2023-11-09T12:16:13-06:00 2022-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2022-01-01 463883346 MAGRUDER HOSPITAL FOUNDATION MAGR 4194245847 615 FULTON STREET PORT CLINTON OH 43452 ROBERT L GOSHIA VP FINANCE 4194245847 2023-11-03 1 ROBERT GOSHIA 999009999 1 AMY CIMINELLO P00796388 6148493000 2023-11-02 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z NICHOLAS MARSICO 615 FULTON STREET PORT CLINTON OH 43452 207702 0 X WWW.MAGRUDERHOSPITAL.COM X 2013 OH THE MISSION OF THE MAGRUDER HOSPITAL FOUNDATION IS TO ACT EXCLUSIVELY AS A SUPPORTING ORGANIZATION, AS SUCH TERM IS DEFINED BY CODE SECTION 509(A)(3), OF H.B. MAGRUDER MEMORIAL HOSPITAL. 14 13 0 13 0 0 55832 88655 0 0 37930 40422 11018 43314 104780 172391 0 0 0 0 35191 37533 0 0 73944 19032 36411 54223 73944 50557 98447 2712570 2407817 0 0 2712570 2407817 NONE 0 0 0 0 0 MAGRUDER HOSPITAL FOUNDATION INCURRED EXPENSES TO PROMOTE FUNDRAISING ACTIVITIES TO SUPPORT MAGRUDER HOSPITAL. EACH FUNDRAISER IS PROMOTED ALONG WITH THE INTENDED USE OF EARNED FUNDS. MOST OFTEN, THE MONEY RAISED WILL BE USED TO PURCHASE/UPDATE MEDICAL EQUIPMENT. 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X TONI MAGSIG ACCOUNTING DIRECTOR 4197343131 615 FULTON STREET PORT CLINTON OH 43452 GREG DEERHAKE CHAIR 1.00 1.00 X X 0 0 0 PAUL DRUCKENMILLER VICE CHAIR 1.00 1.00 X X 0 0 0 DAVID SODERBERG DIRECTOR 1.00 1.00 X 0 0 0 NANCY OSBORN DIRECTOR 1.00 1.00 X 0 0 0 BARRY COVER MD DIRECTOR 1.00 1.00 X 0 0 0 DOUGLAS FOCHT DIRECTOR 1.00 1.00 X 0 0 0 JEFF DORNBUSCH DIRECTOR 1.00 1.00 X 0 0 0 KEVIN SNEIDER DPM DIRECTOR 1.00 1.00 X 0 0 0 ALLISON FALLS DIRECTOR 1.00 1.00 X 0 0 0 RON MILLER DIRECTOR 1.00 1.00 X 0 0 0 MARK HABLITZEL DDS DIRECTOR 1.00 1.00 X 0 0 0 MARIA SUE CROSSER DIRECTOR 1.00 1.00 X 0 0 0 MIKE LIBBEN DIRECTOR 1.00 1.00 X 0 0 0 MARK SPRENGER DIRECTOR 1.00 1.00 X 0 0 0 CHRIS SINGERLING DIRECTOR 1.00 1.00 X 0 0 0 NICHOLAS MARSICO PRESIDENT & CEO 2.00 43.00 X 0 268664 30430 JULIE GEORGOFF VP FINANCE & CFO 2.00 43.00 X 0 181978 16876 KIMBERLY SCHREINER VP NURSING & CNO 1.00 44.00 X 0 154462 37153 0 605104 84459 0 0 1 0 0 72563 16092 88655 40422 40422 78625 72563 35311 43314 43314 172391 0 0 83736 37533 37533 5470 5470 167 167 348 348 323 323 HOSPITAL REIMBURSEMENTS 25000 25000 EVENTS 1045 1045 DUES AND SUBCRIPTIONS 843 843 FOOD 32 32 3183 3183 73944 0 0 73944 127803 185828 2584767 2221989 2712570 2407817 0 0 X 2712570 2407817 2712570 2407817 2712570 2407817 98447 -403200 0 X X 0 1 X 1 0 X X 1 H B MAGRUDER HOSPITAL 344441792 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 MUTUAL FUNDS 2221989 F 2221989 GOLF OUTING 43155 37188 5967 740 889 7340 7000 238 GRAPES & GRAINS 108033 35375 72658 820 13391 1150 3743 151188 72563 78625 740 889 8160 20391 1150 3981 35311 43314 0 0 0 0 0 0 0 0 0 NICHOLAS MARSICO PRESIDENT & CEO 0 263664 0 5000 0 0 0 13047 0 17383 0 299094 0 0 JULIE GEORGOFF VP FINANCE & CFO 0 181903 0 75 0 0 0 9091 0 7785 0 198854 0 0 KIMBERLY SCHREINER VP NURSING & CNO 0 154462 0 0 0 0 0 7929 0 29224 0 191615 0 0 PART I, LINE 3 COMPENSATION FOR THE CEO IS DETERMINED BY A RELATED ORGANIZATION, H.B. MAGRUDER MEMORIAL HOSPITAL, USING A COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B 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 THE MAGRUDER HOSPITAL FOUNDATION SHARES A COMMON BOARD WITH MAGRUDER HOSPITAL. MAGRUDER HOSPITAL REQUESTS WRITTEN DISCLOSURE OF CONFLICT OF INTEREST 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 MEMBERS WITH A CONFLICT OR POTENTIAL CONFLICT IS RESTRICTED FROM PARTICIPATING IN THOSE MATTERS. THESE SIGNED CONFLICT OF INTEREST STATEMENTS ALSO APPLY TO THE MAGRUDER HOSPITAL FOUNDATION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS MAY BE DISCLOSED UPON REQUEST. MOREOVER, THE ORGANIZATION'S GOVERNING DOCUMENTS ARE FILED AND REGISTERED WITH THE OHIO ATTORNEY GENERAL. PART XII, LINE 2C THE BOARD OF HB MAGRUDER HOSPITAL, A RELATED PARTY, ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE LAST YEAR. H B MAGRUDER MEMORIAL HOSPITAL 615 FULLER STREET PORT CLINTON OH 43452 344441792 HEALTH CARE SERVICES OH 501(C)(3) LINE 3 N/A 0 MAGRUDER PAIN MANAGEMENT 615 FULTON ST PORT CLINTON OH 43452 275038026 PAIN MANAGEMENT OH N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0