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        <PersonNm>Eric James</PersonNm>
        <TitleTxt>Vice President/Chief Information Officer</TitleTxt>
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        <PersonNm>Kate Huffman</PersonNm>
        <TitleTxt>Senior Director, Government Affairs</TitleTxt>
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        <PersonNm>Vadym Koganov</PersonNm>
        <TitleTxt>Sr. Director, Enterprise Architecture</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Health or social club dues or initiation fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Some executive employees hold club memberships for business use. The employees provide monthly statements to the organization listing out any personal use. The employees then reimburse the organization for any personal use. The club memberships are treated as taxable compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>Mary Gallagher, former Executive VP &amp; Chief of Staff, received $351,651 in 2024. OHA also paid medical and dental insurance premiums.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>Mike Abrams participates in a SERP 457(f) plan. Amounts includible in income under section 457(f) = $0 Contributions to nonqualified plans (nonvested) = $100,098 Scott Borgemenke participates in a SERP 457(f) plan. Amounts includible in income under section 457(f) = $347,893 Contributions to nonqualified plans (nonvested) = $0</ExplanationTxt>
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            <BusinessNameLine1Txt>Erin Biles</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Family member of Ryan Biles</RelationshipDescriptionTxt>
        <TransactionAmt>83899</TransactionAmt>
        <TransactionDesc>Employment and Post-employment contract work</TransactionDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a COMMON PAY AGENT</FormAndLineReferenceDesc>
        <ExplanationTxt>Ohio Hospital Association (OHA), EIN 31-4270340, is the common paying agent for the following organizations: - Research &amp; Educational Foundation of the Ohio Hospital Association, EIN 31-6060347 - Ohio Hospitals Group Rated Workers Compensation Program, Inc., EIN 31-1314404 - Ohio Healthcare Purchasing, Inc., EIN 20-0414070 Therefore, all payroll tax filings are reported by OHA. The total number of employees reported on form W-3 and filed by the common paying agent, OHA, for the year ended December 31, 2024, was 52.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b PROCESS USED TO DETERMINE COMPENSATION OF OTHER OFFICERS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION CURRENTLY USES AN OUTSIDE CONSULTANT TO PERIODICALLY PROVIDE A BENCHMARK OF COMPARABLE SALARY RANGES FOR ALL OFFICERS AND KEY EMPLOYEES. OHIO HOSPITAL ASSOCIATION'S COMPENSATION IS BASED ON THE USE OF THIS DATA FOR SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS AT SIMILAR SIZED ASSOCIATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Executive Committee</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR, CHAIR-ELECT, IMMEDIATE PAST CHAIR, SECRETARY/TREASURER, PRESIDENT, AND AN AT-LARGE MEMBER. THE EXECUTIVE COMMITTEE SHALL BE AUTHORIZED TO ACT ON BEHALF OF THE BOARD OF TRUSTEES BETWEEN MEETINGS OF THE BOARD AND SHALL SUBMIT SUCH ACTIONS TO THE BOARD FOR RATIFICATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board repealed the OHA Constitution and consolidated all provisions into an Amended and Restated Code of Regulations. This modernization addressed outdated, redundant, and conflicting provisions and captured OHA's current governance practices. Key changes included simplifying membership to two categories, equalizing voting rights while retaining protections for Type I members, clarifying the annual member meeting process through an electronic voting structure, updating trustee eligibility to remove "headquartered in Ohio" requirements, and refining the nomination process to reflect actual practice. Additional clean-up removed obsolete provisions (personal memberships, geographic districts, outdated dues references) and revised other provisions to reflect governance best practices.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>OHA is a membership association with two classes of members: (A) Type I Members shall include hospitals, both general and special, that care primarily for patients with conditions normally requiring a comparatively short stay. Eligibility requirements for Type I membership shall be determined by the Board of Trustees and shall include licensure by the State of Ohio. (B) Type II Members shall include those hospitals that are not Type I hospitals and that are designated as long-term acute care (or LTAC) hospitals, inpatient rehabilitation hospitals, inpatient psychiatric hospitals and inpatient federal hospitals. Eligibility requirements for Type II membership shall be determined by the Board of Trustees.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Type I and Type II members have the right to elect key officers (Chair-Elect, Secretary/Treasurer) and at-large Trustees to the Board of Trustees. Elections occur at the annual meeting (or a special meeting for that purpose), with provisions allowing members not in attendance to cast electronic ballots. A candidate is elected only with the approval of a majority of all members voting and a majority of Type I members voting. Nominations are solicited annually from all members, reviewed by the Nominating Committee, and finalized by the Board before being presented for member approval. Eligibility to serve as a trustee is limited to senior executives of member hospitals or affiliates, with the requirement that most trustees be CEOs, COOs, or CFOs of member hospitals or systems.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The form 990 and supplemental schedules were reviewed by the Audit/Finance Committee with the paid tax preparer. Additionally, management reviews the 990 for accuracy prior to filing.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH TRUSTEE, DIRECTOR, PRINCIPAL OFFICER, other officer, key employee, AND MEMBER OF A COMMITTEE WITH BOARD DESIGNATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE DUALITY OF INTEREST AND CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THE ORGANIZATION IS TAX-EXEMPT AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. Any Trustee having a known duality of interest or possible conflict of interest on any matter should make a disclosure of such conflict to the remaining Trustees. Following a determination by the Board of Trustees that a conflict of interest exists, such Trustee will not vote or use his or her personal influence on the matter, but such Trustee may be counted in determining the quorum for the meeting. The minutes of the meeting should reflect the making of the disclosure, the Board's determination on the existence of the conflict, the abstention from voting and the quorum situation. The requirements in this Section 8.2 shall not be construed as preventing any Trustee from briefly stating his or her position in the matter, nor from answering pertinent questions of the Board.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>An independent compensation committee delegated by the Board of Trustees is responsible for the yearly compensation review of the Chief Executive Officer (CEO). Outside consultants, salary surveys, and data from comparable organizations are used in the process of determining the CEO's compensation. This process is conducted annually.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflict of interest policy and financial statements are available upon request from the organization.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>AGENCY AGREEMENTS - Total Revenue: 305726, Related or Exempt Function Revenue: 305726, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other - Total Revenue: 60403, Related or Exempt Function Revenue: 60403, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
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        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(6)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>THE RESEARCH AND EDUCATIONAL FOUNDATION DBA THE INSTITUTE FOR HEALTH INNOVA</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>FRIENDS OF OHIO HOSPITALS</BusinessNameLine1Txt>
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          <AddressLine1Txt>65 E State St Ste 500</AddressLine1Txt>
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        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>OHIO HEALTHCARE PURCHASING INC DBA OHA SOLUTIONS</BusinessNameLine1Txt>
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          <AddressLine1Txt>65 E State St Ste 500</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <EIN>200414070</EIN>
        <PrimaryActivitiesTxt>PURCHASING CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>OHA</BusinessNameLine1Txt>
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        <ShareOfEOYAssetsAmt>2053576</ShareOfEOYAssetsAmt>
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        <InvolvedAmt>416151</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>allocation based on employee time</MethodOfAmountDeterminationTxt>
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        <InvolvedAmt>62437</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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          <BusinessNameLine1Txt>OHIO HEALTHCARE PURCHASING INC DBA OHA SOLUTIONS</BusinessNameLine1Txt>
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        <FormAndLineReferenceDesc>Primary Activity</FormAndLineReferenceDesc>
        <ExplanationTxt>1. Ohio Hospitals Group Rated Workers Comp Primary Activity: The primary purpose of The Ohio Hospitals Group Rated Workers Compensation Program, Inc. is to develop and implement programs that will promote a safe working environment and reduce health care costs. 2. The Research and Educational Foundation Primary Activity: To evaluate, focus, and engage in leading change activities that enable the pursuit of excellence resulting in demonstrable improvement in safety, quality, and health equity in our communities. 3. Friends of Ohio Hospitals Primary Activity: THE ORGANIZATION MAKES CONTRIBUTIONS IN SUPPORT OF POLITICAL CANDIDATES AND PARTIES IN THE INTEREST OF OHIO HOSPITALS.</ExplanationTxt>
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