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      <Desc>MAGRUDER CONTINUES ITS COMMITMENT TO SERVING THE PUBLIC HEALTH PREVENTION AND HEALTH EDUCATION NEEDS IN THE COMMUNITIES OF OTTAWA COUNTY. -WE REACHED A TOTAL OF 524 INDIVIDUALS FOR OUR MONTHLY COMMUNITY LAB SCREENING IN 2023.-WE CONTINUE TO OFFER FLU VACCINE FOR THE PUBLIC WITH NO APPOINTMENT DURING BUSINESS HOURS 7 DAYS A WEEK AT THE PHARMACY. -WE DONATE CONFERENCE CENTER SPACE FOR SOCIAL SERVICE AGENCY MEETINGS, BLOOD DRIVES, SUPPORT GROUPS AND WELLNESS CLASSES. THERE WERE 627 INDIVIDUALS IMPACTED BY THIS AND THE VALUE OF THE SPACE WAS $2,389.-OUR NUTRITION NURSE INTERACTED WITH 114 INDIVIDUALS FOR OUR KNOW YOUR NUMBERS PROGRAM HELPING THEM UNDERSTAND THEIR LAB VALUES AND HOW TO MAKE IMPROVEMENTS.-COMMUNITY OUTREACH AND COMMUNITY HEALTH WORKER SPENT OVER 100 HOURS AT COLLABORATIVE MEETINGS FOR HOUSING, PREVENTION, SENIOR TASK FORCE AND I TEAM, COMMUNITY DAY, HOUSING AND CHILDCARE, OSU EXTENSION AND OTHERS. -OUR ONCOLOGY DIRECTOR SPENT 51 HOURS HELPING 47 PATIENTS OBTAIN ASSISTANCE FROM PHARMACEUTICAL COMPANIES AND OTHER ASSISTANCE PROGRAMS.-WE ADMINISTERED 93 FLU SHOTS AT BUSINESSES, AND SCHOOLS FOR EMPLOYEES IN 2023. THIS NUMBER CONTINUES TO GO DOWN DUE TO THE INCREASED AVAILABILITY OF OBTAINING A FLU SHOT AT MANY DIFFERENT LOCATIONS. -WE HELD OUR ANNUAL MEDICARE EDUCATION &amp; COMPARISON EVENT AND HAD 24 ATTENDEES. WE ALSO PROVIDED ONE-ON-ONE COMPARISONS FOR 53 INDIVIDUALS SAVING THEM OVER $80,000. WE ALSO PRESENTED A MEDICARE OVERVIEW TO A LOCAL ROTARY WITH ABOUT 17 IN ATTENDANCE.-MAGRUDER SPONSORED 10 BLOOD DRIVES IN 2023. FOR THESE BLOOD DRIVES, WE NOT ONLY PROVIDE FREE SPACE AND PROMOTION OF THE EVENT, BUT WE ALSO ALLOW EMPLOYEES TO DONATE ON WORK TIME. -WE PROVIDED DISCHARGE MEALS FOR 729 PATIENTS IN 2023. -WE PROVIDED $320 OF FREE TRANSPORTATION FOR PATIENTS WHO HAD NO OTHER WAY HOME. -WE PROVIDED HEALTH EDUCATION PROGRAMS FOR 361 PARTICIPANTS ON THE TOPICS OF NUTRITION, PHYSICAL ACTIVITY, ADVANCE DIRECTIVES, DIABETES AND CANCER. WE DID A FEW GROUP EDUCATION PROGRAMS AT THE HOSPITAL AND CONTINUED TO PROVIDE HEALTH EDUCATION BLOGS ON OUR WEBSITE AND SOCIAL MEDIA AND OFFER HEALTH TIPS IN OUR MONTHLY WELLNESS CALENDAR. -ER AND URGENT CARE INSTALLED FRAMES IN EACH PATIENT ROOM AND WE HUNG FLYERS IN THERE WITH INFORMATION ABOUT MEDICATION DISPOSAL, SUPPORT GROUPS AND MEDICARE OPEN ENROLLMENT WHICH REACHED 5,352 PATIENTS.-MAGRUDER SPONSORED OR PARTICIPATED IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES: -OTTAWA COUNTY FAIR -COMMUNITY DAY (COMMUNITY RESOURCE FAIR) -4H -OVERDOSE AWARENESS -ELDER ABUSE AWARENESS -SUMMER LUNCH PROGRAMTHESE COMMUNITY BUILDING ACTIVITIES SUPPORT ORGANIZATIONS THAT ASSIST COMMUNITY MEMBERS IN OBTAINING THE RESOURCES AND SERVICES THEY NEED, WHETHER IT'S ADVOCACY, EXERCISE, SAFE AND AFFORDABLE HOUSING, SHELTER, NUTRITION, MEDICAL EQUIPMENT OR SAFE ACTIVITIES FOR TEENS.-MAGRUDER CONTINUED ITS STAFF COMMUNITY INVOLVEMENT PROGRAM WHERE THE HOSPITAL PAYS EMPLOYEES TO VOLUNTEER 4 HOURS IN THE COMMUNITY. IN 2023 MAGRUDER PAID EMPLOYEES TO VOLUNTEER 406 HOURS IN THE COMMUNITY. THESE VOLUNTEERS HOURS INCLUDED: HELPING WITH FREE SPORTS PHYSICALS, UNITED WAY EFFORTS, BLOOD PRESSURE CHECKS FOR HALL WALKERS AT LOCAL SCHOOL, OSU FINANCIAL LITERACY PROGRAM IN COUNTY MIDDLE SCHOOLS, PACKING LUNCHES FOR SUMMER LUNCH PROGRAM, VOLUNTEERING AT AREA LIGHTHOUSE, SUMMER CAMP HELPER, RINGING THE BELL FOR SALVATION ARMY, HELPING WITH FLU SHOTS, SORTING TOYS FOR TOYS FOR TOTS, 4H VOLUNTEER, LITTER PICK UP, LOCAL FOOD BANK, DONATING BLOOD AND MORE. -MAGRUDER'S LEADERSHIP TEAM ALSO CONTINUES TO PARTICIPATE IN A VARIETY OF COMMUNITY BOARDS AND ORGANIZATIONS: 3 AREA CHAMBERS OF COMMERCE, OTTAWA COUNTY COUNCIL OF HEALTH &amp; SOCIAL CONCERNS, OTTAWA COUNTY TASK FORCE ON AGING, PREVENTION COALITION, OSU EXTENSION ADVISORY BOARD, OTTAWA COUNTY IMPROVEMENT CORPORATION, OTTAWA COUNTY BUSINESS ADVISORY COUNCIL AND OTTAWA COUNTY SAFETY COUNCIL. IN 2023 MAGRUDER PARTNERED WITH THE OTTAWA COUNTY HEALTH DEPARTMENT, THE MENTAL HEALTH BOARD OF SANDUSKY, OTTAWA, SENECA AND WYANDOT COUNTIES AND 16 OTHER COUNTY GROUPS AND AGENCIES TO COMPLETE A NEW COMMUNITY HEALTH NEEDS ASSESSMENT. BELOW ARE THE PRIORITIES AND STRATEGIES IDENTIFIED BY THESE OTTAWA COUNTY HEALTH PARTNERS:PRIORITY 1 MENTAL HEALTHSTRATEGIES: EXPAND MENTAL HEALTH AND SUICIDE PREVENTION EDUCATION IN OTTAWA COUNTY SCHOOLS, IMPLEMENT 'HANDLE WITH CARE' PROGRAM, EXPAND PEER SUPPORT SERVICES AND RECOVERY MEETINGS IN OTTAWA COUNTYPARTNERS: OTTAWA CO. HEALTH DEPT., PREVENTION COALITION, NAMI, COUNTY SCHOOLS, OAK HOUSE, JUVENILE COURT, FAMILY &amp; CHILDREN FIRST COUNCIL, HOPE RECOVERY NETWORK, OHIO DEPT. OF PUBLIC SAFETYPRIORITY 2 SUBSTANCE USESTRATEGIES: IMPLEMENT COMMUNITY AWARENESS CAMPAIGN AND SELLER SERVICE TRAININGPARTNERS: OTTAWA CO. HEALTH DEPT., PREVENTION COALITION, RECOVERY COMMUNITY, MENTAL HEALTH &amp; RECOVERY SERVICES BOARD, OHIO INVESTIGATIVE UNITPRIORITY 3 ACCESS TO CARESTRATEGIES: INCLUDE DOCTORS AND CLINICS IN OCTA LOOP, CREATE TELEHEALTH EDUCATION MATERIAL, LOOK AT HIRING PRIMARY CARE AND IMPLEMENTING DENTAL BUS, PROMOTE OSHIIP AND MARKETPLACE NAVIGATORS, EXPAND FIND-A-DOC SERVICES AND PROMOTE COMMUNITY HEALTH WORKER PROGRAMPARTNERS: SENIOR RESOURCES, OCTA, MAGRUDER HOSPITAL, CANCER SERVICES, OTTAWA CO. HEALTH DEPT., LUCAS COUNTY CARENET, OHIO DEPT. OF INSURANCEPRIORITY 4 ECONOMIC STABILITYSTRATEGIES: CREATE LISTING OF AVAILABLE AND AFFORDABLE CHILDCARE PROVIDERS, CREATE AFFORDABLE HOUSING OPTIONS, REDUCE HOMELESSNESS AND PRECARIOUS HOUSINGPARTNERS: OTTAWA COUNTY IMPROVEMENT CORPORATION, CHILDCARE COMMITTEE TASK FORCE, YWCA, RIVERVIEW HEALTHCARE CAMPUS, NORTHERN MANUFACTURING, NELSON MANUFACTURING, HOUSING TASK FORCE, OTTAWA CO. AUDITOR, FIRELANDS FORWARD WORKFORCE DEVELOPMENT, HOMELESSNESS COALITION, SALVATION ARMY, MUNICIPALITY DEVELOPERSPRIORITY 5 CHRONIC DISEASESSTRATEGIES: EXPAND PHYSICAL ACTIVITY OPPORTUNITIES, EXPAND HEALTH EDUCATION OPPORTUNITIES, EXPAND COMMUNITY HEALTH WORKER PROGRAMPARTNERS: OSU EXTENSION OFFICE, SENIOR RESOURCES, AREA OFFICE ON AGING, OTTAWA CO. HEALTH DEPT., MAGRUDER HOSPITAL, OTTAWA CO. BOARD OF DEVELOPMENTAL DISABILITIES, OTTAWA CO. JOB &amp; FAMILY SERVICESPRIORITY 6 ENVIRONMENTAL CONDITIONSSTRATEGIES: INCREASE EDUCATION ON BED BUGS, REDUCE MOLD EXPOSURE, ADDRESS LOCAL EFFECTS OF CLIMATE CHANGE, EXPAND MOSQUITO SURVEY PROGRAM, EXPAND SEWAGE TREATMENT SYSTEM REPLACEMENT ASSISTANCE PROGRAMPARTNERS: OTTAWA CO. HEALTH DEPT., OTTAWA CO. JOB &amp; FAMILY SERVICES, HOME HEALTH AGENCIES, LAW ENFORCEMENT, OCTA, SCHOOLS, LAKE ERIE SHORES &amp; ISLANDS, EMERGENCY MANAGEMENT AGENCY, REGIONAL PLANNING, OHIO DEPT. OF HEALTH, ENVIRONMENTAL PROTECTION AGENCYMAGRUDER AND ALL OF THE OTTAWA COUNTY COMMUNITY HEALTH PARTNERS VIEW THIS ASSESSMENT AND PLAN AS A LIVING, BREATHING DOCUMENT THAT NEEDS TO REPRESENT THE CURRENT STATE OF OUR COMMUNITIES. TO THAT END, WE STRIVE TO ROUTINELY REVIEW THE DOCUMENT TO MAKE SURE THE GOALS AND STRATEGIES THAT WE ARE IMPLEMENTING ARE RELEVANT AND IMPACTFUL. CERTAINLY, THERE IS MUCH WORK TO BE DONE IN THESE AND MANY OTHER AREAS RELATED TO THE HEALTH OF OTTAWA COUNTY. WE ARE COMMITTED TO CONTINUING THAT WORK AS A HOSPITAL AND AS A PARTNER IN THE COMMUNITIES WE SERVE.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BARRY COVER MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DOUGLAS FOCHT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFF DORNBUSCH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN SNEIDER DPM</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALISON FALLS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RON MILLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARK HABLITZEL DDS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA SUE CROSSER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE LIBBEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARK SPRENGER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS SINGERLING</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NICHOLAS MARSICO</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KIMBERLY SCHREINER</PersonNm>
        <TitleTxt>VP NURSING &amp; CNO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT GOSHIA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE GEORGOFF</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RAYMOND FULLER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVIE BODIE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SEAN CALLAHAN</PersonNm>
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        <PersonNm>KAREN KLAEGE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHAD BLUNT</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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          <BusinessName>
            <BusinessNameLine1Txt>NOMS-ADVANCED HEALTH LTD</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2500 W STRUB RD STE 150</AddressLine1Txt>
            <CityNm>SANDUSKY</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44870</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RURAL PHYSICIANS GROUP</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5575 DTC PKWY 225</AddressLine1Txt>
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            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80111</ZIPCd>
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        <ServicesDesc>HOSPITALIST GROUP</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PREMIER ANESTHESIA OF SANDUSKY</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6125 S BROADWAY WEST</AddressLine1Txt>
            <CityNm>LORAIN</CityNm>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PORT CLINTON EMERGENCY PHYSICIANS INC</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>3914 MEMORIAL SHOREWAY</AddressLine1Txt>
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            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43440</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CERNER CORPORATION</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2800 ROCKCREEK PARKWAY</AddressLine1Txt>
            <CityNm>KANSAS CITY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64117</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <BusinessCd>621110</BusinessCd>
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        <Desc>PHYSICIAN OFFICE RENTAL</Desc>
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        <RealAmt>21096</RealAmt>
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        <TotalRevenueColumnAmt>21096</TotalRevenueColumnAmt>
        <ExclusionAmt>21096</ExclusionAmt>
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        <ExclusionAmt>1001913</ExclusionAmt>
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        <Desc>MOBILE MEALS/FOOD SERVICE</Desc>
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        <ExclusionAmt>381191</ExclusionAmt>
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        <ManagementAndGeneralAmt>627513</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>683261</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54225</ManagementAndGeneralAmt>
        <FundraisingAmt>844</FundraisingAmt>
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        <ProgramServicesAmt>3526881</ProgramServicesAmt>
        <ManagementAndGeneralAmt>321067</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1625547</ProgramServicesAmt>
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        <FundraisingAmt>1991</FundraisingAmt>
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        <ManagementAndGeneralAmt>22261</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>129150</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>13583747</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1216260</ManagementAndGeneralAmt>
        <FundraisingAmt>932</FundraisingAmt>
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      <AdvertisingGrp>
        <TotalAmt>126837</TotalAmt>
        <ProgramServicesAmt>126837</ProgramServicesAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>923955</TotalAmt>
        <ProgramServicesAmt>798175</ProgramServicesAmt>
        <ManagementAndGeneralAmt>125613</ManagementAndGeneralAmt>
        <FundraisingAmt>167</FundraisingAmt>
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        <ProgramServicesAmt>1464782</ProgramServicesAmt>
        <ManagementAndGeneralAmt>229134</ManagementAndGeneralAmt>
        <FundraisingAmt>2799</FundraisingAmt>
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        <ProgramServicesAmt>2566577</ProgramServicesAmt>
        <ManagementAndGeneralAmt>349965</ManagementAndGeneralAmt>
        <FundraisingAmt>2014</FundraisingAmt>
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        <TotalAmt>19289</TotalAmt>
        <ProgramServicesAmt>10854</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8431</ManagementAndGeneralAmt>
        <FundraisingAmt>4</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>210607</TotalAmt>
        <ManagementAndGeneralAmt>210607</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>3183660</TotalAmt>
        <ProgramServicesAmt>2716387</ProgramServicesAmt>
        <ManagementAndGeneralAmt>463071</ManagementAndGeneralAmt>
        <FundraisingAmt>4202</FundraisingAmt>
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        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
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        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
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        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HB MAGRUDER MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: KEY INFORMANT INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. MOXLEY PUBLIC HEALTH MET WITH 24 EXPERTS FROM VARIOUS ORGANIZATIONS SERVING THE OTTAWA COUNTY SERVICE AREA INCLUDING LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES. OTTAWA COUNTY SENIOR RESOURCES, EDGEWOOD MANOR (NURSING HOME), OTTAWA COUNTY DEPARTMENT OF CHILD AND FAMILY SERVICES, OTTAWA COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES, FIRELANDS COUNSELING, SUPERINTENDENT BENTON-CARROLL-SALEM SCHOOL DISTRICT, MENTAL HEALTH COURT PROGRAM COORDINATOR, OTTAWA COUNTY COMMON PLEAS COURT, OTTAWA COUNTY SHERRIFF'S OFFICE, OTTAWA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES, OTTAWA COUNTY FAMILY ADVOCACY, SALVATION ARMY/PORT CLINTON SERVICE CENTER, DIRECTOR OTTAWA COUNTY EMERGENCY MANAGEMENT AGENCY, OTTAWA COUNTY FAMILY CHILDREN FIRST COUNCIL, WRAPAROUND COORDINATOR, PROGRAM COORDINATOR OTTAWA COUNTY COURT OF COMMON PLEAS, DIRECTOR OF NURSING OTTAWA COUNTY HEALTH DEPARTMENT, SUPERINTENDENT PORT CLINTON CITY SCHOOLS, REGISTERED SCHOOL NURSE PORT CLINTON CITY SCHOOLS, PUBLIC HEALTH COORDINATOR OTTAWA COUNTY HEALTH DEPARTMENT, SNAP EDUCATOR OTTAWA COUNTY OSU EXTENSION OFFICE.THE SURVEY ITSELF WAS AN ONLINE SURVEY AND WAS SHARED WIDELY BY ALL OF OUR HEALTH PARTNERS THROUGHOUT THE COUNTY. WE ALSO PRINTED COPIES OF THE SURVEY FOR THOSE WHO DID NOT HAVE ACCESS TO A COMPUTER, SO THEIR INPUT COULD BE INCLUDED IN THE DATA AS WELL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
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        <ExplanationTxt>PART V, SECTION B, LINE 6B: BENTON-CARROLL-SALEM SCHOOL DISTRICT, COMMUNITY RESIDENTS, EDGEWOOD MANOR REHABILITATION &amp; HEALTHCARE CENTER, OTTAWA COUNTY FAMILY AND CHILDREN FIRST COUNCIL, FIRELANDS COUNSELING, OTTAWA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES, OTTAWA COUNTY COURT OF COMMON PLEAS, OTTAWA COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES, OTTAWA COUNTY EMERGENCY MANAGEMENT AGENCY, OTTAWA COUNTY FAMILY ADVOCACY CENTER, OTTAWA COUNTY HEALTH DEPARTMENT, OTTAWA COUNTY OSU EXTENSION OFFICE, OTTAWA COUNTY SENIOR RESOURCES, OTTAWA COUNTY SHERRIFF'S OFFICE, PORT CLINTON CITY SCHOOLS, SALVATION ARMY/PORT CLINTON SERVICE CENTER</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HB MAGRUDER MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7D: MAGRUDER HOSPITAL AND THE OTTAWA COUNTY HEALTH DEPARTMENT SENT A SERIES OF PRESS RELEASES AND SOCIAL MEDIA POSTS THANKING THE COMMUNITY FOR PARTICIPATING IN THE SURVEY AND INDICATING THAT THE CHNA HAS BEEN COMPLETED, AND AGAIN WHEN THE HEALTH IMPROVEMENT PLAN WAS COMPLETED. THE PRESS RELEASES INCLUDED HOW INDIVIDUALS COULD OBTAIN A COPY, AND SOCIAL MEDIA POSTS CONTAINED LINKS DIRECTLY TO THE CHNA REPORT AND THE IMPROVEMENT PLAN.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HB MAGRUDER MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: MAGRUDER CANNOT DIRECTLY ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY, THEREFORE WE WILL CONCENTRATE OUR RESOURCES ON THOSE HEALTH NEEDS WHERE WE CAN EFFECTIVELY IMPACT OUR REGION GIVEN OUR AREAS OF FOCUS AND EXPERTISE. OF THE SIX PRIORITY AREAS CHOSEN (MENTAL HEALTH, SUBSTANCE USE, ACCESS TO CARE, ECONOMIC STABILITY, CHRONIC DISEASES, ENVIRONMENTAL CONDITIONS), MAGRUDER IS ACTIVELY PARTICIPATING IN THE FOLLOWING PRIORITIES AND STRATEGIES:PRIORITY 3 ACCESS TO CARESTRATEGIES: INCLUDE DOCTORS AND CLINICS IN OCTA LOOP, CREATE TELEHEALTH EDUCATION MATERIAL, LOOK AT HIRING PRIMARY CARE AND IMPLEMENTING DENTAL BUS, PROMOTE OSHIIP AND MARKETPLACE NAVIGATORS, EXPAND FIND-A-DOC SERVICES AND PROMOTE COMMUNITY HEALTH WORKER PROGRAMPARTNERS: SENIOR RESOURCES, OCTA, MAGRUDER HOSPITAL, CANCER SERVICES, OTTAWA CO. HEALTH DEPT., LUCAS COUNTY CARENET, OHIO DEPT. OF INSURANCEPRIORITY 5 CHRONIC DISEASESSTRATEGIES: EXPAND PHYSICAL ACTIVITY OPPORTUNITIES, EXPAND HEALTH EDUCATION OPPORTUNITIES, EXPAND COMMUNITY HEALTH WORKER PROGRAMPARTNERS: OSU EXTENSION OFFICE, SENIOR RESOURCES, AREA OFFICE ON AGING, OTTAWA CO. HEALTH DEPT., MAGRUDER HOSPITAL, OTTAWA CO. BOARD OF DEVELOPMENTAL DISABILITIES, OTTAWA CO. JOB &amp; FAMILY SERVICESAS OTHER AGENCIES AND ORGANIZATIONS USE THEIR EXPERTISE AND RESOURCES ON THE OTHER PRIORITIES AND STRATEGIES, WE PARTNER WITH THEM TO HELP PROMOTE THEIR PROGRAMS, EVENTS AND INITIATIVES. SIMILARLY, THE HEALTH PARTNERS IN OTTAWA COUNTY ARE UNABLE TO ADDRESS EVERY HEALTH NEED IN THE COUNTY. TAKING EXISTING ORGANIZATION AND COMMUNITY RESOURCES INTO CONSIDERATION, OTTAWA COUNTY WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA, INCLUDING BUT NOT LIMITED TO CRIME AND VIOLENCE, INTERNET ACCESS, ADVERSE CHILDHOOD EXPERIENCES, EDUCATION, TOBACCO AND NICOTINE, MATERNAL AND CHILD HEALTH, HIV/AIDS AND STIS, AND COVID-19. WE WILL CONTINUE TO LOOK FOR OPPORTUNITIES TO ADDRESS COMMUNITY NEEDS WHERE WE CAN MAKE A MEANINGFUL CONTRIBUTION. COMMUNITY PARTNERSHIPS MAY SUPPORT OTHER INITIATIVES THAT THE HOSPITAL CANNOT INDEPENDENTLY LEAD IN ORDER TO ADDRESS THE OTHER HEALTH NEEDS IDENTIFIED IN THE 2023 CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>9</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - PHYSICIAN OFFICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>611 E 6TH STREET</AddressLine1Txt>
            <CityNm>PORT CLINTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43452</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - PHYSICIAN OFFICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>621 FULTON STREET</AddressLine1Txt>
            <CityNm>PORT CLINTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43452</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - PHYSICAL THERAPY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7725 W STATE ROUTE 163</AddressLine1Txt>
            <CityNm>OAK HARBOR</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43449</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - PHYSICIAN OFFICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>11697 W STATE ROUTE 163</AddressLine1Txt>
            <CityNm>OAK HARBOR</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43449</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - PHYSICAL THERAPY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4058 E HARBOR RD</AddressLine1Txt>
            <CityNm>PORT CLINTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43452</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - PHYSICIAN OFFICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1297 W MAIN STREET</AddressLine1Txt>
            <CityNm>LAKESIDE MARBLEHEAD</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43440</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - PHYSICIAN OFFICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2861 EAST HARBOR ROAD</AddressLine1Txt>
            <CityNm>PORT CLINTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43452</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - PHYSICIAN OFFICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>730 JEFFERSON STREET</AddressLine1Txt>
            <CityNm>PORT CLINTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43452</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - PHYSICIAN OFFICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1250 FULTON STREET</AddressLine1Txt>
            <CityNm>PORT CLINTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43452</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7, COLUMN (F):</FormAndLineReferenceDesc>
        <ExplanationTxt>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 $ 2,192,100.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>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).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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, WHICH BENEFIT THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICARE SURPLUS/SHORTFALL CALCULATION IS BASED ON A COST TO CHARGE RATIO CALCULATED AS REQUIRED UNDER THE MEDICARE RULES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>MAGRUDER HOSPITAL FOLLOWS THE SAME COLLECTION PRACTICES NO MATTER THE TYPE OF PATIENT. ALL PATIENTS ARE TREATED EQUALLY. COLLECTION PRACTICES ARE NOT PURSUED FOR PATIENTS THAT THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE/CHARITY CARE. ALL COLLECTION EFFORTS ARE PLACED ON HOLD UNTIL FINANCIAL ASSISTANCE IS PROCESSED. IF APPROVED, THE BALANCES ARE WRITTEN OFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT IS THE RESULT OF A STRONG COMMITMENT BY DEDICATED COMMUNITY PARTNERS TO WORK TOGETHER TO IMPROVE THE HEALTH AND WELL-BEING OF RESIDENTS IN OTTAWA COUNTY. IN ADDITION TO OUR WORK ON THE PRIORITIES AND STRATEGIES ALREADY MENTIONED IN PART V LINE 11, MAGRUDER PARTICIPATES IN THE OTTAWA COUNTY COUNCIL OF HEALTH &amp; SOCIAL CONCERNS WHERE SCHOOLS, GOVERNMENT, LAW ENFORCEMENT AND A WIDE VARIETY OF SOCIAL SERVICE AGENCIES MEET MONTHLY TO DISCUSS NEEDS AND TRENDS THAT THEY ARE SEEING. THE GROUP WORKS TO ENHANCE COLLABORATION AND MINIMIZE DUPLICATION OF SERVICES. MAGRUDER ALSO PARTICIPATES IN THE OTTAWA COUNTY PREVENTION COALITION, OTTAWA COUNTY TASK FORCE ON AGING, THREE LOCAL CHAMBERS OF COMMERCE, OTTAWA COUNTY IMPROVEMENT CORP, OTTAWA COUNTY BUSINESS COUNCIL AND OTTAWA COUNTY SAFETY COUNCIL WITH A GOAL OF BETTER UNDERSTANDING THE HEALTHCARE NEEDS OF COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>13</RecipientCnt>
        <CashGrantAmt>17500</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ROY SCHOLARSHIP IS FUNDED BY A TRUST, AND IS RELEASED ONLY TO NURSING STUDENTS PURSUING THEIR RN DEGREE BASED ON FINANCIAL NEED AS DETERMINED THROUGH AN APPLICATION PROCESS. THE AUXILIARY ALSO AWARDS SCHOLARSHIPS BASED ON AN APPLICATION PROCESS TO QUALIFIED STUDENTS PURSUING A HEALTH-RELATED DEGREE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
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      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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        <PersonNm>CHAD BLUNT</PersonNm>
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        <PersonNm>KIMBERLY SCHREINER</PersonNm>
        <TitleTxt>VP NURSING &amp; CNO</TitleTxt>
        <BaseCompensationFilingOrgAmt>155951</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6271</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30038</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>192260</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUSES TO THE CEO AND OTHER MEMBERS OF THE LEADERSHIP TEAM ARE DETERMINED AND APPROVED AT THE DISCRETION OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>TOLEDO-LUCAS COUNTY PORT AUTHORITY NORTHWEST OHIO BOND FUNC</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>346409686</BondIssuerEIN>
        <CUSIPNum>889251HR8</CUSIPNum>
        <BondIssuedDt>2021-11-30</BondIssuedDt>
        <IssuePriceAmt>8085000</IssuePriceAmt>
        <PurposeDesc>CAPITAL IMPROVEMENTS</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>8085000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>281848</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>7547361</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2023</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CFO REVIEWED THE FORM 990 WITH THE BOARD TREASURER TO THE LEVEL OF DETAIL REQUESTED BY THE BOARD TREASURER. THE FORM 990 WAS THEN ELECTRONICALLY DELIVERED TO EACH MEMBER OF THE BOARD WITH A DISCUSSION OF KEY POINTS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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 REGARD TO BUILDING CONSTRUCTION TRANSACTIONS (SEE SCHEDULE L, PART VI DISCLOSURE).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S COMPENSATION IS APPROVED BY THE BOARD. THE EXECUTIVE COMMITTEE REVIEWS THE OHA SALARY SURVEY FOR COMPARISON. RECOMMENDATIONS TO THE FULL BOARD ARE MADE BASED ON SALARY SURVEY FINDINGS, MARKET FINDINGS, AND PERFORMANCE REVIEW FOR EXECUTIVES; ALL OTHER NON-EXECUTIVE EMPLOYEES' SALARIES ARE DETERMINED IN A SIMILAR FASHION EXCLUDING BOARD APPROVAL. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING IS COMPLETED WITH RESPECT TO THIS PROCESS. THIS PROCESS WAS LAST PERFORMED IN 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,522,526. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,522,526. PURCHASED SERVICES (MEDICAL, HUMAN RESOURCES, ADMINISTRATIVE): PROGRAM SERVICE EXPENSES 4,313,668. MANAGEMENT AND GENERAL EXPENSES 1,216,260. FUNDRAISING EXPENSES 932. TOTAL EXPENSES 5,530,860. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 1,747,553. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,747,553.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST RATE SWAP -36,776. PAIN MANAGEMENT BOOK TO TAX DIFFERENCE 170,806. PAIN MANAGEMENT EQUITY ADJUSTMENT -110,328. FOUNDATION FUNDRAISING ACTIVITY BOOK TO TAX DIFFERENCE 88,936.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MAGRUDER MEDICAL GROUP LTD</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>615 FULTON ST</AddressLine1Txt>
          <CityNm>PORT CLINTON</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43452</ZIPCd>
        </USAddress>
        <EIN>814621611</EIN>
        <PrimaryActivitiesTxt>MEDICAL GROUP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <TotalIncomeAmt>3625409</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>H B MAGRUDER MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MAGRUDER HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>615 FULTON STREET</AddressLine1Txt>
          <CityNm>PORT CLINTON</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43452</ZIPCd>
        </USAddress>
        <EIN>463883346</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>H B MAGRUDER MEMORITAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MAGRUDER PAIN MANAGEMENT LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>615 FULTON ST</AddressLine1Txt>
          <CityNm>PORT CLINTON</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43452</ZIPCd>
        </USAddress>
        <EIN>275038026</EIN>
        <PrimaryActivitiesTxt>PAIN MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>H B MAGRUDER MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>336739</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>309085</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>1</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MAGRUDER PAIN MANAGEMENT LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>336739</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACCRUED AMOUNT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>