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      <MedicareSurplusOrShortfallAmt>-6621956</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>COMMUNITY CARE SYSTE</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>MANAGED CARE CONTRACTING</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.005</OrgProfitOrOwnershipPct>
        <OfcrEtcProfitOrOwnershipPct>0.0</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.005</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>OHIOHEALTH VAN WERT HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1250 S WASHINGTON ST</AddressLine1Txt>
          <CityNm>VAN WERT</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45891</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>https://www.ohiohealth.com/locations/hospitals/van-wert-hospital</WebsiteAddressTxt>
        <StateLicenseNum>ODH1287</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>OHIOHEALTH VAN WERT HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>21</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>https://www.ohiohealth.com/community-health</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>21</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>false</StrategyPostedWebsiteInd>
        <StrategyAttachedInd>true</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.0</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>https://www.ohiohealth.com/patients-and-visitors/paying-for-your-care/financial-assistance</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>https://www.ohiohealth.com/patients-and-visitors/paying-for-your-care/financial-assistance</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>https://www.ohiohealth.com/patients-and-visitors/paying-for-your-care/financial-assistance</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - OHIOHEALTH VAN WERT HOSPITAL. IN CONDUCTING ITS MOST RECENT CHNA, VAN WERT COUNTY HOSPITAL ASSOCIATION OBTAINED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH VIA INTERVIEWS AND SURVEYS OF COMMUNITY LEADERS, REPRESENTATIVES, AND MEMBERS. Community Health Interview (July 2021 - Sept 2021) - Alicia Bruce, Program Director and Licensed Social Worker - Vicki Smith, Executive Director, Van Wert County United Way - Mindy Eales, Workforce Development Officer, Van Wert County Job and Family Services and Ohio Meets Jobs - Mark Spieles, CEO, Westwood Behavioural Health - Kimberly Laudick, CEO, Van Wert County YWCA - Kevin Matthews, Director, Van Wert County Counsel On Aging - Kathy Will, Director of Nursing, Van Wert Department of Health - Kathy Mollenkopf, Superintendent, Crestview City Schools - John Basinger, Social Worker, Family Children First - Jennifer Smith, CEO, Family Healthcare of Northwest Ohio - Amy McMaster, FOC Financial Coach, NW Ohio Community Action Commission - Trisha Clum, Pediatrician, Van Wert Health Youth Health Interview (July 2021 - Sept 2021) - Tina LaTurner, Nurse, Early Childhood Center - Katlyn Short, Social Worker, Van Wert District - Sandra Grooms, Nurse, Crestview City Schools - Tonia Verville, Counselor, Lincolnview Elementary School - Allison Hartin, Pediatric Nurse Practitioner, Van Wert Health - Brenda Leeth, Counselor, Lincolnview School - Brad Mendenhall, Principal, Lincolnview School Van Wert Prioritization Survey (July 2021 - Sept 2021) - 10 Community Leaders Van Wert Health Community Member Survey (July 2021 - Sept 2021) - 658 Community members</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - OHIOHEALTH VAN WERT HOSPITAL. VAN WERT COUNTY HOSPITAL ASSOCIATION'S CHNA WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS: VAN WERT COUNTY GENERAL HEALTH DISTRICT CRESTVIEW LOCAL SCHOOLS LINCOLNVIEW LOCAL SCHOOLS VAN WERT CITY SCHOOLS WESTWOOD BEHAVIORAL HEALTH CENTER VAN WERT HEALTH NORTHWESTERN OHIO COMMUNITY ACTION COMMISSION FAMILY HEALTH CARE OF NORTHWEST OHIO VAN WERT COUNTY FAMILY &amp; CHILDREN FIRST VAN WERT COUNTY COUNCIL ON AGING YWCA OF VAN WERT COUNTY VAN WERT COUNTY DEPARTMENT OF JOB &amp; FAMILY SERVICES UNITED WAY OF VAN WERT COUNTY MAIN STREET VAN WERT VAN WERT COUNTY ECONOMIC DEVELOPMENT TRI COUNTY ADAMHS BOARD</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - OHIOHEALTH VAN WERT HOSPITAL. THE THREE PRIORITY HEALTH NEEDS THAT WILL BE ADDRESSED IN THE 2022-2024 IMPLEMENTATION STRATEGY ARE: - PRIORITY AREA 1: NUTRITION &amp; PHYSICAL ACTIVITY - PRIORITY AREA 2: ACCESS TO CARE - PRIORITY AREA 3: MENTAL HEALTH &amp; ADDICTION (SUBSTANCE ABUSE (ALCOHOL AND DRUGS)) PRIORITY AREA 1: NUTRITION &amp; PHYSICAL ACTIVITY STRATEGY 1: INCREASE YOUTH FRUIT CONSUMPTION. (STATE HEALTH IMPROVEMENT (SHIP) INDICATOR HB3: YOUTH FRUIT CONSUMPTION). STRATEGY 2: INCREASE YOUTH VEGETABLE CONSUMPTION. (SHIP INDICATOR HB4: YOUTH VEGETABLE CONSUMPTION) STRATEGY 3: INCREASE PHYSICAL ACTIVITY OF CHILDREN. (SHIP INDICATOR HB5: CHILD PHYSICAL ACTIVITY) ACTION STEP(S): - ANNUAL PARTNERSHIP FOR THE MARKET AT THE WASS FARMERS' MARKET TO INCREASE ACCESS TO FRESH PRODUCE. - COMMUNITY WELLNESS EDUCATION AND RESOURCES FOR FAMILIES THAT INCLUDE: + KIDS' HEALTH FAIRS AT AREA SCHOOLS + IT'S A GIRL THING EVENT + BACK TO SCHOOL EVENT + PLACE BIKE RACKS AND WATER STATIONS THROUGHOUT THE COMMUNITY WHERE THERE ARE CURRENTLY NONE (EX. DOWNTOWN AREA) + A HEALTHY LIVING SOCIAL MEDIA CAMPAIGN. PRIORITY AREA 2: ACCESS TO CARE STRATEGY 1: INCREASE HEALTH INSURANCE COVERAGE FOR UNINSURED ADULTS. (SHIP INDICATOR AC1: UNINSURED ADULTS) STRATEGY 2: INCREASE HEALTH INSURANCE COVERAGE FOR UNINSURED CHILDREN. (SHIP INDICATOR AC2: UNINSURED CHILDREN) ACTION STEP(S): - INCREASE AWARENESS OF SOCIAL SERVICES. - IMPLEMENT INITIATIVE TO DRIVE COMMUNITY WIDE NETWORKING AMONG ORGANIZATIONS AND PROVIDERS IN VAN WERT HEALTH SERVICE AREA. - WORK WITH HEALTH COLLABORATIVE TO BUILD CULTURAL COMPETENCY FOR SPANISH SPEAKING POPULATION. - BUILD NETWORK OF PROVIDERS THAT SERVE SPANISH SPEAKING POPULATION. - INCREASE ELIGIBILITY SOCIAL ASSISTANCE PROGRAMS OF THE HISPANIC/SPANISH SPEAKING POPULATION. STRATEGY 3: DECREASE NUMBER OF PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS. (SHIP INDICATOR AC3: PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS) STRATEGY 4: DECREASE NUMBER OF MENTAL HEALTH PROFESSIONAL SHORTAGE AREAS. (SHIP INDICATOR AC4: MENTAL HEALTH PROFESSIONAL SHORTAGE AREAS) ACTION STEP(S): - PROVIDE UP TO 6 RENEWABLE HIGH SCHOOL SCHOLARSHIPS FOR THOSE PURSUING STUDIES IN HEALTH AND HUMAN SERVICES. - PROVIDE MEDICAL SCHOLARSHIPS. - CONDUCT ONGOING PHYSICIAN RECRUITMENT AND PARTNERSHIPS TO PROVIDE LOCAL ACCESS TO SPECIALTIES. - INCREASE INTEGRATED MENTAL HEALTH SERVICES IN SCHOOLS. STRATEGY 5: DECREASE UNMET NEED FOR MENTAL HEALTH CARE FOR YOUTH DEPRESSION. (SHIP INDICATOR AC5: YOUTH DEPRESSION TREATMENT FOR UNMET NEED) STRATEGY 6: DECREASE UNMET NEED FOR MENTAL HEALTH CARE FOR MENTAL HEALTH CARE FOR ADULTS. (SHIP INDICATOR AC6: ADULT MENTAL HEALTH CARE UNMET NEED) ACTION STEP(S): - INCREASE AWARENESS AND UTILIZATION OF GETLOCALHELPNOW APP. - INCREASE INTEGRATED MENTAL HEALTH SERVICES IN SCHOOLS. - UPDATE TREATMENT REFERRAL PATHWAYS FOR LOCAL PHYSICIANS AND ORGANIZATIONS. - INVESTIGATE EMR INTEGRATION BETWEEN MENTAL HEALTH AND HEALTHCARE. - INCREASE NUMBER OF ADULTS TRAINED IN YOUTH MENTAL HEALTH FIRST AID. PRIORITY AREA 3: MENTAL HEALTH &amp; ADDICTION (SUBSTANCE ABUSE (ALCOHOL AND DRUGS)) STRATEGY 1: DECREASE YOUTH DEPRESSION. (SHIP INDICATOR MHA1: YOUTH DEPRESSION) STRATEGY 2: DECREASE ADULT DEPRESSION. (SHIP INDICATOR MHA2: ADULT DEPRESSION) ACTION STEP(S): - INCREASE AWARENESS AND UTILIZATION OF GETLOCALHELPNOW APP. - INCREASE INTEGRATED MENTAL HEALTH SERVICES IN SCHOOLS. - UPDATE TREATMENT REFERRAL PATHWAYS FOR LOCAL PHYSICIANS AND ORGANIZATIONS. - INVESTIGATE EMR INTEGRATION BETWEEN MENTAL HEALTH AND HEALTHCARE. - COMMUNITY WELLNESS EDUCATION AND RESOURCES FOR FAMILIES THAT INCLUDE: + KIDS' HEALTH FAIRS AT AREA SCHOOLS + IT'S A GIRL THING EVENT + A HEALTHY LIVING SOCIAL MEDIA CAMPAIGN - PROVIDE YOUTH MENTAL HEALTH FIRST AID COURSES IN THE COMMUNITY AND SCHOOLS. - PROVIDE MENTAL HEALTH FIRST AID COURSES IN THE COMMUNITY. STRATEGY 3: DECREASE YOUTH SUICIDE DEATHS. (SHIP INDICATOR MHA3: YOUTH SUICIDE DEATHS) STRATEGY 4: DECREASE ADULT SUICIDE DEATHS. (SHIP INDICATOR MHA4: ADULT SUICIDE DEATHS) ACTION STEP(S): - INCREASE AWARENESS AND UTILIZATION OF GETLOCALHELPNOW APP. - INCREASE INTEGRATED MENTAL HEALTH SERVICES IN SCHOOLS. - UPDATE TREATMENT REFERRAL PATHWAYS FOR LOCAL PHYSICIANS AND ORGANIZATIONS. - INVESTIGATE EMR INTEGRATION BETWEEN MENTAL HEALTH AND HEALTHCARE. - COMMUNITY WELLNESS EDUCATION AND RESOURCES FOR FAMILIES THAT INCLUDE: + KIDS' HEALTH FAIRS AT AREA SCHOOLS + IT'S A GIRL THING EVENT + A HEALTHY LIVING SOCIAL MEDIA CAMPAIGN - PROVIDE YOUTH MENTAL HEALTH FIRST AID COURSES IN THE COMMUNITY AND SCHOOLS. - PROVIDE MENTAL HEALTH FIRST AID COURSES IN THE COMMUNITY. STRATEGY 5: DECREASE YOUTH ALCOHOL USE. (SHIP INDICATOR MHA5: YOUTH ALCOHOL USE) STRATEGY 6: DECREASE YOUTH MARIJUANA USE. (SHIP INDICATOR MHA6: YOUTH MARIJUANA USE) STRATEGY 7: DECREASE UNINTENTIONAL DRUG OVERDOSE DEATHS. (SHIP INDICATOR MHA7: UNINTENTIONAL DRUG OVERDOSE DEATHS) ACTION STEP(S): - INCREASE AWARENESS AND UTILIZATION OF GETLOCALHELPNOW APP. - INCREASE INTEGRATED MENTAL HEALTH SERVICES IN SCHOOLS. - UPDATE TREATMENT REFERRAL PATHWAYS FOR LOCAL PHYSICIANS AND ORGANIZATIONS. - INVESTIGATE EMR INTEGRATION BETWEEN MENTAL HEALTH AND HEALTHCARE. - COMMUNITY WELLNESS EDUCATION AND RESOURCES FOR FAMILIES THAT INCLUDE: + KIDS' HEALTH FAIRS AT AREA SCHOOLS + IT'S A GIRL THING EVENT + A HEALTHY LIVING SOCIAL MEDIA CAMPAIGN - PROVIDE YOUTH MENTAL HEALTH FIRST AID COURSES IN THE COMMUNITY AND SCHOOLS. - PROVIDE MENTAL HEALTH FIRST AID COURSES IN THE COMMUNITY. TAKING EXISTING ORGANIZATIONAL AND COMMUNITY-BASED RESOURCES INTO CONSIDERATION, OHIOHEALTH VAN WERT HOSPITAL IS CHOOSING NOT TO ADDRESS CHRONIC DISEASES, TOBACCO AND NICOTINE USE, AND VARIOUS COMMUNITY CONDITIONS/SOCIAL DETERMINANTS OF HEALTH AS IDENTIFIED IN THE CHNA. HOWEVER, HEALTH NEEDS SUCH AS VARIOUS CHRONIC DISEASES ARE INDIRECTLY ADDRESSED BY ACTION STEPS FOR THE 3 PRIORITY FACTORS FOCUSED ON BY THE HOSPITAL. WE ARE ALSO CHOOSING NOT TO ADDRESS COVID-19, MATERNAL AND INFANT HEALTH ISSUES, PREVENTATIVE PRACTICES, AND HIV/AIDS TESTING BECAUSE THOSE HEALTH NEEDS WERE PRIORITIZED EXTREMELY LOW BY THE COMMUNITY IN ALL PRIMARY DATA COLLECTION METHODS. OHIOHEALTH VAN WERT HOSPITAL CANNOT ADDRESS ALL THE HEALTH NEEDS IN THE COMMUNITY AND MUST FOCUS ON AREAS WHERE WE HAVE THE GREATEST POTENTIAL FOR IMPACT AND THAT ALSO ALIGN WITH OUR MISSION AND PREVENT DUPLICATION OF EFFORT. COMMUNITY PARTNERSHIPS MAY SUPPORT OTHER INITIATIVES THAT THE HOSPITAL CANNOT INDEPENDENTLY LEAD IN ORDER TO ADDRESS THE OTHER HEALTH NEEDS IDENTIFIED IN THE 2021 CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - OHIOHEALTH VAN WERT HOSPITAL. OHIOHEALTH VAN WERT HOSPITAL USES INCOME LEVEL OF PATIENT AND PATIENT IMMEDIATE FAMILIES AS A FACTOR IN DETERMINING INCOME LEVEL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - OHIOHEALTH VAN WERT HOSPITAL. OHIOHEALTH VAN WERT HOSPITAL 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 VAN WERT HOSPITAL MUST DISCOUNT THEIR RESPONSIBILITY OF THE CLAIM 100%. OHIOHEALTH VAN WERT HOSPITAL'S INTERNAL CHARITY POLICY ADDRESSES PATIENTS WHOSE FAMILY SIZE AND INCOME IS ABOVE THE FEDERAL POVERTY GUIDELINES. OHIOHEALTH VAN WERT HOSPITAL 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - OHIOHEALTH VAN WERT HOSPITAL. EVERY PATIENT STATEMENT SENT BY THE ORGANIZATION INCLUDES INFORMATION ABOUT FA / FAP ALONG WITH A FULL APPLICATION FOR THE FAP.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>4</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OHIOHEALTH VAN WERT-HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>140 FOX ROAD</AddressLine1Txt>
            <CityNm>VAN WERT</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45891</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYS. MEDICAL OFFICE BLDG.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OHIOHEALTH VAN WERT NORTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>214 TOWNE CENTER BLVD</AddressLine1Txt>
            <CityNm>VAN WERT</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45891</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN BASED AMBULATORY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OHIOHEALTH VAN WERT-ROCKFORD FAMILY MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>506 S MAIN ST</AddressLine1Txt>
            <CityNm>ROCKFORD</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45882</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OHIOHEALTH VAN WERT-OTTOVILLE FAMILY MED</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>290 E 3RD ST</AddressLine1Txt>
            <CityNm>OTTOVILLE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45876</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OHIOHEALTH VAN WERT OBGYN PAULDING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1035 WEST WAYNE ST</AddressLine1Txt>
            <CityNm>PAULDING</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45879</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a Community benefit report prepared by related organization</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIOHEALTH CORPORATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED IN REPORTING BAD DEBT DATA IS A COST TO CHARGE RATIO METHODOLOGY. THE ORGANIZATION DOES NOT CLAIM BAD DEBT EXPENSE AS A COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REPORTS BAD DEBT EXPENSE AS SHOWN IN THE AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIOHEALTH HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. ALTHOUGH OHIOHEALTH'S 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'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, THE ORGANIZATION DOES NOT REPORT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. HOWEVER, PER A RECENT STUDY DONE FOR THE AMERICAN HOSPITAL ASSOCIATION BY ERNST &amp; 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 STRATA WHICH USES SEVERAL FACTORS TO DETERMINE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO MEDICARE PAYMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>FOLLOWING THE GUIDELINES AND PROCESSES AS INDICATED IN QUESTION 3, PATIENT EDUCATION REGARDING ELIGIBILITY FOR ASSISTANCE, THE ORGANIZATION APPROPRIATELY IDENTIFIES ACCOUNTS AS TO THE TYPE OF ASSISTANCE QUALIFIED FOR. THE AMOUNTS ELIGIBLE FOR ASSISTANCE ARE WRITTEN OFF TO THE APPROPRIATE PROGRAM AND COLLECTION ACTIVITY CEASES IN REGARD TO THOSE AMOUNTS. THE GOAL OF THE ORGANIZATION'S POLICIES IS TO INDENTIY ACCOUNTS ELIGIBLE FOR ASSISTANCE AND BRING THE ACCOUNT TO AN APPROPRIATE CONCLUSION AS EARLY IN THE BILLING CYCLE AS POSSIBLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- OHIOHEALTH VAN WERT HOSPITAL: Line 16a URL: https://www.ohiohealth.com/patients-and-visitors/paying-for-your-care/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- OHIOHEALTH VAN WERT HOSPITAL: Line 16b URL: https://www.ohiohealth.com/patients-and-visitors/paying-for-your-care/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- OHIOHEALTH VAN WERT HOSPITAL: Line 16c URL: https://www.ohiohealth.com/patients-and-visitors/paying-for-your-care/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES A VARIETY OF METHODS TO ASSESS HEALTH CARE NEEDS. DATA PROVIDED BY THE STATE OF OHIO IS USED TO DETERMINE EPIDEMIOLOGY'S RELATED TO CHRONIC CONDITIONS AND CANCER REGISTRIES PROVIDING PREVALENCE. INTERNAL DATA IS ALSO USED AS WELL AS INPUT FROM OTHER PROVIDERS. THE HOSPITAL ALSO USES PATIENT ORIGIN DATA PROVIDED BY THE OHIO HOSPITAL ASSOCIATION TO DETERMINE CURRENT TREATMENT PATTERNS AND DIAGNOSIS FOR CURRENT RESIDENTS BEING TREATED BY VAN WERT HEALTH AND OTHER SURROUNDING PROVIDERS. THE HOSPITAL ALSO SPONSORS A NUMBER OF HEALTH FAIRS/ASSESSMENTS TO BOTH ADULT AND PEDIATRIC POPULATIONS OF VAN WERT THAT ARE ALSO EXAMINED FOR FREQUENCY AND NEEDS. A NUMBER OF STAFF ALSO SERVED ON COMMUNITY HEALTH PROVIDER BOARDS AND PROVIDE INPUT TO THE PLANNING PROCESS. THE HOSPITAL PARTICIPATED IN A COMMUNITY-WIDE HEALTH CARE NEEDS ASSESSMENT PROJECT WITH COLLABORATING AGENCIES WITHIN THE AREA. AS A RESULT OF THIS EFFORT, NUTRITION AND PHYSICAL ACTIVITY, ACCESS TO CARE, MENTAL HEALTH AND ADDICTION ARE THE NEEDS IDENTIFIED BY THE COALITION THAT WILL BE THE FOCUS OF THE HEALTH IMPROVEMENT PLAN DEVELOPED BY THE COALITION. THE HOSPITAL IS ALSO SUBSCRIBED TO A NUMBER OF BENCHMARKING ORGANIZATIONS THAT PROVIDE BEST OF INDUSTRY APPLICATIONS TO ASSESS METHODOLOGIES FOR TREATING OUR RESIDENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT EDUCATION REGARDING THEIR ELIGIBILITY FOR ASSISTANCE BEGINS AT THE PATIENT ACCESS TO CARE AREAS. INFORMATIONAL SIGNAGE IS POSTED IN ALL PATIENT ACCESS AREAS IDENTIFYING FINANCIAL ASSISTANCE PROGRAMS AND INSTRUCTIONS ON HOW TO SEEK OUT THESE PROGRAMS. SIMILAR INFORMATION IS ALSO FOUND IN PATIENT INFORMATIONAL BROCHURES PROVIDED TO PATIENTS PRIOR TO THE RENDERING OF CARE BASED UPON THE TYPE OF CARE BEING PROVIDED. ALSO, AVAILABLE AT ALL PATIENT ACCESS POINTS ARE THE PATIENT FINANCIAL ASSISTANCE BROCHURES. PATIENT REGISTRATION STAFF AT ALL PATIENT ACCESSPOINTS ARE TRAINED IN THE PATIENT FINANCIAL ASSISTANCE PROGRAMS AVAILABLE AT THE HOSPITAL. THEY BECOME A VALUABLE RESOURCE TO PATIENTS DIRECTING THEM TO THE PROGRAMS THEY MAY QUALIFY FOR AND THE PROCESS WITH WHICH TO SEEK THE APPROPRIATE ASSISTANCE. THE HOSPITAL UTILIZES THE HOSPITAL WEBSITE AS AN ON-LINE AND TECHNOLOGICALLY CURRENT SOURCE OF FINANCIAL ASSISTANCE INFORMATION FOR PATIENTS THAT PREFER FINDING EDUCATIONAL INFORMATION IN THIS FORMAT. FINANCIAL ASSISTANCE PROGRAMS, POLICIES, ELIGIBILITY CRITERIA, AND ON-LINE APPLICATIONS FOR THE VARIOUS PROGRAMS ARE AVAILABLE. PATIENT BILLING STATEMENTS PROVIDE ANOTHER AVENUE FOR EDUCATING PATIENTS AS TO FINANCIAL ASSISTANCE PROGRAMS AVAILABLE AND HOW TO CONTACT THE HOSPITAL TO DETERMINE ELIGIBILITY. THIS INFORMATION IS LOCATED ON THE BACK OF EACH BILLING STATEMENT RECEIVED BY THE PATIENT. THE EXISTENCE OF A FINANCIAL COUNSELOR IN THE PATIENT FINANCIAL SERVICES DEPARTMENT IS ANOTHER MECHANISM UTILIZED IN EDUCATING PATIENTS REGARDING FINANCIAL ASSISTANCE AVAILABLE FOR HOSPITAL SERVICES. ALL UNINSURED OR SELF-PAY POTENTIAL ACCOUNTS ARE IDENTIFIED TO THE FINANCIAL COUNSELOR UPON PATIENT REGISTRATION. PATIENTS MAY BE CONTACTED UPON COMPLETION OF SERVICES. ALL PATIENTS THAT WERE NOT CONTACTED UPON COMPLETION OFSERVICES RECEIVE A FINANCIAL ASSISTANCE APPLICATION THROUGH THE MAIL THAT INCLUDES INFORMATION REGARDING ALL FINANCIAL ASSISTANCE PROGRAMS. THE COUNSELOR PROVIDES FOLLOW-UP AND ASSISTANCE TO IDENTIFY THE PATIENT WITH THE APPROPRIATE FINANCIAL ASSISTANCE PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIOHEALTH VAN WERT HOSPITAL IS LOCATED IN THE RURAL COUNTY OF VAN WERT, OHIO THAT BORDERS THE INDIANA STATE LINE ALONG ALLEN COUNTY INDIANA. OUR PRIMARY SERVICE AREA COMPRISES VAN WERT AND SOME PORTIONS OF PAULDING, PUTNAM AND MERCER COUNTIES. NUMERICALLY THIS BREAKS DOWN TO APPROXIMATELY 50,000 RESIDENTS IN OUR PRIMARY MARKET AREA. THE HOSPITAL IS LOCATED WITHIN THE CITY OF VAN WERT, WHICH POSSESSES A POPULATION OF 10,700. OUR POPULATION IS PREDOMINANTLY WHITE (93.7%) WITH HISPANIC (3.5%). A MIX OF MINORITIES COMPRISE THE REMAINDER. VAN WERT IS RURAL IN NATURE WITH EMPLOYMENT NOT ONLY IN AGRICULTURAL SERVICES BUT ALSO IN THE MANUFACTURING AND SERVICE SECTOR. THE UNEMPLOYMENT RATE IN VAN WERT COUNTY HAS BEEN STEADILY DROPPING FROM A HIGH OF &gt; 15% IN 2008-2010 TO A CURRENT LEVEL AROUND 3%. HOWEVER, 11.4% OF THE POPULATION IS CONSIDERED TO BE LIVING IN POVERTY AND CONTRIBUTES TO INCREASING NUMBERS OF CITIZENS COVERED UNDER THE MEDICAID PROGRAM AND QUALIFYING FOR THE HOSPITAL'S CHARITY CARE PROGRAM AS WELL AS INCREASING BAD DEBT. LIKE MANY MIDWEST COMMUNITIES THE REGION HAS EXPERIENCED AN AGING POPULATION WITH 19.0% OVER 65 AND 27.8% 45 -64 ESTIMATED FOR 2018 BY THE OHIO OFFICE FOR RESEARCH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ACCOMMODATION OF SPECIALTY SERVICES NOT CURRENTLY PRESENT IN OUR AREA BEING PROVIDED THROUGH A SPECIALTY CLINIC OF THE HOSPITAL WHICH INCLUDE NEUROLOGY, NEUROSURGERY, IMMUNOLOGY, AND ENT SERVICES. THE HOSPITAL ASSOCIATED PERSONNEL ALSO SIT ON OTHER COMMUNITY BASED GOVERNANCE BOARDS (UNITED WAY, AMERICAN RED CROSS, CHAMBER OF COMMERCE, WRIGHT STATE UNIVERSITY REGIONAL CAMPUS, PUBLIC ACCESS TELEVISION, AMERICAN CANCER SOCIETY &amp; VAN WERT ECONOMIC DEVELOPMENT TO NAME A FEW) THROUGH PHYSICIAN RECRUITMENT WE HAVE BROUGHT IN A NUMBER OF NEW SPECIALTIES INCLUDING OBSTETRICS, PULMONOLOGY/CRITICAL CARE AND ADDITIONAL LAPAROSCOPIC SURGICAL PROCEDURES. WE ALSO PROVIDE A LOAN FORGIVENESS PROGRAM FOR RESIDENTS INTERESTED IN BECOMING PHYSICIANS AND RETURNING TO OUR AREA. OUR WELLNESS CENTER PROVIDES HEALTH, EDUCATION, AND SOCIAL PROGRAMS FOR TARGETED POPULATIONS. WE HAVE JOINED A REGIONAL STROKE NETWORK AS WELL AS PARTICIPATING IN A NUMBER OF PATIENT AND EDUCATIONAL SUPPORT GROUPS (BETTER BREATHERS, STROKE SUPPORT GROUP, BETTER PARENTING). THE HOSPITAL ALSO PARTICIPATES IN HEALTH PROFESSIONS EDUCATIONAL PROGRAMS. A NUMBER OF OUR PHYSICIANS PROVIDE TRAINING FOR SENIOR MEDICAL STUDENTS THROUGH THE LIMA AREA HEALTH EDUCATION COMMITTEE. A NUMBER OF NURSING EDUCATIONAL PROGRAM USE OUR HOSPITAL TO DO THEIR CLINICAL ROTATIONS. OUR REHAB SERVICES DEPARTMENT ROUTINELY HOSTS STUDENTS FROM THE UNIVERSITY OF FINDLAY, HUNTINGTON COLLEGE, RHODES STATE COLLEGE, UNIVERSITY OF ST. FRANCIS, THE OHIO STATE UNIVERSITY, THE UNIVERSITY OF CINCINNATI, THE UNIVERSITY OF DAYTON, TRINE UNIVERSITY, UTMC AND WESTERN MICHIGAN WHO ARE PURSUING CAREERS IN THERAPY. THE HOSPITAL ON AVERAGE SPENDS IN EXCESS OF 1 MILLION DOLLARS IN NEW DIAGNOSTIC TECHNOLOGIES AND OTHER HEALTH RELATED EQUIPMENT TO BETTER DIAGNOSE AND TREAT OUR CLIENTS. THE HOSPITAL IS CURRENTLY UNDERGOING A NEARLY FORTY MILLION DOLLAR EXPANSION IN ORDER TO BETTER MEET THE NEEDS OF OUR COMMUNITY. THE EXPANSION PROVIDES ALL NEW INPATIENT SPACE FOR ACUTE CARE AND OBSTETRICS. IT WILL ALSO HOUSE A BRAND-NEW SURGICAL SERVICES AREA WITH INCREASED CAPACITY, PRIVATE PRE/POST-OP ROOMS AND CAPACITY FOR ROBOTIC SURGERY. THIS WILL ALLOW PATIENTS WHO ROUTINELY LEAVE THE AREA FOR PORTIONS OF THEIR CARE TO OBTAIN THEIR CARE LOCALLY. VAN WERT HEALTH SUPPORTS NUMEROUS ORGANIZATIONS VIA SPONSORSHIP THROUGHOUT THE COMMUNITY SOME OF THESE INCLUDE THE YWCA SILVER SNEAKERS PROGRAM, THE COMMUNITY FARMER'S MARKET, LIVE HEALTH VAN WERT &amp; THE COUNTY HEALTH COLLABORATIVE, DARE, JUNIOR ACHIEVEMENT, COUNCIL ON AGING, CAMP CLAY, SAFETY COUNCIL WELLNESS AND THE NISWONGER PERFORMING ARTS CONCERT SERIES. VAN WERT HEALTH PROVIDESNUMEROUS SPONSORSHIPS FOR LOCAL SCHOOLS. VAN WERT HEALTH PRESENTS OR PARTICIPATES IN NUMEROUS HEALTH FAIRS THROUGHOUT THE YEAR INCLUDING THE ANNUAL CHILDREN'S HEALTH FAIR, ANNUAL WOMEN'S HEALTH EVENT, ANNUAL CAR SEAT CLINIC AND AN ANNUAL VETERAN'S DAY EVENT. VAN WERT HEALTH STAFF PRESENT AT VARIOUS EVENTS AND SPEAKERS BUREAUS THROUGHOUT THE YEAR INCLUDING THE SILVER SNEAKERS PROGRAM, THE SAFETY COUNCIL AND VARIOUS CAREER FAIRS FOR YOUNG STUDENTS ON THE BENEFITS OF A CAREER IN HEALTH CARE. SUPPORT FOR THE LOCAL BUSINESS DEVELOPMENT COALITION TO PROMOTE GROWTH IN THE OVERALL VAN WERT COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>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, PICKAWAY, GUERNSEY AND VAN WERT COUNTIES THAT IN TOTAL INCLUDES FIFTEEN HOSPITALS, AMBULATORY HEALTHCARE SERVICES, PHYSICIAN CLINICS, HOSPICE CARE AND OTHER ENTITIES IN SUPPORT OF THE HOSPITAL AND HEALTHCARE SERVICES. OF THOSE FIFTEEN HOSPITALS, SIX INDIVIDUAL HOSPITALS FILE WITH THE OHIOHEALTH GROUP RETURN (OHIOHEALTH MARION GENERAL HOSPITAL, OHIOHEALTH O'BLENESS MEMORIAL HOSPITAL, OHIOHEALTH GRADY MEMORIAL HOSPITAL, OHIOHEALTH HARDIN MEMORIAL HOSPITAL, OHIOHEALTH MEDCENTRAL HEALTH SYSTEM COMPRISED OF OHIOHEALTH MANSFIELD HOSPITAL, AND OHIOHEALTH SHELBY HOSPITAL) PROVIDING SERVICES TO THE RURAL COMMUNITIES SURROUNDING THE SYSTEM'S PRIMARY SERVICE AREAS OF FRANKLIN, DELAWARE, AND RICHLAND COUNTIES. BEGINNING IN FY24, OHIOHEALTH SOUTHEASTERN MEDICAL CENTER AND VAN WERT HOSPITAL WILL JOIN THE OHIOHEALTH GROUP RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="22016089" softwareVersionNum="2022v5.0">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>OHIO MEDICAL IMAGING ASSOCIATE</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER (ERIC JELINGER) BOARD END DATE 2/28/2023 IS AN OWNER OF OHIO MEDICAL IMAGING ASSOCIATE</RelationshipDescriptionTxt>
        <TransactionAmt>399000</TransactionAmt>
        <TransactionDesc>RADIOLOGY SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="22016089" softwareVersionNum="2022v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Form 990, Part VI, Lines 15a and 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION DETERMINATIONS OF TOP MANAGEMENT OFFICIALS AND OTHER OFFICERS ARE MADE BY OHIOHEALTH CORPORATION, A RELATED ORGANIZATION OF OHIOHEALTH VAN WERT HOSPITAL. 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. 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. 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. OVERALL, THE EXECUTIVE COMPENSATION COMMITTEE MEETS THREE TIMES EACH YEAR, WITH THE MOST RECENT MEETING HELD IN SEPTEMBER 2023, AND THE NEXT MEETING TO BE HELD IN MAY 2024. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Business Relationships</FormAndLineReferenceDesc>
        <ExplanationTxt>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. LISA INGRAM, DIRECTOR OF OHIOHEALTH VAN WERT HOSPITAL AND ANDY ROSE, DIRECTOR OF OHIOHEALTH VAN WERT HOSPITAL, HAVE A BUSINESS RELATIONSHIP. KERRII ANDERSON, DIRECTOR OF OHIOHEALTH VAN WERT HOSPITAL AND ANDY ROSE, DIRECTOR OF OHIOHEALTH VAN WERT HOSPITAL, HAVE A BUSINESS RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>"EFFECTIVE MARCH 1, 2023, OHIOHEALTH VAN WERT HOSPITAL AMENDED ITS CODE OF REGULATIONS. THE SIGNIFICANT CHANGES ARE AS FOLLOWS: ARTICLE 3 CHANGED THE SOLE MEMBER FROM THE VARIOUS MEMBERS PROVIDED UNDER THE PREVIOUS CODE TO OHIOHEALTH CORPORATION ARTICLE 4 CHANGED THE GOVERNANCE OF THE CORPORATION THROUGH ITS BOARD OF DIRECTORS TO REFLECT THE STRUCTURE, POLICIES, PROCEDURES, POWERS AND RESPONSIBILITES OF THE CODE OF REGULATIONS OF OHIOHEALTH CORPORATION ARTICLE 4 CHANGED THE CONFLICT OF INTEREST POLICY TO REFLECT THE CONFLICT OF INTEREST POLICY AS SET FORTH IN THE CODE OF REGULATIONS OF THE SOLE MEMBER, OHIOHEALTH CORPORATION ARTICLE 4 CHANGED NUMBER OF THE BOARD OF DIRECTORS FROM A MAXIMUM OF 17 TO A MAXIMUM OF 21 ARTICLE 5 CHANGED THE OFFICERS FROM SPECIFICALLY NAMED OFFICERS TO THOSE THAT ARE DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER, OHIOHEALTH CORPORATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>REVISIONS OF THE CODE OF REGULATIONS THAT AFFECT THE RIGHTS OF THE MEMBER MUST BE APPROVED B THE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIOHEALTH PREPARES THE FORM 990 USING IRS APPROVED TAX SOFTWARE. WITHIN OHIOHEALTH THERE ARE MULTIPLE LEVELS OF MANAGEMENT AND EXECUTIVE REVIEWS. THE FORM 990 IS PRESENTED TO AND DISCUSSED BY THE FINANCE AND AUDIT COMMITTEE BEFORE BEING PROVIDED TO THE OHIOHEALTH CORPORATION BOARD. ADDITIONALLY, DELOITTE REVIEWS AND SIGNS THE TAX RETURN AS "PAID PREPARER" PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION IS MADE AVAILABLE AS REQUIRED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>- Total Revenue: 463822, Related or Exempt Function Revenue: 463822, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Clinical Services - Total Expense: 3598496, Program Service Expense: 2912982, Management and General Expenses: 685514, Fundraising Expenses: ; Administrative Services - Total Expense: 3303573, Program Service Expense: 2674243, Management and General Expenses: 629330, Fundraising Expenses: ; Lab Services - Total Expense: 1328520, Program Service Expense: 1075437, Management and General Expenses: 253083, Fundraising Expenses: ; Other Services - Total Expense: 1388677, Program Service Expense: 1124134, Management and General Expenses: 264543, 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: ; - 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: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>FMV Adjustment - -28458605; Intercompany Writedown - 65853811; Other Adjustments - 2583105;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c Change of oversight process or selection process</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A RESULT OF THE ACQUISITION OF OHIOHEALTH VAN WERT HOSPITAL BY OHIOHEALTH CORPORATION, OVERSIGHT OF THE AUDIT IS NOW PERFORMED BY OHIOHEALTH CORPORATION.</ExplanationTxt>
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        <USAddress>
          <AddressLine1Txt>C/O 1000 McKinley Park Drive</AddressLine1Txt>
          <CityNm>Marion</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43302</ZIPCd>
        </USAddress>
        <EIN>852050240</EIN>
        <PrimaryActivitiesTxt>Medical Imaging</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Van Wert County Hospital Pain Management LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1250 S Washington Street</AddressLine1Txt>
          <CityNm>Van Wert</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45891</ZIPCd>
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        <PrimaryActivitiesTxt>PAIN MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHIOHEALTH VAN WERT HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>103241</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>101839</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Surgery Centers of Ohio LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>340 SEVEN SPRINGS WAY STE 600</AddressLine1Txt>
          <CityNm>BRENTWOOD</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37027</ZIPCd>
        </USAddress>
        <EIN>922808841</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Knightsbridge Surgery Center LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>4845 KNIGHTSBRIDGE BLVD STE 110</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43214</ZIPCd>
        </USAddress>
        <EIN>870650797</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OhioHealth Star Corporation</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3430 OhioHealth Parkway</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>311119936</EIN>
        <PrimaryActivitiesTxt>Administrative Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HardinCare Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>921 East Franklin Street</AddressLine1Txt>
          <CityNm>Kenton</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43326</ZIPCd>
        </USAddress>
        <EIN>341492617</EIN>
        <PrimaryActivitiesTxt>Property Management</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Intel Health Svcs Ins Co (SPC) Ltd</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO Box 1051</AddressLine1Txt>
          <AddressLine2Txt>Governors Square</AddressLine2Txt>
          <ProvinceOrStateNm>Grand Cayman</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>11102</ForeignPostalCd>
        </ForeignAddress>
        <EIN>981288216</EIN>
        <PrimaryActivitiesTxt>Insurance/Reinsurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OHIOHEALTHY MEDICAL PLAN INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>364897871</EIN>
        <PrimaryActivitiesTxt>MEDICAL INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OHIOHEALTHY INSURANCE COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>853626444</EIN>
        <PrimaryActivitiesTxt>INSURANCE COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OHIOHEALTHY HEALTH INSURING CORPORATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>852275116</EIN>
        <PrimaryActivitiesTxt>INSURANCE COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OHIOHEALTHY PLANS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>831213470</EIN>
        <PrimaryActivitiesTxt>INSURANCE COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GUERNSEY HEALTH ENTERPRISES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>311191428</EIN>
        <PrimaryActivitiesTxt>Ambulance Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UNITED AMBULANCE SERVICE OF CAMBRIDGE INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>311086097</EIN>
        <PrimaryActivitiesTxt>Ambulance Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY CARE SYSTEMS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>341783212</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OhioHealth Star Ventures Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3430 OHIOHEALTH PARKWAY</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <EIN>833767672</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
