2022-08-16T15:33:42-05:00 2021-09-30 271235638 MCM CPAS & ADVISORS LLP 462 SOUTH 4TH STREET SUITE 2600 LOUISVILLE KY 40202 990 2020-10-01 311375125 MARIETTA HEALTHCARE PHYSICIANS INC MARI 7403741400 401 MATTHEW STREET MARIETTA OH 45750 SCOTT SILVESTRI CFO 7403741400 2022-08-15 1 SCOTT SILVESTRI XXX-XX-XXXX THERESA BATLINER CPA P00543162 5027491900 2022-08-14 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z J SCOTT CANTLEY 401 MATTHEW STREET MARIETTA OH 45750 105607609 0 X WWW.MHSYSTEM.ORG X 1995 OH PHYSICIAN HEALTH CARE SERVICE FORMED BY MARIETTA MEMORIAL HOSPITAL TO FURTHER ITS SECTION 501(C)3 CHARITABLE PURPOSES. MHCPI LIKE MMH DOES PARTICIPATE IN MEDICARE AND MEDICAID PROGRAMS, AND SERVICES ARE PROVIDED TO PATIENTS WITHOUT DISCRIMINATION AS TO ABILITY TO PAY. 15 15 348 15 0 0 0 0 99338430 105607609 0 0 0 0 99338430 105607609 0 0 0 0 113149306 122456382 0 0 0 15945442 13374295 129094748 135830677 -29756318 -30223068 8339425 16262800 8341784 16265159 -2359 -2359 PHYSICIAN HEALTH CARE SERVICE WAS FORMED BY MARIETTA MEMORIAL HOSPITAL TO FURTHER ITS SECTION 501(C)3 CHARITABLE PURPOSES. MHCPI LIKE MMH PARTICIPATES IN MEDICARE AND MEDICAID PROGRAMS AND SERVICES ARE PROVIDED TO PATIENTS WITHOUT DISCRIMINATION AS TO ABILITY TO PAY. 0 0 111348346 105607609 THE CORPORATION WAS FORMED BY MARIETTA MEMORIAL HOSPITAL FOR THE PURPOSE OF PROVIDING PHYSICIAN CARE IN THE SERVICE AREA OF THE HOSPITAL SINCE THERE ARE AN INSUFFICIENT NUMBER OF PHYSICIANS TO MEET THE COMMUNITY'S NEEDS. CHARITY CARE AND COLLECTION POLICIES FOR THE CORPORATION ARE IDENTICAL TO MARIETTA MEMORIAL HOSPITAL. TOTAL CHARITY PROVIDED WAS $2,753,421. THE CORPORATION PROVIDED 46,779 PATIENT VISITS IN 2021. THE PATIENT/PAYER MIX WAS 43.3% MEDICARE, 22.4% WELFARE, AND 2.9% SELF PAY. 111348346 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 336 0 1 348 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X SCOTT SILVESTRI 7403741641 401 MATTHEW STREET MARIETTA OH 45750 MICHAIL VASILAKIS MD PHYSICIAN 40.00 X 2098149 0 36427 ADBOLREZA GHODSI MD PHYSICIAN 40.00 X 1884386 0 34752 J SCOTT CANTLEY CEO - MARIETTA AREA HEALTH 2.00 42.00 X 0 1274555 112843 MARK TAWIL MD PHYSICIAN 40.00 X 1246653 0 27360 RAJENDRA BHATI MD PHYSICIAN 40.00 X 1128751 0 34759 PETER PANTELIDIS MD PHYSICIAN 40.00 X 1118061 0 27756 DAN BREECE MD VICE PRESIDENT 40.00 1.00 X 928985 0 45913 JOHN LEE MD DIRECTOR 40.00 3.00 X 593709 0 36427 SCOTT SILVESTRI CFO - MARIETTA AREA HEALTH 3.00 43.00 X 0 480204 34694 JOSEPH COOPER MD SECRETARY 40.00 3.00 X 388631 0 40281 CAROL SCHNEEBERGER DIRECTOR 2.00 3.00 X 0 0 0 ANN HELMICK DIRECTOR 2.00 3.00 X 0 0 0 MICHAEL IADEROSA DIRECTOR 2.00 3.00 X 0 0 0 GREGG EMERICK DIRECTOR 2.00 3.00 X 0 0 0 COLLEEN COOK DIRECTOR 2.00 4.00 X 0 0 0 TERRY RATAICZAK DIRECTOR 2.00 3.00 X 0 0 0 LARRY UNROE DIRECTOR 2.00 3.00 X 0 0 0 THOMAS DANFORD DDS DIRECTOR 2.00 3.00 X 0 0 0 SHERYL HOLDREN DIRECTOR 2.00 3.00 X 0 0 0 STEPHEN KEISER VICE CHAIRPERSON 2.00 3.00 X X 0 0 0 MICHAEL ARCHER CHAIRPERSON 2.00 3.00 X X 0 0 0 JAMES BARENGO TREASURER 2.00 3.00 X X 0 0 0 9387325 1754759 431212 285 0 1 0 INTERIM PHYSICIANS LLC PO BOX 679139 DALLAS TX 75267 PHYSICIAN STAFFING 874929 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 PHYSICIAN STAFFING 739247 MEDONE HOSPITAL PHYSICIAN 3525 OLENTANGY RIVER RD 4330 COLUMBUS OH 43214 PHYSICIAN STAFFING 527800 LOCUMTENENSCOM 2575 NORTHWINDS PKWY ALPHARETTA GA 30009 PHYSICIAN STAFFING 343314 COMPHEALTH MEDICAL STAFFING PO BOX 972651 DALLAS TX 753972651 PHYSICIAN STAFFING 174673 5 MEDICARE, MEDICAID, INSURANCE & S 621110 105607609 105607609 105607609 105607609 105607609 0 0 2033946 2033946 105637274 100402051 5235223 1096176 1096176 8813591 8813591 4875395 4875395 2320 2320 1196 792 404 1068885 1050734 18151 113129 51885 61244 1439980 64072 1375908 34252 27517 6735 506779 506779 65662 55662 10000 PURCHASED SERVICES 7775999 5603463 2172536 SUPPLIES MEDICAL 1675345 1675345 DUES AND OTHER EXPENSES 479923 378934 100989 EDUCATION 210825 3945 206880 135830677 111348346 24482331 0 5237636 13378094 10073773 7189067 3101789 2884706 8339425 16262800 8341784 16265159 8341784 16265159 X -2359 -2359 -2359 -2359 8339425 16262800 X -30223068 30223068 X X 0 1 X 1 0 X 83519597 92751842 102044666 99338430 105607609 483262144 83519597 92751842 102044666 99338430 105607609 483262144 0 0 0 483262144 83519597 92751842 102044666 99338430 105607609 483262144 1.00000 1.00000 0.00000 X 10073773 7189067 2884706 2884706 X PART X, LINE 2: THE SYSTEM, EXCLUDING MSC, MOHP AND THE INNOVATION CENTER, IS ORGANIZED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE UNITED STATES INTERNAL REVENUE CODE. MSC, MOHP AND THE INNOVATION CENTER ARE ORGANIZED AS LIMITED LIABILITY COMPANIES, WHEREBY, NET TAXABLE INCOME IS TAXED DIRECTLY TO THE MEMBERS AND NOT MSC, MOHP OR THE INNOVATION CENTER. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM, AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2021 AND 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. AS SUCH, THE SYSTEM IS GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, THE SYSTEM, EXCLUDING MSC, MOHP AND THE INNOVATION CENTER, IS REQUIRED TO FILE FEDERAL FORM 990 - RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX WHICH IS AN INFORMATIONAL RETURN ONLY. THE SYSTEM, MSC, AND MOHP HAVE FILED THEIR TAX RETURNS FOR PERIODS THROUGH 2020. THE RETURNS FOR MSC AND MOHP ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS). THE SYSTEM, MSC AND MOHP ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. HOWEVER, AS OF THE DATE THE CONSOLIDATED FINANCIAL STATEMENTS WERE ISSUED, THERE WERE NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. X X X X X 0 0 0 0 0 0 0 0 0 MICHAIL VASILAKIS MD PHYSICIAN 976379 0 1121770 0 0 0 0 0 36427 0 2134576 0 0 0 ADBOLREZA GHODSI MD PHYSICIAN 1884386 0 0 0 0 0 0 0 34752 0 1919138 0 0 0 J SCOTT CANTLEY CEO - MARIETTA AREA HEALTH 0 836047 0 438508 0 0 0 78150 0 34693 0 1387398 0 0 MARK TAWIL MD PHYSICIAN 1046653 0 200000 0 0 0 0 0 27360 0 1274013 0 0 0 RAJENDRA BHATI MD PHYSICIAN 1128751 0 0 0 0 0 0 0 34759 0 1163510 0 0 0 PETER PANTELIDIS MD PHYSICIAN 1096850 0 21211 0 0 0 0 0 27756 0 1145817 0 0 0 DAN BREECE MD VICE PRESIDENT 778274 0 150711 0 0 0 9469 0 36444 0 974898 0 0 0 JOHN LEE MD DIRECTOR 593709 0 0 0 0 0 0 0 36427 0 630136 0 0 0 SCOTT SILVESTRI CFO - MARIETTA AREA HEALTH 0 409493 0 70711 0 0 0 0 0 34694 0 514898 0 0 JOSEPH COOPER MD SECRETARY 359912 0 28719 0 0 0 0 0 40281 0 428912 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B BOARD MEMBERS REVIEW THE 990 AFTER THE RETURN HAS BEEN FILED. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL SURVEYS ARE COMPLETED AND REVIEWED BY THE CORPORATE INTEGRITY COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS SET BY COMMITTEE AT MEDIAN IN THE MARKET AREA FOR EXECUTIVES. COMPENSATION IS SET BY COMMITTEE AT A MAXIMUM OF 75% MGMA FOR PHYSICIANS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFERS FROM MARIETTA MEMORIAL HOSPITAL 30,223,068. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MARIETTA MEMORIAL HOSPITAL 401 MATTHEW STREET MARIETTA OH 45750 314379509 HOSPITAL OH 501(C)(3) LINE 3 MARIETTA AREA HEALTHCARE 0 SELBY GENERAL HOSPITAL 1106 COLEGATE DR MARIETTA OH 45750 314413259 HOSPITAL OH 501(C)(3) LINE 3 MARIETTA AREA HEALTHCARE 0 MEMORIAL HEALTH FOUNDATION PO BOX 97 MARIETTA OH 45750 311011321 SUPPORTING ORG OH 501(C)(3) LINE 12B, II MARIETTA AREA HEALTHCARE 0 MARIETTA AREA HEALTHCARE 401 MATTHEW STREET MARIETTA OH 45750 311126451 MANAGEMENT OH 501(C)(3) LINE 10 0 MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC 314 S WELLS ST SISTERSVILLE WV 26175 852862205 HOSPITAL WV 501(C)(3) LINE 3 MARIETTA MEMORIAL HOSPITAL 0 MARIETTA OCCUPATIONAL HEALTH PARTNERS LLC 401 MATTHEW ST MARIETTA OH 45750 043587132 OCCUPATIONAL HEALTH OH N/A 0 0 MARIETTA SURGERY CENTER LLC 611 2ND ST MARIETTA OH 45750 311684367 SURGERY OH N/A 0 0 MARIETTA HOME HEALTH AND HOSPICE 5959 S SHERWOOD BATON ROUGE LA 70816 261480799 HOME HEALTH LA N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1