MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCORPORATED: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCORPORATED (EIN 31-0650283)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-05-15
IRS object ID: 202031369349300713
Schema version: 2018v3.1
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-05-15T07:58:18-05:00	ReturnTs
Tax Period End	2019-06-30	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	2018-07-01	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	2020-05-15	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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	216.68.236.9	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-05-15	IPDt
IP Tm	07:54:53	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	7C4C65F4048F11F90FA55EE4E3CFA51667930AD2	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	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	$54,938,160	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	348	TotalEmployeeCnt
Total Volunteers	205	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$54,627,412	PYProgramServiceRevenueAmt
CY Program Service Revenue	$53,974,712	CYProgramServiceRevenueAmt
PY Investment Income	$28,360	PYInvestmentIncomeAmt
CY Investment Income	$213,059	CYInvestmentIncomeAmt
PY Other Revenue	$588,626	PYOtherRevenueAmt
CY Other Revenue	$549,551	CYOtherRevenueAmt
PY Total Revenue	$55,244,398	PYTotalRevenueAmt
CY Total Revenue	$54,737,322	CYTotalRevenueAmt
PY Grants And Similar Paid	$12,815	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$84,379	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$23,245,347	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$22,726,736	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$29,680,455	PYOtherExpensesAmt
CY Other Expenses	$28,873,614	CYOtherExpensesAmt
PY Total Expenses	$52,938,617	PYTotalExpensesAmt
CY Total Expenses	$51,684,729	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,305,781	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,052,593	CYRevenuesLessExpensesAmt
Total Assets BOY	$56,041,994	TotalAssetsBOYAmt
Total Assets EOY	$60,809,027	TotalAssetsEOYAmt
Total Liabilities BOY	$20,919,848	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$22,872,902	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$35,122,146	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$37,936,125	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	$45,092,644	ExpenseAmt
Grant	$84,379	GrantAmt
Revenue	$53,828,723	RevenueAmt
Desc	SURGERY - THIS SERVICE IS COMPRISED OF SURGERY AND MINOR PROCEDURES. TOTAL VOLUME WAS 1,721 CONSISTING OF IP CARE (31%) AND OUTPATIENT CARE (69%).PHARMACY - THIS SERVICE CONSISTS OF CARE PROVIDED TO INPATIENTS (16%) AND OUTPATIENTS (84%). OUTPATIENT CARE INCLUDES A MAJOR PROGRAM FOR ONCOLOGY TREATMENT.INPATIENT CARE - INPATIENT VOLUME CONSISTED OF 2,099 DISCHARGES AND 5,837 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 2.78 DAYS. BIRTHS TOTALED 402 AND A TOTAL OF 705 OBSERVATION DAYS OF SERVICE.FOR ADDITIONAL INFORMATION PLEASE SEE SCHEDULE H.	Desc
Total Program Service Expenses	$45,092,644	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	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
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
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	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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 With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	93	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	348	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	0	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 (18 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
DIRECTOR (START 7/18)	1.00	60.00	Yes (X)		$0	$624,765	$152,151
MICHAEL CROFTON
DIRECTOR (START 7/18)	1.00	60.00	Yes (X)		$0	$394,919	$118,485
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
SECRETARY	1.00	60.00	Yes (X)	Yes (X)	$0	$1,463,838	$316,037
GAIL DONOVAN
VICE CHAIR (END 6/19)	1.00	60.00	Yes (X)	Yes (X)	$0	$928,244	$200,684
KEVIN JOSEPH MD
DIRECTOR (START 7/18)	1.00	60.00	Yes (X)		$0	$643,316	$145,667
JAMES FORMAL
TREASURER	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
RALPH GUTOWSKI
DIRECTOR (END 6/19)	1.00	0.00	Yes (X)		$0	$0	$0
BRETT KIRKPATRICK
EXECUTIVE DIRECTOR-MHMH	30.00	30.00			$0	$165,089	$28,532	Yes (X)
PAM COLLINS
CHIEF PATIENT SVCS OFFICER	60.00	0.00			$0	$181,985	$27,430	Yes (X)
GREGORY CALKINS MD
PHYSICIAN	60.00	0.00			$182,682	$0	$29,267		Yes (X)
SHARON HANCOCK
SITE DIRECTOR - HR	60.00	0.00			$141,636	$0	$27,642		Yes (X)
STEVEN VORDENBERG
PHYSICIAN ASSISTANT	60.00	0.00			$144,119	$0	$11,390		Yes (X)
KIMBERLY RICHARDS
SITE DIRECTOR - IMAGING	60.00	0.00			$111,244	$0	$13,546		Yes (X)
NATHAN SIMMONS
DIRECTOR - PHARMACY SERVICES	60.00	0.00			$153,017	$0	$11,914		Yes (X)
JOHN PROUT
FORMER OFFICER	0.00	40.00			$0	$1,853,100	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$732,698	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,255,256	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,082,745	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	14	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	$820,205
WESTERN OHIO ANESTHESIA ASSOCIATES
110 N POPLAR STREET	OXFORD	OH	45056	ANESTHESIA SERVICES	$622,620
SHIFTWISE INC
1800 SW 1ST AVE SUITE 510	PORTLAND	OR	97201	MEDICAL STAFFING	$471,042
EPIC SYSTEMS CORPORATION
1979 MILKY WAY	VERONA	WI	53593	SOFTWARE	$256,673
TRISTATE HEALTHCARE LAUNDRY INC
551 SOUTH LOOP ROAD	EDGEWOOD	KY	41017	LAUNDRY	$152,659

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	11	CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PATIENT SERVICES	900099	$53,499,975	$53,499,975
MANAGEMENT REVENUE	900099	$251,791	$251,791
AFFILIATED RENTAL REV.	531120	$222,946		$222,946

Field	Value	IRS element (for citing)
Total Program Service Revenue	$53,974,712	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$202,393	TotalRevenueColumnAmt
Exclusion	$202,393	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$372,403	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$200,838	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$171,565	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$171,565	TotalRevenueColumnAmt
Exclusion	$171,565	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$10,666	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$10,666	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,666	TotalRevenueColumnAmt
Exclusion	$10,666	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA/VENDING	722210	$301,029	$301,029
WELLNESS CENTER	900099	$45,875		$45,875
LABORATORY SERVICES	621500	$14,726		$14,726

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,356	TotalRevenueColumnAmt
Related Or Exempt Func Income	$16,356	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$377,986	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$54,737,322	TotalRevenueColumnAmt
Related Or Exempt Func Income	$53,828,723	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$908,599	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$84,379	TotalAmt
Program Services	$84,379	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$18,428,357	TotalAmt
Program Services	$18,353,572	ProgramServicesAmt
Management And General	$74,785	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$377,313	TotalAmt
Program Services	$376,483	ProgramServicesAmt
Management And General	$830	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,652,167	TotalAmt
Program Services	$2,643,452	ProgramServicesAmt
Management And General	$8,715	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,268,899	TotalAmt
Program Services	$1,264,652	ProgramServicesAmt
Management And General	$4,247	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,078,337	TotalAmt
Management And General	$1,078,337	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$107,190	TotalAmt
Management And General	$107,190	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$8,222	TotalAmt
Management And General	$8,222	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$4,680	TotalAmt
Management And General	$4,680	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,824,636	TotalAmt
Program Services	$4,824,636	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$322,566	TotalAmt
Program Services	$53,689	ProgramServicesAmt
Management And General	$268,877	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$516,075	TotalAmt
Program Services	$510,514	ProgramServicesAmt
Management And General	$5,561	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,405,251	TotalAmt
Program Services	$1,402,266	ProgramServicesAmt
Management And General	$2,985	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,829,361	TotalAmt
Program Services	$1,829,087	ProgramServicesAmt
Management And General	$274	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$28,922	TotalAmt
Program Services	$28,289	ProgramServicesAmt
Management And General	$633	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$23,569	TotalAmt
Program Services	$23,569	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$476,100	TotalAmt
Program Services	$156	ProgramServicesAmt
Management And General	$475,944	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,177,057	TotalAmt
Program Services	$667,849	ProgramServicesAmt
Management And General	$4,509,208	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$99,045	TotalAmt
Program Services	$99,045	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL/DIETARY SUPPLY	$10,733,436	$10,733,436
EQUIPMENT	$1,244,569	$1,243,226	$1,343
OHIO HOSPITAL TAX	$851,229	$851,229
DUES AND SUBSCRIPTIONS	$143,369	$103,115	$40,254

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$51,684,729	TotalAmt
Program Services	$45,092,644	ProgramServicesAmt
Management And General	$6,592,085	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,474	BOYAmt
EOY	$2,477	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,816,060	BOYAmt
EOY	$8,049,175	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,089,055	BOYAmt
EOY	$5,952,683	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$367,080	BOYAmt
EOY	$78,829	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$843,512	BOYAmt
EOY	$1,396,815	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$396,157	BOYAmt
EOY	$490,174	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$61,636,816	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$22,013,430	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$39,517,648	BOYAmt
EOY	$39,623,386	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$4,606,546	BOYAmt
EOY	$4,803,925	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$403,462	BOYAmt
EOY	$411,563	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$56,041,994	BOYAmt
EOY	$60,809,027	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,697,003	BOYAmt
EOY	$3,367,580	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$9,320,000	BOYAmt
EOY	$9,320,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$6,987,939	BOYAmt
EOY	$6,118,942	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$914,906	BOYAmt
EOY	$4,066,380	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,919,848	BOYAmt
EOY	$22,872,902	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$35,099,941	BOYAmt
EOY	$37,913,020	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$22,205	BOYAmt
EOY	$23,105	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$35,122,146	BOYAmt
EOY	$37,936,125	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$56,041,994	BOYAmt
EOY	$60,809,027	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,052,593	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$380,611	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$141,997	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 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	$541	OtherActivitiesAmt
Total Lobbying Expenditures	$541	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	$25,795,680	OtherCostOrOtherBasisAmt
Depreciation	$4,897,622	DepreciationAmt
Book Value	$20,898,058	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,272,500	OtherCostOrOtherBasisAmt
Depreciation	$1,493,125	DepreciationAmt
Book Value	$779,375	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,769,572	OtherCostOrOtherBasisAmt
Depreciation	$15,110,426	DepreciationAmt
Book Value	$7,659,146	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,250,654	OtherCostOrOtherBasisAmt
Depreciation	$512,257	DepreciationAmt
Book Value	$2,738,397	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$39,623,386	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ESTIMATED THIRD PARTY SETTLEMENTS	$145,960
ACCRUED MALPRACTICE LIABILITY	$402,952
ACCRUED EIB	$198,777
SECURITY DEPOSITS	$19,327
DUE TO RELATED ORGANIZATION	$3,187,282
SWAP LIABILITY	$112,082

Field	Value	IRS element (for citing)
Total Liability	$4,066,380	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 PERFORMED AN ANALYSIS OF UNCERTAIN TAX POSITIONS AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AT JUNE 30, 2019 OR 2018.	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	$530,067	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,073,885	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	$8,341,836	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,982,302	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,359,534	NetCommunityBenefitExpnsAmt
Total Expense	0.08430	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,871,903	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,056,187	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,359,534	NetCommunityBenefitExpnsAmt
Total Expense	0.08430	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,534	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,534	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,609	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,609	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$61,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$61,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$85,643	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$85,643	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,957,546	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,056,187	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,445,177	NetCommunityBenefitExpnsAmt
Total Expense	0.08600	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$5,747,968	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$10,693,473	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$10,893,663	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$200,190	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 D - PAGES 22-27)THE PROVISION FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT PERIODICALLY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY AS NECESSARY THE PROVISIONS FOR BAD DEBT AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS RECEIVABLE IN THE PERIOD OF SERVICE BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, TRIHEALTH FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY TRIHEALTH.AS A RESULT OF CERTAIN CHANGES REQUIRED BY ASU 2014-09, THE MAJORITY OF TRIHEALTH'S PROVISION FOR BAD DEBT IS RECORDED AS A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE INSTEAD OF BEING PRESENTED AS A SEPARATE LINE ON THE COMBINED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS.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 IS 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.HTTP://HEALTHCOLLAB.ORG/WP-CONTENT/UPLOADS/2019/02/2019-CHNA-REPORT-2-7-19.PDFFROM 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 (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
OXFORD COLLEGE CORNER CLINIC
PO BOX 390	OXFORD	OH	45056	204253386	501(C)(3)	$10,000	ANNUAL FUNDING
OXFORD COMMUNITY FOUNDATION
22 EAST HIGH STREET	OXFORD	OH	45056	311428999	501(C)(3)	$38,250	DONATION FOR ACESS TO HEALTH CARE
DWA RECREATION INC
PO BOX 208	HARRISON	OH	45030	341608513		$27,600	PLAYGROUND EQUIPMENT FOR LEONARD HOWELL PARK, OXFORD, OHIO

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	1	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 (12 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
DIRECTOR (START 7/18)	$0	$498,005	$0	$113,877	$0	$12,883	$0	$126,283	$0	$25,868	$0	$776,916	$0	$0
MICHAEL CROFTON
DIRECTOR (START 7/18)	$0	$307,398	$0	$73,892	$0	$13,629	$0	$90,608	$0	$27,877	$0	$513,404	$0	$0
MARK CLEMENT
SECRETARY	$0	$1,107,242	$0	$290,035	$0	$66,561	$0	$296,751	$0	$19,286	$0	$1,779,875	$0	$0
GAIL DONOVAN
VICE CHAIR (END 6/19)	$0	$717,014	$0	$165,900	$0	$45,330	$0	$191,343	$0	$9,341	$0	$1,128,928	$0	$0
KEVIN JOSEPH MD
DIRECTOR (START 7/18)	$0	$508,057	$0	$119,688	$0	$15,571	$0	$115,848	$0	$29,819	$0	$788,983	$0	$0
BRETT KIRKPATRICK
EXECUTIVE DIRECTOR-MHMH	$0	$119,137	$0	$10,000	$0	$35,952	$0	$13,015	$0	$15,517	$0	$193,621	$0	$0
PAM COLLINS
CHIEF PATIENT SVCS OFFICER	$0	$149,066	$0	$30,927	$0	$1,992	$0	$15,313	$0	$12,117	$0	$209,415	$0	$0
GREGORY CALKINS MD
PHYSICIAN	$182,682	$0	$0	$0	$0	$0	$750	$0	$28,517	$0	$211,949	$0	$0	$0
SHARON HANCOCK
SITE DIRECTOR - HR	$126,052	$0	$8,714	$0	$6,870	$0	$1,029	$0	$26,613	$0	$169,278	$0	$0	$0
STEVEN VORDENBERG
PHYSICIAN ASSISTANT	$143,763	$0	$0	$0	$356	$0	$894	$0	$10,496	$0	$155,509	$0	$0	$0
NATHAN SIMMONS
DIRECTOR - PHARMACY SERVICES	$142,925	$0	$8,902	$0	$1,190	$0	$143	$0	$11,771	$0	$164,931	$0	$0	$0
JOHN PROUT
FORMER OFFICER	$0	$0	$0	$0	$0	$1,853,100	$0	$0	$0	$0	$0	$1,853,100	$0	$1,793,100

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. THE FOLLOWING INDIVIDUAL LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION BY TRIHEALTH, INC.: JOHN PROUT - $1,793,100
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. NO REPORTABLE INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC. DURING THE 2018 CALENDAR YEAR.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	BUTLER COUNTY-SERIES 2015	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	316000061	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2015-09-29	BondIssuedDt
Issue Price	$9,320,000	IssuePriceAmt
Purpose	REFUNDING OF 2009 SERIES	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$9,320,000	TotalProceedsAmt
Issuance Costs From Proceeds	$146,198	IssuanceCostsFromProceedsAmt
Working Capital Expenditures	$33,454	WorkingCapitalExpendituresAmt
Other Spent Proceeds	$9,140,348	OtherSpentProceedsAmt
Substantial Completion	2015	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	DURING THE INTERVALS BETWEEN BOARD OF DIRECTORS MEETINGS, THE EXECUTIVE COMMITTEE SHALL, SUBJECT TO SECTIONS 5.07, 7.04 AND 7.05 OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL'S CODE OF REGULATIONS, POSSESS AND 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. ALL ACTIONS OF THE EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE BOARD OF DIRECTORS AT ITS NEXT MEETING SUCCEEDING SUCH ACTION. THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR AND FOUR (4) ADDITIONAL BOARD MEMBERS ELECTED TO THE COMMITTEE BY THE BOARD OF DIRECTORS SUCH THAT THE EXECUTIVE COMMITTEE SHALL CONSIST OF A PERCENTAGE OF TRIHEALTH-APPOINTED DIRECTORS AND TRUST-APPOINTED DIRECTORS CONSISTENT WITH COMPOSITION OF THE BOARD OF DIRECTORS (I.E. TRIHEALTH, INC.-60% AND MCCULLOUGH-HYDE MEMORIAL HOSPITAL TRUST-40%). THE CEO OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL SHALL BE A MEMBER, EX OFFICIO, WITHOUT A VOTE. THE BOARD CHAIR SHALL CHAIR THE COMMITTEE.
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, ONE OF THE CLASS OF MEMBERS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL. MARK CLEMENT AND MYRTIS POWELL HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF DIRECTORS OF TRIHEALTH, INC., ONE OF THE CLASS OF MEMBERS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL. AS WELL AS, SITTING ON THE BOARDS OF DIRECTORS OF BETHESDA HOSPITAL, INC., THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE AND TRIHEALTH HOSPITAL, INC., ALL AFFILIATED ENTITIES OF TRIHEALTH, INC. MARK CLEMENT, GAIL DONOVAN, KEVIN JOSEPH, MD, BRETT KIRKPATRICK, MICHAEL CROFTON, STEVE GRACEY AND ROB CERCEK HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF BEING EMPLOYEES OF TRIHEALTH, INC., ONE OF THE CLASS OF MEMBERS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 6	MCCULLOUGH-HYDE MEMORIAL HOSPITAL HAD TWO (2) CLASSES OF MEMBERS. THE FIRST CLASS CONSISTS SOLELY OF THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL TRUST OR ITS PERMITTED SUCCESSOR (40%). THE SECOND CLASS CONSISTS SOLELY OF TRIHEALTH, INC. OR ITS PERMITTED SUCCESSOR (60%).
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS OF MHMH SHALL CONSIST OF TEN (10) INDIVIDUALS APPOINTED BY THE MEMBERS IN ACCORDANCE WITH THEIR RESPECTIVE MEMBERSHIP INTERESTS IN MHMH. FOUR (4) DIRECTORS SHALL BE APPOINTED EXCLUSIVELY BY THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL TRUST (THE "TRUST APPOINTED DIRECTORS"). THE TRUST APPOINTED DIRECTORS SHALL BE SELECTED SOLELY BY THE MCCULLOUGH-HYDE MEMORIAL TRUST AND MAY INCLUDE PERSONS WHO ARE TRUSTEES OF THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL TRUST, PHYSICIANS, MEMBERS OF THE COMMUNITY AND SUCH OTHER PERSONS AS THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL TRUST DETERMINES APPROPRIATE, BUT WITH NO MINIMUM REPRESENTATION OF ANY STAKEHOLDERS. IN MAKING SUCH DETERMINATION, THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL TRUST SHALL CONSIDER (TOGETHER WITH SUCH OTHER FACTORS, AS DEEMED APPROPRIATE) THE VALUE OF A PHYSICIAN ON THE MEDICAL STAFF OF MHMH BEING ON THE BOARD OF DIRECTORS. SIX (6) DIRECTORS SHALL BE APPOINTED EXCLUSIVELY BY TRIHEALTH, INC. (THE "TRIHEALTH APPOINTED DIRECTORS"). THE TRIHEALTH APPOINTED DIRECTORS SHALL BE SELECTED SOLELY BY TRIHEALTH, INC. AND MAY INCLUDE ITS SENIOR MANAGEMENT, PHYSICIANS, MEMBERS OF THE COMMUNITY AND SUCH OTHER PERSONS AS TRIHEALTH, INC. DETERMINES APPROPRIATE, WITH NO MINIMUM REPRESENTATION OF ANY STAKEHOLDER. THE MEMBERS SHALL RECEIVE RECOMMENDATIONS FROM THE GOVERNANCE AND NOMINATING COMMITTEE FOR FILLING ANY VACANCIES ON THE BOARD OF DIRECTORS DUE TO EXPIRATION OF TERMS OR FOR ANY OTHER REASON; HOWEVER, THE COMMITTEE SHALL NOT EXERCISE ANY POWER OR AUTHORITY OVER THE BOARD OF DIRECTORS OR THE MEMBERS AND THE MEMBERS RETAIN THE EXCLUSIVE RIGHT TO APPOINT THE BOARD OF DIRECTORS. EACH DIRECTOR SHALL SERVE FOR A TERM OF FOUR (4) YEARS AND SERVE NO MORE THAN TWO CONSECUTIVE TERMS, HOWEVER, THE TRIHEALTH CHIEF EXECUTIVE OFFICER AND OTHER OFFICERS AND MANAGEMENT PERSONNEL OF TRIHEALTH WHO SERVE AS TRIHEALTH APPOINTED DIRECTORS MAY SERVE AN UNLIMITED NUMBER OF TERMS AS A DIRECTOR. ANY DIRECTOR MAY RESIGN AT ANY TIME BY GIVING WRITTEN NOTICE TO THE BOARD OF DIRECTORS AND THE MEMBER WHICH APPOINTED THE DIRECTOR. ANY DIRECTOR MAY BE REMOVED FROM OFFICE, WITH OR WITHOUT CAUSE, BY THE MEMBER WHICH APPOINTED THE DIRECTOR AT ANY TIME. THE RESIGNATION OR REMOVAL OF A DIRECTOR SHALL BE DEEMED TO CREATE A VACANCY ON THE BOARD, WHICH WILL BE FILLED BY THE MEMBER APPOINTING A SUCCESSOR TO SERVE THE BALANCE OF THAT DIRECTOR'S TERM.
FORM 990, PART VI, SECTION A, LINE 7B	EACH 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. NOTWITHSTANDING ANY OTHER PROVISION OF THIS CODE OR OF OHIO LAW, MHMH SHALL HAVE NO POWER OR AUTHORITY TO TAKE ANY ACTION DESCRIBED IN SECTION 3.02 OF ITS CODE OF REGULATIONS WITHOUT PRIOR CONSENT, EXPRESSED IN WRITING AND FILED WITH THE SECRETARY OF MHMH AS PART OF THE ITS MINUTES, OF BOTH MEMBERS. THE FOLLOWING MATTERS SHALL BE SUBJECT TO UNANIMOUS APPROVAL OF THE MEMBERS: A) ANY ACTION WHICH INTENTIONALLY AFFECTS THE STATUS OF MHMH AS AN ORGANIZATION EXEMPT FROM FEDERAL TAXATION, AS DESCRIBED IN SECTION 501(C)(3) OF THE IRC; B) ANY CHANGES TO THE EXISTING MISSION, VISION AND VALUES STATEMENT OF MHMH, AS REVISED; C) ANY AMENDMENT TO THE ARTICLES OF INCORPORATION; D) ANY AMENDMENT TO THIS CODE OF REGULATIONS THAT AFFECTS THE RIGHTS OF EITHER MEMBER INDIVIDUALLY, OR THE MEMBERS COLLECTIVELY, THE SPECIAL VOTING MATTERS, AS DEFINED IN ARTICLE V HEREOF, OR THE RIGHTS, RESPONSIBILITIES, POWER AND AUTHORITY OF THE BOARD OF DIRECTORS, THE TRIHEALTH APPOINTED DIRECTORS OR THE TRUST APPOINTED DIRECTORS; E) ANY SALE, TRANSFER, OR OTHER DISPOSITION OF ASSETS OF THE CORPORATION WITH A NET BOOK VALUE WHICH IS IN EXCESS OF 40% OF THE NET VALUE OF THE CORPORATION'S ASSETS, WITHIN ANY PERIOD OF THREE (3) CONSECUTIVE FISCAL YEARS. FOR THE PURPOSE OF CALCULATING THE 40% THRESHOLD, THE ASSETS TRANSFERRED SHALL BE VALUED AT THEIR NET BOOK VALUE AND THE PERCENTAGE SHALL BE MEASURED BY REFERENCE TO MHMH'S TOTAL NET ASSETS AS OF THE END OF FISCAL QUARTER PRIOR TO THE FIRST TRANSFER OF ANY THREE-YEAR MEASUREMENT PERIOD; F) ANY TRANSFER, SALE, OR OTHER DISPOSITION OF EITHER MEMBER'S MEMBERSHIP INTEREST IN MHMH OTHER THAN TO A CONTROLLED AFFILIATE OF THE MEMBER THAT IS AN ENTITY DESCRIBED IN SECTION 501(C)(3) OF THE IRC. G) EXCEPT AS SET FORTH IN SECTION 11.3 OF THE AFFILIATION AGREEMENT, ANY ACTION THAT (I) WOULD CAUSE MHMH TO BE SUBJECT TO THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES (THE "ERDS"), (II) THE EFFECT OF WHICH IS TO CONVERT MHMH FROM ITS NONSECTARIAN STATUS INTO A FAITH-BASED OR RELIGIOUSLY-AFFILIATED HOSPITAL, OR (III) WHICH WOULD RESTRICT THE SERVICES PROVIDED BY MHMH IN A MANNER WHICH WOULD BE REQUIRED IF MHMH WERE SUBJECT TO THE ERDS; H) ANY CONTRIBUTION TO CAPITAL BY EITHER MEMBER (OTHER THAN AS CONTEMPLATED BY SECTIONS 4.2 AND 4.3 OF THE AFFILIATION AGREEMENT), OR THE LOAN OF $1.0 MILLION OR MORE TO MHMH MADE OR GUARANTEED BY ANY MEMBER OR ANY AFFILIATE OF ANY MEMBER; AND I) THE STANDARD AS TO WHAT CONSTITUTES A "MATERIAL AMENDMENT OR VARIATION" FROM AN APPROVED ANNUAL BUDGET (AS CONTEMPLATED IN SECTION 3.04(E) OF MHMH'S CODE OF REGULATIONS). IN ADDITION, THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL TRUST SOLELY SHALL HAVE THE POWER TO APPROVE ANY ACTION OF MHMH THAT WOULD NOT BE CONSISTENT WITH THE 1966 ORDER OF THE BUTLER COUNTY COMMON PLEAS COURT OR THE 1989 ORDER OF THE BUTLER COUNTY PROBATE COURT RELATING TO THE IT. TRIHEALTH, INC. SHALL HAVE SOLE AUTHORITY TO APPROVE THE FOLLOWING MATTERS, AFTER RECEIVING A RECOMMENDATION FROM THE BOARD OF DIRECTORS (OR, IN THE CASE OF THE APPOINTMENT OF THE CEO, THE CEO SELECTION COMMITTEE): A) APPOINTMENT OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER ("CEO"); B) TERMINATION OF THE CEO; C) AN INITIAL FIVE-YEAR FINANCIAL PLAN ("THE "FINANCIAL PLAN") FOR MAINTAINING AND IMPROVING THE KEY FINANCIAL INDICATORS OF MHMH(ON A STAND-ALONE BASIS) IN A MANNER DETERMINED TO BE IN MHMH'S BEST INTERESTS CONSISTENT WITH PRUDENT HOSPITAL OPERATIONS. THE KEY FINANCIAL INDICATORS INCLUDED IN THE FINANCIAL PLAN WILL BE SELECTED BASED ON INDICATORS REPORTED BY RATING AGENCIES IN THEIR HOSPITAL METRIC REPORTS; D) ANNUAL CAPITAL AND OPERATING BUDGETS FOR MHMH; E) ANY MATERIAL AMENDMENT OR DEVIATION FROM AN APPROVED CAPITAL OR OPERATING BUDGET; AND F) ANY AMENDMENT OF THE FINANCIAL PLAN OR ACTION THAT WOULD CAUSE A DEVIATION FROM THE FINANCIAL PLAN SUCH THAT THE KEY FINANCIAL INDICATORS SPECIFIED IN THE FINANCIAL PLAN ARE NOT PROJECTED TO BE ATTAINED. EXCEPT AS SPECIFIED IN SECTION 7.02(E) OF MHMH'S CODE OF REGULATIONS, TRIHEALTH, INC. MAY APPROVE SUCH ACTION AS IT SEES FIT AFTER RECEIVING THE RECOMMENDATION OF THE BOARD.
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:	CAPITAL CONTRIBUTION 141,997.
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 (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
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)

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	Yes (1)	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	$204,712	FMV
TRIHEALTH INC
M	$861,000	COST
TRIHEALTH PHYSICIAN ENTERPRISE CORP
M	$199,404	COST
TRIHEALTH INC
P	$27,897,587	COST