2024-08-14T15:20:53-05:00 2023-09-30 882730877 CHERRY BEKAERT ADVISORY LLC 101 SOUTH 5TH STREET STE 2100 LOUISVILLE KY 40202 990 2022-10-01 852862205 MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC MARI 3046522611 314 SOUTH WELLS STREET SISTERSVILLE WV 26175 SCOTT SILVESTRI CFO 3046522611 2024-08-09 1 1 AMY DOSIK P00890743 8885871719 2022 2024-08-08 14:25:15Z SISTERSVILLE GENERAL HOSPITAL J SCOTT CANTLEY 401 MATTHEW ST MARIETTA OH 45750 21064347 0 X WWW.MHSYSTEM.ORG X 2020 WV WE ARE 200 STRONG. 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 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 ALL. 15 12 178 20 0 0 598935 260241 18015205 20751835 3741 31319 374711 20952 18992592 21064347 0 0 0 0 11358836 12059697 0 0 0 6247966 8069509 17606802 20129206 1385790 935141 6432709 7391816 2396269 2420235 4036440 4971581 X 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 OUR EMPLOYEES. 0 0 11767981 20751835 DURING THE TWELVE MONTHS ENDING SEPTEMBER 30, 2023, THE HOSPITAL PROVIDED 1,105 INPATIENT CARE DAYS, 77 DAYS OF OBSERVATION CARE, 6,010 DAYS OF HOSPICE CARE, 9,123 PHYSICAL THERAPY PROCEDURES, 5,659 EMERGENCY VISITS AND 7,405 IMAGING PROCEDURES. SISTERSVILLE 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. 11767981 1 0 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 178 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DOUG FULL 3046522611 314 SOUTH WELLS STREET SISTERSVILLE WV 26175 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 RICHARD HOYT MD PRESIDENT 1.00 42.00 X X 0 473614 64429 JAMES BARENGO BOARD MEMBER 1.00 4.00 X 0 0 0 CHRISTOPHER COCKERHAM MD BOARD MEMBER & MED. STAFF PRES. 1.00 42.00 X 0 547351 63013 COLLEEN COOK BOARD MEMBER 1.00 5.00 X 0 0 0 JOSEPH COOPER MD BOARD MEMBER 1.00 43.00 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 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 1.00 43.00 X 0 1184697 85469 SCOTT SILVESTRI CFO 1.00 45.00 X 0 595109 85690 DAN BREECE DO VP PHYSICIAN SERVICES 1.00 41.00 X 0 1024061 65806 JESSICA OWENS NURSE PRACTITIONER 40.00 0.00 X 120269 0 38640 ROSALIE KELLER REGISTERED NURSE 40.00 0.00 X 114967 0 18377 JESSIE MAXWELL REGISTERED NURSE 40.00 0.00 X 121769 0 37782 HEIDI MCGOWAN HOSPITAL ADMINISTRATOR 40.00 0.00 X 113674 0 40369 BRANDON CHADOCK CHIEF ADMIN. OFFICER 40.00 0.00 X 124498 0 27722 595177 4247810 572548 28 0 1 0 PROLINK STAFFING 10700 MONTGOMERY RD STE 226 CINCINNATI OH 45242 NURSING STAFF 500234 LUCID SOLUTIONS INC 100 E CAMPUS VIEW BLVD STE 100 COLUMBUS OH 43235 RADIOLOGY 309407 HEALOGICS WOUND CARE 5220 BELFORT ROAD 130 JACKSONVILLE FL 32256 WOUND CARE 233291 BELMONT HEALTHCARE CENTER 506 RIVERVIEW DRIVE BELMONT WV 26134 SKILLED NURSING 147266 4 258376 1865 260241 PATIENT SERVICE REVENUE 623000 20334580 20334580 PHARMACY 340B 456110 417255 417255 20751835 31319 31319 OTHER REVENUE 900099 20952 20952 20952 21064347 20751835 0 52271 X 10333923 6927035 3406888 922442 54831 867611 803332 505527 297805 103355 103355 9481 9481 3208870 1551578 1657292 17449 17449 944576 659682 284894 144288 3750 140538 55872 33959 21913 21139 21139 179716 179716 411903 411903 BAD DEBT EXPENSE 1151292 1151292 MEDICAL SUPPLIES AND DR 805351 736261 69090 OTHER EXPENSES 708433 46711 661722 EQUIPMENT RENTAL 307784 97355 210429 20129206 11767981 8361225 0 45328 166632 3240345 2334331 232652 217156 329303 93162 9958588 7712483 2104841 2246105 480240 2334430 6432709 7391816 648847 711792 129188 1618234 1708443 2396269 2420235 X 4036440 4971581 4036440 4971581 6432709 7391816 935141 0 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 3550 3550 0 PART II-B, LINE 1: THE HOSPITAL PAYS DUES TO THE WEST VIRGINIA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. THE AMOUNT REPORTED REPRESENTS THE PORTION OF THOSE DUES USED BY THE NAMED ORGANIZATIONS FOR LOBBYING. 335506 335506 1932746 1597631 335115 7581299 6014439 1566860 109037 100413 8624 2246105 PRACTICE BUYOUT 533500 DUE FROM RELATED ORGANIZATIONS 1800930 2334430 ESTIMATED THIRD PARTY SETTLEMENTS 1708443 1708443 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 1 351 587484 587484 7706 5845824 5811685 34139 0.00170 8057 6433308 6399169 34139 0.00170 95365 30000 65365 0.00320 95365 30000 65365 0.00320 8057 6528673 6429169 99504 0.00490 1 1151292 4905603 5356597 -450994 X 1 1 1 1 SISTERSVILLE GENERAL HOSPITAL 314 SOUTH WELLS STREET SISTERSVILLE WV 26175 WWW.MHSYSTEM.ORG X X X SISTERSVILLE GENERAL HOSPITAL 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE PART V, PAGE 8 1 21 0 1 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 SISTERSVILLE GENERAL HOSPITAL PART V, SECTION B, LINE 5: THIS ASSESSMENT INCORPORATES DATA FROM MULTIPLE SOURCES, INCLUDING PRIMARY RESEARCH (THROUGH THE PRC COMMUNITY HEALTH SURVEY AND PRC ONLINE KEY INFORMANT SURVEY), AS WELL AS SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). IT ALSO ALLOWS FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. THE SURVEY INSTRUMENT USED FOR THIS STUDY IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY SISTERSVILLE GENERAL HOSPITAL AND PRC. THE STUDY AREA FOR THE SURVEY EFFORT (REFERRED TO AS THE "TOTAL SERVICE AREA" IN THIS REPORT) IS DEFINED AS EACH OF THE RESIDENTIAL ZIP CODES COMPRISING WETZEL, TYLER, AND PLEASANTS COUNTIES IN WEST VIRGINIA. THE SURVEY WAS ADMINISTERED AS AN ONLINE SURVEY. PRC HOSTED THE ONLINE SURVEY INSTRUMENT, AND SISTERSVILLE GENERAL HOSPITAL AND LOCAL PARTNERS USED A VARIETY OF COMMUNICATION TOOLS TO DRIVE RESIDENTS TO TAKE THE SURVEY ONLINE. EXAMPLES INCLUDE PRESS RELEASES, SOCIAL MEDIA ADVERTISING, POSTING ON ORGANIZATIONAL WEBSITES, AND EMAIL CAMPAIGNS TO COMMUNITY MEMBERS AND COMMUNITY PARTNERS. IN ALL, A TOTAL OF 201 SURVEYS IN THE TOTAL SERVICE AREA WERE ACHIEVED.TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY SISTERSVILLE GENERAL HOSPITAL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 10 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY.FINAL PARTICIPATION INCLUDED REPRESENTATIVES OF THE ORGANIZATIONS OUTLINED BELOW. MID-OHIO VALLEY HEALTH DEPARTMENT MOMENTIVE PERFORMANCE MATERIALS NEW MARTINSVILLE SCHOOL SISTERSVILLE ELEMENTARY SCHOOL SISTERSVILLE GENERAL HOSPITAL SISTERSVILLE POLICE DEPARTMENT TYLER COUNTY EMERGENCY MANAGEMENT WETZEL TYLER HEALTH DEPARTMENT WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES SISTERSVILLE GENERAL HOSPITAL PART V, SECTION B, LINE 11: THE FOLLOWING "AREAS OF OPPORTUNITY" REPRESENT THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY, BASED ON THE INFORMATION GATHERED THROUGH THIS COMMUNITY HEALTH NEEDS ASSESSMENT. FROM THESE DATA, OPPORTUNITIES FOR HEALTH IMPROVEMENT EXIST IN THE AREA WITH REGARD TO THE FOLLOWING HEALTH ISSUES.THE AREAS OF OPPORTUNITY WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. THESE ALSO TAKE INTO ACCOUNT THOSE ISSUES OF GREATEST CONCERN TO THE COMMUNITY STAKEHOLDERS (KEY INFORMANTS) GIVING INPUT TO THIS PROCESS.AREAS OF OPPORTUNITY IDENTIFIED THROUGH THIS ASSESSMENT: 1. TOBACCO USE 2. MENTAL HEALTH 3. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 4. SUBSTANCE ABUSE 5. DIABETES 6. HEART DISEASE & STROKE 7. ACCESS TO HEALTHCARE SERVICES 8. CANCER 9. POTENTIALLY DISABLING CONDITIONS 10. ORAL HEALTH 11. RESPIRATORY DISEASE 12. INFANT HEALTH & FAMILY PLANNING 13. INJURY & VIOLENCE SISTERSVILLE GENERAL HOSPITAL USED THE INFORMATION FROM THIS COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY; THE HOSPITAL WILL TAKE THE FOLLOWING ACTIONS: THE HOSPITAL WILL IMPROVE ACCESS TO HEALTHCARE SERVICES BY INCREASING OPPORTUNITIES FOR HEALTH SCREENING. WE WILL DO THIS BY EXPANDING REDUCED-COST LAB SCREENINGS INTO PLEASANTS COUNTY. TO ADDRESS THE TWO IDENTIFIED NEEDS OF DIABETES AND HEART DISEASE & STROKE, WE WILL IMPROVE NUTRITIONAL CHOICES OF THE COMMUNITY, INCREASE PHYSICAL ACTIVITY OF THE COMMUNITY AND INCREASE OPPORTUNITIES FOR HEALTH SCREENING. WE WILL DO THIS BY: O EXPANDING THE FARMACY PRODUCE PRESCRIPTION LIFESTYLE CHANGE PROGRAM IN SISTERSVILLE. O DECREASING COST OF MEMBERSHIP FOR SISTERSVILLE FITNESS CENTER FOR SENIORS. O EXPANDING REDUCED-COST LAB SCREENINGS INTO PLEASANTS COUNTY. IN ORDER TO ADDRESS INFANT HEALTH & FAMILY PLANNING, THERE ARE MULTIPLE PRIORITY AREAS WE WILL IMPROVE. O FOR INJURY & VIOLENCE, IN ORDER TO REDUCE FALLS AMONG OLDER INDIVIDUALS IN THE COMMUNITY, WE PLAN TO IMPLEMENT TRAINED FACILITATORS TO TEACH THE MATTER OF BALANCE FALLS PREVENTION PROGRAM, WHICH IS ANTICIPATED TO START OCTOBER 2024. O FOR MENTAL HEALTH, WE WILL BE EXPANDING THE FARMACY PRODUCE PRESCRIPTION LIFESTYLE CHANGE PROGRAM IN SISTERSVILLE. O FOR NUTRITION, PHYSICAL ACTIVITY & WEIGHT, WE WILL IMPROVE NUTRITIONAL CHOICES AND PHYSICAL ACTIVITY OF COMMUNITY. WE WILL DO THIS BY:- EXPANDING FARMACY PRODUCE PRESCRIPTION LIFESTYLE CHANGE PROGRAM IN SISTERSVILLE- DECREASING COST OF MEMBERSHIP FOR SISTERSVILLE FITNESS CENTER FOR SENIORS.- DEVELOPING AN IMPLEMENTATION PLAN FOR EXPANSION OF WALKING TRACK AND ADULT OUTDOOR EXERCISE PARK IN SISTERSVILLE. THE HOSPITAL IS CURRENTLY SEEKING GRANT FUNDING. NOTE: THE FOOD FARMACY PRODUCE PRESCRIPTION PROGRAM IS A YEAR-LONG LIFESTYLE CHANGE PROGRAM THAT INCORPORATES HEALTH COACHING, PHYSICAL ACTIVITY (EDUCATION AS WELL AS ACTIVE EXERCISE LESSONS), LIFESTYLE MEDICINE* INSTRUCTION, HEALTHY COOKING CLASSES, BIOMETRIC SCREENINGS, ACCESS TO HEALTHY FOOD SAMPLES, AS WELL AS 15 WEEKS OF FRESH LOCAL PRODUCE DELIVERY DURING THE SUMMER. PARTICIPANTS ARE ALSO GIVEN NUTRITION EDUCATION AND HEALTHY RECIPES FOR THE PRODUCE THEY RECEIVE SO THAT THEY CAN CREATE INEXPENSIVE HEALTHY MEALS AT HOME. THE COMPONENTS OF THIS PROGRAM HAVE BEEN SHOWN TO ADDRESS THE FOLLOWING CHRONIC CONDITIONS: O OVERWEIGHT/OBESITY/HIGH BMI O DIABETES/UNCONTROLLED BLOOD SUGAR O HYPERTENSION, HEART DISEASE, HIGH CHOLESTEROL O ANXIETY & DEPRESSION O CHRONIC PAIN/ARTHRITIS/JOINT PAIN O FOOD INSECURITY/LACK OF ACCESS TO HEALTHY, FRESH FOOD*LIFESTYLE MEDICINE IS A MEDICAL SPECIALTY THAT FOCUSES ON THE OPTIMIZATION OF MODIFIABLE RISK FACTORS TO PREVENT AND TREAT CHRONIC LIFESTYLE RELATED DISEASES, TO INCLUDE CARDIOVASCULAR DISEASE, METABOLIC SYNDROME AND ITS COMPONENTS, MANY COMMON CANCERS, AUTOIMMUNE DISEASES, MOOD DISORDERS, CHRONIC KIDNEY DISEASE, AND MANY OTHERS. THE 6 PILLARS OF LIFESTYLE MEDICINE AS DESCRIBED BY THE AMERICAN COLLEGE OF LIFESTYLE MEDICINE ARE NUTRITION (PLANT PREDOMINANT EATING PATTERN), PHYSICAL ACTIVITY, STRESS MANAGEMENT, RESTORATIVE SLEEP, MEANINGFUL RELATIONSHIPS, AND AVOIDANCE OF RISKY SUBSTANCES. SISTERSVILLE GENERAL 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 WITH 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. 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: PATIENTS ARE ENCOURAGED BY THE FINANCIAL ADVOCATES TO COMPLETE A CHARITY APPLICATION AND THUS AVOID THE COLLECTION PROCEDURE. THIS IS WRITTEN ON THE PATIENT BILLING STATEMENT. PART VI, LINE 2: THE CHNA IS THE METHOD BY WHICH THE HOSPITAL ASSESSES COMMUNITY HEALTH NEEDS.THIS ASSESSMENT INCORPORATES DATA FROM MULTIPLE SOURCES, INCLUDING PRIMARY RESEARCH (THROUGH THE PRC COMMUNITY HEALTH SURVEY AND PRC ONLINE KEY INFORMANT SURVEY), AS WELL AS SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). IT ALSO ALLOWS FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. THE SURVEY INSTRUMENT USED FOR THIS STUDY IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY SISTERSVILLE GENERAL HOSPITAL AND PRC. THE STUDY AREA FOR THE SURVEY EFFORT (REFERRED TO AS THE "TOTAL SERVICE AREA" IN THIS REPORT) IS DEFINED AS EACH OF THE RESIDENTIAL ZIP CODES COMPRISING WETZEL, TYLER, AND PLEASANTS COUNTIES IN WEST VIRGINIA. THE SURVEY WAS ADMINISTERED AS AN ONLINE SURVEY. PRC HOSTED THE ONLINE SURVEY INSTRUMENT, AND SISTERSVILLE GENERAL HOSPITAL AND LOCAL PARTNERS USED A VARIETY OF COMMUNICATION TOOLS TO DRIVE RESIDENTS TO TAKE THE SURVEY ONLINE. EXAMPLES INCLUDE PRESS RELEASES, SOCIAL MEDIA ADVERTISING, POSTING ON ORGANIZATIONAL WEBSITES, AND EMAIL CAMPAIGNS TO COMMUNITY MEMBERS AND COMMUNITY PARTNERS. IN ALL, A TOTAL OF 201 SURVEYS IN THE TOTAL SERVICE AREA WERE ACHIEVED.TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY SISTERSVILLE GENERAL HOSPITAL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 10 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. 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: TYLER COUNTY HAS A SIGNIFICANT SENIOR POPULATION AND HIGH POVERTY LEVEL. PART VI, LINE 5: WE ENHANCE THE QUALITY OF LIFE IN THE AREA. 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 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 THEIR FAMILIES, THE MEDICAL STAFF AND THE COMMUNITY. WE ARE SISTERSVILLE GENERAL HOSPITAL. PART VI, LINE 6: MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY, DBA SISTERSVILLE GENERAL 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 MEMORIAL HOSPITAL - MMH 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 MMH EMPLOYEES.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. PART VI, LINE 7, REPORTS FILED WITH STATES OH,WV X X X X X X 0 0 0 0 0 0 0 0 0 J SCOTT CANTLEY CEO 0 887994 0 232203 0 64500 0 20500 0 64969 0 1270166 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 0 489484 0 102375 0 3250 0 20500 0 65190 0 680799 0 0 CHRISTOPHER COCKERHAM MD BOARD MEMBER & MED. STAFF PRES. 0 532351 0 15000 0 0 0 20500 0 42513 0 610364 0 0 RICHARD HOYT MD PRESIDENT 0 473614 0 0 0 0 0 19000 0 45429 0 538043 0 0 JOSEPH COOPER MD BOARD MEMBER 0 422978 0 0 0 0 0 20500 0 24751 0 468229 0 0 JESSIE MAXWELL REGISTERED NURSE 90479 0 31290 0 0 0 0 0 37782 0 159551 0 0 0 JESSICA OWENS NURSE PRACTITIONER 120269 0 0 0 0 0 0 0 38640 0 158909 0 0 0 HEIDI MCGOWAN HOSPITAL ADMINISTRATOR 111842 0 1832 0 0 0 0 0 40369 0 154043 0 0 0 BRANDON CHADOCK CHIEF ADMIN. OFFICER 123152 0 1346 0 0 0 0 0 27722 0 152220 0 0 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 THIS 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 AND 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 CONNTEMPLATING ENTERING INTO 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 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 FACILTIY 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 SEPERATE INDEPENDENT CONSULTANT (VMG) IS RETAINED FOR PHYSICIAN COMPENSATION STUDIES AS NEEDED. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS CAN BE VIEWED IN THE ADMINISTRATION OFFICE. FORM 990, PART IX, LINE 11G MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 41,674. MANAGEMENT AND GENERAL EXPENSES 58,163. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 99,837. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,509,904. MANAGEMENT AND GENERAL EXPENSES 1,599,129. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,109,033. FORM 990, PART XII, LINE 2C THE PROCESS IS THE SAME AS MARIETTA MEMORIAL HOSPITAL. MARIETTA AREA HEALTH CARE INC 401 MATTHEW STREET MARIETTA OH 45750 311126451 MANAGEMENT OH 501(C)(3) LINE 10 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 COLEGATE DR MARIETTA OH 45750 311011321 SUPPORTING ORG OH 501(C)(3) LINE 12B, II MARIETTA AREA HEALTH CARE INC 0 MARIETTA MEMORIAL HOSPITAL 401 MATTHEW STREET MARIETTA OH 45750 314379509 HOSPITAL OH 501(C)(3) LINE 3 MARIETTA AREA HEALTH CARE INC 0 SELBY GENERAL HOSPITAL 1106 COLEGATE DR MARIETTA OH 45750 314413259 HOSPITAL OH 501(C)(3) LINE 3 MARIETTA AREA HEALTH CARE INC 0 MARIETTA OCCUPATIONAL HEALTH PARTNERS LLC 401 MATTHEW ST MARIETTA OH 45750 043587132 OCCUPATIONAL HEALTH OH N/A 0 0 MARIETTA SURGERY CENTER LLC 611 2ND ST MARIETTA OH 45750 311684367 SURGERY OH N/A 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1