MADISON COUNTY COMMUNITY HOSPITAL: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- MADISON COUNTY COMMUNITY HOSPITAL (EIN 31-1657206)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-10
- IRS object ID
- 202323149349300132
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-10T07:28:39-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 251408703 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCHNEIDER DOWNS & CO INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE PPG PLACE SUITE 1700 | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15222 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311657206 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MADISON COUNTY COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MADI | BusinessNameControlTxt |
| Phone | 7408457015 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 NORTH MAIN STREET | AddressLine1Txt |
| City | LONDON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43140 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANA E ENGLE | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7408457015 | PhoneNum |
| Signature | 2023-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DANA | PersonFirstNm |
| Person Last | ENGLE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SUSAN M KIRSCH | PreparerPersonNm |
| PTIN | P00341397 | PTIN |
| Phone | 4122613644 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MADISON HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANA E ENGLE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 NORTH MAIN STREET | AddressLine1Txt |
| City | LONDON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43140 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $69,810,879 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MADISON-HEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE EXCEPTIONAL HEALTH CARE IN A RESPECTFUL, COMPASSIONATE, AND HEALING ENVIRONMENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 439 | TotalEmployeeCnt |
| Total Volunteers | 32 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,454,380 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,454,241 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $65,871,354 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $65,710,053 | CYProgramServiceRevenueAmt |
| PY Investment Income | $867,503 | PYInvestmentIncomeAmt |
| CY Investment Income | $831,444 | CYInvestmentIncomeAmt |
| PY Other Revenue | $122,318 | PYOtherRevenueAmt |
| CY Other Revenue | $203,627 | CYOtherRevenueAmt |
| PY Total Revenue | $73,315,555 | PYTotalRevenueAmt |
| CY Total Revenue | $68,199,365 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $4,318,657 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $5,013,805 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,001,399 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,943,080 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $33,850,674 | PYOtherExpensesAmt |
| CY Other Expenses | $36,449,186 | CYOtherExpensesAmt |
| PY Total Expenses | $60,170,730 | PYTotalExpensesAmt |
| CY Total Expenses | $64,406,071 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,144,825 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,793,294 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $49,980,292 | TotalAssetsBOYAmt |
| Total Assets EOY | $52,725,283 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,864,681 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,853,519 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $40,115,611 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $39,871,764 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MADISON HEALTH'S VISION IS TO PROVIDE EXCEPTIONAL HEALTHCARE IN A RESPECTFUL, COMPASSIONATE, AND HEALING ENVIRONMENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $57,460,274 | ExpenseAmt |
| Grant | $5,013,805 | GrantAmt |
| Revenue | $65,781,872 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $57,460,274 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 59 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 439 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL S BROWNING | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7408457015 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 NORTH MAIN STREET | AddressLine1Txt |
| City | LONDON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43140 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| DANA E ENGLE | |||||||||
| MCCH CEO | 40.00 | 6.00 | Yes (X) | $512,768 | $0 | $66,578 | |||
| MICHAEL S BROWNING | |||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 9.00 | Yes (X) | $317,254 | $0 | $19,316 | |||
| ROBERT WALDECK | |||||||||
| VP-STRATEGY AND CONSTRUCTION | 40.00 | 0.00 | $259,449 | $0 | $45,837 | Yes (X) | |||
| CELIA JULIE MILLER | |||||||||
| CHIEF NURSING OFFICER | 40.00 | 0.00 | $208,861 | $0 | $27,206 | Yes (X) | |||
| JOEL RICE | |||||||||
| CNP | 40.00 | 0.00 | $168,872 | $0 | $53,937 | Yes (X) | |||
| BETH FORDYCE | |||||||||
| DIRECTOR OF PHARMACY | 40.00 | 0.00 | $160,770 | $0 | $78,054 | Yes (X) | |||
| BETH MILLIKIN | |||||||||
| CHIEF HUMAN RESOURCES | 40.00 | 0.00 | $154,838 | $0 | $23,286 | Yes (X) | |||
| CINDY STOUT | |||||||||
| VP MARKETING AND PHYSICIAN | 40.00 | 0.00 | $152,368 | $0 | $32,465 | Yes (X) | |||
| JANNIFER SMERSOLL | |||||||||
| DIRECTOR OF OCCUPATIONAL HEALTH | 40.00 | 0.00 | $149,687 | $0 | $31,994 | Yes (X) | |||
| KEELY CARABIN | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| VINAY CHITKARA | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| JIM EVANS | |||||||||
| BOARD MEMBERS | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| JOSHUA GLUPKER MD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| DENISE MINOR | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| ANDY PRIDAY | |||||||||
| SECRETARY | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| TOM BLINCOE | |||||||||
| CHAIR | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| GEORGE LOHSTROH | |||||||||
| VICE CHAIR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MARVIN HOMAN | |||||||||
| TREASURER | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,084,867 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $378,673 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 21 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ASSOCIATED ANESTHESIOLOGISTS | |||||
| PO BOX 3000 | SPRINGFIELD | OH | 45501 | ANESTHESIOLOGISTS | $719,629 |
| ABDAL RAHMAN ALHYARI MD | |||||
| 6260 POST RD | DUBLIN | OH | 43017 | HOSPITALIST | $416,800 |
| PREMIER HEALTH CARE SERVICES INC | |||||
| PO BOX 634850 | CINCINNATI | OH | 45263 | EMERGENCY PHYSICIANS | $398,149 |
| HAMZA HEALTHCARE LLC | |||||
| 4937 AMBER LANE | DUBLIN | OH | 43016 | HOSPITALIST | $392,200 |
| TRINITY HEALTH GROUP LTD | |||||
| 4000 JOHNSON RD | STEUBENVILLE | OH | 43952 | ARCHITECTURAL/DESIGN SERVICES | $355,363 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $47,444 | RelatedOrganizationsAmt |
| Government Grants | $1,406,797 | GovernmentGrantsAmt |
| Total Contributions | $1,454,241 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE | 621990 | $65,321,258 | $65,321,258 | |
| PAIN JOINT VENTURE | 621990 | $220,490 | $220,490 | |
| CAFETERIA SALES/VENDING | 722514 | $130,030 | $130,030 | |
| FITNESS CENTER | 713940 | $2,885 | $2,885 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,390 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $35,390 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $65,710,053 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $762,412 | TotalRevenueColumnAmt |
| Exclusion | $762,412 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $131,808 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $131,808 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $131,808 | TotalRevenueColumnAmt |
| Exclusion | $131,808 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,617,685 | SecuritiesAmt |
| Other | $62,861 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,439,004 | SecuritiesAmt |
| Other | $172,510 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $178,681 | SecuritiesAmt |
| Other | -$109,649 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $69,032 | TotalRevenueColumnAmt |
| Exclusion | $69,032 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INSURANCE PROCEEDS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $71,819 | TotalRevenueColumnAmt |
| Exclusion | $71,819 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $71,819 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $68,199,365 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,580,023 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,165,101 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,013,805 | TotalAmt |
| Program Services | $5,013,805 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,457,269 | TotalAmt |
| Program Services | $1,323,849 | ProgramServicesAmt |
| Management And General | $133,420 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,847 | TotalAmt |
| Management And General | $32,847 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,957,931 | TotalAmt |
| Program Services | $14,551,608 | ProgramServicesAmt |
| Management And General | $1,406,323 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $560,144 | TotalAmt |
| Program Services | $508,860 | ProgramServicesAmt |
| Management And General | $51,284 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,518,198 | TotalAmt |
| Program Services | $3,196,089 | ProgramServicesAmt |
| Management And General | $322,109 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,416,691 | TotalAmt |
| Program Services | $127,502 | ProgramServicesAmt |
| Management And General | $1,289,189 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,306 | TotalAmt |
| Management And General | $66,306 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,665 | TotalAmt |
| Management And General | $129,665 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,358 | TotalAmt |
| Management And General | $6,358 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,784 | TotalAmt |
| Management And General | $145,784 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,782,027 | TotalAmt |
| Program Services | $7,288,349 | ProgramServicesAmt |
| Management And General | $2,493,678 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $374,304 | TotalAmt |
| Management And General | $374,304 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,931 | TotalAmt |
| Program Services | $199,606 | ProgramServicesAmt |
| Management And General | $135,325 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,461,384 | TotalAmt |
| Program Services | $1,418,087 | ProgramServicesAmt |
| Management And General | $43,297 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,362,635 | TotalAmt |
| Program Services | $3,281,396 | ProgramServicesAmt |
| Management And General | $81,239 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,941 | TotalAmt |
| Program Services | $1,774 | ProgramServicesAmt |
| Management And General | $3,167 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,066 | TotalAmt |
| Program Services | $47,852 | ProgramServicesAmt |
| Management And General | $6,214 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,478 | TotalAmt |
| Program Services | $18,478 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,473,371 | TotalAmt |
| Program Services | $1,473,371 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $418,673 | TotalAmt |
| Program Services | $418,673 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $9,029,748 | $9,002,572 | $27,176 |
| BAD DEBT EXPENSE | $7,750,384 | $7,750,384 | |
| HOSPITAL FRANCHISE FEE | $1,602,236 | $1,602,236 | |
| FOOD/DIETARY | $229,578 | $216,417 | $13,161 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,317 | TotalAmt |
| Program Services | $19,366 | ProgramServicesAmt |
| Management And General | $184,951 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,406,071 | TotalAmt |
| Program Services | $57,460,274 | ProgramServicesAmt |
| Management And General | $6,945,797 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,537,434 | BOYAmt |
| EOY | $1,739,086 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,993,004 | BOYAmt |
| EOY | $2,922,769 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,159,260 | BOYAmt |
| EOY | $8,050,701 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $989,366 | BOYAmt |
| EOY | $1,033,611 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,319,105 | BOYAmt |
| EOY | $885,800 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $27,170,136 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $19,724,496 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,247,198 | BOYAmt |
| EOY | $7,445,640 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,330,630 | BOYAmt |
| EOY | $25,407,201 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $314,153 | BOYAmt |
| EOY | $355,153 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,142 | BOYAmt |
| EOY | $126,220 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $4,759,102 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,980,292 | BOYAmt |
| EOY | $52,725,283 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,805,594 | BOYAmt |
| EOY | $5,399,963 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,323,239 | BOYAmt |
| EOY | $356,018 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,735,848 | BOYAmt |
| EOY | $7,097,538 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,864,681 | BOYAmt |
| EOY | $12,853,519 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,115,611 | BOYAmt |
| EOY | $39,871,764 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,115,611 | BOYAmt |
| EOY | $39,871,764 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,980,292 | BOYAmt |
| EOY | $52,725,283 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,793,294 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,925,027 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$112,114 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $6,358 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $6,358 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A PORTION OF THE ANNUAL DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND TO THE OHIO HOSPITAL ASSOCIATION HAS BEEN DEEMED TO BE LOBBYING-RELATED. THE TOTAL AMOUNT PAID IN 2022 THAT WAS ALLOCATED TO LOBBYING EXPENSES WAS $6,358. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,985,361 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,171,863 | DepreciationAmt |
| Book Value | $1,813,498 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,622,279 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,093,729 | DepreciationAmt |
| Book Value | $4,528,550 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,562,496 | OtherCostOrOtherBasisAmt |
| Depreciation | $458,904 | DepreciationAmt |
| Book Value | $1,103,592 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,445,640 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LEASES | Desc |
| Book Value | $4,759,102 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,759,102 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $2,200,111 |
| LEASES | $4,897,427 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,097,538 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $56,330,726 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$3,925,027 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$3,925,027 | RevenueNotReportedAmt |
| Revenue Subtotal | $60,255,753 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $145,784 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $7,797,828 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $7,943,612 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $68,199,365 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $51,496,098 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $51,496,098 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $145,784 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $12,764,189 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $12,909,973 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $64,406,071 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE HOSPITAL IS AN OHIO NONPROFIT CORPORATION AND IS EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS REQUIRING AN ACCRUAL OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED IN THE CONSOLIDATED STATEMENT OF ACTIVITIES FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021 RELATED TO UNCERTAIN TAX POSITIONS. THE HOSPITAL IS NO LONGER SUBJECT TO U.S. FEDERAL OR STATE TAX EXAMINATIONS FOR YEARS PRIOR TO 2019. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR UNCOLLECTIBLE ACCOUNTS RECORDED IN REVENUE 7,750,384. TRANSFER FROM MCHF 47,444. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR UNCOLLECTIBLE ACCOUNTS RECORDED IN REVENUE 7,750,384. TRANSFER TO MFHC 5,013,805. |
| FORM 990, PART XI AND PART XII: | THE REPORT ON AUDITS OF CONSOLIDATED FINANCIAL STATEMENTS IS PREPARED ON BEHALF OF THE MADISON COUNTY HOSPITAL, INC. AND AFFILIATES (MADISON HEALTH AND MADISON COUNTY HOSPITAL FOUNDATION). THE DISCLOSURES IN PARTS XI AND XII REPRESENT THE SEPARATE COMPANY ACTIVITY OF MADISON HEALTH AS PRESENTED IN THE STATEMENTS AND SUPPLEMENTAL SCHEDULES. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 1353 | PersonsServedCnt |
| Total Community Benefit Expns | $637,767 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $873,160 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 5791 | PersonsServedCnt |
| Total Community Benefit Expns | $11,289,448 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,730,180 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,559,268 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08630 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 7144 | PersonsServedCnt |
| Total Community Benefit Expns | $11,927,215 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,603,340 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,559,268 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08630 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 51 | ActivitiesOrProgramsCnt |
| Persons Served | 1049 | PersonsServedCnt |
| Total Community Benefit Expns | $220,611 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $105,435 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $115,176 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 78 | PersonsServedCnt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 48 | ActivitiesOrProgramsCnt |
| Persons Served | 1040 | PersonsServedCnt |
| Total Community Benefit Expns | $126,520 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $126,520 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 102 | ActivitiesOrProgramsCnt |
| Persons Served | 2167 | PersonsServedCnt |
| Total Community Benefit Expns | $347,131 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $105,435 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $241,696 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 105 | ActivitiesOrProgramsCnt |
| Persons Served | 9311 | PersonsServedCnt |
| Total Community Benefit Expns | $12,274,346 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,708,775 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,800,964 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,750,384 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $7,062,545 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,321,394 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,258,849 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 MADISON HEALTH PAIN MANAGEMENT LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | PAIN MANAGEMENT | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.51000 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.00000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MADISON COUNTY COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 N MAIN STREET | AddressLine1Txt |
| City | LONDON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43140 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MADISON-HEALTH.COM | WebsiteAddressTxt |
| State License | 1011 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MADISON HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.MADISON-HEALTH.COM/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.MADISON-HEALTH.COM/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.MADISON-HEALTH.COM/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.MADISON-HEALTH.COM/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.MADISON-HEALTH.COM/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MADISON HEALTH | PART V, SECTION B, LINE 5: A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS DEVELOPED IN 2022 IN COLLABORATION WITH BLUE & CO., LLC, AN ACCOUNTING, TAX AND CONSULTING FIRM. THE ENSUING CHNA REPORT COMPILED A YEAR-LONG EFFORT TO GATHER AND ANALYZE DATA THAT ADDRESSED ISSUES OF COMMUNITY HEALTH AND WELL-BEING FOR MADISON COUNTY. MADISON HEALTH CONTINUES TO WORK WITH OTHER AGENCIES IN THE COUNTY AS WELL AS MADISON COUNTY PUBLIC HEALTH TO DEVELOP THE COMMUNITY HEALTH IMPROVEMENT PLAN WITH THE CHNA BEING THE BASIS FOR THE DISCUSSION. THE INTENT IS TO PROVIDE CONSISTENT AND RELATIVE INFORMATION REGARDING MADISON COUNTY'S HEALTH NEEDS AND COLLABORATIVE STRATEGIES TO ADDRESS THOSE NEEDS.MADISON HEALTH CONTRACTED WITH BLUE AND COMPANY LLC TO ASSIST IN CONDUCTING A CHNA AND ANALYZING THE DATA FOR THE CHNA REQUIREMENTS SET FORTH IN SECTION 9007 OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010.DATA FOR THIS CHNA WAS COLLECTED FROM PRIMARY AND SECONDARY SOURCES TO IDENTIFY KEY FINDINGS AND GAPS THAT MAY EXIST BETWEEN HEALTH NEEDS AND SERVICES PROVIDED WITHIN THE COMMUNITY. THE METHOD OF COLLECTION FOR PRIMARY DATA WERE PERSONAL INTERVIEWS WITH LOCAL COMMUNITY LEADERS AND ONLINE SURVEYS. TO CAPTURE REPRESENTATION OF THOSE GROUPS LESS LIKELY TO PARTICIPATE ON AN ONLINE SURVEY (I.E., HOMELESS, IMMIGRANTS, ETC.), INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS (MAYOR OF LONDON, MAYOR OF MOUNT STERLING, INTERVENTION SPECIALIST, COUNTY CORONOER/FAMILY PHYSICIAN, SUPERINTENDENT MADISON PLAINS, LONDON POLICE CHIEF AND SUPERINTENDENT BOARD OF DEVELOPMENTAL DISABILITIES) AND OTHERS WHO WORK DIRECTLY WITH MEMBERS OF DISADVANTAGED POPULATION TO CONSIDER BROAD INTERESTS OF THE COMMUNITY SERVED.SECONDARY DATA SOURCES INCLUDED STATE, LOCAL AND NATIONAL DATA FROM A VARIETY OF SOURCES INCLUDING, BUT NOT LIMITED TO, U.S. CENSUS, COUNTY HEALTH RANKINGS, CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), ETC. ALL DATA SOURCES WERE REVIEWED AND ANALYZED TO IDENTIFY KEY FINDINGS WITH STRATEGIC IMPLICATIONS AND FOR BENCHMARKING. THE STEERING COMMITTEE MET TO REVIEW THE FINDINGS OF THE 2019 AND 2022 CHNA REPORT, IDENTIFY ANY PROGRAMS OR PLANS THAT COULD BE CONTINUED AND ALSO TO IDENTIFY THE TOP COMMUNITY HEALTH NEEDS. MADISON HEALTH HAS BEEN WORKING CLOSELY WITH MADISON COUNTY PUBLIC HEALTH IN THE DEVELOPMENT OF THEIR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), WITH THE CHNA REPORT BEING THE BASIS OF DISCUSSION. THE INTENT IS TO PROVIDE CONSISTENT AND RELATIVE INFORMATION REGARDING MADISON COUNTY'S HEALTH NEEDS AND COLLABORATIVE STRATEGIES TO ADDRESS THOSE NEEDS. THE FOLLOWING PRIORITY LIST WAS ESTABLISHED FROM THE MADISON HEALTH CHNA: ACCESS TO CARE SUBSTANCE ABUSE CANCER INCIDENCE AND MORTALITY OBESITY / INACTIVITY / UNHEALTHY FOOD |
| MADISON HEALTH | PART V, SECTION B, LINE 11: IMPLEMENTATION STRATEGY GOALS:I. ACCESS TO CARESPECIFIC NEEDS IDENTIFIED IN THE CHNA: ACCESS TO CARE REQUIRES NOT ONLY FINANCIAL COVERAGE, BUT ALSO ACCESS TO PROVIDERS. SUFFICIENT AVAILABILITY OF PRIMARY CARE PHYSICIANS IS ESSENTIAL FOR PREVENTIVE AND PRIMARY CARE, AND, WHEN NEEDED, REFERRALS TO APPROPRIATE SPECIALTY CARE. ONE OF THE METRICS ASSESSED IN THE PRIMARY AND SECONDARY SERVICES AREAS IS THE RATIO OF PRIMARY CARE PHYSICIANS TO THE POPULATION. THE RATIO REPRESENTS THE NUMBER OF INDIVIDUALS SERVED BY ONE PHYSICIAN IN A COUNTY, IF THE POPULATION WAS EQUALLY DISTRIBUTED ACROSS PHYSICIANS. MADISON & CLARK COUNTY HAVE THE TWO HIGHEST RATIOS OF PRIMARY CARE PHYSICIANS (LOWER IS BETTER) COMPARED TO THE STATE. MADISON HAS A 2,980:1 AND CLARK HAS A 2,270:1 POPULATION RATIO PER 1 PRIMARY CARE PHYSICIAN. THE STATE AVERAGE IS 1,290:1 AND TOP PERFORMERS ARE 1,010:1. MADISON HEALTH HAS IMPLEMENTED SEVERAL INITIATIVES TO HELP IMPROVE ACCESS TO THE PRIMARY AND SECONDARY SERVICE AREAS. THE PRIMARY CARE NETWORK OF EMPLOYED PROVIDERS (PHYSICIANS AND NURSE PRACTITIONERS) BEGAN IN 2014. SINCE THE LAST CHNA IN 2019, A TOTAL OF FOUR EMPLOYED PROVIDERS HAVE LEFT THE GROUP DUE TO RETIREMENT AND OTHER REASONS. THERE ARE CURRENTLY NINE NURSE PRACTITIONERS AND ONE PEDIATRIC NURSE PRACTITIONER. THE LOCATIONS HAVE EXPANDED TO SIX TO OFFER MORE OPTIONS CLOSER TO WHERE THE PATIENTS LIVE IN MADISON COUNTY AND SURROUNDING AREAS. SUMMARY OF PRIMARY AND SECONDARY CORRELATED METRICS: - 17% OF THE SURVEYS STATED THAT THERE WAS A TIME IN THE LAST YEAR WHEN THEY NEED MEDICAL CARE AND WERE UNABLE TO GET IT, WITH THE TOP REASON BEING IT TOOK TOO LONG TO GET AN APPOINTMENT (47%) - 42% SAY THAT COVID-19 HAD AN IMPACT ON HOW THEY RECEIVED CARE AND HAD A DIFFICULT TIME GETTING AN APPOINTMENT AS A RESULT - 12% OF SURVEY RESPONDENTS DID NOT HAVE A PRIMARY CARE PHYSICIAN - 14% OF SURVEY RESPONDENTS SAID THEY WERE UNABLE TO GET APPOINTMENT TO SEE MENTAL HEALTH PROFESSIONAL, WITH THE TOP REASON BEING TOO LONG OF A WAIT TO GET AN APPOINTMENT - PRIMARY CARE RATIO MADISON COUNTY IS 2,980:1, CLARK COUNTY IS 2,270:1, AND FRANKLIN COUNTY IS 960:1OBJECTIVES: IMPROVE ACCESS TO CARE BY INCREASING THE NUMBER OF PRIMARY CARE PROVIDERS AS WELL AS THE NUMBER OF AVAILABLE APPOINTMENTS. IMPLEMENTATION STRATEGIES:- HIRE AT LEAST TWO ADDITIONAL PRIMARY CARE PHYSICIANS- IMPROVE THE EFFICIENCY OF EXISTING PHYSICIANS AND NURSE PRACTITIONERS- IDENTIFY SCHEDULE GAPS THAT PREVENT PATIENTS FROM BEING SEEN IN A TIMELY MANNER - ADDRESS REMAINING BARRIERS WITHIN THE PHONE/SCHEDULING SYSTEM- SURVEY THE COMMUNITY AND REVIEW SCHEDULE PATTERNS TO IDENTIFY NEED EARLY MORNING, EVENINGS/WEEKEND AND TELEHEALTHII. SUBSTANCE ABUSESPECIFIC NEEDS IDENTIFIED IN THE CHNA: OHIO IS THE 4TH HIGHEST STATE FOR DRUG OVERDOSE DEATHS AS OF 2020 (THE LATEST DATA FROM THE CDC). THE DRUG RELATED DEATH RATE IS BASED ON A RATE THAT MEASURES THE NUMBER OF EVENTS IN EACH TIME PERIOD AND DIVIDED BY THE AVERAGE NUMBER OF PEOPLE AT RISK DURING THAT PERIOD AND IS CALCULATED AS SUCH IN ORDER TO COMPARE COUNTIES WITH DIFFERENT POPULATION SIZES. OF THE TOTAL OVERDOSE DEATHS FOR THE STATE OF OHIO, 48.9% HAD AT LEAST ONE POTENTIAL OPPORTUNITY FOR INTERVENTION. IN OHIO, THE HIGH RATE OF OVERDOSE DEATH IS DRIVEN MAINLY BY OPIOIDS AND ILLICITLY MANUFACTURED FENTANYL. DEATHS BECAUSE OF PRESCRIPTION OPIOIDS ARE RELATIVELY LOW, THEREFORE IT CAN BE ASSUMED THAT MOST OPIOID RELATED DEATHS WERE NOT DRIVEN BY LEGALLY PRESCRIBED MEDICATION. OUTCOME RELATED DATA TO DRUG AND ALCOHOL ABUSE ASSESSED BY COUNTY WERE ALCOHOL IMPAIRED DRIVING DEATHS AND DRUG OVERDOSE DEATHS AND HAVE REMAINED HIGH IN CLARK AND FRANKLIN COUNTY COMPARED TO THE STATE. FRANKLIN AND CLARK COUNTY ALSO HAD A HIGH NUMBER OF DRUG OVERDOSE DEATHS PER 100,000 POPULATION, AT 48 COMPARED TO THE STATE AVERAGE OF 38 AND THE U.S. TOP COUNTIES AT 11. FRANKLIN COUNTY ALSO HAD THE HIGHEST DRUG RELATED DEATHS PER 100,000 POPULATION IN THE STATE AS OF 2019 ACCORDING TO THE CDC OVERDOSE DEATH DATA. ALCOHOL IMPAIRED DRIVING DEATHS WERE ALSO HIGHEST IN FRANKLIN COUNTY AT 32%, BUT STILL LOWER THAN THE STATE AT 33%. IN THE PAST TWO DECADES, THE DEATH RATES FOR DRUG OVERDOSE IN FRANKLIN COUNTY HAS INCREASED AT AN EXPONENTIAL RATE, INCREASING 733%, COMPARED TO CLARK AT 262% INCREASE AND MADISON AT A 219% INCREASE SINCE 2003. IN THE LAST DECADE, FRANKLIN COUNTY HAS CONTINUED TO INCREASE AT 222% SINCE 2012 BASED ON DATA FROM THE CDC. WHEN COMPARED TO THE INCREASE NATIONWIDE OF 137% INCREASE SINCE 2000, ALL THREE COUNTIES HAVE TRENDED HIGHER THAN THE AVERAGE NATIONALLY. WHEN ANALYZING THE DATA, DRUGS AND ALCOHOL ABUSE IS A PREVALENT THEME ACROSS BOTH PRIMARY AND SECONDARY DATA SOURCES.SUMMARY OF PRIMARY AND SECONDARY CORRELATED METRICS: - 68.4% OF PEOPLE WHO DIED OF A DRUG OVERDOSE WERE MALE, 27.4% WERE 35-44 YEARS OLD AND 79% WERE WHITE, NON-HISPANIC - THE LARGEST PERCENTAGE OF MALES WERE AGED 35-44 AND THE LARGEST PERCENTAGE OF FEMALES WERE AGED 35- 44. MALE, 35-44, AND BLACK, NON-HISPANIC RACE HAD THE HIGHEST OVERDOSE DEATH RATES - 5.2% OF OVERDOSE DEATHS WERE EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY, 7.4% HAD A RECENT RETURN TO USE OF OPIOID, AND 4.8% WERE ON A CURRENT PAIN TREATMENT - ALCOHOL IMPAIRED DRIVING DEATHS FRANKLIN IS 32%, CLARK IS 27%, MADISON IS 22%, THE STATE IS 33% AND TOP COUNTIES IS 10% (LOWER IN BETTER) - DRUG OVERDOSE DEATHS IS 48 IN FRANKLIN AND CLARK COUNTY, 38 IN MADISON AND FOR THE STATE AND 9 FOR THE TOP PERFORMERS IN THE U.S. (LOWER IS BETTER) - OF THE TOP 3 UNHEALTHY BEHAVIORS IDENTIFIED BY THE SURVEY PARTICIPANTS, #1 WAS DRUG ABUSE AT 66% AND #2 WAS ALCOHOL ABUSE AT 37% - IMPACT TO WELL-BEING FROM SURVEY PARTICIPANTS STATED DRUG ABUSE AS #3 AT 32%OBJECTIVES: HELP REDUCE THE OVERDOSE RATES IN MADISON COUNTYIMPLEMENTATION STRATEGIES: - INCREASE AWARENESS REGARDING "NEW VISION" A MEDICAL WITHDRAWAL MANAGEMENT PROGRAM AT MADISON HEALTHIII. CANCER RATESSPECIFIC NEEDS IDENTIFIED IN THE CHNA: APPROXIMATELY FOUR OUT OF 10 OHIOANS WILL BE DIAGNOSED WITH CANCER AT SOME POINT DURING THEIR LIFETIME. CANCER IS THE SECOND LEADING CAUSE OF DEATH, ACCOUNTING FOR NEARLY ONE IN FOUR DEATHS IN OHIO AND THE UNITED STATES. CANCER IS THE SECOND MOST COMMON CAUSE OF DEATH IN OHIO AND THE UNITED STATES, ACCOUNTING FOR NEARLY ONE OF EVERY FOUR DEATHS. LUNG AND BRONCHUS CANCER WAS THE LEADING CAUSE OF CANCER DEATH IN OHIO IN 2019, REPRESENTING 25.6% OF ALL CANCER DEATHS, FOLLOWED BY COLON AND RECTUM CANCER (8.4%), PANCREATIC CANCER (8.0%), AND BREAST CANCER (7.0%). SOURCE: ODH.OHIO.GOVOBJECTIVES: HELP REDUCE MORTALITY THROUGH IMPROVED SCREENING INITIATIVES AND PREVENTION STRATEGIES THROUGHOUT THE COUNTYIMPLEMENTATION STRATEGIES: - MARKETING EVENTS TO INCLUDE CANCER SCREENINGS (AS APPROPRIATE) - INCREASE AWARENESS FOR "NO COST TO YOU" LOW-DOSE CT SCAN FOR LUNG CANCER SCREENING- IMPROVE ACCESS TO BREAST AND CERVICAL CANCER SCREENINGS THROUGH BROADER PARTICIPATION IN THE ODH BCCP PROGRAM- 3D MAMMOGRAPHY IS NOW AVAILABLE; FOUNDATION ENDOWMENT FUNDS FOR THOSE UNABLE TO COVER OUT OF POCKET EXPENSE- CLOSING THE CARE GAP IN RELATION TO COLON CANCER SCREENINGS FINANCIAL INCENTIVE FOR PRIMARY CARE GROUP- DERMATOLOGIST NOW SEEING PATIENTS IN MADISON COUNTYIV. OBESITY/INACTIVITY/UNHEALTHY FOODSPECIFIC NEEDS IDENTIFIED IN THE CHNA: HEALTH OUTCOMES IS A MEASURE THAT IS USED PROVIDE OVERALL HEALTH OF THE COUNTY WHEN COMPARED TO THE STATE AND THE TOP NATIONAL PERFORMERS AS WELL AS HEALTH FACTORS WHICH MEASURE THE IMPACT OF FUTURE HEALTH. THE OVERALL HEALTH OF MADISON COUNTY IS IN THE TOP QUARTILE IN THE STATE OF OHIO, WHILE FRANKLIN COUNTY IS IN THE SECOND HIGHEST QUARTILE. CLARK COUNTY IS IN THE LOWEST QUARTILE AND ONE OF THE LOWEST RANKING COUNTIES IN THE STATE OF OHIO. HEALTH FACTORS THAT INCREASE RISK OF MANY CO-MORBIDITIES: -ADULT OBESITY -POOR OR NO ACCESS TO EXERCISE OPPORTUNITIES -ACCESS TO HEALTH FOOD -POOR PHYSICAL HEALTH -HIGH SCHOOL COMPLETION RATE IMPROVING HEALTH OUTCOMES STARTS AT A YOUNG AGE, AND SOME LEADING INDICATORS FOR POOR HEALTH OUTCOMES ARE CHILDREN LIVING IN POVERTY AND LOW HIGH SCHOOL COMPLETION RATES. |
| MADISON HEALTH | PART V, SECTION B, LINE 13B: MEDICARE/MEDICAID STATE REGULATION |
| PART V, SECTION B, LINE 11: | OBJECTIVES: ASSIST PATIENTS IN ACHIEVING A HEALTHIER WEIGHT, PROMOTE PHYSICAL ACTIVITY WITHIN THE COMMUNITY.IMPLEMENTATION STRATEGIES: PARTICIPATION WITH NEW LOCAL FOOD COUNCIL, A PARTNERSHIP BETWEEN MADISON COUNTY PUBLIC HEALTH AND OSU EXTENSION OFFICE.CONTINUE OUR PARTNERSHIP TO OFFER COOKING DEMONSTRATION CLASSES.PARTNER WITH ROCKING HORSE TO PROVIDE NUTRITION AND HEALTH TIPS FOR PATIENTS DURING THEIR PCP VISITS.PROMOTE DIETITIAN SERVICES AT MADISON HEALTH THROUGH MARKETING AND COMMUNITY EVENTS.EXPLORE PHYSICAL ACTIVITY OPPORTUNITIES: "WALK WITH A DOC", TRAIN WITH PHYSICAL THERAPY/SPORTS MEDICINE, SPONSOR A WALK/RUN IN THE COMMUNITY.NEEDS IDENTIFIED IN INTERVIEWS WITH COMMUNITY LEADERS THAT ARE NOT BEING ADDRESSED AT THIS TIME DUE TO LIMITED HOSPITAL RESOURCES ARE POVERTY, LACK OF PUBLIC TRANSPORTATION, SAFE RECREATIONAL SPACES AND MENTAL HEALTH. |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | COMMUNITY BENEFIT INFORMATION IS PROVIDED TO THE OHIO HOSPITAL ASSOCIATION (OHA). OHA COMPILES THE INFORMATION AND ISSUES PRESS RELEASES AND PUBLISHES INFORMATION ON THEIR WEBSITE RELATING TO COMMUNITY BENEFITS PROVIDED BY OHIO HOSPITALS. THIS REPORT IS ALSO POSTED ONTO OHA'S WEBSITE. THE OHIO DEPARTMENT OF HEALTH ALSO COMPILES THE SCHEDULE H FORMS FOR ALL OHIO HOSPITALS AND ISSUES A REPORT ON THE OHIO DEPARTMENT OF HEALTH WEB SITE. |
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE OF $7,750,384 WAS EXCLUDED FROM TOTAL EXPENSES FOR CALCULATING COLUMN 7(F).PART I, LINE 7: THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | OUR INVOLVEMENT IN COMMUNITY SUPPORT AND WORKFORCE DEVELOPMENT KEEPS US IN TUNE WITH THE NEEDS OF THE COMMUNITY, INCLUDING THE HEALTHCARE NEEDS OF OUR POPULATION. OUR INVOLVEMENT ALLOWS US TO EDUCATE THE COMMUNITY ON LEADING HEALTH ISSUES AND ALLOWS THE COMMUNITY TO EDUCATE US ON THEIR PERSPECTIVES OF WHAT RESOURCES AND SERVICES ARE NEEDED TO MAKE THIS A HEALTHY AND VIBRANT COMMUNITY. |
| PART III, LINE 2: | FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES NET REVENUE ON THE BASIS OF ITS DISCOUNTED RATE FOR SERVICES PROVIDED. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. |
| PART III, LINE 3: | DISCOUNTED RATE FOR PATIENTS WHO APPLY AND QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY ARE NOT INCLUDED IN BAD DEBT EXPENSES. |
| PART III, LINE 4: | NET PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE - NET PATIENT SERVICE REVENUE, WHICH INCLUDES HOSPITAL INPATIENT SERVICES, HOSPITAL OUTPATIENT SERVICES AND OTHER PATIENT SERVICES REVENUE, IS RECORDED AT THE TRANSACTION PRICE ESTIMATED BY THE HOSPITAL TO REFLECT THE TOTAL CONSIDERATION DUE FROM PATIENTS AND THIRD-PARTY PAYORS (INCLUDING COMMERCIAL PAYORS AND GOVERNMENT PROGRAMS) AND OTHERS. THESE AMOUNTS INCLUDE AN ESTIMATE OF VARIABLE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS, REVIEWS AND INVESTIGATIONS. GENERALLY, THE HOSPITAL BILLS THE PATIENTS AND THIRD-PARTY PAYORS SEVERAL DAYS AFTER THE SERVICES ARE PERFORMED AND/OR THE PATIENT IS DISCHARGED FROM THE FACILITY. REVENUE IS RECOGNIZED OVER TIME AS PERFORMANCE OBLIGATIONS ARE SATISFIED IN EXCHANGE FOR PROVIDING GOODS AND SERVICES IN PATIENT CARE. REVENUE FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME IS RECOGNIZED BASED ON ACTUAL CHARGES INCURRED IN RELATION TO EXPECTED (OR ACTUAL) CHARGES. THE HOSPITAL BELIEVES THAT THIS METHOD PROVIDES A REASONABLE REPRESENTATION OF THE TRANSFER OF SERVICES OVER THE TERM OF THE PERFORMANCE OBLIGATION BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATION. GENERALLY, PERFORMANCE OBLIGATIONS SATISFIED OVER TIME RELATE TO INPATIENT SERVICES. THE HOSPITAL MEASURES THE PERFORMANCE OBLIGATION FROM ADMISSION TO THE HOSPITAL TO THE POINT WHERE IT IS NO LONGER REQUIRED TO PROVIDE SERVICES TO THAT PATIENT, WHICH IS GENERALLY AT THE TIME OF DISCHARGE. REVENUE FOR PERFORMANCE OBLIGATIONS SATISFIED AT A POINT IN TIME IS RECOGNIZED WHEN GOODS OR SERVICES ARE PROVIDED, AND THE HOSPITAL DOES NOT BELIEVE IT IS REQUIRED TO PROVIDE ADDITIONAL GOODS OR SERVICES TO THE PATIENT. THE SERVICES PROVIDED TO A PATIENT DURING AN INPATIENT STAY OR OUTPATIENT VISIT REPRESENT A BUNDLE OF GOODS AND SERVICES THAT ARE DISTINCT AND ACCOUNTED FOR AS A SINGLE PERFORMANCE OBLIGATION. THE HOSPITAL'S ESTIMATE OF THE TRANSACTION PRICE INCLUDES THE HOSPITAL'S STANDARD CHARGES FOR THE GOODS AND SERVICES PROVIDED WITH A REDUCTION RECORDED RELATED TO PRICE CONCESSIONS FOR ITEMS SUCH AS CONTRACTUAL ALLOWANCES OR OTHER POTENTIAL ADJUSTMENTS THAT MIGHT ARISE FROM PAYMENT AND OTHER REVIEWS, AND UNCOLLECTIBLE AMOUNTS. THE PRICE CONCESSIONS ARE DETERMINED USING THE PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS AS COLLECTIVE GROUPS RATHER THAN INDIVIDUALLY. ESTIMATES FOR UNCOLLECTIBLE AMOUNTS ARE BASED ON THE AGING OF THE ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE FOR SIMILAR PAYERS AND PATIENTS, CURRENT MARKET CONDITIONS AND OTHER RELEVANT FACTORS. THE HOSPITAL RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE HOSPITAL DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE SELF-PAY POPULATION WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES, WHICH ARE ESTIMATED IN THE TRANSACTION PRICE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS AN ADJUSTMENT TO NET PATIENT SERVICE REVENUE IN THE PERIOD OF CHANGE. ADJUSTMENTS ARISING FROM A CHANGE IN THE TRANSACTION PRICE WERE NOT SIGNIFICANT FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE A RESULT OF AN ADVERSE CHANGE IN THE PAYER'S OR PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021 WAS NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS.PATIENT ACCOUNTS ARE RECORDED AT THE NET REALIZABLE VALUE BASED ON CERTAIN ASSUMPTIONS DETERMINED BY EACH PAYER. FOR THIRD-PARTY PAYORS, INCLUDING MEDICARE, MEDICAID AND COMMERCIAL INSURANCE, THE NET REALIZABLE VALUE IS BASED ON THE ESTIMATED CONTRACTUAL ADJUSTMENTS, WHICH IS BASED ON APPROVED DISCOUNTS ON CHARGES PREVIOUSLY ESTABLISHED. FOR SELF-PAY ACCOUNTS, WHICH INCLUDE PATIENTS WHO ARE UNINSURED AND THE PATIENT RESPONSIBILITY PORTION FOR PATIENTS WITH INSURANCE, THE NET REALIZABLE VALUE IS DETERMINED USING ESTIMATES OF HISTORICAL COLLECTION EXPERIENCE. |
| PART III, LINE 8: | MEDICARE SHORTFALLS PRIMARILY BENEFIT THE ELDER MEMBERS OF OUR COMMUNITY, WHICH IS A GROWING DEMOGRAPHIC IN MADISON COUNTY. IF WE CHOOSE NOT TO PARTICIPATE IN THE MEDICARE PROGRAM, HEALTHCARE SERVICES WOULD HAVE TO BE OBTAINED FROM PROVIDERS LOCATED OUTSIDE OUR COMMUNITY, PLACING INCREASED COSTS AND STRESS ON THIS POPULATION. MEDICARE ALLOWABLE COSTS WERE TAKEN FROM INFORMATION OFF OF THE 2022 MEDICARE COST REPORT. |
| PART III, LINE 9B: | MADISON HEALTH INFORMS OHIO RESIDENTS, WHO ARE NOT RECIPIENTS OF THE MEDICAID PROGRAM, WHOSE GROSS INCOME IS AT OR BELOW THE FEDERAL POVERTY LEVEL OR WHOSE GROSS INCOME FALLS WITHIN THE MADISON COUNTY FINANCIAL ASSISTANCE SLIDING SCALE, OF THEIR RIGHT TO RECEIVE BASIC MEDICALLY NECESSARY HOSPITAL SERVICES AT NO COST OR AT A DISCOUNTED COST. ADDITIONALLY, THE HOSPITAL HAS MADE THE HCAP CHARITY CARE AND THE COUNTY FINANCIAL ASSISTANCE APPLICATION PROCESS SYNONYMOUS, EASY TO UNDERSTAND,AND AVAILABLE TO ALL PATIENTS.NOTICES ARE POSTED IN REGISTRATION AREAS, THE EMERGENCY ROOM, THE CASHIER'S OFFICE, AND THE CUSTOMER SERVICE AREA SPECIFYING THE RIGHTS OF INDIVIDUALS WITH INCOMES AT OR BELOW THE FEDERAL POVERTY LEVEL TO RECEIVE, AT NO COST OR REDUCED COST, BASIC MEDICALLY NECESSARY HOSPITAL SERVICES. THE INCOME GUIDELINES AND A TELEPHONE NUMBER TO CALL FOR AN APPLICATION WILL BE PRINTED ON THE FRONT OF EACH MONTHLY STATEMENT.IF THE HOSPITAL RECEIVES NO RESPONSE AFTER A PATIENT HAS RECEIVED FOUR STATEMENTS REGARDING BALANCES OWED, OR IF A PATIENT ON A PAYMENT PLAN HAS MISSED TWO CONSECUTIVE PAYMENTS, THE HOSPITAL MAY TURN OVER THE ACCOUNT BALANCE TO A THIRD-PARTY COLLECTION SERVICE. MADISON HEALTH MAY DIRECT PATIENTS TO APPLY FOR MEDICAID, BUT WILL ACCEPT HCAP AND COUNTY FINANCIAL ASSISTANCE APPLICATIONS. APPLICANTS SHALL COOPERATE IN SUPPLYING INFORMATION ABOUT HEALTH INSURANCE OR MEDICAL BENEFITS AVAILABLE SO THE HOSPITAL MAY DETERMINE ANY POTENTIAL THIRD-PARTY RESOURCES THAT MAY BE AVAILABLE. A PATIENT WITH INSURANCE WILL NOT BE CONSIDERED FOR FINANCIAL ASSISTANCE UNTIL ALL INSURANCE PAYMENTS HAVE BEEN MADE.THE FEDERAL INCOME POVERTY LEVEL GUIDELINES (FIPLG) ARE USED AS THE THRESHOLD TO DETERMINE INCOME ELIGIBILITY FOR HCAP CHARITY CARE AND THROUGH 400% OF THE FIPLG SHALL BE USED AS THE THRESHOLD TO DETERMINE INCOME ELIGIBILITY FOR THE MADISON COUNTY FINANCIAL ASSISTANCE PROGRAM. THE SCALE SHALL BE UPDATED ANNUALLY BASED ON CHANGES TO THE ANNUALLY UPDATED FIPLG. |
| PART VI, LINE 2: | THE HOSPITAL WORKS WITH COMMUNITY LEADERS AND OTHER HEALTH ORGANIZATIONSIN OUR COMMUNITY TO DEVISE THE BEST WAYS TO PROVIDE FOR THE HEALTH NEEDS OF OUR SERVICE AREA. HOSPITAL LEADERS PARTICIPATE IN LOCAL ORGANIZATIONSTO KEEP IN TOUCH WITH COMMUNITY NEEDS. |
| PART VI, LINE 3: | MADISON HEALTH INFORMS OHIO RESIDENTS, WHO ARE NOT PARTICIPANTS OF THE MEDICAID PROGRAM, WHOSE GROSS INCOME IS AT OR BELOW THE FEDERAL POVERTY LEVEL OR WHOSE GROSS INCOME FALLS WITHIN THE MADISON COUNTY FINANCIAL ASSISTANCE SLIDING SCALE, OF THEIR RIGHT TO RECEIVE BASIC, MEDICALLY NECESSARY HOSPITAL SERVICES AT NO COST OR AT A DISCOUNTED COST. ADDITIONALLY, THE HOSPITAL WILL MAKE THE HCAP CHARITY CARE AND THE COUNTY FINANCIAL ASSISTANCE APPLICATION PROCESS SYNONYMOUS, EASY TO UNDERSTAND,AND AVAILABLE TO ALL PATIENTS.NOTICES ARE POSTED IN REGISTRATION AREAS, THE EMERGENCY ROOM, THE CASHIER'S OFFICE AND THE CUSTOMER SERVICE AREA SPECIFYING THE RIGHTS OFINDIVIDUALS WITH INCOMES AT OR BELOW THE FEDERAL POVERTY LEVEL TO RECEIVE, AT NO COST OR REDUCED COST, BASIC MEDICALLY NECESSARY HOSPITAL SERVICES. THE INCOME GUIDELINES AND A TELEPHONE NUMBER TO CALL FOR AN APPLICATION WILL BE PRONTED ON THE FRONT OF EACH MONTHLY STATEMENT.IF THE HOSPITAL RECEIVES NO RESPONSE AFTER A PATIENT HAS RECEIVED FOUR STATEMENTS REGARDING BALANCES OWED, OR IF A PATIENT ON A PAYMENT PLAN HAS MISSED TWO CONSECUTIVE PAYMENTS, THE HOSPITAL MAY TURN OVER THE ACCOUNT BALANCE TO A THIRD-PARTY COLLECTION SERVICE. MADISON HEALTH MAY DIRECT PATIENTS TO APPLY FOR MEDICAID, BUT WILL ACCEPT HCAP AND COUNTY ASSISTANCE APPLICATIONS. APPLICANTS SHALL COOPERATE IN SUPPLYING INFORMATION ABOUT HEALTH INSURANCE OR MEDICAL BENEFITS AVAILABLE SO THE HOSPITAL MAY DETERMINE ANY POTENTIAL THIRD-PARTY RESOURCES THAT MAY BE AVAILABLE. A PATIENT WITH INSURANCE CANNOT BE CONSIDERED UNTIL ALL INSURANCE PAYMENTS HAVE BEEN MADE.THE FEDERAL INCOME POVERTY LEVEL GUIDELINES (FIPLG) ARE USED AS THE THRESHOLD TO DETERMINE INCOME ELIGIBILITY FOR HCAP CHARITY CARE AND THROUGH 400% OF THE FIPLG SHALL BE USED AS THE THRESHOLD TO DETERMINE INCOME ELIGIBILITY FOR THE MADISON COUNTY FINANCIAL ASSISTANCE PROGRAM. THE SCALE IS UPDATED ANNUALLY BASED ON CHANGES TO ANNUALLY UPDATED FIPLG. |
| PART VI, LINE 4: | THE CHNA WAS CONDUCTED BY THE HOSPITAL DURING 2022 FOR MADISON COUNTY AND NEIGHBORING COMMUNITIES. MADISON COUNTY HAS APPROXIMATELY 44,731 (2019 U.S. CENSUS) RESIDENTS AND IS ROUGHLY 467 SQUARE MILES. ADDITIONALLY, THE HOSPITAL PROVIDES SERVICES TO MEMBERS OF THE BORDERING COUNTIES OF CLARK (136,001), FRANKLIN (1,316,756), MECHANICSBURG (1,902) AND SOUTH VIENNA (568). THE NUMBER OF PERSONS PER HOUSEHOLD IN MADISON COUNTY IS 2.58 (U.S. IS 2.53) AND RACE IS AS FOLLOWS: 90.0% WHITE, 6.5% BLACK OR AFRICAN AMERICAN, 0.4% NATIVE AMERICAN, 1.4% ASIAN, AND 1.7% FROM TWO OR MORE RACES. WHEN RANKING THE HEALTH OF OHIO COMPARED TO OTHER STATES, OHIO FALLS RATHER HIGH (LOWER IS BETTER) COMING IN AT 38TH OUT OF 50 STATES. OUT OF THE 88 COUNTIES IN OHIO, MADISON IS RANKED 37. MADISON'S CURRENT RATIO OF PATIENTS TO PRIMARY CARE PHYSICIANS IS 2,960 PATIENTS TO 1 PHYSICIAN. THE OHIO AVERAGE IS 1,300 TO 1. THE DEFINED COMMUNITIES SERVED WITHIN THIS REPORT DID NOT EXCLUDE THE MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS WHO LIVE IN THE BELOW GEOGRAPHIC AREAS. IN ADDITION, THE REPORT DID NOT EXCLUDE PATIENTS BASED ON WHETHER (OR HOW MUCH) THEY OR THEIR INSURERS PAY FOR THE CARE RECEIVED OR WHETHER THEY ARE ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY. MADISON COUNTY IS ALSO HOME TO THE OHIO PEACE OFFICER TRAINING ACADEMY (OPOTA) AND THE OHIO BUREAU OF CRIMINAL IDENTIFICATION & INVESTIGATION (BCI).IN MARCH OF 2020, COVID-19 CHANGED THE WAY MADISON HEALTH CONDUCTED BUSINESS. THE LEADERSHIP TEAM, EMPLOYEES AND PROVIDERS AT MADISON HEALTH WORKED TOGETHER TO CREATE AND IMPLEMENT SEVERAL ITEMS AS THE COVID-19 PANDEMIC EVOLVED. AS A HEALTHCARE ORGANIZATION, WE LEARNED TO ADAPT IN ORDER TO MEET THE NEEDS OF OUR COMMUNITY. SHORTLY AFTER THE PANDEMIC BEGAN, AN ORDER MADE BY THE DEPARTMENT OF HEALTH STOPPED ALL NON-ESSENTIAL ELECTIVE SURGERIES AND PROCEDURES, DRASTICALLY REDUCING REVENUE. OUR LEADERSHIP TEAM COLLABORATED TO SHIFT EMPLOYEES AND PROVIDERS TO AREAS WITH ANTICIPATED NEED. FOR INSTANCE, SURGICAL NURSES WERE CROSS TRAINED TO ASSIST WITH ER AND ICU PATIENTS. SURGEONS AND PRIMARY CARE PROVIDERS WERE GIVEN A CRASH COURSE TO ASSIST WITH TRIAGE IN THE ER IF NEEDED. SURGICAL TECHNICIANS WERE BUSY CLEANING AND DISINFECTING HIGH TOUCH AREAS ON A CONSISTENT BASIS. WE CONSULTED WITH A MICROBIOLOGIST FROM BATTELLE WHO WAS AN EXPERT IN BIO-HAZARD SAFETY. WE DID THIS TO ENSURE THAT WE WERE FOLLOWING ALL DISINFECTING PROTOCOLS TO KEEP OUR FACILITIES AS SAFE AS POSSIBLE. THE HEALTH AND WELL-BEING OF OUR EMPLOYEES BECAME PARAMOUNT, SO MANY WERE REQUIRED TO BEGIN WORKING FROM HOME. AS THE CRISIS EVOLVED, MADISON HEALTH JOINED FORCES WITH OTHERS IN THE COMMUNITY TO BATTLE THE PANDEMIC. IN COLLABORATION WITH THE LOCAL HEALTH DEPARTMENT, A FIELD ASSESSMENT TEAM WAS CREATED TO TEST RESIDENTS OF EXTENDED CARE FACILITIES AND LOCAL GROUP HOMES FOR THOSE WITH DEVELOPMENTAL DISABILITIES. THE TEAM WAS DEPLOYED TO THE FOLLOWING LOCATIONS: AN AREA GROUP HOME, LONDON HEALTH AND REHAB NURSING HOME, THE MADISON HOUSE ASSISTED LIVING FACILITY, AND THE MADISON COUNTY SENIOR CENTER. THE TEAM USED VARIOUS RESOURCES FROM THE HEALTH DEPARTMENT, THE MEDICAL RESERVE CORPS AND THE MADISON HEALTH EMERGENCY PREPAREDNESS COORDINATOR. THE HOSPITAL ALSO SHARED AND DELIVERED PPE AND AIRWAY FILTERS TO AREA EMS AGENCIES AND MAINTAINED "PUSH PACKS" FOR OUTBREAKS IN EXTENDED CARE FACILITIES. (PUSH PACKS ARE MADE UP OF A PREDETERMINED LIST OF SUPPLIES AND ARE ABLE TO BE SENT QUICKLY TO THE AREA WHERE THEY ARE NEEDED). MADISON HEALTH MAINTAINED A PRESENCE ON THE MADISON COUNTY COVID-19 WORKGROUP, WHICH IS A MULTIDISCIPLINARY TEAM INCLUDING SCHOOLS, THE HEALTH DEPARTMENT, LAW ENFORCEMENT, THE COURTS, AND AREA EMS AGENCIES. MADISON HEALTH ALSO ASSISTED ANOTHER HOSPITAL WITH AN URGENT NEED FOR PPE FOR PAPRS. A TESTING STATION WAS ESTABLISHED AT MADISON HEALTH TO PROVIDE TESTS TO MEMBERS OF THE COMMUNITY AS NEEDED. EMPLOYEES VISITED VARIOUS LOCAL BUSINESSES AND INDUSTRIES TO DISCUSS COVID AND MAKE OUR TESTING FACILITIES AVAILABLE. A HOTLINE WAS ESTABLISHED AND MANNED BY HOSPITAL EMPLOYEES, WHO ANSWERED COVID RELATED QUESTIONS FROM BOTH EMPLOYEES AND COMMUNITY MEMBERS. THE MADISON HEALTH SENIOR LEADERSHIP TEAM SPOKE AT MANY LOCAL MEETINGS (VIA ZOOM) TO PROVIDE INFORMATION REGARDING THE PANDEMIC. A SCREENING PACKAGE CONSISTING OF A SHELTER, TABLES, AND CHAIRS WAS PROVIDED TO THE HEALTH DEPARTMENT TO USE TEMPORARILY AS A VACCINATION CLINIC AT THE MOLLY CAREN CENTER. DAILY UPDATES WERE ALSO PROVIDED TO LOCAL, STATE AND FEDERAL PARTNERS REGARDING THE STATUS OF OUR FACILITY, SUPPLIES AND CENSUS TO FACILITATE PLANNING AND USE OF RESOURCES. WE CONTINUE TO MONITOR THE PANDEMIC ON A DAILY BASIS AND REMAIN COMMITTED TO SERVING OUR COMMUNITY. AS THE PANDEMIC CONTINUED INTO 2021, THE MADISON HEALTH LEADERSHIP TEAM, EMPLOYEES AND PROVIDERS WORKED WITH LOCAL ORGANIZATIONS TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY. ONE OF THE FIRST ITEMS ADDRESSED WAS THE NEED FOR ASSISTANCE WITH VACCINATIONS. AS COVID-19 VACCINATIONS AND TREATMENTS BECAME AVAILABLE, MADISON HEALTH WAS PLEASED TO PROVIDE NURSES TO ASSIST THE LOCAL HEALTH DEPARTMENT WITH THEIR VACCINATION CLINICS WHERE LITERALLY THOUSANDS WERE SERVED. MADISON HEALTH ALSO ADMINISTERED MONOCLONAL ANTIBODIES TO THE COVID POSITIVE PATIENTS WITHIN THE COMMUNITY IN A NON-EMERGENT OUTPATIENT SETTING. IN AN EFFORT TO ISOLATE COVID PATIENTS FROM THE REST OF THE PATIENT POPULATION, THESE PATIENTS WERE FIRST TREATED IN THE ICU. AS THE ICU BEDS FILLED, THESE OUTPATIENT INFUSIONS WERE MOVED TO THE EMERGENCY DEPARTMENT AND EVENTUALLY TO AN UNUSED AREA OF THE HOSPITAL WHERE A TEMPORARY COVID INFUSION CENTER WAS CREATED. THE PATIENTS SERVED IN THESE INFUSION LOCATIONS CAME FROM AREA NURSING HOMES AND ASSISTED LIVING FACILITIES. SINCE EMPLOYEES OF MADISON HEALTH WERE ALSO INFECTED WITH COVID AND CONTRACT LABOR WAS VERY LIMITED, DAILY PLANNING CALLS WERE HELD TO DISCUSS STAFFING STRATEGIES AND ENSURE CONTINUITY OF CARE FOR OUR PATIENTS. REMOTE AND HYBRID WORKING OPTIONS WERE ALSO ESTABLISHED IN CERTAIN AREAS, WHICH HAD A POSITIVE IMPACT ON EMPLOYEES. THE BENEFITS INCLUDED: IMPROVED EMPLOYEE MORALE, EXTRA SPACE FOR PATIENT ACTIVITIES, AND INCREASED EFFICIENCY. IN ADDITION, TELEMEDICINE WAS OFFERED BY BOTH PRIMARY AND SPECIALTY CARE PROVIDERS IN ORDER TO MEET THE IMMEDIATE NEEDS OF THE COMMUNITY. THIS WAS SOMETHING THAT WAS WELL RECEIVED BY MANY. AS THE PANDEMIC CONTINUED, A DRIVE-UP COMMUNITY SCREENING STATION WAS ESTABLISHED AT THE HOSPITAL TO PROVIDE COVID TESTING. THAT STATION CONTINUED TO FUNCTION UNTIL SEPTEMBER 6, 2022. FINALLY, INITIAL WEEKLY EMAIL UPDATES THAT WERE CREATED DURING COVID, EVOLVED INTO A PERMANENT FORM OF COMMUNICATION ACROSS THE ORGANIZATION. THESE CONTINUE TO INFORM THE STAFF ABOUT COVID UPDATES AND OTHER IMPORTANT INFORMATION. A SPECIAL TRIVIA GAME IS ALSO INCLUDED EACH WEEK TO ENCOURAGE AND MOTIVATE EMPLOYEES AND PROVIDERS. |
| PART VI, LINE 5: | MADISON HEALTH HAS AN OPEN MEDICAL STAFF. ALL PHYSICIANS IN THE COMMUNITYWHO MEET MEMBERSHIP AND CLINICAL PRIVILEGE REQUIREMENTS MAY PRACTICE AT MCCH. WE CURRENTLY HAVE PHYSICIANS ON STAFF FROM VARIOUS LOCATIONS IN OUR COMMUNITY INCLUDING LONDON, WEST JEFFERSON, SPRINGFIELD, AND COLUMBUS.OUR BOARD OF TRUSTEES IS PRIMARILY COMPRISED OF COMMUNITY MEMBERS.MADISON HEALTH IS THE ONLY HOSPITAL IN MADISON COUNTY. THE MADISON HEALTH EMERGENCY DEPARTMENT IS STAFFED 24 HOURS A DAY, SEVEN DAYS A WEEK AND IS OPEN TO ALL PEOPLE REGARDLESS OF ABILITY TO PAY.THE NEAREST HOSPITAL TO MADISON HEALTH IS ABOUT 20 MILES IN ALL DIRECTIONS. AS THE COMMUNITY'S SOLE PROVIDER, MADISON HEALTH IS DEDICATED TO MAINTAINING SERVICES INCLUDING EMERGENCY CARE, MATERNITY CARE, AND BREAST CARE SERVICES. |
| PART VI, LINE 6: | MADISON HEALTH IS A PART OF THE OSU/MOUNT CARMEL HEALTH ALLIANCE. SINCE 1999 THE ALLIANCE WITH THESE TWO SYSTEMS IS ALL ABOUT BUILDING BETTER HEALTH CARE IN MADISON COUNTY AND THE SURROUNDING COMMUNITIES. THROUGH THE ALLIANCE, WE CAN PROVIDE ADDITIONAL HEALTHCARE RESOURCES AND IMPROVED ACCESS TO SPECIALIZED MEDICAL SERVICES. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | OH |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MADISON FAMILY HEALTH CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 NORTH MAIN STREET | AddressLine1Txt |
| City | LONDON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43140 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 311514418 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $5,013,805 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Valuation Method Used | N/A | ValuationMethodUsedDesc |
| Non Cash Assistance | N/A | NonCashAssistanceDesc |
| Purpose Of Grant | TO SUPPORT NON-PROFIT ACTIVITIES OF MADISON FAMILY HEALTH CORPORATION | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MADISON COUNTY COMMUNITY HOSPITAL SUPPORTS NON-PROFIT ACTIVITIES OF MADISON FAMILY HEALTH CORPORATION, WHICH INCLUDES CAPITAL ACQUISITION AND OPERATING EXPENSE REIMBURSEMENTS. ALL SUCH SUPPORT IS REVIEWED AND APPROVED BY THE BOARD. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANA E ENGLE | ||||||||||||||
| MCCH CEO | $480,962 | $0 | $0 | $0 | $31,806 | $0 | $19,861 | $0 | $46,717 | $0 | $579,346 | $0 | $0 | $0 |
| MICHAEL S BROWNING | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $315,448 | $0 | $0 | $0 | $1,806 | $0 | $15,250 | $0 | $4,066 | $0 | $336,570 | $0 | $0 | $0 |
| ROBERT WALDECK | ||||||||||||||
| VP-STRATEGY AND CONSTRUCTION | $233,615 | $0 | $0 | $0 | $25,834 | $0 | $11,755 | $0 | $34,082 | $0 | $305,286 | $0 | $0 | $0 |
| CELIA JULIE MILLER | ||||||||||||||
| CHIEF NURSING OFFICER | $207,904 | $0 | $0 | $0 | $957 | $0 | $2,120 | $0 | $25,086 | $0 | $236,067 | $0 | $0 | $0 |
| JOEL RICE | ||||||||||||||
| CNP | $168,648 | $0 | $0 | $0 | $224 | $0 | $8,777 | $0 | $45,160 | $0 | $222,809 | $0 | $0 | $0 |
| BETH FORDYCE | ||||||||||||||
| DIRECTOR OF PHARMACY | $156,798 | $0 | $0 | $0 | $3,972 | $0 | $7,670 | $0 | $70,384 | $0 | $238,824 | $0 | $0 | $0 |
| BETH MILLIKIN | ||||||||||||||
| CHIEF HUMAN RESOURCES | $154,557 | $0 | $0 | $0 | $281 | $0 | $7,108 | $0 | $16,178 | $0 | $178,124 | $0 | $0 | $0 |
| CINDY STOUT | ||||||||||||||
| VP MARKETING AND PHYSICIAN | $151,794 | $0 | $0 | $0 | $574 | $0 | $6,235 | $0 | $26,230 | $0 | $184,833 | $0 | $0 | $0 |
| JANNIFER SMERSOLL | ||||||||||||||
| DIRECTOR OF OCCUPATIONAL HEALTH | $148,443 | $0 | $0 | $0 | $1,244 | $0 | $7,558 | $0 | $24,436 | $0 | $181,681 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JODELE R HOMAN | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SPOUSE OF OFFICER | RelationshipDescriptionTxt |
| Transaction | $32,847 | TransactionAmt |
| Transaction | REGULAR PAY IN CONJUNCTION WITH EMPLOYMENT. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| P | OUR MISSION OUR MISSION IS TO PROVIDE EXCEPTIONAL HEALTH CARE IN A RESPECTFUL, COMPASSIONATE, AND HEALING ENVIRONMENT. OUR VISION OUR VISION IS TO BE THE HEALTH CARE PROVIDER OF CHOICE FOR THE PEOPLE WHO LIVE AND WORK IN MADISON COUNTY AND THE SURROUNDING AREA. OUR VALUES RESPECT FOR PEOPLE WE TREAT EVERYONE WITH KINDNESS AND RESPECT. STEWARDSHIP OF RESOURCES WE MANAGE THE RESOURCES ENTRUSTED TO US IN A RESPONSIBLE AND EFFECTIVE MANNER. COMMITMENT TO EXCELLENCE WE CONTINUOUSLY STRIVE TO: - IMPROVE OUR PERFORMANCE IN ALL AREAS. - PROMOTE A CULTURE OF INTEGRITY AND HIGH ETHICAL STANDARDS. - MAINTAIN THE HIGHEST STANDARDS OF PATIENT CARE. - UNDERSTAND AND MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE. MADISON HEALTH PROVIDES SERVICE TO ALL PERSONS WITHOUT REGARD TO RACE, COLOR, NATIONAL ORIGIN, DISABILITY, DIAGNOSIS, AGE OR ABILITY TO PAY. SINCE OPENING IN 1962, OUR FAMILY-FRIENDLY SYSTEM HAS ENSURED THAT QUALITY HEALTH CARE IS AVAILABLE TO ALL WHO ENTER OUR DOORS. WHILE WE CONSTANTLY STRIVE TO IMPROVE OUR FACILITIES AND SERVICES, ONE GOAL REMAINS THE SAME: MADISON HEALTH IS A COMMUNITY HOSPITAL WITH A COMMUNITY SPIRIT; A PLACE WHERE PATIENTS AND THEIR FAMILIES CAN COUNT ON PERSONAL CARE, CLOSE TO HOME. ABOUT MADISON HEALTH QUALITY CARE IS ABOUT MORE THAN THE SIZE OF A HOSPITAL. IT'S ABOUT CARING FOR PATIENTS WITH COMPETENCE, COMMITMENT, AND COMPASSION. AT MADISON HEALTH, YOU WILL RECEIVE THE BEST POSSIBLE CARE FROM WELL-TRAINED PHYSICIANS AND EXPERIENCED, DEDICATED CAREGIVERS. OUR FACILITIES ALLOW FOR A COMFORTABLE STAY, WHETHER YOU ARE HERE FOR A FEW HOURS, A FEW DAYS, OR AN EXTENDED TIME. OUR STATE-OF-THE-ART EQUIPMENT, DIAGNOSTIC SERVICES, AND TREATMENT PROGRAMS HELP RESTORE YOU TO GOOD HEALTH IN THE SHORTEST TIME POSSIBLE. ON NOVEMBER 1, 1999, MADISON HEALTH FORMED A UNIQUE AFFILIATION WITH THE OSU/MOUNT CARMEL HEALTH ALLIANCE, EXPANDING OUR RANGE OF SERVICES. THESE MEDICAL FAMILY TIES ALLOW US TO PROVIDE YOU EVEN MORE OF THE BEST QUALITY CARE, CLOSE TO HOME. OUR TEAM OF CAREGIVERS MANAGES MORE THAN 50,000 PATIENT VISITS EACH YEAR, PROVIDING A BROAD RANGE OF HEALTH SERVICES. THESE SERVICES INCLUDE EXTENSIVE INPATIENT AND OUTPATIENT PROGRAMS, COMPREHENSIVE WOMEN'S HEALTHCARE RESOURCES, UP-TO-DATE IMAGING TECHNOLOGIES, AND EMERGENCY CARE. AND IF THE SERVICES YOU NEED AREN'T AVAILABLE IN LONDON, YOU CAN STILL COUNT ON US TO MANAGE YOUR CARE THROUGH OUR QUALITY CONNECTIONS. BEYOND THE MEDICAL EXPERTISE WE PROVIDE, WE'RE ALSO PROUD TO BE PART OF THE COMMUNITY. YOU'LL SEE OUR PHYSICIANS SITTING NEXT TO YOU IN CHURCH, OUR NURSES SHOPPING AT THE GROCERY STORE, AND OUR STAFF MEMBERS ACTIVELY INVOLVED IN THE COMMUNITIES WE SERVE. CARING FOR THE COMMUNITY IS OUR BUSINESS, AND THE ONLY WAY TO DO IT WELL IS TO DO IT RIGHT. CARDIOPULMONARY CARDIOLOGISTS AT MADISON HEALTH OFFER AN ARRAY OF TESTS AND PROCEDURES TO MAKE SURE YOUR HEART IS HEALTHY AND TO FIND ANY POTENTIAL PROBLEMS BEFORE THEY BECOME LIFE THREATENING. OUR CARDIOLOGISTS PROVIDE CONSULTATIONS TO DETERMINE THE BEST CARE FOR YOU. CARDIOLOGY SERVICES INCLUDE: - ELECTROCARDIOGRAPHY (EKGS) - RHYTHM MONITORING - CARDIAC EVENT RECORDING - 24-HOUR HALTER MONITORING - 24-HOUR AMBULATORY BLOOD PRESSURE MONITORING - CARDIAC STRESS TESTING - HEAD-UP TILT TABLE TESTING - SIGNAL AVERAGED EKGS - ECHOCARDIOGRAPHY WITH 2-D COLOR FLOW DOPPLER RESPIRATORY THERAPY RESPIRATORY THERAPY PROVIDES HELP FOR PATIENTS SUFFERING FROM MANY KINDS OF ILLNESSES AND INJURIES RELATED TO THE LUNGS INCLUDING PATIENTS SUFFERING FROM ASTHMA, BRONCHITIS, EMPHYSEMA, HEART FAILURE, PNEUMONIA, STROKE, SMOKE INHALATION, DROWNING, AND OTHER CONDITIONS. RESPIRATORY CARE INCLUDES DIAGNOSTIC EVALUATIONS TO FIND THE CAUSES OF BREATHING DISORDERS AND HOW TO CARE FOR THEM. OUR THERAPISTS ALSO PROVIDE EDUCATION TO INFORM PATIENTS HOW TO USE BREATHING APPARATUS AND OTHER TOOLS TO HELP IMPROVE THEIR QUALITY OF LIFE. SLEEP LAB A GOOD NIGHT'S REST CAN BE HARD TO ACHIEVE, ESPECIALLY FOR THE APPROXIMATELY 20 MILLION AMERICANS WHO SUFFER FROM SLEEP APNEA. SLEEP APNEA IS CHARACTERIZED BY BRIEF INTERRUPTION OF BREATHING DURING SLEEP. THE DISORDER IS A SERIOUS, POTENTIALLY LIFE-THREATENING CONDITION. FOR INDIVIDUALS WHO THINK THEY MIGHT HAVE SLEEP APNEA, THE MADISON HEALTH SLEEP LAB, IN PARTNERSHIP WITH MOUNT CARMEL SLEEP MEDICINE, IS HERE TO HELP. THE HOSPITAL SLEEP LAB TESTS FOR TWO TYPES OF SLEEP APNEA: CENTRAL APNEA, WHICH OCCURS IN ROUGHLY 20 PERCENT OF APNEA PATIENTS, AND OBSTRUCTIVE SLEEP APNEA, THE MORE COMMON OF THE TWO CONDITIONS. THE ONLY WAY TO DIAGNOSE SLEEP APNEA IS THROUGH A SPECIALIZED TEST KNOWN AS A POLYSOMNOGRAPHY OR SLEEP STUDY. THE TESTING PROCESS IS SIMPLE. ANYONE WHO SUSPECTS THEY HAVE SLEEP APNEA, OR HAS A BED PARTNER WHO HAS NOTICED SNORING AND BREATHING IRREGULARITIES, IS ASKED TO CONSULT THEIR PHYSICIAN. THE DOCTOR THEN REFERS THE PATIENT TO THE HOSPITAL FOR A SLEEP STUDY. ONCE THE REFERRAL IS MADE, A MEMBER OF THE SLEEP CENTER STAFF CONTACTS THE PATIENT BY PHONE TO CONDUCT A PRE-SLEEP STUDY QUESTIONNAIRE. THE STAFF MEMBER EXPLAINS WHAT TO EXPECT OF THE TEST, WHAT TO WEAR, AND ASKS IF THE PATIENT HAS SPECIAL REQUESTS. FOR INSTANCE, SOME INDIVIDUALS MAY WANT TO BRING THEIR PILLOW FROM HOME OR HAVE A RADIO OR FAN RUNNING WHILE THEY SLEEP. THE CENTER DOES ITS BEST TO SIMULATE THE PATIENT'S NORMAL SLEEPING ENVIRONMENT. THE TEST REQUIRES JUST ONE NIGHT OF SLEEP FROM THE PATIENT, COMPRISED OF SIX TO EIGHT HOURS. A TECHNICIAN MONITORS THE INDIVIDUAL FROM THE ROOM NEXT DOOR. IN THE MORNING, THE PATIENT IS RELEASED AND THE DATA COLLECTED THE NIGHT BEFORE IS INTERPRETED BY A PULMONOLOGIST OR NEUROLOGIST. THE RESULTS ARE SENT TO THE PATIENT'S PHYSICIAN, WHO THEN EXPLAINS TREATMENT OPTIONS SHOULD THE DIAGNOSIS BE CONFIRMED. FOR PATIENTS WITH CENTRAL APNEA, MEDICATION IS THE MOST OFTEN PRESCRIBED TREATMENT. FOR THOSE WITH OBSTRUCTIVE APNEA, MORE OPTIONS ARE AVAILABLE. WEIGHT LOSS COULD REDUCE THE FREQUENCY AND/OR INTENSITY OF THE EPISODES. ALSO, SURGERY CAN REMOVE SOFT TISSUE AT THE BACK OF THE THROAT THAT RESTRICTS NIGHT-TIME BREATHING. THE MOST COMMON METHOD OF TREATMENT IS A CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) DEVICE. THE DEVICE IS THE SIZE OF A SMALL RADIO AND SITS ON THE BEDSIDE TABLE. THE PATIENT WEARS A MASK OVER THE NOSE CONNECTED TO THE CPAP BY A HOSE. THE MACHINE FORCES AIR INTO THE PATIENT TO KEEP THE THROAT'S SOFT TISSUE OPEN. THOUGH IT SOUNDS UNCOMFORTABLE, MOST PATIENTS ADAPT QUICKLY AND PREFER THE GOOD NIGHT'S SLEEP OVER ANY INCONVENIENCE THE CPAP MIGHT CAUSE. WELLNESS CENTER LIVING AND ENJOYING LIFE TO THE FULLEST ARE KEY COMPONENTS OF A HEALTHY LIFESTYLE. FITNESS IS A WAY OF LIFE THAT ALLOWS YOU TO FUNCTION AND PERFORM AT YOUR BEST. IT'S A HARMONIC BALANCE OF PRESCRIBED EXERCISE, EATING HABITS AND PREVENTATIVE HEALTH CARE. THE WELLNESS CENTER IS DESIGNED TO IMPROVE AEROBIC EFFICIENCY, MUSCULAR ENDURANCE AND BODY COMPOSITION THROUGH THE USE OF TREADMILLS, STATIONARY BIKES, A STAIR CLIMBER AND STRENGTH-TRAINING EQUIPMENT. ONCOLOGY/CHEMOTHERAPY MADISON HEALTH OFFERS CANCER TREATMENT SERVICES INCLUDING DIAGNOSIS, SURGERY AND CHEMOTHERAPY. OUR ONCOLOGY PATIENTS HAVE ACCESS TO THE MOST ADVANCED TREATMENT OPTIONS AVAILABLE. OUR PATIENTS CAN RECEIVE OUTPATIENT CHEMOTHERAPY, PICC LINES AND ANTIANGIOGENIC THERAPY. IN 2014, MADISON HEALTH TEAMED UP WITH ONE OF THE NATION'S LEADING CANCER CARE PROVIDERS, THE OHIO STATE UNIVERSITY COMPREHENSIVE CANCER CENTER ARTHUR G. JAMES CANCER HOSPITAL AND RICHARD J. SOLOVE RESEARCH INSTITUTE (OSUCCC JAMES), TO PROVIDE MEDICAL ONCOLOGY SERVICES. BECAUSE OF THIS RELATIONSHIP, PATIENTS AT MADISON HEALTH WILL HAVE ACCESS TO THE LATEST IN MEDICAL ONCOLOGY CARE, DELIVERED BY A CANCER EXPERT FROM THE JAMES, RIGHT HERE IN OUR COMMUNITY. IN 2015, THE MADISON HEALTH CANCER CENTER BECAME AN OFFICIAL MEMBER OF THE JAMES CANCER NETWORK. |
| P | PEDIATRIC REHABILITATION SERVICES YOUR CHILD IS IMPORTANT TO US. OUR PEDIATRIC REHABILITATION PROGRAM WANTS TO HELP YOUR CHILD ACHIEVE MAXIMUM INDEPENDENCE. OUR SPECIALIZED TEAM OF PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS CAN HELP WITH A VARIETY OF NEUROLOGICAL, DEVELOPMENTAL AND REHABILITATIVE ISSUES SUCH AS: - ORTHOPEDIC INJURIES AND DISORDERS - DEVELOPMENTAL DELAYS - AUTISM - SENSORY PROCESSING DISORDERS - LEARNING DISABILITIES (EXECUTIVE FUNCTION AND ADHD) - FEEDING ISSUES (PICKY EATERS OR THOSE WITH G-TUBES) - ABNORMAL GAIT - CEREBRAL PALSY FOR SOME CHILDREN, THERAPY IS NEEDED TO IMPROVE JOINT RANGE OF MOTION OR STRENGTHENING. FOR MANY PATIENTS, THERAPY INVOLVES WORKING ON DEVELOPMENTAL SKILLS, I.E. ROLLING, SITTING, CRAWLING, WALKING AND JUMPING. WE USE CREATIVE PLAY TO ENHANCE AN ATMOSPHERE OF FUN, MOTIVATING THE CHILD TO ACQUIRE THE SKILLS NEEDED TO IMPROVE OR ADAPT TO HIS OR HER ENVIRONMENT. OTHER THERAPEUTIC INTERVENTIONS INCLUDE SENSORY INTEGRATION THERAPY, AUGMENTATIVE COMMUNICATION AND ASSISTIVE TECHNOLOGY. ADULT OUTPATIENT REHABILITATION SERVICES OUTPATIENT REHABILITATION AT MADISON HEALTH PROVIDES A WIDE RANGE OF SERVICES TO HELP YOU REGAIN YOUR HIGHEST LEVEL OF FUNCTION. WHETHER YOU ARE RECOVERING FROM AN INJURY OR ILLNESS, OR JUST NEED ASSISTANCE WITH THE CHALLENGES OF DAILY LIFE, OUR REHAB SERVICES TEAM WORKS WITH YOU TO MAXIMIZE YOUR ABILITIES. OCCUPATIONAL THERAPY THE GOAL OF OCCUPATIONAL THERAPY IS TO RESTORE FUNCTION TO THE BEST OF EACH PATIENT'S ABILITY. OCCUPATIONAL THERAPY ENABLES OUR PATIENTS TO GAIN SATISFACTION AND INDEPENDENCE BY PERFORMING ACTIVITIES OF DAILY LIVING - WORK, PLAY, OR SELF-CARE - FOR THEMSELVES. OUR DEDICATED TEAM OF PROFESSIONALS STRIVES TO HELP PATIENTS IMPROVE CIRCULATION, RESTORE MOTION, STRENGTHEN THEIR UPPER BODY, RELIEVE PAIN, AND CORRECT AND PREVENT DEFORMITY. OUR OCCUPATIONAL THERAPY STAFF CAN DESIGN CUSTOM SPLINTING, RECOMMEND ADAPTIVE EQUIPMENT, AND WORK TO RESTORE PSYCHOLOGICAL, PHYSICAL, AND COGNITIVE INDEPENDENCE. OUR OCCUPATIONAL THERAPY STAFF CAN HELP PATIENTS WITH VARIOUS CHALLENGES, GUIDING THEM THROUGH ACTIVITIES SUCH AS EXERCISE, SPLINTING, BATHING, DRESSING, AND COOKING. COMMON PROBLEMS TREATED WITH OCCUPATIONAL THERAPY: - CARPAL TUNNEL SYNDROME - STROKE - HAND INJURIES - BRAIN INJURIES - DEVELOPMENTAL DELAYS - ENERGY CONSERVATION/JOINT PROTECTION - NEUROLOGICAL IMPAIRMENTS - URINARY INCONTINENCE PHYSICAL THERAPY AND SPORTS MEDICINE PHYSICAL THERAPY PROMOTES HEALING AND ASSISTS PATIENTS TO REGAIN MOVEMENT, AND RESTORE FUNCTION TO AN INJURED BODY PART. OUR THERAPISTS ALSO AID IN REBUILDING A PATIENT'S CONFIDENCE AND RELIEVING PAIN AND DISCOMFORT WHILE WORKING TOWARD RECOVERY. COMMON PROBLEMS TREATED WITH PHYSICAL THERAPY: - ORTHOPEDIC INJURIES - SPORTS INJURIES - BACK INJURIES/PAIN - NECK PAIN/INJURIES - STROKE - VESTIBULAR IMPAIRMENTS - NEUROLOGICAL IMPAIRMENTS - BALANCE DEFICITS - LYMPHEDEMA - DEVELOPMENTAL DELAYS - PAIN DURING OR AFTER PREGNANCY TREATMENT MAY INCLUDE TECHNIQUES TO DECREASE PAIN AND SWELLING, AS WELL AS EXERCISES TO INCREASE STRENGTH AND MOBILITY. OTHER TREATMENTS INCLUDE THERAPEUTIC EXERCISE, PELVIC OR CERVICAL TRACTION, ELECTRICAL STIMULATION ULTRASOUND, WOUND CARE, GAIT TRAINING, MANUAL THERAPY, AND MASSAGE. OUR TREATMENT IS NOT ALL PHYSICAL. EDUCATION ON TOPICS LIKE JOINT PROTECTION, BACK SAFETY, BODY MECHANICS, POSTURE EDUCATION, AND HOME EXERCISE INSTRUCTION ALSO PLAY A ROLE IN THE RECOVERY PROCESS. OUR STAFF PLANS FOR THE NEEDS OF PATIENTS UPON DISCHARGE AND PROVIDES A CONTINUUM OF CARE. MADISON HEALTH'S SPORTS MEDICINE PROGRAM PROVIDES CARE FOR ALL SPORTS RELATED INJURIES AND HELPS TO IMPROVE ATHLETIC PERFORMANCE. WHATEVER YOUR SPORT, HAVING THE MADISON HEALTH SPORTS MEDICINE STAFF ROOTING FOR YOU CAN HELP YOU MAKE THE MOST OF YOUR ATHLETIC ABILITIES. SPEECH THERAPY SPEECH THERAPY PROVIDES A WIDE RANGE OF SERVICES TO PATIENTS WHO EXHIBIT DIFFICULTY WITH COMMUNICATION OR SWALLOWING DUE TO A STROKE, BRAIN INJURY, PROGRESSIVE DISEASE, CANCER, VOCAL ABUSE OR MISUSE, DEVELOPMENTAL DELAYS OR MENTAL RETARDATION. WE PROVIDE SPEECH THERAPY SERVICES INCLUDING: - LANGUAGE - SWALLOWING EVALUATIONS - MODIFIED BARIUM SWALLOW STUDIES - COGNITION AND MEMORY - VITALSTIM WOMEN'S HEALTH WOMEN'S HEALTH ISSUES CAN BE WIDE-RANGING, CONFUSING AND SOMETIMES FRIGHTENING, WHICH IS WHY WE OFFER A LITTLE EXTRA TLC DURING YOUR VISIT. WHETHER YOU HAVE QUESTIONS ABOUT PREGNANCY, MAMMOGRAMS, OR MENOPAUSE, OUR STAFF OF WOMEN'S HEALTH EXPERTS WILL HELP YOU FIND THE ANSWERS. YOU ARE MORE THAN A PATIENT. YOU ARE OUR PARTNER IN CARING FOR YOUR BODY AND YOUR HEALTH. THROUGH COMMUNICATION BETWEEN YOU AND YOUR CAREGIVERS, OUR COMPASSIONATE MEDICAL TEAM FOSTERS A PARTNERSHIP DESIGNED TO HELP YOU TAKE CONTROL OF YOUR HEALTH. |
| P | OBSTETRICS AND GYNECOLOGY AT MOUNT CARMEL MEDICAL GROUP OBGYN, CONVENIENTLY LOCATED AT 54 WEST HIGH STREET IN LONDON, IT IS UNDERSTOOD THAT WOMEN HAVE UNIQUE HEALTHCARE NEEDS. THE TEAM OF PHYSICIANS WORK TOGETHER COLLABORATIVELY TO PROVIDE CARE THAT SUITS THE INDIVIDUAL NEEDS OF EACH WOMAN AND HER FAMILY. FROM GYNECOLOGIC TO OBSTETRICAL CARE, THEY ARE HERE TO HELP SUPPORT YOUR HEALTH AND WELL-BEING THROUGHOUT ALL STAGES OF LIFE. WOMEN OF ALL AGES CAN EXPERIENCE THE FOLLOWING SERVICES IN THE MOST EASILY ACCESSIBLE, TECHNOLOGICALLY-ADVANCED MADISON COUNTY LOCATION FOR WOMEN'S HEALTH CARE: - ADOLESCENT GYNECOLOGY - BREASTFEEDING SUPPORT - CERVICAL CANCER SCREENING - CHRONIC PELVIC PAIN - DELIVERY AND POSTPARTUM CARE - INFERTILITY - ENDOMETRIAL ABLATION - ENDOMETRIOSIS - FAMILY PLANNING - FERTILITY CARE - GYNECOLOGIC INFECTIONS - HORMONE REPLACEMENT - HYSTERECTOMY - MENSTRUAL PROBLEMS - MINIMALLY INVASIVE PROCEDURES - OBSTETRIC ULTRASOUNDS - PELVIC FLOOR DISORDERS - POLYCYSTIC OVARIAN DISORDER - PRENATAL CARE - PRENATAL TESTING AND MONITORING FOR HIGH-RISK PREGNANCIES - VULVAR DISORDERS - WELL WOMAN EXAM - BONE DENSITOMETRY* - DIGITAL MAMMOGRAPHY* *SERVICE CONDUCTED AT THE WOMEN'S IMAGING CENTER, LOCATED IN THE PARK AVENUE MEDICAL BUILDING. BONE DENSITOMETRY AND OSTEOPOROSIS OSTEOPOROSIS IS A POTENTIALLY CRIPPLING DISEASE CHARACTERIZED BY THE LOSS OF BONE TISSUE AND A SUSCEPTIBILITY TO FRACTURE. IT AFFLICTS AN ESTIMATED 25 MILLION AMERICANS, 80 PERCENT OF WHOM ARE WOMEN. OSTEOPOROSIS IS OFTEN CALLED THE "SILENT DISEASE" BECAUSE IT DOES NOT PRODUCE ANY SYMPTOMS UNTIL A FRACTURE OCCURS. APPROXIMATELY 50 PERCENT OF WOMEN OVER THE AGE OF 50 ARE AT RISK OF SUSTAINING AN OSTEOPOROTIC FRACTURE. TODAY, DOCTORS ARE BETTER EQUIPPED TO DETECT AND TREAT BONE LOSS IN ITS EARLIEST STAGES, SO AS TO PREVENT THE DISEASE OR LESSEN ITS IMPACT. ALSO, SEVERAL DRUG THERAPIES NOW ON THE MARKET HAVE BEEN SHOWN TO BE CLINICALLY EFFECTIVE IN SLOWING DOWN OR REVERSING THE BONE-LOSS PROCESS. JUST AS NO PHYSICIAN WOULD PRESCRIBE A MEDICATION FOR HYPERTENSION WITHOUT FIRST TAKING THE PATIENT'S BLOOD PRESSURE, THE DIAGNOSIS AND TREATMENT OF OSTEOPOROSIS SHOULD BEGIN WITH A MEASUREMENT OF THE PATIENT'S BONE MASS OR BONE DENSITY. BONE DENSITOMETRY USES AN ADVANCED TECHNOLOGY CALLED DUAL-ENERGY X-RAY ABSORPTIOMETRY (DXA) TO SAFELY, ACCURATELY, AND PAINLESSLY MEASURE BONE DENSITY AND THE MINERAL CONTENT OF BONE. DURING A COMPREHENSIVE BONE EVALUATION WITH DXA, THE PATIENT LIES COMFORTABLY STILL ON A PADDED TABLE WHILE THE DXA UNIT SCANS ONE OR MORE AREAS, USUALLY FRACTURE-PRONE AREAS SUCH AS THE SPINE OR HIP. RADIATION EXPOSURE DURING BONE DENSITOMETRY IS LESS THAN THE RADIATION EXPOSURE DURING A COAST-TO-COAST AIRLINE FLIGHT. THE ENTIRE PROCESS TAKES ONLY A FEW MINUTES TO COMPLETE, DEPENDING ON THE NUMBER OF SITES SCANNED. IT INVOLVES NO INJECTIONS OR INVASIVE PROCEDURES, AND PATIENTS REMAIN FULLY CLOTHED. A REPORT WILL BE SENT TO YOUR DOCTOR THAT CONSISTS OF YOUR DENSITY MEASUREMENTS AND RECOMMENDATIONS FOR TREATMENT OR PREVENTION OF OSTEOPOROSIS AND BONE LOSS. 3D MAMMOGRAPHY AT THE WOMEN'S IMAGING CENTER THE WOMEN'S IMAGING CENTER AT MADISON HEALTH IS PROUD TO OFFER GENIUS 3D MAMMOGRAPHY EXAMS, DEVELOPED BY HOLOGIC, INC., A WORLDWIDE LEADER IN WOMEN'S HEALTH. UTILIZING ADVANCED BREAST TOMOSYNTHESIS TECHNOLOGY, GENIUS EXAMS ARE CLINICALLY PROVEN TO SIGNIFICANTLY INCREASE THE DETECTION OF BREAST CANCERS, AND ALSO DECREASING THE NUMBER OF WOMEN ASKED TO RETURN FOR ADDITIONAL TESTING. IN CONVENTIONAL 2D MAMMOGRAPHY, OVERLAPPING TISSUE IS A LEADING REASON WHY SMALL BREAST CANCERS MAY BE MISSED AND NORMAL TISSUE MAY APPEAR ABNORMAL, LEADING TO UNNECESSARY CALLBACKS. A GENIUS EXAM INCLUDES A THREE-DIMENSIONAL METHOD OF IMAGING THAT CAN GREATLY REDUCE THE TISSUE OVERLAP EFFECT. A GENIUS EXAM INCLUDES BOTH 2D IMAGES AND TOMOSYNTHESIS SCANS. DURING THE TOMOSYNTHESIS PORTION OF THE EXAM, AN X-RAY ARM SWEEPS IN A SLIGHT ARC OVER THE BREAST, TAKING MULTIPLE IMAGES. A COMPUTER THEN CONVERTS THE IMAGES INTO A STACK OF THIN LAYERS, ALLOWING THE RADIOLOGIST TO REVIEW THE BREAST TISSUE ONE LAYER AT A TIME. A GENIUS EXAM REQUIRES NO ADDITIONAL COMPRESSION AND TAKES JUST A FEW SECONDS LONGER THAN A CONVENTIONAL 2D BREAST CANCER SCREENING EXAM. THE GENIUS 3D MAMMOGRAPHY EXAM, AVAILABLE ON THE 3DIMENSIONS AND SELENIA DIMENSIONS SYSTEMS FROM HOLOGIC, ARE REVOLUTIONIZING HOW BREAST CANCER IS DETECTED BY PROVIDING A BETTER OPTION FOR WOMEN OF ALL BREAST DENSITIES COMPARED TO 2D ALONE. RESEARCHERS HAVE FOUND THAT: -THE GENIUS 3D MAMMOGRAPHY EXAM FINDS 20-65% MORE INVASIVE BREAST CANCERS COMPARED TO 2D ALONE, AN AVERAGE INCREASE OF 41%. -ONLY THE GENIUS 3D MAMMOGRAPHY EXAM IS FDA APPROVED AS SUPERIOR FOR WOMEN WITH DENSE BREASTS COMPARED TO 2D ALONE. -THE GENIUS 3D MAMMOGRAPHY EXAM REDUCES CALLBACKS BY UP TO 40% COMPARED TO 2D ALONE. IT IS PART OF MADISON HEALTH'S MISSION TO PROVIDE HIGH QUALITY HEALTHCARE TO MADISON COUNTY AND THE SURROUNDING COMMUNITIES. WITH THE INTRODUCTION OF THIS INNOVATIVE TECHNOLOGY, PATIENTS HAVE ACCESS TO THE BEST IMAGING ON THE MARKET, CLOSE TO HOME. EMERGENCY DEPARTMENT SERVICES THE MADISON HEALTH EMERGENCY DEPARTMENT, STAFFED BY A QUALIFIED, CARING TEAM OF PHYSICIANS AND NURSES, IS AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK, TO PROVIDE YOU URGENT MEDICAL ATTENTION. OUR MEDICAL TEAM IS LINKED WITH THE PRIMARY LEVEL I TRAUMA CENTER IN CENTRAL OHIO THROUGH OUR AFFILIATION WITH THE OSU/MOUNT CARMEL HEALTH ALLIANCE. IF YOUR HEALTH SITUATION REQUIRES ADVANCED SPECIALIZED CARE, OUR MEDICAL TEAM CAN STABILIZE YOUR CONDITION FOR A SAFE AIR OR GROUND TRANSPORT BY MED FLIGHT OF OHIO. VISITING OUR EMERGENCY DEPARTMENT PRIOR TO SUCH A TRANSFER ENSURES YOUR SAFEST AND QUICKEST RECOVERY. NEW TECHNOLOGY IN THE EMERGENCY DEPARTMENT IS MAKING OUR STROKE RESPONSE FASTER AND MORE ACCURATE. IN JULY 2012, MADISON HEALTH LAUNCHED A TELESTROKE PROGRAM THAT ALLOWED EMERGENCY DEPARTMENT STAFF TO CONSULT BY INTERACTIVE VIDEO WITH NEUROSURGEONS AT THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER. WE ARE ONE OF APPROXIMATELY 14 OHIO HOSPITALS TAKING PART IN THE PROGRAM. ALSO, ON DECEMBER 11, 2013, MADISON HEALTH BECAME THE FIRST REMOTE TELEBURN CONSULT FOR THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER. TELEBURN IS ADVANCED TECHNOLOGY THAT ALLOWS PHYSICIANS TO EXAMINE PATIENTS OFF-SITE. IF A PATIENT COMES IN TO THE EMERGENCY ROOM WITH A BURN OF ANY KIND, A MOBILE DEVICE ALLOWS BURN SPECIALISTS TO SEE THE INJURY. AT THAT POINT, THE SPECIALIST CAN DECIDE IF TREATMENT CAN TAKE PLACE AT MADISON HEALTH OR IF THEY REQUIRE SPECIALTY CARE AT A BURN CLINIC. OUR EMERGENCY DEPARTMENT OFFERS 16 PRIVATE ROOMS IN OUR STATE-OF-THE-ART FACILITY. PREMIER IS A PRIVATE COMPANY THAT MANAGES AND STAFFS EMERGENCY DEPARTMENTS ACROSS THE UNITED STATES. OTHER PATIENT SERVICES WOUND CARE THE WOUND CARE CENTER AT MADISON HEALTH OFFERS ADVANCED WOUND CARE FOR PEOPLE LIVING WITH CHRONIC, NON-HEALING WOUNDS. MADISON HEALTH HAS PARTNERED WITH HEALOGICS, THE NATION'S LEADING PROVIDER OF ADVANCED, CHRONIC WOUND CARE SERVICES. HEALOGICS IS HEADQUARTERED IN JACKSONVILLE, FLORIDA, AND HAS A NATIONWIDE NETWORK OF NEARLY 700 WOUND CARE CENTERS. THE PHYSICIANS AND CLINICIANS AT THE WOUND CARE CENTER WILL UTILIZE LEADING-EDGE THERAPIES SUCH AS HYPERBARIC OXYGEN THERAPY (HBO) TO REINTRODUCE THE BODY'S INNATE ABILITY TO HEAL CHRONIC WOUNDS. HBO INCREASES THE AMOUNT OF OXYGEN TO WOUNDS ALLOWING THEM TO HEAL FROM THE INSIDE. DIABETIC SERVICES DIABETES IS A CHRONIC DISORDER THAT AFFECTS MILLIONS OF AMERICANS WITH VARYING DEGREES OF SEVERITY. THE POTENTIAL FOR SERIOUS COMPLICATIONS EXISTS IF GOOD BLOOD SUGAR CONTROL IS NOT MAINTAINED. THE DIABETIC RESOURCE STAFF AT MADISON HEALTH WORKS WITH PATIENTS TO INFORM THEM OF WAYS TO MAINTAIN THEIR HEALTH AND AVOID THE COMPLICATIONS ASSOCIATED WITH DIABETES. THE MANAGING DIABETES PROGRAM AT MADISON HEALTH HAS BEEN AWARDED THE PRESTIGIOUS AMERICAN DIABETES ASSOCIATION (ADA) EDUCATION RECOGNITION CERTIFICATE FOR A QUALITY DIABETES SELF-MANAGEMENT EDUCATION PROGRAM. |
| P | DIETITIAN WHETHER RECOVERING FROM AN INJURY OR ILLNESS OR LOOKING TO IMPROVE YOUR QUALITY OF LIFE, MADISON HEALTH WOULD LIKE TO HELP YOU GET BACK ON THE ROAD TO A HEALTHY LIFESTYLE. GOOD NUTRITION IS AN IMPORTANT PART OF THAT JOURNEY. WITH THE HELP OF OUR REGISTERED DIETITIAN, WE'LL HELP YOU DEVELOP A DIETARY PROGRAM THAT ACCOMPLISHES YOUR GOALS FROM WEIGHT LOSS, WEIGHT GAIN, OR THE NUTRITIONAL MANAGEMENT OF MEDICAL CONDITIONS LIKE DIABETES OR HEART DISEASE. PAIN MANAGEMENT CENTER IS PAIN IMPACTING YOUR LIFE OR THE LIFE OF SOMEONE YOU LOVE? IF SO, YOU ARE NOT ALONE. APPROXIMATELY 50 MILLION AMERICANS SUFFER FROM CHRONIC PAIN. A FEW KEY CHARACTERISTICS OF CHRONIC PAIN ARE: - IT IS ONGOING OR RECURRENT. - IT LASTS BEYOND THE USUAL COURSE OF AN ACUTE ILLNESS OR INJURY OR MORE THAN 3 TO 6 MONTHS. - IT OFTEN NEGATIVELY IMPACTS AN INDIVIDUAL'S WELL-BEING. CHRONIC PAIN VARIES IN INTENSITY AND FREQUENCY. SOME EXPERIENCE CHRONIC PAIN CONSTANTLY WHILE OTHERS ONLY FEEL IT IN EPISODES. IN ADDITION TO PHYSICAL EFFECTS, CHRONIC PAIN CAN HAVE PSYCHOLOGICAL EFFECTS, SUCH AS FATIGUE, MOOD CHANGES, STRESS, ANXIETY, DEPRESSION, IRRITABILITY, OR RESTLESS NIGHTS OF SLEEP. ACCORDING TO THE CDC, APPROXIMATELY 19.6 MILLION AMERICANS SUFFER FROM CHRONIC PAIN THAT HAS LIMITED THEIR DAILY ACTIVITIES ON MOST DAYS OR EVERY DAY DURING THE PAST 6 MONTHS. IF PAIN IS LIMITING YOUR ABILITY TO PERFORM DAILY TASKS, IT IS TIME TO GET HELP. THE MADISON HEALTH PAIN MANAGEMENT CENTER IS HERE TO HELP YOU BALANCE THE PAIN AND GET BACK TO YOUR LIFE. OUR HIGHLY SKILLED PAIN SPECIALISTS WILL CREATE A PERSONALIZED CARE PLAN TO HELP RESTORE FUNCTION FOR YOUR DAILY ACTIVITIES. WE OFFER HIGH-QUALITY PAIN MANAGEMENT SERVICES, INCLUDING THE DIAGNOSIS AND TREATMENT OF THE FOLLOWING CONDITIONS: - BACK AND NECK PAIN, INCLUDING SCIATICA AND WORK-RELATED INJURIES - PERSISTENT PAIN AFTER BACK OR NECK SURGERY - ARTHRITIS PAIN IN THE NECK OR BACK - COMPLEX REGIONAL PAIN SYNDROME (CRPS) - NERVE DAMAGE OR MUSCLE SPASM PAIN - SHINGLES PAIN AT THE MADISON HEALTH PAIN MANAGEMENT CENTER, WE ARE COMMITTED TO PROVIDING THE HIGHEST QUALITY OF BALANCED CARE THROUGH TREATMENT PLANS TAILORED TO EACH PATIENT. OUR BALANCED TREATMENT OPTIONS INCLUDE MINIMALLY INVASIVE INTERVENTIONAL PROCEDURES, MEDICATION MANAGEMENT WHEN APPROPRIATE, AND REFERRALS TO OTHER SERVICES SUCH AS PHYSICAL THERAPY. MEDICAL WITHDRAWAL MANAGEMENT (NEW VISION) NEW VISION IS A MEDICALLY SUPERVISED, HOSPITAL-BASED SERVICE FOR ADULTS EXPERIENCING IMPENDING OR ACTIVE WITHDRAWAL FROM ALCOHOL, PRESCRIPTION MEDICATIONS AND/OR CERTAIN DRUGS. - TYPES OF SUBSTANCES NEW VISION CAN TREAT: - OPIOIDS (HEROIN, OXYCONTIN, PERCOCET) - ALCOHOL - METHAMPHETAMINE - COCAINE - BENZODIAZEPINES (XANAX, VALIUM) - COMBINED SUBSTANCES NEW VISION PROVIDES SAFE, CONFIDENTIAL, COMPASSIONATE AND RELIABLE CARE WITH A TYPICAL STAY OF 3-5 DAYS FOR PEOPLE WHO QUALIFY. WE SERVE ADULTS IN THE GREATER COLUMBUS AREA EXPERIENCING ACTIVE OR IMPENDING WITHDRAWAL FROM ALCOHOL, PRESCRIPTION MEDICATIONS, AND OTHER DRUGS IN A HOSPITAL SETTING. SAME-DAY ADMISSIONS AVAILABLE. MEDICARE AND MEDICAID, AS WELL AS COMMERCIAL INSURANCES, ARE ACCEPTED. HOME DELIVERED MEALS (MEALS ON WHEELS) MADISON HEALTH AND LIFE CARE ALLIANCE HAVE PARTNERED TO PROVIDE MEALS ON WHEELS SERVICES THROUGHOUT MADISON COUNTY. THE MEALS-ON-WHEELS PROGRAM PROVIDES HOME-DELIVERED MEALS FOR PEOPLE OVER THE AGE OF 60 WHO ARE UNABLE TO PREPARE HOT NUTRITIOUS MEALS FOR THEMSELVES. VOLUNTEERS DELIVER MEALS MONDAY THROUGH FRIDAY. THOSE WHO QUALIFY FOR THE PROGRAM MAY CHOOSE TO ENROLL IN THE HOME-DELIVERED MEAL PROGRAM, OR DINE AT CONGREGATE SITES IN SOUTH SOLON, WEST JEFFERSON, OR MOUNT STERLING. IF YOU OR SOMEONE YOU KNOW COULD BENEFIT FROM THE MEALS ON WHEELS PROGRAM OR IF YOU WOULD LIKE MORE INFORMATION ON BECOMING A VOLUNTEER, PLEASE CALL (740) 845-7325. LABORATORY MANY OF MADISON HEALTH'S LABORATORY TESTS ARE COMPLETED HERE IN OUR OWN HOSPITAL LABORATORY. THE MAIN HOSPITAL LABORATORY IS STAFFED 24 HOURS A DAY/7 DAYS A WEEK WITH NO APPOINTMENT NECESSARY FOR OUTPATIENT LABORATORY WORK. INSURANCE IS ACCEPTED. THE OUTPATIENT LAB IS LOCATED IN THE PARK AVENUE MEDICAL BUILDING AND IS OPEN FROM 6:30 AM UNTIL 5:30 PM ON WEEKDAYS. THE MADISON HEALTH LAB CAN PERFORM LABORATORY WORK ORDERED BY ANY PHYSICIAN, NOT JUST THOSE ON MADISON HEALTH STAFF. IN COLLABORATION WITH OCCUPATIONAL HEALTH, THE LABORATORY PROVIDES A VARIETY OF OCCUPATIONAL DRUG SCREENING CHOICES INCLUDING TESTING, ACTING AS A COLLECTION SITE, BREATH ALCOHOL TESTING AND PROVIDING MRO SERVICES, IF NECESSARY. MADISON HEALTH ALSO OFFERS OUTPATIENT LABORATORY SERVICES AT MADISON MEDICAL CENTER IN LONDON, MADISON HEALTH DIAGNOSTIC CENTER IN WEST JEFFERSON AND MADISON HEALTH MOUNT STERLING. OCCUPATIONAL HEALTH MADISON HEALTH OCCUPATIONAL HEALTH SERVICES WORKS WITH MANY LOCAL EMPLOYERS AND PROVIDES SERVICES SUCH AS DRUG SCREENS, EMPLOYEE PHYSICALS, HEALTH EDUCATION AND TREATMENT OF WORK-RELATED INJURIES. WE ALSO COORDINATE SERVICES FOR INJURED EMPLOYEES AND MANAGE THE FOLLOW-UP REQUIRED ON WORKERS' COMPENSATION CASES. WE WORK CLOSELY WITH THE MADISON HEALTH STAFF IN OUR LABORATORY, AND PHYSICAL AND OCCUPATIONAL THERAPY DEPARTMENT TO PROVIDE THE NECESSARY TREATMENT. OTHER SERVICES THAT WE CAN PROVIDE INCLUDE: - REFERRALS FOR SPECIALTY EVALUATIONS - RETURN TO WORK INSTRUCTIONS - ON-SITE CONSULTATIONS AND SERVICES - IMMUNIZATIONS - COMPLETE LABORATORY SERVICES - PULMONARY FUNCTION TESTING - RESPIRATORY CLEARANCE EXAMINATIONS - DOT EXAMINATIONS - BREATH ALCOHOL TESTING URGENT CARE MADISON HEALTH PROVIDES CARE FOR MINOR HEALTH ISSUES THAT NEED SAME-DAY TREATMENT. MINOR INJURIES OR ILLNESSES THAT OCCUR AFTER REGULAR OFFICE HOURS ARE BEST SERVED BY MADISON HEALTH URGENT CARE. IMMEDIATE CARE IS AVAILABLE FOR ACUTE MINOR ILLNESSES AND INJURIES, SUCH AS COUGH, COLDS, SORE THROATS, URINARY TRACT INFECTIONS (UTI), RASHES AND BITES, MINOR CUTS, MINOR SPRAINS, STRAINS AND FRACTURES. IF YOU ARE SUFFERING FROM CHEST PAIN, SHORTNESS OF BREATH OR HEAD TRAUMA, CALL 9-1-1 OR GO TO THE NEAREST EMERGENCY DEPARTMENT. MADISON HEALTH URGENT CARE IS LOCATED AT 371 LAFAYETTE STREET IN LONDON (DIRECTLY IN FRONT OF WALMART). THE CENTER IS OPEN CONVENIENT DAYTIME, EVENING AND WEEKEND HOURS, AND NO APPOINTMENT IS NECESSARY. PATIENT CARE UNITS MADISON HEALTH PROVIDES PATIENT UNITS DEDICATED TO SPECIFIC CARE NEEDS. OUR INPATIENT CARE UNIT SERVES PATIENTS WHO ARE BEING TREATED FOR ILLNESSES AND INJURIES THAT REQUIRE CONSTANT CARE. OUR INTENSIVE CARE UNIT PROVIDES CARE TO PATIENTS WHO REQUIRE ACUTE SERVICES. OUR TEAM OF DOCTORS AND NURSES PROVIDE CONSTANT CARE TO STABILIZE AND IMPROVE THE PATIENT'S CONDITION. RADIOLOGY MADISON HEALTH'S RADIOLOGY DEPARTMENT OFFERS A WIDE RANGE OF SERVICES, INCLUDING SPECIALTY SERVICES. WE PROVIDE DIAGNOSTIC OUTPATIENT, INPATIENT, AND EMERGENCY ROOM X-RAYS, INCLUDING FLUOROSCOPIC PROCEDURES SUCH AS UPPER GI'S AND BARIUM ENEMAS. UROLOGICAL PROCEDURES SUCH AS AN IVP OR KIDNEY X-RAYS CAN ALSO BE PERFORMED. OUR SPECIALTY SERVICES INCLUDE: PET/CT SCANS, ULTRASOUND, NUCLEAR MEDICINE, DIGITAL MAMMOGRAPHY, BONE DENSITOMETRY, MRI, AND BREAST MRI. SOCIAL SERVICES MEDICAL SOCIAL WORKERS ARE ASSIGNED TO EACH PATIENT CARE AREA AND ARE TRAINED TO HELP PATIENTS AND FAMILY MEMBERS DEAL WITH FINANCIAL, SOCIAL AND EMOTIONAL PROBLEMS THAT RELATE TO A PATIENT'S ILLNESS OR HOSPITALIZATION. MEMBERS OF THE DEPARTMENT WORK WITH PATIENTS AND FAMILIES TO HELP DEAL WITH LONG-TERM ILLNESSES AND REHABILITATION. THEY ARE ALSO INVOLVED IN THE DISCHARGE PLANNING PROCESS. ULTRASOUND ULTRASOUND IS A TECHNIQUE BY WHICH SOUND WAVES ARE BOUNCED INTO YOUR BODY, AND THEIR REFLECTIONS CAPTURED BY A MACHINE, TRANSFORMING THEM INTO AN IMAGE. ULTRASOUND DOES NOT INVOLVE RADIATION AND DOES NOT USE DYES THAT NEED TO BE INJECTED OR SWALLOWED. ULTRASOUND TESTS ARE USED IN DIAGNOSING AND TREATING A VARIETY OF HEALTH ISSUES, INCLUDING HEART CONDITIONS, MUSCLE PAIN, ABDOMINAL CONDITIONS, THYROID CONDITIONS, PREGNANCY, AND MANY OTHERS. VASCULAR LABORATORY THE VASCULAR LABORATORY CONDUCTS TESTS RELATED TO ARTERY AND VEIN CONDITIONS. TESTS CAN BE CONDUCTED TO DETERMINE IF OBSTRUCTIONS OF THE VEINS OR ARTERIES EXIST. THESE TESTS ARE USED TO DIAGNOSE ANEURYSMS AND DISEASES OF THE ARTERIES. THE VASCULAR LAB ALSO HAS COLOR FLOW DUPLEX IMAGING (CDI) TECHNOLOGY. CDI IS USED TO EVALUATE VEINS FOR USE AS A GRAFT, OR TO DIAGNOSE VARICOSE VEINS AND VALVULAR INCOMPETENCY. SURGERY WE ALL GET A LITTLE NERVOUS WHEN FACED WITH SURGERY. BUT YOU CAN HAVE CONFIDENCE THAT THE SURGICAL TEAMS AT MADISON HEALTH MEET THE HIGHEST STANDARDS AND ARE COMMITTED TO EXCELLENCE. THE HOSPITAL'S SURGERY CENTER FEATURES THREE STATE-OF-THE-ART SURGICAL SUITES THAT CAN ACCOMMODATE ALL TYPES OF SURGERIES, INCLUDING TOTAL JOINT REPLACEMENT. OUR SURGEONS USE THE LATEST LASER AND MICROSURGIC |
| P | SURGICAL SPECIALTIES MADISON HEALTH HAS AN OUTSTANDING GROUP OF SURGEONS WHO SPECIALIZE IN THE FIELDS OF: - BREAST SURGERY - COSMETIC & RECONSTRUCTIVE - EAR, NOSE & THROAT - ENDOSCOPY/COLONOSCOPY - GENERAL SURGERY - OBSTETRICS & GYNECOLOGY - ORTHOPEDICS - OPHTHALMOLOGY - PODIATRY - UROLOGY - VASCULAR SURGERY ROBOTIC SURGERY AT MADISON HEALTH, ROBOTIC SURGERY IS NOW AVAILABLE WITH THE DA VINCI XI SYSTEM, A STATE-OF-THE-ART DEVICE THAT SUPPORTS THE ORGANIZATION'S COMMITMENT TO IMPROVING SURGICAL OUTCOMES AND ALLOWING QUICKER PATIENT RECOVERY. ACCORDING TO INTUITIVE, THE DEVELOPERS BEHIND THE DA VINCI XI SYSTEM, THIS TECHNOLOGY "PROVIDES MADISON HEALTH SURGEONS AN ADVANCED SET OF INSTRUMENTS TO USE IN PERFORMING ROBOTIC-ASSISTED MINIMALLY INVASIVE SURGERY. IT ALSO TRANSLATES THE SURGEONS' HAND MOVEMENTS AT THE CONSOLE IN REAL TIME, BENDING AND ROTATING THE INSTRUMENTS WHILE PERFORMING THE PROCEDURE. THE TINY-WRISTED INSTRUMENTS MOVE LIKE A HUMAN HAND, BUT WITH A GREATER RANGE OF MOTION. THE DA VINCI VISION SYSTEM ALSO DELIVERS HIGHLY MAGNIFIED, 3D HIGH-DEFINITION VIEWS OF THE SURGICAL AREA AND MAKES IT POSSIBLE FOR SURGEONS TO OPERATE THROUGH ONE OR A FEW SMALL INCISIONS." AS A PATIENT AT MADISON HEALTH, YOU ARE AT THE CENTER OF A NETWORK OF DEDICATED PROFESSIONALS WORKING TOGETHER TO HELP YOU GET BACK TO WHAT MATTERS MOST. UROLOGY UROLOGY IS A SURGICAL SPECIALTY THAT DEALS WITH DISEASES OF THE MALE AND FEMALE URINARY TRACT AND THE MALE REPRODUCTIVE ORGANS. ALTHOUGH UROLOGY IS CLASSIFIED AS A SURGICAL SPECIALTY, THE UROLOGIST, BECAUSE OF THE WIDE VARIETY OF CLINICAL PROBLEMS ENCOUNTERED, REQUIRES KNOWLEDGE OF INTERNAL MEDICINE, PEDIATRICS, GYNECOLOGY, AND OTHER SPECIALTIES. UROLOGY TREATMENTS AVAILABLE AT MADISON HEALTH INCLUDE: - PEDIATRIC UROLOGY - UROLOGIC ONCOLOGY (CANCER) - PROSTATE CONDITIONS - MALE INFERTILITY - CALCULI (URINARY TRACT STONES) - FEMALE UROLOGY (URINARY INCONTINENCE AND PELVIC OUTLET RELAXATION DISORDERS) - NEUROUROLOGY (VOIDING DISORDERS, URODYNAMIC EVALUATION OF PATIENTS, AND ERECTILE DYSFUNCTION OR IMPOTENCE). THE SPECIALTY OF UROLOGY IS CONSTANTLY CHANGING. AS ADVANCES ARE MADE IN THE TREATMENT OF UROLOGIC CONDITIONS, MADISON HEALTH WILL BE AMONG THE FIRST TO MAKE THESE NEW TREATMENTS AVAILABLE TO ITS PATIENTS. ORTHOPEDICS AND TOTAL JOINT REPLACEMENTS MADISON HEALTH'S ORTHOPEDIC SURGEON AND PHYSICIAN ASSISTANT PROVIDE JOINT REPLACEMENT AND OTHER ORTHOPEDIC RELATED SURGERY CARE. THESE SURGERIES INCLUDE A FULL RANGE OF HIP REPLACEMENTS, KNEE REPLACEMENTS, AND SURGERIES RELATED TO MINOR OR MODERATE TRAUMA AND REPETITIVE WORK INJURIES. OUR NEW SURGICAL SUITES PROVIDE A FACILITY SPECIFIC FOR ORTHOPEDIC AND JOINT REPLACEMENT PROCEDURES. AFTER SURGERY, PATIENTS CAN STAY RIGHT HERE AT MADISON HEALTH TO TAKE ADVANTAGE OF OUR OUTSTANDING PHYSICAL THERAPY SERVICES. THERE IS NO NEED TO TRAVEL TO RECEIVE FOLLOW UP CARE. OUR COMPLETE OUTPATIENT REHAB SERVICES WILL GET YOU MOVING AGAIN AS QUICKLY AS POSSIBLE. ENDOSCOPY PROCEDURES ENDOSCOPY PROCEDURES CAN BE COMPLETED ON AN INPATIENT OR OUTPATIENT BASIS, DEPENDING ON THE DIAGNOSIS OR TREATMENT NEEDED. PROCEDURES PERFORMED IN OUR TWO NEWLY-REMODELED ENDOSCOPY ROOMS INCLUDE: - CYSTOSCOPY TO DIAGNOSE DISEASES OF THE BLADDER AND URETHRA - SIGMOIDOSCOPY AND COLONOSCOPY TO DIAGNOSE AND TREAT DISEASES OF THE COLON - ESOPHAGOGASTRODUODENOSCOPY (EGD) TO DIAGNOSE DISEASES OF THE STOMACH, ESOPHAGUS AND SMALL INTESTINE - BRONCHOSCOPY TO DIAGNOSE DISEASES OF THE TRACHEA AND LUNGS OTHER MINOR SURGICAL PROCEDURES ARE COMPLETED USING ENDOSCOPY, INCLUDING THE EXCISION OF LESIONS AND SKIN BIOPSIES. COMMUNITY OUTREACH AUXILIARY THE MADISON HEALTH AUXILIARY IS MADE UP OF DEDICATED VOLUNTEERS WHO ORGANIZE SPECIAL FUND-RAISING ACTIVITIES TO BENEFIT THE HOSPITAL. SINCE THE HOSPITAL OPENED IN 1962, AUXILIANS HAVE PROVIDED THE HOSPITAL WITH MORE THAN ONE MILLION DOLLARS IN CHARITABLE GIFTS AND PLEDGES TO USE FOR CAPITAL PROJECTS. AUXILIARY MEMBERS MEET THE SECOND MONDAY OF EVERY MONTH TO PLAN EVENTS AND PARTICIPATE IN EDUCATIONAL PROGRAMS. IF YOU ENJOY SPECIAL EVENTS AND FUND RAISING ACTIVITIES, THE MADISON HEALTH AUXILIARY MIGHT BE RIGHT PLACE FOR YOU! MEMBERS VOLUNTEER THEIR SKILLS TO HELP WITH ANY ONE OF THE AUXILIARY'S ANNUAL PROJECTS: - COUNTY WIDE BAKE SALE - FLOWER SALES - GIFT SHOP BREAST CANCER ENDOWMENT FUND MADISON HEALTH IS COMMITTED TO PROVIDING ALL WOMEN IN MADISON COUNTY RESOURCES FOR BREAST CARE SERVICES. AN ENDOWMENT FUND HAS BEEN ESTABLISHED THROUGH THE MADISON HEALTH FOUNDATION TO ASSIST WOMEN IN OUR COMMUNITY WHO CANNOT AFFORD BREAST CANCER DIAGNOSTICS OR TREATMENT SERVICES. FOR MORE INFORMATION, PLEASE CONTACT OUR BREAST CARE SPECIALIST AT THE WOMEN'S IMAGING CENTER AT 740.845.7884. THE LEADING CAUSE OF DEATH FOR WOMEN BETWEEN THE AGES OF 35 AND 55 IS BREAST CANCER. MADISON COUNTY HAS THE SECOND HIGHEST BREAST CANCER DEATH RATE IN OHIO AND THE HIGHEST PERCENTAGE OF LATE STAGE DIAGNOSIS. BREAST CARE CLINICS PROVIDE MAMMOGRAMS AND CLINICAL BREAST EXAMS AT NO OUT-OF-POCKET COST. CLINIC APPOINTMENTS ARE AVAILABLE TO ANY WOMAN, WHETHER SHE IS UNINSURED OR HAS INSURANCE BUT CANNOT AFFORD HER CO-PAY OR DEDUCTIBLE. TO MAKE AN APPOINTMENT CALL 740.845.7100 AND REFER TO THE "BREAST CARE CLINIC." ROCKING HORSE COMMUNITY HEALTH CENTER MADISON ROCKING HORSE COMMUNITY HEALTH CENTER MADISON (FORMERLY THE MADISON COUNTY HEALTH PARTNERS FREE CLINIC) PROVIDES PRIMARY HEALTHCARE FOR ADULTS OF ALL AGES, PEDIATRIC CARE, WOMEN'S HEALTH CARE, PRENATAL CARE, LAB TESTING, SICK VISITS, MEDICATION ASSISTANCE, INFORMATION AND REFERRALS TO COMMUNITY RESOURCES AND SOCIAL SERVICES PROGRAMS. THE CENTER ALSO PROVIDES MEDICAID AND MARKETPLACE INSURANCE APPLICATION ASSISTANCE. THE MISSION OF THE ROCKING HORSE COMMUNITY HEALTH CENTER IS TO RAISE HEALTHY FAMILIES IN A CARING COMMUNITY. THE ROCKING HORSE COMMUNITY HEALTH CENTER MADISON IS LOCATED AT 212 N. MAIN STREET IN LONDON (BRICK BUILDING BEHIND MADISON HEALTH). FOR MORE INFORMATION OR AN APPOINTMENT, PLEASE CALL 740.845.7286. TO VIEW THE ROCKING HORSE COMMUNITY HEALTH CENTER'S WEBSITE, VISIT WWW.ROCKINGHORSECENTER.ORG OR CALL 740.845.7286. VOLUNTEER OPPORTUNITIES MADISON HEALTH BENEFITS TREMENDOUSLY FROM HAVING VOLUNTEERS THROUGHOUT THE HOSPITAL, DOING EVERYTHING FROM GREETING PATIENTS TO MANAGING EDIE'S PLACE, THE MADISON HEALTH GIFT SHOP. VOLUNTEERS SUPPORT ALMOST EVERY DEPARTMENT IN THE HOSPITAL. OPPORTUNITIES INCLUDE: - GREETING PATIENTS AND ANSWERING QUESTIONS AT THE FRONT DESK - DELIVERING MAIL AND FLOWERS TO PATIENTS - GREETING AND ASSISTING PATIENTS IN THE EMERGENCY ROOM - STAFFING EDIE'S PLACE, THE HOSPITAL GIFT SHOP FOR MORE INFORMATION ON VOLUNTEER OPPORTUNITIES, PLEASE CALL 740.845.7012 EMERGENCY PREPAREDNESS MADISON HEALTH IS AN INTEGRAL PARTNER IN COMMUNITY AND REGIONAL EMERGENCY PLANNING. THE HOSPITAL PARTICIPATES IN THE CENTRAL OHIO TRAUMA SYSTEM'S REGIONAL HOSPITAL EMERGENCY PLANNING COMMITTEE AS WELL AS THE LOCAL EMERGENCY PLANNING COMMITTEE. EXERCISES ARE PERFORMED IN COOPERATION WITH LOCAL FIRE, EMS AND LAW ENFORCEMENT AGENCIES. THE HOSPITAL ALSO PARTICIPATES IN REGIONAL EMERGENCY PREPAREDNESS DRILLS. MADISON HEALTH STOCKPILES DISASTER SUPPLIES AND EQUIPMENT INCLUDING A THREE LANE DECONTAMINATION SHELTER. CPR CLASSES CPR CLASSES AVAILABLE THROUGH MADISON HEALTH INCLUDE: - BASIC LIFE SUPPORT FOR HEALTH CARE PROVIDERS - CPR PROGRAMS FOR HEALTH CARE PROFESSIONALS - HEART SAVER CPR PROGRAM FOR COMMUNITY GROUPS FIRST AID CLASSES MADISON HEALTH IS OFFERS FIRST AID CLASSES AVAILABLE TO THE COMMUNITY. THE THREE-HOUR CLASS USES THE AMERICAN HEART ASSOCIATION GUIDELINES. FIRST AID IS THE IMMEDIATE CARE THAT IS GIVEN TO SOMEONE WITH AN ILLNESS OR INJURY BEFORE TRAINED HELP ARRIVES OR TAKES OVER. TRAINED HELP INCLUDES SOMEONE WHOSE JOB IT TAKING CARE OF PEOPLE WHO ARE ILL OR INJURED SUCH AS AN EMS RESPONDER, NURSE OR DOCTOR. |
| P | FIRST AID CLASSES MADISON HEALTH IS OFFERS FIRST AID CLASSES AVAILABLE TO THE COMMUNITY. THE THREE-HOUR CLASS USES THE AMERICAN HEART ASSOCIATION GUIDELINES. FIRST AID IS THE IMMEDIATE CARE THAT IS GIVEN TO SOMEONE WITH AN ILLNESS OR INJURY BEFORE TRAINED HELP ARRIVES OR TAKES OVER. TRAINED HELP INCLUDES SOMEONE WHOSE JOB IT TAKING CARE OF PEOPLE WHO ARE ILL OR INJURED SUCH AS AN EMS RESPONDER, NURSE OR DOCTOR. |
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE SHALL MEET AS NEEDED TO FACILITATE DECISION-MAKING AND ACTION. IT SHALL ALSO BE RESPONSIBLE FOR AD-HOC ASSIGNMENTS. THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD TO ACT DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD, SUBJECT TO ANY RESTRICTIONS ESTABLISHED BY THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 6 | MADISON HEALTH HAS TWO MEMBERS: MADISON COUNTY HOSPITAL, INC. AND OSU/MOUNT CARMEL HEALTH ALLIANCE. |
| FORM 990, PART VI, SECTION A, LINE 7A | BOTH MEMBERS OF MADISON HEALTH, (MADISON COUNTY HOSPITAL, INC.) AND OSU/MOUNT CARMEL HEALTH ALLIANCE SHALL APPOINT BOARD MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | BOTH MEMBERS OF MADISON HEALTH, (MADISON COUNTY HOSPITAL, INC.) AND OSU/MOUNT CARMEL HEALTH ALLIANCE SHALL APPROVE, AMONG OTHER ITEMS, MAJOR TRANSACTIONS, MEMBERS, SIGNIFICANT CAPITAL EXPENDITURES, AND AMENDMENTS TO ARTICLES AND BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WILL BE MADE AVAILABLE PRIOR TO FILING TO ALL BOARD MEMBERS ONLY BY WAY OF SECURED WEB PORTAL. PRIOR TO POSTING ON THE WEB PORTAL, THE FORM 990 IS REVIEWED BY MANAGEMENT. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, THE CEO, MEMBERS OF THE BOARD OF TRUSTEES, ADMINISTRATIVE STAFF, DEPARTMENT MANAGEMENT STAFF, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES, RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY. THEY ARE ASKED TO COMPLETE AND RETURN THE CONFLICT OF INTEREST AGREEMENT AND ANNUAL DISCLOSURE STATEMENT TO THE ADMINISTRATIVE OFFICE. THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE COMMITTEE AND RETAINED ON FILE. ANY INTERESTS DISCLOSED ARE DEALT WITH APPROPRIATELY AS POTENTIAL CONFLICTS ARISE. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION REVIEWS FOR THE CEO AND TOP MANAGEMENT OFFICIALS WERE CONDUCTED BY AN INDEPENDENT CONSULTING FIRM. COMPENSATION REVIEWS WERE PERFORMED IN 2016, 2017, 2019 AND 2021. IN ADDITION, REGIONAL AND STATE SALARY SURVEYS WERE UTILIZED IN THE REVIEW PROCESS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | TEMPORARY HELP: PROGRAM SERVICE EXPENSES 1,637,490. MANAGEMENT AND GENERAL EXPENSES 560,260. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,197,750. COLLECTION FEES: PROGRAM SERVICE EXPENSES 162,346. MANAGEMENT AND GENERAL EXPENSES 55,546. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 217,892. OTHER: PROGRAM SERVICE EXPENSES 1,374,670. MANAGEMENT AND GENERAL EXPENSES 470,337. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,845,007. MEDICAL EQUIPMENT RENT AND MAINTENANCE: PROGRAM SERVICE EXPENSES 470,485. MANAGEMENT AND GENERAL EXPENSES 160,975. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 631,460. RECRUITMENT: PROGRAM SERVICE EXPENSES 21,388. MANAGEMENT AND GENERAL EXPENSES 7,318. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,706. BUSINESS OFFICE PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,621,970. MANAGEMENT AND GENERAL EXPENSES 1,239,242. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,861,212. |
| FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES, COLUMN (D): | NO FUNDRAISING EXPENSES ARE INCURRED IN CONNECTION WITH MONIES RECEIVED BY MADISON HEALTH. A RELATED 501(C)(3) ENTITY, MADISON COUNTY HOSPITAL FOUNDATION, CONDUCTS FUNDRAISING ACTIVITIES AND REPORTS EXPENSES ASSOCIATED WITH FUNDRAISING EFFORTS ON BEHALF OF MADISON HEALTH. |
| FORM 990, PART XI, LINE 9: | ADOPTION OF ASC 842 -112,114. |
| FORM 990, PART XII, QUESTION 2C, OVERSIGHT OF FINANCIAL STATEMENT AUDIT: | THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED ON A CONSOLIDATED BASIS WITH ITS AFFILIATES (MADISON COUNTY HOSPITAL, INC., MADISON FAMILY HEALTH CORPORATION AND MADISON COUNTY HOSPITAL FOUNDATION, INC.) BY AN INDEPENDENT ACCOUNTING FIRM. IN ADDITION, THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND ITS SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MADISON COUNTY HOSPITAL INC | |||||||||||
| 210 NORTH MAIN STREET | LONDON | OH | 43140 | 310876202 | MANAGE INVESTMENT | OH | 501(C)(3) | 509(A)(3) TYPE I | N/A | 0 | |
| MADISON COUNTY HOSPITAL FOUNDATION INC | |||||||||||
| 210 NORTH MAIN STREET | LONDON | OH | 43140 | 237423524 | FOUNDATION | OH | 501(C)(3) | LINE 7 | N/A | 0 | |
| MADISON FAMILY HEALTH CORPORATION | |||||||||||
| 210 NORTH MAIN STREET | LONDON | OH | 43140 | 311514418 | PHYSICIAN SERVICES | OH | 501(C)(3) | 509(A)(3) TYPE I | Yes (1) | MCCH (DBA - MADISON HEALTH) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MADISON HEALTH PAIN MANAGEMENT LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 N MAIN STREET | AddressLine1Txt |
| City | LONDON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43140 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 842913421 | EIN |
| Primary Activities | PAIN MANAGEMENT | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MADISON COUNTY COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED INCOME | PredominantIncomeTypeTxt |
| Share Of Total Income | $109,704 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $126,216 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.51000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MADISON FAMILY HEALTH CORPORATION | ||
| B | $5,013,805 | CASH |
| MADISON FAMILY HEALTH CORPORATION | ||
| N | $2,858,366 | FMV |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 1(D): | FormAndLineReferenceDesc |
| Explanation | MADISON COUNTY COMMUNITY HOSPITAL IS A MEMBER OF THE OBLIGATED GROUP WITH RESPECT TO MADISON COUNTY HOSPITAL'S REVENUE BONDS - OHIO, HOSPITAL FACILITIES MULTI-MODE FIXED RATE REVENUE REFUNDING BONDS, SERIES 2017. THE TOTAL AMOUNT OUTSTANDING AT 12/31/2022 WAS $35,725,000. | ExplanationTxt |