,301	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$293,301	TotalRevenueColumnAmt
Exclusion	$293,301	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$238,551,584	SecuritiesAmt
Other	$21,319	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$227,896,545	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$10,655,039	SecuritiesAmt
Other	$21,319	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,676,358	TotalRevenueColumnAmt
Related Or Exempt Func Income	$21,319	RelatedOrExemptFuncIncomeAmt
Exclusion	$10,655,039	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	$301,345	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$299,449	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,896	TotalRevenueColumnAmt
Exclusion	$1,896	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
INVESTMENT IN PARTNERSHIP	621300	$828,599	$828,599
CAFETERIA	900099	$161,844		$161,844
MEAL TICKETS	900099	$813,179		$813,179

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,600,038	TotalRevenueColumnAmt
Exclusion	$4,600,038	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,403,660	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$255,727,591	TotalRevenueColumnAmt
Related Or Exempt Func Income	$221,660,538	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,321,060	UnrelatedBusinessRevenueAmt
Exclusion	$32,745,993	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	$581,208	TotalAmt
Program Services	$494,027	ProgramServicesAmt
Management And General	$87,181	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	$77,645,840	TotalAmt
Program Services	$65,998,964	ProgramServicesAmt
Management And General	$11,646,876	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,247,725	TotalAmt
Program Services	$2,760,566	ProgramServicesAmt
Management And General	$487,159	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,100,396	TotalAmt
Program Services	$10,285,337	ProgramServicesAmt
Management And General	$1,815,059	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,188,935	TotalAmt
Program Services	$4,410,595	ProgramServicesAmt
Management And General	$778,340	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	$53,820	TotalAmt
Program Services	$45,747	ProgramServicesAmt
Management And General	$8,073	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,559,517	TotalAmt
Program Services	$1,325,590	ProgramServicesAmt
Management And General	$233,927	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	$10,147,353	TotalAmt
Program Services	$8,625,250	ProgramServicesAmt
Management And General	$1,522,103	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$698,057	TotalAmt
Program Services	$593,348	ProgramServicesAmt
Management And General	$104,709	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,971,691	TotalAmt
Program Services	$5,075,937	ProgramServicesAmt
Management And General	$895,754	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,675,265	TotalAmt
Program Services	$3,123,975	ProgramServicesAmt
Management And General	$551,290	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,757,856	TotalAmt
Program Services	$3,194,178	ProgramServicesAmt
Management And General	$563,678	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$690,502	TotalAmt
Program Services	$586,927	ProgramServicesAmt
Management And General	$103,575	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	$7,099,179	TotalAmt
Program Services	$6,034,302	ProgramServicesAmt
Management And General	$1,064,877	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,762,186	TotalAmt
Program Services	$9,997,858	ProgramServicesAmt
Management And General	$1,764,328	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,046,080	TotalAmt
Program Services	$1,739,168	ProgramServicesAmt
Management And General	$306,912	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PROVISION FOR BAD DEBTS	$9,710,839	$9,710,839
MEDICAL & PROFESSIONAL FEES	$4,304,575	$3,658,889	$645,686
DUES & SUBSCRIPTIONS	$706,707	$600,701	$106,006
MEDICAL SUPPLIES	$37,621,882	$37,621,882

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,676,393	TotalAmt
Program Services	$3,974,934	ProgramServicesAmt
Management And General	$701,459	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$203,246,006	TotalAmt
Program Services	$179,859,014	ProgramServicesAmt
Management And General	$23,386,992	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	$28,334,610	BOYAmt
EOY	$27,726,363	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	$23,346,014	BOYAmt
EOY	$23,535,678	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	$5,086,555	BOYAmt
EOY	$4,706,036	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,161,349	BOYAmt
EOY	$1,272,580	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$228,995,346	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$104,824,477	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$131,216,733	BOYAmt
EOY	$124,170,869	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$158,100,470	BOYAmt
EOY	$196,544,549	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$377,806	BOYAmt
EOY	$1,393,637	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	$48,401,836	BOYAmt
EOY	$61,028,797	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$396,025,373	BOYAmt
EOY	$440,378,509	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,154,597	BOYAmt
EOY	$21,073,701	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	$161,044	BOYAmt
EOY	$148,832	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$125,004,414	BOYAmt
EOY	$121,208,211	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	$6,349,826	BOYAmt
EOY	$8,556,995	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	$78,383,662	BOYAmt
EOY	$44,951,280	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$227,053,543	BOYAmt
EOY	$195,939,019	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$162,156,891	BOYAmt
EOY	$236,855,769	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$722,525	BOYAmt
EOY	$900,084	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,092,414	BOYAmt
EOY	$6,683,637	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$168,971,830	BOYAmt
EOY	$244,439,490	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$396,025,373	BOYAmt
EOY	$440,378,509	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$52,481,585	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,608,000	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$19,378,075	OtherChangesInNetAssetsAmt
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 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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,136,329	BeginningYearBalanceAmt
Investment Earnings Or Losses	$389,430	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,800	OtherExpendituresAmt
End Year Balance	$6,518,959	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,459,960	BeginningYearBalanceAmt
Investment Earnings Or Losses	$677,759	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,390	OtherExpendituresAmt
End Year Balance	$6,136,329	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.88130	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.11870	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	$3,116,023	OtherCostOrOtherBasisAmt
Book Value	$3,116,023	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$133,532,374	OtherCostOrOtherBasisAmt
Depreciation	$40,368,250	DepreciationAmt
Book Value	$93,164,124	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,513,718	OtherCostOrOtherBasisAmt
Depreciation	$1,097,972	DepreciationAmt
Book Value	$415,746	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$80,375,982	OtherCostOrOtherBasisAmt
Depreciation	$59,441,849	DepreciationAmt
Book Value	$20,934,133	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,457,249	OtherCostOrOtherBasisAmt
Depreciation	$3,916,406	DepreciationAmt
Book Value	$6,540,843	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$124,170,869	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
ADVANCES TO AFFILIATES	$59,260,504
DEFERRED BOND ISSUANCE COSTS	$1,768,293

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$61,028,797	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$11,146	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
PENSION LIABILITY	$23,357,790
THIRD PARTY SETTLEMENTS	$2,537,079
INTEREST RATE SWAP OBLIGATION	$18,314,224
MINORITY INTEREST IN PAIN MANA	$442,112
INVESTMENT IN SUBSIDIARY	$288,929

Field	Value	IRS element (for citing)
Total Liability	$44,951,280	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$269,002,827	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$3,608,000	NetUnrealizedGainsInvstAmt
Other Revenue	$29,474,297	OtherRevenueAmt
Revenue Not Reported	$33,082,297	RevenueNotReportedAmt
Revenue Subtotal	$235,920,530	RevenueSubtotalAmt
Other Revenues Not Included	$19,807,061	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$19,807,061	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$255,727,591	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$193,535,167	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$193,535,167	ExpensesSubtotalAmt
Other Expenses Not Included	$9,710,839	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$9,710,839	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$203,246,006	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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	CHANGE IN INTEREST RATE SWAP AGREEMENT 9,952,000 DEFINED BENEFIT PENSION PLAN 18,931,074 CHANGE IN PERPETUAL TRUST 591,223 TOTAL $29,474,297 PART XI, LINE 4B TRANSFERS TO AFFILIATES 3,585,000 OTHER CHANGES IN NONCONTROLLING INTEREST 6,511,222 BAD DEBT RECLASS 9,710,839 TOTAL $19,807,061 PART XII, LINE 2D BAD DEBT RECLASS $9,710,839
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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$7,357,116	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,357,116	NetCommunityBenefitExpnsAmt
Total Expense	0.03800	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,715,047	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,598,101	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,116,946	NetCommunityBenefitExpnsAmt
Total Expense	0.02640	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,463,631	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,706,891	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$756,740	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,535,794	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,304,992	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,230,802	NetCommunityBenefitExpnsAmt
Total Expense	0.06830	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$224,371	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$167	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$224,204	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,697	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,697	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$92,086	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$92,086	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$341,154	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$167	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$340,987	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,876,948	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,305,159	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,571,789	NetCommunityBenefitExpnsAmt
Total Expense	0.07010	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,383	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,363	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,857	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$445	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$77,412	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,791	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,791	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,775	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,775	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$126,806	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$465	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$126,341	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$4,542,618	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,514,206	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$39,898,917	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$49,348,876	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,449,959	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/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	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	1194	Yes (X)	Yes (X)	Yes (X)
BLUFFTON HOSPITAL
2	139 GARAU STREET	BLUFFTON	OH	45817	www.bvhealthsystem.org	1101	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	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 Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Adopt Implementation StrategyAdoptImplementationStrategyInd	Exec Implementation StrategyExecImplementationStrategyInd	Develop Community Wide PlanDevelopCommunityWidePlanInd	Exec Community Wide PlanExecCommunityWidePlanInd	Prioritize Health NeedsPrioritizeHealthNeedsInd	Prioritize ServicesPrioritizeServicesInd	All Needs AddressedAllNeedsAddressedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Explained BasisExplainedBasisInd	Income LevelIncomeLevelInd	Asset LevelAssetLevelInd	Medical IndigencyMedicalIndigencyInd	Insurance StatusInsuranceStatusInd	Uninsured DiscountUninsuredDiscountInd	Medicaid MedicareMedicaidMedicareInd	State RegulationStateRegulationInd	ResidencyResidencyInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	Posted On WebsitePostedOnWebsiteInd	Attached To InvoiceAttachedToInvoiceInd	Posted In Emergency RoomPostedInEmergencyRoomInd	Posted In Admission OfficePostedInAdmissionOfficeInd	Available On RequestAvailableOnRequestInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Collection ActivitiesCollectionActivitiesInd	Reporting To Credit AgencyReportingToCreditAgencyInd	LawsuitLawsuitInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Lowest Negotiated RatesLowestNegotiatedRatesInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Rpt Available Upon RequestRptAvailableUponRequestInd	Include Operational PlanIncludeOperationalPlanInd
BLANCHARD VALLEY HOSPITAL
1	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	11	Yes (true)	false	Yes (true)	Yes (X)	www.bvhealthsystem.org	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	false	Yes (true)	Yes (true)	150.	Yes (true)	250.	Yes (true)	Yes (X)	Yes (X)	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 (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
BLUFFTON HOSPITAL
2	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	11	Yes (true)	false	Yes (true)	Yes (X)	www.bvhealthsystem.org	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		false	false	Yes (true)	Yes (true)	150.	Yes (true)	250.	Yes (true)	Yes (X)	Yes (X)	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 (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	Yes (X)	Yes (X)

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/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	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 (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7	The costing methodology that is used to calculate the amounts in 7a through 7d is the same methodology that is used to prepare our 2013 Medicaid AND MEDICARE Cost Reports. We pull information from Schedule F and Schedule H for costs, payments, and charges as they are presented in the 2013 MedicaID Cost Report.
PART I, LINE 7K	Bad debt expense of $9,710,839 was removed from total expenses prior to calculating the percentage of total expense. PART II COMMUNITY BUILDING ACTIVITIES HELPED TO PROVIDE ASSISTANCE WITH HOUSING, ASSISTANCE WITH PERSONAL FINANCIAL SKILLS, ASSISTANCE WITH YOUTH AND ELDERLY ACTIVITIES, ETC. ALL OF THESE ACTIVITIES PROMOTE THE COMMUNITY AND PROVIDE SOCIAL AND ECONOMIC WELLNESS WHICH HAVE A DIRECT IMPACT ON MENTAL HEALTH. PART III, LINE 2A Our bad debt expense is comprised of three 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. Finally, any recoveries that are received from collection agencies are recorded as a decrease to bad debt expense. These three components are the net bad debt expense amounts that are presented in our financial statements. PART III, SECTION A, LINE 3 ASSUMPTION IS THAT OUR CHARITY CARE PROGRAM CAPTURES A LARGE PERCENTAGE OF THOSE WHO QUALIFY. HOWEVER, THERE IS A SUBSECTION OF PATIENTS WHO ARE PROVIDED THE INFORMATION FOR CHARITY CARE BUT CHOOSE NOT TO PROVIDE THE NECESSARY DOCUMENTS. THERE IS A LARGE PORTION OF BAD DEBT THAT IS ATTRIBUTABLE TO INDIVIDUALS THAT HAVE INSURANCE AND WORK IN WHITE COLLAR JOBS, THUS THE ASSUMPTION IS THAT 2 OUT OF EVERY 3 BAD DEBT ACCOUNTS ARE FOR SUCH INDIVIDUALS. THUS, THE REMAINING 1/3 RELATE TO THOSE WHO COULD QUALIFY FOR CHARITY CARE.
PART III, LINE 4	WE DO NOT HAVE A BAD DEBT FOOTNOTE. Our bad debt expense is comprised of three 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. Finally, any recoveries that are received from collection agencies are recorded as a decrease to bad debt expense. These three 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 the 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 always be treated and will not be turned away.
PART III, SECTION B, LINE 7	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 2013 MEDICARE COST REPORTS AND OUR 2013 PSR REPORTS.
PART III, 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. PART V, LINE 3 - BLANCHARD VALLEY HOSPITAL Hancock County contracted with the Hospital Council of Northwest Ohio, a non-profit hospital association, located in Toledo, Ohio, to coordinate and manage the health assessment process. The Hospital Council has been completing comprehensive health assessments since 1999. The Project Coordinator from the Hospital Council of NW Ohio holds a Masters degree in Public Health and conducted a series of meetings with the planning committee from Hancock County. During these meetings, banks of potential survey questions from the Behavioral Risk Factor Surveillance, Youth Risk Behavior Surveillance, and National Survey of Childrens Health surveys were reviewed and discussed. Based on input from the Hancock County planning committee, the Project Coordinator composed drafts of surveys containing 116 items for the adult survey, 77 items for the adolescent survey, 79 items for the 0-5 survey, and 83 items for the 6-11 survey. The drafts were reviewed and approved by health researchers at the UNIVERSITY OF TOLEDO. THE NEEDS OF THE POPULATION, ESPECIALLY THOSE WHO are medically underserved, low-income, minority populations and populations with chronic disease needs were taken into account through the sample methodology that surveyed these populations. In addition, the organizations that serve these populations participated in the health assessment and community planning process, such as United Way of Hancock County, Hancock County ADAMHS Board, etc. THE FOLLOWING LOCAL EXPERTS SERVED ON THE HANCOCK COUNTY PLANNING COMMITTEE (A (PH) AFTER THEIR NAME INDICATES THEY WORK IN THE PUBLIC HEALTH FIELD): CHRIS PRESS, BLANCHARD VALLEY HEALTH SYSTEM KATHY KREUCHAUF, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION KIMBERLY BASH, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION JULIE BROWN, FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION KEITH DUVERNAY, UNITED WAY OF HANCOCK COUNTY MARTY ROTHEY, BLANCHARD VALLEY HEALTH FOUNDATION BARB WILHELM, FINDLAY CITY HEALTH DEPARTMENT (PH) GREG ARNETTE, HANCOCK COUNTY HEALTH DEPARTMENT (PH) LARRY BUSDEKER, HANCOCK COUNTY SCHOOLS/ESC JENNIFER RATHBURN, HANCOCK COUNTY FAMILY FIRST COUNCIL PRECIA STUBY, HANCOCK COUNTY ADAMHS BOARD PAUL LILLEY, HANCOCK COUNTY ADAMHS BOARD BARBARA BRAHM, HANCOCK COUNTY O.S.U. EXTENSION DEAN WITTWER, FINDLAY CITY SCHOOLS CRAIG KUPFERBERG, FINDLAY CITY SCHOOLS PART V, LINE 3 - BLUFFTON HOSPITAL THE FOLLOWING INDIVIDUALS WERE CONSULTED DURING THE CHNA PROCESS: Benjamin Enders, Director Ancillary Service, Bluffton Hospital William D. Watkins, Chief Administrative Officer, Bluffton Hospital Jane Zachrich, Nursing Officer/VP Patient Services, Community Memorial Hospital Susan Wiley, Founder, Fountain of Faith Free Clinic Gaye Martin, Manager Community Advocacy, Defiance Regional Hospital and Fostoria Community Hospital Brittney Ward, Assistant Director of Health Planning, Hospital Council of Northwest Ohio Michelle VonLehmden, Health Assessment Coordinator, Hospital Council of Northwest Ohio Virginia Haugh, Fostoria Community Hospital Ruth Ann Beidelschies, Fostoria Community Hospital Steve McCoy, Director of Marketing and Planning, Fulton County Health Center Mick Oricko, Health Commissioner, Fulton County Health Department Todd Almedinger, Vice President of Finance/CFO, H.B. Magruder Hospital Nancy Osborne, Health Commissioner, Ottawa County Health Department Kimberly Bordenkircher, CEO, Henry County Hospital Anne Goon, Health Commissioner, Henry County Health Department Lucrecia Johnson, FLEX/SHIP Program Coordinator, Ohio Department of Health Pam Hunt, Coordinator, Ohio Department of Health Laura Milazzo, Senior Research Associate, Ohio University's Voinovich School of Leadership and Public Affairs Sara Boyd, Senior Project Manager, Ohio University's Voinovich School of Leadership and Public Affairs Cindy Poole, Senior Research Analyst, Ohio University's Voinovich School of Leadership and Public Affairs Kathleen Vasquez, Associate Vice President of Governmental Relations, University of Toledo PART V, LINE 6B IN RESPONSE TO THE RESULTS OF BLANCHARD VALLEY REGIONAL HEALTH CENTER'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL: HTTP://WWW.BVHEALTHSYSTEM.ORG PART V, LINE 7 - BLANCHARD VALLEY HOSPITAL Resource restrictions do not allow the hospital to address all of the needs identified through the health assessment. Of the priority needs identified by the community planning process, the hospital is not directly addressing the issues of obesity, substance abuse and youth violence. This is because many community agencies across Hancock County are addressing these issues through the following action steps: - Findlay City Health Department is going to implement a higher quality school lunch program, create a Healthier Choices Campaign, and implement organized activities (during recess times or before/after school to increase physical activity). - The United Way of Hancock County is going to work to create community gardens. - The Hancock County Family First Council is going to address increasing opportunities for un-employed/high-risk adults to enroll in an evidenced based weight loss program. - Through the Hancock County Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board, the issues of decreasing youth substance abuse will be addressed through an adverse childhood experience study, seller/server trainings, evidence based prevention programs in the Hancock County schools, decreasing point of purchase advertising at local retailers, and increasing parent involvement and knowledge of the law pertaining to alcohol and minors. When addressing adult substance abuse, the ADAMHS Board is going to initiate a feasibility study of an outpatient detox facility, implement a community based comprehensive program to reduce substance abuse, and increased the efforts of the Hancock County Prescription/Opiate Task Force. - THE FAMILY RESOURCE CENTER IS GOING TO IMPLEMENT A YOUTH SMOKING Cessation program in Hancock County. - The Reducing the Risk Coalition will implement a bullying prevention program. - Together, the Finlay-Hancock County Community Foundation and the O.S.U. Extension in Hancock County will increase education for parents and families regarding youth violence. PART V, LINE 7 - BLUFFTON HOSPITAL THE NEEDS OF THE COMMUNITY WERE CATEGORIZED BY THE FOLLOWING SIGNIFICANCE: IMPORTANT, URGENT, AND CRITICAL. BASED ON THESE CATEGORIES, THE NEEDS WERE PRIORITIZED AND STRATEGIES WERE ASSIGNED BASED ON THE PRIORTIZATION. THUS, CERTAIN NEEDS ARE NOT ABLE TO BE ADDRESSED IN THE CURRENT STRATEGY DUE TO THE LEVEL OF SIGNIFICANCE. PART V, LINE 14 - BLANCHARD VALLEY HOSPITAL & BLUFFTON HOSPITAL The Ohio Revised Code is posted throughout the hospital facility, finanical assistance information is included on the back of a patient's monthly statement, literature (i.e. brochures, packets, etc.) is available, and Financial Couselors are available and make room visits.
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 FINNACIAL SUPPORT. BVRHC SUCCESSFULLY SOUGHT EXECUTIVE AND FINANCIAL SUPORT 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.
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 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 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, PHYSICIAN'S PLUS URGENT CARE FACILITY, AND ALL OF THEIR RELATED MEDICAL PRACTICES.

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 (12 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
BARBARA PASZTOR
VP of Nursing	$176,597	$0	$46,599	$0	$40,950	$0	$13,318	$0	$24,636	$0	$302,100	$0	$0	$0
CHRISTINE KELLER
VP of Clinical Services	$172,953	$0	$38,311	$0	$150	$0	$10,478	$0	$12,936	$0	$234,828	$0	$0	$0
Scott Malaney
Chief Executive Officer	$0	$499,569	$0	$165,208	$0	$26,771	$0	$15,300	$0	$25,728	$0	$732,576	$0	$0
Dave Cytlak
Chief Financial Officer	$0	$290,941	$0	$64,986	$0	$24,778	$0	$15,300	$0	$21,935	$0	$417,940	$0	$0
Christopher Press
President BVRHC	$0	$232,108	$0	$82,837	$0	$36,581	$0	$14,981	$0	$2,008	$0	$368,515	$0	$0
Dr Chiranji Agrawal
Physician	$362,492	$0	$118,765	$0	$2,492	$0	$13,211	$0	$18,185	$0	$515,146	$0	$0	$0
Dr Angela Holt
Physician	$323,338	$0	$118,053	$0	$18,309	$0	$15,300	$0	$10,161	$0	$485,160	$0	$0	$0
Dr Michael Manuel
Physician	$197,995	$0	$72,778	$0	$17,728	$0	$15,300	$0	$25,423	$0	$329,224	$0	$0	$0
William Watkins
Chief Administrative Officer	$18,108	$139,631	$0	$33,914	$100	$499	$1,107	$8,501	$348	$16,115	$19,663	$198,660	$0	$0
WILLIAM KOSE
CHIEF QUALITY OFFICER	$0	$282,316	$0	$70,494	$0	$47,517	$0	$15,300	$0	$17,392	$0	$433,019	$0	$0
Dr Kirk Crouser
Physician	$259,507	$0	$36,385	$0	$219	$0	$15,300	$0	$2,563	$0	$313,974	$0	$0	$0
Dr Liping Guan
Physician	$229,123	$0	$51,359	$0	$403	$0	$13,907	$0	$3,420	$0	$298,212	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	In 2013, Blanchard Valley Health System contributed on behalf of Scott Malaney $140,807 to a Supplemental Executive Retirement Plan (SERP). The SERP is an unfunded, nonqualified deferred compensation arrangement consisting of two plans: an "eligible" plan subject to Internal Revenue Code Section 457(b) and an "ineligible" plan subject to Section 457(f). The 457(b) plan was originally implemented effective January 1, 2002. The 457(f) plan was originally effective September 1, 2000 and was restated on January 1, 2002 for coordination with the 457(b) plan. In 2010 and 2011, the 457(f) plan was further amended and restated to comply with the latest regulatory guidance and provide for a new contribution model and vesting schedule. Additional executives were also added and deemed eligible for plan benefits in 2010, including Christopher Press and David Cytlak. In 2013, Blanchard Valley Health System contributed on behalf of Christopher Press $44,943 and contributed on behalf of David Cytlak $20,602 to the SERP. Key features of the SERP, as amended and restated in 2010/2011, include the following: Eligibility is limited to certain management or highly-compensated employees of BVHS (i.e., "top hat" reference). Future participation is upon nomination by the CEO and approval by the Committee of the Board. Employer contributions are comprised of: Defined Contribution Target Income Replacement Percentage Contribution: - Provide 60% target income replacement for CEO (Scott Malaney) - Provide 50% target income replacement for President (Christopher Press) - Provide 50% target income replacement for CFO (David Cytlak) Employee contributions to the 457(f) account are not allowed. * Each participant's 457(b) account will be credited up to the statutory limit ($17,500 in 2013), 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. 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 OHIO
A	346400139	2010-12-31	$11,293,759	SEE PART VI	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	$6,477,022	$0	$11,293,759	$0	$0	$0	$0	$0	$0	$0	$11,293,759	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$3,050,000	$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	$775,000	$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	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	Yes (true)	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	Yes (true)	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	Yes (true)	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/BusinessNameLine1	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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
LOUISE WATKINS
WIFE OF WILLIAM WATKINS	$20,545	COMPENSATION	false
BUCKMAN LTD
>35% OWNED		SEE SUPPLEMENTAL INFORMATION	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV	FormAndLineReferenceDesc
Explanation	CHERYL BUCKLAND IS A TRUSTEE ON THE ORGANIZATION'S BOARD. SHE IS A 50% OWNER IN BUCKMAN LIMITED. BLANCHARD VALLEY CONTINUING CARE SERVICES, A RELATED ENTITY, HAS AN OUTSTANDING LOAN TO BUCKMAN LIMITED FOR THE 2008 PURCHASE OF INDEPENDENCE HOUSE.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

QUESTION 4D

Other services provided at BVRHC include: Women'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 Dialysis PART VI QUESTION 1B CHERYL BUCKLAND IS A 50% OWNER OF A COMPANY THAT HAS AN OUTSTANDING LOAN TO BLANCHARD VALLEY CONTINUING CARE SERVICES, A RELATED ORGANIZATION. DUE TO THIS RELATIONSHIP, SHE IS CONSIDERED A NON INDEPENDENT VOTING MEMBER OF THE BOARD. 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. QUESTION 11B DETAIL REVIEWS OF THE FORM 990'S ARE PERFORMED BY AN INDEPENDENT CPA FIRM AND THE ORGANIZATION'S COMPLIANCE AND 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. QUESTION 12C ANNUALLY, THE ORGANIZATION ASKS THEIR BOARD AND EXECUTIVES TO SIGN CONFLICT OF INTEREST POLICIES. THE ORGANIZATION ALSO ASKS THEM TO REVIEW THEIR ACTIVITY AND COMPLETE RELATIONSHIP QUESTIONNAIRES FOR THE FORM 990 FILING YEAR. TRUSTEES ARE REQUIRED TO BRING TO THE ATTENTION OF MANAGEMENT ANY CONFLICTS AS THEY ARISE. THESE CONFLICTS ARE DOCUMENTED IN THE BOARD MINUTES. MEMBERS WITH CONFLICTS ARE TO EXCUSE THEMSELVES FROM DISCUSSION AND/OR VOTING ON ISSUES WITH WHICH A CONFLICT EXISTS. QUESTION 15A & 15B THE ORGANIZATION REVIEWS EXECUTIVE COMPENSATION, BENEFITS, AND PERQUISITES ON A BI-ANNUAL BASIS TO ENSURE CONSISTENCY WITH COMPENSATION PHILOSOPHY AND MARKET PRACTICE. A SUBSET OF MEMBERS FROM THE BOARD OF DIRECTORS SERVES AS THE EXECUTIVE COMPENSATION REVIEW COMMITTEE, AND THIS COMMITTEE MEETS TO APPROVE WAGE INCREASES AS WELL AS REVIEWS THE ORGANIZATION'S POSITION IN THE MARKET WHEN IT COMES TO EXECUTIVE COMPENSATION. IN ADDITION, THE EXECUTIVE COMPENSATION REVIEW COMMITTEE REGULARLY ENGAGES A HUMAN RESOURCES CONSULTING FIRM TO ASSESS THE REASONABLENESS OF THE COMPENSATION PROGRAM USED FOR ITS EXECUTIVES. THE ORGANIZATION IS COMMITTED TO A DECISION-MAKING PROCESS FOR EXECUTIVE COMPENSATION THAT IS CONSISTENT WITH INTERNAL REVENUE CODE SECTION 4958 REQUIREMENTS FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS". *THE MEMBERS OF THE COMMITTEE APPROVING EXECUTIVE COMPENSATION DECISIONS ARE INDIVIDUALS WHO ARE DISINTERESTED (I.E., DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE ARRANGEMENTS). *THE COMMITTEE REVIEWS OBJECTIVE DATA, INCLUDING SURVEY DATA PREPARED BY INDEPENDENT FIRMS, AS PART OF THE DECISION-MAKING PROCESS. *THE MARKET DATA PROVIDED IN THE COMPENSATION REPORT FROM THE CONSULTING FIRM ASSISTS THE ORGANIZATION IN ESTABLISHING THE "REBUTTABLE PRESUMPTION OF REASONABLENESS". THE MOST RECENT FULL COMPENSATION AND BENEFIT ANALYSIS AND REVIEW WAS COMPLETED IN EARLY 2013 BY SULLIVAN COTTER AND ASSOCIATES AND SHARED/DISCUSSED WITH THE BOARD IN APRIL 2013. QUESTION 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 XII QUESTION 2 During 2012, the organization changed its governance structure so that it could address health system needs over the entire continuum of care provided by the organization. Prior to 2012, the organization had a separate compliance committee and a separate audit committee. Also, the form 990's were reviewed by a subcommittee of the audit committee. In 2012, these two separate committees and one subcommittee were combined into one Compliance & Audit Committee. All of the duties of these prior committees were transferred to the new committee. Thus, the Compliance & Audit Committee is responsible for reviews of compliance, reviews of the audited financial statements, reviews of the form 990's, and reviews of other areas as described in the committee's charter.

PART XI

LINE 9 CHANGE IN INTEREST RATE SWAP AGREEMENT 9,952,000 DEFINED BENEFIT PENSION PLAN 18,931,074 OTHER CHANGES IN NONCONTROLLING INTEREST (6,511,222) TRANSFERS TO AFFILIATES (3,585,000) CHANGE IN PERPETUAL TRUST 591,223 TOTAL $19,378,075

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (6 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CRNA OF BLANCHARD VALLEY LLC
1900 SOUTH MAIN ST	FINDLAY	OH	45840	061748552	CERT NURSE	OH	$2,898,385	BVRHC
BLANCHARD VALLEY MEDICAL PRACTICES
1900 SOUTH MAIN ST	FINDLAY	OH	45840	421659766	PHYS OFCS	OH		BVHS
BLANCHARD VALLEY HOME CARE SERVICES
1900 SOUTH MAIN ST	FINDLAY	OH	45840	421565629	HOME HEALTH	OH		BVCCS
NEUROSURGICAL ASSOCIATION NORTHWEST OHIO
1900 SOUTH MAIN ST	FINDLAY	OH	45840	421659766	PHYS OFFICE	OH		BVMP
SPECIALTY PHYSICIANS OF BLANCHARD VALLEY
1900 SOUTH MAIN ST	FINDLAY	OH	45840	421659766	PHYS OFFICE	OH		BVMP
BLANCHARD VALLEY REGIONAL CANCER CENTER
1900 SOUTH MAIN ST	FINDLAY	OH	45840	421659766	PHYS OFFICE	OH		BVMP

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
BLANCHARD VALLEY HEALTH SYSTEM
1900 SOUTH MAIN ST	FINDLAY	OH	45840	344428206	HEALTHCARE	OH	501(C)(3)	11A	NA	Yes (true)
BLANCHARD VALLEY CONTINUING CARE SVCS
15100 BIRCHAVEN LN	FINDLAY	OH	45840	346006904	CONT. CARE	OH	501(C)(3)	9	BVHS	Yes (true)
BLANCHARD VALLEY HEALTH FOUNDATION
1900 SOUTH MAIN ST	FINDLAY	OH	45840	341369963	FUNDRAISING	OH	501(C)(3)	7	BVHS	false
EC EDWARDS MEMORIAL TRUST
1900 SOUTH MAIN ST	FINDLAY	OH	45840	346953719	INVESTMENT	OH	501(C)(3)	PF	BVHF	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
BLANCHARD VALLEY PAIN MANAGEMENT
1900 SOUTH MAIN ST	FINDLAY	OH	45840	270095470	PAIN MGMT	OH	BVRHC	$10,092,390	$915,960	false	false	0.51000
TECHNICORE
PO BOX 1210	FINDLAY	OH	45839	421702910	BIO-MED SUPPO	OH	BVRHC	$1,414,000	$642,013	false	Yes (true)	0.66670
CREIGHTON DIALYSIS
1900 SOUTH MAIN ST	FINDLAY	OH	45840	274527592	DIALYSIS SERV	OH	NA
NORTHWEST OHIO MEDICAL EQUIPMENT
1900 SOUTH MAIN ST	FINDLAY	OH	45840	341882390	MEDICAL EQUIP	OH	BVCCS

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
CITAS INC
1900 SOUTH MAIN STREET	FINDLAY	OH	45840	341369708	RECRUITING	OH	BVHS	C CORP	false
HANCO AMBULANCE INC
417 SIXTH STREET	FINDLAY	OH	45840	382048755	HEALTHCARE	OH	BVHS	C CORP	false
BIRCHAVEN ESTATES AT EASTERN WOODS LTD
15100 BIRCHAVEN LANE	FINDLAY	OH	45870	201494204	CONDOMINIUM	OH	BVCCS	C CORP	false

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	$318,594	FMV
TECHNICORE
M	$169,644	FMV