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        <ExplanationTxt>DESCRIPTION - GAIN/LOSS ON EQUITY INVESTMENT, COLUMN A - 10000.0, COLUMN B - -191000.0, COLUMN C - -660000.0, COLUMN D - -1018000.0, COLUMN E - -260411.0, COLUMN F - -2119411.0; DESCRIPTION - MISCELLANEOUS REVENUE, COLUMN A - 2088510.0, COLUMN B - 1805417.0, COLUMN C - 1358628.0, COLUMN D - 1817372.0, COLUMN E - 700445.0, COLUMN F - 7770372.0;</ExplanationTxt>
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        <EndYearBalanceAmt>119173</EndYearBalanceAmt>
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        <EndYearBalanceAmt>119173</EndYearBalanceAmt>
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      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
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        <OtherCostOrOtherBasisAmt>550000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>550000</BookValueAmt>
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        <BookValueAmt>203638</BookValueAmt>
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        <Desc>Federal Income Taxes</Desc>
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        <Desc>INVESTMENT IN SUBSIDIARY</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>1580026</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>CURRENT PORTION OF RIGHT OF USE LIABILITY</Desc>
        <Amt>337235</Amt>
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      <TotalLiabilityAmt>31066273</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>38779406</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>320000</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-260532</OtherRevenueAmt>
      <RevenueNotReportedAmt>59468</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>38719938</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>0</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>38719938</TotalRevenuePerForm990Amt>
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      <OtherExpensesNotIncludedAmt>239482</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>239482</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>44883110</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ASC 740 FOOTNOTE</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4 Intended uses of endowment funds</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT FUNDS ARE USED FOR DONOR DESIGNATED PURPOSES WHICH INCLUDE PROVISION OF CARE TO INDIGENT PATIENTS, PURCHASES OF EQUIPMENT, CAPITAL IMPROVEMENTS, AND CONTINUING EDUCATION OF THE BVCCS EMPLOYEES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGE IN NET ASSETS - -21051 BAD DEBT RECLASS - -239481</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements</FormAndLineReferenceDesc>
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      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Myron Lewis</PersonNm>
        <TitleTxt>Chief Executive Officer</TitleTxt>
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        <PersonNm>DR Richard M Polder</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <PersonNm>Dave M Cytlak</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>6951</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>612777</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Barbara J Pasztor</PersonNm>
        <TitleTxt>VP CHIEF NURSING OFFICER</TitleTxt>
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        <PersonNm>Christian Jacobus</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
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        <PersonNm>Kyle C McGraw</PersonNm>
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        <PersonNm>Judith Bishop-Pierce</PersonNm>
        <TitleTxt>Director of Residential Care</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2024, BLANCHARD VALLEY HEALTH SYSTEM CALCULATED SERP PAYMENTS TO BE CONTRIBUTED IN 2025. $124,943 WILL BE CONTRIBUTED ON BEHALF OF MYRON LEWIS TO A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2025. SERP CONTRIBUTIONS IN THE AMOUNT OF $114,858 WERE MADE FOR THE BENEFIT OF MYRON LEWIS IN 2025. THE SERP IS AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT CONSISTING OF TWO PLANS: AN ELIGIBLE PLAN SUBJECT TO INTERNAL REVENUE CODE SECTION 457(B) AND AN INELIGIBLE PLAN SUBJECT TO SECTION 457(F). THE 457(B) PLAN WAS ORIGINALLY IMPLEMENTED EFFECTIVE JANUARY 1, 2002. THE 457(F) PLAN WAS ORIGINALLY EFFECTIVE SEPTEMBER 1, 2000 AND WAS RESTATED ON JANUARY 1, 2002 FOR COORDINATION WITH THE 457(B) PLAN. IN 2010 AND 2011, THE 457(F) PLAN WAS FURTHER AMENDED AND RESTATED TO COMPLY WITH THE LATEST REGULATORY GUIDANCE AND PROVIDE FOR A NEW CONTRIBUTION MODEL AND VESTING SCHEDULE. ADDITIONAL EXECUTIVES WERE ALSO ADDED AND DEEMED ELIGIBLE FOR PLAN BENEFITS IN 2010, INCLUDING DAVID CYTLAK. IN 2024, BLANCHARD VALLEY HEALTH SYSTEM CACLULATED SERP PAYMENTS TO BE CONTRIBUTED IN 2025. $33,337 WILL BE CONTRIBUTED ON BEHALF OF DAVID CYTLAK TO THE SERP IN 2025. SERP CONTRIBUTIONS IN THE AMOUNT OF $31,599 WERE MADE FOR THE BENEFIT OF DAVID CYTLAK IN 2025. KEY FEATURES OF THE SERP, AS AMENDED AND RESTATED IN 2010/2011, INCLUDE THE FOLLOWING: * ELIGIBILITY IS LIMITED TO CERTAIN MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES OF BVHS (I.E., TOP HAT REFERENCE). FUTURE PARTICIPATION IS UPON NOMINATION BY THE CEO AND APPROVAL BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. **EMPLOYEE CONTRIBUTIONS TO THE SERP ACCOUNT ARE NOT ALLOWED. *EACH PARTICIPANT'S 457(B) ACCOUNT WILL BE CREDITED UP TO THE STATUTORY LIMIT ($20,500 IN 2022), WITH THE REMAINING AMOUNT BEING DEPOSITED INTO THE 457(F) ACCOUNT. *EMPLOYER CONTRIBUTIONS TO THE 457(F) PLAN ARE SUBJECT TO A CLASS YEAR VESTING SCHEDULE, WITH A WAITING PERIOD SET AT 0-5 YEARS, DEPENDING ON THE AGE OF THE PARTICIPANT AT THE TIME OF CONTRIBUTION. UPON VESTING, THE FULL VESTED BALANCE WILL BE DISTRIBUTED TO THE PARTICIPANT AND CONSIDERED TAXABLE INCOME. IN ADDITION TO THE VESTING SCHEDULE ABOVE, 100% AND IMMEDIATE VESTING OF THE BENEFIT ACCRUED UPON ATTAINMENT OF NORMAL RETIREMENT AGE, DEATH, DISABILITY, INVOLUNTARY TERMINATION WITHOUT CAUSE, PLAN TERMINATION, OR CHANGE OF CONTROL. *DISTRIBUTION OF THE VESTED PORTION OF THE 457(F) BENEFIT IS PAID AS A LUMP SUM AS SOON AS ADMINISTRATIVELY FEASIBLE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>BIRCHAVEN VILLAGE IN FINDLAY AND INDEPENDENCE HOUSE IN FOSTORIA, OUR SKILLED NURSING AND LONGTERM CARE FACILITIES, WORK WITH THE RESIDENTS TO CREATE A COMPREHENSIVE PLAN THAT FOCUSES ON THEIR SPECIFIC MEDICAL, SOCIAL AND SPIRITUAL GOALS. BOTH FACILITIES PROVIDE 24-HOUR MEDICAL AND CUSTODIAL CARE FOR INDIVIDUALS WITH SERIOUS ILLNESSES OR INJURIES. IN ADDITION, A MULTIDISCIPLINARY TEAM OF HEALTH CARE PROFESSIONALS PROVIDES PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY AND FOCUSES ON CLINICAL SERVICES AND ACTIVITIES DESIGNED FOR MENTAL AND PHYSICAL STIMULATION. STAYS AT BIRCHAVEN VILLAGE OR INDEPENDENCE HOUSE CAN RANGE FROM SHORT-TERM (FOR REHABILITATION AFTER SURGERY) TO LONG-TERM, DEPENDING ON EACH RESIDENT'S INDIVIDUAL NEEDS. FURTHERMORE, 24-HOUR MEDICAL AND CUSTODIAL CARE IS PROVIDED FOR RESIDENTS WHO NEED LONG-TERM ASSISTANCE WITH THEIR PHYSICAL OR EMOTIONAL NEEDS. EXAMPLES OF THIS SUPPORTIVE CARE INCLUDE ASSISTANCE WITH BATHING, DRESSING AND INCONTINENCE ISSUES, AS WELL AS ATTENTION PAID TO MEDICAL NEEDS, PAIN MANAGEMENT, AND PREVENTING UNSAFE BEHAVIOR. BRIDGE HOME HEALTH AND HOSPICE ENCOMPASSES A RANGE OF OUTPATIENT AND INPATIENT POST ACUTE SERVICES INCLUDING HOSPICE, PALLIATIVE CARE, SKILLED HOME NURSING AND RELATED THERAPIES AS WELL AS PRIVATE DUTY SERVICES. -HOSPICE AND PALLIATIVE CARE ARE PROVIDED FOR PATIENTS WITH LIFE-LIMITING ILLNESSES BY A TEAM OF PROVIDERS, PROFESSIONALS AND VOLUNTEERS IN THE SETTING MOST APPROPRIATE TO MEET THE NEEDS OF THE PATIENT AND FAMILY. SERVICES ARE PRIMARILY FOCUSED ON SYMPTOM MANAGEMENT AS WELL AS MEETING EMOTIONAL, SOCIAL AND SPIRITUAL NEEDS. - SKILLED HOME CARE AND RELATED THERAPIES ARE INTERMITTENT AND PROVIDED UNDER PHYSICIAN DIRECTION IN THE HOME. SERVICES INCLUDE NURSING ASSESSMENT, MEDICATION TEACHING, WOUND CARE, IV MEDICATION ADMINISTRATION AND CHRONIC DISEASE MANAGEMENT AS WELL AS PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES. - PRIVATE DUTY SERVICES PROVIDE SUPPORT FOR CLIENTS WISHING TO REMAIN IN THE HOME SETTING. COMPANIONS AND NURSE AIDS ARE SUPERVISED BY NURSES AND ASSIST WITH ACTIVITIES OF DAILY LIVING, HOUSEHOLD CHORES, SHOPPING SERVICES AND MEDICATION REMINDERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1b</FormAndLineReferenceDesc>
        <ExplanationTxt>MYRON LEWIS AND DR. RICHARD POLDER ARE BOARD MEMBERS AND ARE PAID EMPLOYEES OF A REALATED ORGANIZATION. DUE TO THEIR EMPLOYMENT, THEY ARE CONSIDERED NON-INDEPENDENT VOTING MEMBERS OF THE BOARD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>BLANCHARD VALLEY HEALTH SYSTEM, AN OHIO NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF BLANCHARD VALLEY CONTINUING CARE SERVICES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>A DETAILED REVIEW OF THE FORM 990 IS PERFORMED BY THE ORGANIZATION'S COMPLIANCE AND AUDIT COMMITTEE. THIS COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES, MEMBERS OF THE COMMUNITY, AND MEMBERS OF UPPER MANAGEMENT. THE COMPLIANCE AND AUDIT COMMITTEE REPORTS TO THE BOARD OF TRUSTEES ANY AREAS OF CONCERN REGARDING THE FORM 990'S. ONCE THE FORM 990'S HAVE BEEN FINALIZED, REVIEWED AND APPROVED, THE MEMBERS OF THE BOARD OF TRUSTEES RECEIVE ELECTRONIC COMMUNICATION THAT THE FORM 990'S ARE COMPLETE AND AVAILABLE FOR REVIEW. ANY QUESTIONS ARISING FROM BOARD MEMBERS ARE ADDRESSED BY THE COMPLIANCE AND AUDIT COMMITTEE, UPPER MANAGEMENT, THE ACCOUNTING DEPARTMENT, AND/OR EXTERNAL ACCOUNTANTS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, THE ORGANIZATION ASKS ITS BOARD MEMBERS, CORPORATE OFFICERS, UPPER MANAGEMENT, AND KEY EMPLOYEES TO COMPLETE CONFLICT OF INTEREST SURVEYS. THESE SURVEYS ALSO INCLUDE RELATIONSHIP &amp; ACTIVITY QUESTIONS THAT THESE INDIVIDUALS ARE ASKED TO COMPLETE FOR THE FORM 990 FILING YEAR. BOARD MEMBERS ARE REQUIRED TO BRING TO THE ATTENTION OF EXECUTIVE MANAGEMENT ANY CONFLICTS AS THEY ARISE. THESE CONFLICTS ARE DOCUMENTED IN THE BOARD MINUTES. BOARD MEMBERS THAT HAVE CONFLICTS ARE TO EXCUSE THEMSELVES FROM DISCUSSIONS AND/OR VOTING ON ISSUES WITH WHICH A CONFLICT EXISTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REVIEWS EXECUTIVE COMPENSATION, BENEFITS, AND PREREQUISITES ON A PERIODIC BASIS TO ENSURE CONSISTENCY WITH COMPENSATION PHILOSOPHY AND MARKET PRACTICE. A SUBSET OF MEMBERS FROM THE BOARD OF DIRECTORS SERVES AS THE EXECUTIVE COMPENSATION COMMITTEE, AND THIS COMMITTEE MEETS TO APPROVE WAGE INCREASES AS WELL AS REVIEWS THE ORGANIZATION'S POSITION IN THE MARKET WHEN IT COMES TO EXECUTIVE COMPENSATION. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEE ANNUALLY ENGAGES SULLIVAN COTTER AND ASSOCIATES, AN EXTERNAL COMPENSATION CONSULTING FIRM, TO ASSESS THE REASONABLENESS OF THE COMPENSATION PROGRAM USED FOR ITS EXECUTIVES. THE COMMITTEE PERIODICALLY ALSO PERFORMS A FULL BENEFIT ANALYSIS AND REVIEW WITH SULLIVAN COTTER AND ASSOCIATES AS PART OF THIS PROCESS. THE ORGANIZATION IS COMMITTED TO A DECISION-MAKING PROCESS FOR EXECUTIVE COMPENSATION THAT IS CONSISTENT WITH INTERNAL REVENUE CODE SECTION 4958 REQUIREMENTS FOR OBTAINING A REBUTTABLE PRESUMPTION OF REASONABLENESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SAME PROCESS APPLIES FOR ALL OTHER EXECUTIVE STEERING COMMITTEE MEMBERS AS DETAILED FOR THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENTS, REQUIRED TAX FORMS (I.E., FORM 990), AS WELL AS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES, ARE AVAILABLE UPON REQUEST THROUGH THE ADMINISTRATIVE AND FINANCE OFFICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES IN NET ASSETS - -21051; Total - -21051;</ExplanationTxt>
      </SupplementalInformationDetail>
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