2014-11-14T14:56:15-06:00 2013-12-31 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2013-01-01 341369963 BLANCHARD VALLEY REGIONAL HEALTH CENTER % DAVID M CYTLAK BLAN 4194235497 1900 SOUTH MAIN STREET Suite FINDLAY OH 45840 David M Cytlak CFO CFO 4194235497 2014-11-15 true Joyce A Dulworth P00151125 4194235497 2013 2015-11-30 17:44:51Z DAVID M CYTLAK 1900 SOUTH MAIN STREET FINDLAY OH 45840 483923585 false X WWW.BVHEALTHSYSTEM.ORG X 1982 OH BLANCHARD VALLEY REGIONAL HEALTH CENTER OPERATES TWO HOSPITALS OFFERING INPATIENT, EMERGENCY, MATERNITY AND OUTPATIENT SERVICES; OUTPATIENT CENTERS, AND A PRIMARY CARE CLINIC. 21 19 1662 367 1321060 794552 0 0 214115860 222131680 7392278 26897054 6408953 6698857 227917091 255727591 0 0 0 0 98794796 98764104 0 0 0 100273844 104481902 199068640 203246006 28848451 52481585 396025373 440378509 227053543 195939019 168971830 244439490 X OUR MISSION: OUR EXTRAORDINARY PEOPLE PROVIDE CARING FOR A LIFETIME THROUGH A BROAD CONTINUUM OF EXCEPTIONAL HEALTH-RELATED SERVICES IN NORTHWEST OHIO. false false 35288484 43489977 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. 27526443 33923938 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. 21640685 26670256 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. 95403402 117576367 179859014 true false false false false false false false false true true false false true true false false true false false false false false false false false true true false false true true false false false false false false false false true true false false false false true true true true false false true 468 0 true 1662 true true true false false false false false false false false false X 21 19 false false false false false false false true true false false true true true true true true true true true true X DAVID M CYTLAK 4194235497 1900 SOUTH MAIN STREET FINDLAY OH 45840 Scott Malaney Chief Executive Officer 32.0 8.0 X X 0 691548 41028 Dr Eric Bostick Trustee 0.5 1.0 X 0 0 0 Cheryl Buckland Trustee 0.5 1.0 X 0 0 0 Karen Cline Trustee 0.5 1.0 X 0 0 0 Kurt Geisheimer Treasurer 0.5 1.0 X 0 0 0 Duane Jebbett Chairman 0.5 1.0 X 0 0 0 Karen Klassen Harder Secretary 0.5 1.0 X 0 0 0 Andrea Koepke Trustee 0.5 1.0 X 0 0 0 Joe Longo Trustee 0.5 1.0 X 0 0 0 Dr Steve McCullough Trustee 0.5 1.0 X 0 0 0 Dr Randall Myers Trustee 0.5 1.0 X 0 0 0 Rod Nichols Trustee 0.5 1.0 X 0 0 0 Dr Nancy Orel Trustee 0.5 1.0 X 0 0 0 Dr Richard Polder Trustee 0.5 1.0 X 0 0 0 Dr LeRoy Schroeder Trustee 0.5 1.0 X 0 0 0 Kimberly Stump Trustee 0.5 1.0 X 0 0 0 David Eubanks Trustee 0.5 1.0 X 0 0 0 Garry Peiffer Trustee 0.5 1.0 X 0 0 0 Paul Worstell Vice Chairman 0.5 1.0 X 0 0 0 William Reist Dmin Trustee 0.5 1.0 X 0 0 0 Bradley Hughes Trustee 0.5 1.0 X 0 0 0 Dave Cytlak Chief Financial Officer 32.0 8.0 X 0 380705 37235 Christopher Press President BVRHC 38.0 2.0 X 0 351526 16989 WILLIAM KOSE CHIEF QUALITY OFFICER 4.0 36.0 X 0 400327 32692 BARBARA PASZTOR VP of Nursing 40.0 X 264146 0 37954 CHRISTINE KELLER VP of Clinical Services 40.0 X 211414 0 23414 William Watkins Chief Administrative Officer 4.0 36.0 X 18208 174044 26071 Dr Chiranji Agrawal Physician 40.0 X 483750 0 31396 Dr Angela Holt Physician 40.0 X 459699 0 25461 Dr Michael Manuel Physician 40.0 X 288501 0 40723 Dr Kirk Crouser Physician 40.0 X 296111 0 17863 Dr Liping Guan Physician 40.0 0.0 X 280885 0 17327 2302714 1998150 348153 61 false true false Caretech Solutions Inc 901 Wilshire Dr Suite 250 TROY MI 48084 IT & COMMUNICATION 6499641 Sodexo Inc 9001 Washington Blvd GAITHERSBURG MD 20878 Dietary Services 1243381 Hylant Group Inc 811 MADISON AVE TOLEDO OH 43604 CONSULTING SERVICES 1159546 Technicore PO Box 1210 FINDLAY OH 45839 Bio-Med Support 1329862 Delta Dental Plan Of Ohio PO Box 633198 CINCINNATI OH 45263 Dental Plan 1039121 40 0 PATIENT SERVICE 900099 218317540 218317540 OUTPATIENT PHARMACY 446110 1331172 828142 503030 INVESTMENT IN TECHNICORE 541900 2120552 2131121 -10569 MEDICAL SERVICES 900099 117169 117169 CHARITY SERVICES 900099 245247 245247 222131680 16220696 16220696 0 0 293301 293301 0 293301 293301 238551584 21319 227896545 10655039 21319 10676358 21319 10655039 0 0 301345 299449 1896 1896 INVESTMENT IN PARTNERSHIP 621300 828599 828599 CAFETERIA 900099 161844 161844 MEAL TICKETS 900099 813179 813179 4600038 4600038 6403660 255727591 221660538 1321060 32745993 0 0 0 0 581208 494027 87181 0 77645840 65998964 11646876 3247725 2760566 487159 12100396 10285337 1815059 5188935 4410595 778340 0 53820 45747 8073 1559517 1325590 233927 0 0 0 10147353 8625250 1522103 698057 593348 104709 5971691 5075937 895754 3675265 3123975 551290 0 3757856 3194178 563678 690502 586927 103575 0 0 7099179 6034302 1064877 0 11762186 9997858 1764328 2046080 1739168 306912 PROVISION FOR BAD DEBTS 9710839 9710839 MEDICAL & PROFESSIONAL FEES 4304575 3658889 645686 DUES & SUBSCRIPTIONS 706707 600701 106006 MEDICAL SUPPLIES 37621882 37621882 4676393 3974934 701459 203246006 179859014 23386992 0 0 0 28334610 27726363 0 0 23346014 23535678 0 0 0 0 0 0 5086555 4706036 1161349 1272580 228995346 104824477 131216733 124170869 158100470 196544549 377806 1393637 0 0 0 0 48401836 61028797 396025373 440378509 17154597 21073701 0 0 161044 148832 125004414 121208211 0 0 0 0 6349826 8556995 0 0 78383662 44951280 227053543 195939019 X 162156891 236855769 722525 900084 6092414 6683637 168971830 244439490 396025373 440378509 X 52481585 3608000 19378075 X false true X true false X 6814938 1051432 282650 7583720 6334186 752562 271810 6814938 6518959 -168872 15901 6334186 6136329 389430 6800 6518959 5459960 677759 1390 6136329 0.88130 0.11870 true true true 3116023 3116023 133532374 40368250 93164124 1513718 1097972 415746 80375982 59441849 20934133 10457249 3916406 6540843 124170869 ADVANCES TO AFFILIATES 59260504 DEFERRED BOND ISSUANCE COSTS 1768293 61028797 11146 PENSION LIABILITY 23357790 THIRD PARTY SETTLEMENTS 2537079 INTEREST RATE SWAP OBLIGATION 18314224 MINORITY INTEREST IN PAIN MANA 442112 INVESTMENT IN SUBSIDIARY 288929 44951280 269002827 3608000 29474297 33082297 235920530 19807061 19807061 255727591 193535167 193535167 9710839 9710839 203246006 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. true true X true X true X true true true false true true 7357116 7357116 0.03800 19715047 14598101 5116946 0.02640 2463631 1706891 756740 0.00390 29535794 16304992 13230802 0.06830 224371 167 224204 0.00120 24697 24697 0.00010 92086 92086 0.00050 341154 167 340987 0.00180 29876948 16305159 13571789 0.07010 2383 20 2363 77857 445 77412 0.00040 30791 30791 0.00020 15775 15775 0.00010 126806 465 126341 0.00070 false 4542618 1514206 39898917 49348876 -9449959 X true false 2 1 BLANCHARD VALLEY HOSPITAL 1900 SOUTH MAIN STREET FINDLAY OH 45840 www.bvhealthsystem.org 1194 X X X 2 BLUFFTON HOSPITAL 139 GARAU STREET BLUFFTON OH 45817 www.bvhealthsystem.org 1101 X X X X BLANCHARD VALLEY HOSPITAL 1 true X X X X X X X X X 11 true false true X www.bvhealthsystem.org X X X X X X false false true true 150. true 250. true X X X X X X X X true true X X X X X X true true X X X X X true X false false BLUFFTON HOSPITAL 2 true X X X X X X X X X 11 true false true X www.bvhealthsystem.org X X X X X X X false false true true 150. true 250. true X X X X X X X X true true X X X X X X true true X X X X X true X false false 2 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 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. false true false false false false false false false BARBARA PASZTOR VP of Nursing 176597 0 46599 0 40950 0 13318 0 24636 0 302100 0 0 0 CHRISTINE KELLER VP of Clinical Services 172953 0 38311 0 150 0 10478 0 12936 0 234828 0 0 0 Scott Malaney Chief Executive Officer 0 499569 0 165208 0 26771 0 15300 0 25728 0 732576 0 0 Dave Cytlak Chief Financial Officer 0 290941 0 64986 0 24778 0 15300 0 21935 0 417940 0 0 Christopher Press President BVRHC 0 232108 0 82837 0 36581 0 14981 0 2008 0 368515 0 0 Dr Chiranji Agrawal Physician 362492 0 118765 0 2492 0 13211 0 18185 0 515146 0 0 0 Dr Angela Holt Physician 323338 0 118053 0 18309 0 15300 0 10161 0 485160 0 0 0 Dr Michael Manuel Physician 197995 0 72778 0 17728 0 15300 0 25423 0 329224 0 0 0 William Watkins Chief Administrative Officer 18108 139631 0 33914 100 499 1107 8501 348 16115 19663 198660 0 0 WILLIAM KOSE CHIEF QUALITY OFFICER 0 282316 0 70494 0 47517 0 15300 0 17392 0 433019 0 0 Dr Kirk Crouser Physician 259507 0 36385 0 219 0 15300 0 2563 0 313974 0 0 0 Dr Liping Guan Physician 229123 0 51359 0 403 0 13907 0 3420 0 298212 0 0 0 PART I, LINE 4B 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. A VILLAGE OF BLUFFTON OHIO 346400139 2010-12-31 11293759 SEE PART VI false false false B COUNTY OF HANCOCK OHIO 346400608 410040BY4 2011-04-14 108706899 REFUND ISSUE DATED 11/4/2004 false false false C VILLAGE OF ANNA OHIO 340894539 2012-06-13 9700000 BUILDING & EQUIPMENT FINANCING false false false A 6477022 0 11293759 0 0 0 0 0 0 0 11293759 0 true false true true B 3050000 0 108706899 0 0 0 1874847 0 0 0 106832052 0 true false true true C 775000 0 9700000 0 0 0 0 0 0 9700000 0 0 false false true true A false false true true false 0 true false false true B false false true true false 0 true false false true C false false true true false 0 true false false true A false false true false true false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false true false 0 false 0 false true A true B true C true 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. LOUISE WATKINS WIFE OF WILLIAM WATKINS 20545 COMPENSATION false BUCKMAN LTD >35% OWNED SEE SUPPLEMENTAL INFORMATION false PART IV 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. 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 CRNA OF BLANCHARD VALLEY LLC 1900 SOUTH MAIN ST FINDLAY OH 45840 061748552 CERT NURSE OH 2898385 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 BLANCHARD VALLEY HEALTH SYSTEM 1900 SOUTH MAIN ST FINDLAY OH 45840 344428206 HEALTHCARE OH 501(C)(3) 11A NA true BLANCHARD VALLEY CONTINUING CARE SVCS 15100 BIRCHAVEN LN FINDLAY OH 45840 346006904 CONT. CARE OH 501(C)(3) 9 BVHS 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 BLANCHARD VALLEY PAIN MANAGEMENT 1900 SOUTH MAIN ST FINDLAY OH 45840 270095470 PAIN MGMT OH BVRHC 10092390 915960 false false 0.51000 TECHNICORE PO BOX 1210 FINDLAY OH 45839 421702910 BIO-MED SUPPO OH BVRHC 1414000 642013 false 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 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 true false true false true false false false false false true false true true false false false false false BLANCHARD VALLEY PAIN MANAGEMENT A 318594 FMV TECHNICORE M 169644 FMV