2016-11-11T10:44:03-06:00 2015-12-31 381357951 PLANTE & MORAN PLLC 65 EAST STATE STREET SUITE 600 COLUMBUS OH 43215 990 2015-01-01 344441792 H B MAGRUDER MEMORIAL HOSPITAL HBMA 4197343131 615 FULTON STREET PORT CLINTON OH 43452 RONALD A WEINER CFO 4197343131 2016-11-10 1 Bernie Ostrowski P00366367 6148493000 2015 2017-02-10 21:41:12Z MAGRUDER HOSPITAL JON TODD ALMENDINGER 615 FULTON STREET PORT CLINTON OH 43452 51814110 0 X WWW.MAGRUDERHOSPITAL.COM X 1940 OH MAGRUDER HOSPITAL SHALL PROVIDE COMPASSIONATE CARE WITH EXCELLENT OUTCOMES. 13 11 465 100 0 0 144430 19087 51248547 50812588 598477 351169 559022 607762 52550476 51790606 7000 5500 0 0 23451550 23082532 0 0 12797 28564595 30850913 52023145 53938945 527331 -2148339 50783015 47555556 7053377 7484580 43729638 40070976 X MAGRUDER SHALL:-PROVIDE QUALITY AND COMPASSIONATE MEDICAL CARE AND TREATMENT-PROMOTE HEALTH EDUCATION AND PREVENTATIVE CARE-IMPROVE THE COMMUNITY'S HEALTH STATUS-WORK COLLABORATIVELY AND COOPERATIVELY WITH AREA HEALTH PROVIDERS-STRIVE FOR CONTINUAL QUALITY IMPROVEMENT-BE COST-EFFECTIVE IN HOSPITAL OPERATIONS-ACHIEVE ALIGNMENT WITH THE GOALS AND OBJECTIVES OF THE STAFF PHYSICIANS 0 0 48633856 5500 50992542 MAGRUDER CONTINUES ITS COMMITMENT TO SERVING THE PUBLIC HEALTH PREVENTION AND HEALTH EDUCATION NEEDS IN THE COMMUNITIES OF OTTAWA COUNTY. OUR OUTREACH PROGRAMS CONTINUE TO TOUCH HUNDREDS OF LIVES IN OUR COMMUNITIES. - REDUCED FEE CHOLESTEROL SCREENING FOR THE COMMUNITY EACH MONTH (112 PARTICIPANTS)- ADMINISTERED FLU SHOTS AT BUSINESSES, HEALTH FAIRS AND PUBLIC CLINICS (410 PARTICIPANTS)- MEDICARE EDUCATION FOR THE COMMUNITY (IN ADDITION TO A LARGE PUBLIC EDUCATIONAL SESSION (52), WE HAD STAFF THROUGHOUT THE END OF THE YEAR OFFERING ONE ON ONE APPOINTMENTS (18) FOR PART D COMPARISONS AND OTHER RESOURCES.- KIWANIS LAB SCREENING TEST FOR 7 DIFFERENT MEDICAL CONDITIONS (153 PARTICIPANTS)- FREE SKIN CANCER SCREENING TO THE COMMUNITY (99 PARTICIPANTS)- FREE COLORECTAL HEALTH SCREENING KITS TO THE COMMUNITY (62 PARTICIPANTS)- CANCER SUPPORT GROUP (66 PARTICIPANTS)- REDUCED FEE WELLNESS CLASSES FOR THE COMMUNITY (1,305 PARTICIPANTS)- GENERAL HEALTH SCREENINGS (USUALLY BMI, BLOOD PRESSURE & BLOOD SUGAR) AT COMMUNITY EVENTS (174 PARTICIPANTS)- BOARD INVOLVEMENT IN: PROJECT LIFESAVER, 3 AREA CHAMBERS OF COMMERCE AND THE OTTAWA COUNTY COUNCIL OF HEALTH & SOCIAL CONCERNS- MAGRUDER SPONSORED 5 BLOOD DRIVES IN 2015 WHICH INCLUDES NOT ONLY THE SPACE AND PROMOTION FOR THE EVENT BUT ALSO ALLOWING EMPLOYEES TO DONATE ON WORK TIME.- PROVIDE TRANSPORTATION FOR PATIENTS WITH NO WAY HOME ($688)- EDUCATION PROGRAMS (857 PARTICIPANTS) - COMMUNITY EVENTS: MEDICAL INFORMATION NOTEBOOK PROGRAM, HEART HEALTH AT MENS PRAYER BREAKFAST, OBSERVATION VS. INPATIENT TALK AT SENIOR CENTER, FLU AT NARFE LUNCHEON, BELLY HEALTH AT MS SUPPORT GROUP, SENIOR HEALTH INSURANCE ROAD SHOW, PORT CLINTON ACTIVITY GUIDE - MONTHLY LUNCHEONS: MEDICARE UPDATE, CHOOSE WISELY, SHINGLES, CANCER, ARTHRITIS, SLEEP, NUTRITION, SAD - "TIME FOR HEALTH" TV SHOW: SAD, SLEEP, HAND INJURIES, JOING REPLACEMENT, STRESS REDUCTION, PROSTATE CANCER, SKIN HEALTH, INSURANCE MAZE, DENTAL HEALTH, RESPECT THE RX- MAGRUDER HOSPITAL ALSO SPONSORS OR PARTICIPATES IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES: - OTTAWA COUNTY FAIR - FLAGSHIP PLAY PLACE - JOYFUL CONNECTIONS (SUPERVISED VISITATION AND EXCHANGE) - HABITAT FOR HUMANITY - OFFICER PHIL GRADE SCHOOL SAFETY - PORT CLINTON ARTS COUNCIL - PORT CLINTON & OAK HARBOR ATHLETIC BOOSTERS - AMERICAN RED CROSS - CHAMBERS OF COMMERCE - FREE THANKSGIVING MEAL DONATION - DOMESTIC VIOLENCE SHELTERTHESE 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, MEDICAL EQUIPMENT, SAFE ACTIVITIES FOR TEENS OR A SAFE LOCATION FOR SUPERVISED VISITATION.OPPORTUNITIES ARE PROVIDED TO ASSIST IN THE DELIVERY OF THE HEALTHCARE AT THE HOSPITAL THROUGH VOLUNTEER SERVICE COORDINATED BY THE HB MAGRUDER MEMORIAL HOSPITAL AUXILIARY (AUXILIARY). THE AUXILIARY OPERATES THE HOSPITAL'S GIFT SHOP AND PROVIDES VOLUNTEERS THAT WORK IN VARIOUS HOSPITAL DEPARTMENTS INCLUDING: TRANSPORT, RADIOLOGY, NURSING, FOOD SERVICE, HEALTH INFORMATION SERVICES, LAB AND THE BUSINESS OFFICE.IN 2001, 2006 AND 2012 A NUMBER OF OTTAWA COUNTY AGENCIES, HEADED BY THE OTTAWA COUNTY HEALTH DEPARTMENT, PARTNERED WITH THE HOSPITAL COUNCIL OF NW OHIO TO COMPLETE FULL ADULT AND YOUTH HEALTH ASSESSMENT SURVEYS. IN 2012 NOT-FOR PROFIT HOSPITALS WERE MANDATED TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND CONTINUE TO DO SO EVERY 3 YEARS. BECAUSE OF DIFFERING TIMELINES, IN 2012 THE LARGER COUNTY GROUP DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AND MAGRUDER HOSPITAL DEVELOPED A SEPARATE IMPLEMENTATION STRATEGY. IN 2015, MAGRUDER AND THE HOSPITAL COUNCIL USED SECONDARY DATA FROM NATIONAL, STATE, LOCAL AND HOSPITAL SOURCES TO COMPILE THE 2015 OTTAWA COUNTY CHNA.ON DECEMBER 2, 2015 TWENTY-SIX PEOPLE REPRESENTING THE MENTAL HEALTH & RECOVERY BOARD OF ERIE & OTTAWA COUNTIES, OTTAWA COUNTY VETERANS, MAGRUDER HOSPITAL, OTTAWA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES, OTTAWA COUNTY FAMILY & CHILDREN FIRST COUNCIL, OTTAWA COUNTY HEALTH DEPARTMENT, RIVERVIEW HEALTHCARE CAMPUS, OTTAWA COUNTY SENIOR RESOURCES, UNITED WAY, DENTAL CENTER OF NW OHIO, OTTAWA COUNTY COMMUNITY FOUNDATION, RIVERVIEW INDUSTRIES AND THE OTTAWA COUNTY PROBATE & JUVENILE COURT GATHERED TO REVIEW THE 2015 OTTAWA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). AT THE PRESENTATION, THE GROUP WAS PROVIDED WITH A LIST OF GOALS DEVELOPED BY THE LARGER COUNTY GROUP AFTER THE 2012 CHNA, AS WELL AS THE 2012 IMPLEMENTATION STRATEGY FROM THE HOSPITAL-SPECIFIC GROUP. THOSE PRESENT ALSO REVIEWED THE RESULTS OF THE 69 PAGE 2015 ASSESSMENT AND HAD A RICH DISCUSSION OF WHAT KEY AREAS TO FOCUS ON FOR THE NEXT 3 YEARS. IN THE 2015 ASSESSMENT, IT WAS REPORTED THAT "THE WORLD CANCER RESEARCH FUND ESTIMATES THAT ABOUT ONE-QUARTER TO ONE-THIRD OF THE NEW CANCER CASES EXPECTED TO OCCUR IN THE U.S. IN 2015 WILL BE RELATED TO OVERWEIGHT OR OBESITY, PHYSICAL INACTIVITY, AND POOR NUTRITION, AND THUS COULD BE PREVENTED" (P.23). THE GROUP DISCUSSED THAT IT IS VERY LIKELY THAT THE SAME HOLDS TRUE FOR HEART DISEASE, AND SINCE HEART DISEASE AND CANCER ARE THE #1 AND #2 LEADING CAUSES OF DEATH IN OTTAWA COUNTY, PERHAPS THIS IS WHERE WE MIGHT WANT TO FOCUS. THE GROUP DECIDED THAT THE OVERALL GOAL IS A HEALTHY OTTAWA COUNTY, AND THERE WERE 3 MAIN AREAS WE DECIDED TO FOCUS ON. WOVEN THROUGHOUT ALL THESE GOALS THE GROUP AGREED TO WORK THROUGHOUT THE WHOLE COUNTY, WITH ALL AGE GROUPS AND TO PERIODICALLY COMMUNICATE TO THE COMMUNITY THROUGH A VARIETY OF VENUES HOW THINGS ARE GOING. 1. INCREASE HEALTHY NUTRITION HABITS A. EXPAND COMMUNITY GARDENS B. EXPAND FARMER'S MARKETS C. PROVIDE EDUCATION ON HOW TO STORE AND PREPARE FRESH FRUITS & VEGETABLES2. INCREASE PHYSICAL ACTIVITY A. PURSUE BIKE & WALKING TRAILS ALONG LAKE ERIE B. INVESTIGATE PUBLIC USE OF TRACKS AT LOCAL SCHOOLS C. INVESTIGATE WALKING CLUBS INSIDE THE SCHOOLS DURING WINTER MONTHS D. INVESTIGATE WALK WITH A DOC PROGRAM3. MAXIMIZE MENTAL HEALTH RESOURCES & DECREASE STIGMA A. PROMOTE AWARENESS OF WHAT SERVICES ALREADY EXIST AND HOW TO ACCESS THEM B. WORK COLLABORATIVELY TO DECREASE INDIVIDUAL AND SYSTEMIC BARRIERS TO THOSE SERVICESBY IMPLEMENTING THESE STRATEGIES WE HOPE TO MAKE THE BEST USE OF THE RESOURCES AND SERVICES ALREADY AVAILABLE IN THE COMMUNITIES WE SERVE, AS WELL AS TO WORK COLLABORATIVELY TO BUILD NEW HEALTHY OPPORTUNITIES FOR THOSE WHO VISIT, WORK AND LIVE IN OTTAWA COUNTY. 48633856 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 81 0 1 465 1 0 0 0 0 0 1 1 0 0 0 0 X 13 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X TONI MAGSIG ACCOUNTING DIRECTOR 4197343131 615 FULTON STREET PORT CLINTON OH 43452 GREG DEERHAKE CHAIR 1.00 0.00 X X 0 0 0 PAUL DRUCKENMILLER VICE CHAIR 1.00 0.00 X X 0 0 0 NANCY OSBORN SECRETARY 1.00 0.00 X X 0 0 0 DAVID SODERBERG TREASURER 1.00 0.00 X X 0 0 0 DANIEL ALMENDINGER ASST SECRETARY 1.00 0.00 X X 0 0 0 JOHN BODIE MD DIRECTOR 1.00 0.00 X 0 0 0 EMIL CELLIER DIRECTOR 1.00 0.00 X 0 0 0 DOUGLAS FOCHT DIRECTOR 1.00 0.00 X 0 0 0 MARK HABLITZEL DDS DIRECTOR 1.00 0.00 X 0 0 0 RON MILLER DIRECTOR 1.00 0.00 X 0 0 0 KEVIN SNEIDER DPM DIRECTOR 1.00 0.00 X 0 0 0 LOCKWOOD ZEIS DIRECTOR 1.00 0.00 X 0 0 0 SUE CROSSER DIRECTOR 1.00 0.00 X 0 0 0 BRUCE SMITH VICE CHAIR (PART YEAR) 1.00 0.00 X X 0 0 0 JON TODD ALMENDINGER PRESIDENT & CEO 40.00 0.00 X 264303 0 30447 NICHOLAS MARSICO VP ANCILLARY SERVICES 40.00 0.00 X 153897 0 22542 RON WEINER VP FINANCE 40.00 0.00 X 161744 0 23701 KATHY DURFLINGER VP NURSING (PART YEAR) 40.00 0.00 X 164622 0 11091 DONALD E REED PHYSICIAN 40.00 0.00 X 379693 0 32231 GARY KRESGE PHYSICIAN 40.00 0.00 X 321359 0 31135 STEVEN JACKSON PHYSICIAN 40.00 0.00 X 279185 0 28282 DANIEL CADIGAN PHYSICIAN 40.00 0.00 X 277100 0 29788 GREGORY GOINGS PHYSICIAN 40.00 0.00 X 277617 0 20443 2279520 0 229660 21 0 1 0 PORT CLINTON EMERGENCY PHYSICIANS INC 3914 MEMORIAL SHOREWAY LAKESIDEMARBLEHEAD OH 43440 EMERGENCY PHYSICIANS 2095967 CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 COMPUTER SUPPORT 1429083 ADVANCED HEALTH LTD 2500 W STRUB RD STE 150 SANDUSKY OH 44870 PHYSICAL THERAPY 1300725 FOCHT CONSTRUCTION 2040 STATE RD PORT CLINTON OH 43452 CONSTRUCTION SERVICES 1065166 HOLCOMB ENTERPRISES 6660 FRITCHIE RD PORT CLINTON OH 43452 MAINTENANCE SERVICES 829546 14 19087 19087 HEALTHCARE SERVICES 622110 50387910 50387910 PHYSICIAN OFFICE RENTAL 622110 424678 424678 50812588 312223 312223 62450 23504 38946 38946 38946 MOBILE MEALS/FOOD SERVICE 722514 427808 0 427808 PM CLINIC-MISC REV 900099 94424 94424 FOUNDATION EVENTS 900099 36154 36154 49376 49376 607762 51790606 50992542 0 778977 X 5500 5500 832348 832348 15372637 13297331 2075306 1087432 940629 146803 4485551 3880002 605549 1304564 1128448 176116 31471 18674 12797 87758 87758 11653699 11090286 563413 264932 264932 1936280 1578254 358026 1026092 892700 133392 1645757 1408400 237357 58242 29121 29121 4388411 4388411 397780 397780 MEDICAL SUPPLIES 6617646 6617646 Bad Debt Expense 2593485 2593485 PHYSICIAN RECRUITMENT 95065 83324 11741 EDUCATION 19941 17349 2592 34354 20258 14096 53938945 48633856 5292292 12797 3000 10072 9181165 7077115 7062294 6514485 1262485 1832784 467641 528251 787150 760262 65962905 41963871 23589590 23999034 6686855 6617591 1742835 215962 50783015 47555556 5189710 5468217 300246 496832 1563421 1519531 7053377 7484580 X 42336456 40019001 43965 51975 1349217 0 43729638 40070976 50783015 47555556 X -2148339 -239875 -1270448 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3851 3851 0 Part II-B, Line 1: A PORTION OF DUES PAID TO THE OHIO HOSPITAL ASSOCIATION RELATES TO LOBBYING. 575711 110822 686533 35009653 19085948 15923705 1470291 627968 842323 27446792 22249955 5196837 1349636 1349636 23999034 ESTIMATED 3RD PARTY PAYOR SETTLEMENTS 1275051 ACCRUED POST-RETIREMENT BEN. OBLIGATION 244480 1519531 1 1 X 1 X 1 X 1 1 1 0 1 1 785003 1752493 -967490 0.00000 7026109 2770149 4255960 0.08290 7811112 4522642 3288470 0.08290 7 2626 36613 5776 30837 0.00060 6 84 337541 0 337541 0.00660 0 0 0 0 3 138 9642 9642 0.00020 16 2848 383796 5776 378020 0.00740 16 2848 8194908 4528418 3666490 0.09030 0 2593485 129674 14484472 14768612 -284140 X 1 1 1 OTTAWA COUNTY CARENET GROUP CONTRACTING 0.50000 0.50000 1 1 HB MAGRUDER MEMORIAL HOSPITAL 615 FULTON STREET PORT CLINTON OH 43452 http://www.magruderhospital.com/ STATE REG. NO. 1252 X X X HB MAGRUDER MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X 15 1 0 1 1 X HTTP://WWW.MAGRUDERHOSPITAL.COM/ 1 15 1 HTTP://WWW.MAGRUDERHOSPITAL.COM/ 0 0 1 X 100.000000000000 300.000000000000 1 1 X X X 1 X HTTP://WWW.MAGRUDERHOSPITAL.COM/FINANCIAL-ASSISTANCE X X X X X 1 X 0 X X X X 0 X X 0 0 HB MAGRUDER MEMORIAL HOSPITAL Part V, Section B, Line 6b: OTTAWA COUNTY HEALTH DEPARTMENT HB MAGRUDER MEMORIAL HOSPITAL Part V, Section B, Line 11: REPRESENTATIVES OF THE MENTAL HEALTH & RECOVERY BOARD OF ERIE & OTTAWA COUNTIES, OTTAWA COUNTY VETERANS, MAGRUDER HOSPITAL, OTTAWA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES, OTTAWA COUNTY FAMILY & CHILDREN FIRST COUNCIL, OTTAWA COUNTY HEALTH DEPARTMENT, RIVERVIEW HEALTHCARE CAMPUS, OTTAWA COUNTY SENIOR RESOURCES, UNITED WAY, DENTAL CENTER OF NW OHIO, OTTAWA COUNTY COMMUNITY FOUNDATION, RIVERVIEW INDUSTRIES AND THE OTTAWA COUNTY PROBATE & JUVENILE COURT GATHERED TO REVIEW THE 2015 OTTAWA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). AT THE PRESENTATION, THE GROUP WAS PROVIDED WITH A LIST OF GOALS DEVELOPED BY THE LARGER COUNTY GROUP AFTER THE 2012 CHNA, AS WELL AS THE 2012 IMPLEMENTATION STRATEGY FROM THE HOSPITAL-SPECIFIC GROUP. THOSE PRESENT ALSO REVIEWED THE RESULTS OF THE 69 PAGE 2015 ASSESSMENT AND HAD A RICH DISCUSSION OF WHAT KEY AREAS TO FOCUS ON FOR THE NEXT 3 YEARS. IN THE 2015 ASSESSMENT, IT WAS REPORTED THAT "THE WORLD CANCER RESEARCH FUND ESTIMATES THAT ABOUT ONE-QUARTER TO ONE-THIRD OF THE NEW CANCER CASES EXPECTED TO OCCUR IN THE U.S. IN 2015 WILL BE RELATED TO OVERWEIGHT OR OBESITY, PHYSICAL INACTIVITY, AND POOR NUTRITION, AND THUS COULD BE PREVENTED" (P.23). THE GROUP DISCUSSED THAT IT IS VERY LIKELY THAT THE SAME HOLDS TRUE FOR HEART DISEASE, AND SINCE HEART DISEASE AND CANCER ARE THE #1 AND #2 LEADING CAUSES OF DEATH IN OTTAWA COUNTY, PERHAPS THIS IS WHERE WE MIGHT WANT TO FOCUS. THE GROUP DECIDED THAT THE OVERALL GOAL IS A HEALTHY OTTAWA COUNTY, AND THERE WERE 3 MAIN AREAS WE DECIDED TO FOCUS ON. WOVEN THROUGHOUT ALL THESE GOALS THE GROUP AGREED TO WORK THROUGHOUT THE WHOLE COUNTY, WITH ALL AGE GROUPS AND TO PERIODICALLY COMMUNICATE TO THE COMMUNITY THROUGH A VARIETY OF VENUES HOW THINGS ARE GOING. 1. INCREASE HEALTHY NUTRITION HABITSA. EXPAND COMMUNITY GARDENSB. EXPAND FARMER'S MARKETSC. PROVIDE EDUCATION ON HOW TO STORE AND PREPARE FRESH FRUITS & VEGETABLES 2. INCREASE PHYSICAL ACTIVITYA. PURSUE BIKE & WALKING TRAILS ALONG LAKE ERIEB. INVESTIGATE PUBLIC USE OF TRACKS AT LOCAL SCHOOLSC. INVESTIGATE WALKING CLUBS INSIDE THE SCHOOLS DURING WINTER MONTHSD. INVESTIGATE WALK WITH A DOC PROGRAM 3. MAXIMIZE MENTAL HEALTH RESOURCES & DECREASE STIGMAA. PROMOTE AWARENESS OF WHAT SERVICES ALREADY EXIST AND HOW TO ACCESS THEMB. WORK COLLABORATIVELY TO DECREASE INDIVIDUAL AND SYSTEMIC BARRIERS TO THOSE SERVICES BY IMPLEMENTING THESE STRATEGIES WE HOPE TO MAKE THE BEST USE OF THE RESOURCES AND SERVICES ALREADY AVAILABLE IN THE COMMUNITIES WE SERVE, AS WELL AS TO WORK COLLABORATIVELY TO BUILD NEW HEALTHY OPPORTUNITIES FOR THOSE WHO VISIT, WORK AND LIVE IN OTTAWA COUNTY. HB MAGRUDER MEMORIAL HOSPITAL Part V, Section B, Line 22d: ALL PATIENTS ARE CHARGED AT GROSS CHARGES PER THE CHARGEMASTER. THOSE APPROVED FOR FINANCIAL ASSISTANCE ARE THEN GIVEN THE APPROPRIATE ALLOWANCE AND BILLED ANY REMAINING AMOUNT. 9 1 - PHYSICIAN OFFICE 611 E 6TH STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE 2 - PHYSICIAN OFFICE 621 FULTON STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE 3 - PHYSICAL THERAPY 7725 W STATE ROUTE 163 OAK HARBOR OH 43449 PHYSICAL THERAPY 4 - PHYSICIAN OFFICE 11697 W STATE ROUTE 163 OAK HARBOR OH 43449 PHYSICIAN OFFICE 5 - PHYSICAL THERAPY 4058 E HARBOR RD PORT CLINTON OH 43452 PHYSICAL THERAPY 6 - PHYSICIAN OFFICE 1297 W MAIN STREET LAKESIDE MARBLEHEAD OH 43440 PHYSICIAN OFFICE 7 - PHYSICIAN OFFICE 2861 EAST HARBOR ROAD PORT CLINTON OH 43452 PHYSICIAN OFFICE 8 - PHYSICIAN OFFICE 730 JEFFERSON STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE 9 - PHYSICIAN OFFICE 1250 FULTON STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE Part I, Line 7: TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO CHARITY CARE WAS CALCULATED USING A COST-TO-CHARGE RATIO. TOTAL COMMUNITY BENEFIT RELATED TO MEDICAID WAS CALCULATED FROM THE MEDICAID COST REPORT. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 2,593,485. Part II, Community Building Activities: THE COMMUNITY BUILDING ACTIVITIES THAT MAGRUDER HOSPITAL SUPPORTS ENCOURAGE EXERCISE (AREA SCHOOL ATHLETIC BOOSTERS), EDUCATION (AREA SCHOOLS HONOR BANQUETS), SAFETY (OFFICER PHIL), AND OTHER HEALTH-RELATED ORGANIZATIONS (EMS, EASTER SEALS, HOSPICE). Part III, Line 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS.THE AMOUNT OF BAD DEBT EXPENSE REPORTED IN PART III, LINES 2 AND 3 IS BASED DIRECTLY ON THE BAD DEBT EXPENSE REPORTED IN THE AUDITED FINANCIAL STATEMENTS, WITH LINE 3 BEING ESTIMATED AS 5% OF THE TOTAL BAD DEBT EXPENSE REPORTED IN LINE 2. THE ENTIRE BAD DEBT EXPENSE RELATES SOLELY TO PATIENT ACCOUNTS. MAGRUDER HOSPITAL DOES NOT BELIEVE BAD DEBT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. Part III, Line 8: BASED ON A COST TO CHARGE RATIO CALCULATED AS REQUIRED UNDER MEDICARE RULES, THE COSTS OF PROVIDING CARE TO THE MEDICARE POPULATION IN 2015 WAS $14,768,612. THE PAYMENTS RELATED TO THESE SERVICES WERE $14,484,472, LEAVING A MEDICARE SHORTFALL OF $284,140 FOR THE YEAR. Part III, Line 9b: ALL COLLECTION EFFORTS ARE PLACED ON HOLD UNTIL FINANCIAL ASSISTANCE IS PROCESSED. IF APPROVED, THE BALANCES ARE WRITTEN OFF. Part VI, Line 2: MAGRUDER HOSPITAL AND THE MEMBERS OF THE OTTAWA COUNTY HEALTH PARTNERS (OTTAWA COUNTY HEALTH DEPARTMENT, THE PROBATE/JUVENILE COURT, UNITED WAY, MENTAL HEALTH & RECOVERY BOARD, JOB & FAMILY SERVICES, LOCAL SCHOOL DISTRICTS, SENIOR RESOURCES, BOARD OF DEVELOPMENTAL DISABILITIES AND RIVERVIEW HEALTHCARE CAMPUS) COLLABORATED ON THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT. WE HAVE CHOSEN TO ASSESS OTTAWA COUNTY AS OUR COMMUNITY BECAUSE THIS IS WHERE WE, AND THOSE WE SERVE, LIVE AND WORK.THIS 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. THE HEALTH ASSESSMENT GIVES US THE OPPORTUNITY TO GLANCE INTO OUR COMMUNITY, AS WELL AS OUR STATE AND NATION. THE DATA PRESENTED IN THIS REPORT WILL PROVIDE VALUABLE INFORMATION TO DEVELOP STRATEGIES THAT FOCUS ON WELLNESS, ACCESS TO CARE AND UNMET COMMUNITY NEEDS.IN ADDITION TO THE INFORMATION FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, MAGRUDER PARTICIPATES IN THE OTTAWA COUNTY COUNCIL OF HEALTH & 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 TO MINIMIZE DUPLICATION OF SERVICES. MAGRUDER HOSPITAL HAS REVIEWED THE HEALTH ASSESSMENT REPORT IN COMPARISON TO OUR SERVICES AND RESOURCES AND HAS BEGUN WORK ON A HOSPITAL-SPECIFIC IMPLEMENTATION STRATEGY. IN KEEPING WITH OUR MISSION OF PROVIDING COMPASSIONATE CARE WITH EXCELLENT OUTCOMES, OUR HOSPITAL COMMUNITY NEEDS ASSESSMENT COMMITTEE HAS DETERMINED THAT TOBACCO USE AND DIABETES ARE TWO OF THE GREATEST NEEDS. BOTH ARE CLOSELY RELATED TO THE LEADING TYPES OF DEATH IN OTTAWA COUNTY AND BOTH HAVE COMPONENTS THAT MAY BE PREVENTABLE. WE STILL CONTINUE TO PARTNER WITH THE COUNTY-WIDE OTTAWA COUNTY HEALTH PARTNERS, AND THAT GROUP HAS ALSO REVIEWED THE HEALTH ASSESSMENT IN LIGHT OF THE RESOURCES AND GAPS IN OUR COMMUNITY AND THEY HAVE CHOSEN TO ADDRESS: INCREASING HEALTHY LIVING, DECREASING ADULT AND YOUTH SUBSTANCE ABUSE AND BUILDING RESILIENT YOUTH.CERTAINLY THERE IS STILL 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.MAGRUDER'S ACTION PLAN:MAGRUDER HOSPITAL HAS REVIEWED THE HEALTH ASSESSMENT REPORT IN COMPARISON TO OUR SERVICES AND RESOURCES AND HAS DEVELOPED A HOSPITAL-SPECIFIC IMPLEMENTATION STRATEGY. IN KEEPING WITH OUR MISSION OF PROVIDING COMPASSIONATE CARE WITH EXCELLENT OUTCOMES, OUR HOSPITAL COMMUNITY NEEDS ASSESSMENT COMMITTEE HAS DETERMINED THAT TOBACCO USE AND DIABETES ARE TWO OF THE GREATEST NEEDS. BOTH ARE CLOSELY RELATED TO THE LEADING TYPES OF DEATH IN OTTAWA COUNTY AND BOTH HAVE COMPONENTS THAT MAY BE PREVENTABLE. ACCORDING TO THE AMERICAN CANCER SOCIETY, TOBACCO USE IS ONE OF THE MOST PREVENTABLE CAUSES OF DISEASE AND EARLY DEATH IN THE WORLD. THE RATE OF ADULT TOBACCO USE IN OTTAWA COUNTY IS HIGHER FOR THOSE WHO REPORT EARNING LESS THAN $25,000 PER YEAR. THE PERCENT OF THOSE IN OTTAWA COUNTY WHO TRIED TO QUIT SMOKING IN 2012 WAS 36% COMPARED TO 70% IN 2006. IN AN EFFORT TO INCREASE SMOKING CESSATION RESOURCES, MAGRUDER HAS DEVELOPED SOME TACTICS TO INCREASE CESSATION EFFORTS. IN JANUARY OF 2014 WE PROMOTED AND BEGAN A CESSATION PROGRAM WITH OUR TRAINED CESSATION STAFF AT A REDUCED RATE OF $25 FOR THE BOOK AND ENTIRE 8 WEEK SESSION. WE ALSO DISCUSSED THE POSSIBILITY OF OBTAINING YOUTH CESSATION CERTIFICATION, BUT AFTER DISCUSSION WITH THE SCHOOLS, IT WAS DETERMINED THERE WAS ONLY INTERMITTENT NEED FOR THAT. IN ADDITION, OUR CESSATION STAFF DID RADIO AND TV SHOWS ON TOBACCO ADDICTION AND CESSATION. WE ALSO MAKE OURSELVES AVAILABLE TO OUTSIDE BUSINESSES, GROUPS AND ORGANIZATIONS TO DO "LUNCH AND LEARN" TOPICS SUCH AS TOBACCO CESSATION. THE COMMITTEE ALSO COMPILED A LIST OF ALL TOBACCO CESSATION RESOURCES, INCLUDING THE GROWING NUMBER OF ON-LINE RESOURCES, WHICH COULD BE DISTRIBUTED AT LOCAL FAIRS AND FESTIVALS. BY IMPLEMENTING THESE STRATEGIES, WE HOPE TO REACH MORE PEOPLE IN OTTAWA COUNTY WITH INFORMATION ON HOW TO QUIT TOBACCO SO THAT THE NUMBER OF THOSE WORKING ON QUITTING WILL INCREASE. DIABETES IS CLOSELY ASSOCIATED WITH SO MANY DISEASES AND HEALTH CONDITIONS (OBESITY, HEART DISEASE ETC.), AND THE PERCENT OF THOSE DIAGNOSED WITH DIABETES ROSE FROM 8% IN 2006 TO 11% IN 2012. ADDITIONALLY DIAGNOSES OF DIABETES ARE HIGHER FOR THOSE WHO REPORTED EARNING LESS THAN $25,000 PER YEAR. BECAUSE OF THESE FACTORS, OUR COMMITTEE DECIDED TO INCREASE OUR EFFORTS IN DIABETES EDUCATION. OUR NUTRITION SERVICES DIRECTOR ALSO DID TV AND RADIO SHOWS DISCUSSING DIABETES AND PRE-DIABETES. SHE HAS ALSO MADE HERSELF AVAILABLE TO CIVIC GROUPS AND ORGANIZATIONS TO DO SIMILAR PROGRAMS. OUR DIABETIC EDUCATION DEPARTMENT HAS ALSO COMPLETED BMI SCREENINGS AND EDUCATION AT A COUPLE OF EVENTS, AS THIS IS AN INDICATOR OF PRE-DIABETES. IT WAS ALSO IDENTIFIED THAT THE INSURANCE OF SOME OF THE LARGER EMPLOYERS IN THE AREA DID NOT INCLUDE DIABETIC EDUCATION IN THEIR BENEFITS AND THIS WAS PREVENTING PEOPLE FROM SEEKING OUT THE EDUCATION. OUR NUTRITION SERVICES DIRECTOR HAS ALSO PRESENTED TO BUSINESSES THROUGH AN AREA CHAMBER OF COMMERCE ABOUT DIABETES AND PRE-DIABETES. BY IMPLEMENTING THESE STRATEGIES, WE HOPE TO REACH MORE PEOPLE IN OTTAWA COUNTY WHO MAY HAVE DIABETES AND PRE-DIABETES WITH FORMAL AND INFORMAL DIABETIC EDUCATION AND AWARENESS OF THE DISEASE. Part VI, Line 3: PATIENTS RECEIVE INFORMATION AT REGISTRATION, IN THEIR FIRST STATEMENT, AND OFFERED ON FOLLOW-UP PHONE CALLS. THERE ARE BROCHURES AT OUR PHYSICIAN OFFICES AND THROUGHOUT THE HOSPITAL. Part VI, Line 4: MAGRUDER HOSPITAL IS A CRITICAL ACCESS HOSPITAL LOCATED IN PORT CLINTON, OHIO SERVING THE HEALTHCARE NEEDS OF OTTAWA COUNTY. OTTAWA COUNTY IS LOCATED ON LAKE ERIE ABOUT 15 MILES SOUTHEAST OF TOLEDO, OHIO AND IS MADE UP OF VARIOUS COMMUNITIES THAT INCLUDE SEVEN VILLAGES, TWELVE TOWNSHIPS AND THE ONLY CITY IN OTTAWA COUNTY, PORT CLINTON. THE POPULATION OF 40,000 HAS EASY ACCESS TO MAJOR STATE ARTERIES TO TOLEDO AND CLEVELAND. Part VI, Line 5: MAGRUDER HOSPITAL ACTIVELY RECRUITS PHYSICIANS WITH THE SPECIALTIES NEEDED WITHIN THE COMMUNITY, SO THE COMMUNITY CAN ACCESS THE HEALTHCARE IT NEEDS. EXCESS FUNDS ARE PUT INTO STATE OF THE ART TECHNOLOGY TO BETTER SERVE OUR COMMUNITY. 1 SCHOLARSHIPS 11 5500 0 Part I, Line 2: THE ROY SCHOLARSHIP IS FUNDED BY A TRUST, AND IS RELEASED ONLY TO NURSING STUDENTS PURSUING THEIR RN DEGREE BASED ON FINANCIAL NEED AS DETERMINED THROUGH AN APPLICATION PROCESS. THE AUXILIARY ALSO AWARDS SCHOLARSHIPS BASED ON AN APPLICATION PROCESS TO QUALIFIED STUDENTS PURSUING A HEALTH-RELATED DEGREE. X 1 1 X X X 0 0 0 0 0 0 0 0 0 JON TODD ALMENDINGER PRESIDENT & CEO 264303 0 0 0 0 0 5668 0 24779 0 294750 0 0 0 NICHOLAS MARSICO VP ANCILLARY SERVICES 153897 0 0 0 0 0 3324 0 19218 0 176439 0 0 0 RON WEINER VP FINANCE 161744 0 0 0 0 0 4167 0 19534 0 185445 0 0 0 KATHY DURFLINGER VP NURSING (PART YEAR) 146615 0 0 0 18007 0 3330 0 7761 0 175713 0 0 0 DONALD E REED PHYSICIAN 379693 0 0 0 0 0 7452 0 24779 0 411924 0 0 0 GARY KRESGE PHYSICIAN 321359 0 0 0 0 0 6356 0 24779 0 352494 0 0 0 STEVEN JACKSON PHYSICIAN 279185 0 0 0 0 0 5604 0 22678 0 307467 0 0 0 DANIEL CADIGAN PHYSICIAN 268868 0 8232 0 0 0 5300 0 24488 0 306888 0 0 0 GREGORY GOINGS PHYSICIAN 277617 0 0 0 0 0 2639 0 17804 0 298060 0 0 0 Part I, Line 1a THE CEO RECEIVES REIMBURSEMENT FOR SOCIAL CLUB DUES; REIMBURSEMENT IS TREATED AS TAXABLE COMPENSATION TO THE CEO. THE ORGANIZATION USES FACILITY FOR VARIOUS STAFF FUNCTIONS THROUGHOUT THE YEAR. THIS TRANSACTION IS ANNUALLY BOARD APPROVED. DAVID BODIE SON OF JOHN BODIE 251470 COMPENSATION 0 KATHY ALMENDINGER WIFE OF TODD ALMENDINGER 28775 COMPENSATION 0 DOUG FOCHT dba FOCHT CONSTRUCTION BOARD MEMBER 1065166 CONTRACTOR 0 Form 990, Part VI, Section B, line 11 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. Form 990, Part VI, Section B, line 12c WRITTEN DISCLOSURE OF CONFLICTS OF INTEREST ARE REQUESTED ANNUALLY FOR ALL BOARD MEMBERS. THE CEO REVIEWS ALL DISCLOSURES. THE CODE OF REGULATIONS ASKS FOR PROMPT DISCLOSURE IF SITUATIONS CHANGE DURING THE YEAR. ANY BOARD MEMBER WITH A CONFLICT OR POTENTIAL CONFLICT IS RESTRICTED FROM PARTICIPATING IN VOTING ON MATTERS WHERE THERE IS A CONFLICT OR POTENTIAL CONFLICT. DOUG FOCHT, DIRECTOR, IS RESTRICTED FROM PARTICIPATING IN DECISIONS IN REGARDS TO BUILDING CONSTRUCTION TRANSACTIONS (SEE SCHEDULE L, PART VI DISCLOSURE). Form 990, Part VI, Section B, line 15 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 2015. Form 990, Part VI, Section C, line 18 FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. AN ABBREVIATED FINANCIAL STATEMENT IS INCLUDED IN THE HOSPITAL'S ANNUAL REPORT. Form 990, Part IX, line 11g PROFESSIONAL SERVICES: Program service expenses 7,091,654. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,091,654. PURCHASED SERVICES: Program service expenses 3,998,632. Management and general expenses 563,413. Fundraising expenses 0. Total expenses 4,562,045. Form 990, Part XI, line 9: ASSETS RELEASED FROM RESTRICTION -1,349,217. AUXILIARY ADJUSTMENT 52,748. CHANGE IN TEMPORARY RESTRICTED NET ASSETS 1,133,334. PAIN MANAGEMENT ADJUSTMENT 186,451. PAIN MANAGEMENT BEGINNING CAPITAL 296,306. POST RETIREMENT RELATED COSTS -72,804. TRANSFER TO AFFILIATES -1,517,266. FORM 990, PART XI, LINE 2C MEMBERS OF THE HOSPITAL'S BOARD OVERSEE THE AUDIT PROCESS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. MAGRUDER HOSPITAL FOUNDATION 615 FULTON STREET PORT CLINTON OH 43452 463883346 SUPPORTING ORGANIZATION OH 501(c)(3) Line 11b, II H B MAGRUDER MEMORITAL HOSPITAL 0 MAGRUDER PAIN MANAGEMENT LLC 615 FULTON ST PORT CLINTON OH 43452 275038026 PAIN MANAGEMENT OH H B MAGRUDER MEMORIAL HOSPITAL RELATED 207559 229740 0 1 0.51000 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 MAGRUDER PAIN MANAGEMENT LLC L 94424 ACCRUED AMOUNT MAGRUDER HOSPITAL FOUNDATION R 1517266