2024-08-05T12:55:52-04:00 2023-09-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2022-10-01 592319288 MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC MADI 8509732271 224 NW CRANE AVENUE MADISON FL 323401400 PATRICK MCGEE CFO 8509732271 2024-08-01 true false WILLIAM EDWARD PHILLIPS P00451499 2298837878 2024-08-01 2022 2024-08-08 14:25:15Z MADISON COUNTY MEMORIAL HOSPITAL TAMMY STEVENS 224 NW CRANE AVENUE MADISON FL 323401400 13664061 false X WWW.MCMH.US X 1938 FL TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE COMMUNITY WHICH IT SERVES. THESE SERVICES INCLUDE ACUTE GENERAL INPATIENT AND OUTPATIENT CARE, SWING BED, ENDOSCOPY, PHYSICAL THERAPY AND OTHER RELATED SERVICES. 6 6 209 8 0 3523534 1970552 11358498 11373408 -43452 44367 128584 275734 14967164 13664061 0 0 6448595 6822608 0 0 7486724 8312717 13935319 15135325 1031845 -1471264 21963320 20535844 22491840 22530687 -528520 -1994843 TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE COMMUNITY WHICH IT SERVES. THESE SERVICES INCLUDE ACUTE GENERAL INPATIENT AND OUTPATIENT CARE, SWING BED, ENDOSCOPY, PHYSICAL THERAPY AND OTHER RELATED SERVICES. false false 12630317 11647379 THE HOSPITAL IS A 25-BED CRITICAL ACCESS FACILITY LICENSED BY THE STATE OF FLORIDA THROUGH THE AGENCY FOR HEALTHCARE ADMINISTRATION. THE HOSPITAL OFFERS SERVICES SUCH AS ROUTINE RADIOLOGY, ENDOSCOPY, MAMMOGRAPHY, ULTRASOUND, LABORATORY, RESPIRATORY THERAPY, 24 HOUR EMERGENCY ROOM, SWING BED SERVICES, OUTPATIENT REHABILITATION, AND AN ACUTE CARE SETTING FOR PATIENTS. 12630317 true true false true false false false false false true true false false true true true true false false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false true 24 0 209 true false false false false false false false false false false false false X 6 6 false false false false false true true true true false false false true true true true true true false false X PATRICK MCGEE 8509732271 224 NW CRANE AVENUE MADISON FL 323401400 DANIEL PERKINS MD PHYSICIAN 40.00 X 203687 0 33384 TAMMY STEVENS CEO 40.00 1.00 X 181669 0 1366 REBECCA HUGHES RN 40.00 X 107702 0 10357 PATRICK MCGEE CFO 40.00 1.00 X 101201 0 10660 BRITTANY SELPH CNO 40.00 X 93685 0 9525 CYNTHIA BURNETT SASNETT HRO 40.00 X 88497 0 5411 JUANITA WEBB FICO DIRECTOR 1.00 X 0 0 0 BEN HARRIS CHAIR 1.00 X X 0 0 0 KAREN ANNETTE JOHNSON DIRECTOR 1.00 1.00 X 0 0 0 SHIRLEY JOSEPH VICE CHAIR 1.00 X X 0 0 0 ROSA RICHARDSON SECRETARY 1.00 X X 0 0 0 JIM SALE DIRECTOR 1.00 X 0 0 0 776441 70703 4 false true false MCKESSON PO BOX 936279 ATLANTA GA 31193 MEDICAL EQUIP 659340 DAVIN HEALTHCARE WORKFORCE PO BOX 1355 MIDDLETOWN OH 450421355 OUTSOURCE STAFF 490067 SOUTHLAND EMERGENCY MED SVCS PO BOX 5218 NICEVILLE FL 325785218 ER PHYSICIANS 360000 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DR SUITE 300 BENSALEM PA 19020 ENVIORMENTAL SV 270900 MADISON RADIOLOGY SERVICES PA 3034 NW 66TH BLVD JENNINGS FL 320534246 RADIOLOGIST 224028 12 1919552 51000 1970552 NET PATIENT SERVICES 623000 11373408 11373408 11373408 44367 44367 SPINE AND ORTHO REVENUE - AR 621990 158360 158360 EMPLOYEE LEASE INCOME 621990 61156 61156 MISCELLANEOUS REVENUE 621990 52962 52962 3256 1493 1763 275734 13664061 11647379 46130 X 492014 103210 388804 5451913 4560253 891660 15744 14535 1209 418254 401498 16756 444683 410531 34152 36800 36800 137425 137425 2368344 2342807 25537 15015 14206 809 849991 714321 135670 13597 13597 455183 356181 99002 29793 28426 1367 11183 8607 2576 848316 830259 18057 2084787 1631346 453441 71467 14239 57228 MEDICAL SUPPLIES 781332 781332 REPAIRS & MAINTENANCE 349245 348669 576 FINES & ASSESSMENTS 149504 149504 LICENSE & FEES 75966 39608 36358 34769 16692 18077 15135325 12630317 2505008 0 450 450 6320610 2633626 860269 1660696 406126 353503 27291275 14499059 14375704 12792216 161 3095353 21963320 20535844 1119029 1371008 63179 20756477 20423477 185978 346383 170586 151614 196591 238205 22491840 22530687 X -1619206 -3250233 1090686 1255390 -528520 -1994843 21963320 20535844 X -1471264 4941 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false true 597 597 false SCHEDULE C, PART II-B, LINE 1 THE ORGANIZATION PAYS MEMBERSHIP DUES TO STATE ORGANIZATIONS. A PORTION OF THOSE DUES IS ALLOCATED TO LOBBYING ACTIVITIES IN WHICH THAT ORGANIZATION PARTICIPATES. 1090686 1256893 71070 1163259 1255390 954919 1285034 11712 1160979 1090686 826471 1290128 1620 1163300 954919 695625 1282700 10253 1162107 826471 570570 1266087 20379 1161411 695625 1.00000 true false 470000 470000 19808889 10056607 9752282 69607 69607 6937421 4372845 2564576 5358 5358 12792216 RECEIVABLE FROM MADISON COUNTY 1255390 OTHER ASSETS - THIRD PARTY SETTLEMEN 1173026 OTHER RECEIVABLES 317846 RIGHT-OF-USE ASSET SBITA 221886 RIGHT-OF-USE ASSET 127205 3095353 DUE TO MADISON COUNTY 238205 238205 X 13664061 13664061 13664061 15135325 15135325 15135325 SCHEDULE D, PAGE 2, PART V, LINE 4 THESE FUNDS ARE HELD BY MADISON COUNTY AND REPRESENT THE SURTAX COLLECTED FOR THE PURPOSE OF PAYMENT OF HOSPITAL REVENUE BOND PRINCIPAL AND INTEREST. SCHEDULE D, PAGE 3, PART X THE DISTRICT IS A GOVERNMENTAL ENTITY AND IS EXEMPT FROM INCOME TAXES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN CONSIDERED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL IS A NOT-FOR-PROFIT ORGANIZATION EXEMPT FROM INCOME TAXES, EXCEPT ON UNRELATED BUSINESS INCOME, UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE HOSPITAL APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE HOSPITAL ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF SEPTEMBER 30, 2023 AND 2022 OR FOR THE YEARS THEN ENDED. THE HOSPITAL'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. true true X true X true X 1.250000000000 true false true true 77700 77700 0.00510 1960137 2210919 2037837 2210919 77700 0.00510 2037837 2210919 77700 0.00510 true 714133 5912672 5962362 -49690 X true false 1 1 MADISON COUNTY MEMORIAL HOSPITAL 224 NW CRANE AVENUE MADISON FL 323401400 WWW.MCMH.US 4346 X X X X SWING BED SNF MADISON COUNTY MEMORIAL HOSPITAL 1 false false true X X X X X X X X X X 23 true false true true X WWW.MCMH.US X true 23 true WWW.MCMH.US false false true X 100.000000000000 125.000000000000 X X true true X X X true X WWW.MCMH.US X WWW.MCMH.US X WWW.MCMH.US X X X X X X true X false X X X true X false false FACILITY 1, MADISON COUNTY MEMORIAL HOSPITAL - PART V, LINE 3E THE DEPARTMENT OF HEALTH IN MADISON COUNTY (DOH-MADISON) AND MADISON COUNTY MEMORIAL HOSPITAL (MCMH) HAVE COLLABORATED TO PRODUCE THE 2023 COMMUNITY HEALTH ASSESSMENT FOR MADISON COUNTY. COMMUNITY PARTICIPANTS WERE ASKED TO CHOOSE THREE AREAS THAT WOULD BE ADDRESSED BY THE DEVELOPMENT OF THE 2023- 2026 COMMUNITY HEALTH IMPROVEMENT PLAN. PARTICIPANTS VOTED DURING THE COMMUNITY HEALTH ASSESSMENT AND THE AREAS CHOSEN TO ADDRESS WERE CHRONIC DISEASE, MATERNAL AND CHILD HEALTH, AND SOCIAL AND MENTAL HEALTH. FACILITY 1, MADISON COUNTY MEMORIAL HOSPITAL - PART V, LINE 5 TO BEGIN THE COMMUNITY HEALTH ASSESSMENT PROCESS, THE MCMH CHIEF EXECUTIVE OFFICER AND THE DOH-MADISON ADMINISTRATOR APPROACHED POTENTIAL COMMUNITY PARTNERS THROUGH MAIL, EMAIL AND BY PHONE TO ENSURE THAT THE INVITATION LIST WAS ALL-INCLUSIVE. THIS INITIATIVE ENSURED THAT ALL FOUR ASSESSMENTS WERE WELL-ATTENDED. NEW PARTNERSHIPS FOR BOTH ENTITIES HAVE RESULTED FROM COMMUNITY OUTREACH EFFORTS, PARTICULARLY FROM THE CITY OF GREENVILLE. THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT, IDENTIFIES ISSUES THAT RESIDENTS OF THE COMMUNITY DEEM AS THE MOST IMPORTANT, ALONG WITH DISTINGUISHING ANY RESOURCES AVAILABLE TO AID IN IMPROVING THE HEALTH OF THE COMMUNITY. THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT WAS PERFORMED IN 2022 BY DIRECT SOLICITATION OF RESIDENTS TO COMPLETE A STANDARDIZED SURVEY (SEE APPENDIX 1). RESIDENTS WERE APPROACHED AT COUNTY SCHOOL BOARD MEETINGS, COUNTY COMMISSION MEETINGS, COMMUNITY EVENTS, HEALTH FAIRS AND AT LOCAL ESTABLISHMENTS. RESIDENTS HAD THE OPTION TO COMPLETE A PRINTED SURVEY AT THE SOLICITATION LOCATION OR TO ACCESS AN ONLINE PLATFORM TO COMPLETE THE SURVEY. MANY OF THE QUESTIONS HAD AN OPTION TO CAPTURE QUALITATIVE DATA IN TEXT FIELDS TO GET A MORE COMPLETE PICTURE. HARD COPY DATA WERE ENTERED INTO THE ONLINE PLATFORM. DATA WERE EXPORTED FROM THE ELECTRONIC DATASET INTO EXCEL AND ANALYZED USING PIVOT TABLES AND OTHER EXCEL TOOLS. THE COMMUNITY HEALTH STATUS ASSESSMENT DISTINGUISHES AND PRIORITIZES QUALITY OF LIFE AND COMMUNITY HEALTH ISSUES. THE HEALTH SUMMIT TO DISCUSS THE COMMUNITY HEALTH STATUS ASSESSMENT WAS HELD ON DECEMBER 16, 2022, AT THE DISC VILLAGE OFFICE IN GREENVILLE, FLORIDA. COMMUNITY PARTICIPANTS DEVELOPED THE VISIONING STATEMENT THAT IS INCLUDED IN THE ASSESSMENT, LISTENED TO DATA PRESENTATION ON HEALTH INDICATORS, AND BROKE INTO GROUPS TO DISCUSS THE MAJOR HEALTH INDICATOR TOPIC AREAS. AT THE END OF THE DAY, THE GROUP VOTED TO CHOOSE THE THREE PRIORITY AREAS TO ADDRESS IN THE CHIP THAT WAS LAUNCHED APRIL 1, 2023. THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT PUTS THE SPOTLIGHT ON THE NETWORK OF ORGANIZATIONS AND AGENCIES IN THE COMMUNITY AND HOW WELL THE TEN ESSENTIAL SERVICES ARE BEING DELIVERED. THE LOCAL PUBLIC HEALTH ASSESSMENT WAS DIVIDED INTO TWO PARTS, AN EXTERNAL ASSESSMENT, AND AN INTERNAL ASSESSMENT. THE EXTERNAL ASSESSMENT WAS HELD AT THE HEALTH SUMMIT. THE FORCES OF CHANGE ASSESSMENT FOCUSES ON RECOGNIZING FORCES OR FACTORS/TRENDS THAT WILL AFFECT THE HEALTH OF THE COMMUNITY AND THE LOCAL PUBLIC HEALTH SYSTEM. THE FORCES OF CHANGE ASSESSMENT WAS PERFORMED ON DECEMBER 16, 2022, IN CONJUNCTION WITH THE COMMUNITY HEALTH STATUS ASSESSMENT, TO IDENTIFY COMMUNITY STRENGTHS, WEAKNESSES, OPPORTUNITIES AND THREATS IN SPECIFIC TOPIC AREAS. A NUMBER OF DATA SOURCES (WHICH ARE SUMMARIZED IN THE EXECUTIVE SUMMARY OF THE CHNA) WERE UTILIZED TO DEVELOP THIS COMMUNITY HEALTH ASSESSMENT. THESE DATA INCLUDE BOTH PRIMARY AND SECONDARY DATA SOURCES. ACCORDING TO THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO), PRIMARY DATA IS DEFINED AS DATA COLLECTED DIRECTLY, SUCH AS SURVEYS, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. SECONDARY DATA ARE DEFINED AS DATA NOT COLLECTED DIRECTLY, SUCH AS SURVEILLANCE DATA, POPULATION DATA AND INCIDENCE RATES. FACILITY 1, MADISON COUNTY MEMORIAL HOSPITAL - PART V, LINE 6B THE DEPARTMENT OF HEALTH IN MADISON COUNTY AND THE MADISON COUNTY MEMORIAL HOSPITAL HAVE COLLABORATED TO PRODUCE THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT FOR MADISON COUNTY. THIS MEETS THE REQUIREMENTS FOR BOTH ENTITIES TO INVOLVE THE COMMUNITY IN A PARTICIPATORY PROCESS TO PLAN HEALTH PRIORITIES FOR THE NEXT THREE YEARS. FACILITY 1, MADISON COUNTY MEMORIAL HOSPITAL - PART V, LINE 11 WHILE ALL OF THE HEALTH INDICATORS ARE IMPORTANT, THE COMMUNITY PARTICIPANTS WERE ASKED TO CHOOSE THREE AREAS THAT WOULD BE ADDRESSED BY THE DEVELOPMENT OF THE 2024-2026 COMMUNITY HEALTH IMPROVEMENT PLAN. PARTICIPANTS VOTED DURING THE COMMUNITY HEALTH ASSESSMENT AND THE AREAS CHOSEN TO ADDRESS WERE CHRONIC DISEASE, MATERNAL AND CHILD HEALTH, AND SOCIAL AND MENTAL HEALTH. MCMH HAS LIMITED RESOURCES AND DEFERS OTHER IDENTIFIED NEEDS TO ORGANIZATIONS BETTER EQUIPPED TO DEAL WITH THE ISSUES. INDIVIDUAL COMMUNITY ORGANIZATIONS WILL CONTINUE TO ADDRESS COMMUNICABLE DISEASES, ENVIRONMENTAL HEALTH, EMERGENCY PLANNING AND INJURY/VIOLENCE BOTH SEPARATELY AND AS AN INTEGRATED ENTITY WHEN APPLICABLE. SCHEDULE H, PART I, LINE 7 COSTS FOR PART I, LINE 7A AND 7B WERE DETERMINED USING THE RCC CALCULATED IN WORKSHEET 2. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. SCHEDULE H, PART III, LINE 2 AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT HAVE BEEN MADE. SEE FOONTNOTES 2 AND 3 IN THE ATTACHED AUDITED FINANCIAL STATMENTS FOR A DISCUSSION OF NET PATIENT SERVICE REVENUE AND UNCOMPENSATED SERVICES. SCHEDULE H, PART III, LINE 4 THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON AN EVALUATION OF THE OVERALL COLLECTABILITY OF THE ACCOUNTS RECEIVABLE. AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE, THE ACCOUNTS ARE CHARGED AGAINST THE ALLOWANCE. SCHEDULE H, PART III, LINE 8 MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. SCHEDULE H, PART III, LINE 9B FOR PATIENTS WHO QUALIFY FOR CHARITY CARE AND FULL FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICY, THERE IS NO FINANCIAL OBLIGATION AND THE ACCOUNT IS WRITTEN OFF. FOR THOSE WHO QUALIFY FOR PARTIAL FINANCIAL ASSISTANCE, COLLECTION PROCEDURES FOLLOW THE SAME PROCESS AS ALL OTHER PATIENTS WHO ARE RESPONSIBLE FOR UNPAID BALANCES. SCHEDULE H, PART VI, LINE 2 THE HOSPITAL COLLABORATES WITH NUMEROUS NOT-FOR-PROFIT AGENCIES AND PROGRAMS TO EXTEND AND STRENGTHEN OUR MISSION. THE ORGANIZATION CONTINUALLY CONDUCTS VARIOUS TYPES OF ASSESSMENTS TO DETERMINE THE COMMUNITY'S NEEDS FOR HEALTH AND PERSONAL SUPPORT SERVICES. BOTH THE CHNA AND IMPLEMENTATION PLAN CAN BE FOUND AT THE FOLLOWING WEBSITE ADDRESS: HTTPS://WWW.MCMH.US/MORE/HEALTH-IMPROVE/ SCHEDULE H, PART VI, LINE 3 THE HOSPITAL HAS CLEARLY WRITTEN FINANCIAL ASSISTANCE POLICIES POSTED IN THE BUSINESS OFFICE, ER REGISTRATION AREA, AND OUTPATIENT REGISTRATION AREA. SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND FINANCIAL AID. PATIENT EDUCATION ON THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS ARE CONDUCTED DURING REGISTRATION AND/OR THROUGH FLOOR VISITS BY CASE MANAGERS AND COLLECTIONS REPRESENTATIVES FOR PATIENTS THAT HAVE CONCERNS IN MEETING THE FINANCIAL OBLIGATIONS FOR SERVICES PROVIDED. SCHEDULE H, PART VI, LINE 4 THE ORGANIZATION SERVES POPULATIONS WITHIN MADISON COUNTY, INCLUDING THE CITIES OF MADISON, GREENVILLE, PINETTA, AND LEE, FLORIDA. MADISON COUNTY'S POPULATION OF APPROXIMATELY 19,420, HAS A MEDIAN AGE OF 45, A MEDIAN HOUSEHOLD INCOME OF 37,037, PERSONS LIVING IN POVERTY 22.7%, AND IS 54% CAUCASIAN, 40% AFRICAN AMERICAN, 6% HISPANIC AND THE REMAINING PERCENTAGE OTHER. SCHEDULE H, PART VI, LINE 5 THE ORGANIZATION'S VOLUNTEER BOARD IS COMPOSED OF COMMUNITY MEMBERS WITH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS. THE HOSPITAL OPERATES A FULL-TIME EMERGENCY ROOM WHICH ACCEPTS ALL IN NEED OF EMERGENCY MEDICAL TREATMENT, REGARDLESS OF ABILITY TO PAY. MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. EXCESS FUNDS FROM OPERATIONS ARE REINVESTED INTO THE HOSPITAL'S SERVICES AND EXPANSION OR REPLACEMENT OF FACILITIES AND EQUIPMENT. X X false false false false false false false false false DANIEL PERKINS MD PHYSICIAN 203687 1710 31674 237071 TAMMY STEVENS CEO 181669 1366 183035 A MADISON COUNTY HEALTH AND HOSPITAL SERIES 2014 BONDS 592319288 NONENONEN 2014-10-30 22543400 PAYOFF SERIES 2012 NOTES PAYABLE THAT WERE USED FOR NEW HOSPITAL CONSTRUCTION. false false false A 2074000 22543400 22543400 2015 true false true true A false false false false false false false A false false true false false false false false false A false PURPOSE OF ISSUE DESCRIPTION MADISON COUNTY HEALTH AND HOSPITAL PAYOFF SERIES 2012 NOTES PAYABLE THAT WERE USED FOR NEW HOSPITAL CONSTRUCTION. FORM 990, PAGE 6, PART VI, LINE 7A MEMBERS OF THE MADISON COUNTY HEALTH AND HOSPITAL BOARD (DISTRICT), A STATUTORY SPECIAL DISTRICT ORGANIZED UNDER SECTION 2003-333 OF THE LAWS OF FLORIDA FOR THE PURPOSE OF PROVIDING PUBLIC HEALTH CARE SERVICES, SERVE AS DIRECTORS OF THE FILING ORGANIZATION. THE DISTRICT HAS A SEVEN-MEMBER GOVERNING BOARD THAT IS APPOINTED BY THE GOVERNOR OF THE STATE OF FLORIDA. FORM 990, PAGE 6, PART VI, LINE 7B AS THE MADISON COUNTY HEALTH AND HOSPITAL BOARD (DISTRICT), THE TAXING AUTHORITY, SHARE THE SAME BOARD MEMBERS AS THE FILING ORGANIZATION, ALL ACTIONS AND DECISIONS ARE SUBJECT TO THE APPROVAL OF THE DISTRICT BOARD. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED BY THE HOSPITAL'S CFO BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 WILL BE AVAILABLE TO BE REVIEWED BY THE BOARD MEMBERS. FORM 990, PAGE 6, PART VI, LINE 12C THE PERFORMANCE IMPROVEMENT DIRECTOR OF MCMH, DEBBIE THOMAS, SERVES AS THE CORPORATE COMPLIANCE OFFICER. THE CONFLICT OF INTEREST POLICY IS PART OF THE MADISON COUNTY HOSPITAL HEALTH SYSTEMS, INC.S CODE OF CONDUCT. THE CONFLICT POLICY INCLUDES ALL EMPLOYEES, HOSPITAL BOARD MEMBERS, AND VOLUNTEERS. ALL EMPLOYEES, BOARD MEMBERS, AND VOLUNTEERS MUST INFORM ADMINISTRATION ABOUT ALL POSSIBLE CONFLICTS OF INTEREST. IF ANY CONFLICT OF INTEREST POSSIBLY EXISTS IN THE ORGANIZATION, THE CORPORATE COMPLIANCE OFFICER WILL MAKE SENIOR MANAGEMENT AND THE CORPORATE COMPLIANCE BOARD AWARE IMMEDIATELY. THE DETERMINATION OF A CONFLICT IS REVIEWED BY HOSPITAL SENIOR MANAGEMENT (AND FURTHER DISCUSSED AT THE QUARTERLY CORPORATE COMPLIANCE MEETING IF NEEDED FOR FURTHER DETERMINATION). AFTER A DETERMINATION IS MADE OF A CONFLICTS EXISTENCE, SENIOR MANAGEMENT TAKES WHATEVER ACTION NECESSARY TO SOLVE THE PROBLEM INCLUDING DISCIPLINARY ACTION AND/OR TERMINATION. THE ADMINISTRATION/SENIOR MANAGEMENT DETERMINATION PROCESS WILL NOT INCLUDE ANY HOSPITAL MEMBER WHO IS PART OF THE CONFLICT. ALL CONFLICT INFORMATION WILL BE DELIVERED TO AND SHARED WITH THE CORPORATE COMPLIANCE TEAM AT THE QUARTERLY CORPORATE COMPLIANCE MEETING. BOARD DIRECTORS ABIDE BY A CONFLICT OF INTEREST POLICY, THE TERMS OF WHICH ARE SET FORTH IN THE BYLAWS. BOARD MEMBERS ARE PROHIBITED FROM VOTING IN AN OFFICIAL CAPACITY ON ANY MEASURES WHICH WOULD INURE TO PRIVATE GAIN OR LOSS, WHETHER DIRECT OR INDIRECT. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS WHO USE AN INDUSTRY AVERAGE GUIDE AS A REFERENCE TO DETERMINE EQUITABLE COMPENSATION. MINUTES OF THE BOARD MEETINGS, INCLUDING THOSE IN WHICH COMPENSATION IS DISCUSSED ARE KEPT ON A REGULAR BASIS. THIS COMPENSATION DETERMINATION WAS LAST PERFORMED IN JULY 2021. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR 1,138,446 24,481 0 PROFESSIONAL FEES 1,204,361 0 0 PURCHASED SERVICES 0 1,056 0 TOTAL 2,342,807 25,537 0 FORM 990, PART XI, LINE 9 IMPLEMENTATION GASB NO. 96 4,941 RESTATEMENT OF OPENING EQUITY DUE TO THE ADOPTION OF GASB STATEMENT NUMBER 96. MADISON CO HLTH & HOSPITAL DISTRICT 224 NW CRANE AVENUE MADISON FL 323401400 592319288 TAX AUTHOR FL 501C3 3 NA false FRIENDS OF THE HOSPITAL INC 224 NW CRANE AVENUE MADISON FL 323401400 272007199 FOUNDATION FL 501C3 7 NA false false false false false true false false false false false true true true true true false false false false