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)
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OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 07-01-2019 , and ending 06-30-2020
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)
3430 OhioHealth Parkway
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Columbus, OH43202
D Employer identification number

32-0007056
E Telephone number

G Gross receipts $ 1,783,677,626
F Name and address of principal officer:
Stephen E Markovich MD
3430 OhioHealth Parkway
Columbus,OH43202
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) ........ 3 211
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 135
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 7,937
6 Total number of volunteers (estimate if necessary) ............. 6 1,366
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 320,647
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b -307,673
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 18,293,127 21,665,803
9 Program service revenue (Part VIII, line 2g) ......... 1,198,099,770 1,223,138,026
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 16,757,275 9,777,298
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 176,501,036 216,155,268
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,409,651,208 1,470,736,395
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,983,660 7,877,506
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,001,824,838 1,118,329,858
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet3,988,663    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 519,381,382 529,588,526
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,523,189,880 1,655,795,890
19 Revenue less expenses. Subtract line 18 from line 12....... -113,538,672 -185,059,495
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,135,645,239 1,239,238,953
21 Total liabilities (Part X, line 26)............. 492,266,987 706,497,378
22 Net assets or fund balances. Subtract line 21 from line 20..... 643,378,252 532,741,575
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.
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Signature of officer Date
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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 (2019)
Form 990 (2019)
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 $ 1,015,433,997 including grants of $   ) (Revenue $ 1,252,923,075 )
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, OhioHealth MedCentral Mansfield Hospital, OhioHealth Marion General Hospital, OhioHealth O'Bleness Memorial Hospital, OhioHealth Grady Memorial Hospital, OhioHealth Hardin Memorial Hospital, OhioHealth MedCentral Shelby Hospital, and OhioHealth HomeReach 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, integrity, and diversity and inclusion. 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 $ 332,897,912 including grants of $   ) (Revenue $ 162,634,943 )
In fiscal year 2020 (July 1, 2019 through June 30, 2020), 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 $479.1 million in charity care and community benefit programs and services, reaching hundreds of thousands of people in the communities we serve. Of this total, $173.0 million was provided by OhioHealth MedCentral Mansfield Hospital, Marion General Hospital, O'Bleness Memorial Hospital, Grady Memorial Hospital, Hardin Memorial Hospital, OhioHealth MedCentral Shelby Hospital and other related Group entities. During FY2020 the filing organization's operations were significantly impacted by the challenges of the COVID-19 global pandemic as shelter-in-place orders and government mandates to suspend elective procedures were implemented in order to combat the outbreak. OhioHealth honored its commitment to the people of Ohio by providing care for patients and support to the communities served. 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 $ 15,931,484 including grants of $   ) (Revenue $ 8,578,835 )
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 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 14 Years of Improving Care Transcatheter Aortic Valve Replacement For ten 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 human 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 years - 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 fourteen 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 $ 4,568,741 including grants of $ 7,877,506 ) (Revenue $ 3,289,100 )
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 $ 4,568,741 including grants of $ 7,877,506 ) (Revenue $ 3,289,100 )
4e Total program service expensesMediumBullet1,368,832,134
Form 990 (2019)
Form 990 (2019)
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
 
 
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 VIIClick to see attachment.......
11b
Yes
 
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 IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII......................
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
 
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
 
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
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 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) 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, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? 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
 
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
740
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
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
7,937
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
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
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
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2019)
Form 990 (2019)
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
211
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
135
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A 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:
MediumBulletOHIOHEALTH CORPORATE FINANCE DEPARTMENT3430 OHIOHEALTH PARKWAY   Columbus,OH43202 (614) 544-4137
Form 990 (2019)
Form 990 (2019)
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.

See instructions for the order in which to list the persons above.
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) Akins Nicholas
 
Vice Chair - Board OhioHlth
 3.0
.................
1.0 		X   X       0 0 0
(2) Anderson Kerrii B
 
Treasurer Board - OhioHlth
 3.0
.................
1.0 		X   X       0 0 0
(3) Bradley Kevin G
 
Chair Board (End 3/20)
 1.0
.................
1.0 		X   X       0 0 0
(4) Caulin-Glaser Teresa L MD
 
Chair Board (End 11/19)
 1.0
.................
40.0 		X   X       0 1,113,149 272,559
(5) Dewire Rev Dr Norman E
 
Secretary Board - OhioHlth
 3.0
.................
1.0 		X   X       0 0 0
(6) Foreman Ivery D Esq
 
Secretary/Treasurer Board
 1.0
.................
0 		X   X       0 0 0
(7) Haas Robert S PhD
 
Chair Board
 1.0
.................
0 		X   X       0 0 0
(8) Herbert Cheryl L
 
Chair Board
 1.0
.................
40.0 		X   X       0 880,070 285,326
(9) Hondros Linda
 
Board Chair (Start 7/19)
 4.0
.................
1.0 		X   X       0 0 0
(10) Jennings Matthew
 
Secretary Board
 2.0
.................
0 		X   X       0 0 0
(11) Johnson Katherine E MD
 
Chair Board
 41.0
.................
0 		X   X       197,039 0 23,700
(12) Kile Carolyn S
 
Board - Secretary/Treasurer
 1.0
.................
0 		X   X       0 0 0
(13) Knutson Douglas MD
 
Vice-Chair Board
 1.0
.................
40.0 		X   X       0 630,206 99,492
(14) Louge Michael W
 
Executive VP & COO
 2.0
.................
41.0 		X   X       0 1,936,793 734,159
(15) Markovich Stephen E MD
 
CEO/President/Board-OhioHealth (Start 7/19)
 11.0
.................
41.0 		X   X       0 2,229,969 1,290,876
(16) McConnell John P
 
Chair - OHIOHLTH
 4.0
.................
1.0 		X   X       0 0 0
(17) McCullough Steve
 
Treasurer Board
 2.0
.................
0 		X   X       0 0 0
Form 990 (2019)
Form 990 (2019)
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) McFarland James E
 
Vice-Chair Board
 1.0
.......................0 		X   X       0 0 0
(19) Meldrum Terri W Esq
 
Secretary Board
 2.0
.......................41.0 		X   X       0 790,518 131,385
(20) Morrison Karen J
 
President Board
 20.0
.......................20.0 		X   X       0 843,222 190,907
(21) Oates Todd OD
 
Vice-Chair Board
 2.0
.......................0 		X   X       0 0 0
(22) Schwemer John
 
Chair Board (Start 7/19)
 5.0
.......................1.0 		X   X       0 0 0
(23) Snyder Ronald P
 
President Board
 3.0
.......................40.0 		X   X       0 254,563 38,873
(24) Thornhill Hugh A
 
President Board
 3.0
.......................40.0 		X   X       0 833,968 199,235
(25) Yakubov Steven MD
 
Chair Board
 41.0
.......................0.0 		X   X       1,133,487 218,400 143,190
(26) Aronowitz Carol
 
Board
 1.0
.......................0 		X           0 0 0
(27) Arshi Arash MD
 
Board
 41.0
.......................0 		X           743,566 0 68,218
(28) Barrett Scott
 
Board
 2.0
.......................0 		X           0 0 0
(29) Bates Justin
 
Board
 1.0
.......................0 		X           0 0 0
(30) Berwanger Joseph M
 
Board
 1.0
.......................0 		X           0 0 0
(31) Bing Arthur GH MD
 
Board
 1.0
.......................0 		X           0 0 0
(32) Bloomfield Toni
 
Board
 1.0
.......................0 		X           0 0 0
(33) Bright David
 
Board
 1.0
.......................0 		X           0 0 0
(34) Bunyard Stephen P
 
Board
 1.0
.......................40.0 		X           0 644,182 91,350
(35) Butler David
 
Board
 1.0
.......................0 		X           0 0 0
(36) Campbell Thomas
 
Board
 1.0
.......................0 		X           0 0 0
(37) Casey John DO
 
Board - OhioHlth (End 12/19)
 3.0
.......................40.0 		X           0 72,003 118
(38) Cercek Robert
 
Board (Start 10/19)
 1.0
.......................40.0 		X           0 116,588 10,546
(39) Chester Karen
 
Board
 1.0
.......................0 		X           0 0 0
(40) Coley-Malir Bonnie
 
Board
 1.0
.......................0 		X           0 0 0
(41) Collazo Antonio E MD
 
Board
 41.0
.......................0 		X           533,826 0 42,603
(42) Cook Karen Rev
 
Board - OhioHlth
 3.0
.......................1.0 		X           0 0 0
(43) Copeland Rhonda
 
Board
 1.0
.......................0 		X           0 0 0
(44) Crowell Robert MD
 
Board
 1.0
.......................40.0 		X           1,994 821,369 72,387
(45) DeCapua Joseph C
 
Board
 1.0
.......................0 		X           0 0 0
(46) DeVillers Rebecca E DO
 
Board
 41.0
.......................0 		X           190,371 0 46,650
(47) Doody Anderson Elizabeth
 
Board
 1.0
.......................0 		X           0 0 0
(48) Dyer Lori
 
Board (Start 8/19)
 1.0
.......................0 		X           0 0 0
(49) Eichinger David
 
Board - OHIOHLTH
 3.0
.......................1.0 		X           0 0 0
(50) Feiler Kirk S
 
Board
 1.0
.......................0 		X           0 0 0
(51) Ferris Frank MD
 
Board
 1.0
.......................40.0 		X           0 418,151 75,001
(52) Fields Steven P
 
Board
 1.0
.......................0 		X           0 0 0
(53) Fletcher Paul
 
Board
 1.0
.......................0 		X           0 0 0
(54) France Mandy
 
Board
 1.0
.......................0 		X           0 0 0
(55) Galbreath John
 
Board (Start 7/19)
 1.0
.......................0 		X           0 0 0
(56) Gallagher-Allred Charlette PhD
 
Board
 1.0
.......................0 		X           0 0 0
(57) Gallaher Connie L
 
Board
 2.0
.......................40.0 		X           0 519,277 43,167
(58) Gavin Thomas
 
Board - OhioHlth (Start 1/20)
 3.0
.......................40.0 		X           0 8,790 118
(59) Gingrich Curtis MD
 
Board
 3.0
.......................40.0 		X           0 508,995 51,725
(60) Glandon Philip J Sr
 
Board
 1.0
.......................0 		X           0 0 0
(61) Goldberg Joshua MD
 
Board
 1.0
.......................0 		X           0 0 0
(62) Gossman Charles
 
Board
 1.0
.......................40.0 		X           0 301,681 45,257
(63) Grainger Andrew MD
 
Board
 1.0
.......................40.0 		X           0 97,510 118
(64) Grewal Karanvir S MD
 
Board
 41.0
.......................0 		X           914,306 0 107,046
(65) Habash Stephen J
 
Board
 1.0
.......................0 		X           0 0 0
(66) Hagen Bruce P
 
Board
 2.0
.......................40.0 		X           0 917,282 98,947
(67) Hamrock Joe
 
Board - OhioHlth
 3.0
.......................1.0 		X           0 0 0
(68) Haushalter Nikki
 
Board
 1.0
.......................0 		X           0 0 0
(69) Hidaka Yoshihiro
 
Board
 1.0
.......................0 		X           0 0 0
(70) Hughes Andrew DO
 
Board (End 9/19)
 1.0
.......................0 		X           0 0 0
(71) Hulme Amber R
 
Board
 1.0
.......................0 		X           0 0 0
(72) Imm Amy MD
 
Board
 1.0
.......................40.0 		X           0 683,188 73,918
(73) Infante Stephanie
 
Board
 1.0
.......................0 		X           0 0 0
(74) Ingram Lisa
 
Board - OhioHlth
 3.0
.......................1.0 		X           0 0 0
(75) Irelan Vic
 
Board
 1.0
.......................0 		X           0 0 0
(76) Iyengar Vidya
 
Board (Start 7/19)
 1.0
.......................0 		X           0 0 0
(77) James Donna
 
Board - OhioHlth
 3.0
.......................1.0 		X           0 0 0
(78) Jones Chenelle
 
Board (Start 7/19)
 1.0
.......................0 		X           0 0 0
(79) Jones Eric A
 
Board
 1.0
.......................0 		X           0 0 0
(80) Kadar Melissa
 
Board
 1.0
.......................40.0 		X           0 211,673 29,268
(81) Kiger Rev Daniel A
 
Board
 1.0
.......................0 		X           0 0 0
(82) Kimmel Greg
 
Board (Start 7/19)
 1.0
.......................0 		X           0 0 0
(83) LaRocca Nicholas J
 
Board
 1.0
.......................0 		X           0 0 0
(84) Lawson Michael S
 
Board
 1.0
.......................40.0 		X           0 904,450 81,833
(85) Lilly Joel
 
Board (Start 7/19)
 1.0
.......................0 		X           0 0 0
(86) Loudenslager Roy A
 
Board
 1.0
.......................0 		X           0 0 0
(87) Low Daniel
 
Board
 1.0
.......................0 		X           0 0 0
(88) Majzun Matthew DO
 
Board - OhioHlth (Start 1/20)
 3.0
.......................40.0 		X           0 173,322 5,316
(89) McCloy George W
 
Board
 1.0
.......................0 		X           0 0 0
(90) McComas Janie
 
Board
 1.0
.......................0 		X           0 0 0
(91) McQuown Richard
 
Board
 1.0
.......................0 		X           0 0 0
(92) Melillo Jason MD
 
Board - OhioHlth
 3.0
.......................40.0 		X           2,475 139,483 1,448
(93) Moodley Jaybalan MD
 
Board (Start 9/19)
 1.0
.......................0 		X           0 0 0
(94) Moorman Matthew MD
 
Board
 1.0
.......................0 		X           0 0 0
(95) Morgan Mary Beth
 
Board
 1.0
.......................0 		X           0 0 0
(96) Music William D
 
Board
 1.0
.......................0 		X           0 0 0
(97) Nag Dipanjan
 
Board (Start 7/19)
 1.0
.......................0 		X           0 0 0
(98) Noah Horsed
 
Board (Start 7/19)
 1.0
.......................0 		X           0 0 0
(99) O'Brien Jr James M MD
 
Board (End 12/19)
 1.0
.......................40.0 		X           0 582,713 70,480
(100) Paik Paul DO
 
Board (Start 3/20)
 1.0
.......................40.0 		X           0 513,526 54,170
(101) Palma Robert DO
 
Board - OHIOHLTH
 3.0
.......................1.0 		X           0 0 0
(102) Palmer Bishop Gregory
 
Board - OhioHlth
 3.0
.......................1.0 		X           0 0 0
(103) Parker Mark S
 
Board
 1.0
.......................0 		X           0 0 0
(104) Peery Carla J
 
Board
 1.0
.......................0 		X           0 0 0
(105) Perez Sarah J
 
Board
 1.0
.......................0 		X           0 0 0
(106) Perona Phillip MD
 
Board (Start 9/19)
 41.0
.......................0 		X           417,267 0 19,666
(107) Petska Tim
 
Board (Start 7/19)
 1.0
.......................0 		X           0 0 0
(108) Philbin Terrance
 
Board
 1.0
.......................0 		X           0 0 0
(109) Probst David
 
Board (Start 7/19)
 1.0
.......................0 		X           0 0 0
(110) Rader Traci
 
Board
 1.0
.......................0 		X           0 0 0
(111) Ragan Virginia D
 
Board
 1.0
.......................0 		X           0 0 0
(112) Rayburn Anamarie
 
Board
 1.0
.......................0 		X           0 0 0
(113) Recchie Nancy A
 
Board
 1.0
.......................0 		X           0 0 0
(114) Reddy Sudesh S MD
 
Board
 1.0
.......................0 		X           0 0 0
(115) Riley Joel
 
Board
 1.0
.......................0 		X           0 0 0
(116) Robins Jr Ronald
 
Board
 1.0
.......................0 		X           0 0 0
(117) Romanelli Vincent MD
 
Board (End 12/19)
 43.0
.......................1.0 		X           578,640 0 122,108
(118) Root Chip
 
Board - OhioHlth
 5.0
.......................1.0 		X           0 0 0
(119) Royer Mariann
 
Board (End 8/19)
 1.0
.......................0 		X           0 0 0
(120) Rudy John
 
Board
 1.0
.......................40.0 		X           0 194,927 38,958
(121) Schwarz David H
 
Board
 1.0
.......................0 		X           0 0 0
(122) Shepard Noel
 
Board (Start 7/19)
 1.0
.......................0 		X           0 0 0
(123) Silver Mitchell DO
 
Board
 41.0
.......................0 		X           1,036,310 0 124,199
(124) Slates David
 
Board (Start 7/19)
 1.0
.......................0 		X           0 0 0
(125) Smith Brien J MD
 
Board
 1.0
.......................40.0 		X           0 841,439 46,735
(126) Smith Howard N
 
Board
 1.0
.......................0 		X           0 0 0
(127) Smith Jeffrey
 
Board
 2.0
.......................40.0 		X           0 369,777 54,881
(128) Smith Linda
 
Board
 41.0
.......................0 		X           3,126 0 72
(129) Spalding Marshall C DO
 
Board (Start 12/19)
 1.0
.......................40.0 		X           0 523,669 41,661
(130) Steel Brian
 
Board
 1.0
.......................0 		X           0 0 0
(131) Strine Douglas L
 
Board
 1.0
.......................0 		X           0 0 0
(132) Ulrey Steven
 
Board
 1.0
.......................0 		X           0 0 0
(133) Urse Geraldine L DO
 
Board
 41.0
.......................0 		X           300,817 0 49,592
(134) Vanderhoff Bruce MD
 
Sr. VP and Chief Medical Officer OhioHealth
 3.0
.......................40.0 		X           0 1,327,725 289,200
(135) Vora Sanjay K MD
 
Board
 41.0
.......................0 		X           341,209 0 69,435
(136) Vornbrock Page
 
Board
 1.0
.......................0 		X           0 0 0
(137) Vradenburg Gregory G
 
Board
 1.0
.......................0 		X           0 0 0
(138) Wallace Paige
 
Board
 1.0
.......................0 		X           0 0 0
(139) Walsh Edward
 
Board (Start 7/19)
 1.0
.......................0 		X           0 0 0
(140) Walter Matt
 
Board - OhioHlth
 3.0
.......................1.0 		X           0 0 0
(141) Walton Troy
 
Board
 1.0
.......................0 		X           0 0 0
(142) Wasielewski Ray MD
 
Board (End 1/20)
 41.0
.......................0 		X           426,884 0 85,594
(143) Watson Pete
 
Board - OhioHlth
 3.0
.......................1.0 		X           0 0 0
(144) Watson-Cunningham Jane
 
Board
 1.0
.......................0 		X           0 0 0
(145) White Aimee
 
Board
 1.0
.......................0 		X           0 0 0
(146) White Scott
 
Board
 1.0
.......................0 		X           0 0 0
(147) Wilder Deborah
 
Board (Start 7/19)
 1.0
.......................40.0 		X           0 83,719 8,362
(148) Young Beverly S
 
Board
 1.0
.......................0 		X           0 0 0
(149) Zobel Mark
 
Board (Start 7/19)
 1.0
.......................0 		X           0 0 0
(150) Browning Mike P
 
Sr. VP and CFO
 11.0
.......................41.0 		    X       0 606,188 184,247
(151) Abaza Ronney MD
 
Physician Core OPG
 40.0
.......................0 		        X   1,665,305 0 34,220
(152) BalturshotGregory W MD
 
Physician Core OPG
 40.0
.......................0 		        X   3,036,725 0 53,804
(153) BonassoChristian L MD
 
Physician Core OPG
 40.0
.......................0 		        X   2,838,685 0 34,583
(154) Dorbish Ronald
 
Physician Core OPG
 40.0
.......................0 		        X   1,911,308 0 88,763
(155) SeamanBrian F DO
 
Physician Ortho Surgery (General)
 40.0
.......................0 		        X   2,671,185 0 99,526
(156) Blom David P
 
FRM CEO
 0.0
.......................41.0 		          X 0 19,173,700 23,455
(157) Seckinger Mark R
 
FRM Secretary Board
 0
.......................40.0 		          X 0 457,902 183,133
(158) Sperling Ronald
 
FRM Interim CFO
 0.0
.......................40.0 		          X 0 540,400 0
(159) Yates Vinson M
 
FRM CFO/PRESIDENT MEDCENTRAL HEALTH SYSTEM
 40.0
.......................0.0 		          X 0 1,152,409 252,540
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 18,944,525 42,636,896 6,384,120
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 MediumBullet1,330
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
MID-OHIO EMERGENCY PHYSICIANS LLP

335 GLESSNER AVE
MANSFIELD,OH44903 		PHYSICIAN SERVICES -EMERGENCY MEDICINE 5,658,249
MID-STATE PHYSICIANS LLP

336 GLESSNER AVE
MANSFIELD,OH44904 		PHYSICIAN SERVICES - NURSING 4,472,466
DAWSON RESOURCES

1114 DUBLIN ROAD
COLUMBUS,OH43215 		STAFFING AND WORKFORCE SOLUTIONS 3,464,798
ANESTHESIA ASSOCIATES OF MANSFIELD INC

799 LEXINGTON AVE
MANSFIELD,OH44907 		ANESTHESIOLOGY SERVICES 3,066,710
MOHICAN REHABILITATION SERVICES LLC

112 HARCORT RD
MOUNT VERNON,OH43050 		OCCUPATIONAL, SPEECH AND PHYSICAL THERAPY SERVICES 2,594,584
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet305
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 96,355
b Membership dues..1b  
c Fundraising events..1c 427,110
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f 21,142,338
g Noncash contributions included in lines 1a - 1f:$ 1g 433,818
h Total. Add lines 1a-1f.......MediumBullet 21,665,803
Program Service RevenueAmt Business Code
2a MEDICARE AND MEDICAID 923130 857,178,032 857,178,032    
b HEALTH & MEDICAL SERVICES 900099 363,585,175 363,585,175    
c RESEARCH REVENUE 900099 2,374,819 2,374,819    
d
e
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f .....MediumBullet 1,223,138,026
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 9,194,311     9,194,311
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   1,760,979 6a
b Less: rental expenses   1,433,238 6b
c Rental income or (loss) 0 327,741 6c
d Net rental income or (loss).......MediumBullet 327,741     327,741
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 109,221,194 195,133,024 7a
b Less: cost or other basis and sales expenses 109,931,483 193,839,748 7b
c Gain or (loss) -710,289 1,293,276 7c
d Net gain or (loss).........MediumBullet 582,987     582,987
8a Gross income from fundraising events (not including $ 427,110of contributions reported on line 1c). See Part IV, line 18 ....
8a 50,696
b Less: direct expenses ... 8b 40,847
c Net income or (loss) from fundraising events..MediumBullet 9,849   9,849
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a 15,886,821
b Less: cost of goods sold .. 10b 7,695,915
c Net income or (loss) from sales of inventory..MediumBullet 8,190,906     8,190,906
Business Code Miscellaneous Revenue
11a INTERCOMPANY ADMINISTRATION 900099 27,856,931 27,856,931    
b CAFETERIA/FOOD SERVICE 722210 3,018,198     3,018,198
c DEPARTMENT SERVICES 812930 39,132 39,132    
d All other revenue .... 176,712,511 176,391,864 320,647 0
e Total. Add lines 11a–11d ...... MediumBullet 207,626,772
12 Total revenue. See instructions.....MediumBullet 1,470,736,395 1,427,425,953 320,647 21,323,992
Form 990 (2019)
Form 990 (2019)
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 .... 7,530,256 7,530,256
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 347,250 347,250
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 0 0
4 Benefits paid to or for members ....... 0 0
5 Compensation of current officers, directors, trustees, and key employees ........... 7,941,789 6,551,976 1,389,813  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 22,780 18,793 3,987  
7 Other salaries and wages........ 926,830,409 743,781,404 179,997,368 3,051,637
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 32,187,361 25,830,357 6,244,354 112,650
9 Other employee benefits ....... 105,895,959 84,981,507 20,631,854 282,598
10 Payroll taxes ........... 45,451,560 36,474,877 8,809,553 167,130
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 375,736 301,528 71,691 2,517
c Accounting ........... 237,379   237,379  
d Lobbying ........... 38,288   38,288  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 302,178   302,178  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 173,627,971 139,336,447 34,179,416 112,108
12 Advertising and promotion .... 1,422,434 1,141,503 134,196 146,735
13 Office expenses ....... 12,572,248 10,089,229 2,452,261 30,758
14 Information technology ...... 5,826,045 4,675,401 1,148,511 2,133
15 Royalties ..        
16 Occupancy ........... 46,585,178 37,384,605 9,199,253 1,320
17 Travel ............ 6,248,692 5,014,575 1,169,549 64,568
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 58,758 47,153   11,605
20 Interest ........... 7,908,118 6,346,265 1,561,853  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 65,709,687 52,732,024 12,977,663  
23 Insurance ... 10,594,723 8,502,265 2,089,554 2,904
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Medical supply expense 154,664,433 154,664,433    
b Repair & Maintenance Service 22,923,034 22,923,034    
c Medicaid tax expense 14,907,410 14,907,410    
d Maintenance & service supplies 3,883,076 3,883,076    
e All other expenses 1,703,138 1,366,766 336,372 0
25 Total functional expenses. Add lines 1 through 24e 1,655,795,890 1,368,832,134 282,975,093 3,988,663
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 (2019)
Form 990 (2019)
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 ........ 22,002 1 25,649
2 Savings and temporary cash investments ......... 41,891,166 2 6,730,680
3 Pledges and grants receivable, net ...... 18,604,825 3 19,393,671
4 Accounts receivable, net ............. 127,744,114 4 113,111,007
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 26,474,762 7 30,323,402
8 Inventories for sale or use ............ 22,449,060 8 22,931,987
9 Prepaid expenses and deferred charges ...... 4,758,731 9 4,692,060
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 820,306,049
b Less: accumulated depreciation 10b 371,250,675 441,917,840 10c 449,055,374
11 Investments—publicly traded securities . 275,183,287 11 242,055,202
12 Investments—other securities. See Part IV, line 11 ..... 121,883,963 12 264,080,203
13 Investments—program-related. See Part IV, line 11 .. 978,211 13 1,993,487
14 Intangible assets ............... 24,420,995 14 24,227,559
15 Other assets. See Part IV, line 11 ........... 29,316,283 15 60,618,672
16 Total assets. Add lines 1 through 15 (must equal line 33)... 1,135,645,239 16 1,239,238,953
Liabilities 17 Accounts payable and accrued expenses ..... 165,592,594 17 252,664,202
18 Grants payable ...   18  
19 Deferred revenue ......... 1,889,615 19 2,061,877
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 324,784,778 25 451,771,299
26 Total liabilities. Add lines 17 through 25.. 492,266,987 26 706,497,378
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 542,669,641 27 434,410,575
28 Net assets with donor restrictions ........... 100,708,611 28 98,331,000
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 643,378,252 32 532,741,575
33 Total liabilities and net assets/fund balances ........ 1,135,645,239 33 1,239,238,953
Form 990 (2019)
Form 990 (2019)
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
1,470,736,395
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,655,795,890
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-185,059,495
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
643,378,252
5
Net unrealized gains (losses) on investments ...............
5
5,213,856
6
Donated services and use of facilities .................
6
68,290
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
69,140,672
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
532,741,575
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 (2019)
Form 990 (2019)
Additional Data


Software ID: 19010655
Software Version: 2019v5.0
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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
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- 10 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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 failed 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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 1 1 1 1 1 5
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 228,468,083 331,303,544 392,584,728 395,181,354 348,143,484 1,695,681,193
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 5 228,468,084 331,303,545 392,584,729 395,181,355 348,143,485 1,695,681,198
7a Amounts included on lines 1, 2, and 3 received from disqualified persons 0 0 0 0 0 0
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 0 0 0 0 0
c Add lines 7a and 7b.. 0 0 0 0 0 0
8 Public support. (Subtract line 7c from line 6.) 1,695,681,198
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
9 Amounts from line 6... 228,468,084 331,303,545 392,584,729 395,181,355 348,143,485 1,695,681,198
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 2 0 0 0 0 2
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.           0
c Add lines 10a and 10b. 2 0 0 0 0 2
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.).. 228,468,086 331,303,545 392,584,729 395,181,355 348,143,485 1,695,681,200
14
Section C. Computation of Public Support Percentage
15
15
100.00 %
16
16
100.00 %
Section D. Computation of Investment Income Percentage
17
17
0 %
18
18
0 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 2019 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-2019 		(iii)
Distributable
Amount for 2019
1 Distributable amount for 2019 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2019:
a From 2014.......  
b From 2015.......  
c From 2016.......  
d From 2017.......  
e From 2018.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2019 distributable amount  
i Carryover from 2014 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2019 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2019 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2019, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.		  
6 Remaining underdistributions for 2019. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.		  
7 Excess distributions carryover to 2020. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a Excess from 2015.....  
b Excess from 2016.....  
c Excess from 2017.....  
d Excess from 2018.....  
e Excess from 2019.....  
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
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 12 OhioHealth Foundation, Hardin Memorial Hospital Foundation, Pickaway Health Services, and OhioHealth Research Institute 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 12f Part I, Line 12f: 9
Schedule A, Part I, Line 12g Part I, Line 12g Yes
Schedule A, Part IV, Section A, Line 1 1. No - The sole member of OhioHealth Research Institute, OhioHealth Foundation and Pickaway Health Services 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. Yes The organization removed the following supported organizations during the year: Appalachian Community Visiting Nurse Association dba OhioHealth Home Care in Athens, EIN 31-1045101, and HomeReach HomeCare, EIN 31-1417595, which were legally merged out of existence into HomeReach, Inc. EIN 31-1372702 on January 1, 2019. 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 B, Line 1 1. Yes 2. Yes - There are four Type I organizations within the OhioHealth Corporation Group Return; Hardin Memorial Hospital Foundation, OhioHealth Foundation, OhioHealth Research Institute and Pickaway Health Services 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 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) Marion General Hospital 31-1070877 170(b)(1)(A)(iii) OhioHealth Foundation 23-7446919 509(a)(3) - Type I organization OhioHealth Research Institute 31-6059784 509(a)(3) - Type I organization OhioHealth Physician Group, Inc. 31-1351965 509(a)(2) Pickaway Health Services 31-1438107 509(A)(3) - Type I Organization
Schedule A, Part I, Line 12g (i) - (vi) (i) OhioHealth Corporation (ii) 31-4394942 (iii) 3 - Hospital DESCRIBED IN 170(B)(1)(A)(III) (iv) No (v) $7,530,256 (vi) $0
Schedule A, Part I, Line 12g (i) - (vi) (I) Grady Memorial Hospital (ii) 31-4379436 (iii) 3 - Hospital DESCRIBED IN 170(B)(1)(A)(III) (iv) No (v) $0 (vi) $0
Schedule A, Part I, Line 12g (i) - (vi) (I) HomeReach, Inc. (ii) 31-1372702 (iii) 10 - Publicly supported organization (iv) No (v) $1,289,734 (vi) $0
Schedule A, Part I, Line 12g (I) - (VI) (I) HARDIN PHYSICIAN FOUNDATION, INC. (II) 31-1414276 (III) 10 - PUBLICLY SUPPORTED ORGANIZATION (IV) NO (V) $0 (VI) $0
Schedule A, Part I, Line 12g (I) - (VI) (I) OHIOHEALTH PHYSICIAN GROUP, INC. (II) 31-1351965 (III) 10 - PUBLICLY SUPPORTED ORGANIZATION (IV) NO (V) $0 (VI) $0
Schedule A, Part I, Line 12g (I) - (VI) (I) SHELTERING ARMS HOSPITAL FOUNDATION, INC. (II) 31-4446959 (III) 3 - HOSPITAL DESCRIBED IN 170(B)(1)(A)(III) (IV) NO (V) $12,770 (VI) $0
Schedule A, Part I, Line 12g (I) - (VI) (I) MEDCENTRAL HEALTH SYSTEM (II) 34-0714456 (III) 3 - HOSPITAL DESCRIBED IN 170(B)(1)(A)(III) (IV) NO (V) $65,784 (VI) $0
Schedule A, Part I, Line 12g (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 12g (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, Part I, Line 10 Hardin Physician Foundation, HomeReach, Inc., and OhioHealth Physician Group, Inc. are 509(a)(2) supporting organizations operated, supervised, or controlled by their supported organizations.
Schedule A (Form 990 or 990-EZ) 2019


Additional Data


Software ID: 19010655
Software Version: 2019v5.0
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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
Name of organization
OhioHealth Corporation Group Return
  		Employer identification number
32-0007056
Part I
Contributors
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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
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) (2019)

Additional Data


Software ID: 19010655
Software Version: 2019v5.0
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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

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) 2019

Schedule C (Form 990 or 990-EZ) 2019
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) 2016 (b) 2017 (c) 2018 (d) 2019 (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) 2019


Schedule C (Form 990 or 990-EZ) 2019
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)
Yes|No
(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
 
38,288
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 ....................................................................................................
38,288
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 the 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) 2019


Additional Data


Software ID: 19010655
Software Version: 2019v5.0

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.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 7/25/06, 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 FASB 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 FASB 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 FASB 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) 2019

Schedule D (Form 990) 2019
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 .... 59,240,727 53,197,469 48,908,616 46,314,656 46,936,377
b Contributions ... 1,247,120 5,578,753 2,545,025 597,677 660,374
c Net investment earnings, gains, and losses 2,246,179 2,790,265 3,545,425 4,007,244 1,177,450
d Grants or scholarships ... 121,215 149,900 149,150 112,578 78,875
e Other expenditures for facilities
and programs ... 		1,049,735 1,074,390 688,447 751,264 1,507,505
f Administrative expenses .... 189,840 1,101,470 964,000 1,147,119 873,165
g End of year balance ...... 61,373,236 59,240,727 53,197,469 48,908,616 46,314,656
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet48.6 %
b
Permanent endowment SchDMd Bullet16.76 %
c
Term endowment SchDMd Bullet34.64 %
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 .....   21,175,992 21,175,992
b Buildings ....   319,003,276 136,141,154 182,862,122
c Leasehold improvements   18,780,400 10,968,300 7,812,100
d Equipment ....   398,293,290 213,741,339 184,551,951
e Other .....   63,053,091 10,399,882 52,653,209
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 449,055,374
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
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) Other Securities		 264,080,203  

(B) OTHER SECURITIES		    
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 264,080,203
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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' 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  
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 451,771,299
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) 2019

Schedule D (Form 990) 2019
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, 2020, 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) 2019


Additional Data


Software ID: 19010655
Software Version: 2019v5.0




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 arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 10 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) 2019
Schedule G (Form 990 or 990-EZ) 2019
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

2021 HOME IN OHIO
(event type) 		(b) Event #2

OHIOHEALTH FOUNDATION INVITATIONAL GOLF OUTING
(event type) 		(c) Other events

8
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
229,000
93,450
155,356
477,806

2
Less: Contributions . . . .
218,354
72,975
135,781
427,110
3 Gross income (line 1 minus
line 2) . . . . . .
10,646
20,475
19,575
50,696



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .     792 792
6 Rent/facility costs . . . .     20,683 20,683
7 Food and beverages . . .   625 253 878
8 Entertainment . . . .        
9 Other direct expenses . . . 816 2,340 15,338 18,494
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 40,847
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow 9,849
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 . . .
 
 
 
 


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) 2019
Schedule G (Form 990 or 990-EZ) 2019
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 provide any additional information. See instructions.
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2019
Additional Data


Software ID: 19010655
Software Version: 2019v5.0
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 Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
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) . . . 		    40,150,529 7,359,075 32,791,454 1.98 %
b Medicaid (from Worksheet 3, column a) . . . . .     289,399,739 153,808,213 135,591,526 8.19 %
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 0 329,550,268 161,167,288 168,382,980 10.17 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     1,596,988 198,187 1,398,801 0.08 %
f Health professions education (from Worksheet 5) . . .     1,427,361 659,046 768,315 0.05 %
g Subsidized health services (from Worksheet 6) . . . .     1,847,441 10,571 1,836,870 0.11 %
h Research (from Worksheet 7) .     1,507,354 1,258,070 249,284 0.02 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     243,302 827 242,475 0.01 %
j Total. Other Benefits . . 0 0 6,622,446 2,126,701 4,495,745 0.27 %
k Total. Add lines 7d and 7j . 0 0 336,172,714 163,293,989 172,878,725 10.44 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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     22,918   22,918 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building     13,334   13,334 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development     95,507   95,507 0.01 %
9 Other         0 0 %
10 Total 0 0 131,759 0 131,759 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 Healthcare 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
58,559,036
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
567,778,294
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
772,167,099
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-204,388,805
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 3.23 %   96.77 %
2Athens Surgery Center Ltd
  		Outpatient Surgery 92 %   8 %
3O'Bleness Memorial Pain Management LLC
  		Pain Management 51 %   49 %
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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?6Name, 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/locations/mansfield-hospital/
ODH1257 		X X         X     A
2 OhioHealth Marion General Hospital
1000 McKinley Park Drive
Marion,OH433026399
www.ohiohealth.com/locations/hospitals/marion-general-hospital/
ODH1233 		X           X      
3 OhioHealth O'Bleness Memorial Hospital
55 Hospital Drive
Athens,OH45701
www.ohiohealth.com/locations/hospitals/obleness-hospital/
ODH1109 		X X   X     X      
4 OhioHealth Grady Memorial Hospital
561 West Central Avenue
Delaware,OH43015
www.ohiohealth.com/locations/hospitals/grady-memorial-hospital/
ODH1163 		X           X      
5 OhioHealth Hardin Memorial Hospital
921 E Franklin Street
Kenton,OH43326
www.ohiohealth.com/locations/hospitals/hardin-memorial-hospital/
ODH1196 		X       X   X      
6 OhioHealth MedCentral Shelby Hospital
20 Morris Road
Shelby,OH44875
www.ohiohealth.com/locations/hospitals/shelby-hospital/
ODH1259 		X X     X   X     A
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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 18
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 18
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) 2019
Schedule H (Form 990) 2019
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 Was widely publicized 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
HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/
b
HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
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
e
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
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2019
Schedule H (Form 990) 2019
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 18
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 18
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) 2019
Schedule H (Form 990) 2019
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 Was widely publicized 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
HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/
b
HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
OhioHealth Marion General Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
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
e
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
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
OhioHealth Marion General Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2019
Schedule H (Form 990) 2019
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 18
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 18
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) 2019
Schedule H (Form 990) 2019
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 Was widely publicized 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
HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/
b
HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
OhioHealth O'Bleness Memorial Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
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
e
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
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
OhioHealth O'Bleness Memorial Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2019
Schedule H (Form 990) 2019
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 18
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 18
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) 2019
Schedule H (Form 990) 2019
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 Was widely publicized 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
HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/
b
HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
OhioHealth Grady Memorial Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
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
e
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
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
OhioHealth Grady Memorial Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2019
Schedule H (Form 990) 2019
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 18
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 18
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) 2019
Schedule H (Form 990) 2019
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 Was widely publicized 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
HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/
b
HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
OhioHealth Hardin Memorial Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
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
e
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
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
OhioHealth Hardin Memorial Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2019
Schedule H (Form 990) 2019
Page 8
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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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 2017 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 * Representative: Jerry Morasko, president and chief executive officer; Cinda Kropka (team member) * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all persons regardless of ability to pay. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Community Action for Capable Youth (CACY) * Representative: Tracee Anderson, executive director * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all residents of Richland County. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Community Health Access Project (CHAP) * Representative: Beth Hildreth, executive director; Sarah Redding, MD, project director * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all residents of Richland County, especially at-risk populations. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. First Call 211 * Representatives: Terry Carter, information and referral coordinator * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all age groups who needs information about community resources. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Harmony House Homeless Services Inc. * Representatives: Mary Lacey, case manager * Description of the medically underserved, low-income or minority populations represented by the organization: Serves homeless persons from various age groups * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Mansfield Area YMCA * Representatives: Kerrick Franklin, director of Community Outreach; James Twedt, director of External Operations * Description of the medically underserved, low-income or minority populations represented by the organization: Serves residents of Richland County from all age groups. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Mansfield City Schools * Representative: Peggy Sutton, school nurse * Description of the medically underserved, low-income or minority populations represented by the organization: Serves school-aged students and other residents of Richland County. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Mansfield Memorial Homes * Representative: Seth Roberts, administrator * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all persons in Richland County and other areas. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Mansfield YMCA * Representative: James Twedt, director of external operations; Kerrick Franklin, director of community outreach * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all youth, adults, seniors and families in Richland County and other areas * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Mom's Clean Air Force * Representative: Laura Burns, Ohio field consultant * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all people. * Inputs: : (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee.
Schedule H, Part V, Section B, Line 5 Facility A, 2 Facility A, 2 - Facility A - OhioHealth MedCentral Mansfield Hospital and Shelby Hospital. National Association for the Advancement of Colored People (NAACP) * Representative: Geron Tate, president * Description of the medically underserved, low-income or minority populations represented by the organization: * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. North End Community Improvement Collaborative (NECIC) * Representatives: Tony Chinni, community development coordinator; Nyshia Brooks, community organizer and community health worker * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all persons in Richland County, especially residents of the North End area. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Ohio District 5 Area Agency on Aging Inc. * Representatives: Teresa Cook, chief of marketing and development; Diane Ramey, chief of long-term care * Description of the medically underserved, low-income or minority populations represented by the organization: Serves persons from Richland, in Ashland, Crawford, Huron, Knox, Marion, Morrow, Seneca and Wyandot counties who are ages 60 and older. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital * Representatives: Robert Exten, ME, physician medical oncology; Terry Weston, MD, administrative physician, Medical Staff Services; Janene Yeater, vice president, clinical quality services * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all persons regardless of ability to pay. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Richland County Children Services * Representative: Marsha Coleman, clinical director (with knowledge of and expertise in public health) * Description of the medically underserved, low-income or minority populations represented by the organization: Serves children and families in Richland County that are at risk for abuse and neglect, and/or are otherwise vulnerable. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Richland County Domestic Relations Court * Representative: Elizabeth Blakly, court administrator * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all residents of Richland County. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Richland County Foundation * Representative: Maura Teynor, Chief Advancement Officer * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all persons from Richland County through various community projects. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Richland County Juvenile Court GAL/CASA Program * Representative: Brooke Henwood, CASA Director * Description of the medically underserved, low-income or minority populations represented by the organization: Serves Richland County youth with court cases. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Richland County Mental Health and Recovery Services Board * Representatives: Joseph Trolian, executive director; Sherry Branham, director of external operations * Description of the medically underserved, low-income or minority populations represented by the organization: Serves youth and adults with mental health issues. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Richland County Newhope/Richland County Board of Developmental Disabilities * Representative: Liz Prather, superintendent; Julie Litt, coordinator of student services * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all age groups. * Inputs: (a) Participation in planning meeting for survey question development; (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs; (e) Identification of available community resources that may potentially address the health needs identified; (f) Member of the Richland County Community Health Improvement Plan (CHIP) Committee.
Schedule H, Part V, Section B, Line 5 Facility A, 3 Facility A, 3 - Facility A - OhioHealth MedCentral Mansfield Hospital and Shelby Hospital. Richland County Prosecutor's Office * Representative: Martin Jones * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all Richland County residents. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Richland County Regional Planning Commission * Representative: Jotika Shetty, executive director * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all residents of Richland County, Ohio. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Richland County Youth and Family Council * Representative: Teresa Alt, executive director * Description of the medically underserved, low-income or minority populations represented by the organization: Serves youth and families in Richland County, Ohio. The Richland County Youth and Family Council is an Ohio Family and Children First Council per Ohio Revised Code 121.37. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Richland Moves! * Representative: Nelson Shogren, chairman * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all people in Richland County. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Richland Public Health * Representatives: Robert Exten, ME, president Board of Health; Martin Tremmel, health commissioner; Amy Schmidt, director of nursing; Tina Picman, director, Women, Infants and Children; Selby Dorgan, director of health promotion and education; Ellen Claiborne, health educator, Communities Preventing Chronic Disease (CPCD); Margaret Lin, health educator, Communities Preventing Chronic Disease (CPCD); Karyl Price, health educator, Creating Healthy Communities (CHC); Emily Leedy, Creating Healthy Communities (CHC) coordinator; Reed Richard, team member; Heather Foley (team member) (all persons have knowledge of and expertise in public health) * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all residents of Richland County, Ohio. Richland Public Health, together with the Shelby City Health Department, provides various public health services for residents of Richland County. * Inputs: (a) Participation in planning meeting for survey question development; (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs; (e) Identification of available community resources that may potentially address the health needs identified; (f) Member of the Richland County Community Health Improvement Plan (CHIP) Committee. Shelby City Health Department * Representative: Ajay Chawla, MD, medical director and health commissioner; Andrea Barnes, director of environmental health (with knowledge of and expertise in public health) * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all residents of the City of Shelby in Richland County, Ohio. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. The City of Mansfield Department of Regional Community Advancement (DRCA) * Representative: Dale Au, Help Me Grow program manager * Description of the medically underserved, low-income or minority populations represented by the organization: Serves individuals and families from Richland County, Ohio and neighboring areas. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Third Street Family Health Services * Representative: Nicole Hartage, alcohol and drug counseling; Stacey Nolen, community health worker, Community Health Access Project; Kari Westfield, outreach coordinator * Description of the medically underserved, low-income or minority populations represented by the organization: Serves low-income and vulnerable residents of Richland County, Ohio. The Third Street Family Health Services has access to home. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Village of Bellville * Representative: Teri Bernkus, mayor, Village of Bellville * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all residents of the Village of Bellville, Ohio. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee.
Schedule H, Part V, Section B, Line 5 Facility A, 4 Facility A, 4 - Facility A - OhioHealth MedCentral Mansfield Hospital and Shelby Hospital. Village of Lexington * Representative: Eugene Parkison, mayor * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all residents of the village of Lexington, Ohio. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County;(d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee. Visiting Nurse Association of Ohio * Representative: Courtney Swihart, clinical manager * Description of the medically underserved, low-income or minority populations represented by the organization: Serves all residents of Richland County regardless of ability to pay. * Inputs: (a) Participation in planning meeting for survey question development, (b) Review of summaries and trends of primary data from adult, youth and child surveys conducted by the Hospital Council of Northwest Ohio and University of Toledo; (c) Identification of significant health needs affecting Richland County; (d) Prioritization of health needs, (e) Identification of available community resources that may potentially address the health needs identified, (f) member of the Richland County Community Health Improvement Plan (CHIP) Committee.
Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - Facility A - OhioHealth MedCentral Mansfield Hospital and Shelby Hospital. OhioHealth Mansfield Hospital conducted its CHNA in collaboration with OhioHealth Shelby Hospital.
Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - Facility A - OhioHealth MedCentral Mansfield Hospital and Shelby Hospital. The Richland County Community Health Partners include the OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital, Richland Public Health, Shelby City Health Department and other community stakeholders. The Richland County Community Health Partners contracted with the Hospital Council of Northwest Ohio to conduct the community health assessments and facilitated the process for developing the Community Health Improvement Plan (Richland County Community Health Partners, 2017a,b). Meetings of the Richland County Community Health Partners were held April through June 2016, and April through June 2017 to gather input. These organizations serve uninsured persons, low-income persons and minority groups. The representatives from these organizations have public health background. OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital collaborated with Richland Public Health in obtaining inputs from persons who work either for organizations, government agencies or as community residents, and who represent the broad interests of Richland County. All required sources for community input participated in the community health needs assessment process. The Richland County Community Health Partners contracted with The Hospital Council of Northwest Ohio (HCNO) to conduct the community health assessments and facilitated the process for developing the Community Health Improvement Plan. HCNO is a member-driven regional hospital association that represents and advocates on behalf of its member hospitals and health systems. HCNO provides collaborative opportunities for its members and community partners to improve the health and well-being of Northwest Ohio's residents. Community services and regional programs provided by HCNO include community health assessments, clergy badges, Healthcare Heroes, Northwest Ohio Disaster Preparedness, Northwest Ohio Pathways HUB, Northwest Ohio Regional Trauma Registry, and planning and evaluation services. Bricker & Eckler LLP/INCompliance Consulting (Jim Flynn, Chris Kenney) were 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 28 years. His general healthcare practice focuses on health planning matters, certificates of need, nonprofit and tax-exempt healthcare providers, and federal and state regulatory issues. Mr. Flynn has provided consultation to healthcare providers, including nonprofit and tax-exempt healthcare providers as well as public hospitals, on community health needs assessments. Chris Kenney is the director of regulatory services with INCompliance Consulting, an affiliate of Bricker & Eckler LLP. Ms. Kenney has more than 39 years of experience in healthcare planning and policy development, federal and state regulations, certificate of need regulations, and Medicare and Medicaid certification. She has been conducting CHNAs in compliance with federal rules since 2012, providing expert testimony on community needs and offering presentations and educational sessions regarding CHNAs.
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Facility A - OhioHealth MedCentral Mansfield Hospital and Shelby Hospital. OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital adopted priority health needs, (a) chronic disease and (b) mental health and addiction, which were identified in the 2016 Richland County Community Health Assessment (Richland County Partners Community Health Assessment Collaborative, 2017) and 2017-2020 Richland County Community Health Improvement Plan (The Richland County Community Health Partners, 2017). The primary and secondary health data for Richland County community health needs and the healthcare and community resources that were available to address the health needs are summarized in the OhioHealth Mansfield and Shelby Hospitals 2019 Community Health Needs Assessment (OhioHealth, 2019). The significant health needs of Richland County include: a. Chronic disease - Includes (a) obesity among children, youth and adults, (b) asthma among children and adults, and (c) diabetes among adults. Mansfield Hospital's Intended Actions to Address the Health Need + Address food insecurity as a part of routine and emergent medical visits on and individual and systems-based level, focusing on at-risk emergency department and diabetes education patients. This action aligns with the Ohio State Health Improvement Plan. + Offer health and wellness programs at the OhioHealth Health and Fitness Center located at the Mansfield Hospital. These programs may include Delay the Disease, exercise programs, SilverSneakers , discounted or free access for seniors, Healthy Chef series and Healthy Check at grocery stores. + Offer a diabetes prevention program and other diabetes and endocrinology services to Richland County. + Partner with the American Heart Association's Heart Walk to promote community engagement through physical activity. Shelby Hospital's Intended Actions to Address the Health Need + Address food insecurity as part of routine and emergent medical visits on an individual and systems-based level, focusing on at-risk emergency department and diabetes education patients. This action aligns with the Ohio State Health Improvement Plan. + Offer health and wellness programs at the OhioHealth Health and Fitness Center located at Shelby Hospital. These programs may include Delay the Disease, exercise programs, SilverSneakers, discounted or free access for seniors, Healthy Chef series and Healthy Check at grocery stores. + Offer a diabetes prevention program and other diabetes and endocrinology services to Richland County residents. + Partner with the American Heart Association's Heart Walk to promote community engagement through physical activity. Anticipated Impact of These Actions + Self-report of learning, engagement and commitment to lifestyle and behavior changes among individuals and families who participated in various health and wellness programs offered at OhioHealth Health and Fitness Centers. + Self-report of learning concepts and skills, engagement and commitment to lifestyle and behavior changes among individuals and families who participated in the Diabetes Prevention program and diabetes self-management education. + Clinical report of improvement in fasting glucose levels and HbA1C as well as reduction in emergency department readmissions and hospitalizations among patients served by the OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital Diabetes Services. + Increase in number of Richland County participants in the American Heart Association's Heart Walk. b. Mental Health and Addiction - Includes (a) substance abuse among youth and adults, (b) depression and suicide among youth and adults, and (c) adverse childhood experiences among children. Mansfield Hospital's Intended Actions to Address the Health Need + Use of Screening, Brief Intervention and Referral to Treatment (SBIRT) in OhioHealth Physician Group locations that are affiliated with OhioHealth Mansfield Hospital. SBIRT will be documented in the OhioHealth CareConnect electronic medical records (Epic Systems Corporation, Verona, Wisconsin). This action aligns with the Ohio State Health Improvement Plan. + Screen for clinical depression for patients 12 years and older using the standardized patient health questionnaire (PHQ-2 or PHQ-9). Screening will be documented in the OhioHealth CareConnect electronic medical records (Epic Systems Corporation, Verona, Wisconsin). This action aligns with Ohio State Health Improvement Plan. + Provider training on opioid prescribing guidelines and use of the Ohio Automated Rx Reporting System (OARRS). This action aligns with the Ohio State Health Improvement Plan. Shelby Hospital's Intended Actions to Address the Health Need + Use of Screening, Brief Intervention and Referral to Treatment (SBIRT) in OhioHealth Physician Group locations that are affiliated with OhioHealth Shelby Hospital. SBIRT will be documented in the OhioHealth CareConnect electronic medical records (Epic Systems Corporation, Verona, Wisconsin). This action aligns with the Ohio State Health Improvement Plan. + Screen for clinical depression for patients 12 years and older using a standardized patient health questionnaire (PHQ-2 or PHQ-9). Screening will be documented in the OhioHealth CareConnect electronic medical records (Epic Systems Corporation, Verona, Wisconsin). This action aligns with the Ohio State Health Improvement Plan. + Provider training on opioid prescribing guidelines and use of the Ohio Automated Rx Reporting System (OARRS). This action aligns with the Ohio State Health Improvement Plan. Anticipated Impact of Actions Reduce drug abuse as evidenced by a reduction in the percent of people age 12 and over who reported illicit drug dependence or abuse in the past year. Documentation of Program Impacts from the Community Health Needs Assessment and Implementation Strategy Adopted in 2016 by OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital: Need #1: Mental Health - Increased the number of psychoeducational groups led by recreational therapists 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. - Enrolled 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. - Referred patients to Third Street Family Health Services, Catalyst Life Services, Family Life Counseling and other mental health services providers. - Referred patients to the National Alliance on Mental Illness for family support group services. Need #2: Substance Abuse - Provided referrals to substance abuse treatment programs at appropriate agencies, such as Third Street Family Health Services, Catalyst Life Services, Family Life Counseling, and other mental health and substance abuse services providers. - Provided referrals to Mansfield Urban Minority Alcoholism 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 (ED); Hospital admission of patients with substance abuse diagnoses to OhioHealth Mansfield Hospital Psychiatric Department; Drug screening and education provided by OhioHealth Employer Services; Collaborated 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 (ED) physicians used state database for narcotic use (Ohio Automated Rx Reporting System [OARRS]) to limit opiate doses per patient. Need #3: Chronic Disease - Offered health and wellness programs at the OhioHealth Ontario Health and Fitness Center. - Offered Diabetes Prevention program and other diabetes and endocrinology services to Richland County residents. - Provided community- and school-based health and wellness programs such as Health Matters, Speakers Bureau, Asthma-1-2-3 and other programs. - Partnered in "Creating Healthy Communities Coalition" led by Richland Public Health, which focuses on healthy eating, physical activity and tobacco-free living. - Partnered with the American Heart Association's HeartChase community adventure game to promote community engagement in physical activity. Need # 4: Infant Mortality - Provided low-cost childbirth education and breastfeeding classes. - Collaborated 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. - In 2016, OhioHealth offered prenatal care and women's health services to the broader community through a partnership with OhioHealth Community Health and Wellness and March of Dimes.
Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - Facility A - OhioHealth MedCentral Mansfield Hospital and Shelby Hospital. Continued from narrative above: Documentation of Program Impacts from the Community Health Needs Assessment and Implementation Strategy Adopted in 2016 by OhioHealth Mansfield Hospital and OhioHealth Shelby Hospital: Need # 4: Infant Mortality - Participation in the Richland County Infant Mortality Task Force. - Provided referrals to Third Street Family Health Services OB-GYN clinic for services regardless of income. - Provided 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 has demonstrated that home visiting care coordination in an urban community in Ohio led to greater than 60 percent reduction in low birth weight. - Provided referrals to Richland Public Health's home visiting program for babies up to 8 weeks old. - Provided 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 providing Graco Pack 'n 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 - Referrals of children and 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 OB-GYN, Community Health Access Project (CHAP) and strengthening collaboration with these agencies to ensure success of referrals. - Strengthened partnership with Mansfield City Schools and other school districts to enable hospitalized students to avail of a tutor or mentor and an individualized education program.
Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - OhioHealth MedCentral Mansfield and Shelby Hospitals. 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. OHIOHEALTH HAS 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 - OHIOHEALTH MEDCENTRAL - MANSFIELD AND SHELBY HOSPITALS. SIGNS ARE POSTED, in multiple languages, 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, which is on large poster boards (24x36 inches) and conspicuously displayed, CONTAINS REFERENCE TO THE ORGANIZATION'S CHARITY CARE PROGRAM. INFORMATION MATERIALS SUCH AS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND BILLING BROCHURE, ARE AVAILABLE in multiple languages AT REGISTRATION LOCATIONS AND INTERPRETIVE SERVICES CAN BE ARRANGED in those languages IF THE PATIENT/GUARANTOR HAS LIMITED ENGLISH PROFICIENCY OR DOES NOT SPEAK ENGLISH. OHIOHEALTH FACILITY BILLING STATEMENTS ALSO INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE SUCH AS THE PLAIN LANGUAGE SUMMARY AND CAN BE USED TO APPLY FOR FINANCIAL ASSISTANCE. IN ADDITION, A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY IS OFFERED TO EVERY PATIENT UPON INTAKE. OHIOHEALTH HAS A VERY ROBUST FINANCIAL COUNSELING PROGRAM THAT AIMS TO ASSIST AND EDUCATE EVERY PATIENT THAT NEEDS FINANCIAL HELP BY INFORMING THE PATIENT OF OHIOHEALTH'S FINANCIAL ASSISTANCE PROGRAM. 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. SYSTEM-WIDE, OHIOHEALTH HAS OVER 30 FINANCIAL COUNSELORS, INCLUDING SUPERVISORS. 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 AND THE PLAIN LANGUAGE SUMMARY WITH THE FEDERAL POVERTY GUIDELINES. INCLUDED ARE DIRECTIONS TO COMPLETE THE APPLICATION, SIGN, AND WHERE TO SEND THE APPLICATION. THE CUSTOMER CALL CENTER OPENS EVERY CALL INTERACTION WITH SCRIPTING PERTAINING TO FINANCIAL ASSISTANCE AVAILABILITY AND WILL DISCUSS FINANCIAL ASSISTANCE WITH ANY PATIENT THAT EXPRESSES NEED OR CONCERN IN PAYING THE BALANCE ON THEIR ACCOUNT OR WANTING MORE INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. THE FINANCIAL ASSISTANCE APPLICATION, PLAIN LANGUAGE SUMMARY AND FAP ARE AVAILABLE IN ELEVEN DIFFERENT LANGUAGES BASED ON THE NEEDS OF THE COMMUNITIES.
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 during 2017 and 2018 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 - Boys and Girls Club of Marion County Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Timeframe of inputs: February-March 2017; July-August 2017 Population represented: Serves all persons in Marion County, including low-income or minority populations Center Street Community Health Center Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Timeframe of inputs: February-March 2017; July-August 2017 Population represented: Serves all persons including the medically underserved, low income or minority populations Christ Missionary Baptist Church Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Timeframe of inputs: February-March 2017; July-August 2017 Population represented: Serves all persons, including the medically underserved, low-income or minority populations City of Marion, Ohio Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Community residents Representatives: North end resident, west side resident; representative for persons with disabilities, representative for youth, representative for seniors Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Crawford-Marion Board of Alcohol, Drug Addiction, and Mental Health Services Representatives: Bradley M. De Camp, executive director Inputs: Participated in the Marion General Hospital prioritization of health needs meeting Downtown Marion Farmers Market Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Elgin Local Schools Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Faith-Based Ministry Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Farm to Family Program (Affiliate of Ohio Farm Bureau) Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Green Camp Township Representative: Mayor Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment JAG Healthcare Skilled Nursing and Rehabilitation Marion Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Life Link Community Church Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Marie English Early Childhood Center (Head Start) Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Marion Area Transit Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Marion City Schools Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Marion County, Ohio Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Marion County Board of Developmental Disabilities Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Marion County Engineer Representative: Assistant Engineer Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Marion County Job and Family Services Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Marion County Teen Institute Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Marion Family YMCA Representatives: Theresa Lubke, executive director Inputs: (a) Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment; (b) Participated in the Marion General Hospital prioritization of health needs meeting Marion Industrial Center Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Marion Matters Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Marion Public Health Representatives: Traci Kinsler, JD, CPH, interim health commissioner; Thomas Quade, health commissioner (resigned); Emmanuel Vidal, epidemiologist; Erin Creeden, health policy specialist (expertise in public health Inputs: (a) Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment; (b) Participated in the Marion General Hospital prioritization of health needs meeting Marion Senior Center Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Marion Technical College Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment OhioHealth Marion General Hospital Representative: Shawn Kitchen, MBA, senior advisor, business development; Kelly E. Andrews, RRT, pulmonary rehabilitation coordinator Inputs: (a) Member of the Marion County Creating Healthy Communities Coalition who commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment; (b) Participated in the Marion General Hospital prioritization of health needs
Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - Marion General Hospital. Pleasant Local Schools Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Ridgedale Local Schools Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment River Valley Local Schools Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Salvation Army Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Sika Corporation Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Taft Elementary School Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment The Ohio State University Extension Representative: Whitney Gherman, extension educator, Family and Consumer Sciences, SNAP-ED; Kate Decker, staff Inputs: (a) Member of the Marion County Creating Healthy Communities Coalition who commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment; (b) Participated in the Marion General Hospital prioritization of health needs meeting The Ohio State University at Marion Representative: Gregory Rose, Ph.D., associate professor, dean and director Inputs: (a) Member of the Marion County Creating Healthy Communities Coalition who commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment; (b) Participated in the Marion General Hospital prioritization of health needs meeting Tri-Rivers Career Center Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment United Way of Marion County Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Village of New Bloomington, Ohio Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment Whirlpool Corporation Inputs: Member of the Marion County Creating Healthy Communities Coalition that commissioned the Marion County 2017 Nutrition and Physical Activity Health Assessment and the 2017 Marion County Transportation Health Assessment
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 2018 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 11 Facility , 1 Facility , 1 - Marion General Hospital. OhioHealth Marion General Hospital clinicians and administrative staff collaborated with OhioHealth Community Health and Wellness in developing the 2020-2022 implementation strategy to address three priority health needs: (1) mental health and addiction, including substance abuse and tobacco use, (2) chronic disease, including obesity and (3) maternal and child health, including safe and healthy housing. The primary and secondary health data for Marion County community health needs and the healthcare and community resources that are available to address the health needs are summarized in the Marion General Hospital 2019 Community Health Needs Assessment. The significant health needs of Marion County include: (A) Mental health and addiction, including substance abuse and tobacco use. Marion General Hospital's Intended Actions to Address the Health Need To increase community involvement in substance abuse prevention efforts through participation in the Marion Drug-Free Task Force, which will focus on: (a) decreasing the number of opiate prescriptions through provider education, patient education, and community-based education on alternatives to addressing pain other than prescription opiates, (b) increase community access to disposal of prescription drugs through incentives and the availability of prescription drug drop boxes at the Marion Police Department and other locations, (c) increase substance abuse prevention efforts through initiatives targeted at underage alcohol, tobacco and marijuana use, and (d) increase community awareness about treatment and recovery support services. Participation in the planning, coordination and implementation of Marion County Medication Disposal Day events and engagement in community meetings related to increasing access to safe disposal of prescription drugs. Marion General Hospital's Pulmonary Rehabilitation Unit, Partial Hospitalization and Intensive Outpatient Program and/or Pharmacy will provide the following services: (a) tobacco cessation education, referral and follow-up with inpatients, (b) counseling for inpatients who have smoked within the past 12 months, (c) tobacco cessation packet containing a stress ball, gum, booklet and flier for upcoming tobacco cessation classes for inpatients who are current smokers and have expressed an interest in quitting; education of these patients about the Ohio Tobacco Quit Line and follow up with those who have quit within the past 12 months, offering support as needed, (d) free nicotine patches upon discharge for inpatients who express the desire to quit and score a seven or higher on the "Assessment of Motivation: Readiness to Quit Ladder," (e) follow up by phone 30 days after discharge to assess patients' progress quitting tobacco, and (f) patient education about tobacco's negative effects on the effectiveness of psychiatric medications. Speakerships, presentations and outreach to the Marion County community, including workplace environments, focused on mental health and addiction and/or tobacco cessation. Anticipated Impact of These Actions Reduce past-year illicit drug dependence or abuse among Marion County residents aged 12 and older. At least 100 Marion County residents taken off medications and at least 100 pounds of medications collected during Medication Disposal Day events per year. At least four community meetings attended per year related to decreasing drug abuse in the community. Up to four group-based tobacco cessation classes completed per year attended by up to 20 individuals per year. At least two speakerships, presentations and outreach on tobacco cessation completed per year attended by at least 10 individuals per year. (B) Chronic disease, including obesity. Actions Marion General Hospital Intends to Take to Address the Health Need To collaborate with Marion County Creating Healthy Communities (CHC) and its vision of "making the healthy choice the easy one." CHC is a multi-sector collaboration that aims to: (a) increase access to healthy foods and make them more affordable, (b) promote physical activity, and (c) enable tobacco-free living among Marion County residents using sustainable and evidence-based strategies (Marion Public Health, 2019). To offer obesity-related clinical and non-clinical interventions as part of the services provided by Marion General Hospital's Heart Failure Clinic. This includes support and education about fluid and weight management, as well as exercise and nutritional counseling. To offer obesity-related clinical and non-clinical interventions as part of the services provided by Marion General Hospital's Cardiac Rehabilitation Program. The 12-week cardiac rehabilitation program teaches and empowers patients (with support from family or caregivers) to make lifestyle and behavior changes through: (a) nutrition planning, (b) supervised exercise program, (c) tobacco cessation program, (d) medical weight management, (e) prevention of heart disease, (f) stress management, and (g) lifestyle and health responsibility coaching. Patients who graduate from the 12-week program will receive help developing an ongoing fitness program (OhioHealth 2015-2019). Anticipated Impact of These Actions Active participation and engagement in the planning, coordination and implementation of at least three Marion County Creating Healthy Communities initiatives. At least 500 Marion County residents per year will benefit from these initiatives. At least 50 patients per year served by Marion General Hospital's Heart Failure Clinic and provided support and education for fluid and weight management, exercise and nutritional counseling. At least 25 patients per year will complete Marion General Hospital's 12-week Cardiac Rehabilitation Program, and at least 25 patients, family members or caregivers per year will participate in support groups. (C) Maternal and child health, including safe and healthy housing. Actions Marion General Hospital Intends to Take to Address the Health Need Partner with Ohio Department of Health and Marion Adolescent Pregnancy Program (MAPP) in providing mothers and newborns with home visiting and/or early intervention services. Partner with MarionMade! in providing SleepSacks (wearable blankets) to newborns and safe-sleep education to parents of newborns. Partner with the Marion Public Library "Read 20" program in implementing "Book and Bib," a program promoting early literacy. Promote safe and healthy housing by active participation in the Marion County Housing Coalition and cash and/or in-kind sponsorships to non-profit organizations that address poverty and housing, including Marion Matters (Facebook, 2019), Heart of Ohio Homeless Shelter (Heart of Ohio Homeless Shelter, 2014) and Mission Serve (Mission Serve, n.d.). Anticipated Impact of These Actions Up to 24 mothers and newborns per year will be referred to Ohio Help Me Grow home visiting and early intervention services. At least 500 mothers and newborns per year will be provided with SleepSacks and safe-sleep education. At least 100 mothers and newborns per year will receive a "Book and Bib" to promote early literacy. At least two housing-related projects will be initiated or completed by community collaborators that address safe and healthy housing or homelessness. - Reduce pre-term births, low birth weight and infant mortality in Marion County. Documentation of Program Impacts from the CHNA and Implementation Strategy Adopted in 2016 by OhioHealth Marion General Hospital: Need # 1: Obesity - Provision of obesity-related speaking engagements by physicians, nurses, allied health professionals and administrative staff as part of the enhanced Marion General Speaker's Bureau Program. - Provided cholesterol and blood pressure screenings (six to seven times per year) at community health fairs at the Marion County Fair and Marion Senior Center. - Offered diabetes education to the public through the Marion General Diabetes Program. - Provided spouse or significant other of cardiac rehabilitation patients with discounted memberships ($25/month) to the Marion General exercise facilities. - Referred patients to Center Street Community Health Center, which provides counseling about healthy lifestyles and weight management. - Referred 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. - Collaborated 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.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Marion General Hospital. - Partnered 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, the Pulmonary Rehabilitation Unit, and the Partial Hospitalization and Intensive Outpatient Program provided the following services: (a) Smoking-cessation education, referral and follow-up to inpatients, (b) inpatient counseling to patients who have smoked within the past 12 months, (c) for inpatients who are current smokers and expressing interest in quitting, provide a packet with a stress ball, gum, booklet and flier 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, (d) Marion General pharmacy provides free nicotine patches to inpatients who express the desire to quit and score a seven or higher in the Assessment of Motivation: Readiness to Quit Ladder. Associates from pulmonary services and the Pulmonary Rehabilitation Unit perform the assessment and contact the pharmacy who assesses the patient and give the free nicotine patches upon discharge, (e) make follow-up telephone calls 30 days after discharge to assess how the patients have been progressing with their smoking cessation efforts, (f) educate patients on the negative effects of smoking to the effectiveness of psychiatric medications. - Supported cancer patients in tobacco cessation efforts through the Patient Navigator Program. - Clinical associates presented to inmates at the North Central Ohio Rehabilitation Center about the health risks of smoking and benefits of smoking cessation. - Educated community members through participation at health fairs and referrals to smoking cessation programs. - Referred patients to Center Street Community Health Center for smoking cessation assistance. - Continued participation in the Tobacco-Free Marion County Coalition. Need # 3: Substance Abuse - Partnered with Center Street Community Health Center to enhance access to care for the underserved who need medical advice, treatment and counseling referrals related to alcohol and substance abuse. - Provided referrals to Marion Area Counseling Center, Inc. for alcohol and substance abuse counseling and follow-up with patients on referral status and progress. - The Marion General Hospital Behavioral Health Services, comprised of the Partial Hospitalization and Intensive Outpatient Program and the Inpatient Behavioral Health Unit provided patients with educational opportunities and linkages to community resources such as: (a) Education and support group on relapse prevention, (b) meeting place in the unit for the Narcotics Anonymous group to hold weekly meetings, (c) referral and linkages to Alcoholics Anonymous, Narcotics Anonymous, Alateen, inpatient treatment programs and outpatient agencies that provide alcohol and drug follow-up, (d) 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, (e) the Partial Hospitalization and 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. - Improved nurses' abilities to respond to patients with substance abuse issues through nursing education provided at Grand Rounds. - Partnered in hosting an annual Medication Disposal Day, which facilitates the collection, destruction and disposal of unwanted medications in a legal and environmentally friendly manner. - Consistent use of the Ohio Automated Rx Reporting System by physicians, pharmacists, and health care providers with prescribing authority. - Participation in the STAND Coalition (formerly the Marion County Opiate Task Force). Need # 4: Maternal and Child Health - Implemented the "Cribs for Kids" Program to provide cribs for low-income families, partnering with Ohio Department of Health and the Together We Inspire Giving (TWIG) group (Celia Julie Miller, Mary Beth Hatfield). - Low-cost tobacco cessation programs provided by Marion General pulmonary services. - Referrals made to Marion County Children Services and Voice of Hope for parenting classes. - Referrals made to Marion County Job and Family Services and WIC for food resources and medical cards. - Referrals made to Ohio Buckles for Buckeyes program at MARCA that teaches child car seat safety. - Referrals made to Help Me Grow for first-time mothers. - Enhancement of partnership with community agencies, especially Marion County Children Services, Voice of Hope, Center Street Community Health Center, Marion County Job and Family Services, Ohio Buckles for Buckeyes Program and Help Me Grow, to ensure effective and efficient referral process to support maternal and child health. - Hosted a group of pregnant teens in partnership with PHC (Pioneering Healthier Communities), CHC (Creating Healthy Communities) 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: Safe and Healthy Housing - Partnered with OhioHealth Gerlach Center for Senior Health and the OhioHealth Grant Medical Center Injury Prevention Program in implementing falls prevention programming. - Strengthened partnership with Ohio PASSPORT Medicaid waiver program to promote home safety and provide support for older adults to stay in their home. - Provided comprehensive home healthcare services through OhioHealth Home Care. - Referrals made to the Ohio Heartland Community Action Commission to provide air conditioning units and heating bill assistance through Ohio Home Energy Assistance Program (HEAP) for eligible patients (e.g., patients with asthma, COPD and other health issues). - Referrals made to Marion Public Health for bed bug issues. - Referrals made to Turning Point and Be Ministries for housing assistance. - Strengthened partnerships with Ohio Heartland Community Action Commission, Marion Public Health, Turning Point and Be Ministries, and Ohio WIC to ensure effective and efficient referral process. - Implemented the 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. - Strengthened partnerships 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. OHIOHEALTH HAS 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 - OHIOHEALTH MARION HOSPITAL. SIGNS ARE POSTED, IN MULTIPLE LANGUAGES, 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, WHICH IS ON LARGE POSTER BOARDS (24X36 INCHES) AND CONSPICUOUSLY DISPLAYED, CONTAINS REFERENCE TO THE ORGANIZATION'S CHARITY CARE PROGRAM. INFORMATION MATERIALS SUCH AS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND BILLING BROCHURE, ARE AVAILABLE IN MULTIPLE LANGUAGES AT REGISTRATION LOCATIONS AND INTERPRETIVE SERVICES CAN BE ARRANGED IN THOSE LANGUAGES IF THE PATIENT/GUARANTOR HAS LIMITED ENGLISH PROFICIENCY OR DOES NOT SPEAK ENGLISH. OHIOHEALTH FACILITY BILLING STATEMENTS ALSO INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE SUCH AS THE PLAIN LANGUAGE SUMMARY AND CAN BE USED TO APPLY FOR FINANCIAL ASSISTANCE. HOSPITAL PATIENT BILLING BROCHURES EXPLAIN THAT OHIOHEALTH PROVIDES CARE TO EVERYONE WHO COMES FOR SERVICES, REGARDLESS OF THEIR ABILITY TO PAY. THE BROCHURE PROVIDES INFORMATION ABOUT HCAP AND THE HOSPITALS CHARITY CARE PROGRAMS, HOW TO APPLY, AND THE NUMBERS TO CALL WITH QUESTIONS. HOSPITAL PATIENT BILLING BROCHURES ARE HANDED TO EVERY SELF-PAY PATIENT WITH THE FINANCIAL ASSISTANCE APPLICATION AND AVAILABLE UPON REQUEST FOR INSURED PATIENTS. IN ADDITION, A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY IS OFFERED TO EVERY PATIENT UPON INTAKE. OHIOHEALTH HAS A VERY ROBUST FINANCIAL COUNSELING PROGRAM THAT AIMS TO ASSIST AND EDUCATE EVERY PATIENT THAT NEEDS FINANCIAL HELP BY INFORMING THE PATIENT OF OHIOHEALTH'S FINANCIAL ASSISTANCE PROGRAM. 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. SYSTEM-WIDE, OHIOHEALTH HS OVER 30 FINANCIAL COUNSELORS, INCLUDING SUPERVISORS. 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 AND THE PLAIN LANGUAGE SUMMARY WITH THE FEDERAL POVERTY GUIDELINES. INCLUDED ARE DIRECTIONS TO COMPLETE THE APPLICATION, SIGN, AND WHERE TO SEND THE APPLICATION. DURING THE PRE-REGISTRATION/PRE-ADMISSIONS 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 OPENS EVERY CALL INTERACTION WITH SCRIPTING PERTAINING TO FINANCIAL ASSISTANCE AVAILABILITY AND WILL DISCUSS FINANCIAL ASSISTANCE WITH ANY PATIENT THAT EXPRESSES NEED OR CONCERN IN PAYING THE BALANCE ON THEIR ACCOUNT OR WANTING MORE INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. 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, PLAIN LANGUAGE SUMMARY AND FAP ARE AVAILABLE IN ELEVEN DIFFERENT LANGUAGES BASED ON THE NEEDS OF THE COMMUNITIES.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - O'Bleness Memorial Hospital. OhioHealth O'Bleness Hospital is an active member of the Athens County Community Health Assessment Steering Committee (see below). With leadership from the Athens City-County Health Department and support of O'Bleness Hospital and Ohio University, Athens County completed the 2018 Community Health Assessment survey, held webinars, conducted online surveys and sent email communications to discuss the progress of the community health assessment, and face-to-face health needs prioritization meeting. Athens-Hocking-Vinton Alcohol, Drug Addiction and Mental Health Services (317 Board, 2016) Representative: Bill Dunlap, deputy director Description of the medically underserved, low-income or minority populations represented by the organization: Serves all residents of Athens County, Ohio, especially those who are medically underserved, minorities, low-income or individuals with chronic disease needs. Inputs: (a) Participated in the 2018 Athens County Community Health Needs Assessment (CHNA); (b) Participated in the CHNA Steering Committee prioritization meeting American Red Cross Southeast Ohio Representative: Rob Frey, board member Description of the medically underserved, low-income or minority populations represented by organization: Serves residents of Athens, Belmont, Coshocton, Gallia, Guernsey, Meigs, Monroe, Morgan, Muskingum, Noble, Perry, Vinton and Washington counties. Inputs: (a) Participated in the 2018 Athens County Community Health Needs Assessment (CHNA); (b) Participated in the CHNA Steering Committee prioritization meeting. Amesville Village Representatives: Gary Goosman, mayor Description of the medically underserved, low-income or minority populations represented by organization: Serves residents of Amesville Village, Ohio Inputs: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting Athens Area Chamber of Commerce Representatives: Michelle Oestrike, president Description of the medically underserved, low-income or minority populations represented by organization: Serves local businesses and organization from Athens County, Ohio Inputs: (a) Participated in the 2018 Athens County Community Health Assessment (CHA) Athens Bicycle Representatives: Meredith Erlewine, owner Description of the medically underserved, low-income or minority populations represented by organization: Serves persons and families interested in biking and bicycles Inputs: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting Athens City Council Representatives: Sarah Grace, council member Description of the medically underserved, low-income or minority populations represented by organization: Serves residents of the City of Athens, Ohio Inputs: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting Athens City-County Health Department Representatives: Ruth Dudding, health educator; James Gaskell, health commissioner; Jack Pepper, health administrator (Has knowledge and skills in public health) Description of the medical underserved, low-income, or minority populations represented by the organization: Serves residents of Athens County, Ohio Inputs: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting Athens County Board of Developmental Disabilities Representative: Arian Smedley, executive assistant to the superintendent Description of the medically underserved, low-income or minority populations represented by organization: Serves persons with developmental disabilities and their families who are residing in Athens County, Ohio Inputs: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting Athens County Children Services Representatives: Mandy Wright, school outreach caseworker supervisor; Laura Bobo, intake supervisor Description of the medically underserved, low-income or minority populations represented by organization: Serves children and families from Athens County, Ohio, who are in need of help or security Inputs: (a) Participated in the 2018 Athens County Community Health Assessment (CHA) Athens County Commissioner's Office Representative: Chris Chmiel, Athens County Commissioner Description of the medically underserved, low-income or minority populations represented by organization: Serves residents of Athens County, Ohio who need jobs, skills training, child care, health care and mental health services Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA) Athens County Department of Jobs and Family Services Representatives: Shawn Stover, reentry program coordinator Description of the medically underserved, low-income or minority populations represented by organization: Serves all citizens of Athens County, Ohio, especially those who are unemployed, disabled and with chronic disease Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA) Athens County Emergency Medical Services Representative: Tami Wires, deputy chief; Amber Pyle; assistant chief Description of the medically underserved, low-income or minority populations represented by organization: Serves all persons in need of emergency medical assistance or a 9-1-1 response in Athens County, Ohio Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting Athens County Foundation Representative: Jesse Stock, program director Description of the medically underserved, low-income or minority populations represented by organization: Serves all Athens County nonprofit organizations and community residents Inputs: (a) Participated in the 2018 Athens County Community Health Assessment (CHA) Athens County Prosecutors Office Representative: Becky Filar, director of Community Justice Description of the medically underserved, low-income or minority populations represented by organization: Serves vulnerable persons from Athens County, Ohio, needing legal counsel, advocacy, safety and justice Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA) Athens County Public Libraries Representative: Nick Tepe, director Description of the medically underserved, low-income or minority populations represented by organization: Serves All residents of Athens County, Ohio Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting Athens County Regional Planning Commission Representative: Jessie Powers, regional county planner Description of the medically underserved, low-income or minority populations represented by organization: Serves All residents of Athens County, Ohio Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting Athens County Sheriff's Office Representative: Rodney Smith, sheriff Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Athens County, Ohio Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA) Athens County Veterans Services Representative: Kim Spencer, Athens County veteran service officer Description of the medically underserved, low-income or minority populations represented by organization: Serves veterans and their dependents residing in Athens County Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA) Athens-Meigs Educational Service Center Representative: Ricky Edwards, superintendent Description of the medically underserved, low-income or minority populations represented by organization: Serves students from K-12 and families residing in Athens and Meigs Counties, Ohio Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA) City of Athens, Ohio Representative: Steve Patterson, mayor Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of the city of Athens, Ohio Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA) Community Food Initiatives Representative: Scott J. Winemiller, executive director Description of the medically underserved, low-income or minority populations represented by organization: All residents of Athens County and southeastern Ohio. Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA)
Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - O'Bleness Memorial Hospital. First Presbyterian Church of Nelsonville Representative: Rev. Peter Galbraith, pastor Description of the medically underserved, low-income or minority populations represented by organization: Serves all church members in the city of Nelsonville, Athens County and neighboring areas Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA) Good Works, Inc. Representative: Keith Wasserman, founder. Description of the medically underserved, low-income or minority populations represented by organization: Serves people living with poverty and homelessness in rural Appalachian region, state of Ohio Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA) Health Recovery Services, Inc. Representative: Ellen Martin, executive director (Has knowledge and skills in public health) Description of the medically underserved, low-income or minority populations represented by organization: Serves all persons suffering from mental illness and/or alcohol, tobacco or drug addiction. Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting Hocking, Athens, Perry Community Action (HAPCAP) Representative: Kelly Hatas, community services director; Claire Gysegun, public relations manager (Has knowledge and skills in public health) Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Athens, Hocking and Perry counties, Ohio Inputs: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting Hocking College Representative: Sheree Cunningham, executive assistant Description of the medically underserved, low-income or minority populations represented by organization: Serves all persons regardless of ability to pay for their education and skills training Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA) Holzer Health System Representative: Jessica Meade, clinical manager; Trina Bressler, director of operations Description of the medically underserved, low-income or minority populations represented by organization: Serves all persons needing healthcare services regardless of ability to pay Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting Hopewell Health Centers Representative: Sherry Shamblin, chief of behavioral healthcare operations Description of the medically underserved, low-income or minority populations represented by organization: Serves all persons needing mental and behavioral health services regardless of ability to pay Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA) Integrated Services for Behavioral Health Representative: Kevin Gillespie, executive director; Terri Gillespie, board member (Has knowledge and skills in public health) Description of the medically underserved, low-income or minority populations represented by organization: Serves all persons needing mental and behavioral health services regardless of ability to pay Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting Live Healthy Appalachia Representative: Mollie Fitzgerald, executive director (Has knowledge and skills in public health) Description of the medically underserved, low-income or minority populations represented by organization: Serves residents of Athens County and the Appalachian regions. Inputs: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting OhioHealth O'Bleness Hospital Representatives: Tara Gilts, director of development; Becky Holcomb, Nurse Manager Description of the medically underserved, low-income or minority populations represented by organization: Serves all persons. Inputs: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting Ohio University Heritage College of Osteopathic Medicine Representatives: Sherri Oliver; executive director, Rebecca Miller; director of College and Community Partnerships, Michelle Morrone; director, environmental studies and professor, environmental health sciences; Carole Merckle, assistant director, Community Health Programs and Area Health Education Center; Sharon Casapulla, director, education and research and assistant professor, family medicine (Have knowledge and skills in public health) Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Ohio, United States and the world Inputs: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting Ohio University Lesbian, Gay, Bisexual, Transgender Center Representative: Delfin Bautista, director Description of the medically underserved, low-income or minority populations represented by organization: Serves the university and community to promote diversity and inclusion Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting Passion Works Studio Representative: Patty Mitchell, executive director Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Athens County, Ohio Input: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting Rural Action Representative: Debbie Phillips, chief executive officer Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Athens, Meigs, Vinton, Washington, Hocking, Morgan, Perry, Tuscarawas, Stark and Carroll counties Inputs: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting Tomcat Bridgebuilders Representative: Kathy Trace, president Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents in Athens County and neighboring areas Inputs: (a) Participated in the 2018 Athens County Community Health Assessment (CHA) United Seniors of Athens County, Inc. Representative: Joyce Lewis, director Description of the medically underserved, low-income or minority populations represented by organization: Serves senior citizens (60+ years of age) and their families residing in Athens County, Ohio Inputs: (a) Participated in the 2018 Athens County Community Health Assessment (CHA); (b) Participated in the CHA Steering Committee Prioritization Meeting
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - O'Bleness Memorial Hospital. OhioHealth O'Bleness Hospital is an active member of the Athens County Community Health Assessment Steering Committee. With leadership from the Athens City-County Health Department and support of O'Bleness Hospital and Ohio University, Athens County completed the 2018 Community Health Assessment survey, held webinars, conducted online surveys and sent email communications to discuss the progress of the community health assessment, and face-to-face health needs prioritization meeting. The 2018 Athens County Community Health Assessment was conducted from May to November 2018. The Athens County Community Health Assessment Steering Committee includes representatives from the following: Athens Foundation, Inc. + Athens-Hocking-Vinton Alcohol, Drug Addiction and Mental Health Services Board (317 Board) + American Red Cross of Southeastern Ohio + Amesville Village + Athens Area Chamber of Commerce + Athens Bicycle + Athens City Council + Athens City-County Health Department + Athens County, Ohio Departments (Athens County Board of Developmental Disabilities, Athens County Children Services, Athens County Commissioner's Office, Athens County Department of Jobs and Family Services, Athens County Emergency Medical Services, Athens County Prosecutor, Athens County Public Libraries, Athens County Regional County Planner, Athens County Sheriff's Office, Athens County Veterans Services) City of Athens, Ohio + Community Food Initiatives + First Presbyterian Church of Nelsonville + Good Works, Inc. + Health Recovery Services, Inc. + Hocking, Athens, Perry Community Action (HAPCAP) + Hocking College + Holzer Health System + Hopewell Health Centers + Integrated Services for Behavioral Health + Live Healthy Appalachia + OhioHealth O'Bleness Hospital + Ohio University Heritage College of Osteopathic Medicine + Ohio University Lesbian, Gay, Bisexual, Transgender Center + Passion Works Studio + Rural Action + Tomcat Bridgebuilders + United Seniors of Athens County, Inc. All required sources for community input participated on the Athens County Community Health Assessment Steering Committee. No written comments on the previous CHNA and implementation strategy were received. 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 28 years. His general healthcare practice focuses on health planning matters, certificates of need, nonprofit and tax-exempt healthcare providers and federal and state regulatory issues. Mr. Flynn has provided consultations to healthcare providers including nonprofit and tax-exempt healthcare providers as well as public hospitals on community health needs assessments. Chris Kenney, the director of regulatory services with INCompliance Consulting, an affiliate of Bricker & Eckler LLP, has over 39 years of experience in healthcare planning and policy development, federal and state regulations, certificate of need regulations, and Medicare and Medicaid certification. She has been conducting CHNAs in compliance with federal rules since 2012, providing expert testimony on community needs and offering presentations and educational sessions regarding CHNAs.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - O'Bleness Memorial Hospital. OhioHealth O'Bleness Hospital clinicians and administrative staff collaborated with OhioHealth Community Health and Wellness in developing the 2020-2022 implementation strategy to address three priority health needs: (1) mental health and addiction, (2) poverty and (3) chronic disease. The primary and secondary health data for Athens County community health needs and the healthcare and community resources that are available to address the health needs are summarized in the O'Bleness Hospital 2019 Community Health Needs Assessment. The significant health needs of Athens County include: (A) Mental health and addiction. O'Bleness Hospital's Intended Actions to Address the Health Need + Partnership with the Athens City-County Health Department, 317 Board, Hopewell Health Center, Health Recovery Resources, Ohio University and other community organizations in sustaining a regional drug coalition. + Screening to identify Pain Management Clinic patients who are high risk for depression, anxiety or substance misuse and referral to Health Recovery Services counselors. O'Bleness healthcare team will collaborate with Health Recovery Resources in preparing care plan for patients. + Collaborate with the Athens City-County Health Department and Hopewell Health Center in offering mental health consultations to pregnant women and caregivers with children ages 0-1 to promote (a) social and emotional development, (b) communication between parents and baby to help with brain development and (c) resilience among families. Refer patients to the Athens City-County Health Department's "Welcome Home Baby" program. + Offer chronic pain self-management to Athens County residents, a six-week program that serves patients and families suffering from chronic pain through stress reduction education, discussions with healthcare providers about pain and evidence-based exercises. + Continue to partner with the Athens City-County Health Department on harm reduction initiatives, including but not limited to naloxone (Narcan) distribution and clean needle exchanges. Anticipated Impact of These Actions + Completion of at least one community-wide project or regional conference or symposia that aims to reduce drug dependency and abuse among Athens County residents. + At least 25 patients from the OhioHealth O'Bleness Pain Management Clinic will be referred to health recovery resources for counseling and care plan development. Progress will be assessed per patient. + The Edinburgh Postnatal Depression Scale will be administered by the OhioHealth Physician Group OB/GYN providers for up 100 patients. The OhioHealth Birth Center team will explore infant mental health services that are available through Hopewell Health Centers. Up to 100 new mothers or caregivers with a child or children ages 0-1 will receive a home visit through the Athens City-County Health Department's "Welcome Home Baby" program. + Up to 100 patients or families will complete the Chronic Pain Self-Management class. Aggregate data on end of course survey and demographics will be reported as outcome measures. + Up to 100 community members will receive services through a community harm reduction initiative sponsored by or in partnership with OhioHealth O'Bleness Hospital. (B) Poverty. O'Bleness Hospital's Intended Actions to Address the Health Need + Offer medical student clinical rotations in O'Bleness inpatient and outpatient facilities. + Offer nursing student clinical rotations in O'Bleness inpatient and outpatient facilities. + Offer physical therapy student clinical rotations in O'Bleness inpatient facilities. + Offer business, accounting and administration internships at O'Bleness Hospital. + Offer Project SEARCH program to provide on-the-job training to individuals with disabilities. + Provide sponsorship to the Athens Area Chamber of Commerce or Nelsonville Area Chamber of Commerce. + Serve as a board member for the Athens Area Chamber of Commerce. + Serve as a board member of the Athens County Economic Development Council. + Provide sponsorships to nonprofit organizations in Athens County that serve the poor. Anticipated Impact of Actions + At least 10 medical students per year will complete clinical rotations at O'Bleness Hospital. + At least 10 nursing students per year will complete clinical rotations at O'Bleness Hospital. + At least 10 physical therapy students per year will complete clinical rotations at O'Bleness Hospital. + At least four business, accounting and administration internships per year will be completed at O'Bleness Hospital. + Up to eight persons with disabilities will complete on-the-job training at O'Bleness Hospital under the Project SEARCH program. + At least one sponsorship per year will be provided to the Athens Chamber of Commerce and Nelsonville Area Chamber of Commerce to create jobs and nurture business innovations in Athens County. + Active engagement of at least one O'Bleness Hospital staff as a board member of either the Athens Area Chamber of Commerce or the Athens County Economic Development Council. (C) Chronic Disease. O'Bleness Hospital's Intended Actions to Address the Health Need + Provide access to breast mammogram services through the OhioHealth O'Bleness Hospital Mobile Mammography program that serves Athens County, Ohio and Appalachian Ohio region (OhioHealth, 2015-2018a). + Partner with the Athens City-County Health Department's Creating Healthy Communities in providing patients from Athens and Hocking Counties with access to nutritious meals. Patients with diabetes or prediabetes will be prescribed nutritious meals delivered through the Meals on Wheels program. O'Bleness Hospital will utilize the community health workers from the Athens City-County Health Department to help patients adopt healthy behaviors, improve health literacy and overcome barriers to good health habits. + Provide O'Bleness Hospital patients, families and employees access to fresh produce through the pop-up farm stand, which operates one day a week from May to October at the hospital facility. Unsold produce will be donated to the homeless shelter, Good Works' Timothy House. + Provide access to high quality cardiac and pulmonary rehabilitation services in Athens County, Ohio through HeartWorks (OhioHealth, 2015-2018b). HeartWorks helps patients recover from a variety of health problems to enhance their quality of life by offering complete health and fitness programs that combine aerobic exercise with evaluation, education and counseling. Participants meet three days a week for 12 weeks. + Offer SeniorBEAT (Be Educated and Active Together) to senior residents of Athens County to provide opportunities for mutual support, socialization, continued learning, exercise, healthy eating, empowerment and engagement. Anticipated Impact of Actions + Up to 500 mammograms will be completed at the O'Bleness Hospital Mobile Mammography program in partnership with community partners including (a) Athens City School District, (b) Rocky Boot, (c) Hopewell Health Centers, (d) Noble County Health Department, (e) Athens County Commissioners Office, (f) People's Bank, (g) Belpre Senior Center, (h) Cornwell Jewelers, (i) Federal Hocking City School District, (j) Chase Bank, (k) Meigs County Schools, (l) Scenic Hills Senior Center, (m) Buckeye Hills Regional Council, (n) Athens County Libraries, (o) Ohio University Heritage College of Osteopathic Medicine, (p) Vinton County School District, (q) Hocking Athens Perry Community Action and (r) Susan G. Komen Columbus. + Up to 1,200 total meals will be delivered to as many as 20 OhioHealth Nelsonville Health center patients residing in Athens or Hocking Counties who were diagnosed with diabetes or prediabetes. Patients will self-report fruit and vegetable consumption, patient satisfaction and changes in hemoglobin A1C. Community health workers from the Athens City-County Health Department will be engaged with participants. + Over $4,000 in fresh local produce will be sold at the pop-up farm stand at O'Bleness Hospital from May to October. Produce is acquired from the Chesterhill Produce Auction, a social enterprise of Rural Action. + Up to 50 patients per fiscal year will complete cardiopulmonary rehabilitation at OhioHealth O'Bleness HeartWorks. + SeniorBEAT will offer up to 10 different activities that benefit seniors' socialization, learning, exercise, healthy eating, empowerment and engagement. At least 100 seniors will participate in the activities during a fiscal year.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - O'Bleness Memorial Hospital. Documentation of Program Impacts from the CHNA and Implementation Strategy Adopted in 2016 by OhioHealth O'Bleness Hospital: Need #1: Substance Abuse - The Pain Management Clinic, primary care, obstetrics and the emergency department (ED) made 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. - Implemented an ultra-brief screening tool to identify patients in need of substance abuse services and when identified, connected patients to social services to facilitate referrals to Health Recovery Services, Integrated Services for Behavioral Health and Hopewell Health Centers Behavioral Health Services. - Actively involved in the Narcotics Task Force Committee which enables integration of behavioral health counselors with the OhioHealth O'Bleness Hospital Pain Management Clinic team. - Partnered with the Athens City-County Health Department and implemented 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. - Provided education about safe prescribing for hospital and community physicians. - Established a multidisciplinary team at O'Bleness Hospital to explore effective methods to reduce morbidity and mortality linked to substance abuse. - Athens Medical Associates Obstetrics and Gynecology (AMA OB/GYN) participated in a 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 - Served 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 OhioHealth Physician Group Heritage College OB/GYN Athens providers. The M.O.M.S. Project provides expectant mothers with counseling, Medication-Assisted Treatment and case management. - Provided 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 principles of AA and the experiences of men and women in recovery with a dual diagnosis of both chemical dependency and emotional or psychiatric illness. - Collaborated 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 - Provided internships, job shadowing and volunteer opportunities for high school students. - Provided 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) to improve educational attainment in the region (sponsorship committee). - Acted as preceptors for Ohio University and Hocking College students on clinical rotations. - Hosted internship and practicum students from Ohio University in the fields of health administration, marketing and communications, pre-medicine, business, physical therapy and nursing. - Served 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. - Collaborated 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. - Continued 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. - Supported 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. - Continued serving as a Board member for the Athens Area Chamber of Commerce, which facilitates a strong business climate in Athens County and promotes jobs and economic progress. Need #3: Access to Care - Provided access to the OhioHealth Stroke Network where O'Bleness Hospital patients with a stroke diagnoses could be treated on-site by critical care and stroke specialists from OhioHealth Riverside Methodist Hospital and OhioHealth Grant Medical Center. - Linked patients to services through primary care physicians, pediatricians, specialty care services and OhioHealth Physician Group Heritage College. - Made 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. - Offered appointments through OhioHealth Physician Group Heritage College OB/GYN Athens at convenient times for patients and provides assistance with locating transportation to reduce barriers to accessing care. - OhioHealth Physician Group Heritage College provided a free sports medicine clinic for middle and high school athletes. - Provided gas cards to oncology patients to eliminate transportation barrier to accessing treatment. - Increased the number of primary care and specialty care providers and services locally, including services accessible through telemedicine. Need #4: Chronic Disease - Supported community members and staff in becoming more active through HeartWorks, a pulmonary and cardio rehab opportunity in partnership with Ohio University and ensures hospital and community physicians are knowledgeable about making referrals to HeartWorks. - Partnered with Community Food Initiatives to provide weekly, healthy food deliveries to home health and hospice patients. - Increased access to mammography screenings in the region through the introduction of a mobile mammography unit. - Offered 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. - Sponsored community walks and runs to support increased physical activity. - Partnered and/or sponsored Live Healthy Appalachia programs providing nutrition education in schools and the community in addition to physical activity opportunities. - Offered 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. - Participated in community partners' efforts around population health, including attendance and participation at community-based collaborative meetings. - Provided access to the OhioHealth Stroke Network and community education on the prevention and treatment of stroke. - Supported 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 - Referred patients to Hopewell Health Centers through a partnership in which crisis screeners assess patients in the Emergency Department after they have been stabilized. - Participated in the Crisis Admission Group, which meets quarterly to collaborate at a community level. - Served as a primary facility providing medical clearance for Appalachian Behavioral Health. - Referred patients to Health Recovery Services, Hopewell Health Centers, Integrated Services and other behavioral and mental healthcare providers. - Referred OB patients to a program that utilizes case management and maternal bonding through Hopewell. - Screened all Pain Management Clinic patients for mental health needs and refer to appropriate providers. - Partnered 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. - Provided 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. OHIOHEALTH HAS 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 - OHIOHEALTH O'BLENESS MEMORIAL HOSPITAL. SIGNS ARE POSTED, in multiple languages, 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, which is on large poster boards (24x36 inches) and conspicuously displayed, CONTAINS REFERENCE TO THE ORGANIZATION'S CHARITY CARE PROGRAM. INFORMATION MATERIALS SUCH AS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND BILLING BROCHURE, ARE AVAILABLE in multiple languages AT REGISTRATION LOCATIONS AND INTERPRETIVE SERVICES CAN BE ARRANGED in those languages IF THE PATIENT/GUARANTOR HAS LIMITED ENGLISH PROFICIENCY OR DOES NOT SPEAK ENGLISH. OHIOHEALTH FACILITY BILLING STATEMENTS ALSO INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE SUCH AS THE PLAIN LANGUAGE SUMMARY AND CAN BE USED TO APPLY FOR FINANCIAL ASSISTANCE. IN ADDITION, A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY IS OFFERED TO EVERY PATIENT UPON INTAKE. OHIOHEALTH HAS A VERY ROBUST FINANCIAL COUNSELING PROGRAM THAT AIMS TO ASSIST AND EDUCATE EVERY PATIENT THAT NEEDS FINANCIAL HELP BY INFORMING THE PATIENT OF OHIOHEALTH'S FINANCIAL ASSISTANCE PROGRAM. 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. SYSTEM-WIDE, OHIOHEALTH HAS OVER 30 FINANCIAL COUNSELORS, INCLUDING SUPERVISORS. 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 AND THE PLAIN LANGUAGE SUMMARY WITH THE FEDERAL POVERTY GUIDELINES. INCLUDED ARE DIRECTIONS TO COMPLETE THE APPLICATION, SIGN, AND WHERE TO SEND THE APPLICATION. THE CUSTOMER CALL CENTER OPENS EVERY CALL INTERACTION WITH SCRIPTING PERTAINING TO FINANCIAL ASSISTANCE AVAILABILITY AND WILL DISCUSS FINANCIAL ASSISTANCE WITH ANY PATIENT THAT EXPRESSES NEED OR CONCERN IN PAYING THE BALANCE ON THEIR ACCOUNT OR WANTING MORE INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. THE FINANCIAL ASSISTANCE APPLICATION, PLAIN LANGUAGE SUMMARY AND FAP ARE AVAILABLE IN ELEVEN DIFFERENT LANGUAGES BASED ON THE NEEDS OF THE COMMUNITIES.
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: Big Brothers Big Sisters of Central Ohio Representative: Mitchell Briant, assistant vice president; Anna Wildermuth, program coordinator Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Reviewed primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Big Walnut Local Schools Representative: Penny Sturtevant, district testing coordinator; Laura Lawrence, director of student services Description of the medically underserved, low-income or minority populations represented by organization: Serves students and families of the Big Walnut Local School District. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Buckeye Valley Local Schools Representative: Karen Kehoe, director of pupil personnel; Jeremy Froelich, middle school assistant student principal Description of the medically underserved, low-income or minority populations represented by organization: Serves all school-aged children and their families residing in the City of Delaware. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment Cancer Support Community Representative: Angie Santangelo Description of the medically underserved, low-income or minority populations represented by organization: Serves all people regardless of ability to pay. Inputs: (a) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. City of Delaware Representative: Tracey Sumner, resident; Judy Held, physician Description of the medically underserved, low-income or minority populations represented by organization: Serves all persons residing or working in the City of Delaware. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Columbus State Community College Delaware Campus Representative: Averee Fields, student engagement coordinator Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Delaware County and neighboring areas who wanted to pursue associate degrees or technical or service careers. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Delaware Area Transit Agency Representative: Kathy Laughlin, mobility coordinator Description of the medically underserved, low-income or minority populations represented by organization: Serves general public, primarily from Delaware County. More than 90 percent of riders are either disabled, senior citizens or have low incomes. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Delaware City Schools Representative: Heidi Kegley, assistant superintendent; Pam Steurer, director of school-aged child care; Jen Ruhe, director of communications Description of the medically underserved, low-income or minority populations represented by organization: Serves all school-aged children and their families residing in the City of Delaware. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Delaware City School Family Resource Center Representative: Lily Wiest, program coordinator; Carrie Grogan, social worker/program coordinator Description of the medically underserved, low-income or minority populations represented by organization: Serves all school-aged children and their families residing in the City of Delaware. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Delaware Community Center YMCA Representative: Andrea Norris, Powell director of community wellness; Amy Mosser, Delaware director of community wellness Description of the medically underserved, low-income or minority populations represented by organization: Serves all Delaware County residents. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Delaware County Representative: Jeff Benton, commissioner; Jane Hawes, communications manager Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Delaware County, Ohio. Inputs: a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Delaware County Adult Court Services Representative: Laurie Winbigler, recovery docket officer/coordinator Description of the medically underserved, low-income or minority populations represented by organization: Serves adult offenders in Delaware County. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Delaware County Board of Developmental Disabilities Representative: Tina Overturf, director of early intervention Description of the medically underserved, low-income or minority populations represented by organization: Serves all Delaware county residents with developmental disabilities. Inputs : a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Delaware County Jail Representative: Jennifer Coy, jail sergeant Description of the medically underserved, low-income or minority populations represented by organization: Serves inmates housed in the jail. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan.
Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - Grady Memorial Hospital. Delaware County Job and Family Services Representative: Angela Thomas, assistant director of job and family services; Sandy Honigford, child and adult protective services assistant director Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Delaware County Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Delaware County Juvenile Court Representative: Patty Cram, mentoring coordinate; Megan Dillman, program assistant Description of the medically underserved, low-income or minority populations represented by organization: Serves minors and their families residing in Delaware County. Inputs: a) Participated in developing the 2018 Delaware County Community Health Assessment Delaware County Regional Planning Commission Representative: Scott Sanders, executive director Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Delaware County, Ohio. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Delaware County Sheriff's Office Representatives: Russ Martin, sheriff; Kassie Neff, program coordinator; Julie Krupp, drug liaison Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Delaware County, Ohio. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Delaware General Health District Representatives: Patrick Blayney, vice president, Board of Health; Shelia Hiddleson, health commissioner; Susan Sutherland, community health specialist; Lori Kannally, community health specialist; Kelli Kincaid, program manager/accreditation coordinator; Joan Bowe, director PH/Nursing (retired); Connie Codispoti, community health specialist; Jen Keagy, community health director; Kelsey Kuhlman, program manager; Heather Lane, epidemiologist; Laurie Thuman, program manager; Monica Wing, administrative assistant; Adam Howard, director Personal Health Division; Travis Irvan, program manager and epidemiologist; Traci Whittaker, public information officer; Abby Crisp, health educator; Abbey Trimble, health educator; Delores Smith, member, Board of Health; Christina Tracy, community health specialist; Arielle Hieronimus, public health specialist; Josie Bonnette (falls prevention coordinator) (These persons have knowledge of and expertise in public health.) Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Delaware County, Ohio. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan; (d) Coordinated the Delaware County Community Health Assessment and Community Health Improvement Plan in collaboration with The Partnership for a Healthy Delaware County and Hospital Council of Northwest Ohio. Delaware-Morrow Mental Health and Recovery Services Board Representative: Steve Hedge, executive director (retired); Deanna Brant, executive director (current); Amy Hill; associate director (These persons have knowledge of and expertise in public health.) Description of the medically underserved, low-income or minority populations represented by the organization: Serves all residents of Delaware and Morrow counties who need mental health and substance abuse services. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Delaware Police Department Representative: Officer Robert Hatcher, Captain Adam Moore Description of the medically underserved, low-income or minority populations represented by organization: Serves all persons in Delaware County. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Delaware Speech and Hearing Center Representative: Bethany Moore, executive director Description of the medically underserved, low-income or minority populations represented by organization: Serves all persons with speech and hearing problems. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment Drug-Free Delaware Representative: Jean Bednar, project coordinator; Jamica Harper, project coordinator Description of the medically underserved, low-income or minority populations represented by organization: Serves all persons in Delaware County. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Genoa Township Representative: Ruth Schrock, resident Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Genoa Township, in Delaware County Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Grace Clinic Delaware Representative: Erica Wood, executive director; Nicole Steffanni, nurse coordinator Description of the medically underserved, low-income or minority populations represented by organization: Serves uninsured and underinsured residents of Delaware County, Ohio. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment HelpLine of Delaware and Morrow Counties, Inc. Representative: Sue Hanson, executive director; Michelle Price, suicide prevention program manager; Amy Hawthorne, violence prevention program manager; B.J. Shuman, suicide prevention educator Description of the medically underserved, low-income or minority populations represented by organization: Serves Delaware and Morrow County residents regardless of ability to pay Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Hospital Council of Northwest Ohio Representative: Carolynn McCartney, community health improvement intern; Emily Stearns, community health improvement coordinator; Tessa Elliott, community health improvement coordinator; Britney Ward, director of community health improvement; Erin Rauschenberg, graduate assistant; Jana Armstrong, intern Description of the medically underserved, low-income or minority populations represented by organization: Serves hospitals and health systems in northwest Ohio and contracts with county and city health departments in Ohio (on as needed basis). Inputs: (a) Contracted by the Delaware General Health District to lead and coordinate the processes for the Delaware County Community Health Assessment (CHA) and Community Health Improvement Plan (CHIP), (b) served as co-facilitators of The Partnership for a Healthy Delaware County CHA and CHIP meetings; (c) Prepared the CHA and CHIP reports.
Schedule H, Part V, Section B, Line 5 Facility , 3 Facility , 3 - Grady Memorial Hospital. Mount Carmel Lewis Center Representative: Nicole McGarity, nurse manager; Jason Koma, director of external affairs; Brian Pierson, regional director, outreach population health program Description of the medically underserved, low-income or minority populations represented by organization: Serves all persons regardless of ability to pay. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Nationwide Children's Hospital Representative: Libbey Hoang, vice president of planning and business development; Kristin Nietfield, site director Description of the medically underserved, low-income or minority populations represented by the organization: Serves all children and their families regardless of ability to pay. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. OhioHealth Grady Memorial Hospital Representatives: Erin Nieset, director, case management; Melissa Pickelheimer, senior advisor Description of the medically underserved, low-income or minority populations represented by organization: Serves all persons who came to OhioHealth Grady Memorial Hospital, OhioHealth Delaware Health Center and other ambulatory facilities. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Ohio Wesleyan University Representatives: Christopher Fink, assistant professor and chair, Department of Health and Human Kinetics; co-chair of The Partnership for Healthy Delaware County; Marsha Tilden, director of student health services Description of the medically underserved, low-income or minority populations represented by organization: Serves students and their dependents needing student health services. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Olentangy Local School District Representative: Allisha Berendts, pupil services/student well-being supervisor; Samantha Norman, social worker Description of the medically underserved, low-income or minority populations represented by the organization: Serve students and families from low-income or minority groups residing in Delaware County. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Orange Township Fire Department Representative: Matt Noble, fire chief Description of the medically underserved, low-income or minority populations represented by organization: Serves residents of Orange Township in Delaware County, Ohio. Input: (a) Participated in developing the 2018 Delaware County Community Health Assessment People in Need, Inc., of Delaware County, Ohio Representative: Randy Bournique, executive director; Lisa Clark, emergency services coordinator Description of the medically underserved, low-income or minority populations represented by organization: Serves persons needing emergency food, healthcare and housing. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Pregnancy Resources of Delaware County Representative: Kathryn Gannon, nursing manager Description of the medically underserved, low-income or minority populations represented by organization: Serves women of reproductive age residing in Delaware County, Ohio. Inputs: a) Participated in developing the 2018 Delaware County Community Health Assessment Preservation Parks of Delaware County, Ohio Representative: Tony Benishek, Human Resources manager Description of the medically underserved, low-income or minority populations represented by organization: Serves all persons residing in Delaware County, Ohio. Inputs: a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Radnor Township Representative: Dan Boysel, vice chairperson Description of the medically underserved, low-income or minority populations represented by organization: Serves residents of Radnor Township, Delaware County Inputs: a) Participated in developing the 2018 Delaware County Community Health Assessment Recovery and Prevention Resources of Delaware and Morrow Counties Representative: Tiffany Kocher, program coordinator Description of the medically underserved, low-income or minority populations represented by organization: Serves all persons needing treatment for alcohol and other drugs, intervention, prevention and education services. Inputs: a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Safety Awareness for Everyone (SAFE), Delaware County Representative: Corinne Gasper, teen driver task force co-chairwoman Description of the medically underserved, low-income or minority populations represented by organization: Serves all persons in Delaware County. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment Salvation Army Representative: Halle McConnell, case manager Description of the medically underserved, low-income or minority populations represented by organization: Individuals and families needing assistance for basic amenities such as food, housing, education, employment and care coordination. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment. Scioto Township Representative: Sandra Stults, Resident Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. SourcePoint Representative: Fara Waugh, director of client services; Karen Waltermeyer, client services manager Description of the medically underserved, low-income or minority populations represented by organization: Older adults residing in Delaware County. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Southeast, Inc. Representative: Daniel Cuciak, program manager; Kim Cooksey, clinical director Description of the medically underserved, low-income or minority populations represented by the organization: Serves all persons with mental and behavioral health needs regardless of ability to pay. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan.
Schedule H, Part V, Section B, Line 5 Facility , 4 Facility , 4 - Grady Memorial Hospital. Syntero Representative: Rebecca S, juvenile court liaison; Jay Fry, outpatient clinician; Sarah Harrison-Mills, director; Danielle Winters, outpatient clinician; Amanda Corrigan, therapist; Chase Sullivan, clinical social worker Description of the medically underserved, low-income or minority populations represented by organization: Serves individuals and families regardless of ability to pay. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Reviewed primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. Tobacco Free Delaware County Representative: Len Fisher, chair Description of the medically underserved, low-income or minority populations represented by organization: Serves residents of Delaware County. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment. Turning Point Representative: Paula Burnside, program director; Kathy King, shelter director Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Reviewed primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan. United Way of Delaware County Representatives: Brandon Feller, president; Brande Urban, director of community impact; Kelsey Fox, collective impact specialist Description of the medically underserved, low-income or minority populations represented by organization: Community partner agencies serve persons and families needing education, essential services, healthcare services and financial assistance. Inputs: (a) Participated in developing the 2018 Delaware County Community Health Assessment; (b) Review of primary and secondary data on community health needs of Delaware County residents, ranking and prioritization of health needs; (c) Participated in developing the 2019-2022 Delaware County Community Health Improvement Plan.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Grady Memorial Hospital. Grady Memorial collaborated with The Hospital Council of Northwest Ohio (HCNO), On behalf of The Partnership for a Healthy Delaware County, the Delaware General Health District contracted with HCNO to conduct the community health assessments and facilitate the process for developing the Community Health Improvement Plan (The Partnership for a Healthy Delaware County, 2018). HCNO is a member-driven regional hospital association that represents and advocates on behalf of its member hospitals and health systems. HCNO provides collaborative opportunities for its members and community partners to improve the health and well-being of Northwest Ohio's residents (Hospital Council of Northwest Ohio, 2018). Community services and regional programs provided by HCNO include community health assessments, clergy badges, Healthcare Heroes, Northwest Ohio Disaster Preparedness, Northwest Ohio Pathways HUB, Northwest Ohio Regional Trauma Registry, and planning and evaluation services (Hospital Council of Northwest Ohio, 2018).
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Grady Memorial Hospital. OhioHealth Grady Memorial Hospital adopted the two priority health needs, (a) mental health and addiction, and (b) chronic disease, which were identified by the Partnership for Healthy Delaware County representatives during the Delaware County Community Health Improvement Plan meetings. Mental Health and Addiction includes (a) youth and child bullying, (b) adult and youth alcohol consumption, (c) adult and youth tobacco use, and (d) adult and youth opiate use. Chronic Disease includes (a) adult, youth and childhood obesity, (b) diabetes, (c) heart disease, and (d) chronic pain. (Note that diabetes and heart disease did not receive a priority health need ranking from the CHNA process but are included as significant contributors to chronic disease.) The other health issues that were ranked are considered social determinants of health, and include access to healthcare, abuse and trauma and food access. These were identified as cross-cutting factors for the two priority health needs. The primary and secondary data on mental health and addiction and chronic disease as well as the healthcare and community resources that were available to address the health needs are summarized in the OhioHealth Grady Memorial Hospital 2019 Community Health Needs Assessment (OhioHealth, 2019) and the 2018 Delaware County Community Health Assessment (Delaware General Health District, 2012-2018). The significant health needs of Delaware County include: (A) Mental Health and Addiction - includes (a) youth and child bullying, (b) adult and youth alcohol consumption, (c) adult and youth tobacco use, and (d) adult and youth opiate use. Actions Grady Hospital Intends to Take to Address the Health Need + Screen primary care patients ages 12 and older for depression using a standardized tool -patient health questionnaire (PHQ-2) or nine-item patient health questionnaire (PHQ-9). Screening will be documented in the OhioHealth CareConnect electronic medical records (Epic Systems Corporation, Verona, Wisconsin) and appropriate referrals will be made. (This action aligns with Ohio State Health Improvement Plan.) + Screen patients ages 12 and older seeking emergency care for depression using a standardized tool, SAFE-T. Screening will be documented in the OhioHealth CareConnect electronic medical records (Epic Systems Corporation, Verona, Wisconsin) and appropriate referrals will be made. (This action aligns with Ohio State Health Improvement Plan.) + Deliver provider training on opioid prescribing guidelines and use of the Ohio Automated Rx Reporting System (OARRS). + Assess OhioHealth Grady Memorial Hospital's emergency department patients for alcohol use, drug use and smoking status and refer them to a social worker or community resources on an as needed basis. + Offer patients, community residents and OhioHealth associates tobacco cessation classes. Anticipated Impact of These Actions + Increased identification of mental health issues, including social determinants of health such as abuse and trauma, which could also be affecting physical health, and provide proper referral to appropriate community agencies. + Improve access to care through referrals. Reduce drug abuse as evidenced by reduction in percent of individuals ages 12 and over who report past-year illicit drug dependence or abuse. + Providers will be better trained in opioid prescribing guidelines and use of OARRS. + Increased number of patients from Grady Memorial Hospital's emergency department referred to social workers or community resources for alcohol, tobacco and drug use counseling as well as brief intervention or referral to treatment. + Participants in the smoking cessation program will learn: (a) a positive approach to becoming a non-tobacco user, (b) strategies to recover from tobacco addiction, (c) barriers to tobacco cessation, (d) health benefits of choosing a tobacco-free lifestyle, (e) nicotine-replacement options, (f) motivational exercises and (g) techniques for stress management. Participants will report lack of smoking relapse at four weeks and at six months post-quit date. Significant health need not addressed by Grady Memorial Hospital: Bullying From the 2018 Delaware County Community Health Assessment, 71 percent of Delaware County parents discussed bullying and violence with their children. Forty-three percent of parents reported that their child was bullied in the past year, of which 26 percent were verbally bullied and 13 percent were indirectly bullied (rumors, eliminated from the group). Forty-three percent of youth have been bullied, of which 32 percent were verbally bullied and 26 percent were bullied indirectly. Twenty-five percent of youth were bullied on school property in the past year. Explanation as to Why the Need is Not Going to be Addressed by Grady Memorial Hospital Bullying is beyond the scope of Grady Memorial Hospital's services. Grady Memorial Hospital does not have the expertise or resources to effectively address this need. Mental health screenings conducted by primary care and emergency care providers will appropriately refer individuals to other facilities and organizations within the community with the necessary expertise to address this need. (B) Chronic Disease - includes (a) adult, youth and childhood obesity, (b) diabetes, (c) heart disease, and (d) chronic pain. Actions Grady Memorial Hospital Intends to Take to Address the Health Need + Increase awareness of prediabetes by offering prediabetes screenings, education and referral (as needed) to YMCA of Delaware Diabetes Prevention Program to patients at OhioHealth outpatient clinics in Delaware County (a) Grady Hospitalists located at 551 West Central Avenue, Delaware, Ohio 43015; (b) Primary Care Physicians Sawmill located at 4141 North Hampton Drive, Suite 200, Powell, Ohio 43065; (c) Primary Care Physicians Delaware Health Center located at 801 OhioHealth Boulevard, Suite 260, Delaware, Ohio 43015; (d) Primary Care Physicians Sunbury located at 100 Tippett Court, Suite 101, Sunbury, Ohio 43074 and (e) Internal Medicine Grady located at 551 West Central Avenue, Suite 301, Delaware, Ohio 43015. (This action aligns with Ohio State Health Improvement Plan.) Programs also address weight status (overweight and obese) and awareness of and access to healthy food. + Screen patients in the primary care setting for diabetes and provide education and support to reduce or prevent the prevalence of diabetes. Education and support also addresses weight status and the importance of a healthy diet. + Screen and refer patients with chronic pulmonary disease for in-home disease management care through a pilot OhioHealth home medical equipment program for adults diagnosed with chronic obstructive pulmonary disease. + Provide heart and vascular services in Delaware County regardless of ability to pay. Financial assistance will be provided to patients and families following the OhioHealth Charity Care policy as follows: (a) free care for individuals and families who earn less than 200 percent of the federal poverty level, (b) substantially discounted care based on a sliding fee scale for individuals and families who are between 200 and 400 percent of the federal poverty level, (c) hardship policy for patients and families who are not eligible for charity care but faced with unique financial situations, (d) interest-free loans for up to one year to assist patients, (e) adoption of the uninsured discount policy for individuals without insurance who do not qualify for charity care (OhioHealth, 2015-2018b). + Provide chronic pain management healthcare services to Delaware County residents through (a) OhioHealth's rheumatology and arthritis program, (b) OhioHealth rehabilitation and therapy and (c) WorkHealth occupational health services (OhioHealth, 2015-2018c). Anticipated Impact of These Actions + Increase number of Delaware County residents becoming aware of prediabetes and adopting healthy lifestyle and behavior changes. + Reduce instances of adult diabetes by increasing the number of patients screened, educated about prediabetes and diabetes and referred (on an as needed basis) to the YMCA of Delaware Diabetes Prevention Program, which is a Center for Disease Control (CDDC)-recognized diabetes prevention program. + Increase identification of chronic disease issues, including social determinants of health such as access to care and food, and provide proper referral to the appropriate community agencies. + Increase the number of participants in various health and wellness programs. Self-report of learned concepts and skills, engagement and commitment to lifestyle and behavior changes among individuals and families who participated in these programs. + Increase the number of Delaware County residents with access to high quality heart and vascular services.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - OhioHealth Grady Memorial Hospital. + Increase the number of Delaware County residents with access to high quality chronic pain management, reporting medication adherence and compliance, and compliance to physical therapy. Documentation of Program Impacts from the CHNA and Implementation Strategy Adopted in 2016 by OhioHealth Grady Memorial Hospital: Need #1 -Access to Healthcare and Medications *Expanded free or low-cost healthcare services available in Lewis Center. *Expanded access to free and low-cost primary care services in western Delaware. *Linked patients with free or affordable transportation programs, and strengthened partnerships with community agencies providing transportation assistance. *Enrolled patients in pharmaceutical assistance programs and provide prescription vouchers, when eligible, and strengthened partnerships with pharmaceutical companies providing prescription assistance. *Referred patients to community resources that provide prescription assistance (for example, Grace Clinic and People in Need) and strengthened partnerships with community agencies providing prescription assistance. *Provided, when appropriate, free supplies (such as glucometers) for diabetic patients based on need. *Referred patients to dental care programs, such as Grace Clinic, Vineyard Church - Sunbury, The Ohio State University College of Dentistry and Physician CareConnection, and strengthen partnerships with these community agencies. Need #2: Alcohol and Substance Abuse *Consistently used the Ohio Automated Rx Reporting System (OARRS), a state database for monitoring narcotic use by Emergency Department (ED) physicians to limit opiate doses prescribed per patient *Strengthened partnerships with community agencies to enhance efforts to safely dispose of medications, such as promoting the use of permanent drug disposal boxes and community medication take-back events. *Provided referrals to alcohol and substance abuse treatment programs, such as Narcotics Anonymous, Central Ohio Mental Health, Maryhaven, and Recovery and Prevention Resources, and strengthened partnerships with these agencies to ensure an effective referral process. Need #3: Food Insecurity *Collaborated with Local Matters in offering programs (Cooking Matters) to educate people about cooking nutritious and healthy meals. *Provided patient referrals to People In Need, Lutheran Social Services Food Pantry, Delaware City Schools, Andrews House and SourcePoint (Meals on Wheels) for assistance in accessing food and to strengthened partnerships with these agencies to ensure an effective referral process. *Provided referrals to Delaware Community Market for residents interested in a gardening plot for a small fee (Delaware Community Garden) and strengthened partnerships with Delaware County Community Market to ensure effective referral process. *Provided referrals to Stratford Ecological Center and Delaware County Parks and Recreation, which offer cooking classes at low or no cost, and strengthened partnerships with these community agencies to ensure an effective referral process. *Strengthened OhioHealth Grady Memorial Hospital staff volunteerism with local agencies and faith communities to serve meals to needy families and individuals. *Provided sponsorships to various community organizations that provide food resources to Delaware County residents. Need # 4: Mental Health *Conducted a risk assessment at point-of-entry to assess mental health needs, including potential suicidal actions in partnership with Central Ohio Mental Health, and refer patients to mental health agencies for follow-up care (Lorri Charnas; Erin Nieset, Rick Kelley). *Provided mental health first aid training through Grady Pastoral Care. *Strengthened partnerships between OhioHealth Grady Memorial Hospital, Delaware General Health District, United Way of Delaware County, and Delaware-Morrow Mental Health and Recovery Services Board to address mental health in Delaware County. Need #5: Obesity and Overweight *Provided free diabetes classes to the community and offer "Living Well with Diabetes," a culturally-sensitive, age-appropriate and interactive class, taught by a dietitian and pharmacist, that promoted practical knowledge to empower participants to take care of themselves, manage their condition, and prevent diabetes complications. *Continued to provide improvements in cafeteria and vending machines to offer healthy food and snack options. *Offered quarterly healthy cooking classes through services of the hospital's nutrition educator. Refer patients to Cooking Matters classes (a Local Matters program), which are free to the participant. *Strengthened efforts of primary care providers in educating parents and families about Delaware Community Center YMCA programs that can provide physical activity options for overweight and obese children, and strengthen partnership with Delaware Community Center YMCA.
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. OHIOHEALTH HAS 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 - OHIOHEALTH GRADY MEMORIAL HOSPITAL. SIGNS ARE POSTED, IN MULTIPLE LANGUAGES, 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, WHICH IS ON LARGE POSTER BOARDS (24X36 INCHES) AND CONSPICUOUSLY DISPLAYED, CONTAINS REFERENCE TO THE ORGANIZATION'S CHARITY CARE PROGRAM. INFORMATION MATERIALS SUCH AS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND BILLING BROCHURE, ARE AVAILABLE IN MULTIPLE LANGUAGES AT REGISTRATION LOCATIONS AND INTERPRETIVE SERVICES CAN BE ARRANGED IN THOSE LANGUAGES IF THE PATIENT/GUARANTOR HAS LIMITED ENGLISH PROFICIENCY OR DOES NOT SPEAK ENGLISH. OHIOHEALTH FACILITY BILLING STATEMENTS ALSO INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE SUCH AS THE PLAIN LANGUAGE SUMMARY AND CAN BE USED TO APPLY FOR FINANCIAL ASSISTANCE. HOSPITAL PATIENT BILLING BROCHURES EXPLAIN THAT OHIOHEALTH PROVIDES CARE TO EVERYONE WHO COMES FOR SERVICES, REGARDLESS OF THEIR ABILITY TO PAY. THE BROCHURE PROVIDES INFORMATION ABOUT HCAP AND THE HOSPITALS CHARITY CARE PROGRAMS, HOW TO APPLY, AND THE NUMBERS TO CALL WITH QUESTIONS. HOSPITAL PATIENT BILLING BROCHURES ARE HANDED TO EVERY SELF-PAY PATIENT WITH THE FINANCIAL ASSISTANCE APPLICATION AND AVAILABLE UPON REQUEST FOR INSURED PATIENTS. IN ADDITION, A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY IS OFFERED TO EVERY PATIENT UPON INTAKE. OHIOHEALTH HAS A VERY ROBUST FINANCIAL COUNSELING PROGRAM THAT AIMS TO ASSIST AND EDUCATE EVERY PATIENT THAT NEEDS FINANCIAL HELP BY INFORMING THE PATIENT OF OHIOHEALTH'S FINANCIAL ASSISTANCE PROGRAM. FINANCIAL COUNSELORS ARE LOCATED AT EACH OF THE MAIN HOSPITAL CAMPUSES TO PROVIDE NFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAMS TO THE PATIENTS AS WELL AS ASSIST WITH COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. SYSTEMWIDE, OHIOHEALTH HAS OVER 30 FINANCIAL COUNSELORS, INCLUDING SUPERVISORS. 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 AND THE PLAIN LANGUAGE SUMMARY WITH THE FEDERAL POVERTY GUIDELINES. INCLUDED ARE DIRECTIONS TO COMPLETE THE APPLICATION, SIGN, AND WHERE TO SEND THE APPLICATION. DURING THE PRE-REGISTRATION/PRE-ADMISSIONS 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 OPENS EVERY CALL INTERACTION WITH SCRIPTING PERTAINING TO FINANCIAL ASSISTANCE AVAILABILITY AND WILL DISCUSS FINANCIAL ASSISTANCE WITH ANY PATIENT THAT EXPRESSES NEED OR CONCERN IN PAYING THE BALANCE ON THEIR ACCOUNT OR WANTING MORE INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. 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, PLAIN LANGUAGE SUMMARY AND FAP ARE AVAILABLE IN ELEVEN DIFFERENT LANGUAGES BASED ON THE NEEDS OF THE COMMUNITIES.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Hardin Memorial Hospital. On October 24, 2018, OhioHealth Hardin Memorial Hospital convened 16 community stakeholders to review secondary data pertinent to community health needs in Hardin County, Ohio. All of the stakeholders agreed that the five community health needs that were identified in Hardin County in 2014 are still the needs in Hardin County at present. Area Agency on Aging 3 * Representative: Erica Petrice, staff member * Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Hardin County. * Input: (a) Participated in developing the 2017-2020 Hardin County Community Health Improvement Plan American Red Cross * Representative: Daryl Flowers * Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Hardin County. * Input: (a) Participated in developing the 2017-2020 Hardin County Community Health Improvement Plan Coleman Professional Services * Representative: Melanie Woods * Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Hardin County with mental and behavioral health issues, regardless of ability to pay. * Input: (a) Member of the Hardin County Healthy Lifestyles Coalition that commissioned the Hardin County Nutrition and Physical Activity 2017 Health Assessment; (b) Participated in the OhioHealth Hardin Memorial Hospital Community Health Needs Assessment Meeting. Family and Resource Center of Northwest Ohio, Inc. * Representative: Jodi Knouff, director of clinical services * Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Allen, Auglaize, Hancock, Hardin, Logan, Sandusky, Seneca, Shelby Wood and Wyandot Counties, regardless of ability to pay. * Input: (a) Member of the Hardin County Healthy Lifestyles Coalition that commissioned the Hardin County Nutrition and Physical Activity 2017 Health Assessment; (b) Participated in the OhioHealth Hardin Memorial Hospital Community Health Needs Assessment Meeting. Hardin County Board of Developmental Disabilities * Representative: Andy Diller, services and support director * Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Hardin County. * Input: a) Member of the Hardin County Healthy Lifestyles Coalition that commissioned the Hardin County Nutrition and Physical Activity 2017 Health Assessment; (b) Member of the Hardin County Community Health Coalition that developed the 2017-2020 Hardin County Community Health Improvement Plan and (c) Participated in the OhioHealth Hardin Memorial Hospital Community Health Needs Assessment Meeting. Hancock Hardin Wyandot Putnam (HHWP) Community Action Commission * Representative: Angela Howard * Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Hardin County. * Input: (a) Member of the Hardin County Healthy Lifestyles Coalition that commissioned the Hardin County Nutrition and Physical Activity 2017 Health Assessment; (b) Member of the Hardin County Community Health Coalition that developed the 2017-2020 Hardin County Community Health Improvement Plan Hardin County Chamber and Business Alliance * Representative(s): Jesse Purcell, Director Chamber and Tourism * Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Hardin County. * Input: (a) Member of the Hardin County Community Health Coalition that developed the 2017-2020 Hardin County Community Health Improvement Plan Hardin County Sheriff's Office * Representative(s): Keith A. Everhart, sheriff * Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Hardin County and other areas * Input: (a) Participated in the OhioHealth Hardin Memorial Hospital Community Health Needs Assessment Meeting. Kenton-Hardin Health Department * Representative(s): Larry Oates, MD, board member; Arin Tracy, public health accreditation and emergency response coordinator and violence and injury prevention program manager; Ashlie Hall, staff; Cindy Keller, director of nursing (Has knowledge and skills in public health) * Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Hardin County * Input: (a) Member of the Hardin County Community Health Coalition that developed the 2017-2020 Hardin County Community Health Improvement Plan, and (b) Participated in the Hardin Memorial Hospital Community Health Needs Assessment meeting Kenton Times * Representative(s): Dan Robinson, reporter * Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Hardin County. * Input: (a) Participated in developing the 2017-2020 Hardin County Community Health Improvement Plan Mental Health & Recovery Services Board of Allen, Auglaize, and Hardin Counties * Representative(s): Kelly Monroe, associate director * Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Hardin County, regardless of ability to pay * Input: (a) Member of the Hardin County Community Health Coalition that developed the 2017-2020 Hardin County Community Health Improvement Plan; (b) Participated in the Hardin Memorial Hospital Community Health Needs Assessment OhioHealth Hardin Memorial Hospital * Representative(s): Deanna Carey, registered dietitian; Chris Davis, community and media relations manager; Lucinda Pfeifer; social worker; Kim Reisinger; manager, business development and employer services; Ron Snyder, chief operating officer * Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Hardin County and other areas regardless of ability to pay * Input: (a) Member of the Hardin County Community Health Coalition that developed the 2017-2020 Hardin County Community Health Improvement Plan, (b) Participated in the Hardin Memorial Hospital Community Health Needs Assessment meeting. OhioHealth Marion General Hospital * Representative: Shawn Kitchen, senior advisor, business development; Joy Bischoff, chief nursing officer and vice president of patient care services * Description of the medically underserved, low-income or minority populations represented by organization: Serves all people regardless of ability to pay * Input: (a) Participated in the Hardin Memorial Hospital Community Health Needs Assessment meeting. Ohio Northern University * Representative(s): Jamie Hunsicker; assistant professor of nursing; Amy Fanous, PharmD, project director for rural mobile health clinic and clinical assistant professor; Adellyn McPheron, rural mobile health clinic coordinator (Has knowledge and skills in public health) *Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Hardin County. * Input: (a) Member of the Hardin County Healthy Lifestyles Coalition that commissioned the Hardin County Nutrition and Physical Activity 2017 Health Assessment; (b) Member of the Hardin County Community Health Coalition that developed the 2017-2020 Hardin County Community Health Improvement Plan * Participated in developing the 2017-2020 Hardin County Community Health Improvement Plan Partnership for Violence Free Families * Representative(s): Casey Simon, Donna Dickman, Robin Oates * Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Allen, Auglaize, and Hardin Counties, regardless of ability to pay * Input: (a) Member of the Hardin County Community Health Coalition that developed the 2017-2020 Hardin County Community Health Improvement Plan, (b) Participated in the Hardin Memorial Hospital Community Health Needs Assessment Ridgemont School District * Representative: Amy Bahr, school nurse * Description of the medically underserved, low-income or minority populations represented by organization: Serves students and parents with school children residing in the Ridgemont Local School District of Hardin County * Input: (a) Member of the Hardin County Healthy Lifestyles Coalition that commissioned the Hardin County Nutrition and Physical Activity 2017 Health Assessment; (b) Member of the Hardin County Community Health Coalition that developed the 2017-2020 Hardin County Community Health Improvement Plan
Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - Hardin Memorial Hospital. The Ohio State University Extension Office * Representative(s): Jamie Dellifield, family and consumer sciences educator (Has knowledge and skills in public health *)Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Hardin County and other areas * Input: (a) Member of the Hardin County Healthy Lifestyles Coalition that commissioned the Hardin County Nutrition and Physical Activity 2017 Health Assessment; (b) Member of the Hardin County Community Health Coalition that developed the 2017-2020 Hardin County Community Health Improvement Plan United Way of Hardin County * Representative(s): Darlene Foreman, executive director; Merleen Barnes, president * Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Hardin County * Input: (a) Member of the Hardin County Community Health Coalition that developed the 2017-2020 Hardin County Community Health Improvement Plan Faith-Based Organizations * Representative(s): Scott Johnson * Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Hardin County * Input: (a) Member of the Hardin County Community Health Coalition that developed the 2017-2020 Hardin County Community Health Improvement Plan Community Resident * Representative(s): Brenda Jennings (Has knowledge and skills in public health) * Description of the medically underserved, low-income or minority populations represented by organization: Serves all residents of Hardin County. * Input: (b) Participated in the community health needs assessment meeting hosted by OhioHealth Hardin Memorial Hospital
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Hardin Memorial Hospital. This project was led by Hardin Memorial Hospital in collaboration with the Kenton-Hardin Health Department. The meeting of stakeholders was held on October 24, 2018. The following organizations participated in the prioritization meeting: Hardin Memorial Hospital, Marion General Hospital, Kenton-Hardin Health Department, Coleman Professional Services, Family Resource Center of NW Ohio, Hardin County Sheriff's Office, Mental Health and Recovery Services Board, Ohio Northern University, Partnership for Violence Free Families and Hardin County residents.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Hardin Memorial Hospital. OhioHealth Hardin Memorial Hospital clinicians and administrative staff collaborated with OhioHealth Community Health and Wellness in developing the 2020-2022 implementation strategy to address the hospital's three priority health needs: (1) mental health and addiction - including adult and youth drug use and youth suicide, (2) chronic disease - including adult and youth obesity and (3) access to healthcare. The primary and secondary health data for Hardin Memorial community health needs and the healthcare and community resources that are available to address the health needs are summarized in the Hardin Memorial Hospital 2019 Community Health Needs Assessment. Need #1: Mental Health and Addiction Hardin Memorial Hospital's Intended Actions to Address the Health Need: + To partner with the Partnership for Violence Free Families in implementing Refuse, Remove, Reasons (RRR) in various Hardin County school districts. RRR is a school-based alcohol and drug prevention program that focuses on helping students become more resilient in deciding against drugs, alcohol, tobacco and marijuana. (This action aligns with the Ohio 2017-2019 State Health Improvement Plan.). + Enhance Hardin Memorial Hospital collaborations with community stakeholders that address substance abuse prevention and treatment, such as Partnership for Violence Free Families, Kenton-Hardin Health Department, Coleman Professional Services, The Ohio State University Extension Office and Ohio Northern University. + Screen youth and adult patients for depression and risk for suicide using the nine-item Patient Health Questionnaire (PHQ-9). + Screen youth and adult patients, including inpatient, outpatient and emergency department patients for drug use, risk for suicide, and offer referrals to substance abuse treatment services. + Partner with Hardin County Coalition to Prevent Youth Substance Abuse to provide the "Guiding Good Choices" and "Hidden in Plain Sight" programs to area schools, such as Kenton City Schools and other Hardin County Schools. + Partner with Coleman Professional Services, which offers 24/7 treatment for mental health issues (including suicide risk), to refer unintentional overdose youth and adults who are first seen in the emergency department. + Partner with Kenton-Hardin Health Department, Hardin County Sheriff's Office, Prosecutor and Coroner to provide outreach and training on how to administer naloxone (Narcan) to persons who have overdosed on heroin (Project DAWN). + Collaborate with law enforcement and Ohio Northern University to safely dispose of medications, promote the use of permanent drug disposal boxes and community medication take-back events. Anticipated Impact of These Actions: + Reduction of marijuana use by 5 percent based on Ohio Healthy Youth Environment Survey data on youth marijuana use in the past 30 days. + Development and implementation of up to three collaborative strategies to reduce substance abuse in Hardin County. + Up to 100 patients screened using the Patient Health Questionnaire PHQ-9 to assess depression and risk for suicide. + Up to 100 patients screened for substance abuse in the inpatient, outpatient and emergency department settings. + Number of students and schools that received the "Guiding Good Choices" or "Hidden in Plain Sight" programs. + Up to 100 emergency department patients referred to Coleman Professional Services and status of referral obtained and assessed. + Up to 50 persons trained on how to administer naloxone as part of Project DAWN. + Up to 100 persons educated on safe disposal of medications and availability of permanent drug disposal boxes. + Collection of at least 100 pounds of medications and participation by at least 100 persons in Hardin County drug take-back events. Need #2: Chronic Disease Actions Hardin Memorial Hospital Intends to Take to Address the Health Need: + To participate in shared-use or joint-use agreements that will provide community-wide access to exercise areas, such as school playgrounds, track and field venues, church grounds and school grounds. (This action aligns with the Ohio 2017-2019 State Health Improvement Plan.) + Continue implementing the "Rails to Trails" initiative. + Offer the Diabetes Self-Management Education (DSME) program to residents of Hardin County and neighboring areas. Anticipated Impact of These Actions: + Reduce heart disease and diabetes as evidenced by: (a) percent of adults ever diagnosed with coronary heart disease, (b) percent of adults ever diagnosed with heart attack, (c) percent of adults ever diagnosed with hypertension, and (d) percent of adults who have been told by a health professional that they have diabetes. + At least 100 persons who took advantage of "Rails to Trails" initiative. + At least 10 persons who attended the Diabetes Self-Management Education (DSME) program and reported at least one lifestyle and behavior change. Need #3: Access to Healthcare Actions Hardin Memorial Hospital Intends to Take to Address the Health Need: + Open the OhioHealth Hardin Memorial Hospital Infusion Clinic in September 2019 to treat cancerous or non-cancerous conditions + Open the OhioHealth Urgent Care Hardin in February 2019 to treat conditions that are not life threatening yet need to be promptly addressed. Examples of medical conditions that are appropriate for urgent care include: cold and cough, sore throat, allergies, sinus infections, minor eye infections, testing for sexually transmitted diseases, earaches, fever, flu-like symptoms, minor back pain, upset stomach, vomiting, diarrhea, insect bites, rashes, minor abscesses, minor burns, minor cuts, lacerations, wound care, sprains and strains, abrasions, removal of superficial foreign bodies. OhioHealth Urgent Care Hardin will offer onsite X-rays, select laboratory analysis, drug screens, select immunizations and sports physicals. + Collaborate with Ohio Northern University in operating a multidisciplinary mobile clinic to: (a) provide screenings, such as blood pressure, glucose, cholesterol, lipids and hemoglobin A1C, and provide health education in churches, schools and other public facilities, and (b) refer patients to Hardin Memorial Hospital-affiliated primary care and specialty care clinics or inpatient hospital services. + Provide health screenings (blood pressure, cholesterol, glucose, body mass index and skin cancer) and health education at the Hardin County Fair, various community health fairs and local businesses to improve access to healthcare services. + Provide referral, linkage and follow-up to patients needing health insurance, transportation assistance, durable medical equipment and medications. Anticipated Impact of These Actions: + At least 100 patients served by the OhioHealth Hardin Memorial Hospital Infusion Clinic per year and at least 200 clinic visits per year. Identification of top five medical diagnoses among patients served by the infusion clinic per year. + At least 100 patients served by the OhioHealth Urgent Care Hardin per year and at least 200 clinic visits per year. Identification of top five medical diagnoses among patients served by the urgent care clinic per year. + At least 100 patients served by the Ohio Northern University mobile clinic per academic year and at least 150 clinic visits per year. Referral of at least 25 patients for either primary, specialty or acute care services. Identification of top three medical reasons for referral. + At least 100 patients screened for blood pressure, cholesterol, glucose, body mass index and skin cancer and pertinent health education provided. Number of patients referred to either the emergency department or primary care provider and reasons for referral determined. + At least 100 patients referred or linked by the social worker to community resources and follow-up provided to obtain status of referral. Reason(s) for referral recorded and resolution of community referral reported. Documentation of Program Impacts from the CHNA and Implementation Strategy Adopted in 2016 by OhioHealth Hardin Memorial Hospital: Need #1: Substance Abuse + Enhanced Hardin Memorial collaborations with community stakeholders that address substance abuse prevention and treatment + Screened all patients, including inpatient, outpatient and Emergency Department patients, for drug use and offer referrals to substance abuse treatment services
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Hardin Memorial Hospital. + Partnered with Coleman Professional Services, which offers 24/7 treatment for mental health, to refer unintentional overdose patients that are first seen in the Emergency Department. 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. + Partnered 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. + Worked 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 + Offered and facilitated 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 offered Dining with Diabetes, which provides education about healthy eating in partnership with The Ohio State University Extension Office. + Presented F.A.M.E. (Fun Activity Motivates Everyone) annually to spotlight healthy eating and physical activity options, targeting children ages 0 to 12. + Offered healthy food options daily in the hospital facility cafeteria. + Hosted Farmers Markets during the growing season to increase access to fresh fruits and vegetables. + Hosted the Hardin Hustle, a 5K fun run geared towards getting kids and families more physically active. + Participated 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. + Contributed to addressing food insecurity issues through providing financial support to a local food pantry. + Hosted annual Heart Smart Day with free screenings for the community in February in honor of National Heart Month. + In collaboration with other partners, provided 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 Office. + Provided 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 + Referred 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. + Collaborated with Kenton Community Health Center in improving access to care through providing a laboratory technician. + Expanded specialty care services to better serve the needs of the community. + Partnered 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. + Provided referral, linkage and follow-up to patients needing health insurance, transportation assistance, durable medical equipment and medications. + Provided health screenings (blood pressure, cholesterol, glucose, body mass index (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 + Offered and facilitated 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 offered Dining with Diabetes, which provides education about healthy eating in partnership with The Ohio State University Extension Office. + Presented Fun Activity Motivates Everyone (F.A.M.E.) annually to educate about healthy eating and physical activity options + Provided 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. + Participated 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, provided 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 Office and Hardin Memorial's F.A.M.E. Program. + Provided 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. + Provided community health education public service announcements in the local newspapers - the Kenton Times and Ada Herald - and on the radio: WKTN 95.3. + Improved health literacy for patients seen in the Ohio Northern University mobile clinic. Need #5: Behavioral and Mental Health + Partnered 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 were 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. + Screened 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. OHIOHEALTH HAS 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 - OHIOHEALTH HARDIN MEMORIAL HOSPITAL. SIGNS ARE POSTED, IN MULTIPLE LANGUAGES, 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, WHICH IS ON LARGE POSTER BOARDS (24X36 INCHES) AND CONSPICUOUSLY DISPLAYED, CONTAINS REFERENCE TO THE ORGANIZATION'S CHARITY CARE PROGRAM. INFORMATION MATERIALS SUCH AS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND BILLING BROCHURE, ARE AVAILABLE IN MULTIPLE LANGUAGES AT REGISTRATION LOCATIONS AND INTERPRETIVE SERVICES CAN BE ARRANGED IN THOSE LANGUAGES IF THE PATIENT/GUARANTOR HAS LIMITED ENGLISH PROFICIENCY OR DOES NOT SPEAK ENGLISH. OHIOHEALTH FACILITY BILLING STATEMENTS ALSO INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE SUCH AS THE PLAIN LANGUAGE SUMMARY AND CAN BE USED TO APPLY FOR FINANCIAL ASSISTANCE. HOSPITAL PATIENT BILLING BROCHURES EXPLAIN THAT OHIOHEALTH PROVIDES CARE TO EVERYONE WHO COMES FOR SERVICES, REGARDLESS OF THEIR ABILITY TO PAY. THE BROCHURE PROVIDES INFORMATION ABOUT HCAP AND THE HOSPITALS CHARITY CARE PROGRAMS, HOW TO APPLY, AND THE NUMBERS TO CALL WITH QUESTIONS. HOSPITAL PATIENT BILLING BROCHURES ARE HANDED TO EVERY SELF-PAY PATIENT WITH THE FINANCIAL ASSISTANCE APPLICATION AND AVAILABLE UPON REQUEST FOR INSURED PATIENTS. IN ADDITION, A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY IS OFFERED TO EVERY PATIENT UPON INTAKE. OHIOHEALTH HAS A VERY ROBUST FINANCIAL COUNSELING PROGRAM THAT AIMS TO ASSIST AND EDUCATE EVERY PATIENT THAT NEEDS FINANCIAL HELP BY INFORMING THE PATIENT OF OHIOHEALTH'S FINANCIAL ASSISTANCE PROGRAM. 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. SYSTEMWIDE, OHIOHEALTH HAS OVER 30 FINANCIAL COUNSELORS, INCLUDING SUPERVISORS. 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 AND THE PLAIN LANGUAGE SUMMARY WITH THE FEDERAL POVERTY GUIDELINES. INCLUDED ARE DIRECTIONS TO COMPLETE THE APPLICATION, SIGN, AND WHERE TO SEND THE APPLICATION. DURING THE PRE-REGISTRATION/PRE-ADMISSIONS 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 OPENS EVERY CALL INTERACTION WITH SCRIPTING PERTAINING TO FINANCIAL ASSISTANCE AVAILABILITY AND WILL DISCUSS FINANCIAL ASSISTANCE WITH ANY PATIENT THAT EXPRESSES NEED OR CONCERN IN PAYING THE BALANCE ON THEIR ACCOUNT OR WANTING MORE INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. 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, PLAIN LANGUAGE SUMMARY AND FAP ARE AVAILABLE IN ELEVEN DIFFERENT LANGUAGES BASED ON THE NEEDS OF THE COMMUNITIES.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 9
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?249
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 Wound Care
285 E State Street
Columbus,OH43215 		Physician Practice
4 PCP Clinical Support OPG
180 East Broad Street
Columbus,OH43215 		Physician Practice
5 Breast Surgeons Grant
285 E State Street
Columbus,OH43215 		Physician Practice
6 Neurosurgery Riverside
3555 Olentangy River Rd Suite 2001
Columbus,OH43214 		Physician Practice
7 Max Sports
3705 Olentangy River Road
Columbus,OH43214 		Physician Practice
8 GMC Hospitalists
340 E Town Street
Columbus,OH43215 		Physician Practice
9 HVP Gahanna
765 N Hamilton Road
Gahanna,OH43230 		Physician Practice
10 HVP Mansfield
335 Glessner Ave
Mansfield,OH44903 		Physician Practice
11 Neurosurgery Riverside Red
3525 Olentangy River Road Suite 531
0
Columbus,OH43214 		Physician Practice
12 Urology Riverside
500 Thomas Lane
Columbus,OH43016 		Physician Practice
13 CTVS Riverside
3535 Olentangy River Road
Columbus,OH43214 		Physician Practice
14 Rheumatology Grant
285 E State Street
Columbus,OH43215 		Physician Practice
15 Neuro Chatham Lane
931 Chatham Lane
Columbus,OH43221 		Physician Practice
16 DH Hospitalists
5131 Beacon Hill Road
Columbus,OH43228 		Physician Practice
17 OBGYN Athens
75 Hospital Dr Suite 260
Athens,OH45701 		Physician Practice
18 PCP Rivers Edge Dr
7630 Rivers Edge Drive
Columbus,OH43235 		Physician Practice
19 Neuro Grant
285 E State Street
Columbus,OH43215 		Physician Practice
20 GMC Trauma 1
111 S Grant Avenue
Columbus,OH43215 		Physician Practice
21 Surgical Specialists Mansfield
335 Glessner Ave
Mansfield,OH44903 		Physician Practice
22 Ortho Trauma Grant
285 E State Street
Columbus,OH43215 		Physician Practice
23 HVP Doctors
5131 Beacon Hill Road
Columbus,OH43228 		Physician Practice
24 OBGYN Grady
801 OhioHealth Blvd Suite 160
Delaware,OH43015 		Physician Practice
25 GMC GME Op Care Center Town St
393 E Town Street
Columbus,OH43215 		Physician Practice
26 PCP High St and Neil Ave
41 S High Street
Columbus,OH43215 		Physician Practice
27 Ortho Surgeons Ashland
45 Amberwood Pkwy
Ashland,OH44805 		Physician Practice
28 Pulmonary Grant
111 S Grant Avenue
Columbus,OH43215 		Physician Practice
29 PCP Delaware Health Center
801 OhioHealth Blvd Suite 260
Delaware,OH43015 		Physician Practice
30 Dublin Hospitalists
7500 Hospital Dr Suite 3511
Dublin,OH43016 		Physician Practice
31 PCP North Hamilton Road
765 Hamilton Rd
Gahanna,OH43230 		Physician Practice
32 Surgical Specialists Bing
3555 Olentangy River Road
Columbus,OH43214 		Physician Practice
33 PCP Britton Parkway
4343 All Seasons Dr
Hilliard,OH43026 		Physician Practice
34 PCP W Bridge St
250 W Bridge St
Dublin,OH43017 		Physician Practice
35 Ortho Surgeons Britton Pkwy
3663 Ridge Mill Drive
Hilliard,OH43026 		Physician Practice
36 PCP Polaris Parkway
300 Polaris Parkway
Westerville,OH43081 		Physician Practice
37 Sports Medicine Athens
75 Hospital Dr Suite 140
Athens,OH45701 		Physician Practice
38 Neuro MS
931 Chatham Lane
Columbus,OH43221 		Physician Practice
39 Urology Doctors
5141 W Broad Street
Columbus,OH43228 		Physician Practice
40 Bariatrics Riverside
3705 Olentangy River Road
Columbus,OH43214 		Physician Practice
41 PCP Athens
75 Hospital Dr Suite 350
Athens,OH45701 		Physician Practice
42 PCP Pickerington Med Campus
1509 Stonecreek Drive South
Pickerington,OH43147 		Physician Practice
43 PCP Powell FSED
4141 N Hampton Dr Suite 100
Powell,OH43065 		Physician Practice
44 Urology Grant
500 E Main St Suite 220
Columbus,OH43215 		Physician Practice
45 Neuro Westerville
300 Polaris Pkwy Suite 2350
Westerville,OH43081 		Physician Practice
46 Plastic Surgeons Grant
285 E State Street
Columbus,OH43215 		Physician Practice
47 OBGYN Doctors
5579 Hilliard Rome Office Park
Hilliard,OH43026 		Physician Practice
48 Neuro Mansfield
222 Marion Avenue
Mansfield,OH44903 		Physician Practice
49 PCP Tremont Rd
3363 Tremont Rd
Columbus,OH43221 		Physician Practice
50 Robotic Urologic Surgeons DMH
7450 Hospital Drive
Dublin,OH43016 		Physician Practice
51 Palliative Care
111 S Grant Avenue
Columbus,OH43215 		Physician Practice
52 Surgical Specialists Grant
285 E State Street
Columbus,OH43215 		Physician Practice
53 Pediatrics W Green Dr
24 W Green Parks Hall Dr Suite 329
Athens,OH45701 		Physician Practice
54 RMH Pulmonary Physicians
3545 Olentangy River Road
Columbus,OH43214 		Physician Practice
55 Uro Gyn Riverside
3555 Olentangy River Road
Columbus,OH43214 		Physician Practice
56 RMH GME OBGYN
3535 Olentangy River Road NG
Columbus,OH43214 		Physician Practice
57 Vascular Surgeons Grant
285 E State Street
Columbus,OH43215 		Physician Practice
58 PCP Havens Corners
504 Havens Corners Road
Gahanna,OH43230 		Physician Practice
59 O'Bleness Anesthesia
55 Hospital Drive
Athens,OH45701 		Physician Practice
60 Neuro Riverside MOB
3555 Olentangy River Rd 2050
Columbus,OH43214 		Physician Practice
61 Maternal Fetal Medicine
3535 Olentangy River Road
Columbus,OH43214 		Physician Practice
62 PCP Sandusky St
629 N Sandusky Avenue
Bucyrus,OH44820 		Physician Practice
63 PCP Kelnor Dr
3774 Broadway
Grove City,OH43123 		Physician Practice
64 PCP West Broad
5193 West Broad Street
Columbus,OH43228 		Physician Practice
65 PCP Hospital Dr
6905 Hospital Drive
Dublin,OH43016 		Physician Practice
66 Neuro Spine
3555 Olentangy River Rd
Columbus,OH43214 		Physician Practice
67 PCP Nike Dr
5548 Hilliard Rom Office Park
Hilliard,OH43026 		Physician Practice
68 Pulmonary Rivers Edge Dr
7630 Rivers Edge Drive
Columbus,OH43235 		Physician Practice
69 RMH GME Family Medicine
697 Thomas Lane
Columbus,OH43214 		Physician Practice
70 Grady Anesthesia
561 West Central Avenue
Delaware,OH43015 		Physician Practice
71 Sports Medicine McConnell
3773 Olentangy River Road
Columbus,OH43214 		Physician Practice
72 Behavioral Health IP ED VH
3535 Olentangy River Road
Columbus,OH43214 		Physician Practice
73 PCP Clairedan Dr
70 Clairedan Dr
Powell,OH43065 		Physician Practice
74 Pediatrics Grady MOB
551 W Central Ave Suite 103
Delaware,OH43015 		Physician Practice
75 PCP W Green Dr
24 W Green Parks Hall Dr Suite 230
Athens,OH45701 		Physician Practice
76 Colorectal Surgeons Grant
4882 E Main Suite 220
Columbus,OH43213 		Physician Practice
77 Surgical Specialists Doctors
5131 Beacon Hill Road
Columbus,OH43228 		Physician Practice
78 Breast Surgeons Riverside
3555 Olentangy River Road
Columbus,OH43214 		Physician Practice
79 Endocrinology Rivers Edge Dr
7630 Rivers Edge Drive
Columbus,OH43235 		Physician Practice
80 OBGYN West Broad
5193 West Broad Street
Columbus,OH43228 		Physician Practice
81 Delaware Internal Medicine
454 W Central Ave
Delaware,OH43015 		Physician Practice
82 PCP East Broad
7340 E Broad Street
Columbus,OH43004 		Physician Practice
83 Neuro Interdisciplinary Clinic
3535 Olentangy River Rd Suite S1501
Columbus,OH43214 		Physician Practice
84 Gyn Onc Riverside
500 Thomas Lane
Columbus,OH43214 		Physician Practice
85 PCP Hill Rd
417 Hill Road N
Pickerington,OH43147 		Physician Practice
86 Internal Medicine Grady MOB
551 W Central Ave Suite 301
Delaware,OH43015 		Physician Practice
87 RMH Critical Care
3535 Olentangy River Road
Columbus,OH43214 		Physician Practice
88 PCP Market Exchange
500 E Main Street
Columbus,OH43215 		Physician Practice
89 PCP Galloway
990 Galloway Road
Galloway,OH43119 		Physician Practice
90 Ortho Surgeons Mansfield MOB
335 Glessner Ave
Mansfield,OH44903 		Physician Practice
91 Urgent Care Athens
265 W Union St Suite A
Athens,OH45701 		Physician Practice
92 Campus Care Ohio University
2 Health Center Dr
Athens,OH45701 		Physician Practice
93 Neuro Interventional Pain
931 Chatham Lane
Columbus,OH43221 		Physician Practice
94 HVP Dublin
7500 Hospital Dr
Dublin,OH43016 		Physician Practice
95 ENT Doctors
5131 Beacon Hill Dr
Columbus,OH43228 		Physician Practice
96 Gastro Doctors
5131 Beacon Hill Road
Columbus,OH43228 		Physician Practice
97 PCP Lexington
375 West Main Street
Mansfield,OH44904 		Physician Practice
98 PCP Tippett Court
100 Tippett Ct Suite 101
Sunbury,OH43074 		Physician Practice
99 PCP Wellness On Wheels
393 E Town Street
Columbus,OH43215 		Physician Practice
100 Pediatrics Sawmill Pkwy
4141 N Hampton Dr Suite 103
Powell,OH43065 		Physician Practice
101 DMH GME Family Practice
6905 Hospital Drive
Dublin,OH43016 		Physician Practice
102 GMC OWHP
111 S Grant Avenue
Columbus,OH43215 		Physician Practice
103 PCP Trimble Rd
558 S Trimble Road
Mansfield,OH44903 		Physician Practice
104 Medical Oncology Grant
285 E State St Suite 670
Columbus,OH43215 		Physician Practice
105 Ortho Surgeons Berger
130 Morris Rd
Circleville,OH43113 		Physician Practice
106 Surgical Specialists Delaware
801 OhioHealth Blvd Suite 160
Delaware,OH43015 		Physician Practice
107 Grady Hospitalists
561 W Central Avenue
Delaware,OH43015 		Physician Practice
108 PCP Northfield
6519 US Highway 42
Mt Gilead,OH43338 		Physician Practice
109 CTVS Grant
85 McNaughten Road
Columbus,OH43213 		Physician Practice
110 RMH Trauma Crit Care APPs
3535 Olentangy River Rd
Columbus,OH43214 		Physician Practice
111 Medical Oncology Mansfield
335 Glessner Ave
Mansfield,OH44903 		Physician Practice
112 RMH Infectious Disease
3555 Olentangy River Rd
Columbus,OH43214 		Physician Practice
113 Internal Med Polaris Parkway
300 Polaris Parkway
Westerville,OH43082 		Physician Practice
114 Endocrinology Grant
500 E Main Street
Columbus,OH43215 		Physician Practice
115 RMH Neuro APPs
3535 Olentangy River Rd
Columbus,OH43214 		Physician Practice
116 PCP Wexner Heritage
2222 Welcome Place
Columbus,OH43209 		Physician Practice
117 Urology Grady
551 W Central Ave Suite 102
Delaware,OH43015 		Physician Practice
118 Neuro Pickerington
1010 Refugee Rd
Pickerington,OH43147 		Physician Practice
119 PCP Baltimore Reynoldsburg
2014 Baltimore-Reynoldsburg Rd
Reynoldsburg,OH43068 		Physician Practice
120 HVP Westerville
260 Polaris Parkway
Westerville,OH43082 		Physician Practice
121 HVP Athens
65 Hospital Dr
Athens,OH45701 		Physician Practice
122 PCP Lancaster
784 E Main Street
Lancaster,OH43130 		Physician Practice
123 OMM W Green Dr
24 W Green Parks Hall Dr Suite 408
Athens,OH45701 		Physician Practice
124 DH GME Family Practice SW
2030 Stringtown Road
Grove City,OH43123 		Physician Practice
125 PCP London
1076 Eagleton Blvd
London,OH43140 		Physician Practice
126 PCP Obetz FSED
4335 Alum Creek Drive
Columbus,OH43207 		Physician Practice
127 PCP Kenton
60 Washington Blvd
Kenton,OH43326 		Physician Practice
128 Vascular Surgeons Doctors
5131 Beacon Hill Road
Columbus,OH43228 		Physician Practice
129 ENT Mansfield MOB
335 Glessner Ave
Mansfield,OH44903 		Physician Practice
130 Neuro Hilliard
3663 Ridge Mill Drive
Hilliard,OH43026 		Physician Practice
131 Neuro Movement Disorders
3535 Olentangy River Rd
Columbus,OH43214 		Physician Practice
132 PCP Marengo
73 Sportsman Dr
Marengo,OH43334 		Physician Practice
133 PCP Womens Health Mansfield
1020 Cricket Lane
Mansfield,OH44903 		Physician Practice
134 Endocrinology Mansfield MOB
335 Glessner Ave
Mansfield,OH44903 		Physician Practice
135 PCP Scioto Darby
6314 Scioto Darby Road
Hilliard,OH43026 		Physician Practice
136 PCP Ontario
1750 West Fourth Street
Mansfield,OH44903 		Physician Practice
137 PCP Perimeter Dr
6870 Perimeter Dr
Dublin,OH43016 		Physician Practice
138 PCP Pacer Dr
28 Hidden Ravines Dr
Powell,OH43065 		Physician Practice
139 Urgent Care Nelsonville
11 John Lloyd Evans Memorial Dr
Nelsonville,OH45764 		Physician Practice
140 Neuro Delaware
801 OhioHealth Blvd Suite 210
Delaware,OH43015 		Physician Practice
141 DH GME OBGYN
5131 Beacon Hill Road
Columbus,OH43228 		Physician Practice
142 Colorectal Surgeons RMH
3535 Olentangy River Rd
Columbus,OH43214 		Physician Practice
143 RMH Neuropsych
223 E Town Street
Columbus,OH43215 		Physician Practice
144 Hospitalists
55 Hospital Dr
Athens,OH45701 		Physician Practice
145 RMH GME Internal Medicine
500 Thomas Lane
Columbus,OH43214 		Physician Practice
146 HVP Circleville
600 N Pickaway ST
Circleville,OH43113 		Physician Practice
147 PCP Campus Care OU
2 Health Center Dr
Athens,OH45701 		Physician Practice
148 RMH Cardio APPs
3535 Olentangy River Rd
Columbus,OH43214 		Physician Practice
149 RMH Ortho and Hosp Based APPs
3535 Olentangy River Rd
Columbus,OH43214 		Physician Practice
150 OBGYN Grove City
4191 Kelnor Dr
Grove City,OH43123 		Physician Practice
151 PCP and Residency Clinic
86 Columbus Circle Cir Suite 203
Athens,OH45701 		Physician Practice
152 Cancer Specialists Marion
1150 Crescent Heights Rd
Marion,OH43302 		Physician Practice
153 General Surgery Athens
75 Hospital Dr Suite 310
Athens,OH45701 		Physician Practice
154 PCP New Albany FSED
5868 N Hamilton
New Albany,OH43054 		Physician Practice
155 RMH CHF Clinic
3525 Olentangy River Road
Columbus,OH43214 		Physician Practice
156 PCP Blymyer
248 Blymyer Avenue
Mansfield,OH44903 		Physician Practice
157 Neuro Dublin
6905 Hosoital Dr
Dublin,OH43016 		Physician Practice
158 PCP Cardington
116 E Main St
Cardington,OH43315 		Physician Practice
159 Trauma Mansfield
355 Glessner Avenue
Mansfield,OH44903 		Physician Practice
160 Neuro Grove City
2030 Stringtown Rd Suite 200
Grove City,OH43123 		Physician Practice
161 Endocrinology Athens
75 Hospital Dr Suite 200
Athens,OH45701 		Physician Practice
162 HVP Cambridge
1341 N Clark ST
Cambridge,OH43725 		Physician Practice
163 Radiation Oncology Mansfield
335 Glessner Ave 3rd Floor
Mansfield,OH44903 		Physician Practice
164 RMH McConnell Heart Health Ctr
3773 Olentangy River Road
Columbus,OH43214 		Physician Practice
165 HVP North Central
1000 McKinley Park Drive
Marion,OH43302 		Physician Practice
166 DH Pulmonary Critical Care
5100 West Broad Street
Columbus,OH43228 		Physician Practice
167 PCP E Main St
4850 E Main St Suite 110
Columbus,OH43213 		Physician Practice
168 Urology Athens
75 Hospital Dr Suite 240
Athens,OH45701 		Physician Practice
169 Internal Medicine W Union St
542 W Union St Suite B
Athens,OH45701 		Physician Practice
170 PCP Western Delaware
2295 W William St
Delaware,OH43015 		Physician Practice
171 Anesthesiology
199 W Main St
Shelby,OH44875 		Physician Practice
172 PCP GCMH MOB
1325 Stringtown Rd Suite 240
Grove City,OH43123 		Physician Practice
173 PCP Nationwide Plaza
3 Nationwide Plaza 1st Floor
Columbus,OH43215 		Physician Practice
174 Pain Management Doctors
3663 Ridge Mill Dr
Hilliard,OH43026 		Physician Practice
175 Radiation Oncology Grant
111 S Grant Ave TBD
Columbus,OH43215 		Physician Practice
176 PCP Nelsonville
11 John Lloyd Evans Memorial Dr Su
ite 200
Nelsonville,OH45764 		Physician Practice
177 Infectious Disease
295 Glessner Avenue
Mansfield,OH44903 		Physician Practice
178 PCP Mt Gilead
900 Meadow Dr Ste A
Mt Gilead,OH43338 		Physician Practice
179 Surgical Specialists Grady MOB
551 W Central Ave Suite 303
Delaware,OH43015 		Physician Practice
180 Audiology Mansfield
335 Glessner Ave 5th Floor
Mansfield,OH44903 		Physician Practice
181 Podiatry Athens
75 Hospital Dr Suite 340
Athens,OH45701 		Physician Practice
182 PCP Racine
207 5th St
Racine,OH45771 		Physician Practice
183 DMH OBGYN and Midwives
7500 Hospital Drive
Dublin,OH43016 		Physician Practice
184 Grady Professional Services
801 OhioHealth Blvd
Delaware,OH43015 		Physician Practice
185 Radiation Oncology Doctors
5100 West Broad St
Columbus,OH43228 		Physician Practice
186 Radiation Oncology Delaware
801 OhioHealth Blvd
Delaware,OH43015 		Physician Practice
187 Mansfield Pulmonary Crit Care
335 Glessner Ave
Mansfield,OH44903 		Physician Practice
188 PCP Balgreen Dr
770 Balgreen Dr
Mansfield,OH44903 		Physician Practice
189 PCP Grandview
1125 Yard St
Columbus,OH43147 		Physician Practice
190 HVP Lewis Center
7853 Pacer Dr
Lewis Center,OH43035 		Physician Practice
191 GMC Anesthesia
111 S Grant Avenue
Columbus,OH43215 		Physician Practice
192 Pain Management Athens
55 Hospital Dr TBD
Athens,OH45701 		Physician Practice
193 ENT Athens
75 Hospital Dr Suite 360
Athens,OH45701 		Physician Practice
194 Grove City Hospitalists
1375 Stringtown Rd
Grove City,OH43123 		Physician Practice
195 Pathology Athens
55 Hospital Dr 1st Floor Lab
Athens,OH45701 		Physician Practice
196 Neuro Athens
65 Hospital Dr
Athens,OH45701 		Physician Practice
197 Hospitalists Pickerington SSU
1010 Refugee Rd
Pickerington,OH43147 		Physician Practice
198 Neurosurgery Doctors
5131 Beacon Hill Rd
Columbus,OH43228 		Physician Practice
199 PCP Mt Victory
458 460 S Main
Mount Victory,OH43340 		Physician Practice
200 PCP Amberwood Parkway
45 Amberwood Pkwy
Ashland,OH44805 		Physician Practice
201 GMC GME Family Medicine SW
2030 Stringtown Road
Grove City,OH43123 		Physician Practice
202 ENT Ontario
1770 West Fourth Street
Mansfield,OH44903 		Physician Practice
203 Ortho Surgeons Shelby
2180 Stumbo Rd
Ontario,OH44862 		Physician Practice
204 Medical Oncology Delaware
801 OhioHealth Blvd Suite 180
Delaware,OH43015 		Physician Practice
205 Neuro Oncology
500 Thomas Lane
Columbus,OH43214 		Physician Practice
206 DH GME Specialty Medicine
50 Old Village Road
Columbus,OH43228 		Physician Practice
207 Gastro Mansfield
1070 Cricket Lane
Mansfield,OH44906 		Physician Practice
208 Hospitalists Westerville SSU
300 Polaris Pkwy Suite 3000
Westerville,OH43082 		Physician Practice
209 Radiation Oncology Obleness
75 Hospital Dr Suite 170
Athens,OH45701 		Physician Practice
210 Urology Dublin
7450 Hospital Drive
Dublin,OH43016 		Physician Practice
211 PCP Stumbo Road
2180 Stumbo Rd
Ontario,OH44862 		Physician Practice
212 Medical Oncology Athens
75 Hospital Dr
Athens,OH45701 		Physician Practice
213 OPG Central Billing Office
180 East Broad Street
Columbus,OH43215 		Physician Practice
214 Mansfield Cardiac Anesthesia
335 Glessner Ave
Mansfield,OH44903 		Physician Practice
215 HVP Lipid Clinic McConnell
3773 Olentangy River Road
Columbus,OH43214 		Physician Practice
216 Mansfield Pulmonary
770 Ballgreen Drive
Mansfield,OH44903 		Physician Practice
217 PCP Express Appt Center
770 Jasonway Avenue Suite 1B
Columbus,OH43214 		Physician Practice
218 HVP Hardin
921 E Franklin Street
Kenton,OH43326 		Physician Practice
219 Wound Care Athens
444 W Union St Suite D
Athens,OH45701 		Physician Practice
220 GMC Hosp Based APPs
111 S Grant St
Columbus,OH43215 		Physician Practice
221 Behavioral Health OP
3535 Olentangy River Road
Columbus,OH43214 		Physician Practice
222 Mansfield Behavioral Health IP
335 Glessner Ave
Mansfield,OH44903 		Physician Practice
223 Osteopathic Manipulation Med
6905 Hospital Dr Suite 200
Dublin,OH43016 		Physician Practice
224 PCP Glouster
5 Cararas Dr
Glouster,OH45732 		Physician Practice
225 CHF Clinic Mansfield
335 Glessner Ave
Mansfield,OH44903 		Physician Practice
226 PCP Cline Ave
275 Cline Ave
Mansfield,OH44903 		Physician Practice
227 RMH GME General Surgery
3535 Olentangy River Road NG
Columbus,OH43214 		Physician Practice
228 PCP Shelby
199 W Main St
Shelby,OH44875 		Physician Practice
229 Behavioral Health Ambulatory
5141 W Broad Street
Columbus,OH43228 		Physician Practice
230 PCP Concierge Medicine
3363 Tremont Rd
Columbus,OH43221 		Physician Practice
231 RMH Exec Hlth Wellness Clinic
3773 Olentangy River Road
Columbus,OH43214 		Physician Practice
232 Mansfield Foot and Ankle
335 Glessner Ave
Mansfield,OH44903 		Physician Practice
233 WOW Womens Health
393 E Town Street
Columbus,OH43215 		Physician Practice
234 RMH Senior Health
3724 A Olentangy River Road
Columbus,OH43214 		Physician Practice
235 PCP Wexner Heritage TCU
2222 Welcome Place
Columbus,OH43209 		Physician Practice
236 Ortho Surgeons Morrow Cty
651 W Marion Rd
Mt Gilead,OH43338 		Physician Practice
237 Neuro Cognitive
3535 Olentangy River Rd
Columbus,OH43214 		Physician Practice
238 Home Care Hospice
3595 Olentangy River Road
Columbus,OH43214 		Physician Practice
239 RMH GME Dermatology
3595 Olentangy River Rd
Columbus,OH43214 		Physician Practice
240 DH Gme Orthopedic Medicine
5131 Beacon Hill Road
Columbus,OH43228 		Physician Practice
241 RMH Adv Practice Providers
3535 Olentangy River Road
Columbus,OH43214 		Physician Practice
242 GMC HVP APPs
285 E State St Suite 400
Columbus,OH43215 		Physician Practice
243 CHF Clinic Doctors
5100 W Broad St
Columbus,OH43228 		Physician Practice
244 Neuro Berger
3555 Olentangy River Road
Columbus,OH43214 		Physician Practice
245 RMH On Call Trauma
3555 Olentangy River Road
Columbus,OH43214 		Physician Practice
246 Integrative Medicine
500 Thomas Lane
Columbus,OH43214 		Physician Practice
247 Oncology Survivorship Clinic
500 Thomas Lane
Columbus,OH43214 		Physician Practice
248 OPG North Admin
3430 OhioHealth Parkway
Columbus,OH43202 		Physician Practice
249 PCP Crawford
1820 E Mansfield Ave
Mansfield,OH44903 		Physician Practice
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 10
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 Financial Assistance and Certain Other Community Benefits at Cost THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE FOR LOW INCOME AND MEDICALLY INDIGENT INDIVIDUALS. IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE ORGANIZATION USES INCOME LEVEL OF PATIENT AND PATIENT IMMEDIATE FAMILIES, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, RESIDENCY, AND THE HOSPITAL CARE ASSURANCE PROGRAM (HCAP) TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.
Schedule H, Part V, Section A Line Numbers of Hospital Facilities in Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: OhioHealth MedCentral Mansfield Hospital - Facility 6: OhioHealth MedCentral Shelby Hospital
Schedule H, Part II Describe How Building Activities Promote the Health of the Community 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. Examples include: - OhioHealth D-Feet Diabetes 5K Run and 1 Mile Walk - Fundraising for the Mansfield Hospital Diabetes Education Scholarship Fund. - United Way of Richland County Fundraising Campaign - Fundraising for the United Way of Richland County projects. - CPR in Schools Training Kits - Mansfield, Madison, Lexington and Shelby Schools were provided with materials to teach students how to perform hands-only CPR in 30 minutes. - OhioHealth Sports Medicine outreach to schools - Provides athletic programs to Lexington High School, Shelby High School, and Ashland University. - Creating Healthy Communities Coalition's Partner of Excellence Award - Depicts active involvement in support of Richland Public Health's efforts to reduce obesity and chronic disease. - Making Strides Against Breast Cancer 5K - Fundraising led by the American Cancer Society to benefit cancer programs. In addition to fundraising, OhioHealth engaged the public by encouraging employees and hospital visitors who are over the age of 40 to schedule their yearly mammograms. - Fun Activity Motivates Everyone (FAME), farmers markets, Hardin Hustle 5K, community-based health screenings and education, Heart Smart Day, Community Health Fair, and Health and Wellness Fair. - Project DAWN ("Deaths Avoided with Naloxone"), which educates the community on how to administer naloxone in the event of an opioid overdose. - Cash donations to Southeast Hardin and Northwest Union Firefighters toward the purchase of basic and advanced life support equipment. - Collaboration in Hardin County's Medication Disposal Day. - SeniorBEAT Program - Empowers seniors to 'Be Educated and Active Together'. For over 20 years, SeniorBEAT has provided opportunities for physical fitness, learning and socialization for individuals 60 years of age and older. Activities include history group, book club, chair volleyball, weekly exercise classes, lunch group and monthly educational presentations. - Free sports physicals - Serves nearly 200 middle school and high school student athletes. - Athens Bike Rodeo - Children and youth are taught bicycle navigation and safety and are given a free helmet. - OhioHealth Mobile Mammography Unit - Offers mammography screening and education in Athens County and other southeastern Ohio communities.
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 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 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. ALTHOUGH OUR FINANCIAL ASSISTANCE POLICIES AND PROCEDURES MAKE EVERY EFFORT TO IDENTIFY THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BEFORE THE BILLING PROCESS BEGINS, OFTEN IT IS NOT POSSIBLE TO MAKE AN APPROPRIATE DETERMINATION UNTIL AFTER THE BILLING AND COLLECTION CYCLE HAS COMMENCED.
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, reduced by explicit price concessions provided to third-party payors, discounts provided to qualifying individuals as part of our financial assistance policy, and implicit price concessions provided primarily to self-pay patients. Estimates for explicit price concessions are based on provider contracts, payment terms for relevant prospective payment systems, and historical experience adjusted for economic conditions and other trends affecting the Corporation's ability to collect outstanding amounts. 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 significant implicit price concessions 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. Patient accounts receivable is based on the estimated transaction price for completed contracts on June 30.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs OhioHealth's schedule H has been prepared IN ACCORDANCE WITH THE CATHOLIC HEALTH ASSOCIATION GUIDELINES PER "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS", AND as such, OHIOHEALTH DOES NOT REPORT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. However, per a 2013 study done for the American Hospital Association by Ernst & Young, the tax-exempt hospital community collectively BELIEVES THERE ARE SEVERAL REASONS WHY MEDICARE SHORTFALL could BE TREATED AS COMMUNITY BENEFIT. FIRST, NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES OUT-OF-LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS. SECOND, BY CONTINUING TO TREAT PATIENTS ELIGIBLE FOR MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. THIRD, IRS REVENUE RULING 69-545 STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. OHIOHEALTH USES AN INTERNAL COSTING METHODOLOGY SYSTEM CALLED EPSI WHICH USES SEVERAL FACTORS TO DETERMINE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO MEDICARE PAYMENTS.
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. 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 16a FAP website A - OhioHealth MedCentral Mansfield Hospital: Line 16a URL: HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/; - OhioHealth Marion General Hospital: Line 16a URL: HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/; - OhioHealth O'Bleness Memorial Hospital: Line 16a URL: HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/; - OhioHealth Grady Memorial Hospital: Line 16a URL: HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/; - OhioHealth Hardin Memorial Hospital: Line 16a URL: HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16b FAP Application website A - OhioHealth MedCentral Mansfield Hospital: Line 16b URL: HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/; - OhioHealth Marion General Hospital: Line 16b URL: HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/; - OhioHealth O'Bleness Memorial Hospital: Line 16b URL: HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/; - OhioHealth Grady Memorial Hospital: Line 16b URL: HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/; - OhioHealth Hardin Memorial Hospital: Line 16b URL: HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - OhioHealth MedCentral Mansfield Hospital: Line 16c URL: HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/; - OhioHealth Marion General Hospital: Line 16c URL: HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/; - OhioHealth O'Bleness Memorial Hospital: Line 16c URL: HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/; - OhioHealth Grady Memorial Hospital: Line 16c URL: HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/; - OhioHealth Hardin Memorial Hospital: Line 16c URL: HTTPS://OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/;
Schedule H, Part VI, Line 2 Needs assessment 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, IN MULTIPLE LANGUAGES, 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, WHICH IS ON LARGE POSTERBOARDS (24X36 INCHES) AND CONSPICUOUSLY DISPLAYED, contains reference to the organization's Charity Care Program. Information materials are available IN MULTIPLE LANGUAGES at registration locations and interpretive services can be arranged IN THOSE LANGUAGES 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. IN ADDITION, A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY IS OFFERED TO EVERY PATIENT UPON INTAKE. OHIOHEALTH HAS A VERY ROBUST FINANCIAL COUNSELING PROGRAM THAT AIMS TO ASSIST AND EDUCATE EVERY PATIENT THAT NEEDS FINANCIAL HELP BY INFORMING THE PATIENT OF OHIOHEALTH'S FINANCIAL ASSISTANCE PROGRAM. 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. SYSTEM-WIDE, OHIOHEALTH HAS OVER 30 FINANCIAL COUNSELORS MADE UP OF SUPERVISORS AND COUNSELORS. 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 MedCentral Health System: 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 fiscal year 2018, 77.4 percent of all patients who were admitted to OhioHealth Mansfield Hospital and 77.6 percent of all patients admitted to OhioHealth Shelby Hospital resided in Richland County at the time of admission. Similarly, 76.6 percent of all patients from Mansfield Hospital and 80.5 percent of all patients from Shelby Hospital who had outpatient procedures or visits in fiscal year 2018 resided in Richland County at the time when the procedure or visit occurred. In 2010, actual population was 124,475. In 2017, estimated total population was 120,589. In 2017, among Richland County residents, 86.9 percent were white, 7.5 percent were African American, 0.8 percent were Asian, 1.7 percent were Hispanic (of any race), 0.5 percent other races, 0.1 percent Native American, 0 percent Pacific Islander and 4.1 percent two or more races . Minorities represented 14 percent of the population. In 2017, among Richland County residents, 5.8 percent were younger than 5 years old, 16.1 percent were 5-17 years old, 8.5 percent were 18-24 years old, 24.1 percent were 25-44 years old, 27.5 percent were 45-64 years, and 18 percent were 65 years or older. Median age was 41.2. Median household income for 2017 was $42,849 and per capita income was $36,434. Approximately 12 percent of families and 16.5 percent of individuals had income below the poverty level. OhioHealth Grady Memorial Hospital: 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 2018, 81.3 percent of patients admitted to the hospital lived in Delaware County at the time of admission. Similarly, 78.5 percent of all patients who had outpatient procedures lived in Delaware County at the time when the procedure was done. In 2010, actual population was 174,214. In 2017, estimated total population was 200,464. Among Delaware County residents for 2017, 88.8 percent were White, 3.5 percent were African American, 5.1 percent Asian, 2.4 percent were Hispanic (of any race), 0.5 percent other races, 0.1 percent Native American, 0 percent Pacific Islander and 2.0 percent two or more races. Total minority represented 13.2 percent of the population. Among Delaware County residents for 2017, 6.5 percent were younger than 5 years old, 21.2 percent were 5-17 years old, 7.4 percent were 18-24 years old, 26.1 percent were 25-44 years old, 27.4 percent were 45-64 years, and 11.5 percent were 65 years and older. Median age was 38. Median household income for 2017 was $94,234 and per capita income was $66,532. Approximately 3.2 percent of families and 4.9 percent of individuals had income below the poverty level. OhioHealth Hardin Memorial Hospital: OhioHealth Hardin Memorial Hospital is located at 921 East Franklin Street, Kenton, Ohio 43326 in Hardin County. The "community served" by Hardin Memorial Hospital is Hardin County, Ohio. Review of OhioHealth internal data has shown that for Fiscal Year 2018, 91.8 percent of all patients who were admitted to the hospital resided in Hardin County at the time of admission. Similarly, 88.6 percent of all patients who had outpatient procedures resided in Hardin County at the time the procedure was done. Accordingly, Hardin County has been determined to be the community served by OhioHealth Hardin Memorial Hospital. In 2010, the total population of Hardin County was 32,058. In 2017, estimated population was 31,364. In 2017, among Hardin County residents, 96.4 percent were white, 0.6 percent were African American, 0.8 percent were Asian, 1.5 percent were Hispanic (of any race), 0.3 percent were other races, 0.1 percent were Native American, 0 percent were Pacific Islander and 1.7 percent were two or more races. In 2017, among Hardin County residents, 6.2 percent were younger than 5 years old, 17.0 percent were 5-17 years old, 15.8 percent were 18-24 years old, 21.7 percent were 25-44 years old, 24.6 percent were 45-64 years old, and 14.8 percent were 65 years or older. The median age was 35.8 years. Median household income for 2017 was $44,842 and per capita income was $31,940. Approximately 11.7 percent of families and 15.7 percent of individuals had income below the poverty level. OhioHealth Marion General Hospital: OhioHealth Marion General Hospital is located at 1000 McKinley Park Drive, Marion, Marion County, Ohio 43302. The "community served" by Marion General Hospital is Marion County, Ohio. Review of OhioHealth internal data has shown that for Fiscal Year 2018, 76.5 percent of all patients who were admitted to the hospital resided in Marion County at the time of admission. Similarly, 78.2 percent of all patients who had outpatient procedures resided in Marion County at the time when the procedure was done. In 2010, the actual population of Marion County was 66,501. In 2017, estimated total population was 64,967. In 2017, among Marion County residents, 90 percent were white, 5.7 percent were African American, 0.5 percent were Asian, 2.4 percent were Hispanic (of any race), 0.9 percent were other races, 0.2 percent were Native American, and 2.7 percent were two or more races. Total minority represented 11.1 percent of the population. In 2017, among Marion County residents, 5.8 percent were younger than 5 years old, 15.2 percent were 5-17 years old, 8.6 percent were 18-24 years old, 26.1 percent were 25-44 years old, 28.3 percent were 45-64 years, and 16 percent were 65 years or older. Median age was 40.5. Median household income for 2017 was $43,557 and per capita income was $33,688. Approximately 12.9 percent of families and 17.4 percent of individuals had income below the poverty level. OhioHealth O'Bleness Hospital: OhioHealth O'Bleness Hospital is located at 55 Hospital Drive, Athens, Ohio 45701. The OhioHealth Nelsonville Health Center, located at 11 John Lloyd Evans Memorial Drive, Nelsonville, Ohio, Athens County, offers multiple onsite services from urgent care and primary care physicians to imaging, laboratory and sleep services. In addition, O'Bleness Hospital operates two satellite facilities: (a) OhioHealth Castrop Health Center, located at 75 Hospital Drive, Athens, Ohio 45701, Athens County, provides work health services and (b) OhioHealth Homecare in Athens, located at 444 Union Street, Athens, Ohio 45701, Athens County, provides home health and hospice services. Review of OhioHealth data showed that for fiscal year 2018, 53.4 percent of all patients who were admitted to O'Bleness Hospital resided in Athens County at the time of admission. Similarly, 59.3 percent of all patients from O'Bleness Hospital who had outpatient procedures or visits in fiscal year 2018 resided in Athens County at the time when the procedure or visit occurred. In 2010, the population of Athens County was 64,757. In 2017, the estimated total population was 66,597. In 2017, among Athens County residents, 91 percent were white, 2.5 percent were African American, 3.1 percent were Asian, 1.8 percent were Hispanic (of any race), 0.5 percent were other races, 0.3 percent were Native American and 2.6 percent identified as two or more races. Minorities represented 10.1 percent of the total population. In 2017, among Athens County residents, 4.1 percent of the population were younger than 5-years-old, 11.2 percent were ages 5-17, 30 percent were ages 18-24, 22 percent were ages 25-44, 21.4 percent were ages 45-64 and 11.4 percent were 65 years or older. The median age was 28.2. The median household income in Athens County for 2017 was $34,221 and per capita income was $32,183. Approximately 17.7 percent of families and 31.2 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 $479.1 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, Richland and Pickaway counties that in total includes thirteen hospitals, ambulatory healthcare services, physician clinics, hospice care and other entities in support of the hospital and healthcare services. Of those thirteen hospitals, six individual hospitals file with this group return (OhioHealth Marion General Hospital, OhioHealth Grady Memorial Hospital, OhioHealth Hardin Memorial Hospital, OhioHealth O'Bleness Memorial Hospital, OhioHealth MedCentral Mansfield Hospital, and OhioHealth 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 OhioHealth O'Bleness Hospital is a 132-bed general medical and surgical hospital in 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. Athens Medical Associates (AMA) dba OhioHealth Physician Group Heritage College 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. OhioHealth MedCentral Mansfield Hospital, and OhioHealth MedCentral Shelby Hospital - Richland County MedCentral is a health system comprised of two hospitals, a 372-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. 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) 2019
Additional Data


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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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
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
noncash assistance		 (h) Purpose of grant
or assistance
(1) OhioHealth Corporation
3430 OhioHealth Parkway
Columbus,OH432021575 		31-4394942 501 c 3 7,530,256       For general support and to purchase PP&E during COVID-19 pandemic
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) 2019

Schedule I (Form 990) 2019
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
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) SCHOLARSHIPS AND AWARDS 284 347,250      
(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 and 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) 2019



Additional Data


Software ID: 19010655
Software Version: 2019v5.0


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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 on 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 on 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
 
No
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 nonfixed
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) 2019

Schedule J (Form 990) 2019
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
1Caulin-Glaser Teresa L MD
 
Chair Board (End 11/19) 		(i)

(ii)		 0
-------------
652,327 		0
-------------
432,836 		0
-------------
27,986 		0
-------------
256,839 		0
-------------
15,720 		0
-------------
1,385,708 		0
-------------
0
2Herbert Cheryl L
 
Chair Board 		(i)

(ii)		 0
-------------
473,998 		0
-------------
385,270 		0
-------------
20,802 		0
-------------
269,612 		0
-------------
15,714 		0
-------------
1,165,396 		0
-------------
0
3Johnson Katherine E MD
 
Chair Board 		(i)

(ii)		 197,039
-------------
0 		0
-------------
0 		0
-------------
0 		15,615
-------------
0 		8,085
-------------
0 		220,739
-------------
0 		0
-------------
0
4Knutson Douglas MD
 
Vice-Chair Board 		(i)

(ii)		 0
-------------
473,062 		0
-------------
149,629 		0
-------------
7,515 		0
-------------
89,298 		0
-------------
10,194 		0
-------------
729,698 		0
-------------
0
5Louge Michael W
 
Executive VP & COO 		(i)

(ii)		 0
-------------
974,406 		0
-------------
949,725 		0
-------------
12,662 		0
-------------
709,519 		0
-------------
24,640 		0
-------------
2,670,952 		0
-------------
0
6Markovich Stephen E MD
 
CEO/President/Board-OhioHealth (Start 7/19) 		(i)

(ii)		 0
-------------
1,096,446 		0
-------------
1,123,876 		0
-------------
9,647 		0
-------------
1,270,184 		0
-------------
20,692 		0
-------------
3,520,845 		0
-------------
0
7Meldrum Terri W Esq
 
Secretary Board 		(i)

(ii)		 0
-------------
433,426 		0
-------------
346,283 		0
-------------
10,809 		0
-------------
110,797 		0
-------------
20,588 		0
-------------
921,903 		0
-------------
0
8Morrison Karen J
 
President Board 		(i)

(ii)		 0
-------------
455,147 		0
-------------
373,325 		0
-------------
14,750 		0
-------------
170,297 		0
-------------
20,610 		0
-------------
1,034,129 		0
-------------
0
9Snyder Ronald P
 
President Board 		(i)

(ii)		 0
-------------
191,630 		0
-------------
53,188 		0
-------------
9,745 		0
-------------
23,586 		0
-------------
15,287 		0
-------------
293,436 		0
-------------
0
10Thornhill Hugh A
 
President Board 		(i)

(ii)		 0
-------------
456,535 		0
-------------
367,760 		0
-------------
9,673 		0
-------------
178,628 		0
-------------
20,607 		0
-------------
1,033,203 		0
-------------
0
11Yakubov Steven MD
 
Chair Board 		(i)

(ii)		 1,052,315
-------------
218,400 		43,980
-------------
0 		37,192
-------------
0 		124,970
-------------
0 		18,220
-------------
0 		1,276,677
-------------
218,400 		0
-------------
0
12Arshi Arash MD
 
Board 		(i)

(ii)		 713,949
-------------
0 		0
-------------
0 		29,617
-------------
0 		49,998
-------------
0 		18,220
-------------
0 		811,784
-------------
0 		0
-------------
0
13Bunyard Stephen P
 
Board 		(i)

(ii)		 0
-------------
371,294 		0
-------------
260,791 		0
-------------
12,097 		0
-------------
75,806 		0
-------------
15,544 		0
-------------
735,532 		0
-------------
0
14Collazo Antonio E MD
 
Board 		(i)

(ii)		 520,428
-------------
0 		11,297
-------------
0 		2,101
-------------
0 		28,250
-------------
0 		14,353
-------------
0 		576,429
-------------
0 		0
-------------
0
15Crowell Robert MD
 
Board 		(i)

(ii)		 1,994
-------------
604,949 		0
-------------
170 		0
-------------
216,250 		0
-------------
57,782 		0
-------------
14,605 		1,994
-------------
893,756 		0
-------------
0
16DeVillers Rebecca E DO
 
Board 		(i)

(ii)		 175,371
-------------
0 		6,033
-------------
0 		8,967
-------------
0 		45,607
-------------
0 		1,043
-------------
0 		237,021
-------------
0 		0
-------------
0
17Ferris Frank MD
 
Board 		(i)

(ii)		 0
-------------
320,466 		0
-------------
86,392 		0
-------------
11,293 		0
-------------
65,632 		0
-------------
9,369 		0
-------------
493,152 		0
-------------
0
18Gallaher Connie L
 
Board 		(i)

(ii)		 0
-------------
317,061 		0
-------------
180,890 		0
-------------
21,326 		0
-------------
33,835 		0
-------------
9,332 		0
-------------
562,444 		0
-------------
0
19Gingrich Curtis MD
 
Board 		(i)

(ii)		 0
-------------
374,685 		0
-------------
122,036 		0
-------------
12,274 		0
-------------
32,117 		0
-------------
19,608 		0
-------------
560,720 		0
-------------
0
20Gossman Charles
 
Board 		(i)

(ii)		 0
-------------
230,957 		0
-------------
64,804 		0
-------------
5,920 		0
-------------
26,066 		0
-------------
19,191 		0
-------------
346,938 		0
-------------
0
21Grewal Karanvir S MD
 
Board 		(i)

(ii)		 884,942
-------------
0 		0
-------------
0 		29,364
-------------
0 		88,826
-------------
0 		18,220
-------------
0 		1,021,352
-------------
0 		0
-------------
0
22Hagen Bruce P
 
Board 		(i)

(ii)		 0
-------------
525,573 		0
-------------
366,699 		0
-------------
25,010 		0
-------------
83,227 		0
-------------
15,720 		0
-------------
1,016,229 		0
-------------
0
23Imm Amy MD
 
Board 		(i)

(ii)		 0
-------------
510,357 		0
-------------
165,250 		0
-------------
7,581 		0
-------------
53,562 		0
-------------
20,356 		0
-------------
757,106 		0
-------------
0
24Kadar Melissa
 
Board 		(i)

(ii)		 0
-------------
181,194 		0
-------------
21,071 		0
-------------
9,408 		0
-------------
10,857 		0
-------------
18,411 		0
-------------
240,941 		0
-------------
0
25Lawson Michael S
 
Board 		(i)

(ii)		 0
-------------
528,042 		0
-------------
344,106 		0
-------------
32,302 		0
-------------
72,252 		0
-------------
9,581 		0
-------------
986,283 		0
-------------
0
26Majzun Matthew DO
 
Board - OhioHlth (Start 1/20) 		(i)

(ii)		 0
-------------
133,283 		0
-------------
0 		0
-------------
40,039 		0
-------------
5,198 		0
-------------
118 		0
-------------
178,638 		0
-------------
0
27O'Brien Jr James M MD
 
Board (End 12/19) 		(i)

(ii)		 0
-------------
425,359 		0
-------------
150,000 		0
-------------
7,354 		0
-------------
50,213 		0
-------------
20,267 		0
-------------
653,193 		0
-------------
0
28Paik Paul DO
 
Board (Start 3/20) 		(i)

(ii)		 0
-------------
435,237 		0
-------------
48,242 		0
-------------
30,047 		0
-------------
35,950 		0
-------------
18,220 		0
-------------
567,696 		0
-------------
0
29Perona Phillip MD
 
Board (Start 9/19) 		(i)

(ii)		 385,891
-------------
0 		0
-------------
0 		31,376
-------------
0 		11,200
-------------
0 		8,466
-------------
0 		436,933
-------------
0 		0
-------------
0
30Romanelli Vincent MD
 
Board (End 12/19) 		(i)

(ii)		 519,092
-------------
0 		57,093
-------------
0 		2,455
-------------
0 		107,884
-------------
0 		14,224
-------------
0 		700,748
-------------
0 		0
-------------
0
31Rudy John
 
Board 		(i)

(ii)		 0
-------------
172,252 		0
-------------
19,998 		0
-------------
2,677 		0
-------------
20,502 		0
-------------
18,456 		0
-------------
233,885 		0
-------------
0
32Silver Mitchell DO
 
Board 		(i)

(ii)		 1,003,439
-------------
0 		0
-------------
0 		32,871
-------------
0 		108,899
-------------
0 		15,300
-------------
0 		1,160,509
-------------
0 		0
-------------
0
33Smith Brien J MD
 
Board 		(i)

(ii)		 0
-------------
640,239 		0
-------------
181,150 		0
-------------
20,050 		0
-------------
26,935 		0
-------------
19,800 		0
-------------
888,174 		0
-------------
0
34Smith Jeffrey
 
Board 		(i)

(ii)		 0
-------------
267,259 		0
-------------
88,590 		0
-------------
13,928 		0
-------------
35,147 		0
-------------
19,734 		0
-------------
424,658 		0
-------------
0
35Spalding Marshall C DO
 
Board (Start 12/19) 		(i)

(ii)		 0
-------------
422,868 		0
-------------
87,290 		0
-------------
13,511 		0
-------------
23,815 		0
-------------
17,846 		0
-------------
565,330 		0
-------------
0
36Urse Geraldine L DO
 
Board 		(i)

(ii)		 245,217
-------------
0 		30,302
-------------
0 		25,298
-------------
0 		37,410
-------------
0 		12,182
-------------
0 		350,409
-------------
0 		0
-------------
0
37Vanderhoff Bruce MD
 
Sr. VP and Chief Medical Officer OhioHealth 		(i)

(ii)		 0
-------------
733,828 		0
-------------
579,783 		0
-------------
14,114 		0
-------------
268,508 		0
-------------
20,692 		0
-------------
1,616,925 		0
-------------
0
38Vora Sanjay K MD
 
Board 		(i)

(ii)		 303,547
-------------
0 		33,611
-------------
0 		4,051
-------------
0 		51,711
-------------
0 		17,724
-------------
0 		410,644
-------------
0 		0
-------------
0
39Wasielewski Ray MD
 
Board (End 1/20) 		(i)

(ii)		 420,337
-------------
0 		0
-------------
0 		6,547
-------------
0 		68,160
-------------
0 		17,434
-------------
0 		512,478
-------------
0 		0
-------------
0
40Browning Mike P
 
Sr. VP and CFO 		(i)

(ii)		 0
-------------
492,837 		0
-------------
100,000 		0
-------------
13,351 		0
-------------
174,380 		0
-------------
9,867 		0
-------------
790,435 		0
-------------
0
41Abaza Ronney MD
 
Physician Core OPG 		(i)

(ii)		 1,512,471
-------------
0 		125
-------------
0 		152,709
-------------
0 		16,170
-------------
0 		18,050
-------------
0 		1,699,525
-------------
0 		0
-------------
0
42BalturshotGregory W MD
 
Physician Core OPG 		(i)

(ii)		 2,746,284
-------------
0 		50,200
-------------
0 		240,241
-------------
0 		35,539
-------------
0 		18,265
-------------
0 		3,090,529
-------------
0 		0
-------------
0
43BonassoChristian L MD
 
Physician Core OPG 		(i)

(ii)		 2,555,662
-------------
0 		50,000
-------------
0 		233,023
-------------
0 		16,363
-------------
0 		18,220
-------------
0 		2,873,268
-------------
0 		0
-------------
0
44Dorbish Ronald
 
Physician Core OPG 		(i)

(ii)		 1,755,834
-------------
0 		50,000
-------------
0 		105,474
-------------
0 		70,543
-------------
0 		18,220
-------------
0 		2,000,071
-------------
0 		0
-------------
0
45SeamanBrian F DO
 
Physician Ortho Surgery (General) 		(i)

(ii)		 2,513,345
-------------
0 		50,000
-------------
0 		107,840
-------------
0 		81,306
-------------
0 		18,220
-------------
0 		2,770,711
-------------
0 		0
-------------
0
46Seckinger Mark R
 
FRM Secretary Board 		(i)

(ii)		 0
-------------
281,978 		0
-------------
157,933 		0
-------------
17,991 		0
-------------
173,697 		0
-------------
9,436 		0
-------------
641,035 		0
-------------
0
47Sperling Ronald
 
FRM Interim CFO 		(i)

(ii)		 0
-------------
540,400 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
540,400 		0
-------------
0
48Yates Vinson M
 
FRM CFO/PRESIDENT MEDCENTRAL HEALTH SYSTEM 		(i)

(ii)		 0
-------------
620,764 		0
-------------
505,631 		0
-------------
26,014 		0
-------------
236,820 		0
-------------
15,720 		0
-------------
1,404,949 		0
-------------
0
49Blom David P
 
FRM CEO 		(i)

(ii)		 0
-------------
904,275 		0
-------------
1,948,832 		0
-------------
16,320,593 		0
-------------
0 		0
-------------
23,455 		0
-------------
19,197,155 		0
-------------
13,040,602
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
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 4b Supplemental nonqualified retirement plan Line 4a: SEVERANCE PAYMENT OR CHANGE-OF-CONTROL PAYMENT UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM OHIOHEALTH. NO SEVERANCE PAYMENTS WERE MADE DURING THE YEAR TO ANY LISTED PERSONS IN PART VII. Line 4b: SUPPLEMENTAL NONQUALIFIED 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. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: DAVID P. BLOM - $16,114,904 IN ADDITION, THE ORGANIZATION PROVIDES A SPLIT-DOLLAR LIFE INSURANCE PLAN TO ITS EXECUTIVES AND PHYSICIANS FROM WHICH NO CASH PAYMENTS WERE MADE DURING THE YEAR TO ANY LISTED PERSONS IN PART VII.
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) 2019

Additional Data


Software ID: 19010655
Software Version: 2019v5.0
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.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 section 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 the 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) 2019
Schedule L (Form 990 or 990-EZ) 2019
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) 22,780 Comp/Ben - Spouse is employed at Hardin Memorial Hospital 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.
Schedule L (Form 990 or 990-EZ) 2019


Additional Data


Software ID: 19010655
Software Version: 2019v5.0




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 imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
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 .... X 1 9,500 Market value
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 . X 13 284,300 Market value
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( Gel work insoles; Furnishings for donation site ) X 8 140,018 Market value
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
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 isn't 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 nonstandard 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 didn't 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) (2019)
Schedule M (Form 990) (2019)
Page 2
Part IISupplemental 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 Drugs and medical supplies - Sinus Instrument Sets, Video towers for the ENT Sinus Lab; Other Number of items received Other - Gel work insoles; Furnishings for donation site Number of Contributions Art - Works of art - Dancing Friends Bronze Sculpture valued at $9,500 and placed in Memorial Garden at Kobacker House Number of contributions
Schedule M (Form 990) (2019)

Additional Data


Software ID: 19010655
Software Version: 2019v5.0
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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
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 $ 4,568,741 including grants of $ 7,877,506)(Revenue $ 3,289,100) 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 IV, Line 24a Tax-Exempt Bond Liability The subordinate entities included with the filing of this Group return are part of OhioHealth Corporation, which is the borrower for tax-exempt bonds. The subordinate entities hold an intercompany note payable with OhioHealth Corporation, and this information is reported on the balance sheet.
Form 990, Part V, Line 15 Section 4960 Excise Tax THIS QUESTION IS ANSWERED 'YES' WITH RESPECT TO THE NEED TO FILE FORM 4720 FOR MEDCENTRAL HEALTH SYSTEM, EIN 34-0714456, WHICH HAS ONE COVERED EMPLOYEE WITH REMUNERATION EXCEEDING $1,000,000 FOR CALENDAR YEAR 2019.
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. John P. McConnell, Chair of Grady Memorial Hospital, MedCentral Health System, and Sheltering Arms Hospital Foundation, and Kerrii B. Anderson, Treasurer of Grady Memorial Hospital, MedCentral Health System, and Sheltering Arms Hospital Foundation, have a business relationship. SARAH J. PEREZ, DIRECTOR OF OHIOHEALTH FOUNDATON, INC., AND STEPHEN HABASH, DIRECTOR OF OHIOHEALTH FOUNDATON, INC., 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 OhioHealth prepares the Form 990 using third-party tax software. Within OhioHealth there are multiple levels of review, 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. Additionally, Deloitte Tax reviews and signs the tax return prior to filing with the IRS. 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 19 Required documents available to the public Information is made available as required.
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.
Form 990, Part VII, Section A Akins, Nicholas ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Vice Chair , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: MedCentral Health System, Title: Vice Chair , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Sheltering Arms Hospital Foundation, Title: Vice Chair , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
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 Bradley, Kevin G. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Chair Board (End 3/20), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Caulin-Glaser, Teresa L., M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Chair Board (End 11/19), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Dewire, Rev. Dr. Norman E. 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 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: Chair Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Herbert, Cheryl L. ADDITIONAL POSITIONS HELD Organization Name: HomeReach, Title: Chair Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Hondros, Linda ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board Chair (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Grady Memorial Hospital, Title: Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Jennings, Matthew ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Secretary Board , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Hardin Physician 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: Chair Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Kile, Carolyn S. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board - Secretary/Treasurer, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Knutson, Douglas M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Vice-Chair Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Louge, Michael W. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Chair/VP Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Pickaway Health Services, Title: COO, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Markovich, Stephen E. M.D. ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: CEO/President/Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: HomeReach, Title: CEO/President (Start 7/19), AverageHours: 1.000; Officer Organization Name: MedCentral Health System, Title: CEO/President/Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: OhioHealth Foundation Inc., Title: CEO/President/Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: OhioHealth Physician Group, Inc.., Title: CEO/President/Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: OhioHealth Research Foundation, Title: CEO/President (Start 7/19), AverageHours: 1.000; Officer Organization Name: Sheltering Arms Hospital Foundation, Title: CEO/President/Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Hardin Memorial Hospital, Title: CEO/President (Start 7/19), AverageHours: 1.000; Officer Organization Name: Hardin Memorial Hospital Foundation, Title: CEO/President (Start 7/19), AverageHours: 1.000; Officer Organization Name: Hardin Physician Foundation, Title: CEO/President (Start 7/19), AverageHours: 1.000; Officer Organization Name: Pickaway Health Services, Title: CEO/President/Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A McConnell, John P. ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Chair, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: MedCentral Health System, Title: Chair , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: OhioHealth Foundation Inc., Title: Vice-Chair Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Sheltering Arms Hospital Foundation, Title: Chair, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A McCullough, Steve ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Treasurer Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Hardin Physician Foundation, 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: Vice-Chair Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
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 Organization Name: Pickaway Health Services, 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 Oates, Todd, O.D. ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Vice-Chair Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Hardin Physician Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Schwemer, John ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Chair Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Hardin Physician Foundation, Title: Board (Start 1/20), 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 Snyder, Ronald P. ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Board, AverageHours: 1.000; 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: President Board, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: OhioHealth Research Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Pickaway Health Services, Title: President Board , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Yakubov, Steven, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Chair Board , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core - OPG, AverageHours: 40.000;
Form 990, Part VII, Section A Aronowitz, Carol ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Arshi, Arash, M.D., ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Phys Cardio Interventional, AverageHours: 40.000; Organization Name: OhioHealth Research Foundation, Title: Board, 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 Bates, Justin ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board , 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 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 Bloomfield, Toni 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 Bunyard, Stephen P. 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 Campbell, Thomas ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Casey, John, D.O. ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Board (End 12/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board (End 12/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board (End 12/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Cercek, Robert ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (Start 10/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Chester, Karen 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 Cook, Karen, 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 Copeland, Rhonda ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Crowell, Robert, M.D. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DeCapua, Joseph C. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DeVillers, Rebecca E., D.O. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core OPG, AverageHours: 40.000;
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 Dyer, Lori ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital Foundation, Title: Board (Start 8/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Eichinger, David 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 Feiler, Kirk S. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board , 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 Fletcher, Paul ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Board, 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 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 Gallaher, Connie L. ADDITIONAL POSITIONS HELD Organization Name: HomeReach, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Galbreath, John ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gavin, Thomas ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Board (Start 1/20), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board (Start 1/20), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board (Start 1/20), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gingrich, Curtis, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: HomeReach, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Marion General Hospital Inc. , Title: Board (Start 8/19), 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 Goldberg, Joshua, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gossman, Charles ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Grainger, Andrew, M.D., ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Grewal, Karanvir S. M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core OPG, AverageHours: 40.000;
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 Organization Name: Hardin Memorial Hospital, Title: Board , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hamrock, Joe 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 Haushalter, Nikki ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, 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 Hughes, Andrew, D.O. ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Board (End 9/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hulme, Amber R. 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: HomeReach, 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, 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 Irelan, Vic ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Iyengar, Vidya ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board (Start 7/19), 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 Jones, Chenelle ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Jones, Eric A. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kadar, Melissa ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, 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 Kimmel, Greg ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (Start 7/19), 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 Lawson, Michael S. ADDITIONAL POSITIONS HELD Organization Name: HomeReach, Title: Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Lilly, Joel ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (Start 7/19), 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 Low, Daniel ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Majzun, Matthew, D.O. ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Board (Start 1/20), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board (Start 1/20), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board (Start 1/20), 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 McQuown, Richard ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Melillo, Jason, M.D., ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core OPG, AverageHours: 0.000; Organization Name: Grady Memorial Hospital, Title: Board - OhioHlth, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board - OhioHlth, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board - OhioHlth, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Moodley, Jaybalan, M.D., ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board (Start 9/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Moorman, Matthew, M.D., ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Morgan, Mary Beth ADDITIONAL POSITIONS HELD 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 Nag, Dipanjan ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Noah, Horsed ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A O'Brien Jr., James M., M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Board (End 12/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Paik, Paul, D.O. ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Board (Start 3/20), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Palma, Robert, 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 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 Parker, Mark S. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Peery, Carla J. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Perez, Sarah J. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Perona, Phillip, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core OPG, AverageHours: 40.000; Organization Name: Hardin Memorial Hospital, Title: Board (Start 9/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Petska, Tim ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Philbin, Terrance ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Probst, David ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Rader, Traci ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Board, 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 Rayburn, Anamarie ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Recchie, Nancy A. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation 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 Riley, Joel ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Robins Jr., Ronald ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Romanelli, Vincent, M.D., ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Board (End 12/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board (End 12/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board (End 12/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core OPG, AverageHours: 40.000;
Form 990, Part VII, Section A Root, Chip ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Board (End 12/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: MedCentral Health System, Title: Board (End 12/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Sheltering Arms Hospital Foundation, Title: Board (End 12/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Hardin Memorial Hospital, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Hardin Physician Foundation, Title: Board (End 12/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Royer, Mariann ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital Foundation, Title: Board (End 8/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Rudy, John ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, 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 Shepard, Noel ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Silver, Mitchell, D.O. 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 Slates, David ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Brien J., M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Howard N. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Jeffrey ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (End 11/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: HomeReach, Title: Board (Start 9/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Linda ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, Title: Volunteer Coordinator, AverageHours: 40.000; Organization Name: Hardin Memorial Hospital Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Spalding, Marshall C., D.O. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Board (Start 12/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Steel, Brian ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Strine, Douglas L. ADDITIONAL POSITIONS HELD Organization Name: Marion General Hospital Inc. , Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ulrey, Steven 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 Foundation Inc., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: OhioHealth Physician Group, Inc.., Title: Director Medical Education DRS, AverageHours: 40.000;
Form 990, Part VII, Section A Vanderhoff, Bruce, M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Research Foundation, Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: OhioHealth Physician Group, Inc.., Title: Board, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Pickaway Health Services, 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 Vradenburg, Gregory G. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Wallace, Paige ADDITIONAL POSITIONS HELD Organization Name: Hardin Memorial Hospital, 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 Walsh, Edward ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Walton, Troy ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., 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 (End 1/20), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Watson, Pete 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 Watson-Cunningham, Jane 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 Wilder, Deborah ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (Start 7/19), 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 Zobel, Mark ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Foundation Inc., Title: Board (Start 7/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Browning, Mike P. ADDITIONAL POSITIONS HELD Organization Name: Grady Memorial Hospital, Title: Sr. VP and CFO , AverageHours: 1.000; Officer Organization Name: Hardin Memorial Hospital Foundation, Title: Sr. VP and CFO , AverageHours: 1.000; Officer Organization Name: Hardin Memorial Hospital, Title: Sr. VP and CFO , AverageHours: 1.000; Officer Organization Name: OhioHealth Research Foundation, Title: Sr. VP and CFO , AverageHours: 1.000; Officer Organization Name: OhioHealth Physician Group, Inc.., Title: Sr. VP and CFO , AverageHours: 1.000; Officer Organization Name: HomeReach, Title: Sr. VP and CFO , AverageHours: 1.000; Officer Organization Name: Hardin Physician Foundation, Title: Sr. VP and CFO , AverageHours: 1.000; Officer Organization Name: MedCentral Health System, Title: Sr. VP and CFO , AverageHours: 1.000; Officer Organization Name: OhioHealth Foundation Inc., Title: Sr. VP and CFO , AverageHours: 1.000; Officer Organization Name: Sheltering Arms Hospital Foundation, Title: Sr. VP and CFO , AverageHours: 1.000; Officer Organization Name: Pickaway Health Services, Title: Sr. VP and 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 Core OPG, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Balturshot,Gregory W., M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core OPG, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Bonasso,Christian L., M.D. ADDITIONAL POSITIONS HELD Organization Name: OhioHealth Physician Group, Inc.., Title: Physician Core 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 Seaman,Brian F., 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 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: XXX-XX-XXXX, Related or Exempt Function Revenue: XXX-XX-XXXX, Unrelated Business Revenue: 320647, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees OTHER FEES FOR SERVICE - Total Expense: 73959095, Program Service Expense: 59362140, Management and General Expenses: 14484847, Fundraising Expenses: 112108; PROFESSIONAL FEES PHYSICIANS - Total Expense: 31853169, Program Service Expense: 25558983, Management and General Expenses: 6294186, Fundraising Expenses: ; OUTSOURCED SERVICES - Total Expense: 22614216, Program Service Expense: 18145647, Management and General Expenses: 4468569, Fundraising Expenses: ; GROUNDS MAINTENANCE - Total Expense: 21886904, Program Service Expense: 17562052, Management and General Expenses: 4324852, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 18287429, Program Service Expense: 14673833, Management and General Expenses: 3613596, Fundraising Expenses: ; CONSULTING FEES - Total Expense: 3137623, Program Service Expense: 2517629, Management and General Expenses: 619994, Fundraising Expenses: ; EMPLOYEE BENEFIT SERVICES - Total Expense: 1072235, Program Service Expense: 860361, Management and General Expenses: 211874, Fundraising Expenses: ; HOUSEKEEPING SERVICES - Total Expense: 817300, Program Service Expense: 655802, Management and General Expenses: 161498, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances Intercompany Transactions - 52023105; Net Assets Released from Restriction for PP&E - 1557339; Transfers to Related Organizations - -293106; Foundation Reclassifications for Contributions - 15807768; Other - 45566;
Form 990, Part XII, Line 3b Single Audit (FKA A-133 Audit) OhioHealth Corporation was required to undergo a Single Audit (formerly referred to as an A-133 audit) due to federal awards received by OhioHealth Corporation and several of its wholly-owned subsidiaries.
Form 990, Part VI, Lines 15a and 15b Section B, Policies COMPENSATION DETERMINATIONS OF OHIOHEALTH CORPORATION GROUP RETURN'S TOP MANAGEMENT OFFICIALS AND OTHER OFFICERS ARE MADE BY OHIOHEALTH CORPORATION, A RELATED ORGANIZATION OF OHIOHEALTH CORPORATION GROUP RETURN. OhioHealth's executive compensation is set by the compensation committee, which is composed of independent and disinterested members of the Board of Directors. The 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. Stephen Markovich, M.D., the current CEO's FY2020 (based on calendar year 2019 W-2) compensation was in alignment with the current CEO's tenure, experience and demonstrated level of sustained performance of OhioHealth. The current CEO's FY2020 estimated total compensation (including annual and long-term incentives and all benefits) approximated the 35th percentile of the peer group data reviewed by the committee. David Blom, the former CEO's FY2020 (based on calendar year 2019 W-2) compensation was in alignment with the former CEO's tenure, experience and demonstrated level of sustained top quartile performance of OhioHealth. The former CEO's FY2020 estimated total compensation (including annual and long-term incentives and all benefits) approximated the 75th percentile of the peer group data reviewed by the compensation committee while our financial performance as measured by Moody's AA2 rating was at the 94th percentile and other key measures of the balanced scorecard including quality, culture and service perform in the top quartile. In addition, the former CEO SERP payment was paid out after certain age requirements were met, coinciding with retirement after 17 years in the role as OhioHealth CEO. For the year 2019, David P. Blom's total compensation of $19,197,155 includes a final deferred retirement compensation payout of $16,114,904 which is included on Schedule J, Part II, Column (B)(iii), Other Reportable Compensation. OhioHealth's executive vice presidents, senior vice presidents, and entity presidents compensation is set by the compensation committee which is composed of independent and disinterested members of the Board of Directors. The organization's performance for FY2019 was measured against balanced scorecard metrics in quality, customer service, culture, and finance performance. Most metrics are benchmarked against like organizations nationally. Our financial performance as measured by Moody's AA2 rating was at the 94th percentile. 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 analysis for base salaries, total cash compensation, benefits and perquisites, and aggregate total compensation values for the executive vice presidents, senior vice presidents, and entity presidents, to support OhioHealth's qualification for the rebuttable presumption of reasonableness. OhioHealth Corporation's compensation committee reviews and approves each executive's compensation, based on performance and the compensation philosophy, and rationale for the committee's decisions as documented in meeting minutes. With respect to non-disqualified positions, compensation for related organization employment is determined in the same manner as set forth above. However, it is not reviewed by the executive compensation committee and is instead determined by management.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID: 19010655
Software Version: 2019v5.0
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 Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
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) Marion Physician Billing LLC
1000 McKinley Park Drive
Marion,OH43302
61-1605305 		Medical Billing OH 0 0 Marion General Hospital
 
(2) Marion Ancillary Services LLC
1000 McKinley Park Drive
Marion,OH43302
31-1704991 		Outpatient Services OH 0 0 Marion General Hospital
 
(3) Marion Health Systems LLC
1000 McKinley Park Drive
Marion,OH43302
31-1639538 		Outpatient Surgery Center OH 0 0 Marion General Hospital
 
(4) OhioHealth MedCentral Professional Foundation
335 Glessner Avenue
Mansfield,OH44903
26-1775665 		Healthcare OH -34,788,404 11,556,138 MedCentral Health System
 
(5) Athens Medical Associates LLC DBA OhioHealth Physician Group Heritage Colle
ge
75 Hospital Drive
Athens,OH45701
02-0734615 		Physician Services OH -16,425,700 7,242,631 OhioHealth Physicians Group Inc
 
(6) OhioHealth Regional Physician Services LLC
3430 OhioHealth Parkway
Columbus,OH43202
47-2512005 		Healthcare OH -34,788,404 11,556,138 OhioHealth Physicians Group Inc
 
(7) GRADY FSED LLC
3430 OhioHealth Parkway
COLUMBUS,OH43202
82-3014562 		FREE-STANDING EMERGENCY DEPARTMENTS OH -1,102,808 2,371,581 GRADY MEMORIAL HOSPITAL
 
(8) MEDCENTRAL FSED LLC
3430 OhioHealth Parkway
COLUMBUS,OH43202
82-3014343 		FREE-STANDING EMERGENCY DEPARTMENT OH -426,885 5,521,390 MEDCENTRAL HEALTH SYSTEM
 
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
3430 OhioHealth Parkway

Columbus,OH43202
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) 2019
Schedule R (Form 990) 2019
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

801 OhioHealth Blvd
Delaware,OH43015
20-1547399 		Physician Practice OH NA
  		N/A                
(2) Polaris Surgery Center LLC

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

3430 OhioHealth Parkway
Columbus,OH43202
31-1472667 		Medical Services OH NA
  		N/A                
(4) Grant Scope Center LLC

700 E Broad Street
1st Floor
Columbus,OH43215
26-0765486 		Endoscopy Services OH NA
  		N/A                
(5) OhioHealth Rehabilitation Hospital LLC

4714 Gettysburg Road
Mechanicsburg,PA17055
46-2458436 		Medical Services PA NA
  		N/A                
(6) Westerville Endoscopy Center LLC

300 Polaris Parkway
Westerville,OH43082
46-2755661 		Endoscopy Services OH NA
  		N/A                
(7) O'Bleness Memorial Pain Management LLC

55 Hospital Drive
Athens,OH45701
45-4587317 		Medical Services OH O'Bleness Hospital
  		Related 0 0   No   Yes   51 %
(8) Athens Surgery Center

75 Hospital Drive
Athens,OH45701
55-0840856 		Medical Services OH O'Bleness Hospital
  		Related 485,918 995,821   No   Yes   92 %
(9) GROVE CITY SURGERY CENTER LLC

1325 Stringtown Road
Grove City,OH43123
81-2096173 		MEDICAL SERVICES OH NA
  		N/A                
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) OhioHealth Star Corporation

3430 OhioHealth Parkway
Columbus,OH43202
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 -53,494 864,224 100 % 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
(4) OHIOHEALTH STAR VENTURES INC

3430 OHIOHEALTH PARKWAY
COLUMBUS,OH43202
83-3767672 		HEALTHCARE SERVICES OH NA
  		C Corporation         No






Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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
 
No
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) HOSPITAL PROPERTIES INC

 K 3,282,525 ACTUAL AMOUNT PAID
(2) HOSPITAL PROPERTIES INC

 P 16,708,909 ACTUAL AMOUNT PAID
(3) HOSPITAL PROPERTIES INC

 R 5,736,808 ACTUAL AMOUNT PAID
(4) OHIOHEALTH CORPORATION

 B 7,530,256 ACTUAL AMOUNT PAID
(5) INTEL HEALTH SERVICES INS CO (SPC) LTD

 P 1,206,876 ACTUAL AMOUNT PAID
(6) OHIOHEALTH CORPORATION

 R 148,359,756 ACTUAL AMOUNT PAID
(7) OHIOHEALTH CORPORATION

 S 31,484,113 ACTUAL AMOUNT PAID
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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) 2019
Schedule R (Form 990) 2019
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2019

Additional Data


Software ID: 19010655
Software Version: 2019v5.0