2019-11-15T11:59:01-06:00 2018-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2018-01-01 356067049 MARGARET MARY COMMUNITY HOSPITAL INC MARG 8129346624 321 MITCHELL AVENUE BATESVILLE IN 470060226 BRIAN DAEGER VP OF FINANCE 8129346624 2019-11-15 1 MARGOT BURKE P01588992 3176334705 2019-11-15 38.109.186.2 2019-11-15 11:23:59 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 B19D0506B86ED19F1A0FD2AFEEB91090E576B51F 2018 2020-03-31 21:24:44Z MARGARET MARY HEALTH BRIAN DAEGER 321 MITCHELL AVENUE BATESVILLE IN 470060226 113917675 0 X WWW.MMHEALTH.ORG X 1967 IN IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. 14 12 920 42 0 2007 620173 474404 98711534 99667061 6298345 3687825 929809 1397789 106559861 105227079 327463 450696 0 0 53900971 59614566 0 0 87116 42727721 47400414 96956155 107465676 9603706 -2238597 167133722 162833448 39170665 43844896 127963057 118988552 X IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. 0 0 70698606 316621 100422409 HEALTH CARE SERVICES RELATED TO IMPROVING THE HEALTH OF THE COMMUNITY FOR BOTH INPATIENT AND OUTPATIENT PROGRAMS. 6727137 SUBSIDIZED HEALTH SERVICES - 82,227 INDIVIDUALS RECEIVED BENEFITS FROM OUR HOSPITAL OWNED OUTPATIENT SERVICES. THIS INCLUDES OSGOOD PHYSICIAN PRACTICE LOCATED IN A RURAL AREA AND IS ALSO LOCATED IN A MEDICALLY UNDERSERVED AREA. 1822683 247035 COMMUNITY HEALTH SERVICES - 94,160 INDIVIDUALS PARTICIPATED IN SERVICES AND PROGRAMS SUCH AS CANCER SCREENINGS, CPR AND AED TRAINING, DIABETES CARE, FLU CLINICS, NUTRITION CLASSES, SMOKING CESSATION SUPPORT, BLOOD PRESSURE AND THYROID SCREENINGS, WOMEN'S HEALTH EVENTS, OSTEOPOROSIS SCREENINGS, WELLNESS SCREENINGS, EMERGENCY PREPAREDNESS, AND HEALTH INSURANCE ENROLLMENT AND REFERRALS. 1623180 134075 FINANCIAL AND IN-KIND CONTRIBUTIONS - 93 INDIVIDUALS RECEIVED BENEFITS FROM OUR EMS AND PARAMEDIC TRAINING AND SUBSIDY PROGRAMS. MMH SUBSIDIZES A PORTION OF THE RIPLEY COUNTY PARAMEDIC/EMS DIRECTOR'S SALARY. MMH ALSO COORDINATES AND SUBSIDIZES TRAINING FOR THE 4 RIPLEY COUNTY SQUADS LOCATED IN VERSAILLES, SUNMAN, MILAN, AND BATESVILLE. IN ADDITION, VARIOUS MMH TEAM MEMBERS SERVE ON NUMEROUS COMMUNITY BOARDS INCLUDING MARCH OF DIMES, RELAY FOR LIFE, AND THE BATESVILLE COORDINATED SCHOOL HEALTH BOARD.OTHER PROGRAMS AND SERVICES 3,032 INDIVIDUALS PARTICIPATED IN ADDITIONAL PROGRAMS AND SERVICES PROVIDED BY MMH, INCLUDING CAREER AND WORKFORCE DEVELOPMENT FOR PHYSICIAN, NURSING, AND OTHER MEDICAL STUDENTS THROUGH OUR MENTORING PROGRAMS AND CAREER FAIRS. MMH IS INVOLVED IN CLINICAL RESEARCH AT THE HANSEN CENTER, A CANCER TREATMENT CENTER OWNED AND OPERATED BY MMH IN BATESVILLE. MMH CONTINUALLY ASSESS COMMUNITY NEEDS AND HEALTH ISSUES TO ADDRESS NEEDS IN THE COMMUNITY. 1623180 134075 80871606 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 100 0 1 920 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 12 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X ERIC BUSCH ACCOUNTING MANAGER 8129346624 321 MITCHELL AVENUE BATESVILLE IN 470060226 TIMOTHY PUTNAM PRESIDENT 40.00 2.00 X X 480271 0 37339 GEORGE JUNKER BOARD CHAIR 2.00 2.00 X X 0 0 0 JOHN DICKEY BOARD VICE CHAIR 2.00 2.00 X X 0 0 0 CLAY KELLERMAN BOARD SECRETARY 2.00 0.00 X X 0 0 0 RONALD KNUEVEN BOARD TREASURER 2.00 0.00 X X 0 0 0 SISTER DIANE JAMISON MEMBER 2.00 0.00 X 0 0 0 PAUL KETCHAM MEMBER 2.00 0.00 X 0 0 0 ARNIE KIRSCHNER MEMBER 2.00 0.00 X 0 0 0 CINDY LAUBER MEMBER 2.00 0.00 X 0 0 0 JORGE LOPEZ MEMBER 2.00 0.00 X 0 0 0 TOM TEPE MEMBER 2.00 0.00 X 0 0 0 MARY ANN WISE-CASTNER MEMBER 2.00 0.00 X 0 0 0 TIM ZIEMKE MEMBER 2.00 0.00 X 0 0 0 SUZANNE MARTINI MD MEMBER/CHIEF OF STAFF 8.00 0.00 X 12000 0 0 BRIAN DAEGER VP FINANCE 40.00 0.00 X 266341 0 31009 JULIE KEENE VP PHYSICIAN SERVICES 40.00 0.00 X 182074 0 31053 LIZ LEISING VP OUTPATIENT SERVICES 40.00 0.00 X 184322 0 25240 KIM INSCHO VP HUMAN RESOURCES 40.00 2.00 X 201153 0 28908 JEFFREY HATCHER MD PHYSICIAN 40.00 0.00 X 613915 0 64232 PAUL JARVIS MD PHYSICIAN 40.00 0.00 X 531425 0 35636 HOWARD COOPER OD PHYSICIAN 40.00 0.00 X 507673 0 35636 JON GEERS MD PHYSICIAN 40.00 2.00 X 484599 0 35969 THOMAS BROWN MD PHYSICIAN 40.00 0.00 X 443307 0 35460 3907080 0 360482 72 0 1 0 KPM-EDLLC 7770 COOPER ROAD SUITE 8 MONTGOMERY OH 45242 ER PHYSICIAN STAFFING SERVICE 2305479 TRIMEDX PO BOX 636129 CINCINNATI OH 45263 CLINICAL EQUIPMENT MAINTENANCE 849131 BLUE & CO 500 N MERIDIAN STREET SUITE 200 INDIANAPOLIS IN 46204 ACCOUNTING 483805 CANCER CARE GROUP PC 6100 W 96TH STREET INDIANAPOLIS IN 46278 ONCOLOGY PROFESSIONAL SERVICES 400996 INDIANA UNIVERSITY HEALTH CARE ASSOC IN 950 N MERIDIAN STREET INDIANAPOLIS IN 46204 PROFESSIONAL SERVICES - PHYSICIANS 337560 13 176119 298285 474404 NET PATIENT SERVICE REVENUE 621110 99667061 99667061 99667061 2824293 2824293 344150 0 344150 344150 344150 9536969 17159 8690536 60 846433 17099 863532 863532 340B PROGRAM 900099 621228 621228 CAFETERIA 900099 364891 364891 VENDING 900099 3956 3956 63564 37005 26559 1053639 105227079 100669444 0 4083231 X 426696 426696 24000 24000 2431014 1892092 538922 44598569 36742798 7855771 1402317 1091443 310874 7966031 6200073 1765958 3216635 2503552 713083 40558 15854 24704 13557187 5299501 8257686 740989 555370 185619 1117797 386391 731406 1709631 1330216 379415 448752 336339 112413 341361 255850 85511 1024967 768212 256755 7983703 5983776 1999927 695904 638895 57009 SUPPLIES - MEDICAL AND 15653622 15642412 11210 FOOD 518909 388922 129987 DUES & SUB. 445309 333759 111550 3121725 55455 2979154 87116 107465676 80871606 26506954 87116 3335168 1496199 14579477 22501852 1063357 1355219 1834378 1839815 145161092 81298480 63250302 63862612 82670632 71470580 400408 307171 167133722 162833448 9813726 15507844 24556192 22747505 2250000 4800747 3339547 39170665 43844896 X 127899556 118932062 63501 56490 127963057 118988552 167133722 162833448 X -2238597 -7135078 399170 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5682 5682 0 PART II-B, LINE 1: PORTION OF ANNUAL MEMBERSHIP DUES PAID TO TRADE ASSOCIATIONS ALLOCATED TO LOBBYING. 82670632 12504 -11193041 19515 71470580 77271070 28981 5393680 23099 82670632 72637761 31767 4623338 21796 77271070 71259202 13867 1377146 12454 72637761 67824756 20859 3451480 37893 71259202 0.99920 0.00000 0.00080 0 0 2419583 2419583 80168309 43127245 37041064 62446260 38171235 24275025 126940 126940 63862612 DERIVATIVE LIABILITY 1163739 ESTIMATED THIRD-PARTY SETTLEMENT 2175808 3339547 X PART V, LINE 4: THE ASSETS WHOSE USE IS LIMITED ARE ASSETS WHOSE USE IS LIMITED BY INTERNAL BOARD DESIGNATION INCLUDING CASH AND CASH EQUIVALENTS, ACCRUED INTEREST RECEIVABLE, AND MARKET SECURITIES WHICH ARE BEING USED FOR CAPITAL IMPROVEMENTS, RETIREMENT PLAN, AND FOR DEBT SERVICE PAYMENTS. TEMPORARILY RESTRICTED NET ASSESTS ARE THE FUNDS WHOSE USE HAS BEEN LIMITED BY EXTERANAL SOURCES FOR A SPECIFIC TIME PERIOD OR PURPOSE WHICH ARE BEING USED FOR SCHOLARSHIPS AND OTHER HOSPITAL PROGRAMS. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND THE FOUNDATION AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL AND FOUNDATION HAVE TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL AND THE FOUNDATION, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2018 AND 2017, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL AND FOUNDATION ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 1 1 X 1 X 1 X 1 1 1 0 1 1 959 416531 2607 413924 0.00390 4324456 2578964 1745492 0.01620 959 4740987 2581571 2159416 0.02010 51 94191 2009587 247035 1762552 0.01640 5 1125 402741 402741 0.00370 2 82227 6727137 6727137 0.06260 1 227 107582 107582 0.00100 4 93 588458 588458 0.00550 63 177863 9835505 247035 9588470 0.08920 63 178822 14576492 2828606 11747886 0.10930 1 349 768 768 0.00000 1 713 7552 7552 0.00010 1 375 24382 24382 0.00020 3 212 170718 170718 0.00160 6 1649 203420 203420 0.00190 0 8085181 0 22449970 22972654 -522684 X 1 0 1 1 MARGARET MARY HEALTH 321 MITCHELL AVENUE BATESVILLE IN 47006 WWW.MMHEALTH.ORG 18-004718-1 X X X X MARGARET MARY HEALTH 1 0 0 1 X X X X X X X X X X 16 1 0 0 1 X SEE PART V, PAGE 8 X X 1 16 0 1 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X X 1 X 0 0 MARGARET MARY HEALTH PART V, SECTION B, LINE 3J: HEALTHY PEOPLE PROVIDES SCIENCE-BASED, 10-YEAR NATIONAL OBJECTIVES FOR IMPROVING THE HEALTH OF ALL AMERICANS. THE HEALTHY PEOPLE INITIATIVE IS GROUNDED IN THE PRINCIPLE THAT SETTING NATIONAL OBJECTIVES AND MONITORING PROGRESS CAN MOTIVATE ACTION. FOR THREE DECADES, HEALTHY PEOPLE HAS ESTABLISHED BENCHMARKS AND MONITORED PROGRESS OVER TIME IN ORDER TO:-ENCOURAGE COLLABORATIONS ACROSS SECTORS.-GUIDE INDIVIDUALS TOWARD MAKING INFORMED HEALTH DECISIONS.-MEASURE THE IMPACT OF PREVENTION ACTIVITIES.HEALTHY PEOPLE 2020 IS THE PRODUCT OF AN EXTENSIVE STAKEHOLDER FEEDBACK PROCESS THAT IS UNPARALLELED IN GOVERNMENT AND HEALTH. IT INTEGRATES INPUT FROM PUBLIC HEALTH AND PREVENTION EXPERTS, A WIDE RANGE OF FEDERAL, STATE AND LOCAL GOVERNMENT OFFICIALS, A CONSORTIUM OF MORE THAN 2,000 ORGANIZATIONS, AND PERHAPS MOST IMPORTANTLY, THE PUBLIC. MORE THAN 8,000 COMMENTS WERE CONSIDERED IN DRAFTING A COMPREHENSIVE SET OF HEALTHY PEOPLE 2020 OBJECTIVES. MARGARET MARY HEALTH PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS GATHERED THROUGH FOCUS GROUPS AND PHONE SURVEYS. MARGARET MARY HEALTH PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND ON THE HOSPITAL'S WEBPAGE VIA THE FOLLOWING: NEWS AND EVENTS > PUBLICATION LIBRARY > 2016 COMMUNITY HEALTH ASSESSMENT, OR BY VISITING THE FOLLOWING URL <<HTTPS://WWW.MMHEALTH.ORG/WELLNESS/PUBLICATION-LIBRARY/>>. MARGARET MARY HEALTH PART V, SECTION B, LINE 11: PART V, SECTION B, LINE 11: THE 2016 IMPLEMENTATION PLAN 2017-2019 WILL BE ADDRESSING 10 NEEDS IDENTIFIED IN THE 2016 CHNA REPORT. THE BELOW LISTS WHAT ACTIONS WERE TAKEN IN 2018 FOR EACH IDENTIFIED HEALTH NEED:IDENTIFIED HEALTH NEED: SUBSTANCE ABUSEACTIONS TAKEN: 1. FOCUSED ON FOLLOWING YOUTH PROGRAMMING IN THE SCHOOLS TO ADDRESS ALCOHOL, TOBACCO, MARIJUANA AND OTHER DRUGS:- GET REAL ABOUT TOBACCO- MARIJUANA PROGRAM- GENERATION RX- BOUNCE- HIDDEN IN PLAIN SITE- RED RIBBON GRANTS- NEON NIGHT- FAMILY FUN NIGHT2. PROVIDED DRUG SCREENING KITS FOR HOME USE AT MULTIPLE COMMUNITY SITES.3. COMMUNITY EDUCATION AND AWARENESS ON MEDICATION STORAGE AND PROPER DISPOSAL INCLUDING LOCK BOX SALES.4. DRUG COLLECTION SITES AT 4 PERMANENT LOCALS AND SEVERAL TAKE-BACK EVENTS IN FRANKLIN AND RIPLEY COUNTY.INVESTIGATED OTHER OPTIONS FOR DISPOSAL. PLAN TO USE DISPOSE RX IN 2019.5. PROVIDED DRUG TESTING OPTIONS TO INCLUDE URINE, SALVIA AND HAIR TESTING THROUGH OCCUPATIONAL HEALTH AND WELLNESS CENTER FOR LOCAL EMPLOYERS. 6. PROVIDED EDUCATION ON BENEFITS OF DRUG SCREENING IN THE WORKPLACE.7. INCREASED THE SHARP DISTRIBUTION SITES AND DROP OFF LOCATIONS TO INCLUDE BROOKVILLE AND OSGOOD IN 2018. 8. SHARPS PROJECT FOR PUBLIC PLACES LAUNCHED IN 2018.7. SEEK SURVEY IN OB/GYN PRACTICES INCLUDING DR. BAUER. 8. CONTINUED PRENATAL URINE DRUG SCREEN TESTING IN OB DEPARTMENT. 9. REFERRAL TO ADDICTION SERVICES FOR ALL MOTHERS WHO TEST POSITIVE FOR DRUGS PRENATALLY.10. OFFERED MEDICATION ASSISTED TREATMENT (MAT) AND INTENSIVE OUTPATIENT PROGRAM (IOP) IN VERSAILLES. 11. OUTPATIENT ADDICTION COUNSELING SERVICE OFFERED IN BATESVILLE AND BROOKVILLE. 12. HAVE A "ONE CALL" PARTNERSHIP WITH INPATIENT FACILITY IN CINCINNATI.IDENTIFIED HEALTH NEED: NUTRITION, PHYSICAL ACTIVITY & WEIGHTACTIONS TAKEN:1. DEVELOPED ACTION- BASED COMMUNITY TASK FORCE IN OSGOOD.2. HRM WEIGHT MANAGEMENT PROGRAM.3. SLIM DOWN NOW PROGRAM HELD 3 TIMES. 4. IBT PROVIDED IN EACH PRIMARY CARE OFFICE: OSGOOD, MAC, MMPC, BROOKVILLE, MILAN.5. HOSTED 2 SEASONS OF GIRLS ON THE RUN WITH 2 5-KS IN SCHOOLS IN DECATUR, FRANKLIN AND RIPLEY COUNTIES.6. HOSTED THE FIRST TEE PROGRAM WITH A LOCAL GOLF COURSE. 7. FARM FIT WITH A LOCAL FARM AND SCHOOLS IN FRANKLIN AND RIPLEY COUNTY.8. SCHOOL GARDENS (INDOOR AND OUTDOOR) WITH LOCAL SCHOOLS.9. HOSTED BABY UNDER CONSTRUCTION PROGRAM FOR PREGNANT WOMEN.10. OFFERED MID-WEEK MARKET IN JULY AND AUGUST AT THE ONCOLOGY CENTER. 11. IN JUNE 2018 LAUNCHED EAT WELL LIVE WELL WHICH PROVIDES NUTRITION AND CALORIE INFORMATION TO PROMOTE HEALTHY CHOICES IN MMH CAFETERIA.12. FINANCIALLY SUPPORTED FARMER TRAINING INITIATIVE (3- YEAR COMMITMENT). OFFER FRESH LOCALLY SOURCED PRODUCE IN MMH CAF.13. DEVELOPED A MALNUTRITION CARE MODEL IN LATE 2018 WHICH PROVIDED A NUTRITIONAL CARE PLAN ON DISCHARGE.14. MEDICAL EXERCISE PROGRAM CONTINUED. 15. WALKING CLUB PROGRAM IN THE LOCAL SCHOOLS DURING WINTER MONTHS.16. NEON NIGHT AT THE LOCAL SCHOOLS.IDENTIFIED HEALTH NEED: HEART DISEASE & STROKEACTIONS TAKEN:1. COMPLETED ANNUAL WELLNESS VISITS AND REFER TO APPROPRIATE RESOURCES TO PROMOTE HEALTH AND PREVENTATIVE SERVICES.2. VASCULAR SCREENING.3. CHOLESTEROL/BLOOD PRESSURE SCREENINGS. REFER ALL SCREENING PARTICIPANTS BACK TO PCP FOLLOWING STANDARDIZED SCREENING GUIDELINES.4. TELE-CARDIOLOGY SERVICES. 5. TELE-CARDIOLOGY CONSULT SERVICES FOR MS/SCA AND ER.6. HOSTED THE ANNUAL COMMUNITY BASED EDUCATIONAL EVENT. 7. FAST AND STROKE PREVENTION FOCUS AT HEALTH FAIRS.8. CHEST PAIN NETWORK.9. STROKE READY CERTIFICATION (INITIAL IN 2017) FROM JOINT COMMISSION.10. CONTINUED TO UTILIZE TELESTROKE11. CPR AND AED TRAINING THROUGHOUT RIPLEY AND FRANKLIN COUNTIES.12. CONTINUED TO PROVIDE A NURSE PRACTITIONER IN LOCAL NURSING HOME TO DECREASE RE-ADMISSIONS.IDENTIFIED HEALTH NEED: DIABETESACTIONS TAKEN:1. PROVIDED A1C AND GLUCOSE SCREENING THROUGHOUT RIPLEY COUNTY AND FRANKLIN COUNTY. 2. CONTINUED ANNUAL WELLNESS VISITS AND REFER TO APPROPRIATE RESOURCES TO PROMOTE HEALTH AND PREVENTATIVE SERVICES.3. PROVIDED DIABETES EDUCATION SERVICES IN PCP OFFICES AND IN THE OUTPATIENT SETTING IN GROUP AND INDIVIDUAL SESSIONS.IDENTIFIED HEALTH NEED: CANCERACTIONS TAKEN:1. PROVIDED LOW DOSE CT FOLLOWING RECOMMENDED STANDARDS OF CARE.2. PROVIDED FOBT SCREENING THROUGHOUT RIPLEY COUNTY AND FRANKLIN COUNTY.3. EDUCATIONAL AND AWARENESS EVENT OFFERED IN MARCH ANNUALLY IN RC AND FC.4. PATIENT PORTAL REMINDERS FOLLOWING CANCER SCREENING RECOMMENDATIONS. 5. PROVIDED PSA SCREENING IN RIPLEY COUNTY AND FRANKLIN COUNTY. 6. PROMOTED FREE MAMMOGRAM SCREENINGS TO THOSE WHO MEET THE FINANCIAL CRITERIA.7. EDUCATIONAL AND AWARENESS EVENT ANNUALLY IN RC AND FC IN OCTOBER.8. PROVIDED HPV VACCINE THROUGH SCHOOL CLINICS AND OFFER DURING ROUTINE VACCINE VISITS. 9. NURSE NAVIGATION PROGRAM.10. SURVIVORSHIP PROGRAM.IDENTIFIED HEALTH NEED: MENTAL HEALTHACTIONS TAKEN:1. BEHAVIORAL HEALTH OFFERED IN BATESVILLE AND BROOKVILLE. 2. STRESS MANAGEMENT SERIES3. DEPRESSION SCREENING IN PCP OFFICE WITH REFERRAL TO BEHAVIORAL HEALTH SERVICES.4. AUTISM EARLY EVALUATION HUB IN PEDIATRICS OFFICE. IDENTIFIED HEALTH NEED: TOBACCO USEACTIONS TAKEN:1. TOBACCO PREVENTION PROGRAMS IN THE SCHOOLS. 2. TOBACCO USE ASSESSMENT AND COUNSELING IN BEHAVIORAL HEALTH.3. ADHOC FORM AVAILABLE IN CERNER THAT PRIMARY CARE PROVIDERS UTILIZE IF A PATIENT WANTS TO QUIT.4. PROMOTED QUIT LINE.5. BABY ME & TOBACCO FREE PROGRAM OR TO IMPLEMENT SIMILAR PROGRAM.6. BABY AND ME TOBACCO FREE PROGRAM GRANT RECEIVED AND PLANNING TO GO LIVE IN 2019.7. ADDRESSED TOBACCO STATUS DURING ANNUAL WELLNESS VISIT.IDENTIFIED HEALTH NEED: RESPIRATORY DISEASEACTIONS TAKEN:1. OFFERED INFLUENZA AND PNEUMOCOCCAL VACCINES AT OCCUPATIONAL HEALTH AND WELLNESS AND IN ALL PRIMARY CARE OFFICES.2. PULMONARY SERVICES IN BATESVILLE.3. SLEEP MEDICINE SERVICES. IDENTIFIED HEALTH NEED: ACCESS TO HEALTHCARE SERVICESACTIONS TAKEN: 1. EXPANSION OSGOOD HEALTH CENTER TO INCLUDE MINOR CARE, LAB SERVICES AND IMAGING.2. NEW PRIMARY CARE FACILITY IN MILAN.3. IMPLEMENTATION PLAN FOR A WORKPLACE CLINIC MODEL AT BATESVILLE TOOL AND DIE.4. SERVED AS A SITE FOR INTERNSHIPS FOR MEDICAL STUDENTS.5. IMPLEMENTED TELEHEALTH SERVICE IN SOUTH RIPLEY SCHOOL SYSTEM. 6. INITIATED A MULTI-DISCIPLINARY TEAM TO FOCUS ON POST ACUTE CARE (PAC) PROGRAM. 7. FINANCIAL ASSISTANCE PLAN AVAILABLE FOR THOSE IN NEED. 8. PROVIDED ASSISTANCE WITH ENROLLMENT INTO HEALTHCARE PLANS THROUGH SOCIAL SERVICES AND CLAIM AID.9. LAUNCHED A TRANSPORTATION PROGRAM - MMHEALTH RIDES.IDENTIFIED HEALTH NEED: INJURY & VIOLENCEACTIONS TAKEN: 1. CERTIFIED CARE SEAT STATION.2. BIKE SAFETY PRESENTATION IN EVERY SCHOOL SYSTEM IN FRANKLIN AND RIPLEY COUNTY.3. BIKE HELMET SALES AT MMH AND THROUGH COMMUNITY EVENTS. 4. NARCAN PROGRAM FOR LAW ENFORCEMENT TO INCLUDE TRAINING AND KITS.5. PROVIDED CPR TRAINING AND RESCUE BREATHING. IDENTIFIED HEALTH NEED: ORAL HEALTHACTIONS TAKEN: 1. SUPPORTED SEIHC EFFORTS TO MOVE TOWARDS A COMPONENT OF DENTAL SERVICES.IDENTIFIED HEALTH NEED: DEMENTIAACTIONS TAKEN: 1. PROVIDED EDUCATION AND AWARENESS ABOUT THE NEED FOR ADVANCE DIRECTIVES.IDENTIFIED HEALTH NEED: POTENTIALLY DISABLING CONDITIONSACTIONS TAKEN: 1. ERGONOMICS PROGRAM AVAILABLE. MARGARET MARY HEALTH PART V, SECTION B, LINE 20E: OFFERING A PLAIN LANGUAGE SUMMARY AND APPLICATION AT INTAKE AND DISCHARGE. PROVIDING A WRITTEN NOTICE ABOUT UPCOMING ECAS AT LEAST 30 DAYS BEFORE INITIATING THE ECA. MARGARET MARY HEALTH: SCHEDULE H, PART V, LINE 7A:HTTPS://WWW.MMHEALTH.ORG/WELLNESS/PUBLICATION-LIBRARY/ MARGARET MARY HEALTH: SCHEDULE H, PART V, LINE 16A:HTTPS://WWW.MMHEALTH.ORG/WP-CONTENT/UPLOADS/FINANCIAL-ASSISTANCE-POLICY-1.PDFSCHEDULE H, PART V, LINE 16B:HTTPS://WWW.MMHEALTH.ORG/WP-CONTENT/UPLOADS/FA-APPLICATION-11-20-2017.PDFSCHEDULE H, PART V, LINE 16C:HTTPS://WWW.MMHEALTH.ORG/WP-CONTENT/UPLOADS/MARGARET-MARY-HEALTH-FINANCIAL-ASSISTANCE-POLICY-SUMMARY-11-20-2017.PDF 12 1 - OUTPATIENT & CANCER TREATMENT CENTER 24 SIX PINE RANCH RD BATESVILLE IN 47006 OUTPATIENT & CANCER TREATMENT 2 - REHABILITATION CENTER 206 ST RD 129 S BATESVILLE IN 47006 THERAPY 3 - OCCUPATIONAL HEALTH SERVICES & WELLNESS 1051 ST RD 229 N BATESVILLE IN 47006 CLINIC 4 - PHYSICIAN CENTER 26 SIX PINE RANCH RD BATESVILLE IN 47006 OBGYN/SURGERY/PRIMARY CARE 5 - ORTHOPAEDIC & SPECIALTY CENTER 256 ST RD 129 S BATESVILLE IN 47006 ORTHOPAEDIC & SPECIALTY 6 - HOME HEALTH & HOSPICE 108 N ELM ST BATESVILLE IN 47006 HOME HEALTH AND HOSPICE 7 - HMR CLINIC 121 S DEPOT ST STE 1 BATESVILLE IN 47009 CLINIC 8 - MEDICAL ARTS CENTER 188 STATE RD 129 S BATESVILLE IN 47006 PRIMARY CARE 9 - PHYSICIAN PARTNERS OF OSGOOD 112 N BUCKEYE ST OSGOOD IN 47037 PRIMARY CARE 10 - HEALTH CENTER OF BROOKVILLE 11137 US 52 BROOKVILLE IN 47012 PRIMARY CARE 11 - MARGARET MARY PHYSICIAN PARTNERS OF MILA 930 NORTH MAIN ST MILAN IN 47031 PRIMARY CARE 12 - PROFESSIONAL CENTER 1033 STATE RD 229 N BATESVILLE IN 47006 OUTPATIENT & SPECIALTY MEDICINE PART I, LINE 3C: IN ADDITION TO FPG, THE ORGANIZATION USED THE FOLLOWING METHODS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE: ASSET LEVEL, MEDICIAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY. PART I, LINE 7: THE COST TO CHARGE RATIO METHOD WAS USED TO CALCULATE THE CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST. PART I, LINE 7G: THE ORGANIZATION DOES NOT INCLUDE ANY COST ATTRIBUTABLE TO A PHYSICIAN CLINIC IN THE SUBSIDIZED HEALTH SERVICES COSTS. PART I, LN 7 COL(F): TOTAL BAD DEBT EXPENSE OF $0 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A HAS BEEN EXCLUDED FROM THE DENOMINATOR FOR THE PERCENTAGE CALCULATION PER IRS INSTRUCTION. EFFECTIVE WITH THE ADOPTION OF ASU 2011-07, THE STANDARD REQUIRES CERTAIN HEALTHCARE ENTITIES TO PRESENT THE PROVISION FOR BAD DEBT RELATING TO PATIENT SERVICE REVENUE AS A DEDUCTION FROM PATIENT SERVICE REVENUE. PART II, COMMUNITY BUILDING ACTIVITIES: MMH SUPPORTS COMMUNITY BUILDING BY PARTICIPATING AND BEING AN ACTIVE PARTNER IN EMERGENCY PREPAREDNESS. MMH PROMOTES BUILDING THE FUTURE OF HEALTHCARE BY DEVELOPING MENTOR AND CAREER DEVELOPMENT PROGRAMS IN THE HEALTHCARE FIELD. MMH ALSO HAS A RECRUITMENT PLAN TO ENSURE ACCESS TO THE MEDICAL CARE. PART III, LINE 2: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON THE HOSPITAL'S EVALUATION OF ITS MAJOR PAYOR SOURCES OF REVENUE, THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO ITS SERVICE AREA AND THE HEALTHCARE INDUSTRY. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PAYMENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PART III, LINE 3: NO OTHER BAD DEBT AMOUNTS HAVE BEEN INCLUDED AS COMMUNITY BENEFIT. THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN FINANCIAL ASSISTANCE, CANDIDATES MUST COOPERATE FULLY. IN ADDITION, THE HOSPITAL EDUCATES PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. FOR THIS REASON, THE ORGANIZATION BELIEVES IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS NEGLIGIBLE. PART III, LINE 4: AUDITED FINANCIAL STATEMENT BAD DEBT FOOTNOTE CAN BE FOUND ON PAGE 8 UNDER THE HEADING ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PART III, LINE 8: THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED DECEMBER 31, 2018 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST. PART VI, LINE 2: MMH COMPLETES A COMMUNITY HEALTH ASSESSMENT EVERY 3 YEARS WHICH INCLUDES FOCUS GROUPS WITH LOCAL PARTNERS AND LEADERS. PART VI, LINE 3: MMH INFORMS AND EDUCATES PATIENTS AND PERSONS ABOUT ELIGIBILITY FOR ASSISTANCE WITH POSTED SIGNAGE IN ALL REGISTRATION AREAS AND ON OUR WEBSITE. PART VI, LINE 4: MARGARET MARY HEALTH'S PRIMARY AND SECONDARY SERVICE AREA INCLUDES ALL OF RIPLEY AND FRANKLIN COUNTIES AND PARTS OF DECATUR AND DEARBORN COUNTIES. WE SERVE PRIMARILY RURAL COMMUNITIES. AS OF 2018, THE TOTAL POPULATION FOR RIPLEY COUNTY WAS 28,523 WITH A MEDIAN HOUSEHOLD INCOME OF $53,698. 10.9% OF THE POPULATION IN RIPLEY COUNTY IS LIVING BELOW FEDERAL POVERTY LEVELS AND 9.2% OF INDIVIDUALS UNDER AGE 65 DO NOT HAVE HEALTH INSURANCE. AS OF 2018, THE TOTAL POPULATION FOR FRANKLIN COUNTY WAS 22,736 WITH A MEDIAN HOUSEHOLD INCOME OF $55,588. 9.4% OF THE POPULATION IN FRANKLIN COUNTY IS LIVING BELOW FEDERAL POVERTY LEVELS AND 8.9% OF INDIVIDUALS UNDER AGE 65 DO NOT HAVE HEALTH INSURANCE. THE PERCENT OF MMH SERVED PATIENTS ON MEDICAID IS ESTIMATED TO BE 6.4% AND THE PERCENT OF PATIENTS CONSIDERED 100% SELF-PAY WITH NO INSURANCE IS 3.3%. THERE ARE NO OTHER HOSPITALS LOCATED IN RIPLEY OR FRANKLIN COUNTIES TO PROVIDE SERVICES FOR PATIENTS. THERE IS ONE ADDITIONAL HOSPITAL TO MMH IN BOTH DECATUR AND DEARBORN COUNTIES PROVIDING SERVICES. IN BOTH FRANKLIN AND RIPLEY COUNTIES THERE ARE ONE OR MORE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THE COMMUNITIES. PART VI, LINE 5: MMH IS GOVERNED BY A COMMUNITY BOARD. MMCH OPERATES A 24 HOUR EMERGENCY ROOM. MMH COMPLETES A COMMUNITY ASSESSMENT AND A PLAN TO ADDRESS OUR COMMUNITY NEEDS. PART VI, LINE 7, REPORTS FILED WITH STATES IN 1 MARGARET MARY HEALTH FOUNDATION 321 MITCHELL AVE BATESVILLE IN 47006 455039355 501C3 292621 IN-KIND EXPENSES PAID TO ASSIST THE FOUNDATION. CITY OF BATESVILLE 132 S MAIN STREET BATESVILLE IN 47006 N/A 134075 DONATED LAND LAND DONATED FOR DEVELOPMENT OF CITY PARK 2 SCHOLARSHIPS: ELEVEN RECIPIENTS RECEIVED $1,000 AND FOUR RECEIVED $3,000 16 24000 PART I, LINE 2: ASSISTANCE TO ORGANIZATIONS: ALL GRANTS ARE PROVIDED TO 501(C)(3) PUBLIC CHARITIES FOR GENERAL SUPPORT. MARGARET MARY HEALTH DOES NOT MONITOR THE USE OF THESE FUNDS BY THESE PUBLIC CHARITIES. CURRENT YEAR SUPPORT WAS FOR EXPENSES PAID TO ASSIST MARGARET MARY HEALTH FOUNDATION. ASSISTANCE TO INDIVIDUALS: SCHOLARSHIP APPLICATIONS ARE REVIEWED BY SENIOR MANAGERS AND A HUMAN RESOURCE REPRESENTATIVE. CRITERIA REVIEWED INCLUDE GPA, DEGREE PURSUING, YEAR THEY WOULD GRADUATE AND THE NEED OF MMH. TO RECEIVE FUTURE INSTALLMENTS STUDENT MUST MAINTAIN MINIMUM 3.0 GPA AND PROVIDE A COPY OF TRANSCRIPTS. X X X 0 0 0 0 0 0 0 0 0 TIMOTHY PUTNAM PRESIDENT 414468 0 65803 0 0 0 9750 0 27589 0 517610 0 0 0 BRIAN DAEGER VP FINANCE 256341 0 10000 0 0 0 9583 0 21426 0 297350 0 0 0 JULIE KEENE VP PHYSICIAN SERVICES 167037 0 3000 0 12037 0 5573 0 25480 0 213127 0 0 0 LIZ LEISING VP OUTPATIENT SERVICES 181322 0 3000 0 0 0 7110 0 18130 0 209562 0 0 0 KIM INSCHO VP HUMAN RESOURCES 198153 0 3000 0 0 0 7627 0 21281 0 230061 0 0 0 JEFFREY HATCHER MD PHYSICIAN 579521 0 34394 0 0 0 28250 0 35982 0 678147 0 0 0 PAUL JARVIS MD PHYSICIAN 496425 0 35000 0 0 0 9750 0 25886 0 567061 0 0 0 HOWARD COOPER OD PHYSICIAN 495673 0 12000 0 0 0 9750 0 25886 0 543309 0 0 0 JON GEERS MD PHYSICIAN 415839 0 68760 0 0 0 9750 0 26219 0 520568 0 0 0 THOMAS BROWN MD PHYSICIAN 235446 0 207861 0 0 0 9750 0 25710 0 478767 0 0 0 A INDIANA HEALTH FACILITY FINANCING AUTHORITY 351611409 454798PAL 2004-04-01 22000000 SEE PART VI 0 0 0 B INDIANA HEALTH FACILITY FINANCING AUTHORITY 351602316 000000000 2010-12-16 16625235 SEE PART VI 0 0 0 A 885000 22000000 264000 21736000 2004 0 0 1 1 B 940989 16625235 16625 3162004 8625235 4821371 2012 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 1 0 1 1 PIPER JAFFRAY FINANCIAL PRODUCTS 25.000000000000 0 0 0 0 1 B 0 0 1 0 1 0 0 0 1 A 1 B 1 SCHEDULE K, PART I, COLUMN (F), DESCRIPTION OF PURPOSE: BOND ISSUE (A): FINANCE ONCOLOGY AND OUTPATIENT CENTERS. BOND ISSUE (B): REFINANCE 2008 BONDS AND FINANCE 28,000 SQUARE FEET MEDICAL OFFICE BUILDING. PART I, ITEM C, DOING BUSINESS AS: MARGARET MARY HEALTH MARGARET MARY HEALTH PARTNERS OSGOOD PRIMARY CARE MARGARET MARY HEALTH HOSPICE FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. ALL ADULT RESIDENTS OF THE AREA SERVED BY MARGARET MARY HEALTH SHALL BE ELIGIBLE FOR MEMBERSHIP IN THE ORGANIZATION. ANY SUCH RESIDENT MAY BECOME A MEMBER BY PAYMENT OF THE ANNUAL MEMBERSHIP FEE PROVIDED FOR IN THE BY-LAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER WHOSE CURRENT ANNUAL MEMBERSHIP HAS BEEN PAID AT LEAST TEN DAYS IN ADVANCE OF ANY MEETING SHALL BE ENTITLED TO ONE VOTE AT ANY MEETING OF THE MEMBERS. THE MEMBERS OF THE ORGANIZATION ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT. THE FORM 990 IS THEN PRESENTED AND REVIEWED WITH THE FINANCE COMMITTEE. ONCE APPROVED BY THE FINANCE COMMITTEE, THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY KIM INSCHO, MMH CORPORATE COMPLIANCE OFFICER. THE SCOPE OF THIS POLICY INCLUDES ALL BOARD AND FINANCE COMMITTEE MEMBERS, SENIOR MANAGEMENT OF MMH, AND ANY PHYSICIAN WHO HOLDS A MEDICAL DIRECTORSHIP POSITION AT MMH. THE POLICY IS IN PLACE TO IDENTIFY AND APPROPRIATELY DEAL WITH A CONFLICT OF INTEREST SITUATION THAT MAY EXIST. THE COVERED PERSONS ARE TO REFRAIN FROM TRANSACTIONS THAT COULD POTENTIALLY CREATE A CONFLICT OF INTEREST. A SELF DISCLOSURE FROM COVERED PERSONS TO KIM INSCHO, MMH CORPORATE COMPLIANCE OFFICER, IS REQUIRED ON ANY POTENTIAL CONFLICTS OF INTEREST. DEPENDING ON THE TYPE OF CONFLICT OF INTEREST, THE COVERED PERSON WOULD NOT PARTICIPATE IN ANY DELIBERATION OR DECISIONS ON SUCH TRANSACTIONS. THIS WOULD INCLUDE ABSTAINING FROM VOTING ON CERTAIN MATTERS. KIM INSCHO, MMH CORPORATE COMPLIANCE OFFICER, IS RESPONSIBLE FOR REVIEWING AND RESEARCHING THE CONFLICTS DISCLOSED. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS MADE BY THE INDEPENDENT BOARD OF DIRECTORS. THE BOARD THOROUGHLY REVIEWS COMPENSATION INFORMATION AND HIRES OUTSIDE CONSULTANTS TO ADVISE APPROPRIATE SALARY RANGES. THE DELIBERATION AND DECISION IS DOCUMENTED IN THE MINUTES. OTHER OFFICERS OR KEY EMPLOYEES COMPENSATION IS DETERMINED BY THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR/PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,235,708. MANAGEMENT AND GENERAL EXPENSES 8,257,686. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,493,394. PROFESSIONAL FEES - MEDICAL: PROGRAM SERVICE EXPENSES 4,063,793. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,063,793. FORM 990, PART XI, LINE 9: NET UNREALIZED GAINS/(LOSSES) DERIVATIVE 399,170. FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT: THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR. MARGARET MARY HEALTH FOUNDATION 321 MITCHELL AVE BATESVILLE IN 47006 455039355 FUNDRAISING IN 501(C)(3) LINE 12A, I MARGARET MARY COMMUNITY HOSPITAL INC 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 MARGARET MARY HEALTH FOUNDATION B 292621 COST MARGARET MARY HEALTH FOUNDATION C 176119 COST