Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 07-01-2013 , 2013, and ending 06-30-2014
BCheck if applicable:
CName of organization
OhioHealth Corporation Group Return
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
180 East Broad Street 33rd Floor
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Columbus, OH432153707
D Employer identification number

32-0007056
E Telephone number

G Gross receipts $ 868,359,295
F Name and address of principal officer:
David P Blom
180 East Broad Street 33rd Floor
Columbus,OH432153707
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.OhioHealth.com
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet3858
K Form of organization:
 
L Year of formation:  
M State of legal domicile: OH
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: To improve the health of those we serve.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 195
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 128
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 6,122
6 Total number of volunteers (estimate if necessary) ............. 6 955
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 81,754
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 11,634,497 13,398,452
9 Program service revenue (Part VIII, line 2g) ......... 473,511,097 510,845,206
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 5,059,085 4,662,685
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 73,679,168 71,962,746
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 563,883,847 600,869,089
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,364,941 2,137,742
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) 414,596,922 461,672,737
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet3,183,326    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 203,300,542 222,644,426
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 619,262,405 686,454,905
19 Revenue less expenses. Subtract line 18 from line 12....... -55,378,558 -85,585,816
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 502,620,325 536,585,292
21 Total liabilities (Part X, line 26)............. 147,160,875 157,518,208
22 Net assets or fund balances. Subtract line 21 from line 20..... 355,459,450 379,067,084
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: To improve the health of those we serve.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 501,694,906 including grants of $ 2,137,742 ) (Revenue $ 541,453,407 )
OhioHealth's primary purpose is to provide diversified healthcare services to the community and is a provider of services under contractual arrangements with the Medicare and Medicaid programs as well as other third-party reimbursement arrangements.Together, Marion General Hospital, Grady Memorial Hospital, Hardin Memorial Hospital, and Doctors Hospital of Nelsonville, are united in our mission to provide quality, compassionate healthcare and to be responsible stewards for our community's health. Even as the face of healthcare continues to change, the commitment of OhioHealth endures: ensuring quality care for everyone, regardless of their faith, race, age, or ability to pay. We never lose sight of our mission to "improve the health of those we serve" and our core values - compassion, excellence, stewardship, and integrity. They continue to guide us in our work today. OhioHealth touches thousands of people, saves lives, improves their health and makes their future a little brighter. Through our shared mission, vision and values, we touch more lives in central Ohio and the surrounding communities than any other health system. As a system of faith-based, not-for-profit healthcare providers - together, we are OhioHealth.
4b (Code:   ) (Expenses $ 63,971,212 including grants of $   ) (Revenue $ 33,980,240 )
In fiscal year 2014 (July 1, 2013 through June 30, 2014), OhioHealth with its member hospitals and home care organizations, provided charity care and community benefit programs to a greater degree than ever. In total, OhioHealth provided $281 million, excluding MedCentral Health System and Sheltering Arms Hospital Foundation, in charity care and community benefit programs and services, reaching hundreds of thousands of people in the communities we serve. Of this total, $30 million was provided by Marion General Hospital, Grady Memorial Hospital, Hardin Memorial Hospital, and Doctors Hospital of Nelsonville. Member hospitals provide medically necessary services without charge or at amounts less than its established rates to patients who meet certain criteria under its charity care policies. In assessing a patient's ability to pay, the member hospitals not only utilize generally recognized poverty income levels of the communities they serve, but also include certain cases where incurred charges are significant when compared to the patient's financial resources. Charity care is determined based on established polices, using patient income and assets to determine payment ability. OhioHealth provides community services intended to benefit the underserved and enhance the health status of the communities it serves. These services include 24 hour a day emergency rooms, community health screenings, forums for various support groups, health education classes, speakers and publications, hospice and medical research. OhioHealth has been able to achieve a greater impact in the community by partnering financial and human resources with other organizations. These expenditures include a commitment to a project to reduce infant mortality, pastoral care service, various civic sponsorships, and other community partnership programs. The Corporation's total benefit to the community includes the cost of charity care (net of assistance received from the Hospital Care Assurance Program), unpaid cost of Medicaid, and medical education programs as well as certain programs discussed above.
4c (Code:   ) (Expenses $ 5,949,109 including grants of $   ) (Revenue $ 1,608,349 )
OhioHealth Research Institute is a non-profit corporation that supports medical research at OhioHealth's hospitals through clinical research, commercialization of new products, administration of grants, and performing health equity research. Clinical Research: Each year, OhioHealth serves as a site for hundreds of clinical studies sponsored by industry, private non-profit organizations and government agencies, such as the National Institutes of Health. Through clinical trial capabilities, we provide our patients access to the most advanced treatments and diagnostics in a wide variety of specialties. Some of our most active areas include cancer, cardiovascular, and orthopedic medicine.-OHRI contracted for 112 active and 45 new industry sponsored trials in FY14 (contract value of $4.5m). -OhioHealth's Structural Heart Disease program continues to receive national recognition as a benchmark program delivering state-of-art patient care.-Research began to work with Med Central teams late in the fiscal year after their on-boarding to expand cardio and EP trial work. -Dr. Steven Yakubov co-author CoreValve- NEJM & highlighting Dispatch article -Riverside only site in the U.S to transmit live cases to the Leipzig Interventional Conference (LINC) in Germany-OHRI & OhioHealth SHD Program received the Columbus CEO Healthcare Achievement award for R&D initiative.Investigator Initiated:-OHRI, under the leadership of Judy Opalek, PhD (OHRI Director of Academic Research Services), and Curt Gingrich, MD (Chairman, Investigator Initiated Research Council). -Over 122 attendees with awards for 11 oral presentations were highlighted at the The 4th Annual Heritage Research Conference at the Doctors Hospital Center for Medical Education.-75+ active OHRI-involved investigator initiated studies throughout the system-Education lectures for Pharmacy Residents (GMC/RMH) and GMC Medical Education (Family Medicine and Podiatry)Commercialization of New Products: New product innovation is one of the many ways healthcare professionals can make a meaningful contribution to patient care and to their specialty. In fact, new medical products developed by OhioHealth clinicians, which were first introduced at OhioHealth's hospitals, are now marketed internationally. Commercialization services are provided in partnership with state and local leaders who are dedicated to building Ohio's economy, including TechColumbus, BioOhio and SBDC, Small Business Development Center at Columbus State Community College. -Christopher Willson, PhD, MBA hired as director-Investment Fund was launched: -$5M Fund launched -Innovation Advisory Committee (IAC) to operationalize the fundGrant Administration: Many governmental agencies and private foundations offer grants to support research projects that reflect their mission. Navigating the fragmented and complex landscape of grant funding can be challenging; therefore, OhioHealth Research Institute provides healthcare professionals with guidance to help streamline the process and to ensure that the healthcare professional's time is devoted to the scientific and clinical aspects of their research project. -Open and active grant awards include funding from HHS for Teen Options to Prevent Pregnancy (TOPP); NIH National Cancer Institute for two palliative care initiatives, and 6 continuing awards supporting the Sexual Assault Response Network of Central Ohio to name a few.Health Equity Research: OhioHealth Research Institute conducts research focused on addressing the needs of diverse populations within our community in order to reduce the burden of disease and increase equal access to healthcare throughout Ohio. Our legacy of over a decade of nationally-recognized public health research has helped shape the foundation for a national model. In collaboration with a number of community-based organizations to identify health disparities and research effective interventions our current projects include:- Proyecto Cancer del Seno en Lantinas (The Latina Breast Cancer Project) - Project Hoffnung (or "Hope"): The Amish and Mennonite Breast Health Project - Teen Options to Prevent Rapid Repeat Pregnancy (TOPP), - Childhood Obesity,- Appalachian Cancer, and - OhioHealth Community Partnerships.OHRI, under the leadership of Dr. Melissa Thomas, has received recognition with Business First's health care "Heroes Award" for the Latina Breast Cancer Project three times, and OhioHealth honored the program with the coveted "Prism" award for stewardship in 2011. In 2013, Adriana de la Pena was recognized nationally by Susan G. Komen for the Cure in a survivor video. Patricia Ruiz Delgado, was recognized at the Ohio Hispanic Coalition's Gala as recipient of the Media Outreach Support Padrino Award. Patricia Ruiz was awarded with the 'Women of the Year 2014' from LULAC Columbus - 30905 (League of United Latin American Citizens). Adriana de la Pena was nominated for the Molina Healthcare Community Champions 2014.
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet571,615,227
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions).... Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
Yes
 
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
741
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
6,122
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
0
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
195
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
128
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletCraig A Bjerke180 East Broad Street 33rd FloorColumbusOH432153707 (614) 544-4076
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Morrison Karen J........................................................................
Pres/Board OHF-Ex-Officio
 20.00
.......................20.00 		X   X       0 646,349 200,467
(2) McConnell John P........................................................................
Vice-Chair OHF-Ex-Officio
 1.00
.......................0.00 		X   X       0 0 0
(3) Foreman Ivery D Esq........................................................................
Sec/Treas OHF
 1.00
.......................0.00 		X   X       0 0 0
(4) Abraham Tara M........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(5) Anderson Craig MD........................................................................
Board OHF-Ex-Officio (end 12/13)
 1.00
.......................40.00 		X           0 151,001 45,540
(6) Anderson Douglas T........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(7) Barker Marilyn........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(8) Basil Brian A........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(9) Berwanger Joseph M........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(10) Bing Arthur GH MD........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(11) Blom David P........................................................................
Board OHF-Ex-Officio
 1.00
.......................40.00 		X           0 1,593,139 1,195,088
(12) Blosser T Laurence MD........................................................................
Board OHF-Ex-Officio
 1.00
.......................15.00 		X           0 124,805 0
(13) Brandon Heather........................................................................
Board OHF-Ex-Officio
 1.00
.......................40.00 		X           0 244,974 27,636
(14) Bright David........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(15) Brooks Amie E........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(16) Buckley Donna........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(17) Burke William DO........................................................................
Board OHF-Ex-Officio (8/13)
 1.00
.......................40.00 		X           0 161,126 11,816
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Bury Peter........................................................................
Board OHF-Ex-Officio
 1.00
.......................40.00 		X           0 339,494 31,958
(19) Butler William........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(20) Cadwallader Patricia S........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(21) Campbell Thomas........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(22) Chambers Linda MD........................................................................
Board OHF-Ex-Officio (end 12/13)
 1.00
.......................1.00 		X           0 69,448 0
(23) Chester-Alexander Cecily........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(24) Coley-Malir Bonnie........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(25) Crane Tanny........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(26) Cunningham Jane Watson........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(27) deVillers Rebecca E DO........................................................................
Board OHF
 40.00
.......................1.00 		X           120,231 0 34,319
(28) DiMarco Ann M........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(29) Doody Anderson Elizabeth........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(30) Englefield Cynthia........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(31) Fellenz Donald C........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(32) Fields Steven P........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(33) Flesch Thomas G........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(34) Frazier Kenneth R........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(35) Gabriel Paul MD........................................................................
Board OHF-Ex-Officio
 1.00
.......................0.00 		X           16,690 0 0
(36) Gallagher-Allred........................................................................
Charlette Ph.D.; Board OHF
 1.00
.......................0.00 		X           0 0 0
(37) Geese Ronald L........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(38) George Lisa........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(39) George Peter B MD........................................................................
Board OHF-Ex-Officio
 40.00
.......................1.00 		X           1,005,405 21,060 57,184
(40) Geskey Joseph DO........................................................................
Board OHF
 1.00
.......................0.00 		X           0 324,758 21,728
(41) Gibney Jack T........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(42) Glandon Philip J Sr........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(43) Griffin Scott R........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(44) Gutheil Paige DO........................................................................
Board OHF
 1.00
.......................1.00 		X           0 15,000 0
(45) Habash Stephen J........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(46) Hagen Bruce P........................................................................
Board OHF-Ex-Officio
 1.00
.......................40.00 		X           0 0 0
(47) Hammett Troy D........................................................................
Board OHF-Ex-Officio
 1.00
.......................40.00 		X           0 294,859 44,163
(48) Harmon Thomas L MD........................................................................
Board OHF
 1.00
.......................40.00 		X           373,328 5,625 36,875
(49) Herceg Milan MD........................................................................
Board OHF-Ex-Officio
 1.00
.......................40.00 		X           0 325,463 0
(50) Hidaka Yoshihiro........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(51) Hinderer Justin........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(52) Hodges Ralph E........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(53) Hood Clifton R DO........................................................................
Board OHF-Ex-Officio (end 12/13)
 2.00
.......................1.00 		X           21,711 26,681 36,400
(54) Hoover Ted........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(55) Hubbell Thomas P MD........................................................................
Board OHF-Ex-Officio
 1.00
.......................2.00 		X           13,575 0 0
(56) Infante Stephanie........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(57) Irelan Vic........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(58) Jones Daniel W........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(59) Khalaf Laith M........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(60) LaRocca Nicholas J........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(61) Lawson Michael S........................................................................
Board OHF-Ex-Officio
 1.00
.......................40.00 		X           344,122 0 22,479
(62) Levin Howard B DO........................................................................
Board OHF-Ex-Officio
 40.00
.......................1.00 		X           576,700 0 44,426
(63) Mackessy James P MD........................................................................
Board OHF
 1.00
.......................40.00 		X           0 94,520 0
(64) Markovich Stephen E MD........................................................................
Board OHF-Ex-Officio
 1.00
.......................40.00 		X           0 719,275 249,671
(65) Martin Deborah........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(66) McAdams Robert Jr........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(67) McCloy George W........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(68) Mechling William C........................................................................
Board OHF (end 6/14)
 1.00
.......................0.00 		X           0 0 0
(69) Menning Michael E........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(70) Mercker Julie........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(71) Michaelson Judy........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(72) Millhon Judson S Jr MD........................................................................
Board OHF
 40.00
.......................0.00 		X           986,113 0 65,630
(73) Music William D........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(74) Newbrough Jr James P........................................................................
Board OHF-Ex-Officio
 1.00
.......................0.00 		X           0 0 0
(75) Patterson David T........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(76) Ragan Virginia D........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(77) Rasmussen Steven........................................................................
Board OHF-Ex-Officio
 1.00
.......................0.00 		X           0 0 0
(78) Reichfield Michael L........................................................................
Board OHF-Ex-Officio
 1.00
.......................40.00 		X           0 513,916 169,650
(79) Sanese Ralph Jr........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(80) Schwarz David H........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(81) Sims Richard L........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(82) Smith Eric C........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(83) Smith Rita J RN........................................................................
Board OHF
 1.00
.......................40.00 		X           0 137,622 22,499
(84) Strohmaier Deb........................................................................
Board OHF (end 1/14)
 1.00
.......................0.00 		X           0 0 0
(85) Swiatek Valerie B........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(86) Terapak Richard G Esq........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(87) Tordoff Sharon A........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(88) Trell Eugene DO........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(89) Urse Geraldine L DO........................................................................
Board OHF
 40.00
.......................0.00 		X           225,207 0 27,567
(90) von Gunten Charles MD........................................................................
Board OHF-Ex-Officio
 1.00
.......................40.00 		X           318,210 0 14,859
(91) Vornbrock Page........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(92) Watson David MD........................................................................
Board OHF-Ex-Officio
 1.00
.......................1.00 		X           0 47,359 0
(93) Weiler Alan R........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(94) Weiler Robert J Jr........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(95) Westwater Leah........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(96) White Aimee........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(97) White Scott........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(98) White Willis S Jr........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(99) Yates Vinson M........................................................................
Board OHF-Ex-Officio (start 10/13)
 1.00
.......................40.00 		X           0 564,090 203,897
(100) Zieg Michael B........................................................................
Board OHF
 1.00
.......................0.00 		X           0 0 0
(101) Louge Michael W........................................................................
Chair/VP Board OPG
 1.00
.......................40.00 		X   X       0 1,056,112 521,526
(102) Thornhill Hugh A........................................................................
Pres Board OPG
 1.00
.......................40.00 		X   X       0 521,401 163,421
(103) Pandora Frank T II Esq........................................................................
Assist Sec Board OPG (End 9/13)
 1.00
.......................20.00 		X   X       0 501,802 95,928
(104) Bernstein Michael S........................................................................
Board OPG
 1.00
.......................40.00 		X           0 643,037 186,363
(105) Blom David P........................................................................
Board OPG
 1.00
.......................40.00 		X           0 0 0
(106) Millen Robert P........................................................................
Board OPG
 1.00
.......................40.00 		X           0 1,019,846 356,567
(107) Vanderhoff Bruce MD........................................................................
Board OPG
 1.00
.......................40.00 		X           0 0 0
(108) Snow Richard J DO........................................................................
Chair OHRI
 1.00
.......................40.00 		X   X       0 405,336 42,243
(109) Vanderhoff Bruce MD........................................................................
Sr VP CMO/Vice-Chair OHRI
 1.00
.......................40.00 		X   X       0 758,108 224,692
(110) Bjerke Craig A........................................................................
Secretary/Treasurer OHRI
 1.00
.......................40.00 		X   X       0 309,729 40,284
(111) Ansel Gary MD........................................................................
Board OHRI
 40.00
.......................1.00 		X           1,347,389 174,720 55,756
(112) Bay Janet MD........................................................................
Board OHRI (Start 7/13)
 1.00
.......................40.00 		X           0 950,292 23,750
(113) Bell Jeffrey G MD........................................................................
Board OHRI
 1.00
.......................40.00 		X           0 365,954 41,370
(114) Blazyk Jack PhD........................................................................
Board OHRI (Start 7/13)
 1.00
.......................40.00 		X           0 0 0
(115) Caulin-Glaser Teresa L MD........................................................................
Board OHRI
 1.00
.......................40.00 		X           0 641,751 92,944
(116) Ferris Frank MD........................................................................
Board OHRI (Start 7/13)
 1.00
.......................40.00 		X           0 333,399 12,904
(117) Garlock Steven J........................................................................
Board OHRI (Start 7/13)
 1.00
.......................40.00 		X           0 0 0
(118) Gingrich Curtis L MD........................................................................
Board OHRI (end 7/13)
 1.00
.......................40.00 		X           0 357,601 46,100
(119) Imm Amy MD........................................................................
Board OHRI (Start 7/13)
 1.00
.......................40.00 		X           0 488,185 45,607
(120) Knutson Douglas MD........................................................................
Board OHRI (Start 7/13)
 1.00
.......................40.00 		X           0 448,975 52,111
(121) Niles John P........................................................................
Board OHRI-Ex-officio
 1.00
.......................40.00 		X           0 276,548 83,937
(122) O'Mara Shay MD........................................................................
Board OHRI (Start 7/13)
 1.00
.......................40.00 		X           0 0 0
(123) Wasielewski Ray MD........................................................................
Board OHRI (Start 7/13)
 1.00
.......................40.00 		X           0 749,253 43,247
(124) Yakubov Steven MD........................................................................
Board OHRI
 1.00
.......................40.00 		X           1,194,362 174,720 67,370
(125) Rasmussen Steven........................................................................
Chair GMH
 1.00
.......................0.00 		X   X       0 0 0
(126) Hondros Linda........................................................................
Secretary GMH
 1.00
.......................0.00 		X   X       0 0 0
(127) McConnell John P........................................................................
Treasurer GMH
 1.00
.......................0.00 		X   X       0 0 0
(128) Anderson Kerrii B........................................................................
Treasurer GMH
 1.00
.......................0.00 		X   X       0 0 0
(129) Abbott Lawrence C........................................................................
Board GMH-Ex-Officio
 1.00
.......................0.00 		X           0 0 0
(130) Akins Nicholas........................................................................
Board GMH (start 7/13)
 1.00
.......................0.00 		X           0 0 0
(131) Anderson Thomas DO........................................................................
Board GMH (start 7/13)
 1.00
.......................0.00 		X           0 0 0
(132) Auseon John DO........................................................................
Board GMH (end 10/13)
 1.00
.......................0.00 		X           0 0 0
(133) Blom David P........................................................................
Board GMH-Ex-Officio
 1.00
.......................0.00 		X           0 0 0
(134) Blosser T Laurence MD........................................................................
Board GMH-Ex-Officio
 1.00
.......................0.00 		X           0 0 0
(135) Burns John MD........................................................................
Board GMH (start 7/13)
 1.00
.......................0.00 		X           0 0 0
(136) Chambers Linda MD........................................................................
Board GMH-Ex-Officio (end 12/13)
 1.00
.......................0.00 		X           0 0 0
(137) Crane Tanny........................................................................
Board GMH
 1.00
.......................0.00 		X           0 0 0
(138) Dewire Rev Dr Norman E........................................................................
Board GMH-Ex-Officio
 1.00
.......................0.00 		X           0 0 0
(139) Gabriel Paul MD........................................................................
Board GMH (start 1/14)
 1.00
.......................0.00 		X           0 0 0
(140) James Donna........................................................................
Board GMH
 1.00
.......................0.00 		X           0 0 0
(141) Jennings Matthew........................................................................
Board GMH-Ex-Officio
 1.00
.......................0.00 		X           0 0 0
(142) Johnston Tom........................................................................
Board GMH (start 7/13)
 1.00
.......................0.00 		X           0 0 0
(143) Levin Howard B DO........................................................................
Board GMH-Ex-Officio
 1.00
.......................0.00 		X           0 0 0
(144) Palmer Bishop Gregory........................................................................
Board GMH-Ex-Officio
 1.00
.......................0.00 		X           0 0 0
(145) Scott Bradley N........................................................................
Board GMH-Ex-Officio
 1.00
.......................0.00 		X           0 0 0
(146) Stevens Rev Dr Deborah........................................................................
Board GMH
 1.00
.......................0.00 		X           0 0 0
(147) Walter Matt........................................................................
Board GMH (start 7/13)
 1.00
.......................0.00 		X           0 0 0
(148) Johnston Thomas A........................................................................
Chair MGH
 1.00
.......................0.00 		X   X       0 0 0
(149) Sanner Robert O........................................................................
Vice Chair MGH
 1.00
.......................0.00 		X   X       0 0 0
(150) Young Beverly S........................................................................
Secretary MGH
 1.00
.......................0.00 		X   X       0 0 0
(151) Parker Mark S........................................................................
Treasurer MGH
 1.00
.......................0.00 		X   X       0 0 0
(152) Sanders John W........................................................................
Pres/CEO & BD MGH-Ex-Officio
 1.00
.......................40.00 		X   X       0 443,249 49,781
(153) Barney James S PhD........................................................................
Board MGH
 1.00
.......................0.00 		X           0 0 0
(154) Bradley Kevin G........................................................................
Board MGH
 1.00
.......................0.00 		X           0 0 0
(155) Brazitis Mark A........................................................................
Board MGH
 1.00
.......................40.00 		X           0 494,447 21,501
(156) Haas Robert S PhD........................................................................
Board MGH (start 7/13)
 1.00
.......................0.00 		X           0 0 0
(157) Kiger Rev Daniel A........................................................................
Board MGH (start 7/13)
 1.00
.......................0.00 		X           0 33,941 4,813
(158) Lause Lew........................................................................
Board MGH
 1.00
.......................0.00 		X           0 0 0
(159) Loudenslager Roy A........................................................................
Board MGH
 1.00
.......................0.00 		X           0 0 0
(160) Madia Dalsukh A MD........................................................................
Board MGH
 1.00
.......................0.00 		X           0 369,266 24,773
(161) McFarland James E........................................................................
Board MGH (start 7/13)
 1.00
.......................0.00 		X           0 0 0
(162) Ravi Srinivas P MD........................................................................
Board MGH
 1.00
.......................0.00 		X           0 0 0
(163) Reddy Sudesh S MD........................................................................
Board MGH (start 7/13)
 1.00
.......................0.00 		X           0 0 0
(164) Titus Judy........................................................................
Board MGH
 1.00
.......................0.00 		X           0 0 0
(165) Vora Sanjay K MD........................................................................
Board MGH (start 7/13)
 1.00
.......................0.00 		X           0 267,176 23,505
(166) Jennings Matthew........................................................................
Chair HMH
 1.00
.......................0.00 		X   X       0 0 0
(167) Govekar Michele........................................................................
Vice-Chair HMH
 1.00
.......................0.00 		X   X       0 0 0
(168) Radway Rob........................................................................
Secretary HMH
 1.00
.......................0.00 		X   X       0 0 0
(169) Schwemer John........................................................................
Treasurer HMH
 1.00
.......................0.00 		X   X       0 0 0
(170) Seckinger Mark R........................................................................
Pres/CEO & BD HMH-Ex-Officio
 1.00
.......................40.00 		X   X       0 283,886 84,038
(171) Barrett Scott........................................................................
Board HMH
 40.00
.......................0.00 		X           0 0 0
(172) Brazitis Mark A........................................................................
Board HMH-Ex-Officio
 1.00
.......................0.00 		X           0 0 0
(173) Fenzl Mark E DO........................................................................
Board HMH-Ex-Officio (start 1/14)
 1.00
.......................0.00 		X           0 157,293 17,108
(174) France Mandy........................................................................
Board HMH
 1.00
.......................0.00 		X           0 0 0
(175) Heilman Max........................................................................
Board HMH
 1.00
.......................0.00 		X           0 0 0
(176) McCullough Steve........................................................................
Board HMH
 1.00
.......................0.00 		X           0 0 0
(177) Oates Todd OD........................................................................
Board HMH
 1.00
.......................0.00 		X           0 0 0
(178) Root Chip........................................................................
Board HMH
 1.00
.......................0.00 		X           0 0 0
(179) Sreenan Joseph J MD........................................................................
Board HMH-Ex-Officio
 1.00
.......................0.00 		X           0 0 0
(180) Seckinger Mark R........................................................................
Pres/CEO & BD HHF-Ex-Officio
 1.00
.......................40.00 		X   X       0 0 0
(181) Snyder Ron P........................................................................
CFO/President HHF Board
 40.00
.......................1.00 		X   X       0 191,912 25,035
(182) Barrett Scott........................................................................
Board HHF
 1.00
.......................0.00 		X           0 0 0
(183) Heilman Sharon........................................................................
Board HHF
 1.00
.......................0.00 		X           0 0 0
(184) Royer Mariann........................................................................
Board HHF
 1.00
.......................0.00 		X           0 0 0
(185) Smith Linda........................................................................
Board HHF
 1.00
.......................0.00 		X           0 0 0
(186) Johnson Katherine E MD........................................................................
Chairman HPF Board
 1.00
.......................0.00 		X   X       0 0 0
(187) Seckinger Mark R........................................................................
Pres/CEO & Sec HPF-Ex-Officio
 1.00
.......................0.00 		X   X       0 0 0
(188) Govekar Michele........................................................................
Board HPF
 1.00
.......................0.00 		X           0 0 0
(189) Jennings Matthew........................................................................
Board HPF
 1.00
.......................0.00 		X           0 0 0
(190) Radway Rob........................................................................
Board HPF
 1.00
.......................0.00 		X           0 0 0
(191) Schwemer John........................................................................
Board HPF
 1.00
.......................0.00 		X           0 0 0
(192) Cox Steve........................................................................
Chair DHCN
 1.00
.......................0.00 		X   X       0 0 0
(193) Donlin-Hue Teri........................................................................
Vice-Chair DHCN
 1.00
.......................0.00 		X   X       0 0 0
(194) Crawford Bernita........................................................................
Secretary DHCN
 1.00
.......................0.00 		X   X       0 0 0
(195) Thornhill Larry W........................................................................
Tres DHCN-Ex-Officio
 1.00
.......................40.00 		X   X       0 377,701 36,206
(196) Blom David P........................................................................
Board DHCN-Ex-Officio
 1.00
.......................0.00 		X           0 0 0
(197) Brooks Stuart........................................................................
Board DHCN
 1.00
.......................0.00 		X           0 0 0
(198) Bunyard Stephen P........................................................................
Board DHCN
 1.00
.......................0.00 		X           0 360,709 32,711
(199) Devol Marjorie D MD........................................................................
Board DHCN-Ex-Officio
 40.00
.......................0.00 		X           0 0 0
(200) Fraedrich Jeanie W........................................................................
Board DHCN
 1.00
.......................0.00 		X           0 0 0
(201) Herbert-Sinden Cheryl L........................................................................
Chair HRC
 1.00
.......................40.00 		X   X       0 473,814 184,001
(202) Bjerke Craig A........................................................................
Secretary/Treasurer HRC
 1.00
.......................0.00 		X   X       0 0 0
(203) Englefield Cynthia........................................................................
Board HRC
 1.00
.......................0.00 		X           0 0 0
(204) Evert Barbara MD........................................................................
Board HRC
 1.00
.......................40.00 		X           0 390,328 29,235
(205) Lehmuth Richard L........................................................................
Board HRC
 1.00
.......................40.00 		X           0 391,473 49,187
(206) Herbert-Sinden Cheryl L........................................................................
Chair HRHC
 1.00
.......................0.00 		X   X       0 0 0
(207) Bjerke Craig A........................................................................
Secretary/Treasurer HRHC
 1.00
.......................0.00 		X   X       0 0 0
(208) Englefield Cynthia........................................................................
Board HRHC
 1.00
.......................0.00 		X           0 0 0
(209) Evert Barbara MD........................................................................
Board HRHC
 1.00
.......................0.00 		X           0 0 0
(210) Lehmuth Richard L........................................................................
Board HRHC
 1.00
.......................0.00 		X           0 0 0
(211) Louge Michael W........................................................................
Exec VP & CFO OHF (end 10/13)
 40.00
.......................0.00 		    X       0 0 0
(212) Yates Vinson M........................................................................
Exec VP & CFO OHF (start 10/13)
 40.00
.......................1.00 		    X       0 0 0
(213) Louge Michael W........................................................................
Exec VP & CFO OPG (end 10/13)
 40.00
.......................1.00 		    X       0 0 0
(214) Yates Vinson M........................................................................
Exec VP & CFO OPG (start 10/13)
 40.00
.......................1.00 		    X       0 0 0
(215) Roth Danielle C........................................................................
COO OPG
 40.00
.......................0.00 		    X       0 247,796 31,910
(216) Meldrum Terri W Esq........................................................................
Sec BD OPG
 40.00
.......................1.00 		    X       0 275,656 42,546
(217) Bjerke Craig A........................................................................
Treas BD OPG
 40.00
.......................0.00 		    X       0 0 0
(218) Louge Michael W........................................................................
Exec VP & CFO OHRI (end 10/13)
 40.00
.......................1.00 		    X       0 0 0
(219) Yates Vinson M........................................................................
Exec VP & CFO OHRI (start 10/13)
 40.00
.......................1.00 		    X       0 0 0
(220) Hagen Bruce P........................................................................
Reg Exec Pres DMH/GMH
 20.00
.......................20.00 		    X       0 693,312 180,304
(221) Louge Michael W........................................................................
Exec VP & CFO GMH (end 10/13)
 40.00
.......................1.00 		    X       0 0 0
(222) Yates Vinson M........................................................................
Exec VP & CFO GMH (start 10/13)
 40.00
.......................1.00 		    X       0 0 0
(223) Brown Steven........................................................................
VP Finance, MGH
 40.00
.......................1.00 		    X       0 224,825 46,604
(224) Snyder Ron P........................................................................
CFO HMH
 40.00
.......................1.00 		    X       0 0 0
(225) Snyder Ron P........................................................................
CFO HPF
 40.00
.......................1.00 		    X       0 0 0
(226) Louge Michael W........................................................................
Exec VP & CFO DHCN (end 10/13)
 40.00
.......................1.00 		    X       0 0 0
(227) Yates Vinson M........................................................................
Exec VP & CFO DHCN (start 10/13)
 40.00
.......................1.00 		    X       0 0 0
(228) Newbrough Jr James P........................................................................
President HRC
 40.00
.......................1.00 		    X       0 306,432 44,521
(229) Louge Michael W........................................................................
Exec VP & CFO HRC (end 10/13)
 40.00
.......................1.00 		    X       0 0 0
(230) Yates Vinson M........................................................................
Exec VP & CFO HRC (start 10/13)
 40.00
.......................1.00 		    X       0 0 0
(231) Newbrough Jr James P........................................................................
President HRHC
 40.00
.......................1.00 		    X       0 0 0
(232) Louge Michael W........................................................................
Exec VP & CFO HRHC (end 10/13)
 40.00
.......................1.00 		    X       0 0 0
(233) Yates Vinson M........................................................................
Exec VP & CFO HRHC (start 10/13)
 40.00
.......................1.00 		    X       0 0 0
(234) Cecala Alan H........................................................................
VP Sys Serv Line Sup OHMSF
 40.00
.......................1.00 		    X       0 331,824 35,540
(235) Foley Denise E........................................................................
VP Bus Dev OHMSF
 40.00
.......................1.00 		    X       0 297,086 57,614
(236) Smith Jeffrey A........................................................................
VP Finance OHMSF
 40.00
.......................1.00 		    X       0 304,428 39,811
(237) Tomaszewski James A........................................................................
VP Heart & Vascular OHMSF
 40.00
.......................1.00 		    X       0 419,592 18,451
(238) Barnes II Earl J Esq........................................................................
Sr VP and General Counsel
 40.00
.......................0.00 		    X       0 0 0
(239) Wyse LaMar L........................................................................
COO DHCN
 40.00
.......................1.00 		      X     0 294,758 0
(240) Hooper Joseph........................................................................
VP Oper MGH
 40.00
.......................1.00 		      X     0 259,114 41,414
(241) Walsh Robert........................................................................
COO GMH
 40.00
.......................1.00 		      X     0 223,236 58,258
(242) Buster Ward........................................................................
Physician Core OPG
 40.00
.......................0.00 		        X   1,105,790 0 41,338
(243) Cassandra James C DO........................................................................
Physician Hand & Ortho Surgery OPG
 40.00
.......................0.00 		        X   1,581,699 0 68,205
(244) Fulop James P MD........................................................................
Physician Core OHMSF
 40.00
.......................0.00 		        X   1,098,947 0 42,018
(245) Kovack Thomas J DO........................................................................
Physician Ortho Surgery (General) OPG
 40.00
.......................0.00 		        X   2,822,588 0 59,802
(246) Mahmoud Akram H DO........................................................................
Physician Core OHMSF
 40.00
.......................0.00 		        X   1,400,851 0 31,080
(247) Garlock Steven J........................................................................
Former Pres GMH
 0.00
.......................0.00 		          X 0 434,566 84,031
(248) Long Greg........................................................................
Former COO-DHN
 0.00
.......................0.00 		          X 0 334,530 42,436
(249) Laterro Anita A........................................................................
Fmr Key Employee OHF
 0.00
.......................0.00 		          X 0 208,150 46,819
(250) O'Sullivan Michael........................................................................
Former Sr VP & CDO-OHF
 0.00
.......................0.00 		          X 0 266,406 53,149
(251) Wallis Eric........................................................................
Former CNO-MGH
 0.00
.......................0.00 		          X 0 223,879 36,578
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 14,552,918 26,178,118 6,444,295
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet505
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
Yes
 
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
Premier Health Care Services IncPO Box 631606CincinnatiOH452631606 Emergency Room Physician Services 4,921,763
Healix Infusion Therapy Inc14140 Southwest FreewaySugarlandTX774780000 Pharmaceutical Compounding Scvs (Sch O) 3,813,425
Athena Health Inc311 Arsenal StreetWatertownMA024720000 Health Care Billing Services 3,647,643
Cardinal Health - Valuelink2320 McGaw RoadObetzOH432070000 Logistics Services 2,770,195
Dawson Personnel Systems - TrigaPO Box 711503CincinnatiOH452711503 Temporary Help Services 2,337,155
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet271
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 430,672
b Membership dues....1b  
c Fundraising events....1c 380,614
d Related organizations...1d 90,435
e Government grants (contributions)1e 847,556
f All other contributions, gifts, grants, and
similar amounts not included above1f 		11,649,175
g Noncash contributions included in lines
1a-1f:$ 		13,238
h Total. Add lines 1a-1f.......MediumBullet 13,398,452
Program Service RevenueAmt Business Code
2a Medicare and Medicaid 900099 277,028,621 277,028,621    
b Net Patient Svcs 900099 231,974,845 231,974,845    
c Research Revenue 900099 1,608,349 1,608,349    
d Joint Venture Income 621990 233,391 151,637 81,754  
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 510,845,206
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 3,656,701     3,656,701
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents 356,683  
b Less: rental expenses 210,893  
c Rental income or (loss) 145,790  
d Net rental income or (loss).......MediumBullet 145,790     145,790
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 264,802,696  
b Less: cost or other basis and sales expenses 263,592,876 203,836
c Gain or (loss) 1,209,820 -203,836
d Net gain or (loss)..........MediumBullet 1,005,984     1,005,984
8a Gross income from fundraising events (not including
$ 380,614
of contributions reported on line 1c). See Part IV, line 18 ..
a 171,003
b Less: direct expenses ...b 158,625
c Net income or (loss) from fundraising events..MediumBullet 12,378   12,378
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...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a 8,314,724
b Less: cost of goods sold ..b 3,323,976
c Net income or (loss) from sales of inventory..MediumBullet 4,990,748     4,990,748
Miscellaneous Revenue Business Code
11a Intercompany Admin 900099 60,892,771 60,892,771    
b Cafeteria/Food Service 900099 535,286     535,286
c Department Services 900099 9,410 9,410    
d All other revenue .... 5,376,363 5,376,363    
e Total. Add lines 11a–11d ...... MediumBullet 66,813,830
12 Total revenue. See Instructions......MediumBullet 600,869,089 577,041,996 81,754 10,346,887
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 governments and organizations in the United States. See Part IV, line 21 1,993,336 1,993,336
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 144,406 144,406
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 6,969,505 6,917,529 51,976  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 383,812,355 318,408,369 62,913,792 2,490,194
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 12,802,440 10,177,940 2,547,138 77,362
9 Other employee benefits ....... 33,577,939 26,694,462 6,693,632 189,845
10 Payroll taxes ........... 24,510,498 19,485,846 4,901,449 123,203
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 110,113 87,540 11,196 11,377
c Accounting ........... 87,540   87,540  
d Lobbying ........... 23,756   23,756  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 189,640   189,640  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 37,636,072 29,920,677 7,672,226 43,169
12 Advertising and promotion .... 1,339,212   1,234,442 104,770
13 Office expenses ....... 7,254,827 5,767,587 1,466,297 20,943
14 Information technology ...... 2,527,329 2,009,227 518,102  
15 Royalties ..        
16 Occupancy ........... 21,604,078 17,175,242 4,428,711 125
17 Travel ............ 3,402,864 2,705,277 677,870 19,717
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 574,637 456,836 88,027 29,774
20 Interest ........... 1,191,428 947,185 244,243  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 24,034,889 19,107,737 4,902,757 24,395
23 Insurance .............. 7,085,778 5,633,194 1,452,356 228
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 Medical Supply Expense 55,814,034 55,814,034 0 0
b Intercompany Expense 40,849,971 32,475,727 8,374,244 0
c Repair and Maintenance 8,706,240 8,706,240    
d Medicaid Tax Expense 3,215,665 3,215,665 0 0
e All other expenses 6,996,353 3,771,171 3,176,958 48,224
25 Total functional expenses. Add lines 1 through 24e 686,454,905 571,615,227 111,656,352 3,183,326
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 15,750 1 21,365
2 Savings and temporary cash investments ......... 38,876,151 2 48,840,580
3 Pledges and grants receivable, net ........... 6,941,921 3 7,673,298
4 Accounts receivable, net ............. 62,916,595 4 69,356,442
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
55,526 5 11,041
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
  6  
7 Notes and loans receivable, net ............. 8,269,484 7 7,323,376
8 Inventories for sale or use .............. 6,844,797 8 8,020,927
9 Prepaid expenses and deferred charges .......... 5,898,008 9 6,901,372
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 366,291,179
b Less: accumulated depreciation ..... 10b 208,322,237 154,664,502 10c 157,968,942
11 Investments—publicly traded securities .......... 146,958,528 11 163,047,244
12 Investments—other securities. See Part IV, line 11 ..... 13,924,221 12 8,556,119
13 Investments—program-related. See Part IV, line 11 ..... 1,090,584 13 325,379
14 Intangible assets ............... 33,857,500 14 34,541,326
15 Other assets. See Part IV, line 11 ........... 22,306,758 15 23,997,881
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 502,620,325 16 536,585,292
Liabilities 17 Accounts payable and accrued expenses ......... 67,989,155 17 66,828,318
18 Grants payable .................   18  
19 Deferred revenue ................ 931,161 19 1,815,295
20 Tax-exempt bond liabilities ............. 40,879,376 20 40,179,619
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
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..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 933,164 23 536,930
24 Unsecured notes and loans payable to unrelated third parties ....   24  
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.................... 36,428,019 25 48,158,046
26 Total liabilities. Add lines 17 through 25......... 147,160,875 26 157,518,208
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 296,337,372 27 315,257,499
28 Temporarily restricted net assets ........... 42,621,164 28 46,769,616
29 Permanently restricted net assets ........... 16,500,914 29 17,039,969
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet 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 ........... 355,459,450 33 379,067,084
34 Total liabilities and net assets/fund balances ........ 502,620,325 34 536,585,292
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
600,869,089
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
686,454,905
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-85,585,816
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
355,459,450
5
Net unrealized gains (losses) on investments ...............
5
1,410,897
6
Donated services and use of facilities .................
6
65,017
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
107,717,536
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
379,067,084
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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 See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
OhioHealth Corporation Group Return
 
Employer identification number

32-0007056
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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 IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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 IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
OhioHealth Corporation Group Return
 
Employer identification number

32-0007056
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
OhioHealth Corporation Group Return
  		Employer identification number

32-0007056
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
OhioHealth Corporation Group Return
  		Employer identification number

32-0007056
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
OhioHealth Corporation Group Return
  		Employer identification number

32-0007056
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


Software ID:  
Software Version:  
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 See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
OhioHealth Corporation Group Return
 
Employer identification number

32-0007056
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$ 0
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
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) 2013

Schedule C (Form 990 or 990-EZ) 2013
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 Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(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? ......................................

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 instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2010 (b) 2011 (c) 2012 (d) 2013 (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) 2013


Schedule C (Form 990 or 990-EZ) 2013
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)
No
Yes
(b)
Amount
1
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:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
23,756
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
23,756
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
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."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
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, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Part II-B, Line 1: The grants to other organizations for lobbying purposes are for membership dues. The majority of these dues are for membership in American Hospital Association (AHA) and the Ohio Hospital Association (OHA). OhioHealth Group does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
OhioHealth Corporation Group Return
 
Employer identification number

32-0007056
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 contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .......................................
9
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.
1a
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.
b
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)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
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:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
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 .... 40,862,031 39,470,577 40,674,840 42,000,827 38,990,557
b Contributions ........ 399,071 288,256 277,730 325,956 996,038
c Net investment earnings, gains, and losses 5,857,463 2,791,225 796,399 5,824,551 4,015,246
d Grants or scholarships ..... 81,038 72,449 116,994 92,800 24,850
e Other expenditures for facilities
and programs ........ 		1,263,874 1,041,289 1,447,322 6,656,908 1,288,068
f Administrative expenses .... 1,045,035 574,289 714,076 726,786 688,096
g End of year balance ...... 44,728,618 40,862,030 39,470,577 40,674,840 42,000,827
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet30.000 %
b
Permanent endowment SchDMd Bullet29.390 %
c
Temporarily restricted endowment SchDMd Bullet40.610 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   10,863,143 10,863,143
b Buildings ................   167,250,741 84,021,742 83,228,999
c Leasehold improvements ............   803,044 432,346 370,698
d Equipment ................   128,372,691 93,084,468 35,288,223
e Other .................   59,001,560 30,783,681 28,217,879
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 157,968,942
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other 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.)Small Bullet  
Part VIII
Investments—Program 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.)Small Bullet  
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








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
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  
Deferred Long Term Liabilities 3,393,932
Due to Affiliates - Loans and Notes 17,260,445
Other 19,491,626
Pension Liability 8,012,043





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 48,158,046
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) 2013

Schedule D (Form 990) 2013
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  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
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  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
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  
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  
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  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
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: To earn investment income for use in medical charity care, medical procedures, medical education and various other hospital services.
Part X, Line 2: From the financial statements of OhioHealth Corporation (which include the activity of the OhioHealth Corporation Group Return): Management has analyzed the tax positions taken by the Corporation and its subsidiaries and has concluded that as of June 30, 2014, there are no uncertain positions taken or expected to be taken that would require recognition of any tax benefits or liabilities, or disclosure in the financial statements.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
OhioHealth Corporation Group Return
 
Employer identification number

32-0007056
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

Candy Cane Ball
(event type) 		(b) Event #2

Kitchen Kapers
(event type) 		(c) Other events

4
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 264,465 65,013 222,139 551,617
2 Less: Contributions . . 196,281 11,445 172,888 380,614
3 Gross income (line 1
minus line 2) . . . 		68,184 53,568 49,251 171,003
VerticalDirectExpenses 4 Cash prizes . . .     220 220
5 Noncash prizes . .     1,518 1,518
6 Rent/facility costs . . 6,307   3,691 9,998
7 Food and beverages . 37,228 4,401 12,928 54,557
8 Entertainment . . . 28,040     28,040
9 Other direct expenses . 45,127   19,165 64,292
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 158,625
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow 12,378
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
%
%
%
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
%
b
An outside facility ........................
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2013
Additional Data


Software ID:  
Software Version:  
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
OhioHealth Corporation Group Return
 
Employer identification number

32-0007056
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria 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.
4
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"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
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? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (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) .. 		    13,859,838 2,741,752 11,118,086 4.080 %
b Medicaid (from Worksheet 3,
column a) .... 		    48,395,998 31,225,734 17,170,264 6.310 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    62,255,836 33,967,486 28,288,350 10.390 %
Other Benefits
     226,944 12,754 214,190 0.080 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    219,266 0 219,266 0.080 %
g Subsidized health services
(from Worksheet 6) .. 		    1,263,664 0 1,263,664 0.460 %
h Research (from Worksheet 7)            
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    5,503 0 5,503 0 %
j Total. Other Benefits ..     1,715,377 12,754 1,702,623 0.620 %
k Total. Add lines 7d and 7j .     63,971,213 33,980,240 29,990,973 11.010 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing           0 %
2 Economic development           0 %
3 Community support           0 %
4 Environmental improvements           0 %
5 Leadership development and training for community members           0 %
6 Coalition building     11,274   11,274 0 %
7 Community health improvement advocacy           0 %
8 Workforce development           0 %
9 Other           0 %
10 Total     11,274   11,274  
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
15,031,121
3
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. ......
3
0
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
101,031,204
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
112,038,213
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-11,007,009
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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.......................

9b

Yes

 
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 %
11 Ohio Employee Health Partnership
  		Workers Compensation Services 2.780 % 47.220 % 50.000 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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?4
Name, address, primary website address, and state license number 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 Marion General Hospital
1000 McKinley Park Drive
Marion,OH433026399
www.ohiohealth.com
ODH1233 		X           X      
2 Grady Memorial Hospital
561 West Central Avenue
Delaware,OH430151410
www.ohiohealth.com
ODH1163 		X           X      
3 Hardin Memorial Hospital
921 East Franklin Street
Kenton,OH433262020
www.ohiohealth.com
ODH1196 		X       X   X      
4 Doctors Hospital at Nelsonville
1950 Mount Saint Marys Drive
Nelsonville,OH457641280
www.ohiohealth.com
ODH1110 		X       X   X      
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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)
Marion General Hospital
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 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 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 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 Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a 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)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, 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) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 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 includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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 actions the hospital facility may take upon non-payment?....... 15 Yes  
16 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:
a
b
c
d
e
17 Did the hospital facility or an 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?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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.
a
b
c
d
21 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? ............................ 21   No
If "Yes," explain in Part VI.
22 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? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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)
Grady Memorial Hospital
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		2
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 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 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 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 Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a 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)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, 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) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 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 includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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 actions the hospital facility may take upon non-payment?....... 15 Yes  
16 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:
a
b
c
d
e
17 Did the hospital facility or an 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?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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.
a
b
c
d
21 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? ............................ 21   No
If "Yes," explain in Part VI.
22 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? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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)
Hardin Memorial Hospital
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		3
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 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 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 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 Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a 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)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, 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) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 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 includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11   No
If "Yes," indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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 actions the hospital facility may take upon non-payment?....... 15 Yes  
16 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:
a
b
c
d
e
17 Did the hospital facility or an 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?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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.
a
b
c
d
21 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? ............................ 21   No
If "Yes," explain in Part VI.
22 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? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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)
Doctors Hospital at Nelsonville
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		4
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 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 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 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 Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a 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)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, 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) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 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 includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 150.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11   No
If "Yes," indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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 actions the hospital facility may take upon non-payment?....... 15 Yes  
16 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:
a
b
c
d
e
17 Did the hospital facility or an 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?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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.
a
b
c
d
21 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? ............................ 21   No
If "Yes," explain in Part VI.
22 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? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
Marion General Hospital Part V, Section B, Line 3: Community input for this report was provided through a series of meetings held on March 21, 2012; April 19, 2012; May 17, 2012; June 21, 2012; August 13, 2012; and August 16, 2012. with community representatives. It was important that individuals with special expertise in public health participate. The following community representatives with significant public health knowledge and experience participated: Gwen Janeczek, RN, BSN Director of Nursing, Marion Public Health; and Rosemary Chaudry, PhD, RN, MHA, MPH, Associate Clinical Professor, The Ohio State University College of Nursing (retired); Assessment and Accreditation Coordinator, Delaware General Health District. OhioHealth representatives also consulted with The Ohio State University Extension Family Nutrition Program regarding their efforts toward preventing obesity.
Grady Memorial Hospital Part V, Section B, Line 3: To ensure input was received from persons in the community, OhioHealth and the Center for Public Health Practice consulted with persons who represent the community and who have expertise in public health. The following representatives from the community and including those with special knowledge or expertise in public health were included in the process: Rosemary Chaudry, PhD, RN, MHA, MPH: Assessment and Surveillance Coordinator, Delaware General Health District; Nancy Shapiro, MA, RN; Assistant Health Commissioner, Director of Assessment, Planning and Education; Scott B. Sanders, AICP: Executive Director, Delaware County Regional Planning Commission; Sandra Stults, Dental Hygienist; Elected Official, Delaware County Township Association; Steve Hedge: Executive Director, Delaware Morrow Mental Health and Recovery Services Board; Marie C. Ward, PhD: Assistant Superintendent of Client Services, Educational Service Center of Central Ohio; Tom S. Stewart: Chief, Orange Township Fire Department; Michele Shough: Staff of Division of Prevention and Health Promotion, Ohio Department of Health; William Verhoff, MBA, BSN, RN, OhioHealth Grady Memorial Hospital; Chris Fink, PhD: Assistant Professor and Chair, Department of Health and Human Kinetics, Ohio Wesleyan University; Kevin James Crowley: Executive Director, People in Need; Brandon Feller: President, United Way of Delaware County; Barb Lyon: Vice President, United Way of Delaware County; Jack Hilborn, Community Resident; Ruth Shrock, Community Resident; Deb Lipscomb, Community Resident; Larry Cline, Community Resident.
Hardin Memorial Hospital Part V, Section B, Line 3: Hardin Memorial consulted with various persons who lead or represent broad interests of the community it serves by participating in four community health needs assessment meetings for the north central region, and hosting one community meeting. Participants were either employed by government agencies, nonprofit healthcare organizations, community agencies, or retired residents: Kay J. Eibling, mobility manager, Hardin County Council on Aging Inc.; Shirl P. Taylor, director, Hardin County Council on Aging Inc.; Keith Gensheimer, member, Board of Directors, Hardin County Community Foundation; Lisa Frantz, director, Kenton Community Health Center; Sean Galvin, chief executive officer, Hardin County Family YMCA; Annetta Holmes, executive director, United Way of Hardin County; Brenda Jennings, RN, school nurse, Kenton City Schools; Karen Kier, PhD, director of assessment, and professor of Clinical Pharmacy and Pharmacy Practice, Ohio Northern University; Kathy Oliver, educator, The Ohio State University Extension; Marcia Retterer, chief executive officer and founder, Not By Choice Outreach; Dave Salucci, deputy director, HHWP (Hancock, Hardin, Wyandot, and Putnam)Community Action Commission; Stephen McCullough, member, Board of Trustees, Hardin Memorial; Matt Jennings, chairman, Board of Trustees, Hardin Memorial; Terri Holloway, community representative.
Doctors Hospital at Nelsonville Part V, Section B, Line 3: Community input was provided in the four community health needs assessment meetings and by hosting a community meeting. Doctors Hospital Nelsonville and OhioHealth included the following persons who have significant public health knowledge and skills, and who have been involved with community projects and programs in Athens County: Ruth Dudding, CHES, heath educator, Athens City-County Health Department; Lucrecia Johnson, program coordinator, Medicare Rural Hospital Flexibility (Flex) and Small Rural Hospital Improvement Grant Program (SHIP); Pam Hunt, coordinator, State Office of Rural Health; Laura Milazzo, senior research associate, Ohio University's Voinovich School of Leadership and Public Affairs; Sara Boyd, senior project manager, Ohio University's Voinovich School of Leadership and Public Affairs.
Hardin Memorial Hospital Part V, Section B, Line 4: Hardin Memorial successfully completed the CHNA in collaboration with other CAHs in Ohio's north central region, including Bucyrus and Galion Community Hospitals (Avita Health System), Conneaut and Geneva Medical Centers, Lodi Community Hospital, Mercy Allen Hospital, Mercy Memorial Hospital (Community Mercy Health Partners), Mercy Willard Hospital, Morrow County Hospital, and Wyandot Memorial Hospital.
Doctors Hospital at Nelsonville Part V, Section B, Line 4: Doctors Hospital Nelsonville successfully completed the community health needs assessment in collaboration with seven critical access hospitals in Ohio's southern region: Adams County Regional Medical Center, Adena Greenfield Medical Center, Fayette County Memorial Hospital, Highland District Hospital, Hocking Valley Community Hospital, Holzer Medical Center-Jackson and Pike Community Hospital.
Marion General Hospital Part V, Section B, Line 5d: https://www.ohiohealth.com/communityhealthneedsassessment/
Grady Memorial Hospital Part V, Section B, Line 5d: https://www.ohiohealth.com/communityhealthneedsassessment/
Hardin Memorial Hospital Part V, Section B, Line 5d: https://www.ohiohealth.com/communityhealthneedsassessment/
Doctors Hospital at Nelsonville Part V, Section B, Line 5d: https://www.ohiohealth.com/communityhealthneedsassessment/
Hardin Memorial Hospital Part V, Section B, Line 11: Discount Care is available for all uninsured patients.
Doctors Hospital at Nelsonville Part V, Section B, Line 11: Gross charges are automatically discounted 20% when an uninsured patient does not qualify for HCAP or charity care.
Marion General Hospital Part V, Section B, Line 14g: Signs are posted at multiple entry points and registration locations stating the intent to comply with the State of Ohio's Hospital Care Assurance Program (HCAP). Additionally, the signage contains reference to the organization's Charity Care Program. Information materials are available at registration locations and interpretive services can be arranged if the patient/guarantor does not speak English. OhioHealth facility billing statements also include information regarding HCAP and can be used to apply for financial assistance. Financial Counselors are located at each of the main hospital campuses to provide information about the financial assistance programs to the patients as well as assist with completing the financial assistance application. All self pay registrations are referred to the financial counselors or on-site vendors and an attempt is made for direct contact to discuss and complete the financial assistance application. There may be times, such as very late in the evening or very early morning, when all self pay patients are not seen face-to-face before they are discharged. However, there are phone attempts and letters mailed to these patients to explain financial assistance and attempt completion of the financial assistance application. The front of every patient billing statement references assistance for amounts not covered by insurance to those individuals whose income is below the established poverty level. There are telephone numbers for customer service, with service hours, and an email address provided on the front of every patient billing statement. On the back of every patient billing statement is the financial assistance application with the federal poverty guidelines. Included are directions to complete the application, sign, and where to send the application. The Customer Call Center will discuss financial assistance with any patient that expresses need or concern in paying the balance on their account. The representative will forward the caller to the verbal financial assistance queue or have a financial assistance application mailed to the patient. The financial assistance application is available in five different languages based on the needs of the communities.The internet (ohiohealth.com) has information pertaining to the charity programs as well as the financial assistance application, in five different languages, as well as directions on how to complete the financial assistance application.
Grady Memorial Hospital Part V, Section B, Line 14g: Signs are posted at multiple entry points and registration locations stating the intent to comply with the State of Ohio's Hospital Care Assurance Program (HCAP). Additionally, the signage contains reference to the organization's Charity Care Program. Information materials are available at registration locations and interpretive services can be arranged if the patient/guarantor does not speak English. OhioHealth facility billing statements also include information regarding HCAP and can be used to apply for financial assistance. Hospital Patient Billing Brochures explain that OhioHealth provides care to everyone who comes for services, regardless of their ability to pay. The brochure provides information about HCAP and the hospitals charity care programs, how to apply, and the numbers to call with questions. Hospital Patient Billing Brochures are handed to every self pay patient with the financial assistance application and available upon request for insured patients. Financial Counselors are located at each of the main hospital campuses to provide information about the financial assistance programs to the patients as well as assist with completing the financial assistance application. All self pay registrations are referred to the financial counselors or on-site vendors and an attempt is made for direct contact to discuss and complete the financial assistance application. There may be times, such as very late in the evening or very early morning, when all self pay patients are not seen face-to-face before they are discharged. However, there are phone attempts and letters mailed to these patients to explain financial assistance and attempt completion of the financial assistance application. The front of every patient billing statement references assistance for amounts not covered by insurance to those individuals whose income is below the established poverty level. There are telephone numbers for customer service, with service hours, and an email address provided on the front of every patient billing statement. On the back of every patient billing statement is the financial assistance application with the federal poverty guidelines. Included are directions to complete the application, sign, and where to send the application. During the pre-registration/preadmissions process, the registration representative will inform scheduled self-pay patients via telephone that financial assistance may be available and that he/she may be referred to the Customer Call Center for assistance in applying. The registrar will transfer the patient to the verbal financial assistance queue and/or will provide the telephone number to the verbal financial assistance queue. All insured patients expressing need for financial assistance will also be transferred to the verbal financial assistance queue and/or provided the telephone number to the verbal financial assistance queue in the Customer Call Center.The Customer Call Center will discuss financial assistance with any patient that expresses need or concern in paying the balance on their account. The representative will forward the caller to the verbal financial assistance queue or have a financial assistance application mailed to the patient. The financial assistance application is available in five different languages based on the needs of the communities.
Hardin Memorial Hospital Part V, Section B, Line 14g: Signs are posted at registration locations stating the intent to comply with the State of Ohio's Hospital Care Assurance Program (HCAP). Additionally, the signage contains reference to the organization's Charity Care Program. Information materials are available at registration locations and interpretive services can be arranged if the patient/guarantor does not speak English. OhioHealth facility billing statements also include information regarding HCAP and can be used to apply for financial assistance. Financial Counselors are located at each of the main hospital campuses to provide information about the financial assistance programs to the patients as well as assist with completing the financial assistance application. All self pay registrations are referred to the financial counselors or on-site vendors and an attempt is made for direct contact to discuss and complete the financial assistance application. There may be times, such as very late in the evening or very early morning, when all self pay patients are not seen face-to-face before they are discharged. However, there are phone attempts and letters mailed to these patients to explain financial assistance and attempt completion of the financial assistance application. The front of every patient billing statement references assistance for amounts not covered by insurance to those individuals whose income is below the established poverty level. There are telephone numbers for customer service, with service hours, and an email address provided on the front of every patient billing statement. On the back of every patient billing statement is the financial assistance application with the federal poverty guidelines. Included are directions to complete the application, sign, and where to send the application. The Customer Call Center will discuss financial assistance with any patient that expresses need or concern in paying the balance on their account. The representative will forward the caller to the verbal financial assistance queue or have a financial assistance application mailed to the patient. The financial assistance application is available in five different languages based on the needs of the communities.The internet (ohiohealth.com) has information pertaining to the charity programs as well as the financial assistance application, in five different languages, as well as directions on how to complete the financial assistance application.
Doctors Hospital at Nelsonville Part V, Section B, Line 14g: Signs are posted at multiple entry points and registration locations stating the intent to comply with the State of Ohio's Hospital Care Assurance Program (HCAP). Additionally, the signage contains reference to the organization's Charity Care Program. Information materials are available at registration locations and interpretive services can be arranged if the patient/guarantor does not speak English. OhioHealth facility billing statements also include information regarding HCAP and can be used to apply for financial assistance. Hospital Patient Billing Brochures explain that OhioHealth provides care to everyone who comes for services, regardless of their ability to pay. The brochure provides information about HCAP and the hospitals charity care programs, how to apply, and the numbers to call with questions. Hospital Patient Billing Brochures are handed to every self pay patient with the financial assistance application and available upon request for insured patients. Financial Counselors are located at each of the main hospital campuses to provide information about the financial assistance programs to the patients as well as assist with completing the financial assistance application. All self pay registrations are referred to the financial counselors or on-site vendors and an attempt is made for direct contact to discuss and complete the financial assistance application. There may be times, such as very late in the evening or very early morning, when all self pay patients are not seen face-to-face before they are discharged. However, there are phone attempts and letters mailed to these patients to explain financial assistance and attempt completion of the financial assistance application. The front of every patient billing statement references assistance for amounts not covered by insurance to those individuals whose income is below the established poverty level. There are telephone numbers for customer service, with service hours, and an email address provided on the front of every patient billing statement. On the back of every patient billing statement is the financial assistance application with the federal poverty guidelines. Included are directions to complete the application, sign, and where to send the application. During the pre-registration/preadmissions process, the registration representative will inform scheduled self-pay patients via telephone that financial assistance may be available and that he/she may be referred to the Customer Call Center for assistance in applying. The registrar will transfer the patient to the verbal financial assistance queue and/or will provide the telephone number to the verbal financial assistance queue. All insured patients expressing need for financial assistance will also be transferred to the verbal financial assistance queue and/or provided the telephone number to the verbal financial assistance queue in the Customer Call Center.The Customer Call Center will discuss financial assistance with any patient that expresses need or concern in paying the balance on their account. The representative will forward the caller to the verbal financial assistance queue or have a financial assistance application mailed to the patient. The financial assistance application is available in five different languages based on the needs of the communities.
Marion General Hospital Part V, Section B, Line 18e: Signs are posted at multiple entry points and registration locations stating the intent to comply with the State of Ohio's Hospital Care Assurance Program (HCAP). Additionally, the signage contains reference to the organization's Charity Care Program. Information materials are available at registration locations and interpretive services can be arranged if the patient/guarantor does not speak English. OhioHealth facility billing statements also include information regarding HCAP and can be used to apply for financial assistance. Financial Counselors are located at each of the main hospital campuses to provide information about the financial assistance programs to the patients as well as assist with completing the financial assistance application. All self pay registrations are referred to the financial counselors or on-site vendors and an attempt is made for direct contact to discuss and complete the financial assistance application. There may be times, such as very late in the evening or very early morning, when all self pay patients are not seen face-to-face before they are discharged. However, there are phone attempts and letters mailed to these patients to explain financial assistance and attempt completion of the financial assistance application. The front of every patient billing statement references assistance for amounts not covered by insurance to those individuals whose income is below the established poverty level. There are telephone numbers for customer service, with service hours, and an email address provided on the front of every patient billing statement. On the back of every patient billing statement is the financial assistance application with the federal poverty guidelines. Included are directions to complete the application, sign, and where to send the application. The Customer Call Center will discuss financial assistance with any patient that expresses need or concern in paying the balance on their account. The representative will forward the caller to the verbal financial assistance queue or have a financial assistance application mailed to the patient. The financial assistance application is available in five different languages based on the needs of the communities.The internet (ohiohealth.com) has information pertaining to the charity programs as well as the financial assistance application, in five different languages, as well as directions on how to complete the financial assistance application.
Grady Memorial Hospital Part V, Section B, Line 18e: Signs are posted at multiple entry points and registration locations stating the intent to comply with the State of Ohio's Hospital Care Assurance Program (HCAP). Additionally, the signage contains reference to the organization's Charity Care Program. Information materials are available at registration locations and interpretive services can be arranged if the patient/guarantor does not speak English. OhioHealth facility billing statements also include information regarding HCAP and can be used to apply for financial assistance. Financial Counselors are located at each of the main hospital campuses to provide information about the financial assistance programs to the patients as well as assist with completing the financial assistance application. All self pay registrations are referred to the financial counselors or on-site vendors and an attempt is made for direct contact to discuss and complete the financial assistance application. There may be times, such as very late in the evening or very early morning, when all self pay patients are not seen face-to-face before they are discharged. However, there are phone attempts and letters mailed to these patients to explain financial assistance and attempt completion of the financial assistance application. The front of every patient billing statement references assistance for amounts not covered by insurance to those individuals whose income is below the established poverty level. There are telephone numbers for customer service, with service hours, and an email address provided on the front of every patient billing statement. On the back of every patient billing statement is the financial assistance application with the federal poverty guidelines. Included are directions to complete the application, sign, and where to send the application. The Customer Call Center will discuss financial assistance with any patient that expresses need or concern in paying the balance on their account. The representative will forward the caller to the verbal financial assistance queue or have a financial assistance application mailed to the patient. The financial assistance application is available in five different languages based on the needs of the communities.The internet (ohiohealth.com) has information pertaining to the charity programs as well as the financial assistance application, in five different languages, as well as directions on how to complete the financial assistance application.
Hardin Memorial Hospital Part V, Section B, Line 18e: Signs are posted at multiple entry points and registration locations stating the intent to comply with the State of Ohio's Hospital Care Assurance Program (HCAP). Additionally, the signage contains reference to the organization's Charity Care Program. Information materials are available at registration locations and interpretive services can be arranged if the patient/guarantor does not speak English. OhioHealth facility billing statements also include information regarding HCAP and can be used to apply for financial assistance. Financial Counselors are located at each of the main hospital campuses to provide information about the financial assistance programs to the patients as well as assist with completing the financial assistance application. All self pay registrations are referred to the financial counselors or on-site vendors and an attempt is made for direct contact to discuss and complete the financial assistance application. There may be times, such as very late in the evening or very early morning, when all self pay patients are not seen face-to-face before they are discharged. However, there are phone attempts and letters mailed to these patients to explain financial assistance and attempt completion of the financial assistance application. The front of every patient billing statement references assistance for amounts not covered by insurance to those individuals whose income is below the established poverty level. There are telephone numbers for customer service, with service hours, and an email address provided on the front of every patient billing statement. On the back of every patient billing statement is the financial assistance application with the federal poverty guidelines. Included are directions to complete the application, sign, and where to send the application. The Customer Call Center will discuss financial assistance with any patient that expresses need or concern in paying the balance on their account. The representative will forward the caller to the verbal financial assistance queue or have a financial assistance application mailed to the patient. The financial assistance application is available in five different languages based on the needs of the communities.The internet (ohiohealth.com) has information pertaining to the charity programs as well as the financial assistance application, in five different languages, as well as directions on how to complete the financial assistance application.
Doctors Hospital at Nelsonville Part V, Section B, Line 18e: Signs are posted at multiple entry points and registration locations stating the intent to comply with the State of Ohio's Hospital Care Assurance Program (HCAP). Additionally, the signage contains reference to the organization's Charity Care Program. Information materials are available at registration locations and interpretive services can be arranged if the patient/guarantor does not speak English. OhioHealth facility billing statements also include information regarding HCAP and can be used to apply for financial assistance. Financial Counselors are located at each of the main hospital campuses to provide information about the financial assistance programs to the patients as well as assist with completing the financial assistance application. All self pay registrations are referred to the financial counselors or on-site vendors and an attempt is made for direct contact to discuss and complete the financial assistance application. There may be times, such as very late in the evening or very early morning, when all self pay patients are not seen face-to-face before they are discharged. However, there are phone attempts and letters mailed to these patients to explain financial assistance and attempt completion of the financial assistance application. The front of every patient billing statement references assistance for amounts not covered by insurance to those individuals whose income is below the established poverty level. There are telephone numbers for customer service, with service hours, and an email address provided on the front of every patient billing statement. On the back of every patient billing statement is the financial assistance application with the federal poverty guidelines. Included are directions to complete the application, sign, and where to send the application. The Customer Call Center will discuss financial assistance with any patient that expresses need or concern in paying the balance on their account. The representative will forward the caller to the verbal financial assistance queue or have a financial assistance application mailed to the patient. The financial assistance application is available in five different languages based on the needs of the communities.The internet (ohiohealth.com) has information pertaining to the charity programs as well as the financial assistance application, in five different languages, as well as directions on how to complete the financial assistance application.
Marion General Hospital Part V, Section B, Line 20d: Any patient with income at 200% or below of the FPL gets a 100% discount. A patient between 201-267% receives a 75% discount (average Medicaid discount). A patient between 268-334% receives a 70% discount (average Medicare discount). A patient between 335-400% receives a 45% discount (average managed care discount). All patients without insurance receive a 35% uninsured discount, regardless of their income level.
Grady Memorial Hospital Part V, Section B, Line 20d: Any patient with income at 200% or below of the FPL gets a 100% discount. A patient between 201-267% receives a 75% discount (average Medicaid discount). A patient between 268-334% receives a 70% discount (average Medicare discount). A patient between 335-400% receives a 45% discount (average managed care discount). All patients without insurance receive a 35% uninsured discount, regardless of their income level.
Doctors Hospital at Nelsonville Part V, Section B, Line 20d: Gross charges are the same for each patient. Should a patient apply and be found eligible for financial aid, a 100% discount is applied to the gross charges, resulting in the patient owing nothing for the episode of care. There are no upper limits on the amount of charity care a patient may receive during any tax year.
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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 Kobacker House
800 McConnell Drive
Columbus,OH432140000 		In-Patient Hospice
2 Employed Physician Practices
Various
Various,OH432150000 		108 Physician Practice Offices
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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
Marion General Hospital Part V, Section B, Line 3: Community input for this report was provided through a series of meetings held on March 21, 2012; April 19, 2012; May 17, 2012; June 21, 2012; August 13, 2012; and August 16, 2012. with community representatives. It was important that individuals with special expertise in public health participate. The following community representatives with significant public health knowledge and experience participated: Gwen Janeczek, RN, BSN Director of Nursing, Marion Public Health; and Rosemary Chaudry, PhD, RN, MHA, MPH, Associate Clinical Professor, The Ohio State University College of Nursing (retired); Assessment and Accreditation Coordinator, Delaware General Health District. OhioHealth representatives also consulted with The Ohio State University Extension Family Nutrition Program regarding their efforts toward preventing obesity.
Grady Memorial Hospital Part V, Section B, Line 3: To ensure input was received from persons in the community, OhioHealth and the Center for Public Health Practice consulted with persons who represent the community and who have expertise in public health. The following representatives from the community and including those with special knowledge or expertise in public health were included in the process: Rosemary Chaudry, PhD, RN, MHA, MPH: Assessment and Surveillance Coordinator, Delaware General Health District; Nancy Shapiro, MA, RN; Assistant Health Commissioner, Director of Assessment, Planning and Education; Scott B. Sanders, AICP: Executive Director, Delaware County Regional Planning Commission; Sandra Stults, Dental Hygienist; Elected Official, Delaware County Township Association; Steve Hedge: Executive Director, Delaware Morrow Mental Health and Recovery Services Board; Marie C. Ward, PhD: Assistant Superintendent of Client Services, Educational Service Center of Central Ohio; Tom S. Stewart: Chief, Orange Township Fire Department; Michele Shough: Staff of Division of Prevention and Health Promotion, Ohio Department of Health; William Verhoff, MBA, BSN, RN, OhioHealth Grady Memorial Hospital; Chris Fink, PhD: Assistant Professor and Chair, Department of Health and Human Kinetics, Ohio Wesleyan University; Kevin James Crowley: Executive Director, People in Need; Brandon Feller: President, United Way of Delaware County; Barb Lyon: Vice President, United Way of Delaware County; Jack Hilborn, Community Resident; Ruth Shrock, Community Resident; Deb Lipscomb, Community Resident; Larry Cline, Community Resident.
Hardin Memorial Hospital Part V, Section B, Line 3: Hardin Memorial consulted with various persons who lead or represent broad interests of the community it serves by participating in four community health needs assessment meetings for the north central region, and hosting one community meeting. Participants were either employed by government agencies, nonprofit healthcare organizations, community agencies, or retired residents: Kay J. Eibling, mobility manager, Hardin County Council on Aging Inc.; Shirl P. Taylor, director, Hardin County Council on Aging Inc.; Keith Gensheimer, member, Board of Directors, Hardin County Community Foundation; Lisa Frantz, director, Kenton Community Health Center; Sean Galvin, chief executive officer, Hardin County Family YMCA; Annetta Holmes, executive director, United Way of Hardin County; Brenda Jennings, RN, school nurse, Kenton City Schools; Karen Kier, PhD, director of assessment, and professor of Clinical Pharmacy and Pharmacy Practice, Ohio Northern University; Kathy Oliver, educator, The Ohio State University Extension; Marcia Retterer, chief executive officer and founder, Not By Choice Outreach; Dave Salucci, deputy director, HHWP (Hancock, Hardin, Wyandot, and Putnam)Community Action Commission; Stephen McCullough, member, Board of Trustees, Hardin Memorial; Matt Jennings, chairman, Board of Trustees, Hardin Memorial; Terri Holloway, community representative.
Doctors Hospital at Nelsonville Part V, Section B, Line 3: Community input was provided in the four community health needs assessment meetings and by hosting a community meeting. Doctors Hospital Nelsonville and OhioHealth included the following persons who have significant public health knowledge and skills, and who have been involved with community projects and programs in Athens County: Ruth Dudding, CHES, heath educator, Athens City-County Health Department; Lucrecia Johnson, program coordinator, Medicare Rural Hospital Flexibility (Flex) and Small Rural Hospital Improvement Grant Program (SHIP); Pam Hunt, coordinator, State Office of Rural Health; Laura Milazzo, senior research associate, Ohio University's Voinovich School of Leadership and Public Affairs; Sara Boyd, senior project manager, Ohio University's Voinovich School of Leadership and Public Affairs.
Hardin Memorial Hospital Part V, Section B, Line 4: Hardin Memorial successfully completed the CHNA in collaboration with other CAHs in Ohio's north central region, including Bucyrus and Galion Community Hospitals (Avita Health System), Conneaut and Geneva Medical Centers, Lodi Community Hospital, Mercy Allen Hospital, Mercy Memorial Hospital (Community Mercy Health Partners), Mercy Willard Hospital, Morrow County Hospital, and Wyandot Memorial Hospital.
Doctors Hospital at Nelsonville Part V, Section B, Line 4: Doctors Hospital Nelsonville successfully completed the community health needs assessment in collaboration with seven critical access hospitals in Ohio's southern region: Adams County Regional Medical Center, Adena Greenfield Medical Center, Fayette County Memorial Hospital, Highland District Hospital, Hocking Valley Community Hospital, Holzer Medical Center-Jackson and Pike Community Hospital.
Marion General Hospital Part V, Section B, Line 5d: https://www.ohiohealth.com/communityhealthneedsassessment/
Grady Memorial Hospital Part V, Section B, Line 5d: https://www.ohiohealth.com/communityhealthneedsassessment/
Hardin Memorial Hospital Part V, Section B, Line 5d: https://www.ohiohealth.com/communityhealthneedsassessment/
Doctors Hospital at Nelsonville Part V, Section B, Line 5d: https://www.ohiohealth.com/communityhealthneedsassessment/
Hardin Memorial Hospital Part V, Section B, Line 11: Discount Care is available for all uninsured patients.
Doctors Hospital at Nelsonville Part V, Section B, Line 11: Gross charges are automatically discounted 20% when an uninsured patient does not qualify for HCAP or charity care.
Marion General Hospital Part V, Section B, Line 14g: Signs are posted at multiple entry points and registration locations stating the intent to comply with the State of Ohio's Hospital Care Assurance Program (HCAP). Additionally, the signage contains reference to the organization's Charity Care Program. Information materials are available at registration locations and interpretive services can be arranged if the patient/guarantor does not speak English. OhioHealth facility billing statements also include information regarding HCAP and can be used to apply for financial assistance. Financial Counselors are located at each of the main hospital campuses to provide information about the financial assistance programs to the patients as well as assist with completing the financial assistance application. All self pay registrations are referred to the financial counselors or on-site vendors and an attempt is made for direct contact to discuss and complete the financial assistance application. There may be times, such as very late in the evening or very early morning, when all self pay patients are not seen face-to-face before they are discharged. However, there are phone attempts and letters mailed to these patients to explain financial assistance and attempt completion of the financial assistance application. The front of every patient billing statement references assistance for amounts not covered by insurance to those individuals whose income is below the established poverty level. There are telephone numbers for customer service, with service hours, and an email address provided on the front of every patient billing statement. On the back of every patient billing statement is the financial assistance application with the federal poverty guidelines. Included are directions to complete the application, sign, and where to send the application. The Customer Call Center will discuss financial assistance with any patient that expresses need or concern in paying the balance on their account. The representative will forward the caller to the verbal financial assistance queue or have a financial assistance application mailed to the patient. The financial assistance application is available in five different languages based on the needs of the communities.The internet (ohiohealth.com) has information pertaining to the charity programs as well as the financial assistance application, in five different languages, as well as directions on how to complete the financial assistance application.
Grady Memorial Hospital Part V, Section B, Line 14g: Signs are posted at multiple entry points and registration locations stating the intent to comply with the State of Ohio's Hospital Care Assurance Program (HCAP). Additionally, the signage contains reference to the organization's Charity Care Program. Information materials are available at registration locations and interpretive services can be arranged if the patient/guarantor does not speak English. OhioHealth facility billing statements also include information regarding HCAP and can be used to apply for financial assistance. Hospital Patient Billing Brochures explain that OhioHealth provides care to everyone who comes for services, regardless of their ability to pay. The brochure provides information about HCAP and the hospitals charity care programs, how to apply, and the numbers to call with questions. Hospital Patient Billing Brochures are handed to every self pay patient with the financial assistance application and available upon request for insured patients. Financial Counselors are located at each of the main hospital campuses to provide information about the financial assistance programs to the patients as well as assist with completing the financial assistance application. All self pay registrations are referred to the financial counselors or on-site vendors and an attempt is made for direct contact to discuss and complete the financial assistance application. There may be times, such as very late in the evening or very early morning, when all self pay patients are not seen face-to-face before they are discharged. However, there are phone attempts and letters mailed to these patients to explain financial assistance and attempt completion of the financial assistance application. The front of every patient billing statement references assistance for amounts not covered by insurance to those individuals whose income is below the established poverty level. There are telephone numbers for customer service, with service hours, and an email address provided on the front of every patient billing statement. On the back of every patient billing statement is the financial assistance application with the federal poverty guidelines. Included are directions to complete the application, sign, and where to send the application. During the pre-registration/preadmissions process, the registration representative will inform scheduled self-pay patients via telephone that financial assistance may be available and that he/she may be referred to the Customer Call Center for assistance in applying. The registrar will transfer the patient to the verbal financial assistance queue and/or will provide the telephone number to the verbal financial assistance queue. All insured patients expressing need for financial assistance will also be transferred to the verbal financial assistance queue and/or provided the telephone number to the verbal financial assistance queue in the Customer Call Center.The Customer Call Center will discuss financial assistance with any patient that expresses need or concern in paying the balance on their account. The representative will forward the caller to the verbal financial assistance queue or have a financial assistance application mailed to the patient. The financial assistance application is available in five different languages based on the needs of the communities.
Hardin Memorial Hospital Part V, Section B, Line 14g: Signs are posted at registration locations stating the intent to comply with the State of Ohio's Hospital Care Assurance Program (HCAP). Additionally, the signage contains reference to the organization's Charity Care Program. Information materials are available at registration locations and interpretive services can be arranged if the patient/guarantor does not speak English. OhioHealth facility billing statements also include information regarding HCAP and can be used to apply for financial assistance. Financial Counselors are located at each of the main hospital campuses to provide information about the financial assistance programs to the patients as well as assist with completing the financial assistance application. All self pay registrations are referred to the financial counselors or on-site vendors and an attempt is made for direct contact to discuss and complete the financial assistance application. There may be times, such as very late in the evening or very early morning, when all self pay patients are not seen face-to-face before they are discharged. However, there are phone attempts and letters mailed to these patients to explain financial assistance and attempt completion of the financial assistance application. The front of every patient billing statement references assistance for amounts not covered by insurance to those individuals whose income is below the established poverty level. There are telephone numbers for customer service, with service hours, and an email address provided on the front of every patient billing statement. On the back of every patient billing statement is the financial assistance application with the federal poverty guidelines. Included are directions to complete the application, sign, and where to send the application. The Customer Call Center will discuss financial assistance with any patient that expresses need or concern in paying the balance on their account. The representative will forward the caller to the verbal financial assistance queue or have a financial assistance application mailed to the patient. The financial assistance application is available in five different languages based on the needs of the communities.The internet (ohiohealth.com) has information pertaining to the charity programs as well as the financial assistance application, in five different languages, as well as directions on how to complete the financial assistance application.
Doctors Hospital at Nelsonville Part V, Section B, Line 14g: Signs are posted at multiple entry points and registration locations stating the intent to comply with the State of Ohio's Hospital Care Assurance Program (HCAP). Additionally, the signage contains reference to the organization's Charity Care Program. Information materials are available at registration locations and interpretive services can be arranged if the patient/guarantor does not speak English. OhioHealth facility billing statements also include information regarding HCAP and can be used to apply for financial assistance. Hospital Patient Billing Brochures explain that OhioHealth provides care to everyone who comes for services, regardless of their ability to pay. The brochure provides information about HCAP and the hospitals charity care programs, how to apply, and the numbers to call with questions. Hospital Patient Billing Brochures are handed to every self pay patient with the financial assistance application and available upon request for insured patients. Financial Counselors are located at each of the main hospital campuses to provide information about the financial assistance programs to the patients as well as assist with completing the financial assistance application. All self pay registrations are referred to the financial counselors or on-site vendors and an attempt is made for direct contact to discuss and complete the financial assistance application. There may be times, such as very late in the evening or very early morning, when all self pay patients are not seen face-to-face before they are discharged. However, there are phone attempts and letters mailed to these patients to explain financial assistance and attempt completion of the financial assistance application. The front of every patient billing statement references assistance for amounts not covered by insurance to those individuals whose income is below the established poverty level. There are telephone numbers for customer service, with service hours, and an email address provided on the front of every patient billing statement. On the back of every patient billing statement is the financial assistance application with the federal poverty guidelines. Included are directions to complete the application, sign, and where to send the application. During the pre-registration/preadmissions process, the registration representative will inform scheduled self-pay patients via telephone that financial assistance may be available and that he/she may be referred to the Customer Call Center for assistance in applying. The registrar will transfer the patient to the verbal financial assistance queue and/or will provide the telephone number to the verbal financial assistance queue. All insured patients expressing need for financial assistance will also be transferred to the verbal financial assistance queue and/or provided the telephone number to the verbal financial assistance queue in the Customer Call Center.The Customer Call Center will discuss financial assistance with any patient that expresses need or concern in paying the balance on their account. The representative will forward the caller to the verbal financial assistance queue or have a financial assistance application mailed to the patient. The financial assistance application is available in five different languages based on the needs of the communities.
Marion General Hospital Part V, Section B, Line 18e: Signs are posted at multiple entry points and registration locations stating the intent to comply with the State of Ohio's Hospital Care Assurance Program (HCAP). Additionally, the signage contains reference to the organization's Charity Care Program. Information materials are available at registration locations and interpretive services can be arranged if the patient/guarantor does not speak English. OhioHealth facility billing statements also include information regarding HCAP and can be used to apply for financial assistance. Financial Counselors are located at each of the main hospital campuses to provide information about the financial assistance programs to the patients as well as assist with completing the financial assistance application. All self pay registrations are referred to the financial counselors or on-site vendors and an attempt is made for direct contact to discuss and complete the financial assistance application. There may be times, such as very late in the evening or very early morning, when all self pay patients are not seen face-to-face before they are discharged. However, there are phone attempts and letters mailed to these patients to explain financial assistance and attempt completion of the financial assistance application. The front of every patient billing statement references assistance for amounts not covered by insurance to those individuals whose income is below the established poverty level. There are telephone numbers for customer service, with service hours, and an email address provided on the front of every patient billing statement. On the back of every patient billing statement is the financial assistance application with the federal poverty guidelines. Included are directions to complete the application, sign, and where to send the application. The Customer Call Center will discuss financial assistance with any patient that expresses need or concern in paying the balance on their account. The representative will forward the caller to the verbal financial assistance queue or have a financial assistance application mailed to the patient. The financial assistance application is available in five different languages based on the needs of the communities.The internet (ohiohealth.com) has information pertaining to the charity programs as well as the financial assistance application, in five different languages, as well as directions on how to complete the financial assistance application.
Grady Memorial Hospital Part V, Section B, Line 18e: Signs are posted at multiple entry points and registration locations stating the intent to comply with the State of Ohio's Hospital Care Assurance Program (HCAP). Additionally, the signage contains reference to the organization's Charity Care Program. Information materials are available at registration locations and interpretive services can be arranged if the patient/guarantor does not speak English. OhioHealth facility billing statements also include information regarding HCAP and can be used to apply for financial assistance. Financial Counselors are located at each of the main hospital campuses to provide information about the financial assistance programs to the patients as well as assist with completing the financial assistance application. All self pay registrations are referred to the financial counselors or on-site vendors and an attempt is made for direct contact to discuss and complete the financial assistance application. There may be times, such as very late in the evening or very early morning, when all self pay patients are not seen face-to-face before they are discharged. However, there are phone attempts and letters mailed to these patients to explain financial assistance and attempt completion of the financial assistance application. The front of every patient billing statement references assistance for amounts not covered by insurance to those individuals whose income is below the established poverty level. There are telephone numbers for customer service, with service hours, and an email address provided on the front of every patient billing statement. On the back of every patient billing statement is the financial assistance application with the federal poverty guidelines. Included are directions to complete the application, sign, and where to send the application. The Customer Call Center will discuss financial assistance with any patient that expresses need or concern in paying the balance on their account. The representative will forward the caller to the verbal financial assistance queue or have a financial assistance application mailed to the patient. The financial assistance application is available in five different languages based on the needs of the communities.The internet (ohiohealth.com) has information pertaining to the charity programs as well as the financial assistance application, in five different languages, as well as directions on how to complete the financial assistance application.
Hardin Memorial Hospital Part V, Section B, Line 18e: Signs are posted at multiple entry points and registration locations stating the intent to comply with the State of Ohio's Hospital Care Assurance Program (HCAP). Additionally, the signage contains reference to the organization's Charity Care Program. Information materials are available at registration locations and interpretive services can be arranged if the patient/guarantor does not speak English. OhioHealth facility billing statements also include information regarding HCAP and can be used to apply for financial assistance. Financial Counselors are located at each of the main hospital campuses to provide information about the financial assistance programs to the patients as well as assist with completing the financial assistance application. All self pay registrations are referred to the financial counselors or on-site vendors and an attempt is made for direct contact to discuss and complete the financial assistance application. There may be times, such as very late in the evening or very early morning, when all self pay patients are not seen face-to-face before they are discharged. However, there are phone attempts and letters mailed to these patients to explain financial assistance and attempt completion of the financial assistance application. The front of every patient billing statement references assistance for amounts not covered by insurance to those individuals whose income is below the established poverty level. There are telephone numbers for customer service, with service hours, and an email address provided on the front of every patient billing statement. On the back of every patient billing statement is the financial assistance application with the federal poverty guidelines. Included are directions to complete the application, sign, and where to send the application. The Customer Call Center will discuss financial assistance with any patient that expresses need or concern in paying the balance on their account. The representative will forward the caller to the verbal financial assistance queue or have a financial assistance application mailed to the patient. The financial assistance application is available in five different languages based on the needs of the communities.The internet (ohiohealth.com) has information pertaining to the charity programs as well as the financial assistance application, in five different languages, as well as directions on how to complete the financial assistance application.
Doctors Hospital at Nelsonville Part V, Section B, Line 18e: Signs are posted at multiple entry points and registration locations stating the intent to comply with the State of Ohio's Hospital Care Assurance Program (HCAP). Additionally, the signage contains reference to the organization's Charity Care Program. Information materials are available at registration locations and interpretive services can be arranged if the patient/guarantor does not speak English. OhioHealth facility billing statements also include information regarding HCAP and can be used to apply for financial assistance. Financial Counselors are located at each of the main hospital campuses to provide information about the financial assistance programs to the patients as well as assist with completing the financial assistance application. All self pay registrations are referred to the financial counselors or on-site vendors and an attempt is made for direct contact to discuss and complete the financial assistance application. There may be times, such as very late in the evening or very early morning, when all self pay patients are not seen face-to-face before they are discharged. However, there are phone attempts and letters mailed to these patients to explain financial assistance and attempt completion of the financial assistance application. The front of every patient billing statement references assistance for amounts not covered by insurance to those individuals whose income is below the established poverty level. There are telephone numbers for customer service, with service hours, and an email address provided on the front of every patient billing statement. On the back of every patient billing statement is the financial assistance application with the federal poverty guidelines. Included are directions to complete the application, sign, and where to send the application. The Customer Call Center will discuss financial assistance with any patient that expresses need or concern in paying the balance on their account. The representative will forward the caller to the verbal financial assistance queue or have a financial assistance application mailed to the patient. The financial assistance application is available in five different languages based on the needs of the communities.The internet (ohiohealth.com) has information pertaining to the charity programs as well as the financial assistance application, in five different languages, as well as directions on how to complete the financial assistance application.
Marion General Hospital Part V, Section B, Line 20d: Any patient with income at 200% or below of the FPL gets a 100% discount. A patient between 201-267% receives a 75% discount (average Medicaid discount). A patient between 268-334% receives a 70% discount (average Medicare discount). A patient between 335-400% receives a 45% discount (average managed care discount). All patients without insurance receive a 35% uninsured discount, regardless of their income level.
Grady Memorial Hospital Part V, Section B, Line 20d: Any patient with income at 200% or below of the FPL gets a 100% discount. A patient between 201-267% receives a 75% discount (average Medicaid discount). A patient between 268-334% receives a 70% discount (average Medicare discount). A patient between 335-400% receives a 45% discount (average managed care discount). All patients without insurance receive a 35% uninsured discount, regardless of their income level.
Doctors Hospital at Nelsonville Part V, Section B, Line 20d: Gross charges are the same for each patient. Should a patient apply and be found eligible for financial aid, a 100% discount is applied to the gross charges, resulting in the patient owing nothing for the episode of care. There are no upper limits on the amount of charity care a patient may receive during any tax year.
Schedule H (Form 990) 2013
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
OhioHealth Corporation Group Return
 
Employer identification number
32-0007056
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) OhioHealth Corporation - Dublin Methodist Hospital
7500 Hospital Drive
Dublin,OH430168518 		31-4394942 501(c)(3) 259,756       General Support
(2) OhioHealth Corporation - Doctors Hospital
5100 West Broad Street
Columbus,OH432281607 		31-4394942 501(c)(3) 414,280       General Support
(3) Grady Memorial Hospital
561 West Central Avenue
Delaware,OH430151410 		31-4394942 501(c)(3) 125,452       General Support
(4) OhioHealth Corporation - Grant Medical Center
111 South Grant Avenue
Columbus,OH432154701 		31-4394942 501(c)(3) 178,265       General Support
(5) OhioHealth Corporation - Riverside Methodist Hospital
3535 Olentangy River Road
Columbus,OH432143908 		31-4394942 501(c)(3) 985,583       General Support
(6) Hardin Physician Foundation Inc
921 East Franklin Street
Kenton,OH43326 		31-1414276 501(c)(3) 30,000       General Support












2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
3
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) Rose M. Williams Nursing Scholarship 5 25,000      
(2) Alan and Bobbie Weiler Nursing Scholarship 2 10,000      










Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Part I, Line 2: Committees have been established to oversee the scholarship application & selection processes. Grants of property, plant, and equipment are made to related organizations within the OhioHealth system for necessary general support of the respective hospitals. These fixed assets are monitored pursuant to fixed asset management policies.
Schedule I (Form 990) 2013


Additional Data


Software ID:  
Software Version:  


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 See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
OhioHealth Corporation Group Return
 
Employer identification number

32-0007056
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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....
1b
 
No
2
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? ..
2
Yes
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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) and 501(c)(4) organizations only must complete lines 5-9.
5
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:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
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:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
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 ............
7
Yes
 
8
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 .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
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
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)Morrison Karen JPres/Board OHF-Ex-Officio (i)
(ii)		 0
445,703 		0
177,282 		0
23,364 		0
176,749 		0
23,718 		0
846,816 		0
0
(2)Anderson Craig MDBoard OHF-Ex-Officio (end 12/13) (i)
(ii)		 0
115,123 		0
4,668 		0
31,210 		0
26,521 		0
19,019 		0
196,541 		0
0
(3)Blom David PBoard OHF-Ex-Officio (i)
(ii)		 0
1,023,172 		0
539,500 		0
30,467 		0
1,176,190 		0
18,898 		0
2,788,227 		0
0
(4)Brandon HeatherBoard OHF-Ex-Officio (i)
(ii)		 0
178,097 		0
47,124 		0
19,753 		0
16,973 		0
10,663 		0
272,610 		0
0
(5)Burke William DOBoard OHF-Ex-Officio (8/13) (i)
(ii)		 0
146,002 		0
0 		0
15,124 		0
0 		0
11,816 		0
172,942 		0
0
(6)Bury PeterBoard OHF-Ex-Officio (i)
(ii)		 0
254,136 		0
74,261 		0
11,097 		0
20,607 		0
11,351 		0
371,452 		0
0
(7)deVillers Rebecca E DOBoard OHF (i)
(ii)		 103,449
0 		7,906
0 		8,876
0 		16,379
0 		17,940
0 		154,550
0 		0
0
(8)George Peter B MDBoard OHF-Ex-Officio (i)
(ii)		 764,307
21,060 		132,820
0 		108,278
0 		36,834
0 		20,350
0 		1,062,589
21,060 		0
0
(9)Geskey Joseph DOBoard OHF (i)
(ii)		 0
256,320 		0
43,251 		0
25,187 		0
919 		0
20,809 		0
346,486 		0
0
(10)Hammett Troy DBoard OHF-Ex-Officio (i)
(ii)		 0
204,305 		0
66,457 		0
24,097 		0
20,732 		0
23,431 		0
339,022 		0
0
(11)Harmon Thomas L MDBoard OHF (i)
(ii)		 269,996
0 		99,062
0 		4,270
5,625 		18,065
0 		18,810
0 		410,203
5,625 		0
0
(12)Herceg Milan MDBoard OHF-Ex-Officio (i)
(ii)		 0
325,463 		0
0 		0
0 		0
0 		0
0 		0
325,463 		0
0
(13)Lawson Michael SBoard OHF-Ex-Officio (i)
(ii)		 256,386
0 		76,087
0 		11,649
0 		13,435
0 		9,044
0 		366,601
0 		0
0
(14)Levin Howard B DOBoard OHF-Ex-Officio (i)
(ii)		 485,943
0 		40,370
0 		50,387
0 		23,068
0 		21,358
0 		621,126
0 		0
0
(15)Markovich Stephen E MDBoard OHF-Ex-Officio (i)
(ii)		 0
483,217 		0
210,000 		0
26,058 		0
224,892 		0
24,779 		0
968,946 		0
0
(16)Millhon Judson S Jr MDBoard OHF (i)
(ii)		 578,492
0 		273,593
0 		134,028
0 		44,272
0 		21,358
0 		1,051,743
0 		0
0
(17)Reichfield Michael LBoard OHF-Ex-Officio (i)
(ii)		 0
344,778 		0
137,500 		0
31,638 		0
145,396 		0
24,254 		0
683,566 		0
0
(18)Smith Rita J RNBoard OHF (i)
(ii)		 0
122,842 		0
11,879 		0
2,901 		0
13,689 		0
8,810 		0
160,121 		0
0
(19)Urse Geraldine L DOBoard OHF (i)
(ii)		 211,808
0 		12,535
0 		864
0 		17,977
0 		9,590
0 		252,774
0 		0
0
(20)von Gunten Charles MDBoard OHF-Ex-Officio (i)
(ii)		 256,198
0 		35,459
0 		26,553
0 		1
0 		14,858
0 		333,069
0 		0
0
(21)Yates Vinson MBoard OHF-Ex-Officio (start 10/13) (i)
(ii)		 0
383,801 		0
147,064 		0
33,225 		0
178,429 		0
25,468 		0
767,987 		0
0
(22)Louge Michael WChair/VP Board OPG (i)
(ii)		 0
710,995 		0
330,000 		0
15,117 		0
496,058 		0
25,468 		0
1,577,638 		0
0
(23)Thornhill Hugh APres Board OPG (i)
(ii)		 0
356,876 		0
140,000 		0
24,525 		0
137,953 		0
25,468 		0
684,822 		0
0
(24)Pandora Frank T II EsqAssist Sec Board OPG (End 9/13) (i)
(ii)		 0
289,642 		0
165,000 		0
47,160 		0
81,072 		0
14,856 		0
597,730 		0
0
(25)Bernstein Michael SBoard OPG (i)
(ii)		 0
452,066 		0
180,000 		0
10,971 		0
160,592 		0
25,771 		0
829,400 		0
0
(26)Millen Robert PBoard OPG (i)
(ii)		 0
691,576 		0
305,000 		0
23,270 		0
331,819 		0
24,748 		0
1,376,413 		0
0
(27)Snow Richard J DOChair OHRI (i)
(ii)		 0
292,953 		0
89,240 		0
23,143 		0
20,742 		0
21,501 		0
447,579 		0
0
(28)Vanderhoff Bruce MDSr VP CMO/Vice-Chair OHRI (i)
(ii)		 0
528,369 		0
220,000 		0
9,739 		0
201,854 		0
22,838 		0
982,800 		0
0
(29)Bjerke Craig ASecretary/Treasurer OHRI (i)
(ii)		 0
235,458 		0
71,000 		0
3,271 		0
15,783 		0
24,501 		0
350,013 		0
0
(30)Ansel Gary MDBoard OHRI (i)
(ii)		 1,201,605
174,720 		44,154
0 		101,630
0 		34,398
0 		21,358
0 		1,403,145
174,720 		0
0
(31)Bay Janet MDBoard OHRI (Start 7/13) (i)
(ii)		 0
696,614 		0
190,742 		0
62,936 		0
15,300 		0
8,450 		0
974,042 		0
0
(32)Bell Jeffrey G MDBoard OHRI (i)
(ii)		 0
355,346 		0
10,024 		0
584 		0
24,060 		0
17,310 		0
407,324 		0
0
(33)Caulin-Glaser Teresa L MDBoard OHRI (i)
(ii)		 0
456,638 		0
156,520 		0
28,593 		0
76,211 		0
16,733 		0
734,695 		0
0
(34)Ferris Frank MDBoard OHRI (Start 7/13) (i)
(ii)		 0
225,647 		0
64,724 		0
43,028 		0
1 		0
12,903 		0
346,303 		0
0
(35)Gingrich Curtis L MDBoard OHRI (end 7/13) (i)
(ii)		 0
260,358 		0
93,396 		0
3,847 		0
23,242 		0
22,858 		0
403,701 		0
0
(36)Imm Amy MDBoard OHRI (Start 7/13) (i)
(ii)		 0
347,984 		0
117,405 		0
22,796 		0
24,106 		0
21,501 		0
533,792 		0
0
(37)Knutson Douglas MDBoard OHRI (Start 7/13) (i)
(ii)		 0
336,002 		0
90,000 		0
22,973 		0
42,901 		0
9,210 		0
501,086 		0
0
(38)Niles John PBoard OHRI-Ex-officio (i)
(ii)		 0
209,914 		0
37,929 		0
28,705 		0
60,812 		0
23,125 		0
360,485 		0
0
(39)Wasielewski Ray MDBoard OHRI (Start 7/13) (i)
(ii)		 0
729,983 		0
1,014 		0
18,256 		0
20,400 		0
22,847 		0
792,500 		0
0
(40)Yakubov Steven MDBoard OHRI (i)
(ii)		 848,727
174,720 		231,167
0 		114,468
0 		46,022
0 		21,348
0 		1,261,732
174,720 		0
0
(41)Sanders John WPres/CEO & BD MGH-Ex-Officio (i)
(ii)		 0
308,265 		0
103,166 		0
31,818 		0
33,571 		0
16,210 		0
493,030 		0
0
(42)Brazitis Mark ABoard MGH (i)
(ii)		 0
372,982 		0
115,000 		0
6,465 		0
0 		0
21,501 		0
515,948 		0
0
(43)Madia Dalsukh A MDBoard MGH (i)
(ii)		 0
290,692 		0
60,937 		0
17,637 		0
5,102 		0
19,671 		0
394,039 		0
0
(44)Vora Sanjay K MDBoard MGH (start 7/13) (i)
(ii)		 0
232,901 		0
16,156 		0
18,119 		0
0 		0
23,505 		0
290,681 		0
0
(45)Seckinger Mark RPres/CEO & BD HMH-Ex-Officio (i)
(ii)		 0
196,543 		0
65,242 		0
22,101 		0
66,260 		0
17,778 		0
367,924 		0
0
(46)Fenzl Mark E DOBoard HMH-Ex-Officio (start 1/14) (i)
(ii)		 0
157,293 		0
0 		0
0 		0
0 		0
17,108 		0
174,401 		0
0
(47)Snyder Ron PCFO/President HHF Board (i)
(ii)		 0
191,912 		0
0 		0
0 		0
0 		0
25,035 		0
216,947 		0
0
(48)Thornhill Larry WTres DHCN-Ex-Officio (i)
(ii)		 0
254,181 		0
97,000 		0
26,520 		0
19,008 		0
17,198 		0
413,907 		0
0
(49)Bunyard Stephen PBoard DHCN (i)
(ii)		 0
268,220 		0
82,743 		0
9,746 		0
22,896 		0
9,815 		0
393,420 		0
0
(50)Herbert-Sinden Cheryl LChair HRC (i)
(ii)		 0
309,809 		0
140,000 		0
24,005 		0
164,150 		0
19,851 		0
657,815 		0
0
(51)Evert Barbara MDBoard HRC (i)
(ii)		 0
274,233 		0
85,000 		0
31,095 		0
20,745 		0
8,490 		0
419,563 		0
0
(52)Lehmuth Richard LBoard HRC (i)
(ii)		 0
270,608 		0
100,000 		0
20,865 		0
40,174 		0
9,013 		0
440,660 		0
0
(53)Roth Danielle CCOO OPG (i)
(ii)		 0
180,839 		0
47,113 		0
19,844 		0
20,589 		0
11,321 		0
279,706 		0
0
(54)Meldrum Terri W EsqSec BD OPG (i)
(ii)		 0
203,030 		0
70,000 		0
2,626 		0
20,625 		0
21,921 		0
318,202 		0
0
(55)Hagen Bruce PReg Exec Pres DMH/GMH (i)
(ii)		 0
475,430 		0
190,892 		0
26,990 		0
161,783 		0
18,521 		0
873,616 		0
0
(56)Brown StevenVP Finance, MGH (i)
(ii)		 0
182,754 		0
39,196 		0
2,875 		0
24,496 		0
22,108 		0
271,429 		0
0
(57)Newbrough Jr James PPresident HRC (i)
(ii)		 0
234,950 		0
61,294 		0
10,188 		0
23,020 		0
21,501 		0
350,953 		0
0
(58)Cecala Alan HVP Sys Serv Line Sup OHMSF (i)
(ii)		 0
249,049 		0
74,529 		0
8,246 		0
12,750 		0
22,790 		0
367,364 		0
0
(59)Foley Denise EVP Bus Dev OHMSF (i)
(ii)		 0
209,708 		0
66,774 		0
20,604 		0
33,966 		0
23,648 		0
354,700 		0
0
(60)Smith Jeffrey AVP Finance OHMSF (i)
(ii)		 0
231,097 		0
69,649 		0
3,682 		0
15,839 		0
23,972 		0
344,239 		0
0
(61)Tomaszewski James AVP Heart & Vascular OHMSF (i)
(ii)		 0
169,049 		0
86,200 		0
164,343 		0
13,781 		0
4,670 		0
438,043 		0
0
(62)Wyse LaMar LCOO DHCN (i)
(ii)		 0
233,990 		0
50,650 		0
10,118 		0
0 		0
0 		0
294,758 		0
0
(63)Hooper JosephVP Oper MGH (i)
(ii)		 0
208,088 		0
46,549 		0
4,477 		0
24,484 		0
16,930 		0
300,528 		0
0
(64)Walsh RobertCOO GMH (i)
(ii)		 0
147,597 		0
50,208 		0
25,431 		0
35,970 		0
22,288 		0
281,494 		0
0
(65)Buster WardPhysician Core OPG (i)
(ii)		 735,639
0 		286,074
0 		84,077
0 		17,850
0 		23,488
0 		1,147,128
0 		0
0
(66)Cassandra James C DOPhysician Hand & Ortho Surgery OPG (i)
(ii)		 1,211,680
0 		351,999
0 		18,020
0 		44,566
0 		23,639
0 		1,649,904
0 		0
0
(67)Fulop James P MDPhysician Core OHMSF (i)
(ii)		 896,504
0 		184,423
0 		18,020
0 		22,107
0 		19,911
0 		1,140,965
0 		0
0
(68)Kovack Thomas J DOPhysician Ortho Surgery (General) OP (i)
(ii)		 1,944,718
0 		860,370
0 		17,500
0 		37,454
0 		22,348
0 		2,882,390
0 		0
0
(69)Mahmoud Akram H DOPhysician Core OHMSF (i)
(ii)		 792,320
0 		590,200
0 		18,331
0 		21,490
0 		9,590
0 		1,431,931
0 		0
0
(70)Garlock Steven JFormer Pres GMH (i)
(ii)		 0
285,646 		0
116,246 		0
32,674 		0
63,948 		0
20,083 		0
518,597 		0
0
(71)Long GregFormer COO-DHN (i)
(ii)		 0
238,668 		0
74,261 		0
21,601 		0
20,285 		0
22,151 		0
376,966 		0
0
(72)Laterro Anita AFmr Key Employee OHF (i)
(ii)		 0
160,168 		0
38,915 		0
9,067 		0
22,688 		0
24,131 		0
254,969 		0
0
(73)O'Sullivan MichaelFormer Sr VP & CDO-OHF (i)
(ii)		 0
136,231 		0
0 		0
130,175 		0
33,358 		0
19,791 		0
319,555 		0
0
(74)Wallis EricFormer CNO-MGH (i)
(ii)		 0
177,042 		0
42,043 		0
4,794 		0
14,311 		0
22,267 		0
260,457 		0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
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 1a Tax indemnification and gross up payments: OhioHealth Corporation and its subsidiaries do not provide tax gross ups to executives. Non-executives receive tax gross ups when receiving various taxable incentive or recognition awards, non-cash gifts, or gift cards that are available to all employees. Occasionally, non-executives are reported in Form 990.
Part I, Line 3 The Parent Corporation (a related organization) used the following methods to establish the compensation of the CEO for each of the filing organizations include in the OhioHealth Group 990 return. - Compensation committee - Independent compensation consultant - Form 990 of other organizations - Compensation survey or study - Approval by the board or compensation committee
Part I, Lines 4a-b The following individuals listed in Form 990, Part VII received severance payments: Michael O'Sullivan - $95,945 James A. Tomaszewski - $118,224 Eligible individuals listed in Form 990, Part VII participate in a supplemental non-qualified retirement plan. These arrangements are an industry standard and are unfunded. Due to the substantial risk of forfeiture provision, there is no guarantee that these officers will ever receive these benefits. Amounts for these arrangements are included in the deferred compensation amount.
Part I, Line 7 Incentive bonuses are calculated using an objective formula that includes clinical quality, patient, physician and employee satisfaction, and financial items. Minor modifications to increase or decrease incentive payments, within the maximum amount established for each position, may be made based on individual performance and accountabilities. In addition, one time bonuses may be awarded to recognize exemplary performance. All payments are examined for reasonableness and are reviewed and approved by either the Executive Compensation Committee (for disqualified persons) or through management and the company's human resources function (for non-disqualified persons).
Form 990, Part VII, Line 5: LaMar Wyse received compensation from WyseSolutions, LLC for services rendered to Doctors Hospital at Nelsonville in the amounts as noted below: - Base Compensation - $233,990 - Bonus & Incentive Compensation - $50,650 - Other Reportable Compensation - $10,118 - Total Compensation - $294,758
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
OhioHealth Corporation Group Return
 
Employer identification number

32-0007056
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
(1) Millhon Judson S Jr MD Director Retention Loan   X 200,000 11,041   No Yes   Yes  
Total ......Small Bullet $ 11,041
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) OhioHealth Group Ltd
  		Officer/Director of Org Officers and Directors of GMH & OPG are Directors 469,078 Payments - Goods or services provided to OhioHealth Group entities.   No
(2) Jacqueline Thornberry Director of Org - Sister of Marion General Hospital Director (Judy Titus) 108,566 Comp/Ben - Sister is employed at Marion General Hospital and receives compensation.   No
(3) Karen Smith Director of Org - Daughter of Marion General Hospital Director (Judy Titus) 32,559 Comp/Ben - Daughter is employed at Marion General Hospital and receives compensation.   No
(4) Quest Federal Credit Union
  		Director of Org - Director of HMH (Matthew Jennings) is an Officer 108,027 Payments - Goods or services provided to OhioHealth Group entities.   No
(5) Angela Booth Director of Org - Daughter of DHCN Dir (Jeanie W. Fraedrich) 32,353 Comp/Ben - Daughter is employed at DHCN and receives compensation.   No
(6) Maureen Root Director of Org - Daughter of HMH Director (Chip Root) 18,256 Comp/Ben - Daughter is employed at HMH and receives compensation.   No
(7) Time Warner Cable
  		Director of Org - Director of OhioHealth (Donna James) is a Director 970,412 Payments - Goods or services provided to OhioHealth Corporation.   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  




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 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
2013
Open to Public
Inspection
Name of the organization
OhioHealth Corporation Group Return
 
Employer identification number

32-0007056
Return Reference Explanation
Form 990, Part VI, Section A, line 2 Persons listed in Part VII may have a "business relationship" with each other by virtue of sitting on related OhioHealth entity boards or by virtue of their employment with related OhioHealth entities. OhioHealth Corporation has an ownership interest in limited liability companies (LLCs) that provide healthcare or related services. As a member of such LLCs, OhioHealth Corporation has the right to appoint two individuals to the managing board of such LLCs. As a result, these individuals may be deemed to have a "business relationship" with each other for purposes of Part VI, Section A, Line 2. Douglas T. Anderson, Director of OhioHealth Foundation, and Elizabeth Doody Anderson, Director of OhioHealth Foundation, have a family relationship. Douglas T. Anderson, Director of OhioHealth Foundation, and Vic Irelan, Director of OhioHealth Foundation, have a business relationship. Kerrii B. Anderson, Treasurer of Grady Memorial Hospital, and John P. McConnell, Vice Chair of Grady Memorial Hospital, have a business relationship. Steve Cox, Chair of DHCN, and Bernita Crawford, Secretary of DHCN, have a business relationship. Lisa George, Director of OhioHealth Foundation and Tara Abraham, Director of OhioHealth Foundation, have a family relationship. Michael W. Louge, Officer of OHRI and OPG, and Bruce Vanderhoff, M.D., Director of OHRI and OPG, have a business relationship. Julie Mercker, Director of OhioHealth Foundation and George W. McCloy, Director of OhioHealth Foundation, have a family relationship. Michael W. Louge, Officer GMH, and John Burns, M.D., Director of GMH, have a business relationship.
Form 990, Part VI, Section A, line 6 The West Ohio Conference of The United Methodist Church is the sole member of OhioHealth Corporation, and this membership is permissible under Ohio Revised Code Section 1702.13.
Form 990, Part VI, Section A, line 7a The West Ohio Conference of the United Methodist Church is the sole voting member of OhioHealth Corporation which in turn is the sole voting member of all subsidiary organizations. This membership is permissible under Ohio Revised Code Section 1702.13.
Form 990, Part VI, Section A, line 7b Revisions of the Code of Regulations that affect the rights of the Member must be approved by the Member.
Form 990, Part VI, Section B, line 11 Corporate Finance, using a public accounting tax firm, prepares the Form 990. Multiple levels of internal review occur, as well as a presentation to the OhioHealth Board Finance and Audit Committee prior to copies being provided to the OhioHealth Corporation Board before filing. Each entity within Group is a wholly owned or controlled subsidiary of OhioHealth and requires the approval of OhioHealth for major financial transactions. Due to the administrative burden of providing copies to all OhioHealth Corporation Group board members, copies will not automatically be provided to the members of the boards of each Group member entity. Any board member requesting a copy will be provided a copy in full compliance with public inspection requirements.
Form 990, Part VI, Section B, line 12c The conflict of interest policy has been reviewed by independent tax counsel to assure its compliance with the requirements of the Internal Revenue Service. The policy requires all officers, directors and key employees to complete an annual questionnaire pertaining to conflicts of interest. The questionnaire is administered by the General Counsel of OhioHealth, the parent company of the organization. The responses are recorded and reported to the Board in the format approved by the Chair of the Board (a community member). In the interim between questionnaires, conflicts are to be reported to the General Counsel, who will advise the conflicted officer, director or key employee on the steps required to manage or clear the conflict. Failure to report a conflict, or failure to follow the steps advised to clear the conflict, constitutes grounds for disciplinary action. Members of the governing board with a transactional conflict are required to recuse themselves from any discussion and/or vote pertaining to the conflicted transaction, and this is reflected in the minutes of the organization. Legal counsel attends Board meetings and Board committee meetings with the instruction to assure the conflict of interest policy is followed.
Form 990, Part VI, Section B, line 15 The OhioHealth CEO's compensation is set by the Compensation Committee of OhioHealth Corporation, which is composed of independent and disinterested members of the Board of Directors. The CEO's 2013 base salary and his 2013 total compensation (which includes annual incentive and all benefits) were estimated to approximate the 75th percentile. The organization's performance for FY 6/30/2014 was at the 85th percentile as measured by the Balanced Scorecard using Quality, Customer Service, Culture and Finance indicators. OhioHealth Corporation's Compensation Committee annually receives a report from its independent executive compensation consultant, which includes third-party comparability data for functionally-similar positions in comparable not-for-profit health systems across the United States. The annual report to OhioHealth Corporation's Compensation Committee, completed each fall, includes market analyses for base salaries, total cash compensation, benefits and perquisites, and aggregate total compensation values for the Chief Executive Officer, Executive Vice Presidents, Senior Vice Presidents and Entity Presidents, to support OhioHealth's qualification for the rebuttable presumption of reasonableness. OhioHealth Corporation's Compensation Committee reviews and approves each executive's compensation, based on performance and the compensation philosophy, and rationale for the Committee's decisions is documented in meeting minutes. With respect to non-disqualified positions, compensation is determined in the same manner as set forth above, however it is not reviewed by the Executive Compensation Committee and is instead determined by management.
Form 990, Part VI, Section C, line 19 Information is made available as required.
Form 990, Part XI, line 9: Changes in Net Assets 571,964. Intercompany Write-downs 107,210,139. Pension Related Changes -64,567.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
OhioHealth Corporation Group Return
 
Employer identification number

32-0007056
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


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) Grant Anesthesia Services Ltd
180 East Broad Street 33rd Floor
Columbus,OH432153707
20-1501295 		Practice Management Services OH -8,539,483 2,594,083 GrantRiverside Medical Care Foundation
 
(2) Orthopedic Trauma Services Ltd
180 East Broad Street 33rd Floor
Columbus,OH432153707
56-2294320 		Practice Management Services OH -2,349,612 453,985 GrantRiverside Medical Care Foundation
 
(3) Marion Physician Billing LLC
1000 McKinley Park Drive
Marion,OH43302
61-1605305 		Medical Billing OH 3,974,827 -312,159 Marion General Hospital
 
(4) Marion Ancillary Services LLC
1000 McKinley Park Drive
Marion,OH43302
31-1704991 		Outpatient Services OH 0 0 Marion General Hospital
 
(5) Marion Health Systems LLC
1000 McKinley Park Drive
Marion,OH43302
31-1639538 		Outpatient Surgery Center OH 0 0 Marion General Hospital
 
(6) Healthworks LLC
561 West Central Avenue
Delaware,OH43015
31-1435822 		Medical Services Physician Practices OH -5,696,381 6,723,845 Grady Memorial Hospital
 
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?
Yes No
(1) Hospital Properties Inc

180 East Broad Street 33rd Floor

Columbus,OH432153707
31-1206071 		Property Management OH 501(c)(2)   OhioHealth Corporation
 
Yes
 
(2) Sheltering Arms Hospital Foundation

55 Hospital Drive

Athens,OH457010000
31-4446959 		Patient Care OH 501(c)(3) Schedule A, Line 3 OhioHealth Corporation
 
Yes
 
(3) Appalachian Community Visiting Nurses

30 Herrold Avenue

Athens,OH457012326
31-1045101 		Hospice and Health Services OH 501(c)(3) Schedule A, Line 3 Sheltering Arms Hospital Foundation
 
Yes
 
(4) MedCentral Health System

335 Glessner Avenue

Mansfield,OH449030000
34-0714456 		Provides Expert Health Care to People of North Central Ohio OH 501(c)(3) Schedule A, Line 3 OhioHealth Corporation
 
Yes
 






For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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
Yes No Yes No
(1) OhioHealth Sleep Services LLC

6185 Huntley Road Suite B
Columbus,OH43229
20-1547399 		Physician Practice OH N/A
                  
(2) Polaris Surgery Center LLC

6200 Cleveland Avenue
Columbus,OH43231
20-8074623 		Medical Services OH N/A
                  
(3) Upper Arlington Medical Limited Partnership

180 East Broad Street 33rd Floor
Columbus,OH43215
31-1472667 		Medical Services OH N/A
                  
(4) ESWL Real Estate & Equipment Limited Partnership

100 West Third Avenue Suite 350
Columbus,OH43201
31-1138732 		Equipment Rental OH N/A
                  
(5) Grant Scope Center LLC

180 East Broad Street 33rd Floor
Columbus,OH43215
26-0765486 		Endoscopy Services OH N/A
                  
(6) OHRH LLC

4714 Gettysburg Road
Mechanicsburg,OH170550000
46-2458436 		Medical Services OH N/A
                  
(7) Westerville Endoscopy Center LLC

262 Neil Avenue
Columbus,OH432150000
46-2755661 		Endoscopy Services OH N/A
                  
(8) Knightsbridge Surgery Center LLC

4845 Knightsbridge
Columbus,OH432140000
87-0650797 		Medical Services OH N/A
                  
(9) O'Bleness Memorial Pain Management LLC

55 Hospital Drive
Athens,OH457010000
45-4587317 		Medical Services OH N/A
                  
(10) Athens Surgery Center

75 Hospital Drive
Athens,OH457010000
55-0840856 		Medical Services OH N/A
                  
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
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) OhioHealth Star Corporation

180 East Broad Street 33rd Floor
Columbus,OH432153707
31-1119936 		Administrative Services OH N/A
 C         No
(2) HardinCare Inc

921 East Franklin Street
Kenton,OH43326
34-1492617 		Property Management OH Hardin Memorial Hospital
  		C 21,793 958,617 100.000 % Yes  
(3) Athens Medical Laboratory Associates Inc

265 W Union Street Suite B
Athens,OH457010000
31-1381808 		Medical Lab Services OH N/A
 S         No
(4) Intel Health Services

PO Box 1051 Governors Square Bu
Grand Cayman   KYI-1102
CJ
31-4394942 		Insurance/Reinsurance CJ N/A
 C         No






Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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
No
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 . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
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) Hardin Memorial Hospital

 A 45,988 Rental Price
(2) Hardin Memorial Hospital

 E 96,892 Loan Balance
(3) Intel Health Services

 O 271,544 Actual Amount Transferred
(4) OhioHealth Corporation

 Q 11,806,231 Actual Amount Transferred
(5) OhioHealth Corporation

 R 40,340,461 Actual Amount Transferred
(6) OhioHealth Corporation

 M 1,155,876 Actual Amount Paid
(7) OhioHealth Foundation

 C 125,452 Actual Amount Transferred
(8) Grady Memorial Hospital

 B 125,452 Actual Amount Transferred
(9) OhioHealth Corporation

 B 1,837,884 Actual Amount Transferred
(10) HomeReach Homecare

 O 952,847 Actual Amount Transferred
(11) OhioHealth Corporation

 O 1,571,687 Actual Amount Transferred
(12) OhioHealth Corporation

 P 552,281 Actual Amount Transferred
(13) Sheltering Arms Hospital Foundation

 P 1,550,114 Actual Amount Transferred
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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) 2013
Additional Data


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