2023-08-15T15:01:13-05:00 2022-09-30 271235638 MCM CPAS & ADVISORS LLP 101 S FIFTH STREET SUITE 2100 LOUISVILLE KY 40202 990 2021-10-01 314379509 MARIETTA MEMORIAL HOSPITAL MARI 7403741641 401 MATTHEW STREET MARIETTA OH 45750 SCOTT SILVESTRI CFO 7403741641 2023-08-15 1 SCOTT SILVESTRI 999009999 THERESA BATLINER CPA P00543162 5027491900 2023-08-15 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z J SCOTT CANTLEY 401 MATTHEW STREET MARIETTA OH 45750 494527052 0 X WWW.MHSYSTEM.ORG X 1929 OH WE ARE 2,600 STRONG AND THE COUNTY'S LARGEST EMPLOYER. WE ENHANCE THE QUALITY OF LIFE IN THE MID-OHIO VALLEY. WE NURTURE AND CARE FOR OUR COMMUNITY BY CARING FOR YOU, YOUR FRIENDS, NEIGHBORS AND RELATIVES 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS A YEAR. WE ARE QUALITY - WITH ACCREDITATIONS, CERTIFICATIONS AND DESIGNATIONS TO EXPRESS, UTILIZE AND DEMONSTRATE OUR EXPERTISE. WE ARE TECHNOLOGY DRIVEN, WITH UP-TO-DATE AND CUTTING-EDGE DIAGNOSTIC CAPABILITIES. WE ARE A PILLAR IN THIS COMMUNITY WITH ROOTS FIRMLY PLANTED IN THE REGIONS WE SERVE. WE ARE AT YOUR DOORSTEP, WITH PROGRAMS AND EDUCATIONAL INFORMATION THAT PROMOTE GOOD HEALTH AND DISEASE PREVENTION. WE ARE VOLUNTEERS AT LOCAL COMMUNITY EVENTS. WE ARE ADVOCATES FOR SUPERIOR HEALTH CARE SYSTEMS. WE ARE TEACHERS, TRAINING FUTURE HEALTH CARE PROFESSIONALS. WE ARE COMPASSIONATE, CARING AND DEDICATED TO CREATING A HEALTH CARE SETTING IN WHICH QUALITY OF LIFE AND SERVICE EXCELLENCE ARE EXPERIENCED BY ALL. 15 12 3228 100 0 0 17836155 24371563 477150904 397132559 1713834 2119702 31786147 30596261 528487040 454220085 0 34822781 0 0 272117090 168309708 0 0 0 247542489 254098691 519659579 457231180 8827461 -3011095 613973417 674075456 474364223 541065721 139609194 133009735 X MARIETTA MEMORIAL HOSPITAL IS A NOT-FOR-PROFIT COMMUNITY HOSPITAL WHERE SERVICE EXCELLENCE AND CLINICAL QUALITY CREATE THE REGION'S BEST EXPERIENCE FOR PATIENTS AND THEIR FAMILIES, PHYSICIANS, THE COMMUNITY AND OUR EMPLOYEES. 0 0 282510789 34822781 402201704 DURING THE TWELVE MONTHS ENDING SEPTEMBER 30, 2022 THE HOSPITAL PROVIDED 45,530 INPATIENT CARE DAYS, 199,256 HOURS OF OBSERVATION CARE, 14,714 SURGICAL CASES, 81,891 PHYSICAL THERAPY PROCEDURES, 60,102 EMERGENCY VISITS, 629 DELIVERIES, 18,686 CHEMOTHERAPY TREATMENTS, 18,404 RADIATION TREATMENTS, 13,131 WOUND CARE VISITS, 874 CARDIAC CATHETERIZATIONS AND 218,657 IMAGING PROCEDURES. MARIETTA MEMORIAL BELIEVES IN MORE THAN PROVIDING THE BEST LOCAL HEALTHCARE. WE BELIEVE IN INVESTING IN OUR COMMUNITY, SUPPORTING OUR NEIGHBORS, OUR FAMILIES AND FRIENDS. OUR COMMITMENT IS TRULY TO OUR COMMUNITY - AS AN EMPLOYER, AS A CORPORATE CITIZEN AND AS A COMMUNITY RESOURCE AND AS A HEALTHCARE PROVIDER. TO THAT END, THE HOSPITAL, ITS PHYSICIANS, STAFF AND VOLUNTEERS EXTEND THEMSELVES WELL BEYOND PATIENT CARE. WE PROVIDE COMMUNITY CLINICAL SUPPORT SERVICES, WELLNESS EDUCATION, PROGRAMS, SUPPORT GROUPS, FINANCIAL SUPPORT TO LOCAL ORGANIZATIONS, AND OUR OWN PERSONAL TIME TO ENSURE THE HIGHEST QUALITY OF LIFE FOR EVERYONE WITHIN OUR COMMUNITY. WE CALL IT GIVING BACK. PART OF OUR MISSION EXTENDS TO WELLNESS EDUCATION AND HEALTH PREVENTION. WE SPEAK OUT IN OUR COMMUNITY, WE SPONSOR SUPPORT GROUPS, WE PROVIDE DOZENS OF WELLNESS PROGRAMS AND WE PROVIDE MONTHLY OPPORTUNITIES FOR FREE AND/OR LOW COST HEALTH SCREENINGS. THE HOSPITAL SUPPORTS PARTNERSHIPS, COMMUNITY HEALTH COALITIONS, AREA CHAMBERS OF COMMERCE, LOCAL NOT-FOR-PROFIT ORGANIZATIONS, LOCAL SCHOOLS AND GOVERNMENTS. ADDITIONALLY, MANY OF OUR STAFF MEMBERS, PHYSICIANS AND VOLUNTEERS DONATE THEIR TIME TO SERVE ON LOCAL BOARDS, COMMITTEES, AND ASSOCIATIONS. WE PROVIDE OPPORTUNITIES FOR LOCAL STUDENTS TO TRAIN WITHIN OUR HOSPITAL UNDER VARIOUS EDUCATIONAL PROGRAMS AND AGREEMENTS WITH AREA SCHOOL SYSTEMS. THIS SERVES BOTH THE STUDENTS AND THE COMMUNITY AS IT OFTEN INCREASES OUR SUPPLY OF LOCAL HEALTH CARE WORKERS. 282510789 1 1 0 1 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 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 273 0 1 3228 1 0 0 0 0 0 0 0 0 0 0 1 0 X 15 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X SCOTT SILVESTRI 7403741641 401 MATTHEW STREET MARIETTA OH 45750 JOSEPH COOPER MD SECRETARY - PHYSICIAN 1.00 42.00 X X 0 450163 43839 MICHAEL IADEROSA BOARD MEMBER 1.00 4.00 X 0 0 0 ANN HELMICK BOARD MEMBER 1.00 4.00 X 0 0 0 THOMAS DANFORD DDS BOARD MEMBER 1.00 4.00 X 0 0 0 COLLEEN COOK BOARD MEMBER 1.00 5.00 X 0 0 0 TERRY RATAICZAK BOARD MEMBER 1.00 4.00 X 0 0 0 GREGG EMRICK BOARD MEMBER 1.00 4.00 X 0 0 0 CAROL SCHNEEBERGER BOARD MEMBER 1.00 4.00 X 0 0 0 LARRY UNROE BOARD MEMBER 1.00 4.00 X 0 0 0 SHERYL HOLDREN BOARD MEMBER 1.00 4.00 X 0 0 0 MICHAEL ARCHER CHAIRPERSON 1.00 4.00 X X 0 0 0 STEPHEN KEISER VICE-CHAIRPERSON 1.00 4.00 X X 0 0 0 JAMES BARENGO TREASURER 1.00 4.00 X X 0 0 0 CHRISTOPHER COCKERHAM MD PRESIDENT - PHYSICIAN 1.00 42.00 X X 0 552625 61148 RICHARD HOYT MD MEDICAL STAFF PRESIDENT 1.00 42.00 X 0 459108 58265 J SCOTT CANTLEY CEO 40.00 4.00 X 1281437 0 63803 SCOTT SILVESTRI CFO 40.00 6.00 X 596177 0 70850 PAUL WESTBROCK VP LEGAL 40.00 X 544576 0 62011 DEEANN GEHLAUF SR VP BUSINESS 40.00 X 513095 0 64104 PAIGE SMITH VP NURSING 40.00 X 455252 0 65608 TELAH TAYLOR VP CLINICAL QUALITY 40.00 X 342973 0 41227 DEREK SMITH VP CLINIC OPERATIONS 40.00 X 429145 0 63276 4162655 1461896 594131 131 0 1 0 PROLINK HEALTHCARE 10700 MONTGOMERY ROAD CINCINNATI OH 45242 RN STAFFING 28944302 MORRISON HEALTHCARE PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 3794771 QUEST DIAGNOSTICS PO BOX 912512 PASADENA CA 91110 LAB TESTING 3085843 BRADLEY PAYNE PO BOX 534 WATERFORD OH 45787 ARCHITECT 2808951 COMPREHENSIVE PHARMACY SERVICES INC 655 METRO PLACE SOUTH SUITE 450 DUBLIN OH 43017 PHARMACY SERVICES 1705887 279 1284759 23086804 24371563 PATIENT SERVICE REVENUE 623000 397132559 397132559 397132559 1582578 1582578 100151 608354 -508203 -508203 -508203 39894377 341360 39469198 229415 425179 111945 537124 537124 PHARMACY 340B 900099 24617506 24617506 SPECIALTY PHARMACY 900099 4437646 4437646 INVESTMENT IN AFFILIATES 900099 3850522 3850522 -1801210 1218623 -3019833 31104464 454220085 402201704 0 27646818 34822781 34822781 2012267 2012267 115501915 75537451 39964464 4799118 4799118 37095657 233872 36861785 8900751 5750976 3149775 1045603 1045603 159002 159002 489482 489482 2686687 281621 2405066 20826501 1704 20824797 406547 102763 303784 8755129 8755129 17267603 17267603 4977321 4977321 SUPPLIES 80391826 77189931 3201895 PURCHASED SERVICES 62035342 43090116 18945226 BAD DEBTS 33038608 33038608 MISCELLANEOUS EXPENSES 10650512 2954414 7696098 11368528 9506552 1861976 457231180 282510789 174720391 0 6467952 5256916 1000422 4008960 107200888 73476321 325301 366561 9783217 9949500 53172949 15280964 492527689 275435637 205072295 217092052 79914627 159900471 6500252 6278918 144535514 182464793 613973417 674075456 92268757 88305838 0 194889 177947237 321082204 17300000 9000000 186848229 122482790 474364223 541065721 X 137632310 132894735 1976884 115000 139609194 133009735 613973417 674075456 X -3011095 -6587314 2998950 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 14849 14849 0 PART II-B, LINE 1: THE HOSPITAL PAYS DUES TO THE OHIO HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. THE AMOUNT REPORTED REPRESENTS THE PORTION OF THOSE DUES USED BY THE NAMED ORGANIZATIONS FOR LOBBYING. 7474149 7474149 233742514 111456276 122286238 219232419 159383615 59848804 32078607 4595746 27482861 217092052 DUE FROM RELATED ORGANIZATION 56941307 DEFERRED COMPENSATION 19474376 OTHER 4211709 OPERATING LEASE RIGHT OF USE 85375780 ESTIMATED THIRD PARTY SETTLEMENTS 16461621 182464793 ACCRUED PENSION COST 12748000 DEFERRED COMPENSATION PLAN ASSETS 19474376 CAPITAL LEASES 383106 OPERATING LEASES 89877308 122482790 X PART X, LINE 2: THE SYSTEM, EXCLUDING MSC, MOHP AND THE INNOVATION CENTER, IS ORGANIZED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE UNITED STATES INTERNAL REVENUE CODE. MSC, MOHP AND THE INNOVATION CENTER ARE ORGANIZED AS LIMITED LIABILITY COMPANIES, WHEREBY, NET TAXABLE INCOME IS TAXED DIRECTLY TO THE MEMBERS AND NOT MSC, MOHP OR THE INNOVATION CENTER. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM, AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2022 AND 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. AS SUCH, THE SYSTEM IS GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, THE SYSTEM, EXCLUDING MSC, MOHP AND THE INNOVATION CENTER, IS REQUIRED TO FILE FEDERAL FORM 990 - RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX WHICH IS AN INFORMATIONAL RETURN ONLY. THE SYSTEM, MSC, AND MOHP HAVE FILED THEIR TAX RETURNS FOR PERIODS THROUGH 2019. THE RETURNS FOR MSC AND MOHP ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS). THE SYSTEM, MSC AND MOHP ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. HOWEVER, AS OF THE DATE THE CONSOLIDATED FINANCIAL STATEMENTS WERE ISSUED, THERE WERE NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 1 1 X 1 X 1 X 1 1 0 1 1 20426 16250375 16250375 0.03550 74989 101565325 50762680 50802645 0.11110 95415 117815700 50762680 67053020 0.14660 2768626 143770 2624856 0.00570 6576338 1580987 4995351 0.01090 9344964 1724757 7620207 0.01660 95415 127160664 52487437 74673227 0.16320 1 33038608 92079387 117764220 -25684833 X 1 1 1 MARIETTA SURGERY CENTER OUTPATIENT SURGERY 0.44140 0.47000 2 MARIETTA OCCUPATIONAL HEALTH PARTNERS OCCUP. HEALTH 0.51000 0.49000 3 MARIETTA HOME HEALTH AND HOSPICE LLC HOME HEALTH AND HOSPICE CARE 0.50000 0.00000 4 SOUTHEAST OHIO SURGICAL SUITES LLC OUTPATIENT SURGERY 0.05000 0.95000 1 1 MARIETTA MEMORIAL HOSPITAL 401 MATTHEW ST MARIETTA OH 45750 WWW.MHSYSTEM.ORG/MMH 1289 X X X MARIETTA MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 20 1 1 0 1 X WWW.MHSYSTEM.ORG/HEALTHASSESSMENT 1 20 1 WWW.MHSYSTEM.ORG/HEALTHASSESSMENT 0 1 X 100.000000000000 400.000000000000 X X 1 1 X X X 1 X HTTPS://MHSYSTEM.ORG/FINANCIALASSISTANCE/ X HTTPS://MHSYSTEM.ORG/FINANCIALASSISTANCE/ X HTTPS://MHSYSTEM.ORG/FINANCIALASSISTANCE/ X X X X X 1 X 0 X 1 X 0 0 MARIETTA MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: BEGINNING IN NOVEMBER 2019, A COLLABORATIVE GROUP OF COMMUNITY AGENCIES AND NON-PROFIT ORGANIZATIONS GATHERED TO BEGIN ASSESSING THE OVERALL HEALTH NEEDS OF THE COMMUNITY. THIS COLLABORATIVE GROUP WAS TERMED "WASHCO WELLNESS PARTNERS, AND BEGAN MEETING REGULARLY TO GATHER STAKEHOLDER INPUT. KEY INFORMANTS AS WELL AS COMMUNITY RESIDENTS WERE INTERVIEWED VIA SURVEYS, FOCUS GROUPS, AND MEETINGS, IN ORDER TO COLLECT AS MUCH DATA AS POSSIBLE FOR THE ASSESSMENT. THE GROUP WAS LATER RENAMED, AND IS CURRENTLY KNOWN AS THE WASHINGTON COUNTY HEALTH PARTNERS GROUP.THE MODEL USED FOR CARRYING OUT THE COLLABORATIVE ASSESSMENT WAS MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP). THIS INCLUDED 4 MAIN COMPONENTS OR ASSESSMENTS, INCLUDING:1. COMMUNITY THEMES AND STRENGTHS ASSESSMENT2. LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT3. COMMUNITY HEALTH STATUS ASSESSMENT4. FORCES OF CHANGE ASSESSMENTTOGETHER, THE DATA COLLECTED WAS USED TO GENERATE THIS COMPREHENSIVE REPORT, TO IDENTIFY PRIORITY AREAS, AND TO ESTABLISH HEALTH IMPROVEMENT STRATEGIES MOVING FORWARD.THIS ASSESSMENT PROVIDES A DEEPER UNDERSTANDING OF THE ISSUES THAT RESIDENTS FEEL ARE IMPORTANT. IT ANSWERS THE QUESTIONS: "WHAT IS IMPORTANT TO OUR COMMUNITY?" "HOW IS QUALITY OF LIFE PERCEIVED IN OUR COMMUNITY? AND "WHAT ASSETS DO WE HAVE THAT CAN BE USED TO IMPROVE COMMUNITY HEALTH?"1. QUALITATIVE DATA COLLECTED AT CREATING HEALTHY COMMUNITIES (CHC) COALITION MEETING40 COMMUNITY MEMBERS TOOK PART IN "WORLD CAFE" CONVERSATIONS FACILITATED AT THE CHC MEETING ON NOVEMBER 21, 2019 AT BUCKEYE HILLS REGIONAL COUNCIL. AS INDIVIDUALS, EACH PARTICIPANT WAS ASKED TO IDENTIFY THE THREE MOST IMPORTANT QUALITIES OF A HEALTHY COMMUNITY. NOT EVERYONE WAS ABLE TO PARTICIPATE IN THIS ACTIVITY, SINCE SOME WERE LATE IN ARRIVING. SECONDLY, IN SMALL GROUPS, PARTICIPANTS WERE ASKED TO RESPOND TO THREE QUESTIONS: WHAT CHALLENGES AND BARRIERS DO YOU EXPERIENCE THAT MAKE YOU LESS HEALTHY THAN YOU'D LIKE? WHAT'S AVAILABLE HERE IN WASHINGTON COUNTY THAT HELPS YOU LIVE A HEALTHY LIFE? AND WHAT ELSE DO YOU NEED TO LIVE A MORE HEALTHY LIFE?NAME AND ORGANIZATION:COURT WITSCHEY: WASHINGTON COUNTY HEALTH DEPARTMENT (WCHD)CARLA RASMUSSEN: WCHDJAYNE CALL: WCHDMINDY CAYTON: BUCKEYE HILLS REGIONAL COUNCILDAVID BROWNE: WASHINGTON COUNTY BEHAVIORAL HEALTH BOARD (WCBHB)CHRISTINE BERG: WCHDJAMIE VUKSIC: WASHINGTON COUNTY JOB AND FAMILY SERVICES (WCDJFS)DEEANN GREEN: WCDJFSROXANNE JARELL: WCHDFALLO CAUDILL: EQUITAS HEALTH (FQHC LOOK-ALIKE)ROBIN BOZIAN: SOUTHEASTERN OHIO LEGAL SERVICES (SEOLS)HILLES HUGHES: WCBHBMICHELE STURGEON: WCBHBGENESIS VAUGHN: EQUITAS HEALTHSTACY KRAMER: NATIONWIDE CHILDREN'S HOSPITALRANDY PRINCE: RETIRED PHARMACISTLAURA BAYS FLOWERS: WCHDBRUCE KELBAUGH: VOLUNTEERGARY WILLIAMS: ELY CHAPMAN EDUCATION FOUNDATIONANNE GOON: MARIETTA/BELPRE CITY HEALTH DEPARTMENTHEATHER WARNER: GOPACKSAMY NAHLEY: WCHDDEANNA SHULER: MEMORIAL HEALTH SYSTEMLISA VALENTINE: WASHINGTON COUNTY RETIRED AND SENIOR VOLUNTEER PROGRAM (RSVP)CINDY DAVIS: WASHINGTON COUNTY FAMILY AND CHILDREN FIRST COUNCIL MARIETTA MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: SELBY GENERAL HOSPITAL MARIETTA MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: UPON COMPLETION OF THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT, THE FOLLOWING TOP PRIORITIES WERE IDENTIFIED BY THE HEALTH SYSTEM'S ADMINISTRATIVE TEAM:1. ACCESS TO HEALTHCARE AND HEALTHCARE PROGRAMS2. PREVENTION AND MANAGEMENT OF CHRONIC DISEASE3. COMMUNITY OUTREACH A. RESOURCES AND SUPPORT SYSTEMS4. BEHAVIORAL HEALTHMHS'S ACTION PLAN FROM 2014-2017 ALREADY ADDRESSES MANY OF THESE PRIORITIES, AS THIS ASSESSMENT REVEALED SIMILAR AREAS OF CONCERN COMPARED TO THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT. THE PROGRAMS, SERVICES, AND INITIATIVES CURRENTLY IN PROGRESS WILL CONTINUE TO BE REVIEWED, AND NEW INITIATIVES WILL BE ADDED AS OPPORTUNITIES AND RESOURCES BECOME/ARE MADE AVAILABLE. ALL INITIATIVES WILL BE EVALUATED FOR EFFECTIVENESS AND FEASIBILITY, AND ADJUSTMENTS WILL BE MADE TO MAXIMIZE IMPACT ON THE COMMUNITY. MHS WILL WORK COLLABORATIVELY WITH COMMUNITY PARTNERS, SUCH AS THE WASHCO WELLNESS PARTNERS GROUP, AND MAKE EVERY EFFORT TO ADDRESS THE NEEDS OF THE COMMUNITY IDENTIFIED IN THIS REPORT.AREAS OF CONCERN IDENTIFIED IN THIS REPORT THAT THE HEALTH SYSTEM MAY INDIRECTLY IMPACT BUT HAVE NOT BEEN DEEMED TOP PRIORITIES INCLUDE:1. GOOD PAYING JOBS AND ECONOMIC DEVELOPMENT2. EDUCATION/SCHOOL IMPROVEMENT3. ADDICTIONAREAS OF CONCERN IDENTIFIED IN THIS REPORT THAT THE HEALTH SYSTEM HAS LIMITED CAPACITY TO IMPACT AT THIS TIME INCLUDE:1. HOUSING AND HOMELESSNESS2. ACCESS TO AFFORDABLE, HEALTHY FOODS MARIETTA MEMORIAL HOSPITAL PART V, SECTION B, LINE 16J: APPLICATION IS ON THE BACK OF THE ACCOUNT STATEMENT MAILER. PART III, LINE 2: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE SYSTEM'S EVALUATION OF ITS MAJOR PAYOR SOURCES OF REVENUE, THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO THEIR SERVICE AREA AND THE HEALTHCARE INDUSTRY. PART III, LINE 3: THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN CHARITY CARE CANDIDATES MUST COOPERATE FULLY. IN ADDITION THE HOSPITAL EDUCATES PATIENTS WILL LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. FOR THIS REASON THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE. PART III, LINE 4: THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS.AS A RESULT OF CERTAIN CHANGES REQUIRED BY ASU 2014-09, THE MAJORITY OF THE SYSTEM'S PROVISION FOR DOUBTFUL ACCOUNTS IS RECORDED AS A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE INSTEAD OF BEING PRESENTED AS A SEPARATE LINE ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. PART III, LINE 8: THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED 9/30/21 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST. PART III, LINE 9B: A COMPLETE APPLICATION IS REQUIRED FOR DETERMINATION OF ELIGIBILITY. THE PATIENT FINANCIAL REPRESENTATIVE WILL ASSIST IN THE COMPLETION OF THE APPLICATION. PART VI, LINE 2: SEE THE COMMUNITY NEEDS ASSESSMENT.BEGINNING IN NOVEMBER 2019, A COLLABORATIVE GROUP OF COMMUNITY AGENCIES AND NON-PROFIT ORGANIZATIONS GATHERED TO BEGIN ASSESSING THE OVERALL HEALTH NEEDS OF THE COMMUNITY. THIS COLLABORATIVE GROUP WAS TERMED "WASHCO WELLNESS PARTNERS, AND BEGAN MEETING REGULARLY TO GATHER STAKEHOLDER INPUT. KEY INFORMANTS AS WELL AS COMMUNITY RESIDENTS WERE INTERVIEWED VIA SURVEYS, FOCUS GROUPS, AND MEETINGS, IN ORDER TO COLLECT AS MUCH DATA AS POSSIBLE FOR THE ASSESSMENT. THE GROUP WAS LATER RENAMED, AND IS CURRENTLY KNOWN AS THE WASHINGTON COUNTY HEALTH PARTNERS GROUP.THE MODEL USED FOR CARRYING OUT THE COLLABORATIVE ASSESSMENT WAS MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP). THIS INCLUDED 4 MAIN COMPONENTS OR ASSESSMENTS, INCLUDING:1. COMMUNITY THEMES AND STRENGTHS ASSESSMENT2. LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT3. COMMUNITY HEALTH STATUS ASSESSMENT4. FORCES OF CHANGE ASSESSMENTTOGETHER, THE DATA COLLECTED WAS USED TO GENERATE THIS COMPREHENSIVE REPORT, TO IDENTIFY PRIORITY AREAS, AND TO ESTABLISH HEALTH IMPROVEMENT STRATEGIES MOVING FORWARD. PART VI, LINE 3: HTTPS://MHSYSTEM.ORG/FINANCIALASSISTANCE/ PART VI, LINE 4: WASHINGTON COUNY HAS A SIGNIFICANT SENIOR POPULATION. THE PER CAPITA INCOME IN WASHINGTON COUNTY IS LOWER THAN THE STATE MEDIAN, AND 14.2% OF THE OVERALL COUNTY POPULATION IS BELOW THE POVERTY LINE. OF THE CHILDREN IN WASHINGTON COUNTY, 18.4% LIVE IN POVERTY. IN THE COUNTY, 8.3% OF THE RESIDENTS LACK HEALTH INSURANCE. OF THE CHILDREN IN WASHINGTON COUNTY, 37.4% RESIDE IN SINGLE-PARENT HOUSEHOLDS. THERE IS A HIGHER THAN AVERAGE NUMBER OF GRANDPARENTS WHO SERVE AS PRIMARY CAREGIVERS TO CHILDREN IN WASHINGTON COUNTY. THERE IS A HIGHER PERCENTAGE OF SMOKERS IN WASHINGTON COUNTY THAN IN THE STATE OR NATION. WASHINGTON COUNTY HAS A HIGHER RATE OF OBESITY THAN THE STATE OR NATION. WASHINGTON COUNTY HAS A LOWER RATE OF INDIVIDUALS WHO WALK OR RIDE A BICYCLE TO WORK AND LESS OVERALL PHYSICAL ACTIVITY THAN THE STATE OR NATION. THE COUNTY HAS A HIGHER PERCENTAGE OF THE POPULATION THAT SELF-REPORTS A POOR OR FAIR HEALTH STATUS COMPARED TO INDIVIDUALS ACROSS THE STATE OR NATION. THE MORTALITY RATES FOR UNINTENTIONAL INJURY, LUNG DISEASE, AND STROKE ARE HIGHER IN WASHINGTON COUNTY THAN THE STATE OR NATIONAL AVERAGE. WASHINGTON COUNTY HAS HIGHER RATES OF HEART DISEASE, DIABETES, AND HIGH BLOOD PRESSURE THAN THE STATE OR NATION. BREAST CANCER AND LUNG CANCER RATES ARE HIGHER IN WASHINGTON COUNTY THAN FOR THE STATE. PART VI, LINE 5: WE ENHANCE THE QUALITY OF LIFE IN THE MID-OHIO VALLEY. WE NURTURE AND CARE FOR OUR COMMUNITY BY CARING FOR YOU, YOUR FRIENDS, NEIGHBOR AND RELATIVES 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS A YEAR. WE ARE QUALITY - WITH ACCREDITATIONS, CERTIFICATIONS AND DESIGNATIONS TO EXPRESS, UTILIZE AND DEMONSTRATE OUR EXPERTISE. WE ARE PART OF A SYSTEM THAT EXTENDS ACCESS TO SPECIALISTS AND NATIONALLY RECOGNIZED CARE. WE ARE A PILLAR IN THIS COMMUNITY WITH ROOTS FIRMLY PLANTED IN THE REGIONS WE SERVE. WE ARE AT YOUR DOORSTEP, WITH PROGRAMS AND EDUCATIONAL INFORMATION THAT PROMOTE GOOD HEALTH AND DISEASE PREVENTION. WE ARE VOLUNTEERS AT LOCAL COMMUNITY EVENTS. WE ARE ADVOCATES FOR SUPERIOR HEALTH CARE SYSTEMS. WE ARE TEACHERS, TRAINING FUTURE HEALTH CARE PROFESSIONALS. WE ARE COMPASSIONATE, CARING AND DEDICATED TO CREATING A HEALTH CARE SETTING IN WHICH QUALITY OF LIFE AND SERVICE EXCELLENCE ARE EXPERIENCED BY OUR PATIENTS THEIR FAMILIES, THE MEDICAL STAFF AND THE COMMUNITY. WE ARE MARIETTA MEMORIAL HOSPITAL. PART VI, LINE 6: SEE THE COMMUNITY NEEDS ASSESSMENT. PART VI, LINE 7, REPORTS FILED WITH STATES OH 0 MARIETTA HEALTHCARE PHYSICIANS INC 401 MATTHEW STREET MARIETTA OH 45750 311375125 501C3 34822781 0 GENERAL OPERATIONS 1 0 PART I, LINE 2: THE ORGANIZATION DOES NOT MONITOR USE OF GRANT FUNDS. X X X X X X 0 0 0 0 0 0 0 0 0 J SCOTT CANTLEY CEO 938822 0 342615 0 0 0 19500 0 44303 0 1345240 0 0 0 SCOTT SILVESTRI CFO 468677 0 127500 0 0 0 19500 0 51350 0 667027 0 0 0 CHRISTOPHER COCKERHAM MD PRESIDENT - PHYSICIAN 0 552625 0 0 0 0 0 19000 0 42148 0 613773 0 0 PAUL WESTBROCK VP LEGAL 430201 0 114375 0 0 0 19500 0 42511 0 606587 0 0 0 DEEANN GEHLAUF SR VP BUSINESS 403720 0 109375 0 0 0 19500 0 44604 0 577199 0 0 0 PAIGE SMITH VP NURSING 355252 0 100000 0 0 0 16800 0 48808 0 520860 0 0 0 RICHARD HOYT MD MEDICAL STAFF PRESIDENT 0 380661 0 78447 0 0 0 19000 0 39265 0 517373 0 0 JOSEPH COOPER MD SECRETARY - PHYSICIAN 0 450163 0 0 0 0 0 19500 0 24339 0 494002 0 0 DEREK SMITH VP CLINIC OPERATIONS 335395 0 93750 0 0 0 16000 0 47276 0 492421 0 0 0 TELAH TAYLOR VP CLINICAL QUALITY 271098 0 71875 0 0 0 12650 0 28577 0 384200 0 0 0 A SOUTHEASTERN OHIO PORT AUTHORITY 820585565 841895AX3 2015-03-11 60000000 HOSPITAL FACILITIES REVENUE 0 0 0 B COUNTY OF WASHINGTON OHIO 316400089 938154DX6 2022-09-21 269393095 HOSPITAL FACILITIES REVENUE 0 0 0 A 6014766 61204766 4222613 1200000 55782153 2017 1 0 0 1 B 269393095 21337256 3386208 760000 118917461 124992170 1 1 1 1 A 0 0 0 1 1 0 0 1 B 0 0 0 1 1 0 0 1 A 1 0 0 0 0 1 B 1 0 0 0 0 0 A 1 B 1 MICHAEL ARCHER BOARD MEMBER 1160828 BUILDING RENT 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWERS AND DUTIES OF THE BOARD OF DIRECTORS IN THE INTERIM BETWEEN MEETINGS OF THE LATTER, EXCEPT AS LIMITED BY THIS CODE OF REGULATIONS OR BY SPECIFIC INSTRUCTION OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL NOT HAVE POWER TO ELECT DIRECTORS. A SUMMARY OF THE PROCEEDINGS OF THE EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE BOARD AT ITS NEXT MEETING. THE EXECUTIVE COMMITTEE SHALL MAINTAIN THE COMPENSATION COMMITTEE AND NOMINATING COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT. THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVE PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY THE CORPORATE INTEGRITY COMMITTEE. THE SCOPE OF THIS POLICY INCLUDES THE DIRECTORS, OFFICERS AND SENIOR EXECUTIVES. THE PURPOSE OF THE POLICY IS TO PROTECT THE HOSPITAL'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN INTERESTED OFFICER, DIRECTOR OR PERSON. ANY CONFLICT RESULTING IN INELIGIBILITY FOR OR REMOVAL FROM THE BOARD OR SPECIFIC COMMITTEES INCLUDE THE FOLLOWING: A. REPEATED, INTENTIONAL FAILURE TO DISCLOSE A CONFLICT OF INTEREST. B. HAVING A FAMILY MEMBER WHO IS A SENIOR EXECUTIVE FOR THE HOSPITAL. C. A MATERIAL INVESTMENT OR EMPLOYMENT RELATIONSHIP INVOLVING AN INTERESTED PERSON IN AN ASC, A PROPRIETARY HOSPITAL, OR NURSING FACILITY WITHIN THE HOSPITAL'S SERVICE AREA THAT IS NOT OWNED BY THE HOSPITAL. ANNUAL DISCLOSURES ARE REQUIRED SETTING FORTH ALL BUSINESS AND OTHER AFFILIATIONS, WHICH RELATE IN ANY WAY TO THE HOSPITAL. THE COMMITTEE RECOMMENDS THE DISQUALIFICATION OR REMOVAL OF INTERESTED PERSONS WHEN NECESSARY AND REPORTS TO THE BOARD THOSE DIRECTORS WHICH THE COMMITTEE HAS DETERMINED MEET THE DEFINITION OF INDEPENDENT DIRECTOR. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE REVIEWS FAIR MARKET WAGE DATA. SPECIFIC APPROVAL OF BOARD MUST BE SOUGHT IF PHYSICIAN COMPENSATION IS 75% OR GREATER OF MEDIAN IN THE ANNUAL MGMA STUDY. EXECUTIVE AND ALL OTHER HOSPITAL STAFF COMPENSATION IS SET AT MEDIAN. AN EXECUTIVE COMPENSATION FIRM IS UTILIZED (YAFFE & COMPANY). A SEPERATE INDEPENDENT CONSULTANT (VMG) IS RETAINED FOR PHYSICIAN COMPENSATION STUDIES AS NEEDED. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE NOT REQUIRED TO BE MADE AVAILABLE. IF YOU DO, SPECIFIC INSTRUCTIONS TO WHOM THE PUBLIC SHOULD WRITE TO REQUEST CAN BE INCLUDED HERE. FORM 990, PART XI, LINE 9: PENSION RELATED CHANGES 6,389,526. CHANGE IN INTEREST IN NET ASSETS OF MARIETTA MEMORIAL HEALTH FOUNDATION -255,170. NET PERIODIC PENSION COST 1,652,660. TRANSFERS BETWEEN RELATED ORGANIZATIONS -3,183,707. INVESTMENT IN MEMORIAL HEALTH FOUNDATION -1,606,718. MARIETTA HEALTHCARE PHYSICIANS INC 2,359. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MARIETTA AREA HEALTH CARE INC 401 MATTHEW STREET MARIETTA OH 45750 311126451 MANAGEMENT OH 501(C)(3) LINE 10 0 SELBY GENERAL HOSPITAL 1106 COLGATE DRIVE MARIETTA OH 45750 314413259 HOSPITAL OH 501(C)(3) LINE 3 MARIETTA AREA HEALTH CARE INC 0 MARIETTA HEALTHCARE PHYSICIANS INC 401 MATTHEW STREET MARIETTA OH 45750 311375125 PHYSICIAN GROUP OH 501(C)(3) LINE 10 MARIETTA AREA HEALTH CARE INC 0 MEMORIAL HEALTH FOUNDATION 401 MATTHEW STREET MARIETTA OH 45750 311011321 SUPPORTING ORG OH 501(C)(3) LINE 12B, II MARIETTA AREA HEALTH CARE INC 0 MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC 314 S WELLS ST SISTERSVILLE WV 26175 852862205 HOSPITAL WV 501(C)(3) LINE 3 MARIETTA MEMORIAL HOSPITAL 0 MARIETTA OCCUPATIONAL HEALTH PARTNERS LLC 401 MATTHEW ST MARIETTA OH 45750 043587132 OCCUPATIONAL HEALTH OH RELATED 80010 357742 0 1 0.51000 MARIETTA SURGERY CENTER LTD 611 SECOND ST MARIETTA OH 45750 311684367 SURGERY OH RELATED 1763451 75375 0 0 0.44140 MARIETTA HOME HEALTH AND HOSPICE LLC 3854 AMERICAN WAY SUITE A BATON ROUGE LA 70816 261480799 HOME HEALTH LA RELATED 2100355 2925497 0 0 0.50000 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC Q 1569118 FMV