2021-11-15T07:53:00-06:00 2020-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2020-01-01 344441792 H B MAGRUDER MEMORIAL HOSPITAL HBMA 4197343131 615 FULTON STREET PORT CLINTON OH 43452 JULIE GEORGOFF VP FINANCE 4197343131 2021-11-11 1 JULIE GEORGOFF 999009999 AMY CIMINELLO P00796388 6148493000 2021-11-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MAGRUDER HOSPITAL NICHOLAS MARSICO 615 FULTON STREET PORT CLINTON OH 43452 56778435 0 X WWW.MAGRUDERHOSPITAL.COM X 1940 OH MAGRUDER HOSPITAL SHALL PROVIDE COMPASSIONATE CARE WITH EXCELLENT OUTCOMES. 13 12 497 100 498777 0 66760 5760914 52236038 48725542 932098 363743 2155934 1928236 55390830 56778435 11500 9000 0 0 23962454 23604098 0 0 26353 33187473 32748375 57161427 56361473 -1770597 416962 47461905 60463505 6868364 17312137 40593541 43151368 X IMPROVING LIVES TOGETHER 0 0 48841542 9000 49884111 WHILE MAGRUDER CONTINUES ITS COMMITMENT TO SERVING THE PUBLIC HEALTH PREVENTION AND HEALTH EDUCATION NEEDS IN THE COMMUNITIES OF OTTAWA COUNTY, COVID CERTAINLY CHANGED OUR FOCUS ON HOW WE COULD MOST IMPACT PUBLIC HEALTH AND HEALTH EDUCATION. WE WERE NOT ABLE TO REACH THE COMMUNITY AS WE HAVE DONE IN THE PAST WITH OUR MANY SCREENINGS AND EDUCATION EVENTS, BUT WE LEARNED NEW WAYS OF REACHING OUT TO THE COMMUNITIES THROUGH DIGITAL AND SOCIAL MEDIA VENUES. -MONTHLY REDUCED FEE CHOLESTEROL SCREENING FOR THE COMMUNITY: TOTAL OF 66 PARTICIPANTS IN JAN, FEB & MAR.-CONTINUE TO OFFER FLU VACCINE FOR THE PUBLIC WITH NO APPOINTMENT DURING BUSINESS HOURS 7 DAYS A WEEK AT THE PHARMACY. -ADMINISTERED FLU SHOTS AT BUSINESSES, AND SCHOOLS FOR EMPLOYEES (396 PARTICIPANTS) UP FROM 288.-DESPITE AN UPTICK IN COVID IN THE FALL, WE STILL PROVIDED MEDICARE COMPARISONS FOR 59 PEOPLE.-FREE COLORECTAL HEALTH SCREENING KITS TO THE COMMUNITY (64 PARTICIPANTS, UP FROM 61)-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 7 BLOOD DRIVES IN 2020 WHICH INCLUDES NOT ONLY THE SPACE AND PROMOTION FOR THE EVENT BUT ALSO ALLOWING EMPLOYEES TO DONATE ON WORK TIME. -PROVIDE TRANSPORTATION FOR PATIENTS WITH NO WAY HOME ($5,747 UP FROM $3,472)-EDUCATION PROGRAMS (427 PARTICIPANTS, DOWN FROM 1,119). THIS WAS SIGNIFICANTLY IMPACTED BY COVID AND THE HOSPITAL BEING SHUT DOWN TO THE PUBLIC. WE WERE ABLE TO DEVELOP A NUMBER OF VIRTUAL PROGRAMS TO BE SHARED ON OUR WEBSITE, FACEBOOK PAGE AND YOU TUBE CHANNEL AS WELL AS OUR TAPINGS AT PORT CLINTON HIGH SCHOOL DIGITAL MEDIA CENTER. -TOPICS INCLUDED: COVID, AGING, SAFETY, CHAIR EXERCISE, CHRONIC PAIN, HEART MEDICATIONS, SCREENINGS, SCAMS, HEALTHY EATING, COOKING DEMO, CARDIAC DIET, FOOD LABELS, STRETCHING, DRUG ABUSE-ALTHOUGH MANY EVENTS AND INITIATIVES WERE CANCELLED OR POSTPONED, MAGRUDER HOSPITAL STILL SPONSORED OR PARTICIPATED IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES: -OTTAWA COUNTY FAIR -DRUG FREE YOUTH ACTIVITIES -COMMUNITY CAR BINGO DURING COVID -SUMMER LUNCH PROGRAM -SALVATION ARMY -RIDERS UNLIMITED -COMMUNITY ART PROGRAMTHESE COMMUNITY BUILDING ACTIVITIES SUPPORT ORGANIZATIONS THAT ASSIST COMMUNITY MEMBERS IN OBTAINING THE RESOURCES AND SERVICES THEY NEED, WHETHER IT'S ADVOCACY, EXERCISE, SAFE AND AFFORDABLE HOUSING, SHELTER, NUTRITION, MEDICAL EQUIPMENT OR SAFE ACTIVITIES FOR TEENS.-MAGRUDER ASSISTED THE OTTAWA COUNTY HEALTH DEPARTMENT AND THE OTTAWA COUNTY EMA IN OFFERING SEVERAL FREE COVID TESTING EVENTS IN 2020. THERE WERE TWO DAYS AT PUT IN BAY AND ONE DAY AT THE OTTAWA COUNTY FAIRGROUNDS. MAGRUDER PROVIDED 143 STAFF HOURS AT THOSE EVENTS. COMMUNITY HEALTH NEEDS ASSESSMENT STRATEGIES FOR 2020DUE TO COVID, WE WERE UNABLE TO IMPLEMENT MANY OF THE STRATEGIES THAT WERE PLANNED FOR 2020. ONE OF THE TOPICS/STRATEGIES WE WERE ABLE TO MEASURE SOME SUCCESS IN WAS FOR CHRONIC DISEASE. WHILE WE WEREN'T ABLE TO HOLD OUR COMMUNITY EDUCATION PROGRAM, THERE WERE 12 INDIVIDUALS WHO COMPLETED THE DIABETES SELF MANAGEMENT EDUCATION BETWEEN MAY 2019 AND MAY 2020. THEIR AVERAGE PRE-TEST SCORE WAS 69.3 AND AVERAGE POST-TEST SCORE WAS 90.8, MAKING AN AVERAGE 31% IMPROVEMENT IN UNDERSTANDING. WE ALSO MONITORED MAGRUDER HOSPITAL DSME PROGRAM PARTICIPANTS FOR 5% IMPROVEMENT IN A1C.THE AVERAGE A1C FOR PARTICIPANTS ENTERING THE DSME PROGRAM (5/2019-5/2020) WAS 8.99%. THE AVERAGE POST-PROGRAM A1C FOR PARTICIPANTS OF THE DSME PROGRAM (5/2019-5/2020) WAS 7.02%. THIS IS A DECREASE OF 12% FOR PROGRAM PARTICIPANTS. 48841542 1 0 0 1 0 0 0 0 0 0 1 0 0 0 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 24 0 1 497 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X TONI MAGSIG ACCOUNTING DIRECTOR 4197343131 615 FULTON STREET PORT CLINTON OH 43452 RAYMOND FULLER PHYSICIAN 45.00 0.00 X 455057 0 46632 DANIEL CADIGAN PHYSICIAN 45.00 0.00 X 342819 0 49588 JON TODD ALMENDINGER PRESIDENT & CEO - PART YEAR 43.00 2.00 X 274384 0 49593 DAVID BODIE PHYSICIAN 45.00 0.00 X 274228 0 49497 KAREN KLAEGE PHYSICIAN 45.00 0.00 X 273972 0 49562 GARY KRESGE PHYSICIAN 45.00 0.00 X 235719 0 32917 NICHOLAS MARSICO PRESIDENT & CEO 43.00 2.00 X 198720 0 32309 JULIE GEORGOFF VP FINANCE & CFO 43.00 2.00 X 158011 0 8973 KIMBERLY SCHREINER VP NURSING & CNO 45.00 0.00 X 133379 0 43258 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 2346289 0 362329 20 0 1 0 PORT CLINTON EMERGENCY PHYSICIANS INC 3914 MEMORIAL SHOREWAY LAKESIDEMARBLEHEAD OH 43440 EMERGENCY PHYSICIANS 2780672 NOMS-ADVANCED HEALTH LTD 2500 W STRUB RD STE 150 SANDUSKY OH 44870 PHYSICAL THERAPY 1314383 PREMIER ANESTHESIA OF SANDUSKY 6125 S BROADWAY WEST LORAIN OH 45053 ANESTHESIOLOGISTS 1000000 CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 COMPUTER SOFTWARE 889267 MEDONE-CENTRAL OHIO HOSPITALISTS INC 3525 OLENTANGY RIVER ROAD STE 4330 COLUMBUS OH 43214 HOSPITALIST GROUP 819011 20 5760914 5760914 HEALTHCARE SERVICES 621110 48313586 48313586 PHYSICIAN OFFICE RENTAL 621110 411956 411956 48725542 192784 192784 13303 0 13303 13303 13303 170959 0 170959 170959 170959 RETAIL PHARMACY 446110 1581122 1082345 498777 MOBILE MEALS/FOOD SERVICE 722514 257587 257587 PAIN MANAGEMENT CLINIC 900099 105325 105325 -29101 -29101 1914933 56778435 49884111 498777 634633 X 9000 9000 898625 898625 16607393 14745437 1860146 1810 817875 768078 47459 2338 3873334 3645561 216678 11095 1406871 1263852 139173 3846 46236 46236 101550 101550 12683585 11602755 1080488 342 189383 189383 2399490 2156525 242228 737 1449898 1265197 181957 2744 1299832 1097916 201158 758 36289 25333 10941 15 4071 4071 2846859 1795913 1048452 2494 390521 136948 253573 MEDICAL SUPPLIES 8253317 8211717 41480 120 BAD DEBT 1869291 1869291 FRANCHISE FEES 856002 29903 826046 53 HCAP ADJUSTMENT 259480 259480 62571 28733 33837 1 56361473 48841542 7493578 26353 531794 2134523 5826708 15372522 5757111 5867254 428422 120163 697161 769819 965875 1042709 78525047 55125332 23857256 23399715 9064752 11405812 332826 350988 47461905 60463505 5150411 924683 112998 10282103 1604955 6105351 6868364 17312137 X 40525089 43072878 68452 78490 40593541 43151368 47461905 60463505 X 416962 1720492 420373 X X 0 1 X 1 1 0 X 0 0 0 0 0 0 0 0 1 1538 1538 0 PART II-B, LINE 1: A PORTION OF DUES PAID TO THE OHIO HOSPITAL ASSOCIATION RELATES TO LOBBYING. 124829 124829 43849899 26275629 17574270 34314677 28849703 5464974 235642 235642 23399715 ESTIMATED 3RD PARTY PAYOR SETTLEMENTS 6031072 ACCRUED POST-RETIREMENT BEN. OBLIGATION 74279 6105351 1 1 X 1 X 1 X 1 1 1 0 1 1 573135 322713 250422 0.00460 5860748 3878664 1982084 0.03630 6433883 4201377 2232506 0.04090 7 606 9952 1023 8929 0.00020 4 0 223471 0 223471 0.00410 1 66 6682 0 6682 0.00010 12 672 240105 1023 239082 0.00440 12 672 6673988 4202400 2471588 0.04530 5850 0 5850 0.00010 956 0 956 0.00000 6806 6806 0.00010 0 1869291 141094 12700257 12665771 34486 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. IN 2020 MAGRUDER HOSPITAL CONTINUED ITS EFFORTS BASED ON THE LATEST PRIMARY DATA GATHERED IN THE 2017 COMMUNITY HEALTH ASSESSMENT. DUE TO COMPLICATIONS FROM COVID, OTTAWA COUNTY HEALTH PARTNERS, INCLUDING MAGRUDER, WERE UNABLE TO CARRY OUT A NUMBER OF THE STRATEGIES THAT WERE PLANNED FOR 2020.FROM JUNE TO NOVEMBER 2020 MAGRUDER WORKED WITH OTTAWA COUNTY HEALTH PARTNERS TO COMPLETE AN UPDATED COMMUNITY HEALTH NEEDS ASSESSMENT WITH SECONDARY DATA. THE IMPLEMENTATION STRATEGY WAS RELEASED 11/1/20 WITH MOST EFFORTS BEGINNING IN EARLY 2021.A FULL ASSESSMENT WITH PRIMARY DATA WILL LIKELY BE CARRIED OUT IN 2022 OR 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 SLIGHTLYCHRONIC 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/WEEKGENERAL 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 HEALTHMAGRUDER'S STRATEGY TO SCREEN FOR CLINICAL DEPRESSION FOR ALL PATIENTS 12 OR OLDER USING A STANDARDIZED TOOL SAW AN IMPROVEMENT OF 77% IN THE EMERGENCY ROOM, WHILE SCREENING ON 2SOUTH/ICU REMAINED AT 93%. BASELINE DATA WAS JUST BEING MEASURED IN PHYSICIAN OFFICES WHEN COVID BEGAN. SIMILARLY, MAGRUDER'S STRATEGY OF ADDICTION SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT SAW AN IMPROVEMENT OF 56% IN THE ER AND 6% ON 2SOUTH/ICU. BASELINE DATA FOR THIS WAS ALSO JUST BEING MEASURED IN PHYSICIAN OFFICES WHEN COVID BEGAN. CHRONIC DISEASEMAGRUDER'S STRATEGY OF INCREASING PREDIABETES SCREENING AND REFERRAL FOR TREATMENT SAW IMPROVEMENTS IN 2020. OUR NUTRITION DEPARTMENT CONTINUES TO WORK WITH PROVIDERS ON PREDIABETES SCREENING. ALTHOUGH THE DEPARTMENT WAS UNABLE TO PRESENT THE COMMUNITY EDUCATION ON NUTRITION/PREDIABETES DUE TO COVID, PARTICIPANTS IN THEIR DIABETES SELF-MANAGEMENT EDUCATION PROGRAM SHOWED AN AVERAGE 31% IMPROVEMENT IN UNDERSTANDING BETWEEN THEIR PRE- AND POST-TEST SCORES. THOSE PARTICIPANTS ALSO SHOWED A 12.1% DECREASE IN A1C LEVELS AFTER PARTICIPATING IN THE DSME PROGRAM.MAGRUDER ALSO MADE SOME PROGRESS FOR THE IMPLEMENT HEALTHY FOOD INITIATIVES STRATEGY. IN CONVERSATIONS WITH COMMUNITY GARDEN GROUPS AND FOOD PANTRY ORGANIZERS, IT WAS DETERMINED THAT THERE ARE NOT AS MANY OPPORTUNITIES FOR FRUIT AND VEGETABLES FOR THE GENERAL PUBLIC. SOME COMMUNITY GARDENS HAVE A FEE ASSOCIATED OR ARE FOR USE AT A PARTICULAR SCHOOL OR CHURCH. THE FOOD PANTRY THAT IS ELIGIBLE FOR FRUITS & VEGETABLES THROUGH THE FOOD BANK DOES NOT OFTEN RECEIVE FRESH FRUITS OR VEGETABLES. HOWEVER, THE SUTTON CENTER/BISTRO 163 PAY-IT-FORWARD CAF OFFERS MEALS AS WELL AS A PLACE FOR GARDENERS AND FARMERS TO SET OUT FRUITS AND VEGETABLES FREE FOR THE TAKING. ALSO, THE FAMILY ADVOCACY CENTER HAS A NEW LOCATION AND IS PLANNING A FREE COMMUNITY GARDEN ON THEIR PROPERTY.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 $ 1,869,291. 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 SHORTFALL IS BASED ON A COST TO CHARGE RATIO CALCULATED AS REQUIRED UNDER MEDICARE RULES.THE MEDICARE SHORTFALL IS A COMMUNITY BENEFIT, AS PROVIDING SERVICES TO THE ELDERLY IS A TAX-EXEMPT PURPOSE CONSISTENT WITH MAGRUDER'S OVERALL EXEMPT STATUS, AND THE HOSPITAL ACCEPTS THESE PATIENTS REGARDLESS OF ITS IMPACT ON OVERALL PROFITABILITY. 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 17 9000 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 454146 0 911 0 0 0 12825 0 33807 0 501689 0 0 0 DANIEL CADIGAN PHYSICIAN 240907 0 101912 0 0 0 12825 0 36763 0 392407 0 0 0 JON TODD ALMENDINGER PRESIDENT & CEO - PART YEAR 274384 0 0 0 0 0 12825 0 36768 0 323977 0 0 0 DAVID BODIE PHYSICIAN 150792 0 123436 0 0 0 12760 0 36737 0 323725 0 0 0 KAREN KLAEGE PHYSICIAN 202584 0 71388 0 0 0 12825 0 36737 0 323534 0 0 0 GARY KRESGE PHYSICIAN 229301 0 6418 0 0 0 10293 0 22624 0 268636 0 0 0 NICHOLAS MARSICO PRESIDENT & CEO 198720 0 0 0 0 0 9653 0 22656 0 231029 0 0 0 JULIE GEORGOFF VP FINANCE & CFO 158011 0 0 0 0 0 7755 0 1218 0 166984 0 0 0 KIMBERLY SCHREINER VP NURSING & CNO 133379 0 0 0 0 0 6889 0 36369 0 176637 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 27449 COMPENSATION 0 DOUG FOCHT OWNER FOCHT CONSTRUCTION 505171 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 REGARDS 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 2020. 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 8,030,586. MANAGEMENT AND GENERAL EXPENSES 2,225. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,032,811. PURCHASED SERVICES (MEDICAL, HUMAN RESOURCES, ADMINSTRATIVE): PROGRAM SERVICE EXPENSES 3,572,169. MANAGEMENT AND GENERAL EXPENSES 1,078,263. FUNDRAISING EXPENSES 342. TOTAL EXPENSES 4,650,774. FORM 990, PART XI, LINE 9: CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 10,038. CHANGE IN INTEREST RATE SWAP -48,912. PAIN MANAGEMENT BEGINNING CAPITAL 387,716. MINORITY INVESTMENT -385,301. PAIN MANAGEMENT ADJUSTMENT 456,832. 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. THE REQUIRED SINGLE AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 HAS NOT BEEN COMPLETED YET FOR THE CALENDAR YEAR-END 12/31/20, BUT PLANS TO BE COMPLETED BY THE EXTENDED DUE DATE AS ESTABLISHED IN THE RELEVANT OMB GUIDANCE. 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 381460 234239 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 105325 ACCRUED AMOUNT