MARIETTA MEMORIAL HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: MARIETTA MEMORIAL HOSPITAL (EIN 31-4379509)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-14
IRS object ID: 202012279349300011
Schema version: 2018v3.2
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 J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-14T07:48:45-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	271235638	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	MCM CPAS & ADVISORS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	462 S FOURTH ST SUITE 2600	AddressLine1Txt
City	LOUISVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402023445	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	314379509	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARIETTA MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MARI	BusinessNameControlTxt
Phone	7403741641	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	401 MATTHEW STREET	AddressLine1Txt
City	MARIETTA	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45750	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DOUG FULL	PersonNm
Person Title	SR. DIRECTOR OF FINANCE	PersonTitleTxt
Phone	7403741641	PhoneNum
Signature	2020-08-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ELEANOR A LIVINGSTON CPA MST	PreparerPersonNm
PTIN	P00226461	PTIN
Phone	5027491900	PhoneNum
Preparation	2020-08-11	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	69.135.99.226	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-08-11	IPDt
IP Tm	16:04:23	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	BF48F59BDCE9C402A01D5F8161C9609B3C571C67	AtSubmissionCreationDeviceId
At Submission Filing Device Id	DE2A42B2A8A98B651B98EF25DA4D91E9EEF19621	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	SCOTT SILVESTRI	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	401 MATTHEW STREET	AddressLine1Txt
City	MARIETTA	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45750	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$480,178,910	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MHSYSTEM.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1929	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	WE ARE 2,600 STRONG AND THE COUNTY'S LARGEST EMPLOYER. WE ENHANCE THE QUALITY OF LIFE IN THE MID-OHIO VALLEY. WE NURTURE AND CARE FOR OUR COMMUNITY BY CARING FOR YOU, YOUR FRIENDS, NEIGHBORS AND RELATIVES 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS A YEAR. WE ARE QUALITY -- WITH ACCREDITATIONS, CERTIFICATIONS AND DESIGNATIONS TO EXPRESS, UTILIZE AND DEMONSTRATE OUR EXPERTISE. WE ARE TECHNOLOGY DRIVEN, WITH UP-TO-DATE AND CUTTING-EDGE DIAGNOSTIC CAPABILITIES. WE ARE A PILLAR IN THIS COMMUNITY WITH ROOTS FIRMLY PLANTED IN THE REGIONS WE SERVE. WE ARE AT YOUR DOORSTEP, WITH PROGRAMS AND EDUCATIONAL INFORMATION THAT PROMOTE GOOD HEALTH AND DISEASE PREVENTION. WE ARE VOLUNTEERS AT LOCAL COMMUNITY EVENTS. WE ARE ADVOCATES FOR SUPERIOR HEALTH CARE SYSTEMS. WE ARE TEACHERS, TRAINING FUTURE HEALTH CARE PROFESSIONALS. WE ARE COMPASSIONATE, CARING AND DEDICATED TO CREATING A HEALTH CARE SETTING IN WHICH QUALITY OF LIFE AND SERVICE EXCELLENCE ARE EXPERIENCED BY ALL.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2951	TotalEmployeeCnt
Total Volunteers	100	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$277,622	PYContributionsGrantsAmt
CY Contributions Grants	$226,198	CYContributionsGrantsAmt
PY Program Service Revenue	$430,122,596	PYProgramServiceRevenueAmt
CY Program Service Revenue	$460,884,178	CYProgramServiceRevenueAmt
PY Investment Income	$1,826,982	PYInvestmentIncomeAmt
CY Investment Income	$1,482,710	CYInvestmentIncomeAmt
PY Other Revenue	$17,409,288	PYOtherRevenueAmt
CY Other Revenue	$17,038,337	CYOtherRevenueAmt
PY Total Revenue	$449,636,488	PYTotalRevenueAmt
CY Total Revenue	$479,631,423	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$245,129,712	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$242,680,431	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$214,169,529	PYOtherExpensesAmt
CY Other Expenses	$228,142,418	CYOtherExpensesAmt
PY Total Expenses	$459,299,241	PYTotalExpensesAmt
CY Total Expenses	$470,822,849	CYTotalExpensesAmt
PY Revenues Less Expenses	-$9,662,753	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,808,574	CYRevenuesLessExpensesAmt
Total Assets BOY	$467,484,890	TotalAssetsBOYAmt
Total Assets EOY	$457,330,043	TotalAssetsEOYAmt
Total Liabilities BOY	$345,490,026	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$335,287,327	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$121,994,864	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$122,042,716	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	MARIETTA MEMORIAL HOSPITAL IS A NOT-FOR-PROFIT COMMUNITY HOSPITAL WHERE SERVICE EXCELLENCE AND CLINICAL QUALITY CREATE THE REGION'S BEST EXPERIENCE FOR PATIENTS AND THEIR FAMILIES, PHYSICIANS, THE COMMUNITY AND OUR EMPLOYEES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$352,212,583	ExpenseAmt
Revenue	$464,088,928	RevenueAmt
Desc	DURING THE TWELVE MONTHS ENDING SEPTEMBER 30, 2019 THE HOSPITAL PROVIDED 44,882 INPATIENT CARE DAYS, 215,262 HOURS OF OBSERVATION CARE, 11,771 SURGICAL CASES, 75,363 PHYSICAL THERAPY PROCEDURES, 35,203 EMERGENCY VISITS, 760 DELIVERIES, 70,496 CHEMOTHERAPY TREATMENTS, 26,496 RADIATION TREATMENTS, 13,565 WOUND CARE VISITS, 1,112 CARDIAC CATHERIZATIONS AND 195,784 IMAGING PROCEDURES. MARIETTA MEMORIAL BELIEVES IN MORE THAN PROVIDING THE BEST LOCAL HEALTHCARE. WE BELIEVE IN INVESTING IN OUR COMMUNITY, SUPPORTING OUR NEIGHBORS, OUR FAMILIES AND FRIENDS. OUR COMMITMENT IS TRULY TO OUR COMMUNITY - AS AN EMPLOYER, AS A CORPORATE CITIZEN AND AS A COMMUNITY RESOURCE AND AS A HEALTHCARE PROVIDER. TO THAT END, THE HOSPITAL, ITS PHYSICIANS, STAFF AND VOLUNTEERS EXTEND THEMSELVES WELL BEYOND PATIENT CARE. WE PROVIDE COMMUNITY CLINICAL SUPPORT SERVICES, WELLNESS EDUCATION, PROGRAMS, SUPPORT GROUPS, FINANCIAL SUPPORT TO LOCAL ORGANIZATIONS, AND OUR OWN PERSONAL TIME TO ENSURE THE HIGHEST QUALITY OF LIFE FOR EVERYONE WITHIN OUR COMMUNITY. WE CALL IT GIVING BACK.PART OF OUR MISSION EXTENDS TO WELLNESS EDUCATION AND HEALTH PREVENTION. WE SPEAK OUT IN OUR COMMUNITY, WE SPONSOR SUPPORT GROUPS, WE PROVIDE DOZENS OF WELLNESS PROGRAMS AND WE PROVIDE MONTHLY OPPORTUNITIES FOR FREE AND/OR LOW COST HEALTH SCREENINGS. THE HOSPITAL SUPPORTS PARTNERSHIPS, COMMUNITY HEALTH COALITIONS, AREA CHAMBERS OF COMMERCE, LOCAL NOT-FOR-PROFIT ORGANIZATIONS, LOCAL SCHOOLS AND GOVERNMENTS. ADDITIONALLY, MANY OF OUR STAFF MEMBERS, PHYSICIANS AND VOLUNTEERS DONATE THEIR TIME TO SERVE ON LOCAL BOARDS, COMMITTEES, AND ASSOCIATIONS. WE PROVIDE OPPORTUNITIES FOR LOCAL STUDENTS TO TRAIN WITHIN OUR HOSPITAL UNDER VARIOUS EDUCATIONAL PROGRAMS AND AGREEMENTS WITH AREA SCHOOL SYSTEMS. THIS SERVES BOTH THE STUDENTS AND THE COMMUNITY AS IT OFTEN INCREASES OUR SUPPLY OF LOCAL HEALTH CARE WORKERS.	Desc
Total Program Service Expenses	$352,212,583	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	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
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	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	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	274	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2951	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	16	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	0	MembersOrStockholdersInd
Election Of Board Members	0	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
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SCOTT SILVESTRI	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7403741641	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	401 MATTHEW STREET	AddressLine1Txt
City	MARIETTA	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45750	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
COLLEEN COOK
CHAIRMAN	1.00	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL ARCHER
VICE-CHAIRMAN	1.00	Yes (X)	Yes (X)	$0	$0	$0
JOSEPH COOPER MD
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$457,158	$20,741
THOMAS TUCKER
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL IADEROSA
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
JAMES BARENGO
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
THOMAS DANFORD DDS
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
GREGG EMRICK
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
CHARLOTTE HATFIELD PHD
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
JOHN LEE MD
BOARD MEMBER- PHYSICIAN TR	1.00	Yes (X)		$0	$592,270	$38,851
TERRY RATAICZAK
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
LARRY UNROE
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
SHERYL HOLDREN
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
MATTHEW MACATOL MD
PRESIDENT	1.00	Yes (X)		$26,667	$0	$0	3.00
STEPHEN KEISER
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
SCOTT SILVESTRI
CFO	40.00		Yes (X)	$284,299	$0	$21,826
J SCOTT CANTLEY
CEO	40.00		Yes (X)	$1,039,719	$0	$55,886
DEEANN GELAUF
SR VP BUSINESS	40.00			$335,727	$0	$37,547		Yes (X)
KEVIN MALCOMB
VP POST ACUTE	40.00			$234,955	$0	$20,229		Yes (X)
PAIGE SMITH
VP NURSING	40.00			$299,643	$0	$35,712		Yes (X)
PAUL WESTBROCK
VP LEGAL	40.00			$362,342	$0	$37,894		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,583,352	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,049,428	TotReportableCompRltdOrgAmt
Total Other Compensation	$268,686	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	37	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
PROLINK HEALTHCARE
10700 MONTGOMERY ROAD	CINCINNATI	OH	45242	RN STAFFING	$4,690,014
MORRISON HEALTHCARE
PO BOX 102289	ATLANTA	GA	30368	FOOD SERVICE	$3,422,040
BRADLEY PAYNE
PO BOX 534	WATERFORD	OH	45787	ARCHITECT	$3,389,885
REVMD
1111 PASQUINELLI DR SUITE 400	WESTMONT	IL	60559	BILLING	$3,019,670
WEATHERBY LOCUMS
PO BOX 972633	DALLAS	TX	75397	MEDICAL STAFFING	$2,490,028

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	273	CntrctRcvdGreaterThan100KCnt
Related Organizations	$226,198	RelatedOrganizationsAmt
Total Contributions	$226,198	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVENUE	Desc
Business	623000	BusinessCd
Total Revenue Column	$460,884,178	TotalRevenueColumnAmt
Related Or Exempt Func Income	$460,884,178	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$460,884,178	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,482,710	TotalRevenueColumnAmt
Exclusion	$1,482,710	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$209,800	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$547,487	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$337,687	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$337,687	TotalRevenueColumnAmt
Exclusion	-$337,687	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHARMACY 340B	900099	$13,642,714	$13,642,714
INVESTMENT IN AFFILIATES	900099	$2,722,060		$2,722,060
OTHER REVENUE	900099	$528,560	$528,560

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$482,690	TotalRevenueColumnAmt
Related Or Exempt Func Income	$482,690	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$17,376,024	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$479,631,423	TotalRevenueColumnAmt
Related Or Exempt Func Income	$464,088,928	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$15,316,297	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,583,352	TotalAmt
Management And General	$2,583,352	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$190,705,556	TotalAmt
Program Services	$160,358,124	ProgramServicesAmt
Management And General	$30,347,432	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,203,055	TotalAmt
Program Services	$3,446,505	ProgramServicesAmt
Management And General	$756,550	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$33,479,641	TotalAmt
Program Services	$27,466,629	ProgramServicesAmt
Management And General	$6,013,012	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,708,827	TotalAmt
Program Services	$9,074,603	ProgramServicesAmt
Management And General	$2,634,224	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$399,792	TotalAmt
Management And General	$399,792	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$44,450	TotalAmt
Management And General	$44,450	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$536,648	TotalAmt
Program Services	$10,156	ProgramServicesAmt
Management And General	$526,492	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$583,955	TotalAmt
Program Services	$168,456	ProgramServicesAmt
Management And General	$415,499	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,363,987	TotalAmt
Program Services	$202,574	ProgramServicesAmt
Management And General	$1,161,413	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,834,468	TotalAmt
Program Services	$81,275	ProgramServicesAmt
Management And General	$14,753,193	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$614,272	TotalAmt
Program Services	$237,032	ProgramServicesAmt
Management And General	$377,240	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$11,053,184	TotalAmt
Management And General	$11,053,184	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,397,877	TotalAmt
Program Services	$453,611	ProgramServicesAmt
Management And General	$15,944,266	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,244,355	TotalAmt
Program Services	$290,381	ProgramServicesAmt
Management And General	$3,953,974	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$77,445,540	$75,520,615	$1,924,925
PURCHASED SERVICES	$47,686,261	$26,884,235	$20,802,026
BAD DEBTS	$36,571,347	$36,571,347
MISC	$6,993,012	$3,443,593	$3,549,419

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,373,270	TotalAmt
Program Services	$8,003,447	ProgramServicesAmt
Management And General	$1,369,823	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$470,822,849	TotalAmt
Program Services	$352,212,583	ProgramServicesAmt
Management And General	$118,610,266	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$25,511,314	BOYAmt
EOY	$32,856,748	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$86,360,071	BOYAmt
EOY	$81,375,528	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$219,949	BOYAmt
EOY	$198,462	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,687,331	BOYAmt
EOY	$7,680,179	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$20,156,882	BOYAmt
EOY	$29,291,210	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$431,452,863	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$230,924,781	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$206,328,298	BOYAmt
EOY	$200,528,082	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$50,268,966	BOYAmt
EOY	$42,584,529	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,164,251	BOYAmt
EOY	$6,942,918	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$63,787,828	BOYAmt
EOY	$55,872,387	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$467,484,890	BOYAmt
EOY	$457,330,043	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$83,716,925	BOYAmt
EOY	$71,336,543	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$209,682,338	BOYAmt
EOY	$202,191,622	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,000,000	BOYAmt
EOY	$10,000,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$42,090,763	BOYAmt
EOY	$51,759,162	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$345,490,026	BOYAmt
EOY	$335,287,327	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$120,217,123	BOYAmt
EOY	$120,171,658	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,777,741	BOYAmt
EOY	$1,871,058	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$121,994,864	BOYAmt
EOY	$122,042,716	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$467,484,890	BOYAmt
EOY	$457,330,043	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,808,574	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$8,760,722	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)
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$13,001	OtherActivitiesAmt
Total Lobbying Expenditures	$13,001	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	THE HOSPITAL PAYS DUES TO THE OHIO HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. THE AMOUNT REPORTED REPRESENTS THE PORTION OF THOSE DUES USED BY THE NAMED ORGANIZATIONS FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,308,565	OtherCostOrOtherBasisAmt
Book Value	$4,308,565	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$243,991,071	OtherCostOrOtherBasisAmt
Depreciation	$99,825,314	DepreciationAmt
Book Value	$144,165,757	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$183,153,227	OtherCostOrOtherBasisAmt
Depreciation	$131,099,467	DepreciationAmt
Book Value	$52,053,760	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$200,528,082	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENTS-OTH SECS (DETAIL) 990	Desc
Book Value	$42,584,529	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$42,584,529	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
ESTIMATED THIRD-PARTY SETTLEMENTS	$4,542,458
DUE FROM RELATED ORGANIZATION	$31,975,052
DEFERRED COMPENSATION	$16,095,774
INTEREST IN MHF	$1,621,058
OTHER	$1,638,045

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$55,872,387	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO RELATED ORGANIZATIONS	$1,118,441
ACCRUED PENSION COST	$33,257,624
DEFERRED COMPENSATION PLAN ASSETS	$16,095,774
CAPITAL LEASES	$1,287,323

Field	Value	IRS element (for citing)
Total Liability	$51,759,162	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

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
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
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	26831	PersonsServedCnt
Total Community Benefit Expns	$11,131,605	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,131,605	NetCommunityBenefitExpnsAmt
Total Expense	0.02360	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	69562	PersonsServedCnt
Total Community Benefit Expns	$64,784,216	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,680,688	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,103,528	NetCommunityBenefitExpnsAmt
Total Expense	0.05760	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	96393	PersonsServedCnt
Total Community Benefit Expns	$75,915,821	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,680,688	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,235,133	NetCommunityBenefitExpnsAmt
Total Expense	0.08120	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,513,464	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$98,228	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,415,236	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,641,789	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,051,668	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,590,121	NetCommunityBenefitExpnsAmt
Total Expense	0.00550	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,155,253	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,149,896	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,005,357	NetCommunityBenefitExpnsAmt
Total Expense	0.00850	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	96393	PersonsServedCnt
Total Community Benefit Expns	$81,071,074	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,830,584	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,240,490	NetCommunityBenefitExpnsAmt
Total Expense	0.08970	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$36,571,347	BadDebtExpenseAmt
Reimbursed By Medicare	$100,834,765	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$114,870,727	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$14,035,962	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 MARIETTA SURGERY CENTER
OUTPATIENT SURGERY	0.53000	0.47000
2 MARIETTA OCCUPATIONAL HEALTH PARTNERS
OCCUP. HEALTH	0.51000	0.49000
3 MARIETTA HOME HEALTH AND HOSPICE LLC
HOME HEALTH AND HOSPICE CARE	0.50000	0.00000

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARIETTA MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	401 MATTHEW ST	AddressLine1Txt
City	MARIETTA	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45750	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MHSYSTEM.ORG/MMH	WebsiteAddressTxt
State License	1289	StateLicenseNum
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MARIETTA MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	17	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	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	WWW.MHSYSTEM.ORG/HEALTHASSESSMENT	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.MHSYSTEM.ORG/HEALTHASSESSMENT	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	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
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	HTTPS://WWW.MHSYSTEM.ORG/FINANCIALASSISTANCE#ANCHOR-FINANCIALASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.MHSYSTEM.ORG/FINANCIALASSISTANCE#ANCHOR-FINANCIALASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.MHSYSTEM.ORG/FINANCIALASSISTANCE#ANCHOR-FINANCIALASSISTANCE	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
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MARIETTA MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: KEY INFORMANT INTERVIEWS WERE CONDUCTED AT TWO WASHCO WELLNESS PARTNERS MEETINGS, AND A SURVEY WAS COMPLETED BY COMMUNITY RESIDENTS. THE TWO WASHCO WELLNESS PARTNERS MEETINGS WERE HELD ON MAY 24 AND JUNE 2, 2016, AT THE WASHINGTON COUNTY EMERGENCY OPERATIONS CENTER. THESE WERE TWO IDENTICAL MEETINGS, ONE CONDUCTED IN THE MORNING AND ONE IN THE EVENING TO ALLOW FOR GREATER ATTENDANCE BY COMMUNITY PARTNERS. TWO PUBLIC HEALTH ACCREDITATION TECHNICIANS FROM THE WASHINGTON COUNTY HEALTH DEPARTMENT FACILITATED THE MEETINGS. THE SECOND OUTREACH ACTIVITY TOOK PLACE AT THE WASHINGTON COUNTY FAIR, WHICH WAS HELD IN MARIETTA, OHIO, FROM SEPTEMBER 2 THROUGH 6, 2016. PUBLIC HEALTH OFFICIALS FROM THE WASHINGTON COUNTY HEALTH DEPARTMENT ENGAGED FAIR ATTENDEES WITH THE PAPER SURVEY AT AN APPOINTED BOOTH, RESULTING IN 89 COMPLETED SURVEYS. SURVEYS WERE COLLECTED ON SEPTEMBER 3 FROM 9 A.M. TO 6 P.M., SEPTEMBER 4 FROM 11 A.M. TO 5 P.M., AND SEPTEMBER 5 FROM 10 A.M. TO 5 P.M. ADDITIONALLY, THIS SURVEY WAS ADVERTISED ON THE WASHINGTON COUNTY WEBSITE, THE WASHINGTON COUNTY HEALTH DEPARTMENT'S FACEBOOK PAGE, AND THE WASHCO WELLNESS PARTNERS' FACEBOOK PAGE, AND IT WAS SENT TO ALL WASHINGTON COUNTY EMPLOYEES. THE SURVEY CLOSED ON SEPTEMBER 7, AND ITS TOTAL ACCUMULATION (BOTH PAPER AND ONLINE) WAS 244.AMERICAN RED CROSS: CHRIS MARRERO BUCKEYE BILLS-AREA AGENCY ON AGING: MINDY CAYTON CITY OF MARIETTA: CATHY HARPER CORPORATION FOR OHIO APPALACHIAN DEVELOPMENT: JENNIFER LOMANCUTLER COMMUNITY CENTER: BRUCE KELBAUGHEVE: ANN STEWARTFAMILY AND CHILDREN FIRST: CINDY DAVIS GOPACKS: HEATHER WARNERMARIETTA CITY HEALTH DEPARTMENT: VICKIE KELLY KELLY MILLER JONNI TUCKER BARB BRADLEY MARIETTA COLLEGE (PHYSICIAN ASSISTANT PROGRAM): MIRANDA COLLINS MARIETTA CONVENTION AND VISITORS BUREAU: JERI KNOWLTON MEMORIAL HEALTH SYSTEM: SHAWN BAIL CINDY NEUBERTOHIO VALLEY EDUCATIONAL SERVICE CENTER: CHRIS KEYLORO'NEILL CENTER: CONNIE HUNTSMAN ANN STEWARTPROACTIVE HEALTH SOLUTIONS: DARREN SWARTZ RETIRED AND SENIOR VOLUNTEER PROGRAM (RSVP): LISA VALENTINE THE RIGHT PATH: CATHY HARPERWASHINGTON COUNTY BEHAVIORAL HEALTH BOARD: MIRIAM KEITHWASHINGTON COUNTY CHILDREN SERVICES: JAMIE VUKSICWASHINGTON COUNTY HEALTH DEPARTMENT: JODY ALDEN ANGELA LOWRY COURT WITSCHEY RICHARD WITTBERG BETTY KING AMY NAHLEY MICHAELA SCHOEFFLER WASHINGTON STATE COMMUNITY COLLEGE : HEATHER KINCAID WASHINGTON COUNTY EMERGENCY MANAGEMENT AGENCY: JEFF LAUERWASHINGTON COUNTY SHERIFF'S OFFICE: GREG NOHE SHERIFF LARRY MINCKSWASHINGTON-MORGAN COMMUNITY ACTION: DAVID BRIGHTBILLYMCA : SUZY ZUMWALDE
MARIETTA MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6A: SELBY GENERAL HOSPITAL
MARIETTA MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: 2014 -2017 ACTION PLANDETAILS ABOUT CURRENT FINDINGS AND THE PLANS FOR FUTURE IMPROVEMENTS. THE FOLLOWING ACTIONS WILL BE CONTINUED BY THE MEMORIAL HEALTH SYSTEM (MARIETTA MEMORIAL HOSPITAL AND SELBY GENERAL HOSPITAL) IN RESPONSE TO THE 2014 COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH COUNCIL STAKEHOLDER REPORT.1. CREATE CONSISTENT DATA SETS TO UNDERSTAND THE TRENDS IN OUR COMMUNITY HEALTH NEEDS AND THE IMPACT OF OUR ACTIONS OVER TIME. RESULT: COLLABORATIVE WORK WITH MOV AND WASHINGTON COUNTY HEALTH DEPARTMENTS, NEW MORE INTEGRATIVE APPROACH TO CHNA. RESULT: CONTINUED USE OF SURVEY WITH COMMUNITY AGENCIES AND HEALTH ENTITIES. 2. SUPPORT THE COMMUNITY HEALTH COUNCIL.RESULT: CONTINUED PROVISION OF SPACE, CLERICAL SUPPORT AND ADMINISTRATIVE PARTICIPATION.3. PROMOTE DISEASE DETECTION AND PREVENTION IN THE COMMUNITY.A. OFFER MORE PREVENTION AND WELLNESS OUTREACH SERVICES TO LOCAL EMPLOYERS (E.G. HEALTH SCREENINGS, HEALTH EDUCATION, EXERCISE AND NUTRITIONAL SERVICES). RESULT: DEVELOPMENT OF LIVE MEMORIAL WELL, A SUB-BRAND OF THE MEMORIAL HEALTH SYSTEM DEDICATED TO WELLNESS AND PREVENTION THROUGH COMPLIMENTARY OR LIFESTYLE MEDICINE. FOCUSING ON MOVEMENT/EXERCISE, HEALTHY EATING, LEARNING OPPORTUNITIES AND BUILDING RELATIONSHIPS AND SHARING WITHIN THE COMMUNITY.RESULT: CONTINUED OUTREACH CLINICS AND SCREENINGS OFFERED IN THE COMMUNITY. IN FY 2016 OVER 3,200 COMMUNITY MEMBERS ATTENDED SCREENINGS HELD AT LOCAL BUSINESSES, COMMUNITY EVENTS AND THE HOSPITAL. SCREENINGS FOCUSED ON BLOOD PRESSURE, WEIGHT, BLOOD SUGAR, CHOLESTEROL, A1C, PSA AND MULTIPHASIC. 4. PARTNER WITH MARIETTA COLLEGE AND PEOPLE'S BANK TO SUSTAIN THE HUNGER SOLUTIONS TASKFORCE WORK TO REDUCE HUNGER IN THE COMMUNITY.RESULT: HELD FIRST ANNUAL BOUNTY BY THE RIVER FUND-RAISING EVENT RESULTING IN $22,000 RAISED. CONTINUED LOCAL ORGANIZATIONAL FUND-RAISING BY FOUNDING PARTNER ORGANIZATIONS WITH PEOPLES BANK RAISING $54,936 AND MHS RAISING $21,775. RESULT: PROVIDED $21,748.27 IN SUPPORT OF LIVE HEALTHY KIDS PROGRAM AND $155,936.93 IN DIRECT FOOD ASSISTANCE THROUGH SEO FOOD BANK AND LOCAL PARTICIPATING FOOD PAN TRIES IN 2015 AND 2016. 5. SUPPORT MENTAL HEALTH NEEDS IN THE COMMUNITY.RESULT: DEVELOPING A STRATEGIC PARTNERSHIP WITH THE WASHINGTON COUNTY BEHAVIORAL HEALTH BOARD TO POSITION MEMORIAL HEALTH SYSTEM AS A RELIABLE RESOURCE FOR BEHAVIORAL HEALTH INFORMATION, EDUCATION, TRAINING AND TREATMENT FOR GERIATRIC BEHAVIORAL HEALTH SERVICES. BECOME THE STRATEGIC PARTNER FOR THE MENTAL HEALTH FIRST AIDE TRAINING OFFERED TO PROFESSIONALS AND THE COMMUNITY.> MENTAL HEALTH FIRST AID IS A GROUNDBREAKING PUBLIC EDUCATION PROGRAM THAT HELPS THE CONSUMERS AND PROFESSIONALS IDENTIFY, UNDERSTAND, AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE ABUSE DISORDERS.RESULT: ESTABLISH MHS AS THE CENTER FOR BEHAVIORAL HEALTH EDUCATION FOR PROFESSIONALS AND CONSUMERS. OFFER QUARTERLY TRAINING FOR PROVIDERS ON MENTAL HEALTH TOPICS INCLUDING SUICIDE PREVENTION, DEPRESSION IN THE ELDERLY, TRAUMA INFORMED CARE IN OUTPATIENT SETTINGS, MANAGING DIFFICULT BEHAVIORS. PROVIDE QUARTERLY LUNCH AND LEARN EDUCATION SERIES. ESTABLISH A MONTHLY COMMUNITY LECTURE SERIES "CHANGING PERCEPTIONS ABOUT MENTAL ILLNESS". IDENTIFY SUPPORT GROUPS NEEDED IN THE COMMUNITY SUCH AS ALZHEIMER SUPPORT GROUP, INTENSIVE OUTPATIENT GRADUATE SUPPORT GROUP, BARIATRIC SUPPORT GROUP, PSYCHOSOCIAL EDUCATION GROUP.6. CONTINUE TO PROVIDE SMOKING CESSATION PROGRAM TO THE COMMUNITY.7. CONTINUED DEVELOPMENT OF THE CONTACT CENTER A. ADD NURSE TRIAGERESULT: NURSE TRIAGE LINE. THE NURSE TRIAGE LINE IS STAFFED 24 HOURS AND OPEN TO THE PUBLIC. THE NURSE TRIAGE LINE ALSO SERVES AS AN AFTER-HOURS NURSE LINE FOR 50 PCPS AND SPECIALISTS. IT AVERAGES 3038 INCOMING CALLS AND 125 TRIAGES PER MONTH AND HAS PARTICIPATED IN THE PREVENTION OF 258 UNNECESSARY ED VISITS LAST YEAR.RESULT: SCHEDULING POST DISCHARGE APPOINTMENTS THE CONTACT CENTER STARTED A PILOT IN JANUARY, 2017 TO SCHEDULE PATIENT'S FOLLOW-UP APPOINTMENTS PRIOR TO DISCHARGE. CURRENTLY, THE CONTACT CENTER IS SCHEDULING FOR 11 CLINICS AND OVER 20 PROVIDERS. THE PILOT REMAINS SUCCESSFUL WITH EXPANSION TO MORE CLINICS REGULARLY.RESULT: DISCHARGE CALLS. THE CONTACT CENTER CONDUCTS 100% OF DISCHARGE CALLS INCLUDING THOSE FOR IN PATIENT STAYS AND OUTPATIENT PROCEDURES WITH AN AVERAGE OF 80% CONTACTED. THE CONTACT CENTER INCREASED THE PERCENTAGE OF POST ED VISIT CALLS ATTEMPTED FROM 6% TO 97% OVER THE LAST 12 MONTHS. THE CONTACT CENTER CONDUCTED OVER 71,000 FOLLOW UP CALLS OVER THE LAST 12 MONTHS WITH AN AVERAGE OF 6,000 CALLS MONTHLY.INFORMATION RECEIVED FROM FOLLOW-UP CALLS IS USED TO TREND PATIENT UNDERSTANDING OF DISCHARGE INSTRUCTIONS AND OTHER DATA POINTS. RESULTS ARE SHARED WITH DEPARTMENTS MONTHLY. 8. DEVELOP A REGIONAL NETWORK TO MANAGE POPULATION HEALTHA. ASSIST COMMUNITY AND POST-ACUTE CARE SETTINGS IN TRANSITION TO ACORESULT: MMH LEADING A PAC COALITION THAT MEETS MONTHLY TO WORK ON PATIENT CARE COORDINATION AND TRANSITION OPPORTUNITIES ALONG WITH QUALITY INCENTIVES WHICH INCLUDE METRICS FOR ACOS AND THE FIVE STAR QUALITY REPORT BASED ON CMS REQUIREMENTS. THIS GROUP ALSO WORKS ON OTHER PATIENT CARE NEEDS OR OPPORTUNITIES BASED ON CASE REVIEW AND REPORTED CONCERNS. RESULT: MMH CONTINUES TO SUPPORT THE COMMUNITY BASED CARE TRANSITION PROGRAM WITH OUR LOCAL AREA ON AGING AGENCY-BUCKEYE HILLS. THIS INCLUDES EXTENDING THIS COMMUNITY SERVICE AFTER THE CMS GRANT HAS CONCLUDED. OUR PROGRAM WAS RANK 2ND IN NATION BASED ON METRICS AND RESULTS SHARED BY ALL 175 PROGRAMS NATIONWIDE. WE ARE CONTINUING TO WORK ON MAINTAINING THIS PROGRAM ONCE THE CMS PROJECT CONCLUDES. RESULT: CLINISYNC IS HELPING MHS AND OUR COMMUNITY PAC ENSURE ELECTRONIC ACCESS AND SHARING OF THE EHR. B. REDUCE HOSPITAL READMISSIONSRESULT: READMISSION TEAM. MEMORIAL HEALTH SYSTEM IS FOCUSED TO REDUCE READMISSIONS THAT ARE PREVENTABLE. THE READMISSION SUBCOMMITTEE WAS FORMED AND CHARTERED IN JUNE 2016. THIS IS A MULTIDISCIPLINARY SUBCOMMITTEE/TEAM WHICH INCLUDES REPRESENTATIVES FROM MED ICAL STAFF; CARE MANAGEMENT; CLINIC OPERATIONS; QUALITY; NURSING; HOME HEALTH IS REVIEWING DATA AND DEVELOPING A MULTI-PRONGED APPROACH TO REDUCE READMIS SIONS. KEY AREAS OF FOCUS ARE AS FOLLOWS:> PATIENT/FAMILY: PROVIDING EDUCATION AND TOOLS ON KEY AREAS OF HEALTH CONCERNS SUCH AS DISEASE MANAGEMENT, MEDICATIONS, ETC.;> CLINICS/PHYSICIAN OFFICES: FOLLOWING CHRONIC PATIENTS AND THOSE RECENTLY DISCHARGED CLOSELY, EDUCATION, ETC.;> MEDICAL STAFF/NURSING: ONGOING EDUCATION, WORKING WITH IT ON DEVELOPING APPROPRIATE NOTIFICATION OF RECENT DISCHARGE, CASE REVIEWS, ETC.;> CARE MANAGEMENT: UTILIZATION OF APPROPRIATE LEVEL OF CARE AND RESOURCES ARE PROVIDED FOR PATIENTS GOING HOME SUCH AS COMMUNITY RESOURCES, HOME HEALTH, ETC.;> NUMEROUS OTHERS ARE INVOLVED WITH THIS HIGH PRIORITY SUCH AS EDUCATIONAL SERVICES, QUALITY, IT, CONTACT CENTER, MARKETING, ETC.RESULT: CREATION OF CARE COORDINATOR POSITION IN OUTPATIENT CLINICS. CONTACT ADMITTED PATIENT AFTER DISCHARGE FOLLOWING TCM GUIDELINES (48 BUSINESS HOURS) TO CHECK PATIENT STATUS, ANSWER QUESTIONS, AND ADDRESS ANY BARRIERS. REINFORCING THE ZONES FOR READMISSION INITIATED ON THE INPATIENT SIDE, WHEN APPROPRIATE. TRACKING PATIENTS WITH FREQUENT AND INAPPROPRIATE ED UTILIZATION AND INITIATING CONVERSATIONS ABOUT PROPER UTILIZATION OF HEALTH SYSTEM RESOURCES.C. CHRONIC DISEASE MANAGEMENT RESULT: CONDUCTING PILOT PROGRAM IN 2017 WITH MHS DIABETIC EMPLOYEES TO DEVELOP PROTOCOLS AND PROGRAM THAT CAN BE REPLICATED FOR OTHER DISEASES AND OTHER SEGMENTS OF THE COMMUNITY. RESULT: CREATION OF CARE COORDINATOR POSITION IN OUTPATIENT CLINICS. INITIAL FOCUS OF THE CARE COORDINATOR POSITION IS ASSISTING WITH IMPROVING THE MANAGEMENT OF OUR DIABETIC POPULATION. INCLUDES:> IDENTIFYING POORLY MANAGED PATIENTS.> IDENTIFYING ADDITIONAL DIABETIC RESOURCES THAT MAY BE BENEFICIAL FOR THE PATIENT (EX. DIABETIC EDUCATION CENTER, EVIDENCE AND COMMUNITY BASED DIABETIC EDUCATION CLASSES).> ONE ON ONE EDUCATION IN THE OFFICE.> ASSISTING THE PROVIDER AND STAFF TO ADDRESS ALL ITEMS IN THE DIA BETIC BUNDLE AND PROPERLY DOCUMENT. A HYPERTENSION BUNDLE IS BEING DEVELOPED IN 2017, THE CARE COORDINATORS WILL ASSIST WITH IMPROVING THE MANAGEMENT OF THIS CHRONIC DISEASE POPULATION ASSIST WITH IMPROVING THE CARE OF OTHER CHRONICALLY ILL PATIENTS AS NEEDED.
MARIETTA MEMORIAL HOSPITAL	PART V, SECTION B, LINE 16J: APPLICATION IS ON THE BACK OF THE ACCOUNT STATEMENT MAILER.
PART V, SECTION B, LINE 11: CONTINUATION	9. PROVIDE INSURANCE ALTERNATIVE DESIGNED TO REDUCE HEALTHCARE SPENDING OF LOCAL BUSINESSES THROUGH SHARED RISK MODEL.RESULT: WE HAVE NOT BEEN ABLE TO EXECUTE ON THIS ACTION ITEM DUE TO RESOURCES CONCENTRATING ON OUR ACO DEVELOPMENT AND WORK.10. ASSIST COMMUNITY MEMBERS IN SIGNING UP FOR INSURANCE THROUGH THE AFFORDABLE CARE ACT.RESULT: OUR STAFF ROUTINELY ANSWER COMMUNITY MEMBERS' QUESTIONS ABOUT WHICH INSURANCES MEMORIAL HEALTH SYSTEM IS IN NETWORK WITH. WE ALSO REFER COMMUNITY MEMBERS TO KATHY WOLFE-CROUSER, CERTIFIED HEALTH NAVIGATOR, AT WASHINGTON MORGAN COMMUNITY ACTION FOR HELP WITH SIGNING UP. 11. DEVELOP PHYSICIAN SUCCESSION PLANS TO ENSURE CONTINUED ACCESS TO CARE IN LIGHT OF BABY BOOMER RETIREMENTS.RESULT: ECG WAS ENGAGED BY MEMORIAL HEALTH SYSTEM TO ASSIST IN THE DEVELOPMENT OF A PHYSICIAN NEEDS ASSESSMENT BASED ON THE HEALTHCARE NEEDS OF ITS MEDICAL SERVICE AREA. THIS REPORT INCLUDES BOTH AN ANALYSIS OF MHS'S SERVICE AREA AND SPECIFIC RECOMMENDATIONS REGARDING APPROPRIATE STAFFING LEVELS IN A VARIETY OF MEDICAL SPECIALTIES. THE ASSESSMENT MAY SERVE AS A GUIDE FOR STRATEGIC STAFF PLANNING FOR MHS AND CONTRIBUTE TO ITS EFFORT TO DOCUMENT COMMUNITY NEED FOR PHYSICIANS, AS IS REQUIRED BY FEDERAL PHYSICIAN RECRUITING REGULATIONS. THIS REPORT IN COMBINATION WITH INTERNAL INTERVIEWING REGARDING IMPENDING RETIREMENTS PROVIDES THE SYSTEM'S PLAN FOR THE REPLACEMENT OF RETIRING PHYSICIANS IN ALIGNMENT WITH THE COMMUNITY NEEDS.12. EXPAND BREAST CANCER TREATMENT.RESULT: WE ARE IN THE EARLY STAGES OF DEVELOPING AN OUTREACH CLINIC IN RIPLEY WV WITH PARTNER JACKSON GENERAL HOSPITAL. GOAL = INCREASE ACCESS TO PATIENTS IN OUR HEALTH SYSTEM SERVICE AREAS.RESULT: BEGAN A MULTI-DISCIPLINARY BREAST CLINIC IN 2016; GOAL = INCREASED ACCESS AND THROUGHPUT FOR BREAST CANCER PATIENTS.RESULT: ADVANCED INTRABEAM TREATMENT AVAILABLE FOR QUALIFYING PATIENTS; INTRAOPERATIVE RADIOTHERAPY OFFERS TARGETED AND LOCALIZED TREATMENT RESULTING IN FASTER TREATMENT COURSES AND REDUCED SIDE EFFECTS.RESULT: ADDITIONAL MD/RADIATION ONCOLOGIST JOINING THE MHS TEAM SUMMER 2017; GOAL = INCREASED ACCESS AND TREATMENT PLANNING TURNAROUND TIME FOR PATIENTS.13. EXPAND CARDIOVASCULAR SERVICES.RESULT: INCREASED HOURS FOR CLINIC AVAILABILITY TO PROVIDE ADDITIONAL APPOINTMENTS. ADDITION OF A FOURTH INTERVENTIONAL CARDIOLOGIST. RESULT: WORK TOWARD RECRUITMENT OF EP PHYSICIAN THAT CAN PROVIDE FULL TIME SERVICE IN THE COMMUNITY. RESULT: CONTINUED OUTREACH FOR CARDIOLOGY CLINIC SERVICES. COMMUNITY EDUCATION PROGRAMS AND HEALTH FAIR ATTENDANCE AND SCREENINGS PROVIDED BY CARDIOLOGY REPRESENTATION. RESULT: INCORPORATION OF CARDIAC REHABILITATION INTO THE SERVICE LINE. WE ARE HOPING THAT BY HAVING THEM UNDER THE CARDIOLOGY SERVICE LINE WE CAN WORK TOWARD A SEAMLESS EXPERIENCE FOR PATIENTS AND ALSO HAVE A BETTER BUY-IN FROM THE PHYSICIANS FOR ORDERING OF REHAB.
PART V, SECTION B, LINE 11: CONTINUATION	2017-2020 OBJECTIVES & ACTIONSMHS PRIORITYCHRONIC DISEASE MANAGEMENTOBJECTIVE- DEVELOP DEPARTMENT OF COMMUNITY HEALTH AND WELLNESS TO SUPPORT CHRONIC DISEASE MANAGEMENT EDUCATION AND PROGRAMMINGSUPPORTING ACTIONS1. EDUCATION CLASSES AND DEEP CLASSES PARTNERED WITH WASHINGTON & ATHENS COUNTIES ON THIS EFFORTOBJECTIVE- DEVELOP CARE COORDINATION MODEL WITH FOCUS ON CARE TRANSITIONS SUPPORTING ACTION 1. CONTACT CENTER WORKING TO IMPLEMENT TCM CALL FOR PATIENTS DISCHARGED FROM FACILITIES OUTSIDE OUR HOSPITAL TO PREVENT READMISSION AND IMPROVE CARE TRANSITIONOBJECTIVE- IMPROVE SMOKING CESSATION SUPPORTING ACTION1. TOBACCO CESSATION GRANT FOR PUBLIC EDUCATION - WORKED WITH THE QUIT HOTLINE 2. TOBACCO CESSATION PROGRAM OFFERED THROUGH EMPLOYEE HEALTH3. FINANCIAL ASSISTANCE FOR PRESCRIPTIONS OF NICODERM, NICORETTE, CHANTIX, ETC4. PRIOR TO SURGERY PATIENT EDUCATED TO STOP SMOKING5. CURRENTLY GIVE EMPLOYEES DISCOUNT FOR NON-SMOKERS6. RESPIRATORY THERAPY PROVIDING EDUCATION IN COMMUNITY7. CESSATION EDUCATION IN PHYSICIAN CLINICSOBJECTIVE- REDUCE HOSPITAL READMISSIONS SUPPORTING ACTION1. CONTACT CENTER WORKING TO IMPLEMENT TCM CALL FOR PATIENTS DISCHARGED FROM FACILITIES OUTSIDE OUR HOSPITAL TO PREVENT READMISSION AND IMPROVE CARE TRANSITION2. CONTACT CENTER SCHEDULES FOLLOW UP WITH PCP AND/OR SPECIALIST BEFORE DISCHARGE.3. CURRENTLY IMPROVING DISCHARGE PROCESS AND MEDS TO BEDS4. PATIENT BINDERS FOR HIGH RISK PATIENTSOBJECTIVE- PROVIDE AND ENHANCE CARDIOVASCULAR SERVICES SUPPORTING ACTION1. VASTRAC PROGRAM2. CARDIOVASCULAR SEMINAR3. POST CARE/COUMADIN CLINIC4. CARDIAC REHAB EDUCATION5. HEART HEALTH LUNCH6. FREE COMMUNITY EKG SCREENING7. EXPANSION FOR OPEN HEART SERVICESOBJECTIVE- IMPROVE NUTRITIONAL CHOICES OF COMMUNITY SUPPORTING ACTION1. THE CHANGED PLATE RESTAURANT2. THE CHANGED PLATE COMMUNITY COOKING CLASSES3. PEDIATRIC HEALTHY LIFESTYLES PROGRAM4. PRIMARY SPONSOR OF HUNGER SOLUTIONSOBJECTIVE- INCREASE PHYSICAL ACTIVITY OF COMMUNITY SUPPORTING ACTION1. WALK WITH A DOC PROGRAM2. THE FUN RUN3. PEDIATRIC HEALTHY LIFESTYLES PROGRAM4. 55 PLUS5. TRANSITIONAL EXERCISE PROGRAMS W/ WELLNESS CTR (BARIATRIC, CARDIAC REHAB, ETC.)6. SUPPORT FOR COMMUNITY ADULT PLAYGROUNDOBJECTIVE- DECREASE OBESITY OF COMMUNITY SUPPORTING ACTION1. BARIATRIC SUPPORT GROUP2. PRIMARY SPONSOR OF HUNGER SOLUTIONS3. BREAST MILK DONATION STATIONOBJECTIVE- PROVIDE AND ENHANCE ONCOLOGY SERVICES SUPPORTING ACTION1. CHANGED PLATE DOES NOT REQUIRE PAYMENT FOR SOME ONCOLOGY PATIENTS2. ONCOLOGY COMMUNITY NEEDS HEALTH ASSESSMENT3. LUNG CANCER SCREENING4. SKIN CANCER SCREENING5. NEW CANCER CENTER WITH CYBERKNIFEOBJECTIVE- PROVIDE AND ENHANCE OPPORTUNITIES TO EDUCATE PATIENTS SUPPORTING ACTION1. DIAGNOSIS BASED PATIENT EDUCATION AT DISCHARGE FROM THE ED2. EDUCATE ECF AND HHA ON WOUND VACS AND OTHER WOUND TREATMENTS3. LACTATION CONSULTANT PROGRAM OBJECTIVE- PROVIDE AND ENHANCE SERVICES, PROGRAMS AND EDUCATION FOR DIABETICS SUPPORTING ACTION1. EDUCATION CLASSES AND DEEP CLASSES PARTNERED WITH WASHINGTON & ATHENS COUNTIES ON THIS EFFORTMHS PRIORITYACCESS TO HEALTHCAREOBJECTIVE- EXPAND ACCESS TO PRIMARY CARE SUPPORTING ACTION1. CONTACT CENTER PROVIDES HEALTHCARE INFORMATION, SCHEDULES APPOINTMENTS, AND CONTACT PROVIDERS IF NECESSARY2. PRIMARY CARE RESIDENCY3. LATE AND EARLY APPOINTMENTS OFFERED4. ONLINE SCHEDULING5. TELEMEDICINE OBJECTIVE- ENSURE SUCCESSION PLANS FOR AGING PHYSICIAN POPULATION SUPPORTING ACTION1. PRIMARY CARE AND EMERGENCY MEDICINE RESIDENCYOBJECTIVE- EXPLORE STRATEGIC PARTNERSHIPS TO ENHANCE CLINICAL OFFERINGS IN THE REGIONSUPPORTING ACTION1. AKRON CHILDREN'S HOSPITAL COLLABORATIONOBJECTIVE- EXPAND AND ENHANCE CONTACT CENTER PROGRAMS AND SERVICES SUPPORTING ACTION1. CONTACT CENTER PROVIDES FREE TELEPHONE TRIAGE TO PATIENTS WITHIN OUR SYSTEM AND TO THE COMMUNITY. PROVIDES HEALTHCARE INFORMATION, SCHEDULES APPOINTMENTS, AND CONTACT PROVIDERS IF NECESSARY2. CONTACT CENTER SCHEDULES FOLLOW UP WITH PCP AND/OR SPECIALIST BEFORE DISCHARGE.MHS PRIORITYCOMMUNITY OUTREACHOBJECTIVE - EXPAND COMMUNITY EDUCATIONAL OFFERINGSSUPPORTING ACTION1. PUTTING UP FLIERS IN ELEVATOR OF UPCOMING EVENTS2. THE HEALTHLINE MAILER3. COMMITTEE FORMED TO PLAN COMMUNITY/OUTREACH EVENTS4. PRESENTING MONTHLY AT THE BELPRE SENIOR CENTER5. STOP THE BLEED 6. BLS COURSE FOR NEW PARENTSOBJECTIVE- EXPLORE PARTNERSHIPS THAT REDUCE DUPLICATION AND IMPROVE HEALTH LITERACYSUPPORTING ACTION1. HIV/HEP B PARTNERSHIPOBJECTIVE- PROVIDE FREE OR LOW COST HEALTH SCREENINGS SUPPORTING ACTION1. MONTHLY COMMUNITY HEALTH SCREENS2. LUNG CANCER SCREENING3. SKIN CANCER SCREENING4. HEALTH FAIRSMHS PRIORITYBEHAVIORAL HEALTH OBJECTIVE- INCREASE INTERNAL EDUCATION AND RESPONSE TO PATIENTS WITH BEHAVIORAL HEALTH CONCERNS SUPPORTING ACTION1. DE-ESCALATION CLASS2. ANNUAL EDUCATION MODULEOBJECTIVE- REDUCE BEHAVIORAL HEALTH RELATED INCIDENCES OF PATIENT-ON-STAFF PHYSICAL VIOLENCE IN MHS FACILITIES SUPPORTING ACTION1. DEVELOPING A PROTOCOL FOR STAFF SAFETY WITH COLLABORATIVE CARE (NURSING, PSYCH, SECURITY, QUALITY)OBJECTIVE- SUPPORT COMMUNITY MENTAL HEALTH INITIATIVES SUPPORTING ACTION1. MEDICATION TAKE BACK DAY2. SOCIAL SKILLS SUMMER CAMP3. PARTICIPATION IN OPIOID HUBOBJECTIVE- IDENTIFY PATIENTS AT RISK FOR HARMING SELF OR OTHERS TO IMPROVE INTERVENTION AND SERVICES SUPPORTING ACTION1. DEVELOPING A PROTOCOL FOR STAFF SAFETY WITH COLLABORATIVE CARE (NURSING, PSYCH, SECURITY, QUALITY)MHS PRIORITYPOVERTY OBJECTIVE- EXPAND SERVICES AS AN INTEGRATED HEALTH SYSTEM IN A BROADER GEOGRAPHY SUPPORTING ACTION1. ENTRANCE INTO ATHENS COUNTY, OHOBJECTIVE- PROVIDE FREE AND REDUCED COST PROGRAMS AND SERVICES SUPPORTING ACTION1. MEAL TICKETS VOUCHERS FOR FAMILIES2. GAS CARDS FOR FAMILIES/CAB VOUCHERS

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III, LINE 2:	ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE SYSTEM'S EVALUATION OF ITS MAJOR PAYOR SOURCES OF REVENUE, THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO THEIR SERVICE AREA AND THE HEALTHCARE INDUSTRY.
PART III, LINE 3:	THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN CHARITY CARE CANDIDATES MUST COOPERATE FULLY. IN ADDITION THE HOSPITAL EDUCATES PATIENTS WILL LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. FOR THIS REASON THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE.
PART III, LINE 4:	ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE SYSTEM'S EVALUATION OF ITS MAJOR PAYOR SOURCES OF REVENUE, THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO THEIR SERVICE AREA AND THE HEALTHCARE INDUSTRY. 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 SYSTEM 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 DOUBTFUL ACCOUNTS.THE SEPTEMBER 30, 2019 AND 2018 ALLOWANCE FOR DOUBTFUL ACCOUNTS OF $19,331,815 AND $48,708,532 RESPECTIVELY, RELATES TO RESERVES FOR SELF-PAY BALANCES.THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON A PERCENTAGE OF SELF-PAY ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2019 AND 2018. THE SYSTEM'S SELF-PAY WRITE-OFFS INCREASED $11,573,110 FROM $24,998,237 FOR 2018 TO $36,571,347 FOR 2019. THE SYSTEM DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYORS
PART III, LINE 8:	THE SHORTFALL IS THE RESULT OF THE HOSPITAL SUBSIDIZING AN INPATIENT PHYSICAL REHABILITATION UNIT (10 BEDS) FOR WHICH MEDICARE DOES NOT PAY FULL COST.THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED 9/30/19 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST.
PART III, LINE 9B:	A COMPLETE APPLICATION IS REQUIRED FOR DETERMINATION OF ELIGIBILITY. THE PATIENT FINANCIAL REPRESENTATIVE WILL ASSIST IN THE COMPLETION OF THE APPLICATION.
PART VI, LINE 3:	HTTPS://WWW.MHSYSTEM.ORG/FINANCIALASSISTANCE#ANCHOR-FINANCIALASSISTANCE
PART VI, LINE 4:	WASHINGTON COUNY HAS A SIGNIFICANT SENIOR POPULATION. THE PER CAPITA INCOME IN WASHINGTON COUNTY IS LOWER THAN THE STATE MEDIAN, AND 15% OF THE OVERALL COUNTY POPULATION IS BELOW THE POVERTY LINE. OF THE CHILDREN IN WASHINGTON COUNTY, 21% LIVE IN POVERTY. IN THE COUNTY, 10.8% OF THE RESIDENTS LACK HEALTH INSURANCE. OF THE CHILDREN IN WASHINGTON COUNTY, 25.5% RESIDE IN SINGLE-PARENT HOUSEHOLDS. THERE IS A HIGHER THAN AVERAGE NUMBER OF ADULTS RESIDING IN WASHINGTON COUNTY WHO DO NOT HAVE ADEQUATE SOCIAL OR EMOTIONAL SUPPORT. THERE IS A HIGHER THAN AVERAGE NUMBER OF GRANDPARENTS WHO SERVE AS PRIMARY CAREGIVERS TO CHILDREN IN WASHINGTON COUNTY. THERE IS A HIGHER PERCENTAGE OF SMOKERS IN WASHINGTON COUNTY THAN IN THE STATE OR NATION. WASHINGTON COUNTY HAS A HIGHER RATE OF OBESITY THAN THE STATE OR NATION. WASHINGTON COUNTY HAS A LOWER RATE OF INDIVIDUALS WHO WALK OR RIDE A BICYCLE TO WORK AND LESS OVERALL PHYSICAL ACTIVITY THAN THE STATE OR NATION. THE COUNTY HAS A HIGHER PERCENTAGE OF THE POPULATION THAT SELF-REPORTS A POOR OR FAIR HEALTH STATUS COMPARED TO INDIVIDUALS ACROSS THE STATE OR NATION. THE MORTALITY RATES FOR UNINTENTIONAL INJURY, LUNG DISEASE, AND STROKE ARE HIGHER IN WASHINGTON COUNTY THAN THE STATE OR NATIONAL AVERAGE.
PART VI, LINE 5:	WE ENHANCE THE QUALITY OF LIFE IN THE MID-OHIO VALLEY. WE NURTURE AND CARE FOR OUR COMMUNITY BY CARING FOR YOU, YOUR FRIENDS, NEIGHBOR AND RELATIVES 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS A YEAR. WE ARE QUALITY - WITH ACCREDITATIONS, CERTIFICATIONS AND DESIGNATIONS TO EXPRESS, UTILIZE AND DEMONSTRATE OUR EXPERTISE. WE ARE PART OF A SYSTEM THAT EXTENDS ACCESS TO SPECIALISTS AND NATIONALLY RECOGNIZED CARE. WE ARE A PILLAR IN THIS COMMUNITY WITH ROOTS FIRMLY PLANTED IN THE REGIONS WE SERVE. WE ARE AT YOUR DOORSTEP, WITH PROGRAMS AND EDUCATIONAL INFORMATION THAT PROMOTE GOOD HEALTH AND DISEASE PREVENTION. WE ARE VOLUNTEERS AT LOCAL COMMUNITY EVENTS. WE ARE ADVOCATES FOR SUPERIOR HEALTH CARE SYSTEMS. WE ARE TEACHERS, TRAINING FUTURE HEALTH CARE PROFESSIONALS. WE ARE COMPASSIONATE, CARING AND DEDICATED TO CREATING A HEALTH CARE SETTING IN WHICH QUALITY OF LIFE AND SERVICE EXCELLENCE ARE EXPERIENCED BY OUR PATIENTS THEIR FAMILIES, THE MEDICAL STAFF AND THE COMMUNITY. WE ARE MARIETTA MEMORIAL HOSPITAL.
PART VI, LINE 7, REPORTS FILED WITH STATES	OH

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
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 (8 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
JOSEPH COOPER MD
SECRETARY	$0	$457,158	$0	$0	$0	$0	$0	$0	$0	$20,741	$0	$477,899	$0	$0
JOHN LEE MD
BOARD MEMBER- PHYSICIAN TR	$0	$592,270	$0	$0	$0	$0	$0	$0	$0	$38,851	$0	$631,121	$0	$0
SCOTT SILVESTRI
CFO	$254,299	$0	$30,000	$0	$0	$0	$0	$0	$21,826	$0	$306,125	$0	$0	$0
J SCOTT CANTLEY
CEO	$786,719	$0	$253,000	$0	$0	$0	$18,128	$0	$37,758	$0	$1,095,605	$0	$0	$0
DEEANN GELAUF
SR VP BUSINESS	$335,727	$0	$0	$0	$0	$0	$0	$0	$37,547	$0	$373,274	$0	$0	$0
KEVIN MALCOMB
VP POST ACUTE	$234,955	$0	$0	$0	$0	$0	$0	$0	$20,229	$0	$255,184	$0	$0	$0
PAIGE SMITH
VP NURSING	$299,643	$0	$0	$0	$0	$0	$0	$0	$35,712	$0	$335,355	$0	$0	$0
PAUL WESTBROCK
VP LEGAL	$362,042	$0	$300	$0	$0	$0	$0	$0	$37,894	$0	$400,236	$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
SOUTHEASTERN OHIO PORT AUTHORITY
A	820585565	841895AJ4	2012-07-10	$145,675,000	HOSPITAL FACILITIES REVENUE	0	0	0
SOUTHEASTERN OHIO PORT AUTHORITY
B	820585565	841895AX3	2015-03-11	$60,000,000	HOSPITAL FACILITIES REVENUE	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$145,517,368	$10,420,552	$70,624,688	$2,785,475	$61,981,580	Yes (1)	0	Yes (1)	Yes (1)
B	$61,204,766	$4,265,433		$1,200,000		Yes (1)	0	0	Yes (1)

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	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	Yes (1)	Yes (1)	0	0	Yes (1)
B	0	0	0	Yes (1)	Yes (1)	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	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	0	0	0	0	0	0
B	0	0	0	0	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MICHAEL ARCHER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$1,099,968	TransactionAmt
Transaction	BUILDING RENT	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWERS AND DUTIES OF THE BOARD OF DIRECTORS IN THE INTERIM BETWEEN MEETINGS OF THE LATTER, EXCEPT AS LIMITED BY THIS CODE OF REGULATIONS OR BY SPECIFIC INSTRUCTION OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL NOT HAVE POWER TO ELECT DIRECTORS. A SUMMARY OF THE PROCEEDINGS OF THE EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE BOARD AT ITS NEXT MEETING. THE EXECUTIVE COMMITTEE SHALL MAINTAIN THE COMPENSATION COMMITTEE AND NOMINATING COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 11B	THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT. THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVE PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY THE CORPORATE INTEGRITY COMMITTEE. THE SCOPE OF THIS POLICY INCLUDES THE DIRECTORS, OFFICERS AND SENIOR EXECUTIVES. THE PURPOSE OF THE POLICY IS TO PROTECT THE HOSPITAL'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN INTERESTED OFFICER, DIRECTOR OR PERSON. ANY CONFLICT RESULTING IN INELIGIBILITY FOR OR REMOVAL FROM THE BOARD OR SPECIFIC COMMITTEES INCLUDE THE FOLLOWING: A. REPEATED, INTENTIONAL FAILURE TO DISCLOSE A CONFLICT OF INTEREST. B. HAVING A FAMILY MEMBER WHO IS A SENIOR EXECUTIVE FOR THE HOSPITAL. C. A MATERIAL INVESTMENT OR EMPLOYMENT RELATIONSHIP INVOLVING AN INTERESTED PERSON IN AN ASC, A PROPRIETARY HOSPITAL, OR NURSING FACILITY WITHIN THE HOSPITAL'S SERVICE AREA THAT IS NOT OWNED BY THE HOSPITAL. ANNUAL DISCLOSURES ARE REQUIRED SETTING FORTH ALL BUSINESS AND OTHER AFFILIATIONS, WHICH RELATE IN ANY WAY TO THE HOSPITAL. THE COMMITTEE RECOMMENDS THE DISQUALIFICATION OR REMOVAL OF INTERESTED PERSONS WHEN NECESSARY AND REPORTS TO THE BOARD THOSE DIRECTORS WHICH THE COMMITTEE HAS DETERMINED MEET THE DEFINITION OF INDEPENDENT DIRECTOR.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION COMMITTEE REVIEWS FAIR MARKET WAGE DATA. SPECIFIC APPROVAL OF BOARD MUST BE SOUGHT IF PHYSICIAN COMPENSATION IS 75% OR GREATER OF MEDIAN IN THE ANNUAL MGMA STUDY. EXECUTIVE AND ALL OTHER HOSPITAL STAFF COMPENSATION IS SET AT MEDIAN. AN EXECUTIVE COMPENSATION FIRM IS UTILIZED (YAFFE & COMPANY). A SEPERATE INDEPENDENT CONSULTANT (VMG) IS RETAINED FOR PHYSICIAN COMPENSATION STUDIES AS NEEDED.
FORM 990, PART VI, SECTION C, LINE 19	THESE DOCUMENTS ARE NOT REQUIRED TO BE MADE AVAILABLE. IF YOU DO, SPECIFIC INSTRUCTIONS TO WHOM THE PUBLIC SHOULD WRITE TO REQUEST CAN BE INCLUDED HERE.
FORM 990, PART XI, LINE 9:	PENSION RELATED CHANGES -9,748,803. CHANGE IN INTEREST IN NET ASSETS OF MARIETTA MEMORIAL HEALTH FOUNDATION 93,317. NET PERIODIC PENSION COST 894,764.
FORM 990, PART XII, LINE 2C	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MARIETTA AREA HEALTHCARE INC
401 MATTHEW STREET	MARIETTA	OH	45750	311126451	MANAGEMENT	OH	501(C)(3)	LINE 10	0
SELBY GENERAL HOSPITAL
1106 COLGATE DRIVE	MARIETTA	OH	45750	314413259	HOSPITAL	OH	501(C)(3)	LINE 3	0	MARIETTA AREA HEALTHCARE INC
MARIETTA HEALTHCARE PHYSICIANS INC
401 MATTHEW STREET	MARIETTA	OH	45750	311375125	PHYSICIAN GROUP	OH	501(C)(3)	LINE 10	0	MARIETTA AREA HEALTHCARE INC
MEMORIAL HEALTH FOUNDATION
401 MATTHEW STREET	MARIETTA	OH	45750	311011321	SUPPORTING ORG	OH	501(C)(3)	LINE 12B, II	0	MARIETTA AREA HEALTHCARE INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
MARIETTA OCCUPATIONAL HEALTH PARTNERS LLC
401 MATTHEW ST	MARIETTA	OH	45750	043587132	OCCUPATIONAL HEALTH	OH	RELATED	$4,702	$313,640	0	0	0.51000
MARIETTA SURGERY CENTER LLC
611 2ND ST	MARIETTA	OH	45750	311684367	SURGERY	OH	RELATED	$2,167,719	-$276,857	0	0	0.52780
MARIETTA HOME HEALTH AND HOSPICE
5959 S SHERWOOD	BATON ROUGE	LA	70816	261480799	HOME HEALTH	LA	RELATED	$971,371	$816,847	0	0	0.50000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	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	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL HEALTH FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$226,198	InvolvedAmt