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H B MAGRUDER MEMORIAL HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
H B MAGRUDER MEMORIAL HOSPITAL (EIN 34-4441792)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201413189349304546
Schema version
2013v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-14T12:34:54-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line165 EAST STATE STREET SUITE 600AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN344441792EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1H B MAGRUDER MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlHBMABusinessNameControlTxt
Phone4197343131PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 FULTON STREETAddressLine1
CityPORT CLINTONCity
StateOHState
ZIP Code43452ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRONALD A WEINERPersonNm
Person TitleCFOPersonTitleTxt
Phone4197343131PhoneNum
Signature2014-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBERNIE OSTROWSKIPreparerPersonNm
PTINP00366367PTIN
Phone6148493000PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MAGRUDER HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerJON TODD ALMENDINGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 FULTON STREETAddressLine1
CityPORT CLINTONCity
StateOHState
ZIP Code43452ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$51,250,549GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MAGRUDERHOSPITAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1940FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionMAGRUDER HOSPITAL SHALL PROVIDE COMPASSIONATE CARE WITH EXCELLENT OUTCOMES.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee441TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$132,591PYContributionsGrantsAmt
CY Contributions Grants$167,459CYContributionsGrantsAmt
PY Program Service Revenue$48,112,866PYProgramServiceRevenueAmt
CY Program Service Revenue$49,984,521CYProgramServiceRevenueAmt
PY Investment Income$150,874PYInvestmentIncomeAmt
CY Investment Income$253,035CYInvestmentIncomeAmt
PY Other Revenue$4,372,184PYOtherRevenueAmt
CY Other Revenue$568,787CYOtherRevenueAmt
PY Total Revenue$52,768,515PYTotalRevenueAmt
CY Total Revenue$50,973,802CYTotalRevenueAmt
PY Grants And Similar Paid$7,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$7,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$21,746,040PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$22,095,770CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$5,255CYTotalFundraisingExpenseAmt
PY Other Expenses$26,897,789PYOtherExpensesAmt
CY Other Expenses$27,507,596CYOtherExpensesAmt
PY Total Expenses$48,650,829PYTotalExpensesAmt
CY Total Expenses$49,610,866CYTotalExpensesAmt
PY Revenues Less Expenses$4,117,686PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,362,936CYRevenuesLessExpensesAmt
Total Assets BOY$47,800,167TotalAssetsBOYAmt
Total Assets EOY$50,305,893TotalAssetsEOYAmt
Total Liabilities BOY$8,483,634TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,727,561TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$39,316,533NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$41,578,332NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMAGRUDER 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 PHYSICIANSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$44,441,269ExpenseAmt
Grant$7,500GrantAmt
Revenue$50,547,057RevenueAmt
DescSEE SCHEDULE OFOUNDED 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 2013, MAGRUDER EXPERIENCED A TOTAL OF 2,424 INPATIENT DAYS, INCLUDING 1,885 DAYS TO MEDICARE PATIENTS AND 49 DAYS TO MEDICAID PATIENTS. THE HOSPITAL EXPERIENCED 15,717 VISITS TO THE EMERGENCY DEPARTMENT, AND TREATED A TOTAL OF 74,526 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 CONTINUES TO KEEP AN ACTIVE ROLE IN THE OTTAWA COUNTY HEALTH PARTNERS, WHICH WAS A COLLABORATION WITH THE OTTAWA COUNTY HEALTH DEPARTMENT TO ASSESS THE SIGNFICANT NEEDS OF THE COMMUNITY. MAGRUDER COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2012. RESULTS WERE ROLLED OUT IN OCTOBER 2012.OUR OUTREACH PROGRAMS CONTINUE TO TOUCH HUNDREDS OF LIVES IN OUR COMMUNITIES. -REDUCED FEE CHOLESTEROL SCREENING FOR THE COMMUNITY EACH MONTH (113 PARTICIPANTS)-ADMINISTERED FLU SHOTS AT BUSINESSES, HEALTH FAIRS AND PUBLIC CLINICS (404 PARTICIPANTS)-MEDICARE EDUCATION FOR THE COMMUNITY (IN ADDITION TO A LARGE PUBLIC EDUCATIONAL SESSION (55), WE HAD STAFF THROUGHOUT THE END OF THE YEAR OFFERING ONE ON ONE APPOINTMENTS FOR PART D COMPARISONS AND OTHER RESOURCES.)-KIWANIS LAB SCREENING TEST FOR 7 DIFFERENT MEDICAL CONDITIONS (170 PARTICIPANTS)-FREE SKIN CANCER SCREENING TO THE COMMUNITY (124 PARTICIPANTS)-FREE PROSTATE CANCER SCREENING TO THE COMMUNITY (70 PARTICIPANTS)-FREE COLORECTAL HEALTH SCREENING KITS TO THE COMMUNITY (46 PARTICIPANTS)-CANCER SUPPORT GROUP (53 PARTICIPANTS)-REDUCED FEE WELLNESS CLASSES FOR THE COMMUNITY (1,202 PARTICIPANTS)-GENERAL HEALTH SCREENINGS (USUALLY BLOOD PRESSURE & BLOOD SUGAR) AT COMMUNITY EVENTS (238 PARTICIPANTS)-BOARD INVOLVEMENT IN: PROJECT LIFESAVER, 3 AREA CHAMBERS OF COMMERECE, 3 LOCAL SCHOOL WELLNESS COMMITTEES, COUNCIL OF HEALTH AND SOCIAL CONCERNS.-MAGRUDER SPONSORED 4 BLOOD DRIVES IN 2013 WHICH INCLUDES NOT ONLY THE SPACE AND PROMOTION FOR THE EVENT BUT ALSO ALLOWED 72 EMPLOYEES TO DONATE ON WORK TIME.-EDUCATION PROGRAMS (OVER 1,000 PARTICIPANTS)-COMMUNITY EVENTS: MEN'S PRAYER BREAKFAST (PHYSICAL ACTIVITY), THE VINEYARD (MEDICARE), REBIRTH CHURCH (HEALTH SCREENINGS), MEDICAL INFORMATION NOTEBOOK, FAMILY FUN NIGHT AT DANBURY SCHOOLS (YOUTH NUTRITION).-MONTHLY LUNCHEONS: WOMEN'S HEALTH, ELECTRONC MEDICAL RECORDS, HIP REPLACEMENT, ADVANCE DIRECTIVES, MENTAL HEALTH, SLEEP AND HEART, BREAST RECONSTRUCTION.-"TIME FOR HEALTH" TV SHOW: FITNESS, CRIME PREVENTION, ADVANCE DIRECTIVES, FLU, GARDENING/CANNING, NUTRITION, CHRONIC PAIN, WOMEN'S HEALTH, CHANGING HABITS. -MAGRUDER HOSPITAL ALSO SPONSORS OR PARTICIPATES IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES: -OTTAWA COUNTY FAIR -JOYFUL CONNECTIONS (SUPERVISED VISITATION AND EXCHANGE) -HABITAT FOR HUMANITY -JUVENILE DIABETES -PORT CLINTON SAFETY PATROL -PORT CLINTON ARTS COUNCIL -PORT CLINTON & OAK HARBOR ATHLETIC BOOSTER -AMERICAN RED CROSSOPPORTUNITIES ARE PROVIDED TO ASSIST IN THE DELIVERY OF HEALTHCARE AT THE HOSPITAL THROUGH VOLUNTEER SERVICE COORDINATED BY THE H B 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$44,441,269TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document89IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee441EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TONI MAGSIG ACCOUNTING DIRECTORBusinessNameLine1
FieldValueIRS element (for citing)
Phone4197343131PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 FULTON STREETAddressLine1
CityPORT CLINTONCity
StateOHState
ZIP Code43452ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PAUL DRUCKENMILLER
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
BRUCE SMITH
VICE CHAIR1.000.00Yes (X)Yes (X)$0$0$0
NANCY OSBORN
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
DAVID SODERBERG
TREASURER1.000.00Yes (X)Yes (X)$0$0$0
DANIEL ALMENDINGER
ASSISTANT SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
JOHN BODIE MD
DIRECTOR1.000.00Yes (X)$0$0$0
EMIL CELLIER
DIRECTOR1.000.00Yes (X)$0$0$0
DOUGLAS FOCHT
DIRECTOR1.000.00Yes (X)$0$0$0
MARK HABLITZEL DDS
DIRECTOR1.000.00Yes (X)$0$0$0
RON MILLER
DIRECTOR1.000.00Yes (X)$0$0$0
KEVIN SNEIDER DPM
DIRECTOR1.000.00Yes (X)$0$0$0
LOCKWOOD ZEIS
DIRECTOR1.000.00Yes (X)$0$0$0
SUE CROSSER
DIRECTOR1.000.00Yes (X)$0$0$0
GREG DEERHAKE
DIRECTOR1.000.00Yes (X)$0$0$0
JON TODD ALMENDINGER
PRESIDENT & CEO40.000.00Yes (X)$249,820$0$35,054
KATHLEEN DURFLINGER
VP OF NURSING40.00Yes (X)$151,262$0$10,953
NICKOLAS MARSICO
VP OF ANCILLARY SERVICES40.00Yes (X)$89,793$0$16,279
RON WEINER
CHIEF FINANCIAL OFFICER40.00Yes (X)$125,292$0$19,027
DAVID BODIE
PHYSICIAN40.000.00$234,703$0$36,855Yes (X)
LEONARDO QUE
PHYSICIAN40.000.00$301,685$0$371Yes (X)
JAMES MCLEAN
PHYSICIAN40.000.00$233,211$0$36,765Yes (X)
STEVEN JACKSON
PHYSICIAN40.000.00$256,981$0$12,704Yes (X)
DONALD REED
PHYSICIAN40.000.00$242,678$0$23,048Yes (X)
MICHAEL E LONG
FORMER OFFICER0.000.00$200,969$0$18,062Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,086,394TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$209,118TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K25IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
PORT CLINTON EMERGENCY PHYSICIANS INC
3914 MEMORIAL SHOREWAYLAKESIDEMARBLEHEADOH43440EMERGENCY PHYSICIANS$1,996,439
ADVANCED HEALTH LTD
2500 W STRUB RD STE 150SANDUSKYOH44870PHYSICAL THERAPY$1,327,265
CERNER CORPORATION
2800 ROCKCREEK PARKWAYKANSAS CITYMO64117COMPUTER SUPPORT$972,882
NET REVENUE ASSOCIATE
1330 CORPORATE SUITE 100HUDSONOH44236CONSULTANTS$740,015
ABAN AFFAN MD
4446 MARIN HARBOR UNIT CPORT CLINTONOH43452ANESTHESIOLOGIST$573,775
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Fundraising$41,149FundraisingAmt
All Other Contributions$126,310AllOtherContributionsAmt
Total Contributions$167,459TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HEALTHCARE SERVICES622110$49,205,612$49,205,612
PHYSICIAN OFFICE RENTAL622110$407,167$407,167
MOBILE MEALS/FOOD SERVICE622110$371,742$371,742
FieldValueIRS element (for citing)
Total Program Service Revenue$49,984,521TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$504,971TotalRevenueColumnAmt
Exclusion$504,971ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,800OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$253,736SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$253,736SecuritiesAmt
Other$1,800OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$251,936TotalRevenueColumnAmt
Exclusion-$251,936ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$29,262FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$41,149ContriRptFundraisingEventAmt
Fundraising Direct Expenses$23,011FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,251TotalRevenueColumnAmt
Exclusion$6,251ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FLOW THROUGH INCOME900099$364,272$364,272
PM CLINIC-MISC REV900099$130,146$130,146
EHR INCENTIVE PAYMENTS900099$43,812$43,812

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,306TotalRevenueColumnAmt
Related Or Exempt Func Income$24,306RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$562,536OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,973,802TotalRevenueColumnAmt
Related Or Exempt Func Income$50,547,057RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$259,286ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$7,500TotalAmt
Program Services$7,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$697,481TotalAmt
Management And General$697,481ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$15,028,866TotalAmt
Program Services$12,999,969ProgramServicesAmt
Management And General$2,028,897ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$991,079TotalAmt
Program Services$857,283ProgramServicesAmt
Management And General$133,796ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,041,550TotalAmt
Program Services$3,495,941ProgramServicesAmt
Management And General$545,609ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,336,794TotalAmt
Program Services$1,156,327ProgramServicesAmt
Management And General$180,467ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$105,091TotalAmt
Management And General$99,836ManagementAndGeneralAmt
Fundraising$5,255FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$110,673TotalAmt
Management And General$110,673ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,685,918TotalAmt
Program Services$11,058,376ProgramServicesAmt
Management And General$627,542ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$218,314TotalAmt
Program Services$218,314ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,667,370TotalAmt
Program Services$1,341,656ProgramServicesAmt
Management And General$325,714ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$900,036TotalAmt
Program Services$783,031ProgramServicesAmt
Management And General$117,005ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,475,378TotalAmt
Program Services$1,261,345ProgramServicesAmt
Management And General$214,033ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$89,842TotalAmt
Program Services$44,921ProgramServicesAmt
Management And General$44,921ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,447,425TotalAmt
Program Services$2,447,425ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$429,477TotalAmt
Program Services$429,477ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$5,761,799$5,761,799
BAD DEBT EXPENSE$2,471,007$2,471,007
PHYSICIAN RECRUITMENT$60,746$53,244$7,502
EDUCATION$59,539$51,799$7,740

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$24,981TotalAmt
Program Services$1,855ProgramServicesAmt
Management And General$23,126ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$49,610,866TotalAmt
Program Services$44,441,269ProgramServicesAmt
Management And General$5,164,342ManagementAndGeneralAmt
Fundraising$5,255FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,350BOYAmt
EOY$2,700EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,596,147BOYAmt
EOY$10,746,821EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,737,526BOYAmt
EOY$6,247,065EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$516,787BOYAmt
EOY$873,836EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$357,461BOYAmt
EOY$349,656EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$719,914BOYAmt
EOY$694,253EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$60,099,630LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$35,278,704LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$24,101,667BOYAmt
EOY$24,820,926EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,372,979BOYAmt
EOY$6,168,433EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$395,336BOYAmt
EOY$402,203EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$47,800,167BOYAmt
EOY$50,305,893EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,813,778BOYAmt
EOY$4,463,819EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$497,452BOYAmt
EOY$376,836EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,172,404BOYAmt
EOY$3,886,906EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,483,634BOYAmt
EOY$8,727,561EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$39,281,885BOYAmt
EOY$41,536,930EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$34,648BOYAmt
EOY$41,402EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$39,316,533BOYAmt
EOY$41,578,332EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$47,800,167BOYAmt
EOY$50,305,893EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,362,936ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$819,772NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$79,091OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$851OtherActivitiesAmt
Total Lobbying Expenditures$851TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF DUES PAID TO THE OHIO HOSPITAL ASSOCIATION RELATES TO LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$686,533OtherCostOrOtherBasisAmt
Book Value$686,533BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,882,599OtherCostOrOtherBasisAmt
Depreciation$16,680,425DepreciationAmt
Book Value$17,202,174BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$626,816OtherCostOrOtherBasisAmt
Depreciation$597,165DepreciationAmt
Book Value$29,651BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,716,898OtherCostOrOtherBasisAmt
Depreciation$18,001,114DepreciationAmt
Book Value$6,715,784BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$186,784OtherCostOrOtherBasisAmt
Book Value$186,784BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$24,820,926TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ESTIMATED 3RD PARTY PAYOR SETTLEMENTS$3,578,700
ACCRUED POST-RETIREMENT BEN. OBLIGATION$308,206
FieldValueIRS element (for citing)
Total Liability$3,886,906TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$49,800,801TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$819,772NetUnrealizedGainsInvstAmt
Other Revenue-$2,010,417OtherRevenueAmt
Revenue Not Reported-$1,190,645RevenueNotReportedAmt
Revenue Subtotal$50,991,446RevenueSubtotalAmt
Other Revenues Not Included-$17,644OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$17,644RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$50,973,802TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$47,545,756TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$369,099OtherExpensesIncludedAmt
Expenses Not Reported$369,099ExpensesNotReportedAmt
Expenses Subtotal$47,176,657ExpensesSubtotalAmt
Other Expenses Not Included$2,434,209OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$2,434,209ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$49,610,866TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2: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, 2013, 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 2010.
PART XI, LINE 2D - OTHER ADJUSTMENTS:POSTRETIREMENT RELATED COSTS 55,870. BAD DEBT EXPENSES -2,471,007. RECLASS OF CARDIAC SALARY OFFSET 58,633. PAIN MANAGEMENT REVENUE 346,087.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BOOK TO TAX DIFFERENCES FROM FLOW THROUGH INVESTMENTS 5,367. RECLASS OF SPECIAL EVENT EXPENSE -23,011.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RECLASS OF SPECIAL EVENT EXPENSE 23,011. PAIN MANAGEMENT EXPENSES 346,088.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSES 2,471,007. RECLASS OF CARDIAC SALARY OFFSET -58,633. AUXILIARY NET LOSS 21,835.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1CHARITY BALLNameOfEvent1Amt
Gross Receipts Event1$28,967GrossReceiptsEvent1Amt
Charitable Contri Event1$19,487CharitableContriEvent1Amt
Gross Revenue Event1$9,480GrossRevenueEvent1Amt
Rent Facility Costs Event1$9,413RentFacilityCostsEvent1Amt
Name Of Event2GOLF OUTINGNameOfEvent2Amt
Gross Receipts Event2$41,444GrossReceiptsEvent2Amt
Charitable Contri Event2$21,662CharitableContriEvent2Amt
Gross Revenue Event2$19,782GrossRevenueEvent2Amt
Other Direct Expenses Event2$13,598OtherDirectExpensesEvent2Amt
Gross Receipts Total$70,411GrossReceiptsTotalAmt
Charitable Contributions Tot$41,149CharitableContributionsTotAmt
Gross Revenue Total Events$29,262GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$9,413RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$13,598OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$23,011DirectExpenseSummaryEventsAmt
Net Income Summary$6,251NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,327,007TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$537,860DirectOffsettingRevenueAmt
Net Community Benefit Expns$789,147NetCommunityBenefitExpnsAmt
Total Expense0.01670TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,163,452TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,630,438DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,533,014NetCommunityBenefitExpnsAmt
Total Expense0.05370TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,490,459TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,168,298DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,322,161NetCommunityBenefitExpnsAmt
Total Expense0.07040TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served2658PersonsServedCnt
Total Community Benefit Expns$30,332TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,807DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,525NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Total Community Benefit Expns$274,574TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$274,574NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served450PersonsServedCnt
Total Community Benefit Expns$15,652TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,652NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served3108PersonsServedCnt
Total Community Benefit Expns$320,558TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,807DirectOffsettingRevenueAmt
Net Community Benefit Expns$314,751NetCommunityBenefitExpnsAmt
Total Expense0.00660TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served3108PersonsServedCnt
Total Community Benefit Expns$6,811,017TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,174,105DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,636,912NetCommunityBenefitExpnsAmt
Total Expense0.07700TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,503TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,503NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,503TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,503NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$2,471,007BadDebtExpenseAmt
Bad Debt Expense Attributable$123,550BadDebtExpenseAttributableAmt
Reimbursed By Medicare$14,589,066ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$14,603,214CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$14,148MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 OTTAWA COUNTY CARENETBusinessNameLine1
FieldValueIRS element (for citing)
Primary ActivitiesGROUP CONTRACTINGPrimaryActivitiesTxt
Org Profit Or Ownership0.50000OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.50000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HB MAGRUDER MEMORIAL HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 FULTON STREETAddressLine1
CityPORT CLINTONCity
StateOHState
ZIP Code43452ZIPCode
FieldValueIRS element (for citing)
Website AddressHTTP://WWW.MAGRUDERHOSPITAL.COM/WebsiteAddressTxt
State LicenseSTATE REGISStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HB MAGRUDER MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.MAGRUDERHOSPITAL.COM/OwnWebsiteURLTxt
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (1)AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
HB MAGRUDER MEMORIAL HOSPITALPART V, SECTION B, LINE 7: PLEASE SEE THE BELOW URL TO ACCESS THE 2012 IMPLEMENTATION STRATEGY.HTTP://WWW.MAGRUDERHOSPITAL.COM/
HB MAGRUDER MEMORIAL HOSPITALPART V, SECTION B, LINE 20D: 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.
FieldValueIRS element (for citing)
Facility9FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
PHYSICIAN OFFICE
611 E 6TH STREETPORT CLINTONOH43452PHYSICIAN OFFICE
PHYSICIAN OFFICE
621 FULTON STREETPORT CLINTONOH43452PHYSICIAN OFFICE
PHYSICAL THERAPY
7725 W STATE ROUTE 163OAK HARBOROH43449PHYSICAL THERAPY
PHYSICIAN OFFICE
11697 W STATE ROUTE 163OAK HARBOROH43449PHYSICIAN OFFICE
PHYSICAL THERAPY
4058 E HARBOR RDPORT CLINTONOH43452PHYSICAL THERAPY
PHYSICIAN OFFICE
1297 W MAIN STREETLAKESIDE MARBLEHEADOH43440PHYSICIAN OFFICE
PHYSICIAN OFFICE
2861 EAST HARBOR ROADPORT CLINTONOH43452PHYSICIAN OFFICE
PHYSICIAN OFFICE
730 JEFFERSON STREETPORT CLINTONOH43452PHYSICIAN OFFICE
PHYSICIAN OFFICE
1250 FULTON STREETPORT CLINTONOH43452PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO CHARITY CARE WAS CALCULATED USING A COST-TO-CHARGE RATIO. TOTAL COMMUNITY BENEFIT RELATED TO MEDICAID WAS CALCULATED FROM THE MEDICAID COST REPORT. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,471,007.
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 2013 WAS $14,603,214. THE PAYMENTS RELATED TO THESE SERVICES WERE $14,589,066, LEAVING A MEDICARE SHORTFALL OF $14,148 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 PARTNERS WITH THE OTTAWA COUNTY HEALTH DEPARTMENT, THE PROBATE/JUVENILE COURT, UNITED WAY, MENTAL HEALTH & RECOVERY BOARD, JOB & FAMILY SERVICES, LOCAL SCHOOL DISTRICTS, BOARD OF DEVELOPMENTAL DISABILITIES AND RIVERVIEW HEALTHCARE CAMPUS TO WORK ON THE ACTION PLAN FROM OUR 2012 COMMUNITY HEALTH NEEDS ASSESSMENT. THESE ASSESSMENTS HAVE BEEN COMPLETED IN 2001, 2006 AND 2012. THE HOSPITAL COUNCIL OF NW OHIO AND THE UNIVERSITY OF TOLEDO CARRY OUT THE ASSESSMENTS AND PROVIDE RESULTS TO OUR COMMUNITY. THE THREE AREAS OF FOCUS THIS GROUP OF AGENCIES HAS CHOSEN TO ADDRESS ARE: INCREASE HEALTHY LIVING, DECREASE ADULT & YOUTH SUBSTANCE ABUSE AND BUILDING RESILIENT YOUTH. THE GROUP MEETS AT LEAST QUARTERLY AS A WHOLE WITH SMALLER WORK GROUPS MEETING IN BETWEEN THOSE DATES.
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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient15RecipientCnt
Cash Grant$7,500CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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 PERSUING A HEALTH-RELATED DEGREE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JON TODD ALMENDINGER
PRESIDENT & CEO$249,820$0$0$0$0$0$15,912$0$19,142$0$284,874$0$0$0
KATHLEEN DURFLINGER
VP OF NURSING$151,262$0$0$0$0$0$9,786$0$1,167$0$162,215$0$0$0
DAVID BODIE
PHYSICIAN$228,703$0$6,000$0$0$0$15,088$0$21,767$0$271,558$0$0$0
LEONARDO QUE
PHYSICIAN$301,685$0$0$0$0$0$0$0$371$0$302,056$0$0$0
JAMES MCLEAN
PHYSICIAN$227,211$0$6,000$0$0$0$14,958$0$21,807$0$269,976$0$0$0
STEVEN JACKSON
PHYSICIAN$256,981$0$0$0$0$0$5,100$0$7,604$0$269,685$0$0$0
DONALD REED
PHYSICIAN$242,678$0$0$0$0$0$11,644$0$11,404$0$265,726$0$0$0
MICHAEL E LONG
FORMER OFFICER$0$0$0$0$200,969$0$0$0$18,062$0$219,031$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE 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 4AMICHAEL LONG WAS CEO UNTIL 10/30/12. HIS SEVERANCE PAY STARTED AFTER THAT DATE, AND WAS PAID IN ACCORDANCE WITH A WRITTEN AGREEMENT. IN 2013, HE RECEIVED SEVERANCE OF $200,969.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
DAVID BODIE
SON OF JOHN BODIE$234,703COMPENSATION0
DOUGLAS FOCHT
COMMON LEADERSHIP$288,109INDEPENDENT CONTRACTOR THROUGH FOCHT CONSTRUCTION0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CWRITTEN 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 15THE 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 2013.
FORM 990, PART VI, SECTION C, LINE 18FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING 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 11GPROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 6,604,608. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,604,608. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,453,768. MANAGEMENT AND GENERAL EXPENSES 627,542. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,081,310.
FORM 990, PART XI, LINE 9:POST RETIREMENT RELATED COSTS 55,870. AUXILIARY NET LOSS 21,835. FLOW THROUGH BOOK TO TAX DIFFERENCES -5,368. CHANGE IN TEMPORARY RESTRICTED NET ASSETS 6,754.
FORM 990, PART XI, LINE 2CMEMBERS 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.