2024-08-14T15:22:30-05:00 2023-09-30 882730877 CHERRY BEKAERT ADVISORY LLC 101 SOUTH 5TH STREET STE 2100 LOUISVILLE KY 40202 990 2022-10-01 314379509 MARIETTA MEMORIAL HOSPITAL MARI 7403741641 401 MATTHEW STREET MARIETTA OH 45750 SCOTT SILVESTRI CFO 7403741641 2024-08-14 1 1 AMY DOSIK P00890743 8885871719 2022 2024-08-08 14:25:15Z J SCOTT CANTLEY 401 MATTHEW STREET MARIETTA OH 45750 615957670 0 X WWW.MHSYSTEM.ORG X 1929 OH WE ARE 2,600 STRONG AND THE COUNTY'S LARGEST EMPLOYER. WE ENHANCE THE QUALITY OF LIFE IN THE MID-OHIO VALLEY. WE NURTURE AND CARE FOR OUR COMMUNITY BY CARING FOR YOU, YOUR FRIENDS, NEIGHBORS AND RELATIVES 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS A YEAR. WE ARE QUALITY - WITH ACCREDITATIONS, CERTIFICATIONS AND DESIGNATIONS TO EXPRESS, UTILIZE AND DEMONSTRATE OUR EXPERTISE. WE ARE TECHNOLOGY DRIVEN, WITH UP-TO-DATE AND CUTTING-EDGE DIAGNOSTIC CAPABILITIES. WE ARE A PILLAR IN THIS COMMUNITY WITH ROOTS FIRMLY PLANTED IN THE REGIONS WE SERVE. WE ARE AT YOUR DOORSTEP, WITH PROGRAMS AND EDUCATIONAL INFORMATION THAT PROMOTE GOOD HEALTH AND DISEASE PREVENTION. WE ARE VOLUNTEERS AT LOCAL COMMUNITY EVENTS. WE ARE ADVOCATES FOR SUPERIOR HEALTH CARE SYSTEMS. WE ARE TEACHERS, TRAINING FUTURE HEALTH CARE PROFESSIONALS. WE ARE COMPASSIONATE, CARING AND DEDICATED TO CREATING A HEALTH CARE SETTING IN WHICH QUALITY OF LIFE AND SERVICE EXCELLENCE ARE EXPERIENCED BY ALL. 15 12 3228 105 0 0 24371563 46235620 397132559 438606288 2119702 5595664 30596261 6209127 454220085 496646699 34822781 43943680 0 0 168309708 168511566 0 0 107500 254098691 268904753 457231180 481359999 -3011095 15286700 674075456 727999717 541065721 572316552 133009735 155683165 X MARIETTA MEMORIAL HOSPITAL IS A NOT-FOR-PROFIT COMMUNITY HOSPITAL WHERE SERVICE EXCELLENCE AND CLINICAL QUALITY CREATE THE REGION'S BEST EXPERIENCE FOR PATIENTS AND THEIR FAMILIES, PHYSICIANS, THE COMMUNITY, AND OUR EMPLOYEES. 0 0 341853849 43943680 440300020 DURING THE TWELVE MONTHS ENDING SEPTEMBER 30, 2023, THE HOSPITAL PROVIDED 40,565 INPATIENT CARE DAYS, 223,630 HOURS OF OBSERVATION CARE, 9,391 SURGICAL CASES, 86,134 PHYSICAL THERAPY PROCEDURES, 60,424 EMERGENCY VISITS, 695 DELIVERIES, 21,912 CHEMOTHERAPY TREATMENTS, 16,801 RADIATION TREATMENTS, 13,690 WOUND CARE VISITS, 1,257 CARDIAC CATHETERIZATIONS AND 125,862 IMAGING PROCEDURES. MARIETTA MEMORIAL BELIEVES IN MORE THAN PROVIDING THE BEST LOCAL HEALTHCARE. WE BELIEVE IN INVESTING IN OUR COMMUNITY, SUPPORTING OUR NEIGHBORS, OUR FAMILIES, AND FRIENDS. OUR COMMITMENT IS TRULY TO OUR COMMUNITY - AS AN EMPLOYER, AS A CORPORATE CITIZEN AND AS A COMMUNITY RESOURCE AND AS A HEALTHCARE PROVIDER. TO THAT END, THE HOSPITAL, ITS PHYSICIANS, STAFF, AND VOLUNTEERS EXTEND THEMSELVES WELL BEYOND PATIENT CARE. WE PROVIDE COMMUNITY CLINICAL SUPPORT SERVICES, WELLNESS EDUCATION, PROGRAMS, SUPPORT GROUPS, FINANCIAL SUPPORT TO LOCAL ORGANIZATIONS, AND OUR OWN PERSONAL TIME TO ENSURE THE HIGHEST QUALITY OF LIFE FOR EVERYONE WITHIN OUR COMMUNITY. WE CALL IT GIVING BACK. PART OF OUR MISSION EXTENDS TO WELLNESS EDUCATION AND HEALTH PREVENTION. WE SPEAK OUT IN OUR COMMUNITY, WE SPONSOR SUPPORT GROUPS, WE PROVIDE DOZENS OF WELLNESS PROGRAMS, AND WE PROVIDE MONTHLY OPPORTUNITIES FOR FREE AND/OR LOW-COST HEALTH SCREENINGS. THE HOSPITAL SUPPORTS PARTNERSHIPS, COMMUNITY HEALTH COALITIONS, AREA CHAMBERS OF COMMERCE, LOCAL NOT-FOR-PROFIT ORGANIZATIONS, LOCAL SCHOOLS, AND GOVERNMENTS. ADDITIONALLY, MANY OF OUR STAFF MEMBERS, PHYSICIANS AND VOLUNTEERS DONATE THEIR TIME TO SERVE ON LOCAL BOARDS, COMMITTEES, AND ASSOCIATIONS. WE PROVIDE OPPORTUNITIES FOR LOCAL STUDENTS TO TRAIN WITHIN OUR HOSPITAL UNDER VARIOUS EDUCATIONAL PROGRAMS AND AGREEMENTS WITH AREA SCHOOL SYSTEMS. THIS SERVES BOTH THE STUDENTS AND THE COMMUNITY AS IT OFTEN INCREASES OUR SUPPLY OF LOCAL HEALTH CARE WORKERS. 341853849 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 1 288 0 1 3228 1 0 0 0 0 0 0 0 0 0 0 1 0 X 15 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X SCOTT SILVESTRI 7403741641 401 MATTHEW STREET MARIETTA OH 45750 MICHAEL ARCHER CHAIRPERSON 1.00 4.00 X X 0 0 0 STEPHEN KEISER VICE-CHAIRPERSON 1.00 4.00 X X 0 0 0 GREGG EMRICK SECRETARY 1.00 4.00 X X 0 0 0 CAROL SCHNEEBERGER TREASURER 1.00 4.00 X X 0 0 0 CHRISTOPHER COCKERHAM MD PRESIDENT 1.00 42.00 X X 0 547351 63013 JAMES BARENGO BOARD MEMBER 1.00 4.00 X 0 0 0 COLLEEN COOK BOARD MEMBER 1.00 5.00 X 0 0 0 JOSEPH COOPER MD BOARD MEMBER 1.00 42.00 X 0 422978 45251 THOMAS DANFORD DDS BOARD MEMBER 1.00 4.00 X 0 0 0 ANN HELMICK BOARD MEMBER 1.00 4.00 X 0 0 0 SHERYL HOLDREN BOARD MEMBER 1.00 4.00 X 0 0 0 RICHARD HOYT MD BOARD MEMBER 1.00 42.00 X 0 473614 64429 MICHAEL IADEROSA BOARD MEMBER 1.00 4.00 X 0 0 0 TERRY RATAICZAK BOARD MEMBER 1.00 4.00 X 0 0 0 LARRY UNROE BOARD MEMBER 1.00 4.00 X 0 0 0 J SCOTT CANTLEY CEO 40.00 4.00 X 1184697 0 85469 SCOTT SILVESTRI CFO 40.00 6.00 X 595109 0 85690 DAN BREECE DO VP PHYSICIAN SERVICES 1.00 42.00 X 0 1024061 65806 DEEANN GEHLAUF VP BUSINESS/ORG. DEVELOPMENT 40.00 0.00 X 508663 0 85116 DEREK SMITH VP CLINIC OPERATIONS 40.00 0.00 X 439687 0 74830 PAIGE SMITH CHIEF NURSING EXECUTIVE 40.00 0.00 X 449650 0 76273 TELAH TAYLOR VP CLINICAL QUALITY 40.00 0.00 X 339975 0 55872 PAUL WESTBROCK VP LEGAL 40.00 0.00 X 530349 0 58266 4048130 2468004 760015 178 0 1 0 MODLOGIQ 191 QUALITY CIRCLE NEW HOLLAND PA 17557 ARCHITECT 39552547 PROLINK HEALTHCARE 10700 MONTGOMERY ROAD CINCINNATI OH 45242 RN STAFFING 19943385 MEDICAL INNOVATIONS DEVELOPMENT LLC 7333 WILDWOOD COURT COLUMBIA MD 21046 ARCHITECT 11536374 FIRST SETTLEMENT ORTHOPAEDICS 611 2ND STREET MARIETTA OH 45750 PHYSICIANS 10707218 PHOENIX ASSOCIATES 501 EAST STREET PARKERSBURG WV 26101 CONSTRUCTION 10279036 312 494821 45740799 46235620 PATIENT SERVICE REVENUE 623000 410714435 410714435 PHARMACY 340B 456110 14504585 14504585 SPECIALTY PHARMACY 456110 10644060 10644060 INVESTMENT IN AFFILIATES 523000 2743208 2743208 438606288 5960281 5960281 205251 265576 -60325 -60325 -60325 118517978 162800 119025588 19807 -507610 142993 -364617 -364617 LEGAL SETTLEMENT INCOME 900099 3852703 3852703 2416749 1693732 723017 6269452 496646699 440300020 0 10111059 X 43943680 43943680 1950965 1257798 693167 122398849 78911212 43487637 2629085 1694986 934099 32189295 20752616 11436679 9343372 6023673 3319699 663335 663335 137138 137138 107500 107500 46984 46984 64565273 39602661 24962612 536607 3520 533087 8588735 6802598 1786137 23028360 19566588 3461772 452929 132631 320298 14956583 14956583 17963183 17963183 6860726 6860726 SUPPLIES 89429356 85116717 4312639 BAD DEBTS 36201275 36201275 MISCELLANEOUS EXPENSES 5366769 1843894 3522875 481359999 341853849 139398650 107500 5256916 6699402 4008960 10727394 73476321 84489188 1368435 366561 231716 9949500 12679703 15280964 21590503 571469248 293946492 217092052 277522756 159900471 110093978 6278918 7499395 182464793 195097247 674075456 727999717 88305838 124682135 194889 321082204 316941023 9000000 122482790 130693394 541065721 572316552 X 132894735 155568165 115000 115000 133009735 155683165 674075456 727999717 X 15286700 1502081 5884649 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 121706 121706 0 PART II-B, LINE 1: THE HOSPITAL PAYS DUES TO THE OHIO HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. THE AMOUNT REPORTED REPRESENTS THE PORTION OF THOSE DUES USED BY THE NAMED ORGANIZATIONS FOR LOBBYING. 7518649 7518649 247648075 118530439 129117636 224525138 170692045 53833093 91777386 4724008 87053378 277522756 DUE FROM RELATED ORGANIZATION 60475912 DEFERRED COMPENSATION PLAN ASSETS 22542949 OTHER 6379045 OPERATING LEASE RIGHT OF USE 91909752 ESTIMATED THIRD PARTY SETTLEMENTS 13789589 195097247 ACCRUED PENSION COST 6044290 DEFERRED COMPENSATION PLAN OBLIGATION 22542949 CAPITAL LEASES 132838 OPERATING LEASE LIABILITIES 97348411 ESTIMATED THIRD PARTY SETTLEMENTS 4624906 130693394 X PART X, LINE 2: THE SYSTEM, EXCLUDING MSC, MOHP AND THE INNOVATION CENTER, IS ORGANIZED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE UNITED STATES INTERNAL REVENUE CODE. MSC, MOHP AND THE INNOVATION CENTER ARE ORGANIZED AS LIMITED LIABILITY COMPANIES, WHEREBY, NET TAXABLE INCOME IS TAXED DIRECTLY TO THE MEMBERS AND NOT MSC, MOHP OR THE INNOVATION CENTER. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM, AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. AS SUCH, THE SYSTEM IS GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, THE SYSTEM, EXCLUDING MSC, MOHP AND THE INNOVATION CENTER, IS REQUIRED TO FILE FEDERAL FORM 990 - RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX WHICH IS AN INFORMATIONAL RETURN ONLY. THE SYSTEM, MSC, MOHP, AND INNOVATION CENTER HAVE FILED THEIR TAX RETURNS FOR PERIODS THROUGH 2022. THE RETURNS FOR MSC AND MOHP, AND INNOVATION CENTER ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS). THE SYSTEM, MSC, MOHP, AND INNOVATION CENTER ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. HOWEVER, AS OF THE DATE THE CONSOLIDATED FINANCIAL STATEMENTS WERE ISSUED, THERE WERE NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 1 1 X 1 X 1 X 1 1 0 1 1 18882 15463193 15463193 0.03470 81906 103509027 53436297 50072730 0.11250 100788 118972220 53436297 65535923 0.14720 4189801 149851 4039950 0.00910 7039259 1738115 5301144 0.01190 11229060 1887966 9341094 0.02100 100788 130201280 55324263 74877017 0.16820 1 36201275 0 88496981 104103165 -15606184 X 1 1 1 MARIETTA SURGERY CENTER OUTPATIENT SURGERY 0.44000 0.56000 2 MARIETTA OCCUPATIONAL HEALTH PARTNERS OCCUP. HEALTH 0.51000 0.49000 3 MARIETTA HOME HEALTH AND HOSPICE LLC HOME HEALTH AND HOSPICE CARE 0.50000 0.00000 4 SOUTHEAST OHIO SURGICAL SUITES LLC OUTPATIENT SURGERY 0.05000 0.95000 1 1 MARIETTA MEMORIAL HOSPITAL 401 MATTHEW ST MARIETTA OH 45750 WWW.MHSYSTEM.ORG/MMH 1289 X X X MARIETTA MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X SEE PART V, PAGE 8 1 21 1 WWW.MHSYSTEM.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/ 0 1 X 100.000000000000 400.000000000000 X X 1 1 X X X 1 X HTTPS://WWW.MHSYSTEM.ORG/PATIENT-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MHSYSTEM.ORG/PATIENT-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MHSYSTEM.ORG/PATIENT-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ X X X X X 1 X 0 X 1 X 0 0 MARIETTA MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: BEGINNING IN NOVEMBER 2019, A COLLABORATIVE GROUP OF COMMUNITY AGENCIES AND NON-PROFIT ORGANIZATIONS GATHERED TO BEGIN ASSESSING THE OVERALL HEALTH NEEDS OF THE COMMUNITY. THIS COLLABORATIVE GROUP WAS TERMED "WASHCO WELLNESS PARTNERS, AND BEGAN MEETING REGULARLY TO GATHER STAKEHOLDER INPUT. KEY INFORMANTS AS WELL AS COMMUNITY RESIDENTS WERE INTERVIEWED VIA SURVEYS, FOCUS GROUPS, AND MEETINGS, IN ORDER TO COLLECT AS MUCH DATA AS POSSIBLE FOR THE ASSESSMENT. THE GROUP WAS LATER RENAMED, AND IS CURRENTLY KNOWN AS THE WASHINGTON COUNTY HEALTH PARTNERS GROUP.THE MODEL USED FOR CARRYING OUT THE COLLABORATIVE ASSESSMENT WAS MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP). THIS INCLUDED 4 MAIN COMPONENTS OR ASSESSMENTS, INCLUDING:1. COMMUNITY THEMES AND STRENGTHS ASSESSMENT2. LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT3. COMMUNITY HEALTH STATUS ASSESSMENT4. FORCES OF CHANGE ASSESSMENTTOGETHER, THE DATA COLLECTED WAS USED TO GENERATE THIS COMPREHENSIVE REPORT, TO IDENTIFY PRIORITY AREAS, AND TO ESTABLISH HEALTH IMPROVEMENT STRATEGIES MOVING FORWARD.THIS ASSESSMENT PROVIDES A DEEPER UNDERSTANDING OF THE ISSUES THAT RESIDENTS FEEL ARE IMPORTANT. IT ANSWERS THE QUESTIONS: "WHAT IS IMPORTANT TO OUR COMMUNITY?" "HOW IS QUALITY OF LIFE PERCEIVED IN OUR COMMUNITY? AND "WHAT ASSETS DO WE HAVE THAT CAN BE USED TO IMPROVE COMMUNITY HEALTH?"1. QUALITATIVE DATA COLLECTED AT CREATING HEALTHY COMMUNITIES (CHC) COALITION MEETING40 COMMUNITY MEMBERS TOOK PART IN "WORLD CAFE" CONVERSATIONS FACILITATED AT THE CHC MEETING ON NOVEMBER 21, 2019 AT BUCKEYE HILLS REGIONAL COUNCIL. AS INDIVIDUALS, EACH PARTICIPANT WAS ASKED TO IDENTIFY THE THREE MOST IMPORTANT QUALITIES OF A HEALTHY COMMUNITY. NOT EVERYONE WAS ABLE TO PARTICIPATE IN THIS ACTIVITY, SINCE SOME WERE LATE IN ARRIVING. SECONDLY, IN SMALL GROUPS, PARTICIPANTS WERE ASKED TO RESPOND TO THREE QUESTIONS: WHAT CHALLENGES AND BARRIERS DO YOU EXPERIENCE THAT MAKE YOU LESS HEALTHY THAN YOU'D LIKE? WHAT'S AVAILABLE HERE IN WASHINGTON COUNTY THAT HELPS YOU LIVE A HEALTHY LIFE? AND WHAT ELSE DO YOU NEED TO LIVE A MORE HEALTHY LIFE?NAME AND ORGANIZATION:COURT WITSCHEY: WASHINGTON COUNTY HEALTH DEPARTMENT (WCHD)CARLA RASMUSSEN: WCHDJAYNE CALL: WCHDMINDY CAYTON: BUCKEYE HILLS REGIONAL COUNCILDAVID BROWNE: WASHINGTON COUNTY BEHAVIORAL HEALTH BOARD (WCBHB)CHRISTINE BERG: WCHDJAMIE VUKSIC: WASHINGTON COUNTY JOB AND FAMILY SERVICES (WCDJFS)DEEANN GREEN: WCDJFSROXANNE JARELL: WCHDFALLO CAUDILL: EQUITAS HEALTH (FQHC LOOK-ALIKE)ROBIN BOZIAN: SOUTHEASTERN OHIO LEGAL SERVICES (SEOLS)HILLES HUGHES: WCBHBMICHELE STURGEON: WCBHBGENESIS VAUGHN: EQUITAS HEALTHSTACY KRAMER: NATIONWIDE CHILDREN'S HOSPITALRANDY PRINCE: RETIRED PHARMACISTLAURA BAYS FLOWERS: WCHDBRUCE KELBAUGH: VOLUNTEERGARY WILLIAMS: ELY CHAPMAN EDUCATION FOUNDATIONANNE GOON: MARIETTA/BELPRE CITY HEALTH DEPARTMENTHEATHER WARNER: GOPACKSAMY NAHLEY: WCHDDEANNA SHULER: MEMORIAL HEALTH SYSTEMLISA VALENTINE: WASHINGTON COUNTY RETIRED AND SENIOR VOLUNTEER PROGRAM (RSVP)CINDY DAVIS: WASHINGTON COUNTY FAMILY AND CHILDREN FIRST COUNCIL MARIETTA MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: SELBY GENERAL HOSPITAL MARIETTA MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: UPON COMPLETION OF THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT, THE FOLLOWING TOP PRIORITIES WERE IDENTIFIED BY THE HEALTH SYSTEM'S ADMINISTRATIVE TEAM:1. ACCESS TO HEALTHCARE AND HEALTHCARE PROGRAMS2. PREVENTION AND MANAGEMENT OF CHRONIC DISEASE3. COMMUNITY OUTREACH A. RESOURCES AND SUPPORT SYSTEMS4. BEHAVIORAL HEALTHMHS'S ACTION PLAN FROM 2014-2017 ALREADY ADDRESSES MANY OF THESE PRIORITIES, AS THIS ASSESSMENT REVEALED SIMILAR AREAS OF CONCERN COMPARED TO THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT. THE PROGRAMS, SERVICES, AND INITIATIVES CURRENTLY IN PROGRESS WILL CONTINUE TO BE REVIEWED, AND NEW INITIATIVES WILL BE ADDED AS OPPORTUNITIES AND RESOURCES BECOME/ARE MADE AVAILABLE. ALL INITIATIVES WILL BE EVALUATED FOR EFFECTIVENESS AND FEASIBILITY, AND ADJUSTMENTS WILL BE MADE TO MAXIMIZE IMPACT ON THE COMMUNITY. MHS WILL WORK COLLABORATIVELY WITH COMMUNITY PARTNERS, SUCH AS THE WASHCO WELLNESS PARTNERS GROUP, AND MAKE EVERY EFFORT TO ADDRESS THE NEEDS OF THE COMMUNITY IDENTIFIED IN THIS REPORT.AREAS OF CONCERN IDENTIFIED IN THIS REPORT THAT THE HEALTH SYSTEM MAY INDIRECTLY IMPACT BUT HAVE NOT BEEN DEEMED TOP PRIORITIES INCLUDE:1. GOOD PAYING JOBS AND ECONOMIC DEVELOPMENT2. EDUCATION/SCHOOL IMPROVEMENT3. ADDICTIONAREAS OF CONCERN IDENTIFIED IN THIS REPORT THAT THE HEALTH SYSTEM HAS LIMITED CAPACITY TO IMPACT AT THIS TIME INCLUDE:1. HOUSING AND HOMELESSNESS2. ACCESS TO AFFORDABLE, HEALTHY FOODS MARIETTA MEMORIAL HOSPITAL PART V, SECTION B, LINE 16J: APPLICATION IS ON THE BACK OF THE ACCOUNT STATEMENT MAILER. PART V, LINE 7A, CHNA REPORT WEBSITE: HTTPS://WWW.MHSYSTEM.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/ PART V, LINE 20A: NO EXTRAORDINARY COLLECTION ACTIONS WERE AUTHORIZED OR INITIATED. PART V, LINE 20B: NO EXTRAORDINARY COLLECTION ACTIONS WERE AUTHORIZED OR INITIATED. PART III, LINE 2: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE SYSTEM'S EVALUATION OF ITS MAJOR PAYOR SOURCES OF REVENUE, THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO THEIR SERVICE AREA AND THE HEALTHCARE INDUSTRY. PART III, LINE 3: THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN CHARITY CARE CANDIDATES MUST COOPERATE FULLY. IN ADDITION THE HOSPITAL EDUCATES PATIENTS WILL LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. FOR THIS REASON THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE. PART III, LINE 4: THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS.AS A RESULT OF CERTAIN CHANGES REQUIRED BY ASU 2014-09, THE MAJORITY OF THE SYSTEM'S PROVISION FOR DOUBTFUL ACCOUNTS IS RECORDED AS A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE INSTEAD OF BEING PRESENTED AS A SEPARATE LINE ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. PART III, LINE 8: THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED 9/30/23 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST. PART III, LINE 9B: A COMPLETE APPLICATION IS REQUIRED FOR DETERMINATION OF ELIGIBILITY. THE PATIENT FINANCIAL REPRESENTATIVE WILL ASSIST IN THE COMPLETION OF THE APPLICATION. PART VI, LINE 2: THE CHNA IS THE METHOD BY WHICH THE HOSPITAL ASSESSES COMMUNITY HEALTH NEEDS.BEGINNING IN NOVEMBER 2019, A COLLABORATIVE GROUP OF COMMUNITY AGENCIES AND NON-PROFIT ORGANIZATIONS GATHERED TO BEGIN ASSESSING THE OVERALL HEALTH NEEDS OF THE COMMUNITY. THIS COLLABORATIVE GROUP WAS TERMED "WASHCO WELLNESS PARTNERS, AND BEGAN MEETING REGULARLY TO GATHER STAKEHOLDER INPUT. KEY INFORMANTS AS WELL AS COMMUNITY RESIDENTS WERE INTERVIEWED VIA SURVEYS, FOCUS GROUPS, AND MEETINGS, TO COLLECT AS MUCH DATA AS POSSIBLE FOR THE ASSESSMENT. THE GROUP WAS LATER RENAMED AND IS CURRENTLY KNOWN AS THE WASHINGTON COUNTY HEALTH PARTNERS GROUP.THE MODEL USED FOR CARRYING OUT THE COLLABORATIVE ASSESSMENT WAS MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP). THIS INCLUDED 4 MAIN COMPONENTS OR ASSESSMENTS, INCLUDING:1. COMMUNITY THEMES AND STRENGTHS ASSESSMENT2. LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT3. COMMUNITY HEALTH STATUS ASSESSMENT4. FORCES OF CHANGE ASSESSMENTTOGETHER, THE DATA COLLECTED WAS USED TO GENERATE THIS COMPREHENSIVE REPORT, TO IDENTIFY PRIORITY AREAS, AND TO ESTABLISH HEALTH IMPROVEMENT STRATEGIES MOVING FORWARD. PART VI, LINE 3: PART VI, LINE 3: IN ORDER TO INFORM PATIENTS ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE, THE HOSPITAL HAS TAKEN THE FOLLOWING ACTIONS:- SIGNS ARE POSTED WITHIN THE HOSPITAL- A QUESTIONNAIRE REGARDING FINANCIAL ASSISTANCE IS ADMINISTERED DURING PRE-REGISTRATION- INDIVIDUALS ARE OFFERED A COPY OF THE FINANCIAL ASSISTANCE POLICY AND RELATED DOCUMENTS- THE FINANCIAL ASSISTANCE PROGRAM IS PRINTED ON THE BACK OF BILLING STATEMENTS- A THIRD PARTY CONSULTS WITH PATIENTS PRIOR TO PATIENTS' EXIT FROM THE HOSPITAL REGARDING THEIR ELIGIBILITY PART VI, LINE 4: WASHINGTON COUNTY HAS A SIGNIFICANT SENIOR POPULATION. THE PER CAPITA INCOME IN WASHINGTON COUNTY IS LOWER THAN THE STATE MEDIAN, AND 14.2% OF THE OVERALL COUNTY POPULATION IS BELOW THE POVERTY LINE. OF THE CHILDREN IN WASHINGTON COUNTY, 18.4% LIVE IN POVERTY. IN THE COUNTY, 8.3% OF THE RESIDENTS LACK HEALTH INSURANCE. OF THE CHILDREN IN WASHINGTON COUNTY, 37.4% RESIDE IN SINGLE-PARENT HOUSEHOLDS. THERE IS A HIGHER-THAN-AVERAGE NUMBER OF GRANDPARENTS WHO SERVE AS PRIMARY CAREGIVERS TO CHILDREN IN WASHINGTON COUNTY. THERE IS A HIGHER PERCENTAGE OF SMOKERS IN WASHINGTON COUNTY THAN IN THE STATE OR NATION. WASHINGTON COUNTY HAS A HIGHER RATE OF OBESITY THAN THE STATE OR NATION. WASHINGTON COUNTY HAS A LOWER RATE OF INDIVIDUALS WHO WALK OR RIDE A BICYCLE TO WORK AND LESS OVERALL PHYSICAL ACTIVITY THAN THE STATE OR NATION. THE COUNTY HAS A HIGHER PERCENTAGE OF THE POPULATION THAT SELF-REPORTS A POOR OR FAIR HEALTH STATUS COMPARED TO INDIVIDUALS ACROSS THE STATE OR NATION. THE MORTALITY RATES FOR UNINTENTIONAL INJURY, LUNG DISEASE, AND STROKE ARE HIGHER IN WASHINGTON COUNTY THAN THE STATE OR NATIONAL AVERAGE. WASHINGTON COUNTY HAS HIGHER RATES OF HEART DISEASE, DIABETES, AND HIGH BLOOD PRESSURE THAN THE STATE OR NATION. BREAST CANCER AND LUNG CANCER RATES ARE HIGHER IN WASHINGTON COUNTY THAN FOR THE STATE. PART VI, LINE 5: WE ENHANCE THE QUALITY OF LIFE IN THE MID-OHIO VALLEY. WE NURTURE AND CARE FOR OUR COMMUNITY BY CARING FOR YOU, YOUR FRIENDS, NEIGHBOR, AND RELATIVES 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS A YEAR. WE ARE QUALITY - WITH ACCREDITATIONS, CERTIFICATIONS, AND DESIGNATIONS TO EXPRESS, UTILIZE AND DEMONSTRATE OUR EXPERTISE. WE ARE PART OF A SYSTEM THAT EXTENDS ACCESS TO SPECIALISTS AND NATIONALLY RECOGNIZED CARE. WE ARE A PILLAR IN THIS COMMUNITY WITH ROOTS FIRMLY PLANTED IN THE REGIONS WE SERVE. WE ARE AT YOUR DOORSTEP, WITH PROGRAMS AND EDUCATIONAL INFORMATION THAT PROMOTE GOOD HEALTH AND DISEASE PREVENTION. WE ARE VOLUNTEERS AT LOCAL COMMUNITY EVENTS. WE ARE ADVOCATES FOR SUPERIOR HEALTH CARE SYSTEMS. WE ARE TEACHERS, TRAINING FUTURE HEALTH CARE PROFESSIONALS. WE ARE COMPASSIONATE, CARING AND DEDICATED TO CREATING A HEALTH CARE SETTING IN WHICH QUALITY OF LIFE AND SERVICE EXCELLENCE ARE EXPERIENCED BY OUR PATIENTS AND THEIR FAMILIES, THE MEDICAL STAFF, AND THE COMMUNITY. WE ARE MARIETTA MEMORIAL HOSPITAL. PART VI, LINE 6: MARIETTA MEMORIAL HOSPITAL IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. AFFILIATED ORGANIZATIONS, AND THEIR ROLES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED, ARE AS FOLLOWS:MARIETTA AREA HEALTH CARE, INC. - PARENT ORGANIZATION.MARIETTA HEALTHCARE PHYSICIANS, INC. - FORMED BY MARIETTA MEMORIAL HOSPITAL TO FURTHER ITS SECTION 501(C)(3) CHARITABLE PURPOSES. MHCPI PARTICIPATES IN MEDICARE AND MEDICAID, AND SERVICES ARE PROVIDED TO PATIENTS WITHOUT DISCRIMINATION AS TO ABILITY TO PAY.SELBY GENERAL HOSPITAL - SELBY GENERAL HOSPITAL IS A NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL WHERE SERVICE EXCELLENCE AND CLINICAL QUALITY CREATE THE REGION'S BEST EXPERIENCE FOR PATIENTS AND THEIR FAMILIES, PHYSICIANS, THE COMMUNITY, AND SELBY GENERAL HOSPITAL'S EMPLOYEES.MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY (DBA SISTERSVILLE GENERAL HOSPITAL) - SISTERSVILLE GENERAL HOSPITAL IS A NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL WHERE SERVICE EXCELLENCE AND CLINICAL QUALITY CREATE THE REGION'S BEST EXPERIENCE FOR PATIENTS AND THEIR FAMILIES, PHYSICIANS, THE COMMUNITY, AND SISTERSVILLE GENERAL HOSPITAL EMPLOYEES. PART VI, LINE 7, REPORTS FILED WITH STATES OH 0 MARIETTA HEALTHCARE PHYSICIANS INC 401 MATTHEW STREET MARIETTA OH 45750 311375125 501C3 43943680 0 GENERAL OPERATIONS 1 0 PART I, LINE 2: THE ORGANIZATION DOES NOT MONITOR USE OF GRANT FUNDS. X X X X X X 0 0 0 0 0 0 0 0 0 J SCOTT CANTLEY CEO 887994 0 232203 0 64500 0 20500 0 64969 0 1270166 0 0 0 DAN BREECE DO VP PHYSICIAN SERVICES 0 823092 0 160969 0 40000 0 20500 0 45306 0 1089867 0 0 SCOTT SILVESTRI CFO 489484 0 102375 0 3250 0 20500 0 65190 0 680799 0 0 0 CHRISTOPHER COCKERHAM MD PRESIDENT 0 532351 0 15000 0 0 0 20500 0 42513 0 610364 0 0 DEEANN GEHLAUF VP BUSINESS/ORG. DEVELOPMENT 420955 0 67708 0 20000 0 20500 0 64616 0 593779 0 0 0 PAUL WESTBROCK VP LEGAL 422739 0 77760 0 29850 0 20500 0 37766 0 588615 0 0 0 RICHARD HOYT MD BOARD MEMBER 0 473614 0 0 0 0 0 19000 0 45429 0 538043 0 0 PAIGE SMITH CHIEF NURSING EXECUTIVE 360500 0 71400 0 17750 0 17750 0 58523 0 525923 0 0 0 DEREK SMITH VP CLINIC OPERATIONS 349287 0 72800 0 17600 0 17600 0 57230 0 514517 0 0 0 JOSEPH COOPER MD BOARD MEMBER 0 422978 0 0 0 0 0 20500 0 24751 0 468229 0 0 TELAH TAYLOR VP CLINICAL QUALITY 273727 0 52498 0 13750 0 13750 0 42122 0 395847 0 0 0 A SOUTHEASTERN OHIO PORT AUTHORITY 820585565 841895AX3 2015-03-11 60000000 HOSPITAL FACILITIES REVENUE 0 0 0 B COUNTY OF WASHINGTON OHIO 316400089 938154DX6 2022-09-21 269393095 HOSPITAL FACILITIES REVENUE 0 0 0 A 7249766 61204766 4222613 1200000 55782153 2017 1 0 1 1 B 3000000 269393095 21337256 3386208 760000 118917461 124992170 1 1 1 1 A 0 0 0 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 1 1 0.00000 0.00000 0.00000 0 0 1 A 1 0 0 0 0 1 B 1 0 0 0 0 0 A 1 B 1 SCOTT CANTLEY CEO SPLIT DOLLAR LIFE INSURANCE POLICY X 1327405 1368435 0 1 1 1368435 MICHAEL ARCHER BOARD MEMBER 957405 BUILDING RENT 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWERS AND DUTIES OF THE BOARD OF DIRECTORS IN THE INTERIM BETWEEN MEETINGS OF THE LATTER, EXCEPT AS LIMITED BY THE CODE OF REGULATIONS OR BY SPECIFIC INSTRUCTION OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL NOT HAVE POWER TO ELECT DIRECTORS. A SUMMARY OF THE PROCEEDINGS OF THE EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE BOARD AT ITS NEXT MEETING. THE EXECUTIVE COMMITTEE SHALL MAINTAIN THE COMPENSATION COMMITTEE AND NOMINATING COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT. THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED WITH COMPLIANCE ENFORCED BY THE CORPORATE INTEGRITY COMMITTEE. THE SCOPE OF THIS POLICY INCLUDES THE DIRECTORS, OFFICERS, AND SENIOR EXECUTIVES. THE PURPOSE OF THE POLICY IS TO PROTECT THE HOSPITAL'S INTEREST WHEN IT IS CONTEMPLATING ENTERING A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN INTERESTED OFFICER, DIRECTOR OR PERSON. ANY CONFLICT RESULTING IN INELIGIBILITY FOR OR REMOVAL FROM THE BOARD OR SPECIFIC COMMITTEES INCLUDE THE FOLLOWING: A. REPEATED, INTENTIONAL FAILURE TO DISCLOSE A CONFLICT OF INTEREST. B. HAVING A FAMILY MEMBER WHO IS A SENIOR EXECUTIVE FOR THE HOSPITAL. C. A MATERIAL INVESTMENT OR EMPLOYMENT RELATIONSHIP INVOLVING AN INTERESTED PERSON IN AN ASC, A PROPRIETARY HOSPITAL, OR NURSING FACILITY WITHIN THE HOSPITAL'S SERVICE AREA THAT IS NOT OWNED BY THE HOSPITAL. ANNUAL DISCLOSURES ARE REQUIRED SETTING FORTH ALL BUSINESS AND OTHER AFFILIATIONS, WHICH RELATE IN ANY WAY TO THE HOSPITAL. THE COMMITTEE RECOMMENDS THE DISQUALIFICATION OR REMOVAL OF INTERESTED PERSONS WHEN NECESSARY AND REPORTS TO THE BOARD THOSE DIRECTORS WHICH THE COMMITTEE HAS DETERMINED MEET THE DEFINITION OF INDEPENDENT DIRECTOR. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE REVIEWS FAIR MARKET WAGE DATA. SPECIFIC APPROVAL OF BOARD MUST BE SOUGHT IF PHYSICIAN COMPENSATION IS 75% OR GREATER OF MEDIAN IN THE ANNUAL MGMA STUDY. EXECUTIVE AND ALL OTHER HOSPITAL STAFF COMPENSATION IS SET AT MEDIAN. AN EXECUTIVE COMPENSATION FIRM IS UTILIZED (YAFFE & COMPANY). A SEPARATE INDEPENDENT CONSULTANT (VMG) IS RETAINED FOR PHYSICIAN COMPENSATION STUDIES AS NEEDED. FORM 990, PART VI, SECTION C, LINE 19 ALL POLICIES AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 IS ALSO AVAILABLE, AS FILED WITH THE IRS, AT <WWW.GUIDESTAR.ORG>. FORM 990 MAY ALSO BE MADE AVAILABLE UPON REQUEST DURING NORMAL BUSINESS HOURS. FORM 990, PART IX, LINE 11G MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 4,863,411. MANAGEMENT AND GENERAL EXPENSES 1,776,242. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,639,653. PURCHASED SERVICES - MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 14,218,159. MANAGEMENT AND GENERAL EXPENSES 9,841,411. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,059,570. PURCHASED SERVICES - RECRUITMENT: PROGRAM SERVICE EXPENSES 938,195. MANAGEMENT AND GENERAL EXPENSES 610,113. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,548,308. PURCHASED SERVICES - MAINTENANCE: PROGRAM SERVICE EXPENSES 3,753,718. MANAGEMENT AND GENERAL EXPENSES 2,441,060. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,194,778. PURCHASED SERVICES - COLLECTION FEES: PROGRAM SERVICE EXPENSES 2,000,924. MANAGEMENT AND GENERAL EXPENSES 1,301,210. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,302,134. PURCHASED SERVICES - CATERING: PROGRAM SERVICE EXPENSES 1,106,777. MANAGEMENT AND GENERAL EXPENSES 719,742. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,826,519. PURCHASED SERVICES - OTHER: PROGRAM SERVICE EXPENSES 12,721,477. MANAGEMENT AND GENERAL EXPENSES 8,272,834. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,994,311. FORM 990, PART XI, LINE 9: PENSION RELATED CHANGES 6,249,969. NET PERIODIC PENSION COST 276,022. TRANSFERS BETWEEN RELATED ORGANIZATIONS -365,875. INVESTMENT IN MEMORIAL HEALTH FOUNDATION -275,467. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MARIETTA AREA HEALTH CARE INC 401 MATTHEW STREET MARIETTA OH 45750 311126451 MANAGEMENT OH 501(C)(3) LINE 10 0 SELBY GENERAL HOSPITAL 1106 COLGATE DRIVE MARIETTA OH 45750 314413259 HOSPITAL OH 501(C)(3) LINE 3 MARIETTA AREA HEALTH CARE INC 0 MARIETTA HEALTHCARE PHYSICIANS INC 401 MATTHEW STREET MARIETTA OH 45750 311375125 PHYSICIAN GROUP OH 501(C)(3) LINE 10 MARIETTA AREA HEALTH CARE INC 0 MEMORIAL HEALTH FOUNDATION 406 COLGATE DRIVE MARIETTA OH 45750 311011321 SUPPORTING ORG OH 501(C)(3) LINE 12B, II MARIETTA AREA HEALTH CARE INC 0 MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC 314 S WELLS ST SISTERSVILLE WV 26175 852862205 HOSPITAL WV 501(C)(3) LINE 3 MARIETTA MEMORIAL HOSPITAL 0 MARIETTA OCCUPATIONAL HEALTH PARTNERS LLC 401 MATTHEW ST MARIETTA OH 45750 043587132 OCCUPATIONAL HEALTH OH RELATED 552320 1034550 0 1 0.51000 MARIETTA SURGERY CENTER LTD 611 SECOND ST MARIETTA OH 45750 311684367 SURGERY OH RELATED 2682102 789087 0 0 0.44140 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC P 3419163 FMV MARIETTA HOME HEALTH AND HOSPICE LLC 3854 AMERICAN WAY SUITE A BATON ROUGE LA 70816 261480799 HOME HEALTH LA RELATED 0 1547351 2183786 0 0 0.50000