MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCORPORATED: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCORPORATED (EIN 31-0650283)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-13
- IRS object ID
- 202131339349301628
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-13T10:06:59-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 EAST FIFTH STREET SUITE 1900 | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310650283 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCCULLOUGH-HYDE MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Business Name Line2 | INCORPORATED | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MCCU | BusinessNameControlTxt |
| Phone | 5135245310 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 625 EDEN PARK DRIVE 7TH FLOOR | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL CROFTON | PersonNm |
| Person Title | VP-FINANCE | PersonTitleTxt |
| Phone | 5135245310 | PhoneNum |
| Signature | 2021-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ALICIA JANISCH | PreparerPersonNm |
| PTIN | P00741382 | PTIN |
| Phone | 5137847100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK CLEMENT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 625 EDEN PARK DRIVE 7TH FLOOR | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $56,484,307 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MHMH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | ACUTE CARE HOSPITAL DELIVERING QUALITY SERVICES TO OUR PATIENTS AND THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 408 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $29,200 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $53,974,712 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $51,991,597 | CYProgramServiceRevenueAmt |
| PY Investment Income | $213,059 | PYInvestmentIncomeAmt |
| CY Investment Income | -$92,908 | CYInvestmentIncomeAmt |
| PY Other Revenue | $549,551 | PYOtherRevenueAmt |
| CY Other Revenue | $1,654,234 | CYOtherRevenueAmt |
| PY Total Revenue | $54,737,322 | PYTotalRevenueAmt |
| CY Total Revenue | $53,582,123 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $84,379 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $32,320 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,726,736 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $24,472,483 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $28,873,614 | PYOtherExpensesAmt |
| CY Other Expenses | $30,977,799 | CYOtherExpensesAmt |
| PY Total Expenses | $51,684,729 | PYTotalExpensesAmt |
| CY Total Expenses | $55,482,602 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,052,593 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,900,479 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $60,809,027 | TotalAssetsBOYAmt |
| Total Assets EOY | $66,420,098 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $22,872,902 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $34,444,884 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $37,936,125 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $31,975,214 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ACUTE CARE HOSPITAL FACILITY DELIVERING QUALITY SERVICES TO OUR PATIENTS AND THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $49,801,030 | ExpenseAmt |
| Grant | $32,320 | GrantAmt |
| Revenue | $53,230,226 | RevenueAmt |
| Desc | SURGERY - THIS SERVICE IS COMPRISED OF SURGERY AND MINOR PROCEDURES. TOTAL VOLUME WAS 1,476 CONSISTING OF IP CARE (29%) AND OUTPATIENT CARE (71%).PHARMACY - THIS SERVICE CONSISTS OF CARE PROVIDED TO INPATIENTS (15%) AND OUTPATIENTS (85%). OUTPATIENT CARE INCLUDES A MAJOR PROGRAM FOR ONCOLOGY TREATMENT.INPATIENT CARE - INPATIENT VOLUME CONSISTED OF 1,849 DISCHARGES AND 5,213 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 2.82 DAYS. BIRTHS TOTALED 390 AND A TOTAL OF 626 OBSERVATION DAYS OF SERVICE.FOR ADDITIONAL INFORMATION PLEASE SEE SCHEDULE H. | Desc |
| Total Program Service Expenses | $49,801,030 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 98 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 408 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL CROFTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5135696577 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 625 EDEN PARK DRIVE 7TH FLOOR | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ALAN OAK | ||||||||||
| CHAIRPERSON | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ROB CERCEK | ||||||||||
| VICE CHAIR (END 10/19) | 1.00 | 60.00 | Yes (X) | Yes (X) | $0 | $643,972 | $129,240 | |||
| MICHAEL CROFTON | ||||||||||
| DIRECTOR | 1.00 | 60.00 | Yes (X) | $0 | $366,377 | $113,843 | ||||
| HILLARY EVANS MD | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MYRTIS POWELL | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARK CLEMENT | ||||||||||
| DIRECTOR | 1.00 | 60.00 | Yes (X) | $0 | $1,481,585 | $346,875 | ||||
| KEVIN JOSEPH MD | ||||||||||
| DIRECTOR | 1.00 | 60.00 | Yes (X) | $0 | $692,349 | $157,176 | ||||
| JAMES FORMAL | ||||||||||
| TREASURER (END 6/20) | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| STEVE SNYDER | ||||||||||
| DIRECTOR (START 7/19) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEVE GRACEY | ||||||||||
| SECRETARY (START 7/19) | 1.00 | 60.00 | Yes (X) | Yes (X) | $0 | $534,649 | $141,312 | |||
| JOHN WARD | ||||||||||
| TRUSTEE (START 12/19) | 1.00 | 60.00 | Yes (X) | $0 | $530,464 | $157,847 | ||||
| PAM COLLINS | ||||||||||
| CHIEF PATIENT SVCS OFFICER | 60.00 | 0.00 | $0 | $207,449 | $49,981 | Yes (X) | ||||
| MICHAEL EVERETT | ||||||||||
| PRESIDENT-MHMH | 30.00 | 30.00 | $0 | $172,152 | $23,213 | Yes (X) | ||||
| GREGORY CALKINS MD | ||||||||||
| PHYSICIAN | 60.00 | 0.00 | $159,648 | $0 | $28,493 | Yes (X) | ||||
| SHARON HANCOCK | ||||||||||
| SITE DIRECTOR - HR | 60.00 | 0.00 | $167,323 | $0 | $14,439 | Yes (X) | ||||
| STEVEN VORDENBERG | ||||||||||
| PHYSICIAN ASSISTANT | 60.00 | 0.00 | $137,389 | $0 | $14,255 | Yes (X) | ||||
| NATHAN SIMMONS | ||||||||||
| DIRECTOR-PHARMACY SERVICES | 60.00 | 0.00 | $156,377 | $0 | $16,016 | Yes (X) | ||||
| CHARLENE BAKE | ||||||||||
| CHARGE NURSE | 60.00 | 0.00 | $116,941 | $0 | $3,981 | Yes (X) | ||||
| GAIL DONOVAN | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $903,818 | $199,356 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $737,678 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,532,815 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,396,027 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TRIHEALTH INC | |||||
| 625 EDEN PARK DRIVE | CINCINNATI | OH | 45202 | FACILITY MANAGEMENT | $769,922 |
| CATHOLIC HEALTH INITIATIVES | |||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | CLINICAL MAINTENANCE | $760,608 |
| SEVEN HILLS ANESTHESIA | |||||
| 4030 SMITH ROAD | CINCINNATI | OH | 45209 | ANESTHESIA SERVICES | $458,014 |
| WESTERN OHIO ANESTHESIA ASSOCIATES | |||||
| 110 N POPLAR STREET | OXFORD | OH | 45056 | ANESTHESIA SERVICES | $369,445 |
| SHIFTWISE INC | |||||
| 1800 SW 1ST AVE SUITE 510 | PORTLAND | OR | 97201 | MEDICAL STAFFING | $162,460 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $29,200 | RelatedOrganizationsAmt |
| Total Contributions | $29,200 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PATIENT SERVICES | 900099 | $51,190,767 | $51,190,767 | |
| MANAGEMENT REVENUE | 900099 | $532,235 | $532,235 | |
| AFFILIATED RENTAL REV. | 531120 | $268,595 | $268,595 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $51,991,597 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $224,513 | TotalRevenueColumnAmt |
| Exclusion | $224,513 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $367,217 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $205,077 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $162,140 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $162,140 | TotalRevenueColumnAmt |
| Exclusion | $162,140 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,371,919 | SecuritiesAmt |
| Other | $7,767 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,697,107 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$325,188 | SecuritiesAmt |
| Other | $7,767 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$317,421 | TotalRevenueColumnAmt |
| Exclusion | -$317,421 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| CARES ACT FUNDING | 900099 | $1,184,977 | $1,184,977 | |
| CAFETERIA/VENDING | 722210 | $253,465 | $253,465 | |
| WELLNESS CENTER | 900099 | $39,162 | $39,162 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,490 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,490 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,492,094 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,582,123 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $52,961,631 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $591,292 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,320 | TotalAmt |
| Program Services | $32,320 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,468,191 | TotalAmt |
| Program Services | $19,386,239 | ProgramServicesAmt |
| Management And General | $81,952 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,118 | TotalAmt |
| Program Services | $177,031 | ProgramServicesAmt |
| Management And General | $1,087 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,539,092 | TotalAmt |
| Program Services | $3,360,312 | ProgramServicesAmt |
| Management And General | $178,780 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,287,082 | TotalAmt |
| Program Services | $1,282,001 | ProgramServicesAmt |
| Management And General | $5,081 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $901,833 | TotalAmt |
| Management And General | $901,833 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,618 | TotalAmt |
| Management And General | $302,618 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,470 | TotalAmt |
| Management And General | $31,470 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,734 | TotalAmt |
| Management And General | $17,734 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,961,009 | TotalAmt |
| Program Services | $4,961,009 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,490 | TotalAmt |
| Program Services | $26,398 | ProgramServicesAmt |
| Management And General | $134,092 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $857,476 | TotalAmt |
| Program Services | $845,579 | ProgramServicesAmt |
| Management And General | $11,897 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,391,357 | TotalAmt |
| Program Services | $1,390,211 | ProgramServicesAmt |
| Management And General | $1,146 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,540,391 | TotalAmt |
| Program Services | $1,540,391 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,429 | TotalAmt |
| Program Services | $32,403 | ProgramServicesAmt |
| Management And General | $26 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,384 | TotalAmt |
| Program Services | $23,134 | ProgramServicesAmt |
| Management And General | $250 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $440,547 | TotalAmt |
| Management And General | $440,547 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,926,908 | TotalAmt |
| Program Services | $2,366,872 | ProgramServicesAmt |
| Management And General | $3,560,036 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $235,028 | TotalAmt |
| Program Services | $235,028 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL/DIETARY SUPPLY | $11,715,680 | $11,715,420 | $260 |
| OHIO HOSPITAL TAX | $1,136,145 | $1,136,145 | |
| EQUIPMENT | $1,097,895 | $1,097,895 | |
| DUES AND SUBSCRIPTIONS | $157,219 | $144,456 | $12,763 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,186 | TotalAmt |
| Program Services | $48,186 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,482,602 | TotalAmt |
| Program Services | $49,801,030 | ProgramServicesAmt |
| Management And General | $5,681,572 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,477 | BOYAmt |
| EOY | $2,475 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,049,175 | BOYAmt |
| EOY | $10,527,925 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,952,683 | BOYAmt |
| EOY | $4,604,144 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,829 | BOYAmt |
| EOY | $174,791 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,396,815 | BOYAmt |
| EOY | $1,411,857 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $490,174 | BOYAmt |
| EOY | $60,927 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $62,946,195 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $26,414,278 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,623,386 | BOYAmt |
| EOY | $36,531,917 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,803,925 | BOYAmt |
| EOY | $10,653,778 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,590,594 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $411,563 | BOYAmt |
| EOY | $861,690 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,809,027 | BOYAmt |
| EOY | $66,420,098 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,367,580 | BOYAmt |
| EOY | $3,919,677 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $9,154,333 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,320,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,118,942 | BOYAmt |
| EOY | $1,466,974 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,066,380 | BOYAmt |
| EOY | $19,903,900 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,872,902 | BOYAmt |
| EOY | $34,444,884 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,913,020 | BOYAmt |
| EOY | $31,951,971 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,105 | BOYAmt |
| EOY | $23,243 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,936,125 | BOYAmt |
| EOY | $31,975,214 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,809,027 | BOYAmt |
| EOY | $66,420,098 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,900,479 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$94,021 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$3,966,411 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,003 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,003 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | DURING THE TAX YEAR, MCCULLOUGH-HYDE MEMORIAL HOSPITAL PAID ANNUAL MEMBERSHIP DUES TO VARIOUS NATIONAL, STATE AND LOCAL ORGANIZATIONS, A PORTION OF WHICH RELATED TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,548,410 | OtherCostOrOtherBasisAmt |
| Book Value | $7,548,410 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,602,831 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,473,097 | DepreciationAmt |
| Book Value | $20,129,734 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,276,754 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,740,296 | DepreciationAmt |
| Book Value | $536,458 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,459,503 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,944,282 | DepreciationAmt |
| Book Value | $7,515,221 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,058,697 | OtherCostOrOtherBasisAmt |
| Depreciation | $256,603 | DepreciationAmt |
| Book Value | $802,094 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $36,531,917 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD PARTY SETTLEMENTS | $137,199 |
| ACCRUED MALPRACTICE LIABILITY | $422,432 |
| ACCRUED EIB | $998,777 |
| SECURITY DEPOSITS | $19,327 |
| DUE TO RELATED ORGANIZATION | $18,156,382 |
| ACCCRUED WORKERS COMPENSATION | $169,783 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,903,900 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE FINANCIAL STATEMENTS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL ARE AUDITED AS PART OF TRIHEALTH AND ITS SUBSIDIARIES AND AFFILIATES ("TRIHEALTH"). FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE AUDITED COMBINED FINANCIAL STATEMENTS OF TRIHEALTH THAT REPORTS ITS AND ITS SUBSIDIARIES AND AFFILIATES LIABILITY, IF APPLICABLE, FOR CERTAIN TAX POSITIONS UNDER ASC 740-10-25: TRIHEALTH COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONS AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AT JUNE 30, 2020 OR 2019. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $708,815 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $954,758 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,853,268 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,309,344 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,543,924 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08190 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,562,083 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,264,102 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,543,924 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08190 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,916 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,916 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,500 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75,416 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $75,416 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,637,499 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,264,102 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,619,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08320 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,030,942 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $11,698,802 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,477,989 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$779,187 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCCULLOUGH-HYDE MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 N POPLAR STREET | AddressLine1Txt |
| City | OXFORD | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45056 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MHMH.ORG | WebsiteAddressTxt |
| State License | 55577 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCCULLOUGH-HYDE MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C, PAGE 7 | OwnWebsiteURLTxt |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C, PAGE 7 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.TRIHEALTH.COM/TOOLS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.TRIHEALTH.COM/TOOLS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.TRIHEALTH.COM/TOOLS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: PRIMARY DATA SOURCES ALMOST 1,300 PEOPLE HAD AN OPPORTUNITY TO IDENTIFY AND PRIORITIZE HEALTH AND HEALTH-RELATED ISSUES AT A MEETING OR BY SURVEY. TWENTY-THREE (23) COUNTY OR DISTRICT-LEVEL PUBLIC HEALTH DEPARTMENTS RESPONDED BY SURVEY, AND THE CHNA TEAM ALSO RECEIVED SURVEY RESPONSES FROM 5 CITY-LEVEL HEALTH DEPARTMENTS. NINETY-SIX NONPROFIT ORGANIZATIONS COMPLETED SURVEYS, AND THEY SERVED RESIDENTS IN EVERY COUNTY. TOTAL RESPONSE FAR EXCEEDED THE LEVEL OF RESPONSE EXPERIENCED THREE YEARS EARLIER FOR THE 2016 CHNAS IN CINCINNATI AND DAYTON. PRIMARY DATA WAS OBTAINED, WITH A UNIFORM SET OF QUESTIONS, VIA THE FOLLOWING: * THERE WERE 42 MEETINGS, HELD IN 23 COUNTIES DURING MAY THROUGH JULY 2018, WHICH ATTRACTED 463 REPRESENTATIVES OF COMMUNITY ORGANIZATIONS, THE GENERAL PUBLIC, AND/OR MEMBERS OF MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS TO IDENTIFY BARRIERS TO CARE, GIVE INPUT FOR CURRENT NEEDS ASSESSMENT, PRIORITIZE ISSUES, AND IDENTIFY RESOURCES TO ADDRESS HEALTH AND HEALTH-RELATED ISSUES. * ONLINE SURVEYS OF INDIVIDUALS (828), AGENCIES (96), AND PUBLIC HEALTH DEPARTMENTS (28) THROUGHOUT THE REGION FROM JUNE THROUGH AUGUST 2018. * THE REPORTING HOSPITAL DID NOT RECEIVE WRITTEN COMMENTS FROM THE PUBLIC REGARDING THE 2016 CHNA OR ITS RELATED IMPLEMENTATION STRATEGY. COMMUNITY MEETINGSOUTREACH ANY INDIVIDUAL OR AGENCY REPRESENTATIVE WHO GAVE THEIR ADDRESS DURING THE 2013 OR 2016 CHNA PROCESS WAS ADDED TO AN INVITE LIST, AND THE HEALTH COLLABORATIVE (THC) MAILED THEM AN INVITATION TO THE MEETING SCHEDULED IN THEIR COUNTY. THE CONSULTANTS ADDED NONPROFIT ORGANIZATIONS IN EACH COUNTY THAT HAD EITHER A PHONE NUMBER, STREET ADDRESS, OR EMAIL. THC SENT 544 EMAILS AND 376 LETTERS BY FIRST-CLASS MAIL. THE CONSULTANTS MADE PHONE CALLS TO AGENCIES THAT HAD NOT PREVIOUSLY ATTENDED A CHNA MEETING AS WELL AS TO STRATEGIC ORGANIZATIONS THAT SERVE VULNERABLE POPULATIONS AND/OR HAVE A BROAD REACH, E.G., UNITED WAY. THEY FOLLOWED UP WITH EMAILS. THC SENT FLYERS TO HOSPITALS AND TO MEETING HOST SITES FOR POSTING AND DISTRIBUTION. THE CONSULTANTS ALSO POSTED UPCOMING MEETINGS EVERY TWO WEEKS IN THE INTERACT FOR HEALTH E-NEWSLETTER: HEALTH WATCH, WHICH IS EMAILED ACROSS 20 COUNTIES. THE CONSULTANTS SENT FLYERS TO PUBLIC HEALTH DEPARTMENTS TO POST AND DISTRIBUTE. SOME HEALTH DEPARTMENTS PUBLICIZED MEETINGS ON THEIR SOCIAL MEDIA PAGES AND HELD ADDITIONAL MEETINGS. THERE WAS A 229% INCREASE IN MEETING ATTENDANCE, FROM 202 FOR THE 2016 CYCLE TO 463 FOR THE 2019 CYCLE. APPENDIX 1 OF THE CHNA, WHICH IS POSTED TO TRIHEALTH'S WEBSITE, INCLUDES A LIST OF MEETING ATTENDEES AND THE ORGANIZATIONS EACH REPRESENTS.PURPOSE OF MEETINGS THE PURPOSE OF THE MEETINGS WAS TO SOLICIT PUBLIC INPUT. THE DESIRE WAS TO ATTRACT INDIVIDUALS OR NONPROFIT ORGANIZATIONS WITH EXPERIENCE OR KNOWLEDGE TO SHARE, ESPECIALLY ON EMERGING ISSUES NOT CAPTURED BY THE SECONDARY DATA AND FROM THE PERSPECTIVES OF MEDICALLY UNDERSERVED, MINORITY, AND/OR LOW-INCOME POPULATIONS. THE OBJECTIVES WERE TO: * SHARE COUNTY-LEVEL HIGHLIGHTS FROM THE SECONDARY DATA (AND CITY-LEVEL FOR CINCINNATI HEALTH DEPARTMENT MEETINGS) * GATHER DIVERSE PEOPLE TO SHARE THEIR IDEAS -- GENERAL PUBLIC AND COMMUNITY LEADERS * RECEIVE INPUT FROM AGENCIES THAT REPRESENT VULNERABLE POPULATIONS * HEAR CONCERNS AND QUESTIONS ABOUT EXISTING HEALTH/HEALTH-RELATED ISSUES * OBTAIN INFORMATION ABOUT FINANCIAL AND NON-FINANCIAL BARRIERS TO HEALTH CARE * IDENTIFY RESOURCES AVAILABLE LOCALLY TO ADDRESS ISSUES * OBTAIN INSIGHT INTO LOCAL CONDITIONS FROM LOCAL PEOPLE * DISCOVER HEALTH AND HEALTH-RELATED PRIORITIES OF ATTENDEES MEETING FACILITATION A GROUP OF 2-3 CONSULTANTS WENT TO EACH MEETING, DEPENDING ON THE NUMBER OF RSVPS. EACH MEETING FOLLOWED THE SAME FORMAT AND AGENDA. REFRESHMENTS WERE SERVED, AND NAMETAGS WERE USED TO GENERATE A WELCOMING ATMOSPHERE. LOCATIONS WERE SELECTED FOR CONVENIENCE, ACCESS, AND TRUSTED REPUTATION IN THE COMMUNITY. THE FACILITATOR FIRST SHARED GENERAL TRISTATE AND STATE-SPECIFIC HEALTH AND HEALTH-RELATED DATA TO PROVIDE CONTEXT. THE SURVEY QUESTIONS WERE USED, BUT THE FIRST QUESTION ABOUT MOST SERIOUS HEALTH ISSUES WAS ASKED SEPARATELY. THIS TECHNIQUE WAS INTENDED TO CAPTURE FIRST THOUGHTS WITHOUT AN OPPORTUNITY TO BE INFLUENCED BY THE MORE SPECIFIC COUNTY-LEVEL DATA OR BY OTHER ATTENDEES. AFTER THE FIRST QUESTION, THE CONSULTANTS (A MEETING FACILITATOR AND AT LEAST ONE SCRIBE) SHARED A PROFILE OF THE COUNTY, INCLUDING A SUMMARY OF SECONDARY DATA. THE MEETINGS LASTED 90 MINUTES, OF WHICH 60 MINUTES WAS DEVOTED TO THE GROUP'S BRAINSTORMING. AT THE END, EACH PERSON WAS GIVEN 3 COLORED DOTS. THEY PLACED THE DOTS NEXT TO ISSUES THEY PRIORITIZED AS MOST IMPORTANT HEALTH CONDITIONS OR NEEDS OF THE COMMUNITY. THE AGENDA HANDOUT CONTAINED LINKS TO THE SURVEYS. SURVEYS THE CONSULTANTS DEVELOPED THREE TYPES OF SURVEYS: INDIVIDUAL CONSUMER; AGENCY; AND HEALTH DEPARTMENT. THE QUESTIONS REMAINED THE SAME FOR EACH SURVEY. THE AGENCY SURVEYS WERE PUSHED OUT VIA EMAIL AS WELL AS THE LINK WAS SHARED AT THE COMMUNITY MEETINGS. THE HEALTH DEPARTMENT VERSION ALSO REQUESTED THE QUALIFICATIONS OF THE RESPONDENTS. AS REQUIRED BY THE IRS, THE INDIVIDUAL CONSUMER SURVEY WAS ALSO TRANSLATED INTO SPANISH AND ADAPTED FOR MOBILE APPLICATION AT COMMUNITY EVENTS. THE CONSULTANTS USED SURVEYMONKEY TO COLLECT RESPONSES, TABULATE DATA, INTERPRET AND ANALYZE RESULTS, AND CREATE CATEGORIES TO TRACK KEY WORDS AND PHRASES. PAPER COPIES (TRANSLATED) WERE USED WITH SPANISH-SPEAKING FAMILIES, REFUGEES FROM RWANDA, AND AT TREATMENT FACILITIES. BOTH TRIHEALTH OUTREACH MINISTRIES AND SANTA MARIA COMMUNITY SERVICES PROVIDED THE ANSWERS ALREADY TRANSLATED INTO ENGLISH FOR THE CONSULTANTS. A TOTAL OF 113 IMMIGRANT SURVEYS WERE COMPLETED AND RETURNED. SEE APPENDIX 2 FOR THE SURVEY RESPONDENTS WHO IDENTIFIED THEMSELVES. APPENDIX 3 OF THE CHNA, WHICH IS POSTED TO TRIHEALTH'S WEBSITE, HAS A LIST OF HEALTH DEPARTMENT RESPONDENTS WITH THEIR QUALIFICATIONS.SECONDARY DATA SOURCES DATA COLLECTION COUNTY HEALTH RANKINGS (CHR) FORMED THE FOUNDATION FOR DATA COLLECTION WITH ITS COUNTY-LEVEL FOCUS ON HEALTH OUTCOMES, HEALTH FACTORS, HEALTH BEHAVIORS, QUALITY OF LIFE, CLINICAL CARE, PHYSICAL ENVIRONMENT, AND SOCIOECONOMIC FACTORS. ADDITIONAL SOURCES SUPPLEMENTED THE CHR DATA. PUBLICLY AVAILABLE HEALTH STATISTICS AND DEMOGRAPHICS WERE OBTAINED AT THE STATE AND COUNTY LEVEL. THE EPIDEMIOLOGISTS FOR PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY (PHDMC) VOLUNTEERED TO COLLECT DATA FOR THE STATE OF OHIO AND ITS COUNTIES. THEY INCLUDED DATA THROUGH 2016. OHIO'S 2017 DATA WAS NOT AVAILABLE IN TIME FOR THIS REPORT. THE NUMBER OF DATA MEASURES INCREASED BY 33%, FROM 106 IN 2016 TO 142 IN 2019. DATA SOURCES THE STANDARDS FOR RESEARCHING AND INCLUDING DATA WERE: * COMPARABLE (MEASURES WITH BENCHMARKS SUCH AS HEALTHY PEOPLE 2020 OR STATE/NATIONAL RATES) * COUNTY-LEVEL DATA (ZIP CODE LEVEL PREFERRED BUT RARE) * FOCUS ON HEALTH OUTCOME DATA (PREFERRED OVER SUBJECTIVE SURVEY DATA WHEN BOTH WERE AVAILABLE) * REPRODUCIBLE (NEW UPDATE AVAILABLE WITHIN THREE YEARS OR AT 3-YEAR INTERVALS VS. ONE-TIME) * REPUTABLE SOURCE * TREND DATA AVAILABLE (MORE THAN ONE DATA POINT; 3-5 YEARS PREFERRED) THE CHR WAS AN EXCELLENT STARTING POINT, BUT THE CONSULTANTS DISCOVERED ADDITIONAL SOURCES WITH MORE RECENT DATA AS WELL AS INDICATORS FOR MEASURES NOT COLLECTED BY CHR. THE PREVALENCE OF CERTAIN CANCERS, THE RAPID INCREASE OF HEROIN OVERDOSE DEATHS IN THE REGION, AND ADDITIONAL MORTALITY DATA ARE EXAMPLES OF SUPPLEMENTAL DATA. MANY EXCELLENT SOURCES OF INFORMATION DID NOT HAVE A BREAKDOWN BELOW THE STATE LEVEL OR DID NOT INCLUDE THE ENTIRE REGION. THE CONSULTANTS CONTACTED STATE HEALTH DEPARTMENTS, LOCAL HEALTH DEPARTMENTS, AND LOCAL EXPERTS. THE BIGGEST CHANGE FROM THE PRIOR CYCLE IS THAT THE DEPARTMENT OF HEALTH AND HUMAN SERVICES NO LONGER MAINTAINS THE HEALTH INDICATORS WAREHOUSE AS AN ONLINE SOURCE, AND IT HAD PROVIDED DATA FOR EIGHT KEY MEASURES. PHDMC EPIDEMIOLOGISTS CONSULTED THE OHIO DATA FOR DATA RANGES ENDING WITH 2016 AND ONE PERIOD PRIOR. |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6A: * THE CHRIST HOSPITAL HEALTH NETWORK, * CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER, * CLINTON MEMORIAL HOSPITAL,* HIGHPOINT HEALTH, * KETTERING HEALTH NETWORK (FORT HAMILTON HOSPITAL, GRANDVIEW MEDICAL CENTER, GREENE MEMORIAL HOSPITAL, KETTERING BEHAVIORAL MEDICINE CENTER, KETTERING MEDICAL CENTER, SOIN MEDICAL CENTER, SOUTHVIEW MEDICAL CENTER, SYCAMORE MEDICAL CENTER)* LINDNER CENTER OF HOPE* MERCY HEALTH-CINCINNATI REGION (MERCY HEALTH-ANDERSON HOSPITAL, MERCY HEALTH-CLERMONT HOSPITAL, MERCY HEALTH-FAIRFIELD HOSPITAL, MERCY HEALTH-WEST HOSPITAL, THE JEWISH HOSPITAL)* MERCY HEALTH-SPRINGFIELD REGION (MERCY HEALTH-URBANA HOSPITAL, SPRINGFIELD REGIONAL MEDICAL CENTER)* PREMIER HEALTH (ATRIUM MEDICAL CENTER, MIAMI VALLEY HOSPITAL NORTH, MIAMI VALLEY HOSPITAL SOUTH, UPPER VALLEY MEDICAL CENTER)* TRIHEALTH (BETHESDA BUTLER HOSPITAL, BETHESDA NORTH HOSPITAL, GOOD SAMARITAN HOSPITAL, MCCULLOUGH-HYDE MEMORIAL HOSPITAL, TRIHEALTH EVENDALE HOSPITAL)* UC HEALTH (DANIEL DRAKE CENTER FOR POST-ACUTE CARE, UNIVERSITY OF CINCINNATI MEDICAL CENTER, WEST CHESTER HOSPITAL)* WILSON HEALTH* WAYNE HEALTHCARE |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6B: * THE HEALTH COLLABORATIVE* GREATER DAYTON AREA HOSPITAL ASSOCIATION* ADAMS COUNTY HEALTH DEPARTMENT* BROWN COUNTY HEALTH DEPARTMENT* BUTLER COUNTY HEALTH DEPARTMENT* CHAMPAIGN-URBANA COUNTY HEALTH DEPARTMENT* CINCINNATI HEALTH DEPARTMENT* CITY OF HAMILTON HEALTH DEPARTMENT* CLARK COUNTY COMBINED HEALTH DEPARTMENT* CLERMONT COUNTY PUBLIC HEALTH* CLINTON COUNTY HEALTH DEPARTMENT* DARKE COUNTY GENERAL HEALTH DISTRICT* FAYETTE COUNTY PUBLIC HEALTH* GREENE COUNTY PUBLIC HEALTH* HAMILTON COUNTY PUBLIC HEALTH* HIGHLAND COUNTY HEALTH DEPARTMENT* MIAMI COUNTY PUBLIC HEALTH* MIDDLETOWN CITY HEALTH DISTRICT* NORWOOD HEALTH DEPARTMENT* PIQUA CITY HEALTH DEPARTMENT* PREBLE COUNTY PUBLIC HEALTH* PUBLIC HEALTH DAYTON & MONTGOMERY COUNTY* SIDNEY SHELBY COUNTY HEALTH DEPARTMENT* SPRINGFIELD HEALTH DEPARTMENT* WARREN COUNTY COMBINED HEALTH DISTRICT* NORTHERN KENTUCKY HEALTH DEPARTMENT |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL | PART V, SECTION B, LINE 7D: AVAILABLE UPON REQUEST WITHOUT CHARGE.CONTACT MCCULLOUGH-HYDE MEMORIAL HOSPITAL AT 513-524-5421. |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: MCCULLOUGH-HYDE MEMORIAL HOSPITAL (MHMH) IDENTIFIED THE FOLLOWING HEALTH NEEDS IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT:1) MENTAL HEALTH/ACCESS, INCLUDING PSYCHIATRIC SERVICES,2) ALCOHOL AND OTHER DRUGS, ESPECIALLY OPIATE USE OVERDOSE, SMOKING/VAPING,3) HEALTHY BEHAVIORS, ESPECIALLY PHYSICAL ACTIVITY AND HEALTHY EATING LEADING TO OBESITY,4) ACCESS TO HEALTH CARE/TRANSPORTATION- ESPECIALLY TRANSPORTATION TO HEALTHCARE PROVIDERS AND SERVICES SINCE SERVICE AREA HAS LIMITED OR NO PUBLIC TRANSPORTATION.MHMH PLANS TO ADDRESS THE THREE (3) HIGHEST RANKED HEALTH NEEDS IN ITS SERVICE AREA.HEALTHY BEHAVIORS, FOCUSING ON ACTIVE LIVING/HEALTHY EATING: TO ADDRESS THIS SIGNIFICANT HEALTH NEED IN THE COMMUNITY, MHMH PLANS TO TAKE THE FOLLOWING ACTIONS AND COMMIT THE FOLLOWING RESOURCES: * COALITION FOR A HEALTHY COMMUNITY-OXFORD AREA: CONTINUE TO SUPPORT THEIR ACTIVE LIVING/HEALTHY EATING WORKGROUP EFFORTS, AS FOLLOWS: * THRIVING COMMUNITY OXFORD (ACTIVE LIVING): THEIR WORK INCLUDES COMMUNITY WALKING CHALLENGES, SOCIAL MARKETING PROGRAM WITH SCHOOLS AND COMMUNITY MEMBERS AND "ROX" FOR HEALTHY CHOICES. MHMH WILL SUPPORT THESE INITIATIVES THROUGH MARKETING MATERIAL, PERSONNEL AND MONETARY FUNDS * HEALTHY CHOICES IN FOOD, INCLUDING SCHOOLS, KIDS BACKPACK PROGRAMMING, AND MEALS ON WHEELS. SUPPORT HEALTHY CHOICES WITH SOCIAL MARKETING CAMPAIGN AT LOCAL GROCERY STORES AND RESTAURANTS. * SUPPORT COMMUNITY GARDENS AND FOOD PANTRIES THROUGH ASSISTANCE WITH MARKETING/AWARENESS . * SAFE ROUTES TO SCHOOL INITIATIVE THROUGH PERSONNEL AND MONETARY FUNDS WHEN AVAILABLE * COMMUNITY WALKING CHALLENGES, RESOURCES TO SCHOOLS, ETC. THROUGH MARKETING, PERSONNEL AND WHEN AVAILABLE MONETARY FUNDS* REILY PROJECT: NEW BALLFIELD, WALKING PATH AND PLAYGROUND IN REILY OHIO THROUGH PERSONNEL ASSISTING WITH FUNDRAISING, MARKETING AND LEADING COMMUNITY ENGAGEMENT.* SUPPORT THE CITY ON COMPLETE STREETS AND ACTIVE TRANSPORTATION PLAN BY CONTINUING TO BE AT COMMITTEE MEETINGS, CITY COUNCIL MEETINGS AND SUPPORTING WALK AUDITS AND GRANT WRITING. * UTILIZING ROX, PLACE ROX ON LOCAL RESTAURANT, SCHOOL AND UNIVERSITY MENUS WHICH ARE HEALTHY CHOICE OPTIONS. MHMH WILL SUPPORT THIS INITIATIVE THROUGH PERSONNEL AND MARKETING * SUPPORT OTHER HEALTH AND WELLNESS INITIATIVES IN OUR SERVICE AREA THAT PROMOTE HEALTHY LIFESTYLES MENTAL HEALTH: TO ADDRESS THIS SIGNIFICANT HEALTH NEED IN THE COMMUNITY, MHMH PLANS TO TAKE THE FOLLOWING ACTIONS AND COMMIT THE FOLLOWING RESOURCES: * COALITION FOR A HEALTHY COMMUNITY- OXFORD AREA: CONTINUE TO SUPPORT THEIR MENTAL WORKGROUP EFFORTS, AS FOLLOWS: * MAINTAIN A LOCAL RESOURCE LIST WHICH IS UPDATED EVERY 6 MONTHS AND SENT OUT TO PHYSICIANS, POLICE, CHURCHES, SOCIAL SERVICE AGENCIES AND SCHOOLS. * MAINTAIN THE PERINATAL RESOURCES FOR OUR COMMUNITY * OFFER MENTAL HEALTH FIRST AID THROUGHOUT OUR SERVICE AREA (YOUTH, ADULT, SENIOR, EMS AND 1ST RESPONDER (POLICE) COURSES): THIS EVIDENCE BASED PROGRAM THAT IS A NATIONALLY RECOGNIZED PROGRAM TEACHES HOW TO IDENTIFY WHEN A PERSON IS HAVING MENTAL HEALTH PROBLEMS, HOW TO TALK TO THEM AND HOW TO MAKE REFERRALS. * SUPPORT OXFORD POLICE DEPARTMENT IN ACHIEVING/MAINTAINING ONE MIND STATUS * CONTINUE THE SOCIAL MARKETING CAMPAIGN ON MENTAL HEALTH * SUPPORT OTHER IDENTIFIED WORK OF THE COALITION AND OTHER MENTAL HEALTH AND WELLNESS INITIATIVES IN OUR SERVICE AREA, INCLUDING FINANCIALLY SUPPORTING THE COALITION COORDINATOR POSITION * LOOK INTO SUPPORTING PSYCHIATRIC CARE IN THE OXFORD AREA * CONTINUE TO FOCUS ON CULTURAL COMPETENCIES AND HOW WE CAN BEST SERVICE THESE MISUNDERSTOOD AND UNDERSERVED POPULATIONS. * CONTINUE TO WORK WITH TRIHEALTH'S BEHAVIORAL HEALTH ON INPATIENT PLACEMENT. ALCOHOL AND OTHER DRUGS (AOD): TO ADDRESS THIS SIGNIFICANT HEALTH NEED IN THE COMMUNITY, MHMH PLANS TO TAKE THE FOLLOWING ACTIONS AND COMMIT THE FOLLOWING RESOURCES: * COALITION FOR A HEALTHY COMMUNITY: CONTINUE TO SUPPORT THEIR AOD WORKGROUP EFFORTS: - +LOCK BOX PROGRAM: PROVIDE LOCK BOXES TO LOCAL PHYSICIANS TO GIVE TO THEIR PATIENTS TO LOCK UP MEDS. - +COMMUNITY PROGRAMMING ON OPIATES AND OTHER DRUGS THROUGH PRINTING OF MARKETING AND DISTRIBUTION OF MARKETING MATERIAL . - +MEDICATION TAKE BACK DAYS, ASSISTING WITH MARKETING AND STAFFING EVENTS. - +DRUG DISPOSABLE BAG PROGRAM TO MAKE IT EASIER TO DISPOSE OF MEDICATION, WE WILL PURCHASE DRUG DISPOSAL BAGS AND DISTRIBUTE THEM THROUGHOUT THE COMMUNITY TO BUSINESSES (SUCH AS PHARMACIES) AND TO COMMUNITY MEMBERS. - VAPE EDUCATION IN THE SCHOOLS AND THROUGHOUT OUR SERVICE AREA THROUGH PRINTING AND ASSISTING WITH STAFFING WHEN NEEDED. - PAX TRAINING FOR SCHOOLS AND KEY COMMUNITY MEMBERS. THE PAX GOOD BEHAVIOR GAME IS A UNIVERSAL PREVENTIVE INTERVENTION USED BY TEACHERS AND SCHOOLS TO TEACH SELF-REGULATION, SELF-MANAGEMENT, AND SELF-CONTROL IN YOUNG PEOPLE. WHEN ADULTS ARE EQUIPPED WITH THE STRATEGIES TO TEACH THESE SKILLS TO CHILDREN IN ADDITION TO ACADEMICS, THEY CREATE A NURTURING ENVIRONMENT THAT IMPACTS ELECTRICAL, NEUROCHEMICAL, NEURAL CONNECTIVITY, AND EPIGENETIC MAKE-UP IN YOUNG PEOPLE WITH ASTOUNDING LIFETIME EFFECTS. THESE EFFECTS HAVE A DRAMATIC IMPACT ON CHILDREN, SCHOOLS, AND COMMUNITIES. THEY HAVE JUST INTRODUCED A FAMILY AND COMMUNITY PAX TRAINING AND THE COALITION HAS SENT A TRAINER TO ALLOW US TO START TRAINING OUR COMMUNITY MEMBERS. MHMH WILL SUPPORT THIS INITIATIVE THROUGH FINANCIAL ASSISTANCE OF PAX EDUCATION AT THE SCHOOL LEVEL AND HELPING TO ASSURE HEALTHCARE PROVIDERS RECEIVE COMMUNITY PAX TRAINING. - +CONTINUE TO GROW THE MIT (MIAMI INITIATIVE TEAM), YITS (TALAWANDA HIGH SCHOOL YOUTH INITIATIVE TEAM) AND THE BITS (THE MIDDLE SCHOOL BRAVE INITIATIVE TEAM) TO BUILD A YOUTH PREVENTION NETWORK. THE NETWORK WILL OFFER MENTORING OPPORTUNITIES, STUDENT-LED AWARENESS ACTIVITIES, AND PROMOTE ALCOHOL AND DRUG-FREE LIFESTYLES. MHMH WILL SUPPORT THIS INITIATIVE THROUGH OUR YIT/BIT FUND. - SUPPORT OTHER IDENTIFIED WORK OF THE COALITION AND OTHER AOD HEALTH AND WELLNESS INITIATIVES IN OUR SERVICE AREA. +INITIATIVE ALIGNS WITH STATE HEALTH IMPROVEMENT PLANFOLLOWING IS THE HEALTH NEED NOT CURRENTLY BEING ADDRESSED BY MHMH:ACCESS TO HEALTH CARE/TRANSPORTATION: MHMH UNDERSTANDS THE COMMUNITY'S TRANSPORTATION NEEDS, BUT IS NOT TAKING A LEADING ROLE IN ADDRESSING ACCESS TO HEALTH CARE / TRANSPORTATION, AS THIS NEED IS BEING ADDRESSED BY OTHER ORGANIZATIONS WITHIN THE COMMUNITY. MHMH WILL CONTINUE TO BE SUPPORTIVE BY PARTAKING IN THE CONVERSATIONS TO ADDRESS THIS NEED WITH OTHER PARTNERS. AS SUCH, THIS PLAN DOES NOT GO INTO DETAIL REGARDING MHMH'S STRATEGY TO MEET TRANSPORTATION NEEDS. HOWEVER IN REGARDS TO ACCESS TO CARE, MHMH IS SUPPORTING THE OXFORD FREE CLINIC, WHICH PROVIDES FREE HEALTHCARE TO THE COMMUNITY, AND SUPPORTS COMMUNITY LIFE SQUADS. ADDITIONALLY, MHMH'S AFFILIATION HAS INCREASED THE NUMBER OF SPECIALISTS AVAILABLE TO SERVE THE COMMUNITY. FINALLY, PRIMARY HEALTH SOLUTIONS, A FEDERALLY QUALIFIED HEALTH CENTER IS LOCATED IN MHMH'S COMMUNITY, WHICH IMPROVES ACCESS TO CARE FOR LOW INCOME/MEDICAID CLIENTS. |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL | PART V, SECTION B, LINE 13B: SEE PART VI RESPONSE RELATED TO PART I, LINE 3C. |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL | PART V, SECTION B, LINE 13H: SEE PART VI RESPONSE RELATED TO PART I, LINE 3C. |
| PART V, SECTION B, LINES 7A AND 10A CHNA & IMPLEMENTATION PLAN WEBSITE | HTTPS://WWW.TRIHEALTH.COM/HOSPITALS-AND-PRACTICES/UNFORTUNATELY, THE URL IS TOO LONG FOR THE SOFTWARE. SO ONCE YOU HAVE USED THE ABOVE URL, PLEASE PERFORM THE NEXT STEPS:UNDER "HOSPITALS (& EMERGENCY)", CLICK ON "MCCULLOUGH-HYDE MEMORIAL HOSPITAL"IN THE GREY BOX ON THE LEFT HAND SIDE OF THE PAGE, CLICK "SERVICES".IN THE GREY BOX ON THE LEFT HAND SIDE OF THE PAGE, CLICK "COMMUNITY SERVICES AND THEN "HEALTH NEEDS ASSESSMENT". |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - MCCULLOUGH-HYDE MEDICAL BUILDING | ||||
| 5151 MORNING SUN ROAD | OXFORD | OH | 45056 | PHYSICAL THERAPY |
| 2 - MCCULLOUGH-HYDE MEDICAL BUILDING | ||||
| 10058 COOLEY ROAD | BROOKVILLE | IN | 47012 | OUTPATIENT |
| 3 - MCCULLOUGH-HYDE PT & REHAB | ||||
| 1390 EATON ROAD | HAMILTON | OH | 45013 | PHYSICAL THERAPY |
| 4 - MCCULLOUGH-HYDE OUTPATIENT SERVICES | ||||
| 2449 ROSS-MILLVILLE ROAD | HAMILTON | OH | 45013 | OUTPATIENT, URGENT CARE, PT |
| 5 - MCCULLOUGH-HYDE OUTPATIENT SERVICES | ||||
| 79 W CENTRAL AVENUE | CAMDEN | OH | 45311 | OUTPATIENT |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | MCCULLOUGH-HYDE MEMORIAL HOSPITAL UTILIZES THE FEDERAL POVERTY GUIDELINES ("FPG") IN DETERMINING CHARITY CARE ELIGIBILITY. SEE THE RESPONSES TO PART I, LINES 3A AND 3B.AN INDIVIDUAL'S INCOME UNDER THE FPG IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR CHARITY CARE. ADDITIONALLY, AN INDIVIDUAL'S INCOME IN RELATION TO HIS/HER MEDICAL EXPENSES IS ALSO TAKEN INTO ACCOUNT AND SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES. FINALLY, MCCULLOUGH-HYDE MEMORIAL HOSPITAL PROVIDES DISCOUNTED CARE AT SELECT CLINICS. |
| PART I, LINE 6A: | IN 1995, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND BETHESDA HOSPITAL, INC. FORMED A PARTNERSHIP CALLED TRIHEALTH, INC TO CREATE AN INTEGRATED HEALTH DELIVERY SYSTEM WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE THEY SERVE, WITH AN EMPHASIS ON PREVENTION, WELLNESS AND EDUCATION. IN 2015, TRIHEALTH PURCHASED A 60% INTEREST IN MCCULLOUGH-HYDE MEMORIAL HOSPITAL TO SUPPORT ITS MISSION.THE COMMUNITY BENEFIT PROVIDED BY MCCULLOUGH-HYDE MEMORIAL HOSPITAL IS TRACKED ON A STANDALONE BASIS; HOWEVER, ITS COMMUNITY BENEFIT IS REPORTED IN A REPORT PREPARED BY TRIHEALTH IN COMBINATION WITH ITS RELATED HOSPITALS - BETHESDA HOSPITAL, INC., THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND TRIHEALTH HOSPITAL, INC. |
| PART I, LINE 7: | MCCULLOUGH-HYDE MEMORIAL HOSPITAL UTILIZED WORKSHEET 2 - RATIO OF PATIENT CARE COST-TO-CHARGES, WHICH WAS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H, TO CALCULATE THE COST-TO-CHARGE RATIO. |
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE IS NOT INCLUDED ON FORM 990, PART IX, LINE 25. IT IS PRESENTED ON FORM 990, PART VIII, LINE 2 AS A DEDUCTION FROM PATIENT SERVICE REVENUE WHICH CORRESPONDS TO ITS FINANCIAL STATEMENT PRESENTATION. SEE RESPONSE TO PART III, LINE 4. THEREFORE, NO ADJUSTMENT TO TOTAL EXPENSES SHOWN ON FORM 990, PART IX, LINE 25 IS NECESSARY. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | MHMH PROMOTES HEALTH AND WELL-BEING IN OUR COMMUNITY IN NUMEROUS WAYS NOT LISTED IN THE COMMUNITY EVENTS AND PROGRAMS SECTION OF THE FORM 990. EXAMPLES INCLUDE:1) MHMH HELPED PROMOTE WELLNESS BY PROVIDING MEETING SPACE TO THE INFANT/CHILD LOSS BEREAVEMENT SUPPORT GROUP AND FIBROMYALGIA SUPPORT GROUP.2) MHMH ASSISTED OUR LOCAL SCHOOL DISTRICT WITH IDENTIFIED HEALTH/WELLNESS NEEDS. 3) MHMH PROVIDED OFFICE SPACE AND MEETING SPACE FOR THE OXFORD COLLEGE CORNER CLINIC, WHICH IS A CLINIC THAT PROVIDES FREE HEALTH CARE TO THE UNINSURED AND UNDERINSURED ADULTS IN OUR COMMUNITY.4) MHMH HELPED FUND THE INSTALLATION OF A PLAYGROUND AT LEONARD HOWELL PARK IN OXFORD, OHIO. |
| PART III, LINE 2: | SEE PART VI RESPONSE TO PART III, LINE 4. |
| PART III, LINE 3: | SEE PART VI RESPONSE TO PART III, LINE 4. |
| PART III, LINE 4: | MCCULLOUGH-HYDE MEMORIAL HOSPITAL'S FINANCIAL STATEMENTS ARE AUDITED AS PART OF THE TRIHEALTH AUDIT REPORT AND AS SUCH FOLLOWING IS THAT REPORT'S FOOTNOTE.PATIENT SERVICE REVENUE AND OTHER OPERATING REVENUE (PART OF FOOTNOTE B - PAGES 20-23)PLEASE NOTE THAT UNDER ACCOUNTING STANDARDS UPDATE NO. 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), WHICH TRIHEALTH ADOPTED DURING THE FISCAL YEAR, BAD DEBT IS CONSIDERED AN "IMPLICIT PRICE CONCESSION AND IS NOT DISTINGUISHED FROM A CONTRACTUAL ADJUSTMENT UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND THEREFORE THERE IS NO LONGER A SPECIFIC DISCLOSURE FOR BAD DEBT IN THE CURRENT YEAR AUDIT REPORT.AS FOR THE AMOUNT OF BAD DEBT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, MCCULLOUGH-HYDE MEMORIAL HOSPITAL DOES NOT REPORT ACTUAL BAD DEBT EXPENSE AS COMMUNITY BENEFIT. IF UPON FURTHER RESEARCH, IT IS ULTIMATELY DETERMINED THAT A PORTION OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER TRIHEALTH'S CHARITY CARE POLICY, THOSE COSTS WOULD BE RECLASSIFIED, AS APPROPRIATE, TO COMMUNITY BENEFIT AT THAT TIME.PLEASE NOTE THAT BAD DEBT EXPENSE IN NOT DETERMINED UNTIL AFTER ALL DISCOUNTS AND ANY ASSOCIATED PAYMENTS ARE TAKEN INTO ACCOUNT. IF ANY PAYMENTS ARE RECEIVED AFTER A PATIENT ACCOUNT IS DETERMINED TO BE BAD DEBT, THE ACCOUNT WILL BE ADJUSTED ACCORDINGLY AT THAT TIME. |
| PART III, LINE 9B: | AS OF THE FILING OF THIS RETURN, MCCULLOUGH-HYDE MEMORIAL HOSPITAL, AS PART OF TRIHEALTH, INC., MAINTAINS A WRITTEN DEBT COLLECTION POLICY. TRIHEALTH, INC., WHO PERFORMS THE BILLING SERVICES FOR ALL AFFILIATED HOSPITALS, WILL NOT INITIATE COLLECTION PRACTICES ON PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. BEFORE COLLECTION ACTIONS ARE TAKEN, TRIHEALTH, INC. WILL MAKE REASONABLE EFFORTS, GENERALLY AS EARLY IN THE BILLING PROCESS AS POSSIBLE, TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. AFTER SUCH EFFORTS HAVE BEEN MADE AND A BALANCE REMAINS THAT IS THE RESPONSIBILITY OF THE PATIENT OR GUARANTOR, TRIHEALTH, INC. MAY PURSUE, IN ITS SOLE DISCRETION, WHATEVER ACTIONS IT MAY BE ENTITLED TO TAKE UNDER LAW. |
| PART VI, LINE 2: | MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("MHMH") PARTICIPATED IN A PROCESS OF COMMUNITY HEALTH NEEDS ASSESSMENT DURING TAX YEAR 2013 AND TAX YEAR 2015. AS A FOLLOW UP TO THOSE CHNAS, FOR TAX YEAR 2018, TRIHEALTH, INC. AND ITS HOSPITALS, WHICH INCLUDES MHMH, JOINED THIRTY-ONE (31) OTHER HOSPITALS IN THE GREATER CINCINNATI-DAYTON REGION TO SPONSOR AND FUND A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT ENTITLED "SW OHIO, N KENTUCKY, SE INDIANA COMMUNITY HEALTH NEEDS ASSESSMENT REPORT 2019" THAT SPANS TWENTY-FIVE (25) COUNTIES. THE REGIONAL CHNA REPORT COVERS GREATER DAYTON AND GREATER CINCINNATI, WHICH INCLUDES NORTHERN KENTUCKY AND SOUTHEASTERN INDIANA. THE 2019 CHNA REPORT SHARES DATA FOR THE WHOLE REGION AS WELL AS DETAILED COUNTY-LEVEL DATA. IT ALSO ADDED THE VOICE OF THE SOUTHWEST OHIO MEMBERS OF THE ASSOCIATION OF OHIO HEALTH COMMISSIONERS. DEVELOPING A BROAD CHNA HELPS FULFILL THE STATE OF OHIO'S REQUIREMENT MANDATING THAT HEALTH DEPARTMENTS AND HOSPITALS ALIGN THEIR ASSESSMENTS.FROM THIS LARGER REPORT, MHMH DEVELOPED A CHNA AND ASSOCIATED IMPLEMENTATION STRATEGY BASED ON THE COUNTY BREAKDOWN AND DISCUSSION WITH LOCAL LEADERS WITH EXPERTISE IN THE AREAS WHICH NEED TO BE ADDRESSED.THE FULL TEXT OF THIS NEEDS ASSESSMENT IS AVAILABLE ON MHMH'S WEBSITE. SEE SCHEDULE H, PART V, LINE 7A FOR THE URL. |
| PART VI, LINE 3: | TRIHEALTH, INC. PERFORMS THE BILLING SERVICES FOR ALL AFFILIATED HOSPITALS INCLUDING MCCULLOUGH-HYDE MEMORIAL HOSPITAL BROCHURES/APPLICATIONS, PROVIDED IN MULTIPLE LANGUAGES, ARE VISIBLE AND AVAILABLE IN THE REGISTRATION AND ADMITTING AREAS OF ALL TRIHEALTH AFFILIATED HOSPITALS. IN ADDITION, THE APPLICATION IS PRINTED ON THE REVERSE SIDE OF A PATIENT'S BILL WITH INSTRUCTIONS ON HOW TO COMPLETE THE APPLICATION AS WELL AS HOW TO RETURN IT. FINANCIAL COUNSELORS ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. FINALLY, TRIHEALTH, INC.'S WEBSITE CONTAINS INFORMATION REGARDING ITS CHARITY CARE AND FINANCIAL ASSISTANCE PROGRAMS WITH DIRECTIONS ON HOW TO CONTACT THE APPROPRIATE PERSONNEL TO INITIATE AN APPLICATION OR ASK QUESTIONS ABOUT THE PROCESS. |
| PART VI, LINE 4: | MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("MHMH") SERVES A DIVERSE DEMOGRAPHIC INCLUDING THE NORTHWESTERN CORNER OF BUTLER COUNTY, OHIO, THE SOUTHWESTERN CORNER OF PREBLE COUNTY, OHIO AND THE COUNTIES OF FRANKLIN AND UNION IN INDIANA. THE MAIN CAMPUS IS LOCATED IN OXFORD, OHIO, THE HOME OF MIAMI UNIVERSITY. OXFORD HAS A POPULATION RANGING FROM 30,000 DURING THE SCHOOL YEAR TO HALF THAT NUMBER DURING THE SUMMER.BUTLER COUNTY IN OHIO IS ONE OF THE MOST POPULATED COUNTIES IN THE REGION AND INCLUDES THE CITIES OF HAMILTON, MIDDLETOWN AND OXFORD. MANY OF THE CITIES IN THE COUNTY ARE EXPERIENCING GROWTH, AND ONLY ABOUT 9% IS CONSIDERED RURAL. THE ESTIMATED POPULATION OF THE COUNTY IS 385,000 WITH APPROXIMATELY 12.5% IN POVERTY AND APPROXIMATELY 7% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. BUTLER COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $62,000 WITH 90% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (30% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4%. APPROXIMATELY 15% OF THE POPULATION IS 65 YEARS AND OLDER, 80% IS WHITE, 9% IS AFRICAN-AMERICAN, 5% IS HISPANIC, 4% ASIAN AND 2% OTHER.PREBLE COUNTY IN OHIO IS MORE THAN 69% RURAL. THE ESTIMATED POPULATION OF THE COUNTY IS 41,000 WITH APPROXIMATELY 10% IN POVERTY AND APPROXIMATELY 7% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. PREBLE COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $53,000 WITH 89% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (14% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4%. APPROXIMATELY 19% OF THE POPULATION IS 65 YEARS AND OLDER, 96% IS WHITE, 1% IS AFRICAN-AMERICAN, 1% IS HISPANIC, 1% ASIAN AND 1% OTHER.FRANKLIN COUNTY IN INDIANA IS 88% RURAL. THE ESTIMATED POPULATION OF THE COUNTY IS 23,000 WITH APPROXIMATELY 9% IN POVERTY AND APPROXIMATELY 9% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. FRANKLIN COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $56,000 WITH 88% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (20% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 3.0 TO 3.5%. APPROXIMATELY 18.5% OF THE POPULATION IS 65 YEARS AND OLDER, 96% IS WHITE, 1.5% IS HISPANIC, 1% ASIAN AND 1.5% OTHER.UNION COUNTY IN INDIANA IS 100% RURAL. THE ESTIMATED POPULATION OF THE COUNTY IS 7,000 WITH APPROXIMATELY 11% IN POVERTY AND APPROXIMATELY 9% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. UNION COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $45,500 WITH 88% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (18% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 3.0 TO 3.5%. APPROXIMATELY 19% OF THE POPULATION IS 65 YEARS AND OLDER, 95% IS WHITE, 2% IS HISPANIC AND 3% OTHER. |
| PART VI, LINE 5: | MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("MHMH") IS BASED ON A PATIENT-CENTERED, CARING PHILOSOPHY. ITS STAFF IS DEDICATED TO PROVIDING SAFE AND HIGH-QUALITY SERVICES, WITH THE UTMOST KINDNESS AND COMPASSION. MHMH HAS AN OPEN MEDICAL STAFF WHO HAVE IMPECCABLE TRAINING, EXPERIENCE AND SKILLS. THE VAST MAJORITY ARE BOARD-CERTIFIED IN THEIR CHOSEN PROFESSIONAL FIELD. FOUNDED IN 1957, MHMH OFFERS 45 ACUTE INPATIENT BEDS INCLUDING INTENSIVE CARE, MEDICAL-SURGICAL AND OBSTETRICS AS WELL AS PROVIDES A 24-HOUR EMERGENCY ROOM AT ITS MAIN CAMPUS IN OXFORD, OHIO. MHMH ALSO OFFERS AN ARRAY OF OUTPATIENT MEDICAL AND SURGICAL SERVICES, INCLUDING OUTPATIENT SURGERY, ONCOLOGY/INFUSION CENTER, PHYSICAL THERAPY AND DIAGNOSTIC SERVICES WHICH INCLUDE LABORATORY AND IMAGING SERVICES. MHMH HOUSES NUMEROUS SPECIALISTS TO CARE FOR A MULTITUDE OF NEEDS AND OFFERS SERVICES AT OUR REGIONAL CAMPUSES LOCATED IN HAMILTON, ROSS AND CAMDEN, OHIO AND BROOKVILLE, INDIANA. THROUGH OUR AFFILIATION WITH TRIHEALTH, INC. THE RESOURCES OF BETHESDA NORTH, BETHESDA BUTLER, GOOD SAMARITAN AND TRIHEALTH EVENDALE HOSPITALS ARE ALSO AVAILABLE TO OUR CLIENTS.MHMH SERVES ALMOST 100,000 PEOPLE ANNUALLY. THIS INCLUDES MORE THAN 2,000 ADMISSIONS, OVER 15,000 EMERGENCY ROOM VISITS, MORE THAN 80,000 OUTPATIENT VISITS, AND MORE THAN 400 NEW BABIES EACH YEAR. |
| PART VI, LINE 6: | IN 1995, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND BETHESDA HOSPITAL, INC. FORMED A PARTNERSHIP CALLED TRIHEALTH IN ORDER TO CREATE AN INTEGRATED HEALTH DELIVERY SYSTEM WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE THEY SERVE, WITH AN EMPHASIS ON PREVENTION, WELLNESS AND EDUCATION.THROUGH FIVE (5) HOSPITALS, FIVE (5) AMBULATORY LOCATIONS AND OVER 125 SITES OF CARE (EMPLOYING OVER 600 PHYSICIANS INCLUDING RESIDENTS), TRIHEALTH PROVIDES A WIDE RANGE OF CLINICAL, EDUCATIONAL, PREVENTIVE AND SOCIAL PROGRAMS. TRIHEALTH'S NON-HOSPITAL SERVICES INCLUDE PHYSICIAN PRACTICE MANAGEMENT, FITNESS CENTERS AND FITNESS CENTER MANAGEMENT, OCCUPATIONAL HEALTH CENTERS, HOME HEALTH AND HOSPICE CARE.HTTPS://WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/ |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OXFORD COLLEGE CORNER CLINIC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 390 | AddressLine1Txt |
| City | OXFORD | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45056 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 204253386 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $21,662 | CashGrantAmt |
| Purpose Of Grant | ANNUAL FUNDING | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("MHMH") PROVIDES FUNDS TO ONLY LOCAL ORGANIZATIONS FOR SPECIFIC ACTIVITIES AND NOT ONGOING ACTIVITIES. THE LOCAL ORGANIZATION PROVIDES A RECEIPT OF SUCH FUNDS WHICH SERVES AS MHMH'S SUBSTANTIATION. THUS, THE NEED TO MONITOR THE USE OF THE FUNDS IS NOT NEEDED BY MHMH. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROB CERCEK | ||||||||||||||
| VICE CHAIR (END 10/19) | $0 | $455,459 | $0 | $118,061 | $0 | $70,452 | $0 | $106,374 | $0 | $22,866 | $0 | $773,212 | $0 | $0 |
| MICHAEL CROFTON | ||||||||||||||
| DIRECTOR | $0 | $312,830 | $0 | $47,263 | $0 | $6,284 | $0 | $88,322 | $0 | $25,521 | $0 | $480,220 | $0 | $0 |
| MARK CLEMENT | ||||||||||||||
| DIRECTOR | $0 | $1,158,232 | $0 | $264,531 | $0 | $58,822 | $0 | $329,321 | $0 | $17,554 | $0 | $1,828,460 | $0 | $0 |
| KEVIN JOSEPH MD | ||||||||||||||
| DIRECTOR | $0 | $535,110 | $0 | $124,151 | $0 | $33,088 | $0 | $125,353 | $0 | $31,823 | $0 | $849,525 | $0 | $0 |
| STEVE GRACEY | ||||||||||||||
| SECRETARY (START 7/19) | $0 | $429,210 | $0 | $86,917 | $0 | $18,522 | $0 | $109,962 | $0 | $31,350 | $0 | $675,961 | $0 | $0 |
| JOHN WARD | ||||||||||||||
| TRUSTEE (START 12/19) | $0 | $416,123 | $0 | $84,343 | $0 | $29,998 | $0 | $131,884 | $0 | $25,963 | $0 | $688,311 | $0 | $0 |
| PAM COLLINS | ||||||||||||||
| CHIEF PATIENT SVCS OFFICER | $0 | $163,506 | $0 | $39,784 | $0 | $4,159 | $0 | $39,178 | $0 | $10,803 | $0 | $257,430 | $0 | $0 |
| MICHAEL EVERETT | ||||||||||||||
| PRESIDENT-MHMH | $0 | $142,071 | $0 | $20,000 | $0 | $10,081 | $0 | $11,129 | $0 | $12,084 | $0 | $195,365 | $0 | $0 |
| GREGORY CALKINS MD | ||||||||||||||
| PHYSICIAN | $159,648 | $0 | $0 | $0 | $0 | $0 | $2,568 | $0 | $25,925 | $0 | $188,141 | $0 | $0 | $0 |
| SHARON HANCOCK | ||||||||||||||
| SITE DIRECTOR - HR | $105,791 | $0 | $7,689 | $0 | $53,843 | $0 | $1,439 | $0 | $13,000 | $0 | $181,762 | $0 | $0 | $0 |
| STEVEN VORDENBERG | ||||||||||||||
| PHYSICIAN ASSISTANT | $137,010 | $0 | $0 | $0 | $379 | $0 | $3,484 | $0 | $10,771 | $0 | $151,644 | $0 | $0 | $0 |
| NATHAN SIMMONS | ||||||||||||||
| DIRECTOR-PHARMACY SERVICES | $145,904 | $0 | $9,360 | $0 | $1,113 | $0 | $3,971 | $0 | $12,045 | $0 | $172,393 | $0 | $0 | $0 |
| GAIL DONOVAN | ||||||||||||||
| FORMER OFFICER | $0 | $740,011 | $0 | $155,885 | $0 | $7,922 | $0 | $189,660 | $0 | $9,696 | $0 | $1,103,174 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINES 4A-B | ELIGIBLE EXECUTIVES (GENERALLY VICE PRESIDENTS AND ABOVE) PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NONE OF THE INDIVIDUAL(S) LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION BY TRIHEALTH, INC. |
| PART I, LINES 3 | TRIHEALTH, INC., A RELATED ORGANIZATION OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE. |
| PART I, LINE 4A | THE REPORTABLE INDIVIDUALS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INCORPORATED ARE PAID BY TRIHEALTH, INC., A RELATED ORGANIZATION, RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3). TRIHEALTH, INC. HAS A STANDARD EMPLOYEE SEVERANCE PACKAGE. GENERAL SEVERANCE PAY IS BASED ON LENGTH OF SERVICE. IN ADDITION, NOTICE PAY, IF APPLICABLE UNDER TRIHEALTH, INC. POLICY, MAY BE ADDED TO THE SEVERANCE PACKAGE AND THE AMOUNT OF NOTICE PAY WILL BE DETERMINED BY HUMAN RESOURCES IN ACCORDANCE WITH TRIHEALTH, INC. POLICY. PAYMENTS OF SEVERANCE ARE CONDITIONED UPON SIGNING A SEPARATION AND RELEASE AGREEMENT. THE FOLLOWING REPORTABLE INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC. DURING THE 2019 CALENDAR YEAR. SHARON HANCOCK - $27,418 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR AND THREE (3) ADDITIONAL BOARD MEMBERS ELECTED TO THE EXECUTIVE COMMITTEE BY THE BOARD. THE BOARD CHAIR SHALL CHAIR THE EXECUTIVE COMMITTEE. DURING THE INTERVALS BETWEEN BOARD MEETINGS, THE EXECUTIVE COMMITTEE MAY EXERCISE ALL THE POWERS AND FUNCTIONS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT AND DIRECTION OF THE AFFAIRS OF THE CORPORATION IN MATTERS OF URGENCY WHICH REQUIRE ACTION BETWEEN REGULARLY SCHEDULED OR SPECIAL MEETINGS OF THE BOARD OF DIRECTORS. THREE (3) MEMBERS OF THE EXECUTIVE COMMITTEE SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF BUSINESS AND THE ACT OF THREE (3) OF THEM SHALL CONSTITUTE THE ACT OF THE EXECUTIVE COMMITTEE. ALL ACTIONS OF THE EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE BOARD OF DIRECTORS AT ITS NEXT MEETING SUCCEEDING SUCH ACTION. |
| FORM 990, PART VI, SECTION A, LINE 2 | JAMES FORMAL, ALAN OAK, HILLARY EVANS, MD AND STEVE SNYDER HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF DIRECTORS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL TRUST. MARK CLEMENT AND MYRTIS POWELL HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF DIRECTORS OF THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE, ALL AFFILIATED ENTITIES OF TRIHEALTH, INC. MARK CLEMENT, KEVIN JOSEPH, MD, MICHAEL EVERETT, MICHAEL CROFTON, STEVE GRACEY AND ROB CERCEK HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF BEING EMPLOYEES OF TRIHEALTH, INC., THE SOLE MEMBER OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 4 | EFFECTIVE JULY 1, 2019, TRIHEALTH, INC. ("TRIHEALTH") PURCHASED THE REMAINING 40% OWNERSHIP INTEREST IN MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("HOSPITAL") FROM THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL ENDOWMENT FUND ("FUND"). AT THAT TIME, THE ARTICLES OF INCORPORATION AND THE CODE OF REGULATIONS WERE AMENDED IN ORDER TO REMOVE ANY REFERENCE OF THE FUND AS A MEMBER OF THE HOSPITAL AND TO SHOWN THAT TRIHEALTH WAS THE SOLE MEMBER INCLUDING ALL RIGHTS THAT GO WITH THAT DESIGNATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | TRIHEALTH, INC. IS THE SOLE MEMBER OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS OF MHMH SHALL CONSIST OF TEN (10) INDIVIDUALS APPOINTED BY THE MEMBER AND MAY INCLUDE THE MEMBER'S SENIOR MANAGEMENT, PHYSICIANS, MEMBERS OF THE COMMUNITY AND SUCH OTHER PERSONS AS THE MEMBER DETERMINES APPROPRIATE, WITH NO MINIMUM REPRESENTATION OF ANY STAKEHOLDER. EACH DIRECTOR SHALL SERVE FOR A TERM OF FOUR (4) YEARS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER ("MEMBER") OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("MHMH") SHALL HAVE ALL RIGHTS AFFORDED TO MEMBERS OF NONPROFIT CORPORATIONS UNDER SECTION 1702 OF THE OHIO REVISED CODE, AS AMENDED. THE CHIEF EXECUTIVE OFFICER OF TRIHEALTH, INC. ("CEO OF THE MEMBER") IS THE PERSON APPOINTED BY THE MEMBER TO OVERSEE THE ACTIVITIES AND AFFAIRS OF THE CORPORATION, AND THE CEO OF THE MEMBER MAY DELEGATE THIS RESPONSIBILITY TO ONE OR MORE OTHER EXECUTIVES EMPLOYED BY THE MEMBER. THE MEMBER SHALL HAVE THE POWER TO TRANSFER ASSETS OF THE CORPORATION OR TO REQUIRE THE CORPORATION TO TRANSFER ASSETS TO THE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MEMBER'S GOALS AND OBJECTIVES, AND TO PROVIDE FOR THE PAYMENT OF ALL INDEBTEDNESS OF THE MEMBER OR AN ENTITY CONTROLLED BY, CONTROLLING, OR UNDER COMMON CONTROL WITH THE MEMBER (FOR PURPOSES OF THIS SECTION, A "MEMBER AFFILIATE"), ISSUED OR INCURRED BY OR ON BEHALF OF THE MEMBER OR A MEMBER AFFILIATE IN FURTHERANCE OF THE MEMBER'S GOALS AND OBJECTIVES. THE CORPORATION SHALL NOT BE REQUIRED TO VIOLATE ITS CHARITABLE PURPOSES, THE TERMS OF ANY RESTRICTED GIFTS, THE PROVISIONS OF THE NETWORK AFFILIATION AGREEMENT, THE PROVISIONS OF THE ORDERS, OR THE COVENANTS OF ITS DEBT INSTRUMENTS AS A RESULT OF ANY ASSET TRANSFERS MADE OR DIRECTED BY THE MEMBER. THE CORPORATION SHALL NOT TRANSFER ASSETS TO ENTITIES OTHER THAN THE MEMBER OR MEMBER AFFILIATES WITHOUT THE APPROVAL OF THE MEMBER, EXCEPT FOR TRANSFERS PREVIOUSLY APPROVED BY THE MEMBER, EITHER INDIVIDUALLY OR AS PART OF THE MEMBER BUDGET PROCESS, AND EXCEPT FOR TRANSFERS TO AN AFFILIATE OR SUBSIDIARY OF THE CORPORATION, BUT SUBJECT IN ALL CASES TO THE PROVISIONS OF THE NETWORK AFFILIATION AGREEMENT AND THE ORDERS. TO THE EXTENT PERMITTED BY LAW AND IN ADDITION TO ANY AUTHORIZATION, CONSENT, OR APPROVAL REQUIRED BY ANY RULE OR REGULATION, ANY MATTER OR TRANSACTION OF THE CORPORATION REQUIRING APPROVAL, REVIEW AND/OR RECOMMENDATION BY THE MEMBER UNDER THE NETWORK AFFILIATION AGREEMENT OR THE ORDERS MUST BE APPROVED, REVIEWED OR RECOMMENDED BY THE MEMBER BEFORE THE CORPORATION MAY ENGAGE OR PARTICIPATE IN, UTILIZE ITS INCOME OR ASSETS IN CONNECTION WITH, OR OTHERWISE BE ASSOCIATED WITH SUCH MATTERS OR TRANSACTIONS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE INTERNAL REVENUE SERVICE, FOR REVIEW AND APPROVAL PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS ARE REQUIRED TO ANNUALLY DISCLOSE CERTAIN FINANCIAL INTERESTS AND FIDUCIARY RELATIONSHIPS. THE EXECUTIVE COMMITTEE AND CORPORATE COUNSEL REVIEW RESPONSES, CONDUCT FURTHER INVESTIGATION, IF NECESSARY, AND DETERMINE WHEN A CONFLICT EXISTS WITH RESPECT TO A CERTAIN TRANSACTION. IF A CONFLICT EXISTS, THE TRANSACTION IS NOT TO BE ENTERED INTO UNLESS ALTERNATIVES ARE FULLY INVESTIGATED AND, IN THEIR ABSENCE, THE BOARD, WITHOUT PARTICIPATION OF THE INTERESTED MEMBER(S), DETERMINES THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. PLANS TO MANAGE THE CONFLICT DURING THE RELATIONSHIP ARE IMPLEMENTED. ALL DISCUSSIONS ARE APPROPRIATELY DOCUMENTED. ALL DIRECTORS AND MANAGERS, WHICH INCLUDE OFFICERS AND KEY EMPLOYEES, ARE REQUIRED TO ANNUALLY DISCLOSE ANY CIRCUMSTANCES, INCLUDING FAMILY AND BUSINESS RELATIONSHIPS, THAT MAY CAUSE A CONFLICT OF INTEREST FOR THE ORGANIZATION. THESE RESPONSES ARE REVIEWED AND ACTED UPON BY A CONFLICT OF INTEREST COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | MCCULLOUGH-HYDE MEMORIAL HOSPITAL'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. IN ADDITION, THE FINANCIAL STATEMENTS ARE PRESENTED TO THE CITY COUNCIL OF OXFORD ANNUALLY AT A MEETING THAT IS OPEN TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | REMOVAL OF NON-CONTROLLING INTEREST -3,966,550. MISCELLANEOUS 139. |
| FORM 990, PART XII, LINE 2C | THE FINANCIAL STATEMENTS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL ARE AUDITED AS PART OF TRIHEALTH, INC. AND ITS SUBSIDARIES AND AFFILIATES ("TRIHEALTH"). TRIHEALTH HAS A COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF BOTH ITS AND ITS SUBSIDIARIES AND AFFILIATES FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF THE INDEPENDENT AUDITOR. DURING THE TAX YEAR, THERE WAS NOT A CHANGE IN THE PROCESS OF AUDIT OVERSIGHT AND/OR SELECTION OF AN INDEPENDENT AUDITOR BY TRIHEALTH. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| TRIHEALTH INC | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311438846 | SUPPORT TO AFFILIATED HOSPITALS | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 12B | N/A | 0 | |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL ENDOWMENT FUND | |||||||||||
| 110 NORTH POPLAR | OXFORD | OH | 45056 | 237374256 | OBTAIN CHARITABLE CONTRIBUTIONS, MANAGE THEM AND DISBURSE BY BOARD | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 12C | N/A | 0 | |
| GOOD SAMARITAN HOSPITAL FREE CLINIC | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 273893817 | HEALTHCARE SERVICES | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 7 | Yes (1) | TRIHEALTH INC | |
| TRIHEALTH PHYSICIAN ENTERPRISE CORP | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311383365 | PHYSICIAN PRACTICES | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 10 | Yes (1) | TRIHEALTH INC | |
| TRIHEALTH PHYSICIAN INSTITUTE | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311074519 | PHYSICIAN PRACTICES | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 10 | Yes (1) | TRIHEALTH INC | |
| BETHESDA HOSPITAL INC | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 310537122 | INPATIENT AND OUTPATIENT SERVICES | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 3 | 0 | TRIHEALTH INC | |
| BETHESDA HEALTHCARE INC | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311027660 | HEALTHCARE SERVICES | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 12B | Yes (1) | BETHESDA INC | |
| BETHESDA FAMILY PRACTICE CENTER | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311242442 | HEALTHCARE SERVICES | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 12A | Yes (1) | BETHESDA HOSPITAL INC | |
| BETHESDA PROPERTIES INC | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311352694 | PROPERTY MANAGEMENT | OH | SECTION 501(C)(2) | Yes (1) | BETHESDA HOSPITAL INC | ||
| HOSPICE OF CINCINNATI INCORPORATED | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 310917155 | HOSPICE SERVICES | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 10 | Yes (1) | BETHESDA HOSPITAL INC | |
| FERNSIDE INC A CENTER FOR GRIEVING CHILDREN | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311179234 | COUNSELING TO GRIEVING CHILDREN | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 7 | Yes (1) | HOSPICE OF CINCINNATI INCORPORATED | |
| THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 310537486 | INPATIENT AND OUTPATIENT SERVICES | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 3 | 0 | TRIHEALTH INC | |
| GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311778403 | EDUCATION | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 2 | Yes (1) | THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO | |
| COMMUNITY LIMITED CARE DIALYSIS CENTER | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 237419853 | DIALYSIS | OH | SECTION 501(C)(2) | Yes (1) | THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| HEALTHCARE SOLUTIONS NETWORK LLC | |||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 472103334 | PHYSICIAN HOSPITAL ORGANIZATION | OH | N/A |
| PREFERRED LAB PARTNERS LLC | |||||||
| ONE MEDICAL VILLAGE DR SUITE B | EDGEWOOD | KY | 41017 | 824758763 | LABORATORY SERVICES | KY | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRIHEALTH PHYSICIANS OF INDIANA INC | ||||||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 461125130 | PHYSICIAN PRACTICES | OH | N/A | C | Yes (1) | |||||
| TRIHEALTH PHYSICIAN SOLUTIONS INC | ||||||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311444353 | CLAIMS ADMINISTRATION | OH | N/A | C | Yes (1) | |||||
| TRIHEALTH CIPHO INC | ||||||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 463294306 | PHYSICIAN HEALTH ORGANIZATION | OH | N/A | C | Yes (1) | |||||
| PREMIERE MEDICAL OWNERS ASSOCIATION | ||||||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 141913019 | CONDO ASSOCIATION | OH | N/A | C | Yes (1) | |||||
| SERVE INSURANCE LTD | ||||||||||||||
| 981529310 | ALTERNATIVE RISK FINANCING | N/A | C | Yes (1) | PO BOX 69 | CAMANA BAY | GRAND CAYMAN | CJ | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| TRIHEALTH PHYSICIAN ENTERPRISE CORP | ||
| A | $250,361 | FMV |
| TRIHEALTH INC | ||
| M | $901,833 | COST |
| TRIHEALTH PHYSICIAN ENTERPRISE CORP | ||
| M | $169,351 | COST |
| TRIHEALTH INC | ||
| P | $30,126,277 | COST |