2026-05-01T08:19:03-05:00 2025-06-30 331498605 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2024-07-01 344451872 GALION COMMUNITY HOSPITAL GALI 4194684841 269 PORTLAND WAY SOUTH GALION OH 448332399 D ERIC DRAIME CFO 4194684841 2026-04-30 1 1 AMY CIMINELLO P00796388 6148493000 2026-04-27 2024 2025-03-06 01:10:19Z JERRY MORASKO 269 PORTLAND WAY SOUTH GALION OH 448332399 357821015 0 X WWW.AVITAHEALTH.ORG X 1954 OH TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE. 17 15 2646 123 0 0 64004 1495363 306257734 335239235 182411 531054 13812804 20136099 320316953 357401751 72743 134194 0 0 71580948 73116975 0 0 0 213998413 238481008 285652104 311732177 34664849 45669574 188676428 208836155 114849825 115957418 73826603 92878737 TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE. 0 0 192369184 134194 165107204 GALION COMMUNITY HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL LOCATED WITHIN THE CITY OF GALION, OH. IT SERVES THE GREATER GALION AREA INCLUDING MUCH OF CRAWFORD COUNTY. THE FACILITY SERVES THE GENERAL PUBLIC AND IS OPEN SEVEN DAYS A WEEK, TWENTY-FOUR HOURS PER DAY. DURING THE FISCAL YEAR OF 2025, GALION HOSPITAL AND ITS AFFILIATES SERVED 1,787 INPATIENTS, 1,450 OBSERVATION PATIENTS, 16,024 EMERGENCY VISITS, AND 92,456 OUTPATIENT VISITS. THESE WERE ALL SERVED REGARDLESS OF THE ABILITY TO PAY. GALION HOSPITAL IS AN INTRICATE PART OF THE COMMUNITY. IT IS ONE OF THE LARGEST EMPLOYERS IN THE COUNTY AT 941 FULL TIME EQUIVALENTS. 45017537 0 76754610 BCH ACQUISITION LLC (BUCYRUS COMMUNITY HOSPITAL) IS A 25 BED CRITICAL ACCESS HOSPITAL LOCATED WITHIN THE CITY OF BUCYRUS, OH. IT SERVES THE GREATER BUCYRUS AREA. THE FACILITY SERVES THE GENERAL PUBLIC AND IS OPEN SEVEN DAYS A WEEK, TWENTY-FOUR HOURS PER DAY. DURING THE FISCAL YEAR OF 2025, BUCYRUS HOSPITAL SERVED 575 INPATIENTS, 1,113 OBSERVATION PATIENTS, 9,898 EMERGENCY VISITS AND 53,428 OUTPATIENT VISITS. THESE WERE ALL SERVED REGARDLESS OF THE ABILITY TO PAY. BCH ACQUISITION LLC IS AN INTRICATE PART OF THE COMMUNITY. IT IS ONE ON THE LARGEST EMPLOYERS IN THE COUNTY AT 265 FULL TIME EQUIVALENTS. 70849094 0 112315529 AVITA ONTARIO HOSPITAL IS A 50 BED PPS HOSPITAL LOCATED WITHIN THE CITY OF ONTARIO, OH. IT SERVES THE GREATER ONTARIO AREA. THE FACILITY SERVES THE GENERAL PUBLIC AND IS OPEN SEVEN DAYS A WEEK, TWENTY-FOUR HOURS PER DAY. DURING THE FISCAL YEAR OF 2025, AVITA ONTARIO HOSPITAL SERVED 2,035 INPATIENTS, 2,658 OBSERVATION PATIENTS, 29,027 EMERGENCY VISITS AND 110,657 OUTPATIENT VISITS. THESE WERE ALL SERVED REGARDLESS OF THE ABILITY TO PAY. AVITA ONTARIO HOSPITAL IS AN INTRICATE PART OF THE COMMUNITY. IT EMPLOYS 578 FULL TIME EQUIVALENTS. 308235815 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 1 2646 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 15 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 1 1 X D ERIC DRAIME 4194680501 269 PORTLAND WAY SOUTH GALION OH 44833 NHAN LUU PHYSICIAN 40.00 0.00 X 1737226 0 4417 KYLE RANDALL PHYSICIAN 40.00 0.00 X 1459300 0 6398 JERRY MORASKO PRESIDENT 0.10 40.70 X X 0 1034139 17576 TIMOTHY TAUSCH PHYSICIAN 40.00 0.00 X 1017388 0 12819 TIMOTHY SHIN PHYSICIAN 40.00 0.00 X 959731 0 1098 JAMES HEDDLESON PHYSICIAN 40.00 0.00 X 841153 0 2988 D ERIC DRAIME CFO 0.10 40.70 X X 0 426144 3050 LINDA H SMITH CHAIR 0.10 0.10 X X 0 0 0 JEFFERY A UNDERWOOD VICE CHAIR 0.10 0.10 X X 0 0 0 PHILLIP BROWN TREASURER 0.10 0.10 X X 0 0 0 JUSTIN MCMULLEN SECRETARY 0.10 0.10 X X 0 0 0 CHARLES WALKER DIRECTOR 0.10 0.10 X 0 0 0 DONALD F BARR DIRECTOR 0.10 0.10 X 0 0 0 DONALD L PLOTTS DIRECTOR 0.10 0.10 X 0 0 0 DOUGLAS SCHILLING BOARD AMBASSADOR (NO VOTE) 0.10 0.10 X 0 0 0 GLENN MCCLELLAND DIRECTOR - PART YEAR 0.10 0.10 X 0 0 0 JOSEPH SHADEED DIRECTOR 0.10 0.10 X 0 0 0 KAY MCDONALD DIRECTOR 0.10 0.10 X 0 0 0 KYMBERLY FOX DIRECTOR 0.10 0.10 X 0 0 0 MARK SCHNEIDER DIRECTOR 0.10 0.10 X 0 0 0 MICHAEL J KEMERER DIRECTOR 0.10 0.10 X 0 0 0 SHARI ROBERTSON DIRECTOR - PART YEAR 0.10 0.10 X 0 0 0 SHARLENE NEUMAN DIRECTOR - PART YEAR 0.10 0.10 X 0 0 0 6014798 1460283 48346 237 0 1 0 0 1495363 1495363 NET PATIENT REVENUE 621110 334870810 334870810 AVITA SUMMIT THERAPY 621110 368425 368425 335239235 718292 718292 81034 0 81034 81034 81034 232026 419264 0 -419264 232026 -187238 -187238 PHARMACY 456110 18782955 18782955 CAFETERIA & CATERING 621110 1190854 1190854 REBATES 621110 7096 7096 74160 74119 41 20055065 357401751 354177343 0 1729045 134194 134194 67492301 67333126 159175 22696 21492 1204 5601978 5589801 12177 95431446 95431446 67117 67117 19360069 19246558 113511 6960 6960 14878767 14853126 25641 601086 601086 5029033 4687686 341347 209725 209183 542 112461 100659 11802 10450243 9353550 1096693 2250 2014 236 MEDICAL SUPPLIES 74059669 72392752 1666917 BAD DEBT EXPENSE 18272182 18272182 311732177 308235815 3496362 0 29754636 41869955 40985523 47539311 219122 182575 4313077 5556077 2295477 2793723 196044956 122967369 80960247 73077587 15170600 15142099 993943 1007536 13983803 21667292 188676428 208836155 21526608 24088704 0 1150000 79571197 76964944 13752020 13753770 114849825 115957418 X 72924447 91934142 902156 944595 73826603 92878737 188676428 208836155 X 45669574 999447 -27616887 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3587 3587 0 PART II-B, LINE 1: GALION COMMUNITY HOSPITAL PAYS DUES TO OHIO HOSPITAL ASSOCIATION, 3.7% OF WHICH RELATES TO LOBBYING. 2204078 2204078 120628555 64874008 55754547 69478781 55601370 13877411 3733542 2491991 1241551 73077587 CONSTRUCTION IN PROCESS 7171055 BONDS 4830098 LEASE ASSETS 9666139 21667292 CAPITAL LEASES 6799340 INTEREST PAYABLE 572401 ESTIMATED THIRD PARTY PAYOR SETTLEMENT 2170178 ACCRUED INTEREST 150176 COMMUNITY NEEDS FUND 32760 ACCRUED IBNR 4028915 13753770 1 1 X 1 X 1 X 1 1 0 0 4534593 3439495 1095098 0.00370 55194150 44094214 11099936 0.03780 59728743 47533709 12195034 0.04150 59728743 47533709 12195034 0.04150 0 18272182 456805 62084668 69247230 -7162562 X 1 1 1 GALION COMMUNITY VASCULAR SERVICES LLC SERVICES FOR VASCULAR DIFFICULTIES 0.52000 0.00000 0.48000 2 GALION COMMUNITY PAIN MANAGEMENT LLC PAIN CLINIC 0.51000 0.00000 0.49000 3 AMERICAN SURGICAL SPINE SERVICES SPINAL CARE 0.51000 0.00000 0.49000 3 1 GALION COMMUNITY HOSPITAL 269 PORTLAND WAY SOUTH GALION OH 44833 X X X X 2 BCH ACQUISITION LLC 629 N SANDUSKY AVE BUCYRUS OH 44820 X X X X 3 AVITA ONTARIO HOSPITAL 715 RICHLAND MALL ONTARIO OH 44906 1532 474992388 X X X GALION COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 25 1 1 1 1 X HTTPS://TINYURL.COM/J7KDTSTF X 1 25 1 HTTPS://AVITAHEALTH.ORG/ABOUT-US/#COMMUNITY-WELLNESS 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X 1 X HTTPS://TINYURL.COM/JYMW2437 X HTTPS://TINYURL.COM/YY6URMKJ X HTTPS://TINYURL.COM/W75EW664 X X X X X X 1 X 0 X X X X 1 X 0 0 BCH ACQUISITION LLC 2 0 0 1 X X X X X X X X X 25 1 1 1 1 X HTTPS://TINYURL.COM/J7KDTSTF X 1 25 1 HTTPS://AVITAHEALTH.ORG/ABOUT-US/#COMMUNITY-WELLNESS 0 1 X 200.000000000000 400.000000000000 X X 1 1 X X X 1 X HTTPS://TINYURL.COM/JYMW2437 X HTTPS://TINYURL.COM/YY6URMKJ X HTTPS://TINYURL.COM/W75EW664 X X X X X X 1 X 0 X X X X 1 X 0 0 ONTARIO HOSPITAL 3 0 0 1 X X X X X X X X X 23 1 1 1 1 X HTTPS://TINYURL.COM/J7KDTSTF X X 1 23 1 HTTPS://AVITAHEALTH.ORG/ABOUT-US/#COMMUNITY-WELLNESS 0 1 X 200.000000000000 400.000000000000 X X 1 1 X X X 1 X HTTPS://TINYURL.COM/JYMW2437 X HTTPS://TINYURL.COM/YY6URMKJ X HTTPS://TINYURL.COM/W75EW664 X X X X X X 1 X 0 X X X X 1 X 0 0 GALION COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: CRAWFORD COUNTY CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, A NON-PROFIT HOSPITAL ASSOCIATION, LOCATED IN TOLEDO, OHIO, TO COORDINATE AND MANAGE THE HEALTH ASSESSMENT PROCESS. THE HOSPITAL COUNCIL HAS BEEN COMPLETING COMPREHENSIVE HEALTH ASSESSMENTS SINCE 1999. THE PROJECT COORDINATOR FROM THE HOSPITAL COUNCIL OF NW OHIO HOLDS A MASTER'S DEGREE IN PUBLIC HEALTH AND CONDUCTED A SERIES OF MEETINGS WITH THE PLANNING COMMITTEE FROM CRAWFORD COUNTY. DURING THESE MEETINGS, BANKS OF POTENTIAL SURVEY QUESTIONS FROM THE BRFSS SURVEY WERE REVIEWED AND DISCUSSED. BASED ON INPUT FROM THE CRAWFORD COUNTY PLANNING COMMITTEE, THE PROJECT COORDINATOR COMPOSED DRAFTS OF SURVEYS CONTAINING 115 ITEMS FOR THE ADULT SURVEY. THE DRAFTS WERE REVIEWED AND APPROVED BY HEALTH RESEARCHERS AT THE UNIVERSITY OF TOLEDO.LOCAL COMMUNITY AGENCIES WERE INVITED TO PARTICIPATE IN THE HEALTH ASSESSMENT PROCESS, INCLUDING CHOOSING QUESTIONS FOR THE SURVEYS, PROVIDING LOCAL DATA, REVIEWING DRAFT REPORTS AND PLANNING THE COMMUNITY EVENT, RELEASE OF THE DATA AND SETTING PRIORITIES. THE NEEDS OF THE POPULATION, ESPECIALLY THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS, WERE TAKEN INTO ACCOUNT THROUGH THE SAMPLE METHODOLOGY THAT SURVEYED THESE POPULATIONS. IN ADDITION, THE ORGANIZATIONS THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT AND COMMUNITY PLANNING PROCESS, SUCH AS COMMUNITY COUNSELING SERVICES, WESLEY CHAPEL/RESTORE MINISTRIES, ETC. THE PARTICIPANTS INCLUDED: BRAD DECAMP, CRAWFORD-MARION ADAMH BOARDCARRIE BETTS, AVITA HEALTH SYSTEMCINDA KROPKA, AVITA HEALTH SYSTEMCINDY WALLIS, COMMUNITY COUNSELING SERVICESCRYSTINA WALLAR, FAMILY & CHILDREN FIRST COUNCILDEENA SMITH, BUCYRUS YMCADEETTA SHAFFER, GALION CITY HEALTH DEPARTMENTGARY FRANKHOUSE, CRAWFORD COUNTY EDUCATION AND ECONOMIC DEVELOPMENT PARTNERSHIPJODY DEMO-HODGINS, CRAWFORD-MARION ADAMHJOE STAFFORD, COMMUNITY COUNSELING SERVICES & RESTORE MINISTRIESKATE SIEFERT, CRAWFORD COUNTY PUBLIC HEALTHKATHY BUSHEY, CRAWFORD COUNTY PUBLIC HEALTH WICLISA WORKMAN, THE COMMUNITY FOUNDATION FOR CRAWFORD COUNTYMADELINE NOVACK, MARYHAVENMARY JO CARLE, TOGETHER WE HURT, TOGETHER WE HEALPAM KALB, CRAWFORD COUNTY PUBLIC HEALTH HELP ME GROWPAULA BROWN, MARYHAVENSIS LOVE, CITY OF BUCYRUSSTEPHANIE ZMUDA, GALION CITY HEALTH DEPARTMENTSTEVE JOZWIAK, CRAWFORD COUNTY PUBLIC HEALTHTOM O'LEARY, CITY OF GALIONTRISH FACTOR, GALION CITY HEALTH DEPARTMENT BCH ACQUISITION, LLC PART V, SECTION B, LINE 5: CRAWFORD COUNTY CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, A NON-PROFIT HOSPITAL ASSOCIATION, LOCATED IN TOLEDO, OHIO, TO COORDINATE AND MANAGE THE HEALTH ASSESSMENT PROCESS. THE HOSPITAL COUNCIL HAS BEEN COMPLETING COMPREHENSIVE HEALTH ASSESSMENTS SINCE 1999. THE PROJECT COORDINATOR FROM THE HOSPITAL COUNCIL OF NW OHIO HOLDS A MASTER'S DEGREE IN PUBLIC HEALTH AND CONDUCTED A SERIES OF MEETINGS WITH THE PLANNING COMMITTEE FROM CRAWFORD COUNTY. DURING THESE MEETINGS, BANKS OF POTENTIAL SURVEY QUESTIONS FROM THE BRFSS SURVEY WERE REVIEWED AND DISCUSSED. BASED ON INPUT FROM THE CRAWFORD COUNTY PLANNING COMMITTEE, THE PROJECT COORDINATOR COMPOSED DRAFTS OF SURVEYS CONTAINING 115 ITEMS FOR THE ADULT SURVEY. THE DRAFTS WERE REVIEWED AND APPROVED BY HEALTH RESEARCHERS AT THE UNIVERSITY OF TOLEDO.LOCAL COMMUNITY AGENCIES WERE INVITED TO PARTICIPATE IN THE HEALTH ASSESSMENT PROCESS, INCLUDING CHOOSING QUESTIONS FOR THE SURVEYS, PROVIDING LOCAL DATA, REVIEWING DRAFT REPORTS AND PLANNING THE COMMUNITY EVENT, RELEASE OF THE DATA AND SETTING PRIORITIES. THE NEEDS OF THE POPULATION, ESPECIALLY THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS, WERE TAKEN INTO ACCOUNT THROUGH THE SAMPLE METHODOLOGY THAT SURVEYED THESE POPULATIONS. IN ADDITION, THE ORGANIZATIONS THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT AND COMMUNITY PLANNING PROCESS, SUCH AS COMMUNITY COUNSELING SERVICES, WESLEY CHAPEL/RESTORE MINISTRIES, ETC. THE PARTICIPANTS INCLUDED: BRAD DECAMP, CRAWFORD-MARION ADAMH BOARDCARRIE BETTS, AVITA HEALTH SYSTEMCINDA KROPKA, AVITA HEALTH SYSTEMCINDY WALLIS, COMMUNITY COUNSELING SERVICESCRYSTINA WALLAR, FAMILY & CHILDREN FIRST COUNCILDEENA SMITH, BUCYRUS YMCADEETTA SHAFFER, GALION CITY HEALTH DEPARTMENTGARY FRANKHOUSE, CRAWFORD COUNTY EDUCATION AND ECONOMIC DEVELOPMENT PARTNERSHIPJODY DEMO-HODGINS, CRAWFORD-MARION ADAMHJOE STAFFORD, COMMUNITY COUNSELING SERVICES & RESTORE MINISTRIESKATE SIEFERT, CRAWFORD COUNTY PUBLIC HEALTHKATHY BUSHEY, CRAWFORD COUNTY PUBLIC HEALTH WICLISA WORKMAN, THE COMMUNITY FOUNDATION FOR CRAWFORD COUNTYMADELINE NOVACK, MARYHAVENMARY JO CARLE, TOGETHER WE HURT, TOGETHER WE HEALPAM KALB, CRAWFORD COUNTY PUBLIC HEALTH HELP ME GROWPAULA BROWN, MARYHAVENSIS LOVE, CITY OF BUCYRUSSTEPHANIE ZMUDA, GALION CITY HEALTH DEPARTMENTSTEVE JOZWIAK, CRAWFORD COUNTY PUBLIC HEALTHTOM O'LEARY, CITY OF GALIONTRISH FACTOR, GALION CITY HEALTH DEPARTMENT ONTARIO HOSPITAL PART V, SECTION B, LINE 5: RICHLAND CRAWFORD COUNTY CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, A NON-PROFIT HOSPITAL ASSOCIATION, LOCATED IN TOLEDO, OHIO, TO COORDINATE AND MANAGE THE HEALTH ASSESSMENT PROCESS. THE HOSPITAL COUNCIL HAS BEEN COMPLETING COMPREHENSIVE HEALTH ASSESSMENTS SINCE 1999. THE PROJECT COORDINATOR FROM THE HOSPITAL COUNCIL OF NW OHIO HOLDS A MASTER'S DEGREE IN PUBLIC HEALTH AND CONDUCTED A SERIES OF MEETINGS WITH THE PLANNING COMMITTEE FROM CRAWFORD COUNTY. DURING THESE MEETINGS, BANKS OF POTENTIAL SURVEY QUESTIONS FROM THE BRFSS SURVEY WERE REVIEWED AND DISCUSSED. BASED ON INPUT FROM THE CRAWFORD COUNTY PLANNING COMMITTEE, THE PROJECT COORDINATOR COMPOSED DRAFTS OF SURVEYS CONTAINING 115 ITEMS FOR THE ADULT SURVEY. THE DRAFTS WERE REVIEWED AND APPROVED BY HEALTH RESEARCHERS AT THE UNIVERSITY OF TOLEDO.LOCAL COMMUNITY AGENCIES WERE INVITED TO PARTICIPATE IN THE HEALTH ASSESSMENT PROCESS, INCLUDING CHOOSING QUESTIONS FOR THE SURVEYS, PROVIDING LOCAL DATA, REVIEWING DRAFT REPORTS AND PLANNING THE COMMUNITY EVENT, RELEASE OF THE DATA AND SETTING PRIORITIES. THE NEEDS OF THE POPULATION, ESPECIALLY THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS, WERE TAKEN INTO ACCOUNT THROUGH THE SAMPLE METHODOLOGY THAT SURVEYED THESE POPULATIONS. IN ADDITION, THE ORGANIZATIONS THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT AND COMMUNITY PLANNING PROCESS. THE PARTICIPANTS INCLUDED: THE RICHLAND COUNTY CHIP COMMITTEE: TERESA ALT, RICHLAND COUNTY YOUTH AND FAMILY COUNCIL DIRECTOR TRACEE ANDERSON, COMMUNITY ACTION FOR CAPABLE YOUTH (CACY)ANDREA BARNES, SHELBY CITY HEALTH DEPARTMENTTERI BERNKUS, MAYOR, VILLAGE OF BELLVILLEELIZABETH BLAKLEY, RICHLAND COUNTY DOMESTIC RELATIONS COURT SHERRY BRANHAM, MENTAL HEALTH AND RECOVERY SERVICES BOARD OF RICHLAND COUNTYNYSHIA BROOKS, NORTH END COMMUNITY IMPROVEMENT COLLABORATIVE LAURA BURNS, MOM'S CLEAN AIR FORCETERRY CARTER, FIRST CALL 2-1-1 DR. AJAY CHAWLA, HEALTH COMMISSIONER, SHELBY CITY HEALTH DEPARTMENT ELLEN CLAIBORNE, RICHLAND PUBLIC HEALTH MARSHA COLEMAN, RICHLAND COUNTY CHILDREN SERVICES AMANDA CRAWFORD, UNITED WAYSELBY DORGAN, RICHLAND PUBLIC HEALTHDEBORAH DUBOIS, MANSFIELD/RICHLAND COUNTY PUBLIC LIBRARY HEATHER FOLEY, RICHLAND PUBLIC HEALTHKERRICK FRANKLIN, MANSFIELD AREA YMCA VERONICA GROFF, CATALYST LIFE SERVICESBETH HILDRETH, COMMUNITY HEALTH ACCESS PROJECT (CHAP) MAGGIE HOECKER, MANSFIELD MEMORIAL HOMES MARTIN JONES, RICHLAND COUNTY PROSECUTOR'S OFFICECINDA KROPKA, AVITA HEALTH SYSTEMEMILY LEEDY, RICHLAND PUBLIC HEALTH STACEY NOLEN, THIRD STREET FAMILY HEALTH SERVICESEUGENE PARKISON, MAYOR, VILLAGE OF LEXINGTON TINA PICMAN, RICHLAND PUBLIC HEALTHKARYL PRICE, RICHLAND PUBLIC HEALTHREED RICHARD, RICHLAND PUBLIC HEALTH SETH ROBERTS, MANSFIELD MEMORIAL HOMES AMY SCHMIDT, RICHLAND PUBLIC HEALTH JOTIKA SHETTY, RICHLAND COUNTY REGIONAL PLANNINGGERON TATE, NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE (NAACP)MARTIN TREMMEL, HEALTH COMMISSIONER, RICHLAND PUBLIC HEALTHKARI WESTFIELD, THIRD STREET FAMILY HEALTH SERVICES DR. TERRY WESTON, OHIOHEALTH MANSFIELD AND SHELBY HOSPITALSLISA WINTERSTELLER, CATALYST LIFE SERVICES GALION COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED BOTH GALION COMMUNITY HOSPITAL AND BUCYRUS COMMUNITY HOSPITAL (BCH ACQUISITION, LLC). BCH ACQUISITION, LLC PART V, SECTION B, LINE 6A: THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED BOTH GALION COMMUNITY HOSPITAL AND BUCYRUS COMMUNITY HOSPITAL (BCH ACQUISITION, LLC). ONTARIO HOSPITAL PART V, SECTION B, LINE 6A: THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED BOTH OHIOHEALTH MEDCENTRAL HEALTH SYSTEM MANSFIELD AND SHELBY HOSPITALS. GALION COMMUNITY HOSPITAL PART V, SECTION B, LINE 6B: CITY OF BUCYRUS, COMMUNITY COUNSELING SERVICES, COMMUNITY FOUNDATION FOR CRAWFORD COUNTY, CRAWFORD COUNTY EDUCATION & ECONOMIC DEVELOPMENT PARTNERSHIP, CRAWFORD COUNTY FAMILY & CHILDREN FIRST COUNCIL, CRAWFORD COUNTY PUBLIC HEALTH, CRAWFORD-MARION ADAMH BOARD, GALION CITY HEALTH DEPARTMENT, WESLEY CHAPEL/RESTORE MINISTRIES. BCH ACQUISITION, LLC PART V, SECTION B, LINE 6B: CITY OF BUCYRUS, COMMUNITY COUNSELING SERVICES, COMMUNITY FOUNDATION FOR CRAWFORD COUNTY, CRAWFORD COUNTY EDUCATION & ECONOMIC DEVELOPMENT PARTNERSHIP, CRAWFORD COUNTY FAMILY & CHILDREN FIRST COUNCIL, CRAWFORD COUNTY PUBLIC HEALTH, CRAWFORD-MARION ADAMH BOARD, GALION CITY HEALTH DEPARTMENT, WESLEY CHAPEL/RESTORE MINISTRIES. GALION COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: THERE WERE FIVE PRIORITY HEALTH ISSUES DETERMINED BY THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT AND IDENTIFIED IN CRAWFORD COUNTY'S FY2022 - FY2025 COMMUNITY HEALTH IMPROVEMENT PLAN. BOTH GALION COMMUNITY HOSPITAL AND BUCYRUS COMMUNITY HOSPITAL WILL WORK WITH AREA AGENCIES TO ADDRESS ALL FIVE PRIORITIES. TO DATE SEVERAL AGENCIES, INCLUDING AVITA HEALTH SYSTEM (GALION AND BUCYRUS HOSPITALS) HAVE FORMED CRAWFORD COUNTY HEALTH PARTNERS, A COALITION DEDICATED TO BRINGING PEOPLE AND ORGANIZATIONS TOGETHER TO IMPROVE COMMUNITY WELLNESS IN CRAWFORD COUNTY. BCH ACQUISITION, LLC PART V, SECTION B, LINE 11: THERE WERE FIVE PRIORITY HEALTH ISSUES DETERMINED BY THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT AND IDENTIFIED IN CRAWFORD COUNTY'S FY2022 - FY2025 COMMUNITY HEALTH IMPROVEMENT PLAN. BOTH GALION COMMUNITY HOSPITAL AND BUCYRUS COMMUNITY HOSPITAL WILL WORK WITH AREA AGENCIES TO ADDRESS ALL FIVE PRIORITIES. TO DATE SEVERAL AGENCIES, INCLUDING AVITA HEALTH SYSTEM (GALION AND BUCYRUS HOSPITALS) HAVE FORMED CRAWFORD COUNTY HEALTH PARTNERS, A COALITION DEDICATED TO BRINGING PEOPLE AND ORGANIZATIONS TOGETHER TO IMPROVE COMMUNITY WELLNESS IN CRAWFORD COUNTY. ONTARIO HOSPITAL PART V, SECTION B, LINE 11: THE RICHLAND COUNTY PARTNERS COMMUNITY HEALTH ASSESSMENT COLLABORATIVE WAS FORMED TO ADDRESS THE TOP TWO PRIORITY HEALTH NEEDS IDENTIFIED - CHRONIC DISEASE (DECREASE ASTHMA AND DIABETES) AND MENTAL HEALTH AND ADDICTION (DECREASE DEPRESSION, SUICIDE, DRUG DEPENDENCE/ABUSE AND DRUG OVERDOSE DEATHS). ORGANIZATIONS VOLUNTEERED TO WORK ON ACTION PLANS MOST APPROPRIATE/DOABLE FOR IT. CHRONIC DISEASE - JOINT USE AGREEMENTS, SMOKE FREE POLICIES; FOOD INSECURITY SCREENING AND REFERRAL; NUTRITION PRESCRIPTIONS; HEALTHY FOOD IN CONVENIENCE STORES; COMMUNITY GARDENS AND FARMERS' MARKETS; HEALTHY HOME ENVIRONMENT ASSESSMENTS; HIGHER QUALITY SCHOOL LUNCH PROGRAMS; RECRUITING A BARIATRIC SURGEONMENTAL HEALTH & ADDICTION - SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT; SCREEN FOR CLINICAL DEPRESSION FOR ALL PATIENTS 12 OR OLDER USING A STANDARDIZED TOOL; PROVIDE MENTAL HEALTH TRAININGS TO COMMUNITY MEMBERS; TRAUMA-INFORMED HEALTHCARE; PROVIDER TRAINING ON OPIOID GUIDELINES; EXPAND COMMUNITY COLLABORATION TO INCREASE AWARENESS AND COORDINATION OF MENTAL HEALTH SERVICES; SCHOOL-BASED VIOLENCE PREVENTION PROGRAMS; SCHOOL-BASED ALCOHOL/OTHER DRUG PREVENTION PROGRAMSCROSS-CUTTING STRATEGIES; CULTURAL COMPETENCE TRAININGS FOR HEALTHCARE PROFESSIONALS; COMPLETE STREETS; PUBLIC TRANSPORTATION; SCHOOL-BASED NUTRITION EDUCATION PROGRAMSTHE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT IS IN PROGRESS. 26 1 - GCH SURGICAL SERVICES 1593 OLENTANGY ROAD GALION OH 44833 SURGERY 2 - GCH HEALTH SERVICES 270 PORTLAND WAY SOUTH GALION OH 44833 CARDIOLOGY 3 - GCH PHYSICIAN PRACTICES 385 N SELTZER STREET CRESTLINE OH 44827 PHYSICIAN 4 - GCH ORTHOPEDICS CENTER 955 HOSFORD ROAD GALION OH 44833 ORTHOPEDIC 5 - BUCYRUS COMMUNITY PHYSICIANS 120 W MAIN STREET NEW WASHINGTON OH 44854 PHYSICIAN 6 - BUCYRUS COMMUNITY PHYSICIANS 140 HILL STREET BUCYRUS OH 44820 PHYSICIAN 7 - BUCYRUS MEDICAL OFFICES 130 HILL STREET BUCYRUS OH 44820 PHYSICIAN 8 - AVITA HEALTH 330 SELTZER CRESTLINE OH 44827 PHYSICIAN 9 - AVITA SUPPORT OFFICES 700 N COLUMBUS CRESTLINE OH 44827 SUPPORT OFFICES 10 - AVITA MEDICAL 955 BUCYRUS RD GALION OH 44833 PHYSICIAN 11 - WORKWELL OCCUPATIONAL HEALTH 800 PORTLAND WAY SOUTH GALION OH 44833 WORKWELL & PHYSICIAN 12 - AVITA FOURTH STREET MEDICAL 2981 WEST 4TH STREET ONTARIO OH 44906 PHYSICIAN 13 - AVITA ONTARIO SOUTH CAMPUS 600 RICHLAND MALL ONTARIO OH 44906 PHYSICIAN, LAB, & IMAGING 14 - AVITA EYE SERVICES 124 HILL STREET BUCYRUS OH 44820 EYE SERVICES 15 - AVITA GAUIS STREET MEDICAL 139 GAUIS STREET BUCYRUS OH 44820 PHYSICIAN 16 - BUCYRUS MEDICAL OFFICES 512 HILL STREET BUCYRUS OH 44820 PHYSICIAN 17 - AVITA THERAPY AND SPORTS MEDICINE 959 HOPLEY AVENUE BUCYRUS OH 44820 PHYSICIAN 18 - EAST MANSFIELD STREET MEDICAL 1323 E MANSFIELD STREET BUCYRUS OH 44820 PHYSICIAN 19 - AVITA THERAPY AND SPORTS MEDICINE 385 N SELTZER STREET CRESTLINE OH 44827 THERAPY 20 - AVITA PEDIATRIC THERAPY CENTER 865 HARDING WAY WEST GALION OH 44833 THERAPY 21 - GALION PHYSICIAN PRACTICES 1200 STATE ROUTE 598 GALION OH 44833 PHYSICIAN 22 - AVITA SUMMIT THERAPY 2170 STUMBO ROAD ONTARIO OH 44906 THERAPY 23 - AVITA SUMMIT THERAPY 142 N GAMBLE STREET SHELBY OH 44875 THERAPY 24 - AVITA SUMMIT THERAPY 390 MARION AVENUE MANSFIELD OH 44906 THERAPY 25 - AVITA HEALTH 987 STATE ROUTE 97 W BELLVILLE OH 44813 PHYSICIAN 26 - ONTARIO PHYSICIAN PRACTICES 710 RICHLAND MALL ONTARIO OH 44096 PHYSICIAN PART I, LINE 7: THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 USED COSTING METHOD. PART I, LN 7 COL(F): COLUMN F IS CALCULATED BASED ON THE TOTAL OF FORM 990, PART IX, LESS BAD DEBT EXPENSE ($18,272,182) REPORTED IN PART IX. PART III, LINE 2: BAD DEBT WAS CALCULATED BASED ON THE FINANCIAL STATEMENTS. PART III, LINE 3: ADDITIONAL BAD DEBT ATTRIBUTABLE TO PATIENTS IDENTIFIED UNDER CHARITY CARE WAS CALCULATED USING AN ESTIMATE OF PATIENTS THAT WERE MISCLASSIFIED AS BAD DEBT ORIGINALLY. THIS ESTIMATE WOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE HOSPITAL DOES NOT EXPECT TO COLLECT. PART III, LINE 4: FINANCIAL STATEMENT FOOTNOTE: AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL LOSS RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. PART III, LINE 8: WE REPORT MEDICARE COSTS BY THE COST TO CHARGE METHOD. MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORNE BY A GOVERNMENT PROGRAM.- THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY, IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS.- MEDICARE IS A SOCIETAL BENEFIT, PROVIDED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS INSURANCE PROVIDED BY AN EMPLOYER.- MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES. PART III, LINE 9B: EVEN IF THE HOSPITAL KNOWS A PATIENT QUALIFIES FOR FINANCIAL AID, IF IT IS NOT PROVIDED WITHOUT A SIGNED APPLICATION. GALION COMMUNITY HOSPITAL, BCH ACQUISITION AND AVITA ONTARIO HOSPITAL LLC DO MAKE AN EFFORT TO GET THE APPLICATION TO ALL PATIENTS. THE FINANCIAL COUNSELORS WILL TRY TO MAKE PHONE CONTACT WITH THOSE WHO ARE KNOWN TO QUALIFY TO ENCOURAGE COMPLETION OF THE FORMS. HOWEVER, THE PROCESS IS THE SAME FOR ALL PATIENTS. GALION COMMUNITY HOSPITAL AND BCH ACQUISITION LLC UTILIZES INTERNAL AND EXTERNAL COLLECTION EFFORTS (INCLUDING COLLECTION AGENCIES) FOR ALL PATIENTS, AFTER MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT QUALIFIES UNDER THE FAP. PART VI, LINE 2: COMMUNITY HEALTH SCREENINGS ARE CONDUCTED TO EVALUATE BLOOD PRESSURE, BLOOD SUGAR LEVELS, AND CHOLESTEROL. THE SCREENINGS ARE MONITORED TO DETERMINE THE TEACHING NEEDS OF THE COMMUNITY. GALION HOSPITAL ALSO DOES SCREENINGS FOR LOCAL BUSINESS AND COMMUNITY OUTREACH EVENTS. WE PARTICIPATE IN EVENTS SPONSORED BY THE CHAMBER OF COMMERCE AND THE CRAWFORD COUNTY FAIR. WE OFFER FREE DIABETES SUPPORT GROUPS AND PROSTATE CANCER SUPPORT GROUPS. GALION HOSPITAL ALSO MONITORS THE LOCAL HEALTH DEPARTMENT FOR ADVICE ON FLU TRENDS AND VACCINATION NEEDS. PART VI, LINE 3: EVERY BILL THAT IS SENT TO A PATIENT HAS INFORMATION ON THE REVERSE SIDE ABOUT HCAP AND THE CRITERIA FOR MEETING THE HCAP REQUIREMENTS. IT ALSO HAS THE GENERAL CHARITY POLICY AND INFORMS THE PATIENT OF AVAILABLE ASSISTANCE. THE PATIENT REPRESENTATIVE OR THE REGISTRATION PERSONNEL ARE ALL WELL VERSED IN THE REQUIREMENTS FOR HCAP AND CHARITY CARE. THEY WOULD BE HAPPY TO HELP ANY PATIENT TO FILL OUT THE FORMS AND REQUEST AID. THERE ARE ALSO SIGNS THROUGHOUT THE HOSPITAL THAT ADVISE THE PATIENT TO ASK ABOUT DISCOUNTS. PART VI, LINE 4: GALION AND BUCYRUS COMMUNITY HOSPITALS ARE BOTH LOCATED IN CRAWFORD COUNTY, OHIO. THE COUNTY HAS A TOTAL POPULATION OF 41,896. 21.4% ARE UNDER THE AGE OF 18 AND JUST OVER 22% ARE OVER THE AGE OF 65. THE LATEST STATISTICS FOR CRAWFORD COUNTY SHOW THE MEDIAN HOUSEHOLD INCOME AT $58,044 WITH POVERTY AT 11.2%. IT IS AN AREA HARD HIT BY THE RECESSION AND THE MOVEMENT OF JOBS OUT OF OHIO. UNEMPLOYMENT IS 5.7% FOR THE COUNTY. CRAWFORD COUNTY IS ONE OF THE LEADING COUNTIES IN THE STATE FOR PERSONS WITH DRUG ABUSE ISSUES.AVITA ONTARIO HOSPITAL IS LOCATED IN RICHLAND COUNTY, OHIO. THE COUNTY HAS A TOTAL POPULATION OF 124,893 WITH 21.4% UNDER THE AGE OF 18 AND 20.8% ARE 65 AND OVER. THE LATEST STATISTICS FOR RICHLAND COUNTY SHOW THE MEDIAN HOUSEHOLD INCOME AT $59,509 WITH POVERTY AT 13.5%. UNEMPLOYMENT IN THE COUNTY WAS 5.5% IN 2025. PART VI, LINE 5: GALION COMMUNITY HOSPITAL, BCH ACQUISITION LLC, AND AVITA ONTARIO HOSPITAL BELIEVE THAT IT IS THEIR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY. TO THAT END, THERE ARE MANY PROFESSIONALS WHO VOLUNTEER THEIR TIME IN THE AREA TO WORK WITH LOCAL GROUPS TO SCREEN THE NEEDS OF THE COMMUNITIES. GALION, BUCYRUS, AND ONTARIO ARE VERY ACTIVE IN THE AREA AND VERY PROACTIVE WITH PREVENTIVE DISEASE EDUCATION. VARIOUS HEALTH EDUCATION EVENTS ARE HELD EACH YEAR, INCLUDING: WOMEN'S HEALTH CLINIC, PROSTATE CANCER SCREENING, MUSCULOSKELETAL EVALUATIONS, AND BLOOD PRESSURE SCREENINGS. LEADERS OF ALL THREE ENTITIES ARE VERY INVOLVED IN CIVIC GROUPS IN THE COMMUNITIES. THROUGH THESE GROUPS THEY ARE ABLE TO BUILD RELATIONSHIPS AND PARTNERSHIPS WITH INDUSTRY AND BUSINESSES IN THE AREA. THEY ALSO PARTICIPATE WITH THE LOCAL HEALTH OFFICIALS IN DETERMINING WHAT THE COMMUNITY NEEDS. COMMUNITY BUILDING ACTIVITIES INCLUDE BLOOD PRESSURE SCREENING AND PROSTATE CANCER SCREENINGS. TWICE A YEAR GALION HOSPITAL OFFERS REDUCED FEE LAB DAYS WHERE THE COMMUNITY CAN HAVE BLOOD DRAWN FOR $100 AND A COMPLETE PANEL OF TESTS ARE RUN. THESE TESTS WOULD NORMALLY COST SEVERAL HUNDRED DOLLARS. PART VI, LINE 6: GALION COMMUNITY HOSPITAL, BCH ACQUISITION LLC AND AVITA ONTARIO HOSPITAL ARE PART OF A HEALTHCARE SYSTEM AND THEY EMPLOY PHYSICIANS THROUGH TWO PHYSICIAN GROUPS: COMMUNITY HEALTH ASSOCIATES AND NORTH CENTRAL OHIO FAMILY CARE CENTER. THESE ENTITIES ALL DELIVER CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE PHYSICIAN OFFICES SEE MANY PATIENTS WHO ARE NOT ABLE TO PAY. THE HOSPITALS WILL ALWAYS TREAT A PATIENT FOR MEDICALLY NECESSARY SERVICES. SCHEDULE H, PART V, SECTION B, LINE 4 THE DATE ON SCHEDULE H, PART V, SECTION B, LINE 4 REPRESENTS THE TAX RETURN YEAR. THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES WERE COMPLETED WITHIN THE FOLLOWING HOSPITAL FACILITIES' FISCAL YEAR ENDS:CRAWFORD COUNTY: FISCAL YEAR END 2025, 2022, 2019, 2016 AND 2013RICHLAND COUNTY: FISCAL YEAR END 2024, 2020 AND 2017 1 TUITION REIMBURSEMENT FOR GALION COMMUNITY HOSPITAL EMPLOYEES 50 134194 SCHEDULE I, PART III: ALL GALION COMMUNITY HOSPITAL EMPLOYEES ARE ELIGIBLE FOR REIMBURSEMENT. APPLICATIONS ARE APPROVED BY HUMAN RESOURCES. TUITION INVOICES AND GRADES ARE MONITORED BY THE CONTROLLER TO MAKE SURE THE STUDENT MEETS CERTAIN CRITERIA TO RECEIVE THE FUNDS. 0 0 0 0 0 0 0 1 0 NHAN LUU PHYSICIAN 397010 0 1340216 0 0 0 0 0 4417 0 1741643 0 0 0 KYLE RANDALL PHYSICIAN 665949 0 476351 0 317000 0 0 0 6398 0 1465698 0 0 0 JERRY MORASKO PRESIDENT 0 961785 0 72354 0 0 0 0 0 17576 0 1051715 0 0 TIMOTHY TAUSCH PHYSICIAN 782258 0 235130 0 0 0 0 0 12819 0 1030207 0 0 0 TIMOTHY SHIN PHYSICIAN 550014 0 409717 0 0 0 0 0 1098 0 960829 0 0 0 JAMES HEDDLESON PHYSICIAN 426754 0 414399 0 0 0 0 0 2988 0 844141 0 0 0 D ERIC DRAIME CFO 0 370796 0 55348 0 0 0 0 0 3050 0 429194 0 0 PART I, LINE 3: GALION COMMUNITY HOSPITAL RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE -COMPENSATION COMMITTEE PART I, LINE 7 PHYSICIANS QUALIFY FOR BONUSES BASED ON THEIR TARGET RVU'S. THIS TARGET IS FIGURED BY TAKING THEIR YEARLY SALARY AND DIVIDING IT BY THE RVU RATE WHICH COMES FROM MGMA GUIDELINES. PHYSICIAN BONUSES VARY BASED ON THEIR CONTRACT. THESE BONUSES ARE ACCRUED ON A MONTHLY BASIS AND PAID ON A QUARTERLY BASIS BASED ON THE PHYSICIAN'S CONTRACT TERM UNLESS THE PHYSICIAN IS NOT LIKELY TO MEET THE YEARLY TARGET. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION SHALL, AT ALL TIMES, BE AVITA HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR DIRECTORS SHALL HAVE THE APPROVAL OF THE BOARD OF DIRECTORS OF AVITA HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ORGANIZATION'S GOVERNING BODY, SUCH AS APPEAL OF THE GOVERNING BODY'S ELECTION OR REMOVAL OF MEMBERS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE SUB-COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS AND SENT TO THE EXECUTIVE COMMITTEE OF GALION COMMUNITY HOSPITAL'S BOARD FOR THEIR REVIEW PRIOR TO FILING. THE BOARD EXECUTIVE COMMITTEE APPROVES THE FORM 990 FOLLOWING REVIEW, AS AUTHORIZED BY THE FULL GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 12C GALION COMMUNITY HOSPITAL, AVITA ONTARIO HOSPITAL AND BCH ACQUISITION LLC HAVE A CONFLICT OF INTEREST POLICY THAT COVERS ALL BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION. CONFLICT OF INTEREST SURVEYS ARE REVIEWED BY BOARD CHAIRMAN AND THE CEO TO ENSURE COMPLIANCE. VARIOUS RESTRICTIONS ARE IMPOSED ON INDIVIDUALS WITH POTENTIAL CONFLICTS OF INTEREST (I.E. INABILITY TO VOTE) UNTIL DECISION HAS BEEN MADE ON POTENTIAL CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS ARE AVAILABLE TO THE PUBLIC UNLESS REQUESTED, OTHER THAN THE FINANCIAL STATEMENTS WHICH ARE ATTACHED TO GALION COMMUNITY HOSPITAL'S FORM 990. FORM 990, PART XI, LINE 9: EQUITY IN EARNINGS OF UNCONSOLIDATED INVESTEES -1,146,610. TRANSFER TO/FROM GALION COMMUNITY HOSPITAL -25,323,220. PENSION-RELATED CHANGES 2,943. DEFERRED REVENUE -1,150,000. FORM 990, PART XI, LINE 2C THE ORGANIZATION HAS A FINANCE COMMITTEE WHICH OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART XII, LINE 3B: SINGLE AUDIT IS COMPLETED ON A CONSOLIDATED BASIS. FORM 990, PART IX GALION COMMUNITY HOSPITAL'S RETIREMENT EXPENSES AND CERTAIN EMPLOYEE BENEFITS ARE REPORTED ON AVITA HEALTH SYSTEM'S RETURN IN PART IX. BCH ACQUISITION LLC 269 PORTLAND WAY SOUTH GALION OH 448332399 274283931 HEALTHCARE OH 77006526 20987061 GALION COMMUNITY HOSPITAL AVITA ONTARIO HOSPITAL LLC 715 RICHLAND MALL ONTARIO OH 44906 474992388 HEALTHCARE OH 114413333 67684279 GALION COMMUNITY HOSPITAL AVITA HEALTH FOUNDATION 269 PORTLAND WAY SOUTH GALION OH 44833 200934451 FUNDRAISING FOR GALION COMMUNITY HOSPITAL OH 501(C)(3) LINE 7 GALION COMMUNITY HOSPITAL 1 AVITA HEALTH SYSTEM 269 PORTLAND WAY SOUTH GALION OH 44833 274385692 HEALTHCARE OH 501(C)(3) LINE 12B, II N/A 0 COMMUNITY HEALTH ASSOCIATES INC 955 BUCYRUS ROAD GALION OH 44833 341784017 PHYSICIAN OFFICE OH 501(C)(3) LINE 12A, I GALION COMMUNITY HOSPITAL 1 CRAWFORD COUNTY SHARED HEALTH SERVICES INC 1220 NORTH MARKET STREET GALION OH 44833 341484014 HOME HEALTH & HOSPICE OH 501(C)(3) LINE 11 GALION COMMUNITY HOSPITAL 1 NORTH CENTRAL OHIO FAMILY CARE CENTER INC 269 PORTLAND WAY SOUTH GALION OH 44833 341807906 PHYSICIAN OFFICE OH 501(C)(3) LINE 12A, I GALION COMMUNITY HOSPITAL 1 GALION COMMUNITY PAIN MANAGEMENT LLC 269 PORTLAND WAY SOUTH GALION OH 44833 300602607 HOSPITAL SUPPORT OH GALION COMMUNITY HOSPITAL RELATED 1177110 374849 0 1 0.51000 AMERICAN SURGICAL SPINE SERVICES 629 N SANDUSKY AVE BUCYRUS OH 44820 371786727 HOSPITAL SUPPORT OH GALION COMMUNITY HOSPITAL RELATED 1104472 267600 0 1 0.51000 GALION COMMUNITY VASCULAR SERVICES LLC 269 PORTLAND WAY SOUTH GALION OH 44833 611613817 HOSPITAL SUPPORT OH GALION COMMUNITY HOSPITAL RELATED 20406 72405 0 1 0.52000 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 1 AVITA HEALTH FOUNDATION B 1495363 FORGIVENESS OF PAYABLE AVITA HEALTH FOUNDATION C 371913 NET ASSETS RELEASED COMMUNITY HEALTH ASSOCIATES R 22386545 FORGIVENESS OF PAYABLE