2015-11-11T14:33:07-06:00 2014-12-31 381357951 PLANTE & MORAN PLLC 65 EAST STATE STREET SUITE 600 COLUMBUS OH 43215 990 2014-01-01 344441792 H B MAGRUDER MEMORIAL HOSPITAL HBMA 4197343131 615 FULTON STREET PORT CLINTON OH 43452 RONALD A WEINER CFO 4197343131 2015-11-10 1 BERNIE OSTROWSKI P00366367 6148493000 2014 2016-02-25 16:41:14Z MAGRUDER HOSPITAL JON TODD ALMENDINGER 615 FULTON STREET PORT CLINTON OH 43452 52574501 0 X WWW.MAGRUDERHOSPITAL.COM X 1940 OH MAGRUDER HOSPITAL SHALL PROVIDE COMPASSIONATE CARE WITH EXCELLENT OUTCOMES. 14 13 446 100 0 0 167459 144430 49984521 51248547 253035 598477 568787 559022 50973802 52550476 7500 7000 0 0 22095770 23451550 0 0 6083 27507596 28564595 49610866 52023145 1362936 527331 50305893 50783015 8727561 7053377 41578332 43729638 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 46568363 7000 51421394 FOUNDED IN 1940, H B MAGRUDER MEMORIAL HOSPITAL (MAGRUDER) IS A 25 BED, MEDICARE DESIGNATED CRITICAL ACCESS TAX EXEMPT HEALTHCARE FACILITY, LOCATED IN PORT CLINTON, OHIO. THE HOSPITAL PROVIDES DIRECT HEALTHCARE SERVICES TO THE RESIDENTS IN THE COMMUNITIES OF OTTAWA COUNTY THAT INCLUDE BOTH INPATIENT AND OUTPATIENT SERVICES INCLUDING EMERGENCY SERVICES 24 HOURS PER DAY, 7 DAYS PER WEEK. PATIENTS ARE ACCEPTED REGARDLESS OF NATIONAL ORIGIN, AGE, RACE, CREED, SEX, OR ABILITY TO PAY.IN 2014, MAGRUDER EXPERIENCED A TOTAL OF 2,352 INPATIENT DAYS, INCLUDING 1,853 DAYS TO MEDICARE PATIENTS AND 70 DAYS TO MEDICAID PATIENTS. THE HOSPITAL EXPERIENCED 15,156 VISITS TO THE EMERGENCY DEPARTMENT, AND TREATED A TOTAL OF 73,749 OUTPATIENTS.WHILE MEDICARE, MEDICAID, AND PRIVATE INSURANCE PLANS AND PROGRAMS PAID FOR THE SERVICES OF MOST PATIENTS TREATED AND RELEASED AT MAGRUDER, UNCOMPENSATED CARE WAS PROVIDED BY THE HOSPITAL TO PATIENTS WHO WERE EITHER UNABLE OR UNWILLING TO PAY. THIS REFLECTED THE HOSPITAL'S MISSION TO CARE FOR PATIENTS EVEN IF UNABLE OR UNWILLING TO PAY FOR SERVICES NOT OTHERWISE COVERED BY PRIVATE INSURANCE AND/OR GOVERNMENTAL PROGRAMS.MAGRUDER CONTINUES ITS COMMITMENT TO SERVING THE PUBLIC HEALTH PREVENTION AND HEALTH EDUCATION NEEDS IN THE COMMUNITIES OF OTTAWA COUNTY. MAGRUDER IS AN ACTIVE PARTNER IN THE COMMUNITY HEALTH IMPROVEMENT PLAN WHICH IS ADDRESSING COMMUNITY NEEDS IDENTIFIED IN THE 2012 COMMUNITY HEALTH NEEDS ASSESSMENT. OUR OUTREACH PROGRAMS CONTINUE TO TOUCH HUNDREDS OF LIVES IN OUR COMMUNITIES. -REDUCED FEE CHOLESTEROL SCREENING FOR THE COMMUNITY EACH MONTH (99 PARTICIPANTS)-ADMINISTERED FLU SHOTS AT BUSINESSES, HEALTH FAIRS AND PUBLIC CLINICS (419 PARTICIPANTS)-MEDICARE EDUCATION FOR THE COMMUNITY (IN ADDITION TO A LARGE PUBLIC EDUCATIONAL SESSION (65), WE HAD STAFF THROUGHOUT THE END OF THE YEAR OFFERING ONE ON ONE APPOINTMENTS (33) 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 (115 PARTICIPANTS)-FREE COLORECTAL HEALTH SCREENING KITS TO THE COMMUNITY (33 PARTICIPANTS)-CANCER SUPPORT GROUP (53 PARTICIPANTS)-REDUCED FEE WELLNESS CLASSES FOR THE COMMUNITY (1,021 PARTICIPANTS)-GENERAL HEALTH SCREENINGS (USUALLY BMI, BLOOD PRESSURE & BLOOD SUGAR) AT COMMUNITY EVENTS (258 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 2014 WHICH INCLUDES NOT ONLY THE SPACE AND PROMOTION FOR THE EVENT BUT ALSO ALLOWED 47 EMPLOYEES TO DONATE ON WORK TIME.-PROVIDE TRANSPORTATION FOR PATIENTS WITH NO WAY HOME ($1,995)-EDUCATION PROGRAMS (780 PARTICIPANTS) -COMMUNITY EVENTS: MEDICAL INFORMATION NOTEBOOK PROGRAM, ADVANCE DIRECTIVES AT VA HEALTHFAIR, LEADERSHIP OTTAWA COUNTY HEALTH & SOCIAL SERVICES SEGMENT, PREDIABETES & DIABETES RISKS, ASK THE PHARMACIST AT MS SUPPORT GROUP, ASK THE PHARMACIST AT MEN'S PRAYER BREAKFAST -MONTHLY LUNCHEONS: COLORECTAL HEALTH, MARKETPLACE & MEDICAID EXPANSION, PATIENT SAFETY, ASK THE DIETITIAN, MEDICARE UPDATE, PATIENT PORTAL, CHRONIC PAIN, ANTIBIOTIC RESISTANCE, -"TIME FOR HEALTH" TV SHOW: MARKETPLACE INSURANCE, AUTISM, PERSONAL WELLNESS, STRENGTH TRAINING, DENTAL HEALTH, PROJECT LIFESAVER, EBOLA, CHRONIC PAIN, NUTRITION-MAGRUDER HOSPITAL ALSO SPONSORS OR PARTICIPATES IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES: -OTTAWA COUNTY FAIR -JOYFUL CONNECTIONS (SUPERVISED VISITATION AND EXCHANGE) -HABITAT FOR HUMANITY -MARCH OF DIMES -EASTER SEALS -PORT CLINTON SAFETY PATROL -PORT CLINTON ARTS COUNCIL -PORT CLINTON & OAK HARBOR ATHLETIC BOOSTERS -AMERICAN RED CROSS -PORT CLINTON & DANBURY AFTER PROM THESE 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. 46568363 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 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 75 0 1 446 1 0 0 0 0 0 1 1 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 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 BRUCE SMITH VICE CHAIR 1.00 0.00 X X 0 0 0 NANCY OSBORN SECRETARY 1.00 0.00 X X 0 0 0 DAVID SODERBERG TREASURER 1.00 0.00 X X 0 0 0 DANIEL ALMENDINGER 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 PAUL DRUCKENMILLER DIRECTOR 1.00 0.00 X 0 0 0 JON TODD ALMENDIGER PRESIDENT & CEO 40.00 0.00 X 279686 0 32088 KATHLEEN DURFLINGER VP NURSING 40.00 0.00 X 152148 0 11356 NICHOLAS MARSICO VP ANCILLARY SERVICES 40.00 0.00 X 151917 0 23491 RON WEINER VP FINANCE 40.00 0.00 X 159295 0 23697 LEONARD QUE PHYSICIAN 40.00 0.00 X 296304 0 270 GARY KRESGE PHYSICIAN 40.00 0.00 X 328000 0 32117 DANIEL G CADIGAN PHYSICIAN 40.00 0.00 X 266381 0 39825 STEVEN JACKSON PHYSICIAN 40.00 0.00 X 269750 0 16963 DONALD E REED PHYSICIAN 40.00 0.00 X 392091 0 37781 MICHAEL LONG FORMER PRESIDENT & CEO 0.00 0.00 X 143210 0 866 2438782 0 218454 17 1 1 0 PORT CLINTON EMERGENCY PHYSICIANS INC 3914 MEMORIAL SHOREWAY LAKESIDEMARBLEHEAD OH 43440 EMERGENCY PHYSICIANS 1990628 ADVANCED HEALTH LTD 2500 W STRUB RD STE 150 SANDUSKY OH 44870 PHYSICAL THERAPY 1232085 CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 COMPUTER SUPPORT 1112872 ABAN AFFAN MD 4446 MARIN HARBOR UNIT C PORT CLINTON OH 43452 ANESTHESIOLOGIST 589032 THREE WINKS ANESTHESIA LLC 2561 CHARTWELL RD UPPER ARLINGTON OH 43221 ANESTHESIOLOGIST 356811 14 40326 104104 144430 HEALTHCARE SERVICES 622110 50837623 50837623 PHYSICIAN OFFICE RENTAL 622110 410924 410924 51248547 594777 594777 3700 0 3700 3700 3700 28362 40326 24025 4337 4337 MOBILE MEALS/FOOD SERVICE 722514 381838 0 381838 PM CLINIC-MISC REV 900099 91358 91358 EHR INCENTIVE PAYMENTS 900099 60774 60774 20715 20715 554685 52550476 51421394 0 984652 X 7000 7000 833680 833680 15098824 13060483 2038341 1104459 955357 149102 5120262 4429027 691235 1294325 1119591 174734 45873 39790 6083 111975 111975 11004399 10458351 546048 264495 264495 1837234 1495904 341330 1135245 987663 147582 1489965 1273902 216063 69746 34873 34873 2611058 2611058 399845 399845 MEDICAL SUPPLIES 6136456 6136456 BAD DEBT EXPENSE 3209380 3209380 OTHER EXPENSE 115384 68042 47342 AUXILLARY LOSS 68400 68400 65140 56936 8204 52023145 46568363 5448699 6083 2700 3000 10746821 9181165 6247065 7062294 873836 1262485 349656 467641 694253 787150 61388697 37799107 24820926 23589590 6168433 6686855 402203 1742835 50305893 50783015 4463819 5189710 376836 300246 3886906 1563421 8727561 7053377 X 41536930 42336456 41402 43965 1349217 41578332 43729638 50305893 50783015 X 527331 -59157 1510467 172665 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 851 851 0 PART II-B, LINE 1: A PORTION OF DUES PAID TO THE OHIO HOSPITAL ASSOCIATION RELATES TO LOBBYING. 686533 686533 34212275 17850368 16361907 640380 604126 36254 25683667 19344613 6339054 165842 165842 23589590 ESTIMATED 3RD PARTY PAYOR SETTLEMENTS 1328946 ACCRUED POST-RETIREMENT BEN. OBLIGATION 234475 1563421 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2014, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2011. CHARITY BALL 27244 18664 8580 10427 GOLF OUTING 41444 21662 19782 13598 68688 40326 28362 10427 13598 24025 4337 1 1 X 1 X 1 X 1 1 1 0 1 1 1210266 1079823 130443 0.00270 5468139 2432659 3035480 0.06220 6678405 3512482 3165923 0.06490 9 2417 40285 5104 35181 0.00070 6 49 340623 0 340623 0.00700 0 0 0 0 0 0 0 0 2 267 14769 0 14769 0.00030 17 2733 395677 5104 390573 0.00800 17 2733 7074082 3517586 3556496 0.07290 7274 7274 0.00010 7274 7274 0.00010 0 3209380 160469 15329077 15500982 -171905 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 12 1 0 1 1 X HTTP://WWW.MAGRUDERHOSPITAL.COM/ 1 12 1 HTTP://WWW.MAGRUDERHOSPITAL.COM/ 0 0 1 X 100.000000000000 300.000000000000 1 1 X X X 1 X 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 11: IN AN EFFORT TO INCREASE SMOKING CESSATION RESOURCES, MAGRUDER CONTINUES TO OFFER CESSATION CLASSES FOR A REDUCED RATE OF $25 FOR THE 8 WEEK PROGRAM. WE PROMOTE THIS IN OUR CALENDAR OF EVENTS EACH MONTH WHICH IS ADVERTISED IN THE NEWSPAPERS, AND IS POSTED IN THE WAITING ROOMS AROUND THE HOSPITAL AS WELL AS IN PHYSICIAN OFFICES. WE ALSO CONTINUE TO PROVIDE A LIST OF ALL TOBACCO CESSATION RESOURCES, INCLUDING ON-LINE OPTIONS TO IN-PATIENTS AND OUT-PATIENTS AS WELL AS AT DISPLAYS THROUGHOUT THE HOSPITAL. WE ALSO CONTINUE TO OFFER EDUCATIONAL PROGRAMS TO LOCAL CIVIC ORGANIZATIONS AND OTHER GROUPS.IN AN EFFORT TO ADDRESS DIABETES ISSUES IN OUR COMMUNITY, THE FOLLOWING WERE UNDERTAKEN BY THE NUTRITION & OUTREACH DEPARTMENTS IN 2014: -CELEBRATING THE SEASONS COMMUNITY EDUCATION EVENT, HELD IN NOV 2014 WITH 38 ATTENDING; THE LARGEST GROUP SO FAR IN THE 7 YEARS OFFERED. -BLOOD GLUCOSE TESTING: 666 WERE DONE IN THE COMMUNITY AT FAIRS, SENIOR DAYS, SENIOR CENTER AND MONTHLY LAB SCREENINGS. THIS WAS AN INCREASE OF 335 OVER 2013. -AWARENESS PROGRAMS OFFERED AT A LARGE COMMUNITY SCREENING WITH THE KIWANIS IN MAY 2014, MEETING OF THE OAK HARBOR CHAMBER OF COMMERCE IN AUG 2014, AND SENIOR RESOURCES OPEN HOUSE IN DEC 2014. -SURVEY SENT OUT TO THOSE WITH ANY CONTACT WITH NUTRITION DEPT ON INTEREST IN HAVING DIABETIC SUPPORT GROUP WITH PLANS MADE TO BEGIN IN 2015 -NUTRITION DEPT OFFERED REFRESHER COURSES FOR CLIENTS AFTER THEIR DIABETIC CLASSES.THE CHNA COMPLETED IN 2012 WAS VERY THOROUGH AND EXPANSIVE AND A NUMBER OF ISSUES ARE BEING ADDRESSED THROUGH THE LARGER COMMUNITY HEALTH PARTNERS GROUP THAT ARE BEYOND THE SCOPE OF SERVICES AND EXPERTISE THAT MAGRUDER HOSPITAL CURRENTLY PROVIDES. 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. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY HB MAGRUDER MEMORIAL HOSPITAL PART V, SECTION B, LINE 16B WEBSITE: HTTP://WWW.MAGRUDERHOSPITAL.COM/FINANCIAL-ASSISTANCE 9 PHYSICIAN OFFICE 611 E 6TH STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE PHYSICIAN OFFICE 621 FULTON STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE PHYSICAL THERAPY 7725 W STATE ROUTE 163 OAK HARBOR OH 43449 PHYSICAL THERAPY PHYSICIAN OFFICE 11697 W STATE ROUTE 163 OAK HARBOR OH 43449 PHYSICIAN OFFICE PHYSICAL THERAPY 4058 E HARBOR RD PORT CLINTON OH 43452 PHYSICAL THERAPY PHYSICIAN OFFICE 1297 W MAIN STREET LAKESIDE MARBLEHEAD OH 43440 PHYSICIAN OFFICE PHYSICIAN OFFICE 2861 EAST HARBOR ROAD PORT CLINTON OH 43452 PHYSICIAN OFFICE PHYSICIAN OFFICE 730 JEFFERSON STREET PORT CLINTON OH 43452 PHYSICIAN OFFICE 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 $ 3,209,380. 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 2014 WAS $15,500,982. THE PAYMENTS RELATED TO THESE SERVICES WERE $15,329,077, LEAVING A MEDICARE SHORTFALL OF $171,905 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 2012 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 14 7000 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 1 0 0 0 0 0 0 0 0 JON TODD ALMENDIGER PRESIDENT & CEO 279686 0 0 0 0 0 17685 0 14403 0 311774 0 0 0 KATHLEEN DURFLINGER VP NURSING 152148 0 0 0 0 0 9817 0 1539 0 163504 0 0 0 NICHOLAS MARSICO VP ANCILLARY SERVICES 151917 0 0 0 0 0 9862 0 13629 0 175408 0 0 0 RON WEINER VP FINANCE 159295 0 0 0 0 0 10014 0 13683 0 182992 0 0 0 LEONARD QUE PHYSICIAN 296304 0 0 0 0 0 0 0 270 0 296574 0 0 0 GARY KRESGE PHYSICIAN 328000 0 0 0 0 0 17033 0 15084 0 360117 0 0 0 DANIEL G CADIGAN PHYSICIAN 266381 0 0 0 0 0 17136 0 22689 0 306206 0 0 0 STEVEN JACKSON PHYSICIAN 268850 0 900 0 0 0 5200 0 11763 0 286713 0 0 0 DONALD E REED PHYSICIAN 392091 0 0 0 0 0 22698 0 15083 0 429872 0 0 0 MICHAEL LONG FORMER PRESIDENT & CEO 0 0 0 0 143210 0 0 0 866 0 144076 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. PART I, LINE 4A MICHAEL LONG WAS CEO UNTIL 10/30/12. HIS SEVERANCE PAY STARTED AFTER THAT DATE, AND WAS PAID IN ACCORDANCE WITH A WRITTEN AGREEMENT. IN 2014, HE RECEIVED SEVERANCE OF $143,210. DAVID BODIE SON OF JOHN BODIE 242413 COMPENSATION 0 KATHY ALMENDINGER WIFE OF TODD ALMENDINGER 27863 COMPENSATION 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 2014. FORM 990, PART VI, SECTION C, LINE 18 FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. AN ABBREVIATED FINANCIAL STATEMENT IS INCLUDED IN THE HOSPITAL'S ANNUAL REPORT. FORM 990, PART IX, LINE 11G PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 6,582,960. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,582,960. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,875,391. MANAGEMENT AND GENERAL EXPENSES 546,048. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,421,439. FORM 990, PART XI, LINE 9: POST RETIREMENT RELATED COSTS 18,193. AUXILIARY NET LOSS 68,400. CHANGE IN TEMPORARY RESTRICTED NET ASSETS 11,750. PRIOR YEAR EQUITY FROM PAIN MANAGEMENT 74,322. 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 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 0 0 MAGRUDER PAIN MANAGEMENT LLC L 91358 ACCRUED AMOUNT