4A (Expenses $ 1374135165 including grants of $ 0) (Revenue $ 1684557943)
"OhioHealth's primary purpose is to provide diversified healthcare services to the community and is a provider of services under contractual arrangements with the Medicare and Medicaid programs as well as other third-party reimbursement arrangements. Together, OhioHealth MedCentral Mansfield Hospital, OhioHealth Marion General Hospital, OhioHealth O'Bleness Memorial Hospital, OhioHealth Grady Memorial Hospital, OhioHealth Hardin Memorial Hospital, OhioHealth MedCentral Shelby Hospital, and OhioHealth HomeReach are united in our mission to provide quality, compassionate healthcare and to be responsible stewards for our community's health. Even as the face of healthcare continues to change, the commitment of OhioHealth endures: ensuring quality care for everyone, regardless of their faith, race, age, or ability to pay. We never lose sight of our mission to ""improve the health of those we serve and our core values - compassion, excellence, stewardship, integrity, and diversity and inclusion. They continue to guide us in our work today. OhioHealth touches thousands of people, saves lives, improves health and makes futures a little brighter. Through our shared mission, vision and values, we touch more lives in Central Ohio and the surrounding communities than any other health system. As a system of faith-based, not-for-profit healthcare providers - together, we are OhioHealth."

4B (Expenses $ 225283140 including grants of $ 0) (Revenue $ 49350033)
In fiscal year 2022 (July 1, 2021 through June 30, 2022), OhioHealth with its member hospitals and home care organizations, provided $405.2 million in charity care and community benefit programs and services, reaching hundreds of thousands of people in the communities we serve. Of this total, $177.7 million was provided by OhioHealth MedCentral Mansfield Hospital, Marion General Hospital, O'Bleness Memorial Hospital, Grady Memorial Hospital, Hardin Memorial Hospital, OhioHealth MedCentral Shelby Hospital, and other related Group entities. During FY2022 the filing organization's operations were significantly impacted by the challenges of the COVID-19 global pandemic as shelter-in-place orders and government mandates to suspend elective procedures were implemented in order to combat the outbreak. OhioHealth honored its commitment to the people of Ohio by providing care for patients and support to the communities. Member hospitals provide medically necessary services without charge or at amounts less than its established rates to patients who meet certain criteria under its charity care policies. In assessing a patient's ability to pay, the member hospitals not only utilize generally recognized poverty income levels of the communities they serve, but also include certain cases where incurred charges are significant when compared to the patient's financial resources. Charity care is determined based on established policies, using patient income and assets to determine payment ability. OhioHealth provides community services intended to benefit the underserved and enhance the health status of the communities it serves. These services include 24 hour a day emergency rooms, community health screenings, forums for various support groups, health education classes, speakers and publications, hospice and medical research. OhioHealth has been able to achieve a greater impact in the community by partnering financial and human resources with other organizations. These expenditures include commitments to infant mortality reduction projects, pastoral care services, various civic sponsorships, and other community partnership programs. OhioHealth Corporation's total benefit to the community includes the cost of charity care (net of assistance received from the Hospital Care Assurance Program), unpaid cost of Medicaid, the cost of medical education programs as well as the cost of certain programs discussed above.

4C (Expenses $ 18441266 including grants of $ 0) (Revenue $ 8470770)
The OhioHealth Research Institute (OHRI) is committed to providing the resources needed to advance patient care through clinical research and innovation. As one of the top 10 percent of research programs at non-profit, community-based healthcare systems, our program is a leader in researching new drugs, medical devices and procedures. Our access to leading edge clinical trials allows us to deliver improved outcomes and potentially save lives by giving our patients access to the therapies of the future today. OhioHealth's emphasis on research reflects our commitment to the community, our clinicians and, most of all, our patients. Our clinicians generate and pursue research and innovation ideas from their real-world experience caring for patients. We view clinical research as an extension of clinical care because it allows our physicians, nurses and other clinicians to provide leading-edge treatments to patients. Our areas of focus are industry research that expands patient access to groundbreaking clinical trials. These trials pave the way for better treatments. OHRI welcomes industry-sponsored research in partnership with drug and device companies looking to test their investigational products at a large facility associated with excellent clinicians. Academic research focuses on educating and training our physicians and clinicians with programs that develop their skills, knowledge and leadership in advancing healthcare. OhioHealth also provides an ideal setting for federal and foundation funded research that addresses the needs of the public. Innovation and commercialization supports OhioHealth physicians, clinicians and medical staff with their innovative ideas. Through its OhioHealth $5 million Innovation Development Fund, OHRI provides financial support and resources in all stages of product development and commercialization with the ultimate goal of improving patient care. Sponsored programs are initiatives that are funded by grant monies. Our finance experts have extensive experience in managing and reporting grant monies needed to fund important initiatives. Health equity programs bring healthcare programs and services to underserved communities and people such as Latina women, Amish and Mennonite communities, teenage mothers and the Appalachian region. The OhioHealth Research Institute is vital to OhioHealth's recognition as a national leader in developing and advancing medical breakthroughs as well as meeting the needs of our community. Our Successes are 16 Years of Improving Care Transcatheter Aortic Valve Replacement For twelve years, OhioHealth has been on the forefront of revolutionizing care for patients with aortic valve disease by leading successful clinical trials. In fact, our work has been integral in the FDA-approval of transcatheter aortic valve devices now being used to treat patients with aortic valve disease who had no other treatment options. MD Anderson Cancer Network As part of OhioHealth's collaboration with the MD Anderson Cancer Network, we are now participating in cancer clinical trials through the University of Texas MD Anderson Cancer Center. Research across the region As our hospital system has continued to expand across the state, so have our research programs. We now offer clinical research at many of our outlying hospitals including OhioHealth Mansfield Hospital. First in human clinical trials For many years, most first in human clinical research trials have been conducted outside of the United States. However, a new concerted effort by the FDA to bring these leading-edge trials back to the US has landed OhioHealth two first in human clinical trials in the past years - one of only three health systems in the country to achieve this due to our proven track record of leading safe and successful clinical trials. Meeting the needs of the underserved Through our health equity programs, we have provided access to care to many underserved communities including Appalachian, the Amish and Mennonite, Latina women and teen mothers. Taking ideas from concept to market Our Innovation and Commercialization team has assisted our clinicians with more than 350 commercialization projects leading to 12 new product companies launched by OhioHealth staff and 9 commercialized products in use at OhioHealth sites.

4D (Expenses $ 3757584 including grants of $ 1766734) (Revenue $ 12036732)
The OhioHealth Foundation is dedicated to helping our central Ohio family of faith-based, not-for-profit hospitals and healthcare services fulfill their commitment to extraordinary care by raising and investing funds to support many important programs and services. All earnings are re-invested to improve patient care. We rely on philanthropic support from individuals, corporations, foundations and organizations to continue our mission of achieving excellence in patient care, transforming the future of medical research and education and developing programs that help us improve the health of those we serve.

Schedule H, Part V, Section B, Line 5 Facility B, 1
Facility B, 1 - FACILITY GROUP B: FACILITY 1. OHIOHEALTH MANSFIELD HOSPITAL, AND FACILITY 6. OHIOHEALTH SHELBY HOSPITAL. OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS SOUGHT PUBLIC INPUT ON THE SIGNIFICANT HEALTH NEEDS AFFECTING RICHLAND COUNTY DURING THE MONTHS OF APRIL TO JULY 2021. OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS HOSTED A PUBLIC, VIRTUAL MEETING ON JULY 21, 2021. DURING THE VIRTUAL MEETING, COMMUNITY STAKEHOLDERS VOTED ON PRIORITIZING FIVE SIGNIFICANT HEALTH NEEDS FOR OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS TO ADDRESS IN RICHLAND COUNTY. THEY ALSO PROVIDED INPUT REGARDING OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS' ALIGNMENT WITH THE 2020-2022 STATE HEALTH IMPROVEMENT PLAN OF THE STATE OF OHIO. THE FOLLOWING REPRESENTATIVES FROM THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, PARTICIPATED IN THE PROCESS. THEY ATTENDED THE OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS PRIORITIZATION OF HEALTH NEEDS MEETING ON JULY 21, 2021, AND PROVIDED INPUTS DURING THE TIMEFRAME OF APRIL 26, 2021, TO JULY 21, 2021: - ARBORS AT MIFFLIN: SERVES ELDERLY PERSONS NEEDING LONG TERM CARE OR SUBACUTE REHABILITATION. - AREA AGENCY ON AGING OHIO DISTRICT 5: SERVES ELDERLY PERSONS NEEDING LONG TERM CARE OR SUBACUTE REHABILITATION. - ASHLAND UNIVERSITY: SERVES STUDENTS, PARENTS, TEACHERS, INSTRUCTORS, PROFESSORS, AND COMMUNITY. - CATHOLIC CHARITIES: SERVES ALL PERSONS. - MANSFIELD/RICHLAND COUNTY PUBLIC LIBRARY: SERVES ALL PERSONS. - NORTH CENTRAL STATE COLLEGE: SERVES STUDENTS, PARENTS, FACULTY AND STAFF, AND COMMUNITY. - NORTH END COMMUNITY IMPROVEMENT COLLABORATIVE, INC. (NECIC): SERVES ALL PERSONS WHO NEED ASSISTANCE. - OHIOHEALTH COMMUNITY HEALTH PARTNERSHIPS: SERVES ALL PERSONS IN THE UNITED STATES THROUGH OHIOHEALTH COMMUNITY BENEFIT OPERATIONS. - OHIOHEALTH MANSFIELD HOSPITAL AND OHIOHEALTH SHELBY HOSPITAL: SERVES ALL PERSONS REGARDLESS OF ABILITY TO PAY. - RICHLAND COUNTY: SERVES ALL RESIDENTS OF RICHLAND COUNTY, OHIO. - RICHLAND COUNTY MENTAL HEALTH AND RECOVERY SERVICES BOARD: SERVES ALL PERSONS REGARDLESS OF ABILITY TO PAY. - RICHLAND PUBLIC HEALTH: SERVES ALL PERSONS IN RICHLAND COUNTY. - SHELBY CITY: SERVES RESIDENTS OF SHELBY, OHIO. - SHELBY CITY HEALTH DEPARTMENT: SERVES ALL PERSONS IN RICHLAND COUNTY. - THE OHIO STATE UNIVERSITY MANSFIELD: SERVES ALL PERSONS. - A COMMUNITY RESIDENT, M.ED., WITH KNOWLEDGE AND SKILLS IN PUBLIC HEALTH.

Schedule H, Part V, Section B, Line 6a Facility B, 1
Facility B, 1 - FACILITY GROUP B: FACILITY 1. OHIOHEALTH MANSFIELD HOSPITAL, AND FACILITY 6. OHIOHEALTH SHELBY HOSPITAL. OHIOHEALTH MANSFIELD HOSPITAL AND OHIOHEALTH SHELBY HOSPITAL CONDUCTED THEIR CHNA IN COLLABORATION WITH ONE ANOTHER.

Schedule H, Part V, Section B, Line 6b Facility B, 1
Facility B, 1 - FACILITY GROUP B: FACILITY 1. OHIOHEALTH MANSFIELD HOSPITAL, AND FACILITY 6. OHIOHEALTH SHELBY HOSPITAL. THE OHIOHEALTH MANSFIELD HOSPITAL AND SHELBY HOSPITALS CONSULTED WITH LEADERS FROM RICHLAND PUBLIC HEALTH AND SHELBY CITY HEALTH DEPARTMENT IN DEVELOPING THE STRATEGIES THAT ALIGN WITH OHIO'S 2020-2022 STATE HEALTH IMPROVEMENT PLAN (SHIP). BRICKER ECKLER LLP/INCOMPLIANCE CONSULTING (CHRIS KENNEY, JIM FLYNN) - LOCATED AT 100 SOUTH THIRD STREET, COLUMBUS, OHIO 43215. BRICKER ECKLER LLP WAS CONTRACTED TO REVIEW THIS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. JIM FLYNN IS A PARTNER WITH THE BRICKER ECKLER HEALTHCARE GROUP, WHERE HE HAS PRACTICED FOR 31 YEARS. HIS GENERAL HEALTHCARE PRACTICE FOCUSES ON HEALTH PLANNING MATTERS, CERTIFICATES OF NEED, NONPROFIT AND TAX-EXEMPT HEALTHCARE PROVIDERS, AND FEDERAL AND STATE REGULATORY ISSUES. MR. FLYNN HAS PROVIDED CONSULTATION TO HEALTHCARE PROVIDERS, INCLUDING NONPROFIT AND TAX-EXEMPT HEALTHCARE PROVIDERS AS WELL AS PUBLIC HOSPITALS, ON COMMUNITY HEALTH NEEDS ASSESSMENTS. CHRIS KENNEY IS THE DIRECTOR OF REGULATORY SERVICES WITH INCOMPLIANCE CONSULTING, AN AFFILIATE OF BRICKER ECKLER L.L.P. MS. KENNEY HAS MORE THAN 42 YEARS OF EXPERIENCE IN HEALTHCARE PLANNING AND POLICY DEVELOPMENT, FEDERAL AND STATE REGULATIONS, CERTIFICATE OF NEED REGULATIONS, AND MEDICARE AND MEDICAID CERTIFICATION. SHE HAS CONDUCTED CHNAS IN COMPLIANCE WITH FEDERAL RULES SINCE 2012, PROVIDED EXPERT TESTIMONY ON COMMUNITY NEEDS, AND OFFERED PRESENTATIONS AND EDUCATIONAL SESSIONS REGARDING CHNAS.

Schedule H, Part V, Section B, Line 11 Facility B, 1
Facility B, 1 - FACILITY GROUP B: FACILITY 1. OHIOHEALTH MANSFIELD HOSPITAL, AND FACILITY 6. OHIOHEALTH SHELBY HOSPITAL. OHIOHEALTH MANSFIELD HOSPITAL AND OHIOHEALTH SHELBY HOSPITAL, IN COLLABORATION WITH RICHLAND PUBLIC HEALTH AND VARIOUS COMMUNITY STAKEHOLDERS, IDENTIFIED FIVE SIGNIFICANT HEALTH NEEDS IN RICHLAND COUNTY. PRIORITY HEALTH NEEDS UNDER EACH, THAT WILL BE ADDRESSED IN THE IMPLEMENTATION STRATEGY, WERE ALSO DETERMINED. OHIOHEALTH MANSFIELD AND SHELBY'S IMPLEMENTATION STRATEGY WILL INCLUDE ACTIONS AND STRATEGIES THAT ALIGN WITH THE OHIO 2020-2022 STATE HEALTH IMPROVEMENT PLAN (OHIO DEPARTMENT OF HEALTH, N.D.). SIGNIFICANT HEALTH NEEDS OF RICHLAND COUNTY AND INTENDED ACTIONS ARE AS FOLLOWS:

Schedule H, Part V, Section B, Line 11 Facility B, 2
"Facility B, 2 - FACILITY GROUP B: FACILITY 1. OHIOHEALTH MANSFIELD HOSPITAL. PRIORITIZATION 1. MENTAL HEALTH AND ADDICTION - INCLUDES (A) SUBSTANCE ABUSE AND ADDICTION (INCLUDING SMOKING, AND VAPING), (B) DEPRESSION AND OTHER MENTAL HEALTH ISSUES IN ADULTS AND TEENS, AND (C) SUICIDE RATES. OHIOHEALTH MANSFIELD HOSPITAL'S INTENDED ACTIONS TO ADDRESS THE HEALTH NEED: * CONTINUE TO PROVIDE RICHLAND COUNTY RESIDENTS WITH ACCESS TO THE OHIOHEALTH BEHAVIORAL HEALTH INTEGRATION (BHI) CLINICS. THE OHIOHEALTH PHYSICIAN GROUP BEHAVIORAL HEALTH INTEGRATION (BHI) CLINICS IN RICHLAND COUNTY WILL CONTINUE TO CONDUCT (A) DEPRESSION SCREENING USING THE NINE-ITEM PATIENT HEALTH QUESTIONNAIRE (PHQ-9) AND (B) ANXIETY SCREENING USING THE GENERALIZED ANXIETY DISORDER 7-ITEM (GAD-7), AND (C) SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT). * CONTINUE TO PROVIDE RICHLAND COUNTY RESIDENTS WITH ACCESS TO VARIOUS INPATIENT BEHAVIORAL HEALTH SERVICES. * CONTINUE TO PROVIDE RICHLAND COUNTY RESIDENTS WITH ACCESS TO VARIOUS OUTPATIENT BEHAVIORAL HEALTH SERVICES AT 335 GLESSNER AVENUE, MANSFIELD, OHIO 44903. * CONTINUE TO PROVIDE RICHLAND COUNTY RESIDENTS WITH ACCESS TO THE PROGRAMS AND SERVICES OF THE FORENSIC NURSING DEPARTMENT. VICTIMS OF SEXUAL ASSAULT IN RICHLAND COUNTY WILL HAVE ACCESS TO COORDINATED TIMELY AND COMPASSIONATE CARE. EACH FORENSIC NURSE IS A REGISTERED NURSE WHO HAS RECEIVED SPECIALIZED TRAINING IN PERFORMING A MEDICAL AND FORENSIC EXAM FOR VICTIMS OF CRIME 24 HOURS A DAY, 7 DAYS A WEEK. ACCESS TO FORENSIC NURSES ARE AVAILABLE AT THE OHIOHEALTH MANSFIELD HOSPITAL EMERGENCY DEPARTMENT, OHIOHEALTH SHELBY EMERGENCY DEPARTMENT, OHIOHEALTH ASHLAND HEALTH CENTER FREE-STANDING EMERGENCY DEPARTMENT, AND OHIOHEALTH EMERGENCY CARE ONTARIO. OHIOHEALTH SANE NURSES PROVIDE ASSESSMENTS AND CARE BASED ON THE INTERNATIONAL FORENSIC NURSE ASSOCIATION RECOMMENDATIONS. * CONTINUE TO PROVIDE RICHLAND COUNTY RESIDENTS WITH ACCESS TO ""YOGA FOR VETERANS."" THROUGH FUNDING FROM THE RICHLAND COUNTY FOUNDATION, THE OHIOHEALTH ONTARIO HEALTH AND FITNESS CENTER WILL CONTINUE TO OFFER THE ""YOGA FOR VETERANS"" FOR FREE TO ACTIVE MILITARY, VETERANS, AND FAMILY MEMBERS. THE PROGRAM AIMS TO INCREASE MINDFULNESS AND RESILIENCY AMONG THE ACTIVE MILITARY, VETERANS, AND THEIR FAMILY MEMBERS AND PROMOTE RELATIONSHIP BUILDING AND CONNECTIVITY AMONG THE PARTICIPANTS AND STAFF. THE ""YOGA FOR VETERANS"" WILL BE OFFERED AT THE OHIOHEALTH ONTARIO FITNESS CENTER. * CONTINUE TO PROVIDE RICHLAND COUNTY RESIDENTS WITH ACCESS TO TRAUMA PROGRAMS AND SERVICES. THE OHIOHEALTH MANSFIELD HOSPITAL LEVEL II TRAUMA PROGRAM WILL CONTINUE TO IMPLEMENT THE SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) FOR TRAUMA PATIENTS. IF A PATIENT SCREENS POSITIVE FOR BLOOD ALCOHOL OR ALCOHOL USE DISORDERS IDENTIFICATION TEST (AUDIT-C), THE SOCIAL WORKER WILL PROVIDE THE SBIRT. THE SBIRT SCREENING TOOL FOCUSES ON TRAUMA PATIENTS EXPERIENCING DRUG OR ALCOHOL USAGE. FOLLOWING SCREENING, PATIENTS ARE REFERRED FOR SUPPORT AND TREATMENT FOR ALCOHOL USE OR ADDICTION."

Schedule H, Part V, Section B, Line 11 Facility B, 3
"Facility B, 3 - FACILITY GROUP B: FACILITY 6. OHIOHEALTH SHELBY HOSPITAL. PRIORITIZATION 1. MENTAL HEALTH AND ADDICTION - INCLUDES (A) SUBSTANCE ABUSE AND ADDICTION (INCLUDING SMOKING, AND VAPING), (B) DEPRESSION AND OTHER MENTAL HEALTH ISSUES IN ADULTS AND TEENS, AND (C) SUICIDE RATES. OHIOHEALTH SHELBY HOSPITAL'S INTENDED ACTIONS TO ADDRESS THE HEALTH NEED: * CONTINUE TO OFFER RICHLAND COUNTY RESIDENTS WITH ACCESS TO THE OHIOHEALTH BEHAVIORAL HEALTH INTEGRATION (BHI) CLINICS. THE OHIOHEALTH PHYSICIAN GROUP BEHAVIORAL HEALTH INTEGRATION (BHI) CLINICS IN RICHLAND COUNTY WILL CONTINUE TO CONDUCT (A) DEPRESSION SCREENING USING THE NINE-ITEM PATIENT HEALTH QUESTIONNAIRE (PHQ-9) AND (B) ANXIETY SCREENING USING THE GENERALIZED ANXIETY DISORDER 7-ITEM (GAD-7), AND (C) SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT). * CONTINUE TO REFER PATIENTS NEEDING INPATIENT BEHAVIORAL HEALTH SERVICES TO OHIOHEALTH MANSFIELD HOSPITAL. THE REFERRAL PROCESS OF PATIENTS AND TRANSFER OF CARE WILL BE COORDINATED AND/OR LED BY THE SENIOR ADVISOR OF OPERATIONS OF OHIOHEALTH SHELBY HOSPITAL. * THE REFERRAL PROCESS AND TRANSFER OF PATIENTS NEEDING OUTPATIENT BEHAVIORAL HEALTH SERVICES AND TRANSFER OF CARE WILL BE COORDINATED AND/OR LED BY THE SENIOR ADVISOR OF OPERATIONS OF OHIOHEALTH SHELBY HOSPITAL. * CONTINUE TO REFER VICTIMS OF SEXUAL ASSAULT TO THE OHIOHEALTH MANSFIELD FORENSIC NURSING TEAM. THE REFERRAL PROCESS AND TRANSFER OF PATIENTS AND TRANSFER OF CARE WILL BE COORDINATED AND/OR LED BY THE SENIOR ADVISOR OF OPERATIONS OF OHIOHEALTH SHELBY HOSPITAL. * CONTINUE TO REFER ACTIVE MILITARY, VETERANS, AND THEIR FAMILIES TO THE ""YOGA FOR VETERANS"" PROGRAM AT THE OHIOHEALTH ONTARIO FITNESS CENTER. THE REFERRAL PROCESS AND TRANSFER OF PATIENTS AND TRANSFER OF CARE WILL BE COORDINATED AND/OR LED BY THE SENIOR ADVISOR OF OPERATIONS OF OHIOHEALTH SHELBY HOSPITAL. * CONTINUE TO REFER TRAUMA PATIENTS TO THE OHIOHEALTH MANSFIELD HOSPITAL'S LEVEL II TRAUMA PROGRAM. THE REFERRAL PROCESS AND TRANSFER OF PATIENTS AND TRANSFER OF CARE WILL BE COORDINATED AND/OR LED BY THE SENIOR ADVISOR OF OPERATIONS OF OHIOHEALTH SHELBY HOSPITAL."

Schedule H, Part V, Section B, Line 11 Facility B, 4
"Facility B, 4 - FACILITY GROUP B: FACILITY 1. OHIOHEALTH MANSFIELD HOSPITAL, AND FACILITY 6. OHIOHEALTH SHELBY HOSPITAL. PRIORITIZATION 1. MENTAL HEALTH AND ADDICTION - ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVE: BY JUNE 30, 2025, OHIOHEALTH MANSFIELD HOSPITAL AND OHIOHEALTH SHELBY HOSPITAL WILL WORK TOGETHER AND COLLABORATE WITH THE RICHLAND COUNTY COMMUNITY TO IMPLEMENT EVIDENCE-BASED STRATEGIES TO: (A) REDUCE DEPRESSION AND OTHER MENTAL HEALTH ISSUES IN ADULTS AND TEENS, (B) REDUCE SUBSTANCE ABUSE AND ADDICTION, INCLUDING SMOKING AND VAPING, AND (C) REDUCE SUICIDES. * PER FISCAL YEAR, THE OHIOHEALTH PHYSICIAN GROUP CLINICS THAT OFFER BEHAVIORAL HEALTH INTEGRATION (BHI) IN RICHLAND COUNTY WILL ASSESS UP TO 100 PERCENT OF ITS PATIENTS FOR DEPRESSION AND ANXIETY, ALCOHOL AND SUBSTANCE USE DISORDER, AND PROVIDE INTERVENTIONS SUCH AS BUT NOT LIMITED TO MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIORAL THERAPY, AND OTHER SOLUTION-FOCUSED THERAPIES TO AT LEAST 50 PERCENT OF PATIENTS REFERRED FOR FOLLOW-UP. * PER FISCAL YEAR, OHIOHEALTH MANSFIELD HOSPITAL'S INPATIENT BEHAVIORAL HEALTH SERVICES WILL SERVE AT LEAST 500 PATIENTS BY PROVIDING THEM WITH AT LEAST ONE EVIDENCE-BASED INTERVENTION, NAMELY, INPATIENT CARE, ELECTROCONVULSIVE THERAPY, PSYCHIATRIC EMERGENCY SERVICES. * PER FISCAL YEAR, OHIOHEALTH MANSFIELD HOSPITAL'S OUTPATIENT BEHAVIORAL HEALTH SERVICES WILL SERVE AT LEAST 50 PATIENTS BY PROVIDING WITH AT LEAST ONE OF THE FOLLOWING SERVICES: (A) INTENSIVE OUTPATIENT PROGRAM, (B) EMPLOYEE ASSISTANCE PROGRAM, (C) TRANSCRANIAL MAGNETIC STIMULATION THERAPY, AND (D) PARTIAL HOSPITALIZATION PROGRAM (PHP). * PER FISCAL YEAR, OHIOHEALTH MANSFIELD HOSPITAL'S FORENSIC NURSING DEPARTMENT WILL SERVE 100 PERCENT OF PATIENTS WHO WILL PRESENT TO THE FOLLOWING OHIOHEALTH EMERGENCY DEPARTMENTS (ED) IN RICHLAND COUNTY: (A) OHIOHEALTH MANSFIELD HOSPITAL ED, (B) OHIOHEALTH SHELBY HOSPITAL ED, (C) OHIOHEALTH ASHLAND HEALTH CENTER ED, AND (D) OHIOHEALTH ONTARIO ED. * OHIOHEALTH COLLABORATIONS - YOGA FOR VETERANS PER FISCAL YEAR, OHIOHEALTH ONTARIO HEALTH AND FITNESS CENTER WILL SERVE AT LEAST 100 PARTICIPANTS IN THE OHIOHEALTH YOGA FOR VETERANS PROGRAM. * PER FISCAL YEAR, OHIOHEALTH MANSFIELD HOSPITAL'S TRAUMA LEVEL II WILL SERVE AT LEAST 1,000 PATIENTS AND PROVIDE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) WHEN APPROPRIATE. APPROXIMATELY 80 PERCENT OF TRAUMA PATIENTS SERVED WILL BE SCREENED FOR ALCOHOL. THE SOCIAL WORKERS WILL CONDUCT SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) TO AT LEAST 90% OF PATIENTS WHO TESTED POSITIVE FOR ALCOHOL. PATIENTS WHO RECEIVE SBIRT WILL BE GIVEN COMMUNITY RESOURCES LIST SO THEY WOULD BE ABLE TO OBTAIN FOLLOW-UP CARE. PRIORITIZATION 2. CHRONIC DISEASE - INCLUDES (A) CANCER INCIDENCE AND MORTALITY RATES (LUNG, BRONCHIAL, AND BREAST CANCERS), AND (B) UNHEALTHY BEHAVIORS (POOR NUTRITION, LACK OF EXERCISE), HEART DISEASE, DIABETES, HIGH BLOOD PRESSURE, OBESITY OHIOHEALTH MANSFIELD HOSPITAL'S AND OHIOHEALTH SHELBY HOSPITAL'S INTENDED ACTIONS TO ADDRESS THE HEALTH NEED: * CONTINUE TO OFFER VARIOUS HEALTH AND WELLNESS PROGRAMS THAT ADDRESS DIABETES IN RICHLAND COUNTY, INCLUDING DIABETES PREVENTION PROGRAM, DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT, DIABETES SUPPORT GROUP, STRIDES FOR DIABETES AWARENESS RUN/WALK, DIABETES CAMP, DIABETES EDUCATION PROGRAM, AND GRADUATE FITNESS CENTER MEMBERSHIPS. * CONTINUE TO OFFER RICHLAND COUNTY RESIDENTS WITH ACCESS TO THE OHIOHEALTH CANCER WELLNESS PROGRAM, A 10-WEEK PROGRAM HELD AT THE OHIOHEALTH ONTARIO HEALTH AND FITNESS CENTER. THE PROGRAM INCLUDES A 3-MONTH MEMBERSHIP TO THE FITNESS CENTER; TWO, ONE-HOUR EXERCISE SESSIONS PER WEEK AMONG A SMALL GROUP OF PARTICIPANTS, CARDIOVASCULAR, STRENGTHENING AND STRETCHING EXERCISES AND WEEKLY EDUCATIONAL SESSIONS. THE PROGRAM OFFERS INDIVIDUALLY FOCUSED EXERCISE SESSIONS FOR CANCER PATIENTS AT ANY STAGE OF TREATMENT THROUGH SURVIVORSHIP. PARTICIPANTS WILL WORK WITH AN EXERCISE PHYSIOLOGIST TO DESIGN A PERSONAL EXERCISE PROGRAM TAILORED TO MEET THEIR SPECIFIC NEEDS AND GOALS. * CONTINUE TO OFFER RICHLAND COUNTY RESIDENTS WITH ACCESS TO THE ""STEPPING ON"" PROGRAM TO PREVENT FALLS. THE WORKSHOP MEETS 2 HOURS A WEEK FOR 7 WEEKS AT THE OHIOHEALTH ONTARIO HEALTH AND FITNESS CENTER. THE PROGRAM HAS PROVEN TO REDUCE FALLS FOR OLDER ADULTS. WORKSHOPS ARE LED BY HEALTH PROFESSIONALS CONCERNED ABOUT FALLS AND LOCAL GUEST EXPERTS WHO PROVIDE INFORMATION ON EXERCISE, VISION, SAFETY, AND MEDICATION. THIS PROGRAM WILL PROMOTE FITNESS AND PREVENT INJURY FROM FALLS. * CONTINUE TO PROVIDE RICHLAND COUNTY RESIDENTS WITH ACCESS TO OHIOHEALTH'S HEART AND VASCULAR SERVICES (OHIOHEALTH, 2015-2021) SUCH AS: CARDIAC IMAGING, CARDIAC REHABILITATION, CARDIOTHORACIC SURGERY, CLINICAL CARDIOLOGY, ELECTROPHYSIOLOGY, HEART FAILURE INTERVENTIONS, INTERVENTIONAL CARDIOLOGY, OHIOHEALTH STRUCTURAL HEART DISEASE PROGRAM, OHIOHEALTH VASCULAR INSTITUTE, HEALTH SCREENINGS, PARTICIPATION IN COMMUNITY WALKS AND RUNS. * CONTINUE TO PROVIDE RICHLAND COUNTY RESIDENTS WITH ACCESS TO PERSONALIZED CARE FOR PATIENTS WITH (A) ASTHMA, (B) CHRONIC OBSTRUCTIVE PULMONARY DISEASE, (C) ACUTE RESPIRATORY DISTRESS SYNDROME,(D) RECURRING BRONCHITIS, (E) CYSTIC FIBROSIS, (F) COMPLEX LUNG DISEASE SUCH AS PNEUMOCONIOSIS, (G) EMPHYSEMA, (H) PNEUMONIA, (I) INFLUENZA, (J) COVID-19, (K) PNEUMONIA, (L) PULMONARY EDEMA, (M) PULMONARY EMBOLISM, (N) PULMONARY HYPERTENSION, (O) RESPIRATORY FAILURE,(P) TUBERCULOSIS AND (Q) OTHER LUNG DISEASES (OHIOHEALTH 2015-2021). APART FROM PULMONOLOGY AND CRITICAL CARE MEDICINE, OHIOHEALTH ALSO PROVIDES PULMONARY REHABILITATION SERVICES AT THE ONTARIO HEALTH AND FITNESS CENTER. * CONTINUE TO PROVIDE RICHLAND COUNTY RESIDENTS WITH ACCESS TO CARDIAC AND PULMONARY REHABILITATION PROGRAM, AND FREE GRADUATE MEMBERSHIP FOR ONE MONTH AT THE ONTARIO HEALTH AND FITNESS CENTER. * CONTINUE TO PROVIDE RICHLAND COUNTY RESIDENTS WITH ACCESS TO OHIOHEALTH DELAY THE DISEASE, AN EVIDENCED-BASED FITNESS PROGRAM DESIGNED TO OPTIMIZE PHYSICAL FUNCTION AND HELP DELAY THE PROGRESSION OF SYMPTOMS ASSOCIATED WITH PARKINSON'S DISEASE. SYMPTOM-SPECIFIC EXERCISES TARGET THE FOLLOWING (A) ALTERED BALANCE, (B) SLOWING OF ALL MOVEMENTS (""BRADYKINESIA""), (C) DEPRESSION, (D) DIMINISHED VOICE VOLUME, (E) FREEZING, (F) MASKED FACIAL EXPRESSIONS, (G) RIGIDITY (STIFFNESS), (H) STOOPED POSTURE, AND (I) ABNORMAL WALKING GAIT OR STRIDE. CLASSES ARE OFFERED AT THE OHIOHEALTH ONTARIO FITNESS CENTER, AND OPEN TO ALL FITNESS LEVELS. * CONTINUE TO REFER PREGNANT AND/OR PARENTING WOMEN AND THEIR CHILDREN TO RICHLAND PUBLIC HEALTH'S WOMEN, INFANTS AND CHILDREN (WIC). WIC PROVIDES THE FOLLOWING: NUTRITIOUS FOODS, NUTRITION EDUCATION, BREASTFEEDING PROMOTION, EDUCATION, AND SUPPORT, AND REFERRAL TO HEALTH CARE AND SOCIAL SERVICE AGENCIES. ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVE: BY JUNE 30, 2025, OHIOHEALTH MANSFIELD HOSPITAL AND OHIOHEALTH SHELBY HOSPITAL WILL WORK TOGETHER AND COLLABORATE WITH THE RICHLAND COUNTY COMMUNITY TO IMPLEMENT EVIDENCE-BASED STRATEGIES TO: (A) CANCER INCIDENCE AND MORTALITY RATES, INCLUDING LUNG, BRONCHIAL AND BREAST CANCERS, AND (B) UNHEALTHY BEHAVIORS, INCLUDING POOR NUTRITION, LACK OF EXERCISE, HEART DISEASE, DIABETES, HIGH BLOOD PRESSURE, AND OBESITY. * OHIOHEALTH'S DIABETES OR DIABETES-RELATED PROGRAMS - PER FISCAL YEAR, OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS WILL SERVE AT LEAST 100 PARTICIPANTS IN AT LEAST ONE HEALTH AND WELLNESS PROGRAMS THAT ADDRESS DIABETES IN RICHLAND COUNTY. * DIABETES PREVENTION PROGRAM - PER FISCAL YEAR, OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS WILL SERVE AT LEAST 50 PARTICIPANTS. THE PROGRAM WILL PROMOTE AND ENCOURAGE PARTICIPANT'S BEHAVIOR MODIFICATIONS RELATED TO HEALTHY EATING, NUTRITION, AND PHYSICAL ACTIVITY TO PREVENT PROGRESSION OF THEIR PREDIABETES TO DIABETES. * DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT - PER FISCAL YEAR, OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS WILL SERVE AT LEAST 100 PARTICIPANTS. PARTICIPANTS WILL LEARN THE DIABETES DISEASE PROCESS, CARBOHYDRATE COUNTING, MEAL PLANNING, PORTION CONTROL, READING FOOD LABELS, IMPORTANCE OF PHYSICAL ACTIVITY, MEDICATION COMPLIANCE, STRESS MANAGEMENT, SICK DAY MANAGEMENT, AND TIPS WHEN TRAVELING AND EATING OUT. * PER FISCAL YEAR, OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS' DIABETES SUPPORT GROUP WILL SERVE AT LEAST 40 PATIENTS WITH DIABETES. THE DIABETES SUPPORT GROUP WILL PROVIDE EDUCATION, SOCIALIZATION, AND SUPPORT TO EMPOWER PARTICIPANTS TO SELF-MANAGE THEIR DIABETES. * PER FISCAL YEAR, OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS' WILL ENGAGE AT LEAST 50 PARTICIPANTS IN ITS STRIDES FOR DIABETES AWARENESS 5-K RUN/WALK AND 1-MILE WALK."

Schedule H, Part V, Section B, Line 11 Facility B, 5
"Facility B, 5 - FACILITY GROUP B: FACILITY 1. OHIOHEALTH MANSFIELD HOSPITAL, AND FACILITY 6. OHIOHEALTH SHELBY HOSPITAL. * PER FISCAL YEAR, OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS WILL SERVE AT LEAST 25 CHILDREN AND ADOLESCENTS IN ITS DIABETES CAMP. PER FISCAL YEAR, SCHOLARSHIP ASSISTANCE FROM THE OHIOHEALTH FOUNDATION WILL BE PROVIDED TO AT LEAST ONE CHILD OR ADOLESCENT. PARTICIPANTS LEARN ABOUT THE DIABETES DISEASE PROCESS, DEVELOPING COPING MECHANISMS AND SKILLS TO LIFE A FULL LIFE DESPITE DIABETES. * DIABETES EDUCATION PROGRAM GRADUATE FITNESS CENTER MEMBERSHIP PER FISCAL YEAR, THE OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS IN COLLABORATION WITH THE OHIOHEALTH ONTARIO HEALTH AND FITNESS CENTER WILL PROVIDE FREE 1-MONTH MEMBERSHIP TO AT LEAST 25 PERSONS WITH DIABETES WHO GRADUATED FROM THE DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT. FREE SIX-MONTH MEMBERSHIP WILL BE PROVIDED TO AT LEAST 5 PERSONS WITH DIABETES WHO GRADUATED FROM DSMES. * OHIOHEALTH CANCER WELLNESS PROGRAM - PER FISCAL YEAR, THE OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS IN COLLABORATION WITH THE OHIOHEALTH ONTARIO HEALTH AND FITNESS CENTER WILL SERVE AT LEAST 20 PERSONS WITH CANCER. * ""STEPPING ON"" FOR FALL PREVENTION - PER FISCAL YEAR, THE OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS IN COLLABORATION WITH THE OHIOHEALTH ONTARIO HEALTH AND FITNESS CENTER WILL SERVE AT LEAST 50 PERSONS WHO WILL LEARN ABOUT FALL PREVENTION THROUGH EXERCISE, SAFETY, EFFECTS OF POOR VISION, AND MEDICATIONS. * ACCESS TO THE OHIOHEALTH HEART AND VASCULAR SERVICES - PER FISCAL YEAR, THE OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS IN COLLABORATION WITH THE OHIOHEALTH HEART AND VASCULAR SERVICES WILL SERVE AT LEAST 1,000 PATIENTS. * OHIOHEALTH PULMONARY AND CRITICAL CARE MEDICINE - PER FISCAL YEAR, OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS IN COLLABORATION WITH THE OHIOHEALTH PULMONARY AND CRITICAL CARE MEDICINE WILL SERVE AT LEAST 4,000 PATIENTS. * OHIOHEALTH CARDIAC REHABILITATION, PULMONARY REHABILITATION, AND FREE GRADUATE MEMBERSHIP AT THE ONTARIO HEALTH AND FITNESS CENTER PER FISCAL YEAR, OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS IN COLLABORATION WITH THE OHIOHEALTH CARDIAC REHABILITATION, OHIOHEALTH PULMONARY REHABILITATION AND OHIOHEALTH ONTARIO HEALTH AND FITNESS CENTER WILL SERVE AT LEAST 100 PATIENTS. PATIENTS WILL HAVE ACCESS TO EXERCISE EQUIPMENT, STRENGTHENING EQUIPMENT, AND ENDURANCE SUPPORT. * OHIOHEALTH DELAY THE DISEASE - PER FISCAL YEAR, OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS IN COLLABORATION WITH THE OHIOHEALTH DELAY THE DISEASE WILL SERVE AT LEAST 50 PATIENTS WITH PARKINSON'S DISEASE. DELAY THE DISEASE IS AN EVIDENCE-BASED PROGRAM THAT AIMS TO IMPROVE BALANCE, PROMOTE STRENGTH, INCREASE ENDURANCE, AND ENHANCE MOBILITY. * PER FISCAL YEAR, OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS AND AFFILIATED OUTPATIENT OBSTETRICS AND GYNECOLOGY CLINICS IN RICHLAND COUNTY WILL CONTINUE TO REFER AT LEAST 100 WOMEN AND THEIR CHILDREN TO RICHLAND PUBLIC HEALTH'S WOMEN, INFANTS AND CHILDREN (WIC) TO AVAIL OF NUTRITIOUS FOODS, HEALTH EDUCATION AND OTHER PROGRAMS AND SERVICES. PRIORITIZATION 3. MATERNAL AND INFANT HEALTH- INCLUDES LACK OF ACCESS TO PRENATAL CARE. OHIOHEALTH MANSFIELD HOSPITAL'S AND OHIOHEALTH SHELBY HOSPITAL'S INTENDED ACTIONS TO ADDRESS THE HEALTH NEED: * CONTINUE TO PROVIDE COMPREHENSIVE WOMEN'S HEALTH (OBSTETRICS AND GYNECOLOGY) SERVICES IN RICHLAND COUNTY. SERVICES INCLUDE: OBSTETRICAL CARE SERVICES, FAMILY PLANNING SERVICES, PREVENTION AND EARLY DETECTION, WOMEN'S HEALTH GYNECOLOGICAL CONDITIONS, AND SURGICAL SERVICES. * CONTINUE TO PROVIDE COMPREHENSIVE LABOR AND DELIVERY, POSTPARTUM, OTHER OBSTETRICS INPATIENT SERVICES, COMMUNITY REFERRALS AND OUTREACH TO ENSURE THE HEALTH AND SAFETY OF MOTHER, NEWBORN, AND THEIR FAMILY. ADDITIONALLY, MANSFIELD HOSPITAL WILL PROVIDE A SPECIAL CARE NURSERY FOR COMPREHENSIVE CARE FOR SICK OR PREMATURE INFANTS. SERVICES INCLUDE EDUCATION, NEWBORN SCREENINGS FOR SAFE SLEEP, BREASTFEEDING SUPPORT, AND REFERRALS AND CASE MANAGEMENT FOR FAMILIES THAT NEED COMMUNITY RESOURCES. * CONTINUE TO REFER PATIENTS TO RICHLAND PUBLIC HEALTH'S PRENATAL/NEWBORN HOME VISITING PROGRAM AND WOMEN, INFANTS AND CHILDREN (WIC), IS FUNDED BY THE RICHLAND COUNTY YOUTH AND FAMILY COUNCIL. WIC HELPS PREGNANT WOMEN WITH THE FOLLOWING: (A) REFERRAL TO HEALTH CARE FOR PRENATAL CARE, (B) ENCOURAGES EARLY AND CONTINUED PRENATAL CARE, (C) DISCOURAGES SMOKING, (D) PROVIDES NUTRITIOUS FOODS AND NUTRITION EDUCATION DURING PREGNANCY. AFTER DELIVERY, WIC'S EDUCATES WOMEN AND FAMILIES ON (A) BREASTFEEDING, (B) PROMOTION OF MOTHER'S AND BABY'S HEALTH, AND (C) ABC'S OF SAFE SLEEP (RICHLAND PUBLIC HEALTH, 2019). * CONTINUE TO BE ACTIVELY INVOLVED IN THE MATERNAL HEALTH NETWORK, WHICH IS A GROUP OF REPRESENTATIVES FROM DIFFERENT COMMUNITY AGENCIES AND HEALTH CARE PROVIDERS THAT MEET QUARTERLY TO DISCUSS DIFFERENT OPPORTUNITIES TO IMPROVE THE HEALTH OF MOTHERS AND BABIES IN RICHLAND COUNTY. THE MATERNAL HEALTH NETWORK IS CO-LED BY OHIOHEALTH AND RICHLAND PUBLIC HEALTH. FOCUS AREAS OF THE MATERNAL HEALTH NETWORK INCLUDE BUT ARE NOT LIMITED TO: INCREASE REFERRALS TO RICHLAND PUBLIC HEALTH'S PRENATAL/NEWBORN HOME VISITING PROGRAM; ENGAGE OBSTETRICS AND GYNECOLOGY AND PEDIATRIC PHYSICIANS AND ADVANCED PRACTICE PROVIDERS TO BECOME ACTIVELY INVOLVED IN THE MATERNAL HEALTH NETWORK AND DEVELOP STRATEGIES FOR PROMOTING ACCESS TO PRENATAL CARE; PROMOTE AWARENESS OF PROGRAMS AND SERVICES THAT ARE PROVIDED BY GOVERNMENT AND SOCIAL SERVICE AGENCIES IN RICHLAND COUNTY; PROMOTE AWARENESS OF THE SERVICES PROVIDED BY LACTATION CONSULTANTS AND SPECIALISTS AND INCREASE BREASTFEEDING SUPPORT AND EDUCATION IN OUTPATIENT AND INPATIENT SETTINGS; INCREASE ATTENDANCE OF MOTHERS, SPOUSES AND SUPPORT PERSONS TO CHILDBIRTH AND BREASTFEEDING CLASSES DURING PREGNANCY; AND OFFER MEDICATION-ASSISTED TREATMENT (MAT) TO MOTHERS WITH SUBSTANCE USE DISORDERS. ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVE: BY JUNE 30, 2025, OHIOHEALTH MANSFIELD HOSPITAL AND OHIOHEALTH SHELBY HOSPITAL WILL WORK TOGETHER AND COLLABORATE WITH THE RICHLAND COUNTY COMMUNITY TO IMPLEMENT EVIDENCE-BASED STRATEGIES TO ADDRESS LACK OF PRENATAL CARE IN RICHLAND COUNTY. * PER FISCAL YEAR, OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS WILL PROVIDE OUTPATIENT OBSTETRICS AND GYNECOLOGY CARE AND SERVICES TO AT LEAST 500 WOMEN FROM RICHLAND COUNTY. * PER FISCAL YEAR, OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS WILL PROVIDE INPATIENT OBSTETRICS SERVICES TO AT LEAST 500 WOMEN FROM RICHLAND COUNTY. THE CARE TEAM WILL CONTINUE TO ENGAGE IN COMMUNITY REFERRALS AND OUTREACH TO PROMOTE AND ADVOCATE FOR MATERNAL AND INFANT HEALTH. * PER FISCAL YEAR, OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS WILL REFER AT LEAST 100 PREGNANT AND/OR PARENTING WOMEN AND THEIR BABIES TO RICHLAND PUBLIC HEALTH'S PRENATAL/NEWBORN HOME VISITING PROGRAM AND WOMEN, INFANTS AND CHILDREN (WIC). * PER FISCAL YEAR, OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS WILL CONTINUE TO ACTIVELY PARTICIPATE AND CO-LEAD THE MATERNAL HEALTH NETWORK. PER FISCAL YEAR, OHIOHEALTH REPRESENTATIVES WILL ATTEND AT LEAST TWO OF THE FOUR QUARTERLY MEETINGS AND LEAD OR CO-LEAD INITIATIVES TO INCREASE ACCESS TO PRENATAL CARE."

Schedule H, Part V, Section B, Line 11 Facility B, 6
Facility B, 6 - FACILITY GROUP B: FACILITY 1. OHIOHEALTH MANSFIELD HOSPITAL, AND FACILITY 6. OHIOHEALTH SHELBY HOSPITAL. PRIORITIZATION 4. ACCESS TO CARE - INCLUDES A) CANCER SCREENINGS AND PREVENTION STRATEGIES, AND (B) ACCESS TO TRANSPORTATION. IN 2017, CANCER IS THE LEADING CAUSE OF DEATH IN RICHLAND COUNTY. THE TOP FIVE CANCER SITE/TYPE IN RICHLAND COUNTY INCLUDE (A) LUNG AND BRONCHUS CANCER; (B) COLON AND RECTUM; (C) FEMALE BREAST CANCER; (D) PANCREATIC CANCER; AND (E) LEUKEMIA. SENIORS, PERSONS WITH DISABILITIES, THE UNEMPLOYED, AND PERSONS WITHOUT RELIABLE MEANS OF TRANSPORTATION NEED RELIABLE TRANSPORTATION ASSISTANCE. OHIOHEALTH MANSFIELD HOSPITAL'S AND OHIOHEALTH SHELBY HOSPITAL'S INTENDED ACTIONS TO ADDRESS THE HEALTH NEED: * CONTINUE TO CONDUCT VARIOUS CANCER SCREENINGS AND PROVIDE PREVENTION EDUCATION IN RICHLAND COUNTY: LUNG CANCER SCREENING AND PREVENTION EDUCATION (SMOKING CESSATION AND LUNG HEALTH); SCREENING MAMMOGRAPHY THROUGH THE OHIOHEALTH MOBILE MAMMOGRAPHY AND EDUCATION ON BREAST HEALTH AND THE IMPORTANCE OF ANNUAL MAMMOGRAMS; SKIN CANCER SCREENING DURING THE SKIN CANCER AWARENESS MONTH IN MAY, AND EDUCATION ON SKIN CANCER PREVENTION. * PROVIDE TO AT LEAST 50 (PER FISCAL YEAR) PATIENTS AND THEIR CAREGIVERS TRANSPORTATION VOUCHERS FOR TRAVEL TO AND FROM APPOINTMENTS THROUGH FUNDING FROM THE OHIOHEALTH FOUNDATION. * THE OHIOHEALTH SOCIAL WORKERS COVERING OHIOHEALTH MANSFIELD HOSPITAL, OHIOHEALTH SHELBY HOSPITAL AND OHIOHEALTH PHYSICIAN GROUP CLINICS WILL SUPPORT AND EDUCATE ALL PATIENTS ABOUT TRANSPORTATION ASSISTANCE PROVIDED BY THEIR HEALTH INSURANCE (IF APPLICABLE) AND OTHER COMMUNITY AGENCIES. ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVE: BY JUNE 30, 2025, OHIOHEALTH MANSFIELD HOSPITAL AND OHIOHEALTH SHELBY HOSPITAL WILL WORK TOGETHER AND COLLABORATE WITH THE RICHLAND COUNTY COMMUNITY TO IMPLEMENT EVIDENCE-BASED STRATEGIES TO ADDRESS ACCESS TO CARE, INCLUDING CANCER SCREENINGS AND PREVENTION STRATEGIES, AND MEANS OF TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS, JOB SEARCH AND INTERVIEWS, AND OTHER NECESSARY ERRANDS. * PER FISCAL YEAR, OHIOHEALTH MANSFIELD AND SHELBY HOSPITAL WILL PROVIDE CANCER SCREENINGS AND PREVENTION EDUCATION FOR LUNG CANCER, BREAST CANCER, AND SKIN CANCER. * PER FISCAL YEAR, AT LEAST 200 PATIENTS WILL BE SCREENED FOR LUNG CANCER. PER FISCAL YEAR, AT LEAST 500 PATIENTS WILL BE EDUCATED ON SMOKING CESSATION, LUNG HEALTH, AND VARIOUS LUNG DISEASES. * PER FISCAL YEAR, AT LEAST 200 PATIENTS WILL RECEIVE SCREENING MAMMOGRAPHY THROUGH THE OHIOHEALTH MOBILE MAMMOGRAPHY. PER FISCAL YEAR, AT LEAST 500 PATIENTS WILL BE EDUCATED ON BREAST HEALTH AND THE IMPORTANCE OF ANNUAL MAMMOGRAMS. * PER FISCAL YEAR, AT LEAST 80 PATIENTS PER YEAR WILL PARTICIPATE IN THE SKIN CANCER SCREENING THAT IS HELD DURING THE SKIN CANCER AWARENESS MONTH IN MAY OF EACH YEAR. PER FISCAL YEAR, AT LEAST 200 PATIENTS WILL BE EDUCATED ABOUT SKIN CANCER PREVENTION. * PER FISCAL YEAR, OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS, THROUGH FUNDING FROM THE OHIOHEALTH FOUNDATION, WILL PROVIDE AT LEAST 50 PATIENTS AND THEIR CAREGIVERS WITH TRANSPORTATION VOUCHERS TO AND FROM THEIR APPOINTMENTS. * PER FISCAL YEAR, THE OHIOHEALTH SOCIAL WORKERS COVERING OHIOHEALTH MANSFIELD HOSPITAL, OHIOHEALTH SHELBY HOSPITAL AND OHIOHEALTH PHYSICIAN GROUP CLINICS WILL SUPPORT AND EDUCATE ALL PATIENTS ABOUT TRANSPORTATION ASSISTANCE PROVIDED BY THEIR HEALTH INSURANCE (IF APPLICABLE) AND OTHER COMMUNITY AGENCIES. PRIORITIZATION 5. SOCIAL DETERMINANTS OF HEALTH - INCLUDES A) HIGH RATES OF CHILDREN IN POVERTY/HIGH NUMBER OF CHILDREN ON FREE AND REDUCED-PRICE LUNCH; AND (B) RACISM. OHIOHEALTH MANSFIELD HOSPITAL'S AND OHIOHEALTH SHELBY HOSPITAL'S INTENDED ACTIONS TO ADDRESS THE HEALTH NEED: * CONTINUE TO ASSESS PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH NEEDS SUCH AS: FOOD INSECURITY, FINANCIAL RESOURCE STRAIN, HOUSING, TRANSPORTATION, SOCIAL CONNECTIONS, INTIMATE PARTNER VIOLENCE, PHYSICAL ACTIVITY, DAILY STRESS, AND DEPRESSION. PATIENTS WILL BE PROVIDED WITH COMMUNITY RESOURCES LIST AND WILL BE MADE AWARE OF THE FREE OHIOHEALTH COMMUNITY RESOURCE DIRECTORY, WHICH IS POWERED BY AUNT BERTHA. * CONTINUE TO BE ACTIVELY INVOLVED IN THE RICHLAND COUNTY TASK FORCE ON RACISM. THE PRESIDENT OF OHIOHEALTH MANSFIELD AND SHELBY HOSPITALS AND ONE OF THE HEALTH EDUCATORS FROM OHIOHEALTH MANSFIELD HOSPITAL WILL LEAD THE TASK FORCE'S SUBCOMMITTEE ON HEALTH CARE, WHICH WILL PROMOTE HEALTH CARE ACCESS AND EQUITY FOR ALL RESIDENTS OF RICHLAND COUNTY, ESPECIALLY THOSE FROM AFRICAN AMERICAN AND OTHER MINORITY GROUPS. ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVE: BY JUNE 30, 2025, OHIOHEALTH MANSFIELD HOSPITAL AND OHIOHEALTH SHELBY HOSPITAL WILL WORK TOGETHER AND COLLABORATE WITH THE RICHLAND COUNTY COMMUNITY TO IMPLEMENT EVIDENCE-BASED STRATEGIES TO ADDRESS HIGH RATES OF CHILDREN IN POVERTY, HIGH NUMBER OF CHILDREN ON FREE AND REDUCED-PRICE LUNCH, AND RACISM. * SCREENING FOR SOCIAL DETERMINANTS OF HEALTH AND APPROPRIATE REFERRAL - PER FISCAL YEAR, ASSESS AT LEAST 80 PERCENT OF PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH NEEDS AND EDUCATE ABOUT APPROPRIATE COMMUNITY RESOURCES THAT ADDRESS THESE NEEDS. * ACTIVE PARTICIPATION AND LEADERSHIP IN THE RICHLAND COUNTY TASK FORCE ON RACISM - PER FISCAL YEAR, OHIOHEALTH REPRESENTATIVES WILL ATTEND AT LEAST 70% OF THE MEETINGS OF THE RICHLAND COUNTY TASK FORCE ON RACISM AND SUBCOMMITTEE ON HEALTHCARE. PER FISCAL YEAR, OHIOHEALTH WILL LEAD AT LEAST ONE INITIATIVE OR PROJECT RELATED TO ADDRESSING HEALTH CARE DISPARITIES AND HEALTH EQUITY IN RICHLAND COUNTY.

Schedule H, Part V, Section B, Line 13 Facility B, 1
Facility B, 1 - FACILITY GROUP B: FACILITY 1. OHIOHEALTH MANSFIELD HOSPITAL, AND FACILITY 6. OHIOHEALTH SHELBY HOSPITAL. OHIOHEALTH USES INCOME LEVEL OF PATIENT AND PATIENT IMMEDIATE FAMILIES AS A FACTOR IN DETERMINING INCOME LEVEL.

Schedule H, Part V, Section B, Line 13 Facility B, 1
Facility B, 1 - Facility Group B: Facilities 1. OhioHealth Mansfield Hospital, and Facility 6. OhioHealth Shelby Hospital. OHIOHEALTH USES THE STATE AND FEDERAL PROGRAM ADMINISTERED BY THE DEPARTMENT OF MEDICAID HOSPITAL CARE ASSURANCE PROGRAM (HCAP) AS DEFINED IN THE OHIO ADMINISTRATIVE CODE. HCAP IS AN OHIO PROGRAM THAT STATES THAT ANY PATIENT WHOSE FAMILY SIZE AND INCOME LEVEL IS BELOW THE FEDERAL POVERTY GUIDELINES, RECEIVES FREE CARE FOR HOSPITAL SERVICES. IF THE PATIENT PROVES THAT THEIR INCOME FALLS BELOW THE FEDERAL POVERTY GUIDELINES, OHIOHEALTH MUST DISCOUNT THEIR RESPONSIBILITY OF THE CLAIM 100%. OHIOHEALTH'S INTERNAL CHARITY POLICY ADDRESSES PATIENTS WHOSE FAMILY SIZE AND INCOME IS ABOVE THE FEDERAL POVERTY GUIDELINES. OHIOHEALTH HAS DECIDED TO PROVIDE DISCOUNTS ON PATIENT BALANCES FOR PATIENTS WHOSE FAMILY SIZE AND INCOME IS UP TO 400% OF THE FEDERAL POVERTY GUIDELINES DISCOUNTED CARE.

Schedule H, Part V, Section B, Line 16 Facility B, 1
Facility B, 1 - FACILITY GROUP B: FACILITY 1. OHIOHEALTH MANSFIELD HOSPITAL, AND FACILITY 6. OHIOHEALTH SHELBY HOSPITAL. SIGNS ARE POSTED, IN MULTIPLE LANGUAGES, AT MULTIPLE ENTRY POINTS AND REGISTRATION LOCATIONS STATING THE INTENT TO COMPLY WITH THE STATE OF OHIO'S HOSPITAL CARE ASSURANCE PROGRAM (HCAP). ADDITIONALLY, THE SIGNAGE, WHICH IS ON LARGE POSTER BOARDS (24X36 INCHES) AND CONSPICUOUSLY DISPLAYED, CONTAINS REFERENCE TO THE ORGANIZATION'S CHARITY CARE PROGRAM. INFORMATION MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES AT REGISTRATION LOCATIONS AND INTERPRETIVE SERVICES CAN BE ARRANGED IN THOSE LANGUAGES IF THE PATIENT/GUARANTOR DOES NOT SPEAK ENGLISH. OHIOHEALTH FACILITY BILLING STATEMENTS ALSO INCLUDE INFORMATION REGARDING HCAP. HOSPITAL PATIENT BILLING BROCHURES EXPLAIN THAT OHIOHEALTH PROVIDES CARE TO EVERYONE WHO COMES FOR SERVICES, REGARDLESS OF THEIR ABILITY TO PAY. THE BROCHURE PROVIDES INFORMATION ABOUT HCAP AND THE HOSPITALS CHARITY CARE PROGRAMS, HOW TO APPLY, AND THE NUMBERS TO CALL WITH QUESTIONS. HOSPITAL PATIENT BILLING BROCHURES ARE AVAILABLE TO EVERY PATIENT WITH THE FINANCIAL ASSISTANCE APPLICATION AND AVAILABLE UPON REQUEST FROM INSURED PATIENTS. IN ADDITION, A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY IS OFFERED TO EVERY PATIENT UPON INTAKE. OHIOHEALTH HAS A VERY ROBUST FINANCIAL COUNSELING PROGRAM THAT AIMS TO ASSIST AND EDUCATE EVERY PATIENT THAT NEEDS FINANCIAL HELP BY INFORMING THE PATIENT OF OHIOHEALTH'S FINANCIAL ASSISTANCE PROGRAM. FINANCIAL COUNSELORS ARE LOCATED AT EACH OF THE MAIN HOSPITAL CAMPUSES TO PROVIDE INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAMS TO THE PATIENTS AS WELL AS ASSIST WITH COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. SYSTEM-WIDE, OHIOHEALTH HAS OVER 30 FINANCIAL COUNSELORS, INCLUDING SUPERVISORS. ALL SELF-PAY REGISTRATIONS ARE REFERRED TO THE FINANCIAL COUNSELORS OR ON-SITE VENDORS AND AN ATTEMPT IS MADE FOR DIRECT CONTACT TO DISCUSS AND COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THERE MAY BE TIMES, SUCH AS VERY LATE IN THE EVENING OR VERY EARLY MORNING, WHEN ALL SELF-PAY PATIENTS ARE NOT SEEN FACE-TO-FACE BEFORE THEY ARE DISCHARGED. HOWEVER, THERE ARE PHONE ATTEMPTS AND LETTERS MAILED TO THESE PATIENTS TO EXPLAIN FINANCIAL ASSISTANCE AND ATTEMPT COMPLETION OF THE FINANCIAL ASSISTANCE APPLICATION. THE FRONT OF EVERY PATIENT BILLING STATEMENT REFERENCES ASSISTANCE FOR AMOUNTS NOT COVERED BY INSURANCE TO THOSE INDIVIDUALS WHOSE INCOME IS BELOW THE ESTABLISHED POVERTY LEVEL. THERE ARE TELEPHONE NUMBERS FOR CUSTOMER SERVICE AND AN EMAIL ADDRESS PROVIDED ON THE FRONT OF EVERY PATIENT BILLING STATEMENT WITH THE FEDERAL POVERTY GUIDELINES ON THE BACK. INCLUDED WITH THE THIRD PATIENT BILLING STATEMENT IS THE FINANCIAL ASSISTANCE APPLICATION. INCLUDED ARE DIRECTIONS TO COMPLETE THE APPLICATION, SIGN, AND WHERE TO SEND THE APPLICATION. DURING THE PRE-REGISTRATION/PRE-ADMISSIONS PROCESS, THE REGISTRATION REPRESENTATIVE WILL INFORM SCHEDULED SELF-PAY PATIENTS VIA TELEPHONE THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE AND THAT HE/SHE MAY BE REFERRED TO THE CUSTOMER CALL CENTER FOR ASSISTANCE IN APPLYING. THE REGISTRAR WILL TRANSFER THE PATIENT TO THE VERBAL FINANCIAL ASSISTANCE QUEUE AND/OR WILL PROVIDE THE TELEPHONE NUMBER TO THE VERBAL FINANCIAL ASSISTANCE QUEUE. ALL INSURED PATIENTS EXPRESSING NEED FOR FINANCIAL ASSISTANCE WILL ALSO BE TRANSFERRED TO THE VERBAL FINANCIAL ASSISTANCE QUEUE AND/OR PROVIDED THE TELEPHONE NUMBER TO THE VERBAL FINANCIAL ASSISTANCE QUEUE IN THE CUSTOMER CALL CENTER. THE CUSTOMER CALL CENTER WILL DISCUSS FINANCIAL ASSISTANCE WITH ANY PATIENT THAT EXPRESSES NEED OR CONCERN IN PAYING THE BALANCE ON THEIR ACCOUNT. THE REPRESENTATIVE WILL FORWARD THE CALLER TO THE VERBAL FINANCIAL ASSISTANCE QUEUE OR HAVE A FINANCIAL ASSISTANCE APPLICATION MAILED TO THE PATIENT. THE FINANCIAL ASSISTANCE APPLICATION IS AVAILABLE IN ELEVEN DIFFERENT LANGUAGES BASED ON THE NEEDS OF THE COMMUNITIES.

Schedule H, Part V, Section B, Line 5 Facility A, 1
"Facility A, 1 - FACILITY GROUP A, FACILITY 2: OHIOHEALTH MARION GENERAL HOSPITAL. OHIOHEALTH MARION GENERAL HOSPITAL CONSULTED WITH PERSONS REPRESENTING THE COMMUNITY'S INTEREST BY EMAIL COMMUNICATIONS DURING THE MONTHS OF MAY AND JUNE 2021, AND A VIRTUAL MEETING ON JUNE 17, 2021. COMMUNITY STAKEHOLDERS SUBMITTED THEIR ASSESSMENTS OF HEALTH NEEDS BY EMAIL. DURING THE VIRTUAL MEETING, THEY VOTED ON THE HEALTH NEEDS FOR OHIOHEALTH MARION GENERAL HOSPITAL TO PRIORITIZE AND PROVIDED INPUT ON THE SPECIFIC NEEDS TO BE ADDRESSED. THEY ALSO CONFIRMED THE RECOMMENDATION THAT OHIOHEALTH MARION GENERAL HOSPITAL ALIGNS WITH THE 2020-2022 STATE HEALTH IMPROVEMENT PLAN OF THE STATE OF OHIO. THE FOLLOWING REPRESENTATIVES FROM THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, PARTICIPATED IN THE PROCESS. THEY ATTENDED THE OHIOHEALTH MARION GENERAL HOSPITAL'S PRIORITIZATION OF COMMUNITY HEALTH NEEDS MEETING ON JUNE 17, 2021, AND PROVIDED INPUTS DURING THE TIMEFRAME OF MAY 19, 2021, TO JUNE 17, 2021: - BLACK HERITAGE COUNCIL OF MARION: SERVES BLACK STUDENTS BY PROVIDING SCHOLARSHIPS. - BOYS AND GIRLS CLUB OF MARION COUNTY: SERVES ALL PERSONS IN MARION COUNTY, INCLUDING LOW-INCOME OR MINORITY POPULATIONS. - CENTER STREET COMMUNITY HEALTH CENTER: SERVES ALL PERSONS, INCLUDING MINORITIES AND PERSONS WITH DISABILITIES. - CRAWFORD-MARION BOARD OF ALCOHOL, DRUG ADDICTION, AND MENTAL HEALTH SERVICES: SERVES ALL PERSONS REGARDLESS OF ABILITY TO PAY, TO PROVIDE ALCOHOL, DRUG ADDICTION, AND MENTAL HEALTH SERVICES TO ALL RESIDENTS. - MARION AREA COUNSELING CENTER (BEHAVIORAL HEALTH SERVICES): SERVES ALL PERSONS IN THE UNITED STATES REGARDLESS OF ABILITY TO PAY. - MARION BOARD OF REALTORS: SERVES ALL PERSONS. - MARION CITY SCHOOLS: SERVES SCHOOL CHILDREN, PARENTS, AND COMMUNITIES IN MARION COUNTY. - MARION COUNTY OFFICE OF EMERGENCY MANAGEMENT (PUBLIC SAFETY): SERVES ALL PERSONS IN MARION COUNTY. - MARION FAMILY YMCA: SERVES ALL PERSONS IN MARION COUNTY. - MARION MATTERS: SERVES ALL PERSONS, INCLUDING PERSONS WITH DEVELOPMENTAL DISABILITIES AND MINORITY POPULATIONS, ""TO PROVIDE LEADERSHIP IN DEVELOPING AND SUSTAINING PATHWAYS OUT OF POVERTY THROUGH EDUCATION AND SUPPORT."" - MARION PALACE THEATRE: SERVES ALL PERSONS. - MARION PUBLIC HEALTH: SERVES ALL PERSONS IN MARION COUNTY, OHIO. - MARION TECHNICAL COLLEGE: SERVES ALL PERSONS, INCLUDING PERSONS WITH DEVELOPMENTAL DISABILITIES AND MINORITY POPULATIONS. - OHIOHEALTH COMMUNITY HEALTH PARTNERSHIPS: SERVES ALL PERSONS INCLUDING THE MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS. - OHIOHEALTH MARION GENERAL HOSPITAL: SERVES ALL PERSONS, INCLUDING THE MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS. - PLEASANT LOCAL SCHOOLS: SERVES SCHOOL CHILDREN, PARENTS AND TEACHERS AND COMMUNITY IN MARION COUNTY. - THE OHIO STATE UNIVERSITY AT MARION: SERVES ALL PERSONS, INCLUDING PERSONS WITH DISABILITIES AND MINORITIES."

Schedule H, Part V, Section B, Line 5 Facility A, 2
"Facility A, 2 - FACILITY GROUP A, FACILITY 3: OHIOHEALTH O'BLENESS MEMORIAL HOSPITAL. OHIOHEALTH O'BLENESS MEMORIAL HOSPITAL CONSULTED WITH PERSONS REPRESENTING THE COMMUNITY'S INTEREST BY VIRTUAL MEETINGS. MEETINGS HELD WERE AS FOLLOWS: MAY 26, 2021 - BRIEF REVIEW OF DATA AND IDENTIFICATION OF SIGNIFICANT HEALTH NEEDS IN ATHENS COUNTY JUNE 16, 2021 - PRIORITIZATION OF THE SIGNIFICANT HEALTH NEEDS IN ATHENS COUNTY THAT OHIOHEALTH O'BLENESS HOSPITAL WILL NEED TO ADDRESS FROM JULY 1, 2022, TO JUNE 30, 2025. JULY 15, 2021 - IDENTIFICATION OF PRIORITY HEALTH OUTCOMES AND PRIORITY FACTORS WHERE OHIOHEALTH O'BLENESS HOSPITAL WILL HAVE TO COLLABORATE WITH THE ATHENS CITY COUNTY HEALTH DEPARTMENT IN ALIGNING WITH OHIO'S 2020-2022 STATE HEALTH IMPROVEMENT PLAN (SHIP). THE FOLLOWING REPRESENTATIVES FROM THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, WERE INCLUDED IN THE PROCESS. EACH STAKEHOLDER PARTICIPATED IN AT LEAST ONE OF THE AFORE MENTIONED VIRTUAL COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIZATION OF HEALTH NEEDS MEETINGS HOSTED BY OHIOHEALTH O'BLENESS HOSPITAL AND OHIO UNIVERSITY: - ALZHEIMER'S ASSOCIATION: SERVES PERSONS THAT MAY BE DIRECTLY OR INDIRECTLY AFFECTED BY ALZHEIMER'S DISEASE IN SOUTHERN OHIO, NORTHERN KENTUCKY. - ATHENS AREA CHAMBER OF COMMERCE: SERVES MEMBER BUSINESSES AND ALL PERSONS IN ATHENS COUNTY. - ATHENS CITY -COUNTY HEALTH DEPARTMENT: SERVES ALL PERSONS FROM ATHENS COUNTY. - ATHENS COUNTY JOB AND FAMILY SERVICES: SERVES ALL PERSONS FROM ATHENS COUNTY, TO HELP ""FELLOW CITIZENS WHO EXPERIENCE THE DESPAIR OF POVERTY, HUNGER, HOMELESSNESS, AND ILL HEALTH"". - ATHENS COUNTY, OHIO: SERVES ALL PERSONS FROM ATHENS COUNTY. - ATHENS COUNTY PUBLIC LIBRARIES: SERVES ALL PERSONS IN ATHENS COUNTY NEEDING LIBRARY RESOURCES, SERVING AS INFORMATION HUBS AND COMMUNITY CENTERS. - ATHENS COUNTY FOUNDATION: SERVES ALL PERSONS IN ATHENS COUNTY. - ATHENS-HOCKING-VINTON ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES: SERVES ALL RESIDENTS OF - ATHENS COUNTY, OHIO, ESPECIALLY THOSE WHO ARE MEDICALLY UNDERSERVED, MINORITIES, LOW-INCOME OR INDIVIDUALS WITH CHRONIC DISEASE NEEDS. - ATHENS PARENTS FOR RACIAL EQUITY (DIVERSITY AND INCLUSION SUPPORT GROUP FOR PARENTS AND CHILDREN): SERVES PARENTS IN ATHENS COUNTY INTERESTED IN RACIAL EQUITY. - CITY OF ATHENS, OHIO: SERVES ALL RESIDENTS OF THE CITY OF ATHENS, OHIO, TO PROVIDE GOVERNMENT SERVICES TO THE CITY OF ATHENS RESIDENTS. - HOCKING ATHENS PERRY COMMUNITY ACTION (HAPCAP): SERVES ALL PERSONS NEEDING FOOD ASSISTANCE AND OTHER BASIC NEEDS. - HOPEWELL HEALTH CENTERS (INCLUDES COMPREHENSIVE BEHAVIORAL HEALTH CARE, DENTAL HEALTH CARE, AND PRIMARY HEALTH CARE): SERVES ALL PERSONS. - INTEGRATED SERVICES FOR BEHAVIORAL HEALTH (ISBH): SERVES ALL PERSONS. - OHIOHEALTH: SERVES ALL PERSONS NEEDING HEALTHCARE SERVICES REGARDLESS OF ABILITY TO PAY. - OHIO UNIVERSITY: SERVES ALL PERSONS WITH ACADEMIC AND COMMUNITY EDUCATION, HEALTH CARE NEEDS, AND SOCIAL DETERMINANTS OF HEALTH NEEDS. - PASSION WORKS STUDIO: SERVES ALL PERSONS INTERESTED IN THE ARTS. - SISTERS HEALTH FOUNDATION: SERVES ORGANIZATIONS THAT PROMOTE HEALTHY EATING, ACTIVE LIVING, THRIVING NEIGHBORHOODS, AND MENTAL HEALTH AND ADDICTION IN THE MID-OHIO VALLEY. - SURVIVOR ADVOCACY OUTREACH PROGRAM: SERVES SURVIVORS OF RAPE AND OTHER CRIMES IN SOUTHEAST OHIO. - THE LAURELS OF ATHENS: SERVES OLDER ADULTS NEEDING CARE AND PERSONS NEEDING REHABILITATION AND RECOVERY SERVICES."

Schedule H, Part V, Section B, Line 5 Facility A, 3
Facility A, 3 - FACILITY GROUP A, FACILITY 4: OHIOHEALTH GRADY MEMORIAL HOSPITAL. OHIOHEALTH GRADY MEMORIAL HOSPITAL CONSULTED WITH PERSONS REPRESENTING THE COMMUNITY'S INTEREST BY EMAIL COMMUNICATIONS DURING MAY AND JUNE 2021, AND BY A VIRTUAL MEETING ON JUNE 23, 2021. COMMUNITY STAKEHOLDERS REVIEWED THE SUMMARY OF HEALTH AND HEALTH-RELATED DATA FOR DELAWARE COUNTY AS WELL AS THE DELAWARE COUNTY DEMOGRAPHIC PROFILE. PARTICIPANTS SUBMITTED THEIR ASSESSMENTS OF HEALTH NEEDS IN DELAWARE COUNTY, AS DETERMINED BY THE TYPES OF HEALTH CONDITIONS OF THE POPULATION AND THEIR EXPERIENCES IN SERVING PERSONS, FAMILIES, NEIGHBORHOODS, AND COMMUNITIES BY EMAIL. DURING THE VIRTUAL MEETING, THEY VOTED ON THE HEALTH NEEDS THAT OHIOHEALTH GRADY MEMORIAL HOSPITAL SHOULD PRIORITIZE AND PROVIDED INPUT ON THE SPECIFIC NEEDS TO BE ADDRESSED. THEY ALSO CONFIRMED THE RECOMMENDATION THAT GRADY MEMORIAL HOSPITAL ALIGNS WITH THE 2020-2022 STATE HEALTH IMPROVEMENT PLAN OF THE STATE OF OHIO. THE FOLLOWING REPRESENTATIVES FROM THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, PARTICIPATED IN THE PROCESS. THEY ATTENDED THE OHIOHEALTH GRADY MEMORIAL HOSPITAL'S PRIORITIZATION OF COMMUNITY HEALTH NEEDS MEETING ON JUNE 23, 2021, AND PROVIDED INPUTS DURING THE TIMEFRAME OF MAY 6, 2021, TO JUNE 23, 2021: - ALPHA GROUP: SERVES PERSONS WITH DISABILITIES FROM DELAWARE COUNTY, OHIO. - ANDREWS HOUSE: SERVES ALL PERSONS NEEDING MEAL ASSISTANCE AND OTHER AMENITIES. - ASHLEY WORNSTAFF LIBRARY: SERVES ALL PERSONS NEEDING LIBRARY SERVICES. - BIG WALNUT LOCAL SCHOOLS: SERVES STUDENTS AND FAMILIES OF THE BIG WALNUT LOCAL SCHOOL DISTRICT. - BROWN TOWNSHIP (GOVERNANCE, POLICE, FIRE, EMERGENCY MEDICAL SERVICES, AND OTHER SERVICES): SERVES ALL PERSONS IN BROWN TOWNSHIP. - CANCER SUPPORT COMMUNITY CENTRAL OHIO: SERVES ALL PEOPLE REGARDLESS OF ABILITY TO PAY. - DELAWARE AREA CAREER CENTER: SERVES DELAWARE COUNTY RESIDENTS WHO WANT TO PURSUE CAREER FIELDS OR OBTAIN SKILLS. - DELAWARE CITY FIRE DEPARTMENT: SERVES ALL PERSONS IN THE CITY OF DELAWARE. - DELAWARE COUNTY BOARD OF DEVELOPMENTAL DISABILITIES: SERVES PERSONS WITH DEVELOPMENTAL DISABILITIES FROM DELAWARE COUNTY. - DELAWARE COUNTY EMERGENCY MEDICAL SERVICES (EMS): SERVES ALL PERSONS NEEDING EMERGENCY MEDICAL SERVICES IN DELAWARE COUNTY. - DELAWARE COUNTY REGIONAL PLANNING COMMISSION: SERVES ALL RESIDENTS OF DELAWARE COUNTY, OHIO. - DELAWARE COUNTY SHERIFF'S OFFICE: SERVES ALL PERSONS FROM DELAWARE COUNTY OR THOSE NEEDING CRIMINAL JUSTICE NEEDS OR SERVICES FROM THE SHERIFF'S OFFICE. - DELAWARE COUNTY TRANSIT: SERVES THE GENERAL PUBLIC PRIMARILY FROM DELAWARE COUNTY. MORE THAN 90 PERCENT OF RIDERS ARE EITHER DISABLED, SENIOR CITIZENS OR HAVE LOW INCOMES. - DELAWARE PUBLIC HEALTH DISTRICT: SERVES ALL RESIDENTS OF DELAWARE COUNTY, OHIO. - DELMOR DWELLINGS (HOUSING SOLUTIONS SUPPORTING MENTAL HEALTH): SERVES ALL RESIDENTS OF DELAWARE COUNTY REGARDLESS OF ABILITY TO PAY. - FAMILY PROMISE OF DELAWARE COUNTY: SERVES HOMELESS PERSONS IN DELAWARE COUNTY. - GRACE CLINIC DELAWARE (MEDICAL CARE): SERVES UNINSURED AND UNDERINSURED RESIDENTS OF DELAWARE COUNTY, OHIO. - HELPLINE OF DELAWARE AND MORROW COUNTIES, INC. (EMOTIONAL HEALTH AND WELLNESS): SERVES DELAWARE, MORROW, CRAWFORD, WYANDOT, UNION, SHELBY, LOGAN AND MIAMI COUNTY RESIDENTS REGARDLESS OF ABILITY TO PAY. - OHIOHEALTH GRADY MEMORIAL HOSPITAL/DUBLIN METHODIST HOSPITAL/OHIOHEALTH: SERVES ALL PERSONS WHO OBTAIN CARE AND OTHER SERVICES FROM OHIOHEALTH GRADY MEMORIAL HOSPITAL, OHIOHEALTH DELAWARE HEALTH CENTER, AND OTHER AMBULATORY FACILITIES. - PEOPLE IN NEED, INC. OF DELAWARE COUNTY, OHIO: SERVES PERSONS NEEDING EMERGENCY FOOD, HEALTH CARE AND HOUSING. - SOURCEPOINT: SERVES OLDER ADULTS RESIDING IN DELAWARE COUNTY. - SOUTHEAST HEALTHCARE (PROVIDER OF MENTAL HEALTH, CHEMICAL DEPENDENCY, HEALTHCARE AND HOMELESS SERVICES): SERVES ALL PERSONS WITH MENTAL AND BEHAVIORAL HEALTH NEEDS REGARDLESS OF ABILITY TO PAY. - SYNTERO (BEHAVIORAL HEALTH AND SOCIAL SERVICES): SERVES INDIVIDUALS AND FAMILIES REGARDLESS OF ABILITY TO PAY. - UNITED WAY OF DELAWARE COUNTY: COMMUNITY PARTNER AGENCIES SERVE PERSONS AND FAMILIES NEEDING EDUCATION, ESSENTIAL SERVICES, HEALTHCARE SERVICES AND FINANCIAL ASSISTANCE. - UNITY COMMUNITY CENTER (ORIGINALLY CALLED SECOND WARD COMMUNITY CENTER): SERVES PERSONS FROM DELAWARE COUNTY WHO HAVE INCOME BELOW THE POVERTY LEVEL.

Schedule H, Part V, Section B, Line 5 Facility A, 4
Facility A, 4 - FACILITY GROUP A, FACILITY 5: OHIOHEALTH HARDIN MEMORIAL HOSPITAL. OHIOHEALTH HARDIN MEMORIAL HOSPITAL CONSULTED WITH PERSONS REPRESENTING THE COMMUNITY'S INTEREST BY EMAIL COMMUNICATIONS DURING MAY AND JUNE 2021, AND BY A VIRTUAL MEETING ON JUNE 8, 2021. OHIOHEALTH HARDIN MEMORIAL HOSPITAL SUMMARIZED THE MOST RECENT HEALTH AND HEALTH-RELATED DATA AFFECTING HARDIN COUNTY USING CREDIBLE SOURCES SUCH AS THE OHIO DEPARTMENT OF HEALTH, COUNTY HEALTH RANKINGS, AND CENTERS FOR DISEASE CONTROL AND PREVENTION. THE HARDIN COUNTY DEMOGRAPHIC PROFILE WAS OBTAINED FROM THE OHIO DEVELOPMENT SERVICES AGENCY. COMMUNITY STAKEHOLDERS SUBMITTED THEIR ASSESSMENTS OF HEALTH NEEDS AFFECTING HARDIN COUNTY BASED ON THE TYPES OF HEALTH CONDITIONS OR NEEDS FOUND FROM THEIR EXPERIENCES IN SERVING PERSONS, FAMILIES, NEIGHBORHOODS, AND COMMUNITIES BY EMAIL. DURING THE VIRTUAL MEETING, THEY VOTED ON THE HEALTH NEEDS FOR OHIOHEALTH HARDIN MEMORIAL HOSPITAL TO PRIORITIZE AND PROVIDED INPUT ON THE SPECIFIC NEEDS TO BE ADDRESSED. THE FOLLOWING REPRESENTATIVES FROM THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, PARTICIPATED IN THE PROCESS. THEY ATTENDED THE OHIOHEALTH HARDIN MEMORIAL HOSPITAL'S PRIORITIZATION OF COMMUNITY HEALTH NEEDS MEETING ON JUNE 8, 2021, AND PROVIDED INPUTS DURING THE TIMEFRAME OF MAY 18, 2021, TO JUNE 8, 2021: - AREA AGENCY ON AGING 3 (PROVIDES RESOURCES TO OLDER ADULTS, PERSONS WITH DISABILITIES AND FAMILY CARE GIVERS): SERVES ALL RESIDENTS OF HARDIN COUNTY. - CITY OF KENTON (GOVERNMENT SERVICES): SERVES ALL RESIDENTS OF THE CITY OF KENTON, HARDIN COUNTY. - COLEMAN PROFESSIONAL SERVICES: SERVES ALL RESIDENTS OF HARDIN COUNTY AND SURROUNDING AREAS WITH MENTAL AND BEHAVIORAL HEALTH ISSUES, ADDICTION, HOUSING NEEDS, REGARDLESS OF ABILITY TO PAY. - GOSHEN TOWNSHIP: SERVES ALL RESIDENTS OF GOSHEN TOWNSHIP IN HARDIN COUNTY. - HARDIN COUNTY CHAMBER AND BUSINESS ALLIANCE: SERVES ALL RESIDENTS OF HARDIN COUNTY. - HARDIN COUNTY COMMUNITY FOUNDATION: SERVES PERSONS IN HARDIN COUNTY AND OTHER AREAS. - HARDIN COUNTY FAMILY YMCA: SERVES ALL PERSONS IN HARDIN COUNTY, OHIO REGARDLESS OF ABILITY TO PAY. - HARDIN COUNTY SHERIFF'S OFFICE: SERVES ALL RESIDENTS OF HARDIN COUNTY AND OTHER AREAS. - HEARTBEAT OF HARDIN COUNTY: SERVES PERSONS NEEDING WOMEN'S HEALTH SERVICES IN HARDIN COUNTY AND NEIGHBORING AREAS. - KENTON COMMUNITY HEALTH CENTER (PREVENTIVE AND PRIMARY HEALTH CARE): SERVES ALL PERSONS. - KENTON-HARDIN HEALTH DEPARTMENT: SERVES ALL RESIDENTS OF HARDIN COUNTY. - KENTON POLICE DEPARTMENT: SERVES ALL RESIDENTS OF THE CITY OF KENTON AND HARDIN COUNTY. - KENTON TIMES: SERVES ALL RESIDENTS OF HARDIN COUNTY. - MENTAL HEALTH RECOVERY SERVICES BOARD OF ALLEN, AUGLAIZE, AND HARDIN COUNTIES: SERVES ALL RESIDENTS OF ALLEN, AUGLAIZE, AND HARDIN COUNTIES, REGARDLESS OF ABILITY TO PAY. - OHIOHEALTH HARDIN MEMORIAL HOSPITAL: SERVES ALL RESIDENTS OF HARDIN COUNTY AND OTHER AREAS REGARDLESS OF ABILITY TO PAY. - OHIOHEALTH COMMUNITY HEALTH PARTNERSHIPS: SERVES ALL PERSONS REGARDLESS OF ABILITY TO PAY. - OHIO NORTHERN UNIVERSITY: SERVES ALL RESIDENTS OF HARDIN COUNTY AND NEIGHBORING AREAS AND EDUCATES PEOPLE AROUND THE WORLD. - OHIO WOMEN, INFANTS, AND CHILDREN (WIC) PROGRAM (NUTRITION SERVICES AND HEALTH CARE REFERRALS): SERVES PERSONS FROM HANCOCK, HARDIN, AND PUTNAM COUNTIES. - PREVENTION AWARENESS SUPPORT SERVICES (PASS): SERVES PERSONS FROM ALLEN, AUGLAIZE, HARDIN, AND UNION COUNTIES.

Schedule H, Part V, Section B, Line 6b Facility A, 1
Facility A, 1 - FACILITY GROUP A, FACILITY 2: OHIOHEALTH MARION GENERAL HOSPITAL. OHIOHEALTH MARION GENERAL HOSPITAL AND OHIOHEALTH COMMUNITY HEALTH PARTNERSHIPS CONSULTED WITH MARION PUBLIC HEALTH IN DEVELOPING THE ALIGNMENT WITH THE 2020-2022 STATE HEALTH IMPROVEMENT PLAN TO ADDRESS MENTAL HEALTH AND ADDICTION, CHRONIC DISEASE, AND MATERNAL AND INFANT/CHILD HEALTH. OHIOHEALTH MARION GENERAL HOSPITAL COLLECTED THE DATA FROM VARIOUS SOURCES AS FOLLOWS: 1) THE DEFINITION OF THE COMMUNITY SERVED BY OHIOHEALTH MARION GENERAL HOSPITAL WAS DEVELOPED BY DETERMINING THE PERCENTAGE OF PATIENTS WHO RESIDED IN MARION COUNTY DURING FISCAL YEAR 2019 AND 2020, ACCORDING TO THE HOSPITAL'S ELECTRONIC MEDICAL RECORDS. 2) THE DEMOGRAPHIC DATA OF MARION COUNTY POPULATION WAS OBTAINED FROM THE OHIO DEVELOPMENT SERVICES AGENCY (OHIO DEVELOPMENT SERVICES AGENCY, N.D.). 3) PERTINENT HEALTH DATA WAS SUMMARIZED FROM OHIO'S 2019 COMMUNITY HEALTH ASSESSMENT (OHIO DEPARTMENT OF HEALTH, 2020). 4) PERTINENT HEALTH AND HEALTH-RELATED DATA FOR MARION COUNTY, OHIO VERSUS STATE OF OHIO, AND UNITED STATES. BRICKER ECKLER LLP, LOCATED AT 100 SOUTH THIRD STREET, COLUMBUS, OHIO 43215, WAS CONTRACTED TO REVIEW THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT. JIM FLYNN IS A PARTNER WITH THE BRICKER ECKLER HEALTHCARE GROUP, WHERE HE HAS PRACTICED FOR 31 YEARS. HIS GENERAL HEALTHCARE PRACTICE FOCUSES ON HEALTH PLANNING MATTERS, CERTIFICATES OF NEED, NON-PROFIT AND TAX-EXEMPT HEALTHCARE PROVIDERS, AND FEDERAL AND STATE REGULATORY ISSUES. MR. FLYNN HAS PROVIDED CHNA CONSULTATION TO HEALTHCARE PROVIDERS, INCLUDING NON-PROFIT AND TAX-EXEMPT HEALTHCARE PROVIDERS, AS WELL AS PUBLIC HOSPITALS. CHRIS KENNEY IS THE DIRECTOR OF REGULATORY SERVICES WITH INCOMPLIANCE CONSULTING, AN AFFILIATE OF BRICKER ECKLER LLP. MS. KENNEY HAS MORE THAN 42 YEARS OF EXPERIENCE IN HEALTHCARE PLANNING AND POLICY DEVELOPMENT, FEDERAL AND STATE REGULATIONS, CERTIFICATE-OF-NEED REGULATIONS, AND MEDICARE AND MEDICAID CERTIFICATION. SHE HAS BEEN CONDUCTING CHNAS IN COMPLIANCE WITH FEDERAL RULES SINCE 2012, PROVIDING EXPERT TESTIMONY ON COMMUNITY NEEDS AND OFFERING PRESENTATIONS AND EDUCATIONAL SESSIONS REGARDING CHNAS.

Schedule H, Part V, Section B, Line 6b Facility A, 2
Facility A, 2 - FACILITY GROUP A, FACILITY 3: OHIOHEALTH O'BLENESS MEMORIAL HOSPITAL. THE OHIOHEALTH O'BLENESS HOSPITAL AND OHIOHEALTH COMMUNITY HEALTH PARTNERSHIPS COLLABORATED WITH THE ATHENS CITY-COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY STAKEHOLDERS IN IDENTIFYING ACTIONS AND STRATEGIES THAT ALIGNS WITH OHIO'S 2020-2022 STATE HEALTH IMPROVEMENT PLAN (SHIP). OHIOHEALTH O'BLENESS HOSPITAL COLLECTED THE DATA FROM VARIOUS SOURCES AS FOLLOWS: 1) THE DEFINITION OF THE COMMUNITY SERVED BY OHIOHEALTH O'BLENESS HOSPITAL WAS BASED ON THE PERCENTAGE OF PATIENTS WHO RESIDED IN ATHENS COUNTY DURING FISCAL YEAR 2019 AND 2020, BASED ON ELECTRONIC MEDICAL RECORDS. 2) THE DEMOGRAPHIC DATA OF ATHENS COUNTY'S POPULATION WAS OBTAINED FROM THE OHIO DEVELOPMENT SERVICES AGENCY (OHIO DEPARTMENT OF DEVELOPMENT, N.D.). 3) PERTINENT HEALTH DATA FROM OHIO'S 2019 STATE HEALTH ASSESSMENT WAS SUMMARIZED (OHIO DEPARTMENT OF HEALTH, N.D.). 4) PERTINENT HEALTH DATA FROM THE OHIO DEPARTMENT OF HEALTH'S 2019 STATE HEALTH ASSESSMENT, ATHENS COUNTY CANCER PROFILE (OHIO DEPARTMENT OF HEALTH, N.D.) AND COUNTY HEALTH RANKINGS (2021). BRICKER ECKLER LLP/INCOMPLIANCE CONSULTING (CHRIS KENNEY, JIM FLYNN) - LOCATED AT 100 SOUTH THIRD STREET, COLUMBUS, OHIO 43215. BRICKER ECKLER LLP WAS CONTRACTED TO REVIEW THIS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. JIM FLYNN IS A PARTNER WITH THE BRICKER ECKLER HEALTHCARE GROUP, WHERE HE HAS PRACTICED FOR 31 YEARS. HIS GENERAL HEALTHCARE PRACTICE FOCUSES ON HEALTH PLANNING MATTERS, CERTIFICATES OF NEED, NONPROFIT AND TAX-EXEMPT HEALTHCARE PROVIDERS, AND FEDERAL AND STATE REGULATORY ISSUES. MR. FLYNN HAS PROVIDED CONSULTATION TO HEALTHCARE PROVIDERS, INCLUDING NONPROFIT AND TAX-EXEMPT HEALTHCARE PROVIDERS AS WELL AS PUBLIC HOSPITALS, ON COMMUNITY HEALTH NEEDS ASSESSMENTS. CHRIS KENNEY IS THE DIRECTOR OF REGULATORY SERVICES WITH INCOMPLIANCE CONSULTING, AN AFFILIATE OF BRICKER ECKLER L.L.P. MS. KENNEY HAS MORE THAN 42 YEARS OF EXPERIENCE IN HEALTHCARE PLANNING AND POLICY DEVELOPMENT, FEDERAL AND STATE REGULATIONS, CERTIFICATE OF NEED REGULATIONS, AND MEDICARE AND MEDICAID CERTIFICATION. SHE HAS CONDUCTED CHNAS IN COMPLIANCE WITH FEDERAL RULES SINCE 2012, PROVIDED EXPERT TESTIMONY ON COMMUNITY NEEDS, AND OFFERED PRESENTATIONS AND EDUCATIONAL SESSIONS REGARDING CHNAS. OHIO UNIVERSITY VOINOVICH SCHOOL OF LEADERSHIP AND PUBLIC SERVICE - LOCATED AT OHIO UNIVERSITY, BUILDING 21, THE RIDGES, 1 OHIO UNIVERSITY, ATHENS, OH 45701 - 2979. THE VOINOVICH SCHOOL IS A LEADING PUBLIC SERVICE SCHOOLS, FOSTERS PARTNERSHIPS IN THE PUBLIC AND PRIVATE SECTOR TO ADDRESS COMMUNITY NEEDS AND PROBLEMS, FOSTER ECONOMIC DEVELOPMENT AND PROTECT THE ENVIRONMENT. OHIOHEALTH O'BLENESS CONSULTED WITH MARGARET HUTZEL (SENIOR PROJECT MANAGER), CALE BURKE (INTERN), AND MACKENZIE KUCHARSKY (SPECIAL PROJECTS COORDINATOR) IN FACILITATING THE THREE COMMUNITY VIRTUAL MEETINGS ON MAY 26, 2021, JUNE 16, 2021, AND JULY 15, 2021, 10-11 AM BY ZOOM. IN COLLABORATION WITH OHIOHEALTH COMMUNITY HEALTH PARTNERSHIPS AND OHIOHEALTH O'BLENESS HOSPITAL, MARGARET HUTZEL FACILITATED THE COMMUNITY DISCUSSIONS.

Schedule H, Part V, Section B, Line 6b Facility A, 3
Facility A, 3 - FACILITY GROUP A, FACILITY 4: OHIOHEALTH GRADY MEMORIAL HOSPITAL. THE OHIOHEALTH GRADY MEMORIAL HOSPITAL AND OHIOHEALTH COMMUNITY HEALTH PARTNERSHIPS COLLABORATED WITH THE DELAWARE PUBLIC HEALTH DISTRICT, AND VARIOUS COMMUNITY STAKEHOLDERS IN IDENTIFYING ACTIONS AND STRATEGIES THAT ALIGNS WITH OHIO'S 2020-2022 STATE HEALTH IMPROVEMENT PLAN (SHIP). OHIOHEALTH GRADY MEMORIAL HOSPITAL COLLECTED THE DATA FROM VARIOUS SOURCES AS FOLLOWS: 1) THE DEFINITION OF THE COMMUNITY SERVED BY OHIOHEALTH GRADY MEMORIAL HOSPITAL WAS DEVELOPED BY DETERMINING THE PERCENTAGE OF PATIENTS WHO RESIDED IN DELAWARE COUNTY DURING FISCAL YEAR 2019 AND 2020, BASED ON ELECTRONIC MEDICAL RECORDS. 2) THE DEMOGRAPHIC DATA OF THE DELAWARE COUNTY POPULATION WAS OBTAINED FROM THE OHIO DEVELOPMENT SERVICES AGENCY (OHIO DEVELOPMENT SERVICES AGENCY, N.D.). 3) PERTINENT HEALTH DATA FROM OHIO'S 2019 COMMUNITY HEALTH ASSESSMENT WAS SUMMARIZED (OHIO DEPARTMENT OF HEALTH, 2020). 4) PERTINENT HEALTH AND HEALTH-RELATED DATA FOR DELAWARE COUNTY, OHIO VERSUS STATE OF OHIO, AND UNITED STATES. BRICKER ECKLER LLP/INCOMPLIANCE CONSULTING (CHRIS KENNEY, JIM FLYNN) - LOCATED AT 100 SOUTH THIRD STREET, COLUMBUS, OHIO 43215. BRICKER ECKLER LLP WAS CONTRACTED TO REVIEW THIS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. JIM FLYNN IS A PARTNER WITH THE BRICKER ECKLER HEALTHCARE GROUP, WHERE HE HAS PRACTICED FOR 31 YEARS. HIS GENERAL HEALTHCARE PRACTICE FOCUSES ON HEALTH PLANNING MATTERS, CERTIFICATES OF NEED, NONPROFIT AND TAX-EXEMPT HEALTHCARE PROVIDERS, AND FEDERAL AND STATE REGULATORY ISSUES. MR. FLYNN HAS PROVIDED CONSULTATION TO HEALTHCARE PROVIDERS, INCLUDING NONPROFIT AND TAX-EXEMPT HEALTHCARE PROVIDERS AS WELL AS PUBLIC HOSPITALS, ON COMMUNITY HEALTH NEEDS ASSESSMENTS. CHRIS KENNEY IS THE DIRECTOR OF REGULATORY SERVICES WITH INCOMPLIANCE CONSULTING, AN AFFILIATE OF BRICKER ECKLER L.L.P. MS. KENNEY HAS MORE THAN 42 YEARS OF EXPERIENCE IN HEALTHCARE PLANNING AND POLICY DEVELOPMENT, FEDERAL AND STATE REGULATIONS, CERTIFICATE OF NEED REGULATIONS, AND MEDICARE AND MEDICAID CERTIFICATION. SHE HAS CONDUCTED CHNAS IN COMPLIANCE WITH FEDERAL RULES SINCE 2012, PROVIDED EXPERT TESTIMONY ON COMMUNITY NEEDS, AND OFFERED PRESENTATIONS AND EDUCATIONAL SESSIONS REGARDING CHNAS.

Schedule H, Part V, Section B, Line 6b Facility A, 4
"Facility A, 4 - FACILITY GROUP A, FACILITY 5: OHIOHEALTH HARDIN MEMORIAL HOSPITAL. THE OHIOHEALTH HARDIN MEMORIAL HOSPITAL AND OHIOHEALTH COMMUNITY HEALTH PARTNERSHIPS COLLABORATED WITH THE KENTON-HARDIN HEALTH DEPARTMENT AND VARIOUS COMMUNITY STAKEHOLDERS TO DEMONSTRATE ITS CONTINUING COMMITMENT TO PLAY AN ACTIVE AND EFFECTIVE ROLE IN THE HARDIN COUNTY COMMUNITY BY FULFILLING ITS MISSION ""TO IMPROVE THE HEALTH OF THOSE WE SERVE."" OHIOHEALTH HARDIN MEMORIAL HOSPITAL COLLECTED THE DATA FROM VARIOUS SOURCES AS FOLLOWS: 1) THE DEFINITION OF THE COMMUNITY SERVED BY OHIOHEALTH HARDIN MEMORIAL HOSPITAL WAS BASED ON THE PERCENTAGE OF PATIENTS WHO RESIDE IN HARDIN COUNTY DURING FISCAL YEAR 2019 AND 2020, ACCORDING TO THE HOSPITAL'S ELECTRONIC MEDICAL RECORDS. 2) THE DEMOGRAPHIC DATA OF HARDIN COUNTY POPULATION WAS OBTAINED FROM THE OHIO DEVELOPMENT SERVICES AGENCY (OHIO DEVELOPMENT SERVICES AGENCY, N.D.). 3) PERTINENT HEALTH DATA WAS SUMMARIZED FROM OHIO'S 2019 COMMUNITY HEALTH ASSESSMENT (OHIO DEPARTMENT OF HEALTH, 2016). 4) PERTINENT DATA AND INFORMATION FOR HARDIN COUNTY, STATE OF OHIO, AND THE UNITED STATES. BRICKER ECKLER LLP/INCOMPLIANCE CONSULTING (CHRIS KENNEY, JIM FLYNN), LOCATED AT 100 SOUTH THIRD STREET, COLUMBUS, OHIO 43215, BRICKER ECKLER LLP WAS CONTRACTED TO REVIEW THIS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. JIM FLYNN IS A PARTNER WITH THE BRICKER ECKLER HEALTHCARE GROUP, WHERE HE HAS PRACTICED FOR OVER 31 YEARS. HIS GENERAL HEALTHCARE PRACTICE FOCUSES ON HEALTH PLANNING MATTERS, CERTIFICATES OF NEED, NONPROFIT AND TAX-EXEMPT HEALTHCARE PROVIDERS AND FEDERAL AND STATE REGULATORY ISSUES. MR. FLYNN HAS PROVIDED CONSULTATIONS TO HEALTHCARE PROVIDERS INCLUDING NONPROFIT AND TAX-EXEMPT HEALTHCARE PROVIDERS AS WELL AS PUBLIC HOSPITALS ON COMMUNITY HEALTH NEEDS ASSESSMENTS. CHRIS KENNEY, THE DIRECTOR OF REGULATORY SERVICES WITH INCOMPLIANCE CONSULTING, AN AFFILIATE OF BRICKER ECKLER LLP, HAS OVER 42 YEARS OF EXPERIENCE IN HEALTHCARE PLANNING AND POLICY DEVELOPMENT, FEDERAL AND STATE REGULATIONS, CERTIFICATE OF NEED REGULATIONS, AND MEDICARE AND MEDICAID CERTIFICATION. SHE HAS BEEN CONDUCTING CHNAS IN COMPLIANCE WITH FEDERAL RULES SINCE 2012, PROVIDING EXPERT TESTIMONY ON COMMUNITY NEEDS AND OFFERING PRESENTATIONS AND EDUCATIONAL SESSIONS REGARDING CHNAS."

Schedule H, Part V, Section B, Line 11 Facility A, 1
"Facility A, 1 - FACILITY GROUP A, FACILITY 2: OHIOHEALTH MARION GENERAL HOSPITAL. OHIOHEALTH MARION GENERAL HOSPITAL AND OHIOHEALTH COMMUNITY HEALTH PARTNERSHIPS CONSULTED WITH MARION PUBLIC HEALTH IN DEVELOPING THE ALIGNMENT WITH THE 2020-2022 STATE HEALTH IMPROVEMENT PLAN TO ADDRESS MENTAL HEALTH AND ADDICTION, CHRONIC DISEASE, AND MATERNAL AND INFANT/CHILD HEALTH. PRIORITIZATION 1- MARION GENERAL HOSPITAL'S INTENDED ACTIONS TO ADDRESS: MENTAL HEALTH AND ADDICTION * CONTINUE TO PROVIDE INPATIENT AND OUTPATIENT BEHAVIORAL HEALTHCARE AT MARION GENERAL HOSPITAL, PRIMARY CARE AND OTHER AMBULATORY CLINICS AND PROMOTE PARTNERSHIPS WITH COMMUNITY AGENCIES TO ENSURE EFFECTIVE REFERRAL AND CROSS-REFERRAL SYSTEM. * CONTINUE TO PROVIDE THE SERVICES OF THE MARION GENERAL HOSPITAL'S PULMONARY REHABILITATION UNIT, PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT PROGRAM AND/OR PHARMACY (A) TOBACCO CESSATION EDUCATION, REFERRAL AND FOLLOW-UP WITH INPATIENTS, (B) COUNSELING FOR INPATIENTS WHO HAVE SMOKED WITHIN THE PAST 12 MONTHS, (C) TOBACCO CESSATION PACKET CONTAINING A STRESS BALL, GUM, BOOKLET AND FLIER FOR UPCOMING TOBACCO CESSATION CLASSES FOR INPATIENTS WHO ARE CURRENT SMOKERS AND HAVE EXPRESSED AN INTEREST IN QUITTING; EDUCATION OF THESE PATIENTS ABOUT THE OHIO TOBACCO QUIT LINE AND FOLLOW UP WITH THOSE WHO HAVE QUIT WITHIN THE PAST 12 MONTHS, OFFERING SUPPORT AS NEEDED, (D) FREE NICOTINE PATCHES UPON DISCHARGE FOR INPATIENTS WHO EXPRESS THE DESIRE TO QUIT AND SCORE A SEVEN OR HIGHER ON THE ""ASSESSMENT OF MOTIVATION: READINESS TO QUIT LADDER,"" (E) PATIENT EDUCATION ABOUT TOBACCO'S NEGATIVE EFFECTS ON THE EFFECTIVENESS OF PSYCHIATRIC MEDICATIONS. * CONTINUE PARTICIPATION AND ENGAGEMENT IN THE PLANNING, COORDINATION AND IMPLEMENTATION OF MARION COUNTY MEDICATION DISPOSAL DAY EVENTS AND ENGAGEMENT IN COMMUNITY MEETINGS RELATED TO INCREASING ACCESS TO SAFE DISPOSAL OF PRESCRIPTION DRUGS AND IMPROVE EDUCATION AND AWARENESS ON PROPER DISPOSAL OF PRESCRIPTION DRUGS. PARTICIPATION IN THE ""MARION COUNTY MEDICATION DISPOSAL DAY"". * CONTINUE TO PROVIDE SPEAKERSHIPS, PRESENTATIONS, AND OUTREACH TO THE MARION COUNTY COMMUNITY, INCLUDING WORKPLACE ENVIRONMENTS, FOCUSED ON VARIOUS ASPECTS OF MENTAL HEALTH AND ADDICTION AND HOW TO IMPROVE OVERALL HEALTH. * CONTINUE TO PARTNER WITH THE MARION CRAWFORD PREVENTION PROGRAMS THAT COORDINATES DRUG-FREE MARION, A COMMUNITY COALITION THAT FOCUSES IN REDUCING YOUTH INVOLVEMENT IN ALCOHOL, MARIJUANA AND VAPING. DRUG FREE MARION'S MISSION IS ""TO EMPOWER AND ENGAGE COMMUNITY MEMBERS TO ADDRESS SUBSTANCE ABUSE, MISUSE, AND ABUSE THROUGH PREVENTION, ADVOCACY, COLLABORATION, AND EDUCATION."" (THIS ACTION ALIGNS WITH OHIO'S 2020-2022 STATE HEALTH IMPROVEMENT PLAN (SHIP)). * CONTINUE TO SPONSOR, COLLABORATE, AND PROMOTE AWARENESS OF MARION PUBLIC HEALTH'S ""CLEAN NEEDLE EXCHANGE PROGRAM"", WHICH AIMS TO SERVE PERSONS WITH ADDICTION TO HEROIN OR OTHER INTRAVENOUS DRUGS AS A WAY OF MITIGATING THE TRANSMISSION OF BLOOD-BORNE PATHOGENS SUCH AS (BUT NOT LIMITED TO) HEPATITIS C AND HUMAN IMMUNODEFICIENCY VIRUS (HIV). AS PART OF THE ""CLEAN NEEDLE EXCHANGE PROGRAM"", MARION PUBLIC HEALTH PARTNERS WITH VARIOUS COMMUNITY STAKEHOLDERS SUCH AS (BUT NOT LIMITED TO) CRAWFORD-MARION ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH BOARD (CRAWFORD-ADAMH BOARD), AND MARION AREA COUNSELING CENTER (MACC). (THIS ACTION (MHA 6) ALIGNS WITH OHIO'S 2020-2022 STATE HEALTH IMPROVEMENT PLAN (SHIP)). ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVE: BY JUNE 30, 2025, OHIOHEALTH MARION GENERAL HOSPITAL, IN COLLABORATION WITH THE COMMUNITY, WILL IMPLEMENT EVIDENCE-BASED STRATEGIES TO: (A) REDUCE ADDICTION, (B) REDUCE DEPRESSION AND ANXIETY, AND (C) IMPROVE OVERALL HEALTH FOR YOUTH AND ADULTS. * PER FISCAL YEAR, OHIOHEALTH MARION GENERAL HOSPITAL WILL SERVE UP TO 500 ADULTS AND YOUTH WITH EVIDENCE-BASED MENTAL AND BEHAVIORAL HEALTHCARE. WHEN NECESSARY, OHIOHEALTH MARION GENERAL HOSPITAL WILL REFER PATIENTS TO SOCIAL SERVICE AGENCIES FOR FOLLOW-UP MENTAL AND BEHAVIORAL HEALTH SERVICES AND PROGRAMS. * PER FISCAL YEAR, THE MARION GENERAL HOSPITAL'S PULMONARY REHABILITATION UNIT, PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT PROGRAM AND/OR PHARMACY WILL SERVE AT LEAST 10 PERSONS WITH AT LEAST ONE OF THE FOLLOWING INTERVENTIONS: (A) TOBACCO CESSATION EDUCATION AND REFERRAL, (B) COUNSELING AND EMPOWERMENT TO QUIT USING TOBACCO, (C) RECEIVE A TOBACCO CESSATION PACKET, (D) FREE NICOTINE PATCHES, AND (E) EDUCATION AND AWARENESS ON THE NEGATIVE EFFECTS OF TOBACCO ON THE EFFECTIVENESS OF PSYCHIATRIC MEDICATIONS. * PER FISCAL YEAR, THE COMMUNITY COLLABORATIVE INVOLVED IN THE MARION COUNTY MEDICATION DISPOSAL DAY WILL COLLECT AT LEAST 100 POUNDS OF UNUSED AND/OR EXPIRED MEDICATIONS AND EDUCATE AT LEAST 100 PERSONS ON THE IMPORTANCE OF SAFE DISPOSAL OF UNUSED AND EXPIRED MEDICATIONS. * PER FISCAL YEAR, OHIOHEALTH MARION GENERAL HOSPITAL AND OHIOHEALTH WILL PROVIDE AT LEAST 10 SPEAKERSHIPS, PRESENTATIONS, AND OUTREACH IN MARION COUNTY ON ANY TOPIC RELATED TO MENTAL HEALTH AND ADDICTION AND PROMOTION OF OVERALL HEALTH. * PER FISCAL YEAR, OHIOHEALTH MARION GENERAL HOSPITAL REPRESENTATIVES WILL ATTEND MAJORITY OF THE MEETINGS AND/OR ACTIVITIES OF DRUG FREE MARION. PER FISCAL YEAR, OHIOHEALTH MARION GENERAL HOSPITAL WILL BE INVOLVED IN AT LEAST ONE DRUG FREE MARION COMMUNITY EVENT OR ACTIVITY TO ADDRESS MENTAL HEALTH AND ADDICTION IN MARION COUNTY. * PER FISCAL YEAR, OHIOHEALTH WILL EDUCATE AND REFER UP TO 25 PERSONS TO MARION PUBLIC HEALTH'S ""CLEAN NEEDLE EXCHANGE PROGRAM"". PER FISCAL YEAR, MARION PUBLIC HEALTH WILL DISTRIBUTE CLEAN NEEDLES FOR UP TO 50 PERSONS IN MARION COUNTY. PRIORITIZATION 2- MARION GENERAL HOSPITAL'S INTENDED ACTIONS TO ADDRESS- CHRONIC DISEASE: * CONTINUE TO OFFER INPATIENT AND OUTPATIENT DIABETES EDUCATION AT OHIOHEALTH MARION GENERAL HOSPITAL USING CONCEPTS FROM THE OHIOHEALTH BOOK ""SOLUTIONS FOR LIVING BETTER WITH DIABETES. MANAGING YOUR DIABETES ONE STEP AT A TIME"" (OHIOHEALTH, 2019). * CONTINUE TO OFFER VARIOUS HEART AND VASCULAR PROGRAMS AT OHIOHEALTH MARION GENERAL HOSPITAL. * CONTINUE TO OFFER VARIOUS OHIOHEALTH CANCER PROGRAMS AND SERVICES. OHIOHEALTH IS AFFILIATED WITH THE MD ANDERSON CANCER NETWORK, WHICH ALLOWS OHIOHEALTH PHYSICIANS TO REVIEW PATIENT'S DIAGNOSIS AND TREATMENT WITH COLLEAGUES FROM THE MD ANDERSON CANCER CENTER, WHILE PROVIDING THE CARE LOCALLY. PATIENTS BENEFIT FROM THE LATEST RESEARCH AND SUPERIOR CANCER EXPERTISE WITHIN MARION COUNTY. * CONTINUE TO PARTNER WITH CREATING HEALTHY COMMUNITIES IN MARION COUNTY, WHICH HAS A MISSION ""TO BRING ABOUT POLICY SYSTEM AND ENVIRONMENTAL CHANGES IN THE COMMUNITY THAT CREATE OPPORTUNITIES FOR EVERYONE TO BE AS HEALTHY AS THEY CAN BE"" (MARION PUBLIC HEALTH, 2021). ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVE: BY JUNE 30, 2025, THE OHIOHEALTH MARION GENERAL HOSPITAL, IN COLLABORATION WITH THE COMMUNITY, WILL IMPLEMENT EVIDENCE-BASED STRATEGIES TO PROMOTE LIFESTYLE CHANGE AMONG MARION COUNTY POPULATION IN ORDER TO (A) IMPROVE THEIR HEALTHY EATING BEHAVIORS, (B) MAKE GOOD CHOICES, (C) PROMOTE AWARENESS ON THE IMPORTANCE OF HEALTHY EATING, PHYSICAL ACTIVITY, PROBLEM SOLVING AND COPING; AND (D) ADDRESS OBESITY, CANCER, DIABETES AND HEART DISEASE. * CONTINUE TO OFFER THE OHIOHEALTH INPATIENT AND OUTPATIENT DIABETES EDUCATION PROGRAM PER FISCAL YEAR, OHIOHEALTH AND OHIOHEALTH MARION GENERAL HOSPITAL WILL PROVIDE INPATIENT AND OUTPATIENT NUTRITION AND DIETITIAN CONSULTS FOR UP TO 400 PATIENTS IN MARION COUNTY. * PER FISCAL YEAR, OHIOHEALTH AND OHIOHEALTH MARION GENERAL HOSPITAL WILL PROVIDE INPATIENT AND OUTPATIENT HEART AND VASCULAR CARE, TREATMENT, PROGRAMS, AND OTHER SERVICES TO AT LEAST 5,000 PATIENTS IN MARION COUNTY * PER FISCAL YEAR, OHIOHEALTH AND OHIOHEALTH MARION GENERAL HOSPITAL WILL PROVIDE INPATIENT AND OUTPATIENT CANCER CARE, TREATMENT, PROGRAMS, AND OTHER SERVICES TO AT LEAST 5,000 PATIENTS IN MARION COUNTY. * PER FISCAL YEAR, OHIOHEALTH AND OHIOHEALTH MARION GENERAL HOSPITAL WILL ATTEND MAJORITY OF THE MEETINGS AND ACTIVITIES OF ""CREATING HEALTHY COMMUNITIES"" THAT WILL BE COORDINATED BY MARION PUBLIC HEALTH. PER FISCAL YEAR, OHIOHEALTH AND OHIOHEALTH MARION GENERAL HOSPITAL WILL CO-LEAD AT LEAST ONE COMMUNITY-WIDE EVENT TO PROMOTE HEALTHY LIFESTYLES IN MARION COUNTY. * PER FISCAL YEAR, OHIOHEALTH AND OHIOHEALTH MARION GENERAL HOSPITAL WILL HIRE AT LEAST TEN NEW EMPLOYEES RESIDING IN MARION COUNTY, OHIO."

Schedule H, Part V, Section B, Line 11 Facility A, 2
"Facility A, 2 - FACILITY GROUP A, FACILITY 2: OHIOHEALTH MARION GENERAL HOSPITAL. PRIORITIZATION 3- MARION GENERAL HOSPITAL'S INTENDED ACTIONS TO ADDRESS: MATERNAL AND INFANT / CHILD HEALTH * CONTINUE TO OFFER COMPREHENSIVE, HIGH-QUALITY OBSTETRICS AND GYNECOLOGY CARE TO WOMEN AND ADOLESCENT GIRLS IN MARION COUNTY. OHIOHEALTH PROGRAMS AND SERVICES WILL INCLUDE OUTREACH, HEALTH EDUCATION AND REFERRAL TO COMMUNITY SOCIAL SERVICE AGENCIES WHEN NECESSARY. * CONTINUE TO PARTNER WITH MARION PUBLIC HEALTH'S DIVISION OF WOMEN, INFANTS AND CHILDREN AND NURSING AND OTHER COMMUNITY SOCIAL SERVICE AGENCIES TO REDUCE TEEN PREGNANCIES AND BIRTH RATES BY PROVIDING NON-JUDGMENTAL EDUCATION, COUNSELING, AND SUPPORT TO ADOLESCENT GIRLS AND BOYS AGES 13-19 TO PROMOTE AWARENESS ON SAFE SEX PRACTICES, FAMILY PLANNING AND PERSONAL RESPONSIBILITY. ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVE: BY JUNE 30, 2025, THE OHIOHEALTH MARION GENERAL HOSPITAL, IN COLLABORATION WITH THE COMMUNITY, WILL IMPLEMENT EVIDENCE-BASED STRATEGIES TO REDUCE TEEN BIRTH RATES IN MARION COUNTY, OHIO. * PER FISCAL YEAR, PROVIDE OBSTETRICS AND GYNECOLOGY SERVICES TO 40 ADOLESCENTS, 10-19 YEARS OLD. * CONTINUE PARTNERSHIPS WITH MARION PUBLIC HEALTH'S WOMEN, INFANTS AND CHILDREN (WIC) AND NURSING DIVISION. PER FISCAL YEAR, OHIOHEALTH MARION GENERAL HOSPITAL WILL ATTEND MAJORITY OF THE MEETINGS AND ACTIVITIES THAT WILL BE COORDINATED BY MARION PUBLIC HEALTH. OHIOHEALTH MARION GENERAL HOSPITAL WILL CO-LEAD AT LEAST ONE COMMUNITY OUTREACH OR HEALTH EDUCATION AND AWARENESS FOCUSED ON SAFE SEX PRACTICES, FAMILY PLANNING AND PERSONAL RESPONSIBILITY. PRIORITIZATION 4- MARION GENERAL HOSPITAL'S INTENDED ACTIONS TO ADDRESS: ACCESS TO CARE * CONTINUE TO PROVIDE ACCESS TO THE OHIOHEALTH PHYSICIAN GROUP AND CLINICALLY INTEGRATED NETWORK -FOSTER PARTNERSHIPS AND COLLABORATION WITH THE MARION COUNTY COMMUNITY AND MARION PUBLIC HEALTH TO INCREASE ACCESS TO PRIMARY CARE PHYSICIANS FROM THE OHIOHEALTH PHYSICIAN GROUP AND CLINICALLY INTEGRATED NETWORK. * CONTINUE TO COLLABORATE WITH MARION PUBLIC HEALTH AND CMM MOBILITY MANAGEMENT IN PROMOTING AWARENESS OF THE SERVICES FROM MOBILITY MANAGEMENT SERVING CRAWFORD, MARION AND MORROW COUNTIES, SUCH AS (BUT NOT LIMITED TO): (A) COORDINATION OF TRANSIT SERVICES, (B) ELIGIBILITY /REFERRALS FOR CLIENTS NEEDING TRANSPORTATION ASSISTANCE, (C) TRAINING FOR DRIVERS; (D) TRAINING SERVICES DURING TRAVEL; (E) ""SAFE ROUTES TO SCHOOL (F) ""COMPLETE STREETS AND ""ACTIVE TRANSPORTATION (G) ROUNDTABLE DISCUSSION LOCALLY AND REGIONALLY; AND (H) COMMUNITY OUTREACH. * CONTINUE TO PROVIDE ONE-WAY OR ROUND-TRIP TRANSPORTATION ASSISTANCE (TAXICAB VOUCHERS) TO PATIENTS, FAMILIES, AND CAREGIVERS. THE OHIOHEALTH FOUNDATION WILL CONTINUE TO FUND EXPENSES FOR TRANSPORTATION ASSISTANCE TO PATIENTS, CAREGIVERS, AND FAMILIES SERVED BY THE OHIOHEALTH MARION GENERAL HOSPITAL. ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVE: BY JUNE 30, 2025, THE OHIOHEALTH MARION GENERAL HOSPITAL, IN COLLABORATION WITH THE COMMUNITY, WILL IMPLEMENT EVIDENCE-BASED STRATEGIES TO INCREASE THE NUMBER OF PRIMARY CARE PHYSICIANS AND IMPROVE TRANSPORTATION ACCESS IN MARION COUNTY. * PER FISCAL YEAR, THE OHIOHEALTH PHYSICIAN GROUP OR OHIOHEALTH CLINICALLY INTEGRATED NETWORK COMBINED WILL PROVIDE PRIMARY CARE AND FAMILY MEDICINE SERVICES TO AT LEAST 1,000 NEW PATIENTS FROM MARION COUNTY, OHIO. PER FISCAL YEAR, THE OHIOHEALTH PHYSICIAN GROUP AND OHIOHEALTH CLINICALLY INTEGRATED NETWORK COMBINED WILL PROVIDE CARE TO AT LEAST 10,000 PATIENTS IN MARION COUNTY, OHIO. * PER FISCAL YEAR, OHIOHEALTH MARION GENERAL HOSPITAL WILL ATTEND MAJORITY OF MEETINGS THAT WILL BE ORGANIZED BY CMM MOBILITY AND/OR MARION PUBLIC HEALTH. PER FISCAL YEAR, OHIOHEALTH MARION GENERAL HOSPITAL WILL PROVIDE EDUCATION AND AWARENESS ABOUT THE CMM MOBILITY PROGRAMS AND SERVICES IN CRAWFORD, MARION, AND MORROW COUNTIES TO AT LEAST 80 PERCENT OF PATIENTS WHO NEEDS TRANSPORTATION ASSISTANCE. * PER FISCAL YEAR, OHIOHEALTH MARION GENERAL HOSPITAL IN PARTNERSHIP WITH THE OHIOHEALTH FOUNDATION WILL PROVIDE TRANSPORTATION ASSISTANCE TO AT LEAST 100 PATIENTS AND FAMILIES FROM THEIR HOMES TO OHIOHEALTH CLINICS OR HOSPITALS. PRIORITIZATION 5- MARION GENERAL HOSPITAL'S INTENDED ACTIONS TO ADDRESS: SOCIAL DETERMINANTS OF HEALTH * CONTINUE EMPLOYMENT OF CLINICAL AND ADMINISTRATIVE STAFF RESIDING IN MARION COUNTY - CONTINUE TO EMPLOY PHYSICIANS, NURSES, ALLIED HEALTH PROFESSIONALS, OTHER CLINICAL STAFF, AND ADMINISTRATIVE AND SUPPORT STAFF RESIDING IN MARION COUNTY, OHIO. * CONTINUE PROVIDING CLINICAL PLACEMENTS FOR NURSING STUDENTS - CONTINUE TO OFFER CLINICAL PLACEMENTS FOR NURSING STUDENTS FROM MARION TECHNICAL COLLEGE, TRI-RIVERS CAREER CENTER, AND THE OHIO STATE UNIVERSITY MARION CAMPUS. THESE THREE ACADEMIC INSTITUTIONS ARE IN MARION COUNTY, OHIO. * CONTINUE CLINICAL PLACEMENTS FOR ALLIED HEALTH STUDENTS - CONTINUE TO OFFER CLINICAL PLACEMENTS FOR ALLIED HEALTH PROFESSION STUDENTS FROM TRI-RIVERS CAREER CENTER AND MARION TECHNICAL COLLEGE * CONTINUE PROVIDING INTERNSHIPS FOR BUSINESS STUDENTS - CONTINUE TO OFFER INTERNSHIPS TO BUSINESS STUDENTS FROM MARION TECHNICAL COLLEGE AND THE OHIO STATE UNIVERSITY MARION. * CONTINUE OHIOHEALTH PARTNERSHIPS WITH STRAYER UNIVERSITY'S ""GRADS TO WORK"" PROGRAM - CONTINUE TO OFFER THE ""GRADS TO WORK"" PROGRAM, A PARTNERSHIP BETWEEN OHIOHEALTH AND STRATEGIC EDUCATION, INC. WHERE HIGH SCHOOL GRADUATES FROM UNDERSERVED POPULATIONS WHO WORK FOR OHIOHEALTH FULL TIME WILL BE ABLE TO STUDY FOR FREE AT STRAYER UNIVERSITY WITHOUT ANY OUT-OF-POCKET COSTS. * CONTINUE OHIOHEALTH INVOLVEMENT IN THE MARION AREA CHAMBER OF COMMERCE - OHIOHEALTH'S SENIOR ADVISOR OF BUSINESS DEVELOPMENT REPRESENTS OHIOHEALTH MARION GENERAL HOSPITAL IN THE MARION AREA CHAMBER OF COMMERCE. ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVE: BY JUNE 30, 2025, THE OHIOHEALTH MARION GENERAL HOSPITAL, IN COLLABORATION WITH THE COMMUNITY, WILL IMPLEMENT EVIDENCE-BASED STRATEGIES TO ADDRESS POVERTY IN MARION COUNTY, OHIO. CONTINUE EMPLOYMENT OF CLINICAL AND ADMINISTRATIVE STAFF RESIDING IN MARION COUNTY - PER FISCAL YEAR, OHIOHEALTH AND OHIOHEALTH MARION GENERAL HOSPITAL WILL HIRE AT LEAST 10 NEW EMPLOYEES RESIDING IN MARION COUNTY, OHIO. * PER FISCAL YEAR, OHIOHEALTH AND OHIOHEALTH MARION GENERAL HOSPITAL WILL PROVIDE CLINICAL PLACEMENT FOR AT LEAST 20 NURSING STUDENTS FROM MARION TECHNICAL COLLEGE, TRI-RIVERS CAREER CENTER, AND THE OHIO STATE UNIVERSITY MARION CAMPUS. * PER FISCAL YEAR, OHIOHEALTH AND OHIOHEALTH MARION GENERAL HOSPITAL WILL PROVIDE CLINICAL PLACEMENTS FOR AT LEAST 5 ALLIED HEALTH PROFESSION STUDENTS FROM TRI-RIVERS CAREER CENTER AND MARION TECHNICAL COLLEGE. * PER FISCAL YEAR, OHIOHEALTH AND OHIOHEALTH MARION GENERAL HOSPITAL WILL PROVIDE INTERNSHIPS TO AT LEAST 5 BUSINESS STUDENTS FROM MARION TECHNICAL COLLEGE AND THE OHIO STATE UNIVERSITY MARION CAMPUS. * PER FISCAL YEAR, OHIOHEALTH AND OHIOHEALTH MARION GENERAL HOSPITAL WILL RECRUIT UP TO 5 HIGH SCHOOL GRADUATES FROM MARION COUNTY WHO WILL HAVE THE OPPORTUNITY TO PURSUE COLLEGE-LEVEL EDUCATION AT STRAYER UNIVERSITY WITHOUT OUT-OF-POCKET COSTS. * PER FISCAL YEAR, OHIOHEALTH MARION GENERAL HOSPITAL WILL ATTEND MAJORITY OF THE MEETINGS AND SUPPORT INITIATIVES OF THE MARION AREA CHAMBER OF COMMERCE. MARION GENERAL HOSPITAL WILL CONTINUE TO PARTNER WITH OTHER BUSINESS IN MARION COUNTY TO LEARN AND SHARE BEST PRACTICES."

Schedule H, Part V, Section B, Line 11 Facility A, 3
Facility A, 3 - FACILITY GROUP A, FACILITY 3: OHIOHEALTH O'BLENESS MEMORIAL HOSPITAL. OHIOHEALTH O'BLENESS HOSPITAL COLLABORATED WITH OHIOHEALTH COMMUNITY HEALTH PARTNERSHIPS AND OHIOHEALTH PHYSICIAN GROUP IN DEVELOPING THE FISCAL YEARS 2023-2025 IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF MENTAL HEALTH AND ADDICTION, ACCESS TO CARE, AND CHRONIC DISEASE. PRIORITIZATION 1 - OHIOHEALTH O'BLENESS HOSPITAL'S INTENDED ACTIONS TO ADDRESS MENTAL HEALTH AND ADDICTION: * OHIOHEALTH WILL CONTINUE TO ACTIVELY PARTNER WITH THE ATHENS-HOCKING-VINTON ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARD (317 BOARD). THE 317 BOARD DESIGNS POLICIES, EVALUATES PROGRAMS, OBTAINS FUNDING, AND MONITORS CONTRACTED SERVICES FOR PERSONS WHO NEED ALCOHOL, DRUG ADDICTION OR MENTAL HEALTH SERVICES FROM ATHENS, HOCKING AND VINTON COUNTIES (317 BOARD, 2016-2021). THE 317 BOARD PAYS FOR SERVICES NOT REIMBURSED BY MEDICAID OR THEIR HEALTH INSURANCE. THE 317 BOARD PARTNERS WITH COMMUNITY STAKEHOLDERS TO PROMOTE PREVENTION, TREATMENT AND RECOVERY FOR INDIVIDUALS AND FAMILIES AFFECTED BY MENTAL HEALTH AND SUBSTANCE USE DISORDERS COUNTIES (317 BOARD, 2016-2021). * OHIOHEALTH PHYSICIAN GROUP IN COLLABORATION WITH OHIOHEALTH O'BLENESS HOSPITAL WILL CONTINUE TO PROVIDE ATHENS COUNTY RESIDENTS WITH ACCESS TO THE OHIOHEALTH BEHAVIORAL HEALTH INTEGRATION (BHI) CLINICS. THE OHIOHEALTH PHYSICIAN GROUP BEHAVIORAL HEALTH INTEGRATION (BHI) CLINICS IN ATHENS COUNTY WILL CONTINUE TO CONDUCT (A) DEPRESSION SCREENING USING THE NINE-ITEM PATIENT HEALTH QUESTIONNAIRE (PHQ-9) AND (B) ANXIETY SCREENING USING THE GENERALIZED ANXIETY DISORDER 7-ITEM (GAD-7), AND (C) SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT). LICENSED PROFESSIONAL COUNSELORS AND SOCIAL WORKERS PROVIDE MENTAL AND BEHAVIORAL HEALTH INTERVENTIONS IN OHIOHEALTH PHYSICIAN GROUP BEHAVIORAL HEALTH INTEGRATION (BHI) CLINICS IN ATHENS COUNTY. * OFFER CHRONIC PAIN SELF-MANAGEMENT TO ATHENS COUNTY RESIDENTS, A SIX-WEEK PROGRAM THAT SERVES PATIENTS AND FAMILIES SUFFERING FROM CHRONIC PAIN THROUGH STRESS REDUCTION EDUCATION, DISCUSSIONS WITH HEALTHCARE PROVIDERS ABOUT PAIN AND EVIDENCE-BASED EXERCISES (SELF-MANAGEMENT RESOURCE CENTER, 2021). PARTICIPANTS CREATE ACTION PLANS EVERY WEEK, SHARE EXPERIENCES, AND HELP EACH OTHER WITH PROBLEM SOLVING. ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVE: BY FISCAL YEAR 2025, OHIOHEALTH O'BLENESS HOSPITAL IN COLLABORATION WITH THE ATHENS CITY-COUNTY HEALTH DEPARTMENT, COMMUNITY STAKEHOLDERS AND RESIDENTS, WILL ADDRESS MENTAL HEALTH AND ADDICTION BY INCREASING BEHAVIORAL HEALTH SERVICES AND EDUCATION IN ATHENS COUNTY. * REGIONAL AND COUNTYWIDE PARTNERSHIPS TO ADDRESS MENTAL HEALTH AND ADDICTION IN ATHENS COUNTY AND SOUTHEAST OHIO- PER FISCAL YEAR, OHIOHEALTH O'BLENESS HOSPITAL WILL CONTINUE TO COLLABORATE WITH VARIOUS MENTAL AND BEHAVIORAL HEALTH AGENCIES. * PER FISCAL YEAR, OHIOHEALTH BEHAVIORAL HEALTH INTEGRATION CLINICS WILL OFFER ACCESS TO MENTAL/BEHAVIORAL/PSYCHIATRIC CARE (IN-PERSON OR VIRTUALLY) TO UP TO 100 PERCENT OF PERCENT OF PATIENTS WHO NEED MENTAL OR BEHAVIORAL OR PSYCHIATRIC CARE. * PER FISCAL YEAR, OHIOHEALTH O'BLENESS HOSPITAL WILL SERVE UP TO 50 PERSONS IN ITS CHRONIC PAIN SELF-MANAGEMENT PROGRAM. PRIORITIZATION 2- OHIOHEALTH O'BLENESS HOSPITAL'S INTENDED ACTIONS TO ADDRESS ACCESS TO CARE: * CONTINUE TO OFFER THE OHIOHEALTH UPBEAT PROGRAMS TO SENIOR RESIDENTS OF SOUTHEAST OHIO. THE UPBEAT PROGRAM PROVIDES FREE HEALTH EDUCATION, EXERCISE, AND OTHER ENGAGEMENT ACTIVITIES FOR SENIORS. THE UPBEAT PROGRAM COORDINATOR ALSO PROVIDES PARTICIPANTS WITH MONTHLY NEWSLETTERS ON UPCOMING ACTIVITIES AND USEFUL INFORMATION TO PROMOTE OVERALL HEALTH AND WELLBEING. * CONTINUE TO OFFER VARIOUS CANCER SCREENINGS, HEALTH EDUCATION, AND OTHER CANCER OUTREACH PROGRAMS AND SERVICES IN ATHENS COUNTY AND SOUTHEAST OHIO. OHIOHEALTH O'BLENESS HOSPITAL WILL ALSO COLLABORATE WITH OHIO UNIVERSITY HERITAGE COLLEGE OF OSTEOPATHIC MEDICINE IN PROVIDING FREE WOMEN'S CANCER SCREENINGS. * OHIOHEALTH O'BLENESS HOSPITAL AND OHIOHEALTH FOUNDATION WILL CONTINUE TO PARTNER WITH HAPCAP TO PROVIDE TRANSPORTATION TO PATIENTS FOR THEIR MEDICAL APPOINTMENTS. HAPCAP'S TRANSPORTATION DIVISION PROVIDES THE SERVICES OF ATHENS ON DEMAND TRANSIT TO OHIOHEALTH O'BLENESS HOSPITAL PATIENTS. THE ATHENS ON DEMAND TRANSIT IS AN ACCESSIBLE AND AFFORDABLE DOOR-TO-DOOR TRANSPORTATION SERVICE IN ATHENS COUNTY (HAPCAP, 2021). * CAMPUS CARE/URGENT CARE AT OHIO UNIVERSITY- LOCATED AT 2 CHURCH ST., ATHENS, OHIO 45701, OHIO UNIVERSITY CAMPUS. THIS CLINIC OFFERS COMBINED PRIMARY CARE AND URGENT CARE CLINICS. THE PRIMARY CARE CLINICS OFFER PATIENTS WITH SIMPLE AND ACUTE DISEASES, (B) CARE AND MANAGEMENT OF CHRONIC MEDICAL CONDITIONS, (C) ACCESS TO GYNECOLOGICAL CARE, AND (D) IMAGING SERVICES. THE URGENT CARE CLINIC PROVIDES CARE FOR SIMPLE ACUTE ILLNESSES SUCH AS COLDS, FLU, EARACHES, AND MINOR INFECTIONS. THE CLINIC HAS LABORATORY AND X-RAY SERVICES ON SITE, TELEHEALTH, AND RAPID COVID-19 TESTS. * OHIOHEALTH PHYSICIAN GROUP OSTEOPATHIC MANIPULATIVE MEDICINE ATHENS - LOCATED AT 24 WEST GREEN DRIVE, SUITE 408, ATHENS, OHIO 45701. THE OHIOHEALTH PHYSICIANS USE OSTEOPATHIC MANIPULATIVE THERAPY AND MEDICAL ACUPUNCTURE IN A VARIETY OF WAYS TO EFFECTIVELY REDUCE PAIN, INCREASE OVERALL MOBILITY AND FUNCTION, AND OPTIMIZE PHYSICAL WELL-BEING. THIS IS IN ADDITION TO MEDICAL MANAGEMENT OR A STAND-ALONE TREATMENT. * OHIOHEALTH PHYSICIAN GROUP HERITAGE COLLEGE PEDIATRICS ATHENS PARKS HALL - LOCATED AT 24 WEST GREEN DRIVE, SUITE 329, ATHENS, OHIO 45701. OHIOHEALTH PHYSICIAN GROUP PEDIATRICIANS CARE FOR YOUR CHILD FROM BIRTH THROUGH ADOLESCENCE. OHIOHEALTH OFFERS PREVENTIVE CARE, PHYSICALS, IMMUNIZATIONS, DEVELOPMENTAL SCREENINGS, DIAGNOSTIC TESTING, AND BEHAVIORAL AND MENTAL HEALTHCARE. OHIOHEALTH'S EXPERIENCED PHYSICIANS DELIVER QUALITY PEDIATRIC CARE CLOSE TO HOME IN ATHENS, OHIO. * OHIOHEALTH PHYSICIAN GROUP PAIN MANAGEMENT - LOCATED AT 265 WEST UNION ST., SUITE A, ATHENS, OHIO 45701. OHIOHEALTH PHYSICIAN GROUP PAIN MANAGEMENT EXPERTS PROVIDE PERSONALIZED CARE TO PATIENTS EXPERIENCING ACUTE AND CHRONIC PAIN. WE HELP YOU RECOVER FROM NERVE DAMAGE, BACK PAIN, OCCUPATIONAL INJURIES, CHRONIC MIGRAINES, ARTHRITIS AND CANCER. OHIOHEALTH'S BOARD-CERTIFIED PHYSICIANS' GOAL IS TO COUNTER THE NEGATIVE IMPACTS OF PAIN TO IMPROVE YOUR QUALITY OF LIFE AND ABILITY TO PARTICIPATE IN NORMAL, DAILY ACTIVITIES. THE OHIOHEALTH PHYSICIAN GROUP PAIN MANAGEMENT INCLUDE MIGRAINE HEADACHE MANAGEMENT, NECK AND BACK PAIN, FIBROMYALGIA, ARTHRITIS PAIN, COMPLEX REGIONAL PAIN SYNDROME. * OHIOHEALTH PHYSICIAN GROUP HERITAGE COLLEGE PRIMARY CARE AND GERIATRICS - LOCATED AT 26 HOSPITAL DRIVE, FIRST FLOOR, ATHENS, OHIO 45701. THE CLINIC PROVIDES RELIABLE, AND CONVENIENT CARE FOR MINOR ILLNESSES AND INJURIES, MANAGEMENT OF CHRONIC CONDITIONS SUCH AS DIABETES OR ASTHMA. * URGENT CARE ATHENS - LOCATED AT 265 W. UNION ST, SUITE A, ATHENS, OHIO 45701. SERVICES ARE AVAILABLE FOR IN-PERSON OR VIDEO VISIT * LABORATORY SERVICES - ATHENS MEDICAL OFFICE BUILDING - LOCATED AT 26 HOSPITAL DRIVE, ATHENS, OHIO 45701. PATIENTS BENEFIT FROM QUICK, ACCURATE, LABORATORY TESTS RESULTS. THE LABORATORY HAS THE ABILITY TO PROVIDE IMMEDIATE TESTING. * OHIOHEALTH PHYSICIAN GROUP NEUROSCIENCE ATHENS CORNWELL CENTER - LOCATED AT 65 HOSPITAL DRIVE, ATHENS, OHIO 45701. OHIOHEALTH SPECIALISTS ARE TRAINED TO DIAGNOSE AND TREAT COMPLEX NEUROLOGICAL DISORDERS. ANTICIPATED IMPACT OF ACTIONS: OBJECTIVE: BY FISCAL YEAR 2025, OHIOHEALTH O'BLENESS HOSPITAL IN COLLABORATION WITH THE ATHENS CITY-COUNTY HEALTH DEPARTMENT, VARIOUS COMMUNITY STAKEHOLDERS AND RESIDENTS, WILL ADDRESS ACCESS TO CARE BY PROVIDING OUTREACH TO INDIVIDUALS WHO MAY NEED CARE. * PER FISCAL YEAR, OHIOHEALTH UPBEAT WILL SERVE AT LEAST 50 PERSONS WITH ANY OR A COMBINATION OF THE FOLLOWING ACTIVITIES: (A) FOOD FOR THOUGHT PROGRAM, (B) HISTORY CLUB, (C) BOOK CLUB, (D) LUNCH GROUP, (E) SINGING GROUP, (F) DISCOVERY KITCHEN, AND (G) CHAIR VOLLEYBALL. * PER FISCAL YEAR, OHIOHEALTH CANCER SCREENING, HEALTH EDUCATION, AND OUTREACH WILL SERVE AT LEAST 50 PERSONS WITH ANY OR A COMBINATION OF THE FOLLOWING ACTIVITIES: (A) LUNG CANCER SCREENING AND PREVENTION EDUCATION, (B) SKIN CANCER SCREENING AND PREVENTION EDUCATION, (C) OHIOHEALTH AND OHIO UNIVERSITY COLLABORATIONS - FREE WOMEN'S SCREENING AND BREAST HEALTH EDUCATION. * PER FISCAL YEAR, OHIOHEALTH O'BLENESS HOSPITAL, THROUGH ITS COLLABORATIONS WITH HOCKING-ATHENS-PERRY COMMUNITY ACTION (HAPCAP) WILL PROVIDE TRANSPORTATION ACCESS (ATHENS ON DEMAND TRANSIT) TO AT LEAST 15 PATIENTS.

Schedule H, Part V, Section B, Line 11 Facility A, 4
"Facility A, 4 - FACILITY GROUP A, FACILITY 3: OHIOHEALTH O'BLENESS MEMORIAL HOSPITAL. PRIORITIZATION 3- OHIOHEALTH O'BLENESS HOSPITAL'S INTENDED ACTIONS TO ADDRESS CHRONIC DISEASE: * PARTNER WITH THE ATHENS CITY-COUNTY HEALTH DEPARTMENT'S ""CREATING HEALTHY COMMUNITIES"" IN PROVIDING PATIENTS FROM ATHENS AND HOCKING COUNTIES WITH ACCESS TO NUTRITIOUS MEALS. PATIENTS WITH DIABETES OR PREDIABETES WILL BE PRESCRIBED NUTRITIOUS MEALS DELIVERED THROUGH THE MEALS ON WHEELS PROGRAM. O'BLENESS HOSPITAL WILL UTILIZE THE COMMUNITY HEALTH WORKERS FROM THE ATHENS CITY-COUNTY HEALTH DEPARTMENT TO HELP PATIENTS ADOPT HEALTHY BEHAVIORS, IMPROVE HEALTH LITERACY, AND OVERCOME BARRIERS TO GOOD HEALTH HABITS. * OHIOHEALTH O'BLENESS HOSPITAL FOOD INSECURITY COLLABORATIONS- CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS IN TARGETING TO IMPROVE ACCESS TO HEALTHY FOODS IN ATHENS COUNTY. * CONTINUE TO PROVIDE O'BLENESS HOSPITAL PATIENTS, FAMILIES, AND EMPLOYEES ACCESS TO FRESH PRODUCE THROUGH THE POP-UP FARM STAND, WHICH OPERATES ONE DAY A WEEK FROM MAY TO OCTOBER AT THE HOSPITAL FACILITY. UNSOLD PRODUCE WILL BE DONATED TO THE HOMELESS SHELTER, GOOD WORKS' TIMOTHY HOUSE. ANTICIPATED IMPACT OF ACTIONS: OBJECTIVE: BY FISCAL YEAR 2025, OHIOHEALTH O'BLENESS HOSPITAL IN COLLABORATION WITH THE ATHENS CITY-COUNTY HEALTH DEPARTMENT, COMMUNITY STAKEHOLDERS AND RESIDENTS, WILL ADDRESS CHRONIC DISEASE BY CONTINUING TO PARTNER WITH THE ATHENS CITY-COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY STAKEHOLDERS IN ENSURING ACCESS TO HEALTHY FOODS. * PER FISCAL YEAR, OHIOHEALTH O'BLENESS HOSPITAL WILL PARTICIPATE ACTIVELY IN AT LEAST ONE COMMUNITY HEALTH AND WELLNESS PROGRAM THAT WILL BE INITIATED BY THE ATHENS COUNTY ""CREATING HEALTHY COMMUNITIES"" COALITION. THE ATHENS CITY-COUNTY HEALTH DEPARTMENT COORDINATES THE ATHENS COUNTY ""CREATING HEALTHY COMMUNITIES"" COALITION. * PER FISCAL YEAR, OHIOHEALTH O'BLENESS HOSPITAL WILL COLLABORATE WITH COMMUNITY FOOD INITIATIVES, SOUTHEAST OHIO FOOD BANK, HOCKING-ATHENS-PERRY COMMUNITY ACTION (HAPCAP) AND OTHER COMMUNITY ORGANIZATIONS IN HELPING ADDRESS FOOD INSECURITY AMONG PATIENTS AND THEIR FAMILIES AND COMMUNITY RESIDENTS. PER FISCAL YEAR, OHIOHEALTH O'BLENESS HOSPITAL WILL SERVE AT LEAST 50 PATIENTS AND FAMILIES AS PART OF ITS FOOD INSECURITY-RELATED COLLABORATIONS. * OHIOHEALTH O'BLENESS HOSPITAL POP-UP FARM STAND - PER FISCAL YEAR, OHIOHEALTH O'BLENESS HOSPITAL WILL SERVE AT LEAST 50 PERSONS THROUGH ITS POP-UP FARM STAND."

Schedule H, Part V, Section B, Line 11 Facility A, 5
Facility A, 5 - FACILITY GROUP A, FACILITY 4: OHIOHEALTH GRADY MEMORIAL HOSPITAL. THE OHIOHEALTH GRADY MEMORIAL HOSPITAL TEAM IN COLLABORATION WITH THE OHIOHEALTH COMMUNITY HEALTH PARTNERSHIPS DEVELOPED THE IMPLEMENTATION STRATEGY TO ADDRESS MENTAL HEALTH AND ADDICTION AND CHRONIC DISEASE FOLLOWING THE DELAWARE COUNTY'S 2020-2022 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). OHIOHEALTH GRADY MEMORIAL HOSPITAL'S STRATEGIES FOR ADDRESSING MATERNAL AND INFANT/CHILD HEALTH, ACCESS TO CARE, AND SOCIAL DETERMINANTS OF HEALTH WERE DEVELOPED BY CONSULTING WITH VARIOUS HOSPITAL DEPARTMENTS, EMERGENCY DEPARTMENTS, URGENT CARE CLINICS AND OUTPATIENT CLINICS. PRIORITIZATION 1 - OHIOHEALTH GRADY MEMORIAL HOSPITAL'S INTENDED ACTIONS TO ADDRESS MENTAL HEALTH AND ADDICTION: * AS PART OF COMMUNITY-WIDE EFFORTS, OHIOHEALTH GRADY MEMORIAL HOSPITAL WILL CONTINUE TO COLLABORATE IN OFFERING COMMUNITY-BASED EDUCATION THAT PROMOTES POSITIVE MENTAL HEALTH AMONG YOUTH AND ADULTS. * AS PART OF COMMUNITY-WIDE EFFORTS, OHIOHEALTH GRADY MEMORIAL HOSPITAL WILL CONTINUE TO COLLABORATE IN OFFERING UNIVERSAL SCHOOL-BASED SUICIDE AWARENESS AND EDUCATION PROGRAMS. THIS HOSPITAL ACTION ALIGNS WITH OHIO'S 2020-2022 STATE HEALTH IMPROVEMENT PLAN. * AS PART OF COMMUNITY-WIDE EFFORTS, OHIOHEALTH GRADY MEMORIAL HOSPITAL WILL CONTINUE TO COLLABORATE IN RESEARCHING THE USE OF TECHNOLOGY TO DELIVER MENTAL HEALTH SERVICES, SUCH AS BUT NOT LIMITED TO SUICIDE CRISIS HOTLINES AND CELL PHONE-BASED SUPPORT PROGRAMS. THIS HOSPITAL ACTION ALIGNS WITH OHIO'S 2020-2022 STATE HEALTH IMPROVEMENT PLAN. * AS PART OF COMMUNITY-WIDE EFFORTS, OHIOHEALTH GRADY MEMORIAL HOSPITAL WILL CONTINUE TO EVALUATE THE REFERRAL SYSTEM OF PATIENTS IN THE EMERGENCY DEPARTMENT, HOSPITAL AND AMBULATORY CLINICS TO BEHAVIORAL HEALTH PROVIDERS AND INITIATE CONTINUOUS IMPROVEMENT STRATEGIES. * AS PART OF THE COMMUNITY-WIDE EFFORTS, OHIOHEALTH GRADY MEMORIAL HOSPITAL WILL CONTINUE TO SCREEN PATIENTS FOR DEPRESSION USING EITHER THE TWO-ITEM PATIENT HEALTH QUESTIONNAIRE OR THE NINE-ITEM PATIENT HEALTH QUESTIONNAIRE AND REFER PATIENTS TO THE OHIOHEALTH BEHAVIORAL TEAM FOR CONSULTS AND FOLLOW-UP CARE. THIS HOSPITAL ACTION ALIGNS WITH OHIO'S 2020-2022 STATE HEALTH IMPROVEMENT PLAN. ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVES: BY JUNE 30, 2025, OHIOHEALTH GRADY MEMORIAL HOSPITAL, IN COLLABORATION WITH THE COMMUNITY, WILL IMPLEMENT EVIDENCE-BASED STRATEGIES TO: (A) REDUCE MENTAL HEALTH AND ADDICTION AMONG YOUTH; (B) IMPROVE ACCESS TO MENTAL HEALTH AND ADDICTION SERVICES, ESPECIALLY AMONG THOSE WITH SEVERE MENTAL ILLNESSES;(C) REDUCE OPIOID ADDICTION; AND (D) REDUCE DEPRESSION AMONG ADULT AND YOUTH. * COLLABORATIONS ON ADDRESSING MENTAL HEALTH AND ADDICTION - EDUCATE UP TO 100 DELAWARE COUNTY RESIDENTS (ADULT AND YOUTH) PER YEAR, IN EVIDENCE-BASED MENTAL HEALTH CURRICULA THAT PROMOTES HEALTHY COPING, RESILIENCY, MUTUAL RESPECT, AND SELF-CARE. * COLLABORATIONS ON SCHOOL-BASED SUICIDE AWARENESS AND EDUCATION - EDUCATE UP TO 100 DELAWARE COUNTY YOUTH PER YEAR, IN THE SOS SIGNS OF SUICIDE PROGRAM. * COLLABORATIONS ON DELIVERING MENTAL HEALTH SERVICES THROUGH TECHNOLOGY - EDUCATE UP TO 100 DELAWARE COUNTY RESIDENTS (ADULT AND YOUTH) PER YEAR, IN ACCESSING VARIOUS TECHNOLOGIES FOR SUICIDE PREVENTION. * REFERRAL OF PATIENTS TO MENTAL AND BEHAVIORAL HEALTH PROVIDERS - SYSTEMATICALLY TRACK ALL EMERGENCY DEPARTMENT, HOSPITAL AND AMBULATORY REFERRALS TO THE OHIOHEALTH BEHAVIORAL HEALTH AND COMMUNITY AGENCIES PROVIDING MENTAL HEALTH AND ADDICTION SERVICES. * OHIOHEALTH BEHAVIORAL HEALTH INTEGRATION - SYSTEMATIC REPORTING OF COUNTS OF ALL PATIENTS ASSESSED FOR DEPRESSION USING PHQ-2 OR 9 IN EMERGENCY DEPARTMENT, HOSPITAL, AND AMBULATORY SETTINGS, AND COUNTS OF PATIENTS REFERRED FOR FURTHER EVALUATION. PRIORITIZATION 2 - OHIOHEALTH GRADY MEMORIAL HOSPITAL'S INTENDED ACTIONS TO ADDRESS CHRONIC DISEASE: * AS PART OF COMMUNITY-WIDE EFFORTS, OHIOHEALTH GRADY MEMORIAL HOSPITAL WILL CONTINUE TO COLLABORATE IN INCREASING AWARENESS OF PREDIABETES, CONDUCT SCREENINGS, IDENTIFICATION, AND REFERRAL USING THE PREDIABETES RISK ASSESSMENT AND/OR PREVENT DIABETES STAT TOOLKIT AND OTHER AVAILABLE TOOLS. * AS PART OF COMMUNITY-WIDE EFFORTS, OHIOHEALTH GRADY MEMORIAL HOSPITAL WILL CONTINUE TO PROVIDE COMPREHENSIVE DIABETES AND ENDOCRINOLOGY HEALTHCARE SERVICES AND MAKE NECESSARY RECOMMENDATIONS AND COMMUNITY REFERRALS FOLLOWING THE ADCES7 SELF-CARE BEHAVIORS (ASSOCIATION OF DIABETES CARE AND EDUCATION SPECIALISTS, 2021). * THESE HOSPITAL ACTIONS ALIGN WITH OHIO'S 2020-2022 STATE HEALTH IMPROVEMENT PLAN. ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVES: BY JUNE 30, 2025, OHIOHEALTH GRADY MEMORIAL HOSPITAL, IN COLLABORATION WITH THE COMMUNITY, WILL IMPLEMENT EVIDENCE-BASED STRATEGIES TO ADDRESS PREDIABETES AND DIABETES. * COLLABORATIONS ON AWARENESS AND SCREENING FOR PREDIABETES - PER FISCAL YEAR, PARTICIPATION IN AT LEAST ONE COMMUNITY-WIDE HEALTH AND WELLNESS EVENTS, WHERE A TEAM FROM OHIOHEALTH GRADY MEMORIAL HOSPITAL OR OHIOHEALTH WILL PROVIDE EITHER PREDIABETES HEALTH SCREENINGS, BLOOD SUGAR SCREENING, HEMOGLOBIN A1C, OR HEALTH EDUCATION ON PREDIABETES OR DIABETES. * OHIOHEALTH DIABETES AND ENDOCRINOLOGY CARE - DIAGNOSIS, COMPREHENSIVE HEALTH CARE AND EDUCATION AND RECOMMENDATIONS OF PATIENTS WITH DIABETES AND REFERRAL OF PATIENTS TO AVAIL OF COMMUNITY SERVICES SUCH AS BUT NOT LIMITED TO (A) DELAWARE COMMUNITY CENTER YMCA, (B) MID-OHIO FOOD COLLECTIVE, (C) PEOPLE IN NEED, INC., OF DELAWARE COUNTY, OHIO, AND (D) OHIOHEALTH ENGAGE ONLINE HEALTH EDUCATION PROGRAMS. DOCUMENTATION OF HEALTH STATUS OF UP TO 50% OF PATIENTS REFERRED. PRIORITIZATION 3 - OHIOHEALTH GRADY MEMORIAL HOSPITAL'S INTENDED ACTIONS TO ADDRESS MATERNAL AND INFANT/CHILD HEALTH: * AS PART OF COMMUNITY-WIDE COLLABORATIONS, OHIOHEALTH GRADY MEMORIAL HOSPITAL WILL PROVIDE COMPREHENSIVE OBSTETRICS/GYNECOLOGY CARE TO PROMOTE THE HEALTH OF MOTHERS AND INFANTS. * MATERNAL AND INFANT/CHILD HEALTH COLLABORATIONS - AS PART OF COMMUNITY-WIDE COLLABORATIONS, OHIOHEALTH GRADY MEMORIAL HOSPITAL WILL PARTNER WITH THE DELAWARE PUBLIC HEALTH DISTRICT AND VARIOUS COMMUNITY STAKEHOLDERS TO PROMOTE THE HEALTH AND WELLBEING OF CHILDREN AND THEIR FAMILIES. THIS HOSPITAL ACTION ALIGNS WITH OHIO'S 2020-2022 STATE HEALTH IMPROVEMENT PLAN. ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVES: BY JUNE 2025, OHIOHEALTH GRADY MEMORIAL HOSPITAL WILL REINFORCE PARENT AND FAMILY EDUCATION THAT PROMOTE AWARENESS AND PREVENTION OF CHILD DEATHS THROUGH HEALTH PROMOTION OF MOTHERS AND BABIES, SAFETY EDUCATION, REGULAR WELL-BABY AND CHILD VISITS, AND EDUCATION ON PREVENTION OF CHILD NEGLECT AND ABUSE, REFERRALS TO COMMUNITY RESOURCES THAT HELP FAMILIES MEET BASIC HUMAN NEEDS SUCH AS (BUT NOT LIMITED TO) FOOD, HOUSING, SAFETY IN NEIGHBORHOODS, AND EMPLOYMENT OPPORTUNITIES THAT PAY SUFFICIENTLY TO ATTAIN A DECENT LIVELIHOOD. * OHIOHEALTH OBSTETRICS/GYNECOLOGY CARE - ALL OHIOHEALTH GRADY MEMORIAL HOSPITAL PATIENTS THAT WILL BE SERVED BY OBSTETRICS AND GYNECOLOGY CLINICS AND LABOR AND DELIVERY AND POSTPARTUM UNITS WILL RECEIVE COMPREHENSIVE CARE TO ENSURE THE BEST HEALTH FOR MOTHERS AND THEIR BABIES. * MATERNAL AND INFANT/CHILD HEALTH COLLABORATIONS - ALL MOTHERS WHO DELIVER AT OHIOHEALTH GRADY MEMORIAL HOSPITAL WILL RECEIVE WRITTEN AND VERBAL INFORMATION FROM THE HEALTHCARE TEAM ON THE SERVICES PROVIDED BY DELAWARE PUBLIC HEALTH DISTRICT TO PROMOTE THE BEST HEALTH FOR MOTHERS, BABIES AND CHILDREN. PRIORITIZATION 4 - OHIOHEALTH GRADY MEMORIAL HOSPITAL'S INTENDED ACTIONS TO ADDRESS ACCESS TO CARE: * AS PART OF COMMUNITY-WIDE EFFORTS, OHIOHEALTH GRADY MEMORIAL HOSPITAL WILL STRENGTHEN PARTNERSHIPS, ENGAGEMENT AND CROSS REFERRALS WITH THE DELAWARE-MORROW MENTAL HEALTH AND RECOVERY SERVICES BOARD AND AGENCIES WITHIN ITS NETWORK OF CARE. THE NETWORK OF CARE AGENCIES INCLUDE: (A) DEL-MOR DWELLINGS; (B) HELPLINE; (C) MARYHAVEN (D) RECOVERY AND PREVENTION RESOURCES OF DELAWARE AND MORROW COUNTIES; (E) SAFE HARBOR PEER SUPPORT SERVICES; (F) SOUTHEAST HEALTHCARE SERVICES; (G) SYNTERO; AND (H) TURNING POINT. * AS PART OF COMMUNITY-WIDE EFFORTS TO INCREASE ACCESS TO MENTAL HEALTH PROVIDERS, OHIOHEALTH WILL CONTINUE TO OFFER COMPREHENSIVE MENTAL HEALTH AND ADDICTION SERVICES IN INPATIENT AND OUTPATIENT SETTINGS (OHIOHEALTH 2015-2021).

Schedule H, Part V, Section B, Line 11 Facility A, 6
"Facility A, 6 - FACILITY GROUP A, FACILITY 4: OHIOHEALTH GRADY MEMORIAL HOSPITAL. ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVES: BY JUNE 30, 2025, OHIOHEALTH GRADY MEMORIAL HOSPITAL, IN COLLABORATION WITH THE COMMUNITY, WILL REFER, LINK AND FOLLOW-UP MENTAL HEALTH REFERRALS AND ASSESS EFFECTIVENESS OF REFERRALS BY SOLIDIFYING PARTNERSHIPS WITH COMMUNITY AGENCIES THAT PROVIDES PROGRAM AND SERVICES RELATED TO MENTAL HEALTH AND ADDICTION TO DELAWARE COUNTY RESIDENTS. * COLLABORATIONS WITH THE DELAWARE-MORROW MENTAL HEALTH AND RECOVERY SERVICES BOARD - PER FISCAL YEAR, OHIOHEALTH GRADY MEMORIAL HOSPITAL TEAM MEMBER WILL ACTIVELY PARTICIPATE IN UP TO 90 PERCENT OF THE MEETINGS, EVENTS AND PROGRAMS THAT WILL BE COORDINATED BY THE DELAWARE-MORROW MENTAL HEALTH AND RECOVERY SERVICES BOARD. * PER FISCAL YEAR, OHIOHEALTH GRADY MEMORIAL HOSPITAL WILL REFER UP TO 100% OF PATIENTS NEEDING MENTAL AND BEHAVIORAL HEALTH SERVICES TO APPROPRIATE COMMUNITY AGENCIES. PRIORITIZATION 5 - OHIOHEALTH GRADY MEMORIAL HOSPITAL'S INTENDED ACTIONS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH: * EDUCATION ABOUT OHIOHEALTH MISSION, VALUES AND CARDINAL VALUE - IN PARTNERSHIP WITH THE COMMUNITY, CONTINUE TO EDUCATE OHIOHEALTH EMPLOYEES (PHYSICIANS, ADVANCED PRACTICE PROVIDERS, NURSING TEAM, MEDICAL ASSISTANTS, ALLIED HEALTH PROFESSIONS, ADMINISTRATIVE SUPPORT, AND LEADERSHIP) IN THE FOLLOWING: (A) OHIOHEALTH MISSION OF ""TO IMPROVE THE HEALTH OF THOSE WE SERVE"", (B) FIVE OHIOHEALTH VALUES, COMPASSION, INTEGRITY, EXCELLENCE, STEWARDSHIP, AND INCLUSION, AND (C) CARDINAL VALUE OF ""TO HONOR THE WORTH AND DIGNITY OF EACH PERSON."" * EDUCATION AND AWARENESS ABOUT DELAWARE COUNTY'S SIGNIFICANT HEALTH NEEDS - IN PARTNERSHIP WITH NATIONWIDE CHILDREN'S HOSPITAL, THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, AND MOUNT CARMEL HEALTH SYSTEM, OHIOHEALTH WILL ACTIVELY PARTICIPATE IN COUNTYWIDE INITIATIVES TO ENCOURAGE DELAWARE COUNTY RESIDENTS TO PARTICIPATE IN ONLINE OR IN-PERSON FORUMS, CONFERENCES, OR MEETINGS RELATED TO MENTAL HEALTH AND ADDICTION, CHRONIC DISEASE, MATERNAL AND INFANT HEALTH, ACCESS TO CARE FOR PERSONS FROM THE LGBTQ+ COMMUNITIES, AFRICAN AMERICAN, ASIAN, HISPANIC AND OTHER COMMUNITIES OF COLOR. * COLLABORATIONS TO ADDRESS FOOD INSECURITY - CONTINUE TO PARTNER WITH THE UNITED WAY OF DELAWARE COUNTY IN ADDRESSING FOOD INSECURITY IN DELAWARE COUNTY THROUGH PARTNERSHIPS WITH DELAWARE COUNTY'S HUNGER ALLIANCE. ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVES: BY JUNE 30, 2025, OHIOHEALTH GRADY MEMORIAL HOSPITAL, IN COLLABORATION WITH THE COMMUNITY, WILL IMPLEMENT EVIDENCE-BASED STRATEGIES TO: (A) ADDRESS FOOD INSECURITY AND IMPROVE ACCESS TO HEALTHY FOODS; AND (B) IMPLEMENT TRAININGS AND EDUCATION OF CLINICAL AND ADMINISTRATIVE TEAMS THAT ADDRESS RACISM IN FINDING AND ACCESSING SERVICES, DISCRIMINATION BASED ON SEX/GENDER AND BIAS IN ACCESSING SERVICES. * EDUCATION ABOUT OHIOHEALTH MISSION, VALUES AND CARDINAL VALUE - UP TO 33 PERCENT OF EMPLOYEES EDUCATED IN FISCAL YEAR 2023, 66 PERCENT OF EMPLOYEES EDUCATED IN FISCAL YEAR 2024, AND 99 PERCENT OF EMPLOYEES EDUCATED IN FISCAL YEAR 2025 ABOUT OHIOHEALTH'S MISSION, VALUES AND CARDINAL VALUE. * EDUCATION AND AWARENESS ABOUT DELAWARE COUNTY'S SIGNIFICANT HEALTH NEEDS - UP TO 100 PERSONS PER FISCAL YEAR FROM DELAWARE COUNTY ATTENDING EVENTS THAT PROMOTE DIVERSITY AND INCLUSION AND AWARENESS OF HEALTH ISSUES AFFECTING VARIOUS RACIAL AND ETHNIC GROUPS, AND LGBTQ+ POPULATIONS. * COLLABORATIONS TO ADDRESS FOOD INSECURITY - OHIOHEALTH INVOLVEMENT IN UP TO TWO PROJECTS PER FISCAL YEAR THAT ADDRESS FOOD INSECURITY IN DELAWARE COUNTY."

Schedule H, Part V, Section B, Line 11 Facility A, 7
"Facility A, 7 - FACILITY GROUP A, FACILITY 5: OHIOHEALTH HARDIN MEMORIAL HOSPITAL. THE OHIOHEALTH HARDIN MEMORIAL HOSPITAL AND OHIOHEALTH COMMUNITY HEALTH PARTNERSHIPS COLLABORATED WITH THE KENTON-HARDIN HEALTH DEPARTMENT AND VARIOUS COMMUNITY STAKEHOLDERS IN IDENTIFYING ACTIONS AND STRATEGIES THAT ALIGNS WITH OHIO'S 2020-2022 STATE HEALTH IMPROVEMENT PLAN (SHIP). IN ALIGNMENT WITH OHIO'S 2020-2022 STATE HEALTH IMPROVEMENT PLAN (SHIP) TO ADDRESS MENTAL HEALTH AND ADDICTION AND CHRONIC DISEASE, HARDIN MEMORIAL HOSPITAL IS PARTNERING WITH THE KENTON HARDIN HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS. PRIORITIZATION 1 - OHIOHEALTH HARDIN MEMORIAL HOSPITAL'S INTENDED ACTIONS TO ADDRESS MENTAL HEALTH AND ADDICTION: * OHIOHEALTH HARDIN MEMORIAL HOSPITAL EMERGENCY DEPARTMENT WILL CONTINUE TO ASSESS FOR DEPRESSION, RISK FOR SUICIDE AND SUICIDE ATTEMPT FOR ALL PATIENTS. WHEN NECESSARY, CONTINUE TO REFER PATIENTS WHO HAD UNINTENTIONAL DRUG OVERDOSE TO COLEMAN HEALTH SERVICES. * OHIOHEALTH HARDIN MEMORIAL HOSPITAL WILL CONTINUE TO COLLABORATE WITH HEALTHY LIFESTYLES COALITION OF HARDIN COUNTY AND THE MENTAL HEALTH AND RECOVERY SERVICES BOARD OF ALLEN, AUGLAIZE AND HARDIN COUNTIES (MHRSB) AND THE KENTON HARDIN HEALTH DEPARTMENT IN EITHER HOSTING VIRTUAL OR IN-PERSON PROGRAMS OFFERED BY MHRSB. * HARDIN MEMORIAL HOSPITAL WILL CONTINUE TO BE ACTIVELY INVOLVED IN COUNTYWIDE OR REGIONAL MEDICATION DISPOSAL ACTIVITIES AND HEALTH EDUCATION EVENTS RELATED TO SUPPORT OF THE NATIONAL PRESCRIPTION DRUG TAKE BACK DAY. * OHIOHEALTH PHYSICIAN GROUP (OPG) WILL CONTINUE TO PROVIDE ACCESS TO TWO PRIMARY CARE CLINICS THAT OFFERS BEHAVIORAL HEALTH INTEGRATION, NAMELY (A) OPG PRIMARY CARE PHYSICIANS, WASHINGTON, WHICH IS LOCATED AT 75 WASHINGTON BLVD, SUITE 103, KENTON, OHIO 43326; AND (B) OPG PRIMARY CARE PHYSICIANS, S. MAIN, WHICH IS LOCATED AT 460 S. MAIN ST., MT. VICTORY, OHIO 43340. ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVE: BY JUNE 30, 2025, OHIOHEALTH HARDIN MEMORIAL HOSPITAL, IN COLLABORATION WITH THE COMMUNITY, WILL IMPLEMENT EVIDENCE-BASED STRATEGIES TO: (A) INCREASE ACCESS FOR MENTAL HEALTH SERVICES FOR YOUTH AND ADULTS, (B) REDUCE DEPRESSION RATES AMONG YOUTH, AND (C) INCREASE ACCESS FOR ADDICTION COUNSELING AND SUPPORT SERVICES IN HARDIN COUNTY, OHIO. * PER FISCAL YEAR, OHIOHEALTH HARDIN MEMORIAL HOSPITAL WILL ASSESS UP TO 100 PERCENT OF PATIENTS SEEN AT THE EMERGENCY DEPARTMENT FOR DEPRESSION, RISK FOR SUICIDE OR SUICIDE ATTEMPT AND REFER TO COLEMAN HEALTH SERVICES FOR FOLLOW-UP MENTAL AND BEHAVIORAL CARE. * PER FISCAL YEAR, IN PARTNERSHIP WITH THE KENTON HARDIN HEALTH DEPARTMENT AND THE HEALTHY LIFESTYLES COALITION OF HARDIN COUNTY, HARDIN MEMORIAL HOSPITAL WILL HOST OR CO-HOST AT LEAST ONE MENTAL HEALTH FIRST AID TRAINING FOR ADULTS AND/OR YOUTH. IN ADDITION TO THE MENTAL HEALTH FIRST AID COURSES, OHIOHEALTH HARDIN MEMORIAL HOSPITAL WILL ALSO PROMOTE COMMUNITY AWARENESS OF OTHER TRAINING PROGRAMS THAT ARE OFFERED BY THE MENTAL HEALTH AND RECOVERY SERVICES OF ALLEN, AUGLAIZE AND HARDIN COUNTIES. THROUGH THIS TRAINING, THE COMMUNITY WILL BE AWARE OF AND PARTICIPATE IN TRAINING PROGRAMS THAT ADDRESS MENTAL HEALTH AND ADDICTION SERVICES. * PER FISCAL YEAR, THE NATIONAL DRUG TAKE BACK DAY COLLABORATIVE AT HARDIN COUNTY, OHIO AND NEIGHBORING AREAS WILL COLLECT AT LEAST 100 POUNDS OF UNUSED OR EXPIRED MEDICATIONS. PER FISCAL YEAR, AT LEAST 50 PERSONS WILL BE EDUCATED ABOUT THE IMPORTANCE OF DISPOSING UNUSED AND EXPIRED MEDICATIONS. * PER FISCAL YEAR, AT LEAST 50 PERSONS WILL BE SEEN AT THE BEHAVIORAL HEALTH INTEGRATION CLINICS. PER FISCAL YEAR, FOLLOW-UP CARE, THERAPY AND COUNSELING WILL BE PROVIDED TO UP TO 100 PERCENT OF PATIENTS WHO NEED THESE SERVICES. PRIORITIZATION 2 - OHIOHEALTH HARDIN MEMORIAL HOSPITAL'S INTENDED ACTIONS TO ADDRESS CHRONIC DISEASE: * OHIOHEALTH PHYSICIAN GROUP PRIMARY CARE CLINICS - THE OHIOHEALTH PHYSICIAN GROUP (OPG) PRIMARY CARE CLINIC PHYSICIANS IN HARDIN COUNTY WILL CONTINUE TO PROVIDE NUTRITION PRESCRIPTIONS TO PATIENTS SO THEY WOULD BE ABLE TO CONSULT WITH THE REGISTERED DIETITIAN AND TACKLE THE PATIENT'S DIETARY AND NUTRITIONAL NEEDS. THE DIETITIAN PROVIDES NUTRITION EDUCATION AND COUNSELING AND REFERRAL TO FOOD PANTRIES, AND FOOD BANKS SERVING HARDIN COUNTY RESIDENTS. AMONG PATIENTS WITH DIAGNOSIS OF DIABETES, THE OHIOHEALTH DIETITIAN WILL DISCUSS TOPICS SUCH AS (A) IN-DEPTH EDUCATION ON THE ROLE OF NUTRITION AND LIFESTYLE HABITS IN IMPROVING GLYCEMIC CONTROL; AND (B) BASIC EDUCATION ABOUT THE PATHOPHYSIOLOGY OF DIABETES. THE DIETITIAN WILL ALSO ASSIST PATIENTS ON MEANS OF OBTAINING MEDICATION ASSISTANCE, OTHER FORMS OF PATIENT ASSISTANCE, AND HOW AND WHERE TO OBTAIN DIABETES SUPPLIES. THE DIETITIAN WILL CONTINUE TO FOLLOW-UP WITH PATIENT'S EDUCATION NEEDS. THE DIETITIAN WILL CONTINUE TO COLLABORATE WITH THE INTERDISCIPLINARY CARE TEAM AND PHYSICIANS AND OTHER PROVIDERS AS NEEDED TO IMPROVE PATIENT HEALTH OUTCOMES. AMONG PATIENTS WITH DIAGNOSIS OF OBESITY, THE OHIOHEALTH DIETITIAN WILL IMPLEMENT THE FOLLOWING: (A) DISCUSS TOPICS SUCH AS (BUT NOT LIMITED TO) IN-DEPTH NUTRITION AND LIFESTYLE EDUCATION FOR WEIGHT MANAGEMENT; (B) COLLABORATION WITH THE INTERDISCIPLINARY CARE TEAM AND OTHER PROVIDERS TO IMPROVE PATIENT OUTCOMES; (C) PROVIDE SUPPORT TO PATIENTS AS THEY ATTEMPT TO LOSE WEIGHT; AND (D) REFERRAL OF PATIENTS TO THE OHIOHEALTH HEALTH COACH WHEN NECESSARY TO ASSIST WITH GOAL SETTING. * OHIOHEALTH COLLABORATIONS - WALK WITH A DOC - OHIOHEALTH HARDIN MEMORIAL HOSPITAL, IN PARTNERSHIP WITH THE OHIO STATE UNIVERSITY EXTENSION HARDIN COUNTY AND THE HEALTHY LIFESTYLES COALITION OF HARDIN COUNTY WILL CONTINUE TO PROMOTE AND ENGAGE THE HARDIN COUNTY RESIDENTS TO PARTICIPATE IN ""WALK WITH A DOC"" WALKING AND LEARNING ACTIVITIES. AFTER THE PRESENTATION, THE PARTICIPANTS WILL HAVE TIME TO WALK WITH A DOCTOR AT THE KENTON ELEMENTARY SCHOOL AND OTHER INDOOR LOCATIONS. THE WALK WITH A DOC PROGRAM WILL ALSO BE HELD VIA ZOOM WHEN NECESSARY (WKTN, 2020.). * OHIOHEALTH REFERRALS - TOBACCO CESSATION - OHIOHEALTH HARDIN MEMORIAL HOSPITAL WILL CONTINUE TO EDUCATE THE COMMUNITY ABOUT THE NEGATIVE HEALTH EFFECTS OF TOBACCO SMOKING AND VAPING AMONG ADULTS AND YOUTH. * OHIOHEALTH HARDIN MEMORIAL HOSPITAL IN COLLABORATION WITH KENTON HARDIN HEALTH DEPARTMENT AND THE HEALTHY LIFESTYLES COALITION OF HARDIN COUNTY WILL LEAD THE CREATION OF A HARDIN COUNTY COMMUNITY WELLNESS CALENDAR OF ACTIVITIES, WHICH WILL BE UPDATED QUARTERLY AND DISTRIBUTED TO COMMUNITY PARTNERS BY EMAIL. * OHIOHEALTH AND OHIOHEALTH HARDIN MEMORIAL HOSPITAL WILL CONTINUE TO BE A TOBACCO-FREE ENVIRONMENT. TOBACCO USE IS NOT PERMITTED INSIDE OR OUTSIDE ANY OHIOHEALTH PROPERTY. * OHIOHEALTH HARDIN MEMORIAL HOSPITAL WILL CONTINUE TO OFFER THE DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSMES). * OHIOHEALTH INPATIENT AND OUTPATIENT CHRONIC DISEASE MANAGEMENT - OHIOHEALTH PHYSICIAN GROUP AND OHIOHEALTH HARDIN MEMORIAL HOSPITAL WILL CONTINUE TO OFFER HIGH QUALITY CARE AND HEALTH EDUCATION FOR PATIENTS DIAGNOSED WITH DIABETES, OBESITY, OR TOBACCO ABUSE OR VAPING."

Schedule H, Part V, Section B, Line 11 Facility A, 8
Facility A, 8 - FACILITY GROUP A, FACILITY 5: OHIOHEALTH HARDIN MEMORIAL HOSPITAL. ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVE: BY JUNE 30, 2025, OHIOHEALTH HARDIN MEMORIAL HOSPITAL, IN COLLABORATION WITH THE COMMUNITY, WILL IMPLEMENT EVIDENCE-BASED STRATEGIES TO: (A) REDUCE DIABETES PREVALENCE, (B) REDUCE OBESITY RATES AND (C) REDUCE SMOKING RATES IN HARDIN COUNTY. * OHIOHEALTH PHYSICIAN GROUP PRIMARY CARE CLINICS - PER FISCAL YEAR, THE OHIOHEALTH HARDIN MEMORIAL HOSPITAL DIETITIAN WILL SERVE UP TO 100 PATIENTS AND PROVIDE THEM WITH EVIDENCE-BASED TEACHING AND HEALTH EDUCATION. * PER FISCAL YEAR, THE OHIOHEALTH HARDIN MEMORIAL HOSPITAL TEAM WILL CO-LEAD AT LEAST 3 WALK WITH A DOC EVENT WHERE AT LEAST ONE OHIOHEALTH PHYSICIAN OR PROVIDER WILL TALK ABOUT THE IMPORTANCE OF BECOMING A SELF-MANAGER OF ONE'S HEALTH AND WELLBEING AND PROVIDE EVIDENCE-BASED GUIDANCE ABOUT MANAGING DIABETES, OBESITY AND CESSATION OF SMOKING OR VAPING. PER FISCAL YEAR, AT LEAST 25 PERSONS WILL PARTICIPATE IN THE WALK WITH A DOC EVENT. * PER FISCAL YEAR, THE OHIOHEALTH HARDIN MEMORIAL HOSPITAL WILL EDUCATE UP TO 50 PATIENTS WITH DIAGNOSIS OF TOBACCO USE OR VAPING AND PROVIDE INFORMATION ABOUT THE TOBACCO CESSATION PROGRAM AT OHIOHEALTH MARION GENERAL HOSPITAL. PER FISCAL YEAR, THE OHIOHEALTH HARDIN MEMORIAL HOSPITAL WILL EDUCATE UP TO 50 PATIENTS WITH DIAGNOSIS OR TOBACCO USE OR VAPING ABOUT THE OHIO DEPARTMENT OF HEALTH'S TOBACCO USE PREVENTION AND CESSATION PROGRAM. * OHIOHEALTH COLLABORATIONS - HEALTHY LIFESTYLES COALITION OF HARDIN COUNTY - PER FISCAL YEAR, UP TO FOUR UPDATED VERSIONS OF THE HARDIN COUNTY COMMUNITY WELLNESS CALENDAR WILL BE POSTED IN THE HEALTHY LIFESTYLES COALITION OF HARDIN COUNTY FACEBOOK PAGE. * PER FISCAL YEAR, UP TO 100 PERCENT OF PATIENTS, FAMILIES SERVED BY OHIOHEALTH HARDIN MEMORIAL HOSPITAL AND ITS STAFF AND CONTRACTORS WILL ABIDE BY THE TOBACCO-FREE ENVIRONMENT POLICY. * PER FISCAL YEAR, UP TO 50 PATIENTS WILL PARTICIPATE IN OHIOHEALTH HARDIN MEMORIAL HOSPITAL'S DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT. * OHIOHEALTH INPATIENT AND OUTPATIENT CHRONIC DISEASE MANAGEMENT - PER FISCAL YEAR, SERVE UP TO 500 PATIENTS DIAGNOSED WITH EITHER DIABETES, OBESITY OR SMOKING OR VAPING. PRIORITIZATION 3 - OHIOHEALTH HARDIN MEMORIAL HOSPITAL'S INTENDED ACTIONS TO ADDRESS ACCESS TO HEALTHCARE: * OHIOHEALTH HARDIN MEMORIAL HOSPITAL AND OHIOHEALTH PHYSICIAN GROUP PROGRAMS AND SERVICES - OHIOHEALTH HARDIN MEMORIAL HOSPITAL WILL CONTINUE TO PROVIDE HARDIN COUNTY RESIDENTS WITH ACCESS TO HIGH QUALITY PRIMARY CARE, INCLUDING (BUT NOT LIMITED TO) (A) PREVENTIVE, WELLNESS AND ILLNESS CARE; (B) PHYSICAL EXAMS, SCHOOL AND SPORTS PHYSICALS; (C) WOMEN'S HEALTH SERVICES; AND (D) MANAGEMENT OF CHRONIC DISEASES OR CONDITIONS LIKE DIABETES OR ASTHMA. * OHIOHEALTH HARDIN MEMORIAL HOSPITAL WILL CONTINUE TO PROVIDE HARDIN COUNTY RESIDENTS WITH ACCESS TO HIGH QUALITY OBSTETRICS AND GYNECOLOGY CARE, INCLUDING: -MATERNITY CARE SERVICES SUCH AS: SPECIALIZED AND PERSONALIZED PRENATAL CARE, POSTPARTUM CARE AND INTER-CONCEPTIONAL CARE, ACCESS TO MATERNAL-FETAL MEDICINE SPECIALISTS, AND ACCESS TO NATIONWIDE CHILDREN'S HOSPITAL'S NEONATAL INTENSIVE CARE UNITS AVAILABLE AT OUR MATERNITY HOSPITALS CLOSE TO HARDIN COUNTY (OHIOHEALTH MARION GENERAL HOSPITAL, OHIOHEALTH GRADY MEMORIAL HOSPITAL, AND OHIOHEALTH RIVERSIDE METHODIST HOSPITAL). -GYNECOLOGY SERVICES SUCH AS: ACCESS TO ANNUAL WELL-WOMAN EXAMS, FERTILITY ISSUES, FAMILY PLANNING, BIRTH CONTROL, SCREENING FOR SEXUALLY TRANSMITTED DISEASES, MENOPAUSE COUNSELING AND HORMONE THERAPY, MENSTRUAL REGULARITY, CLINICAL BREAST EXAMS, MINIMALLY INVASIVE AND NON-INVASIVE TREATMENT OPTIONS FOR GYNECOLOGIC CONDITIONS, GUIDANCE ON ADULT FEMALE SCREENINGS, BREAST CANCER, OSTEOPOROSIS, CERVICAL CANCER AND OTHER CONDITIONS, ADOLESCENT CARE- INCLUDING FIRST GYNECOLOGY VISIT, EVALUATION OF MENSTRUAL ISSUES FOR ADOLESCENTS, ANNUAL PAP SMEAR, HUMAN PAPILLOMA VIRUS (HPV) VACCINE, AND TREATMENT FOR UTERINE FIBROIDS. -OHIOHEALTH BREASTFEEDING SUPPORT AND PRIVATE CONSULT SERVICES SUCH AS: LEARNING BREASTFEEDING TECHNIQUES DURING PREGNANCY, LEARNING HOW TO BREASTFEED A NEWBORN BABY, LEARNING HOW TO BREASTFEED A PRETERM BABY OR A BABY WITH SPECIAL HEALTHCARE NEEDS, DESIRE TO BREASTFEED AN ADOPTED BABY, BREASTFEEDING MULTIPLE INFANTS (TWINS OR TRIPLETS), CONSIDERATIONS FOR GOING BACK TO WORK WHILST BREASTFEEDING BABY, ACCESS TO PRIVATE BREASTFEEDING CONSULTS TO LEARN ABOUT NIPPLE AND BREAST CARE INSTRUCTIONS, ATTACHMENT AND POSITIONING TECHNIQUES, ASSESSMENT OF AMOUNT OF BREAST MILK NEEDED, NIPPLE SORENESS, AND COACHING DURING ACTUAL BREASTFEEDING. -IN ADDITION TO OBSTETRICIAN/GYNECOLOGIST (OB/GYN) PHYSICIANS FROM AVINA WOMEN'S CARE WHO ARE AFFILIATED WITH OHIOHEALTH, THE OHIOHEALTH PHYSICIAN GROUP OB/GYN PHYSICIAN, DR. KELLY TUCKER, WILL CONTINUE TO PROVIDE OB/GYN CARE AT THE OHIOHEALTH HARDIN MEMORIAL HOSPITAL'S SPECIALTY CLINIC, 921 E. FRANKLIN ST, KENTON, OHIO 43326. DR. TUCKER WILL DELIVER BABIES AT OHIOHEALTH MARION GENERAL HOSPITAL. THE AVINA WOMEN'S CARE PHYSICIANS PROVIDE CARE AT (A) 2527 US HIGHWAY 68 S STE 1, BELLEFONTAINE, OHIO 43311, AND (B) 150 MOREY DRIVE, MARYSVILLE, OHIO 43040. * OHIOHEALTH HARDIN MEMORIAL HOSPITAL WILL CONTINUE TO PARTNER AND CROSS-REFER PATIENTS WITH KENTON COMMUNITY HEALTH CENTER LOCATED AT 111 WEST ESPY STREET, KENTON, OHIO 43326. THE KENTON COMMUNITY HEALTH CENTER IS AFFILIATED WITH HEALTH PARTNERS OF WESTERN OHIO AND OFFERS MEDICAL, DENTAL, PHARMACY, BEHAVIORAL HEALTH AND SUBSTANCE ABUSE, AND SOCIAL SERVICES OUTREACH. ANTICIPATED IMPACT OF THESE ACTIONS: OBJECTIVE: BY JUNE 30, 2025, OHIOHEALTH HARDIN MEMORIAL HOSPITAL, IN COLLABORATION WITH THE COMMUNITY, WILL IMPLEMENT EVIDENCE-BASED STRATEGIES TO INCREASE ACCESS TO PRIMARY CARE PHYSICIANS AND OTHER PRIMARY CARE PROVIDERS, MENTAL HEALTH PROVIDERS AND OBSTETRICIANS AND GYNECOLOGISTS IN HARDIN COUNTY, OHIO. * OHIOHEALTH HARDIN MEMORIAL HOSPITAL AND OHIOHEALTH PHYSICIAN GROUP PROGRAMS AND SERVICES - PER FISCAL YEAR, OHIOHEALTH PHYSICIAN GROUP PRIMARY CARE PRACTICES IN HARDIN COUNTY WILL SERVE UP TO 5,000 ESTABLISHED PATIENTS AND UP TO 500 NEW PATIENTS FROM HARDIN COUNTY. * OHIOHEALTH OBSTETRICS/GYNECOLOGY (OB/GYN) PROGRAMS AND SERVICES - PER FISCAL YEAR, OHIOHEALTH PHYSICIAN GROUP'S OB/GYN PHYSICIAN, DR. KELLY TUCKER, WILL PROVIDE OB/GYN CARE SERVICES TO UP TO 12 PATIENTS PER HALF-DAY CLINIC OR 24 PATIENTS PER MONTH, YIELDING APPROXIMATELY UP TO 1,800 TOTAL PATIENT VISITS. * PER FISCAL YEAR, OHIOHEALTH HARDIN MEMORIAL HOSPITAL WILL HOST AT LEAST ONE COLLABORATIVE MEETING WITH KENTON COMMUNITY HEALTH CENTER, KENTON HARDIN HEALTH DEPARTMENT AND OTHER COMMUNITY PARTNERS TO ENABLE CROSS REFERRALS FOR PATIENTS IN HARDIN COUNTY NEEDING ACCESS TO PRIMARY CARE, MENTAL AND BEHAVIORAL HEALTH PROVIDERS, AND OBSTETRICS/GYNECOLOGY SERVICES.

Schedule H, Part V, Section B, Line 13 Facility A, 1
Facility A, 1 - FACILITY REPORTING GROUP A. OHIOHEALTH USES INCOME LEVEL OF PATIENT AND PATIENT IMMEDIATE FAMILIES AS A FACTOR IN DETERMINING INCOME LEVEL.

Schedule H, Part V, Section B, Line 13 Facility A, 1
Facility A, 1 - FACILITY REPORTING GROUP A. OHIOHEALTH USES THE STATE AND FEDERAL PROGRAM ADMINISTERED BY THE DEPARTMENT OF MEDICAID HOSPITAL CARE ASSURANCE PROGRAM (HCAP) AS DEFINED IN THE OHIO ADMINISTRATIVE CODE. HCAP IS AN OHIO PROGRAM THAT STATES THAT ANY PATIENT WHOSE FAMILY SIZE AND INCOME LEVEL IS BELOW THE FEDERAL POVERTY GUIDELINES, RECEIVES FREE CARE FOR HOSPITAL SERVICES. IF THE PATIENT PROVES THAT THEIR INCOME FALLS BELOW THE FEDERAL POVERTY GUIDELINES, OHIOHEALTH MUST DISCOUNT THEIR RESPONSIBILITY OF THE CLAIM 100%. OHIOHEALTH'S INTERNAL CHARITY POLICY ADDRESSES PATIENTS WHOSE FAMILY SIZE AND INCOME IS ABOVE THE FEDERAL POVERTY GUIDELINES. OHIOHEALTH HAS DECIDED TO PROVIDE DISCOUNTS ON PATIENT BALANCES FOR PATIENTS WHOSE FAMILY SIZE AND INCOME IS UP TO 400% OF THE FEDERAL POVERTY GUIDELINES DISCOUNTED CARE.

Schedule H, Part V, Section B, Line 16 Facility A, 1
Facility A, 1 - FACILITY REPORTING GROUP A. SIGNS ARE POSTED, IN MULTIPLE LANGUAGES, AT MULTIPLE ENTRY POINTS AND REGISTRATION LOCATIONS STATING THE INTENT TO COMPLY WITH THE STATE OF OHIO'S HOSPITAL CARE ASSURANCE PROGRAM (HCAP). ADDITIONALLY, THE SIGNAGE, WHICH IS ON LARGE POSTER BOARDS (24X36 INCHES) AND CONSPICUOUSLY DISPLAYED, CONTAINS REFERENCE TO THE ORGANIZATION'S CHARITY CARE PROGRAM. INFORMATION MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES AT REGISTRATION LOCATIONS AND INTERPRETIVE SERVICES CAN BE ARRANGED IN THOSE LANGUAGES IF THE PATIENT/GUARANTOR DOES NOT SPEAK ENGLISH. OHIOHEALTH FACILITY BILLING STATEMENTS ALSO INCLUDE INFORMATION REGARDING HCAP. HOSPITAL PATIENT BILLING BROCHURES EXPLAIN THAT OHIOHEALTH PROVIDES CARE TO EVERYONE WHO COMES FOR SERVICES, REGARDLESS OF THEIR ABILITY TO PAY. THE BROCHURE PROVIDES INFORMATION ABOUT HCAP AND THE HOSPITALS CHARITY CARE PROGRAMS, HOW TO APPLY, AND THE NUMBERS TO CALL WITH QUESTIONS. HOSPITAL PATIENT BILLING BROCHURES ARE AVAILABLE TO EVERY PATIENT WITH THE FINANCIAL ASSISTANCE APPLICATION AND AVAILABLE UPON REQUEST FROM INSURED PATIENTS. IN ADDITION, A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY IS OFFERED TO EVERY PATIENT UPON INTAKE. OHIOHEALTH HAS A VERY ROBUST FINANCIAL COUNSELING PROGRAM THAT AIMS TO ASSIST AND EDUCATE EVERY PATIENT THAT NEEDS FINANCIAL HELP BY INFORMING THE PATIENT OF OHIOHEALTH'S FINANCIAL ASSISTANCE PROGRAM. FINANCIAL COUNSELORS ARE LOCATED AT EACH OF THE MAIN HOSPITAL CAMPUSES TO PROVIDE INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAMS TO THE PATIENTS AS WELL AS ASSIST WITH COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. SYSTEM-WIDE, OHIOHEALTH HAS OVER 30 FINANCIAL COUNSELORS, INCLUDING SUPERVISORS. ALL SELF-PAY REGISTRATIONS ARE REFERRED TO THE FINANCIAL COUNSELORS OR ON-SITE VENDORS AND AN ATTEMPT IS MADE FOR DIRECT CONTACT TO DISCUSS AND COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THERE MAY BE TIMES, SUCH AS VERY LATE IN THE EVENING OR VERY EARLY MORNING, WHEN ALL SELF-PAY PATIENTS ARE NOT SEEN FACE-TO-FACE BEFORE THEY ARE DISCHARGED. HOWEVER, THERE ARE PHONE ATTEMPTS AND LETTERS MAILED TO THESE PATIENTS TO EXPLAIN FINANCIAL ASSISTANCE AND ATTEMPT COMPLETION OF THE FINANCIAL ASSISTANCE APPLICATION. THE FRONT OF EVERY PATIENT BILLING STATEMENT REFERENCES ASSISTANCE FOR AMOUNTS NOT COVERED BY INSURANCE TO THOSE INDIVIDUALS WHOSE INCOME IS BELOW THE ESTABLISHED POVERTY LEVEL. THERE ARE TELEPHONE NUMBERS FOR CUSTOMER SERVICE AND AN EMAIL ADDRESS PROVIDED ON THE FRONT OF EVERY PATIENT BILLING STATEMENT WITH THE FEDERAL POVERTY GUIDELINES ON THE BACK. INCLUDED WITH THE THIRD PATIENT BILLING STATEMENT IS THE FINANCIAL ASSISTANCE APPLICATION. INCLUDED ARE DIRECTIONS TO COMPLETE THE APPLICATION, SIGN, AND WHERE TO SEND THE APPLICATION. DURING THE PRE-REGISTRATION/PRE-ADMISSIONS PROCESS, THE REGISTRATION REPRESENTATIVE WILL INFORM SCHEDULED SELF-PAY PATIENTS VIA TELEPHONE THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE AND THAT HE/SHE MAY BE REFERRED TO THE CUSTOMER CALL CENTER FOR ASSISTANCE IN APPLYING. THE REGISTRAR WILL TRANSFER THE PATIENT TO THE VERBAL FINANCIAL ASSISTANCE QUEUE AND/OR WILL PROVIDE THE TELEPHONE NUMBER TO THE VERBAL FINANCIAL ASSISTANCE QUEUE. ALL INSURED PATIENTS EXPRESSING NEED FOR FINANCIAL ASSISTANCE WILL ALSO BE TRANSFERRED TO THE VERBAL FINANCIAL ASSISTANCE QUEUE AND/OR PROVIDED THE TELEPHONE NUMBER TO THE VERBAL FINANCIAL ASSISTANCE QUEUE IN THE CUSTOMER CALL CENTER. THE CUSTOMER CALL CENTER WILL DISCUSS FINANCIAL ASSISTANCE WITH ANY PATIENT THAT EXPRESSES NEED OR CONCERN IN PAYING THE BALANCE ON THEIR ACCOUNT. THE REPRESENTATIVE WILL FORWARD THE CALLER TO THE VERBAL FINANCIAL ASSISTANCE QUEUE OR HAVE A FINANCIAL ASSISTANCE APPLICATION MAILED TO THE PATIENT. THE FINANCIAL ASSISTANCE APPLICATION IS AVAILABLE IN ELEVEN DIFFERENT LANGUAGES BASED ON THE NEEDS OF THE COMMUNITIES.

Schedule H, Part I, Line 3c FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST
THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE FOR LOW INCOME AND MEDICALLY INDIGENT INDIVIDUALS. IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE ORGANIZATION USES INCOME LEVEL OF PATIENT AND PATIENT IMMEDIATE FAMILIES, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, RESIDENCY, AND THE HOSPITAL CARE ASSURANCE PROGRAM (HCAP) TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.

Schedule H, Part V, Section A LINE NUMBERS OF HOSPITAL FACILITIES IN REPORTING GROUPS A B
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 2: OHIOHEALTH MARION GENERAL HOSPITAL - FACILITY 3: OHIOHEALTH O'BLENESS MEMORIAL HOSPITAL - FACILITY 4: OHIOHEALTH GRADY MEMORIAL HOSPITAL - FACILITY 5: OHIOHEALTH HARDIN MEMORIAL HOSPITAL FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 1: OHIOHEALTH MEDCENTRAL MANSFIELD HOSPITAL - FACILITY 6: OHIOHEALTH MEDCENTRAL SHELBY HOSPITAL

Schedule H, Part I, Line 6a Community benefit report prepared by related organization
THE COMMUNITY BENEFIT REPORT FOR ALL ENTITIES INCLUDED IN THIS RETURN IS INCLUDED IN THE OHIOHEALTH CORPORATION'S CONSOLIDATED COMMUNITY BENEFIT REPORT.

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
FOR THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID, AN INTERNAL COSTING METHODOLOGY SYSTEM CALLED STRATA WAS USED TO CALCULATE SUCH COSTS. ALL OTHER AMOUNTS REPORTED ON THE TABLE ARE BASED ON ACTUAL COSTS TRACKED THROUGH COST CENTERS. COSTS RELATED TO THE VOLUNTEER TIME OF EMPLOYEES WERE DETERMINED USING STANDARD WAGE RATES FOR HOURS CONTRIBUTED DURING WORK HOURS.

Schedule H, Part II Community Building Activities
"AT OHIOHEALTH, WE BELIEVE THAT EVERY ACTION MUST ADVANCE OUR MISSION: TO IMPROVE THE HEALTH OF THOSE WE SERVE. WE ARE ACCOUNTABLE TO OUR COMMUNITIES THROUGH STEWARDSHIP. WE ARE COMMITTED TO MAKING QUALITY HEALTHCARE AVAILABLE TO ALL. IN FACT, ""PROVIDING EXCEPTIONAL CARE FOR ALL"" IS A CORE TENET IN OUR NEW VISION STATEMENT. IN FISCAL YEAR 2022, OHIOHEALTH PROVIDED MORE THAN $405 MILLION IN CHARITY CARE AND OTHER COMMUNITY BENEFIT PROGRAMS INCLUDING WELLNESS ON WHEELS, MATERNAL HOME VISITING, AND COVID-19 VACCINE EQUITY EFFORTS. TO ENHANCE AND EXPAND THESE PROGRAMS, WE ALSO PARTNER WITH LOCAL AND NONPROFIT ORGANIZATIONS. WE ARE DEDICATED TO: + PROMOTING WELLNESS BY CONNECTING PEOPLE TO COMMUNITY RESOURCES. + PROVIDING ADVOCACY AND EMOTIONAL SUPPORT SERVICES. + HELPING PEOPLE MANAGE CHRONIC CONDITIONS, SUCH AS DIABETES AND HIGH BLOOD PRESSURE. + PROVIDING ACCESS TO PRIMARY CARE AND MEDICAL SERVICES FOR ALL. + SUPPORTING WOMEN'S HEALTH AND HEALTHY BABIES. + INVESTING IN WORKFORCE DEVELOPMENT. + ADVANCING HEALTH EQUITY."

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
THE ORGANIZATION REPORTS BAD DEBT EXPENSE AS SHOWN IN THE AUDITED FINANCIAL STATEMENTS.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
OHIOHEALTH HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. ALTHOUGH OUR FINANCIAL ASSISTANCE POLICIES AND PROCEDURES MAKE EVERY EFFORT TO IDENTIFY THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BEFORE THE BILLING PROCESS BEGINS, OFTEN IT IS NOT POSSIBLE TO MAKE AN APPROPRIATE DETERMINATION UNTIL AFTER THE BILLING AND COLLECTION CYCLE HAS COMMENCED.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF- PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE CORPORATION RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. PATIENT ACCOUNTS RECEIVABLE IS BASED ON THE ESTIMATED TRANSACTION PRICE FOR COMPLETED CONTRACTS ON JUNE 30.

Schedule H, Part III, Line 8 Community benefit methodology for determining medicare costs
"OHIOHEALTH'S SCHEDULE H HAS BEEN PREPARED IN ACCORDANCE WITH THE CATHOLIC HEALTH ASSOCIATION GUIDELINES PER ""A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS"", AND AS SUCH, OHIOHEALTH DOES NOT REPORT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. HOWEVER, PER A RECENT STUDY DONE FOR THE AMERICAN HOSPITAL ASSOCIATION BY ERNST YOUNG, THE TAX-EXEMPT HOSPITAL COMMUNITY COLLECTIVELY BELIEVES THERE ARE SEVERAL REASONS WHY MEDICARE SHORTFALL COULD BE TREATED AS COMMUNITY BENEFIT. FIRST, NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES OUT-OF-LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS. SECOND, BY CONTINUING TO TREAT PATIENTS ELIGIBLE FOR MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. THIRD, IRS REVENUE RULING 69-545 STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. OHIOHEALTH USES AN INTERNAL COSTING METHODOLOGY SYSTEM CALLED STRATA WHICH USES SEVERAL FACTORS TO DETERMINE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO MEDICARE PAYMENTS."

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
THE ORGANIZATION HAS A WRITTEN DEBT COLLECTION POLICY. THE POLICY PROVIDES THE FOLLOWING GUIDELINES AS IT RELATES TO PATIENTS WHO QUALIFY FOR CHARITY CARE: THE PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE VIA MEDICAID, VICTIMS OF CRIME, HCAP/CHARITY, OR WITH AN OHIOHEALTH CONTRACTED COMPANY TO HELP THE APPLICANT COMPLETE THE PROCESS WHEN NEEDED. ONCE THE CHARITY DETERMINATION IS MADE, COLLECTION EFFORTS ARE SUSPENDED. IF A PATIENT QUALIFIED FOR A DISCOUNT, COLLECTION EFFORTS ON THE REMAINING BALANCE ARE CONSISTENT WITH ALL OTHER SELF-PAY COLLECTIONS, WHICH RECEIVE A DISCOUNT AT THE TIME OF BILLING.

Schedule H, Part V, Section B, Line 16a FAP website
B - OhioHealth Mansfield Hospital: Line 16a URL: HTTPS://WWW.OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE; A - OhioHealth Marion General Hospital: Line 16a URL: HTTPS://WWW.OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE;

Schedule H, Part V, Section B, Line 16b FAP Application website
B - OhioHealth Mansfield Hospital: Line 16b URL: HTTPS://WWW.OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE; A - OhioHealth Marion General Hospital: Line 16b URL: HTTPS://WWW.OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
B - OhioHealth Mansfield Hospital: Line 16c URL: HTTPS://WWW.OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE; A - OhioHealth Marion General Hospital: Line 16c URL: HTTPS://WWW.OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE;

Schedule H, Part VI, Line 2 Needs assessment
OHIOHEALTH MISSION AND MINISTRY, AND THE FAITH, CULTURE AND COMMUNITY BENEFIT COMMITTEE OF THE OHIOHEALTH BOARD OF TRUSTEES ARE RESPONSIBLE FOR CORPORATE OVERSIGHT AND STRATEGIC DIRECTION FOR COMMUNITY BENEFIT SERVICES. THESE TWO ENTITIES ARE RESPONSIBLE FOR MONITORING COMMUNITY HEALTH NEEDS AND PROVIDING OVERSIGHT OF METRICS ON COMMUNITY BENEFIT AND MISSION EFFECTIVENESS. OHIOHEALTH HAS ONGOING PARTNERSHIPS WITH COLUMBUS PUBLIC HEALTH, OHIO DEPARTMENT OF HEALTH, AND ACCESS HEALTH COLUMBUS IN IDENTIFYING HEALTH PRIORITIES LOCALLY AND STATEWIDE. OHIOHEALTH IS ACTIVE IN DIRECT DISCUSSIONS REGARDING EPIDEMIOLOGIC DATA AND WHAT OHIOHEALTH CAN DO TO IMPACT PUBLIC HEALTH ISSUES. ACCESS HEALTH COLUMBUS' GOAL IS TO IMPROVE ACCESS TO HEALTHCARE FOR ALL INDIVIDUALS IN CENTRAL OHIO, SPECIFICALLY THE MOST VULNERABLE. A REPRESENTATIVE OF OHIOHEALTH'S LEADERSHIP IS A PART OF THESE MENTIONED ORGANIZATIONS AND AGENCIES TO ENSURE THAT OUR PLANNING AND PRACTICE ARE MEETING THE IDENTIFIED NEEDS OF CENTRAL OHIO. OHIOHEALTH COLLABORATED WITH OTHER COMMUNITY STAKEHOLDERS TO DEVELOP ITS COMMUNITY HEALTH NEEDS ASSESSMENT, AND IN DOING SO, GATHERED SIGNIFICANT ADDITIONAL DEMOGRAPHIC AND COMMUNITY PROFILE INFORMATION. THIS INFORMATION IS PUBLISHED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IS AVAILABLE TO THE PUBLIC VIA WWW.OHIOHEALTH.COM/IN-THE-COMMUNITY.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
SIGNS ARE POSTED, IN MULTIPLE LANGUAGES, AT MULTIPLE ENTRY POINTS AND REGISTRATION LOCATIONS STATING THE INTENT TO COMPLY WITH THE STATE OF OHIO'S HOSPITAL CARE ASSURANCE PROGRAM (HCAP). ADDITIONALLY, THE SIGNAGE, WHICH IS ON LARGE POSTERBOARDS (24X36 INCHES) AND CONSPICUOUSLY DISPLAYED, CONTAINS REFERENCE TO THE ORGANIZATION'S CHARITY CARE PROGRAM. INFORMATION MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES AT REGISTRATION LOCATIONS AND INTERPRETIVE SERVICES CAN BE ARRANGED IN THOSE LANGUAGES IF THE PATIENT/GUARANTOR DOES NOT SPEAK ENGLISH. OHIOHEALTH FACILITY BILLING STATEMENTS ALSO INCLUDE INFORMATION REGARDING HCAP AND CAN BE USED TO APPLY FOR FINANCIAL ASSISTANCE. HOSPITAL PATIENT BILLING BROCHURES EXPLAIN THAT OHIOHEALTH PROVIDES CARE TO EVERYONE WHO COMES FOR SERVICES, REGARDLESS OF THEIR ABILITY TO PAY. THE BROCHURE PROVIDES INFORMATION ABOUT HCAP AND THE HOSPITALS CHARITY CARE PROGRAMS, HOW TO APPLY, AND THE NUMBERS TO CALL WITH QUESTIONS. HOSPITAL PATIENT BILLING BROCHURES ARE HANDED TO EVERY SELF-PAY PATIENT WITH THE FINANCIAL ASSISTANCE APPLICATION AND AVAILABLE UPON REQUEST FROM INSURED PATIENTS. IN ADDITION, A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY IS OFFERED TO EVERY PATIENT UPON INTAKE. OHIOHEALTH HAS A VERY ROBUST FINANCIAL COUNSELING PROGRAM THAT AIMS TO ASSIST AND EDUCATE EVERY PATIENT THAT NEEDS FINANCIAL HELP BY INFORMING THE PATIENT OF OHIOHEALTH'S FINANCIAL ASSISTANCE PROGRAM. FINANCIAL COUNSELORS ARE LOCATED AT EACH OF THE MAIN HOSPITAL CAMPUSES TO PROVIDE INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAMS TO THE PATIENTS AS WELL AS ASSIST WITH COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. SYSTEM-WIDE, OHIOHEALTH HAS OVER 30 FINANCIAL COUNSELORS MADE UP OF SUPERVISORS AND COUNSELORS. ALL SELF-PAY REGISTRATIONS ARE REFERRED TO THE FINANCIAL COUNSELORS OR ON-SITE VENDORS AND AN ATTEMPT IS MADE FOR DIRECT CONTACT TO DISCUSS AND COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THERE MAY BE TIMES, SUCH AS VERY LATE IN THE EVENING OR VERY EARLY MORNING, WHEN ALL SELF-PAY PATIENTS ARE NOT SEEN FACE-TO-FACE BEFORE THEY ARE DISCHARGED. HOWEVER, THERE ARE PHONE ATTEMPTS AND LETTERS MAILED TO THESE PATIENTS TO EXPLAIN FINANCIAL ASSISTANCE AND ATTEMPT COMPLETION OF THE FINANCIAL ASSISTANCE APPLICATION. THE FRONT OF EVERY PATIENT BILLING STATEMENT REFERENCES ASSISTANCE FOR AMOUNTS NOT COVERED BY INSURANCE TO THOSE INDIVIDUALS WHOSE INCOME IS BELOW THE ESTABLISHED POVERTY LEVEL. THERE ARE TELEPHONE NUMBERS FOR CUSTOMER SERVICE, WITH SERVICE HOURS, AND AN EMAIL ADDRESS PROVIDED ON THE FRONT OF EVERY PATIENT BILLING STATEMENT. INCLUDED WITH EVERY PATIENT BILLING STATEMENT IS THE FINANCIAL ASSISTANCE APPLICATION WITH THE FEDERAL POVERTY GUIDELINES. INCLUDED ARE DIRECTIONS TO COMPLETE THE APPLICATION, SIGN, AND WHERE TO SEND THE APPLICATION. DURING THE PRE-REGISTRATION/PREADMISSIONS PROCESS, THE REGISTRATION REPRESENTATIVE WILL INFORM SCHEDULED SELF-PAY PATIENTS VIA TELEPHONE THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE AND THAT HE/SHE MAY BE REFERRED TO THE CUSTOMER CALL CENTER FOR ASSISTANCE IN APPLYING. THE REGISTRAR WILL TRANSFER THE PATIENT TO THE VERBAL FINANCIAL ASSISTANCE QUEUE AND/OR WILL PROVIDE THE TELEPHONE NUMBER TO THE VERBAL FINANCIAL ASSISTANCE QUEUE. ALL INSURED PATIENTS EXPRESSING NEED FOR FINANCIAL ASSISTANCE WILL ALSO BE TRANSFERRED TO THE VERBAL FINANCIAL ASSISTANCE QUEUE AND/OR PROVIDED THE TELEPHONE NUMBER TO THE VERBAL FINANCIAL ASSISTANCE QUEUE IN THE CUSTOMER CALL CENTER. THE CUSTOMER CALL CENTER WILL DISCUSS FINANCIAL ASSISTANCE WITH ANY PATIENT THAT EXPRESSES NEED OR CONCERN IN PAYING THE BALANCE ON THEIR ACCOUNT. THE REPRESENTATIVE WILL FORWARD THE CALLER TO THE VERBAL FINANCIAL ASSISTANCE QUEUE OR HAVE A FINANCIAL ASSISTANCE APPLICATION MAILED TO THE PATIENT. THE FINANCIAL ASSISTANCE APPLICATION IS AVAILABLE IN FIVE DIFFERENT LANGUAGES BASED ON THE NEEDS OF THE COMMUNITIES. THE INTERNET (HTTPS://WWW.OHIOHEALTH.COM/PATIENTS-AND-VISITORS/PAYING-FOR-YOUR-CARE/FINANCIAL-ASSISTANCE/) HAS INFORMATION PERTAINING TO THE CHARITY PROGRAMS AS WELL AS THE FINANCIAL ASSISTANCE APPLICATION, IN FIVE DIFFERENT LANGUAGES, AS WELL AS DIRECTIONS ON HOW TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION.

Schedule H, Part VI, Line 4 Community information
"OHIOHEALTH MEDCENTRAL HEALTH SYSTEM: OHIOHEALTH MANSFIELD HOSPITAL IS LOCATED IN RICHLAND COUNTY, AT 335 GLESSNER AVENUE, MANSFIELD, OHIO 44903. OHIOHEALTH MANSFIELD HOSPITAL OPERATES SEVEN SATELLITE FACILITIES, ALL LOCATED IN MANSFIELD, OHIO, RICHLAND COUNTY. OHIOHEALTH SHELBY HOSPITAL IS LOCATED IN RICHLAND COUNTY, AT 199 WEST MAIN STREET, SHELBY, OHIO 44875. THE ""COMMUNITY SERVED"" BY OHIOHEALTH MANSFIELD HOSPITAL AND OHIOHEALTH SHELBY HOSPITAL IS RICHLAND COUNTY, OHIO. REVIEW OF OHIOHEALTH DATA SHOWED THAT FOR FISCAL YEAR 2020, 77 PERCENT OF ALL PATIENTS WHO WERE ADMITTED TO OHIOHEALTH MANSFIELD HOSPITAL AND 75 PERCENT OF ALL PATIENTS ADMITTED TO OHIOHEALTH SHELBY HOSPITAL RESIDED IN RICHLAND COUNTY AT THE TIME OF ADMISSION. SIMILARLY, 80 PERCENT OF ALL PATIENTS FROM MANSFIELD HOSPITAL AND 80 PERCENT OF ALL PATIENTS FROM SHELBY HOSPITAL WHO HAD OUTPATIENT PROCEDURES OR VISITS IN FISCAL YEAR 2020 RESIDED IN RICHLAND COUNTY AT THE TIME WHEN THE PROCEDURE OR VISIT OCCURRED. IN 2010, ACTUAL POPULATION WAS 124,475. IN 2019, THE ESTIMATED TOTAL POPULATION WAS 121,154. IN 2019, AMONG RICHLAND COUNTY RESIDENTS, 86.8 PERCENT WERE WHITE, 7.9 PERCENT WERE AFRICAN AMERICAN, 0.8 PERCENT WERE ASIAN, 1.8 PERCENT WERE HISPANIC (OF ANY RACE), 0.4 PERCENT OTHER RACES, 0.2 PERCENT NATIVE AMERICAN, 0 PERCENT PACIFIC ISLANDER AND 4 PERCENT TWO OR MORE RACES. MINORITIES REPRESENTED 14.4 PERCENT OF THE POPULATION. IN 2019, AMONG RICHLAND COUNTY RESIDENTS, 5.8 PERCENT WERE YOUNGER THAN 5 YEARS OLD, 16 PERCENT WERE 5-17 YEARS OLD, 8.5 PERCENT WERE 18-24 YEARS OLD, 24 PERCENT WERE 25-44 YEARS OLD, 26.8 PERCENT WERE 45-64 YEARS, AND 18.9 PERCENT WERE 65 YEARS OR OLDER. MEDIAN AGE WAS 41.3. MEDIAN HOUSEHOLD INCOME FOR 2019 WAS $47,346 AND PER CAPITA INCOME WAS $39,234. APPROXIMATELY 10.1 PERCENT OF FAMILIES AND 14.3 PERCENT OF INDIVIDUALS HAD INCOME BELOW THE POVERTY LEVEL. OHIOHEALTH MARION GENERAL HOSPITAL: OHIOHEALTH MARION GENERAL HOSPITAL IS LOCATED AT 1000 MCKINLEY PARK DRIVE, MARION, MARION COUNTY, OHIO 43302. THE ""COMMUNITY SERVED"" BY MARION GENERAL HOSPITAL IS MARION COUNTY, OHIO AS DETERMINED BY THE PERCENTAGE OF PATIENTS SERVED FROM MARION COUNTY. REVIEW OF OHIOHEALTH INTERNAL DATA HAS SHOWN THAT FOR FISCAL YEAR 2020, 72 PERCENT OF ALL PATIENTS WHO WERE ADMITTED TO THE HOSPITAL RESIDED IN MARION COUNTY AT THE TIME OF ADMISSION. SIMILARLY, 76 PERCENT OF ALL PATIENTS WHO HAD OUTPATIENT PROCEDURES RESIDED IN MARION COUNTY AT THE TIME WHEN THE PROCEDURE WAS DONE. IN 2019, THE ACTUAL POPULATION OF MARION COUNTY WAS 65,093. IN 2020, THE ACTUAL POPULATION OF MARION COUNTY WAS 65,359. IN 2019, AMONG MARION COUNTY RESIDENTS, 89.8 PERCENT WERE WHITE, 5.8 PERCENT WERE AFRICAN AMERICAN, 0.6 PERCENT WERE ASIAN, 2.6 PERCENT WERE HISPANIC (OF ANY RACE), 0.7 PERCENT WERE OTHER RACES, 0.2 PERCENT WERE NATIVE AMERICAN, AND 2.9 PERCENT WERE TWO OR MORE RACES. TOTAL MINORITY REPRESENTED 11.5 PERCENT OF THE POPULATION. IN 2019, AMONG MARION COUNTY RESIDENTS, 5.9 PERCENT WERE YOUNGER THAN 5 YEARS OLD, 15.1 PERCENT WERE 5-17 YEARS OLD, 8.1 PERCENT WERE 18-24 YEARS OLD, 27.8 PERCENT WERE 25-44 YEARS OLD, 27.8 PERCENT WERE 45-64 YEARS, AND 17.1 PERCENT WERE 65 YEARS OR OLDER. MEDIAN AGE WAS 41.3. MEDIAN HOUSEHOLD INCOME FOR 2019 WAS $45,464 AND PER CAPITA INCOME WAS $38,252. APPROXIMATELY 11.5 PERCENT OF FAMILIES AND 16 PERCENT OF INDIVIDUALS HAD INCOME BELOW THE POVERTY LEVEL. OHIOHEALTH O'BLENESS HOSPITAL: OHIOHEALTH O'BLENESS HOSPITAL IS LOCATED AT 55 HOSPITAL DRIVE, ATHENS, OHIO 45701. THE OHIOHEALTH NELSONVILLE HEALTH CENTER, LOCATED AT 11 JOHN LLOYD EVANS MEMORIAL DRIVE, NELSONVILLE, OHIO, ATHENS COUNTY, OFFERS MULTIPLE ONSITE SERVICES FROM URGENT CARE AND PRIMARY CARE PHYSICIANS TO IMAGING, LABORATORY AND SLEEP SERVICES. IN ADDITION, O'BLENESS HOSPITAL OPERATES TWO SATELLITE FACILITIES: (A) OHIOHEALTH CASTROP HEALTH CENTER, LOCATED AT 75 HOSPITAL DRIVE, ATHENS, OHIO 45701, ATHENS COUNTY, PROVIDES WORK HEALTH SERVICES AND (B) OHIOHEALTH HOMECARE IN ATHENS, LOCATED AT 444 UNION STREET, ATHENS, OHIO 45701, ATHENS COUNTY, PROVIDES HOME HEALTH AND HOSPICE SERVICES. REVIEW OF OHIOHEALTH DATA SHOWED THAT FOR FISCAL YEAR 2020, 69 PERCENT OF ALL PATIENTS WHO WERE ADMITTED TO O'BLENESS HOSPITAL RESIDED IN ATHENS COUNTY AT THE TIME OF ADMISSION. SIMILARLY, 73 PERCENT OF ALL PATIENTS FROM O'BLENESS HOSPITAL WHO HAD OUTPATIENT PROCEDURES OR VISITS IN FISCAL YEAR 2020 RESIDED IN ATHENS COUNTY AT THE TIME WHEN THE PROCEDURE OR VISIT OCCURRED. IN 2020, THE POPULATION OF ATHENS COUNTY WAS 66,720. IN 2020, AMONG ATHENS COUNTY RESIDENTS, 90.6 PERCENT WERE WHITE, 2.9 PERCENT WERE AFRICAN AMERICAN, 2.7 PERCENT WERE ASIAN, 1.9 PERCENT WERE HISPANIC (OF ANY RACE), 0.4 PERCENT WERE OTHER RACES, 0.5 PERCENT WERE NATIVE AMERICAN, AND 2.7 PERCENT IDENTIFIED AS TWO OR MORE RACES. MINORITIES REPRESENTED 10.5 PERCENT OF THE TOTAL POPULATION. IN 2020, AMONG ATHENS COUNTY RESIDENTS, 4 PERCENT OF THE POPULATION WERE YOUNGER THAN 5-YEARS-OLD, 10.9 PERCENT WERE AGES 5-17, 29.6 PERCENT WERE AGES 18-24, 22.2 PERCENT WERE AGES 25-44, 21.3 PERCENT WERE AGES 45-64 AND 12.1 PERCENT WERE 65 YEARS OR OLDER. THE MEDIAN AGE WAS 28.9. THE MEDIAN HOUSEHOLD INCOME IN ATHENS COUNTY FOR 2020 WAS $37,778 AND PER CAPITA INCOME WAS $33,274. APPROXIMATELY 17.4 PERCENT OF FAMILIES AND 30.6 PERCENT OF INDIVIDUALS HAD INCOME BELOW THE POVERTY LEVEL. OHIOHEALTH GRADY MEMORIAL HOSPITAL: OHIOHEALTH GRADY MEMORIAL HOSPITAL IS LOCATED AT 561 WEST CENTRAL AVENUE, DELAWARE, OHIO 43015. THERE ARE NO SATELLITE FACILITIES OPERATED THROUGH GRADY MEMORIAL. THE ""COMMUNITY SERVED"" BY OHIOHEALTH GRADY MEMORIAL HOSPITAL IS DELAWARE COUNTY, OHIO. REVIEW OF OHIOHEALTH INTERNAL DATA HAS SHOWN THAT FOR CALENDAR YEAR 2020, 76 PERCENT OF PATIENTS ADMITTED TO THE HOSPITAL LIVED IN DELAWARE COUNTY AT THE TIME OF ADMISSION. SIMILARLY, 77 PERCENT OF ALL PATIENTS WHO HAD OUTPATIENT PROCEDURES LIVED IN DELAWARE COUNTY AT THE TIME WHEN THE PROCEDURE WAS DONE. IN 2019, ESTIMATED POPULATION IN DELAWARE COUNTY WAS 209,177. IN 2020, THE ESTIMATED TOTAL POPULATION IN DELAWARE COUNTY WAS 210,630. AMONG DELAWARE COUNTY RESIDENTS FOR 2019, 87.8 PERCENT WERE WHITE, 3.3 PERCENT WERE AFRICAN AMERICAN, 5.9 PERCENT ASIAN, 2.5 PERCENT WERE HISPANIC (OF ANY RACE), 0.4 PERCENT OTHER RACES, 0.1 PERCENT NATIVE AMERICAN, 0 PERCENT PACIFIC ISLANDER AND 2.5 PERCENT TWO OR MORE RACES. TOTAL MINORITY REPRESENTED 14.3 PERCENT OF THE POPULATION. AMONG DELAWARE COUNTY RESIDENTS FOR 2019, 6.3 PERCENT WERE YOUNGER THAN 5 YEARS OLD, 20.7 PERCENT WERE 5-17 YEARS OLD, 7.7 PERCENT WERE 18-24 YEARS OLD, 25.3 PERCENT WERE 25-44 YEARS OLD, 27.2 PERCENT WERE 45-64 YEARS, AND 12.7 PERCENT WERE 65 YEARS AND OLDER. MEDIAN AGE WAS 38.6. MEDIAN HOUSEHOLD INCOME FOR 2019 WAS $104,322 AND PER CAPITA INCOME WAS $74,093. APPROXIMATELY 3 PERCENT OF FAMILIES AND 4.6 PERCENT OF INDIVIDUALS HAD INCOME BELOW THE POVERTY LEVEL. OHIOHEALTH HARDIN MEMORIAL HOSPITAL: OHIOHEALTH HARDIN MEMORIAL HOSPITAL IS LOCATED AT 921 EAST FRANKLIN STREET, KENTON, OHIO 43326 IN HARDIN COUNTY. THE ""COMMUNITY SERVED"" BY HARDIN MEMORIAL HOSPITAL IS HARDIN COUNTY, OHIO. REVIEW OF OHIOHEALTH INTERNAL DATA HAS SHOWN THAT FOR FISCAL YEAR 2020, 94 PERCENT OF ALL PATIENTS WHO WERE ADMITTED TO THE HOSPITAL RESIDED IN HARDIN COUNTY AT THE TIME OF ADMISSION. SIMILARLY, 88 PERCENT OF ALL PATIENTS WHO HAD OUTPATIENT PROCEDURES RESIDED IN HARDIN COUNTY AT THE TIME THE PROCEDURE WAS DONE. ACCORDINGLY, HARDIN COUNTY HAS BEEN DETERMINED TO BE THE COMMUNITY SERVED BY OHIOHEALTH HARDIN MEMORIAL HOSPITAL. IN 2019, THE ESTIMATED POPULATION OF HARDIN COUNTY WAS 31,365. IN 2020, THE POPULATION WAS 31,740. IN 2020, AMONG HARDIN COUNTY RESIDENTS, 96.2 PERCENT WERE WHITE, 0.7 PERCENT WERE AFRICAN AMERICAN, 0 PERCENT WERE NATIVE AMERICAN, 0.8 PERCENT WERE ASIAN; 0 PERCENT WERE PACIFIC ISLANDER; 0.5 PERCENT WERE OTHER RACES, AND 1.9 PERCENT WERE TWO OR MORE RACES, 1.6 PERCENT WERE HISPANIC OF ANY RACE. TOTAL MINORITY REPRESENTED 4.9 PERCENT OF THE POPULATION. IN 2020, AMONG HARDIN COUNTY RESIDENTS, 6.2 PERCENT WERE YOUNGER THAN 5 YEARS OLD, 17.2 PERCENT WERE 5-17 YEARS OLD, 15.9 PERCENT WERE 18-24 YEARS OLD, 21.3 PERCENT WERE 25-44 YEARS OLD, 24.2 PERCENT WERE 45-64 YEARS OLD, AND 15.2 PERCENT WERE 65 YEARS OR OLDER. THE MEDIAN AGE WAS 35.5 YEARS. MEDIAN HOUSEHOLD INCOME FOR 2020 WAS $48,773 AND PER CAPITA INCOME WAS $33,482. APPROXIMATELY 12.5 PERCENT OF FAMILIES AND 16.7 PERCENT OF INDIVIDUALS HAD INCOME BELOW THE POVERTY LEVEL."

Schedule H, Part VI, Line 7 State filing of community benefit report
OH

Schedule H, Part VI, Line 5 Promotion of community health
A MAJORITY OF OHIOHEALTH'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN ITS PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS, NOR FAMILY MEMBERS THEREOF. OHIOHEALTH EXTENDS MEDICAL STAFF PRIVILEGES AND/OR MEMBERSHIP TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITIES IT SERVES TO ENSURE THAT EACH COMMUNITY HAS ACCESS TO THE NECESSARY MEDICAL SERVICES. OHIOHEALTH REINVESTS IN THE COMMUNITY TO IMPROVE QUALITY OF CARE, INCREASE ACCESS TO CARE AND ENHANCE SERVICE TO PATIENTS AND THEIR FAMILIES. INSTEAD OF PAYING DIVIDENDS TO SHAREHOLDERS OR OWNERS, OHIOHEALTH USES ITS EARNINGS TO PROVIDE A BROAD ARRAY OF COMMUNITY BENEFITS. FOR EXAMPLE, OHIOHEALTH: -PROVIDES CHARITY CARE TO THOSE WITHOUT ADEQUATE RESOURCES TO PAY FOR THEIR CARE, IN CONJUNCTION WITH ITS CHARITY CARE POLICIES. -INVESTS IN RESEARCH, INNOVATION, TECHNOLOGY, AND MEDICAL EDUCATION AND TRAINING TO ADVANCE MEDICAL KNOWLEDGE AND PROVIDE THE HIGHEST QUALITY OF CARE AND SERVICE TO PATIENTS. -SUBSIDIZES ESSENTIAL COMMUNITY HEALTH SERVICES TRAUMA CENTERS, POISON CONTROL, PSYCHIATRIC SERVICES, KIDNEY DIALYSIS-- THAT MIGHT NOT OTHERWISE PAY FOR THEMSELVES. -SUPPORTS A WIDE RANGE OF VITAL COMMUNITY OUTREACH SERVICES, TARGETING THE MOST VULNERABLE AND HISTORICALLY UNDERSERVED RESIDENTS OF THE COMMUNITY. -EXTENDS CARE VIA OUTPATIENT FACILITIES IN THE SURROUNDING NEIGHBORHOODS, THUS PROVIDING EXCELLENT ACCESS TO CARE. IN TOTAL, OHIOHEALTH CORPORATION AND ITS AFFILIATES PROVIDED $405.2 MILLION OF COMMUNITY BENEFIT. THE TOTAL COMMUNITY BENEFIT REPRESENTS AN APPROPRIATE BALANCE OF CHARITY CARE, COMMUNITY HEALTH SERVICES, SUBSIDIZED HEALTH SERVICES, RESEARCH AND NET MEDICAL EDUCATION COSTS, AND CASH OR IN-KIND COMMUNITY BUILDING.

Schedule H, Part VI, Line 6 Affiliated health care system
"OHIOHEALTH CORPORATION OPERATES GENERAL ACUTE CARE HOSPITALS AS WELL AS OUTPATIENT FACILITIES. IN ADDITION, OHIOHEALTH CORPORATION IS THE PARENT ORGANIZATION AND SOLE VOTING MEMBER OF SEVERAL RURAL COMMUNITY HOSPITALS, ORGANIZATIONS PROVIDING MULTIDISCIPLINARY HOME CARE AND REHABILITATION, MEDICAL RESEARCH, FUNDRAISING IN SUPPORT OF THE SYSTEM HOSPITALS, MEDICAL FACILITY PROPERTY MANAGEMENT, AND PHYSICIAN FOUNDATIONS. ALL SERVING IN OHIOHEALTH ""SYSTEMNESS"" TO IMPROVE THE HEALTH OF THOSE WE SERVE. OHIOHEALTH IS A HEALTH CARE SYSTEM COVERING FRANKLIN, DELAWARE, ATHENS, HARDIN, MARION, RICHLAND AND PICKAWAY COUNTIES THAT IN TOTAL INCLUDES THIRTEEN HOSPITALS, AMBULATORY HEALTHCARE SERVICES, PHYSICIAN CLINICS, HOSPICE CARE AND OTHER ENTITIES IN SUPPORT OF THE HOSPITAL AND HEALTHCARE SERVICES. OF THOSE THIRTEEN HOSPITALS, SIX INDIVIDUAL HOSPITALS FILE WITH THIS GROUP RETURN (OHIOHEALTH MARION GENERAL HOSPITAL, OHIOHEALTH O'BLENESS MEMORIAL HOSPITAL, OHIOHEALTH GRADY MEMORIAL HOSPITAL, OHIOHEALTH HARDIN MEMORIAL HOSPITAL, OHIOHEALTH MEDCENTRAL HEALTH SYSTEM COMPRISED OF OHIOHEALTH MANSFIELD HOSPITAL, AND OHIOHEALTH SHELBY HOSPITAL) PROVIDING SERVICES TO THE RURAL COMMUNITIES SURROUNDING THE SYSTEM'S PRIMARY SERVICE AREAS OF FRANKLIN, DELAWARE, AND RICHLAND COUNTIES. -OHIOHEALTH MARION GENERAL HOSPITAL - MARION COUNTY; OHIOHEALTH MARION GENERAL HOSPITAL IS A 250-BED HOSPITAL THAT HAS PROVIDED QUALITY HEALTHCARE TO THE NORTH CENTRAL OHIO COMMUNITIES SINCE 1920. THE HOSPITAL OFFERS A COMPREHENSIVE MIX OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES, INCLUDING 24/7 STROKE AND NEUROLOGICAL SERVICES, ADVANCED HEART AND VASCULAR SURGERIES, ORTHOPEDIC AND SPORTS MEDICINE TREATMENT, AND COMPREHENSIVE CANCER CARE. MARION GENERAL HOSPITAL ALSO PROVIDES BEHAVIORAL AND MENTAL HEALTH, CARDIAC AND PULMONARY REHABILITATION, DIABETES, EMERGENCY AND TRAUMA, HOME HEALTH, HOSPICE, IMAGING AND TECHNOLOGY, MATERNITY, PALLIATIVE CARE, RADIATION ONCOLOGY, REHABILITATION AND THERAPY, ROBOTIC SURGERY, SLEEP DISORDERS, SURGERY, WOMEN'S HEALTH, WOUND CARE, MASSAGE AND THERAPEUTIC MEDICINE, NUTRITION COUNSELING, PULMONOLOGY AND ASTHMA, AND STROKE CLINIC. -OHIOHEALTH O'BLENESS MEMORIAL HOSPITAL - ATHENS COUNTY; OHIOHEALTH O'BLENESS HOSPITAL IS A 132-BED HOSPITAL FACILITY THAT OFFERS ADULT MEDICAL AND SURGICAL CARE, AN ADULT INTENSIVE CARE UNIT AND LABOR AND DELIVERY. OHIOHEALTH O'BLENESS HOSPITAL HAS SERVED THE CHANGING HEALTHCARE NEEDS IN SOUTHEASTERN OHIO SINCE 1921. FOR OVER 100 YEARS, O'BLENESS HOSPITAL AND ITS COMPASSIONATE TEAM OF HEALTHCARE PROVIDERS AND SUPPORT STAFF HAVE PROVIDED TOP QUALITY, HOLISTIC CARE TO PATIENTS AND FAMILIES IN THEIR OWN LOCAL COMMUNITY. IN 2018, OHIOHEALTH O'BLENESS HOSPITAL OPENED A STATE-OF-THE-ART INTENSIVE CARE UNIT (ICU) COMPRISED OF EIGHT PRIVATE ROOMS EQUIPPED WITH TELEMEDICINE CAPABILITIES (EICU) TO CONNECT WITH EITHER OHIOHEALTH RIVERSIDE METHODIST HOSPITAL OR OHIOHEALTH GRANT MEDICAL CENTER SPECIALISTS, AS WELL AS CONTINUOUS MONITORING OF PATIENTS FROM THE ICU'S NURSING STATION. THE HOSPITAL OFFERS VARIOUS SURGICAL PROCEDURES, TREATMENT OPTIONS, THERAPIES, AND PRIMARY CARE SERVICES. OUTPATIENT SERVICES INCLUDE LABORATORY SERVICES, COMPUTED TOMOGRAPHY (CT) SCANNING, MAMMOGRAPHY, MAGNETIC RESONANCE IMAGING (MRI), X-RAY SERVICES, ONCOLOGY AND INFUSION SERVICES AND A CARDIAC AND PULMONARY REHABILITATION PROGRAM. ADDITIONALLY, O'BLENESS HOSPITAL IS A CLINICAL TRAINING SITE FOR OHIO UNIVERSITY MEDICAL STUDENTS. -OHIOHEALTH GRADY MEMORIAL HOSPITAL - DELAWARE COUNTY; GRADY MEMORIAL HOSPITAL IS A 63-BED COMMUNITY HOSPITAL IN DELAWARE COUNTY THAT OFFERS HEALTHCARE SERVICES SUCH AS CANCER CARE, EMERGENCY AND TRAUMA, HEART AND VASCULAR CARE, IMAGING AND RADIOLOGY, LABORATORY SERVICES, MATERNITY, NEUROSCIENCE, ORTHOPEDICS, PAIN MANAGEMENT, REHABILITATION AND THERAPY, SLEEP DISORDERS, SURGERY, AND WOUND CARE. -OHIOHEALTH HARDIN MEMORIAL HOSPITAL - HARDIN COUNTY; HARDIN MEMORIAL HOSPITAL IS A 25-BED CRITICAL ACCESS HOSPITAL THAT PROVIDES ACUTE AND SHORT-TERM SKILLED CARE, A FULL RANGE OF OUTPATIENT DIAGNOSTIC AND THERAPEUTIC SERVICES UTILIZING STATE-OF-THE-ART TECHNOLOGY, REHABILITATION AND PHYSICAL THERAPY SERVICES, 24-HOUR EMERGENCY DEPARTMENT, AS WELL AS NUMEROUS COMMUNITY PROGRAMS AND SERVICES. HARDIN MEMORIAL HOSPITAL OFFERS THE CONVENIENCE OF A MULTI-SPECIALTY CENTER WITH SPECIALISTS IN ALLERGY, CARDIOLOGY, DERMATOLOGY, EAR, NOSE, AND THROAT (ENT), GENERAL SURGERY, INTERNAL MEDICINE, NEUROLOGY, OBSTETRICS/GYNECOLOGY, ORTHOPEDICS, SPEECH, AND UROLOGY WHO ARE ABLE TO DIAGNOSE AND TREAT PATIENTS LOCALLY. -OHIOHEALTH MEDCENTRAL HEALTH SYSTEM - RICHLAND COUNTY: MEDCENTRAL IS A HEALTH SYSTEM COMPRISED OF TWO HOSPITALS: * OHIOHEALTH MANSFIELD HOSPITAL IS A 326-BED FACILITY WITH AN OUTPATIENT RADIATION THERAPY CENTER, HEALTH AND FITNESS CENTER, SURGERY CENTER, URGENT CARE, HOME CARE, HOSPICE AND PALLIATIVE CARE. IT IS THE LARGEST MEDICAL PROVIDER BETWEEN CLEVELAND AND COLUMBUS. * OHIOHEALTH SHELBY HOSPITAL IS A 25-BED FACILITY THAT HAS PROVIDED QUALITY HEALTHCARE TO THE SHELBY COMMUNITY SINCE 1921. SHELBY HOSPITAL IS ACCREDITED AS A CRITICAL ACCESS HOSPITAL BY THE JOINT COMMISSION. THE HOSPITAL PROVIDES ACUTE AND SHORT-TERM SKILLED CARE, 24-HOUR EMERGENCY DEPARTMENT (ED), A FULL RANGE OF OUTPATIENT DIAGNOSTIC AND THERAPEUTIC SERVICES UTILIZING STATE-OF-THE-ART TECHNOLOGY, CANCER CARE, DIABETES SERVICES, ENDOSCOPY SERVICES, HOSPICE CARE, MATERNITY CARE, OUTPATIENT REHABILITATION THERAPY, PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH THERAPY, AND INPATIENT AND OUTPATIENT SURGERY PROGRAMS, AS WELL AS NUMEROUS COMMUNITY PROGRAMS AND SERVICES."