2020-11-13T15:34:52-06:00 2019-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2019-01-01 344441792 H B MAGRUDER MEMORIAL HOSPITAL HBMA 4197343131 615 FULTON STREET PORT CLINTON OH 43452 NICHOLAS MARSICO PRESIDENT 4197343131 2020-11-13 1 AMY CIMINELLO P00796388 6148493000 2020-11-13 107.214.141.134 2020-11-13 11:48:28 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F51046F0BD5714FDBFEEE435C204D6AFFC186FF5 2019 2021-01-29 14:40:06Z MAGRUDER HOSPITAL NICHOLAS MARSICO 615 FULTON STREET PORT CLINTON OH 43452 55390830 0 X WWW.MAGRUDERHOSPITAL.COM X 1940 OH MAGRUDER HOSPITAL SHALL PROVIDE COMPASSIONATE CARE WITH EXCELLENT OUTCOMES. 14 13 494 100 100577 -10538 71448 66760 51843683 52236038 105989 932098 2766717 2155934 54787837 55390830 6800 11500 0 0 24553620 23962454 0 0 28163 32335818 33187473 56896238 57161427 -2108401 -1770597 46506470 47461905 5924071 6868364 40582399 40593541 X IMPROVING LIVES TOGETHER 0 0 50024317 11500 53792676 MAGRUDER CONTINUES ITS COMMITMENT TO SERVING THE PUBLIC HEALTH PREVENTION AND HEALTH EDUCATION NEEDS IN THE COMMUNITIES OF OTTAWA COUNTY. OUR OUTREACH PROGRAMS CONTINUE TO TOUCH HUNDREDS OF LIVES IN OUR COMMUNITIES. - REDUCED FEE CHOLESTEROL SCREENING FOR THE COMMUNITY EACH MONTH (263 PARTICIPANTS) UP FROM 134 - INCREASED AVAILABILITY OF FLU VACCINE FOR THE PUBLIC TO REGULAR BUSINESS HOURS AT THE PHARMACY. - ADMINISTERED FLU SHOTS AT BUSINESSES, AND SCHOOLS FOR EMPLOYEES (288 PARTICIPANTS) UP FROM 165 - MEDICARE EDUCATION FOR THE COMMUNITY: IN ADDITION TO A LARGE PUBLIC EDUCATIONAL SESSION (95 PEOPLE, UP FROM 60), WE HAD STAFF COMPLETE COMPARISONS FOR 70 INDIVIDUALS (UP FROM 17) THROUGHOUT THE END OF THE YEAR OFFERING ONE ON ONE APPOINTMENTS FOR PART D COMPARISONS AND OTHER RESOURCES. - KIWANIS LAB SCREENING TEST FOR 7 DIFFERENT MEDICAL CONDITIONS (185 PARTICIPANTS, UP FROM 173) - FREE COLORECTAL HEALTH SCREENING KITS TO THE COMMUNITY (61 PARTICIPANTS, DOWN FROM 63) - CANCER SUPPORT GROUP (20 PARTICIPANTS, DOWN FROM 38) - REDUCED FEE WELLNESS CLASSES FOR THE COMMUNITY (597 PARTICIPANTS, DOWN FROM 760 DUE TO FEWER INSTRUCTORS) - GENERAL HEALTH SCREENINGS (USUALLY BMI, BLOOD PRESSURE & BLOOD SUGAR) AT COMMUNITY EVENTS (429 PARTICIPANTS, UP FROM 405) - BOARD INVOLVEMENT IN: PROJECT LIFESAVER, 3 AREA CHAMBERS OF COMMERCE, OTTAWA COUNTY COUNCIL OF HEALTH & SOCIAL CONCERNS, OTTAWA COUNTY TASK FORCE ON AGING, OSU EXTENSION - MAGRUDER SPONSORED 9 BLOOD DRIVES IN 2019 WHICH INCLUDES NOT ONLY THE SPACE AND PROMOTION FOR THE EVENT BUT ALSO ALLOWING EMPLOYEES TO DONATE ON WORK TIME. - PROVIDE TRANSPORTATION FOR PATIENTS WITH NO WAY HOME ($3,472) - WE DONATE USE OF THE CONFERENCE CENTER TO NON-PROFIT ORGANIZATIONS ($3,195, DOWN FROM $7,701) - EDUCATION PROGRAMS (1,119 PARTICIPANTS, DOWN FROM 1,141). IN ADDITION TO THE PROGRAMS LISTED BELOW, WE ALSO PROVIDE EDUCATION THROUGH ON-LINE RADIO (WPCR) AND PODCAST VENUES (WITH THE DIGITAL MEDIA CLASS AT PORT CLINTON HIGH SCHOOL). - COMMUNITY EVENTS: TOPICS OF PRESCRIPTION MEDICATIONS, HUMOR AND HEALTH, OPEN ENROLLMENT, SITTING, EXERCISE, INFLUENZA, HEALTHCARE PRICING, LAB TESTING ETC. AT VENUES SUCH AS COUNTY EMPLOYEE SESSIONS, MENTAL HEALTH CLUBHOUSE, SENIOR CENTERS AND CIVIC ORGANIZATIONS - MONTHLY LUNCHEONS: ANXIETY, NUTRITION, NURSE PRACTITIONERS, PARKINSON'S, ADVANCE DIRECTIVES, HEALTHCARE INSURANCE, JOINT HEALTH, DEMENTIA, CHRONIC PAIN ETC.MAGRUDER HOSPITAL ALSO SPONSORS OR PARTICIPATES IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES: - OTTAWA COUNTY FAIR - SAFETY PATROL - HABITAT FOR HUMANITY - JOYFUL CONNECTIONS - SALVATION ARMY - SOBER LIVING - SCHOOL ATHLETICS - AUTISM - HOSPICE - FIRE DEPARTMENTS - DIABETES - CHAMBERS OF COMMERCE - TNT MENTORINGTHESE COMMUNITY BUILDING ACTIVITIES SUPPORT ORGANIZATIONS THAT ASSIST COMMUNITY MEMBERS IN OBTAINING THE RESOURCES AND SERVICES THEY NEED, WHETHER IT'S ADVOCACY, EXERCISE, SAFE AND AFFORDABLE HOUSING, SHELTER, NUTRITION, MEDICAL EQUIPMENT OR SAFE ACTIVITIES FOR TEENS. 50024317 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 1 0 0 1 58 0 1 494 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X TONI MAGSIG ACCOUNTING DIRECTOR 4197343131 615 FULTON STREET PORT CLINTON OH 43452 GARY KRESGE PHYSICIAN 45.00 0.00 X 407946 0 36395 DONALD REED PHYSICIAN 45.00 0.00 X 390977 0 45901 DANIEL CADIGAN PHYSICIAN 45.00 0.00 X 332412 0 45751 JON TODD ALMENDINGER PRESIDENT & CEO 43.00 2.00 X 303700 0 45751 DAVID BODIE PHYSICIAN 45.00 0.00 X 228689 0 45074 LEONARDO QUE PHYSICIAN 45.00 0.00 X 248000 0 14821 NICHOLAS MARSICO VP & COO 45.00 0.00 X 170005 0 29574 JULIE GEORGOFF VP FINANCE & CFO 43.00 2.00 X 157716 0 9591 KIMBERLY SCHREINER VP NURSING & CNO 45.00 0.00 X 46220 0 14388 GREG DEERHAKE CHAIR 1.00 1.00 X X 0 0 0 PAUL DRUCKENMILLER VICE CHAIR 1.00 1.00 X X 0 0 0 DAVID SODERBERG TREASURER 1.00 1.00 X X 0 0 0 NANCY OSBORN SECRETARY 1.00 1.00 X X 0 0 0 DANIEL ALMENDINGER ASST SECRETARY - PART YEAR 1.00 1.00 X X 0 0 0 BARRY COVER MD DIRECTOR 1.00 1.00 X 0 0 0 DOUGLAS FOCHT DIRECTOR 1.00 1.00 X 0 0 0 KEVIN SIBBRING DIRECTOR 1.00 1.00 X 0 0 0 JEFF DORNBUSCH DIRECTOR 1.00 1.00 X 0 0 0 KEVIN SNEIDER DPM DIRECTOR 1.00 1.00 X 0 0 0 ALLISON FALLS DIRECTOR 1.00 1.00 X 0 0 0 RON MILLER DIRECTOR 1.00 1.00 X 0 0 0 MARK HABLITZEL DDS DIRECTOR 1.00 1.00 X 0 0 0 MARIA SUE CROSSER DIRECTOR 1.00 1.00 X 0 0 0 MIKE LIBBEN DIRECTOR 1.00 1.00 X 0 0 0 LOCKWOOD ZEIS DIRECTOR - PART YEAR 1.00 1.00 X 0 0 0 EMIL CELLIER DIRECTOR - PART YEAR 1.00 1.00 X 0 0 0 2285665 0 287246 29 0 1 0 PORT CLINTON EMERGENCY PHYSICIANS INC 3914 MEMORIAL SHOREWAY LAKESIDEMARBLEHEAD OH 43440 EMERGENCY PHYSICIANS 2604841 FOCHT CONSTRUCTION INC 2040 E STATE RD PORT CLINTON OH 43452 CONSTRUCTION 1695755 NOMS-ADVANCED HEALTH LTD 2500 W STRUB RD STE 150 SANDUSKY OH 44870 PHYSICAL THERAPY 1400127 CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 COMPUTER SOFTWARE 1126003 PREMIER ANESTHESIA OF SANDUSKY 6125 S BROADWAY WEST LORAIN OH 45053 ANESTHESIOLOGISTS 1000000 17 13317 53443 66760 HEALTHCARE SERVICES 621110 51830210 51830210 PHYSICIAN OFFICE RENTAL 621110 405828 405828 52236038 571006 571006 19765 480 0 0 19765 480 20245 20245 361092 0 361092 361092 361092 RETAIL PHARMACY 446110 1471811 1371234 100577 MOBILE MEALS/FOOD SERVICE 722514 478474 478474 PAIN MANAGEMENT CLINIC 900099 146984 146984 38420 38420 2135689 55390830 53792676 100577 1430817 X 11500 11500 776944 776944 16763397 14805945 1955656 1796 863698 789940 71040 2718 4185083 3731638 440247 13198 1373332 1209535 159636 4161 25648 25648 130500 130500 12536871 11500001 1036573 297 191716 191716 2626821 2369900 256005 916 1134142 1001358 130807 1977 1475413 1264063 210518 832 44809 23074 21724 11 6206 6206 2497509 1598692 896686 2131 353069 112909 240160 MEDICAL SUPPLIES 8309587 8274552 34915 120 BAD DEBT EXPENSE 2821874 2821874 FRANCHISE FEES 689967 689967 HCAP ADJUSTMENT 282515 282515 60826 35105 25715 6 57161427 50024317 7108947 28163 335037 531794 3795794 5826708 7581923 5757111 1549700 428422 628638 697161 1101067 965875 76100679 52243423 23307699 23857256 7876785 9064752 329827 332826 46506470 47461905 5427385 5150411 235092 112998 261594 1604955 5924071 6868364 X 40507270 40525089 75129 68452 40582399 40593541 46506470 47461905 X -1770597 1273125 508614 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1538 1538 0 PART II-B, LINE 1: A PORTION OF DUES PAID TO THE OHIO HOSPITAL ASSOCIATION RELATES TO LOBBYING. 124829 124829 41129658 23716500 17413158 1557590 1091464 466126 32860351 27435459 5424892 428251 428251 23857256 ESTIMATED 3RD PARTY PAYOR SETTLEMENTS 1524228 ACCRUED POST-RETIREMENT BEN. OBLIGATION 80727 1604955 1 1 X 1 X 1 X 1 1 1 0 1 1 505772 422869 82903 0.00150 6077697 3809234 2268463 0.04170 6583469 4232103 2351366 0.04320 8 2364 35831 5487 30344 0.00060 5 46 301424 0 301424 0.00550 4 783 9965 0 9965 0.00020 17 3193 347220 5487 341733 0.00630 17 3193 6930689 4237590 2693099 0.04950 4410 0 4410 0.00010 4410 4410 0.00010 0 2821874 141094 13133476 13242248 -108772 X 1 1 1 OTTAWA COUNTY CARENET GROUP CONTRACTING 0.50000 0.50000 1 1 HB MAGRUDER MEMORIAL HOSPITAL 615 FULTON STREET PORT CLINTON OH 43452 HTTP://WWW.MAGRUDERHOSPITAL.COM/ STATE REG. NO. 1252 X X X HB MAGRUDER MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X 17 1 0 1 1 X WWW.MAGRUDERHOSPITAL.COM/OTTAWA-COUNTY-HEALTH-ASSESSMENT 1 18 1 WWW.MAGRUDERHOSPITAL.COM/OTTAWA-COUNTY-HEALTH-ASSESSMENT 0 1 X 100.000000000000 400.000000000000 X 1 1 X X X 1 X HTTP://WWW.MAGRUDERHOSPITAL.COM/FINANCIAL-ASSISTANCE X HTTP://WWW.MAGRUDERHOSPITAL.COM/FINANCIAL-ASSISTANCE X HTTP://WWW.MAGRUDERHOSPITAL.COM/FINANCIAL-ASSISTANCE X X X X X 1 X 0 X X X X 1 X 0 0 HB MAGRUDER MEMORIAL HOSPITAL PART V, SECTION B, LINE 3J: BELOW IS A SUMMARY OF THE POSITION AND STRATEGIES H B MAGRUDER MEMORIAL HOSPITAL CONTINUES TO ADDRESS SURROUNDING THE HEALTH NEEDS OF THE COMMUNITY. IN 2017 MAGRUDER HOSPITAL CONTINUED ITS DEFINED FOCUS ON THE 2015 OTTAWA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION STRATEGY WHILE WORKING WITH COMMUNITY PARTNERS TO ESTABLISH NEW DIRECTIONAL DATA. THE 2017 CHNA FINDINGS SHOWED THE FOLLOWING GENERAL HEALTH AREAS HAVING A DOCUMENTED IMPROVEMENT REALIZED IN 2017 AS IT RELATES TO PREVIOUS CHNA REPORTING.MH CONTINUES TO FOCUS ON MENTAL HEALTH AS A COMMUNITY CONCERN: THERE WAS NO CHANGE IN THE NUMBER OF AVERAGE DAYS THAT "MENTAL HEALTH WAS NOT GOOD IN THE PAST MONTH" ADULTS THAT FELT SAD OR HOPELESS FOR TWO OR MORE WEEKS IN A ROW DECREASED SLIGHTLY ADULTS CONSIDERING ATTEMPTED SUICIDE IN THE PAST YEAR DECREASE SLIGHTLY ADULTS WHO MISUSED PRESCRIPTION DRUGS IN THE PAST YEAR DECREASED SLIGHTLYSMOKING CESSATION CONTINUES TO BE A FOCUS AT MH INCLUDING DIRECT ACTIVITIES THAT HELPED 16 SMOKERS STOP SMOKING IN 2017. ADULT TOBACCO USE DECREASED BY 6% OVER THE PREVIOUS CHNA THE PERCENTAGE OF PATIENTS THAT TRIED TO QUIT SMOKING INCREASED BY 15%GENERAL HEALTH: ADULTS THAT HAD A FLU VACCINE IN THE PAST YEAR INCREASED BY 5% ADULTS THAT HAD A PNEUMONIA VACCINE INCREASED BY 10%HEALTHCARE ACCESS: THE PERCENTAGE OF UNINSURED PATIENTS DECLINED FROM 12% TO 7% IN YEARS 2012 AND 2017 RESPECTIVELY. THE CURRENT 7% OF PATIENTS UNINSURED IS NOW LOWER THAN THE STATE AVERAGE. MH CONDUCTS EDUCATIONAL SESSIONS AND SUPPORT FOR THE COMMUNITY AS IT RELATES TO INSURANCE MARKETPLACE AND MEDICARE OPTIONS. HB MAGRUDER MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: OTTAWA COUNTY HEALTH DEPARTMENT HB MAGRUDER MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: IN MAY 2018, MAGRUDER HOSPITAL PARTICIPATED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN PROCESS WITH OTTAWA COUNTY HEALTH PARTNERS. DATA FROM THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT WAS ANALYZED AND AREAS OF NEEDS, GAPS AND RESOURCES AND ACTION STEPS WERE DEVELOPED. OUR HOSPITAL COMMUNITY HEALTH NEEDS COMMITTEE DETERMINED THAT MENTAL HEALTH, ADDICTION AND CHRONIC DISEASE WERE THE AREAS OF GREATEST NEED. MENTAL HEALTHBASELINE DATA FOR SCREENING FOR DEPRESSION IN THE ED WAS 15% AND FOR 2S/ICU WAS 93%. EDUCATION WAS CONDUCTED IN APRIL, 2019 IN BOTH AREAS. SCREENING IN ED INCREASED TO 88% AND FOR 2S/ICU IT INCREASED TO 95%. MAGRUDER ALSO PARTNERED WITH FIRELANDS COUNSELING & RECOVERY WHO OFFERED AN EDUCATIONAL SESSION ON MENTAL HEALTH IDENTIFICATION AND/OR RESOURCES FOR COMMUNITY AND 100% OF THE PARTICIPANTS INDICATED IMPROVED UNDERSTANDING AT THE END OF THE SESSION. ADDICTIONBASELINE DATA FOR SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT IN THE ED WAS 24% AND FOR 2S/ICU WAS 64%. EDUCATION WAS CONDUCTED IN APRIL 2019 IN BOTH AREAS. SCREENING IN ED INCREASED TO 80% AND FOR 2S/ICU IT INCREASED TO 70%.MAGRUDER PARTNERED WITH FIRELANDS COUNSELING & RECOVERY WHO PRESENTED EDUCATIONAL SESSIONS ON SUBSTANCE ABUSE DISEASE PROCESS AND/OR RESOURCES FOR COMMUNITY. 100% OF THE PARTICIPANTS INDICATED IMPROVED UNDERSTANDING AT THE END OF THE SESSION. CHRONIC DISEASETO INCREASE PRE-DIABETES SCREENING AND REFERRAL FOR TREATMENT WE INCREASED THE USE OF THE SCREENING FORM AT COMMUNITY EVENTS, AND OUR NUTRITION DIRECTOR SHARED THE SCREENING TOOL WITH ONE OF OUR INTERNAL MEDICINE PHYSICIANS TO USE IN HIS OUTPATIENT CLINIC. AS A WAY TO CREATE AND DISTRIBUTE A MAP OF ALL AVAILABLE FARMERS MARKETS, COMMUNITY GARDENS, AND FOOD PANTRIES IN OTTAWA COUNTY, WE PUBLISHED THAT INFORMATION IN OUR QUARTERLY PUBLICATION TO THE COMMUNITY THAT IS MAILED TO 16,000 HOUSEHOLDS IN OTTAWA COUNTY. TO ASSESS THE EDUCATION PROVIDED IN THE DIABETES DISEASE AND MANAGEMENT PROGRAM, WE COMPARED PRE AND POST TESTS OF THOSE WHO COMPLETED THE DIABETES SELF MANAGEMENT EDUCATION. THEIR AVERAGE PRE-TEST SCORE WAS 69.3 AND AVERAGE POST-TEST SCORE WAS 90.8, MAKING AN AVERAGE 31% IMPROVEMENT IN UNDERSTANDING. THE NUTRITION DEPARTMENT PROVIDED EDUCATION TO 262 COMMUNITY MEMBERS IN 2019 UP FROM 224 IN 2018. THEY PROVIDED BMI SCREENING AND INFORMATION TO 79 PARTICIPANTS AT OUR COMMUNITY SCREENING IN 2019 UP FROM 61 IN 2018. THE DSME PROGRAM CONTINUES TO MONITOR LIFESTYLE BEHAVIORS, AS WELL AS BLOOD SUGAR LEVELS FOR PARTICIPANTS. 9 1 - PHYSICIAN OFFICE 611 E 6TH STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE 2 - PHYSICIAN OFFICE 621 FULTON STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE 3 - PHYSICAL THERAPY 7725 W STATE ROUTE 163 OAK HARBOR OH 43449 PHYSICAL THERAPY 4 - PHYSICIAN OFFICE 11697 W STATE ROUTE 163 OAK HARBOR OH 43449 PHYSICIAN OFFICE 5 - PHYSICAL THERAPY 4058 E HARBOR RD PORT CLINTON OH 43452 PHYSICAL THERAPY 6 - PHYSICIAN OFFICE 1297 W MAIN STREET LAKESIDE MARBLEHEAD OH 43440 PHYSICIAN OFFICE 7 - PHYSICIAN OFFICE 2861 EAST HARBOR ROAD PORT CLINTON OH 43452 PHYSICIAN OFFICE 8 - PHYSICIAN OFFICE 730 JEFFERSON STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE 9 - PHYSICIAN OFFICE 1250 FULTON STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE PART I, LINE 7: TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO CHARITY CARE WAS CALCULATED USING A COST-TO-CHARGE RATIO. TOTAL COMMUNITY BENEFIT RELATED TO MEDICAID WAS CALCULATED FROM THE MEDICAID COST REPORT. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,821,874. PART II, COMMUNITY BUILDING ACTIVITIES: THE COMMUNITY BUILDING ACTIVITIES THAT MAGRUDER HOSPITAL SUPPORTS ENCOURAGE EXERCISE (AREA SCHOOL ATHLETIC BOOSTERS), EDUCATION (AREA SCHOOLS HONOR BANQUETS), SAFETY (OFFICER PHIL), AND OTHER HEALTH-RELATED ORGANIZATIONS (EMS, EASTER SEALS, HOSPICE). PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS.THE AMOUNT OF BAD DEBT EXPENSE REPORTED IN PART III, LINES 2 AND 3 IS BASED DIRECTLY ON THE BAD DEBT EXPENSE REPORTED IN THE AUDITED FINANCIAL STATEMENTS, WITH LINE 3 BEING ESTIMATED AS 5% OF THE TOTAL BAD DEBT EXPENSE REPORTED IN LINE 2. THE ENTIRE BAD DEBT EXPENSE RELATES SOLELY TO PATIENT ACCOUNTS, WHICH BENEFIT THE COMMUNITY. PART III, LINE 8: THE MEDICARE SHORTFALL IS BASED ON A COST TO CHARGE RATIO CALCULATED AS REQUIRED UNDER MEDICARE RULES.THE MEDICARE SHORTFALL IS A COMMUNITY BENEFIT, AS PROVIDING SERVICES TO THE ELDERLY IS A TAX-EXEMPT PURPOSE CONSISTENT WITH MAGRUDER'S OVERALL EXEMPT STATUS, AND THE HOSPITAL ACCEPTS THESE PATIENTS REGARDLESS OF ITS IMPACT ON OVERALL PROFITABILITY. PART III, LINE 9B: MAGRUDER HOSPITAL FOLLOWS THE SAME COLLECTION PRACTICES NO MATTER THE TYPE OF PATIENT. ALL PATIENTS ARE TREATED EQUALLY. COLLECTION PRACTICES ARE NOT PURSUED FOR PATIENTS THAT THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE/CHARITY CARE. ALL COLLECTION EFFORTS ARE PLACED ON HOLD UNTIL FINANCIAL ASSISTANCE IS PROCESSED. IF APPROVED, THE BALANCES ARE WRITTEN OFF. PART VI, LINE 2: THE COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT IS THE RESULT OF A STRONG COMMITMENT BY DEDICATED COMMUNITY PARTNERS TO WORK TOGETHER TO IMPROVE THE HEALTH AND WELL-BEING OF RESIDENTS IN OTTAWA COUNTY. THE HEALTH ASSESSMENT GIVES US THE OPPORTUNITY TO GLANCE INTO OUR COMMUNITY, AS WELL AS OUR STATE AND NATION. THE DATA PRESENTED IN THIS REPORT WILL PROVIDE VALUABLE INFORMATION TO DEVELOP STRATEGIES THAT FOCUS ON WELLNESS, ACCESS TO CARE AND UNMET COMMUNITY NEEDS.IN ADDITION TO THE INFORMATION FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, MAGRUDER PARTICIPATES IN THE OTTAWA COUNTY COUNCIL OF HEALTH & SOCIAL CONCERNS WHERE SCHOOLS, GOVERNMENT, LAW ENFORCEMENT AND A WIDE VARIETY OF SOCIAL SERVICE AGENCIES MEET MONTHLY TO DISCUSS NEEDS AND TRENDS THAT THEY ARE SEEING. THE GROUP WORKS TO ENHANCE COLLABORATION AND TO MINIMIZE DUPLICATION OF SERVICES. MAGRUDER ALSO PARTICIPATES IN THE PORT CLINTON CHAMBER OF COMMERCE, OTTAWA COUNTY IMPROVEMENT CORP, NORTHWEST OHIO HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOICATION WITH A GOAL OF BETTER UNDERSTANDING THE NEEDS OF OUR HEALTHCARE POPULATION.MAGRUDER HOSPITAL HAS REVIEWED THE HEALTH ASSESSMENT REPORT IN COMPARISON TO OUR SERVICES AND RESOURCES AND HAS BEGUN WORK ON CURRENT AS WELL AS FUTURE HOSPITAL-SPECIFIC IMPLEMENTATION STRATEGIES. THE FOLLOWING MIGHT PREVENT OTTAWA COUNTY ADULTS FROM SEEING A DOCTOR: -HOURS NOT CONVENIENT -DIFFICULT TO GET AN APPOINTMENT -COULD NOT GET OFF WORK ADULTS HAD THE FOLLOWING PROBLEMS WHEN THEY NEEDED HEALTH CARE: - COULD NOT GET AN APPOINTMENT WHEN THEY WANTED THEM - COULD NOT FIND A DOCTOR TO TAKE THEM AS A PATIENT - COULD NOT FIND A DOCTOR THEY WERE COMFORTABLE WITH - TOO BUSY TO GET THE HEALTHCARE THEY NEEDEDMAGRUDER CONTINUES TO BELIEVE THAT PATIENT ACCESS TO PRIMARY CARE WITHIN THE COMMUNITY CAN CREATE BENEFIT FOR MANY OF THE COMMUNITY HEALTH NEEDS. MH HAS IMPLEMENTED THE FOLLOWING CHANGES ALONG SIDE OF THE SPECIFIC CHNA IMPLEMENTATION PLAN: - ADDED LATE DAY APPOINTMENT OPTIONS FOR PRIMARY CARE - MONITORING, MODIFYING AND CREATING ACCOMODATIONS IN PROVIDER SCHEDULES TO INCREASE PATIENT ACCESS - ALL MH PROVIDERS HAVE BEEN TRANSITIONED TO ONE ELECTROINC HEALTH RECORD TO ENHANCE THE CONTINUITY OF CARE - MH HAS ADDED FEMALE PROVIDERS TO ACCOMMODATE THOSE WHO PREFER A FEMALE HEALTHCARE PROVIDER - REFERRAL PROCESS CHANGES HAVE BEEN IMPLEMENTED TO EASE THE TRANSITION OF CARE FROM PRIMARY CARE TO SPECIALTY PROVIDERS - ADVANCED PRACTICE PROVIDERS HAVE BEEN ADDED TO CREATE PATIENT ACCESS - LOCUM PHYSICIAN COVERAGE WAS PROVIDED WHEN A PRIMARY CARE PHYSICIAN LEFT THE COMMUNITY TO ACCOMMODATE PATIENT NEED - PATIENTS ARE ABLE TO REQUEST APPOINTMENTS VIA THE PATIENT PORTAL AS A CONVENIENT AND MILLENIUM FRIENDLY AFTER HOURS SCHEDULING OPTIONWE ARE COMMITTED TO CONTINUING THAT WORK AS A HOSPITAL AND AS A PARTNER IN THE COMMUNITIES WE SERVE. MH HAS DECREASED THE WAIT TIME FOR NEW PATIENTS TO BE SEEN BY A PROVIDER BY 50%. PART VI, LINE 3: PATIENTS RECEIVE INFORMATION AT REGISTRATION, IN THEIR FIRST STATEMENT, AND OFFERED ON FOLLOW-UP PHONE CALLS. THERE ARE BROCHURES AT OUR PHYSICIAN OFFICES AND THROUGHOUT THE HOSPITAL. PART VI, LINE 4: MAGRUDER HOSPITAL IS A CRITICAL ACCESS HOSPITAL LOCATED IN PORT CLINTON, OHIO SERVING THE HEALTHCARE NEEDS OF OTTAWA COUNTY. OTTAWA COUNTY IS LOCATED ON LAKE ERIE ABOUT 15 MILES SOUTHEAST OF TOLEDO, OHIO AND IS MADE UP OF VARIOUS COMMUNITIES THAT INCLUDE SEVEN VILLAGES, TWELVE TOWNSHIPS AND THE ONLY CITY IN OTTAWA COUNTY, PORT CLINTON. THE POPULATION OF 40,000 HAS EASY ACCESS TO MAJOR STATE ARTERIES TO TOLEDO AND CLEVELAND. PART VI, LINE 5: MAGRUDER HOSPITAL ACTIVELY RECRUITS PHYSICIANS WITH THE SPECIALTIES NEEDED WITHIN THE COMMUNITY, SO THE COMMUNITY CAN ACCESS THE HEALTHCARE IT NEEDS. EXCESS FUNDS ARE PUT INTO STATE OF THE ART TECHNOLOGY TO BETTER SERVE OUR COMMUNITY. 1 SCHOLARSHIPS 17 11500 PART I, LINE 2: THE ROY SCHOLARSHIP IS FUNDED BY A TRUST, AND IS RELEASED ONLY TO NURSING STUDENTS PURSUING THEIR RN DEGREE BASED ON FINANCIAL NEED AS DETERMINED THROUGH AN APPLICATION PROCESS. THE AUXILIARY ALSO AWARDS SCHOLARSHIPS BASED ON AN APPLICATION PROCESS TO QUALIFIED STUDENTS PURSUING A HEALTH-RELATED DEGREE. X 1 1 X X X 0 0 0 0 0 0 0 1 0 GARY KRESGE PHYSICIAN 402496 0 5450 0 0 0 14000 0 22395 0 444341 0 0 0 DONALD REED PHYSICIAN 380752 0 10225 0 0 0 14000 0 31901 0 436878 0 0 0 DANIEL CADIGAN PHYSICIAN 239548 0 92864 0 0 0 14000 0 31751 0 378163 0 0 0 JON TODD ALMENDINGER PRESIDENT & CEO 288700 0 15000 0 0 0 14000 0 31751 0 349451 0 0 0 DAVID BODIE PHYSICIAN 190786 0 37903 0 0 0 13573 0 31501 0 273763 0 0 0 LEONARDO QUE PHYSICIAN 248000 0 0 0 0 0 13300 0 1521 0 262821 0 0 0 NICHOLAS MARSICO VP & COO 167005 0 3000 0 0 0 8911 0 20663 0 199579 0 0 0 JULIE GEORGOFF VP FINANCE & CFO 153716 0 4000 0 0 0 8179 0 1412 0 167307 0 0 0 PART I, LINE 1A THE CEO RECEIVES REIMBURSEMENT FOR SOCIAL CLUB DUES; REIMBURSEMENT IS TREATED AS TAXABLE COMPENSATION TO THE CEO. THE ORGANIZATION USES FACILITY FOR VARIOUS STAFF FUNCTIONS THROUGHOUT THE YEAR. THIS TRANSACTION IS ANNUALLY BOARD APPROVED. PART I, LINE 7 BONUSES TO THE CEO AND OTHER MEMBERS OF THE LEADERSHIP TEAM ARE DETERMINED AND APPROVED AT THE DISCRETION OF THE BOARD OF DIRECTIONS. KATHY ALMENDINGER WIFE OF TODD ALMENDINGER 33612 COMPENSATION 0 DOUG FOCHT OWNER FOCHT CONSTRUCTION 1695755 PAYMENT FOR WORK ON SURGERY UPGRADE 0 FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWED THE FORM 990 WITH THE BOARD TREASURER TO THE LEVEL OF DETAIL REQUESTED BY THE BOARD TREASURER. THE FORM 990 WAS THEN ELECTRONICALLY DELIVERED TO EACH MEMBER OF THE BOARD WITH A DISCUSSION OF KEY POINTS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C WRITTEN DISCLOSURE OF CONFLICTS OF INTEREST ARE REQUESTED ANNUALLY FOR ALL BOARD MEMBERS. THE CEO REVIEWS ALL DISCLOSURES. THE CODE OF REGULATIONS ASKS FOR PROMPT DISCLOSURE IF SITUATIONS CHANGE DURING THE YEAR. ANY BOARD MEMBER WITH A CONFLICT OR POTENTIAL CONFLICT IS RESTRICTED FROM PARTICIPATING IN VOTING ON MATTERS WHERE THERE IS A CONFLICT OR POTENTIAL CONFLICT. DOUG FOCHT, DIRECTOR, IS RESTRICTED FROM PARTICIPATING IN DECISIONS IN REGARDS TO BUILDING CONSTRUCTION TRANSACTIONS (SEE SCHEDULE L, PART VI DISCLOSURE). FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS APPROVED BY THE BOARD. THE EXECUTIVE COMMITTEE REVIEWS THE OHA SALARY SURVEY FOR COMPARISON. RECOMMENDATIONS TO THE FULL BOARD ARE MADE BASED ON SALARY SURVEY FINDINGS, MARKET FINDINGS, AND PERFORMANCE REVIEW FOR EXECUTIVES; ALL OTHER NON-EXECUTIVE EMPLOYEES' SALARIES ARE DETERMINED IN A SIMILAR FASHION EXCLUDING BOARD APPROVAL. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING IS COMPLETED WITH RESPECT TO THIS PROCESS. THIS PROCESS WAS LAST PERFORMED IN 2019. FORM 990, PART VI, SECTION C, LINE 18 FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. AN ABBREVIATED FINANCIAL STATEMENT IS INCLUDED IN THE HOSPITAL'S ANNUAL REPORT. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. AN ABBREVIATED FINANCIAL STATEMENT IS INCLUDED IN THE HOSPITAL'S ANNUAL REPORT. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 8,006,475. MANAGEMENT AND GENERAL EXPENSES 500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,006,975. PURCHASED SERVICES (MEDICAL, HUMAN RESOURCES, ADMINSTRATIVE): PROGRAM SERVICE EXPENSES 3,493,526. MANAGEMENT AND GENERAL EXPENSES 1,036,073. FUNDRAISING EXPENSES 297. TOTAL EXPENSES 4,529,896. FORM 990, PART XI, LINE 9: CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 11,823. PAIN MANAGEMENT ADJUSTMENT 747,229. CHANGE IN INTEREST RATE SWAP -45,215. TRANSFERS TO/FROM AFFILIATE -611,773. PAIN MANAGEMENT BEGINNING CAPITAL 406,550. FORM 990, PART XI, LINE 2C MEMBERS OF THE HOSPITAL'S BOARD OVERSEE THE AUDIT PROCESS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. MAGRUDER MEDICAL GROUP LTD 615 FULTON ST PORT CLINTON OH 43452 814621611 MEDICAL GROUP OH 0 0 H B MAGRUDER MEMORIAL HOSPITAL MAGRUDER HOSPITAL FOUNDATION 615 FULTON STREET PORT CLINTON OH 43452 463883346 SUPPORTING ORGANIZATION OH 501(C)(3) LINE 12B, II H B MAGRUDER MEMORITAL HOSPITAL 1 MAGRUDER PAIN MANAGEMENT LLC 615 FULTON ST PORT CLINTON OH 43452 275038026 PAIN MANAGEMENT OH H B MAGRUDER MEMORIAL HOSPITAL RELATED 593377 296168 0 1 0.51000 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 MAGRUDER PAIN MANAGEMENT LLC L 146984 ACCRUED AMOUNT