BLANCHARD VALLEY REGIONAL HEALTH CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- BLANCHARD VALLEY REGIONAL HEALTH CENTER (EIN 34-1369963)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-11
- IRS object ID
- 201113159349303056
- Schema version
- 2010v3.4
- 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 I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-11T12:52:13-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341369963 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLANCHARD VALLEY REGIONAL HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BLAN | NameControl |
| Phone | 4194235497 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID M CYTLAK | Name |
| Title | CFO | Title |
| Phone | 4194235497 | Phone |
| Date Signed | 2011-11-10 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Joyce A Dulworth | Name |
| Phone | 2604604000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAVID M CYTLAK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 210585159 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BVHEALTHSYSTEM.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | AN INDEPENDENT REGIONAL HEALTH SERVICES ORGANIZATION PROVIDING EXCEPTIONAL CLINICAL CARE AND SERVICE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1529 | TotalNbrEmployees |
| Total Nbr Volunteers | 332 | TotalNbrVolunteers |
| Total Gross UBI | 1355153 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 863636 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 180006759 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 188651594 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -3515643 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4283584 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2978246 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3713456 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 179469362 | TotalRevenuePriorYear |
| Total Revenue Current Year | 196648634 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 5500 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 10000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 87199173 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 85445958 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 89107383 | OtherExpensePriorYear |
| Other Expenses Current Year | 93116587 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 176312056 | TotalExpensesPriorYear |
| Total Expenses Current Year | 178572545 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3157306 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 18076089 | RevenuesLessExpensesCY |
| Total Assets BOY | 329819775 | TotalAssetsBOY |
| Total Assets EOY | 357376493 | TotalAssetsEOY |
| Total Liabilities BOY | 182654203 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 188820476 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 147165572 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 168556017 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE A BROAD CONTINUUM OF EXCEPTIONAL HEALTH-RELATED SERVICES IN NORTHWEST OHIO. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 29350070 | Expense |
| Revenue | 37013595 | Revenue |
| Description | 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 (AACPVR). 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 RECEIVED 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 2010, OUR AVERAGE "DOOR TO BALLOON TIME" WAS 64 MINUTES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 22894240 | Expense |
| Revenue | 28872100 | Revenue |
| Description | 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 17998949 | Expense |
| Revenue | 22698611 | Revenue |
| Description | 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 2010, HEALTHGRADES - THE LEADING INDEPENDENT HEALTH CARE RATINGS COMPANY - AWARDED SEVERAL HONORS TO THE BVH TOTAL JOINT REPLACEMENT PROGRAM INCLUDING: 2010 JOINT REPLACEMENT EXCELLENCE AWARD TM; 5-STAR RATING FOR TOTAL JOINT REPLACEMENT; 5-STAR RATING FOR TOTAL KNEE REPLACEMENT; 5-STAR RATING FOR TOTAL HIP REPLACEMENT; AND 5-STAR RATING FOR BACK AND NECK SURGERY (SPINAL FUSION). | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 79348735 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 100121338 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 149591994 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 280 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1529 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DAVID M CYTLAK | NamePerson |
| Telephone Number | 4194235497 | TelephoneNumber |
Address US AddressUS
| 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) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| CHRISTOPHER PRESS | ||||||||
| PRESIDENT - BVRHC | 40.0 | X | X | 0 | 246823 | 25657 | ||
| SCOTT MALANEY | ||||||||
| PRESIDENT & CEO | 28.0 | X | X | 0 | 877193 | 42585 | ||
| KURT GEISHEIMER | ||||||||
| TREASURER | 1.0 | X | 0 | 0 | 0 | |||
| STEVE DANDURAND | ||||||||
| SECRETARY | 1.0 | X | 0 | 0 | 0 | |||
| STEVEN MCCULLOUGH DO | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| ROD WINKLE | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| JOHN HAYWOOD | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| PAUL WORSTELL | ||||||||
| VICE CHAIR | 1.0 | X | 0 | 0 | 0 | |||
| DUANE JEBBETT | ||||||||
| CHAIR | 1.0 | X | 0 | 0 | 0 | |||
| MARK FOX MD | ||||||||
| MEDICAL STAFF PRESIDENT | 1.0 | X | 0 | 0 | 0 | |||
| CHERYL BUCKLAND | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| KAREN CLINE | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| KATHLEEN CRATES PHD | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| RANDALL MYERS RPH | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| ROBERT HEACOCK MD | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| WILLIAM WATKINS | ||||||||
| CHIEF ADMINISTRATIVE OFFICER - | 40.0 | X | 143971 | 0 | 23036 | |||
| DAVE CYTLAK | ||||||||
| CFO | 28.0 | X | 0 | 227759 | 35923 | |||
| KAREN JONES | ||||||||
| VP OF NURSING | 40.0 | 144126 | 0 | 15740 | X | |||
| CHRISTINE SWANSON | ||||||||
| VP OF CLINICAL SERVICES | 40.0 | 156246 | 0 | 21217 | X | |||
| DR CHIRANJI AGRAWAL | ||||||||
| PHYSICIAN | 40.0 | 535080 | 0 | 27998 | X | |||
| DR MICHAEL MANUEL | ||||||||
| PHYSICIAN | 40.0 | 323555 | 0 | 36914 | X | |||
| DR NAUMAN NAEEM | ||||||||
| PHYSICIAN | 40.0 | 379987 | 0 | 36585 | X | |||
| DR KRISTI PEDLER | ||||||||
| PHYSICIAN | 40.0 | 288679 | 0 | 34262 | X | |||
| DR JEFFREY SCHULTZ | ||||||||
| PHYSICIAN | 40.0 | 318101 | 5700 | 41360 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2289745 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1357475 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 341277 | TotalOtherCompensation |
| Number Individuals GT100 K | 56 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Caretech Solutions | |||||
| 901 Wilshire Dr Ste 250 | TROY | MI | 48084 | IT & COMMUNICATION | 5660155 |
| Charles Construction Services Inc | |||||
| 811 East Bigelow Ave | FINDLAY | OH | 45839 | CONTRACTORS | 3986745 |
| TECHNICORE | |||||
| PO BOX 1210 | FINDLAY | OH | 45839 | BIO-MED SUPPORT | 1206508 |
| Sodexo Operations LLC | |||||
| 540 W Madison 4th Fl | CHICAGO | IL | 60661 | DIETARY SERVICES | 1052547 |
| BLANCHARD VALLEY PATHOLOGY AND LAB | |||||
| 1900 S MAIN STREET | FINDLAY | OH | 45840 | LABORATORY SERVICES | 669833 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 44 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE | 900099 | 188189933 | 188189933 | |
| OUTPATIENT PHARMACY | 446110 | 461661 | 461661 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 188651594 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3017380 | TotalRevenueColumn |
| Exclusion | $3,017,380 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 320112 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 320112 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 320112 | TotalRevenueColumn |
| Exclusion | $320,112 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 15087955 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 13821751 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1266204 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1266204 | TotalRevenueColumn |
| Exclusion | $1,266,204 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 178412 | GrossSalesOfInventory |
| Cost Of Goods Sold | 114774 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 63637 | TotalRevenueColumn |
| Exclusion | $63,637 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| FINDLAY SURGERY CENTER | 621300 | 892681 | 892681 | ||
| CHARITY SERVICES | 900099 | 213810 | 213810 | ||
| CAFETERIA | 900099 | 167865 | $167,865 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2055351 | TotalRevenueColumn |
| Related Or Exempt Function Income | 301901 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 811 | UnrelatedBusinessRevenue |
| Exclusion | $1,752,639 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3329707 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 196648634 | TotalRevenueColumn |
| Related Or Exempt Function Income | 188705644 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1355153 | UnrelatedBusinessRevenue |
| Exclusion | $6,587,837 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10000 | Total |
| Program Services | 10000 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 477348 | Total |
| Program Services | 322196 | ProgramServices |
| Management And General | 155152 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18507 | Total |
| Program Services | 14729 | ProgramServices |
| Management And General | 3778 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67302274 | Total |
| Program Services | 53562652 | ProgramServices |
| Management And General | 13739622 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2558457 | Total |
| Program Services | 2036153 | ProgramServices |
| Management And General | 522304 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10596401 | Total |
| Program Services | 8433168 | ProgramServices |
| Management And General | 2163233 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4492971 | Total |
| Program Services | 3575740 | ProgramServices |
| Management And General | 917231 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19325 | Total |
| Management And General | 19325 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175824 | Total |
| Management And General | 175824 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6937537 | Total |
| Program Services | 5521253 | ProgramServices |
| Management And General | 1416284 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 544128 | Total |
| Program Services | 433045 | ProgramServices |
| Management And General | 111083 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39132981 | Total |
| Program Services | 38203585 | ProgramServices |
| Management And General | 929396 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2383379 | Total |
| Program Services | 1766463 | ProgramServices |
| Management And General | 616916 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3373005 | Total |
| Program Services | 2684413 | ProgramServices |
| Management And General | 688592 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 581945 | Total |
| Program Services | 463142 | ProgramServices |
| Management And General | 118803 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1460261 | Total |
| Program Services | 1162152 | ProgramServices |
| Management And General | 298109 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11469821 | Total |
| Program Services | 9128280 | ProgramServices |
| Management And General | 2341541 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1665167 | Total |
| Management And General | 1665167 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBTS | 10190206 | 10190206 | |
| MEDICAL & PROFESSIONAL FEES | 4187287 | 3332461 | 854826 |
| DUES & SUBSCRIPTIONS | 484402 | 385513 | 98889 |
| DESIGNATED PURPOSES | 6800 | 6800 | |
| OTHER | 10504519 | 8360043 | 2144476 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 178572545 | Total |
| Program Services | 149591994 | ProgramServices |
| Management And General | 28980551 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23150638 | BOY |
| EOY | 22002052 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21586522 | BOY |
| EOY | 22551614 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3433150 | BOY |
| EOY | 3567127 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 722995 | BOY |
| EOY | 838966 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 211963121 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 77181547 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 134176623 | BOY |
| EOY | 134781574 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 104441263 | BOY |
| EOY | 130006555 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 746644 | BOY |
| EOY | 583783 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41561940 | BOY |
| EOY | 43044822 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 329819775 | BOY |
| EOY | 357376493 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14589457 | BOY |
| EOY | 16575795 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 632883 | BOY |
| EOY | 678128 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122902227 | BOY |
| EOY | 121971600 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2050000 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42479636 | BOY |
| EOY | 49594953 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 182654203 | BOY |
| EOY | 188820476 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 141029243 | BOY |
| EOY | 162037058 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 589587 | BOY |
| EOY | 647711 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5546742 | BOY |
| EOY | 5871248 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 147165572 | BOY |
| EOY | 168556017 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 329819775 | BOY |
| EOY | 357376493 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 18076089 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 3314356 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6136329 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 389430 | InvestmentEarningsOrLosses |
| Other Expenditures | 6800 | OtherExpenditures |
| End Of Year Balance | 6518959 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5459960 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 677759 | InvestmentEarningsOrLosses |
| Other Expenditures | 1390 | OtherExpenditures |
| End Of Year Balance | 6136329 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7587291 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -2022743 | InvestmentEarningsOrLosses |
| Other Expenditures | 104588 | OtherExpenditures |
| End Of Year Balance | 5459960 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.90060 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.09940 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2885237 | OtherCostOrOtherBasis |
| Book Value | 2885237 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 125223847 | OtherCostOrOtherBasis |
| Depreciation | 26957743 | Depreciation |
| Book Value | 98266104 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1572573 | OtherCostOrOtherBasis |
| Depreciation | 1252431 | Depreciation |
| Book Value | 320142 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 68736629 | OtherCostOrOtherBasis |
| Depreciation | 46194026 | Depreciation |
| Book Value | 22542603 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13544834 | OtherCostOrOtherBasis |
| Depreciation | 2777346 | Depreciation |
| Book Value | 10767488 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 134781574 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| ADVANCES TO AFFILIATES | 34046692 |
| DEFERRED BOND ISSUANCE COSTS | 8998130 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 43044822 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PENSION LIABILITY | $18,917,544 |
| THIRD PARTY SETTLEMENTS | $1,767,564 |
| INTEREST RATE SWAP OBLIGATION | $19,971,185 |
| MINORITY INTEREST IN PAIN MANAGEMENT | $697,652 |
| OTHER LONG-TERM OBLIGATIONS | $8,241,008 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 49594953 | TotalOfAmounts |
| Total Revenue | 196648634 | TotalRevenue |
| Total Expenses | 178572545 | TotalExpenses |
| Excess Or Deficit For Year | 18076089 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 10982201 | NetUnrealizedGLOnInvestments |
| Other | -$7,667,845 | OtherAmount |
| Total Adjustments | 3314356 | TotalAdjustments |
| Excess Or Deficit Per FS | 21390445 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 199962990 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 10982201 | NetUnrealizedGainsInvestments |
| Other Revenues | -7667845 | OtherRevenues |
| Revenue Not Rptd F990 | 3314356 | RevenueNotRptdF990 |
| Revenue Subtotal | 196648634 | RevenueSubtotal |
| Total Revenue Per Form990 | 196648634 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 178572545 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 178572545 | ExpensesSubtotal |
| Total Expenses Per Form990 | 178572545 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE D | PART V | QUESTION 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 8 & PART XII, LINE 2D CHANGE IN INTEREST RATE SWAP AGREEMENTS $(4,290,063) DEFINED BENEFIT PENSION PLAN (3,702,288) CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 324,506 TOTAL ($7,667,845) |
| FIN 48 FOOTNOTE | 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) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | false | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6156253 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6156253 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03660 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15742394 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9697336 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6045058 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03590 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3006754 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2344581 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 662173 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00390 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24905401 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12041917 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12863484 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07640 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 167462 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 167462 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 137711 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 137711 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 49702 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 49702 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 354875 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 354875 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25260276 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12041917 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13218359 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07850 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 211 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 211 | NetCommunityBuildingExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1612 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 75 | DirectOffsettingRevenue |
| Net Community Building Expense | 1537 | NetCommunityBuildingExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 26795 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 23473 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 51561 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 51561 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 8637 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 8637 | NetCommunityBuildingExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 465 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 465 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 89281 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 75 | DirectOffsettingRevenue |
| Net Community Building Expense | 85884 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $5,340,853 | BadDebtExpenseAmount |
| Amount Attributable To | 1780284 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 41027354 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 45189350 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4161996 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | Critical Access HospitalCriticalAccessHospital |
|---|---|---|---|---|---|---|---|---|
| BLANCHARD VALLEY HOSPITAL | ||||||||
| 1 | 1900 SOUTH MAIN STREET | FINDLAY | OH | 45840 | X | X | X | |
| BLUFFTON HOSPITAL | ||||||||
| 2 | 139 GARAU STREET | BLUFFTON | OH | 45817 | X | X | X | X |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber |
|---|
| BLANCHARD VALLEY HOSPITAL |
| 1 |
| BLUFFTON HOSPITAL |
| 2 |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAUGHMAN HEALTH CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 NORTH BLANCHARD STREET STE 121 | AddressLine1 |
| City | FINDLAY | City |
| State | OH | State |
| ZIP Code | 45840 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | OUTPATIENT CLINIC | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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 2010 Medicaid Cost Reports. We pull information from Schedule F and Schedule H for costs, payments, and charges as they are presented in the 2010 Medicaid Cost Report. | |
| PART I, LINE 7F | $10,190,206 of bad debt expense was removed from total expenses prior to calculating the percentage of total expense. | |
| PART III, LINE 4 | WE DO NOT HAVE A BAD DEBT FOOTNOTE. We record bad debt expense based on three components. First, we record accounts that have been transferred to collection agencies to bad debt expense. Second, we record changes in our allowance for uncollectible accounts based on changes in our accounts receivable aging buckets to bad debt expense. Finally, we record any recoveries that are received from collection agencies as a reduction 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 basedupon past experiences. | |
| PART III, LINE 8 | We feel that 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 2010 Medicare Cost Reports and our 2010 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 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 the financial application as well as distribute. | |
| PART VI, LINE 2 | 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. | NEEDS ASSESSMENT |
| PART VI, LINE 3 | 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 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. | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE |
| PART VI, LINE 4 | 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, Marathon Oil and Whirlpool. The surrounding areas are heavily agricultural. | COMMUNITY INFORMATION |
| PART VI, LINE 5 | 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 and the American Cancer Society. | PROMOTION OF COMMUNITY HEALTH |
| PART VI, LINE 6 | 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. Approximately $1.5 million in medications were provided at no charge to patients in 2010, thanks to a program that connects patients with pharmaceutical companies' indigent care programs. A Licensed Independent Social Worker was also hired in 2009. She has facilitated classes for teen moms and does counseling, home visits 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. We are a sponsoring and participating member of the Northwest Ohio Flood Mitigation Partnership which is working towards resolving the flooding issues in our community. In 2010 we joined with our community in the Habitat for Humanity building projects. Blanchard Valley Hospital and Bluffton Hospital are part of Spirit of Women, a network of hospitals and health care providers across the United States that ascribe to the highest standards of excellence in women's health, education, and community outreach. This network affiliation allows Blanchard Valley Hospital and Bluffton Hospital to reach women and their families in our community through innovative and inspiring educational events, e-mail newsletters, and other health information venues. In its first two years of membership, more than 750 women in Findlay and the surrounding communities have become local BVHS Spirit of Women Members. | AFFILIATED HEALTH CARE SYSTEM |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | EDUCATIONAL SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 10 | NumberOfRecipients |
| Amount Of Cash Grant | 10000 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 0 | AmountOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE I | Identifier |
| Return Reference | PART I, LINE 2 | ReturnReference |
| Explanation | SCHOLARSHIP RECIPIENTS MUST MEET ELIGIBILITY CRITERIA PRIOR TO BEING AWARDED THE SCHOLARSHIP. THE SCHOLARSHIP IS EITHER PAID DIRECTLY TO THE RECEIPIENT'S SCHOOL OR IS PAID TO THE RECIPIENT AFTER PROOF OF PAYMENT OF ELIGIBLE EXPENSES (I.E. BOOK AND/OR TUITION INVOICE FROM THE SCHOOL) IS PROVIDED. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR CHIRANJI AGRAWAL | |||||||||||||
| 533532 | 0 | 0 | 0 | 1548 | 0 | 14700 | 0 | 13298 | 0 | 563078 | 0 | 0 | 0 |
| KAREN JONES | |||||||||||||
| 140028 | 0 | 0 | 0 | 4098 | 0 | 8640 | 0 | 7100 | 0 | 159866 | 0 | 0 | 0 |
| DR MICHAEL MANUEL | |||||||||||||
| 268889 | 0 | 37992 | 0 | 16674 | 0 | 14700 | 0 | 22214 | 0 | 360469 | 0 | 0 | 0 |
| DR NAUMAN NAEEM | |||||||||||||
| 329277 | 0 | 50375 | 0 | 336 | 0 | 14700 | 0 | 21885 | 0 | 416572 | 0 | 0 | 0 |
| DR KRISTI PEDLER | |||||||||||||
| 261569 | 0 | 26878 | 0 | 232 | 0 | 14700 | 0 | 19562 | 0 | 322941 | 0 | 0 | 0 |
| CHRISTOPHER PRESS | |||||||||||||
| 0 | 229371 | 0 | 0 | 0 | 17453 | 0 | 11858 | 0 | 13799 | 0 | 272480 | 0 | 0 |
| DR JEFFREY SCHULTZ | |||||||||||||
| 243868 | 5700 | 74069 | 0 | 164 | 0 | 14700 | 0 | 26660 | 0 | 359461 | 5700 | 0 | 0 |
| CHRISTINE SWANSON | |||||||||||||
| 156128 | 0 | 0 | 0 | 118 | 0 | 9482 | 0 | 11735 | 0 | 177463 | 0 | 0 | 0 |
| WILLIAM WATKINS | |||||||||||||
| 140727 | 0 | 0 | 0 | 3245 | 0 | 8724 | 0 | 14312 | 0 | 167007 | 0 | 0 | 0 |
| DAVE CYTLAK | |||||||||||||
| 0 | 207395 | 0 | 0 | 0 | 20364 | 0 | 13109 | 0 | 22814 | 0 | 263682 | 0 | 0 |
| SCOTT MALANEY | |||||||||||||
| 0 | 363341 | 0 | 0 | 0 | 513852 | 0 | 14700 | 0 | 27885 | 0 | 919778 | 0 | 495671 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART I, LINE 4B | Identifier |
| Explanation | Compensation reported for Scott Malaney in 2010 included deferred compensation that was previously reported on prior years Form 990s see column F for amount reported in prior years. Due to changes in regulations surrounding deferred compensation plans, compensation previously deferred was required to be reported as taxable income on Box 5 of the 2010 W-2. Total Box 5 income is required to be reported on the current year Form 990. This is not additional compensation earned in the current year. In 2010, Blanchard Valley Health System contributed on behalf of Scott Malaney $103,900 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, the 457(f) plan was further amended 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 2010, Blanchard Valley Health System contributed on behalf of David Cytlak $15,000 to the SERP. In 2010, Blanchard Valley Health System contributed on behalf of Christopher Press $42,000 to the SERP. Key features of the SERP, as amended in 2010, 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, BVRHC and CFO (Christopher Press and David Cytlak, respectively) **Employee contributions to the SERP are not allowed. * Each participant's 457(b) account will be credited up to the statutory limit ($16,500 in 2010), 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 5 years. 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, termination for good reason, or plan termination. * Distribution of the vested portion of the 457(f) benefit is paid as a lump sum as soon as administratively feasible. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing | CUSIP NumberCUSIPNumber |
|---|---|---|---|---|---|---|---|
| VILLAGE OF BLUFFTON OHIO | |||||||
| 346400139 | 2010-12-31 | 7187593 | $15M REFUNDED PRIOR ISSUANCE | false | false | false | |
| COUNTY OF HANCOCK OHIO | |||||||
| 346400608 | 2004-11-04 | 110875000 | PATIENT PAVILIION | false | false | false | 410040BH1 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion |
|---|---|---|---|---|---|---|---|---|---|
| 7187593 | true | false | true | true | |||||
| 113079047 | false | false | true | true | 7913599 | 1060131 | 11087500 | 75813779 | 2007 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| 0.00000 | 0.00000 | 0.00000 | ||||||
| 0.00000 | 0.00000 | 0.00000 | false | false | true | false | true | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated |
|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||
| false | true | false | false | false | false | |||
| MERRILL LYNCH | ||||||||
| false | true | true | false | false | false | 30. | false | false |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| BUCKLAND LTD | |||
| >35% OWNED BOARD | 0 | SEE SUPPLEMENTAL INFORMATION | false |
| LOUISE WATKINS | |||
| WIFE OF WILLIAM WATKINS | 18507 | COMPENSATION | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART IV | Identifier |
| Explanation | Cheryl Buckland is a trustee on the organization's board. She is a 50% owner in Buckland Limited, LLC. Blanchard Valley Continuing Care Services, a related entity, has an oustanding loan to Buckman Limited, LLC for the 2008 purchase of Independence HousE. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART III | QUESTION 4D | OTHER SERVICES INCLUDE WOMEN'S SERVICES, ORTHOPEDIC SERVICES, ONCOLOGY/HEMATOLOGY SERVICES AND UROLOGY/NEPHROLOGY SERVICES. |
| PART VI | QUESTION 1B | CHRISTOPHER PRESS, SCOTT MALANEY, AND DR. MARK FOX ARE BOARD MEMBERS AND PAID EMPLOYEES OF A RELATED ORGANIZATION. DUE TO THEIR EMPLOYMENT, THEY ARE CONSIDERED NON INDEPENDENT VOTING MEMBERS OF THE BOARD. QUESTION 11A A DETAIL REVIEW OF THE FORM 990 IS PERFORMED BY THE ORGANIZATION'S FORM 990 COMPLIANCE COMMITTEE THAT IS COMPRISED OF THE CHAIR FROM EACH RELATED ENTITY'S GOVERNING BODY AND MEMBERS OF UPPER MANAGEMENT. THE FORM 990 COMPLIANCE COMMITTEE REPORTS TO THE AUDIT COMMITTEE AND TO THE FULL BOARDS ANY AREAS OF CONCERN REGARDING THE 990'S. THE GOVERNING BOARDS HAVE GRANTED AUTHORITY TO THE FORM 990 COMPLIANCE COMMITTEE TO REVIEW AND APPROVE THE 990'S. ONCE THE 990 HAS BEEN FINALIZED, REVIEWED AND APPROVED, THE MEMBERS OF EACH BOARD RECEIVE ELECTRONIC COMMUNICATION THAT THE 990 IS COMPLETE AND AVAILABLE ON BOARDNET. ANY QUESTIONS ARISING FROM BOARD MEMBERS ARE ADDRESSED BY THE COMPLIANCE COMMITTEE, UPPER MANAGEMENT, THE ACCOUNTING DEPARTMENT, AND 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 REVIEW THE ORGANIZATION'S POSITION IN THE MARKET WHEN IT COMES TO EXECUTIVE COMPENSATION. IN ADDITION, THE COMPENSATION 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 REVEIW WAS COMPLETED IN EARLY 2011 BY SULLIVAN COTTER AND ASSOCIATES (AN EXTERNAL CONSULTANT) AND SHARED/DISCUSSED WITH THE BOARD IN APRIL 2011. 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. |
| RECONCILIATION OF NET ASSETS | PART XI | LINE 5 CHANGE IN INTEREST RATE SWAP AGREEMENTS $(4,290,063) DEFINED BENEFIT PENSION PLAN (3,702,288) CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 324,506 UNREALIZED GAIN 10,982,201 TOTAL $3,314,356 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SCOTT MALANEY TITLE:PRESIDENT & CEO HOURS:12 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DAVE CYTLAK TITLE:CFO HOURS:12 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRNA OF BLANCHARD VALLEY LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 SOUTH MAIN ST | AddressLine1 |
| City | FINDLAY | City |
| State | OH | State |
| ZIP Code | 45840 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061748552 | EIN |
| Primary Activities | CERT NURSE | PrimaryActivities |
| Legal Domicile State | OH | LegalDomicileState |
| Total Income | 2758886 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLANCHARD VALLEY HEALTH SYSTEM | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 SOUTH MAIN ST | AddressLine1 |
| City | FINDLAY | City |
| State | OH | State |
| ZIP Code | 45840 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 344428206 | EIN |
| Primary Activities | HOSPITAL | PrimaryActivities |
| Legal Domicile State | OH | LegalDomicileState |
| Exempt Code Section | 501(3)(C) | ExemptCodeSection |
| Public Charity Status | 3 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLANCHARD VALLEY PAIN MANAGEMENT | BusinessNameLine1 |
Address US AddressUS
| 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) |
|---|---|---|
| EIN | 270095470 | EIN |
| Primary Activity | PAIN MGMT | PrimaryActivity |
| Legal Domicile State | OH | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 5305247 | ShareOfTotalIncome |
| Share Of EOY Assets | 2451827 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | false | GeneralOrManagingPartner |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |