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      <BadDebtExpenseAmt>737180</BadDebtExpenseAmt>
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          <AddressLine1Txt>100 WEST MAIN STREET</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45502</ZIPCd>
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        <WebsiteAddressTxt>WWW.OVSURGICAL.COM</WebsiteAddressTxt>
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        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>HTTPS://WWW.OVSURGICAL.COM/DOCUMENTS/CLARK-COUNTY-CHA-2022.PDF</OwnWebsiteURLTxt>
        <OtherWebsiteInd>X</OtherWebsiteInd>
        <OtherWebsiteURLTxt>HTTPS://CCCHD.COM/INFO/CHACHIP/</OtherWebsiteURLTxt>
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        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>23</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</StrategyWebsiteURLTxt>
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        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
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        <FAPAvailableOnWebsiteURLTxt>HTTPS://WWW.OVSURGICAL.COM/PATIENTS-VISITORS/BILLING-INSURANCE/</FAPAvailableOnWebsiteURLTxt>
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        <FAPAppAvailableOnWebsiteURLTxt>HTTPS://WWW.OVSURGICAL.COM/PATIENTS-VISITORS/BILLING-INSURANCE/</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>HTTPS://WWW.OVSURGICAL.COM/PATIENTS-VISITORS/BILLING-INSURANCE/</FAPSummaryOnWebsiteURLTxt>
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        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
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        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
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        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
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        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>OHIO VALLEY SURGICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 2: OVMC WAS ORIGINALLY FOUNDED AND OWNED BY PRIVATE PHYSICIANS. HOWEVER, IN LATE 2021, CCHS ACQUIRED A 51% OWNERSHIP INTEREST. NOW, CCHS MAINTAINS CONTROL OVER THE OPERATIONS AND GOVERNANCE OF OVMC. AS A RESULT OF CCHS ACQUIRING AN INTEREST IN OVMC, OVMC IS NOW OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES AND PROVIDES CHARITY CARE CONSISTENT WITH 501(C)(3) STATUS. IT HAS ALSO ALLOWED OVMC TO EXPAND ITS SERVICE OFFERINGS, PROVIDING THE COMMUNITY WITH GREATER OVERALL ACCESS TO HIGHLY TRAINED AND SPECIALIZED PHYSICIANS. THUS, CCHS'S ACQUISITION OF OVMC INCREASES COMMUNITY ACCESS TO ADVANCED HEALTHCARE TREATMENTS IN A REGION OF OHIO THAT IS ECONOMICALLY DISTRESSED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>OHIO VALLEY SURGICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: THE CLARK COUNTY COMBINED HEALTH DISTRICT (CCCHD) CONDUCTED A COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA) AS PART OF THE COMMUNITY HEALTH ASSESSMENT PROCESS. THE PURPOSE OF THE CTSA IS TO UNDERSTAND THE ISSUES THAT RESIDENTS FEEL ARE MOST IMPORTANT, THE BARRIERS TO THE HEALTH OF THE COMMUNITY, AS WELL AS ASSETS AND STRENGTHS THAT SUPPORT IMPROVING THE HEALTH OF THE COMMUNITY. TO COMPLETE THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT, CCCHD CONDUCTED FIVE COMMUNITY FOCUS GROUPS AND COLLECTED DATA FROM AN ONLINE SURVEY THROUGHOUT THE COUNTY TO REFLECT ON COMMUNITY ASSETS, CHALLENGES, AND BARRIERS TO MAINTAINING A HEALTHY COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>OHIO VALLEY SURGICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: MERCY HEALTH SPRINGFIELD</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>OHIO VALLEY SURGICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: CITY OF SPRINGFIELDCLARK COUNTY COMBINED HEALTH DISTRICTCLARK COUNTY EDUCATIONAL SERVICE CENTERCLARK COUNTY FAMILY &amp; CHILDREN FIRST COUNCILCLARK COUNTY, OHIOCLARK COUNTY SPRINGFIELD TRANSPORTATION COORDINATING COMMITTEECOMMUNITY HEALTH FOUNDATIONDEVELOPMENTAL DISABILITIES OF CLARK COUNTYMENTAL HEALTH RECOVERY BOARD OF CLARK, GREENE, AND MADISON COUNTIESMENTAL HEALTH SERVICES FOR CLARK AND MADISON COUNTIESNEW CARLISLE COMMUNITY HEALTH CENTERROCKING HORSE COMMUNITY HEALTH CENTERSPRINGFIELD FOUNDATIONSPRINGFIELD METROPOLITAN HOUSING AUTHORITYUNITED SENIOR SERVICESWITTENBERG HAGAN CENTER</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCH H, PART V, SECTION B, LINE 10A:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.OVSURGICAL.COM/DOCUMENTS/OHIO-VALLEY-COMMUNITY-HEALTH-IMPROVEMENT-PLAN-2023-2025.PDF</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCH H, PART V, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIORITIES IDENTIFIED IN THE CHA INCLUDE: MATERNAL, INFANT &amp; SEXUAL HEALTH CHRONIC DISEASE MENTAL HEALTH HOUSING &amp; NEIGHBORHOOD STABILITYADDRESSED NEED: CHRONIC DISEASE - OHIO VALLEY SURGICAL HOSPITAL PROVIDES THE COMMUNITY WITH 3D MAMMOGRAMS, SIMPLE ACCESS COLONOSCOPIES AND LOW DOSE CT SCREENINGS FOR LUNG CANCER. APPROXIMATELY FOUR OUT OF 10 OHIOANS WILL BE DIAGNOSED WITH CANCER AT SOME POINT DURING THEIR LIFETIME. CANCER IS THE SECOND LEADING CAUSE OF DEATH IN OHIO, ACCOUNTING FOR NEARLY ONE IN FIVE DEATHS. PROGRAM: 3D MAMMOGRAMSMETRICS: 70.3% OF CLARK COUNTY WOMEN 50-74 YEARS OLD REPORTED THEY HAD A MAMMOGRAM IN THE PAST TWO YEARS, COMPARED WITH 77.9% IN OHIO AND 78.6% IN THE UNITED STATES. OV IMAGING CENTER PROVIDED 5,128 3D SCREENING MAMMOGRAMS AND 1,483 3D DIAGNOSTIC MAMMOGRAMS IN 2022 AND 6,856 3D MAMMOGRAMS IN 2023.INTERVENTION GOAL: MAMMOGRAMS CAN REVEAL NEARLY 90% OF BREAST CANCERS AS EARLY AS TWO YEARS BEFORE A LUMP CAN BE FELT, GIVING YOU THE BEST CHANCE FOR SUCCESSFUL TREATMENT. SCREENINGS SHOULD BE SCHEDULED EVERY YEAR BEGINNING AT AGE 40. OUR GOAL IS TO CONTINUE TO INCREASE SCREENING NUMBERS EACH YEAR.DESCRIPTION: IN 2016-2020, THE CANCER INCIDENCE RATE FOR ALL SITES/TYPES COMBINED IN CLARK COUNTY WAS 494.9 PER 100,000 POPULATION, COMPARED WITH THE OHIO RATE OF 465.3 PER 100,000 AND THE U.S. RATE OF 438.7 PER 100,000.THE 2016-2020 CANCER MORTALITY RATE IN CLARK COUNTY WAS 179.9 PER 100,000 POPULATION, COMPARED WITH THE OHIO RATE OF 166.1 PER 100,000 AND THE U.S. RATE OF 149.4 PER 100,000. CLARK COUNTY HAD HIGHER PROPORTIONS OF EARLY-STAGE BREAST CANCER IN 2016-2020, COMPARED WITH OHIO. OHIO VALLEY BREAST CENTER WAS THE FIRST HEALTHCARE FACILITY IN THE REGION TO OFFER THIS STATE-OF-THE-ART TECHNOLOGY AND IS THE ONLY FACILITY IN SPRINGFIELD/CLARK COUNTY WITH A TEAM OF BREAST CARE NURSE COORDINATORS. OUR NURSE COORDINATORS PROVIDE PERSONAL GUIDANCE AND RESOURCES TO PATIENTS AND THEIR FAMILIES, HELPING THEM MOVE SEAMLESSLY THROUGH A STRESSFUL AND OFTEN COMPLEX HEALTHCARE PROCESS. WORKING IN PARTNERSHIP WITH OUR TEAM OF BOARD CERTIFIED, SUB-SPECIALTY TRAINED RADIOLOGISTS, THE OHIO VALLEY BREAST CENTER PROVIDES PATIENTS WITH THE MOST ACCURATE DIAGNOSIS AND MORE TIMELY TREATMENT.PARTNERS: LOCAL PRIMARY CARE PHYSICIANS, APP'S AND SPECIALTY SURGEONSPROGRAM: LOW DOSE CT SCREENINGS FOR LUNG CANCERMETRICS: LUNG AND BRONCHUS CANCER WAS THE LEADING CAUSE OF CANCER INCIDENCE IN CLARK COUNTY IN 2016-2020, ACCOUNTING FOR 17.5% OF CANCER CASES AND 28.0% OF CANCER DEATHS. OV IMAGING CENTER PROVIDED 214 CT LUNG SCREENINGS IN 2022 AND 293 YTD IN 2023.INTERVENTION GOAL: CT LUNG SCREENING FOR HIGH-RISK PEOPLE CAN REDUCE DEATHS FROM LUNG CANCER BY 20%. OUR GOAL IS TO CONTINUE TO INCREASE SCREENINGS EACH YEAR.DESCRIPTION: IN 2016-2020, THE CANCER INCIDENCE RATE FOR ALL SITES/TYPES COMBINED IN CLARK COUNTY WAS 494.9 PER 100,000 POPULATION, COMPARED WITH THE OHIO RATE OF 465.3 PER 100,000 AND THE U.S. RATE OF 438.7 PER 100,000. THE 2016-2020 CANCER MORTALITY RATE IN CLARK COUNTY WAS 179.9 PER 100,000 POPULATION, COMPARED WITH THE OHIO RATE OF 166.1 PER 100,000 AND THE U.S. RATE OF 149.4 PER 100,000. A LOW-DOSE CHEST CT SCAN IS RECOMMENDED FOR CURRENT OR FORMER SMOKERS BETWEEN AGES 50-80. SMOKERS MUST HAVE 20+ YEARS AND FORMER SMOKERS MUST HAVE QUIT WITHIN THE LAST 15 YEARS. THE OHIO VALLEY IMAGING CENTER USES LOW-DOSE CT (LDCT) SCREENING TO DIAGNOSE EARLY LUNG CANCER, BEFORE A PERSON DEVELOPS SYMPTOMS. LUNG CANCER IS THE #1 CANCER DIAGNOSED IN OHIO AND THE #1 CAUSE OF CANCER DEATHS IN OHIO. LUNG CANCER SCREENING MAY SAVE LIVES BY FINDING CANCER EARLIER WHEN IT MAY BE TREATED MORE SUCCESSFULLY. LDCT SCREENING IS FOR PEOPLE AT HIGH RISK FOR LUNG CANCER AND IS THE ONLY RECOMMENDED SCREENING TEST FOR THE DISEASE.PARTNERS: LOCAL PRIMARY CARE PHYSICIANS, APP'S AND SPECIALTY SURGEONS.PROGRAM: SIMPLE ACCESS COLONOSCOPIESMETRICS: 72.0% OF CLARK COUNTY ADULTS 50-75 YEARS OLD MET COLON AND RECTUM CANCER SCREENING GUIDELINES, COMPARED WITH 70.2% IN OHIO AND 70.8% IN THE UNITED STATES. OHIO VALLEY SURGICAL HOSPITAL PROVIDED 1,097 SCREENING COLONOSCOPIES IN 2022.INTERVENTION GOAL: OUR GOAL IS TO CONTINUE TO WORK WITH LOCAL HEALTHCARE PROVIDERS AND THE COMMUNITY TO EDUCATE THEM ON THE BENEFITS OF SCREENING COLONOSCOPIES.DESCRIPTION: IN RESPONSE TO THE RECOMMENDATION OF LOCAL PRIMARY CARE PHYSICIANS, OHIO VALLEY INITIATED A PROCESS TO EXPEDITE SCREENING COLONOSCOPIES TO QUALIFIED PATIENTS. OUR ENDOSCOPY COORDINATOR ASSISTS PATIENTS WITH SCHEDULING PROCEDURES AND EDUCATING PATIENTS ABOUT BOWEL PREPARATION. COLORECTAL CANCER IS ONE OF THE LEADING CAUSES OF CANCER DEATH IN CLARK COUNTY; COLONOSCOPIES ARE THE MOST EFFECTIVE MEANS OF PREVENTION, DIAGNOSIS AND SCREENING.PARTNERS: LOCAL PRIMARY CARE PHYSICIANS, APP'S AND SPECIALTY SURGEONS.CURRENTLY, OHIO VALLEY SURGICAL HOSPITAL DOES NOT OFFER ANY COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THE FOLLOWING IDENTIFIED HEALTH NEEDS: MATERNAL, INFANT AND SEXUAL HEALTH; MENTAL HEALTH; AND HOUSING AND NEIGHBORHOOD STABILITY.THE PREMIER HOSPITAL SYSTEM AND OHIOHEALTH HOSPITAL SYSTEM OFFER A ROBUST ARRAY OF SERVICES FOR THEIR PATIENTS WITH REGARD TO MATERNAL, INFANT AND SEXUAL HEALTH AND MENTAL HEALTH. ALSO, LOCAL NON-PROFITS AS WELL AS THE CITY OF SPRINGFIELD AND CLARK COUNTY PROVIDE HOUSING AND NEIGHBORHOOD STABILITY SERVICES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNDER THE HOSPITAL'S CHARITY CARE PROGRAM, DISCOUNTS ARE PROVIDED AS FOLLOWS WITH RESPECT TO COVERED SERVICES: PATIENTS EARNING UP TO 115% PERCENT OF THE FEDERAL POVERTY GUIDELINES WILL RECEIVE A 100% DISCOUNT, PATIENTS EARNING BETWEEN 116% UP TO 405% PERCENT OF THE FEDERAL POVERTY GUIDELINES WILL RECEIVE DISCOUNTS RANGING BETWEEN 95% AND 5%. FOR INSURED PATIENTS, DISCOUNTS UNDER THIS POLICY ARE APPLIED AGAINST THE REMAINING BALANCE OF CHARGES DUE AFTER REDUCTION FOR AMOUNTS PAID OR ASSUMED BY INSURANCE.FOR UNINSURED PATIENTS, DISCOUNTS ARE APPLIED AGAINST GROSS CHARGES. TO APPLY FOR FINANCIAL ASSISTANCE, A PATIENT OR FAMILY MEMBER MUST COMPLETE AN APPLICATION INCLUDING GROSS INCOME FOR A MINIMUM OF 3 MONTHS PRIOR TO THE DATE OF APPLICATION OR DATE OF SERVICE. PROOF OF INCOME MAY BE REQUESTED FROM PATIENTS REQUESTING FINANCIAL ASSISTANCE CONSIDERATION. THIRD-PARTY INCOME SCORING MAY BE USED TO VERIFY INCOME IN SITUATIONS WHERE INCOME VERIFICATION IS UNABLE TO BE OBTAINED THROUGH OTHER METHODS. THERE ARE SITUATIONS WHERE INDIVIDUALS MAY NOT HAVE REPORTED INCOME BUT HAVE SIGNIFICANT ASSETS AVAILABLE TO PAY FOR HEALTHCARE SERVICES. IN THESE SITUATIONS, THE HOSPITAL MAY EVALUATE THESE ASSETS AS CASH AVAILABLE TO MEET ESSENTIAL LIVING EXPENSES, WHICH INCLUDES HEALTHCARE EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>A COST TO CHARGE RATIO WAS USED TO CALCULATE THIS FINANCIAL ASSISTANCE AT COST. THIS CALCULATION TAKES TOTAL OPERATING EXPENSES LESS OTHER OPERATING REVENUES DIVIDED BY TOTAL GROSS REVENUES. UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENTAL PROGRAMS WERE CALCULATED BY USING THE MEDICAID COST REPORT TO CALCULATE THE TOTAL PAYMENTS LESS THE TOTAL COST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT IS THE COMBINATION OF THE AMOUNT SENT TO COLLECTION AND THE FOLLOWING ESTIMATES: 5% OF CURRENT ACCOUNTS RECEIVABLE, 10% OF ACCOUNTS 31-60 DAYS LATE, 20% OF ACCOUNTS 61-90 DAYS LATE, 75% OF ACCOUNTS 91-120 DAYS LATE, 85% OF ACCOUNTS 121-150 DAYS LATE, 95% OF ACCOUNTS 151-364 DAYS LATE AND 100% OF ACCOUNTS OVER 365 DAYS LATE. ANY AMOUNTS COLLECTED FROM THESE ACCOUNTS ARE CREDITED BACK AGAINST BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE A FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS WHICH DISCUSSES THIS CALCULATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S SHORTFALL SHOULD BE CONSIDERED CHARITY CARE BECAUSE IT IS PROVIDING HIGH-QUALITY CARE, IN EXCESS OF THE COST, TO OUR COMMUNITY RESIDENTS THAT NEED CARE. THE ORGANIZATION USED A COST ACCOUNTING SYSTEM TO CALCULATE THE MEDICARE ALLOWABLE COSTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIO VALLEY SURGICAL HOSPITAL AIMS TO ALIGN ITS PRIORITIES WITH THE TOP COMMUNITY HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT (CHA) WHILE PROVIDING SERVICES THAT AID IN ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH, STRUCTURAL AND SYSTEMIC BARRIERS THAT IMPACT THE SURROUNDING COMMUNITY. THE CLARK COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IS A RESULT OF COLLABORATIVE COMMUNITY PARTICIPATION. IN ADDITION TO THE CHA/CHIP STEERING COMMITTEE MEMBERS INCLUDING OHIO VALLEY'S MARKET &amp; BRAND STRATEGY DIRECTOR, KRISTIN DAVIS, CONTRIBUTORS INCLUDE MULTIPLE TASK FORCE AND COALITION PARTNERS, AS WELL AS INDIVIDUAL COMMUNITY MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL ASSISTANCE POLICY IS LOCATED ON THE BACK OF OHIO VALLEY SURGICAL HOSPITAL INVOICES, PATIENTS ARE INFORMED ABOUT THE POLICY DURING THE REGISTRATION PROCESS, AND THE POLICY CAN BE FOUND ON THE WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS LOCATED IN SPRINGFIELD, OHIO. OUR TARGET POPULATION INCLUDES CITIZENS OF SPRINGFIELD, AS WELL AS SURROUNDING COMMUNITIES. OHIO VALLEY SURGICAL HOSPITAL'S TOTAL SERVICE AREA POPULATION IS APPROXIMATELY 136,000 PEOPLE. THE MEDIAN HOUSEHOLD INCOME OF CLARK COUNTY IS ALMOST $59,000 PER YEAR, WITH APPROXIMATELY 15.1% OF ITS CITIZENS LIVING BELOW THE FEDERAL POVERTY LEVEL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIO VALLEY SURGICAL HOSPITAL PROVIDES INPATIENT AND OUTPATIENT MEDICAL AND SURGICAL SERVICES TO RESIDENTS OF SPRINGFIELD. IN ADDITION TO OFFERING HIGH QUALITY SERVICES AT AFFORDABLE PRICES, OHIO VALLEY WAS APPROVED AS A MEDICARE AND MEDICAID PROVIDER EFFECTIVE JULY 2, 2009, AND CONTINUES TO BE AN ACTIVE PARTICIPANT. OHIO VALLEY ENFORCES A COMPREHENSIVE AND COMPASSIONATE CHARITY CARE POLICY, MEANT TO PROVIDE THE SAME HIGH LEVEL OF SERVICE TO ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. SURGEONS' OFFICES RECEIVE REFERRALS THROUGH THE PRIMARY CARE COMMUNITY AND/OR THE ROCKING HORSE CENTER DIRECTLY; SURGICAL CASES ARE SCHEDULED AT OHIO VALLEY OR OTHER AREA HOSPITALS BASED UPON PATIENTS' CHOICE. OHIO VALLEY BREAST CENTER OFFERS 3D MAMMOGRAPHY TO EVERY PATIENT, EVERY TIME AND WAS THE FIRST HEALTHCARE FACILITY IN THE REGION TO OFFER THIS STATE-OF-THE-ART TECHNOLOGY. OUR NURSE COORDINATORS PROVIDE PERSONAL GUIDANCE AND RESOURCES TO PATIENTS AND THEIR FAMILIES, HELPING THEM MOVE SEAMLESSLY THROUGH A STRESSFUL AND OFTEN COMPLEX HEALTHCARE PROCESS. WORKING IN PARTNERSHIP WITH OUR TEAM OF BOARD CERTIFIED, SUB-SPECIALTY TRAINED RADIOLOGISTS, THE OHIO VALLEY BREAST CENTER PROVIDES PATIENTS WITH THE MOST ACCURATE DIAGNOSIS AND MORE TIMELY TREATMENT. IN RESPONSE TO THE RECOMMENDATION OF LOCAL PRIMARY CARE PHYSICIANS, OHIO VALLEY INITIATED A PROCESS TO EXPEDITE SCREENING COLONOSCOPIES TO QUALIFIED PATIENTS. OUR ENDOSCOPY COORDINATOR ASSISTS PATIENTS WITH SCHEDULING PROCEDURES AND EDUCATING PATIENTS ABOUT BOWEL PREPARATION. THE BENEFITS OF THE SIMPLE ACCESS COLONOSCOPY PROGRAM INCLUDE: PATIENTS RECEIVE A SCREENING COLONOSCOPY AND SKIP THE INCONVENIENCE OF AN INITIAL PHYSICIAN OFFICE VISIT. BY ELIMINATING THIS OFFICE VISIT, THE QUALIFIED PATIENT SAVES TIME AND A CO-PAY. FOR REFERRING PHYSICIANS, THIS PROGRAM ENCOURAGES UNDECIDED PATIENTS TO MOVE FORWARD WITH SCHEDULING THEIR PROCEDURE. COLORECTAL CANCER IS ONE OF THE LEADING CAUSES OF CANCER DEATH IN CLARK COUNTY; COLONOSCOPIES ARE THE MOST EFFECTIVE MEANS OF PREVENTION, DIAGNOSIS AND SCREENING. NO OTHER COLON CANCER SCREENING IS AS THOROUGH AND COMPREHENSIVE.THE OHIO VALLEY IMAGING CENTER USES LOW-DOSE CT (LDCT) SCREENING TO DIAGNOSE EARLY LUNG CANCER, BEFORE A PERSON DEVELOPS SYMPTOMS. LUNG CANCER IS THE #1 CANCER DIAGNOSED IN OHIO AND THE #1 CAUSE OF CANCER DEATHS IN OHIO. LUNG CANCER SCREENINGS MAY SAVE LIVES BY FINDING CANCER EARLIER, WHEN IT MAY BE TREATED MORE SUCCESSFULLY. LDCT SCREENING IS FOR PEOPLE AT HIGH RISK FOR LUNG CANCER AND IS THE ONLY RECOMMENDED SCREENING TEST FOR THE DISEASE.DXA SCANS (BONE DENSITY) ASSIST IN EVALUATING PATIENTS AT RISK FOR OSTEOPOROSIS (BRITTLE, FRAGILE BONES), PROVIDE FOLLOW-UP FOR PATIENTS DIAGNOSED WITH OSTEOPOROSIS AND CALCULATE BODY COMPOSITION FOR PATIENT FITNESS PROGRAMS. OHIO VALLEY OFFERS A COMPREHENSIVE PRE-SURGICAL PATIENT EDUCATION CLASS FOR PATIENTS ABOUT TO UNDERGO TOTAL JOINT REPLACEMENT, SPINE, OR BREAST CANCER SURGERY. THESE PRE-SURGICAL CLASSES HELP PATIENTS UNDERSTAND WHAT CAN BE EXPECTED BEFORE, DURING, AND AFTER THEIR SPINE, JOINT REPLACEMENT (KNEE, HIP, AND SHOULDER) OR BREAST CANCER REMOVAL PROCEDURES. PATIENTS GAIN A BETTER UNDERSTANDING OF THE TOTAL EXPERIENCE BEFORE THEIR SURGERY; WHICH HELPS REDUCE ANXIETY, INCREASES COMFORT LEVELS AND HELPS PATIENTS RECOVER AS QUICKLY AS POSSIBLE. AREA PHYSICIANS CONDUCT FREE COMMUNITY EDUCATION PROGRAMS ON A WIDE VARIETY OF HEALTH TOPICS IN OUR COMMUNITY EDUCATION CENTER, LOCATED IN THE OHIO VALLEY MEDICAL OFFICE BUILDING.OHIO VALLEY PARTICIPATED AND/OR SPONSORED OVER 50 DIFFERENT COMMUNITY-BASED ORGANIZATIONS SINCE OPENING. THESE ORGANIZATIONS ARE DEDICATED TO THE ARTS, EDUCATION, HEALTH, ECONOMIC EXPANSION, AND OTHERS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>CLARK COUNTY HOSPITAL SERVICES CORPORATION HAS TWO CORPORATE MEMBERS: PREMIER HEALTH AND OHIOHEALTH CORPORATION, OHIO NON-PROFIT CORPORATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH MEMBER SHALL APPOINT TWO (2) DIRECTORS TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>A MEMBER MAY REMOVE ANY DIRECTOR APPOINTED BY THAT MEMBER, WITH OR WITHOUT CAUSE, AT ANY TIME. THE BOARD SHALL NOT HAVE THE AUTHORITY TO REMOVE A DIRECTOR. THE MEMBERS SHALL HAVE POWER TO MAKE ALTER, AMEND OR RESCIND THE CODE OF REGULATIONS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DRAFT FORM 990 IS SENT TO THE BOARD MEMBERS OF CCHS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. ONCE QUESTIONS AND COMMENTS FROM THE BOARD HAVE BEEN ADDRESSED, THE FORM 990 IS APPROVED FOR FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>POTENTIAL CONFLICTS OF INTERESTS ARE REPORTED TO THE BOARD OF DIRECTORS FOR REVIEW. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE WILL LEAVE THE MEETING DURING THE DISCUSSION AND THE VOTE ON THE TRANSACTION OR ARRANGEMENT ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC WHEN REQUIRED BY LAW OR FOR ACCREDITATION PURPOSES. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY DISTRIBUTION 96,459.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>