2020-08-14T07:48:08-05:00 2019-09-30 271235638 MCM CPAS & ADVISORS LLP 462 S FOURTH ST SUITE 2600 LOUISVILLE KY 402023445 990 2018-10-01 311375125 MARIETTA HEALTHCARE PHYSICIANS INC MARI 7403741400 401 MATTHEW STREET MARIETTA OH 45750 SCOTT SILVESTRI SR DIRECTOR OF FINANCE 7403741400 2020-08-11 1 ELEANOR A LIVINGSTON CPA MST P00226461 5027491900 2020-08-07 69.135.99.226 2020-08-11 15:49:49 ED P 084FBBC970E185173BB7B12B8B27C980CA7A42A4 DE2A42B2A8A98B651B98EF25DA4D91E9EEF19621 2018 2020-09-23 17:36:50Z SCOTT SILVESTRI 401 MATTHEW STREET MARIETTA OH 45750 102044666 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. 7 6 325 7 0 0 0 0 92751842 102044666 0 0 0 0 92751842 102044666 0 0 0 0 110782715 110244988 0 0 0 13217876 15417490 124000591 125662478 -31248749 -23617812 11326646 8935460 11329005 8937819 -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 117226813 102044666 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 $1,099,136. THE CORPORATION PROVIDED 345,575 PATIENT VISITS IN 2019. THE PATIENT/PAYER MIX WAS 45.4% MEDICARE, 22.0% WELFARE, AND 3.1% SELF PAY. 117226813 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 1 325 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 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 COLLEEN COOK CHARIMAN 2.00 X X 0 0 0 MICHAEL ARCHER VICE CHAIR 2.00 X X 0 0 0 JOSEPH COOPER SECRETARY 2.00 40.00 X 0 457158 20741 THOMAS TUCKER TREASURER 2.00 X 0 0 0 MICHAEL IADEROSA DIRECTOR 2.00 X 0 0 0 GREGG EMERICK DIRECTOR 2.00 X 0 0 0 STEVE KEISER DIRECTOR 2.00 X 0 0 0 TERRY RATAICZAK DIRECTOR 2.00 X 0 0 0 MATTHEW MACATOL MD SHAREHOLDER 2.00 2.00 X 0 26667 0 DAN BREECE MD VICE PRESIDENT 40.00 1.00 X 802846 0 39092 SRINI VASAN MD PHYSICIAN 40.00 X 1009012 0 36774 ABDOLREZA GHODSI MD PHYSICIAN 40.00 X 1789367 0 36997 GREGORY D'ERAMO MD PHYSICIAN 40.00 X 1028589 0 39076 PETER PANTELIDIS MD PHYSICIAN 40.00 X 1029589 0 29059 RAJENDRA BHATI MD PHYSICIAN 40.00 X 1294195 0 37003 6953598 483825 238742 187 0 1 0 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 PHYSICIAN STAFFING 2180827 COMPHEALTH MEDICAL STAFFING PO BOX 972670 ATLANTA GA 30328 PHYSICIAN STAFFING 1258331 INTERIM PHYSICIANS LLC 12647 OLIVE BLVD SUITE 100 ST LOUIS MO 63141 PHYSICIAN STAFFING 691856 ADMIRAL HEALTHCARE 481 SAUNDERS RD LAKE FOREST IL 60045 PHYSICIAN STAFFING 438406 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 30384 PHYSICIAN STAFFING 311033 5 MEDICARE, MEDICAID, INSURANCE & S 621110 102044666 102044666 102044666 102044666 102044666 0 0 802846 802846 95163996 92348556 2815440 326184 316398 9786 9632310 9343340 288970 4319652 4190062 129590 10156 10156 976275 961529 14746 168883 41153 127730 1021304 74274 947030 119366 59533 59833 511147 4203 506944 453611 453611 250901 55150 195751 PURCHASED SERVICES 9957782 7245966 2711816 SUPPLIES MEDICAL 1348562 1328562 20000 POSTAGE/PRINTING/DUES 518231 439386 78845 UTILITIES 81272 5699 75573 125662478 117226813 8435665 0 8254582 5687056 9452514 6204110 3072064 3248404 11326646 8935460 11329005 8937819 11329005 8937819 X -2359 -2359 -2359 -2359 11326646 8935460 X -23617812 23617812 X X 0 1 X 1 0 X 74672588 85518475 83519597 92751842 102044666 438507168 74672588 85518475 83519597 92751842 102044666 438507168 0 0 0 438507168 163 2730 2893 163 2730 2893 74672751 85521205 83519597 92751842 102044666 438510061 1.00000 1.00000 0.00000 X 9452514 6204110 3248404 3248404 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, 2019 AND 2018, 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 2018. 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 JOSEPH COOPER SECRETARY 0 457158 0 0 0 0 0 0 0 20741 0 477899 0 0 DAN BREECE MD VICE PRESIDENT 769346 0 33500 0 0 0 0 0 39092 0 841938 0 0 0 SRINI VASAN MD PHYSICIAN 1009012 0 0 0 0 0 0 0 36774 0 1045786 0 0 0 ABDOLREZA GHODSI MD PHYSICIAN 1789367 0 0 0 0 0 0 0 36997 0 1826364 0 0 0 GREGORY D'ERAMO MD PHYSICIAN 1028589 0 0 0 0 0 0 0 39076 0 1067665 0 0 0 PETER PANTELIDIS MD PHYSICIAN 1029589 0 0 0 0 0 0 0 29059 0 1058648 0 0 0 RAJENDRA BHATI MD PHYSICIAN 1294195 0 0 0 0 0 0 0 37003 0 1331198 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 23,617,812. 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 OCCUPATIONAL HEALTH PARTNERS LLC 401 MATTHEW ST MARIETTA OH 45750 043587132 OCCUPATIONAL HEALTH OH 0 0 MARIETTA SURGERY CENTER LLC 611 2ND ST MARIETTA OH 45750 311684367 SURGERY OH 0 0 MMARIETTA HOME HEALTH AND HOSPICE 5959 S SHERWOOD BATON ROUGE LA 70816 261480799 HOME HEALTH LA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0