2022-11-15T09:40:00-06:00 2021-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2021-01-01 344441792 H B MAGRUDER MEMORIAL HOSPITAL HBMA 4197343131 615 FULTON STREET PORT CLINTON OH 43452 JULIE GEORGOFF VP FINANCE 4197343131 2022-11-14 1 JULIE GEORGOFF 999009999 AMY CIMINELLO P00796388 6148493000 2022-11-14 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MAGRUDER HOSPITAL NICHOLAS MARSICO 615 FULTON STREET PORT CLINTON OH 43452 71689364 0 X WWW.MAGRUDERHOSPITAL.COM X 1940 OH MAGRUDER HOSPITAL SHALL PROVIDE COMPASSIONATE CARE WITH EXCELLENT OUTCOMES. 14 13 495 87 587985 0 5760914 5646389 48725542 58968309 363743 4859852 1928236 2214814 56778435 71689364 9000 10500 0 0 23604098 26195023 0 0 22118 32748375 35744443 56361473 61949966 416962 9739398 60463505 70622975 17312137 19770506 43151368 50852469 X IMPROVING LIVES TOGETHER 0 0 53662367 10500 60247145 WHILE MAGRUDER CONTINUES ITS COMMITMENT TO SERVING THE PUBLIC HEALTH PREVENTION AND HEALTH EDUCATION NEEDS IN THE COMMUNITIES OF OTTAWA COUNTY, THE ONGOING EFFECTS OF COVID CONTINUE TO IMPACT HOW WE ARE ABLE TO REACH THE COMMUNITY THROUGH SCREENINGS AND EDUCATION EVENTS. WE CONTINUE TO UTILIZE NEW WAYS OF REACHING OUT TO THE COMMUNITIES THROUGH DIGITAL AND SOCIAL MEDIA VENUES. -WE RE-STARTED OUR MONTHLY REDUCED FEE CHOLESTEROL SCREENING FOR THE COMMUNITY: TOTAL OF 400 PARTICIPANTS BETWEEN APRIL AND DECEMBER.-CONTINUE TO OFFER FLU VACCINE FOR THE PUBLIC WITH NO APPOINTMENT DURING BUSINESS HOURS 7 DAYS A WEEK AT THE PHARMACY. -ADMINISTERED 331 FLU SHOTS AT BUSINESSES, AND SCHOOLS FOR EMPLOYEES IN 2021.-DESPITE BEING UNABLE TO OFFER OUR ANNUAL MEDICARE EDUCATION & COMPARISON EVENT, WE STILL PROVIDED MEDICARE COMPARISONS FOR 59 PEOPLE.-FREE COLORECTAL HEALTH SCREENING KITS TO THE COMMUNITY (63 PARTICIPANTS)-BOARD INVOLVEMENT IN: PROJECT LIFESAVER, 3 AREA CHAMBERS OF COMMERCE, OTTAWA COUNTY COUNCIL OF HEALTH & SOCIAL CONCERNS, OTTAWA COUNTY TASK FORCE ON AGING, DRUG FREE COLLABORATIVE, OSU EXTENSION-MAGRUDER SPONSORED 8 BLOOD DRIVES IN 2021 WHICH INCLUDES NOT ONLY THE SPACE AND PROMOTION FOR THE EVENT BUT ALSO ALLOWING EMPLOYEES TO DONATE ON WORK TIME. -PROVIDED TRANSPORTATION FOR PATIENTS WITH NO WAY HOME ($902)-PROVIDED HEALTH EDUCATION PROGRAMS FOR 443 PARTICIPANTS. ALTHOUGH WE STILL WERE UNABLE TO DO GROUP EDUCATION PROGRAMS AT THE HOSPITAL, WE DID PROVIDE A NUMBER OF EDUCATIONAL SESSIONS IN THE COMMUNITY AND ONLINE. TOPICS INCLUDED: COVID, COMMUNITY HEALTH, ORGAN DONATION, PALLIATIVE CARE, FOOD LABELS, EXERCISE, HOW TO PREPARE VEGGIES, EMERGENCY RESPONSE SYSTEMS, RECIPES, HEALTHY AGING, DIABETES. -ALTHOUGH MANY EVENTS AND INITIATIVES WERE CANCELLED OR POSTPONED, MAGRUDER HOSPITAL STILL SPONSORED OR PARTICIPATED IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES: -OTTAWA COUNTY FAIR -JOYFUL CONNECTIONS - 4H -OVERDOSE AWARENESS -ELDER ABUSE AWARENESS -SUMMER LUNCH PROGRAM -SALVATION ARMYTHESE COMMUNITY BUILDING ACTIVITIES SUPPORT ORGANIZATIONS THAT ASSIST COMMUNITY MEMBERS IN OBTAINING THE RESOURCES AND SERVICES THEY NEED, WHETHER IT IS ADVOCACY, EXERCISE, SAFE AND AFFORDABLE HOUSING, SHELTER, NUTRITION, MEDICAL EQUIPMENT, OR SAFE ACTIVITIES FOR TEENS.-MAGRUDER ASSISTED THE OTTAWA COUNTY HEALTH DEPARTMENT WITH VACCINE EVENTS AT THE HOSPITAL AND IN THE COMMUNITY IN 2021. -MAGRUDER IMPLEMENTED A STAFF COMMUNITY INVOLVEMENT PROGRAM WHERE THE HOSPITAL PAYS EMPLOYEES TO VOLUNTEER 4 HOURS IN THE COMMUNITY. IN 2021, 240 EMPLOYEES WERE PAID TO VOLUNTEER 2,300+ HOURS.-MAGRUDER ALSO PROVIDES FREE MEALS TO PATIENTS DISCHARGING FROM SURGERY, ONCOLOGY, AND MED/SURG. THE HOSPITAL PROVIDED 1,519 OF THESE MEALS IN 2021. COMMUNITY HEALTH NEEDS ASSESSMENT STRATEGIES FOR 2021REGARDING THE TOPIC OF CHRONIC DISEASE IN OUR LATEST COMMUNITY HEALTH NEEDS ASSESSMENT & IMPLEMENTATION STRATEGY:MAGRUDER ASSISTED THE FAMILY ADVOCACY CENTER IN CREATING AND MAINTAINING THEIR NEW COMMUNITY GARDEN. THE PRODUCE WAS USED FOR FAC EVENTS AND CLIENTS, AS WELL AS GIVEN TO RESIDENTS NEAR THEIR BUILDING. MAGRUDER HOSTED TWO WELLNESS EVENTS IN THE SUMMER OF 2021 AND USED GRANT MONEY TO PURCHASE $1,000 IN FARMERS MARKET GIFT CERTIFICATES TO HAND OUT TO COMMUNITY MEMBERS FOR THE PURCHASE OF FRESH FRUITS & VEGETABLES.THE MAGRUDER NUTRITION DEPARTMENT BEGAN THE STEPS NECESSARY TO BECOME A NATIONAL DIABETES PREVENTION PROGRAM AND PILOTED THE PROGRAM WITH A SMALL GROUP OF INDIVIDUALS WHO COMPLETED THE PRE-DIABETES PREVENTION TOOL. 53662367 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 1 0 0 1 28 0 1 495 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X TONI MAGSIG ACCOUNTING DIRECTOR 4197343131 615 FULTON STREET PORT CLINTON OH 43452 GREG DEERHAKE CHAIR 1.00 1.00 X X 0 0 0 PAUL DRUCKENMILLER VICE CHAIR 1.00 1.00 X X 0 0 0 DAVID SODERBERG TREASURER 1.00 1.00 X X 0 0 0 NANCY OSBORN SECRETARY 1.00 1.00 X X 0 0 0 BARRY COVER MD DIRECTOR 1.00 1.00 X 0 0 0 DOUGLAS FOCHT DIRECTOR 1.00 1.00 X 0 0 0 JEFF DORNBUSCH DIRECTOR 1.00 1.00 X 0 0 0 KEVIN SNEIDER DPM DIRECTOR 1.00 1.00 X 0 0 0 ALLISON FALLS DIRECTOR 1.00 1.00 X 0 0 0 RON MILLER DIRECTOR 1.00 1.00 X 0 0 0 MARK HABLITZEL DDS DIRECTOR 1.00 1.00 X 0 0 0 MARIA SUE CROSSER DIRECTOR 1.00 1.00 X 0 0 0 MIKE LIBBEN DIRECTOR 1.00 1.00 X 0 0 0 JON TODD ALMENDINGER DIRECTOR 1.00 1.00 X 0 0 0 NICHOLAS MARSICO PRESIDENT & CEO 48.00 2.00 X 266343 0 29719 JULIE GEORGOFF VP FINANCE & CFO 48.00 2.00 X 168341 0 9571 KIMBERLY SCHREINER VP NURSING & CNO 49.00 1.00 X 148727 0 7645 RAYMOND FULLER PHYSICIAN 40.00 0.00 X 455144 0 41408 DANIEL CADIGAN PHYSICIAN 40.00 0.00 X 337304 0 40754 DAVID BODIE PHYSICIAN 40.00 0.00 X 301937 0 41077 KAREN KLAEGE PHYSICIAN 40.00 0.00 X 256675 0 40308 CHAD BLUNT PHYSICIAN 40.00 0.00 X 211858 0 25081 2146329 0 235563 25 0 1 0 PORT CLINTON EMERGENCY PHYSICIANS INC 3914 MEMORIAL SHOREWAY LAKESIDEMARBLEHEAD OH 43440 EMERGENCY PHYSICIANS 2832447 NOMS-ADVANCED HEALTH LTD 2500 W STRUB RD STE 150 SANDUSKY OH 44870 PHYSICAL THERAPY 1646360 CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 COMPUTER SOFTWARE SVCS 1083205 PREMIER ANESTHESIA OF SANDUSKY 6125 S BROADWAY WEST LORAIN OH 45053 ANESTHESIOLOGISTS 1000000 MEDONE-CENTRAL OHIO HOSPITALISTS INC 3525 OLENTANGY RIVER ROAD STE 4330 COLUMBUS OH 43214 HOSPITALIST GROUP 663459 19 5646389 5646389 HEALTHCARE SERVICES 621110 58589459 58589459 PHYSICIAN OFFICE RENTAL 621110 378850 378850 58968309 481140 481140 20400 0 20400 20400 20400 4378712 0 4378712 4378712 4378712 RETAIL PHARMACY 446110 1693322 1105337 587985 MOBILE MEALS/FOOD SERVICE 722514 246490 246490 PAIN MANAGEMENT CLINIC 900099 110949 110949 143653 143653 2194414 71689364 60328248 587985 5126742 X 10500 10500 630345 630345 17986092 15967738 2016674 1680 1007798 950977 55689 1132 4847987 4422846 418138 7003 1722801 1580064 140849 1888 38407 38407 123875 123875 13434381 12256871 1173507 4003 248380 248155 225 663247 515041 147911 295 1063518 894889 166625 2004 2369463 2064297 303770 1396 16579 13855 2719 5 395 395 25481 25481 3103018 1916556 1183757 2705 334710 93961 240749 MEDICAL SUPPLIES 9869784 9866675 3105 4 BAD DEBT 2584788 2584788 FRANCHISE FEES 1267243 1267243 HCAP ADJUSTMENT 259977 259977 341197 275154 66040 3 61949966 53662367 8265481 22118 2134523 3728323 15372522 16715205 5867254 6663171 120163 183990 769819 934790 1042709 1111268 82899497 57183928 23399715 25715569 11405812 6433259 350988 9137400 60463505 70622975 924683 4997598 10282103 7954027 6105351 6818881 17312137 19770506 X 43072878 50783979 78490 68490 43151368 50852469 60463505 70622975 X 9739398 -2675655 637358 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 1646 1646 0 PART II-B, LINE 1: A PORTION OF DUES PAID TO THE OHIO HOSPITAL ASSOCIATION RELATES TO LOBBYING. 124829 124829 47857980 27726691 20131289 34109246 29457237 4652009 807442 807442 25715569 DEPOSITS 148064 OTHER ASSETS 4848 ESCROW FUNDS 8500113 RIGHT-OF-USE ASSET 484375 9137400 ESTIMATED 3RD PARTY PAYOR SETTLEMENTS 6586288 ACCRUED POST-RETIREMENT BEN. OBLIGATION 61910 DEBT ISSUANCE COSTS -323403 LEASE LIABILITY 494086 6818881 1 1 X 1 X 1 X 1 1 1 0 1 1 586120 279217 306903 0.00520 7072165 4243016 2829149 0.04770 7658285 4522233 3136052 0.05290 9 1579 28880 9501 19379 0.00030 6 42 160354 0 160354 0.00270 3 1694 42558 0 42558 0.00070 18 3315 231792 9501 222291 0.00370 18 3315 7890077 4531734 3358343 0.05660 710 710 0.00000 8303 8303 0.00010 9013 9013 0.00010 2584788 129239 14660472 14599790 60682 X 1 1 1 OTTAWA COUNTY CARENET GROUP CONTRACTING 0.50000 0.50000 1 1 HB MAGRUDER MEMORIAL HOSPITAL 615 FULTON STREET PORT CLINTON OH 43452 HTTP://WWW.MAGRUDERHOSPITAL.COM/ STATE REG. NO. 1252 X X X HB MAGRUDER MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X X 20 1 0 1 1 X WWW.MAGRUDERHOSPITAL.COM/OTTAWA-COUNTY-HEALTH-ASSESSMENT 1 20 1 WWW.MAGRUDERHOSPITAL.COM/OTTAWA-COUNTY-HEALTH-ASSESSMENT 0 1 X 100.000000000000 400.000000000000 X 1 1 X X X 1 X HTTP://WWW.MAGRUDERHOSPITAL.COM/FINANCIAL-ASSISTANCE X HTTP://WWW.MAGRUDERHOSPITAL.COM/FINANCIAL-ASSISTANCE X HTTP://WWW.MAGRUDERHOSPITAL.COM/FINANCIAL-ASSISTANCE X X X X X 1 X 0 X X X X 1 X 0 0 HB MAGRUDER MEMORIAL HOSPITAL PART V, SECTION B, LINE 3J: BELOW IS A SUMMARY OF THE POSITION AND STRATEGIES H B MAGRUDER MEMORIAL HOSPITAL CONTINUES TO ADDRESS SURROUNDING THE HEALTH NEEDS OF THE COMMUNITY. MAGRUDER HOSPITAL CONTINUED TO PARTNER WITH THE OTTAWA COUNTY HEALTH DEPARTMENT (OCHD) AND THE MENTAL HEALTH & RECOVERY SERVICES BOARD OF SENECA, OTTAWA, SANDUSKY AND WYANDOT COUNTIES (MH BOARD) ON THE IMPLEMENTATION STRATEGY THAT WAS RELEASED 11/1/20. WHILE AN UPDATED SECONDARY DATA HEALTH ASSESSMENT WAS DONE IN 2020, THE PRIMARY DATA GATHERED IN 2017 FORMED THE BASIS OF THE LATEST IMPLEMENTATION STRATEGY. A FULL ASSESSMENT WITH PRIMARY DATA WILL LIKELY BE CARRIED OUT IN 2023 AT WHICH TIME WE WILL BE BETTER ABLE TO SEE THE IMPACT OF OUR EFFORTS, ALONG WITH THE IMPACT OF COVID, ON THE HEALTH INDICATORS.THE 2017 CHNA FINDINGS SHOWED THE FOLLOWING GENERAL HEALTH AREAS HAVING A DOCUMENTED IMPROVEMENT REALIZED IN 2017 AS IT RELATES TO PREVIOUS CHNA REPORTING.MAGRUDER HOSPITAL CONTINUES TO FOCUS ON MENTAL HEALTH AS A COMMUNITY CONCERN:THERE WAS NO CHANGE IN THE NUMBER OF AVERAGE DAYS THAT "MENTAL HEALTH WAS NOT GOOD IN THE PAST MONTH". ADULTS THAT FELT SAD OR HOPELESS FOR TWO OR MORE WEEKS IN A ROW DECREASED SLIGHTLY ADULTS CONSIDERING ATTEMPTED SUICIDE IN THE PAST YEAR DECREASE SLIGHTLY ADULTS WHO MISUSED PRESCRIPTION DRUGS IN THE PAST YEAR DECREASED SLIGHTLY.CHRONIC DISEASE:ADULT TOBACCO USE DECREASED BY 6% OVER THE PREVIOUS CHNA. THE PERCENTAGE OF PATIENTS THAT TRIED TO QUIT SMOKING INCREASED BY 15%. YOUTH REPORTED INCREASED AMOUNTS OF FRUITS AND VEGETABLES EATEN AS WELL AS INCREASED PHYSICAL ACTIVITY LEVELS 5 DAYS/WEEK.GENERAL HEALTH:ADULTS THAT HAD A FLU VACCINE IN THE PAST YEAR INCREASED BY 5%. ADULTS THAT HAD A PNEUMONIA VACCINE INCREASED BY 10%.HEALTHCARE ACCESS:THE PERCENTAGE OF UNINSURED PATIENTS DECLINED FROM 12% TO 7% IN YEARS 2012 AND 2017 RESPECTIVELY. THE CURRENT 7% OF PATIENTS UNINSURED IS NOW LOWER THAN THE STATE AVERAGE. MH CONDUCTS EDUCATIONAL SESSIONS AND SUPPORT FOR THE COMMUNITY AS IT RELATES TO INSURANCE MARKETPLACE AND MEDICARE OPTIONS. HB MAGRUDER MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: OTTAWA COUNTY HEALTH DEPARTMENT HB MAGRUDER MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: H B MAGRUDER MEMORIAL HOSPITAL'S ACTION PLAN:MAGRUDER HOSPITAL HAS REVIEWED THE HEALTH ASSESSMENT REPORT IN COMPARISON TO OUR SERVICES AND RESOURCES AND HAS DEVELOPED A HOSPITAL-SPECIFIC IMPLEMENTATION STRATEGY. IN KEEPING WITH OUR MISSION OF IMPROVING LIVES TOGETHER, MAGRUDER HAS DETERMINED THAT MENTAL HEALTH (ADDICTION & DEPRESSION) AND CHRONIC DISEASE (HYPERTENSION & DIABETES) ARE THE TWO AREAS OF GREATEST NEED.MENTAL HEALTHSTRATEGY 1: MENTAL HEALTH EDUCATIONYEAR 1 ACTION STEP: OBTAIN BASELINE DATA ON THE NUMBER OF MENTAL HEALTH TRAININGS AND EDUCATION AVAILABLE TO MAGRUDER HOSPITAL CLINICIANS AND STAFF. IDENTIFY GAPS IN EXISTING PROGRAMS AND DETERMINE TRAINING NEEDS. PARTNER WITH COMMUNITY AGENCIES, SUCH AS THE MENTAL HEALTH BOARD TO ASSIST WITH TRAINING OPPORTUNITIES. IN REVIEWING OUR ANNUAL EDUCATION, THERE ARE GENERALLY NO MENTAL HEALTH OFFERINGS. WE HAVE REACHED OUT TO TWO MENTAL HEALTH PROVIDERS IN OTTAWA COUNTY AND THEY ARE BOTH WILLING TO PROVIDE WHATEVER MENTAL HEALTH EDUCATION WE CARE TO HAVE. WE ARE CURRENTLY DEVELOPING A LIST OF TOPICS THAT WOULD BEST SERVE OUR STAFF AND PATIENTS. STRATEGY 2: INCREASE SAFE DISPOSAL OF PRESCRIPTION DRUGSYEAR 1 ACTION STEP: GATHER BASELINE DATA ON THE NUMBER OF LOCAL PRACTITIONERS AND PHARMACIES PROVIDING INFORMATION ON PRESCRIPTION DRUG ABUSE AND COLLECTION LOCATIONS. IN THE FALL OF 2020, WE RE-INTRODUCED THE MEDICATION TAKE BACK FLYER FOR OTTAWA COUNTY WITH THE 7 LOCATIONS WHERE PEOPLE CAN DROP OFF MEDS. THE FLYERS WERE HUNG IN THE HOSPITAL AND IN THE PHYSICIAN OFFICES, DISTRIBUTED TO MEMBERS OF THE COUNCIL OF HEALTH & SOCIAL CONCERNS, AND PRINTED IN THE SENIOR RESOURCES COUNTY NEWSLETTER. THE TOTAL WEIGHT OF DRUG BOX COLLECTIONS THROUGHOUT THE COUNTY IN OCTOBER 2021 WAS 293.6 LBS. THE WEIGHT FROM 2020 WAS 319.54 LBS. DISCUSSION WAS HAD AT THE DRUG FREE COLLABORATIVE MEETING IN OCTOBER 2021 THAT THERE ARE SOMETIMES ISSUES WITH THE COLLECTION PROCESS AND BOXES AT THE VARIOUS LOCATIONS. THEY WOULD LIKE TO SEE THE COUNTY MOVE TOWARD THE INDIVIDUAL DISPOSAL BAGS SUCH AS THE DETERRA DRUG DEACTIVATION SYSTEM. THE MENTAL HEALTH BOARD, MAGRUDER AND OTHER AGENCIES WILL COLLABORATE ON ACQUIRING THE BAGS AND CONTACT SENIOR RESOURCES, PHARMACIES AND PHYSICIAN OFFICES ETC. TO MAKE THOSE BAGS AVAILABLE. STRATEGY 3: SUPPORT & ENHANCE MENTORING & SOCIALIZATION PROGRAMS WITHIN OTTAWA COUNTYYEAR 1 ACTION STEP: WORK WITH LOCAL ORGANIZATIONS TO DETERMINE THE BASELINE NUMBER OF MENTORING AND SOCIALIZATION PROGRAMS IN OTTAWA COUNTY. WORK WITH LOCAL ORGANIZATIONS TO PERFORM A GAP ANALYSIS REGARDING CURRENT PROGRAMMING AND THE NEED/INTEREST FOR ADDITIONAL PROGRAMMING. AN INFORMAL SURVEY OF MEMBERS OF THE COUNCIL OF HEALTH & SOCIAL CONCERNS REVEALED THAT THERE ARE YOUTH INITIATIVES AIMED AT MENTORING AND SOCIALIZATION THROUGH THE JUVENILE COURT, TICKET TO SUCCESS, 4H, SCOUTING, VARIOUS MENTAL HEALTH AGENCY PREVENTION PROGRAMS AND TNT MENTORING. THESE ORGANIZATIONS ARE PART OF THE HEALTH AND SOCIAL CONCERNS GROUP AND REGULARLY COLLABORATE TO DEVELOP YOUTH INITIATIVES AS WELL AS TO PROMOTE THEM IN THE COMMUNITIES AROUND OTTAWA COUNTY. BEGINNING IN 2021, MAGRUDER STAFF, AS PART OF THE REQUIREMENT FOR COMMUNITY INVOLVEMENT, PROVIDING VOLUNTEER HOURS IN OTTAWA COUNTY AND MANY WORKED WITH ORGANIZATIONS THAT SERVE THE YOUTH OF OTTAWA COUNTY. CHRONIC DISEASESTRATEGY 1: IMPLEMENT HEALTHY FOOD INITIATIVESYEAR 1 ACTION STEP: OBTAIN BASELINE DATA REGARDING WHICH CITIES, TOWNS, SCHOOL DISTRICTS, CHURCHES AND ORGANIZATIONS CURRENTLY HAVE COMMUNITY GARDENS AND/OR FARMERS MARKETS AND WHICH LOCAL FOOD PANTRIES HAVE FRESH PRODUCE AVAILABLE. CREATE AND DISTRIBUTE A MAP OF ALL AVAILABLE FARMERS MARKETS, COMMUNITY GARDENS, AND FOOD PANTRIES IN OTTAWA COUNTY. UPDATE THE MAP ON AN ANNUAL BASIS. ASSIST ADDITIONAL ORGANIZATIONS IN APPLYING FOR GRANTS TO OBTAIN FUNDING FOR A COMMUNITY GARDEN OR FARMERS MARKET.IN REACHING OUT TO A VARIETY OF AGENCIES AND SCHOOLS ETC., THERE ARE SEVERAL COMMUNITY GARDENS THAT EXIST WITHIN A CERTAIN AREA OR POPULATION (ONE AT A CHURCH, ONE THROUGH THE SCHOOL). THERE IS A COMMUNITY GARDEN IN PORT CLINTON WHERE INDIVIDUALS CAN RENT A PLOT OF SPACE TO GARDEN. THE FAMILY ADVOCACY CENTER STARTED A NEW COMMUNITY GARDEN ON THE WEST END OF PORT CLINTON. MAGRUDER STAFF HELPED IN THE DEVELOPMENT PHASE AS WELL AS WITH REGULAR WATERING OF THE GARDEN. THE PRODUCE WAS SHARED WITH FAC CLIENTS AND INDIVIDUALS IN THE NEIGHBORHOOD NEARBY. ONE OF THE FOOD PANTRIES IN OTTAWA COUNTY IS ELIGIBLE TO GET FRUITS AND VEGETABLES THROUGH THE FOOD BANK, BUT THE PRODUCE THEY RECEIVE IS SPORADIC. THE PAY-IT-FORWARD RESTAURANT IN PORT CLINTON HAS AN AREA OUT FRONT ACCESSIBLE TO ANYONE WHERE INDIVIDUALS WITH GARDENS CAN BRING IN FRUITS AND VEGETABLES TO SHARE WITH THOSE IN NEED. EACH YEAR OTTAWA COUNTY SENIOR RESOURCES DISTRIBUTES FARMERS MARKET COUPONS TO SENIORS IN OTTAWA COUNTY. THROUGH A GRANT BY THE OTTAWA COUNTY COMMUNITY FOUNDATION, MAGRUDER PURCHASED $1,000 IN FARMERS MARKET COUPONS FROM MARKETS AROUND OTTAWA COUNTY AND DISTRIBUTED THEM AT 2 COMMUNITY WELLNESS EVENTS IN MAY AND AUGUST 2021. STRATEGY 2: INCREASE PRE-DIABETES SCREENING AND REFERRAL FOR TREATMENTYEAR 1 ACTION STEP: COMPLETE PROVIDER TRAINING AND EDUCATION TO RAISE AWARENESS OF PRE-DIABETES SCREENING, IDENTIFICATION AND REFERRAL TO APPROPRIATE PROGRAMMING THROUGH DISSEMINATION OF EVIDENCE BASED PRE-DIABETES SCREENING USING A RISK ASSESSMENT TOOL. THE MAGRUDER NUTRITION DEPARTMENT HAS MET WITH PROVIDERS OVER THE LAST YEAR AND A HALF TO SHARE PRE-DIABETES SCREENING TOOLS AND TO DISCUSS THE NEED FOR PATIENT EDUCATION TO STOP THE PROGRESSION TO TYPE 2 DIABETES. THEY ARE ALSO COMPLETING THE STEPS NECESSARY TO BECOME A NATIONAL DIABETES PREVENTION PROGRAM PROVIDER. THEY ARE PILOTING THE PROGRAM WITH A SMALL GROUP OF INDIVIDUALS WHO HAVE COMPLETED THE PRE-DIABETES SCREENING TOOL. THIS PROGRAM HELPS THOSE AT RISK FOR TYPE 2 DIABETES TO PARTICIPATE IN EVIDENCE-BASED LIFESTYLE CHANGE PROGRAMS TO REDUCE THEIR RISK OF TYPE 2 DIABETES. STRATEGY 3: HYPERTENSION SCREENING & FOLLOW UPYEAR 1 ACTION STEP: ADMINISTER HYPERTENSION SCREENING AT HOSPITAL AND COMMUNITY HEALTH EVENTS AND AT MMG PHYSICIAN OFFICES. PROMOTE AND MARKET FREE/REDUCED COST SCREENING EVENTS WITHIN THE COUNTY. DEVELOP A CAMPAIGN TO ENCOURAGE SCREENING PARTICIPANTS AND MMG PATIENTS TO KNOW YOUR NUMBERS AND THE SIGNS AND SYMPTOMS OF HEART DISEASE. EDUCATE LOCAL PROVIDERS ABOUT THE KNOW YOUR NUMBERS CAMPAIGN. IN APRIL OF 2021, MAGRUDER RE-STARTED OUR MONTHLY LAB SCREENING THAT HAD BEEN SUSPENDED WHEN COVID BEGAN. EACH MONTH 40+ INDIVIDUALS HAVE THEIR BLOOD PRESSURE AND LAB WORK CHECKED (FASTING BLOOD SUGAR, LIPID PROFILE ETC.). AT THE SAME TIME WE BEGAN TRIALING A KNOW YOUR NUMBERS PROGRAM WHERE PARTICIPANTS ARE ASKED IF THEY WOULD LIKE TO TALK TO A NURSE ABOUT THEIR RESULTS. BETWEEN 54% AND 87% OF THOSE WHO SAID THEY WANTED TO TALK WITH THE NURSE ABOUT THEIR NUMBERS DID PARTICIPATE IN THOSE CONVERSATIONS WITH THE NURSE. HOWEVER, ON AVERAGE, ONLY ONE PERSON PER MONTH IS INTERESTED IN ADDITIONAL FOLLOW UP WITH A NURSE ABOUT THEIR NUMBERS AND OVERALL HEALTH. THE NURSE HAS NOTED THAT MOST INDIVIDUALS WHO HAVE THE LAB WORK DONE HAVE A PRIMARY CARE PROVIDER. WE WOULD LIKE TO EXPAND THE LAB SCREENING AND KNOW YOUR NUMBERS PROGRAM TO THOSE IN THE COMMUNITY WHO MAY NOT HAVE INSURANCE AND/OR A PRIMARY CARE PROVIDER (SEASONAL EMPLOYEES, SMALL BUSINESS EMPLOYEES ETC.). STRATEGY 4: COMMUNITY WIDE WELLNESS CAMPAIGNYEAR 1 ACTION STEP: COLLABORATE WITH LOCAL ORGANIZATIONS TO CREATE A COMMUNITY-WIDE WELLNESS CAMPAIGN. ESTABLISH A CAMPAIGN AND IDENTIFY STRATEGIES TO IMPLEMENT UNIFIED WELLNESS INITIATIVES AND MESSAGING WITHIN THE COUNTY. DETERMINE CAMPAIGN GOALS, OBJECTIVES AND STRATEGIES. THE OHIO STATE UNIVERSITY EXTENSION OFFERS A FREE WELLNESS CHALLENGE TWO TIMES A YEAR TO ANYONE IN OTTAWA COUNTY. THE CHALLENGES INCLUDE SIMPLE STEPS INDIVIDUALS CAN TAKE TO HELP IMPROVE THEIR PHYSICAL FITNESS, HEALTHY EATING AND STRESS MANAGEMENT. THE WELLNESS CHALLENGE USUALLY INVOLVES A SIMPLE PRE- AND POST-TEST TO DETERMINE ANY GAIN IN KNOWLEDGE AND IMPLEMENTATION OF NEW HEALTHY HABITS. WE DO NOT HAVE ACCESS TO THE NUMBERS AND DATA AT THIS TIME, BUT BELIEVE THIS CHALLENGE SERVES THE COMMUNITY WELL AND WE WOULD BE HAPPY TO HELP EXPAND THE REACH OF THE PROGRAM IN THE FUTURE. BY IMPLEMENTING THESE STRATEGIES WE HOPE TO MAKE THE BEST USE OF THE RESOURCES AND SERVICES ALREADY AVAILABLE IN THE COMMUNITIES WE SERVE, AS WELL AS TO WORK COLLABORATIVELY TO BUILD NEW HEALTHY OPPORTUNITIES FOR THOSE WHO VISIT, WORK AND LIVE IN OTTAWA COUNTY. 9 1 - PHYSICIAN OFFICE 611 E 6TH STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE 2 - PHYSICIAN OFFICE 621 FULTON STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE 3 - PHYSICAL THERAPY 7725 W STATE ROUTE 163 OAK HARBOR OH 43449 PHYSICAL THERAPY 4 - PHYSICIAN OFFICE 11697 W STATE ROUTE 163 OAK HARBOR OH 43449 PHYSICIAN OFFICE 5 - PHYSICAL THERAPY 4058 E HARBOR RD PORT CLINTON OH 43452 PHYSICAL THERAPY 6 - PHYSICIAN OFFICE 1297 W MAIN STREET LAKESIDE MARBLEHEAD OH 43440 PHYSICIAN OFFICE 7 - PHYSICIAN OFFICE 2861 EAST HARBOR ROAD PORT CLINTON OH 43452 PHYSICIAN OFFICE 8 - PHYSICIAN OFFICE 730 JEFFERSON STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE 9 - PHYSICIAN OFFICE 1250 FULTON STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE PART I, LINE 7: TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO CHARITY CARE WAS CALCULATED USING A COST-TO-CHARGE RATIO. TOTAL COMMUNITY BENEFIT RELATED TO MEDICAID WAS CALCULATED FROM THE MEDICAID COST REPORT. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,584,788. PART II, COMMUNITY BUILDING ACTIVITIES: THE COMMUNITY BUILDING ACTIVITIES THAT MAGRUDER HOSPITAL SUPPORTS ENCOURAGE EXERCISE (AREA SCHOOL ATHLETIC BOOSTERS), EDUCATION (AREA SCHOOLS HONOR BANQUETS), SAFETY (OFFICER PHIL), AND OTHER HEALTH-RELATED ORGANIZATIONS (EMS, EASTER SEALS, HOSPICE). PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF 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 DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS.THE AMOUNT OF BAD DEBT EXPENSE REPORTED IN PART III, LINES 2 AND 3 IS BASED DIRECTLY ON THE BAD DEBT EXPENSE REPORTED IN THE AUDITED FINANCIAL STATEMENTS, WITH LINE 3 BEING ESTIMATED AS 5% OF THE TOTAL BAD DEBT EXPENSE REPORTED IN LINE 2. THE ENTIRE BAD DEBT EXPENSE RELATES SOLELY TO PATIENT ACCOUNTS, WHICH BENEFIT THE COMMUNITY. PART III, LINE 8: THE MEDICARE SURPLUS/SHORTFALL CALCULATION IS BASED ON A COST TO CHARGE RATIO CALCULATED AS REQUIRED UNDER THE MEDICARE RULES. PART III, LINE 9B: MAGRUDER HOSPITAL FOLLOWS THE SAME COLLECTION PRACTICES NO MATTER THE TYPE OF PATIENT. ALL PATIENTS ARE TREATED EQUALLY. COLLECTION PRACTICES ARE NOT PURSUED FOR PATIENTS THAT THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE/CHARITY CARE. ALL COLLECTION EFFORTS ARE PLACED ON HOLD UNTIL FINANCIAL ASSISTANCE IS PROCESSED. IF APPROVED, THE BALANCES ARE WRITTEN OFF. PART VI, LINE 2: THE COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT IS THE RESULT OF A STRONG COMMITMENT BY DEDICATED COMMUNITY PARTNERS TO WORK TOGETHER TO IMPROVE THE HEALTH AND WELL-BEING OF RESIDENTS IN OTTAWA COUNTY. THE HEALTH ASSESSMENT GIVES US THE OPPORTUNITY TO GLANCE INTO OUR COMMUNITY, AS WELL AS OUR STATE AND NATION. THE DATA PRESENTED IN THIS REPORT WILL PROVIDE VALUABLE INFORMATION TO DEVELOP STRATEGIES THAT FOCUS ON WELLNESS, ACCESS TO CARE AND UNMET COMMUNITY NEEDS.IN ADDITION TO THE INFORMATION FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, MAGRUDER PARTICIPATES IN THE OTTAWA COUNTY COUNCIL OF HEALTH & SOCIAL CONCERNS WHERE SCHOOLS, GOVERNMENT, LAW ENFORCEMENT AND A WIDE VARIETY OF SOCIAL SERVICE AGENCIES MEET MONTHLY TO DISCUSS NEEDS AND TRENDS THAT THEY ARE SEEING. THE GROUP WORKS TO ENHANCE COLLABORATION AND TO MINIMIZE DUPLICATION OF SERVICES. MAGRUDER ALSO PARTICIPATES IN THE DRUG FREE COLLABORATIVE, PORT CLINTON CHAMBER OF COMMERCE, OTTAWA COUNTY IMPROVEMENT CORP, NORTHWEST OHIO HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOICATION WITH A GOAL OF BETTER UNDERSTANDING THE NEEDS OF OUR HEALTHCARE POPULATION.MAGRUDER HOSPITAL HAS REVIEWED THE HEALTH ASSESSMENT REPORT IN COMPARISON TO OUR SERVICES AND RESOURCES AND HAS BEGUN WORK ON CURRENT AS WELL AS FUTURE HOSPITAL-SPECIFIC IMPLEMENTATION STRATEGIES. WE ARE COMMITTED TO CONTINUING THAT WORK AS A HOSPITAL AND AS A PARTNER IN THE COMMUNITIES WE SERVE. PART VI, LINE 3: PATIENTS RECEIVE INFORMATION AT REGISTRATION, IN THEIR FIRST STATEMENT, AND OFFERED ON FOLLOW-UP PHONE CALLS. THERE ARE BROCHURES AT OUR PHYSICIAN OFFICES AND THROUGHOUT THE HOSPITAL. PART VI, LINE 4: MAGRUDER HOSPITAL IS A CRITICAL ACCESS HOSPITAL LOCATED IN PORT CLINTON, OHIO SERVING THE HEALTHCARE NEEDS OF OTTAWA COUNTY. OTTAWA COUNTY IS LOCATED ON LAKE ERIE ABOUT 15 MILES SOUTHEAST OF TOLEDO, OHIO AND IS MADE UP OF VARIOUS COMMUNITIES THAT INCLUDE SEVEN VILLAGES, TWELVE TOWNSHIPS AND THE ONLY CITY IN OTTAWA COUNTY, PORT CLINTON. THE POPULATION OF 40,000 HAS EASY ACCESS TO MAJOR STATE ARTERIES TO TOLEDO AND CLEVELAND. PART VI, LINE 5: MAGRUDER HOSPITAL ACTIVELY RECRUITS PHYSICIANS WITH THE SPECIALTIES NEEDED WITHIN THE COMMUNITY, SO THE COMMUNITY CAN ACCESS THE HEALTHCARE IT NEEDS. EXCESS FUNDS ARE PUT INTO STATE OF THE ART TECHNOLOGY TO BETTER SERVE OUR COMMUNITY. 1 SCHOLARSHIPS 13 10500 N/A N/A PART I, LINE 2: THE ROY SCHOLARSHIP IS FUNDED BY A TRUST, AND IS RELEASED ONLY TO NURSING STUDENTS PURSUING THEIR RN DEGREE BASED ON FINANCIAL NEED AS DETERMINED THROUGH AN APPLICATION PROCESS. THE AUXILIARY ALSO AWARDS SCHOLARSHIPS BASED ON AN APPLICATION PROCESS TO QUALIFIED STUDENTS PURSUING A HEALTH-RELATED DEGREE. X 1 1 X X X 0 0 0 0 0 0 0 1 0 RAYMOND FULLER PHYSICIAN 454144 0 1000 0 0 0 13050 0 28358 0 496552 0 0 0 DANIEL CADIGAN PHYSICIAN 250277 0 87027 0 0 0 13050 0 27704 0 378058 0 0 0 DAVID BODIE PHYSICIAN 201832 0 100105 0 0 0 13050 0 28027 0 343014 0 0 0 KAREN KLAEGE PHYSICIAN 200830 0 55845 0 0 0 12378 0 27930 0 296983 0 0 0 NICHOLAS MARSICO PRESIDENT & CEO 265343 0 1000 0 0 0 12692 0 17027 0 296062 0 0 0 CHAD BLUNT PHYSICIAN 171542 0 40316 0 0 0 8708 0 16373 0 236939 0 0 0 JULIE GEORGOFF VP FINANCE & CFO 167141 0 1200 0 0 0 8406 0 1165 0 177912 0 0 0 KIMBERLY SCHREINER VP NURSING & CNO 147727 0 1000 0 0 0 7645 0 0 0 156372 0 0 0 PART I, LINE 1A THE CEO RECEIVES REIMBURSEMENT FOR SOCIAL CLUB DUES; REIMBURSEMENT IS TREATED AS TAXABLE COMPENSATION TO THE CEO. THE ORGANIZATION USES FACILITY FOR VARIOUS STAFF FUNCTIONS THROUGHOUT THE YEAR. THIS TRANSACTION IS ANNUALLY BOARD APPROVED. PART I, LINE 7 BONUSES TO THE CEO AND OTHER MEMBERS OF THE LEADERSHIP TEAM ARE DETERMINED AND APPROVED AT THE DISCRETION OF THE BOARD OF DIRECTORS. KATHY ALMENDINGER WIFE OF TODD ALMENDINGER 32552 COMPENSATION 0 DOUG FOCHT OWNER FOCHT CONSTRUCTION 316353 PAYMENT FOR WORK ON SURGERY UPGRADE 0 FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWED THE FORM 990 WITH THE BOARD TREASURER TO THE LEVEL OF DETAIL REQUESTED BY THE BOARD TREASURER. THE FORM 990 WAS THEN ELECTRONICALLY DELIVERED TO EACH MEMBER OF THE BOARD WITH A DISCUSSION OF KEY POINTS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C WRITTEN DISCLOSURE OF CONFLICTS OF INTEREST ARE REQUESTED ANNUALLY FOR ALL BOARD MEMBERS. THE CEO REVIEWS ALL DISCLOSURES. THE CODE OF REGULATIONS ASKS FOR PROMPT DISCLOSURE IF SITUATIONS CHANGE DURING THE YEAR. ANY BOARD MEMBER WITH A CONFLICT OR POTENTIAL CONFLICT IS RESTRICTED FROM PARTICIPATING IN VOTING ON MATTERS WHERE THERE IS A CONFLICT OR POTENTIAL CONFLICT. DOUG FOCHT, DIRECTOR, IS RESTRICTED FROM PARTICIPATING IN DECISIONS IN REGARD TO BUILDING CONSTRUCTION TRANSACTIONS (SEE SCHEDULE L, PART VI DISCLOSURE). FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS APPROVED BY THE BOARD. THE EXECUTIVE COMMITTEE REVIEWS THE OHA SALARY SURVEY FOR COMPARISON. RECOMMENDATIONS TO THE FULL BOARD ARE MADE BASED ON SALARY SURVEY FINDINGS, MARKET FINDINGS, AND PERFORMANCE REVIEW FOR EXECUTIVES; ALL OTHER NON-EXECUTIVE EMPLOYEES' SALARIES ARE DETERMINED IN A SIMILAR FASHION EXCLUDING BOARD APPROVAL. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING IS COMPLETED WITH RESPECT TO THIS PROCESS. THIS PROCESS WAS LAST PERFORMED IN 2021. FORM 990, PART VI, SECTION C, LINE 18 FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. AN ABBREVIATED FINANCIAL STATEMENT IS INCLUDED IN THE HOSPITAL'S ANNUAL REPORT. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. AN ABBREVIATED FINANCIAL STATEMENT IS INCLUDED IN THE HOSPITAL'S ANNUAL REPORT. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,897,878. MANAGEMENT AND GENERAL EXPENSES 1,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,899,078. PURCHASED SERVICES (MEDICAL, HUMAN RESOURCES, ADMINSTRATIVE): PROGRAM SERVICE EXPENSES 4,358,993. MANAGEMENT AND GENERAL EXPENSES 1,172,307. FUNDRAISING EXPENSES 4,003. TOTAL EXPENSES 5,535,303. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST RATE SWAP -41,822. PAIN MANAGEMENT BEGINNING CAPITAL 321,476. MINORITY INVESTMENT -410,888. PAIN MANAGEMENT ADJUSTMENT 767,096. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 1,496. FORM 990, PART XI, LINE 2C MEMBERS OF THE HOSPITAL'S BOARD OVERSEE THE AUDIT PROCESS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. MAGRUDER MEDICAL GROUP LTD 615 FULTON ST PORT CLINTON OH 43452 814621611 MEDICAL GROUP OH 0 0 H B MAGRUDER MEMORIAL HOSPITAL MAGRUDER HOSPITAL FOUNDATION 615 FULTON STREET PORT CLINTON OH 43452 463883346 SUPPORTING ORGANIZATION OH 501(C)(3) LINE 12B, II H B MAGRUDER MEMORITAL HOSPITAL 1 MAGRUDER PAIN MANAGEMENT LLC 615 FULTON ST PORT CLINTON OH 43452 275038026 PAIN MANAGEMENT OH H B MAGRUDER MEMORIAL HOSPITAL RELATED 444773 300441 0 1 0.51000 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 MAGRUDER PAIN MANAGEMENT LLC L 110949 ACCRUED AMOUNT