MARGARET MARY COMMUNITY HOSPITAL INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MARGARET MARY COMMUNITY HOSPITAL INC (EIN 35-6067049)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-16
- IRS object ID
- 202003219349306040
- Schema version
- 2019v5.1
- 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 K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-16T14:13:01-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N MERIDIAN ST SUITE 200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 356067049 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARGARET MARY COMMUNITY HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MARG | BusinessNameControlTxt |
| Phone | 8129346624 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 MITCHELL AVENUE | AddressLine1Txt |
| City | BATESVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 470060226 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CRAIG POLKOW | PersonNm |
| Person Title | CFO AND VP OF FINANCE | PersonTitleTxt |
| Phone | 8129346624 | PhoneNum |
| Signature | 2020-11-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NATHAN A RODGERS CPA | PreparerPersonNm |
| PTIN | P01568275 | PTIN |
| Phone | 3176334705 | PhoneNum |
| Preparation | 2020-11-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 76.245.71.191 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-16 | IPDt |
| IP Tm | 09:28:23 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 50BA67CF2BE9AFE4130FCD26086E06618A5B98E5 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARGARET MARY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CRAIG POLKOW | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 MITCHELL AVENUE | AddressLine1Txt |
| City | BATESVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 470060226 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $190,438,899 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MMHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1967 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 956 | TotalEmployeeCnt |
| Total Volunteers | 37 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $474,404 | PYContributionsGrantsAmt |
| CY Contributions Grants | $534,610 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $99,667,061 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $104,940,411 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,687,825 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,768,465 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,397,789 | PYOtherRevenueAmt |
| CY Other Revenue | $1,039,970 | CYOtherRevenueAmt |
| PY Total Revenue | $105,227,079 | PYTotalRevenueAmt |
| CY Total Revenue | $116,283,456 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $450,696 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $308,975 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $59,614,566 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $62,544,798 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $95,734 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $47,400,414 | PYOtherExpensesAmt |
| CY Other Expenses | $52,907,964 | CYOtherExpensesAmt |
| PY Total Expenses | $107,465,676 | PYTotalExpensesAmt |
| CY Total Expenses | $115,761,737 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,238,597 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $521,719 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $162,833,448 | TotalAssetsBOYAmt |
| Total Assets EOY | $169,664,985 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $43,844,896 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $47,049,873 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $118,988,552 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $122,615,112 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $81,368,762 | ExpenseAmt |
| Grant | $308,975 | GrantAmt |
| Revenue | $105,338,685 | RevenueAmt |
| Desc | HEALTH CARE SERVICES RELATED TO IMPROVING THE HEALTH OF THE COMMUNITY FOR BOTH INPATIENT AND OUTPATIENT PROGRAMS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,628,329 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | SUBSIDIZED HEALTH SERVICES - 60,000 INDIVIDUALS RECEIVED BENEFITS FROM OUR HOSPITAL OWNED OUTPATIENT SERVICES. THIS INCLUDES OSGOOD PHYSICIAN PRACTICE LOCATED IN A RURAL AREA AND IS ALSO LOCATED IN A MEDICALLY UNDERSERVED AREA. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,487,333 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $132,650 | RevenueAmt |
| Desc | COMMUNITY HEALTH SERVICES - 40,493 INDIVIDUALS PARTICIPATED IN SERVICES AND PROGRAMS SUCH AS CANCER SCREENINGS, CPR AND AED TRAINING, DIABETES CARE, FLU CLINICS, NUTRITION CLASSES, SMOKING CESSATION SUPPORT, BLOOD PRESSURE AND THYROID SCREENINGS, WOMEN'S HEALTH EVENTS, OSTEOPOROSIS SCREENINGS, WELLNESS SCREENINGS, EMERGENCY PREPAREDNESS, AND HEALTH INSURANCE ENROLLMENT AND REFERRALS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $1,098,426 | $0 | $0 | FINANCIAL AND IN-KIND CONTRIBUTIONS 485 INDIVIDUALS RECEIVED BENEFITS FROM OUR EMS AND PARAMEDIC TRAINING AND SUBSIDY PROGRAMS. MMH SUBSIDIZES A PORTION OF THE RIPLEY COUNTY PARAMEDIC/EMS DIRECTOR'S SALARY. MMH ALSO COORDINATES AND SUBSIDIZES TRAINING FOR THE 4 RIPLEY COUNTY SQUADS LOCATED IN VERSAILLES, SUNMAN, MILAN, AND BATESVILLE. IN ADDITION, VARIOUS MMH TEAM MEMBERS SERVE ON NUMEROUS COMMUNITY BOARDS INCLUDING MARCH OF DIMES, RELAY FOR LIFE, AND THE BATESVILLE COORDINATED SCHOOL HEALTH BOARD. |
| OTHER PROGRAMS AND SERVICES 1,788 INDIVIDUALS PARTICIPATED IN ADDITIONAL PROGRAMS AND SERVICES PROVIDED BY MMH, INCLUDING CAREER AND WORKFORCE DEVELOPMENT FOR PHYSICIAN, NURSING, AND OTHER MEDICAL STUDENTS THROUGH OUR MENTORING PROGRAMS AND CAREER FAIRS. MMH IS INVOLVED IN CLINICAL RESEARCH AT THE HANSEN CENTER, A CANCER TREATMENT CENTER OWNED AND OPERATED BY MMH IN BATESVILLE. MMH CONTINUALLY ASSESS COMMUNITY NEEDS AND HEALTH ISSUES TO ADDRESS NEEDS IN THE COMMUNITY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,098,426 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $89,582,850 | 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 | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | 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 | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | 0 | 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 | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 107 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 956 | 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | 0 | 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 | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TISHA OWENS CONTROLLER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8129346624 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 MITCHELL AVENUE | AddressLine1Txt |
| City | BATESVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 470060226 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| TIMOTHY PUTNAM | ||||||||
| PRESIDENT | 40.00 | 2.00 | Yes (X) | Yes (X) | $462,250 | $0 | $37,374 | |
| GEORGE JUNKER | ||||||||
| BOARD CHAIR | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN DICKEY | ||||||||
| BOARD VICE CHAIR | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CLAY KELLERMAN | ||||||||
| BOARD SECRETARY | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RONALD KNUEVEN | ||||||||
| BOARD TREASURER | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ARNIE KIRSCHNER | ||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CINDY LAUBER | ||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JORGE LOPEZ | ||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KRISTINA CERNIGLIA | ||||||||
| MEMBER - TERM BEGAN MAY' 19 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY ANN WISE-CASTNER | ||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SISTER DIANE JAMISON | ||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TIM ZIEMKE | ||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TOM TEPE | ||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PAUL KETCHAM | ||||||||
| MEMBER - TERM ENDED MAY' 19 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SUZANNE MARTINI MD | ||||||||
| MEMBER/CHIEF OF STAFF | 8.00 | 0.00 | Yes (X) | $12,000 | $0 | $0 | ||
| BRIAN DAEGER | ||||||||
| VP FINANCE | 40.00 | 0.00 | Yes (X) | $264,465 | $0 | $30,888 | ||
| JULIE KEENE | ||||||||
| VP PHYSICIAN SERVICES | 40.00 | 0.00 | Yes (X) | $185,417 | $0 | $31,058 | ||
| LIZ LEISING | ||||||||
| VP OUTPATIENT SERVICES | 40.00 | 0.00 | Yes (X) | $186,847 | $0 | $25,306 | ||
| KIM INSCHO | ||||||||
| VP HUMAN RESOURCES | 40.00 | 2.00 | Yes (X) | $200,444 | $0 | $28,830 | ||
| JEFFREY HATCHER MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $640,383 | $0 | $64,840 | Yes (X) | ||
| PAUL JARVIS MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $620,809 | $0 | $35,673 | Yes (X) | ||
| JOHN GRYSPEERDT MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $425,295 | $0 | $35,480 | Yes (X) | ||
| JON GEERS MD | ||||||||
| PHYSICIAN | 40.00 | 2.00 | $514,833 | $0 | $33,115 | Yes (X) | ||
| THOMAS BROWN MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $442,104 | $0 | $39,098 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,954,847 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $361,662 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 70 | 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 |
|---|---|---|---|---|---|
| KPM-EDLLC | |||||
| 7770 COOPER ROAD SUITE 8 | MONTGOMERY | OH | 45242 | ER PHYSICIAN STAFFING SERVICE | $2,383,773 |
| TRIMEDX | |||||
| PO BOX 636129 | CINCINNATI | OH | 45263 | CLINICAL EQUIPMENT MAINTENANCE | $1,394,800 |
| RURAL PHYSICIANS MEDICAL GROUP | |||||
| 10624 S EASTERN AVENUE STE A-263 | HENDERSON | NV | 89052 | PROFESSIONAL SERVICES - PHYSICIANS | $748,997 |
| INDIANA UNIVERSITY HEALTH CARE ASSOC IN | |||||
| 950 N MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | PROFESSIONAL SERVICES - PHYSICIANS | $719,866 |
| ORTHOPAEDIC SURGICAL CARE INSTITUTE | |||||
| 309 EGS BLVD | BATESVILLE | IN | 47006 | PROFESSIONAL SERVICES - PHYSICIANS | $665,769 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $187,926 | RelatedOrganizationsAmt |
| All Other Contributions | $346,684 | AllOtherContributionsAmt |
| Total Contributions | $534,610 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $104,940,411 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $104,940,411 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $104,940,411 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,111,580 | TotalRevenueColumnAmt |
| Exclusion | $3,111,580 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $121,546 | 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 | $121,546 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $121,546 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $121,546 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $80,812,328 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $74,155,443 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,656,885 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,656,885 | TotalRevenueColumnAmt |
| Exclusion | $6,656,885 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| 340B PROGRAM | 900099 | $375,539 | $375,539 | |
| CAFETERIA | 900099 | $352,419 | $352,419 | |
| VENDING | 900099 | $5,429 | $5,429 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $185,037 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33,839 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $151,198 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $918,424 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $116,283,456 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $105,471,335 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,277,511 | 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 | $286,975 | TotalAmt |
| Program Services | $286,975 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,000 | TotalAmt |
| Program Services | $22,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,452,879 | TotalAmt |
| Program Services | $1,121,592 | ProgramServicesAmt |
| Management And General | $331,287 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,012,589 | TotalAmt |
| Program Services | $36,782,716 | ProgramServicesAmt |
| Management And General | $9,229,873 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,722,776 | TotalAmt |
| Program Services | $1,329,947 | ProgramServicesAmt |
| Management And General | $392,829 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,128,807 | TotalAmt |
| Program Services | $7,819,229 | ProgramServicesAmt |
| Management And General | $2,309,578 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,227,747 | TotalAmt |
| Program Services | $2,491,754 | ProgramServicesAmt |
| Management And General | $735,993 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,499 | TotalAmt |
| Program Services | $23,425 | ProgramServicesAmt |
| Management And General | $44,074 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,215,429 | TotalAmt |
| Program Services | $8,978,885 | ProgramServicesAmt |
| Management And General | $8,236,544 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $671,563 | TotalAmt |
| Program Services | $518,028 | ProgramServicesAmt |
| Management And General | $153,535 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $942,552 | TotalAmt |
| Program Services | $284,877 | ProgramServicesAmt |
| Management And General | $657,675 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,758,727 | TotalAmt |
| Program Services | $1,399,416 | ProgramServicesAmt |
| Management And General | $359,311 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $417,928 | TotalAmt |
| Program Services | $322,380 | ProgramServicesAmt |
| Management And General | $95,548 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $261,705 | TotalAmt |
| Program Services | $201,873 | ProgramServicesAmt |
| Management And General | $59,832 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $976,402 | TotalAmt |
| Program Services | $753,173 | ProgramServicesAmt |
| Management And General | $223,229 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,452,808 | TotalAmt |
| Program Services | $6,520,297 | ProgramServicesAmt |
| Management And General | $1,932,511 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $639,933 | TotalAmt |
| Program Services | $585,163 | ProgramServicesAmt |
| Management And General | $54,770 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES - MEDICAL AND | $16,017,170 | $15,993,946 | $23,224 |
| FOOD | $563,031 | $349,521 | $213,510 |
| DUES & SUB. | $397,381 | $306,530 | $90,851 |
| TRAINING/EDUCATION | $30,733 | $23,707 | $7,026 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,495,103 | TotalAmt |
| Program Services | $3,467,416 | ProgramServicesAmt |
| Management And General | $931,953 | ManagementAndGeneralAmt |
| Fundraising | $95,734 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,761,737 | TotalAmt |
| Program Services | $89,582,850 | ProgramServicesAmt |
| Management And General | $26,083,153 | ManagementAndGeneralAmt |
| Fundraising | $95,734 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,496,199 | BOYAmt |
| EOY | $2,613,602 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,501,852 | BOYAmt |
| EOY | $20,229,810 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,355,219 | BOYAmt |
| EOY | $1,480,031 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,839,815 | BOYAmt |
| EOY | $1,569,098 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $151,702,483 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $89,751,287 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,862,612 | BOYAmt |
| EOY | $61,951,196 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,470,580 | BOYAmt |
| EOY | $81,471,056 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $307,171 | BOYAmt |
| EOY | $350,192 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,833,448 | BOYAmt |
| EOY | $169,664,985 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,507,844 | BOYAmt |
| EOY | $18,336,852 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,747,505 | BOYAmt |
| EOY | $20,876,696 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,250,000 | BOYAmt |
| EOY | $4,000,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,339,547 | BOYAmt |
| EOY | $3,836,325 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,844,896 | BOYAmt |
| EOY | $47,049,873 | 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 | $118,932,062 | BOYAmt |
| EOY | $122,472,487 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,490 | BOYAmt |
| EOY | $142,625 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,988,552 | BOYAmt |
| EOY | $122,615,112 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,833,448 | BOYAmt |
| EOY | $169,664,985 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $521,719 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,321,785 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$216,944 | 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 | 0 | FederalGrantAuditRequiredInd |
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 | $5,926 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,926 | 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 | PORTION OF ANNUAL MEMBERSHIP DUES PAID TO TRADE ASSOCIATIONS ALLOCATED TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $71,470,580 | BeginningYearBalanceAmt |
| Contributions | $147,770 | ContributionsAmt |
| Investment Earnings Or Losses | $9,914,341 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $61,635 | OtherExpendituresAmt |
| End Year Balance | $81,471,056 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $82,670,632 | BeginningYearBalanceAmt |
| Contributions | $12,504 | ContributionsAmt |
| Investment Earnings Or Losses | -$11,193,041 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $19,515 | OtherExpendituresAmt |
| End Year Balance | $71,470,580 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $77,271,070 | BeginningYearBalanceAmt |
| Contributions | $28,981 | ContributionsAmt |
| Investment Earnings Or Losses | $5,393,680 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $23,099 | OtherExpendituresAmt |
| End Year Balance | $82,670,632 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $72,637,761 | BeginningYearBalanceAmt |
| Contributions | $31,767 | ContributionsAmt |
| Investment Earnings Or Losses | $4,623,338 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $21,796 | OtherExpendituresAmt |
| End Year Balance | $77,271,070 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $71,259,202 | BeginningYearBalanceAmt |
| Contributions | $13,867 | ContributionsAmt |
| Investment Earnings Or Losses | $1,377,146 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $12,454 | OtherExpendituresAmt |
| End Year Balance | $72,637,761 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.99820 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00180 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,798,684 | OtherCostOrOtherBasisAmt |
| Book Value | $5,798,684 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $80,508,125 | OtherCostOrOtherBasisAmt |
| Depreciation | $46,160,121 | DepreciationAmt |
| Book Value | $34,348,004 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $65,315,117 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,591,166 | DepreciationAmt |
| Book Value | $21,723,951 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $80,557 | OtherCostOrOtherBasisAmt |
| Book Value | $80,557 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $61,951,196 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DERIVATIVE LIABILITY | $1,380,683 |
| ESTIMATED THIRD-PARTY SETTLEMENT | $2,455,642 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,836,325 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ASSETS WHOSE USE IS LIMITED ARE ASSETS WHOSE USE IS LIMITED BY INTERNAL BOARD DESIGNATION INCLUDING CASH AND CASH EQUIVALENTS, ACCRUED INTEREST RECEIVABLE, AND MARKET SECURITIES WHICH ARE BEING USED FOR CAPITAL IMPROVEMENTS, RETIREMENT PLAN, AND FOR DEBT SERVICE PAYMENTS. TEMPORARILY RESTRICTED NET ASSESTS ARE THE FUNDS WHOSE USE HAS BEEN LIMITED BY EXTERANAL SOURCES FOR A SPECIFIC TIME PERIOD OR PURPOSE WHICH ARE BEING USED FOR SCHOLARSHIPS AND OTHER HOSPITAL PROGRAMS. |
| PART X, LINE 2: | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND THE FOUNDATION AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL AND FOUNDATION HAVE 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 HOSPITAL AND THE FOUNDATION, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 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. THE HOSPITAL AND FOUNDATION ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| 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) |
|---|---|---|
| Persons Served | 887 | PersonsServedCnt |
| Total Community Benefit Expns | $1,560,728 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,254 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,555,474 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01340 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,410,042 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,407,337 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,002,705 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03460 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 887 | PersonsServedCnt |
| Total Community Benefit Expns | $7,970,770 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,412,591 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,558,179 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04800 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 46 | ActivitiesOrProgramsCnt |
| Persons Served | 40758 | PersonsServedCnt |
| Total Community Benefit Expns | $1,943,734 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $132,650 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,811,084 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01560 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 108 | PersonsServedCnt |
| Total Community Benefit Expns | $218,284 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $218,284 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 60000 | PersonsServedCnt |
| Total Community Benefit Expns | $5,628,329 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,628,329 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04860 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 184 | PersonsServedCnt |
| Total Community Benefit Expns | $91,475 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $91,475 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 485 | PersonsServedCnt |
| Total Community Benefit Expns | $161,261 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $161,261 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 58 | ActivitiesOrProgramsCnt |
| Persons Served | 101535 | PersonsServedCnt |
| Total Community Benefit Expns | $8,043,083 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $132,650 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,910,433 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06830 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 58 | ActivitiesOrProgramsCnt |
| Persons Served | 102422 | PersonsServedCnt |
| Total Community Benefit Expns | $16,013,853 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,545,241 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,468,612 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11630 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 881 | PersonsServedCnt |
| Total Community Benefit Expns | $7,854 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,854 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 196 | PersonsServedCnt |
| Total Community Benefit Expns | $32,072 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,072 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 154 | PersonsServedCnt |
| Total Community Benefit Expns | $131,079 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $131,079 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 1231 | PersonsServedCnt |
| Total Community Benefit Expns | $171,005 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $171,005 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,840,856 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $24,151,001 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $24,978,218 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$827,217 | 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 | 0 | FinancialAssistancePrvsnInd |
| 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 | MARGARET MARY HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 MITCHELL AVENUE | AddressLine1Txt |
| City | BATESVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47006 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MMHEALTH.ORG | WebsiteAddressTxt |
| State License | 18-004718-1 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARGARET MARY 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 |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 19 | 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 | SEE PART V, PAGE 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 8 | 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 | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| 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 | SEE PART V, PAGE 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | 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 (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MARGARET MARY HEALTH | PART V, SECTION B, LINE 3J: HEALTHY PEOPLE PROVIDES SCIENCE-BASED, 10-YEAR NATIONAL OBJECTIVES FOR IMPROVING THE HEALTH OF ALL AMERICANS. THE HEALTHY PEOPLE INITIATIVE IS GROUNDED IN THE PRINCIPLE THAT SETTING NATIONAL OBJECTIVES AND MONITORING PROGRESS CAN MOTIVATE ACTION. FOR THREE DECADES, HEALTHY PEOPLE HAS ESTABLISHED BENCHMARKS AND MONITORED PROGRESS OVER TIMEIN ORDER TO:-ENCOURAGE COLLABORATIONS ACROSS SECTORS.-GUIDE INDIVIDUALS TOWARD MAKING INFORMED HEALTH DECISIONS.-MEASURE THE IMPACT OF PREVENTION ACTIVITIES.HEALTHY PEOPLE 2020 IS THE PRODUCT OF AN EXTENSIVE STAKEHOLDER FEEDBACK PROCESS THAT IS UNPARALLELED IN GOVERNMENT AND HEALTH. IT INTEGRATES INPUT FROM PUBLIC HEALTH AND PREVENTION EXPERTS, A WIDE RANGE OF FEDERAL, STATE AND LOCAL GOVERNMENT OFFICIALS, A CONSORTIUM OF MORE THAN 2,000 ORGANIZATIONS, AND PERHAPS MOST IMPORTANTLY, THE PUBLIC. MORE THAN 8,000 COMMENTS WERE CONSIDERED IN DRAFTING A COMPREHENSIVE SET OF HEALTHY PEOPLE 2020 OBJECTIVES. |
| MARGARET MARY HEALTH | PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS GATHERED THROUGH FOCUS GROUPS AND PHONE SURVEYS. |
| MARGARET MARY HEALTH | PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND ON THE HOSPITAL'S WEBPAGE VIA THE FOLLOWING: COMMUNITY> COMMUNITY NEEDS ASSESSMENT. THE DOWNLOADS FOR THE FOLLOWING CAN BE FOUND: 2019 CHNA AND IMPLEMENTATION PLAN, 2016 CHNA AND IMPLEMENTATION PLAN AND THE 2013 CHNA. HTTPS://WWW.MMHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-ASSESSMENT/. |
| MARGARET MARY HEALTH | PART V, SECTION B, LINE 11: PART V, SECTION B, LINE 11: THE 2016 IMPLEMENTATION PLAN 2017-2019 WILL BE ADDRESSING 11 NEEDS IDENTIFIED IN THE 2016 CHNA REPORT. THE BELOW LISTS WHAT ACTIONS WERE TAKEN IN 2019 FOR EACH IDENTIFIED HEALTH NEED:IDENTIFIED HEALTH NEED: SUBSTANCE ABUSEACTIONS TAKEN: 1. FOCUSED ON FOLLOWING YOUTH PROGRAMMING IN THE SCHOOLS TO ADDRESS ALCOHOL, TOBACCO, MARIJUANA AND OTHER DRUGS:- GET REAL ABOUT TOBACCO- MARIJUANA PROGRAM- GENERATION RX- BOUNCE- HIDDEN IN PLAIN SITE- RED RIBBON GRANTS- NEON NIGHT- FAMILY FUN NIGHT2. PROVIDED DRUG SCREENING KITS FOR HOME USE AT MULTIPLE COMMUNITY SITES.3. COMMUNITY EDUCATION AND AWARENESS ON MEDICATION STORAGE AND PROPER DISPOSAL INCLUDING LOCK BOX SALES.4. DRUG COLLECTION SITES AT 4 PERMANENT LOCALS AND SEVERAL TAKE-BACK EVENTS IN FRANKLIN AND RIPLEY COUNTY.INVESTIGATED OTHER OPTIONS FOR DISPOSAL. BEGAN USING DISPOSE RX IN 2019.5. PROVIDED DRUG TESTING OPTIONS TO INCLUDE URINE, SALVIA AND HAIR TESTING THROUGH OCCUPATIONAL HEALTH AND WELLNESS CENTER FOR LOCAL EMPLOYERS. 6. PROVIDED EDUCATION ON BENEFITS OF DRUG SCREENING IN THE WORKPLACE.7. INCREASED THE SHARP DISTRIBUTION SITES AND DROP OFF LOCATIONS TO INCLUDE BROOKVILLE AND OSGOOD IN 2018. 8. SHARPS PROJECT FOR PUBLIC PLACES LAUNCHED IN 2018.7. SEEK SURVEY IN OB/GYN PRACTICES INCLUDING DR. BAUER. 8. CONTINUED PRENATAL URINE DRUG SCREEN TESTING IN OB DEPARTMENT. 9. REFERRAL TO ADDICTION SERVICES FOR ALL MOTHERS WHO TEST POSITIVE FOR DRUGS PRENATALLY.10. OFFERED MEDICATION ASSISTED TREATMENT (MAT) AND INTENSIVE OUTPATIENT PROGRAM (IOP) IN VERSAILLES. 11. OUTPATIENT ADDICTION COUNSELING SERVICE OFFERED IN BATESVILLE AND BROOKVILLE. 12. HAD A "ONE CALL" PARTNERSHIP WITH INPATIENT FACILITY IN CINCINNATI; HOWEVER, THAT COLLABORATION ENDED JULY 2019.IDENTIFIED HEALTH NEED: NUTRITION, PHYSICAL ACTIVITY & WEIGHTACTIONS TAKEN:1. DEVELOPED ACTION- BASED COMMUNITY TASK FORCE IN OSGOOD.2. HRM WEIGHT MANAGEMENT PROGRAM.3. SLIM DOWN NOW PROGRAM HELD 3 TIMES. 4. IBT PROVIDED IN EACH PRIMARY CARE OFFICE: OSGOOD, MAC, MMPC, BROOKVILLE, MILAN.5. HOSTED 2 SEASONS OF GIRLS ON THE RUN WITH 2 5-KS IN SCHOOLS IN DECATUR, FRANKLIN AND RIPLEY COUNTIES.6. HOSTED THE FIRST TEE PROGRAM WITH A LOCAL GOLF COURSE. 7. FARM FIT WITH A LOCAL FARM AND SCHOOLS IN FRANKLIN AND RIPLEY COUNTY.8. SCHOOL GARDENS (INDOOR AND OUTDOOR) WITH LOCAL SCHOOLS.9. HOSTED BABY UNDER CONSTRUCTION PROGRAM FOR PREGNANT WOMEN.10. OFFERED MID-WEEK MARKET IN JULY AND AUGUST AT THE ONCOLOGY CENTER. 11. IN JUNE 2018 LAUNCHED EAT WELL LIVE WELL WHICH PROVIDES NUTRITION AND CALORIE INFORMATION TO PROMOTE HEALTHY CHOICES IN MMH CAFETERIA.12. FINANCIALLY SUPPORTED FARMER TRAINING INITIATIVE (3- YEAR COMMITMENT). OFFER FRESH LOCALLY SOURCED PRODUCE IN MMH CAFE.13. DEVELOPED A MALNUTRITION CARE MODEL IN LATE 2018 WHICH PROVIDED A NUTRITIONAL CARE PLAN ON DISCHARGE.14. MEDICAL EXERCISE PROGRAM CONTINUED. 15. WALKING CLUB PROGRAM IN THE LOCAL SCHOOLS DURING WINTER MONTHS.16. NEON NIGHT AT THE LOCAL SCHOOLS.IDENTIFIED HEALTH NEED: HEART DISEASE & STROKEACTIONS TAKEN:1. COMPLETED ANNUAL WELLNESS VISITS AND REFER TO APPROPRIATE RESOURCES TO PROMOTE HEALTH AND PREVENTATIVE SERVICES.2. VASCULAR SCREENING.3. CHOLESTEROL/BLOOD PRESSURE SCREENINGS. REFER ALL SCREENING PARTICIPANTS BACK TO PCP FOLLOWING STANDARDIZED SCREENING GUIDELINES.4. TELE-CARDIOLOGY SERVICES. 5. TELE-CARDIOLOGY CONSULT SERVICES FOR MS/SCA AND ER.6. HOSTED THE ANNUAL COMMUNITY BASED EDUCATIONAL EVENT. 7. FAST AND STROKE PREVENTION FOCUS AT HEALTH FAIRS.8. CHEST PAIN NETWORK.9. STROKE READY CERTIFICATION (INITIAL IN 2017) AND RECERTIFIED IN 2019 FROM JOINT COMMISSION.10. CONTINUED TO UTILIZE TELESTROKE11. CPR AND AED TRAINING THROUGHOUT RIPLEY AND FRANKLIN COUNTIES.12. CONTINUED TO PROVIDE A NURSE PRACTITIONER IN LOCAL NURSING HOME TO DECREASE RE-ADMISSIONS.IDENTIFIED HEALTH NEED: DIABETESACTIONS TAKEN:1. PROVIDED A1C AND GLUCOSE SCREENING THROUGHOUT RIPLEY COUNTY AND FRANKLIN COUNTY. 2. CONTINUED ANNUAL WELLNESS VISITS AND REFER TO APPROPRIATE RESOURCES TO PROMOTE HEALTH AND PREVENTATIVE SERVICES.3. PROVIDED DIABETES EDUCATION SERVICES IN PCP OFFICES AND IN THE OUTPATIENT SETTING IN GROUP AND INDIVIDUAL SESSIONS.IDENTIFIED HEALTH NEED: CANCERACTIONS TAKEN:1. PROVIDED LOW DOSE CT FOLLOWING RECOMMENDED STANDARDS OF CARE.2. PROVIDED FOBT SCREENING THROUGHOUT RIPLEY COUNTY AND FRANKLIN COUNTY.3. EDUCATIONAL AND AWARENESS EVENT OFFERED IN MARCH ANNUALLY IN RC AND FC.4. PATIENT PORTAL REMINDERS FOLLOWING CANCER SCREENING RECOMMENDATIONS. 5. PROVIDED PSA SCREENING IN RIPLEY COUNTY AND FRANKLIN COUNTY. 6. PROMOTED FREE MAMMOGRAM SCREENINGS TO THOSE WHO MEET THE FINANCIAL CRITERIA.7. EDUCATIONAL AND AWARENESS EVENT ANNUALLY IN RC AND FC IN OCTOBER.8. PROVIDED HPV VACCINE THROUGH SCHOOL CLINICS AND OFFER DURING ROUTINE VACCINE VISITS. 9. NURSE NAVIGATION PROGRAM.10. SURVIVORSHIP PROGRAM.IDENTIFIED HEALTH NEED: MENTAL HEALTHACTIONS TAKEN:1. BEHAVIORAL HEALTH OFFERED IN BATESVILLE AND BROOKVILLE. 2. STRESS MANAGEMENT SERIES3. DEPRESSION SCREENING IN PCP OFFICE WITH REFERRAL TO BEHAVIORAL HEALTH SERVICES.4. AUTISM EARLY EVALUATION HUB IN PEDIATRICS OFFICE. IDENTIFIED HEALTH NEED: TOBACCO USEACTIONS TAKEN:1. TOBACCO PREVENTION PROGRAMS IN THE SCHOOLS. 2. TOBACCO USE ASSESSMENT AND COUNSELING IN BEHAVIORAL HEALTH.3. ADHOC FORM AVAILABLE IN CERNER THAT PRIMARY CARE PROVIDERS UTILIZE IF A PATIENT WANTS TO QUIT.4. PROMOTED QUIT LINE.5. BABY ME & TOBACCO FREE PROGRAM OR TO IMPLEMENT SIMILAR PROGRAM.6. BABY AND ME TOBACCO FREE PROGRAM GRANT RECEIVED AND WENT LIVE IN 2019.7. ADDRESSED TOBACCO STATUS DURING ANNUAL WELLNESS VISIT.IDENTIFIED HEALTH NEED: RESPIRATORY DISEASEACTIONS TAKEN:1. OFFERED INFLUENZA AND PNEUMOCOCCAL VACCINES AT OCCUPATIONAL HEALTH AND WELLNESS AND IN ALL PRIMARY CARE OFFICES.2. PULMONARY SERVICES IN BATESVILLE.3. SLEEP MEDICINE SERVICES. IDENTIFIED HEALTH NEED: ACCESS TO HEALTHCARE SERVICESACTIONS TAKEN: 1. EXPANSION OSGOOD HEALTH CENTER TO INCLUDE MINOR CARE, LAB SERVICES AND IMAGING.2. NEW PRIMARY CARE FACILITY IN MILAN.3. IMPLEMENTATION PLAN FOR A WORKPLACE CLINIC MODEL AT BATESVILLE TOOL AND DIE.4. SERVED AS A SITE FOR INTERNSHIPS FOR MEDICAL STUDENTS.5. IMPLEMENTED TELEHEALTH SERVICE IN SOUTH RIPLEY SCHOOL SYSTEM. 6. INITIATED A MULTI-DISCIPLINARY TEAM TO FOCUS ON POST ACUTE CARE (PAC) PROGRAM. 7. FINANCIAL ASSISTANCE PLAN AVAILABLE FOR THOSE IN NEED. 8. PROVIDED ASSISTANCE WITH ENROLLMENT INTO HEALTHCARE PLANS THROUGH SOCIAL SERVICES AND CLAIM AID.9. LAUNCHED A TRANSPORTATION PROGRAM - MMHEALTH RIDES.IDENTIFIED HEALTH NEED: INJURY & VIOLENCEACTIONS TAKEN: 1. CERTIFIED CARE SEAT STATION.2. BIKE SAFETY PRESENTATION IN EVERY SCHOOL SYSTEM IN FRANKLIN AND RIPLEY COUNTY.3. BIKE HELMET SALES AT MMH AND THROUGH COMMUNITY EVENTS. 4. NARCAN PROGRAM FOR LAW ENFORCEMENT TO INCLUDE TRAINING AND KITS.5. PROVIDED CPR TRAINING AND RESCUE BREATHING. IDENTIFIED HEALTH NEED: ORAL HEALTHACTIONS TAKEN: 1. SUPPORTED SEIHC EFFORTS TO MOVE TOWARDS A COMPONENT OF DENTAL SERVICES PROGRAM LAUNCHED IN 2019IDENTIFIED HEALTH NEED: DEMENTIAACTIONS TAKEN: 1. PROVIDED EDUCATION AND AWARENESS ABOUT THE NEED FOR ADVANCE DIRECTIVES.IDENTIFIED HEALTH NEED: POTENTIALLY DISABLING CONDITIONSACTIONS TAKEN: 1. ERGONOMICS PROGRAM AVAILABLE. |
| MARGARET MARY HEALTH: | SCHEDULE H, PART V, LINE 7A:HTTPS://WWW.MMHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-ASSESSMENT/ |
| MARGARET MARY HEALTH: | SCHEDULE H, PART V, LINE 10A:HTTPS://WWW.MMHEALTH.ORG/WP-CONTENT/UPLOADS/COMMUNITY-HEALTH-NEEDS-IMPLEMENTATION-PLAN-FINAL.PDF |
| MARGARET MARY HEALTH: | SCHEDULE H, PART V, LINE 16A:FAP WEBSITE: HTTPS://WWW.MMHEALTH.ORG/FOR-PATIENTS/BILL-PAYMENT/FINANCIAL-ASSISTANCE |
| MARGARET MARY HEALTH: | SCHEDULE H, PART V, LINE 16B:FAP APPLICATION WEBSITE: HTTPS://WWW.MMHEALTH.ORG/FOR-PATIENTS/BILL-PAYMENT/FINANCIAL-ASSISTANCE |
| MARGARET MARY HEALTH: | SCHEDULE H, PART V, LINE 16C:FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.MMHEALTH.ORG/FOR-PATIENTS/BILL-PAYMENT/FINANCIAL-ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - OUTPATIENT & CANCER TREATMENT CENTER | ||||
| 24 SIX PINE RANCH RD | BATESVILLE | IN | 47006 | OUTPATIENT & CANCER TREATMENT |
| 2 - REHABILITATION CENTER | ||||
| 206 ST RD 129 S | BATESVILLE | IN | 47006 | THERAPY |
| 3 - OCCUPATIONAL HEALTH SERVICES & WELLNESS | ||||
| 1051 ST RD 229 N | BATESVILLE | IN | 47006 | CLINIC |
| 4 - PHYSICIAN CENTER | ||||
| 26 SIX PINE RANCH RD | BATESVILLE | IN | 47006 | OBGYN/SURGERY/PRIMARY CARE |
| 5 - ORTHOPAEDIC & SPECIALTY CENTER | ||||
| 256 ST RD 129 S | BATESVILLE | IN | 47006 | ORTHOPAEDIC & SPECIALTY |
| 6 - HOME HEALTH & HOSPICE | ||||
| 108 N ELM ST | BATESVILLE | IN | 47006 | HOME HEALTH AND HOSPICE |
| 7 - HMR CLINIC | ||||
| 121 S DEPOT ST STE 1 | BATESVILLE | IN | 47009 | CLINIC |
| 8 - MEDICAL ARTS CENTER | ||||
| 188 STATE RD 129 S | BATESVILLE | IN | 47006 | PRIMARY CARE |
| 9 - PHYSICIAN PARTNERS OF OSGOOD | ||||
| 112 N BUCKEYE ST | OSGOOD | IN | 47037 | PRIMARY CARE |
| 10 - HEALTH CENTER OF BROOKVILLE | ||||
| 11137 US 52 | BROOKVILLE | IN | 47012 | PRIMARY CARE |
| 11 - MARGARET MARY PHYSICIAN PARTNERS OF MILA | ||||
| 930 NORTH MAIN ST | MILAN | IN | 47031 | PRIMARY CARE |
| 12 - PROFESSIONAL CENTER | ||||
| 1033 STATE RD 229 N | BATESVILLE | IN | 47006 | OUTPATIENT & SPECIALTY MEDICINE |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ADDITION TO FPG, THE ORGANIZATION USED THE FOLLOWING METHODS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE: ASSET LEVEL, MEDICIAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY. |
| PART I, LINE 7: | THE COST TO CHARGE RATIO METHOD WAS USED TO CALCULATE THE CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST. |
| PART I, LINE 7G: | THE ORGANIZATION DOES NOT INCLUDE ANY COST ATTRIBUTABLE TO A PHYSICIAN CLINIC IN THE SUBSIDIZED HEALTH SERVICES COSTS. |
| PART I, LN 7 COL(F): | TOTAL BAD DEBT EXPENSE OF $0 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A HAS BEEN EXCLUDED FROM THE DENOMINATOR FOR THE PERCENTAGE CALCULATION PER IRS INSTRUCTION. EFFECTIVE WITH THE ADOPTION OF ASU 2011-07, THE STANDARD REQUIRES CERTAIN HEALTHCARE ENTITIES TO PRESENT THE PROVISION FOR BAD DEBT RELATING TO PATIENT SERVICE REVENUE AS A DEDUCTION FROM PATIENT SERVICE REVENUE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | MMH SUPPORTS COMMUNITY BUILDING BY PARTICIPATING AND BEING AN ACTIVE PARTNER IN EMERGENCY PREPAREDNESS. MMH PROMOTES BUILDING THE FUTURE OF HEALTHCARE BY DEVELOPING MENTOR AND CAREER DEVELOPMENT PROGRAMS IN THE HEALTHCARE FIELD. MMH ALSO HAS A RECRUITMENT PLAN TO ENSURE ACCESS TO THE MEDICAL CARE. |
| PART III, LINE 2: | PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON THE HOSPITAL'S EVALUATION OF ITS MAJOR PAYOR SOURCES OF REVENUE, THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO ITS SERVICE AREA AND THE HEALTHCARE INDUSTRY. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PAYMENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. |
| PART III, LINE 3: | NO OTHER BAD DEBT AMOUNTS HAVE BEEN INCLUDED AS COMMUNITY BENEFIT. THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN FINANCIAL ASSISTANCE, CANDIDATES MUST COOPERATE FULLY. IN ADDITION, THE HOSPITAL EDUCATES PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. FOR THIS REASON, THE ORGANIZATION BELIEVES IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS NEGLIGIBLE. |
| PART III, LINE 4: | AUDITED FINANCIAL STATEMENT BAD DEBT FOOTNOTE CAN BE FOUND ON PAGE 10 AND 11 UNDER THE HEADING OTHER PAYMENT ARRANGEMENTS. |
| PART III, LINE 8: | THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED DECEMBER 31, 2019 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST. |
| PART VI, LINE 2: | MMH COMPLETES A COMMUNITY HEALTH ASSESSMENT EVERY 3 YEARS WHICH INCLUDES FOCUS GROUPS WITH LOCAL PARTNERS AND LEADERS. |
| PART VI, LINE 3: | MMH INFORMS AND EDUCATES PATIENTS AND PERSONS ABOUT ELIGIBILITY FOR ASSISTANCE WITH POSTED SIGNAGE IN ALL REGISTRATION AREAS AND ON OUR WEBSITE. |
| PART VI, LINE 4: | MARGARET MARY HEALTH'S PRIMARY AND SECONDARY SERVICE AREA INCLUDES ALL OF RIPLEY AND FRANKLIN COUNTIES AND PARTS OF DECATUR AND DEARBORN COUNTIES. WE SERVE PRIMARILY RURAL COMMUNITIES. AS OF 2019, THE TOTAL POPULATION FOR RIPLEY COUNTY WAS 28,372 WITH A MEDIAN HOUSEHOLD INCOME OF $55,560. 10.5% OF THE POPULATION IN RIPLEY COUNTY IS LIVING BELOW FEDERAL POVERTY LEVELS AND 7.4% OF INDIVIDUALS UNDER AGE 65 DO NOT HAVE HEALTH INSURANCE. AS OF 2018, THE TOTAL POPULATION FOR FRANKLIN COUNTY WAS 22,835 WITH A MEDIAN HOUSEHOLD INCOME OF $55,725. 9.9% OF THE POPULATION IN FRANKLIN COUNTY IS LIVING BELOW FEDERAL POVERTY LEVELS AND 9.9% OF INDIVIDUALS UNDER AGE 65 DO NOT HAVE HEALTH INSURANCE. THE PERCENT OF MMH SERVED PATIENTS ON MEDICAID IS ESTIMATED TO BE 12.8% AND THE PERCENT OF PATIENTS CONSIDERED 100% SELF-PAY WITH NO INSURANCE IS 4.1%. THERE ARE NO OTHER HOSPITALS LOCATED IN RIPLEY OR FRANKLIN COUNTIES TO PROVIDE SERVICES FOR PATIENTS. THERE IS ONE ADDITIONAL HOSPITAL TO MMH IN BOTH DECATUR AND DEARBORN COUNTIES PROVIDING SERVICES. IN BOTH FRANKLIN AND RIPLEY COUNTIES THERE ARE ONE OR MORE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THE COMMUNITIES. |
| PART VI, LINE 5: | MMH IS GOVERNED BY A COMMUNITY BOARD. MMCH OPERATES A 24 HOUR EMERGENCY ROOM. MMH COMPLETES A COMMUNITY ASSESSMENT AND A PLAN TO ADDRESS OUR COMMUNITY NEEDS. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IN |
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 | MARGARET MARY HEALTH FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 MITCHELL AVE | AddressLine1Txt |
| City | BATESVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47006 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 455039355 | RecipientEIN |
| IRC Section | 501C3 | IRCSectionDesc |
| Cash Grant | $286,975 | CashGrantAmt |
| Purpose Of Grant | IN-KIND EXPENSES PAID TO ASSIST THE FOUNDATION. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS: ELEVEN RECIPIENTS RECEIVED $1,000 AND FOUR RECEIVED $3,000 | GrantTypeTxt |
| Recipient | 14 | RecipientCnt |
| Cash Grant | $22,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ASSISTANCE TO ORGANIZATIONS: ALL GRANTS ARE PROVIDED TO 501(C)(3) PUBLIC CHARITIES FOR GENERAL SUPPORT. MARGARET MARY HEALTH DOES NOT MONITOR THE USE OF THESE FUNDS BY THESE PUBLIC CHARITIES. CURRENT YEAR SUPPORT WAS FOR EXPENSES PAID TO ASSIST MARGARET MARY HEALTH FOUNDATION. ASSISTANCE TO INDIVIDUALS: SCHOLARSHIP APPLICATIONS ARE REVIEWED BY SENIOR MANAGERS AND A HUMAN RESOURCE REPRESENTATIVE. CRITERIA REVIEWED INCLUDE GPA, DEGREE PURSUING, YEAR THEY WOULD GRADUATE AND THE NEED OF MMH. TO RECEIVE FUTURE INSTALLMENTS STUDENT MUST MAINTAIN MINIMUM 3.0 GPA AND PROVIDE A COPY OF TRANSCRIPTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TIMOTHY PUTNAM | ||||||||||||||
| PRESIDENT | $425,093 | $0 | $37,066 | $0 | $91 | $0 | $9,900 | $0 | $27,474 | $0 | $499,624 | $0 | $0 | $0 |
| BRIAN DAEGER | ||||||||||||||
| VP FINANCE | $264,325 | $0 | $0 | $0 | $140 | $0 | $9,530 | $0 | $21,358 | $0 | $295,353 | $0 | $0 | $0 |
| JULIE KEENE | ||||||||||||||
| VP PHYSICIAN SERVICES | $185,267 | $0 | $0 | $0 | $150 | $0 | $5,678 | $0 | $25,380 | $0 | $216,475 | $0 | $0 | $0 |
| LIZ LEISING | ||||||||||||||
| VP OUTPATIENT SERVICES | $186,847 | $0 | $0 | $0 | $0 | $0 | $7,188 | $0 | $18,118 | $0 | $212,153 | $0 | $0 | $0 |
| KIM INSCHO | ||||||||||||||
| VP HUMAN RESOURCES | $200,444 | $0 | $0 | $0 | $0 | $0 | $7,610 | $0 | $21,220 | $0 | $229,274 | $0 | $0 | $0 |
| JEFFREY HATCHER MD | ||||||||||||||
| PHYSICIAN | $620,998 | $0 | $19,300 | $0 | $85 | $0 | $28,900 | $0 | $35,940 | $0 | $705,223 | $0 | $0 | $0 |
| PAUL JARVIS MD | ||||||||||||||
| PHYSICIAN | $554,809 | $0 | $66,000 | $0 | $0 | $0 | $9,900 | $0 | $25,773 | $0 | $656,482 | $0 | $0 | $0 |
| JOHN GRYSPEERDT MD | ||||||||||||||
| PHYSICIAN | $238,812 | $0 | $186,483 | $0 | $0 | $0 | $9,900 | $0 | $25,580 | $0 | $460,775 | $0 | $0 | $0 |
| JON GEERS MD | ||||||||||||||
| PHYSICIAN | $426,271 | $0 | $88,470 | $0 | $92 | $0 | $9,900 | $0 | $23,215 | $0 | $547,948 | $0 | $0 | $0 |
| THOMAS BROWN MD | ||||||||||||||
| PHYSICIAN | $422,696 | $0 | $19,300 | $0 | $108 | $0 | $9,900 | $0 | $29,198 | $0 | $481,202 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| INDIANA HEALTH FACILITY FINANCING AUTHORITY | ||||||||
| A | 351611409 | 454798PAL | 2004-04-01 | $22,000,000 | SEE PART VI | 0 | 0 | 0 |
| INDIANA HEALTH FACILITY FINANCING AUTHORITY | ||||||||
| B | 351602316 | 000000000 | 2010-12-16 | $16,625,235 | SEE PART VI | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $22,000,000 | $264,000 | $21,736,000 | 2004 | 0 | 0 | Yes (1) | Yes (1) | ||
| B | $16,625,235 | $16,625 | $3,162,004 | 2012 | 0 | 0 | Yes (1) | Yes (1) | $8,625,235 | $4,821,371 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Business Name Line2HedgeProviderName/BusinessNameLine2Txt | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PIPER JAFFRAY | |||||||||||||
| A | 0 | 0 | Yes (1) | 0 | Yes (1) | Yes (1) | FINANCIAL PRODUCTS | 25.000000000000 | 0 | 0 | 0 | 0 | Yes (1) |
| (no name) | |||||||||||||
| B | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) | ||||
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART I, COLUMN (F), DESCRIPTION OF PURPOSE: | FormAndLineReferenceDesc |
| Explanation | BOND ISSUE (A): FINANCE ONCOLOGY AND OUTPATIENT CENTERS. BOND ISSUE (B): REFINANCE 2008 BONDS AND FINANCE 28,000 SQUARE FEET MEDICAL OFFICE BUILDING. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, ITEM C, DOING BUSINESS AS: | MARGARET MARY HEALTH MARGARET MARY HEALTH PARTNERS OSGOOD PRIMARY CARE MARGARET MARY HEALTH HOSPICE |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS MEMBERS. ALL ADULT RESIDENTS OF THE AREA SERVED BY MARGARET MARY HEALTH SHALL BE ELIGIBLE FOR MEMBERSHIP IN THE ORGANIZATION. ANY SUCH RESIDENT MAY BECOME A MEMBER BY PAYMENT OF THE ANNUAL MEMBERSHIP FEE PROVIDED FOR IN THE BY-LAWS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | EACH MEMBER WHOSE CURRENT ANNUAL MEMBERSHIP HAS BEEN PAID AT LEAST TEN DAYS IN ADVANCE OF ANY MEETING SHALL BE ENTITLED TO ONE VOTE AT ANY MEETING OF THE MEMBERS. THE MEMBERS OF THE ORGANIZATION ELECT THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT. THE FORM 990 IS THEN PRESENTED AND REVIEWED WITH THE FINANCE COMMITTEE. ONCE APPROVED BY THE FINANCE COMMITTEE, THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION C, LINE 19: | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY KIM INSCHO, MMH CORPORATE COMPLIANCE OFFICER. THE SCOPE OF THIS POLICY INCLUDES ALL BOARD AND FINANCE COMMITTEE MEMBERS, SENIOR MANAGEMENT OF MMH, AND ANY PHYSICIAN WHO HOLDS A MEDICAL DIRECTORSHIP POSITION AT MMH. THE POLICY IS IN PLACE TO IDENTIFY AND APPROPRIATELY DEAL WITH A CONFLICT OF INTEREST SITUATION THAT MAY EXIST. THE COVERED PERSONS ARE TO REFRAIN FROM TRANSACTIONS THAT COULD POTENTIALLY CREATE A CONFLICT OF INTEREST. A SELF DISCLOSURE FROM COVERED PERSONS TO KIM INSCHO, MMH CORPORATE COMPLIANCE OFFICER, IS REQUIRED ON ANY POTENTIAL CONFLICTS OF INTEREST. DEPENDING ON THE TYPE OF CONFLICT OF INTEREST, THE COVERED PERSON WOULD NOT PARTICIPATE IN ANY DELIBERATION OR DECISIONS ON SUCH TRANSACTIONS. THIS WOULD INCLUDE ABSTAINING FROM VOTING ON CERTAIN MATTERS. KIM INSCHO, MMH CORPORATE COMPLIANCE OFFICER, IS RESPONSIBLE FOR REVIEWING AND RESEARCHING THE CONFLICTS DISCLOSED. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PROCESS FOR DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS MADE BY THE INDEPENDENT BOARD OF DIRECTORS. THE BOARD THOROUGHLY REVIEWS COMPENSATION INFORMATION AND HIRES OUTSIDE CONSULTANTS TO ADVISE APPROPRIATE SALARY RANGES. THE DELIBERATION AND DECISION IS DOCUMENTED IN THE MINUTES. OTHER OFFICERS OR KEY EMPLOYEES COMPENSATION IS DETERMINED BY THE CEO. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR/PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,080,958. MANAGEMENT AND GENERAL EXPENSES 8,236,544. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,317,502. PROFESSIONAL FEES - MEDICAL: PROGRAM SERVICE EXPENSES 5,897,927. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,897,927. |
| FORM 990, PART XI, LINE 9: | NET UNREALIZED GAINS/(LOSSES) DERIVATIVE -216,944. |
| FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT: | THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARGARET MARY HEALTH FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 MITCHELL AVE | AddressLine1Txt |
| City | BATESVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47006 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455039355 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARGARET MARY COMMUNITY HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| 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 | 0 | 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 | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | 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 | 0 | 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 |
|---|---|---|
| MARGARET MARY HEALTH FOUNDATION | ||
| B | $286,975 | COST |
| MARGARET MARY HEALTH FOUNDATION | ||
| C | $187,926 | COST |