TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) SCOTT MALANEY........................................................................ CHIEF EXECUTIVE OFFICER	32.0 .......................8.0	X	X	856,896	24,088
(2) DUANE JEBBETT........................................................................ CHAIR	0.5 .......................1.0	X		0	0
(3) PAUL WORSTELL........................................................................ VICE CHAIR	0.5 .......................1.0	X		0	0
(4) CHERYL BUCKLAND........................................................................ TRUSTEE	0.5 .......................1.0	X		0	0
(5) KAREN CLINE........................................................................ TRUSTEE	0.5 .......................1.0	X		0	0
(6) DAVID EUBANKS........................................................................ TRUSTEE	0.5 .......................1.0	X		0	0
(7) RANDALL MYERS........................................................................ TRUSTEE	0.5 .......................1.0	X		0	0
(8) ROD NICHOLS........................................................................ TRUSTEE	0.5 .......................1.0	X		0	0
(9) GARRY PEIFFER........................................................................ TRUSTEE	0.5 .......................1.0	X		0	0
(10) ANDREA KOEPKE........................................................................ TRUSTEE	0.5 .......................1.0	X		0	0
(11) WILLIAM REIST DMIN........................................................................ TRUSTEE	0.5 .......................1.0	X		0	0
(12) LEROY SCHROEDER MD........................................................................ TRUSTEE	0.5 .......................1.0	X		0	0
(13) BRADLEY HUGHES........................................................................ TRUSTEE	0.5 .......................1.0	X		0	0
(14) KIMBERLY STUMPP........................................................................ TRUSTEE	0.5 .......................1.0	X		0	0
(15) JOSEPH LONGO........................................................................ TRUSTEE	0.5 .......................1.0	X		0	0
(16) KAREN KLASSEN HARDER........................................................................ SECRETARY	0.5 .......................1.0	X		0	0
(17) ERIC BOSTICK MD........................................................................ TRUSTEE	0.5 .......................1.0	X		0	0

(A) Name and business address	(B) Description of services	(C) Compensation
MAYO COLLABORATIVE SERVICES INC, 200 SW FIRST ST ROCHESTER,MN55905	LABORATORY SERVICES	1,048,436
HYLANT GROUP INC, 811 MADISON AVE TOLEDO,OH43604	CONSULTING SERVICE	1,363,617
SODEXHO INC, 9011 WASHINGTON AVE GAITHERSBURG,MD20878	DIETARY SERVICES	1,355,357
TECHNICORE, PO BOX 1210 FINDLAY,OH45839	BIO-MED SUPPORT	1,442,852
CARETECH SOLUTIONS INC, 901 WILSHIRE SOLUTIONS INC TROY,MI48084	IT & COMMUNICATIONS	6,519,527
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 39

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............	0
4	Benefits paid to or for members ....	0
5	Compensation of current officers, directors, trustees, and key employees ....	2,706,336	2,300,386	405,950
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages ....	77,973,519	66,277,491	11,696,028
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	2,857,500	2,428,875	428,625
9	Other employee benefits .......	12,583,420	10,695,907	1,887,513
10	Payroll taxes ...........	5,197,286	4,417,693	779,593
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	23,675	20,124	3,551
c	Accounting ...........	125,621	106,778	18,843
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	10,102,961	8,587,517	1,515,444
12	Advertising and promotion ....	774,568	658,383	116,185
13	Office expenses .......	6,228,471	5,294,200	934,271
14	Information technology ......	4,198,587	3,568,799	629,788
15	Royalties ..	0
16	Occupancy ...........	3,828,707	3,254,401	574,306
17	Travel ............	668,180	567,953	100,227
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	6,996,888	5,947,355	1,049,533
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	11,669,554	9,919,121	1,750,433
23	Insurance ..............	1,055,847	897,470	158,377
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PROVISION FOR BAD DEBTS	10,969,629	10,969,629
b	MEDICAL & PROFESSIONAL FEES	4,249,018	3,611,665	637,353
c	UBI TAX LIABILITY FROM 2014	270,148	270,148
d	MEDICAL SUPPLIES	37,795,844	37,795,844
e	All other expenses	6,418,956	5,415,590	1,003,366
25	Total functional expenses. Add lines 1 through 24e	206,694,715	183,005,329	23,689,386	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	0	1	0
2	Savings and temporary cash investments .........	27,726,363	2	23,604,657
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	23,535,678	4	29,552,485
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	0	7	0
8	Inventories for sale or use ..............	4,706,036	8	5,158,587
9	Prepaid expenses and deferred charges ..........	1,272,580	9	516,580
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	232,195,668
b	Less: accumulated depreciation .....	10b	114,163,356	124,170,869	10c	118,032,312
11	Investments—publicly traded securities ..........	196,544,549	11	225,542,261
12	Investments—other securities. See Part IV, line 11 .....	1,393,637	12	802,202
13	Investments—program-related. See Part IV, line 11 .....	0	13	0
14	Intangible assets ...............	0	14	0
15	Other assets. See Part IV, line 11 ...........	61,028,797	15	73,751,983
16	Total assets. Add lines 1 through 15 (must equal line 34)......	440,378,509	16	476,961,067
	17	Accounts payable and accrued expenses .........	21,073,701	17	25,336,805
18	Grants payable .................	0	18	0
19	Deferred revenue ................	148,832	19	133,449
20	Tax-exempt bond liabilities .............	121,208,211	20	117,307,976
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	8,556,995	23	8,784,939
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	44,951,280	25	77,448,327
26	Total liabilities. Add lines 17 through 25.........	195,939,019	26	229,011,496
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	236,855,769	27	240,375,695
28	Temporarily restricted net assets ...........	900,084	28	962,699
29	Permanently restricted net assets ...........	6,683,637	29	6,611,177
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	244,439,490	33	247,949,571
34	Total liabilities and net assets/fund balances ........	440,378,509	34	476,961,067

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

BLANCHARD VALLEY REGIONAL HEALTH CENTER

Employer identification number

34-1369963

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

BLANCHARD VALLEY REGIONAL HEALTH CENTER

Employer identification number

34-1369963

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

10,510

Total. Add lines 1c through 1i ...............................

10,510

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1I	BLANCHARD VALLEY REGIONAL HEALTH CENTER PAID MEMBERSHIP DUES TO TWO ORGANIZATIONS FOR WHICH A VARYING PERCENTAGE WAS ATTRIBUTED TO LOBBYING EXPENSES. THESE ORGANIZATIONS INCLUDE THE OHIO HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION.

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

BLANCHARD VALLEY REGIONAL HEALTH CENTER

Employer identification number

34-1369963

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	7,583,720	6,814,938	6,334,186	6,518,959	6,136,329
b	Contributions ........
c	Net investment earnings, gains, and losses	291,783	1,051,432	752,562	-168,872	389,430
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	301,627	282,650	271,810	15,901	6,800
f	Administrative expenses ....
g	End of year balance ......	7,573,876	7,583,720	6,814,938	6,334,186	6,518,959

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

87.290 %

Temporarily restricted endowment SchDMd Bullet

12.710 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

Yes

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	3,125,096		3,125,096
b	Buildings ................	132,894,600	44,514,062	88,380,538
c	Leasehold improvements ............	1,101,000	1,098,465	2,535
d	Equipment ................	83,383,015	64,244,478	19,138,537
e	Other .................	11,691,958	4,306,352	7,385,606
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				118,032,312

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) ADVANCES TO AFFILIATES				72,160,148
(2) DEFERRED BOND ISSUANCE COSTS				1,591,835







Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				73,751,983

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
PENSION LIABILITY		49,221,466
THIRD PARTY SETTLEMENTS		5,028,342
INTEREST RATE SWAP OBLIGATION		22,100,868
MINORITY INTEREST IN PAIN MANA		808,722
INVESTMENT IN SUBSIDIARY		288,929




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		77,448,327
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	199,235,167
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-3,945,000
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	665,000
e	Add lines 2a through 2d .....................			2e	-3,280,000
3	Subtract line 2e from line 1.....................			3	202,515,167
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	53,294,967
c	Add lines 4a and 4b.......................			4c	53,294,967
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	255,810,134

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	195,725,086
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................			2e
3	Subtract line 2e from line 1.....................			3	195,725,086
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	10,969,629
c	Add lines 4a and 4b.......................			4c	10,969,629
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	206,694,715

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
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	TRANSFERS FROM AFFILIATES $665,000 PART XI, LINE 4B CHANGE IN INTEREST RATE SWAP AGREEMENT 3,786,645 DEFINED BENEFIT PENSION PLAN 29,747,978 CHANGE IN PERPETUAL TRUST 72,459 OTHER CHANGES IN NONCONTROLLING INTEREST 8,718,256 BAD DEBT RECLASS 10,969,629 TOTAL $53,294,967 PART XII, LINE 4B BAD DEBT RECLASS $10,969,629
ASC 740	Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

BLANCHARD VALLEY REGIONAL HEALTH CENTER

Employer identification number

34-1369963

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	2,789,289		2,789,289	1.430 %
b	Medicaid (from Worksheet 3, column a) ....	25,496,080	20,055,929	5,440,151	2.780 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	2,823,329	2,025,112	798,217	0.410 %
d	Total Financial Assistance and Means-Tested Government Programs .	31,108,698	22,081,041	9,027,657	4.620 %
Other Benefits		245,098	685	244,413	0.120 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	245,098	685	244,413	0.120 %
f	Health professions education (from Worksheet 5) ..	131,347		131,347	0.070 %
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	98,491		98,491	0.050 %
j	Total. Other Benefits ..	474,936	685	474,251	0.240 %
k	Total. Add lines 7d and 7j .	31,583,634	22,081,726	9,501,908	4.860 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	6,044		6,044
2	Economic development
3	Community support	80,719	2,185	78,534	0.040 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	84,214		84,214	0.040 %
7	Community health improvement advocacy	130,575		130,575	0.070 %
8	Workforce development
9	Other
10	Total	301,552	2,185	299,367	0.150 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

4,613,638

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

1,537,879

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

37,326,471

Enter Medicare allowable costs of care relating to payments on line 5.....

44,224,818

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-6,898,347

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?2 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	BLANCHARD VALLEY HOSPITAL 1900 SOUTH MAIN STREET FINDLAY,OH45840 www.bvhealthsystem.org 1194	X	X		X
2	BLUFFTON HOSPITAL 139 GARAU STREET BLUFFTON,OH45817 www.bvhealthsystem.org 1101	X	X	X	X

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	BLANCHARD VALLEY HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url):

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Indicate the tax year the hospital facility last adopted an implementation strategy: 20

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	BLANCHARD VALLEY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.%
and FPG family income limit for eligibility for discounted care of 250.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): X

The FAP application form was widely available on a website (list url): X

A plain language summary of the FAP was widely available on a website (list url):
X

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	BLANCHARD VALLEY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	BLUFFTON HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url):

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Indicate the tax year the hospital facility last adopted an implementation strategy: 20

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	BLUFFTON HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.%
and FPG family income limit for eligibility for discounted care of 250.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): X

The FAP application form was widely available on a website (list url): X

A plain language summary of the FAP was widely available on a website (list url):
X

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	BLUFFTON HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
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 ORGANIZATIONS HAD INDIVIDUALS WHO SERVED ON THE HANCOCK COUNTY PLANNING COMMITTEE: BLANCHARD VALLEY HEALTH SYSTEM FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION UNITED WAY OF HANCOCK COUNTY BLANCHARD VALLEY HEALTH FOUNDATION FINDLAY CITY HEALTH DEPARTMENT HANCOCK COUNTY HEALTH DEPARTMENT HANCOCK COUNTY SCHOOLS/ESC HANCOCK COUNTY FAMILY FIRST COUNCIL HANCOCK COUNTY ADAMHS BOARD HANCOCK COUNTY O.S.U. EXTENSION FINDLAY CITY SCHOOLS PART V, LINE 3 - BLUFFTON HOSPITAL CERTAIN INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS WERE CONSULTED DURING THE CHNA PROCESS: Bluffton Hospital Community Memorial Hospital Fountain of Faith Free Clinic Defiance Regional Hospital and Fostoria Community Hospital Hospital Council of Northwest Ohio Fostoria Community Hospital Fulton County Health Center Fulton County Health Department H.B. Magruder Hospital Ottawa County Health Department Henry County Hospital Ohio Department of Health Ohio University's Voinovich School of Leadership and Public Affairs 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 increase 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, financial 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.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?2
Name and address		Type of Facility (describe)
1	CAUGHMAN HEALTH CENTER 1800 NORTH BLANCHARD STREET SUITE FINDLAY,OH45840	OUTPATIENT CLINIC
2	CREIGHTON DIALYSIS LLC 1000 EAST MAIN CROSS STREET FINDLAY,OH45840	DIALYSIS CENTER
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART III, SECTION A, LINE 2	OUR BAD DEBT EXPENSE IS COMPRISED OF FOUR COMPONENTS. FIRST, ACCOUNTS THAT HAVE BEEN TRANSFERRED TO COLLECTION AGENCIES ARE RECORDED AS AN INCREASE TO BAD DEBT EXPENSE. SECOND, CHANGES IN OUR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON CHANGES IN OUR ACCOUNTS RECEIVABLE AGING BUCKETS ARE RECORDED AS AN INCREASE OR DECREASE TO BAD DEBT EXPENSE. THIRD, ANY ACCOUNTS NOT COLLECTIBLE DUE TO BANKRUPTCIES OR DEATHS (ESTATES NOT SUFFICIENT) ARE RECORDED AS AN INCREASE TO BAD DEBT EXPENSE. FINALLY, ANY RECOVERIES THAT ARE RECEIVED FROM COLLECTION AGENCIES ARE RECORDED AS A DECREASE TO BAD DEBT EXPENSE. THESE FOUR COMPONENTS ARE THE NET BAD DEBT EXPENSE AMOUNTS THAT ARE PRESENTED IN OUR FINANCIAL STATEMENTS.
PART III, SECTION A, LINE 3	ASSUMPTION IS THAT OUR CHARITY CARE PROGRAM CAPTURES A LARGE PERCENTAGE OF THOSE WHO QUALIFY. HOWEVER, THERE IS A SUBSECTION OF PATIENTS WHO ARE PROVIDED THE INFORMATION FOR CHARITY CARE BUT CHOOSE NOT TO PROVIDE THE NECESSARY DOCUMENTS. THERE IS A LARGE PORTION OF BAD DEBT THAT IS ATTRIBUTABLE TO INDIVIDUALS THAT HAVE INSURANCE AND WORK IN WHITE COLLAR JOBS, THUS THE ASSUMPTION IS THAT 2 OUT OF EVERY THREE BAD DEBT ACCOUNTS ARE FOR SUCH INDIVIDUALS. THUS, THE REMAINING 1/3 RELATE TO THOSE WHO COULD QUALIFY FOR CHARITY CARE.
PART III, SECTION A, LINE 4	WE DO NOT HAVE A BAD DEBT FOOTNOTE. OUR BAD DEBT EXPENSE IS COMPRISED OF FOUR COMPONENTS. FIRST, ACCOUNTS THAT HAVE BEEN TRANSFERRED TO COLLECTION AGENCIES ARE RECORDED AS AN INCREASE TO BAD DEBT EXPENSE. SECOND, CHANGES IN OUR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON CHANGES IN OUR ACCOUNTS RECEIVABLE AGING BUCKETS ARE RECORDED AS AN INCREASE OR DECREASE TO BAD DEBT EXPENSE. THIRD, ANY ACCOUNTS NOT COLLECTIBLE DUE TO BANKRUPTCIES OR DEATHS (ESTATES NOT SUFFICIENT) ARE RECORDED AS AN INCREASE TO BAD DEBT EXPENSE. FINALLY, ANY RECOVERIES THAT ARE RECEIVED FROM COLLECTION AGENCIES ARE RECORDED AS A DECREASE TO BAD DEBT EXPENSE. THESE FOUR COMPONENTS ARE THE NET BAD DEBT EXPENSE AMOUNTS THAT ARE PRESENTED IN OUR FINANCIAL STATEMENTS. Bad Debt at Cost (Part III line 2) is calculated by multiplying total bad debt expense for the year by the average cost-to-charge ratio per the Medicare Cost Report. The amount of that number attributable to patients eligible under charity care policies (Part III line 3) is estimated based upon past experiences. Bad debt should be treated as community benefit. We perform services to all patients, regardless of ability to pay. We consciously know that some of these individuals will not be able to pay some or all of the costs associated with providing services to these individuals. Thus, this is a benefit to the community as they know that they will always be treated and will not be turned away.
PART III, SECTION B, LINE 8	ALL OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. WE PERFORM SERVICES TO MEDICARE PATIENTS AND CONSCIOUSLY KNOW THAT THE COSTS TO PERFORM SUCH SERVICES ARE HIGHER THAN THE REIMBURSEMENT WE RECEIVE. THUS, WE FEEL THAT THIS IS A BENEFIT TO THE COMMUNITY BY BEING A CONVENIENT AND REPUTABLE SOURCE WITHIN THE COMMUNITY TO RECEIVE SUCH SERVICES. THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS OUR 2014 MEDICARE COST REPORTS AND OUR 2014 PSR REPORTS.
PART III, SECTION B, LINE 9B	BLANCHARD VALLEY HEALTH SYSTEM EDUCATES PATIENTS WITH FINANCIAL ASSISTANCE IN SEVERAL WAYS. THE FINANCIAL ASSISTANCE GUIDELINES ARE ON THE BACK OF EACH STATEMENT. WHEN PATIENTS ARE CALLED OR CALL THE BUSINESS OFFICE, ASSOCIATES IN THE CREDIT AND COLLECTION DEPARTMENT PRE-SCREEN PATIENTS TO DETERMINE IF THEY MAY BE ELIGIBLE FOR ANY TYPE OF FINANCIAL ASSISTANCE. IF THE PATIENT IS DETERMINED TO POTENTIALLY BE ELIGIBLE, WE DISCUSS WITH THE PATIENT THEIR OPTIONS AND WHAT FINANCIAL ASSISTANCE CONSISTS OF. WE THEN SEND AN APPLICATION TO THE PATIENTS VIA MAIL. OUR APPLICATIONS AND PROCESS IS ALSO ON OUR WEBSITE. IN ADDITION, IF WE HAVE AN OUTPATIENT OR INPATIENT THAT MAY QUALIFY, WE TALK TO THOSE PATIENTS AND EVEN ASSIST WITH THE APPLICATION. APPLICATIONS ARE THEN PROCESSED AND A LETTER OF AWARD OR DENIAL IS SENT TO THE PATIENT. THEY ARE INSTRUCTED TO CALL THE FINANCIAL ADVOCATES IF THEY HAVE FURTHER QUESTIONS OR CONCERNS. NOTE: ALL POINTS OF SERVICE ARE EQUIPPED TO DISCUSS THE FINANCIAL APPLICATION AS WELL AS DISTRIBUTE.
NEEDS ASSESSMENT	BLANCHARD VALLEY REGIONAL HEALTH CENTER (BVRHC) HAS A LONG-STANDING COMMITMENT TO THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THROUGH PARTICIPATION IN AND SPONSORSHIP OF HEALTH FAIRS, HEALTH SCREENINGS, AWARENESS CAMPAIGNS, AND EDUCATIONAL EVENTS; AS WELL AS ACTIVE AND ONGOING DIALOGUE WITH THE FINDLAY CITY AND HANCOCK COUNTY HEALTH DEPARTMENTS, BVRHC SEEKS NOT ONLY TO ASSESS THE NEEDS OF LOCAL COMMUNITIES, BUT ALSO TO ENCOURAGE COMMUNITY MEMBERS OF ALL AGES TO TAKE CHARGE OF THEIR HEALTH CARE NEEDS. WE CONFER WITH THE LOCAL CITY AND COUNTY SCHOOLS, AND COOPERATE WITH AGENCIES IN THE COMMUNITY THAT MAY, FROM TIME TO TIME, CONDUCT HEALTH ASSESSMENTS. THE BLUFFTON HOSPITAL COLLABORATES WITH THE LOCAL SCHOOLS TO PROVIDE A SCHOOL NURSE PROGRAM THAT NOT ONLY EVALUATES THE POPULATION FOR HEALTH ISSUES, BUT PROVIDES EDUCATION AS WELL. BVRHC PERIODICALLY CONDUCTS PHYSICIAN NEEDS ASSESSMENTS. OUR MULTIPLE BOARDS AND COMMITTEES ARE FORMED WITH MEMBERS AND PHYSICIANS WHO LIVE WITHIN THE COMMUNITY. WE ALSO MONITOR DISEASES AND CONDITIONS THAT PRESENT IN OUR EMERGENCY DEPARTMENT AT CAUGHMAN HEALTH CENTER. BVRHC HELPED LEAD THE DEVELOPMENT OF THE 2011 HANCOCK COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL'S CONTRIBUTIONS INCLUDED SENIOR EXECUTIVE TIME AND FINANCIAL SUPPORT. BVRHC SUCCESSFULLY SOUGHT EXECUTIVE AND FINANCIAL SUPPORT FROM OTHER HANCOCK COUNTY PRIVATE AND PUBLIC AGENCIES WHO ARE STAKEHOLDERS IN ANY HEALTH NEEDS ASSESSMENT. DURING 2011, THE HOSPITAL HELPED A STEERING COMMITTEE ADMINISTER ASSESSMENTS OF ADULTS, YOUTH, AND CHILDREN. THE REPORT WAS COMPLETED IN LATE 2011. THE HOSPITAL REMAINS INVOLVED WITH THE COMMITTEE AS IT CONTINUES FORWARD TO DEVISE ACTION PLANS TO ADDRESS SELECTED HEALTH PROBLEMS. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE Blanchard Valley Regional Health Center educates patients about our options for financial assistance in several ways. The financial assistance guidelines are on the back of each statement. When patients are called or call the Business Office, associates in the Credit and Collection Department pre-screen patients to determine if they may be eligible for any type of financial assistance. If the patient is determined to potentially be eligible, we discuss with the patient their options for obtaining financial assistance. We then send an application to the patients via mail. The process is also defined and our application IS available on our website. In addition, if we have an outpatient or inpatient that may qualify, we talk to those patients and even assist with completing the application. Applications are then processed and a letter or award or denial is sent to the patient. They are instructed to call the Financial Advocates if they have further questions or concerns. NOTE: All points of service are equipped to discuss and distribute the financial assistance application.
PART VI, LINE 3	PATIENT EDUCATION OR ELIGIBILITY FOR ASSISTANCE BLANCHARD VALLEY REGIONAL HEALTH CENTER EDUCATES PATIENTS ABOUT OUR OPTIONS FOR FINANCIAL ASSISTANCE IN SEVERAL WAYS. THE FINANCIAL ASSISTANCE GUIDELINES ARE ON THE BACK OF EACH STATEMENT. WHEN PATIENTS ARE CALLED OR CALL THE BUSINESS OFFICE, ASSOCIATES IN THE CREDIT AND COLLECTION DEPARTMENT PRE-SCREEN PATIENTS TO DETERMINE IF THEY MAY BE ELIGIBLE FOR ANY TYPE OF FINANCIAL ASSISTANCE. IF THE PATIENT IS DETERMINED TO POTENTIALLY BE ELIGIBLE, WE DISCUSS WITH THE PATIENT THEIR OPTIONS FOR OBTAINING FINANCIAL ASSISTANCE. WE THEN SEND AN APPLICATION TO THE PATIENTS VIA MAIL. THE PROCESS IS ALSO DEFINED AND OUR APPLICATION IS AVAILABLE ON OUR WEBSITE. IN ADDITION, IF WE HAVE AN OUTPATIENT OR INPATIENT THAT MAY QUALIFY, WE TALK TO THOSE PATIENTS AND EVEN ASSIST WITH COMPLETING THE APPLICATION. APPLICATIONS ARE THEN PROCESSED AND A LETTER OR AWARD OR DENIAL IS SENT TO THE PATIENT. THEY ARE INSTRUCTED TO CALL THE FINANCIAL ADVOCATES IF THEY HAVE FURTHER QUESTIONS OR CONCERNS. NOTE: ALL POINTS OF SERVICE ARE EQUIPPED TO DISCUSS AND DISTRIBUTE THE FINANCIAL ASSISTANCE APPLICATION.
COMMUNITY INFORMATION	BLANCHARD VALLEY HEALTH SYSTEM SERVES AN EIGHT-COUNTY AREA THAT INCLUDES HANCOCK, ALLEN, PUTNAM, HENRY, WOOD, SENECA, WYANDOT, AND HARDIN COUNTIES. HANCOCK (OUR PRIMARY SERVICE AREA) AND SENECA COUNTIES CAN BE DESCRIBED AS MICROPOLITAN; ALLEN AND WOOD COUNTIES AS METROPOLITAN; AND THE SURROUNDING FOUR COUNTIES AS RURAL. THE FINDLAY/HANCOCK COUNTY AREA HAS PLACED IN THE TOP 20 FOR THE PAST 11 CONSECUTIVE YEARS OF SITE SELECTION MAGAZINE'S LISTING OF BEST MICROPOLITON COMMUNITIES IN THE U.S. THE POPULATION OF HANCOCK COUNTY IS APPROXIMATELY 75,000, WITH FINDLAY COMPRISING ABOUT HALF OF THAT TOTAL. MEDIAN INCOME IS MODERATE; RANGING FROM $40,000 TO $60,000 DEPENDING ON LOCATION. FINDLAY SUPPORTS A LARGE UNIVERSITY, AS WELL AS SEVERAL LARGE CORPORATIONS INCLUDING COOPER TIRE & RUBBER COMPANY, MARATHON PETROLEUM COMPANY, AND WHIRLPOOL CORPORATION. THE SURROUNDING AREAS ARE HEAVILY AGRICULTURAL.
PROMOTION OF COMMUNITY HEALTH	BY REACHING OUT TO THE COMMUNITY THOUGH HEALTH FAIRS, SERVING ON THE BOARDS OF LOCAL ORGANIZATIONS, AND PROVIDING HEALTH EDUCATION, WE ARE GIVEN THE OPPORTUNITY TO FURTHER THE KNOWLEDGE OF THE COMMUNITY ABOUT THE IMPORTANCE OF WELLNESS. WE ARE ALSO PRESENTED WITH THE OPPORTUNITY TO INTERACT WITH OUR COMMUNITY AND LISTEN TO AND IDENTIFY THEIR NEEDS. OUR HOSPITALS ARE MAJOR SPONSORS OF AND PARTICIPATE IN MANY COMMUNITY HEALTH FAIRS THAT PROVIDE FREE OR LOW-COST HEALTH SCREENS, EDUCATIONAL MATERIALS ON VARIOUS HEALTH TOPICS, AND OVERALL HELP TO INCREASE AWARENESS THROUGHOUT THE COMMUNITY OF HEALTHIER LIFESTYLES AND OF LOCAL RESOURCES FOR HEALTH AND HEALTHCARE SERVICES AND PRODUCTS. THE ORGANIZATION ALSO CONTRIBUTES MONETARILY TO LOCAL CHARITIES SUCH AS UNITED WAY, MARCH OF DIMES, THE AMERICAN CANCER SOCIETY, SUSAN G. KOMEN, AND THE AMERICAN HEART ASSOCIATION.
AFFILIATED HEALTH CARE SYSTEM	CAUGHMAN HEALTH CENTER (CAUGHMAN) AND WOMENS & CHILDRENS CENTER (W&C) PROVIDES HEALTH CARE TO HANCOCK COUNTY FAMILIES, REGARDLESS OF THEIR ABILITY TO PAY. FAMILY PRACTICE, PEDIATRIC, OB/GYN, AND PREVENTATIVE SERVICES ARE OFFERED AT CAUGHMAN. CAUGHMAN AND W&C ALSO PARTICIPATES IN A PROGRAM THAT CONNECTS PATIENTS WITH PHARMACEUTICAL COMPANIES' INDIGENT CARE PROGRAMS TO PROVIDE MEDICATIONS AT NO CHARGE TO PATIENTS. A LICENSED INDEPENDENT SOCIAL WORKER IS EMPLOYED AT CAUGHMAN, AND SHE FACILITATES CLASSES FOR TEEN MOMS, PROVIDES COUNSELING TO PATIENTS, MAKES HOME VISITS FOR PATIENTS, AND PROVIDES ADDITIONAL SUPPORT FOR PATIENTS. BLANCHARD VALLEY REGIONAL HEALTH CENTER, ALONG WITH ITS AFFILIATES, PROVIDES UNRESTRICTED ACCESS TO CARE THROUGH THE ABOVE MENTIONED CAUGHMAN HEALTH CENTER, WOMENS & CHILDRENS CENTER, PHYSICIAN'S PLUS URGENT CARE FACILITY, AND ALL OF THEIR RELATED MEDICAL PRACTICES.
STATE FILING OF COMMUNITY BENEFIT REPORT	OHIO

Schedule H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

BLANCHARD VALLEY REGIONAL HEALTH CENTER

Employer identification number

34-1369963

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1SCOTT MALANEYCHIEF EXECUTIVE OFFICER	(i) (ii)	0 ............................... 515,636	0 ............................... 180,133	0 ............................... 161,127	0 ............................... 15,600	0 ............................... 8,488	0 ............................... 880,984	0 ............................... 0
2DAVE CYTLAKCHIEF FINANCIAL OFFICER	(i) (ii)	0 ............................... 297,010	0 ............................... 70,281	0 ............................... 25,584	0 ............................... 15,600	0 ............................... 6,288	0 ............................... 414,763	0 ............................... 0
3DR WILLIAM KOSECHIEF QUALITY OFFICER	(i) (ii)	0 ............................... 298,540	0 ............................... 75,943	0 ............................... 32,241	0 ............................... 15,600	0 ............................... 9,600	0 ............................... 431,924	0 ............................... 0
4DR CHIRANJI AGRAWALPHYSICIAN	(i) (ii)	522,627 ............................... 0	0 ............................... 0	2,492 ............................... 0	13,211 ............................... 0	2,322 ............................... 0	540,652 ............................... 0	0 ............................... 0
5DR ANGELA HOLTPHYSICIAN	(i) (ii)	459,016 ............................... 0	0 ............................... 0	809 ............................... 0	15,600 ............................... 0	7,474 ............................... 0	482,899 ............................... 0	0 ............................... 0
6DR MICHAEL MANUALPHYSICIAN	(i) (ii)	379,292 ............................... 0	0 ............................... 0	261 ............................... 0	15,600 ............................... 0	10,219 ............................... 0	405,372 ............................... 0	0 ............................... 0
7DR DANIEL SAKPHYSICIAN	(i) (ii)	393,988 ............................... 0	0 ............................... 0	2,574 ............................... 0	0 ............................... 0	5,988 ............................... 0	402,550 ............................... 0	0 ............................... 0
8DR THOMAS GRACEPHYSICIAN	(i) (ii)	334,692 ............................... 0	0 ............................... 0	148 ............................... 0	5,193 ............................... 0	1,730 ............................... 0	341,763 ............................... 0	0 ............................... 0
9BARBARA PASZTORVP OF NURSING	(i) (ii)	217,720 ............................... 0	51,792 ............................... 0	6,580 ............................... 0	31,331 ............................... 0	8,001 ............................... 0	315,424 ............................... 0	0 ............................... 0
10CHRISTINE KELLERVP OF CLINICAL SERVICES	(i) (ii)	189,007 ............................... 0	41,701 ............................... 0	166 ............................... 0	11,480 ............................... 0	3,056 ............................... 0	245,410 ............................... 0	0 ............................... 0
11CHRISTOPHER PRESSPRESIDENT (LEFT DEC. 2014)	(i) (ii)	0 ............................... 251,730	0 ............................... 89,436	0 ............................... 143,602	0 ............................... 1,769	0 ............................... 286	0 ............................... 486,823	0 ............................... 117,744

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 4A

CONSISTENT WITH HIS CONTRACT TERMS, SEVERENCE PAY OF $275,000 WAS GIVEN TO CHRISTOPHER PRESS.

PART I, LINE 4B

IN 2014, BLANCHARD VALLEY HEALTH SYSTEM CONTRIBUTED ON BEHALF OF SCOTT Malaney $146,184 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 2014, Blanchard Valley Health System contributed on behalf of David Cytlak $21,149 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 2014), 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.

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
BLANCHARD VALLEY REGIONAL HEALTH CENTER

Employer identification number
34-1369963

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	VILLAGE OF BLUFFTON OHIO	34-6400139		12-31-2010	11,293,759	REFUNDED PRIOR OBLIG. SEE PART VI		X		X		X
B	COUNTY OF HANCOCK OHIO	34-6400608	410040BY4	04-14-2011	108,706,899	REFUND ISSUE DATED 11/4/2004		X		X		X
C	VILLAGE OF ANNA OHIO	34-0894539		06-13-2012	9,700,000	BUILDING & EQUIPMENT FINANCING		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	8,841,078		4,125,000		1,175,000
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	11,293,759		108,706,899		9,700,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	0		1,874,847		0
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	0		0		9,700,000
11 Other spent proceeds . . . . . . . . . . . . . .	11,293,759		106,832,052		0
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0
13 Year of substantial completion . . . . . . . . . . . .
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X		X			X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .
7 Does the bond issue meet the private security or payment test? . . . . .	X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X	X		X
b Exception to rebate? . . . . . . . .	X			X		X
c No rebate due? . . . . . . . .		X		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .	X			X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X
b Name of provider . . . . . . . . .	0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
PART I, COL. B, F:	THE ISSUE REFUNDED LEASE OBLIGATIONS DATED 11/15/2002, 12/21/2005, 12/20/2006, AND 10/23/2009.
PART 2, COL. A & B, LINE 11:	THE PROCEEDS LISTED WERE USED TO CURRENTLY REFUND THE PRIOR OBLIGATIONS LISTED IN PART I.

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

BLANCHARD VALLEY REGIONAL HEALTH CENTER

Employer identification number

34-1369963

Return Reference	Explanation
PART VI QUESTION 1B	SCOTT MALANEY IS A BOARD MEMBER AND PAID EMPLOYEE OF A RELATED ORGANIZATION. DUE TO HIS EMPLOYMENT, HE IS CONSIDERED A NON INDEPENDENT VOTING MEMBER OF THE BOARD.
PART VI, SECTION B, LINE 11B	A DETAIL REVIEW OF THE FORM 990 IS PERFORMED BY THE ORGANIZATION'S COMPLIANCE & AUDIT COMMITTEE. THIS COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES, MEMBERS OF THE COMMUNITY, AND MEMBERS OF UPPER MANAGEMENT. THE COMPLIANCE & AUDIT COMMITTEE REPORTS TO THE BOARD OF TRUSTEES ANY AREAS OF CONCERN REGARDING THE FORM 990'S. ONCE THE FORM 990'S HAVE BEEN FINALIZED, REVIEWED AND APPROVED, THE MEMBERS OF BOARD OF TRUSTEES RECEIVE ELECTRONIC COMMUNICATION THAT THE FORM 990'S ARE COMPLETE AND AVAILABLE ON BOARDNET. ANY QUESTIONS ARISING FROM BOARD MEMBERS ARE ADDRESSED BY THE COMPLIANCE & AUDIT COMMITTEE UPPER MANAGEMENT, THE ACCOUNTING DEPARTMENT, AND/OR EXTERNAL ACCOUNTANTS. PART VI, SECTION B, LINE 12C ANNUALLY, THE ORGANIZATION ASKS ITS BOARD MEMBERS, ITS CORPORATE OFFICERS, AND ITS KEY EMPLOYEES TO SIGN CONFLICT OF INTEREST LETTERS. THE ORGANIZATION ALSO ASKS THESE INDIVIDUALS TO REVIEW THEIR ACTIVITIES AND COMPLETE RELATIONSHIP QUESTIONNAIRES FOR THE FORM 990 FILING YEAR. BOARD MEMBERS ARE REQUIRED TO BRING TO THE ATTENTION OF EXECUTIVE MANAGEMENT ANY CONFLICTS AS THEY ARISE. THESE CONFLICTS ARE DOCUMENTED IN THE BOARD MINUTES. BOARD MEMBERS THAT HAVE CONFLICTS ARE TO EXCUSE THEMSELVES FROM DISCUSSIONS AND/OR VOTING ON ISSUES WITH WHICH CONFLICTS EXIST.
PART VI, SECTION B, LINE 15A	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 ORGANIZATION CONSULTS WITH SULLIVAN COTTER AND ASSOCIATES (AN EXTERNAL CONSULTANT) ON AN ANNUAL BASIS TO REVIEW COMPENSATION MATTERS. ON A BIANNUAL BASIS, THE ORGANIZATION PERFORMS A FULL COMPENSATION & BENEFIT ANALYSIS & REVIEW. THE MOST RECENT FULL COMEPENSATION & BENEFIT ANALYSIS & REVIEW WAS COMPLETED IN EARLY 2014 BY SULLIVAN COTTER AND ASSOCIATES AND SHARED/DISCUSSED WITH THE BOARD IN APRIL 2014.
PART VI, SECTION B, LINE 15B	THE SAME PROCESS APPLIES FOR ALL OTHER EXECUTIVE STEERING COMMITTEE MEMBERS AS DETAILED FOR THE CEO.
PART VI, SECTION C, LINE 19	FINANCIAL STATEMENTS, REQUIRED TAX FORMS (I.E., FORM 990), AS WELL AS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH THE ADMINISTRATIVE AND FINANCE OFFICES.
PART XI, LINE 9	CHANGE IN INTEREST RATE SWAP AGREEMENT -3,786,645 DEFINED BENEFIT PENSION PLAN -29,747,978 CHANGE IN PERPETUAL TRUST -72,459 OTHER CHANGES IN NONCONTROLLING INTEREST -8,718,256 TRANSFERS FROM AFFILIATES 665,000 TOTAL $-41,660,338

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

BLANCHARD VALLEY REGIONAL HEALTH CENTER

Employer identification number

34-1369963

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(f) Direct controlling entity
(1) CRNA OF BLANCHARD VALLEY LLC 1900 SOUTH MAIN STREET FINDLAY,OH45840 06-1748552	CERT NURSE	OH	3,208,794	BVRHC
(2) BLANCHARD VALLEY MEDICAL PRACTICES 1900 SOUTH MAIN STREET FINDLAY,OH45840 42-1659766	PHYS OFFICES	OH		BVHS
(3) BLANCHARD VALLEY HOME CARE SERVICES 1900 SOUTH MAIN STREET FINDLAY,OH45840 42-1565629	HOME HEALTH	OH		BVCCS
(4) NEUROSURGICAL ASSOCIATES OF NW OHIO 1900 SOUTH MAIN STREET FINDLAY,OH45840 34-2052585	PHYS OFFICES	OH		BVMP
(5) SPECIALTY PHYSICIANS OF BLANCHARD VALLEY 1900 SOUTH MAIN STREET FINDLAY,OH45840 26-2448601	PHYS OFFICES	OH		BVMP
(6) BLANCHARD VALLEY REGIONAL CANCER CENTER 1900 SOUTH MAIN STREET FINDLAY,OH45840 05-0623393	CANCER CARE	OH		N
(7) HANCO EMERGENCY MEDICAL SERVICES LLC 1900 SOUTH MAIN STREET FINDLAY,OH45840 46-3299390	AMBULANCE	OH		BVHS

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) BLANCHARD VALLEY HEALTH SYSTEM 1900 SOUTH MAIN ST FINDLAY,OH45840 34-4428206	HEALTH CARE	OH	501(C)(3)	11A	NA	Yes
(2) BLANCHARD VALLEY CONTINUING CARE SERVICE 15100 BIRCHAVEN LANE FINDLAY,OH45840 34-6006904	CONTINUING CA	OH	501(C)(3)	9	BVHS	Yes
(3) BLANCHARD VALLEY HEALTH FOUNDATION 1900 SOUTH MAIN ST FINDLAY,OH45840 34-1369963	FUNDRAISING	OH	501(C)(3)	7	BVHS		No
(4) EC EDWARDS MEMORIAL TRUST 1900 SOUTH MAIN ST FINDLAY,OH45840 34-6953719	INVESTMENT	OH	501(C)(3)	11A	BVHF		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) BLANCHARD VALLEY PAIN MANAGEMENT 1900 SOUTH MAIN ST FINDLAY,OH45840 27-0095470	PAIN MGMT	OH	BVRHC	RELATED	10,764,060	947,070		No			No	51.000 %
(2) TECHNICORE 1900 SOUTH MAIN ST FINDLAY,OH45840 42-1702910	BIO-MED SUPPORT	OH	BVRHC	RELATED	1,530,667	1,015,333		No	-9,495	Yes		66.667 %
(3) CREIGHTON DIALYSIS 1900 SOUTH MAIN ST FINDLAY,OH45840 27-4527592	DIALYSIS SERVICES	OH	BVRHC	RELATED	2,685,000	587,000						60.000 %
(4) NORTHWEST OHIO MEDICAL EQUIPMENT 1900 SOUTH MAIN ST FINDLAY,OH45840 34-1882390	MEDICAL EQUIPMENT	OH	BVCCS

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) CITAS INC 1900 SOUTH MAIN ST FINDLAY,OH45840 34-1369708	RECRUITING	OH	BVHS	C CORP				No
(2) BIRCHAVEN ESTATES AT EASTERN WOODS LTD 15100 BIRCHAVEN LANE FINDLAY,OH45840 20-1494204	CONDOMINIUM	OH	BVCCS	C CORP				No

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) BLANCHARD VALLEY PAIN MANAGEMENT	A	322,273	FMV
(2) TECHNICORE	M	183,674	FMV

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: BLANCHARD VALLEY REGIONAL HEALTH CENTER OPERATES TWO HOSPITALS OFFERING INPATIENT, EMERGENCY, MATERNITY AND OUTPATIENT SERVICES; OUTPATIENT CENTERS, AND A PRIMARY CARE CLINIC.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	17
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	1,662
6	Total number of volunteers (estimate if necessary) .............	6	337
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	848,744
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	271,536

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	222,131,680	239,953,936
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	26,897,054	9,434,345
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	6,698,857	6,421,853
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	255,727,591	255,810,134
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	98,764,104	101,318,061
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	104,481,902	105,376,654
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	203,246,006	206,694,715
19	Revenue less expenses. Subtract line 18 from line 12.......	52,481,585	49,115,419
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	440,378,509	476,961,067
21	Total liabilities (Part X, line 26).............	195,939,019	229,011,496
22	Net assets or fund balances. Subtract line 21 from line 20.....	244,439,490	247,949,571

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 32,283,415 including grants of $ ) (Revenue $ 41,856,696 )
	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.

4b	(Code: ) (Expenses $ 23,262,437 including grants of $ ) (Revenue $ 30,160,649 )
	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 2014, OUR MEDIAN DOOR TO BALLOON TIME WAS 49 MINUTES. ALSO, BLANCHARD VALLEY HOSPITAL'S CARDIOVASCULAR PROGRAM, PART OF THE JANE AND GARY HEMINGER HEARTCARE CENTER, WAS NAMED ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS FOR 2013 BY TRUVEN HEALTH ANALYTICS, FORMERLY THOMSON REUTERS.

4c	(Code: ) (Expenses $ 23,776,579 including grants of $ ) (Revenue $ 30,827,254 )
	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.

	(Code: ) (Expenses $ 103,682,898 including grants of $ ) (Revenue $ 136,468,370 )
	OTHER SERVICES PROVIDED AT BVRHC INCLUDE:

	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	WOMAN'S AND CHILDREN'S SERVICES (GYNECOLOGY,

	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	OBSTETRICS, BREAST HEALTH, PEDIATRIC

	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	HOSPITALISTS, LEVEL 2 SPECIAL CARE NURSERY),

	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	ONCOLOGY/HEMATOLOGY SERVICES, UROLOGY/

	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	NEPHROLOGY SERVICES, SLEEP DISORDERS, PAIN

	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	MANAGEMENT, WOUND CARE, AND DIALYSIS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 103,682,898 including grants of $ ) (Revenue $ 136,468,370 )
4e	Total program service expenses183,005,329

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) RICHARD POLDER MD........................................................................ TRUSTEE	0.5 .......................1.0	X				0	0	0
(19) DAVE CYTLAK........................................................................ CHIEF FINANCIAL OFFICER	32.0 .......................8.0		X			0	392,875	21,888
(20) DR WILLIAM KOSE........................................................................ CHIEF QUALITY OFFICER	36.0 .......................4.0		X			0	406,724	25,200
(21) CHRISTOPHER PRESS........................................................................ PRESIDENT (LEFT DEC. 2014)	32.0 .......................8.0		X			0	484,768	2,055
(22) BARBARA PASZTOR........................................................................ VP OF NURSING	40.0 .......................0.0			X		276,092	0	39,332
(23) CHRISTINE KELLER........................................................................ VP OF CLINICAL SERVICES	40.0 .......................0.0			X		230,874	0	14,536
(24) DR CHIRANJI AGRAWAL........................................................................ PHYSICIAN	40.0 .......................0.0				X	525,119	0	15,533
(25) DR ANGELA HOLT........................................................................ PHYSICIAN	40.0 .......................0.0				X	459,825	0	23,074
(26) DR MICHAEL MANUAL........................................................................ PHYSICIAN	40.0 .......................0.0				X	379,553	0	25,819
(27) DR DANIEL SAK........................................................................ PHYSICIAN	40.0 .......................0.0				X	396,562	0	5,988
(28) DR THOMAS GRACE........................................................................ PHYSICIAN	40.0 .......................0.0				X	334,840	0	6,923

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,602,865	2,141,263	204,436

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			0
			Business Code
2a	PATIENT SERVICE		900099	235,938,135	235,938,135
b	OUTPATIENT PHARMACY		446110	1,334,660	837,716	496,944
c	INVESTMENT IN TECHNICORE		541900	2,295,525	2,305,020	-9,495
d	MEDICAL SERVICES		900099	125,111	125,111
e	CHARITY SERVICES		900099	260,505	260,505
f	All other program service revenue .
g	Total. Add lines 2a–2f........			239,953,936
3	Investment income (including dividends, interest, and other similar amounts).......			9,412,155			9,412,155
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	257,972
b	Less: rental expenses
c	Rental income or (loss)	257,972	0
d	Net rental income or (loss).......			257,972			257,972
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	4,178,331
b	Less: cost or other basis and sales expenses	4,002,623	153,518
c	Gain or (loss)	175,708	-153,518
d	Net gain or (loss)..........			22,190	-153,518		175,708
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a		251,924
b	Less: cost of goods sold ..b		215,973
c	Net income or (loss) from sales of inventory..			35,951			35,951
Miscellaneous Revenue			Business Code
11a	INVESTMENT IN PARTNERSHIP		621300	361,295		361,295
b	CAFETERIA		900099	154,613			154,613
c	MEAL TICKETS		900099	846,175			846,175
d	All other revenue ....			4,765,847			4,765,847
e	Total. Add lines 11a–11d ......			6,127,930
12	Total revenue. See Instructions......			255,810,134	239,312,969	848,744	15,648,421


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			0	1	0
2	Savings and temporary cash investments .........			27,726,363	2	23,604,657
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			23,535,678	4	29,552,485
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			4,706,036	8	5,158,587
9	Prepaid expenses and deferred charges ..........			1,272,580	9	516,580
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	232,195,668
b	Less: accumulated depreciation .....	10b	114,163,356	124,170,869	10c	118,032,312
11	Investments—publicly traded securities ..........			196,544,549	11	225,542,261
12	Investments—other securities. See Part IV, line 11 .....			1,393,637	12	802,202
13	Investments—program-related. See Part IV, line 11 .....			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			61,028,797	15	73,751,983
16	Total assets. Add lines 1 through 15 (must equal line 34)......			440,378,509	16	476,961,067
17	Accounts payable and accrued expenses .........			21,073,701	17	25,336,805
18	Grants payable .................			0	18	0
19	Deferred revenue ................			148,832	19	133,449
20	Tax-exempt bond liabilities .............			121,208,211	20	117,307,976
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			8,556,995	23	8,784,939
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			44,951,280	25	77,448,327
26	Total liabilities. Add lines 17 through 25.........			195,939,019	26	229,011,496
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			236,855,769	27	240,375,695
28	Temporarily restricted net assets ...........			900,084	28	962,699
29	Permanently restricted net assets ...........			6,683,637	29	6,611,177
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			244,439,490	33	247,949,571
34	Total liabilities and net assets/fund balances ........			440,378,509	34	476,961,067