H B MAGRUDER MEMORIAL HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- H B MAGRUDER MEMORIAL HOSPITAL (EIN 34-4441792)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-11
- IRS object ID
- 201503159349300020
- Schema version
- 2014v5.0
- 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 B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-11T14:33:07-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 65 EAST STATE STREET SUITE 600 | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43215 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 344441792 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | H B MAGRUDER MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HBMA | BusinessNameControlTxt |
| Phone | 4197343131 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 FULTON STREET | AddressLine1Txt |
| City | PORT CLINTON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43452 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RONALD A WEINER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4197343131 | PhoneNum |
| Signature | 2015-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BERNIE OSTROWSKI | PreparerPersonNm |
| PTIN | P00366367 | PTIN |
| Phone | 6148493000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAGRUDER HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JON TODD ALMENDINGER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 FULTON STREET | AddressLine1Txt |
| City | PORT CLINTON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43452 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $52,574,501 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MAGRUDERHOSPITAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1940 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | MAGRUDER HOSPITAL SHALL PROVIDE COMPASSIONATE CARE WITH EXCELLENT OUTCOMES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 446 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $167,459 | PYContributionsGrantsAmt |
| CY Contributions Grants | $144,430 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $49,984,521 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $51,248,547 | CYProgramServiceRevenueAmt |
| PY Investment Income | $253,035 | PYInvestmentIncomeAmt |
| CY Investment Income | $598,477 | CYInvestmentIncomeAmt |
| PY Other Revenue | $568,787 | PYOtherRevenueAmt |
| CY Other Revenue | $559,022 | CYOtherRevenueAmt |
| PY Total Revenue | $50,973,802 | PYTotalRevenueAmt |
| CY Total Revenue | $52,550,476 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $7,500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $7,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,095,770 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,451,550 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $6,083 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $27,507,596 | PYOtherExpensesAmt |
| CY Other Expenses | $28,564,595 | CYOtherExpensesAmt |
| PY Total Expenses | $49,610,866 | PYTotalExpensesAmt |
| CY Total Expenses | $52,023,145 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,362,936 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $527,331 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $50,305,893 | TotalAssetsBOYAmt |
| Total Assets EOY | $50,783,015 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,727,561 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,053,377 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $41,578,332 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $43,729,638 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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 | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $46,568,363 | ExpenseAmt |
| Grant | $7,000 | GrantAmt |
| Revenue | $51,421,394 | RevenueAmt |
| Desc | FOUNDED IN 1940, H B MAGRUDER MEMORIAL HOSPITAL (MAGRUDER) IS A 25 BED, MEDICARE DESIGNATED CRITICAL ACCESS TAX EXEMPT HEALTHCARE FACILITY, LOCATED IN PORT CLINTON, OHIO. THE HOSPITAL PROVIDES DIRECT HEALTHCARE SERVICES TO THE RESIDENTS IN THE COMMUNITIES OF OTTAWA COUNTY THAT INCLUDE BOTH INPATIENT AND OUTPATIENT SERVICES INCLUDING EMERGENCY SERVICES 24 HOURS PER DAY, 7 DAYS PER WEEK. PATIENTS ARE ACCEPTED REGARDLESS OF NATIONAL ORIGIN, AGE, RACE, CREED, SEX, OR ABILITY TO PAY.IN 2014, MAGRUDER EXPERIENCED A TOTAL OF 2,352 INPATIENT DAYS, INCLUDING 1,853 DAYS TO MEDICARE PATIENTS AND 70 DAYS TO MEDICAID PATIENTS. THE HOSPITAL EXPERIENCED 15,156 VISITS TO THE EMERGENCY DEPARTMENT, AND TREATED A TOTAL OF 73,749 OUTPATIENTS.WHILE MEDICARE, MEDICAID, AND PRIVATE INSURANCE PLANS AND PROGRAMS PAID FOR THE SERVICES OF MOST PATIENTS TREATED AND RELEASED AT MAGRUDER, UNCOMPENSATED CARE WAS PROVIDED BY THE HOSPITAL TO PATIENTS WHO WERE EITHER UNABLE OR UNWILLING TO PAY. THIS REFLECTED THE HOSPITAL'S MISSION TO CARE FOR PATIENTS EVEN IF UNABLE OR UNWILLING TO PAY FOR SERVICES NOT OTHERWISE COVERED BY PRIVATE INSURANCE AND/OR GOVERNMENTAL PROGRAMS.MAGRUDER CONTINUES ITS COMMITMENT TO SERVING THE PUBLIC HEALTH PREVENTION AND HEALTH EDUCATION NEEDS IN THE COMMUNITIES OF OTTAWA COUNTY. MAGRUDER IS AN ACTIVE PARTNER IN THE COMMUNITY HEALTH IMPROVEMENT PLAN WHICH IS ADDRESSING COMMUNITY NEEDS IDENTIFIED IN THE 2012 COMMUNITY HEALTH NEEDS ASSESSMENT. OUR OUTREACH PROGRAMS CONTINUE TO TOUCH HUNDREDS OF LIVES IN OUR COMMUNITIES. -REDUCED FEE CHOLESTEROL SCREENING FOR THE COMMUNITY EACH MONTH (99 PARTICIPANTS)-ADMINISTERED FLU SHOTS AT BUSINESSES, HEALTH FAIRS AND PUBLIC CLINICS (419 PARTICIPANTS)-MEDICARE EDUCATION FOR THE COMMUNITY (IN ADDITION TO A LARGE PUBLIC EDUCATIONAL SESSION (65), WE HAD STAFF THROUGHOUT THE END OF THE YEAR OFFERING ONE ON ONE APPOINTMENTS (33) FOR PART D COMPARISONS AND OTHER RESOURCES.-KIWANIS LAB SCREENING TEST FOR 7 DIFFERENT MEDICAL CONDITIONS (153 PARTICIPANTS)-FREE SKIN CANCER SCREENING TO THE COMMUNITY (115 PARTICIPANTS)-FREE COLORECTAL HEALTH SCREENING KITS TO THE COMMUNITY (33 PARTICIPANTS)-CANCER SUPPORT GROUP (53 PARTICIPANTS)-REDUCED FEE WELLNESS CLASSES FOR THE COMMUNITY (1,021 PARTICIPANTS)-GENERAL HEALTH SCREENINGS (USUALLY BMI, BLOOD PRESSURE & BLOOD SUGAR) AT COMMUNITY EVENTS (258 PARTICIPANTS)-BOARD INVOLVEMENT IN: PROJECT LIFESAVER, 3 AREA CHAMBERS OF COMMERCE AND THE OTTAWA COUNTY COUNCIL OF HEALTH & SOCIAL CONCERNS-MAGRUDER SPONSORED 5 BLOOD DRIVES IN 2014 WHICH INCLUDES NOT ONLY THE SPACE AND PROMOTION FOR THE EVENT BUT ALSO ALLOWED 47 EMPLOYEES TO DONATE ON WORK TIME.-PROVIDE TRANSPORTATION FOR PATIENTS WITH NO WAY HOME ($1,995)-EDUCATION PROGRAMS (780 PARTICIPANTS) -COMMUNITY EVENTS: MEDICAL INFORMATION NOTEBOOK PROGRAM, ADVANCE DIRECTIVES AT VA HEALTHFAIR, LEADERSHIP OTTAWA COUNTY HEALTH & SOCIAL SERVICES SEGMENT, PREDIABETES & DIABETES RISKS, ASK THE PHARMACIST AT MS SUPPORT GROUP, ASK THE PHARMACIST AT MEN'S PRAYER BREAKFAST -MONTHLY LUNCHEONS: COLORECTAL HEALTH, MARKETPLACE & MEDICAID EXPANSION, PATIENT SAFETY, ASK THE DIETITIAN, MEDICARE UPDATE, PATIENT PORTAL, CHRONIC PAIN, ANTIBIOTIC RESISTANCE, -"TIME FOR HEALTH" TV SHOW: MARKETPLACE INSURANCE, AUTISM, PERSONAL WELLNESS, STRENGTH TRAINING, DENTAL HEALTH, PROJECT LIFESAVER, EBOLA, CHRONIC PAIN, NUTRITION-MAGRUDER HOSPITAL ALSO SPONSORS OR PARTICIPATES IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES: -OTTAWA COUNTY FAIR -JOYFUL CONNECTIONS (SUPERVISED VISITATION AND EXCHANGE) -HABITAT FOR HUMANITY -MARCH OF DIMES -EASTER SEALS -PORT CLINTON SAFETY PATROL -PORT CLINTON ARTS COUNCIL -PORT CLINTON & OAK HARBOR ATHLETIC BOOSTERS -AMERICAN RED CROSS -PORT CLINTON & DANBURY AFTER PROM THESE 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, MEDICAL EQUIPMENT, SAFE ACTIVITIES FOR TEENS OR A SAFE LOCATION FOR SUPERVISED VISITATION. OPPORTUNITIES ARE PROVIDED TO ASSIST IN THE DELIVERY OF THE HEALTHCARE AT THE HOSPITAL THROUGH VOLUNTEER SERVICE COORDINATED BY THE HB MAGRUDER MEMORIAL HOSPITAL AUXILIARY (AUXILIARY). THE AUXILIARY OPERATES THE HOSPITAL'S GIFT SHOP AND PROVIDES VOLUNTEERS THAT WORK IN VARIOUS HOSPITAL DEPARTMENTS INCLUDING: TRANSPORT, RADIOLOGY, NURSING, FOOD SERVICE, HEALTH INFORMATION SERVICES, LAB AND THE BUSINESS OFFICE. | Desc |
| Total Program Service Expenses | $46,568,363 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| 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 | Yes (1) | 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 | 75 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 446 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TONI MAGSIG ACCOUNTING DIRECTOR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4197343131 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 FULTON STREET | AddressLine1Txt |
| City | PORT CLINTON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43452 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| GREG DEERHAKE | |||||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BRUCE SMITH | |||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| NANCY OSBORN | |||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID SODERBERG | |||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DANIEL ALMENDINGER | |||||||||
| ASST SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN BODIE MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| EMIL CELLIER | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DOUGLAS FOCHT | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK HABLITZEL DDS | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RON MILLER | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN SNEIDER DPM | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LOCKWOOD ZEIS | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SUE CROSSER | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PAUL DRUCKENMILLER | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JON TODD ALMENDIGER | |||||||||
| PRESIDENT & CEO | 40.00 | 0.00 | Yes (X) | $279,686 | $0 | $32,088 | |||
| KATHLEEN DURFLINGER | |||||||||
| VP NURSING | 40.00 | 0.00 | Yes (X) | $152,148 | $0 | $11,356 | |||
| NICHOLAS MARSICO | |||||||||
| VP ANCILLARY SERVICES | 40.00 | 0.00 | Yes (X) | $151,917 | $0 | $23,491 | |||
| RON WEINER | |||||||||
| VP FINANCE | 40.00 | 0.00 | Yes (X) | $159,295 | $0 | $23,697 | |||
| LEONARD QUE | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $296,304 | $0 | $270 | Yes (X) | |||
| GARY KRESGE | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $328,000 | $0 | $32,117 | Yes (X) | |||
| DANIEL G CADIGAN | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $266,381 | $0 | $39,825 | Yes (X) | |||
| STEVEN JACKSON | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $269,750 | $0 | $16,963 | Yes (X) | |||
| DONALD E REED | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $392,091 | $0 | $37,781 | Yes (X) | |||
| MICHAEL LONG | |||||||||
| FORMER PRESIDENT & CEO | 0.00 | 0.00 | $143,210 | $0 | $866 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,438,782 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $218,454 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 17 | 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 |
|---|---|---|---|---|---|
| PORT CLINTON EMERGENCY PHYSICIANS INC | |||||
| 3914 MEMORIAL SHOREWAY | LAKESIDEMARBLEHEAD | OH | 43440 | EMERGENCY PHYSICIANS | $1,990,628 |
| ADVANCED HEALTH LTD | |||||
| 2500 W STRUB RD STE 150 | SANDUSKY | OH | 44870 | PHYSICAL THERAPY | $1,232,085 |
| CERNER CORPORATION | |||||
| 2800 ROCKCREEK PARKWAY | KANSAS CITY | MO | 64117 | COMPUTER SUPPORT | $1,112,872 |
| ABAN AFFAN MD | |||||
| 4446 MARIN HARBOR UNIT C | PORT CLINTON | OH | 43452 | ANESTHESIOLOGIST | $589,032 |
| THREE WINKS ANESTHESIA LLC | |||||
| 2561 CHARTWELL RD | UPPER ARLINGTON | OH | 43221 | ANESTHESIOLOGIST | $356,811 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $40,326 | FundraisingAmt |
| All Other Contributions | $104,104 | AllOtherContributionsAmt |
| Total Contributions | $144,430 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HEALTHCARE SERVICES | 622110 | $50,837,623 | $50,837,623 |
| PHYSICIAN OFFICE RENTAL | 622110 | $410,924 | $410,924 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $51,248,547 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $594,777 | TotalRevenueColumnAmt |
| Exclusion | $594,777 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,700 | 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 | $3,700 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,700 | TotalRevenueColumnAmt |
| Exclusion | $3,700 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $28,362 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $40,326 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $24,025 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,337 | TotalRevenueColumnAmt |
| Exclusion | $4,337 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|---|
| MOBILE MEALS/FOOD SERVICE | 722514 | $381,838 | $0 | $381,838 | |
| PM CLINIC-MISC REV | 900099 | $91,358 | $91,358 | ||
| EHR INCENTIVE PAYMENTS | 900099 | $60,774 | $60,774 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,715 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,715 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $554,685 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,550,476 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $51,421,394 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $984,652 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,000 | TotalAmt |
| Program Services | $7,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $833,680 | TotalAmt |
| Management And General | $833,680 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,098,824 | TotalAmt |
| Program Services | $13,060,483 | ProgramServicesAmt |
| Management And General | $2,038,341 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,104,459 | TotalAmt |
| Program Services | $955,357 | ProgramServicesAmt |
| Management And General | $149,102 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,120,262 | TotalAmt |
| Program Services | $4,429,027 | ProgramServicesAmt |
| Management And General | $691,235 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,294,325 | TotalAmt |
| Program Services | $1,119,591 | ProgramServicesAmt |
| Management And General | $174,734 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,873 | TotalAmt |
| Management And General | $39,790 | ManagementAndGeneralAmt |
| Fundraising | $6,083 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,975 | TotalAmt |
| Management And General | $111,975 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,004,399 | TotalAmt |
| Program Services | $10,458,351 | ProgramServicesAmt |
| Management And General | $546,048 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $264,495 | TotalAmt |
| Program Services | $264,495 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,837,234 | TotalAmt |
| Program Services | $1,495,904 | ProgramServicesAmt |
| Management And General | $341,330 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,135,245 | TotalAmt |
| Program Services | $987,663 | ProgramServicesAmt |
| Management And General | $147,582 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,489,965 | TotalAmt |
| Program Services | $1,273,902 | ProgramServicesAmt |
| Management And General | $216,063 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,746 | TotalAmt |
| Program Services | $34,873 | ProgramServicesAmt |
| Management And General | $34,873 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,611,058 | TotalAmt |
| Program Services | $2,611,058 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $399,845 | TotalAmt |
| Program Services | $399,845 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $6,136,456 | $6,136,456 | |
| BAD DEBT EXPENSE | $3,209,380 | $3,209,380 | |
| OTHER EXPENSE | $115,384 | $68,042 | $47,342 |
| AUXILLARY LOSS | $68,400 | $68,400 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,140 | TotalAmt |
| Program Services | $56,936 | ProgramServicesAmt |
| Management And General | $8,204 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,023,145 | TotalAmt |
| Program Services | $46,568,363 | ProgramServicesAmt |
| Management And General | $5,448,699 | ManagementAndGeneralAmt |
| Fundraising | $6,083 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,700 | BOYAmt |
| EOY | $3,000 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,746,821 | BOYAmt |
| EOY | $9,181,165 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,247,065 | BOYAmt |
| EOY | $7,062,294 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $873,836 | BOYAmt |
| EOY | $1,262,485 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $349,656 | BOYAmt |
| EOY | $467,641 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $694,253 | BOYAmt |
| EOY | $787,150 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $61,388,697 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $37,799,107 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,820,926 | BOYAmt |
| EOY | $23,589,590 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,168,433 | BOYAmt |
| EOY | $6,686,855 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $402,203 | BOYAmt |
| EOY | $1,742,835 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,305,893 | BOYAmt |
| EOY | $50,783,015 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,463,819 | BOYAmt |
| EOY | $5,189,710 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $376,836 | BOYAmt |
| EOY | $300,246 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,886,906 | BOYAmt |
| EOY | $1,563,421 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,727,561 | BOYAmt |
| EOY | $7,053,377 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,536,930 | BOYAmt |
| EOY | $42,336,456 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,402 | BOYAmt |
| EOY | $43,965 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,349,217 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,578,332 | BOYAmt |
| EOY | $43,729,638 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,305,893 | BOYAmt |
| EOY | $50,783,015 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $527,331 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$59,157 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $1,510,467 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $172,665 | 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 B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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 | $851 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $851 | 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 | A PORTION OF DUES PAID TO THE OHIO HOSPITAL ASSOCIATION RELATES TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $686,533 | OtherCostOrOtherBasisAmt |
| Book Value | $686,533 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,212,275 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,850,368 | DepreciationAmt |
| Book Value | $16,361,907 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $640,380 | OtherCostOrOtherBasisAmt |
| Depreciation | $604,126 | DepreciationAmt |
| Book Value | $36,254 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,683,667 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,344,613 | DepreciationAmt |
| Book Value | $6,339,054 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $165,842 | OtherCostOrOtherBasisAmt |
| Book Value | $165,842 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $23,589,590 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED 3RD PARTY PAYOR SETTLEMENTS | $1,328,946 |
| ACCRUED POST-RETIREMENT BEN. OBLIGATION | $234,475 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,563,421 | 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 | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2014, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2011. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CHARITY BALL | Event1Nm |
| Gross Receipts Event1 | $27,244 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $18,664 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $8,580 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $10,427 | RentFacilityCostsEvent1Amt |
| Event2 | GOLF OUTING | Event2Nm |
| Gross Receipts Event2 | $41,444 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $21,662 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $19,782 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $13,598 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $68,688 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $40,326 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $28,362 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $10,427 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $13,598 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $24,025 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $4,337 | NetIncomeSummaryAmt |
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 |
| Percent100 | Yes (X) | Percent100Ind |
| 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 | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| 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 | $1,210,266 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,079,823 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $130,443 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,468,139 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,432,659 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,035,480 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06220 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,678,405 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,512,482 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,165,923 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06490 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 2417 | PersonsServedCnt |
| Total Community Benefit Expns | $40,285 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,104 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,181 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 49 | PersonsServedCnt |
| Total Community Benefit Expns | $340,623 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $340,623 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00700 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 267 | PersonsServedCnt |
| Total Community Benefit Expns | $14,769 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,769 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 2733 | PersonsServedCnt |
| Total Community Benefit Expns | $395,677 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,104 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $390,573 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00800 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 2733 | PersonsServedCnt |
| Total Community Benefit Expns | $7,074,082 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,517,586 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,556,496 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07290 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,274 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,274 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,274 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,274 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,209,380 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $160,469 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $15,329,077 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,500,982 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$171,905 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 OTTAWA COUNTY CARENET | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | GROUP CONTRACTING | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.50000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | HB MAGRUDER MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 FULTON STREET | AddressLine1Txt |
| City | PORT CLINTON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43452 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP://WWW.MAGRUDERHOSPITAL.COM/ | WebsiteAddressTxt |
| State License | STATE REG. NO. 1252 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HB MAGRUDER 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 |
| 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 |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | 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 | HTTP://WWW.MAGRUDERHOSPITAL.COM/ | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.MAGRUDERHOSPITAL.COM/ | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| 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 | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| 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 App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | 0 | NondisEmergencyCarePolicyInd |
| No Emergency Care Policy | Yes (X) | NoEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HB MAGRUDER MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: IN AN EFFORT TO INCREASE SMOKING CESSATION RESOURCES, MAGRUDER CONTINUES TO OFFER CESSATION CLASSES FOR A REDUCED RATE OF $25 FOR THE 8 WEEK PROGRAM. WE PROMOTE THIS IN OUR CALENDAR OF EVENTS EACH MONTH WHICH IS ADVERTISED IN THE NEWSPAPERS, AND IS POSTED IN THE WAITING ROOMS AROUND THE HOSPITAL AS WELL AS IN PHYSICIAN OFFICES. WE ALSO CONTINUE TO PROVIDE A LIST OF ALL TOBACCO CESSATION RESOURCES, INCLUDING ON-LINE OPTIONS TO IN-PATIENTS AND OUT-PATIENTS AS WELL AS AT DISPLAYS THROUGHOUT THE HOSPITAL. WE ALSO CONTINUE TO OFFER EDUCATIONAL PROGRAMS TO LOCAL CIVIC ORGANIZATIONS AND OTHER GROUPS.IN AN EFFORT TO ADDRESS DIABETES ISSUES IN OUR COMMUNITY, THE FOLLOWING WERE UNDERTAKEN BY THE NUTRITION & OUTREACH DEPARTMENTS IN 2014: -CELEBRATING THE SEASONS COMMUNITY EDUCATION EVENT, HELD IN NOV 2014 WITH 38 ATTENDING; THE LARGEST GROUP SO FAR IN THE 7 YEARS OFFERED. -BLOOD GLUCOSE TESTING: 666 WERE DONE IN THE COMMUNITY AT FAIRS, SENIOR DAYS, SENIOR CENTER AND MONTHLY LAB SCREENINGS. THIS WAS AN INCREASE OF 335 OVER 2013. -AWARENESS PROGRAMS OFFERED AT A LARGE COMMUNITY SCREENING WITH THE KIWANIS IN MAY 2014, MEETING OF THE OAK HARBOR CHAMBER OF COMMERCE IN AUG 2014, AND SENIOR RESOURCES OPEN HOUSE IN DEC 2014. -SURVEY SENT OUT TO THOSE WITH ANY CONTACT WITH NUTRITION DEPT ON INTEREST IN HAVING DIABETIC SUPPORT GROUP WITH PLANS MADE TO BEGIN IN 2015 -NUTRITION DEPT OFFERED REFRESHER COURSES FOR CLIENTS AFTER THEIR DIABETIC CLASSES.THE CHNA COMPLETED IN 2012 WAS VERY THOROUGH AND EXPANSIVE AND A NUMBER OF ISSUES ARE BEING ADDRESSED THROUGH THE LARGER COMMUNITY HEALTH PARTNERS GROUP THAT ARE BEYOND THE SCOPE OF SERVICES AND EXPERTISE THAT MAGRUDER HOSPITAL CURRENTLY PROVIDES. |
| HB MAGRUDER MEMORIAL HOSPITAL | PART V, SECTION B, LINE 22D: ALL PATIENTS ARE CHARGED AT GROSS CHARGES PER THE CHARGEMASTER. THOSE APPROVED FOR FINANCIAL ASSISTANCE ARE THEN GIVEN THE APPROPRIATE ALLOWANCE AND BILLED ANY REMAINING AMOUNT. |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| HB MAGRUDER MEMORIAL HOSPITAL PART V, SECTION B, LINE 16B WEBSITE: | HTTP://WWW.MAGRUDERHOSPITAL.COM/FINANCIAL-ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| PHYSICIAN OFFICE | ||||
| 611 E 6TH STREET | PORT CLINTON | OH | 43452 | PHYSICIAN OFFICE |
| PHYSICIAN OFFICE | ||||
| 621 FULTON STREET | PORT CLINTON | OH | 43452 | PHYSICIAN OFFICE |
| PHYSICAL THERAPY | ||||
| 7725 W STATE ROUTE 163 | OAK HARBOR | OH | 43449 | PHYSICAL THERAPY |
| PHYSICIAN OFFICE | ||||
| 11697 W STATE ROUTE 163 | OAK HARBOR | OH | 43449 | PHYSICIAN OFFICE |
| PHYSICAL THERAPY | ||||
| 4058 E HARBOR RD | PORT CLINTON | OH | 43452 | PHYSICAL THERAPY |
| PHYSICIAN OFFICE | ||||
| 1297 W MAIN STREET | LAKESIDE MARBLEHEAD | OH | 43440 | PHYSICIAN OFFICE |
| PHYSICIAN OFFICE | ||||
| 2861 EAST HARBOR ROAD | PORT CLINTON | OH | 43452 | PHYSICIAN OFFICE |
| PHYSICIAN OFFICE | ||||
| 730 JEFFERSON STREET | PORT CLINTON | OH | 43452 | PHYSICIAN OFFICE |
| PHYSICIAN OFFICE | ||||
| 1250 FULTON STREET | PORT CLINTON | OH | 43452 | PHYSICIAN OFFICE |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $ 3,209,380. |
| 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 2014 WAS $15,500,982. THE PAYMENTS RELATED TO THESE SERVICES WERE $15,329,077, LEAVING A MEDICARE SHORTFALL OF $171,905 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: | MAGRUDER HOSPITAL AND THE MEMBERS OF THE OTTAWA COUNTY HEALTH PARTNERS (OTTAWA COUNTY HEALTH DEPARTMENT, THE PROBATE/JUVENILE COURT, UNITED WAY, MENTAL HEALTH & RECOVERY BOARD, JOB & FAMILY SERVICES, LOCAL SCHOOL DISTRICTS, SENIOR RESOURCES, BOARD OF DEVELOPMENTAL DISABILITIES AND RIVERVIEW HEALTHCARE CAMPUS) COLLABORATED ON THE 2012 COMMUNITY HEALTH NEEDS ASSESSMENT. WE HAVE CHOSEN TO ASSESS OTTAWA COUNTY AS OUR COMMUNITY BECAUSE THIS IS WHERE WE, AND THOSE WE SERVE, LIVE AND WORK.THIS 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 HOSPITAL HAS REVIEWED THE HEALTH ASSESSMENT REPORT IN COMPARISON TO OUR SERVICES AND RESOURCES AND HAS BEGUN WORK ON 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 TOBACCO USE AND DIABETES ARE TWO OF THE GREATEST NEEDS. BOTH ARE CLOSELY RELATED TO THE LEADING TYPES OF DEATH IN OTTAWA COUNTY AND BOTH HAVE COMPONENTS THAT MAY BE PREVENTABLE. WE STILL CONTINUE TO PARTNER WITH THE COUNTY-WIDE OTTAWA COUNTY HEALTH PARTNERS, AND THAT GROUP HAS ALSO REVIEWED THE HEALTH ASSESSMENT IN LIGHT OF THE RESOURCES AND GAPS IN OUR COMMUNITY AND THEY HAVE CHOSEN TO ADDRESS: INCREASING HEALTHY LIVING, DECREASING ADULT AND YOUTH SUBSTANCE ABUSE AND BUILDING RESILIENT YOUTH.CERTAINLY THERE IS STILL WORK TO BE DONE IN THESE AND MANY OTHER AREAS RELATED TO THE HEALTH OF OTTAWA COUNTY. WE ARE COMMITTED TO CONTINUING THAT WORK AS A HOSPITAL AND AS A PARTNER IN THE COMMUNITIES WE SERVE.MAGRUDER'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 TOBACCO USE AND DIABETES ARE TWO OF THE GREATEST NEEDS. BOTH ARE CLOSELY RELATED TO THE LEADING TYPES OF DEATH IN OTTAWA COUNTY AND BOTH HAVE COMPONENTS THAT MAY BE PREVENTABLE. ACCORDING 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 2012 WAS 36% COMPARED TO 70% IN 2006. IN AN EFFORT TO INCREASE SMOKING CESSATION RESOURCES, MAGRUDER HAS DEVELOPED SOME 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. IN ADDITION, OUR CESSATION STAFF DID RADIO AND TV SHOWS ON TOBACCO ADDICTION AND CESSATION. WE ALSO MAKE OURSELVES AVAILABLE TO OUTSIDE BUSINESSES, GROUPS AND ORGANIZATIONS TO DO "LUNCH AND LEARN" TOPICS SUCH AS TOBACCO CESSATION. THE COMMITTEE ALSO COMPILED A LIST OF ALL TOBACCO CESSATION RESOURCES, INCLUDING THE GROWING NUMBER OF ON-LINE RESOURCES, WHICH COULD BE DISTRIBUTED AT LOCAL FAIRS AND FESTIVALS. BY IMPLEMENTING THESE STRATEGIES, WE HOPE TO REACH MORE PEOPLE IN OTTAWA COUNTY WITH INFORMATION ON HOW TO QUIT TOBACCO SO THAT THE NUMBER OF THOSE WORKING ON QUITTING WILL INCREASE. DIABETES IS CLOSELY ASSOCIATED WITH SO MANY DISEASES AND HEALTH CONDITIONS (OBESITY, HEART DISEASE ETC.), AND THE PERCENT OF THOSE DIAGNOSED WITH DIABETES ROSE FROM 8% IN 2006 TO 11% IN 2012. ADDITIONALLY DIAGNOSES OF DIABETES ARE HIGHER FOR THOSE WHO REPORTED EARNING LESS THAN $25,000 PER YEAR. BECAUSE OF THESE FACTORS, OUR COMMITTEE DECIDED TO INCREASE OUR EFFORTS IN DIABETES EDUCATION. OUR NUTRITION SERVICES DIRECTOR ALSO DID TV AND RADIO SHOWS DISCUSSING DIABETES AND PRE-DIABETES. SHE HAS ALSO MADE HERSELF AVAILABLE TO CIVIC GROUPS AND ORGANIZATIONS TO DO SIMILAR PROGRAMS. OUR DIABETIC EDUCATION DEPARTMENT HAS ALSO COMPLETED BMI SCREENINGS AND EDUCATION AT A COUPLE OF EVENTS, AS THIS IS AN INDICATOR OF PRE-DIABETES. IT WAS ALSO IDENTIFIED THAT THE INSURANCE OF SOME OF THE LARGER EMPLOYERS IN THE AREA DID NOT INCLUDE DIABETIC EDUCATION IN THEIR BENEFITS AND THIS WAS PREVENTING PEOPLE FROM SEEKING OUT THE EDUCATION. OUR NUTRITION SERVICES DIRECTOR HAS ALSO PRESENTED TO BUSINESSES THROUGH AN AREA CHAMBER OF COMMERCE ABOUT DIABETES AND PRE-DIABETES. BY IMPLEMENTING THESE STRATEGIES, WE HOPE TO REACH MORE PEOPLE IN OTTAWA COUNTY WHO MAY HAVE DIABETES AND PRE-DIABETES WITH FORMAL AND INFORMAL DIABETIC EDUCATION AND AWARENESS OF THE DISEASE. |
| 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 14 | RecipientCnt |
| Cash Grant | $7,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JON TODD ALMENDIGER | ||||||||||||||
| PRESIDENT & CEO | $279,686 | $0 | $0 | $0 | $0 | $0 | $17,685 | $0 | $14,403 | $0 | $311,774 | $0 | $0 | $0 |
| KATHLEEN DURFLINGER | ||||||||||||||
| VP NURSING | $152,148 | $0 | $0 | $0 | $0 | $0 | $9,817 | $0 | $1,539 | $0 | $163,504 | $0 | $0 | $0 |
| NICHOLAS MARSICO | ||||||||||||||
| VP ANCILLARY SERVICES | $151,917 | $0 | $0 | $0 | $0 | $0 | $9,862 | $0 | $13,629 | $0 | $175,408 | $0 | $0 | $0 |
| RON WEINER | ||||||||||||||
| VP FINANCE | $159,295 | $0 | $0 | $0 | $0 | $0 | $10,014 | $0 | $13,683 | $0 | $182,992 | $0 | $0 | $0 |
| LEONARD QUE | ||||||||||||||
| PHYSICIAN | $296,304 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $270 | $0 | $296,574 | $0 | $0 | $0 |
| GARY KRESGE | ||||||||||||||
| PHYSICIAN | $328,000 | $0 | $0 | $0 | $0 | $0 | $17,033 | $0 | $15,084 | $0 | $360,117 | $0 | $0 | $0 |
| DANIEL G CADIGAN | ||||||||||||||
| PHYSICIAN | $266,381 | $0 | $0 | $0 | $0 | $0 | $17,136 | $0 | $22,689 | $0 | $306,206 | $0 | $0 | $0 |
| STEVEN JACKSON | ||||||||||||||
| PHYSICIAN | $268,850 | $0 | $900 | $0 | $0 | $0 | $5,200 | $0 | $11,763 | $0 | $286,713 | $0 | $0 | $0 |
| DONALD E REED | ||||||||||||||
| PHYSICIAN | $392,091 | $0 | $0 | $0 | $0 | $0 | $22,698 | $0 | $15,083 | $0 | $429,872 | $0 | $0 | $0 |
| MICHAEL LONG | ||||||||||||||
| FORMER PRESIDENT & CEO | $0 | $0 | $0 | $0 | $143,210 | $0 | $0 | $0 | $866 | $0 | $144,076 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE CEO RECEIVES REIMBURSEMENT FOR SOCIAL CLUB DUES; REIMBURSEMENT IS TREATED AS TAXABLE COMPENSATION TO THE CEO. THE ORGANIZATION USES FACILITY FOR VARIOUS STAFF FUNCTIONS THROUGHOUT THE YEAR. THIS TRANSACTION IS ANNUALLY BOARD APPROVED. |
| PART I, LINE 4A | MICHAEL LONG WAS CEO UNTIL 10/30/12. HIS SEVERANCE PAY STARTED AFTER THAT DATE, AND WAS PAID IN ACCORDANCE WITH A WRITTEN AGREEMENT. IN 2014, HE RECEIVED SEVERANCE OF $143,210. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| DAVID BODIE | |||
| SON OF JOHN BODIE | $242,413 | COMPENSATION | 0 |
| KATHY ALMENDINGER | |||
| WIFE OF TODD ALMENDINGER | $27,863 | COMPENSATION | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE CFO REVIEWED THE FORM 990 WITH THE BOARD TREASURER TO THE LEVEL OF DETAIL REQUESTED BY THE BOARD TREASURER. THE FORM 990 WAS THEN ELECTRONICALLY DELIVERED TO EACH MEMBER OF THE BOARD WITH A DISCUSSION OF KEY POINTS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | WRITTEN DISCLOSURE OF CONFLICTS OF INTEREST ARE REQUESTED ANNUALLY FOR ALL BOARD MEMBERS. THE CEO REVIEWS ALL DISCLOSURES. THE CODE OF REGULATIONS ASKS FOR PROMPT DISCLOSURE IF SITUATIONS CHANGE DURING THE YEAR. ANY BOARD MEMBER WITH A CONFLICT OR POTENTIAL CONFLICT IS RESTRICTED FROM PARTICIPATING IN VOTING ON MATTERS WHERE THERE IS A CONFLICT OR POTENTIAL CONFLICT. DOUG FOCHT, DIRECTOR, IS RESTRICTED FROM PARTICIPATING IN DECISIONS IN REGARDS TO BUILDING CONSTRUCTION TRANSACTIONS (SEE SCHEDULE L, PART VI DISCLOSURE). |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO'S COMPENSATION IS APPROVED BY THE BOARD. THE EXECUTIVE COMMITTEE REVIEWS THE OHA SALARY SURVEY FOR COMPARISON. RECOMMENDATIONS TO THE FULL BOARD ARE MADE BASED ON SALARY SURVEY FINDINGS, MARKET FINDINGS, AND PERFORMANCE REVIEW FOR EXECUTIVES; ALL OTHER NON-EXECUTIVE EMPLOYEES' SALARIES ARE DETERMINED IN A SIMILAR FASHION EXCLUDING BOARD APPROVAL. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING IS COMPLETED WITH RESPECT TO THIS PROCESS. THIS PROCESS WAS LAST PERFORMED IN 2014. |
| 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 6,582,960. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,582,960. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,875,391. MANAGEMENT AND GENERAL EXPENSES 546,048. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,421,439. |
| FORM 990, PART XI, LINE 9: | POST RETIREMENT RELATED COSTS 18,193. AUXILIARY NET LOSS 68,400. CHANGE IN TEMPORARY RESTRICTED NET ASSETS 11,750. PRIOR YEAR EQUITY FROM PAIN MANAGEMENT 74,322. |
| 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. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAGRUDER PAIN MANAGEMENT LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 FULTON ST | AddressLine1Txt |
| City | PORT CLINTON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43452 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 275038026 | EIN |
| Primary Activities | PAIN MANAGEMENT | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | H B MAGRUDER MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $207,559 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $229,740 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.51000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | 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 | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAGRUDER PAIN MANAGEMENT LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | L | TransactionTypeTxt |
| Involved | $91,358 | InvolvedAmt |
| Method Of Amount Determination | ACCRUED AMOUNT | MethodOfAmountDeterminationTxt |