MARY RUTAN HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: MARY RUTAN HOSPITAL (EIN 34-1407259)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-10-27
IRS object ID: 202303009349300925
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-10-27T09:55:04-05:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	250 S HIGH ST SUITE 100	AddressLine1Txt
City	COLUMBUS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43215	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	341407259	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARY RUTAN HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MARY	BusinessNameControlTxt
Phone	9375924015	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	205 PALMER AVE	AddressLine1Txt
City	BELLEFONTAINE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43311	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS DENBOW	PersonNm
Person Title	VP OF FINANCE	PersonTitleTxt
Phone	9375924015	PhoneNum
Signature	2023-10-26	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	THOMAS	PersonFirstNm
Person Last	DENBOW	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY CIMINELLO	PreparerPersonNm
PTIN	P00796388	PTIN
Phone	6148493000	PhoneNum
Preparation	2023-10-26	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	CHAD ROSS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	205 PALMER AVE	AddressLine1Txt
City	BELLEFONTAINE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43311	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$172,969,504	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MARYRUTAN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1919	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	915	TotalEmployeeCnt
Total Volunteers	85	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,784,073	PYContributionsGrantsAmt
CY Contributions Grants	$564,973	CYContributionsGrantsAmt
PY Program Service Revenue	$125,751,368	PYProgramServiceRevenueAmt
CY Program Service Revenue	$120,391,908	CYProgramServiceRevenueAmt
PY Investment Income	$4,997,669	PYInvestmentIncomeAmt
CY Investment Income	$3,033,802	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$133,533,110	PYTotalRevenueAmt
CY Total Revenue	$123,990,683	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$77,651,922	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$81,852,650	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$50,357,180	PYOtherExpensesAmt
CY Other Expenses	$48,750,952	CYOtherExpensesAmt
PY Total Expenses	$128,009,102	PYTotalExpensesAmt
CY Total Expenses	$130,603,602	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,524,008	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$6,612,919	CYRevenuesLessExpensesAmt
Total Assets BOY	$173,968,937	TotalAssetsBOYAmt
Total Assets EOY	$153,810,343	TotalAssetsEOYAmt
Total Liabilities BOY	$40,822,972	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$38,755,076	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$133,145,965	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$115,055,267	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO CREATE PHILANTHROPIC RELATIONSHIPS TO SUPPORT PATIENT CARE SERVICES, MEDICAL SCHOLARSHIPS, MEDICAL EQUIPMENT, AND CAPITAL DEVELOPMENT WHILE PROMOTING HEALTH AND WELLNESS THROUGH EDUCATIONAL PROGRAMS AND SERVICES TO THE COMMUNITY IN WHICH WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$4,627,751	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$24,030,174	RevenueAmt
Desc	EMERGENCY DEPARTMENT - THE HOSPITAL MAINTAINS AN EMERGENCY DEPARTMENT, WHICH IS AVAILABLE TO THE PUBLIC REGARDLESS OF THEIR ABILITY TO PAY. IN 2022, 16,558 PATIENTS WERE TREATED.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$2,845,604	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$11,480,896	RevenueAmt
Desc	PHARMACY - THE PHARMACY DEPARTMENT DISPENSED 228,449 MEDICATIONS TO PATIENTS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$5,292,996	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$56,352,282	RevenueAmt
Desc	OPERATING ROOM - THE HOSPITAL PERFORMED APPROXIMATELY 2,703 SURGERIES IN 2022.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$103,264,452	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$28,528,556	RevenueAmt
Desc	MARY RUTAN HOSPITAL OPERATES A NONPROFIT HOSPITAL IN BELLEFONTAINE, OHIO. THE HOSPITAL PROVIDES MEDICALLY NECESSARY SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. IN ASSESSING A PATIENT'S ABILITY TO PAY, THE HOSPITAL USES GENERALLY RECOGNIZED POVERTY INCOME LEVELS OF THE COMMUNITY IT SERVES. IN 2022, MARY RUTAN HOSPITAL PROVIDED $570K IN CHARITY CARE. IN ADDITION, THE HOSPITAL PROVIDES MANY SERVICES AND PROGRAMS THAT BENEFIT ITS PATIENTS AND COMMUNITY MEMBERS. THESE SERVICES INCLUDE PASTORAL CARE, COMMUNITY HEALTH SCREENINGS, HEALTH FAIRS, HEALTH EDUCATION PROGRAMS AND PUBLICATIONS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$103,264,452	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$28,528,556	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$116,030,803	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	112	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	915	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THOMAS DENBOW	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9375924015	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	205 PALMER AVE	AddressLine1Txt
City	BELLEFONTAINE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43311	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
SCOTT SHELLHAAS
CHAIR (JAN-APR) / BOARD MEMBER (MAY-DEC)	1.50	0.75	Yes (X)	Yes (X)	$0	$0	$0
JOAN HAUSHALTER
VICE CHAIR (JAN-APR) / CHAIR (MAY-DEC)	1.25	2.25	Yes (X)	Yes (X)	$0	$0	$0
RICK HATCHER
BOARD MEMBER	0.75	0.75	Yes (X)		$0	$0	$0
SCOTT ABRAHAM
BOARD MEMBER	0.75	0.75	Yes (X)		$0	$0	$0
PAUL BENEDETTI
BOARD MEMBER	0.75	0.75	Yes (X)		$0	$0	$0
DOUG CHAMBERLAIN
BOARD MEMBER	0.75	1.50	Yes (X)		$0	$0	$0
RICK GILDOW
BOARD MEMBER (JAN-APR) / VICE CHAIR (MAY-DEC)	0.75	0.75	Yes (X)		$0	$0	$0
JEFF HOLYCROSS
BOARD MEMBER	0.75	0.75	Yes (X)		$0	$0	$0
NANCY KNIGHT
BOARD MEMBER	0.75	1.75	Yes (X)		$0	$0	$0
DARIN OLSON
BOARD MEMBER	0.75	0.75	Yes (X)		$0	$0	$0
JOENEE PURCELL
BOARD MEMBER	0.75	1.50	Yes (X)		$0	$0	$0
JACK RESER
BOARD MEMBER	0.75	0.75	Yes (X)		$0	$0	$0
DR MATT VERBSKY
BOARD MEMBER	0.75	0.75	Yes (X)		$0	$0	$0
THOMAS SIMON
BOARD MEMBER	1.25	1.00	Yes (X)		$0	$0	$0
CHAD ROSS
PRESIDENT	44.50	1.50		Yes (X)	$0	$400,395	$113,992
STEVEN BROWN
VICE PRESIDENT/CFO	44.50	1.50		Yes (X)	$0	$307,954	$78,025
TAMARA GUMP
COO (LOGAN VIEW INC)	0.00	40.00		Yes (X)	$0	$155,001	$46,752
WENDY RODENBERGER
VICE PRESIDENT	40.00	0.00			$200,666	$0	$59,797	Yes (X)
ROGER AMIGO
PHYSICIAN	40.00	0.00			$607,197	$0	$54,498		Yes (X)
NICHOLAS PETERS
PHYSICIAN	40.00	0.00			$553,106	$0	$35,426		Yes (X)
CLIFTON HOOD
MEDICAL STAFF DIRECTOR	40.00	0.00			$487,280	$0	$44,733		Yes (X)
KIMBERLY KLAPCHAR
PHYSICIAN	40.00	0.00			$453,399	$0	$33,705		Yes (X)
GREGG FULMER
PHYSICIAN	40.00	0.00			$433,429	$0	$52,124		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,735,077	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$863,350	TotReportableCompRltdOrgAmt
Total Other Compensation	$519,052	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	100	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
NORTHWEST THERAPY SERVICE
2200 TIMBER TRAIL	BELLEFONTAINE	OH	43311	PHYSICAL THERAPY SERVICE	$4,024,680
CARDIO SOLUTIONS
4675 CORNELL RD	CINCINNATI	OH	45241	CONTRACT CARDIO NURSING	$3,402,919
TRUSTAFF TRAVEL NURSES
PO BOX 63-8231	CINCINNATI	OH	45263	CONTRACT NURSING	$1,723,737
MIDOHIO REHABILITATION SPECIALIST LLC
515 HUNTERS RUN	BLUFFTON	OH	45817	OCCUPATIONAL THERAPY SERVICE	$1,165,211
CLOUDWAVE
100 CROWLEY DR	MARLBOROUGH	OH	01752	IT SERVICES	$747,782

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	24	CntrctRcvdGreaterThan100KCnt
Government Grants	$564,973	GovernmentGrantsAmt
Total Contributions	$564,973	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES	621110	$102,503,796	$102,503,796
PHARMACY	621110	$2,589,221	$2,589,221
PEDIATRICS CLINIC	621110	$2,000,723	$2,000,723
OB/GYN CLINIC	621110	$1,685,461	$1,685,461
ANESTHESIA	621110	$1,305,638	$1,305,638

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,307,069	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,307,069	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$120,391,908	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,308,206	TotalRevenueColumnAmt
Exclusion	$1,308,206	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$50,704,417	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$48,861,939	SecuritiesAmt
Other	$116,882	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,842,478	SecuritiesAmt
Other	-$116,882	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,725,596	TotalRevenueColumnAmt
Exclusion	$1,725,596	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$123,990,683	TotalRevenueColumnAmt
Related Or Exempt Func Income	$120,391,908	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,033,802	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,065,691	TotalAmt
Program Services	$1,797,249	ProgramServicesAmt
Management And General	$268,442	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$62,648,649	TotalAmt
Program Services	$53,771,933	ProgramServicesAmt
Management And General	$8,876,716	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,897,079	TotalAmt
Program Services	$2,425,513	ProgramServicesAmt
Management And General	$471,566	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,956,795	TotalAmt
Program Services	$10,450,542	ProgramServicesAmt
Management And General	$506,253	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,284,436	TotalAmt
Program Services	$2,770,429	ProgramServicesAmt
Management And General	$514,007	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$295,534	TotalAmt
Management And General	$295,534	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$157,000	TotalAmt
Management And General	$157,000	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,629,677	TotalAmt
Program Services	$12,983,421	ProgramServicesAmt
Management And General	$646,256	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$64,465	TotalAmt
Program Services	$61,409	ProgramServicesAmt
Management And General	$3,056	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,059,309	TotalAmt
Program Services	$691,541	ProgramServicesAmt
Management And General	$367,768	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,687,038	TotalAmt
Program Services	$1,581,280	ProgramServicesAmt
Management And General	$105,758	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$152,401	TotalAmt
Program Services	$145,175	ProgramServicesAmt
Management And General	$7,226	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$507,132	TotalAmt
Program Services	$507,132	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,695,479	TotalAmt
Program Services	$4,211,088	ProgramServicesAmt
Management And General	$1,484,391	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,041,112	TotalAmt
Program Services	$1,944,332	ProgramServicesAmt
Management And General	$96,780	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$16,300,258	$15,539,986	$760,272
BAD DEBT EXPENSE	$3,494,864	$3,494,864
OHIO HOSPITAL FRANCHISE	$2,957,775	$2,957,775
HCAP FUNDING EXP	$421,867	$421,867

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$287,041	TotalAmt
Program Services	$275,267	ProgramServicesAmt
Management And General	$11,774	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$130,603,602	TotalAmt
Program Services	$116,030,803	ProgramServicesAmt
Management And General	$14,572,799	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,460	BOYAmt
EOY	$4,610	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$21,445,928	BOYAmt
EOY	$10,364,922	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$13,948,692	BOYAmt
EOY	$13,944,410	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,103,601	BOYAmt
EOY	$1,111,575	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,292,218	BOYAmt
EOY	$10,003,079	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$125,042,352	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$61,364,239	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$55,578,712	BOYAmt
EOY	$63,678,113	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$72,513,283	BOYAmt
EOY	$54,509,453	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$82,043	BOYAmt
EOY	$194,181	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$173,968,937	BOYAmt
EOY	$153,810,343	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$18,117,846	BOYAmt
EOY	$15,320,824	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,813,658	BOYAmt
EOY	$13,753,152	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,891,468	BOYAmt
EOY	$9,681,100	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$40,822,972	BOYAmt
EOY	$38,755,076	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$133,145,965	BOYAmt
EOY	$115,055,267	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$133,145,965	BOYAmt
EOY	$115,055,267	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$173,968,937	BOYAmt
EOY	$153,810,343	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$6,612,919	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$13,057,609	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,579,830	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$9,152	OtherActivitiesAmt
Total Lobbying Expenditures	$9,152	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	5.5% PERCENT OF DUES TO THE OHIO HOSPITAL ASSOCIATION AND 27.29% OF THE AMERICAN HOSPITAL ASSOCIATION DUES WERE ALLOCATED TO LOBBYING ACTIVITIES BY THAT ORGANIZATION.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,322,402	OtherCostOrOtherBasisAmt
Book Value	$5,322,402	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$54,542,273	OtherCostOrOtherBasisAmt
Depreciation	$17,382,878	DepreciationAmt
Book Value	$37,159,395	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,083,685	OtherCostOrOtherBasisAmt
Depreciation	$1,125,127	DepreciationAmt
Book Value	$2,958,558	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$57,092,813	OtherCostOrOtherBasisAmt
Depreciation	$40,661,961	DepreciationAmt
Book Value	$16,430,852	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,001,179	OtherCostOrOtherBasisAmt
Depreciation	$2,194,273	DepreciationAmt
Book Value	$1,806,906	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$63,678,113	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
UNPAID INSURANCE CLAIMS	$2,484,316
COST REPORT SETTLEMENT PAYABLE	$428,105
FAIR VALUE OF INTEREST RATE SWAP AGREEMENT	$13,984
INTERCOMPANY PAYABLE	$517,524
LEASE LIABILITIES	$1,641,570
INSURANCE PLAN PAYABLE	$4,595,601

Field	Value	IRS element (for citing)
Total Liability	$9,681,100	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$107,714,525	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$13,057,609	NetUnrealizedGainsInvstAmt
Other Revenue	-$3,218,549	OtherRevenueAmt
Revenue Not Reported	-$16,276,158	RevenueNotReportedAmt
Revenue Subtotal	$123,990,683	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$123,990,683	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$127,108,738	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$127,108,738	ExpensesSubtotalAmt
Other Expenses Not Included	$3,494,864	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$3,494,864	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$130,603,602	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE INTERNAL REVENUE SERVICE HAS RULED THAT THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN MADE IN THE CONSOLIDATED FINANCIAL STATEMENTS. 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.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RECLASS OF BAD DEBT EXPENSE -3,494,864. CHANGE IN FMV OF INTEREST RATE SWAP AGREEMENT 276,315.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	RECLASS OF BAD DEBT EXPENSE 3,494,864.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	125.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,826,429	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,113,118	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,297,094	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,630,634	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,666,460	NetCommunityBenefitExpnsAmt
Total Expense	0.07600	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,123,523	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,743,752	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,666,460	NetCommunityBenefitExpnsAmt
Total Expense	0.07600	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	110488	PersonsServedCnt
Total Community Benefit Expns	$470,420	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$470,420	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	11	PersonsServedCnt
Total Community Benefit Expns	$86,851	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$86,851	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	247	PersonsServedCnt
Total Community Benefit Expns	$242,190	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$242,190	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	8905	PersonsServedCnt
Total Community Benefit Expns	$289,779	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$289,779	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	23	ActivitiesOrProgramsCnt
Persons Served	119651	PersonsServedCnt
Total Community Benefit Expns	$1,089,240	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,089,240	NetCommunityBenefitExpnsAmt
Total Expense	0.00860	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	23	ActivitiesOrProgramsCnt
Persons Served	119651	PersonsServedCnt
Total Community Benefit Expns	$23,212,763	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,743,752	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,755,700	NetCommunityBenefitExpnsAmt
Total Expense	0.08460	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1000	PersonsServedCnt
Total Community Benefit Expns	$2,019	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,019	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	50	PersonsServedCnt
Total Community Benefit Expns	$13,574	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,574	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	2588	PersonsServedCnt
Total Community Benefit Expns	$50,951	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$50,951	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$210	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$210	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	102	PersonsServedCnt
Total Community Benefit Expns	$3,866	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,866	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	3002	PersonsServedCnt
Total Community Benefit Expns	$5,809	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,809	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,607	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,607	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,087	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,087	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	6742	PersonsServedCnt
Total Community Benefit Expns	$80,123	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$80,123	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$3,494,864	BadDebtExpenseAmt
Bad Debt Expense Attributable	$24,446	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$13,930,318	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$20,019,778	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,089,460	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARY RUTAN HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	205 PALMER AVE	AddressLine1Txt
City	BELLEFONTAINE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43311	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MARY RUTAN HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	20	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.MARYRUTAN.ORG/NEEDS-ASSESSMENT.ASPX	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.LOGANHEALTH.ORG	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://FOUNDATION.MARYRUTAN.ORG/NEEDS-ASSESSMENT/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	125.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.MARYRUTAN.ORG/PATIENTS-AND-VISITORS/BILLING-INFORMATION/FINANCI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.MARYRUTAN.ORG/PATIENTS-AND-VISITORS/BILLING-INFORMATION/FINANCI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.MARYRUTAN.ORG/PATIENTS-AND-VISITORS/BILLING-INFORMATION/FINANCI	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MARY RUTAN HOSPITAL	PART V, SECTION B, LINE 5: MARY RUTAN HOSPITAL WAS A LEAD ORGANIZATION IN FACILITING AND FUNDING THE COMMUNITIES' FOURTH FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT IN 2020; PARTNERING WITH THE LOGAN COUNTY HEALTH DISTRICT, MENTAL HEALTH DRUG AND ALCOHOL BOARD OF LOGAN AND CHAMPAIGN COUNTIES, THE UNITED WAY OF LOGAN COUNTY AND COMMUNITY HEALTH AND WELLNESS PARTNERS OF LOGAN COUNTY. THIS COLLABORATION ALLOWED COMMUITY PARTNERS TO COME TOGETHETR IN A UNIFIED FRONT TO CREATE A COMPREHENSIVE ASSESSMENT AND PLAN TO ASSIST ALL AGENCIES AND ORGANIZATIONS TO IMPACT THE HEALTH, SAFETY AND WELL-BEING OF THE COMMUNITY AND RESIDENTS OF LOGAN COUNTY.A RANDOM SURVEY WAS COMPLETED VIA A PAPER AND ELECTRONIC SURVEY DOCUMENT TO NUMEROUS RESIDENTS OF LOGAN COUNTY TO GATHER INFORMATION ABOUT HEALTHCARE, QUALITY OF LIFE, WELLNESS, ENVIRONMENT, SAFETY, PARENTING, AND SOCIAL DEMOGRAPHICS. 554 LOGAN COUNTY RESIDENTS RESPONDED TO THE ANONYMOUS SURVEY. IN ADDITION, THREE COMMUNITY FOCUS GROUPS TARGETED AT THE LOW RESPONSE POPULATIONS OF YOUNG ADULT, BLACK AND HISPANIC COMMUNITIES WERE HELD TO DISCUSS NEEDS, ACCESS TO AVAILABLE HEALTH CARE PROGRAMS, AND PRIORITIES. ALSO, ONE ON ONE INTERVIEWS WITH 12 KEY INFORMANTS IN THE COMMUNITY AS WELL AS THE GATHERING OF NUMEROUS SECONDARY DATA SOURCES TO FURTHER VALIDATE AND IDENTIFY AREAS OF CONCERN AND NEED WERE A PART OF THIS COMPREHENSIVE NEEDS ASSESSMENT PROCESS. HEALTH AND HUMAN SERVICE PROVIDERS AND PROFESSIONALS FROM ACROSS THE COUNTY CAME TOGETHER FOR THE PURPOSE OF THIS SURVEY. THESE COMMUNITY PARTNERS INCLUDED PROFESSIONALS IN THE AREAS OF HOSPITAL ADMINISTRATION, PUBLIC HEALTH, MENTAL HEALTH, FQHC, HEALTH AND HUMAN SERVICES, INDUSTRY, COUNSELING, EDUCATION, CHILDREN'S DEVELOPMENT, AGING, LAW ENFORCEMENT, AND LOCAL GOVERNMENT. MARY RUTAN HOSPITAL AND EACH PARTICIPATING ORGANIZATION WILL UTILIZE THIS INFORMATION ACCORDING TO COMMUNITY NEEDS AND THEIR OWN UNIQUE STRENGTHS. EFFORTS ARE BEING COORDINATED ACROSS THE COUNTY TO HELP ENSURE ADEQUATE AVAILABILITY OF NEEDED SERVICES AND EFFORTS TO IMPROVE AT RISK FINDINGS. FIVE ACTIVE COALITIONS ARE WORKING COLLABORATIVELY TO ADDRESS THESE ISSUES. THOSE COALITIONS INCLUDE: HEALTHY LIVING COALITION, COALITION FOR ONGOING RECOVERY EFFORTS, MENTAL HEALTH & SUICIDE COALITION, HOUSING AND HOMELESSNESS COALTION, WORKFORCE DEVELOPMENT COMMITTEE AND THE LOGAN COUNTY COALITION ADVISORY BOARD THAT PROVIDES OVERSIGHT AND DIRECTION FOR THE COALITIONS. THE COMPLETE ACTION PLAN, INCLUDING NEEDS IDENTIFIED, STRATEGIES FOR ADDRESSING THOSE NEEDS, ACTIVITIES UNDERTAKEN, AND MEASUREMENT OF OUTCOMES, CAN BE VIEWED AND/OR DOWNLOADED FROM THE HOSPITAL WEBSITE AT WWW.MARYRUTAN.ORG. THESE SAME COMMUNITY PARTNERS CAME TOGETHER FOR THE CREATION, FACILITATION, AND IMPLEMENTATION OF THE CURRENT YEAR NEEDS ASSESSMENT. IN ADDITION, A COMMUNITY CALL TO ACTION MEETING WAS HELD ON FEBRUARY 9, 2021, WHERE 56 COMMUNITY MEMBERS CAME TOGETHER VIRTUALLY TO REVIEW AND PRIORITIZE AREAS OF RISK AND NEED.
MARY RUTAN HOSPITAL	PART V, SECTION B, LINE 6B: MARY RUTAN FOUNDATION, LOGAN COUNTY HEALTH DISTRICT, UNITED WAY OF LOGAN COUNTY, MENTAL HEALTH, DRUG AND ALCOHOL SERVICES BOARD OF LOGAN AND CHAMPAIGN COUNTIES, COMMUNITY HEALTH AND WELLNESS PARTNERS OF LOGAN COUNTY ACTED AS THE LEAD ORGANIZATION AND FUNDING PARTNERS FOR THE ASSESSMENT. OTHERS INVOLVED IN THE PROCESS INCLUDE: LOGAN COUNTY CHILDREN'S SERVICES, LOGAN COUNTY BOARD OF DEVELOPMENTAL DISABILIITIES, LOGAN COUNTY COMMISSIONERS, LOGAN COUNTY FAMILY COURT, LOGAN COUNTY JOB & FAMILY SERVICES, LOGAN COUNTY SHERIFF'S DEPARTMENT, BELLEFONTAINE CITY POLICE DEPARMENT, AREA EMS, COUNCIL OF RUAL SERVICES, LOGAN COUNTY EDUCATIONAL SERVICES CENTER, INDIAN LAKE LOCAL SCHOOLS AND THE LOGAN COUNTY FAITH COALITION.
MARY RUTAN HOSPITAL	PART V, SECTION B, LINE 7D: AREA MEDIA COMMUNICATION IN PRINT AND RADIO, ELECTRONIC COMMUNICATION AND SOCIAL MEDIA.
MARY RUTAN HOSPITAL	PART V, SECTION B, LINE 11: AN INTERNAL WORKGROUP REVIEWED THE FINDINGS OF THE 2020 LOGAN COUNTY CHNA AND STATE OF OHIO HEALTH IMPROVEMENT PLAN(SHIP) AND SELECTED THE PRIORITY AREAS OF MENTAL HEALTH, SUBSTANCE ABUSE, OBESITY & CHRONIC DISEASE. AS A PART OF THE CREATION OF THE HEALTH IMPROVEMENT PLAN THE GROUP IDENTIFIED PRIORITY HEALTH OUTCOMES AND PRIORITY FACTORS ALIGNING WITH LOGAN COUNTY AND THE OHIO DEPARTMENT OF HEALTH AND WHENEVER POSSIBLE. WHERE GREATER NEEDS WERE IDENTIFIED- PRIORITY POPULATIONS FOR OBJECTIVES AND SELECT STRATEGIES LIKELY TO REDUCE DISPARITIES AND INEQUITIES WERE INCLUDED. A COPY CAN BE ACCESSED AT WWW.MARYRUTAN.ORG. TWO NEEDS WERE IDENDTIFIED BY THE 2020 COMMUNITY HEALTH RISK AND NEEDS ASSESSMENT, BUT WERE NOT ADDRESSED BY THE MRH HEALTH IMPROVEMENT PLAN AT THIS TIME: WORKFORCE DEVELOPMENT AND HOUSING AND HOMELESSNESS. WHILE WE WILL FOCUS THE MAJORITY OF OUR EFFORTS ON THE IDENTIFIED HEALTH NEEDS, WE WILL SUPPORT COMMUNITY EFFORTS IN THESE AREAS THROUGH PARTICIPATION AND FINANCIAL SUPPORT TO THE LOGAN COUNTY CHAMBER OF COMMERCE, WORKFORCE DEVELOPMENT COMMITTEE AND THE HOUSING AND HOMELESSNESS COALITION. THESE TOPICS ARE NOT ADDRESSED IN MARY RUTAN HOSPITAL'S PLAN OF ACTION DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE PRIORITY HEALTH NEEDS SPECIFICALLY IDENTIFIED.
MARY RUTAN HOSPITAL	PART V, SECTION B, LINE 13H: MARY RUTAN ALSO HAS A CATASTROPHIC CHARITY POLICY IN PLACE FOR PATIENTS WHO DO NOT QUALIFY FOR OTHER PROGRAMS, WHO HAVE AN ACCUMULATED BALANCE ABOVE $50,000, AND WHOSE INCOME IN BETWEEN 200 AND 400% OF THE FPL. THIS IS A PARTIAL DISCOUNT DEPENDENT UPON % OF FPL, RANGING FROM 50% DISCOUNT TO 90% DISCOUNT.
MARY RUTAN HOSPITAL	PART V, SECTION B, LINE 15E: PATIENTS CAN COMPLETE A DIGITAL VERSION OF THE FAP APPLICATION ONLINE, WHICH IS IDENTICAL TO THE PAPER FORM AND USED FOR PROCESSING, THOUGH THEY STILL WOULD ULTIMATELY HAVE TO SIGN OFF ON A PRINTED COPY.
MARY RUTAN HOSPITAL	PART V, SECTION B, LINE 24: AS STATED IN THE FAP, THE FAP APPLIES TO ONLY SERVICES THAT ARE URGENT AND MEDICALLY NECESSARY. NON-FAP ELIGIBLE PATIENTS RECEIVING MEDICALLY NECESSARY SERVICES, SUCH AS OUT OF STATE PATIENTS, RECEIVE AT LEAST A NOMINAL DISCOUNT FROM CHARGE. ELECTIVE SERVICES ARE EXCLUDED FROM THE FAP AS THOSE ARE NOT DEEMED URGENT OR MEDICALLY NECESSARY. RETAIL SERVICES, SUCH AS OUR DIRECT ACCESS LAB, ARE EXEMPT FROM OUR ASSISTANCE PROGRAM AS THEY ARE CONSIDERED NEITHER URGENT NOR MEDICALLY NECESSARY BY THE NATURE OF THEIR RETAIL STATUS (RETAIL IN THIS CASE MEANING NOT SUBMITTED TO THIRD PARTY PAYERS AND THAT THEY ALLOW PATIENTS TO SELF-ORDER/SELF-REFER). PRICES FOR THESE SERVICES ARE LOW, FIXED (NON-NEGOTIATED WITH PAYERS), AND ARE STANDARDIZED REGARDLESS OF SETTING OR INSURANCE STATUS. AN INDIVIDUAL WHO MIGHT OTHERWISE QUALIFY FOR FAP COULD THEREFORE RECEIVE THESE ELECTIVE SERVICES AND PAY THE GROSS CHARGE AMOUNT DUE TO THE EXCLUSION OF THESE ELECTIVE SERVICES, DESPITE BEING OTHERWISE ELIGIBLE UNDER THE FAP.
PART V, SECTION B, LINE 16I	THE FAP, FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY WERE NOT TRANSLATED FOR OTHER FOREIGN SPEAKING POPULATIONS BECAUSE NONE OF THE FOREIGN SPEAKING POPULATIONS IN THE COMMUNITY EXCEEDED FIVE PERCENT OF THE COMMUNITY IN WHICH THE MARY RUTAN HOSPITAL SERVES.

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO REPORT FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID AS COMMUNITY BENEFITS.
PART I, LN 7 COL(F):	THE AMOUNT OF BAD DEBT EXPENSE RELATED TO PATIENT CARE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), (BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN) IS $3,494,864.
PART II, COMMUNITY BUILDING ACTIVITIES:	MARY RUTAN HOSPITAL AND FOUNDATION ARE COMMITTED TO PROVIDING PROFESSIONAL ASSISTANCE TO THE LOGAN COUNTY COMMUNITY THROUGH THE VOLUNTEERING OF TIME AND RESOURCES FOR ECONOMIC DEVELOPMENT TO THE LOGAN COUNTY CHAMBER OF COMMERCE, THE LOGAN COUNTY COMMUNITY IMPROVEMENT CORPORATION, INDIAN LAKE CHAMBER OF COMMERCE AND THE LOGAN COUNTY WORKFORCE DEVELOPMENT AND HOUSING AND HOMELESSNESS COALTIONS. IN ADDITION, ADMINISTRATIVE TEAM MEMBERS VOLUNTEER PROFESSIONAL SERVICES AND RESOURCES TO THE UNITED WAY OF LOGAN COUNTY, LOGAN COUNTY HEALTH DISTRICT, LOGAN COUNTY MENTAL HEALTH BOARD, LOGAN COUNTY COALITION OF ONGOING RECOVERY EFFORTS, LOGAN COUNTY FAMILY AND CHILDREN FIRST COUNCIL, LOGAN COUNTY HEALTHY LIVING COALITION, LOGAN COUNTY TRANSPORTATION ADVISORY GROUP, LOGAN COUNTY SUICIDE COALITION, LOGAN COUNTY COALITION ADVISORY BOARD (CAB), PROMOTING AND ESTABLISHING HEALTH, WELLNESS AND NUTRITIONAL SERVICES FOR THOSE IN NEED IN AND AT-RISK AREAS OF THE COMMUNITY.
PART III, LINE 2:	BAD DEBT IS PRESENTED AT GROSS CHARGES. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.
PART III, LINE 3:	THE ESTIMATE OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS BASED ON AN ESTIMATED PERCENTAGE OF BAD DEBT WRITE OFFS. THE PERCENTAGE IS DERIVED FROM A HISTORICAL REVIEW OF PATIENTS THAT QUALIFIED FOR CHARITY AFTER THEY WERE PLACED IN COLLECTIONS.
PART III, LINE 4:	BAD DEBT FOOTNOTE: 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. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. ADDITIONAL INFORMATION: THE HOSPITAL GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY PAYOR AGREEMENTS. THE COMPOSITION OF NET RECEIVABLES FROM PATIENTS AND THIRD-PARTY PAYORS WAS AS FOLLOWS IN 2022: 18% MEDICARE, 70% COMMERCIAL INSURANCE AND HMOS, 8% MEDICAID, AND 4% SELF-PAY.
PART III, LINE 8:	MEDICARE COSTS HAVE BEEN PULLED FROM THE 2022 MEDICARE COST REPORT, UTILIZING A COST TO CHARGE RATIO. BASED ON 2022 US CENSUS BUREAU ESTIMATES, 19.1% OF THE LOGAN COUNTY, OHIO POPULATION IS OVER AGE 65. SERVICES PROVIDED TO MEDICARE PATIENTS ACCOUNTED FOR APPROXIMATELY 41.0% OF PATIENT SERVICE REVENUE IN 2022. WE HAVE INCLUDED MEDICARE SHORTFALLS IN OUR 2022 COMMUNITY BENEFIT REPORT. THE ONGOING CARE OF OUR AGING POPULATION CERTAINLY MEETS A SIGNIFICANT NEED OF THE COMMUNITY. EQUIVALENT HOSPITAL-BASED CARE IS NOT AVAILABLE FROM ANY OTHER LOCAL SOURCE. PROVIDING EFFICIENT, COST EFFECTIVE CARE IS ALWAYS A GOAL, BUT SHORTFALLS CAN AND DO OCCUR. THOSE SHORTFALLS ARE ABSORBED BY THE HOSPITAL AND ARE CONSIDERED TO BE A COST OF OUR MISSION TO ACCEPT RESPONSIBILITY FOR MEETING THE HEALTHCARE NEEDS OF OUR COMMUNITY.
PART III, LINE 9B:	MARY RUTAN HOSPITAL COMPLIES WITH THE FAIR DEBT COLLECTION PRACTICES ACT AT ALL TIMES. A SELF-PAY ACCOUNT IS MANAGED BY A DEDICATED TEAM AT THE TIME PATIENT LIABILITY IS DETERMINED POST-SERVICE. THE TYPICAL PROCESS IS A SERIES OF LETTERS AND PHONE CALLS. THE TIMELINESS AND STEPS ARE OUTLINED IN MARY RUTAN HOSPITAL'S BAD DEBT & COLLECTIONS POLICY (WHICH IS POSTED IN FULL ONLINE FOR PATIENT REVIEW, ALONG WITH A PLAIN LANGUAGE SUMMARY). IF THERE IS NO RESPONSE TO THE TEAM'S STATEMENTS AND CALLS, THEN THE ACCOUNT IS PULLED FOR REVIEW, REVIEWED TO VALIDATE THAT THE BALANCES ARE CORRECT, WRITTEN OFF TO BAD DEBT, AND SENT TO A COLLECTION AGENCY. WHEN A PATIENT HAS INITIATED THE CHARITY APPLICATION PROCESS AND HAS APPLIED FOR ONE OF OUR PROGRAMS, THAT PATIENT REMAINS IN THAT STATUS WITHOUT ANY COLLECTION EFFORTS OF ANY KIND UNTIL FINAL ELIGIBILITY FOR ASSISTANCE CAN BE DETERMINED. APPLICABLE ASSISTANCE/DISCOUNTS ARE APPLIED TO THE ACCOUNT BALANCE IF QUALIFIED. PATIENTS WHO DO NOT QUALIFY ARE NOTIFIED AND NORMAL COLLECTION EFFORTS BEGIN/RESUME AT THAT TIME.
PART VI, LINE 2:	SECONDARY DATA SOURCES HAVE BEEN IDENITIFIED AND ARE REVIEWED ANNUALLY, ALLOWING MRH AND COMMUNITY COALITIONS TO MONITOR AND ADJUST STRATEGIES IN IDENTIFIED AREAS OF RISK AND NEED AS HIGHLIGHTED IN CHA/CHIP. COLLABORATION WITH LOCAL HUMAN SERVICE ORGANIZATIONS IS KEY IN IDENTIFYING NEEDS ON AN ONGOING BASIS. MARY RUTAN HOSPITAL AND MARY RUTAN FOUNDATION PROGRAMS ARE TARGETED TOWARD SPECIFIC POPULATIONS IN NEED, AS WELL AS DESIGNATED AT-RISK AREAS. GENERAL HEALTH AND WELLNESS PROMOTIONS EDUCATE THE COMMUNITY ABOUT PREVENTATIVE MEASURES AGAINST CHRONIC ILLNESSES. HEALTH AND WELLNESS EDUCATION, AS WELL AS FREE SCREENING, ARE PROVIDED MONTHLY AT SUBSIDIZED SENIOR HOUSING UNITS AND AT FOOD PANTRIES. OTHER EXAMPLES INCLUDE POWER-UP 4 FITNESS, FIELD TO FORK AND BILLY BONES, WHICH ARE PROGRAMS EDUCATING STUDENTS ON THE IMPORTANCE OF EXERCISE AND PROPER NUTRITION IN THE FIGHT AGAINST CHILDHOOD OBESITY. THIS PROGRAM IS DONE IN COLLABORATION WITH ALL AREA SCHOOLS. IN ADDITION, MARY RUTAN HOSPITAL UTILIZES THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE COUNTY HEALTH RANKINGS REPORT. MARY RUTAN HOSPITAL FACILITATES CREATING A HEALTHIER ME AND MATTER OF BALANCE COURSES TARGETED FOR THE ADULT POPULATION ADDRESSING PROPER NUTRITION, DIET AND EXERCISE. PARENTING CLASSES WERE IMPLEMENTED IN 2022 TO ADDRESS CONCERNS OF MALTREATMENT OF YOUTH IN LOGAN COUNTY. MARY RUTAN HOSPITAL LEADS OTHER COMMUNITY PARTNERS ON THE HEALTHY LIVING COALITION REVIEWING AT-RISK AREAS IN THE COMMUNITY AND ESTABLISHING EDUCATIONAL PROGRAMS AND RESOURCES TO ADDRESS THOSE NEEDS. MARY RUTAN HOSPITAL ALSO SERVICES AS AN ACTIVE MEMBER OF THE LOGAN COUNTY FAMILY AND CHILDREN FIRST COUNCIL TO PROVIDE ORGANIZATION UPDATES REGARDING ONGOING PROJECTS AND TO DISCUSS AND IDENTIFY COMMUNITY NEEDS. THIS COUNCIL IS COMPRISED OF SENIOR LEADERS OF THE HOSPITAL, HEALTH DEPARTMENT, CHILDREN'S SERVICES, JOB AND FAMILY SERVICES, AND MENTAL HEALTH BOARD AS WELL AS OTHER HEALTH AND HUMAN SERVICE AGENCIES, LAW ENFORCEMENT, AND AREA SCHOOL DISTRICTS. MARY RUTAN HOSPITAL IS ALSO AN ACTIVE MEMBER OF THE LOGAN COUNTY COALITION FOR ONGOING RECOVERY EFFORTS - IMPLEMENTING PROGRAMS AND SERVICES TO COMBAT SUBSTANCE ABUSE ISSUES IN LOGAN COUNTY. IN ADDITION, MARY RUTAN HOSPITAL SENIOR LEADERSHIP SERVES ON THE LOGAN COUNTY COALITION ADVISORY BOARD CREATED TO ASSIST AND BE A RESOURCE FOR AT RISK FINDINGS OF THE NEEDS ASSESSMENT OF OBESITY, CHRONIC DISEASE, DRUG ABUSE, MENTAL HEALTH, ACCESS TO SERVICES, HOUSING AND HOMELESSNESS AND WORKFORCE DEVELOPMENT.
PART VI, LINE 3:	A VARIETY OF MEANS IS USED TO PROVIDE INFORMATION ON FINANCIAL ASSISTANCE ELIGIBILITY TO ALL PATIENTS. NOTICES ARE POSTED AT ALL POINTS OF REGISTRATION, IN OUR CLINICS, AND IN OUR OFF-SITE BUSINESS OFFICE LOCATION. HANDOUTS AND APPLICATIONS FOR HCAP/CHARITY CARE ARE ALSO AVAILABLE AT REGISTRATION. FINANCIAL ASSISTANCE INFORMATION IS INCLUDED IN PATIENT BILLING BROCHURES, ON THE MARY RUTAN HOSPITAL WEBSITE, ON BILLING STATEMENTS, AND IN A SEPARATE LETTER INCLUDED WITH ALL SELF-PAY ACCOUNT BILLING STATEMENTS. MARY RUTAN HOSPITAL REPRESENTATIVES ALSO ATTEMPT TO EDUCATE PATIENTS PRIOR TO AND CONCURRENT WITH SERVICE ABOUT OUR ASSISTANCE PROGRAMS.
PART VI, LINE 4:	MARY RUTAN HOSPITAL'S PRIMARY SERVICE AREA IS RURAL LOGAN COUNTY. ALTHOUGH MARY RUTAN HOSPITAL DOES SERVE SOME INDIVIDUALS FROM ADJOINING COUNTIES (INCLUDING HARDIN, CHAMPAIGN, SHELBY AND UNION), INPATIENT VOLUMES EQUAL 24% AND OUTPATIENT SERVICE VOLUMES EQUAL 56% OF LOGAN COUNTY RESDENTS. THE LOGAN COUNTY POPULATION IS APPROXIMATELY 46,040 AND BASED ON 2022 US CENSUS BUREAU ESTIMATES, MEDIAN HOUSEHOLD INCOME IS $64,196. AN ESTIMATED 6.4% OF THE COUNTY POPULATION IS BELOW THE FEDERAL POVERTY LEVEL.
PART VI, LINE 5:	THE HOSPITAL FAMILY INCLUDES PARENT CORPORATION, MARY RUTAN HEALTH ASSOCIATION, AND SUBSIDIARIES MARY RUTAN HOSPITAL, MARY RUTAN FOUNDATION, LOGAN VIEW, INC., AND LOGAN COUNTY CANCER SOCIETY. THERE IS A COORDINATED EFFORT TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY. DOLLARS ARE BUDGETED ANNUALLY THROUGH MARY RUTAN FOUNDATION TO SUPPORT COMMUNITY HEALTH ACTIVITIES ORGANIZED AND SPONSORED BY MARY RUTAN FOUNDATION. THE GOVERNING BODIES OF EACH CORPORATION ARE MADE UP OF RESIDENTS OF OUR COMMUNITY WHO ARE FAMILIAR WITH THE HEALTH AND WELLNESS ISSUES FACING LOGAN COUNTY AND THE SURROUNDING AREA. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. IN ADDITION, ANNUALLY MARY RUTAN FOUNDATION AWARDS COMMUNITY HEALTH AND WELLNESS GRANTS TO AREA SCHOOLS, SOCIAL SERVICE AND NOT FOR PROFIT ORGANIZATIONS FOCUSED ON THE AREAS OF RISK AND NEED IDENTIFIED IN THE COMMUNITY TO EXPAND OUTREACH EFFORTS PAST THE PROGRAMS AND SERVICES PROVIDED BY THE HOSPITAL AND FOUNDATION. DUE TO LACK OF FUNDING BY AREA SCHOOLS AND INABILITY TO EMPLOYEE ATHLETIC TRAINERS, MARY RUTAN HOSPITAL FUNDS AND PROVIDES ATHLETIC TRAINERS AT EACH AREA HIGH SCHOOL FOR THE HEALTH, WELLBEING AND SAFETY OF AREA STUDENT ATHLETES.
PART VI, LINE 6:	MARY RUTAN HEALTH ASSOCIATION IS THE PARENT CORPORATION. THE HEALTH ASSOCIATION PROVIDES MANAGEMENT SERVICES TO THE HOSPITAL, FOUNDATION, LOGAN COUNTY CANCER SOCIETY AND LOGAN VIEW, LLC AND PARTICIPATES IN VARIOUS HEALTH FAIRS AND SCREENINGS THROUGHOUT THE COMMUNITY EACH YEAR. MARY RUTAN FOUNDATION'S MISSION IS TO CREATE PHILANTHROPIC RELATIONSHIPS TO SUPPORT PATIENT CARE SERVICES, AWARD MEDICAL SCHOLARSHIPS, PURCHASE NEEDED MEDICAL EQUIPMENT AND DEVELOP CAPITAL, WHILE PROMOTING HEALTH AND WELLNESS THROUGH EDUCATIONAL PROGRAMS AND SERVICES. LOGAN COUNTY CANCER SOCIETY PROVIDES FINANCIAL ASSISTANCE TO RESIDENTS OF LOGAN COUNTY WHO HAVE CANCER OR CANCER RELATED ILLNESSES, WHILE PROMOTING EDUCATION IN AWARENESS AND THE DETECTION AND TREATMENT OF CANCER. OPERATION AND FACILITATION OF ALL SERVICES PROVIDED BY THE LOGAN COUNTY CANCER SOCIETY ARE PROVIDED BY EMPLOYEES OF MARY RUTAN HOSPITAL AND MARY RUTAN HEALTH ASSOCIATION AND NO SALARIES OR BENEFITS ARE CHARGED TO THE ORGANIZATION FOR THIS SERVICE.
PART VI, LINE 7	THE OHIO DEPARTMENT OF HEALTH - FILED LOGAN COUNTY CHA AND MARY RUTAN HEALTH IMPROVEMENT PLAN WITH THE STATE ALIGNING WORK WITH STATE PRIORITY AREAS.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROGER AMIGO
PHYSICIAN	$536,353	$0	$69,554	$0	$1,290	$0	$18,000	$0	$36,498	$0	$661,695	$0	$0	$0
NICHOLAS PETERS
PHYSICIAN	$524,998	$0	$27,808	$0	$300	$0	$18,000	$0	$17,426	$0	$588,532	$0	$0	$0
CLIFTON HOOD
MEDICAL STAFF DIRECTOR	$371,458	$0	$112,012	$0	$3,810	$0	$18,000	$0	$26,733	$0	$532,013	$0	$0	$0
CHAD ROSS
PRESIDENT	$0	$352,675	$0	$47,030	$0	$690	$0	$81,708	$0	$32,284	$0	$514,387	$0	$0
KIMBERLY KLAPCHAR
PHYSICIAN	$374,013	$0	$79,146	$0	$240	$0	$18,000	$0	$15,705	$0	$487,104	$0	$0	$0
GREGG FULMER
PHYSICIAN	$279,870	$0	$152,869	$0	$690	$0	$18,000	$0	$34,124	$0	$485,553	$0	$0	$0
STEVEN BROWN
VICE PRESIDENT/CFO	$0	$273,859	$0	$32,115	$0	$1,980	$0	$43,813	$0	$34,212	$0	$385,979	$0	$0
WENDY RODENBERGER
VICE PRESIDENT	$173,538	$0	$26,921	$0	$207	$0	$25,121	$0	$34,676	$0	$260,463	$0	$0	$0
TAMARA GUMP
COO (LOGAN VIEW INC)	$0	$139,818	$0	$13,392	$0	$1,791	$0	$14,944	$0	$31,808	$0	$201,753	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	THE RELATED ORGANIZATION, MARY RUTAN HEALTH ASSOCIATION, DETERMINES EXECUTIVE COMPENSATION BASED ON USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE.
PART I, LINE 7	ADDITIONAL NON-FIXED PAYMENTS TO PHYSICIANS ARE AWARDED BY THE COMPENSATION COMMITTEE BASED UPON RELATIVE VALUE UNITS (RVU), ANY EXTRA CALL TIME TAKEN AND OVERALL QUALITY STANDARDS/MERIT. ADDITIONAL NON-FIXED PAYMENTS TO EXECUTIVES AND OTHER STAFF MEMBERS ARE AWARDED BY THE COMPENSATION COMMITTEE BASED UPON MERIT AND INDIVIDUAL DEPARTMENT GOALS COMPARED TO THE OVERALL GOALS OF THE HOSPITAL.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF BELLEFONTAINE OHIO
A	346400091	2012-09-13	$9,125,000	SEE SCH K PART IV	0	0	0
CITY OF BELLEFONTAINE OHIO
B	346400091	2012-09-13	$10,000,000	SEE SCH K PART IV	0	0	0
CITY OF BELLEFONTAINE OHIO
C	346400091	2017-12-20	$11,000,000	SEE SCH K PART IV	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt
A	$6,425,000	$9,125,000	$9,125,000	2009	Yes (1)	Yes (1)	Yes (1)
B	$7,537,797	$10,000,000		2013	0	Yes (1)	Yes (1)	$125,322	$9,874,678
C	$1,048,491	$11,000,000		2017	Yes (1)	Yes (1)	Yes (1)		$11,000,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	0	Yes (1)
B	Yes (1)	0	Yes (1)
C	0		Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
DEUTSCHE BANK
A	0	Yes (1)	0	0	Yes (1)	Yes (1)	13.200000000000	0	0	0	0	Yes (1)
(no name)
B	0	Yes (1)	0	0	Yes (1)	0				0	0	Yes (1)
(no name)
C	0	Yes (1)	0	0	Yes (1)	0				0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, LINE A, COLUMN (F):	CURRENTLY REFUND THE CITY OF BELLEFONTAINE, OHIO ADJUSTABLE RATE DEMAND HOSPITAL FACILITIES REVENUE REFUNDING AND IMPROVEMENT BONDS, SERIES 2005 (MARY RUTAN HOSPITAL PROJECT) ISSUED SEPTEMBER 29, 2005.
PART I, LINE B, COLUMN (F)	FINANCE (I) THE ACQUISITION OF A CANCER TREATMENT CENTER, (II) THE ACQUISITION OF A BUILDING FOR HOSPITAL ADMINISTRATIVE PURPOSES AND (III) THE ACQUISITION, CONSTRUCTION AND EQUIPPING OF OTHER CAPITAL BUDGET ITEMS.
PART I, LINE C, COLUMN (F):	CONSTRUCTION AND EQUIPPING OF NEW HEALTH CENTER BUILDING
PART II, LINE 3, COLUMN B	THE $10,000,000 CITY OF BELLEFONTAINE, OHIO HOSPITAL FACILITIES REVENUE BONDS, SERIES 2012B (MARY RUTAN HOSPITAL PROJECT) WERE ISSUED AS DRAW DOWN BONDS, PERMITTING MARY RUTAN HOSPITAL TO DRAW DOWN THE BONDS A MAXIMUM OF TWELVE TIMES, IN MINIMUM AMOUNTS OF $100,000 EACH. AS OF DECEMBER 31, 2014, THE END OF MARY RUTAN HOSPITAL'S FISCAL YEAR, $6,841,987 OF PROCEEDS HAD BEEN DRAWN DOWN.
PART III, LINE 9; PART IV, LINE 7 AND PART V (COLUMNS A, B AND C FOR ALL)	MARY RUTAN HOSPITAL INTENDS TO ENGAGE BOND COUNSEL TO DRAFT WRITTEN PROCEDURES COVERING POST-ISSUANCE COMPLIANCE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	HILL HAMILTON INC THOMAS SIMON	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	THOMAS SIMON, BOARD MEMBER OF MARY RUTAN HOSPITAL	RelationshipDescriptionTxt
Transaction	$2,194,184	TransactionAmt
Transaction	PROVIDES BUSINESS AND MAL-PRACTICE INSURANCE POLICIES TO MARY RUTAN HOSPITAL AND MARY RUTAN HEALTH ASSOCIATION. ALL PAYMENTS ARE MADE BY MARY RUTAN HOSPITAL.	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THIS ORGANIZATION IS MARY RUTAN HEALTH ASSOCIATION OF LOGAN COUNTY, AN OHIO NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE MEMBER, MARY RUTAN HEALTH ASSOCIATION OF LOGAN COUNTY MAY PARTICIPATE IN THE ELECTION OF THE ORGANIZATION'S TRUSTEES. THE MEMBER SHALL EXERCISE ITS RIGHT TO VOTE AT ANY MEETING OR TO CONSENT TO ANY ACTION WITHOUT A MEETING THROUGH ITS CHAIRMAN, VICE CHAIRMAN, TREASURER, SECRETARY OR PRESIDENT UNLESS BEFORE SUCH VOTE IS TAKEN OR CONSENT IS GIVEN THE BOARD OF TRUSTEES OF THE MEMBER PROVIDES A CERTIFIED COPY OF A RESOLUTION STATING THAT SUCH AUTHORITY IS VESTED ON SOME OTHER OFFICER OR PERSON.
FORM 990, PART VI, SECTION A, LINE 7B	THE MEMBER SHALL EXERCISE ITS RIGHT TO VOTE AT ANY MEETING OR TO CONSENT TO ANY ACTION WITHOUT A MEETING THROUGH ITS CHAIRMAN, VICE CHAIRMAN, TREASURER, SECRETARY OR PRESIDENT UNLESS BEFORE SUCH VOTE IS TAKEN OR CONSENT IS GIVEN THE BOARD OF TRUSTEES OF THE MEMBER PROVIDES A CERTIFIED COPY OF A RESOLUTION STATING THAT SUCH AUTHORITY IS VESTED ON SOME OTHER OFFICER OF PERSON. AN ANNUAL MEETING OF THE MEMBER IS HELD FOR THE ELECTION OF TRUSTEES, FOR THE CONSIDERATION OF REPORTS AND FOR SUCH OTHER BUSINESS. IN ADDITION, THE FOLLOWING MATTERS ARE AUTHORIZED ONLY AFTER AUTHORIZATION BY THE BOARD OF TRUSTEES AND UPON APPROVAL BY THE MEMBER: 1. REMOVAL OF TRUSTEE; 2. AMENDMENT OF THE CORPORATE REGULATIONS; 3. THE PURCHASE, SALE OR ENCUMBRANCE OF REAL PROPERTY, OR OF SUBSTANTIALLY ALL OF THE PERSONAL PROPERTY, OF THE CORPORATION; 4. MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION OR LEGAL ENTITY; 5. ANY CHANGES TO THE ARTICLES OF INCORPORATION; 6. ADOPTION OF THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGET; 7. EXPENDITURES FOR (A) NON-BUDGETED ITEMS IN EXCESS OF $250,000; (B) ITEMS WHICH ARE INCUDED IN THE CORPORATION'S ANNUAL BUDGET BUT EXCEED THE BUDGETED AMOUNT BY $250,000 OR MORE, AND (C) EXECUTIVE COMPENSATION; 8. EXECUTION OF ANY CONTRACT WITH A TERM IN EXCESS OF ONE YEAR AND REPRESENTING AN EXPENDITURE OF MORE THAN $500,000; 9. APPROVE THE SELECTION OF THE CEO OF THE CORPORATION; 10. APPOINTMENT OF THE CORPORATION'S AUDITORS; 11. ADOPTION OF THE CORPORATION'S LONG RANGE PLANS AND MANAGEMENT OBJECTIVES; 12. ADOPTION OF THE MEDICAL STAFF BY-LAWS; 13. ANY OTHER MATTERS REQUIRED BY LAW TO BE SUBMITTED TO THE MEMBER OR WHICH THE BOARD DETERMINES BY RESOLUTION TO SUBMIT.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 IS REVIEWED BY THE CFO, CEO, AND MEMBERS OF THE AUDIT COMMITTEE PRIOR TO FILING. THE BOARD RECEIVES A COPY BEFORE THE RETURN IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	DIRECTORS AND OFFICERS OF THE CORPORATION SHALL DISCLOSE TO THE BOARD ANY SITUATION WHEREIN THE DIRECTOR OR OFFICER HAS A CONFLICTING INTEREST OR DUALITY OF INTEREST THAT COULD POSSIBLY CAUSE THAT PERSON TO ACT IN OTHER THAN THE BEST INTEREST OF THE CORPORATION. OFFICERS AND DIRECTORS MUST COMPLETE AN ANNUAL STATEMENT OF CONFLICTS OF INTEREST. THE RESPONSES TO THE CONFLICT OF INTEREST ARE REVIEWED AND DETERMINED IF ADDITIONAL DISCLOSURE IS NECESSARY OR IF THE ANSWERS NEED TO BE REVIEWED BY LEGAL COUNSEL. ANY MEMBER OF THE BOARD HAVING A KNOWN DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD MAKE A DISCLOSURE OF SUCH CONFLICT TO THE OTHER TRUSTEES. SUCH PERSON SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, BUT SUCH PERSON MAY BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING. THE MINUTES OF THE MEETING SHOULD REFLECT THE MAKING OF THE DISCLOSURE, AND ABSTENTION FROM VOTING AND THE QUORUM SITUATION. IN ADDITION, ANY OFFICER OF THE CORPORATION HAVING A KNOWN DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER BEFORE SUCH OFFICER FOR ADMINISTRATIVE ACTION SHALL REPORT THE CONFLICT TO THE PRESIDENT OR, IN THE CASE OF THE PRESIDENT, TO THE CHAIR. SUCH OFFICER SHALL ABSTAIN FROM TAKING ANY ADMINISTRATIVE ACTION ON SUCH MATTER. THE CONFLICT OF INTEREST POLICY IS BASED ON THE IRS MODEL.
FORM 990, PART VI, SECTION B, LINE 15B	MARY RUTAN HOSPITAL'S EXECUTIVE COMPENSATION PHILOSOPHY COVERS THE FOLLOWING GROUPS OF EXECUTIVES: PRESIDENT AND CHIEF EXECUTIVE OFFICER; CHIEF FINANCIAL OFFICER; ASSOCIATION, HOSPITAL, AND SELECT SUBSIDIARY VICE PRESIDENTS AND ADMINISTRATORS. IN DETERMINING THE APPROPRIATE LEVEL OF COMPENSATION WITHIN THE OVERALL STRATEGY, MARY RUTAN WILL CONSIDER SUCH FACTORS AS: TOTAL INCUMBENT RESPONSIBILITIES AND SCOPE OF THE POSITION HELD BY THE INDIVIDUAL; INCUMBENT'S LENGTH OF SERVICE IN THE INDUSTRY, LENGTH OF SERVICE WITH THE HOSPITAL, AND YEARS IN CURRENT POSITION; THE HOSPITAL'S FINANCIAL AND NON-FINANCIAL PERFORMANCE OVER A RELEVANT TIME PERIOD; AND ADDITIONAL ACTIVITIES PERFORMED BY THE INCUMBENT FROM THE POSITION RESPONSIBILITIES IDENTIFIED, BUT HAVING A DIRECT OR INDIRECT IMPACT ON BUSINESS (MULTIPLE JOB RESPONSIBILITIES, SPECIAL PROJECTS, SPECIFIC INDUSTRY EXPERTISE/EXPERIENCE, ETC.). THE REVIEW INCLUDES PERIODIC USE OF AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION STUDIES AND SURVEYS, AND APPROVAL BY THE EXECUTIVE COMMITTEE AND BOARD. VOTING MEMBERS OF ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS AND WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM THE CORPORATION FOR SERVICES IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. THE COMPENSATION REVIEW FOR THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES WAS LAST CONDUCTED IN 2022.
FORM 990, PART VI, SECTION C, LINE 19	THE DOCUMENTS ARE ONLY MADE AVAILABLE AT THE WRITTEN REQUEST OF THE INTERESTED PARTY.
PART VII AND PART IX	THE SALARIES AND WAGES FOR THE OFFICERS AND HIGHEST COMPENSATED EMPLOYEES ON MARY RUTAN HEALTH ASSOCIATION, A RELATED ORGANIZATION, ARE INITIALLY PAID OUT OF MARY RUTAN HEALTH ASSOCIATION BUT AN ENTRY IS MADE TO ALLOCATE THE SALARY AND WAGE EXPESNES TO MARY RUTAN HOSPITAL (WHERE THE MAJORITY OF THE TIME IS SPENT). THEREFORE, THE OFFICERS VICKIE CRUMLEY, AMANDA GOBLE AND STEVE BROWN WILL BE SHOWN AS BEING PAID BY A RELATED ORGANIZATION ON PART VII, BUT THEIR OFFICER COMPENSATION WILL BE INCLUDED ON PART IX, LINE 5 OF THE MARY RUTAN HOSPITAL RETURN.
FORM 990, PART IX, LINE 11G	PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,830,500. MANAGEMENT AND GENERAL EXPENSES 190,665. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,021,165. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 5,053,353. MANAGEMENT AND GENERAL EXPENSES 251,533. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,304,886. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,099,568. MANAGEMENT AND GENERAL EXPENSES 204,058. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,303,626.
FORM 990, PART XI, LINE 9:	TRANSFER FROM MARY RUTAN FOUNDATION 1,303,515. CHANGE IN FMV OF INTEREST RATE SWAP AGREEMENT 276,315.
FORM 990, PART XII, LINE 2C	THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PART I, LINE 1:	THOSE DIRECTING MARY RUTAN HOSPITAL, A NOT-FOR-PROFIT, NON-GOVERNMENTAL HOSPITAL, ACCEPT RESPONSIBILITY FOR MEETING HEALTH CARE NEEDS OF THE COMMUNITY AND INSURING: A. THE DELIVERY OF SAFE, EFFICIENT AND ECONOMICAL HEALTH CARE WITHIN THE BOUNDS OF SOUND FINANCIAL AND DEBT SERVICE MANAGEMENT; B. A STRONG COMPETITIVE POSTURE WITHIN ITS SELECTED AREAS OF HEALTH SERVICES THROUGH EFFECTIVE BUDGETING, FORECASTING, AND MANAGEMENT; C. FIRM ESTABLISHMENT OF MARY RUTAN HOSPITAL AS A LEADER IN HEALTH CARE, SERVING RESIDENTS OF LOGAN COUNTY, OHIO, AND SURROUNDING AREAS WITH HIGH QUALITY ACUTE CARE, EMERGENCY CARE, AMBULATORY CARE AND CONSUMER HEALTH EDUCATION CONSISTENT WITH COMMUNITY NEEDS AND STAFF UTILIZATION; D. THAT THE HOSPITAL'S POSITION IN THE COMMUNITY WILL BE ENHANCED THROUGH STRONG INTERNAL MANAGEMENT, WELL-TRAINED HEALTH PROFESSIONALS WHO MAINTAIN CURRENT STANDARDS OF PRACTICE AND AGGRESSIVE AND CREATIVE EVALUATION OF SERVICES, TRENDS AND COMMUNITY NEEDS. E. THAT PATIENT EDUCATION IS PLANNED AND PROVIDED TO PROMOTE AND MAINTAIN HEALTH.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MARY RUTAN HEALTH ASSOCIATION
205 PALMER AVE	BELLEFONTAINE	OH	43311	346544675	HEALTHCARE	OH	501(C)(3)	9	N/A	0
MARY RUTAN FOUNDATION
205 PALMER AVE	BELLEFONTAINE	OH	43311	341407262	CHARITABLE FOUNDATION	OH	501(C)(3)	11B		Yes (1)	MARY RUTAN HEALTH ASSOCIATION
LOGAN COUNTY CANCER SOCIETY INC
205 PALMER AVE	BELLEFONTAINE	OH	43311	237105514	SUPPORT FOR CANCER PATIENTS	OH	501(C)(3)	7		Yes (1)	MARY RUTAN FOUNDATION

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LOGAN VIEW LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	205 PALMER AVE	AddressLine1Txt
City	BELLEFONTAINE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43311	ZIPCd

Field	Value	IRS element (for citing)
EIN	311101004	EIN
Primary Activities	HOME MEDICAL EQUIPMENT	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MARY RUTAN HEALTH ASSOCIATION
N	$1,335,706	MANAGEMENT AGREEMENT
MARY RUTAN HEALTH ASSOCIATION
Q	$148,733	TOTAL CHECKS FROM MRH
LOGAN VIEW LLC
L	$859,798	AMOUNT PAID TO LV
MARY RUTAN FOUNDATION
S	$1,303,515	EQUITY TRANSFER