MADISON COUNTY COMMUNITY HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MADISON COUNTY COMMUNITY HOSPITAL (EIN 31-1657206)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-08-08
IRS object ID: 201212219349300431
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-08T09:49:04-05:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	251408703	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SCHNEIDER DOWNS & CO INC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1133 PENN AVENUE	AddressLine1
City	PITTSBURGH	City
State	PA	State
ZIP Code	15222	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	311657206	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MADISON COUNTY COMMUNITY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MADI	NameControl
Phone	7408457015	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	210 NORTH MAIN STREET	AddressLine1
City	LONDON	City
State	OH	State
ZIP Code	43140	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	FRED L KOLB	Name
Title	CEO	Title
Phone	7408457015	Phone
Date Signed	2012-08-08	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	SUSAN M KIRSCH	Name
PTIN	P00341397	PTIN
Phone	4122613644	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	FRED L KOLB	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	210 NORTH MAIN STREET	AddressLine1
City	LONDON	City
State	OH	State
ZIP Code	43140	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	34660421	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MADISONCOUNTYHOSPITAL.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1974	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE EXCEPTIONAL HEALTH CARE IN A RESPECTFUL, COMPASSIONATE, AND HEALING ENVIRONMENT.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	323	TotalNbrEmployees
Total Nbr Volunteers	65	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	243932	ContributionsGrantsPriorYear
Contributions Grants Current Year	451398	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	33599471	ProgramServiceRevenuePriorYear
Program Service Revenue CY	33252817	ProgramServiceRevenueCY
Investment Income Prior Year	41590	InvestmentIncomePriorYear
Investment Income Current Year	190266	InvestmentIncomeCurrentYear
Other Revenue Prior Year	162507	OtherRevenuePriorYear
Other Revenue Current Year	152362	OtherRevenueCurrentYear
Total Revenue Prior Year	34047500	TotalRevenuePriorYear
Total Revenue Current Year	34046843	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	14598323	SalariesEtcPriorYear
Salaries Etc Current Year	14883451	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	18899193	OtherExpensePriorYear
Other Expenses Current Year	17727333	OtherExpensesCurrentYear
Total Expenses Prior Year	33497516	TotalExpensesPriorYear
Total Expenses Current Year	32610784	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	549984	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1436059	RevenuesLessExpensesCY
Total Assets BOY	16468579	TotalAssetsBOY
Total Assets EOY	18302092	TotalAssetsEOY
Total Liabilities BOY	3025014	TotalLiabilitiesBOY
Total Liabilities EOY	3617156	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	13443565	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	14684936	NetAssetsOrFundBalancesEOY
Mission Description	MADISON COUNTY COMMUNITY HOSPITAL'S VISION IS TO BE THE HEALTH CARE PROVIDER OF CHOICE FOR THE PEOPLE WHO LIVE AND WORK IN MADISON COUNTY AND THE SURROUNDING AREA.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	26717253	Expense
Revenue	33293659	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	26717253	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	78	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	323	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MICHAEL S BROWNING	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7408457015	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	210 NORTH MAIN STREET	AddressLine1
City	LONDON	City
State	OH	State
ZIP Code	43140	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ROBERT CASILLAS
BOARD MEMBER	2.00	X	0	0	0
RANDY CRISP CHAIR THRU 911
BOARD MEMBER (EFFECTIVE 9/11)	2.00	X	0	0	0
RUDY DENES
BOARD MEMBER	2.00	X	0	0	0
JACOB FRONING
BOARD MEMBER	2.00	X	0	0	0
ED GOODYEAR ENT 911
BOARD MEMBER	2.00	X	0	0	0
KENT HESS
BOARD MEMBER	2.00	X	0	0	0
JIM HUNT ENT 911
BOARD MEMBER	2.00	X	0	0	0
RD KRONK ENT 911
BOARD MEMBER	2.00	X	0	0	0
ERIC KUNZ
BOARD MEMBER	2.00	X	0	0	0
MARCI LADUE
BOARD MEMBER	2.00	X	0	0	0
MICHAEL LYNCH
BOARD MEMBER	2.00	X	0	0	0
ROBERT MUELLER MD
CHIEF OF MED STAFF	2.00	X	0	0	0
MITCHELL SPAHN MD BDMBR THRU
9/11) CHAIR (EFF 9/11)	2.00	X	15000	0	0	X
RON WHITESIDE
VICE CHAIR	2.00	X	0	0	0	X
KAREN PETERS
TREASURER	2.00	X	0	0	0	X
DAVE JOSLIN BD MBR THRU 911
SECRETARY (EFFECTIVE 9/11)	2.00	X	0	0	0	X
ZAHID SIDDIQI EXIT 911
SECRETARY	2.00	X	0	0	0	X
FRED L KOLB
CEO	40.00		301554	0	90249	X
MICHAEL S BROWNING
CFO	40.00		177319	0	34359	X
BETH FORDYCE
PHARMACY DIRECTOR	40.00		118370	0	7478		X
DONALD E HURA
SURGEON	40.00		135388	0	7924		X
JENNIFER A PICCIONE
CHIEF CLINICAL SVCS OFFICER	40.00		117395	0	39840		X
MONA L FLAX
CHIEF DEVELOPMENT OFFICER	40.00		110238	0	41784		X
SHIRLEY J KRAMER
PHARMACIST	40.00		104092	0	7903		X
ELAINE EWALD
FORMER COO	40.00		165042	0	31618			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1244398	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	261155	TotalOtherCompensation
Number Individuals GT100 K	8	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
THE OUTSOURCE GROUP
PO BOX 504542	STLOUIS	MO	63150	BILLING OFFICE OUTSOURCING	840921
ASSOCIATED ANESTHESIOLOGIST
PO BOX 3000	SPRINGFIELD	OH	45502	MEDICAL PROFESSIONAL FEES-ANESTHESIOLOGY	463589
DOCUCOMP LLC
PO BOX 190	CAPE CHARLES	VA	23310	COMPLIANCE	194688
MOUNT CARMEL HEALTH SYSTEM
PO BOX 13106	COLUMBUS	OH	43213	TRANSCRIPTION	167454
PREMIER HEALTH CARE
PO BOX 631606	CINCINNATI	OH	45263	MEDICAL PROFESSIONAL FEES-ER PHYSICIANS	160089

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	9	NumberOfContractorsGT100K
Federated Campaigns	10	FederatedCampaigns
Related Organizations	405249	RelatedOrganizations
Government Grants	46139	GovernmentGrants
Total Contributions	451398	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
NET PATIENT SERVICE	621990	32922909	32922909
PHYSICIAN PRACTICE	900099	142833	142833
CAFETERIA SALES/VENDIN	722210	111520		$111,520
PHYSICAL TRAINING	900099	25000	25000
FITNESS CENTER	713940	20035	20035

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	30520	TotalRevenueColumn
Related Or Exempt Function Income	30520	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	33252817	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	63670	TotalRevenueColumn
Exclusion	$63,670	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	93000	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	93000	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	93000	TotalRevenueColumn
Related Or Exempt Function Income	93000	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	712124	Securities
Other	28050	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	613578	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	98546	Securities
Other	28050	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	126596	TotalRevenueColumn
Exclusion	$126,596	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	PURCHASE REBATES	Description
Business Code	900099	BusinessCode
Total Revenue Column	59362	TotalRevenueColumn
Related Or Exempt Function Income	59362	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	59362	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	34046843	TotalRevenueColumn
Related Or Exempt Function Income	33293659	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$301,786	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	527205	Total
Program Services	462094	ProgramServices
Management And General	65111	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	10794333	Total
Program Services	9461215	ProgramServices
Management And General	1333118	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	345843	Total
Program Services	303131	ProgramServices
Management And General	42712	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2400611	Total
Program Services	2013223	ProgramServices
Management And General	387388	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	815459	Total
Program Services	714748	ProgramServices
Management And General	100711	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	25033	Total
Program Services	6226	ProgramServices
Management And General	18807	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	4963	Total
Management And General	4963	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	16725	Total
Management And General	16725	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4360951	Total
Program Services	2639438	ProgramServices
Management And General	1721513	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	173375	Total
Program Services	6461	ProgramServices
Management And General	166914	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	580573	Total
Program Services	535677	ProgramServices
Management And General	44896	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	601731	Total
Program Services	126449	ProgramServices
Management And General	475282	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1764683	Total
Program Services	1531192	ProgramServices
Management And General	233491	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	5494	Total
Program Services	2423	ProgramServices
Management And General	3071	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	23968	Total
Program Services	14300	ProgramServices
Management And General	9668	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	29395	Total
Program Services	29395	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1591043	Total
Program Services	1250859	ProgramServices
Management And General	340184	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	347529	Total
Program Services	15597	ProgramServices
Management And General	331932	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	4224215	4224215
BAD DEBT EXPENSE	3246615	3246615
OH HOSP.FRANCHISE TAX	414465		414465
FOOD/DIETARY	200350	177086	23264

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	116225	Total
Program Services	-43091	ProgramServices
Management And General	159316	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	32610784	Total
Program Services	26717253	ProgramServices
Management And General	5893531	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	649834	BOY
EOY	1306371	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2000000	BOY
EOY	3000000	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	262	BOY
EOY	154	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	3048046	BOY
EOY	2756685	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	935899	BOY
EOY	725626	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	829582	BOY
EOY	805152	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	275902	BOY
EOY	429811	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	15412549	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	9451083	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	5320938	BOY
EOY	5961466	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	2739813	BOY
EOY	2685662	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	668303	BOY
EOY	631165	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	16468579	BOY
EOY	18302092	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2148156	BOY
EOY	2905614	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	876858	BOY
EOY	711542	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3025014	BOY
EOY	3617156	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	13443565	BOY
EOY	14684936	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	13443565	BOY
EOY	14684936	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	16468579	BOY
EOY	18302092	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1436059	ReconcilationRevenueExpenses
Reconcilation Other Changes	-194688	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$4,963	OtherActivitiesAmount
Total Lobbying Expenditures IIB	4963	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF OTHER LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1I:	ReturnReference
Explanation	A PERCENTAGE OF DUES PAID TO THE OHIO HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WERE ALLOCATED BY THE RESPECTIVE ORGANIZATIONS TO LOBBYING ACTIVITIES.	Explanation

Schedule D IRS990ScheduleD

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3520914	OtherCostOrOtherBasis
Depreciation	1956919	Depreciation
Book Value	1563995	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10843196	OtherCostOrOtherBasis
Depreciation	7433106	Depreciation
Book Value	3410090	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1048439	OtherCostOrOtherBasis
Depreciation	61058	Depreciation
Book Value	987381	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	5961466	TotalOfBookValueLandBuildings
Total Revenue	34046843	TotalRevenue
Total Expenses	32610784	TotalExpenses
Excess Or Deficit For Year	1436059	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-194688	NetUnrealizedGLOnInvestments
Total Adjustments	-194688	TotalAdjustments
Excess Or Deficit Per FS	1241371	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	33835430	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-194688	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	-194688	RevenueNotRptdF990
Revenue Subtotal	34030118	RevenueSubtotal
Investment Expenses Not Included	16725	InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt	16725	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	34046843	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	32594059	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	32594059	ExpensesSubtotal
Investment Expenses Not Included2	16725	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	16725	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	32610784	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	THE HOSPITAL IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS REQUIRING AN ACCRUAL OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED IN THE STATEMENTS OF ACTIVITIES FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010 RELATED TO UNCERTAIN TAX POSITIONS. THE STATUTORY TAX YEARS REMAIN OPEN TO EXAMINATION.
		PART XII, RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS, AND PART XIII, RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS: THE DETAIL PROVIDED FOR THE REVENUE AND EXPENSE RECONCILIATIONS WAS TAKEN FROM THE SUPPLEMENTARY FINANCIAL INFORMATION IN THE CONSOLIDATED FINANCIAL STATEMENTS OF MADISON COUNTY HOSPITAL, INC.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	831	PersonsServed
Total Community Benefit Expense	1284436	TotalCommunityBenefitExpense
Direct Offsetting Revenue	286121	DirectOffsettingRevenue
Net Community Benefit Expense	998315	NetCommunityBenefitExpense
Percent Of Total Expense	0.03400	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	3489	PersonsServed
Total Community Benefit Expense	5759490	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3144077	DirectOffsettingRevenue
Net Community Benefit Expense	2615413	NetCommunityBenefitExpense
Percent Of Total Expense	0.08910	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	4320	PersonsServed
Total Community Benefit Expense	7043926	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3430198	DirectOffsettingRevenue
Net Community Benefit Expense	3613728	NetCommunityBenefitExpense
Percent Of Total Expense	0.12310	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	15	NumberOfActivitiesOrPrograms
Persons Served	3972	PersonsServed
Total Community Benefit Expense	182767	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5215	DirectOffsettingRevenue
Net Community Benefit Expense	177552	NetCommunityBenefitExpense
Percent Of Total Expense	0.00600	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13576	TotalCommunityBenefitExpense
Net Community Benefit Expense	13576	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	15	NumberOfActivitiesOrPrograms
Persons Served	3972	PersonsServed
Total Community Benefit Expense	196343	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5215	DirectOffsettingRevenue
Net Community Benefit Expense	191128	NetCommunityBenefitExpense
Percent Of Total Expense	0.00650	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	18	NumberOfActivitiesOrPrograms
Persons Served	8292	PersonsServed
Total Community Benefit Expense	7240269	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3435413	DirectOffsettingRevenue
Net Community Benefit Expense	3804856	NetCommunityBenefitExpense
Percent Of Total Expense	0.12960	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	192	TotalCommunityBuildingExpense
Net Community Building Expense	192	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	109888	TotalCommunityBuildingExpense
Net Community Building Expense	109888	NetCommunityBuildingExpense
Percent Of Total Expense	0.00370	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	110080	TotalCommunityBuildingExpense
Net Community Building Expense	110080	NetCommunityBuildingExpense
Percent Of Total Expense	0.00370	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$3,246,615	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	5145244	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	5652047	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-506803	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MADISON COUNTY COMMUNITY HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	210 N MAIN STREET	AddressLine1
City	LONDON	City
State	OH	State
ZIP Code	43140	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MADISON COUNTY COMMUNITY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	100.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 6A: COMMUNITY BENEFIT INFORMATION IS PROVIDED TO THE OHIO HOSPITAL ASSOCIATION (OHA). OHA COMPILES THE INFORMATION AND ISSUES PRESS RELEASES AND PUBLISHES INFORMATION ON THEIR WEBSITE RELATING TO COMMUNITY BENEFITS PROVIDED BY OHIO HOSPITALS. THIS REPORT IS ALSO POSTED ONTO HOSPITAL'S WEBSITE.
PART I, L7 COL(F): BAD DEBT EXPENSE OF $3,246,615 WAS EXCLUDED FROM LINE 7F.PART I, LINE 7: THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.
PART II: OUR INVOLVEMENT IN COMMUNITY SUPPORT AND WORKFORCE DEVELOPMENT KEEPS US IN TUNE WITH THE NEEDS OF THE COMMUNITY, INCLUDING THE HEALTHCARE NEEDS OF OUR POPULATION. OUR INVOLVEMENT ALLOWS US TO EDUCATE THE COMMUNITY ON LEADING HEALTH ISSUES AND ALLOWS THE COMMUNITY TO EDUCATE US ON THEIR PERSPECTIVES OF WHAT RESOURCES AND SERVICES ARE NEEDED TO MAKE THIS A HEALTHY AND VIBRANT COMMUNITY.
PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE - THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS USING HISTORICAL COLLECTION INFORMATION AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE. DELINQUENT RECEIVABLES ARE WRITTEN-OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT OR THIRD-PARTY PAYOR.
PART III, LINE 8: MEDICARE SHORTFALLS PRIMARILY BENEFIT THE ELDER MEMBERS OF OUR COMMUNITY, WHICH IS A GROWING DEMOGRAPHIC IN MADISON COUNTY. IF WE CHOOSE NOT TO PARTICIPATE IN THE MEDICARE PROGRAM, HEALTHCARE SERVICES WOULD HAVE TO BE OBTAINED FROM PROVIDERS LOCATED OUTSIDE OUR COMMUNITY, PLACING INCREASED COSTS AND STRESS ON THIS POPULATION. THEREFORE, ALL OF MCCH'S MEDICARE SHORTFALL IS A COMMUNITY BENEFIT. MEDICARE ALLOWABLE COSTS WERE TAKEN FROM INFORMATION OFF OF THE 2011 MEDICARE COST REPORT.
PART III, LINE 9B: MCCH INFORMS OHIO RESIDENTS, WHO ARE NOT RECIPIENTS OF THE MEDICAID PROGRAM, WHOSE GROSS INCOME IS AT OR BELOW THE FEDERAL POVERTY LEVEL OR WHOSE GROSS INCOME FALLS WITHIN THE MADISON COUNTY FINANCIAL ASSISTANCE SLIDING SCALE, OF THEIR RIGHT TO RECEIVE BASIC MEDICALLY NECESSARY HOSPITAL SERVICES AT NO COST OR AT A DISCOUNTED COST. ADDITIONALLY, THE HOSPITAL WILL MAKE THE HCAP CHARITY CARE AND THE COUNTY FINANCIAL ASSISTANCE APPLICATION PROCESS SYNONYMOUS, EASY TO UNDERSTAND, AND AVAILABLE TO ALL PATIENTS. NOTICES ARE POSTED IN REGISTRATION AREAS, THE EMERGENCY ROOM, THE CASHIER'S OFFICE, AND THE CUSTOMER SERVICE AREA SPECIFYING THE RIGHTS OF INDIVIDUALS WITH INCOMES AT OR BELOW THE FEDERAL POVERTY LEVEL TO RECEIVE, AT NO COST OR REDUCED COST, BASIC MEDICALLY NECESSARY HOSPITAL SERVICES. THE INCOME GUIDELINES AND A TELEPHONE NUMBER TO CALL FOR AN APPLICATION WILL BE PRINTED ON THE FRONT OF EACH MONTHLY STATEMENT.IF THE HOSPITAL RECEIVES NO RESPONSE AFTER A PATIENT HAS RECEIVED FOUR STATEMENTS REGARDING BALANCES OWED, OR IF A PATIENT ON A PAYMENT PLAN HAS MISSED TWO CONSECUTIVE PAYMENTS, THE HOSPITAL MAY TURN OVER THE ACCOUNT BALANCE TO A THIRD-PART COLLECTION SERVICE.MCCH MAY DIRECT PATIENTS TO APPLY FOR MEDICAID, BUT WILL ACCEPT HCAP AND COUNTY FINANCIAL ASSISTANCE APPLICATIONS. APPLICANTS SHALL COOPERATE IN SUPPLYING INFORMATION ABOUT HEALTH INSURANCE OR MEDICAL BENEFITS AVAILABLE SO THE HOSPITAL MAY DETERMINE ANY POTENTIAL THIRD-PARTY RESOURCES THAT MAY BE AVAILABLE. A PATIENT WITH INSURANCE CANNOT BE CONSIDERED UNTIL ALL INSURANCE PAYMENTS HAVE BEEN MADE.THE FEDERAL INCOME POVERTY LEVEL GUIDELINES (FIPLG) ARE USED AS THE THRESHOLD TO DETERMINE INCOME ELIGIBILITY FOR HCAP CHARITY CARE AND THROUGH 400% OF THE FIPLG SHALL BE USED AS THE THRESHOLD TO DETERMINE INCOME ELIGIBILITY FOR THE MADISON COUNTY FINANCIAL ASSISTANCE PROGRAM. THE SCALE SHALL BE UPDATED ANNUALLY BASED ON CHANGES TO THE ANNUALLY UPDATED FIPLG.
PART V, SECTION B, LINE 19D: 20% DISCOUNT	MADISON COUNTY COMMUNITY HOSPITAL
PART VI, LINE 2: THE HOSPITAL WORKS WITH COMMUNITY LEADERS AND OTHER HEALTH ORGANIZATIONS IN OUR COMMUNITY TO DEVISE THE BEST WAYS TO PROVIDE FOR THE HEALTH NEEDS OF OUR SERVICE AREA. HOSPITAL LEADERS PARTICIPATE IN LOCAL ORGANIZATIONS TO KEEP IN TOUCH WITH COMMUNITY NEEDS.THE HOSPITAL IS CURRENTLY WORKING WITH OTHER COUNTY ORGANIZATIONS TO PROVIDE A COORDINATED EFFORT IN BUILDING A COMMUNITY NEEDS ASSESSMENT DURING THE 2012 OR EARLY 2013 YEAR. THESE PLANS ARE CURRENTLY IN THE FORMATIVE STAGES.
PART VI, LINE 3: THE HOSPITAL UTILIZES FINANCIAL COUNSELORS TO HELP PATIENTS DETERMINE IF THEY ARE ELIGIBLE FOR ANY FINANCIAL ASSISTANCE. THE PATIENT BILLING STATEMENTS INFORM PATIENTS IF THEY ARE UNABLE TO PAY THEIR BILL, THEY COULD QUALIFY FOR ASSISTANCE AND DIRECT CONTACT PHONE NUMBERS ARE PROVIDED. OUR WEBSITE ALSO INFORMS OUR PATIENTS OF AVAILABLE ASSISTANCE. OUR THIRD PARTY COLLECTION COMPANIES ARE MADE AWARE OF OUR CHARITY POLICIES AND HELP IDENTIFY PATIENTS IN NEED.
PART VI, LINE 4: MADISON COUNTY IS LOCATED IN WEST CENTRAL OHIO AND IS CONSIDERED PART OF THE COLUMBUS, OHIO METROPOLITAN STATISTICAL AREA. ITS COUNTY SEAT IS LONDON. MADISON COUNTY SPANS I-70 AND I-71 AS THEY CONVERGE ON COLUMBUS.AS OF THE CENSUS OF 2010, THERE WERE 43,435 PEOPLE, 14,533 HOUSEHOLDS AND 10,167 FAMILIES RESIDING IN THE COUNTY. THE RACIAL MAKEUP OF THE COUNTY WAS 90.9% WHITE, 6.2% AFRICAN AMERICAN, 0.4% NATIVE AMERICAN, 0.9% ASIAN, 0.4% FROM OTHER RACES, AND 1.2% FROM TWO OR MORE RACES. 1.0% OF THE POPULATION WAS HISPANIC OF ANY RACE.OF THE 14,533 HOUSEHOLDS, 71.8% WERE OWNER OCCUPIED WITH A MEDIAN HOUSE VALUE OF $144,200. 28.2% OF HOUSEHOLDS WERE RENTER OCCUPIED WITH A MEDIAN GROSS RENT OF $600. OF THE 10,167 FAMILIES, 31.5% WERE MARRIED COUPLES WITH THEIR OWN CHILDREN UNDER THE AGE 18, 4.9% WERE MALE HEADS OF HOUSHOLD WITH THEIR OWN CHILDREN, 8.4% WERE FEMALE HEADS OF HOUSEHOLD WITH THEIR OWN CHILDREN AND 55.2% WERE FAMILIES WITH NO CHILDREN.IN THE COUNTY, THE POPULATION WAS SPREAD OUT WITH 22.8% UNDER THE AGE OF 18, 9.0% FROM 18 TO 24, 29.8% FROM 25 TO 44, 26.4% FROM 45 TO 64, AND 12.0% WHO WERE 65 YEARS OF AGE OR OLDER. THE MEDIAN AGE WAS 38.1 YEARS. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $53,041. 84.6% OF INDIVIDUALS 25 YEARS OR OLDER WERE HIGH SCHOOL GRADUATES OR BEYOND.
PART VI, LINE 5: MADISON COUNTY COMMUNITY HOSPITAL (MCCH) HAS AN OPEN MEDICAL STAFF. ALL PHYSICIANS IN THE COMMUNITY WHO MEET MEMBERSHIP AND CLINICAL PRIVILEGE REQUIREMENTS MAY PRACTICE AT MCCH. WE CURRENTLY HAVE PHYSICIANS ON STAFF FROM VARIOUS LOCATIONS IN OUR COMMUNITY INCLUDING LONDON, WEST JEFFERSON, SPRINGFIELD, AND COLUMBUS.OUR BOARD OF TRUSTEES IS PRIMARILY COMPRISED OF COMMUNITY MEMBERS.MCCH IS THE ONLY HOSPITAL IN MADISON COUNTY. THE MCCH EMERGENCY DEPARTMENT IS STAFFED 24 HOURS A DAY, SEVEN DAYS A WEEK AND IS OPEN TO ALL PEOPLE REGARDLESS OF ABILITY TO PAY. THE NEAREST HOSPITAL TO MCCH IS ABOUT 20 MILES IN ALL DIRECTIONS. AS THE COMMUNITY'S SOLE PROVIDER, MCCH IS DEDICATED TO MAINTAINING SERVICES INCLUDING EMERGENCY CARE, MATERNITY CARE, AND BREAST CARE SERVICES.
PART VI, LINE 6: MCCH IS A PART OF THE OSU/MOUNT CARMEL HEALTH ALLIANCE. SINCE 1999 THE ALLIANCE WITH THESE TWO SYSTEMS IS ALL ABOUT BUILDING BETTER HEALTH CARE IN MADISON COUNTY AND THE SURROUNDING COMMUNITIES. THROUGH THE ALLIANCE, WE CAN PROVIDE ADDITIONAL HEALTHCARE RESOURCES AND IMPROVED ACCESS TO SPECIALIZED MEDICAL SERVICES.
OH	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
FRED L KOLB
246636	0	40255	0	14663	0	66289	0	23960	0	391803	0	40255	0
MICHAEL S BROWNING
163427	0	13359	0	533	0	33315	0	1044	0	211678	0	13359	0
JENNIFER A PICCIONE
108019	0	9130	0	246	0	17967	0	21873	0	157235	0	9130	0
MONA L FLAX
98950	0	8762	0	2526	0	16301	0	25483	0	152022	0	8762	0
ELAINE EWALD
82889	0	11242	0	70911	0	8548	0	23070	0	196660	0	11242	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 4A	ELAINE EWALD RECEIVED A SEVERANCE PAYMENT OF $42,510.
PART I, LINE 7	THE MADISON COUNTY HOSPITAL EXECUTIVE BONUS PROGRAM AWARDS PAYMENT OF A BONUS BASED ON MEETING GOALS ESTABLISHED BY THE BOARD OF TRUSTEES. GOALS REFLECT THREE PRIMARY CRITERIA: FINANCIAL PERFORMANCE, CUSTOMER SERVICE, AND QUALITY. CURRENT YEAR EXECUTIVE BONUSES WERE ACCRUED AND WILL BE PAID IN 2012. PRIOR YEAR BONUSES ARE REPORTED IN COLUMN (F).

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6	MADISON COUNTY COMMUNITY HOSPITAL HAS TWO MEMBERS: MADISON COUNTY HOSPITAL, INC. AND HEALTH ALLIANCE OSU/MOUNT CARMEL.
FORM 990, PART VI, SECTION A, LINE 7A	BOTH MEMBERS OF MADISON COUNTY COMMUNITY HOSPITAL, (MADISON COUNTY HOSPITAL, INC. AND HEALTH ALLIANCE OSU/MOUNT CARMEL) HAVE THE ABILITY TO APPOINT BOARD MEMBERS. APPOINTMENT AND ELECTION TO THE BOARD OF TRUSTEES TAKES PLACE AT THE ANNUAL MEETING OF THE MEMBERS OR SPECIAL MEETING HELD FOR SUCH PURPOSE. MCH APPOINTS EIGHT TRUSTEES, WHICH TRUSTEES ORDINARILY ARE THE MEMBERS OF MCH'S BOARD OF TRUSTEES. OSU/MOUNT CARMEL APPOINTS FOUR TRUSTEES TO SERVE ON THE BOARD. MADISON COUNTY ALSO APPOINTS ONE TRUSTEE.
FORM 990, PART VI, SECTION A, LINE 7B	BOTH MEMBERS OF MADISON COUNTY COMMUNITY HOSPITAL, (MADISON COUNTY HOSPITAL, INC. AND HEALTH ALLIANCE OSU/MOUNT CARMEL) HAVE THE ABILITY TO APPROVE MAJOR POLICY DECISIONS.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 WAS REVIEWED BY THE CHIEF FINANCIAL OFFICER. THE FORM 990 WAS ALSO REVIEWED AT THE JUNE 20, 2012 FINANCE COMMITTEE MEETING. IT WAS MADE AVAILABLE IN JULY TO ALL FINANCE COMMITTEE MEMBERS (7 MEMBERS) ONLY BY WAY OF SECURED WEB PORTAL.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY, THE CEO, MEMBERS OF THE BOARD OF TRUSTEES, ADMINISTRATIVE STAFF, DEPARTMENT MANAGEMENT STAFF, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES, RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY. THEY ARE ASKED TO COMPLETE AND RETURN THE CONFLICT OF INTEREST AGREEMENT AND ANNUAL DISCLOSURE STATEMENT TO THE ADMINISTRATIVE OFFICE. THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AND RETAINED ON FILE. ANY INTERESTS DISCLOSED ARE DEALT WITH APPROPRIATELY AS POTENTIAL CONFLICTS ARISE.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION REVIEWS FOR THE CEO AND TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES WERE CONDUCTED BY AN INDEPENDENT CONSULTING FIRM. COMPENSATION REVIEWS WERE PERFORMED IN 2010 AND 2012. IN ADDITION, REGIONAL SALARY SURVEYS WERE UTILIZED IN THE REVIEW PROCESS.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 1A, COLUMN B:	FREDERICK L. KOLB AND MICHAEL S. BROWNING ON AVERAGE DEVOTED 40 HOURS TO MADISON COUNTY COMMUNITY HOSPITAL, 2 HOURS TO MADISON COUNTY HOSPITAL FOUNDATION, INC., 2 HOURS TO MADISON COUNTY HOSPITAL, INC., AND 2 HOURS TO MADISON FAMILY HEALTH CORPORATION.
FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES	NO FUNDRAISING EXPENSES ARE INCURRED IN CONNECTION WITH MONIES RECEIVED BY MADISON COUNTY COMMUNITY HOSPITAL. A RELATED 501(C)(3) ENTITY, MADISON COUNTY HOSPITAL FOUNDATION, CONDUCTS FUNDRAISING ACTIVITIES AND REPORTS EXPENSES ASSOCIATED WITH FUNDRAISING EFFORTS ON BEHALF OF MADISON COUNTY COMMUNITY HOSPITAL.	COLUMN (D) FUNDRAISING EXPENSES
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -194,688.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, QUESTION 2C	THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED ON A CONSOLIDATED BASIS WITH ITS AFFILIATES (MADISON COUNTY HOSPITAL, INC., MADISON FAMILY HEALTH CORPORATION AND MADISON COUNTY HOSPITAL FOUNDATION, INC.) BY AN INDEPENDENT ACCOUNTING FIRM. IN ADDITION, THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND ITS SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.	OVERSIGHT OF FINANCIAL STATEMENT AUDIT:
FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS:	OUR MISSION IS TO PROVIDE EXCEPTIONAL HEALTH CARE IN A RESPECTFUL, COMPASSIONATE, AND HEALING ENVIRONMENT. OUR VISION OUR VISION IS TO BE THE HEALTHCARE PROVIDER OF CHOICE FOR THE PEOPLE WHO LIVE AND WORK IN MADISON COUNTY AND THE SURROUNDING AREA. OUR VALUES RESPECT FOR PEOPLE - WE TREAT EVERYONE WITH KINDNESS AND RESPECT. STEWARDSHIP OF RESOURCES WE MANAGE THE RESOURCES ENTRUSTED TO US IN A RESPONSIBLE AND EFFECTIVE MANNER. COMMITMENT TO EXCELLENCE WE CONTINUOUSLY STRIVE TO: -IMPROVE OUR PERFORMANCE IN ALL AREAS. -PROMOTE A CULTURE OF INTEGRITY AND HIGH ETHICAL STANDARDS. -MAINTAIN THE HIGHEST STANDARDS OF PATIENT CARE. -UNDERSTAND AND MEET THE HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE. MADISON COUNTY HOSPITAL PROVIDES SERVICE TO ALL PERSONS WITHOUT REGARD TO RACE, COLOR, NATIONAL ORIGIN, DISABILITY, DIAGNOSIS, AGE, OR ABILITY TO PAY. SINCE OPENING IN 1962, OUR FAMILY-FRIENDLY SYSTEM HAS ENSURED THAT QUALITY HEALTH CARE IS AVAILABLE TO ALL WHO ENTER OUR DOORS. WHILE WE CONSTANTLY STRIVE TO IMPROVE OUR FACILITIES AND SERVICES, ONE GOAL REMAINS THE SAME: MADISON COUNTY HOSPITAL IS A COMMUNITY HOSPITAL WITH A COMMUNITY SPIRIT; A PLACE WHERE PATIENTS AND THEIR FAMILIES COME FIRST. ABOUT MADISON COUNTY HOSPITAL ... QUALITY CARE IS ABOUT MORE THAN THE SIZE OF A HOSPITAL. IT'S ABOUT CARING FOR PATIENTS WITH COMPETENCE, COMMITMENT, AND COMPASSION. AT MADISON COUNTY HOSPITAL, YOU WILL RECEIVE THE BEST POSSIBLE CARE FROM WELL-TRAINED PHYSICIANS AND EXPERIENCED, DEDICATED CAREGIVERS. OUR FACILITIES ALLOW FOR A COMFORTABLE STAY, WHETHER YOU ARE HERE FOR A FEW HOURS, A FEW DAYS, OR AN EXTENDED TIME. OUR STATE-OF-THE-ART EQUIPMENT, DIAGNOSTIC SERVICES, AND TREATMENT PROGRAMS HELP RESTORE YOU TO GOOD HEALTH IN THE SHORTEST TIME POSSIBLE. ON NOVEMBER 1, 1999, MADISON COUNTY HOSPITAL FORMED A UNIQUE AFFILIATION WITH THE OSU/MOUNT CARMEL HEALTH ALLIANCE, EXPANDING OUR RANGE OF SERVICES. THESE MEDICAL FAMILY TIES ALLOW US TO PROVIDE YOU EVEN MORE OF THE BEST QUALITY CARE, CLOSE TO HOME. OUR TEAM OF CAREGIVERS MANAGES MORE THAN 50,000 PATIENT VISITS EACH YEAR, PROVIDING A BROAD RANGE OF HEALTH SERVICES. THESE SERVICES INCLUDE EXTENSIVE INPATIENT AND OUTPATIENT PROGRAMS, COMPREHENSIVE WOMEN'S HEALTHCARE RESOURCES, UP-TO-DATE IMAGING TECHNOLOGIES, AND EMERGENCY CARE. AND IF THE SERVICES YOU NEED AREN'T AVAILABLE IN LONDON, YOU CAN STILL COUNT ON US TO MANAGE YOUR CARE THROUGH OUR QUALITY CONNECTIONS. BEYOND THE MEDICAL EXPERTISE WE PROVIDE, WE'RE ALSO PROUD TO BE PART OF THE COMMUNITY. YOU'LL SEE OUR PHYSICIANS SITTING NEXT TO YOU IN CHURCH, OUR NURSES SHOPPING AT THE GROCERY STORE, AND OUR STAFF MEMBERS PLAYING INTRAMURAL SOFTBALL. CARING FOR THE COMMUNITY IS OUR BUSINESS, AND THE ONLY WAY TO DO IT WELL IS TO DO IT RIGHT. CARDIOPULMONARY: CARDIOLOGISTS AT MADISON COUNTY HOSPITAL OFFER AN ARRAY OF TESTS AND PROCEDURES TO MAKE SURE YOUR HEART IS HEALTHY AND TO FIND ANY POTENTIAL PROBLEMS BEFORE THEY BECOME LIFE THREATENING. OUR CARDIOLOGISTS PROVIDE CONSULTATIONS TO DETERMINE THE BEST CARE FOR YOU. CARDIOLOGY SERVICES INCLUDE: -ELECTROCARDIOGRAPHY (EKGS) -RHYTHM MONITORING -CARDIAC EVENT RECORDING -24-HOUR HALTER MONITORING -24-HOUR AMBULATORY BLOOD PRESSURE MONITORING -CARDIAC STRESS TESTING -HEAD-UP TILT TABLE TESTING -SIGNAL AVERAGED EKGS -ECHOCARDIOGRAPHY WITH 2-D COLOR FLOW DOPPLER RESPIRATORY THERAPY: RESPIRATORY THERAPY PROVIDES HELP FOR PATIENTS SUFFERING FROM MANY KINDS OF ILLNESSES AND INJURIES RELATED TO THE LUNGS INCLUDING PATIENTS SUFFERING FROM ASTHMA, BRONCHITIS, EMPHYSEMA, HEART FAILURE, PNEUMONIA, STROKE, SMOKE INHALATION, DROWNING, AND OTHER CONDITIONS. RESPIRATORY CARE INCLUDES DIAGNOSTIC EVALUATIONS TO FIND THE CAUSES OF BREATHING DISORDERS AND HOW TO CARE FOR THEM. OUR THERAPISTS ALSO PROVIDE EDUCATION TO INFORM PATIENTS HOW TO USE BREATHING APPARATUS AND OTHER TOOLS TO HELP IMPROVE THEIR QUALITY OF LIFE. SLEEP LAB: A GOOD NIGHT'S REST CAN BE HARD TO ACHIEVE, ESPECIALLY FOR THE APPROXIMATELY 20 MILLION AMERICANS WHO SUFFER FROM SLEEP APNEA. SLEEP APNEA IS CHARACTERIZED BY BRIEF INTERRUPTION OF BREATHING DURING SLEEP. THE DISORDER IS A SERIOUS, POTENTIALLY LIFE-THREATENING CONDITION. FOR INDIVIDUALS WHO THINK THEY MIGHT HAVE SLEEP APNEA, THE MADISON COUNTY HOSPITAL SLEEP LAB IS HERE TO HELP. THE HOSPITAL SLEEP LAB TESTS FOR TWO TYPES OF SLEEP APNEA: CENTRAL APNEA, WHICH OCCURS IN ROUGHLY 20 PERCENT OF APNEA PATIENTS, AND OBSTRUCTIVE SLEEP APNEA, THE MORE COMMON OF THE TWO CONDITIONS. THE ONLY WAY TO DIAGNOSE SLEEP APNEA IS THROUGH A SPECIALIZED TEST KNOWN AS A POLYSOMNOGRAPHY OR SLEEP STUDY. THE TESTING PROCESS IS SIMPLE. ANYONE WHO SUSPECTS THEY HAVE SLEEP APNEA, OR HAS A BED PARTNER WHO HAS NOTICED SNORING AND BREATHING IRREGULARITIES, IS ASKED TO CONSULT THEIR PHYSICIAN. THE DOCTOR THEN REFERS THE PATIENT TO THE HOSPITAL FOR A SLEEP STUDY. ONCE THE REFERRAL IS MADE, A MEMBER OF THE SLEEP CENTER STAFF CONTACTS THE PATIENT BY PHONE TO CONDUCT A PRE-SLEEP STUDY QUESTIONNAIRE. THE STAFF MEMBER EXPLAINS WHAT TO EXPECT OF THE TEST, WHAT TO WEAR, AND ASKS IF THE PATIENT HAS SPECIAL REQUESTS. FOR INSTANCE, SOME INDIVIDUALS MAY WANT TO BRING THEIR PILLOW FROM HOME OR HAVE A RADIO OR FAN RUNNING WHILE THEY SLEEP. THE CENTER DOES ITS BEST TO SIMULATE THE PATIENT'S NORMAL SLEEPING ENVIRONMENT. THE TEST REQUIRES JUST ONE NIGHT OF SLEEP FROM THE PATIENT, COMPRISED OF SIX TO EIGHT HOURS. A TECHNICIAN MONITORS THE INDIVIDUAL FROM THE ROOM NEXT DOOR. IN THE MORNING, THE PATIENT IS RELEASED AND THE DATA COLLECTED THE NIGHT BEFORE IS INTERPRETED BY A PULMONOLOGIST OR NEUROLOGIST. THE RESULTS ARE SENT TO THE PATIENT'S PHYSICIAN, WHO THEN EXPLAINS TREATMENT OPTIONS SHOULD THE DIAGNOSIS BE CONFIRMED. FOR PATIENTS WITH CENTRAL APNEA, MEDICATION IS THE MOST OFTEN PRESCRIBED TREATMENT. FOR THOSE WITH OBSTRUCTIVE APNEA, MORE OPTIONS ARE AVAILABLE. WEIGHT LOSS COULD REDUCE THE FREQUENCY AND/OR INTENSITY OF THE EPISODES. ALSO, SURGERY CAN REMOVE SOFT TISSUE AT THE BACK OF THE THROAT THAT RESTRICTS NIGHT-TIME BREATHING. THE MOST COMMON METHOD OF TREATMENT IS A CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) DEVICE. THE DEVICE IS THE SIZE OF A SMALL RADIO AND SITS ON THE BEDSIDE TABLE. THE PATIENT WEARS A MASK OVER THE NOSE CONNECTED TO THE CPAP BY A HOSE. THE MACHINE FORCES AIR INTO THE PATIENT TO KEEP THE THROAT'S SOFT TISSUE OPEN. THOUGH IT SOUNDS UNCOMFORTABLE, MOST PATIENTS ADAPT QUICKLY AND PREFER THE GOOD NIGHT'S SLEEP OVER ANY INCONVENIENCE THE CPAP MIGHT CAUSE. WELLNESS CENTER: LIVING AND ENJOYING LIFE TO THE FULLEST ARE KEY COMPONENTS OF A HEALTHY LIFESTYLE. FITNESS IS A WAY OF LIFE THAT ALLOWS YOU TO FUNCTION AND PERFORM AT YOUR BEST. IT'S A HARMONIC BALANCE OF PRESCRIBED EXERCISE, EATING HABITS AND PREVENTATIVE HEALTH CARE. THE WELLNESS CENTER IS DESIGNED TO IMPROVE AEROBIC EFFICIENCY, MUSCULAR ENDURANCE AND BODY COMPOSITION THROUGH THE USE OF TREADMILLS, STATIONARY BIKES, A STAIR CLIMBER AND STRENGTH-TRAINING EQUIPMENT. ONCOLOGY/CHEMOTHERAPY: MADISON COUNTY HOSPITAL OFFERS CANCER TREATMENT SERVICES INCLUDING DIAGNOSIS, SURGERY, AND CHEMOTHERAPY. ONCOLOGY PATIENTS AT MADISON COUNTY HOSPITAL HAVE ACCESS TO THE MOST ADVANCED TREATMENT OPTIONS AVAILABLE ANYWHERE. THROUGH OUR PARTNERSHIP WITH THE ZANGMEISTER CENTER IN COLUMBUS, MCH CONTINUES TO DEVELOP MORE SERVICES RELATED TO CANCER CARE, INCLUDING CLINICAL TRIALS. OUR DIRECTOR OF ONCOLOGY SERVICES, DR. TAREK CHIDIAC, IS BOARD CERTIFIED IN BOTH ONCOLOGY AND HEMATOLOGY. HE OFFERS TREATMENTS FOR BLOOD DISORDERS (HEMATOLOGY) SUCH AS ANEMIA, HEMOPHILIA, AND SICKLE CELL IN ADDITION TO ONCOLOGY SERVICES. ADULT OUTPATIENT REHABILITATION SERVICES: OUTPATIENT REHABILITATION AT MADISON COUNTY HOSPITAL PROVIDES A WIDE RANGE OF SERVICES TO HELP YOU REGAIN YOUR HIGHEST LEVEL OF FUNCTION. WHETHER YOU ARE RECOVERING FROM AN INJURY OR ILLNESS, OR JUST NEED ASSISTANCE WITH THE CHALLENGES OF DAILY LIFE, OUR REHAB SERVICES TEAM WORKS WITH YOU TO MAXIMIZE YOUR ABILITIES. PHYSICAL THERAPY AND SPORTS MEDICINE: PHYSICAL THERAPY PROMOTES HEALING AND ASSISTS PATIENTS TO REGAIN MOVEMENT, AND RESTORE FUNCTION TO AN INJURED BODY PART. OUR THERAPISTS ALSO AID IN REBUILDING A PATIENT'S CONFIDENCE AND RELIEVING PAIN AND DISCOMFORT WHILE WORKING TOWARD RECOVERY. COMMON PROBLEMS TREATED WITH PHYSICAL THERAPY: -ORTHOPEDIC INJURIES -SPORTS INJURIES -BACK INJURIES/PAIN -NECK PAIN/INJURIES -STROKE -NEUROLOGICAL IMPAIRMENTS -BALANCE DEFICITS -DEVELOPMENTAL DELAYS -PAIN DURING OR AFTER PREGNANCY TREATMENT MAY INCLUDE TECHNIQUES TO DECREASE PAIN AND SWELLING, AS WELL AS EXERCISES TO INCREASE STRENGTH AND MOBILITY. OTHER TREATMENTS INCLUDE THERAPEUTIC EXERCISE, PELVIC OR CERVICAL TRACTION, ELECTRICAL STIMULATION ULTRASOUND, WOUND CARE, GAIT TRAINING, MANUAL THERAPY, AND MASSAGE.
	OUR TREATMENT IS NOT ALL PHYSICAL. EDUCATION ON TOPICS LIKE JOINT PROTECTION, BACK SAFETY, BODY MECHANICS, POSTURE EDUCATION, AND HOME EXERCISE INSTRUCTION ALSO PLAY A ROLE IN THE RECOVERY PROCESS. OUR STAFF PLANS FOR THE NEEDS OF PATIENTS UPON DISCHARGE AND PROVIDES A CONTINUUM OF CARE. MADISON COUNTY HOSPITAL'S SPORTS MEDICINE PROGRAM PROVIDES CARE FOR ALL SPORTS RELATED INJURIES AND HELPS TO IMPROVE ATHLETIC PERFORMANCE. WHATEVER YOUR SPORT, HAVING THE MCH SPORTS MEDICINE STAFF ROOTING FOR YOU CAN HELP YOU MAKE THE MOST OF YOUR ATHLETIC ABILITIES. WOMEN'S HEALTH: WOMEN'S HEALTH ISSUES CAN BE WIDE-RANGING, CONFUSING AND SOMETIMES FRIGHTENING, WHICH IS WHY WE OFFER A LITTLE EXTRA TLC DURING YOUR VISIT. WHETHER YOU HAVE QUESTIONS ABOUT PREGNANCY, MAMMOGRAMS, OR MENOPAUSE, OUR STAFF OF WOMEN'S HEALTH EXPERTS WILL HELP YOU FIND THE ANSWERS. YOU ARE MORE THAN A PATIENT. YOU ARE OUR PARTNER IN CARING FOR YOUR BODY AND YOUR HEALTH. THROUGH COMMUNICATION BETWEEN YOU AND YOUR CAREGIVERS, OUR COMPASSIONATE MEDICAL TEAM FOSTERS A PARTNERSHIP DESIGNED TO HELP YOU TAKE CONTROL OF YOUR HEALTH. OBSTETRICS AND GYNECOLOGY: AT OBSTETRICS & GYNECOLOGY OF LONDON, INC., CONVENIENTLY LOCATED AT 54 WEST HIGH STREET, WE RECOGNIZE THAT WOMEN'S HEALTHCARE NEEDS ARE SPECIAL AND COMPLEX. YOUR WELL-BEING IS THE MAIN FOCUS OF OUR MEDICAL PRACTICE. WOMEN EXPERIENCE MANY UNIQUE CHANGES THROUGHOUT LIFE WHICH AFFECT REPRODUCTIVE, SEXUAL, AND OVERALL GENERAL HEALTH. OUR STAFF WILL PROVIDE YOU WITH THE BEST HEALTH CARE AVAILABLE TO MANAGE THE CHANGING NEEDS OF YOUR BODY. WOMEN OF ALL AGES CAN EXPERIENCE THE FOLLOWING SERVICES IN THE MOST EASILY ACCESSIBLE, TECHNOLOGICALLY-ADVANCED MADISON COUNTY LOCATION FOR WOMEN'S HEALTH CARE: -ANNUAL EXAMS -OBSTETRICAL CARE -FAMILY PLANNING -INFERTILITY -ULTRASOUND -GYNECOLOGICAL SURGERY -PMS DISORDERS -MENOPAUSE -LASER SURGERY -URINARY INCONTINENCE -ADVANCED ENDOSCOPY -BONE DENSITOMETRY* -DIGITAL MAMMOGRAPHY* *SERVICE CONDUCTED AT THE BATTELLE BREAST CARE CENTER LOCATED IN THE PARK AVENUE MEDICAL BUILDING. BONE DENSITOMETRY AND OSTEOPOROSIS: OSTEOPOROSIS IS A POTENTIALLY CRIPPLING DISEASE CHARACTERIZED BY THE LOSS OF BONE TISSUE AND A SUSCEPTIBILITY TO FRACTURE. IT AFFLICTS AN ESTIMATED 25 MILLION AMERICANS, 80 PERCENT OF WHOM ARE WOMEN. OSTEOPOROSIS IS OFTEN CALLED THE "SILENT DISEASE" BECAUSE IT DOES NOT PRODUCE ANY SYMPTOMS UNTIL A FRACTURE OCCURS. APPROXIMATELY 50 PERCENT OF WOMEN OVER THE AGE OF 50 ARE AT RISK OF SUSTAINING AN OSTEOPOROTIC FRACTURE. TODAY, DOCTORS ARE BETTER EQUIPPED TO DETECT AND TREAT BONE LOSS IN ITS EARLIEST STAGES, SO AS TO PREVENT THE DISEASE OR LESSEN ITS IMPACT. ALSO, SEVERAL DRUG THERAPIES NOW ON THE MARKET HAVE BEEN SHOWN TO BE CLINICALLY EFFECTIVE IN SLOWING DOWN OR REVERSING THE BONE-LOSS PROCESS. JUST AS NO PHYSICIAN WOULD PRESCRIBE A MEDICATION FOR HYPERTENSION WITHOUT FIRST TAKING THE PATIENT'S BLOOD PRESSURE, THE DIAGNOSIS AND TREATMENT OF OSTEOPOROSIS SHOULD BEGIN WITH A MEASUREMENT OF THE PATIENT'S BONE MASS OR BONE DENSITY. BONE DENSITOMETRY USES AN ADVANCED TECHNOLOGY CALLED DUAL-ENERGY X-RAY ABSORPTIOMETRY (DXA) TO SAFELY, ACCURATELY, AND PAINLESSLY MEASURE BONE DENSITY AND THE MINERAL CONTENT OF BONE. DURING A COMPREHENSIVE BONE EVALUATION WITH DXA, THE PATIENT LIES COMFORTABLY STILL ON A PADDED TABLE WHILE THE DXA UNIT SCANS ONE OR MORE AREAS, USUALLY FRACTURE-PRONE AREAS SUCH AS THE SPINE OR HIP. RADIATION EXPOSURE DURING BONE DENSITOMETRY IS LESS THAN THE RADIATION EXPOSURE DURING A COAST-TO-COAST AIRLINE FLIGHT. THE ENTIRE PROCESS TAKES ONLY A FEW MINUTES TO COMPLETE, DEPENDING ON THE NUMBER OF SITES SCANNED. IT INVOLVES NO INJECTIONS OR INVASIVE PROCEDURES, AND PATIENTS REMAIN FULLY CLOTHED. A REPORT WILL BE SENT TO YOUR DOCTOR THAT CONSISTS OF YOUR DENSITY MEASUREMENTS AND RECOMMENDATIONS FOR TREATMENT OR PREVENTION OF OSTEOPOROSIS AND BONE LOSS. DIGITAL MAMMOGRAPHY AT THE BATTELLE BREAST CARE CENTER: STATISTICS SHOW THAT ONE OUT OF EVERY EIGHT WOMEN WILL GET BREAST CANCER SOMETIME IN HER LIFETIME. THAT IS WHY DOING EVERYTHING YOU CAN TO DETECT PROBLEMS EARLY IS SO IMPORTANT. WIDESPREAD USE OF REGULAR SCREENING MAMMOGRAPHY HAS CONTRIBUTED TO RECENT IMPROVEMENTS IN THE BREAST CANCER SURVIVAL RATE. THE SUCCESS RATE FOR TREATING BREAST CANCER IS 98 PERCENT IF THE DISEASE IS CAUGHT IN ITS EARLIEST STAGE. THE GE HEALTHCARE SENOGRAPHE DIGITAL MAMMOGRAPHY SYSTEM PROVIDES PHYSICIANS WITH CLEAR AND PRECISE ALL-DIGITAL IMAGES, RATHER THAN IMAGES ON X-RAY FILM. THERE ARE MANY ADVANTAGES TO A DIGITAL SYSTEM. AS OPPOSED TO X-RAYS, THE IMAGES ARE CLEAR AND EASY TO READ. DIGITAL MAMMOGRAPHY OFFERS A BETTER VIEW OF THE BREAST, ESPECIALLY NEAR THE SKIN LINE, CHEST WALL AND IN WOMEN WITH DIVERSE BREAST TISSUE TYPES. THE DIGITAL IMAGE IS READY TO READ WITHIN 10 SECONDS; THERE IS NO LONGER A WAIT FOR FILMS TO BE DEVELOPED TO BE SURE THE IMAGES ARE USABLE. DIGITAL MAMMOGRAMS TAKE AS LITTLE AS HALF THE TIME OF TRADITIONAL FILM MAMMOGRAMS. IF A SECOND OPINION IS NEEDED, THE IMAGE CAN BE SENT ELECTRONICALLY TO A CONSULTING PHYSICIAN VIRTUALLY INSTANTANEOUSLY. MAMMOGRAMS ARE RECOMMENDED ANNUALLY FOR WOMEN ABOVE THE AGE OF 40 AND SOMETIMES FOR WOMEN YOUNGER THAN 40 WHO HAVE HIGH RISK FACTORS, SUCH AS A FAMILY HISTORY OF BREAST CANCER. THE HIGHEST INSTANCES OF BREAST CANCER OCCUR IN WOMEN OVER 50, BUT THE TYPES OF CANCERS THAT OCCUR IN THE OLDER AGE GROUPS ARE USUALLY SLOWER GROWING, SO THE SURVIVAL RATE AMONG THESE WOMEN IS GREATER, ESPECIALLY WHEN CAUGHT EARLY. EMERGENCY DEPARTMENT SERVICES: THE MADISON COUNTY HOSPITAL EMERGENCY DEPARTMENT, STAFFED BY A QUALIFIED, CARING TEAM OF PHYSICIANS AND NURSES, IS AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK, TO PROVIDE YOU URGENT MEDICAL ATTENTION. OUR MEDICAL TEAM IS LINKED WITH THE PRIMARY LEVEL I TRAUMA CENTER IN CENTRAL OHIO THROUGH OUR AFFILIATION WITH THE OSU/MOUNT CARMEL HEALTH ALLIANCE. IF YOUR HEALTH SITUATION REQUIRES ADVANCED SPECIALIZED CARE, OUR MEDICAL TEAM CAN STABILIZE YOUR CONDITION FOR A SAFE AIR OR GROUND TRANSPORT BY MED FLIGHT OF OHIO. VISITING OUR EMERGENCY DEPARTMENT PRIOR TO SUCH A TRANSFER ENSURES YOUR SAFEST AND QUICKEST RECOVERY. OUR EMERGENCY DEPARTMENT OFFERS 11 BEDS IN OUR STATE-OF-THE-ART FACILITY. MEDICAL DIRECTOR JORNEL RIVERA, D.O., WAS NAMED PREMIER MEDICAL CARE'S 2000 EMERGENCY PHYSICIAN OF THE YEAR. PREMIER IS A PRIVATE COMPANY THAT MANAGES AND STAFFS EMERGENCY DEPARTMENTS ACROSS THE UNITED STATES. OTHER PATIENT SERVICES DIABETIC SERVICES: DIABETES IS A CHRONIC DISORDER THAT AFFECTS MILLIONS OF AMERICANS WITH VARYING DEGREES OF SEVERITY. THE POTENTIAL FOR SERIOUS COMPLICATIONS EXISTS IF GOOD BLOOD SUGAR CONTROL IS NOT MAINTAINED. THE DIABETIC RESOURCE STAFF AT MCH WORKS WITH PATIENTS TO INFORM THEM OF WAYS TO MAINTAIN THEIR HEALTH AND AVOID THE COMPLICATIONS ASSOCIATED WITH DIABETES. DIETITIAN WHETHER RECOVERING FROM AN INJURY OR ILLNESS OR LOOKING TO IMPROVE YOUR QUALITY OF LIFE, MADISON COUNTY HOSPITAL WOULD LIKE TO HELP YOU GET BACK ON THE ROAD TO A HEALTHY LIFESTYLE. GOOD NUTRITION IS AN IMPORTANT PART OF THAT JOURNEY. WITH THE HELP OF OUR REGISTERED DIETITIAN, WE'LL HELP YOU DEVELOP A DIETARY PROGRAM THAT ACCOMPLISHES YOUR GOALS; FROM WEIGHT LOSS, WEIGHT GAIN, OR THE NUTRITIONAL MANAGEMENT OF MEDICAL CONDITIONS LIKE DIABETES OR HEART DISEASE. HOME DELIVERED MEALS (MEALS ON WHEELS): MADISON COUNTY HOSPITAL AND LIFE CARE ALLIANCE HAVE PARTNERED TO PROVIDE MEALS ON WHEELS SERVICES THROUGHOUT MADISON COUNTY. THE MEALS-ON-WHEELS PROGRAM PROVIDES HOME-DELIVERED MEALS FOR PEOPLE OVER THE AGE OF 60 WHO ARE UNABLE TO PREPARE HOT NUTRITIOUS MEALS FOR THEMSELVES. VOLUNTEERS DELIVER MEALS MONDAY THROUGH FRIDAY. THOSE WHO QUALIFY FOR THE PROGRAM MAY CHOOSE TO ENROLL IN THE HOME-DELIVERED MEAL PROGRAM, OR DINE AT CONGREGATE SITES IN SOUTH SOLON, WEST JEFFERSON, OR MOUNT STERLING. IF YOU OR SOMEONE YOU KNOW COULD BENEFIT FROM THE MEALS ON WHEELS PROGRAM OR IF YOU WOULD LIKE MORE INFORMATION ON BECOMING A VOLUNTEER, PLEASE CALL (740) 845-7325. LABORATORY: MANY OF MADISON COUNTY HOSPITALS LABORATORY TESTS ARE COMPLETED HERE IN OUR OWN HOSPITAL LABORATORY. THE MAIN HOSPITAL LABORATORY IS STAFFED 24 HOURS A DAY/7 DAYS A WEEK WITH NO APPOINTMENT NECESSARY FOR OUTPATIENT LABORATORY WORK. INSURANCE IS ACCEPTED. THE OUTPATIENT LAB IS LOCATED IN THE PARK AVENUE MEDICAL BUILDING AND IS OPEN FROM 7 AM UNTIL 5 PM ON WEEKDAYS. THE MCH LAB CAN PERFORM LABORATORY WORK ORDERED BY ANY PHYSICIAN, NOT JUST THOSE ON MCH STAFF. IN COLLABORATION WITH OCCUPATIONAL HEALTH, THE LABORATORY PROVIDES A VARIETY OF OCCUPATIONAL DRUG SCREENING CHOICES INCLUDING TESTING, ACTING AS A COLLECTION SITE, BREATH ALCOHOL TESTING AND PROVIDING MRO SERVICES, IF NECESSARY.
	SUITES. THESE LARGE, ATTRACTIVE ROOMS OFFER PRIVATE BATHS, SHOWERS, AND OVERNIGHT ACCOMMODATIONS FOR A LOVED ONE. THE MATERNITY CENTER AT MADISON COUNTY HOSPITAL OFFERS: -PERSONAL TOURS -CHILDBIRTH EDUCATION -INFANT CARE EDUCATION -UNIVERSAL HEARING TESTS -PRENATAL NUTRITIONAL COUNSELING LET US HELP YOU WELCOME YOUR LITTLE MIRACLE TO OUR LITTLE CORNER OF THE WORLD, RIGHT HERE IN MADISON COUNTY. OCCUPATIONAL HEALTH: MADISON COUNTY HOSPITAL OCCUPATIONAL HEALTH SERVICES WORKS WITH MANY LOCAL EMPLOYERS AND PROVIDES SERVICES SUCH AS DRUG SCREENS, EMPLOYEE PHYSICALS, HEALTH EDUCATION AND TREATMENT OF WORK-RELATED INJURIES. WE ALSO COORDINATE SERVICES FOR INJURED EMPLOYEES AND MANAGE THE FOLLOW-UP REQUIRED ON WORKERS' COMPENSATION CASES. WE WORK CLOSELY WITH THE MCH STAFF IN OUR LABORATORY, AND PHYSICAL AND OCCUPATIONAL THERAPY DEPARTMENT TO PROVIDE THE NECESSARY TREATMENT. OTHER SERVICES THAT WE CAN PROVIDE INCLUDE: -REFERRALS FOR SPECIALTY EVALUATIONS -RETURN TO WORK INSTRUCTIONS -ON-SITE CONSULTATIONS AND SERVICES -IMMUNIZATIONS -COMPLETE LABORATORY SERVICES -PULMONARY FUNCTION TESTING -RESPIRATORY CLEARANCE EXAMINATIONS -DOT EXAMINATIONS -BREATH ALCOHOL TESTING PATIENT CARE UNITS: MADISON COUNTY HOSPITAL PROVIDES PATIENT UNITS DEDICATED TO SPECIFIC CARE NEEDS. OUR INPATIENT CARE UNIT SERVES PATIENTS WHO ARE BEING TREATED FOR ILLNESSES AND INJURIES THAT REQUIRE CONSTANT CARE. OUR MATERNITY UNIT PROVIDES CARE FOR NEW FAMILIES IN A NON-INVASIVE, FAMILY FRIENDLY ATMOSPHERE. OUR INTENSIVE CARE UNIT PROVIDES CARE TO PATIENTS WHO REQUIRE ACUTE SERVICES. OUR TEAM OF DOCTORS AND NURSES PROVIDE CONSTANT CARE TO STABILIZE AND IMPROVE THE PATIENT'S CONDITION. RADIOLOGY: MADISON COUNTY HOSPITAL'S RADIOLOGY DEPARTMENT OFFERS A WIDE RANGE OF SERVICES, INCLUDING SPECIALTY SERVICES. WE PROVIDE DIAGNOSTIC OUTPATIENT, INPATIENT, AND EMERGENCY ROOM X-RAYS, INCLUDING FLUOROSCOPIC PROCEDURES SUCH AS UPPER GI'S AND BARIUM ENEMAS. UROLOGICAL PROCEDURES SUCH AS AN IVP OR KIDNEY X-RAYS CAN ALSO BE PERFORMED. OUR SPECIALTY SERVICES INCLUDE: CT SCAN, ULTRASOUND, NUCLEAR MEDICINE, DIGITAL MAMMOGRAPHY, BONE DENSITOMETRY, MRI, AND BREAST MRI. SOCIAL SERVICES: MEDICAL SOCIAL WORKERS ARE ASSIGNED TO EACH PATIENT CARE AREA AND ARE TRAINED TO HELP PATIENTS AND FAMILY MEMBERS DEAL WITH FINANCIAL, SOCIAL AND EMOTIONAL PROBLEMS THAT RELATE TO A PATIENT'S ILLNESS OR HOSPITALIZATION. MEMBERS OF THE DEPARTMENT WORK WITH PATIENTS AND FAMILIES TO HELP DEAL WITH LONG-TERM ILLNESSES AND REHABILITATION. THEY ARE ALSO INVOLVED IN THE DISCHARGE PLANNING PROCESS. ULTRASOUND: ULTRASOUND IS A TECHNIQUE BY WHICH SOUND WAVES ARE BOUNCED INTO YOUR BODY, AND THEIR REFLECTIONS CAPTURED BY A MACHINE, TRANSFORMING THEM INTO AN IMAGE. ULTRASOUND DOES NOT INVOLVE RADIATION AND DOES NOT USE DYES THAT NEED TO BE INJECTED OR SWALLOWED. ULTRASOUND TESTS ARE USED IN DIAGNOSING AND TREATING A VARIETY OF HEALTH ISSUES, INCLUDING HEART CONDITIONS, MUSCLE PAIN, ABDOMINAL CONDITIONS, THYROID CONDITIONS, PREGNANCY, AND MANY OTHERS. VASCULAR LABORATORY: THE VASCULAR LABORATORY CONDUCTS TESTS RELATED TO ARTERY AND VEIN CONDITIONS. TESTS CAN BE CONDUCTED TO DETERMINE IF OBSTRUCTIONS OF THE VEINS OR ARTERIES EXIST. THESE TESTS ARE USED TO DIAGNOSE ANEURYSMS AND DISEASES OF THE ARTERIES. THE VASCULAR LAB ALSO HAS COLOR FLOW DUPLEX IMAGING (CDI) TECHNOLOGY. CDI IS USED TO EVALUATE VEINS FOR USE AS A GRAFT, OR TO DIAGNOSE VARICOSE VEINS AND VALVULAR INCOMPETENCY. SURGERY: WE ALL GET A LITTLE NERVOUS WHEN FACED WITH SURGERY. BUT YOU CAN HAVE CONFIDENCE THAT THE SURGICAL TEAMS AT MADISON COUNTY HOSPITAL MEET THE HIGHEST STANDARDS AND ARE COMMITTED TO EXCELLENCE. THE HOSPITAL'S HUX SURGERY CENTER FEATURES THREE STATE-OF-THE-ART SURGICAL SUITES THAT CAN ACCOMMODATE ALL TYPES OF SURGERIES, INCLUDING TOTAL JOINT REPLACEMENT. OUR SURGEONS USE THE LATEST LASER AND MICROSURGICAL INSTRUMENTS, AND PATIENTS RECOVER IN OUR COMFORTABLE RECOVERY ROOM. WITH NEW TECHNOLOGICAL ADVANCES IN SURGICAL PROCEDURES, MANY OPERATIONS THAT USED TO REQUIRE A STAY IN THE HOSPITAL CAN NOW BE DONE ON AN OUTPATIENT BASIS. WHEN SURGERY IS A CHOICE YOU HAVE TO MAKE, YOU CAN BE ASSURED THAT THE SURGERY CENTER AT MADISON COUNTY HOSPITAL PROVIDES THE MOST ADVANCED TREATMENTS AND TECHNOLOGY AVAILABLE ANYWHERE AND THE BEST CARE FOR YOU, CLOSE TO HOME. SURGICAL SPECIALTIES: MADISON COUNTY HOSPITAL HAS AN OUTSTANDING GROUP OF SURGEONS WHO SPECIALIZE IN THE FIELDS OF: -BREAST SURGERY -COSMETIC & RECONSTRUCTIVE -EAR, NOSE & THROAT -ENDOSCOPY -GENERAL SURGERY -OBSTETRICS & GYNECOLOGY -ORTHOPEDICS -OPHTHALMOLOGY -PODIATRY -UROLOGY -VASCULAR SURGERY UROLOGY: UROLOGY IS A SURGICAL SPECIALTY THAT DEALS WITH DISEASES OF THE MALE AND FEMALE URINARY TRACT AND THE MALE REPRODUCTIVE ORGANS. ALTHOUGH UROLOGY IS CLASSIFIED AS A SURGICAL SPECIALTY, THE UROLOGIST, BECAUSE OF THE WIDE VARIETY OF CLINICAL PROBLEMS ENCOUNTERED, REQUIRES KNOWLEDGE OF INTERNAL MEDICINE, PEDIATRICS, GYNECOLOGY, AND OTHER SPECIALTIES. ONE OF THE LATEST INNOVATIONS IN THE TREATMENT OF KIDNEY STONES IS AVAILABLE AT MADISON COUNTY HOSPITAL. HOLMIUM LASER LITHOTRIPSY IS THE MOST COST AND TIME EFFICIENT METHOD OF DEFINITIVE TREATMENT FOR PATIENTS WITH STONES IN THEIR KIDNEYS OR GREETERS. THE PROCEDURE USES A LASER TO BREAK THE STONE INTO DUST-LIKE GRANULES OF SAND. THE OUTPATIENT PROCEDURE LASTS FROM ABOUT 30 MINUTES TO TWO HOURS, DEPENDING ON THE SIZE AND LOCATION OF THE STONE AND RECOVERY TIME IS MINIMAL. THE HOLMIUM LASER PROCEDURE AND THE RANGE OF UROLOGY SERVICES AT MADISON COUNTY HOSPITAL MEANS PATIENTS RECEIVE THE MOST ADVANCED TREATMENT AND TECHNOLOGY AVAILABLE ANYWHERE. OTHER UROLOGY TREATMENTS AVAILABLE AT MADISON COUNTY HOSPITAL INCLUDE: -PEDIATRIC UROLOGY -UROLOGIC ONCOLOGY (CANCER) -PROSTATE CONDITIONS -MALE INFERTILITY -CALCULI (URINARY TRACT STONES) -FEMALE UROLOGY (URINARY INCONTINENCE AND PELVIC OUTLET RELAXATION DISORDERS) -NEUROUROLOGY (VOIDING DISORDERS, URODYNAMIC EVALUATION OF PATIENTS, AND ERECTILE DYSFUNCTION OR IMPOTENCE). THE SPECIALTY OF UROLOGY IS CONSTANTLY CHANGING. AS ADVANCES ARE MADE IN THE TREATMENT OF UROLOGIC CONDITIONS, MADISON COUNTY HOSPITAL WILL BE AMONG THE FIRST TO MAKE THESE NEW TREATMENTS AVAILABLE TO ITS PATIENTS. OPHTHALMOLOGY: MADISON COUNTY HOSPITAL'S TEAM OF EYE CARE SURGEONS PROVIDES SURGICAL CARE TO CORRECT AN ARRAY OF VISION PROBLEMS. MOST CATARACT AND OTHER EYE SURGERIES CAN BE DONE ON AN OUTPATIENT BASIS. SURGERIES OF THE EYE INCLUDE: -CATARACT/IMPLANT SURGERY -GLAUCOMA SURGERY -REFRACTIVE/LASER SURGERY ORTHOPEDICS AND TOTAL JOINT REPLACEMENTS: MADISON COUNTY HOSPITAL'S TEAM OF ORTHOPEDIC SURGEONS PROVIDES JOINT REPLACEMENT AND OTHER ORTHOPEDIC RELATED SURGERY CARE. THESE SURGERIES INCLUDE A FULL RANGE OF HIP REPLACEMENTS, KNEE REPLACEMENTS, AND SURGERIES RELATED TO MINOR OR MODERATE TRAUMA AND REPETITIVE WORK INJURIES. OUR NEW SURGICAL SUITES PROVIDE A FACILITY SPECIFIC FOR ORTHOPEDIC AND JOINT REPLACEMENT PROCEDURES. AFTER SURGERY, PATIENTS CAN STAY RIGHT HERE AT MCH TO TAKE ADVANTAGE OF OUR OUTSTANDING PHYSICAL THERAPY SERVICES. THERE IS NO NEED TO TRAVEL TO RECEIVE FOLLOW UP CARE. OUR COMPLETE OUTPATIENT REHAB SERVICES WILL GET YOU MOVING AGAIN AS QUICKLY AS POSSIBLE. ENDOSCOPY PROCEDURES: ENDOSCOPY PROCEDURES CAN BE COMPLETED ON AN INPATIENT OR OUTPATIENT BASIS, DEPENDING ON THE DIAGNOSIS OR TREATMENT NEEDED. PROCEDURES PERFORMED IN OUR TWO NEWLY-REMODELED ENDOSCOPY ROOMS INCLUDE: -CYSTOSCOPY: TO DIAGNOSE DISEASES OF THE BLADDER AND URETHRA -SYGMOIDOSCOPY AND COLONOSCOPY: TO DIAGNOSE AND TREAT DISEASES OF THE COLON -ESOPHOGOGASTRODUODENOSCOPY (EGD): TO DIAGNOSE DISEASES OF THE STOMACH, ESOPHAGUS AND SMALL INTESTINE -BRONCHOSCOPY: TO DIAGNOSE DISEASES OF THE TRACHEA AND LUNGS OTHER MINOR SURGICAL PROCEDURES ARE COMPLETED USING ENDOSCOPY, INCLUDING THE EXCISION OF LESIONS AND SKIN BIOPSIES. MATERNITY THE MATERNITY CENTER: BEING A MOTHER STARTS LONG BEFORE YOUR BABY IS BORN. YOU'VE GOT LOTS OF DECISIONS TO MAKE, LIKE YOUR BABY'S NAME OR WHAT COLOR TO PAINT THE NURSERY. THE MATERNITY CENTER AT MADISON COUNTY HOSPITAL CAN HELP YOU WITH THE ONE CHOICE YOU CAN'T AFFORD NOT TO MAKE: HAVING THE BEST CARE POSSIBLE. YOUR BABY DESERVES THE BEST OF EVERYTHING, AND THE RIGHT PRENATAL CARE CAN MAKE ALL THE DIFFERENCE IN THE WORLD. AT THE MATERNITY CENTER, YOU CAN CONCENTRATE ON THE EXCITEMENT OF YOUR PREGNANCY, KNOWING YOU AND YOUR NEW BABY ARE IN THE BEST OF HANDS. EXPERIENCE THE JOY OF CHILDBIRTH, FROM LABOR AND DELIVERY TO RECOVERY AND POST-PARTUM, IN ONE OF OUR THREE BEAUTIFULLY DECORATED BIRTHING
	PRENATAL CLINIC THE PRENATAL CLINIC IS PART OF OBSTETRICS & GYNECOLOGY OF LONDON, INC. AND HELPS PROVIDE CARE TO WOMEN WHO WOULD OTHERWISE BE UNABLE TO PAY FOR PRENATAL CARE. DR. MITCHELL SPAHN AND DR. JENNIFER POWELL, BOARD CERTIFIED OB/GYNS, ALONG WITH THEIR CARING STAFF OF PROFESSIONALS, PROVIDE OBSTETRICAL CARE FOR PATIENTS. THE CLINIC PROVIDES PRENATAL CARE AND COUNSELING SERVICES CHARGED ON A SLIDING FEE SCALE. SOME SERVICES, INCLUDING FREE PREGNANCY TESTS, ARE PROVIDED AT MADISON COUNTY HOSPITAL. A CLINIC EDUCATOR ANSWERS QUESTIONS AND EDUCATES FUTURE MOTHERS ABOUT WHAT TO EXPECT DURING PREGNANCY, BODY CHANGES, AND OTHER ISSUES RELATED TO PRENATAL CARE. PATIENTS HAVE UNLIMITED ACCESS DURING PREGNANCY TO A DIETICIAN AND LICENSED SOCIAL WORKER SPECIALIZING IN PRENATAL CARE. CLINIC STAFF CAN ALSO MAKE REFERRALS IF NECESSARY. COMMUNITY OUTREACH COMMUNITY EDUCATION AND OUTREACH: EVERY FAMILY HAS DIFFERENT NEEDS AND INTERESTS. THAT'S WHY MADISON COUNTY HOSPITAL OFFERS FREE OUTREACH PROGRAMS FOR AREA RESIDENTS OF ALL AGES, SCHOOLS AND COMMUNITY ORGANIZATIONS. TOPICS INCLUDE SUBSTANCE ABUSE AND HEALTH MANAGEMENT. CONSUMER HEALTH LIBRARY & CANCER RESOURCE CENTER MADISON COUNTY HOSPITAL OFFERS A HEALTH LIBRARY WITH A BROAD SPECTRUM OF INFORMATION FOR AREA RESIDENTS. IT IS LOCATED IN THE HOSPITAL CAFETERIA AND OPEN TO THE PUBLIC. RESIDENTS ARE INVITED TO READ AND/OR CHECK OUT LIBRARY BOOKS. A VIDEO LENDING LIBRARY IS ALSO AVAILABLE THROUGH THE EDUCATION DIRECTOR AT 740-845-7321. A VARIETY OF EDUCATIONAL BROCHURES ON HEALTH-RELATED TOPICS ARE AVAILABLE AT NO CHARGE. THE HOSPITAL ALSO OFFERS AN EDUCATIONAL ONLINE LIBRARY AT WWW.MADISONCOUNTYHOSPITAL.ORG. SEARCH THE MYHEALTH LIBRARY FOR CURRENT ARTICLES ABOUT HEALTH AND WELLNESS, HEALTH CALCULATORS, AND MORE. YOUTH SERVICES MADISON COUNTY HOSPITAL OFFERS YOUTH SERVICES THROUGH THE HOSPITAL'S COMMUNITY EDUCATION AND PREVENTION DEPARTMENT. THESE SERVICES INCLUDE: -LIFE SKILLS -ANGER MANAGEMENT -DEALING WITH GRIEF AND LOSS -DRUG AND ALCOHOL ADDICTION EDUCATION AND PREVENTION PLEASE CALL 740-845-7310 FOR MORE INFORMATION. PROJECT TOP: PROJECT TOP, TIME OUT FOR PREVENTION, FOCUSES ON PRESCHOOL AND PRIMARY SCHOOL-AGED CHILDREN. PROJECT TOP ADDRESS ISSUES LIKE ABSTAINING FROM THE USE OF ALCOHOL, TOBACCO AND DRUGS, SAFETY, SELF-ESTEEM, AND UNDERSTANDING DIFFERENT EMOTIONS AND HOW TO DEAL WITH THEM. EMERGENCY PREPAREDNESS: MADISON COUNTY HOSPITAL IS AN INTEGRAL PARTNER IN COMMUNITY AND REGIONAL EMERGENCY PLANNING. THE HOSPITAL PARTICIPATES IN THE CENTRAL OHIO TRAUMA SYSTEM'S REGIONAL HOSPITAL EMERGENCY PLANNING COMMITTEE AS WELL AS THE LOCAL EMERGENCY PLANNING COMMITTEE. EXERCISES ARE PERFORMED IN COOPERATION WITH LOCAL FIRE, EMS AND LAW ENFORCEMENT AGENCIES. THE HOSPITAL ALSO PARTICIPATES IN REGIONAL EMERGENCY PREPAREDNESS DRILLS. MADISON COUNTY HOSPITAL STOCKPILES DISASTER SUPPLIES AND EQUIPMENT INCLUDING A THREE LANE DECONTAMINATION SHELTER. SUPPORT GROUPS: SOMETIMES SCHOOL CHILDREN NEED TO TALK ABOUT THEIR PROBLEMS OR FEARS. THE MADISON COUNTY HOSPITAL COMMUNITY EDUCATION DEPARTMENT OFFERS SUPPORT GROUPS FOR STUDENTS ADDRESSING A WIDE RANGE OF ISSUES: SMOKING CESSATION, LOSS/GRIEF COUNSELING, SELF-ESTEEM, PEER RELATIONS AND OTHER TOPICS AS REQUESTED BY SCHOOL ADMINISTRATION. THESE SUPPORT GROUPS ARE AVAILABLE TO ANY STUDENT. PARENTS MAY REQUEST THEIR CHILD BE PLACED IN A SPECIFIC GROUP. CPR CLASSES: CPR CLASSES AVAILABLE THROUGH MADISON COUNTY HOSPITAL INCLUDE: -BASIC LIFE SUPPORT FOR HEALTH CARE PROVIDERS -CPR PROGRAM FOR HEALTH CARE PROFESSIONALS -HEART SAVER CPR PROGRAM FOR COMMUNITY GROUPS
FORM 990, SCHEDULE D, PART XII AND XIII	THE REPORT ON AUDITS OF CONSOLIDATED FINANCIAL STATEMENTS IS PREPARED ON BEHALF OF THE MADISON COUNTY HOSPITAL, INC. AND AFFILIATES (MADISON COUNTY COMMUNITY HOSPITAL, INC. AND MADISON COUNTY HOSPITAL FOUNDATION, INC.) THE DISCLOSURE IN PARTS XII AND XIII REPRESENTS THE SEPARATE COMPANY ACTIVITY OF THE MADISON COUNTY COMMUNITY HOSPITAL AS PRESENTED IN THE STATEMENTS AND SUPPLEMENTAL SCHEDULES.	RECONCILIATION OF REVENUE AND EXPENSE:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
MADISON COUNTY HOSPITAL INC
210 NORTH MAIN STREET	LONDON	OH	43140	310876202	MANAGE INVESTMENT	OH	501(C)(3)	509(A)(3) TYPE I	N/A	0
MADISON COUNTY HOSPITAL FOUNDATION INC
210 NORTH MAIN STREET	LONDON	OH	43140	237423524	FOUNDATION	OH	501(C)(3)	509(A)(3) TYPE I	N/A	0
MADISON FAMILY HEALTH CORPORATION
210 NORTH MAIN STREET	LONDON	OH	43140	311514418	INACTIVE	OH	501(C)(3)	509(A)(3) TYPE I		0	MCHI

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Return Reference	PART V, LINE 1(D):	ReturnReference
Explanation	MADISON COUNTY COMMUNITY HOSPITAL IS A MEMBER OF THE OBLIGATED GROUP WITH RESPECT TO MADISON COUNTY HOSPITAL, INC.'S REVENUE BONDS - VILLAGE OF MOUNT STERLING, OHIO, HOSPITAL FACILITIES MULTI-MODE VARIABLE RATE REVENUE REFUNDING BONDS, SERIES 2011.	Explanation