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Galion Community Hospital

269 Portland Way South
Galion, OH 44833
EIN: 344451872
Individual Facility Details: Galion Community Hospital
269 Portland Way South
Galion, OH 44833
3 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
Bed count35Medicare provider number361325Member of the Council of Teaching HospitalsNOChildren's hospitalNO

Galion Community HospitalDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
10.17%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 250,086,058
      Total amount spent on community benefits
      as % of operating expenses
      $ 25,425,513
      10.17 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 2,521,370
        1.01 %
        Medicaid
        as % of operating expenses
        $ 22,904,143
        9.16 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 0
        0 %
        Subsidized health services
        as % of operating expenses
        $ 0
        0 %
        Research
        as % of operating expenses
        $ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 0
        0 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 0
        0 %
        Community building*
        as % of operating expenses
        $ 0
        0 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?Not available
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 0
          0 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          Economic development
          as % of community building expenses
          $ 0
          Community support
          as % of community building expenses
          $ 0
          Environmental improvements
          as % of community building expenses
          $ 0
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          Coalition building
          as % of community building expenses
          $ 0
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          Workforce development
          as % of community building expenses
          $ 0
          Other
          as % of community building expenses
          $ 0
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 9,595,341
        3.84 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 239,884
        2.50 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 142149995 including grants of $ 17924) (Revenue $ 107495970)
      GALION COMMUNITY HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL LOCATED WITHIN THE CITY OF GALION, OH. IT SERVES THE GREATER GALION AREA INCLUDING MUCH OF CRAWFORD COUNTY. THE FACILITY SERVES THE GENERAL PUBLIC AND IS OPEN SEVEN DAYS A WEEK, TWENTY-FOUR HOURS PER DAY. DURING THE FISCAL YEAR OF 2022, GALION HOSPITAL AND ITS AFFILIATES SERVED 2,118 INPATIENTS, 1,524 OBSERVATION PATIENTS, 15,770 EMERGENCY VISITS, AND 112,283 OUTPATIENT VISITS. THESE WERE ALL SERVED REGARDLESS OF THE ABILITY TO PAY. GALION HOSPITAL IS AN INTRICATE PART OF THE COMMUNITY. IT IS ONE OF THE LARGEST EMPLOYERS IN THE COUNTY AT 847 FULL TIME EQUIVALENTS.
      4B (Expenses $ 42754376 including grants of $ 0) (Revenue $ 66999279)
      BCH ACQUISITION LLC (BUCYRUS COMMUNITY HOSPITAL) IS A 25 BED CRITICAL ACCESS HOSPITAL LOCATED WITHIN THE CITY OF BUCYRUS, OH. IT SERVES THE GREATER BUCYRUS AREA. THE FACILITY SERVES THE GENERAL PUBLIC AND IS OPEN SEVEN DAYS A WEEK, TWENTY-FOUR HOURS PER DAY. DURING THE FISCAL YEAR OF 2022, BUCYRUS HOSPITAL SERVED 926 INPATIENTS, 1,122 OBSERVATION PATIENTS, 10,519 EMERGENCY VISITS AND 50,306 OUTPATIENT VISITS. THESE WERE ALL SERVED REGARDLESS OF THE ABLIITY TO PAY. BCH ACQUISITION LLC IS AN INTRICATE PART OF THE COMMUNITY. IT IS ONE ON THE LARGEST EMPLOYERS IN THE COUNTY AT 304 FULL TIME EQUIVALENTS.
      4C (Expenses $ 62961210 including grants of $ 0) (Revenue $ 94735181)
      AVITA ONTARIO HOSPITAL IS A 26 BED PPS HOSPITAL LOCATED WITHIN THE CITY OF ONTARIO, OH. IT SERVES THE GREATER ONTARIO AREA. THE FACILITY SERVES THE GENERAL PUBLIC AND IS OPEN SEVEN DAYS A WEEK, TWENTY-FOUR HOURS PER DAY. DURING THE FISCAL YEAR OF 2022, AVITA ONTARIO HOSPITAL SERVED 1,469 INPATIENTS, 1,524 OBSERVATION PATIENTS, 26,614 EMERGENCY VISITS AND 114,478 OUTPATIENT VISITS. THESE WERE ALL SERVED REGARDLESS OF THE ABILITY TO PAY. AVITA ONTARIO HOSPITAL IS AN INTRICATE PART OF THE COMMUNITY. IT EMPLOYS 482 FULL TIME EQUIVALENTS.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      GALION COMMUNITY HOSPITAL
      PART V, SECTION B, LINE 5: CRAWFORD COUNTY CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, A NON-PROFIT HOSPITAL ASSOCIATION, LOCATED IN TOLEDO, OHIO, TO COORDINATE AND MANAGE THE HEALTH ASSESSMENT PROCESS. THE HOSPITAL COUNCIL HAS BEEN COMPLETING COMPREHENSIVE HEALTH ASSESSMENTS SINCE 1999. THE PROJECT COORDINATOR FROM THE HOSPITAL COUNCIL OF NW OHIO HOLDS A MASTER'S DEGREE IN PUBLIC HEALTH AND CONDUCTED A SERIES OF MEETINGS WITH THE PLANNING COMMITTEE FROM CRAWFORD COUNTY. DURING THESE MEETINGS, BANKS OF POTENTIAL SURVEY QUESTIONS FROM THE BRFSS SURVEY WERE REVIEWED AND DISCUSSED. BASED ON INPUT FROM THE CRAWFORD COUNTY PLANNING COMMITTEE, THE PROJECT COORDINATOR COMPOSED DRAFTS OF SURVEYS CONTAINING 115 ITEMS FOR THE ADULT SURVEY. THE DRAFTS WERE REVIEWED AND APPROVED BY HEALTH RESEARCHERS AT THE UNIVERSITY OF TOLEDO.LOCAL COMMUNITY AGENCIES WERE INVITED TO PARTICIPATE IN THE HEALTH ASSESSMENT PROCESS, INCLUDING CHOOSING QUESTIONS FOR THE SURVEYS, PROVIDING LOCAL DATA, REVIEWING DRAFT REPORTS AND PLANNING THE COMMUNITY EVENT, RELEASE OF THE DATA AND SETTING PRIORITIES. THE NEEDS OF THE POPULATION, ESPECIALLY THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS, WERE TAKEN INTO ACCOUNT THROUGH THE SAMPLE METHODOLOGY THAT SURVEYED THESE POPULATIONS. IN ADDITION, THE ORGANIZATIONS THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT AND COMMUNITY PLANNING PROCESS, SUCH AS COMMUNITY COUNSELING SERVICES, WESLEY CHAPEL/RESTORE MINISTRIES, ETC. THE PARTICIPANTS INCLUDED: BRAD DECAMP, CRAWFORD-MARION ADAMH BOARDCARRIE BETTS, AVITA HEALTH SYSTEMCINDA KROPKA, AVITA HEALTH SYSTEMCINDY WALLIS, COMMUNITY COUNSELING SERVICESCRYSTINA WALLAR, FAMILY & CHILDREN FIRST COUNCILDEENA SMITH, BUCYRUS YMCADEETTA SHAFFER, GALION CITY HEALTH DEPARTMENTGARY FRANKHOUSE, CRAWFORD COUNTY EDUCATION AND ECONOMIC DEVELOPMENT PARTNERSHIPJODY DEMO-HODGINS, CRAWFORD-MARION ADAMHJOE STAFFORD, COMMUNITY COUNSELING SERVICES & RESTORE MINISTRIESKATE SIEFERT, CRAWFORD COUNTY PUBLIC HEALTHKATHY BUSHEY, CRAWFORD COUNTY PUBLIC HEALTH WICLISA WORKMAN, THE COMMUNITY FOUNDATION FOR CRAWFORD COUNTYMADELINE NOVACK, MARYHAVENMARY JO CARLE, TOGETHER WE HURT, TOGETHER WE HEALPAM KALB, CRAWFORD COUNTY PUBLIC HEALTH HELP ME GROWPAULA BROWN, MARYHAVENSIS LOVE, CITY OF BUCYRUSSTEPHANIE ZMUDA, GALION CITY HEALTH DEPARTMENTSTEVE JOZWIAK, CRAWFORD COUNTY PUBLIC HEALTHTOM O'LEARY, CITY OF GALIONTRISH FACTOR, GALION CITY HEALTH DEPARTMENT
      BCH ACQUISITION, LLC
      PART V, SECTION B, LINE 5: CRAWFORD COUNTY CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, A NON-PROFIT HOSPITAL ASSOCIATION, LOCATED IN TOLEDO, OHIO, TO COORDINATE AND MANAGE THE HEALTH ASSESSMENT PROCESS. THE HOSPITAL COUNCIL HAS BEEN COMPLETING COMPREHENSIVE HEALTH ASSESSMENTS SINCE 1999. THE PROJECT COORDINATOR FROM THE HOSPITAL COUNCIL OF NW OHIO HOLDS A MASTER'S DEGREE IN PUBLIC HEALTH AND CONDUCTED A SERIES OF MEETINGS WITH THE PLANNING COMMITTEE FROM CRAWFORD COUNTY. DURING THESE MEETINGS, BANKS OF POTENTIAL SURVEY QUESTIONS FROM THE BRFSS SURVEY WERE REVIEWED AND DISCUSSED. BASED ON INPUT FROM THE CRAWFORD COUNTY PLANNING COMMITTEE, THE PROJECT COORDINATOR COMPOSED DRAFTS OF SURVEYS CONTAINING 115 ITEMS FOR THE ADULT SURVEY. THE DRAFTS WERE REVIEWED AND APPROVED BY HEALTH RESEARCHERS AT THE UNIVERSITY OF TOLEDO.LOCAL COMMUNITY AGENCIES WERE INVITED TO PARTICIPATE IN THE HEALTH ASSESSMENT PROCESS, INCLUDING CHOOSING QUESTIONS FOR THE SURVEYS, PROVIDING LOCAL DATA, REVIEWING DRAFT REPORTS AND PLANNING THE COMMUNITY EVENT, RELEASE OF THE DATA AND SETTING PRIORITIES. THE NEEDS OF THE POPULATION, ESPECIALLY THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS, WERE TAKEN INTO ACCOUNT THROUGH THE SAMPLE METHODOLOGY THAT SURVEYED THESE POPULATIONS. IN ADDITION, THE ORGANIZATIONS THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT AND COMMUNITY PLANNING PROCESS, SUCH AS COMMUNITY COUNSELING SERVICES, WESLEY CHAPEL/RESTORE MINISTRIES, ETC. THE PARTICIPANTS INCLUDED: BRAD DECAMP, CRAWFORD-MARION ADAMH BOARDCARRIE BETTS, AVITA HEALTH SYSTEMCINDA KROPKA, AVITA HEALTH SYSTEMCINDY WALLIS, COMMUNITY COUNSELING SERVICESCRYSTINA WALLAR, FAMILY & CHILDREN FIRST COUNCILDEENA SMITH, BUCYRUS YMCADEETTA SHAFFER, GALION CITY HEALTH DEPARTMENTGARY FRANKHOUSE, CRAWFORD COUNTY EDUCATION AND ECONOMIC DEVELOPMENT PARTNERSHIPJODY DEMO-HODGINS, CRAWFORD-MARION ADAMHJOE STAFFORD, COMMUNITY COUNSELING SERVICES & RESTORE MINISTRIESKATE SIEFERT, CRAWFORD COUNTY PUBLIC HEALTHKATHY BUSHEY, CRAWFORD COUNTY PUBLIC HEALTH WICLISA WORKMAN, THE COMMUNITY FOUNDATION FOR CRAWFORD COUNTYMADELINE NOVACK, MARYHAVENMARY JO CARLE, TOGETHER WE HURT, TOGETHER WE HEALPAM KALB, CRAWFORD COUNTY PUBLIC HEALTH HELP ME GROWPAULA BROWN, MARYHAVENSIS LOVE, CITY OF BUCYRUSSTEPHANIE ZMUDA, GALION CITY HEALTH DEPARTMENTSTEVE JOZWIAK, CRAWFORD COUNTY PUBLIC HEALTHTOM O'LEARY, CITY OF GALIONTRISH FACTOR, GALION CITY HEALTH DEPARTMENT
      ONTARIO HOSPITAL
      PART V, SECTION B, LINE 5: RICHLAND CRAWFORD COUNTY CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, A NON-PROFIT HOSPITAL ASSOCIATION, LOCATED IN TOLEDO, OHIO, TO COORDINATE AND MANAGE THE HEALTH ASSESSMENT PROCESS. THE HOSPITAL COUNCIL HAS BEEN COMPLETING COMPREHENSIVE HEALTH ASSESSMENTS SINCE 1999. THE PROJECT COORDINATOR FROM THE HOSPITAL COUNCIL OF NW OHIO HOLDS A MASTER'S DEGREE IN PUBLIC HEALTH AND CONDUCTED A SERIES OF MEETINGS WITH THE PLANNING COMMITTEE FROM CRAWFORD COUNTY. DURING THESE MEETINGS, BANKS OF POTENTIAL SURVEY QUESTIONS FROM THE BRFSS SURVEY WERE REVIEWED AND DISCUSSED. BASED ON INPUT FROM THE CRAWFORD COUNTY PLANNING COMMITTEE, THE PROJECT COORDINATOR COMPOSED DRAFTS OF SURVEYS CONTAINING 115 ITEMS FOR THE ADULT SURVEY. THE DRAFTS WERE REVIEWED AND APPROVED BY HEALTH RESEARCHERS AT THE UNIVERSITY OF TOLEDO.LOCAL COMMUNITY AGENCIES WERE INVITED TO PARTICIPATE IN THE HEALTH ASSESSMENT PROCESS, INCLUDING CHOOSING QUESTIONS FOR THE SURVEYS, PROVIDING LOCAL DATA, REVIEWING DRAFT REPORTS AND PLANNING THE COMMUNITY EVENT, RELEASE OF THE DATA AND SETTING PRIORITIES. THE NEEDS OF THE POPULATION, ESPECIALLY THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS, WERE TAKEN INTO ACCOUNT THROUGH THE SAMPLE METHODOLOGY THAT SURVEYED THESE POPULATIONS. IN ADDITION, THE ORGANIZATIONS THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT AND COMMUNITY PLANNING PROCESS. THE PARTICIPANTS INCLUDED: THE RICHLAND COUNTY CHIP COMMITTEE: TERESA ALT, RICHLAND COUNTY YOUTH AND FAMILY COUNCIL DIRECTOR TRACEE ANDERSON, COMMUNITY ACTION FOR CAPABLE YOUTH (CACY)ANDREA BARNES, SHELBY CITY HEALTH DEPARTMENTTERI BERNKUS, MAYOR, VILLAGE OF BELLVILLEELIZABETH BLAKLEY, RICHLAND COUNTY DOMESTIC RELATIONS COURT SHERRY BRANHAM, MENTAL HEALTH AND RECOVERY SERVICES BOARD OF RICHLAND COUNTYNYSHIA BROOKS, NORTH END COMMUNITY IMPROVEMENT COLLABORATIVE LAURA BURNS, MOM'S CLEAN AIR FORCETERRY CARTER, FIRST CALL 2-1-1 DR. AJAY CHAWLA, HEALTH COMMISSIONER, SHELBY CITY HEALTH DEPARTMENT ELLEN CLAIBORNE, RICHLAND PUBLIC HEALTH MARSHA COLEMAN, RICHLAND COUNTY CHILDREN SERVICES AMANDA CRAWFORD, UNITED WAYSELBY DORGAN, RICHLAND PUBLIC HEALTHDEBORAH DUBOIS, MANSFIELD/RICHLAND COUNTY PUBLIC LIBRARY HEATHER FOLEY, RICHLAND PUBLIC HEALTHKERRICK FRANKLIN, MANSFIELD AREA YMCA VERONICA GROFF, CATALYST LIFE SERVICESBETH HILDRETH, COMMUNITY HEALTH ACCESS PROJECT (CHAP) MAGGIE HOECKER, MANSFIELD MEMORIAL HOMES MARTIN JONES, RICHLAND COUNTY PROSECUTOR'S OFFICECINDA KROPKA, AVITA HEALTH SYSTEMEMILY LEEDY, RICHLAND PUBLIC HEALTH STACEY NOLEN, THIRD STREET FAMILY HEALTH SERVICESEUGENE PARKISON, MAYOR, VILLAGE OF LEXINGTON TINA PICMAN, RICHLAND PUBLIC HEALTHKARYL PRICE, RICHLAND PUBLIC HEALTHREED RICHARD, RICHLAND PUBLIC HEALTH SETH ROBERTS, MANSFIELD MEMORIAL HOMES AMY SCHMIDT, RICHLAND PUBLIC HEALTH JOTIKA SHETTY, RICHLAND COUNTY REGIONAL PLANNINGGERON TATE, NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE (NAACP)MARTIN TREMMEL, HEALTH COMMISSIONER, RICHLAND PUBLIC HEALTHKARI WESTFIELD, THIRD STREET FAMILY HEALTH SERVICES DR. TERRY WESTON, OHIOHEALTH MANSFIELD AND SHELBY HOSPITALSLISA WINTERSTELLER, CATALYST LIFE SERVICES
      GALION COMMUNITY HOSPITAL
      PART V, SECTION B, LINE 6A: THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED BOTH GALION COMMUNITY HOSPITAL AND BUCYRUS COMMUNITY HOSPITAL (BCH ACQUISITION, LLC).
      BCH ACQUISITION, LLC
      PART V, SECTION B, LINE 6A: THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED BOTH GALION COMMUNITY HOSPITAL AND BUCYRUS COMMUNITY HOSPITAL (BCH ACQUISITION, LLC).
      ONTARIO HOSPITAL
      PART V, SECTION B, LINE 6A: THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED BOTH OHIOHEALTH MEDCENTRAL HEALTH SYSTEM MANSFIELD AND SHELBY HOSPITALS.
      GALION COMMUNITY HOSPITAL
      PART V, SECTION B, LINE 6B: CITY OF BUCYRUS, COMMUNITY COUNSELING SERVICES, COMMUNITY FOUNDATION FOR CRAWFORD COUNTY, CRAWFORD COUNTY EDUCATION & ECONOMIC DEVELOPMENT PARTNERSHIP, CRAWFORD COUNTY FAMILY & CHILDREN FIRST COUNCIL, CRAWFORD COUNTY PUBLIC HEALTH, CRAWFORD-MARION ADAMH BOARD, GALION CITY HEALTH DEPARTMENT, WESLEY CHAPEL/RESTORE MINISTRIES.
      BCH ACQUISITION, LLC
      PART V, SECTION B, LINE 6B: CITY OF BUCYRUS, COMMUNITY COUNSELING SERVICES, COMMUNITY FOUNDATION FOR CRAWFORD COUNTY, CRAWFORD COUNTY EDUCATION & ECONOMIC DEVELOPMENT PARTNERSHIP, CRAWFORD COUNTY FAMILY & CHILDREN FIRST COUNCIL, CRAWFORD COUNTY PUBLIC HEALTH, CRAWFORD-MARION ADAMH BOARD, GALION CITY HEALTH DEPARTMENT, WESLEY CHAPEL/RESTORE MINISTRIES.
      GALION COMMUNITY HOSPITAL
      PART V, SECTION B, LINE 11: THERE WERE FIVE PRIORITY HEALTH ISSUES DETERMINED BY THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT AND IDENTIFIED IN CRAWFORD COUNTY'S FY2022 - FY2025 COMMUNITY HEALTH IMPROVEMENT PLAN. BOTH GALION COMMUNITY HOSPITAL AND BUCYRUS COMMUNITY HOSPITAL WILL WORK WITH AREA AGENCIES TO ADDRESS ALL FIVE PRIORITIES. TO DATE SEVERAL AGENCIES, INCLUDING AVITA HEALTH SYSTEM (GALION AND BUCYRUS HOSPITALS) HAVE FORMED CRAWFORD COUNTY HEALTH PARTNERS, A COALITION DEDICATED TO BRINGING PEOPLE AND ORGANIZATIONS TOGETHER TO IMPROVE COMMUNITY WELLNESS IN CRAWFORD COUNTY.
      BCH ACQUISITION, LLC
      PART V, SECTION B, LINE 11: THERE WERE FIVE PRIORITY HEALTH ISSUES DETERMINED BY THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT AND IDENTIFIED IN CRAWFORD COUNTY'S FY2022 - FY2025 COMMUNITY HEALTH IMPROVEMENT PLAN. BOTH GALION COMMUNITY HOSPITAL AND BUCYRUS COMMUNITY HOSPITAL WILL WORK WITH AREA AGENCIES TO ADDRESS ALL FIVE PRIORITIES. TO DATE SEVERAL AGENCIES, INCLUDING AVITA HEALTH SYSTEM (GALION AND BUCYRUS HOSPITALS) HAVE FORMED CRAWFORD COUNTY HEALTH PARTNERS, A COALITION DEDICATED TO BRINGING PEOPLE AND ORGANIZATIONS TOGETHER TO IMPROVE COMMUNITY WELLNESS IN CRAWFORD COUNTY.
      ONTARIO HOSPITAL
      PART V, SECTION B, LINE 11: THE RICHLAND COUNTY PARTNERS COMMUNITY HEALTH ASSESSMENT COLLABORATIVE WAS FORMED TO ADDRESS THE TOP TWO PRIORITY HEALTH NEEDS IDENTIFIED - CHRONIC DISEASE (DECREASE ASTHMA AND DIABETES) AND MENTAL HEALTH AND ADDICTION (DECREASE DEPRESSION, SUICIDE, DRUG DEPENDENCE/ABUSE AND DRUG OVERDOSE DEATHS). ORGANIZATIONS VOLUNTEERED TO WORK ON ACTION PLANS MOST APPROPRIATE/DOABLE FOR IT. CHRONIC DISEASE - JOINT USE AGREEMENTS, SMOKE FREE POLICIES; FOOD INSECURITY SCREENING AND REFERRAL; NUTRITION PRESCRIPTIONS; HEALTHY FOOD IN CONVENIENCE STORES; COMMUNITY GARDENS AND FARMERS' MARKETS; HEALTHY HOME ENVIRONMENT ASSESSMENTS; HIGHER QUALITY SCHOOL LUNCH PROGRAMS; RECRUITING A BARIATRIC SURGEONMENTAL HEALTH & ADDICTION - SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT; SCREEN FOR CLINICAL DEPRESSION FOR ALL PATIENTS 12 OR OLDER USING A STANDARDIZED TOOL; PROVIDE MENTAL HEALTH TRAININGS TO COMMUNITY MEMBERS; TRAUMA-INFORMED HEALTHCARE; PROVIDER TRAINING ON OPIOID GUIDELINES; EXPAND COMMUNITY COLLABORATION TO INCREASE AWARENESS AND COORDINATION OF MENTAL HEALTH SERVICES; SCHOOL-BASED VIOLENCE PREVENTION PROGRAMS; SCHOOL-BASED ALCOHOL/OTHER DRUG PREVENTION PROGRAMSCROSS-CUTTING STRATEGIES; CULTURAL COMPETENCE TRAININGS FOR HEALTHCARE PROFESSIONALS; COMPLETE STREETS; PUBLIC TRANSPORTATION; SCHOOL-BASED NUTRITION EDUCATION PROGRAMSTHE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT IS IN PROGRESS.
      Supplemental Information
      Schedule H (Form 990) Part VI
      PART I, LINE 7:
      THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 USED COSTING METHOD.
      PART I, LN 7 COL(F):
      COLUMN F IS CALCULATED BASED ON THE TOTAL OF FORM 990, PART IX, LESS BAD DEBT EXPENSE ($9,595,341) REPORTED IN PART IX.
      PART III, LINE 2:
      BAD DEBT WAS CALCULATED BASED ON THE FINANCIAL STATEMENTS.
      PART III, LINE 3:
      ADDITIONAL BAD DEBT ATTRIBUTABLE TO PATIENTS IDENTIFIED UNDER CHARITY CARE WAS CALCULATED USING AN ESTIMATE OF PATIENTS THAT WERE MISCLASSIFIED AS BAD DEBT ORIGINALLY. THIS ESTIMATE WOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE HOSPITAL DOES NOT EXPECT TO COLLECT.
      PART III, LINE 4:
      FINANCIAL STATEMENT FOOTNOTE: AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL LOSS RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.
      PART III, LINE 8:
      WE REPORT MEDICARE COSTS BY THE COST TO CHARGE METHOD.
      PART III, LINE 9B:
      EVEN IF THE HOSPITAL KNOWS A PATIENT QUALIFIES FOR FINANCIAL AID, IF IT IS NOT PROVIDED WITHOUT A SIGNED APPLICATION. GALION COMMUNITY HOSPITAL, BCH ACQUISITION AND AVITA ONTARIO HOSPITAL LLC DO MAKE AN EFFORT TO GET THE APPLICATION TO ALL PATIENTS. THE FINANCIAL COUNSELORS WILL TRY TO MAKE PHONE CONTACT WITH THOSE WHO ARE KNOWN TO QUALIFY TO ENCOURAGE COMPLETION OF THE FORMS. HOWEVER, THE PROCESS IS THE SAME FOR ALL PATIENTS. GALION COMMUNITY HOSPITAL AND BCH ACQUISITION LLC UTILIZES INTERNAL AND EXTERNAL COLLECTION EFFORTS (INCLUDING COLLECTION AGENCIES) FOR ALL PATIENTS, AFTER MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT QUALIFIES UNDER THE FAP.
      PART VI, LINE 2:
      COMMUNITY HEALTH SCREENINGS ARE CONDUCTED TO EVALUATE BLOOD PRESSURE, BLOOD SUGAR LEVELS, AND CHOLESTEROL. THE SCREENINGS ARE MONITORED TO DETERMINE THE TEACHING NEEDS OF THE COMMUNITY. GALION HOSPITAL ALSO DOES SCREENINGS FOR LOCAL BUSINESS AND COMMUNITY OUTREACH EVENTS. WE PARTICIPATE IN EVENTS SPONSORED BY THE CHAMBER OF COMMERCE AND THE CRAWFORD COUNTY FAIR. WE OFFER FREE DIABETES SUPPORT GROUPS AND PROSTATE CANCER SUPPORT GROUPS. GALION HOSPITAL ALSO MONITORS THE LOCAL HEALTH DEPARTMENT FOR ADVICE ON FLU TRENDS AND VACCINATION NEEDS.
      PART VI, LINE 3:
      EVERY BILL THAT IS SENT TO A PATIENT HAS INFORMATION ON THE REVERSE SIDE ABOUT HCAP AND THE CRITERIA FOR MEETING THE HCAP REQUIREMENTS. IT ALSO HAS THE GENERAL CHARITY POLICY AND INFORMS THE PATIENT OF AVAILABLE ASSISTANCE. THE PATIENT REPRESENTATIVE OR THE REGISTRATION PERSONNEL ARE ALL WELL VERSED IN THE REQUIREMENTS FOR HCAP AND CHARITY CARE. THEY WOULD BE HAPPY TO HELP ANY PATIENT TO FILL OUT THE FORMS AND REQUEST AID. THERE ARE ALSO SIGNS THROUGHOUT THE HOSPITAL THAT ADVISE THE PATIENT TO ASK ABOUT DISCOUNTS.
      PART VI, LINE 4:
      GALION AND BUCYRUS COMMUNITY HOSPITALS ARE BOTH LOCATED IN CRAWFORD COUNTY, OHIO. THE COUNTY HAS A TOTAL POPULATION OF 41,754. 21.8% ARE UNDER THE AGE OF 18 AND JUST OVER 20.7% ARE OVER THE AGE OF 65. THE LATEST STATISTICS FOR CRAWFORD COUNTY SHOW THE MEDIAN HOUSEHOLD INCOME AT $46,391. IT IS AN AREA HARD HIT BY THE RECESSION AND THE MOVEMENT OF JOBS OUT OF OHIO. UNEMPLOYMENT IS 3.7% FOR THE COUNTY. CRAWFORD COUNTY IS ONE OF THE LEADING COUNTIES IN THE STATE FOR PERSONS WITH DRUG ABUSE ISSUES.AVITA ONTARIO HOSPITAL IS LOCATED IN RICHLAND COUNTY, OHIO. THE COUNTY HAS A TOTAL POPULATION OF 125,028 WITH 21.7% UNDER THE AGE OF 18 AND 19.5% ARE 65 AND OVER. THE LATEST STATISTICS FOR RICHLAND COUNTY SHOW THE MEDIAN HOUSEHOLD INCOME AT $49,186 WITH POVERTY AT 15.64%. UNEMPLOYMENT IN THE COUNTY WAS 4.8% IN 2022.
      PART VI, LINE 5:
      GALION COMMUNITY HOSPITAL, BCH ACQUISITION LLC, AND AVITA ONTARIO HOSPITAL BELIEVE THAT IT IS THEIR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY. TO THAT END, THERE ARE MANY PROFESSIONALS WHO VOLUNTEER THEIR TIME IN THE AREA TO WORK WITH LOCAL GROUPS TO SCREEN THE NEEDS OF THE COMMUNITIES. GALION, BUCYRUS, AND ONTARIO ARE VERY ACTIVE IN THE AREA AND VERY PROACTIVE WITH PREVENTIVE DISEASE EDUCATION. VARIOUS HEALTH EDUCATION EVENTS ARE HELD EACH YEAR, INCLUDING: WOMEN'S HEALTH CLINIC, PROSTATE CANCER SCREENING, MUSCULOSKELETAL EVALUATIONS, AND BLOOD PRESSURE SCREENINGS. LEADERS OF ALL THREE ENTITIES ARE VERY INVOLVED IN CIVIC GROUPS IN THE COMMUNITIES. THROUGH THESE GROUPS THEY ARE ABLE TO BUILD RELATIONSHIPS AND PARTNERSHIPS WITH INDUSTRY AND BUSINESSES IN THE AREA. THEY ALSO PARTICIPATE WITH THE LOCAL HEALTH OFFICIALS IN DETERMINING WHAT THE COMMUNITY NEEDS. COMMUNITY BUILDING ACTIVITIES INCLUDE BLOOD PRESSURE SCREENING AND PROSTATE CANCER SCREENINGS. TWICE A YEAR GALION HOSPITAL OFFERS REDUCED FEE LAB DAYS WHERE THE COMMUNITY CAN HAVE BLOOD DRAWN FOR $100 AND A COMPLETE PANEL OF TESTS ARE RUN. THESE TESTS WOULD NORMALLY COST SEVERAL HUNDRED DOLLARS.
      PART VI, LINE 6:
      GALION COMMUNITY HOSPITAL, BCH ACQUISITION LLC AND AVITA ONTARIO HOSPITAL ARE PART OF A HEALTHCARE SYSTEM AND THEY EMPLOY PHYSICIANS THROUGH TWO PHYSICIAN GROUPS: COMMUNITY HEALTH ASSOCIATES AND NORTH CENTRAL OHIO FAMILY CARE CENTER. THESE ENTITIES ALL DELIVER CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE PHYSICIAN OFFICES SEE MANY PATIENTS WHO ARE NOT ABLE TO PAY. THE HOSPITALS WILL ALWAYS TREAT A PATIENT FOR MEDICALLY NECESSARY SERVICES.
      SCHEDULE H, PART V, SECTION B, LINE 4
      THE DATE ON SCHEDULE H, PART V, SECTION B, LINE 4 REPRESENTS THE TAX RETURN YEAR. THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES WERE COMPLETED WITHIN THE FOLLOWING HOSPITAL FACILITIES' FISCAL YEAR ENDS:CRAWFORD COUNTY: FISCAL YEAR END 2022, 2019, 2016 AND 2013RICHLAND COUNTY: FISCAL YEAR END 2022, 2020 AND 2017