2019-05-15T10:06:09-05:00 2018-06-30 861065772 DELOITTE TAX LLP 250 EAST FIFTH STREET SUITE 1900 CINCINNATI OH 45202 990 2017-07-01 237374256 MCCULLOUGH-HYDE MEMORIAL HOSPITAL ENDOWMENT FUND MCCU 5135245310 110 NORTH POPLAR STREET OXFORD OH 45056 MARY BUTTERFIELD SECRETARY/TREASURER 5135245310 2019-05-14 1 ALICIA JANISCH P00741382 5137847100 174.226.148.89 2019-05-14 22:01:42 ED P CD71869BFC494223FABD92E93AB0669CE7B22062 5D794220C68C161820A811785299AFD302F4C684 2017 2019-02-21 02:37:17Z MCCULLOUGH-HYDE MEMORIAL HOSPITAL FOUNDATION RALPH GUTOWSKI 110 NORTH POPLAR STREET OXFORD OH 45056 733493 0 X WWW.MHMH.ORG X 1942 OH TO SUPPORT HEALTH, EDUCATIONAL AND BUILDING PROGRAMS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL. 10 10 0 10 0 0 294847 238187 0 0 859718 404019 54117 8668 1208682 650874 0 153840 0 0 0 0 0 0 37795 309315 471006 309315 624846 899367 26028 20600890 22226206 227864 317871 20373026 21908335 TO SUPPORT HEALTH, EDUCATIONAL AND BUILDING PROGRAMS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL. 0 0 485588 153840 0 SUPPORT FOR MCCULLOUGH-HYDE MEMORIAL HOSPITAL'S DEVELOPMENT DEPARTMENT: THE TRUST PROVIDES SUPPORT FOR THE HOSPITAL'S DEVELOPMENT DEPARTMENT THAT ACTS AS A LIAISON BETWEEN THE HOSPITAL AND THE DONOR COMMUNITY. EFFORTS OF THIS DEPARTMENT OVER THE YEARS HAS PRODUCED AN ENDOWMENT OF $9.3 MILLION IN UNRESTRICTED CONTRIBUTIONS AND $4.4 MILLION IN DESIGNATED GIFTS. 56189 0 0 SUPPORT FOR EDUCATIONAL NEEDS: THE TRUST FUNDED HEALTH CAREER SCHOLARSHIPS, EARLY CHILDHOOD DEVELOPMENT, STAFF CONTINUING EDUCATION AND STAFF CAREER DEVELOPMENT PROGRAMS. 19266 0 0 SUPPORT FOR HEALTH PROGRAMS: THE TRUST PROVIDED SUPPORT FOR NEEDY PATIENTS REQUIRING TRANSPORTATION, ONCOLOGY MEDICINES AND TEMPORARY ASSISTANCE DURING MEDICAL EMERGENCIES AS WELL AS SUPPORT FOR THE OXFORD FREE CLINIC. 561043 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 X VERA WARD SENIOR ACCOUNTANT 5135245311 110 NORTH POPLAR STREET OXFORD OH 45056 X JOHN HARLAN MD TRUSTEE 1.00 0.00 X 0 0 0 RICHARD M NORMAN TRUSTEE 1.00 0.00 X 0 0 0 ALAN OAK VICE CHAIR 1.00 0.00 X X 0 0 0 STEPHEN FLEE TRUSTEE 1.00 0.00 X 0 0 0 MARY BUTTERFIELD SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 RALPH GUTOWSKI CHAIR 1.00 0.00 X X 0 0 0 JAMES FORMAL TRUSTEE 1.00 0.00 X 0 0 0 ELIZABETH BROWER O'BEIRNE TRUSTEE 1.00 0.00 X 0 0 0 LISA CIAMPA TRUSTEE 1.00 0.00 X 0 0 0 THOMAS MCQUISTON TRUSTEE 1.00 0.00 X 0 0 0 0 0 0 0 0 0 0 0 19754 218433 12433 238187 275753 275753 91287 82619 8668 8668 8668 128266 0 128266 128266 128266 650874 0 0 412687 153840 153840 192952 192952 16321 16321 6805 6805 31638 31638 5500 5500 4485 4485 14950 14950 18240 18240 1980 1980 2882 2882 HEALTH PROGRAMS 66048 66048 EDUCATIONAL PROGRAMS 57817 57817 CAPITAL CAMPAIGN 37795 37795 BUILDING & EQUIPMENT 4935 4935 8658 8658 624846 561043 26008 37795 315787 169973 340389 228623 90863 70378 10598 11573 1357121 684780 711377 672341 11501001 12385098 7630875 8688220 20600890 22226206 13797 19116 214067 298755 227864 317871 X 15974146 17494294 2114892 2219243 2283988 2194798 20373026 21908335 20600890 22226206 X 26028 452363 1056918 X 1 X 0 1 0 X X 1 MCCULLOUGH-HYDE MEMORIAL HOSPITAL INC 310650283 3 1 153840 0 1 153840 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART D, LINE 3 THERE IS A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL ENDOWMENT FUND ("FUND") AND ITS SUPPORTED ORGANIZATION, MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("HOSPITAL"). FIRST, THE ORIGINAL RESOURCES THAT CREATED THE FUND WERE GIVEN FOR THE SOLE PURPOSE OF ERECTING, MAINTAINING AND OPERATING A HOSPITAL IN OXFORD, OHIO, WHICH ULTIMATELY BECAME THE HOSPITAL IN 1957. SECOND, UNTIL JANUARY 1, 2015, THE BOARD OF THE FUND WAS IDENTICAL TO THE BOARD OF THE HOSPITAL THUS THE HOSPITAL HAD A SIGNIFICANT SAY IN THE FUND'S OPERATIONS. IN ADDITION, EMPLOYEES OF THE HOSPITAL PERFORMED MANY OF THE FUND'S DAY-TO-DAY OPERATIONS ON BEHALF OF IT INCLUDING FUNDRAISING, ADMINISTRATION AND ACCOUNTING. FINALLY, SINCE 2015, ALTHOUGH NOT A MAJORITY, THE FUND STILL HAS REPRESENTATION ON THE HOSPITAL'S BOARD OF DIRECTORS WITH FOUR OF THE TEN MEMBERS. THE FUND DEVELOPMENT OFFICE WORKS WITH THE HOSPITAL'S BOARD OF DIRECTORS TO DETERMINE HOW FUNDS ARE DISTRIBUTED. HOSPITAL NEEDS ARE EVALUATED ANNUALLY TO ENSURE THE GREATEST NEEDS ARE MET FIRST. PART E, LINE 2A THERE IS A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL ENDOWMENT FUND ("FUND") AND ITS SUPPORTED ORGANIZATION, MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("HOSPITAL"). THE ORIGINAL RESOURCES THAT CREATED THE FUND WERE GIVEN FOR THE SOLE PURPOSE OF ERECTING, MAINTAINING AND OPERATING A HOSPITAL IN OXFORD, OHIO, WHICH ULTIMATELY BECAME THE HOSPITAL IN 1957. THE FUND IS RESPONSIBLE FOR RECEIVING ALL CHARITABLE CONTRIBUTIONS TO THE HOSPITAL, MANAGING AND DISTRIBUTING THOSE FUNDS, AND ENSURING THEIR USE IS IN ACCORDANCE WITH DONOR WISHES, IF APPLICABLE. THE FUND DEVELOPMENT OFFICE WORKS WITH THE HOSPITAL'S BOARD OF DIRECTORS TO DETERMINE HOW FUNDS ARE DISTRIBUTED. HOSPITAL NEEDS ARE EVALUATED ANNUALLY TO ENSURE THE GREATEST NEEDS ARE MET FIRST. OVER THE YEARS, THE FUND HAS FOCUSED ON RAISING AND INVESTING MONIES TO SUPPORT EQUIPMENT, EDUCATION AND CAPITAL NEEDS OF THE HOSPITAL. PART E, LINE 2B THE SUPPORTED ORGANIZATION, MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("HOSPITAL"), GENERALLY WOULD NEED TO RAISE AND MANAGE FUNDS IN ORDER TO FURTHER ITS EXEMPT PURPOSE. INSTEAD, MCCULLOUGH-HYDE MEMORIAL HOSPITAL ENDOWMENT FUND RECEIVES ALL CHARITABLE CONTRIBUTIONS TO THE HOSPITAL, MANAGES AND DISTRIBUTES THOSE FUNDS TO SUPPORT EQUIPMENT, EDUCATION AND CAPITAL NEEDS OF HOSPITAL. THIS ALLOWS THE HOSPITAL TO FOCUS ON DELIVERING PATIENT CARE IN FURTHERANCE OF ITS EXEMPT PURPOSE. PART I, LINE 12G, COLUMN (VI) THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL FUND ("FUND") IS RESPONSIBLE FOR RECEIVING ALL CHARITABLE CONTRIBUTIONS FOR MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("HOSPITAL"), MANAGING AND DISTRIBUTING THOSE FUNDS, AND ENSURING THEIR USE IS IN ACCORDANCE WITH DONOR WISHES, IF APPLICABLE. THE FUND DEVELOPMENT OFFICE WORKS WITH THE HOSPITAL'S BOARD OF DIRECTORS TO DETERMINE HOW FUNDS ARE DISTRIBUTED. HOSPITAL NEEDS ARE EVALUATED ANNUALLY TO ENSURE THE GREATEST NEEDS ARE MET FIRST. OVER THE YEARS, THE FUND HAS FOCUSED ON RAISING AND INVESTING MONIES TO SUPPORT EQUIPMENT, EDUCATION AND CAPITAL NEEDS OF THE HOSPITAL. SEE FORM 990, PART III FOR ADDITIONAL INFORMATION. 11841390 193753 970746 401440 12604449 10262930 276887 1301573 11841390 13193592 267788 402309 1038481 2518567 43711 10262930 9479910 4411869 -534978 92553 70656 13193592 11548642 184959 427284 164936 2516039 9479910 0.64980 0.17410 0.17610 1 0 195669 195669 1120572 650821 469751 40880 33959 6921 672341 INTEREST IN MCCULLOUGH-HYDE MEMORIAL HOSPITAL 8670600 ACCRUED INCOME 17620 8688220 DUE TO MCCULLOUGH-HYDE MEMORIAL HOSPITAL 291723 MISCELLANEOUS 7032 298755 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED TO SUPPORT THE PROGRAMS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCLUDING HEALTH EDUCATION, HOSPITAL EQUIPMENT AND COMMUNITY HEALTH. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FOUNDATION AND RECOGNIZE A TAX LIABILITY IF THE FOUNDATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FOUNDATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2018 AND 2017, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSE IN THE ACCOMPANYING FINANCIAL STATEMENTS. 1 MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCORPORATED 110 N POPLAR ST OXFORD OH 45056 310650283 501(C)(3) 153840 REIMBURSEMENT FOR PURCHASE OF FOUR (4) DEFIBRILLATORS AND SUPPLIES 1 1 PART I, LINE 2: THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL ENDOWMENT FUND ("FUND") WORKS WITH THE BOARD OF DIRECTORS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("HOSPITAL") TO DETERMINE HOW FUNDS ARE DISTRIBUTED. THE HOSPITAL'S NEEDS ARE EVALUATED ANNUALLY TO ENSURE THE GREATEST NEEDS ARE MET FIRST. SEE SCHEDULE A, PART VI FOR ADDITIONAL INFORMATION REGARDING THE FUND'S RELATIONSHIP WITH THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A THE MAYOR OF THE CITY OF OXFORD APPOINTS, WITH THE APPROVAL OF THE OXFORD CITY COUNCIL, THE BOARD MEMBERS OF THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL ENDOWMENT FUND TO FIVE-YEAR TERMS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE BOARD PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN MCCULLOUGH-HYDE MEMORIAL HOSPITAL 1,056,918. MCCULLOUGH-HYDE MEMORIAL HOSPITAL TRUST REAL ESTATE LLC 110 NORTH POPLAR STREET OXFORD OH 45056 REAL ESTATE HOLDINGS OH 0 0 N/A MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCORPORATED 110 NORTH POPLAR STREET OXFORD OH 45056 310650283 HOSPITAL OH 501(C)(3) LINE 3 N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0