Form990
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
A For the 2015 calendar year, or tax year beginning 07-01-2015 , and ending 06-30-2016
BCheck if applicable:
CName of organization
OhioHealth Corporation Group Return
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
180 East Broad Street 33rd Floor
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Columbus, OH432153707
D Employer identification number

32-0007056
E Telephone number

G Gross receipts $ 1,197,716,495
F Name and address of principal officer:
David P Blom
180 East Broad Street 33rd Floor
Columbus,OH432153707
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.OhioHealth.com
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions) Click to see attachment
H(c)
Group exemption number MediumBullet3858
K Form of organization:  
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: To improve the health of those we serve.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 234
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 136
5 Total number of individuals employed in calendar year 2015 (Part V, line 2a) ...... 5 9,856
6 Total number of volunteers (estimate if necessary) ............. 6 1,296
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 701,991
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -9,882
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 8,939,369 10,476,982
9 Program service revenue (Part VIII, line 2g) ......... 899,333,105 918,659,039
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 9,323,716 -1,328,597
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 112,242,595 144,236,533
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,029,838,785 1,072,043,957
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,771,718 902,022
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 713,448,082 788,669,337
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet3,033,169    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 396,597,073 403,807,648
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,111,816,873 1,193,379,007
19 Revenue less expenses. Subtract line 18 from line 12....... -81,978,088 -121,335,050
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,041,006,841 1,044,475,712
21 Total liabilities (Part X, line 26)............. 391,610,137 387,418,243
22 Net assets or fund balances. Subtract line 21 from line 20..... 649,396,704 657,057,469
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2015)
Form 990 (2015)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: To improve the health of those we serve.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 833,585,972 including grants of $   ) (Revenue $ 935,248,102 )
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, O'Bleness Memorial Hospital, Grady 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 $ 156,898,873 including grants of $   ) (Revenue $ 100,917,811 )
In fiscal year 2016 (July 1, 2015 through June 30, 2016), 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 $297 million in charity care and community benefit programs and services, reaching hundreds of thousands of people in the communities we serve. Of this total, $56 million was provided by OhioHealth MedCentral Mansfield Hospital, Marion General Hospital, O'Bleness Memorial Hospital, Grady Memorial Hospital, Hardin Memorial Hospital, and OhioHealth 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 $ 7,313,261 including grants of $   ) (Revenue $ 2,095,414 )
The OhioHealth Research & Innovation Institute (OHRI) is committed to providing the resources needed to advance patient care through clinical research and innovation. As one of the top 10 percent of research programs at non-profit, community-based healthcare systems, our program is a leader in researching new drugs, medical devices and procedures. Our access to leading edge clinical trials allows of us to deliver improved outcomes and potentially save lives by giving our patients access to the therapies of the future today. OhioHealth's emphasis on research reflects our commitment to the community, our clinicians and, most of all, our patients. Our clinicians generate and pursue research and innovation ideas from their real-world experience caring for patients. We view clinical research as an extension of clinical care because it allows our physicians, nurses and other clinicians to provide leading-edge treatments to patients. Our areas of focus are industry research that expands patient access to groundbreaking clinical trials. These trials pave the way for better treatments. OHRI welcomes industry-sponsored research in partnership with drug and device companies looking to test their investigational products at a large facility associated with excellent clinicians. Academic research focuses on educating and training our physicians and clinicians with programs that develop their skills, knowledge and leadership in advancing healthcare. OhioHealth also provides an ideal setting for federal and foundation funded research that addresses the needs of the public. Innovation and commercialization supports OhioHealth physicians, clinicians and medical staff with their innovative ideas. Through its OhioHealth $5 million Innovation Development Fund, OHRI provides financial support and resources in all stages of product development and commercialization with the ultimate goal of improving patient care. Sponsored programs are initiatives that are funded by grant monies. Our finance experts have extensive experience in managing and reporting grant monies needed to fund important initiatives. Health equity programs bring healthcare programs and services to underserved communities and people such as Latina women, Amish and Mennonite communities, teenage mothers and the Appalachian region. The OhioHealth Research and Innovation Institute is vital to OhioHealth's recognition as a national leader in developing and advancing medical breakthroughs as well as meeting the needs of our community. Our Successes are 10 Years of Improving Care Transcatheter Aortic Valve Replacement For six years, OhioHealth has been on the forefront of revolutionizing care for patients with aortic valve disease by leading successful clinical trials. In fact, our work has been integral in the FDA-approval of transcatheter aortic valve devices now being used to treat patients with aortic valve disease who had no other treatment options. MD Anderson Cancer Network As part of OhioHealth's collaboration with the MD Anderson Cancer Network, we are now participating in cancer clinical trials through the University of Texas MD Anderson Cancer Center. Research across the region As our hospital system has continued to expand across the state, so have our research programs. We now offer clinical research at many of our outlying hospitals including OhioHealth Mansfield Hospital. First in human clinical trials For many years, most first in man clinical research trials have been conducted outside of the United States. However a new concerted effort by the FDA to bring these leading edge trials back to the US has landed OhioHealth two first in human clinical trials in the past year - one of only three health systems in the country to achieve this due to our proven track record of leading safe and successful clinical trials. Meeting the needs of the underserved Through our health equity programs, we have provided access to care to many underserved communities including Appalachian, the Amish and Mennonite, Latina women and teen mothers. Susan G. Komen Grant Funding For 10 years, we have received funding from the Susan G. Komen Foundation to support Proyecto Cancer del Seno in Latinas, the Latina Breast Cancer Project, which connects Latina women with breast cancer screening services and community education programs. Taking ideas from concept to market Our Innovation and Commercialization team has assisted our clinicians with more than 350 commercialization projects leading to 12 new product companies launched by OhioHealth staff and 9 commercialized products in use at OhioHealth sites.
(Code:   ) (Expenses $ 2,924,758 including grants of $ 902,022 ) (Revenue $ 11,341,473 )
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 $ 2,924,758 including grants of $ 902,022 ) (Revenue $ 11,341,473 )
4e Total program service expensesMediumBullet1,000,722,864
Form 990 (2015)
Form 990 (2015)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III .............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2015)
Form 990 (2015)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I ...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II ................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV ........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ........Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2015)
Form 990 (2015)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
807
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
9,856
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2015)
Form 990 (2015)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
234
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
136
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletNathan VanLaningham Sr VP Finance180 East Broad Street 33rd Floor   Columbus,OH432153707 (614) 544-4052
Form 990 (2015)
Form 990 (2015)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Meldrum Terri W Esq
 
Secretary Board
 1.0
.................
40.0 		X   X       0 337,973 47,750
(2) Morrison Karen J
 
President Board
 20.0
.................
20.0 		X   X       0 666,617 195,365
(3) Vanderhoff Bruce MD
 
Sr. VP and Chief Medical Officer OhioHealth
 2.0
.................
40.0 		X   X       0 961,758 259,458
(4) Crane Berney H
 
VP Primary Care Services, OPG (start 6/15)
 1.0
.................
40.0 		X   X       0 190,191 12,201
(5) Louge Michael W
 
Executive VP & COO
 1.0
.................
41.0 		X   X       0 1,286,428 717,731
(6) Bjerke Craig A
 
Secretary/Treasurer Board (end 6/16)
 5.0
.................
41.0 		X   X       0 321,986 41,629
(7) Jennings Matthew
 
Board - OhioHlth
 5.0
.................
1.0 		X   X       0 0 0
(8) Johnson Katherine E MD
 
Chairman Board
 41.0
.................
0 		X   X       237,028 0 18,457
(9) Newbrough Jr James P
 
Board
 2.0
.................
40.0 		X   X       0 336,689 41,161
(10) Sanner Robert O
 
Board - OhioHlth (start 7/15)
 4.0
.................
1.0 		X   X       0 0 0
(11) Anderson Kerrii B
 
Treasurer Board - OhioHlth
 3.0
.................
1.0 		X   X       0 0 0
(12) Blom David P
 
President/CEO/Board - OhioHealth
 12.0
.................
41.0 		X   X       0 1,761,441 1,046,516
(13) Bradley Kevin G
 
Secretary Board
 1.0
.................
0 		X   X       0 0 0
(14) Foreman Ivery D Esq
 
Secretary/Treasurer Board
 1.0
.................
0 		X   X       0 0 0
(15) Haas Robert S PhD
 
Vice-Chair
 1.0
.................
0 		X   X       0 0 0
(16) Herbert-Sinden Cheryl L
 
Chairman Board
 4.0
.................
40.0 		X   X       0 620,295 219,325
(17) McConnell John P
 
Vice Chair - OhioHlth
 4.0
.................
1.0 		X   X       0 0 0
Form 990 (2015)
Form 990 (2015)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Oates Todd OD
 
Secretary Board
 2.0
.......................0 		X   X       0 0 0
(19) Parker Mark S
 
Treasurer Board
 1.0
.......................0 		X   X       0 0 0
(20) Rasmussen Steven
 
Chairman Board - OhioHlth
 4.0
.......................1.0 		X   X       0 0 0
(21) Root Chip
 
Treasurer Board
 2.0
.......................0 		X   X       0 0 0
(22) Schwemer John
 
Vice-Chair
 2.0
.......................0 		X   X       0 0 0
(23) Scott Bradley N
 
Secretary Board - OhioHlth
 3.0
.......................1.0 		X   X       0 0 0
(24) Snyder Ron P
 
President Board
 43.0
.......................0 		X   X       238,555 0 26,438
(25) Thornhill Hugh A
 
Board
 1.0
.......................40.0 		X   X       0 604,133 178,096
(26) Gutheil Paige DO
 
Board - OhioHlth
 44.0
.......................1.0 		X           72,000 0 40
(27) Niles John P
 
Board
 1.0
.......................40.0 		X           0 306,669 31,075
(28) Yakubov Steven MD
 
Board (end 5/16)
 41.0
.......................0 		X           1,360,390 0 51,816
(29) Abbott Lawrence C
 
Board - OhioHlth
 3.0
.......................1.0 		X           0 0 0
(30) Abel Michael Joseph
 
Board (start 7/15)
 1.0
.......................40.0 		X           0 191,849 34,066
(31) Abraham Tara M
 
Board
 1.0
.......................0 		X           0 0 0
(32) Akins Nicholas
 
Board - OhioHlth
 3.0
.......................1.0 		X           0 0 0
(33) Anderson Douglas T
 
Board
 1.0
.......................0 		X           0 0 0
(34) Anderson Thomas DO
 
Board - OhioHlth
 43.0
.......................1.0 		X           25,050 0 40
(35) Andreoli Steven
 
Board
 1.0
.......................0 		X           0 0 0
(36) Ansel Gary MD
 
Board (end 5/16)
 41.0
.......................0 		X           1,367,328 174,720 50,686
(37) Barrett Scott
 
Board
 2.0
.......................0 		X           0 0 0
(38) Basil Brian A
 
Board
 1.0
.......................0 		X           0 0 0
(39) Bay Janet MD
 
Board
 41.0
.......................0 		X           781,226 0 23,325
(40) Bell Jeffrey G MD
 
Board (end 5/16)
 41.0
.......................0 		X           306,478 0 53,271
(41) Berwanger Joseph M
 
Board
 1.0
.......................0 		X           0 0 0
(42) Bianchi Michael
 
Board
 1.0
.......................40.0 		X           0 292,129 29,196
(43) Bing Arthur GH MD
 
Board
 1.0
.......................0 		X           0 0 0
(44) Blazyk Jack PhD
 
Board (end 5/16)
 1.0
.......................0 		X           0 0 0
(45) Bloomfield Toni
 
Board
 1.0
.......................0 		X           0 0 0
(46) Brandon Heather
 
Board
 1.0
.......................40.0 		X           0 297,323 31,899
(47) Bright David
 
Board
 1.0
.......................0 		X           0 0 0
(48) Buckley Donna
 
Board (end 10/15)
 1.0
.......................0 		X           0 0 0
(49) Bunyard Stephen P
 
Board
 1.0
.......................40.0 		X           0 441,430 68,463
(50) Bury Peter
 
Board
 1.0
.......................40.0 		X           0 404,577 30,688
(51) Butler David
 
Board
 1.0
.......................0 		X           0 0 0
(52) Cadwallader Patricia S
 
Board
 1.0
.......................0 		X           0 0 0
(53) Campbell Thomas
 
Board
 1.0
.......................0 		X           0 0 0
(54) Casperson April Rev
 
Board - OhioHlth (start 7/15)
 3.0
.......................1.0 		X           0 0 0
(55) Caulin-Glaser Teresa L MD
 
Board (end 5/16)
 1.0
.......................40.0 		X           0 741,034 49,619
(56) Chambers Linda MD
 
Board (end 12/15)
 41.0
.......................0 		X           5,525 0 40
(57) Chester-Alexander Cecily
 
Board
 1.0
.......................0 		X           0 0 0
(58) Coley-Malir Bonnie
 
Board
 1.0
.......................0 		X           0 0 0
(59) Collazo Antonio E MD
 
Board
 41.0
.......................0 		X           494,087 0 35,801
(60) Crane Tanny
 
Board - OhioHlth
 4.0
.......................1.0 		X           0 0 0
(61) Cunningham Jane Watson
 
Board
 1.0
.......................0 		X           0 0 0
(62) Deep Donald P MD
 
Board - OhioHlth (start 7/15)
 44.0
.......................1.0 		X           89,686 0 40
(63) deVillers Rebecca E DO
 
Board
 41.0
.......................0 		X           143,503 0 33,052
(64) Dewire Rev Dr Norman E
 
Board - OhioHlth
 3.0
.......................1.0 		X           0 0 0
(65) DiMarco Ann M
 
Board
 1.0
.......................0 		X           0 0 0
(66) Doody Anderson Elizabeth
 
Board
 1.0
.......................0 		X           0 0 0
(67) Englefield Cynthia
 
Board
 4.0
.......................0 		X           0 0 0
(68) Evert Barbara MD
 
Board
 3.0
.......................40.0 		X           0 418,427 31,333
(69) Fellenz Donald C
 
Board (end 5/16)
 1.0
.......................0 		X           0 0 0
(70) Ferris Frank MD
 
Board
 1.0
.......................40.0 		X           0 380,946 30,633
(71) Fields Steven P
 
Board
 1.0
.......................0 		X           0 0 0
(72) Flesch Thomas G
 
Board
 1.0
.......................0 		X           0 0 0
(73) Fletcher Paul
 
Board (start 11/15)
 1.0
.......................0 		X           0 0 0
(74) France Mandy
 
Board
 1.0
.......................0 		X           0 0 0
(75) Gabriel Paul MD
 
Board - OhioHlth (end 12/15)
 44.0
.......................1.0 		X           62,326 0 40
(76) Gallagher-Allred Charlette PhD
 
Board
 1.0
.......................0 		X           0 0 0
(77) Geese Ronald L
 
Board
 1.0
.......................0 		X           0 0 0
(78) George Peter B MD
 
Board
 41.0
.......................0 		X           972,557 0 46,066
(79) Geskey Joseph DO
 
Board
 1.0
.......................40.0 		X           0 379,594 35,469
(80) Gingrich Curtis MD
 
Board (start 7/15)
 1.0
.......................40.0 		X           0 431,299 49,520
(81) Glandon Philip J Sr
 
Board
 1.0
.......................0 		X           0 0 0
(82) Govekar Michele
 
Board (end 11/15)
 2.0
.......................0 		X           0 0 0
(83) Gregory Ramon
 
Board (start 1/16)
 1.0
.......................0 		X           0 0 0
(84) Griffin Scott R
 
Board
 1.0
.......................0 		X           0 0 0
(85) Habash Stephen J
 
Board
 1.0
.......................0 		X           0 0 0
(86) Hagen Bruce P
 
Board
 1.0
.......................40.0 		X           0 751,442 161,562
(87) Harmon Thomas L MD
 
Board
 1.0
.......................40.0 		X           0 527,954 44,375
(88) Haushalter Nikki
 
Board (start 1/16)
 1.0
.......................0 		X           0 0 0
(89) Heilman Max
 
Board (end 12/15)
 1.0
.......................0 		X           0 0 0
(90) Heilman Sharon
 
Board
 1.0
.......................0 		X           0 0 0
(91) Herceg Milan MD
 
Board
 1.0
.......................40.0 		X           0 317,019 0
(92) Hidaka Yoshihiro
 
Board
 1.0
.......................0 		X           0 0 0
(93) Hinderer Justin
 
Board
 1.0
.......................0 		X           0 0 0
(94) Imm Amy MD
 
Board
 1.0
.......................40.0 		X           0 552,941 49,954
(95) Infante Stephanie
 
Board
 1.0
.......................0 		X           0 0 0
(96) Ingram Lisa
 
Board - OhioHlth (start 7/15)
 3.0
.......................1.0 		X           0 0 0
(97) Irelan Vic
 
Board
 1.0
.......................0 		X           0 0 0
(98) James Donna
 
Board - OhioHlth
 3.0
.......................1.0 		X           0 0 0
(99) Jepson Brian D
 
Board
 1.0
.......................40.0 		X           0 625,459 84,269
(100) Johnston Tom
 
Board
 1.0
.......................0 		X           0 0 0
(101) Kiger Rev Daniel A
 
Board
 1.0
.......................0 		X           0 0 0
(102) Kile Carolyn S
 
Board (start 7/15)
 1.0
.......................0 		X           0 0 0
(103) Knutson Douglas MD
 
Board
 1.0
.......................40.0 		X           0 535,282 37,032
(104) Laber Melissa
 
Board
 1.0
.......................0 		X           0 0 0
(105) LaRocca Nicholas J
 
Board
 1.0
.......................0 		X           0 0 0
(106) Lause Lew
 
Board
 1.0
.......................0 		X           0 0 0
(107) Lawson Michael S
 
Board
 1.0
.......................40.0 		X           0 589,047 67,286
(108) Lehmuth Richard L
 
Board
 3.0
.......................40.0 		X           0 488,253 44,113
(109) Levin Howard B DO
 
Board
 41.0
.......................0 		X           543,304 0 48,443
(110) Loudenslager Roy A
 
Board
 1.0
.......................0 		X           0 0 0
(111) Mackessy James P MD
 
Board
 41.0
.......................0 		X           98,507 0 40
(112) McCloy George W
 
Board
 1.0
.......................0 		X           0 0 0
(113) McComas Janie
 
Board
 1.0
.......................0 		X           0 0 0
(114) McCullough Steve
 
Board
 1.0
.......................0 		X           0 0 0
(115) McFarland James E
 
Board
 1.0
.......................0 		X           0 0 0
(116) Menning Michael E
 
Board
 1.0
.......................0 		X           0 0 0
(117) Mercker Julie
 
Board
 1.0
.......................0 		X           0 0 0
(118) Meyer Harlan MD
 
Board - OhioHlth (start 1/16)
 43.0
.......................1.0 		X           22,448 0 40
(119) Miller Donald M MD
 
Board (start 7/15)
 1.0
.......................0 		X           0 0 0
(120) Millhon Judson S Jr MD
 
Board
 41.0
.......................0 		X           851,008 0 49,714
(121) Music William D
 
Board
 1.0
.......................0 		X           0 0 0
(122) Neuhauser Jeffrey L
 
Board (start 7/15)
 41.0
.......................0 		X           152,451 0 27,074
(123) O'Mara Shay MD
 
Board
 1.0
.......................0 		X           0 0 0
(124) Palmer Bishop Gregory
 
Board - OhioHlth
 3.0
.......................1.0 		X           0 0 0
(125) Patterson David T
 
Board
 1.0
.......................0 		X           0 0 0
(126) Powers James MD
 
Board (start 7/15)
 1.0
.......................40.0 		X           0 44,494 40
(127) Rader Traci
 
Board (start 1/16)
 1.0
.......................0 		X           0 0 0
(128) Radway Rob
 
Board
 2.0
.......................0 		X           0 0 0
(129) Ragan Virginia D
 
Board
 1.0
.......................0 		X           0 0 0
(130) Ravi Srinivas P MD
 
Board
 1.0
.......................0 		X           0 0 0
(131) Reddy Sudesh S MD
 
Board
 1.0
.......................0 		X           0 0 0
(132) Reichfield Michael L
 
Board
 1.0
.......................40.0 		X           0 544,472 150,998
(133) Riley Joel
 
Board (start 7/15)
 1.0
.......................0 		X           0 0 0
(134) Royer Mariann
 
Board
 1.0
.......................0 		X           0 0 0
(135) Sanese Ralph Jr
 
Board
 1.0
.......................0 		X           0 0 0
(136) Schwarz David H
 
Board
 1.0
.......................0 		X           0 0 0
(137) Smith Eric C
 
Board
 1.0
.......................0 		X           0 0 0
(138) Smith Linda
 
Board
 1.0
.......................0 		X           0 0 0
(139) Smith Rita J RN
 
Board
 41.0
.......................0 		X           126,479 0 36,937
(140) Snow Richard J DO
 
Chairman Board
 1.0
.......................40.0 		X           0 474,030 47,905
(141) Swiatek Valerie B
 
Board
 1.0
.......................0 		X           0 0 0
(142) Terapak Richard G Esq
 
Board
 1.0
.......................0 		X           0 0 0
(143) Trell Eugene DO
 
Board
 1.0
.......................0 		X           0 0 0
(144) Urse Geraldine L DO
 
Board
 41.0
.......................0 		X           242,044 0 34,836
(145) von Gunten Charles MD
 
Board
 1.0
.......................40.0 		X           0 359,596 30,627
(146) Vora Sanjay K MD
 
Board
 41.0
.......................0 		X           344,055 0 37,221
(147) Vornbrock Page
 
Board
 1.0
.......................0 		X           0 0 0
(148) Walter Matt
 
Board - OhioHlth
 3.0
.......................1.0 		X           0 0 0
(149) Wasielewski Ray MD
 
Board
 41.0
.......................0 		X           765,365 0 47,681
(150) Weiler Alan R
 
Board
 1.0
.......................0 		X           0 0 0
(151) Weiler Robert
 
Board
 1.0
.......................0 		X           0 0 0
(152) Westwater Leah
 
Board
 1.0
.......................0 		X           0 0 0
(153) White Aimee
 
Board
 1.0
.......................0 		X           0 0 0
(154) White Scott
 
Board
 1.0
.......................0 		X           0 0 0
(155) White Willis S Jr
 
Board
 1.0
.......................0 		X           0 0 0
(156) Young Beverly S
 
Board
 1.0
.......................0 		X           0 0 0
(157) Armstrong Stacey K
 
VP Central Ohio Specialty OPG (start 6/15)
 40.0
.......................0.0 		    X       0 151,311 17,964
(158) Cecala Alan H
 
VP Sys Serv Line Sup OPG
 1.0
.......................40.0 		    X       0 353,551 39,825
(159) Chickerella Danielle C (Roth)
 
VP Operations OPG (end 7/15)
 0.0
.......................20.0 		    X       0 234,990 18,669
(160) Jernejcic Randy M MD
 
VP Medical Affairs OPG
 40.0
.......................0 		    X       0 376,332 35,875
(161) Lucius Staci E
 
COO OPG
 40.0
.......................0 		    X       0 548,401 26,915
(162) Smith Jeffrey A
 
VP Finance OPG
 40.0
.......................0 		    X       0 324,495 42,624
(163) Yates Vinson M
 
Senior VP & CFO
 12.0
.......................41.0 		    X       0 807,155 241,829
(164) Barnes II Earl J Esq
 
Senior VP & General Counsel
 0.0
.......................40.0 		      X     0 636,519 174,400
(165) Abaza Ronney MD
 
Physician Urology
 40.0
.......................0 		        X   1,557,144 0 39,136
(166) Bernhard Matthew
 
Physician Core OPG
 40.0
.......................0 		        X   1,511,469 0 17,912
(167) Cassandra James C DO
 
Physician Hand & Ortho Surgery OPG
 40.0
.......................0 		        X   1,603,307 0 46,864
(168) Dorbish Ronald
 
Physician Core OPG
 40.0
.......................0 		        X   1,694,179 0 43,340
(169) Kovack Thomas J DO
 
Physician Ortho Surgery (General)
 40.0
.......................0 		        X   2,355,427 0 31,029
(170) Bishop Thomas E
 
FRM VP Primary Care Svcs OPG (end 4/15)
 0
.......................0.0 		          X 0 162,708 6,387
(171) Chamberlain Joseph L
 
FRM President/VP - MedCentral (end 5/14)
 0.0
.......................0 		          X 428,589 0 22,224
(172) Dicken Ken
 
FRM CFO - SAHF (end 8/14)
 0.0
.......................0 		          X 0 121,981 0
(173) Foley Denise E
 
FRM VP Business Development - OPG (end 4/15)
 0.0
.......................0 		          X 0 479,240 24,270
(174) Laterro Anita A
 
FRM Key Employee
 0.0
.......................0 		          X 0 240,232 45,561
(175) Long Greg
 
COO - DHN (end 10/14)
 0.0
.......................0 		          X 0 170,646 9,689
(176) Rothstein Mark MD
 
Sr. VP/Executive Director - SAHF
 40.0
.......................0 		          X 379,490 0 42,259
(177) Sanders John W
 
FRM President MGH (end 4/14)
 0
.......................0.0 		          X 0 291,503 13,716
(178) Millen Robert P
 
FRM Executive VP & Chief Operating Officer OhioHlth (end 12/14)
 0.0
.......................0.0 		          X 0 178,342 10
(179) Seckinger Mark R
 
FRM Secretary Board
 0
.......................40.0 		          X 0 346,288 71,777
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 18,831,003 22,781,192 5,532,728
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet950
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
Dawson Resources

PO Box 711503
Cincinnati,OH452711503 		Temporary Staffing 7,194,128
Healix Infusion Therapy Inc

14140 Southwest Freeway
Sugarland,TX77478 		Pharmaceutical Compounding Services 6,734,213
Athena Health Inc

311 Arsenal Street
Watertown,MA02472 		Health Care Billing 3,770,729
Limbach Company LLC

851 Williams Avenue
Columbus,OH43212 		Integrated Building Systems Provider 2,441,003
Ohio Womens Health Partners

8600 State Route 656
Sunbury,OH430748372 		OBGYN Teaching and Coverage 2,081,396
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet253
Form 990 (2015)
Form 990 (2015)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 443,804
b Membership dues..1b 0
c Fundraising events..1c 603,827
d Related organizations1d 0
e Government grants (contributions)1e 3,874
f All other contributions, gifts, grants, and similar amounts not included above1f 9,425,477
g Noncash contributions included in lines 1a-1f:$ 26,727
h Total.Add lines 1a-1f.......MediumBullet 10,476,982
Program Service RevenueAmt Business Code
2a Medicare and Medicaid 923130 379,559,644 379,559,644    
b Health & medical services 900099 536,826,517 536,826,517    
c Research Revenue 900099 2,095,414 2,095,414    
d Joint Venture Income 621990 177,464 167,135 10,329  
e
f All other program service revenue. 0 0 0 0
g Total.Add lines 2a–2f.....MediumBullet 918,659,039
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ..........MediumBullet 4,427,685     4,427,685
4 Income from investment of tax-exempt bond proceedsMediumBullet 0     0
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   4,107,709
b Less: rental expenses   3,762,174
c Rental income or (loss) 0 345,535
d Net rental income or (loss)......MediumBullet 345,535     345,535
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 415,665 107,776,104
b Less: cost or other basis and sales expenses 5,337,437 108,610,614
c Gain or (loss) -4,921,772 -834,510
d Net gain or (loss).....MediumBullet -5,756,282     -5,756,282
8a Gross income from fundraising events (not including $ 603,827of contributions reported on line 1c). See Part IV, line 18 ....
a 112,877
b Less: direct expenses ...b 49,573
c Net income or (loss) from fundraising events..MediumBullet 63,304   63,304
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 0
b Less: direct expenses ...b 0
c Net income or (loss) from gaming activities..MediumBullet 0     0
10a Gross sales of inventory, less
returns and allowances ..
a 17,228,905
b Less: cost of goods sold ..b 7,912,740
c Net income or (loss) from sales of inventory..MediumBullet 9,316,166     9,316,166
Business Code Miscellaneous Revenue
11a Intercompany administration 900099 105,024,568 105,024,568    
b Cafeteria/food service 722210 2,865,776     2,865,776
c Department Services 812930 358,420 358,420    
d All other revenue .... 26,262,764 25,571,102 691,662 0
e Total. Add lines 11a–11d ...... MediumBullet 134,511,528
12 Total revenue. See Instructions......MediumBullet 1,072,043,957 1,049,602,800 701,991 11,262,184
Form 990 (2015)
Form 990 (2015)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 608,347 608,347
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 293,675 293,675
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 10,128,373 8,653,717 1,474,656  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 511,532 426,618 84,914  
7 Other salaries and wages 635,970,383 522,433,324 111,634,733 1,902,326
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 23,989,468 19,719,342 4,196,171 73,955
9 Other employee benefits ....... 81,685,010 67,145,078 14,313,086 226,846
10 Payroll taxes ........... 36,384,571 29,908,117 6,327,694 148,760
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,185,418 974,413 211,005  
c Accounting ........... 191,248   191,248  
d Lobbying ........... 42,731   42,731  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 260,267   260,267  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 97,070,470 80,134,312 16,758,220 177,938
12 Advertising and promotion .... 2,605,572   2,274,157 331,415
13 Office expenses ....... 16,581,253 13,629,790 2,864,983 86,480
14 Information technology ...... 2,907,956 2,390,340 517,616  
15 Royalties ..        
16 Occupancy ........... 29,060,460 23,887,698 5,157,950 14,812
17 Travel ............ 5,018,189 4,124,951 866,722 26,516
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 759,192 624,056 115,409 19,727
20 Interest ........... 5,050,182 4,151,250 898,932  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 49,061,149 40,328,264 8,708,491 24,394
23 Insurance ... 8,951,181 7,357,871 1,593,310  
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 Repair & Maintenance Service 27,021,733 27,021,733    
b Medical Supply Expense 94,067,102 94,067,102    
c Intercompany Expense 43,116,173 35,441,494 7,674,679  
d Medicaid Tax Expense 4,118,691 4,118,691    
e All other expenses 16,738,681 13,282,681 3,456,000 0
25 Total functional expenses. Add lines 1 through 24e 1,193,379,007 1,000,722,864 189,622,974 3,033,169
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2015)
Form 990 (2015)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 23,518 1 470,646
2 Savings and temporary cash investments ......... 68,435,604 2 80,938,237
3 Pledges and grants receivable, net ...... 7,106,166 3 9,766,023
4 Accounts receivable, net ............. 109,402,190 4 114,117,858
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
  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 .... 30,035,760 7 11,383,378
8 Inventories for sale or use ........ 16,693,145 8 18,477,635
9 Prepaid expenses and deferred charges ...... 11,115,894 9 14,312,688
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 713,599,483
b Less: accumulated depreciation 10b 294,354,017 392,753,585 10c 419,245,466
11 Investments—publicly traded securities . 209,145,213 11 176,657,593
12 Investments—other securities. See Part IV, line 11 ..... 51,546,827 12 43,707,693
13 Investments—program-related. See Part IV, line 11 .. 132,640 13  
14 Intangible assets ............... 33,813,828 14 34,013,749
15 Other assets. See Part IV, line 11 ........... 110,802,471 15 121,384,746
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,041,006,841 16 1,044,475,712
Liabilities 17 Accounts payable and accrued expenses ..... 122,149,189 17 133,303,657
18 Grants payable ...   18 0
19 Deferred revenue ......... 6,595,202 19 5,697,274
20 Tax-exempt bond liabilities ......... 39,983,765 20 140,816,968
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..   22  
23 Secured mortgages and notes payable to unrelated third parties .. 284,561 23 106,736
24 Unsecured notes and loans payable to unrelated third parties ..   24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D 222,597,420 25 107,493,608
26 Total liabilities. Add lines 17 through 25.. 391,610,137 26 387,418,243
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 581,491,682 27 578,403,393
28 Temporarily restricted net assets ........... 47,230,940 28 57,311,654
29 Permanently restricted net assets 20,674,082 29 21,342,422
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 649,396,704 33 657,057,469
34 Total liabilities and net assets/fund balances ........ 1,041,006,841 34 1,044,475,712
Form 990 (2015)
Form 990 (2015)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,072,043,957
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,193,379,007
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-121,335,050
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
649,396,704
5
Net unrealized gains (losses) on investments ...............
5
-3,118,427
6
Donated services and use of facilities .................
6
6,500
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
132,107,742
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
657,057,469
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2015)
Form 990 (2015)
Additional Data


Software ID: 15000238
Software Version: 2015v3.0
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
OhioHealth Corporation Group Return
 
Employer identification number

32-0007056
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4


5
6
7
8
9
10
11
a
b
c
d
e
f
Enter the number of supported organizations ..............  

g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total      

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 99,056 85,108 105,000 39,007 1 328,172
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...... 268,113,453 200,923,354 221,535,738 245,030,301 228,468,083 1,164,070,929
3 Gross receipts from activities that are not an unrelated trade or business under section 513...           0
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...           0
5 The value of services or facilities furnished by a governmental unit to the organization without charge..           0
6 Total. Add lines 1 through 5. 268,212,509 201,008,462 221,640,738 245,069,308 228,468,084 1,164,399,101
7a Amounts included on lines 1, 2, and 3 received from disqualified persons... 0 0 0 14,113 0 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. 0 231,042 29,813 0 0 260,855
c Add lines 7a and 7b.. 0 231,042 29,813 14,113 0 274,968
8 Public support. (Subtract line 7c from line 6.) 1,164,124,133
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
9 Amounts from line 6... 268,212,509 201,008,462 221,640,738 245,069,308 228,468,084 1,164,399,101
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 5,694 1,721 -609 599 2 7,407
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.           0
c Add lines 10a and 10b. 5,694 1,721 -609 599 2 7,407
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.           0
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. 0 0 0 0 0 0
13 Total support. (Add lines 9, 10c, 11, and 12.).. 268,218,203 201,010,183 221,640,129 245,069,907 228,468,086 1,164,406,508
14
Section C. Computation of Public Support Percentage
15
15
99.98 %
16
16
99.98 %
Section D. Computation of Investment Income Percentage
17
17
0 %
18
18
0 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
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
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
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.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
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.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) 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.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
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
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
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
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
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
 
 
Section B. Type I Supporting Organizations
Yes
No
1
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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
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).
2
 
 
3
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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
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.
2a
 
 
b
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.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
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.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
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 2015 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-2015 		(iii)
Distributable
Amount for 2015
1 Distributable amount for 2015 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2015
(reasonable cause required--see instructions)		  
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......  
e From 2014.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2015 distributable amount  
i Carryover from 2010 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2015 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2015 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2015, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)		  
6 Remaining underdistributions for 2015. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)		  
7 Excess distributions carryover to 2016. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a
b
c Excess from 2013.......  
d From 2014.......  
e From 2015.......  
Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015
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, Part I, Line 3 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, Part I, 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.
Schedule A, Part I, Line 11f Part I, Line 11f: 11
Schedule A, Part I, Line 11g Part I, Line 11g Yes
Schedule A, Part III, Line 19a 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
Schedule A, Part IV, Section A, Line 11a 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.
Schedule A, Part I Part VI, Supplemental Information: Entity Name FEIN Public Charity Status for Schedule A Appalachian Community Visiting Nurse Association 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, Inc. 31-1414276 509(a)(2) HomeReach, Inc. 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, Part I, Line 11g (i) - (vi) (i) OhioHealth Corporation (ii) 31-4394942 (iii) 3 - Hospital (iv) No (v) $596,848 (vi) $0
Schedule A, Part I, Line 11g (i) - (vi) (I) Grady Memorial Hospital (ii) 31-4379436 (iii) 3 - Hospital (iv) No (v) $39,806 (vi) $0
Schedule A, Part I, Line 11g (i) - (vi) (I) HomeReach, Inc. (ii) 31-1372702 (iii) 9 - Publicly supported organization (iv) No (v) 59,966 (vi) $0
Schedule A, Part I, Line 11g (I) - (VI) (I) Appalachian Community Visiting Nurse Association (II) 31-1045101 (III) 9 - Publicly Supported Organization (IV) No (V) $0 (VI) $0
Schedule A, Part I, Line 11g (I) - (VI) (I) HARDIN PHYSICIAN FOUNDATION, INC. (II) 31-1414276 (III) 9 - PUBLICLY SUPPORTED ORGANIZATION (IV) NO (V) $0 (VI) $0
Schedule A, Part I, Line 11g (I) - (VI) (I) HOMEREACH HOMECARE (II) 31-1417595 (III) 9 - PUBLICLY SUPPORTED ORGANIZATION (IV) NO (V) $0 (VI) $0
Schedule A, Part I, Line 11g (I) - (VI) (I) OHIOHEALTH PHYSICIAN GROUP, INC. (II) 31-1351965 (III) 9 - PUBLICLY SUPPORTED ORGANIZATION (IV) NO (V) $0 (VI) $0
Schedule A, Part I, Line 11g (I) - (VI) (I) SHELTERING ARMS HOSPITAL FOUNDATION, INC. (II) 31-4446959 (III) 3 - HOSPITAL DESCRIBED IN 170(B)(1)(A)(III) (IV) NO (V) $0 (VI) $0
Schedule A, Part I, Line 11g (I) - (VI) (I) MEDCENTRAL HEALTH SYSTEM (II) 34-0714456 (III) 3 - HOSPITAL DESCRIBED IN 170(B)(1)(A)(III) (IV) NO (V) $0 (VI) $0
Schedule A, Part I, Line 11g (I) - (VI) (I) HARDIN MEMORIAL HOSPITAL (II) 34-4440479 (III) 3 - HOSPITAL DESCRIBED IN 170(B)(1)(A)(III) (IV) NO (V) $0 (VI) $0
Schedule A, Part I, Line 11g (I) - (VI) (I) MARION GENERAL HOSPITAL (II) 31-1070877 (III) 3 - HOSPITAL DESCRIBED IN 170(B)(1)(A)(III) (IV) NO (V) $0 (VI) $0
Schedule A (Form 990 or 990-EZ) 2015


Additional Data


Software ID: 15000238
Software Version: 2015v3.0
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Name of the organization
OhioHealth Corporation Group Return
 
Employer identification number

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





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
Name of organization
OhioHealth Corporation Group Return
  		Employer identification number
32-0007056
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 

   
 
 
  ,    

$ RESTRICTED


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Page 3
Name of organization
OhioHealth Corporation Group Return
  		Employer identification number

32-0007056
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
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 (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data


Software ID: 15000238
Software Version: 2015v3.0
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 BulletInformation about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
If the organization answered "Yes" on 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" on 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" on 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.

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

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

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

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2015

Schedule C (Form 990 or 990-EZ) 2015
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................    
c Total lobbying expenditures (add lines 1a and 1b) .......................................................................    
d Other exempt purpose expenditures .........................................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ..............................................................................................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2012 (b) 2013 (c) 2014 (d) 2015 (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) 2015


Schedule C (Form 990 or 990-EZ) 2015
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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
Yes
 
42,731
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
 
No
 
j
Total. Add lines 1c through 1i ....................................................................................................
42,731
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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) 2015


Additional Data


Software ID: 15000238
Software Version: 2015v3.0

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on 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
2015
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" on 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 ....    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 46,936,377 46,440,492 42,508,922 41,132,224 42,328,138
b Contributions ... 660,374 1,841,838 456,257 319,848 435,472
c Net investment earnings, gains, and losses 1,177,450 1,182,247 5,868,974 2,783,610 714,253
d Grants or scholarships ... 78,875 93,403 81,038 93,400 128,520
e Other expenditures for facilities
and programs ... 		1,507,505 1,374,016 1,267,588 1,059,071 1,503,043
f Administrative expenses .... 873,165 1,060,781 1,045,035 574,289 714,076
g End of year balance ...... 46,314,656 46,936,377 46,440,492 42,508,922 41,132,224
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet54.03 %
b
Permanent endowment SchDMd Bullet31.2 %
c
Temporarily restricted endowment SchDMd Bullet14.77 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
 
No
(ii) related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on 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 ...   13,749,263 13,749,263
b Buildings   286,972,958 101,249,390 185,723,568
c Leasehold improvements   11,032,069 4,293,929 6,738,140
d Equipment ...   321,253,755 163,903,711 157,350,044
e Other ...   80,591,438 24,906,987 55,684,451
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 419,245,466
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' on 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    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on 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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) Due from Affiliates  
(2) Other Assets  
(3) Due from affiliate - loans and notes 95,816,089
(4) Investment in subsidiaries and non-program related joint ventures 16,215,969
(5) Other assets 9,352,688
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 121,384,746
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
Deferred Long Term Liabilities 8,722,117
Due to Affiliates - Loans and Notes 41,912,062
Other 3,976,888
Pension Liability 29,727,133
Legal Reserves 1,965,184
Intel Commercial Liability 6,482,454
Deferred LT Liability Tenant Allowance 1,807,133
Allowance for Medical Malpractice Claims 9,133,554
Doctors' Put Options 3,556,399
Accrued LT Liability Other 210,684
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 107,493,608
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) 2015

Schedule D (Form 990) 2015
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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' on 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
Schedule D, Part V, Line 4 Intended uses of endowment funds To earn investment income for use in medical charity care, medical procedures, medical education and various other hospital services.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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, 2016, 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) 2015


Additional Data


Software ID: 15000238
Software Version: 2015v3.0




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" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2015
Schedule G (Form 990 or 990-EZ) 2015
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on 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.




VerticalRevenue
(a) Event #1

2015/2016 OhioHealth Foundation Invitational
(event type) 		(b) Event #2

O'Bleness Golf Tournament
(event type) 		(c) Other events

9
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
316,050
37,340
363,314
716,704

2
Less: Contributions . . . .
249,125
8,500
346,202
603,827
3 Gross income (line 1 minus
line 2) . . . . . .
66,925
28,840
17,112
112,877



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . . 13,850 1,200 30 15,080
6 Rent/facility costs . . . . 2,640 4,840   7,480
7 Food and beverages . . . 11,480 3,878 2,890 18,248
8 Entertainment . . . . 1,200     1,200
9 Other direct expenses . . . 3,100 4,465   7,565
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 49,573
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow 63,304
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1
Gross revenue . . . . .
 
 
 
 
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
 
 

3
Noncash prizes . . . .
 
 
 
 

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
3,100
4,465
 
7,565


6

Volunteer labor . . . .
%
%
%


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
 

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2015
Schedule G (Form 990 or 990-EZ) 2015
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2015
Additional Data


Software ID: 15000238
Software Version: 2015v3.0
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on 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
2015
Open to Public Inspection
Name of the organization
OhioHealth Corporation Group Return
 
Employer identification number

32-0007056
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the 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.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

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

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    10,776,645 754,631 10,022,014 0.84 %
b Medicaid (from Worksheet 3, column a) . . . . .     143,699,046 100,145,125 43,553,921 3.65 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .         0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 154,475,691 100,899,756 53,575,935 4.49 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     455,885 8,749 447,136 0.04 %
f Health professions education (from Worksheet 5) . . .     694,287 0 694,287 0.06 %
g Subsidized health services (from Worksheet 6) . . . .     1,197,842 9,305 1,188,537 0.10 %
h Research (from Worksheet 7) .         0 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     75,168 1 75,167 0.01 %
j Total. Other Benefits . . 0 0 2,423,182 18,055 2,405,127 0.20 %
k Total. Add lines 7d and 7j . 0 0 156,898,873 100,917,811 55,981,062 4.69 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support     26,025   26,025 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building     16,629   16,629 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development     34,715   34,715 0 %
9 Other     169   169 0 %
10 Total 0 0 77,538 0 77,538 0.01 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
39,083,706
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
235,860,598
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
293,765,568
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-57,904,970
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1Ohio Employee Health Partnership
  		Workers Compensation Services 2.99 %   50 %
2Athens Surgery Center Ltd
  		Outpatient Surgery 89 %   11 %
3O'Bleness Memorial Pain Management LLC
  		Pain Management 51 %   49 %
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
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) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 OhioHealth MedCentral Mansfield Hospital
335 Glessner Avenue
Mansfield,OH44903
www.ohiohealth.com
ODH1257 		X X         X     A
2 OhioHealth Marion General Hospital
1000 McKinley Park Drive
Marion,OH433026399
www.ohiohealth.com
ODH1233 		X           X      
3 OhioHealth O'Bleness Memorial Hospital
55 Hospital Drive
Athens,OH45701
www.ohiohealth.com
ODH1109 		X X   X     X      
4 OhioHealth Grady Memorial Hospital
561 West Central Avenue
Delaware,OH430151410
www.ohiohealth.com
ODH1163 		X           X      
5 OhioHealth Hardin Memorial Hospital
921 E Franklin Street
Kenton,OH43326
www.ohiohealth.com
ODH1196 		X       X   X      
6 OhioHealth MedCentral Shelby Hospital
20 Morris Road
Shelby,OH44875
www.ohiohealth.com
ODH1259 		X X     X   X     A
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
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)
A
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 No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 15
5 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 ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
 
b
 
c
d
e
f
g
h
i
Billing and Collections
17 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?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

A
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
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)
OhioHealth 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): 		2
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 15
5 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 ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
OhioHealth Marion General Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
 
b
 
c
d
e
f
g
h
i
Billing and Collections
17 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?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

OhioHealth Marion General Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
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)
OhioHealth 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): 		3
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 15
5 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 ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
OhioHealth O'Bleness Memorial Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
 
b
 
c
d
e
f
g
h
i
Billing and Collections
17 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?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

OhioHealth O'Bleness Memorial Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
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)
OhioHealth 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): 		4
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 15
5 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 ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
OhioHealth Grady Memorial Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
 
b
https://www.ohiohealth.com/financialassistance
c
d
e
f
g
h
i
Billing and Collections
17 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?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

OhioHealth Grady Memorial Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
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)
OhioHealth 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): 		5
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 15
5 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 ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
OhioHealth Hardin Memorial Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
 
b
https://www.ohiohealth.com/patients-and-visitors/paying-for-your-care/financial-assistance/
c
d
e
f
g
h
i
Billing and Collections
17 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?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

OhioHealth Hardin Memorial Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 7
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
Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Facility A - OhioHealth MedCentral Mansfield Hospital and Shelby Hospital. OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital collaborated from April through August 2015 with Richland Public Health in obtaining inputs from persons who either work for organizations, government agencies, or as community residents, and who represent the broad interests of Delaware County: Avita Health System, Jerry Morasko, president and chief executive officer - Identification of significant health needs affecting Richland County and available community resources. Big Brothers, Big Sisters of north central Ohio, Thelda Dillon, staff and Richland County Board of Health member - (a) Identification of significant health needs affecting Richland County and available community resources, and (b) identification of top five priority health needs to be addressed in the OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital implementation strategy. Catalyst Life Services, Trish Tarr, staff - (a) Identification of significant health needs affecting Richland County and available community resources, (b) prioritization of health needs using the National Association of County and City Health Officials (NACCHO) prioritization tool, and (c) identification of top five priority health needs to be addressed in the OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital implementation strategy. Community Action for Capable Youth (CACY), Tracee Anderson - (a) Identification of significant health needs affecting Richland County and available community resources, (b) prioritization of health needs using the NACCHO prioritization tool, and (c) identification of top five priority health needs to be addressed in the OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital implementation strategy. Community Health Access Project (CHAP) and Central Ohio Pathway Community Hub, Mark Redding, MD, executive director; Michelle Moritz, staff - (a) Prioritization of health needs using the NACCHO prioritization tool and (b) identification of top five priority health needs to be addressed in the OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital implementation strategy. Mansfield/Richland County Public Library, Terry Carter - Identification of significant health needs affecting Richland County and available community resources. Mansfield YMCA, Kerrick Franklin, staff - Identification of significant health needs affecting Richland County and available community resources. Mid-Ohio Educational Service Center, Linda T. Keller, superintendent; Kerrick Franklin; staff - Prioritization of health needs using the NACCHO prioritization tool. North Central State College Child Development Center, Kim Washington - Prioritization of health needs using the NACCHO prioritization tool. North End Community Improvement Collaborative (NECIC), Michael Howard, executive director - Prioritization of health needs using the NACCHO prioritization tool. OhioHealth Community Health and Wellness, Orelle Jackson, system director, community health and wellness; Mary Ann G. Abiado, RN, data management and evaluation specialist; Amber Hetteberg, administrative assistant - (a) Assisted OnPointe, LLC, consultant in facilitating the community meetings, (b) collected and summarized data for the nine significant health needs identified, (c) prioritization of health needs using the NACCHO prioritization tool based on available data, and (d) obtained meeting minutes and tabulated health needs and community resources. OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital, Jean Halpin, president; Brad Peffley, vice president - (a) Identification of significant health needs affecting Richland County and available community resources, (b) prioritization of health needs using the NACCHO prioritization tool, and (c) identification of top five priority health needs to be addressed in the OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital implementation strategy. OnPointe Strategic Insights, LLC, Michelle Vander Stouw - Overall facilitator of community meetings on June 11, July 9 and July 30, 2015. Richland County Children Services, Marsha Coleman, clinical director (with knowledge of and expertise in public health) - (a) Identification of significant health needs affecting Richland County and available community resources and (b) prioritization of health needs using the NACCHO prioritization tool. Richland County Juvenile Court, Amy Bargahiser, director of probation services - (a) Prioritization of health needs using the NACCHO prioritization tool, and (b) identification of top five priority health needs to be addressed in the OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital implementation strategy. Richland County Mental Health and Recovery Services Board, Joe Trolian, executive director; Sherry Branham, director of external operations - (a) Identification of significant health needs affecting Richland County and available community resources, (b) prioritization of health needs using the NACCHO prioritization tool, and (c) identification of top five priority health needs to be addressed in the OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital implementation strategy. Richland County Regional Planning Commission, Jotika Shetty, executive director - Prioritization of health needs using the NACCHO prioritization tool. Richland County Youth and Family Council, Teresa Alt, executive director - Identification of significant health needs affecting Richland County and available community resources. Richland Public Health, Martin Tremmel, health commissioner; Amy Schmidt, director of nursing; Selby Dorgan, manager of health promotion and education; Loretta Cornell, clinic nursing supervisor (all persons have knowledge of and expertise in public health) - (a) Identification of significant health needs affecting Richland County and available community resources, (b) prioritization of health needs using the NACCHO prioritization tool, and (c) identification of top five priority health needs to be addressed in the OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital implementation strategy. Shelby City Health Department, Kim Barnes, LPN, administrative assistant (with knowledge of and expertise in public health) - (a) Identification of significant health needs affecting Richland County and available community resources, (b) prioritization of health needs using the NACCHO prioritization tool, and (c) identification of top five priority health needs to be addressed in the OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital implementation strategy. Third Street Family Health Services, Nicole Williams - identification of top five priority health needs to be addressed in the OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital implementation strategy.
Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - Facility A - OhioHealth MedCentral Mansfield Hospital and Shelby Hospital. 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.
Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - Facility A - OhioHealth MedCentral Mansfield Hospital and Shelby Hospital. OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital collaborated with Richland Public Health and other community stakeholders to conduct the community health needs assessment. OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital contracted with the following organizations to assist with the process of community health needs assessment: (a) Bricker & Eckler, LLP/Quality Management Consulting Group (Chris Kenney, Jim Flynn) - located at 100 South Third Street, Columbus, Ohio 43215. Bricker & Eckler, LLP was contracted to review this community health needs assessment report. Jim Flynn is a partner with the Bricker & Eckler healthcare group where he has practiced for 25 years. His general healthcare practice focuses on health planning matters, certificate of need, non-profit and tax-exempt healthcare providers, and federal and state regulatory issues. Mr. Flynn has provided consultation to healthcare providers, including non-profit and tax-exempt healthcare providers as well as public hospitals on community health needs assessments. Chris Kenney is the Director of Regulatory Services with the Quality Management Consulting Group of Bricker & Eckler, LLP. Ms. Kenney has more than 36 years of experience in healthcare planning and policy development, federal and state regulations, certificate of need regulations, and Medicare and Medicaid certification. She provides expert testimony on community needs and offers presentations and educational sessions regarding community health needs assessments. (b) OnPointe (Michelle Vander Stouw) - was contracted to facilitate the three community meetings at Richland Public Health that involves identifying significant health needs and issues affecting Richland County residents, especially those who were uninsured, low income and/or minorities. Michelle Vander Stouw is the principal of OnPointe, a private business that provides individual coaching, group facilitation, developing processes and accountability measures. Ms. Vander Stouw has a bachelor of arts in economics, political science and east Asian studies from Denison University and a Master's in public health from The Ohio State University. She also worked as assistant vice president of planning and accountability at United Way of Central Ohio.
Schedule H, Part V, Section B, Line 7 Facility A, 1 Facility A, 1 - OhioHealth MedCentral Mansfield and Shelby Hospitals. https://www.ohiohealth.com/siteassets/find-a-location/hospitals-and-emergency-departments/mansfield-hospital/about-us/community-health-needs-assessment/mansfield-chna.pdf
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Facility A - OhioHealth MedCentral Mansfield Hospital and Shelby Hospital. OhioHealth MedCentral Mansfield Hospital and OhioHealth Shelby Hospital are addressing the significant needs identified in their most recently conducted CHNA as follows: Need #1 - Mental Health - Increase number of psycho-educational groups led by recreational therapists that will be made available to patients and community members. Examples of group activities include leisure time development, self-esteem education, development of coping skills, community resource awareness, and knowledge of illness. - Enroll all adolescent patients in the educational program provided by Mansfield City Schools to keep them on track in school while they are dealing with acute mental health issues. Refer patients to Third Street Family Health Clinic, Catalyst Life Services, Family Life Counseling and other mental health services providers. - Refer patients to the National Alliance on Mental Illness for family support group services. Need #2 - Substance Abuse - Provide referrals to substance abuse treatment programs at appropriate agencies such as Third Street Family Health Clinic, Catalyst Life Services, Family Life Counseling, and other mental health and substance abuse services providers. - Provide referrals to Mansfield Urban Minority Alcohol and Drug Addiction Outreach Program (UMADAOP) for assessments, counseling, and medication assisted treatment. UMADAOP serves predominantly African American and Hispanic populations. - Assessment, intervention, and referral of patients with substance abuse diagnoses seen at the Emergency Department. - Hospital admission of patients with substance abuse diagnoses to OhioHealth Mansfield Psychiatric Department. - Provide drug screenings and education provided by OhioHealth Employer Services. - Collaborate with community partners and law enforcement to improve access to safe and legal medication disposal and to educate community members about safe medication disposal. - Emergency Department physicians will use state database for narcotic use (OARRS) to limit opiate doses per patient. Need #3 - Chronic Disease - Offer health and wellness programs at the OhioHealth Ontario Health and Fitness Center, including (but not limited to) Delay the Disease, exercise programs, SilverSneakers, discounted or free access for seniors, Community Best Loser, Healthy Chef Series, and Healthy Check at grocery stores. - Offer Diabetes Prevention Program and other diabetes and endocrinology services to Richland County residents. - Provide community- and school-based health and wellness programs, such as Health Matters, Speakers Bureau, Asthma-1-2-3, and other programs. - Partner in Creating Healthy Communities Coalition led by Richland Public Health, which focuses on healthy eating, physical activity and tobacco-free living. Creating Healthy Communities Coalition partners include Community Action for Capable Youth, North End community Improvement Collaborative, Mansfield YMCA, Mansfield City Schools, OhioHealth Mansfield Hospital, OhioHealth Shelby Hospital, City of Shelby, Shelby YMCA and Richland County Regional Planning Commission. - Partner with American Heart Association's HeartChase community adventure game to promote community engagement in physical activity. Need #4 - Infant Mortality - Provide low cost childbirth education and breastfeeding classes. - Collaborate with Daddy Boot Camp, provided by the Richland County Youth and Family Council, to provide expectant fathers education and instruction on how to care for their newborn. - Offer prenatal and women's health services to the broader community through a partnership with OhioHealth Community Health and Wellness and March of Dimes. Care will be provided regardless of ability to pay on the Mom & Baby mobile unit. - Participate in the Richland County Infant Mortality Task Force. - Provide referrals to Third Street Clinic Family Health Services OB/GYN clinic for services regardless of income. - Provide referrals to the Community Health Access Project (CHAP), an evidence-based process of coordination for high-risk individuals, evaluating, and reducing risk factors. Identified risk factors are addressed with appropriate pathways that connect individuals in need to primary care, prevention programs, mental and behavioral health agencies, housing, food, clothing, adult education and employment. CHAP have demonstrated that home visiting care coordination in an urban community in Ohio led to greater than 60% reduction in low birth weight. - Provide referrals to Richland Public Health's home visiting program for babies up to eight weeks old. - Provide referrals to Cribs for Kids which aims to prevent infant deaths through parental and caregiver education on the significance of practicing safe sleep for babies and also providing Graco Pack & Play portable cribs to low-income families. - Provide referrals to Women, Infants and Children (WIC), a nutrition education program that provides coupons for nutritious foods that promote health of pregnant and postpartum women, breastfeeding mothers, infants and children. Need #5 - Child and Family Health - Provide referrals for children and/or families to community agencies such as Richland County Children's Services, Richland County Youth and Family Council, Salvation Army and other food pantries, Third Street Clinic OB/GYN, and Community Health Access Project, and strengthening collaboration with these agencies to ensure success of referrals. - Strengthen partnership with Mansfield City Schools and other school districts to enable hospitalized students to avail of a tutor/mentor and an Individualized Education Program. - Provide family meetings for all child/youth psychiatric admissions to ensure understanding of medical diagnoses, awareness of risk factors, triggering behaviors, availability of a reliable support system, and education on available community agencies to provide ongoing support and crisis intervention.
Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - OhioHealth MedCentral Mansfield and Shelby Hospital. OhioHealth uses income level of patient and patient immediate families as a factor in determining income level.
Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - Facility A - OhioHealth MedCentral Mansfield Hospital and Shelby Hospital. 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. HCAP is an Ohio program that states that any patient whose family size and income level is below the federal poverty guidelines, receives free care for hospital services. If the patient proves that their income falls below the federal poverty guidelines, OhioHealth must discount their responsibility of the claim 100%. OhioHealth's internal charity policy addresses patients whose family size and income is above the federal poverty guidelines. We, as an organization, do not have to discount this care at all, but we have decided to provide discounts on patient balances for patients whose family size and income is up to 400% of the federal poverty guidelines discounted care.
Schedule H, Part V, Section B, Line 16 Facility A, 1 Facility A, 1 - Facility A - OhioHealth MedCentral Mansfield Hospital and Shelby Hospital. 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. The financial assistance application is available in five different languages based on the needs of the communities.
Schedule H, Part V, Section B, Line 22 Facility A, 1 Facility A, 1 - Facility Reporting Group A. OhioHealth MedCentral (Mansfield and Shelby) Hospitals offer a sliding scale that provides different charity discounts depending on a patient's family size and income relative to the federal poverty limit (FPL). 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. The 45% discount was based on the average commercial and managed care discount.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Marion General Hospital. Community input for this report was provided through a series of meetings held from April 6 to May 27, 2015 with community representatives. It was important that individuals with special expertise in public health participate. The following representatives from the community and including those with special knowledge or expertise in public health were included in the process - Center Street Community Health Center, Cliff Edwards, chief executive officer - (a) Identification of significant health needs and community resources that address these needs and (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Central Christian Church, Reverend Merlyn Winters - Opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. City of Marion, Mayor Scott Schertzer - (a) Identification of significant health needs and community resources that address these needs, (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization and (c) identification of top five priority health needs. Crawford-Marion Board of Alcohol, Drug Addiction and Mental Health Services, Jody Demo-Hodgins, executive director, Annette Holler, board member - (a) Identification of significant health needs and community resources that address these needs and (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Marion County Family and Children First Council, Crystal Slone, director - (a) Identification of significant health needs and community resources that address these needs and (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Habitat for Humanity of Marion County, Ohio, Lynn Zucher, executive director - Opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Heart of Ohio Homeless Shelter, Chuck Bulick, executive director - (a) Identification of significant health needs and community resources that address these needs and (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. League of Women Voters Marion, Rosemary Chaudry, member and community resident - (a) Identification of significant health needs and community resources that address these needs and (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Marion Adolescent Pregnancy Program (MAPP), Chris Haas - Opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Marion Area Counseling Center, Bev Young, director, Elaine Miller, clinical director - (a) Identification of significant health needs and community resources that address these needs, (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization and (c) identification of top five priority health needs. Marion Chamber of Commerce, Pam Hall, president - (a) Identification of significant health needs and community resources that address these needs and (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Marion City/County Regional Planning Commission, Dan Stewart, assistant director of land development and information - (a) Identification of significant health needs and community resources that address these needs and (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Marion City Schools, Gary Barber, superintendent, Winnie Brewer, food services supervisor - (a) Identification of significant health needs and community resources that address these needs and (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Marion Community Foundation, Dean Jacob, president and chief executive officer - (a) Identification of significant health needs and community resources that address these needs, (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization and (c) identification of top five priority health needs. Marion County Children's Services, Jacqueline Ringer, executive director - (a) Identification of significant health needs and community resources that address these needs and (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Marion County Council on Aging, Bede Agner, executive director - (a) Identification of significant health needs and community resources that address these needs and (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Marion County Board of Developmental Disabilities, Cheryl Plaster, superintendent, Ruth Titter, staff - (a) Identification of significant health needs and community resources that address these needs and (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Marion County Help Me Grow, Jennifer Haberman-Boleyn, contract manager of early intervention and home visiting, Jennifer Laird Valentine, service coordinator - (a) Identification of significant health needs and community resources that address these needs, (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization and (c) identification of top five priority health needs. Marion County Job and Family Services, Roxane Somerlot, director (with knowledge of and expertise in public health) - Opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Marion Crawford Prevention Programs, Jodi Galloway, director, Annette Holler, teen institute adviser, Erika Foster, staff - (a) Identification of significant health needs and community resources that address these needs, (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization and (c) identification of top five priority health needs. Marion Family YMCA, Theresa Lubke, executive director - Opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Marion Head Start, Debbie Schuster, director - Opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Marion Industrial Center, Sharon Baldinger, human resources manager - (a) Identification of significant health needs and community resources that address these needs and (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Marion Matters, Heidi Jones - Opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Marion Minority Commission, Linda Sims, 'Voice of the People' host - Opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Marion Municipal Court, Judge Teresa Ballinger - (a) Identification of significant health needs and community resources that address these needs and (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization.
Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - Marion General Hospital. Marion Public Health, Erin Creeden, project coordinator of Creating Healthy Communities; Tom Quade, health commissioner; Abbey Trimble, director of population health (all with knowledge of and expertise in public health) - (a) Identification of significant health needs and community resources that address these needs; (b) categorization of 13 significant health needs identified by community stakeholders on April 6, 2014 into six cross-cutting issues and seven significant health needs; (c) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization; (d) identification of top five priority health needs; and (e) partnership with OhioHealth in facilitating the community stakeholder meetings. Marion Technical College, Chris Gase, Dean of health technologies division and director of medical laboratory sciences; Cindy Hartman, director of nursing technologies - (a) Identification of significant health needs and community resources that address these needs; (b) categorization of 13 significant health needs identified by community stakeholders on April 6, 2014 into six cross-cutting issues and seven significant health needs; (c) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization; and (d) identification of top five priority health needs. Multi-County Correctional Center, Dale Osborn, director - Opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. OhioHealth Community Health and Wellness, Orelle Jackson, system director, community health and wellness; Mary Ann G. Abiado, RN, data management and evaluation specialist; Amber Hetteberg, administrative assistant - (a) Identification of significant health needs and community resources that address these needs; (b) categorization of 13 significant health needs identified by community stakeholders on April 6, 2014 into six cross-cutting issues and seven significant health needs; (c) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization; (d) identification of top five priority health needs; and (e) obtained meeting minutes and tabulated health needs and community resources. OhioHealth Marion General Hospital, Lisa Ahonen, site director, cancer services; Teresa Detano (resigned); Bernie Gillespie, manager, pastoral care; Bruce Hagen, president; Shawn Kitchen, director, growth and business development; Jennifer Knotts, oncology patient navigator; Chris Truax, chief operating officer - (a) Identification of significant health needs and community resources that address these needs; (b) categorization of 13 significant health needs identified by community stakeholders on April 6, 2014 into six cross-cutting issues and seven significant health needs; (c) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization; (d) identification of top five priority health needs; and (e) partnership with Marion Public Health in facilitating the community stakeholder meetings. OhioHealth Marion General Hospital Foundation, Phyllis S. Butterworth, director of development - (a) Identification of significant health needs and community resources that address these needs; and (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. Ohio Heartland Community Action Commission, Tracey Rector, director - (a) Identification of significant health needs and community resources that address these needs; and (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. SIKA Corporation, Marion, Alyson Issler, regional human resources manager - (a) Identification of significant health needs and community resources that address these needs; and (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. The Ohio State University at Marion, Dave Clayborn, director of development and community relations; Steven Litzenberg, staff; Greg Rose - Opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization. United Way of Marion County, Pam Stone - (a) Identification of significant health needs and community resources that address these needs; (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization; and (c) identification of top five priority health needs. Voice of Hope Pregnancy Center, Natalie Longmeier, executive director - (a) Identification of significant health needs and community resources that address these needs; (b) opportunity to provide feedback on inclusion or exclusion of the cross-cutting issues and significant health needs in the final list for prioritization; and (c) identification of top five priority health needs.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Marion General Hospital. Marion Public Health led the collection of primary and secondary data for the 2015 community health assessment. Marion Public Health collaborated with OhioHealth Marion General Hospital and OhioHealth Community Health and Wellness in coordinating and conducting the community stakeholder meetings. The process of primary and secondary data collection and conduct of community stakeholder meetings are briefly described below: Primary data collection: Marion Public Health contracted with the Hospital Council of Northwest Ohio to create surveys separately for adults and youth estimating prevalence of (a) health risks behaviors, (b) social issues, (c) health status and (d) health outcomes. The adult survey was administered through mailing and the youth survey was administered to sixth- to 12th-grade students from five school districts, including Elgin Local, Marion City, Pleasant Local and Ridgedale Local. There were 407 respondents to the adult survey and 385 respondents in the youth survey. Secondary data collection. Marion Public Health collected and summarized secondary data on demographics, health risk behaviors and health outcomes from the Ohio Department of Health, Centers for Disease Control and Prevention, U.S. Census Bureau, County Health rankings and Network of Care.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - Marion General Hospital. https://www.ohiohealth.com/siteassets/find-a-location/hospitals-and-emergency-departments/marion-general-hospital/about-us/community-health-needs-assessment/marion-chna.pdf
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Marion General Hospital. Marion General Hospital is addressing the significant needs identified in its most recently conducted CHNA as follows: Need #1: Obesity - Provide obesity-related speaking engagements by physicians, nurses, allied health professionals, and administrative staff as part of the enhanced OhioHealth Marion General Hospital Speaker's Bureau program. - Provide cholesterol and blood pressure screenings (six to seven times per year) at community health fairs at the Marion County Fair and Marion Senior Center. - Offer diabetes education to the public through the OhioHealth Marion General Hospital Diabetes Program. - Provide spouse or significant other of cardiac rehabilitation patients with discounted membership ($25/month) to OhioHealth Marion General Hospital exercise facilities. - Referrals of patients to Center Street Community Clinic, which provides counseling about healthy lifestyles and weight management. - Referrals of patients and their families to the Marion Family YMCA Superkids Program, which offers reduced YMCA memberships and nutritional counseling and follow-up with families to assess progress related to physical activity and healthy eating. - Collaborate with Marion Technical College in providing body mass index screenings, blood pressure screenings, participation in health fairs and expositions, outreach to private industries and Marion City Schools. - Partner with Marion Public Health's Creating Healthy Communities and YMCA's Pioneering Healthier Communities efforts which are working to: (a) develop school wellness policies, (b) improve healthy food access, (c) create environmental changes, (d) improve healthcare practices, (e) provide community health education and (f) mass marketing of health promotion messages. Need #2 Tobacco - Marion General's clinical associates from Pulmonary Services, Pulmonary Rehabilitation Unit, Partial Hospitalization and Intensive Outpatient Program will provide the following services: - Smoking-cessation education, referral and follow-up to inpatients - Inpatient counseling to patients who have smoked within the past 12 months - Provide inpatient current smokers who express interest in quitting a packet with a stress ball, gum, booklet and flyer for upcoming tobacco cessation classes. They are also asked if interested in the Ohio Tobacco Quit Line. Inpatients who have quit within the past 12 months are asked how they are doing, dealing with being a non-smoker and counseled on relapse prevention. - Marion General Hospital pharmacy provides free nicotine patches to inpatients who express the desire to quit and score a 7 or above in the Assessment of Motivation: Readiness to Quit Ladder. Associates from Pulmonary Services and Pulmonary Rehab perform the assessment and contact the pharmacy who assess the patient and give the free nicotine patches upon discharge. - Make follow-up telephone calls 30 days after discharge to assess how the patients have been progressing with their smoking cessation efforts - Educate on the negative effects of smoking on the effectiveness of psychiatric medications - Support patients with a cancer diagnosis in tobacco cessation through the Navigator Program. - Clinical associates present to inmates on the health risks of smoking and benefits of smoking cessation at the North Central Ohio Rehabilitation Center. - Educate community members through participation at health fairs and referrals to smoking cessation programs. - Refer patients to Center Street Community Health Center for smoking cessation assistance. - Continued participation in the Tobacco-Free Marion County Coalition. Need #3 Substance Abuse - Partner with Center Street Community Clinic to enhance access to care for the underserved who need medical advice, treatment, and counseling referrals related to alcohol and substance abuse. - Provide referrals to Marion Area Counseling Center, Inc. for alcohol and substance abuse counseling and follow-up with patients on referral status and progress. - Marion General's Partial Hospitalization and Intensive Outpatient Programs provide inpatients and outpatients educational opportunities and linkages to community resources such as: - Provide education and support group on relapse prevention - Provide meeting place in the unit for the Narcotics Anonymous group to hold weekly meetings - Provide referral and linkages to Alcoholics Anonymous, Narcotics Anonymous and Alateen, inpatient treatment programs, and outpatient agencies that provide alcohol and drug follow-up - Provide opportunities for inpatients and outpatients to listen to speakers from Alcoholics Anonymous, Narcotics Anonymous, Marion County Job and Family Services and the Crawford-Marion ADAMH Board, who discuss an overview of the services they provide to the community and how patients could benefit from their services - The Partial Hospitalization Program and the Intensive Outpatient Program tracks drug usage on a daily basis and assists patients in developing strategies to reduce drug use while enrolled in the program - Improve nurses' abilities to respond to patients with substance abuse issues through nursing education provided at Grand Rounds. - Partner in hosting an annual Medication Disposal Day which facilitates the collection, destruction, and disposal of unwanted medications in a legal and environmentally friendly manner. Need #4 Maternal and Child Health - Implement "Cribs for Kids" program to provide cribs for low-income families, partnering with Ohio Department of Health and the group Together We Inspire Giving (TWIGS). - Low-cost tobacco cessation programs provided by Pulmonary Services. - Provide referrals to Marion County Children Services and Voice of Hope for parenting classes. - Provide referrals to Marion County Job and Family services for Women, Infants and Children (WIC) for food resources and medical cards. - Provide referrals to Ohio Buckles Buckeyes program at Marion Area Counseling Center (MARCA) that teaches child car seat safety. - Provide referrals to Help Me Grow for first time mothers. - Enhanced partnerships with community agencies, especially Marion County Children Services, Voice of Hope, Center Street Community Clinic, Marion County Job and Family Services, Ohio Buckles Buckeyes program, and Help Me Grow, to ensure effective and efficient referral process to support maternal and child health. - Host a group of pregnant teens in partnership with PHC (Pioneering Healthier Communities), CHC (Community Health Council), and GRADS (Graduation, Reality, and Dual Role Skills), providing free education on pregnancy including what to expect and the ill effects of smoking. Need #5 Access to safe and affordable housing - Partner with OhioHealth Gerlach Center for Senior Health and Grant Medical Center Injury Prevention Program in implementing falls prevention programming. - Strengthen partnership with Ohio PASSPORT Medicaid waiver program to promote home safety and provide support for older adults to stay in their home. - Provide comprehensive home healthcare services through OhioHealth Home Care. - Provide referrals to the Ohio Heartland Community Action Commission to provide air conditioning units and heating bill assistance through Ohio Home Energy Assistance Program (HEAP) program for eligible patients (e.g. patients with asthma, COPD and other health issues.) - Provide referrals to Marion Public Health for bed bug issues. - Provide referrals to Turning Point and Be Ministries for housing assistance. - Strengthening partnership with Ohio Heartland Community Action Commission, Marion Public Health, Turning Point and Be Ministries, and Ohio Women, Infants and Children (WIC) to ensure effective and efficient referral process. - Implement Sexual Assault Nurse Examiner program to assist in issues of domestic violence and abuse, child abuse or elder abuse and provide referral to community agencies as needed. - Strengthen partnership with Adult Protective Services and Marion County Children Services in issues of family violence.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Marion General Hospital. OhioHealth uses income level of patient and patient immediate families as a factor in determining income level.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Marion General Hospital. 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. HCAP is an Ohio program that states that any patient whose family size and income level is below the federal poverty guidelines, receives free care for hospital services. If the patient proves that their income falls below the federal poverty guidelines, OhioHealth must discount their responsibility of the claim 100%. OhioHealth's internal charity policy addresses patients whose family size and income is above the federal poverty guidelines. We, as an organization, do not have to discount this care at all, but we have decided to provide discounts on patient balances for patients whose family size and income is up to 400% of the federal poverty guidelines discounted care.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Marion General Hospital. 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.
Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 1 - Marion General Hospital. OhioHealth Marion General Hospital offers a sliding scale that provides different charity discounts depending on a patient's family size and income relative to the federal poverty limit (FPL). 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. The 45% discount was based on the average commercial and managed care discount.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - O'Bleness Memorial Hospital. OhioHealth O'Bleness Hospital collaborated with Athens City-County Health Department, Ohio University Voinovich School of Leadership and Public Affairs, and various community agencies in Athens County to obtain inputs from persons who represent the broad interests of Athens County. After input was obtained from April through August 2015, these individuals and organizations, along with key members from the hospital, came together to develop the report and strategy. The community members included: Alcohol, Drug Addiction and Mental Health Services (317 Board; Serving Athens, Hocking and Vinton Counties), Diane Pfaff, community services manager - (a) Identification of community health needs and community resources available to meet those needs as well as barriers and challenges for addressing them; (b) prioritization of community health needs using the National Association of County and City Health Officials (NACCHO) prioritization tool; and (c) identification of top five priority health needs. Athens City-County Health Department, Ruth Dudding, health educator; Charles Hammer, administrator; James Gaskell, MD, health commissioner (All have knowledge of and expertise in public health.) - (a) Planning for primary data collection led by Ohio University Voinovich School of Leadership and Public Affairs; (b) identification of community health needs and community resources available to meet those needs as well as barriers and challenges for addressing them; (c) prioritization of community health needs using the National Association of County and City Health Officials (NACCHO) prioritization tool; and (d) identification of top five priority health needs. Athens City School District, Thomas Gibbs, PhD, superintendent - (a) Identification of community health needs and community resources available to meet those needs as well as barriers and challenges for addressing them; (b) prioritization of community health needs using the National Association of County and City Health Officials (NACCHO) prioritization tool; and (c) identification of top five priority health needs. Athens County Department of Job and Family Services, Arian Smedley, community relations coordinator - Identification of top five priority health needs. Community Food Initiatives, Mary Nally, executive director - Identification of community health needs and community resources available to meet those needs as well as barriers and challenges for addressing them. Health Recovery Services, Inc., Joe Gay, executive director - Identification of community health needs and community resources available to meet those needs as well as barriers and challenges for addressing them. Hocking, Athens, Perry Community Action (HAPCAP), Kelly Hatas, community services director - (a) Identification of community health needs and community resources available to meet those needs as well as barriers and challenges for addressing them; and (b) identification of top five priority health needs. Integrated Services for Behavioral Health, Terri Gillespie, area manager - Identification of top five priority health needs. Live Healthy Appalachia, Sherri Oliver, executive director - (a) Identification of community health needs and community resources available to meet those needs as well as barriers and challenges for addressing them; (b) prioritization of community health needs using the National Association of County and City Health Officials (NACCHO) prioritization tool; and (c) identification of top five priority health needs. Ohio University, Robert Gordon, research associate, Voinovich School of Leadership and Public Affairs; Lesli Johnson, associate professor, Voinovich School of Leadership and Public Affairs (with knowledge of and expertise in public health); Daniel Kloepfer, research associate; Robin Stewart, senior project manager, Voinovich School of Leadership and Public Affairs; Kathy Trace, director, Area Health Education Center, Community Health Programs, Heritage College of Osteopathic Medicine (with knowledge of and expertise in public health); Matt Rozier, College of Health Sciences and Professions, summer intern at OhioHealth O'Bleness Hospital - (a) Planning for primary data collection led by Ohio University Voinovich School of Leadership and Public Affairs; (b) collection of primary data through focus groups and Web-based surveys and writings of findings (Appendix A); (c) identification of community health needs and community resources available to meet those needs as well as barriers and challenges for addressing them; (d) prioritization of community health needs using the National Association of County and City Health Officials (NACCHO) prioritization tool; and (e) identification of top five priority health needs. OhioHealth Community Health and Wellness, Mary Ann G. Abiado, data management and evaluation specialist; Amber Hetteberg, administrative assistant; Orelle Jackson, system director of community health and wellness - (a) Planning for primary data collection led by Ohio University Voinovich School of Leadership and Public Affairs; (b) secondary data collection; (c) co-facilitation of community stakeholder meetings held on July 14, August 6 and August 18, 2015; and (d) writing of summary of discussions during community stakeholder meetings. OhioHealth Home Care (formerly Appalachian Community Visiting Nurses and Hospice), Cheryl Sharp, director; Teresa McKinley, nurse coordinator - (a) Identification of community health needs and community resources available to meet those needs as well as barriers and challenges for addressing them; (b) prioritization of community health needs using the National Association of County and City Health Officials (NACCHO) prioritization tool; and (c) identification of top five priority health needs. OhioHealth O'Bleness Hospital, Debra Adams, director of radiology; Pamela Born, physician office manager, Athens Medical Associates Obstetrics and Gynecology; Jane Broecker, medical director of women's health; Christina Deidesheimer, director of growth and business development; Tonya Huiss, physician practice administrator, Athens Medical Associates; Tara Gilts, director of development; Brittany Jarvis, manager of hospital clinics and pain management; Bridget Lombard, DO, resident, O'Bleness Family Medicine Residency; Candace Miller, vice president of operations; Debra Riley, unit manager of oncology; Mark Seckinger, president; Marsha Sloan-Helber, community health and wellness coordinator; Sandy Wood, chief nursing officer and vice president of patient care services - (a) Planning for primary data collection led by Ohio University Voinovich School of Leadership and Public Affairs; (b) identification of community health needs and community resources available to meet those needs as well as barriers and challenges for addressing them; (c) prioritization of community health needs using the National Association of County and City Health Officials (NACCHO) prioritization tool; and (d) identification of top five priority health needs. OnPointe, Michelle Vander Stouw, principal (with knowledge of and expertise in public health) - Facilitation of community stakeholder meetings held on July 14, August 6 and August 18, 2015. Rural Action, Michelle Decker, chief executive officer - Identification of community health needs and community resources available to meet those needs as well as barriers and challenges for addressing them. The Athens Foundation, Susan Urano, executive director - (a) Identification of community health needs and community resources available to meet those needs as well as barriers and challenges for addressing them; (b) prioritization of community health needs using the National Association of County and City Health Officials (NACCHO) prioritization tool; and (c) identification of top five priority health needs.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - O'Bleness Memorial Hospital. OhioHealth O'Bleness Hospital contracted with Ohio University Voinovich School of Leadership and Public Affairs in collecting primary data from focus groups and Web-based surveys. Ohio University's report of methodology and findings from the primary data collection process is included in Appendix A. The participants in the focus group discussions and Web-based survey are summarized below. Focus group discussion with Athens Maternal and Child Health Coalition - held on April 16, 2015 at OhioHealth O'Bleness Hospital. The Athens Maternal and Child Health Coalition is a group of healthcare providers who work together in addressing the health needs of women and children. Thirteen coalition members attended from the following organizations: (a) Ohio University Heritage College of Osteopathic Medicine, (b) Hopewell Health Center-Athens, (c) OhioHealth O'Bleness Hospital Athens Medical Associates Obstetrics and Gynecology, (d) Integrated Services for Behavioral Health, (e) Athens City-County Health Department, (f) PATHWAYS (Southeast Ohio Community HUB), (g) Athens County Help Me Grow and (h) Health Recovery Services. Focus group discussion with Bridgebuilders - held on May 6, 2015, at Trimble High School located at 1 Tomcat Drive, Glouster, Ohio 45732. Bridgebuilders is a community organization in the Glouster area comprised of citizens, parents, local leaders and healthcare providers who would like to improve the health and wellness of Glouster, Trimble and Jacksonville communities in Athens County. Seven members participated, including (a) community residents, (b) teachers, (c) school board members, (d) representatives from Athens County Sheriff, (e) Glouster Police, (f) Big Brothers, Big Sisters of Athens County and (g) Ohio University Heritage College of Osteopathic Medicine. Focus group discussion with Heart Healthy Community Coalition of Athens County - held on May 14, 2015, at Athens City-County Health Department located at 278 West Union Street, Athens, Ohio 45701. The Heart Healthy Community Coalition of Athens County is a group of health professionals who address issues related to prevention and management of cardiovascular disease and associated chronic diseases. Nineteen members participated from (a) Athens-City County Health Department, (b) Community Food Initiatives, (c) Live Healthy Appalachia, (d) Hopewell Health Center-Athens, (e) Ohio University Heritage College of Osteopathic Medicine, (f) OhioHealth O'Bleness Hospital and (g) OhioHealth Home Care. Web-based survey - administered to the following: (a) Bridgebuilders members who were unable to attend the focus group discussion held on May 6, 2015 and (b) professionals from the Athens County Housing Coalition and behavioral health agencies in Athens County. The Athens County Housing Coalition is a group of professionals who address the need for affordable housing in Athens County. A total of 12 persons from Bridgebuilders and 12 housing and behavioral health professionals completed the Web-based surveys. Secondary Data Collection OhioHealth O'Bleness Hospital in collaboration with Ohio University Voinovich School of Leadership and Public Affairs collected secondary data from the following sources: (a) Ohio Department of Health, (b) Ohio Department of Mental Health and Addiction Services, (c) Ohio Development Services Agency, (d) American Community Survey, (e) Centers for Disease Control and Prevention, (f) County Health Rankings, (g) Healthy People 2020, (h) The Annie E. Casey Foundation Kids Count Data Center, (i) U.S. Department of Health and Human Services, (j) U.S. Bureau of Labor Statistics and (k) U.S. Census Bureau. Appendices A and B summarize pertinent secondary data for each of the community health needs identified during the community stakeholder meetings.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - O'Bleness Memorial Hospital. https://www.ohiohealth.com/siteassets/find-a-location/hospitals-and-emergency-departments/obleness-hospital/about-us/community-health-needs-assessment/obleness-chna.pdf
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - O'Bleness Memorial Hospital. O'Bleness Memorial Hospital is addressing the significant needs identified in its most recently conducted CHNA as follows: Need #1: Substance Abuse - Operate The Pain Management Clinic, primary care, obstetrics and the emergency department (ED) make referrals to Health Recovery Services, Inc., Hopewell Health Centers Behavioral Health Services, Integrated Service and other community resources for patients needing substance abuse treatment services. - Implement an ultra-brief screening tool to identify patients in need of substance abuse services and when identified, connect patients to social services to facilitate referrals to Health Recovery Services, Integrated Services for Behavioral Health and Hopewell Health Centers Behavioral Health Services. - Active involvement in the Narcotics Task Force Committee which enables integration of behavioral health counselors with the OhioHealth O'Bleness Hospital Pain Management Clinic team. - Partner with the Athens City-County Health Department in implementing - Active involvement with Project DAWN (Deaths Avoided with Naloxone), an overdose prevention and education project for opioid users who are at risk of death from opioid overdose as well as family and friends of those who are at risk of death from opioid overdose. - Provide education about safe prescribing for hospital and community physicians. - Establish a multidisciplinary team at O'Bleness Hospital to explore effective methods to reduce morbidity and mortality linked to substance abuse. - Athens Medical Associates (AMA) OB/GYN to participate in collaborative partnership with Health Recovery Services and the Pathways Navigation program with Ohio University Heritage College of Osteopathic Medicine (OU-HCOM) community services programs to provide substance abuse services. - Serve as a pilot site for the Maternal Opiate Medical Support (M.O.M.S.) -Project through the state of Ohio via partnership between Health Recovery Services and AMA OB/GYN providers. The M.O.M.S. Project will provide expectant mothers with counseling, Medication-Assisted Treatment and case management. - Provide free community space at the hospital for Dual Recovery Anonymous meetings. Dual Recovery Anonymous is a 12-step self-help program that is based on the principals of AA and the experiences of men and women in recovery with a dual diagnosis of both chemical dependency and emotional or psychiatric illness. - Collaborate with community partners and law enforcement to improve access to safe and legal medication disposal and to educate community members about safe medication disposal. Need #2: Economic Development - Provide internships, job shadowing and volunteer opportunities for high school students. - Provide in-kind and financial support to Athens County Schools (Athens City School District, Alexander Local School District, Federal Hocking Local School District, Nelsonville-York School District and Trimble Local School District) in improve educational attainment in the region (sponsorship committee). - Act as preceptors for Ohio University and Hocking College students on clinical rotations. - Host internship and practicum students from Ohio University in the fields of health administration, marketing and communications, pre-medicine, business, physical therapy and nursing. - Serve as guest lecturers and hospital speakers for various Ohio University (OU) classes, workshops and seminars as well as participation in various university sponsored events and activities that promote career exploration and academic achievements. - Collaborate with Ohio University and various community agencies, such as but not limited to Athens City-County Health Department and Live Healthy Appalachia, in applying for economic development-related grants that may foster job creation in Athens County. - Continue to serve as a major employer in Athens County, providing competitive compensation and a comprehensive benefits package (e.g., health, tuition reimbursement, retirement, etc.) for staff and physicians. - Support business development and expansion and manpower training by providing in-kind and financial support to local business incubators, including but not limited to ACENet and the Ohio University Innovation Center. - Continue serving as a Board member for the Athens Area Chamber of Commerce, which facilitates a strong business climate in Athens County, promotes jobs and economic progress. Need #3: Access to Care - Provide access to the OhioHealth Stroke Network where O'Bleness Hospital patients with stroke diagnoses could be treated on site by critical care and stroke specialists from OhioHealth Riverside Methodist Hospital and OhioHealth Grant Medical Center. - Link patients to services through primary care physicians, pediatricians, specialty care services, University Medical Associates and Athens Medical Associates. - Make referrals to free clinic services and the family practice residency clinic (e.g., Heritage Community Clinic for primary care, diabetes and dermatology; mobile clinic) for income-eligible patients. - Offer appointments through Athens Medical Associates OB/GYN at convenient times for patients and provides assistance with locating transportation to reduce barriers to accessing care. - Athens Medical Associates provides a free sports medicine clinic for middle and high school athletes. - Provide gas cards to oncology patients to eliminate transportation barrier to accessing treatment. - Increase the number of primary care and specialty care providers and services locally, including services accessible through telemedicine. Need #4: Chronic Disease - Support community members and staff in becoming more active through HeartWorks, a pulmonary and cardio rehab opportunity in partnership with Ohio University and ensuring hospital and community physicians are knowledgeable about making referrals to HeartWorks. - Partner with Community Food Initiatives to provide weekly, healthy food deliveries to home health and hospice patients. - Increase access to mammography screenings in the region through the introduction of a mobile mammography unit. - Offer The Lifestyle Medicine Clinic, a program to decrease negative health impacts through a plant-based, whole-food diet, physical activity, stress reduction and elimination of unhealthy habits. - Sponsor community walks and runs to support increased physical activity. - Partner and/or sponsor Live Healthy Appalachia programs providing nutrition education in schools and the community in addition to physical activity opportunities. - Offer SeniorBEAT (Be Educated and Active Together), a free program for Athens community members older than 60, which provides educational, social and physical activities each week of every month. - Participate in community partners' efforts around population health, including attendance and participation at community-based collaborative meetings. - Access to the OhioHealth Stroke Network and community education on the prevention and treatment of stroke. - Support clinical and community diabetes prevention and treatment programs, potentially including a continued sponsorship of a Diabetes Fellowship for medical students and Ohio University Heritage College of Osteopathic Medicine. Need #5: Behavioral and Mental Health - Refer patients to Hopewell Health Centers through a partnership in which crisis screeners assess patients in the ED after they have been stabilized. - Participate in the Crisis Admission Group, which meets quarterly to collaborate at a community level. - Serve as a primary facility providing medical clearance for Appalachian Behavioral Health. - Refer patients to Health Recovery Services, Hopewell Health Centers, Integrated Services and other behavioral and mental healthcare providers. - Refer OB patients to a program that utilizes case management and maternal bonding through Hopewell. - Screen all Pain Management Clinic patients for mental health needs and refer to appropriate providers. - Partner in a collaborative effort with Ohio University School of psychology to act as a clinical site for graduate psychology students to provide on-site, embedded psychology services, free to patients and located within the practice. - Provide prenatal and postpartum depression screenings.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - O'Bleness Memorial Hospital. OhioHealth uses income level of patient and patient immediate families as a factor in determining income level.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - O'Bleness Memorial Hospital. 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. HCAP is an Ohio program that states that any patient whose family size and income level is below the federal poverty guidelines, receives free care for hospital services. If the patient proves that their income falls below the federal poverty guidelines, OhioHealth must discount their responsibility of the claim 100%. OhioHealth's internal charity policy addresses patients whose family size and income is above the federal poverty guidelines. We, as an organization, do not have to discount this care at all, but we have decided to provide discounts on patient balances for patients whose family size and income is up to 400% of the federal poverty guidelines discounted care.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - O'Bleness Memorial Hospital. 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. A Financial Counselor is located at the main hospital campus 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 counselor or off-site vendor 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.
Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 1 - O'Bleness Memorial Hospital. OhioHealth O'Bleness Memorial Hospital offers a sliding scale that provides different charity discounts depending on a patient's family size and income relative to the federal poverty limit (FPL). 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. The 45% discount was based on the average commercial and managed care discount.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Grady Memorial Hospital. Grady Memorial collaborated with Delaware General Health District in obtaining inputs from persons who either work for organizations or government agencies, community residents and those who represent the broad interests of Delaware County. The following representatives from the community and including those with special knowledge or expertise in public health were included in the process: American Red Cross, Tracey Wilson, executive director (resigned) - (a) Member of the Partnership for Healthy Delaware County, (b) participation in the Local Public Health System Assessment (LPHSA), and (c) participation in the discussion of the 10 essential public health services and services provided by the American Red Cross that could be related to these services. Andrews House, Melinda Corroto, executive director - (a) Member of the Partnership for Healthy Delaware County, (b) participated in the discussion about the Mobilizing for Action through Planning and Partnerships (MAPP) framework that was used in Delaware County's Community Health Assessment and Community Health Improvement Plan, and (c) participated in the discussion of The Partnership for Healthy Delaware County's vision and values statement that could be used as guide for determining health priorities. Central Ohio Mental Health Center, Mark Travis, executive director - (a) Member of the Partnership for Healthy Delaware County, (b) participated in the discussion about the Mobilizing for Action through Planning and Partnerships (MAPP) framework that was used in Delaware County's Community Health Assessment and Community Health Improvement Plan, and (c) participated in the discussion of The Partnership for Healthy Delaware County's vision and values statement that could be used as guide for determining health priorities. Columbus Zoo and Aquarium, Barbara Revard, director of program planning - (a) Member of the Partnership for Healthy Delaware County, (b) discussions about process involved for the Community Health Assessment and Community Health Improvement Plan based on the MAPP framework, and (c) discussion on role and responsibilities of the four assessment committees. Common Ground Free Store Ministries, Franklin Moore, director - (a) Member of the Partnership for Healthy Delaware County and (b) participated in discussions related to the Local Public Health System Assessment by identifying the services that Common Ground Free Ministries provide to Delaware community that could be related to the 10 Essential Public Health Services. Community Action Organization of Delaware, Madison and Union Counties "Community Action Partnership", Rochelle Twining, director - (a) Member of the Partnership for Healthy Delaware County, (b) contributed ideas and participated in the Local Public Health Systems Assessment (LPHSA) Committee activities, discussions and prioritization of public health issues, (c) participated in discussions during the presentation of prioritized issues to the full PHDC membership, and (d) participated in the full PHDC meetings to determine top five priority health needs. Concord Township, Karen Koch, Trustee - (a) Member of the Partnership for Healthy Delaware County, (b) participation in discussions related to the community health assessments based on MAPP framework, and (c) participation in full PHDC prioritization meeting that determined top five significant health needs. Council for Older Adults (SourcePoint of Delaware County, Ohio), Fara Waugh, director of client services - (a) Member of the Partnership for Healthy Delaware County, (b) participation in the discussion about the process involved for the four assessments based on the MAPP framework, and (c) participation in the full PHDC meetings that prioritized health needs into top five significant health needs. Delaware Area Transit Agency, Denny Schooley, executive director - (a) Member of the Partnership for Healthy Delaware County, (b) participated in the Vision and Values Committee, which worked in defining the vision and values of The Partnership for Healthy Delaware County, and (c) participated in discussions related to process of conducting assessments based on the MAPP framework. Delaware Area Chamber of Commerce, Holly Quaine, president - (a) Member of the Partnership for Healthy Delaware County, (b) participation in discussion about significant health priorities and issues identified by the Local Public Health System Assessment, and (c) participation in the discussions about the process for conducting Community Themes and Strengths Assessment (CTSA) and Forces of Change Assessment (FOCA). Delaware City Schools, Robin Moore, staff - (a) Member of the Partnership for Healthy Delaware County and (b) participated in the prioritization of health needs. Delaware County Auditor's Office, Shoreh Elhami, director of geographic information systems - (a) Participation in discussions related to conduct of assessments based on MAPP framework and (b) participation in full meetings of The Partnership for Healthy Delaware County that prioritized significant health needs identified from various assessments and came up with top five most significant health needs. Delaware County Board of Commissioners, Ken O'Brien, Commissioner - (a) Member of the Partnership for Healthy Delaware County and (b) participation in discussions related to conduct of assessments based on MAPP framework. Delaware County Board of Developmental Disabilities, Bob Morgan, superintendent (Mr. Morgan has knowledge of and expertise in public health.) - Participation in the full PHDC meeting to identify top five priority health needs. Delaware County Department of Job and Family Services, Shancie Jenkins, director (resigned); Sue Ware, assistant director (These persons have knowledge of and expertise in public health.) - (a) Member of the Partnership for Healthy Delaware County, (b) participation in the Community Health Status Assessment (CHSA) Committee, (c) participation in discussions related to the survey questions that were based from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS), (d) participation in discussions regarding additional questions for the telephone survey, (e) collaboration with Delaware General Health District and The Strategy team, Ltd., in determining CHSA health priorities that were presented to the full PHDC membership, and (f) participation in the discussion of the findings of the Local Public Health Assessment and process of the Forces of Change Assessment and Community Themes and Strengths Assessment. Delaware County Regional Planning Commission, Scott Sanders, executive director - (a) Member of The Partnership for Healthy Delaware County, (b) participation in the discussions of the Communications Committee of the Partnership for Healthy Delaware County (PHDC), and (c) participation in the full PHDC meeting that discussed the health needs identified from the four assessments, prioritization of health needs, and determining top five significant health needs. Delaware County Sheriff's Office, Russ Martin, sheriff; Kassie Otten, program coordinator - (a) Member of the Partnership for Healthy Delaware County (PHDC), (b) participation in Forces of Change Assessment, and (c) participation in full PHDC prioritization meeting that determined top five significant health needs. Delaware General Health District, Patrick Blayney, vice president, Board of Health; Shelia Hiddleson, health commissioner; Rosemary Chaudry, assessment and accreditation coordinator (retired); Susan Sutherland, planner; Lori Kannally, planner; Debra Sparks, administrative assistant; Kelly Bragg, health educator; Kelsey Sommers, health educator (These persons have knowledge of and expertise in public health.) - (a) Members of the Partnership for Healthy Delaware County, (b) participation in the Community Health Status Assessment (CHSA), Community Themes and Strengths Assessment (CTSA), Forces of Change Assessment and Local Public Health Systems Assessment (LPHSA), (c) participation in
Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - Grady Memorial Hospital. discussions related to the CHSA survey questions that were based from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS), (d) participation in discussions regarding additional questions for the CHSA telephone survey and online and paper version CTSA survey, (e) collaboration with Delaware General Health District and The Strategy team, Ltd., in determining CHSA and CTSA health priorities that were presented to the full PHDC membership, (f) participation in full PHDC meeting to prioritize significant health needs from the four community assessments, and (g) contraction of The Strategy Team Ltd., to coordinate and facilitate the MAPP process and to write reports and other documentations for the community health assessment. Delaware Police Department, Rita Mendel, community relations officer - (a) Member of the Partnership for Healthy Delaware County (PHDC), (b) participation in the Community Health Status Assessment (CHSA) Committee, (c) participation in discussions related to the survey questions that were based from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS), (d) participation in discussions regarding additional questions for the telephone survey, (e) collaboration with Delaware General Health District and The Strategy team, Ltd., in determining CHSA health priorities that were presented to the full PHDC membership, and (f) participation in full PHDC meetings that prioritized significant health needs. Delaware Township, Roger VanSickle, trustee - (a) Member of the Partnership for Healthy Delaware County and (b) feedback on process and findings of community health assessment. Delaware-Morrow Mental Health and Recovery Services Board, Steve Hedge, executive director (Mr. Hedge has knowledge of and expertise in public health.) - (a) Member of the Partnership for Healthy Delaware County, (b) participation in the Forces of Change Assessment, and (c) participation in the full PHDC meeting to prioritize significant health needs from each of the committees. DelMor Dwellings, Jim Wilson, director - (a) Member of the Partnership for Healthy Delaware County and (b) participation in the Forces of Change Assessment. Educational Service Center of Central Ohio, Marie Ward, staff (resigned) - (a) Participation in the Community Themes and Strengths Assessment (CTSA) Committee, (b) collaboration with Delaware General Health District and The Strategy Team, Ltd., in developing survey questions and process of online and paper version survey that determines community themes and strengths, (c) determining CTSA health priorities that were presented to the full PHDC membership, and (d) participation in the full PHDC meeting to prioritize significant health needs from each of the committees. Forensic Healthcare Consulting, Ruth Downing, owner - (a) Member of The Partnership for Healthy Delaware County, (b) participation in the Local Public Health Status Assessment (LPHSA) Committee, (c) worked closely with The Center for Public Health Practice at The Ohio State University College of Public Health who implemented and facilitated LPHSA, (d) determining LPHSA health priorities that were presented to the full PHDC membership, and (e) participated in the full PHDC meeting to prioritize significant health needs from each of the committees . Grace Clinic Delaware, Colleen Pavarini, board chair - (a) Member of the Partnership for Healthy Delaware County and (b) feedback on process and findings of community health assessment. Harlem Township, Bob Singer, trustee - (a) Member of the Partnership for Healthy Delaware County, (b) contributed ideas and participated in discussions related to identification of significant health needs as part of the Forces of Change Assessment (FOCA), (c) participation in discussions during the presentation of significant health needs identified by FOCA during the full PHDC member meeting, and (d) participation in the full PHDC meeting to identify top five priority health needs. Heart of Ohio Homeless Shelter, Chuck Bulick, executive director - (a) Member of the Partnership for Healthy Delaware County, (b) participation in the Community Health Status Assessment (CHSA) Committee, (c) participation in discussions related to the survey questions that were based from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS), (d) participation in discussions regarding additional questions for the telephone survey, and (e) collaboration with Delaware General Health District and The Strategy team, Ltd., in determining CHSA health priorities that were presented to the full PHDC membership. HelpLine of Delaware and Morrow Counties, Inc., Sue Hanson, executive director; co-chair of The Partnership for Healthy Delaware County - (a) Member of the Partnership for Healthy Delaware County, (b) participation in the Community Health Status Assessment (CHSA) Committee, (c) participation in discussions related to the survey questions that were based from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS), (d) participation in discussions regarding additional questions for the telephone survey, and (e) collaboration with Delaware General Health District and The Strategy team, Ltd., in determining CHSA health priorities that were presented to the full PHDC membership. Kingston Township, Delaware County, Bill Shively, trustee - (a) Member of The Partnership for Healthy Delaware County, (b) contribution of ideas and participation in discussions related to identification of significant health needs as part of the Forces of Change Assessment (FOCA), and (c) Participation in discussions during the presentation of significant health needs identified by FOCA during the full PHDC member meeting. League of Women Voters, Bobbie Burnworth, staff - (a) Member of the Partnership for Healthy Delaware County and (b) participation in the discussions during the Forces of Change Assessment. Maryhaven, Richard Steele, clinical supervisor - (a) Member of The Partnership for Healthy Delaware County (PHDC), (b) participation in the discussions during the Forces of Change Assessment, and (c) participation in the full PHDC meeting that reviewed all health needs from the four assessments and prioritized top five significant health needs. Ohio Department of Health, Michele Shough, coordinator, Center for Health Promotion/Healthy Communities (Ms. Shough has knowledge of and expertise in public health.) - (a) Member of the Partnership for Healthy Delaware County, (b) contribution of ideas and participation in the Community Health Status Assessment (CHSA) and Community Themes and Strengths Assessment (CTSA) Committees, (c) participation in discussions related to the CHSA telephone survey questions that were based from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS), (d) participation in discussions regarding additional questions for the CHSA telephone survey and CTSA survey questions, (e) collaboration with Delaware General Health District and The Strategy team, Ltd., in determining CHSA and CTSA health priorities that were presented to the full PHDC membership, and (f) participation in full PHDC meetings that prioritized significant health needs. OhioHealth Grady Memorial Hospital; OhioHealth Community Health and Wellness, Bill Verhoff, director, clinical support services; Orelle Jackson, system director, community health and wellness - (a) Member of the Partnership for Healthy Delaware County, (b) contribution of ideas and participation in discussions related to identification of significant health needs as part of the Forces of Change Assessment (FOCA), (c) participation in discussions during the presentation of significant health needs identified by FOCA during the full PHDC member meeting, and (d) participation in the full PHDC meeting to identify top five priority health needs. Ohio Wesleyan University, Christopher Fink, assistant professor and chair, Department of Health and Human Kinetics; co-chair of Partnership for Healthy Delaware County; Marsha Tilden, director of student health services - (a) Members of the Partnership for Healthy Delaware County (PHDC), (b) Mr. Fink served as co-chair of the PHDC, (c) Mr. Fink provided leadership in PHDC activities related to Delaware County community health assessment and development of the Delaware County Community Health Improvement Plan, (d) Ms. Tilden participated in the Local Public Health Systems Assessment (LPHSA) Committee activities and discussions and prioritization of public health issues, (e) Ms. Tilden participated in discussions during the presentation of prioritized issues to the full PHDC membership, and (f) both Mr. Fink and Ms. Tilden participated in the full PHDC meetings to determine top five priority health needs.
Schedule H, Part V, Section B, Line 5 Facility , 3 Facility , 3 - Grady Memorial Hospital. Orange Township Fire Department, Tom Stewart, fire chief (retired) - Participated in the Forces of Change Assessment. The Ohio State University Cooperative Extension, Delaware County, Barbara Brahm, faculty, family and consumer sciences - (a) Member of The Partnership for Healthy Delaware County (PHDC) and (b) participation in the full PHDC meeting to review all health needs identified from four assessments and determined top five significant health needs. Oxford Township, Jim Hatten, trustee - (a) Member of The Partnership for Healthy Delaware County (PHDC) and (b) participation in the full PHDC meeting to discuss the health needs identified from the four assessments and determined top five significant health needs. Pathways 2 Prevention, Kelli Parrish - (a) Member of The Partnership for Healthy Delaware County and (b) participation in the full PHDC meeting to discuss the health needs identified from the four assessments and determined top five significant health needs. People in Need Inc, of Delaware County, Ohio, Kevin James Crowley - (a) Member of The Partnership for Healthy Delaware County (PHDC) and (b) participation in the full PHDC meeting to discuss the health needs identified from the four assessments and determined top five significant health needs. Preservation Parks of Delaware County, Ohio, Rita Au, executive director (retired) - (a) Participation in the discussions on Forces of Change Assessment, (b) participation in the Community Themes and Strengths Assessment (CTSA) Committee, (c) collaboration with Delaware General Health District and The Strategy Team Ltd, in developing survey questions and process of online and paper version survey that determines community themes and strengths, (d) determining CTSA health priorities that were presented to the full PHDC membership and (e) participation in the full PHDC meeting to prioritize significant health needs from each of the committees. CG Boyce Real Estate Co, Toby Boyce, realtor - (a) Member of The Partnership for Healthy Delaware County (PHDC) and (b) participation in the full PHDC meeting to discuss the health needs identified from the four assessments and determined top five significant health needs. Recreation Unlimited Inc, Paul Huttlin - Member of the Partnership for Healthy Delaware County. Salvation Army of Central Ohio, Michelle Hannan, director of professional and community services - (a) Member of the Partnership for Healthy Delaware County, (b) participation in the Community Health Status Assessment (CHSA) Committee, (c) participation in discussions related to the survey questions that were based from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS), (d) participation in discussions regarding additional questions for the telephone survey, and (e) collaboration with Delaware General Health District and The Strategy team Ltd, in determining CHSA health priorities that were presented to the full PHDC membership. Scioto Township, Sandra Stults, trustee - (a) Member of the Partnership for Healthy Delaware County, (b) participation in the Forces of Change Assessment, and (c) participation in the prioritization of health needs. Second Ward Community Initiative, Temi Daramola, board member, Stephanie Saunders, president - Member of The Partnership for Healthy Delaware County (PHDC). Senior Citizens Inc, of Delaware County (SourcePoint of Delaware County), Charlene Browning, director - (a) Member of The Partnership for Healthy Delaware County (PHDC) and (b) participation in the full PHDC meeting to review the health needs from the community assessments and determine top five significant health needs. Sustainable Delaware, Sheila Fox, member - (a) Member of The Partnership for Healthy Delaware County (PHDC), (b) participation in the discussion during the Forces of Change Assessment, and (c) participation in the full PHDC meeting that reviewed all health needs identified during the four assessments and determined top five significant health needs. Pregnancy Resources of Delaware County (formerly the Core Center), Cindy Violet, executive director - (a) Member of The Partnership for Healthy Delaware County (PHDC), (b) participation in the discussion about the Local Public Health System Assessment (LPHSA), and (c) participation in the full PHDC meeting to review the health needs from the four assessments and determined top five significant health needs. United Way of Delaware County, Brandon Feller, president, Barb Lyon, vice-president, Brande Urban, director of community impact - (a) Member of the Partnership for Healthy Delaware County, (b) participation in the Community Health Status Assessment (CHSA) Committee and Forces of Change Assessment (FOCA), (c) participation in discussions related to the CHSA survey questions that were based from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS), (d) participation in discussions regarding additional questions for the CHSA telephone survey, (e) collaboration with Delaware General Health District and The Strategy team Ltd, in determining CHSA and FOCA health priorities that were presented to the full PHDC membership, and (f) participation in the full PHDC meeting to determine top five priority health needs. Delaware Community Residents - Larry Cline, Alice Frazier MD, Rand Guebert, Lois Hall, Shirley Hart, Jan Lanier, Deborah Lipscomb, Joe Mazzola, Jan Ritter, Ruth Shrock, Barb Shuman, Carolyn Slone, Tracy Sumner, Fran Veverka - Larry Cline - Member of The Partnership for Healthy Delaware County (PHDC). Alice Frazier MD - (a) Member of The Partnership for Healthy Delaware County (PHDC), (b) participation in activities of the Community Health Status Assessment (CHSA), Local Public Health System Assessment (LPHSA) and Forces of Change Assessment (FOCA) Committees, (c) participation in discussions related to the CHSA survey questions that were based from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS), (d) participation in discussions regarding additional questions for the CHSA telephone survey, (e) collaboration with Delaware General Health District and The Strategy team Ltd, in determining CHSA, LPHSA, and FOCA health priorities that were presented to the full PHDC membership, and (f) participation in the full PHDC meeting to determine top five priority health needs. Rand Guebert - (a) Member of The Partnership for Healthy Delaware County (PHDC) and (b) participation in the Forces of Change Assessment. Lois Hall - (a) Member of The Partnership for Healthy Delaware County (PHDC), (b) participation in the Community Health Status Assessment (CHSA) Committee, (c) participation in discussions related to the survey questions that were based from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS), (d) participation in discussions regarding additional questions for the telephone survey, (e) collaboration with Delaware General Health District and The Strategy team Ltd, in determining CHSA health priorities that were presented to the full PHDC membership, and (f) participation in the full PHDC meeting to determine top five priority health needs. Shirley Hart - Member of The Partnership for Healthy Delaware County (PHDC). Jan Lanier - (a) Member of The Partnership for Healthy Delaware County (PHDC) and (b) participation in the full PHDC meeting that determined top five priority health needs. Deborah Lipscomb - (a) Member of The Partnership for Healthy Delaware County (PHDC) and (b) participation in the full PHDC meeting that determined top five priority health needs. Joe Mazzola - Member of The Partnership for Healthy Delaware County (PHDC). Jan Ritter - Member of The Partnership for Healthy Delaware County (PHDC). Ruth Schrock - (a) Participation in the meeting that discussed the overview of all four assessments, (b) participation in the Community Health Status Assessment (CHSA) Committee, (c) participation in discussions related to the survey questions that were based from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS), (d) participation in discussions regarding additional questions for the telephone survey, (e) collaboration with Delaware General Health District and The Strategy team Ltd, in determining CHSA health priorities that were presented to the full PHDC membership, and (f) participation in the discussions about the Local Public Health System Assessment. Barb Shuman - Participation in the Forces of Change Assessment. Carolyn Slone - Member of The Partnership for Healthy Delaware County (PHDC).
Schedule H, Part V, Section B, Line 5 Facility , 4 Facility , 4 - Grady Memorial Hospital. Tracey Sumner - (a) Member of The Partnership for Healthy Delaware County (PHDC), (b) participation in discussions related to the CHSA telephone survey questions that were based from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS), (d) participation in discussions regarding additional questions for the CHSA telephone survey, (e) collaboration with Delaware General Health District and The Strategy team, Ltd, in determining CHSA, CTSA, and LPHSA health priorities that were presented to the full PHDC membership, (f) participation in the Forces of Change Assessment meeting, and (g) participation in full PHDC meetings that prioritized top five significant health needs. Fran Veverka - (a) Member of The Partnership for Healthy Delaware County (PHDC), (b) participation in the Community Health Status Assessment (CHSA) Committee, (c) participation in discussions related to the survey questions that were based from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS), (d) participation in discussions regarding additional questions for the telephone survey, (e) collaboration with Delaware General Health District and The Strategy team, Ltd, in determining CHSA health priorities that were presented to the full PHDC membership, (f) participation in the discussion during the Forces of Change Assessment, and (g) participation in the full PHDC meeting that prioritized top five significant health needs.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Grady Memorial Hospital. Grady Memorial collaborated with The Partnership for Healthy Delaware County (PHDC), and the Delaware General Health District (DGHD) in conducting its community health needs assessment. Delaware General Health District contracted with The Strategy Team, Ltd. in providing overall facilitation and report writing of Delaware County's Community Health Assessment and Community Health Improvement Plan. The Strategy Team, Ltd. subcontracted The Ohio State University College of Public Health Center for Public Health Practice in facilitating the local public health system assessment.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - Grady Memorial Hospital. https://www.ohiohealth.com/siteassets/find-a-location/hospitals-and-emergency-departments/grady-memorial-hospital/about-us/community-health-needs-assessment/grady-chna.pdf
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Grady Memorial Hospital. Grady Memorial Hospital is addressing the significant needs identified in its most recently conducted CHNA as follows - Need #1 - Provide access to healthcare and medications, especially among residents who are Hispanic and/or disabled, in Buckeye Valley School District or in Delaware City School District. Discussions were focused on compelling health equity issues among vulnerable residents that leads to problems of access to quality healthcare services, especially during immediate need. Specifically, Delaware County interventions have to focus on the following outcomes - a. Decreasing the percentage of Delaware County residents who report not being able to obtain necessary healthcare from four percent to three percent b. Increasing the percentage of Hispanic (75.3 to 80 percent), Asian (78.8 to 85 percent) and African American (72.2 to 80 percent) residents of Delaware County who receive first trimester prenatal care c. Decreasing the percentage of Delaware County residents who could not get dental care as needed from four to three percent and those who could not get necessary vision care from three to two percent d. Increase percentage among Delaware County residents with diabetes who will have hemoglobin A1C checked annually from 2.5 percent to 10 percent e. Increase the number of Delaware County residents accessing prescription medications at reduced or no cost from two community agencies by five percent. In order to achieve these anticipated outcomes, Delaware County strategies will need to include (i) increasing access to alternative transportation, (ii) development of a web-based location on available services for health-related trips, (iii) coordinated release of public health messaging related to prenatal care, diabetes and prescription medications among community stakeholders and (iv) piloting of a Mobile Integrated Healthcare/Community Paramedicine program, which is multidisciplinary partnership between EMS agencies, hospital, primary care physicians, nurses, and mental health and social service providers to navigate patients to the right level of care. Through Mobile Integrated Healthcare (i) paramedics may visit patient homes to do patient education, (ii) nurses may be available to triage for non-urgent 911 calls, (iii) EMTs can follow up with post-hospital discharge patients to assist with disease management and avoid preventable readmissions and (iv) the transportation of patients to primary care offices, urgent care, mental health or detoxification facilities, instead of the Emergency Department (ED), is made easier. Need #2 - Provide prevention and treatment services for alcohol abuse (binge drinking) and drug abuse (prescription and other drugs). Discussions were focused on the goal of decreasing the health impact of substance use, misuse and abuse. Specifically, Delaware County interventions have to focus on the following outcomes - a. Decreasing the percentage of binge drinkers in Delaware County from 19 to 17 percent. Binge drinking means five or more drinks for men and four or more drinks for women per occasion b. Decreasing the number of opiate and pain reliever doses per patient per year in Delaware County from 523.36 doses per patient per year to 417 per patient per year c. Decreasing death rate due to drug overdose from 8.1 deaths per 100,000 to 6.5 deaths per 100,000 d. Decreasing the number of families and children who are assigned to out-of-home placement due to substance use, misuse and abuse from 59 to 47.2 percent. In order to achieve these anticipated outcomes (i) staff members of ten Delaware County community agencies will be trained on trauma-informed care and (ii) 10 percent of practicing primary care doctors will use the Screening, Brief Intervention and Referral to Treatment (SBIRT) screening tool. SBIRT services are an evidence-based practice that has been shown to identify, reduce and prevent a patient's use, abuse and dependence on alcohol and or illegal drugs. Need #3 - Food insecurity discussions were focused on increasing access to nutritious food, regardless of economic status. Specifically, Delaware County interventions have to focus on the following outcomes - a. A 25 percent increase in access to fresh fruits, vegetables, lean proteins and whole grains among persons who are food insecure in Delaware County b. Increase the knowledge about nutritional food options among persons who are food insecure in Delaware County by 10 percent c. A two percent decrease in food insecurity among Delaware County residents. In order to achieve these anticipated outcomes, Delaware County will need to (i) increase supply of fruits, vegetables, lean proteins and whole grains in food pantries, (ii) improve knowledge of nutritious food options through the program Cooking Matters and (iii) strengthen memberships and tap into Delaware County Hunger Alliance resources as means of improving food environments both locally and statewide. Need #4 - Provide prevention and treatment services for mental health (e.g., depression, suicide, stress, etc.), especially among Delaware City School District residents. The goals include community education and awareness on the importance of mental health and mental health services, and improvement to access and utilization of mental health services. Education initiatives will focus on improving treatments for major depressive episodes while decreasing suicides. Increase in mental health service utilization will be focused on increasing depression screenings in primary practice and engaging residents with suicidal tendencies to obtain treatment. Specifically, Delaware County interventions have to focus on the following outcomes - a. Increasing the number of adults seeking treatment for major depressive episode by five percent b. Decreasing adult suicide-attempt rates from 144 per 100,000 persons to 108 per 100,000 persons c. Increasing the number of new suicidal clients referred for mental health services by five percent per year d. Increasing the number of healthcare providers in Delaware County who receive training about adult depression screenings by five percent each year In order to achieve these anticipated outcomes, Delaware County will need to (i) conduct at least two Mental Health First Aid trainings per year, (ii) conduct trainings to prevent adult suicide attempts, (iii) provide community education about depression and promotion of mental health, (iv) train healthcare professionals and (v) increase referrals of suicidal clients to public behavioral health treatment. Need #5 - To address obesity/overweight a goal was set to increase the number of Delaware County adults with healthy weights. Health disparities exist in health risks due to the impact of social determinants of health on obesity. Specifically, Delaware County interventions have to focus on the following outcomes - a. Increasing servings of fruit from two to 2.5 per day and vegetable intake from 2.1 to 2.5 servings per day b. Increasing the use of caloric information on restaurant menus among adults from 42 to 45 percent c. Increasing physical activity of at least 30 minutes among adults from 4.2 days per week to 4.5 days per week d. Increasing the percentage of adults who use lunch or work breaks to exercise for at least 10 minutes (per break) from 25 to 30 percent. In order to achieve these anticipated outcomes, Delaware County will need to (i) develop a mechanism to enable acceptance of Supplemental Nurse Assistance Program (SNAP) benefits at farmers markets, (ii) conduct a community-wide campaign to encourage healthy eating, (iii) increase availability of fruits and vegetables in workplaces (iv) expand the use of Delaware General Health District (DGHD) on menus (an initiative to provide caloric content of menus in local restaurants), (v) conduct a community-wide campaign to increase awareness and understanding of caloric information in restaurant menus, (vi) conduct a community-wide campaign to reduce time spent on computers, televisions and mobile devices, (vii) provide shared-use agreements to enable schools to allow community members to use school property and equipment for exercise and (viii) conduct evidence-based weight loss programs in the workplace.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Grady Memorial Hospital. OhioHealth uses income level of patient and patient immediate families as a factor in determining income level.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Grady Memorial Hospital. 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. HCAP is an Ohio program that states that any patient whose family size and income level is below the federal poverty guidelines, receives free care for hospital services. If the patient proves that their income falls below the federal poverty guidelines, OhioHealth must discount their responsibility of the claim 100%. OhioHealth's internal charity policy addresses patients whose family size and income is above the federal poverty guidelines. We, as an organization, do not have to discount this care at all, but we have decided to provide discounts on patient balances for patients whose family size and income is up to 400% of the federal poverty guidelines discounted care.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Grady Memorial Hospital. 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 from 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. Included with 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.
Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 1 - Grady Memorial Hospital. OhioHealth Grady Memorial Hospital offers a sliding scale that provides different charity discounts depending on a patient's family size and income relative to the federal poverty limit (FPL). 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. The 45% discount was based on the average commercial and managed care discount.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Hardin Memorial Hospital. Hardin Memorial consulted with various persons who lead or represent broad interests of the community it serves by participating in community health needs assessment meetings from July to August 2015. Participants were either employed by government agencies, nonprofit healthcare organizations, community agencies, or retired residents: BKP Ambulance, Jason Johns, supervisor - Identification of health needs and issues, community assets and resources, and barriers and challenges for addressing these health needs and issues. Crossroads Crisis Center, Inc., Jeane Lutterbein, education coordinator - (a) Prioritization of health needs and issues using the National Association of County and City Health Officials (NACCHO) tool; and (b) determination of top five priority health needs that will be addressed in the OhioHealth Hardin Memorial Hospital implementation strategy. Hardin County Council on Aging, Inc., Bette Bibler, executive director - Determination of top five priority health needs that will be addressed in the OhioHealth Hardin Memorial Hospital implementation strategy. Health Partners of Western Ohio, Toni Long, center director - (a) Identification of health needs and issues, community assets and resources, and barriers and challenges for addressing these health needs and issues; and (b) prioritization of health needs and issues using the National Association of County and City Health Officials (NACCHO) tool. Hospital Council of Northwest Ohio, Brittney Ward, MPH, director of community health improvement (with knowledge of and expertise in public health) - Determination of top five priority health needs that will be addressed in the OhioHealth Hardin Memorial Hospital implementation strategy. Kenton City Schools, Brenda Jennings, school nurse (with knowledge of and expertise in public health) - Identification of health needs and issues, community assets and resources, and barriers and challenges for addressing these health needs and issues Kenton Community Health Center, Katy Murphy, director - (a) Prioritization of health needs and issues using the National Association of County and City Health Officials (NACCHO) tool; and (b) determination of top five priority health needs to be addressed in the OhioHealth Hardin Memorial Hospital implementation strategy. Kenton-Hardin Health Department, Cindy Keller, RN, MSN, director of nursing (with knowledge of and expertise in public health) and Larry Oates, MD, member board of health (with knowledge of and expertise in public health) - (a) Prioritization of health needs and issues using the National Association of County and City Health Officials (NACCHO) tool; and (b) determination of top five priority health needs that will be addressed in the OhioHealth Hardin Memorial Hospital implementation strategy. Not by Choice Outreach, Marcia Retterer, founder and chief executive officer - (a) Identification of health needs and issues, community assets and resources, and barriers and challenges for addressing these health needs and issues; (b) prioritization of health needs and issues using the National Association of County and City Health Officials (NACCHO) tool; and (c) determination of top five priority health needs that will be addressed in the OhioHealth Hardin Memorial Hospital implementation strategy. OhioHealth Community Health and Wellness, Orelle Jackson, system director community health and wellness; Mary Ann G. Abiado, RN, data management and evaluation specialist; Amber Hetteberg, administrative assistant - (a) Facilitation and coordination of community health needs assessment meetings and (b) writing meeting minutes. OhioHealth Hardin Memorial Hospital, Chris Davis, public relations director and volunteer coordinator; Stephen McCullough, member of board of trustees; Matt Jennings, chairman of board of trustees and chief executive officer of Quest Federal Credit Union; Wendy Rodenberger, chief nursing officer and vice president of patient care services; Kim Totten, administrative nurse manager, Emergency Department (ED) - (a) Identification of health needs and issues, community assets and resources, and barriers and challenges for addressing these health needs and issues; (b) prioritization of health needs and issues using the National Association of County and City Health Officials (NACCHO) tool; and (c) determination of top five priority health needs that will be addressed in the OhioHealth Hardin Memorial Hospital implementation strategy. Ohio Northern University, Steve Martin, dean, Raabe College of Pharmacy and Kami Fox, assistant professor of nursing and pediatric nurse practitioner, department of nursing - (a) Identification of health needs and issues, community assets and resources, and barriers and challenges for addressing these health needs and issues; (b) prioritization of health needs and issues using the National Association of County and City Health Officials (NACCHO) tool; and (c) determination of top five priority health needs that will be addressed in the OhioHealth Hardin Memorial Hospital implementation strategy. OnPointe Strategic Insights, LLC, Michelle Vander Stouw, MPH, principal (with knowledge of and expertise in public health) - Overall facilitation of community meetings held on July 7 and July 21, 2015. The Ohio State University Hardin County Extension Office, Vicki Phillips, family nutrition program assistant - (a) Identification of health needs and issues, community assets and resources, and barriers and challenges for addressing these health needs and issues; (b) prioritization of health needs and issues using the National Association of County and City Health Officials (NACCHO) tool; and (c) determination of top five priority health needs that will be addressed in the OhioHealth Hardin Memorial Hospital implementation strategy. United Way of Hardin County, Ohio, Darlene Foreman, executive director and Bonnie McBride, board president - (a) Identification of health needs and issues, community assets and resources, and barriers and challenges for addressing these health needs and issues; (b) prioritization of health needs and issues using the National Association of County and City Health Officials (NACCHO) tool; and (c) determination of top five priority health needs that will be addressed in the OhioHealth Hardin Memorial Hospital implementation strategy. WKTN, Keith Gensheimer, owner - Prioritization of health needs and issues using the National Association of County and City Health Officials (NACCHO) tool.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Hardin Memorial Hospital. The Kenton-Hardin Health Department collaborated with the Hardin County Community Assessment Advisory Committee, The Hospital Council of Northwest Ohio and University of Toledo in completing the 2015 Hardin County Community Health Status Assessment. The Hardin County Community Assessment Advisory Committee was comprised of the following: (a) Kenton-Hardin Health Department, (b) OhioHealth Hardin Memorial Hospital, (c) Hardin Hills Health and Rehabilitation, (d) City of Kenton, (e) Hardin County Commissioners, (f) North Central Ohio Chapter of the American Red Cross, (g) The Ohio State University Extension at Hardin County, (h) Mental Health Board of Allen, Auglaize and Hardin counties, and (i) United Way of Hardin County. Secondary data collection The Hospital Council of Northwest Ohio and University of Toledo gathered secondary data from the United States Census Bureau, Ohio Department of Job and Family Services, Ohio Development Services Agency and other sources. A comprehensive list of secondary data sources are also available in the 2015 Hardin County Community Health Status Assessment.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - Hardin Memorial Hospital. https://www.ohiohealth.com/siteassets/find-a-location/hospitals-and-emergency-departments/hardin-memorial-hospital/about-us/community-health-needs-assessment/hardin-chna.pdf
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Hardin Memorial Hospital. Hardin Memorial Hospital is addressing the significant needs identified in its most recently conducted CHNA as follows: Need #1 Substance Abuse: - Enhance Hardin Memorial collaborations with community stakeholders that address substance abuse prevention and treatment. - Screen all patients, including inpatient, outpatient and ED patients, for drug use and offer referrals to substance abuse treatment services. - Partner with Coleman Professional Services, which offers 24/7 treatment for mental health, to refer intentional overdose patients that are first seen in the ED. In addition to Coleman Professional Services, referrals are made to We Care Regional Crisis Center, OhioHealth Marion General Hospital, St. Rita's Medical Center, OhioHealth Riverside Methodist Hospital, and Pomegranate and Arrowhead Behavioral Health. - Partner with Kenton City Police Department and Hardin County Sheriff's Office by providing outreach and training on how to administer naloxone (Narcan) to persons who have overdosed on heroin. - Work with law enforcement and Ohio Northern University to safely dispose of medications such as promoting the use of permanent drug disposal boxes, community medication take back events, etc. Need #2 Chronic Disease: - Offer and facilitate the Diabetes Health Management Program and the Diabetes Support Group to provide current information on diabetes self-care, wellness promotion, self-motivation and how to prevent diabetes complications. - Annually offer Dining with Diabetes, which provides education about healthy eating in partnership with The Ohio State University Extension office. - Present F.A.M.E. (Fun Activity Motivates Everyone) annually to spotlight healthy eating and physical activity options, targeting children ages 0 to 12. - Offer healthy food options daily in the hospital facility cafeteria. - Host Farmers Markets during the growing season to increase access to fresh fruits and vegetables. - Host the Hardin Hustle, a 5K fun run geared towards getting kids and families more physically active. - Participate in the Healthy Lifestyles Coalition of Hardin County, which engages and educates community residents about healthy eating and physical activity, with the Kenton-Hardin Health Department. - Contribute to addressing food insecurity issues through providing financial support to a local food pantry. - Host annual Heart Smart Day with free screenings for the community in February in honor of National Heart Month. - In collaboration with other partners, provide health screenings and/or education for community members as part of the Hardin County Fair, Hardin County Council on Aging Senior Days, Ohio Northern University Tobacco Cessation Program and The Ohio State University Extension. - Provide free cholesterol, glucose and other screenings as well as provide health education materials to community members at Hardin Memorial's Heart Smart Day, Community Health Fair, and OhioHealth Employer Services and skin cancer screenings. Need #3 Access to Care: - Refer patients to Kenton Community Health Center if they do not have a primary care physician and need other services, including dental, mental, substance abuse and a pharmacy. The Kenton Community Health Center has a staff that educates patients on health insurance options, Medicaid, The Marketplace or commercial insurance plans. A sliding fee scale is offered to patients with an income less than 200 percent of the Federal Poverty Guidelines. - Collaborate with Kenton Community Health Center in improving access to care through providing a laboratory technician. - Expand specialty care services to better serve the needs of the community. - Partner with Ohio Northern University in operating a multidisciplinary mobile clinic to improve access to care, health literacy and health outcomes, and to refer Hardin County residents to a medical home and acute medical care. The mobile health clinic will provide healthcare services weekly in churches, schools and other public facilities. - Provide referral, linkage and follow-up to patients needing health insurance, transportation assistance, durable medical equipment and medications. - Provide health screenings (blood pressure, cholesterol, glucose, BMI, skin cancer, etc.) and education at the Hardin County Fair, the Community Health Fair and local businesses to improve access to healthcare services. Need #4 Health Education and Prevention: - Offer and facilitate the Diabetes Health Management Program and the Diabetes Support Group to provide current information on diabetes self-care, wellness promotion, self-motivation and how to prevent diabetes complications. - Annually offer Dining with Diabetes, which provides education about healthy eating in partnership with The Ohio State University Extension office. - Present F.A.M.E. (Fun Activity Motivates Everyone) annually to educate about healthy eating and physical activity options. - Provide health education and prevention information to community members at Hardin Memorial's Heart Smart Day, Community Health Fair, and OhioHealth Employer Services and skin cancer screenings. - Participate in the Healthy Lifestyles Coalition of Hardin County with the Kenton-Hardin Health Department, which engages and educates community residents about healthy eating and physical activity. - In collaboration with other partners, provide health education and prevention for community members as part of the Hardin County Fair, Hardin County Council on Aging Senior Days, Ohio Northern University Tobacco Cessation Program, The Ohio State University Extension and Hardin Memorial's F.A.M.E. Program.. - Provide a speakers bureau, which includes hospital staff (nurses, physicians, diabetes educators and imaging staff) presenting health education and promotion information at community organizations and schools. - Provide community health education public service announcements in the local newspapers - the Kenton Times and Ada Herald - and on the radio: WKTN 95.3. - Improve health literacy for patients seen in the Ohio Northern University mobile clinic. Need #5 Behavioral and Mental Health - Partner with Coleman Professional Services, which offers 24/7 consultation for mental health, to refer patients that are first seen in the Emergency Department (ED) who need mental/behavioral follow-up to various community resources for treatment. In addition to Coleman, referrals are also made to We Care Regional Crisis Center, OhioHealth Marion General Hospital, St. Rita's Medical Center, OhioHealth Riverside Methodist Hospital, and Pomegranate and Arrowhead Behavioral Health. - Screen all patients, including inpatient, outpatient and ED patients, for physical and emotional abuse as well as psychiatric history.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Hardin Memorial Hospital. OhioHealth uses income level of patient and patient immediate families as a factor in determining income level.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Hardin Memorial Hospital. 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. HCAP is an Ohio program that states that any patient whose family size and income level is below the federal poverty guidelines, receives free care for hospital services. If the patient proves that their income falls below the federal poverty guidelines, OhioHealth must discount their responsibility of the claim 100%. OhioHealth's internal charity policy addresses patients whose family size and income is above the federal poverty guidelines. We, as an organization, do not have to discount this care at all, but we have decided to provide discounts on patient balances for patients whose family size and income is up to 400% of the federal poverty guidelines discounted care.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Hardin Memorial Hospital. 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.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 8
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 HVP RIVERSIDE
3705 Olentangy River Road
Columbus,OH43214 		Physician Practice
3 GMC ANESTHESIA
111 S Grant Avenue
Columbus,OH43215 		Physician Practice
4 NEURO RIVERSIDE
931 Chatham Lane
Columbus,OH43221 		Physician Practice
5 HVP MANSFIELD
335 Glessner Ave
Mansfield,OH44903 		Physician Practice
6 NEUROSURGERY RIVERSIDE
3555 Olentangy River Rd Suite 2001
Columbus,OH43214 		Physician Practice
7 HVP GAHANNA
765 N Hamilton Road Suite 120
Gahanna,OH43230 		Physician Practice
8 GMC HOSPITALISTS
340 E Town Street Suite 8-300
Columbus,OH43215 		Physician Practice
9 MAX SPORTS
3705 Olentangy River Road
Columbus,OH43214 		Physician Practice
10 PCP RIVERS EDGE DR
7630 Rivers Edge Drive
Columbus,OH43235 		Physician Practice
11 CTVS RIVERSIDE
3535 Olentangy River Road
Columbus,OH43214 		Physician Practice
12 ORTHO SURGEONS BRITTON PKWY
3663 Ridge Mill Drive
Hilliard,OH43026 		Physician Practice
13 GMC TRAUMA 1
111 S Grant Avenue
Columbus,OH43215 		Physician Practice
14 ORTHO TRAUMA GRANT
285 E State Street Suite 500
Columbus,OH43215 		Physician Practice
15 SURGICAL SPEC MANSFIELD
215 Wood Street
Mansfield,OH44903 		Physician Practice
16 NEURO GRANT
285 E State Street Suite 430
Columbus,OH43215 		Physician Practice
17 ORTHO SURGEONS ASHLAND
45 Amberwood Pkwy
Ashland,OH44805 		Physician Practice
18 PCP BRITTON PARKWAY
4343 All Seasons Dr
Hilliard,OH43026 		Physician Practice
19 HVP DOCTORS
5131 Beacon Hill Road Suite 120
Columbus,OH43228 		Physician Practice
20 PCP DELAWARE HEALTH CENTER
801 OhioHealth Blvd Suite 260
Delaware,OH43015 		Physician Practice
21 RHEUMATOLOGY GRANT
285 E State Street Suite 620
Columbus,OH43215 		Physician Practice
22 PCP HIGH ST AND NEIL AVE
41 S High Street Suite 25
Columbus,OH43215 		Physician Practice
23 SURGICAL SPECIALISTS GRANT
285 E State Street Suite 640
Columbus,OH43215 		Physician Practice
24 DH HOSPITALISTS
5131 Beacon Hill Road suite 210
Columbus,OH43228 		Physician Practice
25 VASCULAR SURGEONS GRANT
285 E State Street Suite 260
Columbus,OH43215 		Physician Practice
26 ORTHO SURGEONS MOS GRANT
340 E Town Street Suite 7-600
Columbus,OH43215 		Physician Practice
27 NEUROSURGERY RIVERSIDE RED
3525 Olentangy River Road
Columbus,OH43214 		Physician Practice
28 COCRC
4882 E Main Suite 220
Columbus,OH43213 		Physician Practice
29 SURGICAL SPECIALISTS BING
3555 Olentangy River Road
Columbus,OH43214 		Physician Practice
30 PULMONARY GRANT
111 S Grant Avenue 2nd Floor
Columbus,OH43215 		Physician Practice
31 PCP PICKERINGTON MED CAMPUS
1509 Stonecreek Drive South
Pickerington,OH43147 		Physician Practice
32 UROLOGY RIVERSIDE
500 Thomas Lane Suite 20
Columbus,OH43016 		Physician Practice
33 OBGYN GRADY
801 OhioHealth Blvd Suite 160
Delaware,OH43015 		Physician Practice
34 OBGYN DOCTORS
5579 Hilliard Rome Office Park
Hilliard,OH43026 		Physician Practice
35 URO GYN RIVERSIDE
3555 Olentangy River Road
Columbus,OH43214 		Physician Practice
36 PLASTIC SURGEONS GRANT
285 E State Street Suite 600
Columbus,OH43215 		Physician Practice
37 BARIATRICS RIVERSIDE
3705 Olentangy River Road Suite 100
Columbus,OH43214 		Physician Practice
38 RMH GME OBGYN
3535 Olentangy River Road NG
Columbus,OH43214 		Physician Practice
39 ROBOTIC UROLOGIC SURGEONS DMH
7450 Hospital Drive Suite 300
Dublin,OH43016 		Physician Practice
40 NEURO WESTERVILLE
300 Polaris Pkwy Suite 2350
Westerville,OH43081 		Physician Practice
41 PCP HAVENS CORNER
504 Havens Corners Road
Gahanna,OH43230 		Physician Practice
42 BREAST SURGEONS RIVERSIDE
3555 Olentangy River Road
Columbus,OH43214 		Physician Practice
43 NEURO MS
931 Chatham Lane
Columbus,OH43221 		Physician Practice
44 GMC GME FAMILY MEDICINE EAST
4850 E Main Street
Columbus,OH43213 		Physician Practice
45 MATERNAL FETAL MEDICINE
3535 Olentangy River Road 1st Floor
Columbus,OH43214 		Physician Practice
46 PCP HILL RD
417 Hill Road N Suite 101
Pickerington,OH43147 		Physician Practice
47 PCP EAST BROAD
7340 E Broad Street Suite B
Blacklick,OH43004 		Physician Practice
48 RMH GME FAMILY MEDICINE
697 Thomas Lane
Columbus,OH43214 		Physician Practice
49 NEURO RIVERSIDE SMOB
3555 Olentangy River Rd 2050
Columbus,OH43214 		Physician Practice
50 GMC GME FAMILY MEDICINE SW
2030 Stringtown Road
Grove City,OH43123 		Physician Practice
51 HVP NORTH CENTRAL
1000 McKinley Park Drive
Marion,OH43302 		Physician Practice
52 PCP POLARIS PARKWAY
300 Polaris Parkway Suite 3000
Westerville,OH43081 		Physician Practice
53 DELAWARE INTERNAL MEDICINE
454 W Central Ave
Delaware,OH43015 		Physician Practice
54 PCP WEDGEWOOD MOB
4141 N Hampton Dr Suite 100
Powell,OH43065 		Physician Practice
55 PCP NIKE DR
5548 Hilliard Rom Office Park
Hilliard,OH43026 		Physician Practice
56 GRADY HOSPITALISTS
561 W Central Avenue
Delaware,OH43015 		Physician Practice
57 SURGICAL SPECIALISTS DELAWARE
801 OhioHealth Blvd Suite 160
Delaware,OH43015 		Physician Practice
58 PCP CLAIREDAN DR
70 Clairedan Dr
Powell,OH43065 		Physician Practice
59 ORTHO SURGEONS MANSFIELD MOB
335 Glessner Ave
Mansfield,OH44903 		Physician Practice
60 PCP SANDUSKY ST
629 N Sandusky Avenue
Bucyrus,OH44820 		Physician Practice
61 NEURO CRANIAL VASCULAR
3555 Olentangy River Rd Suite 2001
Columbus,OH43214 		Physician Practice
62 MCCONNELL SSJC
3773 Olentangy River Road
Columbus,OH43214 		Physician Practice
63 GYN ONC RIVERSIDE
500 Thomas Lane Suite 4B
Columbus,OH43214 		Physician Practice
64 PCP BALTIMORE REYNOLDSBURG
2014 Baltimore-Reynoldsburg Rd
Reynoldsburg,OH43068 		Physician Practice
65 PEDIATRICS GRADY MOB
551 W Central Ave Suite 103
Delaware,OH43015 		Physician Practice
66 INTERNAL MED POLARIS PARKWAY
300 Polaris Parkway Suite 3400
Westerville,OH43082 		Physician Practice
67 PCP KELNOR DR
3774 Broadway
Grove City,OH43123 		Physician Practice
68 GASTRO DOCTORS
5131 Beacon Hill Road Suite 200
Columbus,OH43228 		Physician Practice
69 RMH BEHAVIORAL HEALTH CONSULT
3535 Olentangy River Road
Columbus,OH43214 		Physician Practice
70 BREAST SURGEONS GRANT
285 E State Street Suite 300
Columbus,OH43215 		Physician Practice
71 ENDOCRINOLOGY GRANT
500 E Main Street Suite 100
Columbus,OH43215 		Physician Practice
72 PCP WEST BROAD
5193 West Broad Street Suite 200
Columbus,OH43228 		Physician Practice
73 NEURO INTERDISCIPLINARY CLINIC
3535 Olentangy River Rd Suite S1501
Columbus,OH43214 		Physician Practice
74 CTVS GRANT
85 McNaughten Road Suite 110
Columbus,OH43213 		Physician Practice
75 PCP KENTON
60 Washington Blvd
Kenton,OH43326 		Physician Practice
76 NEURO MANSFIELD
222 Marion Avenue
Mansfield,OH44903 		Physician Practice
77 HVP WESTERVILLE
260 Polaris Parkway
Westerville,OH43082 		Physician Practice
78 ORTHO SURGEONS SHELBY
2180 Stumbo Rd
Ontario,OH44906 		Physician Practice
79 PCP TIPPETT COURT
100 Tippett Ct Suite 101
Sunbury,OH43074 		Physician Practice
80 DH GME FAMILY PRACTICE SW
2030 Stringtown Road 3rd Floor
Grove City,OH43123 		Physician Practice
81 PEDIATRICS WEDGEWOOD MOB
4141 N Hampton Dr Suite 103
Powell,OH43065 		Physician Practice
82 PCP GALLOWAY
990 Galloway Road
Galloway,OH43119 		Physician Practice
83 SURGICAL SPECIALISTS DOCTORS
5131 Beacon Hill Road Suite 230
Columbus,OH43228 		Physician Practice
84 PCP HOSPITAL DR
6905 Hospital Drive Suite 200
Dublin,OH43016 		Physician Practice
85 HVP DUBLIN
7500 Hospital Dr
Dublin,OH43016 		Physician Practice
86 PCP LANCASTER
784 E Main Street
Lancaster,OH43130 		Physician Practice
87 ORTHO SURGEONS MIO GRANT
340 E Town Street Suite 250
Columbus,OH43215 		Physician Practice
88 PCP MARKET EXCHANGE
500 E Main Street Suite 100
Columbus,OH43215 		Physician Practice
89 PCP SCIOTO DARBY
6314 Scioto Darby Road
Hilliard,OH43026 		Physician Practice
90 DH GME OBGYN
5131 Beacon Hill Road Suite 340
Columbus,OH43228 		Physician Practice
91 VASCULAR SURGEONS DOCTORS
5131 Beacon Hill Road Suite 100
Columbus,OH43228 		Physician Practice
92 NEUROLOGY
801 OhioHealth Blvd Suite 210
Delaware,OH43015 		Physician Practice
93 OBGYN GROVE CITY
4191 Kelnor Drive Suite 300
Grove City,OH43123 		Physician Practice
94 OBGYN WEST BROAD
5193 West Broad Street Suite 200
Columbus,OH43228 		Physician Practice
95 RMH MCCONNELL HEART HEALTH CTR
3773 Olentangy River Road
Columbus,OH43214 		Physician Practice
96 COLORECTAL SURGEONS RMH
3535 Olentangy River Rd
Columbus,OH43214 		Physician Practice
97 RMH GME INTERNAL MEDICINE
500 Thomas Lane Suite 2-C
Columbus,OH43214 		Physician Practice
98 GMC GME OP CARE CENTER TOWN ST
393 E Town Street
Columbus,OH43215 		Physician Practice
99 GMC OWHP
111 S Grant Avenue
Columbus,OH43215 		Physician Practice
100 NEURO APP RIVERSIDE
3555 Olentangy River Road
Columbus,OH43214 		Physician Practice
101 BEHAVIORAL HEALTH IP
3535 Olentangy River Road
Columbus,OH43214 		Physician Practice
102 ENT DOCTORS
5131 Beacon Hill Dr Suite 300
Columbus,OH43228 		Physician Practice
103 SURGICAL SPECIALISTS GRADY MOB
551 W Central Ave Suite 303
Delaware,OH43015 		Physician Practice
104 PCP WEXNER HERITAGE
2222 Welcome Place
Columbus,OH43209 		Physician Practice
105 ORTHO SURGEONS DOCTORS
5131 Beacon Hill Road Suite 160
Columbus,OH43228 		Physician Practice
106 ENDOCRINOLOGY MANSFIELD MOB
335 Glessner Ave
Mansfield,OH44903 		Physician Practice
107 NEURO DOCTORS
3663 Ridge Mill Drive Suite 100
Hilliard,OH43026 		Physician Practice
108 PCP HIDDEN RAVINES DR
28 Hidden Ravines Dr
Powell,OH43065 		Physician Practice
109 DH PULMONARY CRITICAL CARE
5100 West Broad Street
Columbus,OH43228 		Physician Practice
110 INTERNAL MEDICINE
551 W Central Ave Suite 301
Delaware,OH43015 		Physician Practice
111 RMH NEUROPSYCH
223 E Town Street
Columbus,OH43215 		Physician Practice
112 RMH BEHAVIORAL HEALTH OP EAP
3535 Olentangy River Road
Columbus,OH43214 		Physician Practice
113 DMH OBGYN AND MIDWIVES
7500 Hospital Drive
Dublin,OH43016 		Physician Practice
114 CANCER SPECIALISTS MARION
1150 Crescent Heights Rd
Marion,OH43302 		Physician Practice
115 NEURO OUTREACH
3555 Olentangy River Road
Columbus,OH43214 		Physician Practice
116 PCP LONDON
1076 Eagleton Blvd Suite C
London,OH43140 		Physician Practice
117 NEURO SURGERY MANSFIELD
200 Park Ave West
Mansfield,OH44902 		Physician Practice
118 CTVS DOCTORS
5131 Beacon Hill Road Suite 100
Columbus,OH43228 		Physician Practice
119 DMH GME FAMILY PRACTICE
6905 Hospital Drive Suite 200
Dublin,OH43016 		Physician Practice
120 CTVS MARION
1040 Delaware Avenue
Marion,OH43302 		Physician Practice
121 RMH CHF CLINIC
3525 Olentangy River Road 2nd Floor
Columbus,OH43214 		Physician Practice
122 HVP HARDIN
921 E Franklin Street
Kenton,OH43326 		Physician Practice
123 NEURO MARION
1000 McKinley Park Drive
Marion,OH43302 		Physician Practice
124 NEURO ONCOLOGY
500 Thomas Lane Suite 2E
Columbus,OH43214 		Physician Practice
125 HOMEREACH HOSPICE
3595 Olentangy River Road
Columbus,OH43214 		Physician Practice
126 RMH GME GENERAL SURGERY
3535 Olentangy River Road NG
Columbus,OH43214 		Physician Practice
127 DH GME SPECIALTY MEDICINE
50 Old Village Road Suite 201
Columbus,OH43228 		Physician Practice
128 MEDICAL ONCOLOGY NORTH MARKET
801 OhioHealth Blvd Suite 180
Delaware,OH43015 		Physician Practice
129 GMC PRIM
393 E Town Street
Columbus,OH43215 		Physician Practice
130 RMH PULMONARY PHYSICIANS
3545 Olentangy River Road Suite 111
Columbus,OH43214 		Physician Practice
131 PCP WEXNER HERITAGE TCU
2222 Welcome Place
Columbus,OH43209 		Physician Practice
132 RMH EXEC HLTH WELLNESS CLINIC
3773 Olentangy River Road
Columbus,OH43214 		Physician Practice
133 OSTEOPATHIC MANIPULATION MED
6905 Hospital Dr Suite 200
Dublin,OH43016 		Physician Practice
134 INTEGRATIVE MEDICINE
500 Thomas Lane
Columbus,OH43214 		Physician Practice
135 UROLOGY DOCTORS
5141 W Broad Street Suite 180
Columbus,OH43228 		Physician Practice
136 PCP SAME DAY ACCESS CENTER
770 Jasonway Avenue Suite 1B
Columbus,OH43214 		Physician Practice
137 DH GME ORTHOPEDIC MEDICINE
5131 Beacon Hill Road Suite 160
Columbus,OH43228 		Physician Practice
138 RMH SENIOR HEALTH
3724 A Olentangy River Road
Columbus,OH43214 		Physician Practice
139 RMH ON CALL TRAUMA
3555 Olentangy River Road
Columbus,OH43214 		Physician Practice
140 TRAUMA MANSFIELD
355 Glessner Avenue
Mansfield,OH44903 		Physician Practice
141 DH GME ENT
5131 Beacon Hill Rd Suite 300
Columbus,OH43228 		Physician Practice
142 DMH NURSE PRACTITIONERS
7500 Hospital Drive
Dublin,OH43016 		Physician Practice
143 ORTHO SURGEONS RIVERSIDE
3555 Olentangy River Road
Columbus,OH43214 		Physician Practice
144 PCP HILLIARD SQUARE
4600 Leap Court
Hilliard,OH43026 		Physician Practice
145 OPG CENTRAL BILLING OFFICE
180 East Broad Street
Columbus,OH43215 		Physician Practice
146 Ontario Health & Fitness Center
1750 W Fourth St
Ontario,OH44906 		Occupational MedicineFitnessCenterand Physical Therapy
147 Home CareWomens Health
1020 Cricket Lane
Mansfield,OH44906 		Home Care & Hospice OH MedCentral Professional Foundation Physician Office
148 MedCentral Pediatric Therapy
2011 W Fourth St
Mansfield,OH44903 		Pediatric Therapy
149 Medical Office Building
770 Balgreen Drive
Mansfield,OH44903 		Physician Offices Laboratory
150 Physician Office 1
295 Glessner Avenue
Mansfield,OH44903 		OhioHealth MedCentral Professional Foundation Physician Office
151 Physician Office - Shelby
24 Morris Road
Shelby,OH44875 		OhioHealth MedCentral Professional Foundation Physician Office
152 Crawford Health & Urgent Care
1820 E Mansfield St
Bucyrus,OH44820 		Clinic and Urgent Care
153 Physician Office 2
248 Blymyer Avenue
Mansfield,OH44803 		OhioHealth MedCentral Professional Foundation Physician Office
154 Physician Office 3
475 Lexington Avenue
Mansfield,OH44907 		OhioHealth MedCentral Professional Foundation Physician Office
155 Physician Office 4
536 S Trimble Road
Mansfield,OH44906 		OhioHealth MedCentral Professional Foundation Physician Office
156 Physician Office 5
558 S Trimble Road
Mansfield,OH44906 		OhioHealth MedCentral Professional Foundation Physician Office
157 Physician Office 6
375 S Main Street
Lexington,OH44904 		OhioHealth MedCentral Professional Foundation Physician Office
158 Surgery Center
1030 Cricket Lane
Mansfield,OH44906 		Outpatient Surgery
159 MedCentral Radiation Therapy
330 Glessner Avenue
Mansfield,OH44903 		Radiation Therapy
160 Pain Management
39 Wood Street
Mansfield,OH44903 		OhioHealth MedCentral Professional Foundation Physician Office
161 Physician Office 7
1770 S Fourth St
Mansfield,OH44906 		OhioHealth MedCentral Professional Foundation Physician Office
162 Athens Medical Associates LLC
55 Hospital Drive
Athens,OH45701 		Physician Services
163 OhioHealth Nelsonville Medical & Emergency Services
1950 Mount Saint Marys Drive
Nelsonville,OH45764 		Outpatient Department
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 9
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
Schedule H, Part I, Line 3c O'Bleness Memorial Hospital Financial Assistance Policy 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.
Schedule H, Part I, Line 6a Community benefit report prepared by related organization The community benefit report for all entities included in this return is included in the OhioHealth Corporation's consolidated community benefit report.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance A system wide community benefit of $297 million reflects all entities within the system that provide community benefit, and this amount is reported in the Statement of Program Service Accomplishments. The $56 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 not 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. 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.
Schedule H, Part II Community Building Activities Community involvement is an important part of our mission "to improve the health of those we serve." Our associates and physicians live, work and raise families in the communities we serve and aspire to improve our collective community well-being, believing that healthy communities support healthy living. "Team OhioHealth" is comprised of associates who volunteer their time at various community events such as the Central Ohio Heart Walk, Komen Race for the Cure, Arthritis Foundation's Jingle Bell Run/Walk, and March of Dimes March for Babies. OhioHealth associates and physicians also collaborate with various non-profit organizations to ensure that our communities are provided with the appropriate services that will enable them to live a healthy life. For example: -YWCA Family Center - OhioHealth associates serve meals to residents of the emergency shelter supporting families experiencing housing crises. -United Way of Central Ohio - OhioHealth associates participate in Community Care Day, during which the United Way assigns projects such as repair, painting, gardening and construction at various non-profit agencies. -Simon Kenton Council, Boy Scouts of America - OhioHealth partners with the Learning for Life exploring program to carry out the Medical Explorer's program for the Simon Kenton Council, Boy Scouts of America. -Big Brothers Big Sisters of Central Ohio - OhioHealth participates in Big Brothers Big Sisters' Project Mentor, through Columbus City Schools, to empower individual students to improve academic performance and thereby increase high school graduation rates.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount The organization reports bad debt expense as shown in the audited financial statements.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology OhioHealth has a very robust financial assistance program; therefore, no estimate is made for bad debt attributed to financial-assistance-eligible patients.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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 uncollectible.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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.
Schedule H, Part V, Section B, Line 16b FAP Application website - OhioHealth Grady Memorial Hospital: Line 16b URL: https://www.ohiohealth.com/financialassistance; - OhioHealth Hardin Memorial Hospital: Line 16b URL: https://www.ohiohealth.com/patients-and-visitors/paying-for-your-care/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - OhioHealth Marion General Hospital: Line 16c URL: https://www.ohiohealth.com/patients-and-visitors/paying-for-your-care/financial-assistance/; - OhioHealth Grady Memorial Hospital: Line 16c URL: https://www.ohiohealth.com/financialassistance; - OhioHealth Hardin Memorial Hospital: Line 16c URL: https://www.ohiohealth.com/patients-and-visitors/paying-for-your-care/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessment 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/In-The-Community.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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 from 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. Included with 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. The internet (https://www.ohiohealth.com/patients-and-visitors/paying-for-your-care/financial-assistance/) 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.
Schedule H, Part VI, Line 4 Community information OhioHealth Mansfield Hospital is located at 335 Glessner Avenue, Mansfield, Richland County, Ohio 44903. OhioHealth Mansfield Hospital operates seven satellite facilities, all located in Mansfield, Richland County, Ohio. OhioHealth Shelby Hospital is located at 199 West Main Street, Shelby, Richland County, Ohio 44875. The "community served" by OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital is Richland County, Ohio. Review of OhioHealth data showed that for calendar year 2014, 81.1 percent of all patients who were admitted to OhioHealth Mansfield Hospital and 79.4 percent of all patients admitted to OhioHealth Shelby Hospital resided in Richland County at the time of admission. Similarly, 70.4 percent of all patients from Mansfield Hospital and 78.3 percent of patients from Shelby Hospital who had outpatient procedures in calendar year 2014 resided in Richland County at the time when the procedure was done. Total population: In 2010, actual population was 124,475. In 2014, estimated total population was 121,942, which represents 2.04 percent decline relative to 2010. Race/Ethnicity: Among Richland County residents, 87.2 percent were White, 8.7 percent were African American, 0.6 percent Asian, 1.5 percent were Hispanic (of any race), 0.6 percent other races, 0.2 percent Native American, zero percent Pacific Islander and 2.6 percent two or more races. Total minority represented 13.5 percent of the population. Age: Among Richland County residents, 5.7 percent were younger than 5 years old, 16.5 percent were 5-17 years old, 8.3 percent were 18-24 years old, 24.5 percent were 25-44 years old, 28.1 percent were 45-64 years, and 16.9 percent were 65 years or older. Median age was 41.2. Income: Median household income was $41,835 and per capita income was $32,979. Approximately 12.3 percent of families and 15.8 percent of individuals had income below the poverty level. OhioHealth Marion General Hospital is located at 1000 McKinley Park Drive, Marion, Marion County, Ohio 43302. The "community served" by OhioHealth Marion General Hospital is Marion County, Ohio. Review of OhioHealth internal data has shown that for Calendar Year 2014, 75.3 percent of all patients who were admitted to the hospital resided in Marion County at the time of admission. Similarly, 73.6 percent of all patients who had outpatient procedures resided in Marion County at the time when the procedure was done. Demographics of the community: Total population. In 2010, actual population was 66,501. In 2014, estimated total population was 65,720, which represents 1.2 percent decline relative to 2010. Race/Ethnicity: Among Marion County residents, 90.3 percent were White, 5.4 percent were African American, 0.6 percent were Asian, 2.3 percent were Hispanic (of any race), 0.8 percent were other races, 0.2 percent were Native American, zero percent were Pacific Islanders, and 2.7 percent were two or more races. Total minority represented 10.5 percent of the population. Age: Among Marion County residents, 5.8 percent were younger than five years of age, 15.8 percent were 5-17 years old, 8.8 percent were 18-24 years old, 26.1 percent were 25-44 years old, 29 percent were 45-64 years old and 14.4 percent were 65 years or older. Median age was 40.2 years old. Income: Median household income was $42,572 and per capita income was $34,316. Approximately 13.5 percent of families and 18.6 percent of individuals had income below the poverty level. The 2015 Marion County, Ohio Health Assessment presents additional demographic characteristics of Marion County residents. OhioHealth O'Bleness Hospital is located at 55 Hospital Drive, Athens, Ohio 45701, Athens County. The OhioHealth Nelsonville Medical and Emergency Services, located at 1950 Mount Saint Mary Drive, Nelsonville, Ohio 45764, Athens County, is an outpatient department of OhioHealth O'Bleness Hospital. In addition, OhioHealth O'Bleness Hospital operates two satellite facilities: (a) Castrop Center, located at 75 Hospital Drive, Athens, Ohio 45701, Athens County, providing diagnostic radiology and therapy services; and (b) Wound Care Center, located at 444 Union Street, Athens, Ohio 45701, Athens County, providing wound care. The "community served" by OhioHealth O'Bleness Hospital is Athens County, Ohio. Review of OhioHealth internal data has shown for Calendar Year 2014, 73.5 percent of all patients who were admitted to the hospital resided in Athens County at the time of admission. Similarly, 68.3 percent of all patients who had outpatient procedures resided in Athens County at the time when the procedure was done. Demographics of the community: Total population. In 2010, actual population was 64,757. In 2014, the estimated, total population was 64,713. Race/Ethnicity: Among Athens County residents, 91.7 percent were White, 2.4 percent were African American, 3.2 percent were Asian, 1.7 percent were Hispanic (of any race), 0.2 percent were other races, 0.1 percent were Native American, zero percent were Pacific Islander and 2.4 percent were two or more races. Total minority represented 9.5 percent of the population. Age: Among Athens County residents, 4.1 percent were younger than 5 years of age, 11.5 percent were 5 to 17 years old, 31.7 percent were 18 to 24 years old, 21.4 percent were 25 to 44 years old, 20.8 percent were 45 to 64 years old and 10.5 percent were 65 years of age or older. Median age is 26.8. Income: Median household income was $33,823 and per capita income was $29,955. Approximately 17.1 percent of families and 31.6 percent of individuals had income below the poverty level. OhioHealth Grady Memorial Hospital is located at 561 West Central Avenue, Delaware, Ohio 43015. There are no satellite facilities operated through Grady Memorial. The "community served" by OhioHealth Grady Memorial Hospital is Delaware County, Ohio. Review of OhioHealth internal data has shown that for Calendar Year 2014, 82 percent of all patients who were admitted to the hospital resided in Delaware County at the time of admission. Similarly, 75.5 percent of all patients who had outpatient procedures resided in Delaware County at the time when the procedure was done. Demographics of the community: Total population. In 2010, actual population was 174,214. In 2014, estimated total population was 189,113. Race/Ethnicity: Among Delaware County residents, 89.6 percent were White/Caucasian, 3.6 percent were African American, 4.5 percent were Asian, 2.2 percent were Hispanic (of any race), 0.5 percent were other races, 0.1 percent were Native American, zero percent were Pacific Islander and 1.7 percent consisted of two or more races. Total minority represented 12.1 percent of the population. Age: Among Delaware County residents, seven percent were under 5-years-old, 21.6 percent were 5- to 17-years-old, 6.7 percent were 18- to 24-years-old, 27.5 percent were 25- to 44-years-old, 27.1 percent were 45- to 64-years-old and 10.2 percent were 65-years-of-age or older. Median age is 37.5. Income: Median household income was $89,757 while per capita income was $67,309. Approximately 3.4 percent of families and 4.9 percent of individuals had income below the poverty level. OhioHealth Hardin Memorial Hospital is located at 921 East Franklin Street, Kenton, Ohio 43326 in Hardin County. The "community served" by OhioHealth Hardin Memorial Hospital is Hardin County, Ohio. Review of OhioHealth internal data has shown that for Calendar Year 2014, 93.1 percent of all patients who were admitted to the hospital resided in Hardin County at the time of admission. Similarly, 87.1 percent of all patients who had outpatient procedures resided in Hardin County at the time when the procedure was done. Demographics of the community: Total population. In 2010, actual population was 32,058. In 2014, estimated total population was 31,796, which represents a 0.8 percent decline relative to 2010. Race/Ethnicity: Among Hardin County residents, 96.3 percent were White, 0.9 percent were African American, 0.7 percent Asian, 1.4 percent were Hispanic (of any race), 0.2 percent other races, 0.4 percent Native American, zero percent Pacific Islander and 1.6 percent two or more races (44). Total minority represented 4.3 percent of the population. Age: Among Hardin County residents, 6.2 percent were younger than 5 years old, 17.2 percent were 5 to 17 years old, 15.8 percent were 18 to 24 years old, 22.3 percent were 25 to 44 years old, 24.7 percent were 45 to 64 years old and 13.8 percent were 65 years or older. The median age was 35.1. Income: Median household income was $40,415 and per capita income was $31,330. Approximately 11.4 percent of families and 18.2 percent of individuals had income below the poverty level.
Schedule H, Part VI, Line 5 Promotion of community health 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 $297 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.
Schedule H, Part VI, Line 6 Affiliated health care system 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 County Grady 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 County Hardin 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. OhioHealth O'Bleness Memorial Hospital - Athens County The 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 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. OhioHealth MedCentral Mansfield Hospital, and OhioHealth MedCentral Shelby Hospital - Richland County During 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.
Schedule H, Part VI, Line 7 State filing of community benefit report OH
Schedule H (Form 990) 2015
Additional Data


Software ID: 15000238
Software Version: 2015v3.0
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," on 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
2015
Open to Public
Inspection
Name of the organization
OhioHealth Corporation Group Return
 
Employer identification number
32-0007056
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) OhioHealth Corporation
180 East Broad Street
Columbus,OH43215 		31-4394942 501(c)(3) 608,347       General Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2015

Schedule I (Form 990) 2015
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
non-cash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of non-cash assistance
(1) Scholarship and Awards 280 293,675      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
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
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Committees have been established to oversee the scholarship application & selection processes. Grants are made to related organizations within the OhioHealth system for necessary general support of the respective hospitals, including the purchase of property, plant and equipment assets. These fixed assets are monitored pursuant to fixed asset management policies.
Schedule I (Form 990) 2015



Additional Data


Software ID: 15000238
Software Version: 2015v3.0


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" on 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
2015
Open to Public Inspection
Name of the organization
OhioHealth Corporation Group Return
 
Employer identification number

32-0007056
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization?
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
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 on 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 on prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Meldrum Terri W Esq
  Secretary Board 		(i)

(ii)		 0
-------------
209,750 		0
-------------
125,246 		0
-------------
2,977 		0
-------------
24,841 		0
-------------
22,909 		0
-------------
385,723 		0
-------------
0
2Morrison Karen J
  President Board 		(i)

(ii)		 0
-------------
457,555 		0
-------------
182,000 		0
-------------
27,063 		0
-------------
170,789 		0
-------------
24,576 		0
-------------
861,982 		0
-------------
0
3Vanderhoff Bruce MD
  Sr. VP and Chief Medical Officer OhioHealth 		(i)

(ii)		 0
-------------
646,430 		0
-------------
290,000 		0
-------------
25,327 		0
-------------
235,633 		0
-------------
23,826 		0
-------------
1,221,216 		0
-------------
0
4Crane Berney H
  VP Primary Care Services, OPG (start 6/15) 		(i)

(ii)		 0
-------------
133,417 		0
-------------
35,000 		0
-------------
21,774 		0
-------------
0 		0
-------------
12,201 		0
-------------
202,392 		0
-------------
0
5Louge Michael W
  Executive VP & COO 		(i)

(ii)		 0
-------------
872,827 		0
-------------
395,000 		0
-------------
18,601 		0
-------------
691,906 		0
-------------
25,826 		0
-------------
2,004,159 		0
-------------
0
6Bjerke Craig A
  Secretary/Treasurer Board (end 6/16) 		(i)

(ii)		 0
-------------
243,527 		0
-------------
74,446 		0
-------------
4,014 		0
-------------
17,163 		0
-------------
24,466 		0
-------------
363,615 		0
-------------
0
7Johnson Katherine E MD
  Chairman Board 		(i)

(ii)		 210,161
-------------
0 		26,644
-------------
0 		223
-------------
0 		9,545
-------------
0 		8,911
-------------
0 		255,485
-------------
0 		0
-------------
0
8Newbrough Jr James P
  Board 		(i)

(ii)		 0
-------------
245,070 		0
-------------
76,768 		0
-------------
14,851 		0
-------------
19,195 		0
-------------
21,966 		0
-------------
377,850 		0
-------------
0
9Blom David P
  President/CEO/Board - OhioHealth 		(i)

(ii)		 0
-------------
1,095,551 		0
-------------
632,414 		0
-------------
33,476 		0
-------------
1,026,821 		0
-------------
19,694 		0
-------------
2,807,956 		0
-------------
0
10Herbert-Sinden Cheryl L
  Chairman Board 		(i)

(ii)		 0
-------------
418,601 		0
-------------
174,240 		0
-------------
27,454 		0
-------------
198,792 		0
-------------
20,533 		0
-------------
839,620 		0
-------------
0
11Snyder Ron P
  President Board 		(i)

(ii)		 238,555
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		26,438
-------------
0 		264,993
-------------
0 		0
-------------
0
12Thornhill Hugh A
  Board 		(i)

(ii)		 0
-------------
405,747 		0
-------------
171,935 		0
-------------
26,451 		0
-------------
151,770 		0
-------------
26,326 		0
-------------
782,229 		0
-------------
0
13Niles John P
  Board 		(i)

(ii)		 0
-------------
237,345 		0
-------------
44,275 		0
-------------
25,050 		0
-------------
13,885 		0
-------------
17,191 		0
-------------
337,744 		0
-------------
0
14Yakubov Steven MD
  Board (end 5/16) 		(i)

(ii)		 1,216,043
-------------
0 		44,568
-------------
0 		99,780
-------------
0 		29,570
-------------
0 		22,246
-------------
0 		1,412,205
-------------
0 		0
-------------
0
15Abel Michael Joseph
  Board (start 7/15) 		(i)

(ii)		 0
-------------
152,359 		0
-------------
16,277 		0
-------------
23,214 		0
-------------
11,846 		0
-------------
22,219 		0
-------------
225,915 		0
-------------
0
16Ansel Gary MD
  Board (end 5/16) 		(i)

(ii)		 1,245,318
-------------
174,720 		44,265
-------------
0 		77,745
-------------
0 		28,300
-------------
0 		22,386
-------------
0 		1,418,014
-------------
174,720 		0
-------------
0
17Bay Janet MD
  Board 		(i)

(ii)		 699,827
-------------
0 		33,075
-------------
0 		48,324
-------------
0 		14,414
-------------
0 		8,911
-------------
0 		804,551
-------------
0 		0
-------------
0
18Bell Jeffrey G MD
  Board (end 5/16) 		(i)

(ii)		 295,768
-------------
0 		9,059
-------------
0 		1,651
-------------
0 		35,109
-------------
0 		18,162
-------------
0 		359,749
-------------
0 		0
-------------
0
19Bianchi Michael
  Board 		(i)

(ii)		 0
-------------
220,627 		0
-------------
69,300 		0
-------------
2,203 		0
-------------
7,950 		0
-------------
21,246 		0
-------------
321,325 		0
-------------
0
20Brandon Heather
  Board 		(i)

(ii)		 0
-------------
208,570 		0
-------------
67,666 		0
-------------
21,087 		0
-------------
20,332 		0
-------------
11,567 		0
-------------
329,222 		0
-------------
0
21Bunyard Stephen P
  Board 		(i)

(ii)		 0
-------------
324,007 		0
-------------
110,700 		0
-------------
6,722 		0
-------------
58,750 		0
-------------
9,713 		0
-------------
509,893 		0
-------------
0
22Bury Peter
  Board 		(i)

(ii)		 0
-------------
293,236 		0
-------------
91,004 		0
-------------
20,337 		0
-------------
20,926 		0
-------------
9,761 		0
-------------
435,264 		0
-------------
0
23Caulin-Glaser Teresa L MD
  Board (end 5/16) 		(i)

(ii)		 0
-------------
526,171 		0
-------------
180,100 		0
-------------
34,764 		0
-------------
31,877 		0
-------------
17,742 		0
-------------
790,653 		0
-------------
0
24Collazo Antonio E MD
  Board 		(i)

(ii)		 428,877
-------------
0 		62,534
-------------
0 		2,676
-------------
0 		13,250
-------------
0 		22,551
-------------
0 		529,888
-------------
0 		0
-------------
0
25deVillers Rebecca E DO
  Board 		(i)

(ii)		 119,200
-------------
0 		7,849
-------------
0 		16,454
-------------
0 		14,390
-------------
0 		18,662
-------------
0 		176,556
-------------
0 		0
-------------
0
26Evert Barbara MD
  Board 		(i)

(ii)		 0
-------------
302,240 		0
-------------
86,513 		0
-------------
29,675 		0
-------------
22,422 		0
-------------
8,911 		0
-------------
449,761 		0
-------------
0
27Ferris Frank MD
  Board 		(i)

(ii)		 0
-------------
270,655 		0
-------------
78,076 		0
-------------
32,215 		0
-------------
15,900 		0
-------------
14,733 		0
-------------
411,579 		0
-------------
0
28George Peter B MD
  Board 		(i)

(ii)		 880,852
-------------
0 		780
-------------
0 		90,925
-------------
0 		23,681
-------------
0 		22,386
-------------
0 		1,018,623
-------------
0 		0
-------------
0
29Geskey Joseph DO
  Board 		(i)

(ii)		 0
-------------
276,841 		0
-------------
80,672 		0
-------------
22,081 		0
-------------
13,503 		0
-------------
21,966 		0
-------------
415,063 		0
-------------
0
30Gingrich Curtis MD
  Board (start 7/15) 		(i)

(ii)		 0
-------------
321,400 		0
-------------
105,000 		0
-------------
4,899 		0
-------------
25,054 		0
-------------
24,466 		0
-------------
480,819 		0
-------------
0
31Hagen Bruce P
  Board 		(i)

(ii)		 0
-------------
514,910 		0
-------------
204,872 		0
-------------
31,660 		0
-------------
144,089 		0
-------------
17,473 		0
-------------
913,004 		0
-------------
0
32Harmon Thomas L MD
  Board 		(i)

(ii)		 0
-------------
398,721 		0
-------------
121,344 		0
-------------
7,889 		0
-------------
19,489 		0
-------------
24,886 		0
-------------
572,329 		0
-------------
0
33Herceg Milan MD
  Board 		(i)

(ii)		 0
-------------
317,019 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
317,019 		0
-------------
0
34Imm Amy MD
  Board 		(i)

(ii)		 0
-------------
408,854 		0
-------------
120,000 		0
-------------
24,087 		0
-------------
25,968 		0
-------------
23,986 		0
-------------
602,895 		0
-------------
0
35Jepson Brian D
  Board 		(i)

(ii)		 0
-------------
431,613 		0
-------------
170,000 		0
-------------
23,847 		0
-------------
59,803 		0
-------------
24,466 		0
-------------
709,729 		0
-------------
0
36Knutson Douglas MD
  Board 		(i)

(ii)		 0
-------------
386,159 		0
-------------
124,370 		0
-------------
24,753 		0
-------------
26,878 		0
-------------
10,155 		0
-------------
572,315 		0
-------------
0
37Lawson Michael S
  Board 		(i)

(ii)		 0
-------------
418,498 		0
-------------
165,528 		0
-------------
5,021 		0
-------------
57,655 		0
-------------
9,631 		0
-------------
656,333 		0
-------------
0
38Lehmuth Richard L
  Board 		(i)

(ii)		 0
-------------
344,399 		0
-------------
110,898 		0
-------------
32,955 		0
-------------
35,202 		0
-------------
8,911 		0
-------------
532,366 		0
-------------
0
39Levin Howard B DO
  Board 		(i)

(ii)		 459,893
-------------
0 		444
-------------
0 		82,967
-------------
0 		24,857
-------------
0 		23,586
-------------
0 		591,746
-------------
0 		0
-------------
0
40Millhon Judson S Jr MD
  Board 		(i)

(ii)		 748,746
-------------
0 		1,141
-------------
0 		101,121
-------------
0 		27,372
-------------
0 		22,342
-------------
0 		900,722
-------------
0 		0
-------------
0
41Neuhauser Jeffrey L
  Board (start 7/15) 		(i)

(ii)		 149,514
-------------
0 		1,703
-------------
0 		1,234
-------------
0 		9,402
-------------
0 		17,672
-------------
0 		179,526
-------------
0 		0
-------------
0
42Reichfield Michael L
  Board 		(i)

(ii)		 0
-------------
365,118 		0
-------------
153,796 		0
-------------
25,558 		0
-------------
128,443 		0
-------------
22,556 		0
-------------
695,470 		0
-------------
0
43Smith Rita J RN
  Board 		(i)

(ii)		 111,815
-------------
0 		11,963
-------------
0 		2,701
-------------
0 		27,666
-------------
0 		9,271
-------------
0 		163,416
-------------
0 		0
-------------
0
44Snow Richard J DO
  Chairman Board 		(i)

(ii)		 0
-------------
348,309 		0
-------------
99,398 		0
-------------
26,323 		0
-------------
22,419 		0
-------------
25,486 		0
-------------
521,935 		0
-------------
0
45Urse Geraldine L DO
  Board 		(i)

(ii)		 232,749
-------------
0 		419
-------------
0 		8,876
-------------
0 		24,785
-------------
0 		10,051
-------------
0 		276,880
-------------
0 		0
-------------
0
46von Gunten Charles MD
  Board 		(i)

(ii)		 0
-------------
269,865 		0
-------------
62,027 		0
-------------
27,704 		0
-------------
15,893 		0
-------------
14,733 		0
-------------
390,223 		0
-------------
0
47Vora Sanjay K MD
  Board 		(i)

(ii)		 260,530
-------------
0 		63,354
-------------
0 		20,171
-------------
0 		13,318
-------------
0 		23,903
-------------
0 		381,275
-------------
0 		0
-------------
0
48Wasielewski Ray MD
  Board 		(i)

(ii)		 743,643
-------------
0 		375
-------------
0 		21,348
-------------
0 		23,935
-------------
0 		23,746
-------------
0 		813,046
-------------
0 		0
-------------
0
49Armstrong Stacey K
  VP Central Ohio Specialty OPG (start 6/15) 		(i)

(ii)		 0
-------------
114,045 		0
-------------
25,000 		0
-------------
12,266 		0
-------------
6,804 		0
-------------
11,160 		0
-------------
169,275 		0
-------------
0
50Cecala Alan H
  VP Sys Serv Line Sup OPG 		(i)

(ii)		 0
-------------
262,893 		0
-------------
84,715 		0
-------------
5,943 		0
-------------
15,900 		0
-------------
23,925 		0
-------------
393,376 		0
-------------
0
51Chickerella Danielle C (Roth)
  VP Operations OPG (end 7/15) 		(i)

(ii)		 0
-------------
118,950 		0
-------------
0 		0
-------------
116,040 		0
-------------
349 		0
-------------
18,320 		0
-------------
253,660 		0
-------------
0
52Jernejcic Randy M MD
  VP Medical Affairs OPG 		(i)

(ii)		 0
-------------
283,503 		0
-------------
70,000 		0
-------------
22,829 		0
-------------
13,386 		0
-------------
22,489 		0
-------------
412,206 		0
-------------
0
53Lucius Staci E
  COO OPG 		(i)

(ii)		 0
-------------
239,053 		0
-------------
305,350 		0
-------------
3,998 		0
-------------
13,250 		0
-------------
13,665 		0
-------------
575,316 		0
-------------
0
54Smith Jeffrey A
  VP Finance OPG 		(i)

(ii)		 0
-------------
239,273 		0
-------------
74,770 		0
-------------
10,452 		0
-------------
17,256 		0
-------------
25,368 		0
-------------
367,119 		0
-------------
0
55Yates Vinson M
  Senior VP & CFO 		(i)

(ii)		 0
-------------
550,919 		0
-------------
229,000 		0
-------------
27,236 		0
-------------
215,503 		0
-------------
26,326 		0
-------------
1,048,984 		0
-------------
0
56Barnes II Earl J Esq
  Senior VP & General Counsel 		(i)

(ii)		 0
-------------
428,063 		0
-------------
183,000 		0
-------------
25,456 		0
-------------
151,730 		0
-------------
22,670 		0
-------------
810,920 		0
-------------
0
57Abaza Ronney MD
  Physician Urology 		(i)

(ii)		 975,193
-------------
0 		580,735
-------------
0 		1,217
-------------
0 		13,250
-------------
0 		25,886
-------------
0 		1,596,280
-------------
0 		0
-------------
0
58Bernhard Matthew
  Physician Core OPG 		(i)

(ii)		 1,309,623
-------------
0 		150,375
-------------
0 		51,471
-------------
0 		0
-------------
0 		17,912
-------------
0 		1,529,381
-------------
0 		0
-------------
0
59Cassandra James C DO
  Physician Hand & Ortho Surgery OPG 		(i)

(ii)		 1,351,544
-------------
0 		233,305
-------------
0 		18,458
-------------
0 		20,057
-------------
0 		26,807
-------------
0 		1,650,171
-------------
0 		0
-------------
0
60Dorbish Ronald
  Physician Core OPG 		(i)

(ii)		 1,197,297
-------------
0 		418,491
-------------
0 		78,391
-------------
0 		20,595
-------------
0 		22,746
-------------
0 		1,737,520
-------------
0 		0
-------------
0
61Kovack Thomas J DO
  Physician Ortho Surgery (General) 		(i)

(ii)		 2,316,311
-------------
0 		20,603
-------------
0 		18,512
-------------
0 		6,143
-------------
0 		24,886
-------------
0 		2,386,456
-------------
0 		0
-------------
0
62Bishop Thomas E
  FRM VP Primary Care Svcs OPG (end 4/15) 		(i)

(ii)		 0
-------------
107,350 		0
-------------
24,510 		0
-------------
30,847 		0
-------------
0 		0
-------------
6,387 		0
-------------
169,094 		0
-------------
0
63Chamberlain Joseph L
  FRM President/VP - MedCentral (end 5/14) 		(i)

(ii)		 35,281
-------------
0 		0
-------------
0 		393,307
-------------
0 		0
-------------
0 		22,224
-------------
0 		450,813
-------------
0 		0
-------------
0
64Dicken Ken
  FRM CFO - SAHF (end 8/14) 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
121,981 		0
-------------
0 		0
-------------
0 		0
-------------
121,981 		0
-------------
0
65Foley Denise E
  FRM VP Business Development - OPG (end 4/15) 		(i)

(ii)		 0
-------------
77,559 		0
-------------
60,473 		0
-------------
341,208 		0
-------------
2,564 		0
-------------
21,706 		0
-------------
503,510 		0
-------------
0
66Laterro Anita A
  FRM Key Employee 		(i)

(ii)		 0
-------------
161,871 		0
-------------
54,471 		0
-------------
23,889 		0
-------------
25,819 		0
-------------
19,742 		0
-------------
285,793 		0
-------------
0
67Long Greg
  COO - DHN (end 10/14) 		(i)

(ii)		 0
-------------
15,662 		0
-------------
0 		0
-------------
154,984 		0
-------------
47 		0
-------------
9,642 		0
-------------
180,336 		0
-------------
0
68Rothstein Mark MD
  Sr. VP/Executive Director - SAHF 		(i)

(ii)		 342,666
-------------
0 		0
-------------
0 		36,824
-------------
0 		20,543
-------------
0 		21,716
-------------
0 		421,749
-------------
0 		0
-------------
0
69Sanders John W
  FRM President MGH (end 4/14) 		(i)

(ii)		 0
-------------
19,008 		0
-------------
0 		0
-------------
272,495 		0
-------------
0 		0
-------------
13,716 		0
-------------
305,219 		0
-------------
0
70Millen Robert P
  FRM Executive VP & Chief Operating Officer OhioHlth (end 12/14) 		(i)

(ii)		 0
-------------
22,492 		0
-------------
155,000 		0
-------------
849 		0
-------------
0 		0
-------------
10 		0
-------------
178,352 		0
-------------
0
71Seckinger Mark R
  FRM Secretary Board 		(i)

(ii)		 0
-------------
230,541 		0
-------------
81,900 		0
-------------
33,847 		0
-------------
61,454 		0
-------------
10,323 		0
-------------
418,065 		0
-------------
0
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
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
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The Parent Corporation (a related organization) used the following methods to establish the compensation of the CEO for each of the filing organizations included 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
Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUALS LISTED IN FORM 990, PART VII RECEIVED SEVERANCE PAYMENTS: Joseph L. Chamberlain $393,307.20, KEN DICKEN $121,980.78, GREG LONG $154,984.24, JOHN W. SANDERS $272,463.24, DANIELLE (ROTH) CHICKERELLA $93,320.79, DENISE E. FOLEY $145,138.75.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan There were no individuals listed in Form 990, Part VII that received distributions from a supplemental non-qualified retirement plan. Eligible executives listed in the Form 990, Part VII participate in a supplemental non-qualified plan. These arrangements are an industry standard and are unfunded. Due to the substantial risk of forfeiture provision, there is no guarantee that these officers will ever receive these benefits. Amounts for these arrangements are included in the deferred compensation amount.
Schedule J, Part I, Line 7 Non-fixed payments 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).
Schedule J (Form 990) 2015
Additional Data


Software ID: 15000238
Software Version: 2015v3.0
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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 (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
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) 2015
Schedule L (Form 990 or 990-EZ) 2015
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Marissa Root
  		Spouse of HMH Director (Chip Root) 13,602 Comp/Ben - Spouse is employed at Hardin Memorial Hospital and receives compensation.   No
(2) Kaley Haas
  		Daughter-in-Law of MGH Vice-Chairman (Robert S. Haas, Ph.D.) 47,118 Comp/Ben - Daughter-in-Law is employed at Marion General Hospital, Inc. and receives compensation.   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L, Part IV (a) Name of Person: Marissa Root (b) Relationship Between Interested Person and Organization: Spouse of HMH Director (Chip Root) (d) Description of Transaction: Comp/Ben - Spouse is employed at HMH and receives compensation. (a) Name of Person: Kaley Haas (b) Relationship Between Interested Person and Organization: Daughter-in-law of MGH Vice-Chairman (Robert S. Haas, Ph. D.) (d) Description of Transaction: Comp/Ben - Daughter-in-law is employed at Marion General Hospital and receives compensation.
Schedule L (Form 990 or 990-EZ) 2015


Additional Data


Software ID: 15000238
Software Version: 2015v3.0




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete 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 imageInformation about Schedule M (Form 990) and its instructions is at www.irs.gov/form990
OMB No. 1545-0047
2015
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 .        
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 Right pointing arrow large image ( ICU Waiting Room Furniture ) X 1 5,000 Cost
26 Other Right pointing arrow large image ( Cuddle Cot Infant Cooling Device ) X 5 13,628 Cost
27 Other Right pointing arrow large image ( Other ) X 20 8,099 Cost
28 Other Right pointing arrow large image ( )
29
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
29
0
Yes
No
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
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
Yes
 
b
If "Yes," describe in Part II.
33
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) (2015)
Schedule M (Form 990) (2015)
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
Schedule M, Part I, Line 32b Third parties used to solicit, process, or sell noncash contributions The Huntington Investment Co., HCO729, 41 S. High St., Columbus, OH 43215, sells all stock and security gifts received.
Schedule M, Part I Explanations of reporting method for number of contributions Other - ICU Waiting Room Furniture: Number of items received Other - Cuddle Cot Infant Cooling Device: Number of items received Other - Other: Combination of both methods
Schedule M (Form 990) (2015)

Additional Data


Software ID: 15000238
Software Version: 2015v3.0
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
2015
Open to Public
Inspection
Name of the organization
OhioHealth Corporation Group Return
 
Employer identification number

32-0007056
Return Reference Explanation
Form 990, Part III, Line 4d Description of other program services (Expenses $ 2,924,758 including grants of $ 902,022)(Revenue $ 11,341,473) 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.
Form 990, Part VI, Line 2 Business Relationships 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, and Sheltering Arms Hospital Foundation, and Kerrii B. Anderson, Treasurer of Grady Memorial Hospital, MedCentral Mansfield Hospital, MedCentral Shelby Hospital, and Sheltering Arms Hospital Foundation, have a business relationship.
Form 990, Part VI, Line 6 Classes of members or stockholders 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, Line 7a Members or stockholders electing members of governing body 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, Line 7b Decisions requiring approval by members or stockholders Revisions of the Code of Regulations that affect the rights of the Member must be approved by the Member.
Form 990, Part VI, Line 11b Review of form 990 by governing body 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, Line 12c Conflict of interest policy 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, Line 15a Process to establish compensation of top management official 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 2015 base salary and his 2015 total compensation which includes all incentive plans and benefits were estimated to approximate the 76th 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 6/30/2014 was at the 85th percentile and for FY 6/30/2015 was at the 81st 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 2015 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.
Form 990, Part VI, Line 15b Process to establish compensation of other employees 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, Line 19 Required documents available to the public Information is made available as required.
Form 990, Part VII, Section A Meldrum, Terri W., Esq ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Secretary Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Morrison, Karen J. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: President Board, AverageHours: 20.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Vanderhoff, Bruce, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: OhioHealth Research Foundation, Title: Sr VP CMO/Vice-Chair Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Crane, Berney H. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: VP Primary Care Services, OPG (start 6/15), AverageHours: 0.000; Officer Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Louge, Michael W. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Chairman/VP Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Bjerke, Craig A. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Secretary/Treasurer Board (end 6/16), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: HomeReach, Title: Secretary/Treasurer Board (end 6/16), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Home Reach HomeCare, Title: Secretary/Treasurer Board (end 6/16), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: OhioHealth Physician Group, Inc.., Title: Treasurer Board (end 6/16), AverageHours: 1.000; Officer Organization Name: Appalachian Community Visiting Nurse Association, Title: Secretary/Treasurer Board (end 6/16), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Jennings, Matthew ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Hardin Memorial Hospital, Title: Chairman Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Hardin Physician Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Johnson, Katherine E., M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core OPG, AverageHours: 40.000; Organization Name: Hardin Physician Foundation, Title: Chairman Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Newbrough Jr., James P. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (End 7/16), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Appalachian Community Visiting Nurse Association, Title: President, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Sanner, Robert O. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Chairman Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Grady Memorial Hospital, Title: Board (start 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board (start 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board (start 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Anderson, Kerrii B. ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Treasurer Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: MedCentral Health System, Title: Treasurer Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Sheltering Arms Hospital Foundation, Title: Treasurer Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Blom, David P. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: CEO/Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: OhioHealth Physician Group, Inc.., Title: CEO/Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Grady Memorial Hospital, Title: CEO/Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: MedCentral Health System, Title: CEO/Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Sheltering Arms Hospital Foundation, Title: CEO/Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Appalachian Community Visiting Nurse Association, Title: CEO, AverageHours: 1.000; Officer Organization Name: OhioHealth Research Foundation, Title: CEO, AverageHours: 1.000; Officer Organization Name: Hardin Memorial Hospital, Title: CEO, AverageHours: 1.000; Officer Organization Name: Hardin Physician Foundation, Title: CEO, AverageHours: 1.000; Officer Organization Name: Hardin Memorial Hospital Foundation, Title: CEO, AverageHours: 1.000; Officer Organization Name: HomeReach, Title: CEO, AverageHours: 1.000; Officer Organization Name: Home Reach HomeCare, Title: CEO, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Bradley, Kevin G. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Secretary Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Foreman, Ivery D. Esq. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Secretary/Treasurer Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Haas, Robert S., Ph.D. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Vice-Chair, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Herbert-Sinden, Cheryl L. ADDITIONAL POSITIONS HELD Organization Name: HomeReach, Title: Chairman Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Home Reach HomeCare, Title: Chairman Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marion General Hospital Inc. , Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Appalachian Community Visiting Nurse Association, Title: Chairman Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A McConnell, John P. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Vice-Chair Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Grady Memorial Hospital, Title: Vice-Chair Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: MedCentral Health System, Title: Vice-Chair Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Sheltering Arms Hospital Foundation, Title: Vice-Chair Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Oates, Todd, O.D. ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Secretary Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Hardin Physician Foundation, Title: Board (start 1/16), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Parker, Mark S. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Treasurer Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Rasmussen, Steven ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Chairman Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: MedCentral Health System, Title: Chairman Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Sheltering Arms Hospital Foundation, Title: Chairman Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Root, Chip ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Treasurer Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Hardin Physician Foundation, Title: Board (start 1/16), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Schwemer, John ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Vice-Chair, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Hardin Physician Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Scott, Bradley N. ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Secretary Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: MedCentral Health System, Title: Secretary Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Sheltering Arms Hospital Foundation, Title: Secretary Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Snyder, Ron P. ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Board, AverageHours: 41.000; IndividualTrusteeOrDirector Organization Name: Hardin Memorial Hospital Foundation, Title: President Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Hardin Physician Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Thornhill, Hugh A. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Gutheil, Paige D.O. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Administrative Physician, AverageHours: 40.000; Organization Name: Grady Memorial Hospital, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Niles, John P. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Yakubov, Steven, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core OPG, AverageHours: 40.000; Organization Name: OhioHealth Research Foundation, Title: Board (end 5/16), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Abbott, Lawrence C. ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Abel, Michael Joseph ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (start 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Abraham, Tara M. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Akins, Nicholas ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Anderson, Douglas T. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Anderson, Thomas, D.O. ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Andreoli, Steven ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ansel, Gary, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Cardio Interventional, AverageHours: 40.000; Organization Name: OhioHealth Research Foundation, Title: Board (end 5/16), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Barrett, Scott ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Hardin Memorial Hospital Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Basil, Brian A. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bay, Janet, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core OPG, AverageHours: 40.000; Organization Name: OhioHealth Research Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bell, Jeffrey G., M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician GYN/ONC, AverageHours: 40.000; Organization Name: OhioHealth Research Foundation, Title: Board (end 5/16), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Berwanger, Joseph M. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bianchi, Michael ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bing, Arthur G.H., M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Blazyk, Jack, Ph.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Board (end 5/16), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bloomfield, Toni ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Brandon, Heather ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bright, David ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Buckley, Donna ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (end 10/15), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bunyard, Stephen P. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bury, Peter ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Butler, David ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Cadwallader, Patricia S. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Campbell, Thomas ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Casperson, April, Rev. ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Caulin-Glaser, Teresa L., M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Board (end 5/16), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Chambers, Linda, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: President Elect - Medical Staff, AverageHours: 40.000; Organization Name: OhioHealth Foundation Inc., Title: Board (end 12/15), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Chester-Alexander, Cecily ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Coley-Malir, Bonnie ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Collazo, Antonio E., M.D. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Crane, Tanny ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Chairman Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Grady Memorial Hospital, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Cunningham, Jane Watson ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Deep, Donald P., M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician President Med Staff, AverageHours: 40.000; Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Grady Memorial Hospital, Title: Board (start 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board (start 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board (start 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A deVillers, Rebecca E., D.O. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core OPG, AverageHours: 40.000; Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Dewire, Rev. Dr. Norman E. ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DiMarco, Ann M. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Doody Anderson, Elizabeth ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Englefield, Cynthia ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: HomeReach, Title: Board (end 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Home Reach HomeCare, Title: Board (end 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Appalachian Community Visiting Nurse Association, Title: Board (end 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Evert, Barbara, M.D. ADDITIONAL POSITIONS HELD Organization Name: HomeReach, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Home Reach HomeCare, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Appalachian Community Visiting Nurse Association, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Fellenz, Donald C. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (end 5/16), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ferris, Frank, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Fields, Steven P. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Flesch, Thomas G. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Fletcher, Paul ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Board (start 11/15), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A France, Mandy ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gabriel, Paul, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Grady Memorial Hospital, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gallagher-Allred, Charlette Ph.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Geese, Ronald L. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A George, Peter B., M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core OPG, AverageHours: 40.000; Organization Name: OhioHealth Foundation Inc., Title: Board , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Geskey, Joseph, D.O. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gingrich, Curtis, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (start 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Glandon, Philip J. Sr. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Govekar, Michele ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Board (end 11/15), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Hardin Physician Foundation, Title: Board (end 11/15), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gregory, Ramon ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (start 1/16), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Griffin, Scott R. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Habash, Stephen J. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hagen, Bruce P. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Harmon, Thomas L. M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Haushalter, Nikki ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Board (start 1/16), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Heilman, Max ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Board (end 12/15), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Heilman, Sharon ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Herceg, Milan M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hidaka, Yoshihiro ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hinderer, Justin ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Imm, Amy, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Infante, Stephanie ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ingram, Lisa ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Board (start 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board (start 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board (start 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Irelan, Vic ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A James, Donna ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Jepson, Brian D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Johnston, Tom ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kiger, Rev. Daniel A. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kile, Carolyn S. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board (start 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Knutson, Douglas M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Laber, Melissa ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A LaRocca, Nicholas J. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Lause, Lew ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Lawson, Michael S. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Lehmuth, Richard L. ADDITIONAL POSITIONS HELD Organization Name: HomeReach, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Home Reach HomeCare, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Appalachian Community Visiting Nurse Association, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Levin, Howard B., D.O. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core OPG, AverageHours: 40.000; Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Loudenslager, Roy A. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Mackessy, James P. M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Family Medicine, AverageHours: 40.000; Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A McCloy, George W. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A McComas, Janie ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A McCullough, Steve ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A McFarland, James E. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Menning, Michael E. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Mercker, Julie ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Meyer, Harlan, M.D. ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Miller, Donald M., M.D. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board (start 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Millhon, Judson S. Jr., M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core OPG, AverageHours: 40.000; Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Music, William D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Neuhauser, Jeffrey L. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core OPG, AverageHours: 40.000; Organization Name: Hardin Memorial Hospital, Title: Board (Start 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A O'Mara, Shay, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Palmer, Bishop Gregory ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Patterson, David T. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Powers, James, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (start 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Rader, Traci ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Board (start 1/16), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Radway, Rob ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Hardin Physician Foundation, Title: Board (end 12/15), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ragan, Virginia D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ravi, Srinivas P., M.D. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Reddy, Sudesh S., M.D. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Reichfield, Michael L. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Riley, Joel ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (start 7/15), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Royer, Mariann ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Sanese, Ralph Jr. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Schwarz, David H. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Eric C. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Linda ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Rita J., RN ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Snow, Richard J., D.O. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Chairman Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Swiatek, Valerie B. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Terapak, Richard G. Esq. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Trell, Eugene, D.O. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Urse, Geraldine L., D.O. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Director Medical Education DRS, AverageHours: 40.000; Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A von Gunten, Charles, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Vora, Sanjay K., M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician - MNMAP, AverageHours: 40.000; Organization Name: Marion General Hospital Inc. , Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Vornbrock, Page ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Walter, Matt ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Wasielewski, Ray, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core OPG, AverageHours: 40.000; Organization Name: OhioHealth Research Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Weiler, Alan R. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Weiler, Robert ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Westwater, Leah ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A White, Aimee ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A White, Scott ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A White, Willis S. Jr. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Young, Beverly S. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Armstrong, Stacey K. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: VP Central Ohio Specialty OPG (start 6/15), AverageHours: ; Officer
Form 990, Part VII, Section A Cecala, Alan H. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: VP Sys Serv Line Sup OPG, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Chickerella, Danielle C. (Roth) ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: VP Operations OPG (end 7/15), AverageHours: 0.000; Officer
Form 990, Part VII, Section A Jernejcic, Randy M., M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: VP Medical Affairs OPG, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Lucius, Staci E. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: COO OPG , AverageHours: 40.000; Officer
Form 990, Part VII, Section A Smith, Jeffrey A ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: VP Finance OPG, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Yates, Vinson M. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: CFO, AverageHours: 1.000; Officer Organization Name: OhioHealth Physician Group, Inc.., Title: CFO, AverageHours: 1.000; Officer Organization Name: OhioHealth Research Foundation, Title: CFO, AverageHours: 1.000; Officer Organization Name: Grady Memorial Hospital, Title: CFO, AverageHours: 1.000; Officer Organization Name: Hardin Memorial Hospital, Title: CFO, AverageHours: 1.000; Officer Organization Name: Hardin Physician Foundation, Title: CFO, AverageHours: 1.000; Officer Organization Name: HomeReach, Title: CFO, AverageHours: 1.000; Officer Organization Name: Hardin Memorial Hospital Foundation, Title: CFO, AverageHours: 1.000; Officer Organization Name: Home Reach HomeCare, Title: CFO, AverageHours: 1.000; Officer Organization Name: MedCentral Health System, Title: CFO, AverageHours: 1.000; Officer Organization Name: Sheltering Arms Hospital Foundation, Title: CFO, AverageHours: 1.000; Officer Organization Name: Appalachian Community Visiting Nurse Association, Title: CFO, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Abaza, Ronney, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Urology, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Bernhard, Matthew ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core OPG, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Cassandra, James C., D.O. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Hand & Ortho Surgery OPG, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Dorbish, Ronald ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core OPG, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Kovack, Thomas J., D.O. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Ortho Surgery (General), AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Bishop, Thomas E. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc..(Former), Title: FRM VP Primary Care Svcs OPG (end 4/15), AverageHours: ; KeyEmployee
Form 990, Part VII, Section A Chamberlain, Joseph L. ADDITIONAL POSITIONS HELD Organization Name: MedCentral Health System(Former), Title: FRM President/VP - MedCentral (end 5/14), AverageHours: ; KeyEmployee
Form 990, Part VII, Section A Dicken, Ken ADDITIONAL POSITIONS HELD Organization Name: Sheltering Arms Hospital Foundation(Former), Title: FRM CFO - SAHF (end 8/14), AverageHours: ; KeyEmployee
Form 990, Part VII, Section A Foley, Denise E. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc..(Former), Title: FRM VP Business Development - OPG (end 4/15), AverageHours: ; KeyEmployee
Form 990, Part VII, Section A Laterro, Anita A. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc.(Former), Title: FRM Key Employee, AverageHours: 0.000; KeyEmployee
Form 990, Part VII, Section A Long, Greg ADDITIONAL POSITIONS HELD Organization Name: Doctors Health Corporation of Nelsonville(Former), Title: COO - DHN (end 10/14), AverageHours: ; KeyEmployee
Form 990, Part VII, Section A Rothstein, Mark, M.D. ADDITIONAL POSITIONS HELD Organization Name: Sheltering Arms Hospital Foundation(Former), Title: Sr. VP/Executive Director - SAHF, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Sanders, John W. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. (Former), Title: FRM President MGH (end 4/14), AverageHours: ; KeyEmployee
Form 990, Part VII, Section A Millen, Robert P. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc..(Former), Title: FRM Executive VP & Chief Operating Officer OhioHlth (end 12/14), AverageHours: 0.000; Officer
Form 990, Part VII, Section A Seckinger, Mark R ADDITIONAL POSITIONS HELD Organization Name: Hardin Physician Foundation(Former), Title: FRM Secretary Board, AverageHours: ; Officer
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All other revenue - Total Revenue: 26262764, Related or Exempt Function Revenue: 25571102, Unrelated Business Revenue: 691662, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances Intercompany Transactions - XXX-XX-XXXX; Net Assets Released from Restriction for PP&E - 52107; Transfers to Related Organizations - -6104494; Pension Related Changes - -6038181; Other - 554303;
Form 990, Part XII, Line 3b OhioHealth Corporation was required to undergo an A-133 audit due to federal awards received by the organization and several of its wholly-owned subsidiaries.
Form 990, Part VII, Section A (Compensation Disclosure) Board members are not compensated for their role related to any OhioHealth Board. However, there are several Board members who are employed by various OhioHealth entities. In these particular scenarios, compensation is disclosed for their occupational role and not for their Board role.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


Additional Data


Software ID: 15000238
Software Version: 2015v3.0
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2015
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
Columbus,OH432153707
20-1501295 		Practice Management Services OH 0 0 GrantRiverside Medical Care Foundation
 
(2) Orthopedic Trauma Services Ltd
180 East Broad Street
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 -4,678,742 6,457,465 Grady Memorial Hospital System
 
(7) OhioHealth MedCentral Professional Foundation
335 Glessner Avenue
Mansfield,OH44903
26-1775665 		Healthcare OH -25,257,025 1,898,416 MedCentral Health System
 
(8) Athens Medical Associates LLC
75 Hospital Drive
Athens,OH45701
02-0734615 		Physician Services OH -5,877,314 4,566,718 O'Bleness Memorial Hospital
 
(9) OhioHealth Regional Physician Services LLC
180 East Broad Street
Columbus,OH432153707
47-2512005 		Healthcare OH -14,865,440 2,427,591 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?
Yes No
(1)Hospital Properties Inc
180 East Broad Street
33rd Floor
Columbus,OH432153707
31-1206071 		Property Management OH 501(c)(2   OhioHealth Corporation
 
Yes
 












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) OhioHealth Sleep Services LLC

6185 Huntley Road Ste B
Columbus,OH43229
20-1547399 		Physician Practice OH NA
  		N/A 0 0            
(2) Polaris Surgery Center LLC

6200 Cleveland Avenue
Columbus,OH43231
20-8074623 		Medical Services OH NA
  		N/A 0 0            
(3) Upper Arlington Medical Limited Partnership

180 East Broad Street
Columbus,OH43215
31-1472667 		Medical Services OH NA
  		N/A 0 0            
(4) ESWL Real Estate & Equipment Ltd Partnership

100 W Third Ave
Columbus,OH43201
31-1138732 		Equipment Rental OH NA
  		N/A 0 0            
(5) Grant Scope Center LLC

180 East Broad Street
Columbus,OH43215
26-0765486 		Endoscopy Services OH NA
  		N/A 0 0            
(6) OhioHealth Rehabilitation Hospital LLC

4714 Gettysburg Road
Mechanicsburg,OH17055
46-2458436 		Medical Services OH NA
  		N/A 0 0            
(7) Westerville Endoscopy Center LLC

262 Neil Avenue
Columbus,OH43215
46-2755661 		Endoscopy Services OH NA
  		N/A 0 0            
(8) OhioHealth Group Ltd

155 East Broad Street
Columbus,OH43215
31-1446804 		Managed Health Care OH NA
  		N/A 0 0            
(9) O'Bleness Memorial Pain Management LLC

55 Hospital Drive
Athens,OH45701
45-4587317 		Medical Services OH O'Bleness Hospital
  		Related 212,729 347,884   No   Yes    
(10) Athens Surgery Center

75 Hospital Drive
Athens,OH45701
55-0840856 		Medical Services OH O'Bleness Hospital
  		Related 521,604 951,863   No   Yes    
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) OhioHealth Star Corporation

180 East Broad Street
Columbus,OH432153707
31-1119936 		Administrative Services OH NA
  		C Corporation         No
(2) HardinCare Inc

921 East Franklin Street
Kenton,OH43326
34-1492617 		Property Management OH Hardin Memorial Hospital
  		C Corporation 10,572 855,214 100 % Yes  
(3) Intel Health Services Ins Co (SPC) LTD

PO Box 1051
Governors Square
  Grand CaymanKY11102
CJ
98-1288216 		Insurance/Reinsurance CJ NA
  		C Corporation         No








Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Intel Health Services Ins Co (SPC) Ltd

 P 798,333 Actual Amount Transferred
(2) Hospital Properties Inc

 K 1,926,327 Actual Amount Paid
(3) Hospital Properties Inc

 Q 86,859 Actual Amount Paid
(4) OhioHealth Corporation

 R 139,248,827 Actual Amount Transferred
(5) OhioHealth Corporation

 S 5,983,803 Actual Amount Transferred
(6) OhioHealth Corporation

 B 608,347 Actual Amount Paid
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
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Schedule R (Form 990) 2015

Additional Data


Software ID: 15000238
Software Version: 2015v3.0