H B MAGRUDER MEMORIAL HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- H B MAGRUDER MEMORIAL HOSPITAL (EIN 34-4441792)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201303199349302700
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T09:20:02-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381357951 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 65 EAST STATE STREET SUITE 600 | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 344441792 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | H B MAGRUDER MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HBMA | NameControl |
| Phone | 4197343131 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 FULTON STREET | AddressLine1 |
| City | PORT CLINTON | City |
| State | OH | State |
| ZIP Code | 43452 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JON TODD ALMENDINGER | Name |
| Title | CFO, VP FINANCE | Title |
| Phone | 4197343131 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BERNIE OSTROWSKI | Name |
| PTIN | P00366367 | PTIN |
| Phone | 6148493000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAGRUDER HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JON TODD ALMENDINGER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 FULTON STREET | AddressLine1 |
| City | PORT CLINTON | City |
| State | OH | State |
| ZIP Code | 43452 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 53247390 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MAGRUDERHOSPITAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1940 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | MAGRUDER HOSPITAL SHALL PROVIDE COMPASSIONATE CARE WITH EXCELLENT OUTCOMES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 434 | TotalNbrEmployees |
| Total Nbr Volunteers | 120 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 158405 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 132591 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 49814762 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 48112866 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 184639 | InvestmentIncomePriorYear |
| Investment Income Current Year | 150874 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1019379 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4372184 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 51177185 | TotalRevenuePriorYear |
| Total Revenue Current Year | 52768515 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 12400 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 7000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 21418595 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 21746040 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 26834882 | OtherExpensePriorYear |
| Other Expenses Current Year | 26897789 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 48265877 | TotalExpensesPriorYear |
| Total Expenses Current Year | 48650829 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2911308 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4117686 | RevenuesLessExpensesCY |
| Total Assets BOY | 44578147 | TotalAssetsBOY |
| Total Assets EOY | 47800167 | TotalAssetsEOY |
| Total Liabilities BOY | 9664454 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 8483634 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 34913693 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 39316533 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE 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 PHYSICIANS | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 43397497 | Expense |
| Grants | 7000 | Grants |
| Revenue | 49208822 | Revenue |
| Description | SEE 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 2012, MAGRUDER EXPERIENCED A TOTAL OF 2913 INPATIENT DAYS, INCLUDING 2245 DAYS TO MEDICARE PATIENTS AND 70 DAYS TO MEDICAID PATIENTS. THE HOSPITAL EXPERIENCED 15,968 VISITS TO THE EMERGENCY DEPARTMENT, AND TREATED A TOTAL OF 75,746 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 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 (158 PARTICIPANTS)-ANNUAL FREE WOMEN'S HEALTH DAY EDUCATION PROGRAM (85 PARTICIPANTS)-ADMINISTERED FLU SHOTS AT BUSINESSES, HEALTH FAIRS AND PUBLIC CLINICS (300 PARTICIPANTS)-MEDICARE EDUCATION FOR THE COMMUNITY (IN ADDITION TO A LARGE PUBLIC EDUCATIONAL SESSION (67), 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 (177 PARTICIPANTS)-FREE SKIN CANCER SCREENING TO THE COMMUNITY (81 PARTICIPANTS)-FREE PROSTATE CANCER SCREENING TO THE COMMUNITY (61 PARTICIPANTS)-FREE COLORECTAL HEALTH SCREENING KITS TO THE COMMUNITY (63)-CANCER SUPPORT GROUP (57 PARTICIPANTS)-REDUCED FEE WELLNESS CLASSES FOR THE COMMUNITY (1,076 PARTICIPANTS)-GENERAL HEALTH SCREENINGS (USUALLY BLOOD PRESSURE & BLOOD SUGAR) AT COMMUNITY EVENTS (203 PARTICIPANTS)-BOARD INVOLVEMENT IN: AMERICAN CANCER SOCIETY, 3 LOCAL SCHOOL WELLNESS COMMITTEES, COUNCIL OF HEALTH & SOCIAL CONCERNS, SALVATION ARMY & AMERICAN HEART ASSOCIATION-MAGRUDER SPONSORED 3 BLOOD DRIVES IN 2012 WHICH INCLUDES NOT ONLY THE SPACE AND PROMOTION FOR THE EVENT BUT ALSO ALLOWED 46 EMPLOYEES TO DONATE ON WORK TIME.-EDUCATION PROGRAMS (OVER 1,000 PARTICIPANTS) -COMMUNITY EVENTS: DIABETES, HEART HEALTH, WOMEN'S HEALTH, MEDICAL INFORMATION NOTEBOOK, YOUTH NUTRITION -MONTHLY LUNCHEONS: CHRONIC PAIN, SELF CARE, UROLOGIC ISSUES, AUTISM, STROKES, SLEEP -"TIME FOR HEALTH" TV SHOW: STREET DRUGS, VERTIGO, NUTRITION, CPR, ELDER ABUSE, FLU, ALLERGIES, SUPPORT GROUPS-MAGRUDER HOSPITAL ALSO SPONSORS OR PARTICIPATES IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES: -CASA (COURT APPOINTED SPECIAL ADVOCATES) -JOYFUL CONNECTIONS (SUPERVISED VISITATION AND EXCHANGE) -HABITAT FOR HUMANITY -JUVENILE DIABETES -SUSAN G KOMEN -EASTER SEALS -TEEN PEP (PEERS EDUCATING PEERS) -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. | Description |
| Total Program Service Expense | 43397497 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 97 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 434 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TONI MAGSIG ACCOUNTING DIRECTOR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4197343131 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 FULTON STREET | AddressLine1 |
| City | PORT CLINTON | City |
| State | OH | State |
| ZIP Code | 43452 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| PAUL DRUCKENMILLER | |||||||||
| CHAIR | 1.00 | 0.00 | X | X | 0 | 0 | 0 | ||
| BRUCE SMITH | |||||||||
| VICE CHAIR | 1.00 | 0.00 | X | X | 0 | 0 | 0 | ||
| NANCY OSBORN | |||||||||
| SECRETARY | 1.00 | 0.00 | X | X | 0 | 0 | 0 | ||
| DAVID SODERBERG | |||||||||
| TREASURER | 1.00 | 0.00 | X | X | 0 | 0 | 0 | ||
| DANIEL ALMENDINGER | |||||||||
| ASSISTANT SECRETARY | 1.00 | 0.00 | X | X | 0 | 0 | 0 | ||
| JOHN BODIE MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| EMIL CELLIER | |||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| DOUGLAS FOCHT | |||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| MARK HABLITZEL DDS | |||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| RON MILLER | |||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| KEVIN SNEIDER DPM | |||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| LOCKWOOD ZEIS | |||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| SUE CROSSER | |||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| GREG DEERHAKE | |||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| JON TODD ALMENDINGER | |||||||||
| PRESIDENT & CEO | 40.00 | 0.00 | X | 174615 | 0 | 30246 | |||
| ISIDRO AMIGO | |||||||||
| PHYSICIAN | 40.00 | 0.00 | 360317 | 0 | 43312 | X | |||
| LEONARDO QUE | |||||||||
| PHYSICIAN | 40.00 | 0.00 | 310979 | 0 | 0 | X | |||
| DANIEL CADIGAN | |||||||||
| PHYSICIAN | 40.00 | 0.00 | 213450 | 0 | 32863 | X | |||
| CHRISTOPHER STRANATHAN | |||||||||
| PHYSICIAN | 40.00 | 0.00 | 206281 | 0 | 29959 | X | |||
| KAREN KLAEGE | |||||||||
| PHYSICIAN | 40.00 | 0.00 | 193718 | 0 | 31794 | X | |||
| MICHAEL E LONG | |||||||||
| CEO THRU 10/31; FORMER OFFICER | 40.00 | 0.00 | 217660 | 0 | 31584 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1677020 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 199758 | TotalOtherCompensation |
| Number Individuals GT100 K | 25 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CERNER CORPORATION | |||||
| 2800 ROCKCREEK PARKWAY | KANSAS CITY | MO | 64117 | COMPUTER SUPPORT | 2192755 |
| PORT CLINTON EMERGENCY PHYSICIANS INC | |||||
| 3914 MEMORIAL SHOREWAY | LAKESIDEMARBLEHEAD | OH | 43440 | EMERGENCY PHYSICIANS | 1908194 |
| ADVANCED HEALTH LTD | |||||
| 2500 W STRUB RD STE 150 | SANDUSKY | OH | 44870 | PHYSICAL THERAPY | 1335119 |
| ABAN AFFAN MD | |||||
| 4446 MARIN HARBOR UNIT C | PORT CLINTON | OH | 43452 | ANESTHESIOLOGIST | 570726 |
| FOCHT CONSTRUCTION | |||||
| 2040 STATE RD | PORT CLINTON | OH | 43452 | CONSTRUCTION | 541029 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 22 | NumberOfContractorsGT100K |
| Membership Dues | 605 | MembershipDues |
| Fundraising Events | 34872 | FundraisingEvents |
| Government Grants | 2182 | GovernmentGrants |
| All Other Contributions | 94932 | AllOtherContributions |
| Total Contributions | 132591 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | HEALTHCARE SERVICES | Description |
| Business Code | 622110 | BusinessCode |
| Total Revenue Column | 48112866 | TotalRevenueColumn |
| Related Or Exempt Function Income | 48112866 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 48112866 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 150874 | TotalRevenueColumn |
| Exclusion | $150,874 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 392691 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 456343 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -63652 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -63652 | TotalRevenueColumn |
| Exclusion | -$63,652 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 24745 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 34872 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 22532 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2213 | TotalRevenueColumn |
| Exclusion | $2,213 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| EHR INCENTIVE PAYMENTS | 900099 | 3111420 | $3,111,420 | |
| FLOW THROUGH INCOME | 900099 | 585770 | 585770 | |
| MOBILE MEALS/FOOD SVC | 900099 | 369581 | 369581 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 366852 | TotalRevenueColumn |
| Related Or Exempt Function Income | 140605 | RelatedOrExemptFunctionIncome |
| Exclusion | $226,247 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4433623 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 52768515 | TotalRevenueColumn |
| Related Or Exempt Function Income | 49208822 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $3,427,102 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7000 | Total |
| Program Services | 7000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 204861 | Total |
| Management And General | 204861 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15555071 | Total |
| Program Services | 13455136 | ProgramServices |
| Management And General | 2099935 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 932810 | Total |
| Program Services | 806881 | ProgramServices |
| Management And General | 125929 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3833953 | Total |
| Program Services | 3316369 | ProgramServices |
| Management And General | 517584 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1219345 | Total |
| Program Services | 1054733 | ProgramServices |
| Management And General | 164612 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132943 | Total |
| Management And General | 132943 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93193 | Total |
| Management And General | 93193 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10675418 | Total |
| Program Services | 10171933 | ProgramServices |
| Management And General | 503485 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 234805 | Total |
| Program Services | 234805 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1366317 | Total |
| Program Services | 1067651 | ProgramServices |
| Management And General | 298666 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1126877 | Total |
| Program Services | 980383 | ProgramServices |
| Management And General | 146494 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1335884 | Total |
| Program Services | 1140564 | ProgramServices |
| Management And General | 195320 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69234 | Total |
| Program Services | 34617 | ProgramServices |
| Management And General | 34617 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2048509 | Total |
| Program Services | 2048509 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 377396 | Total |
| Program Services | 377396 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 6061598 | 6061598 | |
| BAD DEBT EXPENSE | 2478655 | 2478655 | |
| NON-CONTRACTED PHYSICIA | 700000 | 700000 | |
| PHYSICIAN RECRUITMENT | 134705 | 118069 | 16636 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62255 | Total |
| Program Services | 43198 | ProgramServices |
| Management And General | 19057 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48650829 | Total |
| Program Services | 43397497 | ProgramServices |
| Management And General | 5253332 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98722 | BOY |
| EOY | 2350 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7641744 | BOY |
| EOY | 9596147 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6366083 | BOY |
| EOY | 6737526 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 548645 | BOY |
| EOY | 516787 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 394231 | BOY |
| EOY | 357461 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 531872 | BOY |
| EOY | 719914 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 56901788 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 32800121 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23699783 | BOY |
| EOY | 24101667 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4731442 | BOY |
| EOY | 5372979 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 565625 | BOY |
| EOY | 395336 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44578147 | BOY |
| EOY | 47800167 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5400296 | BOY |
| EOY | 4813778 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1704948 | BOY |
| EOY | 497452 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2559210 | BOY |
| EOY | 3172404 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9664454 | BOY |
| EOY | 8483634 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34881732 | BOY |
| EOY | 39281885 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31961 | BOY |
| EOY | 34648 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34913693 | BOY |
| EOY | 39316533 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44578147 | BOY |
| EOY | 47800167 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 4117686 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 342096 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -56942 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $1,233 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 1233 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | A PORTION OF DUES PAID TO THE OHIO HOSPITAL ASSOCIATION RELATES TO LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 686533 | OtherCostOrOtherBasis |
| Book Value | 686533 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 31933020 | OtherCostOrOtherBasis |
| Depreciation | 15606156 | Depreciation |
| Book Value | 16326864 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 626816 | OtherCostOrOtherBasis |
| Depreciation | 590062 | Depreciation |
| Book Value | 36754 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 23465735 | OtherCostOrOtherBasis |
| Depreciation | 16603903 | Depreciation |
| Book Value | 6861832 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 189684 | OtherCostOrOtherBasis |
| Book Value | 189684 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 24101667 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED 3RD PARTY PAYOR SETTLEMENTS | $2,759,828 |
| ACCRUED POST-RETIREMENT BEN. OBLIGATION | $412,576 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3172404 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 50502542 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 342096 | NetUnrealizedGainsInvestments |
| Other Revenues | -3081769 | OtherRevenues |
| Revenue Not Rptd F990 | -2739673 | RevenueNotRptdF990 |
| Revenue Subtotal | 53242215 | RevenueSubtotal |
| Other Revenues Not Included | -473700 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -473700 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 52768515 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 46006805 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 478875 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 478875 | ExpensesNotRptdF990 |
| Expenses Subtotal | 45527930 | ExpensesSubtotal |
| Other Expenses Not Included | 3122899 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 3122899 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 48650829 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | 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, 2012, 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 2009. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | POSTRETIREMENT RELATED COSTS 41,130. BAD DEBT EXPENSES -2,478,655. RECLASS OF CARDIAC SALARY OFFSET 55,756. NON-CONTRACTED PHYSICIAN PAYMENTS -700,000. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RECLASS SPECIAL EVENT EXPENSES -22,532. RECLASS RENTAL EXPENSES -456,343. BOOK TO TAX DIFFERENCES FROM FLOW THROUGH INVESTMENTS 73,334. AUXILIARY NET LOSS -68,159. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RECLASS RENTAL EXPENSES 456,343. RECLASS SPECIAL EVENT EXPENSES 22,532. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSES 2,478,655. RECLASS OF CARDIAC SALARY OFFSET -55,756. NON-CONTRACTED PHYSICIAN PAYMENTS 700,000. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | CHARITY BALL | NameOfEvent1 |
| Gross Receipts Event1 | 35917 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 23857 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 12060 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 10558 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF OUTING | NameOfEvent2 |
| Gross Receipts Event2 | 23700 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 11015 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 12685 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 11974 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 59617 | GrossReceiptsTotal |
| Charitable Contributions Total | 34872 | CharitableContributionsTotal |
| Gross Revenue Total Events | 24745 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 22532 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 22532 | DirectExpenseSummaryEvents |
| Net Income Summary | 2213 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1537686 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 572673 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 965013 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02120 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4815179 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1673110 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3142069 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06910 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6352865 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2245783 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4107082 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09030 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Persons Served | 2720 | PersonsServed |
| Total Community Benefit Expense | 31428 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6082 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 25346 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 20 | PersonsServed |
| Total Community Benefit Expense | 18064 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 18064 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 2740 | PersonsServed |
| Total Community Benefit Expense | 49492 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6082 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 43410 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 2740 | PersonsServed |
| Total Community Benefit Expense | 6402357 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2251865 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4150492 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09130 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 28 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 9174 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 9174 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 4469 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4469 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 28 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 13643 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 13643 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $2,478,655 | BadDebtExpenseAmount |
| Amount Attributable To | 123933 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 14886168 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 14738775 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 147393 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| 2 OTTAWA COUNTY CARENET | ||
| GROUP CONTRACTING | 0.50000 | 0.50000 |
| 3 MAGRUDER PAIN MANAGEMENT LLC | ||
| PAIN MANAGEMENT SERVICES | 0.51000 | 0.49000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HB MAGRUDER MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 FULTON STREET | AddressLine1 |
| City | PORT CLINTON | City |
| State | OH | State |
| ZIP Code | 43452 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HB MAGRUDER MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 7 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (7 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| 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 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| 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 $ 2478655. | ||
| PART II: 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 2012 WAS $14,738,775. THE PAYMENTS RELATED TO THESE SERVICES WERE $14,886,168, LEAVING A MEDICARE SURPLUS OF $147,393 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 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. | HB MAGRUDER MEMORIAL HOSPITAL | |
| PART VI, LINE 2: MAGRUDER IS PART OF A GROUP CALLED OTTAWA COUNTY COMMUNITY HEALTH PARTNERS, WHICH IS LEAD BY THE OTTAWA COUNTY HEALTH DEPARTMENT. OTHER MEMBERS INCLUDE: MENTAL HEALTH, NURSING FACILITIES, UNITED WAY, BOARD OF DEVELOPMENTAL DISABILITIES, JOB & FAMILY SERVICES AND SEVERAL SCHOOL DISTRICTS. MOST RECENTLY WE HAVE COMPLETED COMMUNITY HEALTH NEEDS ASSESSMENTS IN 2001 AND 2006. THE HOSPITAL COUNCIL OF NORTHWEST OHIO AND THE UNIVERSITY OF TOLEDO CARRY OUT THE ASSESSMENTS AND PROVIDE DATA BACK TO THE OTTAWA COUNTY COMMUNITY HEALTH PARTNERS. THE ASSESSMENT CONSISTS OF SELF-ADMINISTERED SURVEYS OF ADULTS (AGE 19 AND OLDER) AND ALSO YOUTH (AGES 12-18). THE QUESTIONS ARE MODELED AFTER THE SURVEY INSTRUMENTS USED BY THE CDC FOR THEIR NATIONAL AND STATE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM AND YOUTH RISK BEHAVIOR SURVEILLANCE SURVEY. THE RESULTS WERE ROLLED OUT TO THE COMMUNITY IN OCTOBER OF 2006 AND THE COMMUNITY HEALTH PARTNERS NARROWED DOWN A FOCUS OF OBESITY AND ALCOHOL USE (FOR YOUTH) AND ABUSE (FOR ADULTS). THEY DID A COMMUNITY RESOURCE ASSESSMENT AS WELL AS A GAP ANALYSIS AND CAME UP WITH SOME PLANS TO ADDRESS OBESITY AND ALCOHOL. THE GROUP HAS MET SEVERAL TIMES TO REVIEW PROGRAMS AND TACTICS BEING CARRIED OUT THROUGHOUT THE COUNTY TO ADDRESS THOSE ISSUES. | ||
| 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. | ||
| OH | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 14 | NumberOfRecipients |
| Amount Of Cash Grant | 7000 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE ROY SCHOLARSHIP IS FUNDED BY A TRUST, AND IS RELEASED ONLY TO NURSING STUDENTS PURSUING THEIR RN DEGREE BASED ON FINANCIAL NEED AS DETERMINED THROUGH AN APPLICATION PROCESS. THE AUXILIARY ALSO AWARDS SCHOLARSHIPS BASED ON AN APPLICATION PROCESS TO QUALIFIED STUDENTS PERSUING A HEALTH-RELATED DEGREE. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JON TODD ALMENDINGER | ||||||||||||||
| PRESIDENT & CEO | 174615 | 0 | 0 | 0 | 0 | 0 | 3507 | 0 | 26739 | 0 | 204861 | 0 | 0 | 0 |
| ISIDRO AMIGO | ||||||||||||||
| PHYSICIAN | 360317 | 0 | 0 | 0 | 0 | 0 | 5000 | 0 | 38312 | 0 | 403629 | 0 | 0 | 0 |
| LEONARDO QUE | ||||||||||||||
| PHYSICIAN | 310979 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 310979 | 0 | 0 | 0 |
| DANIEL CADIGAN | ||||||||||||||
| PHYSICIAN | 213450 | 0 | 0 | 0 | 0 | 0 | 4090 | 0 | 28773 | 0 | 246313 | 0 | 0 | 0 |
| CHRISTOPHER STRANATHAN | ||||||||||||||
| PHYSICIAN | 206281 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 29959 | 0 | 236240 | 0 | 0 | 0 |
| KAREN KLAEGE | ||||||||||||||
| PHYSICIAN | 193718 | 0 | 0 | 0 | 0 | 0 | 2543 | 0 | 29251 | 0 | 225512 | 0 | 0 | 0 |
| MICHAEL E LONG | ||||||||||||||
| CEO THRU 10/31; FORMER OFFICER | 192275 | 0 | 0 | 0 | 25385 | 0 | 3539 | 0 | 28045 | 0 | 249244 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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 2012, HE RECEIVED SEVERANCE OF $25,385. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOUGLAS FOCHT BOARD MEMBER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | COMMON LEADERSHIP | Relationship |
| Amount Of Transaction | 541029 | AmountOfTransaction |
| Description Of Transaction | INDEPENDENT CONTRACTOR THROUGH FOCHT CONSTRUCTION | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE VP OF FINANCE REVIEWED THE FORM 990 WITH THE BOARD TREASURER TO THE LEVEL OF DETAIL REQUESTED BY THE BOARD TREASURER. THE FORM 990 WAS THEN PROVIDED 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 15A | 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 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 2012. | |
| 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 6,598,614. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,598,614. PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 3,573,319. MANAGEMENT AND GENERAL EXPENSES 503,485. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,076,804. | OTHER FEES |
| FORM 990, PART XI, LINE 9: | POST RETIREMENT RELATED COSTS 41,130. NET ASSETS RELEASED FROM RESTRICTION 2,687. AUXILIARY NET ASSETS -95,584. FLOW THROUGH BOOK TO TAX DIFFERENCES -73,334. AUXILIARY NET LOSS 68,159. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| 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. | |
| PART VI, SECTION B, LINE 13 | DURING 2013, THE HOSPITAL IS IN PROCESS OF DRAFTING AND ADOPTING A WRITTEN WHISTLEBLOWER POLICY. | |
| PART VI, SECTION B, LINE 14 | DURING 2013, THE HOSPITAL IS IN PROCESS OF DRAFTING AND ADOPTING A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. |