2018-11-12T09:55:30-06:00 2017-12-31 381357951 PLANTE & MORAN PLLC 65 EAST STATE STREET SUITE 600 COLUMBUS OH 43215 990 2017-01-01 344441792 H B MAGRUDER MEMORIAL HOSPITAL HBMA 4197343131 615 FULTON STREET PORT CLINTON OH 43452 JULIE C GEORGOFF CFO 4197343131 2018-11-07 1 BERNIE OSTROWSKI P00366367 6148493000 2018-11-07 67.59.56.30 2018-11-07 09:47:30 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 2CF7C5A78B789059D0734872C4021BB0B9EC4A92 2017 2019-02-21 02:37:17Z MAGRUDER HOSPITAL JON TODD ALMENDINGER 615 FULTON STREET PORT CLINTON OH 43452 55686422 0 X WWW.MAGRUDERHOSPITAL.COM X 1940 OH MAGRUDER HOSPITAL SHALL PROVIDE COMPASSIONATE CARE WITH EXCELLENT OUTCOMES. 15 12 497 100 273070 -7931 22398 22911 48773762 51717279 50266 44087 1502661 3326434 50349087 55110711 6000 7350 0 0 23328573 22993922 0 0 2045 28828543 29974202 52163116 52975474 -1814029 2135237 45078448 49337925 6155405 6448212 38923043 42889713 X MAGRUDER SHALL:-PROVIDE QUALITY AND COMPASSIONATE MEDICAL CARE AND TREATMENT-PROMOTE HEALTH EDUCATION AND PREVENTATIVE CARE-IMPROVE THE COMMUNITY'S HEALTH STATUS -WORK COLLABORATIVELY AND COOPERATIVELY WITH AREA HEALTH PROVIDERS -STRIVE FOR CONTINUAL QUALITY IMPROVEMENT BE COST-EFFECTIVE IN HOSPITAL OPERATIONS-ACHIEVE ALIGNMENT WITH THE GOALS AND OBJECTIVES OF THE STAFF PHYSICIANS 0 0 47214890 7350 53881772 MAGRUDER CONTINUES ITS COMMITMENT TO SERVING THE PUBLIC HEALTH PREVENTION AND HEALTH EDUCATION NEEDS IN THE COMMUNITIES OF OTTAWA COUNTY. OUR OUTREACH PROGRAMS CONTINUE TO TOUCH HUNDREDS OF LIVES IN OUR COMMUNITIES. REDUCED FEE CHOLESTEROL SCREENING FOR THE COMMUNITY EACH MONTH (192 PARTICIPANTS) ADMINISTERED FLU SHOTS AT BUSINESSES, HEALTH FAIRS AND PUBLIC CLINICS (515 PARTICIPANTS) PROVIDED FREE FLU SHOTS AT PROJECT CONNECT EVENT (41 PARTICIPANTS) MEDICARE EDUCATION FOR THE COMMUNITY (IN ADDITION TO A LARGE PUBLIC EDUCATIONAL SESSION (50), WE HAD STAFF THROUGHOUT THE END OF THE YEAR OFFERING ONE ON ONE APPOINTMENTS (49) FOR PART D COMPARISONS AND OTHER RESOURCES. KIWANIS LAB SCREENING TEST FOR 7 DIFFERENT MEDICAL CONDITIONS (173 PARTICIPANTS) FREE SKIN CANCER SCREENING TO THE COMMUNITY (29 PARTICIPANTS) FREE COLORECTAL HEALTH SCREENING KITS TO THE COMMUNITY (50 PARTICIPANTS) CANCER SUPPORT GROUP (81 PARTICIPANTS) REDUCED FEE WELLNESS CLASSES FOR THE COMMUNITY (1,015 PARTICIPANTS) GENERAL HEALTH SCREENINGS (USUALLY BMI, BLOOD PRESSURE & BLOOD SUGAR) AT COMMUNITY EVENTS (155 PARTICIPANTS) BOARD INVOLVEMENT IN: PROJECT LIFESAVER, 3 AREA CHAMBERS OF COMMERCE, OTTAWA COUNTY COUNCIL OF HEALTH & SOCIAL CONCERNS, OTTAWA COUNTY TASK FORCE ON AGING, OSU EXTENSION MAGRUDER SPONSORED 6 BLOOD DRIVES IN 2017 WHICH INCLUDES NOT ONLY THE SPACE AND PROMOTION FOR THE EVENT BUT ALSO ALLOWING EMPLOYEES TO DONATE ON WORK TIME. WE HELPED COLLECT 215 UNITS. PROVIDE TRANSPORTATION FOR PATIENTS WITH NO WAY HOME ($667) WE DONATE USE OF THE CONFERENCE CENTER TO NON-PROFIT ORGANIZATIONS ($4,618) THIS YEAR WE BEGAN A PROGRAM TO DONATE PACKAGED AND PREPARED FOODS TO LOCAL COMMUNITY MEALS AND FOOD PANTRIES ($623) EDUCATION PROGRAMS (1,034 PARTICIPANTS) COMMUNITY EVENTS: TOPICS OF NUTRITION, ADVANCE DIRECTIVES, CAREER PATHS, INFECTION PREVENTION, SKIN CANCER, AND PHYSICAL ACTIVITY AT VENUES SUCH AS TICKET TO SUCCESS, BIKE RODEO, SENIOR CENTERS AND CIVIC ORGANIZATIONS MONTHLY LUNCHEONS: NUTRITION, OBSERVATION VS. INPATIENT, CONCUSSIONS, SUICIDE PREVENTION, ALLERGIES, DEMENTIA, SLEEP, VACCINES, QUITTING SMOKING AND MORE MAGRUDER HOSPITAL ALSO SPONSORS OR PARTICIPATES IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES: OTTAWA COUNTY FAIR SAFETY PATROL AMERICAN CANCER SOCIETY HABITAT FOR HUMANITY HIGH SCHOOL YEARBOOKS JOYFUL CONNECTIONS HOSPICE FIRE DEPARTMENTS JUVENILE DIABETES CHAMBERS OF COMMERCE TNT MENTORINGTHESE COMMUNITY BUILDING ACTIVITIES SUPPORT ORGANIZATIONS THAT ASSIST COMMUNITY MEMBERS IN OBTAINING THE RESOURCES AND SERVICES THEY NEED, WHETHER IT'S ADVOCACY, EXERCISE, SAFE AND AFFORDABLE HOUSING, SHELTER, NUTRITION, MEDICAL EQUIPMENT OR SAFE ACTIVITIES FOR TEENS.IN 2017, MAGRUDER AGAIN PARTNERED WITH THE OTTAWA COUNTY HEALTH PARTNERS (OC HEALTH DEPARTMENT, UNITED WAY, MENTAL HEALTH & RECOVERY BOARD, OC JOB & FAMILY SERVICES, OSU EXTENSION, OC BOARD OF DD AND OC COMMISSIONERS) TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT. THE OTTAWA COUNTY HEALTH PARTNERS WILL MEET IN 2018 TO DEVELOP ACTION STEPS. 47214890 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 70 0 1 497 1 1 1 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X TONI MAGSIG ACCOUNTING DIRECTOR 4197343131 615 FULTON STREET PORT CLINTON OH 43452 GREG DEERHAKE CHAIR 1.00 1.00 X X 0 0 0 DOUGLAS FOCHT DIRECTOR 1.00 1.00 X 0 0 0 KEVIN SIBBRING DIRECTOR 1.00 1.00 X 0 0 0 JEFF DORNBUSCH DIRECTOR 1.00 1.00 X 0 0 0 KEVIN SNEIDER DPM DIRECTOR 1.00 1.00 X 0 0 0 LOCKWOOD ZEIS DIRECTOR 1.00 1.00 X 0 0 0 RON MILLER DIRECTOR 1.00 1.00 X 0 0 0 MARK HABLITZEL DDS DIRECTOR 1.00 1.00 X 0 0 0 MARIA SUE CROSSER DIRECTOR 1.00 1.00 X 0 0 0 EMIL CELLIER DIRECTOR 1.00 1.00 X 0 0 0 JOHN BODIE MD DIRECTOR 1.00 1.00 X 0 0 0 DANIEL ALMENDINGER ASST SECRETARY 1.00 1.00 X X 0 0 0 DAVID SODERBERG TREASURER 1.00 1.00 X X 0 0 0 NANCY OSBORN SECRETARY 1.00 1.00 X X 0 0 0 PAUL DRUCKENMILLER VICE CHAIR 1.00 1.00 X X 0 0 0 LORI KOETHE VP NURSING 40.00 0.00 X 134063 0 27276 JON TODD ALMENDINGER PRESIDENT & CEO 40.00 2.00 X 318777 0 35956 NICHOLAS MARSICO VP & COO 40.00 0.00 X 163052 0 28723 RON WEINER VP FINANCE-THROUGH MARCH 2017 40.00 2.00 X 64225 0 8340 JULIE GEORGOFF VP FINANCE (EFFECTIVE AUG 17) 40.00 0.00 X 56648 0 2305 GARY KRESGE PHYSICIAN 40.00 0.00 X 421378 0 33716 DONALD REED PHYSICIAN 40.00 0.00 X 393297 0 33716 STEVEN JACKSON PHYSICIAN 40.00 0.00 X 277704 0 24165 DANIEL CADIGAN PHYSICIAN 40.00 0.00 X 280443 0 15455 DAVID BODIE PHYSICIAN 40.00 0.00 X 244803 0 34743 2354390 0 244395 24 0 1 0 PORT CLINTON EMERGENCY PHYSICIANS INC 3914 MEMORIAL SHOREWAY LAKESIDEMARBLEHEAD OH 43440 EMERGENCY PHYSICIANS 2519286 CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 COMPUTER SUPPORT 1411538 ADVANCED HEALTH LTD 2500 W STRUB RD STE 150 SANDUSKY OH 44870 PHYSICAL THERAPY 1387166 UNIVERSITY HOSPITALS 11100 EUCLID AVE CLEVELAND OH 44106 ONCOLOGY PHYSICIANS 520000 PREMIER ANESTHESIA OF SANDUSKY 6125 S BROADWAY LORAIN OH 44053 ANESTHESIOLOGIST 440000 12 22911 22911 HEALTHCARE SERVICES 622110 51273743 51273743 PHYSICIAN OFFICE RENTAL 622110 443536 443536 51717279 121956 121956 8046 480 0 0 8046 480 8526 8526 497842 575711 -77869 -77869 -77869 EHR INCENTIVE 900099 1247452 1247452 RETAIL PHARMACY 446110 1018211 745141 273070 MOBILE MEALS/FOOD SERVICE 722514 480345 480345 571900 171900 400000 3317908 55110711 53881772 273070 932958 X 7350 7350 839365 839365 15868022 13725839 2142183 862507 746069 116438 4063467 3514899 548568 1360561 1176885 183676 40892 38847 2045 90263 90263 11842787 10784659 1058128 229777 229777 1998818 1675189 323629 1081881 941236 140645 1575921 1349733 226188 60014 30007 30007 5761 5761 2333237 2333237 355375 355375 MEDICAL SUPPLIES 8229995 8229995 BAD DEBT EXPENSE 1435794 1435794 FRANCHISE FEES 602674 602674 PHYSICIAN RECRUITMENT 39241 34395 4846 51772 36016 15756 52975474 47214890 5758539 2045 50597 155161 4103289 9569709 7397141 7339299 1860244 556842 632274 597984 975836 1042162 69101150 47300819 23131951 21800331 6692430 7992696 234686 283741 45078448 49337925 4533628 4433470 414027 605642 1207750 1409100 6155405 6448212 X 38869063 42835598 53980 54115 38923043 42889713 45078448 49337925 X 2135237 1392815 438618 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 4353 4353 0 PART II-B, LINE 1: A PORTION OF DUES PAID TO THE OHIO HOSPITAL ASSOCIATION RELATES TO LOBBYING. 112322 112322 37355118 21354634 16000484 1553145 858233 694912 29976426 25087952 4888474 104139 104139 21800331 ESTIMATED 3RD PARTY PAYOR SETTLEMENTS 1248038 ACCRUED POST-RETIREMENT BEN. OBLIGATION 161062 1409100 1 1 X 1 X 1 X 1 1 1 0 1 1 503688 401229 102459 0.00200 6980213 4906464 2073749 0.04020 7483901 5307693 2176208 0.04220 9 2704 39452 12296 27156 0.00050 6 57 501532 501532 0.00970 2 100 9169 9169 0.00020 17 2861 550153 12296 537857 0.01040 17 2861 8034054 5319989 2714065 0.05260 0 1435794 71790 15111648 15344645 -232997 X 1 1 1 OTTAWA COUNTY CARENET GROUP CONTRACTING 0.50000 0.50000 1 1 HB MAGRUDER MEMORIAL HOSPITAL 615 FULTON STREET PORT CLINTON OH 43452 HTTP://WWW.MAGRUDERHOSPITAL.COM/ STATE REG. NO. 1252 X X X HB MAGRUDER MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X 17 1 0 1 1 X HTTP://WWW.MAGRUDERHOSPITAL.COM/ 1 17 1 HTTP://WWW.MAGRUDERHOSPITAL.COM/ 0 1 X 100.000000000000 300.000000000000 1 1 X X X 1 X HTTP://WWW.MAGRUDERHOSPITAL.COM/FINANCIAL-ASSISTANCE X HTTP://WWW.MAGRUDERHOSPITAL.COM/FINANCIAL-ASSISTANCE X HTTP://WWW.MAGRUDERHOSPITAL.COM/FINANCIAL-ASSISTANCE X X X X X 1 X 0 X X X 1 X 0 0 HB MAGRUDER MEMORIAL HOSPITAL PART V, SECTION B, LINE 3J: BELOW IS A SUMMARY OF THE POSITION AND STRATEGIES H B MAGRUDER MEMORIAL HOSPITAL CONTINUES TO ADDRESS SURROUNDING THE HEALTH NEEDS OF THE COMMUNITY. IN 2017 MAGRUDER HOSPITAL CONTINUED ITS DEFINED FOCUS ON THE 2015 OTTAWA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION STRATEGY WHILE WORKING WITH COMMUNITY PARTNERS TO ESTABLISH NEW DIRECTIONAL DATA. THE 2017 CHNA FINDINGS SHOWED THE FOLLOWING GENERAL HEALTH AREAS HAVING A DOCUMENTED IMPROVEMENT REALIZED IN 2017 AS IT RELATES TO PREVIOUS CHNA REPORTING.MH CONTINUES TO FOCUS ON MENTAL HEALTH AS A COMMUNITY CONCERN: - THERE WAS NO CHANGE IN THE NUMBER OF AVERAGE DAYS THAT "MENTAL HEALTH WAS NOT GOOD IN THE PAST MONTH" - ADULTS THAT FELT SAD OR HOPELESS FOR TWO OR MORE WEEKS IN A ROW DECREASED SLIGHTLY - ADULTS CONSIDERING ATTEMPTED SUICIDE IN THE PAST YEAR DECREASE SLIGHTLY - ADULTS WHO MISUSED PRESCRIPTION DRUGS IN THE PAST YEAR DECREASED SLIGHTLYSMOKING CESSATION CONTINUES TO BE A FOCUS AT MH INCLUDING DIRECT ACTIVITIES THAT HELPED 16 SMOKERS STOP SMOKING IN 2017. - ADULT TOBACCO USE DECREASED BY 6% OVER THE PREVIOUS CHNA - THE PERCENTAGE OF PATIENTS THAT TRIED TO QUIT SMOKING INCREASED BY 15%GENERAL HEALTH: - ADULTS THAT HAD A FLU VACCINE IN THE PAST YEAR INCREASED BY 5% - ADULTS THAT HAD A PNEUMONIA VACCINE INCREASED BY 10%HEALTHCARE ACCESS: - THE PERCENTAGE OF UNINSURED PATIENTS DECLINED FROM 12% TO 7% IN YEARS 2012 AND 2017 RESPECTIVELY. THE CURRENT 7% OF PATIENTS UNINSURED IS NOW LOWER THAN THE STATE AVERAGE. MH CONDUCTS EDUCATIONAL SESSIONS AND SUPPORT FOR THE COMMUNITY AS IT RELATES TO INSURANCE MARKETPLACE AND MEDICARE OPTIONS. HB MAGRUDER MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: OTTAWA COUNTY HEALTH DEPARTMENT HB MAGRUDER MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: H B MAGRUDER MEMORIAL HOSPITAL'S ACTION PLAN:MAGRUDER HOSPITAL HAS REVIEWED THE HEALTH ASSESSMENT REPORT IN COMPARISON TO OUR SERVICES AND RESOURCES AND HAS DEVELOPED A HOSPITAL-SPECIFIC IMPLEMENTATION STRATEGY. IN KEEPING WITH OUR MISSION OF PROVIDING COMPASSIONATE CARE WITH EXCELLENT OUTCOMES, OUR HOSPITAL COMMUNITY NEEDS ASSESSMENT COMMITTEE HAS DETERMINED THAT PATIENT ACCESS TO CARE, TOBACCO USE AND DIABETES ARE THREE OF THE GREATEST NEEDS. BOTH TOBACCO USE AND DIABETES ARE CLOSELY RELATED TO THE LEADING TYPES OF DEATH IN OTTAWA COUNTY AND BOTH HAVE COMPONENTS THAT MAY BE PREVENTABLE. PATIENT ACCESS TO CARE:THE FOLLOWING WERE IDENTIFIED AS REASONS PREVENTING OTTAWA COUNTY ADULTS FROM SEEING A DOCTOR: - HOURS NOT CONVENIENT - DIFFICULT TO GET AN APPOINTMENT - COUND NOT GET OFF WORKADULTS HAD THE FOLLOWING PROBLEMS WHEN THEY NEEDED HEALTH CARE: - COULD NOT GET AN APPOINTMENT WHEN THEY WANTED THEM - COULD NOT FIND A DOCTOR TO TAKE THEM AS A PATIENT - COULD NOT FIND A DOCTOR THEY WERE COMFORTABLE WITH - TOO BUSY TO GET THE HEALTHCARE THEY NEEDEDMH IMPLEMENTED AN URGENT CARE SERVICE LINE IN 2016 WITH A GOAL OF ADDRESSING THESE CONCERNS. THIS NEW SERVICE INCLUDED AN OVERALL REDUCTION IN COST PER VISIT OF APPROXIMATELY 20% AS COMPARED TO EMERGENCY ROOM SERVICES (AS THE ALTERNATIVE) AS WELL AS AN IMPLICIT 8.6% REDUCTION IN OVERALL EMERGENCY ROOM UTILIZATION IN 2017. (8.8% IN 2016). THE URGENT CARE ALSO PROVIDED MORE CONVENIENT HOURS OF OPERATION BY BEING OPEN FROM 9:30AM TO 8:30PM DAILY AS COMPARED TO A PHYSICIAN'S OFFICE HOURS. THIS SERVICE ALSO ALLEVIATES THE CONCERN AROUND A NEED FOR AN APPOINTMENT AND FLEXIBILITY WITH WORK AND CHILD CARE SCHEDULES. TOBACCO USEACCORDING TO THE AMERICAN CANCER SOCIETY, TOBACCO USE IS ONE OF THE MOST PREVENTABLE CAUSES OF DISEASE AND EARLY DEATH IN THE WORLD. THE RATE OF ADULT TOBACCO USE IN OTTAWA COUNTY IS HIGHER FOR THOSE WHO REPORT EARNING LESS THAN $25,000 PER YEAR. THE PERCENT OF THOSE IN OTTAWA COUNTY WHO TRIED TO QUIT SMOKING IN 2017 WAS 51%, IN 2012 WAS 36% COMPARED TO 70% IN 2006. IN AN EFFORT TO INCREASE SMOKING CESSATION RESOURCES, MAGRUDER HAS DEVELOPED TACTICS TO INCREASE CESSATION EFFORTS. IN JANUARY OF 2014 WE PROMOTED AND BEGAN A CESSATION PROGRAM WITH OUR TRAINED CESSATION STAFF AT A REDUCED RATE OF $25 FOR THE BOOK AND ENTIRE 8 WEEK SESSION. WE ALSO DISCUSSED THE POSSIBILITY OF OBTAINING YOUTH CESSATION CERTIFICATION, BUT AFTER DISCUSSION WITH THE SCHOOLS, IT WAS DETERMINED THERE WAS ONLY INTERMITTENT NEED FOR THAT. SMOKING CESSATION CONTINUES TO BE A FOCUS AT MH INCLUDING DIRECT PATIENT FACING ACTIVITIES THAT HELPED 16 SMOKERS STOP SMOKING IN 2017.THE CURRENT DATA REGARDING TOBACCO USE IN OTTAWA COUNTY IS AS FOLLOWS: - ADULT TOBACCO USE DECREASED BY 6% OVER THE PREVIOUS CHNA - THE PERCENTAGE OF PATIENTS THAT TRIED TO QUIT SMOKING INCREASED BY 15%DIABETESDIABETES IS THE SECOND AREA DETERMINED WITH THE GREATEST NEED FOR COMMUNITY SUPPORT. DIABETS IS CLOSELY ASSOICATED WITH SO MANY DISEASES AND HEALTH CONDITIONS AND ALSO TENDS TO BE RELATED TO BEING OVERWEIGHT, LESS PHYSICALLY INACTIVE AND OFTEN INVOLVES AN UNHEALTHY DIET ALL OF WHICH SUPPORTS OTHER AREAS OF OUR CHNA IMPLEMENTATION STRATEGY. THE PERCENTAGE OF PATIENTS IN OTTAWA COUNTY ROSE FROM 8% IN 2006 TO 11% IN 2012 AND REMAINED AT 11% IN 2017. WHILE MH IS PLEASED THE AMOUNT DID NOT CONTINUE TO TREND UPWARD THE HOSPITAL DIABETES PROGRAM CONTINUES TO IMPLEMENT IMPROVEMENT PLANS TO SUPPORT THIS PATIENT POPULATION. MH RELIES ON ITS DIABETES HEALTH MANAGEMENT PROGRAM TO SUPPORT THE COMMUNITY THAT HAS BEEN DIAGNOSED WITH TYPE 2 DIABETES. THE MAJORITY OF THE PARTICIPANTS ALSO RECEIVE A CARDIAC DIET WHICH CORRESPONDS TO THE HIGH PREVALENCE OF ELEVATED CHOLESTEROL AND BLOOD PRESSURE IN OUR COMMUNITY AND COUNTRY. MH DIETICIANS AND DIABETIC EDUATORS CREATE MEAL PLANS THAT REFLECT GOALS FOR WEIGHT LOSS IN MOST PATIENTS DUE TO THE MAJORITY BEING OVERWEIGHT OR OBESE. IN 2017 MH ESTABLISHED A VIRAL PROCESS FOR INTERPRETER SERVICES TO ASSIST WITH THE EDUCATIONAL NEEDS OF THE DIABETIC COMMUNITY. CLIENTS WERE ALSO ASSISTED WITH VARIOUS METHODS OF TRANSPORTATION AND SUPPORT TO INCREASE APPOINTMENT ATTENDANCE. THE ACCREDITED DIABETES PROGRAM IS MEETING THE NEEDS OF THE POPULATION SERVED IN OTTAWA COUNTY AS SEEN BY AGE AND ETHNICITY, AS WELL AS SUPPORT FOR SPECIAL NEEDS. MH CONDUCTED 1,031 BLOOD GLUCOSE TESTS IN THE COMMUNITY AT EVENTS SUCH AS FAIRS, SENIOR DAY, SENIOR CENTERS AS WELL AS MONTHLY LAB SCREENINGS. 768 BLOOD GLUCOSE SCREENINGS WERE PERFORMED IN 2016 SHOWING A 34% INCREASE. MH ALSO HELD SIX DIABETIC COMMUNITY AWARENESS EVENTS IN 2017.THE DIABETES PROGRAM WAS ABLE TO DEMONSTRATE A POSITIVE INFLUENCE ON BEHAVIORAL CHANGES RELATING TO HEALTHY EATING, EXERCISE AND MONITORING OF BLOOD SUGAR LEVELS IN 2017. PROGRAM OUTCOMES WERE CONFIRMED BY IMPROVEMENTS IN OVERALL PATIENT A1C LAB VALUES. A1C IS A BLOOD TEST USED TO DETERMINE HISTORICAL BLOOD SUGAR VALUES. LOWER A1C VALUES ARE GENERALLY CONSIDERED A HEALTHIER METRIC FOR MANAGING BLOOD SUGAR AND DIABETES.BY IMPLEMENTING THESE STRATEGIES WE HOPE TO MAKE THE BEST USE OF THE RESOURCES AND SERVICES ALREADY AVAILABLE IN THE COMMUNITIES WE SERVE, AS WELL AS TO WORK COLLABORATIVELY TO BUILD NEW HEALTHY OPPORTUNITIES FOR THOSE WHO VISIT, WORK AND LIVE IN OTTAWA COUNTY. 9 1 - PHYSICIAN OFFICE 611 E 6TH STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE 2 - PHYSICIAN OFFICE 621 FULTON STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE 3 - PHYSICAL THERAPY 7725 W STATE ROUTE 163 OAK HARBOR OH 43449 PHYSICAL THERAPY 4 - PHYSICIAN OFFICE 11697 W STATE ROUTE 163 OAK HARBOR OH 43449 PHYSICIAN OFFICE 5 - PHYSICAL THERAPY 4058 E HARBOR RD PORT CLINTON OH 43452 PHYSICAL THERAPY 6 - PHYSICIAN OFFICE 1297 W MAIN STREET LAKESIDE MARBLEHEAD OH 43440 PHYSICIAN OFFICE 7 - PHYSICIAN OFFICE 2861 EAST HARBOR ROAD PORT CLINTON OH 43452 PHYSICIAN OFFICE 8 - PHYSICIAN OFFICE 730 JEFFERSON STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE 9 - PHYSICIAN OFFICE 1250 FULTON STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE PART I, LINE 7: TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO CHARITY CARE WAS CALCULATED USING A COST-TO-CHARGE RATIO. TOTAL COMMUNITY BENEFIT RELATED TO MEDICAID WAS CALCULATED FROM THE MEDICAID COST REPORT. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,435,794. PART II, COMMUNITY BUILDING ACTIVITIES: THE COMMUNITY BUILDING ACTIVITIES THAT MAGRUDER HOSPITAL SUPPORTS ENCOURAGE EXERCISE (AREA SCHOOL ATHLETIC BOOSTERS), EDUCATION (AREA SCHOOLS HONOR BANQUETS), SAFETY (OFFICER PHIL), AND OTHER HEALTH-RELATED ORGANIZATIONS (EMS, EASTER SEALS, HOSPICE). PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS.THE AMOUNT OF BAD DEBT EXPENSE REPORTED IN PART III, LINES 2 AND 3 IS BASED DIRECTLY ON THE BAD DEBT EXPENSE REPORTED IN THE AUDITED FINANCIAL STATEMENTS, WITH LINE 3 BEING ESTIMATED AS 5% OF THE TOTAL BAD DEBT EXPENSE REPORTED IN LINE 2. THE ENTIRE BAD DEBT EXPENSE RELATES SOLELY TO PATIENT ACCOUNTS. MAGRUDER HOSPITAL DOES NOT BELIEVE BAD DEBT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. PART III, LINE 8: BASED ON A COST TO CHARGE RATIO CALCULATED AS REQUIRED UNDER MEDICARE RULES, THE COSTS OF PROVIDING CARE TO THE MEDICARE POPULATION IN 2017 WAS $15,111,648. THE PAYMENTS RELATED TO THESE SERVICES WERE $15,344,645 LEAVING A MEDICARE SHORTFALL OF $232,997 FOR THE YEAR. PART III, LINE 9B: ALL COLLECTION EFFORTS ARE PLACED ON HOLD UNTIL FINANCIAL ASSISTANCE IS PROCESSED. IF APPROVED, THE BALANCES ARE WRITTEN OFF. PART VI, LINE 2: THE COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT IS THE RESULT OF A STRONG COMMITMENT BY DEDICATED COMMUNITY PARTNERS TO WORK TOGETHER TO IMPROVE THE HEALTH AND WELL-BEING OF RESIDENTS IN OTTAWA COUNTY. THE HEALTH ASSESSMENT GIVES US THE OPPORTUNITY TO GLANCE INTO OUR COMMUNITY, AS WELL AS OUR STATE AND NATION. THE DATA PRESENTED IN THIS REPORT WILL PROVIDE VALUABLE INFORMATION TO DEVELOP STRATEGIES THAT FOCUS ON WELLNESS, ACCESS TO CARE AND UNMET COMMUNITY NEEDS.IN ADDITION TO THE INFORMATION FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, MAGRUDER PARTICIPATES IN THE OTTAWA COUNTY COUNCIL OF HEALTH & SOCIAL CONCERNS WHERE SCHOOLS, GOVERNMENT, LAW ENFORCEMENT AND A WIDE VARIETY OF SOCIAL SERVICE AGENCIES MEET MONTHLY TO DISCUSS NEEDS AND TRENDS THAT THEY ARE SEEING. THE GROUP WORKS TO ENHANCE COLLABORATION AND TO MINIMIZE DUPLICATION OF SERVICES. MAGRUDER ALSO PARTICIPATES IN THE PORT CLINTON CHAMBER OF COMMERCE, OTTAWA COUNTY IMPROVEMENT CORP, NORTHWEST OHIO HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOICATION WITH A GOAL OF BETTER UNDERSTANDING THE NEEDS OF OUR HEALTHCARE POPULATION.MAGRUDER HOSPITAL HAS REVIEWED THE HEALTH ASSESSMENT REPORT IN COMPARISON TO OUR SERVICES AND RESOURCES AND HAS BEGUN WORK ON CURRENT AS WELL AS FUTURE HOSPITAL-SPECIFIC IMPLEMENTATION STRATEGIES. THE FOLLOWING MIGHT PREVENT OTTAWA COUNTY ADULTS FROM SEEING A DOCTOR: -HOURS NOT CONVENIENT -DIFFICULT TO GET AN APPOINTMENT -COULD NOT GET OFF WORK ADULTS HAD THE FOLLOWING PROBLEMS WHEN THEY NEEDED HEALTH CARE: - COULD NOT GET AN APPOINTMENT WHEN THEY WANTED THEM - COULD NOT FIND A DOCTOR TO TAKE THEM AS A PATIENT - COULD NOT FIND A DOCTOR THEY WERE COMFORTABLE WITH - TOO BUSY TO GET THE HEALTHCARE THEY NEEDEDMAGRUDER CONTINUES TO BELIEVE THAT PATIENT ACCESS TO PRIMARY CARE WITHIN THE COMMUNITY CAN CREATE BENEFIT FOR MANY OF THE COMMUNITY HEALTH NEEDS. MH HAS IMPLEMENTED THE FOLLOWING CHANGES ALONG SIDE OF THE SPECIFIC CHNA IMPLEMENTATION PLAN: - ADDED LATE DAY APPOINTMENT OPTIONS FOR PRIMARY CARE - MONITORING, MODIFYING AND CREATING ACCOMODATIONS IN PROVIDER SCHEDULES TO INCREASE PATIENT ACCESS - ALL MH PROVIDERS HAVE BEEN TRANSITIONED TO ONE ELECTROINC HEALTH RECORD TO ENHANCE THE CONTINUITY OF CARE - MH HAS ADDED FEMALE PROVIDERS TO ACCOMMODATE THOSE WHO PREFER A FEMALE HEALTHCARE PROVIDER - REFERRAL PROCESS CHANGES HAVE BEEN IMPLEMENTED TO EASE THE TRANSITION OF CARE FROM PRIMARY CARE TO SPECIALTY PROVIDERS - ADVANCED PRACTICE PROVIDERS HAVE BEEN ADDED TO CREATE PATIENT ACCESS - LOCUM PHYSICIAN COVERAGE WAS PROVIDED WHEN A PRIMARY CARE PHYSICIAN LEFT THE COMMUNITY TO ACCOMMODATE PATIENT NEED - PATIENTS ARE ABLE TO REQUEST APPOINTMENTS VIA THE PATIENT PORTAL AS A CONVENIENT AND MILLENIUM FRIENDLY AFTER HOURS SCHEDULING OPTIONWE ARE COMMITTED TO CONTINUING THAT WORK AS A HOSPITAL AND AS A PARTNER IN THE COMMUNITIES WE SERVE. MH HAS DECREASED THE WAIT TIME FOR NEW PATIENTS TO BE SEEN BY A PROVIDER BY 50%. PART VI, LINE 3: PATIENTS RECEIVE INFORMATION AT REGISTRATION, IN THEIR FIRST STATEMENT, AND OFFERED ON FOLLOW-UP PHONE CALLS. THERE ARE BROCHURES AT OUR PHYSICIAN OFFICES AND THROUGHOUT THE HOSPITAL. PART VI, LINE 4: MAGRUDER HOSPITAL IS A CRITICAL ACCESS HOSPITAL LOCATED IN PORT CLINTON, OHIO SERVING THE HEALTHCARE NEEDS OF OTTAWA COUNTY. OTTAWA COUNTY IS LOCATED ON LAKE ERIE ABOUT 15 MILES SOUTHEAST OF TOLEDO, OHIO AND IS MADE UP OF VARIOUS COMMUNITIES THAT INCLUDE SEVEN VILLAGES, TWELVE TOWNSHIPS AND THE ONLY CITY IN OTTAWA COUNTY, PORT CLINTON. THE POPULATION OF 40,000 HAS EASY ACCESS TO MAJOR STATE ARTERIES TO TOLEDO AND CLEVELAND. PART VI, LINE 5: MAGRUDER HOSPITAL ACTIVELY RECRUITS PHYSICIANS WITH THE SPECIALTIES NEEDED WITHIN THE COMMUNITY, SO THE COMMUNITY CAN ACCESS THE HEALTHCARE IT NEEDS. EXCESS FUNDS ARE PUT INTO STATE OF THE ART TECHNOLOGY TO BETTER SERVE OUR COMMUNITY. 1 SCHOLARSHIPS 17 7350 PART I, LINE 2: THE ROY SCHOLARSHIP IS FUNDED BY A TRUST, AND IS RELEASED ONLY TO NURSING STUDENTS PURSUING THEIR RN DEGREE BASED ON FINANCIAL NEED AS DETERMINED THROUGH AN APPLICATION PROCESS. THE AUXILIARY ALSO AWARDS SCHOLARSHIPS BASED ON AN APPLICATION PROCESS TO QUALIFIED STUDENTS PURSUING A HEALTH-RELATED DEGREE. X 1 1 X X X 0 0 0 0 0 0 0 0 0 LORI KOETHE VP NURSING 134063 0 0 0 0 0 7758 0 19518 0 161339 0 0 0 JON TODD ALMENDINGER PRESIDENT & CEO 318777 0 0 0 0 0 13500 0 22456 0 354733 0 0 0 NICHOLAS MARSICO VP & COO 163052 0 0 0 0 0 9013 0 19710 0 191775 0 0 0 GARY KRESGE PHYSICIAN 421378 0 0 0 0 0 13500 0 20216 0 455094 0 0 0 DONALD REED PHYSICIAN 393297 0 0 0 0 0 13500 0 20216 0 427013 0 0 0 STEVEN JACKSON PHYSICIAN 277704 0 0 0 0 0 13500 0 10665 0 301869 0 0 0 DANIEL CADIGAN PHYSICIAN 280443 0 0 0 0 0 13500 0 1955 0 295898 0 0 0 DAVID BODIE PHYSICIAN 244803 0 0 0 0 0 12540 0 22203 0 279546 0 0 0 PART I, LINE 1A THE CEO RECEIVES REIMBURSEMENT FOR SOCIAL CLUB DUES; REIMBURSEMENT IS TREATED AS TAXABLE COMPENSATION TO THE CEO. THE ORGANIZATION USES FACILITY FOR VARIOUS STAFF FUNCTIONS THROUGHOUT THE YEAR. THIS TRANSACTION IS ANNUALLY BOARD APPROVED. KATHY ALMENDINGER WIFE OF TODD ALMENDINGER 29882 COMPENSATION 0 DAVID BODIE SON OF JON BODIE 279546 COMPENSATION 0 FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWED THE FORM 990 WITH THE BOARD TREASURER TO THE LEVEL OF DETAIL REQUESTED BY THE BOARD TREASURER. THE FORM 990 WAS THEN ELECTRONICALLY DELIVERED TO EACH MEMBER OF THE BOARD WITH A DISCUSSION OF KEY POINTS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C WRITTEN DISCLOSURE OF CONFLICTS OF INTEREST ARE REQUESTED ANNUALLY FOR ALL BOARD MEMBERS. THE CEO REVIEWS ALL DISCLOSURES. THE CODE OF REGULATIONS ASKS FOR PROMPT DISCLOSURE IF SITUATIONS CHANGE DURING THE YEAR. ANY BOARD MEMBER WITH A CONFLICT OR POTENTIAL CONFLICT IS RESTRICTED FROM PARTICIPATING IN VOTING ON MATTERS WHERE THERE IS A CONFLICT OR POTENTIAL CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS APPROVED BY THE BOARD. THE EXECUTIVE COMMITTEE REVIEWS THE OHA SALARY SURVEY FOR COMPARISON. RECOMMENDATIONS TO THE FULL BOARD ARE MADE BASED ON SALARY SURVEY FINDINGS, MARKET FINDINGS, AND PERFORMANCE REVIEW FOR EXECUTIVES; ALL OTHER NON-EXECUTIVE EMPLOYEES' SALARIES ARE DETERMINED IN A SIMILAR FASHION EXCLUDING BOARD APPROVAL. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING IS COMPLETED WITH RESPECT TO THIS PROCESS. THIS PROCESS WAS LAST PERFORMED IN 2017 FORM 990, PART VI, SECTION C, LINE 18 FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. AN ABBREVIATED FINANCIAL STATEMENT IS INCLUDED IN THE HOSPITAL'S ANNUAL REPORT. FORM 990, PART IX, LINE 11G PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 7,819,049. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,819,049. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,965,610. MANAGEMENT AND GENERAL EXPENSES 1,058,128. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,023,738. FORM 990, PART XI, LINE 9: CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 135. PAIN MANAGEMENT ADJUSTMENT 586,367. PAIN MANAGEMENT BEGINNING CAPITAL 387,061. POST RETIREMENT RELATED COSTS -38,908. AUXILIARY ADJUSTMENT 0. TRANSFERS FROM AFFILIATE -496,037. FORM 990, PART XI, LINE 2C MEMBERS OF THE HOSPITAL'S BOARD OVERSEE THE AUDIT PROCESS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. MAGRUDER MEDICAL GROUP LTD 615 FULTON ST PORT CLINTON OH 43452 814621611 MEDICAL GROUP OH H B MAGRUDER MEMORIAL HOSPITAL MAGRUDER HOSPITAL FOUNDATION 615 FULTON STREET PORT CLINTON OH 43452 463883346 SUPPORTING ORGANIZATION OH 501(C)(3) LINE 12C, III-FI H B MAGRUDER MEMORITAL HOSPITAL 0 MAGRUDER PAIN MANAGEMENT LLC 615 FULTON ST PORT CLINTON OH 43452 275038026 PAIN MANAGEMENT OH H B MAGRUDER MEMORIAL HOSPITAL RELATED 534672 294264 0 1 0.51000 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 MAGRUDER PAIN MANAGEMENT LLC L 127828 ACCRUED AMOUNT