Liabilities / Assets
48th percentile
Higher debt load relative to assets than 48% of similar nonprofits.
EIN 34-4441792 • 501(c)3 • Port Clinton, OH
Profile
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
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
48th percentile
Higher debt load relative to assets than 48% of similar nonprofits.
Liabilities / Revenue
33rd percentile
Higher debt load relative to revenue than 33% of similar nonprofits.
Net Margin
29th percentile
Higher net margin than 29% of similar nonprofits.
Top Officer Pay
69th percentile
Higher top officer pay than 69% of similar nonprofits.
Top officer pay equals 0.7% of source-year revenue.
Asset Growth
19th percentile
Faster asset growth than 19% of similar nonprofits.
Revenue Growth
41st percentile
Faster revenue growth than 41% of similar nonprofits.
Assets
Down$56,867,593
Down $1,319,575 (-2.3%) from 2022
Liabilities
Down$12,449,809
Down $2,890,422 (-19%) from 2022
Net Assets
Up$44,417,784
Up $1,570,847 (+3.7%) from 2022
Revenue
Up$68,284,956
Up $8,608,067 (+14%) from 2022
Expenses
Up$69,079,021
Up $3,588,831 (+5.5%) from 2022
Net Income
Up-$794,065
Up $5,019,236 (+86%) from 2022
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
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
Magruder hospital shall provide compassionate care with excellent outcomes.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $24,824,622 | $23,958,873 | ▼ $865,749 |
| Investments in Publicly Traded Securities | $9,685,737 | $10,588,401 | ▲ $902,664 |
| Savings and Temporary Cash Investments | $12,684,299 | $10,280,276 | ▼ $2,404,023 |
| Accounts Receivable | $5,689,459 | $6,865,376 | ▲ $1,175,917 |
| Cash and Non-Interest-Bearing Accounts | $1,285,259 | $849,937 | ▼ $435,322 |
| Inventories for Sale or Use | $546,832 | $768,364 | ▲ $221,532 |
| Prepaid Expenses and Deferred Charges | $452,158 | $609,905 | ▲ $157,747 |
| Other Notes and Loans Receivable, Net | $494,503 | $107,819 | ▼ $386,684 |
| Investments Other Securities | $94,500 | $43,204 | ▼ $51,296 |
| Total Assets | $58,266,157 | $56,867,593 | ▼ $1,398,564 |
| Other Assets Total | $2,508,788 | $2,795,438 | ▲ $286,650 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $7,421,588 | $6,945,368 | ▼ $476,220 |
| Accounts Payable and Accrued Expenses | $4,616,970 | $5,298,036 | ▲ $681,066 |
| Other Liabilities | $1,927,379 | $206,405 | ▼ $1,720,974 |
| Total Liabilities | $13,965,937 | $12,449,809 | ▼ $1,516,128 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $44,213,664 | $44,342,613 | ▲ $128,949 |
| Net Assets With Donor Restrictions | $86,556 | $75,171 | ▼ $11,385 |
| Total Net Assets Fund Balance | $44,300,220 | $44,417,784 | ▲ $117,564 |
| Total Liabilities and Net Assets / Fund Balance | $58,266,157 | $56,867,593 | ▼ $1,398,564 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $20,884,112 | $32,801,428 | $53,685,540 |
| Equipment | $2,697,613 | $32,765,777 | $35,463,390 |
| Other Land Buildings | $252,319 | - | $252,319 |
| Land | $124,829 | - | $124,829 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Raymond Fuller | Physician | FT | $463,078 | $43,780 | $506,858 |
| Davie Bodie | Physician | FT | $193,625 | $120,235 | $313,860 |
| Nicholas Marsico | President & CEO | FT | $270,805 | $28,372 | $299,177 |
| Robert Goshia | VP Finance & CFO | FT | $222,358 | $52,065 | $274,423 |
| Karen Klaege | Physician | FT | $214,517 | $58,611 | $273,128 |
| Sean Callahan | Physician | FT | $167,434 | $94,000 | $261,434 |
| Chad Blunt | Physician | FT | $186,575 | $23,267 | $209,842 |
| Kimberly Schreiner | VP Nursing & CNO | FT | $161,567 | $37,215 | $198,782 |
| Jason Kraus | Executive Director, People & Facilities | FT | $130,837 | $35,765 | $166,602 |
| Jason Kraus | Executive Director, People & Facilit | - | $130,837 | $35,765 | $166,602 |
| Jill Crawford | Executive Director, Clinic Ops & Ancillary | FT | $137,767 | $24,692 | $162,459 |
| Jill Crawford | Executive Director, Clinic Ops & Anc | - | $137,767 | $24,692 | $162,459 |
| Name | Title |
|---|---|
| Greg Deerhake | Chair |
| Paul Druckenmiller | Vice Chair |
| Alison Falls | Director |
| Barry Cover Md | Director |
| Chris Singerling | Director |
| David Soderberg | Director |
| Douglas Focht | Director |
| Jeff Dornbusch | Director |
| Kevin Sneider Dpm | Director |
| Maria Sue Crosser | Director |
| Mark Hablitzel Dds | Director |
| Mark Sprenger | Director |
| Mike Libben | Director |
| Nancy Osborn | Director |
| Ron Miller | Director |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Noms-advanced Health Ltd | Physical Therapy | 2500 W STRUB RD STE 150, Sandusky, OH 44870 | $1,566,686 |
| Emergency Professional Services INC | Emergency Physicians | 307 SOUTH EVERGREEN AVE, Woodbury, NJ 08096 | $1,395,495 |
| Premier Anesthesia Of Sandusky | Anesthesiologists | 6125 S BROADWAY WEST, Lorain, OH 45053 | $1,283,333 |
| Cerner | Computer Software Svcs | 2800 ROCKCREEK PARKWAY, Kansas City, MO 64117 | $1,224,980 |
| Rural Physicians Group | Hospitalist | 5575 DTC PKWY STE 225, Greenwood Village, CO 80111 | $1,198,580 |
| Line Item | Amount |
|---|---|
| Other Expenses | $39,834,010 |
| Salaries, Compensation, and Employee Benefits | $29,219,111 |
| Grants and Similar Amounts Paid | $25,900 |
| Total Fundraising Expense | $22,293 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $17,660,056 | $2,061,954 | $2,760 | $19,724,770 |
| Fees for Services Other | $13,308,370 | $1,955,581 | $693 | $15,264,644 |
| Other Employee Benefits | $5,296,963 | $415,110 | $6,529 | $5,718,602 |
| Depreciation Depletion | $2,315,487 | $395,266 | $3,511 | $2,714,264 |
| Occupancy | $2,122,424 | $342,100 | $2,862 | $2,467,386 |
| Payroll Taxes | $1,740,920 | $180,999 | $2,145 | $1,924,064 |
| Information Technology | $1,602,016 | $227,385 | $2,771 | $1,832,172 |
| Current Officers, Directors, Trustees, and Key Employees | - | $1,101,442 | - | $1,101,442 |
| Pension Plan Contributions | $709,161 | $40,193 | $879 | $750,233 |
| All Other Expenses | $103,713 | $474,368 | $2 | $578,083 |
| Office Expenses | $473,270 | $35,131 | $135 | $508,536 |
| Insurance | $421,399 | - | - | $421,399 |
| Other Expenses | $367,133 | $5,363 | - | $372,496 |
| Advertising | $223,617 | $120 | - | $223,737 |
| Interest | - | $195,376 | - | $195,376 |
| Fees for Services Accounting | - | $116,634 | - | $116,634 |
| Grants to Domestic Individuals | $25,900 | - | - | $25,900 |
| Fees for Services Legal | - | $22,711 | - | $22,711 |
| Travel | $14,807 | $6,722 | $6 | $21,535 |
| Total Functional Expenses | $60,039,269 | $9,017,459 | $22,293 | $69,079,021 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Doug Focht | Owner of Focht Construction | Payment for Construction Project | No | $21,133 |
| Liability | Amount |
|---|---|
| Lease Liability | $466,573 |
| Debt Issuance Costs | $-260,168 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Toledo-lucas County Port Authority Northwest Ohio Bond Func | 2021-11-30 | $8,085,000 | CAPITAL IMPROVEMENTS |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $8,085,000 | - | - | $260,168 |
“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.”
“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 regard to building construction transactions (see schedule l, part vi disclosure).”
“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 2024.”
“Form 1023 and form 990 are available upon request. 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.”
“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.”
“Physician fees: program service expenses 7,297,745. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,297,745. Purchased services (medical, human resources, administrative): program service expenses 4,298,221. Management and general expenses 1,955,581. Fundraising expenses 693. Total expenses 6,254,495. Therapy services: program service expenses 1,712,404. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,712,404.”
“Pain management book to tax difference 154,262. Pain management equity adjustment -149,688. Foundation fundraising activity book to tax difference 231,769. Change in restricted net assets -19,500.”
“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.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 6865376 |
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| IRS990/ActivityOrMissionDesc | 0 | MAGRUDER HOSPITAL SHALL PROVIDE COMPASSIONATE CARE WITH EXCELLENT OUTCOMES. |
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| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | PORT CLINTON |
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| IRS990/Desc | 0 | MAGRUDER CONTINUES ITS COMMITMENT TO SERVING THE PUBLIC HEALTH PREVENTION AND HEALTH EDUCATION NEEDS IN THE COMMUNITIES OF OTTAWA COUNTY. -WE REACHED A TOTAL OF 478 INDIVIDUALS FOR OUR MONTHLY COMMUNITY LAB SCREENING IN 2024.-WE OFFERED 23 FLU VACCINE CLINICS FOR OUR COMMUNITY AT 7 LOCATIONS THROUGHOUT THE COUNTY. -WE DONATED CONFERENCE CENTER SPACE FOR 97 SOCIAL SERVICE AGENCY MEETINGS, BLOOD DRIVES, AARP DRIVER SAFETY, SUPPORT GROUPS AND WELLNESS CLASSES. -COMMUNITY OUTREACH AND COMMUNITY HEALTH WORKER SPENT OVER 100 HOURS AT COLLABORATIVE MEETINGS FOR HOUSING, PREVENTION, SENIOR TASK FORCE AND I TEAM, COMMUNITY DAY, CHILDCARE, OSU EXTENSION AND OTHERS. -OUR ONCOLOGY DIRECTOR SPENT 60+ HOURS HELPING 34 PATIENTS OBTAIN ASSISTANCE FROM PHARMACEUTICAL COMPANIES AND OTHER ASSISTANCE PROGRAMS.-WE HELD OUR ANNUAL MEDICARE EDUCATION & COMPARISON EVENT AND HAD 63 ATTENDEES. WE ALSO PROVIDED ONE-ON-ONE COMPARISONS FOR 93 INDIVIDUALS SAVING THEM OVER $57,000. WE ALSO PRESENTED A MEDICARE OVERVIEW AT THE IDA RUPP LIBRARY AND MS SUPPORT GROUP.-MAGRUDER SPONSORED 11 BLOOD DRIVES IN 2024. FOR THESE BLOOD DRIVES, WE NOT ONLY PROVIDE FREE SPACE AND PROMOTION OF THE EVENT, BUT WE ALSO ALLOW EMPLOYEES TO DONATE ON WORK TIME. -WE PROVIDED DISCHARGE MEALS FOR 435 PATIENTS IN 2024. -WE PROVIDED $950 OF FREE TRANSPORTATION FOR PATIENTS WHO HAD NO OTHER WAY HOME. -WE PROVIDED HEALTH EDUCATION PROGRAMS FOR 1,155 PARTICIPANTS ON THE TOPICS OF NUTRITION, PHYSICAL ACTIVITY, ADVANCE DIRECTIVES, DIABETES AND CANCER. WE DID A FEW GROUP EDUCATION PROGRAMS AT THE HOSPITAL AND CONTINUED TO PROVIDE HEALTH EDUCATION BLOGS ON OUR WEBSITE AND SOCIAL MEDIA AND OFFER HEALTH TIPS IN OUR MONTHLY WELLNESS CALENDAR. -ER AND URGENT CARE INSTALLED FRAMES IN EACH PATIENT ROOM AND WE HUNG FLYERS IN THERE WITH INFORMATION ABOUT MEDICATION DISPOSAL, SUPPORT GROUPS AND MEDICARE OPEN ENROLLMENT WHICH REACHED OVER 5,000 PATIENTS.-MAGRUDER SPONSORED OR PARTICIPATED IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES: -OTTAWA COUNTY FAIR -COMMUNITY DAY (COMMUNITY RESOURCE FAIR) -NO WRONG DOOR -SUMMIT ON AGING -OVERDOSE AWARENESS -ELDER ABUSE AWARENESS -SUMMER LUNCH PROGRAMTHESE 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, SHELTER, NUTRITION, MEDICAL EQUIPMENT OR SAFE ACTIVITIES FOR TEENS.-MAGRUDER CONTINUED ITS STAFF COMMUNITY INVOLVEMENT PROGRAM WHERE THE HOSPITAL PAYS EMPLOYEES TO VOLUNTEER 4 HOURS IN THE COMMUNITY. IN 2024 MAGRUDER PAID EMPLOYEES TO VOLUNTEER 305 HOURS IN THE COMMUNITY. THESE VOLUNTEERS HOURS INCLUDED: HELPING WITH FREE SPORTS PHYSICALS, UNITED WAY EFFORTS, BLOOD PRESSURE CHECKS FOR HALL WALKERS AT LOCAL SCHOOL, OSU FINANCIAL LITERACY PROGRAM IN COUNTY MIDDLE SCHOOLS, PACKING LUNCHES FOR SUMMER LUNCH PROGRAM, VOLUNTEERING AT AREA LIGHTHOUSE, SUMMER CAMP HELPER, WORKING CONCESSIONS FOR MUSIC BOOSTERS, RINGING THE BELL FOR SALVATION ARMY, HELPING WITH FLU SHOTS, SORTING TOYS FOR TOYS FOR TOTS, 4H VOLUNTEER, LITTER PICK UP, LOCAL FOOD BANK, DONATING BLOOD AND MORE. -MAGRUDER'S LEADERSHIP TEAM ALSO CONTINUES TO PARTICIPATE IN A VARIETY OF COMMUNITY BOARDS AND ORGANIZATIONS: 3 AREA CHAMBERS OF COMMERCE, OTTAWA COUNTY COUNCIL OF HEALTH & SOCIAL CONCERNS, OTTAWA COUNTY TASK FORCE ON AGING, PREVENTION COALITION, OSU EXTENSION ADVISORY BOARD, OTTAWA COUNTY IMPROVEMENT CORPORATION, OTTAWA COUNTY BUSINESS ADVISORY COUNCIL AND OTTAWA COUNTY SAFETY COUNCIL. IN 2024 MAGRUDER PARTNERED WITH THE OTTAWA COUNTY HEALTH DEPARTMENT, THE MENTAL HEALTH BOARD OF SANDUSKY, OTTAWA, SENECA AND WYANDOT COUNTIES AND 16 OTHER COUNTY GROUPS AND AGENCIES TO COMPLETE A NEW COMMUNITY HEALTH NEEDS ASSESSMENT. BELOW ARE THE PRIORITIES AND STRATEGIES IDENTIFIED BY THESE OTTAWA COUNTY HEALTH PARTNERS:PRIORITY 1 MENTAL HEALTHSTRATEGIES: EXPAND MENTAL HEALTH AND SUICIDE PREVENTION EDUCATION IN OTTAWA COUNTY SCHOOLS, IMPLEMENT 'HANDLE WITH CARE' PROGRAM, E |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 43.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 28372 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 44565 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 37140 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 24692 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 35765 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 43780 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 40858 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 27984 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 39791 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 23267 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | GREG DEERHAKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | PAUL DRUCKENMILLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DAVID SODERBERG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | NANCY OSBORN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | BARRY COVER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DOUGLAS FOCHT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JEFF DORNBUSCH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | KEVIN SNEIDER DPM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | ALISON FALLS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | RON MILLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MARK HABLITZEL DDS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | MARIA SUE CROSSER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MIKE LIBBEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MARK SPRENGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | CHRIS SINGERLING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | NICHOLAS MARSICO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | ROBERT GOSHIA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | KIMBERLY SCHREINER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | JILL CRAWFORD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | JASON KRAUS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | RAYMOND FULLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | DAVIE BODIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | SEAN CALLAHAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | KAREN KLAEGE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | CHAD BLUNT |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 270805 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 229858 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 161642 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 137767 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 130837 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 463078 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 273002 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 233450 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 233337 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 186575 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | VP FINANCE & CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | VP NURSING & CNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | EXECUTIVE DIRECTOR, CLINIC OPS & ANCILLARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | EXECUTIVE DIRECTOR, PEOPLE & FACILITIES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1940 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -1342 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 191319 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 15 |
| IRS990/GovernmentGrantsAmt | 0 | 995655 |
| IRS990/GrantAmt | 0 | 25900 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 25900 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 25900 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 4252929 |
| IRS990/GrossReceiptsAmt | 0 | 72347908 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 25626 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 14 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 10 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/FundraisingAmt | 0 | 2771 |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 227385 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 1602016 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1832172 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 421399 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 421399 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 195376 |
| IRS990/InterestGrp/TotalAmt | 0 | 195376 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 546832 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 768364 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 695386 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 695386 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 94500 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 43204 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 9685737 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 10588401 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 63 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 65567205 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 24824622 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 23958873 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 89526078 |
| IRS990/LegalDomicileStateCd | 0 | OH |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 1342 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 4061610 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 184035 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 184035 |
| IRS990/MissionDesc | 0 | IMPROVING LIVES TOGETHER |
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