2026-05-13T09:53:33-05:00 2025-06-30 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2024-07-01 310650283 MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCORPORATED MCCU 5135232111 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 MICHAEL CROFTON VP-FINANCE 5135232111 2026-05-13 1 1 SHAWNA M JANSONS P01222873 3174648600 2024 2025-03-06 01:10:19Z MARK CLEMENT 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 58582456 0 X WWW.TRIHEALTH.COM/LOCATIONS X 1953 OH ACUTE CARE HOSPITAL DELIVERING QUALITY SERVICES TO OUR PATIENTS AND THE COMMUNITIES WE SERVE. 7 0 362 200 0 0 328932 523368 51070156 55257015 938654 947294 367144 392549 52704886 57120226 11730 10750 0 0 26008510 27130907 0 0 0 24589999 25405274 50610239 52546931 2094647 4573295 56028217 60494265 5305567 5008012 50722650 55486253 X ACUTE CARE HOSPITAL FACILITY DELIVERING QUALITY SERVICES TO OUR PATIENTS AND THE COMMUNITIES WE SERVE. 0 0 45566155 10750 55311443 SEE SCHEDULE O 45566155 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 70 0 1 362 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X MICHAEL CROFTON 5135232111 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 MICHAEL CROFTON TREASURER 1.00 60.00 X X 0 524900 82006 STEVE GRACEY SECRETARY 1.00 60.00 X X 0 759998 89778 JOHN WARD CHAIRPERSON 1.00 60.00 X X 0 881518 87697 BRAD SCHULTZ MD DIRECTOR 1.00 60.00 X 0 481071 66618 STEVE MOMBACH DIRECTOR 1.00 60.00 X 0 716638 69288 HELEN KOSELKA MD DIRECTOR 1.00 60.00 X 0 922577 91581 TERRI HANLON-BREMER TRUSTEE (START 7/24) 1.00 60.00 X 0 1100300 70366 NATHANAEL CHANEY SR DIR-NURSING & OPERATIONS 60.00 0.00 X 0 192736 36647 JEREMIAH KIRKLAND PRESIDENT-MHMH (END 6/25) 30.00 30.00 X 0 586769 109018 NATHAN SIMMONS DIRECTOR-PHARMACY SERVICES 60.00 0.00 X 200622 0 23491 KATHERINE MADDOCK CHARGE NURSE 60.00 0.00 X 145039 0 19253 LYNDSEY BENGAL NURSE MANAGER 60.00 0.00 X 144870 0 37591 JESSICA GOEKE NURSE MANAGER 60.00 0.00 X 165760 0 30487 MELISSA CATANIA CHARGE NURSE 60.00 0.00 X 145588 0 44399 MICHAEL EVERETT FORMER KEY EMPLOYEE 0.00 0.00 X 0 293392 0 801879 6459899 858220 39 1 1 0 TALAWANDA EMERGENCY PHYSICIANS 110 N POPLAR STREET OXFORD OH 45056 PHYSICIAN COVERAGE 847081 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 CLINICAL MAINTENANCE 734112 SEVEN HILLS ANESTHESIA 4030 SMITH ROAD CINCINNATI OH 45209 ANESTHESIA SERVICES 662362 DEBRA-KUEMPEL 3976 SOUTHERN AVE CINCINNATI OH 45227 HVAC SERVICES 552475 HEALOGICS WOUND CARE & HYPERBOLIC SERVIC PO BOX 551187 JACKSONVILLE FL 32255 MEDICAL SERVICES 492878 15 319396 202552 1420 523368 PATIENT SERVICES 621110 54468154 54468154 AFFILIATED RENTAL REV. 531120 698033 698033 AFFILIATED MEDICAL SVC 621110 90828 90828 55257015 334550 334550 218192 180482 37710 37710 37710 1877825 16667 1281748 0 596077 16667 612744 612744 CAFETERIA/VENDING 621110 300411 300411 CMH IBCLC SERVICES 621110 39731 39731 MEDICAL RECORDS 621110 1622 1622 13075 13075 354839 57120226 54613410 0 1983448 10750 10750 21449500 20966774 482726 873653 872530 1123 3323691 3314899 8792 1484063 1480573 3490 493727 493727 23875 23875 3304852 3257942 46910 126459 70775 55684 470518 457894 12624 65889 65889 2313524 2309864 3660 18495 18495 10012 10012 634410 634410 2911664 1155511 1756153 261088 261088 MEDICAL/DIETARY SUPPLY 8046160 8046160 OVERHEAD ALLOCATION 3885720 3885720 OHIO HOSPITAL TAX 1514791 1514791 EQUIPMENT 1166782 1162078 4704 157308 96403 60905 52546931 45566155 6980776 0 2584 2680 4528128 5423807 1218 1218 991804 1181456 72454727 42444117 29985069 30010610 11909887 13134340 1270741 1154631 7338786 9585523 56028217 60494265 3795729 3764036 152722 16377 1346841 1217324 10275 10275 5305567 5008012 X 50641591 55416544 81059 69709 50722650 55486253 56028217 60494265 X 4573295 201662 -11354 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7560510 7560510 29702936 14531055 15171881 2292475 2274498 17977 30814389 25205689 5608700 2084417 432875 1651542 30010610 RIGHT OF USE ASSET - OPERATING 785999 DUE FROM RELATED ORGANIZATION 8799524 9585523 SECURITY DEPOSITS 10275 10275 X PART X, LINE 2: THE FINANCIAL STATEMENTS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL ARE AUDITED AS PART OF TRIHEALTH AND ITS SUBSIDIARIES AND AFFILIATES ("TRIHEALTH"). FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE AUDITED COMBINED FINANCIAL STATEMENTS OF TRIHEALTH THAT REPORTS ITS AND ITS SUBSIDIARIES AND AFFILIATES LIABILITY, IF APPLICABLE, FOR CERTAIN TAX POSITIONS UNDER ASC 740-10-25: TRIHEALTH COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONS AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AT JUNE 30, 2025 OR 2024. 1 1 X 1 X 1 X 1 1 0 1 1 467740 673651 0 0.00000 8325787 4903994 3421793 0.06510 8793527 5577645 3421793 0.06510 10000 0 10000 0.00020 10000 10000 0.00020 8803527 5577645 3431793 0.06530 2500 0 2500 0.00000 2500 2500 0.00000 0 4329209 0 7567233 8820326 -1253093 X 1 1 1 1 MCCULLOUGH-HYDE MEMORIAL HOSPITAL 110 N POPLAR STREET OXFORD OH 45056 WWW.TRIHEALTH.COM/LOCATIONS 1119 X X X MCCULLOUGH-HYDE MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE SEC C. SUPPLEMENTAL INFO FOR PT V, SEC B FOR URL. X 1 24 1 SEE SECTION C. SUPPLEMENTAL INFORMATION FOR PART V, SECTION B FOR URL. 0 1 X 150.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.TRIHEALTH.COM/TOOLS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.TRIHEALTH.COM/TOOLS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.TRIHEALTH.COM/TOOLS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 MCCULLOUGH-HYDE MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: THE HEALTH COLLABORATIVE ("THC") CONTRACTED WITH THE HEALTH POLICY INSTITUTE OF OHIO ("HPIO") TO DEVELOP THE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"). THE ANALYSIS WAS GUIDED BY A SET OF RESEARCH QUESTIONS, AND CONSISTED OF: SECONDARY, QUANTITATIVE DATA COMPILATION AND ANALYSIS ADDITIONAL PRIMARY AND SECONDARY COMMUNITY DATA ANALYSIS COMMUNITY ENGAGEMENTDEVELOPMENT OF THE REGIONAL CHNA WAS INFORMED BY THE ADVISORY COMMITTEE AS WELL AS THE PUBLIC HEALTH AND SPECIAL POPULATIONS TASK FORCES. ADVISORY COMMITTEE AND TASK FORCE MEMBERS WERE ENGAGED IN THE PROCESS BECAUSE OF THEIR CLOSE TIES WITH THE COMMUNITIES THEY LIVE IN AND SERVE. THEY WERE A VALUABLE SOURCE OF DATA AND INFORMATION THROUGHOUT THE ASSESSMENT PROCESS. COMMUNITY ENGAGEMENT WAS BROUGHT TO THE FOREFRONT OF THE REGIONAL CHNA PROCESS BY BUILDING THE ASSESSMENT AND TELLING THE COMMUNITY STORY, COMING TO CONSENSUS AROUND SHARED REGIONAL PRIORITIES, AND LAUNCHING A COMMUNITY PARTNERSHIP NETWORK TO BUILD INFRASTRUCTURE FOR ONGOING, BI-DIRECTIONAL COMMUNICATION. HPIO AND THC PROVIDED REGULAR UPDATES TO BOTH THE ADVISORY COMMITTEE AND TASK FORCES, INCLUDING MONTHLY MEETINGS WITH THE ADVISORY COMMITTEE AND SIX MEETINGS WITH THE TASK FORCES.APPENDIX B, OF THE REPORTING ORGANIZATION'S STANDALONE CHNA, CONTAINS A LIST OF THE ORGANIZATIONS WHICH PARTICIPATED AS A MEMBER OF THE ADVISORY COMMITTEE AND TASK FORCES.DEFINING COMMUNITY ENGAGEMENT FOR THE REGIONAL CHNA, ENGAGEMENT WITH COMMUNITY BEGAN WITH CLEARLY DEFINING THE COMMUNITY AND THEN ESTABLISHING INTENTIONAL, THOUGHTFUL, AND CO-CREATED WAYS TO ENGAGE WITH PARTNERS AND BUILD TRUST. FACILITATED BY THC, COMMUNITY IS DEFINED AS THE 18-COUNTY REGION OF SOUTHWEST OHIO, NORTHERN KENTUCKY, AND SOUTHEAST INDIANA, AND INCLUSIVE OF HEALTH SYSTEMS AND HOSPITALS, PUBLIC HEALTH DEPARTMENTS THAT SERVE THOSE JURISDICTIONS, AND ALL COMMUNITY-BASED ORGANIZATIONS SERVING COMMUNITY MEMBERS. THROUGH SPECIFIC ACTIVITIES BUILT FOR A VARIETY OF AUDIENCES WITHIN THIS COMMUNITY, THC ENGAGED PARTNERS THROUGHOUT ALL PHASES OF THE COLLECTIVE HEALTH AGENDA CYCLE (INCLUDING THE REGIONAL CHNA) WITH CONVENING, STAKEHOLDER LISTENING SESSIONS, ONE- ON-ONE MEETINGS, AND IN ALIGNMENT WITH PRINCIPLES OF COMMUNITY BASED PARTICIPATORY RESEARCH. BUILDING THE ASSESSMENT AND TELLING THE COMMUNITY STORY TO MINIMIZE THE BURDEN ON COMMUNITY MEMBERS WHO REPORT BEING OVER-SURVEYED AND ASSESSED, THE ADVISORY COMMITTEE DECIDED TO LEVERAGE RECENT, EXISTING SOURCES OF PRIMARY AND SECONDARY COMMUNITY DATA, RATHER THAN COLLECTING NEW PRIMARY DATA. ADVISORY COMMITTEE AND TASK FORCE MEMBERS WERE INVITED TO SHARE ANY DATA THEY HAD COLLECTED TO BE INCLUDED IN THE REGIONAL CHNA, WITH A FOCUS ON SOURCES THAT FILLED DATA GAPS. SEVEN ADDITIONAL SOURCES OF COMMUNITY DATA WERE IDENTIFIED AND INCLUDED IN THE REGIONAL CHNA. COMING TO CONSENSUS AROUND SHARED REGIONAL PRIORITIES THROUGHOUT THE REGIONAL CHNA PROCESS, THC EMPHASIZED THE SHARED VALUES AND PRINCIPLES OF COLLECTIVE ACTION FOR THE ADVISORY COMMITTEE AND TASK FORCE MEMBERS. THIS INVITED ALIGNMENT FROM PARTNERS ON THE SIGNIFICANT HEALTH NEEDS, POTENTIAL PRIORITIES, AND FINAL PRIORITIES. TO INFORM THE PRIORITIZATION PROCESS, HPIO DEVELOPED A PRE-PRIORITIZATION SURVEY TO BE COMPLETED BY HOSPITALS, LOCAL HEALTH DEPARTMENTS, AND OTHER COMMUNITY PARTNERS. OF THE 47 PARTNERS WHO RESPONDED, THE LARGEST PROPORTION REPRESENTED COMMUNITY- BASED ORGANIZATIONS (28%), HIGHLIGHTING THE INCLUSION OF COMMUNITY VOICES THROUGH THE PRIORITIZATION PROCESS. LAUNCHING A COMMUNITY PARTNERSHIP NETWORK THE HEALTH COLLABORATIVE DEVELOPED THE COMMUNITY PARTNERSHIP NETWORK ("CPN") TO BUILD ONGOING COMMUNITY ENGAGEMENT INTO THE WORK OF THE REGIONAL CHNA AND COLLECTIVE HEALTH AGENDA. THE CPN WAS CREATED BASED ON FEEDBACK THC RECEIVED FROM PARTNERS. THE CPN WILL CREATE AN OPPORTUNITY FOR MORE REGULAR COMMUNITY ENGAGEMENT, TO CENTER COMMUNITY VOICE AND EQUITY IN THE REGIONAL CHNA, PROVIDE SPACE FOR BIDIRECTIONAL COMMUNICATION BETWEEN HEALTH SYSTEMS AND THE COMMUNITY, AND REDUCE "NEW" DATA COLLECTION (E.G., FOCUS GROUPS AND COMMUNITY HEALTH NEEDS SURVEYS). THE PURPOSE OF THE CPN IS TO LEVERAGE EXISTING COMMUNITY MEETINGS, MOMENTUM, AND ASSETS TO STRENGTHEN CONNECTIONS BETWEEN PARTNERS, INCLUDING THE COMMUNITY, AND ADVANCE SHARED GOALS FOR COMMUNITY HEALTH.REGIONAL CHNA ADVISORY STRUCTURETHE ADVISORY STRUCTURE FOR THE REGIONAL CHNA WAS BUILT USING THE MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIPS 2.0 (MAPP) CIRCLE OF INVOLVEMENT FRAMEWORK.THE CORE CIRCLE (CORE TEAM) MET REGULARLY, HOSTED AND FACILITATED MEETINGS, WERE RESPONSIBLE FOR DELIVERABLES, AND MANAGED DAY-TO-DAY OPERATIONS OF THE PROJECT. THE CORE TEAM CONSISTED OF THC, HPIO AND BUTLER COUNTY GENERAL HEALTH DISTRICT.THE CIRCLE OF ENGAGEMENT (ADVISORY COMMITTEE AND TASK FORCES) KEPT THE CORE CIRCLE ACCOUNTABLE FOR PROGRESS, PROVIDED EXPERTISE ON EACH STEP OF THE REGIONAL CHNA INCLUDING DATA COLLECTION AND ANALYSIS, REVIEWED RESULTS AND REPORT DRAFTS, AND APPROVED THE FINAL REGIONAL CHNA REPORT. ACROSS THE 45 PARTICIPATING ORGANIZATIONS IN THE ADVISORY COMMITTEE AND TASK FORCES, DIVERSE POPULATIONS WERE REPRESENTED THAT INCLUDE MEDICALLY UNDERSERVED PEOPLE, BLACK AND AFRICAN AMERICAN RESIDENTS, IMMIGRANTS AND REFUGEES, MOTHERS AND BABIES, HISPANIC/LATINO RESIDENTS, PEOPLE EXPERIENCING HOMELESSNESS, PEOPLE EXPERIENCING MENTAL HEALTH CHALLENGES, PEOPLE EXPERIENCING FOOD INSECURITY, PEOPLE WITH DISABILITIES, AND OTHER MARGINALIZED POPULATIONS.THE CIRCLE OF CHAMPIONS AND THE CIRCLE OF INFORMATION AND AWARENESS PROVIDED HIGH-LEVEL REVIEW AND OVERSIGHT OF THE WORK ON BEHALF OF THEIR ORGANIZATIONS. FINALLY, THE CIRCLE OF POSSIBILITY REPRESENTS ALL THE COMMUNITY ORGANIZATIONS AND COMMUNITY MEMBERS WHO CAN BE INCLUDED IN ACTIONABLE STRATEGIES FOR IMPLEMENTATION OF THE COLLECTIVE HEALTH AGENDA AND COMMUNITY HEALTH IMPROVEMENT PLANS. MCCULLOUGH-HYDE MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: * CHRIST HOSPITAL* CINCINNATI CHILDREN'S HOSPITAL* ADAMS COUNTY REGIONAL MEDICAL CENTER,* MARGARET MARY HEALTH, * LINDNER CENTER OF HOPE* MERCY HEALTH CINCINNATI* TRIHEALTH * UC HEALTH MCCULLOUGH-HYDE MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: * THE HEALTH COLLABORATIVE* BUTLER COUNTY GENERAL HEALTH DISTRICT AND SOUTHWEST ASSOCIATION OF OHIO HEALTH COMMISSIONERS* CINCINNATI HEALTH DEPARTMENT* CLERMONT COUNTY PUBLIC HEALTH* CLINTON COUNTY HEALTH DISTRICT* FRANKLIN COUNTY HEALTH DEPARTMENT, INDIANA * HAMILTON COUNTY PUBLIC HEALTH* NORWOOD CITY BOARD OF HEALTH* RIPLEY COUNTY HEALTH DEPARTMENT, INDIANA * CITY SPRINGDALE HEALTH DEPARTMENT* CENTER FOR CLOSING THE HEALTH GAP * HAMILTON COUNTY HUMAN SERVICES CHAMBER * UNITED WAY OF GREATER CINCINNATI * URBAN LEAGUE OF GREATER SOUTHWESTERN OHIO * BI3* INTERACT FOR HEALTH * THE HEALTHCARE CONNECTION * HEALTHSOURCE OF OHIO * CARESOURCE* ALL-IN CINCINNATI * BLACK WOMEN CULTIVATING CHANGE * CINCINNATI COMPASS * CLERMONT COUNTY BOARD OF DEVELOPMENTAL DISABILITIES * COMMUNITY BUILDERS * CRADLE CINCINNATI * FOODBANK OF DAYTON * FREESTORE FOODBANK * GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES * GREATER CINCINNATI REGIONAL FOOD POLICY COUNCIL * HEALTHCARE ACCESS NOW * HOUSING OPPORTUNITIES MADE EQUAL (HOME) * NAMI SOUTHWEST OHIO * REFUGEE CONNECT * SANTA MARIA COMMUNITY SERVICES * SHARED HARVEST FOOD BANK * SU CASA* WARREN COUNTY HEALTH DEPARTMENT MCCULLOUGH-HYDE MEMORIAL HOSPITAL PART V, SECTION B, LINE 7D: AVAILABLE UPON REQUEST WITHOUT CHARGE.PLEASE CONTACT TRIHEALTH MISSION AND CULTURE BY EITHER TELEPHONE (513-569-6248), E-MAIL (FRANK_NATION@TRIHEALTH.COM) OR MAIL (625 EDEN PARK DRIVE, 9TH FLOOR, CINCINNATI, OHIO 45202). MCCULLOUGH-HYDE MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THROUGH THE CHNA, MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("MHMH") HAS IDENTIFIED THE GREATEST HEALTH NEEDS IN ITS COMMUNITY, WHICH WILL ALLOW MHMH TO DIRECT ITS RESOURCES APPROPRIATELY TOWARD EDUCATION, PREVENTION PROGRAMS, AND WELLNESS OPPORTUNITIES. THE SIGNIFICANT HEALTH NEEDS OF THE MHMH COMMUNITY SERVED ARE IN ORDER OF PRIORITY:* MENTAL HEALTH * SUBSTANCE USE INCLUDING DRUGS AND/OR ALCOHOL * HEALTHY BEHAVIORS INCLUDING ACCESS TO HEALTHCARE, FOOD, PHYSICAL ACTIVITY AND OTHER RESOURCES *CHRONIC CONDITIONS INCLUDING HEART DISEASE, STROKE, AND HYPERTENSION MENTAL HEALTH - MHMH WILL OFFER SUPPORT AND RESOURCES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, IN A STRUCTURED, OUTPATIENT SETTING AS WELL AS OFFER RELATED EDUCATION AND PROGRAMMING TO ENTIRE SERVICE AREA. THIS WILL BE ACCOMPLISHED BY PROVIDING REFERRAL COORDINATOR, EDUCATION, OUTREACH COMMUNICATION, AND PROGRAM MANAGEMENT SUPPORT FOR THESE INITIATIVES. IN ADDITION, IT WILL PARTNER WITH MCCULLOUGH-HYDE FOUNDATION, COALITION FOR HEALTHY COMMUNITY OXFORD AREA (THE "COALITION"), TALAWANDA SCHOOL DISTRICT, MIAMI UNIVERSITY, OXFORD POLICE DEPARTMENT, MIAMI UNIVERSITY POLICE DEPARTMENT, LOCAL PROVIDERS, FIRST RESPONDERS, BUTLER COUNTY GENERAL HEALTH DISTRICT, REGIONAL HARM REDUCTION COLLABORATIVE, MINDFULLY. SUBSTANCE USE MHMH WILL PROVIDE PARTNERSHIP, TO CONNECT PATIENTS THROUGHOUT THE HOSPITAL WITH SUBSTANCE USE TREATMENT AND RECOVERY SERVICES AS WELL AS OFFER SUPPORT AND RESOURCES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, IN A STRUCTURED, OUTPATIENT SETTING. IN ADDITION, IT WILL IMPROVE COORDINATION OF PROGRAMS DIRECTLY TO THE MHMH SERVICES AREA AND COMMUNITY ORGANIZATIONS. THIS WILL BE ACCOMPLISHED BY PROVIDING REFERRAL COORDINATOR, EDUCATION, OUTREACH COMMUNICATION, AND PROGRAM MANAGEMENT SUPPORT FOR THESE INITIATIVES. MHMH WILL PARTNER WITH MCCULLOUGH-HYDE FOUNDATION, COALITION FOR HEALTHY COMMUNITY OXFORD AREA (THE "COALITION"), TALAWANDA SCHOOL DISTRICT, MIAMI UNIVERSITY, OXFORD POLICE DEPARTMENT, MIAMI UNIVERSITY POLICE DEPARTMENT, LOCAL PROVIDERS, FIRST RESPONDERS, BUTLER COUNTY GENERAL HEALTH DISTRICT, REGIONAL HARM REDUCTION COLLABORATIVE, AND MINDFULLY. HEALTHY BEHAVIORS MHMH WILL OFFER SUPPORT AND RESOURCES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, IN A STRUCTURED, OUTPATIENT SETTING AS WELL AS IMPROVE COORDINATION OF PROGRAMS DIRECTLY TO MHMH SERVICES AREA AND COMMUNITY ORGANIZATIONS. THIS WILL BE ACCOMPLISHED BY PROVIDING REFERRAL COORDINATOR, EDUCATION, OUTREACH COMMUNICATION, AND PROGRAM MANAGEMENT SUPPORT FOR THESE INITIATIVES. MHMH THE HOSPITAL WILL PARTNER WITH MCCULLOUGH-HYDE FOUNDATION, COALITION FOR HEALTHY COMMUNITY OXFORD AREA (THE "COALITION"), TALAWANDA SCHOOL DISTRICT, MIAMI UNIVERSITY, OXFORD POLICE DEPARTMENT, MIAMI UNIVERSITY POLICE DEPARTMENT, LOCAL PROVIDERS, FIRST RESPONDERS, BUTLER COUNTY GENERAL HEALTH DISTRICT, REGIONAL HARM REDUCTION COLLABORATIVE, AND MINDFULLY. CHRONIC CONDITIONS MHMH WILL IMPLEMENT A NEW GRANT FUNDED PROGRAM TO COLLECT HEALTH DISPARITY DATA REGARDING CHRONIC DISEASE TO ASSESS SOCIAL DETERMINANTS OF HEALTH, ASSIST WITH INTERVENTIONS AND TRACK OUTCOMES AS WELL AS IMPROVE COORDINATION AND AWARENESS OF PROGRAMS THAT ADDRESS CARDIOVASCULAR DISEASE DIRECTLY TO MHMH SERVICES AREA AND COMMUNITY ORGANIZATIONS. THIS WILL BE ACCOMPLISHED BY PROVIDING REFERRAL COORDINATOR, EDUCATION, OUTREACH COMMUNICATION, AND PROGRAM MANAGEMENT SUPPORT FOR THESE INITIATIVES. MHMH WILL PARTNER WITH MCCULLOUGH-HYDE FOUNDATION, COALITION FOR HEALTHY COMMUNITY OXFORD AREA (THE "COALITION"), TALAWANDA SCHOOL DISTRICT, MIAMI UNIVERSITY, OXFORD POLICE DEPARTMENT, MIAMI UNIVERSITY POLICE DEPARTMENT, LOCAL PROVIDERS, FIRST RESPONDERS, BUTLER COUNTY GENERAL HEALTH DISTRICT, REGIONAL HARM REDUCTION COLLABORATIVE, AND MINDFULLY. IN ITS IMPLEMENTATION PLAN, MHMH PROVIDED A LIST OF COMMUNITY RESOURCES AND OTHER TRIHEALTH SYSTEM PROGRAMS AVAILABLE TO HELP ADDRESS THESE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IT SERVES. HOWEVER, DUE TO SOFTWARE CONSTRAINTS, THEY ARE NOT IDENTIFIED HERE. THIS LIST CAN BE FOUND ON PAGES 7-8 OF THE PLAN FOUND AT THE FOLLOWING URL (HTTPS://WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/COMMUNITY/HEALTH-NEEDS-ASSESSMENT).PLEASE NOTE THAT ALL OF THE ABOVE NEEDS BEING ADDRESSED ARE IN LINE WITH THE STATE HEALTH IMPROVEMENT PLAN (SHIP) 2020-2022. ALSO, THERE WEREN'T ANY SIGNIFICANT HEALTH NEEDS FROM THE 2025 CHNA THAT MHMH DID NOT ADDRESS.SINCE THE 2022 CHNA, MHMH, IN COLLABORATION WITH THE MCCULLOUGH-HYDE FOUNDATION, A RELATED ORGANIZATION RECOGNIZED BY THE IRS AS EXEMPT FROM INCOME TAX UNDER IRC SECTION 501(C)(3), AND THE COALITION FOR A HEALTHY COMMUNITY - OXFORD AREA HAS CONTINUED ITS EFFORTS TO TACKLE KEY HEALTH CONCERNS, PARTICULARLY REGARDING MENTAL HEALTH, FOOD INSECURITY, HEALTHY BEHAVIORS, ALCOHOL AND DRUG USE. COALITION LEADERSHIP COMPRISES VARIOUS STAKEHOLDERS, INCLUDING REPRESENTATIVES FROM MHMH, MIAMI UNIVERSITY, TALAWANDA SCHOOL DISTRICT, LOCAL LAW ENFORCEMENT, CITY COUNCIL, THE FAITH-BASED COMMUNITY, BUSINESSES, AND CITIZENS. THE COALITION HAS FORMED THREE WORKGROUPS TO SPECIFICALLY ADDRESS THE HEALTH NEEDS IDENTIFIED IN THE CHNA. IN 2023, THE MCCULLOUGH-HYDE FOUNDATION CREATED A COMMUNITY GRANTING PROGRAM, A PHILANTHROPIC PROGRAM THAT MAKES INVESTMENTS THAT ADDRESS SIGNIFICANT HEALTH NEEDS OF LOCAL COMMUNITIES AS IDENTIFIED IN THE CHNA. THROUGH STRATEGIC PARTNERSHIPS, MORE THAN $2.3 MILLION IN GRANTS AND FUNDING WERE SECURED LOCALLY TO SUPPORT THE CHNA. MCCULLOUGH-HYDE MEMORIAL HOSPITAL PART V, SECTION B, LINE 13B: SEE PART VI RESPONSE RELATED TO PART I, LINE 3C. MCCULLOUGH-HYDE MEMORIAL HOSPITAL PART V, SECTION B, LINE 13H: SEE PART VI RESPONSE RELATED TO PART I, LINE 3C. PART V, SECTION B, LINES 7A AND 10A: HTTPS://WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/FULFILLING-OUR-MISSION-AND-VALUES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 3 1 - MCCULLOUGH-HYDE MEDICAL BUILDING 5151 MORNING SUN ROAD OXFORD OH 45056 PHYSICAL THERAPY 2 - MCCULLOUGH-HYDE PT & REHAB 1390 EATON ROAD HAMILTON OH 45013 PHYSICAL THERAPY 3 - MCCULLOUGH-HYDE OUTPATIENT SERVICES 79 W CENTRAL AVENUE CAMDEN OH 45311 OUTPATIENT PART I, LINE 3C: MCCULLOUGH-HYDE MEMORIAL HOSPITAL UTILIZES THE FEDERAL POVERTY GUIDELINES ("FPG") IN DETERMINING CHARITY CARE ELIGIBILITY. SEE THE RESPONSES TO PART I, LINES 3A AND 3B.AN INDIVIDUAL'S INCOME UNDER THE FPG IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR CHARITY CARE. ADDITIONALLY, AN INDIVIDUAL'S INCOME IN RELATION TO HIS/HER MEDICAL EXPENSES IS ALSO TAKEN INTO ACCOUNT AND SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES. FINALLY, MCCULLOUGH-HYDE MEMORIAL HOSPITAL PROVIDES DISCOUNTED CARE AT SELECT CLINICS. PART I, LINE 6A: IN 1995, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND BETHESDA HOSPITAL, INC. FORMED A PARTNERSHIP CALLED TRIHEALTH, INC TO CREATE AN INTEGRATED HEALTH DELIVERY SYSTEM WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE THEY SERVE, WITH AN EMPHASIS ON PREVENTION, WELLNESS AND EDUCATION. IN 2015, TRIHEALTH PURCHASED A 60% INTEREST IN MCCULLOUGH-HYDE MEMORIAL HOSPITAL TO SUPPORT ITS MISSION. IN 2019, TRIHEALTH PURCHASED THE REMAINING 40% INTEREST AND MCCULLOUGH-HYDE MEMORIAL HOSPITAL IS NOW FULLY INTEGRATED INTO THE SYSTEM.THE COMMUNITY BENEFIT PROVIDED BY MCCULLOUGH-HYDE MEMORIAL HOSPITAL IS TRACKED ON A STANDALONE BASIS; HOWEVER, ITS COMMUNITY BENEFIT IS REPORTED IN A REPORT PREPARED BY TRIHEALTH IN COMBINATION WITH ITS RELATED HOSPITALS - BETHESDA HOSPITAL, INC. AND THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO. PART I, LINE 7: MCCULLOUGH-HYDE MEMORIAL HOSPITAL UTILIZED WORKSHEET 2 - RATIO OF PATIENT CARE COST-TO-CHARGES, WHICH WAS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H, TO CALCULATE THE COST-TO-CHARGE RATIO. PART I, LN 7 COL(F): BAD DEBT EXPENSE IS NOT INCLUDED ON FORM 990, PART IX, LINE 25. IT IS PRESENTED ON FORM 990, PART VIII, LINE 2 AS A DEDUCTION FROM PATIENT SERVICE REVENUE WHICH CORRESPONDS TO ITS FINANCIAL STATEMENT PRESENTATION. SEE RESPONSE TO PART III, LINE 4. THEREFORE, NO ADJUSTMENT TO TOTAL EXPENSES SHOWN ON FORM 990, PART IX, LINE 25 IS NECESSARY. PART II, COMMUNITY BUILDING ACTIVITIES: DURING THE TAX YEAR, MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("MHMH") JOINED ITS RELATED HOSPITAL BETHESDA BUTLER HOSPITAL AND HELD A SERVE DAY WHERE TEAM MEMBERS ASSISTED LOCAL ORGANIZATIONS WITHIN BUTLER COUNTY WITH VARIOUS COMMUNITY SERVICE PROJECTS.IN ADDITION, MHMH PROMOTES HEALTH AND WELL-BEING IN OUR COMMUNITY IN NUMEROUS WAYS NOT LISTED IN THE COMMUNITY EVENTS AND PROGRAMS SECTION OF THE FORM 990. EXAMPLES INCLUDE:1) MHMH HELPED PROMOTE WELLNESS BY PROVIDING MEETING SPACE TO VARIOUS SUPPORT GROUPS.2) MHMH ASSISTED THE LOCAL SCHOOL DISTRICT WITH IDENTIFIED HEALTH/WELLNESS NEEDS. 3) MHMH PROVIDED OFFICE SPACE AND MEETING SPACE FOR THE OXFORD COLLEGE CORNER CLINIC, WHICH IS A CLINIC THAT PROVIDES FREE HEALTH CARE TO THE UNINSURED AND UNDERINSURED ADULTS IN OUR COMMUNITY. PART III, LINE 2: SEE PART VI RESPONSE TO PART III, LINE 4. PART III, LINE 3: SEE PART VI RESPONSE TO PART III, LINE 4. PART III, LINE 4: MCCULLOUGH-HYDE MEMORIAL HOSPITAL'S FINANCIAL STATEMENTS ARE AUDITED AS PART OF THE TRIHEALTH AUDIT REPORT AND AS SUCH FOLLOWING IS THAT REPORT'S FOOTNOTE.PLEASE NOTE THAT UNDER ACCOUNTING STANDARDS UPDATE NO. 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), WHICH THE TRIHEALTH SYSTEM ADOPTED DURING THE TAX YEAR 2019 (FISCAL YEAR ENDED JUNE 30, 2020), BAD DEBT IS CONSIDERED AN "IMPLICIT PRICE CONCESSION AND IS NOT DISTINGUISHED FROM A CONTRACTUAL ADJUSTMENT UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND THEREFORE THERE IS NO LONGER A SPECIFIC DISCLOSURE FOR BAD DEBT IN THE CURRENT YEAR AUDIT REPORT.SEE PATIENT SERVICE REVENUE (PART OF FOOTNOTE B - PAGES 17-20) FOR ADDITIONAL DETAIL REGARDING THE ABOVE-MENTIONED STANDARD AS WELL AS HOW THE TRIHEALTH SYSTEM ACCOUNTS FOR PATIENT SERVICE REVENUE.AS FOR THE AMOUNT OF BAD DEBT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, MCCULLOUGH-HYDE MEMORIAL HOSPITAL DOES NOT REPORT ACTUAL BAD DEBT EXPENSE AS COMMUNITY BENEFIT. IF UPON FURTHER RESEARCH, IT IS ULTIMATELY DETERMINED THAT A PORTION OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER TRIHEALTH'S CHARITY CARE POLICY, THOSE COSTS WOULD BE RECLASSIFIED, AS APPROPRIATE, TO COMMUNITY BENEFIT AT THAT TIME.PLEASE NOTE THAT BAD DEBT EXPENSE IS NOT DETERMINED UNTIL AFTER ALL DISCOUNTS AND ANY ASSOCIATED PAYMENTS ARE TAKEN INTO ACCOUNT. IF ANY PAYMENTS ARE RECEIVED AFTER A PATIENT ACCOUNT IS DETERMINED TO BE BAD DEBT, THE ACCOUNT WILL BE ADJUSTED ACCORDINGLY AT THAT TIME. PART III, LINE 8: MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCORPORATED USES THE "STEPDOWN METHODOLOGY" IN DETERMINING THE MEDICARE ALLOWABLE COSTS REPORTED ON THE MEDICARE COST REPORT. THIS METHOD OF COST FINDING PROVIDES FOR THE ALLOCATION OF THE COST OF SERVICES RENDERED BY EACH GENERAL SERVICE COST CENTER TO OTHER COST CENTERS WHICH UTILIZE SUCH SERVICES. ONCE THE COSTS OF A GENERAL SERVICE COST CENTER HAVE BEEN ALLOCATED, THAT COST CENTER IS CONSIDERED CLOSED. ONCE CLOSED, IT DOES NOT RECEIVE ANY OF THE COSTS SUBSEQUENTLY ALLOCATED FROM THE REMAINING GENERAL SERVICE COST CENTERS. MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCORPORATED DID NOT REPORT ANY MEDICARE SHORTFALL AS COMMUNITY BENEFIT IN PART III, LINE 7 OF THIS SCHEDULE. PART III, LINE 9B: AS OF THE FILING OF THIS RETURN, MCCULLOUGH-HYDE MEMORIAL HOSPITAL, AS PART OF TRIHEALTH, INC., MAINTAINS A WRITTEN DEBT COLLECTION POLICY. TRIHEALTH, INC., WHO PERFORMS THE BILLING SERVICES FOR ALL AFFILIATED HOSPITALS, WILL NOT INITIATE COLLECTION PRACTICES ON PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. BEFORE COLLECTION ACTIONS ARE TAKEN, TRIHEALTH, INC. WILL MAKE REASONABLE EFFORTS, GENERALLY AS EARLY IN THE BILLING PROCESS AS POSSIBLE, TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. AFTER SUCH EFFORTS HAVE BEEN MADE AND A BALANCE REMAINS THAT IS THE RESPONSIBILITY OF THE PATIENT OR GUARANTOR, TRIHEALTH, INC. MAY PURSUE, IN ITS SOLE DISCRETION, WHATEVER ACTIONS IT MAY BE ENTITLED TO TAKE UNDER LAW. PART VI, LINE 2: EVERY THREE (3) YEARS, MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("MHMH") PARTICIPATES IN THE GREATER CINCINNATI TRI-STATE REGION REGIONAL CHNA TO EVALUATE THE HEALTH AND WELL-BEING OF THE AREAS 18-COUNTIES AND IDENTIFY OPPORTUNITIES FOR COLLECTIVE ACTION. THE REGIONAL CHNA IS A RESOURCE THAT CAN BE USED BY PARTNERS ACROSS SECTORS AND POLICYMAKERS TO INCREASE ACCESS TO DATA, GUIDE HEALTH IMPROVEMENT, AND ADVANCE EQUITY. THE MOST RECENT REGIONAL CHNA IS AVAILABLE AT HTTPS://HEALTHCOLLAB.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/.MHMH CAREFULLY CONSIDERED THE HEALTH NEEDS IDENTIFIED IN THE REGIONAL CHNA FOR THE COMMUNITIES SERVED BY MHMH. IN ADDITION TO THE REGIONAL CHNA PROCESS, CURRENT DATA AND INPUT FROM LOCAL LEADERS, PHYSICIANS AND COMMUNITY ADVOCATES WERE SOLICITED TO DETERMINE THE SIGNIFICANT HEALTH NEEDS FOR THE MHMH COMMUNITY SERVED THROUGH COMMUNITY ROUNDTABLE MEETINGS AND SURVEYS. THE MOST RECENT MHMH CHNA WAS COMPLETED IN 2025 AND A COPY OF THE REPORT AS WELL AS THE ASSOCIATED IMPLEMENTATION PLAN IS AVAILABLE ON THE TRIHEALTH WEBSITE. SEE SCHEDULE H, PART V, LINE 7A FOR THE URL. PART VI, LINE 3: TRIHEALTH, INC. PERFORMS THE BILLING SERVICES FOR ALL AFFILIATED HOSPITALS INCLUDING MCCULLOUGH-HYDE MEMORIAL HOSPITAL BROCHURES/APPLICATIONS, PROVIDED IN MULTIPLE LANGUAGES, ARE VISIBLE AND AVAILABLE IN THE REGISTRATION AND ADMITTING AREAS OF ALL TRIHEALTH AFFILIATED HOSPITALS. IN ADDITION, THE APPLICATION IS PRINTED ON THE REVERSE SIDE OF A PATIENT'S BILL WITH INSTRUCTIONS ON HOW TO COMPLETE THE APPLICATION AS WELL AS HOW TO RETURN IT. FINANCIAL COUNSELORS ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. FINALLY, TRIHEALTH, INC.'S WEBSITE CONTAINS INFORMATION REGARDING ITS CHARITY CARE AND FINANCIAL ASSISTANCE PROGRAMS WITH DIRECTIONS ON HOW TO CONTACT THE APPROPRIATE PERSONNEL TO INITIATE AN APPLICATION OR ASK QUESTIONS ABOUT THE PROCESS. PART VI, LINE 4: MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("MHMH") SERVES A DIVERSE DEMOGRAPHIC INCLUDING THE NORTHWESTERN CORNER OF BUTLER COUNTY, OHIO, THE SOUTHWESTERN CORNER OF PREBLE COUNTY, OHIO AND THE COUNTIES OF FRANKLIN AND UNION IN INDIANA. THE MAIN CAMPUS IS LOCATED IN OXFORD, OHIO, THE HOME OF MIAMI UNIVERSITY. OXFORD HAS A POPULATION RANGING FROM 22,000 DURING THE SCHOOL YEAR TO APPROXIMATELY HALF THAT NUMBER DURING THE SUMMER WITH A MEDIAN AGE OF 21.BUTLER COUNTY IS ONE OF THE MOST POPULATED COUNTIES IN THE REGION AND INCLUDES THE CITIES OF HAMILTON, MIDDLETOWN AND OXFORD. THE ESTIMATED POPULATION OF THE COUNTY IS 393,000 WITH APPROXIMATELY 12% IN POVERTY AND APPROXIMATELY 17% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. BUTLER COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $80,000 WITH 91% OF THE POPULATION HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (32% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4.5%. APPROXIMATELY 17% OF THE POPULATION IS 65 YEARS AND OLDER, 75% IS WHITE, 9% IS AFRICAN-AMERICAN, 7% IS HISPANIC, 4% ASIAN AND 5% OTHER.PREBLE COUNTY IN OHIO IS A GOOD MIX OF TRADITIONAL FARM LAND/AGRICULTURE AS WELL AS TECHNOLOGY AND INDUSTRY. THE ESTIMATED POPULATION OF THE COUNTY IS 41,000 WITH APPROXIMATELY 11% IN POVERTY AND APPROXIMATELY 14% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. PREBLE COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $71,000 WITH 93% OF THE POPULATION HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (18% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4%. APPROXIMATELY 20% OF THE POPULATION IS 65 YEARS AND OLDER, 95% IS WHITE, 1% IS AFRICAN-AMERICAN, 1% IS HISPANIC, 1% ASIAN AND 2% OTHER.FRANKLIN COUNTY IN INDIANA HAS AN ESTIMATED POPULATION OF 23,000 WITH APPROXIMATELY 9% IN POVERTY AND APPROXIMATELY 15% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. FRANKLIN COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $80,000 WITH 89% OF THE POPULATION HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (20% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4%. APPROXIMATELY 20% OF THE POPULATION IS 65 YEARS AND OLDER, 96% IS WHITE, 1% IS HISPANIC, 1% ASIAN AND 2% OTHER.UNION COUNTY IN INDIANA HAS AN ESTIMATED POPULATION OF 7,000 WITH APPROXIMATELY 6% IN POVERTY AND APPROXIMATELY 13% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. UNION COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $80,000 WITH 90% OF THE POPULATION HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (21% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 3%. APPROXIMATELY 20% OF THE POPULATION IS 65 YEARS AND OLDER, 95% IS WHITE, 1% IS HISPANIC, 1% IS ASIAN AND 3% OTHER. PART VI, LINE 5: MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("MHMH") IS BASED ON A PATIENT-CENTERED, CARING PHILOSOPHY. ITS STAFF IS DEDICATED TO PROVIDING SAFE AND HIGH-QUALITY SERVICES, WITH THE UTMOST KINDNESS AND COMPASSION. MHMH HAS AN OPEN MEDICAL STAFF WHO HAVE IMPECCABLE TRAINING, EXPERIENCE AND SKILLS. THE VAST MAJORITY ARE BOARD-CERTIFIED IN THEIR CHOSEN PROFESSIONAL FIELD. FOUNDED IN 1957, MHMH OFFERS 45 ACUTE INPATIENT BEDS INCLUDING INTENSIVE CARE, MEDICAL-SURGICAL AND OBSTETRICS AS WELL AS PROVIDES A 24-HOUR EMERGENCY ROOM AT ITS MAIN CAMPUS IN OXFORD, OHIO. MHMH ALSO OFFERS AN ARRAY OF OUTPATIENT MEDICAL AND SURGICAL SERVICES, INCLUDING OUTPATIENT SURGERY, ONCOLOGY/INFUSION CENTER, PHYSICAL THERAPY AND DIAGNOSTIC SERVICES WHICH INCLUDE LABORATORY AND IMAGING SERVICES. MHMH HOUSES NUMEROUS SPECIALISTS TO CARE FOR A MULTITUDE OF NEEDS AND OFFERS SERVICES AT OUR REGIONAL CAMPUSES LOCATED IN HAMILTON, ROSS AND CAMDEN, OHIO AND BROOKVILLE, INDIANA.IT SHOULD BE NOTED THAT MHMH IS AFFILIATED WITH TRIHEALTH, INC., A TAX-EXEMPT INTEGRATED HEALTH CARE SYSTEM, WHOSE MISSION, VISION, LEADERSHIP, AND RESOURCES HELP MHMH SERVE ITS COMMUNITIES. THROUGH THIS AFFILIATION THE RESOURCES OF GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, AND BETHESDA HOSPITAL, INC. (WHICH INCLUDES BETHESDA NORTH HOSPITAL, AND BETHESDA BUTLER HOSPITAL) ARE ALSO AVAILABLE TO ITS PATIENTS. PART VI, LINE 6: IN 1995, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND BETHESDA HOSPITAL, INC. FORMED A PARTNERSHIP CALLED TRIHEALTH IN ORDER TO CREATE AN INTEGRATED HEALTH DELIVERY SYSTEM WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE THEY SERVE, WITH AN EMPHASIS ON PREVENTION, WELLNESS AND EDUCATION.THROUGH FOUR (4) HOSPITALS, FIFTEEN (15) AMBULATORY LOCATIONS AND OVER 125 SITES OF CARE (EMPLOYING OVER 700 PHYSICIANS INCLUDING RESIDENTS), TRIHEALTH PROVIDES A WIDE RANGE OF CLINICAL, EDUCATIONAL, PREVENTIVE AND SOCIAL PROGRAMS. TRIHEALTH'S NON-HOSPITAL SERVICES INCLUDE PHYSICIAN PRACTICE MANAGEMENT, FITNESS CENTERS AND FITNESS CENTER MANAGEMENT, OCCUPATIONAL HEALTH CENTERS, HOME HEALTH AND HOSPICE CARE.HTTPS://WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/ 1 OXFORD FREE CLINIC PO BOX 390 OXFORD OH 45056 204253386 501(C)(3) 10000 0 ANNUAL FUNDING 1 0 PART I, LINE 2: MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("MHMH") PROVIDES FUNDS TO ONLY LOCAL ORGANIZATIONS FOR SPECIFIC ACTIVITIES AND NOT ONGOING ACTIVITIES. THE LOCAL ORGANIZATION PROVIDES A RECEIPT OF SUCH FUNDS WHICH SERVES AS MHMH'S SUBSTANTIATION. THUS, THE NEED TO MONITOR THE USE OF THE FUNDS IS NOT NEEDED BY MHMH. 1 1 0 0 0 0 0 0 0 TERRI HANLON-BREMER TRUSTEE (START 7/24) 0 807387 0 260773 0 32140 0 53324 0 17042 0 1170666 0 0 HELEN KOSELKA MD DIRECTOR 0 707156 0 197328 0 18093 0 49708 0 41873 0 1014158 0 0 JOHN WARD CHAIRPERSON 0 652260 0 186317 0 42941 0 53324 0 34373 0 969215 0 0 STEVE GRACEY SECRETARY 0 593047 0 163198 0 3753 0 48110 0 41668 0 849776 0 0 STEVE MOMBACH DIRECTOR 0 538179 0 156992 0 21467 0 43324 0 25964 0 785926 0 0 JEREMIAH KIRKLAND PRESIDENT-MHMH (END 6/25) 0 446240 0 109265 0 31264 0 69785 0 39233 0 695787 0 0 MICHAEL CROFTON TREASURER 0 342253 0 176187 0 6460 0 54214 0 27792 0 606906 0 0 BRAD SCHULTZ MD DIRECTOR 0 461667 0 17500 0 1904 0 25110 0 41508 0 547689 0 0 MICHAEL EVERETT FORMER KEY EMPLOYEE 0 0 0 0 0 293392 0 0 0 0 0 293392 0 0 NATHANAEL CHANEY SR DIR-NURSING & OPERATIONS 0 161214 0 21549 0 9973 0 14517 0 22130 0 229383 0 0 NATHAN SIMMONS DIRECTOR-PHARMACY SERVICES 170861 0 15606 0 14155 0 10143 0 13348 0 224113 0 0 0 JESSICA GOEKE NURSE MANAGER 130150 0 35345 0 265 0 7379 0 23108 0 196247 0 0 0 MELISSA CATANIA CHARGE NURSE 142997 0 600 0 1991 0 7670 0 36729 0 189987 0 0 0 LYNDSEY BENGAL NURSE MANAGER 124767 0 19246 0 857 0 3371 0 34220 0 182461 0 0 0 KATHERINE MADDOCK CHARGE NURSE 133581 0 5549 0 5909 0 7352 0 11901 0 164292 0 0 0 PART I, LINES 4A-B ELIGIBLE EXECUTIVES (GENERALLY VICE PRESIDENTS AND ABOVE) PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. DURING THE 2024 CALENDAR YEAR, NONE OF THE INDIVIDUAL(S) LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION BY TRIHEALTH, INC. PART I, LINES 3 TRIHEALTH, INC., A RELATED ORGANIZATION OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE. PART I, LINE 4A THE REPORTABLE INDIVIDUALS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INCORPORATED ARE PAID BY TRIHEALTH, INC., A RELATED ORGANIZATION, RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3). TRIHEALTH, INC. HAS A STANDARD EMPLOYEE SEVERANCE PACKAGE. GENERAL SEVERANCE PAY IS BASED ON LENGTH OF SERVICE. IN ADDITION, NOTICE PAY, IF APPLICABLE UNDER TRIHEALTH, INC. POLICY, MAY BE ADDED TO THE SEVERANCE PACKAGE AND THE AMOUNT OF NOTICE PAY WILL BE DETERMINED BY HUMAN RESOURCES IN ACCORDANCE WITH TRIHEALTH, INC. POLICY. PAYMENTS OF SEVERANCE ARE CONDITIONED UPON SIGNING A SEPARATION AND RELEASE AGREEMENT. THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC. DURING THE 2024 CALENDAR YEAR. MICHAEL EVERETT - $293,392 FORM 990, PART III, LINE 4 SINCE 1957, MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("MHMH"), A COMPREHENSIVE, FULLY ACCREDITED HOSPITAL, HAS A LONG-STANDING COMMITMENT TO THE CITY OF OXFORD, OHIO AND ITS SURROUNDING COMMUNITIES SERVED (PREBLE AND BUTLER COUNTIES OF OHIO, AND FRANKLIN AND UNION COUNTIES OF INDIANA). FOR ALMOST 70 YEARS, MHMH HAS GROWN ALONG WITH THE COMMUNITY, CONTINUALLY ASSESSING THE NEEDS OF THE COMMUNITIES AS IT DEVELOPS INNOVATIVE PROGRAMS AND SERVICES. MHMH USES STATE-OF-THE-ART TECHNOLOGY AND PATIENT-CENTERED CARE TO SERVE OVER 80,000 PEOPLE EACH YEAR. ITS MAIN CAMPUS OFFERS FORTY-FIVE (45) ACUTE INPATIENT BEDS, INCLUDING INTENSIVE CARE, MEDICAL-SURGICAL AND OBSTETRICS. IT ALSO OFFERS AN ARRAY OF OUTPATIENT MEDICAL AND SURGICAL SERVICES, INCLUDING EMERGENCY 24/7, OUTPATIENT SURGERY, OBSTETRICS/GYNECOLOGY, HEART/VASCULAR CARE, ONCOLOGY/INFUSION CENTER, ORTHOPEDICS/SPORTS MEDICINE, OCCUPATIONAL HEALTH, REHABILITATION/PHYSICAL THERAPY, SLEEP DISORDERS CENTER AND DIAGNOSTIC SERVICES WHICH INCLUDE LABORATORY AND IMAGING SERVICES. IN ADDITION, MHMH HOUSES NUMEROUS SPECIALISTS TO CARE FOR A MULTITUDE OF NEEDS AND OFFERS SERVICES AT ITS REGIONAL CAMPUSES LOCATED IN CAMDEN, OXFORD AND HAMILTON IN OHIO AND BROOKVILLE AND WEST COLLEGE CORNER IN INDIANA. SINCE 2015, MHMH IS AFFILIATED WITH TRIHEALTH, INC., A TAX-EXEMPT INTEGRATED HEALTH CARE SYSTEM, WHOSE MISSION, VISION, LEADERSHIP, AND RESOURCES HELP MHMH SERVE ITS COMMUNITIES. THROUGH THIS AFFILIATION THE RESOURCES OF GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, AND BETHESDA HOSPITAL, INC. (WHICH INCLUDES BETHESDA NORTH HOSPITAL, AND BETHESDA BUTLER HOSPITAL) ARE AVAILABLE TO ITS PATIENTS TO ENSURE THEY HAVE ACCESS TO WHATEVER CARE IS NEEDED. DURING THE YEAR, MHMH'S INPATIENT VOLUME CONSISTED OF 1,666 ADMISSIONS CULMINATING IN 4,489 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 3.27 DAYS. OBSTETRICS SERVICES TOTALED 426 BIRTHS WHILE MHMH HAD A TOTAL OF 651 OBSERVATION DAYS OF SERVICE. THE EMERGENCY ROOM SAW 15,158 VISITS CONSISTING OF 13,964 OUTPATIENT AND 1,214 INPATIENT. FINALLY, NON-EMERGENCY OUTPATIENT VISITS TOTALED 68,978. NEARLY 60% OF MHMH PATIENTS ARE COVERED BY EITHER MEDICARE OR MEDICAID WITH THE REMAINING BEING COMMERCIAL OR SELF-PAY. FOR ADDITIONAL INFORMATION, PLEASE SEE SCHEDULE H. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR AND THREE (3) ADDITIONAL BOARD MEMBERS ELECTED TO THE EXECUTIVE COMMITTEE BY THE BOARD. THE BOARD CHAIR SHALL CHAIR THE EXECUTIVE COMMITTEE. DURING THE INTERVALS BETWEEN BOARD MEETINGS, THE EXECUTIVE COMMITTEE MAY EXERCISE ALL THE POWERS AND FUNCTIONS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT AND DIRECTION OF THE AFFAIRS OF THE CORPORATION IN MATTERS OF URGENCY WHICH REQUIRE ACTION BETWEEN REGULARLY SCHEDULED OR SPECIAL MEETINGS OF THE BOARD OF DIRECTORS. THREE (3) MEMBERS OF THE EXECUTIVE COMMITTEE SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF BUSINESS AND THE ACT OF THREE (3) OF THEM SHALL CONSTITUTE THE ACT OF THE EXECUTIVE COMMITTEE. ALL ACTIONS OF THE EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE BOARD OF DIRECTORS AT ITS NEXT MEETING SUCCEEDING SUCH ACTION. FORM 990, PART VI, SECTION A, LINE 6 TRIHEALTH, INC. IS THE SOLE MEMBER OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF MHMH SHALL CONSIST OF TEN (10) INDIVIDUALS APPOINTED BY THE MEMBER AND MAY INCLUDE THE MEMBER'S SENIOR MANAGEMENT, PHYSICIANS, MEMBERS OF THE COMMUNITY AND SUCH OTHER PERSONS AS THE MEMBER DETERMINES APPROPRIATE, WITH NO MINIMUM REPRESENTATION OF ANY STAKEHOLDER. EACH DIRECTOR SHALL SERVE FOR A TERM OF FOUR (4) YEARS. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER ("MEMBER") OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL ("MHMH") SHALL HAVE ALL RIGHTS AFFORDED TO MEMBERS OF NONPROFIT CORPORATIONS UNDER SECTION 1702 OF THE OHIO REVISED CODE, AS AMENDED. THE CHIEF EXECUTIVE OFFICER OF TRIHEALTH, INC. ("CEO OF THE MEMBER") IS THE PERSON APPOINTED BY THE MEMBER TO OVERSEE THE ACTIVITIES AND AFFAIRS OF THE CORPORATION, AND THE CEO OF THE MEMBER MAY DELEGATE THIS RESPONSIBILITY TO ONE OR MORE OTHER EXECUTIVES EMPLOYED BY THE MEMBER. THE MEMBER SHALL HAVE THE POWER TO TRANSFER ASSETS OF THE CORPORATION OR TO REQUIRE THE CORPORATION TO TRANSFER ASSETS TO THE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MEMBER'S GOALS AND OBJECTIVES, AND TO PROVIDE FOR THE PAYMENT OF ALL INDEBTEDNESS OF THE MEMBER OR AN ENTITY CONTROLLED BY, CONTROLLING, OR UNDER COMMON CONTROL WITH THE MEMBER (FOR PURPOSES OF THIS SECTION, A "MEMBER AFFILIATE"), ISSUED OR INCURRED BY OR ON BEHALF OF THE MEMBER OR A MEMBER AFFILIATE IN FURTHERANCE OF THE MEMBER'S GOALS AND OBJECTIVES. THE CORPORATION SHALL NOT BE REQUIRED TO VIOLATE ITS CHARITABLE PURPOSES, THE TERMS OF ANY RESTRICTED GIFTS, THE PROVISIONS OF THE NETWORK AFFILIATION AGREEMENT, THE PROVISIONS OF THE ORDERS, OR THE COVENANTS OF ITS DEBT INSTRUMENTS AS A RESULT OF ANY ASSET TRANSFERS MADE OR DIRECTED BY THE MEMBER. THE CORPORATION SHALL NOT TRANSFER ASSETS TO ENTITIES OTHER THAN THE MEMBER OR MEMBER AFFILIATES WITHOUT THE APPROVAL OF THE MEMBER, EXCEPT FOR TRANSFERS PREVIOUSLY APPROVED BY THE MEMBER, EITHER INDIVIDUALLY OR AS PART OF THE MEMBER BUDGET PROCESS, AND EXCEPT FOR TRANSFERS TO AN AFFILIATE OR SUBSIDIARY OF THE CORPORATION, BUT SUBJECT IN ALL CASES TO THE PROVISIONS OF THE NETWORK AFFILIATION AGREEMENT AND THE ORDERS. TO THE EXTENT PERMITTED BY LAW AND IN ADDITION TO ANY AUTHORIZATION, CONSENT, OR APPROVAL REQUIRED BY ANY RULE OR REGULATION, ANY MATTER OR TRANSACTION OF THE CORPORATION REQUIRING APPROVAL, REVIEW AND/OR RECOMMENDATION BY THE MEMBER UNDER THE NETWORK AFFILIATION AGREEMENT OR THE ORDERS MUST BE APPROVED, REVIEWED OR RECOMMENDED BY THE MEMBER BEFORE THE CORPORATION MAY ENGAGE OR PARTICIPATE IN, UTILIZE ITS INCOME OR ASSETS IN CONNECTION WITH, OR OTHERWISE BE ASSOCIATED WITH SUCH MATTERS OR TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 11B THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE INTERNAL REVENUE SERVICE, FOR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO ANNUALLY DISCLOSE CERTAIN FINANCIAL INTERESTS AND FIDUCIARY RELATIONSHIPS. THE EXECUTIVE COMMITTEE AND CORPORATE COUNSEL REVIEW RESPONSES, CONDUCT FURTHER INVESTIGATION, IF NECESSARY, AND DETERMINE WHEN A CONFLICT EXISTS WITH RESPECT TO A CERTAIN TRANSACTION. IF A CONFLICT EXISTS, THE TRANSACTION IS NOT TO BE ENTERED INTO UNLESS ALTERNATIVES ARE FULLY INVESTIGATED AND, IN THEIR ABSENCE, THE BOARD, WITHOUT PARTICIPATION OF THE INTERESTED MEMBER(S), DETERMINES THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. PLANS TO MANAGE THE CONFLICT DURING THE RELATIONSHIP ARE IMPLEMENTED. ALL DISCUSSIONS ARE APPROPRIATELY DOCUMENTED. ALL DIRECTORS AND MANAGERS, WHICH INCLUDE OFFICERS AND KEY EMPLOYEES, ARE REQUIRED TO ANNUALLY DISCLOSE ANY CIRCUMSTANCES, INCLUDING FAMILY AND BUSINESS RELATIONSHIPS, THAT MAY CAUSE A CONFLICT OF INTEREST FOR THE ORGANIZATION. THESE RESPONSES ARE REVIEWED AND ACTED UPON BY A CONFLICT OF INTEREST COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 MCCULLOUGH-HYDE MEMORIAL HOSPITAL'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. IN ADDITION, THE FINANCIAL STATEMENTS ARE PRESENTED TO THE CITY COUNCIL OF OXFORD ANNUALLY AT A MEETING THAT IS OPEN TO THE PUBLIC. FORM 990, PART XI, LINE 9: MISCELLANEOUS -11,354. FORM 990, PART XII, LINE 2C THE FINANCIAL STATEMENTS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL ARE AUDITED AS PART OF TRIHEALTH, INC. AND ITS SUBSIDARIES AND AFFILIATES ("TRIHEALTH"). TRIHEALTH HAS A COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF BOTH ITS AND ITS SUBSIDIARIES AND AFFILIATES FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF THE INDEPENDENT AUDITOR. DURING THE TAX YEAR, THERE WAS NOT A CHANGE IN THE PROCESS OF AUDIT OVERSIGHT AND/OR SELECTION OF AN INDEPENDENT AUDITOR BY TRIHEALTH. 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