2025-10-29T15:27:57-05:00 2024-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2024-01-01 356067049 MARGARET MARY COMMUNITY HOSPITAL INC MARG 8129346624 321 MITCHELL AVENUE BATESVILLE IN 470060226 CRAIG GILLILAND CFO AND VP OF FINANCE 8129346624 2025-10-29 1 0 EMILIE M KNIERIEM CPA P01330194 3176334705 2025-10-29 2024 2025-03-06 01:10:19Z MARGARET MARY HEALTH CRAIG GILLILAND 321 MITCHELL AVENUE BATESVILLE IN 470060226 158591600 0 X WWW.MMHEALTH.ORG X 1967 IN IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. 14 11 897 22 0 0 214630 1802125 127910974 125957563 6267053 9650402 1860453 2446583 136253110 139856673 314536 384035 0 0 66574185 69544491 0 0 41336 60077877 60167556 126966598 130096082 9286512 9760591 178555938 276460458 25288617 113317545 153267321 163142913 X IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. 0 0 96771722 384035 127203154 HEALTH CARE SERVICES RELATED TO IMPROVING THE HEALTH OF THE COMMUNITY FOR BOTH INPATIENT AND OUTPATIENT PROGRAMS. 6325674 720 SUBSIDIZED HEALTH SERVICES - 67,169 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. 1170604 122383 COMMUNITY HEALTH SERVICES - 123,680 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. 1101362 FINANCIAL AND IN-KIND CONTRIBUTIONS 1,811 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 CHAMBER OF COMMERCE, ROTARY, MARCH OF DIMES, RELAY FOR LIFE, AND THE BATESVILLE COORDINATED SCHOOL HEALTH BOARD.OTHER PROGRAMS AND SERVICES 350 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. 1101362 105369362 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 42 0 1 897 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X TISHA OWENS CONTROLLER 8129346624 321 MITCHELL AVENUE BATESVILLE IN 470060226 LIZ LEISING PRESIDENT/CEO 40.00 2.00 X X 499720 0 9495 GEORGE JUNKER BOARD CHAIR 2.00 2.00 X X 0 0 0 MARY ANN WISE-CASTNER BOARD VICE CHAIR 2.00 X X 0 0 0 TIM ZIEMKE BOARD SECRETARY 2.00 X X 0 0 0 RONALD KNUEVEN BOARD TREASURER 2.00 X X 0 0 0 SISTER DIANE JAMISON MEMBER 2.00 X 0 0 0 LEA ANN KING MEMBER (END 2024) 2.00 X 0 0 0 ARNIE KIRSCHNER MEMBER 2.00 X 0 0 0 JORGE LOPEZ MEMBER 2.00 X 0 0 0 CHARLES MCGOVERN MD MEMBER 2.00 X 0 0 0 JOE MOORMAN MEMBER 2.00 X 0 0 0 JEFF OLLIER MEMBER 2.00 X 0 0 0 MICHELLE BILTZ MEMBER/CHIEF OF STAFF (END 2024) 40.00 X 185725 0 33266 THOMAS BROWN MD MEMBER/CHEIF OF STAFF (BEG 2024) 40.00 X 615490 0 40285 SAM MYNSBERGE MEMBER (BEG 2024) 2.00 X 0 0 0 ASHLEE THEISING MEMBER (BEG 2024) 2.00 X 0 0 0 BRIAN DAEGER VP OPERATIONS 40.00 X 358635 0 31783 CRAIG GILLILAND CFO/VP FINANCE 40.00 2.00 X 303825 0 31986 KIMBERLY INSCHO VP HUMAN RESOURCES 40.00 2.00 X 310032 0 31154 JULIE KEENE VP PHYSICIAN SERVICES 40.00 X 285168 0 29079 DEVAN REUSS VP OUTPATIENT SERVICES 40.00 X 238824 0 26765 SHERI BROUGHER ASST VP STRATEGY AND COMMUNICATION 40.00 2.00 X 177554 0 25295 TRISHA PRICKEL ASST. VP INFORMATION SYSTEMS 40.00 X 167939 0 5560 MICHAEL MAGGIO PHYSICIAN 40.00 X 704442 0 31806 JEFFREY HATCHER MD PHYSICIAN 40.00 X 655441 0 48895 PAUL JARVIS MD PHYSICIAN 40.00 X 720298 0 31829 JON GEERS MD PHYSICIAN 40.00 X 570069 0 37311 JOSEPH D STEPHENS MD PHYSICIAN 40.00 X 1016023 0 29721 6809185 0 444230 98 0 1 0 DANIS BUILDING CONSTRUCTIONS COMPANY 3233 NEWART DRIVE MIAMISBURG OH 45342 BUILDING CONSTRUCTION CONTRACTOR 11316734 KPM-ED LLC 7770 COOPER ROAD SUITE 8 MONTGOMERY OH 45242 ER PHYSICIAN STAFFING SERVICE 2670350 STELD CONSULTING DBA SYNO-KRONOS HEALTH 275 MEDICAL DRIVE 4327 CARMEL IN 46032 HOSPITALIST SERVICES 1669151 TRIMEDX PO BOX 636129 CINCINNATI OH 45263 CLINICAL EQUIPMENT MAINTENANCE 1230890 THE CHRIST HOSPITAL 2139 AUBURN AVE CINCINNATI OH 45219 PROFESSIONAL SERVICES - PHYSICIANS 985527 15 1799753 2372 1802125 NET PATIENT SERVICE REVENUE 621110 125957563 125957563 125957563 2488846 2488846 138425 0 138425 138425 138425 25456483 440000 18426319 308608 7030164 131392 7161556 7161556 340B PROGRAM 900099 1014554 1014554 CAFETERIA 900099 331556 331556 VENDING 900099 1843 1843 960205 215715 744490 2308158 139856673 127326257 0 10728291 X 363035 363035 21000 21000 3320250 2636187 684063 51802773 41129975 10672798 1197404 950706 246698 9712221 7711236 2000985 3511843 2788307 723536 398935 168999 229936 19750141 13658737 6091404 455279 354071 101208 806211 626991 179220 1503045 1213174 289871 263898 205234 58664 233725 181768 51957 638165 515092 123073 6441550 5199261 1242289 1039225 946053 93172 SUPPLIES - MEDICAL AND 20411243 20302114 109129 HAF EXPENSE 6777059 5270529 1506530 FOOD 596035 463537 132498 DUES & SUBSCRIPTIONS 428131 332958 95173 424914 330398 53180 41336 130096082 105369362 24685384 41336 6536847 7307702 16911555 21494451 1360638 1490267 1674420 2697042 191956857 125382564 49848532 66574293 101386557 176103370 0 523010 837389 270323 178555938 276460458 10673487 16507826 12720263 10417297 0 85124594 1894867 1267828 25288617 113317545 X 153169289 163059179 98032 83734 153267321 163142913 178555938 276460458 X 9760591 -19950 134951 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 5015 5015 0 PART II-B, LINE 1: A PORTION OF ANNUAL MEMBERSHIP DUES THAT ARE PAID TO INDIANA HOSPITAL ASSOCIATION ARE ALLOCATED TO LOBBYING. 100863547 2372 8382490 16670 109231739 89709699 4566 11170018 20736 100863547 117892374 2379 -28167878 17176 89709699 102499356 18079 15387588 12649 117892374 81198046 96800 21320366 115856 102499356 0.99900 0.00000 0.00100 0 0 7279456 7279456 81182798 58198670 22984128 80015928 65795793 14220135 23478675 1388101 22090574 66574293 ESTIMATED THIRD-PARTY SETTLEMENT 996790 RIGHT OF USE LIABILITIES 271038 1267828 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, 2024 AND 2023, 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 1 408 3702003 3702003 0.02850 664 13683929 4903959 8779970 0.06750 1072 17385932 4903959 12481973 0.09600 26 123680 1170604 122383 1048221 0.00810 4 106 877255 0 877255 0.00670 3 67169 6325674 720 6324954 0.04860 1 244 90304 0 90304 0.00070 3 1811 133803 133803 0.00100 37 193010 8597640 123103 8474537 0.06510 37 194082 25983572 5027062 20956510 0.16110 1 792 3810 3810 0.00000 1 11146 11146 0.00010 2 54 114542 114542 0.00090 4 846 129498 129498 0.00100 0 10912244 20048831 19376758 672073 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 24 1 0 0 1 X SEE PART V, PAGE 8 X X 1 24 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X 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 X 1 X 0 X X X X 1 X 0 0 MARGARET MARY HEALTH PART V, SECTION B, LINE 3J: A REGIONAL CHNA WAS DEVELOPED IN 2024. THIS COLLABORATION WAS FACILITATED BY THE HEALTH COLLABORATIVE (THC) IN PARTNERSHIP WITH THE BUTLER COUNTY HEALTH DISTRICT AND HEALTH POLICY INSTITUTE OF OHIO AS THE CORE CIRCLE THAT MANAGED DAY-TO-DAY OPERATIONS OF THE PROJECT. THE CIRCLE OF ENGAGEMENT INCLUDES PARTNERSHIP WITH THE FOLLOWING 8 HEALTH SYSTEMS (ADAMS CO REGIONAL MEDICAL CENTER, CHRIST HOSPITAL, CINCINNATI CHILDREN'S, LINDNER CENTER OF HOPE, MARGARET MARY HEALTH, MERCY HEALTH CINCINNATI, TRIHEALTH AND UC HEALTH) COMPRISING 38 HOSPITALS, 15 HEALTH DEPARTMENTS, ACROSS 18 COUNTIES IN GREATER CINCINNATI/SOUTHWEST OHIO, SOUTHEAST INDIANA, AND NORTHERN KENTUCKY. THE ASSESSMENT PROVIDES A SUMMARY OF:- THE MOST PREVALENT HEALTH CONDITIONS IN OUR COMMUNITY AND CONDITIONS FOR WHICH PEOPLE MOST COMMONLY DID NOT RECEIVE TREATMENT IN PAST YEAR,- THE SOCIAL DETERMINANTS OF HEALTH (SDOH) THAT IMPACT THESE POOR HEALTH OUTCOMES, AND - THE SYSTEMIC BARRIERS THAT INFLUENCE HEALTH DISPARITIES AND INEQUITIES FOR OUR COMMUNITY MEMBERS.DATA COLLECTION, ANALYSIS, AND SYNTHESIS WAS CONDUCTED BY THE HEALTH POLICY INSTITUTE OF OHIO (HPIO) ALONG WITH THE HEALTH COLLABORATIVE (THC). A COMPREHENSIVE, INCLUSIVE, AND BALANCED MIXED-METHOD APPROACH, AND BEST PRACTICES IN COMMUNITY ENGAGEMENT, WERE USED IN DATA COLLECTION TO ENSURE A REPRESENTATIVE SAMPLE OF COMMUNITY MEMBERS, SPECIFICALLY THE VOICES OF MARGINALIZED POPULATIONS AND THE INCLUSION OF PROVIDERS ACROSS HEALTH AND SOCIAL SERVICES SECTORS. THE ENTIRE PROCESS WAS OVERSEEN BY AN ADVISORY COMMITTEE OF 45 MEMBERS OF THE COMMUNITY, REPRESENTING HOSPITALS, PUBLIC HEALTH DEPARTMENTS, FEDERALLY QUALIFIED HEALTH CENTERS, COMMUNITY-BASED ORGANIZATIONS, PUBLIC HEALTH PROFESSIONAL ASSOCIATIONS, FUNDERS AND PAYORS.PATIENT-LEVEL HOSPITAL ENCOUNTERS FROM THE 38 HOSPITALS WERE COMPILED AND SUMMARIZED ALLOWING FOR INTERPRETATION AND FURTHER STATISTICAL ANALYSIS. GROUPING DATA BASED ON SPECIFIC CRITERIA (E.G. DEMOGRAPHICS, CHRONIC HEALTH CONDITIONS, OR TIME INTERVALS) WERE USED TO EXTRACT KEY INSIGHTS INTO THE LARGER DATASETS. THIS ALLOWED FOR 49 SECONDARY, QUANTITATIVE DATA METRICS TO BE COMPILED AND 18 OHIO HOSPITAL ASSOCIATION DATA METRICS TO BE ANALYZED. MARGARET MARY HEALTH PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS GATHERED THROUGH FOCUS GROUPS AND PHONE SURVEYS. MARGARET MARY HEALTH PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND ON THE HOSPITAL'S WEBPAGE VIA THE FOLLOWING: COMMUNITY> COMMUNITY HEALTH NEEDS ASSESSMENT. THE DOWNLOADS FOR THE FOLLOWING CAN BE FOUND: 2021 CHNA, 2022-24 COMMUNITY HEALTH IMPLEMENTATION PLAN, 2024 CHNA AND 2025-27 COMMUNITY HEALTH IMPLEMENTATION PLAN <HTTPS://WWW.MMHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-ASSESSMENT/>. MARGARET MARY HEALTH PART V, SECTION B, LINE 11: IN 2024, THE CHNA IDENTIFIED SEVENTEEN (17) SIGNIFICANT HEALTH NEEDS. DURING THE PRIORITIZATION EVENTS, THREE (3) HEALTH PRIORITIES WERE PRIORITIZED. THESE ARE (1) MENTAL HEALTH TREATMENT AND PREVENTION, (2) HOMELESSNESS PREVENTION AND HOUSING STABILITY AND (3) HEART DISEASE AND STROKE PREVENTION AND TREATMENT. THERE ARE SIGNIFICANT HEALTH NEEDS NOT ADDRESSED. MMH WILL FOCUS ON TWO HEALTH PRIORITIES OF BEHAVIORAL HEALTH AND HEART DISEASE AND STROKE IDENTIFIED IN THE CHNA. THESE HEALTH PRIORITIES HAVE OVERARCHING OUTCOMES THAT MAY IMPACT BOTH AREAS.MMH MAY NOT BE ABLE TO FOCUS RESOURCES AND SERVICES ON ALL ASPECTS OF THE IDENTIFIED NEEDS IN THE REGIONAL CHNA. WE ARE COMMITTED TO FOCUSING ON THOSE WITHIN OUR RESOURCES OF TIME, TALENT AND EXPERTISE. WHILE WE RECOGNIZE HOUSING IS AN IDENTIFIED CONCERN, OUR RESOURCES AND EXPERTISE LIMIT OUR ABILITY TO ADDRESS QUALITY AND AFFORDABLE HOUSING. WE WILL RELY ON STRONG COMMUNITY PARTNERS AND THEIR EFFORTS TO ADDRESS NEEDS WE ARE NOT ABLE TO DELIVER. COLLECTIVE OUTCOMES AND COLLECTIVE STRATEGIES ARE LISTED OUT IN MMH'S 2025-27 IMPLEMENTATION PLAN IDENTIFYING EFFORTS TO ASSIST IN THESE OTHER NON-PRIORITIZED NEEDS. AS TO EFFORTS FOR THE PRIORITIZED NEEDS CAN ALSO BE FOUND WITHIN THE IMPLEMENTATION PLAN. THE BELOW LISTS WHAT ACTIONS WERE TAKEN IN 2024 FOR EACH IDENTIFIED HEALTH NEED:IDENTIFIED HEALTH NEED: BEHAVIORAL HEALTH TREATMENT AND PREVENTION - INTEGRATE PRIMARY CARE PROGRAM WITH BEHAVIORAL HEALTH TO IMPROVE CONTINUITY OF CARE, SHARING TREATMENT PLANS AND COMMUNICATING MENTAL HEALTH. - UTILIZE ACES SCREENING IN BEHAVIORAL HEALTH. - INCREASE ACCESS TO BEHAVIORAL HEALTH IN CONJUNCTION WITH PEREGRINE AND SHO, OUR TELEHEALTH/TELE-PSYCH PARTNERS. - PROMOTE THE MENTAL HEALTH CRISIS LINE "988." - RAISE AWARENESS FOR BENEFITS PROVIDED THROUGH EMPLOYER EAP PROGRAMS. - HOST ANNUAL 5K WALK, STOP THE STIGMA, FOR SUICIDE PREVENTION AND AWARENESS. - PARTNER WITH COMMUNITY MENTAL HEALTH FOR CRISIS SUPPORT, INFANT MENTAL HEALTH, AND INPATIENT ADMISSIONS FOR PSYCH FROM THE ER. - UTILIZE CERT (CHOICE'S EMERGENCY RESPONSE TEAM) AS A COMMUNITY RESOURCE AND SUPPORT FOR DRUG-RELATED CONCERNS. - CONDUCT FEASIBILITY STUDY OF SUICIDE PREVENTION PROGRAM SOS (SIGNS OF SUICIDE) OR QPR (QUESTION, PERSUADE, REFER) IN PARTNERSHIP WITH LOCAL SCHOOLS. - DEVELOP POLICY AND EDUCATION PLAN FOR PROVIDERS FOR WHEN A PATIENT PRESENTS WITH PSYCH OR SUICIDAL IDEATIONS. POLICY: SUICIDAL PATIENT. - ENGAGE WITH SOUTHEAST INDIANA SUICIDE PREVENTION COALITION. - ENGAGE WITH THE INDIANA SUICIDE AND FATALITY REVIEW (SAFR) TEAM TO LOOK AT LESSONS FROM SUICIDE VICTIMS TO DEVELOP RECOMMENDATIONS FOR RIPLEY AND FRANKLIN COUNTIES.- SERVE ON THE LOCAL EFFORTS OF COALITION FOR A DRUG FREE BATESVILLE (CDFB) AND STAYIN ALIVE. - INCREASE AVAILABILITY OF GROUP THERAPY SESSIONS.IDENTIFIED HEALTH NEED: HEART DISEASE AND STROKE PREVENTION & TREATMENT- PRIORITIZE PARTNERSHIP WITH THE CHRIST HOSPITAL HEALTH NETWORK ENSURING FOUR-DAY-A WEEK PHYSICIAN COVERAGE IN BATESVILLE. - CONTINUE TO EVALUATE CARDIAC DIAGNOSTIC TESTING NEEDS UTILIZING STATE-OF-THE-ART EQUIPMENT. - MAINTAIN CHEST PAIN NETWORK ACCREDITATION IN OUR ER THROUGH OUR PARTNERSHIP WITH THE CHRIST HOSPITAL HEALTH NETWORK. - MAINTAIN STROKE CERTIFICATION IN COLLABORATION WITH UNIVERSITY OF CINCINNATI. - CONTINUE CARDIOPULMONARY REHAB SERVICES. - FOCUS EFFORTS IN THE MMH PRIMARY CARE PRACTICES ON BLOOD PRESSURE CONTROL. - EXPLORE REMOTE PATIENT MONITORING FOR PATIENTS WITH HYPERTENSION (HTN) THROUGH PROGRAMS SUPPORTED BY THE INDIANA PRIMARY HEALTH CARE ASSOCIATION (IPHCA). - SUPPORT EFFORTS OF THE CARDIOVASCULAR & DIABETES COALITION OF INDIANA. - INCREASE ACCESS TO MMH VASCULAR SCREENINGS. - INCREASE REFERRALS INTO PROGRAMS TO ADDRESS HEART DISEASE INCLUDING CARDIAC REHAB, NUTRITION AND PREVENTIVE PROGRAMS. - EXPAND AVAILABILITY OF NUTRITIOUS FOOD (THERAPEUTIC MEALS) IN CLINICAL CARE SETTINGS. - PROVIDE PRODUCE PRESCRIPTIONS (RX FOOD AS MEDICINE). - DEVELOP PARTNERSHIPS WITH LOCAL BUSINESSES AND CHURCHES TO SUPPORT AND FUND HEALTHY FOOD ACCESS POINTS, INCLUDING FARMERS' MARKETS, FOOD CARTS OR FOOD CUPBOARDS AT VARIOUS LOCATIONS THROUGHOUT OUR COMMUNITIES. MARGARET MARY HEALTH PART V, SECTION B, LINE 15E: LAMINATED SHEETS AND BROCHURES ARE IN THE OUTPATIENT AREAS AND POSTED ON OUR WEBSITE. MARGARET MARY HEALTH PART V, SECTION B, LINE 16J: THE FAP, FAP APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE ON THE HOSPITAL'S WEBSITE AT THE FOLLOWING ADDRESS: HTTPS://WWW.MMHEALTH.ORG/FOR-PATIENTS/BILL-PAYMENT/FINANCIAL-ASSISTANCE MARGARET MARY HEALTH: SCHEDULE H, PART V, LINE 7A:HTTPS://WWW.MMHEALTH.ORG MARGARET MARY HEALTH: SCHEDULE H, PART V, LINE 10A:HTTPS://WWW.MMHEALTH.ORG/WP-CONTENT/UPLOADS/CHI-IMPLEMENTATION-PLAN-22-24.PDF MARGARET MARY HEALTH: SCHEDULE H, PART V, LINE 16A:FAP WEBSITE: HTTPS://WWW.MMHEALTH.ORG/FOR-PATIENTS/BILL-PAYMENT/FINANCIAL-ASSISTANCE MARGARET MARY HEALTH: SCHEDULE H, PART V, LINE 16B:FAP APPLICATION WEBSITE: HTTPS://WWW.MMHEALTH.ORG/FOR-PATIENTS/BILL-PAYMENT/FINANCIAL-ASSISTANCE MARGARET MARY HEALTH: SCHEDULE H, PART V, LINE 16C:FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.MMHEALTH.ORG/FOR-PATIENTS/BILL-PAYMENT/FINANCIAL-ASSISTANCE 11 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 - HOSPICE 321 MICHELL AVE BATESVILLE IN 47006 HOME HEALTH AND HOSPICE 7 - MEDICAL ARTS CENTER 188 STATE RD 129 S BATESVILLE IN 47006 PRIMARY CARE 8 - PHYSICIAN PARTNERS OF OSGOOD 112 N BUCKEYE ST OSGOOD IN 47037 PRIMARY CARE 9 - HEALTH CENTER OF BROOKVILLE 11137 US 52 BROOKVILLE IN 47012 PRIMARY CARE 10 - MARGARET MARY PHYSICIAN PARTNERS OF MILA 930 NORTH MAIN ST MILAN IN 47031 PRIMARY CARE 11 - 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 CONSTRUCTING AND MOVING INTO A NEW REPLACEMENT HOSPITAL IN THE SUMMER OF 2026 AND 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 CHARITY CARE, 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 CHARITY CARE POLICY IS NEGLIGIBLE. PART III, LINE 4: AUDITED FINANCIAL STATEMENT FOOTNOTE CAN BE FOUND ON PAGE 9 AND 10 UNDER THE HEADING PATIENT ACCOUNT RECEIVABLE. 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, 2024 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 2024, THE TOTAL POPULATION FOR RIPLEY COUNTY WAS 29,214 WITH A MEDIAN HOUSEHOLD INCOME OF $71,084. 9.6% OF THE POPULATION IN RIPLEY COUNTY IS LIVING BELOW FEDERAL POVERTY LEVELS AND 6.7% OF INDIVIDUALS DO NOT HAVE HEALTH INSURANCE. AS OF 2024, THE TOTAL POPULATION FOR FRANKLIN COUNTY WAS 23,136 WITH A MEDIAN HOUSEHOLD INCOME OF $79,702. 8.5% OF THE POPULATION IN FRANKLIN COUNTY IS LIVING BELOW FEDERAL POVERTY LEVELS AND 7.0% OF INDIVIDUALS DO NOT HAVE HEALTH INSURANCE. THE PERCENT OF MMH SERVED PATIENTS ON MEDICAID IS ESTIMATED TO BE 16.24% AND THE PERCENT OF PATIENTS CONSIDERED 100% SELF-PAY WITH NO INSURANCE IS 2.16%. 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 363035 0 IN-KIND EXPENSES PAID TO ASSIST THE FOUNDATION. 1 0 SCHOLARSHIPS 13 21000 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 JOSEPH D STEPHENS MD PHYSICIAN 879035 0 136800 0 188 0 1500 0 28221 0 1045744 0 0 0 PAUL JARVIS MD PHYSICIAN 654298 0 66000 0 0 0 8400 0 23429 0 752127 0 0 0 MICHAEL MAGGIO PHYSICIAN 694442 0 10000 0 0 0 8400 0 23406 0 736248 0 0 0 JEFFREY HATCHER MD PHYSICIAN 639333 0 16000 0 108 0 8400 0 40495 0 704336 0 0 0 THOMAS BROWN MD MEMBER/CHEIF OF STAFF (BEG 2024) 599413 0 16000 0 77 0 8400 0 31885 0 655775 0 0 0 JON GEERS MD PHYSICIAN 556149 0 13920 0 0 0 8400 0 28911 0 607380 0 0 0 LIZ LEISING PRESIDENT/CEO 378519 0 121201 0 0 0 8400 0 1095 0 509215 0 0 0 BRIAN DAEGER VP OPERATIONS 269297 0 89338 0 0 0 8400 0 23383 0 390418 0 0 0 KIMBERLY INSCHO VP HUMAN RESOURCES 233059 0 76973 0 0 0 7829 0 23325 0 341186 0 0 0 CRAIG GILLILAND CFO/VP FINANCE 227095 0 76730 0 0 0 3870 0 28116 0 335811 0 0 0 JULIE KEENE VP PHYSICIAN SERVICES 213698 0 71470 0 0 0 5780 0 23299 0 314247 0 0 0 DEVAN REUSS VP OUTPATIENT SERVICES 177311 0 61513 0 0 0 6464 0 20301 0 265589 0 0 0 MICHELLE BILTZ MEMBER/CHIEF OF STAFF (END 2024) 175725 0 10000 0 0 0 5311 0 27955 0 218991 0 0 0 SHERI BROUGHER ASST VP STRATEGY AND COMMUNICATION 158475 0 19079 0 0 0 5133 0 20162 0 202849 0 0 0 TRISHA PRICKEL ASST. VP INFORMATION SYSTEMS 149433 0 18506 0 0 0 4859 0 701 0 173499 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 C INDIANA FINANCE AUTHORITY 351602316 45471CCL0 2024-04-30 83736369 SEE PART VI 0 0 0 A 15970000 22000000 264000 21736000 2004 0 0 1 1 B 12095980 16625235 102750 16522485 2012 0 0 1 1 C 83736369 800000 82936369 0 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 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 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 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. BOND ISSUE (C): FINANCE THE COST OF 124,000 SQUARE FOOT REPLACEMENT ACUTE CARE HOSPITAL PART I, ITEM C, DOING BUSINESS AS: MARGARET MARY HEALTH MARGARET MARY HEALTH PARTNERS OSGOOD PRIMARY CARE MARGARET MARY HEALTH HOSPICE FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. ALL ADULT RESIDENTS OF THE AREA SERVED BY MARGARET MARY HEALTH SHALL BE ELIGIBLE FOR MEMBERSHIP IN THE ORGANIZATION. ANY SUCH RESIDENT MAY BECOME A MEMBER BY PAYMENT OF THE ANNUAL MEMBERSHIP FEE PROVIDED FOR IN THE BY-LAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER WHOSE CURRENT ANNUAL MEMBERSHIP HAS BEEN PAID AT LEAST TEN DAYS IN ADVANCE OF ANY MEETING SHALL BE ENTITLED TO ONE VOTE AT ANY MEETING OF THE MEMBERS. THE MEMBERS OF THE ORGANIZATION ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT. THE FORM 990 IS THEN PRESENTED AND REVIEWED WITH THE FINANCE COMMITTEE. ONCE APPROVED BY THE FINANCE COMMITTEE, THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY CRAIG GILLILAND, 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 CRAIG GILLILAND, 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. CRAIG GILLILAND, 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 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 4,720,853. MANAGEMENT AND GENERAL EXPENSES 6,091,404. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,812,257. PROFESSIONAL FEES - MEDICAL: PROGRAM SERVICE EXPENSES 8,937,884. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,937,884. FORM 990, PART XI, LINE 9: NET UNREALIZED GAINS/(LOSSES) DERIVATIVE 134,951. 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 C 363035 COST MARGARET MARY HEALTH FOUNDATION B 1799753 COST