2024-11-14T12:37:26-06:00 2023-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2023-01-01 356067049 MARGARET MARY COMMUNITY HOSPITAL INC MARG 8129346624 321 MITCHELL AVENUE BATESVILLE IN 470060226 CRAIG GILLILAND CFO AND VP OF FINANCE 8129346624 2024-11-14 1 1 EMILIE M KNIERIEM CPA P01330194 3176334705 2024-11-14 2023 2024-10-15 13:58:12Z MARGARET MARY HEALTH CRAIG GILLILAND 321 MITCHELL AVENUE BATESVILLE IN 470060226 240479436 0 X WWW.MMHEALTH.ORG X 1967 IN IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. 13 11 876 22 0 0 3232339 214630 124518672 127910974 2818872 6267053 3090090 1860453 133659973 136253110 344610 314536 0 0 69608115 66574185 0 0 62007 59027120 60077877 128979845 126966598 4680128 9286512 171043976 178555938 32531029 25288617 138512947 153267321 X IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. 0 0 93638019 314536 128762124 HEALTH CARE SERVICES RELATED TO IMPROVING THE HEALTH OF THE COMMUNITY FOR BOTH INPATIENT AND OUTPATIENT PROGRAMS. 6989240 1543 SUBSIDIZED HEALTH SERVICES - 58,643 INDIVIDUALS RECEIVED BENEFITS FROM OUR HOSPITAL OWNED OUTPATIENT SERVICES. THIS INCLUDES OSGOOD PHYSICIAN PRACTICE LOCATED IN A RURAL AREA AND IS ALSO LOCATED IN A MEDICALLY UNDERSERVED AREA. 830328 72347 COMMUNITY HEALTH SERVICES - 91,505 INDIVIDUALS PARTICIPATED IN SERVICES AND PROGRAMS SUCH AS CANCER SCREENINGS, CPR AND AED TRAINING, DIABETES CARE, FLU CLINICS, NUTRITION CLASSES, SMOKING CESSATION SUPPORT, BLOOD PRESSURE AND THYROID SCREENINGS, WOMEN'S HEALTH EVENTS, OSTEOPOROSIS SCREENINGS, WELLNESS SCREENINGS, EMERGENCY PREPAREDNESS, AND HEALTH INSURANCE ENROLLMENT AND REFERRALS. 477855 FINANCIAL AND IN-KIND CONTRIBUTIONS 2,406 INDIVIDUALS RECEIVED BENEFITS FROM OUR EMS AND PARAMEDIC TRAINING AND SUBSIDY PROGRAMS. MMH SUBSIDIZES A PORTION OF THE RIPLEY COUNTY PARAMEDIC/EMS DIRECTOR'S SALARY. MMH ALSO COORDINATES AND SUBSIDIZES TRAINING FOR THE 4 RIPLEY COUNTY SQUADS LOCATED IN VERSAILLES, SUNMAN, MILAN, AND BATESVILLE. IN ADDITION, VARIOUS MMH TEAM MEMBERS SERVE ON NUMEROUS COMMUNITY BOARDS INCLUDING MARCH OF DIMES, RELAY FOR LIFE, AND THE BATESVILLE COORDINATED SCHOOL HEALTH BOARD.OTHER PROGRAMS AND SERVICES 929 INDIVIDUALS PARTICIPATED IN ADDITIONAL PROGRAMS AND SERVICES PROVIDED BY MMH, INCLUDING CAREER AND WORKFORCE DEVELOPMENT FOR PHYSICIAN, NURSING, AND OTHER MEDICAL STUDENTS THROUGH OUR MENTORING PROGRAMS AND CAREER FAIRS. MMH IS INVOLVED IN CLINICAL RESEARCH AT THE HANSEN CENTER, A CANCER TREATMENT CENTER OWNED AND OPERATED BY MMH IN BATESVILLE. MMH CONTINUALLY ASSESS COMMUNITY NEEDS AND HEALTH ISSUES TO ADDRESS NEEDS IN THE COMMUNITY. 477855 101935442 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 139 0 1 876 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X TISHA OWENS CONTROLLER 8129346624 321 MITCHELL AVENUE BATESVILLE IN 470060226 LIZ LEISING PRESIDENT 40.00 2.00 X X 360280 0 25834 GEORGE JUNKER BOARD CHAIR 2.00 2.00 X X 0 0 0 MARY ANN WISE-CASTNER BOARD VICE CHAIR 2.00 2.00 X X 0 0 0 TIM ZIEMKE BOARD SECRETARY 2.00 0.00 X X 0 0 0 RONALD KNUEVEN BOARD TREASURER 2.00 0.00 X X 0 0 0 SISTER DIANE JAMISON MEMBER 2.00 0.00 X 0 0 0 LEA ANN KING MEMBER 2.00 0.00 X 0 0 0 ARNIE KIRSCHNER MEMBER 2.00 0.00 X 0 0 0 JORGE LOPEZ MEMBER 2.00 0.00 X 0 0 0 CHARLES MCGOVERN MD MEMBER 2.00 0.00 X 0 0 0 JOE MOORMAN MEMBER 2.00 0.00 X 0 0 0 JEFF OLLIER MEMBER 2.00 0.00 X 0 0 0 MICHELLE BILTZ MEMBER/CHIEF OF STAFF 40.00 0.00 X 204944 0 30150 KRISTINA CERNIGLIA MEMBER PARTIAL TERM 2.00 0.00 X 0 0 0 BRIAN DAEGER VP OPERATIONS 40.00 0.00 X 261604 0 26435 CRAIG GILLILAND VP FINANCE 40.00 2.00 X 226495 0 20158 KIM INSCHO VP HUMAN RESOURCES 40.00 2.00 X 225868 0 26724 JULIE KEENE VP PHYSICIAN SERVICES 40.00 0.00 X 207632 0 25675 DEVAN REUSS VP OUTPATIENT SERVICES 40.00 0.00 X 172073 0 22140 MICHAEL MAGGIO PHYSICIAN 40.00 0.00 X 714442 0 28768 JEFFREY HATCHER MD PHYSICIAN 40.00 0.00 X 670728 0 75332 PAUL JARVIS MD PHYSICIAN 40.00 0.00 X 607566 0 49590 JON GEERS MD PHYSICIAN 40.00 2.00 X 596190 0 33665 JOHN GRYSPEERDT MD PHYSICIAN 40.00 0.00 X 793981 0 28712 5041803 0 393183 90 0 1 0 KPM-ED LLC 7770 COOPER ROAD SUITE 8 MONTGOMERY OH 45242 ER PHYSICIAN STAFFING SERVICE 3305100 STELD CONSULTING DBA SYNO-KRONOS HEALTH 275 MEDICAL DRIVE 4327 CARMEL IN 46032 HOSPITALIST SERVICES 2307016 TRIMEDX PO BOX 636129 CINCINNATI OH 45263 CLINICAL EQUIPMENT MAINTENANCE 1180942 ORTHOPAEDIC SURGICAL CARE INSTITUTE 309 EGS BLVD BATESVILLE IN 47006 PROFESSIONAL SERVICES - PHYSICIANS 1147499 THE CHRIST HOSPITAL 2139 AUBURN AVE CINCINNATI OH 45219 PROFESSIONAL SERVICES - PHYSICIANS 788815 14 202221 12409 214630 NET PATIENT SERVICE REVENUE 621110 127910974 127910974 127910974 15605 15605 115785 0 115785 115785 115785 110474348 3426 104202594 23732 6271754 -20306 6251448 6251448 340B PROGRAM 900099 809255 809255 CAFETERIA 900099 292911 292911 VENDING 900099 1588 1588 640914 640914 1744668 136253110 128836014 0 7202466 X 296536 296536 18000 18000 1836012 1441829 394183 50183519 39409354 10774165 1265461 993772 271689 9833031 7721925 2111106 3456162 2714140 742022 299930 120652 179278 19140034 12755347 6384687 457131 358357 98774 857786 672441 185345 1925533 1541448 384085 252409 197870 54539 193787 151915 41872 653275 522966 130309 7160404 5732122 1428282 1022379 921731 100648 SUPPLIES - MEDICAL AND 20392473 20310984 81489 FOOD 565999 443701 122298 DUES & SUB. 402667 315661 87006 6754070 5294691 1397372 62007 126966598 101935442 24969149 62007 5584760 6536847 17116362 16911555 1513421 1360638 1312125 1674420 168844044 118995512 50321989 49848532 90232709 101386557 4962610 837389 171043976 178555938 13850578 10673487 14860388 12720263 3820063 1894867 32531029 25288617 X 138398745 153169289 114202 98032 138512947 153267321 171043976 178555938 X 9286512 5432238 35624 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 8545 8545 0 PART II-B, LINE 1: A PORTION OF ANNUAL MEMBERSHIP DUES THAT ARE PAID TO AMERICAN HOSPITAL ASSOCIATION AND INDIANA HOSPITAL ASSOCIATION ARE ALLOCATED TO LOBBYING, 25.56% AND 10.78%. 89709699 4566 11170018 20736 100863547 117892374 2379 -28167878 17176 89709699 102499356 18079 15387588 12649 117892374 81198046 96800 21320366 115856 102499356 71470580 147770 9641331 61635 81198046 0.99900 0.00000 0.00100 0 0 6899457 6899457 80726897 57054091 23672806 76480149 61941421 14538728 4737541 4737541 49848532 DERIVATIVE LIABILITY 196569 ESTIMATED THIRD-PARTY SETTLEMENT 1467808 RIGHT OF USE LIABILITIES 230490 1894867 X PART V, LINE 4: THE ASSETS WHOSE USE IS LIMITED ARE ASSETS WHOSE USE IS LIMITED BY INTERNAL BOARD DESIGNATION INCLUDING CASH AND CASH EQUIVALENTS, ACCRUED INTEREST RECEIVABLE, AND MARKET SECURITIES WHICH ARE BEING USED FOR CAPITAL IMPROVEMENTS, RETIREMENT PLAN, AND FOR DEBT SERVICE PAYMENTS. TEMPORARILY RESTRICTED NET ASSESTS ARE THE FUNDS WHOSE USE HAS BEEN LIMITED BY EXTERANAL SOURCES FOR A SPECIFIC TIME PERIOD OR PURPOSE WHICH ARE BEING USED FOR SCHOLARSHIPS AND OTHER HOSPITAL PROGRAMS. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND THE FOUNDATION AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL AND FOUNDATION HAVE 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 HOSPITAL AND THE FOUNDATION, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 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. THE HOSPITAL AND FOUNDATION ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 1 1 X 1 X 1 X 1 1 1 0 1 1 438 313010 313010 0.00250 54894 27566222 9025783 18540439 0.14600 55332 27879232 9025783 18853449 0.14850 27 91505 830328 72347 757981 0.00600 4 66 293579 293579 0.00230 4 58643 6989240 1543 6987697 0.05500 1 340 121069 121069 0.00100 4 1968 164845 164845 0.00130 40 152522 8399061 73890 8325171 0.06560 40 207854 36278293 9099673 27178620 0.21410 1 832 9801 9801 0.00010 1 29 6049 6049 0.00000 2 68 257417 257417 0.00200 4 929 273267 273267 0.00210 0 9103366 0 22592562 22039950 552612 X 1 0 1 1 MARGARET MARY HEALTH 321 MITCHELL AVENUE BATESVILLE IN 47006 WWW.MMHEALTH.ORG 18-004718-1 X X X X MARGARET MARY HEALTH 1 0 0 1 X X X X X X X X X X 21 1 0 0 1 X SEE PART V, PAGE 8 X X 1 21 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X X 1 X 0 X X X X 1 X 0 0 MARGARET MARY HEALTH PART V, SECTION B, LINE 3J: A REGIONAL CHNA WAS DEVELOPED IN 2021. THIS COLLABORATION WAS FACILITATED BY THE HEALTH COLLABORATIVE (THC), IN PARTNERSHIP WITH THE GREATER DAYTON AREA HOSPITAL ASSOCIATION (GDAHA) AND INCLUDES PARTNERSHIP WITH 36 HOSPITALS, 22 HEALTH DEPARTMENTS, ACROSS 26 COUNTIES IN GREATER CINCINNATI AND THE GREATER DAYTON AREA, SOUTHEAST INDIANA, AND NORTHERN KENTUCKY. THE ASSESSMENT PROVIDES A SUMMARY OF:THE MOST PREVALENT HEALTH CONDITIONS IN OUR COMMUNITY AND CONDITIONS FOR WHICH PEOPLE MOST COMMONLY DID NOT RECEIVE TREATMENT IN PAST YEAR. THE SOCIAL DETERMINANTS OF HEALTH (SDOH) THAT IMPACT THESE POOR HEALTH OUTCOMES, AND THE SYSTEMIC BARRIERS THAT INFLUENCE HEALTH DISPARITIES AND INEQUITIES FOR OUR COMMUNITY MEMBERS.DATA COLLECTION, ANALYSIS, AND SYNTHESIS WAS CONDUCTED BY MEASUREMENT RESOURCES COMPANY (MRC) AND SUBCONTRACTOR SCALE STRATEGIC SOLUTIONS. A COMPREHENSIVE, INCLUSIVE, AND BALANCED MIXED-METHOD APPROACH, AND BEST PRACTICES IN COMMUNITY ENGAGEMENT, WERE USED IN DATA COLLECTION TO ENSURE A REPRESENTATIVE SAMPLE OF COMMUNITY MEMBERS, SPECIFICALLY THE VOICES OF MARGINALIZED POPULATIONS AND THE INCLUSION OF PROVIDERS ACROSS HEALTH AND SOCIAL SERVICES SECTORS. THE ENTIRE PROCESS WAS OVERSEEN BY AN ADVISORY COMMITTEE OF 41 MEMBERS OF THE COMMUNITY, REPRESENTING HOSPITALS, PUBLIC HEALTH DEPARTMENTS, FEDERALLY QUALIFIED HEALTH CENTERS, COMMUNITY-BASED ORGANIZATIONS, PUBLIC HEALTH PROFESSIONAL ASSOCIATIONS, FUNDERS, AND HOSPITAL ASSOCIATIONS.DATA COLLECTION RESULTED IN 8,321 ONLINE COMMUNITY SURVEY RESPONDENTS, 859 HEALTH AND SOCIAL SERVICE PROVIDER SURVEY RESPONDENTS, 38 INTERVIEWS WITH SYSTEM LEADERS, 51 TARGETED FOCUS GROUPS AND EXTENSIVE REVIEW OF CURRENT LITERATURE AND EXISTING COMMUNITY DATA. MARGARET MARY HEALTH PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS GATHERED THROUGH FOCUS GROUPS AND PHONE SURVEYS. MARGARET MARY HEALTH PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND ON THE HOSPITAL'S WEBPAGE VIA THE FOLLOWING: COMMUNITY> COMMUNITY HEALTH NEEDS ASSESSMENT. THE DOWNLOADS FOR THE FOLLOWING CAN BE FOUND: 2021 CHNA, 2022-24 COMMUNITY HEALTH IMPLEMENTATION PLAN, 2019 CHNA AND 2020-22 COMMUNITY HEALTH IMPLEMENTATION PLAN HTTPS://WWW.MMHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-ASSESSMENT/. MARGARET MARY HEALTH PART V, SECTION B, LINE 11: IN 2021, THE CHNA IDENTIFIED SEVEN (7) AREAS OF OPPORTUNITY. DURING THE PRIORITIZATION EVENTS, THREE (3) HEALTH PRIORITIES WERE FINALIZED. THESE ARE (1) ACCESS TO SERVICES SPECIFIC TO THE TOP HEALTH NEEDS IDENTIFIED, INCLUDING BEHAVIORAL HEALTH, CARDIOVASCULAR DISEASE, DENTAL AND VISION CARE, (2) HEALTHCARE EDUCATION PIPELINE AND WORKFORCE ARE STRONG, REFLECTING THE DIVERSITY OF OUR COMMUNITY AND DELIVERY OF EQUITABLE CARE TO EVERYONE AND (3) ACCESS TO HEALTHY, AFFORDABLE FOOD AND QUALITY, AFFORDABLE HOUSING. THERE ARE SIGNIFICANT HEALTH NEEDS NOT ADDRESSED. WHILE WE MAY NOT BE ABLE TO FOCUS RESOURCES AND SERVICES ON ALL ASPECTS OF THE IDENTIFIED NEEDS IN THE CHNA. WE ARE COMMITTED TO FOCUSING ON THOSE WITHIN OUR RESOURCES OF TIME, TALENT AND EXPERTISE. WE WILL RELY ON STRONG COMMUNITY PARTNERS AND THEIR EFFORTS TO ADDRESS NEEDS WE ARE NOT ABLE TO DELIVER. REGARDING THE NEED OF ACCESS TO DENTAL AND VISION SERVICES, OUR EFFORTS ARE LIMITED IN COMPARISON TO ADDRESSING ACCESS TO CARE FOR BEHAVIORAL HEALTH AND CARDIOVASCULAR DISEASE. CURRENTLY, OUR HEALTHCARE WORKFORCE AS DIVERSE AS OUR COMMUNITY. PRIMARY STRATEGIES WILL FOCUS ON OUR WORKFORCE PIPELINE AND PROFESSIONAL DEVELOPMENT. WHILE WE RECOGNIZE HOUSING IS AN IDENTIFIED CONCERN, OUR RESOURCES AND EXPERTISE LIMIT OUR ABILITY TO ADDRESS QUALITY AND AFFORDABLE HOUSING. THESE EFFORTS CAN BE FOUND WITHIN THE IMPLEMENTATION PLAN. THE BELOW LISTS WHAT ACTIONS WERE TAKEN IN 2023 FOR EACH IDENTIFIED HEALTH NEED:IDENTIFIED HEALTH NEED: ACCESS TO CARE 1. PARTNER WITH THE INDIANA HOSPITAL ASSOCIATION (IHA) AND STATE HEALTH INSURANCE PROGRAM (SHIP) SPECIFIC TO SOCIAL DETERMINANTS OF HEALTH.2. ASSESS THE SOCIAL NEEDS AND SOCIAL DETERMINANTS OF HEALTH OF OUR PATIENTS AND PROVIDE INFORMATION ABOUT COMMUNITY RESOURCES WHEN NEEDED. (JOINT COMMISSION ELEMENT OF PERFORMANCE LD.04.03.08)3. COLLECT SOCIAL DETERMINANTS OF HEALTH VIA I-PAD OR HEALTH PORTAL PRIOR TO VISIT.4. LINKAGE OF LOCAL RESOURCES AND THE HELP APP. 5. MAINTAIN LOCAL RESOURCE GUIDE FOR RIPLEY COUNTY AND FRANKLIN COUNTY. 6. CREATE AND MAINTAIN PARTNERSHIPS NEEDED TO POSITIVELY IMPACT SOCIAL DETERMINANTS OF HEALTH. 7. EXPLORE FEASIBILITY OF A COMPREHENSIVE PRIMARY CARE AND EMERGENCY DEPARTMENT CARE TEAM TO INCLUDE SOCIAL WORKERS BY STRENGTHENING THE COORDINATION BETWEEN ALL CARE AREAS. 8. EXPAND PARTNERSHIPS BETWEEN ESTABLISHED TRANSPORTATION SERVICES IN THE COMMUNITY TO INCREASE PATIENT ACCESS TO AND FROM SCHEDULED APPOINTMENTS. 9. EVALUATE FEASIBILITY OF TRANSPORTATION WITH VOUCHERS FOR PUBLIC TRANSIT OUTSIDE OF THE BATESVILLE AREA.10. EVALUATE OPTIMAL CARE DELIVERY MODELS INCLUDING TELEHEALTH AND REMOTE PATIENT MONITORING.11. FOCUS EFFORTS IN PRE-DESIGN AND DESIGN OF POTENTIAL NEW HOSPITAL TO IMPROVE EFFICIENCIES RELATED TO PATIENT CARE.12. CONTINUE MARKETING EFFORTS SPECIFIC TO AUTOMATED MAILERS FOR AGE-APPROPRIATE SCREENINGS AND ANNUAL WELLNESS VISITS. 13. DEVELOP OPPORTUNITIES TO INCREASE ACCESS TO PRIMARY CARE THROUGH EXTENDED HOURS IN PHYSICIAN PRACTICES.14. IMPROVE CONSUMER ENGAGEMENT THROUGH EXPANDED SERVICES AND UTILIZATION OF THE MMH PATIENT PORTAL INCLUDING RESULTS, SELF-SCHEDULING AND EASE OF PAYMENT. 15. IMPROVE COORDINATED EFFORTS OF POPULATION HEALTH INCLUDING CARE COORDINATION, ANNUAL WELLNESS VISITS, POST-ACUTE CARE NAVIGATION, CHRONIC CARE MANAGEMENT AND TRANSITIONAL CARE.16. IDENTIFY PATIENTS WHO ARE UNINSURED OR UNDER INSURED AND CONNECT THEM WITH AN MMH FINANCIAL COUNSELOR TO DECREASE BAD DEBT AND INCREASE USE OF CHARITY CARE OPTIONS. 17. UTILIZE FINANCIAL AND CERTIFIED STATE INSURANCE NAVIGATORS. 18. FOCUS OUTREACH SERVICES RELATED TO REVIEW OF HEALTH CARE COVERAGE AND NEEDS. 19. ALLOCATE FUNDING FOR FINANCIAL ASSISTANCE PROGRAM AND DISPERSE TO THOSE IN NEED. 20. FOCUS PATIENT EDUCATION PROGRAMS TO ENSURE ALIGNMENT WITH SOCIAL DETERMINANT OF HEALTH FINDINGS FOR OUR PATIENT POPULATION.21. SUPPORT THE STATEWIDE INITIATIVE I-HOPE (INDIANA HEALTHY OPPORTUNITIES FOR PEOPLE EVERYWHERE) IN RIPLEY COUNTY.BEHAVIORAL HEALTH1. INTEGRATE PRIMARY CARE PROGRAM WITH BEHAVIORAL HEALTH TO IMPROVE CONTINUITY OF CARE, SHARING TREATMENT PLANS AND COMMUNICATING MENTAL HEALTH. 2. IMPLEMENT ACES SCREENING IN BEHAVIORAL HEALTH AND POTENTIALLY IN PEDIATRIC OFFICE. 3. INCREASE ACCESS TO BEHAVIORAL HEALTH IN CONJUNCTION WITH IHC, OUR TELEHEALTH/TELE-PSYCH PARTNER, AT OUR OSGOOD RURAL HEALTH CLINIC. 4. PROMOTE THE NEW MENTAL HEALTH CRISIS LINE "988."5. PARTNER WITH COMMUNITY MENTAL HEALTH FOR CRISIS SUPPORT, INFANT MENTAL HEALTH, AND INPATIENT ADMISSIONS FOR PSYCH FROM THE ER.6. UTILIZE CERT (CHOICE'S EMERGENCY RESPONSE TEAM) AS A COMMUNITY RESOURCE AND SUPPORT FOR DRUG-RELATED CONCERNS. 7. EDUCATE MMH STAFF AND LOCAL EMPLOYERS TO HELP ADDRESS MENTAL HEALTH EMERGENCIES (I.E., QPR (QUESTION, PERSUADE REFER) AND MENTAL HEALTH FIRST AID TRAININGS). 8. CONDUCT FEASIBILITY STUDY OF SUICIDE PREVENTION PROGRAM SOS (SIGNS OF SUICIDE) OR QPR (QUESTION, PERSUADE, REFER) IN PARTNERSHIP WITH LOCAL SCHOOLS. 9. DEVELOP POLICY AND EDUCATION PLAN FOR PROVIDERS FOR WHEN A PATIENT PRESENTS WITH PSYCH OR SUICIDAL IDEATIONS. POLICY: SUICIDAL PATIENT.10. PARTNER WITH THE STATE HEALTH INSURANCE PROGRAM (SHIP) EFFORTS RELATED TO SUICIDE. 11. ENGAGE WITH THE INDIANA SUICIDE AND FATALITY REVIEW (SAFR) TEAM TO LOOK AT LESSONS FROM SUICIDE VICTIMS TO DEVELOP RECOMMENDATIONS FOR RIPLEY AND FRANKLIN COUNTIES.12. INCREASE AVAILABILITY OF GROUP THERAPY SESSIONS.13. CONTINUE ACTIVE INVOLVEMENT IN LOCAL DRUG COALITION EFFORTS.14. CONTINUE DRUG PREVENTION EDUCATION IN THE SCHOOLS.ORAL AND VISION1. PROVIDE FLUORIDE TREATMENTS IN PEDIATRIC OFFICE.2. ENCOURAGE DENTAL AND VISION CARE DURING A PRIMARY CARE WELLNESS VISIT.3. PROMOTE DENTAL PROGRAM AT SEIHCHEART DISEASE1. PRIORITIZE PARTNERSHIP WITH THE CHRIST HOSPITAL HEALTH NETWORK ENSURING FOUR DAY A WEEK PHYSICIAN COVERAGE IN BATESVILLE WITH POTENTIAL EXPANSION OF LOCAL CARDIAC SERVICES.2. CONTINUE TO EVALUATE CARDIAC DIAGNOSTIC TESTING NEEDS UTILIZING STATE-OF-THE-ART EQUIPMENT.3. MAINTAIN CHEST PAIN NETWORK ACCREDITATION IN OUR ER THROUGH OUR PARTNERSHIP WITH THE CHRIST HOSPITAL HEALTH NETWORK. 4. MAINTAIN STROKE CERTIFICATION IN COLLABORATION WITH UNIVERSITY OF CINCINNATI. 5. CONDUCT FEASIBILITY STUDY TO ESTABLISH NATIONAL HYPERTENSION (HTN) CONTROL INITIATIVE.6. EXPLORE REMOTE PATIENT MONITORING FOR PATIENTS WITH HYPERTENSION (HTN) THROUGH PROGRAMS SUPPORTED BY THE INDIANA PRIMARY HEALTH CARE ASSOCIATION (IPHCA). 7. SUPPORT EFFORTS OF THE CARDIOVASCULAR & DIABETES COALITION OF INDIANA. 8. INCREASE ACCESS AND EVALUATE LOWERING THE COST OF MMH VASCULAR SCREENINGS. 9. INCREASE ACCESS TO COMMUNITY SCREENINGS. 10. INCREASE REFERRALS INTO PROGRAMS TO ADDRESS HEART DISEASE (INCLUDING CARDIAC REHAB, INTENSIVE BEHAVIORAL THERAPY (IBT) AND EDUCATIONAL PROGRAMS)11. DEVELOP IBT FOR CARDIOVASCULAR DISEASE FOLLOWING CMS GUIDANCEIDENTIFIED HEALTH NEED: HEALTHCARE WORKFORCE AND PIPELINE DIVERSITY1. COLLABORATE WITH COLLEGES TO SERVE AS A HEALTHCARE CLINICAL ROTATION SITE (THE CHRIST COLLEGE OF NURSING, IUPUC, IVY TECH, MARIAN UNIVERSITY).2. STRENGTHEN COLLABORATION WITH LOCAL HIGH SCHOOLS TO INCREASE INTEREST IN HEALTHCARE FIELDS VIA CLINICAL AND NON-CLINICAL MENTORING PROGRAMS. 3. CREATE MORE OPPORTUNITIES FOR STUDENT SHADOWING ACROSS THE ORGANIZATION. 4. SUPPORT EFFORTS TO INCREASE RURAL HEALTHCARE EDUCATION AND EMPLOYMENT OPPORTUNITIES (MED SCHOLARS, AHEC STUDENT PARTICIPATION, MEDICAL TRANSPORT).5. COLLABORATE WITH FRANKLIN COUNTY COMMUNITY FOUNDATION AND RIPLEY COUNTY COMMUNITY FOUNDATION TO INCREASE AWARENESS OF AVAILABLE SCHOLARSHIPS FOR ONGOING EDUCATION, SPECIFICALLY WITH HEALTHCARE RELATED CAREERS. 6. COMPLETE ANNUAL SALARY BENCHMARKING AND ADJUST WAGES ACCORDINGLY TO BE COMPETITIVE IN MARKET.7. PROMOTE CULTURE OF EQUITY AND NON-DISCRIMINATION BY COMPLYING WITH MMH COMPENSATION PHILOSOPHY TO UTILIZE PAY RANGES TO REWARD BASED ON EDUCATION AND PERFORMANCE. 8. REDUCE TURNOVER IN FRONTLINE POSITIONS.9. PROMOTE CLINICAL EXPERTISE AND ENCOURAGE EMPLOYEES OBTAIN CERTIFICATIONS IN THEIR FIELD. 10. DEVELOP A BEST PRACTICES DOCUMENT ON ENGAGING EMPLOYEES AT ALL LEVELS TO MEASURE AND IMPROVE WORKPLACE CULTURE IN HEALTHCARE. 11. PROMOTE AND BUILD RESILIENCE AND INNOVATION IN THE HEALTHCARE WORKFORCE (RISE WORKSHOP EVENT FOR ENTIRE ORGANIZATION, WELLNESS, CONTINUING LEAN/PI TRAINING).12. LEVERAGE RECRUITMENT STRATEGIES INCLUDING REFERRAL BONUSES, SIGN-ON BONUSES, JOB FAIRS AND ADVERTISING ON SOCIAL MEDIA AND PROFESSIONAL RESOURCE SITES. 13. TRAIN AND IMPLEMENT THE NATIONAL CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES (CLAS) STANDARDS. 14. STRENGTHEN COLLABORATION WITH THE COMMUNITY (PATIENT AND FAMILY ADVISORY COUNCIL, FEEDTRAIL SURVEY PROCESS, LINKEDIN).15. SOLICIT ONGOING STAFF FEEDBACK (FOCUS GROUPS, SURVEYS, WEEKLY LEADER ROUNDING). MARGARET MARY HEALTH PART V, SECTION B, LINE 15E: LAMINATED SHEETS AND BROCHURES ARE IN THE OUTPATIENT AREAS AND POSTED ON OUR WEBSITE. MARGARET MARY HEALTH PART V, SECTION B, LINE 16J: THE FAP, FAP APPLICATION AND PLS ARE AVAILABLE ON THE HOSPITAL'S WEBSITE AT THE FOLLOWING ADDRESS: HTTPS://WWW.MMHEALTH.ORG/FOR-PATIENTS/BILL-PAYMENT/ MARGARET MARY HEALTH: SCHEDULE H, PART V, LINE 7A:HTTPS://WWW.MMHEALTH.ORG MARGARET MARY HEALTH: SCHEDULE H, PART V, LINE 10A:HTTPS://WWW.MMHEALTH.ORG/WP-CONTENT/UPLOADS/CHI-IMPLEMENTATION-PLAN-22-24.PDF MARGARET MARY HEALTH: SCHEDULE H, PART V, LINE 16A:FAP WEBSITE: HTTPS://WWW.MMHEALTH.ORG/FOR-PATIENTS/BILL-PAYMENT/FINANCIAL-ASSISTANCE MARGARET MARY HEALTH: SCHEDULE H, PART V, LINE 16B:FAP APPLICATION WEBSITE: HTTPS://WWW.MMHEALTH.ORG/FOR-PATIENTS/BILL-PAYMENT/FINANCIAL-ASSISTANCE MARGARET MARY HEALTH: SCHEDULE H, PART V, LINE 16C:FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.MMHEALTH.ORG/FOR-PATIENTS/BILL-PAYMENT/FINANCIAL-ASSISTANCE MARGARET MARY HEALTH: PART V, SECTION B, LINE 11 CONTINUED:IDENTIFIED HEALTH NEED: HEALTHCARE WORKFORCE AND PIPELINE DIVERSITY (CONTINUED)16. PROMOTE COMMUNICATION AND TRANSPARENCY THROUGHOUT THE ORGANIZATION (DAILY OPERATIONS BRIEF, LEADERSHIP MEETINGS, LEADER ROUNDING, MMH CONNECT APP/PLATFORM TO SHARE ANNOUNCEMENTS, RECOGNITIONS, AND VIDEO UPDATES).17. INCREASE DIVERSITY, CULTURAL COMPETENCY AND EMPATHY TRAINING (LEADERSHIP WORKSHOPS, HEALTHSTREAM IN-SERVICES, NEW HIRE ORIENTATION, RISE EVENT)IDENTIFIED HEALTH NEED: ACCESS TO FOOD1. EXPAND THE AVAILABILITY OF NUTRITIOUS FOOD (THERAPEUTIC MEALS) IN CLINICAL CARE SETTINGS.2. PROVIDE PRODUCE PRESCRIPTIONS (RX FOOD AS MEDICINE).3. PROMOTE FARM-TO-SCHOOL PROGRAMMING WITHIN SCHOOLS.4. DEVELOP PARTNERSHIPS WITH LOCAL BUSINESSES AND CHURCHES TO SUPPORT AND FUND HEALTHY FOOD ACCESS POINTS, INCLUDING FARMERS' MARKETS, FOOD CARTS OR FOOD CUPBOARDS AT VARIOUS LOCATIONS THROUGHOUT OUR COMMUNITIES.5. SUPPORT SCHOOL GARDEN INITIATIVES.6. PROMOTE GARDENING EDUCATIONAL PROGRAMS IN PARTNERSHIP WITH ORGANIZATIONS DEDICATED TO HEALTHY FOOD ACCESS AND FOOD EQUITY. 7. CONTINUE BOUNTY BOX IN PARTNERSHIP WITH THE FGA (FOOD AND GROWERS ASSOCIATION).8. CONTINUE COOKING MATTERS PROGRAM WITH FINANCIAL SUPPORT FROM INDIANA DEPARTMENT OF HEALTH (IDOH).9. SUPPORT EFFORTS OF FRESH LOCAL FOOD COLLABORATIVE. 10. SUPPORT EFFORTS OF INDIANA GROWN.11. PARTNER WITH LOCAL SCHOOLS TO PROMOTE INDIANA FOOD DAY EFFORTS.12. PARTNER WITH LOCAL SCHOOLS TO PROVIDE LOCALLY SOURCED, A NUTRITIONAL NEWSLETTER FOR PARENTS. 13. EXPAND FOOD PANTRY PARTNERSHIP TO PROVIDE RECIPES, COOKING DEMOS AND EDUCATION.14. INCREASE THE NUMBER OF FOOD DRIVES TO SUPPLY LOCAL FOOD PANTRIES. 11 1 - OUTPATIENT & CANCER TREATMENT CENTER 24 SIX PINE RANCH RD BATESVILLE IN 47006 OUTPATIENT & CANCER TREATMENT 2 - REHABILITATION CENTER 206 ST RD 129 S BATESVILLE IN 47006 THERAPY 3 - OCCUPATIONAL HEALTH SERVICES & WELLNESS 1051 ST RD 229 N BATESVILLE IN 47006 CLINIC 4 - PHYSICIAN CENTER 26 SIX PINE RANCH RD BATESVILLE IN 47006 OBGYN/SURGERY/PRIMARY CARE 5 - ORTHOPAEDIC & SPECIALTY CENTER 256 ST RD 129 S BATESVILLE IN 47006 ORTHOPAEDIC & SPECIALTY 6 - HOSPICE 321 MICHELL AVE BATESVILLE IN 47006 HOME HEALTH AND HOSPICE 7 - MEDICAL ARTS CENTER 188 STATE RD 129 S BATESVILLE IN 47006 PRIMARY CARE 8 - PHYSICIAN PARTNERS OF OSGOOD 112 N BUCKEYE ST OSGOOD IN 47037 PRIMARY CARE 9 - HEALTH CENTER OF BROOKVILLE 11137 US 52 BROOKVILLE IN 47012 PRIMARY CARE 10 - MARGARET MARY PHYSICIAN PARTNERS OF MILA 930 NORTH MAIN ST MILAN IN 47031 PRIMARY CARE 11 - PROFESSIONAL CENTER 1033 STATE RD 229 N BATESVILLE IN 47006 OUTPATIENT & SPECIALTY MEDICINE PART I, LINE 3C: IN ADDITION TO FPG, THE ORGANIZATION USED THE FOLLOWING METHODS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE: ASSET LEVEL, MEDICIAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY. PART I, LINE 7: THE COST TO CHARGE RATIO METHOD WAS USED TO CALCULATE THE CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST. PART I, LINE 7G: THE ORGANIZATION DOES NOT INCLUDE ANY COST ATTRIBUTABLE TO A PHYSICIAN CLINIC IN THE SUBSIDIZED HEALTH SERVICES COSTS. PART I, LN 7 COL(F): TOTAL BAD DEBT EXPENSE OF $0 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A HAS BEEN EXCLUDED FROM THE DENOMINATOR FOR THE PERCENTAGE CALCULATION PER IRS INSTRUCTION. EFFECTIVE WITH THE ADOPTION OF ASU 2011-07, THE STANDARD REQUIRES CERTAIN HEALTHCARE ENTITIES TO PRESENT THE PROVISION FOR BAD DEBT RELATING TO PATIENT SERVICE REVENUE AS A DEDUCTION FROM PATIENT SERVICE REVENUE. PART II, COMMUNITY BUILDING ACTIVITIES: MMH SUPPORTS COMMUNITY BUILDING BY PARTICIPATING AND BEING AN ACTIVE PARTNER IN EMERGENCY PREPAREDNESS. MMH PROMOTES BUILDING THE FUTURE OF HEALTHCARE BY DEVELOPING MENTOR AND CAREER DEVELOPMENT PROGRAMS IN THE HEALTHCARE FIELD. MMH ALSO HAS A RECRUITMENT PLAN TO ENSURE ACCESS TO THE MEDICAL CARE. PART III, LINE 2: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON THE HOSPITAL'S EVALUATION OF ITS MAJOR PAYOR SOURCES OF REVENUE, THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO ITS SERVICE AREA AND THE HEALTHCARE INDUSTRY. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PAYMENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PART III, LINE 3: NO OTHER BAD DEBT AMOUNTS HAVE BEEN INCLUDED AS COMMUNITY BENEFIT. 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 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: AUDITED FINANCIAL STATEMENT FOOTNOTE CAN BE FOUND ON PAGE 9 AND 10 UNDER THE HEADING PATIENT ACCOUNT RECEIVABLE. 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 DECEMBER 31, 2023 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST. PART VI, LINE 2: MMH COMPLETES A COMMUNITY HEALTH ASSESSMENT EVERY 3 YEARS WHICH INCLUDES FOCUS GROUPS WITH LOCAL PARTNERS AND LEADERS. PART VI, LINE 3: MMH INFORMS AND EDUCATES PATIENTS AND PERSONS ABOUT ELIGIBILITY FOR ASSISTANCE WITH POSTED SIGNAGE IN ALL REGISTRATION AREAS AND ON OUR WEBSITE. PART VI, LINE 4: MARGARET MARY HEALTH'S PRIMARY AND SECONDARY SERVICE AREA INCLUDES ALL OF RIPLEY AND FRANKLIN COUNTIES AND PARTS OF DECATUR AND DEARBORN COUNTIES. WE SERVE PRIMARILY RURAL COMMUNITIES. AS OF 2023, THE TOTAL POPULATION FOR RIPLEY COUNTY WAS 28,995 WITH A MEDIAN HOUSEHOLD INCOME OF $70,285. 9.6% OF THE POPULATION IN RIPLEY COUNTY IS LIVING BELOW FEDERAL POVERTY LEVELS AND 7.5% OF INDIVIDUALS DO NOT HAVE HEALTH INSURANCE. AS OF 2023, THE TOTAL POPULATION FOR FRANKLIN COUNTY WAS 22,785 WITH A MEDIAN HOUSEHOLD INCOME OF $75,985. 7.4% OF THE POPULATION IN FRANKLIN COUNTY IS LIVING BELOW FEDERAL POVERTY LEVELS AND 5.9% OF INDIVIDUALS DO NOT HAVE HEALTH INSURANCE. THE PERCENT OF MMH SERVED PATIENTS ON MEDICAID IS ESTIMATED TO BE 16.83% AND THE PERCENT OF PATIENTS CONSIDERED 100% SELF-PAY WITH NO INSURANCE IS 1.74%. THERE ARE NO OTHER HOSPITALS LOCATED IN RIPLEY OR FRANKLIN COUNTIES TO PROVIDE SERVICES FOR PATIENTS. THERE IS ONE ADDITIONAL HOSPITAL TO MMH IN BOTH DECATUR AND DEARBORN COUNTIES PROVIDING SERVICES. IN BOTH FRANKLIN AND RIPLEY COUNTIES THERE ARE ONE OR MORE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THE COMMUNITIES. PART VI, LINE 5: MMH IS GOVERNED BY A COMMUNITY BOARD. MMCH OPERATES A 24 HOUR EMERGENCY ROOM. MMH COMPLETES A COMMUNITY ASSESSMENT AND A PLAN TO ADDRESS OUR COMMUNITY NEEDS. PART VI, LINE 7, REPORTS FILED WITH STATES IN 1 MARGARET MARY HEALTH FOUNDATION 321 MITCHELL AVE BATESVILLE IN 47006 455039355 501C3 294802 0 IN-KIND EXPENSES PAID TO ASSIST THE FOUNDATION. 1 0 SCHOLARSHIPS: SIX RECIPIENTS RECEIVED $1,000, AND FOUR RECEIVED $3,000 10 18000 PART I, LINE 2: ASSISTANCE TO ORGANIZATIONS: ALL GRANTS ARE PROVIDED TO 501(C)(3) PUBLIC CHARITIES FOR GENERAL SUPPORT. MARGARET MARY HEALTH DOES NOT MONITOR THE USE OF THESE FUNDS BY THESE PUBLIC CHARITIES. CURRENT YEAR SUPPORT WAS FOR EXPENSES PAID TO ASSIST MARGARET MARY HEALTH FOUNDATION. ASSISTANCE TO INDIVIDUALS: SCHOLARSHIP APPLICATIONS ARE REVIEWED BY SENIOR MANAGERS AND A HUMAN RESOURCE REPRESENTATIVE. CRITERIA REVIEWED INCLUDE GPA, DEGREE PURSUING, YEAR THEY WOULD GRADUATE AND THE NEED OF MMH. TO RECEIVE FUTURE INSTALLMENTS STUDENT MUST MAINTAIN MINIMUM 3.0 GPA AND PROVIDE A COPY OF TRANSCRIPTS. X X X 0 0 0 0 0 0 0 0 0 JOHN GRYSPEERDT MD PHYSICIAN 555730 0 238251 0 0 0 8100 0 20612 0 822693 0 0 0 JEFFREY HATCHER MD PHYSICIAN 654728 0 16000 0 0 0 30600 0 44732 0 746060 0 0 0 MICHAEL MAGGIO PHYSICIAN 704442 0 10000 0 0 0 8100 0 20668 0 743210 0 0 0 PAUL JARVIS MD PHYSICIAN 565566 0 42000 0 0 0 28900 0 20690 0 657156 0 0 0 JON GEERS MD PHYSICIAN 580590 0 15600 0 0 0 8100 0 25565 0 629855 0 0 0 LIZ LEISING PRESIDENT 360280 0 0 0 0 0 8100 0 17734 0 386114 0 0 0 BRIAN DAEGER VP OPERATIONS 261604 0 0 0 0 0 5803 0 20632 0 288039 0 0 0 KIM INSCHO VP HUMAN RESOURCES 225868 0 0 0 0 0 6149 0 20575 0 252592 0 0 0 CRAIG GILLILAND VP FINANCE 216495 0 10000 0 0 0 1500 0 18658 0 246653 0 0 0 MICHELLE BILTZ MEMBER/CHIEF OF STAFF 194944 0 10000 0 0 0 5540 0 24610 0 235094 0 0 0 JULIE KEENE VP PHYSICIAN SERVICES 207632 0 0 0 0 0 5125 0 20550 0 233307 0 0 0 DEVAN REUSS VP OUTPATIENT SERVICES 172073 0 0 0 0 0 4224 0 17916 0 194213 0 0 0 A INDIANA HEALTH FACILITY FINANCING AUTHORITY 351611409 454798PAL 2004-04-01 22000000 SEE PART VI 0 0 0 B INDIANA HEALTH FACILITY FINANCING AUTHORITY 351602316 000000000 2010-12-16 16625235 SEE PART VI 0 0 0 A 14885000 22000000 264000 21736000 2004 0 0 1 1 B 10902423 16625235 102750 16522485 2012 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 1 0 1 1 PIPER JAFFRAY FINANCIAL PRODUCTS 25.000000000000 0 0 0 0 1 B 0 0 1 0 1 0 0 0 1 A 1 B 1 SCHEDULE K, PART I, COLUMN (F), DESCRIPTION OF PURPOSE: BOND ISSUE (A): FINANCE ONCOLOGY AND OUTPATIENT CENTERS. BOND ISSUE (B): REFINANCE 2008 BONDS AND FINANCE 28,000 SQUARE FEET MEDICAL OFFICE BUILDING. PART I, ITEM C, DOING BUSINESS AS: MARGARET MARY HEALTH MARGARET MARY HEALTH PARTNERS OSGOOD PRIMARY CARE MARGARET MARY HEALTH HOSPICE FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. ALL ADULT RESIDENTS OF THE AREA SERVED BY MARGARET MARY HEALTH SHALL BE ELIGIBLE FOR MEMBERSHIP IN THE ORGANIZATION. ANY SUCH RESIDENT MAY BECOME A MEMBER BY PAYMENT OF THE ANNUAL MEMBERSHIP FEE PROVIDED FOR IN THE BY-LAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER WHOSE CURRENT ANNUAL MEMBERSHIP HAS BEEN PAID AT LEAST TEN DAYS IN ADVANCE OF ANY MEETING SHALL BE ENTITLED TO ONE VOTE AT ANY MEETING OF THE MEMBERS. THE MEMBERS OF THE ORGANIZATION ELECT THE BOARD OF DIRECTORS. 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 FORM 990 IS THEN PRESENTED AND REVIEWED WITH THE FINANCE COMMITTEE. ONCE APPROVED BY THE FINANCE COMMITTEE, 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 C, LINE 19: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY KIM INSCHO, MMH CORPORATE COMPLIANCE OFFICER. THE SCOPE OF THIS POLICY INCLUDES ALL BOARD AND FINANCE COMMITTEE MEMBERS, SENIOR MANAGEMENT OF MMH, AND ANY PHYSICIAN WHO HOLDS A MEDICAL DIRECTORSHIP POSITION AT MMH. THE POLICY IS IN PLACE TO IDENTIFY AND APPROPRIATELY DEAL WITH A CONFLICT OF INTEREST SITUATION THAT MAY EXIST. THE COVERED PERSONS ARE TO REFRAIN FROM TRANSACTIONS THAT COULD POTENTIALLY CREATE A CONFLICT OF INTEREST. A SELF DISCLOSURE FROM COVERED PERSONS TO KIM INSCHO, MMH CORPORATE COMPLIANCE OFFICER, IS REQUIRED ON ANY POTENTIAL CONFLICTS OF INTEREST. DEPENDING ON THE TYPE OF CONFLICT OF INTEREST, THE COVERED PERSON WOULD NOT PARTICIPATE IN ANY DELIBERATION OR DECISIONS ON SUCH TRANSACTIONS. THIS WOULD INCLUDE ABSTAINING FROM VOTING ON CERTAIN MATTERS. KIM INSCHO, MMH CORPORATE COMPLIANCE OFFICER, IS RESPONSIBLE FOR REVIEWING AND RESEARCHING THE CONFLICTS DISCLOSED. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS MADE BY THE INDEPENDENT BOARD OF DIRECTORS. THE BOARD THOROUGHLY REVIEWS COMPENSATION INFORMATION AND HIRES OUTSIDE CONSULTANTS TO ADVISE APPROPRIATE SALARY RANGES. THE DELIBERATION AND DECISION IS DOCUMENTED IN THE MINUTES. OTHER OFFICERS OR KEY EMPLOYEES COMPENSATION IS DETERMINED BY CEO. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR/PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,324,633. MANAGEMENT AND GENERAL EXPENSES 6,384,687. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,709,320. PROFESSIONAL FEES - MEDICAL: PROGRAM SERVICE EXPENSES 8,430,714. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,430,714. FORM 990, PART XI, LINE 9: NET UNREALIZED GAINS/(LOSSES) DERIVATIVE 35,624. FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT: THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR. MARGARET MARY HEALTH FOUNDATION 321 MITCHELL AVE BATESVILLE IN 47006 455039355 FUNDRAISING IN 501(C)(3) LINE 12A, I MARGARET MARY COMMUNITY HOSPITAL INC 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 MARGARET MARY HEALTH FOUNDATION C 290159 COST MARGARET MARY HEALTH FOUNDATION B 202221 COST