2011-11-11T08:36:39-06:00 2010-12-31 BLUE & CO LLC 8800 LYRA DRIVE SUITE 450 COLUMBUS OH 43240 990 2010-01-01 237374256 MCCULLOUGH-HYDE MEMORIAL INC ENDOWMENT FUND MCCU 5135232111 110 NORTH POPLAR OXFORD OH 45056 JOHN CLEMENTS 5135232111 2011-10-24 1 NANCY KIRCHNER 6148852583 2010 2016-03-07 17:11:31Z JOHN CLEMENTS 110 NORTH POPLAR STREET OXFORD OH 45056 317983 0 X WWW.MHMH.ORG X 1942 OH TO SUPPORT HEALTH, EDUCATIONAL, AND BUILDING PROGRAMS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL 10 10 0 0 79964 21753 715537 104610 0 0 -197991 -31224 531401 79964 1048947 153350 0 18773 0 0 0 0 0 0 0 1062692 595997 1062692 614770 -13745 -461420 9399694 10419036 789682 1268390 8610012 9150646 X SUPPORT THE HOSPITAL WITH HEALTH PROGRAMS, EDUCATION ASSISTANCE, BUILDING AND EQUIPMENT NEEDS 0 0 199965 SUPPORT FOR MHMH DEVELOPMENT OFFICE 158815 SUPPORT FOR MHMH CAPITAL NEEDS 97244 SUPPORT FOR EDUCATION PROGRAMS 41888 18773 SUPPORT FOR HEALTH PROGRAMS 41888 18773 497912 1 1 0 0 1 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 2 0 0 1 1 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X JAMES MILLER CONTROLLER 5135245310 110 NORTH POPLAR STREET OXFORD OH 45056 JOHN HARLAND MD 1.00 X 0 0 0 JACK MANN 1.00 X 0 0 0 WILLIAM DOUGLAS ROSS DO 1.00 X 0 0 0 THOMAS W SPEH 1.00 X 0 0 0 SUSAN CROSS LIPNICKY 1.00 X 0 0 0 RICHARD M NORMAN 1.00 X 0 0 0 ALAN OAK 1.00 X 0 0 0 PAIGE WOOD 1.00 X 0 0 0 WILLIAM RICHARDSON 1.00 X 0 0 0 MICHAEL RUDOLPH 1.00 X 0 0 0 CHRISTOPHER LAUER 40.00 X 0 199672 13771 PAMELA COLLINS 40.00 X 0 134003 7627 TAMMY WOOD 40.00 X 0 127572 13415 BRYAN HEHEMANN 40.00 X 0 224481 13836 0 685728 48649 0 0 1 0 0 104610 104610 133409 133409 79964 79964 79964 79964 164633 -164633 -164633 -164633 153350 -164633 79964 133409 17500 17500 1273 1273 56999 11051 45948 19806 19806 28025 13325 14700 2117 2117 250 250 32553 32553 TRUST FUNDED DEVELOPMEN 163091 163091 BUILDING AND FACILITY P 158815 158815 EDUCATION PROGRAMS 97244 97244 HEALTH PROGRAM FUNDING 35526 35526 MINOR EQUIPMENT 750 750 821 87 734 614770 497912 116858 0 349028 490123 52194 33990 8500 736546 401723 368705 334823 8626691 9551600 3076 0 9399694 10419036 789682 1268390 789682 1268390 X 6532244 7177347 349770 223380 1727998 1749919 8610012 9150646 9399694 10419036 X -461420 1002053 X X 0 1 1 X 0 X X 0 0 0 MCCULLOUGH-HYDE MEMORIAL HOSPITAL INC 310650283 509(A)(3)(A) 0 1 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8 41742 138000 74845 1 1 8626691 137514 970829 183434 9551600 1355625 372373 -106739 5854 1615405 8858166 1086641 -2429378 335316 7180113 0.79100 0.18600 0.02300 1 0 87300 87300 604395 380362 224033 30981 9232 21749 13870 12129 1741 334823 CASH & CASH EQUIVALENTS 217612 F MARKETABLE EQUITY SECURITIES 6502990 F GOVERNMENT & CORPORATE OBLIGATIONS 2830998 F 9551600 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: HEALTH EDUCATION, HOSPITAL EQUIPMENT, COMMUNITY HEALTH 0 SANE OF BUTLER COUNTY PO BOX 390 OXFORD OH 45056 204253386 501(C)(3) 7500 HEALTH CLINIC OXFORD FREE CLINIC PO BOX 18818 FAIRFIELD OH 45018 311604036 10000 HEALTH CLINIC 2 0 X 1 0 X X X X 0 0 0 0 0 0 0 0 0 CHRISTOPHER LAUER 0 177752 0 13733 0 8187 0 0 0 13771 0 213443 0 0 BRYAN HEHEMANN 0 220014 0 0 0 4467 0 0 0 13836 0 238317 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PROVIDED TO THE FINANCE COMMITTEE FOR THEIR REVIEW AND APPROVAL. THE RETURN IS THEN PRESENTED TO THE ENTIRE BOARD FOR FINAL APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL QUESTIONAIRE FROM CORPORATE COMPLIANCE COMMITTEE FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION INCLUDES INDEPENDENT CONSULTANT INPUT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY STUDY AND APPROVAL BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,002,053. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MCCULLOUGH-HYDE MEMORIAL HOSPITAL INC 110 N POPLAR STREET OXFORD OH 45056 310650283 HOSPITAL OH 501(C)(3) LINE 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 MCCULLOUGH-HYDE MEMORIAL HOSPITAL O