4A (Expenses $ 39460245 including grants of $ 11000) (Revenue $ 50341415)
SURGERY - THIS SERVICE IS COMPRISED OF SURGERY AND MINOR PROCEDURES. TOTAL VOLUME WAS 1,351 CONSISTING OF IP CARE (21%) AND OUTPATIENT CARE (79%).PHARMACY - THIS SERVICE CONSISTS OF CARE PROVIDED TO INPATIENTS (67%) AND OUTPATIENTS (33%).INPATIENT CARE - INPATIENT VOLUME CONSISTED OF 1,958 DISCHARGES AND 5,283 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 3.90 DAYS. BIRTHS TOTALED 367 AND A TOTAL OF 492 OBSERVATION DAYS OF SERVICE.FOR ADDITIONAL INFORMATION PLEASE SEE SCHEDULE H.

MCCULLOUGH-HYDE MEMORIAL HOSPITAL
"PART V, SECTION B, LINE 5: THE REGIONAL CHNA METHODOLOGY AND RESULTS WERE GENERATED THROUGH AN INCLUSIVE, COMPREHENSIVE, AND BALANCED DATA COLLECTION STRATEGY.COMPREHENSIVE DATA COLLECTION THE NEEDS ASSESSMENT UTILIZED A MIXED-METHOD APPROACH TO DATA COLLECTION INCLUDING SECONDARY QUANTITATIVE DATA AND PRIMARY QUANTITATIVE (REGIONAL CHNA COMMUNITY AND PROVIDER SURVEYS) AND QUALITATIVE (FOCUS GROUPS AND INTERVIEWS) DATA. SECONDARY DATA COLLECTION, WHICH BEGAN IN JANUARY OF 2021, SOUGHT TO UNDERSTAND THE GREATEST HEALTH CONDITIONS OF THE REGION, INCLUDING PREVALENCE AND IMPACT ON COMMUNITY MEMBERS. THESE RESULTS INFORMED THE CREATION OF SURVEY ITEMS THAT WERE ORGANIZED AROUND A SET OF CO-CREATED RESEARCH QUESTIONS. EACH DATA COLLECTION STRATEGY ADHERED TO A RECRUITMENT PLAN TO ENSURE A REPRESENTATIVE SAMPLE OF COMMUNITY MEMBERS, VOICES OF MARGINALIZED POPULATIONS, AND PROVIDERS ACROSS THE HEALTH AND SOCIAL SERVICES SECTORS WERE CAPTURED.OVERALL, THE SCOPE OF DATA COLLECTION WAS ROBUST AND INFORMED THE RESULTS OF THIS REGIONAL CHNA. THIS INCLUDES:8,321 COMMUNITY SURVEYS AVAILABLE APRIL, 2021 THROUGH JUNE, 2021, IN FIVE LANGUAGES. WITHIN THIS SAMPLE, REPRESENTATION WAS SEEN ACROSS 26 COUNTIES, MALES, FEMALES, AGES 18-65+, BLACK/AFRICAN AMERICAN, MULTIRACIAL, ASIAN, AMERICAN INDIAN, ALASKAN NATIVE, WHITE, AND HISPANIC/LATINO POPULATIONS. 859 PROVIDER SURVEYS, AVAILABLE APRIL, 2021 THROUGH MAY, 2021, INCLUSIVE OF BEHAVIORAL HEALTH, EDUCATION, EMERGENCY MEDICAL SERVICES, FAITH-BASED ORGANIZATIONS, FEDERALLY QUALIFIED HEALTH CENTERS, JUSTICE/CORRECTIONS, MEDICAL CARE (ADULT, GERIATRIC, PEDIATRIC) ORAL HEALTH, ORGANIZATIONS ADDRESSING HEALTH RELATED SOCIAL NEEDS AND SOCIAL DETERMINANTS OF HEALTH, PHARMACEUTICAL, AND PUBLIC HEALTH DEPARTMENTS. - PROVIDERS ALSO REPRESENTED ADMINISTRATION, DIRECT PATIENT CARE, ACADEMIC, SUPPORT STAFF, AND SUPERVISORS/MANAGEMENT. - PROVIDERS REPORTED SERVING A VARIETY OF POPULATIONS INCLUDING CHILDREN/YOUTH, PEOPLE WITH DISABILITIES, ETHNIC MINORITIES, PEOPLE EXPERIENCING HOMELESSNESS, PEOPLE IN THE JUSTICE SYSTEM, VETERANS, YOUNG ADULTS, LOW-INCOME POPULATIONS, AND LGBTQ+ POPULATIONS. 51 FOCUS GROUPS WITH 234 PEOPLE WERE HELD FROM MAY, 2021 THROUGH JULY, 2021, REPRESENTING ALL THREE MSAS. SPECIFICALLY, RECRUITMENT FOR THESE FOCUS GROUPS WERE BASED ON ADVISORY COMMITTEE IDENTIFICATION OF POPULATIONS WHO ARE TRADITIONALLY UNDERREPRESENTED, MARGINALIZED, OR EXPERIENCE GREATEST HEALTH DISPARITIES. - POPULATIONS REPRESENTED IN THESE FOCUS GROUPS INCLUDE ADULT MEN, THOSE EXPERIENCING FOSTER CARE OR FOSTER PARENTING, YOUTH AND ADULTS WITH DISABILITIES, ETHNIC, CULTURAL AND LANGUAGE MINORITIES, FIRST AND SECOND-GENERATION IMMIGRANTS, PEOPLE EXPERIENCING HOMELESSNESS, THOSE INVOLVED IN THE JUSTICE SYSTEM, LOW-INCOME FAMILIES AND INDIVIDUALS, PARENTS, VETERANS, OLDER ADULTS, COMMUNITY MEMBERS WITH LIVED EXPERIENCE OF MENTAL HEALTH AND/OR ADDICTION, AND FIRST RESPONDERS. 38 STAKEHOLDER INTERVIEWS WERE HELD SEPTEMBER 27, 2021 THROUGH OCTOBER 31, 2021, ACROSS HEALTH AND SOCIAL SERVICE PROVIDERS, SPECIFICALLY WITH THE FOLLOWING BEING REPRESENTED: MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD), PUBLIC HEALTH, HOSPITAL SYSTEMS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), TRANSPORTATION, HOUSING, FOOD ACCESS, HEALTHCARE ACCESS AND POLICY, SCHOOL-BASED HEALTH AND CHILDREN'S HEALTH CARE, MATERNAL AND INFANT CARE, LGBTQ+ HEALTH CARE, PHARMACY ACCESS, AND HEALTHCARE WORKFORCE DEVELOPMENT. DUE TO CHARACTER LIMITATION IN THE SOFTWARE, THESE DATA SOURCES COULD NOT BE INCLUDED IN THIS EXPLANATION. HOWEVER, APPENDIX C OF THE CHNA CONTAINS A DETAILED DESCRIPTION OF EACH DATA COLLECTION STRATEGY INCLUDING THE SAMPLING OR RECRUITMENT STRATEGY, AND ANALYSIS. THIS CAN BE FOUND ON PAGES 59 THROUGH 69 OF THE CHNA POSTED ON TRIHEALTH'S WEBSITE.DATA COLLECTION WAS ALSO COMPREHENSIVE IN THAT COMMUNITY MEMBERS, SOCIAL SERVICE PROVIDERS AND HEALTHCARE PROFESSIONALS WERE NOT ONLY ASKED ""WHAT COULD BE BETTER,"" BUT ALSO ""WHAT IS WORKING."" AS A RESULT, THIS REGIONAL CHNA INCLUDES A COLLECTION OF ASSETS AND RECOMMENDED POLICY AND PRACTICE INITIATIVES IDENTIFIED BY THE COMMUNITY THAT DIRECTLY TIE TO SYSTEM BARRIERS. NO DATA INFORMATION GAPS WERE IDENTIFIED WHILE CONDUCTING THE CHNA.CO-CREATED RESEARCH QUESTIONS TO CREATE THE GUIDING RESEARCH QUESTIONS, THE HEALTHCARE PROVIDERS PARTICIPATED IN A GROUP PROCESS, FACILITATED BY MEASUREMENT RESOURCES COMPANY (MRC), TO IDENTIFY THE EMERGING CURIOSITIES RELATED TO COMMUNITY HEALTH. THE EXERCISE FOCUSED ON MOVING BEYOND WHAT IS KNOWN THROUGH SECONDARY DATA AND ASKING QUESTIONS THAT CAN LEAD TO ACTION. THE FOLLOWING RESEARCH QUESTIONS WERE CO-CREATED BY THE ADVISORY COMMITTEE. 1. WHAT ARE THE GREATEST HEALTH NEEDS IN THE COMMUNITY? 2. HOW DO THE GREATEST HEALTH NEEDS DIFFER ACROSS COMMUNITIES AND COMMUNITY MEMBERS? 3. WHAT SOCIAL DETERMINANTS OF HEALTH (SDOH) DRIVE THESE GREATEST HEALTH NEEDS AMONG DIFFERENT COMMUNITIES AND COMMUNITY MEMBERS? 4. WHAT ARE THE SYSTEMIC BARRIERS OF THESE GREATEST HEALTH NEEDS AMONG DIFFERENT COMMUNITIES AND COMMUNITY MEMBERS? 5. WHAT ARE THE STRUCTURAL BARRIERS PROVIDERS FACE IN MEETING THE NEEDS OF THE COMMUNITY? 6. WHAT SPECIFIC ACTION STEPS CAN BE TAKEN BY VARIOUS PARTNERS TO ADDRESS THE ROOT CAUSES AND ACHIEVE MORE EQUITABLE HEALTH OUTCOMES? A. WHAT COMMUNITY-BASED EXPERTISE SHOULD BE LEVERAGED? B. WHAT BEST PRACTICES ARE BEING IMPLEMENTED? TO ANSWER THESE RESEARCH QUESTIONS, A FRAMEWORK WAS DEVELOPED FOR CENTERING EQUITY AND A COMPREHENSIVE UNDERSTANDING OF THE DRIVERS OF HEALTH CONDITIONS. FROM THIS FRAMEWORK, MRC AND THE ADVISORY COMMITTEE CO-CREATED A MIXED-METHOD DATA COLLECTION STRATEGY.EQUITY-CENTERED FRAMEWORK HEALTH EQUITY MEANS EVERYONE HAS A FAIR AND JUST OPPORTUNITY TO BE AS HEALTHY AS POSSIBLE. TO ACHIEVE AN UNDERSTANDING OF HEALTH EQUITY, EACH DATA COLLECTION STRATEGY INCLUDED MECHANISMS TO:1. HEAR THE VOICES OF COMMUNITY MEMBERS AND BE INTENTIONAL ABOUT ENGAGING COMMUNITY MEMBERS WHO ARE HISTORICALLY UNDERREPRESENTED IN COMMUNITY DATA. 2. ASK QUESTIONS ABOUT HEALTH EXPERIENCES, OUTCOMES, BARRIERS, AND SOLUTIONS. 3. DISAGGREGATE THE DATA BY REGION, AGE, RACE, AND GENDER AND OTHER CHARACTERISTICS WITH SUFFICIENT SAMPLE SIZES. 4. USE THE DATA TO CLEARLY IDENTIFY THE UNIQUE EXPERIENCES OF COMMUNITY MEMBERS."

MCCULLOUGH-HYDE MEMORIAL HOSPITAL
PART V, SECTION B, LINE 6A: * THE CHRIST HOSPITAL MT. AUBURN, * CINCINNATI CHILDREN'S HOSPITAL (CINCINNATI CHILDREN'S BURNET CAMPUS, CINCINNATI CHILDREN'S LIBERTY CAMPUS, CINCINNATI CHILDREN'S COLLEGE HILL CAMPUS)* ADAMS COUNTY REGIONAL MEDICAL CENTER,* MARGARET MARY HEALTH, * KETTERING HEALTH NETWORK (FORT HAMILTON HOSPITAL, GRANDVIEW MEDICAL CENTER, GREENE MEMORIAL HOSPITAL, KETTERING BEHAVIORAL MEDICINE CENTER, KETTERING MEDICAL CENTER, SOIN MEDICAL CENTER, SOUTHVIEW MEDICAL CENTER, SYCAMORE MEDICAL CENTER)* THE C&F LINDNER CENTER OF HOPE* BON SECOURS MERCY HEALTH (BON SECOURS MERCY HEALTH-ANDERSON HOSPITAL, BON SECOURS MERCY HEALTH-CLERMONT HOSPITAL, BON SECOURS MERCY HEALTH-FAIRFIELD HOSPITAL, BON SECOURS MERCY HEALTH-WEST HOSPITAL, BON SECOURS JEWISH HOSPITAL)* MERCY HEALTH URBANA HOSPITAL* MERCY HEALTH SPRINGFIELD REGIONAL MEDICAL CENTER* PREMIER HEALTH (ATRIUM MEDICAL CENTER, MIAMI VALLEY HOSPITAL, MIAMI VALLEY HOSPITAL NORTH, MIAMI VALLEY HOSPITAL SOUTH, UPPER VALLEY MEDICAL CENTER)* TRIHEALTH (TRIHEALTH BETHESDA BUTLER HOSPITAL, TRIHEALTH BETHESDA NORTH HOSPITAL, TRIHEALTH GOOD SAMARITAN HOSPITAL, TRIHEALTH MCCULLOUGH-HYDE MEMORIAL HOSPITAL, TRIHEALTH GOOD SAMARITAN EVENDALE HOSPITAL)* UC HEALTH (UC HEALTH DRAKE CENTER FOR POST-ACUTE CARE, UC HEALTH UNIVERSITY OF CINCINNATI MEDICAL CENTER, UC HEALTH WEST CHESTER HOSPITAL)* WILSON MEMORIAL HEALTH* WAYNE HEALTHCARE

MCCULLOUGH-HYDE MEMORIAL HOSPITAL
PART V, SECTION B, LINE 6B: * THE HEALTH COLLABORATIVE* GREATER DAYTON AREA HOSPITAL ASSOCIATION* ADAMS COUNTY HEALTH DEPARTMENT* AUGLAIZE COUNTY HEALTH DEPARTMENT* BROWN COUNTY HEALTH DEPARTMENT* BUTLER COUNTY HEALTH DEPARTMENT* CHAMPAIGN COUNTY HEALTH DEPARTMENT* CITY OF CINCINNATI HEALTH DEPARTMENT* CITY OF HAMILTON HEALTH DEPARTMENT* CLARK COUNTY HEALTH DEPARTMENT* CLERMONT COUNTY HEALTH DEPARTMENT* CLINTON COUNTY HEALTH DEPARTMENT* DARKE COUNTY HEALTH DEPARTMENT* FAYETTE COUNTY HEALTH DEPARTMENT* GREENE COUNTY HEALTH DEPARTMENT* HAMILTON COUNTY HEALTH DEPARTMENT* HIGHLAND COUNTY HEALTH DEPARTMENT* MIAMI COUNTY HEALTH DEPARTMENT* MONTGOMERY COUNTY HEALTH DEPARTMENT* CITY OF NORWOOD HEALTH DEPARTMENT* CITY OF PIQUA HEALTH DEPARTMENT* PREBLE COUNTY HEALTH DEPARTMENT* SHELBY COUNTY HEALTH DEPARTMENT* SPRINGDALE HEALTH DEPARTMENT* WARREN COUNTY COMBINED HEALTH DISTRICT

MCCULLOUGH-HYDE MEMORIAL HOSPITAL
PART V, SECTION B, LINE 7D: AVAILABLE UPON REQUEST WITHOUT CHARGE.PLEASE CONTACT TRIHEALTH MISSION AND CULTURE BY EITHER TELEPHONE (513-569-6248), E-MAIL (FRANK_NATION@TRIHEALTH.COM) OR MAIL (625 EDEN PARK DRIVE, 9TH FLOOR, CINCINNATI, OHIO 45202).

MCCULLOUGH-HYDE MEMORIAL HOSPITAL
"PART V, SECTION B, LINE 11: WHILE MCCULLOUGH-HYDE MEMORIAL HOSPITAL (""MHMH"") ACKNOWLEDGES ITS RESPONSIBILITY TO ASSUME A LEADERSHIP ROLE TO MEET THE IDENTIFIED COMMUNITY HEALTH NEEDS BELOW, IT CANNOT DO SO ALONE. TO HELP MAKE AN IMPACT, MHMH PLANS TO CONTINUE ITS COLLABORATIONS WITH THE FOLLOWING ORGANIZATIONS: * COALITION FOR A HEALTHY COMMUNITY OXFORD AREA (THE ""COALITION""): MHMH HAS A STRONG RELATIONSHIP WITH THE COALITION FOR A HEALTHY COMMUNITY OXFORD AREA. THE HOSPITAL WAS A FOUNDING MEMBER OF THIS ORGANIZATION. THE WORK OF THE COALITION PROVIDES MHMH WITH EVIDENCE-BASED INITIATIVES TO USE THROUGHOUT ITS SERVICE AREA. * HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) GRANT RECEIVED BY OXFORD'S SUBSTANCE USE DISORDER CONSORTIUM TO ADDRESS SUBSTANCE USE AND MENTAL HEALTH. * OTHER TRIHEALTH SYSTEM FACILITIES * SOCIAL SERVICE ORGANIZATIONS: INCLUDING OXFORD CHOICE PANTRY WHICH PROVIDES HEALTHY FOOD TO LOW INCOME INDIVIDUALS, OXFORD FAMILY RESOURCE, AND OXFORD FREE CLINIC * GOVERNMENT AGENCIES: INCLUDING LOCAL GOVERNMENT, HEALTH DEPARTMENTS AND OTHERS IN PUBLIC SERVICE WHICH PLAY A PART IN A HEALTHY COMMUNITY. 1. MENTAL HEALTH/ACCESS, INCLUDING PSYCHIATRIC SERVICES THROUGH CURRENT AND FUTURE HRSA GRANTS, THE FOLLOWING ACTIVITIES WILL BE IMPLEMENTED IN THE OXFORD AREA TO ADDRESS THIS NEED:* CONTINUE PEER SUPPORT SERVICES, IN PARTNERSHIP WITH DECOACH REHABILITATION SERVICES, TO CONNECT PATIENTS THROUGHOUT THE HOSPITAL WITH SUBSTANCE USE TREATMENT AND RECOVERY SERVICES. SERVICES MAY EXPAND TO ADDITIONAL SITES IN THE COMMUNITY WITH NEW FUNDING OPPORTUNITIES AND MAY BEGIN TO ADDRESS MENTAL HEALTH.* IMPLEMENT AND MAINTAIN A SEARCHABLE MENTAL HEALTH RESOURCE GUIDE ON THE COALITION'S WEBSITE.* CONTINUE TO SUPPORT MENTAL HEALTH FIRST AID TO COMMUNITY MEMBERS, FIRST RESPONDERS AND LAW ENFORCEMENT OFFICERS.* COORDINATE THE DEVELOPMENT OF A WORKFORCE PIPELINE BETWEEN MIAMI UNIVERSITY'S SCHOOL OF SOCIAL WORK AND LOCAL PROVIDERS TO DEVELOP COMMUNITY MENTAL HEALTH FELLOWSHIP OPPORTUNITIES* SUPPORT TALAWANDA SCHOOL DISTRICT IN PARTNERING WITH LOCAL MENTAL HEALTH AGENCIES TO PROVIDE SCHOOL-BASED SERVICES* PROMOTE ACCESS TO TELEHEALTH SERVICES THROUGH THE USE OF HOTSPOTS AND PARTNERING WITH LOCAL AGENCIES/ORGANIZATIONS TO PROVIDE INTERNET ACCESS AND PRIVATE SPACES FOR TELEHEALTH APPOINTMENTS* COORDINATE WITH AND SUPPORT OXFORD POLICE DEPARTMENT'S SOCIAL WORKER LIAISON POSITION* SUPPORT LOCAL LAW ENFORCEMENT OFFICERS TO ATTEND CRISIS INTERVENTION TRAINING (CIT)* EXPLORE AN INCENTIVE PROGRAM TO RECRUIT PSYCHIATRIC PROFESSIONALS TO THE OXFORD AREA* EXPLORE IMPROVED TRANSPORTATION OPTIONS TO THE EMERGENCY DEPARTMENT FOR MIAMI UNIVERSITY STUDENTS IN MENTAL HEALTH CRISIS SITUATIONS (INSTEAD OF THE CURRENT PRACTICE OF USING MARKED POLICE VEHICLES)* OFFER RELATED EDUCATION/PROGRAMMING TO ENTIRE SERVICE AREAIN ADDITION, MHMH PLANS TO ADDRESS THESE INITIATIVES BY PROVIDING APPROPRIATE PERSONNEL FOR PROGRAM MANAGEMENT SUPPORT AND NECESSARY RESOURCES. IT WILL DO SO IN PARTNERSHIP WITH DECOACH REHABILITATION SERVICES, COALITION FOR A HEALTHY COMMUNITY OXFORD AREA, FIRST RESPONDERS, LAW ENFORCEMENT OFFICERS, MIAMI UNIVERSITY SCHOOL OF SOCIAL WORK, LOCAL PROVIDERS OF BEHAVIORAL HEALTH SERVICES, TALAWANDA SCHOOL DISTRICT, LOCAL AGENCIES AND ORGANIZATIONS FOR PRIVATE INTERNET ACCESS, OXFORD POLICE DEPARTMENT, MIAMI UNIVERSITY 2. ALCOHOL AND OTHER DRUGS, ESPECIALLY OPIATE USE OVERDOSE, SMOKING/VAPING THROUGH CURRENT AND FUTURE HRSA GRANTS, THE FOLLOWING ACTIVITIES WILL BE IMPLEMENTED IN THE OXFORD AREA TO ADDRESS THIS NEED:* WORK TOWARDS IMPLEMENTING SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) IN THE EMERGENCY DEPARTMENT * CONTINUE TO WORK WITH THE BUTLER COUNTY GENERAL HEALTH DISTRICT AND THE REGIONAL HARM REDUCTION COLLABORATIVE TO PROVIDE HARM REDUCTION SERVICES IN THE OXFORD AREA, INCLUDING SYRINGE EXCHANGE, NALOXONE, FENTANYL TEST STRIPS, HIV/HCV TESTING, AND REFERRALS * CONTINUE PEER SUPPORT SERVICES, IN PARTNERSHIP WITH DECOACH REHABILITATION SERVICES, TO CONNECT PATIENTS THROUGHOUT THE HOSPITAL WITH SUBSTANCE USE TREATMENT AND RECOVERY SERVICES * CONTINUE TO SUPPORT THE OXFORD HOPE STIGMA REDUCTION MEDIA CAMPAIGN BY SHARING MESSAGES AND OTHER INFORMATION AS WELL AS PARTICIPATING IN COMMUNITY EVENTS * CONTINUE TO SUPPORT COMMUNITY MEDICATION TAKE BACK EVENTS * CONTINUE TO SUPPORT TALAWANDA SCHOOL DISTRICT AND LOCAL FIRST RESPONDERS IN THE IMPLEMENTATION OF A HANDLE WITH CARE INSPIRED MODEL * EXPLORE MOBILE HARM REDUCTION OUTREACH AND OTHER SERVICES IN THE OXFORD AREA TO INCREASE ACCESS * WORK WITH THE COALITION TO PLAN AND IMPLEMENT PREVENTION OUTREACH INITIATIVES IN UNDERSERVED AREAS OF THE OXFORD COMMUNITY * OFFER RELATED EDUCATION/PROGRAMMING TO ENTIRE SERVICE AREA IN ADDITION, MHMH PLANS TO ADDRESS THESE INITIATIVES BY:* SUPPORT THE COALITION IN THE IMPLEMENTATION OF PROGRAMMING TO PREVENT AND REDUCE YOUTH E-CIGARETTE USE THROUGH MEDIA CAMPAIGNS AND CESSATION PROGRAMMING * CONTINUE TO SUPPORT THE IMPLEMENTATION OF THE PAX GOOD BEHAVIOR GAME IN THE TALAWANDA SCHOOL DISTRICT * CONTINUE TO GROW MITS (MIAMI INITIATIVE TEAM), YITS (TALAWANDA HIGH SCHOOL YOUTH INITIATIVE TEAM), AND BITS (TALAWANDA MIDDLE SCHOOL BRAVE INITIATIVE TEAM) TO BUILD A YOUTH PREVENTION NETWORK. THE NETWORK WILL OFFER MENTORING OPPORTUNITIES, STUDENT-LED AWARENESS ACTIVITIES, AND PROMOTE ALCOHOL AND DRUG-FREE LIFESTYLES. PLUS MHMH, IT WILL PROVIDE APPROPRIATE PERSONNEL FOR PROGRAM MANAGEMENT SUPPORT AND NECESSARY RESOURCES. IT WILL DO SO IN PARTNERSHIP WITH COALITION FOR A HEALTHY COMMUNITY OXFORD AREA, TALAWANDA SCHOOL DISTRICT, BUTLER COUNTY GENERAL HEALTH DISTRICT, REGIONAL HARM REDUCTION COLLABORATIVE, DECOACH REHABILITATION SERVICES, FIRST RESPONDERS.3. ACCESS TO HEALTH CARE (LOW INCOME, COMMUNICATION, TRANSPORTATION) THROUGH A FUTURE HRSA GRANT, THE FOLLOWING ACTIVITIES ARE PLANNED IN THE OXFORD AREA TO ADDRESS THIS NEED:* PROMOTE ACCESS TO TELEHEALTH SERVICES THROUGH THE USE OF HOTSPOTS AND PARTNERING WITH LOCAL AGENCIES/ORGANIZATIONS TO PROVIDE INTERNET ACCESS AND PRIVATE SPACES FOR TELEHEALTH APPOINTMENTS * EXPLORE IMPROVED TRANSPORTATION OPTIONS TO THE EMERGENCY DEPARTMENT FOR MIAMI UNIVERSITY STUDENTS IN MENTAL HEALTH CRISIS SITUATIONS (INSTEAD OF THE CURRENT PRACTICE OF USING MARKED POLICE VEHICLES) * EXPLORE MOBILE HARM REDUCTION OUTREACH AND OTHER SERVICES IN THE OXFORD AREA TO INCREASE ACCESS * EXPLORE COMMUNICATION METHODS TO AREAS WITHOUT CELL PHONE COVERAGE OR INTERNET COVERAGE TO HEALTH RELATED ACTIVITIES * CONTINUE TO SUPPORT THE OXFORD FREE CLINIC, WHICH PROVIDES FREE HEALTHCARE TO THE COMMUNITY IN ITS CLINIC, FINANCIAL SUPPORT TO SEE NEEDED SPECIALIST, AND PRESCRIPTION ASSISTANCE TO ITS CLIENTS * CONTINUE TO SUPPORT LOCAL LIFE SQUADS * OFFER RELATED EDUCATION/PROGRAMMING TO ENTIRE SERVICE AREA MHMH WILL PROVIDE APPROPRIATE PERSONNEL FOR PROGRAM MANAGEMENT SUPPORT AND NECESSARY RESOURCES IN ORDER TO ADDRESS THESE INITIATIVES. IT WILL DO SO IN PARTNERSHIP WITH LOCAL AGENCIES AND ORGANIZATIONS, MIAMI UNIVERSITY, OXFORD FREE CLINIC, LIFE SQUADS.IT IS IMPORTANT TO NOTE THAT REGARDING ACCESS TO HEALTHCARE RELATED TO LOW INCOME POPULATIONS, PRIMARY HEALTH SOLUTIONS, A FEDERALLY FUNDED HEALTH CENTER LOCATED IN THE MHMH COMMUNITY, SERVES TO IMPROVE ACCESS TO CARE FOR THE LOW INCOME/MEDICAID CLIENT.4. FOOD INSECURITY/OBESITY & 5. HEALTHY BEHAVIORS, ESPECIALLY PHYSICAL ACTIVITY AND HEALTHY EATING, LEADING TO OBESITYTHE STRATEGY OR PROGRAMS NEEDED TO ACHIEVE THIS GOAL IS AS FOLLOWS:* SUPPORT THE COALITION IN INITIATIVES FOR THE SERVICE AREA, SUCH AS COMMUNITY WALKING CHALLENGES, TALAWANDA SCHOOLS' PROGRAMMING, THE FRESH AIR FAIR, AND THE ""ROX"" SOCIAL MARKETING PROGRAM * CONTINUE TO EXPLORE WAYS TO PROMOTE AWARENESS OF THE FOOD RESOURCE MAP, DEVELOPED BY AN INTERN OF THE COALITION, AS WELL AS THE TOPPS MOBILE FOOD PANTRY * SUPPORT THE CITY OF OXFORD ON A COMPLETE STREETS AND ACTIVE TRANSPORTATION PLAN BY CONTINUING TO PARTICIPATE AT COMMITTEE AND CITY COUNCIL MEETINGS, AND SUPPORTING WALK AUDITS AND GRANT WRITING * CONTINUE TO PROVIDE THE AMERICAN DIABETES ASSOCIATION'S CERTIFIED DIABETES SELF-MANAGEMENT EDUCATION MONTHLY AT THE HOSPITAL. THIS CLASS IS PAID FOR BY INSURANCE AND THE MCCULLOUGH-HYDE FOUNDATION FUND FOR THOSE UNDERINSURED AND UNINSURED TO ASSURE ALL HAVE ACCESS TO THE PROGRAM. MHMH WILL PROVIDE APPROPRIATE PERSONNEL FOR PROGRAM MANAGEMENT SUPPORT AND NECESSARY RESOURCES IN ORDER TO ADDRESS THESE INITIATIVES. IT WILL DO SO IN PARTNERSHIP WITH COALITION FOR A HEALTHY COMMUNITY OXFORD AREA, CITY OF OXFORD.PLEASE NOTE THAT ALL OF THE ABOVE NEEDS BEING ADDRESSED ARE IN LINE WITH THE STATE HEALTH IMPROVEMENT PLAN (SHIP) 2020-2022. ALSO, THERE WEREN'T ANY SIGNIFICANT HEALTH NEEDS FROM THE 2022 CHNA THAT MHMH DID NOT ADDRESS."

MCCULLOUGH-HYDE MEMORIAL HOSPITAL
PART V, SECTION B, LINE 13B: SEE PART VI RESPONSE RELATED TO PART I, LINE 3C.

MCCULLOUGH-HYDE MEMORIAL HOSPITAL
PART V, SECTION B, LINE 13H: SEE PART VI RESPONSE RELATED TO PART I, LINE 3C.

PART I, LINE 3C:
"MCCULLOUGH-HYDE MEMORIAL HOSPITAL UTILIZES THE FEDERAL POVERTY GUIDELINES (""FPG"") IN DETERMINING CHARITY CARE ELIGIBILITY. SEE THE RESPONSES TO PART I, LINES 3A AND 3B.AN INDIVIDUAL'S INCOME UNDER THE FPG IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR CHARITY CARE. ADDITIONALLY, AN INDIVIDUAL'S INCOME IN RELATION TO HIS/HER MEDICAL EXPENSES IS ALSO TAKEN INTO ACCOUNT AND SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES. FINALLY, MCCULLOUGH-HYDE MEMORIAL HOSPITAL PROVIDES DISCOUNTED CARE AT SELECT CLINICS."

PART I, LINE 6A:
IN 1995, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND BETHESDA HOSPITAL, INC. FORMED A PARTNERSHIP CALLED TRIHEALTH, INC TO CREATE AN INTEGRATED HEALTH DELIVERY SYSTEM WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE THEY SERVE, WITH AN EMPHASIS ON PREVENTION, WELLNESS AND EDUCATION. IN 2015, TRIHEALTH PURCHASED A 60% INTEREST IN MCCULLOUGH-HYDE MEMORIAL HOSPITAL TO SUPPORT ITS MISSION. IN 2019, TRIHEALTH PURCHASED THE REMAINING 40% INTEREST AND MCCULLOUGH-HYDE MEMORIAL HOSPITAL IS NOW FULLY INTEGRATED INTO THE SYSTEM.THE COMMUNITY BENEFIT PROVIDED BY MCCULLOUGH-HYDE MEMORIAL HOSPITAL IS TRACKED ON A STANDALONE BASIS; HOWEVER, ITS COMMUNITY BENEFIT IS REPORTED IN A REPORT PREPARED BY TRIHEALTH IN COMBINATION WITH ITS RELATED HOSPITALS - BETHESDA HOSPITAL, INC. AND THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO.

PART I, LINE 7:
MCCULLOUGH-HYDE MEMORIAL HOSPITAL UTILIZED WORKSHEET 2 - RATIO OF PATIENT CARE COST-TO-CHARGES, WHICH WAS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H, TO CALCULATE THE COST-TO-CHARGE RATIO.

PART I, LN 7 COL(F):
BAD DEBT EXPENSE IS NOT INCLUDED ON FORM 990, PART IX, LINE 25. IT IS PRESENTED ON FORM 990, PART VIII, LINE 2 AS A DEDUCTION FROM PATIENT SERVICE REVENUE WHICH CORRESPONDS TO ITS FINANCIAL STATEMENT PRESENTATION. SEE RESPONSE TO PART III, LINE 4. THEREFORE, NO ADJUSTMENT TO TOTAL EXPENSES SHOWN ON FORM 990, PART IX, LINE 25 IS NECESSARY.

PART II, COMMUNITY BUILDING ACTIVITIES:
MHMH PROMOTES HEALTH AND WELL-BEING IN OUR COMMUNITY IN NUMEROUS WAYS NOT LISTED IN THE COMMUNITY EVENTS AND PROGRAMS SECTION OF THE FORM 990. EXAMPLES INCLUDE:1) MHMH HELPED PROMOTE WELLNESS BY PROVIDING MEETING SPACE TO VARIOUS SUPPORT GROUPS.2) MHMH ASSISTED OUR LOCAL SCHOOL DISTRICT WITH IDENTIFIED HEALTH/WELLNESS NEEDS. 3) MHMH PROVIDED OFFICE SPACE AND MEETING SPACE FOR THE OXFORD COLLEGE CORNER CLINIC, WHICH IS A CLINIC THAT PROVIDES FREE HEALTH CARE TO THE UNINSURED AND UNDERINSURED ADULTS IN OUR COMMUNITY.

PART III, LINE 2:
SEE PART VI RESPONSE TO PART III, LINE 4.

PART III, LINE 3:
SEE PART VI RESPONSE TO PART III, LINE 4.

PART III, LINE 4:
"MCCULLOUGH-HYDE MEMORIAL HOSPITAL'S FINANCIAL STATEMENTS ARE AUDITED AS PART OF THE TRIHEALTH AUDIT REPORT AND AS SUCH FOLLOWING IS THAT REPORT'S FOOTNOTE.PLEASE NOTE THAT UNDER ACCOUNTING STANDARDS UPDATE NO. 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), WHICH THE TRIHEALTH SYSTEM ADOPTED DURING THE TAX YEAR 2019 (FISCAL YEAR ENDED JUNE 30, 2020), BAD DEBT IS CONSIDERED AN ""IMPLICIT PRICE CONCESSION AND IS NOT DISTINGUISHED FROM A CONTRACTUAL ADJUSTMENT UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND THEREFORE THERE IS NO LONGER A SPECIFIC DISCLOSURE FOR BAD DEBT IN THE CURRENT YEAR AUDIT REPORT.SEE PATIENT SERVICE REVENUE (PART OF FOOTNOTE B - PAGES 19-23) FOR ADDITIONAL DETAIL REGARDING THE ABOVE-MENTIONED STANDARD AS WELL AS HOW THE TRIHEALTH SYSTEM ACCOUNTS FOR PATIENT SERVICE REVENUE.AS FOR THE AMOUNT OF BAD DEBT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, MCCULLOUGH-HYDE MEMORIAL HOSPITAL DOES NOT REPORT ACTUAL BAD DEBT EXPENSE AS COMMUNITY BENEFIT. IF UPON FURTHER RESEARCH, IT IS ULTIMATELY DETERMINED THAT A PORTION OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER TRIHEALTH'S CHARITY CARE POLICY, THOSE COSTS WOULD BE RECLASSIFIED, AS APPROPRIATE, TO COMMUNITY BENEFIT AT THAT TIME.PLEASE NOTE THAT BAD DEBT EXPENSE IS NOT DETERMINED UNTIL AFTER ALL DISCOUNTS AND ANY ASSOCIATED PAYMENTS ARE TAKEN INTO ACCOUNT. IF ANY PAYMENTS ARE RECEIVED AFTER A PATIENT ACCOUNT IS DETERMINED TO BE BAD DEBT, THE ACCOUNT WILL BE ADJUSTED ACCORDINGLY AT THAT TIME."

PART III, LINE 9B:
AS OF THE FILING OF THIS RETURN, MCCULLOUGH-HYDE MEMORIAL HOSPITAL, AS PART OF TRIHEALTH, INC., MAINTAINS A WRITTEN DEBT COLLECTION POLICY. TRIHEALTH, INC., WHO PERFORMS THE BILLING SERVICES FOR ALL AFFILIATED HOSPITALS, WILL NOT INITIATE COLLECTION PRACTICES ON PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. BEFORE COLLECTION ACTIONS ARE TAKEN, TRIHEALTH, INC. WILL MAKE REASONABLE EFFORTS, GENERALLY AS EARLY IN THE BILLING PROCESS AS POSSIBLE, TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. AFTER SUCH EFFORTS HAVE BEEN MADE AND A BALANCE REMAINS THAT IS THE RESPONSIBILITY OF THE PATIENT OR GUARANTOR, TRIHEALTH, INC. MAY PURSUE, IN ITS SOLE DISCRETION, WHATEVER ACTIONS IT MAY BE ENTITLED TO TAKE UNDER LAW.

PART VI, LINE 3:
TRIHEALTH, INC. PERFORMS THE BILLING SERVICES FOR ALL AFFILIATED HOSPITALS INCLUDING MCCULLOUGH-HYDE MEMORIAL HOSPITAL BROCHURES/APPLICATIONS, PROVIDED IN MULTIPLE LANGUAGES, ARE VISIBLE AND AVAILABLE IN THE REGISTRATION AND ADMITTING AREAS OF ALL TRIHEALTH AFFILIATED HOSPITALS. IN ADDITION, THE APPLICATION IS PRINTED ON THE REVERSE SIDE OF A PATIENT'S BILL WITH INSTRUCTIONS ON HOW TO COMPLETE THE APPLICATION AS WELL AS HOW TO RETURN IT. FINANCIAL COUNSELORS ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. FINALLY, TRIHEALTH, INC.'S WEBSITE CONTAINS INFORMATION REGARDING ITS CHARITY CARE AND FINANCIAL ASSISTANCE PROGRAMS WITH DIRECTIONS ON HOW TO CONTACT THE APPROPRIATE PERSONNEL TO INITIATE AN APPLICATION OR ASK QUESTIONS ABOUT THE PROCESS.

PART VI, LINE 6:
IN 1995, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND BETHESDA HOSPITAL, INC. FORMED A PARTNERSHIP CALLED TRIHEALTH IN ORDER TO CREATE AN INTEGRATED HEALTH DELIVERY SYSTEM WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE THEY SERVE, WITH AN EMPHASIS ON PREVENTION, WELLNESS AND EDUCATION.THROUGH FIVE (5) HOSPITALS, SIX (6) AMBULATORY LOCATIONS AND OVER 125 SITES OF CARE (EMPLOYING OVER 600 PHYSICIANS INCLUDING RESIDENTS), TRIHEALTH PROVIDES A WIDE RANGE OF CLINICAL, EDUCATIONAL, PREVENTIVE AND SOCIAL PROGRAMS. TRIHEALTH'S NON-HOSPITAL SERVICES INCLUDE PHYSICIAN PRACTICE MANAGEMENT, FITNESS CENTERS AND FITNESS CENTER MANAGEMENT, OCCUPATIONAL HEALTH CENTERS, HOME HEALTH AND HOSPICE CARE.HTTPS://WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/

PART VI, LINE 2:
"OVER THE LAST TEN YEARS, MCCULLOUGH-HYDE MEMORIAL HOSPITAL (""MHMH"") HAS PARTICIPATED IN A PROCESS OF MULTIPLE COMMUNITY HEALTH NEEDS ASSESSMENT. AS A FOLLOW UP TO THE 2018 CHNA, TRIHEALTH, INC. AND ITS HOSPITALS JOINED THIRTY-ONE (31) OTHER HOSPITALS AND 22 HEALTH DEPARTMENTS IN THE GREATER CINCINNATI-DAYTON REGION TO SPONSOR AND FUND A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT FOR 2021. THE COMPREHENSIVE CHNA SPANS TWENTY-SIX (26) COUNTIES. THE REGIONAL CHNA REPORT COVERS GREATER DAYTON AND GREATER CINCINNATI, WHICH INCLUDES NORTHERN KENTUCKY AND SOUTHEASTERN INDIANA. IN THIS REGIONAL CHNA, HEALTH ENCOMPASSES PHYSICAL, MENTAL, AND SOCIAL CONDITIONS. HEALTH CARE IS INCLUSIVE OF HOSPITALS AND EMERGENCY ROOMS, PRIMARY CARE, BEHAVIORAL HEALTH, SPECIALTY CARE (I.E., VISION, DENTAL, CHIROPRACTIC, ETC.) AND SOCIAL SERVICES THAT SUPPORT HEALTH OR LINK COMMUNITY MEMBERS TO HEALTH CARE.THE 2021 CHNA REPORT SHARES DATA FOR THE WHOLE REGION AS WELL AS DETAILED COUNTY-LEVEL DATA. ALSO, THIS REGIONAL CHNA INCLUDES A COMPREHENSIVE DATA-DRIVEN APPROACH TO DEFINE THE CURRENT STATE OF HEALTH AND HEALTH EQUITY WITH THE GOAL OF INFORMING A COLLECTIVE, PRIORITIZE AN ACTIONABLE AGENDA FOR IMPROVING HEALTH OUTCOMES ACROSS THE REGION OVER THE NEXT THREE YEARS. LIKE THE STATEWIDE HEALTH IMPROVEMENT PLAN (SHIP) FOR OHIO, THIS REGIONAL CHNA EXPLORES THE PRIORITY FACTORS THAT INFLUENCE HEALTH INCLUDING PERCEPTIONS OF HEALTHCARE QUALITY AND ACCESS, HEALTH BEHAVIORS AND COMMUNITY CONDITIONS (I.E., SOCIAL DETERMINANTS OF HEALTH). GUIDED BY THE SHIP, THE REGIONAL CHNA FOCUSES ON THE PRIORITY HEALTH OUTCOMES RELATED TO CHRONIC DISEASE, MENTAL HEALTH AND ADDICTION, AND MATERNAL AND INFANT HEALTH. THE RECOMMENDATIONS PUT FORTH IN THIS NEEDS ASSESSMENT SUPPORT THE PRIORITIES OF THE SHIP AND PROVIDE A FRAMEWORK FOR WORKING COLLABORATIVELY IN ADDRESSING DISPARITIES AND BARRIERS TO A HEALTHIER COMMUNITY. A COPY OF THE REGIONAL CHNA CAN BE FOUND AT THE FOLLOWING URL (HTTPS://HEALTHCOLLAB.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/).FROM THIS LARGER REPORT, TRIHEALTH DEVELOPED A CHNA AND ASSOCIATED IMPLEMENTATION STRATEGY FOR EACH OF ITS FACILITIES BASED ON THE COUNTY BREAKDOWN AND DISCUSSION WITH TRIHEALTH LEADERS WITH EXPERTISE IN THE AREAS WHICH NEED TO BE ADDRESSED. THE FULL TEXT OF THESE CHNAS ARE AVAILABLE ON TRIHEALTH'S WEBSITE. SEE SCHEDULE H, PART V, LINE 7A FOR THE URL."

PART VI, LINE 4:
"MCCULLOUGH-HYDE MEMORIAL HOSPITAL (""MHMH"") SERVES A DIVERSE DEMOGRAPHIC INCLUDING THE NORTHWESTERN CORNER OF BUTLER COUNTY, OHIO, THE SOUTHWESTERN CORNER OF PREBLE COUNTY, OHIO AND THE COUNTIES OF FRANKLIN AND UNION IN INDIANA. THE MAIN CAMPUS IS LOCATED IN OXFORD, OHIO, THE HOME OF MIAMI UNIVERSITY. OXFORD HAS A POPULATION RANGING FROM 23,000 DURING THE SCHOOL YEAR TO APPROXIMATELY HALF THAT NUMBER DURING THE SUMMER.BUTLER COUNTY IS ONE OF THE MOST POPULATED COUNTIES IN THE REGION AND INCLUDES THE CITIES OF HAMILTON, MIDDLETOWN AND OXFORD. THE ESTIMATED POPULATION OF THE COUNTY IS 390,000 WITH APPROXIMATELY 10% IN POVERTY AND APPROXIMATELY 8% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. BUTLER COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $69,000 WITH 92% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (31% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4%. APPROXIMATELY 16% OF THE POPULATION IS 65 YEARS AND OLDER, 78% IS WHITE, 10% IS AFRICAN-AMERICAN, 5% IS HISPANIC, 4% ASIAN AND 3% OTHER.PREBLE COUNTY IN OHIO IS A GOOD MIX OF TRADITIONAL FARM LAND/AGRICULTURE AS WELL AS TECHNOLOGY AND INDUSTRY. THE ESTIMATED POPULATION OF THE COUNTY IS 41,000 WITH APPROXIMATELY 10% IN POVERTY AND APPROXIMATELY 7% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. PREBLE COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $53,000 WITH 89% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (14% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4%. APPROXIMATELY 19% OF THE POPULATION IS 65 YEARS AND OLDER, 96% IS WHITE, 1% IS AFRICAN-AMERICAN, 1% IS HISPANIC, 1% ASIAN AND 1% OTHER.FRANKLIN COUNTY IN INDIANA HAS AN ESTIMATED POPULATION OF 23,000 WITH APPROXIMATELY 8% IN POVERTY AND APPROXIMATELY 9% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. FRANKLIN COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $68,000 WITH 89% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (20% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 2%. APPROXIMATELY 19.5% OF THE POPULATION IS 65 YEARS AND OLDER, 97% IS WHITE, 1.5% IS HISPANIC AND 1.5% OTHER.UNION COUNTY IN INDIANA HAS AN ESTIMATED POPULATION OF 7,000 WITH APPROXIMATELY 11% IN POVERTY AND APPROXIMATELY 11% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. UNION COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $55,000 WITH 88% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (19% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 2%. APPROXIMATELY 20% OF THE POPULATION IS 65 YEARS AND OLDER, 94% IS WHITE, 2% IS HISPANIC, 1% IS AFRICAN-AMERICAN AND 3% OTHER."

PART VI, LINE 5:
"MCCULLOUGH-HYDE MEMORIAL HOSPITAL (""MHMH"") IS BASED ON A PATIENT-CENTERED, CARING PHILOSOPHY. ITS STAFF IS DEDICATED TO PROVIDING SAFE AND HIGH-QUALITY SERVICES, WITH THE UTMOST KINDNESS AND COMPASSION. MHMH HAS AN OPEN MEDICAL STAFF WHO HAVE IMPECCABLE TRAINING, EXPERIENCE AND SKILLS. THE VAST MAJORITY ARE BOARD-CERTIFIED IN THEIR CHOSEN PROFESSIONAL FIELD. FOUNDED IN 1957, MHMH OFFERS 45 ACUTE INPATIENT BEDS INCLUDING INTENSIVE CARE, MEDICAL-SURGICAL AND OBSTETRICS AS WELL AS PROVIDES A 24-HOUR EMERGENCY ROOM AT ITS MAIN CAMPUS IN OXFORD, OHIO. MHMH ALSO OFFERS AN ARRAY OF OUTPATIENT MEDICAL AND SURGICAL SERVICES, INCLUDING OUTPATIENT SURGERY, ONCOLOGY/INFUSION CENTER, PHYSICAL THERAPY AND DIAGNOSTIC SERVICES WHICH INCLUDE LABORATORY AND IMAGING SERVICES. MHMH HOUSES NUMEROUS SPECIALISTS TO CARE FOR A MULTITUDE OF NEEDS AND OFFERS SERVICES AT OUR REGIONAL CAMPUSES LOCATED IN HAMILTON, ROSS AND CAMDEN, OHIO AND BROOKVILLE, INDIANA. THROUGH OUR AFFILIATION WITH TRIHEALTH, INC. THE RESOURCES OF BETHESDA NORTH, BETHESDA BUTLER, GOOD SAMARITAN AND TRIHEALTH EVENDALE HOSPITALS ARE ALSO AVAILABLE TO OUR CLIENTS.MHMH SERVES ALMOST 90,000 PEOPLE ANNUALLY. THIS INCLUDES ALMOST 2,000 ADMISSIONS, ALMOST 14,000 EMERGENCY ROOM VISITS, MORE THAN 60,000 OUTPATIENT VISITS, AND ALMOST 400 NEW BABIES EACH YEAR."