MARIETTA HEALTH CARE PHYSICIANS INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MARIETTA HEALTH CARE PHYSICIANS INC (EIN 31-1375125)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2018-08-13
- IRS object ID
- 201812259349301911
- Schema version
- 2015v3.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-13T15:40:26-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | 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 | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311375125 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARIETTA HEALTHCARE PHYSICIANS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MARI | BusinessNameControlTxt |
| Phone | 7403741400 | 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 | ERIC YOUNG | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 7403741400 | PhoneNum |
| Signature | 2018-08-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BOB MORELAND CPA | PreparerPersonNm |
| PTIN | P00418596 | PTIN |
| Phone | 5027491900 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | ERIC YOUNG | 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 | $85,521,205 | 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 | 1995 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | PHYSICIAN HEALTH CARE SERVICE FORMED BY MARIETTA MEMORIAL HOSPITAL TO FURTHER ITS SECTIONS 501(C)3 CHARITABLE PURPOSES. MHCPI LIKE MMH DOES PARTICIPATE IN MEDICARE AND MEDICAID PROGRAMS AND SERVICES ARE PROVIDED TO PATIENTS WITHOUT DISCRIMINATION AS TO ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 309 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $74,672,588 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $85,518,475 | CYProgramServiceRevenueAmt |
| PY Investment Income | $163 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,730 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $74,672,751 | PYTotalRevenueAmt |
| CY Total Revenue | $85,521,205 | 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 | $86,169,388 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $96,979,299 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,312,589 | PYOtherExpensesAmt |
| CY Other Expenses | $13,007,140 | CYOtherExpensesAmt |
| PY Total Expenses | $98,481,977 | PYTotalExpensesAmt |
| CY Total Expenses | $109,986,439 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$23,809,226 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$24,465,234 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,392,208 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,851,204 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,394,567 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,853,563 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$2,359 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$2,359 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PHYSICIAN HEALTH CARE SERVICE FORMED BY MARIETTA MEMORIAL HOSPITAL TO FURTHER ITS SECTIONS 501(C)3 CHARITABLE PURPOSES. MHCPI LIKE MMH DOES PARTICIPATE IN MEDICARE AND MEDICAID PROGRAMS AND SERVICES ARE PROVIDED TO PATIENTS WITHOUT DISCRIMINATION AS TO ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $104,130,447 | ExpenseAmt |
| Revenue | $85,518,475 | RevenueAmt |
| Desc | THE CORPORATION WAS FORMED BY MARIETTA MEMORIAL HOSPITAL FOR THE PURPOSE OF PROVIDING PHYSICIAN CARE IN THE SERVICE AREA OF THE HOSPITAL SINCE THERE ARE AN INSUFFICIENT NUMBER OF PHYSICIANS TO MEET THE COMMUNITY'S NEEDS.CHARITY CARE AND COLLECTION POLICIES FOR THE CORPORATION ARE IDENTICAL TO MARIETTA MEMORIAL HOSPITAL. TOTAL CHARITY PROVIDED WAS $503,043.THE CORPORATION PROVIDED 423,743 PATIENT VISITS IN 2016.THE PATIENT PAYER MIX WAS 43.3% MEDICARE, 19.8% WELFARE, AND 2.8% SELF PAY. | Desc |
| Total Program Service Expenses | $104,130,447 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 309 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | 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 | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIC YOUNG | PersonNm |
| 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 (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JOHN MATTHEWS | ||||||||
| CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHARLOTTE HATFILED | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| KIM MCGREW | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JAY STOWE | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MATTHEW MACATOL MD | ||||||||
| SHAREHOLDER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| J SCOTT CANTLEY | ||||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $836,499 | $50,748 | |||
| ERIC YOUNG | ||||||||
| TREASURER | 2.00 | Yes (X) | $0 | $432,489 | $51,346 | |||
| VIVEK ABHYANKAR MD | ||||||||
| VICE PRESIDENT | 40.00 | $653,454 | $0 | $33,318 | Yes (X) | |||
| SRINI VASAN MD | ||||||||
| PHYSICIAN | 40.00 | $1,684,178 | $0 | $30,475 | Yes (X) | |||
| MATTHEW YOAK MD | ||||||||
| PHYSICIAN | 40.00 | $1,256,880 | $0 | $31,378 | Yes (X) | |||
| GILBERT KUKIELKA | ||||||||
| PHYSICIAN | 40.00 | $935,662 | $0 | $33,738 | Yes (X) | |||
| ROMAN PETROV MD | ||||||||
| PHYSICIAN | 40.00 | $1,025,556 | $0 | $33,738 | Yes (X) | |||
| RAJENDRA BHATI MD | ||||||||
| PHYSICIAN | 40.00 | $1,208,868 | $0 | $33,738 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,764,598 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,268,988 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $298,479 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | 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 |
|---|---|---|---|---|---|
| MEDONE SYSTEMS LLC | |||||
| 3525 OLENTAGY ROAD | COLUMBUS | OH | 43214 | HOSPITALIST MANAGEMENT | $1,700,391 |
| LOCUMTENENSCOM | |||||
| 3650 MANSEL ROAD SUITE 310 | ALPHARETTA | GA | 30005 | PHYSICIAN STAFFING | $1,068,628 |
| LINDE HEALTHCARE STAFFING INC | |||||
| PO BOX 915241 | DALLAS | TX | 75391 | PHYSICIAN STAFFING | $506,458 |
| COMPHEALTH MEDICAL STAFFING | |||||
| PO BOX 972670 | ATLANTA | GA | 30328 | PHYSICIAN STAFFING | $279,525 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | PHYSICIAN STAFFING | $246,197 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICARE, MEDICAID, INSURANCE & S | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $85,518,475 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $85,518,475 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $85,518,475 | TotalProgramServiceRevenueAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,730 | TotalRevenueColumnAmt |
| Exclusion | $2,730 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $85,521,205 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $85,518,475 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,730 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $653,454 | TotalAmt |
| Program Services | $653,454 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,128,138 | TotalAmt |
| Program Services | $80,865,409 | ProgramServicesAmt |
| Management And General | $3,262,729 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $578,534 | TotalAmt |
| Program Services | $555,393 | ProgramServicesAmt |
| Management And General | $23,141 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,881,276 | TotalAmt |
| Program Services | $7,566,025 | ProgramServicesAmt |
| Management And General | $315,251 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,737,897 | TotalAmt |
| Program Services | $3,588,381 | ProgramServicesAmt |
| Management And General | $149,516 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,234 | TotalAmt |
| Program Services | $1,068 | ProgramServicesAmt |
| Management And General | $166 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,536 | TotalAmt |
| Program Services | $17,302 | ProgramServicesAmt |
| Management And General | $234 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,005,121 | TotalAmt |
| Program Services | $956,318 | ProgramServicesAmt |
| Management And General | $48,803 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,283 | TotalAmt |
| Program Services | $20,597 | ProgramServicesAmt |
| Management And General | $183,686 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $857,989 | TotalAmt |
| Program Services | $842,596 | ProgramServicesAmt |
| Management And General | $15,393 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,291 | TotalAmt |
| Program Services | $102,197 | ProgramServicesAmt |
| Management And General | $40,094 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $549,067 | TotalAmt |
| Program Services | $543,817 | ProgramServicesAmt |
| Management And General | $5,250 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $630,006 | TotalAmt |
| Program Services | $630,006 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,059 | TotalAmt |
| Program Services | $57,295 | ProgramServicesAmt |
| Management And General | $64,764 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PURCHASED SERVICES | $7,435,653 | $6,130,942 | $1,304,711 | $0 |
| SUPPLIES MEDICAL | $1,410,742 | $1,410,742 | $0 | $0 |
| POSTAGE/PRINTING/DUES | $517,750 | $76,454 | $441,296 | $0 |
| UTILITIES | $113,409 | $112,451 | $958 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,986,439 | TotalAmt |
| Program Services | $104,130,447 | ProgramServicesAmt |
| Management And General | $5,855,992 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,649,973 | BOYAmt |
| EOY | $7,277,442 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,270,037 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,696,275 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,742,235 | BOYAmt |
| EOY | $2,573,762 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,392,208 | BOYAmt |
| EOY | $9,851,204 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,394,567 | BOYAmt |
| EOY | $9,853,563 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,394,567 | BOYAmt |
| EOY | $9,853,563 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,359 | BOYAmt |
| EOY | -$2,359 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,359 | BOYAmt |
| EOY | -$2,359 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,392,208 | BOYAmt |
| EOY | $9,851,204 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$24,465,234 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $24,465,234 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $51,103,020 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $57,978,347 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $64,551,634 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $74,672,588 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $85,518,475 | CurrentTaxYearAmt |
| Total | $333,824,064 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $51,103,020 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $57,978,347 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $64,551,634 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $74,672,588 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $85,518,475 | CurrentTaxYearAmt |
| Total | $333,824,064 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $333,824,064 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $163 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,730 | CurrentTaxYearAmt |
| Total | $2,893 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $163 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,730 | CurrentTaxYearAmt |
| Total | $2,893 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $51,103,020 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $57,978,347 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $64,551,634 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $74,672,751 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $85,521,205 | CurrentTaxYearAmt |
| Total | $333,826,957 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,270,037 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,696,275 | DepreciationAmt |
| Book Value | $2,573,762 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,573,762 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PAYABLE TO MARIETTA MEMORIAL HOSPITAL | Desc |
| Amt | $9,853,563 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,853,563 | 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 AND MOHP, IS ORGANIZED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE UNITED STATES INTERNAL REVENUE CODE. MSC AND MOHP ARE ORGANIZED AS LIMITED LIABILITY COMPANIES, WHEREBY, NET TAXABLE INCOME IS TAXED DIRECTLY TO THE MEMBERS AND NOT MSC OR MOHP. 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, 2016 AND 2015, 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 AND MOHP, 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 2015. 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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| J SCOTT CANTLEY | ||||||||||||||
| SECRETARY | $0 | $670,599 | $0 | $165,900 | $0 | $0 | $0 | $18,000 | $0 | $32,748 | $0 | $887,247 | $0 | $0 |
| ERIC YOUNG | ||||||||||||||
| TREASURER | $0 | $367,489 | $0 | $65,000 | $0 | $0 | $0 | $18,000 | $0 | $33,346 | $0 | $483,835 | $0 | $0 |
| VIVEK ABHYANKAR MD | ||||||||||||||
| VICE PRESIDENT | $605,454 | $0 | $48,000 | $0 | $0 | $0 | $2,120 | $0 | $31,198 | $0 | $686,772 | $0 | $0 | $0 |
| SRINI VASAN MD | ||||||||||||||
| PHYSICIAN | $1,684,178 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $30,475 | $0 | $1,714,653 | $0 | $0 | $0 |
| MATTHEW YOAK MD | ||||||||||||||
| PHYSICIAN | $1,103,691 | $0 | $153,189 | $0 | $0 | $0 | $0 | $0 | $31,378 | $0 | $1,288,258 | $0 | $0 | $0 |
| GILBERT KUKIELKA | ||||||||||||||
| PHYSICIAN | $662,828 | $0 | $272,834 | $0 | $0 | $0 | $2,120 | $0 | $31,618 | $0 | $969,400 | $0 | $0 | $0 |
| ROMAN PETROV MD | ||||||||||||||
| PHYSICIAN | $605,873 | $0 | $419,683 | $0 | $0 | $0 | $2,120 | $0 | $31,618 | $0 | $1,059,294 | $0 | $0 | $0 |
| RAJENDRA BHATI MD | ||||||||||||||
| PHYSICIAN | $1,208,868 | $0 | $0 | $0 | $0 | $0 | $2,120 | $0 | $31,618 | $0 | $1,242,606 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | BOARD MEMBERS REVIEW THE FOFM 990 AFTER IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUAL SURVEYS ARE COMPLETED AND REVEIWED BY CORPORATE INTEGRITY COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION IS SET BY COMMITTEE AT MEDIAN IN THE MARKET AREA FOR EXECUTIVES. COMPENSATION IS SET BY COMMITTEE AT A MAXIMUM OF 75% MGMA FOR PHYSICIANS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AT THE HOSPITAL'S ADMINISTRATIVE OFFICE. |
| FORM 990, PART XI, LINE 9: | TRANSFER FROM MARIETTA MEMORIAL HOSPITAL 24,465,234. |
| PART VII SECTION A | THE AMOUNTS FOR COLUMN F, ESTIMATED AMOUNT OF COMPENSATION FROM THE ORGANIZATION AND RELATED ORGANIZATIONS, WAS INADVERTANTLY OMITTED FROM THE ORIGINAL RETURN. THE DETAILS WERE REPORTED ON SCHEDULE J OF THE ORIGINAL RETURN, JUST NOT ON PART VII. |
| PART X | THE END OF YEAR BALANCE SHEET INFORMATION WAS INADVERTANTLY OMITTED FROM THE ORIGINAL TAX RETURN. IT HAS BEEN INCLUDED ON THIS AMENDED RETURN. IN ADDITION, SUPPORT INFORMATION FOR THE PRIOR AND CURRENT YEARS WAS OMITTED FROM SCHEDULE A. |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MARIETTA MEMORIAL HOSPITAL | ||||||||||
| 401 MATTHEW STREET | MARIETTA | OH | 45750 | 314379509 | HOSPITAL | OH | 501(C)(3) | LINE 3 | MARIETTA AREA HEALTHCARE INC | 0 |
| SELBY GENERAL HOSPITAL | ||||||||||
| 1106 COLEGATE DR | MARIETTA | OH | 45750 | 314413259 | HOSPITAL | OH | 501(C)(3) | LINE 3 | MARIETTA AREA HEALTHCARE INC | 0 |
| MEMORIAL HEALTH FOUNDATION | ||||||||||
| PO BOX 97 | MARIETTA | OH | 45750 | 311011321 | SUPPORTING ORG | OH | 501(C)(3) | LINE 11B, II | MARIETTA AREA HEALTHCARE INC | 0 |
| MARIETTA AREA HEALTHCARE | ||||||||||
| 401 MATTHEW STREET | MARIETTA | OH | 45750 | 311126451 | MANAGEMENT | OH | 501(C)(3) | LINE 9 | 0 | |
| 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 | 0 | 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 |