2020-08-14T07:48:45-05:00 2019-09-30 271235638 MCM CPAS & ADVISORS LLP 462 S FOURTH ST SUITE 2600 LOUISVILLE KY 402023445 990 2018-10-01 314379509 MARIETTA MEMORIAL HOSPITAL MARI 7403741641 401 MATTHEW STREET MARIETTA OH 45750 DOUG FULL SR. DIRECTOR OF FINANCE 7403741641 2020-08-11 1 ELEANOR A LIVINGSTON CPA MST P00226461 5027491900 2020-08-11 69.135.99.226 2020-08-11 16:04:23 ED P BF48F59BDCE9C402A01D5F8161C9609B3C571C67 DE2A42B2A8A98B651B98EF25DA4D91E9EEF19621 2018 2020-09-23 17:36:50Z SCOTT SILVESTRI 401 MATTHEW STREET MARIETTA OH 45750 480178910 0 X WWW.MHSYSTEM.ORG X 1929 OH 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. 16 12 2951 100 0 0 277622 226198 430122596 460884178 1826982 1482710 17409288 17038337 449636488 479631423 0 0 0 0 245129712 242680431 0 0 0 214169529 228142418 459299241 470822849 -9662753 8808574 467484890 457330043 345490026 335287327 121994864 122042716 X 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. 0 0 352212583 464088928 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. 352212583 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 274 0 1 2951 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X SCOTT SILVESTRI 7403741641 401 MATTHEW STREET MARIETTA OH 45750 COLLEEN COOK CHAIRMAN 1.00 X X 0 0 0 MICHAEL ARCHER VICE-CHAIRMAN 1.00 X X 0 0 0 JOSEPH COOPER MD SECRETARY 1.00 X X 0 457158 20741 THOMAS TUCKER TREASURER 1.00 X X 0 0 0 MICHAEL IADEROSA BOARD MEMBER 1.00 X 0 0 0 JAMES BARENGO BOARD MEMBER 1.00 X 0 0 0 THOMAS DANFORD DDS BOARD MEMBER 1.00 X 0 0 0 GREGG EMRICK BOARD MEMBER 1.00 X 0 0 0 CHARLOTTE HATFIELD PHD BOARD MEMBER 1.00 X 0 0 0 JOHN LEE MD BOARD MEMBER- PHYSICIAN TR 1.00 X 0 592270 38851 TERRY RATAICZAK BOARD MEMBER 1.00 X 0 0 0 LARRY UNROE BOARD MEMBER 1.00 X 0 0 0 SHERYL HOLDREN BOARD MEMBER 1.00 X 0 0 0 MATTHEW MACATOL MD PRESIDENT 1.00 3.00 X 26667 0 0 STEPHEN KEISER BOARD MEMBER 1.00 X 0 0 0 SCOTT SILVESTRI CFO 40.00 X 284299 0 21826 J SCOTT CANTLEY CEO 40.00 X 1039719 0 55886 DEEANN GELAUF SR VP BUSINESS 40.00 X 335727 0 37547 KEVIN MALCOMB VP POST ACUTE 40.00 X 234955 0 20229 PAIGE SMITH VP NURSING 40.00 X 299643 0 35712 PAUL WESTBROCK VP LEGAL 40.00 X 362342 0 37894 2583352 1049428 268686 37 0 1 0 PROLINK HEALTHCARE 10700 MONTGOMERY ROAD CINCINNATI OH 45242 RN STAFFING 4690014 MORRISON HEALTHCARE PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 3422040 BRADLEY PAYNE PO BOX 534 WATERFORD OH 45787 ARCHITECT 3389885 REVMD 1111 PASQUINELLI DR SUITE 400 WESTMONT IL 60559 BILLING 3019670 WEATHERBY LOCUMS PO BOX 972633 DALLAS TX 75397 MEDICAL STAFFING 2490028 273 226198 226198 PATIENT SERVICE REVENUE 623000 460884178 460884178 460884178 1482710 1482710 209800 547487 -337687 -337687 -337687 PHARMACY 340B 900099 13642714 13642714 INVESTMENT IN AFFILIATES 900099 2722060 2722060 OTHER REVENUE 900099 528560 528560 482690 482690 17376024 479631423 464088928 0 15316297 2583352 2583352 190705556 160358124 30347432 4203055 3446505 756550 33479641 27466629 6013012 11708827 9074603 2634224 399792 399792 44450 44450 536648 10156 526492 583955 168456 415499 1363987 202574 1161413 14834468 81275 14753193 614272 237032 377240 11053184 11053184 16397877 453611 15944266 4244355 290381 3953974 SUPPLIES 77445540 75520615 1924925 PURCHASED SERVICES 47686261 26884235 20802026 BAD DEBTS 36571347 36571347 MISC 6993012 3443593 3549419 9373270 8003447 1369823 470822849 352212583 118610266 0 25511314 32856748 86360071 81375528 219949 198462 7687331 7680179 20156882 29291210 431452863 230924781 206328298 200528082 50268966 42584529 7164251 6942918 63787828 55872387 467484890 457330043 83716925 71336543 209682338 202191622 10000000 10000000 42090763 51759162 345490026 335287327 X 120217123 120171658 1777741 1871058 121994864 122042716 467484890 457330043 X 8808574 -8760722 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 13001 13001 0 PART II-B, LINE 1: 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. 4308565 4308565 243991071 99825314 144165757 183153227 131099467 52053760 200528082 INVESTMENTS-OTH SECS (DETAIL) 990 42584529 C 42584529 ESTIMATED THIRD-PARTY SETTLEMENTS 4542458 DUE FROM RELATED ORGANIZATION 31975052 DEFERRED COMPENSATION 16095774 INTEREST IN MHF 1621058 OTHER 1638045 55872387 DUE TO RELATED ORGANIZATIONS 1118441 ACCRUED PENSION COST 33257624 DEFERRED COMPENSATION PLAN ASSETS 16095774 CAPITAL LEASES 1287323 51759162 X PART X, LINE 2: THE SYSTEM, EXCLUDING MSC, MOHP AND THE INNOVATION CENTER, IS ORGANIZED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE UNITED STATES INTERNAL REVENUE CODE. MSC, MOHP AND THE INNOVATION CENTER ARE ORGANIZED AS LIMITED LIABILITY COMPANIES, WHEREBY, NET TAXABLE INCOME IS TAXED DIRECTLY TO THE MEMBERS AND NOT MSC, MOHP OR THE INNOVATION CENTER. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM, AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2019 AND 2018, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. AS SUCH, THE SYSTEM IS GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, THE SYSTEM, EXCLUDING MSC, MOHP AND THE INNOVATION CENTER, IS REQUIRED TO FILE FEDERAL FORM 990 - RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX WHICH IS AN INFORMATIONAL RETURN ONLY. THE SYSTEM, MSC, AND MOHP HAVE FILED THEIR TAX RETURNS FOR PERIODS THROUGH 2018. THE RETURNS FOR MSC AND MOHP ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS). THE SYSTEM, MSC AND MOHP ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. HOWEVER, AS OF THE DATE THE CONSOLIDATED FINANCIAL STATEMENTS WERE ISSUED, THERE WERE NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 1 1 X 1 X 1 X 1 1 0 1 1 26831 11131605 11131605 0.02360 69562 64784216 37680688 27103528 0.05760 96393 75915821 37680688 38235133 0.08120 1513464 98228 1415236 0.00300 3641789 1051668 2590121 0.00550 5155253 1149896 4005357 0.00850 96393 81071074 38830584 42240490 0.08970 1 36571347 100834765 114870727 -14035962 X 1 1 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 1 1 MARIETTA MEMORIAL HOSPITAL 401 MATTHEW ST MARIETTA OH 45750 WWW.MHSYSTEM.ORG/MMH 1289 X X MARIETTA MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 17 1 1 0 1 X WWW.MHSYSTEM.ORG/HEALTHASSESSMENT 1 17 1 WWW.MHSYSTEM.ORG/HEALTHASSESSMENT 0 1 X 100.000000000000 400.000000000000 X X 1 1 X X X 1 X HTTPS://WWW.MHSYSTEM.ORG/FINANCIALASSISTANCE#ANCHOR-FINANCIALASSISTANCE X HTTPS://WWW.MHSYSTEM.ORG/FINANCIALASSISTANCE#ANCHOR-FINANCIALASSISTANCE X HTTPS://WWW.MHSYSTEM.ORG/FINANCIALASSISTANCE#ANCHOR-FINANCIALASSISTANCE X X X X X 1 0 X 1 X 0 0 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 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 X X X X X X 0 0 0 0 0 0 0 0 0 JOSEPH COOPER MD SECRETARY 0 457158 0 0 0 0 0 0 0 20741 0 477899 0 0 JOHN LEE MD BOARD MEMBER- PHYSICIAN TR 0 592270 0 0 0 0 0 0 0 38851 0 631121 0 0 SCOTT SILVESTRI CFO 254299 0 30000 0 0 0 0 0 21826 0 306125 0 0 0 J SCOTT CANTLEY CEO 786719 0 253000 0 0 0 18128 0 37758 0 1095605 0 0 0 DEEANN GELAUF SR VP BUSINESS 335727 0 0 0 0 0 0 0 37547 0 373274 0 0 0 KEVIN MALCOMB VP POST ACUTE 234955 0 0 0 0 0 0 0 20229 0 255184 0 0 0 PAIGE SMITH VP NURSING 299643 0 0 0 0 0 0 0 35712 0 335355 0 0 0 PAUL WESTBROCK VP LEGAL 362042 0 300 0 0 0 0 0 37894 0 400236 0 0 0 A SOUTHEASTERN OHIO PORT AUTHORITY 820585565 841895AJ4 2012-07-10 145675000 HOSPITAL FACILITIES REVENUE 0 0 0 B SOUTHEASTERN OHIO PORT AUTHORITY 820585565 841895AX3 2015-03-11 60000000 HOSPITAL FACILITIES REVENUE 0 0 0 A 145517368 10420552 70624688 2785475 61981580 1 0 1 1 B 61204766 4265433 1200000 1 0 0 1 A 0 0 0 1 1 0 0 1 B 0 0 0 1 1 0 0 1 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 1 A 1 B 1 MICHAEL ARCHER BOARD MEMBER 1099968 BUILDING RENT 0 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. 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 MARIETTA AREA HEALTHCARE INC 0 MARIETTA HEALTHCARE PHYSICIANS INC 401 MATTHEW STREET MARIETTA OH 45750 311375125 PHYSICIAN GROUP OH 501(C)(3) LINE 10 MARIETTA AREA HEALTHCARE INC 0 MEMORIAL HEALTH FOUNDATION 401 MATTHEW STREET MARIETTA OH 45750 311011321 SUPPORTING ORG OH 501(C)(3) LINE 12B, II MARIETTA AREA HEALTHCARE INC 0 MARIETTA OCCUPATIONAL HEALTH PARTNERS LLC 401 MATTHEW ST MARIETTA OH 45750 043587132 OCCUPATIONAL HEALTH OH RELATED 4702 313640 0 0 0.51000 MARIETTA SURGERY CENTER LLC 611 2ND ST MARIETTA OH 45750 311684367 SURGERY OH RELATED 2167719 -276857 0 0 0.52780 MARIETTA HOME HEALTH AND HOSPICE 5959 S SHERWOOD BATON ROUGE LA 70816 261480799 HOME HEALTH LA RELATED 971371 816847 0 0 0.50000 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 MEMORIAL HEALTH FOUNDATION C 226198