2012-08-08T09:49:04-05:00 2011-12-31 251408703 SCHNEIDER DOWNS & CO INC 1133 PENN AVENUE PITTSBURGH PA 15222 990 2011-01-01 311657206 MADISON COUNTY COMMUNITY HOSPITAL MADI 7408457015 210 NORTH MAIN STREET LONDON OH 43140 FRED L KOLB 7408457015 2012-08-08 1 SUSAN M KIRSCH P00341397 4122613644 2011 2016-02-24 21:20:13Z FRED L KOLB 210 NORTH MAIN STREET LONDON OH 43140 34660421 0 X WWW.MADISONCOUNTYHOSPITAL.ORG X 1974 OH TO PROVIDE EXCEPTIONAL HEALTH CARE IN A RESPECTFUL, COMPASSIONATE, AND HEALING ENVIRONMENT. 16 15 323 65 0 0 243932 451398 33599471 33252817 41590 190266 162507 152362 34047500 34046843 0 0 0 0 14598323 14883451 0 0 0 18899193 17727333 33497516 32610784 549984 1436059 16468579 18302092 3025014 3617156 13443565 14684936 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. 0 0 26717253 33293659 SEE SCHEDULE O 26717253 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 78 0 1 323 1 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 OH X MICHAEL S BROWNING 7408457015 210 NORTH MAIN STREET LONDON OH 43140 X ROBERT CASILLAS 2.00 X 0 0 0 RANDY CRISP CHAIR THRU 911 2.00 X 0 0 0 RUDY DENES 2.00 X 0 0 0 JACOB FRONING 2.00 X 0 0 0 ED GOODYEAR ENT 911 2.00 X 0 0 0 KENT HESS 2.00 X 0 0 0 JIM HUNT ENT 911 2.00 X 0 0 0 RD KRONK ENT 911 2.00 X 0 0 0 ERIC KUNZ 2.00 X 0 0 0 MARCI LADUE 2.00 X 0 0 0 MICHAEL LYNCH 2.00 X 0 0 0 ROBERT MUELLER MD 2.00 X 0 0 0 MITCHELL SPAHN MD BDMBR THRU 2.00 X X 15000 0 0 RON WHITESIDE 2.00 X X 0 0 0 KAREN PETERS 2.00 X X 0 0 0 DAVE JOSLIN BD MBR THRU 911 2.00 X X 0 0 0 ZAHID SIDDIQI EXIT 911 2.00 X X 0 0 0 FRED L KOLB 40.00 X 301554 0 90249 MICHAEL S BROWNING 40.00 X 177319 0 34359 BETH FORDYCE 40.00 X 118370 0 7478 DONALD E HURA 40.00 X 135388 0 7924 JENNIFER A PICCIONE 40.00 X 117395 0 39840 MONA L FLAX 40.00 X 110238 0 41784 SHIRLEY J KRAMER 40.00 X 104092 0 7903 ELAINE EWALD 40.00 X 165042 0 31618 1244398 0 261155 8 1 1 0 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 9 10 405249 46139 451398 NET PATIENT SERVICE 621990 32922909 32922909 PHYSICIAN PRACTICE 900099 142833 142833 CAFETERIA SALES/VENDIN 722210 111520 111520 PHYSICAL TRAINING 900099 25000 25000 FITNESS CENTER 713940 20035 20035 30520 30520 33252817 63670 63670 93000 0 93000 93000 93000 712124 28050 613578 0 98546 28050 126596 126596 PURCHASE REBATES 900099 59362 59362 59362 34046843 33293659 0 301786 X 527205 462094 65111 10794333 9461215 1333118 345843 303131 42712 2400611 2013223 387388 815459 714748 100711 25033 6226 18807 4963 4963 16725 16725 4360951 2639438 1721513 173375 6461 166914 580573 535677 44896 601731 126449 475282 1764683 1531192 233491 5494 2423 3071 23968 14300 9668 29395 29395 1591043 1250859 340184 347529 15597 331932 MEDICAL SUPPLIES 4224215 4224215 BAD DEBT EXPENSE 3246615 3246615 OH HOSP.FRANCHISE TAX 414465 414465 FOOD/DIETARY 200350 177086 23264 116225 -43091 159316 32610784 26717253 5893531 0 649834 1306371 2000000 3000000 262 154 3048046 2756685 935899 725626 829582 805152 275902 429811 15412549 9451083 5320938 5961466 2739813 2685662 668303 631165 16468579 18302092 2148156 2905614 876858 711542 3025014 3617156 X 13443565 14684936 13443565 14684936 16468579 18302092 X 1436059 -194688 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4963 4963 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: A PERCENTAGE OF DUES PAID TO THE OHIO HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WERE ALLOCATED BY THE RESPECTIVE ORGANIZATIONS TO LOBBYING ACTIVITIES. 3520914 1956919 1563995 10843196 7433106 3410090 1048439 61058 987381 5961466 34046843 32610784 1436059 -194688 -194688 1241371 33835430 -194688 -194688 34030118 16725 16725 34046843 32594059 0 32594059 16725 16725 32610784 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. 1 1 1 X 1 X 1 1 1 0 1 1 2 831 1284436 286121 998315 0.03400 1 3489 5759490 3144077 2615413 0.08910 3 4320 7043926 3430198 3613728 0.12310 15 3972 182767 5215 177552 0.00600 13576 13576 0.00050 15 3972 196343 5215 191128 0.00650 18 8292 7240269 3435413 3804856 0.12960 1 192 192 0.00000 1 109888 109888 0.00370 2 110080 110080 0.00370 1 3246615 0 5145244 5652047 -506803 X 1 1 1 NA 1 1 MADISON COUNTY COMMUNITY HOSPITAL

210 N MAIN STREET LONDON OH 43140

X X X MADISON COUNTY COMMUNITY HOSPITAL 1 1 1 100.000000000000 1 400.000000000000 1 X X X X X X 1 1 X X X X X 1 0 1 X 0 0 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. MADISON COUNTY COMMUNITY HOSPITAL PART V, SECTION B, LINE 19D: 20% DISCOUNT 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. REPORTS FILED WITH STATES PART VI, LINE 7 OH X X X X 1 0 0 0 0 0 0 1 0 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 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). 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. COLUMN (D) FUNDRAISING EXPENSES 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -194,688. OVERSIGHT OF FINANCIAL STATEMENT AUDIT: 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. 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 RECONCILIATION OF REVENUE AND EXPENSE: 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. 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 MCHI 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 PART V, LINE 1(D): 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.