TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Morrison Karen J........................................................................ Pres/Board OHF	20.00 .......................20.00	X	X	863,157	198,454
(2) McConnell John P........................................................................ Vice-Chair OHF	5.00 .......................2.00	X	X	0	0
(3) Foreman Ivery D Esq........................................................................ Sec/Treas OHF	1.00 .......................0.00	X	X	0	0
(4) Abraham Tara M........................................................................ Board OHF	1.00 .......................0.00	X		0	0
(5) Anderson Douglas T........................................................................ Board OHF	1.00 .......................0.00	X		0	0
(6) Andreoli Steven........................................................................ Board OHF (start 7/14)	1.00 .......................0.00	X		0	0
(7) Barker Marilyn........................................................................ Board OHF	1.00 .......................0.00	X		0	0
(8) Basil Brian A........................................................................ Board OHF	1.00 .......................0.00	X		0	0
(9) Berwanger Joseph M........................................................................ Board OHF	1.00 .......................0.00	X		0	0
(10) Bing Arthur GH MD........................................................................ Board OHF	1.00 .......................0.00	X		0	0
(11) Blom David P........................................................................ Board OHF	6.00 .......................41.00	X		2,672,233	988,437
(12) Bloomfield Toni........................................................................ Board OHF (start 7/14)	1.00 .......................0.00	X		0	0
(13) Blosser T Laurence MD........................................................................ Board OHF	1.00 .......................6.00	X		88,861	0
(14) Brandon Heather........................................................................ Board OHF	1.00 .......................40.00	X		278,671	32,801
(15) Bright David........................................................................ Board OHF	1.00 .......................0.00	X		0	0
(16) Brooks Amie E........................................................................ Board OHF	1.00 .......................0.00	X		0	0
(17) Buckley Donna........................................................................ Board OHF	1.00 .......................0.00	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Bunyard Stephen P........................................................................ Board OHF (start 7/14)	21.00 .......................20.00	X					0	0	0
(19) Bury Peter........................................................................ Board OHF	1.00 .......................40.00	X					0	360,546	33,450
(20) Butler David........................................................................ Board OHF (start 7/14)	1.00 .......................0.00	X					0	0	0
(21) Butler William........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(22) Cadwallader Patricia S........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(23) Campbell Thomas........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(24) Chambers Linda MD........................................................................ Board OHF	1.00 .......................0.00	X					0	27,770	0
(25) Chester-Alexander Cecily........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(26) Coley-Malir Bonnie........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(27) Crane Tanny........................................................................ Board OHF	5.00 .......................2.00	X					0	0	0
(28) Cunningham Jane Watson........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(29) Deep Donald P MD........................................................................ Board OHF (start 7/14)	1.00 .......................0.00	X					0	68,185	30
(30) deVillers Rebecca E DO........................................................................ Board OHF	40.00 .......................1.00	X					130,817	0	33,298
(31) DiMarco Ann M........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(32) Doody Anderson Elizabeth........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(33) Englefield Cynthia........................................................................ Board OHF	3.00 .......................0.00	X					0	0	0
(34) Fellenz Donald C........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(35) Fields Steven P........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(36) Flesch Thomas G........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(37) Frazier Kenneth R........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(38) Gabriel Paul MD........................................................................ Board OHF	5.00 .......................2.00	X					0	63,358	0
(39) Gallagher-Allred........................................................................ Charlette Ph.D., Board OHF	1.00 .......................0.00	X					0	0	0
(40) Geese Ronald L........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(41) George Peter B MD........................................................................ Board OHF	40.00 .......................1.00	X					968,264	0	54,147
(42) Geskey Joseph DO........................................................................ Board OHF	1.00 .......................0.00	X					0	359,973	36,883
(43) Gibney Jack T........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(44) Glandon Philip J Sr........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(45) Griffin Scott R........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(46) Gutheil Paige DO........................................................................ Board OHF	5.00 .......................2.00	X					0	10,000	0
(47) Habash Stephen J........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(48) Hagen Bruce P........................................................................ Board OHF (end 1/15)	41.00 .......................0.00	X					0	0	0
(49) Hammett Troy D........................................................................ Board OHF (end 1/15)	1.00 .......................40.00	X					0	310,762	48,253
(50) Harmon Thomas L MD........................................................................ Board OHF	1.00 .......................40.00	X					0	500,083	44,348
(51) Herceg Milan MD........................................................................ Board OHF	1.00 .......................40.00	X					0	308,550	0
(52) Hidaka Yoshihiro........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(53) Hinderer Justin........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(54) Hoover Ted........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(55) Infante Stephanie........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(56) Irelan Vic........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(57) Jepson Brian D........................................................................ Board OHF (start 7/14)	1.00 .......................40.00	X					0	531,757	89,768
(58) Khalaf Laith M........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(59) Laber Melissa........................................................................ Board OHF (start 7/14)	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	1.00 .......................40.00	X					0	528,033	65,556
(62) Levin Howard B DO........................................................................ Board OHF	44.00 .......................2.00	X					589,318	0	49,218
(63) Mackessy James P MD........................................................................ Board OHF	1.00 .......................40.00	X					0	118,404	0
(64) Markovich Stephen E MD........................................................................ Board OHF (end 10/14)	1.00 .......................40.00	X					0	1,031,395	304,032
(65) McAdams Robert Jr........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(66) McCloy George W........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(67) McComas Janie........................................................................ Board OHF (start 7/14)	1.00 .......................0.00	X					0	0	0
(68) Menning Michael E........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(69) Mercker Julie........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(70) Millhon Judson S Jr MD........................................................................ Board OHF	40.00 .......................0.00	X					878,294	0	56,672
(71) Music William D........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(72) Newbrough Jr James P........................................................................ Board OHF	40.00 .......................1.00	X					0	0	0
(73) Patterson David T........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(74) Ragan Virginia D........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(75) Rasmussen Steven........................................................................ Board OHF	5.00 .......................2.00	X					0	0	0
(76) Reichfield Michael L........................................................................ Board OHF	1.00 .......................40.00	X					0	688,787	157,660
(77) Sanese Ralph Jr........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(78) Schwarz David H........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(79) Sims Richard L........................................................................ Board OHF (end 7/14)	1.00 .......................0.00	X					0	0	0
(80) Smith Eric C........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(81) Smith Rita J RN........................................................................ Board OHF	1.00 .......................40.00	X					0	129,397	36,653
(82) Swiatek Valerie B........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(83) Terapak Richard G Esq........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(84) Trell Eugene DO........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(85) Urse Geraldine L DO........................................................................ Board OHF	40.00 .......................0.00	X					238,833	0	34,091
(86) von Gunten Charles MD........................................................................ Board OHF	1.00 .......................40.00	X					0	360,329	30,409
(87) Vornbrock Page........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(88) Weiler Alan R........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(89) Weiler Robert J Jr........................................................................ Board OHF (end 1/15)	1.00 .......................0.00	X					0	0	0
(90) Westwater Leah........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(91) White Aimee........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(92) White Scott........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(93) White Willis S Jr........................................................................ Board OHF	1.00 .......................0.00	X					0	0	0
(94) Louge Michael W........................................................................ Chair/VP Board OPG	1.00 .......................40.00	X	X				0	1,529,246	707,735
(95) Thornhill Hugh A........................................................................ Pres Board OPG	40.00 .......................1.00	X	X				0	752,571	177,294
(96) Bernstein Michael S........................................................................ Board OPG	1.00 .......................40.00	X					0	863,925	185,936
(97) Blom David P........................................................................ Board OPG	6.00 .......................41.00	X					0	0	0
(98) Millen Robert P........................................................................ Board OPG (end 12/14)	1.00 .......................40.00	X					0	1,464,482	327,477
(99) Vanderhoff Bruce MD........................................................................ Board OPG	1.00 .......................40.00	X					0	0	0
(100) Snow Richard J DO........................................................................ Chair OHRI	1.00 .......................40.00	X	X				0	458,128	47,226
(101) Vanderhoff Bruce MD........................................................................ Sr VP CMO/Vice-Chair OHRI	1.00 .......................40.00	X	X				0	1,116,938	254,213
(102) Bjerke Craig A........................................................................ Secretary/Treasurer OHRI	5.00 .......................40.00	X	X				0	319,389	39,122
(103) Ansel Gary MD........................................................................ Board OHRI	40.00 .......................1.00	X					1,392,535	174,720	52,419
(104) Bay Janet MD........................................................................ Board OHRI	1.00 .......................40.00	X					779,841	0	35,436
(105) Bell Jeffrey G MD........................................................................ Board OHRI	1.00 .......................40.00	X					0	340,685	53,748
(106) Bianchi Michael........................................................................ Board OHRI (start 11/14)	1.00 .......................40.00	X					0	156,404	9,906
(107) Blazyk Jack PhD........................................................................ Board OHRI	1.00 .......................40.00	X					0	0	0
(108) Caulin-Glaser Teresa L MD........................................................................ Board OHRI	1.00 .......................40.00	X					0	710,792	72,877
(109) Ferris Frank MD........................................................................ Board OHRI	1.00 .......................40.00	X					0	359,018	30,409
(110) Imm Amy MD........................................................................ Board OHRI	1.00 .......................40.00	X					0	514,808	48,182
(111) Knutson Douglas MD........................................................................ Board OHRI	1.00 .......................40.00	X					0	483,137	40,215
(112) Niles John P........................................................................ Board OHRI	1.00 .......................40.00	X					0	288,981	60,820
(113) O'Mara Shay MD........................................................................ Board OHRI	1.00 .......................40.00	X					0	0	0
(114) Wasielewski Ray MD........................................................................ Board OHRI	1.00 .......................40.00	X					760,456	0	50,928
(115) Yakubov Steven MD........................................................................ Board OHRI	1.00 .......................40.00	X					1,165,130	174,720	55,681
(116) Rasmussen Steven........................................................................ Chairman - GMH	5.00 .......................2.00	X	X				0	0	0
(117) McConnell John P........................................................................ Vice Chair - GMH	5.00 .......................2.00	X	X				0	0	0
(118) Hondros Linda........................................................................ Secretary - GMH	4.00 .......................2.00	X	X				0	0	0
(119) Anderson Kerrii B........................................................................ Treasurer - GMH	4.00 .......................2.00	X	X				0	0	0
(120) Abbott Lawrence C........................................................................ Board Member - GMH	4.00 .......................2.00	X					0	0	0
(121) Akins Nicholas........................................................................ Board Member - GMH	4.00 .......................2.00	X					0	0	0
(122) Anderson Thomas DO........................................................................ Board Member - GMH	4.00 .......................2.00	X					0	24,000	0
(123) Blom David P........................................................................ Board Member - GMH	6.00 .......................41.00	X					0	0	0
(124) Crane Tanny........................................................................ Board Member - GMH	5.00 .......................2.00	X					0	0	0
(125) Dewire Rev Dr Norman E........................................................................ Board Member - GMH	4.00 .......................2.00	X					0	0	0
(126) Gabriel Paul MD........................................................................ Board Member - GMH	5.00 .......................2.00	X					0	0	0
(127) Gutheil Paige DO........................................................................ Board Member - GMH (start 1/15)	5.00 .......................2.00	X					0	0	0
(128) James Donna........................................................................ Board Member - GMH	4.00 .......................2.00	X					0	0	0
(129) Jennings Matthew........................................................................ Board Member - GMH	6.00 .......................2.00	X					0	0	0
(130) Johnston Tom........................................................................ Board Member - GMH	5.00 .......................2.00	X					0	0	0
(131) Levin Howard B DO........................................................................ Board Member - GMH (end 12/14)	44.00 .......................2.00	X					0	0	0
(132) Palmer Bishop Gregory........................................................................ Board Member - GMH	4.00 .......................2.00	X					0	0	0
(133) Scott Bradley N........................................................................ Board Member - GMH	4.00 .......................2.00	X					0	0	0
(134) Walter Matt........................................................................ Board Member - GMH	4.00 .......................2.00	X					0	0	0
(135) Johnston Tom........................................................................ Chair MGH	5.00 .......................2.00	X	X				0	0	0
(136) Sanner Robert O........................................................................ Vice Chair MGH	1.00 .......................0.00	X	X				0	0	0
(137) Young Beverly S........................................................................ Secretary MGH	1.00 .......................0.00	X	X				0	0	0
(138) Parker Mark S........................................................................ Treasurer MGH	1.00 .......................0.00	X	X				0	0	0
(139) Hagen Bruce P........................................................................ Pres MGH (start 1/15)	41.00 .......................0.00	X	X				0	0	0
(140) Barney James S PhD........................................................................ Board MGH (end 3/15)	1.00 .......................0.00	X					0	0	0
(141) Bradley Kevin G........................................................................ Board MGH	1.00 .......................0.00	X					0	0	0
(142) Brazitis Mark A........................................................................ Board MGH (end 4/15)	2.00 .......................40.00	X					0	690,722	34,006
(143) Collazo Antonio E MD........................................................................ Board MGH (start 7/14)	1.00 .......................0.00	X					0	0	0
(144) Haas Robert S PhD........................................................................ Board MGH	1.00 .......................0.00	X					0	0	0
(145) Kiger Rev Daniel A........................................................................ Board MGH	1.00 .......................0.00	X					0	0	0
(146) Lause Lew........................................................................ Board MGH	1.00 .......................0.00	X					0	0	0
(147) Loudenslager Roy A........................................................................ Board MGH	1.00 .......................0.00	X					0	0	0
(148) McFarland James E........................................................................ Board MGH	1.00 .......................0.00	X					0	0	0
(149) Ravi Srinivas P MD........................................................................ Board MGH	1.00 .......................0.00	X					0	0	0
(150) Reddy Sudesh S MD........................................................................ Board MGH	1.00 .......................0.00	X					0	0	0
(151) Titus Judy........................................................................ Board MGH	1.00 .......................0.00	X					0	0	0
(152) Vora Sanjay K MD........................................................................ Board MGH	1.00 .......................0.00	X					0	323,027	39,285
(153) Jennings Matthew........................................................................ Chair HMH	6.00 .......................2.00	X	X				0	0	0
(154) Govekar Michele........................................................................ Vice-Chair HMH	1.00 .......................0.00	X	X				0	0	0
(155) Radway Rob........................................................................ Secretary HMH	2.00 .......................0.00	X	X				0	0	0
(156) Schwemer John........................................................................ Treasurer HMH	2.00 .......................0.00	X	X				0	0	0
(157) Seckinger Mark R........................................................................ Pres HMH & BD HMH (end 4/15)	3.00 .......................40.00	X	X				0	299,049	75,925
(158) Snyder Ron P........................................................................ Interim Pres & BD HMH (start 4/15)	40.00 .......................1.00	X	X				0	213,124	26,438
(159) Barrett Scott........................................................................ Board HMH	2.00 .......................0.00	X					0	0	0
(160) Brazitis Mark A........................................................................ Board HMH	2.00 .......................40.00	X					0	0	0
(161) Fenzl Mark E DO........................................................................ Board HMH	1.00 .......................0.00	X					0	164,523	24,336
(162) France Mandy........................................................................ Board HMH	1.00 .......................0.00	X					0	0	0
(163) Heilman Max........................................................................ Board HMH	1.00 .......................0.00	X					0	0	0
(164) McCullough Steve........................................................................ Board HMH	1.00 .......................0.00	X					0	0	0
(165) Oates Todd OD........................................................................ Board HMH	1.00 .......................0.00	X					0	0	0
(166) Root Chip........................................................................ Board HMH	1.00 .......................0.00	X					0	0	0
(167) Seckinger Mark R........................................................................ Pres HHF & BD HHF (end 4/15)	3.00 .......................40.00	X	X				0	0	0
(168) Snyder Ron P........................................................................ Interim Pres HHF & BD HHF	40.00 .......................1.00	X	X				0	0	0
(169) Barrett Scott........................................................................ Board HHF	2.00 .......................0.00	X					0	0	0
(170) Heilman Sharon........................................................................ Board HHF	1.00 .......................0.00	X					0	0	0
(171) Royer Mariann........................................................................ Board HHF	1.00 .......................0.00	X					0	0	0
(172) Smith Linda........................................................................ Board HHF	1.00 .......................0.00	X					0	0	0
(173) Johnson Katherine E MD........................................................................ Chairman HPF Board	1.00 .......................0.00	X	X				0	0	0
(174) Seckinger Mark R........................................................................ Pres HPF & Sec HPF (end 4/15)	3.00 .......................40.00	X	X				0	0	0
(175) Snyder Ron P........................................................................ Interim President HPF (start 4/15)	40.00 .......................1.00	X	X				0	0	0
(176) Govekar Michele........................................................................ Board HPF	1.00 .......................0.00	X					0	0	0
(177) Jennings Matthew........................................................................ Board HPF	6.00 .......................2.00	X					0	0	0
(178) Radway Rob........................................................................ Board HPF	2.00 .......................0.00	X					0	0	0
(179) Schwemer John........................................................................ Board HPF	2.00 .......................0.00	X					0	0	0
(180) Herbert-Sinden Cheryl L........................................................................ Chair HRC	2.00 .......................40.00	X	X				0	664,056	220,971
(181) Bjerke Craig A........................................................................ Secretary/Treasurer HRC	5.00 .......................40.00	X	X				0	0	0
(182) Englefield Cynthia........................................................................ Board HRC (end 6/15)	3.00 .......................0.00	X					0	0	0
(183) Evert Barbara MD........................................................................ Board HRC	2.00 .......................40.00	X					0	398,210	31,058
(184) Lehmuth Richard L........................................................................ Board HRC	2.00 .......................40.00	X					0	452,047	45,184
(185) Herbert-Sinden Cheryl L........................................................................ Chair HRHC	2.00 .......................40.00	X	X				0	0	0
(186) Bjerke Craig A........................................................................ Secretary/Treasurer HRHC	5.00 .......................40.00	X	X				0	0	0
(187) Englefield Cynthia........................................................................ Board HRHC (end 6/15)	3.00 .......................0.00	X					0	0	0
(188) Evert Barbara MD........................................................................ Board HRHC	2.00 .......................40.00	X					0	0	0
(189) Lehmuth Richard L........................................................................ Board HRHC	2.00 .......................40.00	X					0	0	0
(190) Rasmussen Steven........................................................................ Chairman - MHS	5.00 .......................2.00	X	X				0	0	0
(191) McConnell John P........................................................................ Vice Chair - MHS	5.00 .......................2.00	X	X				0	0	0
(192) Hondros Linda........................................................................ Secretary - MHS	4.00 .......................2.00	X	X				0	0	0
(193) Anderson Kerrii B........................................................................ Treasurer - MHS	4.00 .......................2.00	X	X				0	0	0
(194) Abbott Lawrence C........................................................................ Board Member - MHS	4.00 .......................2.00	X					0	0	0
(195) Akins Nicholas........................................................................ Board Member - MHS	4.00 .......................2.00	X					0	0	0
(196) Anderson Thomas DO........................................................................ Board Member - MHS	4.00 .......................2.00	X					0	0	0
(197) Blom David P........................................................................ Board Member - MHS	6.00 .......................41.00	X					0	0	0
(198) Crane Tanny........................................................................ Board Member - MHS	5.00 .......................2.00	X					0	0	0
(199) Dewire Rev Dr Norman E........................................................................ Board Member - MHS	4.00 .......................2.00	X					0	0	0
(200) Gabriel Paul MD........................................................................ Board Member - MHS	5.00 .......................2.00	X					0	0	0
(201) Gutheil Paige DO........................................................................ Board Member - MHS (start 1/15)	5.00 .......................2.00	X					0	0	0
(202) James Donna........................................................................ Board Member - MHS	4.00 .......................2.00	X					0	0	0
(203) Jennings Matthew........................................................................ Board Member - MHS	6.00 .......................2.00	X					0	0	0
(204) Johnston Tom........................................................................ Board Member - MHS	5.00 .......................2.00	X					0	0	0
(205) Levin Howard B DO........................................................................ Board Member - MHS (end 12/14)	44.00 .......................2.00	X					0	0	0
(206) Palmer Bishop Gregory........................................................................ Board Member - MHS	4.00 .......................2.00	X					0	0	0
(207) Scott Bradley N........................................................................ Board Member - MHS	4.00 .......................2.00	X					0	0	0
(208) Walter Matt........................................................................ Board Member - MHS	4.00 .......................2.00	X					0	0	0
(209) Rasmussen Steven........................................................................ Chairman - SAHF	5.00 .......................2.00	X	X				0	0	0
(210) McConnell John P........................................................................ Vice Chair - SAHF	5.00 .......................2.00	X	X				0	0	0
(211) Hondros Linda........................................................................ Secretary - SAHF	4.00 .......................2.00	X	X				0	0	0
(212) Anderson Kerrii B........................................................................ Treasurer - SAHF	4.00 .......................2.00	X	X				0	0	0
(213) Blom David P........................................................................ Board Member - SAHF / CEO	6.00 .......................41.00	X	X				0	0	0
(214) Abbott Lawrence C........................................................................ Board Member - SAHF	4.00 .......................2.00	X					0	0	0
(215) Akins Nicholas........................................................................ Board Member - SAHF	4.00 .......................2.00	X					0	0	0
(216) Anderson Thomas DO........................................................................ Board Member - SAHF	4.00 .......................2.00	X					0	0	0
(217) Crane Tanny........................................................................ Board Member - SAHF	5.00 .......................2.00	X					0	0	0
(218) Dewire Rev Dr Norman E........................................................................ Board Member - SAHF	4.00 .......................2.00	X					0	0	0
(219) Gabriel Paul MD........................................................................ Board Member - SAHF	5.00 .......................2.00	X					0	0	0
(220) Gutheil Paige DO........................................................................ Board Member - SAHF (start 1/15)	5.00 .......................2.00	X					0	0	0
(221) James Donna........................................................................ Board Member - SAHF	4.00 .......................2.00	X					0	0	0
(222) Jennings Matthew........................................................................ Board Member - SAHF	6.00 .......................2.00	X					0	0	0
(223) Johnston Tom........................................................................ Board Member - SAHF	5.00 .......................2.00	X					0	0	0
(224) Levin Howard B DO........................................................................ Board Member - SAHF (end 12/14)	44.00 .......................2.00	X					0	0	0
(225) Palmer Bishop Gregory........................................................................ Board Member - SAHF	4.00 .......................2.00	X					0	0	0
(226) Scott Bradley N........................................................................ Board Member - SAHF	4.00 .......................2.00	X					0	0	0
(227) Walter Matt........................................................................ Board Member - SAHF	4.00 .......................2.00	X					0	0	0
(228) Rasmussen Steven........................................................................ Chairman - ACVNA	5.00 .......................2.00	X	X				0	0	0
(229) McConnell John P........................................................................ Vice Chair - ACVNA	5.00 .......................2.00	X	X				0	0	0
(230) Hondros Linda........................................................................ Secretary - ACVNA	4.00 .......................2.00	X	X				0	0	0
(231) Anderson Kerrii B........................................................................ Treasurer - ACVNA	4.00 .......................2.00	X	X				0	0	0
(232) Abbott Lawrence C........................................................................ Board Member - ACVNA	4.00 .......................2.00	X					0	0	0
(233) Akins Nicholas........................................................................ Board Member - ACVNA	4.00 .......................2.00	X					0	0	0
(234) Anderson Thomas DO........................................................................ Board Member - ACVNA	4.00 .......................2.00	X					0	0	0
(235) Blom David P........................................................................ Board Member - ACVNA	6.00 .......................41.00	X					0	0	0
(236) Crane Tanny........................................................................ Board Member - ACVNA	5.00 .......................2.00	X					0	0	0
(237) Dewire Rev Dr Norman E........................................................................ Board Member - ACVNA	4.00 .......................2.00	X					0	0	0
(238) Gabriel Paul MD........................................................................ Board Member - ACVNA	5.00 .......................2.00	X					0	0	0
(239) Gutheil Paige DO........................................................................ Board Member - ACVNA (start 1/15)	5.00 .......................2.00	X					0	0	0
(240) James Donna........................................................................ Board Member - ACVNA	4.00 .......................2.00	X					0	0	0
(241) Jennings Matthew........................................................................ Board Member - ACVNA	6.00 .......................2.00	X					0	0	0
(242) Johnston Tom........................................................................ Board Member - ACVNA	5.00 .......................2.00	X					0	0	0
(243) Levin Howard B DO........................................................................ Board Member - ACVNA (end 12/14)	44.00 .......................2.00	X					0	0	0
(244) Palmer Bishop Gregory........................................................................ Board Member - ACVNA	4.00 .......................2.00	X					0	0	0
(245) Scott Bradley N........................................................................ Board Member - ACVNA	4.00 .......................2.00	X					0	0	0
(246) Walter Matt........................................................................ Board Member - ACVNA	4.00 .......................2.00	X					0	0	0
(247) Yates Vinson M........................................................................ CFO OHF	1.00 .......................40.00		X				0	944,942	234,234
(248) Yates Vinson M........................................................................ CFO OPG	1.00 .......................40.00		X				0	0	0
(249) Lucius Staci E........................................................................ COO OPG (start 5/14)	40.00 .......................0.00		X				0	225,868	7,701
(250) Meldrum Terri W Esq........................................................................ Sec BD OPG	40.00 .......................1.00		X				0	302,877	44,478
(251) Bjerke Craig A........................................................................ Treas BD OPG	5.00 .......................40.00		X				0	0	0
(252) Yates Vinson M........................................................................ CFO OHRI	1.00 .......................40.00		X				0	0	0
(253) Yates Vinson M........................................................................ CFO GMH	1.00 .......................40.00		X				0	0	0
(254) Hagen Bruce P........................................................................ Pres GMH (end 1/15)	41.00 .......................0.00		X				0	938,163	182,749
(255) Bunyard Stephen P........................................................................ President GMH (start 1/15)	21.00 .......................20.00		X				0	369,251	34,091
(256) Yates Vinson M........................................................................ CFO HMH	1.00 .......................40.00		X				0	0	0
(257) Yates Vinson M........................................................................ CFO HPF	1.00 .......................40.00		X				0	0	0
(258) Yates Vinson M........................................................................ CFO HRC	1.00 .......................40.00		X				0	0	0
(259) Yates Vinson M........................................................................ CFO HHF	1.00 .......................40.00		X				0	0	0
(260) Newbrough Jr James P........................................................................ President HRC	40.00 .......................1.00		X				0	436,790	45,363
(261) Yates Vinson M........................................................................ CFO HRHC	1.00 .......................40.00		X				0	0	0
(262) Newbrough Jr James P........................................................................ President HRHC	40.00 .......................1.00		X				0	0	0
(263) Bishop Thomas E........................................................................ VP Primary Care Svcs OPG (end 4/15)	40.00 .......................1.00		X				0	418,032	19,906
(264) Cecala Alan H........................................................................ VP Sys Serv Line Sup OPG	40.00 .......................1.00		X				0	348,750	39,395
(265) Foley Denise E........................................................................ VP Bus Dev OPG (end 4/15)	40.00 .......................1.00		X				0	314,504	52,550
(266) Jernejcic Randy M MD........................................................................ VP Medical Affairs OPG	40.00 .......................1.00		X				0	368,457	36,983
(267) Roth Danielle C........................................................................ VP Operations OPG	40.00 .......................1.00		X				0	277,102	32,831
(268) Smith Jeffrey A........................................................................ VP Finance OPG	40.00 .......................1.00		X				0	314,935	41,671
(269) Yates Vinson M........................................................................ CFO MedCentral	1.00 .......................40.00		X				0	0	0
(270) Yates Vinson M........................................................................ CFO SAHF	1.00 .......................40.00		X				0	0	0
(271) Yates Vinson M........................................................................ CFO ACVNA	1.00 .......................40.00		X				0	0	0
(272) Barnes II Earl J Esq........................................................................ Sr VP & General Counsel	1.00 .......................40.00			X			0	459,201	162,944
(273) Kovack Thomas J DO........................................................................ Physician Core OPG	40.00 .......................0.00				X		2,604,073	0	54,390
(274) Cassandra James C DO........................................................................ Physician Hand & Ortho Surgery OPG	40.00 .......................0.00				X		1,580,739	0	56,018
(275) Abaza Ronney MD........................................................................ Physician Urology	40.00 .......................0.00				X		1,438,573	0	22,556
(276) Franz Randall MD........................................................................ Physician Core OPG	40.00 .......................0.00				X		1,435,365	0	60,723
(277) Fulop James P MD........................................................................ Physician Core OPG	40.00 .......................0.00				X		1,343,703	0	44,144
(278) Dicken Ken........................................................................ CFO SAHF (end 8/14)	40.00 .......................1.00					X	0	204,569	18,332
(279) Hooper Joseph........................................................................ COO, MGH (end 12/14)	40.00 .......................1.00					X	0	271,414	43,269
(280) Brown Steven R........................................................................ VP Finance, MGH (end 2/15)	40.00 .......................1.00					X	0	234,228	49,940
(281) Tomaszewski James A........................................................................ VP Heart & Vascular OPG	40.00 .......................1.00					X	0	183,809	15,118
(282) Chamberlain Joseph L........................................................................ Frmr Acting Pres/VP (end 5/14)	40.00 .......................1.00					X	547,364	0	34,191
(283) Laterro Anita A........................................................................ Fmr Key Employee OHF	0.00 .......................0.00					X	0	219,734	48,142
(284) Garlock Steven J........................................................................ Fmr Pres GMH	0.00 .......................40.00					X	0	930,173	34,908
(285) Long Greg........................................................................ Fmr COO-DHN (end 10/14)	0.00 .......................0.00					X	0	338,898	44,357
(286) O'Sullivan Michael........................................................................ Fmr Sr VP & CDO-OHF	0.00 .......................0.00					X	0	130,541	24,314
(287) Pandora Frank T II Esq........................................................................ Frm Sr VP & Gen Counsel (End 5/14)	1.00 .......................20.00					X	0	2,216,743	88
(288) Rothstein Mark........................................................................ Sr. VP/Executive Director - SAHF	40.00 .......................1.00					X	395,672	0	25,931
(289) Sanders John W........................................................................ Fmr President MGH (end 4/14)	0.00 .......................0.00					X	0	424,814	19,628
(290) Wallis Eric........................................................................ Fmr CNO-MGH (end 9/14)	0.00 .......................0.00					X	0	133,618	24,214
(291) Wyse LaMar........................................................................ Fmr COO-DHN	0.00 .......................0.00					X	304,311	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
Athena Health Inc 311 Arsenal Street Watertown,MA02472	Health Care Billing	8,228,779
Premier Health Care Services Inc PO Box 631606 Cincinnati,OH452631606	Emergency Room Physician Services	6,220,916
Healix Infusion Therapy Inc 14140 Southwest Freeway Sugarland,TX77478	Pharmaceutical Compounding Services	4,301,445
Dawson Personnel Systems - Triga PO Box 711503 Cincinnati,OH452711503	Temporary Staffing	4,236,059
Ohio Womens Health Partners 8600 State Route 656 Sunbury,OH430748372	OBGYN Teaching and Coverage	2,120,967
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 258

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,589,173	1,589,173
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	182,545	182,545
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	8,810,150	8,621,464	188,686
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	458,693	381,587	77,106
7	Other salaries and wages ....	576,894,023	478,625,838	95,775,242	2,492,943
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	21,246,176	15,509,708	5,666,210	70,258
9	Other employee benefits .......	71,970,703	52,538,613	19,209,222	222,868
10	Payroll taxes ...........	34,068,337	24,869,886	9,059,471	138,980
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	356,574	260,299	94,617	1,658
c	Accounting ...........	202,701		202,701
d	Lobbying ...........	42,995		42,995
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	215,719		215,719
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	87,974,216	64,221,178	23,527,064	225,974
12	Advertising and promotion ....	1,243,225		1,161,107	82,118
13	Office expenses .......	5,774,847	4,215,638	1,536,717	22,492
14	Information technology ......	2,937,057	2,144,052	793,005
15	Royalties ..
16	Occupancy ...........	33,855,085	24,714,212	9,139,943	930
17	Travel ............	4,102,382	2,994,739	1,091,604	16,039
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	474,353	346,278	109,089	18,986
20	Interest ...........	1,338,677	977,234	361,443
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	58,048,022	42,375,056	15,648,342	24,624
23	Insurance ..............	7,322,212	5,345,215	1,976,885	112
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	110,442,167	110,442,167
b	Intercompany Expense	53,094,569	38,759,035	14,335,534
c	Repair and Maintenance	12,252,562	12,252,562
d	Medicaid Tax Expense	3,810,410	3,810,410
e	All other expenses	13,109,300	9,609,935	3,499,365
25	Total functional expenses. Add lines 1 through 24e	1,111,816,873	904,786,824	203,712,067	3,317,982
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	21,365	1	23,518
2	Savings and temporary cash investments .........	48,840,580	2	68,435,604
3	Pledges and grants receivable, net ...........	7,673,298	3	7,106,166
4	Accounts receivable, net .............	69,356,442	4	109,402,190
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		11,041	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6	0
7	Notes and loans receivable, net .............	7,323,376	7	30,035,760
8	Inventories for sale or use ..............	8,020,927	8	16,693,145
9	Prepaid expenses and deferred charges ..........	6,901,372	9	11,115,894
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	643,426,025
b	Less: accumulated depreciation .....	10b	250,672,440	157,968,942	10c	392,753,585
11	Investments—publicly traded securities ..........	163,047,244	11	209,145,213
12	Investments—other securities. See Part IV, line 11 .....	8,556,119	12	51,546,827
13	Investments—program-related. See Part IV, line 11 .....	325,379	13	132,640
14	Intangible assets ...............	34,541,326	14	33,813,828
15	Other assets. See Part IV, line 11 ...........	23,997,881	15	110,802,471
16	Total assets. Add lines 1 through 15 (must equal line 34)......	536,585,292	16	1,041,006,841
	17	Accounts payable and accrued expenses .........	66,828,318	17	122,149,189
18	Grants payable .................		18
19	Deferred revenue ................	1,815,295	19	6,595,202
20	Tax-exempt bond liabilities .............	40,179,619	20	39,983,765
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 ..	536,930	23	284,561
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....................	48,158,046	25	222,597,420
26	Total liabilities. Add lines 17 through 25.........	157,518,208	26	391,610,137
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	315,257,499	27	581,491,682
28	Temporarily restricted net assets ...........	46,769,616	28	47,230,940
29	Permanently restricted net assets ...........	17,039,969	29	20,674,082
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	379,067,084	33	649,396,704
34	Total liabilities and net assets/fund balances ........	536,585,292	34	1,041,006,841

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

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

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

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

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.)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

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

Section A. Public Support

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

Section B. Total Support

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

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

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

Section C. Computation of Public Support Percentage

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

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

16a

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

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

17a

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

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

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

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	133,112	99,056	85,108	105,000	39,007	461,283
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......	249,416,307	268,113,453	200,923,354	221,535,738	245,030,301	1,185,019,153
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.	249,549,419	268,212,509	201,008,462	221,640,738	245,069,308	1,185,480,436
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...					14,113	14,113
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.			231,042	29,813		260,855
c	Add lines 7a and 7b..			231,042	29,813	14,113	274,968
8	Public support (Subtract line 7c from line 6.)						1,185,205,468

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...	249,549,419	268,212,509	201,008,462	221,640,738	245,069,308	1,185,480,436
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	11,116	5,694	1,721	-609	599	18,521
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.	11,116	5,694	1,721	-609	599	18,521
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..	249,560,535	268,218,203	201,010,183	221,640,129	245,069,907	1,185,498,957

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

Section C. Computation of Public Support Percentage

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

99.980 %

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

98.600 %

Section D. Computation of Investment Income Percentage

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

0 %

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

0.030 %

19a

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

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

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

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

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

Section A. All Supporting Organizations

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

10a

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

10a

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

10b

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

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

11a

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

11b

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

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

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

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

Section C. Type II Supporting Organizations

Yes

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

Section D. All Type III Supporting Organizations

Yes

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

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

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

Section E. Type III Functionally-Integrated Supporting Organizations

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

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

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

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

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

Yes

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

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

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

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

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

Schedule A (Form 990 or 990-EZ) 2014

Page 6

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

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

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

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

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

Schedule A (Form 990 or 990-EZ) 2014

Page 7

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

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

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

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

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

Facts And Circumstances Test

Return Reference	Explanation
Schedule A, Line 3:	MedCentral Health System, Marion General Hospital, Grady Memorial Hospital, Sheltering Arms Hospital Foundation, and Hardin Memorial Hospital are hospitals as defined under 509(a)(1) and 170(b)(1)(A)(iii).
Schedule A, Line 11:	OhioHealth Foundation, Hardin Memorial Hospital Foundation, and OhioHealth Research Foundation are 509(a)(3), Type I, supporting organizations operated, supervised, or controlled by their supported organizations. As such they are required to complete the Part I, Line 11f and Line 11g, Part IV, Section A, and Part IV Section B. The responses to these questions are provided below. Part I, Line 11f: 4 Part I, Line 11g Yes (i) OhioHealth Corporation (ii) 31-4394942 (iii) 3- Hospital (iv) No (v) $4,821,525 (vi) $0 (i) OhioHealth MedCentral Health System (ii) 34-0714456 (iii) 3- Hospital (iv) No (v) $5,000 (vi) $0 (i) Grady Memorial Hospital (ii) 31-4379436 (iii) 3- Hospital (iv) No (v) $53,419 (vi) $0 (i) Hardin Memorial Hospital (ii) 34-4440479 (iii) 3- Hospital (iv) No (v) $50,000 (vi) $0 Part IV, Section A 1. No - The sole member of OhioHealth Research Foundation and OhioHealth Foundation is OhioHealth Corporation, an Ohio nonprofit corporation, which has a historic and continuing relationship with these entities as supporting organizations to OhioHealth Corporation, which is the supported organization. The sole member of Hardin Memorial Hospital, which is supported by Hardin Memorial Hospital Foundation, is OhioHealth Corporation, an Ohio nonprofit corporation, which has a historic and continuing relationship with both Hardin entities. As the sole member of these entities, OhioHealth Corporation has the sole right to elect the Trustees of each entity and to remove, with or without cause, any Trustee of these entities, prior to the expiration of the Trustee's term. 2. No 3a. No 4a. No 5a. No 6. No 7. No 8. No 9a. No 9b. No 9c. No 10a. No 11a. No 11b. No 11c. No Part IV, Section B 1. Yes 2. Yes - There are three Type I organizations within the OhioHealth Corporation Group Return; Hardin Memorial Hospital Foundation, OhioHealth Foundation and OhioHealth Research Foundation, which serve to support and operate solely for the benefit of all OhioHealth entities.
Part VI, Supplemental Information:	Entity Name FEIN Public Charity Status for Schedule A ACVNA 31-1045101 509(a)(2) Sheltering Arms Hospital Foundation, Inc. 31-4446959 170(b)(1)(A)(iii) MedCentral Health System 34-0714456 170(b)(1)(A)(iii) Grady Memorial Hospital 31-4379436 170(b)(1)(A)(iii) Hardin Memorial Hospital 34-4440479 170(b)(1)(A)(iii) Hardin Memorial Hospital Foundation 34-1521537 509(a)(3) - Type I organization Hardin Physician Foundation 31-1414276 509(a)(2) HomeReach 31-1372702 509(a)(2) HomeReach HomeCare 31-1417595 509(a)(2) Marion General Hospital 31-1070877 170(b)(1)(A)(iii) OhioHealth Foundation 23-7446919 509(a)(3) - Type I organization OhioHealth Research Foundation 31-6059784 509(a)(3) - Type I organization OhioHealth Physician Group, Inc. 31-1351965 509(a)(2)

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

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

OMB No. 1545-0047

2014

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

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization OhioHealth Corporation Group Return

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization OhioHealth Corporation Group Return

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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
OhioHealth Corporation Group Return

Employer identification number

32-0007056

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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

(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

(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

(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

(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) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

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

Complete if the organization is described below. SchCMd Bullet

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

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

OMB No. 1545-0047

2014

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

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.

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

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

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

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

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

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

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

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

A Check SchCMd Bullet

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

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

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

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

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

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

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

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

(a)

Yes

(b)

Amount

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

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

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

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

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

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

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

Yes

42,995

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

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

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

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

42,995

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Return Reference	Explanation
Part II-B, Line 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.

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) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

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 value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


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

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

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

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

(i)

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

(ii)

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

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

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No

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


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

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

Yes No

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

Part V

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

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	46,440,492	42,508,922	41,132,224	42,328,138	43,669,049
b	Contributions ........	1,841,838	456,257	319,848	435,472	326,631
c	Net investment earnings, gains, and losses	1,182,247	5,868,974	2,783,610	714,253	5,819,102
d	Grants or scholarships .....	93,403	81,038	93,400	128,520	102,950
e	Other expenditures for facilities and programs ........	1,374,016	1,267,588	1,059,071	1,503,043	6,656,908
f	Administrative expenses ....	1,060,781	1,045,035	574,289	714,076	726,786
g	End of year balance ......	46,936,377	46,440,492	42,508,922	41,132,224	42,328,138

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

Board designated or quasi-endowment SchDMd Bullet

56.000 %

Permanent endowment SchDMd Bullet

29.000 %

Temporarily restricted endowment SchDMd Bullet

15.000 %

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

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

Yes

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

3a(i)

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

3a(ii)

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

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 .................		21,394,294		21,394,294
b	Buildings ................	750,000	292,872,998	99,775,387	193,847,611
c	Leasehold improvements ............		1,245,768	499,159	746,609
d	Equipment ................		203,198,407	117,262,124	85,936,283
e	Other .................		123,964,558	33,135,770	90,828,788
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......					392,753,585

Schedule D (Form 990) 2014

Page 3

Part VII

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

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








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

Part VIII

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

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









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

Part IX

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

(a) Description				(b) Book value
(1) Due from Affiliates				97,040,743
(2) Other Assets				13,761,728







Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				110,802,471

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		6,752,422
Due to Affiliates - Loans and Notes		165,553,513
Other		328,532
Pension Liability		10,197,145
Legal Reserves		21,601,853
Intel Commercial Liability		5,023,364
Deferred LT Liability Tenant Allowance		1,977,134
Allowance for Medical Malpractice Claims		7,453,955
Doctors' Put Options		3,507,465
Accrued LT Liability Other		202,037
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		222,597,420
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) 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, 2015, 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) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
OhioHealth Corporation Group Return

Employer identification number

32-0007056

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria

used to award the grants or assistance? ...........................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	Central America and the Caribbean	0	0	Investments	1,058,970
















3a	Sub-total .....	0	0		1,058,970
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		1,058,970

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014

Schedule F (Form 990) 2014

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2014

Schedule F (Form 990) 2014Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2014

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2014

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

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 arrow

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

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
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.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

Yes

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)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










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

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) 2014

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 Hospice Dinner (event type)	(b) Event #2 2014 Kitchen Kapers (event type)	(c) Other events 17 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	117,407	42,849	367,114	527,370
2	Less: Contributions . .	800	41,199	261,499	303,498
3	Gross income (line 1 minus line 2) . . .	116,607	1,650	105,615	223,872
4	Cash prizes . . .	25,000			25,000
5	Noncash prizes . .	60			60
6	Rent/facility costs . .	2,628		1,778	4,406
7	Food and beverages .	13,181	7,049	6,427	26,657
8	Entertainment . . .	400			400
9	Other direct expenses .	16,132	1,997	65,723	83,852
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				140,375
11	Net income summary. Subtract line 10 from line 3, column (d)...........				83,497

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.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2014

Page 3

Does the organization conduct gaming activities with nonmembers? .................

YesNo

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? ..........................

YesNo

Indicate the percentage of gaming activities conducted in:

The organization's facility ......................

13a

An outside facility ........................

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

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

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

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 provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

OhioHealth Corporation Group Return

Employer identification number

32-0007056

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

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

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

Yes

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

Yes

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

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	11,713,738	1,530,474	10,183,264	1.740 %
b	Medicaid (from Worksheet 3, column a) ....	130,731,056	94,104,229	36,626,827	6.270 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	142,444,794	95,634,703	46,810,091	8.010 %
Other Benefits		470,145	24,745	445,400	0.080 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	470,145	24,745	445,400	0.080 %
f	Health professions education (from Worksheet 5) ..	449,292		449,292	0.080 %
g	Subsidized health services (from Worksheet 6) ..	1,473,202	5,305	1,467,897	0.250 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	5,212		5,212	0 %
j	Total. Other Benefits ..	2,397,851	30,050	2,367,801	0.410 %
k	Total. Add lines 7d and 7j .	144,842,645	95,664,753	49,177,892	8.420 %

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

Schedule H (Form 990) 2014

Page

Part II

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

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	76,321	76,321	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	7,077	7,077	0 %
7	Community health improvement advocacy
8	Workforce development	324	324	0 %
9	Other	1,768	1,768	0 %
10	Total	85,490	85,490	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

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

38,055,874

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. ......

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

Section B. Medicare

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

248,203,102

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

281,700,982

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

-33,497,880

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

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 %	(e) Physicians' profit % or stock ownership %
11 Ohio Employee Health Partnership	Workers Compensation Services	2.780 %	50.000 %
22 Athens Surgery Center Ltd	Outpatient Surgery	89.000 %	11.000 %
33 O'Bleness Memorial Pain Management LLC	Pain Management	51.000 %	49.000 %
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?6 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)							Facility reporting group
1	MedCentral Mansfield Hospital 335 Glessner Avenue Mansfield,OH44903 www.ohiohealth.com ODH1257 MedCentral Hlth System 340714456	X	X			X	A
2	Marion General Hospital 1000 McKinley Park Drive Marion,OH433026399 www.ohiohealth.com ODH1233 Marion General Hosp 311070877	X				X
3	Grady Memorial Hospital 561 West Central Avenue Delaware,OH430151410 www.ohiohealth.com ODH1163 Grady Memorial Hosp 314379436	X				X
4	O'Bleness Memorial Hospital 55 Hospital Drive Athens,OH45701 www.ohiohealth.com ODH1109 ShelteringArmsHospFdtn 314446959	X	X	X		X
5	Hardin Memorial Hospital 921 E Franklin Street Kenton,OH43326 www.ohiohealth.com ODH1196 Hardin Memorial Hosp 344440479	X			X	X
6	MedCentral Shelby Hospital 20 Morris Road Shelby,OH44875 www.ohiohealth.com ODH1259 MedCentral Hlth System 340714456	X	X		X	X	A

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	Marion General Hospital
Name of hospital facility or letter of facility reporting group

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

Yes

Community Health Needs Assessment

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

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

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

Yes

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

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

Yes

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

Yes

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

Hospital facility’s website (list url): Included in Section C, Line 7d

Other website (list url):

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

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12

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

If "Yes" (list url):

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

10b

Yes

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

12a

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

12a

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

12b

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

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Marion General Hospital
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

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

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

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

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

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

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

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

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

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

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

Other (describe in Section C)

Billing and Collections

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

Yes

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Marion General Hospital
Name of hospital facility or letter of facility reporting group

Yes

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

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

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

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

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

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

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

Other (describe in Section C)

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

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	Grady Memorial Hospital
Name of hospital facility or letter of facility reporting group

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

Yes

Community Health Needs Assessment

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

Yes

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

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

Yes

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

Yes

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

Hospital facility’s website (list url): Included in Section C, Line 7d

Other website (list url):

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

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12

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

If "Yes" (list url):

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

10b

Yes

12a

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

12a

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

12b

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

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Grady Memorial Hospital
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

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

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

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

The FAP application form was widely available on a website (list url): https://www.ohiohealth.com/financialassistance

A plain language summary of the FAP was widely available on a website (list url):
https://www.ohiohealth.com/financialassistance

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

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

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

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

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

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Grady Memorial Hospital
Name of hospital facility or letter of facility reporting group

Yes

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

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

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

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

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

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

Other (describe in Section C)

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part 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 letter of facility reporting group

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

Yes

Community Health Needs Assessment

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

Yes

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

Yes

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

Yes

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

Yes

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

Hospital facility’s website (list url): Included in Section C, Line 7d

Other website (list url):

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

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12

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

If "Yes" (list url):

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

10b

Yes

12a

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

12a

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

12b

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

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Hardin Memorial Hospital
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

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

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

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of %

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

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

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

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

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

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

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

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

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Hardin Memorial Hospital
Name of hospital facility or letter of facility reporting group

Yes

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

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

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

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

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

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

Other (describe in Section C)

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part 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)

	O'Bleness Memorial Hospital
Name of hospital facility or letter of facility reporting group

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

Yes

Community Health Needs Assessment

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

Yes

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

Yes

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

Yes

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

Yes

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

Hospital facility’s website (list url): Included in Section C, Line 7d

Other website (list url):

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

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12

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

If "Yes" (list url):

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

10b

Yes

12a

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

12a

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

12b

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

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	O'Bleness Memorial Hospital
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

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

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

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.000000000000%
and FPG family income limit for eligibility for discounted care of 200.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

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

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

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

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

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

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

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

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	O'Bleness Memorial Hospital
Name of hospital facility or letter of facility reporting group

Yes

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

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

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

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

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

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

Other (describe in Section C)

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part 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)

	Facility Reporting Group
Name of hospital facility or letter of facility reporting group

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

Yes

Community Health Needs Assessment

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 14

Yes

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

Yes

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

Yes

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

Yes

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

Hospital facility’s website (list url): Included in Section C, Line 7d

Other website (list url):

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

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

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

If "Yes" (list url):

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

10b

Yes

12a

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

12a

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

12b

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

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Facility Reporting Group
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

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

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

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.000000000000%
and FPG family income limit for eligibility for discounted care of 200.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

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

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

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

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

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

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

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

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Facility Reporting Group
Name of hospital facility or letter of facility reporting group

Yes

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

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

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

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

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

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

Other (describe in Section C)

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Marion General Hospital	Part V, Section B, Line 5: 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 5: 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 5: 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.
O'Bleness Memorial Hospital	Part V, Section B, Line 5: The hospital sought input from several strategic members of the community when conducting the CHNA. After input was obtained, these individuals, along with key members from the hospital, came together to develop the report and strategy. The community members included: Dr. Gaskell, Medical Director of the Health Department/Health Commissioner; Dr. Shubrook, Diabetes Research, Treatment, and Education; Kathy Trace, Director of Area Health Education Center and Community Health Services at the Ohio University Heritage College of Osteopathic Medicine; Dr. Clark, Vice President of Medical Affairs at O'Bleness Memorial Hospital; Adam Kless, Chief Nursing Officer at O'Bleness Memorial Hospital; and Dr. Basta, Associate Professor/Director of Social and Public Health College of Health Sciences and Professions.
Hardin Memorial Hospital	Part V, Section B, Line 6a: 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.
Marion General Hospital	Part V, Section B, Line 6b: Marion General and OhioHealth representatives participated in several meetings coordinated by Marion Public Health to prepare the 2010-2011 Marion Community Assessment. The list of meetings and topics discussed during these meetings are shown in Appendix A of the CHNA. The organizations that participated in Marion Public Health's 2010-2011 Marion Community Assessment are listed in Appendix C. The following community representatives have significant public health knowledge and experience: - Gwen Janeczek, RN, BSN, Director of Nursing, Marion Public Health.- 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 (current position). Apart from Marion General and OhioHealth, other community organizations that were involved with the CHNA include: - American Cancer Society Central Regional Office- American Red Cross- Boys and Girls Club- Center Street Community Health Center- City of Marion- Crawford-Marion Board of Alcohol, Drug Addiction and Mental Health Services- Delaware General Health District- Elgin Local Schools - Hospital Council of Northwest Ohio- Junior Service Guild- Legal Aid Society of Columbus- Ohio Heartland Community Action Commission- Ohio Heartland Community Action Commission Head Start- Marion Adolescent Pregnancy Program - Marion Area Chamber of Commerce- Marion Area Counseling Center Inc.- Marion Area Transit- Marion Catholic High School- Marion City Schools- Marion Community Foundation- Marion County Board of Developmental Disabilities- Marion County Children Services- Marion County Children Services Board- Marion County Commissioners- Marion County Council on Aging- Marion County Family and Children First Council- Marion County Job and Family Services- Marion-Crawford Teen Institute- Marion Family Young Men's Christian Association- Marion Matters- Marion Shelter Program- Marion Technical College- Pleasant High School- Pleasant Local Schools- Prospect Lion's Club- Ridgedale Local Schools- River Valley Local Schools- St. Mary Church- Tri-Rivers Career Center- Tri-Rivers Career Center Early Childhood Learning Center- United Way of Marion County- The Ohio State University Extension-Marion County- The Ohio State University at Marion- Turning Point
Grady Memorial Hospital	Part V, Section B, Line 6b: On September 28, 2012, Grady Memorial Hospital and the Delaware General Health District (DGHD) jointly convened 21 stakeholders. That meeting had two purposes: 1) To initiate a new comprehensive community health planning process coordinated by DGHD and 2) To analyze and prioritize health needs at this point in time. Invited participants included the existing Partnership for a Healthy Delaware County members, as well as several new partners. Stakeholders who participated in the in-person meeting to identify and prioritize needs include: Delaware General Health District - Rosemary Chaudry, PhD, RN, MHA, MPH: Assessment and Surveillance Coordinator - Nancy Shapiro, MA, RN; Assistant Health Commissioner, Director of Assessment, Planning and Education Delaware County Regional Planning Commission - Scott B. Sanders, AICP: Executive Director Delaware County Township Association - Sandra Stults: Dental Hygienist; Elected Official Delaware Morrow Mental Health and Recovery Services Board - Steve Hedge: Executive Director Educational Service Center of Central Ohio - Marie C. Ward, PhD: Assistant Superintendent of Client Services Orange Township Fire Department - Tom S. Stewart: Chief Ohio Department of Health - Michele Shough: Staff of Division of Prevention and Health Promotion OhioHealth Grady Memorial Hospital - William Verhoff, MBA, BSN, RN Ohio Wesleyan University - Chris Fink, PhD: Assistant Professor and Chair, Department of Health and Human Kinetics People in Need - Kevin James Crowley: Executive Director United Way of Delaware County- Brandon Feller: President - Barb Lyon: Vice President Community Residents - Jack Hilborn - Ruth Schrock - Deb Lipscomb - Larry Cline
Hardin Memorial Hospital	Part V, Section B, Line 6b: 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 (See Appendix B). During the four community health needs assessment meetings from October 2011 to May 2012 that were led by representatives from Ohio University's Voinovich School of Leadership and Public Affairs, Hardin Memorial and OhioHealth representatives discussed community health needs of Hardin County residents with the following experts who have significant public health knowledge and skills and who have been involved with community projects and programs in Hardin County and the north central region. - Cindy Keller, MSN, RN, director of Nursing, Kenton-Hardin Health Department - Lucrecia Johnson, MSW, LSW, program coordinator for the Medicare Rural Hospital Flexibility (Flex) and Small Rural Hospital Improvement Grant Program (SHIP) Department of Health's Flex program. - Laura Milazzo, senior research associate, Ohio University's Voinovich School of Leadership and Public Affairs. On November 6, 2012, Hardin Memorial Hospital obtained inputs from community leaders and members who represent groups who are medically underserved, low-income, minority, and with chronic disease needs. 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
O'Bleness Memorial Hospital	Part V, Section B, Line 6b: Community input sources representing the broad interests of the community:Community input was also provided through surveys distributed in 2010 to people receiving services from local agencies. These surveys represent input from members of the medically underserved, low-income, and minority populations within the area. - River Rose OB/GYN - O'Bleness Memorial Hospital Birth Center - Help Me Grow - Athens City-County Health Department - GRADS Program Low-income - Athens OB/GYN Not represented- La Leche League Not represented- My Sister's Place- Athens County Juvenile Court- Tri-County Mental Health and Counseling- Athens County Jobs and Family Services- Ohio University College of Nursing- Athens County WIC and Family Health Care- Ohio University Voinovich School of Leadership & Public Affairs- Planned Parenthood of SE Ohio/CFHS Family Planning- Ohio University College of Osteopathic Medicine's Community Health Programs CFHS Perinatal Project- Ohio University College of Osteopathic Medicine's Community Health Programs IPAC- Ohio University College of Osteopathic Medicine's Community Health Programs CFHS Well-Child Program- Ohio University College of Osteopathic Medicine's Community Health Programs
Marion General Hospital	Part V, Section B, Line 7d: https://www.ohiohealth.com/communityhealthneedsassessment/
Grady Memorial Hospital	Part V, Section B, Line 7d: https://www.ohiohealth.com/communityhealthneedsassessment/
Hardin Memorial Hospital	Part V, Section B, Line 7d: https://www.ohiohealth.com/communityhealthneedsassessment/
O'Bleness Memorial Hospital	Part V, Section B, Line 7d: https://www.ohiohealth.com/aboutobleness/
Marion General Hospital	Part V, Section B, Line 11: Marion General Hospital is addressing the significant needs identified in its most recently conducted CHNA as follows:NEED #1: OBESITYA. CONTINUE PARTNERING WITH CENTER STREET COMMUNITY HEALTH CENTER TO PROMOTE HEALTHY LIFESTYLESMarion General provides services and resources to Center Street Community Health Center. The Center Street Community Health Center is a federally qualified health center that provides patient care and laboratory services to the uninsured and underinsured residents of Marion County and neighboring areas based on a sliding-scale fee. In Ohio, the persons served by community health centers include 34 percent uninsured, 41 percent on Medicaid and 8 percent on Medicare. Apart from providing routine medical services, the Center Street Community Health Center also counsels individuals about healthy lifestyles and obesity prevention. Patients who seek care in federally qualified health centers are from vulnerable groups, predominantly minorities and those with low income. These individuals and families have higher risk for obesity, have multiple co-morbidities and adopt unhealthy lifestyles compared to their Caucasian counterparts.B. CONTINUE OBESITY PREVENTION EDUCATION AT THE SENIOR CITIZEN'S DAY AT THE MARION COUNTY FAIRSenior Citizen's Day is part of the celebration of the Marion County Fair held at the Marion County Fair grandstand. The Marion County Fair is attended by more than 50,000 people, which includes more than 1,000 youth and their families, who are involved in various activities. The Marion General Hospital Foundation co-sponsors this event to serve not only the seniors, but also their entire families. In 2010, 37.4 percent of adults 65 and older were obese. Increasing obesity levels among the elderly are linked to various chronic conditions. Persons with multiple chronic conditions generate more than 65 percent of Medicare costs, and excessive weight gain is a major cause of functional limitations among the elderly. High levels of obesity among the elderly will lead to the following: (a) obesity-related health problems that contribute to injuries, absenteeism and a decrease in the overall productivity, (b) functional decline and significant psychosocial and financial hardships for senior citizens and their families.C. CONTINUE PARTICIPATION AT THE SENIOR HEALTH FAIR ORGANIZED BY THE MARION SENIOR CENTERThe Senior Center also provides opportunities for health screenings, physical activity (e.g., jazz classes), flu shots, and healthy breakfasts and lunches. Marion General's involvement and sponsorship of the Senior Center activities enable the hospital to support the Senior Center's initiatives in promoting physical and mental health, and wellness.D. CONTINUE FUNDING ONE FULL-TIME NURSING INSTRUCTOR AT MARION TECHNICAL COLLEGEHistorically, Marion Technical College has played a key role in health promotion activities in Marion County, such as participating in Marion Public Health's Creating Healthy Communities and Marion Family YMCA's Pioneering Healthier Communities activities. E. CONTINUE IMPLEMENTING THE "SPEAKERS BUREAU"Marion General's Speakers Bureau enables physicians, nurses, and allied health professionals to publicly speak about health promotion and wellness activities that relate to specific disease processes. Apart from being able to share their expert knowledge and clinical experience with community stakeholders about emerging healthcare issues and wellness education topics, the speakers are also able to gain first-hand information on the community health needs of Marion County.NEED #2: TOBACCO USE/SECOND-HAND SMOKE EXPOSUREA. CONTINUE OUTREACH ACTIVITIES OF PULMONARY SERVICES, PULMONARY REHABILITATION UNIT, PARTIAL HOSPITALIZATION PROGRAM AND INTENSIVE OUTPATIENT PROGRAMMarion General's Pulmonary Services and the Pulmonary Rehabilitation Unit have been providing smoking cessation education, counseling and referral of inpatients to the Ohio Tobacco Quit Line. As a component of the hospital's Speakers Bureau, health professionals from Pulmonary Services and Pulmonary Rehabilitation will give presentations on (a) the effects of smoking while pregnant and (b) smoking-related risk factors to mothers and infants. The Partial Hospitalization program provides education about the effects of tobacco on reducing medication effectiveness, smoking cessation and stress management. Tobacco dependence is the leading cause of death in patients with psychiatric and substance abuse disorders. Smoking cigarettes can reduce the blood concentrations of several psychiatric medications, such as clozapine, haloperidol, olanzapine, tricyclic antidepressants and valproate. Most importantly, Marion General has maintained a Tobacco-Free policy since its adoption in 2010.NEED #3: ALCOHOL AND SUBSTANCE ABUSEA. CONTINUE PARTNERING WITH CENTER STREET COMMUNITY HEALTH CENTER TO INCREASE ACCESS TO ALCOHOL AND SUBSTANCE ABUSE TREATMENT, AND COUNSELING REFERRALSMarion General will continue to partner with Center Street Community Health Center to enhance access to care for the underserved who need medical advice, treatment, and counseling referrals related to alcohol and substance abuse. United Way of Marion County also provides funding to Center Street Community Health Center, which serves as a medical home for the underserved.B. CONTINUE OUTREACH ACTIVITIES OF THE PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT PROGRAMSMarion General's Partial Hospital Program and Mental Health unit serve patients with dual diagnosis of mental illness and alcohol and substance abuse. Inpatients and outpatients are assessed, their history of substance abuse and alcohol abuse is determined, and they are provided with educational materials and a list of resources.C. CONTINUE CO-HOSTING THE "MEDICATION DISPOSAL DAY"Medication Disposal Day facilitates the collection, destruction, and disposal of unwanted medications in a legal and environmentally friendly manner. Drug disposal events can help prevent medication diversion, promote drug-safety education and raise public awareness about substance abuse. Marion General's Medication Safety pharmacist is one of the founders and key organizers of the Medication Disposal Day event.
Grady Memorial Hospital	Part V, Section B, Line 11: Grady Memorial Hospital is addressing the significant needs identified in its most recently conducted CHNA as follows:NEED #1: YOUTH MENTAL HEALTH ISSUES, INCLUDING PROVIDERS, SUICIDE, DEPRESSION, VIOLENCE, BULLYING AND SUBSTANCE ABUSEA. IMPLEMENT THE "TRANSITION PROGRAM FOR POSITIVE YOUTH DEVELOPMENT"Healthy People 2020 indicated that adolescent health will need to be approached based upon the following: (a) increasing diversity among the adolescent population with significant increases in Hispanic and Asian-American youth, and (b) increased focus on the use of positive youth development for preventing adolescent health risk behaviors. Positive youth development focuses on youths' strengths instead of their risk factors, and identifies the support and services needed to help youth transition to young adults. Youth should be provided with support, relationships, experiences, resources and opportunities to prepare for effective transition to adulthood. Positive well-being during adolescence predicts better perceived general health and fewer risky health behaviors during young adulthood. Positive well-being is associated with the following: (a) fewer risky behaviors, (b) more physical activity, (c) better quality of sleep and relaxation, and (d) better interpersonal relationships and social support.B. CONTINUE PARTNERING WITH UNITED WAY OF DELAWARE COUNTY AND CENTRAL OHIO MENTAL HEALTH CENTER TO ADDRESS MENTAL HEALTH ISSUES OF YOUTHUnited Way of Delaware County's mission is "to improve the quality of life in our community". It partners with various community agencies to improve education, essential services, financial stability and health in the Delaware County community. The Central Ohio Mental Health Center provides professional mental health services to the central Ohio community, and assists with increasing education and awareness on the importance of mental health in the community.NEED #2: OBESITYA. CONTINUE IMPLEMENTING "LIVING WELL WITH DIABETES"Grady Memorial provides courses on culturally sensitive and age-appropriate diabetes education, and practical skills to manage diabetes. Grady Memorial has been offering "Living Well with Diabetes" to the Delaware community for the past 20 years. "Living Well with Diabetes" is an interactive class designed to promote practical knowledge to empower participants to care for themselves, manage their condition and prevent diabetes complications.B. CONTINUE IMPLEMENTING "SPEAKERS BUREAU AND "PHYSICIAN LECTURES"Physicians and other healthcare providers have important opportunities in community settings to encourage and motivate patients and community members to improve health behaviors, and be successful in losing excess weight. The limited time available during clinic visits is a constraint toward open communication about empowering patients to adopt behavior change to lose excess weight. Contemporary culture in the U.S. has led to bias in employment, education, and healthcare settings against overweight and obese people. Grady Memorial's physicians, healthcare team, and administrators have been active members of the Delaware County community and have been involved in various speaking engagements to promote awareness about the need to have community-wide collaborations to combat obesity. Grady Memorial has participated in the development of the Delaware County Obesity Prevention Plan, and will continue to play an active role in helping implement the plan by educating patients in the inpatient and outpatient settings on being involved with this communitywide initiative.C. CONTINUE SPONSORING "SENIOR HEALTH AND SAFETY DAY" OF THE COUNCIL FOR OLDER ADULTS OF DELAWARE COUNTYNEED #3: DENTAL HEALTH NEEDS, INCLUDING PROVIDERS, SERVICES, COVERAGE, AND FOCUS ON MEDICAID AND UNINSURED/UNDERINSURED POPULATIONS A. INITIATE COMMUNITY COLLABORATIVE TO DEVELOP A STRATEGY FOR UTILIZING OHIOHEALTH WELLNESS ON WHEELS (WOW) FOR DENTAL OUTREACH IN DELAWARE COUNTYThe Agency for Healthcare Research and Quality released a report from the Healthcare Cost and Utilization Project that indicated the top three age groups that had the highest utilization of the ED for dental conditions, in descending order, are: 25 to 29, 20 to 24, and 30 to 34 years old. Most ED patients are uninsured (40 percent) or have Medicaid insurance (30 percent). Mobile dental clinics have served numerous children and adults in Ohio. The mobile dental clinic that serves northeast Ohio is a collaborative between the Ronald McDonald House Charities of Northeastern Ohio and the Irving and Jeanne Tapper Pediatric Dental Center at Rainbow Babies & Children's Hospital. The mobile clinic is parked at schools and serves children who don't have their own dentist. The mobile clinic provides cleanings, oral health exams, X-rays, and information on proper brushing and flossing. The Smile Express Mobile Dental Center serves residents of Northwest Ohio. Apart from the standard dental services provided, the mobile dental center also offers oral health education to clients by providing oral health educational videos and verbal instructions on regular, ongoing oral healthcare. The mobile dental center also provides toothpaste, toothbrush, mouthwash and floss.NEED #4: DOMESTIC VIOLENCEA. CONTINUE DOMESTIC VIOLENCE SCREENING AND AWARENESS EDUCATION, AND REFERRAL OF PATIENTS TO HELPLINE OF DELAWARE AND MORROW COUNTIES, AND LAW ENFORCEMENT AGENCIESGrady Memorial was one of the original proponents in developing the "Ohio Domestic Violence Protocol for Health Care Providers: Standards of Care" in 2003. As a result, screening for abuse is part of the routine nursing triage and assessment in the ED. Grady Memorial has three sexual assault nurse examiners (SANE) who conduct physical abuse screening as part of domestic or intimate partner violence abuse assessment. Grady Memorial's healthcare team in the ED reports instances of domestic or intimate partner violence to the Delaware Police Department. Patients are also referred to the Helpline of Delaware and Morrow Counties Inc, a local, toll-free crisis support and information, and a referral hotline for persons living in Delaware and Morrow Counties. The HelpLine of Delaware and Morrow Counties provides the following services:a. Sexual Assault Response Network -- advocates assist survivors at the hospital; link patients to HelpLine and other community resources; provide workshops for survivors of sexual assault, one-on-one crisis intervention and therapeutic counseling; and provide sexual assault prevention and education.b. 24-hour crisis hotline -- specialists provide non-judgmental emotional support and problem solving on sexual assault, domestic violence, financial stress, child and elder abuse or neglect, depression, suicide, grief and loss, and mental health issues.c. Local support groups -- provide opportunities for victims to relate with others who had similar experiences, hence fostering healing. The "Healing Circle" is a support and education group for sexual assault survivors. The "Survivors of Suicide" provides help and support to survivors to ease emotional pain and provides answers to questions that lead to healing. Resources and books are available for adults, teens and children.
Hardin Memorial Hospital	Part V, Section B, Line 11: Hardin Memorial Hospital is addressing the significant needs identified in its most recently conducted CHNA as follows:NEED #1: PREVENTIVE HEALTH EDUCATION (E.G., OVERWEIGHT, OBESITY, SMOKING) TO REDUCE RISK FACTORS FOR DIABETES, HEART DISEASE, STROKE, CERTAIN CANCERS AND CHRONIC RESPIRATORY CONDITIONS A. CONTINUE ORGANIZING AND LEADING THE COMMUNITY HEALTH FAIRThe Community Health Fair initiated by Hardin Memorial provides opportunities for various nonprofit community organizations and private companies to offer health education and free screenings to residents of Hardin County and neighboring areas.B. CONTINUE PARTICIPATION AT THE HARDIN COUNTY FAIRHardin Memorial has participated in the Hardin County Fair throughout the past decade. The Hardin County Fair, which is held at the Hardin County Fairgrounds, is attended by nearly 70,000 from Hardin County and surrounding communities. The Hardin County Fair attracts individuals, families and friends, and visitors from Ohio and other states. Activities at the Hardin County Fair, such as cooking demonstrations that stress the importance of consuming a variety of fruits and vegetables, signify that healthy eating and promotion of active lifestyles are being emphasized in the Hardin County Fair. C. CONTINUE COLLABORATION WITH SANOFI-AVENTIS PHARMACEUTICALS IN HOSTING THE DIABETES HEALTH FAIRIt has been shown that diabetes education yields better outcomes and impact when presented in groups, and when it incorporates self-management behaviors such as physical activity, healthy eating, medication taking, monitoring blood glucose, problem solving related to diabetes self-care (e.g., insulin injections), reducing risks of acute and chronic complications (e.g., foot care), and psychosocial aspects of living with diabetes. D. CONTINUE HOLDING THE FARMERS' MARKET IN THE HARDIN MEMORIAL CAMPUSThe first Farmers' Market inside the Hardin Memorial campus was held from June to October 2012. There were three to five local vendors of local produce every week. Approximately 50 to 75 persons from the community bought fresh fruits and vegetables. Local farmers (e.g., Ber-Gust Farms, Pahl's Produce, the Bontrager Amish Family) were vendors during the Farmers' Market event. The Farmers' Market promotes education and awareness on the importance of fresh fruits and vegetables as part of a healthy and well-balanced diet. Fresh fruits and vegetables bought from the Farmers' Market are highly nutritious, flavorful, and full of antioxidants and phytonutrients.E. CONTINUE THE KILOMETER KIDS RUNNING CLUBThe Hardin Rehabilitation and Wellness Center and the Public Relations department of Hardin Memorial initiated the Kilometer Kids Running Club in collaboration with Kenton City Schools. Hardin Memorial believes that the best way to educate children to encourage physical activity is to give them opportunities to experience and develop skills and competence, and ultimately enjoy long-distance running.F. CONTINUE FUNDING AND ORGANIZING THE F.A.M.E. (FUN ACTIVITY MOTIVATES EVERYONE) EVENTHardin Memorial will continue to provide leadership in holding this event in collaboration with various community organizations as a means of providing practical and sustainable health education to children and their families and friends. Fun and family friendly interactive activities are available specifically for children 0 to 12 years old but activities for the entire family are also available.G. HARDIN HUSTLE 5K WALK/RUNThe Hardin Hustle 5K Walk/Run is directed at promoting physical activity for adults, 20 to 80 years old but the event offers fun activities for the entire family. Proceeds of the Hardin Hustle 5K Walk/Run have been donated to community organizations that offer programs to promote community health.NEED #2: LACK OF STRATEGIES AND TOOLS TO MANAGE AND RECONCILE MEDICATIONS AMONG PEOPLE WITH CHRONIC CONDITIONS OR THOSE IN POOR HEALTH A. HOST THE "BROWN BAG AND MEDICATION SAFETY" SERIES TWICE A YEARHardin Memorial will start to host a two-hour "Brown Bag and Medication Safety" series twice a year.Students and faculty members from Ohio Northern University's College of Pharmacy will consult with individuals from Hardin County. They will provide a review of the medications attendees are taking, discussing any side effects, and potential interactions with over-the-counter drugs or herbs and supplements. Part of the series will be a community presentation on practical topics that relates to managing and reconciling medications, including commonly prescribed drugs for diabetes, heart disease, cholesterol, osteoporosis, chronic obstructive pulmonary disease, and asthma, or over the counter drugs for heartburn, common colds, vitamins, and supplements. The Brown Bag Toolkit, developed by the Ohio Patient Safety Institute, will be used as a guide in planning, preparing, and implementing the "Brown Bag and Medication Safety" series.B. CONTINUE CO-HOSTING THE MEDICATION DISPOSAL DAYStarting in 2011, Hardin Memorial has co-hosted Medication Disposal Day with the Hardin County Sheriff's Office, North Central Ohio Solid Waste District and Ohio Northern University's College of Pharmacy. In FY 2012, Medication Disposal Day was held in April. Approximately 137 community residents brought unused and/or expired medications for disposal. In FY 2012, there were three collection sites made available to the public: (i) Hardin Memorial campus, (ii) Forest Community Health Center and (iii) Ridgemont Elementary School. Hardin Memorial will invite the College of Pharmacy Outreach Program in order to have students and their professors available at least two hours in each of the collection sites. The pharmacy students and their professors will provide information about drug safety and proper storage and disposal of multiple drugs taken by patients.NEED #3: LACK OF PROGRAMS TO HELP PATIENTS WITH CHRONIC DISEASES NAVIGATE, COORDINATE AND ACCESS HEALTHCARE SERVICES A. REFERRAL, LINKAGE AND FOLLOW-UP OF PATIENTS TO COMMUNITY-BASED PROGRAMSCurrently, Hardin Memorial has a social worker/discharge planner, and a certified diabetes educator who help patients with chronic diseases access healthcare services. Both the social worker/discharge planner and certified diabetes educator are knowledgeable about various community resources to which patients could be referred and linked, and have a long history of working relationships with the leaders and staff of these organizations. By making follow-up calls with these patients at 48 to 72 hours and at six months after referral, Hardin Memorial will determine any bottlenecks with the referral process and identify additional patient needs.B. CONTINUE HOSTING THE DIABETES SUPPORT GROUPHardin Memorial's Diabetes Self-Management department and the Hardin Rehabilitation and Wellness Center are both actively involved in hosting the Diabetes Support Group five times a year (fall, winter and spring seasons).NEED #4: LOW PARTICIPATION RATE AND POOR SERVICE COORDINATION RELATED TO IMMUNIZATIONS, VACCINATIONS, AND HEALTH SCREENINGS FOR CHOLESTEROL, BREAST, CERVICAL, AND COLORECTAL CANCERA. CONTINUE HOSTING THE "HEART SMART DAY" AT HARDIN MEMORIAL HOSPITAL'S CARDIOLOGY SPECIALTY CLINICHardin Memorial's Cardiology Specialty Clinic hosts "Heart Smart Day" in celebration of Heart Awareness Month in February. During the event held in FY 2012, free blood pressure, cholesterol, and blood sugar screenings, and body composition analysis will be provided. In FY 2012, Heart Smart Day served 50 to 60 people who are 45 to 75 years old. In addition to conducting screenings, information about keeping the heart healthy and education about risks for congestive heart failure are provided.B. CONTINUE HOSTING "HEALTH SCREENING DAYS" LED BY COMMUNITY PHYSICIANSHardin Memorial's community physicians have led "Health Screening Days" during the month of April at their respective community clinics for the past two years. In FY 2012, 18 persons were served during Health Screening Days. NEED #5: PREVENTION OF FALLS AND FRACTURES AMONG THE ELDERLYA. HOST COMMUNITY PRESENTATIONS AND FORUM ON FALL AND FRACTURE PREVENTIONHardin Memorial will seek the assistance of Senior Health Services based at Riverside Methodist Hospital (one of OhioHealth's member hospitals based in central Ohio) to begin offering community presentations and a forum on fall and fracture prevention. The director of Senior Health Services and her associates will talk about reducing fall risks at home and in community settings. Interactive sessions on "A Matter of Balance, and a fall-risk-reduction course also will be included in the community presentations. Hardin Memorial will host these presentations at the Hardin Memorial campus and in other community locations.
O'Bleness Memorial Hospital	Part V, Section B, Line 11: O'Bleness Memorial Hospital is addressing the significant needs identified in its most recently conducted CHNA as follows:NEED #1: IMPROVE AWARENESS OF AND PARTICIPATION IN WELLNESS AND PREVENTIVE CARE SERVICES AND PROGRAMS.A. DIABETES CERTIFICATION THROUGH THE JOINT COMMISSION Increase awareness of the importance of diabetes management and care by receiving an Inpatient Diabetes Certification through the Joint Commission. Collaboration with Ohio University Heritage College of Medicine other diabetes control management programs. B. TOBACCO CESSATION PROGRAM Offer courses focused on general community, pregnant women, and hospital employees. Increased awareness of health sequela related to tobacco use and individual action to reduce / eliminate tobacco use. Collaborate with Athens City County Health.C. WELLNESS PROGRAM Provide wellness services to the community through: health fairs, education, special events and screenings. Collaboration with Athens City / County Health Department, Community Food Initiatives, Athens Medical Associates, Ohio University.D. BABY FRIENDLY Implement principles of the Baby Friendly Hospital initiative, culminating with certification as a Baby Friendly Hospital. Increased health of infants through resources to support mothers' breastfeeding. Collaboration with River Rose OBGYN, University Medical Associates Pediatrics, Baby Friendly USA.E. CFI- COMMUNITY FOOD INITIATIVES Provide support and collaboration to raise awareness of and access to healthy food and healthy preparation of food in the SE Ohio community which will improve nutrition in residents of all ages. Collaboration with Community Food Initiatives, Local Farmers, Ohio University, Hocking College.F. INFLUENZA VACCINATION PROGRAM Actively drive influenza vaccination in the community and in healthcare workers to decrease morbidity and mortality from annual influenza strains. Collaboration with Athens City/County Health Department, Ohio Health, Ohio University, Hocking College.Need #2: IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE SERVICESMeasures to include increased availability of primary and specialty care physicians.A. O'BLENESS MEMORIAL HOSPITAL MEDICAL STAFF DEVELOPMENT PLANIncreased availability of primary and specialty care physicians.
Marion General Hospital	Part V, Section B, Line 13h: OhioHealth uses the state and federal program administered by the Department of Medicaid Hospital Care Assurance Program (HCAP) as defined in the Ohio Administrative Code.
Grady Memorial Hospital	Part V, Section B, Line 13h: OhioHealth uses the state and federal program administered by the Department of Medicaid Hospital Care Assurance Program (HCAP) as defined in the Ohio Administrative Code.
Hardin Memorial Hospital	Part V, Section B, Line 13h: OhioHealth uses the state and federal program administered by the Department of Medicaid Hospital Care Assurance Program (HCAP) as defined in the Ohio Administrative Code.
O'Bleness Memorial Hospital	Part V, Section B, Line 13h: OhioHealth uses the state and federal program administered by the Department of Medicaid Hospital Care Assurance Program (HCAP) as defined in the Ohio Administrative Code.
Marion General Hospital	Part V, Section B, Line 16i: 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 16i: 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 16i: 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.
O'Bleness Memorial Hospital	Part V, Section B, Line 16i: 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 22d: 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 22d: 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.
O'Bleness Memorial Hospital	Part V, Section B, Line 22d: Any patient with income at 150% or below the FPL receives a 100% discount. A patient with 151% to 200% of the FPL receives a 50% discount. All patients without insurance receive a 35% uninsured discount, regardless of their income level.
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 1: MedCentral Mansfield Hospital, - Facility 6: MedCentral Shelby Hospital
Group A-Facility 1 -- MedCentral Mansfield Hospital Part V, Section B, line 5:	OhioHealth MedCentral Mansfield Hospital and OhioHealth MedCentral Shelby Hospital were among the leading proponents of the Richland County Partners Community Health Assessment Collaborative that were responsible for developing the health survey, gathering data, analyzing and interpreting results, and prioritizing community health needs. OhioHealth MedCentral Mansfield Hospital and OhioHealth MedCentral Shelby Hospital were also among major proponents of the Strategic Planning Committee that developed the 2013-2016 Richland County Community Health Improvement Plan. All community stakeholders who were part of the Community Health Needs Assessment Collaborative and the Strategic Planning Committee provide services related to improving various aspects of community health, including physical, mental and behavioral health, and social determinants of health. Participants represented the broad interests of the community and also included individuals with knowledge of and expertise in public health. Participants included the following:- Cindy Jakubick, Corporate Director, Marketing and Public Relations, MedCentral Mansfield and MedCentral Shelby- Carrie Kemerer, Marketing Specialist, MedCentral Mansfield and MedCentral Shelby- Joe Trolian, Executive Director, Richland County Mental Health and Recovery Services Board- Sherry Branham, Director of Program Management and Public Relations, Richland County Mental Health and Recovery Services Board- Stan Saalman, Health Commissioner, Mansfield/Ontario/Richland County Health Department- Dave Randall, Assistant to the Health Commissioner, Mansfield/Ontario/Richland County Health Department- Amy Vincent, Director of Nursing, Mansfield/Ontario/Richland County Health Department- Matt Work, Director of Environmental Health Mansfield/Ontario/Richland County Health Department- Loretta Cornell, Clinic Nursing Supervisor, Mansfield/Ontario/Richland County Health Department- Tina Picman, Women, Infants, and Children (WIC) Director, Mansfield/Ontario/Richland County, Health Department- Judy Culler, Public Health Nursing Supervisor, Mansfield/Ontario/Richland County Health Department- Mary Derr, Public Health Nursing Supervisor/Epidemiologist, Mansfield/Ontario/Richland County Health Department- Selby Dorgan, Manager of Health Promotion and Education, Mansfield/Ontario/Richland County Health Department- Karyl Price, Health Educator, Mansfield/Ontario/Richland County Health Department- Jared Pollick, Chief Executive officer, Third Street Family Health Services- Liz Prather, Superintendent, Richland County Newhope- James Twedt, Senior Program Director, Mansfield YMCA- Tim Harless, Director of External Affairs, Richland County Children Services- Marsha Coleman, Clinical Director, Richland County Children Services- Duana Patton, Chief Executive officer, Ohio District 5 Area Agency On Aging, Inc.- Teresa Cook, Programs Manager, Ohio District 5 Area Agency on Aging, Inc.- Deborah Dubois, Outreach Librarian, Mansfield/Richland County Public Library- Veronica Groff, President and Chief Executive officer, The Center for Individual and Family Services- Elaine Surber, Associate Director, The Center for Individual and Family Services- Karen Miller, Executive Director, Community Action for Capable Youth- Sarah Redding, Executive Director, Community Health Access Project- Terry Carter, Information and Referral Librarian, First Call 2-1-1- Donald Culliver, Mayor, City of Mansfield- Mike Cline, Superintendent, Mid Ohio Educational Service Center- Linda T. Keller, Superintendent, Mid Ohio Educational Service Center- Brooke Henwood, Family and Community Partnership Coordinator, North Central State College/The Ohio State University Mansfield Child Development Center- Lisa Benson, Director of Court Services, Richland County Juvenile Court- Matthew Huffman, Executive Director, Richland County Regional Planning Commission- Teresa Alt, Executive Director, Richland County Youth and Family Council- Aaron Wiegand, Community and Economic Development Coordinator, City of Shelby- Ken Estep, AFLCIO Community Service Liaison, United Way of Richland County- Matthew Dill, Superintendent, Clear Fork Valley Local Schools- William Seder, Jr., Superintendent, Crestview Local Schools- Michael Zeigelhofer, Superintendent, Lexington Local Schools- Steve Dickerson, Superintendent, Lucas Local Schools- Lee Kaple, Superintendent, Madison Local Schools- Dan Freund, Superintendent, Mansfield City Schools- Lisa Carmichael, Superintendent, Ontario Local Schools.
Group A-Facility 1 -- MedCentral Mansfield Hospital Part V, Section B, line 6a:	OhioHealth MedCentral Mansfield Hospital collaborated with OhioHealth MedCentral Shelby Hospital and various community organizations and public health agencies in completing this community health needs assessment.
Group A-Facility 1 -- MedCentral Mansfield Hospital Part V, Section B, line 6b:	OhioHealth MedCentral Mansfield Hospital and OhioHealth MedCentral Shelby Hospital were among the leading proponents of the Richland County Partners Community Health Assessment Collaborative that were responsible for developing the health survey, gathering data, analyzing and interpreting results, and prioritizing community health needs. OhioHealth MedCentral Mansfield Hospital and OhioHealth MedCentral Shelby Hospital were also among major proponents of the Strategic Planning Committee that developed the 2013--2016 Richland County Community Health Improvement Plan. All community stakeholders who were part of the Community Health Needs Assessment Collaborative and the Strategic Planning Committee provide services related to improving various aspects of community health, including physical, mental and behavioral health, and social determinants of health. MedCentral Mansfield and MedCentral Shelby - Cindy Jakubick, Corporate Director, Marketing and Public Relations - Carrie Kemerer, Marketing Specialist Richland County Mental Health and Recovery Services Board - Joe Trolian, Executive Director- Sherry Branham, Director of Program Management and Public RelationsMansfield/Ontario/Richland County Health Department - Stan Saalman, Health Commissioner- Dave Randall, Assistant to The Health Commissioner - Amy Vincent, Director of Nursing- Matt Work, Director of Environmental Health- Loretta Cornell, Clinic Nursing Supervisor- Tina Picman, Women, Infants, and Children (WIC) Director- Judy Culler, Public Health Nursing Supervisor- Mary Derr, Public Health Nursing Supervisor/Epidemiologist- Selby Dorgan, Manager of Health Promotion and Education- Karyl Price, Health Educator Third Street Family Health Services - Jared Pollick, Chief Executive Officer Richland County Newhope - Liz Prather, Superintendent Mansfield YMCA - James Twedt, Senior Program Director Richland County Children Services - Tim Harless, Director of External Affairs - Marsha Coleman, Clinical Director Ohio District 5 Area Agency on Aging, Inc. - Duana Patton, Chief Executive Officer- Teresa Cook, Programs Manager Mansfield/Richland County Public Library - Deborah Dubois, Outreach Librarian The Center for Individual and Family Services - Veronica Groff, President and Chief Executive Officer - Elaine Surber, Associate Director Community Action for Capable Youth - Karen Miller, Executive Director Community Health Access Project - Sarah Redding, Executive Director First Call 2-1-1 - Terry Carter, Information and Referral Librarian City of Mansfield - Donald Culliver, Mayor Mid Ohio Educational Service Center - Mike Cline, Superintendent - Linda T. Keller, Superintendent North Central State College/The Ohio State University Mansfield Child Development Center - Brooke Henwood, Family and Community Partnership Coordinator Richland County Juvenile Court - Lisa Benson, Director of Court Services Richland County Regional Planning Commission - Matthew Huffman, Executive DirectorRichland County Youth and Family Council - Teresa Alt, Executive Director City of Shelby - Aaron Wiegand, Community and Economic Development Coordinator United Way of Richland County - Ken Estep, AFLCIO Community Service Liaison Clear Fork Valley Local Schools, - Matthew Dill, Superintendent Crestview Local Schools - William Seder, Jr., Superintendent Lexington Local Schools - Michael Zeigelhofer, Superintendent Lucas Local Schools - Steve Dickerson, Superintendent Madison Local Schools - Lee Kaple, Superintendent Mansfield City Schools - Dan Freund, Superintendent Ontario Local Schools - Lisa Carmichael, Superintendent
Group A-Facility 1 -- MedCentral Mansfield Hospital Part V, Section B, line 7d:	http://www.medcentral.org/Main/News/OhioHealth-MedCentral-Mansfield-Hospital-Community-380.aspx
Group A-Facility 1 -- MedCentral Mansfield Hospital Part V, Section B, line 11:	MedCentral Mansfield Hospital is addressing the significant needs identified in its most recently conducted CHNA as follows:NEED 1: OBESITY AMONG ADULTS, YOUTH AND CHILDREN A. "HEALTH MATTERS" EDUCATIONAL CLASSES FOR ADULTS MedCentral Mansfield and MedCentral Shelby will continue providing educational classes on practical means for improving physical activity, managing stress and adopting heart-healthy eating. Both MedCentral Mansfield and MedCentral Shelby will be involved with advertising the program to Richland County residents, and providing doctors, nurses or allied health professionals to answer questions of participants during the classes.B. PUBLISHING OF SCHOLARLY AND POPULAR ARTICLES ADDRESSING OBESITY AND HEALTH OF ADULTS, YOUTH, AND CHILDREN IN HOSPITAL WEBPAGE, JOURNALS, OR NEWSLETTERSMedCentral Mansfield and MedCentral Shelby clinical and administrative staff will write articles about obesity and health of adults, youth and children. Topics will focus on (a) nutrition, physical activity and lifestyle and behavior changes, (b) overcoming barriers to physical activity and healthy eating, and (c) links to evidence-based information available in the internet.C. OBESITY AND DIABETES PREVENTION PROGRAM FOR ADULTS MedCentral Mansfield and MedCentral Shelby will continue to implement the Obesity and Diabetes Prevention Program, which is recognized by the Centers for Disease Control and Prevention's Diabetes Prevention Recognition Programs. The program is directed for adults who are at high risk for developing type 2 diabetes. Highly trained lifestyle coaches teach sixteen weekly classes that are focused on lifestyle change.D. PHYSICAL ACTIVITY AND NUTRITION OUTREACH PROGRAMS MedCentral Mansfield and MedCentral Shelby will continue to implement Community Best Loser and Healthy Chef Series. Community Best Loser aims to teach participants practical exercise and healthy eating skills that could lead to long-term weight management and promote overall health. Healthy Chef Series will focus on increasing awareness on the importance of eating breakfast, consuming recommended servings of fruits and vegetables, and testing and preparing healthy recipes.NEED 2: ACCESS AND AWARENESS OF MENTAL HEALTH SERVICES AND DECREASE VIOLENCE AND BULLYINGA. EARLY IDENTIFICATION, INPATIENT AND OUTPATIENT EDUCATION, REFERRAL, LINKAGE AND FOLLOW-UP OF PATIENTS TO LOCAL AGENCIES PROVIDING MENTAL HEALTH SERVICES, OR ADDRESSING VIOLENCE AND BULLYINGMedCentral Mansfield and MedCentral Shelby will be strengthening the Social Services departments to increase access and awareness of mental health services that are available in the community. A comprehensive list of mental health resources will be updated twice a year and be made available on the OhioHealth website.NEED 3: ADULT AND YOUTH RISKY BEHAVIORSA. REFERRAL, LINKAGE AND FOLLOW-UP OF ADULT AND YOUTH PATIENTS TO LOCAL AGENCIES ADDRESSING RISKY BEHAVIORS MedCentral Mansfield and MedCentral Shelby will be strengthening collaborative relationships with local agencies that address risky behaviors. A comprehensive list of resources and services available to Richland County residents will be developed, updated twice a year, and published in the OhioHealth website. MedCentral Mansfield and MedCentral Shelby will collaborate with OhioHealth Community Health and Wellness department to pursue evidence-based evaluation techniques to assess program impact in addressing the priority health needs in Richland County.
Group A-Facility 1 -- MedCentral Mansfield Hospital Part V, Section B, line 13h:	OhioHealth uses the state and federal program administered by the Department of Medicaid Hospital Care Assurance Program (HCAP) as defined in the Ohio Administrative Code.
Group A-Facility 1 -- MedCentral Mansfield Hospital Part V, Section B, line 16i:	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 hospital's charity care programs, how to apply, and the numbers to call with questions. Customer service representatives/registrars 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 Med Link 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, customer service 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.
Group A-Facility 1 -- MedCentral Mansfield Hospital Part V, Section B, line 20e:
Group A-Facility 6 -- MedCentral Shelby Hospital Part V, Section B, line 5:	MedCentral Health System - Mansfield and MedCentral Health System - Shelby were among the leading proponents of the Richland County Partners Community Health Assessment Collaborative that were responsible for developing the health survey, gathering data, analyzing and interpreting results, and prioritizing community health needs. OhioHealth MedCentral Mansfield Hospital and OhioHealth MedCentral Shelby Hospital were also among major proponents of the Strategic Planning Committee that developed the 2013-2016 Richland County Community Health Improvement Plan. All community stakeholders who were part of the Community Health Needs Assessment Collaborative and the Strategic Planning Committee provide services related to improving various aspects of community health, including physical, mental and behavioral health, and social determinants of health. Participants represented the broad interests of the community and also included individuals with knowledge of and expertise in public health. Participants included the following:- Cindy Jakubick, Corporate Director, Marketing and Public Relations, MedCentral Mansfield and MedCentral Shelby- Carrie Kemerer, Marketing Specialist, MedCentral Mansfield and MedCentral Shelby- Joe Trolian, Executive Director, Richland County Mental Health and Recovery Services Board- Sherry Branham, Director of Program Management and Public Relations, Richland County Mental Health and Recovery Services Board- Stan Saalman, Health Commissioner, Mansfield/Ontario/Richland County Health Department- Dave Randall, Assistant to the Health Commissioner, Mansfield/Ontario/Richland County Health Department- Amy Vincent, Director of Nursing, Mansfield/Ontario/Richland County Health Department- Matt Work, Director of Environmental Health Mansfield/Ontario/Richland County Health Department- Loretta Cornell, Clinic Nursing Supervisor, Mansfield/Ontario/Richland County Health Department- Tina Picman, Women, Infants, and Children (WIC) Director, Mansfield/Ontario/Richland County, Health Department- Judy Culler, Public Health Nursing Supervisor, Mansfield/Ontario/Richland County Health Department- Mary Derr, Public Health Nursing Supervisor/Epidemiologist, Mansfield/Ontario/Richland County Health Department- Selby Dorgan, Manager of Health Promotion and Education, Mansfield/Ontario/Richland County Health Department- Karyl Price, Health Educator, Mansfield/Ontario/Richland County Health Department- Jared Pollick, Chief Executive officer, Third Street Family Health Services- Liz Prather, Superintendent, Richland County Newhope- James Twedt, Senior Program Director, Mansfield YMCA- Tim Harless, Director of External Affairs, Richland County Children Services- Marsha Coleman, Clinical Director, Richland County Children Services- Duana Patton, Chief Executive officer, Ohio District 5 Area Agency On Aging, Inc.- Teresa Cook, Programs Manager, Ohio District 5 Area Agency on Aging, Inc.- Deborah Dubois, Outreach Librarian, Mansfield/Richland County Public Library- Veronica Groff, President and Chief Executive officer, The Center for Individual and Family Services- Elaine Surber, Associate Director, The Center for Individual and Family Services- Karen Miller, Executive Director, Community Action for Capable Youth- Sarah Redding, Executive Director, Community Health Access Project- Terry Carter, Information and Referral Librarian, First Call 2-1-1- Donald Culliver, Mayor, City of Mansfield- Mike Cline, Superintendent, Mid Ohio Educational Service Center- Linda T. Keller, Superintendent, Mid Ohio Educational Service Center- Brooke Henwood, Family and Community Partnership Coordinator, North Central State College/The Ohio State University Mansfield Child Development Center- Lisa Benson, Director of Court Services, Richland County Juvenile Court- Matthew Huffman, Executive Director, Richland County Regional Planning Commission- Teresa Alt, Executive Director, Richland County Youth and Family Council- Aaron Wiegand, Community and Economic Development Coordinator, City of Shelby- Ken Estep, AFLCIO Community Service Liaison, United Way of Richland County- Matthew Dill, Superintendent, Clear Fork Valley Local Schools- William Seder, Jr., Superintendent, Crestview Local Schools- Michael Zeigelhofer, Superintendent, Lexington Local Schools- Steve Dickerson, Superintendent, Lucas Local Schools- Lee Kaple, Superintendent, Madison Local Schools- Dan Freund, Superintendent, Mansfield City Schools- Lisa Carmichael, Superintendent, Ontario Local Schools.
Group A-Facility 6 -- MedCentral Shelby Hospital Part V, Section B, line 6a:	OhioHealth MedCentral Shelby Hospital collaborated with OhioHealth MedCentral Mansfield Hospital and various community organizations and public health agencies in completing this community health needs assessment.
Group A-Facility 6 -- MedCentral Shelby Hospital Part V, Section B, line 6b:	OhioHealth MedCentral Mansfield Hospital and OhioHealth MedCentral Shelby Hospital were among the leading proponents of the Richland County Partners Community Health Assessment Collaborative that were responsible for developing the health survey, gathering data, analyzing and interpreting results, and prioritizing community health needs. OhioHealth MedCentral Mansfield Hospital and OhioHealth MedCentral Shelby Hospital were also among major proponents of the Strategic Planning Committee that developed the 2013--2016 Richland County Community Health Improvement Plan. All community stakeholders who were part of the Community Health Needs Assessment Collaborative and the Strategic Planning Committee provide services related to improving various aspects of community health, including physical, mental and behavioral health, and social determinants of health. MedCentral Mansfield and MedCentral Shelby - Cindy Jakubick, Corporate Director, Marketing and Public Relations - Carrie Kemerer, Marketing Specialist Richland County Mental Health and Recovery Services Board - Joe Trolian, Executive Director- Sherry Branham, Director of Program Management and Public Relations Mansfield/Ontario/Richland County Health Department - Stan Saalman, Health Commissioner- Dave Randall, Assistant to The Health Commissioner - Amy Vincent, Director of Nursing- Matt Work, Director of Environmental Health- Loretta Cornell, Clinic Nursing Supervisor- Tina Picman, Women, Infants, and Children (WIC) Director- Judy Culler, Public Health Nursing Supervisor- Mary Derr, Public Health Nursing Supervisor/Epidemiologist- Selby Dorgan, Manager of Health Promotion and EducationKaryl Price, Health Educator Third Street Family Health Services - Jared Pollick, Chief Executive Officer Richland County Newhope - Liz Prather, Superintendent Mansfield YMCA - James Twedt, Senior Program Director Richland County Children Services - Tim Harless, Director of External Affairs - Marsha Coleman, Clinical Director Ohio District 5 Area Agency on Aging, Inc. - Duana Patton, Chief Executive Officer- Teresa Cook, Programs Manager Mansfield/Richland County Public Library - Deborah Dubois, Outreach Librarian The Center for Individual and Family Services - Veronica Groff, President and Chief Executive Officer - Elaine Surber, Associate Director Community Action for Capable Youth - Karen Miller, Executive Director Community Health Access Project - Sarah Redding, Executive Director First Call 2-1-1 - Terry Carter, Information and Referral Librarian City of Mansfield - Donald Culliver, Mayor Mid Ohio Educational Service Center - Mike Cline, Superintendent - Linda T. Keller, Superintendent North Central State College/The Ohio State University Mansfield Child Development Center - Brooke Henwood, Family and Community Partnership Coordinator Richland County Juvenile Court - Lisa Benson, Director of Court Services Richland County Regional Planning Commission - Matthew Huffman, Executive DirectorRichland County Youth and Family Council - Teresa Alt, Executive Director City of Shelby - Aaron Wiegand, Community and Economic Development Coordinator United Way of Richland County - Ken Estep, AFLCIO Community Service Liaison Clear Fork Valley Local Schools, - Matthew Dill, Superintendent Crestview Local Schools - William Seder, Jr., Superintendent Lexington Local Schools - Michael Zeigelhofer, Superintendent Lucas Local Schools - Steve Dickerson, Superintendent Madison Local Schools - Lee Kaple, Superintendent Mansfield City Schools - Dan Freund, Superintendent Ontario Local Schools - Lisa Carmichael, Superintendent
Group A-Facility 6 -- MedCentral Shelby Hospital Part V, Section B, line 7d:	http://www.medcentral.org/Main/News/OhioHealth-MedCentral-Mansfield-Hospital-Community-380.aspx
Group A-Facility 6 -- MedCentral Shelby Hospital Part V, Section B, line 11:	MedCentral Shelby Hospital is addressing the significant needs identified in its most recently conducted CHNA as follows:NEED 1: OBESITY AMONG ADULTS, YOUTH AND CHILDREN A. "HEALTH MATTERS" EDUCATIONAL CLASSES FOR ADULTSMedCentral Mansfield and MedCentral Shelby will continue providing educational classes on practical means for improving physical activity, managing stress and adopting heart-healthy eating. Both MedCentral Mansfield and MedCentral Shelby will be involved with advertising the program to Richland County residents, and providing doctors, nurses or allied health professionals to answer questions of participants during the classes.B. PUBLISHING OF SCHOLARLY AND POPULAR ARTICLES ADDRESSING OBESITY AND HEALTH OF ADULTS, YOUTH, AND CHILDREN IN HOSPITAL WEBPAGE, JOURNALS, OR NEWSLETTERSMedCentral Mansfield and MedCentral Shelby clinical and administrative staff will write articles about obesity and health of adults, youth and children. Topics will focus on (a) nutrition, physical activity and lifestyle and behavior changes, (b) overcoming barriers to physical activity and healthy eating, and (c) links to evidence-based information available in the internet.C. OBESITY AND DIABETES PREVENTION PROGRAMS FOR ADULTSMedCentral Mansfield and MedCentral Shelby will continue to implement the Obesity and Diabetes Prevention Program, which is recognized by the Centers for Disease Control and Prevention's Diabetes Prevention Recognition Programs. The program is directed for adults who are at high risk for developing type 2 diabetes. Highly trained lifestyle coaches teach sixteen weekly classes that are focused on lifestyle change.D. PHYSICAL ACTIVITY AND NUTRITION OUTREACH PROGRAMSMedCentral Mansfield and MedCentral Shelby will continue to implement Community Best Loser and Healthy Chef Series. Community Best Loser aims to teach participants practical exercise and healthy eating skills that could lead to long-term weight management and promote overall health. Healthy Chef Series will focus on increasing awareness on the importance of eating breakfast, consuming recommended servings of fruits and vegetables, and testing and preparing healthy recipes.NEED 2: ACCESS AND AWARENESS OF MENTAL HEALTH SERVICES AND DECREASE VIOLENCE AND BULLYING A. EARLY IDENTIFICATION, INPATIENT AND OUTPATIENT EDUCATION, REFERRAL, LINKAGE AND FOLLOW-UP OF PATIENTS TO LOCAL AGENCIES PROVIDING MENTAL HEALTH SERVICES, OR ADDRESSING VIOLENCE AND BULLYINGMedCentral Mansfield and MedCentral Shelby will be strengthening the Social Services departments to increase access and awareness of mental health services that are available in the community. A comprehensive list of mental health resources will be updated twice a year and be made available on the OhioHealth website.NEED 3: ADULT AND YOUTH RISKY BEHAVIORSA. REFERRAL, LINKAGE AND FOLLOW-UP OF ADULT AND YOUTH PATIENTS TO LOCAL AGENCIES ADDRESSING RISKY BEHAVIORSMedCentral Mansfield and MedCentral Shelby will be strengthening collaborative relationships with local agencies that address risky behaviors. A comprehensive list of resources and services available to Richland County residents will be developed, updated twice a year, and published in the OhioHealth website. MedCentral Mansfield and MedCentral Shelby will collaborate with OhioHealth Community Health and Wellness department to pursue evidence-based evaluation techniques to assess program impact in addressing the priority health needs in Richland County.
Group A-Facility 6 -- MedCentral Shelby Hospital Part V, Section B, line 13h:	OhioHealth uses the state and federal program administered by the Department of Medicaid Hospital Care Assurance Program (HCAP) as defined in the Ohio Administrative Code.
Group A-Facility 6 -- MedCentral Shelby Hospital Part V, Section B, line 16i:	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 hospital's charity care programs, how to apply, and the numbers to call with questions. Customer service representatives/registrars 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 Med Link 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, customer service 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.
Group A-Facility 6 -- MedCentral Shelby Hospital Part V, Section B, line 20e:
Part V, Section B, Line 16	Financial Assistance Policy Website Availability
Grady Memorial Hospital Part V, Section B, line 16b website:	https://www.ohiohealth.com/financialassistance
Grady Memorial Hospital Part V, Section B, line 16c website:	https://www.ohiohealth.com/financialassistance

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?142
Name and address		Type of Facility (describe)
1	Kobacker House 800 McConnell Drive Columbus,OH43214	In-Patient Hospice
2	Employed Physician Practices Various Various,OH43215	122 Physician Practice Offices
3	Wellness Complex 1750 W Fourth St Mansfield,OH44903	Urgent Care Occupational Medicine Fitness Center and Physical Therapy
4	Home CareWomens Health 1020 Cricket Lane Mansfield,OH44906	Home Care & Hospice OH MedCentral Professional Foundation Physician Office
5	MedCentral Laboratory 680 Park Avenue West Mansfield,OH44906	Laboratory
6	MedCentral Pediatric Therapy 2011 W Fourth St Mansfield,OH44903	Pediatric Therapy
7	Medical Office Building 770 Balgreen Drive Mansfield,OH44903	Physician Offices Laboratory
8	Physician Office 1 295 Glessner Avenue Mansfield,OH44903	OhioHealth MedCentral Professional Foundation Physician Office
9	Physician Office - Shelby 24 Morris Road Shelby,OH44875	OhioHealth MedCentral Professional Foundation Physician Office
10	Crawford Health & Urgent Care 1820 E Mansfield St Bucyrus,OH44820	Clinic and Urgent Care
11	Physician Office 2 248 Blymyer Avenue Mansfield,OH44803	OhioHealth MedCentral Professional Foundation Physician Office
12	Physician Office 3 475 Lexington Avenue Mansfield,OH44907	OhioHealth MedCentral Professional Foundation Physician Office
13	Physician Office 4 536 S Trimble Road Mansfield,OH44906	OhioHealth MedCentral Professional Foundation Physician Office
14	Physician Office 5 558 S Trimble Road Mansfield,OH44906	OhioHealth MedCentral Professional Foundation Physician Office
15	Physician Office 6 375 S Main Street Lexington,OH44904	OhioHealth MedCentral Professional Foundation Physician Office
16	Surgery Center 1030 Cricket Lane Mansfield,OH44906	Outpatient Surgery
17	MedCentral Radiation Therapy 330 Glessner Avenue Mansfield,OH44903	Radiation Therapy
18	Pain Management 39 Wood Street Mansfield,OH44903	OhioHealth MedCentral Professional Foundation Physician Office
19	Physician Office 7 1770 S Fourth St Mansfield,OH44906	OhioHealth MedCentral Professional Foundation Physician Office
20	Athens Medical Associates LLC 55 Hospital Drive Athens,OH45701	Physician Services
21	Athens Medical Laboratory Associates Inc 265 W Union Street Suite B Athens,OH45701	Laboratory
22	Nelsonville Medical & Emergency Srvcs 1950 Mount Saint Marys Drive Nelsonville,OH45764	Walk-In Emergency Care and Physician Offices

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
Part I, Line 3c:	The hospital has more than one policy concerning free or discounted care. O'Bleness Memorial Hospital will offer and provide free care to any patient who meets the eligibility requirement for free care under the OCAP or HCAP financial assistance policies. The following steps will be used to determine eligibility for free care under OCAP (O'Bleness Care Assurance Program):1. A recipient of the Ohio Medicaid Program is not eligible. (OAC Rule 5 10 1:3-2-07.17)2. If the patient is covered under a third-party insurer or a governmental program, the third party will be billed and any payment received will be applied to the account first. Any balance on the account will be considered for the OCAP write-off.3. OCAP assistance will be approved only when services are provided by O'Bleness Memorial Hospital. These services also include physician interpretation fees for cardiopulmonary services and service provided in the O'Bleness Family Practice Clinic.4. Family income is between 100 to 150% of the federal poverty guidelines. Family: Family shall be defined as the patient, the patient's spouse, and all of the patient's children, natural and adoptive under the age of eighteen who live at home. If the patient is under the age of eighteen the family shall include the patient, the patient's natural or adoptive parent(s) and the parent(s) children, natural or adoptive under the age of eighteen who live in the home. If the patient is a child of a minor parent who still resides in the home of the patient's grandparents, the family shall include only the parent(s) of any of the parent(s) natural or adoptive children who reside in the home. Income: Income shall be defined as the total salaries, wages and cash receipts before taxes: Receipts that reflect reasonable deduction for business expenses shall be counted for both farm and non-farm self-employment.The following steps will be used to determine eligibility for free care under HCAP (Hospital Care Assurance Program):1. A completed application will be obtained from all patients seeking free care under HCAP.2. A patient must be a resident of the state of Ohio to be eligible for HCAP.3. O'Bleness Memorial Hospital will define income requirements using the federal poverty guidelines as indicated yearly.4. O'Bleness Memorial Hospital will define a family as indicated in Baldwin's Ohio Administrative Code Chapter 5101:3-2-0717.5. The income provided by the applicant will be verified via sworn signature.6. A recipient of the Ohio Medicaid Program is not eligible (OAC Rule: 5101:3-2-0717) if a patient has insurance coverage, O'Bleness Memorial Hospital will first bill the insurance and receive a payment of a denial before the HCAP application is processed.
Part I, Line 6a:	The community benefit report for all entities included in this return is included in the OhioHealth Corporation's consolidated community benefit report.
Part I, Line 7:	For the cost of charity care and unreimbursed Medicaid, a cost-to-charge ratio was used that was derived from Form 990 Schedule H instructions (Worksheet 2). All other amounts reported on the table are based on actual costs tracked through cost centers. Costs related to the volunteer time of employees were determined using standard wage rates for hours contributed during work hours.
Part I, Ln 7 Col(f):	A system wide community benefit of $279 million reflects all entities within the system that provide community benefit, and this amount is reported in the Statement of Program Service Accomplishments. The $49 million portion of total community benefit reported in Schedule H reflects all community benefit as provided by the members of the Group exemption that operate hospitals. Accordingly, for purposes of Schedule H calculation of percentage of total expense in line 7, column f, total functional expenses has been recalculated to reflect only those members operating MedCentral Mansfield Hospital, Marion General Hospital, Grady Memorial Hospital, O'Bleness Memorial Hospital, Hardin Memorial Hospital, and MedCentral Shelby Hospital.
Part II, Community Building Activities:	Community involvement is an important part of our mission "to improve thehealth of those we serve." Our associates and physicians live, work andraise families in the communities we serve and aspire to improve ourcollective community well-being, believing that healthy communitiessupport healthy living."Team OhioHealth" is comprised of associates who volunteer their time atvarious community events such as the Central Ohio Heart Walk, Komen Racefor the Cure, Arthritis Foundation's Jingle Bell Run/Walk, and March ofDimes March for Babies.OhioHealth associates and physicians also collaborate with variousnon-profit organizations to ensure that our communities are provided withthe appropriate services that will enable them to live a healthy life. Forexample:-YWCA Family Center - OhioHealth associates serve meals to residents ofthe emergency shelter supporting families experiencing housing crises.-United Way of Central Ohio - OhioHealth associates participate inCommunity Care Day, during which the United Way assigns projects such asrepair, painting, gardening and construction at various non-profitagencies.-Simon Kenton Council, Boy Scouts of America - OhioHealth partners withthe Learning for Life exploring program to carry out the MedicalExplorer's program for the Simon Kenton Council, Boy Scouts of America.-Big Brothers Big Sisters of Central Ohio - OhioHealth participates in BigBrothers Big Sisters' Project Mentor, through Columbus City Schools, toempower individual students to improve academic performance and therebyincrease high school graduation rates.
Part III, Line 2:	For the cost of bad debt, a cost-to-charge ratio was used derived from Worksheet 2.
Part III, Line 3:	OhioHealth has a very robust financial assistance program; therefore, no estimate is made for bad debt attributed to financial-assistance-eligible patients.
Part III, Line 4:	Accounts receivable for patients, insurance companies, and governmental agencies are based on gross charges. An allowance for contractual adjustments is based on expected payment rates from payors based on current reimbursement methodologies. This amount also includes amounts received as interim payments against unpaid claims by certain payors. An allowance for uncollectible accounts is established on an aggregate basis by using historical write-off rate factors applied to unpaid accounts based on aging. Loss rate factors are based on historical loss experience and adjusted for economic conditions and other trends affecting the Corporation's ability to collect outstanding amounts. Uncollectible amounts are written off against the allowance for doubtful accounts in the period they are determined to be uncollectible. For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Corporation records a provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (including uninsured discount) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts in the period they are determined to be uncollectable.
Part III, Line 8:	Line 8 - In accordance with the Catholic Health Association guidelines per "A Guide for Planning and Reporting Community Benefits," OhioHealth does not report Medicare shortfall as community benefit.
Part III, Line 9b:	The organization has a written debt collection policy. The policy provides the following guidelines as it relates to patients who qualify for charity care: the patient may apply for financial assistance via Medicaid, Victims of Crime, HCAP/Charity, or with an OhioHealth contracted company to help the applicant complete the process when needed (per the Policy, obtained from Mary Cox, Manager, Patient Accounts Customer Service, Revenue Cycle). Once the charity determination is made, collection efforts are suspended. If a patient qualified for a discount, collection efforts on the remaining balance are consistent with all other self-pay collections, which receive a discount at the time of billing.
Part VI, Line 2:	OhioHealth Mission and Ministry, and the Faith, Culture and Community Benefit Committee of the OhioHealth Board of Trustees are responsible for corporate oversight and strategic direction for community benefit services. These two entities are responsible for monitoring community health needs and providing oversight of metrics on community benefit and mission effectiveness. OhioHealth has ongoing partnerships with Columbus Public Health, Ohio Department of Health, and Access Health Columbus in identifying health priorities locally and statewide. OhioHealth is active in direct discussions regarding epidemiologic data and what OhioHealth can do to impact public health issues. Access Health Columbus' goal is to improve access to healthcare for all individuals in central Ohio, specifically the most vulnerable. A representative of OhioHealth's leadership is a part of these mentioned organizations and agencies to ensure that our planning and practice are meeting the identified needs of Central Ohio.OhioHealth collaborated with other community stakeholders to develop its Community Health Needs Assessment, and in doing so, gathered significant additional demographic and community profile information. This information is published in the Community Health Needs Assessment and is available to the public via www.OhioHealth.com.
Part VI, Line 3:	Signs are posted at multiple OhioHealth entry points and patient registration locations stating OhioHealth's 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. Informational 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.
Part VI, Line 4:	The following demographic information was obtained from Claritas 2013. Columbus is the capital and largest city in the state of Ohio. The city has a diverse economy based on education, insurance, banking, fashion, defense, aviation, food, logistics, steel, energy, medical research, healthcare, hospitality, retail and technology.OhioHealth's primary service area covers Franklin and Delaware counties as well as a few rural communities in neighboring counties. Over the next five years, the population in this area is estimated to change from 1,530,765 to 1,589,844, resulting in a growth of 3.9%. Of this area's current year estimated population: 70.0% are White alone, 18.3% are Black or African American alone, 4.7% are Hispanic, 4.0% are Asian alone, and 3.0% are other races.In 2013, the average household income in the primary service area is estimated to be $71,281.The primary service area demographics are impacted by the number of colleges and universities. Currently, it is estimated that 36.3% of the population age 25 and over in this area have earned a bachelor's degree or greater. As a result of the student population, the primary service area is relatively young. For this area, 25% of the population is estimated to be 0-17 years old, 25% are between ages 18-34, 28% are between ages 35-54, and 22% are older than 54.OhioHealth is a health care system covering Franklin, Delaware, Athens, Hardin and Marion counties that in total includes eleven hospitals, ambulatory healthcare services, physician clinics, hospice care and other entities in support of the hospital and healthcare services. Of those eleven hospitals, six individual hospitals file with this group return (OhioHealth Marion General Hospital, OhioHealth Grady Memorial Hospital, OhioHealth O'Bleness Memorial Hospital, OhioHealth MedCentral Mansfield Hospital, OhioHealth MedCentral Shelby Hospital and OhioHealth Hardin Memorial Hospital) providing services to the rural communities surrounding the system's primary service areas of Franklin and Delaware counties. In conjunction with other community stakeholders, OhioHealth Corporation collaborated for its Community Health Needs Assessment and gathered significant, additional demographic and community profile information. This information is published in the Community Health Needs Assessment per county and is available to the public. OhioHealth Marion General Hospital - Marion County Marion General Hospital is a 270-bed facility in Marion County, which serves as a regional healthcare hub in North Central Ohio. Marion General Hospital is an accredited Chest Pain Center and is nationally recognized by the American Heart Association for the provision of heart and vascular care. Marion General Hospital also provides maternity (including a Level II Special Care Nursery), spine surgery, medical/surgical services, and inpatient and outpatient mental health, among other specialties.Marion County is a productive 'micropolitan' community a short drive (45 minutes) north of Columbus. Marion is large enough to have all the infrastructure, shopping and recreational amenities, yet small enough to retain hometown values and a strong work ethic. An ethic that makes the labor force a point of pride in Marion.Over the next five years, the population in this area is estimated to change from 66,270 to 65,273, resulting in a 1.5% decline. Of this area's current year estimated population: 89.5% are White alone, 5.6% are Black or African American alone, 2.5% are Hispanic, 0.5% are Asian alone, and 1.9% are other races.In 2013, the average household income in the primary service area is estimated to be $48,753. Currently, it is estimated that 11.6% of the population age 25 and over in this area have earned a bachelor's degree or greater. For this area, 22% of the population is estimated to be 0 to 17 years old, 22% are between ages 18 and 34, 28% are between ages 35 and 54 and 28% are older than 54. OhioHealth Grady Memorial Hospital - Delaware CountyGrady Memorial Hospital is a 152-bed community hospital in Delaware County that offers cancer treatment cardiac rehabilitation services in addition to its full range of inpatient healthcare services. Grady Memorial earns consistently high patient satisfaction scores in its Emergency Department and prides itself in patient "door-to-doc" times that average less than half the national average.Delaware is one of the fastest growing suburban counties in the country. Over the next five years, the population in this area is estimated to change from 184,058 to 195,121, resulting in a growth of 6.0%. Of this area's current year estimated population: 86.9% are White alone, 3.5% are Black or African American alone, 2.5% are Hispanic, 5.0% are Asian alone and 2.1% are other races.In 2013, the average household income in the primary service area is estimated to be $112,241. According to Forbes Magazine, Delaware County is the fifth best place in the United States to raise a family and the best place in the state of Ohio to reside.Currently, it is estimated that 48.8% of the population age 25 and over in this area have earned a bachelor's degree or greater. For this area, 29% of the population is estimated to be 0 to 17 years old, 17% are between ages 18 and 34, 32% are between ages 35 and 54 and 22% are older than 54. OhioHealth Hardin Memorial Hospital - Hardin CountyHardin Memorial Hospital is a 25-bed acute care facility located in Hardin County, a predominantly rural area of the state. Hardin provides acute and short-term skilled care, a full range of outpatient diagnostic and therapeutic services and operates a 24-hour Emergency Department.Hardin County is less than a 1 hour commute from Columbus. Over the next five years, the population in this area is estimated to change from 32,887 to 32,708, resulting in a 0.5% decline. Of this area's current year estimated population: 95.8% are White alone, 0.8% are Black or African American alone, 1.4% are Hispanic, 0.6% are Asian alone and 1.4% are other races.In 2013, the average household income in the primary service area is estimated to be $49,309. Currently, it is estimated that 15.0% of the population age 25 and over in this area have earned a bachelor's degree or greater.For this area, 23% of the population is estimated to be 0 to 17 years old, 27% are between ages 18 and 34, 24% are between ages 35 and 54 and 26% are older than 54.O'Bleness Memorial Hospital - Athens CountyO'Bleness Memorial Hospital is a community hospital in a rural area of Appalachia. Our primary service area includes the communities within Athens County, Ohio, which has been identified by the Appalachian Regional Commission as an ARC-designated distressed county. According to the United States Census Bureau, the population of Athens County in 2013 was 64,681. The median income of $33,836 is not truly representative of the population, as the community includes a major university. Athens County has the highest poverty level of any county in Ohio, as 32.2% of the community residents have incomes at or below the federal poverty guideline. Uninsured individuals in Athens County represent 21% of the population. The hospital's patient population includes 8.8% who are uninsured and 23.18% who are Medicaid recipients. Located within O'Bleness's primary service area of Athens County is one additional hospital, Doctors Hospital of Nelsonville affiliated with OhioHealth based in Columbus, Ohio. Portions of the patient population are also served by eight other hospitals in Washington, Gallia, Jackson, Hocking, Fairfield and Ross Counties in Ohio and Wood County in West Virginia, as well as three major health systems with multiple facilities in Franklin County, Ohio. Two townships in Athens County have been designated as medically underserved areas/populations by the U.S. Department of Health and Human Services: Lodi and Trimble.Over the next five years, the population in this area is estimated to change from 70,613 to 70,471, resulting in a decline of 0.2%. Of this area's current year estimated population: 90.8% are White alone, 2.6% are Black or African American alone, 1.6% are Hispanic, 2.7% are Asian alone and 2.3% are other races.In 2013, the average household income in the primary service area is estimated to be $47,552.Currently, it is estimated that 25.6% of the population age 25 and over in this area have earned a bachelor's degree or greater. With Ohio University and its 35,000 students residing in Athens County, it is a relatively young area. For this area, 16% of the population is estimated to be 0 to 17 years old, 41% are between ages 18 and 34, 21% are between ages 35 and 54 and 22% are older than 54.MedCentral Mansfield Hospital, and MedCentral Shelby Hospital - Richland CountyRichland County, Ohio is home to approximately 124,000 residents. Over three-fourths (76%) of residents were adults over the age of 19, 9% were youth ages 12-18 years, and 15% were adolescents under the age of 11. The m
Part VI, Line 5:	A majority of OhioHealth's governing body is comprised of persons who reside in its primary service area who are neither employees nor contractors, nor family members thereof. OhioHealth extends medical staff privileges and/or membership to all qualified physicians in the communities it serves to ensure that each community has access to the necessary medical services.OhioHealth reinvests in the community to improve quality of care, increase access to care and enhance service to patients and their families. Instead of paying dividends to shareholders or owners, OhioHealth uses its earnings to provide a broad array of community benefits. For example, OhioHealth:-Provides charity care to those without adequate resources to pay for their care, in conjunction with its charity care policies.-Invests in research, innovation, technology, and medical education and training to advance medical knowledge and provide the highest quality of care and service to patients.-Subsidizes essential community health services trauma centers, poison control, psychiatric services, kidney dialysis-- that might not otherwise pay for themselves.-Supports a wide range of vital community outreach services, targeting the most vulnerable and historically-underserved residents of the community.-Extends care via outpatient facilities in the surrounding neighborhoods, thus providing excellent access to care.In total, OhioHealth Corporation and its affiliates provided $279 million of community benefit. The total community benefit represents an appropriate balance of charity care, community health services, subsidized health services, research and net medical education costs, and cash or in-kind community building.At O'Bleness Memorial Hospital it is our goal to give access to any person in our community to modern day healthcare at a cost effective price. As the only hospital in Athens, we strive to give help where help is needed. To further our commitment to the community and our exempt purpose we engage in many activities. Our board is compiled of people who reside in our community without a conflict of interest with the hospital. We believe the more diverse the board the better they will be able to identify the needs of the community. The majority of the board has no connection to the organization nor is contracted with the hospital. They provide their consult and guidance out of the pure desire to see their community be afforded the same quality of care as bigger markets. We extend medical privileges to qualified physicians that have a desire to practice within our facilities. We continue to search for programs and activities that will be new to the community in order to give the population variety and health oriented alternatives. Funds are used to purchase capital equipment that is vital in keeping up with an ever evolving medical world. It is also used to fund activities inside and outside of the hospital that involves the community on various levels whether it be a health fair or an interactive exercise program. We have many volunteers from the community that are instrumental in carrying out various activities.MedCentral has an open medical staff, actively recruits needed physicians and supports the Third Street Family Services (Community clinic for uninsured and underinsured individuals). The Board of Trustees is a community-led board and community members also serve on our Hospice Advisory Board. The Health System conducts support groups on various topics at no charge, participates in local health events including the Minority Health Fair, provides diabetic education at Third Street Family Services, and conducts programs such as a healthy cooking series which is free and typically includes food. The System partners with area agencies to conduct other programs as well. CPR training and advance life support training are provided for health care givers in the region and are provided for non-health care workers as well. MedCentral is considered an expert in AED training, performing it free of charge to schools and other non-profit entities. Athletic trainer services are also subsidized for five local high schools.
Part VI, Line 6:	OhioHealth Corporation operates general acute care hospitals as well as outpatient facilities. In addition, OhioHealth Corporation is the parent organization and sole voting member of several rural community hospitals, organizations providing multidisciplinary home care and rehabilitation, medical research, fundraising in support of the system hospitals, medical facility property management, and physician foundations. All serving in OhioHealth "systemness" to improve the health of those we serve.OhioHealth is a health care system covering Franklin, Delaware, Athens, Hardin, Marion, and Richland counties that in total includes eleven hospitals, ambulatory healthcare services, physician clinics, hospice care and other entities in support of the hospital and healthcare services. Of those eleven hospitals, six individual hospitals file with this group return (OhioHealth Marion General Hospital, OhioHealth Grady Memorial Hospital, and OhioHealth Hardin Memorial Hospital, O'Bleness Memorial Hospital, MedCentral Mansfield Hospital, and MedCentral Shelby Hospital) providing services to the rural communities surrounding the system's primary service areas of Franklin, Delaware, and Richland counties. OhioHealth Marion General Hospital - Marion County Marion General Hospital is a 270-bed facility in Marion County, which serves as a regional healthcare hub in North Central Ohio. Marion General Hospital is an accredited Chest Pain Center and is nationally recognized by the American Heart Association for the provision of heart and vascular care. Marion General Hospital also provides maternity (including a Level II Special Care Nursery), spine surgery, medical/surgical services, and inpatient and outpatient mental health, among other specialties.OhioHealth Grady Memorial Hospital - Delaware CountyGrady Memorial Hospital is a 152-bed community hospital in Delaware County that offers cancer treatment cardiac rehabilitation services in addition to its full range of inpatient healthcare services. Grady Memorial earns consistently high patient satisfaction scores in its Emergency Department and prides itself in patient "door-to-doc" times that average less than half the national average.OhioHealth Hardin Memorial Hospital - Hardin CountyHardin Memorial Hospital is a 25-bed acute care facility located in Hardin County, a predominantly rural area of the state. Hardin provides acute and short-term skilled care, a full range of outpatient diagnostic and therapeutic services and operates a 24-hour Emergency Department.O'Bleness Memorial Hospital - Athens CountyThe O'Bleness Health System is designed to offer the most comprehensive medical attention to a mainly centralized location to the community in which we live. The affiliates of the system work together in a collaborative effort to increase the efficiency and cost of healthcare to the patient. The O'Bleness Memorial Hospital is the main component of the health system. At the hospital we offer a variety of inpatient and outpatient services. The emergency department is operational 24 hours a day 7 days a week. We offer care to anyone regardless of ability to pay. We are the only fully functional hospital in the community. It is our goal not to exclude anyone from our community that is in need of care. The Athens Medical Lab (AML) is an affiliate of the system that is a medical reference lab that offers convenience and cost efficiency for the patient. This allows us to keep patients close to home and speed up result time. The Athens Medical Associates (AMA) is a multi-physician practice that offers a variety of services to patients. AMA is comprised of a multifaceted OB/GYN practice, an orthopedic surgeon, and a Family Practice Clinic that service numerous members of the community. There is also Appalachian Community Visiting Nurses Association, Hospice and Health Services (ACVNAHHS). This affiliate provides hospice services to not only Athens County but surrounding counties. They are also providers of visiting nurses that serve our clients out of the comfort of their own home.MedCentral Mansfield Hospital, and MedCentral Shelby Hospital - Richland CountyDuring 2014 MedCentral joined OhioHealth, a healthcare system covering Franklin, Delaware, Athens, Hardin and Marion counties that in total includes eleven hospitals, ambulatory healthcare services, physician clinics, hospice care and other entities in support of the hospital and healthcare services. Prior to joining, MedCentral was a health system comprised of two hospitals, a 326-bed and a 25-bed acute care hospital; one urgent care center, health & fitness center, one free standing imaging center, an outreach laboratory, hospice and home care services and several physician practices. As such the policies and philosophies regarding community benefit are the same throughout the system. Many of the community events include staff from all sites.
Part VI, Line 7, Reports Filed With States	OH

Schedule H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

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

2014

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

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? ....................................

Yes No

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 Domestic Organizations and Domestic Governments. 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 section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) OhioHealth Corporate - Dublin Methodist Hospital 7500 Hospital Drive Dublin,OH430168518	31-4394942	501(c)(3)	175,360	General Support
(2) OhioHealth Corporate - Grant Medical Center 111 South Grant Avenue Columbus,OH432154701	31-4394942	501(c)(3)	75,000	General Support
(3) OhioHealth Corporate - Riverside Methodist Hospital 3535 Olentangy River Road Columbus,OH432143908	31-4394942	501(c)(3)	873,081	General Support
(4) OhioHealth Corporate 180 East Broad Street Columbus,OH43215	31-4394942	501(c)(3)	407,312	General Support

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. 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
(1) Scholarship and Awards	129	154,349
(2) Medical Expense Assistance	57	16,673
(3) Diabetes Camp Fees	14	6,750
(4) Diabetes Education	3	1,982
(5) Stephen J. Vergamini Endowment for Allied Professionals	2	2,791

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) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

OhioHealth Corporation Group Return

Employer identification number

32-0007056

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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

Yes

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

Yes

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

Yes

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

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

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

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Morrison Karen JPres/Board OHF	(i) (ii)	0 ............................... 445,703	0 ............................... 393,688	0 ............................... 23,766	0 ............................... 173,708	0 ............................... 24,746	0 ............................... 1,061,611	0 ............................... 0
2Blom David PBoard OHF	(i) (ii)	0 ............................... 1,061,837	0 ............................... 1,577,330	0 ............................... 33,066	0 ............................... 968,603	0 ............................... 19,834	0 ............................... 3,660,670	0 ............................... 0
3Brandon HeatherBoard OHF	(i) (ii)	0 ............................... 193,585	0 ............................... 64,865	0 ............................... 20,221	0 ............................... 21,374	0 ............................... 11,427	0 ............................... 311,472	0 ............................... 0
4Bury PeterBoard OHF	(i) (ii)	0 ............................... 262,696	0 ............................... 81,778	0 ............................... 16,072	0 ............................... 23,093	0 ............................... 10,357	0 ............................... 393,996	0 ............................... 0
5deVillers Rebecca E DOBoard OHF	(i) (ii)	111,429 ............................... 0	4,168 ............................... 0	15,220 ............................... 0	14,496 ............................... 0	18,802 ............................... 0	164,115 ............................... 0	0 ............................... 0
6George Peter B MDBoard OHF	(i) (ii)	879,364 ............................... 0	566 ............................... 0	88,334 ............................... 0	29,091 ............................... 0	25,056 ............................... 0	1,022,411 ............................... 0	0 ............................... 0
7Geskey Joseph DOBoard OHF	(i) (ii)	0 ............................... 264,171	0 ............................... 69,340	0 ............................... 26,462	0 ............................... 14,224	0 ............................... 22,659	0 ............................... 396,856	0 ............................... 0
8Hammett Troy DBoard OHF (end 1/15)	(i) (ii)	0 ............................... 215,538	0 ............................... 69,780	0 ............................... 25,444	0 ............................... 23,594	0 ............................... 24,659	0 ............................... 359,015	0 ............................... 0
9Harmon Thomas L MDBoard OHF	(i) (ii)	0 ............................... 387,826	0 ............................... 106,029	0 ............................... 6,228	0 ............................... 18,769	0 ............................... 25,579	0 ............................... 544,431	0 ............................... 0
10Herceg Milan MDBoard OHF	(i) (ii)	0 ............................... 308,550	0 ............................... 0	0 ............................... 0	0 ............................... 0	0 ............................... 0	0 ............................... 308,550	0 ............................... 0
11Jepson Brian DBoard OHF (start 7/14)	(i) (ii)	0 ............................... 384,991	0 ............................... 125,000	0 ............................... 21,766	0 ............................... 64,609	0 ............................... 25,159	0 ............................... 621,525	0 ............................... 0
12Lawson Michael SBoard OHF	(i) (ii)	0 ............................... 363,487	0 ............................... 160,000	0 ............................... 4,546	0 ............................... 55,852	0 ............................... 9,704	0 ............................... 593,589	0 ............................... 0
13Levin Howard B DOBoard OHF	(i) (ii)	521,075 ............................... 0	416 ............................... 0	67,827 ............................... 0	25,262 ............................... 0	23,956 ............................... 0	638,536 ............................... 0	0 ............................... 0
14Markovich Stephen E MDBoard OHF (end 10/14)	(i) (ii)	0 ............................... 545,190	0 ............................... 460,415	0 ............................... 25,790	0 ............................... 277,750	0 ............................... 26,282	0 ............................... 1,335,427	0 ............................... 0
15Millhon Judson S Jr MDBoard OHF	(i) (ii)	729,446 ............................... 0	927 ............................... 0	147,921 ............................... 0	34,116 ............................... 0	22,556 ............................... 0	934,966 ............................... 0	0 ............................... 0
16Reichfield Michael LBoard OHF	(i) (ii)	0 ............................... 355,339	0 ............................... 304,465	0 ............................... 28,983	0 ............................... 133,738	0 ............................... 23,922	0 ............................... 846,447	0 ............................... 0
17Smith Rita J RNBoard OHF	(i) (ii)	0 ............................... 114,462	0 ............................... 12,235	0 ............................... 2,700	0 ............................... 27,319	0 ............................... 9,334	0 ............................... 166,050	0 ............................... 0
18Urse Geraldine L DOBoard OHF	(i) (ii)	229,987 ............................... 0	500 ............................... 0	8,346 ............................... 0	23,967 ............................... 0	10,124 ............................... 0	272,924 ............................... 0	0 ............................... 0
19von Gunten Charles MDBoard OHF	(i) (ii)	0 ............................... 262,558	0 ............................... 65,637	0 ............................... 32,134	0 ............................... 15,603	0 ............................... 14,806	0 ............................... 390,738	0 ............................... 0
20Louge Michael WChair/VP Board OPG	(i) (ii)	0 ............................... 776,890	0 ............................... 737,225	0 ............................... 15,131	0 ............................... 681,739	0 ............................... 25,996	0 ............................... 2,236,981	0 ............................... 0
21Thornhill Hugh APres Board OPG	(i) (ii)	0 ............................... 385,561	0 ............................... 342,188	0 ............................... 24,822	0 ............................... 150,798	0 ............................... 26,496	0 ............................... 929,865	0 ............................... 0
22Bernstein Michael SBoard OPG	(i) (ii)	0 ............................... 469,388	0 ............................... 382,812	0 ............................... 11,725	0 ............................... 159,183	0 ............................... 26,753	0 ............................... 1,049,861	0 ............................... 0
23Millen Robert PBoard OPG (end 12/14)	(i) (ii)	0 ............................... 723,453	0 ............................... 713,775	0 ............................... 27,254	0 ............................... 301,702	0 ............................... 25,775	0 ............................... 1,791,959	0 ............................... 0
24Snow Richard J DOChair OHRI	(i) (ii)	0 ............................... 338,843	0 ............................... 95,418	0 ............................... 23,867	0 ............................... 21,570	0 ............................... 25,656	0 ............................... 505,354	0 ............................... 0
25Vanderhoff Bruce MDSr VP CMO/Vice-Chair OHRI	(i) (ii)	0 ............................... 592,638	0 ............................... 500,500	0 ............................... 23,800	0 ............................... 230,217	0 ............................... 23,996	0 ............................... 1,371,151	0 ............................... 0
26Bjerke Craig ASecretary/Treasurer OHRI	(i) (ii)	0 ............................... 239,583	0 ............................... 76,427	0 ............................... 3,379	0 ............................... 16,463	0 ............................... 22,659	0 ............................... 358,511	0 ............................... 0
27Ansel Gary MDBoard OHRI	(i) (ii)	1,271,908 ............................... 174,720	44,096 ............................... 0	76,531 ............................... 0	29,863 ............................... 0	22,556 ............................... 0	1,444,954 ............................... 174,720	0 ............................... 0
28Bay Janet MDBoard OHRI	(i) (ii)	696,794 ............................... 0	35,545 ............................... 0	47,502 ............................... 0	26,462 ............................... 0	8,974 ............................... 0	815,277 ............................... 0	0 ............................... 0
29Bell Jeffrey G MDBoard OHRI	(i) (ii)	0 ............................... 330,374	0 ............................... 9,683	0 ............................... 628	0 ............................... 35,490	0 ............................... 18,258	0 ............................... 394,433	0 ............................... 0
30Bianchi MichaelBoard OHRI (start 11/14)	(i) (ii)	0 ............................... 114,480	0 ............................... 30,000	0 ............................... 11,924	0 ............................... 0	0 ............................... 9,906	0 ............................... 166,310	0 ............................... 0
31Caulin-Glaser Teresa L MDBoard OHRI	(i) (ii)	0 ............................... 503,923	0 ............................... 172,500	0 ............................... 34,369	0 ............................... 54,499	0 ............................... 18,378	0 ............................... 783,669	0 ............................... 0
32Ferris Frank MDBoard OHRI	(i) (ii)	0 ............................... 258,694	0 ............................... 69,401	0 ............................... 30,923	0 ............................... 15,603	0 ............................... 14,806	0 ............................... 389,427	0 ............................... 0
33Imm Amy MDBoard OHRI	(i) (ii)	0 ............................... 371,839	0 ............................... 118,400	0 ............................... 24,569	0 ............................... 25,026	0 ............................... 23,156	0 ............................... 562,990	0 ............................... 0
34Knutson Douglas MDBoard OHRI	(i) (ii)	0 ............................... 361,041	0 ............................... 99,477	0 ............................... 22,619	0 ............................... 29,988	0 ............................... 10,227	0 ............................... 523,352	0 ............................... 0
35Niles John PBoard OHRI	(i) (ii)	0 ............................... 222,935	0 ............................... 41,186	0 ............................... 24,860	0 ............................... 36,184	0 ............................... 24,636	0 ............................... 349,801	0 ............................... 0
36Wasielewski Ray MDBoard OHRI	(i) (ii)	739,710 ............................... 0	970 ............................... 0	19,776 ............................... 0	27,022 ............................... 0	23,906 ............................... 0	811,384 ............................... 0	0 ............................... 0
37Yakubov Steven MDBoard OHRI	(i) (ii)	1,022,446 ............................... 174,720	44,409 ............................... 0	98,275 ............................... 0	32,275 ............................... 0	23,406 ............................... 0	1,220,811 ............................... 174,720	0 ............................... 0
38Brazitis Mark ABoard MGH (end 4/15)	(i) (ii)	0 ............................... 386,801	0 ............................... 295,305	0 ............................... 8,616	0 ............................... 15,600	0 ............................... 18,406	0 ............................... 724,728	0 ............................... 0
39Vora Sanjay K MDBoard MGH	(i) (ii)	0 ............................... 281,376	0 ............................... 23,315	0 ............................... 18,336	0 ............................... 14,712	0 ............................... 24,573	0 ............................... 362,312	0 ............................... 0
40Seckinger Mark RPres HMH & BD HMH (end 4/15)	(i) (ii)	0 ............................... 203,092	0 ............................... 73,000	0 ............................... 22,957	0 ............................... 57,324	0 ............................... 18,601	0 ............................... 374,974	0 ............................... 0
41Snyder Ron PInterim Pres & BD HMH (start 4/15)	(i) (ii)	0 ............................... 213,124	0 ............................... 0	0 ............................... 0	0 ............................... 0	0 ............................... 26,438	0 ............................... 239,562	0 ............................... 0
42Fenzl Mark E DOBoard HMH	(i) (ii)	0 ............................... 164,523	0 ............................... 0	0 ............................... 0	0 ............................... 0	0 ............................... 24,336	0 ............................... 188,859	0 ............................... 0
43Herbert-Sinden Cheryl LChair HRC	(i) (ii)	0 ............................... 347,698	0 ............................... 288,563	0 ............................... 27,795	0 ............................... 200,325	0 ............................... 20,646	0 ............................... 885,027	0 ............................... 0
44Evert Barbara MDBoard HRC	(i) (ii)	0 ............................... 288,432	0 ............................... 78,731	0 ............................... 31,047	0 ............................... 21,574	0 ............................... 9,484	0 ............................... 429,268	0 ............................... 0
45Lehmuth Richard LBoard HRC	(i) (ii)	0 ............................... 316,007	0 ............................... 114,600	0 ............................... 21,440	0 ............................... 35,677	0 ............................... 9,507	0 ............................... 497,231	0 ............................... 0
46Yates Vinson MCFO OHF	(i) (ii)	0 ............................... 495,114	0 ............................... 416,942	0 ............................... 32,886	0 ............................... 207,738	0 ............................... 26,496	0 ............................... 1,179,176	0 ............................... 0
47Lucius Staci ECOO OPG (start 5/14)	(i) (ii)	0 ............................... 182,710	0 ............................... 30,000	0 ............................... 13,158	0 ............................... 0	0 ............................... 7,701	0 ............................... 233,569	0 ............................... 0
48Meldrum Terri W EsqSec BD OPG	(i) (ii)	0 ............................... 222,549	0 ............................... 77,450	0 ............................... 2,878	0 ............................... 21,399	0 ............................... 23,079	0 ............................... 347,355	0 ............................... 0
49Hagen Bruce PPres GMH (end 1/15)	(i) (ii)	0 ............................... 489,813	0 ............................... 419,275	0 ............................... 29,075	0 ............................... 163,276	0 ............................... 19,473	0 ............................... 1,120,912	0 ............................... 0
50Bunyard Stephen PPresident GMH (start 1/15)	(i) (ii)	0 ............................... 276,335	0 ............................... 85,225	0 ............................... 7,691	0 ............................... 23,782	0 ............................... 10,309	0 ............................... 403,342	0 ............................... 0
51Newbrough Jr James PPresident HRC	(i) (ii)	0 ............................... 242,155	0 ............................... 184,106	0 ............................... 10,529	0 ............................... 22,704	0 ............................... 22,659	0 ............................... 482,153	0 ............................... 0
52Bishop Thomas EVP Primary Care Svcs OPG (end 4/15)	(i) (ii)	0 ............................... 374,489	0 ............................... 29,640	0 ............................... 13,903	0 ............................... 0	0 ............................... 19,906	0 ............................... 437,938	0 ............................... 0
53Cecala Alan HVP Sys Serv Line Sup OPG	(i) (ii)	0 ............................... 256,730	0 ............................... 80,420	0 ............................... 11,600	0 ............................... 15,600	0 ............................... 23,795	0 ............................... 388,145	0 ............................... 0
54Foley Denise EVP Bus Dev OPG (end 4/15)	(i) (ii)	0 ............................... 218,236	0 ............................... 75,455	0 ............................... 20,813	0 ............................... 29,374	0 ............................... 23,176	0 ............................... 367,054	0 ............................... 0
55Jernejcic Randy M MDVP Medical Affairs OPG	(i) (ii)	0 ............................... 275,967	0 ............................... 71,162	0 ............................... 21,328	0 ............................... 14,324	0 ............................... 22,659	0 ............................... 405,440	0 ............................... 0
56Roth Danielle CVP Operations OPG	(i) (ii)	0 ............................... 193,309	0 ............................... 63,812	0 ............................... 19,981	0 ............................... 21,170	0 ............................... 11,661	0 ............................... 309,933	0 ............................... 0
57Smith Jeffrey AVP Finance OPG	(i) (ii)	0 ............................... 238,170	0 ............................... 71,738	0 ............................... 5,027	0 ............................... 16,533	0 ............................... 25,138	0 ............................... 356,606	0 ............................... 0
58Barnes II Earl J EsqSr VP & General Counsel	(i) (ii)	0 ............................... 278,290	0 ............................... 160,000	0 ............................... 20,911	0 ............................... 147,574	0 ............................... 15,370	0 ............................... 622,145	0 ............................... 0
59Kovack Thomas J DOPhysician Core OPG	(i) (ii)	2,318,123 ............................... 0	268,404 ............................... 0	17,546 ............................... 0	29,834 ............................... 0	24,556 ............................... 0	2,658,463 ............................... 0	0 ............................... 0
60Cassandra James C DOPhysician Hand & Ortho Surgery OPG	(i) (ii)	1,354,896 ............................... 0	207,777 ............................... 0	18,066 ............................... 0	31,050 ............................... 0	24,968 ............................... 0	1,636,757 ............................... 0	0 ............................... 0
61Abaza Ronney MDPhysician Urology	(i) (ii)	820,073 ............................... 0	618,454 ............................... 0	46 ............................... 0	0 ............................... 0	22,556 ............................... 0	1,461,129 ............................... 0	0 ............................... 0
62Franz Randall MDPhysician Core OPG	(i) (ii)	857,168 ............................... 0	560,437 ............................... 0	17,760 ............................... 0	39,307 ............................... 0	21,416 ............................... 0	1,496,088 ............................... 0	0 ............................... 0
63Fulop James P MDPhysician Core OPG	(i) (ii)	1,000,293 ............................... 0	325,130 ............................... 0	18,280 ............................... 0	22,071 ............................... 0	22,073 ............................... 0	1,387,847 ............................... 0	0 ............................... 0
64Dicken KenCFO SAHF (end 8/14)	(i) (ii)	0 ............................... 116,712	0 ............................... 0	0 ............................... 87,857	0 ............................... 0	0 ............................... 18,332	0 ............................... 222,901	0 ............................... 0
65Hooper JosephCOO, MGH (end 12/14)	(i) (ii)	0 ............................... 212,796	0 ............................... 48,876	0 ............................... 9,742	0 ............................... 25,414	0 ............................... 17,855	0 ............................... 314,683	0 ............................... 0
66Brown Steven RVP Finance, MGH (end 2/15)	(i) (ii)	0 ............................... 191,194	0 ............................... 39,980	0 ............................... 3,054	0 ............................... 25,804	0 ............................... 24,136	0 ............................... 284,168	0 ............................... 0
67Tomaszewski James AVP Heart & Vascular OPG	(i) (ii)	0 ............................... 0	0 ............................... 0	0 ............................... 183,809	0 ............................... 14,471	0 ............................... 647	0 ............................... 198,927	0 ............................... 0
68Chamberlain Joseph LFrmr Acting Pres/VP (end 5/14)	(i) (ii)	118,340 ............................... 0	100,000 ............................... 0	329,024 ............................... 0	15,482 ............................... 0	18,709 ............................... 0	581,555 ............................... 0	0 ............................... 0
69Laterro Anita AFmr Key Employee OHF	(i) (ii)	0 ............................... 169,862	0 ............................... 41,110	0 ............................... 8,762	0 ............................... 23,637	0 ............................... 24,505	0 ............................... 267,876	0 ............................... 0
70Garlock Steven JFmr Pres GMH	(i) (ii)	0 ............................... 221,143	0 ............................... 269,581	0 ............................... 439,449	0 ............................... 18,812	0 ............................... 16,096	0 ............................... 965,081	0 ............................... 279,233
71Long GregFmr COO-DHN (end 10/14)	(i) (ii)	0 ............................... 250,334	0 ............................... 0	0 ............................... 88,564	0 ............................... 21,736	0 ............................... 22,621	0 ............................... 383,255	0 ............................... 0
72O'Sullivan MichaelFmr Sr VP & CDO-OHF	(i) (ii)	0 ............................... 0	0 ............................... 0	0 ............................... 130,541	0 ............................... 15,094	0 ............................... 9,220	0 ............................... 154,855	0 ............................... 0
73Pandora Frank T II EsqFrm Sr VP & Gen Counsel (End 5/14)	(i) (ii)	0 ............................... 1,360	0 ............................... 120,000	0 ............................... 2,095,383	0 ............................... 0	0 ............................... 88	0 ............................... 2,216,831	0 ............................... 861,393
74Rothstein MarkSr. VP/Executive Director - SAHF	(i) (ii)	346,436 ............................... 0	0 ............................... 0	49,236 ............................... 0	23,690 ............................... 0	2,241 ............................... 0	421,603 ............................... 0	0 ............................... 0
75Sanders John WFmr President MGH (end 4/14)	(i) (ii)	0 ............................... 69,728	0 ............................... 0	0 ............................... 355,086	0 ............................... 2,149	0 ............................... 17,479	0 ............................... 444,442	0 ............................... 0
76Wallis EricFmr CNO-MGH (end 9/14)	(i) (ii)	0 ............................... 128,661	0 ............................... 0	0 ............................... 4,957	0 ............................... 7,635	0 ............................... 16,579	0 ............................... 157,832	0 ............................... 0
77Wyse LaMarFmr COO-DHN	(i) (ii)	0 ............................... 0	0 ............................... 0	304,311 ............................... 0	0 ............................... 0	0 ............................... 0	304,311 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
Part I, Line 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. During 2014, 2 directors received tax indemnification and gross up payments. These payments are included in reportable compensation when made.
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, Line 4a:	The following individuals listed in Form 990, Part VII received severance payments in the following amounts: Joseph L. Chamberlain - $249,599 Ken Dicken - $64,578 Greg Long - $58,517 Michael O'Sullivan - $132,404 John W. Sanders - $233,540 James A. Tomaszewski - $184,290 Part I, Line 4b: The following individual listed in Form 990, Part VII received distributions from a supplemental non-qualified retirement plan in the amount as noted: Steven J. Garlock - $400,191 Frank T. Pandora II Esq. - $2,072,599 Eligible executives listed in the Form 990, Part VII participate in a supplemental non-qualified plan. These arrangements are an industry standards 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. Form 990, 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: - Other Reportable Compensation - $304,311 - Total Compensation - $304,311

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

OhioHealth Corporation Group Return

Employer identification number

32-0007056

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefiting 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) 2014

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Maureen Root	Director of Org - Mother of HMH Director (Chip Root)	42,937	Comp/Ben - Mother is employed at HMH and receives compensation.		No
(2) Marissa Root	Director of Org - Spouse of HMH Director (Chip Root)	16,319	Comp/Ben - Spouse is employed at HMH and receives compensation.		No
(3) Jacqueline Thornberry	Director of Org - Sister of MGH Director (Judy Titus)	95,126	Comp/Ben - Sister is employed at MGH and receives compensation.		No
(4) Tri-Anim Health Services Inc	Director of Org - Entity more than 35% by MHS Director (Matt Walter)	145,271	Payments - Goods or services provided to MHS.		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) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

OhioHealth Corporation Group Return

Employer identification number

32-0007056

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .	X	1	750,000	Opinions of experts
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( LUL 500 Bells/Stands )	X	1	6,151	Cost/Selling price
26 Other ( Other )	X	7	2,726	Cost/Selling price
27 Other ( Off. Furniture )	X	1	1,506	Cost/Selling price
28 Other ( Box of DVD's )	X	1	1,090	Cost/Selling price

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2014)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
Part I, Column (b):	Number of Contributors.

Schedule M (Form 990) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

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

Attach to Form 990 or 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

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. George W. McCloy, Director of OhioHealth Foundation, and Julie Mercker, Director of OhioHealth Foundation, have a family relationship. John P. McConnell, Vice Chair of Grady Memorial Hospital, MedCentral Mansfield Hospital, MedCentral Shelby Hospital, O'Bleness Memorial Hospital, and Appalachian Community Visiting Nurse Association, and Kerrii B. Anderson, Treasurer of Grady Memorial Hospital, MedCentral Mansfield Hospital, MedCentral Shelby Hospital, O'Bleness Memorial Hospital, and Appalachian Community Visiting Nurse Association, 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, which is composed of independent and disinterested members of the Board of Directors. The CEO's 2014 base salary and his 2014 total compensation which includes all incentive plans and benefits were estimated to approximate the 77th percentile of a peer group of comparable high performing health systems across the United States. In 2014, OhioHealth implemented an incentive plan to reward achievement of long-term strategic priorities for certain key senior executives. The payout reflects performance over a two year period. The organization's performance for FY 6/30/2013 was at the 82nd percentile and for FY 6/30/2014 was at the 85th percentile as measured by the Balanced Scorecard using Quality, Customer Service, Culture, and Finance indicators. The 990 reporting of Compensation Committee approved CEO compensation for 2014 is in alignment with the CEO's tenure, experience and demonstrated level of sustained top quartile performance of OhioHealth. The 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 the 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. The 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 for related organization employment 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:	Other -672,715. Pension Related Changes -804,939. Intercompany Write-downs/Intercompany 112,009,849. Net Adjustment for Doctors Hospital at Nelsonville -1,452,546. Inclusion of MedCentral Health System 206,539,019. Inclusion of Sheltering Arms Hospital Foundation 43,957,889. Inclusion of Appalachian Community Visiting Nurse Association, Hospice and -22,891.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

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	0	0	GrantRiverside Medical Care Foundation
(2) Orthopedic Trauma Services Ltd 180 East Broad Street 33rd Floor Columbus,OH432153707 56-2294320	Practice Management Services	OH	0	0	GrantRiverside Medical Care Foundation
(3) Marion Physician Billing LLC 1000 McKinley Park Drive Marion,OH43302 61-1605305	Medical Billing	OH	1,523,293	0	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	-6,214,294	6,732,651	Grady Memorial Hospital
(7) OhioHealth MedCentral Professional Foundation 335 Glessner Avenue Mansfield,OH44903 26-1775665	Healthcare	OH	-20,093,284	0	MedCentral Health System
(8) Athens Medical Associates LLC 75 Hospital Drive Athens,OH45701 02-0734615	Physician Services	OH	-5,791,456	2,110,556	O'Bleness Memorial Hospital
(9) OhioHealth Regional Physician Services LLC 180 East Broad Street 33rd Floor Columbus,OH432153707 47-2512005	Healthcare	OH	0	0	GrantRiverside Medical Care Foundation

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Hospital Properties Inc 180 East Broad Street 33rd Floor Columbus,OH432153707 31-1206071	Property Management	OH	501(c)(2)	N/A	OhioHealth Corporation	Yes
(2) Doctors Hospital at Nelsonville 1950 Mount Saint Marys Drive Nelsonville,OH457641280 31-1620551	Healthcare Services	OH	501(c)(3)	N/A	OhioHealth Corporation	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) 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) OhioHealth Rehabilitation Hospital LLC 4714 Gettysburg Road Mechanicsburg,OH17055 46-2458436	Medical Services	OH	N/A
(7) Westerville Endoscopy Center LLC 262 Neil Avenue Columbus,OH43215 46-2755661	Endoscopy Services	OH	N/A
(8) OhioHealth Group Ltd 155 East Broad Street Suite 1700 Columbus,OH43215 31-1446804	Managed Health Care	OH	N/A
(9) Whitehall Surgery Center 4850 E Main Street Whitehall,OH43213 31-1479613	Ambulatory Surgery Center	OH	N/A
(10) O'Bleness Memorial Pain Management LLC 55 Hospital Drive Athens,OH45701 45-4587317	Medical Services	OH	O'Bleness Hospital	Related	27,893	146,122		No		Yes		51.000 %
(11) Athens Surgery Center 75 Hospital Drive Athens,OH45701 55-0840856	Medical Services	OH	O'Bleness Hospital	Related	220,561	448,674		No		Yes		65.000 %

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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) 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	-3,123	897,642	100.000 %	Yes
(3) Intel Health Services PO Box 1051 Governors Square Bu Grand Cayman KYI-1102 CJ 31-4394942	Insurance/Reinsurance	CJ	N/A	C					No
(4) Athens Medical Laboratory Associates Inc 265 W Union Street Suite B Athens,OH45701 31-1381808	Medical Lab Services	OH	O'Bleness Memorial Hospital	S	97,825		100.000 %	Yes

Schedule R (Form 990) 2014

Page 3

Part V

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

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

Yes

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

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

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

Yes

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

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

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

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

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

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

Yes

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

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

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

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

Yes

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

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

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

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

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

Yes

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

Yes

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

Yes

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) OhioHealth Corporation	B	1,530,753	Actual Amount Paid
(2) Doctors Health Corporation of Nelsonville	L	1,053,156	Actual Amount Received
(3) Intel Health Services	Q	632,850	Actual Amount Transferred
(4) OhioHealth Corporation	R	126,620,733	Actual Amount Transferred
(5) OhioHealth Corporation	S	76,365,420	Actual Amount Transferred

Schedule R (Form 990) 2014

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

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

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: To improve the health of those we serve.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	228
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	132
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	10,012
6	Total number of volunteers (estimate if necessary) .............	6	1,396
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	924,034
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	219,663

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	13,398,452	8,939,369
9	Program service revenue (Part VIII, line 2g) .........	510,845,206	899,333,105
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	4,662,685	9,323,716
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	71,962,746	112,242,595
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	600,869,089	1,029,838,785
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,137,742	1,771,718
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)	461,672,737	713,448,082
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 3,317,982
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	222,644,426	396,597,073
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	686,454,905	1,111,816,873
19	Revenue less expenses. Subtract line 18 from line 12.......	-85,585,816	-81,978,088
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	536,585,292	1,041,006,841
21	Total liabilities (Part X, line 26).............	157,518,208	391,610,137
22	Net assets or fund balances. Subtract line 21 from line 20.....	379,067,084	649,396,704

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	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 749,909,344 including grants of $ 0 ) (Revenue $ 897,042,883 )
	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, MedCentral Mansfield Hospital, Marion General Hospital, Grady Memorial Hospital, O'Bleness Memorial Hospital, Hardin Memorial Hospital, MedCentral Shelby Hospital, OhioHealth Home Care, and OhioHealth Home Health Services in Athens 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 health and makes futures 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 $ 144,842,646 including grants of $ ) (Revenue $ 95,664,753 )
	In fiscal year 2015 (July 1, 2014 through June 30, 2015), 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 $279 million in charity care and community benefit programs and services, reaching hundreds of thousands of people in the communities we serve. Of this total, $49 million was provided by MedCentral Mansfield Hospital, Marion General Hospital, Grady Memorial Hospital, O'Bleness Memorial Hospital, Hardin Memorial Hospital, and MedCentral Shelby Hospital. 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 policies, 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 commitments to infant mortality reduction projects, pastoral care services, various civic sponsorships, and other community partnership programs. OhioHealth 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, the cost of medical education programs as well as the cost of certain programs discussed above.

4c	(Code: ) (Expenses $ 6,343,466 including grants of $ ) (Revenue $ 1,796,003 )
	OhioHealth Research Institute (OHRI) is a non-profit corporation that supports medical research at OhioHealth's hospitals through clinical research, commercialization of new products, administration of grants, and performance of 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 (NIH). 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, stroke and orthopedic medicine.- OHRI contracted for 105 active and 25 new industry sponsored trials in FY15 (contract value of $6.1m). - The Neuroscience service line experienced significant clinical trial activity expansion - stroke, neuro-oncology, Epilepsy and Multiple Sclerosis/Neuromyelitis Optics clinical trials that are or will soon be active. - System-wide research activity increased 10% from FY14 to FY15 based on the number of active Institutional Review Board (IRB) approved studies (770 active studies in FY15). - Under the direction of study Principal Investigator, Dr. Steven Yakubov, the Structural Heart Disease (SHD) team successfully completed the implant of the innovative Parachute research device on 2 patients at Riverside Hospital. The device is used to treat patients with left ventricular dysfunction following a heart attack, and to improve the functionality of the left ventricle by partitioning off damaged heart muscle. - As a result of top enroller status, Dr. Gregory Kidwell and the study teams from Grant and Riverside hosted a FDA routine inspection for the SAMURAI study sponsored by Boston Scientific Corporation (BSC). There were no "objectionable conditions" issued, and OHRI's audit readiness process was highlighted as a clinical best practice. The ImageReady MR Conditional Pacing System Clinical Study (SAMURAI) trial is designed to confirm the safety and efficacy of the ImageReady MR Conditional Pacing System in the magnetic resonance imaging (MRI) environment. The first patient implant in the US occurred at Riverside hospital by Dr. Sreedhar Billakanty.- There are currently 14 actively enrolling endovascular trials including 2 NIH sponsored trials on treating critical limb ischemia and carotid artery disease. - Drs. Aaron Boster and Jacqueline Nicholas will serve as Principal Investigators on seven (7) active/soon to be active General Multiple Sclerosis and Neuro-Myelitis clinical trials. - MedCentral increased its research footprint through the addition of a new OHRI oncology research coordinator. Increasing oncology research activity is critical for Mansfield to maintain its Commission on Cancer (CoC) accreditation status. The first sponsored bone marrow biopsy study was initiated at this site with 15 patients enrolled.- Riverside endovascular physicians (Cardiac peripheral vascular intervention team and Dr. Kolluri) have been selected for officer & faculty roles at the international Vascular Interventional Advances (VIVA) (Las Vegas) and International Venous Endovascular Interventional Strategies (VEINS) (Orlando) conferences in November.- Dr. Gary Ansel presented to Medicare in Washington DC on drug coated balloon technology, as well as to the Medicare Evidence Development & Coverage Advisory Committee (MEDCAC) on the efficacy of endovascular procedures for critical limb ischemia. - Dr. Yakubov chaired the first in a series of Structural Heart Disease educational outreach conferences. The conference on Left Atrial Appendage Closure & Mitral Valve Therapies was attended by 40 clinicians.Investigator Initiated:- Investigator Initiated Trials are managed operationally under the leadership of Judy Opalek, Ph.D, as the OHRI Director of Academic Research Services and supported by Curt Gingrich, MD, who is the Chairman of Investigator Initiated Research Council. - The Medical Education Research functions for Riverside, Grant and Doctors hospitals were consolidated under OHRI. The restructuring of reporting will become effective July 1, 2015.- The 5th Annual Heritage Research Conference was held on June 3, 2015 with over 140 attendees, 80 poster presentations and 10 podium presentations. Drs. James O'Brien and Michael Ezzie delivered the keynote address. Ten participants received presentation/poster awards.- OHRI completed its initial "first in man" study of the Enable Injection 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.- The OhioHealth Innovation Development Fund (IDF) provides OhioHealth with an opportunity to invest in promising life science business entities created by OhioHealth inventors.- The IDF received 9 funding requests in FY15. Three commercialization projects were approved for funding. - Three projects were approved for commercialization ($520K total funding) under the Innovation Development Fund.- Inventor licensed her invention and worked closely with OHRI's Commercialization Office in the development and testing.Grant 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.- Palliative Care Initiatives: Dr. Frank Ferris received an extension through August, 2016 to continue to direct the Innovative Curriculum for Mid-Career Training in Palliative Care, an international initiative sponsored by the NIH National Cancer Institute. - Palliative Care Initiatives: Dr. Charles von Gunten received his fourth year of funding as co-investigator for the Integration of Palliative Care Training into Oncology, a program sponsored by the NIH National Cancer Institute and directed by Northwestern University. - Sexual Assault Response Network of Central Ohio (SARNCO): OhioHealth received six (6) continuing grant awards totaling $203K in support of SARNCO program activities including training, education, 24-hour staffed sexual violence hotline, and the advocate volunteer program. - Women's Health - Teen Options to Prevent Pregnancy (TOPP): Under the direction of Dr. Ngozi Osuagwu, the TOPP program, sponsored by U.S. Department of Health and Human Services (US HHS) Office of Family and Youth Services Bureau, was recognized at the national level through invitational speaking events and also a promotional film paid for and produced by US HHS. The film is expected to be released late FY16 and will be announced with a White House press release. - Public Health Emergency Preparedness: OhioHealth received $66K of continued funding via the federal Assistant Secretary for Preparedness and Response (ASPR)/Public Health Emergency Preparedness (PHEP) grant program. Funds support disaster/emergency preparedness equipment and pharmaceuticals cache at nine (9) OhioHealth hospitals and care sites. 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:- Under the direction of Dr. Melissa Thomas, OHRI co-hosted an inaugural Amish Healthcare Conference in April at the Mohican State Park Lodge. Over 100 attendees participated in the Conference focusing on best practices in delivering culturally competent care. - Dr. Melissa Thomas was the 2015 recipient of the Ohio Public Health Association Distinguished Heath Educator Service Award. - Five peer-reviewed abstracts were accepted at the American Public Health Association conference in Chicago in November.

	(Code: ) (Expenses $ 3,691,368 including grants of $ 1,771,718 ) (Revenue $ 5,392,296 )
	The OhioHealth Foundation is dedicated to helping our central Ohio family of faith-based, not-for-profit hospitals and healthcare services fulfill their commitment to extraordinary care by raising and investing funds to support many important programs and services. All earnings are re-invested to improve patient care. We rely on philanthropic support from individuals, corporations, foundations and organizations to continue our mission of achieving excellence in patient care, transforming the future of medical research and education and developing programs that help us improve the health of those we serve.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 3,691,368 including grants of $ 1,771,718 ) (Revenue $ 5,392,296 )
4e	Total program service expenses904,786,824

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	16,553,288	33,244,366	6,596,146

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a		390,344
b	Membership dues....1b
c	Fundraising events....1c		303,498
d	Related organizations...1d		61,070
e	Government grants (contributions)1e		627,896

f	All other contributions, gifts, grants, and similar amounts not included above1f		7,556,561

g	Noncash contributions included in lines 1a-1f:$		761,473
h	Total. Add lines 1a-1f.......			8,939,369
			Business Code
2a	Medicare and Medicaid		900099	508,639,745	508,639,745
b	Net Patient Svcs		900099	388,516,510	388,516,510
c	Research Revenue		900099	1,796,853	1,796,853
d	Joint Venture Income		621990	379,997	223,081	156,916
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			899,333,105
3	Investment income (including dividends, interest, and other similar amounts).......			7,283,626			7,283,626
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	1,457,090
b	Less: rental expenses	1,054,453
c	Rental income or (loss)	402,637
d	Net rental income or (loss).......			402,637			402,637
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	450,596,229	41,750
b	Less: cost or other basis and sales expenses	445,929,951	2,667,938
c	Gain or (loss)	4,666,278	-2,626,188
d	Net gain or (loss)..........			2,040,090			2,040,090
8a	Gross income from fundraising events (not including $ 303,498 of contributions reported on line 1c). See Part IV, line 18 ..
	a		223,872
b	Less: direct expenses ...b		140,375
c	Net income or (loss) from fundraising events..			83,497			83,497
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...
10a	Gross sales of inventory, less returns and allowances .
	a		16,769,633
b	Less: cost of goods sold ..b		6,888,634
c	Net income or (loss) from sales of inventory..			9,880,999			9,880,999
Miscellaneous Revenue			Business Code
11a	Intercompany Admin		900099	82,911,622	82,911,622
b	Lab and Other Services		900099	767,118		767,118
c	Cafeteria/Food Service		900099	545,514			545,514
d	All other revenue ....			17,651,208	17,651,208
e	Total. Add lines 11a–11d ......			101,875,462
12	Total revenue. See Instructions......			1,029,838,785	999,739,019	924,034	20,236,363


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			21,365	1	23,518
2	Savings and temporary cash investments .........			48,840,580	2	68,435,604
3	Pledges and grants receivable, net ...........			7,673,298	3	7,106,166
4	Accounts receivable, net .............			69,356,442	4	109,402,190
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				11,041	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6	0
7	Notes and loans receivable, net .............			7,323,376	7	30,035,760
8	Inventories for sale or use ..............			8,020,927	8	16,693,145
9	Prepaid expenses and deferred charges ..........			6,901,372	9	11,115,894
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	643,426,025
b	Less: accumulated depreciation .....	10b	250,672,440	157,968,942	10c	392,753,585
11	Investments—publicly traded securities ..........			163,047,244	11	209,145,213
12	Investments—other securities. See Part IV, line 11 .....			8,556,119	12	51,546,827
13	Investments—program-related. See Part IV, line 11 .....			325,379	13	132,640
14	Intangible assets ...............			34,541,326	14	33,813,828
15	Other assets. See Part IV, line 11 ...........			23,997,881	15	110,802,471
16	Total assets. Add lines 1 through 15 (must equal line 34)......			536,585,292	16	1,041,006,841
17	Accounts payable and accrued expenses .........			66,828,318	17	122,149,189
18	Grants payable .................				18
19	Deferred revenue ................			1,815,295	19	6,595,202
20	Tax-exempt bond liabilities .............			40,179,619	20	39,983,765
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 ..			536,930	23	284,561
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....................			48,158,046	25	222,597,420
26	Total liabilities. Add lines 17 through 25.........			157,518,208	26	391,610,137
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			315,257,499	27	581,491,682
28	Temporarily restricted net assets ...........			46,769,616	28	47,230,940
29	Permanently restricted net assets ...........			17,039,969	29	20,674,082
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			379,067,084	33	649,396,704
34	Total liabilities and net assets/fund balances ........			536,585,292	34	1,041,006,841

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990)............................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713; do not file with Form 990).....................................	Yes	No