2025-11-10T14:55:57-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 4334 MUNSON STREET SUITE 200 CANTON OH 44718 990 2024-01-01 383975135 ASHTABULA COUNTY MEDICAL CENTER GROUP RETURN ASHT 4409972262 2420 LAKE AVE ASHTABULA OH 44004 LEONARD STEPP PRESIDENT/CEO 4409972262 2025-11-08 1 1 JENNIFER COLEMAN P00743188 3304972000 2024 2025-03-06 01:10:19Z LEONARD STEPP 2420 LAKE AVE ASHTABULA OH 44004 33759509 1 1 6026 X WWW.ARMCHEALTH.ORG X OH TO TREAT PEOPLE WITH ALCOHOL AND DRUG ADDICTION AND PROVIDE CARE IN A SETTING CONDUCIVE TO RECOVERY. 16 14 375 18 0 0 112616 80172 28247902 33424937 8236 7793 161513 246607 28530267 33759509 7200 0 0 0 19380925 18989440 0 0 452401 10358010 10346551 29746135 29335991 -1215868 4423518 15522890 13770688 2745530 3294806 12777360 10475882 X AT GLENBEIGH, COMMUNITY BENEFIT IS CONNECTED TO OUR MISSION AND PROMOTES HEALTHY CHANGE. THE FOCUS OF OUR WORK IS PATIENT CARE, EDUCATION AND RECOVERY SUPPORT. GLENBEIGH'S MISSION IS TO PROVIDE THE HIGHEST QUALITY HEALTHCARE TO ADULTS, AGE 18 AND OVER, IN NEED OF ALCOHOL AND DRUG ADDICTION TREATMENT AND TO SUPPORT ONGOING ADDICTION RECOVERY EFFORTS. 0 0 10953850 0 29268015 GLENBEIGH OPERATES AND MAINTAINS AN INPATIENT HOSPITAL AND FIVE REGIONAL OUTPATIENT CENTERS FOR THE TREATMENT OF INDIVIDUALS WITH SUBSTANCE USE DISORDERS. GLENBEIGH OFFERS A FULL CONTINUUM OF CARE INCLUDING: MEDICALLY SUPERVISED WITHDRAWAL MANAGEMENT, INPATIENT REHABILITATION, PARTIAL HOSPITALIZATION, EXTENDED RESIDENTIAL TREATMENT, INTENSIVE OUTPATIENT TREATMENT, CONTINUING CARE, AND SOBER LIVING OPPORTUNITIES. THE GOAL IS TO PROVIDE A SOLID FOUNDATION IN RECOVERY TO PATIENTS SO THEY CAN ESTABLISH AND MAINTAIN LASTING RECOVERY. GLENBEIGH PROVIDES QUALITY TREATMENT TO ADULTS LIVING WITH SUBSTANCE USE DISORDERS REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, SEXUAL ORIENTATION, DISABILITY OR SOCIAL/ECONOMIC STANDING. GLENBEIGH IS COMMITTED TO CREATING A RECOVERY COMMUNITY FILLED WITH PEOPLE WHO ARE LIVING LONGER, MORE FULFILLING LIVES.GLENBEIGH'S THREE LARGEST COMMUNITY BENEFIT PROGRAM SERVICE ACCOMPLISHMENTS, AS MEASURED BY EXPENSES, ARE: THE PROVISION OF CHARITABLE CARE IN THE FORM OF SCHOLARSHIPS, COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND COMMUNITY BUILDING ACTIVITIES. AS PART OF OUR COMMITMENT TO PROMOTING HEALING, GLENBEIGH OFFERED COMMUNITY HEALTH IMPROVEMENT INITIATIVES THAT SERVED OVER 16,000 PEOPLE AT A COST OF $225,289. COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE: GLENBEIGH'S BRIDGES TO RECOVERY AND MUSIC AND MESSAGE EVENTS; COMMUNITY DRUG AND ALCOHOL ABUSE PRESENTATIONS; FAMILY, PARENTING AND SIBLING PROGRAMS; COMMUNITY HEALTH FAIRS; FIRST RESPONDER RECOGNITION AND TRAINING; BEREAVEMENT SUPPORT GROUPS; AS WELL AS SYMPOSIUMS AND SUMMITS ON THE TOPICS OF ADDICTION, TREATMENT AND SUSTAINING LONG-TERM RECOVERY. GLENBEIGH SHARED OUR EXPERTISE IN THE FIELD OF SUBSTANCE USE DISORDER WITH 110 REGIONAL NURSING STUDENTS AND COUNSELOR/SOCIAL WORKER INTERNS FROM MANY COLLEGES AND UNIVERSITIES OFFERING PROGRAMS THAT EDUCATE, EMPOWER, MOTIVATE AND HELP BRING RECOVERY TO THE WORLD. GLENBEIGH ALSO OFFERED TRAINING ON THE IDENTIFICATION OF A POTENTIAL OVERDOSE AND THE PROPER USE OF NALOXONE. A SIGNIFICANT COMPONENT OF THE COMMUNITY HEALTH IMPROVEMENT CATEGORY WAS THE PROVISION OF TRANSPORTATION TO ENSURE ACCESS TO CARE. OVER 2,023 INDIVIDUALS UTILIZED GLENBEIGH'S TRANSPORTATION SERVICES AT A COST OF $100,145. COMMUNITY BUILDING ACTIVITIES ADDRESS THE NEEDS OF THE COMMUNITY BEYOND ADDICTION TREATMENT SERVICES. GLENBEIGH EXPENDED $6,849 ON VARIOUS ACTIVITIES AND COLLABORATED WITH OTHER ENTITIES OFFERING RECOVERY SUPPORT EVENTS. COMMUNITY BUILDING ACTIVITIES INCLUDED HEALTH ADVOCACY AND SERVED 1,807 INDIVIDUALS. TOTAL 2024 COMMUNITY BENEFIT INITIATIVES SERVED 16,298 INDIVIDUALS AT A COST OF $225,289. NET BENEFITS HAD AN OFFSETTING REVENUE OF $4,725 FOR CASH AND IN-KIND CONTRIBUTIONS WHICH SERVED 3,288 PERSONS AT A NET BENEFIT OF ($13,712). 4097449 0 4156922 ASHTABULA REGIONAL HOME HEALTH SERVICES (DBA ARMC HOME HEALTH) (ARMC RHH) IS A MEDICARE/MEDICAID CERTIFIED HOME CARE AGENCY PROVIDING HEALTHCARE IN THE HOME. THE SERVICE AREA INCLUDES ASHTABULA COUNTY AND THE EASTERN PORTIONS OF LAKE AND GEAUGA COUNTY, AND THE NORTHERN PORTION OF TRUMBULL COUNTY IN OHIO.ACUTE CARE PROGRAM: PROVIDES COMPREHENSIVE HOME HEALTH CARE INCLUDING NURSING, PHYSICAL, OCCUPATIONAL, SPEECH THERAPY, MEDICAL SOCIAL WORK, AND HOME HEALTH AIDE SERVICES. ACMC RHH ACCEPTS MEDICARE, MEDICAID AND MOST INSURANCES. TOTAL VISITS 2024 = 25,567LONG TERM CARE PROGRAMS: PROVIDES LONG-TERM CUSTODIAL PERSONAL CARE THROUGH SELF-PAY PROGRAMS, GRANT AND COMMUNITY FUNDING. THE LARGEST FUNDING SOURCE IS THE ASHTABULA COUNTY SENIOR LEVY PROGRAM. ELIGIBILITY INCLUDES INDIVIDUALS OVER THE AGE OF 65 WITH FUNCTIONAL DEFICITS AND NO OTHER RESOURCES TO PAY FOR SERVICES. THE NEXT LARGEST FUNDING SOURCE IS THE AREA AGENCY ON AGING 11, INC. ELIGIBILITY FOR THIS PROGRAM INCLUDES INDIVIDUALS WITH FUNCTIONAL DEFICITS WITH LIMITED FINANCIAL RESOURCES. THERE IS A COST SHARE EXPECTATION. PRIVATE DUTY VISITS =4,100 TOTAL SR LEVY DIRECT VISITS = 3,896 TOTAL ALZHEIMER'S RESPITE PROGRAM UNITS = 891 TOTAL TITLE III-B VISITS = 842; TOTAL TITLE XX VISITS = 815 15051299 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 55 0 1 375 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 14 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X LEONARD STEPP PRESIDENT & CEO 4409972262 2420 LAKE AVENUE ASHTABULA OH 44004 DANIEL B KEATON MD CHIEF OF STAFF (END 12/31/24) 0.30 60.00 X 0 319175 32651 DAVID NOVAK MD VICE-CHIEF OF STAFF (END 12/31/24) 0.30 60.00 X 0 746739 82662 LEONARD STEPP JR PRESIDENT/CEO 0.60 40.00 X X 0 0 0 NANCY KISTER CHAIRPERSON 0.30 0.30 X X 0 0 0 CRAIG SERNIK VICE CHAIRPERSON 0.30 0.30 X X 0 0 0 ROGER CORLETT SECRETARY/TREASURER 0.30 0.30 X X 0 0 0 PEGGY CARLO BOARD MEMBER 0.30 0.30 X 0 0 0 DONALD CHAPLIN BOARD MEMBER 0.30 0.30 X 0 0 0 JOSEPH GIANGOLA BOARD MEMBER 0.30 0.30 X 0 0 0 KELLY HANCOCK BOARD MEMBER/CCF REPRESENTATIVE 0.30 0.30 X 0 0 0 JASON HERGENROEDER BOARD MEMBER/CCF REPRESENTATIVE 0.30 0.30 X 0 0 0 REV VERNON PALO BOARD MEMBER 0.30 0.30 X 0 0 0 RICHARD PARKER MD BOARD MEMBER/CCF REP 0.30 0.30 X 0 0 0 DAVID PONTIUS BOARD MEMBER 0.30 0.30 X 0 0 0 MARLENE SARTINI BOARD MEMBER 0.30 0.30 X 0 0 0 JAMES TIMONERE BOARD MEMBER 0.30 0.30 X 0 0 0 LEANNE FRAMPTON EXECUTIVE DIRECTOR, ARMC RHH 40.00 0.00 X 26457 0 529 RICHARD TRICE GB PRESIDENT (STARTED 02/04/24) 40.00 0.00 X 202190 20704 38385 SUSAN SHADLE ARHHS EXECUTIVE DIRECTOR 40.00 0.00 X 70444 0 2212 AMANDA CLARK CNO 0.60 40.00 X 0 0 0 ALANNA DAMES VP FINANCE/CFO 0.60 40.00 X 0 0 0 TERESA BALL MD NURSING ADMINISTRATION 40.00 0.00 X 136283 0 36458 JONATHAN M MOLDOVAN NURSING ADMINISTRATION 40.00 0.00 X 114667 0 39913 CAMILLE A ZALAR NURSING ADMINISTRATION 40.00 0.00 X 130103 0 5195 WILLIAM HALE BEACHWOOD 40.00 0.00 X 106996 0 17521 787140 1086618 255526 5 0 1 0 US FOODSERVICE PO BOX 642561 PITTSBURGH PA 15264 DIETARY SERVICES 708074 GMA CONSULTANTS INC 1732 SOUTH BELVOIR BLVD SOUTH EUCLID OH 44121 MEDICAL SERVICES 350990 SIGMUND SOFTWARE 83 WOOSTER HTS SUITE 350 DANBURY CT 06810 IT SOFTWARE MAINTENANCE 233927 BRAHMAIAH TANDRA MD LIMITED 8577 E MARKET ST WARREN OH 44484 MEDICAL SERVICES 225640 ALAYACARE USA INC 301-3450 UPTOWN BLVD VICTORIA BRITISH COLUMBIA CA MEDICAL SERVICES 193267 14 11921 68251 80172 GLENBEIGH PATIENT REVENUE 624100 28810964 28810964 HOME HEALTH PATIENT REVENUE 621610 3890584 3890584 MISCELLANEOUS REVENUE 900099 723389 723389 33424937 7793 7793 246607 0 246607 246607 246607 33759509 33424937 0 254400 263101 263101 14312578 9478908 4618098 215572 495185 99228 395957 2868039 497913 2370126 1050537 200357 850180 186127 22335 163792 37920 37920 2895585 1375995 1516757 2833 166261 2251 163847 163 113479 49309 46592 17578 438399 66779 371440 180 253433 219023 26553 7857 17601 13729 3872 724152 724152 209092 30 209062 SUPPLIES 2484191 1060842 1223870 199479 BAD DEBT EXPENSE 1546073 1546073 EQUIPMENT REPAIR AND MA 685119 125604 559515 LICENSES 59485 19749 39611 125 529634 273174 247846 8614 29335991 15051299 13832291 452401 4454585 3263123 26553 0 3901669 3710460 6192 5173 122973 128445 18126084 11805880 6673655 6320204 337263 343283 15522890 13770688 2130922 2988011 51182 52190 563426 254605 2745530 3294806 X 12344487 10028608 432873 447274 12777360 10475882 15522890 13770688 X 4423518 -6724996 X 0 1 X 1 0 X PART I, PUBLIC CHARITY STATUS PURSUANT TO THE INSTRUCTIONS FOR GROUP FILINGS, PART I, PUBLIC CHARITY STATUS, HAS BEEN COMPLETED BASED ON THE LARGEST NUMBER OF SUBORDINATES IN THE GROUP. AS THE GROUP CONTAINS ONLY TWO SUBORDINATES, PART I WAS COMPLETED BASED UPON THE SUBORDINATE THAT CONSTITUTES THE MAJORITY OF THE ASSETS AND ACTIVITY OF THE GROUP, WHICH IS GLENBEIGH. GLENBEIGH (34-1789783) 2863 STATE ROUTE 45 PO BOX 298, ROCK CREEK, OH 44084 GLENBEIGH IS NOT A PRIVATE FOUNDATION BECAUSE IT IS A HOSPITAL OR A COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III) (BOX 3). ASHTABULA REGIONAL HOME HEALTH SERVICES (DBA: ARMC HOME HEALTH) (34-1143158) PO BOX 1428, ASHTABULA, OH 44005 PHYSICAL ADDRESS: 2131 LAKE AVE SUITE #2 ASHTABULA OH 44004 ARMC HOME HEALTH IS NOT A PRIVATE FOUNDATION BECAUSE IT IS AN ORGANIZATION THAT NORMALLY RECEIVES: (1) MORE THAN 33 1/3% OF ITS SUPPORT FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTIONS - SUBJECT TO CERTAIN EXCEPTIONS, AND (2) NO MORE THAN 33 1/3% OF ITS SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME (LESS SECTION 511 TAX) FROM BUSINESSES ACQUIRED BY THE ORGANIZATION AFTER JUNE 30, 1975. SEE SECTION 509(A)(2) (BOX 10). 113715 113715 12502494 7283890 5218604 474154 353531 120623 5035721 4168459 867262 6320204 RESERVE FOR SELF-INSURANCE LIABILITIES 254605 254605 X PART X, LINE 2: WHEN TAX RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. IN ACCORDANCE WITH THE INCOME TAXES TOPIC OF THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION, THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS TAKEN ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY OF BEING REALIZED UPON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. 1 1 X 1 X 1 X 556.000000000000 1 1 0 1 1 129017 129017 0.00460 9581348 9595421 0 0.00000 9710365 9595421 129017 0.00460 31115 31115 0.00110 31115 31115 0.00110 9741480 9595421 160132 0.00570 1 1539421 0 1038494 1049033 -10539 X 1 1 1 1 GLENBEIGH 2863 STATE ROUTE 45 PO BOX 298 ROCK CREEK OH 44084 WWW.GLENBEIGH.COM 1812 GLENBEIGH 341789783 X X REHABILITATION CLINIC GLENBEIGH 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X WWW.GLENBEIGH.COM/COMMUNITY-BENEFIT X 1 23 1 WWW.GLENBEIGH.COM/COMMUNITY-BENEFIT 0 1 X 200.000000000000 556.000000000000 X X X 1 1 X X X X X 1 X WWW.GLENBEIGH.COM/FINANCIAL-ARRANGEMENTS X WWW.GLENBEIGH.COM/FINANCIAL-ARRANGEMENTS X WWW.GLENBEIGH.COM/CHARGEMASTER-FINANCIAL-ASSISTANCE-FAQ X X X X X X 1 X 0 X X X X X 0 X X 0 0 GLENBEIGH PART V, SECTION B, LINE 5: GLENBEIGH COMPLETED OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022. THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES BOTH PRIMARY AND SECONDARY DATA THAT WAS COLLECTED AND ANALYZED AS A MEANS OF FORMULATING KEY FINDINGS. INDIVIDUALS REPRESENTING PUBLIC AND PRIVATE ORGANIZATIONS, SOCIAL SERVICE AGENCIES, LAW ENFORCEMENT, HEALTH AND HUMAN SERVICE ENTITIES, VULNERABLE POPULATIONS AND INDIVIDUALS AND FAMILIES DIRECTLY AFFECTED BY ADDICTION PARTICIPATED IN THE INTERVIEWS AND SURVEYS TO COLLECT PRIMARY DATA. SECONDARY DATA WAS COMPILED FROM LOCAL, STATE AND FEDERAL FIGURES TO PROVIDE INSIGHT ON THE IMPACT OF SUBSTANCE USE DISORDERS ON THE DEFINED SERVICE COMMUNITY. COLLECTED DATA INCLUDED ECONOMIC INFORMATION, EDUCATIONAL INFORMATION, POPULATION CHANGES, GENERAL DEMOGRAPHICS, DRUG USE AND OVERDOSE INFORMATION, ALCOHOL USAGE, CRIME STATISTICS, ACCIDENT STATISTICS, ETC. GLENBEIGH PART V, SECTION B, LINE 11: GLENBEIGH'S 2022 CHNA REVEALED SEVERAL PRONOUNCED NEEDS WITHIN THE DEFINED SERVICE COMMUNITY. PRIMARY PRIORITY OUTCOMES THAT RELATE TO GLENBEIGH'S MISSION REMAIN SIMILAR TO PREVIOUS YEARS AND INCLUDE: ACCESS TO TREATMENT FOR ALCOHOL AND DRUG ADDICTION EDUCATION ON ADDICTION AND RECOVERY WORKFORCE DEVELOPMENTADDITIONALLY, GLENBEIGH'S EFFORTS ALIGN WITH THE FOLLOWING AREAS IDENTIFIED IN OHIO'S STATE HEALTH ASSESSMENT: MENTAL HEALTH CONCERNS INCREASES IN ANCILLARY INFECTIONS SUCH AS HIV AND HEPATITIS CKEY FINDINGS WERE BROKEN DOWN INTO TWO COMPONENTS: SOCIOECONOMIC NEEDS AND HEALTH NEEDS. THE FOLLOWING NEEDS EMERGED ACROSS THE VARIOUS RESEARCH COMPONENTS AND WERE IDENTIFIED AS SIGNIFICANT HEALTH NEEDS WITHIN GLENBEIGH'S SERVICE AREA. COMMUNITY HEALTH NEEDS IDENTIFIED FOR GLENBEIGH - SOCIOECONOMIC NEEDS 1. DRUG AND ALCOHOL ABUSE CONTINUES TO AFFECT PEOPLE OF ALL RACES AND AGES. POVERTY, INCOME AND INSURANCE COVERAGE RESTRICT ACCESS TO TREATMENT AND SUCCESSFUL RECOVERY. EMPLOYMENT AND INCOME, ALONG WITH OTHER SOCIAL AND ECONOMIC DETERMINANTS, CORRESPOND TO ALCOHOL AND DRUG USE. TRANSPORTATION REMAINS A SIGNIFICANT BARRIER.NO SINGLE ORGANIZATION HAS THE CAPACITY TO ADDRESS POVERTY ALONG WITH CONTRIBUTING FACTORS WITHIN THE DEFINED SERVICE COMMUNITY. ADDRESSING THE FACTORS CONNECTED TO POVERTY IS BEYOND THE SCOPE OF GLENBEIGH'S EXPERTISE. OTHER AGENCIES PROVIDE ASSISTANCE WITH FOOD AND HOUSING. GLENBEIGH WILL CONTINUE TO SUPPORT THOSE EFFORTS AND PROVIDE ASSISTANCE WHEN POSSIBLE TO OTHER AGENCIES. GLENBEIGH RECOGNIZES THAT SUBSTANCE ABUSE IS A CONTRIBUTING FACTOR THAT MAY DRIVE INDIVIDUALS INTO POVERTY. GLENBEIGH ALSO RECOGNIZES THE NEED FOR TRANSPORTATION, ESPECIALLY TO INDIVIDUALS RESIDING IN APPALACHIAN REGIONS AND OTHER AREAS WITH HIGH LEVELS OF POVERTY. ACTION: GLENBEIGH WILL CONTINUE TO PROVIDE TREATMENT SERVICES TO ALL PATIENTS REGARDLESS OF RACE, CREED, GENDER IDENTITY, DISABILITY, ORIGIN OR ABILITY TO PAY. GLENBEIGH WORKS TO IMPROVE ACCESS TO CARE FOR INDIVIDUALS SUFFERING WITH ALCOHOL AND DRUG ADDICTIONS. - WORK WITH INDIVIDUALS IN NEED OF TREATMENT AND CONTINUE TO COLLABORATE WITH COUNTIES THAT LACK RESOURCES TO PROVIDE DETOX SERVICES TO VULNERABLE POPULATIONS.- CONTINUE TO PROVIDE CHARITABLE CARE OPPORTUNITIES FOR SUBSTANCE USE TREATMENT AND RECOVERY SUPPORT TO INDIVIDUALS WHO MEET CLINICAL AND FINANCIAL ELIGIBILITY AND WHO MAY BE UNINSURED OR UNDERINSURED.- CONTINUE TO MAINTAIN A REFERRAL NETWORK TO ASSIST INDIVIDUALS IN NEED OF SUPPORT SERVICES. COLLABORATE AND REFER TO, OR ACCEPT REFERRALS FROM, OTHER AGENCIES IN ORDER TO ASSIST INDIVIDUALS SEEKING TREATMENT.- CONTINUE TO COLLABORATE WITH DRUG COURTS AND SOCIAL SERVICE AGENCIES TO PROVIDE TREATMENT AND EDUCATION OPTIONS.- IDENTIFY AT-RISK PATIENTS. INCREASE KNOWLEDGE OF AND ACCESS TO SCREENING OF INFECTIOUS DISEASES SUCH AS HIV AND HEPATITIS C AND PROVIDE FOLLOW-UP CARE, REFERRAL OR PREVENTION INFORMATION.- INCREASE SENSITIVITY IN ADDRESSING THE NEEDS OF DIVERSE PATIENT POPULATIONS.- CONTINUE TO PROVIDE TRANSPORTATION SERVICES TO INDIVIDUALS WHO LACK TRANSPORTATION.2. PEOPLE DEALING WITH ACTIVE ADDICTION CONTINUE TO ENCOUNTER ROADBLOCKS WHEN SEEKING INFORMATION ON ADDICTION, TREATMENT AND RECOVERY. THERE CONTINUES TO BE A LACK OF UNDERSTANDING, EDUCATION AND INFORMATION REGARDING ADDICTION, TREATMENT AND RECOVERY SUPPORT. ACTION: GLENBEIGH CONTINUALLY STRIVES TO BE A RESOURCE AND MEET THE NEEDS OF ITS SERVICE COMMUNITY BY OFFERING EDUCATION, TREATMENT, REFERRAL AND RECOVERY SUPPORT SERVICES. - ASSESS VARIOUS WAYS OTHER COMMUNITIES ARE SUCCESSFULLY HELPING PEOPLE SEEKING TREATMENT AND PROVIDING RECOVERY SUPPORT. SPONSOR AND/OR ADOPT SUCCESSFUL PROGRAMS.- CONTINUE TO PROVIDE EDUCATION AND SUPPORT SERVICES THAT CAN REDUCE RELAPSE AND OVERDOSE DEATHS.- CONTINUE TO COLLABORATE WITH PROVIDERS AND SPONSOR ACCESS TO NALTREXONE WITHIN VARIOUS COMMUNITIES AS LONG AS THERE IS A NEED AND DEMAND FOR SERVICES.- CONTINUE TO OFFER AND SUPPORT TRAINING AND DISTRIBUTION OF NARCAN (NALOXONE) TO THE PUBLIC AS WELL AS TO FIRST RESPONDERS, BUSINESSES AND OTHER ENTITIES IN NEED.- SPONSOR OR HOST NON-CLINICAL PROGRAMS TO EDUCATE THE PUBLIC ON SUBSTANCE USE DISORDER, TREATMENT OPTIONS AND SUSTAINING RECOVERY.3. IN MANY AREAS THERE CONTINUES TO BE A LACK OF RECOVERY SUPPORT OPTIONS. RECOVERY SUPPORT INCLUDES RECOVERY HOUSING AND RECOVERY ORIENTED EVENTS.ACTION: GLENBEIGH ENDEAVORS TO MEET THE NEEDS OF PEOPLE SUFFERING FROM THE DISEASE OF ADDICTION BY PROVIDING TREATMENT, LONG-TERM SUPPORT, HOUSING OPPORTUNITIES AND EVENTS THAT PROMOTE AND ENHANCE RECOVERY. INCREASE SUPPORTIVE HOUSING CENSUS FOR INDIVIDUALS IN RECOVERY. - CONTINUE TO ASSESS THE NEED FOR TRANSITIONAL HOUSING AND RECOVERY LIVING OPTIONS AND EXPLORE OPPORTUNITIES TO ADD BEDS AS NEEDED.- CONNECT WITH OTHER RECOVERY RESIDENCES AND PROVIDERS TO BUILD A RECOVERY SUPPORT NETWORK THAT BENEFITS THE COMMUNITY.- CONTINUE TO EXPLORE WAYS TO ENGAGE PEOPLE IN RECOVERY THROUGH SOCIAL EVENTS AND BY OFFERING VARIOUS MEANS TO SUSTAIN LONG-TERM RECOVERY.- EXPAND SPONSORSHIP OF SOBER AREAS AT VENUES SO THE PUBLIC HAS ACCESS TO ALCOHOL FREE ZONES.- UTILIZE SOCIAL MEDIA TO PUBLICIZE EVENTS AND OPPORTUNITIES.- CONTINUE TO WORK WITH OTHER AGENCIES TO EXPAND RECOVERY SUPPORT WITHIN COMMUNITIES THAT LACK OR HAVE LIMITED RESOURCES.HEALTH NEEDS1. BARRIERS EXIST THAT AFFECT ACCESS TO TREATMENT EITHER LIMITING OR EXCLUDING CERTAIN DEMOGRAPHICS FROM OBTAINING TREATMENT SERVICES. TELEHEALTH IS CONTINGENT ON ACCESS TO INTERNET SERVICES.ACTION: TRANSPORTATION REMAINS AMONG THE TOP BARRIERS TO SECURING INPATIENT AND OUTPATIENT TREATMENT SERVICES ESPECIALLY IN THE APPALACHIAN REGION. BEING UNINSURED OR UNDERINSURED REMAINS A SIGNIFICANT BARRIER TO SEEKING TREATMENT. ANOTHER IDENTIFIED BARRIER WAS INSURANCE BIAS NOT PAYING FOR ADEQUATE LENGTH OF TREATMENT. - WORK WITH INDIVIDUALS IN NEED OF TREATMENT AND CONTINUE TO PROVIDE DETOX SERVICES TO COUNTIES THAT LACK RESOURCES.- PROVIDE CHARITABLE CARE OPPORTUNITIES FOR SUBSTANCE USE TREATMENT AND RECOVERY SUPPORT TO INDIVIDUALS WHO MEET CLINICAL AND FINANCIAL ELIGIBILITY AND WHO MAY BE UNINSURED OR UNDERINSURED.- CONTINUE TO MAINTAIN A REFERRAL NETWORK TO ASSIST INDIVIDUALS IN NEED OF SUPPORT SERVICES. COLLABORATE AND REFER TO, OR ACCEPT REFERRALS FROM, OTHER AGENCIES IN ORDER TO ASSIST INDIVIDUALS SEEKING TREATMENT.- PROVIDE TRANSPORTATION FOR BOTH INPATIENT AND OUTPATIENT SERVICES WHEN AVAILABLE AND POSSIBLE.- INCREASE WAYS TO PROVIDE EASY ACCESS TO TESTING SERVICES SUCH AS FOR HIV AND HEPATITIS WITHIN THE COMMUNITY AND DISTRIBUTE INFORMATION ON WHERE TO SEEK FURTHER CARE.2. STIGMA CONTINUES. EMPLOYERS LACK EDUCATION TO HELP EMPLOYEES SECURE CONFIDENTIAL TREATMENT AND RETURN TO WORK. STIGMA AROUND DRUG ABUSE REMAINS WHILE ALCOHOL USE IS TOLERATED.ACTION: GLENBEIGH STRIVES TO BREAK DOWN THE STIGMA ASSOCIATED WITH SUBSTANCE USE DISORDERS. OTHER AGENCIES ARE WORKING TO REDUCE THE STIGMA ASSOCIATED WITH DRUG ADDICTION AND ALCOHOLISM. THERE IS STILL CONSIDERABLE WORK NEEDED IN THIS AREA THEREFORE GLENBEIGH MAY SUPPORT THE EFFORTS OF THESE OTHER AGENCIES BY PROVIDING RESOURCES. - CONTINUE TO WORK WITH AND SUPPORT OTHER ORGANIZATIONS DEDICATED TO POSITIVE MESSAGING ABOUT ADDICTION, TREATMENT AND RECOVERY.- ASSESS THE NEED FOR WORKFORCE EDUCATION. EXPLORE POSSIBILITY OF DISTRIBUTING EDUCATIONAL MATERIAL TARGETING BUSINESSES THROUGH NON-TRADITIONAL METHODS.- ASSIST/SPONSOR OTHER ORGANIZATIONS THAT PROVIDE EDUCATION TO THE PUBLIC ON THE DANGERS OF ALCOHOL MISUSE, BINGE DRINKING AND ALCOHOLISM.- PARTICIPATE IN HEALTH FAIRS AND HEALTH EVENTS HELD AT BUSINESSES, IN HOSPITALS AND THROUGHOUT THE COMMUNITY AND DISTRIBUTE EDUCATIONAL MATERIALS TO HELP REDUCE STIGMA.(CONTINUED ON SCH H PART VI) GLENBEIGH PART V, SECTION B, LINE 13B: FINANCIAL ASSISTANCE INFORMATION, INCLUDING ELIGIBILITY CRITERIA, IS AVAILABLE UPON REQUEST AND IS ALSO AVAILABLE ONLINE THROUGH THE GLENBEIGH WEBSITE. THE DETERMINATION OF A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE IS MADE BASED UPON A COMBINATION OF FOUR FACTORS. THE FOUR FACTORS ARE FAMILY INCOME, EQUITY IN PRIMARY RESIDENCE, OTHER NET ASSETS AND THE NUMBER OF DEPENDENTS. A POINT VALUE IS ASSIGNED TO EACH FACTOR BASED UPON THE INFORMATION PROVIDED. THE AMOUNT OF THE FINANCIAL ASSISTANCE IS BASED UPON THE SUM OF THE POINT VALUES FOR ALL FOUR FACTORS. GLENBEIGH PART V, SECTION B, LINE 13H: SEE EXPLANATION FOR LINE 13B GLENBEIGH PART V, SECTION B, LINE 15E: FINANCIAL COUNSELORS MEET WITH ANY PATIENT THAT MAY NEED ANY FORM OF FINANCIAL AID PRIOR TO DISCHARGE. THE PATIENT IS GIVEN THE APPLICATION AND IT IS EXPLAINED TO THEM. GLENBEIGH PART V, SECTION B, LINE 16J: SEE EXPLANATION FOR LINE 15E GLENBEIGH PART V, SECTION B, LINE 20E: LINE 20C: IF AN INCOMPLETE FAP APPLICATION IS RECEIVED, THE ORGANIZATION'S FINANCIAL COUNSELORS CONTACT THE PATIENT FOR ADDITIONAL INFORMATION.LINE 20E: THE ORGANIZATION PROVIDES NOTIFICATION REGARDING THE FAP THROUGH SIGNAGE AND OTHER MECHANISMS. THERE ARE A NUMBER OF WRITTEN CORRESPONDENCES THAT GO OUT TO PATIENTS OVER THE COURSE OF 120 DAYS ONCE THE PATIENT RESPONSIBILITY IS DETERMINED FOR THE AMOUNT DUE RELATED TO SERVICES PROVIDED. PART V, SECTION B, LINE 11 (CONTINUED): 3. AMONG HEALTHCARE PROVIDERS, THERE IS A LACK OF QUALIFIED, EDUCATED, LICENSED INDIVIDUALS TO WORK IN THE FIELD OF ADDICTION TREATMENT FROM ENTRY-LEVEL POSITIONS TO PHYSICIANS AND NURSES.ACTION: GLENBEIGH IS COMMITTED TO WORKFORCE DEVELOPMENT AND PROVIDING OPPORTUNITIES IN ORDER FOR INDIVIDUALS WITHIN THE SERVICE REGION TO ADVANCE THEIR EDUCATION AND SECURE SUSTAINABLE WAGE EMPLOYMENT. INCREASE THE NUMBER OF INDIVIDUALS COMPLETING EDUCATIONAL WORKSHOPS, INTERNSHIPS OR OBTAINING CONTINUING EDUCATION CREDITS FOR SUSTAINING LICENSURE. - DEVELOP EDUCATIONAL WORKSHOPS FOR PROFESSIONALS WHO WORK WITH INDIVIDUALS AND FAMILIES STRUGGLING WITH ADDICTION.- CONTINUE TO PROVIDE INTERNSHIPS AND OTHER EDUCATIONAL PROGRAMS TARGETING FUTURE COUNSELORS, SOCIAL WORKERS, COUNSELING ASSISTANTS, NURSES AND OTHER HEALTHCARE PROFESSIONALS INTERESTED IN ENTERING THE FIELD OF CHEMICAL DEPENDENCY.- UPDATE TOPICS AND CREATE RELEVANT EDUCATIONAL PROGRAMS FOR PROFESSIONALS SEEKING CONTINUING EDUCATION CREDITS TO RETAIN LICENSURE.- COLLABORATE WITH OTHER AGENCIES TO ENSURE THE EDUCATIONAL NEEDS OF LOCAL WORKERS ARE MET AND OPPORTUNITIES ARE PRESENT TO ADVANCE.- PROVIDE RESOURCE MATERIAL AND EDUCATION TO ADDRESS DRUG AND ALCOHOL USE.- WORK WITH COMMUNITY AGENCIES AND BECOME A RESOURCE FOR WORKFORCE DEVELOPMENT PROGRAMS.- CONTINUE TO TARGET OTHER DEMOGRAPHICS, SUCH AS CLERGY, THAT WOULD BENEFIT FROM SPECIALIZED EDUCATION.- OFFER EDUCATIONAL WORKSHOPS TO PROFESSIONALS WHO WORK WITH INDIVIDUALS AND FAMILIES STRUGGLING WITH ADDICTION.- CREATE AND DISTRIBUTE INFORMATION ABOUT TRENDS, ADDICTION AND RECOVERY.4. THERE IS A NEED FOR COMBINED MENTAL HEALTH AND ADDICTION SERVICES WITHIN THE COMMUNITY. ACTION: COVID-19 PANDEMIC RESTRICTIONS SIGNIFICANTLY AFFECTED THE GLOBAL COMMUNITY RESULTING IN INCREASES OF ANXIETY, FEAR, AND ISOLATION. FINANCIAL WORRIES AND HEALTH WORKER EXHAUSTION ALSO INCREASED DURING THE PANDEMIC. CONCURRENTLY, THERE WAS A DISRUPTION IN MENTAL HEALTH SERVICES. ACCORDING TO THE WORLD HEALTH ORGANIZATION, COVID-19 TRIGGERED A 25% INCREASE IN ANXIETY AND DEPRESSION GLOBALLY. THE RECOMMENDATION IS AN INCREASE IN MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT. GLENBEIGH WILL ASSESS THE NEED FOR AND TAKE ACTION IN THE FOLLOWING AREAS:- PROVIDE ACCESS TO MENTAL HEALTH SERVICES IN ADDITION TO ADDICTION TREATMENT.- PROVIDE ONLINE SUPPORT THROUGH TELEHEALTH SERVICES FOR THOSE UNABLE TO ATTEND IN PERSON.- EXPLORE NEW MEANS TO HELP INDIVIDUALS WORK THROUGH BASIC MENTAL HEALTH ISSUES. CREATE A REFERRAL NETWORK FOR INDIVIDUALS REQUIRING INTENSIVE MENTAL HEALTH SERVICES.- INTEGRATE MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT. BUILD RELATIONSHIPS WITH OTHER AGENCIES THAT PROVIDE MENTAL HEALTH SERVICES.- CONTINUE TO SUPPORT/SPONSOR EVENTS THAT PROMOTE SOCIAL INTERACTION.GLENBEIGH REMAINS COMMITTED TO THE COMMUNITIES WHERE WE LIVE AND WORK. GLENBEIGH WILL CONTINUE ITS COMMITMENT TO OUR DEFINED REGIONAL SERVICE AREAS AND SUPPORT EFFORTS AND PROGRAMS THAT PROMOTE RECOVERY. GLENBEIGH WILL CONTINUE TO ALLOCATE APPROPRIATE RESOURCES TO IMPLEMENT THE FOLLOWING STRATEGIES IN AN EFFORT TO MEET THE IDENTIFIED HEALTH NEEDS OF OUR COMMUNITY. GLENBEIGH'S STRATEGIES WILL BE IMPLEMENTED WITH COMMUNITY PARTNERS INCLUDING, BUT NOT LIMITED TO: GLENBEIGH OUTPATIENT CENTERS COMMUNITY-BASED NON-PROFIT ORGANIZATIONS COMMUNITY-BASED SOCIAL SERVICE AGENCIES COMMUNITY-BASED FAMILY SERVICES ORGANIZATIONS FAITH-BASED ORGANIZATIONS EDUCATIONAL INSTITUTIONS 5 1 - OUTPATIENT CENTER OF BEACHWOOD 3789B SOUTH GREEN ROAD BEACHWOOD OH 44122 OUTPATIENT REHABILITATION CENTER 2 - OUTPATIENT CENTER OF CANTON 4661 BELPAR NW CANTON OH 44718 OUTPATIENT REHABILITATION CENTER 3 - OUTPATIENT CENTER OF ERIE 4906 RICHMOND ST ERIE PA 16509 OUTPATIENT REHABILITATION CENTER 4 - OUTPATIENT CENTER OF NILES 29 NORTH ROAD SE NILES OH 44446 OUTPATIENT REHABILITATION CENTER 5 - OUTPATIENT CENTER OF ROCKY RIVER 20220 CENTER RIDGE RD SUITE 110 ROCKY RIVER OH 44116 OUTPATIENT REHABILITATION CENTER PART I, LINE 3C: SINCE 1981, GLENBEIGH HAS SERVED PATIENTS AND THEIR FAMILIES BY SUPPLEMENTING THEIR PERSONAL RESOURCES IN ORDER THAT INDIVIDUALS WITH SUBSTANCE USE DISORDERS, ALONG WITH THEIR FAMILY MEMBERS, MAY OBTAIN TREATMENT AND OTHER RELATED SERVICES AT GLENBEIGH. PROVIDING FINANCIAL ASSISTANCE IS FUNDAMENTALLY IMPORTANT TO THE NON-PROFIT MISSION, VISION AND VALUES OF GLENBEIGH. BECAUSE THERE IS A WIDE DISPARITY IN AVAILABLE RESOURCES TO PAY FOR THE TREATMENT OF ADDICTION, GLENBEIGH PROVIDES FINANCIAL ASSISTANCE TO MAXIMIZE ACCESS TO TREATMENT WHILE BALANCING THE NEED TO SUSTAIN GLENBEIGH AND ITS MISSION FOR FUTURE GENERATIONS. GLENBEIGH WILL CONTINUE TO PROMOTE ACCESS TO TREATMENT AND FUNDING OF TREATMENT FOR THE DISEASE OF ADDICTION. IN KEEPING WITH OUR GOAL OF SUSTAINING GLENBEIGH FOR FUTURE GENERATIONS, FINANCIAL ASSISTANCE IS BUDGETED ANNUALLY. GLENBEIGH OFFERS FINANCIAL ASSISTANCE DISCOUNTS FROM ESTABLISHED RATES FOR PATIENTS WHO DO NOT HAVE INSURANCE COVERAGE FOR THE SERVICES NEEDED. GLENBEIGH ALSO OFFERS FINANCIAL ASSISTANCE TO PATIENTS WITH UNPAID COINSURANCE, DEDUCTIBLES AND NON-COVERED SERVICES IF THE PATIENT MEETS THE GLENBEIGH FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA. THE FINANCIAL ASSISTANCE IS AVAILABLE BASED UPON A FINANCIAL ASSISTANCE SLIDING FEE SCALE. THE FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED AS A PERCENTAGE OF THE ESTABLISHED RATES FOR THE PRIMARY SERVICES OR THE UNPAID BALANCES OF COINSURANCE, DEDUCTIBLES AND NON-COVERED SERVICES BASED UPON A COMBINATION OF THE PATIENT'S HOUSEHOLD INCOME AND HOUSEHOLD ASSETS. THE FINANCIAL ASSISTANCE SLIDING FEE SCALE ALLOWS PATIENTS WITH LOW-INCOME, WITH MINIMAL NET ASSETS, AND WITHOUT HEALTH INSURANCE TO ACCESS HEALTH CARE AT DISCOUNTED RATES OR POSSIBLY FREE OF CHARGE. THE FINANCIAL ASSISTANCE DISCOUNT WILL VARY BECAUSE OF THE WIDE DISPARITY IN AVAILABLE RESOURCES TO PAY FOR THE TREATMENT. SOME HEALTH CARE PROVIDERS ARE REQUIRED BY FEDERAL LAW TO PROVIDE SERVICES BASED UPON A SLIDING FEE SCALE. GLENBEIGH IS NOT REQUIRED TO PROVIDE FINANCIAL ASSISTANCE AND HAS VOLUNTARILY ESTABLISHED A FINANCIAL ASSISTANCE SLIDING FEE SCALE TO PROVIDE FINANCIAL ASSISTANCE AND INCREASE ACCESS TO HEALTH CARE SERVICES TO THOSE THAT WOULD OTHERWISE BE UNABLE TO AFFORD CARE. THE GLENBEIGH FINANCIAL ASSISTANCE SLIDING FEE SCALE HAS FIVE POSSIBLE RESULTS, DEPENDING ON THE RESULTS OF THE FOUR FACTORS IN THE MEANS TESTING FORMULA. A PATIENT IS ASSIGNED TO A FINANCIAL ASSISTANCE TIER BASED ON THE SUM OF THE POINTS ASSIGNED FOR EACH OF THE FOUR FACTORS. THE INCOME, EQUITY IN PRIMARY RESIDENCE AND OTHER NET ASSET FACTORS AT GLENBEIGH ARE BASED ON THE FEDERAL POVERTY GUIDELINES AND ARE UPDATED AS THE FEDERAL POVERTY GUIDELINES CHANGE. PART I, LINE 6A: N/A PART I, LINE 7: GLENBEIGH ESTIMATES CHARITY CARE COSTS BY CALCULATING A RATIO OF COST TO GROSS CHARGES AND THEN MULTIPLYING THAT RATIO BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS.GLENBEIGH IS PAID A PROSPECTIVELY DETERMINED RATE FOR THE MAJORITY OF REHABILITATION SERVICES PROVIDED FOR MEDICAID. THESE RATES VARY ACCORDING TO A PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC, AND OTHER FACTORS. MEDICAID PAYMENTS FOR CAPITAL ARE RECEIVED ON A COST REIMBURSEMENT METHODOLOGY. PAYMENTS ARE RECEIVED ON A PROSPECTIVE BASIS FOR GLENBEIGH'S MEDICAL EDUCATION COSTS, SUBJECT TO CERTAIN LIMITS. PROVISION FOR ESTIMATED RETROACTIVE ADJUSTMENTS, IF ANY, RESULTING FROM REGULATORY MATTERS OR OTHER ADJUSTMENTS UNDER PAYMENT AGREEMENTS ARE ESTIMATED IN THE PERIOD THE RELATED SERVICES ARE PROVIDED. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,539,421. PART III, LINE 2: TOTAL BAD DEBT EXPENSE FOR THE ENTIRE HOSPITAL COMPLEX IS EQUAL TO THE TOTAL GROSS CHARGES WRITTEN OFF AS REPORTED ON THE 2024 MEDICARE COST REPORT. BAD DEBTS ARE AMOUNTS DUE FROM A PATIENT OR PATIENT'S RESPONSIBLE PARTY RESULTING FROM TREATMENT FOR SERVICES PROVIDED TO A PATIENT AND FOR WHOM THE PATIENT AND/OR PATIENT'S RESPONSIBLE PARTY, HAVING THE REQUISITE FINANCIAL RESOURCES TO PAY FOR THE TREATMENT SERVICES, HAS DEMONSTRATED AN UNWILLINGNESS TO PAY A BILL. PART III, LINE 3: GLENBEIGH DOES NOT HAVE A METHOD TO REASONABLY ESTIMATE THE PORTION OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DID NOT COMPLETE AN APPLICATION. PART III, LINE 4: SEE THE "PATIENT SERVICE REVENUE AND PATIENT RECEIVABLES" PARAGRAPHS IN NOTE 1 ON PAGES 11-14 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS.GLENBEIGH PROVIDES CARE TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY AND WHO QUALIFY FOR CHARITY SERVICES PURSUANT TO ESTABLISHED POLICIES OF GLENBEIGH. CHARITY SERVICES ARE DEFINED AS THOSE FOR WHICH PATIENTS HAVE THE OBLIGATION AND WILLINGNESS TO PAY BUT DO NOT HAVE THE ABILITY TO DO SO. GLENBEIGH DOES NOT INCLUDE CHARITY CARE IN NET PATIENT SERVICE REVENUE. PART III, LINE 8: THE AMOUNTS REPORTED WERE GENERATED FROM THE MEDICARE COST REPORT FILED FOR 2024. GLENBEIGH IS PAID A PROSPECTIVELY DETERMINED RATE FOR THE MAJORITY OF REHABILITATION SERVICES PROVIDED FOR MEDICARE. THESE RATES VARY ACCORDING TO A PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC, AND OTHER FACTORS. MEDICARE PAYMENTS FOR CAPITAL ARE RECEIVED ON A PROSPECTIVE BASIS. PAYMENTS ARE RECEIVED ON A PROSPECTIVE BASIS FOR GLENBEIGH'S MEDICAL EDUCATION COSTS, SUBJECT TO CERTAIN LIMITS. GLENBEIGH IS PAID FOR COST REIMBURSABLE ITEMS AT A TENTATIVE RATE, WITH FINAL SETTLEMENT DETERMINED AFTER SUBMISSION OF ANNUAL COST REPORTS BY GLENBEIGH AND AUDITS THEREOF BY THE MEDICARE FISCAL INTERMEDIARY. PROVISION FOR ESTIMATED RETROACTIVE ADJUSTMENTS, IF ANY, RESULTING FROM REGULATORY MATTERS OR OTHER ADJUSTMENTS UNDER PAYMENT AGREEMENTS ARE ESTIMATED IN THE PERIOD THE RELATED SERVICES ARE PROVIDED.LAWS AND REGULATIONS GOVERNING MEDICARE ARE COMPLEX AND SUBJECT TO INTERPRETATION AS WELL AS SIGNIFICANT REGULATORY ACTION, AND, IN THE NORMAL COURSE OF BUSINESS, GLENBEIGH IS SUBJECT TO CONTRACTUAL REVIEWS AND AUDITS. AS A RESULT, THERE IS AT LEAST A REASONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE IN THE NEAR TERM. GLENBEIGH BELIEVES IT IS IN COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS GOVERNING THE MEDICARE PROGRAM AND THAT ADEQUATE PROVISIONS HAVE BEEN MADE FOR ANY ADJUSTMENTS THAT MAY RESULT FROM FINAL SETTLEMENTS. PART III, LINE 9B: CONSISTENT WITH GLENBEIGH'S VALUES AND MISSION, PATIENT BILLING ACCOUNTS WILL NOT BE SENT TO COLLECTION AGENCIES WITHOUT GIVING THE PATIENT OR OTHER RESPONSIBLE PAYER THE OPPORTUNITY AND ADEQUATE TIME TO DEVELOP AN ALTERNATIVE PAYMENT ARRANGEMENT. IF A FINANCIAL ASSISTANCE DETERMINATION ALLOWS FOR A PERCENTAGE REDUCTION BUT LEAVES THE PATIENT WITH A SELF-PAY BALANCE, PAYMENT TERMS WILL BE ON AN INTEREST-FREE BASIS. IN ADDITION, GLENBEIGH WILL NOT GARNISH WAGES OR USE LIENS ON PRIMARY RESIDENCES AS A MEANS OF COLLECTING UNPAID BILLS. PART VI, LINE 2: IN ADDITION TO THE CHNA GLENBEIGH PREPARED IN 2022, GLENBEIGH USES THE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR ALCOHOL AND DRUG USE STATISTICS PUBLISHED BY ASHTABULA COUNTY, COUNTIES WHERE PRIMARY PATIENT POPULATIONS RESIDE AND COUNTIES WHERE OUTPATIENT CENTERS ARE LOCATED. GLENBEIGH ALSO REFERS TO INFORMATION PUBLISHED BY THE OHIO DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES AND THE OHIO DEPARTMENT OF HEALTH. DRUG USE INFORMATION HAS BEEN TRADITIONALLY LIMITED. HOWEVER, AS MORE RESOURCES BECOME AVAILABLE, GLENBEIGH USES THAT INFORMATION TO ASSESS THE NEEDS OF SERVICE COMMUNITIES. IN 2019, GLENBEIGH'S SERVICE AREA TRANSITIONED SIGNIFICANTLY EASTWARD, COINCIDING WITH PENNSYLVANIA COMMUNITIES SIGNIFICANTLY IMPACTED BY THE OPIOID EPIDEMIC. THIS SHIFT REMAINED THROUGH 2023 RESULTING IN A MAJORITY OF GLENBEIGH'S SERVICE AREA CONTINUING TO COVER A PART OF THE APPALACHIAN REGION. MARKETING DATA IS USED TO EVALUATE COMMUNITY NEED FOR OUTPATIENT SERVICES; COMMUNITY, STUDENT AND REFERENT EDUCATIONAL OPPORTUNITIES; AS WELL AS RECOVERY ACTIVITIES. GLENBEIGH CONDUCTS REGULAR PATIENT SATISFACTION SURVEYS AND GIVES PATIENTS THE OPPORTUNITY TO PROVIDE INPUT REGARDING THEIR EXPERIENCE. GLENBEIGH UTILIZES THE INPUT OF ALUMNI, FAMILIES AND REFERENTS TO DESIGN COMMUNITY BENEFIT PLANS. GLENBEIGH CONDUCTS REFERENT SATISFACTION SURVEYS. SURVEYS ARE TAKEN AT EDUCATIONAL SEMINARS. REGULAR DEPARTMENT HEAD MEETINGS ARE HELD TO DISCUSS PATIENT, FAMILY, PHYSICIAN, NURSING, COUNSELING, ADMISSIONS, MAINTENANCE, DEVELOPMENT, MEDICAL RECORDS AND BUSINESS OFFICE NEEDS. MANAGEMENT TEAM MEMBERS ARE ENGAGED IN MANY COMMUNITY ORGANIZATIONS IN MULTIPLE SERVICE COUNTIES. WORK WITH OTHER ORGANIZATIONS ALLOWS GLENBEIGH TO ASSESS THE NEEDS OF PEOPLE LIVING WITHIN THE COMMUNITY AND TO BE AWARE OF OTHER INITIATIVES AND COLLABORATIVE OPPORTUNITIES. PART VI, LINE 3: GLENBEIGH INCLUDES NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE ON ITS WEBSITE, IN MARKETING AND PROGRAM-RELATED MATERIALS, AND AT LOCATIONS WHERE THERE IS A HIGH VOLUME OF ADMISSION AND/OR REGISTRATION RELATED ACTIVITY. GLENBEIGH ALSO PROVIDES NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO PATIENTS OR GUARANTORS WHEN THE PATIENT RESPONSIBILITY PORTION OF SERVICES RENDERED ARE BILLED TO THE PATIENTS OR GUARANTORS. THE AMOUNT OF FINANCIAL ASSISTANCE AWARDED ANNUALLY IS REPORTED IN THE COMMUNITY BENEFIT DISCLOSURES, AND THE ACCOUNTING FOR FINANCIAL ASSISTANCE COMPLIES WITH ALL ACCOUNTING STANDARDS FOR FINANCIAL ASSISTANCE ISSUED BY THE AMERICAN INSTITUTE FOR CERTIFIED PUBLIC ACCOUNTANTS. IN ADDITION, THIS POLICY IS MADE AVAILABLE TO THE PUBLIC. IF THERE IS A CONCERN DURING DISCHARGE PLANNING, A DISCHARGE FACILITATOR MAY REFER THE PATIENT TO APPROPRIATE AGENCIES. IF ANY PATIENT HAS CONCERNS DURING TREATMENT ABOUT THEIR COPAYS OR DEDUCTIBLES, OR ABOUT PAYING FOR FURTHER TREATMENT, COUNSELORS CAN DIRECT THEM TO THE BUSINESS OFFICE TO MEET WITH FINANCIAL STAFF. PART VI, LINE 4: GLENBEIGH'S CATCHMENT AREA IS PRIMARILY THE STATE OF OHIO AND THE SURROUNDING STATES OF PENNSYLVANIA, WEST VIRGINIA, MICHIGAN, AND NEW YORK. GLENBEIGH'S PAYER MIX IS: MEDICAID 42%, MEDICARE 10%, PRIVATE-PAY 6%, AND OTHER 42%. PART VI, LINE 5: GLENBEIGH IS COMMITTED TO A HEALTHY AND VIBRANT RECOVERY COMMUNITY. THROUGH ACTIVE PARTNERSHIPS WITH OTHER COMMUNITY ORGANIZATIONS GLENBEIGH STAFF PARTICIPATED IN NUMEROUS INITIATIVES AND PROVIDED NEEDED RESOURCES. GLENBEIGH'S IMPACT IS A POSITIVE FORCE THAT EXTENDS BEYOND OUR PATIENTS. AT GLENBEIGH, WE SHARE OUR EXPERTISE IN THE FIELD OF CHEMICAL DEPENDENCY TO PREPARE FUTURE GENERATIONS OF CAREGIVERS. GLENBEIGH PROVIDED OPPORTUNITIES FOR NURSING STUDENTS FROM REGIONAL INSTITUTIONS AND COLLEGES. IN ADDITION, SOCIAL WORKER AND COUNSELOR INTERNS FROM VARIOUS SCHOOLS LEARNED FIRST-HAND ABOUT THE DISEASE OF ADDICTION. GLENBEIGH HAS AN ENDURING DRIVE TO OFFER THINGS THAT MATTER: PROGRAMS THAT EDUCATE, EMPOWER, MOTIVATE AND HELP PROMOTE THE BENEFITS OF RECOVERY. GLENBEIGH IS A COMMUNITY RESOURCE WHICH SUPPORTS VARIOUS ORGANIZATIONS AND NON-PROFITS THROUGHOUT AND BEYOND OUR SERVICE COMMUNITY. OUR CLINICIANS SERVED AS GUEST SPEAKERS AND LECTURED IN A NUMBER OF VENUES. ADDITIONALLY, STAFF MEMBERS PARTICIPATED IN COMMUNITY ACTIVITIES WITH MULTIPLE CIVIC ORGANIZATIONS. DURING 2024, GLENBEIGH MAINTAINED A NUMBER OF RECOVERY SUPPORT ACTIVITIES FOR ALUMNI, FAMILY, FRIENDS AND THE RECOVERY COMMUNITY BASED ON AN IDENTIFIED NEED FOR SUSTAINED RECOVERY SUPPORT PROGRAMS. PART VI, LINE 6: GLENBEIGH IS AN AFFILIATE OF THE CLEVELAND CLINIC. THE CLEVELAND CLINIC HEALTH SYSTEM ENGAGES IN MANY COMMUNITY OUTREACH PROGRAMS, INCLUDING INITIATIVES DESIGNED TO SERVE THE VULNERABLE AND AT-RISK POPULATIONS IN MANY COMMUNITIES. CLEVELAND CLINIC'S OUTREACH PROGRAMS RANGE FROM FREE HEALTH SCREENINGS AND CLINICAL SERVICES TO ENROLLMENT ASSISTANCE FOR GOVERNMENT-FUNDED HEALTH PROGRAMS. COMMUNITY OUTREACH PROGRAMS ARE THOSE PROGRAMS THAT IMPROVE ACCESS TO HEALTH SERVICES. CLEVELAND CLINIC CAREGIVERS COLLABORATE WITH COMMUNITY ORGANIZATIONS TO PROVIDE A CONTINUUM OF CARE THAT SUPPORTS ECONOMICALLY AND MEDICALLY UNDERSERVED AREAS. X X X 0 0 0 0 0 0 0 0 0 DAVID NOVAK MD VICE-CHIEF OF STAFF (END 12/31/24) 0 631658 0 114667 0 414 0 13800 0 68862 0 829401 0 0 DANIEL B KEATON MD CHIEF OF STAFF (END 12/31/24) 0 318761 0 0 0 414 0 8184 0 24467 0 351826 0 0 RICHARD TRICE GB PRESIDENT (STARTED 02/04/24) 191114 20625 10000 0 1076 79 7873 736 26054 3722 236117 25162 0 0 TERESA BALL MD NURSING ADMINISTRATION 134589 0 300 0 1394 0 5682 0 30776 0 172741 0 0 0 JONATHAN M MOLDOVAN NURSING ADMINISTRATION 114577 0 0 0 90 0 3802 0 36111 0 154580 0 0 0 PART I, LINE 3 SALARIES ARE REVIEWED APPROXIMATELY EVERY TWO YEARS. SALARIES ARE COMPARED TO LOCAL, REGIONAL, AND NATIONAL MARKET RATES AND IN CONJUNCTION WITH THE CEO AND CFO TO DETERMINE COMPENSATION. WHEN OPENINGS FOR KEY POSITIONS BECOME AVAILABLE, THE HR DEPARTMENT EXAMINES THE MARKET RATES TO DETERMINE A STARTING SALARY. JASON SHADLE FAMILY MEMBER OF SUSAN SHADLE (ARHHS EXECUTIVE DIRECTOR) 94084 EMPLOYMENT AGREEMENT WITH ARHHS 0 FORM 990, PART VI, SECTION A, LINE 1A THE BOARDS OF TRUSTEES OF GLENBEIGH HOSPITAL AND ASHTABULA REGIONAL HOME HEALTH SERVICES CONSIST OF THE SAME MEMBERS. THERE IS ONE BOARD EXECUTIVE COMMITTEE CONSISTING OF THE CHAIR, VICE-CHAIR AND CEO. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO TRANSACT ALL BUSINESS OF THE BOARD BETWEEN REGULAR MEETINGS, EXCEPT AS OTHERWISE PROVIDED IN THE CODE OF REGULATIONS OR BY BOARD RESOLUTION. FORM 990, PART VI, SECTION A, LINE 3 THE CLEVELAND CLINIC FOUNDATION HOLDS AND EXERCISES A MANAGEMENT AGREEMENT WITH THE ACMC HEALTHCARE SYSTEM. FORM 990, PART VI, SECTION A, LINE 6 ASHTABULA COUNTY MEDICAL CENTER IS THE SOLE MEMBER OF BOTH GLENBEIGH AND ASHTABULA REGIONAL HOME HEALTH SERVICES. FORM 990, PART VI, SECTION A, LINE 7A ASHTABULA COUNTY MEDICAL CENTER APPOINTS ALL BOARD MEMBERS FOR BOTH GLENBEIGH AND ASHTABULA REGIONAL HOME HEALTH SERVICES. FORM 990, PART VI, SECTION A, LINE 7B ASHTABULA COUNTY MEDICAL CENTER MUST APPROVE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF BOTH GLENBEIGH AND ASHTABULA REGIONAL HOME HEALTH SERVICES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 REPORT IS PUBLISHED TO THE BOARD OF DIRECTOR'S WEBSITE. FORM 990, PART VI, SECTION B, LINE 12C EACH TRUSTEE, PRINCIPAL OFFICER, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, AND KEY EMPLOYEE SHALL ANNUALLY SIGN A STATEMENT, WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IF A PERSON COVERED BY THE CONFLICT OF INTEREST POLICY BELIEVES HE OR SHE HAS A POTENTIAL CONFLICT OF INTEREST, THAT PERSON IS TO DISCLOSE THE CONFLICT TO THE BOARD. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE DISCLOSING PERSON MAY MAKE A PRESENTATION REGARDING THE PROPOSED TRANSACTION/POTENTIAL CONFLICT OF INTEREST AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE PROPOSED TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE REVIEWED APPROXIMATELY EVERY TWO YEARS. SALARIES ARE COMPARED TO LOCAL, REGIONAL, AND NATIONAL MARKET RATES AND IN CONJUNCTION WITH THE CEO AND CFO TO DETERMINE COMPENSATION. WHEN OPENINGS FOR KEY POSITIONS BECOME AVAILABLE, THE HR DEPARTMENT EXAMINES THE MARKET RATES TO DETERMINE A STARTING SALARY. FORM 990, PART VI, SECTION C, LINE 19 ALL REQUESTS ARE SENT TO THE CEO FOR DISTRIBUTION. FORM 990, PART XI, LINE 9: NET ASSET TRANSFER TO A RELATED ENTITY -6,724,996. FORM 990, PART VII, SECTION A THE FOLLOWING OFFICERS WORKING FULL-TIME FOR ACMC ARE EMPLOYED BY THE CLEVELAND CLINIC AND ARE COMPENSATED THROUGH EMPLOYMENT AGREEMENTS WITH THE CLEVELAND CLINIC: LEONARD STEPP, PRESIDENT/CEO; ALANNA DAMES, VP FINANCE/CFO; AND AMANDA CLARK, CNO. FEDERAL ELECTIONS SECTION 1.263(A)-1(F) DE MINIMIS SAFE HARBOR ELECTION GLENBEIGH (34-1789783) 2863 STATE ROUTE 45 PO BOX 298 ROCK CREEK, OH 44084 AND ASHTABULA REGIONAL HOME HEALTH SERVICES (34-1143158) PO BOX 1428 ASHTABULA, OH 44005 FOR THE YEAR ENDING DECEMBER 31, 2024 THE ABOVE NAMED ORGANIZATIONS ARE MAKING THE DE MINIMIS SAFE HARBOR ELECTION UNDER REG. SEC. 1.263(A)-1(F). ASHTABULA COUNTY MEDICAL CENTER FOUNDATION 2420 LAKE AVENUE ASHTABULA OH 44004 341392784 SUPPORT ASHTABULA COUNTY MEDICAL CENTER OH 501(C)(3) LINE 12A, I ASHTABULA COUNTY MEDICAL CENTER 0 ASHTABULA COUNTY MEDICAL CENTER 2420 LAKE AVENUE ASHTABULA OH 44004 340726081 OPERATION OF HOSPITAL OH 501(C)(3) LINE 3 N/A 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 1