2021-05-17T08:47:50-05:00 2020-06-30 861065772 DELOITTE TAX LLP 250 EAST FIFTH STREET SUITE 1900 CINCINNATI OH 45202 990 2019-07-01 237374256 MCCULLOUGH-HYDE MEMORIAL HOSPITAL ENDOWMENT FUND MCCU 5135245310 110 NORTH POPLAR STREET OXFORD OH 45056 MARY BUTTERFIELD SECRETARY/TREASURER 5135245310 2021-05-17 1 ALICIA JANISCH P00741382 5137847100 2019 2022-09-23 18:48:47Z MCCULLOUGH-HYDE MEMORIAL HOSPITAL FOUNDATION STEPHEN SNYDER 110 NORTH POPLAR STREET OXFORD OH 45056 5550295 0 X WWW.MHMH.ORG X 1942 OH TO SUPPORT HEALTH, EDUCATIONAL AND BUILDING PROGRAMS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL. 10 10 0 10 0 0 393773 525289 0 0 503363 -5042214 61658 61005 958794 -4455920 0 0 0 0 0 0 0 0 52250 584129 755957 584129 755957 374665 -5211877 23667065 18319396 151180 176241 23515885 18143155 X TO SUPPORT HEALTH, EDUCATIONAL AND BUILDING PROGRAMS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL. 0 0 169661 0 0 SUPPORT FOR MCCULLOUGH-HYDE MEMORIAL HOSPITAL'S DEVELOPMENT DEPARTMENT: THE TRUST PROVIDES SUPPORT FOR THE HOSPITAL'S DEVELOPMENT DEPARTMENT THAT ACTS AS A LIAISON BETWEEN THE HOSPITAL AND THE DONOR COMMUNITY. EFFORTS OF THIS DEPARTMENT OVER THE YEARS HAS PRODUCED AN ENDOWMENT OF $13.2 MILLION IN UNRESTRICTED CONTRIBUTIONS AND $5.0 MILLION IN DESIGNATED GIFTS. 108915 0 0 SUPPORT FOR HEALTH PROGRAMS: THE TRUST PROVIDED SUPPORT FOR NEEDY PATIENTS REQUIRING TRANSPORTATION, ONCOLOGY MEDICINES AND TEMPORARY ASSISTANCE DURING MEDICAL EMERGENCIES AS WELL AS SUPPORT FOR THE OXFORD FREE CLINIC. 87361 0 0 SUPPORT FOR EDUCATIONAL NEEDS: THE TRUST FUNDED HEALTH CAREER SCHOLARSHIPS, EARLY CHILDHOOD DEVELOPMENT, STAFF CONTINUING EDUCATION AND STAFF CAREER DEVELOPMENT PROGRAMS. 115348 0 0 SUPPORT FOR BUILDING AND EQUIPMENT NEEDS: THE TRUST FUNDED THE PURCHASE OF NECESSARY EQUIPMENT FOR THE HOSPITAL IN ORDER TO FURTHER ITS EXEMPT PURPOSE. FOR THE CURRENT YEAR, THE SUPPORT TOTALED $85,848.SUPPORT FOR PANDEMIC CHILD CARE: DURING THE EARLY DAYS OF THE COVID-19 PANDEMIC, THE TRUST FUNDED CHILD CARE FOR THE HOSPITAL'S STAFF. FOR THE CURRENT YEAR, THE SUPPORT TOTALED $29,500. 115348 0 0 481285 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 X MARY BENNETT CHIEF DEVELOPMENT OFFICER 5135232111 110 NORTH POPLAR STREET OXFORD OH 45056 X ALAN OAK CHAIR (END 6/2020) 1.00 0.00 X X 0 0 0 MARY BUTTERFIELD SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 STEPHEN FLEE TRUSTEE 1.00 0.00 X 0 0 0 DANIEL STEIN MD TRUSTEE 1.00 0.00 X 0 0 0 LISA CIAMPA TRUSTEE 1.00 0.00 X 0 0 0 THOMAS MCQUISTON TRUSTEE 1.00 0.00 X 0 0 0 JOHN HARLAN MD TRUSTEE (END 6/2020) 1.00 0.00 X 0 0 0 TIM MCGOWAN TRUSTEE (START 7/2019) 1.00 0.00 X 0 0 0 SIBYL MILLER TRUSTEE (START 7/2019) 1.00 0.00 X 0 0 0 STEPHEN SNYDER VICE CHAIR 1.00 0.00 X X 0 0 0 0 0 0 0 0 0 0 MCCULLOUGH-HYDE MEMORIAL HOSPITAL 110 N POPLAR STREET OXFORD OH 45056 ADMINISTRATIVE STAFFING 179422 1 525289 525289 398704 398704 140401 79396 61005 61005 61005 519351 3966550 201566 9725253 317785 -5758703 -5440918 -5440918 -4455920 0 0 -4981209 179422 89711 71769 17942 52443 52443 45582 45582 5633 5633 68155 40498 27657 10318 10318 46109 26545 15651 3913 18236 8944 7468 1824 3290 3290 5325 5325 9138 3963 4261 914 HEALTH PROGRAMS 108915 108915 EDUCATIONAL PROGRAMS 87361 87361 BUILDING & EQUIPMENT 85848 85848 PANDEMIC CHILD CARE 29500 29500 682 682 755957 481285 222422 52250 396899 262532 43856 56280 2780 2465 3714 13388 1393116 760899 634004 632217 12825823 17352514 9759989 0 23667065 18319396 104844 39092 46336 137149 151180 176241 X 18757639 13428237 4758246 4714918 23515885 18143155 23667065 18319396 X -5211877 -169693 11365 -2525 X X 0 1 X 1 0 X X 1 MCCULLOUGH-HYDE MEMORIAL HOSPITAL INC 310650283 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART D, LINE 3 THERE IS A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL ENDOWMENT FUND ("FUND") AND ITS SUPPORTED ORGANIZATION, MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("HOSPITAL"). FIRST, THE ORIGINAL RESOURCES THAT CREATED THE FUND WERE GIVEN FOR THE SOLE PURPOSE OF ERECTING, MAINTAINING AND OPERATING A HOSPITAL IN OXFORD, OHIO, WHICH ULTIMATELY BECAME THE HOSPITAL IN 1957. SECOND, UNTIL JANUARY 1, 2015, THE BOARD OF THE FUND WAS IDENTICAL TO THE BOARD OF THE HOSPITAL THUS THE HOSPITAL HAD A SIGNIFICANT SAY IN THE FUND'S OPERATIONS. IN ADDITION, EMPLOYEES OF THE HOSPITAL PERFORMED MANY OF THE FUND'S DAY-TO-DAY OPERATIONS ON BEHALF OF IT INCLUDING FUNDRAISING, ADMINISTRATION AND ACCOUNTING. THIRD, FROM JANUARY 2015 TO JULY 2019, AFTER AN AFFILIATION WITH TRIHEALTH, INC. (AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3)), THE FUND MAINTAINED REPRESENTATION ON THE HOSPITAL'S BOARD OF DIRECTORS HOLDING FOUR OF THE TEN MEMBER POSITIONS. ALTHOUGH NOT A MAJORITY, IT ALLOWED THE FUND TO HAVE A SAY IN THE OPERATIONS OF THE HOSPITAL. FOURTH, EFFECTIVE JULY 1, 2019, THE FUND TRANSFERRED ITS REMAINING OWNERSHIP PERCENTAGE IN THE HOSPITAL TO TRIHEALTH, INC. AFTER THE TRANSACTION, IT HAS MAINTAINED ONE SEAT ON THE HOSPITAL'S BOARD OF DIRECTORS ONCE AGAIN ALLOWING A SAY IN THE HOSPITAL'S OPERATIONS. FINALLY, THE FUND IS RESPONSIBLE FOR RECEIVING ALL CHARITABLE CONTRIBUTIONS TO THE HOSPITAL, MANAGING AND DISTRIBUTING THOSE FUNDS, AND ENSURING THEIR USE IS IN ACCORDANCE WITH DONOR WISHES. THE FUND DEVELOPMENT OFFICE WORKS WITH THE HOSPITAL'S BOARD OF DIRECTORS TO DETERMINE HOW FUNDS ARE DISTRIBUTED. HOSPITAL NEEDS ARE EVALUATED ANNUALLY TO ENSURE THE GREATEST NEEDS ARE MET FIRST. ALSO, THE HOSPITAL'S PRESIDENT AND OTHER EXECUTIVES ATTEND THE FUND'S BOARD OF DIRECTORS MEETINGS ON A REGULAR BASIS. PART E, LINE 2A THERE IS A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL ENDOWMENT FUND ("FUND") AND ITS SUPPORTED ORGANIZATION, MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("HOSPITAL"). THE ORIGINAL RESOURCES THAT CREATED THE FUND WERE GIVEN FOR THE SOLE PURPOSE OF ERECTING, MAINTAINING AND OPERATING A HOSPITAL IN OXFORD, OHIO, WHICH ULTIMATELY BECAME THE HOSPITAL IN 1957. THE FUND IS RESPONSIBLE FOR RECEIVING ALL CHARITABLE CONTRIBUTIONS TO THE HOSPITAL, MANAGING AND DISTRIBUTING THOSE FUNDS, AND ENSURING THEIR USE IS IN ACCORDANCE WITH DONOR WISHES, IF APPLICABLE. THE FUND DEVELOPMENT OFFICE WORKS WITH THE HOSPITAL'S BOARD OF DIRECTORS TO DETERMINE HOW FUNDS ARE DISTRIBUTED. HOSPITAL NEEDS ARE EVALUATED ANNUALLY TO ENSURE THE GREATEST NEEDS ARE MET FIRST. OVER THE YEARS, THE FUND HAS FOCUSED ON RAISING AND INVESTING MONIES TO SUPPORT EQUIPMENT, EDUCATION AND CAPITAL NEEDS OF THE HOSPITAL. PART E, LINE 2B THE SUPPORTED ORGANIZATION, MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("HOSPITAL"), GENERALLY WOULD NEED TO RAISE AND MANAGE FUNDS IN ORDER TO FURTHER ITS EXEMPT PURPOSE. INSTEAD, MCCULLOUGH-HYDE MEMORIAL HOSPITAL ENDOWMENT FUND RECEIVES ALL CHARITABLE CONTRIBUTIONS TO THE HOSPITAL, MANAGES AND DISTRIBUTES THOSE FUNDS TO SUPPORT EQUIPMENT, EDUCATION AND CAPITAL NEEDS OF HOSPITAL. THIS ALLOWS THE HOSPITAL TO FOCUS ON DELIVERING PATIENT CARE IN FURTHERANCE OF ITS EXEMPT PURPOSE. PART I, LINE 12G, COLUMN (VI) THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL FUND ("FUND") IS RESPONSIBLE FOR RECEIVING ALL CHARITABLE CONTRIBUTIONS FOR MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("HOSPITAL"), MANAGING AND DISTRIBUTING THOSE FUNDS, AND ENSURING THEIR USE IS IN ACCORDANCE WITH DONOR WISHES, IF APPLICABLE. THE FUND DEVELOPMENT OFFICE WORKS WITH THE HOSPITAL'S BOARD OF DIRECTORS TO DETERMINE HOW FUNDS ARE DISTRIBUTED. HOSPITAL NEEDS ARE EVALUATED ANNUALLY TO ENSURE THE GREATEST NEEDS ARE MET FIRST. OVER THE YEARS, THE FUND HAS FOCUSED ON RAISING AND INVESTING MONIES TO SUPPORT EQUIPMENT, EDUCATION AND CAPITAL NEEDS OF THE HOSPITAL. SEE FORM 990, PART III FOR ADDITIONAL INFORMATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13004388 4813690 177095 438943 17556230 12604449 323734 265638 189433 13004388 11841390 193753 970746 401440 12604449 10262930 276887 1301573 11841390 13193592 267788 402309 1038481 2518567 43711 10262930 0.73140 0.26860 0.00000 1 0 343670 343670 1008566 729135 279431 40880 31764 9116 632217 DUE TO MCCULLOUGH-HYDE MEMORIAL HOSPITAL 133772 MISCELLANEOUS 3377 137149 X -4543010 -169693 8840 -160853 -4382157 5633 -79396 -73763 -4455920 829720 79396 79396 750324 5633 5633 755957 PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED TO SUPPORT THE PROGRAMS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCLUDING HEALTH EDUCATION, HOSPITAL EQUIPMENT AND COMMUNITY HEALTH. PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE FOUNDATION IS NOT A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A)(3) OF THE INTERNAL REVENUE CODE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FOUNDATION AND RECOGNIZE A TAX LIABILITY IF THE FOUNDATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FOUNDATION, AND HAS CONCLUDED THAT, AS OF JUNE 30, 2020 AND 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE FOUNDATION'S INFORMATION RETURNS FOR THE YEARS 2017 THROUGH 2020 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE, ALTHOUGH THAT AGENCY HAS NOT INDICATED ANY INTENT TO DO SO. THE LLC IS A DISREGARDED ENTITY AND IS REPORTED AS A DIVISION OF THE FOUNDATION ON THE FOUNDATION'S INFORMATION RETURN. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN MHMH REPORTED ON 990, PT XI, LN 9 -15,305. PRIOR PERIOD ADJUSTMENT REPORTED ON 990, PT XI, LN 8 11,365. FUND BALANCE REDESIGNATION REPORTED ON 990, PT XI, LN 9 12,780. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES REPORTED ON FORM 990, PART VIII, LINE 6B -79,396. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES REPORTED ON FORM 990, PART VIII, LINE 6B 79,396. FORM 990, PART VI, SECTION A, LINE 7A THE MAYOR OF THE CITY OF OXFORD APPOINTS, WITH THE APPROVAL OF THE OXFORD CITY COUNCIL, THE BOARD MEMBERS OF THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL ENDOWMENT FUND TO FIVE-YEAR TERMS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE BOARD PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN MCCULLOUGH-HYDE MEMORIAL HOSPITAL PRIOR TO TRANSFER -15,305. FUND BALANCE REDESIGNATION 12,780. MCCULLOUGH-HYDE MEMORIAL HOSPITAL TRUST REAL ESTATE LLC 110 NORTH POPLAR STREET OXFORD OH 45056 REAL ESTATE HOLDINGS OH 118610 632217 N/A MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCORPORATED 110 NORTH POPLAR STREET OXFORD OH 45056 310650283 HOSPITAL OH 501(C)(3) LINE 3 N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0