2025-08-15T11:47:07-05:00 2024-09-30 882730877 CHERRY BEKAERT ADVISORY LLC 101 SOUTH 5TH STREET STE 2100 LOUISVILLE KY 40202 990 2023-10-01 314379509 MARIETTA MEMORIAL HOSPITAL MARI 7403741641 401 MATTHEW STREET MARIETTA OH 45750 DOUG FULL VP & CFO 7403741641 2025-08-15 1 1 MELANIE MCPEAK P01346034 8885871719 2023 2025-03-06 01:10:19Z J SCOTT CANTLEY 401 MATTHEW STREET MARIETTA OH 45750 535943776 0 X WWW.MHSYSTEM.ORG X 1929 OH 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. 16 13 3310 110 0 0 46235620 15730984 438606288 496045791 5595664 4293489 6209127 2171548 496646699 518241812 43943680 54929726 0 0 168511566 179061097 0 0 295780 268904753 281251200 481359999 515242023 15286700 2999789 727999717 736621310 572316552 572656700 155683165 163964610 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 374302407 54929726 497445492 DURING THE TWELVE MONTHS ENDING SEPTEMBER 30, 2024, THE HOSPITAL PROVIDED 41,388 INPATIENT CARE DAYS, 223,710 HOURS OF OBSERVATION CARE, 9,406 SURGICAL CASES, 94,868 PHYSICAL THERAPY PROCEDURES, 65,056 EMERGENCY VISITS, 962 DELIVERIES, 22,919 CHEMOTHERAPY TREATMENTS, 19,039 RADIATION TREATMENTS, 12,100 WOUND CARE VISITS, 1,203 CARDIAC CATHETERIZATIONS AND 139,087 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, 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. 374302407 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 1 274 0 1 3310 1 0 0 0 0 0 0 0 0 0 0 1 0 X 16 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X DOUG FULL 7403741698 401 MATTHEW STREET MARIETTA OH 45750 CHRISTOPHER COCKERHAM MD BOARD MEMBER 1.00 42.00 X 0 629245 64816 STEPHEN KEISER CHAIRPERSON 1.00 4.00 X X 0 0 0 GREGG EMRICK VICE CHAIRPERSON 1.00 4.00 X X 0 0 0 THOMAS DANFORD DDS SECRETARY 1.00 4.00 X X 0 0 0 CAROL SCHNEEBERGER TREASURER 1.00 4.00 X X 0 0 0 MICHAEL ARCHER PAST CHAIRPERSON 1.00 4.00 X X 0 0 0 JAMES BARENGO BOARD MEMBER 1.00 4.00 X 0 0 0 COLLEEN COOK BOARD MEMBER 1.00 9.00 X 0 0 0 JOSEPH COOPER MD BOARD MEMBER 1.00 42.00 X 0 453736 47344 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 MATTHEW POTTMEYER BOARD MEMBER (FROM 1/1/2024) 1.00 4.00 X 0 0 0 TERRY RATAICZAK BOARD MEMBER 1.00 4.00 X 0 0 0 HUGH SHERMAN PHD BOARD MEMBER (FROM 1/1/2024) 1.00 4.00 X 0 0 0 LARRY UNROE DIRECTOR EMERITUS 1.00 4.00 X 0 0 0 J SCOTT CANTLEY CEO 40.00 4.00 X 1195686 0 67407 SCOTT SILVESTRI CFO 40.00 6.00 X 627407 0 67628 JOSEPH ZACHARIAS MD MEDICAL STAFF PRESIDENT 1.00 1.00 X 0 0 0 DAN BREECE DO VP, PHYSICIAN SERVICES 1.00 42.00 X 0 1133788 68124 DEEANN GEHLAUF VP, BUSINESS/ORG. DEVELOPMENT 40.00 0.00 X 547480 0 67060 ERIC KOAST CIO 40.00 0.00 X 359833 0 53630 DEREK SMITH VP, CLINIC OPERATIONS 40.00 0.00 X 471104 0 57899 PAIGE SMITH CHIEF NURSING EXECUTIVE 40.00 0.00 X 458535 0 58729 PAUL WESTBROCK VP, LEGAL 40.00 0.00 X 558375 0 63258 4218420 2216769 615895 193 0 1 0 MODLOGIQ 191 QUALITY CIRCLE NEW HOLLAND PA 17557 ARCHITECT 18527861 PROLINK HEALTHCARE 10700 MONTGOMERY ROAD SUITE 226 CINCINNATI OH 45242 RN STAFFING 17789558 FIRST SETTLEMENT ORTHOPAEDICS 611 2ND STREET MARIETTA OH 45750 PHYSICIANS 11535705 THOMPSON CONCRETE CONSTRUCTION 6182 WINCHESTER ROAD NW CARROLL OH 43112 CONSTRUCTION 6255383 MEDICAL INNOVATIONS DEVELOPMENT LLC 7333 WILDWOOD COURT COLUMBIA MD 21046 ARCHITECT 5653660 322 1958704 13772280 15730984 PATIENT SERVICE REVENUE 623000 465450185 465450185 PHARMACY 340B 456110 15501677 15501677 SPECIALTY PHARMACY 456110 12557559 12557559 INVESTMENT IN AFFILIATES 523000 2536370 2536370 496045791 4276828 4276828 506463 541354 -34891 -34891 -34891 17173471 3800 17160610 0 12861 3800 16661 16661 DISCOUNTS 900099 1399701 1399701 LAUNDRY SERVICES 900099 483640 483640 EDUCATION & TUITION 900099 176504 176504 146594 146594 2206439 518241812 497445492 0 5065336 X 54929726 54929726 1958128 1272783 685345 129669683 84285294 45384389 5162912 3355893 1807019 31793800 20665970 11127830 10476574 6809773 3666801 653347 653347 115918 115918 295780 295780 51926 51926 65744629 40104224 25640405 505546 5055 500491 23592281 18873825 4718456 30285033 25742278 4542755 641633 192490 449143 12509482 12509482 15366966 15366966 5004914 5004914 MEDICAL SUPPLIES & DRUG 79274815 75311074 3963741 BAD DEBT EXPENSE 37381729 37381729 DUES & SUBSCRIPTIONS 4387871 3522921 864950 EDUCATION 4038404 1373057 2665347 1400926 476315 924611 515242023 374302407 140643836 295780 6699402 7277277 10727394 19702595 84489188 91888069 1368435 1519741 231716 71038 12679703 13876031 21590503 19861923 635392072 309114632 277522756 326277440 110093978 72184368 7499395 7462001 195097247 176500827 727999717 736621310 124682135 123387677 316941023 312153352 130693394 137115671 572316552 572656700 X 155568165 163849610 115000 115000 155683165 163964610 727999717 736621310 X 2999789 2221950 -115000 3174706 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 295780 295780 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. THE HOSPITAL ALSO PAYS SUNDAY CREEK HORIZONS FOR ADVOCACY WITH GOVERNMENT AGENCIES. 7418649 7418649 254033252 122179178 131854074 228125869 182051029 46074840 145814302 4884425 140929877 326277440 DEFERRED COMPENSATION PLAN ASSETS 28189864 DUE FROM RELATED ORGANIZATION 47098830 ESTIMATED THIRD PARTY SETTLEMENTS 8782481 OPERATING LEASE RIGHT OF USE 82941804 OTHER 9487848 176500827 ACCRUED PENSION COST 2869583 CAPITAL LEASES 43800 DEFERRED COMPENSATION PLAN OBLIGATION 28189864 ESTIMATED THIRD PARTY SETTLEMENTS 5169328 OPERATING LEASE LIABILITIES 88380096 LINE OF CREDIT 12463000 137115671 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. U.S. GAAP REQUIRES 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, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 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 2023. THE RETURNS FOR MSC, 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 19751 16369162 16369162 0.03430 79886 102110516 53046332 49064184 0.10270 99637 118479678 53046332 65433346 0.13700 2371885 134719 2237166 0.00470 7944049 1764238 6179811 0.01290 10315934 1898957 8416977 0.01760 99637 128795612 54945289 73850323 0.15460 1 37381729 86881535 100883188 -14001653 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 24 1 1 0 1 X SEE PART V, PAGE 8 X 1 23 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 X 1 X 0 0 MARIETTA MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: THE CHNA WAS CREATED THROUGH THE COLLABORATIVE EFFORTS OF PUBLIC HEALTH PARTNERS ACROSS WASHINGTON COUNTY. THIS GROUP OF PARTNERS, NAMED WASHCO HEALTH PARTNERS, BEGAN THE PLANNING PROCESS FOR THIS CHNA IN 2022. LEAD PARTNERS IN THE GROUP INCLUDE THE WASHINGTON COUNTY HEALTH DEPARTMENT, MEMORIAL HEALTH SYSTEM, AND MARIETTA/BELPRE HEALTH DEPARTMENT. THESE LEAD PARTNERS ACTIVATED CONNECTIONS THROUGH THE LOCAL PUBLIC HEALTH SYSTEM AND WITHIN THE COMMUNITY TO ENGAGE AS MANY STAKEHOLDERS AS POSSIBLE IN THE PROCESS. A BEST PRACTICE APPROACH, MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP), WAS USED TO COMPLETE THE CHNA. THIS PROCESS IS DESIGNED TO FULFILL THE REQUIREMENTS FOR THE HOSPITAL SYSTEMS' COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE LOCAL HEALTH DEPARTMENTS' (LHD) COMMUNITY HEALTH ASSESSMENT (CHA). THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) APPROACH WAS USED TO CREATE THE CHA. IT IS A NATIONALLY RECOGNIZED, BEST PRACTICE FOR COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT PLANNING. THE ULTIMATE GOAL OF MAPP IS A HEALTHIER COMMUNITYMAPP HAS SIX PHASES DESCRIBED BELOW: 1. ORGANIZING IDENTIFYING WHO SHOULD BE PART OF THE PROCESS AND ORGANIZING NEXT STEPS 2. VISIONING COLLABORATING TO CREATE A SHARED VISION 3. ASSESSMENTS USE OF ASSESSMENTS SPECIFICALLY DESIGNED TO PROVIDE A CLEAR VIEW OF THE COMMUNITY 4. IDENTIFY STRATEGIC ISSUES ANALYSIS OF ASSESSMENT RESULTS TO IDENTIFY THE MOST PRESSING STRATEGIC ISSUES 5. FORMULATE GOALS AND STRATEGIES CREATING AN ACTION PLAN FOR ADDRESSING THOSE STRATEGIC ISSUES 6. ACTION CYCLE IMPLEMENTING AND EVALUATING THE ACTION PLAN IN A CONTINUOUS CYCLEA TOTAL OF 374 PEOPLE COMPLETED THE CHS SURVEY PROVIDING INVALUABLE INSIGHT INTO THEIR PERCEPTIONS AND EXPERIENCES. SEE APPENDIX B FOR DEMOGRAPHIC DATA PROVIDED BY THE RESPONDENTS. WHILE THE DATA CONTAIN THE EXPERIENCES OF A VARIETY OF PEOPLE FROM OUR COMMUNITY, THEY SHOULD BE INTERPRETED IN CONTEXT. FOR EXAMPLE, THE GREATEST NUMBER OF RESPONDENTS WERE FROM MARIETTA AND BELPRE, THE TWO AREAS WITHIN THE COUNTY WITH THE HIGHEST POPULATION COUNTS; HOWEVER, THE NUMBER OF RESPONDENTS FROM MARIETTA IS A GREATER PROPORTION THAN THE REGULAR POPULATION DISTRIBUTION. RESPONDENTS WERE ALSO FROM BEVERLY, VINCENT, NEWPORT, LITTLE HOCKING, LOWELL, WATERTOWN, WHIPPLE. FLEMING, WARNER, CUTLER AND NEW MATAMORAS/MATAMORAS. ADDITIONALLY, PEOPLE WHO LIVE IN ANOTHER ZIP CODE, BUT WORK IN OR VISIT WASHINGTON COUNTY FOR SERVICES ARE REPRESENTED (I.E. VIENNA, WILLIAMSTOWN, AND ZANESVILLE). THERE WERE MORE FEMALE RESPONDENTS THAN MALE RESPONDENTS, AND A HIGHER PROPORTION OF RESPONDENTS AT A HIGHER INCOME LEVEL THAN IS REFLECTED IN THE ACTUAL POPULATION.THIS COMMUNITY HEALTH ASSESSMENT (CHA) EVALUATES OUR COMMUNITY'S OVERALL HEALTH. HEALTH CAN BE AFFECTED BY MANY FACTORS INCLUDING THE INCOME AND RESOURCES YOU HAVE, YOUR GENETICS, THE NEIGHBORHOOD YOU LIVE IN, AND YOUR LIFESTYLE AND HABITS. LOOKING ACROSS AN ENTIRE COMMUNITY TO BETTER UNDERSTAND WHO IS THRIVING AND WHO IS STRUGGLING WITH GOOD HEALTH ALLOWS US TO BETTER UNDERSTAND THE ROOT CAUSES OF BOTH HEALTH AND SICKNESS. WE CAN RECOGNIZE WHAT STRATEGIES ARE WORKING AND WHAT NEEDS TO CHANGE TO IMPROVE HEALTH OUTCOMES FOR ALL RESIDENTS.COMMUNITY MEMBERS AND LOCAL HEALTH SYSTEM PARTNERS HAVE BEEN DEEPLY ENGAGED IN CREATING THIS COMMUNITY HEALTH ASSESSMENT- LISTENING, RESEARCHING, OFFERING EXPERIENCES AND INSIGHTS THROUGH SURVEYS, MEETINGS, AND DISCUSSION GROUPS. AFTER READING AND REFLECTING ON THE INFORMATION IN THE CHA, WE COLLABORATE TO IDENTIFY KEY PRIORITIES ON WHICH TO FOCUS OUR ENERGY AND RESOURCES. THESE PRIORITIES GUIDE A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR WASHINGTON COUNTY, WHICH IS AN ACTION PLAN TO ADDRESS THESE KEY FOCUS AREAS. THESE AREAS BECOME RALLYING POINTS FOR THE COMMUNITY TO COLLECTIVELY IMPROVE HEALTH OVER THE NEXT THREE YEARS. WITH CLARITY, PURPOSE, AND A GREAT DEAL OF COORDINATION AMONGST COMMUNITY PARTNERS, WE CAN MAKE A DIFFERENCE IN WAYS THAT MATTER.LEAD CONTRIBUTORS:ALANE SANDERS, CONSULTANT, MAVEN LANE, LLC SHERRY ELLEM, ADMINISTRATIVE COORDINATOR, WASHINGTON COUNTY HEALTH DEPARTMENT BARB BRADLEY, ADMINISTRATOR, MARIETTA/BELPRE HEALTH DEPARTMENT DEANNA SHULER, DIRECTOR, COMMUNITY HEALTH AND WELLNESS, MEMORIAL HEALTH SYSTEMKEY PARTNERS: MANY ORGANIZATIONS AND INDIVIDUALS HAVE GRACIOUSLY DONATED THEIR TIME AND EXPERTISE TO SUPPORT THE DEVELOPMENT AND COMPLETION OF THIS ASSESSMENT. THE ORGANIZATIONS WITH WHICH KEY PARTNERS ARE AFFILIATED ARE LISTED BELOW. BELPRE CHAMBER OF COMMERCE BEVERLY VOLUNTEER FIRE DEPARTMENT BUCKEYE HILLS REGIONAL COUNCIL BUILDING BRIDGES TO CAREERS CITY OF BELPRE CITY OF MARIETTA COMMUNITY FOOD INITIATIVES ELY CHAPMAN FORT FRYE LOCAL SCHOOLS FRONTIER LOCAL SCHOOLSGOPACKS HOUSE OF HOPE HUNTINGTON BANK MARIETTA ADVENTURE COMPANY MARIETTA/BELPRE HEALTH DEPARTMENT MARIETTA COMMUNITY FOUNDATION MARIETTA FIRE DEPARTMENT MARIETTA CITY SCHOOLS MARIETTA COLLEGE MARIETTA FAMILY YMCA MEMORIAL HEALTH SYSTEM MUSKINGUM VALLEY BEVERLY-WATERFORD CHAMBER OF COMMERCE NEWPORT COMMUNITY FOOD PANTRY OSU EXTENSION, WASHINGTON COUNTY O'NEILL CENTER RETIRED SENIOR VOLUNTEER PROGRAM OF WASHINGTON COUNTY THE RIGHT PATH FOR WASHINGTON COUNTY RIVER VALLEY MOUNTAIN BIKE ASSOCIATION SISTERS HEALTH FOUNDATION VILLAGE OF BEVERLY VILLAGE OF MATAMORAS WASHINGTON COUNTY CREATING HEALTHY COMMUNITIES COALITION WASHINGTON COUNTY BEHAVIORAL HEALTH BOARD WASHINGTON COUNTY BOARD OF DEVELOPMENTAL DISABILITIES WASHINGTON COUNTY CAREER CENTER WASHINGTON COUNTY FAMILY AND CHILDREN FIRST WASHINGTON COUNTY HARVEST OF HOPE WASHINGTON COUNTY HEALTH DEPARTMENT WASHINGTON COUNTY HEALTHCARE COALITION WASHINGTON COUNTY JOB AND FAMILY SERVICES WASHINGTON COUNTY PUBLIC LIBRARY WASHINGTON-MORGAN COMMUNITY ACTION WASHINGTON STATE COLLEGE OF OHIO 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 2024 COMMUNITY HEALTH NEEDS ASSESSMENT, THE FOLLOWING TOP PRIORITIES WERE IDENTIFIED BY THE HEALTH SYSTEM'S ADMINISTRATIVE TEAM:1. MENTAL/BEHAVIORAL HEALTH AND ADDICTION2. PREVENTION AND MANAGEMENT OF CHRONIC DISEASE3. ACCESS TO HEALTHCARE AND HEALTHCARE-RELATED PROGRAMSMHS'S ACTION PLAN FROM 2021-2024 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. THE FOLLOWING EFFORTS HAVE BEEN UNDERTAKEN DURING FY2024:- IN ORDER TO ADDRESS BEHAVIORAL HEALTH, THE HEALTH SYSTEM HAS ESTABLISHED LIFESTYLE MEDICINE CLASSES TO SUPPORT COMMUNITY MENTAL HEALTH INITIATIVES AND PROVIDE EDUCATION ON 6 PILLARS OF LIFESTYLE MEDICINE TO PREVENT, TREAT AND REVERSE CHRONIC DISEASE. THIS PROGRAM SERVED APPROXIMATELY 130 PEOPLE IN FY2024, AND PROMOTES PHYSICAL ACTIVITY AND FITNESS, REDUCES TOBACCO AND ALCOHOL USAGE AND PROMOTES NUTRITION AND WEIGHT STATUS.- IN ORDER TO ADDRESS PREVENTION AND MANAGEMENT OF CHRONIC DISEASE, THE HEALTH SYSTEM HAS ESTABLISHED COMMUNITY HEALTH EDUCATION PROGRAMS SURROUNDING CANCER AND DIABETES. IN FY2024, THE HEALTH SYSTEM OFFERED FREE DIABETES EDUCATION VISITS, WHICH SERVED NEARLY 960 PEOPLE. THEY ALSO PROVIDED SUN SAFETY EDUCATION TO APPROXIMATELY 60 CHILDREN FOR SKIN CANCER PREVENTION. THE HEALTH SYSTEM ALSO OFFERS SUPPORT GROUPS FOR CHRONIC CONDITIONS, SUCH AS BARIATRIC, CANCER AND DIABETESSERVING NEARLY 395 PEOPLE COLLECTIVELY.- TO ADDRESS NEEDS IN THE AREA OF ACCESS TO HEALTHCARE AND HEALTHCARE-RELATED PROGRAMS, THE HEALTH SYSTEM OFFERS COMMUNITY SCREENINGS FOR REDUCED COST TREATMENT, CARDIOLOGY, HEARING, VASTRAC, AND GENERAL HEALTHSERVING APPROXIMATELY 330 PEOPLE COLLECTIVELY IN FY2024.AREAS OF CONCERN IDENTIFIED IN THIS REPORT THAT THE HEALTH SYSTEM MAY INDIRECTLY IMPACT BUT HAVE NOT BEEN DEEMED TOP PRIORITIES INCLUDE:1. ACCESS TO HEALTHY FOOD2. ACCESS TO AFFORDABLE HEALTHCARE3. CLEAN AIR AND WATERAREAS 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.THE POPULATION SERVED BY THE HOSPITAL DOES NOT INCLUDE NON-ENGLISH SPEAKING POPULATIONS EXCEEDING 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY SERVED, SO TRANSLATIONS OF FINANCIAL ASSISTANCE DOCUMENTS HAVE NOT BEEN POSTED TO THE SYSTEM WEBSITE. HOWEVER, THE APPLICATION PLATFORM IS BROWSER-BASED, WHICH ALLOWS APPLICATIONS TO EASILY BE TRANSLATED INTO THE USER'S DESIRED LANGUAGE USING THE BROWSER'S INBUILT TRANSLATION FUNCTIONALITY. MARIETTA MEMORIAL HOSPITAL PART V, SECTION B, LINE 20E: NO EXTRAORDINARY COLLECTION ACTIONS WERE AUTHORIZED OR INITIATED. PART V, LINE 7A, CHNA REPORT WEBSITE: HTTPS://WWW.MHSYSTEM.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/ 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.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 9/30/24 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.FOR PATIENTS WHO QUALIFY FOR FULLY DISCOUNTED CARE, ANY QUALIFYING OUT-OF-POCKET COST IS ADJUSTED. PATIENTS WILL RECEIVE AN APPROVAL LETTER INDICATING THEIR QUALIFYING PERIOD AND BALANCE HAVE BEEN ADJUSTED. PATIENTS WHO QUALIFY FOR LESS THAN FULLY DISCOUNTED CARE (75% OR 80%) RECEIVE A BALANCE BILL, WITH THE OPTION TO PAY IN FULL OR ESTABLISH A PAYMENT PLAN FOR THE REMAINING BALANCE. PATIENTS RECEIVE AN APPROVAL LETTER INDICATING THEIR QUALIFYING PERIOD AND PROVIDING INFORMATION TO ADDRESS THEIR REMAINING BALANCE. COLLECTION PRACTICES FOR THIS POPULATION OF PATIENTS IS THE SAME AS FOR PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: THE CHNA IS THE METHOD BY WHICH THE HOSPITAL ASSESSES COMMUNITY HEALTH NEEDS.THE CHNA WAS CREATED THROUGH THE COLLABORATIVE EFFORTS OF PUBLIC HEALTH PARTNERS ACROSS WASHINGTON COUNTY. THIS GROUP OF PARTNERS, NAMED WASHCO HEALTH PARTNERS, BEGAN THE PLANNING PROCESS FOR THIS CHNA IN 2022. LEAD PARTNERS IN THE GROUP INCLUDE THE WASHINGTON COUNTY HEALTH DEPARTMENT, MEMORIAL HEALTH SYSTEM, AND MARIETTA/BELPRE HEALTH DEPARTMENT. THESE LEAD PARTNERS ACTIVATED CONNECTIONS THROUGH THE LOCAL PUBLIC HEALTH SYSTEM AND WITHIN THE COMMUNITY TO ENGAGE AS MANY STAKEHOLDERS AS POSSIBLE IN THE PROCESS. A BEST PRACTICE APPROACH, MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP), WAS USED TO COMPLETE THE CHNA. THIS PROCESS IS DESIGNED TO FULFILL THE REQUIREMENTS FOR THE HOSPITAL SYSTEMS' COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE LOCAL HEALTH DEPARTMENTS' (LHD) COMMUNITY HEALTH ASSESSMENT (CHA).THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) APPROACH WAS USED TO CREATE THE CHA. IT IS A NATIONALLY RECOGNIZED, BEST PRACTICE FOR COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT PLANNING. THE ULTIMATE GOAL OF MAPP IS A HEALTHIER COMMUNITYMAPP HAS SIX PHASES DESCRIBED BELOW: 1. ORGANIZING IDENTIFYING WHO SHOULD BE PART OF THE PROCESS AND ORGANIZING NEXT STEPS 2. VISIONING COLLABORATING TO CREATE A SHARED VISION 3. ASSESSMENTS USE OF ASSESSMENTS SPECIFICALLY DESIGNED TO PROVIDE A CLEAR VIEW OF THE COMMUNITY 4. IDENTIFY STRATEGIC ISSUES ANALYSIS OF ASSESSMENT RESULTS TO IDENTIFY THE MOST PRESSING STRATEGIC ISSUES 5. FORMULATE GOALS AND STRATEGIES CREATING AN ACTION PLAN FOR ADDRESSING THOSE STRATEGIC ISSUES 6. ACTION CYCLE IMPLEMENTING AND EVALUATING THE ACTION PLAN IN A CONTINUOUS CYCLETHIS COMMUNITY HEALTH ASSESSMENT (CHA) EVALUATES OUR COMMUNITY'S OVERALL HEALTH. HEALTH CAN BE AFFECTED BY MANY FACTORS INCLUDING THE INCOME AND RESOURCES YOU HAVE, YOUR GENETICS, THE NEIGHBORHOOD YOU LIVE IN, AND YOUR LIFESTYLE AND HABITS. LOOKING ACROSS AN ENTIRE COMMUNITY TO BETTER UNDERSTAND WHO IS THRIVING AND WHO IS STRUGGLING WITH GOOD HEALTH ALLOWS US TO BETTER UNDERSTAND THE ROOT CAUSES OF BOTH HEALTH AND SICKNESS. WE CAN RECOGNIZE WHAT STRATEGIES ARE WORKING AND WHAT NEEDS TO CHANGE TO IMPROVE HEALTH OUTCOMES FOR ALL RESIDENTS.COMMUNITY MEMBERS AND LOCAL HEALTH SYSTEM PARTNERS HAVE BEEN DEEPLY ENGAGED IN CREATING THIS COMMUNITY HEALTH ASSESSMENT- LISTENING, RESEARCHING, OFFERING EXPERIENCES AND INSIGHTS THROUGH SURVEYS, MEETINGS, AND DISCUSSION GROUPS. AFTER READING AND REFLECTING ON THE INFORMATION IN THE CHA, WE COLLABORATE TO IDENTIFY KEY PRIORITIES ON WHICH TO FOCUS OUR ENERGY AND RESOURCES. THESE PRIORITIES GUIDE A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR WASHINGTON COUNTY, WHICH IS AN ACTION PLAN TO ADDRESS THESE KEY FOCUS AREAS. THESE AREAS BECOME RALLYING POINTS FOR THE COMMUNITY TO COLLECTIVELY IMPROVE HEALTH OVER THE NEXT THREE YEARS. WITH CLARITY, PURPOSE, AND A GREAT DEAL OF COORDINATION AMONGST COMMUNITY PARTNERS, WE CAN MAKE A DIFFERENCE IN WAYS THAT MATTER. 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 15.3% OF THE OVERALL COUNTY POPULATION IS BELOW THE POVERTY LINE. OF THE CHILDREN IN WASHINGTON COUNTY, 20.0% LIVE IN POVERTY. IN THE COUNTY, 8.3% OF THE RESIDENTS LACK HEALTH INSURANCE. 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, 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 AND THEIR FAMILIES, THE MEDICAL STAFF, AND THE COMMUNITY. WE ARE MARIETTA MEMORIAL HOSPITAL.DURING THE TWELVE MONTHS ENDING SEPTEMBER 30, 2024, THE HOSPITAL PROVIDED 41,388 INPATIENT CARE DAYS, 223,710 HOURS OF OBSERVATION CARE, 9,406 SURGICAL CASES, 94,868 PHYSICAL THERAPY PROCEDURES, 65,056 EMERGENCY VISITS, 962 DELIVERIES, 22,919 CHEMOTHERAPY TREATMENTS, 19,039 RADIATION TREATMENTS, 12,100 WOUND CARE VISITS, 1,203 CARDIAC CATHETERIZATIONS AND 139,087 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, 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. 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 SCHEDULE H, PART I, LINE 7F $37,381,729 OF BAD DEBT EXPENSE WAS INCLUDED IN TOTAL EXPENSE ON FORM 990, PART IX, LINE 25; BUT WAS EXCLUDED IN CALCULATING COMMUNITY BENEFIT EXPENSE FOR SCHEDULE H, LINE 7. COMMUNITY BENEFIT EXPENSES WERE CALCULATED USING COST REPORTS FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2024. 0 MARIETTA HEALTHCARE PHYSICIANS INC 401 MATTHEW STREET MARIETTA OH 45750 311375125 501C3 54929726 0 GENERAL OPERATIONS 1 0 PART I, LINE 2: GRANTS ARE PAID ONLY TO THE RELATED ORGANIZATION, MARIETTA HEALTHCARE PHYSICIANS INC., WHICH IS A 501(C)(3) ORGANIZATION AND FUNCTIONS IN FURTHERANCE OF RELATED EXEMPT PURPOSES. THE CLOSE RELATIONSHIP BETWEEN TAXPAYER AND THE RELATED ORGANIZATION SERVES TO MONITOR THE USE OF GRANT FUNDS; NO FURTHER MONITORING IS UNDERTAKEN. X X X X X 0 0 0 0 0 0 0 1 0 J SCOTT CANTLEY CEO 841436 0 265000 0 89250 0 22500 0 44907 0 1263093 0 0 0 DAN BREECE DO VP, PHYSICIAN SERVICES 0 905788 0 186000 0 42000 0 22500 0 45624 0 1201912 0 0 SCOTT SILVESTRI CFO 492269 0 110200 0 24938 0 22500 0 45128 0 695035 0 0 0 CHRISTOPHER COCKERHAM MD BOARD MEMBER 0 607037 0 22208 0 0 0 22500 0 42316 0 694061 0 0 PAUL WESTBROCK VP, LEGAL 439512 0 87560 0 31303 0 22500 0 40758 0 621633 0 0 0 DEEANN GEHLAUF VP, BUSINESS/ORG. DEVELOPMENT 420716 0 84240 0 42524 0 22500 0 44560 0 614540 0 0 0 DEREK SMITH VP, CLINIC OPERATIONS 371312 0 81664 0 18128 0 18128 0 39771 0 529003 0 0 0 PAIGE SMITH CHIEF NURSING EXECUTIVE 377239 0 63013 0 18283 0 18283 0 40446 0 517264 0 0 0 JOSEPH COOPER MD BOARD MEMBER 0 453736 0 0 0 0 0 22500 0 24844 0 501080 0 0 ERIC KOAST CIO 271793 0 74240 0 13800 0 13800 0 39830 0 413463 0 0 0 PART I, LINE 7 BONUSES WERE AWARDED BASED ON ACHIEVEMENT OF KEY GOALS AND METRICS. 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 8529766 61204766 4222613 1200000 55782153 2017 1 0 1 1 B 6625000 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 J SCOTT CANTLEY CEO SPLIT DOLLAR LIFE INSURANCE POLICY X 1452405 1519741 0 1 1 1519741 MICHAEL ARCHER BOARD MEMBER 971516 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 4,393,862. MANAGEMENT AND GENERAL EXPENSES 2,809,190. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,203,052. PURCHASED SERVICES - CATERING: PROGRAM SERVICE EXPENSES 945,880. MANAGEMENT AND GENERAL EXPENSES 604,743. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,550,623. PURCHASED SERVICES - COLLECTION FEES: PROGRAM SERVICE EXPENSES 4,017,254. MANAGEMENT AND GENERAL EXPENSES 2,568,408. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,585,662. PURCHASED SERVICES - MAINTENANCE: PROGRAM SERVICE EXPENSES 4,392,996. MANAGEMENT AND GENERAL EXPENSES 2,808,636. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,201,632. PURCHASED SERVICES - MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 17,136,579. MANAGEMENT AND GENERAL EXPENSES 10,956,175. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,092,754. PURCHASED SERVICES - OTHER: PROGRAM SERVICE EXPENSES 8,359,470. MANAGEMENT AND GENERAL EXPENSES 5,344,579. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,704,049. PURCHASED SERVICES - RECRUITMENT: PROGRAM SERVICE EXPENSES 858,183. MANAGEMENT AND GENERAL EXPENSES 548,674. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,406,857. FORM 990, PART XI, LINE 9: PENSION RELATED CHANGES 3,099,004. NET PERIODIC PENSION COST 75,702. 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 116457 1095437 0 1 0.51000 MARIETTA SURGERY CENTER LTD 611 SECOND ST MARIETTA OH 45750 311684367 SURGERY OH RELATED 1776901 229837 0 0 0.44140 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 MARIETTA OCCUPATIONAL HEALTH PARTNERS LLC S 113862 FMV MARIETTA HOME HEALTH AND HOSPICE LLC 3854 AMERICAN WAY SUITE A BATON ROUGE LA 70816 261480799 HOME HEALTH LA RELATED 0 1659470 2898269 0 0 0.50000